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RC-16-2162
Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)766-8972 Inspection Number: INSP-265509 Permit Number: RC-8-16-2162 Scheduled Inspection Date: October 2%2016 Permit Type: Residential Construction Inspector: Mesa, Michel Inspection Type: Final Building Owner: CIGNO,NANCY Work Classification: Alteration Job Address:1301 NE 100 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132050140020 Project <NONE> Contractor: M BARRY CONSTRUCTION INC Phone: (407)506-2023 Building Department Comments INSTALL 3 STEEL COLUMNS, infrecuo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-265325. Site conditions do not match with approved plans. Revise plans to reflect site conditions and provide a certification from the engineer of record certifying the field welded connections and bolted connections.The engineer should also provide Failed �' details and specifications for the wood bucks. Correction - Needed Re-inspection Fee No Additional Inspections can be scheduled until m-inspection fee is paid. October 20,2016 For Inspections please call:(305)762-4949 Page 8 of 27 Xv ffiA i> 50' A01 NO Miami Shores Village r / �e ��tltl'!lNLrttlll 10050 N.E.2nd Avenue NES y40* � Miami Shores,FL 33138-0000f4H ltd Sl~8I`tl 1'PR, VE Phone: (305)795-2204 R •�_' L&• � xpir ion. .: E at 7 Project Address Parcel Number Applicant 1301 NE 100 Street 1132050140020 NANCY CIGNO Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell NANCY CIGNO P.O. BOX 530188 MIAMI FL 33153- Contractor(s) Phone Cell Phone Valuation: $ 3,800.00 M BARRY CONSTRUCTION INC (407)506-2023 Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Window Door Attachment Date Denied: Framing Type of Construction:INSTALL 3 STEEL COLUMNS. Occupancy:Single Family Insulation Stories: Exterior: Drywall Screw Front Setback: Rear Setback: Final PE Certification 9 Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Structural Certificate Date: Additional Info: Review Building Review Planning Bond Return: Classification:Residential Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing Review Mechanical CCF $2.40 Invoice# RC-8-16-60829 DBPR Fee $2.00 08/12/2016 Credit Card $317.40 $50.00 DCA Fee $2.00 Education Surcharge $0.80 08/02/2016 Check* 10170 $50.00 $0.00 Permit Fee $114.00 Plan Review Fee(Engineer) $120.00 Scanning Fee $9.00 Technology Fee $3.20 Work without Permit Fee $114.00 Total: $367.40 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 constru n and zoning. Futhermore,I uthorize the above-named contractor to do the work stated. August 12,2016 Abffiorized SIT ature". caner / Applican / Conrector / Agent Date Building Department Copy August 12,2016 1 CFIVFD L . Miami Shores Village �1G © B 2016 Building Department BY: 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 20114 BUILDING Master Permit No. - 2 ( � PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I 10 I VJ C, I G d !Zr City: Miami Shores County: Miami Dade Zip: 3z) Folio/Parcel#: 11-3aos- 0 Iq- 00'10 Is the Building Historically Designated:Yes NO ?C Occupancy Type: Load: Construction Type: Flood Zone: BFE: \ FFE: OWNER:Name(Fee Simple Titleholder): INawcn f C t w.'a karG d� � 5 Phone#40'. 1 "7" oca O ro Address: 110 k L.) ti' • loo Wr City:--1"�i n�pnt !.areS State: FC zip: 3 313 Tenant/Lessee Name: Phone#: Email: ^^� p � I CONTRACTOR:Company Name: M . Afgn aj3.1C1I aW 4 Phone#: -0 i-sc -2o�23 Address: oC61 S N -3'0 ,5T Amm /6a`E' S. w 13 S"T �pQ1 119 n, 71ls. l 3.35 09- City: 60,01141,11.6040410- State: r-L- zip/:, 33 3 0�6 Qualifier Name: r+CI.t4 fid BARD- � Phone#: 4y 150--%223 23 State Certification or Registration#: �C�Csti 11 Sl 0 9'S�" Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$VA 3EC)O . U O Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 'T v S{GL t( �J %441-1 ,k CO k',A WIL n 5- Specify Specify color of color thru tile: I l� Submittal Fee$ aya� Permit Fee$ 9 I V 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) r E ® U C1 M S m H V � r C