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WS-13-514 Miami Shores Village .� Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 a `------- ------ Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 BUILDING permit No. t o X14 PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 162 22 /0 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 3 0 Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): hone#: Address: © S Ci State: Zip: S3 TenanvLessee Name: Phone#: Email: �S�C @� j°�/��%a� ' 0 o"— CONTRACTOR: Company Name: Phone#: Address: 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: $ � l Square/Linear Footage of Work: Type of Work: ❑Addition( ( DAlteration ONew ORepair/Replace ❑Demolition Description of Work: o or— , Color th>ru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ VA i y Bonding Company's Address City State -T zip i Mortgage Lender's Name(if applicable) c e ( 6.A— �I C��,� c \C Mortgage Lender's Address 150 Sc) X), 0J. �q �} 5Ui ,.00 City i�'l I 't w-,, .�E'S State zip -3ac-) - L-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) daps c¢ter 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 l Signature Owner or Agent y . Contractor The for gins iment was wled ed f e me s The foregoing instrument was acknowledged before me this day of ;20�`�1 day of .20_,by , who}s p onaU��i known t e or who has produced who is personally known to me or who has produced f ° ° l de tification and who did take an oath. as identification and who did take an oath. NOTAR P LIC: - NOTARY PUBLIC: Sign: Sign: Qub\ic' S ge0 '�p Print' ",,, o�a�`l o,p- 12 ssn Print: My Commission Expires: Gomc`��SU91 Na My Commission Expires: APPROVED BY ~� Plans Examiner zoning Stnictural Review Clerk /'Da.,:..ei 1/17P'ffl19VDa..+..0.1 M/1NMVDu..:.w.t llf./1A/f/1M)1/Do.,:...ui 1/iG/(Yf\ Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 OWNER BUILDER gDISCLOSURE STATEMENT NAME: )IC C',(6 DATE: 5 ` s 13 1 ADDRESS: l� 1)F, 16 S �#' i G u� G(C5 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,KS 489.103(7). And I have read and understood the following disclosure statement,which entity 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 twro-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.CA 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. 1 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 1,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. Initict 2. 1 understand that building permits are not required to be signed by a property owner unless he or she Is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that as an owner builder,I am the responsible party of record on a permit I understand that I may Prot myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name inst my own name.I also understand that the contractor Is required by law to be licensed in Florida and to list his or lice u bars on permits and contracts. Initial 4. 1 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 proved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or s tally Improved it for sale or lease,which violates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onske supervision of the construction. Initial 6. 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 1 employ have the license required by law and by county or municipal ordinance. Initial r. i unoerstano mat n is rrequenn practices or unnrcerrsea persons to nave me property owner oomm an owner-ounaer permn mat erroneously implies that the property owner Is providing his or her own labor and materials.I,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. Initial 4� 8. 1 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 corn sation for the employee.I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that as the party legally and financially responsible for this proposed Construction activity,l will abide by all applicable laws and requirement that govern -builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations. Initial_Z(1� 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Intemal Revenue Service,this United States Small Business Administratlon,and the Florida Department of Revenues.l also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or httO://www.mAoddaIIcenseco Initial 11. 