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WS-11-897Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161025 Permit Number: WS -5 -11 -897 Scheduled Inspection Date: June 16, 2011 Inspector: Bruhn, Norman Owner: NOWAKOWSKI, ANTHONY Job Address: 1238 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALLIED DOORS INC Permit Type: Windows/Shutters Inspection Type: Final Work Classification: Garage Door Phone Number Parcel Number 1132050090331 Phone: (954)942 -8550 Building Department Comments repalce existing 16*7 garage door PasseW, 6- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 15, 2011 For Inspections please call: (305)762 -4949 Page 23 of 24 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 BUILDING PERMIT APPLICATION FBC 20 Permit No:V%(/ S s —1' ° F! Master Permit No. Permit Type: BUILDING ��,, ff ROOFING OWNER: Name (Fee Simple Titleholder)Mialkoi,,1 Xi 1401011q-0 %��/ -l//6- Phone #:3 Cs- 76-7- ?% 0 Address: / �3 �' lr S / City: /19114/ S 240 /7 ,S' State: !-L Zip: -3 /3.r Tenant/Lessee Name: A-114 Phone #: Email: JOB ADDRESS: / ca-3 Ale" 57— City: Miami Shores County: Miami Dade Zip: 3 ` / 3 LS Folio/Parcel #: / / ° 3 -° 5 - 00 9 , o / Is the Building Historically Designated: Yes NO � Flood Zone: CONTRACTOR: Company Name:4-al D0012-5 SO ! A/(--- Phone #: Y575-0 Address: /3-7 o 6 City: /W PSI -IVO 4± State: ("<._ _ Zip: 3366-0 c Qualifier Name: ����� Ro 1/ 4-AE L t / Phone #: 5 / Ve) 8 sSU State Certification or Registration #: e 0 3 3 °" / 3 7 Certificate of Competency #: Contact Phone #: ,.5-Email Address: Ca 6 h ®fit 1 @ q l I l C°c - 0/0o r ° co Y''i DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 91/42 Es b o auareiLinear Footage of Work: / /— Type of Work: ❑Addition UAlteration ONew caiRepair Description of Work: Dco ODemolition * * * * * * * * * ** * * * * * * * *** * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days afier the building permit is issued. In the absence o such posted notice, the inspection will not be approved and a reinspection fee will be charged. � C Signature I ,e_- /,if� • — Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this `" day of /716y , 20 1( , by 201,2744/409— Aient//f -kar. I / day of Cy , 20(7, bypeN i5 41,4-44/0,9z-p. who is personally known to me or who has produced _ who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: —72) cc' Print: M G2 / My Commission Expires: APPROVED BY Notary Public State of Florida Mary C Shea • My Commission D0719163 Expires 09/25/2011 (Revised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) Plans Examiner Structural Review as identification and who did take an oath. NOTARY PUBLIC: a Sign: «�� � • — Print: IfIA � e> Ske My Commiss s' Notary Public State of Florida Mary C Shea o My Commission DD719163 or, Expires 09 /25/2011 90. * * Zoning Clerk Miami Shores Village IF07-11WM11 Building Department MI MAY 1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): BY : _e' Permit No. %)\--L3 I 1 2n1 Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) /O(JJ,4i Caudle- I, N y Phone # 3 fi5 ' 76-7 - �-- 3 Z 0 Owner's Address /62-3 %% 9 r s f City% / / S /L State -- Zip 37j ( 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) / r /P r 9 5 City Miami Shores Village County t Miami -Dade Zip -33 / 3 E FOLIO / PARCEL # l / - v 3 J Is Building Historically Designated YES NO Contractor's Company N a m e / W / 1 ' Z ) Z) F69-- /Ate- Phone # 957-/-9v,2 ` - Contract 's Address / .Si,J 6 City KO/4 /',4-A0® State Zip 33 306 a Qualifier Name ��iv/IJiS (QI,i,, e. z.e.J Phone # ..57/4-41Y,?. -8-5757) State Certificate or Registration No. el5 e ) 3 3 /3 7 Certificate of Competency No. Architect/Engineer's Name (if applicable) /1•1„/L4 Value of Work For this Permit $ / io ! U v DO Phone # Square/Linear Footage Of Work: / .4. ,t Type of Work: ['Addition ['Alteration ['New epair Describe Work: /rrot64ee (`J /x's 7 - 7,A/6 .