h M C rn Z� U U U G n N.! C7 h d alidW MY a N� J Q Q Q O!n V J � Q Z Z O � CD op LL O F N fA O Ir LL W y ccO Q LL 0 J Mimi 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. /n the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature O NER or AGENT CONTRACTOR The foregoing instrumee s acknowledged before me this The foregoing instrumeglwas acknowledged before me this day of V 20 / by day of o 20 16 by a 6410X&L�dwho is personally known to �dLcw who is personally known to me or who has produced IDA 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:— ell �' Sig Sig Print:, Ae BR/�l�N�v Print: o—mi /v! ®G AJ Se81: P ��,public=tate of Florida Seal: g„r Pie Nary Public State of Florida ;4 `f: Jahn M Monahan ;Q �: John M Monahan � CoQ My Commission FF 014142 c Ao¢ My Commissiort FF 914142 } '? its Expires 0012912019 ads Expires 09/29/2019 ********* ******************** *************** APPROVED BY U (� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) OR ones Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. J COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. '� COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE:A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. wwrrwarrrrrrrrrrrsrrrrrrrrrrrrsrrrsrrwarrrrrrwrerrrrwrrrrewwwrrwrsawwwrwrrrrwrrwwwwwrwrswrr BUSINESS NAME: '�• � �� �onl.S-TAuc-[toyJ BUSINESS ADDRESS: o?61 S N• E 310 5T CITYIfR1( 'O*I6 STATE A�— ZIP W306 BUSINESS PHONE: (k ) 51D 6r 2o2 3 FAX NUMBER(�) CELL PHONE(40?') 506 &.23 QUALIFIER'S NAME: P t(R*E 1— 8�"l QUALIFIER'S LIC NUMBER: 41&4 (SI U+64- __ ,._,.Via• DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION I CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET 83 TALLAHASSEE FL 3239 BARRY, MICHAEL JOSEPH M BARRY CONSTRUCTION INC 721 N E 60TH ST FT LAUDERDALE FL 33334 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range a. STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, �, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. ,. PROFESSfNAL REGULATION Every day we work to improve the way we do business in order to CGC 1510457 � S`�UED.; �12/04/2014 serve you better. For information about our services, please log onto CERTIFIED GENE-,,,dA-1- INT.RAGTOR www.myfioridalicense.com. There you can find more information MICH94 ` 1 about our divisions and the regulations that impact you, subscribe BARRY, to department newsletters and learn more about the Department's M BARRY CONS aUt� ION 16aa initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. , We constantly strive to serve you better so that you can serve your IS CERTIFIED under the provisions of ch.489 FS. custorners. Thank you for doing business in Florida, Expiration date AUG 31,2016 L1412040001529 and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT CONS CONSTRUCTONEREGULATION INDUSTRY LICENSING BOARD r CGC 1510457 The GENERAL CONTRACTOR Fr` Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 BARRY, MICHAEL JOSEPH: ,---,--- M BARRY CONSTRUCTION INC 721 N E 60TH ST FT LAUDERDALE ISSUED: 12/04/2014 _ DISPLAY AS REQUIRED BY LAW SEQ# L1412040001529 ��ata Local Business Tax Receipt L 'BT Miami—Cade County, State of Florida -THIS IS NOT A BILL - 00 NOT PAY 4412474 > tr,�t s t t+ t. G�►, ��d t�T oto, EXPIRES CAPITOL STEEL STRUCTURES REWWA ��pTE �E ��},���}�� 2188 NWS A _ Must be displa"d at'PI ttt,b"A$ MIAMI FL 33142 t'eateuant y#Ccrt��Y ChalerA—Aft, W10 ovMER age,7"16 OF austwa s84 w �sarr to 196 SndALIY UILDINGCONTRA CAWTOLII ItAt l$I dIN rE Ii+IC CONTRACTOR by g pt - UVt1tlt�e�s� ED15-04002 Tris tty drat sit IL i T t "o RaWi tswto Bosom iza�rt icatisaatd�e tti Iitlaad ,t doo dt�dsx t' ti sz�yypt�a Forte;kfamwthm''+ t Jul. 26. 