PL-13-201619 191-9 /3 — ro�90
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 198587 Permit Number. PL -9 -13 -2016
Scheduled Inspection Date: February 18, 2014
Inspector: Diaz, Osvaldo
Owner: SUTIL, JUAN
Job Address: 9210 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ESSIG POOLS INC
esuuamg uepanment comments
PVC PIPING FOR POOL
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1132060133080
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
2,
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re4nspection fee is paid.
Phone: 305 -949 -0000
February 14, 2014 For Inspections please call: (305)76241949 Page 3 of 30
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: PLUMBING
JOB ADDRESS: ` Z l O �-
'( SEP06205
?_ i -e-, -era e--
_.
FBC 20
Permit No.
Master Permit No.)3EE
City. NL,ami Shores County: Miami Dade Zip:
FolioMarcel#. C� js-z
Is the Building HistoricaIly Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): --' °� —� P I Phone#: 3� 7--,- a S -7
Address: c 2l t-4 l= Z �-
City: t,-/ --� r �h ✓�_� State L— ,� 13
Tap:
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
State Certification or Registration #: CPCO52505
Certificate of Competency #:
Contactphone#: 305 - 949 -0000 Email Address: PERMITS @ESSIGPOOLS.COM
DESIGNER Architect(Engineer: PFEIFFER ENGINEERING phones. 786 -23$ -2435
Value of Work for this Permit: $ Square/Linear Footage of Work
Type of Work: []Address (]Alteration
Description of Work: 'G 4-->1 4j--> 1
ORepair/Replace ODemolition
Submittal Fee $ 0 jD 6 Permit Fee $ 2IS. ® CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TmininglEducation Fee $
Double Fee $ Structaral Review $
Technology Fee $
TOTAL FEE NOW DUE $
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
Tip
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
CONMMNCEMENT 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\ roperly is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the rst inspection which occurs seven (7) days r the building permit is issued In the absence of such posted notice, the
istspectw will not be apprp d and a recnspection fe be charged /7 /-7
Ovyber or Agent �Mor The foregoing instruin tt was acknowledged before me this i The foregoing instrument ledged before me
day of '�20 I-3 by .J— 1�r day of _ , 2d ?Z> b}��!t
who is pqpbaaUy4awwa4e me or who has produced who is personally known to me or who has produced
APPROVED BY �� °!�' ®� Plans Examiner Zoning
Structural Review Clerk
(Revised 311!2012)( -viwd 07n0/07)(Revlsal 0&100W)(Revised 3115109)