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WS-14-103Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205955 Scheduled Inspection Date: March 04, 2014 Inspector: Rodriguez, Jorge Owner: BARBARA KAMP, JEFF KAMP Job Address: 296 NE 99 Street Miami Shores, FL 33138- Project <NONE> Permit Number: WS -1 -14 -103 Permit Type: Windows/Shutters Inspection Type: Final Work Classification: Garage Door Phone Number Parcel Number 1132060134300 Contractor: ALLIED DOORS SOUTH FLORIDA INC Phone: (954)942 -8550 awamg Department comments REPLACE 1 GARAGE DOOR 16 X 7 INSPECTOR COMMENTS False March 03, 2014 For Inspections please call: (305)762 -4949 Page 11 of 34 Inspector Comments Passed 7M Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 03, 2014 For Inspections please call: (305)762 -4949 Page 11 of 34 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING 2� FBC 20 Permit No. Master Permit No. L-tj S , `1 r i o ROOFING JOB ADDRESS: gq ID !V E- q q a �- City: Miami Shores >> County: Miami Dade Zip: 33 13 9" Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): �fr: K4 M P Phone#: ^30 .. Jam% ! Adfimew ;;L21 (Fn Ne q [ S- City: 1-1 1 d-'Nt I TenandUssee Name: Email: 0 State: F-<— Zip: CONTRACTOR: Company Name: ALLIED DOORS SO. FL.. 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 t CBC 033 -137 Certificate of Competency #: Contact Phone#: 954-942 -8550 Email Address: nina @allied- doors.com DESIGNER: Architect/Engineer: t� Phone#: Value of Work for this Permit: $ 1350, Square/Linear Footage of Work: / /;�, Type of Work: DAddition Description of Work: REPLACE ONew �Ikepair/Replace ODemolition EXISTING /(o5C —% O/H GARAGE DOOR IM 14 /AH1 T)471-6, t de 1H19.4C7 _ ACA -7Z-7b SrC 570- lC� d Color thru tile: • x�x��e��s• x�x��x�x�x�x��x�x�x��x��x�x�x��n��x��x��x��x�xF��x��x• x�x�xa�+ ��e• x��x��x��x�x�x�� •x��x��x��x��a• 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 $�D �'`�% _ Bonding Company's Name (if applicable) Bonding Company's Address t City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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. SignatureN Owner or Agent The foregoing instrument was acknowledged before me this day of AN 20'=1, byV �/ ' Signature Contractor The foregoing instrument was acknowledged before me this day of 1� iv 20 , by DENNIS ROMANELLI ` who is personally_ known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: 1 41A� Print: • � o- Print: L o— t.� 0. V=c�c—ccr,— My Commission Expires: LYDIA M. LAROCCA My Commission Ex LYDIA M. LAROCCA tPpv a 9 �° p•` "r pV ,, Notary Public -State of Florida : =o�°� B� °� Notary Public -State of Florida My Comm. Expires Jun 5, 2014 ; My Comm. Expires Jun 5, 2014 +x�x.a�x.x•x.xa..x•x�xe< ". o�: �k•k�km�kKS�kIY D 97463 �x�x•x•n.xe<et+x�x�x.x�x�x - "xa�•x�II•AAx7,t5463 iroug a i naT1n ry' ` 1. °'•F„ Bonded Through National Notary Asp. APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 110/2009)(Revised 3/15/09) AC REW CERTIFICATE OF LIABILITY INSURANCE DA 8/29/20113 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 to lieu of such endorsement(s). PRODUCER Commercial Lines - (561) 368 -2777 Wells Fargo Insurance Services USA, Inc. 2255 Glades Road, Suite 420A Boca Raton, FL 33431 -8509 CONTACT Nance: Cindl Hanidns PHONE , 561- 226 -6154 FAX wc. W: 561- 226 -3581 ADDRESS: cindi.hanldns@wellsfargo.com Wsu AFFORDING COVERAGE NAIC O INSURERA: Colony Insurance Company 39993 INSURED Allied Doors South Florida, Inc. 151 S. W. 5th Court Pompano Beach FL 33060 INSURER 8: 8/30/2013 INSURER C: EACH OCCURRENCE INSURER D: PREMISES I. =01 WSURER E : MED EXP otre person) INSURER F: PERSONAL & AOV INJURY ununoe. rift-11111m REVISION rmummr -K: maa nainw 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. —POLICY MR 'M TYPE OF INSURANCE DL SUB POLICY NUMBER POLICY EFF EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR $0Deductible 103GL00072600 8/30/2013 8/30/2014 EACH OCCURRENCE $ 1,000,000 PREMISES I. =01 $ 100,000 MED EXP otre person) $ 51000 PERSONAL & AOV INJURY $ 11000.000 GENERAL AGGREGATE $ z000low GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP /OP AGO $ Z0001000 $ AUTOMOBILE LIABILITY ANY AUTO ALL SCHEDULED NON-OWNED HIRED AUTOS AUTOS E LIMIT COMBINED B BODILY INJURY (Per pemon) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per $ UMBRELLALUIB EXCESS W113 HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERfEXECUTIVE a OFFICERIMEMBER EXCLUDED? ( nsdalory In NH) DrS CRId OAF OPERATIONS below NIA I WC STATU OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AdcManal Remarks Schedule, K 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) VGRI irnomrr. nwj-wGr\ VILLAGE OF MIAMI SHORES ATTN: BLDGBZONING DEPT. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVENUE AUTHORED REPRESENTATIVE MIAMI SHORES FL 33138 The ACORD name and logo are registered mars 01 AGUKU v 1 coo -cur V J%%IV MW vvrvvr.n ,..,...+....tB..ao . ..o... ACORD 25 (2010105) ,A CERTIFICATE OF LIABILITY INSURANCE DA 03/01/2013 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 NAME; PHONE 888.481 -8363 F C No): c No ADODResS: INSU S AFFORDING COVERAGE NAIC S INSURERA:CastlePoint National Insurance Company 40134 INSURED Leasing Resources of America, Inc. Labor Contractor for leased workers to: Allied Doors South Florida, Inc. 9280 Bay Plaza Boulevard Suite 715 Tampa, FL 33619 INSURER B :Tower insurance Company of New York 44300 INSURER C : EACH OCCURRENCE INSURER D DAMAGE TO RENTE13 PREMISES Ee commence INSURER E : INSURER F wr!�TIBr0%A -M ku 1MCCe d1 M 10VQCB REVIaIUN mumtsm 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. Lm TYPE OF INSURANCE SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BR POLICY NUMBER �MrUDD EFF �MIUDD EXP LIMITS GENERAL LIABILITY 10050 NE 2nd Ave Miami Shores, FL 33138 - At -1-4- �a EACH OCCURRENCE $ DAMAGE TO RENTE13 PREMISES Ee commence $ COMMERCIAL GENERAL LIABILITY MED EXP (My one person) $ CLAIMS -MADE D OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ $ 1 PRO- LOC POLICY JEET AUTOMOBILE LIABILITYI�MS GL L TT BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED A� NON-OWNED N S c deDAMAGE (per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS-MADE DED I I RETENTION $ $ A B WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIFARTNERIEXECUTIVE YIN OFFICERIMEMBEREXCLUDED? r (Mandatory in NH) N yea describe under DESCRIPTION OF OPERATIONS below NIA WSLTHPE00040202 WSLTHPE00039602 03101/2013 03101/2014 X I WCSTATU OF! E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E L. DISEASE - POLICY LIMIT $ 1,0001000 DESCRIPTION OF OPERATIONS I 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) rage "I OT 1 W -111100 -Au IV /1YVIW W%F �WM..V.b rv...y..w .w... ...... ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Village of Miami Shores AUTHORow REPRESENTATIVE 10050 NE 2nd Ave Miami Shores, FL 33138 - At -1-4- �a rage "I OT 1 W -111100 -Au IV /1YVIW W%F �WM..V.b rv...y..w .w... ...... 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SO agoF Rid Mall Q� RLN fl•- C � t" a C pp C v adR o O a gptt gg�3 L ..pN ❑Fc. ;�INMgtp CO .p o A ease ®aom <o 0 see i o. e.i °i L 8 Ln S tt M M40 E MIAMI -DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMI7TING, ENVIRONMENT, AND REGULATORY 11805 SW 26 Street, Room 208 AFFAIRS RUA) Mimed Florida 33175 -9474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315 -2590 F (786) 315 -2599 NOTICE OF ACCEPTANCE (NOA)•' Amarr Garage Doors 165 Carriage Court Winston - Salem, NC 27105 SCOPE: This NOA is being rued under the applicable rules and regulations governing the use of constriction 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 area -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 1200 WeatherGuard Plus & Heritage 3000 Steel Sectional Garage Doors up to 161-0" Wide APPROVAL DOCUMENT: Drawing SFC- 590 -010, ed "Model #1200 WeatherGuard Plus w/ DuraSafe & Heritage 3000 Short, Long, F1usT7MMW1ffT5ak Summit Panels ", Sheets 1 through 3 of 3, dated 06/21/2001, with revision D dated 07/25/2011, 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 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 terncinate 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 manufaL`Au 4r 4s Qisa ltglt4� s " shall be available for inspection at the job site at the request of the Building OffficiaL ' . .:.' : This NOA revises and renews NOA # 09- 0604.02 and consists of this page 1 and avideenU 410 L-1, is V41 as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. APPROVED i �iOA•l�fo.12- O',�28A9: Expire on it Approval Date: May 3, 2012 ••• ••• .pagei • • • • • • • • • • • •• •• • • • • •• •• ••• • • 000 • • Amarr garage Doers NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. SFC- 590 -010, titled "Model #1200 WeatherGuard Plus w/ DuraSafe & Heritage 3000 Short, Long, Flush, Ribbed and Oak Summit Panels", Sheets 1 through 3 of 3, dated 06/21/2001, with revision D dated 07/25/2011, prepared by Amarr Garage Doors, signed and seated by Thomas L. Shelmerdine, P.E. B. TESTS 1. 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 16'x 7', 24 ga. steel garage door Model 1200 Heritage 3000, prepared by American Test Lab, Inc., Test Report No. ATLNC 0912.01 -11, dated 10/13/2011, signed: and sealed by David W. Johnson, F.E. 2. Test report on Evaluation of painted or Coated Specimens Subjected to Corrosive Environments per ASTM D1654 & ASTM BI 17, prepared by Architectural Testing, Inc., Test Report # A7420. 01- 106 -18, dated 04/12/2011, signed and sealed by Joseph A. Reed, 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. Test report on Surface Burning Characteristics on the expanded polystyrene UL file # R11812. 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. Utrera, P.E. VrodAd tonWol EaF Aiwt. � 0: : • -90APAd.12- 0$28 9: - Eupiiatlowaterriay 14-wh ' Approval Date: May 3, 2012 E-1 ... . . . . ... . .. .. . . .. .. .. ... . . . .... . • • • • ,AUWAUE V /�P fa 6 A. RALV. 86.T i NUf PER BRAt • Top RlLL1FR BRACKE 8D RA QALV. ST le• sm ° : r s ATTAGM V/ 0) L4• ■ RN s r 3/4• HEX � /16. 3AT RETAM CAL TDP FIXTURES 1 M iR ATTABRD Ii�asx vy84• . 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