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RC-09-724Protect Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Parcel Number SALVATORE AND LAURIE ANNESE 9510 BISCAYNE BLVD MIAMI SHORES FL 33138 Contractor(s) OWNER Phone CeII Phone Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: OPENING MODIFICATION Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Retum : Occupancy: Single Family Exterior. Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $100.00 $6.00 $2.50 $114.30 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 01, 2009 Expiration: 10 /27/2009 Phone Invoice # Total Amt Paid Amt Due RC -4-09 -34689 $ 114.30 $ 114.30 $ 0.00 Applicant 9510 BISCAYNE Boulevard Miami Shores, FL 1132060142880 Block: Lot: SALVATORE AND LAURIE ANNE (786)306 -9510 (305)525 -7071 Valuation: Total Sq Feet: Cell $ 1,000.00 25 Available Inspections: Inspection Type: Final PE Certification Shutter Final Slab Window Door Attachment Tie Beam Termite Letter Framing Insulation Drywall Screw Shutter Attachment Window and Door Buck Ceiling Grid Fill Cells Columns 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. May 01, 2009 Date 1 kr4 \\I\A BUILDING PERMIT APPLICATION FBC 7 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address �/ - I AIWA . City Is Building Historically Designated YES Contractor's Company Name G4 /t Type of Work: ❑Addition Describe Work: Submittal Fee $ Permit Fee $ Notary $ S Scanning $ (o '00 Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Roofing 4 A Tenant/Lessee Name Phone # Job Address (where the work is being done) /ae City Miami Shores Village FOLIO / PARCEL # County Miami -Dade NO Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ : ***** ***** ************ ** *** * * ****** ** *F ** :*** ** *** * * * ******* ::x*** * * *** ** x ******* M 0 ae Training/Education Fee $ O "X DPBR $ Bond $ Code Enforcement $ Structural Review. $ Permit No. 4 Master Permit No. Alteration ['New ❑ Repair/Replace L � d ne p c.e.ne tfs 6 5 Zip Phone # Square / Linear Footage Of Work: ❑ Demolition CCF $ Technology Fee $ 62* S0 Zoning $ Double Fee $ Total Fee Now Due $ 11450 See Reverse side -, 11 APR29ZOO9 ID 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 wor or" lation 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 of such posted notice, the inspection will not be approved anda reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument w acknowledged before me this z 7 The foregoing instrument was acknowledged before me this 6 , 400.5 2. 7 4 ,:; , : . • ******* * * * * * * * * * * * * * * * * * * * * * * * * * * ** s ********************************** * * * *** * ** *** * **** ** ** * * ****** My Commission Expires: APPLICATION APPROVED BY: (Revised 07/10/07) 20 ' by , day of , 20 , by o has produced As identification and who did take an oath. who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning Myself. VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residbnce. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation &this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law.and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.LC.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, .buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this constru s" 1 Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstatement of the permit. Initial de 1 I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initi 4. I, understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure meets the minimum code. 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. 6. I understand that if I compensate any person or company for work performed they are requited to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. 