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540 NE 96 St (2)Legal Description 3 2 c ,? P L3 it) i 3 A fa -U Owner/Lessee / Tenant Master Permit # 5 1.S / y 7 Owner's Address W te,. i V1 Cr, raj Phone Contracting Co. 1 Gann t I Co S S °I � i n d o '* -; g CLL) Qualifier f ( D Cr e ti' r •t r O State # Municipal # 3 0 1 O 0<3 3t3 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): U...DING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN l WORK DESCRIPTION i_ n S 1 c , _ 1 1 tO 1 GL S 2 YvL Q Y1 1 I.R./ (, c c r Square Ft. 7 '4 <,, . Signature of owner and/or Condo President Date FEES: PERMIT 'VL Notary as to Owner and/or Condo President Date My Commission Expires: APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 5 y U IJ E- I (; S± Tax Folio V / RADON Building C.C.F. Historically Designated: Yes No Address SS Phone tab - ( 3t VC) Competency S1 6 S CC34 Ins. Co. H, I c.s ! ? u x v 1L,rtl; R.LS Estimated Cost (value) 1 1 / 0 00 Q„ 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 work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Contactor My Commissi of Contractor ( Electrical or Owner - Builder / 26-441 or Owner - Builder •ROSA I. PALAC1OS My Comm Exp. 12/28/2001 s No. CC 705125 I Personally Known I 1 Other I.D. BOND r1 TOTAL DUE /X( l/ 7// Date « %,9 I Date Plumbing Structural Engineer WINDOWS • GLASS • SHOWER DOORS FRENCH DOORS • SLIDING GLASS DOORS � � win � o � • YAMILL GLASS & WINDOWS 15962 NW 48 AVE. • MIAMI, FL 33014 • TEL: 305 -628 -9300 • FAX 305- 628 -0301 INSTALLER: 44A,4) DATE: 3 JOB SITE: d • yL - 1.,� i SOLD TO: y�v�. �G� ADDRESS : /003 D A) e 0 Q,c i CITY: Aah PHONE: PHONE: COLLECT FINAL YES OR NO DESCRIPTION QTY. P.O.# /Tv/ „.„ z COMMENTS: O 4. r YAMILL GLASS & WINDOWS 15962 NW 48 AVE. • MIAMI, FL 33014 • TEL: 305- 628 -9300 • FAX 305- 628 -0301 331 �sMr 32 X h U CSAAT WINDOWS • GLASS • SHOWER DOORS FRENCH DOORS • SLIDING GLASS DOORS V/2 /N (/2 36 x77 / y f P� r . 331/2 ‘0414 77, 1870/381 35 2 13 (-SW C4,147 311./ 33 4 I Fitechi)ovv. Facmc.1•Owe 7 4 A i m Cr M pAc r MA liv I -I Ou%e. o1,tly I pc. 0N11 CAPANA ►\\\ w1/JDcw-6 ST A,J C L rUU �Nu11 • MIAMI- MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375-2908 Your application for Product Approval of: PRODUCT CONTROL DIVISION SWD -I01 Outs vingAluminum French Door (3/8" or 7/16" (305) 375 -2902 FAX (305) 372 -6339 under Chapter 8 of the Code of Miami -Dade County � � mated) Construction, and completely described herein, has been recommended for acceptance he e by a Types e of County Building Code Compliance Office (BCCO) under the conditions specified Mis ami -Dade This approval shall not be valid after the expiration date stated below. BCCO herein. li product or material at anytime from a jobsite or manufacturer's plant for quality sthe right to secure this If this product or material fails to perform r in the approved mange may of testing. the use of such product or material immediately. , BCCO may revoke, modify determined BCCO that this product or material fails BCCO reserves the right to revoke this approval, if it is ails to meet the re � or suspend Code. requirements of the South Florida Building The expense of such testing will be incurred by the manufacturer. Acceptance No.: 99- 0128.01 (Revises No.: 98- 0506.02) Expires:11 /22/2001 PRODUCT CONTROL NOTICE Vinyl Tech/Progressive Glass Technolo 1070 Technology Drive Nokomis Raul Rodriguez • Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE. This application for Product Approval has been reviewed by the BCCO and approved and Product Review Committee to be used in Dade County, Florida under the conditions by the Building Code set forth