BP-03-1969 Miami. Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax: (305)756.8972
BUILDING Permit No.
PERMIT APPLIC ON Master Permit No.
FBC 2001
Permit Type(circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Simple Titleholder) Phone#
Owner's Address
City State Zip
Tenant/Lessee Name Phone#
Job Address(where the work is being done)
City Miami Shores Village County Miami-Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name Phone#
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name(if applicable) Phone#
$Value of Work For this Permit — 4 Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ,f tepair/Replace El Demolition
Work
Describe WorJ
Submittal Fee$ .70 Permit Fee$ �' CCF$ CO/CC
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ ' Radon$ Zoning � Bond $ ®(�
Code Enforcement$ Structural Plan Review. $
Total Fee Now Due$
(Continued on opposite side)
L _
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 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 certifted 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 ,20_,by day of .20_,by ,
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 identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
(Certificate of Competency Holder)
Stats Certificate or Registration No. Certificate of Competency No.
��WAPPLICATION APPROVED BY: JAN 14 2004 Plans Examiner,
Engineer
Zoning
Che 12/15/03
4
1 fa
PERMIT APPLICATION
'" �PauXS�
""' Master Permit No.
Subsidiary Permit No.
ORIDII'
INSTRUCTIONS - The followino steps nitist be taken to obtain a permit from the Miami Sliores Village:
I Step 1. Complete the attached permit application which must be signed by the properly owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done,a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building,Planning and Zoning Department for processing. During the
processing of your application,you may be asked to submit additional information.
APPLICATION
a
Job Address: ����/I/ zo S✓ / �G�1�7 ��/ J
Address Ap . City State Zip
Folio Number ( '.- 5205 - 0 I q -O D SCS Description of Work S}AMP Con crai e- jr i V 6.3 cu..l
Lot 4+ 554 4104S Block 1-15
Subdivision:66laps SQt g PB 43 PG 107 Zoning Linear Feet
Current Use of Property 9F-S• quare Feet 5'Z' Units 1 Floors
Proposed Use of Property R E$. Value of Work Bldg Value
` Tenant Information Tax Assessed/Appraised Value
` Flood Zone Base Floor Elev.
PERMIT TYPE (✓) PERMIT CHANGE (✓) TYPE OF MANAGEMENT (./)
Building Chg.Contractor New Construction Enclosure
Electrical Renewal Alteration Exterior Repair
P Mechanical Revision Alteration Interior Demolish
Plumbing Extension Relocation of Structure Shell Only
LPGX Supplement Foundation Only Add'I Attachment
f
Roofing Reinspection Other Add11 Detachment
Fence Other
Other
i
ARCHITECT ENGINEER
Name Name
License No. License No.
Address Address
j
Telephone Telephone
Fax Fax
I
PROPERTY OWNER CONTRACTOR
` ame Name V PG r2- •Q Con crei a"C nc
Address License No.
F991902--
4 /3 Address 0U Sw 131 C#-
' Home Telephone r•'�C O�•u►w� r't 3 317.5
Business Telephone s— � Telephone 305- O_l 1103 Fax )05
1 Fax d' Qualifier Nam
i 1 i4vr1 :f• SaAAS
tic( $50-wcr- Z�2G y
a s
Page 2
PERMIT APPLICATION
i
IMPORTANT NOTICES
1
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m.to 6:00 p.m.,and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN,NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES,AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building,Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services(HRS)approval is required for applications involving septic tanks. Department of Environmental Resources
Management(DERM)and/or Miami-Dade Water and Sewer Department(MDWASD)approval is required for applications involving sewers.
