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WS-16-377
J Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756.8972 Inspection Number: INSP-254625 Permit Number: WS-2-16-377 Scheduled Inspection Date: March 18,2016 Permit Type: Windows/Shutters Inspector: Rodriguez,Jorge Inspection Type: Final Owner: Work Classification: Garage Door Job Address:338 NW 111 Terrace Miami Shores,FL 33168- Phone Number Parcel Number 1121360010560 Project: <NONE> Contractor: U.S.PREMIER CONSTRUCTION INC. Phone: (305)496-9586 Building Department Comments REPAIR GARAGE DOOR. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-254287. CREATED AS REINSPECTION FOR INSP-253815. CREATED AS REINSPECTION FOR INSP-252630. Door must be installed per NOA 03-0&2016 Failed The 2x8 wood jambs should be installed using 5/8"bolts as reflected under the detail provided on the approved plans. Same as before 3/14/2016 Correction L Needed mrr a---o s. b Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 17,2016 For Inspections please call: (305)762-4949 Page 17 of 28 Osvaldo Arevalo, P.E. hone: (306) 7-3017 Civil/Structural Engineer email: o.arev to a@outlook.com r 10105 SW 130th Ter. Miami, FL 33176 March 17,2016 Miami Shores Village Building Department Re: 338 Northwest 111th Terrace,Miami Shores,Florida Process Number WS-2-16-377,New Garage Door Installation It was brought to my attention that the wood jamb for the new garage door at the subject residence was installed using 1/4-inch diameter Tapcons instead of the 5/8-inch diameter anchor bolts as indicated in typical detail of the permit plans. The Notice of acceptance (NOA) of the Product Control Approved (PCA) of the garage door, NOA No 15-0225-16, indicates that the wood jamb can be installed utilizing 1/4-ich diameter Tapcons at 10.5 inches on center on hollow concrete masonry wall, or Tapcons at 24 inches on center on 2,000-psi minimum concrete. Based upon the garage door NOA requirements,I found acceptable the installation of the garage door wood jamb utilizing V4-inch diameter Tapcons. In this particular case the NOA supersede the typical detail in the permit plan. Respectfully Obv P. *" ivil/S dual Engineer rr TAPE OF • }'d ,icense�iutW 958 Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 ,® Phone: (305)795-2204 Expiration: 08/27/2016 Project Address Parcel Number Applicant 338 NW 111 Terrace 1121360010560 CITI MORTGAGE INC Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell CITI MORTGAGE INC 1000 TECHNOLOGY Drive OFALLON MD 63368- 1000 TECHNOLOGY Drive OFALLON MD 63368- Contractor(s) Phone Cell Phone Valuation: $ 860.00 U.S.PREMIER CONSTRUCTION INC. (305)496-9586 Total Sq Feet: 0 Type of Work:REPAIR GARAGE DOOR. Available Inspections: No of Openings:l Inspection Type: Additional Info: Final Classification:Residential Review Building Scanning:3 Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# WS-2-1648648 DBPR Fee $2.00 02/10/2016 Credit Card $50.00 $74.60 DCA Fee $2.00 Education Surcharge ,$0.20 02/29/2016 Check*1594 $74.60 $0.00 Permit Fee $110.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $124.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I VtIfy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and z hermore,I authorize the above-named contractor to do the work stated. 'r February 29,2016 Autho Si ture:Owner / Applicant / Contractor / Agent Date Building Department Copy February 29,2016 1 INSPECTION RECORD STRUCTURAL PLUMBINGi ■� INSPECTION DATE I INSP INSPECTION DATE INSP INSPECTION DATE INSP Foundation Zoning Final Stemwall ZONING COMMENTS Rough Slab Water Service Columns(1st Lift) 2nd Rough Columns(2nd Lift) Top Out Tie Beam Fire Sprinklers Truss/Rafters Septic Tank Roof Sheathing Sewer Hook-up Bucks Roof Drains Windows/Doors ELECTRICAL Gas Interior Framing INSPECTION DATE INSP LP Tank Insulation Temporary Pole Well Ceiling Grid 30 Day Temporary Lawn Sprinklers Drywall Pool Bonding Main Drain Firewall Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool Slab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Rough Driveway Rough PLUMBING COMMENTS Driveway Base Telephone Rough Tin Cap Telephone Final Roof in Progress TV Rough Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final Final Shutters Intercom Rough Rails and Guardrails Intercom Final MECHANICAL ADA compliance Alarm Rough INSPECTION DATE INSP Alarm Final Underground Pipe DOCUMENTS Fire Alarm Rough Soil Bearing Cert Fire Alarm Final Rough Soil Treatment Cert Service Work With Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum MECHANICAL COMMENTS INSPECTION GATE INSP Final Sprinkler Final Alarm Miami Shores Village Building Department 1016 r 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 1 P INSPECTION LINE PHONE NUMBER:(30S)762-4949 11 FBC 20 (q BUILDING Master Permit No. LAE(b -3-9 PERMIT APPLICATION Sub Permit No. ME BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 338 N.W. 111th terr City Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-2136-001-0560 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Citi Mortgage Inc. Phone#:636-261-9831 Address:1000 Technology Drive city. O'Fallen State: MOZ;p; 63368 Tenant/Lessee Name: Phone#: Email: code.violation@citi.com CONTRACTOR:Company Name: U.S. Premier Contruction Phone#: 305-496-9586 Address: 1419 N.W. 8th Terr city. Miami State: FL Zip: 33125 Qualifier Name: Edward Baeza Phone#: 305-649-2668 State Certification or Registration#: CGC1522581 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: 'Value of Work for this Permit:$850.