7. I understand that if any person gets injured on my construction project they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Was acknowledged before me this Produced there License or Initial Initial 8. I understand that under state and local laws I can not do . any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial day of o'`Z 1--- , 20 ,r was personally known to me o who has as identification. rtb g or NOTARY � %. *, ,. E MAT : ZONING DEPT BLDG DEPT Miami Shores Village Miami Shores Village DATE SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS Miami Shores Building Department Product Approval Schedule / Comparison Chart Address: - /0 ! . ,. iiktermit No. O er- z2 Opening Description of Window Product Acceptance Prodnct Approval Opening Design Rough Opening Shutter Required Mullion Required Impact ID or Door or Mullion Number Design Pressure Pressure Size Yes / No Yes / No Yes / No (+) PSF () PSF ( +) PSF ( -) PSF 2 .37ar St 3 a7rso V 37xso 1 , 3 KSo , GCpi = ±0.55 (See Note 2G) MEAN ROOF HEIGHT (FT.) POSITIVE ZONE (4) & (5) NEGATIVE ZONE (4) NEGATIVE ZONE (5) >0 -15 66.0 -70.3 -83.0 >15-20 70.2 -74.7 -88.2 >20 -25 73.5 -78.3 -92.5 >25 -30 76.4 -81.3 -96.1 >30 -40 81.2 -86.4 -102.1 >40 -50 85.1 -90.6 -107.0 >50 -60 88.4 -94.1 . • -111.2 Print Information: P: \FL1 \KA \CADD \Cadd02 \Asce \02 - 279 \R10 \02- 279_JWK.dwg MCantu 03/30/2006 10:53:07am 01/12/06 14:01 FLORIDA BUILDING CODE 2004 DESIGN WIND LOADS FOR COMPONENTS & CLADDING WALLS AND VERTICAL SURFACES GENERAL NOTES: 1. THESE WIND LOADS ARE FOR USE ON GENERAL RESIDENTIAL & COMMERCIAL CONSTRUCTION AND ARE NOT APPLICABLE TO ESSENTIAL FACIUI1ES OR PLACES OF ASSEMBLY. 2. TABULATED DESIGN WIND LOADS ARE BASED ON CHAPTER 6 OF ASCE 7-02 SPECIFICATIONS FOR COMPONENTS AND CLADDINGS. THE FOLLOWING DESIGN CRITERIA ARE USED: A. PEAK ROOF HEIGHT LESS THAN OR EQUAL TO 60 FEET. B. EXPOSURE CATEGORY, AS NOTED. C. BASIC WIND SPEED C3 SECOND GUST) AS NOTED. D. AN IMPORTANCE FACTOR OF 1.0 FOR CATEGORY II STRUCTURES. NOT VAUD FOR ASSEMBLY OCCUPANCIES OR ESSENTIAL FACIUIIES. E. ANY EFFECTIVE WIND AREA IS ACCEPTABLE. F. ANY ROOF SLOPES. G. ENCLOSURE CLASSIFICATION: GCPI = ±0.55: FOR USE ON ALL BUILDINGS UNLESS THE ENCLOSURE CLASSIFICATION IS DETERMINED TO BE AN "ENCLOSED BUILDING" BY THE BUILDING OFFICIAL, ARCHITECT, OR ENGINEER 1 GCPI = ±0.18: FOR USE ON "ENCLOSED BUILDINGS" ONLY. IMPACT RESISTANCE IS REQUIRED FOR ALL GLAZED OPENINGS AND THE BUILDING IS DETERMINED TO BE AN "ENCLOSED BUILDING" BY THE BUILDING OFFICIAL, ARCHITECT, OR ENGINEER. H. DIREC110 FACTOR, AS NOTED I. TOPOGRAPHIC FACTOR, Kzt = 1.0 FOR FLAT TERRAIN. NOT APPLICABLE FOR HILLY TERRAIN. 3: POSF11VE AND NEGATIVE DESIGN LOADS FOR EXTERIOR WALLS ARE BASED UPON THE MEAN ROOF HEIGHT OF THE BUILDING OR STRUCTURE. 4. DESIGN LOADS ARE BASED ON THE EXPOSURE NOTED AND ARE NOT VALID FOR OTHER EXPOSURES. EXPOSURE CATEGORY SHALL BE AS DETERMINED BY THE BUILDING OFFICIAL OR A SITE SPECIFIC EVALUATION-BY AN ARCHITECT OR ENGINEER. 5. LINEAR INTERPOLA ION L►A ' E T{ti ALL VALUES BETWEEN TABULATED ELEVA ONS. 6. THESE SCHEDU *- 4 ' * AN! ACC TE CALCULATION OF WIND LOADS IN ERAL NOTES. 7. THIS SCHEDULE 8. WHERE THESE CONTRACTOR APPROPRIATE 9. ORIGINAL SIGNATURE, DATE AND EMBOS SEAL WITHOUT Thornton ®Tomasetti Group 330 N. Andrews Ave., Suite 450 • Ft. Lauderdale, FL 33301 Tel. (954) 522 -3690 . Fax (954) 522 -3691 • COA # 7519 Website: www.TheTTGroup.com Copyright @ 2006 Thomton - Tomasetti Group, Inc. BUILDINGS WITH A MEAN ROOF HEIGHT 60 FEET BASIC WIND SPEED = 140 MPH - EXPOSURE 'C' - Kd = 1.00 R MODIFIED. ERMIT, THE VERIFY THE USE IS MAXIMUM DESIGN WIND LOADS (PSF) MID BUILDINGS <_ 60 FT. FLORIDA BUILDING CODE 2004 COMPONENTS & CLADDING EXPOSURE "C" 140 M.P.H., Kd =1.00 • • • • • • titRPZ4t h= MEAN ROOF HEIGHT = (E +P)'2 a= END ZONE : 10% OF MIN. BUILDING WIDTH (( 0 40% OF MEAN ROOF HEIGHT UT OT LESS WHICHEVER EITHR E SMALLER, OF MINIMUM WIDTH OR 3 FEET. drawn by MCR) (design by IWK) (checked by JWK • • • • • • • • • • • PEAK _ ...