EL-07-21-1850, 162 NW 108th StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
162 NW 108TH ST, Miami Shores, FL 33168 1121360100060
Contacts
Jovens Degage Owner WED POWER LLC Contractor
162 NW 108 ST, Miami Shores, 33168 SHABAKA NEFERKARA
Mobile: 3058499102 JOVENS.DEGAGE@YAHOO.COM 10888 NW 14 ST, CORAL SPRINGS, FL 33071
Business: 6362993165
Inspection Requests:
Description: 200 amp service upgrade, panel change and Valuation: $ 6,000.00
master bedroom, bathroom, closet additionf
Total Sq Feet: 410.00
..j
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.60
DBPR Fee
$3.15
DCA Fee
$2.10
Education Surcharge
$1.20
Permit Fee
$160.00
Scanning Fee
$3.00
Technology Fee
$5.25
Total:
$228.30
Payments
Date Paid Amt Paid
Total Fees
$228.30
Check # 3269
07/16/2021 $228.30
Amount Due:
$0.00
Building Department Copy
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 thg at ayg uaaw&contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
July 16, 2021 Page 2 of 2
Miami Shores Village �cEjvE
Building Department J i., L Iu'�t
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 2.0
BUILDING Master Permit No. RC-09-20-2219
PERMIT APPLICATION Sub Permit No.F L 0-4 - 21' 1860
❑ BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL
❑PLUMBING MECHANICAL ❑PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 162 NW 108 St
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:1121360100060 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):JOVens Degage Phone#: (305)849-9102
Address:162 NW 108 St
City. Miami Shores State: FI Zip: 33168
Tenant/Lessee Name: Phone#:
Email: jovens.degage@yahoo.com
CONTRACTOR: Company Name: DJED POWER LLC Phone#: 636-299-3165
Address: 10888 NW 14th Street
City: Coral Springs State: FL Zip: 33071
Qualifier Name: Shabaka NeferkaRA Phone#: 786-785-1007
State Certification or Registration #: EC 1300921$ Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 6000 Square/Linear Footage of Work:
Type of Work: 0 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 200 amp Service upgrade, Panel Change and Master Bedroom, bathroom, and closet
addition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $,
Radon Fee $ DBPR $ Notary $
Training/Education Fee $
Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State I 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER cir AGENT
The foregoing instrument was acknowledged before me this
day of 20 a-1 , by
5o vewt5 f0% ci cni a ho is personally knownyo
me or who has produced /V/A as
identification and who did take an oath.
NOTARY PUBLIC:
Signature.,,,-
4-1
CONTRACTOR
The foregoing instrument was acknowledged before me this
day o(eff 1 �( I11 .20 21 by
, . � y o, t?tkoo who is personally known o
me or who has produced
identification and who did take an oath.
Sign: —AZ' `4/4t 71 tr, - Sig
Print: tA11 N Tko n4a Pr' t
Seal: �.V"�e Notary Public State of Florida Seal:
Ruth Thomas
a a My Commission GG 156700
Expires 11/12/2021
************* ********* ** * ************ *****************
APPROVED BY
Plans Examiner
PUBLIC:
JAM "0WARD V U1"
W c%*m$" #GG 330M
EXPIRES September 18, 2823
ndW Vn Noise► Pdbk LWWMNne
as
Zoning
(Revised02/24/2014)
Structural Review
Clerk
Miami 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 Exem tion
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 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.
Signature: 1v
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this 1 _f +�' day of _S"k , 20 ;�L .
By So G V1 _S 0e � CtiC.�� who is personally known me or has produced
NIA as identification.
Notary: AG_d)
I Jj�lw'cal 11 d I
SEAL:
�J Notary Public State of Florida
c • My Commission GG 156700
ap Expires 11/12/2021
T
WED POWER
DJEDPOWER@GMAIL.COM * DJEDPOWER.ENERGY * 786-785-1007
Date: Juy► r 101 2-01-
State of NbrO
County of wooll-11de
3 }�+ (
Before me this day personallyappearedl-� & Nie aowho, being duly sworn deposes andsays:
That he or she will be the only person working on the project located at:
162 NW 108st Miami Shores, FL
Contract r Signature
Sw rn to (or irmed) and subscribed before me this t day o fioe- 20?1
by C fU S Yr/A- Kk ( �10MS
JAM HOWAF&MIAM
% W C*MLq SslOt" * GG 33 W
?r .
.N«. t.'•� ea+a YNU "way Na U0ae vAW
Pe rsonally know V
/—
OR Produced Identification
Type of Identification Produced
1
Print, Type or Stamp Name of Notary
dokol
01111
CITY OF
MARGATE
Top#WVftmdaKeed
Business Name. -
Location address:
Issue Date / Class:
Effective Date.
Receipt Fees:
Comments:
City of Margate, Florida
Local Business Tax Receipt
901 NW 66" Avenue
Margate, FL 33063
(954)979-6213
DJED POWER LLC
6433 NW 19TH CT
Receipt Nbr. 214*009094
CONTRACTOR ELECTRICAL MASTER ELECTRICIAN
September 24, 2020 Expiration Date. September 30, 2021
130.00
HOME OCCUPATION PERMITTED USE AND SUBJECT TO
LMTATIONS IN SECTION 3.21 (ATTACHED).
