WS-10-164Wei
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
Owner's Name ee Simple Titleholder) / ve /2S4;
(F p ) � � Phone #
Owner's Address /02 Cy roe
City /f°i i S .e'e- State / - Zip 3 /J P
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) /0 ( i 5 j)
City Miami Shores Villa a County Miami -Dade
FOLIO / PARCEL # ! l Z ()co 1 ZDO(e D
Is Building Historically Designated YES NO
Contractor's Company Name t (e C4 ? l
Contractor's Address f152O S' / (J`• 0" -/
State /CC -
City
Qualifier Name f)19(1
State Certificate or Registration No. v C.6e /57) 6 0 Z Certificate of Competency No.
Contact Phone E -mail
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ - 1g)
Type of Work: ❑Addition
Describe Work: i)cO
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
❑Alteration ❑New jo Repair/Replace
P r-
dr e> G * 4*** * * * * * * * * * * * * * *x * * * * * * * * * * * * * * ** F * * * * * * ** * * * * * * * * * * * * * * * * * * * **
Submittal Fee $C)430 CCF $ V CO /CC $
Permit Fee $ /Q
Training/Education Fee $ 0-Q0
Notary $
Scanning $ Cf.(!V Radon $
Double Fee $
Structural Review. $
Violation date:
DPBR $
Permit No. GOS tan 1(04
Master Permit No.
Zip 33/ g(
Phone #
Phone # (3oS
Total Fee Now Due $
6 - 9) &r4' - 7o 1i
Zip 73/
Bond $
EXCED
miv , 2 8 1010 DJ
Flood Zone
1414 lua L Fu..
232 Z3 ZS
Square / Linear Footage Of Work:
(fl'(o0
❑ Demolition
Technology Fee $ O. bV
See Reverse side -
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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.
�1
Signature —al / Signature
Owner or Agent Contractor
The foregoin • • 'I ent was acknowledged before me this ZS se ‘" The foregoing instrument was acknowledged before me this 2? n
day of jf4 , 20 fa , by IM HS/e day of d`7lf - _ 20 /0 , by Iris i So;bb 0 ,
who i ersonally knowJl to me or who has produced w is personally known me or who has produced
as identification and who did take an oath.
rr « MYG CIP ntl DD 915h14
Bonded Inns Nri Pirko Undeogriters
NOTARY PUBLIC:
Sign:. 7
Print:
My Commission Expires:
As identification and who did take an oath.
APPROVED BY %, ��J G7 j Plans Examiner Zoning
•
(Revised 07 /10 /07)(Revised 06/10/2009)
Sign:
NOTARY PUBL
SF ,i MANUa AMADOR
*: `-=` .*: MY COMMISSION # DD 919814
-rr` i . EXPIRES: August 25, 2013
$R , Bonded Tbru Notary Public Underwriters
Print: fl, yr //u, 4-J d
My Commission Expires: e )zs' / 3
Engineer Clerk checked
Inspection Number: INSP- 149983 Permit Number: WS -2 -10 -164
Scheduled Inspection Date: August 12, 2010
Inspector: Bruhn, Norman
Owner: VOLINSKI, JOEL
Job Address: 1036 NE 95 Street
Project: <NONE>
Contractor: DIRECT BUILDERS INC
Building Department Comments
REMOVE AND REPLACE EXSITING 30' DOOR WITH
NEW IMPACT RATED PREHUNG DOOR
TO PICK UP: NEED W /C, LIAB
Passed a(j
Failed
Correction
Needed
Re- Inspection
Fee
August 11, 2010
Miami Shores, FL 33138-
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
e,&
For Inspections please call: (305)762 -4949
Permit Type: Windows /Shutters
Inspection Type: Final
Work Classification: Door Replacement
Phone Number
Parcel Number 1132050120060
Phone: (305)232 -2329
Page 22 of 23
Florida Building Code Online
BCIS Home Log In User Registration Hot Topics
Product Aonroval Menu > Product or Application Search > Replication List > Application mil
FL #
Application Type
Code Version
Application Status
Comments
Archived
Product Manufacturer
Address /Phone /Email
Authorized Signature
Technical Representative
Address /Phone /Email
Quality Assurance Representative
Address /Phone /Email
Category
Subcategory
Compliance Method
Florida Engineer or Architect Name who
developed the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
Product Approval
USER: Public User
fence of Product Standards
Submit Surcharge Stets & Facts Publications
FL10599
New
Therma -Tru Corporation
118 Industrial Drive
Edgerton, OH 43517
(419) 298 -1740
sjasperson@tttechnologies.us
Vivian Wright
Hckw @rwbidgconsultants.com
Exterior Doors
Wendell W. Haney
\ms10-I1
2 -
may, 0
Swinging Exterior Door Assemblies 1, 0
li
Evaluation Report from a Florida Re lea ' - d i Nrciectsecj
Florida Professional Engineer i�
1::' Evaluation Report - Hardcopy Received
PE -54158
National Accreditation and Management Institute
12/31/2011
L.F. Schmidt, P.E.