AFFIDAVIT
Application is hereby made to obtain a permit to do work and installation as indicated. I,the OWNER of the property,certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further,I am fully aware that if the cumulative cost of work to my home or business under this and !
any other permit equals or exceeds fifty percent (50%) of the fair market value of the structure, the entire structure must meet the i
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50%) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1"Floor,(305)679-1078. Once recorded,the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713-35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
)�:Jigpna
OF R A COU YOFMIAMI-DADE STATE OUNTY OF MAMI-DARE
of Owner Si of Contractor/ fier
P,U VM1k %,9U,&k) (1) 1 1 k i a#4 'T. 6 Q n S
t1to
ame ^ Print Name
and subscribed me this a day of X2L Sworn to and subscribed before me this day of
Signa of�� Puw* -State of FloriSigna f r d
�o-�ppYP��� aro a FhriC0/Sans WAY PO
SEAL:
�1?SCommission#CC 925828 SEAL: YELINE SANS
_ ems: Expires April 5,,004 MY COMMISSION# DD 209288 +�
Bonded Thru OF i%-A' EXPIRES:June 3,2007
a
Atlantic Bonding Co. 1-e0u3WOTARY FL Wary DWWuM AS=Co. �
i
Personally known R,Pr�o'duc�ed Id on rsonally known OR,Produced Identification
Type of Identification Produced: J' L Type of Identification Produced:
Page 3
PERNIIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
ELECTRICAL
TYPE 1 1
Minimum Fee Dryer Outlet,Appliance Service Repair
A/C Central 1-3 Ton Fan Outlet,Wall Service,Temporary
A/C Central 4-7 Ton Fire Pump Outlet,Switch Signs
A/C Central 5-15 Ton Fixture-Fluorescent Oven Space Heater(kw)
A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs
A/C Central 20+Ton Flood Lights Plugmold/Strip Subfeeds,No.of Amps
A/C Window FPL-Load Central Posts Swim Pool,Commercial
Air Conditioners Garbage Disposal Range/Range Top Swim Pool,Residential
Chiller Generators,etc. Receptacles Switchboards
Clear Violations Heat Recovery Refrigerator,Comm.(p/PH) Temp Serv.,Construction
Compactor Low-volt,Burglar Refrigerator,Domestic Temp for Test-30 days
Deep Freezer Low-volt,Fire Renew-Temp Service
Demolition Low-volt,Intercom/Teleph. Repair Circuits
Dishwasher Low-volt,Television Service,Number of Amps
MECHANICAL
TYPE QTY. TYPE QTY. TYPE 1
Minimum Fee Condensate Drain Generator Refrigeration,Tons
A/C Central,Tons Cooling Tower Heating Strips,each Vent Hood,Cost
A/C Wa1UWm.Tons Dryer Vents,Number of Paint Booth Ventilation,Cost
Air Handler,Tons Ductwork,Cost of Piping,Flammable Liquid Periodic Inspections
Barbecue Fire Sprinkler System Process/Pressure Piping
Bath Fan-Vented,# Fireplaces,Number of Pressure Vessel
Ii
PLUMBING
TYPE QTY. TYPE QTY. TYPE QTY. TYPE Q'i-Y.
