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DEMO-12-2247Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 186090 Permit Number: DEMO -11 -12 -2247 Inspection Date: February 22, 2013 Inspector: Bruhn, Norman Owner: LIEBER, PATRICIA Job Address: 137 NE 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NUNEZ CONSTRUCTION INC Permit Type: Demolition Inspection Type: Slab Work Classification: Building Phone Number Parcel Number 1132060133170 Phone: (305)216 -3510 Building Department Comments DEMOLITION OF EXISTING ILLEGAL LIVING SPACE IN GARAGE AND BRING IT BACK TO ITS ORIGINAL USE. Infractio Passed Comments INSPECTOR COMMENTS False Passed �- j� Inspector Comments CREATED AS REINSPECTION FOR INSP- 186082. pending payment for revision �� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 22, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 AlFIexx Exterminators, Inc, 4035 S.W. 98th Avenue, Miami, Florida 33165 P.O. Box 650213 / Miami, Florida 33165 -0213 Tel. (305) 552 -0141 / 1 -800 782 -9284 Fax (305) 227 -1797 Web Page: www.alflexexterminators.com / Email: alflex @bellsouth.net Partial Treatment Notice °� Ale (� Property Address:' / ' G e %& sr / ll2�l FL Project Name:cf <<4L- Lot Block Model: Service order by: faINEZ £N7 N2 2811. Permit #: Dater/ /5 Time: Wad Product Used: ZWAU IN 21, Number of Gallons applied :4 Aro Applicator: QCIe Chemical Used: / i (active ingredien Percent Concentration: ao" Area Treated : P Tamp: Linear feet Treated : Stage of Treatment : Horizontal /Interior Vertical This is not valid without a company seal 1. The above noted structure has received the first of two or more required treatmets for the prevention of native subterranean termites. 2. Upon completion of this treatment and payment of any balance due under this contract, Al -Flex will provide purchaser with written confirmation that the treatment is completed and the associated limited warranty is in full force and effect. The limited warranty shall not be considered to be in effect until all required payment has been made. This form is for inspection or construction draw purposes only. The perimeter of the above structure must be treated at final grade accordance with pesticide label and Florida Statue. Warranty and treatment certification will be issued upon completion of final treatment. Thls form should not be accepted as proof of complete treatment for Certificate of Occupancy or Closi " IERM/ NOTICE TO BUILDER: It is the responsibility of the builder to. notify AL -Flex Exterminators should treatment ut618. ,iq driveways and entryways. Al -Flex Exterminators must be notified at final grade of structure so final treatmen i&k ompletedM warranty issued, and required paperwork for closing submitted. S • g i. THIS IS NOT A PROOF OF WARRANTY \ .'- 0R`©P-,: 6 o NOTE: CONTRACTOR TO FIELD VERIFY ALL DIMENSIONS PRIOR TO FABRICATION. STRUCTURAL NOTES: • CONCRETE TO HAVE MINIMUM COMPRESSIVE STRENGTH OF 3000 PSI AT 28 DAYS • CONC COVER TO REBAR TO BE AS FOLLOWS: •• SLAB ON GRADE = 2" •• SLAB EXPOSED TO WEATHER= 3/" • REBAR TO BE GRADE 60 • WELDED WIRE LAPS TO BE 12" 4" CONCRETELAB W/ 6x6 - W1 .4xW 1.4 WWM OVER VAPOR BARRIER #5x24" DOWELED & EPDXIED 6" INTO EXT'G SLAB OR WALLS Q 24" OC PROPOSED 4" CONC SLAB SCALE: 1/4" = 1' -0" LIEBER RESIDENCE P:1!CHAEL BRIM, PhD, PE #66360 Date: 7- Feb -2013 cafe: AS SHOWN Sheet: J °)D-olote4 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: BUILDING g 7 �� 9_ FBC 20 Permit No. Master Permit No. 6 /l' / 1— 2 2467 ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): 7'// °e /CW Address: /' % /17 9 ST NO Flood Zone: Phone #: City: • LY7 ( ? 