Validation Checklist - Hardcopy Received
Fi.,10599 RO COI CERT OF INDEPENENCE.odf
Standard
Accepted Engineering Practice
TAS 201, 202, 203
Page 1 of 3
BCIS Site Map Links ! Search
IsamacED
APR 0 8 2010 Vi
BY: - •••
I
W
0
7
Year
2007
1994
J
_J
http : / /www.floridabuilding.org /pr /pr app_dtl.aspx? param= wGEVXQwtDgtfYBJ2 %2fM7I6... 4/8/2010
j Summary of Products
I FL #
Model, Number or Name
Description I ',
a. Premium (Profiles) and
Construction (Traditions) Series
3'0 x 6'8 "Impact" Steel Single Door - Inswing or
Outswing (X Configuration)
Limits of Use
Approved for
Approved for
Impact Resistant:
Design Pressure:
Other: See IN$$TT
any additional use
and product pa
use in HVHZ: Yegmmak
use outside HVHZ: Yes
N/A
10599.1 for Design Pressure Ratings,
limitations, installation instructions
iculars.
Installation Instructions
F • • •- ;0 II IN „ ,
__
'ane ____
Verified By: Wendell ”. y . 54158
Created by Independent Third Party: Yes
Evaluation Reports
FL10599 RO AE EQ - E84 00 - 04.pdf
FL1OS99 RO AE EVAL 10599.1.pdf
Created by Independent Third Party: Yes
10599.2
b. Premium (Profiles) and
Construction (Traditions) Series
3'0 x 6'8 "Impact" Steel Single Door with Sidelite -
Inswing or Outswing (XO or OX Configurations)
Limits of Use
Approved for use In HVHZ: Yes
Approved for lose outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: N/A
Other: See INST 10599.2 for Design Pressure Ratings,
any additional use limitations, Installation instructions
and product particulars.
Installation Instructions
FL10599 RO II INST 10599.2 pdf
Verified By: Wendell W. Haney, P.E. 54158
Created by Independent Third Party: Yes
Evaluation Reports
FL10599 RO AE EO - E84 00 - 04.pdf
FL10599 RO AE EVAI, 10599.2.pdf
Created by Independent Third Party: Yes
10599.3
j
c. Premium (Profiles) and
Construction (Traditions) Series
3'0 x 6'8 "Impact" Steel Single Door with Sideiites -
Inswing or Outswing (OXO Configuration)
Limits of Use
Approved for
Approved for
Impact Resistant:
Design Presstre:
Other: See INST
any additional use
and product particulars.
