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1285 NE 95 St (9)08/25/2003 07:54:57 AM PGT Industries 01 Nil AMPDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) PGT Industries P.O. Boa 1529 Nokomis, FL 34274 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) 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 Division (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. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division 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 High Velocity Hurricane Zone of the Florida Building -Code. DESCRIPTION: Series FD -101 Outswing Aluminum French Door w/ Sidelites - Impact APPROVAL DOCUMENT: Drawing No. 972, titled "Aluminum French Door w/ Sidelites ", sheets 1 through 8 of 8, prepared by manufacturer, dated 7 - 12 - 99 and last revised on 01 -17 -03, signed and sealed by Robert L. Clark, P.E., bearing the Miami -Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. 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 & renews NOA # 02 - 0102.01 and, consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I. Chanda, P.E. pa 4114,1°4' 02- 092713.mm PGT Industries 01 Page 2 MIAMI -DADS COUNTY, FLORIDA METRO -DADE FLAQLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No 02-0927.13 on Qate: February 13, 2008 val 0afe: February 13, 2003 Page 1 98 MAX. 38.125 MAX. 33 3/8 MAX. DAYLMHT 9PEIUNO WB -..-_.- MOT OPENING T'P. 8.800 �1 ( " ; - MAtc 4.000 4.000 4000 71.750 MAX. 36125 W 41. - 25 MAX. ® 25° MAX. ® 33 3/8 UAX.& - DAYLIGHT DAYLIGHT WIYLBNHT OPENING OPEK 39.500 \ \ oxxo 13.50 1550 MAX. / 4.000 -- �\ (4.009 1 4.000 4.000 + � \ 4.000 MOUE / 4 7 :tar 1/ 80,I. Top 0 14 Suovn Rcq'd 4.000 4.000 4.000 4.000 LARGE MISSII F IMPACT DOOR 7.) ammo OPTIONS. (SEE SHEET 3 FOR GLAZING DETAts) OPTION 1 - .402 we7 WOWED 0/16° 7150 s1RE11GINIMED .090 2411IFR LATER I/e" MHO= OPTION 2 - .402 (3/67 LAL6NATED (4/16' har SlRf 100580 .090 LINER LAYER 1/8 HEAT STRENGTHENED OPTION 3 - 7/16" MIRFI9TFD (3/16" MW SIREINITIOENED. .090 LITTLER LAYER 3/16' ANNEAUD OPTION 4 - 7/18' LAL87MTED (3/16 HEAT STRENGTHENED. .090 INNER LAYER 3/16' HEAT S7REIGIHENED 2) DESIGN PRESSURE RATING: (SEE TABLES SWEET 2) .3.) ANCHORS: DOOR SRO MAX FROM CORNERS: AMA FROM DOD & & MAX SPAQ7OG AT HEAD * SSW 13.500 M4X. SPACING AT .L4MAS 21.000 4.) SHUTTER REQUREM T: SHUTTERS NOT REQUIRED. 5.) REFERENCE TEST REPORT FTL -2057 6.) SEALANT 7D BE APPLIED AROUND THE FRAME CORNER & PANEL CORNET? SEAM. 47.875 FINOE LOC. THGL 1 90 MAX. 85 6000 I /111CIf0A9 ABC T1P IN HFAO k 511 T 36.125 MAX. 33 3/8 MAX OAYIJGHT OPENONO 1® 2 POINT LOCK OPKON 38.509 1 1 4.000 4.000 - 4.000 4000 oxo 37.500 MAX. 25 MAX. 0AY11GHT OPENING 13.50 I� MAY. 36.125 MAX. 33 3/8 MAX. Attrl m{YU6F1f OPOCH8 21.00 MAXL j 7 21.000 MAX. j 8.000 L 6,50D MOW ALVIEWXD eseqpIa.86 dm, MAMA A ili MIAs F.K F.1( ;/2O/01 8 LETTER 8/17/01 6a� No D.d. 7!12/e9 owoostm ELEVATIONS OXXO & OXO 1 I 1 070 TECHNOLOGY RAVE 05= { {{ NC4COMI$ n 34275 ALUMINUM FRENCH DOOR W/ SIDELITES Rabat L. Clerk. P.0. P.O. DV 1549 ° Snee ISM& I Raep Ka !Ac PE /39713 slrlctwal KOVACS FL 3 FD -tot NTS 1 m 8 972 D ! COMPARATIVE ANALYSIS TABLE 1. - GLASS OPTION 1 3116 Heat Strengthened, 090 Inner Layer 118" Annealed COMPARATIVE ANALYSIS TABLE 2. -CLASS OPTION 2 3116' Heat Strengthened, .090Inner Layer, 118' Heat Strengthened COMPARATIVE ANALYSIS TABLE 3. -GLASS OPTION 3 3/16" Heat Strengthened, .090 Inner Layer, 3116' Annealed Qty. of Slabs Sidel8e Width I Max. Doer Widths Heights 1 1 omo Qty. of Slabs 1 Sidedte Width rh,h Max ..... Widths h h Heights 1 1 o x o Qty. of Slabs 1 SideHte Width 22.000 Max. Heights 79.750 81750 1 87.750 91.750 95.750 79.750 1 -75.0 83.75D 1 -75.0 87.750 1 -7: 91.750 k 95153 Widths 1 79.750 1 83.750 1 87.750 1 -75.0 91.750 1 -75.0 95.750 -75.0 I 22.000 -75.0 -75 -72 -70.2 -68.8 -'5.0 -75.0 37.500 -75.0 -75.0 75.0 75.0 72.5 70.2 68.8 75.0 75.0 7ao 75.0 75.0 75.0 75.0 75.0 75.0 75.0 1 28.000 37.500 -74.7 -73.2 -70 -68.5 -67.1 1 r h h rr -75.0 -75.0 -7'. -75.0 - 75 . 0 1 28.000 37.500 -75.0 -75.0 -75.0 -75.0 -75.0 74.7 73.2 70. 68.5 67.1 75.0 75.0 75 75.0 75.0 75.0 75.0 75.0 75.0 75.0 I 30.000 37.500 -64.7 - 63.2 -61 -59.0 -58.2 1 h 1rh ht -75.0 -75.0 -7: -75.0 -75.0 1 30.000 37.500 -75.0 -75.0 -75.0 -75.0 -75.0 64.7 63.2 61 59.0 58.2 75.0 75.0 75 75.0 75.0 75.0 75.0 75.0 75.0 75.0 I 33.000 37.500 -55 -53.5 -51 6 -50.1 -48.9 1 r.r r h , h -750 -75.0 - 7 ;5.0 -75.0 1 33 37.500 -75.0 -75.0 -750 -74.7 -72.6 55.4 53.5 51. 50.1 48.9 75.0 75.0 75 75.0 750 75.0 75.0 75.0 74.7 72.6 I 36.125 37.500 -48.9 -47.5 -45 -43.4 -41.8 1 h r -75.0 -75.0 -7: 5 -75.0 1 38.125 37.500 -70.0 -87.9 - 65.7 - 83.1 -60.4 48.9 47.5 45.4 43.4 41.8 75.0 790 75.0 75.0 75.0 70.0 _ 67.9 _ 65.7 _ 63.1 _ 60.4 2 22.000 71.750 -75.0 -75.0 -72.5 -70.2 -68.8 O M P O O 2 000 71.750 -75.0 -75.0 -75.0 -75.0 -75.0 0141.10 2 22.000 71.750 -75.0 -75.0 -75.0 -75.0 -75.0 75.0 75.0 72.5 70.2 68.8 75.0 75.0 75.0 75.0 75.0 75.0 75.0 75.0 75.0 75.0 2 28.000 71.750 -74.7 -73.2 -708 -68.5 -67.1 2 28.000 71.750 -75.0 -75.0 -75.0 -75.0 -75.0 2 28.000 71.750 -75.0 -75.0 -75.0 -75.0 •75.0 74.7 712 70.8 68.5 67.1 75.0 75.0 750 75.0 75.0 75.0 790 75.0 75.0 75.0 2 30.000 71.750 -64.7 -63.2 -610 -59.0 -58.2 2 30.000 71.750 -750 -75.0 -75.0 -75.0 -75.0 2 30.000 71.750 -75.0 -75.0 -75.0 -75.0 -75.0 64.7 63.2 61.0 59.0 58.2 75.0 75.0 75.0 75.0 75.0 75.0 75.0 75.0 75.0 75.0 2 33.000 71.750 -55.4 -53.5 -51.6 -50.1 -48.9 2 33.000 71.750 -75.0 -75.0 -75.0 -75.0 -75.0 2 33.000 71.750 -75.0 -75.0 -75.0 -74.7 -72.6 55.4 53.5 51.8 50.1 48.9 75.0 75.0 75.0 75.0 75.0 75.0 75.0 75.0 74.7 72.6 2 36.125 71.750 -48.9 -47.5 -45.4 -43.4 -41.8 2 6.125 71.750 -75.0 -75.0 -75.0 -75.0 -75.0 2 36.125 71.750 -70.0 -67.9 -65.7 -63.1 -60.4 48.9 47.5 45.4 43.4 41.8 75.0 75.0 _ 75.0 75.0 75.0 _ 70.0 _ 67.9 65.7 63.1 60.4 COMPARATIVE ANALYSIS TABLE 4. - GLASS OPTION 4 3/W Heat Strengthened, .090 Inner Layer, 3116° Heat Strengthened Qty. of Sidelite Max. Door Heights NOTES: 1. NEGATIVE DESIGN LOADS BASED ON TESTED PRESSURE AND Slabs Width Widths ' 79.750 83.750 1 87.750 91.750 95.750 GLASS TABLES AST E 1300 -9B. 37500 -75.0 -75.0 -75.0 7 75.0 2. POSTNE DESIGN LOADS BASED ON WATER TEST PRESSURE AND I 22000 75.0 75.0 75.0 75.0 75.0 GLASS TABLES ASTY E 1300 -98. 