WS-16-426 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-253055 Permit Number: WS-2-16-426
Scheduled Inspection Date: March 03,2016 Permit Type: Windows/Shutters
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: , Work Classification: Door Replacement
Job Address: 1071 NE 95 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060143610
Project: <NONE>
Contractor: FLORIDA HOME IMPROVEMENT Phone: (954)792-4415
Building Department Comments
REPLACE 2 DOORS WITH IMPACT Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
March 02,2016 For Inspections please call: (305)762-4949 Page 18 of 44
C"P
k Miami Shores Village F�B 17 2016
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 I
FBC 20 I -A
BUILDING Master Permit No. W, r
PERMIT APPLICATION Sub Permit No.
QBUILDING Ej ELECTRIC ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [:] MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1071 NE 95 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-014-3610 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): BEVERLY MCCORQUODALE Phone#:
Address: 1071 NE 95 ST
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: FLORIDA HOME IMPROVEMENT Phone#: 954-7924415
Address: 4070 SW 30 AVE
City: HOLLYWOOD State: FL Zip: 33312
Qualifier Name: WAYNE T. BURNETT Phone#:
State Certification or Registration#: CGC061890 Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$14,664 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
Description of Work: REPLACE 2 DOORS W/IMPACT, SIZE FOR SIZE
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 120 '(5b CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$ 10
Structural Reviews$ Bond$ 41
TOTAL FEE NOW DUE$
(Revised02/24/2014)
4.,
'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. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement roust be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatu;; ' .dl ��G Signatur Na
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this V The foregoing instrument was acknowledged before me this 12-
day
2-
day of FE-5 ,20 `U,by l>V ek'4 J1CCo+Z6uCM(J day of FI=B ,2016,by L10 P4 tJe T• 130¢L—'-IF
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as ide ' tcation and who did take an oath.
NOTARY PUBLIC: NOTARY PU LIC:F
,�j '• �Na 219
Sign: Sign: o..
Print:
�•l /f!') Print: �l�n<�SOeyp�b�c
My Commission Expires: aojPR::.e�,� ANTONIO HERNMIDEZ My Com fission E s
. ...:
* * MY COMMISSION#FF 164915
EXPIRES:October 1,2018
kkkkskkl:�kkskkkskkskkI:kk�:kkk�$k00, Bond k���kd�T kO�B:kkI:akkkkks�Hcakkk8:skskskl:&kk kkkakkkkkk��k:k�kkkkkkkskk:kkkx:kk�kkakk�ksk
!�.
APPROVED BY � dans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Pr earch Application- Miami-Dade County Page 1 of 2
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Generated On:2/10/2016
Property Information
Folio: 11-3206-014-3610
Property Address: 1071 NE 95 ST
Miami Shores,FL 33138-2547
f.<
DONALD S MCCORQUODALE JR
Owner &W
I pilri ,
'$4 BEVERLY B MCCORQUODALE
Mailing Address 1071 NE 95 STS
:.
MIAMI,FL 33138-2547
Primary Zone 1400 SGL FAMILY-3001-3250 SQ
_.__ 'tltiulllii".: I`p:,J� it Ipp/l ,
Primary Land Use 0101 RESIDENTIAL-SINGLE
f1
FAMILY: 1 UNIT
Beds I Baths I Half 4/3/0
Floors 2
{3�
Living Units 1
Actual Area Sq.Ft
Living Area Sq.Ft Taxable Value Information
Adjusted Area 2,806 Sq.Ft 2015 2014 2013
Lot Size 17,125 Sq.Ft County
Year Built 1951 Exemption Value $50,000 $50,000 $50,000
Taxable Value $296,181 $293,434 $288,359
Assessment Information School Board
Year 2015 2014 2013 Exemption Value $25,000 $25,000 $25,000
Land Value $522,893 $325,042 $217,123 Taxable Value $321,181 $318,434 $313,359
Building Value $199,494 $194,841 $195,348
City
XF Value $23,958 $24,151 $24,343 Exemption Value $50,000 $50,000 $50,000
Market Value $746,345 $544,034 $436,814 Taxable Value $296,181 $293,434 $288,359
Assessed Value $346,181 $343,434 $338,359 Regional
Benefits Information
Exemption Value $50,000 $50,000 $50,000
Benefit Type 2015 2014 2013
Taxable Value $296,181 $293,434 $288,359
Save Our Homes Assessment $400,164 $200,600 $98,455 Sales Information
Cap Reduction Previous Sale Price OR Book-Page Qualification Description
Homestead Exemption $25,000 $25,000 $25,000 11/01/1998 $275,000 18367-769 Sales which are qualified
Second
Homestead Exemption $25,000 $25,000 $25,000 01/01/1982 $250,000 11382-0122 Other disqualified
Note:Not all benefits are applicable to all Taxable Values(i.e.County, 08/01/1976 $81,000 00000-00000 Sales which are qualified
School Board,City,Regional).
Short Legal Description
MIAMI SHORES SEC 3 PB 10-37
E1/2 OF LOT 25&LOT 26&27
BLK 81
LOT SIZE IRREGULAR
OR 18367-769 1198 1
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.govrnfo/disclaimer.asp
http://www.miamidade.gov/propertysearch/ 2/10/2016
5
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Specialty Engineering Consultants,Inc. Wind Velotites N South Florida
S 1599 SW 30 Avenue,Suite 020 E 2.Boynton Beach,FL 334326 Dale Brmvanl Palm[leach
FL.CA 0009217 :. Risk Cal.1 165 0% 1% I-rik to humans f shatcJRisk Cat 2 175 I70 170 Sin a Famil Resid-(,'(� ('� tRisk Cm.3&4 18G I&1 8UP:=9 h•(GCp-vvp Intatuctions am(16nilations of Us\ Chem Ovide whM assures based on themean roof h hL And shall not exceed 60'-0'.
2 n assures ere for en enclosed bu6iaM shu0eas or other Gat ctresistance otection r 175 1620 FRC for HVHZ,or Fig.26.5-1a 3 User shall determine the mean roof height, Eave height-Roof Peak 12..
