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WS-16-824 Permit NO. W$-3-1"24 RS Miami Shores Village Permit Type:Windows/Shutters �0 10050 N.E.2nd Avenue NW ' Worrk Classification:Garage Door Miami Shores,FL 33138-0000 PenPermit Status:APPROVED Phone: (305)795-2204 FCORIOp' Issue Date:4/14/2016 Expiration: 10/11/2016 Project Address Parcel Number Applicant 64 NW 99 Street 1131010330060 THOMAS TELESCO JR. Miami Shores, FL Block: Lot: Owner Information Address Phone Cell THOMAS TELESCO JR. 64 NW 99 Street (305)216-6161 MIAMI SHORES FL 33150- 64 NW 99 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 1,700.00 ALL AMERICAN DOORS, INC/ALL All 305-885-8088 (954)646-6133 .._.,... __ . .. . ......... .._. .__ Total Sq Feet: 0 Type of Work:REPLACE EXISTING GARAGE DOOR Available Inspections: No of Openings: 1 Inspection Type: Additional Info: Final Classification:Residential Review Building Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# WS-3-16-59182 DBPR Fee $2.00 DCA Fee $2.00 04/14/2016 Check#: 18321 $76.20 $50.00 Education Surcharge $0.40 03/28/2016 Check#: 18287 $50.00 $0.00 Permit Ri $110.00 Scanning.!ee $9.00 Technology Fee $1.60 Total: $126.20 o� K 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 pertainingFjhereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting*=this permit sume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for hanoning A ,P G, ECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS'AI rtify tha II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction uther re,I a4brize the above-named contractor to do the work stated. April 14, 2016 Authors g ature:Own / pplicant / Contractor / Agent Date �.i Building D partme Copy April 14, 2016 1 16 ® ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/10/2017 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: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms 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 endorsement(s). PRODUCER NAME:CONTACT Risk Management Department Stonehenge Insurance Solutions,Inc. N PHONE (ggg)g25 2990 x20834 ac No): (877)637-8949 300 Avenue of the Champions E-MAIL er.com CertsC�Pro ressiveEm to Suite 222 ADDRESS: g P Y Palm Beach Gardens,FL 33418 INSURERS AFFORDING COVERAGE NAIC# INSURERA: American Zurich Insurance Company 40142 INSURED INSURER B: Progressive Employer Management Company,Inc.Alt.Emp:ALL AMERICAN DOORS, INC.dba:ALL AMERICAN DOORS,INC. INSURER C: 6407 Parkland Df I INSURERD: Sarasota,FL 34243 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:16FLO85922719 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 BE 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. ILTR TYPE OF INSURANCE ANDD SSU/BR POLICY NUMBER MM/LDDY/YYYY MM/DD/YYXYPY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE To RENTE CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 JE O- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY M $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS ( )BODILY INJURY Per accident $ NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS Peraccdent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER A ANY OFFICER/MEM ER/EXCLUDED??ECUTIVE El NIA WC 01-10-484-00 10/01/2016 10/01/2017 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Location Coverage Period: 10/01/2016 10/01/2017 Client# 427016-FL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Coverage is provided for ALL AMERICAN DOORS,INC.dba:ALL AMERICAN only those co-employees DOORS,INC. of,but not subcontractors 8155 NW 93Street to: MIAMI,FL 33166 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores,FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ' ' ` `R"� CERTIFICATE OF LIABILITY INSURANCE DATE /YYYIr) 011/10//10/17 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms 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 endorsement(s). PRODUCER CONTACT NAME: JESSICA MENENDEZ Global Insurance ac°Nr o (305)512-9721 ac No): (305)512-9889 6175 NW 153st street Suite 100 