1 28000 37,500 -75.0 -75.0 -75.0 -75.0 -75.0 3. GENERAL: 13/0 - DAYUGHT OPENING 0 75.0 75.0 75.0 75.0 75.0 it 0/0 HEIGHT = DOOR HEIGHT - 10.875' 30.000 37.500 -75.0 -75.0 -75.0 -75.0 -75.0 0/0 WIDTH SIDELRE a ELI SIDTE MOTH -2.750' r weitalefeb 1ke ivldi - F . 1 g 1. wPw 1 75.0 75.0 75.0 75.0 75.0 0/0 WIDTH PANEL = PANEL MINH - 12.500" 1 33.000 37.500 -75.0 -75.0 -75.0 -75.0 -75.0 790 75.0 75.0 790 75.0 -75.0 -75.0 -75.0 -75.0 - 75.0 I 38.125 37,500 75.0 75.0 75.0 75.0 75.0 la` / /1 7/03 a� /02 Readu� 0-1100 NUS & ADD I 3 rirworbm f. 2 22.000 71.750 -75.0 75.0 - -75.0 75.0 -75.0 -50 75.0 -75.0 75.0 -75.0 - 75.0 1///71:1/p3 Robed L Cork P.E #39712 r e, � 28.000 71.750 750 750 Romer 1C 8/20/01 9-PER LETTER 8/17/0t 2 75.0 75.0 75.0 75.0 75.0 frown L7.a . 72/B9 -75 -75.0 0 -75.0 ... - 750 - 750 - 7575.0 0 O 75.0 75.0 75.0 75.0 75.0 1O,IpT DESIGN PRESSURE TABLES, OXXO & 0X0 ALUMINUM FRENCH DOOR W/ SIDELITES -75.0 -75 0 -75.0 -75.0 -75.0 2 33.000 7t750 710 75.0 75.0 75.0 75.0 2 38.125 71.750 75.0 75.0 7 5.0 75.0 -75.0 75.0 - 75.0 75.0 -75.0 75.0 P.O. 60% 192e rroecotas FL 1t94 s FD -1O1 NTS ! 2 8 I 011211426 972 D TO SOTIaSOPUT Ina DOOR GLAZING OPTION 1 .402 (3,'W) LAMINATED 3/18' HEAT STRF•G1HENED .090 IMIER LAYER (SEE NOTE) 3/16 HEAT STRE]VCTNINED SIDF1lTEs DOOR C ?1171TES GLAZING OPTION 4 7/16 LAMINATE: 3/1 NEAT STRENGTHENED 480 INNER LAYER (SEE NOTE) 3/18° HEAT STRENGTHENED REFERENCE TEST REPORT: FTL -2067 DQQ8 SI0EUTES GLAZING OPTION 2 .402 4/8 ° ) LAMINATED NOTE: INNER LAYER NAY BE DUPONT BUTACITE PM OR SAFLEX/KEEPSAFE MAYIAA1Al. RabM L Clark, P.E. PE X39712 Sbuebud m L- r _ 1070 TEQWCLOGY O10VE NcxO :WS, FL. 34275 P.O. BOX 1520 MOMS. FL 34274 22(28 !terse Or Oafs: Ns■hioac 1/17/03 0-NO THIS SHT Roodoar ease lb: FA 9 c-AQD 7116 &ASS Nord Ar Ode: Redden= F.K. 8/20 /01 8-PER LEVER 8/17/01 tram ep oogx D.B. 7 2/99 Oesaellam GLAZING DETAILS GLAZING OPTION 3 7/16 LAMINATE) =UM 11'A0011FrT:61169/50 L ain vAilb In Rot* z- - 2.745 ALUMINUM FRENCH DOOR W/ SIDELITES of 1V I � 8 I X 972 ID 0 HORIZONTAL SECTION OXXO HORIZONTAL SECTION REFERENCE TEST REPORT: FTL -2067 OUTSWING f/ Robert L Cork P.E PE #39712 1070 TECHNOLOGY ORAE tomes. a 34273 P.a 1322 1529 HtKQ194. R. 34274 OUTSWING kwod ex Ode: Raki, w F.K 1 17/03 D WO THIS SHT Rome Or Oatar Robb= F.K. x/ 9/02 C-NO CHO MIS SHT Rood H' Oaep 4hxi6ae F.K. 9/20/01 PER LETTER 8/17/01 Drawn Etr me D.B. 7 2/99 SECTIONS Row SIDELtTE Whim MIRKY wawa) r Noma nooks I ALUMINUM FRENCH DOOR W/ SIDELITES uo► o rs I 8 �°°�° 972 a 1-3 0 a . / , �,' i • O 0 0 0 0 0 11_1 11:_il.4I.'. 4Y. ,_ , .'. ! 1! 1 fML u:i.A02-711rom• �itAa,mfil 7r E '�?'rftl�lramAi�-i• iraT r3trt�r �t T.�Fl .ilr`�Itil— W 1b rari711 1 1f2 .•M>•7ir rT_:T . rykticallir t!