Risk Category 11 Table 1.5-1,page 2 4 End zone distance Is the lessor of 1o%of len 10%of width,or 401A of the mean roof he ht eaW not less than T-Or
E.,�lwsuro C Section 26.7 5 115 0%of a mm neat Is Ina r uuI r zone then that cam nerd is considered to be in zone with the ma o of the area.it questionable then place In Zone 5
Kd 0.85 Table 26.6-1,page 250 6 Each com nen wkMow door mullon has a tribute area that Is area to be used.Area of components to rounded down but shall not be lase than 10 sf.
Kn 1 Figure 26.8-i,page 252 7 For NOA's that r alta a Kd=1.0 then multiply the values listed herein by 1.18.
GCpi 0.18 -0.18 0.55 6 Wind pressures are based on Allowable stress design.
pitch of roof 3112 14.0 degrees 9 Design pressures listed herein are valid for res B and C and exposure D.(max roof height 30
theta 14.0&-grecs 10 Charts and values listed herein are only valid when signed,dated and sealed by Gary McDou le,PE 056214 or Mark LeBlanc PE 035683 or Adam D.LeBlanc PF_077012
11Wfnd d n
11M2!2 res are calculated In accordance with ASCE 7-10 Method 2
12 No reductlon ataken forslopes leas than 10 degrees.
Arcaofeomponent Arcaofcomponard Area of Area of oonaneat Amofoomponera Arca ofoomponent Area ofoonwanent Area of.-Monera Mas of eom Arca of w t Area of-a ent
100. 15 0 sf 20.0 sf 25.0 sf 30.0 sf 35 0 B' 40.0 at 45.0 sf s0.n sf 55.0 sf 60.0 sf
Mean Roof
Ilei t Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5 Zone 4 Zone 5
40.1 40.1 38.8 38.8 38.4 38.4 37.9 37.9 37.5 37.5 37.1 37.1 36.7 36.7 36.2 36.2 35.8 35.8 35.4 35.4 35.0 35.0
15 43.4 -53.6 42.2 -51.3 41.8 -50.6 41.4 49.8 41.0 49.0 40.6 48.3 40.2 47.5 -39.8 46.8 -39.4 46.0 -39.0 45.2 -38.6 -44.5
40.6 40.6 39.3 39.3 38.9 38.9 38.4 38.4 38.0 38.0 37.6 37.6 37.2 37.2 36.7 36.7 36.3 36.3 35.9 35.9 35.4 35.4
Ili 1 -44.0 -54.4 42.8 -52.0 1 42.4 -51.3 42.0 -50.5 41.6 49.7 41.1 48.9 40.7 48.2 40.3 47.4 -39.9 46.6 -39.5 45.8 -39.1 45.1
41.1 41.1 39.8 39.8 39.4 39.4 38.9 38.9 38.5 38.5 38.1 38.1 37.6 37.6 37.2 37.2 36.8 36.8 36.3 36.3 35.9 35.9
17 44.6 -55.1 43.4 -52.7 42.9 -51.9 42.5 -51.1 42.1 -50.4 41.7 49.6 41.3 48.8 40.8 48.0 40.4 47.2 40.0 46.4 -39.6 45.7
41.6 41.6 40.3 40.3 39.9 39.9 39.4 39.4 39.0 39.0 38.5 38.5 38.1 38.1 37.7 37.7 37.2 37.2 36.8 36.8 36.3 36.3
18 45.1 -55.7 43.9 -53.3 43.5 -52.6 43.0 -51.8 1 42.6 -51.0 1 42.2 -50.2 1 41.8 49.4 1 41.3 48.6 1 -40.9 47.8 -40.5 47.0 40.1 46.2
42.1 42.1 40.8 40.8 40.3 40.3 39.9 39.9 39.4 39.4 39.0 39.0 38.5 38.5 38.1 38.1 37.6 37.6 37.2 37.2 36.7 36.7
19 45.7 -56.4 -44.4 -54.0 43.9 -53.2 43.5 -52.4 43.1 -51.5 42.7 -50.7 42.2 49.9 41.8 49.1 41.4 48.3 41.0 47.5 40.5 46.7
42.6 42.6 41.2 41.2 40.7 40.7 40.3 40.3 39.8 39.8 39.4 39.4 38.9 38.9 38.5 38.5 38.0 38.0 37.6 37.6 37.1 37.1
20 46.2 -57.0 44.9 -54.5 44.4 -53.7 -44.0 -52.9 43.6 -52.1 43.1 -51.3 42.7 -50.5 42.3 49.7 41.8 48.9 41.4 48.1 41.0 47.2
43.0 43.0 41.6 41.6 41.2 41.2 40.7 40.7 40.3 40.3 39.8 39.8 39.3 39.3 38.9 38.9 38.4 38.4 38.0 38.0 37.5 37.5
21 7. 45.3 -55.1 44.9 -54.3 44.4 -53.5 44.0 -52.6 43.6 -51.8 43.1 -51.0 42.7 -50.2 42.3 49.4 41.8 48.5 41.4 47.7
43.4 43. 42.0 42.0 41.6 41.6 41.1 41.1 40.7 40.7 40.2 40.2 39.7 39.7 39.3 39.3 38.8 38.8 38.4 38.4 37.9 37.9
22 47.1 -58.1 f45.9 -55.6 45.3 -54.8 44.9 -54.0 -44.4 -53.2 44.0 -52.3 43.6 -51.5 43.1 -50.7 42.7 49.9 42.2 49.0 41.8 48.2
42.4 42.4 42.0 42.0 41.5 41.5 41.0 41.0 40.6 40.6 40.1 40.1 39.6 39.6 39.2 39.2 38.7 38.7 38.3 38.3
23 47.5 -58.7 46.2 -56.2 45.8 -55.3 45.3 -54.5 -44.9 -53.7 44.4 -52.8 44.0 -52.0 43.5 -51.2 43.1 -50.3 1 42.6 1 49.5 42.2 48.7
