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GARAGE DOORBUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): B uilding Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) A /ENJ R/' L « W/ ' Phone # f S 7' - - c'c '3C.: Owner's Address 1 L 5 NC:: L) jf <C City M//» 4HHC,C 5 State FL Zip 733 %; i Tenant/Lessee Name g. /G 1iig L a)A ist Phone # SA 4 5 AR/ ' ilt.: 7 Job Address (where the work is being done) /0 0 4 ' /VC ci 7 7 2t S -T; City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO r: Contractor's Company Name Ai / ?t )/?.� iFLY Contractor's Address j C 4 7 City State Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit .,1/t 6e Permit No. ) ? ?L s`C Z Master Permit No. Zip Phone # r ",� %qq J - W Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New Rep ' e lac ❑ Demolition Describe Work: }mac p -I tt; " V t;) (4/ a &t_ AI? C' d % 7/ A- Ca) pie .X.1 , * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ a` Permit Fee $ f96 CCF $ « , �y Notary $ Training/Education Fee $ VC Technology Fee $ Code Enforcement $ — Stru Plan Review. $ Scanning $ Radon $ Bond $ Total Fee Now Due $ (Continued on opposite side) Zip Eli/ �� Bonding Company's Name (if applicable) Bonding Company's Address _ City State Zip 7 Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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 o s' seven (7) days after the building permit is issued." In the "abs ee of such posted notice, the inspection will of fve appro, - , and a reinspection fee will be charged. S ignature (a'i Owner or Agent The foregoing instrument was acknowledged before me this 3, day of '� , 20 U'�, by R1c, ' YO , , ho is perso i ally known to me or who has produced j. As identification and who did take an oath. NOTAR Sign: Print: My Commission Expires: State Certificate or Registration No. APPLICATION APPROVED BY: Chc 10/14/03 LIC: „ fliTHWAreler 0" •0'Y P i, State Zip c : on+ mg Co., Inc. Signature (Certificate of Competency Holder) Contractor The foregoing instrument was acknowledged before me this 4) • � 0 day of , 20 u.5 , by �i�,��', �� ";�� ; • who is personally known to me or who has produced As 1 , ( 5 as identification and who did take an oath. T E:789 , s NOTARY PUBLIC• i "� 23198ii Sign: ); 1114;,, c :Mara Zapata !►. t, rimii�siofi #UU I /.t255 Print:'r ' , °;e,3'Bxpires: Dec 22.7006 oFROQ� Bonded mru My Commission Expires` "' " "`' Atlantic Bonding Co., Inc. Certificate of Competency No. DM - 4 2003 Plans Examiner Engineer Zoning MIAMI SHORFVILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil ing Inspection Request Date t Type Insp'n w a .' tc� - Permit No. P� ^ - - (SS D-. Name W t' mn �- i t/ • Address 10 C3 q9 • Company Phone # Inspection Date Re- Insp'n Fee /U a 0`0 1..,10t___€) 1�( €�s e cez L1 L` Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address l / o r. �� e Company��3�si b3o For Inspector: t 2 1 1 ? 1 Name & Date cis -7,5 V. qv Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 - Building Inspection Request Dat / ,Time Type Insp'n Permit No. 1_-)=. ? l�� � � �) / / Name Oi / 1 ,"i C ;(7 Address • �% t,� ■ Company" 3 0s J ; - 0 e For Inspector: r ) ? u -' L., Name & Date Approved Correction Re- Insp'n Fee / ti X31 %,T�i��• M 1 1�6+.f ct t '4`'Q ` erg ,r PRODUCT CONTROL NOTICE OF ACCEPTANCE Clopay Building Products Co. 4800 Interstate Drive - Cincinnati ,OH 45246 Your application for Notice of Acceptance (NOA) of: - Ciopay Residential Steel Garage Door 16' Wide under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of C,rl:.:ruction, and completely described herein, has been recommended far-- acceptance by the Miami -Dade County ;wilding Code Compliance Office (BCCO) under the . condition herein. E NO.: 00- 1212.03 2 EXPIRES: 03/26/2006 APPROVED: 03/15/21 are. yr1"..=t+42IrE.tca.r1m r s a,e�aa. ....,. = such testing will be kncl r_€d -b_ t� e tiiaiit MIAMI -DADE COUNTY, FLORIDA WTRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE - METRO -DADE FLAGLER BUILDING - .140-WEST FLAGLER STREET. SUIT[: 1603 _ • MIAMI. FLORIDA 33130 -1563 - (305) 375-2901 FAX (305) 375-2908 CONTRACTOR LICENSING SECTION — - - -- (305) 375 -2527 FAX (305) 375 -2558 CONTRACroR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 - 2908 This f' shall not be valid after the expiration date stated below. BCCO reserves the right to secure this •poduct cr material at any time from a jobsite or manufacturer's plant for_quality control testing. If this - I { ( material fails to perform in the approved rtartner - -$ECO ©oke, modify, or suspend the iy . r - r-1 oduct or material immediately. - BCCC =resents th�o_ revoke this approval, if it is — by BCCO that this product-er-rnateriat4aiK tetlifgments of the South Florida I Rodriguez — _-.- :thief Product Control Division THIS IS THE COVERSHEET SEE ADDITIONAL PAGES F. SPECIFIC AND GENERAL _ _ CONDmONs ; ^w BUILDING CODE & PRODUCT`R V11EW '.} l l('I"TEE This application for Product Approval has been reviewed by the BCCO and approved by the Buiiding Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 - Francisco J. Quintana,.R.A. _Director iami -Dade County 43uilding Code Compliance Office C i,n}i� 4 ! 