2016 3: 34PM Prime Insurance Solutions No. 7498 P. 1 ACO® 7/266/2016/2016 CERTIFICATE OF LIABILITY INSURANCE D 1 7 THIS CERTIFICATE I$ 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 ROL4ER- s IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ie6)Must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policlas may require an'endorsement. A statement on this certificate does not confer rights to the eartifleate holder in lieu of such endorsement(s). PRODUCER CONTACT N MEt Prime Insurance Solutions,Inc. PHONE (321)269-7920 ac•Ne: 321 259-7921 3040 N.Wickham RD. Nr%,ss: Suite 8 ADDREINSURER(&)APFORbINa COVERAGE NAIO# Melbourne FL,32935 INSURER A: Frank Winston Crum Ins Co. 11600 INSURED INSURER B M BARRY CONSTRVCTION INC INSURERC: 1604 S.W.13TH STREET INSURER D: FORT LAUDERDALE, FL 33312 INSURER E: 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 A90VO 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rY EXP LYR TYPEOFROURANCB SR POLICYNUMBER MMIDDNWy).immloarrrm LIMITS t/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PREMISES(`E`,=nj S 100,000 CIFL10958100 03/16/16 03/16/17 MED EXP(Any one person) S 51000 A PERSONAL&AOVINJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 '7 POttCY E]JEC ❑LOG PROOVCTS-CONIPIOPAGO $ 2,000,000 OTHER $ AUTOM01111,E LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO 130DILY INJURY(Per perem) S OWNED SCHEDULED BODILY INJURY Par grFidant $ AUTOS ONLY AUTOS ( ) HIRED' NON-OWNEO PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY p Ment UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMrMA13P AGGREGATE $ DED I I RETENTI N $ WORKERS COMPENSATIONTI{. AND EMPLOYERS'LIABILITY N STATUTE 7_10ER NRMOHCUTIYE E.L.EACH ACCIDENT S00ETO'147NIAFCERUSRCLLM-I (Mandatory in NH) E,L.DISEASE-EA EMPLOYEE S Iryea,dasaribe under DESCRIPTION OF OPERATIONS belon E.L.DISEASE•POLICY LIMIT S 01513MOPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Ramarks Schedule,may be attached If mora apace Ia required) M BARRY CONSTRUCTION INC GENERAL CONTRACTOR LICENSE NUMBER: CGC1610457 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBE LICI SBE CANCELL ORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, OTIC WILL BE D IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PR ISION MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE 01988-20 5 ACORD C ON. All rights reserved. ACORD 26(2010103) The ACORD name and logo are registered marks of CORD JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 3/10/2015 EXPIRATION DATE: 3/9/2017 PERSON: BARRY MICHAEL FEIN: 201001246 BUSINESS NAME AND ADDRESS: M BARRY CONSTRUCTION INC 1604 SW 13TH STREET FORT LAUDERDALE FL 33312 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 fall 2111n1" mi'ar*11 Shores Village Building Department �t3R1�° 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 once to Owner — Workers' Compensation Insurance Exemption f 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 CONT Signature: ` ' caner State of Florida County of Miami-Dade The fare Ding was acknowledge before me this Allday of u. 91 1 20/6 /� By C./ C.., 1VO ,4.Q�U S who is personally known to nae or has produced -D a identification. Not SEAL: row°Lsy^ Notary Public State of Florida John M Monahan poi ao Expires 09/29!2019 Michael Barry,B.Eng President License#CGC1510457 mbarrygroup@gmail.com Direct:407-506-2023 www.mbarryconstruction.com Office:954-530-7462 E J Date: // State of: cloriceG.- County of: derawa,_Ct Before me this day personally appeared VXLLJ 64krr�/ who, being duly sworn, deposes and says: That he and Capital Steel Structures employees will be the only people working on the project located at: /3 01 AJC !c'd 0-/ZCEE Aft0m; 66. 3 3 !3 8' Sworn to (or affirmed) and subscribed tome this g_2 day of JU La , 2016, by Personally Known ✓ Or Produced Identification Type of Identification Produced Print,Type or Stamp Name of Notary =asW Pp, Notary Public State of Florida John M Monahan ce cp My Commission FF 914142 '�?o,moo; Expires 09/29/2019 ®®®4mmmmo�et BRON'1N'�L.EY-COOK, �ICi'�ee 440 N.W.33rd Av g, ®j OQK e AUG 0 2 2016 Cert.of A� .Yt00009��4 F r V ILLIAM D. 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QA ZC/ HOq lmJ 07.7 GO gjDo Z Ctn Z -1 070 mm Z r �20D m[� Z 0 o ��3 � � y o� ou0i Nrzz �o m mo pr�i �`<a xol�-a�C o2 U �xr�1 -nzmD v z r7i qm0� �Ir70i' mm a IA A nmmA "zm`i7 D�:4UA O gm S m 70 m moo i.