MAIL jessica@globalinsurancefla.com Miami Lakes,FL 33014 INSURERS AFFORDING COVERAGE NAIC# Phone (305)512-9721 Fax (305)512-9889 INSURER A: Houston Specialty Insurance Company 12936 INSURED INSURER B: All American Doors INSURER C: 8155 NW 93rd Street INSURER D: Miami,FL 33166 (786)229-6946 INSURER E: INSURER F: 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 BE 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. ILTR TYPE OF INSURANCE ADD UBR POLICY NUMBER MM/LDD/Y`/EFF MM DD YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DA AGE TO COMMERCIAL GENERAL LIABILITY PREM SES EaENTEoccu encs $ 100,000.00 ❑ ❑ CLAIMS-MADE ❑ Y OCCUR TEN-18030 MED EXP(Any one person $ 5,000.00 A 0 $5,000 08/25/2016 08/25/2017 PERSONAL a ADV INJURY $ 1,000,000.00 Contractual Liability GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM P/OPAGG $ 2,000,000.00 ❑ POLICY © PRO ❑ LOC $ AUTOMOBILE LIABILITY EOMaBIINccidEDtSINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL AUTOS OWNED ❑ SCHEDULED BODILY INJURY(Per accident) $ A ❑ HIRED AUTOS ❑ NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATIONElWC STATU- [:]OTH- AND EMPLOYERS'LIABILITY Y/N TOR ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) DOOR WINDOW OR ASSEMBLED MILLWORK-INSTALLATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FI 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD Miami Shores Village BuildingDepartment p MAR 2 8 1911 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 ' INSPECTION LINE PHONE NUMBER:(305)762-4949 54,1^ FBC 20 �K BUILDINGCAN� Master Permit No.2G' 9' 9 PERMIT APPLICATION Sub Permit Nol�^ gq m BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP G� CONTRACTOR DRAWINGS JOB ADDRESS: �� City: Miami Shores County: Miami Dade Zip: 3 3© 57-0 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): M / Q��� cam— Phone#: 30r- o;L l 4�m Address: 4611-1� City: t:A l AM'/ b fe S State: '�L. Zip: 3 .5 «i Tenant/Lessee Name: Phone#: Email: Wl a�'1�+�ILS C� t1l�J c-4-i I. CONTRACTOR:Company Name: —T,�ne#: �� Address: ��`r)� �.'S cQ70 City: State: Zip: 3�� Qualifier Name: 4L/'r � Phone#: State Certification or Registration#: Certificate of Competency#: ���d ✓�Z ]►G DESIGNER:Architect/Engineer: Phone#: Address: C City: State: Zip- Value of Work for this Permit:$ 709P , d d Square/Linear Footage of Work: /0 Type of Work: ❑ Additi ❑ Alteration [] New 10 Repair eplace ❑ Demolition Description of Work: Specify color of color thru tile: l3�Ly '��✓ Submittal Fee 0 Permit Fee$ 'l C—� CCF$ ( 20 CO/CC$ Scanning Fee$ I •wb Radon Fee$ 2 DBPR$ 2 ' V Notary$ Technology Fee$ f • 60 Training/Education Fee$ 0' Ll o Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ zo (Revised02/24/2014) Bonding Company's Name(if applicable) Bondi ng'Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State 4 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. \-11ignature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this offCW day of�� 20 lj6 by �C a day of M=.h 20 /6 by TDM -1�,lesCD who is oersonallykno_n to Celt 5� ]� who is personally known to me or who has produced /(J p as Mme or jh & Toc)uced AIR as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Ir Print: Seal: o;:a - Seal: `,� JENNIFER MORALES JENNIFER MORALES _, k_-Z = Commission# FF 77775 ®•_ Commission#FF 77775My Commission Expires My Com fission Expires �'�;,° December 18, 2017 OF F1 APPROVED BY `I Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CTQB Construction Trades Qualifyinq Board BUSINESS CERTIFICATE OF COMPETENCY 0130018220 AILL.Au�AERICAN DOORS INC D.B,A.. . TO RENS L IS A Is certified under tfi2 provisions of Chapter 10 of Miami-Dade Cbdhty uff. m� law A _ 0022 QUALIFyING GARAGE 'N ps DooR US Seeroloy Palos p E �ontl-Datle the ou y�e afns a�� ProperlyrlDhfs herein. Mlgy�C �'-mlany�oe.Dov/eo� nomY Local Business',Ta.x Receipt Miami—Dade.County,.State.of Florida -THIS IS NOT A BILL-DO NOT'.PAY 1876094 L B suSINESS NAME/LOCATION RECEIPT NO. EXPIRES ALL AMERICAN DOORS INC