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WS-10-924Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Owner Information Address BANK OF AMERICA NATL ASSOC TRS C1239 E NEWPORT CNETER Drive DEERFIELD BEACH FL 33441- Contractor(s) AA SAME DAY GARAGE DOOR (305)597 -7399 Phone Cell Phone Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $110.00 $12.00 $0.80 $123.60 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Parcel Number Applicant 289 NW 111 Terrace Miami Shores, FL 33168- 1121360010380 Block: Lot: BANK OF AMERICA NATL ASS() Phone Type of Work: GARAGE DOOR No of Openings: 1 Additional Info: IMPACT Classification: Residential Pay Date Pay Type Amt Paid Amt Due Invoice # WS -5 -10 -37975 05/24/2010 Check #: 1039 $ 50.00 $ 73.60 06/07/2010 Credit Card $ 73.60 $ 0.00 Valuation: Total Sq Feet: $ 1 ,000. 0 0 0 1 Available Inspections: Inspection Type: 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. June 07, 2010 Date Cell June 07, 2010 1 Inspection Number: INSP - 145657 Permit Number: WS -5 -10 -924 I Inspection Date: June 09, 2010 Inspector: Rodriguez, Jorge Owner: Job Address: 289 NW 111 Terrace Project: <NONE> Contractor: AA SAME DAY GARAGE DOOR Building Department Comments REPLACE ON EXISTING GARAGE DOOR. NOT OPENING MODIFICATION Passed Failed Correction Needed Re- Inspection Fee June 10, 2010 Miami Shores, FL 33168- No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Windows /Shutters Inspection Type: Final Work Classification: Garage Door Phone Number Parcel Number 1121360010380 Phone: (305)597 -7399 Inspector Comments nx'Pe o. ► 4-A5 , l /o., 0� ® ,� ®e-er e'e) 0 . .r #1. ®®ezeo )0 Page 1 of 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING R Owner's Name (Fee Simple Title / older) Owner's Address Q ' City % State Tenant/Lessee � Name Email 6- v( GJ C ci®c (/`r /f'e Job Address (where the work is being done) a_ if Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. Master Permit No. pg3g173% NV r 4 �% BY: 1 ...................... J Lr't- Phone # °-,5 L .36 7-3 zip • 3f 3 ! q22-‘ Phone # r ( ? ?" City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone '. one #30T ^r Contractor's Company Name A A SA-t.4 e 4-f 66? 9 e D Contractor's Address / g O U t� el , City c b rQ L-- l) --t—'� r - ( Q Zip 5 31 2- Qualifier N a m e (b S k . Iiot C2 Phone # 30 S - 1 \- t- 1 - ,7 - t t State Certificate or Registration No. Certificate of Competency No. / 0 c.. 5 0®) £ 4, Contact Phone ��" - " � / 1 E -mail A- A'`o42 Ace - DoC) Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ S—C) - 0 0 Square / Linear Footage Of Work: Type of Work: DAddition DAlteration DNew Repair/Replace ❑ Demolition Describe Work ******** * * * * *** * * * * *** * * * * * * * * * ** * * * * ** F ees *** * * * * * * * * **** * * * * * * * * * * * * * * ** CCF$ 0 Submittal Fee $ SO 00 Permit Fee $ riVIP Notary $ ✓t3 CO, 2a=902 )fir Training/Education Fee $ Scanning $ I•OV Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1 34.00 CO /CC $ Technology Fee $ O Bond $ See Reverse 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 CONIlVIENCEMENT 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 comet. cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. en t I absence of such posted notice, the inspection will not be approved a d , reinspection fee will be charged. 