WS-18-711 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue°Miami Shores,Ft.
Phone:(306)795-2204.Fax:(305)756.8972.
Inspection Number,WtP=-299737 Permit Number. WS-3-1`8-711
Scheduled Inspection Date:April 26,2018 Permit Type:WindowstShutters
Inspector Naranjo,Ismael Inspection Type: Final
Owner AYBAR ORNES,CARi.C1S Work Classification: Door Replacement
Job Address:67 NW 92 Street
Miamt Shores,FL. Phone Number 347)845-1147
Project; '<NONE-,,. Parcel Number 1131010170140
Contractor. HOMEOWNER
t
j Building Department Comments
REPLACEMENT OF FRONT DOOR nc Passed Comments.
INSPECTOR COMMENTS.
False
inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No'Addibonal Inspections can w scheduled unta
Winspection fee is paid. '
j
I .
April 26,2018 For inspections please call:(305)782-4949 Page 12 of 34
Permit N4. WS-3-1 8-71 1
�s�O1iFS c,� Miami Shores Village Permit Type:Windows/Shutters
g� 10050 N.E.2nd Avenue NW
rill� ' Work Classification:Door Replacement
Miami Shores,FL 33138-0000
Permit Status:APPROVED
Phone: (305)795-2204
FtoRYOA
Issue Date:3/2012018 Expiration: 09/16/2018
Project Address Parcel Number Applicant #
67 NW 92 Street 1131010170140
Miami Shores, FL Block: Lot: CARLOS AYBAR ORNES
Owner Information Address Phone Cell
CARLOS AYBAR ORNES 67 NW 92 Street (347)845-1147
MIAMI SHORES FL 33150-
67 NW 92 Street
MIAMI SHORES FL 33150-
' a
Contractor(s) Phone Cell Phone Valuation: =177.00HOME OWNER
� ......._.. ... ... Total Sq Fee
Type of Work:REPLACEMENT OF FRONT DOOR Available Inspections:
No of Openings: 1
Inspection Type:
Additional Info:REPLACEMENT OF FRONT DOOR
Window Door Attachment
Classification:Residential Final
Scanning:3 Review Building
i
i
Fees Due Amount Paybate Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# WS-3-18-66846
DBPR Fee $2.00 03/20/2018 Credit Card $79.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 03/20/2018 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee $110.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $129.60
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 AFFIDjI certify that all t e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and Futhermore, I thorize the above-named contractor to do the work stated.
March 20, 2018
Authorized Signature: ;W(e r / Applicant / Contractor / Agent Date
Building Departnt Copy
March 20, 2018 1
Miami Shores Village RECEIVED
Building Department MAR 20 2018
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201_ 11
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL MPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
10B ADDRESS: 67 NW 92ND STREET
City: Miami Shores County: Miami Dade Zip: 33150
X
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): C 2C kOS E 1�. PkN of Of kig 5 Phone#: [3> 37 �y� ' I N7
Address: (0 7 N A (k2.4 GJ*CCe I +
City: i\",2 iN1 k F5Vto re f2 State: 'fir 1 O f i,A'2 Zip: 3'3 150
Tenant/Lessee Name: Phone#:
Email: C,ZC 105 yb2f �1 '-Mn� a" pm
CONTRACTOR:Company Name: :jAn Q_ Q k L)VA-e_S Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work:'Q_1'A<_(_m Q_1 1k* 'Oc �('OY\A AOOt
Specify color of color thru tile:
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)
r
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 on 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 ap roved and a reinspe 'on fee will be charged.
Signature Signature
OWNER or ENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of �nycj-� 0 [A .by day of ,20 by
[19�t�fJV1Y�, ho is personally known to ,who is personally known to
fme or who has produced - \ j'— s me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: K.GONZALF1 It Sign:
MY COMMISSION#G
Print: 1. November print:
%Seal: ��, 'V Bonded 7tw Notary public n e
Seal:
ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss
APPROVED BY 14 ( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
{
• �5�° Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT r
NAME: Car la S E. LU�at (7 rn Q� DATE: ?2
ADDRESS: Ct&,,d{ tJfefA 51hafe 21 he 733,5D
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).And I have
read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption
allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the
construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a
cost of$25,000.00 or less(The new form states 75,000).The building.must be for your own use and occupancy.It may not be built for sale or
lea"se:if you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built
for sale or lease,which is a violation of this exemption.Y6u may not hire an unlicensed pers6n is"a contractor.it is your responsibility to make
sure'the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on
your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and
with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all
applicable laws,ordinances,buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an
exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor,with certain
restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility.
Initial_A
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name.I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial
building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may not be built or substantially
improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale or lease,which violates the exemption.