1 am aware of,and consent to,an owner-builder buildings permit applied for in my name and understands that I am the parly legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information a have provided on this disclosure. j Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a parson 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 to in civil court It Is also important for you th understand that if an unlicensed contractor or employee of an individual or firm is injured white 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 property 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 signers by the property owner and retumed to the local permitting agency responsible for Issuing the permit A copy of the properly 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 IJ day of ,20 By hWJ D 0 -XIA who was personally known to me or who has Produ Ike L' se or � 1 C as identification. S 5 �� ♦5�OR�s. n■ ® mill-, CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami.Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition,raw and finished materials (include those donated), labor (including volunteer and self-performed), construction supervision and management,and overhead and profit.A list of items the costs of which are to be included as well as those excluded is attached for your reference.(A Copy of the Contract must be attached)) PROPERTY OWNER: PERMIT# ADDRESS: FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS(12 MONTHS): 4 C) , 6 A I � q COST OF PROPOSED IMPROVEMENTS: �� r (ATTACH COPY OF CONTRACT) oca TOTAL CUMULATIVE COST OF IMPROVEMENTS(past and proposed): a7 VALUE OF PRINCIPAL STRUC attach appraisal): d OWNERS SIGNATURE: DATE: /5 '3 PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 ' II lilt �: SPECIAL SERVICES CUSTOM i IGE Page-1 °0 4. 6322-212652 S.tore-6322 N-MIAMI/BISCAYNE Phone:(305) 981-2959 • AREA 12055 BISCAYNE BLVD Salesperson: DAQ31 AY a y<.,�, F. MIAMI, FL 33181 Reviewer: --__--.-ORDER 10: 6:,22-212652 This is only a QUOTE for the merchandise and services'printed below. This becomes an RECALL AMOUNT 1936.16 Agreement upon payment and an endorsement by a Home Depot register validation. CUSTOMER AGREEMENT DISCOUNT -193.6' ADDL 11DSE SUBTOTAL r'.00 Name Home Phone SUBTOTAL 1 x737.54 FACELLA MARIO=- _ (305)205-9080 SALES TAX i.00 _ . • __ XXXXXXXXXXXX7229 HOMELDEPOT �1=737.54 address.:109 V N E 405TH-ST work Phone 305 205-9080 53 5 ,85 ( ) RUTH CODE t_-r26:�,,9.'3!f:�1ti�,.� TA Company Name CREDIT PROMOTION 10321 9389 • City Job Description FITS FRONT DOOR AND BACK MIAWSHORES ' DOOR NO PERMIT �. :_. _..._ _�......_.-_�. ._. - QUOTE is valid for this date:01/26/2013 State::...FL`'""` Zlp 33138-2125 county MIAMI-DADE � Tfl �� MERCHANME—N SER ICE SUMMARY sodtoc�st mers9httolimitthequa '' o andise " "REF# W10 SKU# 0000-515=664 Customer Picku /Wiil Call -=:S:Ow MERCHANDISE:T-O-RE.P_ICKED UP-:. :::_S/O:FEAT-HER-RIVER ___�:-REF# S09 ESTIMATED ARRIVAL D / 013 DOOR - REF` SKU'. ,; QTY t1M ? SCFfPTiON- AX PRICE EACW EXTENSION S09.01 -0000-.806-449=: : 1.00:::_EA NA/<> R.O.:38 1/4"X 81"/{#1)<> R.O.:38.1/4" X 81",.FRONT A N $729.00 $729.00 DOOR"VERSION:7.2.8*PRODUCT CATEGORY:ENTRY DOO to - - ` - -- NUMBER:6 PANEL SB D 4A*CONFIGURATION:SINGLE >-, ;x,.�, PBEHUNG*PRODUCT TYPE:IMPACT RATED*SWI AND(HINGE) OUTSWING'SLAB WIDTH:36"*SLAB HEIGHT:80" H:38 1/4"*RO H ="S0902 =x=0000=806=449_ ='1.00` EA NA/BASE/*ATT.TO` #1 *PRIMED JAM ` 911:6 A N $37.00 $37.00 'SO903' 0000?806..4 9 1.00 EA NA/BASE I*ATT TO' #1' *OUTSW A N $21.00 $21.00 ' - +S0904' :0000=806-449:, = x°.00 EA NA/<> 8.0.:38'1'/4"X 81"/ ;x381/4"X 81" A N $529.00 $529.00 *VERSION:�:2.8*PROD ORY:ENTRY DOORS*PART NUMBER:6 - -•=- PANEL SB D 5A* FI TION:SINGLE PREHUNG*PRODUCT TYPE:IMPAC *SWING:LEFT HAND(HINGE)OUTSWING*SLAB - - _. .WIDTH:3 " IGHT:80"*RO WIDTH:381/4"*RO HEIGHT:81"*F *"*CONTINUED ON NEXT PAGE*** S WILL-CALL MERCHA