�r_ eCQMIT ��� � HEIGHT y:.W Kr�ezevic1i Professional Engineer FL License No.: PE 0041961 no 0 9 1 date 10/06/05 12/19/05 01/12/06 by VJK VJK JWK description GENERAL REVISION GENERAL REVISION MODIFIED GCPI OPTIONS drawing no 02 - 279 ( sheet 1 of 1 • •SS. , GCpi = ±0.18 (See•Note 2 •.., MEAN ROOF HEIGHT (FT.) POSITIVE ZONE (4) & (5) .. VDATIVE •.. NE (4) .' '' • NEGATIyA., ZONE (! •••- "'• ,.► >0 15 ;9• 3 20 53.4 ..•.:37.9 •. 71.5 ' . -T '9 >20 -25 5b.0" •••.- • - b`0./ >25 -30 58.2 • "43.1 • l •• -77.9 . >30 -40 61.8 : .A-D7.0 ••. •• -82.7. >40 -50 64.8 " -70.3 .••:*.-86.7:" -73.0 " • • • -90.1 >50 -60 67.3 Print Information: P: \FL1 \KA \CADD \Cadd02 \Asce \02 - 279 \R10 \02- 279_JWK.dwg MCantu 03/30/2006 10:53:07am 01/12/06 14:01 FLORIDA BUILDING CODE 2004 DESIGN WIND LOADS FOR COMPONENTS & CLADDING WALLS AND VERTICAL SURFACES GENERAL NOTES: 1. THESE WIND LOADS ARE FOR USE ON GENERAL RESIDENTIAL & COMMERCIAL CONSTRUCTION AND ARE NOT APPLICABLE TO ESSENTIAL FACIUI1ES OR PLACES OF ASSEMBLY. 2. TABULATED DESIGN WIND LOADS ARE BASED ON CHAPTER 6 OF ASCE 7-02 SPECIFICATIONS FOR COMPONENTS AND CLADDINGS. THE FOLLOWING DESIGN CRITERIA ARE USED: A. PEAK ROOF HEIGHT LESS THAN OR EQUAL TO 60 FEET. B. EXPOSURE CATEGORY, AS NOTED. C. BASIC WIND SPEED C3 SECOND GUST) AS NOTED. D. AN IMPORTANCE FACTOR OF 1.0 FOR CATEGORY II STRUCTURES. NOT VAUD FOR ASSEMBLY OCCUPANCIES OR ESSENTIAL FACIUIIES. E. ANY EFFECTIVE WIND AREA IS ACCEPTABLE. F. ANY ROOF SLOPES. G. ENCLOSURE CLASSIFICATION: GCPI = ±0.55: FOR USE ON ALL BUILDINGS UNLESS THE ENCLOSURE CLASSIFICATION IS DETERMINED TO BE AN "ENCLOSED BUILDING" BY THE BUILDING OFFICIAL, ARCHITECT, OR ENGINEER 1 GCPI = ±0.18: FOR USE ON "ENCLOSED BUILDINGS" ONLY. IMPACT RESISTANCE IS REQUIRED FOR ALL GLAZED OPENINGS AND THE BUILDING IS DETERMINED TO BE AN "ENCLOSED BUILDING" BY THE BUILDING OFFICIAL, ARCHITECT, OR ENGINEER. H. DIREC110 FACTOR, AS NOTED I. TOPOGRAPHIC FACTOR, Kzt = 1.0 FOR FLAT TERRAIN. NOT APPLICABLE FOR HILLY TERRAIN. 3: POSF11VE AND NEGATIVE DESIGN LOADS FOR EXTERIOR WALLS ARE BASED UPON THE MEAN ROOF HEIGHT OF THE BUILDING OR STRUCTURE. 4. DESIGN LOADS ARE BASED ON THE EXPOSURE NOTED AND ARE NOT VALID FOR OTHER EXPOSURES. EXPOSURE CATEGORY SHALL BE AS DETERMINED BY THE BUILDING OFFICIAL OR A SITE SPECIFIC EVALUATION-BY AN ARCHITECT OR ENGINEER. 5. LINEAR INTERPOLA ION L►A ' E T{ti ALL VALUES BETWEEN TABULATED ELEVA ONS. 6. THESE SCHEDU *- 4 ' * AN! ACC TE CALCULATION OF WIND LOADS IN ERAL NOTES. 7. THIS SCHEDULE 8. WHERE THESE CONTRACTOR APPROPRIATE 9. ORIGINAL SIGNATURE, DATE AND EMBOS SEAL WITHOUT Thornton ®Tomasetti Group 330 N. Andrews Ave., Suite 450 • Ft. Lauderdale, FL 33301 Tel. (954) 522 -3690 . Fax (954) 522 -3691 • COA # 7519 Website: www.TheTTGroup.com Copyright @ 2006 Thomton - Tomasetti Group, Inc. BUILDINGS WITH A MEAN ROOF HEIGHT 60 FEET BASIC WIND SPEED = 140 MPH - EXPOSURE 'C' - Kd = 1.00 R MODIFIED. ERMIT, THE VERIFY THE USE IS MAXIMUM DESIGN WIND LOADS (PSF) MID BUILDINGS <_ 60 FT. FLORIDA BUILDING CODE 2004 COMPONENTS & CLADDING EXPOSURE "C" 140 M.P.H., Kd =1.00 • • • • • • titRPZ4t h= MEAN ROOF HEIGHT = (E +P)'2 a= END ZONE : 10% OF MIN. BUILDING WIDTH (( 0 40% OF MEAN ROOF HEIGHT UT OT LESS WHICHEVER EITHR E SMALLER, OF MINIMUM WIDTH OR 3 FEET. drawn by MCR) (design by IWK) (checked by JWK • • • • • • • • • • • PEAK _ ...�r_ eCQMIT ��� � HEIGHT y:.W Kr�ezevic1i Professional Engineer FL License No.: PE 0041961 no 0 9 1 date 10/06/05 12/19/05 01/12/06 by VJK VJK JWK description GENERAL REVISION GENERAL REVISION MODIFIED GCPI OPTIONS drawing no 02 - 279 ( sheet 1 of 1 • BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Florida Window Systems, Corp. 7191 NW 77 Terr. Medley, FL 33166 SCOPE: MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 372 -6339 www.maimidade.gov/buildingcode This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division 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: Outswing Aluminum Casement Window — L.M.I. APPROVAL DOCUMENT: Drawing No. W03 -36, titled "Alum. Outswing Casement Window (L.M.I.) ", sheets 1 through 6 of 6, dated 05/28/03 with revision B 06/20/07, prepared by Al- Farooq, Corporation, signed and sealed by Humayoun Farooq, 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 Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. 