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PL-12-1074
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 c- ti -Cg8Z Inspection Number: INSP - 174772 Permit Number: PL -6 -12 -1074 Scheduled Inspection Date: December 12, 2012 Inspector: Hernandez, Rafael Owner: ENGEL, JERRY Job Address: 351 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: RAFLO GENERAL CONTRACTOR Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122310130290 Phone: (305)951 -6941 Building Department Comments RELOCATE SINK AND NEW TUB AND NEW STANDING SHOWER Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 11, 2012 For Inspections please call: (305)762 -4949 Page 6 of 41 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 tori Inspection Number: INSP - 182991 Permit Number: EL -6 -12 -1076 Scheduled Inspection Date: December 18, 2012 Inspector: Devaney, Michael Owner: ENGEL, JERRY Job Address: 351 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: PROSTAR ELECTRICAL CONTRACTOR INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1122310130290 Phone: (786)307 -4295 Building Department Comments NEW HIGH HATS NEW WIRING AND NEW OUTLETS Infractio Passed Comments INSPECTOR COMMENTS False 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- 182822. Need arc fault breakers on all new and altered circuits except bathroom G. F. I.. December 17, 2012 For Inspections please call: (305)762 -4949 Page 25 of 30 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175784 Permit Number: RC -4 -12 -682 Scheduled Inspection Date: July 12, 2012 Inspector: Bruhn, Norman Owner: ENGEL, JERRY Job Address: 351 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: JM GENERAL CONTRACTORS, INC Permit Type: Residential Construction Inspection Type: Floor Trusses Work Classification: Alteration Phone Number Parcel Number 1122310130290 Phone: (754)235 -6136 Building Department Comments MASTER BATH AND FLORIDA ROOM RENOVATION 2 FRENCH DOORS 2 WINDOWS Passed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 1 fe July 11, 2012 For Inspections please call: (305)762 -4949 Page 17 of 23 EXI8t 2X6 ROOF RAFTERS AT 24' OC. TO REMAIN INTACT (NOT 8140I1N) EXIST. 1X5 DIAc. BRACES AT 48" OC. TO REMAIN INTACT. EXIST. 2x6 CLG. JOISTS AT 24'0C TO REMAIN INTACT. ADD DC6 EA SIDE WHERE EXI6t JOISTS ARE DAMAGED OR CUT. W/ 16dX41/2' CLINCHED AT10'OC. STAGGERED. NEW SST H28ATEW/(5) 8d TO JOISTS 4 (5) 8d TO PLATES AT EA. JOIST. NEW (2) 2X4 TOP PLATE. NEU EAST / LLEST PARTITIONS AT MASTER AREA MADE W/ 2X4 AT 24' OC. MAX. EXIST. 2X4 81Up PARTITION TO BE REMOVED ONCE THE NEW PARTITIONS 8HOLLN ARE ERECTED. PEW 2X4 EOTT. KATE W/ (2) V X 4° IV SCREWS AT EA. 2X4 ELOCKW JOIST. REPAIR EXIST. FLR PLANKS W/ 3/4' PLYWD. GLUED 4 10d NAILS AT 8' OC NEW 2X4 BLOCK56 JOIST AT 24' OC. W/ 88T LY24 UV (4) 10d TO EXIBt JOISTS t (2) tad TO 2X4'8. EXIST. (ID. FLR ERIDGNG TO REMAIN. EXIST. 2X12 R.R. JOISTS AT 16° OC. TO REMAIN INTACT. PARTITION DTI_ AT EXIST. CLG. JOISTS SCALE: 3/4 "= 1' -0" REPAIR EXIST. FLR .PLANKS W/ 3/4" PLYUUD. GLUED 4 I0d NAILS AT 8° OC. EXIST. UID. PLR BRIDGING TO EE REPAIRED AS NEEDED. NOT sow EXIST. IX LLD. SHEATHING EXIST. 2X6 WALL FM'S S1.V6 AT 16' OC. EXIST. 2X4 !BLOCKING TO EE REINSTALLED. PEW 2X8 JOIST GLUED 4 NAILED W/ CLINCHED 16d AT 8° 0C. MAX STAGGERED TO EXIST. FLR JOISTS 4 (5)16d INTO EXIST. 611.DS. INSTALL 5FT MIN. FROM N0. EXT. FRAME WALL EXIST. 2X0 FLR. JOISTS AT 16" OC. EXIST 2X8 WA. LEDGER TO REMAIN DTI-. FLR. JOISTS REINFORCE AT M. 154T1-I TU5 SCALE: 3/4 "= 1' -0" co C7 U " tu z ' nn VwwJ LU 172 I E.4� Z t a M 1 -02 -12 DARIO C. GIAGONELLI Lta •AR00 331 rt 41k I ING Miami Shores Village 17. Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. We_ /0b 62 PERMIT APPLICATION FBC 20 • Master Permit No. Permit Type: BUILDING ROOFING 61196/ OWNER: Name (Fee Simple Titleholder):t i'ra d) G/a46y 9 Phone #: „ws • J� 7 . a 976 Address: 33/ AJc /o5 cr. i7 City: i�-l/AM% r5Aores State: n Zip: .3J /dO Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: as/ /N0 5T. City: Miami Shores County: Miami Dade Zip: 034.5c, Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 1/7 Geoeirez/ Ce/dr4G/O /'S, t 7G • Phone #: ?66 . ,r3j q , t %„93 Address: /O, A). td JD l C City: rq/ State: L Zip: 33/;i( Qualifier Name: Akio ha k jh e4eZ Phone #: 716. 3/9. ®733 State Certification or Registration #: C6 G /J'' cPd899 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 7J; (iO4.0^' Square/Linear Footage of Work: Type of Work: DAddition INAlteration ONew ORepair/Replace ODemolition Description of Work: Alec It1, /B1^ 49-1A , •e/JO uate ®f , eid/Q ?Ot7/4'1 P * *** * * **** *da *** * * ******** **** **,n,.***F ** �x�x**14*, * ***3* !tc*** * *****************g4 Submittal Fee $ J Li — Permit Fee $ 0 CCit$ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ ® a Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ al tl/ �^� Bonding Company's Name (if applicable) 'J/4 Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) - 13R-41 Of' AA: alco Mortgage Lender's Address A . 8014 S1 70 City v`m% 1e. ,l State C4 Zip 9,3 2- 4770 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, BOIT FRS, 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 n the me'bsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent Signa Contractor The foregoing instrument was acknowledged before me this ' The foregoing instrument was acknowl ;'s ged before me this 17 day of Aft: 1 , 20 l by 54ra) C 1 S i hi ems (./ , day of `gP , 20 L. by .hotcc c/iOi,P1>,� , who is oe onally know„ to mp 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 PUBL Sign: Print: My Commissianpxoires.` APPROVET► zl 1 .e? ................. EUGENIO GONZAL . �� ° 1 Notary Public * State of Ildpetrefirogfinersostelett Commission # EE 9 - NOTARY PUBLIC: Sign: - ji � , Print: JD IL(i &)' :0 r 7,.. �C,r cam` '� r- My Commission E cpties: EZ C .4 Plans Examiner Zoning Florida A> 7746 �►► Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) PERMIT # I�. ��Z,` (c CONTRACTOR: --5irt Cam, c SUBMITTAL DATE: 1 1 D Z ADDRESS: -35 Os 1/4.5-1-- NAME: RESUBMITAL DATES: PROJECT TYPE: . I 1 j TI IZ I ,.40. t ZONING FI.erL4oA FIRE r , h (2 ( STRUCTURAL ELECTRICAL IMPACT FEES HRS/DERM 6 A ' c'te- - PLUMBING ¶"{ MECHANIC L J� cvo 0 B:D(i)ke NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO*.eC/ (.0-TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements writ be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of commencement. 1111111 11111 11111 11111 11111 11111 1111111111111 CFN 21012R030561 OR Bk 28092 Ps 0728; (1ps) RECORDED 04/30/2012 14:4037 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE Space above reserved for Use of recording office 1. Legal description of property and street/address: 35/ 't16 /0 5 Sr, /Weill! aOtreAS L Awe 2. Description of improvement: IERAAor )Zamecieb.v6, 3. Owner(s) name and address: .....k.12/41.9,/ ..3,51 4)c "1- 5T 4ihwA.Sbehre.,1 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: J#2 de.4 eAz / Cohlea4,64-s 07cie 476, 4b') Joe / Aiht / 03/78 5. Surety: (Payment bond required by owner from contractor; if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 432411 oP AitiAlt/c 4. A eim-ie 4727o 61.1.41 /Alley .6-9,4462-$120 7. Persons wIthin the State of Florida designated by Owner upon whom notices or other documents may be served es provided by Section 713.13(1)(a)7., Florida Statutes OF FLORDA, couNre O II WE Name, address and phone number Oa elI) el XEANE' rif41 inolgied in • on 8.1n 'addition to himself, Owners designates the following person(s) • tr, erfft :" • y of the bippors 713.13(1)0), Florida Statutes. • INITNE,S rny hand and Official Seal Name, address and phone number: 9. Expiration date of this Notice of Commencement (the txpiration. date is 1 year from the date of recording unless a different date Is Specified) 7 , as provi ;ft . _ •Ili Elw.-or,ii 'LL....ILIIIILZILL1A, \ ,S. 2V ,1 1 'Pl Gfa'r.1 '•''',-1'1,n:;" ; .'' '7 •'''' ••••'":-) '1 , r.4 *. c?, WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART L SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Signature(s),of Owner(s) Or Owner(S)' Authorized Officer/Director/Partner/Manager Prepared By Prepared By Print Name Print Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAIVII-DADE The foregoing Jpstrumpnt wcI19WIedged beforp me this day of APr1 114 d By Sa i".411 L 14,112y '‘rrjf. 1 U. Individually, or 1:1 as - for laffersonatly known, or 43 produced the following, type of Identification: Signature of 'Notary Public: Print Islarne: a5,4,-fet, (SEAL) VERIFICATION PURSUANT TO SEC11ON 92.525. FLORIDA STATUTES Under penalties of peijUnh I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. 'k , . • Signature(s) of Own By er(s)'s Authorized Officer/Director/Partripr/Manager 123.01.52 PAGE 3 9/10 EUGENLO GONZAI-EZ Notary Public - State of Florida My Comm. Expires May 26,2016 CommiSSton# EE 97746 .00 ■ By Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. V COPY OF QUALIFIERS STATE LIC CARD B. ✓ COPY OF LOCAL BUSINESS TAX RECEIPT C. / COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. ✓ COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: /fif 6e',era/ CohTrac,? -s. ..()c - BUSINESS ADDRESS: J'i P ,("ti /d'D 67. CITY ✓t�©/ / STATE 72 ZIP CODE 33/7d? BUSINESS PHONE: (7 (r6 ) 0/9 -0733 FAX NUMBER (_) CELL PHONE (__) QUALIFIER'S NAME: Ji7er76 25 me /Q /Sro ?frThe 1 QUALIFIER'S LIC NUMBER: C6C /J'2 1889 E -MAIL ADDRESS (IF APPLICABLE): G /e /qi /o Julehe 2 5 €. 74077-74/1-G0/5 Created on 3119109 BY MLDV I RV 3126109 MLDV OOL.L1'444DEUgitilt4rt-. 140101. AL AGLEN AT>. R,(')OR SS TAX NEMOT FIRST'CLAS5 0*, WI COONTV'STATSOF U.SLAOSTAE '1,0KKOKKWR AT ALA MAMUL MOOLF1-330 PURANANTTO Invcoot PERMIT NO. 231 13 557918-1 BUSINESS NAME f LOCATION JM GENERAL CONTRACTORS INC 8168 NW 108 CT 33178 DORAL Ti-uS tS NOT A LL - 00 NOT PAY RENEWAL RECENATNO. 