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration El New M Repair/Replace El Demolition Description of Work: ('�0 V-64 00 Specify colorofcolor thru tile: Submittal Fee$ So -Q Permit Fee$ CCF$ CO/CC$ Scanning Fee$ 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 Ind icated. 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 taws 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 taws 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 certifled 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. --nai:ure NO p Ye g� or AGENT CONTRACTO'F�on strument was acknowledged before me this The foregoing in rument was acknowledged before me this 15 T�day' BB of 20 by a day of —8 L yV(k20 1(o ,by l Cci iwc .who �'�Q�v personally kno o V' Com►-e-Z who is rson�know me or who has produced IN LN as me or who has produced ►°��y L%Lc vi S--e- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: BLI ig Sign: Print: a • � 'Z USSETTE PEREZ Seal: N Public-N I Seat; 1.Y..„.@: MY COMMISSION*FF163749 Ostate Of mi� 4a,Aif'd EXPIRESSBpietrlber28.2018 SL Loin County I loon�ao�ss Ftoridallorerysaom CommlWon#12309480 APPROVED BY +'� t'� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Propert Search Application - Miami-Dade County Page 1 of 1 G r: T rFICE 0, 1 HE PROPER APPRAISER srx ' Summary Report Generated On : 2/10/2016 Property Information Folio: 11-2136-001-0560 ' Property Address: 338 NW 111 TER Miami Shores, FL 33168-3340 �:.• Owner CITIMORTGAGE INC 1000 TECHNOLOGY DRIVE MS 314 `' Mailing Address OFALLON,MD 63368 USA Primary Zone 0700 SGL FAMILY-1551-1700 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 2/2/0 Ou�I�V.iull Floors Living Units 1 ' "" .. Actual Area 2,083 Sq.Ft . Living Area 1,678 Sq.Ft , Adjusted Area 1,810 Sq.Ft Taxable Value Information Lot Size 7,500 Sq.Ft 2015; 2014 2013 Year Built_ 1953 County Assessment Information Exemption Value $0 $0 $0 Year 2015 2014 2013 Taxable Value 1 $224,741 $204,310 $162,528 Land Value $134,829 $80,514 $37,701 School Board Building Value $125,976 $122,718 $123,741 Exemption Value $0 $0 $0 XF Value $1,070 $1,078 $1,086 Taxable Value $261,875 $204,310 $162,528 Market Value $261,875 $204,310 $162528 City Assessed Value $224,741 $204,310 $162,528 Exemption Value $0 $0 $0 Taxable Value $224,741 $204,310. $162,528 ............................................................................................................................................................................... Benefits Information Regional Benefit Type 2015 2014 2013 Exemption Value $0 $0 $0 Non-Homestead Cap Assessment Reduction $37,134 Taxable Value $224,741 $204,310 $162,528 Note:Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City, Regional). Sales Information Previous OR Book- Price Qualification Description Short Legal Description Sale Page 36 52 41 02/07/2013 $100 28507-4242 Financial inst or"in Lieu of NEW MIAMI SHORES ESTS PB 51-80 Forclosure"stated LOT 8 BLK 3 12/03/2008 $226,000 26702-3611 Sales which are qualified LOT SIZE 75.000 X 100 OR 11079-1001 0481 1 04/01/1981 1 $62,500 11079-1001 ISales which are qualified 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 http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 2/10/2016 Property Search Application- Miami-Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On :2/10/2016 Property Information x Folio: 11-2136-001-0560 Property Address: 338 NW 111 TER Miami Shores,FL 33168-3340 r Owner CITIMORTGAGE INC 9 1000 TECHNOLOGY DRIVE MS 314 g Mailing Address OFALLON,MD 63368 USAr; Primary Zone 0700 SGL FAMILY-1551-1700 SQ � y r� t + Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 2/2/0 x 1 Floors Living Units 1 � " Actual Area 2,083 Sq.Ft 4K m Living Area 1,678 Sq.Ft Adjusted Area 1,810 Sq.Ft Taxable Value Information Lot Size 7,500 Sq.Ft 2015: 2014 2013 Year Built 1953 - County Assessment Information Exemption Value $0 $0 $0 Year 2015 2014 2013 Taxable Value $224,741 $204,310 $162,528 Land Value $134,829 $80,514 $37,701 School Board Building Value $125,976 $122,718 $123,741 Exemption Value $0 $0 $0 XF Value $1,070 $1,078 $1,086 Taxable Value $261,875 $204,310 $162,528 .._..._... Market Value $261,875 $204,310 $162,528 city Assessed Value $224,741 $204,310 $162,528 Exemption Value $0 $0 $0 Taxable Value $224,741 $204,310 $162,528 .............................................................................................................................................................................. Benefits Information Regional Benefit Type 2015 2014 2013 Exemption Value $0 $0 $0 Non-Homestead Cap Assessment Reduction $37,134 Taxable Value $224,741 $204,310 $162,528 Note:Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City, Regional). Sales Information Previous OR Book- Price Qualification Description Short Legal Description Sale Page 36 52 41 02/07/2013 $100 28507-4242 Financial inst or"in Lieu of NEW MIAMI SHORES ESTS PB 51-80 Forclosure"stated LOT 8 BLK 3 12/03/2008 $226,000 26702-3611 Sales which are qualified LOT SIZE 75.000 X 100 OR 11079-1001 0481 1 04/01/1981 1 $62,500 11079-1001 Sales which are qualified 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 http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 2/10/2016 Detail by Entity Name Page I of 3 Detail by Entity Nam Foreign