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PL-16-1146Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 196 NE 105 Street Miami Shores, FL 33138- Owner Information it Perm Perrnit NO. PL -4-16-1146 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: APPROVED Issue Date: 5/13/2016 Expiration: 11/09/2016 Address Parcel Number 1121360130630 Block: Lot: Applicant WILLIAM F HULME III IOANNA K Phone Cell WILLIAM F HULME III IOANNA 1111162. 1155 NE 119 Street BISCAYNE PARK FL 33161- 1155 NE 119 Street BISCAYNE PARK FL 33161- Contractor(s) ESSIG POOLS INC Phone 305-949-0000 Cell Phone Valuation: Total Sq Feet: $ 1,500.00 0 Type of Work: PLUMBING FOR NEW POOL AND EQUIPMENT Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Amount 51.20 53.38 $3.38 50.40 $225.00 53.00 $1.60 Total: $237.96 Pay Date Pay Type Invoice # PL -4-16-59575 05/13/2016 Check #: 300594 04/28/2016 Check #: 300556 Amt Paid Amt Due $ 187.96 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Main Drain Final Rough Review Plumbing 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 acc rate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-namor to do the work stated. Authorized Signature: Owner / Applicant / Building Department Copy Contractor / Agent May 13, 2016 Date May 13, 2016 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 b? P \ 44 5 Inspection Number: INSP-257761 Permit Number: PL -4-16-1146 Scheduled Inspection Date: August 22, 2016 Inspector: Hernandez, Rafael Owner: IOANNA KONIDARI, WILLIAM F HULME 111 Job Address:196 NE 105 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: ESSIG POOLS INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1121360130630 Phone: 305-949-0000 Building Department Comments PLUMBING FOR NEW POOL AND EQUIPMENT INSTALLATION. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. BUILDING PERMIT APPLICATION 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 RECE!V A'R282016 Master Permit No. Sub Permit No. Fsc Zo 1y S1-44 ElBUILDING ❑ ELECTRIC ❑ ROOFING 0 REVISION ❑ EXTENSION ❑RENEWAL •PLUMBING El MECHANICAL El PUBLIC WORKS 0 CHANGE OF El CANCELLATION 0 SHOP j�CONTRACTOR DRAWINGS JOB ADDRESS: C.., N..--" 1 ` `--r— City: Miami Shores County: Miami DadeZip: :' /,-. Fo ia/ Parcel#: 1 1 Z 1 (0.. c, / 3 4=:, coo 3 4=,• is the Building Historically Designated: ices ivv Occupancy Type: Load: Construction Type: Flood Zone: X BFE:' P` OWNER: Name (Fee Simple Titleholder): y " ( i 1 i..."•-1N'A ""'"Y-Y---- Address: "'"Y-YZ Address: 1 / --�T- Phone#:'- City: 1\il (azio) v' i J - t State: _f_— Tenant/Lessee Name: Phone#: Zip: 3, 3e. Email: CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000 Address: 1800 NE 151 ST City: NORTH MIAMI State: FL Qualifier Name: DANIEL ESSIG State Certification or Registration #: CPC052505 Phone#: Certificate of Competency #: zip: 331625 305-949-0000 fNc� r� 1\4421i k ki - rv, q DESIGNER: Architect/Engineer: ��1r�.cTlPhone#: � '9- `� 1 2, 3 42)2 Address:24=;S S--f--ccic..-rc 01--tw�---1CityDcol i c -- State: 'L Zip: 3311 1 Value of Work for this Permit: $ I . 5C)) Square/Linear Footage of Work: 911 0 SQ VT- Type TType of Work: ❑ Addition ❑ Alteration J '��NewY '� �Gti ❑ Repair/Replace ❑ Demolition Description of Work: P�� r..,11,...1i i - `ten --,—�.__.4 P ,.,.-,.c,-t-+ .1 si-=* 11 c=e-im Specify color of color thru tile: t (J� Submittal Fee $� .� Permit Fee $ a2,� CCF $ (' � CO/CC $ / Scanning Fee $ 3 ' 03 Radon Fee $ 3` g DBPR $ 3' S Notary $ 0 Technology Fee $ ( ' 60 Training/Education Fee $ 0 ''4 6 Double Fee $ 93 Structural Reviews $ Bond $ {P TOTAL FEE NOW DUE $ 1 n--9. - 10 (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. Signatu - Signature OWNER or AGENT CRACTOR The foregoing instrument was acknowledged before me this 12. T-4-1 day of NI a V C- , 20 1 L . by 2-71- day of DANIEL ESSIG The foregoing instrument was acknowledged before me this r i 1 , 20 l , by (I G=II r'v , who is personally known to me or who has produced identification and who did taken o� fa• M,( cOMMi•• ., NOTARY PUBLIC: =`' SePlem6ess/o•�� y -1:7 "' l � o' Sig .. ��.\ :1 L eS \''?• ti; Print: Seal: as , whgjs personally known to me or who has produced as identification and who did take an o- .... rr NO ° R PUBLIC.ifie408 *e. It ��►= a 4'.<0;.• Print: %9 : s <10ZL2 5s.' • Seal °"4,,,234Nd*" *****s***************************************************************#*******#*******ssss****ix* ********#**** APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk