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WS-17-1782 ve iu PsY 3t�� MIA 782 :' F' 9rt!e� y� 77,Miami Shores Village „, ' Peri nt� 7IUlttera 10050 N.E.2nd Avenue NWS > � I Or Miami Shores,FL 3313&0000 Phone: (305)795-2204 , „� .7t1712t Expiration: 01/13/2018 Project Address Parcel Number Applicant 70 NW 102 Street 1131010180160 VIRGINIA WILDS DAY Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell VIRGINIA WILDS DAY 70 NW 102 Street MIAMI SHORES FL 33150-1230 Contractor(s) Phone Cell Phone Valuation: $ 1,771.00 JOHNS GARAGE DOOR INC (305)822-2951 Total Sq Feet: 64 Type of Work:REPLACE GARAGE DOOR Available Inspections: No of Openings: 1 Inspection Type: Additional Info: Final Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# WS-7-17-64555 DBPR Fee $2'00 07/11/2017 Check*9402 $50.00 $76.20 DCA Fee $2.00 Education Surcharge $0.40 07/17/2017 Credit Card $76.20 $0.00 Permit Fee $110.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $126.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd zoning. Futhermore,I authorize the above-named contractor to do the work stated. July 17, 2017 orize I ature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 17,2017 1 Jl C rr ask. Miami Shores Village J L 7 Building Department BY: 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 l INSPECTION LINE PHONE NUMBER:(305)762-4949 1 l FBC 20 BUILDING Master Permit No. 6� ���9 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP C,QKTR&CTOR DRAWINGS JOB ADDRESS: D City: Miami Shores /_Crouunty: Miami Dade Zip: 2)-31 Folio/Parcel#:� 1 ` ��'1 DI " QV9 01 1011 Is the Building Historically Designated:Yes NO Occupancy Type: Load: onstruction Type: Flood Zone: BFE: FFE: g,'-OWNER:Flame(Fee Simp Ti eholder): Phon "7,Fx— ._`'m_ Address: ' 1 0—, City: State: Zip: Tenant/Lessee Name: Phone#: Email: (� N� 1 CONTRACTOR:Company Name: "``� Phone#:1 Addres : 1_ City: lea State:-_TG Zip: Qualifier Name: z5bolr) Phone#: + 'DQ State Certification or Registration#: Certificate of Competency#: 010 i DESIGNER:Architect/Engineer: Phone#: Address: City: State: C r Zip: r Value of Work for this Permit:$ y —e Square/Linear Footage of Work: (�. L Type of Work: ❑ AdAtion ❑ Alteration ❑ New W Repair/Replace ❑ Demolition Description of Work: i- 1 ,�b.`�/L &RACE W 5-- 1y.--7 16 Specify color of color thru Me: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ 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 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 insp ction which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will of be approved and a reinspection fee will be charged. 11 Signature UWP Signature WNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z ll✓ day of • I�X� 20l ,by �day of 20 �— by Ci PPwho is personally known to who is personally kno wn to me o ho has produced �.1.�2" 1 �. as me or who has produced s as identification and who did take an oath. U identification and who did take an oath. NOTARY PUBLIC: ' NOTARY PUBLIC: Sign: Sign: Print: MY COMMISSION#GG 044602 Print: 01 florma " s u EXPIRES: overner , IN= Aura Bonded Seal: Medhm VMy Commisslan FF 828472 � Expires 1011812019 APPROVED BY V1� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 6/19/2017 To: Current Owner - - - 70 NW 102 Street - Miami Shores, FL 33150- - Permit: WS-12714-2616 Address: 70 NW 102 Street Miami Shores FI-33150- FINAL NOTICE Dear Sir or Madam,, Our records indicate that the above referenced permit has expired without obtajning the proper final inspection. In