670 NE 97 St (3)CONTRACTOR
Name move- Ad
',1- '"' ,*-- hd0,e
License No. b 24 ` 0,5 p
Address vo 3,4 a u/ / 0 3 57
k14- L-I< i Pt • 33o /L
Telephone 30S- .-Sg. 663, Fax 3o5- 53-4 d 0160?
Qualifier Name 6 v s 7 /0vd rtt - zo _ 4 1
PROPERTY OWNER
New Construction
�/
Name -o (� A✓ ig/f /4i ck
Enclosure
Address A, ij b ®, s7
.1'fi 4-A.; $ toti , -
33/3
Home Telephone 3 o r— 2 s— if — 69.4 6
Repair
Business Telephone
Alteration Interior
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Subdivision
viEcEiran
JUN 2 3 2003
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
Address
Folio Number
Lot Block
�+�
PB PG
Current Use of Property d1� / / GC
Proposed Use of Property £C i b t ? /oaf' ,/ t
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other (f beiV1e
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Description of Work
b0 o�
PERMIT APPLICATIION
P- Master Permit No. 5 Y- 2 3 -'1 00(:) .
Subsidiary Permit No.
City State
�i///;41 (1,
Zip
/ ) /
Zoning Linear Feet
Square Feet `/ • Units / Floors
Value of Work O e` Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
PERMIT APPLICATION
IMPORTANT NOTICES
1. 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.
STA M OF FLOC P A, COUNTY OF MIAMI -DADE STA TL OF U RIDA, COUNTY OF MIAMI -DADE
�o II Al 6A 61cis
Print Name
Sworn to and subscribed before me th y of
Signature of Notary bli
SEAL:
Personally known
Type of Identification Produced:
ofFl g , iela V. Tapia
. Comtnlssfon # CC 882179
Expires Oct. 24, 2003
Bonded Thru
Atlantic Bonding Co:, Inc.
OR, Produced Identification
S e of atractor / Qualifier
4:44 77
nt Name
Sworn to and subscribed before me day ol
a
Signature of otary PuOaniState ofk1lade orid�
�•�r. a V. Tapia
• : Commission # CC 882179
SEAL: _ • f ' 4 Expires Oct. 24, 2003
%; `� Bonded Thru
� wai o Atlantic Bonding Co., Inc.
Personally known OR „Produced Identification t�
Type of Identification Produced: t/`
ELECTRICAL
TYPE.
Minimum Fee
QTY.
TYPE
Dryer
QTY.
Typi:
Outlet, Appliance
QTY.
TYPI.:
Service Repair
()Ty.
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
Outlet, Switch
Fireplaces, Number of
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
NIECHANICAL
TVP); QTY
Minimum Fee
TY),),
Condensate Drain
QTY. TYPE QTY
Generator
. FYPE 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
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
PLUNIBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
'TYPE
Soakage Pit
Q'fY.
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
Pump, 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 -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
1
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
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
Metropolitan Dade County (C.C.F.) $ t6 0
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
UN 2720p
3
( x .60 x/1000
)
(¢.005 /sq.ft.)
(0.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ O, 6 l
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL ° (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Miami. Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Contractor's Company Name Phone #
Contractor's Address
Permit No. 1 o06
Master Permit No.
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) <Th4,„, 8,4-r h Phone #
Owner's Address 6 A. a 9 7 51
City State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) g7O ' ..' i. 9 7
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 560 _--�
Type of Work: ❑Addition El Alteration
['New
Square Footage Of Work:
kl
epair/Replace ❑ Demolition
Describe Work:
r/A1 m r
Submittal Fee $
Notary $
Scanning $ 6°*
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Permit Fee 5
Training/Education Fee $
Radon $
Structural Plan Review. $
CCF $ t7'b2 CO /CC
®e p� 0 Technology Fee $ a
Zoning Bond 5
CV, zi j- f
•
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 _, by , day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires:
Chc 05/13/03
My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: 3\(/Y Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2003 -1006
Printed: 6/27/2003
Applicant: JOHN BARBICK
Owner: BARBICK JOHN
JOB ADDRESS: 670 NE 97 ST
Contractor ABOVE ALL GARAGE DOORS
Local Phone: 305 - 556 - 6633
Parcel # 1132060171630 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 3 & E1/2 OF 4 BLK 100 LOT SIZE
Fees: Description Amount
FEE2003 -3875 Building Permit Application Fee $60.00
FEE2003 -3876 CCF $0.60
Total Fees: $60.60
Permit Status: APPROVED Permit Expiration: 12/20/2003 Construction Value: $500.00
Work: REPLACE GARAGE DOOR
Signed:
(INSPECTOR)
Building Permit
Contractor's Address: 8034 NW 103 ST 26
Page 1 of 1
Total Fees: $60.60
Total Receipts: $0.00
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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2003 -1006
Printed: 6/27/2003
Applicant: JOHN BARBICK
Owner: BARBICK JOHN
JOB ADDRESS: 670 NE 97 ST
Contractor ABOVE ALL GARAGE DOORS
Local Phone: 305 - 556 - 6633
Building Permit
Fees: Description Amount
FEE2003 -3875 Building Permit Application Fee $60.00
FEE2003 -3876 CCF $0.60
Total Fees: $60.60
Contractor's Address: 8034 NW 103 ST 26
Parcel # 1132060171630 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 3 & E1/2 OF 4 BLK 100 LOT SIZE
Permit Status: APPROVED Permit Expiration: 12/20/2003 Construction Value: $500.00
Work: REPLACE GARAGE DOOR
Signed: , / (INSPECTOR)
Page 1 of 1
Total Fees: $60.60
Total Receipts: $0.00
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:
4/19/2006
To: Current Owner
670 NE 97 Street
Miami Shores FL 33138
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
Permit: BP2003 -1006
Address: 670 NE 97 Street Miami Shores Village FL 33138 -
Date Expired: 12 -20 -2003
Dear Sir or Madam
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And/or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein."