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 N� Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o - .,,:.. -. d notice, the inspection will not be approved d a reinspection fee will be charged. S The foregoing ins day of 1 e v we / /74 Owner or Agent ent was ac owledged efore me this go//G who is personally known to me or who has Asidentific NOTARY PUBLIC: Sign: Print: My Commission Commission Expires: Signature Contractor The foregoin instrument was acknowledged before me this day of ,20t 3byC C&.OS N`""c.,Z L., who is personally known to me or who haspckin S o diSsAtem miaow Notary Public, State of Florida Commission # EE 198163 My comm. expires.Mlay 14, 2016 APPROVED BY Sign: Print: My Commission Expires: as identification a�j tJid.t3;ke an tvt *tth. Plans Examiner Zoning Structural Review Clerk (Revised 5 /2 /2012XRevised 3/12/2012) XRevised 06 /10 /2009)(Revised 3 /15 /09XRevised 7/10/2007) DEPARTMENT OF PERMITTING, EN AFFAIRS (PERA) BOARD AND CODE ADMINISTRATIO NOTICE OF ACCEPT DAB Door Company, Inc. 12195 NW 98th Avenue Hialeah Gardens, FL 33018 SCOPE: Th' : t"s- ke:ng- constructio,'als County PE Pro duFt the Authori: , v n This NOA s • .. Section (In i -_t to have th' perform in 3" a "' anner, immediately : oke, t o s fy, or d1"'fi TY -; Miami Shores Village J APPRO\'ED 1 BY DATE ZONING DEPT BLDG DEPT FEB 1 1 1/) j01 , e MIAMI -DADE COUNTY �YtODUCT CONTROL SECTION I ON MENT0AND REGU EAWTORALL FEDERAL 1 8 5 Miami, Florida 33 oo 5-2474 s N S *r;,4T 1S (786) 315 -2590 F (786) 315 -2599 c=r� ��t � ��� IOr` _ www.miamklade.gov /peral d der the applicable rules and regulations governing the use of tation submitted has been reviewed and accepted by Miami -Dade on to be used in Miami Dade County and other areas where allowed by (AHJ). expiration date stated below. The Miami -Dade County Product Control d/or the AHJ (in areas other than Miami Dade County) reserve the right ed for quality assurance purposes. If this product or material fails to manufacturer will incur the expense of such testing and the AHJ may nd the use of such product or material within their jurisdiction. PERA 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: 9'- 4" Wide x 16' High Steel Sectional Garage Door w/ Window Lite Option APPROVAL DOCUMENT: Drawing No. 01-09, titled "Sectional Garage Door", dated 02/01t2001, with last revision F dated 10/13/2011, sheets 1 through 5 of 5, prepared by AI- Farooq Corporation, signed and sealed by Javad Ahmad, 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 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 # 11- 0119.21 and consists of this page 1 and 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. NOA No. 12-0110.06 Expiration Date: August 9, 2016 Approval Date: March 1, 2012 Page 1 DAB Door Company, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. 01 -09, titled "Sectional Garage Door", dated 02/01/2001, with last revision F dated 10/13/2011, sheets 1 through 5 of 5, prepared by Al- Farooq Corporation, signed and sealed by Javad Abroad, P.E. B. TESTS "Submitted under NOA # 09- 0128.04" 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 along with marked -up drawings and installation diagram of a DAB 824 24 GA Sectional Garage Door with Fixed Windows, prepared by Hurricane Engineering & Testing, Inc, Test Reports No. HETI- 08- 2149A/B, dated 06/27/2008, signed and sealed by Candido F. Font, P.E. "Submitted under NOA # 09 -0128.04" 2. Test report of Tensile Test per ASTM E 8, Report No. HETI 08-T182, prepared by Hurricane Engineering & Testing, Inc., dated 12/23/2008, signed and sealed by Candido F. Font, P.E. "Submitted under NOA # 03- 0210.04" 3. Test report on Salt Spray (Corrosion) Test per ASTM B 117 of a painted 0-40 steel panels, prepared by Celotex Corporation, Test Report No. 258592, dated 08/17/1998, signed by W. A. Jackson, P.E. C. CALCULATIONS "Submitted under NOA # 09-012&04" 1. Anchor verification calculations prepared by Al- Farooq Corporation, complying with F.B.0 2007, dated 12/19/08, signed and sealed by Humayoun Farooq, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Permitting, Environment, and Regulatory Affairs (PERA) (difirOW trera rl os P. E. Product Control Examiner NOA No. 12-0110.06 Expiration Date: August 9, 2016 Approval Date: March I, 2012 E -1 DAB Door Company. Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 08- 0305.02, issued to SABIC Innovative Plastics, for their Lexan Sheet Products, approved on 04/24/2008 and expiring on 07/17/2013. 2. Notice of Acceptance No. 07- 1016.07, issued to Insulfoam, LLC, for their Insulfoam Expanded Polystyrene Insulation, approved on 11/29/2007 and expiring on 11/29/2012. 3. Notice of Acceptance No. 07- 1107.08, issued to Dyplast Products, LLC, for their Expanded Polystyrene Block Type Insulation, approved on 04/26/2007 and expiring on 08/27/2008. 