MC-14-890Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972° 14 b
-
Inspection Number: INSP-211710
Scheduled Inspection Date: September 17, 2014
Inspector: Perez, JanPierre
Owner: ,
Job Address: 1172 NE 103 Street
Miami Shores, FL 33138-2652
Project: <NONE>
Contractor:
ESSIG POOLS INC
Building Department Comments
POOL HEATER
Permit Number: MC -5-14-890
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
INSPECTOR COMMENTS
Phone Number
Parcel Number
False
1132050190040
Phone: 305-949-0000
September 16, 2014 For Inspections please call: (305)762-4949 Page 6 of 45
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 16, 2014 For Inspections please call: (305)762-4949 Page 6 of 45
Miami Shores Village
Building Department
90050 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: MECHANICAL
JOB ADDRESS:
-7 Z %L4-=
FBC 20
Permit No. �y' 8910
Master Permit N&A.PP / , g
City: Miami Shores County: Miami Dade Zip: ? �•
Folio/Parcel#: % I — :E� — o t — � .
Is the Building Historically Designated: Yes
NO '>< Flood Zone:
OWNER: Name (Fee Simple Titleholder !!!j I S l �_�d1 PhoneQQ2-
Addreysss: I / 1-7 -P-
City:
City: I "li � � State: Z Zip: la
Tenanvlzssee Name: Phone#:
Email.
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
Amoss: 1800 NE 151 ST
City: NORTH MIAMI State; FL Zip; 33162
Qualifier Name: DANIEL ESSIG Phone4: 305-949-0000
State Certification or.Registration #: CPC052505 Certificate of Competency #:
Contact Phone#: 305-949-0000Email Address: PERMITS@ESSIGPOOLS.COM
DESIGNER• Architect/Engineer. PFEIFFER ENGINEERING Phone#: 786-235-2435
Value of Work for this Permit: $ S uare/Linear Footage of Work:
Type of Work: OAddress DAlteration ^ew . ORepair/Replace
Description of Work -
Submittal Fee $ + Permit Fee $
Scanning Fee $ Radon Fee $
CCF $ CO/CC $
DBPR $ Bond $
Notary $ TraininglEducation Fee $ Technology Fee $
Doable Fee $ Structural Review $
TOTAL FEE NOW DUE $
DDemolition
&J1,0
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
COMA1ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
Il"ROVEMENTS 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 inspe Q61 which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will no be Opproyed and a reinspection fee will be charged
Signature- V %l 1 — Signature
Owner or Agent E for
The foregoingent was/knowledged before me this The for go' g instrument was acknowledged before me this l �_
day of a ° 20 b1�J I i �r c �- day of 20 t by
who is personally known to me or who has produced who!! personall known to me or who has produced
` �lans Examiner
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06110/2009)(Revised 3/15/09)