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WS-13-2300 ~ • i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-201712 Permit Number: WS-10-13-2300 Inspection Date: October 28,2013 Permit Type: Windows/Shutters Inspector: Rodriguez,Jorge Inspection Type: Final Owner: SHAHNAZ PARVIN, MUHAMMAD Work Classification: Garage Door UAIkII u I r%unwnUI Inv Job Address:87 NW 100 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010180380 Project: <NONE> Contractor: HOME OWNER Building Department Comments REPLACING EXISTING GARAGE DOOR Infracdo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-200868. Fasteners on 2x6 not per NOA Failed El Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 October 25,2013 Page 1 of 1 Miami Shores Village FBY: ) YVE Building Department9 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit NoWS 13 -,;,3a() PERMIT APPLICATION Master Permit No. K C-Lk -1 l-- Permit Type: BUILDING ROOFING JOB ADDRESS: <?;� f343 �Oo S�6-ee City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): ►r 1 O11 L 1 Yl U I C XQ WC[ CQ r W Phone#: Address: N tO E o S t ree4 City: fA "a M1 5)1%n V Xe S State: 1=L— Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ ®0 Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑New epair/Replace ❑Demolition Description of Work: a 1)0-0-" Color thru d1e: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City State zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap ov d and a, einspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Q ( �day of ,20_,by day of TT—,2013,by ,h W , who is personally known to me or who has produced who is personally known to me or who has produced !a 3 7 DV — As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign' Print: Print: My Commission Expires: My Commission Expires: �� Ex er Zona APPROVED BY PlansExaminer g Structural Review Clerk (Revised 5/2/2012)(Revised 3/122012)XRevised 06/10/2009XRevised 3/15/09XRevised 7/10/2007) Miami Shores VDlage BuNN Department 90050 N.E.2nd.Avenue Miami Sholds, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 OWNER BUILDER DISCLQ RE STA„-EINENT NAME: /)?&A-)UL CffOw01-1Uf--Y DATE: ADMSS: g - A) 0 5° r'ee Do hereby petitlorithe Village of Miami Shores to a$ own mor pursuant W kite of the State of Florida,RS 489.103(7). A�1 have read and under Qod the ra e me to w *as my own oonbador;I further understand that I as the owner must appear in person to&npleti al applicatns. State Law requires construction tion to be done by a licensed contractor.You have applied for a permit under an exca Von to the law.The exemption allows you,as the owner of you property,to ad as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or Improve a oa4antly ortwo-famly residence.You may also butid or brprove a conwerclal buldhng ata.cost of$25,WO.00 or less(Thenew form states-75,000).The bulkiingimustbe for yourown use and oc cupar*It may trot I*bWft for sale orleaser if yowsell orr ice a burg yon'have built yotmW wtthlm )tar after the construction tion 101CO M411 ivwllpNAmie tharyrnu Kilt for bib of IWO,which WA violatich bf thifikb plionn.You may not hire an unlicensed person as a contractor.It Is your responsibility tck make sure the people employed by you have loeness required by state law and by county Or rrarrnicipal licensing ordinaaas.Any perm working on your building who Is not licensed must work under your supervision and must be ou,which means that You must deduct FICA and with-holdinp tax and provide wokere comperaaElon for that'erlip yee,all pies lbed bylaw.Your t�bucfion must comply with all aPPlltfe Id".-ordinances, buldirngs codes and zoning rt gli ns. Please read and initial each paragraph. 