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RC-10-2175Scheduled Inspection Date: May 13, 2011 Inspector: Bruhn, Norman Project: <NONE> Contractor: HOME OWNER Building Department Comments May 12, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 154148 Permit Number: RC -12 -10 -2175 Permit Type: Residential Construction Inspection Type: Final Owner: HERNANDEZ, FRANK Work Classification: Miscellaneous Job Address: 10626 NE 10 Court Miami Shores, FL 33138 -2102 For Inspections please call: (305)762 -4949 Phone Number Parcel Number 1122320280960 BBQ GRILL STRUCTURES ADJACENT TO POOL DECK Passed J F . /l 1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 3 of 12 BBQ GRILL STRUCTURES ADJACENT TO POOL DECK rE) 5 Passed % Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NSP- 154146 Permit Number: RC -12 -10 -2175 1 Inspection Date: May 09, 2011 Inspector: Bruhn, Norman Owner: HERNANDEZ, FRANK Job Address: 10626 NE 10 Court Miami Shores, FL 33138 -2102 Project <NONE> Contractor: HOME OWNER Building Department Comments May 09, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Miscellaneous Phone Number Parcel Number 1122320280960 For Inspections please call: (305)762 -4949 Page 1 of 1 F.I.R. 1/7r (NO ID). 0.29' 00 F.I(NO 5ID) LEGEND AND ABBREVIATIONS i - ELEVATION DRWY. ° DRIVEWAY U.P. UfLL1IY POLE B.O.B. - BASS OF BEARINGS A/C - AR CONDMONRIG PAD A = ARC DISTANCE 0 O 12.50' w U w 6' WOODEN FENCE (NEW) lot BLOCK 6 B.B.Q. GRILL W% VERHA G LOT 6 19.0' 26.10' SEPTIC TANK ' '66.40' 29.45 ......................... (N,a . � .(LT .. z o pU dI o N O• • °T'') . ... . .. z • • O •4' U, . (n LLJ 40 CD- 4 o M ..... .......... . 9.55 '. 19.85'. . 3.68'.'.''.'.' e • e a N OONC. M ..••!. • • ': • • • l:'...... LL J • b . 80 • ••••' o LO ■ ■ a O1 OW 14r v t'l 0 6 , 4■ 4 1. - S TA : 44 , 4•■■•M o g r • ► �I®S a POOL vi /XII I I S_ ‘i / 82' 14.65' CONC. POOL PUMP I M g; WOODEN FE E // STEP 3'X3' A/C PAD EL - 5.96 // • Ar Dc 24.61' 4'- WALL O - ' d " • 'A• • .. • • .CONC. DRIVEWAY . of 1 1 0.70' //' 0 O 2 2" IR A " • I• • SJ.R. P.O.C. F.N. P.T. EN.C. FH. - SET IRON R00 - POINT OF.COMMEN -MONT - FOUND NAIL - POINT OF TANGENCY - ENcRoAcKILENf - EIRE HYDRANT 0.85' CHAINLINK FENCE (TYP.) WOOD FENCE 0 P.0$ BLOC. 0.8. . CH CL 0/1. - // - /i - /i POOL PUMP - CATCH BARN - BOUNDARY CORNER IFS - POUR OF BE'GMWNG P/L - BUILDING HIP. ▪ ALUMINUM UG7•R POLE F.LR. - CONCRETE BLACK SIRUCRIRE LF,E CHORD DISTANCE ° CLEAR N) ° MINTER LINE (R), (gqL'OO7T 5 RESIDENCE - FRE HYDRANT 9.001RIC METER PROPERII' UNE - FOUND RCN PPE ° FOUND REBAR - LOWEST FLOOR ELEVATION ° WOOD POWER POLE ° MFiamm 150.00'(R & M 150.00'(R & M) (4L7OT 7 ) R ESID EN CE SWK Pi. P.R.0 P.C. F.N.D. P.C.C. M/L "BOUNDARY SUR I u. // • • Ft --• // — • • • • • • • •• •• • • •••• o • • • 11•49.4 •• • • • • • • ALL FLORIDA SURVEYING AND MAPPING, INC. GATE No La-7433, STATE OF FLORIDA 1236 HAMMONDVILLE ROAD POMPANO BEACH, FL 33069 PHONE:(954) 788 -8998 FAX:(954) /88 - 882 • • • • • • - WATER METER - =MX POINT OF MIERSECTION PONT OF REVERSE CURVE ° 00510 OF CURVATURE ° FOUND NAIL/DISK POINT OF COMPOUND CURVE MONUMENT WYE • •••• • • • • • •••• • • 4••• • •• • • • • J ••• •••••• •••• • • • • • • • • • ►� - WATER VALVE N.T.S. - NOT TD SCALE • ° CENTRAL ANGLE WOOD FENCE —X— -CHAIN LINK. FENCE V:La -C.B.S WALL coNcRETE LIGHT POLE R - RADIUS U.E. CONC. N.0.5.5. 