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RC-16-3474Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. RC -12-16-3474 Permit Type: Residential Construction Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 3/31/2017 Expiration: 09/27/2017 Parcel Number Applicant 142 NW 103 Street Miami Shores, FL 33150- 1131010220010 Block: Lot: US BANK TRUST NA TRS CIO Cl Owner Information Address Phone Cell US BANK TRUST NA TRS CIO CALIBER 13801 WIRELESS Way --- -- - -•- - ---- - - ---- OKLAHOMA CITY OK 73134- 142 NW 103 Street OKLAHOMA CITY FL Contractor(s) Phone A & J GENERAL CONSTRUCTION COI (305)599-2782 CeII Phone Valuation: Total Sq Feet: $ 15,300.00 69 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REPLACE Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : GARAGE DOOR 8X7 RE Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: REPLACE GARAGE DOOR 8X7 REF Classification: Residential Fees Due CCF CO/CC Fee DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $9.60 $50.00 $6.89 $6.89 $3.20 $459.00 $9.00 $12.80 $557.38 Pay Date Pay Type Invoice # RC -12-16-62474 12/27/2016 Credit Card 03/31/2017 Check #: 2202 Amt Paid Amt Due $ 50.00 $ 507.38 $ 507.38 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Drywall Miscellaneous Window Door Attachment Tie Beam Final Framing Insulation Truss lnsp Columns Foundation Window and Door Buck Fill Cells Columns Wire Lathe Review Electrical Review Electrical Review Electrical Review Electrical Review Building F. Termite Letter F. Elevation Certificate Review Planning Review Mechanical Review Plumbing Declaration of Use Review Structural 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. Futhermore1 au • . ize the above-named contractor to do the work stated. Auth• -d S re ." - / Applicant / Contractor / Agent Building Department Copy March 31, 2017 Date March 31, 2017 1 Miami Shores Village - Building Department QAA 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION FBC201-/// Master Permit No. 121C (2`1D -3474- 4- Sub Permit No. *BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS [] CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 142 NW 103 ST Miami Shores, FL 33150 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3101-022-0010 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): U S Bank Trust c/o Caliber Homes Phone#: Address:13801 Wireless Way City: Oklahoma City State: OK Zip: 73134 Tenant/Lessee Name: Email: Phone#: CONTRACTOR: Company Name: A & J General Contractors Phone#: 305-599-2782 Address: 4337 E 11 Ave City: Hialeah State: Florida Zip: 33013 Qualifier Name: Miguel Guerrero Phone#: State Certification or Registration #: CGC 1519495 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: /-� City: Value of Work for this Permit: $ %� 200. GO Type of Work: ❑ Addition ❑ Alteration ❑ New epair/Replace ❑ Demolition State:e(Zip: Square/Linear FootagVI Work: 1 6f Description of Work: A!!-:,.2 - j boto) I �_� ;%/./� 1 /� �� I ;i Z WIC 4VId.„ - i Specify color of colloor..thru tile: T�'Q Submittal Fee $ re tb - Permit Fee $ C/54:1 Scanning Fee $ Radon Fee $ Gis • 61 Technology Fee $ 12 •80 Training/Education Fee $ • ZIf7 Double Fee $ Bond $ .. TOTAL FEE NOW DUE $ `,V CCF $ 67• (4242 co,cc $ 5C) DBPR $ - 3 1 Notary $ Structural Reviews $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app y• ved and o reinspection fee will be charged. Signatur Y - — •w - c Tv ER or AGENT The foregoing instrument was acknowledged before me this 0 -41 -1'‘ -day of ', �, t DIK- , 20 1 (e , by eLn A k11 12j2 , who is ersonally know to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ******* Heath 17 ayabouasy APPROVED BY (Revised02/24/2014) HEATHER SAYABOUASY Notary Public, State of Texas My Commission Expires October 03, 2018 n Signature CONTRACTOR The foregoing instrument was acknowledged before me this t�-.(e day of , 20 l , by 0\k A `(4 , who is personally known to me or who has produced as identification anwho did take an oath. NOTARY PUBL Sign: Seal: ******************************* Plans Examiner Structural Review :� :" ;•• / ARACELYS M. HERNANDEZ MY COMMISSION OFF 984511 [WIRES: AprlI27, 2020 ,e,gf i c•• Bonded TM; Notary Public Underwrltere ************ ***************** Zoning Clerk RECF DEC 27 2016 BY H' 1 .. .. • • • • • . r • • • • •• •••-"_•• •_` • • •• • ••• • ••• ••• ••• Re stucco exterior wing. •• • • Primer and paint exterior. • •• •• • • • • • • :. •• •••• • . •••• ••• • • • •• •• •• •• •• • ••• • •• • . •. . • ••••• • ••• • • • • • • place Garage door 8' X 7' A 15-0505.05 arr Garage Doors 4.4/-62 QNT ELEV • TYONCT 10 CCMIPL1f NCE W!'Hi ALL FEDERAL • STATE ANu CC IN �j, 7 i1_,L -S 1D/RREEGULLATTIIONS •• .r`:: 4 •• •• •• ••• . •L•••••••• ••• • :ens • • ••• • • • • • • • • • • ••• •••• ••I�•• • • •• •.. ••• ••• Replace rear garage dogr. , wide X 6S8":: • •• • Out swing +76.00/-76.Q• •• •• ;•• ••• ••• •• FL4904-R7 Masonite International • •• • • • • • • • • • • • •• •• •• • • •• • •• •• •••• •• •• •• • • • •• • •• • • • •• • • •••• •• • • •• •• ••• •• ••• • • • •• ••• • • REAR ELEVATION 1 4 JeC SD Replace Vanity 30 inch. Replace bathroom floor tile. itiLa Replace kitchen cabinets per existing layout it $ i \'s _\\ G __ FCI Fridge on dedicated circui dedicated circuit IL- y ,, cab Microwave on dedicated circuit/ Paint Interior. Install Smoke Detectors hard wired. SD to me hard wired and connected to master bedroom circuit cab 111 • ••• Replace 40 gal water heater. .•.. • • r • •• •••• 1 • •• • •• •• • • ...111 • • • • • • • •• •• • • • • • • • ••••• �t:�i�•r•? • • • • • • • • • • • . • • •• • ••• • •. •• • ••• • • • •• • • •• • • • ••• •.• • • • • •• • • • • • • • • •• ••• •• • • • • • •• • • • • • • ••• • • • •• • . TYPE: SERVICE: MOUNTING POLES: iS /1 PANEL MAIN BUS: NEUTRAL: MAINS: A.I.C.: K.V.A. 'TRIP POLE CON- DUIT WIRE REMARKS. CKT REMARKS NO. WIRE CON- DUff. TRIP POLE K.V.A. 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A- /4 Gt *--1 5 6 F AW . f+ 41- l ! 7 8 It i w e... 7`e'Y 9 11 10 12 l/ c � // Nge4stm lxo CifiCI A jj I ('-pt .s 13 14 p v 7 a_ . -,l t �ppl i x ti 4e- S' 15 16 t� .ch, 617 18 - f- •• • • • .• ' • • 19 21 23 20 22 24 (, ,ti L_- ye-� (- S�•L C.�., y ,_19s i.• 1_4 •• cs( �--�. .... �� Ti.;.;. : L,4 .:. 4- 4 ' • 9 b•#7,, . 25 26 S40 4%-- •. . ' 27 28 • :s.;; • '' 29 30 32 s(4.> __- 31 33 34 35 36 37 38 _ • 39 40 41 42 ._140 ISR F eT Gen era/ L ) J wnJ rs ^Tc-ra ,5m60/ /4PPlia�c�s (//cu/k , St- /1 409/ Ith-r) Micro uta UL //7'C .. • •• ••• • .. • . .. • . .. • • • • •• .:.�. / i%siD 009 a• --/-/Cr_____,•...____ .:. ": .-,14 C-2-7/7 "4/7„,16; . CSD �.... OQ7 t„ -(7Q /02(50 .oD /20Q iiea9�5oc� ,5(7 00 ////0 //() 7,5f Oimedied /cod iu/Wou/ (7.7_761' • • • _ •..... • ' •' (�i)a //5 • • M IAM I•DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/economy �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 RER-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. RER 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 950 Heritage & 655 Oak Summit 1000, 2000 Steel Sectional Garage Door up to 9'-O" Wide APPROVAL DOCUMENT: Drawing No. IRC -9509-185-15-I, titled "Model 950 Heritage and Model 655 Oak Summit (24ga) 1000, 2000 Short, Long, Flush and Oak Summit Panels", Sheets 1 through 3 of 3, dated 04/06/2007, with revision D dated 12/02/2011, prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelrner•dine, P.E., bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance number and e • • • . - - . i - iami-Dade County Product Control Section. MISSILE IMPACT RATIN Large and'Sma11 Missile ImpactResista tt..) LABELING: A permanent label with the manufacturer's name or logo, 3800 -Greenway Circle, Lawrence, Kansas, model number, the positive and negative design pressure rating, indicate impact rated if applicable, 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 located on the dcgor's s ide track, bottom angle, or inner surface of a panel, ••• RENEWAL of this NOA shall be considered after a renewal application has been filed andthereras bele* nh ocange . • 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 revfsion or chane in the • materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endoriir rgat of any proarrct, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to carlpjx }vith arty •ection of • • this NOA shall be cause for termination and removal of NOA.