REV-16-3259\()2
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
'MI 11M
ED PLUMBING ❑ MECHANICAL
JOB ADDRESS:
Citv:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
Master Permit No.
Sub Permit No.
PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
,a? (to A) r oig.6ttit&
Miami Shores County:
Dr( al in
Fsc 200- 5+11
/Cr/ /10 3/ S19
RtAI I,6 -c52 -59
EXTENSION Ei RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Miami Dade
Zip:
Folio/Parcel#:
Occupancy Type:
I3AG5CD61D(sD
Load: Construction Type:
Is the Building Historically Designated: Yes NO ✓
Flood Zone:
OWNER: Name (Fee Simple Titleholder): fl 1(1111 SherrY.2.,n
Address:
City:
a`�Lo L)E qq, -iii
i0411 fe S State:
BFE: FFE:
Phone [ s-ia (e(2
Zip: 33/
Tenant/Lessee Name: / Phone#:
Email:
CONTRACTTOR: Company Name: v eh) Ou
Address:
city: 1L - A t - ). S (moo re) State:
Qualifier Name:
Clo0vR
Phone#:30S 70'7 a to l l„
Zip3313(
Phone(3 .s (L2
State Certification or Registration #: L s - rtificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
Type of Work: 0 Addition
Description of Work:
50 Cr 0
❑ Alteration
Square/Linear Footage of Work:
0 New Repair/Replace ❑ Demolition
1nstalk. 1- A 4 1 0
A -4-4e.. C- u -
Fiz- /-itgiq-
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $ so
(Revised02/24/2014)
Permit Fee $ , a) CCF $ 3 co/as
Radon Fee $ 2 . 7 5 DBPR $ 2 ZS Notary $
Training/Education Fee $ 1 Double Fee $
Bond $
TOTAL FEE NOW DUE $ 47,-1.
5 1 • 5 0
95
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City ate Zip
Application is hereby made to
ain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the ' ance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this juri • fiction. 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 approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Aa S day of OW , 20 1 L , by
/Y (A ti S r ` Q 2 who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: . Lett JC;/&L
Print:
Seal:
Notary Public State of Florida
Sandra Dee Hart
ornet7My Commission FF 010644
Expires 04/21/2017
APPROVED BY
(Revised02/24/2014)
Signatur
CONTRACTOR
The foregoing instrument was acknowledged
Q_ day of
0165
before me this
0 /6 . by
y known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: %i24ttLf
Print:
Seal:
_ Plans Examiner
SAtis
►" Notary Public State of Florida
Sandra Dee Hart
Ay
My Commission FF 010644
or Expires 04/21/2017
Zoning
Structural Review Clerk
•
r'! --,mi Shores.
T
APPRC`/ i) BY
ZQ',IhF a r -r
F 1 DG i17:'•_I
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Force Engineering & Testing Inc.
19530 Ramblewood Drive
Humble,TX 77338
Product Evaluation Report
11SP Structural Connectors, a MiTek® Company
9).)r) Se-4—
HGA10, HGAM10 Hurricane Gusset Angle
Florida Product Approval # FL 17699.1
Florida Building Code 2014
Per Rule 61620-3
Method: 1—d
Category: Structural Components
Subcategory: Wood Connector
Compliance Method: 61620-3.005(1)(d)
HVHZ
Product Manufacturer:
USP Structural Connectors, a MiTek® Company
14305 Southcross Drive, Suite 200
Burnsville, Minnesota 55306
Engineer Evaluator:
Terrence E. Wolfe, P.E. # 44923
Florida Evaluation ANE ID: 1920
?l T TVED
DEC 1 2016
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Validator:
Locke Bowden, P.E., FL #49704 •••••• ••••••
9450 Alysbury Place •••• • • • .
Montgomery, AL 36117 •• •
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Contents:
Evaluation Report Pages 1— 3
p)-evi6-3
FL# 17699.1
L FD
• It, ATIONS
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4. N.
•
No. 419231
• a• STATE OF . ce
°• '•ALoRs.VsI" •
4�:
il,°I 10 N 11 t t ,``,
1
May 1, 2015
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Compliance Statement:
Product Description:
Product Dimensions:
Materials:
FL# 17699.1
Force Engineering & Testing Inc.
19530 Ramblewood Drive
Humble,TX 77338
The product as described in this report has demonstrated compliance with the
Florida Building Code 2014, Sections 1711.1.1, 2304.9.3, 2321.5, 2321.6, 2321.7.
The HGA10 & HGAM10 Hurricane Gusset Angle consists of a steel angle to
connect a wood member to a wood member or wood member to a masonry
wall. The straps are used to transfer load between members.
Material: ASTM A 653 Steel G90 Galvanized.
Wood
Wood members must be Douglas Fir with a minimum specific gravity (G) of 0.50,
or an approved member with a minimum equivalent specific gravity (G) of 0.50.
Wood members shall have a moisture content not exceeding 19 percent (16
percent for structural engineered lumber). Wood members must be used under
continuously dry conditions and where sustained temperatures are limited to
100° F.
Preservative and Fire -Retardant -treated Wood •• • • •
Connectors or fasteners used in contact with preservative-tr.eeled ancif re -
retardant -treated wood shall be in accordance with Section 2304.9.5.. •• • .
