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RC-15-2119 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INS P-256185 PermitNumber: RC-8-15-2119 Scheduled Inspection Date:April 05,2016 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner. VILLARREAL, LEANA Work Classification: Alteration Job Address:163 NW 101 Street Miami Shores, FL 33150-1213 Phone Number (786)553-1534 Parcel Number 1131010230150 Project: <NONE> Contractor: VIZCAYA ESTATES DEVELOPMENT INC Phone: (786)290-0135 Building Department Comments KITCHEN REMODEL 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 April 04,2016 For Inspections please call: (305)762-4949 Page 19 of 32 Miami Shores Village Building Department OCT 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 q Tel:(305)795-2204 Fax:(305)756-8972 $y: INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201LIJ BUILDING Master Permit No. c' 9'�� -off, PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS 1HANGE OF [:] CANCELLATION ❑ SHOP i ^ , ONTRACTOR DRAWINGS JOB ADDRESS: I �� 1 V Uj City: Miami Shores County: Miami Dade Zi -3 4 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: 1Connsttrruction Type: �%. Flood Zone: BFE: /,� FFE: OWNER:Name(Fee Simple Titleholder): h-_a✓� Y J I` �� 1 Phone#: q5-I 15 q- 9733 � Address: /� I V�I�I* s�'�� City: u� SC` `� PS State:- Zip: �� Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: `� CZGJs11� �5�4��� ��►Sr�Phone#: Ze>(p' 2-c,0 o Q)v Address: Z�`'�� 6u-7 k city: '1 a Slate: Zip: Qualifier Name: Ky `C c��� �7r��"ti�'z- Phone#: ZWP- 2C�C�®`3b State Certification or Registration#: C— Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ' CA3 Square/linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ Ne`w_ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru We.- Submittal lle:Submittal Fee$ 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) V Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe 'on which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will the p ved and a einspection fee will be charged. Signat Signature �r OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of O g2k ,20 IC ,by C� day of tIC4- ,20,4!r�r .by //g41jeo9/,who is personally known to dtJ/"4 W-A*"w-- 0d/1e2_._,who is personally known to me or who has produced as me or who has produced ZZ2 e,- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print* Prin Seal: "�'�, Notary PubNc s of Fiofida Seal: . Joanna M Felidano My Commission FF 082753 Notary Public Stara of Fiorkla apo S'Prsa 011121 01s Joanna M Feliaano My Commisaln FF 082753Expires 01/1212018lit * s s��s*e*�►s**�s*s�*�� APPROVED BY 4 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department I 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fa= (305) 756.8972 CHANGE OF CONTRACTOR /ARCHITECT Permit N. r 2, Owner's Name(Fee Simple Tide Holder): 1 -e0()01d1GY�C ' Phone#: Owner's Address: 1,A W lot -S City. fad State: v-- \. Zip Code: fob Address(Of where work is being done): 1&) I D) S r City: Miami Shores State:—Florida Zip Code: Contractors Company Name: Phone*.IRP U(D Address: f4vilEi MIL City: State: -- Zip Code: Qualifier's Name: d Uc. Number: '"1�010VD- Architect! Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Woric KN1t+a x�'�,n 1 'eYY11 U I hereby certify that the work has been abandoned and/or the contractor/architect is unable7,willing to complete the contract. I hold he Building cial and the M1 i Shores harmless=1egal emt. SignatuM Sig or Agent or The foregoing instrument was aknowiedged before me The foregoin instrument was aknowledged before me thisgj_day of 62,::L 2Q/s;ByL eq 1/'i'!/��,,q� this. day of 201sby&ia 50r4o Who is personally known to me or who has produced who is-personally known to me or who has produced TPS as indendfication. as indentification. Notary Public Notary Public Sign: Sign: . Seal: Seal: _..�, Notary Pink$tote of ft ,`.•its KATHOW 1AWNPA Joanna da on0e27s3 It -Pri 'IW M fiarida fAy 61H212018 CommiWor 0 FF tilld117 my CMAL bon in Z.X019 Ooillld IWOtiM Aufi. ,OU4 L®cal,Business Tax Receipt P Miami—Dade County, State of Florida —THIS IS NOTA BILL — DO NOT PAY LBT 2865807f__j BUSINESS NAME&OCATION RECEIPT NO. EXPIRES VIZCAYA ESTATES DEVELOPMENT INC RENEWAL SEPTEMBER 30, 2016 9841 SW 121 ST 2998491 Must be displayed at place of business MIAMI FL 33176 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPEOF BUSINESS PAYMENT RECEIVED VIZCAYA ESTATES DEVELOPMENT INC 196 SUB—GENERAL BLDG CONTRACTOR BY TAX COLLECTOR Worker(s) 5 CBC002873 $75.00 07/09/2015 CHECK21-15-083571 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit or a certification of the holder's qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec ga-276. For more information,visit www.miamidade,ggy1butoofiector J. s From Great Florida Insurance Fax 7865221889 Wed Oct 2111:34:43 2015 Page 2 of 3 Aict-DRC DATE(MMDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 10/21/15 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. H 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 Iieu of such endorsement(s). PRODUCER �� ECT Tamara Mourirto Great Florida Insurance Pinecrest P HONE FAX 256 0616 FAAxc No): (786)522 1$$9 11206 S Dixie Highway 101 ana.miranda®greatflorlds.com Miami,FL 33156 INSURER(S)AFFORDING COVERAGE NAICS Phone (305)256 0616 Fax (786)622 1889 INSURER A: Essex Insurance Company INSURED INSURE B Vizcaya Estates Development,Inc. SURE c: 9841 SW 121 ret Street INSURER D Miami,FL 33176 INSURER E: COVERAGES CERTIFICATE NUMBER: INSURER F REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. SR TYPE OF INSURANCE ADDL SUBS POLICpD/YE YY LIMITSPOLICY NUMBER GENERAL LIABI rrY HOCCURRENCE 1,00 '000.00 © COMMfiRCIAL GENfiRAL LIABILITY PREMISES E arnErDranca $ 100,000.00 A a ❑ CLAIMS-MADE W] OCCUR Y N 3SM4,0 W/2412016 09/24/2016 MED EXP(Any rno parwn $ 6,000.00 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2.000.000.00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG $ 1,000,000.00 0 POLICY E] Mai ❑ LOC $ AUTOMOBILE LIABILITY a LNEDCOMBINED SINGLE LIMIT ( ) $ ❑ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Par proton) $ ❑ AUTOS ❑ AUTOS BODILY INJURY(Par a=idant) $ ❑ HIRED AUTOS NON-OWNEDAUTOS PROPER Y AMAGfi $ Par acddant ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE $ EXCESS LIAR ❑CLAIMS-MADE AGGREGATE $ R N WORKERS COMPENSATION $ AND EMPLOYED'LIABILITYfi YIN TWOCRSYTUM ❑pH- ANY PROPRIETOR/PARTNER/EXECUTV OFFICfiWMEMBEREXCLUDED? ❑N/A E.L EACH ACCIDENT $ (Mandalery in un E.L DISEASE-EA EMPLOYE $ nB�ss,,atMy In under Om OF OPERATIONS bakwa fi.L DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEtUCLES(Allach ACORD 101.Addifienal Remarks Schadu►e,if mere space is required) General Contractor CERTIFICATE HOLDER CANCELLATION SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village Of Miami Shores THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Mlamt Shores,FL 33138 AUTHORIZED REPRESENTATIVE P:306 796 2204 F:305 766 8972 ��x' `� �,...►.�n. ACORD 25(2010105)OF ®1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and 1090 are registered marks of ACORD "CRWED AUG. 0 2015 + ��►► 0WAt1441$ i Vvt ►�u�ry �----� MINIMI SHORES VILLAGE G) \.%004 �, .. # APPROVED BY DATE - J%v Ir POINT ALONG COUNT L HAN ZONING FEET FROM G.F_1 PROTEC RECEPTACLE. r = J PUT DIVA RECEPTACLE UNDER SINK. ILL FIXED APPLIANCES ON DEDICATED CKTS. STRUCTURAL .._.__....�. N � ELECTRICAL oe i MR Baur PLUMBING ` MECHAN fo { �•' • ••• . • • ; •" f ,�, OBJECT TO COMPLIANCE WITH ALL !FEDERAL •. •: : : + �•�10� STATE AND COUNTY RULES AND REGULATIGeyS a 04 Soo 0 VM ADD KE/CARSON MONOXIDE DETEC • • rol3s, . .' • • • • G . . .• � �• S 7-57_ ANY AND ALL CLOTH AND RUBBER ••: �• ••• ••• ••• .`••. 10 INSULATED CONDUCTORS TO BE REPLACED. t C.Q 1 . . .. .. . . . .. .. • • ••• • • • ••• • • ••• • • • • ••• •• • • • •• ••• •• r • ••• • • • • •• • OL •• • • • • • ••• •• Oog�q I l i —-~----- -- A, moved .....�.� PP Dam Disaxoved pp ADD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. ELECTRICAL R 4!� APPROVE DATE__,,,,____ r - t. �0.• ..j 1'f lei �.......,.• ''''•t• i `�� r �! +��t Z "' Rin � _ ,. • 4 4z • • • • •••••• U.) • • • • • • • • • w +..• Lj F— • • • ••• • s • cc O ?LLJ • • ••• • • • • ••• LCLL, i (� LLJ V- F— W C:�.3 • • • •• • ••• w L O Z W i i i i • •i 000 • wi i• o� W J O 1�. ••• ••w ••• �•� ••• ••• -, cr t!J Co O U �' { •ww •w• iw• i•• .•• V' — W • ••• • • • • •• • CD cc LU O _5. • • • • • • • qc • • •• • • • • • ••• s• W tz 2t5 LL O J LU a14 Olt, S� V WALL ..y rte! j 16 r �.3i. Y5 `-• - ...r � .s...N Q c3 � N 4 ''+-�•, `tet� -. . ,.^. "� i � # � � a £ '1 a 7� � � � f as `' f S4�✓ 0,�s. r .,. Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Applicant 163 NW 101 Street 1131010230150 Miami Shores, FL 33150-1213 Block: Lot: LEANA VILLARREAL Owner Information Address Phone Cell LEANA VILLARREAL 163 NW 101 Street (786)553-1534 MIAMI SHORES FL 33150-1213 163 NW 101 Street MIAMI SHORES FL 33150-1213 Contractor(s) Phone Cell Phone $ 12,000.00 VIZCAYA ESTATES DEVELOPMENT II(786)290-0135 Valuation: -� -� -�------�- Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:KITCHEN RENOVATION Occupancy:Single Family Framing Stories:1 Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms:2 Bathrooms:2 Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Electrical Certificate Date: Additional Info: Review Electrical Bond Retum: Classification:Residential Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building CCF $4.80 Review Building Invoice# RC-11-15-57661 Review Building CCF 0 12/01/2015 Credit Card $706.05 $0.00 Review Building Change of Contractor Fee $775.06.00 g DBPR Fee $3.60 Review Structural DCA Fee $3.60 Invoice# RC-8-15-56784 Review Structural Education Surcharge $1.60 08/20/2015 Credit Card $50.00 $218.00 Review Planning Education Surcharge $2.40 10/07/2015 Credit Card $219.00 $0.00 Review Plumbing Miscellaneous Fee $2.85 Review Plumbing Permit Fee $240.00 Review Plumbing Permit Fee $360.00 Review Mechanical Pian Review Fee(Engineer) $120.00 Pian Review Fee(Engineer) $120.00 Scanning Fee $9.00 Scanning Fee $9.00 Technology Fee $6.40 Technology F $9.60 Total: $975.05 December 01,2015 o :Owner / Applicant / Contractor / Agent Date Buil ing Department Copy December 01,2015 2 iami Shores Village Hding Department N.E.2nd Avenue,Miami Shores,Florida 33138 ` NO 0 4 2015 Tel:(305)795-2204 Fax:(305)756-8972 I INSPECTION LINE PHONE NUMBER:(305)762-49494" :-- - _ _-_ + FBC'20 N �l BUILDING Master Permit No. .n ,- --8-' !� a� I PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP ` I,,'� CONTRACTOR DRAWINGS 163 JOB ADDRESS: N� ` D l� J�reL- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: � '� 10 �r �n Is the Building Historically Designated:Yes NO _ Occupancy Type:I? Load: `Construction Type: 1 Flood Zone: BFE: FIFE(: OWNER:Name(Fee Simple Titleholder): 1-�C_ y��t Ci�� Phone#: � `LJ -e¢ t/ -S71? Address b +O f' i� City: Iwl AM1 S I fr?C State:�R. Zip: 33 15�3 Tenant/Lessee Name: (jlPhone#:� Email: �p�C�IX�S�� OXCL t lan CONTRACTOR:Company Name: � S� Phone#: �o b b"' 0/ 35 IT Address 11�Fql 5� --t`_ G City: C+ State: t'"t..