581902-5 STATE* CGC1508889 OWNER JM GENERAL CONTRACTORS INC Sc Type of Business WORKER'S 196 SPECIALTY BUILDING CONTRACTOR Titta IS MT A LOCAL SLtS.NaSs TAX IZECCIT.T. Ft' WES NOT PEW= fl NOL.XEF. TO VIOLATE WAY CifiSTWO SECOLATOAT ON =MS LAWS OF OW DONOTFORWARD &VIM ON COWS NOR ArOf.S. SYLIAFT NOLOVi RON ANT OTNIOT MOAN LOSE WEOSOLEO BY LAW, OSS JM GENERAL CONTRACTORS INC NOT A COSTORCATiON OF TNE 1403.0fRS CAJALNICA, ALEJANDRO R JIMENEZ PRES Tiom 8168 NW 108 CT FAVELENT RECEWEN MIAMI FL 33178 AFAAWOACE COUNTY TAX COLLOCTOR: 08/10/201.1 09010010001 000045.00 SEE OTHER SIDE 63 07-21-2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EX 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. EFFECTIVE DATE: 08(28/2011 PERSON: JIMENEZ FEIN: 043794838 BUSINESS NAME AND ADDRESS: 4M GENERAL CONTRACTORS INC 8188 NW 108TH CT DORAL FL 33178 SCOPES OF BUSINESS OR TRADE: 1- GENERAL CONTRACTOR EXPIRATION DATE: 08/27/2013 ALEJANDRO lMl0T4NT: Pursuant to Chapter . . art officer of a corporation who etecra exemption from ibis chapter a certificate of on ender thiO section may o01 recover benefits or co e it ender this chopte4. Persneitt to Chapter 4,10.85{12), C.S., L'enifIcates 0 election to be esetopt„, apply ants within the scope or the business or erode listed on the notice of election to be exempt. Pursuant to Chapter 400,0503), F.S„ notices of election to Ito exempt and cortifIcareS 41 election to Oa exempt shall Ito subject to revocation if, at env time after the fillet; of the notice or the isanance el the certificate, the offset] named en the notice or certificate no longer meets the requirements of this section for isSuance at a cemilicote. The department shell revoke a certificate sr any time for failure of the person noised on the certificate to meet tho requirements of Mtn section. QUESTIONS? (850) 413-1609 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REV= 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANC9AL SERVICES DIVISION OF WORKERS COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 08(28/2011 EXPIRATION DATE: 08/27/2013 PERSON ALEJANDRO JIMENEZ FEIN 043794838 BUSINESS NAME AND ADDRESS: ita GENERAL CONTRACTORS iFiC 8168 iw MTH CT OORAL, FL 33178 SCOPE OF BUSINESS OR TRADE: 1- GENERAL CONTRACTOR IMPORTANT ri 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 0 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 1E the notice of election to be exempt E Pursuant to Chapter 440.05(13). 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 er the issuance of the certificate the person named on the notice or certificate no longer meets the requirements of this section for isstoaneo 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 rry bottom portion on the job. keep upper portion for your records. MC -252 CERTIFICATE CERflFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL CONSTRUCTION INDUSTRY LICENSING BO 1940 NORTH MONROE STREET TAL SEE FL 32399 -0783 JI Z, ALEJANDRO RAF ° :- L JA4 " RAL CONTRACTORS INC 8168 NW 108TH COURT L FL 33178 Congratulations) With this license you become one of ti rsa rly one rni Floridians licensed by the Department of Business and ofessionai 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 bett For information about our services, please log onto www,myf orfdalicense.com, There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Department's initiatives. Our mission at the Department is; License Efficiently, Regulate Fairly, We con rFniiy 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! TI ON (850} 487-1395 DETACH HERE T, �. O CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD /YYYY) 4/10/2012 INSR 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. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ADVANTAGE INSURANCE OF AMERICA 4520 NW 7th St Miami, FL 33126 CONTACT NAME: PHONE �aC No): (305) 649 -5559 A/C, No, Ext): (305) 649 -5566 DRess:7ackiebatista 749 @hotmail.com INSURERS) AFFORDING COVERAGE NAICit INSURER A: AMERICA VEHICLE INSURED JM GENERAL CONTRACTORS 8341 NW 66 ST MIAMI, FL 33166 INSURER B: 06/28/12 INSURER C : $ 1,000,000 $ 100,000 INSURER D: $ 5 , 000 INSURER E: INSURER F: PERSONAL &ADV INJURY COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE INSR 'ND POLICY NUMBER (MM/DD/ /YYYY) (MM/DDIYYYY) LIMITS GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL00000809800 06/28/11 06/28/12 EACH OCCURRENCE $ 1,000,000 $ 100,000 REMGt TISES (Ea oura o U.) ccurrence) PREM P $ 5 , 000 MED EXP (Any oneperson) CLAIMS -MADE I-I OCCUR PERSONAL &ADV INJURY $ 1,000,000 $ 2,000,000 GENERAL AGGREGATE PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I—] JET LOC $ AUTOMOBILE _ — LIABILITY ANYAUTO ALLOWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED 1 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTNE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A I TORY LIMITS TS I IOTH ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional RemarksSchedule, if morespace is required) INSTALLATION OF TILE, STONE, MOSAIC() CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT 10050 N. W. 2nd Ave. 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 j/ ACORD25 (2010/05) © 1988 -2010 ACOJ7FD CORPORATION. All right erved. The ACORD name and logo are registered marks of ACORD Permit No: 12 -682 Job Name: April 24, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Provide approval from Miami Dade County Health Dept. (DOH /HRS) Provide all permit applications prior to any further review. ) Provide corrections for all trades. Provide an existing floor plan showing the layout before construction. Identify the location of the sections. The architectural plans reference structural drawings but there are none. p' Provide wind load design pressures for each altered /new window or door. Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 NiY71._-- M•SICo.pSSl PERMIT #: 1, /Contractor ❑ Owner ❑ Architect Picked u Miami Shores Viiiage Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: q - . 1 2 f plans and (other) Address: S ' I05 at l`lii„• 6 /'C .33/3d�' From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: (o / 1IZ- PERMIT CLERK INITIAL: Rick Scott Govemor John H. Annstrong, MD State Surgeon General June 04, 2012 Aida Quimper Fernandez 16320 W Dixie Hwy North Miami Beach, FL 33160 RE: Contingency Letter Application Document No: AP1073379 Centrax Permit Number: 13 -SC- 1412615 OSTDS Number: 351 NE 105 St Miami, FL 33138 Lot:1 -2 Block:12 Subdivision: Pasadena Park Dear Applicant: This will acknowledge receipt of an application dated 05/30/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Interior remodeling converting a bedroom into a bathroom and WIC. There is not increase in sewage flow, change sewage characteristic, or any alteration that change the conditions under which the system was approved. From a review of your completed application, it has been determined your existing system is adequate for the proposed use. If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaEH.com Miami Shores Village Building Department p ` 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Date: Tel: (305) 795.2204 Fax: (305) 756.8972 Date: Permit #: Plumbing Critique Sheet e aer-{ Ze, Review Completed by: Rafael Hernandez Chief Plumbing Inspector Permit No: 12- Job Name: 416"` Date: , /9-17/t- k s z Miami Shores Village Building Department ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 kat ✓ S r'', /1711- Gn u SPA ,c e coPt--- _/L 17- Ne,AARFAc / 4 /6L fe l 9,revre?g-itizi5.6 1.7 / 4-/t' te r, / 0-PA 'z-e-/z-- Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector Mvtialn i Shores Village Building bepartment 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 fax: (305) 756.8972 Permit No. Job Name Date STRUCTUJRAL, CRITIQUE SKEET 04/26/2012 11:55 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 1 ool * * * * ** * * * * * * * * ** * * * * * * * * * ** * ** ERROR TX REPORT * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** TX FUNCTION WAS NOT COMPLETED TX /R% NO 2480 RECIPIENT ADDRESS 918885160587 DESTINATION ID ST. TIME 04/26 11:53 TIME USE 02'24 PAGES SENT 4 RESULT NG Permit No: 12 -682 Job Name: April 24, 2012 Miami Shores Viuiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Critique Sheet 1) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 2) Provide all permit applications prior to any further review. 3) Provide corrections for all trades. 4) Provide an existing floor plan showing the layout before construction. 5) Identify the location of the sections. 6) The architectural plans reference structural drawings but there are none. 7) Provide wind load design pressures for each altered /new window or door. Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 PERMIT # Pk - tp CONTRACTOR: SUBMITTAL DATE: ADDRESS: NAME: RESUBMITAL DATES: PROJECT TYPE: ZONING STRUCTURAL ELECTRICAL /44e." /z- PLUMBING FIRE IMPACT FEES HRSIDERM NOC NUt: 16,Y BLDG/ 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 SEP1o2i12 By: FBC 20 b Permit No. Z.- Master Permit No. Permit Type: BUILDING ROOFING s/ tiv /OJ' �Zze 7 JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 33/36P Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): .6q/124 C464 y e/ Phone #: Address: 35/ We `04- W °e City: /V4//h4;1 5 %d7*1 State: � Zip: 33/36V Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: 401/ Ge, I z/ CO7//22c/ ®/,,5, Svc_ Phone #: Address: .S/68 1) CO /0 e c.T City: a0/1-441 State: T 4 Zip: Qualifier Name: ,/e ,36//i, 2 dZ ell e. Z Phone #: .33/ 70 p State Certification or Registration #: (C_ertificate of Competency #: L/ Contact Phone #: 4/e /Q/1C�f0 /d'j P.pe Email Address: a k /!hulk - t% //7i°/9E,'Z J C. /i /Y7 % C 0 DESIGNER: Architect/EngineE'r: Phone #: 74 6/9 to ?33 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Addition ❑Alteration UNew ORepair/Replace �O�UGr cp41 Ci/ .5er.: 7U A Description of Work: ❑Demolition ***************************************F ***F Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ * * * * k+k ******** ***000**** CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ 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 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. Owner or Agent The foregoi ng instrument was acknowledged before me this jam% day of C iendt° , 20 ®Z , by Slorizh CA, 45-e l who is ner ,y_ sonall now to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Cl� *7;0 My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY on acto The foregoing instrument was ackno edged before me this / 7 day of ' 704M/l11_ , 20 12., by ejemc/o d //7e✓Ji°?3 who is personally known to me or who has produced as identipt r �t t,,,; o did take'an oath. NOTARY PUB, • 1009133 w UOISSJWWO3 "_ �'g�', EUGfNIO GONZALEZ Notary Public - State of Florida • ` 'uom'�mission + ` * a lans xammer Sign: Print: 910ZI101t0 . My Commission E1tpj;l�#t4 Ovt ,�` ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk t) • Building De p artment g p tJ ®S - 4I 2 2? 6 c 10050 N:E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 12 — Ai �A INSPECTION'S PHONE NUMBER: (305) 762.4949 DING PERMIT APPLICATION FBC 20 Perini>�Y - pei . -- OWNER: Name (Fee Simple Titleholder): ) ( %t'Sb> e / Address: � ( Phone.* City: Sh ©#. S Tenant/Lessee Name: Email: Miami Shores Village Pg 022012 Permit No. 42 " 6 x'02 • Master Permit No. PL zip :33 / 3 Phone# JOB ADDRESS: 3s/ /Uc IC) 4 / City: Miami Shores County: Folio/Parcel#: Is the Building IIistorlcally`Desigliated: Yes NO Miami Dade Zip: 3 Flood one CONTRACTOR: Company Name: J? 6 �n e,rat, f 2O n ( C% Phone#: `1 J " 319 -O 73 3 Address: J /(p J' ,V W to f c C9-' City: -,1")c, State: Qualifier Name: /4"1e-/ r44f rv" atl / 1'26 XX ° or Phone: 78 • a3/ 07 33 State Certification oritegistrattioni'#: ` e��� G "' Aso efe9 Cert ficato of Co Contact Phone*: .319 C3 -7 3 3 • Email Address: 4-1e.7/0,1043 T /h 'eft e z S-e- 1.#744 r . G n e! DESIGNEif Architect/Engineer: Phone#i' Value of Work for this Permit $ '7A-7,66 a Square/Linear Footage of Work: 66 Type of Work: DAddress DAlteration Description of Work: ONew OR , air ********** ***** **** ******** *** ****** ***F ************ *** **.