Initial
5. 1 understand that,as the owner-builder,l must provide direct,onsite supervision of the construction.
Initial
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required bylaw and by ounty r municipal ordinance.
Initial_ /
{
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously
implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's
insurance may not provide coverage for those injuries.1 am willfully acting as an owner-builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow
these may subject to serious financial risk.
Initial_
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and
requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
Initial ��
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.htmi
Initial P
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the parry
legally and financially responsible for the proposed construction activity at the following address:
0 �� q�4:
Initial_
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on
this disclosure.
Initial��
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or
employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder
permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property
owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this day of '" 1 Q 1u
C
By..C-O000O�who was personally known tome or who has p
o
s o�
Produced theLicense or as identification.
17
(Yvv NoN
N o
��� N
OWNER Qt-NOTARY a
Miami shores Village
♦ " R"�'s yi
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204 �LORIDp'
Fax: (305)756.8972
Inspection requirements for.
Windows, Doors, Skylights or Fixed Glass (cladding) Permits
Upon issuance of permits for the scope of work involving the removal,changing and/or
replacement of any type of windows,doors,sidelites,skylights or fixed glass(cladding)
the permit holder or qualifier bearing his signature on the permit application shall abide
by the requirements of this department and comply with the following statement:
Upon obtaining window and/or door permits for the installation of same, it is the
responsibility of the permit holder to request window/door framing in-progress
inspection,prior to concealment of any horizontal or vertical clip mullion,bucks,shims,
etc.Inspector will also verify anchor type,edge distance,embedment and spacing.The
purpose for this inspection, is for the verification of conformance with Product
Approval (NOA).
Acknowledgement:
9 0/' Arz Lz!> ALjJxw
(5ualifier/04er Signature Date Print Name
CFN: 20180154537 BOOK 30897 PAGE 2355
DATE:03/15/2018 11:50:25 AM
DEED DOC 3,510.00
HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY
This instrument prepared by or under the supervision of.
Name: Jorge M. Vigil, Esquire
Jorge M. Vigil, P.A.
Address: 265 Sevilla Avenue
Coral Gables, Florida 33134
(Space Reserved for Clerk of Court)
Parcel I.D. No. 11-3101-017-0140
WARRANTY DEED
THIS INDENTURE is made and entered into as of the 5 day of March, 2018 by
VERO HOMES, LLC, a Nevada limited liability company, whose mailing address is 848
Brickell Avenue, Suite 1220, Miami, Florida 33131 ("Grantor"), to CARLOS EDUARDO
AYBAR ORNES and DESIREE RUSSO, his wife, whose address is 67 NW 92nd Street, Miami
Shores, FL 33150 ("Grantee"). Wherever used herein, the terms "Grantor" and "Grantee" shall
include all of the parties to this instrument and their successors and assigns.
WITNESSETH:
That the Grantor, for and in consideration of the sum of TEN DOLLARS ($10) and other good
and valuable consideration to the Grantor in hand paid by the Grantee,the receipt and sufficiency
whereof are hereby acknowledged, has granted, bargained and sold to the said Grantee and
Grantee's successors and assigns forever, the following described real property situate, lying and
being in the County of Miami-Dade, State of Florida to wit:
Lot 14, of CANADAY EXTENSION, according to the plat thereof, as recorded in
Plat Book 41, Page 71, Public Records of Miami-Dade County, Florida.
a
Subject to 2018 real property taxes, and assessments, conditions, reservations, limitations,
easements, covenants, resolutions, agreements, restrictions, and liens of record, not intending to
reimpose the same.
And the Grantor does hereby fully warrant the title to said land, and will defend the same against
lawful claims of all persons whomsoever.
CFN: 20180154537 BOOK 30897 PAGE 2356
IN WITNESS WHEREOF, Grantor has hereunto set its hand and seal as of the day and
year first above written.
VERO HOMES, LLC, a Nevada limited
liability company `
By: - _�-
Hector S. De La Ca [l, Manager
Print Name: Z+(_=
Print Name: `
STATE OF FLORIDA )
ss:
COUNTY OF MIAMI-DADE )
The foregoing instrument was acknowledged before me this _ day of March, 2018 by
Hector S. De La Canal, as Manager of VERO HOMES, LLC, a .�evada limited liability
company. He either [ ] is personally known to me or [,�`] has produced a Florida driver's
license as identification. f
Notary Public, State of Florida
My commission expires: Commission No.