above. Approved: 02 /18/1999 Internet mr,:i FL 34275 1 of 3 OF ACCEPTANCE gY rancisco Quintana, R.A. Director Miami -Dade County Building Code Compliance Office •1 Vin yl Tech/Progressive Glass Technoloav NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This revises and replaces the Notice of Acceptance No. 98- 0506.02, which was issued on November 22, 1998. It approves an outswing aluminum French door, 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 determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series SWD -101 Outswing Aluminum French Doors - Impact Resistant and its components shall be constructed in strict compliance with the following documents: "French Door XX, X" Sheets 1 through 4 of 4, prepared by man facturerr, dated d 02/16/98 twl with revision C dated 1- 22 -99, .signed and sealed by Robert L. Clark, P.E., 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 3.1 This approval applies to single unit application of pair of doors and single door only, as shown in approved drawings. Single door unit shall include described in the active leaf of this approval. 4. INSTALLATION 4.1 The outswing aluminum French doors and its components shall be in e. ' with the approved drawings. •liance 4.2 Hurricane protection system (shutters): the installation of this protection system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name . r logo, city - to and following statement: "Miami -Dade County Product Control 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 other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installati n of this systc 7 nr ACCEPTANCE No.: 99- 0128.01 APPROVED FEB 1 8 1999 EXPIRES : November 22 2001 strict c nit will not re wire Manus Perez, P.E. Prod Produc ontrol Division I hurricane ontrol Examiner Vinyl Tech/Progressive Glass Technology. 9. This Notice of Acceptance consists of pages I, 2 and this last page 3. • ACCEPTANCE No.: 99- 0128.01 APPROVED FE B 1 8 1999 EXPIRES : November 22, 2001 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. 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 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; 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. Manuel ere , P. E., Produ t ontrol Examiner Product Control Division END OF THIS ACCEPTANCE ,, f z 1/2" .-.... 95.750 MAX 7 1/2" --� r X 37.500 --13" MAX. ON CENTER TYP. HEAD & SILL SEALANT ON FRAME CORNERS & PANEL CORNERS 7 1/2 "-- 95.750 7 1/2" ----I 1 r ----13 " ---- MAX. ON CENTER TYP. HEAD & SILL XX 71.750 7 1/2" --I 13.5" 7 1/2" 5 1/2" t 13.5" TYP. MAX. 5 1/2" SEALANT ON FRAME CORNERS & PANEL CORNERS • Revisions: Material: Drawn 8y: D.B. Revised 8y : D.13. Vendor No.: Dale: 2/16/98 1722/99 Scole: N.T.S LARGE MISSLE IMPACT DOORS 1.) GLAZING: .401 /.464 LAMINATED W /INTERLAYER (MONSANTO OR DUPONT) 2.) CONFIGURATIONS: X, XX 3.) DESIGN PRESSURE RATING: 3o) .464 LAM.: +75 P.S.F. —75 P.S.F. 3b) .401 LAM.: +60 P.S.F. —60 P.S.F. 4.) ANCHORS: MAX. 7 1/2" FROM CORNERS (HEAD & SILL) MAX. 5 1/2" FROM CORNERS (JAMB) MAX. SPACING AT HEAD do SILL: 13.000 MAX. SPACING AT JAMB: 13.500 5.) NO SHUTTERS REQUIRED 6.) REFERENCE TEST REPORT: FTL -2241 Classification: IP Cagv7 Series /Model: 101 Description: FRENCH DOOR — XX, X Address: P.O. BOX 1529 NOKOMIS, FL. 34274 APPROVED AS COMPLYING WTTH THE SOUTH FLORIDA BUILDING 999 PROMO ;; • ; , n oUIIOtNG CUu1 COMPI.ANCE OFFICE ACCEPTANCE N0. _.._/J ' C2/2-4 °L progressive a ss technology Size: B r.".wm•1"..Ito.`."e.1..■ Item: ELEV Drawing No: 971 Sheet 1 of 4 Rev.: 7 f / \ / \ // \\ / N. / \ / \ 4 T \ t �I 1/2" .-.... 