** ** *** * ***** * ** * * ****4 *** Submittal Fee $ Permit Fee $ ?J� CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education F ee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ d Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) l 4,146-4. t ' 46-4 t 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, Pj UMBTh[G, 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 coriimencement 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. Owner or Agent The foregoing instrument w a s acknowledged b e f o r e me this Q- day of : ` gi g , 20,-, by S (--g who is onally kno e or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission. Expires: �. • 3 aINOTAl� re-i-0.-4 Yu -s rni OF FLORIDA e""'"4, Ana L. Balloveras Comr ^i,sion #DD927503 •,,S Expires: SEP. 23, 2013 BONDED TIIRU ATLANTIC BONDING CO., INC. * * **4*** *+N*** ****** ** *, *** * **M*******,k, *** * * ********+ *** *+ NON********************* *** ******+1**** ** *******4**** The foregoing instrument was acknow . ged before me this 0 day of V Jt) , 20 j_, by Je tzei egTorcc who is personally known to me or who has produced as ident ntiw nd who did take an oath. NOTARY Pte%. 0 rtry %,,A d_24712016 Sign: Print: /46 My Commissi OF F■' APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) 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 PERmarr APPLICATION Permit Type: Electrical JOB ADDRESS: c3.5i ,/(> `o5 .57;` ,ee.T FBC 20 1 Ft 7 ,s ,-,7> Aix 13 . Permit No. t L . -, O 7J Master Permit No.RL • /2..- City: Miami Shores County: Miami Dade Zip: 3/38 Folio/Parcel# Is the Building Historically Designated: Yes NO Flood Zone; OWNER: Name (Fee Simple Titleholder): ieg r4. d 6/79e/ Phone#: 3O5 . T'27 6 q7 4 Address: 351 /V& /® S .67 . City: n/14/1/ •c340 re$ State: ?L Tenant/Lessee Name: Email: Zip: 33 ✓3 c CONTRACTOR: Company Name: vaa5 f SkG i Address: 6/0 ow / /174 O»/7 City: f //1#t 4/ ,State: ?t Qualifier Name: /912144-4..b.0 le 4/) State Certification or Registration #: OCOC)4 ®5 Contact Phone#: DESIGNER: Architect/Engineer: Zip:. 3.3/ 7.4� Phone#: WO J02 V295 Certificate of Competency #: Email Address:(. leon e 60/5 Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: °Address °Alteration °New Description of Work: T 'iti/e.55 (0agr- %- a 5-4ois &4o v e Tip, tfah k ? 4ecess -ed 45hT Ffxii;r•4ss iAr N4/ ,X/5,7 A7 421/6d l / ,Q +e c e65 -ea/ 419 h T P/ xlg v4- &A, ORepair/Replace °Demolition ca/`r der t ,d die Ifvi * * * * * * * * * * ** ,,..,.< * * * * * * * * * * * * * * * * * * * * * * *F *************** x*** *************** ****** **** Submittal Fee $ r Permit Fee $ %J t '© CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 7 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) e4't 8'f' i` et cQ Mortgage Lender's Address P ®. Box 5/70 city /h/ V4-fie >' State Zip y'.30‘2 -Si D 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 jur'isdic'tion: I understand drat separate pen nit-must be securedlor II: CTRICAL WORD PLUMBING; SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A}HDAVIT: 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. Owner or Agent The foregoing instrument was acknowledged before me this M3 day of it , 20 12-, by /Z1-/ who is persona me lly known +o or who has produced As identification and who did take an oath. NOTARY PUBLIC. Sign: Print: My Commis on,)>ags: EUGENIO GONZALEZ = Notary Public - State of Florida ' My Comm. Expires May 26, 2015 .�,, g�� # FF 7]7'] 6 APPROVED BY l� /3 Plans Examiner Signature Contractor The foregoing instrument was acknowledged before me this /r'), day of ldl , 20/2,, by�j Cki JQ • , who is personally known to me or who has produced Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) as ident� crdti , ho did take an oath. NOTARY PUBI l�4- •p i ��,�O.sa %� . 0210112016 Sign: _ Print: 0 My Commission l✓' "494-. OF F1- O\`"� tftttt „,,`t Zoning Clerk 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 AUG;3 Permit No. ) 7-16--15 Master Permit No. £G . / 2 • (a12. Permit Type: MECHANICAL �-- LL j/ OWNER: Name (Fee Simple Titleholder): 5Ql� Gk y &1. Phone #: 3lis. 5.37 • (09 %4, Address: 35/ AM /05 Zrte 7 City: 14/4"4/ She eS State: zip: 3,308 Tenant/ Lessee Name: Phone #: Email: JOB ADDRESS: 3. / /US /05 Or City: Miami Shores County: Miami Da •e Zip: 3313c? Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: AeCO 7e »p 4 /ie. CQ,Lp Phone#: 7J' 4,20 ? (7 Address: 6. q.3o Alto 4i City: AIM/4? t w / State: 'l. Qualifier Name: ,4ii.eai C70006 - Phone #: State Certification or Registration #: C F m e 1 (4 '3 / Certificate of Competency #: Contact Phone #: (Meg." ° t i/Q led L. e2 Email Address: 8O z /2/ 2 42 yf mop • Cc/) DESIGNER: Architect/Engineer: Phone #: Zip: 3.41& Value of Work for this Permit: $ �f�' Square/Linear Footage of Work: Type of Work QAddress Alteration ONew ORepair/Replace Description .of Vi'orli: ' AAU,5T %' ,?t' . Z�e. 7 /e7' ODemolition ********** ******** Submittal Fee $ ' Permit Fee $ 7 F Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 13 Bonding Company's Name (if applicable) Bonding Company's Address t 1 w City State Mortgage Lender's Name (if applicable) 0.9.304 'BT Arne Leco Mortgage Lender's Address ? 0 • ,414 5/7V Zip city 5 / M / v » " � / U ° >' State C C 1 Zip 9 ' 3 0 6 2 - a 1 7 / 0 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. W 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. hi the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of Nors 7 , 20 ,t, by 5 Q e J E. e ho is ,erso, kno •_.s - • who has produced 13e`' As identification and who did take an oath. NOTARY RIJBLIC: Sign: Print: etit, off + 0 Gm 26 /P 2,. My CommivokElpi s:, APPROVE o.P ,;e," EUGENIO GONZALEZ P "1 Notary Public - State of Florida N , ' Q tt fliiif tit0ii1WNI iV616'11: „ t ` Com on # EE 97746 W �-�°' Signature `°� '''Vi r,,,- The foregoing instrument was acknowledged before me this PO day of07t j , 20 a,, by who is personally known to me or who has produced as identification and who did take an oath. ,ati%tlruatr,,, Plans Examiner 13 V1./ Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY PUBLIC: a r t7 " O '% o�ge S•V8 • •�xPltes •.,d Sign: / i 012/ 7/2 j 16 •' �b/L�Print: (if - M . 11810 N :` • My Commission Expire'x� e ,• EE 160045• • • OF Zoning Clerk Miami shores village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: (Qualifier's signature only) RC -12 -682 A -1 - call for details in new A -3 page RECEIVED AUG 13 A -2 in Master Suite - Tankless water heater relocated to underneath the vanity - 3 sconces above the vanity - 4 recessed Tight fixtures in main area instead of 1 - Removed 1 recessed light fixture on top of the tub - Exhaust fan above the toilet A -3 in Master Suite - shows detail of how to reinforce bottom of existing trusses in master suite - shows details of how to anchor and reinforce new low bearing walls to trusses and joists - shows how to sister floor joist in bathroom A -3 in Family Room - shows change family room, "L" channel instead of a "C" channel - shows how to anchor "L" to rafters and wood beam - shows reinforcement with 2 re -bars at top of closed window Permit No: 12 -682 Job Name: August 7, 2012 Miami Shores Viiiage Building Department Building Critique Sheet REV 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide permit applications for the electric and mechanical revisions. 2) Permit application is incomplete. Provide description of revision and mark as revision. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 : 3AX. s 51 - �-- 08/08/2012 10:57 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES Zi 601 *************************** **$ ERROR TX REPORT *** *************************** TX FUNCTION WAS NOT COMPLETED TX/RX NO 2823 RECIPIENT ADDRESS 918885160587 DESTINATION ID ST. TIME 08/08 10:56 TIME USE 00'59 PAGES SENT 1 RESULT NG odt/ 51 ,foo Permit No: 12-682 Job Name: August 7, 2012 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet REV 1) Provide permit applications for the electric and mechanical revisions. 2) Permit application is incomplete. Provide description of revision and mark as revision. Plan review is not complete, when all iterrs above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. Norman Bruhn CBO 305-762-4859 S-r6-' 51 (0 05-1.- 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 No., � I C51-5 PERMIT APPLICATION Master Permit No. 2-- (.?? FBC 20� Permit Type: MECHANICAL / OWNER: Name (Fee Simple Titleholder): C.6656 9e/ Phone #:305.5'-0 7Co 9 749 Address: 3 *) VS /OS %St • City: /hi 4 n vi 8 res State: f1. Zip: 33/3d Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 3S 1 S /O S St' City: Miami Shores County: Miami Dade Zip: /al Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ,4i2c0 /elk) j' • /9712. CO4.,b Phone #: 76 . 4170. WI) Address: 6 930 N C) V& 57 City: ////9-A4 i State: n, Zip: 5/6,6 Qualifier Name: /'/2/VOid Ch 0,06 Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Oi& (J /ck2 Email Address: L =re /v/ a Q Y.9-600. Go 1, . DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ / OPO . ` Square/Linear Footage of Work: i SO sic Type of Work: ❑Address °Alteration New °Repair/Replace °Demolition Description of Work: J Wit' 66>46,01) L) ) & yteas.7 .� 4 Ir TWt 6/G 6./2. Submittal Fee $ C/ s :.:� _'V mit Fee $ CCF $ CO /CC $ R' Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ i 0 9.' Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Oczae 29Y , Mortgage Lender's Address 1,o . cr/ 70 City 5//7 9 t/a` /Py/ State Ccr Zip "7.306)-477D 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this Q a- day of Sank/ , 20Qa , by 4 C Enid who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY NOTARY PUBLIC-STATE OF FLORIDA . � ' Balloveras Ara L, Commission #DD927503 ry...��,;.•� °� Expires: SEP. 23,2013 1 (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) Contractor The foregoin ' strument was acknowled ed before me thi4 day of % ,20/IA,by who is personally known to me or who produced ... DL- NOT dentification and who did take an oath. IC: Sign: .0✓ ommission Exp. Structural Review eOFAP EXPIRES: January 15, 2015. Beetled Thu Budget New Services Zoning Clerk 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: PLUMBING JOB ADDRESS:. OS/ V6 /os sr RECEIIITED JUN 12 2012 FBC 20 P Permit No. f 1 4 Master Permit No. fit%- ( City: Miami Shores County: Miami Dade Zip: 33 /3r9 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): t5, r2h Q'a 6.45e1 Phone #: JcJ 427499 7i Address: as/ ti. 6. /es S l y City: /7/M14) 64OteS State: 7 Z Zip: Ai /3s Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: 2/ CO4 //ra; Phone # :eai. 951 &94/ Address: 300 / tQ eo a 2k.)0 City: /14/4 OOe State: L Zip: 330/9 Qualifier Name: i,6 /D .474i/V S. 9701/re2 Phone #: State Certification or Registration #: CSC /V2 cfP (3 Certificate of Competency #: Contact Phone #: 60S • gS%. (p90/ Email Address: Rc/Ie/Je'# 6/74ri... co /`j DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ as-00.