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WS-02-20-413Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 9535 BISCAYNE BLVD, Miami Shores, FL 33138 1132060143050 Contacts FRANK BLANCO Owner BUENO CONSTRUCTION Contractor 9535 BISCAYNE BLVD, MIAMI SHORES, FL 33138 HUGO BUENO 519 SW 21 AVE, HOLLYWOOD, FL 33020 Business:9543429673 BUENOCONSTRUCTION@COMCAST.NE Other:9547074274 T Inspection Requests: Description: REPLACEMENT OF ENTRANCE IMPACT DOOR Valuation: $ 2,450.00,— a R,� 4 Total Sq Feet: 0.00xr t r), Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Scanning Fee $12.00 Technology Fee $2.75 Windows/Shutters Fee $60.00 Total: $131.15 Payments Date Paid Amt Paid Total Fees $131.15 Check # 3907 03/17/2020 $131.15 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner nt / Contractor / Agent Date March 17, 2020 Page 2 of 2 BUILDING PERMIT APPLICATION OUILDING ❑ ELECTRIC Miami Shores Village Building Department IBM 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 20P Master Permit No. Vy S— 01 -Lo— 413 Sub Permit No. ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL It ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:.q5 � 5 111 CA N N E T l" D City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11- 3 -00 - 014 ' Q 5 0 Is the Building Historically Designated: Yes NO Occupancy Type: 1( Load: Construction'Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): FFC. W11— A F146W Phone#: (-ZO& - ObZ- Address: 15 �6 T313my of— T3" D City State: Tenant/Lessee Name: 01 A- Phone#: Email: i p: 1J 31 _f S CONTRACTOR: Company Name: pyo ufj l { fW �n oo Ly . Phone#: Address: 5 ,1101 .3 2 • 1 ST, AyT- N U f City: "0 Wll4 00 � State: Zip: � �0 .� Qualifier Name: C6 d 750 0Phone#: 01g14 774 r• 4Z94 State Certification or Registration #: W 1 S 05 p l 5 5 Certificate of Competency #: DESIGNER: Architect/Engineer: p LA- Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Z, 4''�Dd Square/Linear Footage of Work: Type of Work: ❑ Addition [1 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:., PL1J aM.E10 T . OE -,F_N 1 AA N C_.jV_ M PA, c7' P 001L .art Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ ) 4 Bonding Company's Name (if applicable) l Bonding Company's Address City State _ Mortgage Lender's Name (if a plicable) Mortgage Lender's Address City State Zip Zip Application is hereby made td 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 secure d for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certi� 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 PATING 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 notire of commencement and construction lien law brochure will be delivered to the person whose property is subject to ai tachment. Also. a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (71 days after the building permit is issued in the absence of such posted notice, the inspection will not be approved and7", reinspection fee will be charged. /� fi „4 Signature T W Signature'' OWNER rAGENT CONTRACTOR The foregoing instrument s a knowledged before me this Z.:� The foregoing instrument was acknowledged before me this / day �'Gj/"21�/'t 20by day of 20 by of _, 115�r!