WS-19-900Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
U UUl�JlS
Issue Date:
Location Address Parcel Number
1030 NE 99TH ST, Miami Shores, FL 33138 1132050320010
Contacts
Permit NO.: WS- 4-19-900
Permit Type: ndow5/ hufter5
Work Classification: Garage Door
Permit Status: Approved
Expiration: 10/22/2019
Juan Villegas Owner GARAGE DOOR SOLUTIONS CORP Contractor
103099 JUAN MATUTE
102 NW 86 PL, MIAMI, FL 33126
Business: 7865462879
Description: REPLACE EXISTING 16"X18' GARAGE DOOR Valuation: $L%OL57.00 ReInspection Re uests:
Total Sq Feet:
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Scanning Fee
$9.00
Technology Fee
$2.75
Windows/Shutters Fee
$60.00
Total:
$128.95
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$128.95
Credit Card
04/25/2019 $128.95
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 required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING a�d SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate,a:6 tha1(w rk All be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named,contr 'Jor tp,do a work stated.
Authorized Signature: Owner / Applicant / Contractor
April 25, 2019
Date
Page 2 of 2
r
Miami Shores Villagec
BUILDING
PERMIT APPLICATION
MN BUILDING ❑ ELECTRIC
Building Department APR 513"�3
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 11 tr+�
Master Permit No. Ns— `f' I I I V V
Sub Permit No.
❑ ROOFING ❑ REVISION M EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS
JOB ADDRESS: 1030 NE 99 ST
❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip: 3-3 % -.5
Folio/Parcel#:11-3205-032-0010 Is the Building Historically Designated: Yes NO
Occupancy Type: Personal Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): JUAN CAMILO / VILLEGASMARIA C PELAEZ Phone#:
Address:901 BRICKELL KEY BLVD #2507
City: MIAMI State: FL Zip: 33131
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: GARAGE DOOR SOLUTIONS COP Phone#: 786-546-2879
Address: 10843 NW 29 TH ST
City: DORAL State: FL Zip: 33172
Qualifier Name: JUAN R MATUTE Phone#: 305-260-4490
State Certification or Registration #: 13BS00180 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 3057.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: REPLACE EXISTING 16'X8' GARAGE DOOR
Specify color o color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 1 1-&
(Revised02/24/2014)
k
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
Zi
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ( Vll
OWNER or AGENT
The foregoing instrument was acknowledged before me this
% day of 4-041 L . 20 /_; , by
�%✓���• 1/ L-tZC45 who is personally known to
me or who has producedy5.4 45.60,e-r as
identification and who did take an oath.
NOTARY PUBLIC:
ign:
Pnn . ,) = SUS GbA/z,�c; z
Signatur
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of LL 20 % / by
k who is personally known to
me or who has produced as
identification and who did tak a�r> DOLORES RODRIGUEZ
._ *1 MY COMMISSION # GG 159091
NOTARY PUBLIC: '�• E,�X�PPITTR.E�S�: November 12..,1,2,0.2211��
BMW h Y N0*y PuWk Undermm tm
Sign: Q �IiYti�
Print: �J1�r°7 r� v��`•
Seal: ��av Fve�� JESUS GONZALEZ Seal:
i * MY COMMISSION # GG 066594
N"rF opo EXPIRES: May 20, 2v021
*************°s
�*s***11*vq *i_�ie*h*4*S*asi**********************************************************************
APPROVED BY Plans Examiner Zoning
41110 l Structural Review Clerk
(Revised02/24/2014)
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
r--��Y
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• Q
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this I:Z day of 14e, AZl L_ , 201L.
By who is personally known to me or has produced
!/� $ �✓1J as identification.
;Notary:
► °LAF�^ JESUS GONZALEZ
AL: MY COMMISSION # GG 086594
�• o` EXPIRES: May 20, 2021
"'F7i Flo'` Bonded?hru Budget Notary Services
_nG
L
:. ..