- Square/Linear Footage of Work: /S CO S . Type of Work: UAddress OAlteration UNew ORepair/Replace []Demolition Description of Work: e_./c, c d ,,eJ1s 7706, .Veer) 5/ tcb -b 540eve - ***************************************Fees***** t* ***.tt * . * * vtd x * * ** Submittal Fee $ '5 4 , ` Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DDPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE$ I"LI'L4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) /,x oP /97n(e/co Mortgage Lender's Address fl% J770 City 6/t7/ V41/ State C, Zip 90002 —s/ 70 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this / 7 The foregoing instrunn day of flio/i/ ,201r -,by Sot- k C )c S 2 r1Se,1 , day of who is personally known to me or who has produced who is personally As identification and who did take an oath. NOTARY P LIC: Sign: Print: 'V f'°1/ 1. 6 C >zze2jrL My Commissio) I!k"„Pi. * * * * * * * * * * ** APPROVED BY 40% PµY P4 e, EUGENIO GONZi'tLEZ /EL ANL AWL Notary Public - State of Florida My Comm. Expires May 20, 2011 • .—ter—e" Plans Examiner Structural Review (Revised3 /12/2012XRevised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) Contractor \„�%tt „ t itito Ii + 'y`ui�ed before me this 'CC .. pd, •atltl��� '• d+ + . :tr.' oduced Off ata�� o did take an oath. ,160045,.�'�, ir0�,F�OR,O���. Sign: Print: My Commission Expires: Zoning Clerk 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 FBC 20 BUILDING Permit No. al 1 Mf<3 PERMIT APPLICATION Master Permit No. ' t2- Vc Permit Type: Electrical JOB ADDRESS: ara.4 Cla&h y 8n9e1 / 35/ N6 / ©S 5TAGer City: Miami Shores County: Miami Dade Zip: 343 /.3cP Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): araii Clash y G»9 e./ Phone #: 3QS. 5aI7. Co Q ?!,e 351 ,U g_ /OS 5,7" Address: City: Jkt QM; helre.s State: 'FL zip: t33 /38 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ?/Za5Ei /Z S/GGT ica/ Phone #: 7FI &Y7 412 g S Address: City: 1110A41 Qualifier Name: /Y72r1/rn /x"•0/3 State Certification or Registration #: 6c c@�UO gl/%S Contact Phone #: 7d% 4OS «GI.S Email Address: DESIGNER: Architect/Engineer: Colo GJ 114 Aire , 5v/a 'J State: L. Zip: a3/74 Phone#: �jz/ c/ Certificate of Competency #: 4. teen ?4o.Erc%TAicec/- co Phone#: Value of Work for this Permit: $ /100 Square/Linear Footage of Work: ® S P. p' Type of Work: DAc1diess DAlteration UNew URepair/Replace ODemolition p- Description of Work: 7 ` / � / /Il /-17/2/AN:, , /le& Od ti2T �- 6tofrcj J + x****** ****** *****+ x**+x*+x*******+x*+x***** Fees** ***+ x********* ***+ x****. x*** ** *****+u********* Submittal Fee $ Permit Fee $ /4r-i-70 6� Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ l I O. 6� ) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 04k ®P iin6Arcei Mortgage Lender's Address 8B.0 s-00 City 5 In t%a //e, State go Zip 93 % -0 7e) 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of Lrarle , 20 I a, by S C- Emei who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Jo.LLnil ore ev -4 NOTARY PLBLIC•STATE OF FLORIDA My Commission Expires: n,,, ATIS t Balloveras Ccrn1.-: ,::ian #DD927503 ,,,,,,,, Exec • SEP. 23, 2013 LL A 'LA ,: rIC BONDLNG CO., INC. �kak�ak =ksk�sksksksksk�sIsskgesk� Contractor The foregoing instrument was acknowledged before me this / 2 day of She, , 20[2, by 4thzb O kci) who is personally known to me or who has produced Z- so ®' ®�— Cf ds ideific q9, who did take an oath. NOTARY PUBI` e \qe,� e9s''% Sign: Print: O� i°. sip N C 1 J/& /�S 0 My Commission E E 166615.14r : "'NoPuri120° N��k�k= k�keps�ek�k�kdssk�k�k +k+k�kik** *4 ,.� _� = kskds: kzkskskHssksk*sksksksk= ksk= ksksk9k= kj ksk9kok*sk* 9ksksksksk= k= kakz k*sksksksksksk *sk%ksk9kHaskek:ksksksksk*** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) ACCORDS CERTIFICATE.OF LIABILITY INSURANCE lob...,----- ob..., ,- - DATE(MMUoD /YYYY) •6/712012 ` 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(las) must be endorsed. If SUBROGATION 15 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 G -Mar Insurance 8040 NW 155th St, Suite 204 205 Miami Lakes, Florida 33016 CONTACT NAME Mary I.- i r0 PHONE FAX tAf . No. EXD: (306) 267 -4541 (AIC. Nos: (305) 2674543 . ,_ ADDRESS: INSURER(9 AFFORDING COVERAGE NAIL# INSURER A : Granada Insurance Cow L.IABIUTY COMMERCIAL GENERAL LIABILITY INSURED Armando Leon DBA Prostar Electrical Contractor Inc. 610 SW 114th Avenue, Unit #1 Miami, FL 33174 . _ INSURER B: Ascendant Insurance Company 016FL00018257 INSURER C: 03/29/2013 INSURER D: $1,000,000 $100,000 $ 5,000 INSURER E : INSURER F : ._ . — COVERAGES CERTIFICATE NUMBER: 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 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHAWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL R TYPE OF It151lRaN4`E ADDL SUER WVD POLICY NUMBER POUCY EFF (MM/Di (YYYY}:, POLICY EXP (MMIDD!YYYY) LIMITS A GENERAL X L.IABIUTY COMMERCIAL GENERAL LIABILITY 016FL00018257 03/29/2012 03/29/2013 EACH OCCURRENCE $1,000,000 $100,000 $ 5,000 DAMAGE TO REN rtD PREMISES (Es occu ronce) CLAIMS-MADE I X 1 OCCUR MED EXP (Any one person) PERSONAL & ACV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 OEM, AGGREGATE 7 POLICY LIMITAPPLIES PER ERCT F1 LOO PRODUCTS • COMP/OP AGO $2,000,000 $ AUTOMOBILE — LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS ■ ■ SCHEDULED AUTOOSSNEQ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ .� P OPPE GE $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS S 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER PROPRIETOR/PARTNER/EXECUTIVE E (Mandatory In NH) If yes. describe under •DESCRIPTION OP OPERATIONS below N / A WC -62500 -01 09(1412011 00/14 /2012 + I WRYT TU- I IOT ER E.L. EACH ACCIDENT *100,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE • POLICY UNIT $100 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLE$ (Attach ACORD 101, Additional Remarks Schedule It more apace is required) Electrical Contractor ' ERTIFICATE HOLDER CANCELLATION MI GENERAL CONTRACTORS, INC. 8168 NW 108 COURT. DORAL, FL 33178 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DFLIVEREb IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1 88-2010 ACO The ACORD name and logo are registered marks of ACORD ORPORA11ON. All rights reserved. 2010-10-01 12:48 e.eawxo.IIIII.lp.■•.••■•••••■■•••■• r; 4 Prostar Electric 3055591987'> 305 945 3929 • STATEOF FLOROA • DEPARTNETWar P 416 TXON Seaftwoosi 149 • 08/2712010 108050483 100800405 The paacrucar, CormNed bedew 10 OZPSIF 'awl* Vadar the provisiong af Olherttik libcpira t ion data I 2.170 31, 2012 c- =woo • iRosiMtac6 MICCTRICAL:. 10 alt 13.T/1 AVT1 EMU 31:474. . • ',••,..;•• • . „ • Ma • •tt f• • . • . s' •• • .. • • • . .C1LaWsts9RCRIST • - • • DiSPLAY AS • '4-00 OP E1WA a FOAM' IS 641203133 FOR PALMS TO KEEP S A 74 .11S RECEIPT' "'A CONSPfi ?l4US1,Y LJSINESS TAX DEP, • i Vastness Tax Rebeipt BEGINIONO: 1010113011 AND LNG: 091 012 PROS AM EL.PCTRICAeCi N1 CTOR. INC_ (NO 11+3 . #1 • . Sweithvatet FL33t ?4 E NeE i Inc :00073 *ADMISSWILVE OFFIGE NO: 000063611003 871619 PROSTART ELECTRICAL CONTRACTOR. ADMINISTRATIVE LICENSE - HOME LIE? 610 S.W. 114 AVE. #1 Sweetwater FL 33174 a• Licensing Portal - License Search https:// www .rnyfloridalicense.com/w111.asp ?mode =2 &search = LicN... 9:43:37 AM 9202012 Data Contained In Search Results Is Current As Of 09/20/2012 09:40 AM. Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. License Type Name Electrical Contractor Name Type LEON, ARMANDO Primary Main Address *: 610 SW 114T1-I AVE UNIT 1 MIAMI, FL 33174 Electrical PROSTAR ELECTRICAL Contractor CONTRACTOR INC DBA Main Address *: 610 SW 114TH AVE UNIT 1 MIAMI, FL 33174 License Number/ Rank EC0000405 Cert Electrical Status /Expires Current, Active 08/31/2014 EC0000405 Current, Active Cert 08/31/2014 Electrical * denotes Main Address - This address is the Primary Address on file. Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address - This is the address where the place of business is physically located. 1940 North Monroe Street Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA /EEO employer. Copyright 2007 -2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public - records request, do not send electronic Trail to this entity. Instead, contact the office by phone or by traditional Trail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The erraiis provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. 1 of 1 9/20/2012 9:43 AM Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 182504 Permit Number: EL- 3- 12-457 Scheduled Inspection Date: December 10, 2012 Inspector: Devaney, Michael Owner: ARKIN, MARILYN Job Address: 705 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060142120 Building Department Comments INSTALL BURGLAR ALARM Infractio 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 Comments December 07, 2012 For Inspections please call: (305)762 -4949 Page 22 of 41 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 3�a� I i� -lam BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: 0 S City: Miami Shores Folio/Parcel #: RECEraD MAR 1 3, 2012 FBC 20 Permit No. f Master Permit No. County Miami Dade Zip: S 3/ r Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Ti eholder): Address/76 L & City: L cd NO Flood Zone: hr) Phone #: 3 o Zip: cs Tenant/Lessee Name: Phone #: Email: CONTRACT R: Company Name: ei Address: e u%e Phone #: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Type of Work: ❑Address Description of Work: OAlteration Square/Linear Footage of Work: UNew ORepair/Replace ODemolition * * * * * * * * * ** Submittal Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Permit Fee $ / ° ev CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ [O O ° (Q' 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 1,. pection which occurs seven (7) d s after the building permit is issued. In the absence of such posted notice, the inspection 'ill not be appr9 ved and a reinspe on e d ill be charged. Signa 4 _ •t' - Signature 0 .r Agent Contractor The foregoing instrument was acknowledged before me this 13 The foregoing instrument was acknowledged before me this day of f ,20A'L,by rt.14Z,ViN1 Aatti. N , day of ,20,by who is personally known to me or who has produced t"--t. (1 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. boo utri 1,�� NOTARY PUBLIC: A �,��` ° °xO 31b1,� ��,. NOTARY PUBLIC: Sign: Print: My Commission Expires: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * ** ** ***** *** * * * * * * ** r ******, , ********** * * * **** *** * ** x *** **** * **** ****** *,r**** **** * . e. z- /�— ;41.4/2- Plans Examiner Zoning APPROVED BY Structural Review Clerk (Revised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) NAME: ADDRESS: 76 5 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUIL ±ER DISCLOSURE STATEME DATE: 5 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. I understand that building permits are not required to be signed by a property owner unless he or she is esponsible for the construction and is not hiring a licensed contractor to assume responsibility. Initia 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his plr licen numbers on permits and contracts. Initi 4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial G I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by la and by county or municipal ordinance. / //j /� Initial 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner- builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner- builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property.. Initi dl 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initia 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or htto:// www. mvtioridalicense .com /dbor /pro1cilbfeldyx.html Initial 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of theiiaieerr5tlo, n that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this ) day of , 20 who was personally known to me or who has Pr as identif Qn;,........ rn 'o� v'f - • Q f a as. s"-- . % iz / / / /1 / /ff 11II00��`` Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180630 Permit Number: ELC -10 -12 -2010 Scheduled Inspection Date: November 07, 2012 Inspector: Devaney, Michael Owner: CHURCH, ST ROSE OF LIMA CATHOLIC Job Address: 415 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)758 -0539 Parcel Number 1122310430010 Phone: (305)758 -2000 Building Department Comments HOOK UP 3 AC UNITS REPIPE FIX PANEL FOR CARNIVAL Infractio 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 Comments November 06, 2012 For Inspections please call: (305)762-4949 Page 10 of 19 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 (0119i lit —nom BUILDING PERMIT APPLICATION FBC 20 Permit No. Master Permit No. £ '-°° 1 C7. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Az a oee-5, " / Phone #: Address: ®/, 4/ 4Ly/(,1t` //L/ City: 3' / ,, /2&D State: A-2_4 ° Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: LPs NE /A5 City: Miami Shores County: �I i2®s e ®, Z/#14 Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: MAO, / Phone #: a 211 &> Qa Address: City: Qualifier Name: /° Do ""7 Phone #: State Certification or Registration #: F( DD© / /c1 Certificate of Competency #: Contact Phone #: S 75-8 g4e2e Email Address: "--1'14 ° State: 142 f% ' Zip: DESIGNER: Architect/Engineer: Alf A, Phone #: Value of Work for this Permit: $ c2/e® Square/Linear F�ooe of Work: Type of Work: Address OAlteration ONew ltJ'Repair/Replace ODemolition 06,e 6/6/0 i.4/ /-ze/o;/ae_ Description of Work: ***************** ** a °+x***x:*x:**+x***+x+xx * ** Fees+ x+ x*** ******+x•z*********** mix *m********** *** ** Submittal Fee Permit Fee $ / 5 ®!df' ® CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 l 2 • Bonding Company's Name (if applicable) Bonding Company's Address f . 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 A TTORNEY 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. i Signature i /et/ „I a Owner or Agent 1/, The fore ((oing instrument was acknnh�wl ged before e this ;7 day of �/ �� , 20, by Utr r e �� who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: r MY COMMISS?L!r' # • ri2:7 EXPIRES t ! Bonded Thrt ' ::r ' w:. .,,• .filers Signature Contractor The foregoing instrument was acknowledged before me this 9 day of bar , 2o/9-- by , oh n who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIIC: Sign: 4 Print: *** *'. '�' k `,• **** * **skski;r; * **+k*** * *********** �k**** �k�k�ku: �ksk+ x�k+ x�k+ x�kN��k�kskNS�ksk�k�k�k: k+ x�k�k�k�k +x�k *�k�k�k�k�k�k�k *q+�k�N�k�k� *** zy 19-C/ ep,-z...- APPRO ► \ ;° ;, %IYk AW Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 174776 Permit Number: MC -6 -12 -1075 Scheduled Inspection Date: December 12, 2012 Inspector: Perez, JanPierre Owner: ENGEL, JERRY Job Address: 351 NE 105 Street Miami Shores, FL Project <NONE> Contractor: ARCO TEMP AIR CORP Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122310130290 Phone: (786)470 -7857 Building Department Comments NEW AIR SUPPLY NEW Exhaust FAN TWO AC GRILLS Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 11, 2012 For Inspections please call: (305)762 -4949 Page 7 of 41 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 182914 Permit Number: RC -4 -12 -682 Scheduled Inspection Date: December 19, 2012 Inspector: Bruhn, Norman Owner: ENGEL, JERRY Job Address: 351 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: JM GENERAL CONTRACTORS, INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1122310130290 Phone: (754)235 -6136 Building Department Comments MASTER BATH AND FLORIDA ROOM RENOVATION 2 FRENCH DOORS 2 WINDOWS Infractio Passed Comments INSPECTOR COMMENTS False Passe`042/,a 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- 182897 and remove dumpster. NB electrical final December 18, 2012 For Inspections please call: (305)762 -4949 Page 15 of 33 Certificate of Completion Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305- 795 -2204 Fax: 305 - 756 -8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Square Footage Description of Work NONE Date Issued Occupancy RESIDENTIAL Load Occupancy 660 SQ FT Type Not Transferable POST IN A CONSPICUOUS PLACE Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 183742 Permit Number: RC -4 -12 -682 Inspection Date: January 07, 2013 Inspector: Bruhn, Norman Owner: ENGEL, JERRY Job Address: 351 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: JM GENERAL CONTRACTORS, INC Permit Type: Residential Construction Inspection Type: F. Insulation Certificate Work Classification: Alteration Phone Number Parcel Number 1122310130290 Phone: (754)235 -6136 Buildinca Department Comments MASTER BATH AND FLORIDA ROOM RENOVATION 2 FRENCH DOORS 2 WINDOWS Infractlo Passed Comments INSPECTOR COMMENTS False Passed 'f /El/7 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 January 07, 2013 Page 1 of 1 JM General Contractors Inc. 8168 NW 108th Court Doral, FL 33178 To Whom it May Concern, JI .1-0 0 . This letter is to certify that ceiling and wall insulation was applied as per architectural drawings schedule. Please do not hesitate to contact us should you have further questions. Alejandro Jimene CGC - 1508889 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 183741 Permit Number: RC -4 -12 -682 Inspection Date: January 07, 2013 Inspector: Bruhn, Norman Owner: ENGEL, JERRY Job Address: 351 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: JM GENERAL CONTRACTORS, INC Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: Alteration Phone Number Parcel Number 1122310130290 Phone: (754)235 -6136 Building Department Comments MASTER BATH AND FLORIDA ROOM RENOVATION 2 FRENCH DOORS 2 WINDOWS lnfractio Passed Comments INSPECTOR COMMENTS False Passed �� `' Inspector Comments Al Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 January 07, 2013 Page 1 of 1 December 21, 2012 Miami Shores Village Building Department 10050 NE 2nd. Ave Miami Shores, FL 33138 RE: Permit # 12 -682 — 351 NE 105t. St. To inspector. We do hereby certify that the structural works made in the Family room area, have been done according with specifications and details indicated in sheets A -1 Rev3, A -2 Rev 5 and A -3 Rev3 of our set of construction plans. Such works include grouted filled concrete block cells, steel L beams and related items. Please, feel free to contact this office if further clarifying information is required. Dario C. Giacomelli, ALA, LEED AP BD+C, NCARB President * 224 DATURA ST. * SUITE 605 * WEST PALM BEACH * FLORIDA * 33401 * * 561 -585 8085 * Fax 561 -214 4605 * giacomelliarch(a,aol.com * AA0003453 * giacomelli- architect.com * 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 1 4 4 e-lI� 11 '�L�-4t`P4 B DING PERMIT APPLICATION FBC 20 Permit No. Master Permit . Tag2 Permit Type: Electrical JOB ADDRESS: 3a/ Aid. /OS City: Miami Shores County: Miami Dade Zip: 33/. Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 6zfah c-12649 Phone#: Address: 3S/ A)& /OS .sT City: /7/4714` 54t 1 State: 7 Zip: 133/3 J • Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ?LA6/Q/L /Cq/ &h/ c�oi. Phone#: ?i'o 430 S29J" Address: ‘/$0 kStO / /41 ) L 24 / City: ki/414.ti State: Fe. Qualifier Name: 40 mJ 1-094 State Certification or Registration #3.1,44 exce, gal Email Address: Contact Phone#: 7/6 ` cl ✓ DESIGNER: ArchitecE o� Zip: 33 /7V Phone#: 74 30 7 $t d. 9 J Certificate of Competency #: Zean &ec/s cai .(L n Phone#: Value € 'oi ,f'q room: $ f a C ess s DAlteration scri t an o rk: �C/ /SP / . % p yF# Square/Linear Footage of Work: ONew DRepair/Replace ODemolition * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ya*******Fees******************************************** Submittal Fee $ Permit Fee $ 6 Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) .2ZL/ 4 1/CQ 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 thata separate permit-must-he securedfor CTRICAL WoRI PL-UMBINO; 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." Artifice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature, Owner or Agent The foregoing instrument was acknowledged before me this `d' day ofciiQ 4ik 2042 by h S F i who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: 6�a 26/eL Contractor The foregoing instrument was acknowledged before me this l® n, day of a 20[1, by /9 �14f -) , ��� un, who is personally known to meQrti % .iip ed as identLcatb ai iav tt ta$e an oath. NOTARY PUBLI :: 0210112016 IinARY pub Sign: `�L'�'., � ... ,.. MISS . Y Print -. �l ., i /.� . .,t;', ■ My Commission Expires: — — 1•0116/My Commission Expires: 9ti116 33 # uoissiwwo3 O` f,,, '9 1BW sai0x3 •wwo3 AN ?� apliou Jo aie3S - 311gnd AnioN * * * *Mirtrittielt * * ** APPROVED BY a" /le%` * * * * * * * * * * * * * * * * * * * * * * * * ** i!/1!!l1111110 ,,,� tttt Plans Examiner Z j K`7 Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk MIAMI COUNTY DEPARTMENT OF PERMITTING, ENVIRONMENT, AND RE AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Labrador & Fundora Corp dba V & V Windows 2355 W 4th Avenue Hialeah, FL 33010 -1454 SCOPE: k--,0-667) MIAMI DADS COUNTY ODUCT CONTROL SECTION R 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 86) 315 -2590 P(786)315-2599 w tam Nldgde aov ra' This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County PERA- Product Control Section to be used in Miami-Dade County and other areas where allowed by the Authority Having Jurisdiction (AH3). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (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. PERA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "100" Aluminum Single Hung Window - L.M.I. APPROVAL DOCUMENT: Drawing No. W11 -38, titled "Series 100" Aluminum Single Hung Window (L.M.I.) ", sheets 1 through 7 of 7, dated 07/15/2011 with revision "A" dated 10/0412011, prepared by Al- Farooq Corporation, signed and sealed by Javad Ahmad, P. E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and Approval date by the Miami -Dade County Product Control Section. 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, model/ series 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 consists of this page 1, evidence pages E-1 and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D. Gaseon, P. E. •_._ul ,r.._DE 1'ULIN APPROVED NOA No. 11-0907.03 Expiration Date: October 20, 2016 Approval Date: October 20, 2011 Page 1 Labrador & Fundora Corp dba V & V Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. W11 -38, titled "Series 100" Aluminum Single Hung Window (L.M.I.) ", sheets 1 through 7 of 7, dated 07/15/2011 with revision "A" dated 10/04 /2011, prepared by Al- Farooq Corporation, signed and sealed by Javad Ahmad, P. E. B. TESTS 1. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 6) Forced Entry Test, Type "A" window, Grade 10, per FBC 2411 3.2.1, TAS 202 -94 and per ASTM F 588-07 along with marked up drawings and installation diagram of single hung window, prepared by American Test Lab of South Florida, Test Report No. ATLSF 0913.11 -10, dated 07/11/2011, signed and sealed by Julio E. Gomatez, P. E. C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC 2010, prepared by Al Farooq Corporation, dated 08/04/2011, signed and sealed by Javad Ahmed, P. E. 2. Glazing complies with ASTM E1300 -98/ 04 D. QUALITY ASSURANCE 1. Miami-Dade Department of Permitting, Environment, and Regulatory Affairs (PERA). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 11 -0624.02 issued to E.I. DuPont DeNemours & Co., Inc. for their "DuPont Sentry Glass® Interlayer" dated 05/26 /2010, expiring on 01/14/2012.. 2. Notice of Acceptance No. 11- 0624.01 issued to E.I. DuPont DeNemours & Co., Inc. for their "DuPont Butacite® PVB, Interlayer" dated 09/08/2011, expiring on 12/11/2016. F. STATEMENTS 1. Statement letter of no financial interest, conformance and compliance with the FBC - 2010, dated 10/04/2011, signed and sealed by Javad Ahmad, P. E. E -1 Jaime D. Gaston, ' . E. Product Control Section Supervisor NOA No. 11- 0907.03 Expiration Date: October 20, 2016 Approval Date: October 20, 2011 Labrador & Pandora Corp dba V & V WindQws NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED F. STATEMENTS {CONTINUED} 2. Statement letter of no financial interest, conformance and compliance with the FBC 2007/ 2010, dated 07/12/2011, signed and sealed by Javad Ahmad, P. E. 3. Laboratory compliance letter for Test :Report No. ATLSF 0913.01 -10, issued by American Test Lab of South Florida, dated 07/11/2011, signed and sealed by Julio E. Gonzalez, P. E. 4. Proposal No. 09 -1140 issued by Product Control, dated 08/17/2009, signed by Renzo Narciso. G. OTHERS 1. None. E -2 Jaime D. Gascon, Product Control Section Supervisor NOA No. 11 -0907.03 Expiration Date: October 20, 2016 Approval Date: October 20, 2011 83 1/8° W07DOW WIDTH 47 3/4' S" MAX. CORN D 0 § \O FALSE M10111NS (SURFACE MAY BE USED THESE WINDOWS ARE RATED FOR LARGE & SMALL MISSILE IMPACT. SHUTTERS ARE NOT REQUIRED. SERIES 100 ALUMINUM SINGLE HUNG ITINDOW DESIGN 1.0AD RATINGS FOR THESE WINDOWS TO BE AS PER CHARTS SHOWN ON SHEETS 2 & 3. APPROVAL APPLIES TO SINGLE UNITS OR SIDE BY SIDE COMBINATIONS OF S.H./S.H. OR SINGLE HUNG WITH OTHER WINDOW TYPES IN MODULES OF TWO OR MORE WINDOWS USING MIAMI —DADE COUNTY APPROVED MULLIONS 114 BETWEEN. LOWER DESIGN PRESSURE FROM WINDOWS OR MULLION APPROVAL WILL APPLY TO ENTIRE SYSTEM. THIS PRODUCT HAS BEEN DESIGNED AND TESTED TO COMPLY WITH THE REQUIREMENTS OF THE FLORIDA BUILDING CODE 2007/2010 EDITION INCWOING 141GH VELOCITY HURRICANE ZONE (HVHZ). WOOD BUCKS BY OTHERS, MUST DE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. ANCHORS SHALL BE AS LISTED, SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL A LOAD DURATION INCREASE IS USED IN DESIGN OF ANCHORS INTO WOOD OILY. MATERIALS INCLUDING BUT NOT UMRED TO STEEL /METAL SCREWS, THAT DOME INTO CONTACT WITH OTHER DISSIMILAR MATERIALS SHALL MEET THE REQUIREMENTS OF 2007 FLORIDA BLDG. CODE SECTION 2003.8.4. 47 1/8" D.L ORG. 8' MAX. HEAD /SW. CORNERS TYPICAL ELEVATIONS 53 1/8' WINDOW WIDTH 47 3/4' D.L. OPG. 8 droving no. W11.38 (sheet 1 of 7 ) D.L. OPG. 10 7/8' HEAD SILL 1' I' /'0 �I % 11 11 II 4 0 1j a == OIt it � fi tt �t i, tl It t 47 1/8' D.L. OPG. 8 droving no. W11.38 (sheet 1 of 7 ) EQUAL LITES WINDOWS D881910 LOAD CAPACITY - MP WINDOW D569. GEM TYPE 'A' C AES TYPES GLASS TYPE 'C' 'D' 1712711 863687 �(E® �!'�Bc'�0& utA ®' ' spA ® 19 -1/8' 28 -1/2° 37' 4? 48* 83 -1 8" 28° (3) NMI 1'.' '1®' 802 !111111 �[ca+111'.'1�3'.M 80.0 120.0 80.0 T T 750 75.0 80.C!!�� ICEMIESIIIIIEMIEMMEMIIII i94'� 80,8 75.0 ®LL'JSE� 1��l7T}5.00 80.0 1200 1®1' "'®' ' 00EEl 19 -1/8° 26 -1/2" 37° 42° 48° 53 -1/8" 38 -3/8' (4) °:�+�� 60.0 80.0 EMI E�!�!',1I� wri 80.0 7+�5.0I� Ecs'ascas �� NEM 80.0 Er-'Z7®' Et��lE3� �..T INE' 800 'N EMI 1200 T 60.0 80.0 &1.0 18 -1/8" 26 -1/2" 37" 42° 46' 53 -1/8' 50 -8/8" (0) 80.0 Tf� E!gl1EiE� 8�00 E E 1�11�2!00 , !Z'1l �"-"�GIE!IRC �„' 80.0 NEM .. �cc0•s8r00 !7201 MEEK 120.0 600 E ' 'E" 780 +�iw311iGSC1 80.0 80.0 80.0 19 -1/8" 28 -1/2° 37° 48" 53 -1/8° 58' (8) 800 W.0 75.0 1•0�,1�� ��EMI 8�070;��I !1�2,�0.0.0�.� 60.0 60.0 E EZE 8 1'�li�' 1111 'E®, 0 `1200 '� 500 880 E' �E! E, 120.0 19 -1/8" 20 -1/2" 37" - 42' 48° 53 -1/8' 60' (7) 800 IEMENEXIII 1200 E E!�!�0E+7�1E 00.0 00.0 E1:G0I♦E4�G'J� - ,.E�T 80.0 800 780 700 800 1200 80.0 80.0 7�!8�.0!70e 75.0 80.0 �1!2*0.7.10�00I SLY s , 60.0 600 masui(:n 19 -1/8° 28 -1/2" 37' 42" 4.8. 53-1/r 6? (7) m E�EZT��M.E�!�M,� E�ECb3l1111:� E !��!� 711�11 E 800 680 600 60.0 800 E'l11EMMEME 6" 11031•10111111E331111M11111:72 19 -1/8° 28 -1/2' 37' 48 03 -1/8" 72° (8) E• 000�1�E(r11111 80.0 !E}�, EE311 IC °"®' 1ICEMi�i�� Oyy; IEZ111E ' E°�T 800 WEI oOECII.L�`!M •1EL�i',ECO:1 0 19 -1/8' 26.1/2° 37" 48' 8° 74 -1/4' (e) 1111=111 E 1111EU' EMI 608 1113111111111311 80.0 1200 110.0 Icummagago 8110 120.0 NMI EIMIEMIIIIIMEN 11Rf5oaR <i IIMEL' '��"�' '� 18 -1/8' 28 -1/2' .37" 42' 48' 53 -1/8' 79' (8) 1•��1� m E�7E'�� 80.0 1200 80.0 800 11111111111711111111=11 1200 600 +!� Ei'.C11E011 80.0 ®" M 1200 E�1I�li�l��E /�itia�ii�a IMM11101111 .' �600 163.00 8 EQUAL LITES 3/18" ANN. GLASS .090" INIERIAYER SUTACBE 098 ay 'DUPONT' 3/18° ANN. IUOSC SIJCONE DOW DORMNO 893 PECORA 995 GLASS TYPE 'A 1 /8" HEAT SREN'D. CLASS 090" 888RLAYS8 \BUTACt1E P/0 BY 'DUPONI' GLASS TYPE 'B' 3/18" HEAT 911089'0. GLASS 090" 840ERLAYE8 SENT1N81AS PLUS ay 'DUPONT' I/O' HEAT STREN'O. GLASS 3/15' HEAT 912310. GLASS DOW CORNING 895 599 =RANG 995 NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT OCA05- DEC -219 GLASS TYPE `C' GLASS TYPE GI,A.?ING OPTIONS Engn At .AHDAO ft:An 8 10892 CAA M.0 0 8g ao a 4 4 a drawing no. W11 --38 (ehe81 UNEQUAL LITER WINDOWS DBSION LOAD CAPACITY - POP WINDOW D258. 01488 TYPE 'A (1.188 TYPBS 'D' & '0' CUSS TYPR "9' NASH HEIGHT EXL(4) INT.( -) q2(+) INT( -) Otl:( +) 1N74-) 19 -1/8° 28 -1/2" 803 75.0 78.0 80.0 120 ,0 ' U1031 ' �6107.0 .7� :01 78.0 80.0 120.0 or 80 -8/8• Ems 80.0 78.0 80.0 120.0 120 42" (8) 6 0.0 !!! 1 78.0 80.0 120.0 48" IIIEM 60.0 Nall 78.0 80.0 120.3 83 -1/8° 80.0 80.0 78.0 78.0 80.0 120.0 19 -1/8" 80.0 60.0 75.0 76.0 80.0 120.3 28 -1/2° 80.0 60.0 75.0 70.0 80.0 120.0 37" 88" 80.0 88.0 75.0 75.0 80.0 120.0 42" (8) 80.0 letillEzn 78.0 80.0 120.0 48° 80.0 80.0 75.0 780 80.0 120.0 83 -1/8" - - 78.0 76.0 80.0 120.0 19 -1/8" 80.0 80.0 78.0 78.0 80.0 120.0 28 -1/2° 60.0 60.0 76.0 783 80.0 1203 37" 63' Nom 00.0 78.0 75.0 80.0 120.0 42° (7)®' 65.0 78.0 75.0 80.0 125.0 48" ummeorwzrzi 783 8" 120,0 83 -1/8" 1111111111111111111EXIM 78.0 80.0 1204 18 -I/8" 60.0 75.0 78.0 80.0 120.0 28 -1/2° 803 75.0 76.0 80.0 120.0 37° ar scoloria 75.0 78.0 no 120.3 42° (7) 80.0 76.0 75.0 80.0 120.0 48° - 763 75,0 80.0 120.0 03-1/8• - 78.0 78.0 80.0 120o 10 -1/8" <' . 803 78.0 783 80,0 120.0 28 -1/2" a..'.,'' 750 80.0 125.0 22° �� 7.0 80.0 120,0 42' ) immimunnExii 76.0 goo 120.0 48° III:III00 - .803 123,0 03 -1/8" - - - 80.0 120.0 19 -1/8" 80.0 80.0 75.0 80.0 120.0 28 -1/2" Ef..' ' 75.0 80.0 120.0 120 37" 74-7/4° s� .'�!�,4I1�i 75.0 80.0 120.7 42" (8) ica w10 80.0 1204 48" - - - 80.0 120.0 53 -1/8' - - - �A 120.0 19 -7/8" 80.0 75.0 80.0 120.0 28 -1/2" !7�5.0 BOA �6' 78.0 80.0 120,0 37" 79" �� 75.0 80.0 1204 4r 48° (8) - 80.0 120.0 ��� - 80.0 1204 83.1/8" - - - - 80,0 120.3 NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM El 300 -04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC --210 3 UNEQUAL LITES (ORIEL TYPE) ran mmao FU:L V380602. k • ocr.'e gv 8 r° Nil drawing no. W11 -38 sheet 3 of 7 WOOD BUCKS MD METAL STRUCTURE NOT BY V h V WOW. MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM AND TRANSFER THEM TO TWE BUILDING STRUCTURE. 1 Ob WA1 MUWN& O ANCHORS ! 1 j SEE SEPARAtE NOA ,r WPC ANCHORS SEE EIEV. FOR SPACING TYPICAL ANCHORS; sex ELEV. FOR SPACWO 1 14" DIA. ULTRACON BY 'FLCQ (Fu.°t77 KSI. Fy"185 KSI) INTO 2BY WOOD BUCKS OR WOOD STRUCTURES 1 -3/8" MIN. PENETRATION INTO WOOD THRU 1BYY BUCKS INTO CONC. OR MASONRY 1 -1/4" MIN. EMBED INTO CONC. OR MASONRY DIRECTLY INTO CONC. OR MASONRY 1 -1/4" MIN. EMBED INTO CONC. OR MASONRY ,#14 ct.1 OR SEI F IMO SCREWS (GRAPE 2 CRS) INTO MIAMI -DADE COUNTY APPROVED MULLIONS (MIN. THK. - 1/8") INTO METAL STRUCTURES STEEL : 12 GA. (.105° THY.) MIN. (Fy = 36 KSI MIN.) ALUMINUM : 1/8 THK. MIN. (6083 -T6 MIN.) (STEEL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED) TYPICAL EDGE DISTANCE INTO CONCRETE AND MASONRY = 1 -3/4° MIN. INTO WOOD STRUCTURE 1° MIN. INTO METAL STRUCTURE 3/4" MIN. CONCRETE AT HEAD, 2111 OR JAMBS fo = 3000 PSI MIN, C -90 HOLLOW /FILLED 81.00< AT JAMBS fm = 2000 PSI MIN. WEEPHOLES; Wt 3/18" X 3/4" WEEP SLOT AT 1 -3/8" FROM EACH END SEALANT: ALL FRAME AND VENT CORNERS, INSTALLATION SCREWS AT SILL AND ALL METAL PARTS CONNECTIONS SEALED WITH P11 SILKIONFL • A tom 8 4'1d drawing no. W11-38 (shoot 4 01 7 ) ITEM PART 1 QUANTITY DESCRIPTION MA2EBUL MANP. /BUPPURR/R8MAR38 M1 V101 1 MALE WAD 8083 -TB - 2 V102 1 FRAME SILL 8083 -18 - 3 V103 2 FRAME 3838 8083 -T8 - 4 2104 1/ VENT fRTEO WO. RAIL 0003-26 - 8 V105 1/ VENT VENT TOP RAIL 8083 -T9 - 8 V108 1/ WW2 VENT BOTTOM RAL 6283-TO - 7 V107 2/ VENT VENT SIDE RAIL 8083 -T8 - 8 2108 AS RE00. GIAZINQ BM 8083 -28 - 9 2109 4 SASH GUIDE NYLON - 10A - AS REQD. 1X4 STD. MULLION 8083 -T8 - 10B - AS READ. 1X4 CUSTOM MULION 8083 -TB - 11 21203 2/ VENT SWEEP LATCH - •tl l IVAN & ASSOC. 13 SID X 1-1/4 AS READ. FRAME/VEVA ASSEMBLY SCREWS - PH SMS 14 18 X 1/1° 2 BOTTOM MIL LOWER SCREW - PH SMS t8 18 X 1/2" 2 LATCH WSTALIATNN SCREW - 011 SMS 18 ®8 X 1° 4 SASH WIDE INSIAILATION SCREW - OH SMS 17 - - -. - 18 81400U AS READ. GLAZING BEAD BULB NEOPRENE CLTRAFAB, DUAL DUROM£TER, T- SLOP.80, BULB -73 10 9148Q3 AS RECD. BULB SEAL NEOPRENE CURATAB, DUAL DUROMEIER, 7- SL0T -50, BULB -73 20 - AS RECD. FWIME SILL W'SRIPPING NEOPRENE - 21 W2221220 AS RECD. FIN SEAL YPSTRE'PINO WOOL ULTRAFAB 22 - 2 SUPER8005T BALANCES - CHANCE SYSTEMS INC. 23 Q10 X 1° 1/ BALANCE BALANCE MOUNTING SCREWS - FH StS 24 - 1/ BALANCE BALANCE CONNECTING CLIP - - 25 18 X 1/2° 2/ BALANCE CONN£C11040 CLIP SCREWS - OH 5%75 28 - A8 RE40. 5/18° 80X SCREEN - OPTIONAL 27 2/ WOW. AS RECD. SASH STOP {Y 1AN0) R1010 PVC - 0Rn. .NVAD AHMAD �A PS / 78892 CAN. 3032 «t eyieSWdfi1kc MOAN iNSY - .0 187 u x 1 10D ALUM SINGLE H 21111111 211111 1■■■ drawing no. W11 -38 (sheet 5 of 7) 1.878 FIXED MEETING RAIL 1.878 -- 1.139 1.894 3 37 2.827 QQ FRAME SILL Fimid8B Date MOAN 6 drawing no. W11 --38 MOLWOI Low CAPACITY - PSI/ 2 AN08099 AT 2828 BIOS OF 9010. 9 MUMS AT SACS SIDE OF MIXT. 4 1 X 4 124 124 184 TONDOS 11019. 810, WILL CUSTOM 1881 S1S. MI CUSTOM 100I1. E2T..(14 EXT.