95.750 MAX 7 1/2" --� r X 37.500 --13" MAX. ON CENTER TYP. HEAD & SILL SEALANT ON FRAME CORNERS & PANEL CORNERS 7 1/2 "-- 95.750 7 1/2" ----I 1 r ----13 " ---- MAX. ON CENTER TYP. HEAD & SILL XX 71.750 7 1/2" --I 13.5" 7 1/2" 5 1/2" t 13.5" TYP. MAX. 5 1/2" SEALANT ON FRAME CORNERS & PANEL CORNERS • Revisions: Material: Drawn 8y: D.B. Revised 8y : D.13. Vendor No.: Dale: 2/16/98 1722/99 Scole: N.T.S LARGE MISSLE IMPACT DOORS 1.) GLAZING: .401 /.464 LAMINATED W /INTERLAYER (MONSANTO OR DUPONT) 2.) CONFIGURATIONS: X, XX 3.) DESIGN PRESSURE RATING: 3o) .464 LAM.: +75 P.S.F. —75 P.S.F. 3b) .401 LAM.: +60 P.S.F. —60 P.S.F. 4.) ANCHORS: MAX. 7 1/2" FROM CORNERS (HEAD & SILL) MAX. 5 1/2" FROM CORNERS (JAMB) MAX. SPACING AT HEAD do SILL: 13.000 MAX. SPACING AT JAMB: 13.500 5.) NO SHUTTERS REQUIRED 6.) REFERENCE TEST REPORT: FTL -2241 Classification: IP Cagv7 Series /Model: 101 Description: FRENCH DOOR — XX, X Address: P.O. BOX 1529 NOKOMIS, FL. 34274 APPROVED AS COMPLYING WTTH THE SOUTH FLORIDA BUILDING 999 PROMO ;; • ; , n oUIIOtNG CUu1 COMPI.ANCE OFFICE ACCEPTANCE N0. _.._/J ' C2/2-4 °L progressive a ss technology Size: B r.".wm•1"..Ito.`."e.1..■ Item: ELEV Drawing No: 971 Sheet 1 of 4 Rev.: 95.750 93.625 ROUGH OPENING 1. 72 4.000 .250 --- MAX. SHIM SPACE ROUGH OPENING �� SEE SHEET 3 FOR ANCHORS �. 3.000 .250 I MAX. SHIM SPACE 84 3/4" DAYLIGHT OPENING 1.489 VERTICAL SECTION INTERIOR f 250 MAX. SHIM SPACE I ROUGH OPENING 34.625 IYP. BOTH PANELS ACTIVE PANEL. i -- 25" -- DAYLIGHT OPENING EXTEPIOR HORIZONTAL SECTION 71.750 INTERIOR Lloteriol: Drown D. B Revised 8y D.B. Vendor No.: d Dote: 2/ 16/98 1/ 22/99 Seot.: N.T. S INACTIVE PANEL. Description: lop FRENCH DOOR — XX Address: P.O. BOX 1529 NOKOMIS, FL. 34274 Size: --11.480k— .250 --1 1.480 k— .250 MAX. SHIM SPACE ROUGH OPENING APPROVED AS COMPLYING WITH THE SOUTH FLORIDA BUILDING CODE DATE __... �rw. BY PROOUCLLr. — . D.•i s �Y BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO 9 - of U. a/ progressive aJ 55Lechnolo r.an.. ♦ a..a.+ a o... ewe •■••• wing No. 971 Rev.: Revisions: — 1/8 ANN. -- • .090 3/16 ANN. .250 MAX. SHIM -.- --- 3.000 --� SPACE .401" LAM. Ye/MONSANTO SAFE FX PYB INTERLAYER OR .401" LAM. W /DUPONT BUTAI ITE INTERLAYER SEE NOTE $ ON SHEET I DESIGN PRESSURE RATING: ±60 psf, Grown By: D.B. Revised By: D.B. Dote; 2/16/98 1 /22/99 *Jaen. el CledV le4 bar. I progressivertA ss technology ir.ria..+ aria. aerro..w C:as Prod. Category: Oaaeripf:on: FRENCH DOOR -- XX Seal.: Add P.0. BOX 1529 3/16 ANN. .090 3/16 ANN. .250T MAX. SHIM � ---- 3.000 --- SPACE N. 1. S NOKOMIS, FL. 34274 1.489 464" l AM. W/MONSANTO SAFLX PYB INTERLAYER OR .464" LAM. W/DUPONT BUTALITE INTERLAYER SEE _NOTE .3 ON SHEET I DESIGN PRESSURE RATING: ±75 psf. Series/Morta APPROVED AS COMPLYING WITH 1W SOUTH RORIOA BUILDING CODE �qqq DAT it 9..1 BY PROOUCX C<I; i 0:': S v :t BUILD :NG CODE COMPLIANCE OFFICE ACCEPTANCE NO. Size: B Item: Oraring No.: 971 snee 3 o 4 Rev.: C I sr :MOOD BUCK u • r" ' • •' rs -- r r/4 TAPCaN TYP. HEAD TYP. JAMB TYP. SILL 2 w WOOD BUCK /12 FLATHEAD TYP. HEAD I/4' TAPCON .31] > . 1 .• 1 x WOOD BUCK TYP. JAMB ITEM 1 2 3 DOOR W —STRIP CHANNEL 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 DESCRIPTION DOOR HEAD /SIL DOOR JAMB (HINGED) DOOR ASTRAGAL .250 x .187 FINSEAL STRIP FRAME JAMB FRAME HEAD GLAZING BEAD (ROLL FORM) OUTSWING THRESHOLD 5/16x18 THREADED ROD TRUSS CLAMP 5/16x1/16 TRUSS WASHER 5/16x18 TRUSS NUT FRAME SCR. COVER CAP STRIKE PLATE STRIKE PLATE INSERT 10x3/4 SCR. FLT. HD. PHIL HINGE ASS'Y. 10x1 FLT. HD. PHIL 10x/2 FLT. HD. PHIL. TOP OTT. 