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WS-10-891Scheduled Inspection Date: June 11, 2010 Inspector: Rodriguez, Jorge Owner: O'CONNOR, KEVIN Job Address: 1520 NE 103 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ACTSYS DOOR SYSTEMS INC. Building Department Comments June 10, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 144179 Permit Number: WS -5 -10 -891 For Inspections please call: (305)762 -4949 Permit Type: Windows /Shutters Inspection Type: Final Work Classification: Garage Door Phone Number Parcel Number 1132050310100 Phone: 305 - 229 -4007 Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 4 of 6 Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 SiNa 1520 NE 103 Street Miami Shores, FL 33138- Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $110.00 $3.00 $1.60 $116.20 Address 1520 NE 103 ST MIAMI SHORES FL 33138 -2628 Contractor(s) ACTSYS DOOR SYSTEMS INC. Phone 305 - 229 -4007 CeII Phone Type of Work: REPLACE GARAGE DOOR No of Openings: 1 Additional Info: BUILDING 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: 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy e: e [t� Expiration:11/16/2010 Issue'13at 5J20�`2Q� ' Ex P Phone Pay Date Pay Type Amt Paid Amt Due Invoice # WS -5 -10 -37939 05/19/2010 Check #: 6177 $ 50.00 $ 66.20 05/24/2010 Check #: 013185 $ 66.20 $ 0.00 May 24, 2010 Date Cell Valuation: Total Sq Feet: $ 1,758.00 112 Available Inspections: Inspection Type: Final May 24, 2010 1 • Miami Shores Village BUILDING PERMIT APPLICATION FBC 20 Job Address (where the work is being done) V5 a-® E. , i 0,3 City Miami Shores Villag FOLIO / PARCEL # Is Building Historically Designated YES NO r State Certificate or Registration No. Contact Phone '" ®,s 22 9 .- 4_007 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition Describe Work: lie, 4ce o l a t � 1c.® Cs - 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 TS ❑A1 Zip 2 3 133 Phone # • Igarr-Mq L MAY 1 X2,010 8 r:.°: ..... Permit No. WS 0 Master Permit No. Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) Ey y 0' C p ®C -- Phone # 3OS "7S - 7 - 27 ((+O Owner's Address E..• t c% Ste. City ; �,, vin c r e S State Tenant/Lessee Name Email County Miami -Dade Zip 3313 Flood Zone � nt®.(-- s \e l .", Phone # 3c.„5 ,3a-S 1 / 4 tO Cr •Contractor's Company Name Contractor's Address v.3'7 L .) 2, . . =r( City \---k , c , ,o.4 State_ $ ' _ Zip 33 l�.S Qualifier Name ,. \-r. N , D a. S or ,F Phone # noS' ,9 - % g ®O "7 Certi . cat of Com. etency No. CL /r Oa- f3 S O • Phone # ®© Square / Linear Footage Of Work: 11 Z 5 teration DNew ❑ Demolition **** , *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees***** ***** *** * * * * * * * * * * * * * * * * * * *** * * * * * * * * ** /.1O °d CCF $ Jj 0 CO /CC $ Submittal Fee $ 5 0. 03 Permit Fee $ Notary $ Q Training/Education Fee $ . 4/0 S Scannin $ 12° Radon $ G DPBR $__(--) Bond $ Double Fee $ Violation date: el . Structural Review. $ Total Fee Now Due $ ‘6 Technology Fee $ /` 60 G 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 ., 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose prope is subject to attachment. Also, a certified copy of the recorded notice of commence,' _ st be posted at the job sit for the first ins# ction which occurs seven (7) days after the building permit is issuer. - ' e absence o uch posted notice, t inspection 'II not • e approv;; nd a reinspection fee will be charged. it ' ,/ 1 Signature i Ce v i 0. 