( +) OI•c +) IXL(F) WIDTH (S) LENGTH 04 MT.( -) MT(-) 19r.( -) MU-) 18 -1/8' 120.0 120.0 1200 1210 28 -1/2' 1200 - 120.0 1200 120.0 37" 50-8/8" 120.0 120.0 120.0 120.0 42" 120.0 120.0 120.0 120.0 48" 1200 1200 1200 120,0 03 -1/8' 120.0 120.0 120.0 120.0 10-1/6' 120.0 120.0 1204 120.0 26 -112' 1200 1200 1200 .1204 37' 1210 120.0 120.0 1210 42' &, 120.0 1200 120.0 120.0 48" 120.0 1200 1200 120.0 53 -t /8" 1200 1204 1200 120.0 1O-1/6" 1200 1200 120.0 1200 26-1/2" 120.0 1200 120.0 k 12.0 37° 60' 120.0 120.0 120.0 120.0 42` 1210 120.0 1200 120.0 48' 120.0 120.0 120.0 120.0 53 -1/8' 1117 118.7 120.0 120.0 18-1/8* 1210 120.0 1200 120.0 28 -1/2' 1200 1200 120.0 120.0 37' Sr 120.0 120.0 1200 120.0 42' 117.8 117.8 120.0 1210 48' 110.8 4 110.8 1200 1200 53-18" r 107.1 107.1 120.0 120.0 19 -1/8' 120.0 1200 120.0 1200 28 -1/2" 120A 1200 1200 120.0 37' 72" 104A 104.8 120.0 1200 42' 98.8 98.8 1200 1200 48' 810 900 r 120.0 120.0 83 -1/8' 819 88.9 117.9 1210 19-1/8" 120.0 120.0 120.0 120.0 26 -1/2' 1204 120.0 120,0 1210 37' 74_1/4 . 1018 100.0 1 20.0 1 20.0 42" 22.7 92.7 1210 1210 48" 08A 88.0 118.8 1200 53 -1/8' 91.9 81.9 109.4 1210 19 -1 /8' 120,0 1200 1210 120.0 28 -1/2' 120.0 120.0 120.0 120.0 37" 942 94.2 120.0 120.0 42" 78" 88.6 96.6 1112 120.2 49" 80.0 90.0 101.1 1200 83 -1/8" 75.8 70.9 944 1139 UN- CLIPPED MULLION NOTES; 1. USE CHANT ON DOS SHEET FOR SIDE /N SW CONNECTION CAPACITY OF 21N00W MULLION. 2. FOR SINGLE HUNG %70009 CAPACITY SEE SHEETS 2 & 3. 3. LOWER VALUES FROM STEPS 1 OR 2 WILL APPLY TO 09020 SRSTat 2 OR 3 ANCHORS AT EACH 80E OF MULLION SEE CHART FOR CAPACITY .21.0)4 TYPICAL ELEVATION SIDE BY SIDS 8190099 SIDE BY SIDE APPLIES TO TWO OR MORE WINDOWS WIDTH (W) _ W1 2 W2 2 Wo 99121910209.0 1002 NODS ' 0 MT. %,1's'� Cu drawing no. W11 -38 (sheet 7 of 7) T/ 4 ,II W7 ti, 82 TYPICAL ELEVATION SIDE BY SIDS 8190099 SIDE BY SIDE APPLIES TO TWO OR MORE WINDOWS WIDTH (W) _ W1 2 W2 2 Wo 99121910209.0 1002 NODS ' 0 MT. %,1's'� Cu drawing no. W11 -38 (sheet 7 of 7) MIAMI COUNTY DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Labrador & Fundora Corp dba V & V Windows 2355 W 4th Avenue Hialeah,. FL 33010 -1454 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami—Dade County PERA- Product Control Section 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 Section (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. PERA reserves the right to revoke this acceptance, if it is determined by Miami—Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "300" Outswing 8'0" Glazed Aluminum Entrance Door — L.M. I. APPROVAL DOCUMENT: Drawing No. W10 -08, titled "Series Aluminum Out—Swing Entrance Door (L.M.I.) ", sheets 1 through 12 of 12, dated 02/24/10 with revision "C" dated 11/22/11, prepared by Al- Farooq Corporation, signed and sealed by Javad Ahmad, 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 Section. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant. LIMITATIONS: 1. The maximum positive exterior design pressure shall be + 66.30 psf where water infiltration requirement is needed. 2. Glass lite wider than 36" shall be supported with approved setting blocks or clamps per FBC requirements. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model! series 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 No. 10- 0406.04 and consists of this page 1, evidence pages E-1 and E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D. Gaston, P. E. MIAMI —DADE COUNTY, FLORIDA PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315-2599 www.miamidade,gav/perat MIAMI-DADE COUNTY APPROVED 5"61:0te NOA No. 12 -0113.02 Expiration Date: September 01, 2015 Approval Date: April 19, 2012 Page 1 Labrador & Fundora Cory dba V & V Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. (Submitted under previous NOA No. 10-0406.04) 2. Drawing No. W10-08, titled "Series Aluminum Out-Swing Entrance Door (L.M.L) ", sheets 1 through 12 of 12, dated 02/24/10 with revision "C" dated 11/22/11, prepared by Al- Farooq Corporation, signed and sealed by Javad Ahmad, P. E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, Type "C" swing door, Grade 10, per FBC 2411.3.2.1, TAS 202 -94 and per ASTM F 842-04 along with marked -up drawings and installation diagram of an Aluminum outswing French door, prepared by American Test Lab of South Florida, Inc., Test Report No. ATLSF-0403.02-08, dated 01/18/10, signed and sealed by William R. Meitner, P. E., Henry Hattem, F: E:' and'Edmundo J..Largaespada, P. E. (Submitted under previous NOA No. 10-0406.04) C. CALCULATIONS 1. Anchor calculations and structural analysis, complying with FBC -2007, dated March 18, 2010, prepared by A1- Farooq Corporation, dated 08/10/10, signed and sealed by Javad Ahmad, P. E. (Submitted under previous NOA No. 10-0406.04) 2. Statement letter of conformance and compliance with the FBC 2010, prepared by Al- Farooq Corporation, dated 11/21/11, signed and sealed by Javad Ahmad, P. E. 3. Glazing complies with ASTM E1300 -04 D. QUALITY ASSURANCE 1. Miami Dade Department of Permitting, Environment, and Regulatory Affairs (PERA). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 11- 0624.01 issued to E.I. DuPont DeNemours & Co., Inc. for their "DuPont Butaciteo PVB Interlayer" dated 09/08/2011, expiring on 12/11/2016. E -1 Jaime D. Gascon, P. E. Product Control Section Supervisor NOA No. 12- 0113.02 Expiration Date: September 01, 2015 Approval Date: Apri119, 2012 Labrador & Fundora Corp dba V & V Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED F. STATEMENTS 1. Statement letter of conformance, no financial interest and compliance with the FBC -2010, prepared by A1- Farooq Corporation, dated 11/21/11, signed and sealed by Javad Ahmad, P. E. 2. Statement letter of no financial interest, conformance and compliance with the FBC -2007, prepared by Al- Farooq Corporation, dated 04/30/10, signed and sealed by Javad Ahmad, P. E. (Submitted under previous NOA No. 10-0406.04) 3. Asset purchase agreement dated July 28, 2009, signed by Mr. David Labrador and Mr. Candido D. Vega. (Submitted under previous NOA No. 10 - ©4 ©6. ©4) 4. Laboratory compliance letter for Test Report No. ATLSF - 0403.02 --08, issued by American Test Lab of South Florida, dated 01/18/10, signed and sealed by William R. Mehner, P. E., Henry Hattem, P. E. and Edmundo J. Largaespada, P. E. (Submitted under previous NOA No. 10-0406.04) G. OTHERS 2. Notice of Acceptance No. 10- 0406.04, issued to Labrador & Fundora Corp dba V & V Window for their Series "300" 8'0" outswing Glazed Aluminum Entrance Door - L.M.I. ", approved on 09/01/10 and expiring on 09/01/15. Jaime D. Gasc . , P. E. Product Control Section Supervisor NOA No. 12 -0113.02 Expiration Date: September 01, 2015 Approval Date: April 19, 2012 E -2 1/8" HEAT STREN'D GLASS 3/16" HEAT STREN'D GLASS .080" INTERLAYER .090' INTERLAYER BUTACITE PVB BY 'DUPONT" BUTACLTE PVB BY "DUPONT" 1 /8" HEAT STREN'D GLASS 3 /16" HEAT STREN'D GLASS SIUCONE SILICONE DOW 995 DOW 995 PECORA 895 PECORA 895 GLASS TYPE 'A' 5/18' OVERALL LAM. GLASS ■ 1 GLAZING OPTIONS GLASS TYPE '8' 7/16" OVERALL LAM. GLASS GLAZING DETAIL AT SIDELI.TF/TNANSQM THESE DOORS ARE RATED FOR LARGE & SMALL MISSILE IMPACT. SHUTTERS ARE NOT REQUIRED. ALUMINUM OUTSWING ENTRANCE DOOR SINGLE (X) AND DOUBLE (XX) LEAF DOORS 8/0 TRANSOM SEE SHEET 2. SINGLE (0 /X) AND DOUBLE (0/XX) LEAF DOORS WITH TRANSOMS SEE SHEET 3. SINGLE AND DOUBLE LEAF ODORS WITH SIDELITES SEE SHEET 4. SINGLE AND DOUBLE LEAF DOORS WITH SIDELTTES AND TRANSOMS SEE SHEET 5. LOWER VALUES FROM SIDEUTE CAPACITY CHART OR DOOR CAPACITY WILL APPLY TO ENURE SYSTEM. DOORS APPROVED FOR INSTALLATIONS WHERE WATER INFILTRATION RESISTANCE IS REQUIRED. THIS PRODUCT HAS BEEN DESIGNED AND TESTED TO COMPLY WITH THE REQUIREMENTS OF THE FLORIDA BUILDING CODE 2010 EDITION INCLUDING HIGH VELOCITY HURRICANE ZONE (HVHZ). WOOD BUCKS BY OTHERS, MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. ANCHORS SHALL BE AS LISTED, SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WAIL DRESSING OR STUCCO. ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL. A LOAD DURATION INCREASE IS USED IN DESIGN OF ANCHORS INTO WOOD ONLY. MATERIALS INCLUDING BUT NOT EDITED TO STEEL/METAL SCREYIS, THAT COME INTO CONTACT WITH OTHER DISSIMILAR MATERIALS SHALL MEET YHE REQUIREMENTS OF 2010 FLORIDA BLDG. CODE SECTION 2003.8.4. E55. JAV50. A•WWAD CNL FLA. PE # 70592 • CAN.• 3530 PRODUCT REVISED ca complying with the Florida Wilding Code l .. �y i4 V AccgvmrcoNo /� Z i111aui Control 0 z HP! RP 0 hag drawing no. W10 -08 sheet 1 of 12 39 5/8° MAX. FRAME WITH 12° 78° MAX. FRAME 8055 HEAD ANCHORS AT STILE ENDS (4) AT 3° 0.0. SURFACE APPLIED FALSE MUNTINS OR DECORATIVE GRILL MAY 8E USED SURFACE APPLIED FALSE MUNTINS OR DECORATIVE GRILL MAY BE USED DOORS LOAD CAPACITY — PSF SINGES DOORS WITHOUT TRANSOM (X) GLASS TYPE GLASS TYPE DOOR DIMS. •A' g• WIDTH HEIGHT EXT.(+) INL(—) EXr.(+) IMF.( —) 37 -8 /8' 98„ 70.0 80.0 70.0 80.0 39 -5/8° 88.3 75.8 88.3 75.8 DOORS LOAD CAPACITY — P55 DOUBLE DOORS WITHOUT TRANSOM (XX) GLASS TYPE 01885 TYPE DOOR DIMS. A• g• FRAME FRAME EXr(+) INT.( —) EXT.( +) INT.( —) WIDTH HEIGHT 72' 98° 70.0 80.0 70.0 80.0 78° 88.3 75.8 88.3 75.8 NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 47pic mxiNo g3 3xDAVAitypfito drawing no. W10 -08 sheet 2 0112 ........_........ Agir HEAD ANCHORS AT STILE ENDS (4) AT 3° 0.0. SURFACE APPLIED FALSE MUNTINS OR DECORATIVE GRILL MAY 8E USED SURFACE APPLIED FALSE MUNTINS OR DECORATIVE GRILL MAY BE USED DOORS LOAD CAPACITY — PSF SINGES DOORS WITHOUT TRANSOM (X) GLASS TYPE GLASS TYPE DOOR DIMS. •A' g• WIDTH HEIGHT EXT.(+) INL(—) EXr.(+) IMF.( —) 37 -8 /8' 98„ 70.0 80.0 70.0 80.0 39 -5/8° 88.3 75.8 88.3 75.8 DOORS LOAD CAPACITY — P55 DOUBLE DOORS WITHOUT TRANSOM (XX) GLASS TYPE 01885 TYPE DOOR DIMS. A• g• FRAME FRAME EXr(+) INT.( —) EXT.( +) INT.( —) WIDTH HEIGHT 72' 98° 70.0 80.0 70.0 80.0 78° 88.3 75.8 88.3 75.8 NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 47pic mxiNo g3 3xDAVAitypfito drawing no. W10 -08 sheet 2 0112 (2) ANCHORS AT TRANSOM ENDS SINGLE DOORS SURFACE APPUED FALSE MU87188 OR DECORATIVE GRILL MAY BE USED (O /X) DOORS LOAD CAPACITY — PSF SINGLE DO DRS WITH TRANSOM (0/X) GLASS TYPE GLASS TYPE DOOR DIMS. •A' •B• FRAME FRAME O '%.*i% N co EXT.( +) INT.( —) WIDTH HEIGHT EX1:(+) TNT.( —) EXT.( +) TNT.( —) 37 -5/8° 70.0 80.0 70.0 80.0 39 -5/8° 120° 68.3 75.8 68.3 75.8 5° MAX. HEAD /SILL CORNERS SURFACE APPUED FALSE MUNTINS OR DECORATIVE GRILL MAY BE USED (4) ANCHORS j— AT TRANSOM ENDS DOUBLE DOORS (o/xX) DOORS LOAD CAPACITY — PSI? DOUBLE DOORS WITS TRANSOM (0/XX) GLASS TYPE 0 No o H •A' •Br -I O '%.*i% N co EXT.( +) INT.( —) 72° 120, 70.0 80.0 70.0 ©_ o / iI / III / .II / \ \ \ \ \\ \ \ \ / / / / / / to Z O / 75.8 /; ./.. \ ,. _et \ \ii E o II U ll 1 8\ II \ \ _ - -- / ACTIVE .y \ Y.IT •. INACTIVE SURFACE APPUED FALSE MUNTINS OR DECORATIVE GRILL MAY BE USED (4) ANCHORS j— AT TRANSOM ENDS DOUBLE DOORS (o/xX) DOORS LOAD CAPACITY — PSI? DOUBLE DOORS WITS TRANSOM (0/XX) GLASS TYPE GLASS TYPE DOOR DIMS •A' •Br FRAME WIDTH FRAME HEIGHT EXT.(+) TNT.( —) EXT.( +) INT.