44.2 44.2 42.8 42.8 42.3 42.3 41.9 41.9 41.4 41.4 40.9 40.9 40.5 40.5 40.0 40.0 39.5 39.5 39.1 1 39.1 38.6 38.6
24 48.0 -59.2 46.6 -56.7 46.2 -55.8 45.7 -55.0 1 45.3 -54.1 1 -44.8 -53.3 44.4 1 -52.5 1 43.9 -51.6 1 43.5 -50.8 43.0 49.9 42.6 49.1
44.6 44.6 43.2 43.2 42.7 42.7 42.2 42.2 41.8 41.8 41.3 41.3 40.8 40.8 40.3 40.3 39.9 39.9 39.4 39.4 38.9 38.9
25 48.4 -59.7 1 47.0 -57.2 46.6 -56.3 46.1 -55.5 45.7 -54.6 45.2 -53.8 44.7 -52.9 -44.3 -52.1 43.8 -51.2 43.4 -50.4 42.9 49.5
45.0 45.0 43.5 43.5 43.1 43.1 42.6 42.6 42.1 42.1 41.6 41.6 41.2 41.2 40.7 40.7 40.2 40.2 39.7 39.7 39.3 39.3
26 48.8 -60.2 47.4 -57.6 47.0 -56.8 46.5 -55.9 46.0 -55.1 45.6 -54.2 45.1 -53.4 44.7 -52.5 44.2 -51.6 43.7 -50.8 43.3 49.9
45.3 45.3 43.9 43.9 43.4 43.4 42.9 42.9 42.4 42.4 42.0 42.0 41.5 41.5 41.0 41.0 40.5 40.5 40.0 40.0 39.6 39.6
27 49.2 -60.7 47.8 -58.1 47.3 1 -57.2 46.9 -56.4 46.4 -55.5 45.9 -54.6 45.5 -53.8 45.0 -52.9 44.6 1 -52.0 44.1 -51.2 43.6 -50.3
45.7 45.7 44.2 44.2 43.7 43.7 43.3 43.3 42.8 42.8 42.3 42.3 •A.414.0:1.80. : 41..?• *41.OR •410.8 40.8 40.4 40.4 39.9 39.9
28 49.5 -61.2 48.2 -58.5 47.7 -57.7 47.2 -56.8 46.8 -55.9 46.3 -55.1 045.8 4.2 • .4 53 -44.9 -52.4 -44.4 -51.6 0.7
46.0 46.0 44.6 44.6 44.1 44.1 43.6 43.6 43.1 43.1 42.6 42.6 41� •�2.10 4*.6 X41 •�l.l 41.1 40.7 44� •4,Qy.
- 1 47.6 -57.2 47.1 -56.3 46.6 -55.5 .2 4.6 4�. -5 45.2 -52.8 44.8
4G:S ' .1iL' :9B <�Q.9 44.4 44. 43.9 43.9 43.4 43.4 42.9 42.9 42.4 42.4 41.9 41.9 41.4 4L4 40.9 �06C •W. �I�
30 -0. -6.1 48.9 -5.4 8. - 5 47.9 -57.6 47.4 -56.8 47.0 -55.9 46.5 -55.0 46.0 -54.1 45.6 -53.2 45.1f® 2d'• \%4&
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MIAMI SHORES BUILDING DEPARTMENT
PRODUCT APPROVAL SCHEDULE/COMPARISON CHART
Address:1071 NE 95 ST MIAMI SHORES FL 33138 Permit No.
Opening Window,Door Product Approval Opening Design Rough Opening Shutter Required Mullion Required Impact
ID or Mullion Product Acceptance# Design Pressure Pressure Size Yes/ No Yes/No Yes/ No
1 DOOR FL11103.1 +60.0 -60.0 +43.4 -58.1 108 7/8 x 80 NO NO YES
2 -47.1 95 3/4 x 80
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FHA - DIAGRAM SHEET
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CUSTOMER'S NAME FHA LEAD NUMBER TYPE OF PROPERTY ROOF HEIGHT FLOOR NUMBER TOTAL#OF FLOORS
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Product Approval Menu> >Ap2Uwtlnn List>Application Detail
FL# FL11103-R2
Application Type Revision
Code Version 2014
Approved
Application (n
CommentsV. •
4,
000000 0 of *00000
Archived Cl *00:40 a
0000
Product Manufacturer Custom Window Systems Inc. 0 0
Add ress/Phone/Emall 2900 SW 44th Avenue •o::::. :.0. 90:0 0 0
Ocala,FL 34474 0 0 •
(352)368-6922 00 so 00 000000
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ekoss@cws.cc :00:0: 00
0 0 0000••
Authorized Signature Koss Erin •
0• 00000. 0 •
ekoss@cws.cc 0 0 a 000000
•0 0 0000 0 0
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Technical Representative Erin Koss
Address/Phone/Emall 1900 SW 44th Ave.
Ocala,Fl-34474
(352)368-6922 Ext 291
ekoss@cws.cc
Quality Assurance Representative Jay Lathrop
Address/Phone/Email 1900 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Ext 291
jlathrop@cws.cc
Category Exterior Doors
Subcategory Sliding Exterior door Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or 41 Licensed
Florida Professional Engineer
EZ Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Lucas A.Turner
the Evaluation Report
Florida License PE-58201
Quality Assurance Entity Keystone Certiflcations,Inc.
