ELC-18-1460Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. E LC-5-18-1460
Permit Type: Electrical - Commercial
Work Classification: Low Voltage
Permit Status: APPROVED
Issue Date 6/1/2018
Expiration: 11/28/2018
Parcel Number
Applicant
745 NE 91 Street
Miami Shores, FL 33138-
PARC2004-22
Block: Lot:
SHORES PLAZA CONDO
Owner Information
Address
Phone
Cell
SHORES PLAZA CONDO
Contractor(s)
3 WAVES ELECTRIC CORP
Phone
(305)221-3780
Cell Phone
Valuation:
Total Sq Feet:
$ 7,580.00
0
Type of Work: SECURITY CAMERAS INSTALLATION
Additional Info: SECURITY CAMERAS INSTALLATION
Classification: Commercial
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$4.80
$2.25
$2.00
$1.60
$150,00
$3.00
$6.40
$170.05
Pay Date
Invoice #
06/01/2018
05/29/2018
Pay Type
ELC-5-18-67725
Check #: 20580
Check #: 20579
Amt Paid Amt Due
$ 120.05 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 end zoning. Futhermore, I authorize the above -named contractor to do the work stated.
.1,-efue-c4.11Db t co
Aufliorized Signature: caner / Applicant / Contractor / Agent
June 01, 2018
Date
Building Department Copy
June 01, 2018
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
BUILDING
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 745 NE 91st Street
City:
FBC 201-7 11'4'//
Master Permit No. �L -\4 b
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Shores County:
Miami Dade
Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type:
Load: Construction Type:
OWNER: Name (Fee Simple Titleholder): Shores Plaza East Condo
Address: 745 NE 91st Street
Flood Zone:
NO X
BFE: FFE:
Phone#: 305-759-9069
City: Miami Shores
Tenant/Lessee Name: N/A
Email: spe123@att.net
State: FL Zip: 33138
Phone#: N/A
CONTRACTOR: Company Name: 3 Waves Electric Corp. Phone#: 305-962-5889
Address: 1303 SW 124 Concourse
City: Miami
Qualifier Name: Victor A. Couillard
State: FL
State Certification or Registration #: ER0013736
DESIGNER: Architect/Engineer:
Address:
City:
•
786-546 —4100
Zip: 33184
Phone#: 305-962-5889
A-i7t1
Certificate of Competency #:
Phone#:
State: Zip:
Value of Work for this Permit: $ 7580.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: Security cameras installation
❑� New ❑ Repair/Replace ❑ Demolition
'. ,a'Y1`.Tj'Y' l: Yi�`Y' i•Y�l.�.�'i1.:'�4..!f. ll e.. R..n...
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..-#..iR,.'kt.!'.yi..i"°%.✓�,Yv1i..i°1..'e`k _'1.../l wa. �� i-.
N'tei$ i N PS„ j 4T .nr :14 ti}4 VJ i
Specify color of colorFthru
4
Submittal Fee $ $,«[ �y� J5-tdimO
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ r...�rCh. CO/CC $'
DBPR $
Notary $
Double Fee $
Bond $ + O S
TOTAL FEE NOW DUE $ 2 1. O
(Revised02/24/2014)
4.
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.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
v % ` day of /174y , 20 % by
(M2.t 03 jogti%vEQ%9 /who is personally known to
aor who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: CSG
( Seal:
********
APPROVED BY
as
CON RACTOR
The foregoing instrument was acknowledged before me this
2 day of f119y ,20 / 7 ,by
t C TVQ ((% 1-1#9aA, who is personally known to
me or who has produced G/9. 1/R/r/ Z1'G as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: DSc ,4A 04 A�' 'LSO?4
Seal:
.9/1/✓2 /t Plans Examiner
My Commission FF 939267
Expires 12/08/2019
Zoning
Structural Review Clerk
(Revised02/24/2014)
?!:e Skozed ;%laga Surat edadoatemeaso riaaociategc. %ce.
745 North East 9 I st Street
Miami Shores, FL 33138
305-759-9069 /
E-MAIL spel23@att.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 745 NE 91 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
IVLami Shores Village
Building Department
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
exempt if:
l . 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 AND UNDERSTAND ITS
CONTENTS.
Signatur
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of ' , 20 a_.
By 6 i2 J-c T 14 vet'
personally known to mjor has produced
as identification.
3 Waves Electric
1303 SW 124 Concourse
Miami, Florida 33184
(305) 962-5889
Date 5 / 3 / / ?-0/ 8
State of 6-PRIM
County of / 111441 r ADE
Before me this day personally appeared
duly sworn, deposes and says:
14- TD %Z ("D V ; r;mic2,6 who, being
That he or she will be the only person working on the project located at:
-7V5 ) 2. i ST, 01;45/1-1; Slioa , FL-3)13P
Contractor Signature
Sworn to (or affirmed) and subscribed before me thisif day of I" l97 .20 / 7,
by Z.c/¢6L vv . 2-/92/9&oi/�
Type of Identification Produced r -11. tic.
Print, Type or Stamp Name of Notary
„ ° Notary Public State of Florida
Oscar M Zaragoza
My Commission FF 939267
w or Expires 12/08/2019
•
LOCATION
Miami Shores Plaza
745 NE 91nd Street
Miami Shores, Fl 33138
Antenna
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Rsespt l•
Equipment, Cables Specifications & Power Consumption
Legend
Model / Description
Watts
QTY
Total-W
Toughswitch
150
1
150
Gigabit PoE 8-Port Managed Switch
NANOstation M5-US
12
2
24
Ubiquity Indoor/Outdoor PoE PtP Antenna
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HIKVISIONDS-2cd2t42wd
8
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1111
4hiP Dome Network Camera
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HIKVISION DS-7732
316
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4316',
111.111.1
4K 8MP 12 TB Network Video
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Manager
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7•dt3P; 532
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HONEYWELL GENESIS 50781106
Category 5e, 4 pair Riser Rated, Unshielded twisted pair (UTP), 24 Ety'(G'•
solid copper, GIG Ethernet for power limited circuits, sunlight resistant.
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•
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- E RMiT #: ELC (8 -1460
Miami Shires Village
APPROVED
ZONING DEPT
13LD 7EPT
BY
DATE
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SUBJECT 1.O CCMIPrUINCE WI Pr! ALL FEDERAL
STATE AND Uf IjN i { d1 L=S AND REGULATIONS
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