ELC-18-210 i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-296133 Permit Number: ELC-1-18-210
Scheduled Inspection Date: February 15, 2018 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael Inspection Type: Final
Owner: CONDO,SHORES PLAZA Work Classification: Addition/Alteration
Job Address:745 NE 91 Street
Miami Shores, FL 33138-
Phone Number
Parcel Number PARC2004-22
Project: <NONE>
Contractor: A-YAN ELECTRICAL SERVICES, INC. Phone: (305)389-2800
Building Department Comments
33 EXISTING LIGHTS REMOVE AND REPLACE Infractio Passed Comments
HALLWAY INSIDE THE BUILDING INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed r�
Correction
,
Needed I
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
February 14,2018 For Inspections please call: (305)762-4949 Page 13 of 38
Permit NO. ELC-1-18-210
!RJE'v Miami Shores Villaget Perwit Type:Electrical-Commercial
10050 N.E.2nd Avenue NE Work Classification:Addition/Alteration
.... ... Miami Shores,FL 33138-0000 a r l
Parmit,Stetus:APPROVED
_"'s' Phone: (305)795-2204
tORiDA
issuenate: 21112018 [ Expiration: 07/312018
Project Address Parcel Number Applicant
745 NE 91 Street PARC2004-22
Miami Shores, FL 33138- Block: Lot: SHORES PLAZA CONDO
owner information Address Phone Cell
SHORES PLAZA CONDO
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
A-YAN ELECTRICAL SERVICES, INC. (305)389-2800
Total Sq Feet: 0
Type of Work:33 EXISTING LIGHTS REMOVE AND REPLA Available Inspections:
Additional Info:33 EXISTING LIGHTS REMOVE AND REPLA I
Inspection Type:
Classification:Residential
Final
Scanning:3 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# ELC-1-18-66249,
DBPR Fee $2.25 01/26/2018 Credit Card $50.00 $ 117.05
DCA Fee $2.00
Education Surcharge $0.60 02/01/2018 Credit Card $ 117.05 $0.00
Notary Fee $5.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $2.40
Total: $167.05
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
me ""Or to do the work stated.
r February 01, 2018
Authorized Signature:Owner / Applicant e'l Contractor / Agent Date
Building Department Copy
February 01, 2018 1
Miami Shores Village RECEIVED
Building Department JAN 6 ?01B
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
1 Tel:(305)3795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201-
BUILDING Master Permit No.b- 18 — 2110
PERMIT A=ON Sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING F-] REVISION F-1EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑'CHANGE OF CANCELLATION ❑ SHOP
7 15-NE 9/ �C�A3lTRAC� � DRAo WIN S Q
JOB ADDRESS: 916 AIE 9-25T ��7Z ` 7 3 s -- �� /fie. 9/S 7- � �� 8��
0 .9, $
City: Miami Shores Countv: Miami Dade Zio'13(
Folio/Parcel#: / 2d rp 0 4 Y 00 O Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 5X01WS 121424- r,�4 60 J60O Phone#: 36S-75
Address: '-?LYS ,je 9/,s7-
City: We4..t,.` s 4o ce i State: zip: -33/3 if
Tenant/Lessee Name: Phone#:
Email: &e /Z3 ® �/� •i�
CONTRACTOR:Company Name:--14— t� �GI��Ga� S��i�l ZC- Phone#: Jar VY 6S
. 11.1 "dress:, WOO SrVJ '--12X /%
City: M.�'iQ-.�f� State: "C--( Zip: 33175
Qualifier Name: Phone#: _
State Certification or Registration#: �OOS 13 Certificate of Competency#: .,. +�
DESIGNER:Architect/Engineer: " Phone#:
Address: City: State: Zipj
x:
,1 Value of Work for this Permit:$ zY00 Square/Linear Footage of Work:
r T e of Work:+ ❑ Addition +"aii
yp ❑ Alteration New �, ❑ Re air Re lace
_. / .��,ss ��, � � p /, P ,❑ Demolition
Tipt on of Work: .33 5 5•' L� .4=.✓�
. . . ',thy `T, �" .� "w ` �•
i4ia " t • , �� ,. �' � ;mss .