RENEWAL SEPTEMBER 30 2016 8155 NW 93 ST 1876094 MEDLEY;FL 33166 Must be displayed at place of business Pursuant to County Code Ch apter BA-Art.9&10 OWNER $EC.TYPE OF BUSINESS ALL AMERICAN DOORS INC196 SPECIALTY BUILDING PAYMENT RECEIVED By TAX COLLECTOR CONTRACTOR 45.00 07/08/2015 Worker(s) 3 000018220 CREDITCARD-15-034603 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is nota license, permit,or a certification of the holders qualifications,to do hoslness•Haider must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business, The RECEIPT NO,above must he displayed an all commercial vehicles-Miami-Dade Code Sec Be-276. MI® For mora information,visit www.miamidade.apv/texcollactor 000764 Dion8 , 1 Contractor s Re�eip Miami=Dade:; Crusty, ''State' . 0 Florida -THIS .IS 'KOTA'BILL'-.,DO NOTAAY' 1876094 BUSINESS,NAIVIE/LppATION RECEIPT No. EXPIRES ALL-AMERICAN DOORS INC NEW SEPTEMBER 30,' 2016 8155 LVW 93 ST'. 7476466 Must be displayed.at place of business I MEDLEY FL.33166 Pursuant to County Code Chapter 8A-Art 9&10 OVVNfiR SEC.TYPE OF BUSINESS ALL AMERICAN DOORS.INC MMC SPECIALTY BUILDING CONTRACTOFr.y MC TAX CORECEIVED LLECTOR 000018220 Category(s) 1 $175.00 1'1/23/2015 CREDITCARD-16-009057 This Local Busiocn lax Receipt only confirms payment of the Local Business Tax.The Receipt Is nota license, permit or a certlflcatlon.lil lilt holder`s yualificaonna,to do business. Holder must comply with any governmental or hohgovetnmemal regulatory laws end;requitements which applyto the business. The RECEIPT NO:above must bi displayed on ell commercial vehicles-Miaml-Dade Cade Sec Ba-276. For more.irlformadon.Visitwww.miamidadn.g,�da7tcollector. l 'd HLE '0N S1004 Ups i / awy J [y WdLO l l 9l OZ LZ 'a pW AOR0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 03/24/16 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: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms 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 endomement(s). PRODUCER CONTACT NAME: JESSICA MENENDEZ Global Insurance A/CNNo Ext: (305)512-9721 FAX (305)512-9889 A/C No 6175 NW 153st street Suite 100 -MAIL jessica@globalinsurancefla.com Miami Lakes,FL 33014 INSURERS AFFORDING COVERAGE NAIC# Phone (305)512-9721 Fax (305)512-9889 INSURER A: Houston Specialty Insurance Company 12936 INSURED INSURER B: All American Doors INSURER C: 8155 NW 93rd Street INSURER D: Miami,FL 33166 (786)229-6946 INSURER E: INSURER F: 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 BE 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. ILTR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP POLICY NUMBER MMIDD/YYYY MM/DD/YYW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED © PREMISES Ea occurrence $ 100,000.00 A ❑ ❑ CLAIMS-MADE ❑ OCCUR© Y 08/25/2015 08/25/2016 TEN-16284 MED EXP(Any one person) $ 5,000.00$s,000 PERSONAL&ADV INJURY $ 1,000,000.00 © Contractual Liability GENERAL AGGREGATE $ 2,000,000.00 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 ❑ POLICY © JECTPRO ❑ LOC $ AUTOMOBILE LIABILITY EOMaBIcNdEDISINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS BODILY INJURY(Per accident) $ ❑ HIREDAUTOS ❑ ANONO.OWNED PROPERTY DUTS $ Per accident ❑ ❑ 1 1 $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ❑ [:]ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) DOOR WINDOW OR ASSEMBLED MILLWORK-INSTALLATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE DAI-,)� Miami Shores,FI 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE/MM/25/20162016 Y) ACORO 03/ THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTERTHE 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: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms 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 endorsement(s). PRODUCER CONTACT NAME. 941-925-2990 X 20834 Stonehenge Insurance Solutions,Inc. PHONE FAX 300 Avenue of the Champions (A/C. C No Ext): A/C No): Ste.222 E-MAIL rts ro ressiveem Palm Beach Gardens,FL 33418 ADDRESS:Ce@p 9 pI DYer.