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WINDOWS• a 1. • ' ' PERMIT APPLICATI FOR MIAMI SHORES VILLAGE Date `3' 115 . 0 s Job Address 10 k1 0E .;-- • Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Owner's Address I O L 10t �' 17 ` . Contracting Co. Qualifier 0 0 i 0 L e \'& 11 \r)cc WY State # C<Tae, ` © 4 9 Municipal # Square Ft. 1 O FEES: PERMIT APPROVED: Zoning Mechanical n-\\ \--a.\-e, C\ ow 5 7 i Notary as to Owner and/or Cc4ildo President My Coriunission Expires ,C N frL m f rca,-n,• 1ki II ar .... a � v...� t��. cC�:..� -� RADON Date C.C.F. Address 71 1 3 &J L 5 c i• ss# Phone 513 • 3 0 Competency # Address Address eL)Lik_< ✓l � /G • U / Signature of owir and/or Condo President Date I' Notary as " Contractor o Owner- Builder Master Permit # Phone 9o9 Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ,t s �1 L WV )c (} (,o ∎ n 8e, L 0 Estimated Cost (value) - 5 9 ('® WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all o done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do th r orOOwner- Builder Date Date My Co ssion . pmr • ©F CIAL NOTARY S AL — OSEP}I DAVITZ NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC828525 MY COMMISSION EXP. APR, 21 NOTARY BOND TOTAL DUE 6 -2 tn( Electrical Plumbing Structural Engineer f NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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 Commencement. 1. Legal description of property and street address: (, k) E (17 5 \r 2. Description of improvement: 1 In ( 4 - a l' I'm pad w) v 3 Cao \oon Gt7 at. - CYII S Y rt. r L-- 3.Owner(s) name and address: 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 0 1831223 1 2001 JUN 15 15 :33 Interest in property: Name and address of fee simple titleholder: A �� 4. Contractor's name and address: - \1 SV T77, 1 . 9) cA cre)yc — 717 3 1,2' o Z St STATE OF FLORiDA, COUNTY OF DADE I HEREBY CERTIFY that this is a fa y of the • day of LQ , AD 20� fYM S my hand and Official Seal. 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: 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: \ \ \ 9. Expiration date of this Notice of Commencement: (the expiration date is 1 ear from the date of recording unless a different date is specified) I \ R Signature of Ow r Sig Print Owner's Name I\ `r a+h r ,rl N C(i oLC O bo n I Sworn to and subscribed before me this day of N\-1- , 20 (S) . Notary Public Print Notary's Name My Commission Expires Prepared by Addren: 7173 Nu) 5 S 1 ywnonnt FL Nap PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE ' PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with et Federal. State. County. Village rules and reputations. \Maga assumes no responslblllty for accuracy otlor resutts tract those plans. 2. This copy of plans must he xilltht. on building site or no inspection wip he conducted. JOB ADDRESS • f� CRITIQUE SHEET APPLICANT PHONE # APPUCATION #� SHEET OF • MISCELLANEOUS DATE COMMENTS INITIALS LLSTATE WINDOWS • DOORS • SHUTTERS I 4 AME: • ' , • I DDRESS: Q ITY: t4 Fi r STATE: r ZIP: ' OFFICE PHONE: DIAGRAM 5 s'(s•.,(.9. 0 ‘ CONTRACT DATE: 7 CONTRACT NUMBER: ) .7 SALESMAN: N J 0: t . t INSTALLER: DATE OF INSTALLATION: HOME PHONE: -A'S - ? . - I ( (.1 7 • 17- 1- 6 Et ->■. `? A L.T, U-5 •,* WHITE - OFFICE /YELLOW - CUSTOMER / PINK - SALESMAN , • / - T *7( 7 4'4- ;1 PLy It I 7 ) • ( LOOKING:OUTSIDE/IN — FRONT OF HOUSE P (--- ' 7---- ,. . ianufacturer: . - Impact (/ Non-Impact . : _ •: GN ., A i j C USTOMER S TURE 4 - -‘ - 1 : 1 !" . -. ;--; I /: j , ype Window In: GSD RES. DOOR OTHER Cmt. V 7 - -r-4 V Horz Alum Full Store STYLE: ATW(SV) SH COL. GSD \I P.W.F. View Front Door 2/2 v OX 2d2t 3/16 L" XO 1/1 4d2t 1/4 H.R.S.O. COL. XOX 3d3t H.L.S.O. lass Type: Clear V S/C Grey OBS INSUL. Temp. cxan: Laminated: 11 / IASONERY: . ' : ,, 4 :. ,..„:„- P li. -- 1 Inside Plaster Outside Stucco Operators ILLS: Marble ..- B/N Ceramic R/H INISH: Anod. 1 .