UP FOR WILL CALL will-Call items n the store for 7 days only. MERCHANDISE PICK=UP; Check your current order status online at PROCEED TO:ILL CALL OR www.homedepot.com/orderstatus SERVICE DESK AREA (Pro Customers, Proceed To.The Pro.Desk) (9801) 0100273573 Page 1 of 11 ��D X22-2126552 __ — ------ _ tsf_ - ar C;nnv MIAW-DARE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopez-Cantera ffi' Property Appraiser t4 y ",MV i. Folio 11-2232-028-0610 Property Address 1091 NE 105 ST Owner Name(s) MARIO A FACELLA JR&W DANA R Malting Address 1091 NE 105 ST MIAMI SHORES FL 33138-2125 Primary Zone 1000 SGL FAMILY-2101-2300 SQ . Use Code 0001 RESIDENTIAL-SINGLE FAMILY Beds/Baths/Half 2/210 Floors 1 Living Units 1 a Adj.Sq.Footage 2,038 Lot Size 11,050 SQ FT Year Built 1951 Legal Description 32 52 42 A Aerial Photography 2012 MIAMI SHORES ESTS PB 47-58 LOT 11 BLK 4 LOT SIZE IRREGULAR I` OR 203840652 05 2002 1 COC 241642064 12 2005 1 Current Previous - `..'; Year 2012 2011 e, Current Previous Exemption/Taxable Exemption/Taxable Year 2012 2011 County ! $50,000/$152,598 $50,000/$146,698 Land Value $88,080 $110,313 School Board $25,000/$177,598 $25,000/$171,698 Building Value $129,922 $127,946 City $50,000/$152,598 $50,000/$146,698 Market Value $218,002 $238,259 Regional $50,000/$152,598 $50,000/$146,698 MW Assessed Value $202,598 $196,698 " p ` Date Amount Recording Qualification Code p Book-Page Current Previous 12/2005 $612,000 24164-2064 Sales which are qualified Year 2012 2011 11/2005 $0 24164-2062 Sales which are disqualified as Homestead $25,000 $25,000 a result of examination of the deed 2nd Homestead $25,000 $25,000 8/2003 $249,500 21638-0422 Sales which are qualified Senior $0 $0 512002 $223,500 203840652 Sales which are qualified Veteran Disability $0 8/1999 $153,500 187343553 Sales which are qualified Civilian Disability $0 $0 Widower) $0 $0 Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation. Although this website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record. The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user in reliance upon any information provided herein. See Miami-Dade County full disclaimer and User Agreement at http://www.miamidade.govfiinfb/disclaimer.asp. Property information inquiries,comments,and suggestions email: pawebmail @miamidade.gov GIS inquiries,comments,and suggestions email: gis @miamidade.gov Generated on:Friday,March 15,2013 '5- APPROVED BY pq � i.� �. C9 V ATE ''` 1NING DEPT 1 DI_.DG DEPT Y SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COI INTY RULES AND REGULATIONS T V m.r ) .L �s" L✓ per V BACK ��pR ' DAMM • ENGINEERING * INC. Kd= .85 : 2100 W 76 Street, .Hialeah,Florida 33016 FLORIDA BUILDING CODE, 2010. Robert S. Monsour, P.E. FI # 11955 / 0006024 ASCE 7-10 WIND CODE DESIGN WIND LOADS IN PSF. MIAMI DADE 175 MPH WIND ZONE Interior s%,Exterior Zones (4&5 -Walls).Positive Pressures Exposure C For the .175 ' mph Wind Zone CATEGORY 2 Effective Wind Area or, Tri utary Area in Square Feet Height 10' 20 •30. 40 50 60 Maximum 1.00 0.95 0.92 0.89 0.88 0.86 15 40.4 38.5 37.5 36.7 36A 35.7 20 42.7 "40.8 39.7 38.9 38.3 37.8 ' 25 .•44.6 42.6 41.5 40.6 40.0 39.4 30 46.5 . 44.4 43.2 42.3 41.7 41.1 40 49.4 47.2 45.9 44:9 .44.2 43.6 50 51.8 49.4 48.1 47.1 46.4 45.7 60 53.7 51.2 49.8 48.8 48.1 47.4 Interior Zone (4 Walls) Negative Pressures Ex osure.0 For the 175 mph Wind Zone CATEGORY 2 Effective Wind Area or, Td utary Area in Square.Feet Height 10 20 30 40. 50 60 Maximum -1.10 -1.05 -1.02 -0.99., -0.98 -0.96 15 -43.8 -42.0 -40:9 -40.2 -39.6 -39.1 20 -46.4 -44.4 .-43.3. -42.5 -41.9 -41.4-, 25 -48.4 -46.4 -45.2 -44.4 -43.8 -43,2 30 -50.5 -48.4 . -47:2 -46.3 45.6 -45.1 . 40 -53.6 -51.4 -50.1 . -49.1 -48.4 -47.8 50 =56.2 -53.8 -52.5 -51,5 -50.7 -50.1 60 -58.2 -55.8 -54.4 -53.4. -52.6 -52.0 Exterior Zones (5 -Walls) Negative Pressures Exposure C For the 175 mph Wind Zone CATEGORY 2 Effective Wind Area or, Tri utAry Area in Square Feet Height 10 20 30- 40 50 60 Maximum =1:40 -1.29 -1.23 '15 -54.1 -50.4 -48.3 -46.8 -45.6 . -44.7. 