order to serve you-,better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits,,refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo (CBO) - — Building Director Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 6/19/2017 To: John's Garage Door Inc " 2266 W 79 Street —-- - Miami Shores, FL 33150 Permit: WS-12-14-2616 Address: 70 NW 102 Street Miami Shores FI-33150- FINAL NOTICE Dear Sir or Madam, Our records-indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits,refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely Za /, Ismael Nar nj (CBO) Building Director Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 10/24/2016 To: Current Owner 70 NW 102 Street Miami Shores, FL 33150- Permit: WS-12-14-2616 Address: 70 NW 102 Street Miami Shores FI-33150- Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits, refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, 1��2, t s- Ismael Naranjo (CB Building Director Irol 301Y `V70 ,vw I o µ�aivtt S1np�s� IFL 33 t SO , 6 Gil COPY GEC 2914vs.ri X 9f- 6� _ LrqB yc✓ toy s ,eg , Oil 0000•• j q it •• 0.00•• 06••0• k� • • 1 000000 • 0000•• 0000 0000 • • �4. • 0000•�••••• 0000 • • 0000•• 6• • •4.4• •• •• . 9 0000•• • 6.664• • • • • • •0060• •600.4 99 •• • 0000 • • •••• Wp Miami Shores Villa e Dy DATE APPROVED (< ZONING DEPT BLDG DEPT ;t)RJFCT TO COMPLIANCE WITH ALL FEDERAL �;TATF AND COUNTY RULES AND REGULATIONS John%Gage Door,Inc. 2266 West 79 Sheet Hath,Florida 33016 9293 Harding Avenue Surfside,FL 33154 Tel#(305)861-4863 Fax#(305)861-1302 Sec. 14-30. BOND REQUIRED OF PERMIT APPLICANTS. Prior to the issuance of any permit provided in this article, a cash or surety bond shall be deposited by the applicant for a permit with the town clerk as a guarantee that all town property damaged by the applicant or any contractor, materials suppliers or subcontractors under his supervision will be repaired to its original condition, and that the premises will be properly cleaned up and left in a sightly condition after the work has been completed. The town manager, at his sole discretion, may require or waive the requirement of such bond; provided, however, that the amount of such bond shall not exceed five percent of the cost of-the construction or demolition except that on work under $10,000.00 in cost, a bond of up to $500.00 may be required. On application, any cash bond shall be refunded, or surety bond returned, when final inspection by the building inspector certifies that the conditions of the.bond have been complied with; otherwise, as much of the principal ""'amount of the•bopd as may be necessary shall be retained by the town and .:...usecJveefr4JJj9 expenses of cleaning up the premises or for repairs to :....damaged town:pr+operty, which shall be done by the town. • e ease 6649 ..... .... ....4 '••:•4n any 94aent,:i#.application for refund of a cash bond is not made within six "'inonttfs 6f thertlate of the final building inspection, the bond will be forfeited to the town. 1960, § 6-7) EDITM.13Y YHP-'BUILDING OFFICIAL FOR CLARIFICATION Bonds are required for the following types of projects: 1-Roofing 5-Remodeling 2-Driveways 6-Alterations 3-Concrete restoration 7-Demolitions 4-Additions 8-As deemed require by the Building Official ��_..e Mur. ... _ � � � �'� - .'`,` � °�� ����� � r _ �- �� 3�. a Ra �s. _ '„ �$ Y p° �� � t t i m � � � S<' �� �� �::, � s: a, _ a,. r ,� .. - a - Q ., v. z� � ,. :� �� k>.� a � � � t ��, a,r e :: .,:�a � a ,. ... c, ar STRUCTURAL SOLUTIONS,P.A.