`�1�1 who is perso known to %c/t�Gz t +' who is pets ally known to me or who has produced'' as me or who has produ. ed _"G1i'�1- as identification and who did takg.,.gn.oath. identification and who did to .,. l NOTARY PUBLIC: � � NOTARY PUBLIC: � ' t� Seal: `_°' �= Nota Public • State of Florida Co mission ; GG 342893 My C m. Expires Aug 29, 2023 Bonded through National Notary Assn, t** APPROVED BY (Revised02/24/2014) Notary Public -State of ir ionca Seal: y: gs Commission . GG 342893 �F My Comm. Expires Aug 29, 2021 Bonded through National Notary Assr.. '=s�sssssssss**sss*ssss***ss**ssss*rs=sssssssssassssss*s*rs**sss**ss**sts Plans Examiner Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 , 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: Qualifier/Owner Signature Date Print Name BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., R.in, A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 DBA: Business Name; BUENO CONSTRUCTION CO INC Owner Name: HUGO BUENO Business Location: 519 S 21 AVE HOLLYWOOD Business Phone: Receipt #: 18 0 - 2 L6838 CONTRACTOR Business Type: Business Opened:02/14/2012 State/County/Ce rt/Reg: CGC15 0 5 9 5 5 Exemption Code: Rooms Seats. Employees Machines Professionals 3 For Vending Business Only rlil har of Machines: Vending Type: unt Transfer Fee N -3F Fee PenaKy Prior Years Collection Cost Total Paid pit7.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does riot indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: HUGO BUENO Recuipt #WWW-18-00178347 519 S 21 AVE Paid 07/08/2019 27.00 HOLLYWOOD, FL 33020 2019 - 2020 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., F rn. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCT- )BER 1, 2019 THROUGH SEPTEMBER 30, 2020 DBA:BUENO CONSTRUCTION CO INC Business Name: Owner Name: HUGO BUENO Business Location, 519 S 27. AVE HOLLYWOOD Business Phone: Receipt #: 180-246838 Business Type: GENERAL CONTRACTOR Business Opened: 02/14/2012 State/County/Cert/Reg: CGC1505955 ExemptionCode: Rooms Seats Employees Machines Professionals 3 Signature For Vending Business Only Number of Machines: Vending 7 e: Tax Amount Transfer Fee Nsr_Fee Penatiy Prior Year: - Collection Cost Total Paid 20.00 0.00 t.00 7.00 0.00 0.00 27.00 Receipt #WWW-18-00178347 Pa_d 07/08/2019 27.00 INSURER E: - COVERAGES 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 MAYBE ISSUED OR MAY PERTAIN, T !E. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OC .>UCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE ATE (MM/DD/YY) POLICYOLICY DATE (MM/DO/YY)N UM!. S A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR - L04000175'-.5 11/2712019 T '11/27/2020 EACH OCCURENCE $ 1,000,000.00 DAMAGE TO RENTED E MED EXP (Any one person) $ 100,000.00 $ $5,000 :'ERSONAL & ADV INJURY $_ GENERAL AGGREGATE _ _1,000,000,00 $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECOT LOC PRODUCTS - COMP/OP AGG $ $2,000,000 AUTOMOTIVE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EAACCIDENT $ OTHER THAN EA ACC JTO ONLY: AGG $ B EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ XL1576775A 11/27/2019 11/27/2020 EACH OCCURENCE S 1,000,000,00 ; GGREGATE S 1,000,000.00 $ $ $ WORKER'S COMPENSATION ANDOTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED?If yes, describe under SPECIAL PROVISIONS below L_.1 TORY LIMITS ER E.L. EACH ACCIDENT $ S.L. DISEASE - EA EMPLOYEE $ "ICY LI-' i„L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Bueno Construction CGC Lic, # 1505955 Duraction of activity: 30 days CERTIFICATE HOLDER 10 ADDITIONAL INSURED; INSURER LETTER:A CANCELLATION See Below) - Miami Shores Village Building Department 10050 N.E. 2nd Ave. Miami Shores, Fl. 