20 -57:2 =53.4 -51.1" -49.5 -48.3 47.3 25 -59.8 -55;8 -53. -51.7 -50.4 49.4 30 -62.3. -58.1 -55.7 `-53.9 -52.6 40 -66.1 -61.7 ­59.1 -57.2 _55.8 50 -69.3 -64.7 -61.9 -60.0 -58.5 60 -71.9 -67.0 -6.4.2 -62.2 -60.6 5 Length of End Zone (a): 10% of least horizontal dimension or .4 h,'whichev r is s but not less•than 46/o of least horizontal dimension or 3 ft. (h= mean roof hei ht in fe t). NOTE:AN 8% REDUCTION OF THE LOADS SHOWN ABOVE MAY BE TAKEN FOR FLAT ROOFS. Florida Building Code Online Page 1 of 5 19"M70 7' tk rim 2 Plaida f el m,.imm! BCIS Home Log In ; User Registration Hot Topics Submit Surcharge !Stats&Facts Publications FBC Staff BCIS Site Map Unks Search sin' ,°? USER:Public User 11% Product Approval Regulation BRIMISEEM Product Approval Menu>Product or Application r >Application Ust>Application Detail FL# FL15255 ". Application Type New Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Trinity Glass International Address/Phone/Email 4621 192nd Street East Tacoma,WA 98446 (253)875-7300 rickw @rwbldgconsuitants.com Authorized Signature Vivian Wright rickw@rwbldgconsultants.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who Lyndon F.Schmidt, P.E. developed the Evaluation Report Florida License PE-43409 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2015 Validated By Ryan J.King,P.E. Validation Checklist-Hardcopy Received Certificate of Independence FL15255 RO COI Certificate of Inde_pendence.pdf Referenced Standard and Year(of Standard) Standard Year ASTM D1929 1996 ASTM D2843 1999 ASTM D635 2003 ASTM G155 2004 TAS 201, 202,203 1994 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect FL15255 RO Eauiv Of Standards.pdf http://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDgv3yVVKJZ1Q... 3/15/2013 Florida Building Code Online Page 2 of 5 Sections from the Code Product Approval Method Method 1 Option D Date Submitted 02/26/2012 Date Validated 04/13/2012 Date Pending FBC Approval 03/08/2012 Date Approved 04/18/2012 Summary of Products Go to Page 0 0 Page 1/20 FL# Model,Number or Name Description 15255.1 a. Fiberglass Door 6'8 Single Opaque"Impact"Fiberglass Door-Outswing Configuration X) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL15255 RO II INST 15255.1.pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.1 for Design Pressure Ratings, FL15255 RO AE Eval 15255.1.odf any additional use limitations,installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.2 b. Fiberglass Door 68 Single Opaque"Impact"Fiberglass Door with "Impact"Sidelite or Sldelites-Outswing Continuous Head and Sill Confgurations(OX or XO. OXO Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL15255 RO II INST 15255.2. df Approved for use outside HVHZ:Yes Verifled By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.2 for Design Pressure Ratings, FLIS255_ RO AE EVAL 15255.2.pdf any additional use limitations,installation instructions Created by Independent Third Party:Yes and product particulars. 15255.3 c, Fiberglass Door 6'8 Single Opaque"Impact"Fiberglass Door with "Impact"Sidelite or Sldelites-Outswing Confgurations OX or XO;OXO) Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL15255 RO II INST 15255.3.pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure:N/A Evaluation Reports Other:See INST 15255.3 for Design Pressure Ratings, FLIS255 RO AE EVAL 15255.3.odf any additional use limitations,installation instructions Created by Independent Third Party:Yes and product particulars. 15255.4 d. Fiberglass Door 68 Double Opaque"Impact"Fiberglass Door with or without"Impact"Sidelites-Outswing Configurations XX;OXXO) Limits of Use Installation Instructions Approved for use in HVHZ:Yes FLIS255 RO II INST 15255.4.pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt,P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.4 for Design Pressure Ratings, FL15255 RO AE EVAL 15255.4.pdf any additional use limitations,installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.5 e. Fiberglass Door 6'8 Single Glazed"Impact"Fiberglass Door-Outswing Confi uration X Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL15255 