use In HVHZ: Yes
use outside HVHZ: Yes
Yes
N/A
10599.3 for Design Pressure Ratings,
limitations, Installation Instructions
Installation Instructions
FL10599 RO II INST 10599 3.odf
Verified By: Wendell W. Haney, P.E. 54158
Created by Independent Third Party: Yes
Evaluation Reports
FL10599 RO AE EO- E84- 0O- 04,pdf
FL10599 RO AE EVAL 10599.3,0df
Created by Independent Third Party: Yes
10599.4
d. Premium (Profiles) and
Construction (Traditions) Series
6'0 x 6'8 "Impact" Steel Double Door - Inswing or
Outswing (XX Configuration)
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: Yes
Design Pressure: N/A
Other: See INST 10599.4 for Design Pressure Ratings,
any additional use limitations, installation instructions
and product particulars.
Installation Instructions
FL10599 RO II INST 10599.4.0f
Verified By: Wendell W. Haney, P.E. 54158
Created by Independent Third Party: Yes
Evaluation Reports
FL10599 RO AE EO-E84 -00 -04 odf
FL10599 RO AE EVAL 10599.4.pdf
Created by Independent Third Party: Yes
10599.5
e. Premium (Profiles) and
Construction (Traditions) Series
6'0 x 6'8 "Impact" Steel Double Door with Sideiites -
Inswing or Outswing (OXXO Configuration)
{ Limits of Use s Installatlon
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Res' nt: Yes
Design Press re: N/A
Other: See IN 10599.5 for Design Pressure Ratings,
any additional use limitations, Installation instructions
and product particulars.
Instructions
FL10599 RO II INST 10599.5.pdf
Verified By: Wendell W. Haney, P.E. 54158
Created by Independent Third Party: Yes
Evaluation Reports
FL10599 RO AE EQ- E84- 00- 04.0df
FL10599 RO AE EVAL 10599.5.odf
Created by Independent Third Party: Yes
Florida Building Code Online
http: / /www.floridabuilding.o
Product Approval Method Method 1 Option D
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
04/19/2008
05/21/2008
05/25/2008
06/24/2008
Back
Next
Department of Community Affairs
Florida Building Code Online
Codes and Standards
Page 2 of 3
g/pr /pr_app_dtl.aspx? param= wGEVXQwtDgtf YBJ2 %2fM7I6... 4/8/2010
Feb, 5. 2010 1:06PM Everglades Design Center — Miami No, 0488 P. 4
- R W Building Consultants, Inc.
Manufacturer;
8
Consulting and Engineering Services for the aullding Industry
P.O. Box 230 Whico, F1.33593 Puna 813.659.9197 Fac.sinitle 813.754.9989
Florida Beard of Professional Engineers Ceeti irate of Authorization No. 9813
Product Evaluation Report
Report No.: PL- 10599.1
Date: April 17, 2008
Product Category: Exterior Doors
Product sub - category: Swinging Exterior Door Assemblies
Product Name; "Premium" & "Construction" Series
Inswing Outswing
a"
Thrum Tru Corporation
118 Industrial Drive
Edgerton, OH 43517
Phone 419.298,1740
Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Wendell W.
Haney, P.E. (System ID 0 1993) for ThermaTre Corporation based on Rule Chapter No. 9a-
72.070, Method Id of the State of Florida Product Approval, Department of Com mity Affairs -
Florida Building commission.
RW Building Consultants and Wendell W. Haney, P.B. do not have nor will acquire financial
interest in the company manufacturing or distributing the product or in any other entity involved
in the approval process of the product named herein.
This product has been evaluated fbr use In locations adhering to the Florida Building Code
(2007 Edition)
See Drawing No, FL- 10599.l prepared by R W Building Consultants, Inc. and signed and sealed
by Wendell W. Haney, P.E. (FL 0 54158) for specific use parameters.
Wendell P.E.
FL No. 54158
April 17, 2008
PP1378 Sheet 1 of 3
Feb. 5. 2010 1:06PM Everglades Design Center — Miami No. 0488 P. 5
PP1378
Limitations
L This product has been evaluated and is in compliance with the 2007 Florida Building Code
(FBC) structural requirements including the "High Velocity Hurricane Zone" (HVHZ).