WORST CASE SCENARIO DESIGN PRESSURE CHART, ENCLOSED BUILDJUGS •
FLORIDA BUILDING CODE 6TH EDITION (2017) to •
DADE COUNTY FLORIDA • • •
ITS MPH •_' . ••• '
EXPOSURE
C
Door
Width
Door I
HeightI-Iffightl
Mean I
Roof
Helaht
Desf n Pressure
Positive
Nogative
8
7
16
35.6
44.7
9
7
35.3
44.0
10
7
35.0
-43.6
16
7
33.8
-41.0 -
18
7
33.5
•40.4
8
7
16
36.1
-45.3
9
7
35.7
-44.6
10
7
36.6
•44.1
16
7
34.2
-41.6
18
7
33.9
•41.0
8
7
17
36.5
-45.9
9
7
38.2
-45.2
10
7
36.9
-44.7
16
7
34.7
-42.1
18
7
34.3
41.5
8
7
18
7.0
-48.4
9
7
36.8.
.8
10
7
38.4
-46.2
16
7
35.1
.42.7
18
7
34.8
-42.0
8
7
19
37.4
-46.9
9
7
37.1
-48.3
10
7
38.8
-4 .7
18
7
35.5
43.1
18
7
35.2
-42.5
8
7
20
37.8
.47.4
9
7
37.6
-46.8
10
7
37.2
-46.2
16
18
7
7
35.9
-43.6
96.6
-43.0
8
7
21
38.2
-47.9
9
7
37.8
-47.3
10
7
37.6
.46.7
16
7
38.2
44.1
18
7
36.9
-43.4
8
7
22
38.6
.4
9
7
.2
•47Y
10
7
37.9
-47.1
16
7
36.6
-44.5
18
7
36.3
43.8
8
7
23
38.0
48.9
9
7
38.6
48.2
10
7
38.3
-47.6
18
7
38.9
-44.9
18
7
36.8
-44.2
8
7
1 24
1
39.3
49.3
9
7
38.9
48A
10
7
38.6
-48.0
16
7
37.3
45.3
18
7
36.9
44.6
8
7
26
39.6
-4 .7
8
7
39.3
-49.0
10
7
39.0
-48.4
18
7
37.8
45.7
187
37.3
-45.0
EXPOSURE
JD_
eePoeitMe
Wign Pressure
N••
15 '
.2
2
2.
-53.5
42.6440.8
F187
-40.143
18
?
-6443.3
.1
42.9
-53.4
41.4
-80A
4t.1
-49.6
8
7
17
44.1
-56.4
9
7
43.7
-54.6
10
7
43.4
54.0
16
7
41.9
-50.9
18
7
41.5
-50.2
8
7.
18
44.6
55.9
9
7
.44.2
55.2
10
•7
43.
-64.5
18
7
42.3
51.4
18
7
4t.8
50.7
7
19
45.0
-66.
9
7
44.6
-55.7
10
7
442
56.0
16
7
42.7
-81.0
18
7
42.3
-51.1
$
7
20
45A
57.0
9
7
45.
-562
10
7
44.
16
7
43.1
52.4
18
7
42.7
.51.6
7
21
45.8
45.4
57.
-0.7
9
7
10
7
46.0
56.0
16
7
43.4
2A
18
7
43.0
2.0
8
7
22
46.1
.57.9
9
7
45.7
-57.1
10
7
45.4
48.4
16
7
43.8
53.3
18
7
43.4
52.5
8
7
23
ss
-68.4
9
7
48.1
57A
10
7
45.7
56.9
16
7
44.1
-53.7
18
7
43.7
-62.9
7
24
46.8
.8
9
7
46A
-68.0
10
7
46.1
57.3
16
7
44.5
-54.1
18
7
44.1
53.3
T
25
47.2
59
9
71
46.8
5B.4
10
7
V 48.4
1 57.7
18
7
44.8
1 54.4
18
7
44.4
53.8
EXPOSURE C
Door
Width
boor
H t
Meen
Roof
Hel t
Design Prwurs
Positive
• •
N •
8
15
1
35.2
r14.0 •
9
8
34.9
21,14
_ 10
8
. 34.8.
-42.8
18
8
33.4
.40.4
18
8
33.1
-39.7
8
18
35.7
-44.6
9
8
35.4
-43.9
10*88
35.1
-43.4
1633.9
40.9
18
33.6
•40.3
8
8
17
36.2
45.1
9
8
35.8
-44.5
10
8
35.6
-43.9
16
8
34.3
-41.4
18
8
34.0
40.8
8
8
18
38.6
-45.7
9
8
36.3
-45.0
10
8
36.0
-44.5
16
8
34.7
-41.9
18
8
34.4
41.3
8
8
19
37.0
-46.2
9
8
36.7
-0.6
10
8
.445.0
16
81:]=.1--:4-24
18
8
34.8
41.8
8
8
20
37.4
-46.7
9
8
37.1
-46.1
10
8
38.8
-45.5
16
8
35.5
-42.9
18
8
35.2
.42.2
$
21t38.2
37.8
-47
37.5
-46.5
�08
-45.9
-43.3
1
-42.7
8
8
22
-47.7
9
8
-47.0
10
8
-46.4
18
8
36.2
43.7
18
8
35.9
43.1
8
8
23
38.5
48.1
9
8
38.2
-47.4
10
8
37.9
•46.8
16
8
36.6
-44.2
18
8
36.2
-43.5
8
8
24
38.9
-48.5
9
8
38.6
47.9
10
8
38.2
47.3
16
8
36.9
-44.6
18
8
36.6
43.9
8
8
25
39.2
49.0
9
8
38.9
-48.3
10
8
38.6
473
16
37.2
44.9
18
8
36.9
Notes:
1) Design pressures have been calculated using procedures listed in ASCE 7-10, Chapter 30, Part 1, for
Low-Rls• Buildings.
2) The calculated ultimate wind pressures have been multiplied by 0.6 to convert to the nominal (ASO)
design pressures shown.
3) Pressures have been calculated based on an enclosed building, any roof slope, Risk Category II.
4) The design pressures assume the entire door's width is in the end zone (zone 5) of the building.
5) Most garage door openings will not be located completely In zone 5. Therefore individual calculations
will result in lower pressures.
6) For mean roof heights less than 15% use 15' pressures.
7) This Table Is only to be used in conjunction with Amarr Garage Doors.
165 Carriage Court • Winston-Salem, North Carolina 27105
Phone (336) 744-5100 • Fax (336) 744-5815
wvnv.amarr.com
arr
ENTREANATIC
EXPOSURE
D
Door
Width
Door
Hef
Mean
Roof
Design Pressure
P tiva
N
8
15
42.7
-53 4
.9 .
8
42.4
-52.6
10
a
42.0
�40.2
•51.9
18
40
0
18
8
-482
8
8
16
43.2
54.0
9
8
42
-63.2
10 .
8
42S
52.5
16
8
41.0
=49.5
16
8
40.6
48.8
8
8
17
43.7
-64.5
9
8
43.3
-53.8
10
8
43.
53.1
16
8
41.4
=50.1
18
8
41.1
•49.3
8
8
18
44.1
-65.1
9
8
43.7
-542
10
8
43.4
- .8
16
8
41.9
50.6
18
8
41,6
-49.8
8
8
19
44.5
-66.
9
8
44.1
-54.8
10
8
43.8
54.1
18
8
42.3
51.0
18
8
41.9
50.3
8
8
20
44.9
56.1
9
8
44.5
55.3
10
8
44.2
.6
16
8
42.8
-51.5
18
8
42
1 -50.7
8
21
1
45.3
44.9
1 -55.6
-65.8
9
8
10
8
44.6
55.1
16
8
43.0
-51.9
18
1 B
42.6
51.1
8
8
22
45.7
57.0
9
8
46.3
56.2
10
8
44.9
-55.5
16
8
43.3
52.3
18
8
42.0
-51.6
$
8
23
48.0
57.6
8
8
45.6
.86.7
10
8
45.3
1 58.0
16
8
43.7
1 52.8
18
8
43.3
52.0
8
8
24
46.4
1 57.9
9
8
46.0
57.1
10
8
45.6
58.4
16
8
44.0
-53.1
18
8
43.8
52.3
8
8
25
48.7
-58.3
9
8
48.3
57.5
10
8
45.0
-56.8
16
8
44.3
53 5
18
6
43.9
52.7
(/) /0 1 xl�� /' C� 5 �,e- zD-0 0 /--
MIAWDADE • • • •' • MIAMI-DADE COUNTY
' • • • ` ' • : PRODUCT CONTROL SECTION
• • • • • • •
• 11805 SW 26 Street, Room 208
...
