MC-14-1732 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-217510 Permit Number: MC-8-14-1732
Inspection Date: March 16, 2015 Permit Type: Mechanical- Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: LA HOZ, NOEMI Work Classification: Pool Heater
Job Address:1180 NE 100 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050190390
Project: <NONE>
Contractor: ESSIG POOLS INC Phone: 305-949-0000
Building Department Comments
POOL HEATER Infractio Passed Comments
INSPECTOR COMMENTS False
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
March 13,2015 Page 1 of 1
Miami Shores VillageC P�7 N 11y"
Building Department AUG `22'14
90050 N.E.2nd Avenue,Miami Shores,Florida 33138 7B_Y
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 2010
BUILDING Permit No.
PERMIT APPLICATION Master Permit No —
Permit Type:MECHANICAL
JOB ADDRESS: 1 I t"J I , �l
City: Miami Shores County: Miami Dade
Folio/Parcel#: 1 1 --32 - c::::> I fl - o� �j ----).
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder):���^'�l L Phone#: z
Address:
City: i .�►•--n� �1�, rz7'--,State: -F-Z-- Zip:
Tenant/Lessee 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#:
Contact Phone#: 305-949-0000 Email Address: PERMITS@ESSIGPOOLS.COM
DESIGNER:Architect/Engineer: PFEIFFER ENGINEERING Phone#: 786-235-2435
Value of Work for this Permit:$ 3 -f Square/Linear Footage of Work:
Type of Work: UAddress DAlteration ��Tew ORepair/Replace ODemolition
Description of Work:
Submittal Fee$S ' 03 Permit Fee$ Z 4;VCCF$ 2• CO/CC$
Scanning Fee$ (5T•0:�) Radon Fee$ DBBPR$ Bond$
NotaryS. Training/Education Fee$ V`c_3jO Technology Fee$ )
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ I
Bonding Company's Name(if applicable)
Bonding Company's Address
City State zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State 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
COM 1ENCEMENT 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 commencementmust be poste at the job site
for the first inspection which occ rs seven (7) days after the building permit is issued. In the absence of s posted notice, the
inspection will be approved rei ection fee will be charged
SignatureSignature
Owner or Age onor
The foregoing instrument was aFknfowledged before me this 2��The foregoing instrumen acknowledged before me this
day of11 �,20 by �1���1 �� day of 20 Lt by
who is personally known to me or who has produced who is pers y known to me or who has produced
As identification and who did take an oath as identification and who did take an oath.
NOTARY P LIC' ���®q�d�e9919111IdppPO®P ���044mi110JB0B6
\� ypRLENY�,j �8p� POARY PUBLIC: �\�� y /i,<e
\ o�OOMM/SSS F,,��as, �� � %• y Bir
tembessio�9�
Mi
• O�Q Si
rint: 2FFO �!"°
OB
My CO S ion eS: �°0�6/, dlhN eR oe°• �� My Co S10II ices:
�'�✓dC o°B'�ielooeo° •Qq\� ® •�NIdIBB °0. �a`a\
�BfFpA tii 4c3R�4���ya `ss �H t0F h q'P`��a�`\m
APPROVED BY oil 6&s Ekaminer Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)