'SLIDE BOLT LOCK 6x1/2 FLT. HD. PHIL. 8x1 1/2 SCR. PN HD. QUAD. SEAM SEALER LOCK SUPPORT ASS'Y. 6x3/4 FLT. HD. PHIL. .200 x .190 QLON .375 x .190 QLON 3 POINT LOCK ASS'Y. LOCK (ACTIVE) LOCK (D DEAD —BOLT LOCK .401 LAM. W /MONSANTO SILICONE #12 Ph. Pn. SMS 1 /4 " TAPCON .401 LAM. W /DUPONT .464 LAM. W /DUPONT .464 LAM. W /MONSANTO Drown By: D. B. Revised By. D. B Vendor No.: V.T. # 60375 60376 60377 67924G 60379 60380 612376 65170' 612375 6TRODA 4 (1 /door top & bot. roil) 8 2 /ea. door top & bot. rail 60378M 7WASHA 7JNUTA 41722W 7FRSPX 41721 71034A 7FRIrfOW 710X1W 710X.12PPW 41720 7612FW 78112A 6SM55W 4UBLOK 7634F 6Q200K 60300W FO3PTAY 7LOKAP 7LOKIP 78LTIP 62899C Revisions: lie feria?: Dole: 2/16/98 1/22/99 Scale: QTY. /DESCRIPTION 8 (2 /each door top & bot. rail) 8 ('2 /eo. door top & bot. rail 8 (2 /ea. door top & bot. roil VENDOR ALUMAX ALUMAX ALUMAX SCHLEGEL CORP. ALUMAX ALUMAX ALUMAX FLORIDA SCREEN ALUMAX FASTEC INDUSTRIAL ALUMAX VINYL TECH. FASTEC INDUSTRIAL FASTEC INDUSTRIAL VINYL TECH. CAMCORP VINYL TECH. MERCHANTS FASTENER 6 (3 /frame iambs) NATIONWIDE IND. 26 6/hinge — hinge —door jamb MERCHANTS FASTENER 30 5 /hinge &hinge —frame jamb MERCHANTS FASTENER 2 1 ® top /bot. of I.h. astragal VINYL TECH. 4 2 /slide bolt locks) MERCHANTS FASTENER 12 6 /head & silt) FASTEC INDUSTRIAL SCHNEE MOREHEAD 3 1 /lock) 6 2 /lock support assv:) 5 1/astrogals,fr. lambs & head) SCHLEGEL CORP. 4 1/astragals & frame iambs) SCHLEGEL CORP. FASTEC INDUSTRIAL 1 r.h. astragal VINYL TECH. 1 ® r.h. astragal HARLOC HARLOC 1 ® r.h. astragal 1 (© r.h. astragal HARLOC H.P.G. Address: P.O. BOX 1529 N. T. S NOKOMIS, FL. 34274 DOW CORNING H.P.G. H.P.G. H.P.G. APPROVED AS COMPLYING WITH THE SOUTH FLORIDA BUILDING CODE DAT BY PROOUC ROL DIVISION BUILDING CUD[ COMPI AAKCE OunCE ACCEPTA ::C' I;' l _ O, Z/ O / Six.: B Crowing No: 971 VENDOR AF- 10375 AF -10376 AF -10377 FS7924 -107 AP-10379 79 AF -10380 AF -12376 AF-12375 AF -10378 41722W 41721 41720 FD3PTAY SM5504 4UBLOK 11200X190 0375x190 100 880 820 899 nr..tothro 1 ory 1►f a.... Go „ifiee I�r CaSn Series/Model: d 1 5 technoto progressive �� �' � 9Y ...+r.... Item: ewe l: 4 a4 Description: FRENCH DOOR — XX Rev: MIAMI -DADE • . PRODUCT CONTROL NOTICE OF ACCEPTANCE Vinyl Tech/Progressive Glass Technology 1070 Technology Drive Nokomis FL 34275 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 Series C -700 Outswing Aluminum Casement Window - Impact Resistant (5/16" Laminated) 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 -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall 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.:98- 0501.01 Expires:01 /28/2002 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE . This application for Product Approval 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:01 /28/1999 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 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 rancisco . Quintana, R.A. Director 1 of 3 Miami -Dade County Building Code Compliance Office Vinyl Tech/Progressive Glass Technology ACCEPTANCE No.: 98- 0501.01 APPROVED : JAN 2. 8 1999 EXPIRES : JAN 2 8 2002 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This approves an aluminum casement window, 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 - 2.1 The Series C -700 Outswing Aluminum Casement Window — Impact Resistant and its components shall be constructed in strict compliance with the following documents: Drawing No. 339, Sheets 1 through 4 of 4, dated February 13, 1998, with revision B dated 1/12/99, prepared by Vinyl Tech/Progressive Glass Technology, signed and sealed by Robert L. Clark, P.E., 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 3.1 This approval applies to single unit applications only, as shown in approved drawings. 