* Project No.: 14-002 5921-G West Friendly Avenue Date: 10/31/2014 Greensboro, North Carolina 27410 NC Firm #C-1096 Garage Door Windload Design Pressures The following Design Pressures have been calculated in accordance with ASCE 7-10 Chapter 30 Part 1 for Components&Cladding, based upon the design parameters listed below, using the Load Combinations in Section 2.4.1. Building Address: 70 NW 102 St Miami Shores, FL 33150 Garage Door Width: 7.5 ft Garage Door Height: 7.5 ft Basic Wind Speed: 175 mph Exposure: C Mean Roof Height: 11.8 ft Least Overall Horizontal Dimension of Building: 48 ft Distance from left building corner to edge of garage door opening: 39.5 ft Distance from right building corner to edge of garage door opening: 1.83 ft Roof Slope: any slope • Positive Design Pressure •••35. psir ••••;• Negative Design Pressure =• x41.1:j e '• sees.. sees.. Design Assumptions: sees sees • The building is considered "Enclosed"as defined in ASCE 7-10 *sees* 'sees' ••••• The Topographic Factor for the building is 1.00. s .. ••:••' e .. .. . .. sees.. The building and garage door measurements shown above were provided to Structural SolutioRs,•P.A. by • others. These calculations do not address the structural adequacy of the jambs or other supporting struc:Vp, s Goo*:* These calculations merely determine the Design Wind Pressures for the given garage door she 4Abuildirtg :sees: geometry. Evaluating the structural adequacy of the jambs or other supporting structure is It the responsibility of Structural Solutions, P.A. "" This document is only to be used in conjunction with Amarr Garage Doors • •,sees.+� e u.49579 , s STATE OF � i ♦ • r • ♦e STRUCTURAL SOLUTIONS, P.A.* (*dba Structural Solutions of North Carolina,Inc., Firm #29412) Thomas L. Shelmerdine, PE (Florida PE #0048579) J:\2014 Projects\14-002 Amarr 2013 Retrofit Doors\70 NW 102 St Miami Shores_FL_33150\Garage Door Pressure Calculator 7-10.)ds MIAMI•D1ADE MIAMI-DADS COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY 11805 SW 26 Street,Room 268 AFFAIRS(PERA) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidRdegav//gera/ Amarr Garage Doors 165 Carriage Court Winston-Salem,NC 27105 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 County PERA-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Model 1200 Heritage&Oak Summit 3000 Steel Sectional Garage Door up to 9'-0" Wide • APPROVAL DOCUMENT: Drawing No.IRC-1209-189721-I,titled"Model#120aHkritage*&Oak •• Summit 3000 Short,Long,Flush and Oak Summit Panels",Sheets 1 through 3 of3,,•4qtg0 051 Of/2QQ7,with...... revision B dated 12/05/2011,prepared by Amarr Garage Doors,signed and sealed by.Tbpmas L. . Shelmerdine,P.E.,bearing the Miami-Dade County Product Control revision stamp with the Notice-of 0• •• Acceptance number and expiration date by the Miami-Dade County Product Control!Section. •••••• ••;•'. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant 60:69: •• •• • .. .. . .. ...... LABELING:A permanent label with the manufacturer's name or logo,3800 Greenwa .Circle,Lawrence, •, Kansas,model number,the positive and negative design pressure rating,indicate impact Bated if appWable," installation instruction drawing reference number,approval number(NOA),the applicable test Standards,and••• the statement reading`Miami-Dade County Product Control Approved' is to be loca$8d on the door3s side • track,bottom angle,or inner surface of a panel. 