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PL-19-516Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 [ID F-1, _ If .1 nj-U Issue Date: 05/02/2019 Location Address Parcel Number 1167 NE 99TH ST, Miami Shores, FL 33138 1132050180080 Contacts Permit No.: PL-03-19-516 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: Approved Expiration: 10/29/2019 YOHIR AKERMAN Owner 1167 NE 99 ST, MIAMI SHORES, FL 33138 ESSIG POOLS INC Contractor DANIEL ESSIG 10111 Business DR, MIRAMAR, FL 33025 Business: 3059490000 Description: NEW SWIMMING POOL, DECK, HEATER, AND SPA Valuation: $ 1,500.00 Requests: Inspection 305-4949 Total Sq Feet: 1,384.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Plumbing - Pool - Residential $100.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $162.35 Building Department Copy Payments Date Paid Amt Paid Total Fees $162.35 Check # 3010 05/02/2019 $162.35 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify tf at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating coRstrucon and ToniMj. Futhermore, I authorize the above named contractor to do the work stated. Authorized / Applicant / Contractor / Agent Date May 02, 2019 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 T 1 305 795 2204 1:• (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305)162-4949 RECEIVED MAR 0 8 1019 W ” FBC 20I1 _ 1 S BUILDING Master Permit No. � -09 I q PERMIT APPLICATION Sub Permit No.O`er - I q ❑BUILDING ❑ ELECTRIC ❑ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑'SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Folio/Parcel#: It �QhSb Occupancy Type: 1) ?�> Load: V OWNER: Name (Fee Simpple�Titlledeeholde Address: L I l/)-i Ivy) `� Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFFEE: —� 4` FFE: 2 �/� 111 \ L N K-y ma r) _Phone#: ( !) 1- U ✓� . )1* y,, Tenant/Lessee Name: vnoneff: Email: CONTRACTOR: Company Name: ESSIG POOLS, INC Arlrlro,,- 10111 BUSINESS DR City: M I RAMAR State: FL Qualifier Name: DANIEL ESSIG State Certification or Registration #: CPCO52505 DESIGNER: Architect/Engineer: Phone#: _ Address: City: State Value of Work for this Permit: $ 0 Square/Linear Footage of Work: hone#: 305-949-0000 Zip: 33025 hone#: Certificate of Competency #: Type of Worlc: ❑ Addition ❑ Alteration New ❑ Repair/Replace ption of Work: Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ nn TOTAL FEE NOW DUE $+� G • 3 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application lis hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS .TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC&OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature 4n, I NER rAGENT CONTRA The foregoing instrument was acknowledged before me this day of. 20 ) by who is personally known to The foregoing instrument was acknowledged before me this '2) day of r4 20 __ 19 by DANIEL ESSIG who is personally known 1- me or who has produced ••• as me or who has produced PERSONALLY KNOI(1(ill,•„� identification and who did take an oath. " .`�MICHgF�''•,�' •�� q � • identification and who did tak an oath. •` �� , ... F� ;� NOTARY PUBLIC: pQ ; •' NOTARY�'• OTARY PUBLI ICJ '� NOTARY�' 910, PUBLIC CO ' 157200 Z - c PUBLIC '•� 0. REG # GG m : REG # GG 157200 : Z z COMMISSION • ry s - _ . ; m Sign: v MY CO ES MY COMMISSii . r� - T ign: EXPIRES 1110112021+' Print: r,3•.,,;��0 •� • ••.` Print: _ r!i' V S A L % y ,. •'<�� "" Seal: �'. F • " ��•••••••••�` Seal: �''�.•.•� '�. :k ck:k �c:k 8e yc * M: *:k:k:k:k:k:k �: Ne ch rk rk rk N: # & W.:k:k ek:k ek:k>k ek & q: W.:k rl::k * rk rh q::Ie •c #c * rk:l::k:F 9::k:i::k *etc * :g yc * yc * * rk+k:l:+k ck+k :k * rk:le:(c ge :k:k:k �: >k+k W. ek rk:kye * ek rk rk ek rk rk rk rk ek * * ek+k ck:k 9c:k ck:(e APPROVED BY ""�—�--' l`r/-!�L Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)