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1125 NE 91 Terr (5)1524 HVHZ FBC REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS Pursuant to the Florida Building Code, it is the responsibility of the Roofing Contractor to provide the owner with the required roofing permit and to explain to the owner the content of this section regarding the installation of a roofing system. Additionally, the following items should be addressed . The owner `s initial in the designated space indicates that the item has been explained. Aesthetics — Workmanship: The workmanship provisions of Chapter 15 FBC (HVHZ) are for the purpose of providing that the roofmg system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions aesthetic issues such as color or architectural appearance, that are no part of a zoning code, should be addressed as part of the agreement between the owner and the contractor Renailing wood decks: When replacing roofmg, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (HVHZ) Common roofs: Common roofs are those which have no visible delineation between neighboring units (ie townhouses, condominiums etc). In buildings with common roofs, the roofmg contractor and / or owner should notify the occupants of adjacent units of roofmg work being performed. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roof nail penetrations of the underside of the decking may not be acceptable. This provides the option of maintaining this appearance. Ponding water: The current roof system and / or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a Professional Structural Engineer. Ponding may shorten the life expectancy and performance of the new roofmg system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. Overflow scuppers: It is required that rainwater flow off so that the roof is not overloaded from a build -up of water. Perimeter / edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of : (1514.4.2 FBC) Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. CTOR'S SIGNITURE 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information Master Permit No. Process No. Contractor's Name - Job Address \\g.6 ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑Wood Shingles /Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Steep Sloped Low Slope Rpof Area (SF) p ed Roof Area (SF) Total (SF) P U� 010 1000 Section B (Roof Plan Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions ti nsrapets levels, clearly identi dimensions of elevated pressure z ones and location Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. i Section D Stee SIo Roof System Manufacturer:,Mvt \ 1 SCE Notice of Acceptance Number: q- ota, oa Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): p1: --1 --\1a(P P2: (P P3: — t �P Maximum Design Pressure From the NOA S • ecific S stem Method of tile attachment: Roof Slope: 02 :12 Deck Type: Ridge Ventilation? ° t Stee • SIo • ed Roof S stem Descri • tion Type Underlayment: Insulation: Fire Barner: Fastener Type & Spacing Adhesive Typ ype Cap Sheet: Roof Covering: ed Roof S stem Type & Size Drip Edge: Van vOAT? `(obI — Co Florida Building Code Edition 2002 Form. Hi • h Veloci Hurricane Zone Uniform Permit • lication Section E Tile Calculations For Moment based tile systems, choose either Method 1 or 2. Compared the values for M,. with the values from Mr. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations te Per RAS ,, Mf ( /-11, l, x x 3.'ll� - Mg: U M .___ _ NOA M r s __.)__ (Pr'14o' / x x X ,1513._.= , 0 . - Mg; = Mr32a_ =-�� NOA Mr (p3:l� —� — Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below NOA M *Must be used in conjunction with list of moment based tile systems endorsed by the Broward County Board of Rules and ppe e For Uplift based tile systems use Method 3. Com d the values es for F' , for each val for F If the F' values are greater area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" NOA F' = x w:__ _)-W: x cos 9: = Fri: - - NOA = x w:_,__)—W: x cos 9: _ NOA F' = x w: _ __J — W: x cos 0: = Frs: (P1: (P): x xI: TV U a RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 w- www All calculations must be submitted to the Buildin: Official at the timc of • rmit a' , lication. MIAMI -OADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 NW 20 St. Boca Raton FL 33431 1141 our application for Product Approval of: Villa & Roll Capri Low Profile T under Chaster e of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCC() that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 9 (Revises No.: 97-1124.16) pires.;12 /16/2002 MIAMI -DADE COUNTY. FLORIDA MET.RO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA. 33130 -1563 (305) 375 - 2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375.2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372.6339 