Quality Assurance Contract Expiration Date 07/21/2020
Validated By Steven M.Urich,PE
R Validation Checklist-Hardcopy Received
Certificate of Independence FL21103 R2 C01 Evaillen CWS-298B(5GD-8900.IMPM)df
Referenced Standard and Year(of Standard) affitillwA Year
AAMAIWDMAtCSA 101/l.S.2/A440-05 2005
ASTM E1300-04 2004
ASTM E1886-02 2002
ASTM E1996-02 2002
TAS 201/2021203 1994
Equivalence of Product Standards
Certified By
http://www.floridabuilding.org/pr/pr�_app_fiti.aspx?param=wGEVXQwtDqttaGslp3GvutO... 6/24/2015
Florida Building Code Online Page 2 of 2
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 04/20/2015
Date Validated 04/23/2015
Date Pending FBC Approval 04/25/2015
Date Approved 06/23/2015
Sunumiry of Products
••a•
PL# Model,Number or Name Description • • 0000
••••••
•
11103.1 SGD-6900 PVC Sliding Glass Door. SGD-8900 PVC Sliding Glass Dobe! • •• • •
Limits of Use Inlstalllation Instructions •• • • • •• ••••••
Approved for use In HVHZ:Yes FL11103 R2 II CWS-2988 f90PEP,8M.IMP1.odf • • •
Approved for use outside HVHZ:Yes Verified By., Lucas A.Turner SB6!p.y• • ••••
Impact Resistant:Yes Created by Independent Third Part�r Mos •••0:0
Deign Pressure.+60/-60 Evaluation Reports •• • • •••••
Other:Large Mlsslle,DP-+/-60 psf,Max.panel size 4'x ELIII03 R2 AE_OuPontSGPNfO(1aWeO624 OZwdf • 4041:041
•
8'.Config.include OXXO,OXO,OX,XO.Glass compiles to FL11103 R2 AE Eva e I ••••••
ASTM E130D-04. FL11103 R2 AE Ovanex(Mlkrony OA 12-1017 02.o f •
Created by Independent Third•"Tples • •
•
• •so 0
• • ••••••
Back Nes • • • ••••••
Centaei lis;;1940 North Monroe Sbigat.Tallahassee FL 32399 Phone:650.487-1824
The State of Florida is an AA(EEO employer.conwraeht 2007-2013 State of Rorlda.:;,glv,jp ::AcmllbgrmStiklgmaM::BSUDLSluUmM
Under Florida law,emall addresses are publk records.If you do not want yaw a-mill address released In response to a public-records request,do not send
aletlrenk oalg to this entity.Inslasd,onto t the of6Ce by phone or by traditional mag.If you have any quer lona,please ronmct 650.467.1365.*Pursuant to
SKU n 455.275(1),Florida Statutes,of ellve October 1,2012,kensees kensed under Chapter 455,F,S.must provide th Department with an snag address If
they have one.The sm%provided may be used for off dal aommwYration with the Ikensee However emall addresses are pub record.If you do not wlsl to
supply a personal address,Beam provide the Depatti nen with an emall address which can be made available to the public To determine If you are a licensee under
Chapter 455,F.S..please dict hZL.
Productwpproval Accapbsm
®®®®
ere su rm-S.
http:l/www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgttaGslp3GvutO... 6/24/2415
URNER1239 Jabara Ave.
North Port,FL 34288
ENGINEERING& Ph. 941-380-1574
TCONSULTING,INC. FBPE C.O.A.#29719
Evaluation Report 298B
April 18,2015
Product Description: Series 8900 PVC Sliding Glass Door,LM Impact,4'x8' nominal panel
size max.
Manufacturer: Custom Window Systems,Inc. 1900 SW 44'b Ave,Ocala,FL 34474 ....
. . .... ......
Statement of Compliance: This report evaluates the above-listed product pe•r4 a requirements.
of FAC Product Approval Rule Chapter 61020-3.005 (4). This product compliswith the• •• ••••••
requirements of the 5h Edition(2014)Florida Building Code including the Higg'fe&city :..•.;
Hurricane Zone. The product testing standards performed are outlined below.•••••• :•••:• •
.... . .....
...... ... . .....
Technical Documentation: •
.. .. .. ......
1) This report,prepared by Lucas A. Turner,P.E.,at 1239 Jabara Ave.,Npg"$prt,FL ••
2) Approval drawing CWS-298B,signed and sealed by Lucas A. Tumer,p.E' : 0 0 ....:.
3) Test Reports NCTL-210-3506-1 and-lA,from National Certified Testing;nborat(Mes,••
Orlando,FL signed and sealed by Gerard J. Ferrara,P.E. •• • •••;•• •
a. Testing Performed: TAS 201/202/203 1994,AAMA/WDMA/CSA '•
IOl/I.S.2/A440-2005,and ASTM E 1886/1996 2002
4) Supplemental Calcs.to support CWS-298B,signed and sealed by Lucas A. Turner,P.E.
Installation: Units must be installed according to approval document CWS-298B.
Limitations of Use: This product:
• May be used in up to 48 7/8"x 93 1/2"panel sizes(96"max.door height),with glass
types and max. glass daylight sizes as shown in CWS-298B
• Achieves design pressures of+/-60 psf
• Is Large Missile Impact Resistant and does not require the use of shutters
• May be used in the High Velocity Hurricane Zone
• Requires Dupont SentryGlas(SGP)Interlayer per Miami-Dade NOA#11-0624.&
• Requires Quanex(Mikron)white rigid PVC extrusions per NOA#12-1017.02'
t I have evaluated the interlayer and framing materials in these Dupont and Quanex NOAs
and find that they comply with the requirements of the 5'"Ed. (2014)Florida Building Code
for use in this product.
Certification of Independence: I do not have,nor do I intend to acquire,nor will I acquire,a
financial interest in Custom Window Systems or in any company manufacturing or distributing
products for which this report is being issued. I do not have,nor do I intend to acquire,nor will I
acquire, a financial interest in any other entity involved in the testing or approval process of this
product. `++r�+rrr utrU
No 58201
* 4/18/2015
STATpF ;'+�u Lucas A. Turner,P.E.
FL PE#58201
'�''•, 'ip +�` .�'� Lucas A. Turner
�rirtrA�t+�`+t
2015-04-70 12:28-04:00
SLIDING GLASS DOOR - IMPACT 1.THE PRODUCT SHOWN HEREIN IS DESIGNED AND MANUFACTURED TO WINOMf U!/�
COMPLY WITH THE FLORIDA BUILDING CODE(-BC),CURRENT EDITION AND V1rINDOVY SYSTEMS
IS RATED FOR IMPACT USE IN WIND ZONE 4 AND HIGH VELOCITY 1200 SW 44TH AVE.
