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800 NE 97 St (4)MIAMI SHORES VILLAGE, FLA. JOB #' r - N ADDRESS INSPECTOR f 4 , `2 INSPECTION TIME READY :^m n ° 3 N? 7134 REMARKS: DATE 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -248 Printed: 3/7/2005 Applicant: IVAN BALL Owner: BALL IVAN JOB ADDRESS: 800 NE 97 ST Contractor SOUTHERN WINDOW TECHNOLOGY INC Contractor's Address: 19394 SW 106 AVE Local Phone: 305 - 253 -2560 Parcel # 1132060142770 Building Permit Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 14 & LOT 15 BLK 74 Fees: Description Amount FEE2005 -2886 Building Fee $110.00 FEE2005 -2887 CCF $1.20 FEE2005 -2888 Training and Education Fee $0.40 FEE2005 -2889 Technology Fee $2.75 FEE2005 -2890 Scanning Fee $6.00 FEE2005 -2891 Submittal Fee ($50.00) Total Fees: $70.35 Total Fees: $70.35 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/21/2005 Construction Value: $1,200.00 Work: INSTALL CUT DOWN DOOR Signed: (INSPECTOR) Page 1 of 1 o� 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: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): , B ldi g, Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) � ��/J �f n /�r f Phone # : `?�= ter —�� �' Owner's Address ,c % 4/2-{ - q 7 � ?1` City Iii - 7 5 State FL— Tenant/Lessee Name Job Address (where the work is being done) 1 * � i /l ��� City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO ' Contractor's Company Name Contractor's Address ' City e Y Qualifier Total Fee Now Due $ r � (Continued on opposite side) ; S Value of Work For this Permit ` 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) '795.2204 Fax: (305) 756.8972 Permit No. 4/ 1 Master Permit No. Zi. Miami Shores Village Building Department '�` 0I State Code Enforcement $ ° Structural Plan Review. $ Zip,?,`)1:3� Phone # hone'# Zip Architect/Engineer's Name (if applicable) ,',; Phone # \ a p a Square Footage Of Work: c Type of Work: ❑Addition ❑Alteration ❑New ` Repair/Replace ❑ Demolition Describe Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee.S "A -/ . Permit Fee $ in _ Notary $ < 7,, - � " Training/Education Fee $ 4 -tV Technology Fee $ . ,. Scanning $ Radon $ �' Zoning ,........., Bond $ ' CCF $ I) C CO /CC Bonding Company's Name (if applicable) Bonding Company's Address R City State Zip Mortgage Lender's Name (if applicable) �� e 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 perm: is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature712k 1-./ Owner or Agent The foregoing instrument was acknowledged before me this day of Qom. , 20,X :, by who is personally known to me or who has produced 9G0 — �`7 `: OAs identification and who did take an oath. NOT( UBLIC` , � Alice LoPresti Sign: mission # DD322107 , . � _: \ ' xpires August 2, 2008 Print: U /�; h�`� P .did Troy Fro • *sunned, Inc e00465.1019 My Commission Expires: R NOTARY P I Sign: C�. Print \\C c *************** * ************************************ **************************** **************************** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED BY: Chc 12/15/03 ***********: 1,***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * -.. ��- Contractor The foregoing instrument was acknowledged before me this day of 0,2 ,20Yf , by who is p rsornown` to me or who has produced as ide t f . 'on and who did take an oath. 'oPresti m4 # DD32210 Expires August-274008— My Commission Expire6Q`in% ewe Troy foil ''nw "n<', loc. 8CO365'70 **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** IhAR - 1 rs Plans Examiner Engineer Zoning h nit IAMI•D/`DE PRODUCT CONTROL NOTICE OF ACCEPTANCE PCT Industries 1070 Technology Drive Nokomis ,f'L 34275 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 00- 0628.11 EXPIRES: 11/09/2005 APPROVED: 11/09/2000 \IlAlMl -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE. Ii\1l l RO -DADli FLAGLER BUILDING 140 WEST H AGI.ER STREET. SUITE 1603 MMI:\MI. FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375 -2903 CON rR:\ciOR LICENSING SECTION (305) 375.2;27 FAX (305) 375.2558 CONTRACTOR I NFORCE.%IENr))1\7RIV\ (305) 375 -2966 FAX (30i) 375.2708 PRODUCT CONTItOI. DIVISION (305) 375 -2902 FAX (305) 372.6337 Your application for Notice of Acceptance (NOA) of: Series SGD -70 Aluminum Sliding Glass Door- Impact. 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. Raul Rodriguez Chief Product Control Division THIS IS TIIE COVERSIIEET, SEE ADDITIONAL PAGES F012 SI'ECIf IC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COr1N1I"1'TEE 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 Miami -Dade County, Florida under the conditions set forth above. Francisco J. Quintana. R.A. Director ianl - Dade County Building Code Compliance Office 118 0 4 50001 \pc2000\ \templates \notice acceptance cover page.dot Internet nail address: postm aster)buildingcodeonline.com 1loulepagc: http : / /■tvw.buildingcodconlinc.com PCT Industries ACCEPTANCE No.: 00-0628.11 APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 3. LIMITATIONS 3.1 This approval applies to single unit applications only, as shown in approved drawings. 