• •• •• •• .. .. .. ...... ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, floriell and followed by the • expiration date inay be displayed in advertising literature. If any portion of the NOA is displayed; then be done in its entirety.• • • • . . . INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distaibutcis.and • shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 12-0228.07 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. MIAMI.DADE COUNTY APPROVED NOA No. 15-0505.05 Expiration Date: September 6, 2017 Approval Date: July 16, 2015 Page 1 . Amarr Garage Doors NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS "Submitted under NOA # 12-0228.07" 1.. Drawing No. IRC -9509-185-15-I, titled "Model 950 Heritage and Model 655 Oak Summit (24ga) 1000, 2000 Short, Long, Flush and Oak Summit Panels", Sheets 1 through 3 of 3, dated 04/06/2007, with revision D dated 12/02/2011, prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelmerdine, P.E. B. TESTS "Submitted under NOA # 12-0228.07" 1. Test report on Evaluation of Painted or Coated Specimens Subjected to Corrosive Environments per ASTM D1654 & ASTM B117, 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 NOA # 07-0928.11" 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 TAS 203 for a 9' x 7' Sectional Steel Garage Door, prepared by American Test Lab, Inc., Report # ATLNC 0312.02-07, dated 05/04/07, signed and sealed by David W. Johnson, P.E. 4. Test report on Tensile Test for 3 Samples per ASTM E 8, prepared by Hurricane Engineering & Testing Inc., Report # HETI-07-T684, dated 04/19/2007, signed and sealed by Candido F. Font, P.E. C. CALCULATIONS "Submitted under NOA # 12-0228.07" 1. Anchor calculations prepared by Structural Solutions, P.A., dated 01/25/2012, signed and sealed by Thomas L. Shelmerdine, P.E. • . D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources m3R) ' • .. . .. . .. . . . • . . . E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS .... •.. . • . . •. . ••••• . • •. . . .. .. . . . ... . • • •• • 1. Statement letter of code conformance to the 5th edition (2014) TBC and noifislacial interest issued by Structural Solutions, PA., dated 04/08/2015, ignet1 and spgle.d by • Tomas L. Shelmerdine, P.E.• ' E -1 •/, pr? /015 C rlos . Utrera, P.E. Product Control Examiner NOA No. 15-0505.05 Expiration Date: September 6, 2017 Approval Date; July 16, 2015 •• • .' • • • 13 DA GALV. COMMERCIAL TIP ROLLER 22RACKET ATTACHED 0/44) 1/4' x 3/4' HEX HEAD MRCVS PER IRAnIET TYPICAL TOP FIXTURES N.T.S. • SCE (TAILE 2) OR PAGE 3 FOR RECOMMENDED SECTION CINFIGORATNW 4 • AD.LSTASLE ROLLER CARRIER ATTACHED V/ (2) 1/4' x 1/e' DOLT 4 NUT PER BRACKET •• 3' FOGA STRUTS ATTACHED V/ (2) 1/4' x 3/4' MX HEAD SCREWS AT EACH CENTER STILE 2' 10 'ALL STEEL WITH 5• STEN ROLLER Id/RETAINER USED EN THREADED SHAFTS 1486., DURASAFE CENTER HINGE ATTACHED V/ (4) 1/4' x 3/4' HO( HEAD MRCVS r 24 GA MIN EXTERIOR SKIN W/ BAKED ON POLYESTER FINISH A TYPICAL DURASAFE CENTER HINGED R70. STILE STIFFENERS (3) LOCATED IN HINGE MV(0) ON TDP SECTION ONLY 3' 2006. STRUT ATTACHED V/ (2) 1/4' x 3/4' HEX HEAD SCREWS Y 2024. STRUT ATTACHED V/ 43) 0/4' x 3/4' HEX HEAD SCREWS INSIDE ELEVATION N.T.S. 14 CM. AAPASAFE END HINGE ATTACHED V/ (2) 1/4' x 3/4' HEX HEAD SCREWS 40A. WRASAFE ROLLER CARRIERS ATTAINED TO END STILE V/ C3) 1/4' x 3/4' HEX FE011 SCREWS PER CARRIER 2' 10 HALL STEEL VITA S. STEN ROLLER IP/RETAINER USED FOR THREADED SHRIFTS E T ILE ) ON PACE 3 FOR STRUT SPACING HOLES FIR STRUT ATTACHMENT (STRUT NOT SNOVN FOR CLARITY) 3' 2013L STRUTS ATTACHED V/ (2) 1/4' x 3/4' HEX HEAD SCREWS AT EACH CENTER STILE TYPICAL STILE STIFFE>ER� ILLS SLIDE LOCK ENGAGES INTO VERTICAL TRACK EN awe S10ES 5/6' MIN (SNAP LATCH. IR LOCK 140 OPTIONAL) ATTACH 2/42)1/4* N 3/4'NEX HEAD SCREWS TYPICAL DURASAFE END MTS. 3 (T)11/12" DIA. X 1-5//0 LAS DOLT ATTACHED .TO JAMS AT TA, 4AVB BRACKET (3) 20 OA CENTER STILES ATTACIE1 VITD (0) 102 -L -LOC AT ME TOP AND 1HOIi0N Rla INTERIAND MFACE HINGE M 66. CALV. STEEL END STILE ATTACHED 9110 (7) TOGv1-LOC Ioe-EL inT aALO • • •• • • • • • • • • 3 3/4' MIN. SIDEMEN • RETAINERPM RROLLER. � � MACS WO. N STEEL • • 1/4-20 x SOPTRACK • • • • • MACE MLT AND NUT CONT. WATMJVaMMB 2 OR (2) RIVETS TRACK M081iT'Q4C ➢:TAIL• • .sry GB NEI. • • • • 010' &OR g Y 2066. STRUT ATTACHED V/ CA) 2/4' X 3/4' HEX HEAD SCREWS AT et MO CENTER STILES • •• • • • ;10 SALE STEEL WITH 5' STEN ROLLER V/RETAINER USED FOR 1/TREADED SHAFTS ••• ••• • • • • • • • • • • Rf 3 GA COMMERCIAL TOP FIXTURE ATTACHED W/ <4) 1/4' x 3/4' HEX HEAD SCREWS ADJUSTABLE SLIDE BRACKET ATTACHED V/<2> 1/4' x 1/2' BOLT AHD NUTS END HINGE 44 GA. 3' x 20 GA. STRUTS (2) PER SECTION. C�1T. STEELRETAINER W/ CONT. BM SEAL SECTION A—A (SIDE VIEW) N.T.S. IDTTON BRACKET 13 ATT )THIC4. K 3% ACNE5 NEX NEAP SCREWS TYPICAL BOTTON BRACKET O N.T.S. INTDRLR OF GARAGE IMAX. MOTH V0 -.— DESIGN LOADS® +244.0 IJS/FT 811E HOTS 2 -270.0 N3/Ff 3PFCIFICATIONS AND NOTES 1. ALL THE LOAD FROM THE DOOR IS TRANSFERRED TO 1110 VERTICAL TRACK. FROM THE TRACK THE LOAD 13 TRANSFERRED TO THE VERTICAL JAMBS. THE HORIZONTAL JAMB OR HEADER RECEIVES NO PORTION OF THE LOAD TRANSFERRED FROM THE DOOR. 2. EACH VERTICAL JAMBS RECEIVES MAXSAUM DESIGN LOADS OF. +244.8 LBS/FT & -279.0 LBS/FT 3. DOOR AND HARDWARE VLI. BE DESIGNED, MANUFACTURED AND INSTALLED WITH STANDARDS AS SET FORTH BY DASD& 4, SECTICNS SHALL BE 24 GA. DOOR 0/ BAKED ON POLYESTER ) EXTERIOR SKIN TER F1NISH. 011( 5. DOORS UP TO 7'0' HIGH CONSIST OF (4) SECTIONS AS SHOWN. USE (2) 3' 20 GA STRUTS PER SECTION 0. DOORS OVER (4) SECTIONS REFER TO TABLES 1 AND 2 ON PAGE 3 7. SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED BY A REGISIRED PROFESSIONAL ENGINEER FOR WIND LOADS INDICATED ON THIS DRAMNO IN ADDITION TO OTHER LOADINGS. 