+ . j1■■••f101F atEkrza ©Fz FP! l iL &ABI rYl-J• :4I F: -. t1 1%LL`: ;:>• i IC)l t� i1.1 ]lLliN 'iBF91r!J...n.>Ir z y 1' , �tlfalr •xIL— MAN �^ If k ' .1 1 1, r d 41111r ataM•11i•1t1r.a f7 r�^,s i^,IIT ;a ;.a�� t 'T7 >•r �3>♦Ir ALITMMIIIIMIM WLUlr_'iZY?Jr— -. lrifra rrJ`t i,•∎∎ WIf1.11 itrllttlt=nt '= l:. s' t:1•IYcit31.':, 1•11111 L'.�uT� 01111- . 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"ili i_':?Y:.' +l•�IF)1 • LaII +`tr «11 :: [11 ;; ;!! :711.13 -W2 2 111')I 1� a 11i�Fn'1;7:i�1 1ri;F :t7-1 ZyA'.'?:)E:T 1 1E11•tvA efff: +ll4yr?4I11111•i'rrri:' lUai� :;>i•1Sr'1[D, r:Ji ::•r 7r,r !- iivx11•1111 r:n;z.;;111111111 WANf"7LIai AU ,1t_f FL•3LLONIt -t:m 11 • 'AM tlol l i a111W Fill iZ•?C;: 1 1. %�6'.r'.;!nt?3?� 7ii<f►1[•xu3L 4!• NM' IFMOJIMI■ NALIM ; :IP'+,'.W p !:: r ::;'. :%.IMMEN1111111111M1101 Nki�lt nnirerrxr:''Si tT�3Fii121 , 1• �II - i;,, MMrl:I0.11E =$ISANIIIII 11F21111 -1■11111111111■1•1•1111111•1111IN _TCJIA7 f.."11 WAN =MI ALUAs■IIVIIIIIIMI■ "WA L'airi.x EtIl7,'t? itlif :111 1•::r' L,t:II`i• WilrF_alL!ACIf l� E'.�iC>:Y7[r.•. .^7:^•x iSF1=':Cf■1•111■ tlI)l E:• 1111.1 1 '15 , 1 '12 r• c;�c�.;�i1�: :,� �;:y:,t•�F:'isT,�� L.7F.2: iliv7 m'T.7,T1 1+�?y 0:1 lr ►._i!. 5p 1rr iM31 t)>1F11;o_2101r :1■111.1= F7 .I'i?n7E3tin!MUM MIND L.tir'L.10114: ; 77 FI E'ili: ::.!siyiitQD�1 �� + 741 { 11♦� � q' r c tiyit Ya ,' f ? 'J•1 :•a7'L'i:;�i.1D1[h1. =it71 /41M T 1!7f I�;^^ 1r7.1Atr:: .11■1■11Q07t ' 1'r!r^` �' '.C l:ll..Jl !'l. ✓ .11•11 -� vffmr. . :.. .. .1.: Of T 77 rte : .. )OYB! mk ALUMINUM FRENCH DOOR W/ SIDELfTES Scalia NTS I g 5 m 8 I°° 972 D R 7 12 P.E. PE Structural MIES 1. OIYS L9 BRACKETS ARE FOR OX0 CONFIGURAIRPi 2 REFERENCE LEST 105 171 -2067 1070 TEf14la011Y ORIYE MOM FL 34275 P.O. 0000 1529 142( 01113. FL 3074 Rem balr Rab1nse F K ?/17/0] THIS CIF kobiarar F.K. Road 9 9/02 C-ADD 7/161 CUSS Rated K 8 4/17/01 Draws D. 72/99 BILL OF MATERIALS Serfyleadera FD -101 BatiBe�t>fM L � liallrodka M DIMS maid. C DOOR PANEL HEAD & SILL 6063 -75 ALUM. 1.620 250 -1 L O WEATHER STRIP CHANNEL 606J -T5 ALUM. .030 ..375 1.0. 2.125 1 !_ HINGE EXTRUSION 1 1 6063 -T5 ALUM. .125 4.700 .125 O DOOR PANEL JAMB 2 6063 - T5 ALUM. 1.500 4^N, TRUSS CLAMP 6063 -75 ALUM. 4.100 1.750 O DOOR PANEL. INTERIOR ASTRAGAL 6063 - 75 ALUM. O FRAME HEM 6063 -75 ALUM. 4.675 4.675 1.479 1.750 7070 TECHNOLOGY OR11E Nd101YS a 31775 PAL DU 1529 NIXOWS A. 34274 O DOOR PANEL, 6063 — 5 ALUM. O OUTSWIN° THRESHOLD 9 6063 -73 ALUM. Met 4.100 �n tA* F.K. 9/9 /o2 3.000 la.,s *, ossiw linear= F.K 1/17/03 D-NO CHG 77S SHT Throat N %9/02 C—NEW SHT r 1.480-- 1 — .050 s FRAME JAMB 6 6063 -78 ALUM. tail= Deortffelc EXTRUSIONS PROFILES, DOORS ma or MOP ALUMINUM FRENCH DOOR W/ SIDELITE � FV � - 10 01 1 NTS 1 6 a 8 I � 972 D SIDELITE B07773M RAIL CA, 6063 -75 ALUM. .830 2.980 O 9fDEL17>: JAMB ADAPTER 6063-75 ALUM. O SIDELITE HEADER 36 6063_75 ALUM. Robert L. Clark P.E. PE 939712 Sbuctumd O SIDEUTE JAMB 35 6063 —T5 ALUM. �MaYir� Weiss. i d !ate 41/1' f K. 9/9/02 C —NEW