For Home Local Business Tax Receipt: No Commercial Vehicles Permitted at Residence. No Inventory,
Stock of Trade, Sales or Display, Permitted.
Commercial and all others: No Outside Sales, Service, Display, Stock or Storage without prior
City Commission Approval.
0007770 DJED POWER LLC
6433 NW 19TH CT
MARGATE FL 33063-2308
Post This Receipt in a Conspicuous Place
21-00009094 WED POWER LLC 6433 NW 19TH CT
TRANSFER OF BUSINESS OWNERSHIP (Fee Required)
NOTICE: LOCAL BUSINESS TAX RECEIPT MUST BE TRANSFERRED
WITHIN TEN (10) DAYS WHEN BUSINESS IS SOLD.
Purchaser Name (Please Print)
Seller Name (Please Print)
NOTIM RECEIPT MUSTBE
W1-I9d BUW4ESS IS MOVED ORSQI 0
(Pero see bomom portion of ttis fam)
Receipt #
Maximum Capacity: N/A
THE GRANT OF A LOCAL BUSINESS TAX RECEIPT IS NOT A DETERMINATION OF
COMPLIANCE WITH ORDINANCES OF THE CITY OF MARGATE
CHANGE OF BUSINESS LOCATION (Subject to zoning approval. Fee Required.)
Business Name
New Location
Receipt #
RE -CERTIFICATION OF EIACKFLOW PREVENTERS REQUIRED ANNUALLY
ACORU® CERTIFICATE OF LIABILITY INSURANCE
DATE (MIr1/DDIYYYY)
06/16/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER
CON EAT KATHY HALE
PNONE 305-451-4051 ac No):
DTRT Insurance Group
ADDREE-M LE SS: KATHYG DTRTINSURANCE.COM
12550 W Atlantic Blvd
INSURERS AFFORDING COVERAGE
NAIL #
INSURER A: HERITAGE PROP & CAS INS CO
14407
Coral Springs FL 33071
INSURED
INSURER B :
INSURER C :
DJED Power LLC
INSURER D :
6433 NW 19th Ct
INSURER E :
INSURERF:
Margate FL 33063
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMID
POLICY EXP
MMIDD
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE 1XI OCCUR
DAMAGE TO RENTE15- PREMISES Ea occurrence)$
100,000
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$ 1,000,000
A
HCRO103860
08/01/2020
08/01/2021
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY JEI° LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMB
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per ' ent
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
I PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED? ❑
N / A
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required)
ELECTRICAL WORK - WITHIN BUILDINGS
Includes installation or repair of electrical
fixtures, appliances and incidental outside
work. Does not include installation of alarms or
alarm systems, electrical machinery or auxiliary
apparatus. No fiber optic cable or cell phone
MIAMI SHORES VILLAGE BLDG DEPT.
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. _COPY OF QUALIFIER'S STATE LICENCES
B. _ V COPY OF LOCAL BUSINESS TAX RECEIPT
C. _NZ COPY OF LIABILITY INSURANCE*
D. x- COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME: WED POWER LLC
BUSINESS ADDRESS: 10888 NW 14th Street CITY Coral Springs STATE FL Zip 33071
BUSINESS PHONE: (786-7$5-1007 FAX NUMBER (_)
CELL PHONE ( 636 1 299-3165 QUALIFIER'S NAME: Shabaka NeferkaRA
QUALIFIER'S LIC NUMBER: EC 13009218
dfWE
�`'�,ra.
JIMMY PATRONIS
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 10/24/2020
PERSON: SHABAKAJNEFERKARA
FEIN: 460602738
BUSINESS NAME AND ADDRESS:
DJED POWER LLC
6433 NW 19TH COURT
POMPANO BEACH, FL 33063
SCOPE OF BUSINESS OR TRADE:
Electrical Wiring Within
Buildings and Drivers
EXPIRATION DATE: 10/24/2022
EMAIL: DJEDPOWER@GMAIL.COM
IMPORTANT: Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under
this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued
under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or
trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be
exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate
no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01243428 QUESTIONS? (850) 413-1609
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Ron. A-100, Ft. Lauderdale, FL 33301-1885 — 054-831-4000
VALID OCTOBER 1, 2020 THROUGH SEPTEMBER 30, 2021
®BA: 403
DJED POWER LLC Receipt #:ELECTRICAL/ALARMS/CONTRACtOR
Business Name: Business Type: (ELECTRICIAN CONTRACTOR } ;
Owner Name: SHABAKA NPFERKARA Business Opened:04/11/2017
Business Location: 6433 NW 19 CT State/County/Cert/Reg:EC13009218
MARGATE Exemption Code:
Business Phone:636-299-3165
Rooms Seats Employees Machines Professionals
1
For Vending Business Only
Number of Machines: Vendina TVae:
Transfer Fee
I NSF Fee
I Penalty I
Prior Years
I Collection Cost
I Total Paid
[__j!LArrount
27.00
1 0.00
1 0.00
1 0,00 1
0.00
0,00
27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non -regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not indicate that the business is legal or that
It is in compliance with State or local laws and regulations.
Mailing Address:
DJED POWER LLC Receipt #JCP-19-00009982
6433 NW 19 CT Paid09/14/2020 27.00
MARGATE, FL 33063
2020 .2021