PL-13-1329� 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 193447 Permit Number: PL -6 -13 -1329
Scheduled Inspection Date: November 19, 2013
Inspector: Diaz, Osvaldo
Owner: BRUCE, JON & KIMBERLY
Job Address: 1113 NE 98 Street
Miami Shores, FL 33138 -2507
Project: <NONE>
Contractor:
ESSIG POOLS INC
mulling vepartment comments
PLUMBING WORK FOR NEW POOL
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Jnspector Comments
Passed F -7
I—�
Failed
Correction
Needed
Re- inspection
❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
1132050180260
Phone: 305 - 949 -0000
November 18, 2013 For Inspections please call: (305)762 -4949 Page 7 of 31
Miami Shores Village
Building Department
10050 NE-2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMER: (305) 762.4949
BUILDING
PERNM APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: /I A � �
jus
FBC 20
Permit No. P� 15 329
Master Permit No. 6 r N' l d I
City: Miami. Shores County: Miami Dade
Folio/Parcel#. ! I 3 Z l � < c, �.
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder)Jec=:�,—, (1�1 C -z- Phone# 7 'Z Z
Address: I 13 r--) r--- " iEs !!55fi .
City: rv" F=C Zip:
Tenantdzssee Name: phone#.
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC phone#: 305 - 949-0000
Address: 1800 NE 151 ST
City: NORTH MIAMI State. FL Zip: 33162
Qualifier Name DANIEL ESSIG Phone#: 305 - 949 -0000
State Certification or Registration #: CPCO52505 CertUicate, of Competency #:
Contact Phone#: 305 -949 -0000 Finail Address: PERMITS @ESSIGPOOLS.COM
DESIGNER: Architect/Engineer: PFEIFFER ENGINEERING Phone#. 786'235 -2435
Value of Work for this Permit: $ ::.L :f::) Square/Linear Footage of Work:
Type of Work: DAddress DAlteration
Description of Work:
ORepair/Replace ODemolition
Submittal Fee $ Permit Fee $_ :-f—' CCF $ CO /CC $
Scanning Fee $ Radon Fee $
DBPR $ Bond $
Notary $ Tr9in;ngrndnration Fee $ Technology Fee $
Double Fee $ Str durul Review $
TOTAL FEE NOW DUE $ o
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 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
promise in good faith that a copy of the notice of commencement and construction lien
whose property is subject to attachment. Also, a certified copy of the recorded no * cc
for the first inspection which occurs seven (7) days after the building permit ' issued
inspection will not be approved and a reinspection fee will be charged
Signature Sig
Owner or Agent
The fore ing ' trument was acknowledged before me this.ME�j The
ding $2500, the applicant must
will be livered to the person
a nWqe posted at the job site
,nc of such posted notice, the
was k1m\wledged before me this
day o 20< 3 by J�� G day of 20 = by/ �
who is personally known to me or who has produced who is personally known to me or who has produced
Sign:
Print:
my
APPROVED BY
As identification and who did take an oath.
?PBLIC -STATE OF FLORIDA
I'Yorleny M. Hernandez
Commission #DD904411
Expires: SEP. 27, 2013
My
C-13-13 Plans Examiner
identification and who did take an oath.
n #DD904411
SEA 27, 2013
Zoning
Structural Review Clerk
(Revised 3112/2012)(Revised 07 110 107)(Revised 06nO WXRevised 3/15/09)