4. Notice of Acceptance No. 07- 0301.10, issued to Dyplast Products, LLC, for their Dyplast ISO -C1 Polyisocyanurate Insulation, approved on 06/07/2007 and expiring on 01/11/2012. "Submitted under NOA # 05- 0228.02" 5. Test Report on Accelerated Weathering Using Xenon Arc Light Apparatus Test per ASTM G155 of "PVC Extrusion Material", prepared by Hurricane Engineering & Testing, Inc., Report No. HETI 04 -A002, dated 09/27/2004, signed and sealed by Rafael E. Droz -Seda, P.E. 6. Test Reports on Tensile Test per ASTM D638 of "PVC Extrusion Material", prepared by Hurricane Engineering & Testing Inc., Report No. HETI 04 -T251, dated 11/29/2004 signed and sealed by I. Ghia, P.E. 7. Test Report on Self - Ignition Temperature Test, Rate of Burn Test and Smoke Density Test of "REHAU non -foam PVC extrusion material", prepared by ETC Laboratories, Report No. 04- 761 - 15019.0, dated 05/06/2004, signed and sealed by J. L. Doldan, P.E. F. STATEMENTS 1. Statement letter of code conformance to 2010 FBC and no financial interest, issued by Al -Farooq Corporation, dated 10/26/2011, signed and sealed by Javad Ahmad, P.E. Carlos M. Utrera, P.E. Product Control Examiner NOA No. 12-0110.06 Expiration Date: August 9, 2016 Approval Date: March 1, 2012 E -2 (sheet 1 of 5 ) DOOR HEIGHT CONSISTS OF 8'-8" 2 SECTIONS 18" 2 SECTIONS 21" 8' -9" 1 SECTION 18" 3 sac110NS 21" 7' 4 SECTIONS 21" — 7' -3" — — 7' -8" S SECTIONS 18" — 7-9° 4 SECTIONS 18" 1 SECTION 21" 8' 3 SECTIONS 18" 2 SECTIONS 21" 8-3" 2 SECTIONS 18" 3 SECTIONS 21" 8' -8" 1 SECTION 18" 4 SECTIONS 21" 8' -9" 5 SECTIONS 21' — 9' 8 SECTIONS 18" — 9' -3" 5 SECTIONS 18" 1 SECTION 21" 9' -8° 4 SECTIONS 18° 2 SECTIONS 21° 9' -9" 3 SECTIONS 18" 3 SECTIONS 21" 10' 2 SECTIONS 18" 4 SECTIONS 21" 10' -3" 1 SECTION 18" 5 SECTIONS 21" 10' -8" 8 SECTIONS 21" — 10'-9" 8 SECTIONS 18" 1 SECTION 21" 11' S SECTIONS 18" 2 SECTIONS 21" 11' -3" 4 SECTIONS 18° 3 SECTIONS 21" 11' -8 ". 3 SECTIONS 18" 4 SECTIONS 21" 11' -9" 2 SECTIONS 18" 5 SECTIONS 21" 12' 1 SECTIONS 18" 8 SECTIONS 21" 12' -3" 7 SECTIONS 21" — 12'-8" 8 SECTIONS 18" 2 SECTIONS 21° 12' -9" 5 SECTIONS 18" 3 SECTIONS 21" 13' 4 SECTIONS 18° 4 SECTIONS 21" 13' -3" 3 SECTIONS 18° 5 SECTIONS 21" 13' -8" 2 SECTIONS 18" 8 SECTIONS 21" 13' -9" 1 SECTION 18° 7 SECTIONS 21" 14' 8 SECTIONS 21° — 14' -3" 8 SECTIONS 18' 3 SECTIONS 21" 14' -8" 5 SECTIONS 18" 4 SECTIONS_ 21" 14' -9" 4 SECTIONS 18" 5 SECTIONS 21" 15' . 3 SECTIONS. 18" 8 SECTIONS 21" 15' -3" 2 SECTIONS 18" 7 SECTIONS 21 " 15' --8° 1 SECTION 18" 8 SECTIONS 21" 18-9" 9 SECTIONS 21" — 18' 8 SECTIONS 18" 4 SECTIONS 21" 7 -1/2" X 3° X .071" GALV. STEEL END ROLLER HINGE W/ (6) # 14 X 5/8" SMS rA TOP FIXTURE 5 -1/2" X 2 -3/4" X 0.1" STEEL PLATE WITH ONE 5/16 -18 MS W/ NUT FASTENED TO END STILE WITH (6) #14 X 3/4" SELF DRILLING SCREWS CENTER STILE OPTIONAL DOOR VIEWER TO BE INSTALLED AT CENTER STILE r —• A .071" X 7-1/2" GALV. STEEL W/ 4)f4X 1/2 " SMS 1 .158 DIA. GALV. AIRCRAFT TYPE CABLE & NICO —PRESS SLEEVE W/ MIN. 5 TO 1 SAFETY FACTOR 5 "X3 °:X0.1" STEEL PLATE WITH (2) #14 X 5/8" SMS CENTER STILE OUTSIDE HANDLE 1" W X .15" THK. LATCH SPRING LOADED SLIDE BOLT LOCK (BOTH SIDES) FASTENED W/ (4) # 14 X 1/2" S.M.S. 5/8" MIN. LOCK ENGAGEMENT CONFORMS TO EBC 1012 REGARDING GARAGE DOORS -- COLONIAL DESIGN BRACKET STD. LIFT DOOR END STILE BRACKET LOW HEADROOM DOOR OPTION 7 -7/8" X 3 -1/8" X .010" STEEL TE WITH (4)x#14 X 3/4" SOS LOCK BAR GUIDES INSTALLED ON END STILE WITH (4) #14 X 5/8" SMS 18T X .8W LOCK BAR ENGAGES IN TRACK ON EACH SIDE OF DOOR OUTSIDE KEYED LOCK LOCK BAR LOCKING SHOWN ALTERNATE TO LOCKS SHOWN ABOVE MAX. DOOR WIDTH INSIDE ELEVATION RAISED PANEL EMBOSSED DOOR GENERAL NOTES 1, THIS PRODUCT HAS BEEN DESIGNED AND TESTED TO COMPLY WITH THE REQUIREMENTS OF THE FLORIDA BUILDING CODE 2010 EDITION INCLUDING HIGH VELOCITY HURRICANE ZONE. 2. ANCHORS SHALL BE AS LISTED, SPACED AS SHOWN ON DETAILS. ANCHOR EMBEDMENT TO BASE MATERIAL SHAT.... BE BEYOND WALL DRESSING OR STUCCO. 3. ALL BOLTS. NUTS AND WASHERS SHALL BE NC PLATED CARBON STEEL. 