8. THIS APPROVAL REQUIRES THE MANUFACTURER TO DO TESTING OF ALL COILS USED TO FABRICATE 0008 PANELS UNDER THIS NOTICE OF ACCEPTANCE. A MINIMUM OF 2 SPECIMENS SHALL BE CUT FROM EACH COIL AND TENSILE TESTED ACCORDING TO ASTM 0-8 BY A DADE COUNTY APPROVED LAB SELECTED AND PAID BY THE MANUFACTURER. EVERY 3 MONTHS, 4 TIMES A YEAR, THE MANUFACTURER SHALL MAIL TO THIS -OFFICE: A COPY OF THE TEST REPORTS WITH CONFIRMATION THAT THE SPECIMENS WERE SELECTED FROM COILS AT THE MANUFACTURER PRODUCTION FACILITIES. AND A NOTARIZED STATEMENT FROM THE MANUFACTURER THAT ONLY COILS WITH YIELD STRENGTH OF 34,600 PSI OR MORE SHALL BE USED TO MAKE 000R PANELS FOR DADE COUNTY UNDER THIS NOTICE OF ACCEPTANCE. PMODUCiREVIS0U 4M =004 w011 Ile PI•INS Building Coda A4011/M 00 No 6)4 NSCAPmT a MEM A MO BOE ROOT 10 PAGE 2 S O0RECU IFIKK 10351ESS NOL C 0010 6 0201 0 WPM 10 7010 SAE BY 7-3-01 ENG 5.13-07 011 1.2-15-06 CBT MAX SIZE 9' x14' PRODUCTREVLSH) DESIGN LOADS el cavil** whit Ow Florida +54.4 PSF BalMi0jCO4e ,0 —92.0 PSF No a" l2' 07 H. 4.6-"" LARGE MISSILE IMPACT RESISTANCE LARGE MISSILE IMPACT RESISTANCE �a��T�•�pE NgF �90�Aii No 0048570 .4.1• 1▪ ."1.. I STof . Yi I45 CARRGSE COURT VINSION-SALES. NC. 27105 WV.ANARRC0M MODEL 950 HERITAGE 1000 & 2000 MODEL 055 OAK SDMMIT(24ga 1000 & 2000 Short, Long, Flush & Oak Summit Panels 910 NANO ND MR 00/1/07 CRANK MARI B 0100 2 93I DAT OW07 IRC -9509-185-15-I ROM BMW L SWORE PL It HA MOD 9413 1 G 3 • • 0 • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • %Ivl ISPLICE TRACKS AT THIS LOCATION E= W/ (4) 1/4"-20 TRACK SPLICE BOLTS & NUTS SECURE TO JAMB WITH (3) 5/16" DIA. x 1-5/8" LAG BOLTS s <SPLICE) 3 GA. FLAG BRACKET ATTACHED TO WOOD JAMB W/ (3) 5/16 DIA. X 1-5/8' LAG BOLTS AND TO TRACK W/ (4) 1/4'-20 x 5/8 TRACK SPLICE BOLTS AND NUTS 0000 IGH ) il r (tlj **WWI' I' SLIVISED samegayir *PA , Hu fl sidR • P14RO" O,,.UCT&B• .VLSEA 11:: • •• •• •• • •• •,:'. •1%1V' A. • • • ••• ••••e• Iiii.: AoRmA Product Qr/ •d7/o1 7 ue8•N• r aeHptylq with the Moe*e dMpro* •• ••• •• • • • (1) 5/16" DIA. x 1-5/8" LAG BOLT ATTACHED TO JAMB AT EA. JAMB BRACKET 12 GA. GALV. STEEL JAMB BRACKETS ATTACHED W/ (1) 1/4"-20 TRACK SPLICE BOLT & NUT SEE (TABLE 3) ON PAGE 3 FOR JAMB BRACKET SPACING • • TRACK CONFIGUIR'ATItN FOR :6'6'; UP `r ?$'• TALL DOORS • • • • • • • •• • • • • • • • • •• • • • • • •• WOOD JAMB ATTACHMENT TO STRUCTURE 2 X 8 VFRRCALJAMB ATTACHMENT 70 1600141 FRAME STRUf:111RF 8/16' X 3' IAD SCREWS MONO 6' FROM ENDS THEN 20' O.C. (1 1/2' EMBEDMENT) 2 X 6 VERTICAL .W® A1TAL IMFRT 10 2000 PSI FANCRFTP HLT Ka1K BOLT 3/8• X 4' WARM 6• (ROA ENO8 THEN 24" O.C. (2 1/2' EMBEDMENT) HLT SLEEVE ANCHOR 3/15• X 2-3/4' STMIPIO 8• MOM ENDS THEN 18' O.C. S1 1/4' E 66011661) MY/RAMSET REDHEAD (7RU-6OL1) 3/6" X 4' STARTING 6' FROM 61405 THEN 24 0.C. (2 l/ " EMBEDMENT) 2 X 6 VFRIN'AL JAMB ATTACHMENT TO HOLLOW 0-90 RLQC,I( SIMPSON 1/4' X 3' MEN SCREWS STARTING 8' FROM ENDS, USE PARS Of FASTENERS (3" APART) AT 8' 0.0 (1 1/2' EMBEOAENTl HETI 1/4' X 2-3/4 IOMN-CON II+ SCREWS STARING 8' FROM ENDS. USE PAIRS OF 605TOI R5 (3" MART) AT 8' 0.0. (1 1/4" EMBE0M0IT) 2 X 6 VERTICAL JAMB ATTACHMENT W GROUTED C-00 BLOCK (2000 PS1 CBQUIl HL1I SLEEVE ANCHOR 3/13' K 2-3/4" STARTING 0' FROM ENDS THEN 20' 0.0. (1 1/4' EASEMENT) (OR USE FASTENERS FOR HOLLOW C-60 BLOCK) •4165 AND BOLTS CAN BE COUNTERSUNK 70 P '. . A FLUSH MOUNTING SURFACE. *PREPARATION OF WOOD JAMBS BY 0111605 HOLLOW BLOCK STRUCTURE CROMER STRUCTURE LOCH }<1 6-7/14' RN 3' HN REV DXSIP108 Q K119045 A Axa BRE 8000 ID PAGE 2 B MEMO IRO MOOS NW C NDA 6 HENSED D BMW 10280 RC u7xx 14' SIZE 9' DESIGN LOADS +54.4 PSF -620 PSF LARGE MISSILE IMPACT RESISTANCE DAT 6T 7-3-97 RW 0.41-07 DNA 12-1S-06 (81 12-2-11 6111 01lf11 1q,p „i• v. SUPT OOO .`$41 AGENSF••i4:4.• 4 e No 50485761 Y fT s 4.4 Vdikii1t•i% rr 166 CARRIAGE C•RT VINS770-SALDI4 N.C. 07102 WVANARILMIN MODEL 950 HER1TA00 1000 k 2000 MODEL 055 OAK SUMMIT(24ge 1000 & 200D Short, Long, F1ueh k Oak Summit Panels 017E WAR BT 801 MT 03/7/97 CRAM NAM B aim or SII 1A16 04/9/97 IRC -9509-185-15—I 010BNDC REWAS L SOMME FL I1L 1A 004671 SW 2 OF 3 ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • TABLE 1 DOOR HEIGHT STRUT SPACING (BASED ON RECOMMENDED SECTION CONFIGURATION) TOP A BCDE #5 #6 #7 #8 F GN 21" 21" I J 18" K L MN 0 T pp AWMI Est. Mil EW 21" 18" qM�� T 18"1 187"J 18" 21" X 11' 6" 21"u p�p 21" ��18g 211""p _1�8g"gip 18" 7' 5 1/2" 18" 25 3/8" 39" 46 3/8" 60" 67 3/8" q�3"� 8' 7 d 7 1100' 6q" 46" 21" 21" �---_&_t-� 78" 82 1/4" ILPILI 8' 5 1/2" 3 18" 25 3/8" 36" a_ lEIlRM 43 3/8" 54" 61 3/8" 72" 79 3/8"�- SEr :12 E E --g_ 8'6" EE E 94 1/4" - hymn• 9' 5 1/2" 15" 22 3/8" 33" 40 3/8" 51" 58 3/8" 7' 6" �7-¢j_-'j 18" 87" t 94 3/8" -_-_ 21" 18" Viginaal 1061/4" 69" 76 3/8" 46" 10' 5**1/2" 78" 25 3/8" 46 3/8"� 60" 67 3/8" 78" 8y5 3/8"tl 3/8" ��-ty-_ 1181/4' Varo ENTE ��1gg8"yy p�39" MIIMME � 54" M 61 3/8° _ 72" :d:. 79 irL"•�f.��a,OL^n' 3/8" ,9^6" 90" �1g03 ° < 97 3/8" ^L. ' fu#TaV?•. 3RMIP,I 108" 115 3/8" -_ y 1 ' ...J k, 130 1/4" 11' 5 1/2" 18" 25 3/8" 36" 43 3/8" EMEOITWOOMMIKMIESIEMMILIMMAIMPMEARIAlriMaNEM 38" 46" 56' 68" 78' 88" 100" 110" 122 136" WaiZMNERMBERIECNIMEEMEMIROMALMMETEM 12' 5 1/2"18" 25 3/8" 39" 46 3/8"60" 67 3/8" 81" 88 3/8"102" I 109 3/8" t• /8nO 120" 127 3/8"-.142 04 8 1/4" ert E'A 38' "" E 66 MER Mi1 100" ° U 122"a 13' 5 1/2" 18" 25 3/8" 39" 48 3/8" 60" 67 3/8" 78" 85 3/8" 96" 103 3/8" 114' 121 3/8" 132" 139 3/8" 1541/4" mom 14" 27" 38" 46" 56" 68" 78" 88" 100" 114" 122" 134' 146" 160" 14' 5 1/2" 18" 25 3/8" 39" 46 3/8" 60" 67 3/8" 81" 88 3/8" 102" 109 3/8" 123" 130 3/8" 144" 151 3/8" 166 1/4" TABLE 2 DOOR HEIGHT SECTION HEIGHTS Btm #2 #3 #4 #5 #6 #7 #8 WillaWariffirdantliMPAMENA 13' 6" 21" 21" 21" 21" 21" 18" 18" 21" Maitrt-olenIPEIMBEraW, g�D����IE-�.��'1 "'rkTEA'xr.I AWMI Est. Mil 12 66" 21" 18" qM�� 18"1 187"J 18" 21" X 11' 6" 21"u p�p 21" ��18g 211""p _1�8g"gip 18" 18"8" 18" 21"0 MREAPT 76"MD,TiMU q�3"� 8' 7 d 7 1100' 6q" 46" 21" 21" �---_&_t-� 78" 2�1 " -MOM 9 6 [ +21"5 Tt 21"18" PMalrif 18" p721" Mili E#2�1p"j� aliEna a 7EM3✓IXGAa MMEAM :12 rt• ... • • • • 8'6" 21" 21" 21" hymn• ?e9' EE 3" 14" 27" 38" 4p6'y""� �g/ 56" q F68" • ••• 7' 6" �7-¢j_-'j 18" 18" 18" 18" �� �,.,��i;[yiy�� 21" 18" maim $y ti • • 6" • TABLE 3 DOOR HEIGHT TRACK ATTACHMENT SPLICE A B C F G H� I J N SME g�D����IE-�.��'1 "'rkTEA'xr.I AWMI EMMMEw.-x �Ka�.� �^--_L�. �y� D6::41L?dMLKe qM�� ��S EI 7' 14" 38" 46'I 68" 76"MD,TiMU q�3"� 8' 3" 14"27 ��2�7/"� gal 38" 46" E566" 56" 68" �---_&_t-� 78" 88" T wEMP MMEAM h!E DI s ?e9' EE 3" 14" 27" 38" 4p6'y""� �g/ 56" q F68" 78" 88" �7-¢j_-'j -ky- 100' ANIM 10' 3 14" 27" 38". 46" 56" 68" 78" 88" 100" 112" 11' 3" 14" 27" 38" 46" 56" 68" 78" 88" 100" 110" NEM ghim 3" 14" 27" 38" 46" 56' 68" 78' 88" 100" 110" 122 136" WaiZMNERMBERIECNIMEEMEMIROMALMMETEM 3",N 14"M 27" 38' "" 46"est 66 68" 78" 100" 114"d 122"a i 1480"� 3M lgargESA X88" mom 14" 27" 38" 46" 56" 68" 78" 88" 100" 114" 122" 134' 146" 160" • • • • • • • • • 8 • • •• • • • • w • • •• • • • • • •• • ••• • • ALL TRACK ATTACHMENT SPACING +/-2' ALLOWED WITH SYP OR SPF NO. 2 OR SETTER ONLY • •• • PRODUC'4 R&VLSFD PRODUCT A8Vi3CD ..za lyilg •itthe Floel0a a/ asaplyasuilthe Fl"24yt mamma* t& / "0, 174 i', ` �Acceppmeettio Egkarlak 7 End REV DESCRP110{ OF E.YENNS OAR 87 A AEDED DRE 8.00 TO PM 7 7-3-07 DIG 8 mDICORD 1805E TH508SS 8011 8-13-07 •G C 801E 0 008011 12-15-01 GDT D DRAB 20 7010 8770 12-2-11 0.18 % MSIZE .�0P;CEINC AO E90°' DESIGN LOADS •�"ti��'••NO =au48570).'2R`z +54.4 PSF . -82.0 PSF ;; *• � V ?>t ,Elly LARGE MISSILE T•. 4 OF'.•�C��, RESISTANCE ••AOciSSjpNALS%%%% , A%%%%%% tRItt` WS CARMAN CUNT VINSTON-SALEM NC. 87107 WVAWVte.CON MODEL 000 HERITAGE 1000 & 2000 1100E1. 855 OAR SUMIIIT(240a) 1000 & 2000 Short, Long, Flush & Oak Summit Panels SR CRAW DT ECC DA11 03/7/01 CRAW MAW B 51EC01D If S51 DAR 04/1/07 IRC -9509-185-15-I MGM 1M7RIS L 58180 E88 RE I71 Na DORM 08E1 3 OF 3 ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • , 12/27/2016.. Florida Building Code Online B rsiness P ofessiona egu atm Florida =NV= r BCIS Horne 1 Log In 1 User Registration 1 Hot Topics 1 Submit Surcharge f Stats & Facts 1 Publications FBC Staff BCIS Site Map Links 1 Search 1 Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List Search Criteria Code Version Application Type Category Application Status Quality Assurance Entity Product Model, Number or Name Approved for use in HVHZ Impact Resistant Other Search Results - Applications 2014 ALL ALL ALL ALL ALL ALL ALL ALL FL# Product Manufacturer Subcategory Compliance Method Quality Assurance Entity Contract Expired Product Description Approved for use outside HVHZ Design Pressure Refine Search 4904 ALL ALL ALL ALL ALL ALL ALL FL# Tyne Manufacturer Validated By Status FL4904- Affirmation Masonite International Category: Exterior Doors Subcategory: Swinging Exterior Door Assemblies National Accreditation & Management Institute (804) 684-5124 Approved R7 History *Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida Is an AA/EEO employer. Copyright 2007-2013 State of Florida. ;: Privacy Statement :: Accessibility Statement ;; Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a li fonsee under Chapter 455, F.S., please click here . •• • • • • • • • • •• • • •• • •••••• • •••••• •••• • • •••• •.