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BPP-15-65 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-226414 Permit Number: BPP-1-15-65 Scheduled Inspection Date: February 10,2016 Permit Type: Pools/ Whirlpools/Hot Tubs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: WALLACE,JOHN Work Classification: New Job Address:518 NE 106 Street Miami Shores, FL 33138-2046 Phone Number Parcel Number 1122310140211 Project: <NONE> Contractor: ESSIG POOLS INC Phone: 305-949-0000 Building Department Comments NEW SWIMMING POOL WITH PAVER DECK ON SAND Infractio Passed Comments BASE INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 09,2016 For Inspections please call: (305)762-4949 Page 1 of 44 A, etmit NQ.-BPIF-'I-156� 17 Miami Shores Village -:� Pem*Type"Poolsoh)rip0owHot Tum 10050 N.E.2nd Avenue NE [ Miami Shores,FL 33138-0000 , Phone: (305)795-2204 PBfil�>�� ,APPROVED Expiration: 10/10/2015 Project Address Parcel Number Applicant 518 NE 106 Street 1122310140211 Miami Shores, FL 33138-2046 Block: Lot: JOHN WALLACE Owner Information Address Phone Cell JOHN WALLACE 518 NE 106 Street MIAMI SHORES FL 33138-2046 Contractor(s) Phone Cell Phone ESSIG POOLS INC 305-949-0000 Valuation: $ 30,000.00 _. ._.. :..... ... . ...n. .. . _._ _...._. - Total Sq Feet: 1028 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Fence Date Denied: Final Type of Work:Swimming Pool Occupancy:Private Pool Deck Additional Info:NEW SWIMMING POOL WITH PAVER DE Bond Return: Wail Steel Classification:Residential Scanning:4 Review Electrical Review Planning Review Building Review Building Review Mechanical Review Plumbing Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural Bond Type-Contractors Bond $500.00 CCF Invoice# BPP-1-15-54125 $18.00 01/13/2015 Check#:99271 $50.00 $1,597.00 DBPR Fee $13.50 DCA Fee $13.50 04/13/2015 Check#:99482 $ 1,597.00 $0.00 Education Surcharge $6.00 Bond#:2668 Permit Fee $900.00 Plan Review Fee(Engineer) $160.00 Scanning Fee $12.00 Technology Fee $24.00 Total: $1,647.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS 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 z ming. Futher_mlq l auth ize the above-named contractor to do the work stated. � April 13, 2015 Authorized Signature:Owner / Applicant / Contracto / Agent Date Building Department Copy April 13,2015 1 Miami Shores Village Building Department ! JAN W 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 w, Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ERC 20 /0 BUILDING Master Permit No)a e� 1 .1 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: I ( -2.2.x) 61 Lf• -C:Z / I Is the Building Historically Designated:Yes NO Occupancy Type: Load: �C.00/nstruction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 1--` -'---) ��I I � Phone#:Z-�3- I-7 .3 Address: City: s "l I�e�v�l .�Y�S State: t r i Zip: i 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#: State Certification or Registration#: CPC052505 Certificate of Competency#: DESIGNER:Architect/Engineer: ,==: ' Phone#?�� Z�� Address:�7�1- S l�J 2��5�� Ci d State:f�- Zip:�31 c V_alue_of Work for this Permit;s30 , 000 Square/Linear Footage of Work: ®� Type of Work_ 0 Addition EJ Alteration a New ❑ Repair/Replace ❑ Demolition Description of Work: ��y ,y�� Q eO ® . Specify color of color thru tile: Submittal Fee$ _!O y!W!� Permit Fee$CiOO • 00 CCF$ 00 CO/CC$'3D Scanning Fee$ 1::k- L _�o Radon Fee$ sV DBPR$ Notary$ Technology Fee$�4- Training/Education Fee$ Q •L Double Fee$ —` Structural Reviews$ t LOC)- i Bond$ ®� (� TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,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 on estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspe n will not be approved and a reinspection fee will be charged. Signature- < � � Signature OWNER orAGENT CON The foregoin ins ment was acknowledged before me this The foregoing instrument was acknowledged before me this �,•,� da// � ,' �� 20 ` ,by day f ��.��) 20 L� ,by -- � CAJ-z-Tl ( �g-c--gnuho is-personally ykknown to DANIEL ESSIG who i personally known to me or who has produced as me or who has produced N-1as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC. �a�3Q699+11ye�;�eo a pRLEIv`y ``yr?r. NBLIC: ee. NY M:H�R� e@tem5ej "0' - wQ�O I 9 Sig `�-'r-, f Sia Print: Print: 072108 :aQ= eal: ,c ®V�N oo D;e'' Se '✓i,iQ°• •�11CUIIo•�(��s 'd,C is '.otmm.o°�QQ` °ez. A�Lf�l^•,p le$t k kk k8e ek k kk&k k k kN t�k k k k k Nek>k k kk$ �e#kk k+k k Nt kBe k/,k k—k k k�kIIe kfle ffikffik k+k kk k kkdhh k k sk ah k+k k k k k+k kk KKkk kkk+k k+k k k k k+k&#//S---� APPROVED BY / Plans Examiner � oning I Structural Review Clerk (Revised02/24/2014) ' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-251943 Permit Number: BPP-1-15-65 Inspection Date: February 01, 2016 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: WALLACE,JOHN Work Classification: New Job Address:518 NE 106 Street Miami Shores, FL 33138-2046 Phone Number Parcel Number 1122310140211 Project: <NONE> Contractor: ESSIG POOLS INC Phone: 305-949-0000 Building Department Comments NEW SWIMMING POOL WITH PAVER DECK ON SAND Infractio Passed comments BASE INSPECTOR COMMENTS False 00 / Inspector Comments Passed (J Failed El Correction Needed Re-Inspection a Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 February 01,2016 Page 1 of 1