4. INSTALLATION 4.1 The aluminum casement window an ' comp • 'ents shall be installed in strict compliance with the approved drawings. l 4.2 The installation of this prod 6t w not require a h rricane protection system. 5. LABELING - - ' 5.1 Each window unit shall bear`a permanent lab with the manufacturer's name or logo, city, state and following statement: "Miami-Dade-County roduct Control 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 other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Manu Perez, P.E., Product C Ptutlt et a)titrnl 1trol Examiner Vinyl Tech/Progressive Glass Technology 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPTANCE ACCEPTANCE No.: 98- 0501.01 APPROVED : JAN 2 8 1S ,S9 EXPIRES : JAN 2 8 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test- supporting data, engineering documents, arc 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 Approval ", or as specifically stated in the specific conditions of this Acceptance. 1. 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. 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 purposes. Manuel P rez, P.E., Product Product tr l T )lvlsinn . 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. S. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. trol Examiner 3.000 .AX. 62.50 5.000 11.000 MAX. CENTE 4.000 — —f --- I I 74.000 • MAX. -- 4.000 r.000 -- 4.000 H LARGE MISSLE IMPACT WINDOWS / 36.125' / / 1.) GLAZING: 5/16 (350) LAMINATED W /DUPONT INTERLAYER W8%090/1/5) GLAZING: 5/16 (350) LAMINATED 44 /A(ONS4NT0 INTERLAYER (1/8/.090/1/5) 2.) CONFIGURATIONS: X, XX 3.) DESIGN PRESSURE RATING: +75 P.S.F., —75 P.S.F. 4.) ANCHORS: MAX. 5" FROM EACH CORNER 2 ANCHORS 4 APART. 4 FROM EACH MEETING RAIL MAX. SPACING AT HEAD & SILL: 11.000 MAX,. • SPACING AT JAMBS: 11.000 5.) SHUTTER REQUIREMENT: 110 SHUTTERS REQUIRED G.) REFERENCE TEST REPORT: F7L -2246 5.000 I B3 5.000 11.000 AWX. SPACING 5.000 Revisions: Mater ol: • 72.000 MAX. 5.000 TYP. Date: Drawn Qy; D. B. 2/ 13/98 Revised e Date: D.B. 1/12/99 Vendor No.: Scala: N.T.S e Clossi(ication: Doscriplion: I N 1 1 I I / r . 35 125 32.000 MAX. s-^c� Prod. Category: d o./y N./ cda.... T 11.002 L SPACING 5.000 -� Series /Model: 700 Address: P.O. BOX 1529 NOKOMIS, FL. 34274 Size: APPROVED AS SOUTH FLORIDA BU:C•' ::6 ••�� DAT .J D_Ngu BY PRODU C0•`TROI v:'% S BUILDING CODE CO:. ?_:A.'iCE ACCEPTANCE NO c::3-050).0 I progressivea S' iec!r ='gy Item: �Snce_ 1 e. / FRONT VIEWS, ELEVATION _(XX) Drawing No.: 339 Fcr.: QTY. 4 4 1 0 in vent to roil of vent bottom & side roils in main frame I.h. fr. 'omb 12 " from ends main frame sash ass r. screws 1 •er o•erator © ri.ht frame corners o•erator hin•e trak screws ITEM 2 VT 644588 69999 69514 781 PQA 7CORNMLG 7CORNMSM 40712 6Q200K 6Q 150K 6FRMBK 49004 7KEEP 17 18 19 6534571 DESCRIPTION FRAME HEAD, SILL, JAMB FRAME MEETING RAIL SASH HEAD SILL JAMB 8x1 SCREW PAN HD. QUAD. LG. MAIN FRM CORNER KEY SM. MAIN FRM /SASH CORNER KEY PLASTIC MAIN FRM. CORNER KEY W. STRIP, _ . 190 x .200 QLON W. STRIP, .190i x - .150 QLON MAIN FRAME BULB WEATHERSTRIP SASH LOCK SASH LOCK KEEPER CASEMENT OPER. RT/LEFT OPERATOR GUIDE TRACK STANDARD HINGE 10x5/16 SCREW PAN HD. PHIL 5/16" (.350) W /MONSANTO INTERLAYER 5 16" 350 W DUPONT INTERLAYER EXTRUDED GLAZING BEAD LOCATION INDAL EX AL UMAX AL UMAX FASTEC IND. PGT- SCHL EGEL CORP. SCHLEGEL CORP. PROTOTYPE PLASTICS FP -176 TRUTH HARDWARE TRUTH HARDWARE TRUTH HARDWARE TRUTH HARDWARE MERCHANTS FASTENER H.P.G. H.P.G. AL UMAX VENDOR VENDOR # GAS -44588 AF -9999 AF -9514 Q200x 19 Q 150x 190 49004 208000 30175 35.10.00. 