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 and renews NOA # 03- 0612.04 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 Manuel Perez, P.E. NOA No. 08- 0604.01 Expiration Date: September 18, 2013 Approval Date: October 02, 2008 Page 1 Florida Window Systems, Corp. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No W03 -36, Sheets 1 through 6 of 6, titled "Alum. Outswing Casement Window (L.M.I.) ", dated 05/28/03 with revision B dated 06/20/07, prepared by Al- Farooq Corporation, signed and sealed by Humayoun Farooq, P.E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 along with marked -up drawings and installation diagram of an aluminum casement window, prepared by Hurricane Engineering & Testing, Inc. Test Report No. HETI -03 -1312 dated 4/17/03, signed and sealed by Rafael Droz, P.E. (Submitted under previous NOA #03- 0612.04) 2. Test reports on: 1) Large Missile Impact Test per FBC, TAS 201 -94 2) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 along with marked -up drawings and installation diagram of an aluminum casement vinyl window, prepared by Hurricane Engineering & Testing, Inc. Test Report No. HETI -02 -1752 dated 12/3/02, signed and sealed by Rafael Droz, P.E. (Submitted under previous NOA #03- 0612.04) 3. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 along with marked -up drawings and installation diagram of an aluminum casement vinyl window, prepared by Hurricane Engineering & Testing, Inc. Test Report No. HETI -02 -1230 dated 6/23/02, signed and sealed by Rafael Droz, P.E. (Submitted under previous NOA #03- 0612.04) 4. Test reports on:1) Large Missile Impact Test per FBC, TAS 201 -94 2) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 along with marked -up drawings and installation diagram of an aluminum casement vinyl window, prepared by Hurricane Engineering & Testing, Inc. Test Report No. HETI -02 -1751 dated 12/3/02, signed and sealed by Rafael Droz, P.E. (Submitted under previous NOA #03- 0612.04) 5. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 along with marked -up drawings and installation diagram of an aluminum casement vinyl window, prepared by Hurricane Engineering & Testing, Inc. Test Report No. HETI -02 -1235 dated 7/3/02, signed and sealed by Rafael Droz, P.E. (Submitted under previous NOA #03- 0612.04) E -1 Manuel P , P.E. Product Control : • miner NOA No. 08- 0604.01 Expiration Date: September 18, 2013 Approval Date: October 02, 2008 Florida Window Systems, Corp. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC -2004, prepared by A1- Farooq Corporation, dated 6/18/07, signed and sealed by Humayoun Farooq, P.E. Complies with ASTM E1300 -02 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 03- 0916.02 issued to Nebula Glass International, Inc. for their "Glasslam Safety- Plus - Laminated Glass" dated 10/23/03, expiring on 09/09/08. 2. Notice of Acceptance No. 06- 0216.06 issued to Solutia Inc. for their "Saflex IIIG Clear or colored interlayer" dated May 04, 2006, expiring on May 21, 2011. F. STATEMENTS 1. Statement letter of conformance, dated June 18, 2007, signed and sealed by Humayoun Farooq, P.E. 2. Statement letter of no financial interest, dated June 18, 2007, signed and sealed by Humayoun Farooq, P.E. G. OTHER 1. Notice of Acceptance No. 03- 0612.04, issued to Florida Window Systems for their Aluminum Casement Window, approved on 09/18/03 and expiring on 09/18/08. E -2 i _Al . .