PL-14-1734 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-217522 Permit Number: PL-8-14-1734
Scheduled Inspection Date: March 12, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: LA HOZ, NOEMI Work Classification: New
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
PVC PIPING FOR NEW POOL AND SPA Infractio Passed Comments
INSPECTOR COMMENTS False
nspector Comments
Passed EP/
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
March 11,2015 For Inspections please call: (305)762-4949 Page 6 of 32
Miami Shores Village
Building Department artment '��' �
90050 N.E.2nd Avenue,Miami Shores,Florida 33138 ply
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 L� f
BUILDING Permit No.
PERMIT APPLICATION Master Permit No �-�- A 3
Permit Type: PLUMBING
JOB ADDRESS: I I �4 C7 l®x7_> L
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#
Is the Building Historically Designated:Yes NO Flood Zone:
A r 3L� - -7
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: �� - I S7
City:r"-A % „'P� �t���=—State 4 gip: 33 i 3
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 ESS IG 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:$ Z Square/Linear Footage of Work:
Type of Work: DAddress DAlteration XNew ORepair/Replace ODemolition
Description of Work:
Submittal Fee$ -W Permit Fee$ Z Z CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ r Bond$ _
Notary$ TraininglEducation Fee$0 Technology Fee$ t .Go
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ P d ��
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
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 COMAMNCEMENT."
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
inspection will not be approved a r ' ection fee will be charged
Signature Signature 7XVit,
Owner or ge ctor yy
The for going instrument was ac owledged before me this The foregoing incin,ment was acknowledged before me this"T
day o 201�by �=—=�-�t L-®- y of �yykno�wn
0 by 1�
who is personally known to me or who has produced who is per tome or who has produced
As identification and v p90ii�P oath. �— as identification and who d ?ke an oath.
®®oo 0RLENy �,® o`oa 010,
NOT Y PUBLIC: e� .°•°°coM°°• ti°�� NOT Y PUBLIC: e� YORLF�y�a,��
so *1 v ee� • V COI�f�Lri°O°
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APPROVED BY _�� Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(ReAsed 06/10/2009)(Revised 3/15/09)