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MC-16-1294Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -5-16-1294 Permit Type: Mechanical - Residential Work Classification: Pool Heater Permit Status: APPROVED Issue Date: 7/1/2016 Expiration: 12/28/2016 Parcel Number Applicant 652 NE 105 Street Miami Shores, FL 1122310120140 Block: Lot: KILUAN, INC Owner Information Address Phone Cell KILUAN, INC 652 NE 105 Street MIAMI SHORES FL 33138- 150 SE 2 Avenue MIAMI FL 33131- Contractor(s) ESSIG POOLS INC Phone 305-949-0000 Cell Phone Tons: Additional Info: POOL HEATER Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $2.40 $2.00 $2.00 $0.80 $122.50 $3.00 $3.20 $135.90 Pay Date Pay Type Invoice # MC -5-16-59756 07/01/2016 Check #: 300694 $ 135.90 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Final Review Mechanical In consideration of the issuance to me of this permit, I a• ee to perform the work covered hereunder in compliance with all ordinances and regulations pertainin• ere • and in strict conformity with the pla drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptin . t is •ermit I assume responsibility for - work do e by either myself, my agent, servants, or employes. I understand that separate permits are required or CTRICAL, PL MBING, MECHA ' L, WI TOWS, DOORS, ROOFING and SWIMMING POOL work. OWNER construct AVIT: I c= ify th.t all th- f re, a information is accurate and that all work will be done in compliance with all applicable laws regulating above med contractor to do the work stated. Aut Contractor / Agent Buildi July 01, 2016 July 01, 2016 Date 1 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC PLUMBING Q MECHANICAL Miami Shores Village 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 ❑ ROOFING ❑PUBLIC WORKS RJECEPTEID MAY 1'2 Zp16 FBC 2011 s 1-1 Master Permit No. 13g21(/(21 Z Sub Permit No. MC, 1 129 l ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Folio/Parcel#:< < _� jai 2 c1 1'}-o Occupancy Type: Load: Construction Type: Miami Dade is the Building Historicaiiy Designated: Yes NO OWNER: Name (Fee Simple Titleholder): '`) Luc , f .. G Address:' ` � Z T Vic:, 1c) Flood Zone: BFE: FFE: Phone#: ` 1. z 2l�t) City: NI, I 1Y''Yi I State: Ft_ Tenant/Lessee Name: Email: Phone#: Zip: CONTRACTOR: Company Name: ESSIG POOLS, INC Address: 1800 NE 151 ST Phone#: 305-949-0000 City: NORTH MIAMIState: FL Qualifier Name: DANIEL ESSIG State Certification or Registration #: CPC052505 zip: 331625 Phone#: 305-949-0000 Certificate of Competency #: DESIGNER: Architect/Engineer: �� r �Gj i✓1-�Cv� Pne#: �� Z35 X4-35 City: ��hotate: Zip: 33 J,. 'I Address: S7, {- Si 7 -oto Cr-) Value of Work for...this Permit: $ • _ Square/Linear Footage of Work: • Type of Work: ❑ Addition ❑'. Alteration Description of Work:" POOLHEATER New ❑ Repair/Replace 1, o ` ❑ Demolition Specify color o to hru tile: Submittal Fee $ Permit Fee $ \ 01-4 k QCF $ a" d Scanning Fee $ 3 ! GA Radon Fee $ a - W DBPR $ o . -co Technology Fee $ 2 ' Training/Education Fee $ d . 80 Structural Reviews $ 9 (Revised02/24/2014) CO/CC Notary $ Double Fee $ Bond $ Q TOTAL FEE NOW DUE$ i3 -90 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 OWNER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this -"day aay o f M YC �L7 , 20 £ Led' by I 11-4--1 day of M a' `-'l , 20 1 4 by NI COYL e rX21 , who is personally known to DANIEL ESSIG , who is personally known to me or who has produced as me or who has produced identification and who did take an oath. identification and who did take an oath. NO ARY PUBLIC: Sig Print: Seal: as r� � VORYA�. HERNANDEZ " MY COMMISSION # FF022108 _ EXPIRES: September 2017 Bonded Thr'Abney Public Undennrten ` ' I aca iiiireamkAititL%:-44_ww **********************s*****m******* ******************************************s*************s***s******* APPROVED BY (Revised02/24/2014) xaminer Zoning Structural Review Clerk