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 30 EXPIRATION DAT THEREO' , THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, __nT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE / Samuel Jacks ACORD 25 (2001/08) OACORD CORPORATION 1988 7 ® A� Ro CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 04/29/2019 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(ies) must have ADDITIONAL INSURED provisions or 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 SUNZ Insurance Solutions, LLC ID: (Essential) c/o Essential HR, Inc. dba First Star HR 4455 LBJ Freeway, Suite 1080 Dallas, TX 75244 CONTACT NAME: Jennifer Hauger _ PHONE —AIC, No EXu: 972-404-0288 (A/C, No), E-MAIL ADDRESS: ennifer.hauger(c�firststarmr.com INSURER(�1 AFFORDING COVERAGE NAIC # INSURERA: SUNZ InSUrarice Company _. 34762 INSURED Essential HR Inc., Essential HR Il, Inc. dba FirstStar HR 4455 LBJ Freeway Suite 1080 Dallas TX 75244 INSURER B : — INSURERC: - INSURER D INSURER E: INSURERF: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURA ICE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR O "HER 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. T�IMM/DD(YYYY -INTR TYPE OF INSURANCE ADDL SUBR --� POLICY NUMBER MMIOL?WYY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1:1 OCCUR I EACH OCCURRENCE $ _ DAM F. PREMISES Ea occurrence) $ MED EXP Any one person) $ _ PERSONAL& ADV INJURY _ $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICYEl JEa L:I LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY (P,r person) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTO$ ONLY BODILY INJURY (Per accident) PROF'ER'rYDAMAGE Per accident $ $ _ $ -FdUMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE _ I STATUTE_ ERH E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 - $ 1,000,000 $ 1,000,000 A DED RETEN-PION$ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE O;'F:CERIMEMBEREXCLUDEDI (Mandatory in NH)-- 11yes, describeunder UESCRIPTION OF OPF..RATIONS below NIA WCPE0000018889 V\'�PE0000018890 _- 04129/2019 04119/2019' 105/01/"'020 05/0 U �020 — I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD'O 1, Additional Remarks Schedule; may be attached if more space is required) 'Phis policy covers Bueno COnstructi:;n Company Inc./employees, it does not cover subcontractors effective date 10/1/2013 CERTIFICATE HOLDER `'"'" ``^""'" Miami Shores Village Building Department 10050 N.E. 2nd Ave Miami Shores, Pl. 33138 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Glen J Distefano ©1988-201 ACORD CORPORATION. All rights reserved. The ACOiID name and logo are registered marks of AC ->RD 38168029 1 Essential HR Inc PEO 184 MASTER CERT I Todd V.C,*ridge 1 10/2/2017 4:17,33 PM (CDT) I Page 1 of 1 DOOR STYLES INC. 1178 NW 163rd. Dr. - Miami, FI 33169 Ph. 305 653-4447 - Fax. 305 653-1608 info@doorstylesinc.com Name / Address FRANMAR MANAGEMENT ATTN. FRANK BLANCO 9535 Biscayne Blvd. Miami, FI 33138 Phone #: 786 206 0452 Fax #: 305 503 9052 Ship To RE: HOUSE. 9535 Biscayne Blvd. Miami, A 33138 Proposal Date Proposal # 2/21/2019 Q18424E Qty Description Unit Total WE PROPOSE TO FURNISH, DELIVER & *INSTALL: RE: FRONT ENTRANCE - FRENCH DOORS. *(Florida Approved) LMI - 71 3/4" x 80 ES3000 Swing Doors: RH-ACT. - w/ Qn.Lever Set Mech. Full -View WHITE Aluminum Finish BRONZE Impact Glass. Std. Hwr. + Threshold. 1 PRICE: 2,320.00 2,320.00T Thank you for the opportunity to serve you! TERMS:50% DOWN PAYMENT Subtotal $2,320.00 With Signed Contract, Balance Upon pletion Sales Tax (7.0%) $162.40 f ' Total $z,4sz.4o Accepted D r Styles, Inc O W 'L O n u N -O Y Y Z O� O W W c ++1 v I I U 0 u O O V J c LL O C d -0 CO O O v N V '^ L -0O N U 0, W Ln Ln In O V 1.1 Q M U t N � Q a 3: x w M U n O � a 3 x W 3 W 3 W O) d' Cn n 00 n V O) m lD 00 N V Ln 00 n O O O) M N 1` N O O) N 't Ln Ln al w lD -- N f\ Ln r,\ - _ Ih f m r"of c-4 00 m 00 Ct 00 lD 00 n 00 -4 'i ci ci ci -4 N ci N -4 N 'i M 'i m 'i M 71 c E-- p O Ln O m Ln lD V O) -- - o -- Ln ¢ + Ln Ln w Ln 00 Ln m Ln 1-1 LO fV LO m w -t w Ln w ';( LD� rn W-. d' W Ln: 1A-. 