[Notarial Seal]
109-1/4822-2035-7980,v. 1
r `P••ay"�.' MAN POU
at:
°t= MY COMMISSION#FF 160966
T ,'o EXP:RES:October 14,2018
Bonded Thru Notary Public Underwriters
5-
Miami shores Village ` °Resp
Building Department Pj
10050 N.E.2nd Avenue
Miami Shores, Florida 33138 ,.'firae to
-- ted
Tel: (305) 795.2204 L0RIpA
Fax: (305) 756.8972
c Insl2ection requirements for:
Windows, Doors, Skylights or Fixed Glass (cladding) Permits
Upon issuance of permits for the scope of work involving the removal,changing and/or
replacement of any type of windows,doors,sidelites,skylights or fixed glass(cla'dding)
the permit holder or qualifier bearing his signature on the permit application shall abide
by the requirements of this department and comply with the following statement:
i
Upon obtaining window and/or door permits for the installation of same, it is the
responsibility of the permit holder to request window/door framing in-progress
inspection,prior to concealment of any horizontal or vertical clip mullion,bucks,shims,
etc.Inspector will also verify anchor type,edge distance,embedment and spacing.The
purpose for this inspection, is for the verification of conformance with Product
Approval (NOA).
i
Ackno ledgement:
Ila
OA(LbZ& Ame
i
Qualifier/Owner Agnature Date Print Name
67 NW 92nd Street, Miami Shores, FL 33150 RECEIVED
Building Drawing
MAR 2 0 1018
OOU As
r
A
s
Miami Shares Village
APPROVED BY DATE .• „•• •• Comparison Chart
ZONING DEPT •. ': ••• •
BLDG DEPT Z ft� /l� A Front Door (36"x 80")
*ego00,0
SUBJECT TO COMPLIANCE WITH ALL FEDERAL ••• ••f ; •
STATE AND COUNTY RULES AND RFGULATIONS g ' • • ..• •
f.. . . 0 • ..f 0 •
NOTICE OF:1!!jC,jDj7�-CISRTIFICATION
Act y Company: Masonite International Corporation Certification No.: NI013747
;� ''• 1955 Ponis 49fd Certification Date: 06/08/2017
West Cpi*gq.'II{ 601$5;• ; ••• Expiration Date: 06/30/2021
. •
,y Product: Wood-Edge Steel Opaque InswiNgtorUutswing Door w/Non-Impact Rated Sidelites `- - - - µ Y
(w/Wood Frame unless noted)
Specification: TAS 201/Z62/2V3;94•• ;••- ;•• •••
Impact: - Large Missile Matt R*jeft]:Tbn-I(tact Glazing:,Insulating Glass(Tempered)
The"Notice of Product Certification"is only valid if the NAM[Cellltilicati& Ga6e04&go died to the product as described within this document. The certification
label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within
NAMI's Certified Product Listin2 at www.Namicertification.com. NAMI's Certification Program is accredited by The American National Standards Institute(ANSI).
Inswing Glazed Structural Water Missile Test Report Number
Configuration or or Maximum Design Test Impact Drawing Number&
Outswing Opaque Size Pressure Pressure Rated Comments
X FS Opaque 3'0"x 6'8" +70/-70 0.0 psf Yes ATLNC 1001.01-13
Single Maximum Panel Size:3'0"x 6'8"
Anchor Details-DWG-MA-FL0211-17
X O/S Opaque 3'0"x 6'8" +70/-70 3.0 psf Yes ATLNC 1001.01-13
4.5 psf'
Single Maximum Panel Size:3'0"x 6'8"
7.50 psf Anchor Details-DWG-MA-FL0211-17
XX I/S Opaque 6'0$'x 6'8" +55/-55 0 psf Yes NCTL-210-2930-1
Double Maximum Panel Size:3'0"x 6'8"
Anchor Details-DWG-MA-FL0211-17
XX O/S Opaque 6'0"x 6'8" +55/-55 3.0 psf Yes NCTL-210-2930-1
Double 4.5 psf' Maximum Panel Size:3'0"x 6'8"
7.50psf' Anchor Details-DWG-MA-FL0211-17
XO/OX I/S Opaque Door 6'0"x 6'8" +55/-55 0 psf Door-Yes NCTL-210-2930-1
Single w/Sidelite Glazed Sidelite Sidelite-No Maximum Panel Size:3'0"x 6'8"/Sidelite:3'0"x 6'8"
Anchor Details-DWG-MA-FL0211-17
XO/OX O/S Opaque Door 6'0"x 6'8" +55/-55 3.0 psf Door-Yes NCTL-210-2930-1
Single w/Sidelite Glazed Sidelite 4.5 psf' Sidelite-No Maximum Panel Size:3'0"x 6'8"/Sidelite:3'0"x 6'8"
1 7.50 psf' Anchor Details-DWG-MA-FL0211-17
OXO I/S Opaque Door 910"x 6'8" +55/-55 0 psf Door-Yes NCTL-210-2930-1
Single w/Sidelites Glazed Sidelite Sidelites-No Maximum Panel Size:3'0"x 6'8"/Sidelite:3'0"x 6'8"
Anchor Details-DWG-MA-FL0211-17
OXO O/S Opaque Door 910"x 6'8" +55/-55 3.0 psf Door-Yes NCTL-210-2930-1
Single w/Sidelites Glazed Sidelite 4.5 psf' Sidelites-No Maximum Panel Size:3'0"x 6'8"/Sidelite:3'0"x 6'8"
7.50psf' Anchor Details-DWG-MA-FL0211-17
OXXO FS Opaque Door 12'4"x 6'8" +55/-55 0 psf Door-Yes NCTL-210-2930-1
Double w/Sidelites Glazed Sidelite Sidelites-No Maximum Panel Size:3'0"x 6'8"/Sidelite:3'0"x 6'8"
Anchor Details-DWG-MA-FL0211-17
OXXO O/S Opaque Door 12'4$'x 6'8" +55/-55 3.0 psf Door-Yes NCTL-210-2930-1
Double w/Sidelites Glazed Sidelite 4.5 psf' Sidelites-No Maximum Panel Size:3'0"x 6'8"/Sidelite:3'0"x 6'8"
7.50psf' I
Anchor Details-DWG-MA-FL0211-17
1-Denotes Bumper Outswing Threshold 2-Denotes Z-Series Outswing Threshold 3-Hi-Dam Outswing Threshold
National Accreditation&Management Institute,Inc./4794 George Washington Memorial Highway/Hayes,VA 23072
Tel: (804)684.5124/Fax: (804)684-5122
NAMI AUTHORIZED SIGNATURE:
% .. % ..
. . . . . . . . . .
/� �
MAS`ONITE. • ••• 149"MAX. OVERALL FRAME WIDTH a
•• • • : • • •: ••• C)0
WOOD-EDGE STEEL DOOR UNIT ; ; • ; •• " • • 36.375" MAX.
• • •• _ i O • i PANEL WIDTH a 37.5" MAX. Z O-_.I
6'-8"DOUBLE DOOR WITH/WITHOUT SIDELITES - IN/ASTRAGAL FRAME WIDTH- p
GENERAL NOO
('
TES • •® ® ® ® �
i. EVALUATED FOR USE IN LOCATIONS ADHERING TO • • • • • • LL��1 Q
THE FLORIDA BUILDING CODE AND WHERE PRESSURE • • • • • •• Z Q_C.)
REQUIREMENTS AS DETERMINED BY ASCE 7, MINIMUM • • •• • • _
DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES. • • • • • • U
DOES NOT EXCEED THE DESIGN PRESSURES LISTED. ••� • • • • • ••
2. HURRICANE PROTECTIVE SYSTEM (SHUTTERS) IS NOT REQUIRED..ON m O 01�--.
OPAQUE PANELS, BUT IS REQUIRED ON GLAZED SIDELITES. ^; -W
3. WHEN INSTALLED IN THE WIND-BORNE DEBRIS REGION,
EXCLUDING THE HIGH VELOCITY HURRICANE ZONE (HVHZ),
HURRICANE PROTECTIVE SYSTEM IS NOT REQUIRED ON OPAQUE z _j
PANELS OR PANELS WITH IMPACT GLASS, BUT IS REQUIRED w M
ON PANELS WITH NON-IMPACT GLASS. �+
4. POLYURETHANE CORE FLAME SPREAD INDEX OF 50 a
AND SMOKE DEVELOPED INDEX OF 60 PER ASTM EB4.
5. PLASTICS TESTING: $
TEST DESCRIPTION DESIGNATION LITE FRAME
SELF IGNITION TEMP ASTM D1929 842 'F >_650 'F a$ t Q
RATE OF BURNING ASTM D635 1.28 IN MIN ?o m
SMOKE DENSITY ASTM D28a3 70.2%
TENSILE STRENGTH- ASTM D638 1.8% DIFF
• COMPARATIVE TENSILE STRENGTH AFTER WEATHERING 0
4500 HOURS XENON ARC METHOD 1 0
0
DOUBLE DOOR UNIT W/SIDELJTES a a
C21aiplimNo.: 013 v
13 ® 1313 1313 1313 13 ® 1313 ® 13 13 ® 0
rl F)
0 0, u
SINGLE DOOR UNIT DOUBLE DOOR UNIT SINGLE DOOR LIN R SINGLE DOOR UNIT SINGLE DOOR UNIT W/SIDELITES DOUBLE DOOR UNIT W/SIDELITES
WITH SIDELITE WITH SIDELITE 2
WHERE WATER INFILTRATION PERFORMANCE IS DATE: 5126117
TABLE OF CONTENTS DESIGN PRESSURE RATING REQUIRED TO BE 15% OF DESIGN PRESSURE
CONFIG MAX WIDTH INSWING OUTSWING INSWING BUMPER 0 S Z-SERIES 0 S HIGH DAM 0 S / n SCS: N.T.S.