0000 RENEWAL 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/ormanufacture 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 shall 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 and renews NOA#07-0706.05 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.12-0228.03 &MI-APPRO Expiration Date:September 6,2017 2Q 1� Approval Date:May 3,2012 d¢ Page 1 Amarr Garage Doors NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. IRC-1209-189-21-I,titled"Model#1200 Heritage&Oak Summit 3000 Short, Long,Flush and Oak Summit Panels", Sheets 1 through 3 of 3,dated 05/08/2007,with revision B dated 12/05/2011,prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelmerdine,P.E. B. TESTS 1. Test report on Evaluation of Painted or Coated Specimens Subjected to Corrosive Environments per ASTM D 1654&ASTM B 117,prepared by Architectural Testing, Inc.,Test Report#A7420.01-106-18,dated 04/12/2011, signed and sealed by Joseph A. Reed,P.E. 2. Test report on Forced Entry Test per FBC,TAS 202-94,prepared by American Test Lab,Inc.,Test Report#ATLNC 0912.01-11,dated 10/13/2011,signed and sealed by David W. Johnson,P.E. "Submitted under NOA#12-0228.09" "Submitted under NDA#07-0706.05" 3. Test report on Large Missile Impact Test per FBC TAS 201,Uniform Static Air Pressure Test per FBC TAS 202 and Cyclic Wind Pressure Test per FBC;PA'3 203 foz.... a 9' x 7' Sectional.Ste6Garage..Deor.,prepared by American Test I:ab,Ito.,Report# • ATLNC 0430.01-07, dated 06/06/2007,signed and sealed by Dapid W. Jbhtis'bn,P.E.'•'•' 4. Test report on.Tensile Test for 3 Samples per ASTM E $ re tired b •..... l? p >p 0000 y 0000 Hurricane Engineering&Testing Inc.,Test Report#HETI-0Y;T7.0,daft-A..' 05/30/2007,signed and sealed by Candido F.Font,P.E. •••••• •• 90 ••:•• .. .. . 00 0.00.0 C. CALCULATIONS :00:0: •• 1. Anchor calculations prepared by Structural Solutions,P.A., dated 02/09i2�Y1.2,;ignec ....; and sealed by Thomas L. Shelmerdine,P.E. 0000 "•'• .. .0.. D. QUALITY ASSURANCE 1. Miami-Dade Department of Permitting,Environment,and Regulatory Affairs(PERA) E. MATERIAL CERTIFICATI,O.N& 1. Test report on Surface Burning Characteristics on the expanded polystyrene UL file# R11812. F. STATEMENTS 1. Statement letter of code conformance to 2010 FBC and no financial interest issued by Structural Solutions,PA., dated 04/18/2012,signed and sealed by TomaA L. Shelmerdine,P.E. #0411;V;1)201z Arlos M.Utrera,P.E. Product Control Examiner NOA No.12-0228.03 Expiration Date:September 6,2017 Approval Date:May 3,2012 E-1 • r 13 GA COBERCIAL 13 F,A OALV.CDlPIERCIAL r>D BALL STEEL RO.I.ER 14DA,OU RASAFE 24 GA KIN EXTERIOR SKIN FIMUFE ATTACHED V/q) TDP ROLLER BRACKET V/4'SEEM AND W 7/IG' © CENTER 1m(GE ATTACHED t/BAKED ON POLYESTER iINISH V{•x3/4•ImI IffAD SCREWS ATTACHED V/(A V4•z _ T RETAMM USED FOR V/(4)V4•x 3/4' 14 GA DURASAFE AT EAQ1 E!ID STILE 3/4•HEX HEAD SCREWS THREAD! FASTENERS RD WAD SCREWS END HUM ATTACHED ADJUSTABLE SLIDE BRACIET ATTACKED 2'10 HALL SIEEL It(LLER V/4'STEM BDL PER BRACKET AHm N RETAINER USED FDR I�EAVD43CzRL'VS W/(D 114•x Vr T Alm NUTS THREADED SHAFTS PER Rm1.ER TOP SECTIO(3 5/8'H X BE GA ROLLER CARRIERS ATTACFEO DAVY.STEEL TRUSS ACHED IN CENTER OF SECTION 14"DIEASAFE TO END STILE V/(4)114•x 3/4' V/(�VH x 3/4'HEX xFAD (D 3 6/D'X Be aA R TRUSS 36/8'BBGA A-TRt6d HEX HEAD Sd1ETl3 PER CARRIER ATTACHED Y/(8)TRU x �CARRIER ATTA6ED BCREV3 AT EACH STRE."AND ATTACHED V/(D Y4•X 3/4 3/4•HEX READ SCREWS �I TO R-TRUSS V/(2)V{•x 3/4• D1 IiNQ(III IODVAY 1 k0K HEAD SCREWS PER STILE AT EACH CENTER STILE HDI HEAD SCREWS PER CARRIER H@GE AND ENDSTILE 3 6/B'88GA R-T10LRS TYPICAL