4, ANCHORING OR LOADING CONDITIONS OTHER THAN THOSE SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL 5, A LOAD DURATION INCREASE 1S USED IN DESIGN OF ANCHORS INTO WOOD ONLY. OPTIONAL FLUSH FACE WOOD GRAIN DESIGN DAB DOOR MODEL 824 MAX. SIZE 9' -4" WIDE X 16' -0" HIGH DESIGN PRESSURE RATING = + 50.0 PSF - 60.0 PSF THIS PRODUCT IS RATED FOR LARGE MISSILE IMPACT EIgn JAV�sD J{FI{ AD gI • PE 70592. .A.N.'3538 PRODUCC RIMMED its complying with the Florida Build* Code Atavism No • 19/M `05 , 4.It41r71 ^f Y/ K1rt�. 9 1n 00 O M < ri co cp {J} O 0 t o in C3zziS I c sR G 0 'C a� v IC 1 D m 8 5 0 W 0 1 ) 1 drawing no. 01 -09 FOR CONNECTION OF WOOD BUCK TO MASONRY SEE NOTE ON SHEET 4 SOUTHERN PINE 0.55 S.G. STEEL TRACK BRACKET FASTENED TO WOOD JAMB WITH 5/16" X 1 -5/8" LAG SCREW (FULLY THREADED) ONE PER BRACKET OPTIONAL STOP MOULDING BY DOOR INSTALLER _ #14 X 5/8" SMS 8 PER HINGE 1/2" X 1 -3/4" X .059" FORMED STEEL GLUED TO PANEL AND SECURED TO END STILE WITH 3/18" POP RIVETS i 12" O.C. SOUD BRASS DOOR VIEWER BY 'SCHLAGE SECURITY HARDWARE' INSTALLED IN 9/16" DIA. HOLES IN CENTER STILE POSITIONED AT EYE LEVEL 3/4" X 2" X 2 -1/2" X 18 GA. STEEL. D STILE, CONNECT TO PANELS WITH_ FLAPS AND 3/16" ALUM RIVETS SEE DETAIL ABOVE 24 GA. STEEL PANEL 3/18" ALUM RIVETS FLAPS BENT OVER PANEL 1 -7/8" X 2 -5/8" X .045" STEEL CENTER STILE, GLUED AND RIVETED TO PANEL W/ (4) 3/18" RIVETS EDGE DISTANCE POP RIVETS #14H 5/8" S.M.S. NGE 1/2" PUNCHED HOLES 4" 0.C. END STILE ANCHORS: A) 3/8" DIA. POWER --BOLT BY 'POWERS' 2" MIN. EMBED INTO CONCRETE 1 -7/8" MIN. EDGE DISTANCE B) 3/8" DIA.. HLC SLEEVE BY 'HILTI' 1 -1/4" MIN. EMBED INTO CONCRETE OR FILLED BLOCK 1 -5/8" MIN. EDGE DISTANCE INTO CONCRETE 4" MIN. EDGE DISTANCE INTO FILLED BLOCK CONCRETE re a 3000 PSI MIN. C -90 GROUT FILLED BLOCK t" w 2000 PSI MIN. 1� 3/10� 4> 1 -3/18" 1.9" X 2.19" X 3.3" X .102" STEEL TRACK BRACKETS SEE SHEET 3 FOR SPACING ANCHOR TYPE A OR B (1) PER BRACKET SEE SHEET 3 FOR BRACKET SPACING N- 1/4-20 SS BOLT & NUT 7 -1/2" X .050" GALV. STEEL CENTER HINGE SECTION B —@ 2 -1 6" X 1" X .078" GALV. STEEL TRACK FASTENED TO TRACK PLATES W/ 1/4.-20 X 5/8" TRUSS HD. SLOTTED M.S. & LOCK NUT 7/16" PUSHNUT INSTALLED ON ROLLER SHAFT INTERIOR SIDE 7- 1/2 "X3 "X.071" END ROLLER HINGE 1.82' A. X .50" NYLON /STEEL ROLLERS -� W/ .44 DIA. X 4 -1/4" STEM ErW7 JAy , CWi FIA. PE AI 70592' C.A.N. 3538 I • • PRODUCT REVJSW ow complying widgets Florida liaadIng Code . / : O,G drawing no. 0 1 -09 (sheet 2 of 5 1 (sheet 3 of 5 ) 2 -3/4" X 5-1/2" X 3" X .104" GALV. STEEL TOP ROLLER BRACKET (DOUBLE) FASTENED W/ (6) # 14 X 5/8" S.M.S. .090 THK. GALV. STEEL ADJUSTABLE SUDE FASTENED TO BRACKET W/ 5/16 -18 X 3/4" HEX HEAD SCREWS & NUTS. ° r SECTION. A—A HORIZONTAL REINFORCEMENT 1/2" X 1 -3/4" X .059" FORMED STEEL GLUED TO PANEL AND FASTENED TO VERTICAL STILES WITH (2) 3/16" POP RIVETS 5/16" X 1 -5/8" LAG SCREWS INTO WOOD OR 5/16° SLEEVE ANCHORS WITH 1-1/4" EMBED INTO MASONRY 3 PER BRACKET 2-1/2" X 4-1/4" X 13 GA. STEEL PLATES WELDED TO 1 -1/2" X 1 -1/2" X 14 GA. ANGLE FASTENED TO TRACK WITH (4) 1/4-20 SS. BOLT & NUTS 2" X 5 -1/2" X .104° GALV. STEEL. FASTENED W/ (4) # 14 X 5/8" S.M.S. TOP ROLLER BRACKET FOR LOW HEADROOM DOOR OPTION HORIZONTAL REINFORCEMENT 1/2" X 1 -3/4" X .059" FORMED STEEL GLUED TO PANEL AND FASTENED TO VERTICAL STILES WITH (2) 3/16" POP RIVETS 5/16° MEETING RIB 1.82" DIA. X .50" ROLLERS W/ .44 DIA. X 4 -1/4" STEM OPTIONAL INSULATIONS: BY 'DYPLAST PRODUCTS_ LLC' EPS— EXPANDED POLYSTYRENE DENSITY .. 1.05 PCF N.0.A. #07- 1107.08 OR 190-25 POLY — ISOCYANURATE DENSITY = 2.0 PCF N.O.A. #07- 0301.10 OR BY 'IN's ' OAM LLC' DENSITY = 0.92 PCF N.O.A. #07- 1018.07 14 GA. GALV. STEEL ROLLER HINGES FASTENED W/ (4) #14 X 5/8" SMS MIN. .024" ROLL FORMED STEEL PANEL DRAWING QUALITY 0 -40 MW. YIELD STRENGTH = 34 KSI WITH PRIMER AND BAKED —ON POLYSTER PAINTED TOP COAT APPUED TO BOTH SIDES OF STEEL 12 GA. GALV. STEEL BOTTOM BRACKET FASTENED W/ (4) #14 X 5/8" SMS BOTTOM SEAL .058 ALUM PLATE WITH 1/8" X 1" S.M.S. 0 48" 0.C. AND RUBBER WEATHERSTRIPPING x p2 HORIZ. TRACK SUPPORT, CENTER SUPPORT REQD. ON DOORS EXfjEEDING 8 FT. IN HEIGHT A -0— —I ii A —I- J TRACK LENGTH = OPENING HEIGHT PLUS 12" 14 GA. GALV. STEEL TRACK 2 X 2 X 1/8" HORIZ. ANGLE SPOT WELDED TO HORIZ. TRACK WITH TWO WELDS AT 1 -1/2" APART FIRST AT 3" O.C. REST AT 9" 0.0. CONNECTED TO FLAG BRACKET ANGLE W/ 3/8 -18 X 3/4" BOLT & NUT AND TO