3.2 1 -lead receptor is not allowed to be used in this installation. : November 9, 2000 : November 9, 2005 1. SCOPE 1.1 This approves an aluminum sliding glass door, as described in Section 2 of this Notice or 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 SGD -70 Series Aluminum Sliding Class Door — Large Missile Impact Resistant and its components shall be constructed in strict compliance with the following documents: Drawing No 4345 -1, titled "SGD -70 OXXO." Sheets I through 4 of 4 dated 03- 15 -99, last revised on 10- 13 -00, signed and sealed by Robert L. Clark, P.C., 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. 4. INSTALLATION 4.1 The aluminum sliding glass door and its components shall be installed in strict compliance %with the approved drawings. 4.2 Hurricane protection system (shutters): The installation of this unit %Fill 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 ofthc 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. 1 51.A1 1 Li'144Jc Ishaq I. Chanda, P.E. Product Control Examiner Product Control Division 2 of 3 PGT Industries ACCEPTANCE No.: 00- 0628.1 1 APPROVED : November 9, 2000 EXPIRES : November 9, 2005 NOTICE Or ACCEPTANCE: STANDARD CONI)I"TIONS I. Renewal of this Acceptance (approval) shall be considered alter 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: "IVlianti -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered it': 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 (throu�.:h the filing ofa revision application with appropriate Ice) and granted by this office. 5. Any oldie following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. h) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice ol'Acceptance number preceded by the words Miami County, Florida, and followed by the expiration Elate may be displayed in advertising liter'atur'e. Ifany portion ache 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 he provided to the user by the manufacturer or its distributors and shall he available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists 01'pattes I, 2 and this last page 3. 151,4 1. (A411L !shag I. C:handa , P. E. Product Control Examiner Product Control Division END OF TIIIS ACCEPTANCE 3 of 3 DP HE TYP. SIL L 3/16" TAPCON r 1.230 1/16' TAPCON II II II' a. II GROUT MUST TRANSFER SHEAR LOAD ro SLAB 1500 1 .230 AJAX rrP. HEAQ .641 2 X ITEM DESCRIPTION V.T. # l Frorne Heod, 2 Track 612245 1 Alumox 2 Frame Sill, 2 Trock 3 Threshold Cover, 2 -Trock 4 Fixed Adopter, Frame Sill WOOD BUCK 5 Wee • liovsin 6 Weep Flop 7 Frame Jomb, 2 -Track 8 /8 x 1.000 Quad 9 La tch Keeper 10 18 x .375 Ph. Pn. SMS 7838PA 4 (2 /Latch Keeper) 1l Bum er 72087K 2 ((1 /Jamb - Opr. Trk.) Eastcoost R&P 12 8 x .375 Ph. Pn. TEK 78X38PPT 2 (1ZBumper) 13 Top /Bat. Roil 612248 8 ((2/Ponel) Alumox 74 Wstp., .170 x .270 bock - fin seal 67S16C 42 Fixed, Oper. & Scr. Panels) Schlegel 15 Side Rail (Fixed /Operable) 612249 4 1 /Pone!) Alumox 16 Roller Tandem Steel 71049 8 (((2 /Ponel) Truth Hardware 17 18 x .375 Ph. Pn. SMS 78X38PPA 16 (2 /Roller) 18 1/4 -20 x 1.000 Ph. Pn. MS 720X1A 32 (8 /Panel) 19 Lockset 7LOCK 3 Nationwide 20 /10-32 x 1.75 Oval M5 21 X Com Latch 22 Com Spocer 23 110 -32 x .500 Tr. Ph. MS 24 Fixed Pone! Meet. Rail 25 26 27 28 29 30 32 33 34 35 36 37 38 39 40 41 42 43 Oper. Ponel Meet. Roil Glazing Beod f7/1 Vinyl Bulb 7 /16' Lominoted Gloss Silicone Seam Sealer Fixed Ponel Clip /8 Screen Toe Roil Screen 8ot. Rail x 1.000 Ph. Pn. SMS Single Rollers Screen Side Roil 110 -32 x .875 Ph. FI. MS Screen Meeting Roil 1/4 x 1.500 Ph. Pn. SMS Screen Saline Pone! Astrogol Screen Astragal Revisions: REV. A 70/13/00 F.K. Moter:ok Rersd By: Dole: Dun 8 D.8. Pn. SMS 781 POA 12 (6 /Jamb) Cn By: rot Dete j/1 5/99 612246 1 Alumox 612255 2 612254 2 70250 3 1®eo. end & 10 center Scherer 70251 (1 ®eo. end le 10 center) Scherer 612247 2 Alumox 7SDKEEP 2 Notionwide 71032x134MSx 4 (2 /Pone!) 7X1720X 3 1 /Lock) 42502N 2 1 /Ponel Lock) - not Screen PCT Industries 7toizxtzrPMS 3 1 /Lock - Com Latch Screw 612251 2 (1 /Fixed Pone!) Alumox 612261 2 1 Operable Pone!) Alumox 6534601 16 (4 /Ponel) Alumox 6TP247 16 J /Clozinq Bead) Teom P!ostics 4 (1/Ponel) PPG. LOF 62899C 6SM55W 612262 APPROVED AS Pent le, wT3111 SOUTH FLORIDA flUiLOING CAD£ DATE_ e ZOoo BY \ 41. &9 • •ye... PRODUCT CAN VOL MASON Bu3LDIND CO OFFICE ACCEPTANCE NO. On 0628 • I I QTY. 78X 1 PPA Fixed Pone! Clip Screws 714X112PPA 4 (Screen Assy. Screws) 60170K Diem= nwleee Netee' rroclanr t 1/64 &vend.0:t Dscinot .002 t angutom t1 . s.r:es /lode: SCD- 70 PCT NO: 1070 TECHNOLOGY DRIVE NOKOMIS, FL 34275 P.O. BOX 1529 NOKOMIS, FL 34274 VENDOR No: T Scote: Sheet: 4 or 4 Alumox Alumox VENDOR Dow Corning Alumox 612256 2 Alumox 612257 2 Alumox 7SRAZ 4 (2 /Screen Ponel) 612258 2 (1 /Screen Panel) Alumox 71078 2 Screw Lock) 612259 2 1 /Screen Panel) Schnee - Morehead Alumox I Team Plastics Indolex lndolex SGD -OXXO - BILL OF MATERIALS Droving No. 4345 -4 VENDOR •# .4F -12245 AF- 12246 AF-.12255 AF-12254 AF- 12247 AF- 12248 FS- 7516 -187 AF -12249 39 -10 AF -12251 AF -12261 534601 TP -247 899 SM5504 AF -12262 AF- 12256 AF -12257 AF -12258 AF-12259 INDUSTRIES Rev: 4303 2 -TRACK SILL AF -12246 4308 MEET. RAIL (F1xED) AF -12251 2.909 4326 MOVtNC PANEL MEET. RAIL (H.D.) AF -12261 2.435 _405 4314 FIXED PANEL ADAPTER AF -12254 —I 1.800 .971 3.177 4302 2 -TRACK HEAD AF -12245 I — 1.9.13 — 4328 FIXED PANEL CLIP AF -12262 • 1.619 1.045 -� —` 1;:i 1.9 4317 SCREEN 12256 TOP RAI 4344 SCREEN ASTRAGAL (0Xx0) /6 4304 2 -TRACK JAM9 AF -12247 — I.1..1•2 I - I LJOS i J Rewa;ool: REV. A 10/13/00 F.K. Mot enot Rend By: Dote: DO•o -n Q .fr 7/ 3-' Z D.B. I — 1.986 - .357 1.23.5 4315 2 -TRACK THRESHOLD AF -12255 Chkd By: 1.993 I 1.045 - -I 4318 SCREEN BOr. RAIL AF -12257 APPROVED AS PiYS14041T r1'7 SOUTH�F WILDING CODE DATE `L.vf3.s....Ittn. 69 BY \ S.LNA1 \ • 1w.