TDP FDCNRES ATTACHER 2W(4)114•x N.TS 1 3/4•HEX MEAD SCREWS SLIDE I=ENGAMS WTU VERTICAL _TYPICAL DURASAFE CENTER HINGE/n\. T�UN SM��'� CFE EVAImID N.TJL - (_ (SNAP LATCH,OR LOCK DAR DPTIDNAL) YSTYRDM RMULATUIN ATTACH Y/GD V4•z 314'HEX HEAD I LD DENSITY SCREWS Rx6.73,&W7 SEE(TABLE D ON PASE a FOR RECONBENDO SECTIE(CONFIGURATION TYPICAL Dl1RASAFE END HINGE r'7� pROD1IClBBV1811�1 x-ps � aoamDTf�YvHNlIdFiUPiQR 1{�GAH� Ae ee�ivo - 3 2'MCA.STRUT ATTACHED V/ BOTTO4 BRACKET F,XDIpHtpp . .... _....... - _, (D V4•X 3/4•IES HEAD SCBE a 13 DA ATTACHED 3 6/8.11 X 22 GA GALV.STEEL AT END AND CENTER STILE V/C•V4•X 3/4• R-TRUSS ATTACHED W HER HEAD SCIEVS PER SECTIO( V/(4)V4•z 3/4- HER ER WAD SCREWS AT EACH ENO STUX,(D AT THE H@IGE LOCAIIOL AND(D IN 1HUat SIOI H®WAT BETWEEN HUM AND ENDSTD.E 2 3 ' "W � LARGE MISSILE N @'20 GA STRDT @I - _- IMPACT RESISTANT > TYPICAL BOTTOM BRACKET 4 BOTTOM BRACKET N.T.S. ATTACHECM D z 3,14- HEX /Y 4 H17I HEAD SOiE115 SPECIFICATIONS AND NOTES �... _.. A-A 1.ALL THE LOAD FROM THE DOOR IS TRANSFERRED TO THE VERTICAL _cFCTION (SIDE VIfVi� TRACK, FROM THE TRACK THE LOAD IS TRANSFERRED TO THE VERTICAL KT-S` i t INTERIOR OF GARAGE JAMBS. THE HORIZONTAL JAMB OR HEADER RECEIVES NO PORTION OF REV I M==OFMWS DJM THE LOAD TRANSFERRED FROM THE DOOR. A f#IE S 1/!/OB 1$f MAK VDDTH 9'6" 2,EACH VERTICAL JAMBS RECEIVES MAXIMUM DESIGN LOADS OF: A +256.5 LBS/FT & -303.8 LBS/FT D 18Mm)m FDC SID 1T/sflt NED, MANUFACTURED 54' AND3. �NSTALLED R AND HARDWARE WSTANDARDS AS SET A FORTH BYDASMA.DESILOADS4S L:,$HF/ Oi +2589 SEE NOTE 2 MAX S17Z Q:�%K;EM�QFF�n,'. 9 o NIU( 4.DOOR SECTIONS SHALL BE 24 GA. (.0216) MIN. EXTERIOR SKIN e INSIDE ELEVATION -303.8 LBS/FT ROLLED FORMED, W/BAKED ON POLYESTER FINISH = No 0045579 2'X14' N.ts 5.DOORS UPTO 7'0"HIGH CONSIST OF(4)SECTIONS AS SHOWN. DESIGN LOADS USE(1) 3 5/8'R-TRUSS PER SECTION AND +57.0 PS 4, (1)2" 20GA STRUT ON THE BOTTOM SECTION -67.5 PS 6.DOORS OVER(4) SECTIONS REFER TO TABLES 1 AND 2 3 3/4•HIMMOULM(U 2-112'X 3-1/8'UM FLE1SEALQ%�ON PAGE 3 i BACKER PLATE AT EACH BY MSTAUER) 7. SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED LARGE MISSILE —I SIDERwN t� DIAD °�� BY A REGISTRED PROFESSIONAL ENGINEER FOR WIND LOADS NPACTTHIN I I ••20 V49TM END`T9.E• •INDlt*tED ON THIS DRAHONG IN ADDITION TO OTHER LOADINGS • TRA1 LWW C@ oyx 14/4'0 0 o•THIS APPROVAL REQUIRES THE MANUFACTURER TO DO TESTING •• • • • • •••0 QLL COILS USED TO FABRICATE DOOR PANELS UNDER THIS B • • • • • • • •NOTICE OF ACCEPTANCE. A MINIMUM OF 2 SPECIMENS SHALL BE 4TK(B4U1iL�U7t• • •CIIR•FROM EACH COIL AND TENSILE TESTED ACCORDING TO ASTM 10 FAMCAa CIRM VRIM-14LM N.e VW VWAKARRJSII JAM - ;1 CARRIER ATTAC ED TD R-TRUSS E-8 BY A DADE COUNTY APPROVED LAB SELECTED AND PAID BY HEX 1En11D{scaE s{� THE MANUFACTURER. EVERY 3 MONTHS, 4 TIMES A YEAR, THE MODEL X1200 HERITAGE 3000 MANUFACTURER SHALL MAIL TO THIS OFFICE: A COPY OF THE TEST 6/8•H X 22 GA Y Gay.8TED.TRACK CONFIRMATION THAT THE SPECIMENS WERE SELECTED MODEL #'1200 OAK SUMMIT 3000 0)Vr2D x 6/8'TRACX (3 6/B'R-TRUSS) TRACK tH .ft' ( tut.VB 110111 IAMB 900• • • 41CS AT THE MANUFACTURER PRODUCTION FACILITIES. AND S$OBT, LONG, LLUS$ & OAB SIIMMIT P SPLICE BOLT AND NUT PER OR • • • ANsm JAM BRACKET TRACK MOUNTING DETAIL •(bo a tBt ) • • • * LS WIItIZED STATEMENT FROM THE MANUFACTURER THAT ONLY Su mm6f BB pdg �)w Op, Rm WtS. • • • • • • • s •COILS WITH YIELD STRENGTH OF R DAD PS OR MORE SHALL BE B on BY SIB am 0� RC-1209-189-21-1 • •• • • • • *USED TOINAKE DOOR PANELS FOR DADE COUNTY UNDER THIS • • • • ROTICE IIF ACCEPTANCE DISMIR BIBS L MOM PE Lx k MM I SHM 1 OF 3 ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • =y WOOD JAMB ATTACHMENT TO STRUCTURE P Y 6 V 5/16•x 3•LAG SW = FWE0[MANE STRUCTURE THEN W OC.0 1/2'EMBEDMENT) �ANB AnA._,._. To P.a76 PSI CONCRETE HILT)KVDC BBLT 3/8'X 4•STARTING 6'FROM ENDS THEN 24.O.C.