ELC-18-1458 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
s
Inspection Number: INSP-307372 PermitNumber: ELC-5-18-1458
Scheduled Inspection Date: June 28, 2018 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael Inspection Type: Final
Owner: CONDO, SHORES PLAZA EAST Work Classification: Low Voltage
Job Address:716 NE 92 Street BLDG M
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Miami Shores, FL 33138-0000 Phone Number
Project: <NONE>
Parcel Number 113206044001
,
Coi ntractor: 3 WAVES ELECTRIC CORP Phone: (305)221-3780
Building Department Comments
SECURITY CAMERAS INSTALLATION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed EZ_ r
Failed
Correction 'r
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
June 27, 2018 For Inspections please call: (305)762-4949 Page 32 of 34
Permit NO. ELC-5-18-1458
�SNOs y� Miami Shores Village Permit Type:Electrical-Commercial'
' 10050 N.E.2nd Avenue NE
Wank Classification:Low Voltage
' Miami Shores,FL 33138-0000 Perill
`'NTgb M
Phone: (305)795 2204 Permit Status:APPROVED
FCORtDA
Issue Date:6/11/2018 F
Expiration: 11/28/2018
Project Address Parcel Number Applicant
716 NE 92 Street Number: BLDG M 1132060440041
Miami Shores, FL 33138-0000 Block: Lot: SHORES PLAZA EAST CONDO
Owner Information Address Phone Cell
i
SHORES PLAZA EAST CONDO
MIAMI SHORES FL 33138-0000
Contractor(s) Phone Cell Phone Valuation: $ 3,250.00
3 WAVES ELECTRIC CORP (305)221-3780
_..._.... _ Total Sq Feet:
Type of Work:SECURITY CAMERAS INSTALLATION Available Inspections:
Additional Info:SECURITY CAMERAS INSTALLATION Inspection Type:
Classification:Commercial
Review Electrical
Scanning:3
t
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40
Invoice# ELC-5-18-67723
DBPR Fee $2.25 05/29/2018 Check#:20579 $50.00 $ 113.65
DCA Fee $2.00
Education Surcharge $0.80 06/01/2018 Check#:20580 $ 113.65 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $3.20
Total: $163.65
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 qd zoning. Futhermor uthorize the above-named contractor to do the work stated.
C� b P-t-A7)J 'C-0 June 01, 2018
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 01, 2018 1
i
LOCATION „h
Miami Shores Plaza 4
716 NE 92nd Street
Miami Shores, F1 3313Q
Antoni E�dstt�
R.C./bcM
Equipment, Cables Specifications & Power Consumption
Legend Model/ Description Watts QTY Total-W
Tou„g„hswitch ISO 1 'ISO
Gigabit PoE 8-Port Managed Switch
NA O tation MS-US 12 2 24
Ubiquity Indoor/Outdoor PPE PtP Antenna
HIKVISION DS-2cd2t42wd 8 .4 Jyr
4M Dome Network Camera •
Total •. 206 ""'•
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MiamiVillage'-
APPROVED BY
DATE
ZONING DEP'
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g BL DPT
SUBJECT !O C(: JANCE W FH AL1 FEDERAL
STATE ANS(r 1-JN j'f HUL_S MD REGULATIOr1S
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Miami Shores Village 9 20 s
Building Department g p �
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 r
�(1 Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 6
FBC 2Q0 11 a (�
BUILDING Master Permit NoRc (8.-I 1 SO
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑■ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL.
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 716 NE 92nd Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 113206044001 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Shores Plaza East Condo Phone#:305-759-9069
Address:745 NE 91st Street
City.. Miami Shores State: FL Zip:
33138
Tenant/Lessee Name: N/A Phone#:N/A
Email: spe123@att.net
CONTRACTOR:Company Name: 3 Waves-Electric Corp. Phone#: 305-962-5889
Address: 1303 SW 124 Concourse '786 — S 4(, -4 ( o o
City: Miami State: FL Zip: 33184.
Qualifier Name: Victor A. Couillard Phone#: 305-962-5889
State Certification or Registration#: ER0013736 ' Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#: t
Address: City: State: Zip:
Value of Work for this Permit:$3250.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace [—]'Demolition
Description of Work: Security cameras installation
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Specify color of color thriu tale:
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S SLY r..WY.ryfE.Y.'d
Submittal Fee$...,,�,.. d',,-.,Permit Fee$,1�i m14aV CCF$ $ x
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
01
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."
I
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.
a Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument
was acknowledged before me this
day of 71V)4!:Z 20 ) by day of /' 'Ay 20 )V by
who is personally known to Vie-TV 2 C"pVi U401, who is personally known to
M or who has produced as me or who has produced F64. Pf2i 1,rS /—)'C— as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: OSG u1 LNC CJ�z Print: V RA O
Seal: err p�S�o�Florida Seal: ��r wry Pudic State of Florida
Oscar MOscar M Zaragoza
r My Commission FF 939287 My Commission FF 939287
pd� Expires 12/08/2019 q pd Expires 12108/2019 y _
********** * ********************* **********
APPROVED BY Y ans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
- 74e S&w A4134 544e
745 North East 91 sc Street
Miami Shores,FL 33138
305-759-9069
E-MAIL spelBpatt net
May 24, 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 "3 Waves Electric Corp." has been
contracted by the Shores Plaza East Condominium Asso., Miami Shores, Florida,
33138, and it is fully authorized by the Board of Directors to perform work in the
installation of "security cameras" in building 716 NE 92 Street, Miami Shores, FL
33138
Should you desire any additional information, please feel free to contact our
office at your earliest convenience.
Sincerely yours,
Carlos Talavera
Vice-President
Shores Plaza East Condominium Asso.
cc: file
RE'
Miami shori§'s sVillage
Building Department
OR 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:,(305)795.2204
Fax:,(305) 756,8972
Notice to Owner - Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure-'
An employer in the construction industry who employs one or more part-time or full-time
employees,including the owner,must obtain workers'compensation coverage. Corporate officer's
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if.
I. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and i
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she M11
be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS. +
Signature: el-
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this Z-q, day of 14� 20_4
By 45� �"pr
:hp:is�person�allyknc,�Nvnto rn�er has produced
as identification.
Notary:
NMry b1kc S of Florida
SEAL: 08 Zaragoza
ag
My Commission FF 9039267
0, t=019
F�VE_'.*p Eas 12/0812019