1. i cundesWnd that state law requires o buction to be done.bbyya lied contractor oral luny-apptted fo an owner-builder permit under an exempon from the law.The exon*n specs that I,as the owner of the property fid,may act as my own contractor with certain restdons even though I do not have a license. Ind /1111 2. t ural rad that bu li ft par*are not required to be sped by s property owner unless he or she le resporaible for the and n.t loving a licensed ter to asscarne lni� I')2C & I ceate BWW that,as an wm. buffer,t am the r pant►of record on a permit.I undendand do I may prow nnyaelf f m pwrtsa ftnW risk by hitt a licensed oonbecor and Wit the permit tied In his o r her n wne Instead of my own name.I also understand that the Is requ�by IOW to be licensed In Floft and to IM his or bores numbers on pemdth 8tnd contra. irdgal�t, 4. 1 urndesthnd that I may bnrld or kPove-a one fainly or bwo-farnly residence or a than a*4ft1 may iso build of kpm a commercial btu I the costs do not exceed$15,000.The btu or residence must be for mgr use or occupancy.It may not be built or substantially Improved for sale or fie.If a bcdldtrng or residence that I have bulk or substantially imbed rtrysalr Is soli or WOW widin 1 year am the construction Is complete,the law will presurne that I butt or subsW" hr p oved Itfor sale or IWe,wtkh vbJates the ownptlen. InIM I?C 5. t uriderstard that,as 5a ownerAdW,I must protide direct onsite supervision of the constraeft ItnlleL � 8. I ushers d that I may not hire an unlicensed person th ad as my contractor orto super►iee pons worleng on my binding or reeklece.it Is my responsibility to ensure that the persons whom I employ tune the loanse required by low ar d by ooumty or municipal . Initial n'LE 7. 1 urxlastarrd ttsit it is frequent Vadose of undcersed persons to have the properly owner Main an owner=buNderthat errott illy i that the properly orwrer is pmvk tri his or her aim labor and maw.1,86 an owner-ter rrL ';tib • flable and subjected to serious*mum risk for any hguries sustained by an unlicensed person or her of wakir> 'on my property.My honeowrWs Insurance may not provide coverage for those Injuries.l am wdxudy as an owner4iullder and am aware of the"of my Insurance coverage for*rise to workers on my properly. InMal 8. 1 understand that I may not delegate the responsibility forsupervising work to be a doersed contractor wfo knot licenses to perform the work b dote.Anrya 4 On� N MM* must work under my direct supervision and must be weed by me,whlf h fhwt 1 triust WM*wig lalas-�L ft the wHfito ft of federal Income tax and soul seamy conirlbutions under tte Federal Insurance CorMbutlora Act(FICA)and must provide workers romperrafon for the employee.I understand tlet my failure to follow these may subset to sates financial ML 9. 1 agree that,as the pally legally and bard*resporsttse for this p q=W Construction a*Ay,i will abide by ad q*Icable lows acrd miner t t 4t"govem bud as wed a etrrptoyers.I also wWermtofW ttaitlw Construct tr mist comply with all applkeble laws,ordinatulos,lot cxxias, `'and mrdng regu ns. Initial- 10. nidm 10. 1 understand that I may obta<nnom khmrailon regarding my0gaffors as an orr0wer from the Internal llmnue Service,the Urbd States Snarl Business AdmInlstraticn,orad!tie F Deparbrerrt of Revenues.18160 urrderstarrdttat I nray C0ntBct the Florlda C=hdon IN kstry Lb Mit Board at 850487.1895 or IrItlal.. 1)IC- 11. 