MC-13-2085Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 199138
Scheduled Inspection Date: March 12, 2014
Inspector: Perez, JanPierre
Owner: FRAME, ROBERT
Job Address: 680 NE 97 Street
Miami Shores, FL
Project: <NONE>
/3-
Permit Number: MC -9 -13 -2085
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Phone Number
Parcel Number
1132060171610
Contractor: ESSIG POOLS INC Phone: 305 - 949 -0000
suuamg uepartment comments
MECHANICAL WORK FOR NEW POOL & SPA Infractlo Passed Comments
INSPECTOR COMMENTS False
, V 3 rZill
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 11, 2014 For Inspections please call: (305)762 -4949 Page 8 of 34
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, NGami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: MECHANICAL
SEP X 6 2013
BY:
FBC 20 l c�
Ivr
Permit No.
Master Permit N6.tff
JOB ADDRESS: �� !
City. Miami Shores County. Miami Dade ----;Zip l
Folio/Parcel#: —7
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER Name (Fee Simple 1`it1eho1der 4.2 ' ' ' — Y���"�
Address: T% -5
City: I� I— +����5 State:
Tenant/i,essee 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
Stale Certification or Registration # CPC052505 Certificate of Competency #
Contact Phone#. 305 - 949-0000 Email Address: PERMITS @ESSIGPOOLS.COM
DESIGNER: Architect/Engineer. PFEIFFER ENGINEERING Phone#: 786-235 -2435
Value of Work for this Permit: $ ��� Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration ONew URepair/Replace ODemolition
Description of Work:
Submittal Fee $ Permit Fee $ L r � � CCF $ CO /CC $
Sunning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ `
ql�
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 value exceeding $2500, the applicant roust
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 hment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whit ccurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection ll ap a remspection fee will be charged
Si Signature
Owner or Agent tractor
The foregoing instrument was acknowledged before me this ' The forego' g instrument was acknowledged before me this , )
day of .—A day of 20
who is pergMally known to me or who has produced who is personally known to me or who has produced �J
As identification and who did take an oath. as identtfication and who'd- ae an oath.
APPROVED BY
My
Plans Examiner Zoning
Structural Review Clerk
(Revised 3112r2o12)(Revised o7no/07 wvised 06/10=w)Wwised 3/15/09)