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WS-15-179Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227199 Permit Number: WS -1-15-179 Scheduled Inspection Date: February 27, 2015 Inspector: Rodriguez, Jorge Owner: RENES, CECILIA Job Address: 705 NE 94 Street Miami Shores, FL 33138 - Project: <NQNE, Permit Type: Windows/Shutters Inspection Type: Final Work Classification: Window/Door Replacement Phone Number (786)587-0701 Parcel Number 1132060141960 Contractor: PG RESTORATION COMPANY Phone: (561)328-9949 :sunaing uepanment comments INSTALL HIGH IMPACT WINDOWS. INSPECTOR COMMENTS False February 26, 2015 For Inspections please call: (305)762-4949 Page 12 of 28 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid February 26, 2015 For Inspections please call: (305)762-4949 Page 12 of 28 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ,PBUILDING ❑ ELECTRIC ❑ ROOFING JAN 2 7 2015 FBC 20 11 D V // Master Permit No. V S— (S 1� Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF 0 CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type Load: Construction Type: Flood Zone: BFE: _ Ot WN ame (Fee Simple �i i,i✓ ,INN�.> l NO iy9* State Certification or Registration #: C(S f 6 UZ 3.3 5 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: ue of Work for this Permit: e ®Oo Square/Linear Footage of Work: Type f INvri' Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Specify color Ofncolor thru tile: Submittal Fee $ • :51i ` Permit Fee $ 2 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revisedo2/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �a Bonding Company's Name (if applicable) Bonding Company's Address City s a' t 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 rbe �e o attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspen whi ccurs seven (7) days after the building permit is issued. In the absence of suc osted notice, the inspection will notappro da reinspection fee will be charged. or AGENT IfCONTRACTOR The foregoinilihstrument alias acknowledged before me this L-rday of Abe 9 c . 20 �. by � 1-11'A Agel1le , who ' known to me or who has produced F(— as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: za v Notary Public State of Florida The foregoing instrument was acknowledged before this day of �C Qr , 20 17 . by who is personally known to me or who has produced identification and who did take an oath. as Seal: r Joanna M Feliciano Seal: "��"'% Elsa oe My Commission FF 082753 - �llentes Expires 01/12/2018 ' C0�m1s810n # EE064709 6;kAj 201S �">�At*�*�x��xr��x�*�x�x>k* J l � APPROVED BY `/(� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CO TRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. _COPY OF QUALIFIER'S STATE LICENCES B. " COPY OF LOCAL BUSINESS TAX RECEIPT C. ��` COPY OF LIABILITY INSURANCE* D. /' COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUS SINE S NAME: ESS: USINE IE^ S) 321-- 92 V'? FAX NUMBER L t /) �� - 2 3 30 CCELt PANE (�60 ) GGCCC, ISCGCCL'SEE Ecc:Ec: CCCCCC=SEEr,Ell LlCC:.CE CCS'EC717,CCCCCCEC^CCCCCCGGCGGCCGGGCGCGCGC M OR Aqt- Village of Palm Springs 3118 LOCAL 3 Ws 226 Cypress Lane BUSINESS Palm Springs, Florida 33461 TAX -� 561-965-4016 Fax 561-439-4132 RECEIPT P(Og101' www.villeaeofoalmenrinas.orn 'o This race pt becomes null & void If ownership, business name or Business Tax ID Number Address is changed. Petitioner must apply within 10 days of such 2015 - 109678 3118 ra change for transfer. Fee wig apply. Ali applicable building and zoning regulations pertaining to business location must be followed. Type Issued Business Location: 452 FONTANA DRIVEHOME OCCUPATION 09/22/2014 HOME OCCUPATION Expires 09/30/2015 P G RESTORATION COMPANY LOCAL BUSINESS TAX RECEIP, 452 FONTANA DRIVE PALM SPRINGS, FL 33461 EXPIRES: 09/30/2015 * * * POST THIS RECEIPT IN A CONSPICUOUS PLACE * * * Village of Palm Springs 226 Cypress Lane Palm Springs, Florida 33461 561-965-4016 Fax 561-439-4132 I I INotice ro is receipt becomes null & void if ownership, business name or dreas is changed. Petitioner must apply within 10 days of such ange for transfer. Fee wig apply. Ag applicable building and ning regulations pertabdng to business location must be followed. Location: 452 FONTANA P G RESTORATION COMPANY 452 FONTANA DRIVE PALM SPRINGS, FL 33461 3118 LOCAL BUSINESS TAX RECEIPT Business TxID -`= 2015 - 109678 3118 TyPe HOME OCCUPATION 115.76 HOME OCCUPATION l 09/22/2014 09/30/2015 LOCAL BUSINESS TAX RECEIP' EXPIRES: 09/30/2015 "' h CERTIFICATE OF LIABILITY INSURANCE DATE(M01/222/152t15YYY) 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 13 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 Florida Bankers Insurance CONMTAE:CT MARTA ALONSO PHONE (305)266-6493 JC No : (305)262-0679 -MAIL merle@floridabankersinsurance.com 7278 SW 8 Street INSURER(S) AFFORDING COVERAGE NAIC # Miami, FL 33144 INSURER A : FEDERATED NATIONAL INSURANCE CO Phone (305)266-6493 Fax (305)262-0679 INSURED INSURER B : INSURER C : PG RESTORATION COMPANY INSURER D: 452 FONTANA DR LAKE WORTH INSURER E: PALM BEACH FLORIDA 33461 305 AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AALL UTOS NED ❑ SSCCTHEES ULED ❑ HIREDAUTOS ❑ NON-OWNEDPAUTOSFR08E�RT1nDAMAGE El El INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�TRR TYPE OF INSURANCE ADD UBR POLICY NUMBER POLICY EFF POLIMWDDI EXP LIMITS A GENERAL LIABILITY Q COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE 0 OCCUR ❑ N GL -0504012395-00 08/09/2014 08/09/2015 EACH OCCURRENCE $ 1,000,000.00 E TO RNTED PREMISES (EaEoccurrence) $ 100,000.00 MED EXP (Any one person $ 5,000.00 PERSONAL &ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: d❑ POLICY 11 PRO- ❑ LOC PRODUCTS -COMPIOPAGG $ 1,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AALL UTOS NED ❑ SSCCTHEES ULED ❑ HIREDAUTOS ❑ NON-OWNEDPAUTOSFR08E�RT1nDAMAGE El El Ee MBIN�D SINGLE LIMIT acci D BODILY INJURY (Per person) $ BODILY INJURY (Per eoddent) $ dee $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION❑ AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ElE.L. If yes describe under DESdRIPTION OF OPERATIONS below N I A WC STATUI ❑ ETH - E.L. EACH ACCIDENT $ DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) LICENSE # CGC 1511335 CERTIFICATE HOLDER CANCELLATION ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) QF The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE FAX 305-756-8972- 117188.bmp, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) QF The ACORD name and logo are registered marks of ACORD ACO V CERTIFICATE OF LIABILITY INSURANCE ATE D01/20/2095 1 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 endorsement(s). PRODUCER FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE A/C, No EA: 1. MO -277-1620 x4800 FAX A/C No): 27 787-0704 E-MAILADDRESS: INSURER(S) AFFORDING COVERAGE NAICA INSURER A: Frank Winston Crum Insurance Co. 11600 INSURED FrankCrum UC/F PG Restoration Company 100 South Missouri Avenue Clearwater, FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 3n7573 REVISION NUMBER! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 INSRO SUBR WVD POLICY NUMBER POLICY EFF (MWDDIYYYY) POLICY EXP (MMIDDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO REMED PREMISES Ea oxur .)$ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE =OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ $ POLICY PROJECT FILOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddeM $ BODILY INJURY Perperson) $ ANY AUTO ALL OWNED SCHEDULED ALTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per socklent $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? Q NIA WC201500000 01/01/2015 01/01/2016 X WC STATUTORY UMTS ' ERR EL EACH ACCIDENT $1.000,000 (Mandatory in NH) If yes, describe wrier E.L. DISEASE -EA EMPLOYEE $1 000 000 DESCRIPTION OF OPERATIONS below F.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks, Schedule, ff more space Is required) Effective 10/08/2012, coverage is for 100% of the employees of FrankCrum leased to PG Restoration Company (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. (Client ref: Qualifier: License#: CGC 1511335) GERTIPICATE HOLDER CANCELLATION ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD 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 Miami Shore Village 10050 NE 2nd Avenue Miami Shores, FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD FAND 7 2015 M® MDAM NtIAM%DADE COUNTY • PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONULATORY 11805 SW 26 Street, Room 208 AFFAIRS (PERA) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION Qu Mh T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA)PITV www-miamidide.eoWparal New Age Windows & Doors Corp. v , 7196 NW 77 Terrace Medley, FL 33166 SCOPE: This NOA is being issued under the applicable ru ' gov ing the use of construction materials. The documentation submitted has been r e d pt Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material withi0 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 cede. 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: Aluminum horizontal Sliding Window — L.M.I. APPROVAL DOCUMENT: Drawing No. ADI 1-12, titled "Aluminum Horizontal Sliding Windows - LMI", sheets 1 through 7 of 7, prepared by MCY Engineering, Inc. - Glazing Consultants, dated 05/24/11, signed and sealed by Yiping Wang, P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dada County Product Control Section. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may. be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and renews NOA # 06-0406.13 and consists of this page 1 and evidence pages E-1 and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez, P.E. NOA No. 11-0616.06 Expiration Date: November 23, x016 Approval Date: November 10, 2011 Page 1 New Am Windows & Doors Corp. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. AD11-12, titled "Aluminum Horizontal Sliding Windows -- LMI", sheets 1 through 7 of 7, prepared by MCY Engineering, Inc. — Glazing Consultants, dated 05/24/11, signed and sealed by Yiping Wang, P.E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Forced Entry Test per FBC TAS 202-94 and ASTM F588-97 along with marked -up drawings and installation diagram of an aluminum horizontal sliding window, prepared by Hurricane Engineering & Testing Inc., Test Report No. HETI-05-1436, dated 02/18/05, signed and sealed by Ivonne Ghia, P.E. (Submitted cinder previous NOA #06-1406.13) 2. Test reports on. 1) Large Missile Impact Test per FBC, TAS 201-94 2) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked -up drawings and installation diagram of an aluminum horizontal sliding window, prepared by Hurricane Engineering & Testing Inc., Test Report No. HETI-05-1%5, dated 11/25/05, signed and sealed by Ivonne Ghia, P.E. (Submitted under previous NOA #06-0406.13) 3. Test reports on: 1) Large Missile Impact Test per FBC, TAS 201-94 2) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked -up drawings and installation diagram of an aluminum horizontal sliding window, prepared by Hurricane Engineering & Testing Inc., Test Report No. HETI-05-2044, dated 11/11/05, signed and sealed by Ivonne Ghia, P.E. (Submitted under previous NOA #06-0406.13) C., CALCULATIONS: 1. Anchor verification calculations and structural analysis, complying with FBC-2007 .and FBC-2010, prepared by MCY Engineering, Inc., dated 05/24/11 and 10/25/11, signed and sealed by Yiping Wang, P.E. 2. Glazing complies with ASTM El 300-04. D. QUALITY ASSURANCE 1. Miami -Dade Department of Permitting, Environment, and Regulatory Affairs (PERA). anuel � P.E. Product Contr 1 Ex Aminer NOA No. -0616.06 Expiration Date: November 23, 2016 Approval Date: November 10, 2011 E-1 New Ase Windows & Doors Corp. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 10-0413.04 issued to E.I. DuPont DeNemours &'Co., Inc. for their "DuPont Sentry Glass® Interlayer" dated 05/26/10, expiring on 01/14/12. 2. Notice of Acceptance No. 09-0223.05 issued to Solutia, Inc, for their "Safiex Multi- layer Glass Interlayer" dated 04/08/09, expiring on 04/08/14. F. STATEMENTS 1. Statement letter of conformance to the FBC-2007 and FBC-2010, dated October 25, 2011, signed and sealed by Yiping Wang, P.E. 2. Statement letter of no financial interest, dated May 24, 2011, signed and sealed by Yiping Wang, P.E. G. OTHERS 1. Notice of Acceptance No. 06-0406.13, issued to New Age Window for their Aluminum Horizontal Sliding Window, approved on 11/23/06 and expiring on 11/23/11. Manuel Per i'. Z. Product Control am Ver NOA No. 11 16.06 Expiration Date: November 23, 2016 Approval Date: November 10, 2011 E-2 Al,M = HOR MMAL SLIDING WINDOW DESIGN LOAD RATING FOR THESE WINDOWS TO BE AS PER CHARTS SHOWN ON SHEETS 2 & 3. APPROVAL APPLIES TO SINGLE UNITS OR SIDE 13Y SIDE CDW MATWAS OF.H.S./Ha OR HORIZONTAL SLIDING WITH OTHER MIAMI-DADE COUNTY APPR'D WINDOWS USING MIAMI-DADE COUNTY APPROVED MUUJDN5 IN BETWEEN. LOWER DESIGN PRESSURE FROM WINDOWS OR MULLION APPROVAL WILL APPLY TO ENTIRE SYSTEM. THIS PRODUCT HAS BEEN DESIGNED AND 1E51lfi TO COMPLY WITH THE REQUIRSIENTS OF THE FLORIDA BUILDING CODE 2007/2010 EDITION INCLUDING HIGH VELOCITY HURRICANE ZONE WOOD BUCKS Btt OTHERS, MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. ANCHORS SHALL BE AS LISTED. SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING OR SIUCCD. ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL A LOAD DURATION INCREASE IN ALLOWABLE STRESS IS USED IN DESIGN OF WOOD ANCHORS ONLY. MATERIALS INCLUDING BUT NOT UMOED TO STEEL METAL SMN THAT CONE MIO CONTACT WITH OTHER DISSIMILAR MILTERIALS SHALL MEET THE REQUIREMENTS OF 2007 FLORIDA BUILDING CODE SECTION 2003.8.4 12 8" THESE WINDOWS ARE RATED FOR LARGE MISSILE IMPACT: SHUTTERS ARE NOT REQUIRED. 