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 12/30/ 1999 Internet mail address: postmaster ©buildingcudeuuline.eont TOO 21 NV3NV2I213.LI4331 4 t - rancisco . Quintana, R.A. Director 1 of 9 Miami -Dade County Building Code Compliance Officc Humepagc: http:/ /w+w.buiidingeudeonline.eum 3'II.L33I'I 2I3INOW T8£S 9££ T9S XVd tt :ST 311.E 00 /TT /TO 4IONTER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 1. SCOPE This revises a roofing system using Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the Locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: Low Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Applicant Monier LLC Villa & Roll Monier Lifeitile LLC Capri Tile Trim Pieces NOTICE OF ACCEPTANCE: Test Dimensions Specifications 1 = 16Y_" w= 13" ''A" thick L = 17" 1V= (2 V '/" thick I = varies w = varies varying thickness APPROVED :December 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product Description PA 112 Low profile, interlocking, high pressure. extruded concrete roof tile equipped with one nail hate and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Accessory trim. concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Frank Zuloaga, RRC Rooting Product Control Examiner nnn fi, MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 Rainproof II Ice and Water 36" x 73' roll PA 103 Self - adhering W.R. Grace Co. Shield underlayment (with current NOA) Wood Battens Vertical \Vood Preservers Salt pressure generic Min. 1 "x 4" Institute LP — 2 treated or decay Horizontal resistant lumber Min. 1 "x 4" for use battens with vertical battens or Min. 1 "x 2" for use alone Tile Nails Product Tile Screws NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 2.1 Components or products manufactured by others Test Product Dimensions Specifications Description Manufacturer 30" x 75' roll PA 104 Single ply, nail -on Protect- O- \Vrap, 36" x 75' roll underlayment with Inc. o r 2 " self- adhering top (with current NOA) 60" x 75' roll edge. Alin. 10dx 3" PA 114 Appendix E Corrosion resistant screw or smooth shank nails 8x 2 ''V" long PA 114 Appendix E Corrosion resistant. 0.335" head dia. coated, square 0.131" shank dia. drive, galvanized, 0.I73" screw thread coarse thread wood dia. screw:; APPROVED :December 30, 1999 EXPIRES :December 16, 2002 generic generic Roof Tile Mortar N/A PA 123 Prepared mortar Bermuda Roof ` TileTiteT`f "1 (� mix designed for Company, Inc. %vitli mortar set roof tile current PCA applications. Roof Tile Mo:zar ( "Quikrete'A Roof Tile Mortar ;1140 ") N/A \TV!T•TV\T\T!T TTf!TTIT •Te• ••/./V 1,1"11711 PA 123 Prepared mortar Quikretc mix designed for Construction mortar set roof tile Products with applications. Current PCA 3 rani Zuloaga, RRC Roofing Product Control Examiner `IONIER LIFETILE LLC Product Roof Tile Mortar ( "BONSAL® Roof Tile Mortar Mix") Roof Tile Adhesive ( "Polypro® AH 160 ") Roof Tile Adhesive TileBond Hurricane Clip & Fasteners 3. LIMITATIONS NOTICE OF ACCEPTANCE: Dimensions N/A N/A Factory premixed canisters Clips Min. '/" width Min. 0.060" thick Clip Fasteners Min. 3d x 1 '/4" Test Specifications PA 123 See PCA PA 114 Appendix E Corrosion resistant clips with corrosion resistant nails. See PCA Single component polyurethane foam roof tile adhesive 4 ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product Description Manufacturer Prepared mortar mix designed for mortar set roof tile applications. W. R. Bonsai Co. with current PCA Two component Polyfoam Products, polyurethane Inc. adhesive designed for adhesive set roof tile applications. Flexible Products (with current NOA) Generic 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA t 12, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. i • _ -- - . •' • s shall be in compliance with chapter 29 of the SFBC` • 06,40, Zuloaga, RRC Roofing Product Control Examiner Table 3: tt chment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19132" plywood) Battens Monier Lifetile Villa, Roll, and Capri Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -100 Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 - 100 Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31,9 31.9 32.2 2 -100 Ring Shank Nails' 43.0 . 51.' Installation with a 4 tile headlap and fasterners are located a min. of 2Y ' m ead of ti - . Table 2: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 3 ":12" Tile 4 ":12" 5 ":12" ! 