WS-16-1608 low
.,•� ���� Miami Shores Village
10050 N.E.2nd Avenue NE p
Wo
Miami Shores,FL 33138-0000
Phone: (305)795-2204 �� ,
x may.,
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xpir
E ation• 1211212016
Project Address Parcel Number Applicant
1481 NE 104 Street 1122320320090
Miami Shores, FL 33138-2663 Block: Lot: JAMES&MAR BREEN
Owner Information Address Phone Cell
JAMES&MAR BREEN 1481 NE 104 Street (786)617-3500
MIAMI SHORES FL 33138-
1481 NE 104 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
HOME OWNER Valuation: $ 1,000.00
_..... Total Sq Feet: 00
Type of Work:REPLACING GARAGE DOOR 7'X16' Available Inspections:
No of Openings: 1 Inspection Type:
Additional Info:
Final
Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# WS-6-16-60135
$2.00 06/15/2016 Credit Card $74.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 06/09/2016 Credit Card $50.00 $0.00
Permit Fee $110.00
Scanning Fee $9.00
Technology Fee $0.60
Total: $124.60
In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: ify tha 11 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. uthe e,I authorize the above-named contractor to do the work stated.
June 15, 2016
Authori ignature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 15,2016 1
Miami Shores Village
JUN 0 92016
Building
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ---
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20/1/
BUILDING Master Permit No.01.2 /6 16,0,F
PERMIT APPLICATION Sub Permit No.
ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
�y
Q
JOB ADDRESS: 1]q�` WE l® q _5j:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BF�E: ! FFE:
OWNER:Name(Fee Simple Titleholder): e.J'CL 0 -CS �.-K-A Phone#: /ZS� b 12 3��d
Address: l L1 6 f 0E (6 Y 9 f
City: P-A1 cater` State: Zip: (3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:,Company Name: Phone#:
Address:
City: State Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Vale of Work for_this Permit--$— �° � ^ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: L7':3�1/`�gc-� 1000'r �e
Specify color of color thru tile: ��((
Submittal Fee$ cz, Permit Fee$ CCF$ 0 CO/CC$ V�
Scanning Fee 01 W Radon Fee$ DBPR$ 2-• 00 Notary$
Technology Fee$ DO Training/Education Fee$ 0 ' 2® Double Fee$ 0
Structural Reviews$ 0 Bond$ Jr
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 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 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 roved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foreg • g instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
q day of ,20 by day of ,20 by
✓adL'1'r5 ,who is personally known to who is personally known to
me or who has produced F141, &.S'D `q,6-3 51"-13:js� me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign• � � Sign:
Pry —�` Print:
t'••• ,c* W MISSION9EE854853
• Seal:
EXPIRES:March 28,2017
F n di
eoe Bonded Thin Budget Notary SerMs
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
pM Building Department
onn10050 N.E.2nd Avenue
JR Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: A Vh t°5 6+e`er'''\ DATE:—b"71 70( 6
ADDRESS: pvu A)c IC) y !&
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).And I have
read and understood the following disclosure statement,which entitles me to work as my own contractor;i further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption
allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the
construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a
cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or
lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built
for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on
your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and
with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all
applicable laws,ordinances,buildings codes and zoning regulations.
Please read and Initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an
exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain
restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility. 1 /
Initial �./y
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.l understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name.I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and con racts.
Initial
j 47
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial
building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale or lease,which violates the exemption.
Initial—A-- [
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial )
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by law and by C my or municipal ordinance.
Initial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously
implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial_
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow
these may subject to serious financial risk.
Initial_
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and
requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
Initial _
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or htto://www.mvfloridalicense.com/dbpr/oro/cilb/index.html
Initial
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Initial�l
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on
this disclosure.
Initial_
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or
employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder
permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property
owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this day of J""-� , 20
By 1p'vx�3 t"'r' who was personally known to me or who has
Produced th re License or i�L�.,iz2 as iden
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STRUCTURAL SOLUTIONS,P.A.* Project No.: 16-002
5921-G West Friendly Avenue Date: 6/2/2016
Greensboro, North Carolina 27410
NC Firm #C-1096
Garage Door Windload Design Pressures
The following Design Pressures have been calculated in accordance with ASCE 7-10 Chapter 30 Part 1
for Components&Cladding, based upon the design parameters listed below, using the Load Combinations
: .00. in Section 2.4.1. For use with Florida Building Code 5th Edition (2014).
:••Bjilding*Add�ess: 1481 NE 104 St
• ' ' Miami Shores FL 33016
...... .... .. ..
•� """ Garage Door Width: 16 ft
..... .... ....
• Garage Door Height: 7 ft
. . .... ....
��•��� Basic Wind Speed: 175 mph
• •• 000000 Exposure: D
...... .... . .
Mean Roof Height: 20 ft
•....• Least Overall Horizontal Dimension of Building: 52 ft
Distance from left building corner to edge of garage door opening: 15 ft
Distance from right building corner to edge of garage door opening: 2 ft
Roof Slope: any slope
Positive Design Pressure = 43.1 psf
Negative Design Pressure = -48.4 psf
Design Assumptions:
The building is considered Enclosed as defined in ASCE 7-10
The Topographic Factor for the building is 1.
The building and garage door measurements shown above were provided to Structural Solutions, P.A. by
others. These calculations do not address the structural adequacy of the jambs or other supporting structure.
These calculations merely determine the Design Wind Pressures for the given garage door size and building
geometry. Evaluating the structural adequacy of the jambs or other supporting structure is not the
responsibility of Structural Solutions, P.A.
