REV-16-543 Miami Shores Village
Building Department MAR 01 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 [-(-(
FBC20S _
BUILDING Master Permit No. e,�S�r—
PERMIT APPLICATION Sub Permit No. �
0BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /VC /-Z-
City:
-Z-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): [5 f'Z��� S. �®V,-'i- Phone#:--,2,r3s f`. 0-31
Address: 9 3-,> / /V- /L 4 ve
City: /V/4-~,- 560-'mss State: L- Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 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 ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 11VIA 0a " e2'0' a�M� � .4,., T`6 �iC4d..S
�'OOd�s �L� i�� .5�•1.'�� E/�g .��� �� �G� �rc��rr�S �ee��•t" �"/��.rg,�'�2 3
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CJ3 CCF$ CO/CC$
Scanning Fee$ .,PYA Radon Fee$ DBPR$ Notary$_ �-
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 X G !-v �� Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
01 day of �v n`PCCk-4 20by day of 20 , by
M o is personally known to who is personally known to
me or who has produced � --V-L-1 'k(�- I-� Cas me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: `�� �`` Print:
Seal: ao#9Py,. Notary?qa,Iic State of Florida Se :
Sindia AlvaraZ
My Commission FF 156750
Expires 09/0312D18
APPROVED BY I Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
e
Line#, Item Description Quantity
1.1 PW701H WINGUARD PICTURE WINDOW Ordered:1 IREC -
Locallowl
R 01 2010
Size:69.000W x 50.000H Sae Type:Tip-To-Tip r
Frame Color.Bronze Frame type:age
Outboard Glass Color.Bronze Interlayer Color.Clear Y':
Interlayer Color.CLR Inboard Glass Color.Clear
Glass Type:7/16'Lami(3/16 Ann-.090 PVB-3/16 HS) Colonial Style:No Colonial
Fixed lites across:0 Fixed lites down:0
LIStainless Steel Package:1 DP Calculated+:77.50 6006
•
•
DP Calculated-:77.50 FPA#-.FL243 i ••• •••• ••••••
Cerffflcatton#:13-0502.03 NOA Selection:134)50203(exp.2/19/2019) •• • • • •
NFRC Label:U-Factor.0.99 NFRC Label:SHGC:0.55 so**** • • • ••
NFRC Label:VT:0.51 COG:U-Factor:0.94 •60
•• •• ••••••
COG:SHGC:0.60 COG:VT(use for Turtle Cale):0.57 • • •
Condensation Resistance:13 Energy Star Does Not Quality • • ••••• ••••
What side to Mull:View from Outside sees ••••• **see
•••••• • • • •
• • •••••• •••••
••••••
2.1 MULL MULL BARS Ordered:1 • • • • •
• • • • •
- ----y•�••• -••••ice--
Location:I • • • • • •
•• • •••• ••••••
For Brand:WfnGuard Aluminum Mull Type:1 x 4 x.375 Mull • • • • •
Custom Mull Size:69.000 Mull Color:Bronze •• •
3.1 MULL MULL BARS Ordered:1
Ty
Location:1 -- ---
For Brand:WmGuard Aluminum Custom Mud Size:0
Clip Angles&U-Channel:1 x 4 x.375 Mull Clip Set Yes AOL
4.1 HR710A HR710A ALUM WG Ordered:1
Location:1
Size:69.000W x 25.500H Frame type:Flange
Size Type:Tip-To-Tip Configuration:XOX-Left Moving-Middle Fixed-Right Moving
Frame color.Bronze Outboard Glass color.Bronze
Interlayer color.Clear Inboard Glass color.Clear
Glass type:5/16'Lauri(1/8 Ann-.090 PVB-1/8 Ann) Meeting rail location:1/3-1/3-1/3
How many Screen :18x16 Charcoal
(
t
Colonial style:locks:
Colonial DP Calculated Pas+:60.00
CertificatioriM 15-0519.09
DP Calculated Neg-:60.00
FPA#:FL242 Anchorage:1W ELCO Tapcons
Substrate:Concrete Label:U-Factor 1.08
Label:SHGC:0.54 Label:VT:0.52
COG:VT(use for Turtle Code):0.66 Energy Star:Does Not Qualify
What side to Mull:View from Outside
5.1 HR710A HR710A ALUM WG Ordered:3
Location:2,3.4 ------- - - - --
Size:68.625W x 38.125H Frame type:Flange