('1/'EMBEDMENT) HO.n SLEEVE ANCHOR 3/8'X 2-3/a•STARTING 6'FROM ENDS THEN 16'O.C.0 1/4'EMBEDMENT) ITV/RAMSET REDHEAD(TRU-BOLT)3/8'X 4•STARTING 6'FROM ENDS THEN 24'O.C.@ 1/2'EMBEDMENT) ASOI(1/4•X 3•T VS STARTING 6 AM W USE PAIRS ID'FASTENERS Cr APART)AT S'O.C.0 1/2'EMBEDMENT) HILTI 1/4•X 2-3/4'KVIK-CON II+SCREWS STARTING 6'FROM ENDS,USE PAIRS OF FASTENERS(3'APART)AT B'O.C.0 1/4'EMBED JM P X 6 VLRTIC^� IAMB ATTACHMENT TO Gornnm G-90 BLm'Y GM66 PSI GR@1T) HO.TI SLEEVE ANCHOR 3/8'X 2-3/4•STARTING 6•FROM ENDS THEN 20'6C.0 I/4' EMBEDMENT)(GR,USE FASTENERS FOR HOLLOW C-%BLOCK) KAGS AND BOLTS CAN BE COUNTERSUNK TO PROVIDE A FLUSH MOUNTING SURFACE. xPREPARATION OF WOOD JAMBS BY OTHERS JCQNCRETE STRUCTURE STRUCTURE STRUCTURE GROUTED BLOC 13 GA FLAG BRACKET ATTACHED TO WOOD JAMB STRUCTURE W/(3)5/16 DIA.X 1-5/8'LAG BOLTS AND T13 TRACK W/(4)3/4-20 x S/8 TRACK SPLICE BOLTS AND NUTS 1 �gg2- 4•HIN I_1/E'MIN 4' TYP.JAMS 3•MIN SPLICE TRACKS AT THIS LOCATION W/(4)1/4'-20 TRACK SPLICE BOLTS&NUTS SECURE TO JAMB WITH(3)5/16'CIA.x 1-5/8" LAG 13OLTS REI I MICIP IOI W 0:1606 DAT: A IMWRMB I 1p/09 too (I)5/16"DIA.x 1-0/8' B IMMMOM 1 RB LAG BOLT ATTACHED TO JAMB AT EA.JAMB BRACKET SHLrI MAX SIZE .0,,,,�P'?•�E.Al Q�•�'��%'o� ♦O:'V ( IJAMS BRRACKE SS DESIGN LOADS 46578 ATTACHED W/(1)1/4"-20 It 5/8" +57.0 PSF viT� A,/t,•�*�w" THRMUGH _ TRACK SPLICE BOLT&NUT. -57.5 PSF IIIITH�i3 <(!♦ LARGE LE ,o'✓OAF 4 p�p%..IMPACT RESISTANCE AlL • • • • • • • • • 29 �../tj' I • •. • • •. • • 5 5 �. ••� $ 5 .. • 167 camt6rs man vDarua-7ALo(NG R7103 vwAx6•rcal A R � 17 MODEL #1200 HERITAGE 3000 SEE (TABLE 2)ON PAGE 3I MODEL #1200 OAK SUMMIT 3000 FOR JAMB BRACKET SPACING • •• ct • • ORT, LONG, nUSH & OAK SUM IT PANEIA TRACT( CONFIGURATION FOR 6'6" UP TO 14• TALL DOORS:•: • ••• . • Liu A• SB om By 8O DAD: mlop MA=sm • •• • • • • • • �vADAmx YAACK 01010MMM 8 OHtlOD Ri BaT DOF OT(D/07 8lC-1209-189-21-I or • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • TABLE 1 TABLE 2 DOOR SECTION•HEIGHTS DOOR TRACKATTACHMENT SPLICE HEIGHT Btm #2 #3 #4 1 #6 #6 #7 #8 HEIGHT A B C I D I E I F G I H-1 I I J K L M N S 13'6° 21"121° 21" 21" 21" 18° 18° 21" 7' 3° 14° 27" 38' 45 58" 68° 75' 12'6° 21'11 18° 18°. 18° 18" 18° 2f° 8' 3° 14" 27" 38" 46° 68° 68° 78° 88° OR mmm 21"121° 21" 18° 18" 18" 21° 9 3 14° 27" 38' 100' 10'6° 21' 21" 21° 21' 21° 21° 10 3° 14" 2T° 38" 46° 66° 88° 78' 1100, 112" 21" 18" 18" 18° 18° 21° 27° 38" 46" 56" 68° 78' 88° 100°110" 124° mm mm 21" 21° 21" 18" 21° 12 3° 14" 27° 38° 46" 56" 88° 78' 88° 100°110"122" 135' 18° 18" 18° 18" 18° 13 3° 14° 27° 38° 46° W.88° 78° 88° 100"114"127 134 ;14W6'6' 21" 18° 18" 21° 14' 3° 14° 27° 38° 46" 56" 68" 78° 88" 100°114°122"134°148° ALL TRACK ATTACHMENT SPAdNG+/-2" ALLOWED WITH SYP OR SPF N0. 2 OR BETTER ONLY A�aeytle°eNo 3 e: .t imr o or aLro�oBs aaa MM Baa B 1f7Po6 aZt B IROIViED TO FSC 7a10 1 Oot,c �. 5Hf.��Feee� MAX sly gos,0�@��GENs�t••902�� B'x 14 o�A� NO 0048679 L DE90N LOADS •.per. +67.0 PSF . -W.8 PSF " Q LARGE WSSR.E �,(0 R R NPACT E eeees5'lONA1- �o�o • •• • • • • ••• • N3 DRUM CmAff WwTmi-mm W- am VWvAmmm MODEL #1200 HERITAGE 3000 MODEL #1200 OAK SUMMIT 3000 ••• •.• . .