Profit Corporation CITIMORTGAGE, INC. Filing Information Document Number F05000001848 FEI/EIN Number 13-3222578 Date Filed 03/23/2005 State NY Status ACTIVE Last Event NAME CHANGE AMENDMENT Event Date Filed 05/06/2005 Event Effective Date NONE Principal Address 1000 TECHNOLOGY DRIVE O'FALLON, MO 63368 Changed: 03/29/2011 Mailing Address PO BOX 30509 TAX& REPORTING TAMPA, FL 33631 Changed: 04/08/2009 Registered Argent Name &Address C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Officer/Director Detail Name &Address Title President, CEO, Director FRASER, JANE 399 PARK AVE NEW YORK, NY 10022 Title ASSISTANT TREASURER http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/2/2016 Detail by Entity Name Page 2 of 3 VELEZ,VIVIAN 3800 CITIGROUP CENTER DRIVE TAMPA, FL 33610 Title Secretary OW 5aw �a►Y�i�R�, 1 � Title VP HOFFMAN, LISA A 3800 CITIGROUP CENTER DRIVE TAMPA, FL 33610 Title Director RENZI,ANTHONY 1000 TECHNOLOGY DRIVE O'FALLON, MO 63368 Title Director RENZI,ANTHONY 1000 TECHNOLOGY DRIVE O'FALLON, MO 63368 Annual Reports ReportYear Filed Date 2013 04/08/2013 2014 04/16/2014 2015 04/16/2015 Document imanes 04/16/2015—ANNUAL REPORT View image in PDF format 04/16/2014—ANNUAL REPORT View image in PDF format 04/08/2013—ANNUAL REPORT View image in PDF format 03/23/2012—ANNUAL REPORT View image in PDF format 03/29/2011 —ANNUAL REPORT View image in PDF format 04/07/2010—ANNUAL REPORT View image in PDF format 04/08/2009—ANNUAL REPORT View image in PDF format 04/23/2008—ANNUAL REPORT View image in PDF format 04/26/2007—ANNUAL REPORT View image in PDF format 06/09/2006—ANNUAL REPORT View image in PDF format 05/06/2005—Name Chance View image in PDF format 03/23/2005—Foreign Profit View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetaU?inquirytype=Entity... 2/2/2016 i CERTIFICATE I 1,JEFFERY L.BOYHER,Secretary of CITIMORTGAGE,INC.,a New York corporation(hereinafter referrer.to as"Corporation')do hereby certify that BROOKE BREEDLOVE is an Assistant Vice President of the Corporation duly constituted as such. IN WITNESS WHEREOF,I have hereunto signed my name and affixed the corporate seal of the Corporation this 24th day of November,2015. �t+RTtu�r�r� /me :� �Jy ••`m Miami shores Village Building Department 10050 N_E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPYOF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER. B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor.Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description ofoperations or contractor license number. ■�a��.e����Er®® arersa'E■rr ■K��ss�������■ ■•a�e����s.•r�®■rr®■r■������r��ru���s�a��u����t BUSINESS NAME: V-� Y/ �/r-�/ Can-sI' ae-h&w BUSINESS ADDRESS AW STATES ZIP 3316; BUSINESS PHONE: t- J � FAX NUMBER CELL PHONE(� �'�I Yk QUALIFIER'S NAME: �W6 A�Z-& QUALIFIER'S LIC NUMBER: �0� /So�-�'S.-V STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONALREGUTATI N C GG 1522581 ISSUE}: 09/18/2014 CERTIFIED GENERA.CONTRACTOR BAEZA, EDWARD U.S. PREMIER'COWTRMTION INC. IS CERTIFIED under the prowl forts of Ch.488 FS, ExPkation date : AUG 31.2171$ L14091800 $g r 004503 Lot MI:. aw � r swot °r icor:AMML _ .� 0 :� . V OWNW, a PAYE conml:ucnc GEN"c at BY-TAX CMLECTOR ? 1 -S4 OS/31/2015 tOEMCMD 29 ,� raaai iays�' �tiro 11F �0.a�a�$Ni�usthedil.�►0811 v�riet�—wl .r co CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) 02/10/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NCONTACTOME: Uoyd Singh First Choice Insurance Solutions PHONE gr -923-0906 954-775-2882 aC No Ext): AIC No 2832 STIRLING RD STE B nnD"AILREss: Lloyd@fcisine.com INSURER(S)AFFORDING COVERAGE NAIC# HOLLYWOOD FL 33020-1127 INSURERA: Covington Specialty Insurance Company INSURED INSURER B INSURER C U.S.PREMIER CONSTRUCTION INC. INSURER D 1419 NW 8TH TER INSURER E: MIAMI FL 33125-3610 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IEXP TR TYPE OF INSURANCE IVSD WVD POLICY NUMBER MMADDLSUBR ND E� MMND LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE ®OCCUR13 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A APP44401111 11/25/2015 11/25/2016 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JEC F-1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITYNED T $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peraccident UMBRELLA I" OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONP R AND EMPLOYERS'LIABILITY Y/N STATUTE I I?RTH ANY PROPRIETOR/PARTNER/EXECU nVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NN) E.L.DISEASE-EA EMPLOYE $ "r f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CGC152258 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg Dept 10050 NE 2nd Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores,FI 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATM LLOYD SINGH ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 11/30/2015 EXPIRATION DATE: 11/29/2017 PERSON: PEREZ JAVIER FEIN: 471567858 BUSINESS NAME AND ADDRESS: U.S.PREMIER CONTRUCTION INC. 1419 NW 8 TER MIAMI FL 33125 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt..apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation If,at any time atter the fling of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 PREMIER g C 0 N S T R U C T 1 0 N INC. Date: February 5,2016 State of County of bo.ae Before me this day personally apperared c- �\fiyA- lgc�E' Zal. who, being duly swom, deposes and says: That he or she will be the only person working on the project to ted at: 3 � 8 J !! I +\- jC✓c- fn%k� l sl,p s IJ Sworn to(or affirmed)and subscribed before me this 5 day of f-Fb . 