Siff a' .X 99/02 lased Etc Wfie EXTRUSIONS PROFILES, SIDELITES Roinbas / ALUMINUM FRENCH DOOR W/ SIDELITE PR 90X 1529 tt + Fv -Lot NTS 1 7 m 8 I ml 972 D Tr KODO BUCK (SEE NOTE 3) ,.500 i u/x 1/4" TAPCON (sEE IVME 1) TYP. HEAD TYP. JAMB TYP. SILL TYP. SILL � °E 2) TYP. JAMB /SIDEUTE .250 +1 F� //1200 HO7E 3) NAX TYP. JAMB REFERENCE TEST REPORT: FTL -2067 .250114X T • , 7h If i r Rr .st L 0804. P.E. .PE /39717 S7.cwral TYP. SIDELITE HEAD 1 4' � • 10 TECHNOLOGY PIDKOMIS. 71. 34275 P.O. BOO( 1529 140(0109. R. 34274 1 4' TAPCOV SEE NOTE 1) TdJc .250 TYP. SIDEUTE SILL NOTES; T. USE ONLY N1MB —OADE COWRY APPROVED ELCO OR RIF TAPOON£ 2. INSTMUAT10N OF 2r WOOD BUCK TO NE SUBISTRATE ENGINEERED SEPARATELY AND TO BE RENEWED BY Btlaf5(0 OFFICIAL. a I./STRIATION OF Tr WOOD MAW TO THE SUBSTRATE TO BE ENGINEERED SEPARATELY. (SEE NOTE 2) 114 PANHEAD TYP. SIDEUTE SILL Awed OF Mee RwVsbnl: FJk ' V/03 MS sift F.K. 9x9/02 C-A00 WOWS Woe! Eoe 9/20/0: � LfWIER 9/17/01 D.a 7 °2/99 ANCHORAGE A 2r 11000 BMW (SEE 1407E 2) 114 FWWEAD TYP. SIDELITE HEAD irogromm 9 ALUMINUM FRENCH DOOR W/ SIDEL!TES F o NTS 18 a 8 I 972 I'S Miami Shores Village Building Department Tel: (305) 795.2204 Fax: (305) 756.8972 11 NM BUILDING• Permit NoR PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Owner's Name (Fee Simple Titleholder) L 67 I oekl f?E'Vra. Owner's Address ➢ 2 e 41 6 ie 'r City nic4mi ggioK a B State tov� Tenant/Lessee Name ' e dr- Electrical Plumbing Mechanical Roofing Phone # Job Address (where the work is being done) / l - s 9 Pam 1T Phone # 3os -F dlt l Ca!! 5ns 31 ti.. aas I Zip 3z 13 City Miami Shores Village County Miami -Dade Zip 33 t 3 Is Building Historically Designated YES NO Contractor's Company Name 8 e./ Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # C7S� 133 Square Footage Of Work: Ce $ Value of Work For this Permit s®® Type of Work: ❑Addition Llteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: n � • ' rsG4®8,6 - (l 8 s � o Doo P't b Ioc��� d "Q u Q�� t 9 u,„„, a G,-1 0 t t:f )A-s r ,uc u4. Pc, Q N a V dY r Q� ( � p �I� 2 l( PAPS O00%- Pticc`r" ,§t4z.v w Trla c Submittal Fee ®c, " Permit Fee $ 50 CCF $ ` / d. 0 CO /CC Notary $ Training/Education Fee $ a C.f Technology Fee $ t, pR r Scanning $ /Q Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 56 125,00 — '7, Total Fee Now Due $ 3 , e)__c (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) em 1 F� Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for 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 inspe which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will .t be approved and a reinspection fee will be charged. Signature NOTARY PUB Sign: Print: O gent The foregoing instrument was acknowledged before me this 1 B 20 04 , by G i b' o- day of r1 A who i. personally known to e or who has produced As identification and who did take an oath. eirtco My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ' Francois MacLellan sign: ; : ommission : 1 D262004 C