0'Com oriner or Agent The forgoing instrument was acknowledged before me this day of , 20t _ , day of who has produced As identification and who did take an oath. NOTARY PUBLIC: fe Sign: Print: My Comm da9c**> FaY*9e4r* 4e3aie4r9edr9e**** *de3Yde9e****** 4e9e9e**** de*9:**** 9Y*9c*dt9t****k de: Y****** *9r*9r9iFc9e3r4rAr9r ****** **aY3e *** ** ** *9e**kdrFrde*** Y APPROVED BY (407) 395. 0153 ' Flor dallotarySenMa.com (Revised 07 /10 /07)(Revised 06/10/2009) tJQ,/kf r FRANCIS A REBELLO eY COMMISSION # DD798265 EXPIRES June 16, 2012 State Zip Contractoi � 4 • c &$ The foregoing instrument was acknowledged before me this who is ' ersonally 20 NOTARY PUBLIC: as identification and who did take an oath. Sign:1 �. F o me erwredueed Print: .,_ '4.14 FRIIACiS f REBELLO M Com r 1 1 P '( CufuAMISSION a DD798265 y ..�. ,., Juno 16, 2012 ( 407) 398 -015" m v2r15crolco.com ,0 6--/ / Q Plans Examiner Zoning • Engineer Clerk checked Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores FL 33138 !Fax: 305 -756 -8972 Annsn ee re~Ani/ n OM. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WAL L ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO S0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE From: Rene E. Samayoa Acceptance Insurance Services 305 740 -0518 Date: 1/7/2010 Time: 09:51 am Page: 40 of 50 CERTIFICATE OF LIABILITY INSURANCE PRODUCER Acceptance Insurance Services 6887 S.W. 40th SL Miami, FL 33155 Phase (305)740 -0515 Fax (305)740 -0518 COVERAGES INSR LTR INSURED ACTSYS DOOR SYSTEMS, INC. THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE NSURANCE AFFORDED BY THE POLICIES DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN AMY HAVE BEEN REDUCED BY PAID CLAIMS, ADD% INSRO ❑ OTHER 8370 SW 32 TERR 'MIAMI, FL 33155 TYPE OF INSURANCE GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑❑ CLAMS MADE © OCCUR GENt AGGREGATE LIMIT APPLIES PER: POUCY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS Fl GARAGE LIABILITY ❑ ❑ ANY AUTO EXCESSIUMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below Garage door repair and installation Request policy for complete details on endorsements and exclusions, CERTIFICATE HOLDER DATE (MM/DDIYY) — _ _ __ _ 01 /07/10 THIS - CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY NUMBER GL- 0521015234 -00 INSURERS AFFORDING COVERAGE INSURER A. American Vehicle Insurance Company INSURER B: INSURER C: INSURER D: INSURER E INSURER F: POLICY EFFECTIVE DATE (MM/DD/YY) 12/14/09 CANCEL POLICY EXPIRATION DATE (MMIODITY) 12/14/10 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS EACH OCCURRENCE BODILY NJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY: EACH OCCURRENCE AGGREGATE UMITS DAMAGE TO RENTED PREMISES (Ea occurence) MED EXP (My one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP /OP AGG COMBINED SINGLE LIMIT (Ea accident) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AGG ❑ WC STATU- ❑ OTH- TORY LIMITS ER E.L EACH ACCIDENT E.L. DISEASE • EA EMPLOYEE E.L. DISEASE • POLICY LIMIT NAIC # 10790 ORD CORPORATION 1988 $300,000 $100,00 $5,000 $300,000 $600,000 $600,000 c CERTIFICATE OF LIABILITY INSURANCE 1 ""'i " ' PRODUCER AcDeptance Ineurena SBrMICes 6887 S.W. 40th St. MIamI, PL 33155 Phone (305)740.0515 Fox (305)740.0618 THIS CERTIFICATE 18188UED AS A MATTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFPO DED BY TH P LICI88 BELO . INSURERS AFFORDING COVERAGE NAIC N INSURED ACTSYS DOOR SYSTEMS, INC. ACTSYS DOOR SYSTEMS, INC. 8370 SW 32 TERR _ MIAMI, FL 33150 INSURER A. American Vehicle Insurance Company 10790 INSURER B: INSURER 0. INSII R D. INSURER E COVERAGES INSURER F: THB I°OLIGea OF INSURANCE UBTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I8 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF BUSH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RI R ADD'L ;,, TYPE OF INSURANCE POLICY NUMBER OICY EPFECN! P DAT MM T room POL!CY�p 1 T� eaTi M D A J ON LIMITS A ❑ GENERAL LIABILITY G(] COMMERCIAL GENERAL LIABILITY Q • CLAIMS MADE g OCCUR ❑ GL- 0521015234.00 12/14(09 12/14/10 EACH OCCURRENCE $300 3100,000 PRE MISE9 Ea RENTED MED EXP (Any one wean) $5,000 PERSONAL It ADV INJURY $300,000 • GENERAL AGGREGATE 5800,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP /OP AGG $800,000 n POLICY ❑ PROJECT ■ LOC ❑ ■ AUTOMOBILE R • LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per paw) ❑ HIRED AUTOS • NON OWNED AUTOS • BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY • EA ACCIDENT • GARAGE UAEILITY • ANY AUTO • OTHER THAN EA ACC AUTO ONLY: AGO • WoRKERB EXCESS /UMBRELLA LIABILITY ❑ OCCUR [ CLAIMS MADE ❑ DEDUCTIBLE • RETENTION $ CD PENSAI1 N A D LIABILITY EACH OCCURRENCE AGGREGATE — 9 ATU • 0 TORY LIMITS 0 R EMPLOYERS' ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER /MEMBER EXCLUDED? It yea, describe under SPECIAL PROVISIONS below E L. EACH ACCIDENT E.L. DISEASE . EA EMPLOYEE E.L. DISEASE . POLICY LIMIT OTHER _ —� DESCRIPTION OF OPERATIONO I LOOATIONO / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Garage door repair and Installation Request policy for complete details on endorsements and exclusions. Dec 11 2009 12:OOPM HP LASERJET FAX CERTIFICATE HOLDER Miami Dade County Building Code Compliance 140 W. Ftegler 8T, Suite 1603 Miami, FL 33130 Pax: 308. 375.2558 ACORD 26(200110M QF CANCELLATION AUTHORIPD REPRESENTATIVE P. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT FAILURE TO 0080 SHALL. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. r&1 ACORD CORPORATION 1888 ALEX, SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt fro o ' orkers' Compensation law. 2010 EFFECTIVE DATE: PERSON: FEIN: 10/13/2008 DAWSON 651150848 BUSINESS NAME AND ADDRESS: ACTSYS DOOR SYSTEMS INC 8370 S W 32 TERRACE MIAMI FL 33155 SCOPES OF BUSINESS OR TRADE: 1- GARAGE DOOR INSTALLATION IMPORTANT: Pursuant to Chapter 440 . 