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RC-13-160Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 187801 Permit Number: RC -1 -13 -160 Scheduled Inspection Date: March 26, 2013 Inspector: Bruhn, Norman Owner: Job Address: 60 NE 104 Street Miami Shores, FL 33138- Project <NONE> Contractor: MULTITECH BUILDING Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1121360130880 Phone: (786)218 -7886 Building Department Comments DEMO KITCHEN IN- LAW QUATERS PLUS CHANGE A DOOR Infractlo Passed Comments INSPECTOR COMMENTS False Passed4 ./ 2) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 187768. No access, permit and plans must be posted. NB March 25, 2013 For Inspections please call: (305)762 -4949 Page 11 of 19 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NSP- 187801 Permit Number: RC -1 -13 -160 Inspection Date: March 26, 2013 Inspector: Bruhn, Norman Owner: Job Address: 60 NE 104 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MULTITECH BUILDING Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1121360130880 Phone: (786)218 -7886 Building Department Comments DEMO KITCHEN IN- LAW QUATERS PLUS CHANGE A DOOR Infractio Passed Comments INSPECTOR COMMENTS False Passed ,� 2eL1 Inspector Comments CREATED AS REINSPECTION FOR INSP- 187768. No access, permit and plans must be posted. NB ) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until March 25, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 M 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 �16 (0‘10 'D BUILDING PERMIT APPLICATION Permit Type: ` ,. ' 01/4):Oin .�� N€ 10 yes ' JOB ADDRESS: City: Miami Shores FBC 20 40 JI.\N 2 l 2019 Permit No. Master Permit No. ' A ,, _.I 3 -4 (0X) County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (F Simple Titleholder): OS Address: 0 (5(..D City: �,, ® State: Zip: -305k--e Dg.- Tenant/Lessee Name: Phone#: s Email: CONTRACTOR: Compan Name: U 1 Cl 1 l "� �`Phorie#: Address: �, 1 �1 — City: ! `( 'i C--nr State: '- I-- Qualifier Name: PO Phone#: State Certification or Registration #: C C ®0 i43 Certificate of Competency #: Contact Phone#: Email Address: ��-� a l 'C DESIGNER: Architect/Engineer: Phone #: 5 Value of Work for this Permit: $ Type of Work: OAd DAlteration Description of Work: Square/Linear Footage of Work: Set_ t ONew - URepair/Replace �Omolition P C r Submittal Fee Permit Fee $ / $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ I LI' 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur Owner Signature The fore ring instrument mt acknowledged before me this The fore o'ng instrument was acknowledged before me this day o 41.V\ , 20 yf ��r day f , 20 , b 'c► --,G,� t l(�r�.. y y `+g 151c�t�g (, 411... ( ��c ' who is personally known to me or who has pro uced who is personally known to me or who has prroduc As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: • TARY Sign: MELISSA R :? Notary Public - State of Florida My Commissio Commission # EE 65911 My Co — Tin) ,... My Comm. Expires Feb 17, 2015 Sc .'OFF �:cpueSS Commiss on # EE 65911 „nnn,. ****, x***** *****, xm******** *, xm *+ x**s:**** ************ **s <*,x,x****,x>K** *** ***** * * * * ** x ** * * **,x*****+x,x** ** * ***** ** x * ** APPROVED BY /33,/,..7 Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) JAN. 28. 2013 1:48PM WFHM 1515324 2670 NO. 6797 P. 1 1 PTLEMIERE A$sE ' SERVICES PIM= Azad&Men 12A dbe Of Waft Pang/ Mane Mime, aalMalonotV FerpoHmaeMonpepe,NA January 28, 2013 Property Address: 60 NE 104th RE: Issuance of Permits To whom it may concern: Please be advised that Premiere Asset Services (PAS), a division of Wells Fargo Bank, N.A., is the servicer of the above referenced property. To ensure that permits can be issued expeditiously, this letter shall serve as authorization for Sandy Williams ability to sign permits on our behalf. The real estate agent listed above has been assigned to the property to protect our interest. Please allow our agent and approved contractor the ability to pull permits that will allow us to repair and preserve the above referenced property. If you have any questions please contact the asset manager Aeja Schultz at (515)- 3242174. Thank you, Pre (515) 324 -2174 01/28/2013 1:00PM (GMT- 07:00) PERMIT # )- It COO CONTRACTOR: rITH t l SUBMITTAL DATE: <= 6`1 , 3 ADDRESS: L„..- 1. C)4 NAME: RESUBMITAL DATES: PROJECT TYPE: 7l' , UNO 1,641-041C-N-1 j)J L FIRE ZONING STRUCTURAL IMPACT FEES ELECTRICAL 749 /7 HRSIDERM PLUMBING NOC MECHANICAL BLDG- - f� J_ - Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1 3 Inspection Number: INSP- 184850 Permit Number: DEMO -1 -13 -162 Scheduled Inspection Date: March 18, 2013 Inspector: Hernandez, Rafael Owner: Job Address: 60 NE 104 Street Miami Shores, FL 33138- Project: <NONE> Contractor: JC PLUMBING SERVICES, INC Permit Type: Demolition Inspection Type: Final Work Classification: Plumbing Phone Number Parcel Number 1121360130880 Phone: 305 - 796 -4663 Building Department Comments CAP OFF / DEMO KITCHEN Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Com, nts March 15, 2013 For Inspections please call: (305)762 -4949 Page 16 of 54 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 Type: PLUMBING OWNER. Name (Fee Simple Titleholi Address: C) i City: Tenant/Lessee Name: Email: JOB ADDRESS: Permit N 0 i3--I NA Master Permit No `Ur ( (ao r); B et r`\ r° iliCsi^ & one #: 0.S State: O Phone #: CO N( I Q l .s-r City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: \,3 C l "`/-1 ":-.-°--S Phone#: � — ra4‘4 Address- 1 1 , - '9'e-c---14' _t- Lam@ City: k \ .2k`1 < State: Zip: Qualifier Name: ark. CG IC l OS Q - ' Phone #: State Certification or Registration #: - \ tiLe.Q-:1 ` Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddress OAlteration ❑New DRepair/Replace emolition --DeScr tion. of Work * ***** ** x*********** *+x+x+x***+x***+ ***a *** Fees*+ u*********************** ** ***** ** *** ****** Submittal Fee $ .6D Permit Fee $ /00 ® CCF $ CO /CC $ Scanning Fee $ 4 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 MR 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. /If Si natur Si gn ature • - 1 or Agent Contractor i The foregoing instrum -'as acknowledged before m is The foregoing instrument was acknowledged before me this l \e-i % day of S , 2O\ 3, by t r 5, Set N'41/4e-,k' day o X1l , 201 ,by who is personally known to me or who has produced who is personally known to me or who has produced, As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Com B• —.Lvov.— No EUSSA RAMIREZ i''i+tPC My Co'rbrii.'tiipires F`eb •1'1.2015. s �.. � , t„ s•'' Cointhission # EE 65911 Si ' 117,3c. y omm. xpires Feb 17, 2015 s(Dn Expinoslission # EE 65911 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Plans Examiner Zoning (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Structural Review Clerk THIS DOCUMENT HAS A COLORED DACKGROUND MICROPFiINT00 LIPOEMARK" PATENTED PAPER AC# 154i37 STATE OF FLORIDA DEPARTMENT QF BUSINESA_AND PROPEMONAL REGULATION cONSTRUCTIoN INDUsTRY LICENSING BOARD SEQ# L12060601079 DATE 06 06 2012 BATCH NUMBER '114alliUWAIIIIIMIN PRIMO CFC1426227 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 LEON, JUAN CARLOS J C PLUMBING SERVICES INC 3500 MYSTIC POINTE DR, #501 AVENTURA FL 33180 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY , xv,-410 ;.-8 x8$h° mi—x141k0 xa 110,yx0v85wx 6.07-■040 &#�0 rYTIA BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 j, Receipt #:PLUMBING /LWN SPRNKL /CONTRi} Business Type: (PLUMBING ) Owner Name: 3UAN cAELos LEON Business Opened:07/31/2012 Business Location: 1800 S OCEAN DR #2002 State /County /CeritJReg:CFC1426227 HALLANDALE Exemption Code: Business Phone: 305-970-1612 DBA: Business Name: JC PLUMBING SERVICES, INC Rooms Seats Employees 2 Machines Professionals Number of Machines: For Vending Business Only VmnAwi. T ..... Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY, IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: JC PLUMBING SERVICES, INC 1800 S OCEAN DR #2002 HALLANDALE BEACH, FL 33009 2012 -2013 Receipt #02A -11- 00004433 Paid 07/31/2012 27.00 TOR IF= 2x1 9481g0 ° c0; § U,1U,j 0411- 1-tx-1 y Ov10 Owx 680x " 8 645100,3g.til- XT -Zgin CERTIFICATE OF LIABILITY INSURANCE DATE (MAIWEVYYTY) 01/2.9/13 HOLDER THIS POLICIES TIS CERTIFICATE IS ISSUE) AS A MATTER OF INFORMATION ONLY AND CONFERS AD RIGHTS UPON THE CERTIFICATE - CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEN, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 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 polcy(tesj must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsei rent A statement on this certificate does not confer rights to the certificate holder In lieu of such endorse r en s). PRODUCER Great Florida Of Miami ' 10471 N Kendall Dr Suite 8101 • Miami, FL 33176 Phone (305) 515 -5613 Fax (888) 237 -7027 NAME: Felines Lopez ': E (305) 515 -5613 I ra Not (868) 237-7027 . .`- pat►icia lopezc:. +eattlorida com • . INSURERS} AFFORDING COVERAGE NAIC # INSURER A : Y INSURED JC PLUMBING SERVICES INC 1800 S OCEAN DRIVE #2002 HALLANDALE BEACH, FL 33009 INSURER B : 04106/2012 INSURER C: • INSURER D: DAMAGE PREMISES (Ea occurrence) INSURER E MEDCXP (Any one person INSURER F : PENAL e. ADV INJURY ATE 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. OATS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OP INSURANCE 1NSR R POLICY NUMBER j N#D� ®I� LIMITS A GENERAL UABIbITY CX7MMERCIALGENERAL LIABIU1Y Q Q CLAIMS -MACE Q OCCUR © Y CCG761759 04106/2012 04/0 2013 EACH OCCURRENCE $ 1,000,000.00 DAMAGE PREMISES (Ea occurrence) $ 100,.000.00 -.... • • - MEDCXP (Any one person •s 5;000.00 PENAL e. ADV INJURY $ 1;000,000.00 ❑ . . . . . GENERAL AGGREGATE $ 2,000,000.00 . GEM, AGGREGATE UMIMUT APPLIES PER . ®.POLICY ❑ M ❑ LOC PRODUCTS -C OMPmP AGO ' $ 1,000,000.00 $ , AUTOMOBILE LtABIUTY • • ' • • . iCrpris SINGLE LIMIT $ BODILY INJURY (Per person) $ . • ANIYAUTO. �- °WNED � BODILY INJURY {Per acsideni} $ AUTOS NON-OWNED ED �❑- 1 BRED AUTOS - • ❑ • AUTOS LJ ❑ p�D PRO$�AMAGE ( ..... $ a UAAE#iEU .LIAB ❑ OccuR EXCESS LJAB ❑ CLAIMS-MADE EACH OCCURRENCE $ • AGGREGATE $ rD- ❑ DE- '❑ • RErENTTON $ $ • A• .. .... _ WORKERS COMPENSATION AND EMPLOYERSLJAB$.ITY- YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICE EXCLUDED? - . e�r�lsns, a�tto iibneeNH). . . Y I N / A WCP761234100 12/14/2012 12/14/2013 ci WC ST MTU- . EiI itiv. . .. . .. • .... EL EACH ACCIDENT. . . $ . 500,000.00...... . E.L DISEASE - EA EMPLOYE . $ - 500,0000.00 .. - .... cwc under .OESCRIP ON OF OPERATIONS below • EL DISEASE - POLICY LIMIT $ 500,600 00 ........ :. ¥ • • - DESC RIPTI N OP OPERATIONS / LOCATIONS / VEHICLES (Mach ACORD 101, Additional Remarks Schedule, If more space Is required) . • • gem:i CM E HOLDER.. _. CANCELLATION - Miami Shores Village . ._ Building DepartMeni 10350 NE 2nd AVe Miami Shores.Vlllage,. FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI • .. *.. TE THEREOF, NOTICE WILL BE DELIVERED IN ' .. • - .: : «. -.' , THE POLICY PRO d- =..,,.. • AUTHORIZED - ,•r, ACORD 25 (2010/05) QF t 19882010A1 The ACORD name CORPORA ION. All rights reserved. Istered marks of ACORD 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 Permit Type: BUILDING JOB ADDRESS: Co NE, 1Q(A .. Permit No FBC 20 up —l( Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Sim le Titleholder )P5 C-N‘ C hone# 3� 6/Th 'kk o Address: ON( City: State: � Zip: '? 