304 NE 99 St (5)Issue Date: 1/23/2006
Owner's Name: JOHN FORBES
Permit Type: Windows /Shutters
Work Classification: Door Replacement
Job Address: 304 99 Street NE
Comments:
REPLACE FRONT ENTRY DOOR
Additional Information
Miami Shores Village, FL 33138-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 01/17/2007
Contractor(s) Phone Primary Contractor
HOME OWNER
Yes
Type of Work:
No of Openings: 1
Additional Info: DOOR Classification: Residential
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 responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$5.00
$110.00
$6.00
$2.75
$125.35
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Re . uired Ins
Permit Status: APPROVED
Permit Number: WS -1 -06 -131
Phone: (305)757 -7750
1132060135600
Lot:
ections
PB:
Total Square Feet: 0
Total Valuation: $ 1,300.00
Invoice Number
WS - 1 - 06 - 23566
Total:
UAN 2 3 PAID
Amt Due
$125.35
Amt Paid
,$Jaa5
C7
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Inspection Date: 12/05/2006
Inspector: Grande, Claudio
Owner: FORBES, JOHN
Job Address: 304 99 Street NE
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Monday, December 4, 2006
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -33925
Permit Number: WS -1 -06 -131
G�-
�0� Block:
Permit Type: Windo _ Shutters
Inspection Type:
Work Classification: Door Replacement
Lot:
Phone Number (305)757 -7750
Parcel Number 1132060135600
Page 1 of 2
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 12/05/2006
Inspector: Grande, Claudio
Owner: FORBES, JOHN
Job Address: 304 99 Street NE
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Monday, December 4, 2006
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -33925
Permit Number: WS -1 -06 -131
G�-
�0� Block:
Permit Type: Windo _ Shutters
Inspection Type:
Work Classification: Door Replacement
Lot:
Phone Number (305)757 -7750
Parcel Number 1132060135600
Page 1 of 2
BUILDING Permit No. 5 - t - O( '31
PERMIT APPLICATION Ma ter Permit No.
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) _J t) 14 v2J7e5. Phone # 2G ; 7S 77;
o� - 7
Owner's Address 0 C 4 nl F go( f 7 e_--1 -
City I : l (CI c State L
Tenant/Lessee Name
Job Address (where the work is being done)
City
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier
Type of Work:
Describe Work:
Miami Shores Village
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30 972
60,-MiN6
['Addition ['Alteration
State Certificate or Registration No. Certificate of Competency No.
State pi_
* * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ / / CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Zip
?,04 c( f-
County Miami -Dade Zip
NO
['New
/ ��
Phone #
Phone #
Zip
Phone #
Square Footage Of Work:
33138
Repair/Replace ❑ Demolition
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. 1 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: 1 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 i t1/
day of t a n , 206k, by J ( 1r) yl V ca, ,
The fore oing instrument was acknowledged before me this
who is personally known to me or who has produced 1 Y` who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY P BLIC: 4 , , 4n.
�� R .� aS/��l Y atgas NOTARY PUBLIC:
s +r.�n V
,:2i
Sign: t,tt s: + o.
tl! q d„ Sign:
Print: 1 ti,., t $, F4Itsr Hrlsrfs ^, Print:
My Commission Expires:
chc 05/13/03
Owner or Agent
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 _, by
My Commission Expires:
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: ! d Plans Examiner
Engineer
Zoning
I ) O r'U 6
Proof of ownership provided ( )
B
Produced _]L
clYek
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
OWNER BUILDER DISCLOSURE STATEMENT
being the legal property owner, for the property
Located at: 3 Ne % 9 T Main/ (Si-kW-el-
Legally
described as
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure
Statement, which entitles me td work as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
DISCLOSURE STATEMENT
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building who is not licensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
initial of reviewing clerk. Tlie foregoing instrument
Was acknowledged before me this l day of 6r) , 20 V
who is personally known to me or who has
• as identification and • o id take an oath.. •
Mabel Var Pv -
°•' •..$': Commission i 1984
_,. :: Exp Jul 13,200'
'''io•F Bonded Thru
', i'II ' Atlantic Rondin2 Co., Inc
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MA. 014.-057-0,0
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MIAMI•DADE • • • •• ••• ' •
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BUILDING CODE COMPLIA'dOEE )F`FICE 3 • CCO) ' •� • •� • PRODUCT CONTROL DIVIS�c* • • • • • •
• • •• • • • •• ••• •••
•
NOTICE OF ACCEPTL
.;
•
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•• •:
• • • ••• ••
•
Sabana Windows, Inc. • • •
6187 NW 167 Street
Miami, FL 33015
SCOPE:
IBS- I t3I
M1AM1-DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
I I, FLORIDA 33130 -1563
01 FAX (305) 375 -2908
VP 1111
This NOA is being issued under the applicable rules and regulations go use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTION: Series "Sabana" Outswing Wood French Doors
APPROVAL DOCUMENT: Drawing No. 04 -055, titled "Mahogany Impact Swing Out Door ", sheets 1 through
11 of 11, prepared by EngCo Inc., dated 04 /12/04, signed and sealed by Pedro De Figueiredo, P.E. bearing the
Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date
by the Miami -Dade County Product Control Division.