2016, by Personally known OR Produced Identification Type of Identification Produced_ '"" USSME PF-REZ PN.' r �AtsB�w oW FD8'tRE.S Steer 28.2018 ur.r. h village i�mi otos ' Buildingde : 1 'tO 11 10050! .2nd Avenue Miami Shores, Flo dds 33138 Tet: {305}796; Fax:(305)7W.8972- Notice to owner- 'orko ' t''I 11111 :om �nsat�ari� res r r�+� � +�� on 12111 ,•, a ll lkltt UM rvquir" Workers' C0 ado u 4WV umder-C apW 440 of the Florida:S it 440.05 A officers in dw o t :._ . ....j 1 &cnm ids ui nt for y c .. t +tet Via'to -ngat building perrni. Pursuant'ta t l N o#`w 'camp, Raab r�mplc � � An mploYer in the " iEoa avloys c or + port ° or tobtain ,:' ... .. 'tom c6vaW. rate 06AWs or teas of a l liabr`li ► y in 010 c trwiort it elect to be 1. IU officer owns at least 10 af-t . . , ::orf irr the case of an LLC'a stateme"t to trtiair ltl.p ... . owrr -2. The officer is listed as'an offi=Of p` in the records,of the Florida: T3ep afState,Divi"al's dorm 3. The tion is seiisted a d as nth.i F3agrida partmrrau of State,Division of Corpotatiolm Na worellim ftm corporate corow"im or litMod hainlity, allowed to be exerapt Cftstructim==Ptimare mid far'a period of two or.trrrttl$' volantary revocation is>fiWor do ticrr hr revoked by the Digs. Your ccrsaractor is dna a •t psis . . ' s3tign ajceicrr and'has w �cr t1l.noi dsy fir,peas; employees or su eters : Tiro tare provided t lnt tnr*a Will Im the only person allowed to work an ytr�u Irs .. :. Miami Sls 'Vs t v tion Of wow'compensation insu�rtcp tsov ,. 's , y ft day labor,per* BY SIGNING BELOW YOU A �=�8 .. fi YOU HAVE UAD lki i tdfiC : AND 00D"#AW US CONTEIM. Smoke Breedlove-AVP r G2B0 t�#'fflrff8B80f3 X13 County oful �SA.E*0,'.+�5 lufm ftviiatitnowtodgebethremadds day of,..?44 Ba I who iskm� �to-me*orhaspfoduced asi rtificati n. .ioseph M:Juengwt, ^.,�... j0WH K AJENW Notet'y� Missouri-Notary 8901' Louis Count S�of $t. '; ;.�►Ccetmissilm ides 1,2Q1G MecaWind Stdv2 . 2 . 7 . 2 -1 Developed by MECA Enterprises, Inc. Copyright www.mecaenterprises.com Date 2/23/2016 Project No. Company Name Designed By O.A. Address Description Garage Door Replacement City Customer Name . s State Proj Location 338 NW 111th Ter. Miami Shores File Location: C:\Users\Osvaldo\Documents\OSAR\Jose Roman\Garage door wind loads.wnd Input Parameters: Directional Procedure All Heights Building (Ch 27 Part 1) b Basic Wind Speed(V) = 175.00 mph Structural Category = II Exposure Category = C Natural Frequency = N/A Flexible Structure = No Importance Factor = 1.00 Kd Directional Factor = 0.85 Alpha = 9.50 Zg = 900.00 ft At = 0.11 Bt = 1.00 L6 Am = 0.15 Bm = 0.65 Cc = 0.20 1 = 500.00 y Epsilon = 0.20 Zmin = 15.00 CET �/ Ij," Pitch of Roof = 2.322145 12 Slope of Roof(Theta) = 10.95 Deg h: Mean Roof Ht = 10.75 ft Type of Roof = HIPPED RHt: Ridge Ht = 13.33 ft Eht: Eave Height = 8.17 ft FEB 5 z0 s OH: Roof Overhang at Eave= 2.00 ft Overhead Type = OH w/ s ffit Bldg Length Along Ridge = 53.25 ft Bldg Width Across Ridge= 49.33 Length of Hipped Ridge = 10.00 ft Roof Slope on Hip End = 12.32 l• Gust Factor Calculations Gust Factor Category I Rigid Structures - Simplified Method Gust1: For Rigid Structures (Nat. Freq.>l Hz) use 0.85 = 0.85 Gust Factor Category II Rigid Structures - Complete Analysis Zm: 0.6*Ht = 15.00 ft lzm: Cc*(33/Zm)^0.167 = 0.23 I=: 1*(Zm/33)^Epsilon = 427.06 ft Q: (1/(1+0.63*((B+Ht)/Lzm)^0.63))^0.5 = 0.92 Gust2: 0.925*((1+1.7*lzm*3.4*Q)/(1+1.7*3.4*1zm)) = 0.88 Gust Factor Summary Not a Flexible Structure use the Lessor of Gustl or Gust2 = 0.85 Table 26.11-1 Internal Pressure Coefficients for Buildings, GCpi GCPi : Internal Pressure Coefficient = +/-0.18 Wind Pressure on Components and Cladding (Ch 30 Part 1) All pressures shown are based upon ASD Design, with a Load Factor of .6 Width of Pressure Coefficient Zone "a" _ = 4.30 ft Description Width span Area Zone Max Min Max P Min P ft ft ft^2 GCp GCp psf psf ----------------------------------------------------------------------- Garage Door 8.00 7.00 56.0 4 0.87 -0.97 35.57 -38.96 Garage Door 8.00 7.00 56.0 5 0.87 -1.14 35.57 -44.66 Khcc:Comp. S Clad. Table 6-3 Case 1 = 0.85 Qhcc:.00256*V^2*Khcc*Kht*Kd = 33.94 psf ��titiit � • lo • • . ~ • • o • . . . . • . . „-o STA •;�(v :01� •A�ORtOP•G��.• • • i i • •• •• • • J,�dONAti •• • • •• • • • • • • •• • • • • • • • ... . . ... . P.E.Na 37938 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . a . ----------- MIAMI-0 MIAMI DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175.7,474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315.2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) wwwmIamldad1&2y&NM. _ Clopay Building Products Company 8685 Duke Boulevard Mason,OR 45040 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction 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: Single Car W7 Steel Pan Sectional Garage Door up to 9'-0"Wide w/ Optional Impact Resistant Lites(DP+42.0,48.0 PSF) APPROVAL DOCUMENT: Drawing No.101702,titled"Single Car W7 Pan Door with Impact Resistant Lites",sheet 1 of 1,dated 06/1312008,with revision 06 dated 02/2015,prepared by Clopay Building Products Company,signed and sealed by Scott Hamilton,P.E.,bearing the Miami-Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Section. MISSILE IMPACT RATING:Large and Small Missile Impact Resistant LABELING:A permanent label with the manufacturer's name or logo,manufacturing address,model number,the positive and negative design pressure rating,indicate impact rated if applicable,installation instruction drawing reference number,approval number(NOA),the applicable test standards,and the statement reading'Miami-Dade County Product Control Approved'is to be located on the door's side track,bottom angle,or inner surface of a panel. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTIOAj:•A Fppy pf this satire NOX3hall be provided to the user by the manufacturer or its distributors and shall be available ffr inspectiot A*job si&at the request of the Building Official. This NOA reftes NO&612-06206 ad consists of this page 1 and evidence pages E-1 and E-2,as well as approval doc'liimeilf&enronea above. The submitted documentation was,reviewed by Carlos M.Utrera,P.E. ••• •• NOA No 15-0225.16 1 MIAMI- nri ..: ••• •••�� Expiration Date: August 21,2018 Approval Date: May 14,2015 ... . . ... . D3 j�101201� Page 1 . . . . . . . . . . a � C12paV Building Products ComaagY NOTICE OF ACCEPTANCE: EVIDENCE SUBAUTTED A. DRAWINGS 1. Drawing No. 101702,titled"Single Car W7 Pan Door with Impact Resistant Lites", sheet 1 of 1,dated 06/13/2008,with revision 06 dated 02/2015,prepared by Clopay Building Products Company,signed and sealed by Scott Hamilton,P.E. B. TESTS "Submitted under NOA #08-4618.03" 1. Test reports on 1)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 2)Large Missile Impact Test per FBC,TAS 201-94 3)Cyclic Wind Pressure Loading per FBC,TAS 203-94 4)Forced Entry Test,per FBC 24113.2.1,TAS 202-94 5)Tensile Test per ASTM E8 Along with marked-up drawings and installation diagram of 9'x 8',24ga steel garage door Model 94W7 with windows,prepared by American Test Lab,Inc.,Test Report No.ATLNC 0305.01-08,dated 05/28/2008,signed and sealed by David W.Johnson, P.E. 2. Test report on Salt Spray per ASTM B117 of painted G40 galvanized coated panels, prepared by Stork Materials Technology,Test Report No.30160-04-63365,dated 01/26/2005,signed by John D. Lee,P.E. C. CALCULATIONS "Submitted under NOA#48-0618.43" 1. Jamb anchor calculations,prepared by Clopay Building Products Company,dated 06/13/2008,signed and sealed by Scott Hamilton,P.E. D. QUALITY ASSURANCE 1. Miami-Dade Department of Regulatory and Economic Resources(RER) . . .. •• . . . . • Carlos M.Utrera,P.E. • 0:0 ••• ••; 000 •. Product Control Examiner • • • • NUA No 15-0225.16 .. . . .. . . . . . ••• • •• ••• ••• ••• Expiration Date: August 21,2018 Approval Date: May 14,2015 E-1 or . . . • • .. .. . . . V y r t Clopay Building Products Company NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS "Submitted under NOA #08-0618.03" 1. Test report on Accelerated Weathering Using Xenon Arc Light Apparatus per ASTM G155 of Lexan SIM432T Clear Polycarbonate,prepared by Hurricane Engineering &Testing,Inc.,Test Report No.HETI-06-A002,dated 12/04/2006,signed by Rafael E. Droz-Seda,P.E. 2. Test report on Tensile Test per ASTM D638-96 of Lexan SLX2432T Clear Polycarbonate,prepared by Hurricane Engineering&Testing,Inc.,Test Report No. HETI-06 T566,dated 12/04/2006,signed by Rafael E.Droz-Seda,P.E. 3. Test report on Tensile Test per ASTM D638-96 of Lexan SLX2432T Clear Polycarbonate,prepared by Hurricane Engineering&Testing,Inc.,Test Report No. HETI-06-T634,dated 12/04/2006, signed by Rafael E.Droz-Seda,P.E. 4. Test report on Self-Ignition Temperature per ASTM D 1929,Rate of Burn per ASTM D635,and Smoke Density per ASTM D2843 of the Lexan Plastic,prepared by ETC Laboratories,Test Report No.ETC-06-1024-17496.0,dated 05/26/2006,signed by Joseph L.Doldan,P.E. F. STATEMENTS 1. Statement letter of code conformance with the 2010 and the 51'edition(2014)FBC issued by Clopay Building Products Company,dated 02/18/2015,signed and sealed by Scott Hamilton,P.E. "Submilted under NOA#13-0625.06" 2. Statement letter of code conformance to 2010 FBC,dated 06/13/2013,signed and sealed by Scott Hamilton,P.E. 3. Statement letter of no financial interest issued by Clopay Building Products Company, dated 06113/2013,signed and sealed by Scott Hamilton,P.E. .. ... . . . . . .. 0: /Viso .. ... .. . . . .. Carlos M.Utrem,P.E. • ... • ••• ••; • Product Control Examiner . . • NOA No 13-0625.06 �� � �•• � • Expiration Date: August 21,2018 Approval Date: May 14,2015 E»2 • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • ............-_.........-......... 4 ..._..._ ..._ _......._—..............._........3.._._ .._.........__. .. ".........�. 2 , CLOPAY MODELS 84A, 94, 98, H94 a 03 W/2003 ADDED t%IENOED HMO INCURS IDEAL MODELS: 4R48 H4ST, 4F ENDKW SELLS a OCKEDL-tOC CL DDDR WON MAOI NaOaW 70 NNA,AL ITsTHE coo slats 0a os/ts ADDED,Stiau 40%a rFssrart u1Fs. yOLMES MOD�•I a; 4$ HNrt rL2y SECTIONS Ct6)TO t coc IJD(H)Al DDt'�1.ALONG THE F110N7 FACE' SECTION,5-.,, ` 'w . 