PL-14-11a�
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-205299 Permit Number: PL -1-14-11
Scheduled Inspection Date: June 11, 2014
Inspector: Diaz, Osvaldo
Owner: KAHN, STEPHEN
Job Address: 1470 NE 101 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor:
ESSIG POOLS INC
Building Department Comments
PLUMBING POOL RENOVATION
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)758-7912
Parcel Number 1132050240060
Phone: 305-949-0000
Infractio Passed Comments
INSPECTOR COMMENTS False
June 10, 2014 For Inspections please call: (305)762-4949 Page 5 of 32
Inspector Comments
Passed
Failed
(�Y
Correction
Needed
❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 10, 2014 For Inspections please call: (305)762-4949 Page 5 of 32
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
MCC
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FBC 20 c 0
Permit No. ?L— — 0
Master Permit No. S F0 y — k Q
JOB ADDRESS: )"I---7® "F --
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City: Miami Shores County: Miami Dade Zip 3 SN
Folio/Parcel#. 11 3 0 2.j- ,, CE. D
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder)S-k hZ� �,1�-,� Phone#
Address:S-r—
city: State: PLgip;' CD
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC phot. 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 #: CPC052505 Certificate of Competency #:
Contact Phone#. 305-949-0000 Email Address: PERMITS@ESSIGPOOLS.COM
DESIGNER: Architect/Engineer. PFEIFFER ENGINEERING phone#: 786-235-2435
Vn1ne of work for this Permit: Square/Linear Footage of Work:
Type of Fork: UAddress DAAllteration ONew pair/Replace ODemolition
Description of Wbrk:
Submittal Fee Permit Fee $ 2,2-5,
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $_ i %�-7
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 CONDMONERS, 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
EMPROVEMENTS 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 property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absency-of suchested�sptice, the
inspection will not be approved and a reinspection fee will be charged
Signature AL -4i
Owner or Agent
The foregoing instrument was acknowledged before me this The for oing mstra=nt was acknowledged before me this
day of bac .. 20l 3 t -i day of - 2(i by e I — I l -1
who is personally known to me or who has produced who is personally known to me or who has produced
As identification andw o did take an oath. —a identification and who did take an oath.
Print: Print Ie �"� \\ n i� •�'?
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My o sion Expires 1o2Z�� ; o� My Commission Ea s: ®® �'
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)