- [� N °off -Icl7°� 7 ��,o �a �' I� ?� 0 o C Obi 7Q �Oa � �" or 77°7m�In � m m m ` m o p Z o O to P m A OO Ln r m Ph 6bS9ba03d# 3'd'Oa'dVNN39-1 HNA I3 vF ?owers Wedge-Bolf(OT & 55) PRODUCT INFORMATION FASTENERS Wedge-Bolt® Screw Anchor Carbon Steel OT and 410 Stainless Steel SECTION CONTENTS Page No. • •D • • The Wedge-Bolt anchor is a one piece, heavy duty screw anchor with a finished hex head. General Information...................... 1 It is simple to install, easy to identify, fully removable and vibration resistant.The Wedge- Installation Specifications............2 Bolt has many unique features and benefits that make it well suited for many applications Material Specifications.................3 in a variety of base materials. Optimum performance is obtained using a combination of patented design concepts.The steel threads along the anchor body self tap into the hole Performance Data..........................4 during installation and provide positive keyed engagement. Design Criteria.............................13 The benefit to the designer is higher load capacities, while the benefit to the user is ease Ordering Information..................16 of installation.The Wedge-Bolt can be installed with either a powered impact wrench or conventional hand socket. Wedge-Bolt OT—The Wedge-Bolt OT is specifically engineered for use in fixture clearance holes sized a minimum of 1/8" over nominal.The Wedge-Bolt OT must be installed with an o ;M k ANSI rotary drill bit. 410 Stainless Steel Wedge-Bolt—Wedge-Bolt screw anchors are designed to be used with Carbon Steel a matched tolerance Wedge-Bit for optimum performance.The 410 Stainless Steel Wedge- Wedge-Bolt OT(ANSI) Bolt works in fixture clearance holes that are 1/16" over nominal,which is typical of standard fixture holes used in steel fabrication. GENERAL APPLICATIONS AND USES 0 • Racking and Shelving • Material Handling 410 Stainless Steel Wege-Bolt • Support Ledgers • Storage Facilities (Blue Tip) • Fencing • Repairs •••• • Maintenance • Retro its .... 0.000• •...•. .• • 0000•• +One-piece design eliminates possibility of lost anchor parts or improper assembly HEAD Sjyq.f;. 0.00•• +Can be installed with an impact wrench or conventional hand socket Hex Head."". :'• '. ' +Fast installation and immediate loading minimizes downtime . . • ,�; •• +High load capacities and full contact along thread length ANCHOV I`PIARRIALS • +Diameter and length ID stamped on head of each hex head anchor for easy inspection Zinc Platrcwot Steel ' • +Finished hex head provides attractive appearance and eliminates tripping hazard Type 410'Stainlesl Steel :•..:• """ +Can be installed closer to the edge than traditional expansion anchors • • • • +Versatile installation in concrete,block and brick masonry ANCHOR"SIZE'RANGf'(T7l`J ' • +Ratchet teeth on underside of hex washer head lock against the fixture +Removable and will not leave components in the hole 1/4"through 3/4"diameter . , , •VALS SUITABLE BASE MATERIALS 'JESTING, AAND LISTINGS Tested in accordance with ASTM E488 and AC 106 criteria Normal-weight Concrete Structural Lightweight Concrete SPECIFICATIONSGUIDE Grouted Concrete Masonry(CMU) CSI Divisions:03151-Concrete Anchoring, 04081-MasonryAnchorage and 05090-Metal Brick Masonry Fastenings. Screw anchors shall be Wedge-Bolt OT or 410 Stainless Steel Wedge-Bolt as supplied by Powers Fasteners, Inc., Brewster, NY. f 1 www.powers.com Canada:(905)673-7295 or(514)6314216 Powers USA:(800)524-3244 or(914)235-6300 y 5v- Ck 0000 0000.. 0000 . . 0000 .. 0000.. .0000. .. 0000 0000. •. . 0000 0000. . .. 0000.. . . . 0000.. . .. .. .. ...... 0000.. ...... . 0 0000 . .