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WINDOWSMortgagor WORK DESCRIPTION Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE .. Date Job Address /0.0 a g VJ 9 Tax Folio Legal Descriptionkfe, 8 /cfi G o� 4 7 n S P Histon 3 t ally Designated: �° f ''1 .46 Owner/Lessee / Tenant k— • PCB '46.c/ 4 2 9 Owner's Address iv O L Contracting Co. 7 17)0 2 1" AciAie �� 7 Qualifier /2 Y /V, / , /Ga/G0 /. State # c 6 G Z If Q / Municipal # Architect/Engineer / /# i / i fr - gefi Bonding Company Address Address o // -��r� �aC/ �oo Yes No Master Permit # Phoneab S 75,7 �S Address 3 04 K73 (O ! 7 U SS# Phone 7t/ 7�6vI Competency # Ins. Addres �? /s ' � � 1�. / - P5 24-3/ 4l Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING VING FE NNCEE IGN 0 I n w S � e4 I ) ( 3 2) "ft 4.72( tuhrz- (/ Estimated Cost (value) 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 OF 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 ANPIDAVIT: I certify that all the foregoing information is accurate and that all work will be done incompliance with all applicable laws regulating 0 01 . 11 111 vtt� a/1p O i N constructio FEES: PERMIT APPROVED: Zoning Mechanical d zoning. Furthermore, I authorize the above -named contractor to do the work stated. ‘ ,.NIIIIIIHi... i gnature�of o � N � Notary as to My Commission E ir &B "' Date D RADON C.C.F.3 Buildin 4/1,71 Signet o ontractanbi o Notary as to Contractor o My Commission Expir NOTARY Electrical BOND TOTAL DUES ". Plumbing Structural Engineer NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordarce 1.h Chapter 713, Florida Statutes, the following information is provided Commencement ovided in this Notice of Commencemen 1. Legal description of property,and street address: Lot /oc4 dF { / 16L E70A/Tilok 'e e f ec�P�Uen f h PI a )- 8 � � 3 G� ?O G. � f v hj I " /' r c>ret S 0 11k4? (004-ti e ��vr'7 • 1 -s 2. Description of improvement: k'J i v e DomJ S , ct M r 7A-5 ,o /c 3. Owner(s) name and address: )( I l J 1). Pit — Interest in property: Q t,v/V Name and address of fee simple titleholder: ) -Q ¶ ✓iE c7 ,Si J rn /ii 41 / VilOke 4. Contractor's name and address: Y / U / i /) IJ bi T le 1 S 14 7�-� -4_ . / bq m) f L 330/6 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: •1 Amount of bond $ 6. Lender's name and address: tV1,4 different date is specified) Signature of Owner Print Owners Na Notary Public 6 Z40 Print Notary's Name /YDr 1 Nut r My Commission Expires: ao D P � Sworn to and subscribed before me this a day o iau:o L `- 7. Persons within the State of Florida designated by '�` 9 Y Owner u�`W�I¢prR� ; s or other documents may be served �a provided by Section 713.13(1)(a)7., Florida Statutes, address: C-) I-' D T cJ 3t Th?° �S e 01 s � � � � ti) h ' � /0 � � c /3 Name and ddress: fi die . h� M� 1 Gn 'r ' 4 Nnrma Modem / *My Commission CC695091 a,., • i s ' ovem • , 001 OrrlR 192405 2000 APR 24 15:09 STATE OF FLORIDA, COUNTY OF DACE onwr..f ir this office on 8. 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: 1 /Up FO V /MSS/ oN 1 / .1 ' ik 1 D4 � l3 � r� 'h 1.• vn 1 S 1 v Q- P P s - 7s -- 41, s 9. Expiration date of this Notice ;of Commencement (the expiration date is 1 year from the date of recording unless a Cob k7o.�/lik c . : 1 6 - 1 1 1 Prepared by: . ,,ll Address: j Z) ' /1 /& 9c / b9 r s//o. ,F ? %3Q Florida . Storm Panels 14475 N.W. 26 Avenue • Opa- locka, FL 33054 • (305) 685 -9990 • (305) 685 -9000 • FAX (305) 685 -7511 SHUTTER PRODUCT APPROVAL AUTHORIZATION FORM Building Official Dear Mr. Building Official: We are Dade County Notice of Acceptance holder for the .060 Aluminum panels under number 99- 0726.01 (Previous number 96- 0304.1). r, This letter authorizes l- D 1 J e . to use our .060 Aluminum Sincerely, Victor V. Cruz President or • panels under number 99- 0726.01/to be used at the following job: Enrique Revilla 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. • MIAMI,DADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Florida Storm Panels, Inc. 14475 N.W. 26th Avenue Opa Locka FL 33054 BUILDING CODE CONMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305) 372 -6339 20 GA. Galvanized 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 be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:99- 0804.01 Expires:01 /04/2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Approvcd: 01/21/2000 Internet mail address: postmaster ©huildingcodeonline.com .rancisco Quintana, R.A. Director 1 of 3 Miami -Dade County Building Code Compliance Office Homepage: http : / /www.buildingcodeonline.com ..a Florida Storm Panels, Inc. ACCEPTANCE No.: 99- 0804.01 JAN 2 1 2000 APPROVED EXPIRES : January 4, 2003 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE This revises and renews the Notice of Acceptance No. 99- 0105.03, which was issued on February 5, 1999. 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 This 20 gauge galvanized steel storm panels shutter and its components shall be constructed in strict compliance with the following documents: Drawing No. 99 -097, titled "20 Ga. Galvanized Steel Storm Panel ", prepared by Knezevich & Associates, Inc., dated July 19, 1999, last revision #2 dated December 23, 1999, sheets 1 through 4 of 4, signed and sealed by. V. J. Knezevich, P.E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS All permanent set components, included but not limited to embedded anchor bolts, threaded cones, metal shields, headers and sills, must be protected against corrosion, contamination and damage at all times. 4. INSTALLATION This 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 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. Helmy A. akar, P. E. - Product Control Examiner Product Control Division 2of3 Florida Storm Panels, Inc. 3 of 3 ACCEPTANCE No.: 99- 0804.01 APPROVED EXPIRES NOTICE OF ACCEPTANCE: STANDARD CONDITIONS JAN 2 1 2000 January 4, 2003 I. 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 been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer 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 I, 2 and this last page 3. END OF THIS ACCEPTANCE /1e Helmy A. akar, P.E. - Product Control Examiner Product Control Division