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WS-13-1345i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 193593 Permit Number: WS -6 -13 -1345 Scheduled Inspection Date: July 19, 2013 Inspector: Rodriguez, Jorge Owner: MARY ELLEN BENTON, DOUGLAS QACMCC Job Address: 10108 NE 1 Avenue Miami Shores, FL Project: <NONE> Permit Type: Windows /Shutters Inspection Type: Final Building Work Classification: Garage Door Phone Number Parcel Number 1132060131560 Contractor: ALLIED DOORS SOUTH FLORIDA INC Phone: (954)942 -8550 tiunamg uepanment comments REPLACE 2 GARAGE DOORS INSPECTOR COMMENTS False July 19, 2013 For Inspections please call: (305)762 -4949 Page 12 of 29 Inspector Comments Passed QV. Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 19, 2013 For Inspections please call: (305)762 -4949 Page 12 of 29 NOTICE OF COMMENCEMENT r- ARZMRM 00 MPECnON -134S -3 06 MUST BE PWM ON THE JOB WM AT T= OF PERMrr — TAX FOLIO NO.Z" STATE OF FLORIDA COUNTY OFDARE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: CFH 2013RO463587 OR Bk •8673 P9 0010; QP9) RECORDED 06/11/2013 11:48:12 HARVEY RUVINr CLERK OF COURT MIAMI -DACE COUNTYP FLORIDA LAST PAGE __7 A 1. Legal description of property and street address: /7 / /V7 I -'> P'2,Pv fzc- Q C &-;. I I r-1 IV 2. Description of improvemenj 3. Owner fal name and addresr. Nam and address of fee simple titleholder: 4. Contractor's name and address: A-ZL 467 y44J S P0 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond- $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or Wier documents may be saved as provided by Section 713.13 (1) (a) 7., Florida Statutes: Name and address: M addition to himself, Owner designates the following person (s) to receive a copy of the lAcrior's Notice as provided in Section 713.13 (1) (b) 7., Florida Statutes: Nam and address: 9. Expiration date of this Notice of Commencement (die . expiration date is I year from the date of recording unless a different dam is specified) SignatureWowner -7) DbdrS SO Print Owner's Name Prepared by: Sworn to and nkscribed before me this 0 day of �, 20 Notary pub kt.Ad- e 60( 4t Address: Print Notary's N 3 3 My Commission spires: ..... LYDIA M. LAROCCA rya S Notary Public - State of Florida My Comm. Expires Jun 5, 2014 Z Commission # DO 975463 OF FV , Bonded Through Natioaal Notary Assn. 43699 4CEl CERTIFICATE OF LIABILITY INSURANCE DA 1 n 6/17/203 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomemenrt s . PRODUCER Commercial Lines - (561) 368 -2777 CONTACT Cindi Hankins NAME: PNONE 561- 226 -6154 FAX AIC No 561- 226 -3581 Wells Fargo Insurance Services USA Inc. ADDRESS: cindi.hankins@welisfargo.com INSURER(S) AFFORDING COVERAGE NAIC # 2255 Glades Road, Suite 420A INSURERA: Twin City Fire Insurance Company 29459 Boca Raton, FL 33431 -8509 INSURED Allied Doors South Florida, Inc. INSURER B PERSONAL S ADV INJURY INSURER C : 151 S. W. 5th Court INSURER D: $ 2,000,000 INSURER E: PRODUCTS - COMP /OP AGG $ 