• ?Owers FASTENERS PRODUCT INFORMATION Wedge-Bolf(OT & 5S) PERFORMANCE DATA_. Allowable Load Capacities for Wedge-Bolt OT installed in Normal-Weight Concrete at Critical Spacing and Edge Distances1,ZIA Nominal Minimum Minimum Concrete Compressive Strength ff j Anchor Embedment Diameter Depth 2,000 psi(13.8 MPa) 4,000 psi(27.6 MPa) 6,000 psi(41.4 MPa) d h, Tension Shear Tension Shear Tension Shear in. in. lbs. lbs. lbs. lbs. lbs. lbs. (mm) (mm) (kN) (kN) (kN) (kN) (kN) (kN) 1 180 230 335 470 415 540 (2 5.4) (0.8) (1.0) (1.5) (2.0) (1.9) (2.4) 1 1/2 360 500 535 520 620 565 1/4 (38.1) (1.6) (2.2) (2.4) (2.3) (2.8) (2.5) (6.4) 2 600 500 985 520 1,245 670 (50.8) (2.7) (2.2) (4.4) (2.3) (5.6) (2.9) 2 1/2 880 500 1,165 520 1,315 670 (63.5) (4.0) (2.2) (5.2) (2.3) (5.9) (2.9) 1 1/2 475 690 630 860 760 1,400 (38.1) (2.1) (3.0) (2.8) (3.8) (3.4) (6.2) 2 750 775 980 860 1,300 1,400 (50.8) (3.4) (3.4) (4.4) (3.8) (5.9) (6.2) 3/8 21/2 1,025 860 1,330 860 1,835 1,400 (9.5) (63.5) (4.6) (3.8) (6.0) (3.8) (8.3) (6.2) 3 1,450 1,030 1,935 1,080 2,475 1,400 (76.2) (6.5) (4.5) (8.7) (4.8) (11.1) (6.2) 31/2 1,875 1,205 2,535 1,300 3,110 1,400 (88.9) (8.4) (5.3) (11.4) (5.7) (14.0) (6.2) 2 715 1,240 985 1,420 1,195 ,•1904 (50.8) (3.2) (5.5) (4.4) (6.3) + (5.0 +.(>i.i) ++++++ 21/2 1,025 1,450 1,300 1,620 +19620• +4}890 +• (63.5) (4.6) (6.4) (5.9) (7.2) ++9+31• •++(8.8: ++.,+6+ 12 3 1,480 1,550 1,950 1,810 • + 1 90 0 • (12.7) (76.2) (6.7) (6.8) (8.8) (8.0) (10.6) ( A + + 3 12 1,515 2,005 2,120 2,040 0 2 975+ • c,t 6 :0009: (88.9) (6.8) (8.9) (9.5) (9.0) •( 14) • (!.S) 00:0•• 4 1,890 2,165 3,155 2,270 • MSS; • • 24EQ ••••• (101.6) (8.5) (9.7) (14.2) (10.2) •+( 4x1) +X1`0.8 ++++++ 21/2 855 1,800 1,180 2,560 ++14vie 20645 +• (63.5) (3.8) (8.1) (5.3) (11.3) • (7!8)• (11,3) ++++i• 3 1,140 1,980 1,845 2,560 2,2411 ••2" (76.2) (5.1) (8.8) (8.3) (11.3) w (11T)o • (12.6) 31/2 1,430 2160 2,510 2,560 760 • 4 • • 5/8 (88.9) (6.4) (9.6) (11.3) (11.3) (12.4) +112.00 (15.9) 4 2,060 2,385 3,190 2,785 3,580 3,020 (101.6) (9.3) (10.6) (14.4) (12.3) (16.1) (13.4) 4 1/2 2,695 2,615 3,875 3,010 4,400 3,190 (114.3) (12.1) (11.6) (17.4) (13.4) (19.8) (14.2) 5 3,325 2,840 4,555 3,240 5,215 3,370 (127.0) (15.0) (12.6) (20.5) (14.4) (23.5) (14.9) 3 1,080 2,370 1,620 3,030 2,175 3,700 (76.2) (4.9) (10.5) (7.3) (13.4) (9.8) (16.4) 31/2 1,430 2,615 2,330 3,705 2,840 4,100 (88.9) (6.4) (11.6) (10.5) (21.1) (12.8) (18.2) 4 1,780 2,865 3,035 4,380 3,505 4,500 (101.6) (8.0) (12.7) (13.7) (19.4) (15.8) (20.0) 3/4 41/2 2,310 3,280 3,395 4,665 4,180 4,960 (19.1) (114.3) (10.4) (14.5) (15.3) (20.8) (18.8) (22.0) 5 2,835 3,695 3,755 4,935 4,850 5,425 (127.0) (12.8) (16.4) (16.9) (21.9) (21.8) (24.4) 51/2 3,360 4,160 4,115 5,210 5,520 5,890 (139.7) (15.1) (18.5) (18.5) (23.1) (24.8) (26.2) 6 3,885 4,530 4,475 5,490 6,190 6,355 (152.4) (17.5) (20.1) (20.1) (24.4) (27.9) (28.2) 1.Tabulated load values are applicable for carbon steel anchors. 2.Allowable load capacities listed are calculated using an applied safety factor of 4.0.Consideration of safety factors of 10 or higher may be necessary depending on the application,such as life safety or overhead. 3.Critical and minimum spacing and edge distances as well as reduction factors for intermediate spacing and edge distances are listed in the Design Criteria section. 4.Linear interpolation may be used to determine allowable loads for intermediate embedments and compressive strengths. f Powers USA:(800)524-3244 or(914)235-6300 Canada:(905)673-7295 or(514)631-4216 www.powers.com 5 15 ©V' q -Lowers. Wedge-Bolt®(OT & SS) PRODUCT INFORMATION FASTENERS DES IG�s j o Load Adjustment Factors for Normal-Weight Concrete Spacing, Tension (Flus) Notes:For anchors loaded in tension,the critical spacing(scr)is equal to 12 anchor diameters(12d) Dia.(in.) 1/4 3/8 1/2 5/8 3/4 at which the anchor achieves 100%of load. scr(in.) 3 41/2 6 7 1/2 9 Minimum spacing(smin)is equal to 4 anchor smin(in.) 1 1 1/2 2 2 1/2 3 diameters(4d)at which the anchor achieves 50% 1 0.50 of load. H 11/2 0.63 0.50 N� 2 0.75 0.58 0.5 /'- `.�NI E 2112 0.88 0.67 0.566 0.50 3 1.00 0.75 0.63 0.55 0.50 c 4 1/2 1.00 0.81 0.70 0.63 !` 6 1.00 0.85 0.75 �^CL 71/2 1.00 0.88 `S 9 1.00 Spacing, Shear(Fvs) Notes:For anchors loaded in shear,the critical sparing(sa)is equal to 12 anchor diameters(12d) Dia.