0.0. P.B. 0.CP. P.G. F.I P. 5 /8" (NO ID) III: • OD xa I•' •••• •••• • • • ••• • ••• • • • ° MANHOLE - URUW EASEMENT O0NcREIE - . RADONN. GEOOER0 VERTICAL DATUM -0590014091.001910 LURE - PLAT BOOR PERMANENT CONTROL POINT - PAGE RAN SEC. S.LP. • r• • • • STY - S70RY • • • • • •• • • • - RIGNT OF WAY = 0000 N ° SET IRON PIPE LOCATION. SKEEM10-2,115 APPROVED ZONING DEPT BLDG DEPT BY DATE SIMEOVICIPCOMPLIANCE WITh ALL FEDERAL StrElettbfiNt, RULESuAlacREGMAIRONS SITE LOCATIO SCALE: NTS .108 No. 08- 2171(8) CLIENT: FRANK HERNANDEZ SURVEY TYPE: BOUNDARY SURVEY (FINAL SURVEY) PROPERTY ADDRESS 10626 NE 10th COURT, MIAMI SHORES, FLORIDA 33138 LEGAL DESCRIPTION: (FURNISHED BY CLIENT) LOT 6, BLOCK 6, OF "MIAMI SHORES ESTATES ", ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 47, PAGE 58,_ OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. SURVEYOR'S NOTES 1 -) IF SHOWN, BEARINGS AND ANGLES. ARE ROD MEASIRED:- 2-) THE RELATIVE CLOSURE IN THE FIELD MEASURED GARY IS BETTER 1HNW1k 1 FOOT IN 7,500 FEET; UNEAR (SUBURBAN). 3_) A TITLE REPORT WAS NOT PROVIDED FOR THUS SURVEY. THEREFORE, THEM MAY EE RESTRICTIONS ON THIS PARCEL THAT ARE NOT SIWUN THAT MAY BE FOUND 1N THE PUBLIC RECORDS OF BROWNE COUNTY, FLORIDA. NO D OR IMPLIED DETERMINATION OF TITLE OR OWNERSHIP TO THE LAND) DESCRIBED I5 MADE 4-) 'THERE MAY BE UNDERGROUND UUUW LOCATIONS AND SUBSURFACE FEATURES WRHUN 11IE PARCEL THAT ARE NOT SHOWN. THERE IS NO VIE SURF/V OR OVERHEAD ENCROACHMENT, OTHER THAN SHOWN ON THUS SURVEY. 5 -) R IS A VIOLATION OF RULE 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE TO ALTER THUS SURVEY DRAWING WITHOUT THE PRIOR WRITTEN CORSI NI OF THE' SURVEYOR. 6-) ALL SET IRON PIPES (S.I.P.) OR SET IRON RODS ARE 18 INCHES IN LENGTH AND 1/Y DIAM.(ID.) OR No.4 RE11AR, RESPECENELY, ARID HAVE A PLASTIC CAP MARKED: LJ3.7433 7 -) DRMNFIFID LOCATION IS APPROX(MA1E ELEVATION NIFOR IATIOI* BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR AE REVISED ON /11/2009THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE BASE FLOOD ELEVATION 8 FT. COMMUNETY 120652 PANEL NUMBER 0306 SUFFIX L ELEVATIONS(WHEN SHOWN) REFER TO N.G.V.D., 1929 DATUM, NE 104 ST BRIDEGE OVER CANAL USA 17 24' NGVD BRASS DOT DISC IN TOP OF CONC. COUNTY BENCHMARK USED3250S B -26 -RA ELEVATIONS FEET &M. LOCATON GUARDRAIL AT SE CORNER OF BRIDGE THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. • DATE M K A. HIGGINS PROFESSIONAL SURVEYOR Be MAPPER FLORIDA REGISTRATION #5549 - NOT VAUD WITHOUT THE SIGNATURE. DATE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER' 05/03/2011 04/17/2009 FINAL SURVEY 02/02/2010 UPDATE SURVEY 05/03/2011 UPDATE FINAL SURVEY F.I.R. 1/7r (NO ID). 