2,000,000 INSURER F: $ Pompano Beach FL 33060 COVERAGES CERTIFICATE NUMBER: 6205698 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r7�-] OCCUR X $ODeductible 21 UUNJT2113 6(30/2012 8/30/2013 EACH OCCURRENCE $ 1,000,000 DA AGE TO RENTED PRE M ISES (Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY -X] PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED HIRED NON -OWNED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) If Certificate Holder has requested to be listed as Additional Insured, please refer to attached policy form HG 00 01(06/05) CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2ND AV ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE 9t__,l�- cmil The ACORD name and logo are registered marks of ACORD ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 111111111111111111 IN 111111111111111111111111111111111111111111111111111111111111IIII Ills i Miami Shotes Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: City: Miami Shores Folio/Parcel #: ll — 3ao 6 " Is the Building Historically Designated: Yes - , 7 JUN 12 2013 � By: !;2C --, FBC 20 1 C) Permit No. Master Permit No. ROOFING County: Miami Dade Zip: -�1� NO Flood Zone: OWNER: Name (Fee Simple Titleholder) Aa � DOL4 C & ! 1 Phone #:3 " q 3 Address:, � � o!&- O E 1 City: 1 ,arm 1 5 140 az7S State: ��� Zip: 1 Tenant/Ussee Name: ( (� li�_. Phone #: Email: CONTRACTOR: Company Name. ALLIED DOORS SOUTH FLORIDA INC Phone #: 954 -942 -8550 Address: 151 SW 5 CT. City: POMPANO BEACH State: FL Zip: 33060 Qualifier Name: DENNIS ROMANELLI Phone #: 954-942 -8550 State Certification or Registration #: CBC 033 -137 Certificate of Competency #: Contact Phone #: 954 -942 -8550 Email Address: nina @allied- doors.com DESIGNER: Architect/Engineer: Phone #: ®6 Value of Work for this Permit: $ _ Z 0 • Sguar - ear Footage of Work: Type of Work: ❑Addition ❑Alteration ONew epair/Replace ODemolition Description of Work: REPLACE D.- EXISTING <Z,)( k' O/H GARAGE DOOR Submittal Fee $ So Scanning Fee $ Color thru tile: cy � Permit Fee $ CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ r i 6 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The ford oing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this day of , 20 , by AU 6665 "- a,. < day of Q , 20(3 , by DENNIS ROMANELLI who is 2S0qRgXk9va to me or who has produces As identification and who did NOTARY PUBLIC: who is gerso nall as produced_ as identification and who did take an NOTARY PUBLIC: Si gn�' Print: a _ °_ Sign: Print: My Co sion Expires: -�� o w =off My C C27 4 APPROVED BY ( Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3/15/09) Expires: (� R o y � n a rya�Cn z c � O o � o C') n Clerk -RO rL 3 "O-7909 y an.thd.*.Morb thlbt"%WhObOUt,O.,WOMO.10r-l- WtheMotitationsum OPOM am Mrs �N99spimm Tax Amotarat Tracf$ree ¢� tjo : Caiteagvn Gosh Total P.Bid :. 