Loading...
ELC-18-1736Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permi Permit NO. E C-6-18-1736 Permit Type: Electrical - Commercial Work Classif ation: Low Voltage Permit Status: APPROVED Issue Date: 6/28/2018 Expiration: 12/25/2018 Parcel Number Applicant 726 NE 92 Street Number: L Miami Shores, FL 1132060440001 Block: Lot: SHORES PLAZA EAST CONDO Owner Information Address Phone Cell SHORES PLAZA EAST CONDO MIAMI SHORES FL 33138-0000 Contractor(s) 3 WAVES ELECTRIC CORP Phone (305)221-3780 Cell Phone Valuation: Total Sq Feet: $ 3,250.00 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 $2.40 $2.25 $2.00 $0.80 $150.00 $3.00 $3.20 $163.65 Pay Date Pay Type Invoice # ELC-6-18-68037 06/25/2018 Check #: 20604 06/28/2018 Check #: 20605 Amt Paid Amt Due $ 50.00 $ 113.65 $ 113.65 $ 0.00 Available Inspections: Inspection Type: Review Electrical I 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 - d zoni .—_-..:.,.: I authorize the above -named contractor to do the work stated. A th•rized Signature: r " / Applicant / Contractor / Agent June 28, 2018 Date Building Department Copy June 28, 2018 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 BUILDING PERMIT APPLICATION ❑BUILDING • ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 726 NE 92nd Street FBC 2011 61* Master Permit No. C (8 - Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores Folio/Parcel#:113206044001, Occupancy Type: Load: County: Miami Dade Zip: Is the Building Historically Designated: Yes NO X Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Shores Plaza East Condo Address: 745 NE 91st Street Phone#: 305-759-9069 City: Miami Shores State: FL Tenant/Lessee Name: N/A Email: spe123@att.net Zip: 33138 Phone#: N/A CONTRACTOR: Company Name: 3 Waves Electric Corp. Address: 1303 SW 124 Concourse Phone#: 305-962-5889 City: Miami Qualifier Name: Victor A. Couillard State: FL Zip: 33184 305-962-5889 State Certification or Registration #:' ER0013736 DESIGNER: Architect/Engineer: Address: City: Value of Work for this Permit: $ 3250.00 Phone#: Certificate of Competency #: Phone#: State: Zip: Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑■ New Description of Work: Security cameras installation ❑ Repair/Replace ❑ Demolition "`.�P'".1'SJ it �.r �:...�".ym�,•�>� _+'e�l°1r'�°' f?r^�,�tr1;�. A A, ArAFP ]- thr Specify color of,coloru;tile Submittal Fee $ }S'd at __,A Permit Fee $ . Lydr 00 Scanning Fee $ Radon Fee $ O� . p Technology Fee $ Training/Education Fee $ Structural Reviews $ yr' et hh7 .::P d ,„f CCF $ .r:,,,CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ G (Revised02/24/2014) 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. ,h, Signature — Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoingreinstrument was acknowledged before me this 7 /✓ day of , 20 / 7 , by '2 7 day f 1iLl�it,[. , 20 /7 , by 6/het-pl. /iVil-prA4 ,ho is personally known to Vier?? it J• C vl/102> Fis personally known to me or who has produced as rr r who has produced identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Sign: Print: Seal: as * * * * * * * * * * * * * * * * * * * * * * * **** **************** APPROVED BY ��/ zry / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 3 Waves Electric 1303 SW 124 Concourse Miami, Florida 33184 (305) 962-5889 Date / / Zd/ 1 State of Florida County of Miami Dade Before me this day personally appeared Victor Couillard who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 726 NE 92"d Street Miami Shores, FL 33138 Contractor Signature Sworn to (or affirmed) and subscribed before me this7Ar day of by Victor Couillard . 20 / Personally know OR Produced Identification Type of Identification Produced Print, Type or Stamp Name of'Notary ikek_Notary Public State of Florida Oscar M Zaragoza My Commission FF 939267 a n0 Expires 12J09/2019 iami 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 .�.;,., _. . �.., ,eY. •.�,a�'F�'�*�+i :,"`4.,+��s`����Yf;' �'ti`.a.,.`+�� w��'�i�,�r.�°ue�.,��Y ��k"''�,+ ,Y�`-s' �yaa� :��ex !� k `. 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: 1. 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 providedan 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. Signature. Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this Z►t-- day of ,20 / By 6¢0-1--0 5 7`%'Lit9 Veit /4- `who is personally known to n___:x1r has produced as identification. 2018 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# 726432 Entity Name: SHORES,PLAZA7EAST CONDOMINIUM-INC? Current Principal Place of Business: 745 N.E. 91ST ST MIAMI SHORES, FL 33138 Current Mailing Address: 745 N.E. 91ST ST MIAMI SHORES, FL 33138 FEI Number: 59-0597536 Name and Address of Current Registered Agent: ZARAGOZA, OSCAR 745 NE 91ST ST MIAMI SHORES, FL 33138 US FILED Apr 27, 2018 Secretary of State CC0406970476 Certificate of Status Desired: Yes 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 Officer/Director Detail : Title Name Address City -State -Zip: Title Name Address City -State -Zip: Title Name Address City -State -Zip: PD DE ROJAS, JORGE 9140 NE 8TH AVE, APT 4H MIAMI SHORES FL 33138 TD ZARAGOZA, OSCAR 726 NE 92ND ST, APT 1L MIAMI SHORES FL 33138 D OCAMPO, DAVID 755 NE 91 ST 4F MIAMI SHORES FL 33138 Title Name Address City -State -Zip: Title Name Address City -State -Zip: VD LfALAVERA, CARLOS 726 NE 92ND ST, APT 7L MIAMI SHORES FL 33138 SD WARD, DAVID 488 NE 90 ST EL PORTAL FL 33138 Date 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 lam 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 TD 04/27/2018 Electronic Signature of Signing Officer/Director Detail Date 74 S4 e4 Plaga East ete cdasthreaso Akidezattefo, lira. 745 North East 9 I sc Street ,p Miami Shores, FL 33138 305-759-9069/' E-MAIL: spe123@att.net June 25, 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 726 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 LOCATION Miami Shores Plaza 726 NE 92t Street Miami Shores, Fl 33139 Antenna MEMO E,utitlny Receptacle Equipment, Cables Specifications & Power Constitipt1ttion .••••' Legend Model / Description Watts ••QT•Y TOka r w Toughswitch Gigabit PoE 8-Port Managed Switch 150 . ' .1 ,..... •• •150 • •• • NANOstation MS -US 12 •• •• 2 '..• ; 24 Ubiquity Indoor/Outdoor PoE PtP Antenna • ..•• • . • ••••.. • ' HIKVISION DS-2cd2t42wd 8•'•• • 3 •. . 24 • • . illt 411P Dome Network Camera •• • Total 188 6VA1 F2/re--T a,� 1u,v/V •••.•. • • • . • • • • •••.. .•• • ••.. • OFFICE COPY