0#R 28877 io ADII-12 I or � t� ,II ry II I1 =11= a II II p II n 32 3/4- 32 3/4• 32 3/,4" 7e D.L. OPG. p,H„ fig, D.L OPO. 38 7/8' 38 7/8" THESE WINDOWS ARE RATED FOR LARGE MISSILE IMPACT: SHUTTERS ARE NOT REQUIRED. 0#R 28877 io ADII-12 I or DESIGN WAD CAPACITY - PSF (BO OR OR SIZES) GLASS TYPE 'A' - WIlWOA D1I4B. A ANCHOIB A' ANCEM Ir 011(288 07 9 C4487B8 OF 4 CLUBM OF 8 Eki.(+) 1N1'.(-) EX7.(+) INT.(-) £XE(+) 1NT4-) 17o m Ifmam ' 2$ 38' 48" BO' 72• 24' (3) 3 8 7 7 7 80.0 no 80.0 90.0 80.0 90.0 801 90.0 891 90.0 24" 38' 48' 80• 72• 38' (4) 3 8 7 7 7 80.0 90.0 60.0 00.0 - - - - 80.0 901 - - - - 80.0 90.9 s9.o 90.0 - - - 24• 38• 4B" 72" 48' (B) 3 8 7 7 7 80.0 90.0 - - - - 891 691or 80.0 sob - - - - 801 901 - - - - 24•3 38" 48" or 72" 80• (6) 8 7 7 7 80.0 90.0 - - - - BOA 90.0 �A 819 8D.0 90.0 - 702 702 801 90.0 - - 832 83.2 762 842 762 87.1 26-1/2' 37• 83-1/8" 74' 26" (3) 3 8 7 7 +60.0 g0.0 - - - - 80.0 90.0 - - - - BOA 90.0 8DA 9D.0 26-1/2' 37• 83-1/8' 74• 33-3/8• (4) 3 8 7 7 801 901 - 801 90.0 - - - 80.0 901 BDA 90.0 - - - - 26-1/2• 37' 83-1/8' 74' 80-8/8' (a) 3 8 7 7 BOA 90.0 - - - - a" 90.0 a" 90.0 601 83.3 I 60.0 904 28-1/r 37' 63-1/8" 7$. or (6) 3 3- 7 7 801 901 - 11 71.1 71.1 80.0 90.0 - - 87.7 67.7 701 78A 701 80.0 A : NO. OF ANCHORS PER HEAD & S81 ( ) = NO. OF ANCHORS PER JAMB A - NO. OF ANCHORS PER HEAD & SILL ( ) m NO. OF ANCHORS PER JAMB DffiTGN LOAD CAPACITY - PSF (XOX SIM) GLASS TYPE 'B' wmaw DDtB. (1/37Q ANCROD 'A' ANCHM '8' A 0 OF 8 f2AS= OF 4 0182288 OF 8 EXT.(+) INN-)EXI.(+) 1NTA-) W.(+) INTA-) woo HEM 72' Be or 108• 24' (3) 11 801 900 38• (4) 11 W.0 80.0 - 11 80.0 80.0 12 86.0 801 - - It 8D.0 00.0 - 72' 84" 98" 1o8" 38• (4) 11 B0.o 901 W (6) 11 80.0 BOA 74• 108-1/4• ill" It ODD - 11 80.0- 12 801 -.0 - - 72" 84' 96• 108' 4B" (6) 11 Bob 001 - /2 801 - - W.. It Bob 901 - - - - 11 80.0 901 - - - - 11 a.0 801 - - - - 72' 84' 98• toe" s(" (6) 11 80.0 819 80.0 901 - - 11 739 739 801 901 - - 11 878 87.8 801 90.0 - - 11 83.2 832 78.2 842 78.2 87.1 74• 108-1/4" 111" 20" 11 801 901 - - - - 11 801 9.0 - - - 11 801 901 74" 108-1/4" 111' 3-3/8* {4) 11 801 9DA - - - - 11 801 90.0 - - 1 / 801 80.0 74' 108-1/4' 111 • -/W* (a) 11 8DA 9DA - - - - 11 80.0 84.4 801 90.0 - - 11 80.0 83.0 801 801 74" 106-i/4' 111 • (6) 11 78.1 ' 7&1 801 - - 80.0or 11 89.1 89.1 71.9 78.8 71.9 82.1 11 87.7 87.7 70.078.8 mD 80.0 A - NO. OF ANCHORS PER HEAD & SILL ( ) m NO. OF ANCHORS PER JAMB OPERATING VENTS 70 BE 1/3 OF THE WINDOW WIDTH GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300-04 3 SEC. GUSTS) WITH REDUCTIONS FOR FLEXIBLE SUPPORTS TO COMPLY WiTH SECTION 2403.3 OF FBC 2007 EDITION. DESIGN LOAD CAPACITY - PSF (NOR SIZES) GLASS TYPE W WINDOW Ilm ANCHOR A' (1/37Q (1/30 (1/30 72' Be 98" 10S' 24' (3) 9 804 80.0 OPERATING VENTS 70 BE 1/3 OF THE WINDOW WIDTH GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300-04 3 SEC. GUSTS) WITH REDUCTIONS FOR FLEXIBLE SUPPORTS TO COMPLY WiTH SECTION 2403.3 OF FBC 2007 EDITION. DESIGN LOAD CAPACITY - PSF (NOR SIZES) GLASS TYPE W WINDOW Ilm ANCHOR A' A GUNTER OF 8 C E$= OF 4 EXT -0) 1N7.(-) EXf.(+) 1NT.(-) WIDTH HERwr 72' Be 98" 10S' 24' (3) 9 804 80.0 10 BDA 80.0 12 801 80.0 12 WA BOA 72• 84' 98• 1o8" 38• (4) 8 BOA BOA 10 BOA 604 12 BOA 801 - - 12 86.0 801 - - 72• Be 98• 48' 8 80.0 W.0 10 80.0 BoD - - 12 801 80D- 72" W (6) 9 781 78A 701 BOA 74• 108-1/4• ill" 20' 9 80D 80.0 - - 12 801 BOA - 12 801 -.0 - - 74" 108-1/4" lI 38-3/8' (4) 9 Bob 12 804 - - /2 801 - - W.. aBDA111' - - 74' 83" (8) 9 71.WDA 4 71.4 mD BOD A - NO. OF ANCHORS PER HEAD & SILL ( ) m NO. OF ANCHORS PER JAMB OPERATING VENTS TO BE 1/4 OF THE WINDOW WIDTH HEAT SIREMD CLASS ALL EXTERIOR(+) LOADS SHOWN ON THIS SHEET ARE FOR WINDOWS/ WITH APPLIED RISER AT FRAME SIU- FOR ILLFOR STD. SILL (NO RISER) UMIT EXTERIOR(+) LOADS TO 70.0 PSF GLASS TYPE 'H' B7 DUPONT SEP .0$ 2011 4+.t, Jy po 88988 1 T'g lowa�jl 8087 (1///4Y) (1/27) (1/471) �f7 � OPERATING VENTS TO BE 1/4 OF THE WINDOW WIDTH HEAT SIREMD CLASS ALL EXTERIOR(+) LOADS SHOWN ON THIS SHEET ARE FOR WINDOWS/ WITH APPLIED RISER AT FRAME SIU- FOR ILLFOR STD. SILL (NO RISER) UMIT EXTERIOR(+) LOADS TO 70.0 PSF GLASS TYPE 'H' B7 DUPONT SEP .0$ 2011 4+.t, Jy po 88988 1 T'g lowa�jl 8087 T IWI. ANCHORS SEE El". FOR SPACING ay /" IF1000 BUCK n u u u j loll Z vom.L (mm OR /8' NX THICIQ TYPICAL. ANC,HDfs SM E". MRR VAOM �' � data STEEL : Fy - 3B KSI MIN. SEE a.EV. FOR SPACWO AUAUMM t 6003 -TO MIN. TYPICAL ANCHORS: sEE aw. FOR sPACINB ANCHORS 'A': 1„/4- TAPCDNS (Fu -120 Kei Fy-92 Kai) WOOD BUCKS AND METAL STRUCTURE NOT BY NEW AGE MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM INTO 28Y WOOD BUCKS OR WOOD STRUCTURES 1-1/2" MIN. PENETRATION INTO WORD n �+ AND TRANSFER THEM TO THE BUILDING STRUCTURE THRU 10Y WOOD BUCKS INTO CONC. OR MASONRY EMBED INTO CONC. OR MASONRY S �� 1-1/4" MIN. DIRECTLY INTO CONC. OR MASONRY 1-1/4" MIN. EMBED INTO CONC. OR MASONRY 'B':14 ANCHORS SMS OR SELF DRILLING SCREN5 (Fu -74 Kat Fy-57 Kai) _ INTO METAL STRUCTURES (1/6- MIN. THICKNESS) (1/4- MAX. SHIM SPACE) INTO DADE COUNTY APPROVED MULLIONS o (NO SHIM SPACE ANCHORS 'B': 5/16" TAPCONS AT FRAME HEAD ONLY (Fu -120 Kai Fy-92 Kai) p vii SILL RISER INTO 28Y WOOD BUCKS OR WOOD STRUCTURE 1-1/2" MIN. PENETRATION INTO WOOD g S SIUCONE THRU 18Y WOOD BUCKS INTO CONC. OR MASONRY 1-1/4- MIN. EMBED INTO CONC. OR MASONRY LO WW O x MIN. 0M DISTANCE g INTO CONCRETE AND MASONRY - 1-7/16" MIN. A INTO WOOD STRUCTURE = 1" MIN a C 0 INTO METAL STRUCTURE - 3/4- MIN. SEP .0 $ ?011 0 U ALL JOINTS AND FRAME CONNECTIONS SEALED WITH Bt FOR WINDOWS WITHOUT SILL RISER SCHNEE MOREHEAD SEAM SEALER. as LIMIT EXTERIOR LOADS TO +70.0 PSF A' mt+taovnr raa. I;A W1 - 1-3/4" X 1/4" WEEPHOLE AT 6-1/2- FROM EACH END WITH PLASTIC BAFFLE w ft dwi .• -� ADil-12 4 OFT 1/a• 1MX. yrNr WIDTH BHIM a D.L OPO. a' 21 t 1 OPTXINAL TOTfPlrAL � Q 9p 8 MRWO IATCH _R' SEE EAp/FOR SPACINGit am _9 SCREM apt v EXTERIOR B DL OPQ � WOOD BUCK Z womm Zh XO j,pYOVT SEE FOR ACM OX OPPASITE z Ot/a• uax. Dl ox VENT WIDTH VEW WIDTH WDDO BUCK i%'� . WPM ANCHORS D 11 -'• SEE 8". FOR SPACM TYPICAL ANCHORS • . ~e —SCREEN OPO. V D BUCK a -a EXTERIOR La x II! u: WDCXRY WIDTH XOX I OUT Z $ WM-D APPXDCOLM N SEE EM NO FOR py SEE SEPARATE NM Q d SEP .AB X011 AP Paouucrssvts� ��••• �� e9cmopblwswDbRn<PbddB Q�.•• •,, q.9 oe tt q awmftcAft �� r,G i ti•.