( —) 72° 120, 70.0 80.0 70.0 80.0 78° 88.3 75.8 66.3 75.8 NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05— DEC -219 Engr. .WYAO AHMAD CML RA: PE 6 70592 :'- CAN 3838 PRODUCT REVISED as eompiying with the Ptodda Dui/dIns Code Acamptence No 12-0 13.02 . D.,.P uct CanlroI raiimV 0 1 V CO m - 9 1 drawing no. W10-08 sheet 3 of 12 DESIGN LOAD CAPACITY - PSF SIDEUTES WITH SINGLE OR DOUBLE LEAP DOORS WITHOUT TRANSOM SWIM WIDTH INCHES FRAME HEIGHT INCHES GLASS TYPE 'A' GLASS TYPE 'B' SIDELITE TT /0 EEINF. SIDELITE IT/ ALUM HEINF. sIDELYIE 1T /0 REINF. SEMITE 2/ ALUM REINY. EXr.( +) TNT.( -) EXT.( +) TNT.( -) EXT.( +) TNT.( -) EXT.( +) INT.( -) 24 28 32 38 40 80 70.0 80.0 79.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 24 28 32 38 40 84 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 24 28 32 38 40 90 70A 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 70.0 80.0 24 28 32 38 80 70.0 75.8 70.0 80.0 70.0 75.8 70.0 80.0 70.0 71.2 70.0 80.0 70.0 71.2 70.0 80.0 87.4 87.4 70.0 80.0 87.4 87.4 70.0 80.0 84.1 84.1 70.0 75.5 64.1 84.1 70.0 80.0 SIDEUTE WIDTH DOOR WIDTH NOTE FOR DOORS CAPACITIES SEE SHEET 2. FOR SIDELRE CAPACITIES SEE CHART ABOVE. LOWER VALUES FROM DOOR OR SIDEUTE CHART WILL APPLY TO ENTIRE STSILM. 145` 12° • FRAME WIDTH CLUSTER OF (4) ANCHORS AT HEAD/S111. �I 12° MAX. HEAD SILL 31 3/8° D.L. OPG. O to 1 p Y . _ t - / • . . I I,.I Il 1 1 1 I I 1 //. � II / „,.4.,.7. /II / / ; \\ \ \ \ \ / / / // / / - a O d - 1 N II 11 II 11 II If il II II II © . / \ / H v II 11 N . / II \ \ II I II 11 \ II \ \ °°F 6/ ACTIVE I INACTIVE Arnm....ttt _ _ SURFACE APPLIED FALSE MUNTINS OR DECORATIVE GRILL MAY BE USED • SIDEUTE WIDTH MAX. SEE CHART AT LEFT 1 28 3/4° MAX. D.L OPG. 38 3/4° MAX. LEAF WIDTH 28 3/4° MAX. D.L OPG. (OXXO) NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -218 EAT: JAVAD MMAO CIVIL RA. PE M 70592 C.A.N. 3838 ■:\ N ALUM REINF. USE AS PER CHART PRODUCT REVISED )4 (*wiping with the Florida AIdleSCaao 12 -(�11 . O ccaltlotceNo lip e Product Centro tLV z 8 0 0. N ae 0 rrN }• drawing no. W10 -08 sheet 4 of 12) DESIGN LOAD CAPACITY - PSF SIDELIIES W/ SINGLE OR DOUBLE LEAF DOORS W/ TRANSOM SIDELITE WIDTH INCHES FRAME 8EI0.HT INCHES GLASS TYPE 'A' GLASS TYPE 'B' 61081dTE 1/ ST7. SEINE. BAIEISTE F(/ STL REIN?. EXL( +) MIT.( -) EXT.( +) INT.( -) 24 70.0 80.0 70.0 80.0 28 70.0 60.0 70.0 80.0 32 98 70.0 80.0 70.0 80.0 36 H _ 70.0 80.0 70.0 80.0 40 70.0 80.0 70.0 80.0 24 70.0 80.0 70.0 80.0 28 70.0 80.0 70.0 60.0 32 102 70.0 80.0 70.0 80.0 38 70.0 80.0 70.0 80.0 40 70.0 80.0 70.0 80.0 24 70.0 80.0 70.0 80.0 28 70.0 80.0 70.0 80.0 32 108 70.0 80.0 70.0 80.0 36 70.0 80.0 70.0 80.0 40 70.0 80.0 70.0 80.0 24 70.0 80.0 70.0 80.0 28 114 70.0 80.0 70.0 80.0 32 70.0 80.0 70.0 80.0 38 70.0 77.4 70.0 77.4 24 70.0 73.8 70.0 73.6 28 120 70.0 70.1 70.0 70.1 32 98.8 68.8 68.8 66.8 36 83.9 63.9 63.9 83.8 STEEL CHANNEL DOOR WIDTH NOTE: FOR DOORS CAPACITIES SEE SHEET 3. FOR SIDELITE CAPACITIES SEE CHART ABOVE. LOWER VALUES FROM DOOR OR SIDELITE CHART WILL APPLY TO ENTIRE SYSTEM. CLUSTER OF (9) ANCHORS FOR INSTALLATIONS INTO WOOD AND THRU WOOD BUCKS ONLY CLUSTER OF (6) FOR FOR ALL OTfff� INSTALLATIONS 31 3/8° D.L OPG. 12' 145° FRAME WIDTH 71 5/18° D.L OPG. m. ALUM REIFIF. 12° 3° MAX. HEao SILL I I I I rl Iii I I I I rl ~I I 31 3/8° 0.L OPG. la g 0 j / /,% 4 O 2 a / %;% O \ / / II \ \ % M m O p ! I / \ H _ ! II it II ir it It It rAn0=ma yII SURFACE APPUED FALSE MUNTINS OR DECORATIVE GRILL MAY BE USED STEEL REINF. USE AS PER CHART 28 3/4' MAX. D.L OPG. 38 3/4° MAX. LEAF WIDTH NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 I 11 26 3/4° MAX. D.L OPG. Ent JAVA& AHEM •AN. FIAPE g 7 •363 D8 0692 CLUSTER OF (8 ) ANCHORS AT SILL Iv I7 0DDCT REVISDD as complying with i80 Florida ��g t2-O l 3.0 U gl Z � / 0 � ag a .i a&ia<n8 o 46E iw� 1 ,3� "C7s 4 1 drawing no. W10 -08 (sheet 5 of 12 918" MN. BOLT PENETRATION TYPICAL ANCHORS SEE ELEVATIONS FOR SPACING u 12 I I ( I I I I 1i 6 TYPICAL. ANCHORS SEE ELEVATIONS FOR SPACING WEEPS 1/2" MIN. THROW BOLT PENETRATION 18Y WOOD MUCK TYPICAL ANCHORS SEE ELEVATIONS FOR SPACING TYPICAL ANCHORS SEE ELEVATIONS FOR SPACNG METAL STRUCTURE WOOD BUCKS AND METAL STRUCTURE NOT BY V & V WINDOWS MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM AND TRANSFER THEM TO THE BUILDING STRUCTURE. TYPICAL ANCHORS SEE ELEVATIONS FOR SPACING TYPICAL ANCHORS: SEE ELEV. FOR SPACING 1./4" DL . TAPCON BY 'ITVP OR (Fu =120 KSI, Fy=92 4151) 1 /4" DIA. ULTRACON BY 'ELCO' (Fu -177 Ksl. Fy -155 KSI) INTO 28Y WOOD BUCKS OR WOOD STRUCTURES 1 -3/8" MIN. PENETRATION INTO WOOD THRU 1BY BUCKS INTO CONC. OR MASONRY 1 -1/4' MIN. EMBED INTO CONC. OR MASONRY DIRECTLY INTO CONC. OR MASONRY 1 -1/4" MIN. EMBED INTO CONC. OR MASONRY A14 SMS OR SELF DRILLING SCREWS (GRADE 2 CRS) INTO MIAMI -DADE COUNTY APPROVED MULLIONS (MIN. THK. _ .090") INTO METAL STRUCTURES STEEL : 1/8" THK. MIN. (Fy = 36 KSI MIN.) ALUMINUM : 1/8" THK. MIN. (6063 -T5 MIN.) (SIttL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED) ITICAL EDGE DISTANCE INTO CONCRETE AND MASONRY = 2 -1/2" MIN. INTO WOOD STRUCTURE = 1" MIN. INTO METAL STRUCTURE = 3/4° MIN. CONCRETE AT HEAD, SILL OR JAMBS f'c - 3000 PSI MIN. C -90 HOLLOW/FILLED BLOCK AT JAMBS f'm = 2000 PSI MIN. SEALANTS; FRAME AND LEAF CORNERS, INSTALLATION SCREWS AT SILL AND ALL METAL PARTS CONNECTIONS SEALED WITH PTI SILICONE. WEEPS: 3/16° X 3/4° WEEP SLOTS AT 3" FROM EACH END DOOR DETAILS Eng," JAVAD L AHMAD DM RA, PE } 79592 C.A.N. PRODUCT REVISED b ply with the Flea o Accapumw NO Kw -Oti "Q 0 8 drawing no. W10 -08 (sheet 6 of 12 LEW WIDTH FRAME WIDTH z g Rg m. 81 O � o .4620 CC a DOOR DETAILS Engr: JA(VAYOAMMO kA. PE t 7D9g2 CAR.', PRODUCT REVISED esoorp{yin wandie %Iona riwday BIZ- 41i5.04Z HY l Mami Control 0 mY ps g< V k drawing no. W10 -08 sheet 7 of 12) TYPICAL ANCHORS SEE ELEVATIONS FOR SPACING 9/1 Ir MIN. ROW BOLT PENETRATION REDO. AT DOUBLE DOORS O`NLLYY TYPICAL ANCHORS SEE ELEV. FOR SPACING TRANSOM DETAILS Engr. JAVA° AHMAD' OPAL FLA. PE if 70592 04.N. $ PRODUCT REVISED as aomplylog with tho Florida Manila Ceda Acceptance oN %Z OU?O'Z Miwai Dada Freda Control u 0 A 0 0 ' a 6 drawing no. W1 0 — 08 sheet 8 of 12 w TYPICAL ANCHORS SEE ELEVATIONS FOR SPACING 0 TYPICAL ANCHORS SEE ELEVATIONS FOR SPACING I/4" MAX.• SHIM #10 X 3/4" FH TEKS AT 10 FROM ENDS AND 24" O.C. MAX. D.L OPG. #10 X 314" FH TEKS AT 10 FROM ENDS AHD 24" O.C. MAX. D.L OPG. DOORS W/O TRANSOM CAN BE WITH OR WITHOUT ALUM REINFORCING DOORS W/ TRANSOM ARE WITH STEEL REINF. ONLY SEE SHEETS 4 AND 5 FOR CAPACITY 4 TYPICAL ANCHORS SEE ELEV. FOR SPACING FRAME WIDTH SIDELITE DETAILS Engn JA/AD .AHMAD CIVIL FLA. PE # 70892 CAN. ,3839 • D.L.O. PRODUCT REVISED as complying with the FRorlda 3DDdingC4do 1.0 . • r! ADDeptasco No _ + 02 0/5 8 CC eg PleE 28 =0 8 gEPP z PIA O 8 ry Ni drawing no. W10 -08 sheet 9 of 12 LOCKS: A(:TIVE LEAF: 08110N #1• 3 POINT LOCK ASSEMBLY BY 'SULLIVAN AND ASSOC.' 7/18" X 3" THROW BOLTS AT TOP AND BOTTOM ENGAGING FRAME AT HEAD AND SILL THROW BOLTS ATTACHED TO LOCK BY CONNECTING RODS LOCK LOCATED AT 52 -3/4" FROM BOTTOM LOCK HANDLE AT 49 -1/2° FROM BOTTOM 0811014 #7• CONVENTIONAL DOOR LACK5ET WITH HANDLE BY SULLIVAN AND ASSOC.' LOCATED AT 39" FROM BOTTOM KEY OPERATED ON EXTERIOR AND THUMB TURN ON INTERIOR THROW BOLT LOCK BY 'SULLIVAN AND ASSOC? LOCATED AT 46" FROM BOTTOM INACTIVE LEAF CONCEALED FLUSH BOLTS BY 'SULLIVAN & ASSOC.' 1/2° X 2" THROW BOLTS ENGAGING FRAME AT HEAD AND SILL MANUALLY OPERATED LEVERS MOUNTED ON INSIDE FACE OF LEAF STILE LOCATED AT 10 -3/4" FROM TOP AND BOTTOM LOCK FASTENED TO STILE WITH (2) 38-32 X 1/2" EH M5 NOTE: LOCKS MUST BE ENGAGED DURING PERIODS OF HURRICANE WARNING. INGES: OPTION 81• 4 -3/4" BALL BEARING HINGES 3 PER LEAF BOTTOM HINGE AT 8 -3/8° FROM BOTTOM RAIL TOP HINGE AT 11" FROM TOP RAIL CENTER HINGE AT MIDSPAN HINGES FASTENED WITH #12 -24 X 1/2° fH MS OPTON #2• 7- 13/18° THREE PIECE HINGES 3 PER LEAF BOTTOM HINGE AT 8 -3/8" FROM BOTTOM RAIL TOP HINGE AT 11° FROM TOP RAIL CENTER HINGE AT MIDSPAN HINGES FASTENED WITH #10 -24 X 1/2° EH MS ITEM # PART g READ. DESCRIPTION MATERIAL MANE. /SUPPLIER /REMARXS 1 V501 3/ DOOR FRAME HEAD /JAMB 6063 -76 - 2 V502 1 FRAME SILL 6063 -T6 - 3 V603 1 SILL COVER 8083 -18 - 4 9504 AS READ. SIDELTTE STILE 6083 -16 - 5 V505 2/ LEAF TOP AND BOTTOM RAIL 6063 -16 - 8 9500 1/ LEAF HINGE STILE 6083 -T6 - 7 V507 1/ LEAF LOCK AND ASTRAGAL STILE 8083 -18 - 8 9513 AS REDO. INACTIVE ASTRAGAL STILE 6063 -16 - 9 V508 2/ LEAF SWEEP ADAPTER 6063 -76 - 10 V509 AS REDO. SEMITE ADAPTER 6063 -16 - 11 14511 AS READ. GLAZING BEAD - 5 /18" GLASS 6093 -18 - 118 V517 AS REQD. GLAZING BEAD - 7/16° GLASS 6063 -16 - 12 V512 AS REQD. REINFORC940 STIFFENER 6063 -T6 - 12A - AS REGD. REINFORCING CHANNEL STEEL 38 KSI 13 - 2/ LEAF 3/9" THREADED ROD 1IEEL - 14 - - - - - 15 V514 2/ LEAF FLUSH BOLT SUPPORT ANGLE 6083 -15 1 -1/2" X 1 -1/2° X 3/16" 16 - - - - - 17 - 3/ LEAF BALL SEARING HINGE ASSEMBLY - - 17A - 3/ LEAF 3 PIECE HINGE ASSEMBLY - - 18 - - - - - 19 - AS READ. FIN SEAL PILE WEATHERSTRIPPING - - 20 9516 AS RECD. BULB WEATHERSTRIPPING SANTOPRENE DUROMETER 80-15 21 #8 X 1/2" AS READ. GLAZING ADAPTER SCREWS ST. STEEL PH TEKS. AT 2" FROM ENDS & 8" 0.C. MAX. 22 #10 X 2° AS READ. FRAME ASSEMBLY SCREWS ST. STEEL PH SMS 23 - AS READ. SIDE me ADAPTER SCREWS ST. STEEL - 24 #8-32 X 1/2° 2/ ANGLE SUPPORT ANGLE SCREWS ST. STEEL EH MS 28 - AS READ. BUMPER SPACER SILICONE - 28 - - - - - SEALANTS; ALL JOINTS AND FRAME CONNECTIONS SEALED WITH PTI SILICONE. En9n JAVAD AHMAD CLWL FitA a, 1 059,1 .CM. 338 'PRODUCE REVISED as so9mlyhlg with Rio Florida qqt IAdldIs,Cada �.O,I 1!. • Pence No _ . COMP- ANL \W10 5. 9 t8 4 S a n 0 drawing no. W10 -08 sheet 10 of 12 4.000 V fil i IV ;�. 076 4.�8 .094 F. p ° II 2.125 o 0 IU_J...626 ° �� IIII hl., 11 . i 4-3/4` I 1.750 076 TYP. o >6 1 o ° 0 0 0 3^1/2' w 4.000 12.016 - Oi FRAME HEAD /JAMB GO HINGE STILE i_ gt, ', I� 1.7so� 5.313 g12 -24 x 1/2• Ft1 MS cRS nPE 23 CRS I X 3 FH 61S CRS TYPE 23 0 77 3 PIECE HINGE BALL BEARING HINGE .078 •n,P. 4.000 .078 1??. 4.686 3.500 1.984 626 7 1.780 1.210 3.532 .126 _ TYP. 3.782 4.000 � ll INACTIVE ASTRAGAL STILE I .6281 ) TOP & BOTTOM - RAIL 4.000 1 626 1984 � OD J SWEEP 1.500 ow .366 12 .250 - 1.000 076 .078 .094 5.313 1.808 ADAPTER A6U III / % AWE 3720 � (9) LOCK /ASTRAGAL STILE i gig a S f, g i i 2.200 1.134 I d 2.251 �� .078 TYP.I (4) SIDEUTE 4.176 oez_ TYP. \"l SILL 1.010 1.164 COVER •465 12 STIFFENERS ii .719 .560 ! .045 q §. o v S E. a m u 1.575 STILE - 2.163 11 - - .640-- .. d -..- . u -. 5 501 11 ose 1.660 GLAZING BEAD - 7/16" GLASS F pvo # o • tu° 3L7258.2, 1 1I1`;' ' U1'� "� PRODUCTREVI36D as Tt complying ia�t�tjhc1llothfa lccapto +cello �4"i� 13 f7 1.133 1.-.498 -1 .563 - 078 lYP• I 050 f I 71 -°i .609 � GLAZING BEAD - 5/16" GLASS .062 ] 1.313 t° SIDELITE ADAPTER 614 II� f»- drawing no. W1 0-08 r... :r_II7/1,,f- l`J FRAME SILL Rhiw`71 %tUC .ia« MUM sheet 11 of 12 •• Engr. JAVAX ANMAD CIVIL 3838 70582 CAN. PRODUCT REVISED u complying with tho Florida ..aildiag Code V —O II 3.0 Mceplanw No m Sof co 8 0 >* IMO 2 a s w C a a1 U g i drawing no. W10 -08 sheet 12of12)