4 Si ture J . / ' Signature � ! I ;4I Owner or Agent The foregoing instrument was acknowledged before me this day of h(1 A l , 20 i 0, by 0 jA.3 v r o , who is personally known to me or w cNhitslprg9 PL 1 '. N. As idenatiop,and�. an oath. t `' 0` ' • '.'"' - Air , ,. ° o NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) i�1 111111 „ \∎\` Plans Examiner Engineer Contractor per, The foregoing instrument was acknowledged before me this 2.O day of m a , 20 K b who is personally known to me or who has produced (D as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: U- My Commission 00,105 o Q o ' z Q� Zoning Clerk checked STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW EFFECTIVE 09/24/2009 EXPIRATION DATE: 09/24/2011 PERSON HERNANDO A VELASQUEZ JR FEIN: 270505136 BUSINESS NAME AND ADDRESS: A A SAME DAV GARAGE DOOR SERVICES INC 912 NORTHWEST 15 AVENUE CAPE CORAL, FL 33993 SCOPE OF BUSINESS OR TRADE 1- REPAIR SERVICE 2- SALES 3- GARAGE DOOR INSTALLATION - J. IMPORTANT el Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. I I Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. E Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? 1850) 413 -1609 Exemption Details Name E Titis i Effective . Date 'Termineilw ' Date i Exert Oen ` Type Eirtp�tayer flame caraEOS a t C A Z Sep18 2C#>,4 jsv1s211 C¢dskd� on t , 1 SAVE DAY a i one MIMES INC • Termca6on mss be :h ou h he ravmmtion a; tie exemramrt e:piratior 01 me ∎ -emei"i exe:tptmn. t err mwehdatcr tsr Safi. le to ra-is +e e i Jun 08,1010:16a. FINISHLINE PETROLEUM Exemption Detail Page FLORIDA DEPARTMENT OF FINANCIAL SERVICES Alex Sink Chief E= inanciat 6 Riker al Florida FLOPS nouAE CONT fiCTUS SEAM BY SUBJECT HELP EN ESPANOL SEARCH FLOPS Workers' Comfy Hone Abuut Us Assessment Rates Benefit Delivery Process Centralized Performance Sy stud Ch. 440 FL Statutes Contact Us Databases Directory District Offices EDI Frequent Questions History MernorandarButletins Publications Related Links Rules & Forms Safety Statistics What's New ft 3052271120 Exemption Detail Page This Database was Last Updated: 5123=201010 :1 &13 PM Return to Query Form Return to Query Form DIVISION OF WORKERS' COMPENSATION MOM 742-2214 or (8601i 413 -1601 Florida Division of Workers Compensation - 200 East Gaines Street Tallahassee, Florida 32399 -4228 • • Legal Notices Under Florida taw, e-na a ktfesses are wble recent& It you do netweret year e*n r wicks reteaseac+m reaper= tea e recants request, dttnat send da entaB thls amity. Wit . =MS INsAve ptaiworll p.5 Page 1 of 1 https: /fseeure.fldfs.com/WCAPPS /Compliance ch eriptsIExemptions.asp?PER Oa_ 5/2612010 CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY D.B.A.: 10BS00196 A A SAME DAY GARAGE DOOR SERVICES INC VELAStJEZ CARLOS A Is certified under the provisions of Chapter 10 of Miami -Dade County VALID FOR CONTRACTING UNTIL 09/30/2010 QUALIFYING TRADE(S) 0022 GARAGE & INDUSTRIAL DOOR Herminio Gonzalez P.E. � Secretary of the Board /i" �+ Miami -Dade County retains all property rights herein. PauD 1 www.miamidade.govlbuildingcode 1 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RECUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH,S CERTIFICATE MAY BE ISSUED DR RIAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS BHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. INSR LTR AMYL N3R9. -- 'YVeaf1F 1Af,SURANCF POLICY NUMBER p puCY eFf�CTNB Ih TP tpl AYff� POLCY CxRQL1TION nATF(L1� p/y�(YI UNITS A GENERAL V LIABILITY C DMMERCtAL GENERAL LABILITY ARTE026012 09/18/2009 09/18110 EACH OCCURRENCE VAE 5r"0G EN MLA EXP (Any owpima FEMORAL NAM/ INJURY GENERAL AGGftEGATE S 1 .000.000 s 50.000 S 5.000 s 1.000.0 12-000.000 f CLAIMS MACE [ P OCCIJI• T GEM_ AGGREGATE LNITAPPU ! pomp I 7 Loo PR40t1C -COMP/IMAGE s 1.000.000 1 Ded. 500 WTOM09ILEUABIUTT "'- ANY AUTO AU. OWNED AUTOS SCF•Jr`aIJLEDAUTa3 MEG AUTOS NO11.0NNEDAUTOS COMBINED SINGLE LIMIT (Ea =Want', F 64DI:YlIWURY (Putpsma) II MOLY INJURY (Peremdanq 5 T.NCPERTY DAMAGE IPIR ECTI vm) QMAGELIrI1191L.IlY ANY AUTO AUTO ONLY• EA ACCIDENT S A OILY; AGG S E7l:E6S I U dMRQLLp LIABILITY Deem 1111 CLAM MADLY OCCURRENCE 8 A AGGREGATE S DF.DUCE:ILE RETENTION S S 3 WORKERS COMPENSA ma ENPLCYERS'LtABILTY SUN ANYPU QRi ( FI (Mandatary F�tC EO7 U (N�a e n�tl O m eL. nry IDn� 9PEC7APAG OI r NIS beam l ` TnRYIA rrai O R EcI^ EACH ACCIDENT i S EJ.. DISEASE - EA EMPLOYE& $ EL =EASE.PGUCT LMT S OTHER DESCRIPTION Op OPBAATIDNSI LOCATIONS f VEH1CLE8/EXCLAIMING. AODFJ I PY imPLIMENENT 18PECIAL PRalns1cns Garage Door Repair and installation. May 2610 10:39a AA Same Day Garage Door S MAY-25-2010 TUE 01 :55 PM ACORIJ INSYREP Fend PAWS AA Same Day Garage, Door Service, Inc 912 NW 15th Ave. Cape Coral. F133993 COVERAGES CERTIFICATE HOLDER Fax* Miami Shores ViUage 10050 NE 2nd Ave Miami Shores. Fl 33133 Fax: 786 - 953 -7000 ACORD 25 (2058101) CERTIFICATE OF LIA PAOCt7CER Fat* 239 -443 -2536 Rum" 239 -443 -2535 0 & R Insurance 1326 SE 47th Street Cape Coral, FI 33904 Phoned BILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: UOyd's of London LNSURER U: WSURCdt C LVsURER D: INSURER E: FAX Na, 7869537000 p.3 P. 01/01 I DATE IMMIJOIYYYYI 05/25/2010 NAIC CANCELLATION SNDULDANY IO THEAPovEDESCITIBEDPBLICIESBB CANCELLEDBEFORETME EXPIRATION OAIA: THEREOF, THE 16SUING moan mt. mown TD MAIL _al. DAYS WRITTEN NOTICE TDTNE CERTIFICATE MOLDER NAMED TO THE WTI 9NT' rAIWRE:TO PEI S4 SHALT. IMPOSE NO OBLIGATION DR LIABILITY DP ANY IMO UPON THE INSURER. ITS AGENTS OR REPRESER Au 1988 -2009 ACORD CORPORATION. AU rights reserved. The ACORD name and logo are registered marks of ACORD THE Ar NAY PO#.ICIES. t k 7 �- FDLICIES Y RECIIIREMEtrT, PERTAIN. - 177 - 4 OF INSURANCE LISTED BELOW HAVE ISSUED 1'O THE INSURED NAMED MIME FOR THE POLICYPERICet INDICATED. N TWITlhS1AMDIN.a TERM OR IDCND! sioN L7f ANY CONTRACT CR OTHER ©OCVfIeJENT WTI RiElpEC Tc WHICH THIS CERTIFICATE NAY SE ISSUED OR THE INSURANCE AFFORDED ST THE PDXES DESCRIBED IAN IS SuaJECTTo ALL THE TERMS. EXCLUSIONS AND =KM= OAF SUCH AGGREGATE LIMITS SHOWN MAY NAVE WEN RE.PL'CET} Sr PARs CLRUNS. 1 r+�ICrno�ssR __�+iaaa �t LiFf warts A ' .� awa �ra��' aysu�rlucir T Vkt PSBrNR'LIfCW.l3EMEl .f.kRZ ARTE026012 0971812009 tit#11 ��s����wwpp, /( 6TY6 * "w!- iI�3.`._.a3' 't1.000.0311 r .,. . Se 000 ��'tyiF� t -- ,,,. S> 50 -0 0 ..� WOMAN* MIVISE GCCLR mop Ott anaterisal • II 5. ; I'FASOY,AL $.0$ NdLriY i $ 1.009 EI0D CENERNAmaREDATE 1 s 2.060.1200 Ent f =MATE LI61rtAP PER F'Ia10 ; . io Is 1.000.000 �- ! pow. ! ! 51% t. Dem i 500 itrtaiievall LLAE4LIiY mot AM) ' ALLO W EOAUT E 1 SONIENASIM tT H EDtuTOS .. N E*kUTOS MIME" .E t T I PBotscd Il ' UMW MAW War we* ROW WAY IPerer,Odea�! S = 1 1 4912 1 v ANY Aura I Two EA ACC 1 P AtITO RR9M AEU $ EDEESE r =MUD LNRHILrw CSe4ts D CLAIRS NNE ' DEDUCTa.E REJENrmos $ El4CNd'CuRR®dCe AGGREGATE 5. $ s � lf Loamy YJN MP S arts a ed= rp tr ] Fart - EI C - EAERFLO 3 rl. Dr •PQLIGY I T & MIDI sEscsisslION OF OPERATIONS! LOCAMNS ratiala i»4 reNCLuit0145 AsasHrirsNoORSEsomiSpril2AL PACIVIS IS Garage Door Fier and In taIIstie n. Jun 08 10 10:15a FINISHLINE PETROLEUM ,tint cu cuiu lut LII.UU [It AC' n» moms Fors 239-4432536 PIS 239443-2535 B & R inattrarlc a 1326 SE 471h Street Cape Coral, FI 33904 INSURED Fad! Phalt M Same Day Garage, Door Service. inc 912 NW 15th Aver. Cape Coral, FP 