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WS-16-1921 (2) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: I NSP-262967 Permit Number: WS-7-16-1921 Scheduled Inspection Date:July 29,2016 Permit Type: Windows/Shutters Inspector: Mesa, Michel Inspection Type: Final Owner: MESSANA,STEPHANIE Work Classification: Garage Door Job Address:149 NE 107 Street Miami Shores,FL 33161-7031 Phone Number Parcel Number 1121360070290 Project: <NONE> Contractor. GARAGE DOOR ETC COMPANY Phone:(786)326-7574 Building Department Comments 8X7'6"GARAGE DOOR REPLACE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed C Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid Z July 28,2016 For Inspections please call: (305)762-4949 Page 14 of 42 Miami Shores Village ' etmrf�",ype ��R1N Ih y 10050 N.E.2nd Avenue NE IT .90 KWO G1aSai '6-bfiolt � Q�Jr M Miami Shores,FL 33138-0000 , ermVO Phone: (305)795 2204 Expiration: 01109/2017 Project Address Parcel Number Applicant 149 NE 107 Street 1121360070290 Miami Shores, FL 33161-7031 Block: Lot: STEPHANIE MESSANA Owner Information Address Phone Cell STEPHANIE MESSANA 149 NE 107 ST MIAMI FL 33161-7031 Contractor(s) Phone Cell Phone Valuation: $ 2,150.00 GARAGE DOOR ETC COMPANY (786)326-7574 Total Sq Feet: 00 Type of Work:8X7'6"GARAGE DOOR REPLACE 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 $1.80 DBPR Fee Invoice# WS-7-1&60549 $2.00 07/12/2016 Credit Card $ 127.80 $0.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $110.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $127.80 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 911 work done by either myself, my agent, servants, or employes. I I understand that separate permits are required f RICAL,PLUM ING,MEC ICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work, O ERS AFFID information is accurate and that all work will be done in compliance with all applicable laws regulating c stru and ning. Fut r ori a above-named contractor to do the work stated. July 12, 2016 Ab rized Signat r / Applicant / Contractor / Agent Date Building D artment Copy July 12,2016 1 Miami Shores Village ;! JU' l 2 2016 Building Department joo—zk2 10050 N.E.2nd Avenue,Miami Shores,Florida 3313 .JI Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20il-I ` BUILDING Master Permit No.lm� 46-- Zu/ PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING F-1 MECHANICAL PUBLIC WORKS [:] CHANGE OF O CANCELLATION E-1 SHOP L p ./ CONTRACTOR DRAWINGS JOB ADDRESS: 7 %y 1e ` ! , City: Miami Shores County Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO_>--, Occupancy Type: Load: Construction Type: Flood Zone: QFE: FFE: OWNER:Nam %1 Name(Fee Simple Titleholder): ' 659 Aid/E �. 