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PL-16-1293Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pe mit Parcel Number Permit NO. PL -5-16-1293 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: APPROVED Issue Date: 7/1/2016 Expiration: 1212812016 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 Valuation: Total Sq Feet: $ 2,000.00 1085 Type of Work: NEW PLUMBING FOR POOL, SPA AND EQUI 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 Total: Amount $1.20 $3.38 $3.38 $0.40 $225.00 $3.00 $1.60 $237.96 Pay Date Pay Type Amt Paid Amt Due Invoice # PL -5-16-59755 07/01/2016 Check #: 300694 $ 237.96 $ 0.00 Available Inspections: Inspection Type: Main Drain Final Rough Review Plumbing In consideration of the issuance to me of this permit, I pertaining thereto and in strict conformity with the plans accepting thi rmit I assume responsibility for all required for T AL, PLU - =ING, MECHANI OWN RS const uctio a. r- - to perform the work covered hereunder in compliance with all ordinances and regulations s, statements or specifications submitted to the proper authorities of Miami Shores Village. In by either myself, my agent, servants, or employes. I understand that separate permits are OWS, DOORS, ROOFING and SWIMMING POOL work. ormation ' accurate and that all work will be done in compliance with all applicable laws regulating ntractor to do the work stated. Authori Building July 01, 2016 July 01, 2016 1 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 FBC 20N BUILDING Master Permit No. 1)PI8)`129L PERMIT APPLICATION Sub Permit No. pt ---1G,- l2c1'1 BUILDING ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL 0■ PLUMBING MECHANICAL El PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS ,iOB ADDRESS: " 2 INE L ��J City: Miami Shores County: Miami Dade Zip:1 /n I 1 2-2-31 VIZ O' / D h Building ll D Yes NO i•61i©/ rarCeiit:Is the iy'Ui�ufris Historically vc�guawC�a: NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: OWNER: Name (Fee Simple Titleholder): V4" `V 1nG Address: 1 C)s-2- V -.. ... ft 1 n 1-J=. City: I' `I -- State: cf. L- FFE: Phone# —4=15 -3 3 3/31 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ESSIG POOLS, INC Address: 1800 NE 151 ST Phone#: 305-949-0000 City: NORTH MIAMI State: FL Qualifier Name: DANIEL ESSIG zip: 331625 Phone#: 305-949-0000 State Certification or Registration #: CPC052505 Certificate of Competency #: DESIGNER: Architect/Engineer: �� i ncl "&_,--, y- �---y ^ ari Phone#:moo(.v 23.5 24'3`5 X75- Ski Z O� (.�v , -=_/- 3-3 1 g 7 Address: City: " 6--�1 State: -T L zip: •Value of Work for this Permit: $ ' °°SOquare/Linear Footage of Work: T e'of Work: ❑ Additi ❑ Alt ration NewRepair/Replace❑ Demolition 'III ' '; o{r�l l / - ❑ Desciiption.of Work: 1 LcI't _ frs. (n/ t ry�y 1 ,'' � ,...,P ®r -4:=1 - ___ " -- ��-�t�7 1 T) a� Specify color of color thru tile: Submittal Fee $ Scanning Fee $ 3 "Ckp Permit Fee $ �Z CCF $ (• 20 CO/CC $ (77 Radon Fee $ DBPR $ 3. 39 Notary $ Technology Fee $ ` GC) Training/Education Fee $ v -4O Structural Reviews $ (Revised02/24/2014) Double Fee $ Bond $ TOTAL FEE NOW DUE $ ?39 • 9G 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 nd a reinspection fee will be charged. Signature Ait\- OWNER or AGENT Signature CONTRACTOR The forregool g instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of M -t===0 ��i 20 , by 11 r"_ day of 1\11 , 20 1 by l\'I , who is personally known to DANIEL ESSIG , who is personally known to me or who has produced ,wfliiNsiii as me or who has produced identification and who did take an oath. o`%,1,4\-13.‘,.•••••• 09 identification and who did take an sr.••4.07Z,•. NOT RY PUBLIC: �?::��' ,k SeA�� • 1s1 IT. 'Y PUBLI z. 41111 i Sign (I ''11 �l.\e 'y °� , �-i' ? a'cSi 1I. (I I�11.:1 ��i(1L�:�_� Print: A - / �_w' ';!•.••••••••. �.' Print: illO♦ �l`r ug' Seal: ,.•�• ,r.. 4 ...��`• as •,:'t _ �,,4. YORLENYM. HERNANDEZ t+: MY COMMISSION# FF022108 .4^ FS EXPIRES: September 27, 2017 11„o"Bonded Thru Notary Public Underwriters 110 Sea ****************************************************4.*******************************4.4.4.4.4, **4.**4.*********** APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk