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WS-19-2236Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Ift ! -? 1 0- -j I j tc Issue Date:10/11/2019 Location Address Parcel Number 1077 NE 98TH ST, Miami Shores, FL 33138 1132050180240 Contacts Permit NO.: WS-09-19-2236 Permit Type: Windows/Shutters Work Classification: Garage Door Permit Status: Approved Expiration: 04/08/2020 ONE POTATO TWO POTATO LLC Owner 107798 Business: 3058285158 GARAGE DOOR SOLUTIONS CORP Contractor JUAN MATUTE 102 NW 86 PL, MIAMI, FL 33126 Business:7865462879 garagedoorsolutionscorp@gmail.co m c nests: Re Description: REPLACE EXISTING 9X7 GARAGE DOOR Valuation: $ 1,280.00 Inspection 305-Re Total Sq Feet: 0.00 Fees Application Fee - Other CCF DBPR Fee DCA Fee Education SurchargeScanning ]A$ Fee Technology Fee Windows/Shutters FeeTotal: Building Department Copy Payments Date Paid Amt Paid Total Fees $127.35 Credit Card 09/25/2019 $50.00 Credit Card 10/09/2019 $77.35 Amount Due: $0.00 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 re fired for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNE AF I AVI - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulat' n tr ctio zoning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Applicant / Contractor / Agent October 11, Date Page 2 of 2 Miami Shores Village RE_:%-- vcn — Building Department SEP22019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 `A ^ INSPECTION LINE PHONE NUMBER: (30S) 762-4949 �v . BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING []MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 1077 NE 98 ST FBC 201� Master Permit No, b_k5' Vq-1 C]D3a3& Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3205-018-0240 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ONE POTATO TWO POTATO LLC Phone#: Address:1173 NE 103 ST City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: GARAGE DOOR SOLUTIONS CORP 10843 NW 29TH ST hone#: 786-546-2879 Address: City: DORAL State: FL Zip: 33172 Qualifier Name: JUAN R. MATUTE Phone#: 786-546-2879 State Certification or Registration #: 13BS00180 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ $1280.00 Square/Linear Footage of Work: 63 Type of Work: ❑ Addition ❑ Alteration ❑ New Description of Work: REPLACE EXISTING 9'X7' GARAGE DOOR 0 Repair/Replace Zip: ❑ Demolition Specify color of color thru tile: n Submittal Fee $ 5G ?61c1 Permit Fee $ ! n 0 CCF $ CA0 CO/CC $ / Scanning Fee $ _ 1 • CID Radon Fee $ ) • 00 DBPR $ a. 00 Notary $ Technology Fee $ 01.5 0 Training/Education Fee $ I)• 4D Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ LD �. (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip rE 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 insaection will not be aaaroved and a reinsoection fee will be charged. Signature OWNER or AGENT The foregoing instrument was qcknowledged before me this day of � �� , 20 l 9 , by ,,a, a'Q— who is pernally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Ft Signature _6 Ln ONTRACTOR The foregoing instrument was acknowledged before me this day of Sc , 2019 by 374A R M4ft4-..A6C, who is personally known to me or who has produced identification and who did take an oath. GL•1IT_\340t1:1114 as Sign: t4` Sign: -14 dn. 49 Print: lore a � �� u'e'Z• Print: 01,Vre 3 --o <DOLORESRODRI EZ� Seal: LA DOLORESRODRIOU Seal: ; g'• ' ` :MYCOMMISSION#GG159091 MYCOMMISSION # GG 159091 .pIRES: November 12,2021 EXPIRES: November t2,2021 ��,,,�,,�,.y^__,�,.,� �I,,��� WicUndwwdtw�aOIIdQd ThN f2ry PUblk �/,I le riIBiEBonded ThN I�. U" P V APPROVED BY /�� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 2 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: ' 11-3205-018-0240 Property Address: 1077 NE 98 ST ; Miami Shores, FL 33138-2505 Owner ONE POTATO TWO POTATO LLC Mailing Address 1173 NE 103 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/3/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,147 Sq.Ft Lot Size 9,880 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value $373,166 $355,674 $355,674 Building Value $161,025 $161,025 $149,431 XF Value $27,126 $27,295 $27,463 Market Value 1 $561,317 $543,994 $532,568 Assessed Value $373,9371 $366,9651 $359,418 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Assessment $187,380 $177,029 $173,150 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 5 6 53 42 PB 43-69 REV PL MIAMI SHORES SEC 8 LOT 15 BLK 179 LOT SIZE IRREGULAR OR 20949-2424 01 2003 1 Generated On : 9/25/ Taxable Value Information 2019 2018 2 County Exemption Value $50,000 $50,000 $50 Taxable Value $323,937 $316,965 $309. School Board Exemption Value $25,000 $25,000 $25. Taxable Value $348,937 $341,965 $334. City Exemption Value $50,000 $50,000 $50. Taxable Value $323,937 $316,965 $309. Regional Exemption Value ___.-.______..._.._......................... _ Taxable Value $50,000 __........... __ _. $323,937 $50,000 .._.,----...._....._ $316,965 $50. _._.._......___ $309. Sales Information Previous Sale Price OR Book -Page Qualification Descriptic 07/12/2019 $635,000 31532-1050 Qual by exam of deed 04/01/2006 $675,000 24447-1075 Sales which are qualified 04/01/2004 $540,000 22306-4521 Sales which are qualified 02/01/2004 $553,000 22090-2274 Sales which are qualified https://www8.miamidade.gov/Apps/PA/propertysearch,/ 9/25/2019 2019 FLORIDA LIMITED LIABILITY COMPANY REINSTATEMENT DOCUMENT# L17000158648 Entity Name: ONE POTATO TWO POTATO LLC Current Principal Place of Business: 1173 NE 103RD ST MIAMI SHORES, FL 33138 Current Mailing Address: 1173 NE 103RD ST MIAMI SHORES, FL 33138 FEI Number: 82-2302997 Name and Address of Current Registered Agent: DEROSA, JAMIE M 1173 NE 103RD ST MIAMI SHORES, FL 33138 US FILED Mar 28, 2019 Secretary of State 3948952132CR Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: JAMIE M. DEROSA 03/28/2019 Electronic Signature of Registered Agent Date Authorized Person(s) Detail Title AP Name DEROSA, JAMIE M Address 1173 NE 103RD ST City -State -Zip: MIAMI SHORES FL 33138 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: JAMIE DEROSA MANAGER 03/28/2019 Electronic Signature of Signing Authorized Person(s) Detail Date Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State County of Miami -Dade The fore g was acknowledge before me this � day of ��' �, 20�. By dA'I/L �`" who is personally known to me or has produced �Y s 44 /_LZA S Uas identification. Notary: SEAL: ;` MY COMMISSION # GG 159091 a` EXPIRES: November 12, 2021 Bonded Thru Notary Public UrMerwriters .... IMIC SOLUTIONS CORP. 10843, NW 29TH ST, DORAL Ft. 33172 September 24, 2019 State of Florida County of Miami Dade Before me this day personally appeared: Juan Ramon Matute who, being duly sworn, deposes and says: That he will be the only person working on the project located at: Site address: 1077 NE 98 ST. MIAMI SHORES FL 33138 Sincerely, Sworn to and sul�sqibed befo a me this a C day of �� ��`�' r ,20 19 by vci n W, Personally Know Or Produced Identification Type of Identificatio Pr �:��► DOLORES RODRIGUEZ MY COMMISSION # GG 159091 EXPIRES: November 12, 2021 Bonded Thru Notary Pubic Ufderwbrs Print, Type or Stamp Name of Notary Garage Door Solutions Corp 10843 NW 29th ST, DORAL, FI 33172 • Direct line: 786 546 2879 • Office: 786 953 6581 a www.earagedoorsolutionsmiami.com Local Business Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 7139223 BUSINESS NAME/LOCATION GARAGE DOOR SOLUTIONS CORP 10843 NW 29TH ST DORAL, FL 33172 OWNER JUAN R MATUTE Worker(s) RECEIPT NO. RENEWAL 7416233 LBT EXPIRES SEPTEMBER 30, 2020 Must be displayed at place of business Pursuant to County Code Chapter BA — Art. 9 & 10 SEC. TYPE OF BUSINESS PAYMENT RECEIVED 196 SPECIALTY BUILDING BY TAX COLLECTOR CONTRACTOR 45.00 08/20/2019 13BS00180 0233-19-004077 This Local Business Tex Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0, above must be displayed on all commercial vehicles — Miami —Dade Code Sec Sa-276. Maas For more information, visit www.miamidede.00vNaxcollector AC"R"10 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/11/19 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 Accurate 8300 West Flagler Suite 114 CONTACT NAME: Lucia Estrella PHONE (AIC No.Extl: (305)226-8727 ivc ,: (305)226-8767 MAIL accurate.certificates®gmail.com INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33144 INSURER A: Covington Specialty Insurance Company Phone 305) 226-8727 Fax (305) 226-8767 INSURED INSURER B : INSURER C : Garage Door Solutions Corp INSURER D : 10843 NW 29th St INSURER E : Doral, FL 33172 786-273-6117 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADD UBR POLICY NUMBER MMIDDY� MM/DD//YYYY LIMITS A GENERAL LIABILITY Q COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE 0 OCCUR ❑ VBA720024 00 09/15/2019 09/15/2020 EACH OCCURRENCE $ 1,000,000.00 _5TMAGE TO RENTED PREMI a occurr nce $ 1 OO,000.00 MED EXP An one person) $ 5,000.00 PERSONAL 8 ADV INJURY $ 300,000.00 ❑ GEN'L AGGREGATE LIMIT APPLIES PER: © POLICY ❑ PRO- ❑ LOC GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMPIOP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS ❑ HIRED AUTOS ❑ AUTOS NON -OWNED ❑ OBINED SINGLE LIMIT a Ma �idde t $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ �OPERTY 4AMAGE er accident, $ — -- $ ❑ UMBRELLA LIAR ❑ OCCUR ❑ EXCESS LIAR ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED ❑ RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below A NIA I WC Y LIMIjATU ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) LICENSE #13BS00180 CERTIFICATE IIALDER CANCELLATION SHOULD ANY OF THE ABOV ES I PO ICIES BE CANCELLED BEFORE Miami Shores Village BLDG Dept THE EXPIRATION DATE TH OF O 1 WE L BE DELIVERED IN ACCORDANCE WITH THE ICY P IO 10050 NE 2nd Ave Miami Shores, FI 33138 AUTHORIZED REPRESENTATIV Lucia Estrella ©1988-20TD'ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) QF The ACORD name and logo are registered marks of ACORD Municipal Contractor's Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY CC NO: 136S00180 BUSINESS NAMFULOCATION GARAGE DOOR SOLUTIONS CORP 10843 NW 29TH ST DORAL, FL 33172 OWNER JUAN R MATUTE MC RECEIPT NO. EXPIRES 7576861 SEPTEMBER 301 2020 Pursuant to County Code Sec 10-24 TYPE OF BUSINESS SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED BY TAX COLLECTOR 175.00 08/20/2019 0233-19-004077 This receipt is not valid in the following Municipalities: Aventura, Dural, Hialeah, Key Biscayne, Miami Gardens, Miami Lakes, Palmetto Bay, Pinecrest, Sunny Isles Beach, Town of Culler Bay. HMO for more information, visit www.miamidade.govAoxcollector PERMIT ADDRESS: 1077 NE 98TH ST Miami Shores, FL 33138 APPLICATION DATE: 09/25/2019 SQUARE FEET: PARCEL: 1132050180240 0.00 DESCRIPTION: REPLACE EXISTING 9X7 GARAGE DOOR EXPIRATION DATE: 03/23/2020 VALUATION: $1,280.00 CONTACTS NAME COMPANY ADDRESS Contractor JUAN MATUTE GARAGE DOOR SOLUTIONS CORP 102 NW 86 PL MIAMI, FL 33126 JUAN MATUTE GARAGE DOOR SOLUTIONS CORP 102 NW 86 PL MIAMI, FL 33126 Owner ONE POTATO TWO POTATO LLC 107798 REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: Provide wind pressure calculations for the door opening. The calculations should be sign and seal by Florida license engineer and should reflect compliance with section 1620 of 2017 FBC, Building. September 30, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 PERMIT ADDRESS: 1077 NE 98TH ST PARCEL: 1132050180240 Miami Shores, FL 33138 APPLICATION DATE: 09/25/2019 SQUARE FEET: 0.00 DESCRIPTION: REPLACE EXISTING 9X7 GARAGE DOOR EXPIRATION DATE: 03/23/2020 VALUATION: $1,280.00 CONTACTS NAME COMPANY ADDRESS Contractor JUAN MATUTE GARAGE DOOR SOLUTIONS CORP 102 NW 86 PL MIAMI, FL 33126 JUAN MATUTE GARAGE DOOR SOLUTIONS CORP 102 NW 86 PL MIAMI, FL 33126 Owner ONE POTATO TWO POTATO LLC 107798 REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: Provide wind pressure calculations for the door opening. The calculations should be sign and seal by Florida license engineer and should reflect compliance with section 1620 of 2017 FBC, Building. September 30, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 co N - I r p r m m t cr m \ 00 n D C T I CD c; } QJ D 4� m r 0 N O O �-yi-7 — 53.7 0 N N v . ... . . ... % . . . % . . . . . . . . . . . . . . . ... . . . . ....... .... MIAMFDIADE ' •' MIAMI-DARE COUNTY • " ' ' • PRODUCT CONTROL SECTION • " "' • ' • • • • 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE A VIlg§TF4TI9rj DIVISION� T (7N) 315-2590 F (7W 315-2599 NOTICE OF ACCEPT�CE: QA) www.miamidade.gov/economy .. .. . ....... Clopay Building Products Company 8585 Duke Boulevard Mason, OH 45040 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade 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: 2" Thick EPS Insulated Steel Sectional Garage Door up to 9'-0" Wide w/ Optional Impact Resistant Lites APPROVAL DOCUMENT: Drawing No.101703, titled "HDG/HDGL, 66/68, 4300/01, 4310/674ID('L, 4400/01, H Models", sheet 1 of 1, dated 11/19/1996, with revision 9 dated 7/2018, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton, P.E., bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami - Dade County Product Control Section. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: A permanent label with the manufacturer's name or logo, manufacturing address, 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 door's side track, bottom angle, or inner surface of a panel. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA # 17-0731.01 and consists of this page 1 and evidence pages E-1, E-2 and E-3, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 18-0716.01 taoa eou Expiration Date: September 20, 2022 ' III APPROVED"Approval Date: August 16, 2018 tio!"OPIVIO Page 1 . ... . . ... %.. . .. %.. . . . . . . . . . . . . ....... .... Clopay Building Products Comnan .... ... .. .. . . . . . . .. . . . . 'NOXICE OF AICCEMANCE: EVIDENCE SUBMITTED 1. Evidence submitted *inder.piievioVis 1t 0A"s . ... . . . . .. . A. DRAWINC584u'*m*ktea*sunderiVOW#1S-0225.06" 1. Drawing No. 101703, titled "HDG/HDGL, 66/68, 4300/01, 4310/67/HDC"L, 4400/01, H Models", sheet I of 1, dated 11/19/1996, with revision 7 dated 2/20I5, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton, P.E. B. TESTS "Submitted under NOA # 09-0929.10" 1. Test report on Forced Entry Test, per FBC, TAS 202-94, prepared by American Test Lab, Inc., Test Report No. ATLNC 0428.01-09, dated 06/03/2009, signed and sealed by David W. Johnson, P.E. "Submitted under NOA # 07-0807.14" 2. Test reports on I) Uniform Static Air Pressure Test, Loading per FBC TAS 202, 2) Large Missile Impact Test, per FBC TAS 201, 3) Cyclic Wind Pressure Test, Loading per FBC TAS 203, along with marked -up drawings, prepared by American Test Lab, Inc., Test Report No. ATLNC 0823.01-06, dated 12/18/2006, signed and sealed by David W. Johnson, P.E. C. CALCULATIONS "Submitted under NOA # 07-0807.14" 1. Anchoring calculations, prepared by Clopay Building Products Company, dated 07/30/2007, signed and sealed by Scott Hamilton, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS "Submitted under NOA # 07-08OZ14" 1. Tensile Test per ASTM E8, Reports No. SETI-06-T604/605/606, prepared by Hurricane Engineering & Testing, Inc, dated 09/22/2006, signed and sealed by Rafael E. Droz-Seda, P.E. 2. Corrosion Resistance Salt Spray Test per ASTM B 117, Report No. 30160404-63365, prepared by Stork Twin City Testing Corporation, dated 01/26/2005, signed by John D. Lee, P.E. 3. Ignition Properties of Plastics Test, per ASTM D 1929, Report No. 3082959-500, prepared by Intertek Testing Services NA, Inc., dated 09/16/2005, signed by Anthony Penaloza. 4. Surface Burning Characteristics Test, per ASTM E84, Report No. 3082960-500, dated 10/04/2005 and Report No. 3094867SAT-001, dated 04/13/2006, prepared by Intertek Testing Services, NA, Inc., signed by Javier Trevino and Anthony Penaloza. F. STATEMENTS "Submitted under NOA #15-0225.06" 1. Statement letter of code conformance with the 2010 and the 51 edition (2014) FBC issued by Clopay Building Products Company, dated 02/18/2015, signed and sealed by Scott Hamilton, P.E. 2. Statement letter of code conformance to 2010 FBC no financial interest, issued by Clopay Building Products Company, dated 07/06/2012, signed and sealed by Scott H 'lton, P.E. "Submitted under NOA # 12-0710.06" 03 03 2e+f Carlos M. Utrers, P.E. Product Control Exsminer NOA No.18-0716.01 Expiration Date: September 20, 2022 Approval Date: August 16, 2018 E-1 %. ... . . . ... .. . . . . . . . . . . . . ... . . . . .. . Clopay Building Products Comaanv .... ... .. .. . . . . . . .. . . . . . .. ... . ... .. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED .. . . . .• ..• .. . ......... . 2. Evidence suUmitted uddeeNOA•N ldX0731.01 A. DRAWINGS 1. Drawing No. 101703, titled "HD('/HDGI , 66/68, 4300/01, 4310/67/HDGL, 4400/01, H Models", sheet 1 of 1, dated 11/19/1996, with revision 8 dated 7/2017, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton, P.E.. B. TESTS 1. None. C. CALCULATIONS 1. None. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS 1. Statement letter of code conformance to S"' Edition (2014) and 6te Edition (2017) FBC issued by Clopay Building Products Company, dated 07/18/2017, signed and sealed by Scott Hamilton, P.E. 2. Test contract letter issued by American Test Lab, Inc., dated 07/17/2017, signed by Keith Owen. Carlos M. Utrera, P.E. Product Control Examiner NOA No.18-0716.01 Expiration Date: September 20, 2022 Approval Date: August 16, 2018 E-2 . . ... . . . ... . • • • Clonav Building Products Comnan .• . • ••• • ... .. . • • • . . . • • • . . . . NOTICE bF WCEI''MA NCE: EVIDENCE SUBMITTED .. . . .. ... 3. New evident; su itJ4 • • • .. . •• • A. DRAWINGS • • • .. 1. Drawing No. 101703, titled "HDG/HDGL, 66/68, 4300/01, 4310/674DGL, 4400/01, H Models", sheet 1 of 1, dated 11/19/1996, with revision 9 dated 7/2018, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton, P.E. B. TESTS 1. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 2) Large Missile Impact Test per FBC, TAS 201-94 3) Cyclic Wind Pressure Loading per FBC, TAS 203-94 4) Forced Entry Test, per FBC, TAS 202-94 5) Tensile Test per ASTM E8 along with marked -up drawings and installation diagram of 9'x 8', 27ga steel garage door Model 4300 with windows, prepared by American Test Lab, Inc., Test Report No. ATLNC 1023-01-17, dated 11/07/2017, signed and sealed by David W. Johnson, P.E. 2. Test report on Salt Spray per ASTM B 117 of painted G40 galvanized coated panels, prepared by Fenestration Testing Laboratory, Inc., Test Report No. 7890, dated 10/01/2014, signed by Idalmis Ortega, P.E. C. CALCULATIONS 1. Anchoring calculations prepared by Clopay Building Products Company, dated 07/06/2018, signed and sealed by Scott Hamilton, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. Test report on weathering per ASTM G155, tensile per ASTM D638, self -ignition per ASTM D1929, smoke density per ASTM D2843 and rate of burning per ASTM D635 of Lexan SLX2432T polycarbonate, prepared by Intertek, test report # G7844.01-106-18, dated 09/28/2017, signed and sealed by Gary T. Hartman, P.E. 2. Test report on self -Ignition per ASTM D1929 of Atlas EPS foam, prepared by Intertek, test report # 102609488MID-002, dated 06/13/2016, signed and sealed by Rick Curkeet, P.E. 3. Test report on flame spread and smoke developed per ASTM E84, prepared by UL LLC, test report # R6705/4788441837, dated 06/06/2018, signed by James Smith. F. STATEMENTS 1. Statement letter of code conformance with the 2010, 5' edition (2014) and 6' edition (2017) FBC issued by Clopay Building Products Company, dated 07/06/2018, signed and sealed by Scott Hamilton, P.E. 2. Statement letter of no financial interest issued by Clopay Building Products C pany, dated 07/06/2018, signed and sealed by Scott Hamilton, P.E. F Carlos M. Utrers, P.E. Product Control Examiner NOA No.1W16.01 Expiration Date: September 20, 2022 Approval Date: August 16, 2018 E-3 CJOPAY MODELS 4300 4301 4310 44.00 4401 HDG. HDGL CLOPAY MODELS H400 H401 H300 HZOt H310 HofyrS MODES 66 67 68 6200 6201 6203 2' . r A 0.0L' M•L o"LOA D "a SACKER MAM ATTMDED TODOOR MW MIM MTEMTM T00. -LOC SME' (MOT -V" rRW OM114Db. MWORCEMod MA- ��TED AT THE TOP AM OOTTOM -�-A ®DIIMaNL ME Mp Dr A/WCi-R(k1.eR aA•O N rm W MCCTOR 000-0 K Loa-sa(-Tv ascnW GOT QUAD• E NEC110R a (IIM 1 ]AM. M Ylb" W rURC M •COObNMCE RITR laf- ... ... - �,t at fecTw ►a AK••Lr tK1AAS cos RarTOR�MOTN foesb JIH LA>a!r o> uKac ROI MaAas SECTION B-B v o[tfL3. A. MRe,TM1R RMLE . tuzAo RA N -- _ TABLE 2 TABLE i t =rA -'"?I. 'F-�; •'tea!' ,� 1 j �� h' __ (f. ( _ �I �t t(El0(T s OF SECTIONS A(a2R > UP TO T'D' t M A 2A GA MK [ln _ . _ --'Tii tS wOrt, - s'_o' sMaE_ntn>fOn 7.3E TO �' 9ro' FOES' 1 tvr Ta Lrr S 6 � n e. rM. A>R s+vn ,roc MOL 67, a LIES• TO IN • (a'Y TO IY9' f sYP uRA+ °i t 11 I t0 SECT A -A TRACK CONFIGURATION .0420wx TRACK pop= h Coca MSTAt1ER (To SOTI). CERM .YR+e .suRRn m Mo01. 0101 r No. Ytfw- 111•at MAOfb R5 RIO MRAC1Er ,} M MMY. tRR IUS M>AOET. [ACM rAtip$ 1M Is J,A• .+m (•0 s/1 aR.Do2• R000 l sacs TRACK AaA (2) A1 l/6.1 G1 MVma' DCOCK ,CK e000 %. r r CALY. S1m 'wMo TRACK tNOK1ESi: Mow. • i• LNR TOP wvCRET Mwuw K Y •ssr 11K.t f.DP� 2-1n•At2 a MY. STM TRACK VACKET. • • • • • • • TRACK •MOATS PER MOE (UP M 0'TRACK WROCKM Po sm • • • • • ETS • TRACK NME•AM M((11►P TO 11' M4 • • • • MAX SEITLPN HEjWT-. 21• PROWCT mmsm 1M tIM1Y (a TRt" •E� � motor NAP m �r wa0. • • • • 'RAW�`�'""r °!' 00°Lb no tF07ta.p7 PREPARATION DF 44AIBS _ BYnttTT+SHERS M NwE 6Yac a.~ y?� �apC r m• wM>m W llt:! a C n(awewi� r RECG•u IM M "•"00 oesa MRRt �i'"se0. room mwa uo MrAi oK sTwjckw AND x AOCap1NCE RM MApn •W W'% IYLYl10�i OKA a 1 2> W (OG,r 1RW W WwWR OCf M iTIi' p - COroR THE IDWS UJ'[o oR MS WMG K• • • • RmA CAR. J>e6 2Ma• fat eAs/rnrtR ma. t>MiA�DUN qE a�ii R-AC — C-1. RMIta r ��D� 2-�/a' 2-Vf• son a rm RN+. (•�..s/r suQUr .Ew � r R � cRDD+t taRn "L�L i•ALPOPpW s!R R m, .• MEW -"B JAMB CONF'GURATION 2.0 ROOD AMA STOP MOUDNO V DOOR —MLLSW 11 (TO T} iK'1 S 10 CA O LVMgEG STE6 DO STU (ATTALIMD W" OK raC,ORr msrAt{LD /h,R n• awt-rEAO scKw A1O LEADER sEQUAED I►aM RsrauAlTOM ORM 1t)1a saer+a Ti 0A OALY STEEL ORACKV MCM TRACK rASTM To Tp00 Aw Wrt ONE s/+r.1-1n• Rom IAA So" PER ETLYA>, MM tM a D,(Y. nfn w1k Mr•[ nsmm 10 WORE. S.rn•oo MTt Nm rAS1D� TO 1RAI:N >/11• ROUMI .11f1AR M >•SVED W TXAM ROLLDt RMMT VL EAW. POCKKET ,r 0. W,r fkG MO M•qe rf61[,+m TO CIO sign R/(A) EMM RE I,Me/P mr wm faEMt l (A) +/r sME TAPPRc 201EtM. /A',sArrACKO n• R0.T ! AKn 1W 1/a' RAt3. 08 2' 1 � IDS SAL (1-S/16•a>/is MTTM •fa- m,2--`M M' DY.Y SIB .IAMB TO SUPPORTING STRUCTURE ATTACHMENT (T�,,,n"'j' A'TAs• + 9 I+Ws' JAQT ME>y 11. XL THE LOW) FROM THE Dom a TRANSFERRED To TTRACK Me T Eo "tom THE MACK To >RC M VP (CRODE /2 OR REM) JWM- NO LOW MA 1M DOOR a TROCP R+ED To DIE AST 2, ALL AN F41CMUM LAr OE (PR ARE NOT REQUIRED ro Mil OMWV MME ro PROADE A rt,m( mto ME t r I — (A) I g NO T ARAM N) /�a t/R' WAD (r) AWAM S AA 1/33"MM MCWASE r KMO LDAD >AS Ma Km M THE CMZRATM W ALLOMdRA LOWS PoII M[ ,/.'v/a' fat SPP1M4 w AMODM me R WENS FOR S1EIL Col"m AM INSCAM faEE,rSs. ffi Ul>I t-. ; `N000 fRAWE BUILDINGS slvo or D, avGNc n er NOT Il'/++ At PRESSURE TRfARD S1P 1Mn, o. ORAOE MOT LESS T ,20D P9 MDIMxM [XiRD2E r•ER nAS F W GRACE SS 00 WADE an ROOD STIES Or A E #2 r ALL . m a OKY. STEEL ., (F COA STRESS M tD•MO (r1 mo RMu ro ME EnNtMMlsa FROM rootPK: ro TE tYAMa W, �SARSECTOR. TRA u- B PER EACH WALL OE_S.ON 1/A',. MACro TWIPAO RRm ,/••rya• stLr TEPPND tGTE'rS. (2) Y11flYS �L'OCK 3Le a,• ,tlROE : oR ,N)OD EUM 3RAL1 7E MCNrnCD ro trout wMsoREm e,oat WALL ON I" A (( oDt!!VL ROCK RAL CELLS TMMLL K WID MiM CORCRM MMO R[AROMCEO Alm MUI — vM KRIToiL AWM AT EACHLO ENO AND W MILD. ME LOdi'oN. MM [x1D,1•MO Nro 1ME roD AAR, wM K REAM[ ALL s,Rx sAWu R CONnW,R rb M TE 7r/Y5 ro nwtMD PER GLDCR MALL Oft QUO RKM C0.1AN. PDOL ,ILLS AM Cot cAM CM ANG To K GEMMED SY 1 E MALOMW DC EFR M ARCMnECT CA RECORD. o` L> nLfl(ya�m.Kr ra) MtW sTf6 ORi M.Y- Y0 A a � A ro.�r AwR"im�»�i•A � a FETE JKAL `+J 0. WK 71[i SLAM MMLW[T• •WAf9 aN li /,Ai/R' fNa3 1ET•1. rAAR/r 2KtasoM rQ `` q ......... f- • �QI Id7ENOCM AND ,i�c sum lit ;DESI�C=J Ay": -8.0: T !'0 i) \. 2x6 JAMB TO SUEEORTING STRUCTURE ATTACHMENT �7•; ;'�yu•VLfli2•E4!d,T •,•)L's+.^?:>>5;�=2vL:'y::'.�>f3/r�'7.{y�:,nC�:a�iO�Klr 1CC':'Li'+rA.fC.^-;,:�•r aIEY'..:!? ••>•i �lit�C�7(%•1 2�1: L'C:K+•.-+uif/F�f•>alN• G•: •1>.".'f�VHlfE!•f4Ri ydf!'•i'.•: ,^1r}n7:S: IlEI•:: •: I.J1ef3I il"s':•� ••:.�!"+s�Ell�fll:•1• rx • - MM ARf2OknCM DALnNG FROM SOTIW a Ro MORE TWM ,SW d M.TrM a 00M DaaWCL N(goSr AMAX%,,- 2VIA MDMlm AT LEAST M NRI AS M DOOR OPDRO MUWf r 60.0 PSF. i= �Qp QUOMY ■RD.c PMwucTs roMPMn "/A-'sse^- s'o•R , ,f•o� u' nMu Lut cxi 1 .wo/o1, IBuildln9 Products (s »�irc� �4'N"' v,�, � + " i %. I ' -If AL-FAROOQ CORPORATION SITE SPECIFIC WINDLOAD CERTIFICATE 9360 Sunset Dr. I STE 220 1 Miami, FL 33173 1 T. 305.264.8100 1 F. 305.262.6978 1 www.afceng.com I alfarooq@afceng.com Project Number: 136724-9498 Client: JUAN MATUTE Garage Door Solutions, Corp 10843 NW 29TH ST DORAL, FL 33172 Project Address: 1077 ne 90th st miami shores FL 33139 Project Information Wind Speed 175 mph Risk Category 2 Building Classification Enclosed Exposure Category D Roof Type Flat Mean Roof Height 15.00 ft Elevation of Opening 15.00 ft Least Horizontal Dimension N/A Directionality Factor (Kd) 0.85 Velocity Pressure Coefficient (Kh) 1.03 Velocity Pressure Coefficient (Kz) 1.03 Topographical Factor (Kzt) 1.00 Velocity Pressure (Qh) 68.7 psf Velocity Pressure (Qz) 68.7 psf Gcp Zone 4 Next page Gcp Zone 5 Next page Gcpi +/- .18 Notes: Based on data provided by the client. Ultimate wind speed used to determine velocity pressure. Ultimate loads converted to design loads as per 1609.1.5 of the FBC by 0.6 multiplication factor. ...... Date Requested: 9/30/2gj9 $.30:16 PJY. • Mailing Address: JUAN #AATUTE • • • • ...... Garage•Deer Solutions, Corp • • 1084�•NW g9TH PT• • • • Miami,eFt•33126 •••• •• Job Name: JAM Ie DEROSA • • • • • • • • • . . . . ...... Wind Load Analysis for conpo ;eats andcl•O(fing with impact protection as per speeifi6 ion of-4SCE 7-10 rldfl FBC. •:•• ZONE 417=1 d-10% OF LEAST HORIZONTAL DIMENSION ZONE 50 HEIGHT "H" FOR FLAT ROOF IS THE PEAK HEIGHT OF THE ROOF -_� H d d d _ d Valid Only with Engineer's Seal CAN (EB) #3538 © 2019, Copyright AI-Farooq Corporation SITE SPECIFIC WINDLOAD CERTIFICATE AL-FAROOQ CORPORATION 9360 Sunset Dr. I STE 220 1 Miami, FL 33174 1 T. 305.264.8100 alfarooq@afceng.com Project Number: 136724-9498 Sectional Garage Door 108.00 84.00 27.00 +0.8 -0.92 Notes: Based on data provided by the client. Ultimate wind speed used to determine velocity pressure. Ultimate loadsconverted to design loads as per 1609.1.5 of the FBC by0.6 multiplication factor.Wind Load Analysis for components and cladding withimpact protection as per specification of ASCE 7-10 & 2017 FBC. F. 305.262.6978 1 www.afceng.com 3 +0.83 41.7 •____• -1.12 -45.4 • • • •• •• •• • Valid Only with Vr�giheees Seal �1 .•.• I ti r � 1 CAN (EB) #3538 •••••• • ' 1 -: •—