MC-19-1985Location Address
Permit NO.: MC-08-19-1985
Miami Shores Village- ri.fl-Tuk)
Permit Type: Mechanical - Residential
10050 2 Ave F'=
Miami Shores FL 33138 Work Classification: Pool Heater
305-795-2204 Permit Status: Approved
Issue Date:09/06/2019 Expiration: 03/04/2020
Parcel Number
250 NW 93RD ST, Miami Shores, FL 33150 1131010331110
Contacts
ASHLEE THOMAS Owner
25093
ESSIG POOLS INC Contractor
DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000 permits@essigpools.com
Description: HEAT PUMP FOR POOL Valuation: $ 3,500.00 Ins section Requests:
TotalSq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$55.00
Scanning Fee
$3.00
Technology Fee
$2.63
Total:
$117.83
Payments
Date Paid Amt Paid
Total Fees
$117.83
Check # 3197
09/06/2019 $117.83
Amount Due:
$0.00
Building Department Copy
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 AF DAVIT: I certify at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating co st u4ioa and 4onirA# Futhermore, I,auporize the above named contractor to do the work stated.
Authorized
Applicant /
Contractor / Agent
Date
September 06, 2019 Page 2 of 2
RECEIVED
Miami Shores Village AU 2 8 2019
Building Department BY-)ALI IL
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 �' 1
INSPECTION LINE PHONE NUMBER: (305);762-4949
FB�C20 (��//
BUILDING Master Permit No.-B `p(� `ca- i_! - I8�6
PERMIT APPLICATION Sub Permit No.mo-'- - �GI' 115795
[—]BUILDING ❑ ELECTRIC ❑ ROOFING [] REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING En MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:];SHOP
CONTRACTOR :DRAWINGS
JOB ADDRESS: 2 , V N �j 1 ✓ cT
City Miami Shores County: Miami Dade Zip:
Folio/Parcel#:�1�( o 1 n33\\\ 0 is the Building. Historically Designated: Yes NO
Occupancy Type:_ Load: Construction Type:N CXI--> Flood Zone: BFE: FFE:
OWNER: Name (Fee
Simple Titleholder): n6^ Gib Phone#: 73 5Z
Address: �) U �j �-j q S-F _
City: (�/l i ��` I 5 �,e re1�— State: I Zip: 331� 0
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
1011-1 BUSINESS DR
City: MIRAMAR State: FL Zlp: 33025
Qualifier Name: DANIEL ESSIG Phone#:
State Certification or Re ration #: CPC052505 Certificate of Competency #:
DESIGNER: ArchitecfEngin-ieer:kAddress: N L /
Value of Work for this Per
Type of Work: ❑ Addition ❑ Alteration
Description of Work: kltkyop k'
ne#:
City: State:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
Specify color of color thru tile:
Submittal Fee $O ' Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
Zip:
❑ Demolition
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
_ Bond $ rr
TOTAL FEE NOW DUE $ -9- - PJ 3
(Rev1sed02/24/2014)
RoRding Company's. Name (if applicable)
Bonding Company's.Address
City State
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Application is 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- NOTICE 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 c
Signature Sinature
g��CONTRt�OWNER or AGENT
The foregoing instrument was acknowledged before me this
1'6 day of vs 20 by
who Ispersonally known to
me or who has produced
Identification and who did take an oath.
as
The foregoing instrument was acknowledged before me this
► day of > � 20 `7 by
DANIEL ESSIG who is personally known to
me or who has produced PERSONALLY KNOWN
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
w; R MICygF'�
Sign: : ,
.• iHt� Sign: `� '� ,,
PrintGo
t� .` .. ! •
i
PUBLIC Q
.-+ Print:
:.REG # GG 157 0 t a
Seal: U *.MY COMMISSION . N : Seal: Co PUBLIC • :��
EXPIRES : _ ; REG # GG 157200' z
P • 0 : My COMMISSION ; n
' 9' 11/0112021,
p. EXPIRES
n
:k:l!/�:k :I�N • �i:k��1�1 !( �;��;�o�y�, `
#A::k.ye:k:k q: IN �::k:k q;* ;�: ,• IN*****9:*:kIN IN
'•., F OF 'FLOP%
APPROVED BY Plans Examiner �'��•• ��`�
" '+• Zoning
Structural Review Clerk
(Revlsed02/24/2014)