1165 NE 97 St (11)•
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PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
' 2 1 1 " rob Address I (o 6 M E R 7 STEE l: T Tax Folio 1/ 3 'a° o/ 9& C ? O
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant U a E ' A L L
Owner's Adds 1 1 ec:'' N. E. t 7 S TtZ.E-E T. Phone
Contracting Co. 3 - IQ abiO g 0c i 02) k P . Address t t S5 , J-Jca e7 3176 )4 .kaA.
Q u a l i f i e r J ° k6 e 2 0% 2 ) i?...16.0 a Z . ss# Phone 305 M ! —`:' g 5
State # (tea 02276 2 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING 1 i i
MECHANICAL ROOFING PAVING FENCE SIG
WORK 11 ESCR1PTION �l�) s T \ (`5 A V 4.4 i A) LM ► k i 07 it vk; 7
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WARNING 71" r OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUZ1
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCIING, CONSULT WITH YO1I R 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 work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to d e work stated.
(2Z .f,/'e.. 4_,./eLee g —22.- , 000
Signature idF o`wne and/or Condo President Date
u) 4670 fo
Notary to Own
My Commission Ep p
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
Building
C.C.F. C NOTARY S�
f Contractor or
as to Contractor or Owner-
Cum "' stRIVICEAMOTARY
DELL MARIE SPP NGER
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC770476
MY COMMISSION EXP, AUG. 252
Estimated Cost (value) $G g
No
My
Electrical
Master Permit #
BOND
I/
TOTAL DUE
Data
Dare
Plumbing Structural Engineer
MtAMl -DA.DE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
. Florida Storm Panels, Inc.
4 . 14475 N.W. 26th Avenue
Opa L',ocica FL 33054
CONTRACTOR ENFORCEMENT SECTION
• (305) 375 -2966 FAX (305) 375-2908
PRODUCT CONTROL DIVISION
Your application for Product Approval of: (305) 375 -2902 FAX (305) 372-6339
0.060" Alumin Storm Page! Shutter
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami -Davie
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This approval shalt not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at anytime from a jobsite or manufacturer's plant for quality control testing.
If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend
the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined BCCO that this product or material fails to meet the requirements of the•South Florida Building
Code.
The expense of such testing will be incurred by the manufacturer.
Acceptance No.:99- 0726.01
Expires:08 /26/2002
THIS IS TILE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approvq( has been reviewed by the BCCO and approved by the Building Code
and Product Review Committee to be used in Dade County, Florida under the conditions set forth above.
Approved: 08 /26/1999
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Internet mull uddress: postmaslera huildingcodeduline.com
CONDITIONS
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MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLgRIDA 33130.1563
(305) 375 -2901 FAX (305) 375.2908
CONTRACTOR LICENSING SECTION
(305) 375 -2527 FAX (305) 375.2558
Raul Rodriguez
Chief Product Control Division
0.4irm
.rancisco • Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance Oflic
llomepuge: http : / /www.huildingcudennline.con
Florida Storni Panels, Inc.
• ,
ACCEPTANCE No.: 99- 6726.01
APPROVED AUG 2 6 1999
AUG 2 6 2002
EXPIRES
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
I. SCOPE
This approves an aluminum storm panel shutter, as described in Section 2 of this Notice of
Acceptance, designed to comply with the 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.
2. PRODUCT DESCRIPTION
This aluminum storm panel shutter and its components shall be constructed in strict compliance with
the following documents: Drawing No. 99 -230, titled " 0.060" Aluminum Storm Panel ", prepared
by Knezevich & Associates, Inc., signed and sealed by V. J. Knezevich, P.E., dated July 19, 1999,
last revision #2 dated August 5, 1999, sheets 1 through 4 of 4, 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 Division. These documents shall hereinafter be referred to as
the approved drawings.
3. LIMITATIONS
All permanent set components, included but not limited to embedded anchor bolts, threaded cones,
metal shields, headers and sills, must be protected against corrosion, contamination and damage at
all times.
4. INSTALLATION
This aluminum storm panel shutter and its components shall be installed in strict compliance with
the approved drawings.
5. LABELING
Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the
following statement: "Miami -Dade County Product 'bontrol Approved ",
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit•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 othm documents required by the Building Official or the South Florida Building
Code (SFBC) in order to properly evaluate the installation of this system.
Litz 1• /"L4
I A. akar, P.E. - Product Control Examiner
Product Control Division
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Florida Storm Panels, Inc. ACCEPTANCE No. : 99- 0726.01
APPROVED
AUG 2 6 1999
EXPIRES _AUG 2 6 2002
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been fled and the
original submitted documents, including test - supporting data, engineering documents, are no older than eight .`
(8) years.
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 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 product (identical) as the one originally approved.
e. 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
purposes.
6. The Notice of Acceptance number preceded by the words Miami-Dade County, Florida, and followed by the
expiration date may be displved 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 needs not reseal copies.
8. Failure to comply with any sections of this Acceptance shall be cause for termination and removal of
Acceptance.
9. This Notice of Acceptance consists of pages I, 2 and This last page 3.
\;,
END OF TIM ACCEPTANCE
1G(,. -Ie my A. akar, P.E. - Product Control Examiner
/
Product Control Division
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