3- " Tenant/Lessee Name: Phone #: Email: ear �► CONTRACTOR: Company Name: IS � �" �" one #• ` L)LD-W 01* Mb rc=>k Address: City: \- -A1 /j� State: Zip: ��� Qualifier Name. ��� CO 5 � L �1- ��''1 -�� Phone #: State Certification or Registration #e C \) ° -)?-"l�l 9 ' Certificate of Competency #: Contact Phone #: 2 '4 a-11/440 °11S Email Addres : `'�. )-(f (CJ' DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit $ Square/Linear Footage of Work:. Type of Work: ❑Addition UAlteration UNew ORepair/Replace Deeeription of Work: �\ . olition Color thru tile: ** * * *** * *** * * * * * ** * * * * * *** * * * *** * *** ** Fees * * * * * * * * * * * * *** * * * * ** * * * *** * * * * * *** * * * * ** ** Submittal Fee Permit Fee $ lr® ®e CCF $ Scanning Fee $ Radon Fee $ DBPR $ CO /CC $ 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 pennit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. gent The foregoing instrument was acknowledged before day of 20 y Signature Contractor thiF� The foregoing instrument was c owe ge e ore me s kn 1 d d before this 2-/ cw"v■K day of ( , 20 ( y�il �a who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sinn Print: My Commissio :Nr�l!lillle: �pcyg .OQ`p Notary Public - State of Florida My Comm. Expires Feb 17, 2015 ,,, ,, , ,„�. Commission # EE 65911 as identification and who did take an oath. NOTARY PUBLIC: Si P My o, �. r—. ry Public - State of Florida Vie= '� -,Q= M C I I °• • :;ciF'ro), Commission # ion Ex s Tres: EE 65911 II 11! k 7Y9C' DnY***** 9i• A• 9rit'$' tnY*. RA•*. tC**• kA ••k*.k9C'h'tC'k'Jrhst'*s1C9C4C. **.k•k.k*•R•k. **.tC'A'*'aC*'JC Y Y Y'A**'J *9CS..***.k.k?f'R'* Y9C** *' aC'+ 1C7C*' aC' R' aC 'AC4C?r*.iC'h'arA?C***'A'aC7Fsh Y'k* Plans Examiner Zoning APPROVED BY Structural Review Clerk (Revised 5 /2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09)(Revised 7/10/2007) 2 12 13 01:05p F. jimenez Elec. Cont. MIAMI -DADE COUNTY JI01 W.RST. FLAMER 1st FLOOR MIAIIR, FL 33130 553806 -2 Et NM ERE mum (LO ELECTRICAL CONTRACTOR 9002 BIRD RD 33165 UNIN DADE COUNTY OWNER Fry JIMENEZ ELEC Sem 196 ELECTRICAL THIS J9 ONLY A LOCAL ELIBINESSI TAX RECEIPT. IT HOES NOT HOLDER TO VIOLATE AMY EXISTE= RECIi JLATARY OR ZONING LAWS OF THE COUNTY CRAM NON noes jTON ESEUPT THE HOLDER tam ANY OTHER PERMIT REQUIRED SYLAW.. THIS IS HOT A CERTIFICATION OF ree HH E CLO WS 0UAL7 TIO 239 674 9514 p.1 2012 LOCAL BUSRESS TAX RECEIPT 2013 MIAMI -DADS COUI ITY -STATE OF FLORIDA MUST BE ATT P� p gUSINESS PURSUANT TO COUNTY CODE CHAPTER SA - ART. 9 & 10 THIS IS NOT A — DO •:OT PAY RENEWAL RECEIPT NO 577853 -6 STATE* EC13002779 PAYMENT FMCEVEn E CM1ETO1 �DHTY TAX 08/28/2012 02250016001 000075.00 SEE OTHER SIDE CONTRACTOR CONTRACTOR INC FIRST-CLASS U.S. POSTAGE ! PAID MAMI, FL PERMIT NO. 231 WORKER /S 1 DO NOT FORWARD JI ENEZ F ELECTRICAL CONTRACTOR 12401IWCOKEECHOBEEPRD$APT 419 HIALEAH GARDENS FL 33018 hill, i Hill LN LEN7111111ITS1I11,1,i I11JI3 Tl 107 rIP O 212 1301:05p F. jimenez Elec. Cont. 239 674 9514 STAMECMFFLORICA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION p.2 ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 194 0 NORTH MONROE STREET TATJA'FfASSEE FL 32399-0783 JIMENEZ, FRANCISCO F JIMENEZ ELECTRICAL CONTRACTOR INC 12401 WEST OKEECHOBEE ROAD # 419 HIALEAH GARDENS FL 33018 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong- Every day we work to improve the way we do business in order to serve you better. For Information about our services, please log onto wwwanyfloridalicense.com. CERTIFIED MLECTRICAL CCR There you can find more information about our divisions and the regulations that JIMENEZ , FRANCISCO impact you, subscribe to department newsletters and team more about the F ammuNz NUECTRICAL CZSI.RAZIOR Departments initiatives. • Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida. and congratulations on your new license! J STATE OF FLORIDA : DEPARTMENT OF SUSI-IMES =I . PROFESSIONAL F413002779 07/17/22 a:...7•9sass DETACH HERE CERSIIMEID limier the reassist:1=1 :---•-.4S9 75 .don date 2 24G 31, 2014 , ;T4tSDOJME1 . "AS A dOLORBD BACKGROUND • IA ICROPI;'INTINE • El NET.,i A R}.0‘. PATENTED PAPER on. owe so STATE OF FLORIDA • DEPART/if P00:6 BUSINESS AND PROFESSIONAII s•-1-1WIGWLATION ETACT.R.W.AL CONTRACToRS L/CIENSRTGAMABD SECNO 1,12 071701593 . • . . Named below,IB CERTIFI Under thi.lwovisibus oVVhgOier 489 FS. Expiration date: AUG 31, 2014 .3- • . '7 Ix. ••• animosz;eoiissaxs6 F JiNENEZITEriECTRICALcONTRAtToR INC 1240/ •11EST -OKEECHOBEK"-: ROAD t,;41:9 171, • * HIALEAH GARDENS FL 4p03.8 - •.,•, • RICK SCOT :'• 74: V-RRNOR KEN LAWSON SEcRETARY 2121301:06p F. jimenez Elec. Cont. 239 674 9514 p.3 id ORa CERTIFICATE OF LIABILITY INSURANCE DATE oi3" 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 Dopazo and Ass ©ciates 3900 1W 79th Ave Site 700 Miami FL 333.66 CCM ACT Alexander Dopazo CIC N° micm Ems. (305) 470 -8500 j NC. Nob (305) 410 -0111 ADDRESS :2 -71 dopazo.co]IR INSURER(S) AFFORDING COVERAGE NA= # INSURER A :Travelers Indemnity Co 25658 INSURED F Jimenez Electrical Contractor Inc 12401 W Okeechobee RD Lot 419 Hialeah FL 33018 INSURERB:Sridgefield Employers Ins Co 10701 INSURER C: INSURER D: I $ 1,000,000. INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:CL1312104172 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 A TYPE OF INSURANCE I ADOL S SUBR P POLICY NUMBER ( POLICY EFF P POUCCY EXP LIMITS GENERAL L LIABILITY E EACH OCCURRENCE I I $ 1,000,000. DESCRIPTION OF OPERATIONS! LOCATIONS t VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more