2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to
base material shall be beyond wall dressing or stucco.
3. When used in the "HVHZ" this product complies with section 1626 of the Florida Building
Code and does not require an impact resistant covering.
4. When used in areas outside of the "HVHZ" requiring wind borne debris protection this
product complies with Section 1609.1,2 of the 2007 FBC and does not require an impact
resistant covering. This product meets missile level "D" and includes Wind Zone 4 as
defined in ASTM B1996.
5. For 2xc stud framing construction, anchoring of these units shall be the same as that shown
for 2x buck masonry construction.
6. Site conditions that deviate from the details of drawing FL-10599.1 require further
engineering analysis by a licensed engineer or registered architect,
7. Outswing configurations using coastal outawing item #31 meet water infiltration
requirements for "HVHZ".
8. Inswing configurations and outswing configurations when using item #18 and item #33 do
not meet the water infiltration requirements for the "HVHZ ". Inswing units shall be
installed only in non habitable areas or at habitable locations protected by an overhang or
canopy such that the angle between the edge of canopy or overhang to sill is less than 45
degrees."
9. See drawing FL- 10599.1 for size and design pressure limitations.
endellW
FL No, 5415
Apri117, 2008
Sheet 2of3
Feb. 5. 2810 1:06PM Everglades Design Center — Miami No.0488 P. 6
Supporting Documents
A Drawing
1. Drawing No. FL- 10599.1 prepared by R W Building Conanitants, Inc. (Florida Board of
Professional Engineers Certificate of Authorization No. 9813), signed and scaled by
Wendell W. Honey, P.B.
B Tests
1. Materials {Therms Tra Corporation ]Insulated Steel Door Panel) testing per ASTM E84 -00a
(ASTM E84 is equivalent to ASTM E84-04 referenced in the 2007 FBC as evidenced
by the comparison evaluation report EQ-E84-00-04 signed and sealed by Wendell W.
Haney, P.B,) as perfbrmed by Omega Point Laboratories and reported in teat report 15427-
107362, dated August 28, 2000, signed by Wllltam E. Fitch, P.E,
2. Materials (Polyurethane Foam Core) testing per ASTM 1929- 96(2000)e0l es performed by
Architectural Testing, Inc. and reported in test report ATI 677508.01- 106 -18, dated August
30, 2006, signed by Joseph A. Reed, P.E.
3. Testing per TAS 201 -94, 202-94 & TAS 203 -94 as performed by Testing Evahnation
Laboratories, Inc. and reported in test report TEL 06- 0717 -1, dated July 17, 2006, signed
by Wendell W. Haney, P.E.
4. Testing per TAS 201 -94, 202-94 & TAS 203-94 as performed by ETC Laboratories and
reported in test report ETC 01-741-11004.0, dated July 6, 2001, signed by Joseph L.
Dolden, P.E,
C Calculations
1. Product anchoring for tested specimens is in accordance with manufacturer's ue's published
recommendations as substantiated by tested specimens reported in test report TEL 06 -0717-
1 and ETC 01-741-11004.0. Additional product anchor analysis for loading conditions
prepared, signed and sealed by Wendell W. Haney, P.E,
2. Buck anchor analysis for loading conditions prepared, signed and sealed by Wendell W.
Haney, P.E.
3. Glass load capacity articulations prepared, signed and sealed by Wendell W. Haney, P.B.
D Other
1, Certificate of Participation issued by National Accreditation and Management Institute,
certifying that Therms-Tru Corporation f s msnufacturing products within a quality
assurance program that complies with. ISO/IEC 17020 and Guide 53.
