1209 NE 99 St3114'
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date q111 Time
Type Insp'n Fi i J CmiAA //'' ►Q_ & L
Permit No. RPCA• it4 "" �� 0
Name Doan 1
Address 1 P oq NF q4 '
Company N Ur r j a r\ Ce doer'
Phone # 305 • 7740.
For Inspector:
Approved
Correction
Re- Insp'n Fee
Name & Date
ti
City
Qualifier
$ Value of Work For this Permit
BUILDING
PERMIT APPLICATION
FBC 2001
Builcliu
Permit Type (circle): E kettles, Plu Ming Aleehan cal Roofing
Owner's Name (Fee Simple Titleholder) , 44011e/ l"a1 Tr/ oft Phone a ,6 =- l $'' . u.
Owner's Address A 9 NF � 99 -If
City /1 14n i s X1 $ State Zip
Tenant/Lessee Name Phone ##
Job Address (where the work is being done)
City Miami Shores Village COuntY Miide Zip
Is Building Historically Designated YES ,,, NO
Contractor's Company Name
e
Contractor's Address / /F57
Architect/Engineer's Name (if applicable)
Architect/Engineer's Address
City
Miami Shores Village
Building Department
27i /tbel;
/Ma 4 ' 0
?" s
R �a
State / Zap 3 3/ 7..S
State
Square Footage Of Work: •
* * es* **a *** *** * * ** * * * **
e. CO
to
10050 KE2nd Avenue
lvfiami Sow Ftorkia 33118
Tet ;.' .) 795.2204
Fa= 756.8972
permit o• 6P2.063 -1 4
Master Permit No.
y ' ''"- ..,
Zip
Number of: Bays / Stories l Families Bedroos :; Bad
Type of Work: ['Addition ,A e ration O ew epaluSeplace 0 De OR
Describe Work: p / ed r
County Escrow Fee $
Education/Training Fee $ Tech $ , Scanning $ Radon $
Code Enforcement $ Bond $ Struct. $
Minus Plans Check Fee $ Total F'ee Now Due $ / r I. (Continue eft ep side)
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 POSIA-4
Owner or Agent
The foregoing instrument was acknowledged before me this
nn _
day of 5Qp 4 , 20 63 , by 1 A4ftc . 1J4 n y
who is personally known to me or who has produced Dyrao,/
1•Jcev.Sed As identification and who did take an oath.
NOTARY PUBLIC:
Sign: 4
Print: acJi / 66. et let-
My Commission Expires:
Chc7/7 /03
APPLICATION APPROVED BY:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,cep S' , 20 O3 , by Qd;m /a)
NOTARY PUBLIC:
Ariel Gonzalez Sign: aPjL
r=� : Commission #1)1J186713
** ` J Expires. Feb 7 i 7007
;`oFFl Bonded Thru
",,,,, Atlantic Bonding Co., Inc.
who i to me or who has produced
as identification and who did take an oath.
Print: qr�¢J 'a ✓1 4_ e
PV e, ; Ariel Gonzalez
`� : Commission #DD186713
Expires: Feb 23, 2007
is Bonded Thru
Atlantic Bonding Co., Inc.
My Commission Expires:
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *1*
SEP - 8 Z Plans Examiner
Engineer
Zoning
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Clopay Building Products Co.
4800.1nterstate Drive
Cincinnati ",OH 45246
Your application for Notice of Acceptance (NOA) of:
Clopay Residential Steel Garage Door 16' Wide
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternatelqaterieds
Construction, and completely described herein, has been recommended for.acctanCe by.tlte
County Building Code Compliance Office (BCCO) under the conditions 4e6ifett he`reln:
"ilas NOA shall not be valid after the expiration date stated below. BCCO resell
product or material at any time from a jobsite or manufacturer's plant .i'ur stud
product c material fails to perform in the approved manner, BCCO: 'y j
use of s.:,:.11 odbct or material immediately. BCCO reserves :the
deternmi_ed} !'' I CCO that this product or material fails to:a�ineeN
Bu f4in `L, . _.
APPROVED: 03/15/2001
45000 i'p 000t%te
interne! !t�l�il
e*ting ;will,betincurred by the manufacturer
THlSIS THE COVERSHEET SEE ADDITIONAL PAGES.FOR t:
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMttf '_I1:..