Please contact the Building Department, immediately upon receipt of this letter.
Sincerely,
Mabel argas
Administrative Assistant
tl
MIAMFDAI�E
PRODUCT CONTROL NOTICE OF ACCEPTANCE
DAB Door Company, Inc.
12195 NW 98 Avenue
Hialeah Gardens ,FL 33018
Your application for Notice of Acceptance (NOA) of:
Section Residential Garage Door
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 NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time 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 by 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.: 01- 0620.10
EXPIRES: 08/14 /2006
THIS IS TI.1E 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
• Codc and Product Review Committee to b used in Miami -Dade County, Florida under the conditions set
i •
forth above.' ' " "'`
APPROVED: 08/09/2001
MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 1VIiST FLAGLER STREET. SUITE 1603
MIAMI. FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
CUNrRAcrolt I.ICENSINC SECrIo
(305) 375 -2527 FAX (305) 375.255.
CONrRACrOIt ENFORCENIENr DIVISION
(305) 375-2966 FAX (305) 375 -2908
PRODUCT CON1•ROI. DIVISION
(305) 373.2902. FAX (305) 372.6339
7
Raul Rodriguez
Chief Product Control Division
Francisco J. Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance Office
EXPIRES: 08/14/2006
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
DAB Door Company, Inc. ACCEPTANCE NO: 01- 0620.10
APPROVED: AUG 0 9 2001
1. SCOPE
1.1 This renews the Notice of Acceptance No. 98- 0901.09 which was issued on 10/22/98. It approves a Sectional
Steel Door 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 (SFBCC) for the locations where the pressurc
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 Dab Sectional Door and its components shall be constructed in strict compliance with the following
documents: Drawing No. 98 -05, titled "Sectional Residential Garage Door" prepared by AI- Farooq Corporation.
dated 02/23/98 with latest revision on 08/24/98, Sheet 1 to 3 of 3. It bears the Miami -Dade County Product
Control Approval stamp with the Notice of Acceptance number and approval date by Miami -Dade Product
Control Division. These documents shall hereinafter be referred to as the approved drawings.
3. LIMITATIONS
3.1 Units with dimensions equal to or smaller than those shown on the approved drawings shall qualify under this
approval.
3.2 This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice
of Acceptancc. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E-
8 by a Dade County Approved Laboratory selected and paid by thc manufacturer. Every 3 months, 4 timcs a
year the manufacturer shall mail to this office a copy of thc Test Reports with confirmation that the specimens
were selected from coils at the manufacturer's production facilities. And a notarized statement from the
manufacturer that only coils with yield strength of 37,000 PSI or more shall be used to make door panels for
Dadc County under this Noticc of Acceptance.
4. INSTALLATION
4.1 The Sectional Door and its components shall be constructed in strict compliance with the approved drawings.
4.2 The installation of this door does not require a Hurricane Protection System
5. LABELING
. 5.1 Each door shall bear a permanent label with the manufacturer's name or logo, city, state and the following
statement: "Miami -Dade County Product Control Approved
6. BUILDING PERMIT
6.1 Building Permit shall be accompanied by copics of the following:
6.1.1 This Notice of Acceptance, including two copies of the approved drawings as identified in section 2.
. 6.1.2 Any other document required by thc Building Official or the SFBC in order to properly evaluate the
installation of this system.
andido Font, PE, Sr. Product Control Examincr
Product Control Division
-2-
DAIS Door Company, Inc. ACCEPTANCE NO.: 01- 0620.10
9. This Noticc of Acceptance consists of pages I, 2 and this last page 3.
APPROVED: AUG 0 9 2001
EXPIRES: 08/14/2006
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the origin:
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 produc
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 thc required documentation initially submitted is no longe
practicing the engineering profession.
