PL-14-638Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-210004 Permit Number: PL -3-14-638
Scheduled Inspection Date: November 19, 2014 Permit Type: Plumbing Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: SALT, ABBIE Work Classification: Pool Private
Job Address: 1468 NE 104 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: ESSIG POOLS INC
Isunamg uepartment comments
PVC PIPING FOR NEW POOL AND SPA
Phone Number
Parcel Number 1122320320320
INSPECTOR COMMENTS False
Phone: 305-949-0000
November 18, 2014 For Inspections please call: (305)762-4949 Page 3 of 41
Inspector Comments
Passed
Ed
40
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 18, 2014 For Inspections please call: (305)762-4949 Page 3 of 41
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) 762.494!
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
MAR a4 2014
FBC 20
Permit No. - Z /!Z ^ rS3
Master Permit NoBiT 14t -" 63S—
JOB
3
JOB ADDRESS: 14"
City: Miami Shores County: Miami Dade
Folio/Parcel#: t I — Z Z:v 2— Q3 2 — 2.�
Is the Building Historically Designated: Yes NO / Flood Zone:
OWNER: Name (Fee Simple
Address]
AcL==,�i-,= -E,, 1---I--
city: I t , State: T — Zip: 3a l 2>
TenanvLessee Name: Phone#:
Email
CONTRACTOR.. Company Name: ESSIG POOLS, INC Phone#.. 305-949-0000
Address: 1800 NE 151 ST
City: NORTH MIAMIState: FL Zip: 33162
Qualifier Name. DANIEL ESSIGPhone#: 305-949-0000
State Certification or Registration #: CPCO52505 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: $ �'� Square/Linear Footage of Work:
Type of Work: OAddress DAlterafion ew ORepair/Replace ODemolition
Description of Work:
Submittal Fee $ o -/I Permit Fee CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural 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
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 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 absence of such posted notice, the
inspection1will not be approved and a reinspection fee will be charged.
Signature ,�„�(�i i(1T Signature
Owner or Agent ntracto
The foreg ing instrument was acknowledged before me this The for Ing instrument 1nowledged before me this
II rr
day of PC(�20by t"t- day of tel'+ , 20�, by
who is personally known to me or who has produced who j&pgrso known to me or who has produced
APPROVED BY-2-L'� `� Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)