This document is only to be used in conjunction with Amarr Garage Doors
f �
�r rrar• ..•} s
o.485i9
r
• •
STA TE K3 ;
STRUCTURAL SOLUTIONS, P.A.* (*dba Structural Solutions of North Carolina,Inc., FL Firm #29412)
Thomas L. Shelmerdine, PE (Florida PE #0048579)
O
M IM I®uADE MIAMI DADE COUNTY
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)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miam dade.zoy/economy
Amarr Garage Doors
. it sUrriage6Cow
Winston-Salelu,NC 27105
6666..
••'••• ►SCOPE:! •
This NOA is bdAJ 1's18ed under the applicable rules and regulations governing the use of construction materials.The
6666.. 6666 .
•• doeu�mentation au�bmNed has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be
• use$m Miami$;d.��ounty and other areas where allowed by the Authority Having Jurisdiction(AHJ).
Tlti�'j (�A shall ba-valid after the expiration date stated below.The Miami-Dade County Product Control Section(In
•••••• Miaq i Dade CgWUI pd/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or
6 6 mOteripl tested fgC Uplity assurance purposes. If this product or material fails to perform in the accepted manner, the
mfl>;tifp iter will igqut•the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of
690.0 . suck4product ofulliterlal within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined
by MkA-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:Model 950 Heritage&655 Oak Summit 1000,2000 Steel Sectional Garage Door up to
16'-0"Wide(DP+45.8,49.3 PSI)
APPROVAL DOCUMENT:Drawing No.IRC-9516-169-26,titled"Model 950 Heritage&Model 655 Oak
Summit,(24 GA) 1000,2000,Short,Long,Flush and Oak Summit Panels",sheets lthrough 3 of 3,dated
03/14/2003,with revision C dated 02/04/2013,prepared by Amarr Garage Doors,signed and sealed by
Tomas L. Shelmerdine,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,3800 Greenway Circle,Lawrence,
Kansas,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#13-0503.08 and consists of this page 1 and evidence page E-1,as well as approval
document mentioned above.
The submitted documentation was reviewed by Carlos M.Utrera,P.E.
DE COtJrCTY NOA No 15-0505.13
MIAM4DA
Expiration Date:September 4,2018
Approval Date:July 16,2015
Page 1
Amarr Garaize Doors
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
A. DRAWINGS "Submitted under NDA#13-0303.08"
1. Drawing No.IRC-9316-169 26,titled"Model 950 Heritage&Model 655 Oak Summit, (24
• GA) 1000, 2000, Short,Long,Flush and Oak Summit Panels",sheets lthrough 3 of 3, dated
• ••; •• •03114/2003,with revision C dated 02/04/2013,prepared by Amarr Garage Doors,signed and
'Aaldcl by Thomas L. Shelmerdine,P.E.
...... . . .
• B. TES'16 liS ibmUted under NOA #13-0503.08"
T441-eport on Evaluation of Painted or Coated Specimens Subjected to Corrosive
• Vnvironments per ASTM D1654&ASTM B117,prepared by Architectural Testing,Inc.,Test
••••; •;;;;• •Aeaort No.C5463.01-106-18,dated 04/03/2013,signed and sealed by Gary T.Hartman,P.E.
2. . Wxeports 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)Tensile Test per ASTM E8
•°••• 5)Forced Entry Resistance Test per FBC,TAS 202-94
along with marked-up drawings and installation diagram of 9'x 7' 24 ga steel garage door
Model 950,prepared by American Test Lab,Inc.,Test Report No.ATLNC 0205.01-13R,
dated 04/02/2013 and 06/13/2013,signed and sealed by David W.Johnson,P.E.
3. 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
along with marked-up drawings and installation diagram of 9'x 7' 24 ga Model 950D Heritage
with Durasafe,24 ga Sectional Steel Garage Door,prepared by American Test Lab,Inc.,Test
Report No.ATL 0311.01-03R,dated 06/22/2006,signed and sealed by David W.Johnson,
P.E. "Submitted under NOA#08-0718.03"
C. CALCULATIONS "Submitted under NOA#13-0503.08"
1. Anchor calculations prepared by Structural Solutions,P.A.,dated 04/11/2013,signed and
sealed by Thomas L.Shelmerdine,P.E.
2. Anchor calculations prepared by Structural Solutions,P.A., dated 02/09/2012,signed and
sealed by Thomas L. Shelmerdine,P.E. "Submitted under NOA#08-07X8.03"
D. QUALITY ASSURANCE
1. Miami-Dade Department of Regulatory and Economic Resources(RER)
E. MATERIAL.CERTIFICATIONS
1. None.
F. STATEMENTS
1. Statement letter of code conformance to the 5s'edition(2014)FBC and no financial interest
issued by Structural Solutions,PA.,dated 04/08/2015,signed and sealedWO-7
Shelmerdine,P.E.
1, 1s
arlos M.Utrera,P.E.
Product Control Examiner
NOA No 15-0505.13
Expiration Date: September 4,2018
Approval Date:July 16,2015
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SPE'(I(�7CATIONS AND NOTES • • • • • • •• • • •
• • • • • • • • • •
1.ALL THE LOAD FROM THE DDDR IS TRANSFERRED TO THE VERTICAL TRACK. • • • •• ••• •
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4.DOOR SECTIONS SHALL BE 24 OA. 0218 MIN.EIMMOR SON • • • • a • • • •
ROLLED FORMED.W/BAKED ON POLYESTER FINISH INTERIOR OF 0904E • • • - • • ••• ••
8.DOORS UPITO-10-HM 4)SEC7M AS$HOWL
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OF ALL COILS USED TO FABRICATE DOOR PANELS UNDER THIS
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