1 I&YSAAI;* Phone#, Address: 1H A15 42 7 w17- City: - N1*"/ State: Zip: A Tenant/Lessee Name: Phone#: Email` S;'5M 1, CONTRACTOR:Company Name: e 'N Phone#: Address: Pe City: � Pf/l/. State: Zip:_9-54 S° Qualifier Name: z)�oA:�1$1k'0 Phone#;2M, ����,,�cc��� State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone# Address: City: State: Zip: Value of Work for this Permit: Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ,Repair/Replace ❑ Demolition / 4- Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ ��(� ` �� CCF YO CO/CC$ Scanning Fee$ ® (�a Radon Fee$ DBPR$ "® � Notary$ Technology Fee$ 1,00,Cd Training/Education Fee$ ` 6z) ° Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW D E$ ��a (Revised02/24/2014) w ' t , 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 jo site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of uch posted ce, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was ac owledged before me this tA 1 �� day of V`0�� .20 ' by day of —7 20 by C"E-PHRj(A., .� S personally known to �JON 1-Ti 0FZ2:i%X imp sonally known to me or who has produced F C6QSF;C— LAMJX as 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:g L.. Sign: ��. �, fir`• Print �( ki f—���,[ �] Print: c4�' ® • �; Seal: Rotary PuNic:State of Florida Seal: �O� pZpL O�SJ,•��c�� �i 9 '.S�d1dX��• � . 8fndia Alvarez o� My Comrnission FF 156750 3 a Expires 9/0312018 '//�����/III1111111Net�\`` 1 1 6y APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ti. ® �l�R CERTIFICATE OF LIABILITY INSURANCE °A o 07 016 Y' 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. gNPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Hsu of such endorsemerlt(s). PRODUCER ONTACT First General Insurance PHONE (305)817-0303 1 F No, (305)817-0333 79NW 155 St,Suite 102 00 L cbruzon®lirstgeneraiinsurance.com Miami Lakes,FL 33016 INSUR S AFFORDING gWERAGE NAIC S Phone (305)817-0303 Fax (305)817-0333 INSURER A: GRANADA INSURED INSURER B: GARAGE DOOR ETC.COMPANY INSURER C: r i PO Box 245310 INSURER D INSURER Pembroke Pines FL 33024 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE INSURANCE AD POLICY NUMBER M EFF MPa1CY EXP YM LIMITS GENERAL LIABILITY EACH OCCURRENCE S 300,000.00 DAMAGE TO RENTED © COMMERCIAL GENERAL LIABILITY p orcinrenoe S 100,000.00 A ❑❑ ❑ CLAIMS-MADE ❑ OCCUR Y 0185FL00081542 04/11/2016 04/11/2017 MED EXP(Any one person $ 5,000.00 PERSONAL&ADV INJURY S 300 000.00 ❑ GENERAL AGGREGATE S 300,000.00 GEN'L AGGREGATE LMR APPLIES PER PRO CTS-COMPIOP AGG S 300,000.00 El POLICY 1:1 PR T ❑ LOC $ AUTOMOBILE.LIABILITY COMB/ ED SINGLE LMR fEaae I ant ❑ ANY AUTO SODIL INJURY(Per persa) S ❑ AALL UTOS OWNED ❑ SCHEDULED SODIL INJURY(Per accident S ❑ HIRED AUTOS ❑ NA�SWNED PReOP RTY AMAGE $ ❑ $ ❑ UMBRELLA UAB ❑OCCUR EACH§CCURRENCE S ❑ EXCESS LIAR ❑CLAIMS-MADE AGGREGATE $ DED D RETE—S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N EEL— ANY PROPRETOWPARTNER/EXECUTN�N/A E.L.EACH ACCIDENT S OFFICEWMEM I EXCLUDED? u (Mandatary In NH) E.L.DISEASE-EA EMPLOYE $ B Yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below i r i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks SchedWe,H more space Is required) GARAGE DOORS INSTALLATION,REPAIR,SERVICES LICENSE f08VS00306 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGES OF MIAMI SHORES THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPT 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES,FL 33138 ROSIE BRUZON ©1988• 14 A9&WCORPORATION. All rights reserved. ACORD 25(2014/01)OF The ACORD naand logo are registered marks of ACORD a ' �•'� A cut abC�VG tha nest ara a qoComp . Pursuic+ American Ire 786 3 6/11/2016 State of Florida County of Dade Before me this day personally appears Dionisio A. Fernandez who,being duly sworn,deposes and says: That he or she will be the only person working on the project located at: 149 N.P. 107 St.Miami shores, Florida 33161 rn to(or affirm d)and sub ibed before me this.Day of. 2016,by Personally known Or produced identification Type of We duced Print,type or stamp name of notary �. �`e�^ Notary Public State of Florida . ,ltj" Joanna M Feliciano My Commission FF 082753 ��or*11 Expires 01/12/2018 v ORE ' ,SNtzC.193S G�� s� Miami shores Village Building Department 10050 N.E.2nd Avenue �LORNA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption 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 is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this B-11,14 day of nOlq ,20-16. By 5 )CPh Q ni e A�mQ I'l'e S S Q h0� who is personally known to me or has produced as identification. Notary: YANADY PRIErO r *; _ MY COMMISSION#FF 214031 EXPIRES:March 25,2015 SEAL: Bonded Thru Notary Public Undenvriters JUL 12 201FT* 0000 . . 0000 0000.. .. 0000 A _-_._. •...� • • • 0 0 0 0 :0 0 0 0 a 0::'00�, 0 0 0 0 0 n. •.� • 0000.• 0000.• • • :0.0: 0 • • • • 0000• 0 • 0000.• • • • • . • • • 000•• .. . 000 T 10 IDV- WORST CASE DESIGN PRESSURE CHART RETROFIT GARAGE DOOR 170 MPH, EXPOSURE C, 5th Ed. FLORIDA BUILDING CODE (ASCE7-10) BROWARD CO., FLORIDA THE CHARTS BELOW ARE DETERMINED FOR THE WORST CASE SCENERIO,BASED ON THE FOLLOWING ASSUMPTIONS: 1)THE ENTIRE GARAGE DOOR OPENING IS ASSUMED TO BE IN THE END ZONE(ZONE 5) ACCORDING TO ASCE7 CALCULATION METHODS. 2)BASED ON ENCLOSED BUILDING,ANY ROOF SLOPE. 3)ULTIMATE WIND SPEED CONVERTED TO DESIGN WIND SPEED PER TABLE 1609.3.1. NO OTHER LOAD FACTORS OR REDUCTIONS ARE ALLOWED. NOTE 1:SPECIFIC, INDIVIDUAL GARAGE DOOR OPENINGS WILL MOST LIKELY NOT REQUIRE THE OPENING TO BE COMPLETELY IN ZONE 5 BY CALCULATION.THEREFORE INDIVIDUAL CALCULATIONS WILL MOST LIKELY RESULT IN LOWER NEGATIVE DESIGN PRESSURES THAN SHOWN ON THESE CHARTS. NOTE 2:DOORS LARGER THAN THOSE LISTED MAY USE THE DESIGN PRESSURE FOR THE NEXT SMALLEST DOOR BECAUSE DESIGN PRESSURE DECREASES AS OPENING SIZE INCREASES.FOR EXAMPLE,A 16'x10'OPENING CAN BE ASSUMED TO HAVE THE SAME DESIGN PRESSURE AS A 16'x8'OPENING BECAUSE ACTUAL CALCULATIONS WILL SHOW THE 16'x10'TO HAVE A LOWER DESIGN PRESSURE. WORST CASE DESIGN PRESSURES (PSF) MEAN ROOF HEIGHT UP TO 15' 16' 17' 18' 19' 20' 21' 8'x7' +33.8, -42.4 +34.2, -42.9 +34.6, -43.4 +35.0, -43.9 +35.4, -44.4 +35.8, -44.9 +36.1, -45.3 N 8'x8' +33.4, -41.7 +33.8, -42.2 +34.2, -42.7 +34.6, -43.2 +35.0, -43.7 +35.4, -44.2 +35.7, -44.6 Fn 9'x7' +33.5, -41.8 +33.9, -42.3 +34.3, -42.8 +34.7, -43.3 +35.1, -43.8 +35.4, -44.3 +35.8, -44.7 (D 9'x8' +33.1, -41.2 +33.5, -41.6 +33.9, -42.1 +34.3, -42.6 +34.7, -43.1 +35.1, -43.6 +35.4, -44.0 z 16'x7' +32.1, -39.0 +32.4, -39.4 +32.8, -39.9 +33.2, -40.4 +33.6, -40.8 +33.9, -41.3 +34.2, -41.6 w 16'x8' +31.7, -38.3 +32.1, -38.8 +32.5, -39.2 +32.8, -39.7 +33.2, -40.1 +33.6, -40.6 +33.9, -40.9 O 18'x7' +31.8, -38.4 +32.1, -38.8 +32.5, -39.3 +32.9, -39.8 +33.3, -40.2 +33.6, -40.7 +33.9, -41.0 18'x8' +31.4, -37.7 +31.8, -38.2 +32.2, -38.6 +32.5, -39.1 +32.9, -39.5 +33.3, -40.0 +33.6, -40.3 WORST CASE DESIGN PRESSURES (PSF) MEAN ROOF HEIGHT 22' 23' 24' 25' 8'x7' +36.4, -45.7 +36.7, -46.1 +37.0, -46.5 +37.3, -46.9 N 8'x8' +36.0, -45.0 +36.4, -45.4 +36.7, -45.8 +37.0, -46.2 Fn 9'x7' +36.1, -45.1 +36.4, -45.5 +36.7, -45.9 +37.0, -46.3 CD 9'x8' +35.7, -44.4 +36.0, -44.7 +36.3, -45.1 +36.7, -45.5 Z 16'x7' +34.5, -42.0 +34.8, -42.4 +35.2, -42.7 +35.5, -43.1 Lu 16'x8' +34.2, -41.3 +34.5, -41.7 +34.8, -42.0 +35.1, -42.4 O 18'x7' +34.2, -41.4 +34.5, -41.7 +34.8, -42.1 +35.1, -42. ������ AIwI4 18'x8' +33.9, -40.7 +34.2, -41.0 +34.5, -41.4 +34.8, -41.71 H:4M�<T� THIS CALCULATION SHEET IS ONkY..VA. 1Q � � :• No 63286 FOR THE FOLLOWING BRANDS: d&.O%:AAvw; : : IDEAL AND HOLMES. "' • • •' � 0 .. • STATE OF •:��/ Scott Hamilton, P.E. "• •" '•' �•• P • • • • • • • �i 8585 DUKE BLVD. �` •� �• �• �• •• �i�S/ ��� MASON, OHIO 45040 •• ••• i �� (513) 770-4800 Nwgn.Are 7/27/2015 FLORIDA P.E. No. 63286 ••• ••• • File: BROWARD CO WORST CASE 5th Ed R00 [RETROFIT] �•� • . •• .• . • • •• •. ••• • • • ••• . • $ ( { (f u MIAMP MIAMI-DADE COUNTY amm PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miumi,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamIdade.goy/economx Clopay Building Products Company 8585 Duke Boulevard Mason,OR 45040 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. REF,reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Single Car W7 Steel Pan Sectional Garage Door up to 9'-0"Wide w/ Optional Impact Resistant Lites(DP+42.0,-48.0 PSI) APPROVAL DOCUMENT: Drawing No. 101702,titled"Single Car W7 Pan Door with Impact Resistant Lites",sheet 1 of 1,dated 06/13/2008,with revision 06 dated 02/2015,prepared by Clopay Building Products Company,signed and scaled by Scott Hamilton,P.E.,bearing the Miami-Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Section. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING:A permanent label with the manufacturer's name or logo,manufacturing address,model number,the positive and negative design pressure rating,indicate impact rated if applicable, installation instruction drawing reference number,approval number(NOA),the applicable test standards,and the statement reading`Miami-Dade County Product Control Approved' is to be located on the door's side track,bottom angle,or inner surface of a panel. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NCA 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•ft pre rif el t(Ctbp*ge,bjthmanufacturcr or its distributors and shall be available for inspection at the job site at the re4gost otlieailtong OJjCiat• This NOA revises NOA N 13-0625.06 and owAslsi'thj4pifg01 hnjl evidence pages E-1 and E-2,as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. •pzahw/�;?� • • • • NOA No 15-0225.16 MIAMI•DAUE COUNTY •• •• •• ••• •••Expiration Date: August 21,2018 ••• Approval Date: May 14,2015 4 41S Page 1 Goo 0. .. .. . . . .. .. Clopay Buildine Products Comnanv NOTICE OF ACCEPTANCE! EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. 101702, titled"Single Car W7 Pan Door with Impact Resistant Lites", sheet 1 of 1,dated 06/13/2008, with revision 06 dated 02/2015, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton,P.E. B. TESTS "'Submitted under NOA #08-0618.03" 1. Test reports on 1)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 2) Large Missile Impact Test per FBC,TAS 201-94 3) Cyclic Wind Pressure Loading per FBC,TAS 203-94 4)Forced Entry Test,per FBC 2411 3.2.1,TAS 202-94 5)Tensile Test per ASTM E8 Along with marked-up drawings and installation diagram of 9'x 8 ,24ga steel garage door Model 94W7 with windows,prepared by American Test Lab,Inc.,Test Report No. ATLNC 0305.01-08,dated 05/28/2008, signed and sealed by David W.Johnson, P.E. 2. Test report on Salt Spray per ASTM Bl 17 of painted G40 galvanized coated panels, prepared by Stork Materials Technology,Test Report No. 30160-04-63365,dated 01/26/2005, signed by John D. Lee,P.E. C. CALCULATIONS "Submitted under NDA #08-0618.03" 1. Jamb anchor calculations,prepared by Clopay Building Products Company, dated 06/13/2008, signed and sealed by Scott Hamilton,P.E. D. QUALITY ASSURANCE 1. Miami-Dade Department of Regulatory and Economic Resources(PER) .. ... . . . . . .. . .. . . . . ... . . . • ••• 000 •••` • • Carlos M.Utrera,P.E. • • Product Control Examiner •• • • • • • NOA No 15-0225.16 .. .. .. . . . 000 • • ••• •Expiration Date: August 21,2018 1 Approval Date: May 14,2015 000 0 000 . . . . . . . . . . . .. .. . . . .. .. 000 0 0 0 000 0 0 Clopay Building Products Comuanv NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS "Submitter)under NOA #08- 008.03 1. Test report on Accelerated Weathering Using Xenon Are Light Apparatus per ASTM G155 of Lexan SLX2432T Clear Polycarbonate,prepared by Hurricane.Engincering &Testing, Inc., Test Report No. HETI-06-A002, dated 12/04/2006,signed by Rafael E. Droz-Seda,P.E. 2. Test report on Tensile Test per ASTM D638-96 of Lexan SLX2432T Clear Polycarbonate,prepared by Hurricane Engineering &Testing, Inc.,Test Report No. HETI-06-T566, dated 12/04/2006, signed by Rafael E.Droz-Seda,P.E. 3. Test report on Tensile Test per ASTM D638-96 of Lexan SLX2432T Clear Polycarbonate,prepared by Hurricane Engineering&Testing,Inc.,Test Report No. HETI-06-T634,dated 12/04/2006, signed by Rafael E. Droz-Seda,P.E. 4. Test report on Self-Ignition Temperature per ASTM D1929, Rate of Burn per ASTM D635, and Smoke Density per ASTM D2843 of the Lexan Plastic,prepared by ETC Laboratories, Test Report No. ETC-06-1024-17496.0,dated 05/26/2006,signed