05(141, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under" this chapter. Pursuant to Chapter 440.05(121, 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. Pursuant 10 Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation i1, at any time alter 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? (8501 413 -1609 )WC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 IMPORTANT 0 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. H 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 R the notice of election to be exempt. E Pursuant to Chapter 440.05(131, 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? (850) 413 -1609 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: 10/13/2008 EXPIRATION DATE: 10/13/2010 PERSON: SMITH A DAWSON III FEIN: 651150848 BUSINESS NAME AND ADDRESS: ACTSYS DOOR SYSTEMS INC 8370 S W 32 TERRACE MIAMI, FL 33155 SCOPE OF BUSINESS OR TRADE: 1- GARAGE DOOR INSTALLATION PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE * Carry bottom portion on the job, keep upper portion for your records. )WC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 CUT HERE EXPIRATION DATE: 10/13/ SMITH ' A III 08 -14 -2008 * 02BS00728 ACTSYS DOOR systems 'INC D.B.A.: DAWSON SMITH A III Is certified under the , rovisions of Cha = , - 10 of Mietnd - Dade VALID D FOR CONTRACTING UNTIL 09/30 /2(910 QUALIFYING TRADE(S) 0022 GARAGE & INDUS DOOR Construction r ade 4 uallfying Board BUSINESS CERTIFICATE Of COMPETENCY 21 _3 THIS IS NOT A BILL — DO NOT PAY BUSINESS NAME / LOCATION ACTSYS DOOR SYSTEMS INC 0370 SW 32 TERR 33155 UNIN DAD'E COUNTY :COO NTtTAX 84081001 000075.00 SEE OTHER SIDE DO NOT FORWARD ACTSYS DOOR SYSTEMS INC SMITH A DAWSON III PRES 8370 SW 32 TERR MIAMI FL 33155 OWNER ACTSYS DOOR SYSTEMS INC Of Bwslpsss WORKER /S S 1CIALTY BUILDING CONTRACTOR 1 ANY OR THE NOR .'. OTHER u ENSE kAW. O I8 PICATION OF '8 OUAUFICA- RENEWAL RECEIPT NO. 513762 -5 CC 0 02BS00728 FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 DO NOT FORWARD ACTSYS DOOR SYSTEMS INC SMITH A DAWSON III PRES 8370 SW 32 TERR MIAMI FL 33155 2 1„ I1,,,1 1„„ lI, 1, 1,, I, i, ,,il, „li„i„1111111,,,IIi,,,i„i,i 05/14/2010 914 girt, STRUCTURAL SOLUTIONS, P.A. Project No.: 10 - 002 5921 -G West Friendly Avenue ' Date: 5/14/2010 Greensboro, North Carolina 27410 The following Design Pressures have been calculated in accordance with ASCE 7 -05, Section 6.5.12.4.1 for Components & Cladding, based upon the design parameters listed below. Building Address: 1520 NE 103 Street Garage Door Width: 8 ft Garage Door Height: 7 ft Basic Wind Speed: 146 mph Exposure: C Mean Roof Height: 21.9 ft Least Overall Horizontal Dimension of Building: 44.7 ft Distance from building comer to edge of garage door opening: 2.5 ft Roof Slope: any slope Design Assumptions: The building is considered "Enclosed" as defined in ASCE 7 -05 The Importance Factor and Topographic Factor for the building are both 1.00. The building and garage door measurements shown above were provided to Structural Solutions, P.A. by others. These calculations do not address the structural adequacy of the jambs or other supporting structure. These calculations merely determine the Design Wind Pressures for the given garage door size and building geometry. The Building Official has final authority to determine the suitability of the actual conditions where the garage door is located. This document is only to be used in conjuction with Amarr Garage Doors \f fl�,flp6B ®BG%'P I t i flOO4 1 o° m © /OHM- 0 0 Thomas t rdine, PE STRUCTURAL SOLUTIONS, RA Florida PE# 48579 Garage Door Windload Design Pressures Miami Shores, FL 33138 Positive Design Pressure = 44.7 psf Negative Design Pressure = -50.7 psf J:\2010 Projects\10-002 Amarr 2010 Retrofit Doors \1520 NE 103 Street Miami Shores FL 33138 \Garage Door Pressure Calculator.xls • BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Amarr Garage Doors. 