••.. • • •• •• •••... • • • • • Product Approval Accepts: it led Credit Card Safe sedurltyM ETRICS' • • • • • •• • •• • • • • • •• • •• • • • • • •• ••• • • • •• • • • •••••• • • • • •••• ••••.. ••• •.•.•. • • ••.••• . • ••••• • • ••••• •••••• •: •••••• • • •••••. • • https://www.floridabuilding.org/pr/pr app_Ist.aspx 1/1 •Florida Building Code Online F;,r;da Department Busines�//) Professiolia1 regulation license effidentiy. Regulatefalrly. P Page 1 of 4 BCIS Home , Log In ; User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail 8 t yt 1 FL # l { ' 1 Application Type Code Version Application Status Comments Archived FL4904-R7 Affirmation 2014 Approved Product Manufacturer Masonite International Address/Phone/Email 1955 Powis Road West Chicago, IL 60185 (615) 441-4258 sschreiber@masonite.com Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Documentation from approved Evaluation or Validation Entity Steve Schreiber sschreiber@masonite.com Exterior Doors Swinging Exterior Door Assemblies Links Search • • • • Certification Mark or Listing •• • • • • • • • • ••• •• • • •••••• • • • • National Accreditation & Manaini i nt• nstitute • • ...... • National Accreditation & Manages nt Institute, • • • • • •• • •••••• •••• • • • • • • • •• ••••• •••••• • • ••• • • • •• • 000000 • Year • • • •• ••• •• Standard ••••o • •• •• TAS 201 • •1994 • • TAS 202 • • 1994 ••••�• •••••• TAS 203 • • • • • 1994 • • • • •••• •••••• • • • • •• • 1 :,.f -n` ...at thcre _a s ii l.a-;ire;! (`odc o;)rc11 aff°tct my prod ct., and r,:y UFO,: Code. NiA https://www. floridabuilding. org/pr/pr_app_dtl. aspx?param=wGEVXQwtDgteluIwHNbblSc... 5/5/2015 Florida Building Code Online Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Method 1 Option A 04/29/2015 04/29/2015 05/04/2015 Page 2 of 4 mammary of Products FL # Model, Number or Name Description 4904.1 Wood -edge Steel Side -Hinged Door Units 6'-8" Opaque I/S and 0/S Single Door Limits of Use Approved for use In HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +76.0/-76.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 3'-0" x 6'-8" max nominal size. When large missile impact resistance is required, hurricane protective system is NOT required. See DWG- .Ji&EL 128-05 for details. Certification Agency Certificate ' FL4904 R7 C CAC NI006110.01.pdf Quality Assurance Contract Expiration Date 12/31/2020 Installation Instructions FL4904 R7 II FL0128.odf Verified By: National Accreditation & Management Institute Created by Independent Third Party: Evaluation Reports FL4904 R7 AE 504A.pdf Created by Independent Third Party: Yes 4904.2 Wood -edge Steel Side -Hinged Door Units 8'-0" Opaque I/5 and 0/5 Single Door Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +70.0/-70.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity (Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 3'-0" x 8'-0" max nominal size. When large missile impact resistance is required, hurricane protective system is NOT required. See DWG- MA-FL0129-05 for details. Certification Agency Certificate FL4904 R7 C CAC NI006110.02.pdf Quality Assurance Contract Expiration Date 12/31/2020 Installation Instructions FL4904 R7 II FL0129.pdf Verified By: National Accreditation & Management Institute Created by Independent Third Party: Evaluation Reports FL4904 R7 AE 503A.pdf Created by Independent Third Party: Yes 4904.3 Wood -edge Steel Side -Hinged Door Units 6'-8" Opaque I/S and 0/S Door w/ or w/o Sidelites • • :•••) Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +55.0/-55.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 12'-0" x 6'-8" max nominal size. When large missile impact resistance is required, hurricane protective system Is NOT required on opaque panels, but is required on glazed panels. See DWG -MA- FL0128 O5. _•• gr Certification Agency Certificate• • • FL4904 R7 C CAC NI006110.01.pa.• ; •• •• • Quality Assurance Contract Expiration Date • • • 12/31/2020 • • • Installation Instructions • • • • • • • • FL4904 R7 II FLO12B.pdf ••• • •• • Verified By: National Accreditation & Management • • - Institute • •; • • • • • • • Created by Independent Third Iertw• • • • Evaluation Reports • • • • • • • FL4904 R7 AE 502A.pdf • • • • Created by Independent Third Party: 'fes • • • • ••••• •s • • •• • •••• • 4904.4 Wood -edge Steel Side -Hinged Door Units • • 8'-0" Opaque I/S Door w/ or w/o Sidelites • • • Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +45.0/-50.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 12'-0" x 8'-0" max nominal size. When large missile impact resistance is required, hurricane protective system is NOT required on opaque Certification Agency Certificate FL4904 R7 C CAC NI006110.02.pdf Quality Assurance Contract Expiration Date 12/31/2020 Installation Instructions FL4904 R7 II FL0129.pdf Verified By: National Accreditation & Management Institute Created by Independent Third Party: Evaluation Reports FL4904 R7 AE 501A.pdf Created by Independent Third Party: Yes https://www.floridabuilding. org/pr/pr_app_dtl. aspx?param=wGEVXQwtDgteluIwHNbblSc... 5/5/2015 •••••• �• •••••• • • 000000 • • ••••• • • •••• •••••• �• 000000 • • •••••• • • Florida Building Code Online Page 3 of 4 panels, but is required on glazed panels. See DWG-MA- FL0129-05. 4904.5 Wood -edge Steel Side -Hinged Door Units 8'-0" Opaque 0/S w/ or w/o Sidelites I Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +50.0/-45.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 12'-0" x 8'-0" max nominal size. When large missile impact resistance is required, hurricane protective system is NOT required on opaque panels, but is required on glazed panels. See DWG-MA- FL0129-05. Certification Agency Certificate FL4904 R7 C CAC NI006110.02.pdf Quality Assurance Contract Expiration Date 12/31/2020 Installation Instructions FL4904 R7 II FL0129.pdf Verified By: National Accreditation & Management Institute Created by Independent Third Party: Evaluation Reports FL4904 R7 AE 501A.pdf Created by Independent Third Party: Yes 4904.6 Wood -edge Steel Side -Hinged Door Units 6'-8" Glazed I/5 and 0/5 Door w/ or w/o Sidelites Limits of Use Approved for use In HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +50.5/-50.5 Other: Evaluated for use In locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 12'-0" x 6'-8" max nominal size. When large missile impact resistance Is required, hurricane protective system Is required. See DWG-MA- FLO130-05 for details. Certification Agency Certificate FL4904 R7 C CAC NI006110.03.pdf Quality Assurance Contract Expiration Date 12/31/2020 Installation Instructions FL4904 R7 II FL0130.pdf Verified By: National Accreditation & Management Institute Created by Independent Third Party: Evaluation Reports FL4904 R7 AE 502A.pdf Created by Independent Third Party: Yes 4904.7 Wood -edge Steel Side -Hinged Door Units 8'-0" Glazed I/S Door w/ or w/o Sidelites Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +40.0/-45.