1140 NE 98 StDate � - W Job Address 1 1 k 0 NE: Q T>
Legal Description 21 tlC k a) f01% 931(A Historically Designated: Yes No
Owner/Lessee / Tenant aid, ��'I�CJ1.c I Master Permit # L ,3 73 g
1.1140 N t. rr GI 'j l conic, cAap Phone 3 - 1S1 - �{ S(O
Contracting Co. FLQANCW Address 1 Ofl 0S I'3 (•.) 1 2i
Owner's Address
FEES: PERMIT
Qualifier
State # Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one)
WORK DESCRIPTION
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Signature of owner and/or Condo
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
RADON
g' ( - 00
sident Date
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Notary to Owner and/or Condo President Date
My C ssign , j Aire
, 4F..ef , Jacinto B. Cervino
• _ t ��i =Commiss # CL'
Ex pos Ja 24, 2003
Atlantic Bonding QOM
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Tax Folio
ss# ( Phone aDS - 4 - 77 3391
Competency #01 Ins. Co.
Address
Address
Address
BUILDING
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
ILIA114:410.' •t1_ i. it••. r_
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C.C.F. 1' O
Estimated Cost (value) 'Li Li 00 00
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.
Signature of Contractor or Owner- Builder
Not
My
s to Contractor or Owner - Builder
'ssion EVAN Jacinto B. Ce
� � rhn0
i . cCommission # CC
g Expires Jan. 24, 2003
•
Atlantic wing Co. Ina
APPROVED:
Zoning 17 Building
Mechanical Plumbing Engineering
tf 2; -1 00
Date
Date
NOTARY U' BOND
Electrical
TOTAL DUE
4314e'j 00,
Date: August 3 2,000
Building Official:
Hurst Awning Company, Inc.
Frank S. Cornelius
President
www.hurstawning.com
5795 N.W. 36 Avenue • Miami, Florida 33142
Phone: (305) 635 -0900 / (800) 327 -0905
Fax: (305) 634 -9078
SHUTTER PRODUCT APPROVAL AUTHORIZATION FORM
Municipality: Metro Dade Building Official
111 N.W. 1st St.
Miami, Fl. 33128
Hurst is the Dade County Notice of Acceptance Holder for the following:
Product Description Product Approval No.
20 ga. Steel Storm Panel Shutter 98- 1021.03
This letter authorizes Unlimited Fences to be used at the following
Job: ()DAL AIL; ANVO£Piu i
IMO 1J cqA,J
Miami, Fl.
or Executive Vice President
1 This form must accompany the application for building permit and shall become
part of the permit documents.
2 The authorized signature must bear the raised corporate seal of the company holding
the Dade County Notice of Acceptance.
V \\ ■/77 - >t i - 7.1 --
II �� , r Unlimited Fences �1 , �� , � 11 ( i` k i I
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PRODUCT CONTROL NOTICE OF ACCEPTANCE
Hurst Awning Company, Inc. CONTRACTOR LICENSING SECTION
5795 N.W. 36 Avenue , ( 305) 375 -2527 FAX (305) 375 -2558
Miami FL 33142 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
20 ga. Steel Storm Panel Shutter
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This approval shall not balid 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, lit 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- 1021.03
Expires:02 /16/2002
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.
Approvcd:02 /11/1999
Internet mail address: postmaster@buildingcodeonline.com
rancisco . Quintana, R.A.
Director
1 of 3 Miami -Dade County
Building Code Compliance Office
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
Raul Rodriguez
Chief Product Control Division
Homepage: http : / /www.buildingcodeonline.com
Hurst Awning Company, Inc.
ACCEPTANCE No.: 98- 1021.03
APPROVED
Product Control Division
2of3
FEB 1 1 1999
EXPIRES : February 16, 2002
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. SCOPE
This revises and renews the Notice of Acceptance No. 97- 1208.05, which was issued on February 5,
1998. It approves a 20 gauge galvanized steel storm panels shutter, as described in Section 2 of this
Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for
Miami -Dade County, for the locations where the pressure requirements, as determined by SFBC
Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings.
2. PRODUCT DESCRIPTION
The 20 gauge gal ized steel storm panels shutter and its components shall be constructed in strict
compliance with following documents: Drawing No. 98 -218, titled "20 Ga. Steel Storm Panel ",
prepared by Knezevich & Associates, Inc., dated September 30, 1998, last revision #2 dated January
4, 1999, sheets 1 through 8 of 8, signed and sealed by V. J. Knezevich, P.E., on January 6, 1999, .
bearing the Miami -Dade County Product Control Approval stamp with the Notice of Accepiance
number and approval date by the Miami -Dade County Product Control Division. These documents
shall hereinafter be referred to as the approved drawings.
3. LIMITATIONS
All permanent set components, included but not limited to embedded anchor bolts, threaded cones,
metal shields, headers and sills, must be protected against corrosion, contamination and damage at
all times.
4. INSTALLATION
The 20 gauge galvanized steel storm panels shutter and its components shall be installed in strict
compliance with the approved drawings.
5. LABELING
Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the
following statement: "Miami -Dade County Product Control Approved ".
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit shall be ar.rnmpanied 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.
v 4 •�
Helmy A. M kar, P. E. - Product Control Examiner
Hurst Awning Company, Inc.
9. This Notice of Acceptance consists of pages I, 2 and this last page 3.
END OF THIS ACCEPTANCE
3 of 3
ACCEPTANCE No.: 98- 1021.03
APPROVED
EXPIRES
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
FEB 1 1 1999
. February 16, 2002
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, 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 bey*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.
6. The Notice of Acceptance number preceded by the words Miami- Dadt'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 needs not reseal the copies.
8. Failure to comply with any section of this Acceptance -shall be cause for termination and removal of
Acceptance.
Helmy A. akar, P.E. - Product Control Examiner
Product Control Division
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MIAMI SHORES VILLAGE
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. N. E
Name and address of licensed contractor
GUSTOFSON
Registered Architect and /or Engineer
SEAVIEW AWNING CO.
Location and legal description of lot to be built o • Q
Lot 21 Block 18 Subdivision M I AM I SHORES SEC . 8
Street and Number where work is to be done 1 1 40 NE 9 T H STREET
State work to be done and purpose of building (by floors)
AWNING SHUTTERS
and for no other purpose.
New Building Remodeling Addition X Repairs No. of Stories
To be constructed of METAL Kind of foundation R Covering A L U M
Estimated Total cost of improvements $ 883.81 Amount of Permit $
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 fo said building. All notices with reference to the building and its construction may
be sent to SEAVI EW AWNI NG'C0. L 030 NV 29 TH STREET
STATE OF FLORIDA,
COUNTY OF DADE. j &4
Date
DEC. 17TH
No. 1
1 210
030 NW 29 TH STREET
Street
0 X 120
56
NE 98TH1 T.
The undersigned applicant for this building pennit 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 su .rs ' work to 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.
Permit No 7 �� Date / - o a Read, Swom to and Subscribed before me.
Disapproved Date_. J -' L
( Signed) LA;
< Notary Public, State of Florida
Building Inspectors -r 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.
ia
N.E. GUSTAFSON
WO NE 98TH. STREECTT
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