tct' /nE� . Expires. Dec 14, 2007 Print: u ti Bonded Thru 14- aOO ''" Atlantic Bonding Co., Inc. My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********* * * * * * * * * * * * * * * * * * * * * * * * * * *,:� ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4/z7/e - Skid APPLICATION APPROVED BY: Chc 12/15/03 Plans Examiner Engineer Zoning APR 272004 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/30/2004 Applicant: LINDA Owner: TONDEUR JOB ADDRESS: 1224 Contractor Local Phone: Parcel # 1132060143931 NE 96 ST Fees: FEE2004 -4350 FEE2004 -4351 FEE2004 -4352 FEE2004 -4353 FEE2004 -4354 FEE2004 -4355 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Structural Fee Total Fees: Amount $250.00 $1.20 $0.40 $6.25 $12.00 $100.00 $369.85 Total Fees: $369.85 Total Receipts: $0:00 19AY - 3 PAID Permit Status: APPROVED Permit Expiration: 10/13/2004 Construction Value: $1,500.00 Work: REMOVE EXISTING DOOR AND BLOCK. REMOVE EXISTING WINDOW AND INSTALL FRENCH DOOR WITH SIDE LITE Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -509 TONDEUR LINDA Contractor's Address: Page 1 of 1 Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 15 & W3OFT OF LOT 14 BLK 84 BY: MIAMI SHORES VILLAGE. FLORIDA BUILDING DATE / 195 ELECTRICAL 0 PLUMBING 0 PERMIT N? 7907 Contractor's License No. ROOFING 0 0 Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed BY INSPECTOR 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, servant or employee. BY AUTHORITY '44a'' I7 Sent by:R & S. COMPANIES OF Feb -27 -02 09':07 2. Description of improvement: 4. Contractor's name and address: TF Name and address: Amount of bond $ S SW 7 5. Surety:(Payment bond required by owner from contractor, it any) Notary Public Print Notary's Name Signature 01 owner /�J c Print Owners Name•- /// t ni , . Sworn to and subscribed before me e this J this a day daY 0 of O?;1V UCt ai a My Commission Expires; " rikt Ott A LA from 30525667003057568972 NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. r�� Q STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Cor men ;emeent, 3 / 1. Legal description of property and street address: r 2 S -4 1 5' Z - J hies A 'S 7 & < E3�Y•1 �r :� �isscord EtPta�... . Page 3i 3 3. Owner(s) name and address: / .S t- S✓a-.x� •ti /,Z - tir � ' � l . � /3k Interest in property: ./..75 S N6. 9S S� ryl�a�r1,1 „51j�/za F13,3/38 Name and address of fee simple titleholder: . 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b) , Florida Statutes. / Name and address: A///74 -- 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the? date of recording unless different date pacified) a 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713,13(1)(a)7., Florida Statutes, Name and address: Prepared byllin lmmM R 5 Address: PAY TO THE ORDER OF THE COMPANIES OF R & S, INC. 8715 S.W. 129TH TERRACE MIAMI, FLORIDA 33176 -5903 °/ CITY OF MIAMI SHORES 2041 -wi SAXON? MARY SUE MEMO FIRST UNION NATIONAL BANK 63 -643 -670 0 29 L LS11 1:06700643 24 :2 L67 X 29 :05 7411' 02 -'15 -02 g DOLLARS 29115 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Sprinkler Repair Outlet, Switch Fireplaces, Number of Signs Fountain A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) - Pump, Domestic A/C Central 16-20 Ton Supply, AC Well Fixture Light Cap - Sewer Parking Lot Lights Gas - Natural Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip - Pump, Re- circulate Subfeeds, No. of Amps Temporary Water Closet A/C Window Clothes Washer FPL - Load Central Gas Piping Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Pump, Sprinkler Range/Range Top Utility - Sewer Swim Pool, Residential Discharge Well Chiller Ice Maker Generators, etc. Receptacles Switchboards Clear Violations Relay Repair Heat Recovery Vacuum Pump Refrigerator, Comm. (p/PH) Disposal Temp Serv., Construction Interceptor Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Septic Connection Deep Freezer Water Heater Low -volt, Fire Drainfield, 4" Tile/Res. Renew - Temp Service Lavatory Septic Tank Demolition Low -volt, Intercom/Teleph. Repair Circuits - Sewer Connection Water Re- . i . e Dishwasher Drains, Floor Low -volt, Television Minimum Fee Service, Number of Amps Water Service MECHANICAL TYPE _QTY., Minimum Fee TYPE QTY. Condensate Drain TYPE Generator ;AI ' 1 QTY. TYPE Q Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Sprinkler Repair Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Fountain _, c LUM=BING ip: . A/C Condensate r: : QTY.__ TYPE - Drains, Roof Q'11'. 'mg.: —QTY. - Miscellaneous Fixture TYPE Soakage Pit Q "I Y. Bath Tub - Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance - Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural - Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane - Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pum I, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) - Sewer Connection Water Re- . i . e Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 2 STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owney Ai.Z y ‘ 4 .7 v,- 5A2c0 ti Print Name ( !� Q� Sworn and subscribed before me this t d of Cr; , 4. • AO . .JiIGI drAiii % r ea. Signature of Notary Public. _.State_g f.,FJsu i... _ OF ''3i;:AL NOTARY SEAL gP P4/ 49 BARBARA ANN FUGA711 SEAL: I� p v f• 0 CO M 1SS36:d NUMBER ir � _ Q CC723468 • , Y MY COMMISSION EXPIRES r F O e NA 9,2.002 — Personally known _ ° - r � ' Type of Identification Produced: r loiriaoA s e L( Ce \S-Q SEAL: iah. nt Name Swom to and subscribed before me this day of 0 �-- e of Con . tor / Qualifier Signal Notary Public - State of Florida Type of Identification Produced: PERMIT APPLICATION IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully__ _ Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating,construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE JANET L. CLARK My Comm Exp. 9 /27/2002 No. CC 770327 Personally Known 1 1 Other I.D. Personally known tiR.'' o ucei t dtmranrnr Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. 