by Joseph L. Doldan, P.F. F. STATEMENTS 1. Statement letter of code conformance with the 2010 and the 5'edition(2014)FBC issued by Clopay Building Products Company,dated 02/18/2015,signed and sealed by Scott Hamilton,P.E. "Submitted under NOA #13-0625.06" 2. Statement letter of code conformance to 2010 FBC, dated 06/13/2013, signed and sealed by Scott Hamilton,P.E. 3. Statement letter of no financial interest issued by Clopay Building Products Company, dated 06/13/2013, signed and sealed by Scott Hamilton,P.E. . • . . . . . 041, ro rte, ••. ••• •• • • • •• • 0:0• ••• 6:0• • • Carlos M.Utrera,P.E. • • • Product Control Examiner •• • • • • • • • NOA No 13-0625.06 •• • • • ••• •Expiratl6n Date: August 2l,2018 E»2 Approval Date: May 14,2015 •• • ••• . . . . • • . . . . . . •• •• . • . •• .. ... . . . ... . . 4 3 2 . CLOPAY M0-D-EL5 84A. 94, 98• H94 IDEAL MODELS: 4RST, H4ST, 4F END SIDES ATMAMEO TO DOOR WN 8NN PA7ENTE0 TOG-L_LOC SYSTEM.END S1RE5 OD 01/20aT IAD EXTENDED IEWM IeOLSLS HOLMES MODELS: 48 KAK(z)TOO-L-LOC CLINCHES N TOP AND(2)Al eDT ow ANO# THE rRONT FACE. SECTION B-S a OB/I]/Oe ADDED OPIONAL WALT RESMINIT UTES. • 18 SECTIONS RAVE(B)TOG-L-'O'"INCHES:® �� .O. OS Ot/00/2 AFFIRMED COVPUAYK MM FSC 2DID. t8'SFKNDVS RAVE(+)TOG-L-LOC CLINOfE3. OB 02/2015 LPMO CODE C014LWNC£STATUAEN, TRACK CONFIGURATION HDRIoNTAL TRACK wpPORT (t)DRERt4bIATE SDlE BETWEEN EAgi EY80S5, pEGyly y IAATwuN.CTE® DT DOD,TN ALICR(N StAO. ATTACKED=TOG-L-LOC f(2)AT TOP&EOr1Dw) ���"�• ILG BOAO TAPC CENm HAw AnDAm"FOR UB TOP BRACKET Q URETHANE AOMSNE(µDAY• ) OPDKx OwLL DECORATNE / j �• rav rAL u Doom O.ER a H A S__x Faint. NomzoNrAL aw rmr of wwa-RFSaMNr W,DNO W E(QBH ` aE sSCA STRUCTURAL p y o 0 o o A' {„ P CT�VSECii ROK-TO-Tne-TOP ONE Sf1VMIT,IT,2WA ATTA t�aR.Ct41 n A* a Aux.4TA2AD SOE IS,a-Iq GIADNG a RRCaON Yg0L0 FEWI SURU2T. a88� _ WC=JANET NOW(FIAO 8R1Cn�E�q�nt�0 t0� TDw KinnRImu oPIIDN AY/APPAOYEp CC2%ASDL IN ACWRWKE WIDI STEEL M WIN-/ • - - S!E YCIIgJ a-B i0R ASSEVELY KE a4 1/ n I AIPACT DESgµO --� E PLAam TS ._ on-P�� K� VCADDC.TPKR 4IMJ1ED t0 IOAILON,gL NEIGKT'L' xlRio f 1E5 x6 NOLDrD GE LEXAN TRACK UQY k1 1/•'J/.•iRKx BOLI$, - ]-1 St%2432r FRONT -0 -1 MANE @ Gw=OQaL ge-o AB POLYSTRENE RDAXII ${ B'-8 B! } S8"5[E END MICE DETAC (tpip wA 2'GALV STEEL TRAM - ]-t E ilTRACK THScTo .DO60'. -D T 2' - S_ S I � wAaur FACE lOD1 FOR OQAS3. TABLE i •x4'� SKEL T%. v umL A �� NUMBER $` RNOG[L VODD O[SCNW110.V DOOR HETGW Or fi-A, yE �. PREPARATION OF JAMBS BY OTHERS C 9B.4i RN'I ttxT R L WKY.MBE SttII ♦ .r Ems:THE DESIGN OF THE SUPPoRDAO STRUCTURAL ELEMENTS SHALL LOCATION OF --h.•A 76 8 S. S 'k2't BE RIE RESPONSIBILITY OF THE PWFESSTONAL OF RECORD FOR TKE OPTIONµ•KMS BUILDING OR STRICTORE AND IN ACCORDANCE WGH CURRENT WAD= • MA%.DDDR RDTH_a-o-� SECTION A-A goa Tall D i COCEB TOR t#was LISTED ON THIS OA.NG. • • • •Fina.aN mu n•a K•wl ?I• • • seem IN6IDE EhIEVATION 24 DA(aa2]B•°°"'nua0 DDS srm r TF4^IE •• ••• • • • 1"AFtO 3S7 >Ex1Eant SAY + —I JAMB TO SUPPORTING STRUCTURE ATTACHMENT �AIRo�00jANS G-AO CAI.1NM24VE,BVQO-DN-AWMEN—EO • • S1KA°WCH ENGAGES• • • AND ABAKED-01E POLYESTER puNTEO ONTO KITrCfG,•�p.