191 119 HURRICANE ZONE(HVFR)AREAS AS DEFINED IN ASTM E 1998 PER THE FSC. WWW OCALA,
FLORIDA
34474
48 MAXIN
MAX UNUNITW WIDTH 2.GLAZING DETAIL(SEE SHEET 2)
PANEL A 3.APPROVED CONFIGURATIONS,'OXXO•,'OXO',1W,•OX• 8900 PVC
4.DESIGN PRESSURES: SLIDING GLASS
413SS ND
GLASS
-NEGATIVE DESIGN LOADS BASED ON TESTED PRESSURE AGLASS
96. - DLO _ - - ' TABLES ASTM E-1300.04MAX
. ®�R-1INPAGT
POSITIVE DESIGN LOADS BASED ON TESTED PRESSURE WATER
UNIT ` INFILTRATION TEST PRESSURE,AND GLASS TABLES ASTM E-1300-04. I
GX ® 5.ANCHORAGE:THE 33119%STRESS INCREASE HAS NOT BEEN USED IN THE 21
93112' H6 316" B DESIGN OF THIS PRODUCT,SEE SHEETe FOR INSTALLATIONTALLATION DETAIL PANEL g AOS 1
WIND LOAD DURATION FACTOR Cd-1.6 WAS USED FOR WOOD ANCHOR
HEIGHT CALCULATIONS. w w
a b I 6
S.PRODUCTS APPROVED FOR IMPACT RESISTANCE.SHUTTERS ARE NOTco
6
REQUIRED. q 09
7.ALL FRAMES ARE PROCESSED AND SCREWED TOGETHER VENTS FULLY s o09
A WELDED. " $ z
A o
6 8.SERIES I MODEL DESIGNATION:SGD-8900. i a
9.THE DESIGNATION X AND O STAND FOR THE FOLLOWING:
MA7 U IT,w�IDTH MAX UMTT W IDTH X-OPERABLE SASH,O-FIXED SASH.
49 7 O
718• 10.SECTION CALLOUTS APPLY TO ALL CONFIGURATIONS.
48 716' +I MAX m d Z
MAX PANEL WIDTH
EL WIDTH
_JAN 1.EXTERNAL WEEP SLOT-1/4 x 1'LOCATED 4•FROM BOTH ENDS.
a aaNaaau�pa��,
41 314•�i 41 314• O�a P1OR.E6y T�I�
GLASS GLAD �. .�
96• DLO DLO j w~V%�\' t`.•.'Y
MAX - -- NIT - -- N• 58201
HEIGHT EIGHT Lucas A. I .
TumorUNIT
M� p wL s o X O D i` 201x04-20 I i�� BTArE of r1u�
PANEL DLO PANEL mAx E ® n E T2:�O-04:00 ib�O•���+� 1�.••t1��r
HEIGHT HEIGHT L43S •®o,F�h °wawNA� o;
DLO y�
Ci Ci � f4I3t2015
LUCAS A.TURNER,P.E.
FL PE 0 58201
1239 JABARA AVE.
• • • • •• NORTH PORT,FL 342BB
•
•• • • • • • PH.941-380-1574
• •• • • • • ••• • SHEET DESCRI N:
• GENERAL NOTES AND
TABLE OF ODNTWM MAX- PANEL DESIGN PRESSURE ELEVATIONS
E�NFFIG. MAX. UNIT SIZE SIZE RATING IMPACT RATING p DATEtiENERAL NDT6S 8 E].EVATIOrB.v.m�7SECTION V�aas oxxo ��� 96x6" �D PSF LARGE MISSILE IMPACT aoE oa1o3raaSECTIONVMWSOXOaxo_.-w.3 • • .: ..
EXTRUSUM6B.OJIL---._�m4 O 145-13/16"x 99" 48;;18'x•93-1/2" • • +/16QPSF LARGE MISSILE IMPACT CWS-298ANCHOI M_LA=N o�� � O 191-1/8"x 9eV, "' • +/-6b PSF LARGE MISSILE IMPACT SHEET
1.33.33
••• • • • • ••• • •
• • • • • • • • • •
• •• •• • • • •• ••
••• • 0 0 ••• 0 0
VVINDOW MTEMSifi
5 1 7 1 1 1900 SW 44TH AVE.
OCALA,FLORIDA 34474
W W W.OWS.00
i
8800 PVC
a SUDING GLAS'S
DOOR-IMPACT
N N
D
W m
1 t g g 1 W
SECTION B B
y _o fq
1 Nazi
1'OVERALL tL
i
3118"TEMPERED � 10 C�7
3W AIRSPACE +t i of
w
2 7119°LAMINATED GLASS o
4 3118'ANNEALED GLASS m Q Z
3 -090 SENTRY GLASS IONOPLAST INTERLAYER ,•��tDnNtj•�
3119"ANNEALED GLASS P��� "' TO,pp�i�i
f 1 1 PAIR OF ANCHORS AT EACH CLIP. NBIr'.%-%A%
Lo 1 SEE SHT 8 FOR SPACING S d t No 58209 %-%A%"g
fro:
STATE OF FUt:
3 PURFECT GLAZE'H°
SIKAFLEX S52 �,�•Satrylinitt •,,,
13118"GLASS SITE xz
41=15
Tr rill SECTION C-C LUCAS A.TURNER,P.E.
J' FIXED PANEL ATTACHMENT 12FL PE#SMI
ri 4 •• ••• • • • • • •• NORTH PORT,FL 34288
1 NOTE: • • •• • • • • • 4 PH.941-180-1574
`— t INSTALLATION WITH NO SILL RISER ALLOW ONLI • • • ••• •• SIFT
L 1 WATER INFILTRATIONRES�tTANCEIS � •• • • • •• SECTION VIEWS-OXXO
1
AND GLAZING DETAIL
® •v:
1 • ••• • ••• ••• • ADE 08/03/08
• • • • • • • • LLL���,,,
3 1
0.:
• • • • • • • owat.