Specify color of color`thru tile:
' Submittal Fee$ Permit Fee$ f�0+Qb CCF$ ' " `' CO/CC$
Scanning Fee$ Radon Fee$ 2' DBPR$2 ' 2� _ Notary$
Technology Fee$ Training/Education Fee$ Double Fee-$
Structural Reviews$ Bond$ (/`��
TOTAL FEE NOW DUE$ 1 14 ' Vs
(Revised02/24/2014)
t
r
Bonding Company's Name(if applicable)
Bonding Company's Address
e. City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City r r State Zip
s
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
r 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
f
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 th absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. I t
Signature — — Signature Q/ �'• /?.�A'
OWNER or AGENT CONTRACTOR
E
The foregoing instrument was acknowledged before me this The forgoing instrument was acknowledgedbefore me this
A5 day of�T�� 20 ' ,by f(P _day of a"-
20 by
�Pr �MEI�4ho is Sona knowS. who is personally known to
s
me or who has produced as a or who has produced as
identification and who did take an oath. identification and who did take an
""�•"Y,el. E.MARTELL
NOTARY PUBLIC: NOTARY PUBLIC:
.' MY COMMISSION Y FF 109831
EXPIRES:June 28,2018
\\`\\ •" ••a��j// Bonded Thru Notary Public Underwriters
lob •^b(iii
Sign:• ;0a, �,aw
g Sign:
Print: Print:
E.MA9TELL ;
Seal: %'F•:'y oz ���p�: Seal: •: MY COMMISSION' :g
EXPIRES:Jt'
j� ^•y, h/OISS�.`•,�.a\�� ?3 ,f��' Bordad Thru Nn',v
3AIIS
L
APPROVED BYPlans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
2017 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED
DOCUMENT#726432 Apr 26, 2017
Entity Name: SHORES PLAZA EAST CONDOMINIUM, INC. Secretary of State
Current Principal Place of Business: CC5493956731
745 N.E.91ST ST
MIAMI SHORES, FL 33138
Current Mailing Address:
745 N.E. 91ST ST
x
MIAMI SHORES, FL 33138
FEI Number: 59-0597536 Certificate of Status Desired: Yes
Name and Address of Current Registered Agent:
ZARAGOZA,OSCAR
745 NE 91ST ST
MIAMI SHORES,FL 33138 US
The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida.
SIGNATURE:
Electronic Signature of Registered Agent Date
Officer/Director Detail :
Title PD Title VD
Name DE ROJAS,JORGE Name TALAVERA,CARLOS
Address 9140 NE 8TH AVE,APT 4H Address 726 NE 92ND ST,APT 7L
City-State-Zip: MIAMI SHORES FL 33138 City-State-Zip: MIAMI SHORES FL 33138
Title STD Title D
Name ZARAGOZA,OSCAR Name OCAMPO,DAVID
Address 726 NE 92ND ST,APT 1 L Address 755 NE 91 ST,
4F
City-State-Zip: MIAMI SHORES FL 33138 City-State-Zip: MIAMI SHORES FL 33138
Title D
Name GONZALEZ,ARMANDO t
Address 735 NE 91 ST
3E
City-State-Zip: MIAMI SHORES FL 33138
,
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617,Florida Statutes;and that my name appears
above,or on an attachment with all other like empowered.
SIGNATURE:OSCAR ZARAGOZA SCTY/TREASURER 04/26/2017
Electronic Signature of Signing Officer/Director Detail Date
1 4
i
lie .SlcO�ted J�� �cret 1��Q6C�Ee�G. '7ilC.
745 North East 91 s Street
Miami Shores,FL 33138
305-759-9069/
E-MAIL spel23@att.net
January 23, 2018
Miami Shores Village
Building Dept.
10050 NE 2nd Avenue
Miami Shores, FL 33138
Dear Sir/ Madam:
This letter will serve as your confirmation that "A-Yan Electrical Services,
Inc." has been contracted by the Shores Plaza East Condominium
Association, and is fully authorized to install new lighting fixtures at the
main and rear entrances of all our buildings.
Should you have any questions regarding the enclosed, please feel free to
contact our office at your earliest convenience.
AJoSincer y s,e Rojas
President
cc: file
' a
azo -T
.
• . .
.. I' . . . . . . . ..;L.
w' ,3• fr-�r:.e.wt "S_�..
} ti 717A.•
-4•• •r ® a:;�s .� gyp .•..•.
i' 9999 9999•*• �.eff! T� :`_�.�` ;; : _.-•
•' •26 V
}t •• • 9000 f j -' 71
-
.►4. • y •�- lid C
v 9999•
_ •i. i. �=� Vit::_: -�•
'
*009 -
®735 _ "=
f
{ t
i
{ t
� 1 h
PER Ali
IT #:
ami.Shcres Vill, '=
`,PPROVE ger z'
— _ DATE 726 L �r=:
ONING�DEPT =`
[115 �La�
SUBJECT 1-0 CC;Nlpt_ NCE WITH ALL FEDERAL
STATE ANv c r UN'i�Rl L:S AND REGULATIONS �',��
C`- ! .
J
RECEIVE[
= - _ _ - _ _ :�-• ` -- - - - £_ _ _ _ _ SAN z