•d— PR000CT CONTROL MASON EUlLC1NG CODE E^ASPUANCE MICE ACCEPTANCE NO. 00 - E I Dote: oore .3/ 15/99 2.948 I �. 2.282 — Series /Model MAr'L 606J -t5 ALyM. NOTE: ALL OTHER ALUM. Tek*,lc 11 N41e2 7ro2:onr 2 1/64 Oecv'd .00. t 07d•,.:4 .000 Aoirtiot t 1' SCO-70 — 1.872 ,— , 9 _I 1.670 I_ 4305 TOP & Bo r. RAIL AF -12248 7.019 4319 SCREEN SIDE RAIL AF -12258 4342 (MODIFIED) PANEL ASTRAGAL (OXXO) 644932 2.591 1070 TECHNOLOGY DRIVE NOKOMIS, FL 34275 P.O. BOX 1529 NOKOMIS, FL 34274 7.644 4320 SCREEN MEET. RAIL AF -1 2259 .739 EXTRUSIONS ARE 6063—T5 0em p1 O SGD -70 OXXO (Extrusion Profiles) Pc NO: VENDOR NO: Score: Sheet: Oro44 No. 4306 S'OE RA11. AF- 12249 ---I.8491-- 4324 GLAZ. BEAD (7/1 5 " Com.) AF- 53450 INDUSTRIES — 3e 4345 -3 ET fiL( alanfit.4 s 1 v i5Lb3N oaf ** 5 a?!. ‘d a c,$)0 cf/ o /LDW' Q (2 I/ c0._( I 51 "K11 `. 96.00 1.500 .250 WEEPHOLES — ROUGH OPENING EXTERIOR 5.177 5.177 VERTICAL SECTION ROUGH OPENPNC ROUGH OPENING I.619 5.357 2.435 INTERIOR 93.937 MAX PANEL HFX:HT HORIZONTAL SECTION AMC?' ITEM 32 (FIXED PANEL CLIP) *TM (2) ITEM 33 (1901' PH. PN. SUS) AT 18.25. 36.75. 60.50 & 77.00 FROM BOROM L VINYL BULB 7/16" LAMINATED GLAZING DETAIL CONSTRUCTION DETAIL: OVERALL 7/16' LAMINATED CONSIST OF 3/16" HS GLASS CITES (EXTERIOR & INTERIOR SIDE) WITH .088 SAFELEX 1110 PVB INTERLAYER BY SOLUTIA, BETWEET CITES. 191.750 MAX ITEY 13. no I P14 PN SUS LOCAIEO ON 6' ON CENTER Rev:t:o REV. A 10/13/00 F.K. Mot Raved By: Dole: Oro.. By: D.B. CnkO By: `Dole: Dole: 3/15/99 TOWINIV1 I/nlns Net,• Fnzlo'T: t 1 /6 4 Deane .00: ! 0cinol .007 Angular: 3 I' Series/Model: SG0— 70 .. PCT NO: 1070 TECHNOLOGY DRIVE NOKOMIS, FL 34275 P.O. BOX 1529 • NOKOMIS, FL 34274 vENOOR N0: 47.875 MAX PANEL WIDTH Scale: Sneer: 2 e/4 —I 1.213 I— APPROVED AS COMPLYING WITH THE SOUTH FLQRID BU LDI NG CODE DATE 1/lo aau�.�al, 09, 2 0 ° 8Y X5\441 PRODUCT CONTROL DIVISION BUILDING CODE C OFFICE ACCEPTANCE NO. Q° - a6 1 8 • U f�(TERfOR � ROUGH I/ OPENING INTERIOR FAT INDUSTRIES SGD- 70 OXXO (SECTION VIEWS) Oro -.'g 140. 4345 -2 Re.,: A DESIGN PRESSURE RATING POSITIVE + 60 PSF NEGATIVE — 60 PSF 0 96.000 MAX 0 M 88. DLO HEIGHT MAX 43.562 DLO WIDTH 6" —I ----I 13" I-- MAX. ON CENTER 0 X 750 — TYPICAL HERO Be SILL 2 ROWS OF ANCHOR SCREWS SEE SHEET 4 OF 4 LARGE MISSLE IMPACT DOORS 1.) GLAZING: 7/16" LAMINATED 2.) CONFIGURATIONS: OXXO 3.) SEALANT: FRAME CORNER, INSTALLATION SCREWS & PANEL SEALED WITH SCHNEE /MOREHEAD #SM5504 SEAM SEALER 4.) ANCHORS: MAX. 6" FROM EACH CORNER (HEAD & SILL) MAX. 6" FROM EACH CORNER (JAMBS) MAX. SPACING AT HEAD & SILL: 13.000 0 MAX. SPACING AT JAMBS: 21.000 5.) SHUTTER REQUIREMENT: NO SHUTTERS REQUIRED 6.) REFERENCE TEST REPORT: FTL -2369 0 191.750 MAX CORNERS 0 ELEVATION Rev:sons: REV. A 70/13/00 F.K. Moler;ot• Rersd e Dole: L ite.se rn Br: 0.6. 0 Cnkd By: Dote: Dote: /15/99 • 1 { 1 21 "MAX. I ON CENTER Tofemoret tlnfrss Note•d; TreeI onr 1 1/64 Oreim/ .00 1 Oeci oel .000 I. Angoir: l Series /Model: SCO -70 Oescripl:orr. 1070 TECHNOLOGY DRIVE NOKOMIS, FL 34275 P.O. BOX 1529 NOKOMIS, FL 34274 • SGD -70 OXXO — ELEVATION APPROVED AS COMPLYING WITH THE SOUTH FLORIDA UILDING CODE DATE 770 en, gCo° BY 154A ► • 4n144, PRODUCT CONTROL DIVISION BALDING CODE COMPLIANCE OFFICE ACCEPTANCE NO. 60 -O4Z$ .11 PCT NO: VENDOR NO: Scole: Sheet: Orar;nq 14 INDUSTRIES No. 4345— Nov: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official LtM111 �76 Page 4 Olt-F ICE USE ONLY • OWNER - BUILDER FORM (Attach) • FIRE DEPARTMENT APPROVAL (Commercial / multi - family) • CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) C PROOF OF OWNERSHIP (Attach) C HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) Cl OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ O Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine $ Zoning Review 31, s m L (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPUCATI<ON C CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ® CONTRACTOR REGISTRATION (On File) TOTAL $ 1� g \__ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE 1 Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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 "eater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE 1 Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. 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 lice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay I epair Vacuum Pump Disposal 'Interceptor Roof 'Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water "eater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Filer Minimum Fee Shower Water Service Drains, French Miscellaneous ]Equipment Sink Well, Supply 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: CONTRACTOR New Construction N ° lktPdl) -- NCI'. d!d k c, 5 y t, o i l ; License No. q [ s (� (! l Alteration Exterior Address ) SL) le( -A 4_ rL , 31 Src, Telephoo S3 s`a dam) Fa x . 