33993 COVERAGES CERTWICATE HOLDER Fax 11Atarni Shares Village 10360 NE End Ave Miami Shares, Fl 33138 'mono 25 W2f11> inh1 CERTIFICATE OF LIABILITY INSURANCE THIS CERTWICATE F3 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TM CERTRICATE HOLDER. THIS CE(TIF1�ATE DOES NOT AM5NEl ESTE= OR ALTER THE COVERAGE AFFORPEU ELY THE POLICIES BELOW INSURERS AFFORDEIG COVERAGE S mune A: LIDOS at London LVAIRER 4. Pik WIPER a INSURER ." r r1A Intl. CANCELLATION 3052271120 p.3 r. u.rul I pmEanumwertn 0512512010 Phone* FM: 785453 -71 0 sREEIDANsEcTIESARCURDESsasessapoucssuisciudesuswaRestiMPIRAnas OWE IMJKThKK I?e'FPRr• soma inanewae4 eND RSDMAIL. 1QRr"3 vta'rren Noma 'ovum CHE AT Hmoda NAts@t re nitL Vt! Ai.UR67Gnose I. Rpm as CONGA' 7N DR LIAOI1 ISY OP ANT It9!® UPON TDE IUS1RER, ITS RUMS OR 1818 -20109 ACORD CO RATION... All rights rewired. The ACORLT tune and lager are raglatared , Make of ACORD Employer Information Ernpaoye Name f ►A SAME DAY GARAGE DOOR SERVICES INC !address jiSt2 N4WINEST IS AVENUE teity {CAPE CORAL Mate _IF- ; krp E mployer Tom. JCORPORATION ! Cow Jun 08 10 10:16a FINISHLINE PETROLEUM Employer Detait Page FLEES HOME COtdTACT US SEARCH By SUBJECT HELP EN ESPAICIOL SEARCH FUNS Workers' Comp Home About Us Assessment Rates Benefit Delivery Process Centralized Performance System Ch. 440 FL Statutes Contact Us Databases Directory District Offices EDI Frequent Questions History MernorandalBulletins Publications Related Links Rules & Forms Safety Statistics '.Mat's New FLORIDA riRTANTeiAL SE fiVIUS Alex Sink C!iii'l Frkkira el t?ftis oft -1 rrda 3052271120 Employer Dal Page This Database was Last Update& 512W201010 :13:13 PM Return to Query Form No Coverage History Exemption Listings Click Exemption fo&fer`s Nome for +Mutts. Name CAROB A VELASQUEZ HERNDO A VELASQUEZ No Owner Electron al Coverage Listings No Additional Locations Employer Name Hist Employer Nameliar e T !Change Dale . 1 Legal turrertt Return to Que,y Form DIVISION OF WORKERS' COMPENSATION MOM 742-2214 or (850) 4134691 Florida DhristOn at worms' Cunnpenstian - 20U East Bees Street - Tallahassee; Flartda 3239942 28 - - Legal Notices undernosta tee, emil meatuses are pubic rawcas.Ir you de rot + nt youre•esst address r tresporde tO2pditrecaads request.co not sand eleolorfe malt to ads entity. btWad, anted tits Moe eyehole wheeling. p.4 Page 1 of 1 https: / /secure.fldfs.con CAPPS/Cornpl ane_ poc!viScr pts/Emp1oyer. sp ?Emgll> 0018... 5/26/2010 3 R081l 1p15-61 : 47pNISHLINE PETROLEUM 3052271120 IV. ° IL7l / U r c'p o( ijorkey--5 2 Q ,n i t ,,.. p 5 239 11 -re'ro-ve- CO'n p 4 ' f p, 6htk 6 MO o r01 CZ S6`y5 :,,jj XX * X * X 71 R * * E Y * * * * Z * * V MIAMI-DADE COUNTY TAX COLLECTOR 140 W. Flagier Street Miami, Florida 33130 Please keep your receipt for future reference. Thank you and have a nice day. 5/26/2010 1300/229/00IILEV O001 -0001 Last Seq. #:0002 WI LBT #:D0 690536 -9 Local Business Tax $45.30 MIAMI -DADE COUNTY TM COLLECTOR LOCAL BUSINESS TAX SECTION 140 W. Flagler St. - ist Floor Miami, Florida 33130 TEMPORARY RECEIPT 2009 -2010 LOCAL BUSINESS TAX Local Business Tax9:005 36-9 State/C 0:105500196 Issued to A A Sim DAY CAGE DOOR SERVICES Type of Business: SPECIALTY BUILDING CONTRACTOR THIS RECEIPT IS ISSUED AS EVIDENCE OF PAYMENT FOR YOUR LOCAL BUSINESS TAX OR PERMIT. YOUR OFFICYAL RECEIPT WILL BE MAILED TO YOU WITHIN 10 DAYS,FROII THE VALIDATION, DATE ON THIS RECEIPT. Payment Received as Certified Above Miami -Dade County Tax Collector Jun 08 10 10:15a FINISHLINE PE r ROLEUM 3052271120 p.2 • 5/26/20101300/229/0011LEY 0001 -0002 Last Seq.