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ELC-03-24-733Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 10050 NE 2ND AVE, Miami Shores, FL 33138 Contacts FRANK RUIZ 9825 NE 7 AVE, Miami Shores, FL 33138 Business: 3053010938 ruizf@msv0.gov Permit NO.: ELC-03-24-733 Permit Type: Electrical - Commercial Work Classification: Alteration Permit status: Approved Issue Date: 05/08/2025 1 Expiration:11/10/2025 Parcel Number 1132060131960 HOME OWNER Contractor Description: INSTALLATION OF A NEW ADA DOOR OPENER Valuation: $ 2,500.00 Inspection Requests: WITH WIRELESS PUSH BUTTON. ELECTRICAL CIRCUIT TO THE Visit our website www.msvfl.gov and. DOOR OPENER FROM THE EMERGENCY LIGHT ABOVE FRONT Total Sq Feet: 0.00 Click on Permits DOOR IN THE LOBBY. Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.90 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee 510.00 Total: $119.70 Payments Date Paid Amt Paid Total Fees $119.70 Credit Card 05/08/2025 $119.70 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 regulating_qonstruction and zoning foregoing information is accurate and that all work will be done in compliance with all applicable laws e, I authorize the above named contractor to do the work stated. Signature: Owner / Contractor ! Agent Date May 08, 2025 Page 2 of 2 �D,v�I�7ED Miami Shores Village MAR 2.52U24 Building Department BY:—- 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 207-3 - &�`t BUILDING Master Permit No. ALL°—O3'Zi-733 PERMIT APPLICATION Sub Permit No. BUILDING II ELECTRIC ® ROOFING ® REVISION E3 EXTENSION ®RENEWAL PLUMBING ® MECHANICAL ® CHANGE OF [3CANCELLATION I3 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10050 NE 2nd Avenue City: Miami Shores County: Miami Dade Zip: Folio/Parcel#11-3206-013-1960 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):MIami,Shores Village Phone#:305-795-2210 Address: 10050 NE 2nd Avenue, citViami Shores StatVlorida Zip: 33138 Tenant/Lessee Name:NA Email: ruIZTLmsvTI.gov CONTRACTOR: Company Name: Miami Shores Village Address: 10050 NE 2nd Avenue, Miami Shores, Florida 33138 Email: ruizf@msvfl.gov Qualifier Name: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 2, �W r OD Square/Linear Footage of Work: Type of Work: 0 Addition 0 Alteration 13New 13Repair/Replace _Zip: E3Demolition Description of Work: Installation of new ADA door opener with wireless push button. Electrical circuit to the door opener from the emergency light above front door in the lobby. Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ _ Technology Fee Structural Reviews $ DCA Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City NA NA NA StateNA Mortgage Lender's Name (if applicable) NA Zip NA Mortgage Lender's Address NA • city NA State NA Zip NA 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 will be charged. Signat a 0)/Signature OWNER or AGENT CONTRACTOR The foregoing instrument _as acknowledged before me this z� day of MOW , 20 ? , by who is personally known to me or who has produced The foregoing instrument was acknowledged before me this day of , 20 , by as me or who has produced , who is personally known to identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as Sign: Sign: 1 V l -e V1VX, Print: V Print: VivienneaoSeaI: �YPVC` COmm.:HH22200 Seal: •.��� =2: Expires: Jan. 31, 2026 FPO 20:�Public - State of Florida APPROVED B Plans Examiner Zoning Structural Review Clerk (Revised04/05/2022)