MISSILE IMPACT RATING: Large and Small Missile Impact
LABELING: 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 ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA 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 NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA # 02- 0828.05 and, consists of this page 1 and evidence pages E -1, E -2, and E -3, as well
as approval document mentioned above.
The submitted documentation was reviewed by Herminio F. Gonzalez, P.E., Director, BCCO
NOA No 04- 0520.01
Expiration Date: October 07, 2007
Approval Date: August 05, 2004
Page 1
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•. 1
• •
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• • 00 0 • •
Sabana Windows, Inr . •: . ': • ' ... • .• •
.. •
:: • . •f ..,' • •. • •1
•
N��'I•E bF:AMCEPTANCII: EVIDENCE SUBMITTED
•.- ..• .... -
.... • .. ... ..
A.
DRAWINGS • •
• • •••
•
• • •
1
•
• • •••
•
' f '
•••
a •• •:,
d riawi
1. Manufactuy�rs t• 3 a s
tc ngs.
2. Drawing No (14055:, titlia: `IGl4ggany Impact Swing -Out Door ", sheets 1 through 11 of
11, prepare8by tngCo Inc., dated 04 /12/04 signed and sealed by Pedro De Fiqueiredo,
P.E.
B. TESTS
1. Test reports on 1) Large Missile Impact Test, FBC, and TAS 201 -94
2) Cyclic Loading Test, per FBC, TAS 203 -94
along with installation diagram of a pair of Ellipse Top Outswing French Wood
Doors/Windows (6' x 8') marked -up by Hurricane Engineering & Testing, Inc., Test
Report No. HETI- 99 -799A, dated 03/04/99, signed and sealed by Hector M. Medina, P. E.
"Submitted under NOA # 02- 0828.05"
2. Test reports on 1) Large Missile Impact Test, FBC, and TAS 201 -94
2) Cyclic Loading Test, per FBC, TAS 203 -94
along with installation diagram of a pair of Arch Top Outswing French Wood
Doors/Windows (6' x 8') marked -up by Hurricane Engineering & Testing, Inc., Test
Report No. HETI- 99 -799B, dated 03/04/99, signed and sealed by Hector M. Medina, P. E.
"Submitted under NOA # 02- 0828.05"
3. Test reports on 1) Large Missile Impact Test, FBC, TAS 201 -94
2) Cyclic Loading Test, per FBC, TAS 203 -94
along with installation diagram of a pair of Square Top Outswing French Wood
Doors/Windows (6' x 8') marked -up by Hurricane Engineering & Testing, Inc., Test
Report No. HETI- 99 -799C, dated 03/04/99, signed and sealed by Hector M. Medina, P. E.
"Submitted under NOA # 02- 0828.05"
4. Test reports on 1) Large Missile Impact Test, FBC, TAS 201 -94
2) Cyclic Loading Test, per FBC, TAS 203 -94
along with installation diagram of a pair of Square Top Outswing Raised Panel Wood
Door/Windows (6' x 10') marked -up by Hurricane Engineering & Testing, Inc., Test
Report No. HETI- 99 -799D, dated 03/04/99, signed and sealed by Hector M. Medina, P. E.
