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WS-15-137e� Miami Shores Village CCF 10050 N.E. 2nd Avenue NE DBPR Fee Miami Shores, FL 33138-0000 DCA Fee Phone: (305)795-2204 Project Address Parcel Number Applicant 485 NE 94 Street 1132060140540 CHARLES MILLION Miami Shores, FL 33138- Block: Lot: Owner information Address Phone Cell CHARLES MILLION 485 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ACTSYS DOOR SYSTEMS INC. 305-229-4007 e of Work: REPLACE OLD GARAGE DOOR WITH A NEW of Openings: 1 litional Info: ssification: Residential inning: 3 Fees Due Amount CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $110.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $126.20 (917)887-5511 Valuation: $ 1,958.00 Total Sq Feet: 63 Pay Date Pay Type Amt Paid Amt Due Invoice # WS -1-15-54210 01/21/2015 Check#: 016768 $ 50.00 $ 76.20 04/21/2015 Check #: 16772 $ 26.20 $ 50.00 04/21/2015 Check #: 16965 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Building Review Building 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above-named contractor to do the work stated. April 21, 2015 Authorized Signat"ure: Owner / Applicant / Contractor / Agent Building Department Copy April 21, 2015 BUILDING PERMIT APPLICATION ®BUILDING [-1 ELECTRIC 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 FBC 201 Q Master Permit NoA ` 15 — I7�9 Sub Permit No. ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Folio/Parcel#: Is the Building Historically Designated: Yes NO ___ Occupancy Type: Load: Construction Type: I P J Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): k, _ _ _ __ $ Glrlc76y Phone#:1—(i Address: It�_& N t-; City: A State: a Zip: Tenant/Lessee Name: Phone#: Email: r� (� CONTRACTOR: Company Name: :ILAC— C— Phone#: Address: [AiM aw ',-'7L City: Qual Zip: Phone#:;g�� State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: –City: State Value of Work for this Permit: $ i Square/Linear _Footage of Work: - Type of Work: El Addition "" ❑ Alteration ElImo New " Repair/Replace El Demolition Description of Work: 1C� (A -- Specify a_ Specify color of color thru tile: Submittal Fee $ L7�Q . M Permit Fee $ Scanning Fee $ Radon Fee $ 101 Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ _ TOTAL FEE NOW DUE $ a Bonding Company's Name (if applicable) Bonding Company's Address City State ® Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for 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 issuedsuch posted notice, the inspection will not be approved and a reinspection fee will be charged. a Signatur 4 OWNER orAGENT The foregoinginstr mwledged before me this day of ent was=ackP-C .20by who is personally known to me or who has produced L— as identification and who did take an oath. NOTARY PUBLIC: Seal: J ` x MY COMMISSION # EE203340 '' a, EXPIRES June 10. 2016 APPROVED BY (Revised02/24/2014) CONTRACTOR The foregoing instrument was ac owl'eddgged before me this 0 day of � e- 20 by fix, who s personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print Seal: MY COMMISSION # EE203340 • EXPIRES June 16, 2018 (a07) 3l�Ut63 .� �*a*x�*�►�*�r+x*st�w�xr�srrr*r***rr****+►�x�*���awt*m �xww�+x�xr*��*�x*r.*�a**ax*�ra��*�x� Plans Examiner Zoning Structural Review Clerk CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 41 02BS00728 ACTSYS DOOR SYSTEMS INC DAWSON SMITH A Ill is certified under the provisions of. Chapter 10of Miami -Dade County VALtDFOR- CON'TRAACTING UNTIL 09f30/20165 QUALIFYING -�TR -TRADE(SI DOOR 0022 GARAGE 8, INDUS Juliana K S.19% P.E. SeaetarY of" Board y'i� me r -e n. va,ni-olle C.Urly mwr,s wl proped 001 140 ]4 This receipt is notealitin the following Municipalities: Aventata, doral, Hialeah, Key Biscayne.., Miami Gardens, Miami Lakes, Palmetto Bay, Pinecrest, Sonny IsleaBeach,Towa of CatierBay. Q�� Por more mformatioa,visftwww.miamidade.gov/taxcallector, 12/11/2014 12:06 305 740-0518 ACCEPTANCE INSURANCE Page 1/1 CERTIFICATE OF LIABILITY INSURANCE OATE(/11/1 YYY) GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ E] CLAIMS -MADE ® OCCUR El 122/11/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 Acceptance Insurance Services 6887 S.W. 40th St. Miami, FL 33155 Phone (305)740-0515 Fax (305)740-0518 CONTACT NAME: Rene E. Samayoa acCNo Sidi: (305)740-0515 A/C No): (305)740-0518 ADDRESS: rene@acceptanceinsserYlces.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Federated Insurance Company 10790 INSURED ACTSYS DOOR SYSTEMS, INC, INSURER B: INSURER C: 8461 SW 36th St INSURER D : INSURER E: Miami FL 33155 (305) 225-6868 INSURER F : CnVCRerrCC U r -K I INCA 1 E NUMBER: PwM_QInkI NI11111=0. 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 BYTHE 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 ADD ADDUBRWED POLICY NUMBER POaULIICY EFF POLIp EXP LIMITS INSR CANCELLATION A GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ E] CLAIMS -MADE ® OCCUR El N N GL -0504010087-02 12/15/2014 12/152015 EACH OCCURRENCE $ 300,000.00 DAMAGE TO RENTED 1 OO,000.00 PREMISES Ea occurrence $ MED ERCP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 300,000.00 ❑ GEN'L AGGREGATE LIMIT APPLIES PER: 2 POLICY ❑ JPERCOT ❑ LOC GENERAL AGGREGATE $ 600,000.00 PRODUCTS - COMP/OP AGG $ 600,000.00 AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED ❑ ASUTOEDULED ❑ HIRED AUTOS ❑ NON -OWNED ❑ ❑ N COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY pAMAGE (Per accider� $ $ ❑ UMBRELLA LIAR ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -,MADE N/A EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICEWMEMBERPEXC DEAD CUTIVE❑ (Mandatory In NH) If yes, describe unde DESCRIPTION OF OPERATIONS below $ WC STA TU OTH ❑TORY LIMITS ❑ ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) GARAGE DOOR REPAIR AND INSTALLATION CERTIFICATE HAI n9P _ _ __ Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FL 33138 Fax: 305-756-8972 ACORD 25 (2010/05) QF CANCELLATION 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 O 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C: Miami shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, you may be personally liable for the worker compensation iniuries of any person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Print Name: M1,11irl- Signature: " 444L, State of Florida ) County of Miami -Dade ) , Sworn to and subscribed before me this L3� day of ID , 201�-. A RE13ELLO 1 I- State of Florida ) County of Miami -Dade) 4 Sworn to and subs ribed before me this ��" day of C , 20 VP2— !W g EE203340 Type of Idle --- EXPIRES June 18.2016 �j 3 EXPIRES June 1S. 2016 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exe�ipt from Florida Workers' Compensation law. EFFECTIVE DATE: 9/18/2014 EXPIRATION DATE: 9/17/2016 PERSON: DAWSON SMITH A III FEIN: 651150848 BUSINESS NAME AND ADDRESS: ACTSYS DOOR SYSTEMS INC 8461 SW 36 STREET MIAMI FL 33155 SCOPES OF BUSINESS OR TRADE: MACHINERY OR EQUIPMENT ERECTIO Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section ray not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS? (850)413-1609 C T STRUCTURAL SOLUTIONS, P.A.* Project No.: 14-002 5921-G West Friendly Avenue Date: 11/24/2014 • Greensboro, North Carolina 27410 NC Firm #C-1096 Garage Door Windload Design Pressures • • 0000 •000•• The following Design Pressures have been calculated in accordance with �ri 7-10. .' Chapter 30 Part 1 for Components & Cladding, based upon the design parame"Misted below, • ...... using the Load Combinations in Section 2.4.1. • • • • • • • 0000.. 0000 .. 0 0 0 •••• • •• ••••• Building Address: 485 NE 94 St •sees• e • 000.0• Miami Shores, FL 33138 08'0000 :""'0 •••s.• R'�„!�_Ty - - 0000.. IVED Garage Door WidtM: 44fts:4, JAN 2 1 201 Garage Door Heigh!;.-': 7 ... ;0.0.0 Basic Wind Speed: 175•mDt; Exposure: C Mean Roof Height: 13.7 ft Least Overall Horizontal Dimension of Building: 100 ft Distance from left building corner to edge of garage door opening: 16.33 ft Distance fr ' I itV corner to edge of garage door opening: 2.67 ft Roof Slope: any slope Positive Design Pressure = 35.3 psf • y Negative Design Pressure = -40.3 psf j Design Assumpti n � The building is consldef nil¢ ” as f ned in ASCE 7-10 The Topographic Factor for the building is -"J1.00. The building and garage door measurements shown above were provided to Structural Solutions, P.A. by others. These calculations do not address the structural adequacy of the jambs or other supporting structure. These calculations merely determine the Design Wind Pressures for the given garage door size and building geometry. Evaluating the structural adequacy of the jambs or other supporting structure is not the responsibility of Structural Solutions, P.A. This document is only to be used in conjunction with Ama Gaarrage Doors .� •y+ •'0e + Miaanii Shores Village �•.•...••e+ .: a'itPi�C7�E� BY DATE No. 4a ZCiNIB�� DEPT R • � fir% �', R I Z�L L' STATECIF ,_''.LDG DEPT `; •��'+•,.,,,,. '�� ' ,I IIui CT TO COMPLIANCE WITH ALL FEDERAL I n I F AN[) COUNTY RULES AND REGULATIONS • s• • STRUCTURAL SOLUTIONS, P.A.* (*dba Structural Solutions of North Carolina, Inc., Firm #29412) Thomas L. Shelmerdine, PE (Florida PE #0048579) JA2014 Projects\14-002 Amarr 2014 Retrofit Doors\485 NE 94 St Miami Shores—FL 33138\Garage Door Pressure Calculator 7-10.)ds Wind Load Door Measurement Sheet Please send Completed information for each door via a -mai: (preferred), fax or post to: E-mail: eneineeringd mor.com Please place "Wind Load Door Measurement" in the subject line. Fax: (336) 251-1905 or (336) 251-1901 Engineering Dept. Attn: Windload Door Request Amarr Garage Doors 165 Carriage Court Winston-Salem, NC 27105 Required Dimensions: 1) 2) actsysdoors@bellsouth.net Attn: Smitty Dawson Ili ACTSYS Door Systems, Inc. SW Miami, FL 33155 00 e sees.. sees sees sees.. sees.. GARAGE DOORS 0 00 e sees ... .. e 9e ... . sees 9 9 9000 9e . e e e 0 00 9 9 990 000 009000 9 9 Phone: 305-229-4007 Fax: 305-225-7763ees. . e e e s. Date Emailed to Am2err:—�. IVOA #: 1 o—u7 Door Openings (Width x height) ,.Za l Mean Roof height. Also known as average roof height. This is found by taking the distance of roof peak from the ground plus the distance of the eave from the ground and dividing the sum by 2. Example: l0' from ground to eave and 20' from ground to roof peak has a mean roof height of 15' (2('¢10')/2=15' 3) Measurement from door opening to the nearest corner of the building. 4) Building footprint (length and depth of building) Required Photographs: 1) Picture of buildinga Taken from the curb for front of house). 2) Picture showing door opening and the nearest corner of the building. Home or Building Owner: t(lE -- A�(I ytl Ph^na, Street Address: J S4 Y -�- Cellular: City:p State Zip Code: (1 C _ ounty: Dade (146 mph Exposure C) [ Broward (140 mph Exposure C) Dimension #1) Door Oenin Width �_ 1 p g tt t x Height i t: (Example 15'-6" Dimension #2) Mean Roof Height: Dimension #3) Distance from door opening to nearest corner of building: Dimension #4) Building footprint sketch with dimensions. Provide in space below or on separate sheet. Z'¢'Q� � 11 . a- Z c� PdAIN Z E -2,20,_21 *00 • • • 000 • • M IAMI•DADE MIAMI -DADS COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY 11805 SW 26 Street, Room 208 AFFAIRS (PERA) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 V t'M 315-2599 . . .... ...... NOTICE OF ACCEPTANCE (NOA) • „ywrmiamidad igov/pera/ • • Amarr Garage Doors • • • • • • ..-.... 165 Carriage Court • • • • Winston-Salem, NC 27105 . • • • • . ; • • • • • SCOPE: This NOA is being issued under the applicable rules and regulations governing thf u • of construction • 0 V • . materials. The documentation submitted has been reviewed and accepted by Miami -Dade C.OJMV. PF.RA ,,lsiotlnet • Control Section to be used in Miami Dade County and other areas where allowed by the AgjjlpM Having Jgrisdiction - . • • (A . . This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Coimsp3mtion (in • • • Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve thS giot =o have tbij ploduct pr • • • material tested for quality assurance purposes. If This product or material falls to perform in the accepted thofter, 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 950 Heritage & 655 Oak Summit 1000, 2000 Steel Sectional Garage Door up to 9'-0" Wide APPROVAL DOCUMENT: Drawing No. IRC -9509-189-21-I, titled "Model 950 Heritage and Model 655 Oak Summit (24ga)1000, 2000 Short, Long, Flush and Oak Summit Panels", Sheets 1 through 3 of 3, dated 04/09/2007, with revision C dated 12/05/2011, 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 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 # 07-0619.02 and consists of this page 1 and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 12-0228.01 Expiration Date: September 6, 2017 1Z' Approval Date: May 3, 2012 0'f Page 1 Amarr Gamee Doors NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED Soso o . SSSS A. DRAWINGS • • SSSS• .. 1. Drawing No. IRC -9509-189-21-I, titled "Model 950 Heritage AFttModel 655 Oak . Summit (24ga)1000, 2000 Short, Long, Flush and Oak SummitXpeis", meets 1 through 3 of 3, dated 04/09/2007, with revision C dated 12/051204 4`prepaledby Amart Garage Doors, signed and sealed by Thomas L. Shelmerd;,t v,;P.E. ; • ; SSSS B. TESTS 0 • • 0 •' • 1. Test report on Evaluation of Painted or Coated Specimens Subiecte jto Q.6asim Environments per ASTM D1654 & ASTM BI 17, prepared by Arr :ectural TA ting, Inc., Test Report # A7420.01-106-18, dated 04/12/2011, signed and sealed WJoseph A. Reed, P.E. 2. Test report on Forced Entry Test per FBC, TAS 202-94, prepared by American Test Lab, Inc., Test Report # ATLNC 0912.01-11, dated 10/13/2011, signed and sealed by David W. Johnson, P.E.-Submtued under NOA # 12-0228.09" SSSS.. 00.00. SSSS.. SSSS. SSSS. SSSS.. SSSS.. .0000. -Submitted under NOA # 07-061102" 3. Test report on Large Missile Impact Test per FBC TAS 201-94, Uniform Static Air Pressure Test per FBC TAS 202-94 and Cyclic Wind Pressure Test per FBC TAS 203- 94 for a 9' x 7' Sectional Stwl Garage Door, prepared by American Test Lab, Inc., Report # ATLNC 0326.01-07, dated 05/08/2007, signed and sealed by David W. Johnson, P.E. 4. Test report on Tensile Test for 3 Samples per ASTM E 8, prepared by Hurricane Engineering & Testing Inc., Report # HETI-07-T682, dated 04/19/2007, signed and sealed by Candido F. Font, P.E. C. CALCULATIONS 1. Anchor calculations prepared by Structural Solutions, P.A., dated 01/25/2012, signed and sealed by Thomas L. Shelmerdine, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Permitting, Environment, and Regulatory Affairs (PERA) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS 1. Statement letter of code conformance to 2010 FBC and no financial interest issued by Structural Solutions, PA., dated 04/18/2012, signed and sealed by Tomas L. Shelmerdine, P.E. toFZ111041 Carlos M. Utrera, P.E. Product Control Examiner NOA No. 12-0228.01 Expiration Date: September 6, 2017 Approval Date: May 3, 2012 B-1 x .Lk yW 2� 9 t-2 t�m�l GLAZM OPTION DETAIL n�°_` 84 NIA am am �71E SIBEI. D"`VMWV iRAl1E. FRAME TB ' • «'84. X LIV SCREW - USED TO iASTBN DECORATIVE PLASTIC MDLD171T IDDW FRIM£ TO THE ASSONLY TRACK CONROURATIKIN FOR e'6' UP TO 14' TALL DOORS SECTION D -B IMPACT VINDOW RETAIL NLTS. SIMwe F t -6/B' WOOD JAMB ATTACHMENT TO STRUCTURE MOM SmRUC 6• X 3• LAG SCREWS ATTACHMENT6' FROM ENDSPST THEN MY 6L 0 1/2' EMBEDMENT) CONEWTE TI KVIK SILT 3/8' X 4• STARTM 6' ENDS THEN E4' Ur-@ 1/2' EMBEDMENT) KLn SLEEVE ANCHOR 3/8' X 2-3/4• ST 6' FROM ENDS THEN 161 II.C. 0 1/4' EMBEDMENT) ITV/RAMSET REDHEAD (TRU-SILT) 3/B' X 4' STARTING 6' FROM ENDS THEN 24• DSL 42 1/2• EMBEDMENT) PS@ M'N 4• X 3' EN SCREWS STAR ' &', USE PAIRS I3F FAST Cr APART) AT 6' O.C. 0 I/2' EMBENOM Hlln 1/4' X 2-3/4• KWIK-Cl3N U4 SCREWS STARTING 6• FROM ENDS, USE PAIRS OF FASTENERS Cr APART) AT B• = (1 1/41 EMBEDMENT) = MW PM GRIUM n SLEEVE AND3DR 3/8' X 8-3/4' STARTDTG 6• FM ENDS THEN 20. O.C. a 1/4' EMBEDMENT) KBb USE FASTENERS FOR MM C -W BLOg0 RAGS AND BOLTS CAN BE CMINTERSUNK TO PROVIDE A FLUSH MCUNTING SURFACE OREPARAT113N OF W® JAMBS BY OTHERS SBUM TRUCTURE STRUCCTTURE IBt0 m sTR1X HIRE Ii2• HIM 2 1-1/2• MIN a• W. JAMB BBwO1ft4ACVilRD IMPACT GLAZM FASTENER MIA&. I MY I MM OIL TS. A A8� 1DIE MM W PA112 7/3/M' B.• %-1— —1— B lummas 19/40101 AYADABIE W= 2ME24MB • • •• amBa LOANate;° S�� NO K1048579 ':Q^ MOM Jri�'' MISSIUE e9° ST E OFLARGE IMPACT ( • • t�m�l GLAZM OPTION DETAIL n�°_` 84 NIA am am �71E SIBEI. D"`VMWV iRAl1E. FRAME TB ' • «'84. X LIV SCREW - USED TO iASTBN DECORATIVE PLASTIC MDLD171T IDDW FRIM£ TO THE ASSONLY TRACK CONROURATIKIN FOR e'6' UP TO 14' TALL DOORS SECTION D -B IMPACT VINDOW RETAIL NLTS. SIMwe F t -6/B' WOOD JAMB ATTACHMENT TO STRUCTURE MOM SmRUC 6• X 3• LAG SCREWS ATTACHMENT6' FROM ENDSPST THEN MY 6L 0 1/2' EMBEDMENT) CONEWTE TI KVIK SILT 3/8' X 4• STARTM 6' ENDS THEN E4' Ur-@ 1/2' EMBEDMENT) KLn SLEEVE ANCHOR 3/8' X 2-3/4• ST 6' FROM ENDS THEN 161 II.C. 0 1/4' EMBEDMENT) ITV/RAMSET REDHEAD (TRU-SILT) 3/B' X 4' STARTING 6' FROM ENDS THEN 24• DSL 42 1/2• EMBEDMENT) PS@ M'N 4• X 3' EN SCREWS STAR ' &', USE PAIRS I3F FAST Cr APART) AT 6' O.C. 0 I/2' EMBENOM Hlln 1/4' X 2-3/4• KWIK-Cl3N U4 SCREWS STARTING 6• FROM ENDS, USE PAIRS OF FASTENERS Cr APART) AT B• = (1 1/41 EMBEDMENT) = MW PM GRIUM n SLEEVE AND3DR 3/8' X 8-3/4' STARTDTG 6• FM ENDS THEN 20. O.C. a 1/4' EMBEDMENT) KBb USE FASTENERS FOR MM C -W BLOg0 RAGS AND BOLTS CAN BE CMINTERSUNK TO PROVIDE A FLUSH MCUNTING SURFACE OREPARAT113N OF W® JAMBS BY OTHERS SBUM TRUCTURE STRUCCTTURE IBt0 m sTR1X HIRE Ii2• HIM 2 1-1/2• MIN a• W. JAMB BBwO1ft4ACVilRD IMPACT GLAZM FASTENER MIA&. I MY I MM OIL TS. A A8� 1DIE MM W PA112 7/3/M' B.• %-1— —1— B lummas 19/40101 AYADABIE W= 2ME24MB • • •• ••• • • • • ••• • • • •• •• • • • •• •• ••• • • • ••• • • amBa LOANate;° S�� NO K1048579 ':Q^ +87.0 PSF _67.0 PSF MISSIUE e9° ST E OFLARGE IMPACT • • • • • • he �1N� Iw CaRgm S •F•r 4>gsr•I.wLq •C R71W 1PWAXM•L•1 MODEL 000 EIERIUGIE 1000, 2000 MOD O 8010H(R (24s) 1000. 2000 • • .JORT� G. da OAR SOMM7' PA14M • sm BAS MAP I mom SIB BER i • i •B moc• DAa eye/m U?C-9509-189-21• OWS VVIRL UJIM PL M Ba OOOTBA I 3EET 2 OF 3 • ••• • • • • ••• • • • •• •• • • • •• •• ••• • • • ••• • • TABLE 1 TABLE 2 .... ....... . • • • . • . Y •