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PL-15-1850 (2) <1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-239753 Permit Number: PL-7-15-1850 Scheduled Inspection Date: January 14, 2016 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: PALMISANO, INGRID & ERIC Work Classification: Pool - Private Job Address: 1035 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060143730 Project: <NONE> Contractor: ESSIG POOLS INC Phone: 305-949-0000 Building Department Comments POOL AND SPA PIPING, EQUIPMENT INSTALLATION. infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed f Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 13, 2016 For Inspections please call: (305)762-4949 Page 2 of 21 rmrt Na PL-7-15 1850 Miami Shores Village : _ 10 A r 10050 N.E.2nd Avenue NE = a Wdl�cCla C!:Foot -vPrivatEl �- ""'� Miami Shores, FL 33138-0000 `,off at Phone: (305)795-2204 Permit Status:APPROVED FLORtDp` � ^ r�sue Date. '° Expiration: 02/10/2016 Project Address Parcel Number Applicant 1035 NE 96 Street 1132060143730 INGRID& ERIC PALMISANO Miami Shores, FL Block: Lot: Owner Information Address Phone Cell INGRID& ERIC PALMISANO 1035 NE 96 Street I MIAMI SHORES FL 33138-2551 �w Contractor(s) Phone Cell Phone Valuation: $ 2,500.00 � ESSIG POOLS INC 305-949-0000 Total Scl Feet: 0 Type of Work: POOL AND SPA PIPING,EQUIPMENT INST Available Inspections: Type of Piping: Inspection Type: Additional Info: Main Drain Bond Return : Final Classification: Residential Scanning: 1 Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-7-15-56446 DBPR Fee $3.38 DCA Fee $3.38 08/14/2015 Check#:99776 $ 189.56 $ 50.00 Education Surcharge $0.60 07/23/2015 Check#:99706 $ 50.00 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $239.56 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 zoning. Futhermore, I authorize the above-named contractor to do the work stated. August 14, 2015 Authorize ature: Owner pplican / Contractor / Agent Date Building Depart August 14, 2015 1 Miami Shores Village ;UL23 15 Building Department BY: _ -- 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 -r�( INSPECTION LINE PHONE NUMBER:(305)762-4949 — FBC 20t 4 J BUILDING Master Permit No� �� l �'�9 PERMIT APPLICATION Sub Permit No-a ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL FE-]PLUMBING ❑ MECHANICAL F-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 1013 ADDRESS: ! �� N E L— f '9r" City: Miami Shores County: Miami Dade Zip: 3 tc iay ruiii/rarielh: uo1 Ul " w .3..1U. i cw wv Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 1 �3 OWNER: Name(Fee Simple Titleholder): -P� Phone#:� Address: \�- City: l�'l{��^t 7 ��S State: L— Zip: 75L-5 ) 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: 331625 Qualifier Name: DANIEL ESSIG Phone#: 305-949-0000 State Certification or Registration#: CPC052505 Certificate of Competency#: DESIGNER:Architect/Engineer: i-� � i r--)t=C-_/ ► � Phone#:� Address: 7 S�car V4r � State: Zip: 3 Value of Work for this Permit:$ Z d Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration `SCJ New ❑ Repair/Replace ❑ Demolition Description of Work:p.--�1I Specify color of color thru tile: 3 iM Submittal Fee$ Permit Fee$ 2'2 / CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ 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 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 and a reinspection fee will be charged. Signature C P Signature �l OWNER or AGENT CONTRACT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Com' day, of 20 by 1-7 T�day of J,--.+ 1__, 20 by r; �7 /-NA--s av, p who 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: NOAR 'PUBLIC: I Sign: Print: Print: YORLENYM.HERNANDEZ I Sal: n�- Y LENYM,H NANDEZ Sea I: :.: MY COMMISSION#Fr"022108 MY C MMY SIGN FF 022108 :: ' o: EXPIRES:September27,2017 #!' Banded Thru Notary Putdc Undenvrrters j �jl'- £.__, F_S::September 27,2017 ' Handed Th u Notary Publc Undervrrders ************************************************************************************************************ APPROVED BY , ' 2 7� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)