SHEET DESCRIPTION X 37.5 +70.0 -70.0 +70.0 -70.0 N A +20.0 -20.0 +30.0 -30.0 +50.0 -50.0 W 9-11 / SWS
owc.er
1 TYPICAL ELEVATIONS do GENERAL NOTES XX 74 +55.0 -55.0 +55.0 -55.0 N A +20.0 =20.0 +30.0 -30.0 +50.0 -50.0
2 ANCHORING LOCATIONS do DETAILS OX or XO 75 +55.0 -55.0 +55.0 -55.0 N A +20.0 -20.0 +30.0 -30.0 +50.0 -50.0 CHK.
3 ANCHORING LOCATIONS & DETAILS 0X0 112.5 +55.0 -55.0 +55.0 -55.0 N A +20.0 -20.0 +30.0 -30.0 +50.0 -50.0 KURT BALTHAZOR DRAWING NO.:
OXXO I 149 +55.0 -55.0 +55.0 -55.0 N A +20.0 -20.0 +30.0 -30.0 +50.0 -50.0 FLORIDA P.E. DWG-MA-FL0211-17
#56533
SHEET 1 OF 3
. . . . . . . . . .
L0
... . . . co
cc
..
o
6" SEE DETAIL 3• • • -9 . 6 • • • . • • U p(O
3^ 3..E" • • 3• • • • • • • J Q
J—
II I � � II TIV,
6" 6" 6"
6" • • • • • • - 6" W 3" •• • • • • io 00 0
�-u LoLr)a SEE DETAILV)
_ _ H N.D. - - '-
J J
LLJ
J
SEEDETAIL >
•c• - A _ W 2 SEE DETAIL
.c.
n B 0
^ O B
6" 3" a
r6. r _ 10
_
m �
1 1 i t I I I I I I— � I =m
IU
3' - 3' 3' O
3" 3" d
3' 3" 6"
6" 6• a
SFE DETAIL #8 x 2"
m
ASTRAGAL RETAINER BOLT HOLE
#8 x 2" #10 x 5/8" (i��MUST BE DRILLED THROUGH
THE THRESHOLD & INTO THE
#10 x 5/8"
STRUCTURE DEEP ENOUGH#8 x 2" #10 x 1" DETAIL "E" ASTRAGAL FORA 1.375" THROW ,n
DETAIL "F" ASTRAGAL z
#10 x 2-1/2" ATTACH ASTRAGAL RETAINER BOLT g
#10 x 1" STRIKE PLATE TO FRAME `A
#10 x 5/8" AS SHOWN.
DETAIL "D" DETAIL "C"
Li
HOT MELT 0
1 0.962 I EIASTONER -�
1.375" 1
T T�' �#6% 1-1;2-PNS
'x—i... �NAWINSWING THRESHOLD BUMPER 0/S THRESHOLD / Z
HOT MELT/ �:�°' ,/2"BITEELASTOMER '.. wilicalbDNo.:iieriewed By DATE: s 2s 17
EXTERIORglpgtklaSCALE: N.T.S.
1.482' 1.75" 11.047"F-pi�n TYPICAL GLAZING DETAIL DWG. B.: SWS
T T NON—IMPACT GLASS CHH.BY:
Z—SERIES QfS THRESHOLD HIGH DAM 0(S THRESHOLD DRAWING NO.:DWG-MA-FLO211-17
SHEET OF 3
U
SEE DETAIL6' 6" 11: Do
"E' SHT. 2 3" 3" 3" p p
3" 6" 3"� I �3" U p�D '
m-IT6" 6" s" 6" I I I I O ff-
- — OQ
r7 o a 0-_U
a SEE DETAIL a U7 U
"D" SHT. 2
p �0
Li
SEE DETAIL wo
"C" SHT. 2 A
n ri o
6" o
�a
3"
3" 3"—I 3.6 6_ f—3"
SEE DETAIL 3 o
"F' SHT. 2 6• 6" 6" o °P
HARDWARE SCHEDULE aI
1. KWIKSET SERIES 400 GRADE 3 CYLINDRICAL LATCH AND I m
SERIES 980 GRADE 1 DEADLOCK HARDWARE TO BE INSTALLED f
° AT 5-1/2" CENTERLINE.
ATTACHMENT DETAIL 1.25" `. 2. 4" X 4" FULL MORTISE BUTT HINGES.