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 12'-0" x 8'-0" max nominal size. When large missile Impact resistance is required, hurricane protective system is required. See DWG -MA- FLO131-05 for details. Certification Agency Certificate FL4904 R7 C CAC NI006110.04.pdf Quality Assurance Contract Expiration Date 12/31/2020 Installation Instructions FL4904 R7 II FLO131.pdf Verified By: National Accreditation & Management Institute Created by Independent Third Party: • • Evaluation Reports• . •• • • • • • • FL4904 R7 AE 501A.pdf • • . • • Created by Independent Third Rainy; 41 s • • • • • • • • • • • 4904.8 Wood -edge Steel Side -Hinged Door Units 8'-0" Glazed 0/5 Door w/ or w,b SicTeTites • • . •••• • • • • -� Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Resistant: No Design Pressure: +45.0/-40.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, Minimum Design Loads for Buildings and Other Structures, does not exceed the design pressures listed. 12'-0" x 8'-0" max nominal size. When large missile impact resistance is required, hurricane protective system is required. See DWG-MA- FLO131-05 for details. Certification Agency Certifiedte • • • •• • FL4904 R7 C CAC NI006114.614.44f. • Quality Assurance ContraciaE�x��ra:ion Date •• Impact 12/31/2020 • . . • Installation Instructions • • • FL4904 R7 II FLO131.odf • • •...• Verified By: National Accredltito IA B.Managctnent Institute • 04,00 Created by Independent Third Party: •• • • • Evaluation Reports • FL4904 R7 AE 501A.pdf Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe Street. Tallahassee FI. 32399 phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida :: Privacy Statement :: Accessibility Statement :: Refund statement Under Florida law, email addresses are public records. If you do not want your e-mail address released In response to a public -records request, do not https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 5/5/2015 •••••. •• • • • •••••• • • 00000 • • ••••• 000000 • •• •••••• • . ••••.. • • , ,Florida Building Code Online Page 4 of 4 send electronic mall to this entity. Instead, contact the office by phone or by traditional mail. If you have arty questions, please contact 850.487.1395. `Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click jlgrg. Product Approval Accepts: sCts SCCtItit\'u FTiticS IIEMO • • • • �••••• •• •• • • •••••• • • • • • • s• • •••••• •••••• • • ••••••••• ••••• • • • • • • •• •••••• ••••• • • ••• • • • •• •• • • ••••• •• •••••• •••••• • • • • • • • • • • • • •• • • • •••• •••••• • • • • • https://www. floridabuilding. org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqteluIwHNbblSc... 5/5/2015 INSTRUMENT#: 2016181720, BK: 24073 PG: 1746 PGS: 1746 - 1750 05/11/2016 at 11:22:12 AM, DEPUTY CLERK:MTERRELL Pat Frank,Clerk of the Circuit Court Hillsborough County Document drafted by and RECORDING REQUESTED BY: Caliber Horne i,oans. inc. 13801 Wireless Way Oklahoma City, OK 73134 SPACE ABOVE THIS LINE FOR RECORDER'S USE LIMITED POWER OF ATTORNEY The trusts identified on the attached Schedule A (the "Trusts"), by and through U.S. Bank Trust National Association, a national banking association organized and existing under the laws of the United States and having an office at 190 S. La Salle Street, MK-IL-SL7R, Chicago, IL 60603, not in its individual capacity but solely as Trustee ("Trustee"). hereby constitutes and appoints Caliber Home Loans. inc. (fka Vericrest Financial. Inc. as of April 8, 2013) and its wholly-owned subsidiary, Caliber Real Estate Services, LLC ("ORES"), (collectively referred hereafter as ("Servicer"), and in its name, aforesaid Attorney -In -Fact, by and through any officer appointed by the Board of Directors of Servicer. to execute and acknowledge in writing or by facsimile statnp all documents customarily and reasonably necessary and appropriate for the tasks described in the items (1) through (12) below; provided however. that (a) the documents described below may oily he executed and delivered by such Attorneys -In -Fact if such documents are required or permitted under the terms of the related servicing agreements. (h) all actions taken by Servicer pursuant to this Limited Power of Attorney must be in accordance with Federal, State and local taws and procedures, as applicable and (c) no power is granted hereunder to take any action that would be either adverse to the interests of or be in the name of U.S. Bank Trust National Association in its individual capacity. This Limited Power of Attorney is being issued in connection with Servicer's responsibilities to service certain mortgage. loans (the "Loans") held by the Trustee. These Loans are secured by collateral comprised of mortgages, deeds of trust. deeds to secure debt and other forms of security instruments (collectively the "Security Instruments") encumbering any and all real and personal property delineated therein (the "Property") and the Notes secured thereby. Please refer to Schedule A attached hereto. 1. Demand, sue for, recover, collect and receive each and every sum of money, debt, account and interest (which now is, or hereafter shall become due and payable) belonging to or claimed by the Trustee, and to use or take any lawful means for recovery by legal process or otherwise, including but not limited to the substitution of trustee serving under a Deed of Trust, the preparation and issuance of statements of breach, notices of default, and/or notices of sale, accepting deeds in lieu of foreclosure, evicting (to the extent allowed by federal, state or local laws) foreclosing on the properties under the Security Instruments by judicial or non judicial foreclosure. actions for temporary restraining orders, injunctions, appointments of receiver, suits for waste, fraud and any and all other tort, contractual or verifications in support thereof, as may he necessary or advisable in any bankruptcy action, state or federal suit or any other action. Document drafted by and RECORDING REQUESTED BY: Caliber Home Loans, Inc. 13801 Wireless Way Oklahoma City, OK 73134 SPACE ABOVE THIS LINE FOR RECORDER'S USE LIMITED POWER OF ATTORNEY The trusts identified on the attached Schedule A (the "Trusts"), by and through U.S. Bank Trust National Association, a national banking association organized and existing under the laws of the United States and having an office at 190 S. La Salle Street, MK-IL-SL7R, Chicago, IL 60603, not in its individual capacity but solely as Trustee ("Trustee"), hereby constitutes and appoints Caliber Home Loans, Inc. (tka Vericrest Financial, Inc. as of April 8. 2013) and its wholly-owned subsidiary, Caliber Real Estate Services; LLC ('`CRSS"), (collectively referred hereafter as ("Servicer"), and in its name, aforesaid Attorney -In -Fact, by and through any officer appointed by the Board of Directors of Servicer, to execute and acknowledge in writing or by facsimile stamp all documents customarily and reasonably necessary and appropriate for the tasks described in the items (1) through (12) below; provided however, that (a) the documents described below may only be executed and delivered by such Attorneys -In -Fact if such documents are required or permitted under the terms of the related servicing agreements, (b) all actions taken by Servicer pursuant to this Limited Power of Attorney must be in accordance with Federal, State and local laws and procedures, as applicable and (c) no power is granted hereunder to take any action that would be either adverse to the interests of or be in the name of U.S. Bank Trust National Association in its individual capacity. This Limited Power of Attorney is being issued in connection with Servicer's responsibilities to service certain mortgage loans (the "Loans") held by the Trustee. These Loans are secured by collateral comprised of mortgages, deeds of trust, deeds to secure debt and other forms of security instruments (collectively the ''Security Instruments") encumbering any and all real and personal property delineated therein (the "Property") and the Notes secured thereby. Please refer to Schedule A attached hereto. 