MC-14-1217Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972'B?P ) q
Inspection Number: INSP-213939 Permit Number: MC -6-14-1217
Scheduled Inspection Date: October 29, 2014
Inspector: Perez, JanPierre
Owner: PEGG, JOHN
Job Address: 333 NE 103 Street
Miami Shores, FL 33138-2432
Project: <NONE>
Contractor: ESSIG POOLS INC
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Phone Number
Parcel Number
1121360130250
Phone: 305-949-0000
dunamg uepartment comments
POOL HEATER Infractio Passed Comments
INSPECTOR COMMENTS False
October 28, 2014 For Inspections please call: (305)762-4949 Page 4 of 46
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 28, 2014 For Inspections please call: (305)762-4949 Page 4 of 46
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
K��) 110 � ;1 x�C�
JUN 112014
FBC 203
Permit No. 0 rn G'1 y ^ ��
Master Permit No. 15WI H " L2-15
S
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#. I ! — 2 ! v C16- — Q / '3 — Qz
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
City:
E—=: )�
State:
NO Flood Zone:
a3I3.6
, S + 43
Tenant/Lessee Name: Phone#:
Email:
3 EN 30
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
Address: 1800 NE 151 ST
City: NORTH MIAMIState: FL Zip: 33162
Qualifier Name: DANIEL ESSIGphones; 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: $ -t 0 0 0 Square/Linear Footage of Work: I
Type of Work: UAddress UAlteration l]New ORepair/Replace ODemolition
Description of Work:'
Submittal Fee
Scanning Fee $
Permit Fee
Radon Fee $
CCF $ CO/CC $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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 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
COMNENCEMENT 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 ofsuch posted tice, the
inspection will riot be approved and a reinspection fee will be charged
Signature 1 `It Signature
Owner or Agent on
The fore oing instrument was acknowledged before me this l
day of 1 �'� 20 by
who is personally known to me or who has produced
The foregoing instrument was acknowledged before me this
day of , 20 by � o► ,
who is personally known to me or who has produce
As identification and
w��e4�
NOTAR PUBLIC: �00 �•°• M/es��2°•��
m e ®o �D•
• , ® VHa
Sign: A A• 2 F��2
Print.�° '�Carrw 0�•e ��
m �
My Commis ion Expires:
APPROVED BY "Mans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Print
Zoning
Clerk