1. ANCHOR ANALYSIS FOR LOADING CONDITIONS PREPARED, MIN f 0.25"
MAX 1"X1/2" CORRUGATED /10X2" WOOD SCREW
SIGNED AND SEALED BY ROBERTO LOMAS, PE r SHIM 3" FROM EACH END 6 FROM EACH END cn
(FLORIDA #62514) WITH THE LOWEST. (LEAST) CL_I I_ AND 7" OC AND 12" OC z
FASTENER RATING FROM THE DIFFERENT FASTENERS I
BEING CONSIDERED FOR USE. JAMB, HEAD, AND
.- ACRYLIC
THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE LATEX
#10 WOOD SCREWS OR 1/4" TAPCONS. A PHYSICAL CAULK
TYPICAL MASONRY ACRYLIC
SHIM MUST BE PLACED IN SHIM SPACE AT EACH ANCHOR ANCHOR INSTALLATION LATEXA 'CL W
LOCATION. TAPCON EDGE DISTANCE MIN 2-1/2". _ a
WOOD SCREW EDGE DISTANCE MIN 3/4".
' •t"'• • •_ • • • COMIBINATION WOOD COMBINATION WOOD
2. THE WOOD SCREW SINGLE SHEAR DESIGN VALUES COME FROM 1.50" • •t : : : : ;MULLION (BOXED) MULLION (BOXED)
ANSI/AF&PA NDA FOR SOUTHERN PINE LUMBER AND ACHEIVEMENT MIN • • gE2j �•� •• (3) ptOx2-t/2" O
OF 1-1/2" MINIMUM EMBEDMENT. THE TAPCON MUST ACHIEVE •• •• • s M • • •• wo o SCREWStaderduntaNAAlI z
MINIMUM EMBEDMENT OF 1-1/4". EACH END
CL—� �— Ged"iDnND.: W0117417 5126117
.3." WOOD-BUCKS BY OTHERS MUST BE ANCHORED PROPERLY-TO- — — . ... • — •--- HeviOWb — SCALE:- N.T.S.
TRANSFER LOADS TO STRUCTURE. • • • • • • DwG.BY: sws
4. MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 155 LBS. •• • • • • • • • • • ® ® CHK.BY:
iYPI(�P1L WOOD•BACK • • •
*ANCHOR INSTALLATION. ••• • DRAWMG NO.:
INTEGRAL WOOD MG-MA-FL02117-17
MULLION (CHS)
SHEET 3 ov 3
• • • • • • • • • •
• •• •• • • • •• ••
• 4
Florida Building Code Online PagE 1 of 1
ole"-him
- :
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts !, Publications FBC Staff BCIS Site Map Links Search f
FE rda
Product Approval
P
:USER:Public User 1
Product Aporroval genu>Product or Application Search>Application List i
Search Criteria Refine Search
Code Version 2017 FL# 22513.6
Application Type ALL Product Manufacturer ALL
Category ALL Subcategory ALL
i Application Status ALL Compliance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contract Expired i ALL
Product Model, Number or Name ALL Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
Impact Resistant ALL Design Pressure ALL
Other y. ALL
Search Results-Applications • ' ' •
FL# Tvue Manufacturer Validated By •••••• •• •: %
FL22513- Affirmation Masonite International National Accreditation&Management 49"*d
FL#: FL22513.6 Institute •"". ;'� •� • •
History Model: Wood-edge Steel Side-Hinged Door (804) 684-5124•••• • •• 00000
' " Unit •••••• •••• •••••
Description, 6'-8" Opaque I/S or 0/S .. •. 0000 0*000
Single Door �.�. 0 •
•
Category: Exterior Doors • 0000:0
Subcategory: Swinging Exterior Door ••••••
Assemblies �•0000:
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. •
1
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
d The State of Florida is an AA/EEOemployer.Copyright 2007-2013 State of Florida. ::Privacy Statement::Accessibility Statement::Refund Statement
L
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 licensee under
Chapter 455,F.S.,please click bele_.
Product Approval Accepts:
l
® eCheck
Credit Card
Side
V I I Ip.
l ,
https:%/www.floridabuilding.org/pr/pr_app_lst.aspx 3/4/2018 y
Florida Building Code Online Page-i of 4
t
. ew 3s • � W u' Y i * � 8 � y
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications i FBC Staff BCIS Site Map Links Search
�(/�► ( ` Product Approval
r USER: Public User
db 11 i
Product Apgr yal Menu> Product or Application Search>Application List>Application Detail
FL# FL22513-R1 I
Application Type Affirmation
Code Version 2017
Application Status Approved
Comments
Archived ❑
Product Manufacturer Masonite International
Address/Phone/Email 1955 Powis Road {
West Chicago, IL 60185
(800) 663-3667 ••••
sschreiber@masonite.corr: • •••• ••.•..