1 on aware of,and consent to;an owner-bAW buldtng permit Wiled for In my We and undoratands that 1 am the party 1ega9y aim lk"delly responsible for 4e proposed construction attiity at tie faro"Ww. WOOL 1Z. I agree to no*Miami Shores WUage immadiateiy of any additlans,deietions,or larges to any of Ae hdorrnadon that I hams provided on this dhdosure httiaL Uoases ins are reguiaied by iaws designsd to protect the public.hf you conlrect with a person who does not have a dcens%the Constr4ucl on Industry Licensing Bard and Dep utmert of Business and Professional Reguldon may be unable to asst you with any ftmcd loss itwt you s*Wh as a result of aMactor may be In dull cwA it is et dr rt for you to understand that,d an unlicensed contractiot oremployeecrani dmfniduai ortiro is irk why worktop cinyour properly,you may be held liable for dames.If you obtain an owner4 llder pem k and wIsh to hie a darned contractor,you will be responsible for vaiflrirg ivWwthe contractor is properly licensed and the status of the oonftWs workers comps radon coverage Before a kildirig pod can be issued,this dkolosure sit must be wm*W and sit by,the properly owner and MI m ed to the locsd pe mKdtip garcy r for Wi ft the permit.A c M of the p a*V owrrw's d6er license,the rok&W sipiatuie of too prpedy cam,or ottwrtype of verif don acceptable to the local Permitting agency is required when tie permit Is Issued. 1 Was edmowWged before me this _day of B ane h.Ci( 1�11� who was personally known to me or who has Produced there U nse or Fl 41C 3 r15,573-76d6as identification. OWNER NOTARY .. .. . . . .. .. . w5 13 . . . . . . . . . . MOM . ... . RF EIVED . . . . . ... . . . . ... • 0#0 OCT 0 9 2013 . . . • cli . . . . . ... 0 0 By; SCOTT WEAN KLE ARCHITECT ob GARAGE F.E. , a NEW GARAGE DOORS. MUST BE DESIGNED TO MEET SOUTH ELEVATION CODE AND WIND PRESSURE OFS0UTH+54 AND-62A BUILDING � �_ #: Miami Shores Village DATE. 9-26-13 APPROVED BY DATE w ZONING DEPT BLDG DEPT SUBJECT 1-0 CChIP11ANCE WITH ALL FEDERAL STATE ANS CC��N-�r�U�S AMD REGULATIONS iMIAMI-DADS IAMCOUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY 11905 SW 26 Street,Room 208 AFFAIRS(PERA) Munni,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 -NOTICE OF ACCEPTANCE OA Clopay lading Products Company OCT 0 9 2013 SW Duke Boulevard Ivies,OH 40 0 By. SCOPE: This NOA is being issued uta the applicable rules and regulations governing the use of construction materials.The documentation submitted bas been reviewed and accepted by Miami Dace County PERA- Product Control Sion to be used in Miami Dade County and other area where allowed by&. Atrthority...... Having Jurisdiction(AHJ). • This NOA shall not be valid after the expiration date stated below.The '�� + ..:. Section(In Miami Dade County)and/or the AHJ(in areas other than Mi i • ) the right...: to have this product or material tested for Quality assurance puuposm or fails fo perform in the accepted manner,the manufacturer will incur the e g an 'AHJmay:••• immediately revoke,modify,or suspend the use of such product or mari wi Jnr PERS„.... reserves the right to revoke this acceptance, if it is determined by M' e e Control . Section that this product or material fails to meet die requiramentg of the . ...... This product is approved as described herein,and has been designed tojrccCtng ;....; Code,including the High Velocity Hurricane Zone • DESCRIPTION:Steel Sectional Garage Door up to 9'-0"Wide •• •• APPROVAL DOCUMENT:Drawing No. 10;3207,titled"Pan Door 9'W",Sheet l of 1,dated 03103!2045, with revision 04 dated 01/2412,prepared by Clopay Building Products Company,signed and sealed by Scott Hamilton,P.E.,bearing the Miami-Dade County Product Control revision Ramp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Section. MISSILE DWACT RATING:Large and Small Mlssfte IupaCt