SPRING SHAFT GUIDE WITH (2) 1/4 -20 X 5/8" BOLT & NUT VERTICAL TRACK 2 -1/8" X 1" X .080" SECTION A —A DOOR * SECTION HEIGHTS BRACKET PLACEMENTS HEIGHT 1ST 2ND 3RD 4TH 5TH B1 92 63 84 B5 86 B7 B8 8' -0" 18" 18" 18" 18" N/A 1° 11 -3/4" 23" 34" 45" - 56" 67" — 6' -6" 21" 18" 18" 21" N/A 1" 11 -3/4" 23" 34" 45" 56" 87" — 7' -0" 21" 21" 21" 21" N/A 1" 11 •3/4" 23" 34" 45" 56" 67" — 7' -6" 18" 18" 18" 18" 18" 1" • 11 -3/4" 23" 34" 45" 58" 67" 78 -1/4" 8' -0" 21" 18" 18" 18" 21" 1" 11 -3/4" 23" 34" 45" 56" 67" 78 -1 /4" — SECTIONS ARE NUMBERED STAG AT THE BOTTOM FOR DOORS MORE THAN 8 FT. HIM, USE ADDITIONAL TRACK BRACKETS AT 10° O.C. 1.9" X 2.19° X 3.3" X .090" STEEL TRACK BRACKETS 2 -3/16" HIGH CONNECTED TO TRACK WITH 1/4° BOLTS & NUTS. TRACK CONFIGURATION • VERTICAL LIFT HIGH LIFT STANDARD LIFT LOW HEADROOM DOUBLE TRACK .4411,44.4tACK ..9PTIONS ngr JAVAD A7— PRO FLA. PEA 70592 CAN. t . ; l sogarlyies with the Medde !Wag Code kweloance No 12e /00 .96 B invioa 4 44Th# r i4 Y r!47^ 0 c C .0 °2 0 % 5 1 A i 0 1 1 drawing no. 01-09 (sheet 4 of 5 ) WOOD FRAME BUILDINGS STUD WALLS OR DOOR OPENING (NOT BY DAB DOORS) SHALL BE FRAMED SOUD BY NOT LESS THAN (3) 2X8 PRESSURE TREATED GRADE 2 SYP OR BETTER WOOD STUDS. STUD WALLS TO BE CONT. FROM FOOTING TO TIE BEAM. ENGINEER OF RECORD TO VERIFY ADEQUACY OF THE SUPPORTING STRUCTURE. WOOD BUCK CONNECTION TO MASONRY TRACK SHALL BE SECURED WITH CONT. STEEL ANGLE TO PRESSURE TREATED 2X8 SYP WOOD JAMBS WHICH SHALL BE ANCHORED TO GROUTED REINFORCED MASONRY BLOCK WALL OR CONC. COLUMN WITH 1/4" ULTRACON BY 'ELCO' WITH SPACING OF 20" 0.C. INTO BLOCK WALL, WITH 2-1/4" MIN. EMBED 18" Q.C. INTO 3000 PSI CONCRETE, WM1 1 -3/4" MIN. EMBED 2 -1/2" MIN. EDGE DISTANCE 1/4" TAPPER BY 'POWERS' WITH SPACING OF 14" 0.C. INTO BLOCK WALL, WITH 1 -1 2" MIN. EMBED 18" 0.C. INTO 3000 PSI CONCRETE, MTH 1 •3/4" MIN. EMBED 3" MIN. EDGE DISTANCE 3/8" CONFLEX BY 'ELCO' OR 3/8" LDT BY 'I'IW' WITH SPACING OF 24" 0.C. INTO 3000 PSI CONCRETE, WITH 2 -1/2" MIN. EMBED 2" MIN. EDGE DISTANCE 3/8" HLC SLEEVE BY 'HILT!' WITH SPACING OF 17" 0.C. INTO BLOCK WALL, WITH 1 -1/4" MIN. EMBED, 4" MIN. EDGE DIST. 18" O.C. INTO 3000 PSI CONCRETE, WITH 1 -1/4" MIN. EMBED AND 2 -1/2" MIN. EDGE DISTANCE THE BLOCK WALL CELLS SHALL BE GROUT FILLED AND REINFORCED WITH FOUR j 5 BARS EXTENDING INTO FOOTING AND INTO TIE BEAMS ALL BARS SHALL BE CONTINUOUS FROM 11E BEAMS TO FOOTING. PREPARATION OF JAMBS BY OTHERS 5/18" X 1 -5/8" LAG SCREWS AT 12" 0.C. STEEL STRUCTURE BY OTHERS MUST SUPPORT THE LOADS IMPOSED BY DOOR SYSTEM 5/18" DIA. BOLTS WITH WASHER & NUT AT 12" 0.C. MAX. 1-1/4" X 2 -1/2" X 14 GA CONT. STEEL ANGLE ANCHOR SPACING ANCHORS STRUCTURE EMBED SPACING EDGE DIST. - 3/8" HLC SLEEVE BY 'HILTI' CONC. 1 -1/4" 8" 1 -5/8" 4" 3/8" HLC SLEEVE BY 'HILTI' FILLED BLOCK 1 -1`4" 8" 3/8" DYNA8OLT BY 'ITW' CONC. 1 -1/2" 8" 2" 318" DYNABOLT BY 'ITW' FILLED BLOCK 1. -1/2" 8" 3-3/4" 3/8'' POWER —BOLT BY 'POWERS' CONC. 2" 8" 1 -7/8" 3/8" SLEEVE —ALL BY 'SIMPSONS' CONC. 1 -1/2" 8" 1 •7/8" EDGE DIST. CONCRETE re = 3000 PSI MIN. C-90 GROUT FILLED BLOCK f'm = 2000 PSI MIN. 1 -1/2" 12 GA. GALV. STEEL FLAT BRACKETS ±3" LONG AT 12" O.C. IN DOOR OPNG. AT 180 0.C. ABOVE DOOR OPNG. CONNECTED TO CONT. ANGLE W/ (3) SPOT WELDS AT EACH SIDE 2••1_ /8" X 1" X 14 GA. GALV. STEEL TRACK FASTENED /TO TRACK PLATES W" TRUSS SLOTT M.S. & LOCK NUT HD. ED ALTERNATE TRACK INSTALLATION .•g� AU.AQ . CNIL . FLA. PE # 70592 `r ` 1C.A.M. 53.8 PROMO' MIMEO as I�11� the Fladd+� Ateeptpnoe He , .0 /0 N. Z © 1- o g m g o I. 8g o � g a :8 o °1 et E cc 0 w C9 w cn S c 0 zz f si A 1 °2 1 0 4 O W 0 0 c drawing no. 01 -09 DOOR PANEL 24 GA. (.024) b i t±L MIN. 7/16" DIA. WASHER -\ 0 i\11.\i illy. lltltl Ali t, t,Ci ■ 1 1 ■I� 1 1 :I:I !'!! j!j! •I :I II!I •41•41 I!I! •4111 j•I Ijlj iIj pc:i: 1•I : Ijl !II jjj ! j 1 / #8 X 3/4" SMS d1 3/8" FROM ENDS AND 7" 0.C. MAX. (4) #8 X 3/4" SMS 0 1 -3/8° FROM ENDS AND 6 -1/2" O.C. MAX. .175 X .082 DEEP GROOVE 1/4" POLYCARBONATE LEXAN BY SABIC INNOVATIVE PLASTICS NOA #08- 0305.02. .11775 X .062 DEEP OVE (4) #8 X 3/4" SMS a, 1 -3/8" FROM ENDS AND 6-1/2" 0.C. MAX. #8 X 3/4" SMS 0 3/8" FROM ENDS AND 7" 0.C. MAX. 7/16" DIA. WASHER DOOR PANEL 24 GA. (.024) STEEL MIN. SMS 0 3/8 "X FROM " AND 4-1/2" O.C. MAX. DOOR PANEL 24 GA. (.024) STEEL MIN.- * PLASTIC COMPLIES WITH SECTION 2612 OF FBC 2007 SEE EVIDENCE PAGE 0 21 3/4" MAX. WDW. WIDTH 18 1/8" MAX. D.L.O. O * EXTERIOR FRAME RIGID PVC ONE PIECE INJECTION 1.725 r_ I .250 * INTERIOR FRAME RIGID PVC ONE PIECE INJECTION warm. mw„....n] i...�o�.,,6702M.M.1 1 I..°rA u_ 1 �a'+s�ies�ai• li .armeIMIV...a�a� it INSIDE ELEVATION RAISED PANEL EMBOSSED DOOR WITH OPTIONAL WINDOWS .175 " 62 DEEP GR( 15/16° MIN. r—GLAZItIG BITE WINDOW WIDTH LATERIOR O.L» OPG. b' hg 7)1VAD• AHMAD. • CIVIL FIA. PE # 70502 C.A.N., 3F338 . ' PROF MEVTROD pyinB with the Florida Building Code _ Atityptones No 0 a C 0 q 0 W c 0 0, 0 s 0 m 0 W 1. 1 drawing no. 01-09 (sheet 5 of 5 ' 1/4/2013 13:47 Southeast Personnel LION INSURANCE COMPANY -Nunez Construction, Inc. 1/1 CERTIFICATE OF LIABILITY INSURANCE Date 1 1/4/2013 Producer: Lion Insurance Company 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938 -5562 This Certificate is Issued as a matter of Information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insurer B. Insurer c: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the poficy periodindicated. 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. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date ( MM/DD/YY) Limits GENERAL LIABILITY Commercial General Liability Claims Made Occur Each Occurrence Damage to rented premises (EA occurrence) $ Med Exp $ Personal Adv Injury $ General aggregate limit applies per: D Policy ® Project ❑ LOC General Aggregate $ Products - Comp /op Agg $ AUTOMOBILE — — LIABILITY Any Auto All Owned Autos Scheduled Autos Hired Autos Non -Owned Autos Combined Single Limit (EA Accident) $ Bodily Injury (Per Person) $ Bodily Injury (Per Accident) $ Property Damage (Per Accident) $ EXCESS /UMBRELLA LIABILITY Occur ❑ Claims Made Deducible Each Occurrence Aggregate A Workers Compensation and Employers' Liability Any proprietor/partner /executive officer /member excluded? NO If Yes, describe under special provisions below. WC 71949 01/01/2013 01/012014 X I Wry Stattu- OTTH- ER E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee $1,000,000 E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 41-65 -109 Coverage only applies to active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company": Nunez Construction, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: ISSUE 11 -27 -12 (JG)Reissued 12/10/12 (SH) / REISSUE 01 -04-13 (SD) Begin Date: 8/17/2006 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE HALL 10060 NE 2ND AVENUE MIAMI SHORES, FL 33138 Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. � �p.w-- Iiaopz Wir 01)41 a Miami 'Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: M@MEWMT NOV 232U9Z;e..: FRC 20 'L Permit No. ._.. ,2) 1 Master Permit No. BUILDING ROOFING JOB ADDRESS: � 7 i' 6 92 57‘r City: Miami Shores County: Miami Dade Zip: �I3P Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Address: t31 '5'4 ( City: 44 -,44 5Age Tenant/Lessee Name: 41/4 Email: if04. Phone #: State: ■4)4 zip: 03 ( 31 Phone#: 4;')",e2 441%S'kizeZ) .. k P (17 7, 2 ` -96 CONTRACTOR: Company Name: /�L/ � hone #: ����� �: ?�: �dde Address: <40 sv E 5iih City: Qualifier Name: a-j4 °�Crf09-0"4 A( State: Ai/ Zip: 3 -3(f3 ) �llll.,vt%L Phone #: State Certification or /Registration #: _ eC� o c? Z 7 Certificate of Competency #: Contact Phone #: () 2 gp. 357 (1 Email Address: 4) (e (J 2 Q,tietwE M) ., Cent DESIGNER: Architect/Engineer: N/ /elP1/ &17 / /J 5, ?� Phone #: 7a76 '219- 3? zz- Value of Work for this Permit: $ Et/iteration i 6©l� Square/Linear Footage of Work: '116 Type of Work: ❑Additiioown n Et/teration ❑New ORepair/R lace / Demolition Description of Work: � /t/ 17 J e915.:(1.1 //O�ev f S Fie-- (, .1/41-'49 4 piiii-le — Re dievJn s �,0 e-4' e',1444Jelizi / ` / /4dCe . d Color thru tale. Zetp( WQ-.) emit boa b� m F,ee .. 7 x.... xx *xxxxxx.xxx.....x. ... ..x .Feesx xx........ x.. ..ax.x.xxxxxx........ a.... u Permit Fee $0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ r (� 1 TOTAL FEE NOW DUE $ • ' `t ervi Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven 7) days after the building permit is issue i Jy the absence d notice, the inspection will " ' e approved an rei ection fee will be charged. Owner or Agent The foregoing instrument was olw_ledged before me this ( 9 day of �0V 20 byI Ul11 1 � Q ( doer. , who is emirs rally know o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: D Print: My Commission Expires: 1 1 ecili� P:, .,,. , 'c � CECiLJA ROMAN CuMMti I0N i tE 834283 XPIRES: November 29, 2414 Bored Thru Budget Mary Sakes * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Signature The for going day o who is pers 0°10-0 NO Contractor tru was ac o i ledged efor ,201X,b i�15 nally own to me or who has produced ' 19- 4identification and who did take an oath. ARY PUBLIC: • - Sign: _./ /OA. Print: J ;`a ° ■∎∎∎t`0 ‘ Bonded Through National Notary Assn. My Commissi y Commission # EE 128810 LLOS Florida s Examiner f /,,1— Zoning *********** �************ ******* *m***** ******* ********** *** ** *** *** **** **** ** ****** / /.J �� Plan Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL — DO NOT PAY 303664-7 RENEWAL BUSINESS NAME / LOCATION RECEIPT NO. 317395-2 NUNEZ CONSTRUCTION INC STATE* CGC057207 6400 SW 62 AVE 33143 SOUTH MIAMI OWNER NUNEZ CONSTRUCTION INC Sec. Type of Business WORKER /S THIS IS ;96 AGE1 RAL BUILDING CONTRACTOR 2 • BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY 011 ZONING LAWS . OF THE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT 011 LICENSE REQUIRED BY LAW. THIS Is NOT A CERTIFICATION- OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED CTOR.COUNTY TAX 09/04/2012 60020000059 000045.00 SEE OTHER SIDE NUNEZ CONSTRUCTION INC CARLOS M NUNEZ PRES 6400 SW 62 AVE S MIAMI FL 33143 IIJhIIJ }II.IIJ JI,l „l iJlIII i /JIJJIUHJllllliIIJIIII „1►! 88 PERMIT # anAA0 I.2 - 2Q41 CONTRACTOR: \Y b (1jOY)S'Y1JCj\4�1') l AU SUBMITTAL DATE: 111426j 12- ADDRESS: J 1 INks 125t NAME: 49 kele,r, RESUBMITAL DATES: PROJECT TYPE: 'ar+lIB �T i iliM %,, L'f ZONING FIRE STRUCTU :. IMPACT FEES f,fi, Tr gpetproorZ /460 ELEC ; - ICAL Ael* /e:- ` :" HRS/DERM MECHANIC L BLDG 36$ \\ THIS DOCUMENT HAS A COLORED BACKGROUND iMICROPRINTING • LINEMARK"' PATENTED PAPER BATCH NUMBER r THIS DOCUMENT HAS A COLORED BACKGROUND; MICROPRINTING • LINEMARKr PATENTED PAPER BATCH NUMBER _ CERTIFICATE OF LIABILITY INSURANCE Date 11/27/2012 Producer: Lion Insurance Company 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938 -5562 This Certificate is Issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer B: insurer C: Insurer D: Insurer E: Coverages 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 docunent with respect to which this certificate maybe Issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. NSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date ( MM/DD/YY) Limits GENERAL Commercial LIABILITY General Claims Made Liability Occur Each Occurrence $ Damage to rented premises (EA occtxrencce) $ Mad Exp $ Personal Adv Injury $ General aggregate Graft applies per. I Policy ❑ Project ❑ LOC General Aggregate $ Products - Comp/Op Agg $ AUTOMOBILE ■ LIABILITY Any Auto AI Owned Autos Scheduled Autos Hired Autos Non-Owned Autos Combined Single Limit (EA Ac dderht) $ Bodiy injury (Per Person) $ Bodily Injury (PerAcdderd) $ Property Damage (Per Accident) $ EXCESS /UMBRELLA LIABILITY Occu ❑ Claims Made Deductible Each Occurrence Aggregate A Workers Compensation and Employers' Liability Any proprietor /partner /executive officer /member excluded? NO If Yes, describe under special provisions below. WC 71949 01/01/2012 01/01/2013 X I WC Statu- tory Limits I I OTH- ER E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee $1,000,000 E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations /LocationsNehicles /Exclusions added by Endorsement/Special Provisions: Client ID: 41- 65-109 Coverage only applies to active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company": Nunez Construction, Inc. Coverage only applies to injuries Incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in Florida. Coverage does not apply to statutory employee(s) or Independent contractors) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: ISSUE 11 -27 -12 (JG) Begin Date: 8/17/2006 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE HALL 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 Shedd any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate folder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the Insurer, Its agents or representatives. ' CERTIFICATE OF LIABILITY INSURANCE DATE IMM►DD '? 