sweets required) Electrician. CERTIFICATE HOLDER CANCELLATION (305)634 -0957 City of Miami Shores 10050 NE 2nd Avenue 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 A Dopazo CIC /AD ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 runj Pact rti TH AI ..r1I7r1 Hama anti Innn arc ranicfiararl marks of dr:ARll 2 12 13 01:06p F. jimenez Elec. Cont. s JEFF ATWATER STATE OF FLORIDA 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 from Florida Workers' Compensation law. CHIEF FINANCIAL OFFICER 239 674 9514 p.4 09 -30 -2011 EFFECTIVE DATE: PERSON: FEIN: 09/30/2011 EXPIRATION DATE: 09/2912013 JIMENEZ FRANCISCO 061713534 BUSINESS NAME AND ADDRESS: F JIMENEZ ELECTRICAL CONTRACTOR INC 12401 W OKEECHOBEE ROAD LOT 418 HIALEAH GARDENS FL 33018 SCOPES OF BUSINESS OR TRADE 1- ELECTRICAL CONTRACTOR IMPORTANT: Parsaant to Chapter 440 . 054141, F.S., an officer of a corporation who elects exemption from Ibis chapter by filing a certificate of electron under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.051t2t, F.S., Certificates of election to be exempt... apply only within the scope at the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shell he 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 eo longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate Si any time for idlers of the person gamed on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? {850} 413-1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE 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 09/30/2011 EXPIRATION DATE: 09/29/2013 PERSON: FRANCISCO JIMENEZ FEIN: 081713534 BUSINESS NAME AND ADDRESS: F ,HMENEZ ELECTRICAL CONTRACTOR INC 12401 W OKEECHOBEE ROAD LOT 419 HIALEAH GARDENS, FL 33019 SCOPE OF BUSINESS OR TRADE: I - ELECTRICAL CONTRACTOR IMPORTANT O Pursuant to Chapter 440.05(141, F.S., an officer of a corporation who elects exemption front this chapter by filing a certificate of election I- under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.051121, F.S., Certificates of election to be RH exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt. E Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election to he 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 en 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 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 Florida Building Code Online Business & P Florida Departrnentof Busines Professi Regulation ofesslanal;Re BCS Home llorn Product Approval User `.1■1.O FICE'OFTHE '' SEGRET/ Y .: 1 of 3 ltlp://www.floridabuilding.org/pr/pr app p dd Qwt- Product Approval Menu > Product or ApplIcatkm Search > Apo&atbn L�t> Application Oeieo FL # Application Type Code Version Application Status Comments Archived Product Manufacturer AddressJPhone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method FL4940-R3 Affirmation 2010 Approved Masonite International 1955 Powis Road West Chicago, IL 60185 (615) 441-4258 sschreiberemasonite.ccen Steve Schreiber sschrelber@ 6° Exterior Doors Swinging Exterior Door Assemblies Certification Mark or Listing Certification Agency National Accreditation & Management Institute, Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By National Accreditation & Management Institute, Year TAS 201 1994 TAS 202 1994 TAS 203 1994 I affirm that there are no changes in the new Florida Building Code which affect my product(s) and my product(s) are in compliance with the new Florida Building Code. Documentation from approved Evaluation or Validation Entity Yes No N/A 1/8/2013 12:51 PM Florida Building Code Online Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Summary of Products blIp://www.floridabuildiagorgipripr app - aspx?param=wGEVXQwL- Method 1 Option A 02/14/2012 02/14/2012 02/17/2012 03/11/2012 FL P Model, Number or Name Description 4940.1 Metal -edge Steel Side - Hinged Door Units 6'-8° Opaque 1/S and 0/S Single Door Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant Yes Design Pressure: +76.01-76.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, do not exceed the design pressures listed. 3' -0° x 6'-8° max nominal size. Max DP = +1- 76.0. When large missile impact resistance is required, hurricane protective system is NOT required See installation drawing DWG -MA- FL0132-05 for additional information. Certification Agency Certificate FL4940 R3 C CAC NI006115- R3.PDF Quality Assurance Contract Expiration Date 12/31/2014 Installation Instructions FL4940 R3 II FL0132.pdf Verified By: National Accreditation & Management Institute, Created by Independent Third Party: Evaluation Reports FL4940 R3 AE 504A.pdf Created by Independent Third Party: Yes 4940.2 Metal -edge Steel Side -Hinged Door Units 6'-8° Opaque I/S and 0/S Door w/ or w/o Sidelites Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: +55.0 /-55.0 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, do not exceed the design pressures listed. 12' -0° x 6'-8° max nominal size. Max DP = +/- 55.0. When large missile impact resistance is required, hurricane protective system is NOT required on opaque panels, but is required on glazed panels. See installation drawing DWG -MA- FL0132-05 for additional information. Certification Agency Certificate FL4940 R3 C CAC NI006115- R3.PDF Quality Assurance Contract Expiration Date 12/31/2014 Installation Instructions FL4940 R3 II FL0132.pdf Verified By: National Accreditation & Management Institute, Created by Independent Third Party: Evaluation Reports FL4940 R3 AE 502A.pdf Created by Independent Third Party: Yes 4940.3 Metal -edge Steel Side - Hinged Door Units 8' -0° Opaque I/S and 0/S Door w/ or w/o Sidelites Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ Yes Impact Resistant: Yes Design Pressure: +48.3 /-48.3 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, do not exceed the design pressures listed. 