#:0002 WI LBT #:11 690536 -9 Local Business Tax $18.75 CA $70.00 CHANGE $6.25 MIAMI -DADE COUNTY TAX COLLECTOR LOCAL BUSINESS TAX SECTION 140 W. Flagler St. - 1st Floor Miami, Florida 33130 TEMPORARY RECEIPT 2009 -2010 MUNICIPAL CONTRACTOR TAX Loral Business Tsx#:11590536 -9 State/CC #:ioaso0196 issued to: A A SAME DAY GARAGE DOOR SERVICES Type of Business: SPECIALTY BUILD CONTRACTOR RESTRICTED TO MIAMI SHORES THIS RECEIPT IS ISSUED AS EVINCE OF PAYMENT FOR YOUR LOCAL BUSINESS TAX OR PERMIT. YOUR OFFICIAL. RECEIPT WILL BE MAILED TO YOU WITHIN 10 DAYS FROM THE VALIDATION DATE ON THIS RECEIPT. Payment Received as Certified Above Miami -Dade County Tax Collector The following pages were originally attached to plans with the following permit # l»S � ^ /v— 9c)-‘L For: By: MAY 2; 4,7,01a CAPLE DESIGN, Inc GARAGE DOOR WIND PRESSURES CALCULATION COLTRAIN & JONES, ARCH. 535 SW 8TH STREET, SUITE 100 MIAMI FLORIDA, 33130 CAPLE DESIGN, INC. CA 26021 Carlos A. del Pino PE 59888 678 NW 124 Ct Miami, Florida 33182 Ph. (305)815 -1643 Fax: (305)225 -9744 E -mail: capledesign @gmail.net VITA RESIDENCE 289 NW 111 TERRACE MIAMI SHORES, FLORIDA 33168 May 20, 2010 TOTAL CALCULATION PAGES: 1 289 NW 111TH Terrace Residence Windows and Doors Wind Pressures ASCE7 -05 h= 15 ft Mean roof high (If Tess than 15', then use 15') V= 146 mph I= 1.00 ASCE 7 -05, table 6.1 Kh= 0.85 ASCE 7 -05, table 6.3 Kzt= 1.00 ASCE 7 -05, section 6.5.7.2 Kd= 1.00 ASCE 7 -05, table 6.4 qh = 46.3 psf Gcpi = ± 0.18 gh= 0.00256(Kz)(Kzt)(Kd)(V Area, ftz 10 15 20 -Gcp -4 -1.10 -1.07 -1.05 -Gcp -5 - 1.40 - 1.34 -1.29 HIP ROOF Wall Design Pressure, psf +54.7 +53.2 +52.2 -73.2 -70.3 -68.3 ZONE 4 +54.7 +53.2 +52.2 +48.3 -59.3 -57.9 -56.8 -52.9 Roof Design Pressure, psf area, ft` ZONE 1 ZONE 2 ZONE 3 10 +22.2 -54.7 +22.2 -91.7 +22.2 -138.0 20 +20.8 -53.3 +20.8 -82.0 +20.8 -114.3 50 +19.0 -51.4 +19.0 -69.1 +19.0 -83.0 100 +17.6 -50.0 +17.6 -59.3 +17.6 -59.3 289 NW 111TH Terrace Residence Windows and Doors Wind Pressures ASCE7 -05 h= 15 ft Mean roof high (If Tess than 15', then use 15') V= 146 mph I= 1.00 ASCE 7 -05, table 6.1 Kh= 0.85 ASCE 7 -05, table 6.3 Kzt= 1.00 ASCE 7 -05, section 6.5.7.2 Kd= 1.00 ASCE 7 -05, table 6.4 qh = 46.3 psf Gcpi = ± 0.18 gh= 0.00256(Kz)(Kzt)(Kd)(V Area, ftz 10 15 20 -Gcp -4 -1.10 -1.07 -1.05 -Gcp -5 - 1.40 - 1.34 -1.29 HIP ROOF Wall Design Pressure, psf +54.7 +53.2 +52.2 -73.2 -70.3 -68.3 ZONE 4 +54.7 +53.2 +52.2 +48.3 -59.3 -57.9 -56.8 -52.9 • MIAMI -DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DWISION NOTICE OF ACCEPTANCE (NOA) Clopay Building Products Company 8585 Duke Boulevard Mason, OH 45040 SCOPE: This NOA is being issued under the applicable rules and regulations governing the 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: Steel Sectional Garage Door up to 9' wide w/ Optional Impact Resistant Lites APPROVAL DOCUMENT: Drawing No. 101706, titled "Single -Car Steel Pan Garage Door with Opt. Impact Resist. Lites", sheet 1 of 1, dated 11/18/96, with last revision 7, dated 07/2008, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton, 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 Resistant 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. LIMITATION: This approval requires the manufacturer to do testing of all coils used to fabricate door panels under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E -8 by a Dade County approved laboratory selected and paid by the manufacturer. Every 3 months, four times a year, the manufacturer shall mail to this office: a copy of the tested reports with confirmation that the specimen were selected from coils at the manufacturer production facilities. And a notarized statement from the manufacturer that only coils with yield strength of 34900 psi or more shall be used to make door panels for Dade County under this Notice of Acceptance. 