MC-16-175 • Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-251404 Permit Number: MC-1-16-175
Inspection Date: May 02,2016 Permit Type: Mechanical- Residential
Inspector: Perez,JanPierre Inspection Type: Final
Owner: DEVINE, MICHAEL&CLAUDIA Work Classification: Pool Heater
Job Address:54 NE 102 Street
Miami Shores, FL 33138- Phone Number 305-758-4883
Parcel Number 1132060131470
Project: <NONE>
Contractor: ESSIG POOLS INC Phone: 305-949-0000
Building Department Comments
POOL HEATER FOR NEW POOL Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections please call: (305)762-4949
April 28,2016 Page 1 of 1
Miami Shores Village
• JAN 2,Y 2016
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ��'
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201-L/
BUILDING Master Permit No&3LD
PERMIT APPLICATION sub Permit No./! G
BUILDING ❑ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL
PLUMBING ffi� MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
,JOB ADDRESS: Z5�4— IN�- 1 (-.:::>2--
City: Miami Shores County: Miami Dade Zip: 1 3 8
Folio/Parcel#:I — C)13 Pg)-'mac Is the Building Historically Designated:Yes NO
Occupancy Type:-4Q Load: Construction Type: Flood Zone: X BFE: FFE:
OWNER:Name(Fee Simple Titleholder):' I ��G• ��/��Phone#c�� 4f7-5
Address:`-�- c, lZ ST
City: ( rYS
1; ✓ ^�f'"CSState• Zip: 1 3 14=
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 Zp: 331625
Qualifier Name: DANIEL ESSIG Phone#: 305-949-0000
State Certification or Registration#: CPCO52505 Certificate of Competency#:
DESIGNER:Architect/EngineePhone#:
Address:2-'(PS S-�-c�� l --'� i _�I State:F2 Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: POOL HEATER
Specify color of color thru We: t (�
Submittal Fee$ ! Permit Fee$ i CCF$ :2 CO/CC$
Scanning Fee$ gn 9 dT Radon Fee$ `Z.-0 4ff DBPR$ 2 • e5 If—Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ '�
(Revised02/24/2014) Vq
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 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 occu even (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appr ved a a'r inspection fee will be charged.
Signature YY44J Signature
OWNER or AGENT CO OR
The foregoing st m nt was acknowledged before me this The foregoing instrument was acknowledged before me this
2lid y of 20 S ,by day o£ 1c--�•I' `4,20 jam'. ,by
�K f ho is personally known to DANIEL ESSIG who is personally known to
me or who has produced ' as me or who has produced as
identification and who did take an oath. identification and who d a oat YORLENY
AAYCMMFFp22
NOTARY PUBLIC: � NOTA Y PUBLIC: �`•.. ��` EX IRCES:Se
ISSICN# 108
gp i ea EShru ptember27,2017
Notary PUbik Undenvraers
Si Si
Print: Print:
MY CMISS►ON#FF 022108
= September 27,2017 Seal:
Se FS:
1tP� 60 Thru Notary POO Urbenmi<em —
************************************************************************************************************
APPROVED BY 2 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)