Size Type:Tip-To-Tip Configuration:XOX-Left Moving-Middle Foxed-Right Moving
Frame color.Bronze Outboard Glass color.Bronze
® Interlayer color.Clear Inboard Glass color.Clear
Glass type:5/16'Lama(118 Ann-.090 PVB-1/8 Ann) Meeting rail location:113-1/3-1130 I ( / ��
ny Screen 18x16 Charcoal �! I ®- 514-3
How ma locks:1 DP Calculated Pos+:60.00
Colonial style:No Colonial
DP Calculated N 60.00 Certification -15-0519
eg .09
FPA# FL242 Anchorage:1/4'ELCO Tapcons
Substrate:Concrete Label:U-Factor:1.08 - >
Label:VT:0.52
Label:SHGC:0.54
COG:VT(use for Turtle Code):0.66 Energy Star.Does Not Qualify
What side to Mull:View from Outside - -- _
VJ1TH AH FF fW-HAI_ l
6.1 HR710A HR710A ALUM WG
Ordered:3 - -- -- ---
Location:5,7,8 - - - -
Size:53.000W x 38.125H Frame type:Flange
Size Type:Tip-To-TIp Configuration:XO-Loft Moving-Right Fbced
® Frame color.Bronze Outboard Glass color.Bronze
® Interlayer color.Clear Inboard Glass calor.Clear
Glass type:5/16"Lami(1/8 Ann-.090 PVB-1/8 Ann) How many locks:1
OScreen type:1 8x1 6 Charcoal Colonial style:No Colonial
DP Calculated Pas+:75.00 DP Calculated Neg-:75.00
Certiflcaf*.15-0519.09 FPA P.FL242 0000
Anchorage:1/4"ELCO Tapcons Substrate:Concrete i 0 •
Label:U-Factor.1.08 Label:SHGC:0.54 • 0000
••••f•
Label:VT:0.52 COG:VT(use for Turtle Code):0.66f •• • : i•
Energy Star.Does Not Qualify What side to Mull:View from Outside ••0:09 •• f• ••••i•
• f
7.1 HR710AHR710AALUM WG ����• •""• •
Ordered:1 f••••
•• ••
Location:6 � ••f•••
ff•f•• •
Size:37.000W x 50250H Frame type:Flange
Size Type:Tip-ToMp Configuration:XO-Left Moving-Right Fixed •••••• •'• ••
Frame calor.Bronze Outboard Glass color.Bronze • • • ' • f
Interlayer color Clear Inboard Glass color.Clear " • ••+•. *Gee:
•
Glass type:5/16"Lams(1/8 Ann-.090 PVB-1/8 Ann) How many locks:2
Screen type:18x16 Charcoal Colonial style:No Colonial
DP Calculated Pos+:75.00 DP Calculated Nag:75.00
Certification#:15-0519.09 FPA#:FL242
Anchorage:1/4'ELCO Tapcons Substrate:Concrete
Label:U-Factor.1.08 Label:SHGC:0.54
Label:VT:0.52 COG:VT(use for Turtle Code):0.66
Energy Star.Does Not Qualify What side to Mull:View from Outside
8.1 SH700 WINGUARD SH SERIES 700 Ordered:1
Location:9 --
Size::18.500W x 502WH Size type::Tip-To-Tip
Configuration::Equal Lite Egress::Does not meet Egress
Sash height:25.257 Frame type::Flange
Frarne calor.:Bronze Outboard color:Bronze
Interlayer color.:White Inboard color.:Clear
Glass type::5/16"Lami(1/8 Ann-.090 PVB-1/8 Ann) Colonial style::No Colonial
Screen type::18x16 Charcoal Wdw Lock Type::Sweep Latch
How many locks::1 DP Calculated+:64.00
DP calculated:80.00 Certification#:15-0519.08
FPA P FL239 Label:U-Factor:1.07
Label:SHGC:0.56 Label:VT:0.55
COG:VT(use for Turtle Code):0.66 Energy Star.Does Not Qualify
Testing/Certifications to be used for permit:Miarnl-Dade Anchorage Type::114"ELCO Tapcons
NOA(in HVHZ)
Substrate:Concrete
9.1 HR710A HR710A ALUM WG Ordered:1
Location:10 --- -
Size:53.000W x 50250H Frame type:Flange
Size Type:Tlp-To-Tip Configuration:XO-Left Moving-Right Fixed
Frame color:Bronze Outboard Glass color.Bronze
Interlayer color:Clear Inboard Glass calor.Clear
Glass type:5/16"Lami(1/8 Ann-.090 PVB-118 Arm) How many locks:2
l Screen type:18x16 Charcoal Colonial style:No Colonial
DP Calculated Pos+:75.00 DP Calculated Nag-:75.00
Certifica8an# 15-0519.09 FPA#-FL242
Anchorage:1/4"ELCO Tapcons Substrate:Concrete
Label:U-Factor:1.08 label:SHGC:0.54
Label:VT:0.52 COG:VT(use for Turtle Code):0.66
Energy Star.Does Not Qualify What side to Mull:View from Outside