RO II INST 15255.5.od_f Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.5 for Design Pressure Ratings, FLIS255 RO AE EVAL 15255.5.0df any additional use limitations,Installation Instructions Created by Independent Third Party:Yes and product particulars. http://www.floridabuilding.org/pr/pr_app_dtl.as x?param=wGEVXQwtDgv3yVVKJZ1Q... 3/15/2413 Florida Building Code Online Page 3 of 5 15255.6 f. Fiberglass Door 6'8 Single Glazed"Impact"Fiberglass Door with"Impact" Sidelite or Sidelites-Outswing Continuous Head and Sill Confi gurations(OX or XOi OX9) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL15255 R0 11 INST 15255.6.pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure:N/A Evaluation Reports Other:See INST 15255.6 for Design Pressure Ratings, FLIS255 RO AE EVAL 15255,6,pd any additional use limitations,Installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.7 g. Fiberglass Door 6'8 Single Glazed"Impact"Fiberglass Door with"Impact" Sidelite or Sidelites-Outswing Configurations(OX or XO;OXO) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FLI5255 RO 11 INST 15255.7,i2df Approved for use outside HVHZ.-Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure. N/A Evaluation Reports Other:See INST 15255.7 for Design Pressure Ratings, FLIS255 RO AE EVAL 15255.7.pd any additional use limitations,installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.8 h. Fiberglass Door 6'8 Double Glazed "Impact"Fiberglass Door with or without"Impact"Sidelites-Outswing Configurations Limits of Use Installation Instructions Approved for use In HVHZ:Yes FLI5255 RO II INST 15255,8.odf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other.See INST 15255.8 for Design Pressure Ratings, FLI5255 RO AE EVAL 15255,8,0-f any additional use limitations,Installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.9 1. Fiberglass Door 6'8 Single Opaque"Non-Impact"Fiberglass Door- 11 Outswing Inswing Configuration(X) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL15255 RO II INST 15255.9,pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt,P.E.43409 Impact Resistant. No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.9 for Design Pressure Ratings, FLI5255 RO AE EVAL 15255.9.gdf any additional use limitations,Installation Instructions Created by Independent Third Party.Yes and product particulars, 15255.10 J. Fiberglass Door 6'8 Single Opaque"Non-Impact"Fiberglass Door with "Non-Impact"Sidelite or Sidelites-Outswing/Inswing Continuous Head and Sill Configurations(OX or XO; OXO) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FLI5255 RO II INST 15255.10.pd Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.10 for Design Pressure Ratings, FLI5255 RO AE EVAL 15255.10,od any additional use limitations,Installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.11 k. Fiberglass Door 6'8 Single Opaque"Non-Impact"Fiberglass Door with "Non-Impact"Sidelite or Sidelites-Outswing/Inswing Configurations(OX or XO; OXO) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FLI5255 RO II INST 15255.11.od Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:No Created by Independent Third Party:Yes Design Pressure:N/A Evaluation Reports Other:See INST 15255.11 for Design Pressure Ratings, FL15255 RO AE EVAL_15255.11.pdfi any additional use limitations,Installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.12 lass Door 6'8 Double Opaque"Non-Impact" Fiberglass Door with or without"Non-Impact"Sidelites-Outswing/Inswing �117 Configurations(XX•OXXO) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL15255 RO 11 INST I5255.12.pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 http://www.floridabuilding.org/pr/prapp_fitl.aspx9,6-aratn=wGEVXQwtDqv3yVVKJZlQ... 