6 ":12" 7 " :12" or greater Monier Lifetile Villa, Roll, and Capri Tile Batter Batten Application Dire Dec Battens Direct Deck Battens Direct Battens Deck Direct Deck Battens Direct Deck 5.57 6.3 5.48 1 6.18 5.37 1 6.05 1 5.24 5.90 5.09 5.73 Table 1: Aerodynamic Multipliers - X (ft') Tile X (ft') X (fe) Profile Batten Application Direc eck Application Monier Lifetile Villa, Roll and Capri Tile 0.267 0.289 N1ONIER LI1" ETILE LLC 4.2 Data For Attachment Calculations ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. Frank Zuloaga, RRC Roofing Product Control Examiner Table 4: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Adhesive 26.1' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - Mt (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum - achment _____ _ e Monier Lifetile Villa, Roll, and Capri Tile Polyfoam Poly Pro 86,5 ' Polyfoam PoIyProTM 54grams of PolyProT". 45.5' 4 Large padcy placement of 5 ' Medium paddy placement of 24grams of PolyProem Table 4B: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Mortar Set' 20.60 MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS S. LABELING All tile!. shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6. l.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. 6 uloaga, RRC Roofing Product Control Examiner • MONIER LIFETILE LLC ACCEPTANCE No.: 99 1012.02 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWINGS APPROVED :December 30, 1999 EXPIRES :December 16, 2002 MONIER LIFETILE VILLA CONCRETE ROOF TILE MONIER LIFETILE ROLL CONCRETE ROOF TILE Frank Zuloaga, RRC Roofing Product Control Examiner MONIER LIFETILE LLC APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS ,4 -. MONIER LIFETILE CAPRI CONCRETE ROOF FILE 8 ACCEPTANCE No.: 99-1012.02 u oaga, RRC Roofing Produce Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, acrd the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. U satisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance 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 Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, Nvhere it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 3. Failure zo comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 3 and this last page 9. END OF THIS ACCEPTAN 9 rank Zuloaga. RRC Roofing Product Control Examiner Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed:4 /17/02 ( I Applicant: JUAN Owner: SANTOS JOB ADDRESS: 1022 NE 91 Contractor TIGER & SON Local Phone: 305 - 635 -1700 arcel # 1132050010300 Fees: Description FEE2002 -2222 Building Fee FEE2002 -2223 CCF FEE2002 -2224 Buildier's Bond Total Fees: 0 O Amount $150.00 $5.40 $300.00 $455.40 Total Fees: $455.40 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/14/02 Construction Value: $8,600.00 Work: REROOFING TO MISSION "S" ESPANA HIGH PROFILE COLOR THRU TILE ALL ONE COLOR If there is no permit packs ^n fee is $50.00, which must be This Permit is granted to the contra ordinances pertaining thereto and will and approved by the proper municipa authorization. A further condition upo ordinances and regulations pertaining by his agents, servants or employees Signed: In consideration of the issuance to with the plans, drawings, statements myself, my agent, servants or employ Signed: Legal Desctiption WATERSEDGE PB 9 -141 LOT 3 & E15FT LOT 2 BLK 2 LOT SIZE 65.000 X 125 OR % T nnnnnnihln nr. ♦hn inh_ci+n fnr inonarfnrc fn varifu thara will ha nn incnartinnc RA - inCncrtinn OB OCEAN BANK 3 790 WEST 49TH STREET HIALEAH, FLORIDA ,` 333012 LA `FL _ _ mg Permi Permit Humber: ` P2002-772 SANTOS JUAN TERR ta de order Page 1 of 1 Contractor's Address: 14401 BASS CREEK ROAD TIGER & SON ROOFING COMPANY 14401 BASS CREEK RD. 954- 441 -4630 MIRAMAR, FL 33027 n 1:0660 L L 39 21: 0303 L9 56001!0 5 I SA \ 8569 63- 1139/660 03 gale v v V .... 119'II I■ /' v • �G7 ih $ I �1 c.1• Project: Dear Sirs; LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 ENGINEER Tel: (305) 649-6454 1 — Fax: (305) 541 -3298 Lowery -Tiger & Son Roofing 14401 Bass Creek Road Miami, .Florida 33027 TILE UPLIFT TEST Residential IIome 1125 Northeast 91 Terrace Miami , Florida Information provided by Client: Permit Number: Not Available Date Completion: April 25, 200 Roofing Contractor: Lowery -Tiger & Son Roofing LG Engineering Services, Inc. Project Number: LG02 - 0844 (Testing Laboratory Certificate #00- 0224.07) April 30, 2002 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Monier Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than k° % of the roof tile located in the field area and wore than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on out test;result „we conclude that the installationof the toof,t l at 0;.1e piolectineets, the test iequiterrient outlined in the abovementloned protoco Attact • a copy of our test;. report;:foryour, review LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. Mohaa ad Sonny Salleh, P.E. Project Manager TILE UPLIFT TEST Residential Home 1125 Northeast 91 Terrace Miami , Florida TestNiimber Test. Load (lbf) Test: Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 - Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass Report of TILE UPLIFT TEST for Residential Home 1125 Northeast 91 Terrace Miami , Florida Project Number: LG02 -0844 LG Engineering Services, Iz :c. -Tile Uplift Test Result — Project Number: LG02 -0844, Page 1 ' Test Number Test Load (lbf) Test Status 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 - Pass 48 3. 