- Manue Perez Product Control Exa 'r NOA No. 08- 0604.01 Expiration Date: September 18, 2013 Approval Date: October 02, 2008 w SILICONE � DOW CORNING 995 GE 4000 13 1/2' MAX. HEAD /SILL GLASS TYPE 'Al' 37 WINDOW WIDTH SINGLE VFNT WDW, 1/8 ANN. GLASS 060' INTERIAYER C SAFETY —PLUS .010 PET FILM .060 INTERLAYER GLASSLAM SAFETY —PLUS X1/8 ANN. GLASS SILICONE DOW CORNING 995 / GE 4000 5 MAX. HEAD /SILL CORNERS 1/8 ANN. GLASS .090' INTERLAYER SAFLEX /KEEPSAFE MAXIMUM GLASS TYPE 'A2' GLAZING OPTIONS 1 ANCHOR READ. AT EACH SIDE OF IMPOST SURFACE APPUED FALSE MUNTINS OPTIONAL � . 1 SILICONE TREMCO TREMGLAZ£ 5 -500 30 15/16' D.L. OPG. 35 7/8° VENT WIDTH 13 1/2" MAX. HEAD /SILL r- / �nl / Ii ✓ V! SIUCONE DOW CORNING 995 GE 4000 74 WINDOW WIDTH DUAL VENT WDW. II \ N \ 30 15/16 D.L OPG. .5 7/8° VENT WIDTH 1/8' HEAT STREN'D. GLASS 060' INTERIAYER GLASSLAM SAFETY —PLUS .010' PET FlLM .060 INTERLAYER GLASSLAM SAFETY—PLUS 1/8" HEAT STREN'D. GLASS GLASS TYPE 'Bt' SIUCONE DOW CORNING 995 GE 4000 5' MAX. HEAD /SILL CORNERS z U THESE WINDOWS ARE RATED FOR LARGE MISSILE IMPACT. SHUTTERS ARE NOT REQUIRED. ALUMINUM OUTSWING CASEMENT WINDOW DESIGN LOAD RATINGS FOR THESE WINDOWS TO BE AS PER CHARTS SHOWN ON SHEET 2. APPROVAL APPLIES TO SINGLE VENT OR DUAL VENT WINDOWS WITH X AND XX CONFIGURATIONS. ALSO COMBINATIONS OF CASMT /CASMT OR CASMT WITH OTHER WINDOW TYPES IN MODULES OF 1WO OR MORE WINDOWS USING MIAMI —DADE COUNTY APPROVED MUWONS IN BETWEEN. LOWER DESIGN PRESSURE FROM WINDOWS OR MUWON APPROVAL WILL APPLY TO ENTIRE SYSTEM. THIS PRODUCT HAS BEEN DESIGNED AND TESTED. TO COMPLY WITH THE REQUIREMENTS OF THE FLORIDA BUILDING CODE 2004 EDITION INCLUDING HIGH VELOCITY HURRICANE ZONE (HVHZ). WOOD BUCKS BY OTHERS, MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. ANCHORS SHALL BE AS LISTED, SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL A LOAD DURATION INCREASE IN ALLOWABLE STRESS 15 USED IN DESIGN OF ANCHORS INTO WOOD ONLY. MATERIALS INCLUDING BUT NOT LIMITED TO STEEL/METAL SCREWS, THAT COME INTO CONTACT W1111 OTHER DISSIMILAR MATERIALS SHALL MEET THE REQUIREMENTS - OF 2004 FLORIDA BLDG. CODE SECTION 2003.8.4. Engr. DR HUMAYOUN FAR000 STRUCTURES nA PE 1 16557 CAN. '3538 PROMO' REVISED es carnA agw athe Baldl53Cd'a A¢_g4l No 4; u 4.N: Date BY /1/.. 1 Dade ProdeM Div .op M 1 0 0 0 f J 0 0 z z w w 0 4 � drawing no. W03 -36 sheet 1 of 6 DESIGN LOAD CAPACITY - PSF FOR ( )0 ) SIZES WINDOW DIMS. UNREINFORCED CENTER POST REINFORCED CENTER POST GLASS TYPES 'A1' & 'A2' GLASS TYPE '81' GLASS TYPE '81' WIDTH HEIGHT EXT. ( +) 1NT. ( -) EXT. ( +) 1NT. ( -) EXT. ( +) 1NT. ( -) 26 -1/2 37' 53 -1/8' 74' 26' (3) 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 26 -1/2' 37 53 -1/8' 74' 38 -3/8• (4) 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 26 -1/2' 37' 53 -1/8' 74' 50 -5 /8' (5) 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 60.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 65.7 65.7 75.0 80.0 26 -1/2' 37' 53 -1/8' 74' 63° (5) 55.0 55.0 75.0 80.0 75.0 80.0 47.0 47.0 75.0 80.0 75.0 80.0 34.0 34.0 68.4 68.4 75.0 80.0 - - 52.8 52.8 75.0 80.0 26 -1/2 37° 53 -1 /8' 74 -1/4 (6) 39.2 39.2 75.0 79.0 75.0 80.0 28.4 28.4 57.2 57.2 75.0 60.0 - - 40.9 40.9 66.7 68.7 N � V 0 � r 24' (3) 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 N � �d b F 36' (3) 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 I 80.0 55.0 55.0 75.0 80.0 75.0 80.0 24' 36' 48' 60' 72' v 55.0 55.0 75.0 60.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 71.2 71.2 75.0 80.0 24' 36' 48' 60' 72' 0* (5) 55.0 55.0 75.0 80.0 75.0 80.0 55.0 55.0 75.0 80.0 75.0 80.0 43.2 43.2 75.0 80.0 75.0 80.0 359 35.9 66.4 68.4 75.0 80.0 - - 57.0 57.0 75.0 80.0 N �'l � O 72' (6) 47.4 47.4 75.0 80.0 75.0 80.0 32.0 32.0 64.5 64.5 75.0 80.0 24.5 24.5 49.3 49.3 75.0 80.0 - - 40.5 40.5 66.0 66.0 DESIGN LOAD CAPACITY - PSF FOR ( X ) SIZES WINDOW DIMS. GLASS TYPES '81' & 'A2' 'MASS TYPE '81' WIDTH HEIGHT Da. ( +) INT. ( -) EXT. ( +) 1NT. ( -) 19 -1/8' 55.0 55.0 75.0 80.0 26-1/2 26' 55.0 55.0 75.0 80.0 37' (3) 55.0 55.0 75.0 80.0 19 -1/8' 55.0 55.0 75.0 80.0 26 -1/2' 38 -3/8' 55.0 55.0 75.0 80.0 37' (4) 55.0 55.0 75.0 80.0 19 -1/8' 55.0 55.0 75.0 80.0 r 26 -1/2 ..50 -5/8' 55.0 55.0 f' ■15c0 80.0 - ..