165 Carriage Court Winston- Salem, N.C. 27105 v\ MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1107 MIAMI, FLORIDA 33130 -1563 (305) 375 -2902 FAX (305) 375 -2908 www.miamidade.eov/buildinacode 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 w the High \locity Hurricane Zone of the Florida Building Code. 6 , DESCRIPTION: Model 950 Heri�l0 2000 Short, Long and Flush Panel APPROVAL DOCUMENT: Drawing No. IRC -9509- 189 -21 -I, Sheets 1 through of 2, titled "Mo 950 Heritage 1000, 2000 Short Panel, Long Panel, and Flush Panel ", dated 04 /09/07, pre ed by Garage Doors, signed and sealed by Thomas L. Shelmerdine, P.E. Bearing the Miami -Dade Couttrt roduct Control Approval stamp with the NOA number and approval date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large & Small Missile. 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 and consists of this page 1, evidence page E -1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No: 07- 0619.02 Expiration Date: September 6, 2012 Approval Date: September 6, 2007 Page 1 Amarr Garaee Doors. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS: 1. Drawing No. IRC- 9509 - 189 -21 -I, Sheets 1 through 2 of 2, titled "Model 950 Heritage 1000, 2000 Short Panel, Long Panel, and Flush Panel ", dated 04 /09/07, prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelmerdine, PE. B. TESTS: 1. Test report on Large Missile Impact Test per FBC TAS 201, Uniform Static Air Pressure Test per FBC TAS 202 and Cyclic Wind Pressure Test per FBC TAS 203 for a 9' x 7' Sectional Steel Garage Door, prepared by American Test Lab, Inc., Report # ATLNC 0326.01 -07, dated 05/08/07, signed and sealed by David W. Johnson, P.E. 2. Test report on Evaluation of Painted or Coated Specimens Subject to Corrosive Environments per ASTM D1654 & ASTM B117, prepared by ETC Laboratories, Report # ETC -03- 816 - 13287.1, dated 07/15/03, signed and sealed by Joseph L. Doldan, P.E. C. CALCULATIONS: 1. Calculations prepared by Structural Solutions, P.A., Project 07 -019, dated 04/18/07, signed and sealed by Thomas L. Shelmerdine, P.E. D. STATEMENTS: 1. Code compliance and no financial interest letter issued by Structural Solutions, PA., dated 06/06/07, signed and sealed by T. L. Shelmerdine, P.E. 2. Notice of Acceptance request letter issued by Amarr Garage Doors, dated 06/11/07, signed by Danny Joyner, Applications Engineering Manager. E. MATERIAL CERTIFICATION: 1. Test report on Tensile Test for 3 Samples per ASTM E 8, prepared by Hurricane Engineering & Testing Inc., Report # HETI -07 -T682, dated 04 /19/07, signed and sealed by Candido F. Font, P.E. E -1 Carlos M. Utrera, P.E. Product Control Examiner NOA No 07- 0619.02 Expiration Date: September 6, 2012 Approval Date: September 6, 2007 • SPEC6ICATICNS AND NOTES 1. ALL THE LOAD FROM THE DOOR IS TRANSFERRED TO THE VERTICAL TRACK. FROM THE TRACK THE LOAD IS TRANSFERRED TO THE VERTICAL JAWS. THE HORRONTAL JAMB OR HEADER RECEIVES NO PORTION CF THE LOAD TRANSFERRED FROM THE DOOR. 2. LOal )ERR( �*3S RECEIVES MAXIMUM DESIGN LOADS OF: +258.5 3. DOOR AND HARDWARE WELL BE DESIGNED. MANUFACTURED AND INSTALLED 111111 STANDARDS AS SET FORTH BY DASMA. 