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project kin&r: LG02-08 Page ' Test Number Test Load (lbt) : Test Status 53 35 Pass 54 35 Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG02 -0844, Page 3 N0�11N 2 3 4 I 6 47 45 29 48 7 26 44 25 27 25 49 45 42 85' 8 50 21 41 51 19 2 29 28 17 53 9 0 6 34 /Iii 10 12 52' APPDXIMATE TE5T LOCATION i 10050 N.E. 2nd Avenue • Miami , Shores, Florida 33138 • 305- 795 -2204 Date I Job Address 11625 G ¶R-�iSn 3 NC 1 , p C ax Folio Legal Description Historically Designated: Yes No v Owner/Lessee/Tenet Ite F F '- BaS.f.> Master Permit # B a' q b Owner's Address 1\ a N e q 1 - 1-e..- 1�G2- Phone 3 0 - 6 9 p 7 9 Square Ft. t-}' 000 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Contracting Co. /�J�.�.`r212 A€?- k Scxn C�- Qualifier LA w C`^NAP O5 State # C.C.C,OS I1,kp 5 Municipal # Competency # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: . R 5 A k Cbt o � 4 . \ 1101 JJ n 61,k C .(� Signatur ondo Pre ►l Notary as t-`s ;�,'r�Bbourbl»si• ✓'' COO' My Comm" "' expire :: G. 26, Comm" B ' DED THR OF F` ATLANT1C BONDING CO., FEES: PERMIT DC RADON APPROVED: Zoning Building Da C.C.F Address I 1 - bass CRe_e& (moo q� N t I Ar f 33 O�7 3o5 — C� 3 5 -1-7 Phone Ins. Co. PLUMBING MECHANICAL ROOFIN� Estimated Cost (value) / �/ S 00. 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. 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. Furthermore, I authorize the above named contractor to do the work stated. `! .> r _ i S /1 aL r si de t D� ignat o C. tractor or Owner Builder D. e Notary . i o Contrac My C. mission nano erez D. te i mission # CC 770762 Expires AUG. 26, 2002 O F F\. B ATLANTIC B CO.. INC. 0 NOTARY v BOND 30 0 - TOTAL DUE C7 o 74. 6 Electrical Mechanical Plumbing Structural Engineer d2 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address e, ‘6-G-S Registered Architect and /or Engineer Name and address of licensed contractor 1 Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done New Building To be constructed of MIAMI SHORES VILLAGE Subdivision li ou L, r'Lf State work to be done and purpo a of, uilding (by floors).. � J? 0 'N _ T T/ L -3O - J-9O •�. 6 trnj& 444ii 2 )12 EAtyz 1� and for no other purpose. Remodeling Addition Repairs No. of Stories Kind of foundation Roof Covering. -... .T... Estimated Total cost of improvements $ ? (!)t') Amount of Permit $. Zone cubage required plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si e of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such u . actors, on 1k to be per rmed under this pennit, as are licensed by Miami Shores Village. ` , Remarks (Signed) I �� . . STATE OF FLORIDA, 1 COUNTY OF DADE. j Ss. Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state a true. Permit No. -_... / S Z Date —� Read, Sworn to and Subscribed before me. Disapproved f _ .. , / Date (Signed) Building Inspcc Chairman Member Member ...... BUILDING INSPECTION DEPARTMENT Date. .._..__... No...I' Z'a :Street _ Gf i - i:- /A4- 'Q Notary Public, State of Florida My Commission Expires LANNINC BOARD DATE A) A I z a c r to me well known, Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: //,25 N 9l - (eac&tj . 4 ‘-it i0, 1A\ = P S G . 3V '& 2. Description of improvement: tqcC) S Corlcce- — 3.Owner(s) name and address: si4ovze S t fl 3•313$ Interest in property: Owd-e Name and address of fee simple titleholder: Ni P 4. Contractor's name and address: Lokoe J_ c Sow ?ookfiS co. uy0I 4 S Cl Zee o a� M YgAM41�, + 30a 5. Surety:(Payment bond requi y owner from contractor, if any) Name and addressiV/ Amount of bond $ / 6. Lender's name and address: 6.1/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section , 713.13(1)(a)7., Florida S tutes, Name and address: Al ON 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statut s. Name and address: NONe 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specif' : d) Signature Print Owner's Name Sworn to and subscribed before m Notary Public SO (.e Print Notary's Name My Commission Expires TAX FOLIO NO. mss 11,25 NE. q i -4 Act- • Jose Dario Perez Commission # CC 770762 ExplrPs AUG. 26, 2002 AN AN B D N D I NHrn JNr CTATE OF FLORIDA, COUNTY, OF DADE 1 FIEREBV CERTIFVinat this is a u c y of the origin fled in the office on day of A D 20 (2& WITNE S my hand and Official Seal. •HARU LER By 028261737 2002 APR 29 11:40 Prepared by 1t�_ Address: ,loo I E SS eR -Q.e(r 3OPI M`RAJ•4 , r I 33 0 County Courts D.C.