101 534571 J TYPIf 4i. MAIN ERA Mr rnRNFR 7 8 9 10 11 20 62899C TYPIC.AI. SASH CORNER • SILICONE 21 22 6SM55W 6TP248 SEAM SEALER VINYL BULB WEATHERSTRIP 8 (4) SCHNEE - MOREHEAD TEAM PLASTICS !Revisions: Material: L aw- 117 D.B. 1 Rcviscd By: Vendor No.: e NOTE: QTY'S IN BRACKETS ARE FOR X CONFIGURATION 2 pa l e: 1 'Classilicotion: Descr :p;i .;: CASEMENT XX 1 / 12 99 ' /�/ 7 c I address. P O _ 9 — BOX 152 — — 1S;z / Y . / . `J . 0 (Prod. Cottegory: L. DOW CORNING Th y 7 Seric� /Model: 700 r,Int/r l i - ?4 974 Q B 5. 5 q BLAC. 23- 19- 23 -00. 899 SM5504 TP -248 APPROVED AS CO So:Y ;t:C -. SOUTH FLO ?:3: BU:L F ;P: C. DAT lJ,6 - • � ct � F- BY — / PRODUC C NIROL_DIV:S.O:: J BUILDING CODE COMPLIANCE c �3 — OSGl.G i ACCEPTANCE ti0. tJ'' progressi:re ti• 4rnloclm .! 04.411 d tNaawot I VwlvC - 1m M Slrbrd t Gnrr.. Ca 4n.. I Item: 1 Shee'- J 4 i L h t ) MAX. t 2.000 SECTION A —A 17 -IIICK ESS .062 .250 MAX. SHIM SPACE : ?,59 - 4.1:9x. SHIM SPACE 1.924 .260 —I •—_ 63.00 MAX. IRevision3: _ Moteriol: !Drown By: D.B. Revised 8y: D Vendor No.: D SECTION B —B GLAZING OPTION: 5/16_ "( 350) W /MONSANTO INTERLAYER OR - 5/16" (.350) W /DUPONT INTERLAYER 2/13/98 0 1/12/99 1 CIossi(icoUon: 1 Oescription: _ , HORIZONTAL & VERTICAL SECTIONS U,.4.c tea .. Moe, VII/ L.dmIc (Prod. Co Series/Model: 700 APPROVED AS COF:PLY:NNG SOUTH FLORIDA BUILDING CODE DAT 1 9 9 BY PRODU CO ' OL DIV:S.Cii BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE NO. 10-5 i ' 01 I progressiv 7oic L A S fec ✓wr ce„e r sr . o�. co .«,m., e Item: SECTS. S Stole: ' Address: P.O. BOX 1529 Size: Growing No.: N. T. .S; NOKOMIS, FL. 34274 ; B 339 . ' Rev.: n 1.250 MIN. 12 PANHEAD _1 1.250 MIN. • • • • #10 PANHEAD • • 3/16" TAPCON NO C 'SINK REQ. t — .250 MAX. TYP. HEAD, SILL JAMB a . d .250 MAX. TYP. HEAD, SILL JAMB 2 x WOOD BUCK 2 x WOOD BUCK TAPCON NO C'SINK REQ. 1.250 MIN. 0 .250 MAX. TYP. 'HEAD, SILL JAMB 1.250 MIN. a 1 x WOOD BUCK a 4 .250 I_, 1 z WOOD MAX BUCK TYP. HEAD, SILL JAMB , Revisions: i Moteriol: bo;aven By: D.B. Revised By: D.B. !Vendor No.: NOTE: REFERENCE TEST REPORTS & COMP. ANALYSIS SHEETS FOR ANCHOR SPACING & STARTING POINTS. i Description: Ih.kxLC of O.au, Ny (.Cow 1 C lassilicotio n: I Series /Model: Item: Sheet: 4 �' " ANCH. 4 TYP. CASEMENT ANCHORAGE Prod. Category: Dote: 2/13/98 1 Scale: Address: P.O. BOX 1529 .5X NOKOMIS, FL. 34274 I B APPROVED AS COMPLYING V/ TH T:'1E SOUTH FLORIDA BUILD:NG CODE DAT JA, . 2 BY PROOUC' . iTROL DIMS ;ON BUILDING CODE COMPLIANCE OFFICE ACCEPTANCE N058 - O5O1 .L01 progressiveELA ' ' technology j l,.. of u.4,4 Coo 04,•-• owing No.: 339 'Rev.: R MIAMI -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE The expense of such testing will be incurred by the manufacturer. Acceptance No.: 99- 0218.01 Expires:05 /20/2002 Approved:05 /20/1999 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375.2901 FAX (305) 375 -2908 PGT Industries CONTRACTOR LICENSING SECTION 1070 Technology Drive (305) 375 -2527 FAX (305) 375 -2558 Nokomis FL 34274 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 Series PW 7,01 Aluminum Fixed Window - Impact Resistant (7/16" Laminated) 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 -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsitc 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. Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval 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. .rancisco Quintana, R.A. Director 1 of 3 Miami -Dade County Building Code Compliance Office PGT Industries ACCEPTANCE No.: APPROVED EXPIRES MAY 2 0 2002 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This approves an aluminum fixed 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 determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series PW 701 Aluminum Fixed Window - Impact Resistant and its components shall be constructed in strict compliance with the following documents: Drawing No 4214, titled "Impact Picture Window (0)" Sheets 1 through 4 of 4 dated 2/16/98, revised on 1/29/99, signed and scaled by Robert L. Clark, P.E., 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 3.1 This approval applies to single unit applications only, as shown in approved drawings. 