A/C Condensate Drains,Roof Miscellaneous Fixture Soakage Pit
Bath 1bb Drinking Fountain Miscellaneous Repairs Solar Water Heater
Bidet Filter Replace Pool Piping Sprinkler Repair
Cap-Fixture Fountain Pump and Abandon Sprinkler System
Cap-Water Gas-Appliance Pump,Domestic Supply,AC Well
Cap-Sewer Gas-Natural Pump,Fire Stand Temporary Toilet
Catch Basin Gas-Propane Pump,Re-circulate Temporary Water Closet
Clothes Washer Gas Piping Pump,Replace-Pool Urinal
Dental Chair Grease Trap Pump,Sprinkler Utility-Sewer
Discharge Well Ice Maker Pump,Sump Utility-Water
Dishwasher Indirect Wastes Relay Repair Vacuum Pump
Disposal Interceptor Roof Inlet Water Closet
Domestic Well Laundry Tray Septic Connection Water Heater
Drainfield,4"Tile/Res. Lavatory Septic Tank Water Heater New
Drains,Area Meter Set(Gas) Sewer Connection Water Re-pipe
Drains,Floor Minimum Fee Shower Water Service
Drains,French Miscellaneous Equipment Sink Well,Supply
RECEIVED AND REVIEWED BY: DATE:
Page 4
PERMIT APPLICATION
OFFICE USE ONLY
CHECKLIST
❑ OWNER-BUILDER FORM ❑ PROOF OF OWNERSHIP ❑ CONDO ASSOCIATION APPROVAL
(Attach) (Attach) (Attach)
❑ FIRE DEPARTMENT ❑ HRS/DERM APPROVAL ❑ BPR APPROVAL(Restaurants)
APPROVAL(Commercial/ (Septic/Sewer)
multi-family)
❑ CONCURRENCY ❑ IMPACT FEE ❑ CONTRACTOR REGISTRATION
(New Construction) (New Construction) (On File)
❑ OTHER ❑ OTHER
(Specify&Attach) (Specify&Attach)
PERNUT FEES
$3.00 per page(Scanning Fee) $
Miami Shores Village $
Bond $
Metropolitan Dade County (C.C.F.) $ (sq.ft.=x/1000
x 0.60)
Inspector State Educational Fund $ (0.005/sq.ft.)
State DCA(Radon) $ (0.01/sq.ft.)
Code Enforcement Fine $
Zoning Review $
Notary $
TOTAL $
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
SECTION BY DTE CONDITION OFAPPROVAL
Zoning �� { t
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural o�
Building Official
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL• (305) 795-2207 • FAX (305) 756-8972 • http://www.miamishoresvillage.com
11111111 Ilia 11111111111111 ilia ilia ilia Ell all
CFt,l 2003RC-1945626
OR Bk 21923 Ps 4839; QP9)
RECORDED 12/22/2003 11:32:27
HARVEY RUVIN? CLERK OF COURT
MIAMI-DADE COUNTY? FLORIDA
LAST PAGE
STATE OF FLORIDA,
/HEREBY CEPTIFYthl-,i 1,fi's
onglnj I
W'
HA cLur's
By D.C.
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. ) / - 3205 - 019-00so
STATE OF FLORIDA
COUNTY OF DADE
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement:
I Legal description of property and street address: AJ & 10 0 6+. �-f- 5"A.0-4 I -
Lo t S, lo I 1-t 1 -7S, M a _5h6iV_S .roc W, F45 4 3, P C--(0-7
2. Dpstriptionpf improverne : A:& 2 Z, �2 L)
/2W
3. Owner(s nameandad ress:
e5 C_;�Vwj�f,77/
Interest in property:
Name and address of fee simple titleholder: /'Z 1-
4z
Ile Z�z lr�L
4. Contractor's nam(;andqdd!res e�ca
47 1.5 41-1, rz�
5. Surety: (Payment bond required by owner from contractor,if any)
Namt-knd address:
Amount o ond:$
6'�� Lender's e and address:
ond.$
Lender's�ne ar
7. Perso within the Sta of Floridaignated by Owner upon �m notices or er documents y be
s provide
ro� � St 13.0 i St
ed a vide Section X713.1 )(a)7.,F ida Statutes:
v
s in s pro r s
Name dd e s:
ienor's I
8. In addition to imself, Owner nates the foll *ng pers (s) to receive a copy`oft,�Lienor's Notice as
provided ection 713. 1 1)(b)7.,Flo Statutes.
me and address.