1. Demand, sue for, recover, collect and receive each and every sum of money, debt, account and interest (which now is, or hereafter shall become due and payable) belonging to or claimed by the Trustee. and to use or take any lawful means for recovery by legal process or otherwise, including but not limited to the substitution of trustee serving under a Deed of Trust. the preparation and issuance of statements of breach, notices of default, and/or notices of sale, accepting deeds in lieu of foreclosure, evicting (to the extent allowed by federal, state or local laws) foreclosing on the properties under the Security Instruments by judicial or non judicial foreclosure, actions for temporary restraining orders, injunctions, appointments of receiver, suits for waste. fraud and any and all other tort, contractual or verifications in support thereof, as may be necessary or advisable in any bankruptcy action, state or federal suit or any other action. 2 Execute and/or file such documents and take such other action as is proper and necessary to defend the Trustee in litigation and to resolve any litigation where the Servicer has an obligation to defend the Trustee, including but not limited to dismissal, termination, cancellation, rescission and settlement. 3. Transact business of any kind regarding the Loans, as the Trustee's act and deed, to contract for, purchase. receive and take possession and evidence of title in and to the Property and/or to secure payment of a promissory note or performance of any obligation or agreement relating thereto. 4. Execute, complete, indorse or file bonds, notes, mortgages, deeds of trust and other contracts, agreements and instruments regarding the borrowers and/or the Property, including but not limited to the execution of' estoppel certificates, financing statements. continuation statements. releases. satisfactions. reconveyances, assignments, loan modification agreements, payment plans. waivers. consents, amendments, forbearance agreements, loan assumption agreements, subordination agreements. property adjustment agreements, management agreements, listing agreements, purchase and sale agreements, short sale transactions and other instruments pertaining to mortgages or deeds of trust, and execution of deeds and associated instruments. if any, conveying the Property. in the interest of the Trustee. 5. Endorse on behalf of the undersigned all checks, drafts and/or other negotiable instruments made payable to the undersigned. 6. Execute any document or perform any act in connection with the administration of any PMI policy or LPMI policy, hazard or other insurance claim relative to the Loans or related Property. 7. Execute any document or perform any act described in items (3), (4), and (5) in connection with the termination of any Trust as necessary to transfer ownership of the affected Loans to the entity (or its designee or assignee) possessing the right to obtain ownership of the Loans. 8. Subordinate the lien of a mortgage, deed of trust, or deed or other security instrument to secure debt (1) for the purpose of refinancing Loans, where applicable, or (ii) to an easement in favor of a public utility company or a government agency or unit with powers of eminent domain, including but not limited to the execution of partial satisfactions and releases and partial reconveyances reasonably required for such purpose, and the execution or requests to the trustees to accomplish the same. 9. Convey the Property to the mortgage insurer, or close the title to the Property to be acquired as real estate owned, or convey title to real estate owned property ("REO Property"). 10. Execute and deliver any documentation with respect to the sale, maintenance, preservation, renovation, repair, demolition or other disposition, of REO Property acquired through a foreclosure or deed -in -lieu of foreclosure, including, without limitation: permits, remediation plans or agreements, certifications, compliance certificates, health and safety certifications, listing agreements; purchase and sale agreements; grant / limited or special warranty / quit claim deeds or any other deed, but not general warranty deeds, causing the transfer of title of the property to a party contracted to purchase same; escrow instructions; and any and all documents necessary to effect the transfer of REO Property. 11. Servicer has the power to execute additional limited powers of attorney and delegate the authority given to it by U.S. Bank Trust National Association, as Trustee, under the applicable servicing agreements for the Trusts listed on Schedule A, attached. 12. To execute, record, file and/or deliver any and all documents of any kind for the purpose of fulfilling any servicing duties, including but not limited to those listed in subparagraphs (1) through (1 1), above, where Trustee's interest is designated, stated, characterized as or includes any reference to one or more of the following: "Indenture Trustee". "Owner Trustee", "Successor Trustee", "Successor in Interest", "Successor to" "Successor by Mere>er "Trustee/Custodian", "Custodian/Trustee" or other similar designation. Trustee also grants unto Servicer the full power and authority to correct ambiguities and errors in documents necessary to effect or undertake any of the items or powers set forth in items (I) to (12), above. In addition to the indemnification provisions set forth in the applicable servicing agreements for the Trusts listed on Schedule A, attached, Servicer hereby agrees to indemnify and hold the Trustee, and its directors, officers, employees and agents harmless from and against any and all liabilities, obligations, losses, damages, penalties. actions, judgments, suits, costs, expenses or disbursements of any kind or nature whatsoever incurred by reason or result of the misuse of this Limited Power of Attorney by the Servicer. The foregoing indemnity shall survive the termination of this Limited Power of Attorney and the related servicing agreements or the earlier resignation or removal of the Trustee for the Trusts listed on Schedule A. Witness my hand and seal this 14t1 day of March, 2016. NO CORPORATE SEAL Witness: Angela Lee Witness: Saba Debes • Attest: Richard rupske, Trust Officer On Behalf of the Trusts, by U.S. Bank Trust National Association, as Trustee By: Russell D. Mosley, Vice President By: Brian Giel, Assistant Vice President CORPORATE ACKNOWLEDGMENT State of Minnesota County of Ramsey On this 14th day of March, 2016, before me, the undersigned, a Notary Public in and for said County and State, personally appeared Rusell D. Mosley, Brian Giel and Richard Krupske, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons who executed the within instrument as Vice President, Assistant Vice President, and Trust Officer, respectively of U.S. Bank Trust National Association, a national banking association, and acknowledged to me that such national banking association executed