- Zip: 3 31 ` Qualifier Name: ``-'���� �"i. Phone#: �8 0-2 �� State Certification or Registration#: 0-%C0C32.e�73 Certificate of Competency#: DESIGNER:Attr(chitect/Engineer:��G11C1(5�b � •��� � I Phone#: �16 � / —��05 Address: �'1 l � ` City: zwk Stater Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition tera ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Dew •l Specify color of color thru We: d� Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$" DBPR$ Notary$ " Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ Ct7P 1'r C : -12— 99E;' TOTAL FEE NOW DUE$906 (39 (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State a Zip Mortgage Lender's Ni me(if applicable) Mortgage Lender's Address City State Zip r Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection3curs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not b apnd a inspection 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 !!!t day of .20 1 S .by Uf f who is personally known to N i �b M1'P/L .who is personally known to me or who has produced �� (� as me or who has produced d V`P/r t!:c_ as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: a Sign: Sign: Print: I Printo naaz 6�1: Seal: Seal: ANGEL L RIVERA ' `k%•._ ANGEL L RIVERA •= MY COMMISSION#FF110287 '{ • MY COMMISSION#FF110287 *aaa !K a0X47 +APrIi s*9csN* *4B8ek#dek*** a*** +IKtf' ApYeR &#�+ � I a7 iiQ ank **w w •*BaBsc** (aW}398-01ti3 FI0rldnN0te FArvise.c0m �, (aa71 yea o�e3 FIor1d#Nota1V8Grv146,GGm APPROVED BY , `�� Plans Examiner Zoning /I Structural Review Clerk (Revised02/24/2014) 4 mecaWind Std v2 . 2 . 7 . 0 per ASCE 7-10 Developed by MECA Enterprises, Inc. Copyright www.mecaenterprises.com Date : 10/26/2015 Project No. : R0197 Company Name : COCONUTGROVE GLASS & MIRROR Designed By : EDWARD LANDERS Address : 3660 N.W. 41 STREET Description : IMPACT FOLDING DOOR City : MIAMI Customer Name : LEANA VIrLAREAL State : FL. Proj Location : 163 N.W. 101 ST., MIAMI SHORE File Location: C:\Users\dirops\AppData\Roaming\MecaWind\Default.wnd Input Parameters: Envelope Procedure per ASCI: 7-10 Chapter 28 Part 1 Basic Wind Speed(V) 175.00 mph Structural Category II Exposure Category D Natural Frequency m N/A Flexible Structure No Importance Factor 1.00 Kd Directional Factor = 0.85 ., Alpha m 11.50 Zg 700.00 ft At 0.09 Bt 107 Am 0.11 BM 0..80 Cc 0.15 1 m 650.00 ft Epsilon 0.13 Zmin 7.00 ft Pitch of Roof - 1.945946 12 Slope of Roof(Theta) 9.21 Deg h: Mean Roof Ht 10.50 ft Type of Roof - HIPPED RHt: Ridge Ht a 12.00 ft Eht: Rave Height 9.00 ft OH: Roof Overhang at Rave= 1.00 ft Overhead Type = OH w/ soffit Bldg Length Along Ridge a 55.00 ft Bldg Width Across Ridge- 35.00 ft Length of Hipped Ridge - 10.00 ft Roof Slope on Hip End - 7.28. Deg t Pactor Calculations ZOM memo 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 7.00 ft lzm: Cc*(33/Zm)^0.167 m 0.19 Lzm: 1*(Zm/33)-Epsilon m 535.47 ft Q: (1/(1+0.63*((B+Ht)/Lzm)^0.63))^0.5 m 094 Gust2: 0.925*((1+1.7*lzm*3.4*Q)/(1+1.7*3.4*lzm)) 0..90 Gust Factor Summary Not a Flexible Structure use the Lessor of Gustl or Gust2 ffi 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) g •••••• • 2r-- --;•2 ... ...... Roo not +'•� #• •• •••• • • /,�C.� � �' e� S�lUrt�� '•� t � t t • • • J"4 2L5 • • AS Roof _ <--a7 All pressures shown are based upon ASD Design, with a Load Factor of .6 Width of Pressure Coefficient Zone "a" m m 3.50 ft Description. Width Span Area Zone Max Min Max P Min P ft ft ft^2 GCp GCP pef psf ----------------------------------------------------------------------- MARK W 2.00 5.00 10.0 4 0.90 -1.10 44.49 -52.73 MARK 'A' 2.00 5.00 10.0 5 0.90 -1.40 44.49 -65.08 Khcc:Comp. & Clad. Table 6-3 Case 1 - 1.03 Qhcc:.00256*V^2*Khcc*Kht*Kd = 41.19 psf •••••• • •••••• •••• •••• • • •••• •••• ••••• •••••• •••• ••••• •• •• •••• •••••• • •••••• • • • • • • •••••• •••••• 0000 MIAMI- A•IIA1 U DADE COUNTY e DADE PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DR'ISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) .miamldadesov/eeonomv SIW Impact Windows,LLC 975 S.Congress Ave.#102 Delray Beach,Florida 33445 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 falls to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION:Series 118-800"Aluminum Out folding Doors-LM APPROVAL DOCUMENT:Drawing No.W14-18-Rev C,titled"Series 800 Alum Out folding Bi-Fold Door' (L.M.I.)",shots 1 through 15 of 15,dated 04-10-14 and last revised on MAR 260',2015,prepared by Al-Faroocl Corporation,signed and scaled by Javad Ahmad,P.E.,bearing the Miami-Dade-County Product Control Approval.. stamp with the Notice of Acceptance number and approval date by the Miami-Dade Coumty Product Control Section. MISSILE IMPACT RATING:Large and Small Missile Impact :,• ,.:: Llmitatlons: 1.Door is rated for water infiltration with Std bottom trackitem#2, Door is not rated for water infiltration with low profile bottom track item#22&unless overhang complying per FBC is provided or system is used inhere wafter infiltration is not required. 