* sous m quo Doe� ira �IOR � * agtim WOIDDW WmTH woo-12 ooW WIM $ • rt�1' A6 OF 7 ,rrrrrrrrir�it 3 ��`�,, FRAME HEAD (2) FRAME SILL tt .OB2 .374 om T I SILL TRACK .910 .715 1.434 .DB2 © VENT TOP/BDTTOM RAIL 2.220 � J 2038 b 1.304 Oe JAMB STILE 2.063 .082 1.8� 1.738 1.344 ' Q7 MEETING STILE 185 2.260 .082 2JWO 1.280 (A FIXED MTG. STILE Q SILL RISER 2.802 .,a� ,.az1 .aea 2.382 2878 .082 .700T 4 1.122 .817 1.230 .719 3.002 ® FRAME JAMB Q GLAZMG BEAD I ,© SPRING LATCH rm PART NT QUANTPPY mmcmmm Hmm" HAND 1 NA -203 1 FRAME HEAD 9D63-78 2 NA -301 1 FRAME SILT. 9093-78 3 NA -302 1 Sfll TRACX 9093-75 4 NA -303 2 FRAME AM 9093-79 5 NA -204 i/ VENT FUND MIG. RAO. 8093-19 8 NA -207 2/ VENT VENT TOP & BOTTOM RAIL 8983-78 7 W-210 1/ VENT VENT MTERLOCX 6083—T8 5 W-206 1/ VENT VENT JAMB STILE 6093-75 9 WA 208 AS RE09. GLAZING BEAD 8MM -T8 10 AS RECD. GLAZING GASXET VWri. 11 2/ VENT SWEEP LATCH AT 15-1/2' FROM EACH END 12 W-200 2/ VENT SPRWO LATCH - AT 15-1/2' FROM EACH END 13 - AS READ. FRAME & VENT ASSY SCRON 08 X 31V PH SLS 14 - 2/ VENT SILL END FM RAI. SCREW los X 3-1/2` PH SMS III MA -304 4/ VENT ROLLER HOUSINO & OOIDE 16 NA -308 2/ VENT ROLLER - BRASS OR ST. STEEL 17 RA -3m 2/ VENT ROLLER PW ST. STEEL - 18 WPFR-100 2 RAFFLE - M & M PLASTICS 19 - - 2/ BAFFLE BAFFLE SCREW - #8 X 1/Y PH am 20 W222313X AS RECD. VENT & FTX. RAO. WSIRIPPING IA.7RAFA9 21 W222913K AS READ.FRAME JMLB WSI0PPM ULTRAFA9 22 - OPTIONAL SCREEN -5/16' 90X 23 AS RECD. ELL RIM 6083-78 SEP .0161011 1�i3DUC1'RBVL� �� r�t�j' �e qMg GmFlwlds�j `� 0 ADLI-12 8 or FJ2tED ML RAIL CORNER to anis-12 7 OFT MIAMI•i?ADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11905 SW 26 Strreet, Room 208 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOAH www.miawfdade.eo tetononiv ES Windows, LLC 10653 N.E. Quaybridge Ct. Muret, FL 33138 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County -and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. N 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. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION-. Series C11500" Aluminum Fixed Window — L.M.Y. APPROVAL DOCUMENT: Drawing No. W03-57, titled "Series -1500 Aluminum Fixed 'Window (L.M.I.)", sheets 1 through 7 of 7, dated 07{31/03, with revision E dated 12/09/11, prepared by Al—Farooq Corporation, signed and sealed by Javad Ahmad, PX., beating the Miami --Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami Dade County Product Control Section. MISSILE IMPACT RATING: Large and Small 1Vfissaie Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein, RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA# 12-0223.41 and consists of this page 1 and evidence pages E-1 and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez, P.E. NOA No. 13-0617.26 Expiration Date: November 06, 2013 Approval Date: September 19, 2013 Page 1 ES Windows, LLC NO'T'ICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. (Submitted under NOA No. 043-0910.01) 2. Drawing No. W0357, titled. "Series -1500 Aluminum Fixed Window (L.M.I.)'°, sheets 1 through 7 of 7, dated 07131/03, with revision E dated 12/09/11, prepared by Al Farooq Corporation, signed and sealed by Javad Ahmad, P.E. (Subadfled under previous NDA No. -12-0223.41) B. TESTS 1. Test reports on'. 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked -up drawings and installation diagram of an aluminum fixed window, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-5339, dated 02/11/08, signed and sealed by Michael R. 'Wenzel, P.E. (Submitted under NOA No. 08--041 Z 06) 2. Test reports on: 1) Chir infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked -up drawings and installation diagram of an aluminum fixed window, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL-5054, dated 10/03/06, signed and sealed by Edmundo Largaespada, F.E. (Submitted under NOA No. 06-0308.415) 3. Test reports on: 1) Air Infiltration Test, per F13C, TAS 202r--94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Large Missile Impact Test per FBC, TAS 201-94 5) Cyclic Wind Pressure Loading per FBC, TAS 203-94 along with marked up drawings and installation diagram of an aluminum fixed window, prepared by Fenestration Testing Laboratory, Inc., Test Reports No. FTL-3810, FTL -3819 and FTL-3508, dated 05/16/03, 06/09/03 and 05/14/03 respectively, all signed and sealed by Joseph C. Chan, P.E. (Submitted under NOA N& 63-0910.01) t MR uel, P.E. Product Cont -I Exe iner NOA Na. 17.26 Expiration Date: November 06, 2018 Approval Date: September 19, 2013 E-1 ES Windows, LLC NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC 2010, prepared by Al Farooq Corporation, dated 12112/11, signed and sealed by Javad Ahmad, P.E. (Submitted under previous NOA No. 12--0223.41) 2. {hazing complies with ASTM. E130044 D. QUALITY ASSURANCE 1. Miami -Made Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTfFICATIONS I. Notice of Acceptance No. 11-"24.02 issued to El. DuPont DeNemours & Co., Inc. for their "DuPont Sentry Glass@ Interlayer" dated 05/26/10, expiring on 01/14/17. 2. Notice of Acceptance No. 13-0129.27 issued to E.I. DuPont DeNemours c& Co., Inc. for their "DuPont Butacite@ PVB Interlayer" dated 04111/1.3, expiring on 12/11/16. F. STATEMENTS 1. Statement letter of conformance, complying ynth FBC-2010, and of no financial interest, dated 12/08/11 and 06105/13, signed and sealed by Javad Ahmad, F.E. (SubmWed partially under previous NOA No. 12-0223.41) 2. Laboratory compliance letter for Test Report No. FTI, -6236, issued by Fenestration Testing Laboratory, Inc., dated 06/15110, signed and sealed by Jorge A. Causo, P.E. (Submitted under previous NOA No. -12-0223.41) 3. Proposal. No. 09-1583 issued by Product Control, dated 11/23/09, signed by Jaime D. Gascon, P.E. (Submitted under previous NOA No. 08-041Z#6) 4. Laboratory compliance letter for Test Report No. FTI -5339, issued by Fenestration Testing Laboratory, Inc., dated 02/11108, signed and sealed by Michael R. Wenzel, P.E. (Subattltted urtder previous NOA No.08-041 Z 06) S. Laboratory compliance letter for Test Report No. FTL-5054, issued by Fenestration Testing Laboratory, Inc., dated 14103/06, signed and sealed by Edmundo Largaespada, P.E. (Subtttitted atatder previous NOA No 06-0308.05) 6. Laboratory compliance letter for Test Reports No.'s FTL-3810, FTL-3819 and F L--3808, issued by Fenestration Testing Laboratory, Inc., dated 05/16/03, 06/09/03 and 05/14/03, all signed and sealed by Joseph C. Chan, P.E. (Submitted urtder previous NOA No. 03-0910.01) G. OTHERS 1. Notice of Acceptance No. 12--0223.41, issued to ES Windows, LLC, for their Series "1500" Aluminum Fixed Window -- L.M.I., approved on 05/17/12 and expiring on 11/06/13. Manuel z, P.E. Product Conti E miner NOA No. 13-0617.26 Expiration Date: November 06, 2018 Approval Date: September 19, 2013 E-2 r' -WINDOW WIDTH w�wDow mDnl I t I -t �t t b� WINDOW YNDTH-WINDOW Wim- pv WINDOW WIDT14 —WINDOW wuxrti wuaww WIDTH ALUAMLE LOADS FOR ALTERNATE SHAPES AS SHOWN ABOVE OR SIMILAR CAN tII VERGTED BY INSCRIBING PICTURE WINDOW SHAPE WmN SQUARE OW RECTNNGLE AS SHOWN IN DOTTED LINES AND OBTAINING ALLOWAME LOADS FROM THOSE SHAPES, SERM--1500 ALIMMIJ ..FlXPD MWO APPROVAL APPLIES TO SOME UNITS OR SIDE BY SIDE COMONAI10M OF FIXED/FACED OR FIXED WITH OTHER MUVCZ-•DADS COUNTY APPR'D WINDOWS USING MIM-OADE COUNTY APPROVED MULLIONS IN BETWEEN. LOVER DESIGN PRESSURE FROM WINDOWS OR MULLION APPROVAL WILL APPLY TO 9NTTRE SYSTEM, DESIGN LOAD RATMID FOR THESE WINDOWS TO BE AS PER CHARTS SHOWN ON SHEET 3. THIS PRODUOT HAS BEEV DESIGNED AND TESTED TO COMPLY WITH THE REQUIREMENTS Of THE FLORIDA SUILOINO CODE INCLUDING MGH VELOCITY HURRICANE ZONE of4o. VIM SUCKS BY OTHER�SS,, MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. ANCHORS SHALL BE AS LISTED, SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO WE MATERIAL SHALL BE BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL A LOAD DURATION INCREASE IS USED IN DESIGN OF ANCHORS INTO WOW ONLY, MATERIALS INCLUDING BUT NOT LINKED TO ST SCREWS, SCREWS, THAT COME INTO CONIACT WITH OTHER DISSIMILAR MA SHALL MEET THE REQUIREMENTS OF THE FLORIDA SLOG. CODE BECYION 2003.8.4. NYWS APPLIED) JSeD -RODUCr RF.Nktm 0 mgplylagvub the PMiTd4 ialdlagCode •tcirMuaeaHe I✓' 6 F•�plradaa De1e Ci8 •_ A11em1 F. Peddxq Ctm THESE WINDOWS ARE RATED FOR URGE & SMALL MISSILE IMPACT. SHUTTERS ARE NOT 'ttEp111RiD. FM - r7D59a ' 41 lata drowing no. W03-57 a -.1/8' ANN. GLASS 090" INTERLAYER 8UTA49TE pvs BY 'Lb1PONT' 1/8" ANN. CUSS S UCONE OON CORNING 705/883 912 GLASS TYPE 'C' ANN. GLASS " 909KNER CITE PVB BY 'OUPONT' 3/18" ANN. GLASS SIUCONLI /"DOW CORNING 70$/983 HEAT SIREWD. CLASS " IQTERIAYER on Ptl8 ITY 'OUPONT' S/LO" HEAT SM.". MASS SILIODW DON CORNING 788/883 ACE i rft, W S GLASS TYPE 'Cl' n ci m SACONE A DOW CORNING 795/883 F 1 SILICONE DOW CORNING 798/9113P77 I 5 6/10" LAM. GLASS 7/18' LAM. GLASS d Ai h+• G AMl;OPTIONS SQUARE GLAZING STOP CAN BE USED WITH ALL qr GLASS TYPES SHOWN ON THIS SHEET. HFAT STFoeo. wsa 90" INTERLAYER 0A0ITE PY8 BY 'OttPONT' �1/4" KAT STHEN`n. CLASS slucmm CORNING 798/8Ii3 R08tICTRMEWEI1 "complying With the nnv& 8� ggg 9nWlsgpj 4ccaIcmt N o rA l" /�• q{ E rolloo bate �' 8 m u n m A11amt . U� '�A',11:r @P umcullttroi W03-57 i ••I7H:,uety 1377 GLASS TYPE 'A' 3/18" ANN. GLASS .Ow 0w INTERLAYER BY 'DUPONT' 3/18' ANN. MASS SILICONE DOW CORNING 798/083 ADNESK POAM TAPEOLASS TYPE '8' 3/18° HEAT STREN'D. GLASS 000" INTERLAYER SENTRYOIAS BY 'DUPONT' 3/t8" HEAT STREWO. GLASS SILICONE DOW CORNING 795/863 ADHESIVE •, °P TAME m GLASS TYPE 'C' ANN. GLASS " 909KNER CITE PVB BY 'OUPONT' 3/18" ANN. GLASS SIUCONLI /"DOW CORNING 70$/983 HEAT SIREWD. CLASS " IQTERIAYER on Ptl8 ITY 'OUPONT' S/LO" HEAT SM.". MASS SILIODW DON CORNING 788/883 ACE i rft, W S GLASS TYPE 'Cl' n ci m SACONE A DOW CORNING 795/883 F 1 SILICONE DOW CORNING 798/9113P77 I 5 6/10" LAM. GLASS 7/18' LAM. GLASS d Ai h+• G AMl;OPTIONS SQUARE GLAZING STOP CAN BE USED WITH ALL qr GLASS TYPES SHOWN ON THIS SHEET. HFAT STFoeo. wsa 90" INTERLAYER 0A0ITE PY8 BY 'OttPONT' �1/4" KAT STHEN`n. CLASS slucmm CORNING 798/8Ii3 R08tICTRMEWEI1 "complying With the nnv& 8� ggg 9nWlsgpj 4ccaIcmt N o rA l" /�• q{ E rolloo bate �' 8 m u n m A11amt . U� '�A',11:r @P umcullttroi W03-57 i ••I7H:,uety WOOD BUCKS AND METAL STRUCTURE NOT BY E.S. WINDOWS, Ito � 0 MUST SUSTAIN LOADS IMPOSED BY GLAZING SYST�1 AND TRANSFER THEM TO THE BUILDING STRUCTURE. O TYI'ICAI, =- AN—QHSEE ELEV. FOR SPACING . - TYPE 'a'- ,311 " DIULIRA00N BY 'ELCO'(F1TI KSI. PY-139 KSI) INTO 2BY WOOD BUCKS OR WOOD SFRUCTURFS 1-3/8" MIN. PENETRATION INTO WOOD e TNRU 1BY BUCKS INTO CONC. OR MASONRY Q p 1-1/4" MIN, EMBED INTO CONC. OR MASONRY VV DIRECTLY INTO CONC. OR MASONRY a(n 1-1/4" MIN. EMBED INTO CONC. OR MASONRY QF DRILLING SL AEWS (GRADE 8 MS) INTO METAL STRUCTURES $ STEEL : 12 GA. MIN. (Fy - 36 KSI MIN.) ALUMINUM c 1/0" THK, MIN. (6063-75 MIN.) (STEEL IN CONTACT WITH ALUMINUM TO BE PLATTED OR PAWED) TYPE 'B'- ,'I,/4" DIA. ULTRACON BY 'ELCO(Po-17? 99, Fy"165 KSI) INTO 2BY WOOD BUCKS OR WOOD STRUCTURESS ffi 1-3/8" MIN. PENETRATION INTO WOOD g^I THRU 18Y BUCKS INTO CONC, OR MASONRY } �i 1-1/4" MIN. EMBED INTO WK. OR MASONRY 'U6 DIRECTLY INTO CONO. OR MASONRY 1-1/4" MIN. EMBED INTO CONC. OR MASONRY .< g14 SMS OR SELF DRILLING SCREWS (WOE 2 CRs) M INTO METAL STRUCTURES Z 41 STEEL : 12 OA. MIN, (Fy - 36 KSI MIN.) , ALUMINUM : 1/8" THK. MIN. (6063-75 MIN.) (STEEL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED)IL L TYPE 'C'- J10 SMS OR SELF DRILL SCREWS (OWE 2 CRS) � — INTO MIAMI -RADE COUNTY APPROYEO MULLIONS (MIN. THK. _ .090") , A o_ANCW R E_DCE DISTANCE INTO CONCRETE AND MASONRY - 1-3/8" MIN. INTO WOOD STRUCTURE m 1" MIN INTO METAL STRUCTURE m 1/2" MIN, CONCRETE AT HEAD. SILL OR JAN65 f'o - 3000 PS MIN, A C-90 HOLLOW/FILLED BLOCK AT JAMBS Pm - 2000 PSI MIN. a�": � ALL JOINTS AND FRAME CONNECTIONS SEALED WITH m u o w WHITE/ALUM COLOR SIUCONE. "gn R " 3 F P 2 ' • : 11ROLOTTCI'1iRVTSAD s � 9tODU1`7'N6.A161A'Qp , , '. m w Ap� Rl/�olgqtdn •� ); o1db9�ewNbldeFbtiAt 1t 'I'1•" pp�,4�"C/ � B R F�Nrpauon ea®ia +e D �Q�(jI' a� 3 Crowing no. FAWMI(MboloI W03 -57 nts� ,,.-° shoal 4oT 7 iTBM PAnT # QaANT1TY vmiupmN MATSISAL UWF./8UPPLIBR/RBf, &M 1 ESMI 4 YIIRM FRAME 6083-T6 - 2 2A Est=OPTIMAL 0110S .. _. 4/ WW. CLAM STOP SAM STOP (8/18" MA43) 8683-T6 - 5683-11) - 28 E81O17 4/ Wow. 6IAZW slat+ (7/18' GLASS) 6063 -TB - 3 4 SOM 16 X V 4 AS AM, FRWE COVER OPTIONAL ASSEMOI.Y BCREW6 __.... 8003-16 - _....C.. PH so 6 27-372 2/ LITE I SMNO BUICR I EM 1711ir X 3/18' X 3-1/2' 40X6 8 Es10to OPTIONAL OtAEdVfl WED" soft PYO ouROMEIeR 70 SNORE 'A' ILL 8A E84013 87-426 OPTIONAL 4/ MM CLAM W90E CLAM QIMET _ .. .. SOFT PVC DUROMETER 70 ME 'A EPaN DURONETER so S M IN 7 E318O8 FLM FRAME ADAPTER I8083 -TB OPTMNAI 0 'RODOCT ncMuw rB fe Complying With the Fiotlat Nahpas Code �y ^ 4ecopletteelVo�„Zi- Ss nation Dato� W ^ U O W A. ••t ..� �M j a Raa ,u VAQ .J 't::.' wmgFiyluA\rW amPla da Jp f\t.• ANO t' O� b1a �` �,;, of drawing no. W03-57 •��, '�''• sheat of T� FRAME •.147 84 092 B37 2 GMAZING STOP (OPTIONAL) .046 3 FRAME COVER (OPTIONAL) 328 __. �} .a6o •1La .224 OWING WEOOE (OPTIONAL) 8.1 SCALE 1:1 •2.190 2.988 Q FLUSH FRAME ADAPTER 1.7aa 0..142 .128 /'--\ ALUM CORNER LOCK .390 3 060 .637 0 SQUARE GLAZING STOP .203 s .837 SQUARE OWING STOP ALT. Wp i�iiil� MMI—(TIDE COUNTY APPROVED MULLION & MULLION ANCHORS SEE SEPARATE NOA -.. Ed ._A SE8 0m. YP"R •'LWDUUCT RENEMM -184 84 11,9 a 9U 16e Floan� Acesptenco Na ? B:plrnll� UUe �!� Aflim e Cen �} 'it INSTM "TION DETaLS 'WITH FLUSH FRAME ADAPT$IiD��WI��U5HF��ADAD MA 41 1 � ; 9 � e l drawing no. j ' ' W03-57 ' " REM. OR SQUARE VANDOWS * RECT. oft SQUARE MOONS w low fto No drowing no, 0 epic 01 W03-57 3heat —of �eh'd Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION [�2(BLIILDING ❑ ELECTRIC ❑ ROOFING FEB 0 6 2015 FBC ZOp(-) Master Permit No.r d i - 42*) Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [—]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP L CONTRACTOR DRAWINGS JOB ADDRESS: 10.50 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ADS ANK &Lw N Phone#: Address: 6S I S N SC A I me EiLklt City: c State: Zip: Tenant/Lessee Name: Phone#: 3,.