305 a . _J 5 � -� �.1 Qualifie / n� ha V`kL L ¢) b M� ,4 0 PROPERTY OWNER New Construction Name /g hIA bo. ° rAomn SSA0 Alteration Exterior Address W_% CD 0 rl L. .get a _ dft'i �"i 3 3? <31 Home Telephone Demolish Business Telephone Relocation of Structure Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Vc>0146 St`1 ''‹ . a , tix SNottes a °i � u. na , MtikitlfeiNg - the Ib low iti t lip l k 'fo a m a i i i 1t . ro to i e''Iiami Shores lage: rt Step 1. 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. APPLICATION K_ Job Address: Folio Number /0 aQ G 0/ Va 40AcDescription of Work ZY6't o CA ?:.) bec Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property X Value of Work's l/) Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other ARCHITECT Name License No. Address Telephone F PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection V Master Permit No. Subsidiary Permit No. PEST APPLICATION Complete the attached permit application which mu t be i • ed b the .rI . ert owner and . ualifier. Both si ' natures 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 submitted along with this permit application. 'SOO �'�`� � ��� �QG�11 Shoff r0 Address Apt. City Stite 2)e Zip ENGINEER Name License No. Address Telephone Fax Page 2 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, 1s' 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 broc i e at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORI Signature of Owner inegg TY OF MIAMI -DADE a 73,61-t_t, Print Name Z n to and subscribed before me this 7 day of U Si • _ . Notary Pub - " • to of Florida SEAL: ocitelyAlliaer 0 sionDD isgt 61‘41 e a g March 11 2005 Personally known OR, Produced Identification OF MIAMI -DADE FLORIDA, Signature o otary Public - . tate of Florida Sworn to and subscribed before me this c pem ..__ a PERMIT APPLICATION gnature of Contractor / Qualifier girm Print Name day of / A pp‘ Ni Dorothy A Mawr M ..mission D0008045 Expires March 11 2005 Personally a OR, Produced Identification Type of Identification Produced: Type of Identification Produced: NOTICE OF ,COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE ,2OB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be rn:rde to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: `` VCJ • A AA)/ Lt 33/ 2. Description of improvement: 3. Owner(s) name and address: Notary Public Print Notary's Name • 45_t_ i i h?i) 1 Li SS D Or. L l II UA it) UU 1 4° 1 tThne {Ai AAA-- h j .j- L3 3 3 Y 02R082987 2002 FEB,11 11 :48 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: _ )1,r , k&1, .N. - 1 5 o `t\ ti,c'[ e L lq 344 S l 0(a 1 - 4 u-= vy. L A-n6., i r ( 315/ 5. Surety:(Payment bond required ay owner from contractor, if any) Name and address: Amount of bond $ A, COUNTY OF D,ADE STATF nF • HER. ,: Y CER r that 1 .s ,ru op/ of t• he 6. Lender's name and address: �. r day LVITIVFS • y hand 7. Persons within the State of Florida designatpc(jy_ f� . h. by Section 713.13(1)(a)7., Florida Statutes, By Name and address: , A D 20 rd Ofhaat Seal. nbti. othet doc 0.0. B. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) 4W— Signature of Owner Print Owners Name 4( 4 Sworn to and subscribed before me this 1 day of I/p Gft/A < , e' a . mv u. SOD Vij •; _ +i, , pi "b'served as provided man:. n 33I 5q PAY TO THE ORDER OF LIGHTFOOT ENTERPRISES P.O. BOX 700613 PH. 305-253-8302 MIAMI, FL 33170 ■ 63- 899/670 46519725 DATE 2321 DOLLARS O 0 t OMMUNI Y B ANK Perrine MEM O�/�KJ��LPt I:06700E1993i: 4651972506v 232i 11 1 , -7 ) 1-.10 & G L L Its o o \ / P r -÷1 .. .. 1 . • i 1 1 . . 41 f� ----"- o 449-4.111 i ! 1 ; ! + 1 . . 0 NOTE: o s• m I ® . 3D 29 2G} o 0 / �.� r, 1 : t■,-- t I Il'! ; , '�'- I 1 /; ' • 0 1 . � ) ITEM DEPENDING CONFIGURATION 2.) REINFORCEMENT 0 0 0 7 0 t, ITEM ,�� l i I � 2 #17 WILL I C. MANGE TO ITEM #16 ON CONFIGURATION OF PANEL. IS OXXO. USED ONLY WHEN ALUM. IS REQUIRED. 16 APPICIVED AS COMPLYING VirTH TxE SOUTH FLORIDA BIPILDII1G CODE � ; 0/ ... � >> � 1 7 0 0 -. E� r 1 23 • l '%� 3I ► _ I 0 if, ,,/ ` S OAT G 1 '' ZD= 0 0 �► 19 !1� /�� BY44'/. __ _ .� —01•_......... PROW CO r"'L DIVSFON BUIL)ING CODE COMPLIANCE OFFICE ACCEPTANCE NO. ad-030/. I!] , G 1 Revision!: r „x °f Weir "°f°& 1070 Technology Dr. Noxomis Fl. 34275 • INDUSTRIES IN ' • 0 0 '' A Diwinsal MO .. Aviv: t r• , �� • 0 -- 0 Se rsaaoe./uc SOD-2500 �� �� MoPa/a!: ., /1 / 1/( 2 4_ /�� Aeser9:Uon: Revd es rim: ova s Dots: SCD — ,2,500 OXXO Elevation PGT NO: KNOOR NO: Seas: Sheet: I 66 Crowing No. 741 Rev: Drown er A B. not•2 /14/00 . . • : . ITEM DESCRIPTION V.T. # VENDOR VENDOR # 1 Lockstile 69362 Alcoa AF -9362 �--- -- !� •. a + ''' ; . ' 2 tnterlack 69409 Alcoa AF -9409 1-500 • .3 Ina Bottom Rol 68173 Alcoa AF -81.3 • • . • I 1 . i : . . .. Sail,. . � ' ; L ' IL • 1 J .. . • To• Rail 68172 Alcoa AF -8172 .=� t c 5 glazing Vinyl _ 6T304K Teom Plastics VT304/8 6 Wheel Assembly 75 -24Z Nationwide Industries BU C x NIt�o D _ 1 . �r _ - -" • — "- ----- t 7 olostic Bottom Pan& Guide 41802 PGT industries 1 . 1 e2�cxxWOOD 1 j j . , j i 8 clastic Top Ponel Guide 41801 PGT Industries 9 .320x.187 Top /Bot. Poll Wstp - Pile 6FELTK Schlegel FS7831 -187 1/ T4PCON `' — I ``' � `{ ^ 10 .200x.187 Interlock Itst• - Pile 62003K Schlegel FS7819 --187 r #12 fi�ITFIFAG 11 ' 10 x 3 4 To p Rail Ass Ph. Pon SMS 7103 Foster Ind. 1127 12 1 /4 -20 K 1 Sot. Roil Ass Screw 720X1.4 1 S p encer Products 1134 — _ TYP. HEAD TYP. HEAD 13 .atch Assy -Lack Side 7LOCKK Nationwide industries 14 Latch Ass - Dum Side 7OUMY Nationwide industries 15 ilO -32 x 7/8 Latch Scr., Ph. F!. _SMS 71078 Foster Ind. l 135 . 