2. Glass lites wider than 36"shall have two setting blocks per FBC requirements. LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo clty,;state aid MMU and.... • following statement: 'Miami-Dade County Product Control Approved",noted herein. '..4 : •• RENEWAL of this NOA shall be considered after a renewal application has been filed and MW'has be"..no change;•• ...Y.. • in the applicable building code negatively affecting the performance of this product. ••••• 4900 *000 TERMINATION of this NOA will occur after the e.Vfi-ation date or if there has been a rvAsi mOr changeskpt*.o •• ••. materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endommVt of anyWftuct,fbf°'° sales,advertising or any other purposes shall automatically terminate this NOA.Failure to ea ply with.dilytction of°•• this NOA shall be cause for termination and removal of NOA. •••••• •• ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Floridg,and i11508 by til • expiration date may be displayed in advertising literature. If any portion of the NOA is dis}�ltq►l;then$-shp+.be dome • in its entirety. .. • INSPECTIONt 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 consists of this page i and evidence page E 1,as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq L Chanda,P.E. NOA No.14-0949.13 YMANto , Expiration Date: April 02,2020 Approval Date: April 02,2015 �g5 Page 1 81W Impact Windows,LLC NOTICE OF ACCEPTANCE:EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No.W14-18 Rev C,titled"Series 800 Altura Out folding Bi-Fold Door(L.M.I.)", sheets 1 through 15 of 15,dated 04-10-14 and last revised on MAR 20h,2015,prepared by Al- Farooq Corporation,signed and sealed by Javad Ahmad,P.E. B. TESTS 1. Test reports on: 1)Air Infiltration Test,per FBC,TAS 202-94 2)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 3)Water Resistance Test, per FBC,TAS 202-94 (See Sill details in sheet 8) 4)Large Missile Impact Test per FBC,TAS 201-94 5)Cyclic Wind Pressure Loading per FBC,TAS 203-94 6)Forced Entry Test,per FBC 24113.2.1,TAS 202-94 Alongwith installation latian diagram of Aluminum Out folding doors, bb.Water Testing Black- Inc.,Test reports#BT-SIW-14-0141 2 ( },{ },(3)0(4)and(5) ,dated March 19,2014,all signed and sealed by Yamil Kuri,P.E. Note:The test reports#BT-SIW 14-014(3),(4)&(5)have leen revised by-an addendum letter dated 11/25/14 issued by Black Water Testing Inc.,signed and sealed,by Yamil Kuri,P.E.and have hardware&additionatExtrusion Dwgs issued by Black water Testing Lab dated JAN 07, 2015. C. "CAI:�TIONS. 1... Anchor'verification calculations complying with FBC�,2014(51h edition),prepared by A1-Farooq' Corporation,dated AUG 21 2014 DEC 17 20I4 and last re ' vtsed on JAN 19,2015,signed and sealed by Javad Ahmad,P.E. 2. Glazing complies w/ASTME-1300-04&-09 D.. QVALITY ASSURANCE ' - 1. Miami Dade Department of Regulatory and Economic Resources(RER). E. MATERIAL CERTIFICATIONS :" ••••;• 1. Notice of Acceptance No. 11-0624.01 issued to E.I.DuPont DeNemours Aqeio.,'nc.fPis&Ar "DuPont Butacite 0 PVB interlayer",expiring on 12/11/16. ••"" ' ...... ...... F. STATEMENTS .... ••f• :0000• 1. Statement letter of conformance to FBC 2014(5tb Edition)and letter of no vaWal intesaett ••'••• ..... prepared by Al Farooq Corporation,dated 08/20/14,signed and sealed by J�v'aEl• hmad;P.E. •••0 • 2. Lab compliance as part of the above referenced test reports. ... ••• • 3. Addendum letter dated 11/25/14,along technical cut sheets of hardware ani exq&ion tie•.• .••••. drawings for test report#BT-SIW-14-014(3),(4)&(5), issued by Black*4er TestinnIls_ ••'• signed and sealed by Yamil Kuri,P.E. .. • G. OTHER 1. Test proposal dated 08/27/13,signed by Jaime D.Gascon,P.E. Yshaq L Chanda,P.E. Product Control Examiner NOA No.14-0909.13 Expiration Dates April 02,2020 E-1 Approval Dates April 02,2015 . Z � g �$ g ti 3/16'TEMP.GLASS d 3/16'HIJR STREW'0 GLASS 3/8"AIR SPAM MO,INIERIAVER 3/19'Hm SHWO GLASS BUTACRE PVB BY'WPONr 3/19'HEAT STREN'D GLASS wr�Pvaev UMW 3/16'HEAT STREN'D GLASS 16 l boN 6!GL.. 1 DOTS 999 81g CART OXX SPACER Z EDGE sr.sum GLUM MAD. ST.AZUER na�An: 7/16'OVERALL IAM.GLASS 1'OVERALL 0wL..IAN.GLAss THESE ARE RATED FOR LARGE d<SMALL MISSILE IMPACT. SHLITTERS ARE HOT REQIARED. SKM Amb� waft LMM MTFOOUMING RX—FOLD DOOR j THIS PAOOLICT HAS BEEN DESIGNED AND TESfEO TO COMPLY WITH THE Q REQUIREMENTS OF THE FLORIDA BLUDIND CODE INCIMOING HIGH VELOCITY By HURRICANE ZONE"HZ). 18Y OR 28Y PADOD BUCKS�V UL f".Y....y,,, •• TO TRANSFER LOADS TO THE • d a ANCHORS SHALL BE AS LtSTED,•SPACED�� • fNlS EMBt BENT TO BASE MATEPo •SMLL•� • • i NOTE. VERtFY CO1pLUiNcE WITH EGRESS UMTrAMS WHERE REQUREO. <a n ANCHORING OR LOADING CONMMIS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL. • AFWAO a' A LOAD DURATION O+CREASE PS USED IN DESIGN OF ANCHORS DR'0 W000 ONLY. MATERIALS INCLUDOiG MX AM • •••• PE • CDAJL COME VITT)CONTACT CO �BL REQtfiREMENrSH E• • • • • 1b 1 OARS WITH .TANDARD i1OMM TIRACK(snY9oay APPROVED FOR•INffALKTWNS WHERE NATER INFILTRATION RESISTANCE IS REQUIRED. droVAng •O DOORS WITH LOW PROFILE BOTTOM TRACK (MV804) NOT APPROVED FOR NATER RESISTANCE. ••• • • • • ••• • • :dam of • ••• • • • ••• • • las s/s•(A )L)CM FRAME VAM a•MAX. I SHL PAHM STIES) ANCHM AT HEAD SME ENDS } { qp/ AT4*R�6Ots. z oo SEE C01ffiffRS -� O.C. A &EE cRT ON sNEEr s tY MAX. s ---- -- �` ---- -- - �` --- ♦� D S R15 .19 N F I 11t1(t�/ I 1 / t / 1 ,/' '/ V N t}♦V 20 97 1 1 21 t t 1 t \ t 1 I 1 1 t I t $� ♦ ♦ i ♦ -i ♦„y i ♦�— i y V7O10 aD T/a - so 1/a• - 1/a• __ "t"2'MAX SI �QQ wmm 1 O L opt Dd OPO. O.L OPO. 1am. �+ .... ':. TwE FSU 40•MAX. 40'MAX. /=-tXXtiXtETEA AN SU COMC. MAY SE USED PANEL IYWITIH PMffL wLD1H AT aFROM EB AT OF 4 SME EM O1e0A p�o0• (w/sm.S uzo (w/STD.SmEs) aro T 2'O C AT s O.C. • _ y•« 0110 ••• • . . . ' ' V14DARD PAM STUM. • • •• • • • • EXTE WR / STD. BOTTOM TRACK' •°a • • • • • • • • • MA)UMUM DESIGN LOAD RATING ®+ 70.0 PSF adtia7 e_ne: •• ••• •• • • • •• TYPIC%►I_ ELF-VA-n Poms TESTED CONFXNlRATHON) <m n (Pat MFAF 97E strolar OR sMUHst) — 70.0 PSF NOY I+affL