4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically bc
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 Noticc of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by thc
expiration date may bc displayed in advertising literature. If any portion of the Noticc 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 tc
thc user by the manufacturer or its distributors and shall bc 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.
Candido Font, PE, Sr. Product Control Examiner
Product Control Division
iltiawei Voiced View
10050 NE 2nd Ave
Miami Shores, Fl 33138
Phone 305 - 795 -2204; Fax 305-756-8972
www.miamishoresvillage.com
FAX TRANSMITTAL COVER SHEET
DATE: ° ltit0c
TO:TIQ FAX 3OS'5' , -2,Y
FROM: MONICA LISSETH DIAZ FAX (305) 756 -8972
Number of pages including cover: _
Importance: normal _; urgent _; please reply _; review _; recycle _
MESSAGE:
ON of $ scup a f - pro • 'Re4se.
Cast. lb vow TD quit ;Kafue. ' }?dr,4 i T f$ 91' 2A 1606
Regards,
Monica Lisseth Diaz
Bldg Dept Permit Clerk
(diazm @miamishoresvillage.com)
Permit Number: BP2003 -1006
Invoice Number: RC -4 -06 -24521
Applicant: JOHN BARBICK
Company Name:
Date
Thursday, July 6, 2006
07/06/2006 Credit Card
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Payment Type Check Number
Owner Address:
670 NE 97 ST
MIAMI SHORES, FL 33138
Job Address:
670 97 Street NE
Miami Shores Village, FL 33138-
Amount
$209.30
Total Payment: $209.30
MIAMI SHORES VILLAGE
10050 NE 2ND AVE
MIAMI SHORES. FL 33138
(305) 795 -2209
Sale
MID:542929800429003
TID: 237828
07/06/06
Batch 0: 16
APPROVED 106250
Customer COPY
THANK YOU!.
15:53:56
RMIEX
XXXXXXXXXX (20101
RPPr Code: 106250 Inca; 00000?
total; $ 209.30
Change
$0.00
Page 1 of 1
MESSAGE CON IRMATION
DATE TIME SCR -TIME DISTANT STATION ID
07/06 16:00 00'30" 93055562609
NODE
TX
07/06/2006 16:01
ID =MIAMI SHORES VILLAGF
PAGES RESULT
002 OK
D.CODE S.C.
0000
c
oz PM.
BUILDING
PERMIT APPLI
FBC 2001
Permit Type (circle):
Owner's Address
Tenant/Lessee Name
P"
Miami Shores Village
Building Department
3 1 _ 7 1 0050_ N.E.2nd Avenue, Miami Shores, Florida 33138
1 795.2204 Fax: (305) 756.8972
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
r
A/ Owner's Name (Fee Simple
City M.I.v./ ) State
Carlo
County
Permit No. PTOv " 64G
Master Permit No.
( Plumbing Mechanical
■ ✓�
Phone # 105'
Zip 'y /Yff
Phone #
Miar,ai -Dade Zip
331
NO
Contractor's Company NameCa'►+t,a�r7 #0'1t9,90 L �' Phone #1�0�� - l.3 ‘S-- Contractor's Address / f 76 W /3 D `"'
City 4/ ' d a.t L State f Zip 3 3/10
Qualifier )/f. u-4
State Certificate or Registration No. Certificate of Competency No. et 40/�/�3�
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work: ['Addition ['Alteration
Describe Work:
P2C,. Ut 'w V• t[ + "Of
Submittal Fee $
41 0 Permit Fee $
Notary $ ' 00
Scanning $
Code Enforcement $
Total Fee Now Due $ el °
(Continued on opposite side)
❑New
DO
Training/Education Fee $ CD. BCD
Radon $ Zoning_
Structural Plan Review. $
MAR 14 PAID
4 ' cAL 44 ,
Phone #
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * *, * * * * * * * * * * * * * * * * * * * * * * * * **
❑ Repair/Replace ❑ Demolition
CCF $ 4 - CO /CC
Technology Fee $ •
Bond $
Roofing
Pr
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature 7 Signature
Owner or Agent
The foregoing instrument was acknowledged before me this f
day of F4 , 2006 , by Ohl Art z.4ck
who is personally known to me or who has produced
1 ir,c : • ..a' 4' v
1.1 1:
14
NOTARY PUBLIC
Sign:
My Commission Expires:
APPLICATION APPROVED BY:
chc 05/13/03
e y 41-
d take an oath.
wit
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:
Sign:
Print:
My Commission Expires:
1
o
Plans Examiner
Engineer
Zoning