PP1378
endell
FL No. 5 15
April 17, 2008
Sheet 3 of3
Mang
r. TKO mete hssbeeneariusiedcmdlsha nprance v3010023)7R0600 &Eking Cada
shtecheraCtectutetmentshagihe' #ivetoes•1106aane19sraf0E031
2. Pct sNdbersIs18dundoacad0e stoma% degas. AnchorO '10 base
mated 0011.be bowed wad lgers
3. WS= used Is the " WI* posclud combs +r1 sedan 1(36011hofkitd0BatingCadeard
does not0krafro residardzovaim
4. Witimusedb a= atstkied Ilia TPAid` vind Imnotelais perteti rsIfs make
c00:109+ iteSeclic0 1639.1.2clite2337 fECuriddass net mph en trtapeetrea tard .
26praductme dsrnissOad well artd es WbdZsne4osdeinedinA E199.
£ Farbslud karingoirducEmencbcdng arrows esnadm/be the =ne bhatsf nnaf e
back mammy cenulacrari.
6. sdeconc53o0Ilaettterbdetorn the delcas at Wsc rerrlttet r enskesingandtgis by
m Icersedenginear mrsettevEdacteect
r. Outatem cadtpaalimussim =slat calm Item reseet wader fr = Fecpireirads kg
"PREMIUM" & CONSTRUCTION" SERIES
S M DOOR
INSWING J OU1'SW'ING
"IMPAcr
1nrtra
ITRU
THERMA TRU D -OORS
1 1 El re crusrarar. Da.. Ee7ueocTON, Olt 4351 7
TEL 1419 429B - 1 . 74D
Irvettgccelemallaramiclookaltycadigualktuwhatiminaltim cal and /WON dame
meet the vffliterirgeoliensnikernects rarihe'P.I : retiat +bshebe bsdaledefilifii
1e habitableasteaurcdtheditchis' p Wan oa sagerconapysud+*at
the anOetsedweelatt edge ad =ropy ar ovehona lradIS less than 4Sde,,peses.•
0
v
MEM
pr " "�.
veruamaosss zebra
mat and _.
e
—13111813"..
_ _
I I
J
a
0
CM El
.00
L
EXTERIOR
FXItRIOR
Wir
L
.00
Flivallgod
raidexisaphe
0
eXIERIOR
iNTERIOR
EtitERIOR
AEU
4/,7,
nem MT.S.
DOM IBM AL
Wer
— re
woo vo,
FL-1093.1
law
0
gm'
irk Obi,
1 10 ,1 17
0
ArlikAnitAM
NYIEVIO
4 E1 • ,:+:L• ,• • :■6
INTERIOR
0 0 0
0
INTETIOR
I-1/4' MIK
EMS. MT.)
Ank Citt • 0. "a.
Sheen obbucitalbseltorng
commie sawassforncedscreno pat
Section 17M.S.4.2olthe RSC
1
0
0
INTERIOR
EXTERIOR
„ • •••• rt
• ,
7
1
1-V4
BAB. IT(1
1
t om 4/17f�
aim N.T.6.
ow ea M
Wbfl
moms
FL—TCES0.1
Sir 4—
1
1
L
m
•C
CD
oe
6
col
Gra
oq
C
CD
a
a=3
CO
T` MIM FROM MAIM RQM
.. MASONRY EEGS MASONRY 'EDGE -•---
tTYP.? Pent
ismallin
id 0
INTERIOR
INTBiICR
a
@ mum cross swim
Inswing conrcesedise
•.: vi ►• . ►a
21,12•MN FROM 1 24.17 MIN. MOM
MASONRY EAC+E MASONRY EDGE
--.-P-
ERRC LCRO
� 1
BOERIOR
•
•` P • ' a . &
2-1/2' MN. FROM
MASONRY ROM
CNN
kr
2.I/TA MN.F FROM
MASONRY MOE
e ••q i,do�
2•1fr MMN. FROM
PP.) n�ur MGR
irk
ameetoezradcs tar weed saeesper
Smith m4 M2ct the FBC
2-14r MIN. FROM 2-1 'MIN. FROM
.r..a MASONRY BXiE
t .) t '-1
7- sheet 1
webstrae:Am
•
P
MA.9 RYMOE -.,..