�•IaBG• TDP COAT APPLIED DOTH S A11 OT I. ALL THE tOAD FROM THE DOOR IS TRANBFERREO TO 7HE TPAM AND MEN iROM THE TRICK TO THE 2,5 ••1�`SNAP�E 11F OWR • END SIEEI SMI.(ASTw Ne.A89} •^V TO VaRDCAL SYP(GRADE 12 OR SETTER)AMISS.NO LOAD FRGM THE DOOR IS TRANSFERRED 10 THE W1E • STR.0 j HOR"W"i(TOP)_L INTER.SOLE ITT-064• • 2 ALL"B FASTENERS MY BE(FRIT!RE NOT REOU'AED TO BO COUNTERSUNK TO PRwm A KUSH BAR• .tom B01,T LOCK• MO1HDAIG SURFACE _ EN0 HANDLE VE �R CN. 3 A 1/3 STRESS �INCREASE TASi F�STEELEAD L CCMICRR�AND fl.L0RAT9AI aF ALLOMA9LE LOWS FOR FASTENER END •• • RANDL E Gum[ STILE I Z GA GALV.STEEL TOP ONE off RGItEA BIUCKET' • YFI•Li �•.•��� • •• ESS D,, ��03' (2-1/tTYJOCD FRAME BUILDINGS • • OJTSD>£ iO� LE TRACK B/(aj jt•q/B'SKEE[ SND NµLS Ci OCOR OPENING SRALI.8E FAAIAED SPUD BP NOT tE95 IRAN(]).PRESSURE TRE'ATEp STP .O� SNAP IA1CH LOTX nPTNirR MEW.$CRflVS fGIUOE 12 OR WlTER)DOOp SiWS OF A STAGS GRWE NOT URS TH 1200 PSI NWINAL ExEAEYE FO3ER • ••__�^'• -L • or OR Ltlfi8 T STRESS w BENDNVG(FJ.SND WADS TO RE COON=*FADN ROTTING TO TIE BEANS. {� • • • •••• BLOCK WALL OR CONCRETEB ••• ••• CALV.STEEL 2.6 SYP(GRADE,2 OR BCTTER)WOOD JAMB SIDiL BE ANCHM TD GRDUT REWFCRCED BLOCK WALL OR • • •••• • U.'D HhCE.EACH CdSRQE COLUMN.BaOCK WALL CELLS SRA1L BE FILLED WON CMACIE AND REMORCED QIITN rMuFORCENG 248 VERTICAL JJ6 2-2/4• 2-l40' {� FASTENED TO END BARS EXTENDING MD THE FODTWO AND INTO T0:BEANS.ALL BMS SNAU.BE COMN•UDS iRp1 ME T2 •• ••• • b)If a.s/e•SMST•d•I• •I SrOES•R/H)Jfs4/B' BeJAIS TO FOOTING PER BLOCK WALL OR CONCRETE COLWN 8LCL1[WALLS wA COICRL7t COWMAS To 8E • • A9 SIDP IAP JOItilS I SHEET NU:TAI,ELF MWIED BY THE St"M CNWNEER OR ARCHITECT OF RECORD. I ••• • • I� {lZOOt)C3 f�VfSED H)1/+'BELE TAPPING scREws. • 7-1� • • 2-E/2 ■mI�2RR()�dfiaElOt 2-t/4*TALL.2D a(ALY. 2x6 JAMB TO SUPPORTING STRUCTURE ATTACHMENT •• ••• I •• • A*MmaW U Taro 1 •)iE+••3/t•SELF I AOBeD•fiflb o ./6 SE BAR TWo EPT IN PER (Nm To BE USED FOR ATTACHMENT 0�TRACK BRACKET • • 1�APM _(„ El�IS1�1 8 SEcww EXCEPT S G ON uT SECTIO_WWCH HIS IBAR ON CCNTER ONE U-BNL flKK V-eAv DISTAaCE STEEL ATTACKED"IM 1/4•SELF- BDILaKG TWE FASTENER TYPE FASTENERS BS S W TAPPWP SCAB t2) C-BD BLOCK H OR JAM3 CONFIGURATION STERNS AT ueH END Ara I/4'.3'(1-1/4'EL•ED)U!TAPED"CONCRETE AKCNOA(2 1/2 uD1 EDGE DISTANCE) LO-1/3• T•D.a STOP AgERpevC BY ODOR LVTEIBI(D.STILE IOCNKNNINSTALLER . 2 W0 P9 YIN. .E 1 t 4 I- 4 E118ED R AN g yDL -pp, ... .. _CTO�� RT.. -TR -µ WEDGE MN. E t-i ED 20 GA KN.GAW.STEEL END STILE.2-S/8•x2'. IJ OL GALV.SIM BG110R F t- B O VG. AS -1 amv EDGE OBT t i O. 20 C4 wIFL FiAly 4ETL IXIERIA STILE TG' T(}I/2'v 3-1/27 2 N. t a 1 E P 973-II -I .MIN.EDGEINSTANCE) 2t DED A1IACKEO WTb1((2}plt.5/Fi' I .4 12 GA W.Y.STEEL/RACK SHEEP METAL SCAERS. •-FtRSF ANCHOR/SCREIi STMI�iaON BOTTOM AT N¢ U1N CENTER DISTANCE BAWKET FASTENED TO W000 HCHESr ANCHOR/SQtOY MSFµIEO AT IEAST R EOOH� I A JAVB Arm,ONE 5/t6 xt /2 ALWDN W ExiRuSKD @ V ML EAD@RST P_ExrRUSO :Gj . . .