WS-13-2050Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 198944 Permit Number: WS -9 -13 -2050
Scheduled Inspection Date: November 22, 2013
Inspector: Rodriguez, Jorge
Owner: FRUCIANO, DANIEL
Job Address: 236 NE 91 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: GARAGE DOOR SERVICE OF BOCA INC
tsunamg uepanment comments
REPLACE TWO 8.4 X 7 GARAGE DOOR
Permit Type: Windows /Shutters
Inspection Type: Final
Work Classification: Garage Door
Phone Number
Parcel Number 1132060190440
INSPECTOR COMMENTS False
November 21, 2013 For Inspections please call: (305)762 -4949 Page 4 of 20
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
November 21, 2013 For Inspections please call: (305)762 -4949 Page 4 of 20
® Miami Shores Village mac.
0 Building Department S E V 11 2013
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. 11 �` C
PERMIT APPLICATION Master Permit No. (A)5 ' 20 5 D
Permit Type: BUILDING ROOFING
JOB ADDRESS: Z 3(P N F_ q 1 3�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #: _l I- 3 Z® (a • 0 15 - 0 L{ Li
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): I f�tC i Cameo Phone #: q0I q Z 3
Address: Z3 K ( -�-
City: MtamG � koreg State: it zip: 33/
Tenanta -essee Name: IJ Phone #:
Email:
CONTRACTOR: Company Name: t'ar �ao �,SltrVJ a e9, OF a ®&:- C• Phone #: 09V ' �2 / ' I1 9 '(
Addres : 4q ,9® &W % f .,h1 e- 3
City: pq, State: 1 Zip: i
Qualifier Name:
State Certification or Registration #: Certificate of Competency #: Q3 15 s oo q C1 (0
Contact Phone #: q Email Address: ® &&'4 -gow L t
DESIGNER: Architect/Engineer: ! ��,r� Phone #:
a -2
Value of Work for this Permit: $ ��y • Square/Linear Footage of Work: /
Type of Work: DAddition pp UA- teration � a® DNewf DRep ' e lace DDemolition
Description of Work:. Zw lame— �tao 7 q & � i � 0& r- S
Color thru tile:
Submittal Fee $ Permit Fee $ ° 00 CCF $1_!�O ^' CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ v Bond $
Notary $ J - j) 0 Training/Education Fee $ Technology Fee $ l�
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
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.
Signature Signature
Owner or Agent Q� Contractor
The foregoing instrument was acknowledged before me this /
day of , 20 j by D4N 115 L Fe—Ue!
who is personally known to me or who has produced Oq--4 r
As identification and who did take an oath.
NOTARY PUBLIC:
�p,�' %,,��
Sign:
Print: ifs�j� r
My Commission Expires: _
The foregoing instrument was acknowledged before me this
day of , 20 1 ?�, by , I
who is persona ly known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 110/2009)(Revised 3/15/09)
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This NOA is being issued under *e applicable rain and regulations govaning the tie of =S#ntct= maWlak. The
documentation aubmittedhas been rev iewed and accepted by t i)ade County RBR_'roduct Control Section n►
used iaMia�ni DOde COUnty and other atoms where allowed bythe A� Having jwi Control
This NOA shall wt be valid after the expiration date sited below. The Wamj4)ado Count Sewn be
(In
Rde C�1Mfor ) and/or the AHJ (in arm otter ttum Miami Dade County) reserve the riot too Imve this produu t or
wffl "ality assurance purpcu . If this pxaduct or material f6lis to peribrm in the accepted maim a, the
��mated rl he�vhx Of t testing and the AHJ may immediately revoke, moafy', or =spend the � of
such
h+[iami Dade C mac . RSR reserves the right to revoba this a�san k if it is determined
applie" building c Control Section that this product or material fails to meet the reT*emem of the
This product is approved as described harm, and has been designed to comply with the Flori& Buiiding Code,
including the High velocity Hurricane Zone
MCKMON: Model 950 Heritage & 6W Oak Summit 100% 2000 Steel Sectional Garage Door up
to 9' -0" Wide (1)P +5LJ, -60.3 PSI)
APPROVAL DOCUMENT: Drawing No. IRC-9994W2I, titled ` Mcdel 950 Heritage & Mo&l 655 Oak
Summit; (24 GA) 100()' 2000' Short Long, Mush and Oak SurnmitPsaWe, sheets 16rough 3 of 3, dated
0311412003, whh revision B dated 1011.3/2011, prepared by Amcor Garage Dome, ugned and sealed by
Tomas L. Sheltnerdine, P-H, bming the Miami -Dade County Product Control revision stamp with the
Notice caf Acceptance number and expiration data by the pV�amWade County Product Control Section.