4. •INSTALLATION 4.1 ',The aluminum fixed window and its components shall be installed in strict compliance with the approved drawings. 4.2 Hurricane protection system (shutters): the installation of this unit will not require a hurricane protection system. 5. LABELING 5.1 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 ". 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•npproved 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. innovative 2 of 3 Manuel Product crcz, P.E. Product ntrol Division 99- 0218.01 MAY 2 n 1999 o Examiner PGT•Industrics ACCEPTANCE No.: APPROVED EXPIRES NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. 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, arc no older than tight (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 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; c) If the Acccptancc 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 scaled 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 auto,maticallybe cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fec) 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 rcscal the copies. S. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acccptancc. 9. This Notice of Acceptance consists of pages 1, 2 and this la I page 3. Manuel crcz, P.E. Product Co Produc • trol Division END OF THIS ACCEPTANCE 3of3 99- 0218.01 MAY 2 (i 1999 MAY 2 0 2002 Examiner • 96.000 MAX. 6.250 1 7.750 MAX. ON CENTER 48.000 MAX. 1- 16.500 MAX. ON CENTER 6:750 LARGE MISSLE MPACT WINDOWS 1.) GLAZING: 7/16 (.454) LAMINATED. W /INTERLAYER . (3/16" HS /. 090 FILM/3/16" HS) 2.) CONFIGURATIONS: 0 • 3.) DESIGN PRESSURE RATING: +90 P.S.F., —90 P.S.F. 4.) ANCHORS: MAX. 6 1/4" FROM EACH MAX. 6 3/4" FROM EACH MAX. SPACING AT HEAD & MAX. SPACING AT JAMBS: 5.) SHUTTER REQUIREMENT: NO SHUTTERS REQUIRED 5.) REFERENCE TEST REPORT: CORNER (HEAD & SILL) CORNER (JAMBS) SILL: 17 3/4" 1 6.500" FTL -1971 APPROVED !3 COMPLYING YP r' .SOUirl FLOdi EU:LOitiG CODE OAT a 2 . : a___l___ 1 juc Revi sio'ns: Ma!eriol: Oro ern 0,: D.B. Ravi:ed 8,: D.B. Vendor No.: Cote: 2/16/98 Oato: 1/29/99 Scale: N.T.S. T m cu sv C11s::I c ior.: (Prod. Co:euo PV Oe:erip NM Alb Iscrismode: 701 IMPACT PICTURE WINDOW (0) Address: P.O. BOX 1529 NOKOMIS, FL. 34274 I progressive a s ' fechn 1 1 :is. Gat Fe■ I Item: I ELEV. Sizo: IOrawing Ho.: B 4214 c . 4 ITEM DESCRIPTION 1 Frome Head & Sill 2 Frome Jambs 3 -.688 x .500 .Channel Glaz. Bead . 4 Seom Sealer V. T.# 612241 612242 6533402 6SM55W QTY. /LOCATION 1 ea. 2 4 5 Closed Cell Foam Tape 61308 4 (between bead & glass) 6 f/8 x 1.000 Ph. Pn. SMS 781 PQA 8 (Frame Assy. screws 7 Silicon Bock bedding 62899C 8 7/16" (454) W /MONSANTO INTERLAYER 9 7/16" 6454) w /DUPONT INTERLAYER 10 16 x .875 Ph. Fl. Self —tap 7PWSW Bead screws. 2 1 /2 " from end, 20" centers Fastec 1 1 . VENDOR Alumox Alumox Alumox Schnee — Morehead Stik - 11 Merchants Fasteners Dow Corning H.P.G. H.P.G. VENDOR NO. AF -12241 AF -12242 AF- 533402 SM5504 1308 899 Re vision s: JJOtcrial: 3.a-n 8 D. Revised 8),: D. t3. Vandor Oa f e: 2/16/98 1 /29/99 Address: P.O. BOX 1529 N.T.S. NOKOMIS, FL. 34274 Scale: J. it 1 MEI dab J I progressive 'technology ti •1 G dam.. y••aci.. Classification: ?rod. cate Serics /Alod :l: PV/ 701 Description: PICTURE WI NDO VV - -. Size: B Item: 2 cr 4 2 Orawing 421 Re v.: A APPROYEO AS COM ?LYL';G i':;.5 THE SOUTH fIQRIOA 6U: - � 0it _- BY ��-« PROOU i ;1TROI Di ./ 5 ; / BUILDING CODE CO.,;P... °.E i': CE ACCEPTANCE NO. 1 `, - r, ' i , O 1 .437 7/16" (.454) W/MONSANTO 1NTERLAYER 7/16" (.454) W/DUPONT 1NTERLAYER Z7 If Reons: Oro.vn By: D.B. Reviled By: D.B. Vendor Ho.: octe. 2/1 6/98 °at /2 1 9/99 Scold: N.T.S .1 0,7 */ am sem .CLT MB Addre: 3: P.O. BOX 1529 NOKOMIS, FL. 34274 AI:PROVED AS CW.!FLYING WITH StiUTH FLORIDA EU0::;c COG DA" L.) EY PROOLtj CiJOE LiFF:CF. AccEnAr.CE ND.