•• • • • • • • • • 1.1.3f CWS-298 B
• •• • •• • • • •
•• • ••• • • • SCALE SHEET
1:2.83 2 OF 6
••• • • • • ••• • •
• • • • • • • • • •
• •• •• • • • •• ••
••• • • • ••• • •
agiL
it
1900 SW 44TH AVE
OCALA,FLORIDA 34474
www.cws.cc
89M PVC
SLIDING GLASS
DOOR-IMPACT
b H N
i� foo
Y
m
h
O
1 2 8 1 8 7
SECTION D-D �
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m Q
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agaapmiugh
N. 59241
90 6TA a OF 4V
�tflaasis',
;tz
4/312015
LUCAS A.TURNER,P.E.
FL #68201
1239 JABARA AVE-
NORTH
VENORTH PORT,FL 34288
• • •• • • • • • PH.941-3841574
SgC•TION4 • • • • ••• •
•• ••• •• • • • •• SECTION VIEWS-OXO
AND XO/OX
TRAww sY: Tf:
• ••• • •••
00: • NOTES; ADE Q6/03J08
i i i i • 1.ITEMS NOT SHOWN FOR CLARITY:10,29-32G r:
•• • • • • • • • • 2.VERTICAL SECTION CAN BE SEEN ON SHEET 2. CWS-298 8
•• • ••• • • • SHEET
1� 3OF6
••• • • • • ••• • •
• • • • • • • • • •
• •• •• • • • •• ••
••• • • • ••• • •
PARTS UST 515n 6" FRAME CONSTRUCTION
ITEM NO D®g11PTION VENpOR IftlAT60AL t tt✓e' �
1 4 042 FRAME,UR SM MIKSON PVC
2 56040 THRESHOLDIFILLER, SGD MDCRON PVCD 1 WINDOW SYSTEMS
o
3 S-1-M PORTBLOC ,FDMD,SGD ALUM 7900gyy44THAVE
4 HM PANEL TOPWTTOM MIKRON 17/8° 1B- 211n6' OCALA.FLORIDA SW4
5 H-6059 PANEL SIDE RAR,SGD N PVC �oy-��O❑ t� WWWCWS•CC
6 H-8033 PANEL,[NTE FMD MDffON PVC LJ
7 H-0060 JPANEL,04TE N OPERABLE MACRON PVC
8 H-SMNTERLOCK, MXRON PVC 89
PVC OUTER FRAME_8042 REINF.-1993 �M00 PVC sa
9 H-8043 ASTAAGAL,SM, MRWN— PVC 4
10 P-3142 ROI I ER,TAM SULUYAN —TT—EEL f 7� FRAME CORNERS SLIDING G�`�
11 P3i42 EAM sEALE ,6504 SCHNEE ,7/e'—«I 17te'� SCREWED TOGETHER DOOR-IMPACT
12 039 SET.BLOC(,85 DUR.118r x-7 X 2 FRANK LOWE 1:10
13 Fr 4W S 56208 P LAZE°H' SlKA/HENKEL4 S VENT CONSTRUCTION �' a
14 P-34a .,0.270 X.187,BACK F NSEAL TAAFAB 7 5
15 PI= S8 X 3/4'OUAD PHAJPS,TEK FASTENAL ZINC 1 0
18 P-3557 010 x Z,HEXHEAD,TEKA TENAL sgn6` 3 WIT 39/76, x i3
17 P-3752 CAP PLUG,1/2"HOLE M&M y
18 P-3707 210 X 1'HEX WASHER HEAD,TE FASTE ac ! t�
19 P-3M LOCK&HANDLE KIT,PVC,SGD AMESSURY —S—L— 1!e \ rq
20 P-3792 3/4-KEEPER AMESBURY SS 118° C
21 P-3793 MO &D S$ a c
Lrc
22 P�4138 410x 2 HEAD PH0 8 FAS7EWtL S7E $ S
23 S-1775 REINFORCEMENT,ALUM.,PANEL KEYMARK ALUM PVC PPR.INTERLOCK-5050 PVC PNL LOCKSTILE-609 PVC PNL INTERLOCK-S033 VENTS FULLY WELDED g 15
24 H-1893 REWFO ALUM.,P EL ALUM 1:10 tL a
25 P-4295 I FDED PANEL CUP KEYMARKALUM (t
25 5.1597 JCOVER.FWDPANEL CLIP KEYMARK ALUM ! 1v76^
ir
27 34830 1PANELTRACK,ALLOAMM SOD, KEYM 2' �+--81ne' O
28 S-1728 WiNFORGEMENT,ASTRAGAL,SGO KEYMARK I ALUM I
29 5-1737 H93HFINE S UMAVUM KEYMA ALUM 8 1
30 5-6037 G TOO-,SGD MIKRON C �
31 56041 TRACK,SCREEN SGD MIKRON PVC 2 t3n8' �+N�NfOREy/htii
32 58048 SUPF'ORTWELD,S MD(RON7
v,6 .�pf?r\OENyFU ?r�
33 SS(SEE SHEET 33118' 111G 31!16' 2518 118ne' ♦ 7
34 H41044 SCREEN CHANNEL M KFONPVC ,f8' 1178' ! ��;� No 58201 %'P
35 5-6045 EEN ADAPTOR M PVC @*l * I
26 -4278 WSTP.,0.2°X 1.2Y DUST PLUS ULTRAFAB
37 5 1764 THRESHOLD ER KEYMA ALUM ��L STATE OF Fbl:
39 P.Q WSTP.,I-X7.100.187"BACK FW �TFIAFABFAB PVC INTERLOCK SNAP n 6081 FDT(ED PNL CLIP-4295 RXED PNL COVER-1597 REINF.•1775 HIGHRISE•1737 n� O
40 P-4479 WEEP HOLE COVE SULIJNAN PVC 21/8` 314' Za �I•�$HhNinu+ ,,,
,ne° Z�
1 1 1/2� 1318° —
vtiP �_ 1374' 4M=15
9 914- fna ROLLER TRACK-1930L I FL PE#5601
fne --- LUCAS A.TURNER,P.E.
SILL THRESH COVER-1764 1239 JABARA AVE.
