SHUTTERSDate
Legal Description /� COL Designated: Yes / No
Owner/Lessee / Tenant /t? / IH• COL S d Master Permit #
/(/ 57' it .cie) /Pic
Owner's Address Phone
Contracting Co. BURST CORPORATION, INC. Address 5660 NW 35th AVENUE
Qualifier JOSE L. GARCIA SS# - , 4081 / Phone 305/633 -3980 V
State # Municipal # Competency # q 7 V .Si u Los. Co.
Architect/Engineer KNEZEVICH & ASSOCIATES Address 1260 NORTH UNIVERSITY DRIVE, #118
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION FURNISH & INSTALLATTON OF HURRICANE SHUTTERS
c cd>2d' / 6•) 5/‘ T e r
Square Ft.
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
laws regula ' g construction and zoning. Furthermore, I authorize the above -named contractor
y a‘ ()47 sC/b
'ign4ture of owner and/or Condo President Date
Notary as to
My Commis&
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 55 NE 99th STREET Tax Folio 11- 3206 - 013 -1290
8 MARGARITA MONT1EL
COMPASSION NUMBER
_ � � a— asaoN EXPIRES
4) Q
FEES: PERMIT O RADON
Date
r
Estimated Cost (value)
otary as to Contractor or Owner - Builds
My Commission Expires:
.�� - 75• 7 C 3 2�
LAURA MARTINEZ
MY COMMISSION # CC 753568
'a, = EXPIE
RS: June 22, 2002
:fi cci Bonded Th R Noffiry Public 6
•
C.C.F. • 1 NOTARY
e in compliance with all applicable
stated
BOND
O
TOTAL DUE J
APPROVED: q )/t. Zoning Building `` / II Electrical
Mechanical Plumbing Engineering
ate
Jpening #
H.A.G.
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.ENGTH OF BLDG.:
NIDTH OF BLDG.:
t I!
HEIGHT OF BLDG.:
OF BUILDING A ► T OR PITCH
, i r,
SELLING PRICE
Sales Tax
Sub Total
Permit & Engr.
TOTAL CONTRACT
Deposit
Less sit
Balance Due
CHARGE CARD
PRINT NAME
$
DIAGRAM
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❑ VISA ❑ DISCOVER
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STATE
CUSTOMER NAME
CONTRACTOR ^�
ADDRESS c , b QQ
Executed inq
this
ED AN
APPROV
BY
(Salesperson Sign Here
HURST CORPORATION
5660 N.W. 35 AVENUE • MIAMI, FLORIDA 33142
PHONE: (305) 633 -3980 / FAX (305) 633 -4159
1- 800 - 645 -9964
APPROXIMATE
' � - DELIVERY
CITY R � Lek—e4 S+
PHONE (HM)
F L- ZIP CODE 3 WORK (WK)
�a1_
zo 7s
a v
TAX FOLIO # ',, 3 Vk.Q O l'-`10 FAX
Account #
Exp. Date:
Signature:
py of which was delivered to, and r = eipt is hereby acknowledged by buyer,
day of
(X)
C e A`, v r N (X)
( Salesperson - Print Name)
OFFICE
TENSED & INSURED
• Aluminum Awnings
• Storm Panels - Aluminum &
Galvanized Steel
• Accordion Folding Shutters
• Extruded Bahamas
• Hinged Colonial Shutters
• Roll-up Shutters - Extruded
DATE ) [3 /
4.aret c0
JOB NO.
COLOR
COLOR #
haser Sign Here)
4JO
chaser - Please Print Name)
(Purchaser Sign Here)
Purchaser - Please Print Name)
PAGE OF
SHUTTER PRODUCT APPROVAL AUTHORIZATION FORM
Date: ARPIL 12, 2000
Municipality: FRANK LUBIEN
10050 NE 2nd AVENUE
MIAMI SHORES, FL 33138
Building Official:
Hurst is the Dade County Notice of Acceptance Holder for the following:
Product Description Product Approval No.
HT -100 ACCORDION SHUTTERS 99- 1110.01
This letter authorizes HURST CORPORATION to be used at the following
Job: NORA OLASO
55 NE 99th STREET
MIAMI SHORES, FL 33138
JOB ORDER 112000- 020402
Sincerely,
Hurst Awning Company, Inc.
Frank S. Cornelius
President
AWNI N O COMPANY. INC_
www.hurstawning.com
5795 N.W. 36 Avenue • Miami, Florida 33142
Phone: (305) 635 -0900 / (800) 327 -0905
Fax: (305) 634 -9078
Magali Garmendia
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.
PQ
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MIAMI-DADE MIAMI - DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
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
HT100 Accordion 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- 1110.01
Expires:01 /13/2003
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 BCCO and approved by the Building Code
and Product Review Committee to be used in Dade County, Florida under the conditions set forth above.
Approved: 01/13/2000
Internet mail address: postmaster @buildingcodeonline.com
rancisco Quintana, R.A.
Director
I of 3 Miami -Dade County
Building Code Compliance Office
k l a
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.: 99- 1110.01
APPROVED JAN 1 3 2000
EXPIRES : January 13, 2003
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. SCOPE
This renews the Notice of Acceptance, No. 99- 0816.02, which was issued on October 1, 1999. It
approves an aluminum accordion type 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 aluminum accordion type shutter and its components shall be constructed in strict compliance
with the following documents: Drawing No. 99 -802, titled "HT100 Accordion Shutter," prepared
by Knezevich & Associates, Inc., dated July 23, 1996, revision #6 dated June 10, 1999, sheets 1
through 6 of 6, bearing the Miami -Dade County Product Control Approval and Renewal stamps
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 aluminum accordion type shutter and its components shall be installed in strict compliance with
the approved drawings.
5. LABELING
Each unit 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
2 of
Hurst Awning Company, Inc. ACCEPTANCE No.: 99- 1110.01
APPROVED
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
. JAN 1 3 2000
EXPIRES : January 13, 2003
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 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 1, 2 and this last page 3.
END OF THIS ACCEPTANCE
Helmy A P.E.- Product Control Examiner
Product Control Division
3 of 3