° - 2-1 `) •0 t progressivea A sis technok IF.* ClossificoNon: Prod. Coteir IScrics/Mode: I:1m: 70 SECTS. 1 3 c' Da:cript;on: SECTION VIEWS - HORIZ. & VERT. Orowing 4214 2.784 T 1/4" TAPCON 1.250 . 4' • 4 .4 4 • a .250 1 x WOOD MAX. - BUCK TYP. HEAD, SILL JAMB 4 4 4. • #12 PANHEAD .250 MAX. Rewons: tlaterial: grown BF 0.8 TYP. HEAD. SILL JAMB a D.B. Vendor Ho.: 1.250 2/16/98 Oa c: 1/29/99 N.T.S. 4 Classcation: 4 • < 2 x WOOD BUCK - lirwher.• 14/ Prod. Casq 'Serie: Model: 701 Addross: P.O. BOX 1529 NOKOMIS, FL. 34274 B APPROVED AS COMPLYI:Irj WITH SOUTH FltRIDA BUN.01 CODE DAT BY PROO T C %Tao!. s A li c U c IL E ;; A L E CO j C i progressive ELAss fe....Isslog 2trrel C■sr Car Item: TYP. PICTURE WINDOW ANCHORAGE Orawinl Ito.: 4214 ANCH. 4 t, 4 I BUILDING INSPECTION DEPARTMENT — APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block `_. Subdivision i Street and Number where work is to be done — I_ State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE No Date 19 Street 1J � 1 — — » -- — \ and for no other purpose. New Building Remodeling Addition _ Repairs No. of Stories To be constructed of Kind elation Roof Covering Estimated Total cost of improvements $_____ .____1.- ' Amount of Permit $ - /f Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications foi said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 1 1 , • Permit No a_________, Date ' Read, Sworn to and Subscribed before me. Disapproved Date z Notary Public, State of Florida ( Signed) -'-- '`— i Building Insiector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address .....:.. : `..w. f Registered Architect and /or Engineer r"4 be sent to MIAMI SHORES VILLAGE NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fee of $1.00 will be charged materials and /or workmanship. Disapproved �_-- --- �._.._.�--.. ate ____••----.__!f.___.— (Signed) Building Inspector Chairman Member Member Council Approved Date 7 _ No Name and address of licensed contractor V Location and legal description of lot to be built on: Lot Block Subdivision G 1� _ ` ,.. ' 4 ..-- Street and Number where work is to be done � •State work to be done and purpose of building (by oo ) ZC . i,,, ► -1:-./ ..._ .,t (G i . 4. New Building Remodeling Addition To be constructed of Kind of foundation a Estimated Total cost of improvements $._ -_lam ::. _..___._._ .......__......... .19. Streeter .1 "f / and for no other purpose: » 2. Repairs Y No of Stories Roof Covering Amount of Permit $. Zone cubage required Plan Gubage Distance to next nearest building. Size of Building Lot .......... Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supi)lement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suer- subcontractors, of work t0 be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida My Commission Expires PLANNING BOARD _.._......DATE to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, And that all facts therein by him stated are true. Permit No-____ Date ) 7" ._ Read, Sworn to and Subscribed before me. Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty T f | [--�--� ` ---� '------------- ^ 1 ! ` | / / /. |T _-_- � �___- rs- � ' |�----'-' . �~+c. `~ �� .a Nj �°~^.