3 rte 1 ski I, 054 CIG EYY t. tYSd.Yt A. X. N. TYYCCOV /VIVT It 9.3 Y?t�lsEk - l.AF EFi q�Yhii i Clopav Building Products Co. ACCEPTANCE - No.: 00 1212.03 `LIMITATIONS Tilts approval requires the manufacturer to do test Ftof al coils used -to- Fabricate door panels_under this Acceptance. A minimumflf2specimerrs a -fry and- tensile tested according to E -8 by a Dade Countyapproved - lal orator §fected and -gu _ manufacturer. Every 3 months, - = s a year the mar�ufactttrer shtaaL- Wainer 'a �- d- reports with confirmation - - -- - - zhat h0 specimens were selected fror. _ zils a _th t r Pf_WiEM=ffcilities. And a notarized from the maniifacttfr tttit atVitAty ng _ si or more shall be used to rpanels for Dade Count}r'usrtier_tlris tt Q ` to INSTALLATION 4.1 The sectional steel garage door and its components shall be installed in strict compliance with the approved drawings. .:_ _- _4�The installation of this door_daes -not regwrca -hurt ►e put iir..tfstem .- - -- _ 4.3_ - Units with dimensions equal to or smaller-114M) thrice sheW th__0e approved drawing, shall qualify ---- under this approval. 1. 2. PRODUCT DESCRIPTION 5. LABELING Each door shall bear a permanent label with the manufacturer's name or logo, city, state arid following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS - - - 6.1 Application for buildingpermit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance.. 6.1.2 D uplicate copies of the_ approved draevin ,3s identified -in_ Section 2 of this NOA, clearly ".�..orupcnents seli;ctLd -or- - the proposed=inistallation. 6.1.3 `.ny rtocument: required 1)2' the Building Officilllor the South Florida Building Code (SFBC) in order to properly evaluate - the - installation- oft #tips system. APPROVED: WAR 1 5 2001 EXPIRES: 03726 /2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS SCOPE _This approves a sectional steel garage door I6' -2 ode s -6" thr ugh- 16' -0" high, as described in Section _ 2 _of_this Notice of Acceptance (NOA), designed To comply with_TVC. South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in -the approved drawings. The Clopay Sectional Garage Door and its components shall be constructed in strict compliance with the following documents: Drawing No. 101300, titled "Double Car Hurricane Pan Door" prepared by Clopay Building Products Co., dated 02/15/95, with last revision_on.-_12 /06 /0.0, heet 1 through 2 of 2. They bear the Miami -Dade County Product Control Approval stamp with the Notice.of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. - - Clopav Building Products C NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. Renewal.of this Acceptance (approval) - shall -be considered - after a - application has been tiled and the = - -or+ izral submitted documents, including test- suppo*rg - data, engineari documents, are no older than eight (8) years. -. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control ApprovaF ", 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 F,Ioiida'Builetin' Code affecting the evaluation of this product - _ _and the product is not in compliance with+thc code -1' :yiges. - _ _ h The product is no longer the same product Od_df tTc-a4)`_!s the o ia11y approved. - --- _- — - - -=-the Acceptance holder- -has not com P tied halt tfie re - s acceptance, f thitance, including the-- P �-urrect installation of the duet: — --L - _ _engineer, who oribtnalty 'et d se tilted documentation initially ACCEPTANCE -No.: 00- 1212.03 APPROVED: -.R 1 5 2001 EXPIRES:- 03%7,0116 'Qtuor,change in the n ateriats —14, iinrit mtfirirrc t or process shall automatically_ sGiirnse' for termination of this Acceptance; tint wf iter r f has been requested (through the fi:Iing =of a revision application with appropriate fee) granted by- tfais =o #-free. 5. Any of the following shall also be grounds for removal of this Acceptance . -a. :: Unsatisfactory performance of this-product OfirOCos, - isuse of this Acceptance—as— ari ericorsctx iti o ctn ; r rodxret _-sales; advertising-or any other purposes. _- 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 is displayed, then it shall be done nt 1t3 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 shail_.bc available for inspection at the job site at all time. The engineer needs not reseal the copies 8. Failure -•to compiv with any section of -this Accepta3 t:= F11t - -i r termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3 ' tATTAOMMIIMM ]ilCS�:l3i'81l - - fit^ _END O_ F_ r r fd'l�t�:�iJx1191'til; YY ^�7!rl Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -1882 Printed: 12 /8/2003 Applicant: EMERY SWARTZ Owner: SWARTZ EMERY JOB ADDRESS: 1045 NE 97 ST Contractor AMERIDOORS CORP. Local Phone: 305 - 229 - 0088 Parcel # 1132050170100 Permit Status: APPROVED Permit Expiration: 5/31/2004 Construction Value: $1,465.00 Work: GARAGE DOOR Signed: (INSPECTOR) Building Permit Contractor's Address: 14287 SW 52 STREET Page 1 of 1 Legal Description: 5 -6 53 42 PB 43 -51 REV PL MIAMI SHORES SEC 8 LOT 10 Fees: Description Amount FEE2003 -8020 Budding Fee $100.00 FEE2003 -8022 CCF $1.20 FEE2003 -8023 Notary Fee $5.00 FEE2003 -8024 Training and Education Fee $0.40 FEE2003 -8027 Technology Fee $2.50 FEE2003 -8028 Scanning Fee $6.00 Total Fees: $115.10 Total Fees: $1115..110 Total Receipts: $II90 `s;6( • DEC 0 8 NIB 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) BY: BLK 180