MC-13-1328Inspection- Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 193444 Permit Number: MC -6 -13 -1328
Scheduled Inspection Date: November 19, 2013 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Inspection Type: Final
Owner: BRUCE, JON & KIMBERLY Work Classification: Pool Heater
Job Address: 1113 NE 98 Street
Miami Shores, FL 33138 -2507
Phone Number
Parcel Number 1132050180260
Project: <NONE>
Contractor: ESSIG POOLS INC Phone: 305 - 949 -0000
Building Department Comments
MECHANICALL WORK FOR NEW POOL Infractio Passed Comments
INSPECTOR COMMENTS False
b,
V
l
4
November 18, 2013 For Inspections please call: (305)762 -4949 Page 6 of 31
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
4
November 18, 2013 For Inspections please call: (305)762 -4949 Page 6 of 31
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: MECHANICAL
JOB ADDRESS: I 113 K-) 4� I 'a—'F
JU% 1 t�13
P
FBC 20M
Permit No. Z
Master Permit No. l —�
City: Miami Shores County: 1Vliami Dade
Folio/Parcel#: I I 3 2 1t!Es Z Co
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): 2 Z S
City: State. �C✓ 1
Tenant/ Lessee Nam: Phone#:
Email:
CONTRACTOR. . Company Name: ESSIG POOLS, INC Phone#; 305 - 949 -0000
Address: 1800 NE 151 ST
City: NORTH MIAMI State: FL gyp: 33162
Qualifier Name: DANIEL ESSIG Phone#: 305 - 949 -0000
State Certification or Registration # CPC052505 Certificate of Competency#;
Contactphone#:305- 949 -0000 Email Address PERMITS @ESSIGPOOLS.COM
DESIGNER: ArchitectlEngineer. PFEIFFER ENGINEERING Phone#: 786"235 -2435
Value of Work for this Permit: $ �� � SgnareaJnear Footage of Work:
Type of Work: OAddress DAlteration ew ORepair/Replace ODemolition
Description of Work:
Submittal Fee $ Permit Fee $ - CCF $ CO /CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ Thduh g/Educ;ation Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE 9 a
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 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFEDAVIT: 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
CONMIENCEMENT 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 COMNENCEMENT:'
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 re will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice co ment nu a posted at the job site
for the first inspection which occurs seven (7) days after the building permit is 'sued I absenc of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
r Sign atu e
er or JQent
The foregoing in ent was acknowledged before me this3e
day of, 20 Irby
who is personally known to me or who has produced
Pant
APPROVED BY
The fordc'>� instrument was owledged before me this�� a�
day of 2t) 3 y�-i
who is personally known to me or who has produced
As identification an o did take an oath as identification and who did take an oath.
NOTARY PUBLIC-STATE OF FLORID1T0
/ . Yorleny n2. Her
Commission #DD50,O4411
Expires: SEP. 27, 201i
Bore gm
IIVG CO., INC.
Print
-
WAWN.P. W.,i
Structural Review
(Revised 3n2=12)(Revised 07/10/07)(Revised o6n OMMXRevised 3115/09)
ATE 04 FLORIDA
M. Hernandez
our scion # DD904411
Expires: SEP. 27, 2013
BONDED THRU ATT.ANTrr nn, ,.wr.....,
Zoning
Clerk