16 , - leovy Duty Astragal 69492 Alcoa AF -9492 17 Aluminum r7einforcem 6 f 2F8X lndalex 31324 I I. 18 Frame Head 58179 Alcoa AF -8179 19 =rome Sil! 58181 Alcoa AF -8 i 1 U U 20 Frame Jamb 68180 Alcoa AF- 81 E0 r 21 ;.atch Keep 7SDKEEP Nationwide lnduslries t /o ra�coly i .1 ! I _ 7 22 1 x 1/2 Tr. Ph. SUS 78X12TS4Z Faster Ind. 1137 23 Screen Keeper 41804 PGT lndusfries 24 Latch Kee Sp acerp 41818k PGT industries � ± � I 25 Jamb Burrs er 72087K Eostcoost Rubber & Plastic 26 `6 x 5 16 Ph. Pon SMS 7PPBAA Faster Ind. 1138 1 . I t I, 'a i . a I. t • . ' • ' II • . U 4 .) GROUT MUST �R SHED 27 di -Rise Sil' 69371 Alcoa AF -93i 1 28 15 x 1/2 Ph. Pan SMS 76X 12A S p encer Products 1 136 29 Header Dust Plug - Nig Pile 7P69GG L1ltrofa5 Inc. P &9036 30 Sill Dust Pu• -Low Pile 7P30GG tlltrafa� Inc. P3004G LOAD 70Sta. TYP. SILL 31 18 x 3 4 7834AA Sp encer Products 32 200 x Jamb Wsfo - Pile 62003K Schlegel 1209 33 .187 Fixed Pane' Cli•s 7LA13A 0 &8 717 34 Fixed Pane' Cli. s 7LSL to D &B 718 35 Fixed Pane' Bracket 41814 PGT Industries _ 646 -- T 2 r 441000 BUCK t � —. 4. _ ! - AP?HCVED AS COMPLYNC WITH THE -- SOUTH FLORIDA BUILDIM CODE LIAlf C° � 4 Er / PROM. COL •GL DIVI;IGN 8ulloirtc CODE COMPLIANCE • e ACCEP /ANCE {YO Oo r t 30(. • / 12 PgNrlr✓aD 1111FT a low i - 1 Alk 1 ' r .. a• 1/1 ° TAPCON g i � , � , - - - .4 •• • 4 • . . .. • . c `' Ratiatona: Telerenee. West tilted; Poems: I 1 B. o ►.02 t k an x d .0 r• • 1070 Technology Or. Nokomis, Fl. 34275 INDUSTRIES a -1 -I ."- 1 x WOOD BUCK TIT. JAMB TYP. JAMB ���G� serks/uoeel: SGO -2500 ,mot l: Description: - SGD -2500 OXXO Bill of Materials, Anchorage • de / Roved ay: rote: chtra gy: date: PGT NG VMOOR Nd: - Sear.: Sheet: 5 o5 Owing No. 741 Rev: Crown 8Y 0.8. 2 / 14/00 Door Height Door Widths 48.000" 72.000" , 96.000" 72.000" 108.000" 144.000" 96.000" 144.000" 192.000" 72.000 100.8 74.72 , 63.04 100.87 74.72 63.04 100.87 74.72. 63.04 80.000 89.00 65.08 i 54.04 _ 89.00 65.08 , 54.04 89.00 65.08 54.04 96.000 72.05 51.73 • 42.03 72.05 51.73 ' 42.03 . 72.05 51.73 108.000 63.04 44.83 36.02 63.04 44.83 36.02 63.04 44.83 _ 42.03 35.02 OX, X0 or XX 0XO or XXX OXXO or XXXX y Door Door Widths Height 48.000" 72.000" 96.000" 72.000" 108.000" 144.000" 96.000" 144.000" 192.000" 72.00G 60,67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 ' 80.000 60 67 60.67 54.04 60.67 60.67 54.04 60.67 60.67 54.04 96.000 60.67 51.73 42.03 60.67 51. 42.03 60.67 ; 51.73 42.03 108.000 60.67 44.83 36.02 60.67 44.83 36.02 60.67 4 4.83 36.02 OX. XO or XX CXO or XXX OXXO or XXXX Door Door Widths Height 48.006" 72.000" 96.000 72.000" 108.000" 144.000'" 96.000" 144.000" 192.000" 72.000 130.00 106.7 90.06 130.00 106.74 90.06 1 30.00 106.74 90.06 80.000 127.14 92.97 77.19 127.14 92.97 77.19 '27.14 92.97 77.19 96.000 102.93 73.90 60.04 102.93 73.90 60.04 1 02.93 73,90 6.7.04 108.000 90.06 64.04 51.46 90.06 64.04 51.46 90.06 64.04 5.'.46 OX, XO or XX CXO or XXX OXXO or XXXX Door Door Widths -^ Height 48. 000" 72.000" 96.000" 72.000" ! 108.000" 144.000" 96.000" 1 192.000" 72.000 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 80.000 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 96.000 60.67 60.67 60.04 60.67 60.67 60.04 60.67 60.67 60.04 108.000 60.67 60.67 51,46 60.67 60.67 51.46 60.67 60.67 5.46 OX, X0 or XX GXO or XXX OXXO or XXXX Without Reinforcement a) Negative Des gn Loads (PSF based on Comparative Ana is. b) Positive Design Loads (PSF) bosed on Comparotive Anal sis, With ALUMINUM Reinforcement a) Negative Design Loads (PSF) bosed on Comparative Analysis. b) Positive Design Loads (PSF) bosed on Comp arative Analysis. Ro isl000: Notarial: Povod e): Drown By; O.B. 2/14/00 SLIDING GLASS DOOR 1.) Glazing: 3/16" Tempered 2.) Configurations: OXkJ 3.) Design Pressure Rcting: a.) Design Pressure Rating with Aluminum ,Reinforcement: +50 P.S.F., -50 P.S.F. b.) Design Pressure Rating without Reinforcement: +35 P.S.F., -35 P.S.F. 4.) 2 Anchors Per Location as follows: MAX. 2 3/4" FROM EACH CORNER (HEAD h SILL) MAX. 6" FROM EACrf CORNER (JAMBS) MAX. SPACING AT HEAD de SILL. 16.000 AUX. SPACING AT JAMBS: 14.00.0 .5.) Shutter Requirement: Shutters are Requirad. 6.) Reference Test Report: o) FTL - 1381 (W /oui Reinforcerrent) b) FTL- 1382 (With Aluminum Reinforcement) 7.) All Frame Comers le Panels Sealed With Schnee /More;iead Sealant 8.) Sill riser to be attached Max. 12" from end and 24" 0.C. Taieranoe9 Wass Mated Frocoa,r. t 1/64 o.l .oa ! wd„d .goo : Any t 1' Seei.a/Ltodei. SOD-2500 m 7.iplion: APPROVED AS sOM11P1YING WITH THE SOUTH FLORrMA BUILDING CODE DAT. - -&Le o .i�3;CO of PR T cn.TfOL Olvis;oN BUiiDiW CODE COMPLIANCE OFICE 4 CCFPT4UcE rlo Q O - 0 .30/ • 03 1070 Techno'ogy Dr. Nokomis, F1. 34275 Chkd Sy: Dote SCD OXXO Comparative Analysis PCT NO: VENDOR N0: Scale: Sheol: 4 av6 INDUSTRIES Dmring No. 74 R73: Door Door Widths Height 48.006" 72.000" 96.000 72.000" 108.000" 144.000'" 96.000" 144.000" 192.000" 72.000 130.00 106.7 90.06 130.00 106.74 90.06 1 30.00 106.74 90.06 80.000 127.14 92.97 77.19 127.14 92.97 77.19 '27.14 92.97 77.19 96.000 102.93 73.90 60.04 102.93 73.90 60.04 1 02.93 73,90 6.7.04 108.000 90.06 64.04 51.46 90.06 64.04 51.46 90.06 64.04 5.'