Resistant LABMMG:A permanent label with the maw's name or logo,manufacauring address,model number,the positive and negative design pressure rating,indictee impact rated if applicable,installation instruction drawing reference number,approval number(NOA),the applicable tag 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. TIMNIENATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,andlor manufacture of the product or process.Misuse of this NOA as an endorsement of any product for saw advertising or any other purposes shall autormaticadly terminate this NOA.Failure.to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTlfMMIENT:Thin NOA number pry by the words Miami-Dade Cir,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 bion at the job site at the request of the Building Official. This NOA revises NOA 010-0 .87 and consists of this page p and evidence page E-1,as well as approval document mentioned above. The submitted documentation was reviewed by Cartes M.Ute,P.E. NOA No 12-0125.19 Expiration Date: Septeaber 0,2015 Approval Date: AprH 5,2012 d� Page 1 Clopay BuRding Prod-ads Cone NOTICE OF ACCEPTANCE: EVIDENCE SUB)VIITTED A. DRAWINGS 1. Drawing No. 103287,titled"Pan Door 9'W",Sheet 1 of 1,dated 03/03/2005,with last revision 04 dated 01/2012,prepared by Clopay Building Products Company,signed and waled by Scott Hamilton,P.E. B. TESTS "Submitted under NOA #05-0316.01" • 1. Test re on 1 Uniform Static Air Pressure T Loading • ports ) est, g�r$$�TAS 202-94 •• 2)Large Missile Impact Test per FBC,TAS 20M. •....' ....:. 3)Cyclic Wind Pressure Loading per FBC,TAS? 94 4)Forced Entry Test,per FBC 24113.2.1,TAS X42-P4 ••••. • 5)Tensile Test per ASTM E8 •••• •••• •• ••• Along with marked-up drawings and installation diagram of SpecnNens A,•M.C'and D..... Clopay Model 94,9'x 8' 24 gauge garage doors,prepared by Ammiaan Test Jab,Inc., % Test Report No.ATLNC 0827.01-04,dated 10/22/2004,signet acid pealed j*;. William F. Wescott,P.E. C. CALCULATIONS "SubmWed under NOA #03-0316.01" 1. Fastener Attachment Calculations prepared by Mark Westerfield,P.E., Sheets 1 &2, dated 03/03/2005,signed and sealed by Mark Westerfield,P.E. D. QUALITY ASSURANCE 1. Miami-Dade Department of Permitting,Environment,and Regulatory Affairs(PERA) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS 1. Statement letter of code conformance to 2007 and 2010 FBC,dated 01/19/2012, signed and scaled by Scott Hamilton,P.E. "Submiited under NOA #10-0908.07" 2. Statement letter of no financial interest issued by Clopay Building Products Company, dated 08/25/2010,signed and sealed by Scott Hamilton,P.E. **f-12212012- Carlos K Utrera,P.E. Product Coatrol Examiner NOA No 12-9125419 Explratloo Date: September IS,2015 Approval Date:April 5,2012 E-1 ,� .. ., , , . oar--© �- a, .. ,. � • • :. ';,..:._. :�����:�..��.: �,:..' �r �r ■r i1 rLJr >+r.:u MIM!Iii-1IIII--11-11 0111 a♦�������������������E ®_ �.. ic�i i►.�i�i i�syii:���e��I ._ ,� - -. -.. :.��a-. `�}� _.__.11': X1}11►• _ -�[[ �a� � .� �..1..�s...�,�■ v {� ]�I_II��I-I�I_II,II-IIS�. ��.�;*i 4-i�� LTL::�II J.�I�:1[`JR uf:J■ ./.t` 'll-lll�i-l�'ll_ll'llll-ll�'. .[..,� I�IFr��r'��� �• r.���2 I� ,1�.' JR�Y.Jft J/..u•i� _, --xf; , ; :1�■�Ilih�■■illllli■�Illliii■( v , 4 it Js7" i�K i•::it .i�flt . LM . G� �.4 •':- X f;��it , ��� , , J xt Ii i :� rU y F l�.r t .f VC�I;Si<L`CSI 1 ■ [ - f 171 ff 'l ;•I f �®C® - lua.l '[ }F t'CSi'7ILi ■ ■ ■1 , t l / ITi 7 7 "1•�:5�! ...... l �: { 1 [ !-t7.f=`.(f❑ i )7 � , /[ ■)I�I r• i. a l%i�I rli:ilk{Yl '� ,,�y f,.�"... . -� • 1_�® / R .tf7>�';Y:';SV L 1..� 1 f._: 1"I7 J',�•I .f �:fll�- �• r, �} . y .!,. + 'I' ,I.r,l LiiLiwA:vlfil4�il'1'15# {