PL-19-2382Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
issue Date:10/10/2019
Parcel Number
1041 NE 96TH ST, Miami Shores, FL 33138 1132060143720
Contacts
Permit NO.: PL-10-19-2382
Permit Type: Plumbing - Residential
Work Classification: Poo! - Private
Permit Status: Approved
Expiration: 04/07/2020
VALERIE GREENBERG Owner
ESSIG POOLS INC Contractor
DANIEL ESSIG
10111 Business DR, MIRAMAR, FL 33025
Business: 3059490000 permits@essigpools.com
Inspection Requests:
Description: swimming pool, deck and heater Valuation: $ 1,500.00 Inspe tion Re
TotalSq Feet: 0.00
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
Payments
Date Paid Amt Paid
Total Fees
$162.35
Check # 3270
10/10/2019 $162.35
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 AFFIDAVIT- I certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating cons u do d zon g ore, I aut orize the above named contractor to do the work stated.
r0 1 1
Authorized S gn re: Ow r / Applicant / C ntractor / Agent Date
October 10, 2019 Page 2 of 2
Miami Shores Village RECE-1vED
Building Department SEP 112019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F B C 201
BUILDING Master Permit
PERMIT APPLICATION sub Permit No.'?L Mee to
[--]BUILDING❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL����
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
Folio/Parcel#:
the Building Historically Designated: Yes
Occupancy Type: :> Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Qx\ .W k ���u{JU 1x Phone# i `[ l IJVIJV
Address: tkJ --t
City: 1
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC
Address: 10111 BUSINESS DR
City:
MIRAMAR State: FL zip: 33025
qualifier Name: DANIEL ESSIG Phone#:
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer:
e#: 305-949-0000
hone#:
Address: r City: State:
Value of Work for this Permit: $ l 1 Square/Linear Footage of Work:
Type.of Work: ❑ Addition ❑ Alteration New /��` ❑ Repair/Replace A
of Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ —
CCF $
DBPR $
Zip:
❑ DemQlition
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
V
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) _
Mortgage Lender's Address
Zip
City.-- i'lvl �State Zip
w'H.a
Applica:tion 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 aiding permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of co encement and construction lien law brochure will be delivered to the person
whose property is subject to att ment. Also, a c ified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whit ccurs seven 7 ays after the building permit is issued. In the absence of such posted notice, the
inspection will not be appr ed and a r ' pe ion ee will be charged.
Sign
OWNER Ar AG
The foregoing instrument
2G. day of A -
me or who has produced
before this
20 , by
is personally known to
identification and who did take an oath.
NOTARY PUB
Sign:
,
Print
Seal:
as
Signature
CONTRACTOR�l�
The fTday
ng instrument was acknowledged before me this
of 20, _ by
DANIEL ESSIG , who is personally known to
me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
NOTARY PUBLIC:
•-. KpREN RODRIGUE
s�yv nus •.
o Lr` Notary Public State of Florida
Commission GG 304504
M Comm. Expires Feb 21, 2023
�OF�'' y National Notary Assn. =KA.REiR�**4i �14t651'SeAPPROVED BY 9J �CjPlans Examiner
Seal:.���N
RODRIGUEZ
lic-State of Florida+sion ; GG 304504'�
xpires Feb 2t, 2023
Zoning
(Revised02/24/2014)
Structural Review
Clerk