% c X 7 0 .r 6 046 ` [' Demolition Submittal Fee $ t .C17 Permit Fee $ 1/0 c'* CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City kVA' State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence ., such posted notice, the inspection will not be approved and a reins e charged Signature ')o' Owner or Agent The foregoing instrument was acknowledged before me this day of lak, 20 iL, by/ 4H ,4' e.9WA4' — ;.- Q04 9`p who is personally kno wn me or who has produced " " " " "� As identification and who did take a� NOTARY PUBLIC: Contractor foregoing instrument was acknowledged before me this 20/ , by ) ,jiS 1f, 1A-A0e Si Print: My Commission Expires: APPLICATION APPROVED BY: i¢ry% (Revised 02108!06) { 1 N is personally known to me or who has produced as identification and who did take an o NO Sign: Print My TARYP �LIC:�� p O P / '.�3, 3 c C CA a c Commission Expires: � au'-,y ****** * * * * * * * * * * *nY * * * * * * * * * * * * * * * * ** may <. m * Plans Examiner Engineer Zoning • A16 ©' CERTIFICATE OF LIABILITY INSURANCE DATE 03/01/20111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER J. Smith Lanier &Company 11330 Lakefield Drive Building 1; Suite 100 Duluth, GA 30097 CONTACT NAME: (A/C. NN Ext): (770)476 -1770 F X,No): (770)476 -3651 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Zurich - American Insurance Company 16535 INSURED Leasing Resources of America, Inc. Alt. Emp: Allied Doors South Florida, Inc. 9280 Bay Plaza Boulevard Suite 715 Tampa , FL 33619 INSURER B INSURER c : INSURER D : $ INSURER E : $ INSURER F : COVERAGES CERTIFICATE NUMBER: 11FL109811209 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD INSR SUBR WV') POLICY NUMBER POLICY EFF (MM/DDYYY) /Y POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO (Ea PREMISES (Ea a occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE —1 POLICY LIMIT APPLIES PST PER: LOC $ AUTOMOBILE LIABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS • -. -. COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY OFFICER/ME BEREXCLUDEECUTIVE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N NIA WC 48-65-795-01 03/01/2011 03/01/2012 x WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 03/01/2011 03/01/2012 Client#: 63594 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Allied Doors South Florida, Inc. Coverage is provided for 151 SW 5th Ct only those employees Pompano, FL 33060 leased to but not p subcontractors of: CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 NE 2ND AV MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Mtrpt- ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 43699 ACC:WO CERTIFICATE OF LIABILITY INSURANCE DATE 5/11/2011 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Commercial Lines - (561) 368 -2777 Wells Fargo Insurance Services USA, Inc. 2255 Glades Road, Suite 420A Boca Raton, FL 33431 -8509 CONTACT NAME: FAX No): ta/ANNo• ) E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Twin City Fire Insurance Company 29459 INSURED Allied Doors South Florida, Inc. 151 S. W. 5th Court Pompano Beach FL 33060 INSURER B : 21UUNJT2113 INSURER C : 6/30/2011 INSURER D : $ 1,000,000 INSURER E : $ 300,000 INSURER F : $ 10,000 COVERAGES CERTIFICATE NUMBER: 2733592 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR w VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POUCY EXP (MMIDD/YYYY) LIMITS A GENERAL X LWBILITY COMMERCIAL GENERAL LIABILITY 21UUNJT2113 6/30/2010 6/30/2011 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE —1 POLICY X LIMIT APPLIES FM: PER: LOC $ AUTOMOBILE UABILrrY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 1 WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, H more space Is required) If Certificate Holder has requested to be listed as Additional Insured, please refer to attached policy form HG 00 01(06/05) CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES ATTN: BLDG&ZONING DEPT. 10050 NE 2ND AVENUE MIAMI SHORES FL 33138 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9! The ACORD name and logo are registered marks of ACORD ACORD 25 (2010/05) (T / certflmte replaces cer88cate# 1538821 issued on 8/242010) © 1988-2010 ACORD CORPORATION. All rights reserved. 