22r7 MN. FROM
MASONRY EE
na
in
swtt
ALTS.
11161. Oft AL
nese loa
FF. -10;539. 12
cov
RRlC1CA/$1�IIpAiTe
alma JAMB
RAM A Rle
Wafeay2X treat eana uton
a
I/4"BCOC anaetesraewsanchmdng21buck require Qmin v I. teem awyec tax. a pliraireirrium ern ecknent and a
nark= aterance to agaceef accasefesziew SubilfSufkm of etruetoaaaaare seams then odrtferen/ awake may have different
edge &dance an/ centera na9/mainframe.Coneretesawbazar = of eye exam maybe =gored fo maintain Mae et/Thrum
edge cadence famodtnrjalafs,ft Cancels aerawJaomtfbnsnofedas Vigi.X. O cow e sf beau!ramatnPainthe n**mmt"t
edge Mance ooYlknd Cancreie gams may beregaledfa enema the madam an healer dii on not
2 r1e'rtweastae+resrsexsandtadng and► a. s8' regale omtranure2r /Tdaprmceat@ edger. ord/emintmern
erebednef m atreen rciiiNarice 10 ocenQ camera mews WWI /afield, egad concreta ken adffferenf
rreONm dement edge dam= and defence req r Canasta screw facalians a/ the cams may tead*Wad
makc10 tts9 mfrramum edge efonde to readdriednb; a Carraefe same faa rtoted®?AAJr. ON COM"reed he =Weed 11,
moiniah minimum edge a etb r
dieter sae Ems* atceedea
Atteirt
T
MOM d MEOW Mt=
NirlOF7,
P. Willie aarraate mews o frame and/or/idraquiraav an2- W cJeo4ncetot ray edges. oP- 3Jd're brnnn
embedment and neAdmen 3"de ember he adjecere aorrem ectews. Substrkdon degcat ceramic s rews tomaQderedArm far
i rove dinned edge distance and a cetaaeerequimmts. Co ade he names May beaafusbedb
Me minimum edge eesterce tomotterpobla~It*meteta wbeamsmebdas cet.frer aaa bee sfedto
mob air the s MRkrwmeeige &Jaws to menerfaltez exteedored Comets weave maybe reeriked to were n e exam .man ceder
drtrendatis not exceeded.
2. 3fed"&W concrete SCRIM anohodne taw oncrfor sfirarqukaatattzutm2r5ir clearance lommarry edges, a a -I/at" nfbtasrra
embed:nerd and a ratim arr2414'ctOaanae 4v adtoca dcara=mta screw online offeetwiseratesity ooriaetescawm
.71=-4M1
1
x 4 / 7102
souk N,
,men AL
MATZ pee:
FL— fO59®.I
14
33
. l
i
EdICK SG )02 055
MAX. 1/4'S1IMPACE
1 ex
!I'll E .CO r .. fad OWE -.12 ?
MASONRY• 3 CONCEDE CO OW4216TOACI
301 OR HOLLOW BLOCK COKCI 7GTO A5TMC9D
114'X 1414`PFH OW
01
3116X& 11(PFH FM/ GOI S W
114
1 /4'X 2.1
PFH CONCREIE
1 4"X3.3/4'PFHAWG NCRETESC EW
46 21/T PFH WOOD SCREW
DOOR SDK PREMWNISIBIL$E1 M'MA1. r 1 PSI
TOP RAI.
1►:
V
m
: i RAII.
YURQHANE FOAM I:
1.l�ts I
tcr'IIi,
UMW
NEI
ICI
ILEX
•
« ?F
y1. S:
it.`i =t ,ra�tdtl
•1-
't
4'X4'HINGE 4P}"TIEC, HERM-
PIN W «;•;) SCREW
PASSAGE L • • - MICE MODEL ,• - GRACE 2
13iRSHOU3OUNfeR4G t +.i �:,•: la t
HEADERiAMB ' 656 X 125IT1 'ttMRU. Fade MN=
Vrir4rrrriprrc tram
MSW410 DOOM=
« +I
,11111(77711:_. MI
WOOD
0314MEIE
0
STEEL
Y•G0.