the within instrument pursuant to its by-laws or a resolution of its Board of Directors. WITNESS my hand and official seal. Signature: 1' Kristy K. Le My commission expires: 1/31/2019 . KREreK.!E NOTARY PUB! iC - Air;N:SoTA My Comstis:ion t::.paes jCn. 31, 2019 EXHIBIT A LSF6 BERMUDA INVESTMENTS 2011-1 TRUST LSF6 BERMUDA MRA TRUST LSF6 WLI TRUST LSF7 BERMUDA NPL I TRUST LSF7 BERMUDA NPL II TRUST LSF7 BERMUDA NPL III TRUST LSF7 BERMUDA NPL IV TRUST LSF7 BERMUDA NPL V TRUST LSF7 BERMUDA NPL VI TRUST LSF7 BERMUDA NPL VII TRUST REVOLVING MORTGAGE INVESTMENT TRUST 2014-3Q7R VERICREST OPPORTUNITY LOAN TRUST 2011-NPL2 VOLT PARTICIPATION TRUST 2011-NPL2 VOLT ASSET HOLDINGS NPL3 VOLT ASSET HOLDINGS TRUST XVI VOLT NPL IX ASSET HOLDINGS TRUST VOLT RPL XI ASSET HOLDINGS TRUST VOLT RLF XII TRUST VOLT XIV ASSET HOLDINGS TRUST VOLT 2012-RPL1 ASSET HOLDINGS TRUST VOLT 2012-NPL1 ASSET HOLDINGS TRUST VOLT 2012 RPL2 ASSET HOLDINGS TRUST VOLT 2012-NPL2 ASSET HOLDINGS TRUST VOLT RLP ASSET HOLDINGS TRUST LSF8 MASTER PARTICIPATION TRUST LSF9 MASTER PARTICIPATION TRUST LSRMF MASTER PARTICIPATION TRUST LSF6 INVESTMENTS 2011-1 TRUST LSF6 MRA REO TRUST LSF7 NPL I TRUST LSF7 NPL II TRUST LSF7 NPL III TRUST LSF7 NPL IV TRUST LSF7 NPL V TRUST LSF7 NPL VI TRUST LSF7 NPL VII TRUST bocuSign Envelope ID: CO1 DF966-0919-4330-98CE-87063981 DE69 CALIBER REAL ESTATE SERVICES, LLC CERTIFICATE OF INCUMBENCY Marion McDougall, Steven Scribner and Rod Wylie (the "Board of Managers") hereby certify that each of them are the duly qualified and elected Board of Managers of Caliber Real Estate Services, LLC (the "Company"). The Board of Managers hereby certify that the following named persons (i) have been duly appointed to the office set forth opposite their name, and (ii) continue to hold said office at the present time: Alonzo, Patricia Aslam, Shabana Barfield, Leah Boyd, Justin Byrd, Jon Carter, Tanya Chance, Karen Chaney, Wendy Cooper, Angela Crossman, Jaqua Dao, Kevin Dowling, Kelly Fischer, Randall Foley, Dane Freeman, Tahonie Gardner, Kenneth Griffin, Shantay Grimes, Dena Haub, Christopher Hawkins, Heather Hinerman, Kelly Hodges, Odette Holdren, Judi Horton, Linda Lightfoot, James Timothy "Tim" Longsworth, Alma (Suzie) Maddox, Beverly r. Maher,, Erin Mahler, Lynnette Manzato, Diana Mayes, Sheila Meyers, Aubrey Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Assistant Secretary Vice President Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory FA uthorized`Signatory, Authorized Signatory" Authorized Signatory Treasurer Secretary bocuSidn Envelope ID: CO1 DF966-0919-4330-98CE-870639B1 DE69 Mirasola, Kevin Nelson, Eric Niemann, Charles Pegler, Sheryl Roberts, Paula Rosales, Hope Santos, Ronald Sayabouasy, Heather Shorkey, Shawn Snethen, Angela Stark, Scott Teer, Debbie Varghese, Philip Walker, Sally Wall, Roy Walter, Timothy Watson, Pamela Wells, Lynn White, Connie White, John (Jack) Wylie, Rod Yeldell, Brent Vice President Assistant Vice President & Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Vice President Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Senior Vice President Authorized Signatory [Remainder of this page intentionally left blank] `DocuSign Envelope ID: CO1DF966-0919-4330-98CE-670639B1DE69 IN WITNESS WHEREOF, the Board of Managers have hereunto subscribed their name this 14th day of June, 2016. CALIBER REAL ESTATE SERVICES, LLC DocuSIgned by: ka bk, kr,Vovirtf, arcesIDlaugall, Manager DocuSigned by: SfUM, Sonl4tA r Vern cher, Manager LDocuSIgned by: Pa 1. witie. div; (Manager DocuSign Envelope ID: CO1DF966-0919-4330-98CE-870639B1DE69 CALIBER REAL ESTATE SERVICES, LLC CERTIFICATE OF INCUMBENCY Marion McDougall, Steven Scribner and Rod Wylie (the "Board of Managers") hereby certify that each of them are the duly qualified and elected Board of Managers of Caliber Real Estate Services, LLC (the "Company"). The Board of Managers hereby certify that the following named persons (i) have been duly appointed to the office set forth opposite their name, and (ii) continue to" hold said office at the present time: Alonzo, Patricia Aslam, Shabana Barfield, Leah Boyd, Justin Byrd, Jon Carter, Tanya Chance, Karen Chaney, Wendy Cooper, Angela Crossman, Jaqua Dao, Kevin Dowling, Kelly Fischer, Randall Foley, Dane Freeman, Tahonie Gardner, Kenneth Griffin, Shantay Grimes, Dena Haub, Christopher Hawkins, Heather Hinerman, Kelly Hodges, Odette Holdren, Judi Horton, Linda Lightfoot, James Timothy "Tim" Longsworth, Alma (Suzie) Maddox, Beverly Maher, Erin Mahler, Lynnette Manzato, Diana Mayes, Sheila Meyers, Aubrey Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Assistant Secretary Vice President Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized S ignatory Authorized Signatory Treasurer Secretary DocuSign Envelope ID: CO1DF966-0919-4330-98CE-870639B1DE69 Mirasola, Kevin Nelson, Eric Niemann, Charles Pegler, Sheryl Roberts, Paula Rosales, Hope Santos, Ronald Sayabouasy, Heather Shorkey, Shawn Snethen, Angela Stark, Scott Teer, Debbie Varghese, Philip Walker, Sally Wall, Roy Walter, Timothy Watson, Pamela Wells, Lynn White, Connie White, John (Jack) Wylie, Rod Yeldell, Brent Vice President Assistant Vice President & Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Vice President Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Authorized Signatory Senior Vice President Authorized Signatory [Remainder of this page intentionally left blank] DocuSign Envelope ID: CO1DF966-0919-4330-98CE-870639B1DE69 IN WITNESS WHEREOF, the Board of Managers have hereunto subscribed their name this 14th day of June, 2016. CALIBER REAL ESTATE SERVICES, LLC DocuSigned by: 114 A 1i6tit Md,V bu at t ariheiaugall, Manager DocuSigned by: L Vum. Su ileva,r PfFStSimier, Manager LP-O cuSigned by: Wyle ice; FManager Certificate Of Completion Envelope Id: C01 DF9660919433098CE870639B1 DE69 Subject: Caliber Real Estate Services, LLC - Certificate of Incumbency Source Envelope: Document Pages: 3 Signatures: 3 Certificate Pages: 5 Initials: 0 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC -06:00) Central Time (US & Canada) Record Tracking Status: Original 6/14/2016 10:54:14 AM Signer Events Marion McDougall Marion.McDougall@caliberhomeloans.com EVP Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 9/15/2015 3:02:34 PM ID:1eld76bd-7aab-4fca-bcac-628d0a5945d9 Rod Wylie Rod.Wylie@caliberhomeloans.com SVP, REO Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 9/16/2015 4:57:02 PM ID:9f1bc6d0-2d4e-468e-b4e2-6affdd9bfc9c Steve Scribner steve.w.scribner@gmail.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 4/5/2016 12:08:01 PM ID:951ed8c9-dabd-4e8d-beb7-aaelfa8blb60 In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Holder: Shantay Griffin shantay.griffi n@cal i berhomeloans. com Signature --DocuSigned by: el a s.--19FDADBB610E4DF.. Using IP Address: 66.210.82.162 —Doeu8lgnod by: CdA l4/ `--281962C48AE04FF.. Using IP Address: 208.185.23.250 —DoouSlgned by: �ttatil cnl tUr `—E7AD8FF39F8E4F8_. Using IP Address: 108.77.4.100 Signature Status Status Status Status Status Docu Status: Completed Envelope Originator: Shantay Griffin 603 N Wilmot Rd Tucson, AZ 85711 shantay.griffin@caliberhomeloans.com IP Address: 199.204.116.30 Location: DocuSign Timestamp Sent: 6/14/2016 10:59:45 AM Resent: 6/16/2016 9:09:44 AM Viewed: 6/16/2016 2:12:13 PM Signed: 6/16/2016 2:12:32 PM Sent: 6/14/2016 10:59:45 AM Resent: 6/16/2016 9:09:44 AM Viewed: 6/20/2016 8:57:36 AM Signed: 6/20/2016 8:57:58 AM Sent: 6/14/2016 10:59:45 AM Viewed: 6/14/2016 11:29:57 AM Signed: 6/14/2016 11:34:52 AM Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp • U tEt ti Carbon Copy Events Dena Grimes dena.grimes@caliberhomeloans.