(in.) 1/4 3/8 1/2 5/8 3/4 at which the anchor achieves 100%of load. scr(in.) 3 4 1/2 6 7 1/2 9 Minimum sparing(smn)is equal to 4 anchor Smin(in.) 1 1 1/2 2 2 1/2 3 diameters(4d)at which the anchor achieves 75% 1 0. of load. N 1 112 0.8181 0.75 2 0.88 0.79 0.75- 2 1/2 0.94 0.83 0.78 0.75 '^ 3 1.00 0.88 0.81 0.78 0.75 V -i c 41/2 1.00 0.91 0.85 0.81 S c 6 1.00 0.93 0.88 v '^ 7 1/2 1.00 0.94 ♦ •0 9 1.00 • • 0000 0000•• •• • 0000 • 06.666 •• 6 0006•0 d in tensionthe Edge Distance,Tension (FNc) Notes:For anc4%s 1WQ , critical • • 5 6 edge distance(c i!ival to 8 ar2c or diigmeters 0 0 0 0 Dia.(in.) 1/4 3/8 1/2 5/8 3/4 ccr(in.).) 2 3 4 (8d)at which 1-ilr Nor,achieves. 9%of load. cmin( 3/4 1 1/8 1 4 1 7/8 2 6 Minimum edge clTsfallct(cmin)is equal toot anchor 0 0 0 6 00000 0 diameters(3d)#aP jMA41he anchorlbehietl 70% 3/4 0.70 of load. 66 ••6 0.6 6 •000•• 1 1/8 0.79 0.700 _-. 1 1/2 0.88 0.76 0.70 0••0 Tt • • 1 7/8 0.97 0.82 0.75 0.70 • • • ••6••• •0.066 2 1.00 0.84 0.76 0.71 6 '00i0000i 2 1/4 0.88 0.79 0.74 0.70 • • 3 1.00 0.88 0.81 0.76 ' 6 v 4 1.00 0.90 0.84 LU 5 1.00 0.92 6 1.00 �,(- Edge Distance, Shear(Fvc) Notes:For anchors loaded in shear,the critical edge distance(ccr)is equal to 12 anchor diameters(12d) Dia.(in.) 1/4 3/8 1/2 5/8 3/4 at which the anchor achieves 100%of load. ccr(in.) 3 41/2 6 71/2 9 Minimum edge distance(cmin)is equal to 3 anchor cmin(in.) 3/4 1 1/8 1 1/2 1 7/8 21/4 diameters(3d)at which the anchor achieves 15% 3/4 0.15 of load 1 1/8 0.29 0.15 1 1/2 0.43 0.24 0.15 1 7/8 0.58 0.34 0.22 0.15 c 2 1/4 0.72 0.43 0.29 0.21 0.15 3 1.00 0.62 0.43 0.32 0.24 41/2 1.00 0.72 0.55 0.43 n 6 1.00 0.77 0.62 Com'" 7 1/2 1.00 0.81 9 1.00 f 14 www.powers.com Canada:(905)673-7295 or(514)631-4216 Powers USA:(800)524-3244 or(914)235 � zit- cl� 0000 ...... 0000 . . . . 0000 .. . . 0 . ...... . 00 0000.. . . 00.60. 0000.. . . .. 0000 . . 6...• .. . 0000 0000. . .. 0000.. 6 . . 0000.. . 66 00000 . .....6 6.0066 . . . . 0000.. . 0000 0..0 to 4G W CR m O r m CA ttJ. .J*,.: m CV m, :. m O C? m r O v N 11 .K Iq r O r m n m m N t7 m to- CD 0 K m -Lo Cv � mm Ncm Ln m O K m CA-K Ln V N O $ K KKKmCO mmtn � m NN J r r_ LO S i., 41- r Hifi r C m n �,,.s z- - t .�, . . nF• .�it{ '•4'z •^`',?'L'S ' ' .�,+eR 8 •'"gi _ M-Na0N p �.m e 9 -,M.'to ec rt,.�,m •'viwm de•-> t�l..e4 La o sn.. . _ � a� ta"yfio '�' �.scrc©mac� M•,'R e'3�.eea o '`�`}�c� "'"�s�03 as m n-,��a.,-_ ; C L -,�. m o �q C7 m o Q}C'7 ,r �' C'7'CO �fT C6 I� m R1 O.mN K CV K W m 'd'CO CO m m O CO V' N O m CO LaO O O O O O W Q7 CC7, CP I*-- K m tt7 to 7t V' m m m N N N N r OoN to N- /�//�� to Y/ r awl 'Y+- },-` -'a�:�' •� �c• s-� `fig 4.c. s CV cG r- �. my n' r "Q7-.�.,•,. xx4t��, .,�.CVKSC�xs '` t ■� ` dO o rn W aL* x !of c1i tab Fin o m� t[�mr�r b- o m ■� �n�� K--. ;-Lam m La xt+,.l�1 "k,- - a, .y,'`.,.t m i A ) m.N O m K-cn cox rV ca 1�+ N M -� m }!�I X a� LL' B V/ o m K ¢o co: n ice.CA <f m m.. 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N N ?!-nL.N'N.M n y cD CL IM cc R _ II y w o -,(.t`uopeuS8lu snlpPt feel }oeds01431a►`(!)Df`U3ffuu1 eARl3 �� .'i 0000 0000.. 0000 . . 0000 .. .0000. . 00 0000.. 0000.. 0000.. .. 0000 . . 0 00000 .. . 0000 0000. .00.00 0000.. .00000000 .. .. . . . ...000 . . . .00..• . . 0000.. . . . 0000.. i 0000 0000•• • •• 0000•• • ••ii•i • • • •• 0000 ••i•0 •• • 0000 0000• • •• 0000•• 0000•• • •• •• •• • • • 0000•• 0000•• • • • • 0000•• 0000•• • • • v ..........__.. ......... Edward Enriqua 736-302-3547 1 15680&N 12 Terrace,Miami,Ft 3€ 11 t Mettler Name Jose C. Orella a Welder 1r ;34570 Lab tics. 'l'� &03 Test tlete �1 612013 Client Na. Artimes Co,Corp, welding Cede AWS 1.1-10 Thickness 1{2° Plate: _ roe Process SMAW Position .3 Vertical UP Plate Range Qualified 118*tis 1 c OwavefTillel Range Procedure AWS Fig -tl2a Pipe 19 Base Material A- I •••.