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ELC-18-1461 7 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-307371 PermitNumber: ELC-5-18-1461 Scheduled Inspection Date: June 28,2018 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Low Voltage Job Address:9020-22 NE 8 Avenue Common Area Miami Shores, FL Phone Number Parcel Number 11-3206-042-0001 Project: <NONE> Contractor: 3 WAVES ELECTRIC CORP Phone (305)221-3780 13uilding Department Comments SECURITY CAMERAS INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False i Inspector Comments Passed A , Failed Correction 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 31 of 34 Permit NO. ELC- -18-1461 `gNa,�,3S LSC Miami Shores Village Permit Type:Electrical-Commercial 10050 N.E.2nd Avenue NE Work Classification:Low Voltage " Miami Shores,FL 33138-0000 Per 'I tPermit Status:APPROVED yo` Phone: (305)7955-2204 FLORtioAExpiration: 11/28/2018 !esus!:fate:6111201$ Project Address Parcel Number Applicant 9020-22 NE 8 Avenue Number: Common Are 11-3206-042-0001 MIAMI SHORES CONDOMINIUM Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MIAMI SHORES CONDOMINIUM 9020 NE 8 Avenue MIAMI SHORES VILLAGE FL 33139- 9020 NE 8 Avenue MIAMI SHORES VILLAGE FL 33139- Contractor(s) Phone Cell Phone Valuation: $ 3,200.00 3 WAVES ELECTRIC CORP _. (305)221-3780 Total Sq Feet: 0 Type of Work:SECURITY CAMERAS INSTALLATION Available Inspections: Additional Info:SECURITY CAMERAS INSTALLATION Inspection Type: Classification:Commercial Review Electrical Scanning:3 i Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# ELC-5-18-67726 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 A Scanning Fee $3.00 Technology Fee $3.20 Total: $163.65 r In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS, DOORS,ROOFING and SWIMMING POOL work. 1 OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd zoni e, I orize the above-named contractor to do the work stated. June 01, 2018 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 01,2018 1 Acj�v; �a�� { } Miami Shores Village AY Z9 2 18 o� Building Department 13y:i, _ L. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 1 tcrh FBC-2d? BUILDING Master-Permit NA Lc- 1� PERMIT APPLICATION Sub Permit No. i f 7BUILDING Q ELECTRIC ROOFING REVISION EXTENSION RENEWAL + ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 902ONE 8 AVENUE �r City:. Miamri Shores County: Miami Dade Zip: Folio/Parcel#:kV--3 Ub — 04z-000 I Is the Building Historically Designated:•Yes NO X r Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): MIAMI SHORES CONDOMINIUMphone#: 305-458-2573 Address: 9020 NE 8 AVENUE City: MIAMI SHORES State: FL Zip. 33138 Tenant/Lessee Name:. N/A, F Phone#: N/A Email: rick@regattarealestate.com ` CONTRACTOR:Company Name: 3 WAVE'ELECTRICAL CORP Phone#: 305-962-5889 Address: 1303 SW 124 CONCOURSES—,${� —5�6.., 4 MIAMI City: State: cFL Zip: 33184. ' Qualifier Name: Phone#:, ,r . ,, ,. . . ... ` .. State Certification or Registration#: ER0013736 Certificate of Competency#:, DESIGNER:Architect/Engineer: + ' Phone#: ' Address: ' ''` City:J State: 5 Zip: + Value of Work for this Permit:$ 12► Square/Linear Footage of Work: , Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑Demolition Description of Work: SECURITY CAMERAS INSTALLATION u F A. ' `+`°yawl'w.*"""s�`�+"'r+'"a�'4�°`y='.'"+.�•+,��'t,�`v,��p4,,:s, "" :y,t..�++,:,°t�E`r,`+"41Fs..``ysy'y�''*v}`4."+�.",b3evf':f°`+,�;^4 �, n �r. r wt�s�a �.ire +,ir•;y 'TP�r v"^ �t9 Specify color of tcolor thru they Submittal Fee-$, Permit Fee$,_l3�mr6�� : CCF Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ t TOTAL FEE NOW DUE$ I 16T (Revised02/24/2014) 1 ; Pe Bonding Company's Name(if applicable) Bonding Company's Address r 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: 1 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 sence of s osted notice, the inspection will not be approved and a reinspectio fee will be charged. Signature r Signature ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �G day of 20 I _ by day of MA y_ 20 ( S' by VGGT` C who is personally known to v►CTIR c1 U I AL1C ,who is personally known to me or who has produced�L�/t, L hIrAl9L= as Mme or who has produced r11%. 