5/EEL
WOOD
WOOD
WOOD
COMP.
•
FOAM
11111=1•111
STEEL
ALWAJWOOO
WOOD
WOOD
LA it • i':u' , .'nl`Lgz r`i1F; - f- . -.71• a lt
LA frii.. lam '
EA . 1-_-L llY ' _ ____ _ �
PVC
Q LOCK BLOCK 2.423t X 103775 X 1 ��' THIL t� •r
10i FREMIUM SEM DOOR -SEE PA6+L ORAL SH213 DETAB3 MIENUM
Q xnr : rl! ;»
0 0
Jamb
FROM Accurate
PR X CER Accurate
ate
8300 West Flaglet Smite 114
Miami, FL 33144
Phone (305)2284727
INSURED Direct Benders MG
12920 SW 128 St Use 7
Maud, PL 33188.
COVERAGES
THE POUCIES OF INSURANCE LISTED HAVE BEEN ISSUED 1'O THE INSURED NAMED ABOVE FORME POLCY PER100 INDICATED. NOTIMT ISTANOI D
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUL NTT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T AS. EXCLUSIONS AND CONDITION$ OF SUCH
POUCIES. AGGREGATE L81ff8 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS p ,
LTR TYPE OF INSURANCE POLICY NUMBER DATA RATR I� LMMTS
0
n
n
GENERAL MAMMY
® COMMERCIAL GENERAL LIABILITY
00 CLAIMS MADE ® OCCUR
0
GEN'L AGGREGATE LIMIT APPLIES PER:
❑ POLICY ❑ PROJECT U IOC
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ All OWNED AUTOS
❑ SCHEDULED AUTOS
❑ HIRED AuTOty
I:1 NON OWNED AUTOS
0
❑
GARAGE LIABILITY
❑ ANY AUTO
n
EXCESS 1 UMBRELLA LIABI
❑ OCCUR ❑ CLAIMS mADE
❑ DEDUCTIBLE
❑ RETENT1OP 8
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR I PARTNER I EXECUTIVE
r
OFFICER 1 MEMBER EXCLUDED?
(Mandatory NIS
SPECIAL ROV1$IONS below
OTHER
CERTIFICATE HOLDER
MlBmi Shores Wage
10050 NE 2ND AVE
M111rnI $h4rCla, FL 33138
ACORD 25 (2009101) QF
Fax (305)2219.8767
0000787878-2
(FRI }JUN 11 2010 0:00/ST. 8:00/Ha.7600000834 P
f DATE (PANIODTTY)
0607110
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLIER. THIS CERTIFICATE DOES NOT AMEND, EXTEM OR
....,,,J°.IL. ER TML COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE NA1C 0
INSURER A. Atlkln Guilders Ins. Co
CERTIFICATE OF LIABILITY INSURANCE
INSURER B:
INSURER G:
INSURER D:
INSURER E:
04/13/2010
04/13/2011
DESCRIPTION OF OPERATION$1 LOCAT O H 1 mecum 1 DACUISIONS ADDED BY ENDORSEMENT I SPECIAL PROWSIONB
AUTHORIZED RPREATRIE
Lucia Estrella
EACH
SE
A CCH OCCURRENCE
PRIS tEaF oBl
RED EXP (ArIY cne Gaon)
PERSONAL Si ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGO
CONERNED SINGLE UNIT
ecddElHi
BODILY INJURY
pawn)
BODILY INJURY
API
PROPERTY DAMAGE
(Per moo)
AUTOONLY. EA ACCIDENT
OTHER THAN FA ACC
AUTO ONLY:
EACH OCCURRENCE
AGGREGATE
❑ r'iT.s ❑"'
61.. EACH ACCIDENT
EL DISEASE - EA EAVLOYEE
E.L DISEASE • POLICY UMTT
1,000.000
100.000
5,000
1,000 000
2
1 ,000,050
CANCELLATION
SHOULD ANY OF TIN: ABOVE DES0RISSD POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAB.