.46 OX, XO or XX CXO or XXX OXXO or XXXX Door Door Widths -^ Height 48. 000" 72.000" 96.000" 72.000" ! 108.000" 144.000" 96.000" 1 192.000" 72.000 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 80.000 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 96.000 60.67 60.67 60.04 60.67 60.67 60.04 60.67 60.67 60.04 108.000 60.67 60.67 51,46 60.67 60.67 51.46 60.67 60.67 5.46 OX, X0 or XX GXO or XXX OXXO or XXXX Without Reinforcement a) Negative Des gn Loads (PSF based on Comparative Ana is. b) Positive Design Loads (PSF) bosed on Comparotive Anal sis, With ALUMINUM Reinforcement a) Negative Design Loads (PSF) bosed on Comparative Analysis. b) Positive Design Loads (PSF) bosed on Comp arative Analysis. Ro isl000: Notarial: Povod e): Drown By; O.B. 2/14/00 SLIDING GLASS DOOR 1.) Glazing: 3/16" Tempered 2.) Configurations: OXkJ 3.) Design Pressure Rcting: a.) Design Pressure Rating with Aluminum ,Reinforcement: +50 P.S.F., -50 P.S.F. b.) Design Pressure Rating without Reinforcement: +35 P.S.F., -35 P.S.F. 4.) 2 Anchors Per Location as follows: MAX. 2 3/4" FROM EACH CORNER (HEAD h SILL) MAX. 6" FROM EACrf CORNER (JAMBS) MAX. SPACING AT HEAD de SILL. 16.000 AUX. SPACING AT JAMBS: 14.00.0 .5.) Shutter Requirement: Shutters are Requirad. 6.) Reference Test Report: o) FTL - 1381 (W /oui Reinforcerrent) b) FTL- 1382 (With Aluminum Reinforcement) 7.) All Frame Comers le Panels Sealed With Schnee /More;iead Sealant 8.) Sill riser to be attached Max. 12" from end and 24" 0.C. Taieranoe9 Wass Mated Frocoa,r. t 1/64 o.l .oa ! wd„d .goo : Any t 1' Seei.a/Ltodei. SOD-2500 m 7.iplion: APPROVED AS sOM11P1YING WITH THE SOUTH FLORrMA BUILDING CODE DAT. - -&Le o .i�3;CO of PR T cn.TfOL Olvis;oN BUiiDiW CODE COMPLIANCE OFICE 4 CCFPT4UcE rlo Q O - 0 .30/ • 03 1070 Techno'ogy Dr. Nokomis, F1. 34275 Chkd Sy: Dote SCD OXXO Comparative Analysis PCT NO: VENDOR N0: Scale: Sheol: 4 av6 INDUSTRIES Dmring No. 74 R73: Door Door Widths -^ Height 48. 000" 72.000" 96.000" 72.000" ! 108.000" 144.000" 96.000" 1 192.000" 72.000 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 80.000 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 60.67 96.000 60.67 60.67 60.04 60.67 60.67 60.04 60.67 60.67 60.04 108.000 60.67 60.67 51,46 60.67 60.67 51.46 60.67 60.67 5.46 OX, X0 or XX GXO or XXX OXXO or XXXX Without Reinforcement a) Negative Des gn Loads (PSF based on Comparative Ana is. b) Positive Design Loads (PSF) bosed on Comparotive Anal sis, With ALUMINUM Reinforcement a) Negative Design Loads (PSF) bosed on Comparative Analysis. b) Positive Design Loads (PSF) bosed on Comp arative Analysis. Ro isl000: Notarial: Povod e): Drown By; O.B. 2/14/00 SLIDING GLASS DOOR 1.) Glazing: 3/16" Tempered 2.) Configurations: OXkJ 3.) Design Pressure Rcting: a.) Design Pressure Rating with Aluminum ,Reinforcement: +50 P.S.F., -50 P.S.F. b.) Design Pressure Rating without Reinforcement: +35 P.S.F., -35 P.S.F. 4.) 2 Anchors Per Location as follows: MAX. 2 3/4" FROM EACH CORNER (HEAD h SILL) MAX. 6" FROM EACrf CORNER (JAMBS) MAX. SPACING AT HEAD de SILL. 16.000 AUX. SPACING AT JAMBS: 14.00.0 .5.) Shutter Requirement: Shutters are Requirad. 6.) Reference Test Report: o) FTL - 1381 (W /oui Reinforcerrent) b) FTL- 1382 (With Aluminum Reinforcement) 7.) All Frame Comers le Panels Sealed With Schnee /More;iead Sealant 8.) Sill riser to be attached Max. 12" from end and 24" 0.C. Taieranoe9 Wass Mated Frocoa,r. t 1/64 o.l .oa ! wd„d .goo : Any t 1' Seei.a/Ltodei. SOD-2500 m 7.iplion: APPROVED AS sOM11P1YING WITH THE SOUTH FLORrMA BUILDING CODE DAT. - -&Le o .i�3;CO of PR T cn.TfOL Olvis;oN BUiiDiW CODE COMPLIANCE OFICE 4 CCFPT4UcE rlo Q O - 0 .30/ • 03 1070 Techno'ogy Dr. Nokomis, F1. 34275 Chkd Sy: Dote SCD OXXO Comparative Analysis PCT NO: VENDOR N0: Scale: Sheol: 4 av6 INDUSTRIES Dmring No. 74 R73: Without Reinforcement a) Negative Des gn Loads (PSF based on Comparative Ana is. b) Positive Design Loads (PSF) bosed on Comparotive Anal sis, With ALUMINUM Reinforcement a) Negative Design Loads (PSF) bosed on Comparative Analysis. b) Positive Design Loads (PSF) bosed on Comp arative Analysis. Ro isl000: Notarial: Povod e): Drown By; O.B. 2/14/00 SLIDING GLASS DOOR 1.) Glazing: 3/16" Tempered 2.) Configurations: OXkJ 3.) Design Pressure Rcting: a.) Design Pressure Rating with Aluminum ,Reinforcement: +50 P.S.F., -50 P.S.F. b.) Design Pressure Rating without Reinforcement: +35 P.S.F., -35 P.S.F. 4.) 2 Anchors Per Location as follows: MAX. 2 3/4" FROM EACH CORNER (HEAD h SILL) MAX. 6" FROM EACrf CORNER (JAMBS) MAX. SPACING AT HEAD de SILL. 16.000 AUX. SPACING AT JAMBS: 14.00.0 .5.) Shutter Requirement: Shutters are Requirad. 6.) Reference Test Report: o) FTL - 1381 (W /oui Reinforcerrent) b) FTL- 1382 (With Aluminum Reinforcement) 7.) All Frame Comers le Panels Sealed With Schnee /More;iead Sealant 8.) Sill riser to be attached Max. 12" from end and 24" 0.C. Taieranoe9 Wass Mated Frocoa,r. t 1/64 o.l .oa ! wd„d .goo : Any t 1' Seei.a/Ltodei. SOD-2500 m 7.iplion: APPROVED AS sOM11P1YING WITH THE SOUTH FLORrMA BUILDING CODE DAT. - -&Le o .i�3;CO of PR T cn.TfOL Olvis;oN BUiiDiW CODE COMPLIANCE OFICE 4 CCFPT4UcE rlo Q O - 0 .30/ • 03 1070 Techno'ogy Dr. Nokomis, F1. 