12' -0° x 8' -0° max nominal size. Max DP = +/- 48.3. When large missile impact resistance is required, hurricane protective system is NOT required on opaque panels, but is required on glazed panels. See installation drawing DWG -MA- FL0133 -05 for additional information. Certification Agency Certificate FL4940 R3 C CAC NI006115- R3.PDF Quality Assurance Contract Expiration Date 12/31/2014 Installation Instructions FL4940 R3 II FL0133.pdf Verified By: National Accreditation & Management Institute, Created by Independent Third Party: Evaluation Reports FL4940 R3 AE 501A.pdf Created by Independent Third Party: Yes 4940.4 Metal -edge Steel Side - Hinged Door Units &-8° Glazed I/S and 0/S Door w/ or w/o Sidelites Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ Yes Impact Resister!: No Design Pressure: +50.5/ -50.5 Other: Evaluated for use in locations adhering to the Florida Building Code including the High Velocity Hurricane Certification Agency Certificate FL4940 R3 C CAC NI006115- R3.PDF Quality Assurance Contract Expiration Date 12/31/2014 Installation Instructions FL4940 R3 II FL0134.pdf Verified By: National Accreditation & Management 2 of 3 1/8/2013 12:51 PM Florida Building Code Online Mtp -J /www.floridabuildi>g.org/pr/pr app dtl Qwt... Zone, and where pressure requirements as determined by ASCE 7, do not exceed the design pressures listed. 12' -0° x 6'-8° max nominal size. Max DP = +/- 50.5. When large missile impact resistance is required, hurricane protective system is required. See installation drawing DWG -MA- FL0134 -05 for additional information. Institute, Created by Independent Third Party: Evaluation Reports FL4940 R3 AE 502A.pdf Created by Independent Third Party: Yes 4940.5 Metal-edge Steel Side - Hinged Door Units B' -0° Glazed I/S and 0/S Door Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Rent: No Design Pressure: + 43.0 /-45.0 Other: Evaluated for use in locations adhering to the Florida Building Code induding the High Velocity Hurricane Zone, and where pressure requirements as determined by ASCE 7, do not exceed the design pressures listed. 6' -0° x B'-0° max nominal size. Max DP = +43.0 / -45.0. When large missile impact resistance is required, hurricane protective system is required. See installation drawing DWG- MA- FL0135 -05 for additional information. Certification Agency Certificate FL4940 R3 C CAC NI006115- R3.PDF Quality Assurance Contract Expiration Date 12/31/2014 Installation Instructions s FL4940 R3 II FL0135.pdf Verified By: National Accreditation & Management Institute, Created by Independent Third Party: Evaluation Reports FL4940 R3 AE 501A.pdf Created by Independent Third Party: Yes ICI Contact Us " 1940 Keith Morooe Street'rirBahassex F1.32399 Phone: 850 AM-1824 The State of lbdde Lan AA/EEO empbye: Quent tit X17 -2010 State of Prorkta. :; Under Florida haw, mama addresses are public records. eyou do not want your e-mail address nod to response to a puik -n rnrts request, do not send electronic mat to this entity. Instead, contact the office by phone or by tradtbnal map. V you have any questions, pie contact 850.4874395. * to SectOn 455.275(1), Florida Statutes, etrediee October 1, 2012, Ion kensed under Chapter F.S. must provide the Department with an email address if they have one. The errata provided may be used foro8tdal common ation with the licensee. However email addresses are pubic record. if you do not wish to supply a personal address, please provide the Deparlmme with an email address which can be made avaeble to the pubti. To determine If you area licensee unite Chapter 455, F.S., pie auk Product Amoral Accepts FTINHE sevttri ETRIC Credit Card LIFE 3 of 3 1/8/2013 12:51 PM 1, 0 ../KI.;ri it /le" SIDE- HINGED METAL -EDGE STEEL DOOR UNIT 6' -B" DOUBLE DOOR WITH / WITHOUT SIDELITES GENERAL NOTES 1. EVALUATED FOR USE IN LOCATIONS ADHERING TO THE FLORIDA BUILDING CODE AND WHERE PRESSURE REGUIREMENTS AS DETERMINED BY ASCE 7. MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES, DOES NOT EXCEED THE DESIGN PRESSURES LISTED. 2 HURRICANE PROTECTIVE SYSTEM (SHUTTERS) IS NOT REQUIRED ON OPAQUE PANELS. BUT IS REQUIRED ON GLAZED SIDELITES. 3, POLYURETHANE CORE FLAME SPREAD INDEX OF 50 AND SMOKE DEVELOPED INDEX OF 60 PER ASTM E84. 4, PLASTICS TESTING OF LITE FRAME MATERIAL.: TEST DESCRIPTION DES:GNAT1ON RESULT SELF IGNITION TEMP ASTM DI929 740 'F > 650 'F RATE OF BURNING ASTM 0635 0.77 IN /MIN SMOKE DENSITY ASTM 02843 13.45 TENSILE STRENGTH• ASTM 0638 7.505 RIFF • COMPARATIVE TENSILE STRENGTH AFTER WEATHERING 4500 .HOURS XENON ARC METHOD 1 r DJ *on o0 00 SINGLE DOOR UNIT ,D0UBI E DOOR UNIT . _ TABLE OF CONTENTS SHEET DESCRIPTION 1 TYPICAL ELEVATIONS & GENERAL NOTES 2 ANCH0 I G EOCA ONS & DETAILS 3 ANCHORING LOCATIONS & DETAILS ®® O SINGLE DOOR UNIT W TN SIDELIT£. 21" MAX D, L0 —; 149* MAX OVERALL FRAME WIDTH 36.375" MAX. PANEL WIDTH W /ASTRAGAL 37.s" Max. FRAME WIDTH SINCE UNET WITH SIDELJTE DOuBLE DOOR UNIT )VJSTDELITE, SINGLE COOP UN I W /SIDELITE DOUBLE DOOR II 111 e CONFIG MAX Pfit H 3 11!!^,1 OUT LNG rie +760 -76.9 IFISWIN +!9.0 -19.0 s ' r SINGLE COOP UN I W /SIDELITE DOUBLE DOOR KURT BALTHAZOR FLORIDA P.E #55333 fl UO1 2 U) IV V cr St 0. N C> 0 \� 0 O N cwTE: 7/25/05 sous. N.T.S. GAG. 841 SWS G9 N- TV. DWG- bA- FLO132 -05 SNT.[T } 9F,, DESIGN PRESSURE RATING WHERE WATER INFILTRATION PERFORMANCE IS REQUIRE() TO BE. 155 OF DESIGN PRESSURE CONFIG MAX Pfit H 3 11!!