11/27/12 THIS,CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certl leate holder Is an ADDITIONAL INSURED, the policy(lee) 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 canter rights to the certificate holder In lieu of such endorsement(s). PRODUCER Discovery Entr. Insurance Agency 10733 N.W. 58th Street Miami, FL 33178 Phone (305) 718 -8919 Fax (305) 718-3584 NAAd `ACT MARIA L DIAZ ONE gm). (305) 718 -8919 ro, NO (305) 718 -3584 ADDRESS: rnariIU$d1000d0ra111L00m INSURER(S) AFFORDING COVERAGE NAM* INSURER A1 MT. HAWLEYINBURANCE GENERAL LIABILITY WI COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE J OCCUR al, & P.D. 82,800 OED. INSURED NUNEZ CONSTRUCTION, INC. 6400 S. W. 62 AVENUE SOUTH MIAMI, FL 33143 INSURER B : PROGRESSIVE INSURANCE CO MED EXP (Any cos person) rNSURER 0 : PERSONAL & ADV INJURY INSURER D : ■ INSURER E: $ 2,000,000.00 INSURER F : PRODUCTS - COMP1OP AGG 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. TR TYPE OF INSURANCE INSR N RIND POLICY NUMBER MGL -0172173 t IMMIDD YYY') 12117)2012 t NM 12!17!2013 LIMITS EACH OCCURRENCE $ 1,000,000.00 A GENERAL LIABILITY WI COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE J OCCUR al, & P.D. 82,800 OED. DAMAGE PRBVISES TO r nce) $ 50,000.00 MED EXP (Any cos person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,001100 ■ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER ❑ POLICY ❑ ?, ° • LOC PRODUCTS - COMP1OP AGG $ 1,000,000.00 $ B AUTOMOBILE LIABIUTY ❑ MW AUTO ❑ ttLiT8rxED It WHAM LED ❑ HIRED AUTOS ■ AUTOSWNED ❑ • 06584420-4 09106/2012 09/06/2013 EIVMED SINGLE LIMIT $ 1,000,000.00 i BODILY INJURY (Per person) $ BODILY INJURY (Per ocddsnq'$ ROPP held E $ $ A ❑ UMBRELLA LIAR ❑ OCCUR n EXCESS LIAO ❑ CLAIMS -MADE MXL- 0• 89341 12/17/2012 12/17/2013 EACH OCCURRENCE $ 3,000,000.00 AGGREGATE $ 3,000,000.00 ■ DED ❑ RETENTIONS $ 3,000,000.00 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y1 N ANY PROPRIETORIPARTNERJEXECUTNE N 1 A WC STATU- OTH- ❑TORY LIMITS ER E.L. EACH ACCIDENT 3 (anyea OMFFICERI a MEMBER EXCLUDED? rurl)) E.L. DISEASE- EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Mash ACORD 101, Additional Remarks Schedule, if more space Is required) GENERAL CONTRACTORS CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE HALL 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 'FAX #: 305 - 756 -8972 ACORD 26 (2010106` QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTH •. -, D REPRESENTA ® 4988.2010 ACORD ORATION. Alt rights reserved. The ACORD name and logo are registered marks of ACORD 1111111 11111 11111 11111 11111 11111 11ri1 1111 1111 NOTICE OF COMMENCEMENT 0� Bk 28394 P 1997; e��`� Ps (1p9} A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 12/11/2012 14. o 08:20 HARVEY RUVIWe CLERK OF COURT MIAI1I -DARE COMM FLORIDA TAX FOLIO NO. /1 °' 51,06"'011 3' Z 7D LAST PAGE PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street / a dre e Vac--4b4 1 7 2. Description of improvement: 1�Qm vi4/ o4/ii � Iiklee) �� &wiA M e- y7 .7e 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: a„,a Imo" ► 1; ' 4 -- j� �l , a' rt'� � .�;f�, 5. Surety: (Payment bond requiredy owner from contractor, if any) Name and Address: Alf& Amount of bond $ A i 6. Lender's name and address: Ai h 7. Persons within the state of Florida designated by Owner icfitNaitgiiikiftiludtgroltitafits may provided by Section 713.13(1)(a)7., Florida Statutes. 2villadln this oltlee��c �� days Name and Address: del' ray hand and 0 dial S 8. In addition to himself, Owners designates the following p in Section 713.13(1)(b), Florida Statutes. Name and Address: 44`1% iS" * 9. Ex •' ation date of t N• ce of Commencement: (the expiration date is 1 year from the date of recording unless a d) ature of Owner Print Owner's Name 1 to -Vc; C ;c t.2 ,e. toe R.. Prepared by 645 Ni, u a Sworn to and subscribed before me this 10 day of TY-Om be , 20 Notary Public: Print Notary's Name: My commission expires: MY C0MMISSI0N # EE 034203 EXPIRES: November 29, 2014 ar9TFOF o� °Q Bonded Thru Budget Nctery Services