•.. ', > r� y � ,sem r Pfi�"'""-""' c�W � r c :, f � �.0 s/ %�/ti y ,, ": • € �'"»sx� � ,tea. � z +L c c y ''r �g ,�a M �a s� s- tf� �••••• Trade $. $fit€li :••••• +•••• pestFtsotiett AWS A5.1 Classification 7315 �$ E x ektn Q Welding Gus NIA Fhrx e Diameter 1s';4 044 ..:. ...... c t • • • • •�••••• i �; i 4 �����/', �d � � '�j`"r d g�+ �� � a� a � � m e a 3���s � a�s ��� � i�••••i Weld Appearance Good Undetcol None Prieto Porosity Norge . t Test Results 2 coupons were bent sideways per ASIS 4.5.3.1 and accepted per 4.8 .3 Test Results 2 coupons were bent sideways per AWS 4.S 31 a accepted ger 4.8.3.3 c ......_., , .. _..... . t e - --✓ice, -�. - ..... -- �,.,., _ Our represerttat+v present to witness the a erg can the test stated above and attest that t lshe is able to produce quality welds that are acceptable to the AWS ft1ding code starWard require tents.The der is therefore certify to perform groove or Fillet welds in the 1 G,2 ,3G&Ota positions on pipe or plate and in the rage that was tested on. This coriffication will remain is good standing for 6 months or fm one(1)year,with proof of continuedh performance from quatifted pamonnel. The welder identified above is Qualified to perform.welds in the stepffield as per specified code, Respectfully Sit edg National eldin Inspection Specialists$ LLC. ( ) 11106/2014 trtram�srtr°t atm,�, '� ..e. sees.. sees . . .....• sees.. sees .sees. sees. . sees sees. sees sees.. sees.. sees .. .. ...ss. .00000 . . . . sees.. 000.0. . . . sees .. Y t � NO yrJVA ter.v r,DNe, .�.�<. s �, . : �� Edward Enriquez 786-302-3547 corn ' 15680 SW 12 Terrace,Miami,FL33194 ral"];��������������� --- weldor name Santos C.Izaguirre Welder tB 0194 1#No NOW Test date:11!0612013 z Client No. Artirnes Co,Corp Welding Cede AWS 01.1-10 Thickness 112 plateV,, Plan "_. _. ........ _.._.,,.s ,, .. Process SMAW Position 3G Vertical UP Pate Range Qualifted 11W to 1� Greza"Fttlet _ Pip z iG Base Material A-36 i A-36 Pipe Range. Ptocedure AWS Fig 6-1.1U• k i ! Specification e.:AWS A5^1 Classification E7018 Trade Name Lin€Om E66C ,..... .... Backing No. Shieldiaeg Flux Gienreter . °+ j { •••• ' ••••• p • • • • • •• • Weld Appearance Good UnftrcW None Piping Paresity None Test Raults J2 coupons were bent sideways per AVS 4.5.3.1 and accepted per43.3.3 i teat Restifts;2 coupons were bent sideways per AWS 4,13.3,1 and amipted per 4.8.3.3 Our representative was print to witriess the above welder quality on the test stated above and amt that he/she is able to produce quality wdft lttat are acceptable to the AVCS welding code standard requirements.The welder is therefore certified to t gperforin groove or fillet welds in the 1G;2G,3G&4G positions on pipe or plate and in the range that was tested on, _.._..._... _.-._- -......... . _ ....,. This certification O remain In gwW standirtg for B months or max one(1)year,with proof of continuedrf nce t from qualified persmnel. The welder id fed above o pgr1orm wands to the shop/field as per specified code. ____... RespectfullySubmitted; y National Welding Inspection Specialists,LLC. t i r _ illi tare'rtreguez,CIVI 11/0612014 Attrtes sr t3 Exp.tree `;_a;t,.. AL''K.€ru ,4„ea , , .... .... _._. v 66.. 0000•• 0000 . • 0000.. .. 0000•. • • . • 0000•• •6664. • . . • 0000 •0090• • • 0000. • 0000 0000. 0000 0000•. • . • 0000.. 0000 •. .• 6 • • 66.64. 6.0460 6:006: • 6 0.0•.0 . • . • 0000 . .6 American Testing ion. F.O. Box 971801 Miami,x'133197 Lob Nor :ATI-VII-910 ERIT I T Client ion C.Perez. Address.974 SW 2st Apt#2 Miami R 33120. Welder's Dame:J030 C.Pe -_. WELDER OPERATOR-. E CO C TIODI: a1A T 'itRIARL M A.W.S.W.P.S.No.B2.I 205: SUPPLEMENTS No.-.!g PROCESS(KS)--SMAK MANUAL:A AUTOMATIC: MACHINE.. POSITION: PROGRESSION--lPffiftl PASSES:SINGLE. MULTfPLE-y- TEST BASE METAL SPEC% PIKE SP :A AS3 rL No.:_ T'L TMCtel= . . 0000 sees.. FILLER AL SPEC.:�WS A5.1 F SSIICATION:EOI O&7018 F No.:�_ •••� � e 1 •' AC.e_. ) SIVE CYCTAS:NIA W RATE .. 0000 0000.. s�+ . . •se.•0 #. 00 ...• .VISUAL 00. TEST RESULTS: E FA , 00000000 0. 0000 0000. 000: 0000.. 0000.. . GUIDED BEND TEST RESCILTS: 1'A55: FAIL:-- 0000:. 0000.. IBI IIIC RESULTS- P FAIL. 's.' : e..• i•.