( 7 q IFDOD LAG SCREW PER BRACNEF. ATTACK KITH/BAf/2'SELF TN78O SCREWS At 18• ,8 GA GAM STEEL MER"M FASTENED TO CEMEN °N t:ENiER sPAp1''O ICGT scT1EKs oR Bw Dowl > t .E.•6 �ESIGN LOADS: +42.0 PSF& -48.0 PSF. 2'Gale.TRACK TRACK FASFEAOI4EDD STLE a(O EACK n4�0"SKEET NEIAL SCREW& 'TOLERANCES y0;:t o] PARE. nAs slz£ ib TRACK BOACKETR ETCH BRALxEI DOLT &ATTACHED WINE LINE k c .KI wswaR R M mr a LACK ROLLER SANT. ®��� untm smwG Otm we ,fpOl e•tF,9 NOTE i OF 1 9'0'%Y x 12.0'H +/*'a/B'ea.T a NVF Dg Treo +a ear.sTm um Imr:rAatENFD m am macs W/(q pn. .EF 1/4•RIVETS. 11As/B'SHEET LMTAL 5mm A N)t/4•Sw TAPPLYG SCREWS. Oe9lAo ;>;t/7 `r66/T 408; DEstRIPT'I SINGLE PAR Yl/ Pa'J DOOR Des PEODTIcr Of INE E 0 DC =PAY BUILDING PROD MATH IMPACT RESISTANT CITES ANDL TK FM7 Of INE TDa.FDC 2'IDT L STEmroRDUED(I-S/i6•:7/t8'sa"j Building Products 8585 DUKE BLVD. .':r„••• e Y•'�t:'.� AND THE FIFTH EORON F13C. Num MASON.0. 4SO4O Y'•�4.J D ORRVTW I4RIBEC VER. Com OnF '' 513 770-4800 •,. ,Srt �a17o2 MD 4 3 2 1 l� Miami Shores Village J L 15 016 C Building Department � g p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FB C 201 BUILDING Master Permit No. I 61 `o PERMIT APPLICATION Sub Permit No. 0 ❑BUILDING ❑ ELECTRIC ❑ ROOFINGREVISIO ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLAT16N ❑ SHOP VCA '�/ICOkITRACTOR DRAWINGS JOB ADDRESS: 0 � " c, -� City: Miami Shores County: Miami Dade Zi C� 3/3 / Folio/Parcel#: 3�2 d 1-3 n S 0 Is the Building Historically Designated:Y1es NO Occupancy Type: Load: Construction Type: Flood Zone: BFE:j FFE: OWNER:Name(Fee Simple TitleholderPhone#: Address: City: .(il✓ 7 it Af State Zipl: 3 3 13 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Com any Name: Z II(� 2C12d `' "� '`7�1 Phone#: Address: S City: l State 11—r Zip; Qualifier Name: Z-- Phone#:� '�� 7 State Certification or Registration#: C �� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: Ci tate . Zip: Value of Work for this Permit:$ 7,/ ® /Square/Linear Footage of Work: , 7 Type of Work: El � Addition ❑ Alteration E ew ❑ Repair/Replace. ❑ Demolition Description of Work: �� Specify color of color thru tile: Submittal Fee$ 0 Permit Fee$=(� Q® CCF$ — - CO/C $ Scanning Fee$ Or3 Radon Fee$ DBPR$• e — Notary$ Technology Fee; , Training/Education Fee$_ Double Fee i$ Structural Reviews$ �� Bond' TOTAL FEE NOW DUE (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as 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 aper ved7 a reins coon 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 J y 20 l by day of e 20 G by ,X LDS & who is personally known to A�t !who i personally known me or who has produced 10M Z as me or who has produced as identification and who did identification and who did take an oath. NOTARY P ',. "• JORGE ROSEAU NOTARY PUBLIC: MMISION#F0119045 -7: S MAY 4,2018 GE ROSEAU Sign 53 rY Sign 7% Y 4,2018 Print: Print: 4L4_07048-53 Fiori Seal: Seal: APPROVED BY f Plans Examiner Zoning Structural Review Clerk P (Revised02/24/2014)