- BRONZE White Esp. UH lock up Sq. Ft. Bin Blk 4 IN. Blk •IRECTIONS: lAMl -0ADE PRODUCT CONTROL NOTICE OF'ACCEPTANCE 'CT fndusirics 070 Teclinolocry Drive c'ol :ornis FL 34274 our application for Product Approval of: cries HS 710 Aluminum Horizontal Sliding Wind - der Chapter 8 of the Code of Miami -Dade Count onstruction, and completely described herein, has ounry Building Code Compliance Office (BCCO) le expense of such testing will be incurred by the manufacturer. .ceptance No_: 99-0204.03 Expires:05/20/2002 proved: 03/20/1999 • 1�1 - I Res een recommended for a der the condilio (3 governing the use of Alter MIAJ -DADS COUNTY, FLOR3DA METRO -DA DE FLAGLER BU1LD1NG BUILDING CODE COMPLIANCE. OFFICE METRO -DADE- FLAGLER BUILDING 1-10 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375.2901 FAX (303) 375 -2903 CONTRACTOR LICENSING SECTION (305) 375.2527 FAX (305) 375-2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 - 2966 FAX (305) 375 - RODUCT CONTROL DIVISION 375-2902 FAX (305) 372 -6339 to Materials and Types of prance by the lvlia.nni -Dade peci herein. )is approval shall not be valid after the expiration date - . .edow. BCCO reserves the right to secure this oduct or material at anytime from a jobsite or manufacturer's plant for quality control testing. t; product or material fails to perform in the approved mariner, BCCO may revoke, modify, or suspend f. use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is termined BCCO that this product or material fails to meet the requirements of the South Florida Building de- Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE its application for Product Approval has been reviewed by the BCCO and approved by the Building Code d Product Review Committee to be used in Dade County, Florida under the conditions set forth above. I ranclsco . Quintana, R.A. Director 1 of 3 Miarrii -Dade County Building Code Compliance Office PCT Industries ACCEPTANCE No.: 99- 0204.03 APPROVED HAY 2 0 1.9S9 �PII;r,s WAY 2 0 2002 NOTICE OF ACCEPl.A.NCls: SPECIFIC CONDITIONS 1. SCOPE 1.1 This approves an aluminum horizontal sliding window, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami - Dade County, for the locations where the pressure requirements, as deten - pined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series HS 710 Aluminum Horizontal Sliding Window - Impact Resistant and its components shall be constructed in strict compliance with the following documents: Drawing No 4112, titled - Impact Horizontal Sliding Window (YO)" Sheets 1 through 3 of 3 dated 2/16/98 revised on 1/29/99, signed and sealed by Robert L. Clark, P.£., bearing the Miami - .Dade County Product Control approval starnp with the Notice of Acceptance nurnber and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 This approval applies to single unit applications only, as shown in approved drawings. 4. INSTALLATION 4.1 The aluminum horizontal sliding window and its components shall be with the approved drawings. 4.2 Hurricane protection system (shutters): the installation of this protection system. 5. LABELING �.1 Each unit shall bear a permanent label with the manufacturer's name or logo, , .te and following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building peiviii shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. PCT industries ACCEPTANCE No_: 99- 0204 APPROVED HAY ) n 9 EXPIRES MAY 2 2002 NOTICE OF ACCEPTANCE: STAND.APL) CONDITIONS I. Renewal of this .Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data., engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled v, ith the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same produce (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance 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 Notice of Acceptance is displayed, then it shall be done in its entirety. 7_ A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 2 and this last .age 3.