PVC SCREEN ADAPTOR-6445 •• 000 • • • • • ••
PVC WELD SUPPORT-5NORTH PORT,FL 34288
048
7� • • •• • • • • 2.1 8, PH.941-380-1574
51n8'C�C7 �� 4 ^ 3/18'++ • • • • • •
y8 • • • • • • t 7/16' 8/8' QEF
•
7 tA- 2 1 1 3 S7B BOM AND EXTRUSIONS
Lr
1718° 1 DATE:
• • tn�' ••• ••• • IL v!8'
• •FDOEDp'� tne° ADE 08/03!48
PVC SCREEN CHANNEL-6044 PVL�TFj=1CK�ILLER-g44p• • i SUN•"O•V 1722 PVC SCREEN TRACK-8041 01"0° ..
--p-7 L� fe 0 0 -0 - 0 0 - 0 * I PVC
PVC ASTRAGAL-8043 REINF.-1726 NOTE:ALL EXTRUSIONS ARE WMINUM OD83-T®IINLES90THERWISE SPECIFIED. GLAZING BEAD-X37 GWS 298 B
SHEET
1:2 40F8
••• • • • • ••• • •
• • • • • • • • • •
• •• •• • • • •• ••
••• • • • ••• • •
rmp
V MAX1._- -r-W D.C. 4-nrP� I W1 9Y�TErts tti��"!J
1 1900 SW 44TH AVE
OCAIA,FLORIDA 34474
- - -- WWW.CWS.CC
9'MAX. F�F-' Opl�fyM/�
(TY% Ir MAX O.C. I ow PVC
CryP►� SLIDING GLASS
DOOR-IMPACT
oo
W
1 d c to
0
ma0
zi
volt
I ANCHOR LAYOUT I ��' � 58201 t��
p STATE OF .✓Lfi
1.INSTALL TWO ANCHORS AT EACH LCOATION.SILL ANCHOR SPACING SAME AS HEAD. .�0.•
2 BEICONSTRRUUCTEDM AS D AT EACH Or HIGH DEINSTA SITY PLASTIC OTION RSING LOAD BEARING SHIMS. MAX BETTER.WOOD SHIMS ARE NOT ALLO EEDABLE IIM STACK TO BE 1/4', USE SHIMS WHERE SPACE GREATER THAN 1178 19 PRESENT. LOAD BEARING SHIMS SHALL •Ji��i0(v�;
3.ANCHOR TYPE,SIZE,SPACING AND EMBEDMENT SHALL BE AS SPECIFIED IN THESE DRAWINGS,SEE TABLE 1,SHEET 8. 'Z
4.ALL INSTALLATION ANCHORS MUST BE MADE OF OR PROTECTED WITH A CORROSION RESISTANT MATERIAL OR COATING DISSIMILAR METALS OR MATERIALS IN CONTACT W TIH PRESSURE TREATED W OOD MUST BE 4MM15
LUCAS A.TURNER,P.E.
PROTECTED
ED TOTO PREVENT REACTION.
FL PE 8 58201
S.INSTALLATION ANCHORS SHALL BE IN ACCORDANCE WITH ANCHOR MANUFACTURER'S INSTALLATIOIU j4S-WWp yUS•AND�HQRS•SHAII .VOT BE USED IN SUBSTRATES WITH STRENGTHS LESS THAN THE MINIMUM 1239,IABARA AVE,
SPECIFIED IN TABLE 1,SHEET 8. • • • • • • • • • NORTH PORT,FL 34288
• •• • • • • • PH.941-380.15/4
5.ANCHOR EMBEDMENT TO SUBSTRATE SHALL BE BEYOND WALL DRESSING OR STUCCO. FOR CONtRETEJCtA&W PMS1�EM8EDA*9IT SHdLL BE BEYOND WOOD BUCKS,IF USED,INTO SUBSTRATE, INSTALLATIONS &4MDESGRVWNt
TO SCUD CONCRETE OR GROUT-FILLED CMU MAY INCLUDE BUT DO NOT REQUIRE IX WOOD BUCKS BBRWEEWTHR PPIODOC1•ANB SMTRA9E, INSTALLATIONS TO HOLLOW CMU REQUIRE THE USE OF IX BUCKS
BETWEEN THE PRODUCT AND SUBSTRATE. •• ••• •• • • • •• ANCHOR SCHEDULE AND
7.A MINIMUM CENTER-TO-CENTER SPACING SHALL BE MAINTAINED BETWEEN ALL FASTENERS:T FOR MASONRY.1'FOR WOOD AND METAL. NOTES
DATE
6.WOOD OR ESSONRYHALL OPENINGS,BUCKS AND BUCK FASTENERS SHALL BE PROPERLY DESIGNED6YTHEaQNICH ECT Q)FI BN�INEER OF"MRS AND INSTALLED TO TRANSFER WIND LOADS TO THE STRUCTURE. ADE 08!03/be
SUBSTRATES SHALL MEET THE MINIMUM STRENGTH REQUIREMENTS AS SHOWN IN TABLE 1,WE Pr 9. SONCRETE AMD MASONRY SUB•S?RA•TE M.MY NOT BE CRACKED. tUWUq�:
9.SEALING AND FLASHING STRATEGIES FOR OVERALL WATER RESISTANCE OF INSTALLATION S � ON}IN Coq VERSION OF THE REFERENCE DOCUMENTS: CLAUS-298 B
FMWlAAMA 100(FIN WINDOWS),FMA/AAMA 200(FLANGE WINDOWS),FMAAVDMA 2500M Wll�ytn'S),F 15rW 3 XfE;&jlCAVtNT SHEET
120 -OF8
• • • • • • • • • •
• •• •• • • • •• ••
TYPICAL HEAD ANCHORAGE
2 7116"MIN_ MNL EDGE DIST.