1, Oi 'i+ r, M !� m •e ' �..W . = .yW 1 lD Ln 00 O) O to O-. O Ln O) H a Ln Ln 00 Ln .-I O N LD V lD ID l0 N O 00 lD O) lD li n H (Y� Ln '. 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O ��z�dN dd�YY >vo°"Lac cw oa « E -Od H � ° - E E o a• o w w > v tia T a c ° d o - '3 o° > a m E o> o a w m.o w mw mz,2'n xdm �t w Z 10 •�' it o d >° v" o N a E E C + > « N C C 3 �u� 'm -.., m � • a .t Le "^ ° CO o d `y - . o w Wml co > n v d5om acvN?a¢ v > ` a m o o.2 910 � o y H w m va F`o - E on m 0 u 9 0 is"m `0w .0- Lw E v o v v g s �N `o A w- L� w d v LLo � S310N -MENID " MIAM I-MTAMI-DADE COUNTY `'- PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 208 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (?86) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.sov/economy ES Windows, LLC 3550 N)X 49"` Street Miami, FL 33142 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-Dadc•,(_`oi my Pm luct Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade,'_(A.Lty) reserve the right to have this product or material tested for quality assurance purposes.. If this ps:Ud Lt or material fails tn, < < < perform in the accepted manner, the manufacturer will incur the expense of such restma and tnP aHJ in 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 C oui,ty Prc)d.I,t ;-ontrq•1, , , I Section that this product or material fails to meet the requirements of the applicabI�, 'build ing code_ This product is approved as described herein, and has been designed to .comply*tn the Flcr,*da Building, Code, including the High Velocity Hurricane Zone. a f. 0 0 DESCRIPTION: Series "EL300" Aluminum Outswina Door - L.M.I. ` ° 0 0 0 0 APPROVAL DOCUA",ENT: Drawing No. W17-59, titled "ES-EL300 Aluminum Outsw•ing Door (L.M.I.)", sheets I through 12 of 12, dated 06/20/17, with revision A dated 07/21/17, prepared by Ai-Farooq Corporation, signed and sealed by Javad Ahmad, P.E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Section. MISSILE IMPACT ]RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, Ba. auquilla, Columbia, S.A., series, and the following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. v PaNEWAL 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 aff. ecting 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. ADVERTISElY1ENT: 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 consists of this page I and evidence pages E-I and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Jorge M. Plasencia, IIE. NOA No. 16-0617.03 Expiration Date: January 04, 2023 Approval Date: January 04, 2018 Page 1 ES Windows, LLC NOTICE Olf ACCEPTANCE: EVIDENCE SUBMITTED 1. NEW EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. W17-59, titled "ES-EL300 Alum-num Outswing Door (L.M.I.)", sheets 1 through 12 of 12, dated 06/20/17, with revision A dated 07/21/17, prepared by Al- Farooq Corporation, signed and sealed by Javad A—hmad, P.E. B. 'VESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform. Static Air Pressure Test, Loading PgTBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202�oq 4) Forced Entry Test, per FBC, and TAS 202-91 6) Large Missile Impact Test per FBC, TAS 201-94 7) Cyclic Wind Pressure Loading per FBC, TA' 203-94 along with marked -up drawings and installation diagram of are alarZ,inum o) Gtsw,'-ng door, prepared by Blackwater Testing, Inc., Test Report No. LT-ESW-17-008, dated 06/15/17, signed and sealed by Constantin Bortes, P.E. with Letter of C1aLi!,caL on issued on 08/03/17, signed and sealed by Constantin Bortes, YE.: ` C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC-5tt` Edition ('2014) and FBC-6th Edition (2017), dated 06/19/17, prepared by Al-Farooq Corporation signed and sealed by Javad Ahmad, P.E. 2. Glazing complies with ASTM E1300-09. D. QUA€,ITY A SS UIiA-I CE 1. Miarni-Dade Department of Regulatory and Economic Resources (RER) E. IvIATERI_A.L CERTIFICATIONS L Notice of Acceptance No. 16-1117.01 issued to Kuraray America, Inc- for their "Trosifol® Ultraclear, Clear and Color PVB Glass futerlavers" dated 01/19/17, expiring on 07/08/19. 2. Notice of Acceptance No. 14-0916.11 issued to I�uraray America, Inc. for their "Sentry GlasCR (Clear and White) Glass Interlayer" dated 06/25/1.5, expiring on 07/04/18. ?. Notice of Acceptance No. 17-0712.05 issued to Eastman Chemical Co. (NIA) for their "Sanex Clear and Color Glass Interlavers" dated 09/07/17, expiring on 05/2 1/2 1. 4. Notice of Acceptance No. 17-0712.03 issued to Eastman Chemical Co. (NLA.) for their "Saflex CP — Saflex and Saflex HP Composite Glass Interlayers with PET Core" dated 09/07/17, expiring on 12/1 i/18. rge M. Plasencia, P.E. Product Co, trol Unit Supervisor NOA No. 16-0617.03 Expiration Date: January 04, 2023. Approval Date: .1anuary 04, 2018 E -i ES Windows, LL C NOTICE OF ACCEPTANCE- EVIDENCE SUBMITTED F. STATEMENTS 1. Statement letter of conformance, to FBC-S' Edition (20114) and FBC-6' Edition (2017) and of no financial interest dated 07/25/17, issued by Al-i arooq Corporation, signed and sealed by Javad Ahmad; P.E. 2. Distributor Agreement, signed by Carlos Garcia and by Evelyn Daes_ 3. Laboratory compliance statement for Test Report No. BT-ESW-17-008, issued by Black -water T esting, Inc., dated 06115/17, signed and sealed by Dennis Duffy, CEO. 4. Proposal No. 16-1471 issued by the Product Control Section, dated 11/2-3/16, signed by Ishaq Channda, P.E. G. OTHERS 1. None. Jorge TI. Piasencia, P.E. 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EDITION FBC 2017 BUILDING LEVEL OF ALTERATION 1 CONTRACTOR: BUENO CONSTRUCTION CO. EXPOSURE CATEGORY C RISK CATEGORY I I FRANK A BLANCO RESIDENCE 9535 BISCAYNE BOULEVARD MIAMI LAKES, FL 33014-2411 WORK REPLACEMENT OF EXISTING ENTRANCE IMPACT DOOR C s W E N:; ENTnRED FED E BY, E 01 OL t'QOO��O `GOO ,N���� �� �,��� ►`�\ GOB` CC,�N� E E FOYER 1st. FLOOR PROPOSED I � FLOOR PLAN SCALE: N.T.S E `1` E E E E AREA OF WORK PROJECT DESCRIPTION: I I I Scale: I I I Date: REPLACEMENT OF IMPACT I Not To Scale ENTRANCE DOOR o e Page No: 2/20/2020 A-1 DOOR SCHEDULE ...n c . •.sn e ti f•• . e 9 e • U ee•ose a sa r No. LOCATION OPENING DIMS. DESCRIPTION MATERIAL ZONE WIND LOAD PRESS PROD. APPR. ALLOW.DESIGN LOA- L H POS. PSF NEG. PSF POS. PSF NEG. PSF ENTRANCE DOOR 6-0" 6'-8" EXTERIOR SWING DOUBLE FRENCH DOOR ALUM 4 + 40.1 - 43.4 N.O.A 16-0617.03 + 80.0 - 80.0 0 r a AREA OF WORK EXISTING DOOR CONTRACTOR: BUENO CONSTRUCTION CO. NORTH ELEVATION FRANK A BLANCO RESIDENCE 9535 BISCAYNE BOULEVARD MIAMI LAKES, FL 33014-2411 NEW ALUMINUM FRAME BRONZE FINISH 6'-0" NEW CYLINDRICAL NOTE: LATCH & HARDWARE DEADB AS PER N.O.A \ \ / NEW ALUMINUM \ / DOORS FINISH INACTIVE ACTIVE BRONZE PROPOSED DOOR ELEVATION PROJECT DESCRIPTION: REPLACEMENT OF IMPACT ENTRANCE DOOR Scale: Not To Scale 7/16" LAMINATED GLASS FINISH BRONZE 1.0 Date: 2/20/2020 Page No: A-2 11C