InO1H=(DOOR ttf�TH—s sffi7/s a1—FOL0 ODOR WITH CUT—SW=LEAFS AS PERMITTED BY FSC FAUARSAINIS PANEL HmBNr-DOOR HatAtiE tuxutT-4.1� sWOM PANEL SMES AND S ANIMRD WTTC M TRACK • Eagrl.pauw D b ; • ••• • • ••• •• SDC PANTS.DOOR CONFlGURATXXr WITH FOLDING AND SING PANELS SHOWN. FLA t' Tb92 DLO waDTH„Ned.PANEL T gt=gp • • • • • DOOR MAY WL11E 9 OR 10 PDMS AS SHOWN ON CWiRPS ON SHEET 8 aA HEIBHf.PANEL i#IWII i•1'N • • i•i i i • i iUSM�'�CON h ,s ••• • • • NOTEa • ' GLASS CAPACITIES ON THIS SHEET ARE drawing no. RASED ON ASTM E1300-09 (3 SEC. GUSTS) 2015 W14-18 AND FLORIDA BUILDS COMMON ••• • • • • ••OEQ ARATWY STATEMENT DCAOS-DEC-219 sheet of 1S • :.o.: • • • • • • • • 000 0 0 0 000 0 • 243 5/e'(MM). DOOR FPAME Tim 4MAX (WIfH SID PArffl MM) ANcIORs AT HFAD sm EROS R,j CLUSf£R OF 6 OR 8 is CORNERS / AT 4.O.C. 1Y WX ' -- / SEE t21ART'ON SHEET 8 HFAD S i oe 1 1 � t 11 \•.• ... t ... g� a 1 it 1 H ! / 1 ' \\ i AM I y 1 1 1 t /• I I 119 z3 s t INTERIOR 301/a• JO 1/a' 30 1/4• 12 MAX. 1 OC EXIERIOR O.L.OPG O.L.Om O.L.OPO. NH2OR T/PE VSILL +� 1 t CONCRm JANCHORS 114'E A 8Ir0 CONC. fNSE tAiRiM� 40'lAAX 40•WIDTH ELMAX ¢'FROM ENDS AT SiLL STU ENDS CLtiSTER OF 4 A mamytyt$"NW* MAY BE USED (W//ssm Smm) (N,/ ,�) NO 12OX, AT Ir o C D& MOW STANDARD PANEL su E.S •• ••• • i�^�i�I •• pts W/ JAW PROM E BOTTOM TRACE • • • • • • • • • •• • • • • ••• • MAXIMUM DESIGN LOAD RATING -+ 70.0 PSF s PANEL +' • • • • ••• : : ••• 7YPtCAL ELEVATION (6 PANELS COHF�mm") AS BY= — 70.0 PS'f <m o HOA. HE wI_ O(GROW tltlalE wO1A�•as2sa}/6KUM RVOWMENTS PArffl t1EWH1'm DOOR t7tA4ff HEtmtl-33rs' m-Fa.D 000te wort our- LFAFS STANDARD,PANEL SIMS AND LOW PROFILE BOTTOM TRACI( s HOT APPROVED FOR WATER • OLD WIN m WiL PANEL �, • • ••• •• SIX PANEL DOOR CONFW1RATON WITH FOLDING AND SMNO PANELS SHOWN. ftA,paft A MO 11E1011T a PMk9.1 1k' � • • • • • MAY HAVE 9 OR 10 PANIMS AS SHOWN ON CKWM ON SHEET 8 C,AL X18 • ••• • • • • LISM THE SME CONFOURATON$SHOW HEREIN. gg •• • • • • • • • • • 8 ••• • • • = CAP&TIES ON THIS SHEET ARE 9 no. BASED ON ASTM E13W-09 3 SEC. GUSTS) W14-18 AND FLORIDA BUILDING COMMISSION ••• • • • • •••DEJLARATWf STATEMENT OCA05—DEC-219 sheet 3 • • • • • • • • • • ••• • • • ••• • • 219 8/8'(IMAX.)FRAME YAM (NITH NARROW PANEL STILES) e MAX ANCHORS AT HEAD SIZE ENDS Z► Il HEAD/SILL •CLUSTER OF 9 OR 8 i CORNER6 / SAT 4"OA wx t� Al ,(/ SEE CHART ON SHEET 8 HFhO I Nil 37 / sl \ 37 1, 11 \\\ 7 51 ad 20 n 4 EXTERIOR INTERIOR 3' 12'MAXI Gj HINGES HINGES N a 0 D.L OPO DLL CPO. D.L.OPO Spy, �$r 16n�TYPE'A It J8'MAX J8'MAX n 44 FR011 ENDS ANCHORS TYPE A INTO CW_ PANEL vim PAHA WIOTtI ANO 12'OC. ENDS (W/NARROWSTILES) (IV NARROW STILES) pyo ta er yl.Y• gig we= •• ••• • • • • • •• BARROW PANEL STILES I�• - • • • • • • • • • TYPICAL HELEVATION OUT-SWING (o PANELS CONF1GURATHOI0 W/ STD. BOTTOM TRACK g 5 • • •• • • • • • ��D0�TSIH�-s9 LEAFS • •• • • • • ••• • NARROW PANEL SB.ES AND STAT ARO BOTTOM TRACK _ MAXIMUM DESIGN LOAD RATING @+ 80.0 PSF a m n • • • • • • • • • OMR IMF WE MW OR WAUM) - 80.0 PSF •• ••• •• • • • •• AS PERWITED BY I= 1TS SOI PANEL DOOR CONFIGI11tA1X)#1 14TH FOL>»NG AND SWMHi PANELS SHOYN. • DOOR MAY HAVE 9 OR 10 PANELS AS SHOWN ON CHARTS ON SHEET 8 b IMG THE STILE CONETO PAMONS SHOWN HEREIN. CNE S Ste= • • 0 RA.PE tan • • • • • • OAK NOM.PANT.WITH=(DOOR PRIME WITH-SS.88�16 • • • • • j9 FANEL HENNT-ODOR FRAME Ht*HT a04.Z • • • •• •• NOTE' ••• • • • • • GLASS CAPACITIES ON THIS SHEET ARE drawhHg m DLO Woo a NOM.PANEL WIDTH-S.000' BASED ON ASTM E1300-09 (3 SEC. GUSTS) DLO HEIGHT PANEL HOW- 10r AND-FLORIDA BUILDING COMMISSION ••• • • • • ••• • s DECLARATORY STATEMENT DCA0. DEC-219 sheat 4 • • • • • • • • • • • •• •• • • • •• •• 418 8/e'(NAX.)W FRAO{—� IL DTH CM WJWW PALL MM) ANS AT HEAD STILE ENS Q HEAD/91LL OLt�TER OF 8 OR 8 �3 COftiR4 /SAT 4"O.C. At / SEE CHART ON SHEEP 8 FAD 7 -----I i` 28 a� aw so- it1 -Ire 0 Daum NAX Nom INTEROR o o O.L OP0. O L OPG O L OPO SEA ZLL AT 4°FROM ENDS ' AN04M TYPE A DTTO COW 38'MAX 38 MAX ANO L7 OC CIi1SfER 4 as aaihe ws PANEL Wq)TH PANEL YADTHom (W/NAS MM) (W/t AT 4'Or - By M) � Mlam! Z •!?j B'_1rKJ'� ExrFteoR NARROW PANEL ST= •• ••• • • • • • •• W/ LOW pgOk'II$ BOTTOM TRACK # m a • • • • • • • • • WPT.nL FLEVAMON (S PANELS CONFUNPATOO MAXIMUM DESIGN LOAD RATING m+ 80.0 PSF • a • •• • • • e ••• • 80-POLO DSR WON OUT-SWM LEAFS <m n • • • • • • • • • 1 PANEL STEE,S ANO LOW PROFAE BOTTOM TRACK (POR EMN OR� ) - 80.0 PSF •• ••• •• • • • e• pEmam SOC PANEL DOOR CONFIt MTWN WITH FOLOINO AND SITING PANELS SIMMr #NOT APPTdDVED FOR WATER RESMZVM b Q DOOR MAY HAVE 9 OR 10 PANELS AS SHOWN ON CHARTS•ON SHEET 8 F.a� US=THE STILE CONPAURATIONS SHOWN HERM •• ••• • • • 3 PANEL SM • • • • • • nA. �aTa NOM.PAN0.gRDTf1 (DOOR 1�� - • • • • • $ PANEL HEXNiT�Dost FRAM • • ••• i• �• NOTE: LZ GLASS CAPACITIES ON THIS SHEET ARE droekig no BASED ON ASTM E1300-os ((3 SEC. GUSTS) W14-18 010 am NxmL PANEL tT�11i` °� AND FLORIDA BUILDING COMMISSION oto HEM a HEKglT_•1�• • • • • 000 • • DECLARATORY STATEMENT DCA05-DEC-219 sheet of 15 • • • • • • • • • • • • •• •• • • • •• •• Awl ale t a� C 2.1i Tw. ,� 1.se5 ease 4.000 os2 saoo laae A76 15 g � INT. GLASS STOP (LAM. CLASS) w t TOP TRACK G •� � PANEL ANNEL BOTTOM(RAC. (NARROW) ) 123 oT� flfP. 2.185 3378 :tt.000 328 . .125-1 25 TA W 2 STD. BOTTOM TRACK R� ®GLASS STOP (INSt)L. IAM. GLASS gg �`_Vo gA 75s 1330 5 PANEL STILE (STD.) >S 882 .887 2A=W F im .050 1.388 ` ZO .127 TVP. p A 3,378 .128 2.000 .544 Pgtcin O �`Gg57 LOW PROFILE BOTTOM TRACK 18 EXTERIOR GLASS STOP W t• 8A PANEL STILE (NARROW) FI •` ` °1�i51e JL Alb Ims 2000 j tYP By v 9ilb .481 3.8W 1./� .075 2.481 Zan A94 $ IV. 1.347 a• •• • • • • •• 7•� ••• tt ••rw�wtsin�gEfii•• .ole 1a CHAIR RAILpr ULU <m tl s FRAME JAMB 1.878 ••• •.