PL-16-177 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL r
Phone:(305)795-2204 Fax:(305)756-8972
nspection Number: INSP 251409 Permit Number PL-1-16-177
Inspection Date:May 02,2016 Permit Type: Plumbing- Residential
Inspector. Hernandez,Rafael
Inspection Type: Final
Owner: DEVINE,MICHAEL S CLAUDIA Work Classification: Pool-Private
Job Address:54 NE 102 Street
Miami Shores, FL 33138- Phone Number 305-759.4883
Parcel Number 1132060131470
Project: <NONE>
Contractor ESSIG POOLS INC Phone: 305-949-0000
Building Department Comments
PLUMBING FOR NEW POOL AND EQUIPMENT In"etio Passed Cormonts
INSTALLATION INSPECTOR COMMENTS False
Inspector Comments
Passed 1:6
Failed El
Correction
Needed ❑
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
T.. ED
Miami Shores Village
Building Department B �
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
BUILDING Master Permit Noa/z>
PERMIT APPLICATION Sub Permit No.0 ZZ) —
F-JBUILDING ❑ ELECTRIC ROOFING ❑ REVISION EXTENSION RENEWAL
OPLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
JOB ADDRESS: N t 'G
:f 5—r DRAWINGS
�RACTOR
City: Miami Shores County: Miami Dade z1a:SIES/ 3
Folio/Parcel#: 1 �cc"- �� 1 + s the Building Historically Designated:Yes NO
OccupancyType:JF• Load: Construction Type: Flood Zone: _BFE: FFE: �y
OWNER:Name(Fee,Sim�ple/Titleholder)I
Address: J ! � E::. 1CD2-- �T
n r-- )
City: 1 v l 1��1 Ste® rC=SState• 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: 331625
Qualifier Name: DANIEL ESSIG Phone#: 305-949-0000
State Certification or Registration#: CPCO52505 Certificate of Competency#:
DESIGNER:Architect/Engineer:L,,J!En N� Phone#: C=7.;4 —e>115
2(05 .S• �'� .+- ` of = 3
Address: Q � ""'I i :��_�C�-1-7 .State ' Zip:.
Value of Work for this Permit:$ i . 5� Square/Linear Footage of Work: +
Type of Work: ❑ Addition ❑ Alteration El New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ eno-00 Permit Fee$ ��� CCF$ o 2ff CO/CC$
Scanning Fee$ - ®e!:> Radon Fee$ - DBPR$ 3- 3 Notary$
Technology Fee$ /• o Training/Education Fee$ �® Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$,1 7�4 6
(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 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 flrst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
Inspection will not be appr ed an reinspection fee will be charged.
Signature Signature
OWNER or AGENT CTOR
The fooin instrympt was acknowledged before me this The foregoing instrument was acknowledged before me this
day of fZ0 .by day of fel 20 l �' ,by
t`C f):--y4�,wl�o 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 did take an oath.
NOTARY PUBLIC: NO Y PUBLIC:
n. Si
Print: Print•
IN
YO }°Y L YORLEPJY .HERNANDQ
S L• z*: IS�H y Seal:
MY OM ,. , MY COMMISSION#FF 022108
EXPIRES' _#FF022108 ,d,. Bonded ThrS:September mbe 27,2017
•4f,i °°,, BDTded Thn'Wiry Pum 227 f'�`• twY
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APPROVED BY /AV Plans Examiner Zoning
Structural Review Clerk
(Rev1sed02/24/2014)