^,1 OUT LNG rie +760 -76.9 IFISWIN +!9.0 -19.0 s ' r Y Ak _-. ' XEE*,L._.a_ OXO - _ i EAUFACEMII + 5:0 AEDEMLIELIV - +? .0 -55.9 155.0 MagraiiiMECIEMMINEBECII + . - 5,0 +55.0 -55.0 —19.0 4111..+ +19.0 - 9.. 0 —55 IqA +5 • —537 I OIIXC' � ; . ' +55.0 -' .• +59.0 - .0 KURT BALTHAZOR FLORIDA P.E #55333 fl UO1 2 U) IV V cr St 0. N C> 0 \� 0 O N cwTE: 7/25/05 sous. N.T.S. GAG. 841 SWS G9 N- TV. DWG- bA- FLO132 -05 SNT.[T } 9F,, 6" -.- 3' --■-• SCE DETAL "I:" 3" II -- ' 3" --- 6" -- I I — I I 1 "---(:) ith _ , 1 1- -- - - -- 4 MQRE EQUALLY SPACED • - (..? 1 1 ' IMIIIM 11111.10 6'--'- 11. ___ ___.... , 1111011011111••■••••101110MIN■ MI IOMIZIMMIEWEittigNMERE116116111i4S 2" x #8 x 2-7/2" #101 x 3/4" 5 x 2-7/2" #70 x 3/4" #10 x 2" DETAIL "C" 0.962"; T 8 x 2-7/2" DETAIL "E" ASTRAL ATTACH ASTRAGAL RETAINER BOLT STRIKE PLATE TO FRAME AS SHOWN. INSWING THRESHOLD OUTSWING THRESHOLD 0610C6ktn 'kr Nier re.e• RfiDDEad 4 ASTRAGAL RETAINER BOLT HOLE MUST 8E DRILLED THROUGH THE THRESHOLD & NTO THE STRUCTURE DEEP ENOUGH FOR A 1.375" THROW DETAIL "F' ASTRAGAL OCR 995 OR DOVI 955 OR EQUAL ALUM, STEEL CR BUTYL SPACER •6 x 1 - 1 ft YNS Erum ,NTER1OR TYPICAL GLAZING DETAIL VS VI 0 tri 2 0 LJ Vi 0 La 0 -a to -YE Vi 7 0 0 z DATE 7/25/05 SCALE- ORE, S WS 006 EY: ORAWITKC NO.. MG-MA-FIX t3d -06 SKEET 2 6K 3 SEE DETAIL "C" SI4T. 2 SEE DETAIL "E" SHT, 2 3" — ATTACHMENT DETAIL 1. ANCHOR ANALYSIS FOR LOADING CONDITIONS PREPARED. SIGNED AND SEALED BY LUIS R. LOMAS, PE (FLORIDA #62514) WITH THE LOWEST (LEAST) FASTENER RATING FROM THE DIFFERENT FASTENERS BEING CONSIDERED FOR USE. JAMB, HEAD, AND THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE #10 WOOD SCREWS OR 3/16' TAPCONS. A PHYSICAL SHIM MUST BE PLACED IN SHIM SPACE AT EACH ANCHOR LOCATION. 2. THE WOOD SCREW SINGLE SHEAR DESIGN VALUES COME FROM ANSI/AF&PA NDA FOR SOUTHERN PINE LUMBER AND ACHEIVEMENT OF 1-1/2" MINIMUM EMBEDMENT. THE TAPCON MUST ACHIEVE MINIMUM EMBEDMENT OF 1-1/4". 3. WOOD BUCKS BY OTHERS MUST BE ANCHORED PROPERLY TO 4. MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 171 LBS. TRANSFER LOADS TO STRUCTURE. 3 —I SEE DETAIL "D" SW. 2 1.50" MIN 3° 31 I-- .... ... _ KwiKSET SERIES 400 GRADE 3 CYLINDRICAL LATCH AND SERIES 980 GRADE 1 DEADLOCK HARDWARE TO BE INSTALLED H 6 " -0 11 0-- H 4" X 4" FULL MORTISE BUTT HINGES 4 MORE EQUALLY SPACED — 3* 6" 6" HARDWARE SCHEDULE 1, KwiKSET SERIES 400 GRADE 3 CYLINDRICAL LATCH AND SERIES 980 GRADE 1 DEADLOCK HARDWARE TO BE INSTALLED AT 5-1/2" CENTERLINE. 2. 4" X 4" FULL MORTISE BUTT HINGES TYPICAL WOOD BUCK ANCHOR INSTALLATION 1.25 MIN CL —I I— 0 2° SHIM WO( Per..C■ e4: TYPICAL MASONRY ANCHOR INSTALLATION em1s1 II WNW Br Ilme Wen& AMPIK,..7, ,c •`-i747 4! >- no E5 gl" t‘4, co c‘i 4 SAW 7/25/05 sear_ tT,s. rt'AZ NY. 56'S CNN SY, 64971G MD- OWG-AdA-C1.01.3Z-05 tHEET CF NAMI NOTICE OF PRODUCT LINE CERTIFICATION Certification No.: Date: Revision Date: Certification Program: Company: Code: N1006115 -R3 Page 1 07/29/2005 11/19/2010 Structural Masonite International M -703 -1 The "Notice of Product Line Certification" is valid only when Administrator's Seal is applied to the upper left hand portion of this form and a certification label is applied to the product. This certification seal represents product conformity to the applicable specification and that all certification criteria has been satisfied. The products and systems listed below are approved for listing in the Directory of Certified Products at www.NAMICertitication.com. Please review, and advise NAMI immediately if data, as shown requires corrections. Company: Masonite International Corporation 1955 Powis Road West Chicago, IL 60185 Product Line: Masonite Metal -Edge Steel Side -Hingl Door Units Test Report: NCTL- 210 - 1861 -1,2 ,3,7,8,9/210- 1864 - 1,2,3,4/210- 1887 - 1,2,3,4,5,6,7,8,9 10,11,12/210- 1$97 - 1,2,3,4,5,61 210- 1905 - 1,2,3,4,5,6/210 - 1980 - 1,2,3,4,5,6/ CTLA685W /1022W Section 1: General Description of the Products and Systems under this Certification 1.1 Frame: The frame jambs consist of finger jointed pine with all corners coped, butted, and sealed using three 2" long wire staples (.04375 "). 1.2 Mullion Construction: Where used, each mullion constructed of laminated lumber with a pine cap and attached to the header and threshold with three #10 x 3" Philips Flat Head Wood Screws. 1.3 Glazing: Where used, the overall insulated glass was glazed into a rigid plastic lip -lite frame. Consisted of symmetric monolithic insulated glass with 3mm (0.118) tempered glass with aluminum, steel or butyl spacer. 1.4 Door Leaf Construction: Each door leaf was constructed from 0.017"(6'8" height) or 0. 020 "(8'0 "height) thick galvanized steel facings. National Accreditation & Management Institute, Inc. 4794 George Washington Memorial Highway/Hayes, VA 23072 Tel: (804) 6845124 /Fax: (804) 684 -5122 Certification No.: NI006115 -R3 Page 2 Section 2: Registered Suppliers 2.1 Door Lites: ODL or Specialty 2.2 Astragal: Endura Ultimate Section 3: Additional Supportive Test or Acceptance Data Provided with Certification Documentation included: 3.1 Miami -Dade Building Code Compliance Notice of Acceptance for Lite Frame Material, NOA#07 -0801.05 and ETC Test Report Number ETC -02- 797 - 12517.1 3.2 Surface Burning Characteristics for Foam Filled Door performed by Omega Point Laboratories to ASTM E84 -98, "Standard Test Method for Surface Burning Characteristics of Building Materials -Report No. 15977- 104313. 33 Anchor Calculations for Anchor Performance Calculation Report- Performed by Luis R. Lomas, P.E. (Florida No. 62514). 