••0 TESTWITNESSED QRMAXAMMYARMAIM PROCESS QUALIFIED FOR: TMC104M QUALIFIED FOR Up to O S }" PIPE DIA-2»875"to POSMON QUALIFIED FOR: 9&0-05% off cc P PLATE: ALL ALL PLATE: ALL PIPE:. ALL ALL PIPES:jandtin UAIRLCAEPARAUMM We if t.s in Oris ir aoa $std the welds w welded accordance with the vc*mmemofCl ofAW5 OI.I/DI.1M(2010)S Welding •S A.W.S.C. . :EDGAR J.ALFONSO N.D.T. and Inspections, Inc. 5047 SX 167"'Avenue Lab Number: 01-078 Miratttar,Florida 33027 A.W.S. A.T.F.#990203 (954)450-8536 FAX(954)442-4157 WELDER QUALIFffiATIPYTEST RECORD Client: Catgl teal StrMStura Address: 2188 N.W. 25"'Avenue. Wam, � FL 33142 Welders' Name: I§Mgl YANHQ Social Secu nty 594-97-6>98 Welder: _2L Operator: Eye Correction- JN __/A IES_M, G Y&MBLF AWS WPS NO.:Faj-1:01-j� SUIPPLEIMENT',SO,: 0 TL%T NOi DI.I.-S PR ES)- S,M,,AW. TYPE-MAb3l POSITION 000:!• 00 000*00 PROGRESSION;_J�V_ 0000 0 0 0 0 BASE METAL SPEC.:AM W.6 MATERIAL NO..M-.L MA. r"THICt? 0%689 FMLER METAL SPEC.:AWS A S.1 CLASSIFICATION, gZQI§. F N.-: •4: Mn:_1 1"00090 00 00 � 9000:0 CURRENT.Dg SHIELDING GASa RAMP-:1.1:t • so a 0 • 0 000000 0• 0 ;_ •0 • . 0 :Goo*: TF19 ROM 0.00 00 0 0000 VISUAL TEST RESULTS: PASS-,X FAIL:- BENI)TEST 'LT& PAS& FALL: RADIOGRAPHIC TEST RESULTS- PAft FAIL: - TEST WITNESSED BY;R_a6A Qdja�a AWS 8CW1#-9701QQ IS RADIOGRAPHER:Shane Ruig_ Izvel,11 R,T, QUAL-MCA-IM PROCESS QUALIFIED FOR: THICILNESS QUALIFMD FO&_IKMJdC_ PIPE Dia.: (Witb backing or hacikgougjag) POSMONS: PLATE: Flat,Horz,Vert. Flat,Horz.,Vert PLATE: Flat,Ilor-z,Vert, E. Flat,Horz"Vit, Flat,Horz.,Vert. PIPE* Flat,Florz.,Vert. !URM CA=MnAZNT We cert4 that the statements m this record are correct and that the test welds were prepared,welded and tested ul accordance with the requirements"he latest edition of ANSIVAWS D1.1-00. A.W.S. S.C.W.I.: Pfi3id QnIi"z Reviewed By: ...... .... . . •••s.• •• 000.0• • • • • 00.000 •0••.• • • • • •••• 0000 ••••.• • • . • 0000 • • 0.000 •.•• 000..0 • • • 0.00.0 •.•• •• •• • • s •....• 0000•• • . • • 000.0• s • . • • 0000 • •• • •0 Certificate of Competency MIAMF Manufacturer or Fabricator Miami-Dade County,Florida of Construction Materials, MIAMI-RADE COUNTY Department of Regulatory and Products or Assemblies Economic e�rces 11805 S��V.�G Street,Reern 208 •••• Miarh?,Fibrida 3'3'17 -:474 • Certification No. 15-0819.05 Tel(786)315-2-TcMM(786)315'2599 •••• 0000.. 0 0000 0 000000 The Department of Regulatory and Economic Resources hereby certifies thajl;rgpitol•Rgpt�l Building Epuipment located at 2188 NW 25th Avenue, Mianti, FL 331420.3dmplie4with the requirements of Article IV, Chapter 8 of the Code of Miami-Dadr•bounty as a • manufacturer and/or fabricator of Structural Steel and Misc. Metals. •••••• . . . 0000 .. .... 00 0 Certification Date: 10/1/2015 Certification Expires: 9/30/2016 f Am 'co Segura,M.S. Quality Assurance Unit Supervisor Product Control Section THIS CERTIFICATE DOES NOT ENTITLE HOLDER TO CONTRACT FOR ERECTION OR INSTALATION.WHERE SEVERAL PLANTS ARE OWNED BY THE SAME COMPANY A SEPARATE CERTIFICATE OF COMPLIANCE SHALL BE REQUIRED FOR EACH PLANT.THIS CERTIFICATE SHALL BE REVOKED IF THE HOLDER FAILS TO MEET THE CODE OF POLICY REQUIREMENTS COVERING THIS PRODUCT. • •••••• •••• • • a••••• a• •••••• • •••••• • • • • •••• oeaeo e•••• •••• s••••• •••••• •••• •• •• • aotui� Local Business Tax Receipt Miat i-Dad County, Shite of Florida T .1LB -THIS IS NOTA BILL -.DO NOT PAY 4412474 O"Wig" OILOCA-nom l c aariruo. EXPIRES CAPITOL STEEL STRUCTURES REWWAL SEPTEMBER 30, 201B 2188 WAV 25 AVE 4606365 Must be displayed at-il 1 bu&i MIAMI R 33142 Pursuant td County d ChapterSA-AWS&IO .F OWNER ffi B Cil$�tis3tltil�ffiSl PAY �t�i • • 1 � KOOSSO"SS '"S11,1 1{�# {CONTRAC •••• sees:* C�'�!L AL OLKW�+G 1 C 4x��t • t#ark } 3o.i 966996 CKED1TEi 2 i • 000.0• 'lilal Yaxlaniyr +p�aptttafll� Toa,;t�ele ta�,irf.i• i•00io • • wa e ri tiag alrthe •.0.• rir irylerrsad ia�tss. :000 0 • • - .•1R-Rr 0000• fEl. m as Im d as all�ubfl�3 WOMBtvAlOt�6 lVl f s `4 r. •_. ..i• •i•... Farman i atium Visk o.• • • •0 • • • 0000•• i• • 0000 • • • • jy 5 sees �� ..sees sees .0000. ... 0..ee0 . 0 see0. a sees •000• 0000 sees.. sees.. sees 000000 e e . .e.sse 0.000. 0 ease*• . sees.. . .