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Technology Insurance Company,Inc. 42376 INSURED INSURER B: Progressive Employer Management Co,Inc.and all its affiliates and subsidiaries For Co-employees of ALL AMERICAN DOORS,INC INSURER C: 6407 Parkland Dr. Sarasota,FL 34243 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:L8EK7WPJ 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 BE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTFIT__ 11 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE F-1OCCURMED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 17 POLICY PRO- LOC $ AUTOMOBILE LIABILITY (CE OMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION TWC3498277 10/01/2015 10/01/2016 XWC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YN NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Coverage is extended to Co-employees but not subcontractors of ALL AMERICAN DOORS,INC CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shore Village Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2nd Ave Miami Shores,FL 33138Y• - Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Florida Building Code Garage Door Windload Design Pressures Report# DPR-160322-B-01_long Page 1 of 2 The positive and negative design windloads for the garage door opening(s) listed below are derived from the Florida Building Code (American Society of Civil Engineers, SEI/ASCE 7-10), Section 1620 for"components and cladding" (Exposure C), 175 mph ultimate wind speed for Miami-Dade County. Address: Tom Telesco 64 NW 99 St. 7BY_ PR O 8 Miami Shores, FL 33050, Miami-Dade County Garage Opening Size:8'4" x 7' 6" Mean Roof Height: Less than 15' Roof Slope: Not provided (use greater than 10 degrees) Measured Minimum Building Dimension: 32' 0" Measurement of Nearest Garage Door Opening to Building Corner: 2' 0" Positive Design Load:+35.3 PSF (see page 2) Negative Design Load: -39.5 PSF (see page 2) The following Clopay Building Products Company Doors meet the requirements for the stated loads: Clopay Model 4300/4301/4310/4400/4401/HDG/HDGLW8,8'4"x 7'6",Approval#15-0225.06,Dwg#101703 J ai�t 48/-60 PSF. • • • • �r • yJ .The dp9 shown'gg4Y psi n ••• •e area are based upon the measurements listed abov " - o ed" buildings, and Ms Nir&that the door beip9 jpgtplled meets the requirements of Section 1626 of the 5th Ed Florida Building Code { 044 for windborine deblalja high velocity hurricane zones. Design Loads are in accordance with Allowable Stress gesign loademmbinations. No further load reduction factors are permitted. .... the related c'aT&?lations db not address the jambs or structural adequacy of supporting members. The building official is the inaT determiner of the suitability of the garage door connections for the particular buiding or home at the designated location. The"structural interface"of the designated door is the existing door-jamb. The structural capacity of the existing, designated door-jamb and associated building frame must be confirmed adequate by a certified registered professional engineer in the state of Florida. The mounting hardware designated for the subject door, and details for installation are provided on the certified, approved drawing, as listed above. %JEn#u###11�* ``�� ( HA&1/4 Cb No 63286 ' Miami Shores Village it * = APPROVED BY „-a DATE TATE OF 10 P•••��. �7nNING DEPT Scot Ilton, . OR k Florida P.E. License No. 63286 f'�iSS O ..... � '31_DG DEPT 8585 Duke Blvd. Mason, OH 45040 ' ��'"�I" 1/\Nrf-WITH At L FFUERAL (513) 770-4800 4/1/2016 AFlorida Building Code Garage Door Windload Design Pressures Report#DPRA 60322-B-01-long Page 2 of 2-Retrofit Calculations for the Designated Door for Tom Telesco NOA and Site Specifics and Components 1. Miami-Dade County, coastal region,flat terrain, no escarpment. 2. Existing building, enclosed structure, Exposure C(FBC 1620). 3. Mean Roof Height=Less than 15' 4. Building plan and front elevation indicating the designated retrofit door opening: �g 44 -- i 32 / - ----1 Plan Elevation Design per SEI/ASCE 7-10 ALLOWABLE STRESS DESIGN 1. Ultimate wind speed,V_ult= 175 mph, at sea level (Fig.26.5-1), Kd =0.85(Table 26.6.1). 