3.4 National Accreditation & Management Institute, Inc. W -1416. See additional Pages of Certification for Certified Product Line Matrix(s) and Installation Details. If you have any questions regarding this certification, please contact NAMI at (804) 684 -5124. National Accreditation & Management Institute, Inc. 4794 George Washington Memorial Highway/Hayes, VA 23072 Tel: (804) 684- 5124/Fax: (804) 6844 -5122 NOTICE OF PRODUCT CERTIFICATION Company: Masonite International Corporation 1955 Powis Road West Chicago, IL 60185 Certification No.: Certification Date: Expiration Date: Revision Date: N1006115 -R3 Page 3 07/29/2005 12/31/2014 11/19/2010 Product: Metal -Edge Opaque Inswing or Outswing Door w/ and w/o Non - Impact Rated Sidelites (w/Wood Frame unless noted) Specifications Tested To: TAS 201 - 94/202- 94/203 -94 /ASTM E330 The "Notice of Product Certification" is only valid if the NAMI Certification Label has been applied to the product as described within this document. The certification label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within NAMI's Certified Product Listing at www.Namicertification.com. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI). Configuration Inswing or Outswing Glazed or Opaque Maximum Size Structural Design Pressure Water Test Pressure Missile Impact Rated Test Report Number Drawing Number & Comments X Single 1/S Opaque 3'0" x 6'8" +76/ -76 2.86 psf Yes NCTL- 210 - 1864 - 1,2,3,4 Maximum Panel Size: 3'0" x 6'8" Anchor Detail-MA-R..0132-05 X Single 0/S Opaque 3'0" x 6'8" +76/ -76 8.25 psf Yes NCTL- 210 - 1861 - 1,2.3,7.8,9 Maximum Panel Size: 3'0" x 6'8" Anchor Detail- MA- FLO132 -05 XX Double I/S Opaque 6'0" x 6'8" +55/ -55 2.86 of Yes NCTL - 210.1905.1,2.3,4,5.6 Maximum Panel Size: 3'0" x 6'8"/Sidelite: 3'0" x 6'8" Anchor Detail- MA- FLO132 -05 XX Double 0/S Opaque 6'0" x 6'8" +55/ -55 8.25 psf Yes NCTL -210. 1905 - 1,2,3;4,5,6 Maximum Panel Size: 3'0" x 6'8"/Sidelite: 3'0" x 6 °8" Anchor Detail- MA- FL0132 -0S X0/OX Single w /Sideiite I/S Opaque Door Glazed Sidelite 6'0" x 6'8" +55/ -55 2.86 psf Door -Yes Sidelite-No NCTL -2I0 -1905- 1,2,3,4,5,61 Maximum Panel Size: 3'0" x 6'8"/Sidelite: 3'0" x 6'8" Anchor Detail- MA- FL0132 -05 XO /OX Single w /Sidelites 0/S Opaque Door Glazed Sidelite 6'0" x 6'8" +55/ -55 8.25 psf ' Door -Yes Sidelite -No NCTL - 210 -1905- 1,2,3,4,5.6 Maximum Panel Size: 3'0" x 6'8"/Sidelite: 3'0" x 6'S" Anchor Detail- MA- FL0132 -05 OXO Single w /Sidelites I/S Opaque Door Glazed Sidelites 9'0" x 6'8" +55/ -55 2.86 psf Door -Yes Sidelites -No NCTL - 210 - 1905 - 1,2,14,5,6 Maximum Panel Size: 3'0" x 61"/Sidelite: 30" x 6'8" Anchor Detail- MA- FLO132 -05 OXO Single w /Sidelites 0/S Opaque Door Glazed Sidelites 9'0" x 6'8" +55/ -55 8.25 psf Door -Yes Sidelites -No NCTL - 210.1905- 1,2.3,4,5.6 Maximum Panel Size: 3'0" x 61" /Sideiite: 3'0" x 61" Anchor Detail- MA- FL0132 -05 OXXO Double w /Sidelites I/S Opaque Doors Glazed Sidelites 12'4" x 6'8" +55/ -55 2.86 psf Doors -Yes Sidelites -No NCTL - 210.1905- 1,2.3,4,5.6 Maximum Panel Size: 3'0" x 6'8 "/Sidelite: 3'0" x 6'8" Anchor Detail- MA- FL0132 -05 OXXO Double w /Sidelites 0/5 Opaque Doors Glazed Sidelites 12'4" x 6'8" +55/ -55 8.25 psf Doors -Yes Sidelites -No NCTL -210- 1905.12,3,4.5,6 Maximum Panel Size: 3'0" x 61" / Sideiite: 3'0" x 6'8" Anchor Dctail- MA- FL0132 -05 ational Accreditation & Management Institute, Inc.14794 George Washington Memorial Highway/Hayes, VA 2 Tel: (804) 684- 5124/Fax: (804) 684 -5122 NAMI AUTHORIZED SIGNATURE: NOTICE OF PRODUCT CERTIFICATION Company: Masonite International Corporation 1955 Powis Road West Chicago, IL 60185 Certification No.: Certification Date: Expiration Date: Revision Date: NI006115 -R3 Page 4 07/29/2005 12/31/2014 11/19/2010 Product: Metal -Edge Steel Opaque Inswing or Outswing Door w/ and w/o Non - Impact Rated Sidelites (w/Wood Frame unless noted) Specifications Tested To: TAS 201- 94/202 - 941203- 94 /ASTM E330 The 'Notice of Product Certification" is only valid if the NAMi Certification Label has been applied to the product as described within this document. The certification label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within NAMI's Certified Product Listing at www.Namicertification.com. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI). Configuration Inswing or Outswing Glazed or Opaque Maximum Size Structural Design Pressure Water Test Pressure Missile Impact Rated Test Report Number Drawing Number & Comments X Single I/S Opaque 3'0" x 8'0" +48.3/ -48.3 2.86 psf Yes NCTL - 210 - 1980 - 1,2,3,4,5,6 Maximum Panel Size: 3'0" x 8'0" Anchor Detail- MA- FL0133 -05 X Single 0/S Opaque 3'0" x 8'0" +48.3/ -48.3 7.30 psf Yes NCTL -210. 1980 - 1,2,3,4,5,6 Maximum Panel Size: 3'0" x 8'0" Anchor Detail -MA -F LO 133-05 XX Double i/S Opaque 6'0" x 8'0" +48.3/48.3 2.86 psf Yes NCTL- 210 - 1980.1,2,3,4,5,6 Maximum Panel Size: 3'0" x 8'0" /Sidelite: 3'0" x 8'0" Anchor Detail-MA-F10133-05 XX Double 0/S Opaque 6'0" x 8'0" +48.3/ -48.3 7.30 psf Yes NCTL - 210 -1980- 1,2,3,4,5,6 Maximum Panel Size: 3'0" x 8'0" /Sidelite: 3'0" x 8'0" Anchor Detail- MA- FL0133 -05 XO /OX Single w /Sidelite 1/S Opaque Door Glazed Sidelite 6'0" x 8'0" +48.3/ -48.3 2.86 psf Door -Yes Sidelite -No NCTL- 210 - 1980 - 1,2,3,4,5,6 Maximum Panel Size: 3'0" x 8'0 "/Sidelite: 3'0" x 8'0" Anchor Detail- MA- 110133.05 XO /OX Single w /Sidelites 0/S Opaque Door Glazed Sidelite 6'0" x 8'0" +48.3/ -48.3 7.30 psf Door -Yes Sidelite -No NCTL - 210 - 1980 - 1,2.3,4,5,6 Maximum Panel Size: 3'0" x 8'0 "/Sidelite: 3'0" x 8'0" Anchor Detail- MA- FLO133 -05 OXO Single w /Sidelites I/S Opaque Door Glazed Sidelites 9'0" x 8'0" +48.3/ -48.3 2.86 psf Door -Yes Sidelites -No NCTL -210- 1980. 