4. DOOR SECTIONS SHALL BE 24 GA (.022) MN. EXTERIOR SI N ROLLED FORMED. 0-40 GALVAIOZAI)N W/ BAKED ON POLOESTER FIN91 5. DOORS UPTO 70' HIGH CONSIST OF (4) SECTIONS AS SHOWN. USE (1) 3 5/8' R -TRUSS POI SECTION AND (1) 2' 20 CA STRUT ON 8071011 SECTION 6. DOORS OVER (4) SECTIONS REFER TO TABLES 1 AND 2 ON PACE 2 7. SUPPORTRLG STRUCTURAL ELEMENTS SHALL BE DESIGNED BY A REWIRED PROFESSIONAL ENGINEER FOR 2t3D LOADS INDICATED ON THIS DRAWING N ADp110N TO OTHER LOADINGS. 8. THE METHOD OF TESTING WAS N SUBSTANTIAL CONFORMANCE WITH THE PROCEDURES DESCRIBED N ASTM (330 -02. ASCE 7 -02, AND FLA.. BUBDNG CODE PROTOCALS TAS 201. 202, 203 WIND LOAD DESIGN CRITERIA. 9. THIS APPROVAL REOUIRES THE MANUFACTURER TO DO TESTING OF ALL CODS USED TO FABRMJME DOOR PANELS UNDER THIS NOTICE OF AOCEPUNCE. A MReDIUM OF 2 SPECIMENS SHALL BE CUT FROM EACH COIL AND TENSILE 1LJIu) ACCORDING TO ASTM E -8 BY A DADE COUNTY APPROVED LAB SUMO AND PAN BY THE MANUFACTURER EVERY 3 MONTHS, 4 TIMES A YEAR, THE MANUFACTURER SHALL lux TO THIS OFFICE: A COPE OF THE TEST REPORTS WITH CONFIRMATION THAT THE SPECIMENS WERE SELECTED FROM COILS AT THE MANUFACTURER PRODUCTION FACILITIES. AND A NOTARIZED STATEMENT FROM THE MANUFACTURER THAT ONLY COILS WITH YIELD STRENGTH OF 34,800 PSI OR MORE SHALL BE USED TO MAINE DOOR PANELS FOR DADE 0010471( UNDER THIS NOTICE OF ACCEPTANCE. 13 GA RAG UNMET ATTAPEO TO NM JARS V/ 433 3/16 NIL x 1 -3/8' LAG Nn T3 NO TO TRACK V/ 14) I /4• -A • 3/8 TRACK SPLICE 80.73 AND N/TK SCE RAKE >n 4310 JAN9 81 0443Y SPAPRO TRAP( CONFIGURATION PCR Or UP TO 14' TALL DOORS SAUCE TRAM AT 116 LOCATIO4 TRACS SP= BOLTS Nun SE/ 1 1 , 0 J IOTA (3) 3/15 OA. • 1 160 DOLTS (1) 5/18' 016 • 1 -S/IF A A T E A J� SET JAIq TABLE 1 111051511011® ®EfilE01mQJ7 ®E31Q31mmmQ3i® DOOR HEIGHT 11015MISliiitgl F ®® GALV STEEL 18TERM IK4AC7 VIN19 43R/1C 12 GA. 06.. Sikh AMOCO JAW SWIMS ) 1/C -20 • S/6' MACS WuM WILT A NUT 633 GN.V SILTS. COMM IMO 91)6011 •RA*.. 24 GA STEEL LEM SXDI EXTO®RTU860V •Tet G AIN 8FA INTERLACES G.ASS E C�STEN TIE STEEL ENT I77.A01 VbUW yew TO THE STEEL 0...1 00'ACT wow ERNE 111/64' X I/ ' EIREV - USED TO FASTEN SCCERATIVE PLASTIC oCLDCD VDIDOV FR1881 10 TI( ASSORT SECTION 8 -6 1)6677 V(NDOV DETAIL N.T S. TOP SECTION TABLE 2 INTERMEDIATE SECTION GLAZING OPTION DETAIL N.TS. AMMO S1-190 STRICII MS. ADESM • TRACK ATTACHMENT J ,r ouoo © ©1131©oo MENU plum o ©ra©0000mo���� , � ®Q� ©DDDD�O�S��� ® ©,l,,,,gy�m ©_�Q� 1 '® , , i �;�� :® Wf IC7.i:'.._ .; ,.a- s5t- ;:tit64+'JlfffD:d�..•' @J ®�®mi ®QQQO�D�Q�' �4t�,.,..II;�t�R��pG^ %T,Tz:�' r - _ t 7.°f° 'eha 'S?' 6�!IR+ e=s,: ii ® ©� ®m0mmm 88' r1 �m�� R� .' (`zr- ;'- t ii .. im .'.-'439. L''. 