2. Nominal wind speed,V_asd= 135.5 mph(Table 1609.3.1). 3• Exposure category=Exposure C;velocity pressure coefficient Kz=0.85 for Less than 15'mean roof height (Table 27.3-1). 4. Topographical factor not applicable. Flat terrain,no escarpments, Kzt= 1 (Section 26.8). 5. Enclosure classification is"enclosed building"(Section 26.10). 6. Internal pressure coefficient, GCpi=+/-0.18(Table 26.11-1). . 7. External pressure coefficient, GCp:There are three external pressure coefficients, GCp,for components and cladding and therefore jaragedoors. The first external pressure coefficient is for positive pressure and the other two coefficients for ••he j*ative pressures. ode pia§gtive pressure coefficient is for'Zone 4'and the other coefficient for'Zone 5'. Zone 5 is the • wall regionia#4corner bf thd'building (also called the End Zone)defined as"10%of minimum width or 0.4h(h=mean roof • •height),whl'chever is sr$aller, but not less than either 4%of minimum width or 3 ft." Zone 4 is the wall region that remains • .••.• • ��ter subtracting Zone 5. ..ygep Figure 30.4.1. �..:.. •••4?the s ubjest building,46o Zone 5 region is defined as 10%of the minimum building dimension, or(0.10)*(32'0")=3.2 ft. ••,;jrice the garage door opewi+ig Is located 2'0"from the corner,this means that 1.2 ft. of the door is within Zone 5,and • 7.?3333333833333 ft. oWe door is within Zone 4. "f1t2 area'A'ol4the subjee;yanage door is(Door Width)(Door height).The area'A'=62.5 sq.ft. 1.176;-.0'.1166*log(A) =0.8594. ••• •• -CVP(•zone 4)_•-1.2766+0.1766*log(A) =-0.9594. -GCp(zone 5)= -1.7532+0.3532*log(A) =-1.1189. 8. Velocity pressure qz= .00256*Kz*Kzt*Kd*V-asd2 in Ib/ft2(psf)per Section 30.3.2. qz=(0.00256)*(0.848884152077903)*(1)*(0.85)*(135.5^2)=33.91 PSF 9. Design pressure, p=qz*(GCp-GCpi). Positive design pressure: p= (33.91)*(0.8594+0.18)=35.25 PSF. Negative design pressure for Zone 4: p=(33.91)*(-0.9594-0.18)=-38.64 PSF. Negative design pressure for Zone 5: p=(33.91)*(-1.1189-0.18)=-44.05 PSF. Since 86%of the door is in Zone 4, and 14%of the door is in Zone 5,the weighted average is: (-38.64)*(86%) + (-44.05)*(14%)=-39.42 PSF. �{111111##,$j* Rounding up to the nearest tenth,the final design loads are: +35.3 PSF and-39.5 PSF. ��0� ( HAIy4C��.,�� Cj y* :• o 6 2 6 ` • cc Scott Hamilton, RE STATE OF :�441ti Florida P.E. License No.63286 '.,0 ••,•o� O 8585 Duke Blvd. •R Mason;OH 45040 �����S��NA1.�����* (513) 770-4 4800 /t tt tt t 11111//1 4/1/2016 M I A M I•DADE MIAMI-DARE COUNTY RITMEN PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy Clopay Building Products Company 8585 Duke Boulevard Mason,OR 45040 ' . . .... ...... SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction . materials.The documentation submitted has been reviewed and accepted by Miami-Dade CoWn RER-ProdueFEontrol •...:. Section to be used in Miami Dade County and other areas where allowed by the Authority Ha ilghrisdiction•(AHJ). • This NOA shall not be valid after the expiration date stated below.The Miami-Dade County.Prttlagt ContoSection Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product on••s e material tested for quality assurance purposes. If this product or material fails to perform 1R:Ile accepte�d•rapner, the..:..' manufacturer will incur the expense of such testing and the AHJ may immediately revoke,Addi",or suspend the use of••... such product or material within their jurisdiction.RER reserves the right to revoke this acc4fft8*if it is determined by • Miami-Dade County Product Control Section that this product or material fails to meet the•requir;;lVp1%of the••••• applicable building code. : 000 :....; This product is approved as described herein,and has been designed to comply with the Flori8A Building Qa fto. • including the High Velocity Hurricane Zone. so 0 DESCRIPTION:2"EPS Insulated Steel Sectional Garage Door up to 914"Wide w/Optional Impact Resistant Lites APPROVAL DOCUMENT:Drawing No. 101703,titled"HDG/HDGL, 66/68,43 00/01,4310/67/HDGL, 114641,H Modek , sheet 1 of 1,dated 11/19/1996,with revision 7 dated 2/2015,prepared by Clopay • AWWDg Prodacts Company,signed and sealed by Scott Hamilton,P.E.,bearing the Miami-Dade County Plodudt Con¢ol retsion stamp with the Notice of Acceptance number and expiration date by the Miami- •� Dade CounVP?