- 37' (5 ) 55.0 55.0 75.0 80.0 - 19 -1 /8' 45.5 45.5 75.0 80.0 26 -1/2' 63' 34.0 34.0 75.0 80.0 37' (5 ) - - 75.0 80.0 19 -1/8' 74 -1/4° 27.5 27.5 75.0 80.0 26-1/2' ( - - 66.8 66.8 18' 55.0 55.0 75.0 80.0 24' 24' 55.0 55.0 75.0 80.0 30' (3) 55.0 55.0 75.0 80.0 36' 55.0 55.0 75,0 80.0 18' 55.0 55.0 75.0 80.0 24' J8' 55.0 55.0 75.0 60.0 30' (3) 55.0 55.0 75.0 80.0 36' 55.0 55.0 75.0 80.0 18 55.0 55.0 75.0 80.0 24' 48° 55.0 55.0 75.0 80.0 30' (4) 55.0 55.0 75.0 80.0 36' 55.0 55.0 75.0 80,0 18' 55.0 55.0 75.0 80.0 24' 60 , 43.2 43.2 75.0 80.0 30' (5) 35.9 35.9 75.0 80.0 36 - - 75.0 80.0 18' 32.0 32.0 75.0 80.0 24• 76) 24.5 24.5 75.0 80.0 30' - - 68.0 66.0 ( ) = NO. OF ANCHORS PER JAMB NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM El 300 -02 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCA05- DEC -219 ( ) = N0. OF ANCHORS PER JAMB Engr. DR. HUMAYOUN FAR000 STRUCTURES FIA PE / 16557 CAN. 35313 PRODUCT RE.Yi1:>E0 easompleagrfttheitaide Ameicelqa Date J Z n W Q 6 N CC a Ow 0. cc 0t 0 0 oW' oa 8 04�a x ctt, Z N - 0 O I Q Qw�f 0) N t' O = m o v T ma o N v 0 c a a W B drawing no. W03 -36 sheet 2 of 6 w x TYPICAL ANCHORS _ SEE ELEV. FOR SPACING J d 12 v° • TYPICAL ANCHORS SEE ELEV. FOR SPACING m N TYPICAL ANCHORS SEE ELEV. FOR SPACING METAL STRUCTURE N TYPICAL ANCHORS J SEE ELEV. FOR SPACING MIAMI -DADE COUNTY APPROVED MULLION & MULLION ANCHORS SEE SEPARATE NOA TYPICAL ANCHORS SEE ELEV. FOR SPACING WOOD BUCKS AND METAL STRUCTURE NOT BY FLORIDA WDW. SYS. MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM AND TRANSFER THEM TO THE BUILDING STRUCTURE. TYPICAL ANCHORS: SEE ELEV. FOR SPACING 1/4" TAPCONS INTO 28Y WOOD BUCKS OR WOOD STRUCTURES 1 -1/2" MIN. PENETRATION INTO WOOD THRU 1BY BUCKS INTO CONC. OR MASONRY 1 -1/4 MIN. EMBED INTO CONC. OR MASONRY 3/16" TEKS OR SELF DRILLING SCREWS INTO METAL STRUCTURES Sit : 12 GA. MIN. (Fy = 36 KSI MIN.) ALUMINUM : 1 /6" THK. MIN. (6063 -T5 MIN.) (STEEL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED) #10 SMS OR SELF DRILLING SCREWS INTO DADE COUNTY APPROVED MULLIONS (MIN. THK. = .090') (NO SHIM SPACE) TYPICAL EDGE DISTANCE INTO CONCRETE AND MASONRY = 1 -1/4 MIN. INTO WOOD STRUCTURE = 3/4 MIN. INTO METAL STRUCTURE = 3/4 MIN. SEALANTS: ALL FRAME AND VENT CORNERS AND INSTALLATION SCREWS SEALED WITH CLEAR /ALUMINUM COLORED SEALANT. Engr. DR. HUMAYOUN FAR000 STRUCTURES FLA. PE 16 57 CAN. sf PRODUCT DEVISED a9 eowyagwiUttotild* 1 Cella tarztaann P. 0/ M 3 0. 0 U J o z z w N J, " 0 w 3 3 o &o °W o z 3 N Q mm O z • — R. tin drawing no. W03 -36 sheet 3 of 6_) TYPICAL ANCHORS SEE ELEV. FOR SPACING METAL J STRUCTURE TYPICAL ANCHORS SEE ELEV. FOR SPACING 1/4' SHIM U 1/2' X 5/8' X 2' LONG ALUM BARS. 2/ VENT AT 6' FROM TOP & BOTTOM FASTENED W/ (2) 18 X 1' FH SIAS EXTERIOR D.L. OPG. VENT WIDTH WINDOW WIDTH SINGLE VENT WINDOWS 1/2• X 5/8' X 2' LONG ALUM BARS. 2/ VENT AT 6' FROM TOP & BOTTOM FASTENED W/ (2) #8 X 1' FH SMS 1/4' MAX. SHIM EXTERIOR WINDOW WIDTH DUAL VENT WINDOWS FBY WOOD BUCKS TYPICAL ANCHORS SEE ELEV. FOR SPACING STEEL REINFORCING SEE SHEET 2 FOR CAPACITIES (STEQ. 10 BE PAINTED WITH A HEAW BODED 81511INCIU5 PAINT OR BE GALVANIZED) MIAMI —DADE COUNTY APPR,D MULLION SEE SEPARATE NOA WINDOW WIDTH Engr: DR. HUMAYOUN FAR000 STRUCTURES FLA PE j 16557 CAN. 3538 TYPICAL ANCHORS [ SEE SEE ELEV. FOR SPACING WINDOW WIDTH o TYPICAL ANCHORS SEE ELEV. FOR SPACING N L0 5 4• 0 ao 1 2 0 drawing no.l W03 -36 sheet 4 of 6 ITEM - PART / QUANTITY DESCRIPTION MATERIAL MANF. /SUPPLIER /REMARKS 1 FWS -009 4 FRAME 6063 -76 - 2 FWS -011 4 VENT 6063 -T6 - 3 FWS -010 1 CENTER POST 6063 -T6 - 4 FWG -008 AS READ. GLAZING BEAD 6053 -75 - 5 - AS REGD. FRAME ASSEMBLY SCREWS ST. STEEL #10 X 