1,2,3,4,5,6 Maximum Panel Size: 3'0" x 8'0 "/Sidelite: 3'0" x 8'0" Anchor Detail- MA- FLO133 -0S OXO Single w /Sidelites 0/S Opaque Door Glazed Sidelites 9'0" x 8'0" +48.3/ -48.3 7.30 psf Door -Yes Sidelites -No NCTL- 210 - 1980 - 1.2.3,4,5,6 Maximum'Panel Size: 3 0r x 8 "0" /Sidelite: 3'0" x 8'0" Anchor Detail- MA- FLOI33 -05 OXXO Double w /Sidelites I/S Opaque Doors Glazed Sidelites 12'4" x 8'0" +48.3/ -48.3 2.86 psf Doors -Yes Sidelites -No NCTL- 210 - 1980 - 1,2,3,4,5,6 Maximum Panel Size: 3'0" x 8'0" /Sidelite: 3'0" x 8'0" Anchor Mail- MA- FL0133 -05 OXXO Double w /Sidelites 0/S Opaque Doors Glazed. Sidelites 12'4" x 8'0 "' +48.3/ -48.3 7.30 psf Doors -Yes Sidelites -No NCTL -210 -1980- 1,2,3,4,3,6 Maximum Panel Size: 3'0" x 8'0 "/Sidelite: 3 "0" x 8'0" Anchor Detail- MA- FL0133.05 ational Accreditation & Management Institute, inc./ 9 George Washington Memorial Highway/Hayes, VA Tel: (804) 684- 5124/Fax: (804) 684 -5122 NAMI AUTHORIZED SIGNATURE: 3072 NOTICE OF PRODUCT CERTIFICATION Company: Masonite International Corporation 1955 Powis Road West Chicago, IL 60185 Certification No.: Certification Date: Expiration Date: Revision Date: NI006115 -R3 Page 5 07129/2005 12/31/2014 11/19/2010 Product: Metal -Edge Steel Glazed Inswing or Outswing Door w/ and w/o Non - Impact Rated Sidelites (w/Wood Frame unless noted) Specifications Tested To: TAS 202- 94 /ASTM £330 The "Notice of Product Certification" is only valid if the NAMI Certification Label has been applied to the product as described within this document. The certification label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within NAMI's Certified Product Listing at www.Namicertificatian.eam. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI). Configuration Inswing or Outswing Glazed or Opaque Maximum Size Structural Design Pressure Water Test Pressure Missile Impact Rated Test Report Number Drawing Number & Comments X Single i/S Glazed 3'0" x 6'8" +50.5/ -50.5 2.86 psf No NCTL -210 -1897- 1,2:3.4,5,6 Maximum Panel Size: 3'0" x 6'S" Anchor Detail- MA- FL0134 -05 X Single 0/S Glazed 3'0" x 6'8" +50.5/ -50.5 7.60 psf No NCTL- 210 - 1897 - 1,2,3,4,5,6 Maximum Debi -MA F'La 34.605" XX Double I/S Glazed 6'0" x 6'8" +50.5/ -50.5 2.86 psf No NCTL- 210 - 1897 - 1.2,3,4,5,6 Maximum Panel Size: 3'0" x 6'S" Anchor Detail- MA -FLO 134-05 XX Double 0/S Glazed 6'0" x 6'8" +50.5/ -50.5 7.60 psf No NCTL- 2144897- 1,2,3,4,5,6 Maximum Panel Size: 3 °0" x 6'8" Anchor Detail- MA- FL0134 -05 XO /OX Single w /Sidelite I/S Glazed Door Glazed Sidelite 6'0" x 6'8" +50.5/ -50.5 2.86 psf Door -No Sidelite -No NCTL -210- 1897 - 1,2,3,4,5,6 MA- WL01t5t16/17/18/19/20n1 -02 Maximum Panel Size: 3'0" x 6'8" Anchor Detail- MA- FL0134 -05 XO /OX Single w /Sidelites g 0/S Glazed Door Glazed Sidelite 6'0" x 6'8" +50.5/ -50.5 7.60 psf Door -No Sidelite-No NCTL- 210 - 1897. 1,23,4,5,6 Maximum Panel Size: 3'0" x 6'8" Anchor Detail- MA -FL0 34-05 OXO Single w /Sidelites I/S Glazed Door Glazed Sidelites 9'0" x 6'8" +50.5/ -50.5 2.86 psf Door -No Sidelites -No NCTL- 210 - 1897 - 1,2,3,4,5,6 Maximum Panel size: 3'0" x 6'8" Anchor Detail- MA- FL0134 -05 OXO Single w /Sidelites 0/S Glazed Door Glazed Sidelites 9'0" x 6'8" +50.5/ -50.5 7.60 psf Door -No Sidelites -No NCTL- 210- 1897 - 1.23,4,5:6 Maximum Panel Size: 3'0" x 6'8" Anchor Detail- MA- Ft-0134.05 OXXO Double w /Sidelites 1/S Glazed Doors Glazed Sidelites 12'6 " x 6'8" +50.5/ -50.5 2.86 psf Doors -No Sidelites -No NCTL -210- 1897 - 1,2,3,4,5,6 Maximum Panel Size: 3'0" x 6'8" Anchor Detail- MA- FL0134 -05 OXXO Double w /Sidelites 0/S Glazed Doors Glazed Sidelites 12'6" x 6'S" +50.5/ -50.5 7.60 psf Doors -No Sidelites -No NCTL -210- 1897 - 12.3,4,5,6 Maximum Panel Size: 3'0" x 6'8" Anchor Mail- MA- FL0134 -05 attonal Accreditation & Management Institute, c.1 794 George Washington Memorial Highway/Hayes, VA Tel: (804) 684- 5124/Fax: (804) 684 -5122 NAMI AUTHORIZED SIGNATURE: 72 NOTICE OF PRODUCT CERTIFICATION Company: Masonite International Corporation 1955 Powis Road West Chicago, IL 60185 Certification No.: Certification Date: Expiration Date: Revision Date: NI006115 -R3 Page 6 07/29/2005 12/31/2014 11/19/2010 Product: Metal-Edge Steel Glazed Inswing or Outswing Door w/ and w/o Non - Impact Rated Sidelites (w/Wood Frame unless noted) Specifications Tested To: TAS 202 -94 /ASTM E330 The "Notice of Product Certification" is only valid if the NAMI Certification Label has been applied to the product as described within this document. The certification label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within NAMI's Certified Product Listing at www,Namicertification.com. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI). Configuration Inswing or Outswing Glazed or Opaque Maximum Size Structural Test Pressure Water Test Pressure Missile Impact Rated Test Report Number Drawing Number & Comments X Single I/S Glazed 3'0" x 8'0" +43/ -45 2.86 psf No NCTL -210- 1887 - 7.8,9,10,11,12 Maximum Panel Size: 3'0" x 8'0" Anchor Detail- MA- FLO135 -05 X Single 0/S Glazed 3'0" x 8'0" +43/ -45 6.48 psf No NCTL- 210.1887- 7,89,10,1 1,12 Maximum Panel Size: 3'0" x 8'0" Anchor Detail- MA- FLO135 -05 XX Double VS Glazed 6'0" x 8'0" +43/ -45 2.86 psf No NCTL - 210 - 1857 - 7,8.9,1x,11,12 Maximum Panel Size: 3'0" x 8'0" Anchor Detail- MA- FLOl35 -05 XX Double 0/S Glazed 6'0" x 8'0" +43/ -45 6.48 psf No NCTL - 210- 1887.7,8,9,1o,11,12 Maximum Panel Size: 3'0" x 8'0" Anchor Detail- MA- FLO135 -05 arional Accreditation & Management Institute, Inc.14794 George Washington Memorial Highway/Hayes, VA Tel: (804) 684- 5124/Fax: (804) 684 -5122 NAMI AUTHORIZED SIGNATURE: r 72