3/15/2013 Florida wilding Code Online Page 4 of 5 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other.See INST 15255.12 for Design Pressure Ratings, FL15255 RO AE EVAL 15255.12.odf any additional use limitations,installation instructions Created by Independent Third Party:Yes and product particulars, 15255.13 m. Fiberglass Door 6'8 Single Glazed"Non-Impact"Fiberglass Door with "Non-Impact"Sidelite or Sidelites-Outswing/Inswing Continuous Head and Sill Configurations(OX or XO; OXO Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL15255 RO II INST 15255.13.odf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.13 for Design Pressure Ratings, FL15255 RO AE EVAL 15255.13.pddf any additional use limitations,installation instructions Created by Independent Third Party:Yes and product particulars. 15255.14 n. Fiberglass Door 6'8 Single Glazed"Non-Impact"Fiberglass Door with "Non-Impact"Sidelite or Sidelites-Outswing/Inswing Continuous Head and Sill Configurations(OX or XO; OXO Limits of Use Installation Instructions Approved for use in HVHZ:Yes FLIS255 RO II INST 15255.14.pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant:No Created by Independent Third Party:Yes Design Pressure:N/A Evaluation Reports Other:See INST 15255.14 for Design Pressure Ratings, FLIS255 RO AE EVAL 15255.14.odf any additional use limitations,Installation instructions Created by Independent Third Party:Yes and product particulars. 15255.15 0. Fiberglass Door 6'8 Single Glazed"Non-Impact"Fiberglass Door with "Non-Impact"Sidelite or Sidelites-Outswing 1 Inswing Configurations OX or XO. OXO Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL15255 RO II INST 15255.15.Qdf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure:N/A Evaluation Reports Other:See INST 15255.15 for Design Pressure Ratings, FL15255 RO AE EVAL 15255.15.pd any additional use limitations,installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.16 p. Fiberglass Door 6'8 Double Glazed"Non-Impact"Fiberglass Door with or without"Non-Impact"Sidelites-Outswing/Inswing Configurations(XX;OXXO) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL15255 RO II INST 15255.16.Ddf Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt,P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure:N/A Evaluation Reports Other:See INST 15255.16 for Design Pressure Ratings, FL15255 RO AE EVAL 15255.16.pdf any additional use limitations,installation instructions Created by Independent Third Party:Yes and product particulars. 15255.17 A]q. rglass Door 8'0 Single Opaque"Non-Impact"Fiberglass Door- Outswing/Inswing Configuration(X) Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL15255 RO II INST 15255,17.12df Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.17 for Design Pressure Ratings, FL15255 RO AE EVAL 15255.17.24 any additional use limitations,Installation instructions Created by Independent Third Party:Yes and product particulars. 15255.18 r. Fiberglass Door 8'0 Single Opaque"Non-Impact"Fiberglass Door with "Non-Impact"Sidelite or Sidelites-Outswing/Inswing Continuous Head and Sill Configurations(OX or XO; OXO Limits of Use Installation Instructions Approved for use In HVHZ:Yes FL15255 RO II INST 15255,18.12 Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt,P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.18 for Design Pressure Ratings, FLIS255 RO AE EVAL 15255.18.pd any additional use limitations,Installation instructions Created by Independent Third Party:Yes and product particulars. http://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDgv3yVVKJZIQ... 3/15/2013 Florida Building Code Online Page 5 of 5 15255.19 s.Fiberglass Door 8'0 Single Opaque"Non-Impact"Fiberglass Door with "Non-Impact"Sidelite or Sidelites-Outswing/Inswing Configurations(OX or XO;OXO) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FLI5255 RO 11 INST 15255.19.pd Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.19 for Design Pressure Ratings, FLI5255 RO AE EVAL 15255.19.Dd any additional use limitations,Installation Instructions Created by Independent Third Party:Yes and product particulars. 15255.20 t. Fiberglass Door WO Double Opaque"Non-Impact"Fiberglass Door with or without"Non-Impact"Sidelites-Outswing/Inswing Configurations X;OXXO) Limits of Use Installation Instructions Approved for use In HVHZ:Yes FLI5255 RO 11 INST 15255.20,od Approved for use outside HVHZ:Yes Verified By: Lyndon F.Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 15255.20 for Design Pressure Ratings, FLI5255 RO AE EVAL 15255.20.pd any additional use limitations,Installation Instructions Created by Independent Third Party:Yes and product particulars. Go to Page Pagel/2 Back Next Contact U ::1940 North Monroe Street.Tallahassee FL 32399 Phone:$50-487-1824 The State of Florida is an AA/EEO employer.copyright 2007-2010 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 650.487.1395. *Pursuant to Section 455.275(l),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 emalls 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. To determine if you are a licensee under Chapter 455,F.S.,please click here. Product Approval Accepts: Gura 13,raus' http://www.floridabuilding.org/pr/pr_app__dtI.aspx?param--wGEVXQwtDqv3yVVKJZlQ... 3/15/2013 • Y R -tE ( ff sF� •a i of+-. Y z4' �' {[fir k Pi ii ! a rY :°il Nil i i " t Y et F s F i s�la et i i.3 �'1 4 riC�:• i � •i P Ir i v _� _ C x n .� NORM 7 11 1111 1 111 1; m# (Et 4i2 8 r n FIBERGLASS 7 SaERIOR LOCK BL= PVC STILE CAP PVr TOP RAU PVC STILE CAP 0-17 ............ mn V IL .............-, �................... mn V IL 11111111m LVL RAIL POLYUREMANE FOAM CORE o1 11111111m LVL RAIL PVC BOTTOM RAIL 1118112 sm N.T.S. 1.76- Dm Oft' -JK 1FS 2 VWCAL CRW SS=N WAVM WM: FL—I W55 1 * aiw 2 *F 7 1 2 EMB.UVJ 1 1 2 :3 R c =0: 4o °. ° a 12 2 4 ......... —q3 0 3 0 ` � r EXTERIOR - r�HORIZONTAL CROSS Stfi!!OM z _..'H/txsutr•btjck - EMB.IrrP.) t 4 4 t EMB.ff?.) M , C O15 0.15' C I. CMK ° 1 2 3 1 2 3 ... INTERIOR INTERIOR z - ° z 40 40 - - ° J EXTERIOR EXTERIOR o g D g . -, 23 64 B D NT.S o r: E 'ctau an IFS # E 1 H RIZOMAL CR °S SECT! 2 HORIZONTAL CROSS SECflON "NQ Nos i 3 3 FL-15255.1 o �Z ® - - 7 mmw Z'= ..�OxZ - 30 51 a JK ¢ err US 3 �exa eb.: � Pt-15255.1 0 � � 7 ro �a r d L — 12 __.. .. EXTERIOR tNTER►C EXTERIOR : ' INTERIOR 1 2 8 tNTEROR r_YERIICA!CROSS SfC)!ON 1 VERTICAL CROSS SECTION — 4 Shown W X SW43Lc 4 EXTERIOR INTERIOR EXTERIOR 40 ... 40 E a a :•d' • _ VERTICAL CROSS SECTION %3�VERTICAL CROSS SECTION 4 ® 0-hVh OM 7 mmw Z'= ..�OxZ - 30 51 a JK ¢ err US 3 �exa eb.: � Pt-15255.1 0 � � 7 ro �a r SEE HINGE S�, DETAIL 1 — ° rT i e <Q f •a _ _ _ a I ��g 4 ° - BUCK to e - IYP.HEAD-! . 1. BUCK..; AND JAMBS 7 $S TYP.HEAD g LL AND JAMBS 2X BUCK ��j 2X BUCK 22 _ M O _ _ . DOOR - _ f*: ° ° V - O _ 64 2X BUCK SEE MASONRY OPENING HINGE OPENING - M IX BUCK r DETAIL 2 ° TYP SILL e P 23I • tl�'o. - .. - :_-_:v e _ STRIREPLATEDETAIL N h BLICKANCHORING - - HINGE) FMWAMCHORN4G_ MUCE JAMB Mawnry cormvjctlon CONCREJEANCHOR N07B. °-- T.Substituttan of equal concrete anchors from a dtferentwpOermay have cNerent edge distance and center dslance requ6ements. 2 Concrete anchorldcatfons at the comers maybe adjusted to maintain the mh edge J 2X BUCK 1 2X BUCK ri cWar=fo mortarlointL if concrete andwidballons noted as'MAX ON CENTER'must be adjusted fo maintain the mIn edge dktgnpe to morW10in s,additional concrete anchors: H 1X BUCK H lX BUCK maybe required fo enwre the MAX.ON CEN Wdtmerisbm are not exceeded 3 Concrete anchortabie:- 26 26 ............:.................... ........ ....:::.....:::::•:. :fink AtUCHf3R ..... - -::•:::_ ltl1 ;:: 1 rN4: 1 RId! ?l ltd 24 ° n SIB tdC1NR#"E lkt}i�tCA >If3/t :. ..... as 1z liw 114' 1.114° 2.112° 3' rns ere JK m' ELCO 1/4 1-1/4' 1' 4 CW.sr: LFS 3 HINGE DETAIL I HINGE DETAIL 2 n�wsa:re a tm 8/16' 1114 2-318° 2.1/4• FL-152-55.1 3 N 1r AL or 7 I M" �W 6 Ql o. 4W 1.2T --2.44° 0 0 I :J- 0 11 L 0-1 MOP ftmdkg W 9 '.W. US an wx: FL-15255.1 Er 6,cF 7 4.58° I M" �W 6 Ql o. 4W 1.2T --2.44° 0 0 I :J- 0 11 L 0-1 MOP ftmdkg W 9 '.W. US an wx: FL-15255.1 Er 6,cF 7 BILL OF MATERMALS 3 r�o b1AYEifAL eel a A 1X BUCK SG x 055 WOOD z _ B 2X BUCK SG r-0.55 WOOD a C 114 MAX SHAM SPACE gig - - D 114 X 2-3/4*PFH ELCO OR fTW CONCRETE SCREW -- -- - -- STEEL MASONRY-3,192 PSI MIN.CONCRETE CONFORMING TO ACI ° $ il E 301 OR HOLLOW BLOCK CONFORMING TO ASTM C90 CONCRETE °n O s c , e F 114 X 3.3/4 PFH ITW CONCRETE SCREW STEEL H 1!4 X 3-114 PFH ITW CONCRETE SCREW STEEL J #9 X 21/4 PFH WS STEEL. L #8 X 21/2°PFH WS STEEL. M 3116'X 3.114"PFH ITW CONCRETE SCREW STEEL - P 1!4 X 2-3/4 PFH ELCO OR ITW CONCRETE SCREW STEEL. T JAMB(HNGER-J NTPINE-SG .42) -- WOOD - 2 :IAMB PVC 3. JAMB HBERGLASSlCOMP 8 #6 X 1-114 PFH DRYWALL SCREW STEED. 