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 # 03- 0520.03 and consists of this page 1 and evidence pages E -1 and E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. MIAMI -DADE COUNTY, FLORIDA METRO - DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 372 -6339 www.miamidade.gov/buldingcode NOA No 08- 0724.04 Expiration Date: September 25, 2013 Approval Date: August 28, 2008 Page 1 Clopav Building Products Company NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. 101706, titled "Single -Car Steel Pan Garage Door with Opt. Impact Resist. Lites ", sheet 1 of 1, dated 11/18/96, with last revision 7, dated 07/2008, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton, P.E. B. TESTS 1. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC TAS 202 -94 2) Large Missile Impact Test per FBC, TAS 201 -94 3) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 4) Forced Entry Test, per FBC 2411 3.2.1, TAS 202 -94 5) Tensile Test per ASTM E8 Along with marked -up drawings and installation diagram of Clopay 9'x 8', 24 ga. steel garage door Model 94W9 with windows, prepared by American Test Lab, Inc., Test Report No. ATLNC 0610.01 -08, dated 07/16/08, signed and sealed by David W. Johnson, P.E. 2. Test report on Salt Spray per ASTM B117 of painted G40 galvanized coated panels, prepared by Stork Materials Technology, Test Report No. 30160 -04- 63365, dated 01/26/05, signed by John D. Lee, P.E. C. CALCULATIONS 1. Jamb anchor calculations, complying with FBC -2004, prepared by Clopay Building Products Company, dated 07/22/08, signed and sealed by Scott Hamilton, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO) E -1 fAik? Carlos M. Utrera, P.E. Product Control Examiner NOA No 08- 0724.04 Expiration Date: September 25, 2013 Approval Date: August 28, 2008 Clopay Building Products Company NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS 1. Test report on Accelerated Weathering Using Xenon Arc Light Apparatus per ASTM G155 of Lexan SLX2432T Clear Polycarbonate, prepared by Hurricane Engineering & Testing, Inc., Test Report No. HETI- 06 -A002, dated 12/04/06, signed by Rafael E. Droz -Seda, P.E. 2. Test report on Self- Ignition Temperature per ASTM D1929, Rate of Burn per ASTM D635, and Smoke Density per ASTM D2843 of the Lexan Plastic, prepared by ETC Laboratories, Test Report No. ETC -06- 1024 - 17496.0, dated 05/26/06, signed by Joseph L. Doldan, P.E. F. STATEMENTS 1. Statement letter of conformance issued by Clopay Building Products Company, dated 07/18/08, signed and sealed by Scott Hamilton, P.E. 2. Statement letter of no financial interest issued by Clopay Building Products Company, dated 07/18/08, signed and sealed by Scott Hamilton, P.E. G. OTHER 1. Notice of Acceptance No. 03- 0520.03, issued to Clopay Building Products Company, approved on 09/04/03 and expiring on 09/25/08. E -2 j Carlos M. Utrera, P.E. Product Control Examiner NOA No 08- 0724.04 Expiration Date: September 25, 2013 Approval Date: August 28, 2008 BUILDING TYPE FASTENER TYPE M 44084 ON CENTER DISTANCE SEMEN 81Ffl. WASHERS C -90 BLOCK (00608 OO 2 - 000 U*I "1'• i ' 1/4" v 3" (1 -1 /1" EMBED) IOU TAPCON CONCRETE ANCHOR (2 -1/2" MIN. EDGE DST E) ' ON CONCRETE ANCHOR 2-1 FASTENERS REWIRED? . 