27.ao,i30 Q.QO 27.:0.0 CERTIFICATE OF LIABILITY INSURANCE DA0TE ) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 310120113 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 ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Risk Transfer Programs, LLC 219 East Livingston Street Orlando, FL 32801 CONTACT NAME` PHONN 866 -481 -9363 FAX No E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A :CastiePoint National Insurance Company 40134 $ INSURED Leasing Resources of America, Inc. Labor Contractor for leased workers to: Allied Doors . INSURER S :Tower Insurance Company of New York 44300 INSURER C : South Florida, Inc. 9280 Bay Plaza Boulevard Suite 715 INSURER D: DAMAGE TO RENTED PREMISES Ea occurrence INSURER E : MED EXP (Any one person) Tampa, FL 33619 INSURER F $ COVERAGES CERTIFICATE NUMBER:W9JRKSEG 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. ILTR TYPE OF tN3URANCE IN B POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I—] OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LJAB DED I I RETENTION$ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIFXECUTIVE WSLTHPE00040202 WSLTHPE00039602 03/01/2013 03/01/2014 X WRSTATU- OTH- ' E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? El (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If s, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Coverage is extended to the leased employees of alternate employer in all states except in monopolistic states (ND, OH, WA, WY): Allied Doors South Florida, Inc. #63594 (Effective 3/1/12) Village of Miami Shores 10050 NE 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 PAnA 1 of 1 n 49RR.9n4n ACf1Rn rf)PPnRATIAN. 011 rinh4a raaarvad ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 6262012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAtIVVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomemen s . PRODUCER Commercial Lines - (561) 368-2r77 Wells Fargo Insurance Services USA, Inc, 2255 Glades Road, Suite 420A Boca Raton, FL 33431 -8509 Cindi Hankins PHONE 561- 226-6154 F C. No ; 561 - 226 -3581 M No. R10 cindi.hankins @wellsfargo.com INSUR S AFFORDING COVERAGE NAIL S INSURERA: Twin City Fire Insurance Company 29459 INSURED Allied Doors South Florida, Inc. 151 S. W. 5th Court Pompano Beach FL 33060 INSURER B: 6/302012 INSURER C : EACH OCCURRENCE INSURER D: DAMAGE TO RENTED PR I E wan INSURER E: MED EXP Am one arson) INSURER F: PERSONAL & ADV INJURY f _nVIPPACOAQ r!FRTIFII -ATF MIIMRFR- 4527U85 REVISION NUMBER: Sea below -- -- • -- - -- - -- ---- --------------- -- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE QUILL BE DELIVERED IN 10050 NE 2ND AV POLICY NUMBER POLICY EFF POLI EXP LIMITS r GENERAL LIABILITY % COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FK OCCUR X $0DeducW9 21 UUNJT2113 6/302012 6!302013 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PR I E wan $ 300,000 MED EXP Am one arson) $ ^ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000.000 GEWL AGGREGATE LIMIT APPLIES PER POLICY X PRO LOO PRODUCTS - COMP /OP AGG $ 2,GW,000 $ i AUTOMOBILE LIABILITY ANY AUTO ALL OSWNED AUCT LED NON-OWNED HIRED AUTOS AUTOS 1 I U t BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPER DAMAGE $ UMBRELLA LUAB EXCESS LIAS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes descr0:e under DESCRIPTION OF OPERATIONS below NIA I WC STATU- OTH- Lls E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLO $ E.L. DISEASE - POLICY LIMIT I $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks SahedWo. H more space Is required) If Certificate Holder has requested to be listed as Additional Insured, please refer to attached policy form HG 00 01(06/05) nrn"C14%ATC unl nr® f!AWf!CI 1 ATInN CITY OF MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE QUILL BE DELIVERED IN 10050 NE 2ND AV ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE The ACORD trams and logo are registered marks of ACORD U IVDU - -AUIU A4VKV 4VKruKA I1VIY. Ail Hansa reverveu. ACORD 26 (2010106) 9�. yv V- D Miami Shores Village ' APPROVED BY DATE 2013 1 MIAMI - BONING DEP _ DWE 7 1- — vll�► tz = BLDG DEPT r, ���� PRODUCT CONTROL SECTION` DEPARTMENT OF PERM IT TING, , 11805 SW 26 Street, Room 208 AFFAIRS (PERA) SUBJECT 10 NCE wi F,1 ALL FEUERAL Miami, Florida 33175 -2474 BOARD AND CODE ADM ISTRATION DIVISION T (786) 315 -2590 F (786) 315 -2599 MV JiOTICE A� �, = -r IIJLA�1Gt,S www.miamldade, ovl oral OF AC'_ _ __..�_ - n age Doors 5 Ca ge Court o Salem, NC 27105 is being issued under the applicable rules and regulations governing the use of construction teri 1 The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - rodu 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 -Dada 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: Model 500 Classlca 10009 8QAAkvh%efiauW Garage Door up to 9' -0" Wide APPROVAL DOCUMENT: Drawing No. IR - 5309 - 185 -d "Model 500 Classica 1000, 2000 Flush, Bead, Raised and Recessed Panel", Shee u ted 09/11 /2008, with revision A dated 11/07/2010, prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelmerdine, P.E., bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: A permanent label with the manufacturer's name or logo, 3800 Greenway Circle, Lawrence, Kansas, model number, the positive and negative design pressure rating, indicate impact rated if applicable, installation instruction drawing reference number, approval number (NOA), the applicable test standards, 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 panel. RENEWAL of this NOA shall be considered after a renewal application has been fled 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 # 09- 0312.06 and consists of this page 1 and evidence page E -1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 124228.11 IM14=ECOU Expirat1on a e: il'2?," 4 • •• %omt�1Approval Date: May 3, 2012 Page 1 Amarr Garage Doors NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. IRC -5309- 185 -214, titled "Model 500 Classica.1000, 2000 Flush, Bead, Raised and Recessed Panel", Sheets 1 through 3 of 3, dated 09/11/2008, with revision A dated 11/07/2010, prepared by Amarr Garage Doors, signed and sealed by Thomas L. Shelmerdine, P.E. B. TESTS 1. Test report on Evaluation of Painted or Coated Specimens Subjected to Corrosive Environments per ASTM D1654 & ASTM B117, prepared by Architectural Testing, Inc., Test Report # A7420.01- 106 -18, dated 04/12/2011, signed and sealed by Joseph A. Reed, P.E. "Submitted under NOA # 09- 0312.06" 2. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC TAS 202 -94 2) Large Missile Impact Test per FBC, TAS 201 -94 3) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 4) Forced Entry Test, per FBC 24113.2. 1, TAS 202 -94 5) Tensile Test, per ASTM E8 Along with marked -up drawings and installation diagram of Amarr 9'x 8' 24 ga steel garage door Model 500 Classica 1000, prepared by American Test Lab, Inc, Test Report No. ATLNC 0825.01 -08, dated 10/07/2008, signed and sealed by David W. Johnson, P.E. C. CALCULATIONS 1. Anchor calculations prepared by Structural Solutions, P.A., dated 01/25/2012, signed and sealed by Thomas L. Shelmerdine, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Permitting, Environment, and Regulatory Affairs (PERA) E. MATERIAL CERTIFICATIONS 1. . None. F. STATEMENTS 1. Statement letter of code conformance to 2010 FBC and no financial interest issued by Structural Solutions, PA., dated 04/18/2012, signed and sealed by Tomas L. Shelmerdine, P.E. Carlos M. U(trem, P.E. Product Control Examiner NOA No. 12-0228.11 Expiration Date: April 29, 2014 Approval Date: May 3, 2012 E -1 TYPICAL. TOP FIXTURES 1 N TAt�D /4• M R EMX AND TIR ED TYPICAL CENTER HINGE 2 X.T.S. ATTA i ON T= O b i BeTH =0 (SNAP LATM OR I= HAIL ATTACH V.10!) V4- x , 41, NEAR 8C1SV3 F� END HINGE %1 .. «. -..,. RPOLL" SPF(SEICATON3 AND NOTES 1. ALL THE LOAD FROM THE DOOR IS TRANSFERRED TO THE VERTICAL TRACK. Tim D SHATITS PER � LOAD ��.�...,...,..... TYPICAL 1IDiTON BRACKET! .t 1 `t TRANS FROM THE DOOR. N.LS DESIGN LOADS OF: Na® Sl BERM EACH END STILE 3 3/4' ION �1 SMERM j` O) PER Smim 1 -1/e' x e-3/r x 31 -1/I' cw $milt Sf p ( DY MSTAU.PR) J I 1 -Le' x e-S/S' x U -1/R' aW SECTMND ROLLED FORMED. W/ BAXED ON POLYESTER FINISH 1 -1/r x e -3/r x eo-vr Ce1• smTmNS) S. DOORS UP TO WO' HIGH USE (1) 3 S/W R -TRUSS AND 3 S/D'H X eP GA 1 -1/E' x e-w x 17 Wr Or SECTffilS) � S. REFER TO TABLE 1 FOR TRACK ATTACHMENT SCHEDULE ED GA CENTER 7. SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED V/ (4) 11V x 3/4' BY A REMSTRED PROFESSIONAL ENGINEER FOR WIND LOADS CONT. ' 3/16• x 1 3/6' LAG' AT EACH OM M& 2 SCREW N PER ALL COILS USED TO FABRICATE DOOR PANELS UNDER THIS NOTICE OF ArnroTA A u [ W er 9 S MUMQ CNAI I Ar M1T FROM FACN NAND ITT �X= fD 1/ x t3 3/9'H 3/fN W 1 OLT SPLICE 71C.T� 1T TRACK MOUNTING ETAIL Vf X.Ts INTERIOR OF GARAGE MAX. WIDTH 9'0" �- DESIGN LOADS T; I +244.8 LOS /FT SEE NOTE 2 -279.0 LOS /FT i3' x eD S0. STRUTS SPF(SEICATON3 AND NOTES 1. ALL THE LOAD FROM THE DOOR IS TRANSFERRED TO THE VERTICAL TRACK. tD PER SECTION LOAD � Ho�oN4TALJM