•• ••. SHOW, LONG, FLUSH & OAK SUMMIT FAMU • • • • • • • SRI am or all WE Wo/® am am • • . . • • • • • • g I moor =I= m" IRC-1209-I89�--21-I • •• • • • • • • •• • • • • 1 WM 9IQD$L SUEBOtE PE IC lh 60x496 INV J W 3 ..• ••. • • • • • • • • • • • • ••• • • 010 ••• • • 14 Miami Shores Village Building Department artment ^ � V' ' 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 - .� Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 J� FBC 20 BUIL ING Permit No.(A�S_1+DC A 6 PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 70 Al W lag 5-l�e e City: Miami Shores County: Miami Dade Zip: 3 1 ,50 Folio/Parcelk 11-3101-018 -0160 Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): i/i r4+t1i61 W;lots 70ca u Phone#: 305' 19'?-G 5 y 9 Address: 70 N td /0 Z A- arc 4 City: State: Zip: 33 1 5 O . Tenant/Ussee Name: Phone#: Email: �— CONTRACTOR:Company Name: jOj"%S &,amcie 't)ab`t_ \hC Phone#: 305 $2,1 '1q 5 Address: 12-66 W r79 % -re_e_+ City: 1/,a/eak State: rl or%da zip: '33016 Qualifier Name: %-T �Io n T, I•o ro Phone#: 78'6 • 1119 0 07 9 State Certification or Registration#: Certificate of Competency#: q R SS O O 1 q 4 Contact Phone#:ShD`n Email Address: "CLi k m -7ggM!R C-OVA 14 DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ /,7 7/ Square/Linear Footage of Work: 6 Type of Work: ❑Addition ❑Alteration ONew Mepair/Replace ❑Demolition Description of Work: Rale lace c,Org G doo r Color thru tile: �x��xxxxmx�•xxxxxxx�xxx��xxx�•x�x�xx��•x�x��FPPe--ey�sxx�x�•xxxxxx�xxx��x��x���xxx��•x�x�x•x��xx��•xxx Submittal Fee$ ® 0�) Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$�� 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 w t be approved and a reinspection fee will be charged. Signature Signature Owner or Agent V ontractor The foregoing instrument was acknowledge before me this The foregoi g"nstrument was ackno led ed before me t ' day of ,20_,by day of MWC ,2014,by - I , who is personally known to me or Who has produced who is personally known to me or who has produced I LA-kiden>�ddth and Wo did take an oath. as identification and who did take an oath. NOTA UBLIC: NOTARY LIC: Si Sig 3 Print: Print: NKMADUll My Commission Expires: :` ,� MY COMMISSION#EE 208035 My Commission xpire ;pi."eiy MONCABl1FfFii4c3O F ri f�/�) r EXPIRES:August 27, MY OOMMiSSION#EE ONKU I O I`-'/ •... ' PUbI1CUtId8tW11t8�5 s 2 4 RP,Ft� Bonded Thru Not�y �^ EXPIRES:August 27,2015 Bonded Thru Notary Public UndMvii,. *t=knk�k��k�k�k�k=k=k�k�h��k����h����k�k�k�k��k�k�k�k�k=k�k'k�k�k=k�k�k In 71 APPROVED APPROVED BY V v Pans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) � � �' trill Ma Board Y 184 ISIN�SS CERTIFICATE OF COMPETEPlC B 01 41 "J HN'S(;AkA44 DWR INC • o.BA' T JHON F ` Is cetfifled uta't►�bro�ts�ttts df Ct�pter 1 Q of Ntiami-0�tde C�aUMV.. QUALIFYING TRADEISI, 0022 GARAGE&INDUS DOOR 0018 FENCE .U,am H Setas P E 001350 Local Business Tax Receipt Miami-Dade County, State or Florida THIS IS NOTA BILL - DO NOT PAY 4150942 LBT �/ r BUSINESS NAME&OCATION RECEIPT NO. EXPIRES JOHNS GARAGE DOOR INC RENEWAL SEPTEMBER 30, 2015 2266 W 79 ST 433418101 Must be displayed at place of business HIALEAH FL 33016 pursuant to County Code Chapter 8eA-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED JOHNS GARAGE DOOR INC 196 SPECIALTY BUILDING CONTRACTOR BY TAX(COLLECTOR Worker(s) 1 99BS00141 $45.00 07/21/2014 FPPU 12-14-006283 This Local Business Tax Receipt only confirms payment of the Local Business Tax,The Receipt is not a license, permit,or a certification of the holder's qualifications,to de