•• . 0 • •
Authorized Signature Steve Schreiber •
sschreiber@masonite.com sees
sees• • ;••••;
• 0 • • •
+ 0000 0 •• 0000
• •
� Technical Representative- •0 0
000. ..•• so***
Address/Phone/Email 00 g• 0000 0000..
r 000000 0 •
! Quality Assurance Representative • • ;.•.% eggs••
I Address/Phone/Email •••• ge • �ssgg�
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
i
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation &Management Institute
Validated By National Accreditation &Management Institute
Referenced Standard and Year(of Standard) Standard Year
TAS 201 1994
TAS 202 1994
TAS 203 1994
L Equivalence of Product Standards
Certified By
i
9I affirm that there are no changes in the new Florida
Building Code which affect my product(s) and my product(s)
are in compliance with the new Florida Building Code.
s
I
a i
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtdytNblepz46QEOwOhYDnH%2f... 3/4/2018
Florida Building Code Online Page'2 of 4
Documentation from approved Evaluation or Validation Entity 0Yes 0 N ON/A '
r
Product Approval Method Method 1 Option A
Date Submitted 11/21/2017 a
Date Validated 11/21/2017
Date Pending FBC Approval
Date Approved 11/26/2017
E
Summary of Products '
FL# Model, Number or Name Description
22513.1 HPC Wood-edge Steel Side-Hinged 6-8" Glazed I/S or 0/S Single or Double Door w/or w/o
Door Unit Sidelites
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL22513 R1 C CAC NI013747.01.pdf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 06/30/2021 1'
Design Pressure: +50/-50 Installation Instructions
Other: Evaluated for use1n locations adhering to the FL22513 R1 II FL0212.pdf
Florida Building Code, including the High Velocity Hurricane Verified By: National Accreditation &Management Institute
Zone, and where pressure requirements do not exceed the Created by Independent Third Party:.
f design pressures listed. 12'-0" x 6-8" max nominal size. Evaluation Reports
When impact resistance is required, hurricane protective FL22513 R1 AE 514008.ndf see*
When
system is required. Door'top rails stamped "HPC". See DWG-
Created by IndependenrThjfdparty:;YQS•• ••••�•
MA-FL0212 for details. •• • • • •
_7[
22513.2 Wood-edge Steel Side-Hinged Door 8'-0" Opaque I/S or O/S•�if�gle•Door Unit• •
•.••••
Unit ••.• of • • •
Limits of Use Certification Agency Cer1ift Cate • ••;'••
Approved for use in HVHZ: Yes FL22513 R1 C CAC N?(T=.04.Qr••• •••••
Approved for use outside HVHZ: Yes Quality Assurance CoAfratt Expiratk"Date ••=•••
Impact Resistant: Yes 06/30/2021 •••••• . .•
Design Pressure: +70/-70 Installation Instructions : , • •••
Other: Evaluated for use in locations adhering to the FL22513 R1 II FL0211odf• •••••
Florida Building Code, including the High Velocity Hurricane Verified By: National ACtr ditation &Manavement�itute
Zone, and where pressure requirements do not exceed the Created by Independent T ird*Party::•*. • • •
design pressures listed. 3'-0" x 8'-0" max nominal size. Evaluation Reports '•
When impact resistance is required, hurricane protective FL22513 R1 AE 514009.1)df
system not required. See DWG-MA-FL0215 for details. Created by Independent Third Party:,Yes
__[
I 22513.3 Wood-edge Steel Side`-Hinged Door 8'-0" Opaque I/S Single or Double Door w/or w/o Sidelites
Unit
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL22513 R1 C CAC NI013747.04.odf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 06/30/2021
Design Pressure: +45/-50 Installation Instructions
Other: Evaluated for use in locations adhering to the FL22513 R1 II FL0215.odf
Florida Building Code, including the High Velocity Hurricane' Verified By: National Accreditation &Management Institute
Zone, and where pressure requirements do not exceed the Created by Independent Third Party:
design pressures listed. 12'-0" x 8'-0" max nominal size. Evaluation Reports
When impact resistance is required, hurricane protective FL22513 R1 AE 514007.odf
system not required on opaque panels, but is required on Created by Independent Third Party: Yes
glazed sidelites. See DWG-MA-FL0215 for details.