This application for Product Approval has been reviewed by the BCCO - and approvedtyt
Code and Product Review Committee to be used in Miami -Dade County, Florida under..the 4nc
forth above.
t eilno ice a6ceparlc
tm*
n 0 1111 ;
Bait aiNc
CONTRA Cr012p
(305) 1)5.2527
CONT1 M Ii
• is ..$)
• PROOIt(x
(365)37
140 WTSTr'I t .� ^: 41 ' 16133 '
1v31 I '10'� " s 4563
(305) 35 =2901 FAX{303)17542908
N
Clopav Building Products Co.
ACCEPT' IAtolt -130, 212.&3'
APPROVED B AR 1 5 ?11tH
EXPIRES:, O,3F26F2OO6
NOTICE OF ACCEPTANCE: SPECIFIC +CONDITTONS
trtaeted:in -strict compliance with the
'.an. oor" j : r, 'teldpiy
d lthlrough . ' t ... y , . t' • ...tke
1. SCOPE
This approves a sectional steel garage door 16' -2" wide a6' 6" t ier,
2 of this Notice of Acceptance (NOA), designed to co ' 1
Edition for Miami -Dade County. For the locations where
Chapter 23, do not exceed the Design Pressure Rating vahtestn
2. PRODUCT DESCRIPTION
The Clopay Sectional Garage Door and its components4ha1l? 'be
following documents: Drawing No. 101300, titled "Doy
Building Products Co., dated 02/15/95, with last revisio
Miami -Dade County Product Control Approval stamp W'
date by the Miami -Dade County Product Control .Divisio
as the approved drawings.
3. LIMITATIONS
Tiiis.appr441 requires the manufacturer to do testing.of
Noti00f Acceptance, A minimum of 2specimens s
A tv[, ,by a Dade,County approved l,borrt t w
fo t .ittt s par the tranufscturer shall tia11
e Oct frnlrt 'l ►t.
e_`1✓otmty_ur derllhis N
4. INSTALLATION
4.1' The sectional steel garage door and its components' 11
approved drawings.
4.2 The installation of this door does not require a hurricane prot
4.3 Units with dimensions equal to or smaller than those show(t .in"
under this approval.
5. LABELING
Each door 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 sopi tspfithe,ft� ow,ing:
6.1.1 This Notice of Acceptance.
6.1.2 Duplicate copies of the approved: drawin
rnarked to show the components selected
6.1.3 Any other document, required y4
(SFBC) "in order to' properly.evaluitc the i
• -• • • • •••• .- S
Clopa'v Building Products Co.
3. Renewals of Acceptance will not be considered if
4. i oi r duipgdinkthe materials, use,andfor
be=uso. for termination of this Acceptance,.tmles
ACCEPTANCE 4o.O�II1,O3
APPROVED: MAR 15 2001
EXPIRES: 03/26t2006
NOTICE OF ACCEPTAN(:E: • SPECIFIC CONDITIONS
filing Ora revision application with appropriate fee)' 1W1,7
' • - •-•'. • :• • . •
1. Renewal of this Acceptance (approval) shall be considered after axenewalltppileatillitt
,
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, cityotate,.and
following statement: "Miami-Dade County Product Control 'Approval", or as specificalIV stated in the
specific conditions of this Acceptance.
a. There has been a change in the South Florida Building Codesaffecting the evaluation 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.ont originally approyed.
c. If the Acceptance holder has not complied with 'all The r&juireinents:tif thiSacteistanee; .incl tad/fig.
correct installation of the product.
;'1 • •,;‘,
d. The engineer, who originally prepared, sig
•.0 3
submitted, is no longer practicing the engineer:
5. Any of the following shall also be grounds for reinovatAthisamMtur
a. Unsatisfactory performance of this product or process.
b. Misuse of this Acceptance as an endorsement of any product, for Sales, hdfertiiiiii
purposes.
6. The Notice of Acceptance number preceded by the words Miami-Dade County, Florida, and follO*0.93he
expiration date may be displayed in advertising literature. If any portion or the Notice of-Acteptziace is
displayed, then it shall be done in its entirety.
i
7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be , •!,(1
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 shal11401'termilation and, removal of •
Acceptance.
9. This Notice of Acceptance consists of pages I , 2 and iS405,l'
ENI) OF THIS t
•