WSSILE WALT RATING: Large and Small 08980 Impact Resistant
LABELWG: A Permanent label with the manuftldu Ws name or 109N 3800 Creenway Circle Lawrence;
Kansas, model number, the positive and negative design Prmrtre rating, indicate impact rated if applicable,
installation instruction drawing reference number, gpnaval numb (HOAX the applicable test dtandards, and
the statement reading `Miami Dade County Product Control Approved' is to be located on the door's side
track, bottom angle, or inner surface of a p anol,
RENEWAL of titis NOA shall be con idereti Oder a renewal, application bas been filed and blue has been no caange
in the applicable building code negaively affeeft the perfar MOD of this produCt.
TERNMATION of this NOA will occur ether the expitution date or if dun has been a revision or change in the
matkls, use, atullor malmAct�ue ofth eproduct orpmess. Mbw ofthis NOA as an e90180ment of
sales, adv or any other pugxn s shall an se for
this NOA shall be c for tern ion amp a m tw g Hum m c�'ly vwf any ion of
ADMUBEWT: The NOA number prec+ M by the was M"wni -Dade Cm% lFW* and followed by the
expiration die may be displayed in advertising literature. 1f any portion of the NOA it shall be done
Is
In its entirety. tlum
INSPE MON: A copy of this endmWOA shall, be provided to the user bythe mangy or its distributors and
"be avaW* for inspection at the job site at the m piest of the Building Off ioial.
This NOA revises and renews NOA # 12- fl228.12 and consists of this page 1 and evidence page E-1, as well
as approval document mentioned above
The submitted documentation was reviewed by Carlos M. Utmra, P.E.
e NOA N0 I3- 0503.06
j ]EXPI atlon DWO. ;Member 4, 2018
.APProval Date: August 0, 2023
1! Page 1
777 Y: _ Iy
N2=1 OF ACCEPT.ANC& MUDENCE SUBNIITTED
A. DRAWINGS
1. Drawing No. IRC 9509- 184-21, titled `Aadel 950 Heritage & Model 655 Oak Summ% (24
01A) 1000' 2000' Short, Long, Flush and Qak Summit Panels", sluts Itbrough 3 of 3, dated
03/1412003, with revision Belated 1011312014 prepared by Amarr Garage Do0r4 sigma and
waled by Thomas L. Shelmsrdine, P.E.
B. TESTS
1. Addendum to Test Report No ATLNC 0129.01 -13R, prepared by American Test Lab, IM,,
dated 0611112013, signed and by David W. Johnson, P.E.
2. Test report on Evaluation of Painted or Coated Specimens Subjected to Ccmmlve
Environments per ASTM D1654 & ASTM BI 17, prepared by prchitecturat Testing, Inc., Test
Report No. 05463.01 - 14648, dated 04/03P2013, signed and sealed by Gary T. Hartman, P3;.
3. Test reports on 1) Uniform Static Air Pressure Ted Loading per FBC TAS 202 -94
2) Large Missile Impact Test per FBC, TAS 201-94
3) Cyclic Wind P. sore Loading per FBC, TAS 203 -94
• 4) Tensile Test per ASTM ES
5) Forced Entry Resistance Trot per FBC, TAS 202-94
along with marked-up drawings and installation diagram of 9'x T 24 ga steel garage door
Model 950, prepared by American Test Lab, RIO,% Ted Report No. ATLNC 0129.01 -138,
dated 04102/2013, signed and sealed by David W. Johnson, P.E.
4. Test reports on 1) Uniform Static Air Pressure Ted Loading per FBC TAS 202-94
2) Large Missile Impact Test per FBC, TAS 20194
3) Cyclic Wind Pressure Loading per FBC, TAS 203-94
along with marked -up drawn P and installation diagram of 9'x 7' Model 950D Heritap with
Durasfe, 24 ga Sectional Steel C3arage Door, prepared by American Test Lab, Inc., Test
Report No. ATL 0311,81438, dated t?6 =006, signed and sealed by David W. Johnson,
P.E. Vubtrdtted mderNOA # 0&0718.01"
C. CALCULATIONS
1. Anchor calculations prepared by Structural Solutions, P.A., dated 0411 1120 1 3, signed and
soaled by Thomas L. Shslmerding, F.F.
2. Anchor calculations prepared by Structural Solutions, P.A., dated 0125/2012, signed and
sealed by Timm L. Shalmerdins, P.E. "SubM tied under NOA 0 08-0718. 0.1"
D. QUALITY ASSURANCE
1. Mmmi -Dade Department of Regulatory and Economic Resources a=)
E. MATERIAL CERTIFICATIONS
1. Nom
F. STATEMENTS
1. Statement letter ofcode confo a to 2010 and no financial interest issued by
Sftchunl Solutions, PA., dated !1 U2013, si and sealed by T L. Shehusrdine, P.E.
Carlos M. tr 3 P.E.
Product Control Emminer
NOANo 134M."
Eapirstien Date: September 4, 2018
�r 1 Approyd1htc: Auger 8,2013
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