9. Expi tion date of Notice of Commencement (the expiration date is I yearm the date of recording
unless aAifferent date in sp ie
011111"
y
Harola Fhnco/Sans
OrnmissiOn#CC 925828
Signatur of Owner Expires April 6,2004
Bonded Thru
Print Owner's Name n ic Bonding cD.,Inc.
ypm,
Sworn to and subscribed before me this I ff day of,146, 20 6W Prepared by: Iaa r 0 IQ s
Notary Public�4 a�A_v 4 , 1,4" Address: 51-04 -50 )34 C4-
Print Notary's Name b442 cla ;'Frun c,646ans &A -' A*vw: I G=1 33175
My Commission Expires: 41to 1,04
Miami Shores Village Building Permit
10050 NE 2nd Avenue
Phone: 305-795-2204 Permit Number: P2003-1969
�'toRv�►
Printed:1/15/2004 Page 1 of 1
Applicant:
Owner: C"t\�
JOB ADDRESS: 1150 NE 103 ST
Contractor SUPER STAMPED CONCRETE Contractor's Address: 5204 S. W. 134 CT.
Local Phone: 305-220-1163
Parcel # 1132050190050 Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43-67 W20FT LOT 4& E55FT LOT 5 BLK 175
Fees: Description Amount
FEE2004-509 Building Fee $100.00
FEE2004-510 CCF $2.40 Total Fees: $4A8 'R
FEE2004-511 Training and Education Fee $0,80 Total Receipts: $0.00 a$
FEE2004-512 Technology Fee $2.50 3S
FEE2004-513 Scanning Fee $3.00
FEE2004-514 Builders Bond $300.00
Total Fees: $408.70 NISS
Permit Status: APPROVED Permit Expiration: 6/19/2004 Construction Value: $3,141.00 JAM 2 6
Work: STAMP CONCRETE DRIVEWAY PAID
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself,my agent,servants or employes.
Signed: (Contractor or Builder) BY:
LOCATIONNTSTCH
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�t
HIALEAH ALUML M SUPPLY INC.
2260 West 76h. Street
Hialeah,Florida 33016
Phone: (305)821-0103
SCREN ROOM W/3"INSULATED ALUMINUM ROOF PANEL PRODUCT
AUTHORIZATION FORM
FEBRUARY 19,2004
MIAMI SHORES
BUILDING OFFICIAL
10050 N.E. 2ND. AVE.
MIAMI SHORES,FLORIDA
WE ARE THE DADE COUNTY NOTICE OF ACCEPTANCE HOLDER FOR THE SCREEN
ROOM W/3"INSULATED ALUMINUM ROOF PANEL UNDER NUMBER 97-0527.08 &
RENEWAL # 00-1018.02
THIS LETTER AUTHORIZES D.L. ALUMINUM TO USE O 3" ALUMINUM
ROOF PANELS, APPROVED UNDER NUMBER 97-0527.08 TO USED AT THE
FOLLOWING JOB:
RADER MEMORIAL UNITED
1150 N.E. 103RD. STREET
MIAMI SHORES, FLORIDA
S CERELY: _
'�r
HIAL UMIIVUM SUPPLY INC.
DAGMARA FIGUERAS
VICE-PRESIDENT
1. This form must accompany the application for Building permit and shall become part of the
permit documents.
2. The authorized signature must bear a raised corporate seal of the company holding the Dade
County notice of acceptance.
r �
MIAMI-DADE COUNTY, FLORIDA
MIA*111DADE METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
tMEIRO-DAD1 FLr\GLER Bl1ILD1�G
• 140 WESTFLAGLER STREET,STATE li t13
NIIAN,1I. FLORIDA 33130-I n
PRODUCT CONTROL NOTICE OF ACCEPTANCE (305)37'-2901 FAX(305)375-2908
Hialeah Aluminum Supply, Inc. CONTRACTOR LICLNSING SEC71'10N*
2360 W. 76 Street (305)375-2527 FAX(305)375-2558
Hialeah ,FL 33016 CONTItACrolt eNrolu.u:�lEN'1'DI�'Itil(1\
(305)37i-2966 FAX(305)37i-2405
PRODUCr CON'T'ROL DIVISION
(305)375-2902 FAX(305)372-6319
Your application for Notice of Acceptance (NOA) of;
Screen Room with Aluminum Sandwich Roof Panel ✓
under Chapter 8 of the Code of Miami-Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami-Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this
product or material fails.to perform in the approved manner, BCCO may revoke, modify, or suspend the
use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined by BCCO that this product or material fails to meet the requirements of the South Florida
Building Code.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 00-1018.02
EXPIRES: 01/08/2006 I� Raul Rodriguez
Cliief-Product Control Division
THIS IS THE COVERSHEET SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE -
'This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami-Dade County, Florida under the conditions set
• forth above.