4 22513.4 Wood-edge Steel Side-Hinged Door 8'-0" Opaque O/S Single or Double Door w/or w/o Sidelites,
Unit
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL22513 R1 C _CAC..NI013747,04.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: Yes 06/30/2021
Design Pressure: +50/-45 Installation Instructions
Other: Evaluated for use in locations adhering to the FL22513 R1 II FL0215.odf•
Florida Building Code, including the High Velocity Hurricane Verified By: National Accreditation &Management Institute
Zone, and where pressure requirements do nbt exceed the Created by Independent Third Party:
design pressures listed. 12'-0" x 8'-0" max nominal size. Evaluation Reports
When impact resistance is required, hurricane protective
https://www.horidabuilding.org/pr/pr_app_dtl.aspx?parani=wGEVXQwtDgtdytNblepz46QEOwOhYDnH%2f... 3/4/2018
Florida Building Code Online Page 3 of 4
system not required on opaque panels, but is required on FL22513 R1 AE 514007.pdf
glazed sidelites. See DWG-MA-FL0215 for details. Created by Independent Third Party: Yes
22513.5 Wood-edge Steel Side-Hinged Door 8'-0" 3/4-Lite Glazed I/S or 0/S Single or Double Door w/or
Unit w/o Sidelites
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL22513 Rl C CAC NI013747.06.(�df i
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 06/30/2021
Design Pressure: +40/-40 Installation Instructions
Other: Evaluated for use in locations adhering to the FL22513 R1 II FL0217.pdf
Florida Building Code, including the High Velocity Hurricane Verified By: National Accreditation &Management Institute
Zone, and where pressure requirements do not exceed the Created by Independent Third Party:r
t design pressures listed. 12'-0" x 8'-0" max nominal size. Evaluation Reports
When impact resistance is required, hurricane protective FL22513 R1 AE 514007.1)df
system is required. See DWG-MA-FL02.17 for details. Created by Independent Third Party: Yes
{
22513.6 Wood-edge Steel Side-Hinged Door 6'-8"`Opaque I/S or O/S Single Door
Unit
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL22513 R1 C CAC NI013747.Ddf
f Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: Yes 06/30/2021
Design Pressure: +70/-70 Installation Instructions
Other: Evaluated for'use in locations adhering to the FL22513 R1 II FL0211.pdf a
Florida Building Code, including the High Velocity Hurricane Verified By: National Accreditation &Management Institute
Zone, and where pressure requirements do not exceed the Created by Independent Third Party:
design pressures listed. 3'-0" x 6'-8" max nominal size. Evaluation Reports ••••
When impact resistance is required, hurricane protective FL22513 R1 AE 5140W.pdf• •00990 •�••••
system not required. See DWG-MA-FL0211 for details. Created by Independent jTDtd:'arty: Yds �•
r • '
22513.7 Wood-edge Steel Side-Hinged Door 6'-8" Opaque I/S or 0/S :ip00 •
or Double poor w/of w0/00
6•
Unit Sidelites • • ••••••
Limits of Use Certification Agency Certificate 9 •••� 00000
Approved for use in HVHZ: Yes FL22513 R1 C CAC Ni4UVjA?.pdf 00.0 00;99• r
r Approved for use outside HVHZ: Yes Quality Assurance Co9tr%4txpird%%p6te 000000
Impact Resistant:Yes 06/30/2021 •
Design Pressure: +55/-55 Installation Instructions* e 0 �0
Other: Evaluated for use in locations adhering to the FL22513 R1 II FL021f,l)df • ;•00;0 0000•• I
Florida Building Code, including the High Velocity Hurricane Verified By: National A�-_re4f4ion &Management!s,,titutl-
Zone, and where pressure requirements do not exceed the Created by Independent•Phird•Party:0••0.0 • •
design pressures listed. 12'-0" x 6'-8" max nominal size. Evaluation Reports {0• •
When impact resistance is required, hurricane protective FL22513 .R1 AE 514008.pdf
system not required on opaque panels, but is required on Created by Independent Third Party: Yes
glazed sidelites. See DWG-MA-FL0211 for details.
22513.8 Wood-edge Steel Side-Hinged Door 6'-8" 3/4-Lite Glazed I/S or O/S Single or Double Door w/or
Unit w/o Sidelites
t, Limits of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL22513 R1 C CAC NI013747.03.pdf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 06/30/2021
Design Pressure: +50/-50 Installation Instructions
Other: Evaluated for use in locations adhering to the FL22513 R1 II FL0214.pdf
Florida Building Code, including the High Velocity Hurricane Verified By: National Accreditation &Management Institute
Zone, and where pressure requirements do not exceed the Created by Independent Third Party:
design pressures listed. 12'-0" x 6'-8" max nominal size. Evaluation Reports
When impact resistance is required, hurricane protective FL22513 R1 AE 514008.1)df
system is required. See DWG-MA-FL0214 for details. Created by Independent Third Party: Yes
r
Back Next
i
1 �
Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824' k
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 a=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 licensee under
i Chapter 455,F.S.,please click here.
Y
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtdytNblepz46QEOwOhYDnH%2f... 3/4/2018