14' © ® ® © Q ©m�0 '®' 07: INTERIOR OF GARAGE 111111111111 DESIGN LOADS +256.5 LBS/FT SEE NOTE 2 -3013 LEIS/FT MAX. 110114 r e_ •1 • 4 3• 9 2 IMPACT GLAZING FASTENER DETAIL RV A 93 6 LEN6DN 616D6 ADD I11 BDti 11861 MAX 92E 9' • 14' 0E907 LOADS +57.0 P5F -67.0 PST LARGE LASSIE IMPACT IE9STANLt IRA BT 16 MOOD BY DIE Ott NAP OIt 01/I(6 MGR IOW L 993121E Pt TIE II COWS DAE 7-3 m 58 YODEL 980 HERITAGE 1000, 2000 Short Panel. Long Panel, and Flush Panel IOW ow N1. -951 - 1OTC1 -I 4EE1 2 6 7 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: KeV' e v .) ®' C coA A cxr PERMIT # ADDRESS: 1 ►v . € 1 c 3 . FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): 0 COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): d S7 i 7 (o OWNERS SIGNATURE: 40-.4 eo c `— DATE: 6.1q./ O PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 Primary Zone: 1300 ONE FAMILY CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 5/3 Floors: 2 Living Units: 1 Ad] Sq Footage: 3,779 Lot Size: 13,056 SQ FT Year Built: 1957 $50,000/ $738,629 RE -PLAT OF TR C City: MIAMI SHORES BAY Legal PARK ESTS PB 64-97 Description: LOT 19 BLK 5 LOT SIZE 108.800 X 120 OR 16765 - 5632 04951 OR 16765- 5632 0495 00 Year 2009 2008 1520 NE 103 ST Applied Applied Taxing Authordy Exemption/ Taxable Exemption/ Taxable 1520 NE 103 ST MIAMI Value: Value: Regional: $50,000/ $738,629 $50,000/ $737,842 County: $50,000/ $738,629 $50,000/ $737,842 City: $50,000/ $738,629 $50,000/ $737,842 School Board: 525,000/ $763,629 $25,000/ $762,842 Folio No.: 11- 3205 - 031 -0100 Property: 1520 NE 103 ST Mailing KEVIN P O'CONNOR &W Address: INES M $583,997 1520 NE 103 ST MIAMI 1,800,278 SHORES FL iTIE 33138-2628 l' 2009 2008 F E31iyy#.7LY7 $25,000 0 !I i MY E !El= $583,997 1,800,278 'M iTIE arla 2009 2008 11771 $25,000 $25,000 Miami -Dade My Home Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison My Home m am,clade. • ay, Show Me: Property Information Search By: Select Item • rg Portability S.O.H. Calculator Summary Details: Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: IeeenMe• u /4OCIA ACTIVE TOOL: SELECT Aerial Photography - 2009 http: / /gisims2. miamidade .gov /myhome /propmap.asp My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. 0 117 it Property Boundary Page 1 of 2 Legend Selected Property Street Highway Miami -Dade County Water 5/19/2010 2OO9 COMBINED � TAX MEMORANDUM NOTICE NOTICE OF AD VALOREM TAXES AND NON AD VALOREM ASSESSMENT �t1 ) 'ul? 111 ,. ���i� iP rN),.u�'iII �nP {,u o���r, o, u, ft�;ft�l a�: .4u; .uz ^'n .w± u. f ta..�al,u i,,.i. ,li,'Y.i 11 trul�dm, f.0 Ji,� =�:in;�wl�uUb'� )3 862 050345 4,837: 38629 ' ; ,; r 38,629 ; 36,629 738,629 738',629 ; .. ��„ -- AD VALOREM TAXES — SSESSED ,MILEAGE S1000 OF TAXING AUTHORITY 0. u .° VALUE 2 RATE PER -TAXABLE VALUE' LEVYING-AUTNORITy EMIGRANT MORTGAGE COMP #18601 MTG CO # : 023 COMMENTS Your tax bill has been requested by the above noted mortgage service company for payment Florida law requires mortgage service companies to make early payment for maximum discount, if suffident funds are maintained in your escrow account KEVIN P O'CONNOR &W INES M 1520 NE 103 ST MIAMI SHORES FL 33138 i [ r �� yam 0 #03+0 3205 - 031 -0100+ Com ' Ine ' taxes an ' assessments $18,820.26 4% Discount for November $18,067.45 11- 3205- 031 -0100 FOLIO NUMBER 1520 NE 103 ST PROPERTY ADDRESS If you no longer have an escrow account and are responsible for paying these taxes, you may detach this portion, mail or visit our office location listed on back. Make check payable to Miami -Dade Tax Collector, 140 W. Flagler Street, Miami, FL 33130. Your payment must be made prior to December 1 to obtain maximum discount. LEGAL DESCRIPTION RE —PLAT OF TR C MIAMI SHORES BAY PARK ESTS PB 64-97 LOT 19 BLK 5 LOT SIZE 108.800 X 120 90033 11320503101000 0001882026 00000000 0000000 0000000 00350 5 11 ACTSYS R4 R3 GARAGE DOOR ESTIMATE 0 •. DOOR ORDER I., (, tO. 01 - , ,.