� 6
Francisco J. Quintana, P..A.
Director
Miami-Dade County
APPROVED: 01/04/2001 Building Code Compliance Office
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Hialeah Aluminum Supple, Inc. ACCEPTANCE No. : 00-1018.02
APPROVED 01/04/2001
EXPIRES 01/08/2006
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. SCOPE
This renews the Notice of Acceptance No. 97-0527.08, which was issued on January 08, 1998. It
approves an aluminum screen room, as described in Section 2 of this Notice of Acceptance,
designed to comply with the South Florida Building Code, 1994 Edition for Miami-Dade County,
for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not
exceed the Design Pressure Rating values indicated,in the approved drawings.
2. PRODUCT DESCRIPTION
This aluminum screen room and its components shall be constructed in strict compliance with the
following documents: Drawing No. 97-109 titled "Insulated Screen Room", prepared by Tilteco,
Inc., dated April 09, 1997, last revision #2 dated December 01, 1997, sheets 1 through 6 of 6,
bearing the Miami-Dade County Product Control Approval and Renewal stamps with the Notice of
Acceptance numbers and approval dates by the Miami-Dade County Product Control Division.
These documents shall hereinafter be referred to as the approved drawings.
3. LIMITATIONS
All permanent set components, included but not limited to embedded anchor bolts, must be
protected against corrosion, contamination and damage at all times.
4. INSTALLATION
This aluminum screen room and its components shall be installed in strict compliance with the
approved drawings.
5. LABELING
This aluminum screen room shall bear a permanent label with the manufacturer's name or logo, city,
state and the following statement: "Miami-Dade County Product Control Approved". The label
shall be placed at the bottom of the chair rail at each bay of the screen room and at each roof panel.
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit shall be accompanied by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of
Acceptance, clearly marked to show the components selected for the proposed
installation.
6.1.3 Any other documents required by the Building Official or the South Florida Building
Code (SFBC) in order to properly evaluate the installation of this system.
Helmy A. akar, P.E.- Product Control Examiner
Product Control Division
Hialeah Aluminum Supply, Inc. ACCEPTANCE No. : 00-1018.02
APPROVED 01/04/2001
EXPIRES 01/08/2006
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the
original submitted documents, including test-supporting data, engineering documents, are no older than eight
(8) years.
2. Any and all approved products shall be permanently labeled with the manufacturer's name, city,state, and the
following statement: "Miami-Dade County Product Control Approved", or as specifically stated in the
specific conditions of.this Acceptance..
3. Renewals of Acceptance will not be considered if:
a. There has been a change in the South Florida Building Code affecting the evaluation of this product
and the product is not in compliance with the code changes.
b. The product is no longer the same product(identical)as the one originally approved.
C. If the Acceptance holder has not complied with all the requirements of this acceptance, including die
correct installation of the product.
d. The engineer, who originally prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engineering profession.
4. Any revision or change in the materials, use,and/or manufacture of the product or process shall automatically
be cause for termination of this Acceptance, unless prior written approval has been requested (through the
filing of a revision application with appropriate fee)and granted by this office.
5. Any of the following shall also be grounds for removal of this Acceptance:
a. Unsatisfactory performance of this product or process.
b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other
purposes.
6. The Notice of Acceptance 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 Notice of Acceptance is
displayed,then it shall be done in its entirety.
7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be
provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site
at all time. The engineer needs not reseal the copies.
8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
9. This Notice of Acceptance consists of pages 1, 2 and this last page 3.
END OF THIS ACCEPTANCE
Helmy A. altar, P.E.- Product Control Examiner
Product Control Division