S HEADER REBID NO PORTION OFFTTHE LOAD TRANS FROM THE DOOR. DESIGN LOADS OF: ++244.4.8 LBS� & 779.0 LOS FI'MAxW1A: 3. DOOR AND HARDWARE VBLL BE DESIGNED. MANUFACTURED AND INSTALLED WITH STANDARDS AS SET FORTH BY DASMA. END HINGE 14 Sk A DOOR SECTIONS SHALL BE 24 0A MN. EXTERIOR SHIN ROLLED FORMED. W/ BAXED ON POLYESTER FINISH S. DOORS UP TO WO' HIGH USE (1) 3 S/W R -TRUSS AND 3 S/D'H X eP GA (1) r 20 GA STRUT PER SECTION GALV. ST EEL R -TRUSS ATTACHED S. REFER TO TABLE 1 FOR TRACK ATTACHMENT SCHEDULE CD PER SECTION 7. SUPPORTING STRUCTURAL ELEMENTS SHALL BE DESIGNED V/ (4) 11V x 3/4' BY A REMSTRED PROFESSIONAL ENGINEER FOR WIND LOADS HEX HEAD SCREWS INDICATED ON THIS DRAWING IN ADDITION TO OTHER LOADINGS AT EACH OM M& SL THIS APPROVAL RMORES THE MANUFACTURER 70 DO TESTING OF W AT EACH CENTER STILE ALL COILS USED TO FABRICATE DOOR PANELS UNDER THIS NOTICE OF ArnroTA A u [ W er 9 S MUMQ CNAI I Ar M1T FROM FACN SECTION A -A (SIDE VIEW) N.T.S. LARGE MISSILE IMPACT RESI STANCE wm 2%6 4 TONES A YEAR. THE MANUFACIUREA SHALL HALL COPY OF 7HE TEST REPORTS WITH CONFTRMAlION NS YOM SELECTED FROM COILS AT THE ODUCTION FACILITIES AND A NOTARISED STATEMENT CRARER THAT ONLY COILS TATH YIELD STRENGTH OF iE SHALL IRE USED TO MAKE DOOR PANELS FOR ER THIS NOTICE OF ACCEPTANCE DEY a W AETRIP$ WIE A IFDi1®1 MC 3I0 0/1fN Ma1c .••••i Pvt 5N`� 'c% �a v� AIA No 0048570 V V101 FWSH. ZMAD. SATSM AM 8UMBSED PANEL. NA BT 4 N$ W/I%0A mm Ilm amp =1 DEE N/Wm RC- 5z-1&5 OR MO L S®II N PE UC k ODISM SIE1 1 W 3 13 GA. FLAG BRACKET ATTACHED TO WOOD JAMB W/ (3) 5/16 DIA. X 1 -5/8' LAG BOLTS AND TO TRACK W (4) 114' -20 x rG TRACK SPLICE BOLTS AND NUTS I SPLICE TRACKS AT THIS LOCATION W/ (4) 1/4 " -20 TRACK SPLICE BOLTS & NUTS SECURE TO JAMB WITH (3) 5/10" DIM. x 1 -5/8" LAG BOLTS. (1) AT SPLICE LOCATION AND (2) IN UPPER PORTION OF RAG BRACKET OIA. x 1 -5/6" ATTACHED TO JAMB 12 GA. DALY. STEEL JAMB BRACKETS ATTACHED W/ (1) 1/4 -20 x 5/B" TRACK SPLICE BOLT & NUT SEE (TABLE 1) FOR JAMB BRACKET SPACINO TRACK CONFIGURATION FOR BY UP TO 14' TALL DOORS WOOD JAMB ATTACHMENT TO STRUCTURE 9 Y 6 VERYPOK JAMB FRIMF' IRBIMfIImF 5 /t6• x 3•. LAS SCREWS St4RnNG r FROM ENDS n 20. O.a (1 1/2' EMBEMO r) 2 Y 8 � C!� •MB ATTACHMENT TO 9.000 p51 CONCRETE HU X= 80LT 3 /S" X 4' SfARDNO 6"=o DS THEN 24' 0.0. (2 1/2' rF RW /IMMSET RMWAD 3(TRII -Ml) 3/8' X V ST MIND 6' FROM ENDSITHEN 24x10.0.4(2 1/2' EMBEDMENT) 9 Y 8 t CM JAMB ATTACHMENT TO NMIOIM G -RO BL[Y:If SWPSON 1/4' X Y TITEN SCREWS SWIMS 6" FROM ENDS. USE PAIRS OF FASTENERS (3' AFAR» AT 8" OR. (1 1/2' T HWI 1/4" X 2 -3/4' XNAK -CON E+ SCREWS SFAR=Q 6' FROM ENDS, USE PAWS OF FAS SEM (3' APART) AT 6" O.C. {7 1/4' EMBEDMENT) ^^^ ^1� .teu? eTTACHUEIif To OROL?ED C -90 WGf=Y (2�0 P51 ORdITi HB]I BLEEVE ANCHOR 3/8" X 2 -3/4 STARTRR7 6' FROM ENDS THEN �" O.C. (1 11$ EMBEDMENT) (OR USE FASTENERS FOR HOLLOW Q-40 TOE +TADS AND 80L78 CAN CdX'RER M W PROWOE A FLIL'RI LA)UNT6RG SURFACE. Mnt iPARMM OF WOOD JAYY83 BY OTHERS ]V4.r. WOOD - STRUCTURE RlRE ST1iTRUC S'r 208 .M TTP. 8 RN AVApABLE TRACK CONFIGURATIONS N.T.S. 18DT 1 BF9<m CF mL58lB I UE [BY 1 MAX SM PSF PLUSH AND BEAD PANEL ME MM Ff !4 BAff Nfil/08 mmum B KIBDEDBT sol. um aspla RC -5309-185-- OEM =0LffMKPLMkW=j BEET 2 CF S DOW 145 . /3K�,v6S . f--e--3,3 13 Fr*" Z I 5r,�c/S77 .4v &' P©A- 2- 4. WORST CASE SCENARIO DESIGN PRESSURE CHART, ENCLOSED BUILDINGS 2010 FLORIDA BUILDING CODE DADE COUNTY FLORIDA 175 MPH EXPOSURE C Door Width Door Height Mean Roof Hai td Design Pressure Positive Negative 8 7 15 35.6 - 444.7 9 7 35.3 -44.0 16 7 33.8 -41.0 18 7 33.5 -40.4 8 7 16 36.1 -45.3 9 7 35.7 -44.6 16 7 34.2 41.6 18 7 33.9 -41.0 8 7 17 36.5 -457 9 7 X62 -452 16 7 34.7 -42.1 18 7 34.3 -41.5 8 8 18 37.0 -46.4 9 7 36.6 -45.8 16 7 35.1 -42.7 18 7 34.8 -42.0 8 7 19 37.4 -46.9 9 7 37.1 -46.3 16 7 35.5 -43.1 18 7 352 -42.5 8 7 20 37.8 -47.4 9 7 37.5 -46.8 16 7 35.9 -43.6 18 7 35.5 -43.0 8 7 21 382 -47.9 9 7 37.8 -47.3 16 7 362 -44.1 18 7 35.9 -43.4 8 7 22 38.6 -48.4 9 7 382 -47.7 16 7 36.6 -44.5 18 7 36.3 -43.8 8 7 23 38.9 -48.9 9 7 38.6 -482 16 7 36.9 -44.9 18 7 36.6 -442 8 7 24 1 39.3 -49.3 9 7 38.9 -48.6 16 7 37.3 -45.3 18 7 36.9 -44.6 8 7 25 39.6 49.7 9 7 39.3 -49.0 16 7 37.6 -45.7 18 1 7 37.3 -45.0 EXPOSURE C Door Width Door Height Mean Roof Height Design Pressure PositiveiNegative 8 8 15 352 -44.0 9 8 34.9 -43.4 16 8 33.4 -40.4 18 8 33.1 -39.7 8 8 16 35.7 -44.6 9 8 35.4 -43.9 16 8 33.9 -40.9 18 8 33.6 -40.3 8 8 17 362 -45.1 9 8 35.8 -44.5 16 8 34.3 -41.4 18 8 1 34.0 -40.8 8 8 18 36.6 -45.7 9 8 36.3 -45.0 16 8 34.7 1 -41.9 18 8 34.4 -41.3 8 .8 19 37.0 -462 9 8 36.7 -45.6 16 8 35.1 -42.4 18 8 34.8 -41.8 8 8 20 37.4 -46.7 9 8 37.1 -46.1 16 8 35.5 -42.9 18 8 352 -422 8 8 21 37.8 -472 9 8 37.5 -46.5 16 8 35.9 -43.3 18 8 35.5 -42.7 8 8 22 382 -47.7 9 8 37.8 -47.0 16 8 362 -43.7 18 8 1 35.9 -43.1 8 8 23 38.5 ' -48.1 9 8 382 -47.4 16 8 36.6 -442 18 8 36.2 -43.5 8 8 24 38.9 A8.5 9 8 38.5 -47.9 16 8 36.9 A4.6 18 8 36.6 43.9 8 8 25 392 -49.0 9 38.9 -48.3 16 �88 372 -44.9 36.9 -44.3 ,aa r r, GARAGE DOORS Notes: 1) Design pressures have been calculated using procedures listed in ASCE 7 -10, Chapter 30, Part 1, for Low -Rise Buildings. 2) The calculated ultinrate wind pressures have been multiplied by 0.6 to convert to the nomirial (ASD) design pressures showrt. 3) Pressures have been calculated based on an enclosed building, airy roof slope, Risk Category 4 residential application. 4) The design pressures assume the en ire door's width is in the end zone (zone 5) of the building. 0�� s HE t'p��6� 5) Most garage door openings vill not be located completely in zone 5. Therefore Individual ® ®� ®° ..... �® calculations will result In lower pressures. 6) For mean roof Nights less than 15, use 15' pressures. 7) This Table Is only to be used in conjunction with Amarr Garage Doors. ° No 40 165 Cartage Court . Winston- Salem, North Carolina 27105 Phone (336) 7445100 . Fax (336) 7445815 www.amarr.corn Cr STATE OF t UJ OR