business.Holder must comply with any governmental or"nongovemmental regulatory laws and requirements which apply to the business. The RECEIPT NO,above must be displayed ort all commercial vehicles-Miami-Dade Cade Sec ea-2T6. For more information,visi1:Www.miamidade.g9vltoxcollector Municipal Contractor's Rccet (Miami-Dade County, State of Florida -THIS IS NOT A BILI_ - DO NOT PAY9965{30141 MC BUS110:8S NAr-Aw.1JCATION RECEIPT NO. EXPIRES JOHNS GARAGE DOOR INC 7457576 SEPTEMBER 30, 2015 2266 W 79 ST HIALEAH FL 33016 Pursuant to County Code Sec 10-24 OWNER SEC.TYPE Of BUSINESS PAYMENT RECEIVED JOHNS GARAGE DOOR INC SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR 1Wate ory(s) 2 996SO0141 $1200,00 10/31/2014 CREDITCARD-15-002163 For more information,visif wt�tw_I>pamida�IF � ; s ...r „ CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) 111/0512014 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 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 endorsement(s). PRODUCER CONTACT Randy Warren Warren Insurance Corporation PHONE 561 362-6005 FAQ 561 362-7005 950 Peninsula Corporate Circle E-MAIL , rand arrenins.com Suite 1012 INSURERS AFFORDING COVERAGE NAIC# Boca Raton FL 33487 INSURER A:Century Surety Insurance Company INSURED INSURER B: John's Garage Door INSURER C: 2266 W 79th St INSURER D Hialeah FL 33016INSURER 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. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR DIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A COMMERCAL GENERAL LIABILITY BILITY DAMAGE TO RENTED $100,000 CLAIMS-MADE X OCCUR X CPP65735 04/04/2014 0410412015 MED EXP(Any one arson 5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 Wo POLICY 7 PRO LOC I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS UMBRELLALIABOCCUR EACH OCCURRENCE $ EXCESS LM CLAIMS-MADE AGGREGATE AL DED I I RETENTION $ WORKERS COMPENSATION W C STATU- OTHPR - AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVqN/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? u (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) License#99BS00141 CERTIFICATE HOLDER CANCELLATION City of Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIV <DA> . ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD JOHNGAR-01 NMORGADO ,a►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) `� 1 11/5/2014 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 pollcy(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 C N ACT NAME: BenTrust AIB,LLC PHOC.NE (305)444-8350 NC No:(305)444-8501 701 Waterford Way E-MAI�e Suite 300 ADDRESS: Miami,FL 33126-4682 INSt1RER(S)AFFORDING COVERAGE NAIC d INSURERA:FUBA Workers'Compensation INSURED INSURER 8: Johns Garage Doors LLC INSURER C: 2266 West 79 Street INSURER D: Hialeah,FL 33016 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. INSR ADDLSUBR POLICY EFF POLICY EXP LIMBS LTR TYPE OF INSURANCE POLICY NUMBER MWOD MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE FIOCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO-- LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY PER ER A ANY PROPRIETOR/PARTNERIEXECUTIVE YIN N/A 106-55019 06/23/2014 06/23/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ii yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached N more space Is required) License#99BS00141 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BLDG DEPT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE I I I C�* ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD