WS-15-3110 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-249941 Permit Number: WS-12-15-3110
Scheduled Inspection Date: February 10,2016 Permit Type: Windows/Shutters
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: MCCAUSLAND,WILLIAM Work Classification: Window/Door Replacement
Job Address: 1059 NE 104 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1122320290100
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
REPLACE WINDOW DUE TO HURRICANE Infractio Passed comments
INSPECTOR COMMENTS False
"PLEASE NOTE: WORK DONE WITHOUT PERMIT
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-249462.
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
February 09,2016 For Inspections please call: (305)762-4949 Page 14 of 44
Miami Shores Village CEIVED
Building Department DEC 162015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 rBY�:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No. U4 1�e
PERMIT APPLICATION sub Permit No.
BUILDING r-] ELECTRIC ❑ ROOFING ❑ REVISION 0 EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10 , e J D
City: Miami Shores County: ( Miami Dade Zi
Folio/Parcel#: Is the Buildi g Historically Designated:Yes NO
Occupancy Type:0 rl_LOad: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name Fee Sim/ le Titleholder): Phone#:_
Address: 1,D
D S G Jv E 10 Lf f74-
City:—I State: IT,,t Zip:
Tenant/Lessee Name: Phone#:
Email: C U la G w 1 c'c' (;"� AOL, G
CONTRACTOR:Company Name: 0jV'N&A'_) Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$_ `� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
�/)� El New ,N Repair/Replace [:1 Demolition
Description of Work: �� w4pj9 3
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ®` W CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$ • W
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ p -
(Revised02/24/2014)
i
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 issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
—day of '
C-- 2Q 4� -, by day of 20 by
d'l/er�� Al/il h67s e s �fl�tl4Qwn to ,who is personally known to
me or who has produced �'` as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Si • Sign:
Print: Print:
Seal:Ejd�"N#t ��otary Public FloridaSeal:
ILA oanna M Fexpires 0111212018:OMMISSIOM FF 2753
APPROVED BY Q��d� �� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
s F Miami Shores Village
�,5tox ��
age. o,,,� Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�tORIDA
Tel: (305) 795.2204
Fax: (305) 756.8972
/'lfOWNER BUILDER DISCLOSURE STATEMENT
lD
NAME: �IA4 DATE: I! 6
ADDRESS: )b J4, D J
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).
And I have read and understood the following disclosure statement,which entitles me to work as my own contractor;I further
understand that I as the owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The
exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must
supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a
commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and
occupancy.it may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the
construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may
not hire an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have
licenses required by state law and by county or municipal licensing ordinances.Any person working on your building who is not
licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and with-
holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all
applicable laws,ordinances,buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder
permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as m own
contractor with certain restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own
name.I also understand that the contractor is required by law to be licensed in Florida and to list his orlice umb rs on
permits and contracts.
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve
a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may
not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I built r bst ntially
improved it for sale or lease,which violates the exemption.
Initial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. a^ /
Initial 6A/1-1
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or
residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or
municipal ordinance.
Initial
4 (�
f
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that
erroneously implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an
owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to
perform the work being done.Any person working on my building who is not licensed must work under my direct supervision
and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and
social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for
the employee.I understand that my failure to follow these may subject to serious financial risk.
Initial
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable
laws and requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the
United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the
Florida Construction Industry Licensing Board at 850.487.1395 or h ://www.m rfloddalicense.com/db rl ro/cilbfiinde c.htm
Initial
.1w-
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
11)pg�116 I D q fif,
Initial
le-
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the infoon I
have provided on this disclosure.
Initial
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a
license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to
assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to
understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may
be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for
verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and
returned to the local permitting agency responsible for issuing the permit A copy of the property owner's driver license,Oh notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is requir
87
the permit is issued.
Was acknowledged before me this day of ,20�
By who was personally known to me or who has
CD
Produced th r License or +�Z�-� Z�Zv �v r I l as identification.
WNE NOTA
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®EC 16 2895
VA
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Miemi Shores Village✓
APPFROVED
DATE
ZOMif��DE"
BL®®DEPT
SUBJECT To Com
CE HATH ALLFEDERAL
•• ••• . •• STATE AND COUN
• TY RULES AND REGULATIONS
.. ... .. . . . ..
... . ... ... ...
. .. .. . . . .. ..
... . . . ... . .
MIAM{• TvIIAMI-DARE COUNTY
® DADE PRODUCT CONTROL SECTION
DEPARTi1IENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SSV 26 Street,Room 208
BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599
_NOTICE OF ACCEPTANCE (NOA) mimmiamidade.¢ov/economy
Trulite Window&Door Solutions,LLC
8130 NW 74th Avenue
Medley,FL 33166
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of constriction
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. If this product or material fails to
perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. 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 1110000 Tilt"White PVC Single Hung Window—L.M.I.
APPROVAL DOCUMENT:Drawing No.W09-10,titled"Series 10000 PVC Single Hung Tilt Wdw.
(L.M.I./S.M.I.)",sheets 1 to 8 of 8,dated 02/12/09,with revision D dated 10/30/13,prepared by Al—Farooq
Corporation,signed and sealed by Javad Ahmad,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: 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
displayo,then it shall be done in its entirety.
INSP$CTION:'t1`cA" ;f this entire NOA shall be provided to the user by the manufacturer or its
distribul6sand I&I Deb4t4blefor inspection at the job site at the request of the Building Official.
This NOA revises and renev3s NDA#12-0118.19 and consists of this page 1 and evidence pages E-i and
E-2,as well as approval document mentioned above.
The submitted dptunitration 4kjas•wviewed by Manuel Perez,P.E.
•• •fee
• �•: i • f ^�
• {l•f, NOA No.13-0909.12
e�rAr» ► c�u►vPr .'` r' Expiration Date: April 22,2019
Approval Date: November 07,2013
• •;• Page 1
... . . . ... . .
r
Tralite Window &Door Solutions,LLC
NOTICE OI+'ACCEPTANCE: EVIDENCE SUBMITTED
I
A. DRAWINGS
1. Manufacturer's die drawings and sections.
(Submitted tinder NOA No. 09-0223.07)
2. Drawing No W09-10,titled"Series 10000 PVC Single Hung Tilt Wdw.
(L.M.I./S.M.I.)", sheets 1 to 8 of 8,dated 02/12/09,with revision D dated 10/30/13,
prepared by Al Farooq Corporation,signed and sealed by Javad Ahmad,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)Large Missile Impact Test per FBC,TAS 201-94
5)Cyclic Wind Pressure Loading per FBC,TAS 203-94
6)Forced Entry Test,per FBC 2411.3.2.1 (b) and TAS 202-94
along with marked—up drawings and installation diagram of a PVC single hung
window,prepared by Fenestration Testing Laboratory,Inc.,Test Report No.
TTI.5952 dated 09/14/09, signed and sealed by Julio E. Gonzalez,P.E.
(Submitted under previous NOA No. 10-0203.03)
2. 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
6)Forced Entry Test,per FBC 2411.3.2.1 (b)and TAS 202--94
along with marked up drawings and installation diagram of a PVC single hung
window,prepared by Fenestration Testing Laboratory, Inc.,Test Report No.
FTL 5666 dated 09/12/08, signed and sealed by Carlos S. Rionda,P. E.
(Submitted under previous NOA No. 09-0223.07)
C. CALCULATIONS
1. Anchor verification calculations and structural analysis, complying with FBC 2007
and FBC-2010,dated 01/18/10 and updated on 01/04/12,prepared,signed and sealed
by Javad Ahmad,P.E.
(Submitted antler previous NOA No. 12-0118.19)
2. Glazing complies with ASTM E1300-04
D. 9*0"TIV gN$8jJ#AN•QE
1* • v1ri.1��d�.Ciepartment of Regulatory and Economic Resources(RER)
. ... . ... •
•
.
••• ••
• • • • • . , anueXPc ez,P.E.
• • •. ' • r' Product CojAr .examiner
• •• •" NOA No.13-0909.12
Expiration Date: April 22,2019
Approval Date: November 07,2013
• • • -1
0:0 • • • ••• •• ••
Trulite Window &Door Solutions,LLC -
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
E. MATERIAL CERTIFICATIONS
1. Notice of Acceptance No. 12-1231.10 issued to Eastman Chemical Company (MA)
for their"Saflex Clear and Color Glass Interlayers"dated 03/28/13,expiring on
05/21/16.
2. Notice of Acceptance No. 12-1017.02 issued to Quanex Building Products,Inc. for
"White Rigid PVC Exterior Extrusions for Windows and Doors"dated 02/07/13,
expiring on 12/26/16.
F. STATEMENTS
1. Statement letter of conformance, complying with the FBC-2010,and of no financial
interest,dated 10/30/13, signed and sealed by Javad Ahmad,P.E.
G. OTHER
1. Notice of Acceptance No. 12-0118.19,issued to Trulite Window&Door Solutions,
LLC for their Series"10000 Tilt"White PVC Single Hung Window—L.M.I.",
approved on 03/15/12 and expiring on 04/22/14.
000
• .. . . . . .
• .. . . . . ... . _
• . . . . . . .
• •'• • 0:0 ••• ... Manuef Pere 15. .
.. . • 1'COthlet Control Ex m!der
00:
•• • •• ••• . :. NOA No.13-0909.12
Expiration Date: April 22,2019
Approval Date: November 07,2013
... . . ... . );-2
. . . . .. . . . . .
52 llfr 52 1/13- 1 rw
m=WIDTH BUCI(WIDTHa I
A7- 7
48* 48*
D�O.(M.Lffl D.I.C.(FRI.UTE) z
FALSE MLINTINS
Hm/SILL APPLIED)
10-711
I r HEAD/SRL—
5,MAX • 9'MAY-
-45AD�SEL
co,"m r (�2)
2)
JA
6 - 11
C�)
9 01T L
A
(VE
I
FALSE MUNTINS
(SURFACE J
AT45 518W*
j
W DOWS ARE RATED FOR LARGE&SMALL MISSILE IMPACT.' ) D.L.O.cirem)
45 5/8
SHUTTERS
ARE NOT REQUI 0. 48 3/4- 48 3/4-
11,115,
__— 0 2
VENT WIDTH YEW WIDTH
SERIES IOQOO PVC SINGLE HUNG TILT )VIND FLANGE&FLUSH FRAM FIN FRAM
DESIGN LOAD RATINGS FOR THESE WINDOWS TO BE AS PER TYPICAL ELEVATION
CHARTS SHOWN ON SHEET 2.
APPROVA! APPLIES TO SINGLE UNITS OR SIDE BY SIDE
COMBINATIONS VANDOWTYP S IN MODUIES OF TWO OR MORE WINDOWS USING
OF S.H./S.H.OR SINGLE HUNG WITH TITHE
MIAMI
-DADE COUNTY APPROVED MULLIONS IN BETWEEN.
LOWER DESIGN PRI.SSURE FROM WINDOWS OR MULLION APPROVAL
WILL APPLY TO ENTIRE SYSTEM.
THIS PRODUCE HAS BEEN DESIGNED AND TESTED TO COMPLY WITH THE
KOUTREMLNTS OF THE FLORIDA WILDING CODE INCLUDING HIGH VELOCITY
HURRICANE ZONE(HWI). INSULATING LAM. GLASS
WOOD BUCKS BY OTHERS.MUST 13F ANCHORED PROPERLY TO TRANSFER LARGE & SMALL MISSILE IMPACTI
LOADS IO THE STRUCTURE. Fr.JAW AHIMD PROI)LICT RP.VIMD
ANCHORS
SWd.I.I MA
HE AS LISTED,SPACED AS SHOWN ON DEWLS,ANCHORS 11 b.pfmdp
EMIiEOMENT TO ME MATERIAL SHALL ST.BEYOND WALL DRESSING OR STUCCO. HA
ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE OA.N 3g
"',(m,fU-12,
NOT PART OF THIS APPROVAL.
RI
A LOAD DURATION INCREASE IS USED IN DESIGN OF ANCHORS INTO WOOD ONLY.
MATE IALS INCLUDING WI NOT LIMITED TO STELL/NiETAL SCREWS,THAT COME ^2013 W09-10
INTO CONTACT WTH OTHER DISSIMILAR MATERIALS SHALL MEET THE
REQUIREMENTS OF THE FLORIDA WOO.COOF SECTION 2003.8.4.
0
• 0:0 *so 60: •••
go: :0 •
0 0 00
0 0
••• 0:0 •
EQUAL, I.ITES YYINDOWR UNEQUAL LITES TYINDOYYS 1/8'TEMP.CLASS 1/8-TEMP.CUSS r U pi,
DESIGN LOAD CAPACITY-PSF DESIGN WAD CAPACITY-PEP 7/16'AIR SPAa 7/18'AIR SPACE
DLAss TYPPS M4489 TYPC4 CLASS TYPES CLASS TYPES I/8'IRAT STREN'D.CUSS 1/8-ANN.GLASS Z I
DUCK DIMS. A'&'Al' B'&'UI' BUCK DIMS. A'&'Al, e'&'81'
TADDI tem CM.(.) IW.(-) EXT.(+) INT.(-) WWIH HEIGHT LXV.0) INT.(-) EXT.(+) INQ-) OBD'ht.,Iaya, A8o'inlmioyv Q
SoRa actor AIM CNar Gbss - tAA Clam AM Gobi a0se ttCAg11
+8-I/8' ro.0 70.0 65.0 85.0 IB-i/8' 70:0 70.0 89.0 _Bl.o By'Evslm Ch-&W Co.' By'Eae A-Chm�roW CO! 6 "I
25-1!2' 70.0 70.0 85.0 0.0 25-1/T' 70.0 70.0 85,0 63.0 6 gg 5�
1/8'HFAI SIREN'D.C1A55 1/B'ANN.GLASS
31• 70.0 70.0 65.0 85.0 3I' 10.0 70.0 85.0 BSA ,CC7
J6' 25 70.0 10.0 89.0 85.0 �• 49-5/8' 70.0 70.0 85.0 85.0 SILICONE SILICONE a'
41• (A) 70.0 70.0 65.0_ 85.0 41' (8) ]0.0 T0A 63.0 65.0 y} GE 2810 a g GE 2800 �'D N
aY ID.G 70.0 65.0 65.0 47• TO.o 70.0 85.0 85.0 $ � DOW CORMNG 899 [ -OOW CORNING 889 �� R
42-1/8" 70.0 70.0 6S.D 65.0 52-I/B' no 70.0 65A 65.0
10.0 70.0 Bs.O BSA +8-1/8' ro.0 10.0 03.0 65.6 1LpQ too i
25-Il2• 70.0 70.0 65.0 65.0 25-1/2 70.0 70.0 65.0 69.0 T d dpa
3I' 70.0 70.0 810 0.0 ]1' 82• -37-3/8 70.0 70.0 85.0 650 I
JB' /O.G 70.0 S"(4) BS.O JB' _70.o To.o_ 65.0 89.0
41' i0.0 70.0 65.0 85.0 4I• M. 70.0 65.0 65.0 m
47' 70.0 ]0.0 65.0 810 IB-1/8' ]0.0
15 1/4' _ S.],pSS T1TB'A' GLA55 TYPE'B.
70.0 170.0 BSA 85.0 25-i/2' 70A 70.0 85.0 BSA __I
I8 I/8' 70.0 no 65.0 85.0 SI' (9) 70A 70.0 65.0 83.0 7/8-OVERALL OISUL.Wi CLASS 7/9^OVERALL 6NSUL LAM.GIA55 1 $
75-I/7- 70.0 10.0_ 610 89.0 NO.IN PARENIIIESIS VIDICAM NUMSER (URGE&SMALL MISSILE IMPACT GLASS) GARGE&SMALL LOME IMPACT MASS)
JI' ro.0 70.0 610 65.0_ OF ANCHORS PLR JAAN. z
Is 6) 70.0 lo.0 85.0 69.0 1/8'ANN.CUSS -1/8•ANN.CLASS
70.0 ]l o $5.0 -BS.o '1WDIx�'( F o R
q' 70.0 70.0 65.0 BSO r - I 7116'ARL SPACE -7/18'AIR SPACE N
57_1/8- 70.0 10.0 65.0 65.0- --
/e'HEAT S REND.GLASS /e'ANN GLASS
IB-I/8' ro.0 70.0 65.0 69.0 S�
25-I/2' 70.0_ 70.0 85.0 63.0 SO.bCim,d CAW Gbao �abED
CleorI.�AM CobT saes a
JI' 70.0 10.0 88.0 810 By'Eastman ChombN Ca Dy Y-1-C.Z.Co.' S M
t ChM
J6' 9Y' 70.0 70A 69.0__0.0 O a. p: 1/8'NEAT STREN'0.GLASS 1/8•ANN.GLASS g
ai' (6) 70.0 70.0 65.0 89.0 G 9 '}
47' 70.0 70.0 89.0 69.0 $ SILICONE V.
SILICONE E3 z g
yyV1 gg 2800
��C11 n v
52 10.0 70.0 85.0 85.0 .. ... //''DOW COORNING 899 ;g /+ DOW CORNING 899 = w
,a-I/8' 70.0 roo e5A 65.0 ll L4{ 1 9
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S w-10004 I VENT Wi5wocx SIRE PNZ, QUANEX BIN.DINO PRODUCTS M. 0' T FQQL
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BA W-10008 z PERT STOP(3'LONG) PVC QDANEX FRALOPW PRODUCTS INC.
10 W-io008 1 VENT BORaU LATCH LOCH AT uIUSPAN or ROT.RAIL WC QUANEK gUltowa PRODUCTS WC.
11 YE-1104 4/VFNI VENT RRHFORCFN[Nf 8083-T8 - _--
I2 YE-1103 1/EACH FIXED INlViOCN REINFORCEMENT 8.083-TB
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14 YH-MID 2/VENT RQANCr CARRIER ASS-.(Wo.18H101) 'CAIDWELL"
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17 W 4026 AS REQ-0. .181•K J.10'FUN SEAL PILE MIX PLASTIC FIN W*STRIP - •ULIMPAB, F y
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19 YF-92 14/VENt F.H.PH.pR VENT REINFORCING SCREW CAO PIATED CRS.
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PH FFM Mt IRWF.SCHEN S STEEL AT 4"TIM ENDS&IO-//4'D.C. c ;
CORNERS V40E PVC 0fTRUSIONS TO BE LABELED WITH AAUA EXIRUDFR CODE,
EXTRUDER NAUE..CITY.STATE AND'ILDCA'. _ 1T
Z
/ CORNER WELDED
CATERERS
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reit Na WS-12-15-3,110
Miami Shores Village PBlCt7 }ljl3.`WIt1dQWS�SIULt@rS
10050 N.E.2nd Avenue NE
01 Ola ifttta it n.Window/Door Repan
Miami Shores,FL 33138-0000 _M,
.
°ffNs°e
Permit Status:
APPROVED :'
Phone: (305)795-2204
�i!OR'lDA -
1V22/2015 Expiration: 06/1912016
Project Address Parcel Number Applicant
1059 NE 104 Street 1122320290100 WILLIAM MCCAUSLAND
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
WILLIAM MCCAUSLAND 1059 NE 104 ST
MIAMI SHORES FL 33138-2655
Contractor(s) Phone Cell Phone
Valuation: $ 1,200.00
HOME OWNER
Total Sq Feet: 00 sj
l'.
Type of Work:REPLACE WINDOW DUE TO HURRICANE Available Inspections:
No of Openings:1 Inspection Type:
Additional Info:
Window Door Attachment
Classification:Residential Final
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoice# WS-12-15-58072
$2.00 12/16/2015 Credit Card $50.00 $81.20
DCA Fee $2.00
Education Surcharge $0.40 12/22/2015 Credit Card $81.20 $0.00
Notary Fee $5.00
Permit Fee $110.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $131.20
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,P UMBINSG,,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: eZy that' II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Fitt�rmore, lauthorize the above-named contractor to do the work stated.
�
v' December 22, 2015
Authorized ignature:bwner / Applicant / Contractor / Agent Date
Building Department Copy
December 22,2015 1