`1, i St ww , d)oo1'si.torn "Garage Must be clear Before Installation Date -- See Back DOOR SYSTEM, INC.` "Our office is your garage!" O Permit Applhtatlo Municipality: Dade CC #02850. 2B C 10 1 168-1 X. - Monroe C 8370 SW 32 Terrace, Miami, Florida 33158 • Licensed an . Insured 14eviil tm' C..ef• IN.tevr Opener Model # 13/4 rail Brand HP l7 Brand Al - c 'r Coact man1 111 Cement Ib" O • Customer Provided Motor ez� t 1HURRICANE DAMAGE NOT COST EFFECTIVE TO rack 0 LHRT MLitt Vents .( case Has Vents Mouse Has Ho V fi Bracing tor Motor Otinnual Door Rope r needs electrical socket Battery Oy. Each yes no 1 2 3 Wood ;e • silvered, Installed, Inc. tax • ::.. - I & Removal of old door etal - O Wood . O New Construction p New Motor(s), delhvered, installed, Inc. tax o Wall Control Panel sinnggle, dome, triple 13 Controls O They Pads 1 2 3 4 1 2 3 2 I s ,8x7 138 X8 012X7 0183(7 018X7 � � IX 097 09X8 -012X8 018X8 018X8 010X7 010X8 D1ox1o'014X7 014X-8 v ' Size: �� OShprt Panel OLong Pa F -z4 irz =t17s8.0o T •d AM PM act Re Windows Yea D Wind Code Calculations Report 0 PhotottTaken O Back Hang Brackets O Mall Slot Installed O Permit & Handling Service Fee S 2 250• Ce0 thod: ■ C I CK CASH Mon Tues Wed Thum Prl Sat Sun E9LLS22 0C X * InstallationAccpetance Name Billing Address :t4aht permit feel $ 1 7 S K . cbC> J Decorative 0 Hire D Handle ,9=, "" -x. Depoelt I i Hardware 1 2 3 4 1 2 3 ! " 6ei#h Order 4� p7 q. 00 0 Step Plate 0 Studs. 0 Door Knocker Balance Due Actays Upon le Completion of the Job R7 9 . 0 0 0 Loft Removal 0 Enclosed Motor k 0 Opener Hang Bra to LIMITED WARRANTY: 30 days free parts and labor on work previously done. 3 year warranty Inge, labor not included. New door and motor 6 month limited ad ustmr nt warren . 30.d seniors. Please react Terms and Conditions and Safety Warnings on the reverse sicle. Check eck (3) a AC CJC Notice of :mimes &P E AC oBTAaI R- - ISCAU(iHrw►ITNOUT �.1 •,� - '� TO PAY ALL FINtB i, •, ••�••- � _ l•• Approval Documentatton 'Signature above constitutes acceptance of ebove.veork es infirm satisfactory and that equipment has bean left In good condltlo Cuslomeneas intormsdladvised that all items.'obiects will interfere with path of door and czaso a rocked cloorsituation, Do not repair the door yoursel I, call a professional. Thank You for Your Business DADE & MONROE: 305 - 229.4007 BROWARD: 954.49I -10O Fits: WA' - 225 -77fi3 Customer al Repeat Customer 1 I f Webslte 0 netsorkleads D Sm1 Yellow Pgs 0 MSFH. D Google 0 Big Yellow Pgs l7 AnglesList.com 0 Sticker 0 Other 0 Homestead Y Pgs 0 Truck 0 E - mall0 yellowpagee.com 0 Church Bulletin 0 Home Show 0 LlftMaster.cont t7 CLOPAY.com .fit / 979 /8I Permit Fee Due Upon inspection Approval $ LS 0.00 WdZE :OT 0102 6T ReW sre a -8930 07t22/0E