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Fasteners
Required fastener types and sizes are specified in Table •' • • •
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Masonry • •
Materials and quality of masonry construction must co'mplc Evith the 9pplicable
sections of FBC 2014. Minimum concrete strength shailibeet0 psi.•• •
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STATE OF :�►r
sr.arseer 4i <6S • •VS �,
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May 1, 2015
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DIMENSIONS (in.)
STOCK NUMBER
STEEL
GAUGE
STEEL
GRADE (ksi)
W
D
H
HGA10
14
40
3'h
2
3
HGAM10
14
40
3 %z
2 7/8
3
Material: ASTM A 653 Steel G90 Galvanized.
Wood
Wood members must be Douglas Fir with a minimum specific gravity (G) of 0.50,
or an approved member with a minimum equivalent specific gravity (G) of 0.50.
Wood members shall have a moisture content not exceeding 19 percent (16
percent for structural engineered lumber). Wood members must be used under
continuously dry conditions and where sustained temperatures are limited to
100° F.
Preservative and Fire -Retardant -treated Wood •• • • •
Connectors or fasteners used in contact with preservative-tr.eeled ancif re -
retardant -treated wood shall be in accordance with Section 2304.9.5.. •• • .
• ..
•
••••
• •
.
Fasteners
Required fastener types and sizes are specified in Table •' • • •
..•.
Masonry • •
Materials and quality of masonry construction must co'mplc Evith the 9pplicable
sections of FBC 2014. Minimum concrete strength shailibeet0 psi.•• •
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STATE OF :�►r
sr.arseer 4i <6S • •VS �,
CAA. ei .i'j-
•NM -., O h itt' `%
May 1, 2015
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Design Procedure:
Installation:
Testing and Specifications.
Quality Assurance Entity
FL# 17699.1
Force Engineering & Testing Inc.
19530 Ramblcwood Drive
Humble,TX 77338
The allowable loads shown in Table are based on allowable stress design and
include a 60% increase for wind and seismic load conditions per Section 10.3.2 of
the NDS. No further increases are permitted.
The allowable loads are based on wood members with a moisture content not
exceeding 19 percent (16 percent for structural engineered lumber). If moisture
content exceeds this value, a wet service factor, C,,,, must be applied per Section
10.3.3 of the NDS. The allowable loads are based on wood members under
continuously dry conditions and where sustained temperatures are limited to
100° F. Wood members that will experience sustained exposure to temperatures
exceeding 100° F shall be adjusted by the temperature factor, Cu per Section
10.3.4 of the NDS.
Wood members to which the strap is attached must be designed by a registered
design professional per FBC 2014. Masonry construction must be minimum
hollow C90 concrete block and designed by a registered design professional per
FBC 2014.
Install the angle in accordance with this evaluation report and the
manufacturer's installation instructions.
1. ASTM D1761-88
Test Report No.3018 02-31365.1 by Element Materials Technology.
Test Report No.3018 01-31031.1 by Element Materials Technology.
Test Report No.ESP016578P.11TDL1000NCRETE by Element Materials
Technology. : • • • •
2. ASTM D 7147 comparison letter. Signed and sealed by lames F. Collins, J.
PhD. P.E. • • • •
3. AF & PA National Design Specifications for Wood CoMttrlRion (NDS) 2012
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The manufacturer has established compliance of roof patl7srllroducts in • • •
accordance with the Florida Building Code and Rule 61M-455105 15 (3) for •
manufacturing under a quality assurance program audiiad bil an approved
quality assurance entity. •
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No. 44!2
STATE OF
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%31771 #',/,11 0 M. -1 ;•%s*
May 1, 2015
HGA & HGAM Hurricane Gusset Angle Series Allowable Loads
STOCK
NUMBER
STEEL
GAUGE
DIMENSIONS (in)
FASTENER SCHEDULE'=
ALLOWABLE LOADS (los)'
w
H
0
Plate
Rafter/Truss
F1 F=' Fs I Uplift
Tvng c*v I Type C„=1.6 C„=1.6 CD =1.6 Co=1.6
HGA10
14
31/Z
3
2
4
HGAM10
14
31/2
3
2'/8 4
WS3 4
1/4' x 1-" Wedge -Bolt + 4
WS15 1320 1565 835 1285
WS15 1075 1080 760 980
For SI: 1 inch m26.4men, 11b1 4.45 P1, 1 pal = 6.89 kPa
1 Pow ers Fasteners 1/4" x 1-3/4" Wedge -Bolt+ (included) installed in predrilled 1/4" hole into minimum 2000 psi concrete compressive strength .
Refer to manufacturer's literature for furthur information.
2 WS3 and WS15 refer to USP Structural Connectors Woodscrew s that are 3" or 1-1/2" long, respectively, and 1/4" nominal diameter.
Screw s are provided w ith product.
Load in F2 direction is based on compression perpendicular to grain for Douglas Fir (Specific Gravity = 0.50 or greater) .
° Loads include a 60% increase for w ind or seismic bad conditions. No further increase shall be pemitted.
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CAA.
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•• No.4492's••
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APR 29 2015
Embossed `_ 31/2"
euseecs Improve '"may..
Lateral load
reelstance
2
t
HGA10
Uplift
Moisture Barrier
Not Shown
Uplift
Embossed
guseese improve
lateral load
resletsncc
/
,01F2
Typical HGAM I 0
Installation
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27/8'
HGAM10
F3
Typical HGA10 Installation
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