34275 Chkd Sy: Dote SCD OXXO Comparative Analysis PCT NO: VENDOR N0: Scale: Sheol: 4 av6 INDUSTRIES Dmring No. 74 R73: REMOVE TOP RAIL ASSEMBLY SCREWS AND REUSE TO INSTALL TOP F7XE0 PANEL CLP TO PANEL JAMB. USE TWO /10 x 3/4" PAN HEAD PHIL(7S134) TO ATTACH CLP TO MAIN FRAME HEAD.. FCR FIXED SUDING GLASS DOOR PANEL INSTALLATION USE PART NUMBER 41814 IN BRONZE, WHITE, OR SILVER TO MATCH DOOR FINISH AND INSTALL WITH /8 x 3/4" (7834M) PAN HEAD PHILLIPS SCREW AS SHOWN. USING BRACKET AS A TEMPLATE PRE — DRILL LOCK STILE AND JAMB WITH A 3/32" DRILL BIT BEFORE DRIVING SCREWS. USE THREE BRACKETS PER PANEL AT TOP, MIDDLE AND BOTTOM 7F PANEL. USE TWO 110 x 3/4" PAN HEAD PHIL. (71034A) TO ATTACH BOTTOM CLIP TO PANEL „ JAMB USING BRKT. AS A TEMPLATE PRE —DRILL PANEL JAMB WITH A 3/32" DRILL or BEFORE DRIVING SCREWS. THEN ATTACH BPKT. TO SILL WITH /10 x 1 1/2" HEX. HD. TAP CON FURNISHED BY INSTALLER. ONE 7/8" x 5/8 x 1/8" x 4" L!MG ALUM. RETAINER ANGLE IN FRAME SILL AT MID SPAN OF EACH PANEL BOTTOM RAIL, SEC IRED TO FRAME WITH FOUR 110 x 1 1/2" �T. HEAD TAPCON TO 9E FURNISHED BY INSTALLER. Reim' PART #7LSLIA WIND CLIPS ARE REQUIRED FOR HIGH WIND LOAD INSTALLATION. CLIPS MAY NOT BE REQUIRED FOR INLAND FIRST FLOOR APPLICATION. CUPS REQUIRE SILL WITH SCREEN RAIL FOR PROPER INSTALLATION. Description; SOD -2500 0XXO Elevation 1070 Technology Dr. Nokomis, F7. 34275 Sheet: 1 o'6 APP ROM EC AS COMPLYING WITH THE SOUTH FLORIDA BUILDIM, CODE DA ) : 002) PR M r CO ROL DIVI,IOn RUILO CODE COMPEIAHCE OFFICE 1CCEFI'ANCE NO, , : D34> . 03 INDUSTRIES 7LSL 1A 107.C63 45' Daylight Cpening 50.000 I -- " ---- 3.624 — 103" 0oyligh f Opening 4.657 VERTICAL SECTION .75? 1 108.000 h .499 .890 .890 r .574 2.500 --.{ /V� HORIZONTAL SECTION 2.437 1.032 . 500 TYP Rrvlaiont Mot.rial: Red 8y: raw Drown 8y: f 0,8. .376 TYF. kd f IDa : 2 /14/00 Serki/d SGD -2500 Dewtptron: Section ACT NO: Tokraneta jlnMu Hated; Frx6oa: t r 64 D e&not .00 D.c&1U .0106 MOW: A r L• View VENDOR N0: APPROVED AS COMPLYING WITH TM SOOT1 FLORICA Buu.D1HG CODE OAT Dl PROW' ! O. DWSION BiJiU.. COOE COM �� ' ;CCIPTPJtCE NO. _ 1070 Technology Dr.. Nokomis, Fl. 34275 ,v /out Reinforcement Seek: Shoat: 0ri wing Ma. 2o'6 741 3.500 INDUSTRIES APPROVED AS COMPLYINC WITH iHF SOUTH42IOA BUILDING CODE OA "4 CV , aD RV f'l:DD 1 TRC! OIYISIEN SUICO;M CODE COMPLIMCE OFFICE ACCEPiA:CE NO. QOM ©.OL03 1070 Techno;ogy Dr. Nokomis, Fl. 34275 s ection View with Reinforcement VENDOR NO: ScoN: Shoot: Drogdflo No. 3o'6 741 4 MIAMI-DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE 1'GT Industries 1070 Technology Drive Nokomis Approved: 06 /08/2000 FL 34274 I of CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE Internet mail address: postmaster ®buildingcodeonliue.eom 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) 3151966 FAX (305) 375.2908 PRODUCT CONTROL, DIVISION (305) 375-2902 rAX (303)372.6339 Your application for Product Approval of: Series SGD - 2500 Aluminum Sliding Gloss Door under Chapter R of the Code ()I' Miami - bade County governing the use. of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -lade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid alter the expiration date stated below. 13CCO 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.:00- 0301.03 Expires:05/22 /2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL 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 .r Quintana, R.A. Director Miami -Dade County Building Code Compliance Office Homepage: http : / /www.huildingcodeonline.com 4 PGT Industries 2of3 ACCEPTANCE No.: 00- 0301.03 APPROVED JUN 0 8 Z000 EXPIRES _ May 22, 2001 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE, 1.1 This renews the Notice of Acceptance No. 96- IO23.03, which was issued on May 22, 1997. It approves an aluminum sliding glass doer, 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 SCD Aluminum Sliding Glass Door and its components shall be constructed in strict compliance with the following document: Drawing No. 741, Sheet 1 of 6 titled "SGD - 2500," prepared by Progressive Glass Technology, dated February 14, 2000, bearing the Miami -Dade County Product Control Approval stamp with the Notice or 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. 3.2 Other configurations allowed: OX, XO, XX, OXO, XXX and XXXX. 3.3 Mead receptor is not allowed to he used in this installation. 3.4 For Design Pressure Rating vs. Door Size, and Reinforcement. See Comparative Analysis Tables in approved drawings 4. INSTALLATION 4.1 The aluminum sliding glass door and its components shall be installed in strict compliance with the approved drawings. 4.2 The installation of this product will 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 REQU1REMF.NTS 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. Ai_ Manue Perez, P.E., Product Co i • xaminer Produ ntrol Division • 4 MIAMI -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE I'GT Industries 1070 Technology Drive Nokomis Ap p roved : 06 /08/2000 FL 34274 Your application for Product Approval of Series SGD -2500 Aluminum Sliding Gloss Door under Chapter 11 of the Code of Miami - lade 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, l3CCO 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.:00- 0301.0 Expires: 05/22/2003 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 I3CCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. 