30 DAYS t1IRI1TEN NO11CB TO THE CERTIFICATE HOLDER NAMED TO
Tl�f. FT, BUT FAILURE TO DO SO SHALL IMPOSE NO CBUGAT1ON OR LIABILITY
OF ANY KIND UPON TIM BOXER, ITS AGENTS 011 REPRESENTATIVES.
loseaea ACORD CORPORATION. All HON, e,Merd.
The AOORO name and logo are registered mIks Of ACORD
FROM Accurate
.d►eO
PRODUCER Accurate
6300 West Flagler Suite 114
Miami, FL 33144
Phone (305)226-8727
INSURED Direct Builder@ Inc
12920 SW 128 St Unit 7
Miami, FL 33186 -
COVERAGES
THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR COND$T1ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
LMAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDmONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
sRD TYPE OF INSURANCE POLICY NUMBER Eff ECG 1 ) LIMITS
GENERAL U. BILUTY
A
6
I
0
® COMMERCIAL GENERAL LIABILITY
❑ ❑ CLAIMS MADE WI OCCUR
❑•
GEN'L AGGREGATE LIMIT APPLIES PER
❑ POLICY 1 PROJECT ❑ LOC
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
❑ SCHEDULED AUTOS
❑ HIREDAUTOs
❑ NON OWNED AUTOS
0
❑
GARAGE LABILITY
❑ ANY AUTO
0
EXCESS/ UMBRELLA LIABILITY
[] OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
❑ RETENTION s
WORKERS COMPENSATION AND
EMPLOYERS' UABIUTY
ANY PROPRIETOR 1 PARTNER / EXECUTIVE
OFFICER / MEMBER EXCLUDED?
(Mandatory In NH)
If yes, escribe under
SPEG�LAL PROVISIONS below
OTHER
CERTIFICATE HOLDER
ACORD 25 (2009/01) QF
Miami shares Village
10050 NE 2ND AVE
MiamI Shores. FL 33138
Fax (305)226 - 8767
00007871378 -2
(MON)JUN 14 2010 11:44/ST.11:43/Ho 7500000697 P
CERTIFICATE OF LIABILITY INSURANCE ! DATE (MIWDD/YY)
06/14/10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE PO BELOW.
INSURERS AFFORDING COVERAGE NAIC #
SUA0045784578
INSURER A: American Builders Ine. Co
INSURER B: SUA Insurance Company
INSURER C:
INSURER D:
INSURER E;
04/13/2010
05/01/2010
CANCELLATION
04/13/2011
05/01/2011
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
EACH OCCURRENCE
BYO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & AOV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Pet person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY. EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: AGG
EACH OCCURRENCE
AGGREGATE
TORY I,IMIIIS ❑ ER
E.L. EACH ACCIDENT 100,000
E.L. DISEASE - EA EMPLOYEE 100,000
E.L. DISEASE - POLICY LINT 500,000
1
1,000,000
100,000
5,000
1,000,000
2,000,000
1,000,000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MA/t•
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE T • DO SO SHALL IMPOSE NO OBLIGATION OR LIABIU Y
OF ANY KIND UPON THE ✓ ► . r ✓ r , ' , ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REP '
Lucia Estrella
db �. r 09 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are v gistered marks of ACORD
NTRACTOR
SOTADILL -00 NOT PAY
REND
SEE OTHER SIDE
DO NOT FORWARD
DIRECT BUILDERS INC
JUAN SOTOLONGO PRES
12921 SW 27 ST
MIAMI FL 33175
11111111111111 " 111 )111111111111111111111111)1111 111111119!}11