12'18 SECTIONS RIE(By TOC-F-LOC CIM IES. oa Ol 13 AIFi1RYED CONPt OMP WITH,E80 2010. t0•slemHs RISE(s)TOO-L-LOC WRCIIFa® ••` ro• 06 o2/ao10 wOaFD t�COMPLIANCE siieiSiar. Tomex SUPPORT (t)M1eaRaau SOLE BETWEEN EACH EVOS% OffAL-v rINIATOURPMA CRACK CONFIGURATIQBy� ATWWO WITH WO-E-IOe[(x)a Wn a BOHOY) Comas Ow r no Um Tw rEACNCE It omm AWSSK(ALONG Coam. o Dom MMOK •� OE00.riSVC 11CIf TNot.N IO W0. D . .. _—�••A FNW-R INSERT. / fPOM IRAI¢PWD!. _ D F/ • ami Now OF NIPACTT-a[mfatf maw IN,am OR SS040M INIP• • • • F F F• F F F IF F SFCaON((IIDT 9�. MAFAD-M-TOP LONESUIvraf/a'CARRU•••• • MNL am SOYa15-1 W. Is INJECTION ypp{/r t]IM aay.STEEL CLAD SAMKEI.GKN""Wom To LOW 1FAWMYW L TKNI • • •• AN AAPPPRI a as PLASTIC Do AKcm tgRl' oaeD vocc; Ma MIfH(s)D/16.t-t!r.0co us samm, •••• • • EI/Ia ffiE SNxbB.S-a tat A1STl�.T 11E"" Coca I • -1 • •• IBCA MPWMNT CHF 1 IP(2 AIW.W 10 HORIZONTAL - - - • Datu•PNce INIECtICHt iR+WI toot(0 1H'FNr waat ears. _ - E 1-657- 81%2432r flmxm 49ow 1 ••1••E • IM1YC a OUFao �L�L _ • •• I CSEE NIMIRM1111,Ham E a-a t to •• •• •• -_ •A � FrIAsC16i WW . WITH H' STEEL TRACK. -t SEE O0 NIDE TRIAD. W ;=PK1EID TRACK THICKNESS:0.00' 11 -• t - • 1' oo AA ••• •• • • aPM.FF ccEtall t2-0 1S8 - TABLE i 4 AP.x-VY sRSL ttaaT tWAarr.:1x oA PAT` ••R •• � r • • ,! ou m r000rmW Rxuu.teaLD Pam oAa Dur.sRuz °OOR tir '°• PREPARATIPN OF JAMBS BY OTHERS C • IDtmGrWN WORT ENV.NRA. 4 T'-- NDIEH AAE oEsxw OF 1W SENAL OF E EIMNTS THE.1. 0004 •• •• • LOCN1�N OF• —A►A a To S .. •KYR IS A¢SURONSHESPONSIBLR+r OF A¢OSON PROFESSIONAL OF SECONDLER POR THE • o� VAX DOOR Wow=e o SECTION A—A 1 s1: o FOR THE�LISTED aA A CRIVINvmt aroACNE touloHa •• • •Iaea AK HRKA ro•a E•HK« INSIDE ELEVATION (MAIL70 D ; x'T� JAMB TO SUPPORTING STRUCTURE ATTACHMENT AFF TOD� =AD= -W DAWUIQNO.aMaD-a1 PraIFR SNAP 111TOII ElOAGFS IB0 A BNIW-Otl POEaESiER PNeOEIf ONTO VERTIGO.7RMN. TOP COAT�D,TT TD,BGtI�� 1. ALL THE LEVO LIRE ilff ODOR 6 AUMFFRRED W THE 1RACj AND THEN FRa1 THE IRAWT TO AAE 24 STEEL SMR.(ASTM Na Ae63). vEtaEAL STA(ORIEL t2 OR CEDER)JAMBS.tb LOAD LION THE DDDR IS TRANSFERRED W tiff tsu SNW SIDE or t NKN A ,'� 2. AS JAAa TENERS VAT K(��NO MRARED W BE)CaMfN4tMK To t A RUSH WERE sBLE sme14t __ OUTSIDE W7� G0 EA'CA�S INTO III W OALV.STELE IOP S. A STRESS INCREASE FOR NND LOAD WAS RIK LISW IN THE CALCULATION OF ALFOHABLE LOA"FOR rim OUTSIDE go IINME ST� VERTICAL ORION. OLIAR ANDIORS AND FAAEFffNS FOR SYM CONMRM AND W SONW. NAXIVWmOtt sTla LOCK BAR ONE ut�OF H WOOD FRAME BUILDINGS QBE HMKOLE ERGAGES N DOWL Wµ)�ia>d/g'SHEET (S(RU�D!ERILLS OF DOOR OKKNG SHAUL K rAAMW SOLID Or NOT LESS THAN 0)248 PRESWW TNFIdN sYP �oy. artmr KEVEe LEEK OUISEE KEYED LOCI( TRACK SON ��Kti3. =Y1 E�WOOD SAO r�7�F FANS GRACE FROM ESSRooTHAN TO 7¢BEAMS PSI WORK&EXTREME LEER SLAP urex Loc DmDtH Last aM ,=, OF DOOR. B BLOCK WALL OR CONCRETE B fa ON,CAW.STE 2.8 STP 65RAOE :os omm)WOOD JAMB S K NHCHOM W 0=0 RW OMM STOCK W"OR 2-114• I HINGE.END W COVCRF.TE COLUYN BLOCK WALL CM SHAIi OE FUM MALI CONCRETE AND REF"M WITH RIWORCWKO x46 VERiCAL JND — II--- OWN EEIENOW INTO THE FOOTING AM FVW TIE REAMS.ALL BARS SIAL BE OWEOA2I M FROM THEW MAN SXELI'YEVL I LNP IM JOrT13. gHEET TF/4)/ s•�W romm PEA BLOW(WILL OR comam E CatRIN WICK WALLS AFKI m CaOirm4 TO ff T DIEM"or AC MOM D"m OR MCIWECT or RECORD, m R-1/a•ERIN*xo a ONLY. 2�"a..I�SUPPORTING STRUCTURE AT'[ACHMENT �o O� STEO-(MDG !IRT ao IBQ ............_.._.... W Iff USED FAR aTIA2IMOiT of Tads ¢NTLI a)1/a• a•SEF Aaagl•mEMO 0 .e mk THD M-BARs PER ffCON.Et6m THIRD, ON SECTIONU-m E HAS ONLY WIENER! sun 0K LIED T LRCM U-BM PSTE E FdfttwWASHERS ATUCHW eBH 1/4'SELF• BaLWNc iTPE rAsutffR TTP! t1LSIEFffRS I JAMB CONFIGURATION simeRM a f�"sACH Ex4m, C-00,MOM(HOLLOW OR t/a^K W(I-1/a•EMBED)RW T ]CONCRETE ANCHOR(R-1/Y MDL EWE DWA MM to-1/2• 1'0.0. SSCP NIDDM EN DOOR IMR•RD•STLE LOOATWA NII. 1 4 K 4 1- a t MRL. I D. 7�i, NSOULER(TO SLID) - 6 - WNN1E MIN -t INCLUDED t:Da eay.snslluYt='p1,',' $ xo sA MN cNr seEEl END SOIL x-s/a�x Es GA.oay.STEEL ED1rae - t 20 CA VOL DALY.STEM INTERN.SIRE,rW ! T(3-1/Y 3-1/21 FO SAI 1 FRS Rp��pM m••/ SLffET YkAITACHED7AFTLIf1(?1 l4AS •RUICK _NN2IRI�Rtk�rTARNSINLW A7 LEASE ASAI NQNDAEI CENTER OISEAHCE. Be WITH FASTENED,TO MNDOD ALIDQIW FK)WFSIWI 138 IW7ft S6ADffASiRA.FIORUSOII `NoAIG/��•� ,l• :K ••.� t•, IL Jrom WITH are a/1rKt-1/2• ? E •E•• SIGN LOADS: +42A PSF & -48.0 PSE. lY WOOD um seaetr PER WACNET. aace ateR h�> TA sm"ON swDomei fB M 6A CALK,STEtI NRA HUGE FASTS ED W CONTRA,Y 6rCv.STEEL 7RMII FASTENED SIRE W/W)EMIL t1a.DJr'SIRET YOAL SCILTIS m;LLAT PwGC. Matt SfiE ...._..._.. W T I TMCKFts FaCH TOLERANCES BRACXET ATWCNW WITH OK t/H/-rarW P161PIE H IBWLLto ON uTM IONtr S/WET, ��®�� .(®Diu`I.OfS Sf NOTE T OF I tAttmp SENO gIINw7m N 9'0"W K 12'0•FI 1/4•.3/8'eWIT a NIT OR TMo La CA ONY.IRS Lam MME!E mao To Ora SaEB r/( uoN .W60 v t.arA:, T •�/i•3r�: t/P RAEIs tla+Nr sAEer Mere epma8 a N)Va•SEF ta•PWD s ° ® DeameA AI`'4.t/xOE5CRWt1TD6 SINGLE CAR W7 PAN ODOR �L3FsAi.- PROUXIS n t..�Lt•:" WITH IMPACT RESISTANT UTES THIS PRODUCT CONFORMS W THE ,.%�.•.`� AND THIIENTs or THE xot FRC Warm Si LL STEEL aollm(1_s/18^d/ta'.a'y Building Products 8SON Dt1KE Btw• %••a`,. '' •• r r, �, AND ATE t1m'IH EaTIDM fab ttT01 9TEE1.OR NYUae IIPl. ENSIXd.OHIO 4304E .A •..p�t(tFtD Company s,s no-4800 syl _........_.__.. _._._._ 4 3 2 .«_.. 1 � 1 l FEB 12 2016 C-) CITY :fl its MAW7 ru')I p :> m -comoh � G1 - '17 D v, r � 1 • •• • • •• • •• • • •• • • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • �V7Gr1 MIAMI- A►DE ---- - --- I Ty PRODUCT CONTROL SECTION • 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-25 „k F(786)315-2599 NOTICE OF ACCEPTANCE OA .",.. 