0 RECEIVED AND REVIEWED BY: DATE: CONTRACTOR Name //me . �/1a.Ye,,e, N , . . , 7 7 Q / 7 , e k ' 7 ? / - 2 - 4 /7 # Name 0 p/l,LYFS 4,G 9G-S -- i License No. No. ge Dt/10.r0 Ad - - - / l P ,4 01s ACV ' e 3 C • :/7.61 /2 / A . ....3•0/0 . Address 87/5 ✓ e d . /gyp{ /i rn. '9%9 '3/ / 7, __5•72" Telephone s _ 2 s6 _6 Fax _..S LSt�67DD Qualifier Name— Plumbing Relocation of Structure ENGINEER Name //me . �/1a.Ye,,e, N , . . , 7 7 Q / 7 , e k ' 7 ? / - 2 - 4 /7 # ) License No. i e2. 7 .3/ Fax 305- - qS /'WV° Ad - - - / l P ,4 01s ACV ' e 3 C • :/7.61 /2 / A . ....3•0/0 . Repair Telephon( 5) 5, r. .42. -- .7 . Alteration Interior Fax Demolish PROPERTY OWNER Name //me . �/1a.Ye,,e, Add B g- ,v , t. &I 5 /9//l Home Telephone 30.5 76-9- zip 7,— Business Telephone N /4 Fax 305- - qS /'WV° TYPE OF MANAGEMENT (✓ ) New Construction DATE Enclosure Alteration Exterior Electrical Repair Alteration Interior Demolish Plumbing Relocation of Structure Shell Only Foundation Only Public Works Add'I Attachment Other Add'I Detachment Building Official Other 4-` SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official ---ZGZz. 4-` Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ PROOF OF OWNERSHIP (Attach) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) Metropolitan Dade County (C.C.F.) $ ❑ OTHER (Specify & Attach) PERMIT FEES (sq.ft. = x/1000 x ¢.60) $ (¢.005 / sq.ft.) REVIEWED AND PREPARED BY: (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL ;3 l 0 ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. Submit the completed application with all necessary processing of your application, you may be asked to APPLICATION Job Address: Address Apt. t 3a 0(601 L '3cZd Complete the attached permit application which print or type to allow for a more accurate processing along with this permit application. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other /2 A). e. 96-m' s1- Folio Number Lot Block Subdivision PB PG Current Use of Property .3 /iV9 /l� I�4�Y4 ' Proposed Use of Property 57� Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PERMIT APPLICATION Master Permit No. Subsidiary Permit No. 7� ' o��i� (3 ")0 must be signed by the property owner and qualifier. Both signatures must be notarized. Please of your application. If roofing work will be done, a roofing application must be submitted documents to the Building, Planning and Zoning Department for processing. During the submit additional information. / —&_S /� City State Zip Description of Work .�IltW4 A f4A1 '5 A of �� � if'C Zoning Linear Feet Squyt Feet Units Floors Lydfue of Work ' 9 A, s : S . ! J Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Type Insp'n Approved MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date -O 2) T e Permit No. A / 02 .37 e Name /2 -Sala2.4 Address P gc A l e --- fc3 St Company /!'1 g l " -1y4 • /'' a- J Phone # (...3 Cris/ 4 _4 C C For Inspector: 56 9 Nam ate L � Correction ❑ Re- Insp'n Fee ❑ - FA as' Is0 -4 /2/ C.