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Rod Wylie Rod.Wylie@caliberhomeloans.com SVP, REO Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 9/16/2015 4:57:02 PM ID:9f1bc6d0-2d4e-468e-b4e2-6affdd9bfc9c Shawn Shorkey shawn.shorkey@caliberhomeloans.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign ID: Notary Events Envelope Summary Events Envelope Sent Certified Delivered Signing Complete Completed Status COPIED COPIED COPIED Status Hashed/Encrypted Security Checked Security Checked Security Checked Electronic Record and Signature Disclosure Timestamp Sent: 6/20/2016 8:57:59 AM Sent: 6/20/2016 8:57:59 AM Sent: 6/20/2016 8:57:59 AM Viewed: 6/20/2016 9:08:22 AM Timestamp Timestamps 6/20/2016 8:57:59 AM 6/20/2016 8:57:59 AM 6/20/2016 8:57:59 AM 6/20/2016 8:57:59 AM Electronic Record and Signature Disclosure created on: 9/8/2015 5:12:15 PM Parties agreed to: Marion McDougall, Rod Wylie , Steve Scribner, Rod Wylie ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, [[CompanyName]] (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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By checking the 'I Agree' box, I confirm that: • I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and • I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and • Until or unless I notify [[CompanyName]] as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by [[CompanyName]] during the course of my relationship with you. 008873 Local Business Tax Receipt Miami -Dade 'County, State of Florida -THIS ISNOT A BILL. - D0 NOT PAY 6256200 , BUSINESS NAME/LOCATION A & J GENERAL CONTRACTORS CORP 4337E 11 AVE HIALEAH FL 33013 RECEIPT NO. RENEWAL 6520770 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art: 9 & 10 OWNER SEC. TYPE,OF BUSINESS A 8,1 GENERAL CONTRACtORS CORP 196 SUB -BUILDING CONTRACTOR C/0 MIGUEL GUERRERO CRC1329763 Worker(s) 1 PAYMENT RECEIVED BY TAX COLLECTOR $45.00 07/21/2016 CHECK21-16-099269 This Local Business Tex Receipt only confimu payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-278. For more information, visit www.miemidade;govttexaollectot DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY LICENSE NUMBER 45 ATE" OE FLORIDA`' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION` -- a __CONSTRUCTION INDUSTRY LICENSING BOARD`-- CG(6151 -The 'GENERAL CONTRACTOR'`.N .�; ` "' :'�, `~*,'`. `'•'1� , Naffed=below IS CERTIFIED .. ," r .,:Urra4ii a prdvlslo`ns"ot.Chapter 489 FS`. »�. '"Eipiratron'date:.AUG 31; 213f$ - . O.GERREROIIIGUELAN I tA & J GENERAL CONT - 437.<E,i 1 TH=AVE . • ISSUED: 06/23/2016 DISPLAY AS REQUIRED BY LAW \MAI SEQ # L1606230000821 CERTIFICATE OF LIABILITY INSURANCE Date 12/19/2016 Producer: Plymouth Insurance Agency 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938-5562 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurer B: Insurer C: Insurer D: Insurer E: Coverages 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. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date (MM/DD/YY) Limits GENERAL LIABILITY Commercial General Liability Each Occurrence $ Damage to rented premises (EA Claims Made Occur occurrence) $ d3 Med Exp $ General 3 Personal Adv Injury $ aggregate limit applies per: Policy ❑ Project ❑ LOC General Aggregate $ Products - Comp/Op Agg $ AUTOMOBILE Imi 11 11 LIABILITY Any Auto All Owned Autos Scheduled Autos Hired Autos Non -Owned Autos Combined Single Limit (EA Accident) $ Bodily Injury (Per Person) $ Bodily Injury (Per Accident) $ Property Damage (Per Accident) $ EXCESS/UMBRELLA LIABILITY Occur ❑ Claims Made Deductible Each Occurrence Aggregate A Workers Compensation and Employers' Liability Any proprietor/partner/executive officer/member excluded? NO If Yes, describe under special provisions below. WC 71949 01/01/2017 01/01/2018 X I WC Statu- tory Limits I OTH- ER E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee $1.000,000 E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 91-67-412 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": A & 3 General Contractors, CO Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938-5562. Project Name: ISSUE 01-09-15 (EP) Begin Date: 8/15/2013 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES BUILDING DEPT. 10050 N. E. 2ND AVENUE MIAMI SHORES, FL 33138 Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 1 .,„a./4":., CERTIFICATE OF LIABILITY INSURANCE Date . 1 1/8/2016 Producer: Plymouth Insurance Agency 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938-5562 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurer B: Insurer C: Insurer D: Insurer E: Coverages 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. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date (MM/DD/YY) Limits GENERAL LIABILITY General Liability Each Occurrence $ Damage to rented premises (EA Claims Made Occur occurrence) $ TCommercial Med Exp $ General 3 Personal Adv Injury $ aggregate limit applies per: Policy ❑ Project ❑ LOC General Aggregate $ Products - Comp/Op Agg $ AUTOMOBILE _ LIABILITY Any Auto All Owned Autos Scheduled Autos Hired Autos Non-Owned Autos Combined Single Limit (EA Accident) $ Bodily Injury (Per Person) $ Bodily Injury (Per Accident) $ Property Damage (Per Accident) $ EXCESS/UMBRELLA LIABILITY Occur Claims Made Deductible Each Occurrence Aggregate A Workers Compensation and Employers' Liability Any proprietor/partner/executive officer/member excluded? NO If Yes, describe under special provisions below. WC 71949 01/01/2016 01/01/2017 X I WC Statu- tory Limits I OTH- ER E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee $1,000,000 E.L. Disease - Policy Limits $1.000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 91-67-412 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company': A & 3 General Contractors, CO Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938-5562. Project Name: ISSUE 01-08-16 (PH) Begin Date 8/15/2013 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT 10050 N.E. 2ND AVENUE MIAMI SHORES, FL 33138 Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. x,aerC•s+wv '4R I® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIVYYY) 12/27/2016 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 Casualty Systems Inc. 3331 SW 107 Ave Miami FL 33165 CONTACT Juan Hernandez NAME: PHONE F:D• (305) 551-0590 FAX No): (305)551-0857 E-MAIL admin@casualtysystems . com INSURER(S) AFFORDING COVERAGE NAIC # INsuRERA:CovingtOn Specialty Insurance LIABILITY COMMERCIAL GENERAL LIABILITY INSURED A & J General Contractor Corp. 4337 E 11 Ave. Hialeah FL 33010 INSURER B : VBA386629 INSURER C : 07/01/2017 INSURERD: $ 1,000,000 INSURER E : $ 100,000 INSURERF: $ 5,000 L1362803082 REVISION NUMBER: vTHIS 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. INSRT LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 10050 NE 2nd Avenue VBA386629 07/01/2016 07/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 71 POLICY n jECOT I I LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _AUTOS SCHEDULED AUTOS NON -OWNED CMBND Ea acccident)SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECUTIVE I I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) IM, rIO LNCL VCM11r.. -•••.---------- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Dept AUTHORIZED REPRESENTATIVE 10050 NE 2nd Avenue Miami Shores, FL 33138 Juan Hernandez/YOYI ACORD 25 (2010/05) INS(125 on) nog) ni Tha Af'-f1Rrl name and Irwin ora ranictnrarl markt of Af'fPn