"Submitted under NOA # 02- 0828.05"
5. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94
2) Uniform Load Static Air Pressure Test, per FBC, TAS 202 -94
3) Water Resistance Test, per FBC, TAS 202 -94
4) Forced Entry Resistance Test, per FBC 2411.3.2.1 and (b) 202 -94
along with installation diagram of a pair of Square Top Outswing French Wood
Doors/Windows (6' x 8') marked -up by Hurricane ngineering & Testing, Inc., Test
"Submitted under NOA # 02-0828.05"
Report No. HETI -99 -1136, dated 03/08/99, s' : : a and se . by Hector M. Medina, P. E.
a � Herminio F. Go zalez, P.E.
irector, Building Code Compliance Office
NOA No 04- 0520.01
Expiration Date: October 07, 2007
Approval Date: August 05, 2004
E -1
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• • • • • • • • •
■•
•• .
• • • ▪ :.
Sabana Windows, Ina'. • • • ••• • •• • •
• #- s s
1 it E J .AtE1 A 4 f E: EVIDENCE SUBMITTED
6. • ... ... •
Test reports,on:1i fir:lrZ krdtionTest, per FBC, TAS 202 -94
t o L 'd ,1atic Air Pressure Test, per FBC, TAS 202 -94
'. V)• a>�r•�cststanceTest, per FBC, TAS 202 -94 •
• • • '47 Fd'rced Enti y Resistance Test, per FBC 2411.3.2.1 and (b) TAS 202 -94
along with installation diagram of a pair of Square Top Outswing Raised Panel Wood
Door /Window (6' x 10') marked -up by Hurricane Engineering & Testing, Inc., Test
Report No. HETI -99 -1137, dated 03/16/99, signed and sealed by Hector M. Medina, P. E.
"Submitted under NOA # 02- 0828.05"
7. Test reports on 1) Large Missile Impact Test, FBC, TAS 201 -94
2) Cyclic Loading Test, per FBC, TAS 203 -94
along with installation diagram Outswing French Wood Doors marked -up by Hurricane
Engineering & Inc., Test Report No. HETI -03 -1846, dated 08/21/ 03, signed and
sealed by Rafael E. Droz -Seda, P. E.
8. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94
2) Uniform Load Static Air Pressure Test, per FBC, TAS 202 -94
3) Water Resistance Test, per FBC, TAS 202 -94
4) Forced Entry Resistance Test, per FBC 2411.3.2.1 and (b) 202 -94
along with installation diagram Outswing French Wood Doors marked -up by Hurricane
Engineering & Testing, Inc., Test Report No. HETI -03 -1343, dated 08/21/03, signed and
sealed by Rafael E. Droz -Seda, P. E.
C. CALCULATIONS
1. Anchor Calculations prepared by Robt. E. Fisher — Wm. M. Meyers, P. E., Consulting
Engineers, dated 05/28/99, signed and sealed by Wm. M. Meyers, P.E.
"Submitted under NOA # 02- 0828.05"
Anchor Calculations, ASTM- E1300, and structural analysis, prepared by EngCo, Inc.,
dated 04 /21/04, signed and sealed by Pedro De Figueiredo, P.E.
D. QUALITY ASSURANCE
1. Miami Dade Building Code Compliance Office (BCCO).
E. MATERIAL CERTIFICATIONS
1. Notice of Acceptance No. 03- 0916.02, issued to Nebula Glass International, Inc.
"Glasslam Safety -Plus Laminated Glass" approved on 10/23/03 and expiring on 09/09/08.
F. STATEMENTS
1. Statement letter of conformance and no fi ancial interest, s ated May 05, 2004, signed and
sealed by Pedro De Figueiredo, P. E.
E -2
�l . _A..r�
• Herminio F. " onzalez, P.E.
/ Director, Building Code Compliance Office
NOA No 04- 0520.01
Expiration Date: October 07, 2007
Approval Date: August 05, 2004
• • ... • • . ...
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;• • I • . 1+f I. .i 0 . +
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Sabana Windows, Inc • • •. •. • • • s • ••• ••$
ii '. • s s •
l E'O AE , 'C�P'I't�t11V�E: EVIDENCE SUBMITTED • . • • ... ... • • •
... • • .. ... ..
G. OTHER
1. Notice of • t+C n • �5, issued to Sabana Windows, Inc. for their Series
•
"Sabana" autsivipiV opd.Ftench ISoors, approved on 10/17/02 and expiring on 10/7/07.
2. Letter fronithe'cdnsultant stating that the product is in compliance with the Florida
Building Code (FBC).
E -3
Herminio F. Gonzalez, P.E.
Director, Building Code Compliance Office
NOA No 04- 0520.01
Expiration Date: October 07, 2007
Approval Date: August 05, 2004