- q 213 .So 9-,0 Email: CONTRACTOR: Company Name: Address: 42 SL 4- ILO -2 - city: -2-City: State: i'L Zip: 33 i.3 I Qualifier Name: EELI RE N AaAisl 3fi�tt►► Phone#: State Certification or Registration #: CGS' C 1511010 Certificate of Competency #: DESIGNER: Architect/Engineer: Value of Work for this Permit: hone#: City: State: Zip: Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1110MI1111111 Z� TA Specify color of 010tthrO-tile: Submittal Fee CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond TOTAL FEE NOW D GA),SR Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 The foregoing instrume t was acknowledged before me this Ci day of 20 I , by ftIATJ ft nOL jAlift , who !(personally known o me or who has produced as The foregoing instru NTRACTOR was acknowledged before me this `7day of �� 2015 , by raAF d4aA/30 , who i personally known to me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as Sign.• Sign: Print: Print:�� / N.. DARRYL S. FOX Seal: _;, MYCOMMISSION#EE08M EXPIRES: May 15, 2015 ) , ' B'dad Tiw 1' Pda Undffwftm Seal: •' DARRYLS.FOX �•; MY CMADUN i EE0 00 EXPIRES: May 15, 2015 BMW 'Rau Pkwy Pwa Utbe+'b' •&�&��k��k*�kffi�k4�k�kt�+Rik**�k�k�k**�k�k�k�**�kik�k�kak�[e**�k�k�k*xe�k�k*�k�kakak�k�ksk�k&�k�k�k**�k�Fakakakak�F�k*�k�k�k�k�k�k�k�k*�k�k�F�kN� &�k�k+k�R*&�k�k�k�k�k�k APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk THE M344 A &Roof LL c Fh 8 3(Ze CKCL(— AV -C S ZLk C.z `'l►"; FL SOWS 021 231 YS �+�,.: SH��s ciI� FEB 2 3 2015 Fleas cct.&A, O � cuCeP �L ee m,J Re I SzTv exec��s � �oVA Lc ohe - �I,. , S mloit � Miami Shores VillageI I Building Department a OCT 0 4 1J; g 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 c Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949, FBC 20 1, BUILDING PERMIT APPLICATION Permit Type: PLUMBING Permit No. Master Permit No.(-- )��l JOB ADDRESS: � 6 l- K) E — L ci I - S'T' City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: d- 3 206,61-9 –57 2 n Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder):_C �t L;gf & A I & pyo Phone#: 3 �0-Lit 2 -33S3 Address: _23Cb /. Ill S – lot. S'T City: /4_A41 S State: 'r11141 Zip: Tenant/I.essee Name: An Phone#: Email: /#1. CONTRACTOR. Company Name: _(f/IA.Ak tb A%,z FJJ01 A0�111�1@IlT{� Phone#: 79CO-251-YO99 Address o ` RO Wf t ii Cit3r H I A KA 1, State: Zip: Qualifier Name• SQ_� C`kti—w Phone#• 786 -2 Sf Yo i2 State Certification or Registration #: Certificate of Competency #: Contact Phone#: 78(0 -12-S 1- � C-) C{ Almail Address: kf to U4l 6 A -De EUUI /lO Utl eij7.4 ® lel>S V. PCUA14 DESIGNER: Architect/Engineer. A 4 Phone#: Value of Work for this Permit: $ ®(7 Square/I.inear Footage of Work: 300 . - Type of Work: DAddress DAlteration (]New ORRepair/R lace ODemolition Description of Work: I k) �`Tk fir\ �- '1®® CIA rT (2 i'= 1) h4, �1 /�f &4rdrakaYaY�rdtakaYt,YatsY,rrkakaY,Ydr&a1raY,ksk*ska�rat�r,Yakx�e�l9�lrkdrstF�9e�F,usk*�Ya4�TraF�e�3r&drdrde*�fnkv�&de�Ysk�4�1r*�r�F�eaY+k�r�ratrfr,Y�r*drsY�et i,�tr Submittal Fee $ Permit Fee $ / Lt CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ .Double Fee $ Structural Review $ TOTAL FEE NOW DUE$jj o 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 3 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 promise in good faith that a copy of the notice of commencement and a whose property is subject to attachment. Also, a certified copy of the rl c for the first inspection which occurs seven (7) days after the buil inspection will not be approved and a reinspection fee will be charg V Owner or Agent The foregoing instrument was acknowledged before me this dayofL® 0L_'LbyCkM1ja `6f t, who is personally known to me or who has produced 0t1�j(n l I� As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: LANOSS yp My Commission �°`CommWWw #E0_30855 My Cmmmisalcn Expitts Oct 08, 2014 an estimated value exceeding $2500, the applicant must Otion lien law brochure will be delivered to the person notice of commencement must be posted at the job site it is issued. In the absence of such posted notice, the The for mg instrument walaLowledged before me this - 0 �b;a;;:�Ie by SJ)St� ��rrU5, or who has produced V as identification and who did take an oath. APPROVED BY ZO®8-13 Plans Examiner Structural Review (Revised3/1=012)(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09) NOTARY PUBLIC: Sign: Print: My Commission Expires: v Zoning Clerk RRC-PTTA-�� T� FEB 2 3 2015 ®rl; e I�IZ N'J-� W Miami Shores Village Building Permit 10050 NE 2nd Avenue + . Phone: 305-795-2204. Perpilt Number: BP2002-1380 Printed: 8R/2002 Page 1 of 1 Applicant: DONALD BAUMAN Owner: BAUMAN DONALD JOB ADDRESS: 142 NW 93 ST Contractor Contractor's AddP4* Local Phone: C� Parcel # 1131010330930 Legal Description: MIAMI SHORES SEC 6 P OT 6 & W1/2 LOT 5 9 P BLK 134 LOT SIZE Fees: Description Amount FEE2002-4398 Building Fee $145.00 Total Fees: $455.40 55.00 FEE2002-4399 Buildier's Bond $300.00 Total Receipts: FEE2002-4400 Notary Fee $5.00 FEE2002-4401 CCF $5.40 Total Fees: $455.40 Permit Status: Approved Permit Expiration: 2/3/2003 Construction Value: $9,000.00 Work: ENCLOSED BACK PORCH If there Is no permit package accessible on the job -site for Inspectors to verify, there will be no inspections. Re -inspection fee is $50.00, which must be paid In advance before calling for another inspection. This Permit Is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work Is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. /� Signed: .-,-Io- (INSPECTOR) BY: In consideration of the Issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores village. In accepting this permit I assume responisibilfty for all work done by either myself, my agent, servants or employes. j Signed: (Contractor or Builder) BY: PERMIT APPLICATION ---� Master Permit No. ''�•NTEB,Ns, Subsidiary Permit No. :62E-2�" �LORNQ' INSTRUCTIONS obtain Step 1. Complete the attached permit application which must be signed by the propM owner and qualifier. Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 6 re L / 50 Address Apt. City tate Zip Folio Number I " 3' Description of Work Evio C Lot Tenant Information PERMIT TYPE ✓ ) Building Electrical Mechanical Plumbic LPGX Roofing Fence Other Renewal Revision Tax Assesg'e-d/Appraised Value Flood Zone y Base Floor Elev._ ARCHITECT ✓ ) Name G-t'Ti ✓1'G License No. elf Address a4 / 1S t Telephone 0 5 ` ` 4 Fax Add'1 Attachment PROPERTY OWNER Nam es w Address Home Telephone Business Telephone Fax �C) 1-731_ TYPE OF MANAGEMENT ✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'1 Detachment Other ENGINEER Name License No. Address Telephone Fax a CONTRACTOR Name Y/ License No. Address Telephone Fax Qualifier Name La— Page 2 PERMIT APPLICATION IMPORTANT 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be'pefformed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits, required from. other governmental agencies. i, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, I' Floor, (305) 679-1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FL , COUNTY OF MIAMI-DADE Si ure o Owner z in AQ01Ck vt I^ Print Name S_ a@4a subscribed before me tls l day of ,nature of Ntry u_b?,r� r " � OYMLgECKER` COMMISSION NUMBER SEAL: *„ 4, Q CC786697 MV coMOSSION EXPIRES OFF NOV. 16,2002 Personally known OR, Produced Identification�� Type of Identification Produced: STATE OF FLORIDA, COUNTY OF MIAMI-DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida SEAL: Personally known Type of Identification Produced: OR, Produced Identification Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. I ELECTRICAL TYPE QTY. Minimum Fee TYPE QTY. Dryer TYPE QTY. Outlet, Appliance TYPE QTY. Service Repair A/C Central 1-3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4-7 Ton Fire Pump Outlet, Switch Signs A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv, Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Roof Inlet Demolition Low -volt, Intercom/Teleph. Repair Circuits Septic Connection Dishwasher Low -volt, Television Service, Number of Amps Septic Tank MECHANICAL TYPE Minimum Fee QTY. TYPE QTY. Condensate Drain TYPE QTY. Generator TYPE Q -1Y. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Pump, Domestic Bath Fan -Vented, # Fireplaces, Number of Pressure Vessel Pump, Fire Stand PLUMBING TYPE QTY. A/C Condensate TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Q -FN,-. Soakage Pit Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re -circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply RECEIVED AND REVIEWED BY: DATE: Page 4 PERMIT APPLICATION OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL (Attach) (Attach) (Attach) ❑ FIRE DEPARTMENT ❑ HRS / DERM APPROVAL ❑ BPR APPROVAL (Restaurants) APPROVAL (Commercial / (Septic / Sewer) multi -family) ❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION (New Construction) (New Construction) (On File) ❑ OTHER ❑ OTHER (Specify & Attach) (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village $ �✓ Bond $300'.'00 Metropolitan Dade County (C.C.F.) $ �, �✓ (sq.ft. = x/1000 x¢.60) Inspector State Educational Fund $ (¢.005/sq.ft.) State DCA (Radon) $ Code Enforcement Fine $ Zoning Review S ®bCl .570 TOTAL $ REVIEWED AND PREPARED BY: SECTION BY DTE Zoning Vit+ /' Electrical Mechanical Plumbing Fire Public Works Structural ? ZG D Z_ Building Official DATE: Revised July 2001 10050 N.E. 2- AVE., MIAMI SHORES, FL • (305) 795-2207 • FAX (305) 756-8972 • http://www.miamishoresvillage.com Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 9 ` Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: BUILDING a-37 7 NtF V"' Aace RF,CFJV1E_, MAY 00 13 FBC 20 tl) Permit No. Master Permit No. ' 13--1 ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleha Address: 6? 3 2 ? &C `7 t4 City: NO K Flood Zone: rad /eyi e &4t Phone#: !bf a 'Al '7 7 State: 101�/ Zip: Tenantdxssee Name: Phone#: Email: JI CA41 {y v: frv� C fit'. �� CONTRACTOR: Company Name: Address: 1V>C( F a City: State: Zip: 3`31 S f Qualifier Name: A�evd['Phone#: 10,r- 410 •6 6 J- S - State Certification or Registration #: (66 of -61 61 Certificate of Competency #: Contact Phone#: 3®a'-- &'e - 6d j -k- Email Address: 'b/L4, P � DESIGNER: Architect/Engineer: �` AO /p� 1. Phone#. Value of Work for this Permit: $ o� 3,0 Square/Linear Footage of Work: Type of Work: DAddition DAlteration DNew DRepair/Replace U15emolition of Work: 0, Color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ 0 CCF $ CO/CC $ Notary $ Training/Educadon Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $(94'' 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 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 const 'on lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the rec r 'ce of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the buildi issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be char, 'l° Aer or Agent The foregoing instrument was acknowledged before me this day of �, 20 -U, by 061 ifi e, E�XAW 1961 , who is personally known to me or who has produced lam, (Kau q,L j(6S 87 s o As identification and who did take an oath. NOTARY PUBLIC: :NOTARY RLENE MARANTE PUBLIC TE OF FLORIDA Sign: m# EE002944 ExPites 1011812()14 Print: _M tile0C MA014 rte" J Signature (;:::Ef �� Contractor The foregoing instrument was acknowledged before me this 49 day of 20 a, by J—A-e 1>71ftSA-G �"4-1 who is personally known to me or who has produced A-> identification and who did take an oath. APPROVED BY J� Plans Examiner Zoning Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk Prepared By and Return 1'o: Pointe Group title & Settlement. Inc;. 350 Bev ills Ave, Suite 1ir1 Cc -r&: Gables, FL 33134 File No. 2012-084 CFN: 20130221893 BOOK 28543 PAGE 2460 DATE:03/22/2013 09:44:30 AM DEED DOC 1,911.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY PropertY Appraisees Parcel J.D. giallo) Number(s) 3'i••3205 -X37 -x3100 WARRANTY DEED T HIS WA1RRA NT'Y DEED dated March 8, 2013, by Oscar Velez Abreu, whose post oitce address is 93*7 NE 9th Place, Miami Shores. Fl. 33135, hereinafter dalie d the grantor. to Richard Libutfi, a single man, Valerie Halpern, a single woman and Mark Halpern; a :-harried man, as tenants in common, whose Frost office address is 9377 NE 9th Place, Miami unones. FL 33135, hereinafter called he grantee: "dherever useci herein the terms "gran%.'* and "grantee" include all the parties to this :nstru-nent arsd the f?eirs, legal representatives and assigns of individuals. and the Successors and assigns of corporations) WITNESSETH: That the grantor,. for and in c0nsidera°ion of the sum of $10.00 and other Valuable consideration, receipt whet : 3s hereby acknowledged, hereby grants. bargains, sells, aliens, remises; releases. conveys. and rMrr:js unto the grantee, all the certain fond situated in County: Florida. to writ - The North 75 feet of the South sou feet of ff%a West 100 feet, Lot t3F" of Subdivision of Govern�ient Lot 4 of Section 5, and of the North 1:2 of. the NE 114 of the SE V4 of Section S. Township 53 South, Range 42 East. as reoorded in Plat Book 5. page 90, of the Public Records of Miami -Dade County. Florida. Subject to easemeAts, restrictions. reservations and limitations of record, if any. TO HAVE AND TO HOLD the same in foreaer. AND the grantor hereby covenants with said grantee that the grantor is lawfully Seized of said land in fee simple; that the grantor has good right anis lawful autlrorfty to sell and. convey Saadi lana, that the grantor r ereby fully warrants the title to said laird and will defend the same against the lawf--il claims of all Persons whomsoever: and that said land is tree of ail encumbrances, except trades accruir-9 subsequent to: December 3-. 2012 Miami Shores Village 4 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: Electrical FBC 20 MAY2013 2 � ®— Permit No. E'I L 3_ l) E3 Master Permit No. E C 5 l 3 100 -.--T JOB ADDRESS: 93 -7 7 /V C VZ L P/10 City: Miami Shores County: Miami Dade Zip: Foho/Parcel#: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder / Address: `�' 1-7 7 IV9 City: 1;7taw,_ ab 4 Tenant/Lessee Name: Email: C-4 re State: NO Flood Zone: CONTRACTOR: Company Name: Ad'i-LL k_��A__'e- Phone#: Address: 19. -3 Lf WE ? c' City: rf A- 4 4 4 State: Zip: X330* Qualifier Name: a1 wek,. NC dyl:�, Phone#: gYq- oda' 70:7 State Certification or Registration #: Certificate of Competency #: Contact Phone#: q N - .M - W Z Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 400 Square/Linear Footage of Work: Type of Work: ❑Address UAlteration ONew ORepair/Replace Description of Work: P15 &-* ie,/ 1,? Ie,ja- -;Z�57� Oa f foyrll�-L-�r a, �/ �QiN 7dAw l �� Submittal Fee $ Permit Fee $ /0,#P ,01 U CCF Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CO/CC $ DBPR $ Bond _ Technology Fee $ UV-e-m�ohtion TOTAL FEE NOW DUE $ I L- 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 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 co ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is ' c sense of such posted notice, the inspection will not be approved and a reinspection fee will be charged. P .}� g SignatureO Signature r Agent Contractor The foregoing instrumen acknowledged before me this 115 The foregoing ' ent was acknowledgedbte ore me ' day of 20 L by �iC1 �� r 44a I pe-ro day of 20 �L by tdGdit" Zow/ who is personally known to me or who has produced t; ;�Q't, c�. ; who is personally to me or 40 has produced As identification and who did take an oath. as identification and who did take an oath. NOTAR PUBLIC: NOTARAPUBLIC*,, �tEt�11VS CWAUiE NOTARY PUBLIC Sign: Sign: Print: ��# ®D9133792 Print:r! ��✓. ®Expires 4/20/2014 My Commission Expires: 91210 / s ti/ My Commission Expires: 0410212011 NOTARY PUBLIC Commission # APPROVED BY Plans Examiner ° G h t B l l l l��\ Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09) BUILDING 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 PERMIT APPLICATION Permit Type: PLUMBING JOB ADDRESS: 161013 By FBC 20 PermitNo. (alkC), Master Permit No. 1221 -1 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titlehol-e / �`�C /�<%� `a Phone#: Address: 7 7 /U t V City: % ,S4rr ,_ State: w1w Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Ja/C Phone#: 305- 33(. S-qS(c> Address: Z& ( fe ��C' 3�C4i- 15T - City: A� W_q i t o o c> State: $ Ci Zip: 330Zcnl Qualifier Name: _ J -E 6— SAP4 f4 f c -a x A S Phone#: State Certification or Registration #: ?,7 Z095 Certificate of Competency #: Contact Phone#: 3i®S 534, 511 j< Email Address: «JMAyLPjd2N#&AZ, l� GM•�F1. �� DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace Demolition Description of Work: t?Er-- Vl ® M9- jA) k gg�J Cor_- -M* ACM A—V�ZZ 4501L II&M C42a4/ 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 $42 - h Bonding Company's Name (if applicable) Mq ¢}� q3 Bo - Comb any's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address zip City State zip e 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 dodeh-A 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 01,iloo ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEME � ' Notice to Applicant: As a condition to the issuance of a buildingperm t74, estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commenceAe�tt and ction 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. the absence of such posted notice, the inspection will not be approv/e/d and a r nspection fe,vl b� charged l n / A/ Signature, Signature. V'(l e�WAgent Contractor l The foregoing instrument was acknowledged before me this'�Cu� The foregoing ' Lent was acknowledged before me thist,�,, �p day of _, 20 3, by �(� 12 ci i+Ct 1( J, day of 205 , by + K �- S1(k�l-r'I ) who is personally known to me or who has produced FL r%yo r UcAL is personally known to me or who has produced � j{ ILO - 9") I C) - eAs identification and who did take an oath. NOTARY Sign: 1-1 My Commission Expires: 1)1161 I q APPROVED BY REOINE CHOUTE OF FLORIDA Expires 4/20/2014 Plans Examiner Structural Review (Revised3/12/2012XRevised 07/10/07XRevised 06/10/2009XRevised 3/15/09) as identification and who `\k paw NOTARY PUBLIC: Sign:% _ a' :u ► a°• Print: •��o`�` My Commission Expires:%,10/r„h”' Zoning Clerk Ci►1�i'C.?0 CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDDNYYY) 4/18/2013 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 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 Ace Underwriting Group Customer Service Center 5305 West Broward Blvd. Plantation, FL 33317 NCN AMEACT Nadelie Halton PHO"E . 954-581-0202 FAX ,vc No): 964-581-2999 E-MAILservce unerwritin ADDRESS: id � g•com INSURER(S) AFFORDING COVERAGE NAIC9 INSURER A: AMERICAN VEHICLE INS CO INSURED COJIMAR PLUMBING, INC. 2618 Scott Street HOLLYWOOD, FL 33020 INSURER B: PROGRESSIVE EXPRESS INSURANCE INSURER C: TECHNOLOGY INSURANCE CO. INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 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 MMIDDNYYY) POLICY EXP (MMIDDIYYYYI LIMITS A GENERAL LIABILITYLi ✓ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR Ci'P0001337701 03/16/2013 03/16/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurre ce $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN LAGGREGATE LIMIT APPLIES PER: ✓ POLICY PRO- JECTLOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO AAUOWNED S ATo UTOUsS HIRED AUTOS AUTOSWNED 06676234-3 11/29/2011 11/29/2013 COMBINED SINGLE LIMIT IF acc dent BODILY INJURY (Per person) $ 10,000 BODILY INJURY (Per accident) $ 20,000 PRO jdTYMDAMAGE $ 10,000 UMBRELLA LIABOCCUR EXCESS UAB HCLAIMS-MADE Li EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICEoryIn NH) ERIXCLUDED7 (Mandatory In If yesdescribe under DESCRIPTION OF OPERATIONS below NIA 64926200AE 09/21/2012 09/21/2013 ✓ WC STATU- OTH- TORY HUTS r" EL EACH ACCIDENT $ 1,000,000 EL DISEASE -EAEMPLOYEE $ 1,000,000 EL DISEASE- POLICY LIMIT $ 1,000,000 R-40 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space is required) CERTIFICATE HOLDER ONLY. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 F#305-756-8972 SHOULD ANY OF THE ABOVE DESCRIBE CIES BE 4ANCELLED BEFORE THE EXPIRATION DATE THEREOF, DIOTICE WILLBE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Produced using Foram Boas Web software. www.FomisBoss.com; 0 hnpressive Publishing NO -208-1977 d g �Lxpir t �ateBiA j $ q .. MOONIr