MC-14-637Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-89�
Inspection Number: INSP-210003 Permit Number: MC -3-14-637 A
Inspection Date: November 19, 2014
Inspector: Perez, JanPierre
Owner: SALT, ABBIE
Job Address: 1468 NE 104 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Phone Number
Parcel Number 1122320320320
Contractor: ESSIG POOLS INC Phone: 305-949-0000
Buildina Department Comments
POOL HEATER
Infractio Passed Comments
INSPECTOR COMMENTS False
Y
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
For Inspections please call: (305)762-4949
November 18, 2014 Page 1 of 1
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: MECHANICAL
FBC 20
Permit No. i�'1G l �'% " tS 3 1-
Master
Master Permit NOA� ly-" �3S
JOB ADDRESS: I\_- I =119" ` T
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I I - 22 2 ' Q 2 E�
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder):'4 —�-'== ' "� Phone#I ��� 2' --
Address: --
City: i�-,,z ��' (_`� State: T --L
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 805-949-0000
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 a@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: DAddress OAlteration RtlZe_w ORepair/Replace ODemolition
Description of Work:'
Submittal Fee $ Permit Fee $ Z2 0,0 CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
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
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, BEATERS, 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
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 fa t inspection which occurs seven (7) days after the building permit is issued. In the abs of sucz�.otice, the
inspectio4 will not be approved and a reinspection fee will be charged )
Owner or Agent ontra
The for ing instrument was acknowledged before me this The for ing ins a edged bgfore e tln�'�-�
day of , �0 �by Ar-colr= f 'r`t'; day of ✓z-�1, 20 _''/by.L--%►►��
who is personally known to me or who has produced who is perfsonally known to me or who has produced
Sign:
Print:
APPROVED BY
As ide cation and ,MMdui^dRII,AAy�, (�}/�/ an oath.
� p or 2T40
s a
N
q Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk