MC-14-1140 �Lf__i 138
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972>'
Inspection Number: INSP-213461 Permit Number: MC -6-14-1140
Scheduled Inspection Date: March 23, 2015
Inspector: Perez, JanPierre
Owner: BRUT21, MARCO
Job Address: 10433 NE 6 Avenue
Miami Shores, FL
Project: <NONE>
Contractor:
ESSIG POOLS INC
iuiming Department comments
POOL HEATER
.Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Phone Number (786)691-0933
Parcel Number 1122310120180
INSPECTOR COMMENTS False
Phone: 305-949-0000
March 20, 2015 For Inspections please call: (305)762-4949 Page 2 of 31
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
March 20, 2015 For Inspections please call: (305)762-4949 Page 2 of 31
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: MECHANICAL
JOB ADDRESS:
C::1 -q-22> :3
JUN 0 8 2014
FBC 20 U�
Permit No. m G I y— I 1 `i o
Master Permit No. �� l
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#. l! 2-2 3 1 CD 1 Z — l-7-:5
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): .t 4 L_ C_. C— Phone# is 33
Address:
City: L l �� i State: Zip: 3 v L 3 1
Tenant/L.essee Name: Phone#.
Email:
CONTRACTOR: Company Name: ESSIG POOLS, INC phone#: 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 t.
Contact Phone#: 305-949-0000 Email Address: PERMITS@ESSI.GPOOLS.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 OAlteration ew ORepair/Replace
Description of Work
Submittal Fee $ Permit Fee $ L/ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
ODemolition
TOTAL FEE NOW DUE $ n
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
COMAIENCEMENT 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 absenc f such posted notice, the
msp ction will not be approved qnd a reinspection fee will be charged.
Signa m Signature
Owner or Agent' / �owlgggedbefbre
r
The foregoing ' ent was acknowledged before me this The fore o' g instrument was me this
day of %77 0 �� by �'' «' �Y�ZZI, day of 20 by 1— � I I
who is personally known to me or who has produced who is personally known to me or who has,produced
As identification anjJ,0WN%&,W oath. as identification and v� 1 ilk i
Septe��s%:
Print: 4 ' K #b
My Co4mission pires: dam'``)&jff *..
APPROVED BY - V l Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Print:
tpMtssj ••29
PUBLIC: GO
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4�n z1vi i -- .
Zoning
Clerk