1 of 3 Internet mail address: postmaster ®buildingcodeoaliue.com MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER IUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375.2908 CONTRACTOR LICENSING SECTION (305) 375.2527 FAX (3051375.2558 CONTRACTOR ENFORCEMENT SECTION (303) 375-2966 FAX (305) 375.2908 PRODUCT CONTROL, DIVISION (305)375.2902 rA.C (305)372.6331 Raul Rodriguez Chief Product Control Division 'rancisco . Quintana, R.A. Director Miami -Dade County Building Code Compliance Office Homepage: http : / /www.huildingcndeonline.com 4 PGT Industries ACCEPTANCE No.: 00- 0301.03 APPROVED JUN 0 8 2000 EXPIRES May 22, 200'[ NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS L SCOPE 1.1 This renews the Notice of Acceptance No. 96- 1023.03, which was issued on May 22, 1 997. It approves an aluminum sliding glass doer, 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 SGD -2500 Aluminum Sliding Class Door and its components shall be constructed in strict compliance with the following document: Drawing No. 741, Sheet 1 of 6 titled "SGD-2500," prepared by Progressive Glass Technology, dated February 14, 2000, 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. 3.2 Other configurations allowed: OX, XO, XX, OXO, XXX and XXXX. 3.3 plead receptor is not allowed to be used in this installation. 3.4 For Design Pressure Rating vs. Door Size, and Reinforcement. See Comparative Analysis Tables in approved drawings 4. INSTALLATION 4.1 The aluminum sliding glass door and its components shall be installed in strict compliance with the approved drawings. 4.2 The installation of this product will 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 approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly [narked 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. 2 of 3 Manue Perez, P.E., Product Co' • xaminer Produ ntrol Division PGT industries ACCEPTANCE No.: 00- 0301 JUN 0 8 2000 APPROVED EXPIRES May 22, 2003 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS l 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, 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 Approval ", 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, signcd 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 01 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 Acceptance is displayed, then it shalt 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 the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages f, 2 and this last page 3. END OF THIS ACCEPTANCE 3 of Manu Perez, P.E., Product Examiner Produ • tfol Division MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed stateusent oi we 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. atul all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and till 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. Date Owner's Name- and Address /ad / L No. (0 P — Registered Architect and/or Enincer Name and address of licensed contractor L_Fn ti/, ,4/i2 5 C (9/ r_ro, / 7 / yr_ Locattonp4 legal description of lot to be built on: Lot-.141. f — Block.-- 7 L............... Subdivision Street and Number where work is to be done .2?...° c/v 5 '7 7 ',---- , State work to be done and purpose of building (by floors) ............ -.1 idfiNd.p..42...s____4-6(a - C.17:12 51 r L i c, ) .44144 New Building Reiuodcling..._... - Addi peered ..._....- .. ..... - Disapproved — (Signed) .—.._.--... Cliairman -- Member To be constructed of Kind of foundation.__. Estimated Total cost of improvements $ /.52..P- Amount of Permit Zone cubage required .. — —Plan Cubage Distance to next ne.uest building ..... — —Size of Building Lot.— /1 /4-1 a:27 o' and for no other purpose. Repairs. — No. of Stories........----- _ Roof Covering t rL Maximum live load to be borne by each floor hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. /./"._ I/V/2 - .g.4 1 ,5 ' C Pg5 Co , 4,7(2 Pv.;57./9 Mtn/It 3L AZ, 3373 The undersigned applicant for this building pertnit does hereby certify that he understands and accepts his obligations as an employer oi labor under the Florida %Vorkinen's Compensation Act. being Section 5066. Compiled Ceneral Laws of Florida. Permanent Supplement. m and has complied with the provisions thereof. and will require similar compliance from all contractors or sub-contractors employed by hint in the work to bc performed tinder 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 hy the Act. The undersigned agrees to ernploy only such subcontractors, on work to be performed under this permit. as are licensed by Miami Shores Village. t/ Remarks (Signed) ft37 STATE OF FLormA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is the. ******* ................... th.C;if ...... of the above described construction, that he has carefully read the foregoing application, and that he did therein by him stated s ae Date (.1.1: Read. Sworn to and Subscribed before me. Permit No.. Date.------ Notary Public, State of Florida tV Building Inspector My Commiuion Expires PLANNING BOARD.— — DATE Member Member Member --Date Disapproved Date Member — Council Approved (3 A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmns die 1'Ialinir.....11uard. A re-inspection fce of S1.00 will be charged when such re-inspection is made necessary by !miniver notice for ins/set-tint, or faulty materiali. Anu/or workmanship.