• : • • . • :• t.o96p- �' 35M ffi • • ••• •� .521 VSs oea • •• • • • •• •• TMP drowing 1.770 O OUplo 2.000 O e PANEL ALIGNMENT ADAPTER PANEL BOTTOM RAI. (STD.) SILL & JAMB SWAP COVER sheet of t ®,2 Xiz i �)PER L oU �J"12MSX,/2' 112 l r 012 X 11Z PER LEAF p1 8 M PFR tErw , (2)PER tMF O ♦A $12 x i/2' y12 x,/2" INTERMEDIATE HINGE I OL fFH ) 411 W PEER UEF PER LEAF 4)#12 C� a czrt g, l N RMT SET END HANGERS SET INTERMEDIATE HANGERS SET OFFSET HINGE HANDLE SET b aun S • ••• • • .•. .•• FIA.PC"M •.• • • • • • drawing nm 242015 W14-18 sheat 13 of S ••• • • • ••• 9 0 48 FRAME TOP CORNER Nac TIM fall SPP • � ar •• •r• • • • • • •• • •• • • • • ••• • ,/, gMtt' jaS •, • 0:0 • • EXG • "Mot d •90 • ••• • • • ••• • • • • droadng �, ERAME BOTTOM CORNER FRAME BOTTOM CORNER LOW PROFS TRACK STAB TRACK — aFreat 14 of j • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • 4 ��V r x Ix x.ls• Z r awee rune 0 g 3/8,NREaDD RW i ! $� 3ir NUT PANEL TOP CORNER hOCESS HM CCC 2•x 12`x.16; ACS HMacme aar CHAIR RAIL CORNER at>k 3/8 Tf9tFME0 ROD ../�J Ddo P 1� a By 00 f so • •• • • • •ice � • •00 •• • • • • ••• • • •• ••• RAPE "M } M P • ••• • • • 12 x t-ig SMS •• • • • drawing �, PANEL BOTTOM CORNER W14-1$ en•ac s a t • • • • • • • • • • • •• •• • • • •• •• 000 0 • • ••• • • NCHOW VERTICAL SECTION Vrr SAT DOORS MM STANDARD STIIES FOR SPACING ULU tt 3 is I a a 12 O O Rc W.19 _ 4 al W H g .19 r � ���s�3ubdr Uete •/3 =��Q H � tvwd B ••' • tt Is • • is MIRED!L NNt0ENE0 8 <0 0 • • • HOCH STREWFH OR= 00 0s ro a MCC Ps HOa.NOT by SIX MUST 7momm SHEAR Lam TO STRUCRJRE RA. Tz d ••• LOAD�Aw • ... •1• ••i. .*!•7.�. MOM TO ? C>JN�EIE ,`•+ 8 8 • •3-itStlbgN` ••�'°'b: If' :•3 kSa'61!<d. • `.�• .. .r r�•. * :I.. TYPE'A ',+• • EDGE 01ST • EDGE OW. ANCHOR TYPE E IMUSM 'A dfOWi=Ig no. FOR ACIIBi OOMCRETE SUBSTRATE TO BE aft sTn. BOTTOM TRA AS St�Ytt> � o 29 t W14-18 AMft FOR NATER RESSW= LOW TRACT=HOTAUATM IOW PROFlLE BOTTOM TRACK NOT A4PR'D FOR.WATFR 7AMM sheet 8 of 13 • • • • • • • • • • 900 0 . � t+mcnL ANCHORS VERTICAL. SECTION 1.1� a SEE ELeAutomsDOORS SPI'THH NARROW STIES � S EXIERIDR FINt saC IosslCFa Y Z By ons ,a ' 3 4 1 j S wl 0 �z 8 8 8 o H1 ,z Op IN SH asra5 Laar � 26 C� LAU � 4 lY�llamF 8 • • • • •• � B 1 • • • P &HARDENED • • 1 • H{WI SIRENMH swan • • • -ere m am PSI►w,. NM fff SM _ S LOADS TO STM;CRX 1 LOAD sFAItlNO9 i/2' GYri e•• e( %MFM San •••� �;�. ?.• •OIK CbN�%tETE .' UDE 5T.' . . . 11!.•. •ANCI(ORi1tPE A•• �'•• • MR • '� sEE ELEV ANCHOR ME�" 2615 droving ,lo SM• HOTTOM 7R K CONCRETE sC�TCzuE To OE �SPW14-18 APWD Pow WATER REMSIAME RECE�TRACK 'E,STAi.tAT ON t OMl PRl)fiLE BOTTOM TRACK NOT APPR'D FOR.WATER RES!MINCE aha 7 of 18 ••• 0 • 0 ••e 0 0 �RROM v Y Scu�o MEMLi�.,V ,Btr suet s uRE FlDR SPA" (SEE NOTE SHEET 1) °� sa+ y. a Via. ( wo wwo ow-r Z 4 Q FOR IRA= TYPICAL At*= TYPICAL ffix" S ,/PM AMMM e MD at: fom cAPA1STY-m(reHa.9 n/BTA. ) BLVAlm [sm VLEym� M�FIEAM YATi016 � Imm TYPE AM=T4PB • I ANC90R mare'e' mcm Tm*Bi*wfmn It e A a e d CI A a AtR' m s ATF B a m=m TYPICAL. ANNCIIORS: SEE 0".FOR SPACING wmm AT mL AT Nig. AT wL a BIO. a TILL Rim a x19. V=FOU 8181mR w nu ROB B n on 8ID81B�am xt88 8198 sm un Em ems me TYPE 'A'- ,1 f4"DIA. LnTRACOW BY'ELCO_' (110-177 9%1j-158 MQ P4111.WIDBt I13BIa' PANRS W.t+) F%G(+I m(+) W.(+) W.(+) Em t+) mm(4) MHN. L> =TIS - 3-1/4• etulss emltm sUGM Ra: _ W _ WL - W - - W - 24 fo 70.0Tao 700 TaDIRECTLY INTO CONC. OR MASONRYo 700 70A Tao 1-3/4•MIN. DOW INTO CONCRETE (HEAD/SILL) L) 32 sa 26 to 70.0 Tao .0 MO 7a0 70.6 70.0 70.0 Tao Tao 70.0 1-1/4" MIN. EMBED INTO CONC. OR MASONRY(JAMOS) N - 10 • Tao Tao VA 0 38 10 70A Toa 81A seA 63.0 70.0 70.0 THRU ISY BUCKS INTO CONC. OR MASONRY 40 1 10 70.0 70.0 480 62A 570 7Oa Tao 1-3/4" UK EMBED INTO CONCRETE(HEAD) 24 16 Tao 70.0 OLD 70.0 Tao 70.0 70.0 1-1/4" UK EMBED INTO CONC OR MASONRY(JAMBS) a� 28 t0 70A 7U WA 70.0 70A Tao 7a0 32 98 16 70.0 70.0 4" s" 81.0 "A 70.0 • TYPE '8'- ,#14SMSSYdS (ONCE 2 CRS) 38 to 6a0 70.0 43A mA SW 700 7U INTO 20Y MOOD BUCKS OR WOOD STRUCTURES �C 40 to 01.0 Tao 36A 82.0 48.0 WA 70A 1-1/2"MIN. PENETRATION INTO WOOD (HEAD/JAMBS) 24 t6 70.0 70A sa6 "A 70.0 70.0 76A 26 to 70A MA 81A 69.0 sso 70.0 70A `. TYPE 'Bi'-fi14 SMS COMM 2 CRS) 32 108 10 70A 70A 44.0 6" 88.0 70.0 70.0 - INTO WOOD STRUCTURES 3s 10 a" Tao 39.0 53.0 49A s" 70A _ 2"MIN. PENETRATION INTO WOOD (HEAD) O1O 40 1 9 1 118.0 70.0 34.0 47.0 44.0 59A 70.0 24 10 70.0 70.0 57.0 MO 70.0 70.0 70A TYPE 'C'- 1 A!DLA, HILTI KWBC IY SELF OLL 00 28 to Tao i-w, 49A Ou 61.0 70A 70.0 INTO MIAMI-OADE COUNTY APPROVED MULLIONS (MUNI TRK. m 1/4•) 32 112-3/1$ to 07.0 42.0 07.0 03A Tao 70A INTO METAL STRUCTURES (HEAD/JAMBS) 36 to mA 37.0 51.0 47.0 83.0 Tao STEEL: 1/8"THK. MIN. (Fy - 36 KSI MIN.) 4o s sea 330 48.0 42.0 87.0 Tao ALUMINUM : 1/4°THK MIN. (8083-I5 MIN.) (HEAD) =0 ANCHM 100 carAWr-PV(PAMB v/NAMOTI MUSS) (STEEL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED) aedn ,aesme g� Rim TYPE A ' TYPB'8' AxiSOx Ta 0'Bi' mm ' Ply TY E�DISTANCE s!S e ARx08B a ANS a aTa a AItI�Be a A a u9$ass Hate INTO CONCRETE Atm MASONRY - 2-1 2" MIN. yyep Ar xre Arum a 1>m AT xis. Q xm AT Xm /3 / ooa2 PsfAN IeaAsrfl CIF elms ties exlB r�891te tis s9n;,rte sma ema,9�s RITO WOOD STRUCTURE =s 1"MUR. to PM WW HEWff 61�esseo (+ ( a. + a (+ FSG +) ETR +) OT �7u=l INTO METAL STRUCTURE - 3/a" MIN. 6n - ?SS 24 10 -it% ew WOOD AT HEAD OR AM 30-0.66 MIN. <m n 28SLL OR JAME13 