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: OGU, -R 9&) S ki 4/1177-10 PERMIT # WS 5 — // — ”7 ADDRESS: / 23 e A/6.--- G � l d S i Milj/ 5/1 S X. FOLIO NUMBER: 1/-3 .2 O3 Q07-O3 3 / FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): '3 3 1 3 / 1/6 06 OWNERS SIGNATURE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 DATE: SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Fumiture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool upiter • North Port • Tallahassee Doors, Inc. 151 S.W. 5th Court Pompano Beach, FL 33060 (954) 942 -8550 FAX (954) 942 -8x588 New Construction Garage Doors Replacement Entry Doors Garage Door Openers PROPOSAL CONTRACT SOLD TO A' "' Av owA, te W SS„�PTO ADD ES Date 8 .Sr/ d0 ADDRESS CITY (.°'w "A, S Lo v o STATE err( 33136 PHON� r • t7 ` ~ PHONE STATE i NO. UNITS OPENING SIZE DESCRIPTION PRICE 1 16'11 564- OOP tAkkrt 4 Low hec&ck o I�iftc i [ ,S t i C W( 2 -311 u t 31"1. L 3oco - G° 50kd Q 0 281 Q35.45- 2o70S 203 Lobo �- ettNL 290 `" —r-64 '4,o3 - �1Qx&) BUG ..P-10o(UI l /vaf(rsj 5 -71 V (\ it NiagluiJ SUB -TOTAL TAX TOTAL 7473,4 LESS DEPOSIT BALANCE DUE C.O.D. Allied Doors, Inc. warrants products to be free of def&cts in material and workmanship for a one year period. Acceptance of this order shall constitute a Conditional Sales Contract and is Non Cancellable. Title to materials delivered and or installed shall remain in Allied Doors, Inc., until same is paid in full and purchaser waives all right of Homestead , + er emotions under Florida Law. An express Meehan' til payment is receiv in fu MIAMI•DADE COUNTY Miami Shores vmawx BUILDING CODE COMP PRODUCT CONTROL D SUBJECT TO COMPLIANCE WITH ALL FEDERAL I§A CO JLFS AND FREGUI ATIONR0 IAMI -DADE COUNTY, FLORIDA 0-DADE FLAGLER BUILDING FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 372 -6339 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/buildingcode Amarr Garage Doors 165 Carriage Court Winston - Salem, NC 27105 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 oduct Control Division (In Miami Dade County) and/or the AHJ (in areas other than i ".* ' s • e aunty)� r serve the right to have this product or material tested for quality assurance purposes. ° i u ro' uct or aterial fails to perform in the accepted manner, the manufacturer will incur the exp AHJ may immediately revoke, modify, or suspend the use of such product or mt d� "= aA •'c on. BORA reserves the right to revoke this acceptance, if it is determined bii: �.- r. duct Control Division that this product or material fails to meet the requirements of : lding . de. This product is approved as described herein, and has been designed to compl 6 Flori : uilding Code, including the High Velocity Hurricane Zone DESCRIPTION: Model 1200 -D WeatherGuard Plus w/ DuraSafe Sectional Garage Door (16' wide) APPROVAL DOCUMENT: Drawing o. SFC -590 - , Sheet 1 of 1, titled "Model #1200 -D WeatherGuard Plus w/ DuraSafe Short Panel, Long Panel and Flush Panel ", dated 06/21/01, last revision C 05/15/09, prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelmerdine, 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. 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 # 07- 0425.03 and consists of this page 1 and evidence page E -1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. Expiration Date: Approval Date: July 15, 2009 Page 1 Amarr Garage Doors NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. SFC- 590 -010, Sheet 1 of 1, titled "Model #1200 -D WeatherGuard Plus w/DuraSafe Short Panel, Long Panel and Flush Panel ", dated 06/21/01, last revision C 05/15/09, prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelmerdine, P.E. B. TESTS "Submitted under NOA # 02- 0115.09" 1. 