SEE TABLE 1 174"MAX SHIMNCOWMMTEM
StiS2�
INTERIOR MN.EMBEDMENT 1800 SW 44TH AVE
SEE TABLE i OCAL.A,FLORIDA 34474
WWW.CWS.CC
SUBSTRATE BY OTHERS MHN.EMBEDMENT
SEE TABLE 1 SEE TABLE 1
ODW PVC
PERIMETER SEALANT -11199 1W MAX SHIM ,SLIDING GLASS
IN R DOOR-IMPACT
INSIDE
roE AND aiND OUT
27/16'MN.
1C1 N
a
NSYALLATION ANCHOR INTF�IIOR G
SEE TABLE 1
MN.EDGE DIST. 5Y
SEALANT BETWEEN SEE TABLE 1 Gl m
SILL RUM AND FRAME w
BY04WALLER f� O
PERIMETER SEALANT BY INSTALLER a �v TIS
NSIOE AND OUT
BYRINSTALLER IMETER SEALANT SUBSTRATE BY OTHERS pLLI Ec
INSIDE AND CUT
SEE TABLE 1 �+
a
EYE P HOLE S R B HORIZONTAL SECTION � � O2
MIN.E6ABEDMENT \6,/TYPICAL JAMB ANCHORAGE y
SEE TABLE 1 w
SUBSTRATE 8Y OTHERS O
SEE TABLE 1 INSTALLATION ANCHOR m
SEE TABLE 1
SEALANT UNDER SCREW 2 7116' MIN.EDGE DIST. TWOANCH01R PER 'l
FDOD CUPORS PER
gtlftn!!!
�� OREW
HEAD BY P STALLER SEE TABLE 1 PREDRILLED HOLES �•� P ..•,.,•� 'N"
,��.•V1 .��cE1Vg Lis
dER17CAL SECTION 114"MAX SHIM D PANEL No 88201
8 TYPICAL$ILL ANCHORAGE
MIN.EMBEDMENT S it t 9►
SEE TABLE 1
Q 9t. BTATB DP i71L:
TABLE 1:APPROVED INSTALLATION FASTEiEA6 F LL ~SO"�'•A T.•'•�r
FIXED �isFS•y,O R*
EDGE DISTi0.• \_�
8UB9TliATE E D18T. 12° BEE TABLE 1
(20 KSI MN.) 3118"IN✓TAPCON 1° >thlynlaM�
HOLLOW OR GROUT+- LEO CMU(117 PCF MN.) 3118"I1W TAPCON 1° 9" 17 7/B' 4=015
HOLLOW OR GROUT-FILLED CMU(ASTM C 9W) 9/18'ROD ULTRACON 1-1f4' 2 VT MAX.O.0 LUCAS A TURNER,P.E.
2X MDL SOUTHERN PINE(G=0.55) 3118'I1W TAPCON 1-w 1" FL PE A TURNER,
58201
2X MPI.SOUTHERN PINE(00.55) A10 WOOD SCREW 1-318° 1238 JABARA AVE.
A M
16 GAUGE(0.11W)MN.$TEFL STUD AI0-18 HLTI KWO(-FIJ=XOR TM1 FULL NORTH PORT,FL 34288
7A8' •• �, PH.841-x-1574
(33 KSI YIELD MP!) TEMSELF-DRUING SCREW viv 0.0�" • •• • •
1f8°ALUM.(8083-T5 MN)OR A10 GRADE S SELF TAPPNG J FULL THREAIi b17
E E tA3MlWr
1f8°STEEL(33 KSI MN.) DRLLLM SCREW THRU 0.125' • •47A(Or- •• ANCHOR N'F14AFdE GENERAL NO7E5 AND
RED PA A ORS INTO: ELEVATIONS
CONCRETE(2.0 KSI MN.)OR 3118"RW TAPCON 1° 3" INSTALLATION L Dpi
HOLLOW OR GROUT-RLLED CMU 117�MIN.) • •• • •6NBHOR(Tim• •
FRED PANEL CLIP ANCH • • • • C HORIZONTAL BECTICN ADE OW03/08
CONCRETE(285 KSI MIN.)OR 3118"ELOO ULTRACON • • • • • • FISED;ANEL CUP DETAIL 8 FIXED PANEL ANCHORAGE +!�
HOUjCW OR GROUT-FILLED CM U STM 1-114•: :.2.SJ2.• :. • : • : : CWS-288 a
• • •
NOTE:FIXED PANEL CLIP ANCHORS INTO WOOD OR METAL SHALL FOLLOW THE ANCHOR TYPE,MIN,EMBEDMENT AND MIN,EDGE DISTANCE LISTED IN TABLE 1. SHEET
1.2.67 BOF 6
••• • • • • ••• • •
• • • • • • • • • •
••• • • • ••• • •
Permit N{):: VS- 4
Miami Shores Village Pant `p8 w Flaw utters
S. 10050 N.E.2nd Avenue NE
, Classatibm poor Replacement
Miami Shores,FL 33138-0000
Phone: (305)795-2204 Pam*Status: PR E
ioRm�
issue e ,.2t191a1 Expiration: 08/17/2016
Project Address Parcel Number Applicant
1071 NE 95 Street 1132060143610
DONALD S MCCORQUODALE JI
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
DONALD S MCCORQUODALE JR&W& 1071 NE 95 ST
-- -- - ------- -- - MIAMI FL 33138-2547
Contractor(s) Phone Cell Phone
Valuation: $ 14,664.00
FLORIDA HOME IMPROVEMENT (954)792-4415
Total Sq Feet: 0
Type of Work:REPLACE 2 DOORS WITH IMPACT Available Inspections:
No of Openings:2 Inspection Type:
Additional Info: Final
Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $9.00
DBPR Fee Invoice# WS-2-16-58707
$2.00 02/19/2016 Check#:21954 $ 107.00 $50.00
DCA Fee $2.00
Education Surcharge $3.00 02/17/2016 Check*21906 $50.00 $0.00
Permit Fee $120.00
Scanning Fee $9.00
Technology Fee $12.00
Total: $157.00
In consideration of the issuance to me of this permit, I agree to dorm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, atements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done b eit r myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WI OW OORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoin�abov
fo I ti i accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the or to do the work stated.
February 19,2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 19,2016 1