12 WEATHER STRIP QEBD650 Q-LON - r 18 3-.%W X 4.0 HINGE MIN 0.098°THICK STEEL o 19 SILLKEY PCIASA 22 DEADBOLT STRUT:PLATE STEEL , c 23 STRIKE PLATE. STEEL - c 24 -#4 X 51W PFH WS STEEL 25 OUTSWING HIGH-DAM THRESHOLD ALUMINUM W/COMPOSITE SUBSTRATE AWM./COMP. 26 #4 X 1.0 PFH WS STEEL 27 OUTSWNG THRESHOLD ALUMINUM W/COMPOSITE SUBSTRATE ALUM./COMP. 40 DOOR PANEL.-SEE DOOR PANEL DETAIL SHEET FOR CONSTRUCTION DETAILS - 64 -#8X2"PFH WOOD SCREW STEEL us E a n was: 1118112 i arw� N.T.S. ° # us&er JK m' s CW.an LFS 3 CROW W. FL-15255.1 0 SW 7 0F_L dD Building Consultants, Inc. Consulting and Engineering Services for the Building Industry P.O.Box 230 Vatrico,FL 33545 Phone S 13.654.4197 Florida Board of Professional Enjoneers Certificate of Authorization No.9813 I s� Product Sub Category Manufacturer Product Name Category Trinity Glass International Opaque Fiberglass Exterior Swinging Exterior Door 4621 192nd St.East "Impact"Door Doors Assemblies Tacoma,Washington 98446 Outswing Phone 236475-7300 Facsimile 236475-7301 Scope: This is a Product Evaluation report issued by R W Building Consultants,Inc.and Lyndon F.Schmidt,P.E.(System ID# 1998)for Trinity Glass International based on Rule Chapter No.9N-3,Method 1 D of the State of Florida Product Approval, Department of Business&Professional Regulation. RW Building Consultants and Lyndon F.Schmidt,P.E.do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. Limitations: 1. This product has been evaluated and is in compliance with the 2010 Florida Building Code(FBC)structural requirements including the "High Velocity Hurricane Zone"(HVHZ). 2. Product anchors shall be as listed and spaced as shown on details.Anchor embedment to base material shall be beyond wall dressing or stucco. 3.When used in the"HVHZ"this product complies with Section 1626 of the Florida Building Code and does not require an impact resistant covering. 4.When used in areas outside of the"HVHZ"requiring wind home debris protection this product complies with Section 1609.1.2 of the 2010 FBC and does not require an impact resistant covering.This product meets missile level"D"and includes Wind Zone 4 as defined in ASTM E1996 and Section 1609.1.2.4 of the FBC. 5. For 2x stud framing construction,anchoring of these units shall be the same as that shown for 2x buck masonry construction. 6. Site conditions that deviate from the details of drawing FL-15255.1 require further engineering analysis by a licensed engineer or registered architect 7. This product meets the water infiltration requirements for"HVHZ". 8. See drawing FL-15255.1 for size and design pressure limitations. Supporting Documents: 1. Test Report No. Test Standard Testing Laboratory signed TEL 01470437 TAS 201,202,203-94 Testing Evaluation Lab.,lnc. Lyndon F.Schmidt,P.E. TEL 06-0918-2 TAS 201,202,203-94 Testing Evaluation Lab.,lnc. Wendell W.Haney,P.E. TEL 01370079 TAS 201,202,203-94 Testing Evaluation Lab.,lnc. Lyndon F.Schmidt,P.E. TEL 02010411 ASTM G155-04,G158-02 Testing Evaluation Lab.,inc. Lyndon F.Schmidt,P.E. TEL 01470100 ASTM D1929-96 Testing Evaluation Lab.,lnc. Lyndon F.Schmidt,P.E. TEL 01470099 ASTM D2843-99 Testing Evaluation Lab.,inc. Lyndon F.Schmidt,P.E. TEL 01470101 ASTM D635-03 Testing Evaluation Lab.,lnc. Lyndon F.Schmidt,P.E. 2. ®rawino No. Prepared by Signed&Sealed by No.FL-15255.1 RW Building Consultants,Inc.(CA#9813) Lyndon F.Schmidt,P.E. 3. Calculation$ I?renared by Signed&Sealed by Anchoring RW Building Consultants,Inc.(CA#9813) Lyndon F.Schmidt,P.E. 4. Quality Assurance Certificate of Participation issued by National Accreditation and(Management Institute,certifying that Trinity Glass intemational is manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53. Lyndon F.Schmidt,P.E. FL PE No.43409 4/11/2012 PF 1089 Sheet 1 of 1