1. Test report on. Large Missile Impact Test, Cyclic Wind Pressure Test and Uniform Static Air Pressure Test for 9' x 7' and 16'x 7' sectional steel garage doors, prepared by American Test Lab of South Florida, report # 0709.01 -01, dated 08/23/01, signed and sealed by W. R. Mehner, P.E. and H. Hattem, P.E. 2. Test report on Evaluation of painted panels per ASTM D1654 & B117, prepared by Subtropical Testing Service, test # AMR -1, signed and sealed by M. Mosbat, PE. C. CALCULATIONS "Submitted under NOA # 07- 0425.03" 1. Calculations prepared by Structural Solutions, P.A., dated 04/06/07, signed and sealed by Thomas L. Shelmerdine, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS "Submitted under NOA # 02- 0115.09" 1. Test report on Tensile Test from 3 Samples ATL 0712.01 -01A, B & C, prepared by Q. C. Metallurgical, Inc., report # 1GM -1038 dated 08/02/01, signed and sealed by F. Grate, P.E. F. STATEMENTS 1. 2007 FBC compliance letter issued by Structural Solutions, P.A., on 04/27/09, signed and sealed by Tomas L. Shelmerdine, P.E. "Submitted under NOA # 02- 0115.09" 2. No financial interest letter issued by Structural Solutions P.A., on 10/01/01, signed and sealed by Tomas L. Shelmerdine, P.E. 3. Protocol compliance letter issued by American Test Lab of South Florida on 08/30/01, signed and sealed by W. R. Mehner, P.E. & H. Hattem, P.E. G. OTHERS: 1. Notice of Acceptance No. 07- 0425.03, issued to Amarr Garage Door, for their Model 1200 -D WeatherGuard Plus w/ DuraSafe Sectional Garage Door, approved on 06/14/07 and expiring on 05/16/12. E -1 Carlos Utrera, P.E. Product Control Examiner NOA No. 09- 0604.02 Expiration Date: May 16, 2012 Approval Date: July 15, 2009 :021] NCO ■ ■ O■O § ;MOO 122122 2 GIMMOM IRE ■ ■ § ■ ■ 7 ■ §� ■ a ■= 1 1 � %| ... NN R/ 4�9 | 0 ■ © g1 4� SaAm15 ∎ 3') �-5 v.gb SezZ) 1') s (IN cr Ibm ON h arr GARAGE DOORS WORST CASE SCENARIO DESIGN PRESSURE CHART, ENCLOSED BUILDINGS 2007 FLORIDA BUILDING CODE (ASCE 7 -05) DADE COUNTY FLORIDA 146 MPH 3- Notes: 1) Design pressures calculated using calculation procedures listed in ASCE 7 -05. 2) Pressures assume the entire door's width to be in the end zone (zone 5) of the building. 3) Calculated based on enclosed building, any roof slope. 4) Importance factor 1.00, residential application. 5) For mean roof heights less than 15', use 15' pressures. 6) Most garage door openings will not be located completely in zone 5. Therefore individual calculations will result in lower pressures. 7) Table to only be used in conjunction with Amarr Garage Doors. i1rU;UNU Door Width CiUS1 Door Height Mean Roof Height WIND SPEED, Design Pressure EXPOSURE Door Height C Pressure Mean Roof Height Design Positive Negative Door Width Positive Negative , 8 7 +41.3 -51.9 8 8 +40.9 -51.1 ■ 9 15 +41.0 -51.2 9 8 +40.6 -50.4 16 7 + 39.2 -47.7 16 8 15 + 38.8 -46.9 18 7 +38.9 -47.0 18 8 +38.5 -46.2 8 7 + 41.8 -52.5 8 8 + 41.4 -51.7 9 7 16 + 41.4 -51.8 9 8 + 41.0 -50.9 16 7 +39.7 -48.2 16 8 16 +39.3 -47.4 18 7 + 39.3 -47.5 18 8 + 38.9 -46.7 8 7 17 +42.3 -53.1 8 8 17 +41.9 -52.3 9 7 +41.9 -52.4 9 8 +41.5 -51.5 16 7 + 40.1 -48.8 16 8 + 39.7 -48.0 18 7 +39.8 -48.1 18 8 +39.4 -47.3 8 7 18 + 42.8 -53.7 8 8 18 + 42.4 -52.9 _�3.0 9 8 + 42.0 -52.1 i 16 7 +40.6 -49 > 16 0 +40.2 -48.5 .1-- 8 7 + 4112 -48.6 18 8 + 39.8 -47.8 8 7 19 +43.3 -54.3 8 8 19 +42.8 -53.5 9 7 +42.9 -53.6 9 8 +42.5 -52.7 16 7 +41.1 -49.9 16 8 +40.6 -49.1 18 7 +40.7 -49.2 18 8 +40.3 -48.3 8 7 + 43.7 -54.9 8 8 + 43.3 -54.1 9 7 +43.4 -54.2 9 8 +42.9 -53.3 i 16 7 +41.5 -50.5 16 8 +41.1 -49.6 18 7 +41.1 -49.7 18 8 +40.7 -48.9 0 7 Z1 +44.1 -55.4 8 8 21 +43.7 -54.6 9 7 + 43.8 -54.7 9 8 + 43.3 -53.8 16 7 +41.9 -50.9 16 8 +41.5 -50.1 18 7 +41.5 -50.2 18 8 +41.1 -49.3 8 7 + 44.5 -55.9 8 8 + 44.1 -55.0 9 7 +44.1 -55.1 9 8 +43.7 -54.3 16 7 +42.3 -51.4 16 8 +41.8 -50.5 18 7 + 41.9 -50.6 18 8 + 41.4 -49.7 8 7 +44.9 -56.4 8 8 +44.5 -55.5 f 9 7 + 44.5 -55.6 9 8 + 44.1 -54.7 16 7 +42.6 -51.8 16 8 +42.2 -51.0 18 7 +42.2 -51.1 18 8 +41.8 -50.2 5 7 +45.3 -56.9 8 8 +44.9 -56.0 9 7 24 +44.9 -56.1 9 8 +44.5 -55.2 16 7 +43.0 -52.3 16 8 24 +42.6 -51.4 18 7 + 42.6 -51.5 18 8 + 42.2 -50.6 8 7 +45.7 -57.4 8 8 +45.2 -56.5 9 7 +45.3 -56.6 9 8 +44.8 -55.7 16 7 + 43.4 -52.7 16 8 25 + 42.9 -51.0 18 7 + 43.0 -51.9 18 8 + 42.5 -51.1 PO Box 288 • Winston - Salem, North Carolina 27102 -0288 165 Carriage Court* Winston- Salem, North Carolina 27105 Phone (336) 744 -5100 • Fax (336) 744 -5815 www.amarr.com