3/4' PH SMS 6 - AS READ. VENT ASSEMBLY SCREWS ST. STEEL #10 X 1 -1/2 PH SMS E102 AS READ. FRAME WEATHERSTRIPPING (.078 X .300) VINYL ULTRAFAB r-- J 6206 AS READ. VENT WEATHERSTRIPPING (.187 X .350) VINYL ULTRAFAB 9 34,12,00,100 2/ VENT 4 BAR HINGE. AT TOP AND BOTTOM STEEL TRUTH, ATTACHED W/ (6) S8 X 3/8' SS SMS 10 30066 2/ VENT LEVER TYPE FACE MOUNT LOCK STEEL TRUTH, AT 12' FROM TOP AND BOTTOM 11 21087 2/ VENT LOCK KEEPERS, AT FRAME JAMB FACING LOCK STEEL ATTACHED W/ (2) #10 X 3/8' SS SMS 12 40066 1 ROTO OPERATOR STEEL TRUTH, ATTACHED W/ (4) #8 X 3/8' SS 9M5 13 - - .057 THICK CORNER KEY ST. STEEL 1 - 1/2' X 1 - 1/2' X 1/2' 14 - 2/ LOCK LOCK INSTALLATION SCREWS - #12 X 1/2' PH SMS 15 - AS REOD. CENTER POST REINFORCING STEEL - FRAME VENT 2.125 .965 1.202 1438 4.000 4,626 IMPOST .062 .621 130 ,750 .050 .745 !•- GLAZING BEAD 1.900 .838 r-- 7 L720 REINFORCING CHANNEL 35 KSI STEEL Engr. OR. HUMAYOUN FAR000 STRUCTURES FLA. PE 4 16557 CAN. 3536 PR4EEJE1G'T REVISED ssco2p!gls8wiekrata Rat pi- stye•,;., �C.ld d L 6 a co U 0 0 0 0 LL a 0 drawing no. W03 -36 (sheet 5 of 6 IMPOST CORNER CORNER KEY ALUMINUM VENT CORNER ALL FRAME AND VENT CORNERS TO BE SEALED WITH WHITE/ALUM COLORED SEALANT. Engr: DR. HUMAYOUN FAR= STRUCTURES FM PE # U35.57 CAN. MB ,o3 zutzrAkr_vastiltiatip No • : 6) •8 0 0 z 6 in 0 07 8 0 9 2 8 1 drawing no. W03-36 sheet Sof 6 EXISTING WALL NOTE: BREAK MASONRY AS REQD TO PLACE REINF. & CONC. PATCH ALL DAMAGED AREAS WITH GROUT MIX. ROOF TIE BEAM # 5 x 3' DOWELL DRILLED IN 3/4" X 6" EPDXY FILLED HOLE HILTI " HIT HY 150 REINFORCE END CELLS WITH 1 # 5 IN CONC. PEA —ROCK MIX F'c =2500 PSI NEW OPENING L,'P 5t'1 f c- 30 DRILL # 5 X 3' DOWEL 6" INTO EXIST FTG. IN A 1" DIA. HOLE FILLED WITH EPDXY. HILTI " HIT HY 150 " EXIST FTG. WALL REINFORCING FOR NEW MASONRY OPENING SAW CUT WALL AT EXTERIOR SIDE Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 9510 BISCAYNE Boulevard Miami Shores, FL Owner Information Fees Due CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $150.00 $3.00 $3.75 $163.35 Address Parcel Number Building Department Copy 9510 BISCAYNE BLVD 1132060142880 Block: Lot: Authorized Signature: Owner / Applicant / Contractor / Agent Phone Valuation: Total Sq Feet: Type of Work: WINDOWS No of Openings: 5 Additional Info: Classification: Residential Invoice # Total Amt Paid Amt Due WS -409 -34681 $ 163.35 $ 163.35 $ 0.00 May 01, 2009 Date Expiration: 10/27 /2009 Applicant SALVATORE AND LAURIE ANNE CeII SALVATORE AND LAURIE ANNESE MIAMI SHORES FL 33138 (786)306 -9510 (305)525 -7071 $ 1,500.00 0 Available Inspections: 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. May 01. 2009 1 Inspection Type: Window Door Attachment Final Shutters Final Shutter Attachment i BUILDING PERMIT APPLICATION FBC,20 Roofing ,/ (� Owner's Name (Fee Simple Titleholder). G /I1 ,#1V� Phone # 7J 6 `'�, r ' ' •- E; /e Owner's Address S 1 4 City i 1 1 ,// / fate Z Zip / Tenant/Lessee Name Phone # Permit Type (circle): Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name ©VJ 4 . Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Type of Work: ['Addition Describe Work: Miami Shores Village Building Department 1 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Value of Work For this Permit $ g0V ❑Alteration Permit No. Master Permit No. Phone # Certificate of Competency No. Square / Linear Footage Of Work: ya 0?-7,2r Architect/Engineer's Name (if applicable) Phone # ❑New I Repair/Replace ❑ Demolition * * * * * * * * ***** *::x************* ********* F **** ** ***** * * * * * * **** ** *** ****** n Submittal Fee $ Permit Fee $ /lb j7.