f*-3000 PS MR tooft sz • A s0a C-M O�0 MOCK a=Pm 2000 P9 MPL 84 10 10 aw a sea 6" ao 80.0 36 10 OU st.o mo an eu 0" Wood SUCKS AND METAL STRUCTURE NOT BY SIW WINDOWS Oman Awod ' 24 to 80.0 a" 8" 80.6 80.0 80.0 oft 28 to • 6" �• 95.0 MUST SUSTAIN LOADS IMPOSED 8Y GLAZING SYSTEM RA.PE 70M 98 eoo �o AND TRANSFER THEM TO THE BUILDING STRUCTURE 32 to 49A eoo •sao �.o � �gg 36 9 ••Be" 10.0• .0 s.0 t407E: Ri 7i 24 to W0 ea6fto •600 80A FOR DOOR CAPACITY WITH STD. STILES SEE SHEETS 2 &3 25 10 FOR DOOR CAPACITY WITH NARROW b'D M SEE SHEETS 4 8t 6 drowing no. 1 d 100-3/16 CHART AMW to a" 4a0 60A 0" 0A LLOV1ERVALUES FROM CHOR CAPCV� AC R ANCHOR CAPACITY W14-18 9 80.0 42A 63.0 a" 60.0 CHART WILL APPLY TO ENTIRE SYSTEM. shed 8 of S • • • • • • • • • • • •• •• • • • •• •• 000 0 0 0 000 0 0 SEE ARCH= ,e Q 0 0 FOR • a a ,o o a � EXfE�OR J OAX. D.L.O. SY OTHERS apir EXTERIOR ,/g"TV. �� PANEL WIDTH PANEL WIDTH sm DDDR FR"WITH JJN WE.Y STO.STU.ES) FORSEE aW J Z tSMO FOR 6 PANEL CONFIGURATION SEE SHEETS 2 AND 3 PROFMY SDIAIRED F © � ,) gz N 18 _ . EXTERIORFOR iF PANEL WIDTH PANEL WIDTH By o,HEws R TOTAL ArMtoRs SEE¢iEv. �• Fat sTeto ••• • • • • �umto f • • • • • MAX D(WON s FRAME WIDTH stma a OMMMY • ••• •• • • pay SFRUCRit Ef*r 4VAD_AMW�ci • ••• • • •• • • _l FIA.PE 0700 iS rZ • • • 07 g J/41n_ •• • • • Ems•• lA • • • • • droning no. xDOORS WITH STD. STEM ORIZONTAL SECTION W14-18 sheat 9 of 15 • •• •• • • • •• •• SEE FOR tt D ;..: 0 a EXTEM a .i :.:. 3 ' D.Lo. D.L.O. el FOMM er onus moa /e'rm. /�• PANEL WIOTH PANEL WiOTN IA�iO n1mm MIX= MAX.ww FRAME WIDTH sm EM WRH N&%WW STILES MR va�TOPE A R N {3 ONLY 2S p G 1 PRDlayP EMY SEWRED FOR 6 PANEL CONFIGURATION SEE SHEETS 4 AND 5 ¢ F1 (sm 'SDS iw i) s N$ it t 7- z z . t9 EXTSRIOB ago. 5J8• 5/15• "ram PANEL WR)TH PANEL WIDTH FROM BY Ong LOAD BEARING WX DM PRAYS WIDTH SE15d •• ••• • • • • • •• WOH NARROW STELES TM A • • • • • • • • • MY d� WAb CA •• ••• •• • • • •• i Oam 'f7 • mimm tft"iwa Awa b ,o • .•• • • ••• •.• er jla' tbo RA.PE Ei , • • • • • . • • `meg �t $ 06: • • • • . dro•I„s „�, HORIZONTAL SECTION 2013 W14-18 DOORS WITH NARROW STILES > 10 ut 15 or • • • • • • • TO C/ PART If law. Dli>Nw= N641NOAL um./sUPPLUIP/mum 1 smi 1 TOP TRACK 9083-T9 SUPPLIER PER Sw VEC 2 SIRM f SHL som TRACK 6063-T8 SUPPLIER PER SIN SPED. a I 2A SOIIE04 1 WW PIMFBE WTTOM TRACK 6063-T9 SUPPLIER PER SIR SPED 3 Smm 2 FRAiE JAMB 8063-TB SUPPLIER PER SIR SPM 4 SMOG 2/PARFL PAEI.TOP RAE.tSID.)PMM TM&BOR=Ra(NARROR) 8063-79 SUPPLIER PER$IN SPEC- 4A PEC4A SB1814 1 PANEL 801TOM RAI.(sm) 8063-78 SUPPLIER PER NR SPED. 8 S1B06 2/PANEL PANEL.WILE(STCQ 6083-79 SUPPLIER PER SIRE SPEC. BA 314813 2/PANEL PANEL STYE C 6063-Ts SUPPLIER PER 9W SPED. 8 SW07 AS RWIX PANEL.ALM1WW CLIP 6063-78 SUPPURR PER SIR SPED. Q p 7 S W8 As ffm SILL.Atm om SNAP CDYER OD63-76 SUPPLIER PER OR SPEC. S7 8 SwW9 1/PMEL BOTTOM RAO.SNE[P AWPYER 6063-76 SUPPLIER PER SRI SPEC. 9 s9T810 1 I WTWU TRACK LINER POLYPROPYLO E I CURD OMt 62 S M 0 di 10 snail AS RWD. BULB W'STIIpPOiO SOFT PNC CENTRAL PLASTICS,MMMEIER 8736 SHRE A it 02132 AS HES. COMP 0-M SUPPLER PER SM SPEC. 12 sAR16 AS AM C2WR MAX 8083-T9 SUPPLIER PER SIN SSC. 3 14 s9B18 AS REQ. ASnVkCAL ADAPTER 8063-Ts SUPPLIER PER SBF SPED a iS SM12 AS NECK. MOM CLASS STOP(1AM.GLASS) 6083-T8 SUPPLIER PER SBI SPEC. /3A ST$W AS REM WERIOR COASS SLOP(INSU.LAM.SASS) WW-TB SUPPLER PER SAB SPEC. y� 1s Sam AS REM. EKIVWR CLASS STOP 806.7-TB SUPPLIER PER SIN SPEC. L4 17 SINK) AS REQ. IQESOR CLAM GOW(DURMEM 7038) SMOOPRENE CENTRAL PIASTCS 4b' 18 8831 AS RECD. Ex M R OIAZDIG GOW(CURMEM 7pt8) SWMPWM CENTRAL.PLASTICS 19 1104-500" As REfM. WSIRIPPIN8 SIZW-•SKIRT POLYPROPYLENE SCBEOEI. t� 20 a X 3/4" AS RDS. AST MML WRENS PK MCS - AT 9'FROM ENDS B 18"O.C. s 21 is x 1/2` AS REQ. GLASS STOP SCIF'IB SELF DRUM - AT 6"FROM EM&18.O.C. 24 #12 X i-1/2" AS RESM. FRAME AND PANEL.ASSEMBLY sCRERS ST.STEER Ra Sms _t 28 01.0t-8014 As RE<M. THREE POW WCC - BTERWQt,USA 26 OF'Ot-a1 AS REM TWD POINT IAC - OCTERWCC.URA 27 S91m AS RBW. LW M0 PSR IN WM MOK MS - - z 28 - 2/LRE SETTING 0=0 EPOM WROMEIER 85t8 SFMPE A 29 RR3321NO AS RE= f01SFAL W VRPPPKW - U0.IRAFAB 8 N 30 W232MM AS HIM FROM WVRPPOCG - U LTRA£AB. U1 sl OW-6010-SW AS REC. PHOT SEr.SURFACE MOUNT Sr.STEEL. R4TEW.00K IRA N� 82 SIM-OM-8W AS RECM. DO PANDER SET.SURFACE UCKINT ST.STEEL I INTERWCK,IRA.R+TET9mcmaw/ 34 BPoO-6040-8W AS REDO. IRERMECATE WONDER SET,SUM=MOUNT ST.STEEL .URA. S7 WN-W70-80 As RUM. WSEF H HANM SU.SURFACE MMW Sr.STEEL IMER4ACK,URA - bow S9 NOB-6018-BW AS REM. ND PHOT HMSL STEEL 24IERI W(.URA r t u SEALAM ALL JOWM AND FRAME CONNtECIIONS SEALED WITH � fy SMALL JOINT SEALER. LOCKS: ® 3 POINT A7 35-IA..QOM i- 14;SYW (2) 112 X 1/2" IMC{HE • !AND SI9UACT"ATES ��B„,�,T, 4.TSeE"AT im o<m o 8/16" �R-•�os"w1rO ua W"• . ® 2 POINT I=SYSTEM(8F01-8601)BY INFJUM WITH am mwmb � LURA MUD ACD 7941 HANDLE(BF01-6814)AT 36-1/a•FROM cm W TTKxA FAITFJ1EgT0 3 BTAT11 • • ••• •.• FLA.FE If 70488 (2)010 x 3/4i TENS • • . ••pp • • g �T 1LANDLE ACTNAT�S sLw4601]5 EN1WtllIKD �n f0[Od( 1 • 8 A i 1/2"DLA B I.I.114 s Si�T 01ILI etxllkt • 8/16"DIA.TF W MW IM%* • • •• ..• • • • • • drertng no. ® TIOM IN 8%8" HOLES YIP LOMM PINS AT�NYM W FROM 0 (82860-HOG)BY VOND @�S'IN OPMIE PANELS sheet 1 of S Miami Shores Village € ; t 10050 N.E.2nd Avenue NW •„• Miami Shores,FL 33138-0000 mm� Phone: (305)795-2204 \ Expiration: 04104/2016 Project Address Parcel Number Applicant 163 NW 101 Street 1131010230150 LEANA VILLARREAL Miami Shores, FL 33150-1213 Block: Lot: Owner Information Address Phone Cell LEANA VILLARREAL 163 NW 101 Street (786)553-1534 MIAMI SHORES FL 33150-1213 163 NW 101 Street MIAMI SHORES FL 33150-1213 Contractor(s) Phone Cell Phone Valuation: $ 8,000.00 VAS RENOVATIONS INC (786)306-8027 Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:KITCHEN RENOVATION Occupancy:Single Family Framing Stories:1 Exterior. Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms:2 Bathrooms:2 Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Structural Review Mechanical Bond Retum: Classification:Residential Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical CCF $4.80 Review Building DBPR Fee $3.60 Invoice# RC-8-15.56784 Review Building DCA Fee $3.60 08/20/2015 Credit Card $50.00 $219.00 Review Plumbing Education Surcharge $1.60 10/07/2015 Credit Card $219.00 $0.00 Review Plumbing Permit Fee $240.00 Scanning Fee $9.00 Technology Fee $6.40 Total: $269.00 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 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. Futhermore,I authorize the above-nameo contractor to do the work stated. October 07, 2015 Authorized Signature:Owner / Applicant Contractor / Agent Date Building Department Copy October 07,2015 1 IVIld1111 al IUI C, V IIIdKC CaKME Building Department AUG 20 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 �Y INSPECTION UNE PHONE NUMBER.(305)762-4949 FBC 2WV BUILDING Master Permit No., ZZ/ /` PE IT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING ❑MECHANICAL ❑PUBLIC WORKS M CHANGE OF [:]CANCELLATION ❑ SHOP n �( CONTRACTOR DRAWINGS JOB ADDRESS: 1 tel'Lb ' O ID I CC71ty: Miami Shores County: Miami Dade Zip: Foilo/Parcel#: is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Typ`e:� Flood Zone: BFE: FFE:41 �] OWNER:Name(Fee Simple Titleholder): V �C.A � � Phone#: —Y J ` Address: V W I ® Si- City: U1 State: Tenant/Lessee Name: Phone#: Email: ` ��° CONTRACTOR:Company Name: �V �( l i'()C - CONTRACTOR: Address- City: rter• ��:-r-J Zip: �/� Qualifier Name ' 1 C-� Phon : e#: '" J � +� State Certification or Registration#: Ul L Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit$ Square/Unear Footog of Work: Type of Work: ❑ Add-tiAltera neMqU w Repair/Replace ❑ Demolition ei Description of Work: Specify color of color thru tile: Submittal Fee$ Qom_Permit Fee$ G-L4 0 '30 CCF$ CO/CC$_ Scanning Fee$ Radon Fee$ DSPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ R, TOTAL FEE NOW DUE 5 0(� BondinCompany's Name(if applicable) Bonding Company's Address City State Zip Mortgage lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction In this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the Issuance of a building permit with an estimated value exceeding$25W, the applicant must promise In good faith that a copy of the notice of commencement and construction 11 low brochure will be deliver to the person whose property is subject to attachment: Also,a certified copy of the recorded notice f mmencement must be po d at the job site for the first inspection ccurs seven (7) days after the building permit Is iss a Int absen of suc —s tied notice, the Inspection will not be pprove d nd a reinspection ee will be charged. Signature OWNER or AGENTNTRACT The foregoing instrument was acknowledged beforpnje this The foregoing instrument was acknowledged before me this EYE day of /J U20 ,by Q�� day of #�-2S4 ,20 _,by A dA VILLA G' who is personally known to e^� .Se:W-M ,who h rods personally known to me or who has produced `�' �—l ' as me or who has produced T //C as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: � lets Seal: PT stat7111111111 Seal: fid° aqt �z7Sg ZANC0 +1 • Ex C 0� t�X018 M,O�IMEwe APPROVED BY Plans Examiner Zoning Structural Review Clerk r „ - s r� .., .....;_ ,.„ :., c� ,:: ., vs .,;:: ,y�.. ., ,,. �' �� 's,- .<t �- •z � �5� tt r;x,- ,u„° �P"' �. �,� ^"��z- � ;�__ �i ';.4 u`• s ,�a, sk.'?kms:; "s, 3•„ `^ •;-� e a..a �n ZZs - �r w 3,Y�* �:: sm ��: �,,�.:I, h,.. w;M� ,�,.;'�'��;�. ,z' �.,� ��Y��•� '� ���' "�, � ~ fes,. =s;s��•.. y„� s _� �'� ��_ � tty�' _�i t�. � '-,w �".�' �-,s'fr'<� v:c���,.•-E' k--, �� �. y r ' cX��z`� ���'S�4sk��.,,- � ✓ r.- r r. n v BZ3 From: Kenia Torres <keniavasrenovations@gmail.com> Sent: Thursday,August 20,2015 9:33 AM To: BZ3 Subject: Vas Renovations inc Vas Renovations inc 750 NW 25 Ave Miami, FI 33125 Cgc1512905 7863069027 August 20th 2015 State of Florida County of Miami dade Before me this day personally appeared Kenia Sorto That he or she will be the only person working on the project located at 163 NW 101 St miami shores,do 33138 Sent from my Whone ` Kf nSer Notarya=Flici State t Florida + � Joanna M Feano My Commission FF 082753 ap Expires 01/12/2018 1 ones Ems. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 Notice to Owner— Workers' Compensation Insurance Exem tion Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor l!'NAPIR ng a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part- ' e empl ees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only p on allowed o work on your project.In these circumstances,Miami Shores Village does not require verification of V co pensation i nce cove from the contractor's company for day labor,part-time employees or subcontractors. BY SI G BEL OU WLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENT a Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 6—day of c✓l 5- 20_,Lr ' ByL P,►j�y,- _Vt, 1 I S. irr-e, I who is personally known to me or has produced --u- 04— as identification. �R t+r� Notary: ,per"may. ,ona M FFeW800 a • • My Comrtta>1w FF 082753 , SEAL: F p"sovt2r2018