1211 C10 PSI WN. 00664Th MIN .•.:- W WO FRAME _ A� 5NPBON STRONG -DE .. -110 .A 2" MOT. EDGE DST .• vF3CCY�l11N"' Zf:3F - EY • 4 (l- T t ""< �L Rii'8N^i 41' i` -1 CLOPAY MODELS 84A. 93. 94. 98: IDEAL MODELS 4RST. 4F; HOLMES MODELS 48, 48B 18 GA. GALVANIZED END SOLES ATTACHED TO DOOR SKIN WITH PATENTED TOG -L -ROC SYSTEM ((2) AT TOP INSIDE. (2) BOTTOM ONSIDE. (4) ALONG OUTSIDE EDGE OF 18" SECTIONS & (6) ALONG OUTSIDE EDGE OF 21" SECTIONS) AND SEPARATE 18 GA CALV. INNER DOUBLE END 5T6E5 ATTACHED TO TOP AND 801704 RAp. WITH PATENTED TOG -L -ROC SYSTEM. ONE INTERMEDIATE SIRE BETWEEN EACH EMBOSS LOCATION. ATTACHED W/ PATENTED PRODUCT REVISED TOG -L -LOC 51514.14 (TOP & 807) AND URETHANE ADHESIVE (ALONG CENTER). y.T.,e 0112 2128 Fle & Betiding Cade Accartmco Doe `LOCATION OF OPTIONAL VENTS.® (MAX SIZE: 80 S0. INCHES) MAX. DOOR WIDTH 9 -0" INSIDE F1 NATION MOOR HECO 807874 747080 80 180 NUMBER CF EECTONS • 4 10070128" 128 NO 145 10 _SEC4060ARE EATER 18 2T -► A -i! A 10160< .YIATFI0I ARON DOORS UP TO R"0" HIGH HORIZONTAL TRACK SUPPORT BY DOOR INSTALLER (TO SUIT) DOOR COUNTERBALANCE SYSTEM 13 GA GAIN. STEEL FLAG BRACKET. 76" (T6" & 8'0" H DOORS ONLY) Y CAL *. 5TE0. TRACK TRACK THICKNESS 8083" 38" 24" D 3-1/2" MEd MCA ECM y ,r DOOR HEIGHT "1" 70 78 82 TM. 2 -1/2112 GA GLLV. STEEL TRACT( BRACKETS. (8 1488 BRK1S PER BIDE FOR 000.24 110 TO To" 1401). (7 TRACK BIROS PER SIDE FOR DOORS TS" TO 80" OOH). EACH TRACK BRACKET ATTACHED TO DOOR JAMB WITH (I) 8 /I0" K I -5 /13" TAG SCREW TRACK ATTACHED TO EACH BRACKET WITH ONE 1 /4 "05/13" BOLT & WTI. OR TWO 1/4" RNE15. ONE ROY/ OF IMPACT - RESISTANT GLAZING IN E@EER TOP 5ECO0N (SHOWN) DB NEXT -TO -THE -TOP SECTION (NOT SHOWN). MAX. GLAZING SIZE 6 18 -1/2" 0 11 ". CLAMING 5 INJECTION 80U1ED GE 1EXAIN 5U(243264. AN APPROVED CC2 PLASTIC IN ACCORDANCE WITH IBC/F0C 2806. SEE SECTION 8 -8 FOR ASSEMBLY DETAILS. LOCK POSITION (BOTH SIDES). SEE LAYOUT OF EACH LOCK FOR DETAILS (4) 81405/8" SHEET METAL SCREWS OPTIONAL DECORATIVE SNAP -IN INSERT. (2) 1/4 "03/4" SELF TAPPING SCREWS 14 04 FM) HINGE 18 GA. INTERMFOATF 1-1I8100 VIEW "A" SEW •B• TRACK CONFIGURATION ABOVE THE DOOR OPENING DOES NOT AFFECT THE WIND LOAD RATING. 0.188 IMPACT RESISTANT ONE -PIECE INJECTION MOLDED GE LOAN SLX24321 FROM FRAME & GLAZING SECTION B -B DFTAIL . 0 . IIRTIPURPOSE HIGH BOND TAPE DECORATIVE FRAME FACADE OUTSIDE KEYED HANDLE SIRUCTURAI. 00010E SENANT (BETWEEN STEEL SKIN AND FRAME). POLYSTYRENE RETAINER FASTENED TO FRAME WTR1 (10) 88 0 3/4" PAN HERO MACHINE SCREWS. 2' GALV. STEEL TRACK FASTENED TO 12 CA GALV. STEEL TRACK BRACKETS. TRACK ATTACHED TO EACH BRACKET WITH ONE 1/4 "05/8" BOLT & NIA OR TWO 1/4" RIVETS. TRACK CONFIGURATION DOORS UP TO 16 HIGH DOOR COUNTERBALANCE SYSTEM TRACK CONFIGURATION 2" CAW. STEEL TRACK, TRACK TH160)1E551 0.083 ". HORIZ NTAL TRACK S5ORT 1y R INSTALLER UPP (T0 SUIT) CENTER HANG ®REQUIRED ON DOORS MEP 8' HIGH 12 " -14" 3 -1/2" 13 GA GALV. STEEL FLAG BRACKET. 100. 2- 1/2•12 CA CALV. STEEL IRAC0 BRACKETS. FAC5 TRACK BRACKET ATTACHED TO DOOR JAMB WITH (1) 5/18" K 1 -5/0" LAG SLAG 1N E 4219:00£0 1D EACH BRACKET WITH NN1 4/8" BOLT NUT. OR 180 1 /4" OMe 0.01 - L - OS e1' 840 TOP 840 184 1PV 1840 14P 11 12L 1240 180 112 118 124• 190 190 12-0 104" lea 140" 1840 148 181• USK TON 152" 178 lee INTER. STILE SNAP LATCH ENGAGES ONTO VERTICAL TRACK. ONE SNAP LATCH ON EACH SIDE OF DOOR END STILE INSIDE HANDLE OUT%) KFYFD LOCK SNAP LATCH LOCK OPTION Clepay Building Products Company OUTSIDE KEYED LOCK LOCK BAR LOCK OPTION (513) 770 - 4800 INSIDE SHOE 8011 LOCK OPTION 1 / I SDOTT HAMILTON, P.E. K W/ ZL 0 FLORIDA P.E NN. 83286 END STILE LOCK BAR GUIDE LOCK 8AR ENGAGES IN TRACK ON EACH SIDE OF DOOR. SLIDE BOLT LOCK ENGAGES INTO VERTICAL TRACK. ONE LOCK ON EACH SIDE OF DOOR. 24 GA (0.0239" MIN. THICK) DOS STEEL EXTERIOR SKIN WITH 0 -40 GALVANIZING, BAKED -ON PRIMER AND A BAKED -0N POLYESTER PAINTED TOP COAT APPUED TO BOTH SIDES OF STEEL SKIN. (A5TM No. A653). OPTIONAL STOP MOULDING BY DOOR INSTALLER (TO SUIT) 16 GA MIN. GALV. STEEL END STILE 18 GA. GAIN. STEEL DOUBLE END STILE 20 GA GALV. STEEL INTER. STILE. (1) 04120. SI1E BETWEEN EACH EMBOSS. 18 CA. CAIN. STEEL CENTER BINGE FASTENED TO INTER STILES W/14) EACH 81405 /8" SHEET METAL SCREWS. 7/16" PUSHNUT FASTENER INSTALLED ON ROLLER SOAVE FOR UNRESTRICTED 000R OPERATION. 14 GA CAW. STEEL ROVER HINGES FASTENED TO END STILES 12/�(4 EACH 11445/8" METAL AND (2) 1/4" 5ESMLWS 2 STEEL LONG STEM ROLLER. IAMB CONFIGURATION NOT 10 BE USED FOR ATTACHMENT OF TRACK CLOPAY BURO240 PRODUCTS COMPANY 8585 DUKE BLVD. MASON, 041 45040 7 Pp 0/47 S A /901411 4 B/7W 7 6 /20■10 7 7/2008 AN- -20143 11/18/98 NutuTTIN Ann VENT 4177. Ann G -an .. -40 MIN WAS` 1 -A01 ANY F%1FNMD HOMO 8461 n TACK .1 41 *004*0 ADUFU OPTIONAL K TNRFASF 0 408 Hrap M MOM MAX ' MIN 02 P N1 NO AD 4817 f -- 2 THICK I0AZST A+ONOW /SCREW dSTA•6640 Al LF0.4T AS HKtII 0.5 YHE - ODOR OPES'IPW HET.1 - ..._. �._. - Lltrier 4794 W9 SECTION A -A . 12 CA. CAIN. STEEL TOP ROLLER BRACKET (2 -1/2" 0 5- 3/8 "). EACH BRACKET ATTACHED W /(4) 81405/8" SHEET METAL SCREWS. ALUMINUM EXTRUSION & VINYL WEATHERSTRIP. • 51110 LAP JOINTS. 14 GA GALV. STEEL END HINGE. EACH FASTENED TO END STILES W /(4) 81405/8" SHEET METAL SCREWS & (2) 1/4" SELF TAPPING SCREWS. ONE 4" TALL, 16 GA. C- CHANNEL PER DOOR SECTION, ATTACHED WITH (1) i/4 "03/4" SELF TAPPING SCREW PER CENTER AND END SOLE LOCATION. 1 -1/4" WIDE x 18 GA CJJ.51. STRAP. (3) MIN. PER SECTION (SEE INSIDE ELEVATION). EACH STRAP ATTACHED WITH (3) 1/4 "03/4" SELF TAPPING SCREWS (TWO TO DOOR, ONE TO C- CHANNEL). 13 GA GARY. STEEL BOTTOM BRACKET ATTACHED WITH (2) 81405/8" SHEET METAL SCREWS. JAMB TO SUPPORTING STRUCTURE ATTACHMENT taw I. ALL THE LOAD TRW INF DOOR 6 TRANSFERRED 10 THE WNW AND THEN FARM THE TRACK TO THE 209 VERTICAL SYP (GRADE /2 017 BETTER) .8265. AO LOAD FROM THE 0001 6 TRANSFERRED TO THE WIRCIDMAL (WP) AIM 2. ALL JAMB FASTENERS MAY BE (BUT ARE NOT REWIRED TO BE) CO4I1F%WGt TO PROVIDE A 7LUS4 MOUNTING SURFACE. 1 A 143 STRESS OTRFASC TOR 6IN0 LOAD WAS KB 14500 PI THE CALCMIADON OF ALLOAABLE LENDS FOR ANCHORS AND 74510HERS FOR STEEL. CONCRETE AND 08000 F BUILDINGS STUD WILLS W DOM OPENIG SHALL BE FRAMED SOLID BY NOT NESS THAN (3) 2.4 (CPEA0NO4 UP TO 511 "*1 OR (3) 2.0 [OPE154 5 ID TO 180w) PRESSURE TREATED SYP WNW 5 OR BETTER) 17000 STUDS OF A STRESS GRADE NOT LE58 MAN 1200 PSI NONNN. EXTREME TIBER STRESS IN BENDING (TJ. STUD WALLS TO BE CONTINUOUS FROM FWDNG TO TE DEAL6. BLOCK WALL OR CONCRETE 246 SIP (GRADE 52 09 BETTER) WOW JAMB 51(44.15 ANCHORED TO GROOT REINFORCED BLOCK WALL OR CONCRETE COLUMN. BLOCK WALL CELLS SHALL BE FILLED WITH CONCRETE AND RE060RCE0 WITH RE1FORm0 BARS FKT0JD01* 7410 THE F00DI& AND INTO 1E BEAMS ALL BARS WALL BE CONK UDOS TRIM THE 1E 8EAld 10 FOOTING PER BLIYN NA1L OR CWCRETE 20LLNN. BLOCK WNL5 NM CONCRETE WILMUP6 TO BE DESIGNED BY THE WRONG ENGINEER OR MCNTECT OF RECORD. 706 JAMB TO SUPPORTING STRUCTURE ATTACHMENT DESIGN LOADS: +62.0 PSF & -72.0 PSF. 0010 0 16 SIAOLE -CAR STEEL PAN GARAGE DOOR _Alit OPT IMPACT RESIST LIP5 B 101706 MD OPENING HEIGHT