-2- CCF $ ) ' o- e' ! Notary $ Training/Education Fee $ 0 40 Technology Fee $ 3 ' Scanning $ 3 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1 (e3 • • See Reverse side - 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 wor �iWallation 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 FT.RCTRICAL 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 of such posted notice, the inspection will not be p prov; t and a ' inspection fee will . e charged. Owner or Agent The foregoing instrument was acknowledged before me this 2 9 Sign: Print NOTARY PUBLIC: (Revised 07/10/07) o • t, 4 , P � 3 \ 4 .0 �' : My Commission Expires o ti � 4 •(t0 yS My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this 20 " , by , day of , 20 _ , by who has produced who is personally known to me or who has produced identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ******************************* _tor c1 APPLICATION APPROVED BY: ATV '7 -Scar Plans Examiner Engineer Zoning VILLAGE OF MIAMI SIIO:RES OWNER BUILDER DISCLOSURE STATEMENT Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family reaidnmce. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use acid occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built fot sale or lease, which is a violation Of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law.and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.LC.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, .buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold . title to the above property and I am planning on doing this constructi •n Myself. Initial Initial Initi 2. I understand that as an owner- builder I must abide by all zoning ordinanc - s and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required. to be issued for reinstatement of the permit. 3. I have an understanding of the 2004 FBC & FRC and understand th this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. 4. I• understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure m ts t minimum code. , / Initial ,L/ 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Produced there License or Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. 8. I understand that under state and local laws I can not do . any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initia Was acknowledged before me this day of4 & , 20 47. BY /1 -Vi ,, L4rifwas personally known to me or who has as identification. NOTARY ���•�. *4'� "0 �� N 09122/2009 08:36 DATE: 09 / 22 / 2009 Fax To Miami Shores @ 305-756-8972 From: Sal Annese Re: Permit # WS-4-09-723 and Permit # WS-4-09-724 THANK YOU. Fax sheet rev: 8/3/2009 7777 NW 72nd Avenue Office: 305.887.9541 Medley, Fl. 33166 Fax: 305.884.4827 gm perfect *,cation or cindustrid Deveroyrnent FAX TRANSMISSION COVER SHEET (FAX)3058844827 P.001 1004 NOTE: 1F YOU DO NOT RECEIVE ALL PAGES AS INDICATED ABOVE OR ENCOUNTER ANY DIFFICULTY PLEASE CONTACT US @ 305-887-9541 Attention: Norman Bruhn Number of pages -4 Cover sheet included 09122/2009 08:36 (FAX)3058844827 P.002/004 9/22/2009 Annese Residence 9510 Biscayne Blvd Miami Shores, FL 33138 305-756-9510 permit # WS-4-09 -723 Norman Bruhn, CBO Miami Shores Building Dept. 10050 NE 2"d Avenue Miami Shores, FL 33138 Dear Mr. Bruhn, I would like ID requesta final inspection for permit # WS -4-09 -723. Attached is the Engineer's letter as per your request for the final. Thank you, 0912212009 08:36 (FAX)3058844827 P.0031004 Annese Residence 9510 Biscayne Blvd Permit# WS -4 -09 -723 Norman Bruhn, CB0 Miami Shores Building Dept. 10050 NE 2nd Ave Miami Shores, F133138 Norman Bruhn, CBO, This letter will verify that the windows installed at the above address meet the reinforcement requirements of the FBC High Velocity Hurricane Zone. os "aum. n, P.E. ee r6 p p 0 2 0 - x. 0912212009 08:36 (FAX)3058844827 P.0041004 i 9/22/2009 Annese Residence 9510 Biscayne Blvd Miami Shores, FL 33138 305 - 756 -9510 permit # RC -4 -09 -724 Norman Bruhn, CBO Miami Shores Building Dept. 10050 NE 2" Avenue Miami Shores, FL 33138 Dear Mr. Bruhn, 1 have not been able to begin the proposed work therefore I would like to request an extension of 180 days for permit # RC-4-09 -724. Thank you, Reg - ds, S ` Annese