47 ade. vleconom Clopay Building Products Company 8585 Duke Boulevard Mason,OH 45040 SCOPE: 0 This NOA is being issued under the applicable rules and regulations gave the us6�of� nnstru n materials. The documentation submitted has been reviewed and accepted by Miami-Dade 1 16 ct C of Sgcilo•n to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(4M. • This NOA shall not be valid after the expiration date stated below.The Miami-Dade County4r9dur4 Cont,pj Seition(In•• • Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the jlght tp have t1ilmoduct or•• • • material tested for quality assurance purposes. If this product or material fails to perform;p Mitccepted mgnner,the. • manufacturer will incur the expense of such testing and the AHJ may immediately revoke,moAJf,.or suspend the use oP•••• such product or material within their jurisdiction. RER reserves the right to revoke this acl<q3tgade,if it:1 U8t't;2mined•.... by Miami-Dade County Product Control Section that this product or material fails to mcat.the.requiretvpV of the.•;,•• applicable building code. ' .. .. .... ...... This product is approved as described herein,and has been designed to comply with the Flor"Building Code.. .• including the High Velocity Hurricane Zone. .• ' • ' . . . ...... DESCRIPTION: Single Car W7 Steel Pan Sectional Garage Door up to$'-o Wide�w -0 •••• Optional Impact Resistant Lites(DP+42.0,-48.0 PSF) "" • APPROVAL DOCUMENT: Drawing No.101702,titled"Single Car W7 Pan Door with ImpactlResii;tant Lites",sheet 1 of 1,dated 06/13/2008,with revision 06 dated 02/2015,prepared by Clopay Building Products Company,signed and sealed by Scott Hamilton,P.E.,bearing the Miami-Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Section. MISSILE IMPACT RATING:Large and Small Missile Impact Resistant LABELING:A permanent label with the manufacturer's name or logo,manufacturing address,model number,the positive and negative design pressure rating,indicate impact rated if applicable,installation instruction drawing reference number,approval number(NOA),the applicable test standards,and the statement reading'Miami-Dade County Product Control Approved'is to be located on the door's side track,bottom angle,or inner surface of a panel. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA 013-0625.06 and consists of this page 1 and evidence pages E-1 and E-2,as well as approval document mentioned above. The submitted documentation was,reviewed by Carlos M.Utrera,P.E. NOA No 15-0225.16 CMIAMIMMMECNTY Expiration Date: August 21,2018 Approval Date: May 14,2015 Page 1 z . Clopay BuiIdina Products Comnanv NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. 101702,titled"Single Car W7 Pan Door with Impact Resistant Lites", sheet 1 of 1,dated 06/13/2008, with revision 06 dated 02/2015,prepared by Clopay Building Products Company,signed and sealed by Scott Hamilton,P.E. B. TESTS "Submitted under NOA #08-0618.03" . . •0••• .... ...... 1. Test reports on 1)Uniform Static Air Pressure Test,Loading per-FIN:TAS 202r94 .. 2)Large Missile Impact Test per FBC,TAS 20f,".. ....• . .. .. 3) Cyclic Wind Pressure Loading per FBC,TAS'M-*94 ' 4)Forced Entry Test,per FBC 24113.2.1,TAS-�$�;44 ••• ••••' 5)Tensile Test per ASTM E8 • ...... .... ..... Along with marked-up drawings and installation diagram of 9'x0se4ga sfeei.garage ...... door Model 94W7 with windows,prepared by American Test tiftf4c.,Test Report • No.ATLNC 0305.01-08,dated 05/28/2008,signed and sealedby Ddvid NS.laftson,•••••• P.E. 0.. . . 0000 ...... 2. Test report on Salt Spray per ASTM Bl 17 of painted G40 galvanized coat8d4fartels, prepared by Stork Materials Technology,Test Report No.30160-04-63365, dated 01/26/2005,signed by John D. Lee,P.E. C. CALCULATIONS "Submitted under NOA #08-0618.03" 1. Jamb anchor calculations,prepared by Clopay Building Products Company,dated 06/13/2008,signed and sealed by Scott Hamilton,P.E. D. QUALITY ASSURANCE 1. Miami-Dade Department of Regulatory and Economic Resources(RER) . oso�jars � Carlos M.Utrera,P.E. Product Control Examiner NOA No 15-0225.16 Expiration Date: August 21,2018 Approval Date: May 14,201S E-1 C1opalBuildiae Products Company NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS "Submitted under NDA #0&0618.03" 1. Test report on Accelerated Weathering Using Xenon Are Light Apparatus per ASTM G155 of Lexan SLX2432T Clear Polycarbonate,prepared by Hurricane.Engineering &Testing,Inc.,Test Report No.HETI-06-A002, dated 12/04/2006,signed by Rafael E. Droz-Seda,P.E. 2. Test report on Tensile Test per ASTM D638-96 of Lexan SLX2432T Clear•••• Polycarbonate,prepared by Hurricane Engineering&Testing,Inc.,Fest Reggt No. •••••• HETI-06-T566,dated 12/04/2006, signed by Rafael E.Droz-Ade,AE. !. ! .' 3. Test report on Tensile Test per ASTM D638-96 of Lexan SLX14324P Clear •••• •••• • Polycarbonate,prepared by Hurricane Engineering&Testing,W*Test Repof t No. �.... HETI-06-T634,dated 12/04/2006, signed by Rafael E. Droz-St&,�.E. ;••••• •,•• 4. Test report on Self-Ignition Temperature per ASTM D1929,Rat+oof Burnes ASTM !!;.!• D635,and Smoke Density per ASTM D2843 of the Lexan Plastic,-p eparea by# I'C •••• • Laboratories,Test Report No.ETC-06-1024-17496.0,dated 03rz=06, signed by •, . . . ...... Joseph L. Doldan,P.E. ;••••.• • . . ...... •! • F. STATEMENTS 1. Statement letter of code conformance with the 2010 and the P edition(2014)FBC issued by Clopay Building Products Company,dated 02/18/2015,signed and sealed by Scott Hamilton,P.E. "'Submitted under NOA#13-0625.06" 2. Statement letter of code conformance to 2010 FBC,dated 06/13/2013,signed and sealed by Scott Hamilton,P.E. 3. Statement letter of no financial interest issued by Clopay Building Products Company, dated 06/13/2013,signed and sealed by Scott Hamilton,P.E. JOG I?