DEPARTMENT OF REGULATORY AND ECbNOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) :': •• ; ' • : www.miamidade.eov/economy
Amarr Garage Doors dba Entrematic • •
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 (AHD).
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 1200 WeatherGuard Plus & Heritage 3000 Insulated Steel Sectional Garage
Doors up to 16'-0" Wide
APPROVAL DOCUMENT: Drawing No. SFC-590-010, titled "Model # 1200 WeatherGuard Plus w/
DuraSafe & Heritage 3000 Short, Long, Flush, Ribbed and Oak Summit Panels", sheets 1 through 3 of 3,
dated 06/21/2001, with revision D dated 07/25/2011, prepared by Amarr Garage Doors, signed and sealed by
Thomas L. Shelmerdine, 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, 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 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 revises NOA # 17-0307.05 and consists of this page 1 and evidence page E-1 E-2, as well as
approval document mentioned above.
The submitted documentation was reviewed by Ishaq I. Chanda, P.E.
N,n
NOA No. 17-1010.20
Expiration Date: May 16, 2022
Approval Date: December 21, 2017
Page 1
:. •go
• ...
Amarr Garage Doors dba Entrematic
NOTICE OF ACCEET'�10E;.. L+•VIDLmE SUBMITTED
I. Evidence submitted in previous files
A. DRAWINGS "Submitted under•1y0A.4 1� . 09" •' •
1. Drawing No. SFC-590-010 lit e J `Vb&1 V;200 4eatherGuard Plus w/ DuraSafe &
Heritage 3000 Short, Long, Flush, Ribbed and Oak Summit Panels", sheets 1 through
3 of 3, dated 06/21/2001, with revision D dated 07/25/2011, prepared by Amarr
Garage Doors, signed and sealed by Thomas L. Shelmerdine, P.E.
B. TESTS "Submitted under NOA # 12-0228.09"
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 2411 3.2.1, TAS 202-94
5) Tensile Test per ASTM E8
Along with marked -up drawings and installation diagram of Amarr 16'x 7', 24 ga.
steel garage door Model 1200 Heritage 3000, prepared by American Test Lab, Inc.,
Test Report No. ATLNC 0912.01-11, dated 10/13/2011, signed and sealed by David
W. Johnson, P.E.
2. 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.
C. CALCULATIONS "Submitted under NOA # 12-0228.09"
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 (RER)
E. MATERIAL CERTIFICATIONS
1. UL evaluation report on Surface Burning Characteristics per ASTM E84AM723 and
Self -Ignition Temperature per ASTM D1929 of Grade 54 and 40 Expandable
Polystyrene Resins manufactured by Flint Hills Resources, Evaluation Report #UL
ER7503-0, dated May 22, 2013 and revised on May 12, 2014.
F. STATEMENTS
1. Statement letter of code conformance to the 5�' edition (2014) FBC and no financial
interest issued by Structural Solutions, PA., dated 02/06/2017, signed and sealed by
Tomas L. Shelmerdine, P.E.
Is aq I. Chanda, P.E.
Product Control Examiner
NOA No. 17-1010.20
Expiration Date: May 16, 2022
Approval Date: December2l, 2017
E -1
. ..
00
Amarr Garage Doors
... 0; . .
0.
NOTIC :OF i A."A'NTCT i EVibENCE SUBNIITTED
2. New Evidence submitted. 0 0 0 • •
. ....••••
• .. •
A. DRAWINGS 000 .. • •'
1. None.
B. CALCULATIONS
1. None
C. QUALITY ASSURANCE
1. Miami Dade Department of Regulatory and Economic Resources (RER).
D. MATERIAL CERTIFICATIONS
1. None.
E. STATEMENTS
1. Statement letter of conformance to FBC 2017 (6t' Edition) dated 09/11/17, prepared,
signed and sealed by Thomas L. Shelmerdine, P.E.
F. OTHER
1. This NOA revises NOA # 17-0307.05, expiring 05/16/22.
1.CL,
Ishaq I. Chanda, P.E.
Product Control Examiner
NOA No. 17-1010.20
Expiration Date: May 16, 2022
Approval Date: December2l, 2017
E -2
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