( ddct Control Section. ...... . .. .. .. ..... SLE ItrPpjCT RATING:Large and Small Missile Impact Resistant ••••• kA' XLING.•A•pgrmanent label with the manufacturer's name or logo,manufacturing address,model :....: nLi er,the p8gfflNe and negative design pressure rating, indicate impact rated if applicable,installation instruction drawini reference number,approval number(NOA),the applicable test standards,and the .slit* reading Miami-Dade County Product Control Approved' is to be located on the door's side track, „• •, In angle,gf inner surface of a panel. ORE9 +WAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shalt be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#12-0710.06 and consists of this page 1 and evidence page E-1,as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. NOA No.15-0225.06 CMLAMIMADECIUNTY Expiration Date: September 20,2017 Approval Date:May 7,2015 �2g/Ois Page 1 r Y ' Clopay Building Products Company NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS I. Drawing No. 101703,titled"HDG/HDGL, 66/68,4300/01,4310/67/HDGL,4400/01,H Models",sheet 1 of 1,dated 11/19/1996,with revision 7 dated 2/2015,prepared by Clopay Building Products Company,signed and sealed by Scott Hamilton,P.E. 0000 B. TESTS "Submitted under NOA#09-0929.10" "" •••••• 1. Test report on Forced Entry Test,per FBC,TAS 202-94,prepared by Amo lican TAt Jt,Inc., •• Test Report No.ATLNC 0428.01-09,dated 06/03/2009,signed ands;jK* by DaviB W' •••••• • Johnson,P.E. .. ;••••; "Submitted under NOA#07-0807.14" 0000 . .. 0000. 2. Test reports on 1)Uniform Static Air Pressure Test,Loading per FBG TAS 202,•..•.• ••; •• 2)Large Missile Impact Test,per FBC TAS 201, •• •• •. 0000.. 3)Cyclic Wind Pressure Test,Loading per FBC T)V IV% • along with marked-up drawings,prepared by American Test Lab,Int.,Telt Repq*j jo.• ••••:. ATLNC 0823.01-06,dated 12/18/2006,signed and sealed by David W.*ftnson'P.E. ;•••• 00 0 0000 C. CALCULATIONS "Submitted under NOA#07-0807.14" " ' 1. Anchoring calculations,prepared by Clopay Building Products Company,dated 07/30/2007, signed and sealed by Scott Hamilton,P.E. A%.•QUALITY ASSURANCE .1. '.Miami-Dade Department of Regulatory and Economic Resources(RER) 0000.. • ••. E.••• . -0807.14" T= f . tper TM E CERTIFICATIONS ports No.IIETI06-T604/605/606�prepared by HuiTicane ••••• •• ••• :•-gagineering&Testing,Inc., dated 09/22/2006,signed and sealed by Rafael E.Droz-Seda, '00:00 0000 .. P.£ :0000: "•••2. •••Corrosion Resistance Salt Spray Test,per ASTM B 117,Report No.30160-04-63365, :.Ifr1'pared by Stork Twin City Testing Corporation,dated 01/26/2005, signed by John D.Lee, 0000.. 0000 .. ..• •,,, 3. •Ignjtion Properties of Plastics Test,per ASTM D1929,Report No.3082959-500,prepared by •0000• Intertek Testing Services NA,Inc.,dated 09/16/2005,signed by Anthony Penaloza. 4. Surface Burning Characteristics Test, per ASTM E84, Report No. 3082960-500, dated 10/04/2005 and Report No.3094867SAT-001,dated 04/13/2006,prepared by Intertek Testing Services,NA,Inc.,signed by Javier Trevino and Anthony Penaloza. F. STATEMENTS 1. Statement letter of code conformance with the 2010 and the 51 edition(2014)FBC issued by Clopay Building Products Company,dated 02/18/2015, signed and sealed by Scott Hamilton, P.E. 2. Statement letter of code conformance to 2010 FBC no financial interest,issued by Clopay Building Products Company,dated 07/06/2012,signed and sealed by Scott Hamilton,P.E. "Submitted under NOA#I2-0710.06" J 04 q w< C los M.Utrera,P.E. 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