2QL'- Z jEN:5F as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBUC: Sign: Sign: Print: OSGAo-4Print: DSC d'a Seal: 4WNNotary Public state of Fbrkle Seal: yon Notary Public steee of FloridaOscar M Zaragoza Oscar M Za za My Commission FF 939267 My Commission FFF 939267 qKoExpires 12/0812019 Expires 12/08/2019. t ******** APPROVED BY 3 fN��lD Plans Examiner Zoning + ' Structural Review Clerk (Revised02/24/2014) ygoRr,s Lr` lots 1111UP" M `rami E"hore's "Village Building Department �COR�@p 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 officers or members of a limited liability company (LLC) in the construction industry may elect to be i exempt if: I 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 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 two 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 will 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 CONTENTS. AND UNDERSTAND 1"1'S ' Signature: Owner State of Florida f County of Miami-Dade The fo're�oing was acknowledge before me this� _._day of^ 20� . By j C T /r// W S who is personally known to me or has produced I / - j4. 12 %C_C--A2SE as identification. ffI Notary: SEAL: 00 Nara ubNc S to of FbrWe `h Oscar M Zaragoza My Commissbn FF 938287 EAAres 12/08/2019 Miami Shore 'Condominium Association, Inc Managed by: t VD REGATTA IM Eswt WXGUAs r r% Rick Aller,CAM Rick@r+egattarealestate.com Miami Shores Village Building Dept. E. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/ Madam: This letter will serve as your confirmation that "3 Waves Electrical Corp" has been contracted by Miami Shores Condominium and is fully authorized to install new sur✓eillance cameras throughout our property. Should you have any questions regarding the enclosed, please feel free to contact Rick Aller 306-673-1940 or rick@regattarealestate.com atsyour earliest convenience. Sincerely yours, Michael Lynch, President Miami Shores Condo 1234 Washington Ave, Suite 300, Miami Beach, Florida 33139 Telephone(305)673-1940 Fax (305)673-8889 info(aD-regattarealestate.com www.regattarealestate.corr. Location: Miami Shores Condominium �r 9020 NE 8'"Avenue 1OW—V Miami Shores, 33138 fit W tlP M In N_ Antenna — aweg Recegtscla � Equipment, Cables Specifications & Power Consumption Legend Model Description Watts QTY Total-W 7�Ltdllt� �li 150 1 150 •••• Gigabit PoE 8-Port Managed Switch sass sass.. i\II( a,,t M5-US 12 1 •• 1 ••• . . Ubiquity Indoor/Outdoor PoE EIR Antenna •"••• •• •••••• safe.. sass.. HIKVISIGNDS-2cd2t42wd 18 1 "...18 ;e••;• .e•e.• 4MPBullet Network Camera of:eea .. ..:..' .. .. ...0 sass.. HIKVISION DS-2cd2t42wd 8 6 ;••;4 • 4MP Qome Network Camera ,e 000• 0090:0 sass.. Total '228 .110.*. • HONEYWELL GENESIS 50781106 .. ' Category Se,4 pair Riser Rated, Unshielded twisted pair (,kM), 24&VXQ solid copper, GIG Ethernet for power limited circuits sunlight resistant. f a yr _4 208 • ' , . < . PERNT #: Miami Shoe,Villa e APPRObED BY DATE ZONING DEPT M DEPT SUBJECT "0 MOPUANCE VN rH AL1 FEUERAL STATE AN,)C( -jN,y riui -S AND REGULATIONS 3 Waves Electric 1303 SW 124 Concourse Miami,Florida 33184 (305)962-5889 Date 15-1� State of V DJ9 County of A 1 A 411-- L%APE Before me this day personally appeared (/ I G7-D �OV 1 L4e!2& who, being duly sworn,deposes and says: That he or she will be the only person working on the project located at: 9a�� N �_ S�� ; �rh ; S�► o6Zr5 , Contractor Signature Sworn to (or affirmed)and subscribed before me this 3 day of !9Y 201L by �s<il� y/llGf} Produced Identification F��. Type of Identification Produced p!?Ibm Z ice, Print,Type or Stamp N e of Notary •W Notary Punic state of FWda `t+ Oscar M Zaragoza My Commission FF 938287 Expir"12/08/2019