�1'S Carlos M.Utrera,P.E. Product Control Examiner NOA No 13-0625.06 Expiration Date: August 21,2018 Approval Date: May 14,2015 E-2 4 3 2 , �� wAwOIwA CLOPAY MODELS 84A. 94. 98. H94 03 04/mo3 AroED EXTENDED TEGHHT MOMS IDEAL MODELS: 4RST, H4ST, 4F END SMEs ATTACKED TO DOOR SON WAN PAittM Toe-E-wc SIM.END STAES oa os/ts/oe AooEo owm w wracr KEssmr+r Im HPME 42)Too-L-tOC CINCHES AT TOP AND(2)AT BOTTOM,ALMS THE FRONT FACE, SECTION B^B .. 03 01/08/,x�rIRKm camMaYaE EDN Tec 201E HOLMES MODELS: 48 18 SEMS HH K t4)I�i lLOC CL ® E"°ro 051 0E/2015 Imnnrzo a camMovxE sraiomar. �.:D: „A ® TRACK CONFIGURATION v� (TO St n (,)wRR1EmATE SIRE BETWEEN Fn0H1 EYB063, Cam."11EOW%D f)R URl TOP awsKEr ATTACHED SIH mD-L-LOC I(2)AT TOP s BOTTOM) O cam am e•OWL Oo�E HORIZORM URETHANE AC EOS 0404 CEMFR) OPOTHM.ODDOR.TNE i, O[COWAWE T D --i A 41iN-w 01SFAf. � FRONT tRNE iMJ�K. LAE NOW Or(IKSPwACTPT-Ow:ffiNH CLAIM w M� O SrNC AM. MOOKAL UMOT ATGCIEO 10 FLAG BRACKET TOP SEG'rll SWwe ffi MKT-W-AE-1ffi +IRI II)b/613/1'WIROIBC BMT. P a P P P P IF P SDCTIOM(Mw a P NAT.01AN4M ME a ls-1 I1•. is DA GAO,SRR TIRO awcaL INCH fAsmxw to CLAIM 5 Oaa" LEAM vwH ogee NTKo N■e ON w vts%l_,/r M000 uo scRE,s AN APPROACO aloe i¢H.Ym 11-e FOR AtSE11RT arms. _� • vrCK I IIMCK 1/4" 4 T ACA ow 1a. ES a MO Pma LIKAM t TRoac,Bn+t•1H'=3µ•TKAaI ears. -a --TIET - MOUND BE T Ts B HuSLX24=TOM ADAG -0 ERT 1 - - SEE WtERYED.H WME HK 8•- , 34 - OEMIL POLVMVR W Raw" rise m TO iaa%WITH r aq.V SRA TIMM ri 1 SEE END HIAA:OU-4. tW)(e a J/.'etll NDID P TRACK THEA:DOW. } NtbNaE Y� •L� •_ IIF 3 IaClt PORIWMI(BOM .SEE '{� 12 1 NaHIHHr a tAON tau raR asW.s. TABLE 1 SRR 1RAa1 eBsaT. HNSTalr MONFOB. NUYBER OF CLAI LAIB.A+6 w TE O/WC,aysto PaWI Ear.Par Sus ° FEOCIif SECTIONS- "r PREPARATION OF JAMBS BY OTHERS C 4f - 1TOOmRAY R1Nn SMT.LATER m 8 S •Kr.l_. ITURE iffiSKRI o'THE SOPMRONG SumnA 1.ELEMENTS SHALL � �LOCATmq of A B N0 OR me w Accomomm Omm BBIALOING t wAc Doan VOTH a 9'-W SECTION A—A %1. cooEs FOR THE arms tLstMo ON THffi DRaTD6 •HAA10 ERM 4mn a•aH•AAWI INSIDE ELEVATION ( A,(SS�.1 ,E-101.THICIOms MM r RUCK JAMB TO SUPPORTING STRUCTURE ATTACHMENT Do LOw`"ErR�Me1p°�o si G-10 UA,ANtlQIA.BAIEO-a1 TaMffk SWAP LUCK ENGAGES TOPCET TO BOTH s aF _ W ALL THc LOM Fitwl THE DDDR 6 TRMi3ERAED m TIE 7RAOK END TKEH TROY THE TROCit ro THE 216 womwww ONTO VERTICAL TRACK. ENDSTEB.SK¢A(�M M.A554 vERTTHE OR BETTEOIVVMV ILA tOAD FROM THE DOOR 6 TRaPSFERRED ro TNMNFIEi<7w= SiPE 2 AYfE�WAY 8E(.R ARE NOK REOLOED To M COUNTU I M TO PROVIDE A RIM wIFR SE BOLT LOCK• 3 AA STRESS wCRFASE FOR MID LOAD WAS BOLI USED O THE CALMATION OF ALLDRASLE LOADS FOR TIKOUTSIDE 11NUGES ROD RpC1T. 12 OAL oar.STEEL mP ANCHORS AIR,FASTENERS FOR SIM CONCRETE AND YASOAM Am E SIZE EONE AACH ROUEN BRACKET' -OF 3MOOD FRAME BUILDINGS HLow w DOOR. tm1MiET STUD,WAS OF WON Omm S/WA w FRAMED SEA eY HOt LESS TWA(J)24 F TREATED STP yAK,OA. ourSmE IETso Loci ML W 4) t41b SWEET ( /2 OR BETTER)"m STUDS OF A STRESS ewm IST LESS MEN 1200 PSI NOLGUL EKIRE m f@ER SWW I P Laal IN tOCR , ro 004WE w BOSOM(r.).STIR WALLS TO BE COK=XW FROM FOOTING ED TE�N6. BLOCK WALL OR CONCRETE B 14 GA."IV.STEEL 216 STP g2 OR mE )smoo ANm SHILL FE now"ro=0 REINFORCED e10a1 WAIL on 24 VERIKNL Ja18 END HNS.Elm Qm COME COLUN,.BLACK BANS offemom INTO THE HRu.CELLS SHWA BE=WITH CONCRETE AND PmEORCED WON RFX�CaMi m TIE ALL BASS SHAU BE COAKULKNAL rROM THE 2-3/4' I� 2-1/4' sun W�(4)(144/8• VANS TO PER BLOCK WALL OR BETE COLAM BLOCK WALLS AND ATE CMUIw4 TC BE 4) M44/6•SHEET METAL. SHIP LAP.,OILS. SNE((E�4TT YMW. .'MS O BY THE Buum E=ARNER OR ARCWTECT OF DECOR. � r TaAPPOYsZvs1LF r w(BFIBFIa1082x6 JAMB TO SUPPORTING STRUCTURE ATTACHMENT 7-1/2• 7-I/E' 0° 2-t/4•TALL.2D oA pMv. O GSTm(NEL WEto r Nm) FAT TO BE 11•v FOR ATiaC1T1ENT OF TOMBRAGEI t 1/4' {•9TF AoeylTTmflbD •�a INCEPT� ON CENTER 4 SECTION low"HAS ONLY orsamm SIM 14 ONE U-SAIL EACH U-BARBETWEEN WASHERS ATTACHED WRTT 1/4•SELF BImom TYPE FASTENER TYPE FASTENERS REOURIDT JAMB CONFIGURATION SCUM AT Atm' C-00 mm ocuJow OR 1/4•='3 (1-1/4-EMBED)ON 1APCOA CONCRETE),CLLR(2-1/r NSL EDBE CBD*r43 Io—/r I. STOP IIORDO6 BY DOOR OIERED.STOLE IOCATAN. ITL 1 4 •4 I- 4 I IOL I wSTALtER(S,SIO 20 GA MTA oa.V.STEEL END SME,2-S/85q•. 13 OA.BEV.STEEL BOTTOM 1 • ,•.T - 11SL 20 GA MIN.Cab.SIM BOERS.SOLE,na• I1RAgtET(rt/r:s-1/2' p AITAOEo LMH E2)8144/ •+_ A$ H { CENTER D6pO10E, U GA CALM.SIM TRACK 316ET 1aTAl ST3EEW8 �•� :. A BRACKET FASTENED TO woo TaPPOHe • • • • �' • ` Ir MUM WN ONE 31161.1-112- ALLBAAAI EIR IRION 8 LAM � •• • • • WOW c SCREW WIN BRACKAUCEO WITH 8f ¢ Edw: \:. A bESIGN LOADS: +42.0 PSF & —48.0 PSE. Us a,QALY.SRR LATER,MAGE 03TOAO To OMUR ON CENTER vmmw((s)SCBM ON Bw MORI r Gay.SRA Taal FASTENED Sta W/(4)CAM/,4x3/8•SART NETS.SCEWL 'TOLERANCES .^:t�3 MA1L SI>E ro tRacx BRACKETS FAOLI (MOTE tAiB 1` �'LF 1 Of 1 9'0V K WO"H BRACKET ATTACHED WITH ONE 1/16'Rome Kmw B woo."ON FAG,Rale SPOT. ® �� LIaMu S{we0 OA4AMM. II .00T.s V 1/4'4/8•BOLT Q 00 ffi TWO 11 CA LUV.SRR ENO WAGE PAYLOAD)m tM0 EKES W/(4)SAO, • •.• • - • /Y3 OESCRIPTmN 1/4•RNETlL 114AWr SRP IEaa.SCROPS k N)1/4.1ATF OPMX SINGLE CAR W7 PAN DOOR THS PRO=CONFORMS ro THE • • f L(�AgY585�0uK�6t�9 1� .. •ti': WITH IMPACT RESISTANT UTES RmItlEYEMS OF THE 2010 FOC r to BILL SER ROLLER(1-3/18:1/,8•x47 Building Proli Ct i • i .(ASOD►pHiO a�pao• Ift",;•�'2'F64°•• '` WA� ►pro AMC THE FIFTH EMMN FSC. MRL STBR OR HILTON IRE, Company •• • • 5T no-a '�A, s)1�1 101702 4 3 2 .._... A. .• •. • . • •• ••