0.29' 00 F.I(NO 5ID) LEGEND AND ABBREVIATIONS i - ELEVATION DRWY. ° DRIVEWAY U.P. UfLL1IY POLE B.O.B. - BASS OF BEARINGS A/C - AR CONDMONRIG PAD A = ARC DISTANCE 0 O 12.50' w U w 6' WOODEN FENCE (NEW) lot BLOCK 6 B.B.Q. GRILL W% VERHA G LOT 6 19.0' 26.10' SEPTIC TANK ' '66.40' 29.45 ......................... (N,a . � .(LT .. z o pU dI o N O• • °T'') . ... . .. z • • O •4' U, . (n LLJ 40 CD- 4 o M ..... .......... . 9.55 '. 19.85'. . 3.68'.'.''.'.' e • e a N OONC. M ..••!. • • ': • • • l:'...... LL J • b . 80 • ••••' o LO ■ ■ a O1 OW 14r v t'l 0 6 , 4■ 4 1. - S TA : 44 , 4•■■•M o g r • ► �I®S a POOL vi /XII I I S_ ‘i / 82' 14.65' CONC. POOL PUMP I M g; WOODEN FE E // STEP 3'X3' A/C PAD EL - 5.96 // • Ar Dc 24.61' 4'- WALL O - ' d " • 'A• • .. • • .CONC. DRIVEWAY . of 1 1 0.70' //' 0 O 2 2" IR A " • I• • SJ.R. P.O.C. F.N. P.T. EN.C. FH. - SET IRON R00 - POINT OF.COMMEN -MONT - FOUND NAIL - POINT OF TANGENCY - ENcRoAcKILENf - EIRE HYDRANT 0.85' CHAINLINK FENCE (TYP.) WOOD FENCE 0 P.0$ BLOC. 0.8. . CH CL 0/1. - // - /i - /i POOL PUMP - CATCH BARN - BOUNDARY CORNER IFS - POUR OF BE'GMWNG P/L - BUILDING HIP. ▪ ALUMINUM UG7•R POLE F.LR. - CONCRETE BLACK SIRUCRIRE LF,E CHORD DISTANCE ° CLEAR N) ° MINTER LINE (R), (gqL'OO7T 5 RESIDENCE - FRE HYDRANT 9.001RIC METER PROPERII' UNE - FOUND RCN PPE ° FOUND REBAR - LOWEST FLOOR ELEVATION ° WOOD POWER POLE ° MFiamm 150.00'(R & M 150.00'(R & M) (4L7OT 7 ) R ESID EN CE SWK Pi. P.R.0 P.C. F.N.D. P.C.C. M/L "BOUNDARY SUR I u. // • • Ft --• // — • • • • • • • •• •• • • •••• o • • • 11•49.4 •• • • • • • • ALL FLORIDA SURVEYING AND MAPPING, INC. GATE No La-7433, STATE OF FLORIDA 1236 HAMMONDVILLE ROAD POMPANO BEACH, FL 33069 PHONE:(954) 788 -8998 FAX:(954) /88 - 882 • • • • • • - WATER METER - =MX POINT OF MIERSECTION PONT OF REVERSE CURVE ° 00510 OF CURVATURE ° FOUND NAIL/DISK POINT OF COMPOUND CURVE MONUMENT WYE • •••• • • • • • •••• • • 4••• • •• • • • • J ••• •••••• •••• • • • • • • • • • ►� - WATER VALVE N.T.S. - NOT TD SCALE • ° CENTRAL ANGLE WOOD FENCE —X— -CHAIN LINK. FENCE V:La -C.B.S WALL coNcRETE LIGHT POLE R - RADIUS U.E. CONC. N.0.5.5. 0.0. P.B. 0.CP. P.G. F.I P. 5 /8" (NO ID) III: • OD xa I•' •••• •••• • • • ••• • ••• • • • ° MANHOLE - URUW EASEMENT O0NcREIE - . RADONN. GEOOER0 VERTICAL DATUM -0590014091.001910 LURE - PLAT BOOR PERMANENT CONTROL POINT - PAGE RAN SEC. S.LP. • r• • • • STY - S70RY • • • • • •• • • • - RIGNT OF WAY = 0000 N ° SET IRON PIPE LOCATION. SKEEM10-2,115 APPROVED ZONING DEPT BLDG DEPT BY DATE SIMEOVICIPCOMPLIANCE WITh ALL FEDERAL StrElettbfiNt, RULESuAlacREGMAIRONS SITE LOCATIO SCALE: NTS .108 No. 08- 2171(8) CLIENT: FRANK HERNANDEZ SURVEY TYPE: BOUNDARY SURVEY (FINAL SURVEY) PROPERTY ADDRESS 10626 NE 10th COURT, MIAMI SHORES, FLORIDA 33138 LEGAL DESCRIPTION: (FURNISHED BY CLIENT) LOT 6, BLOCK 6, OF "MIAMI SHORES ESTATES ", ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 47, PAGE 58,_ OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. SURVEYOR'S NOTES 1 -) IF SHOWN, BEARINGS AND ANGLES. ARE ROD MEASIRED:- 2-) THE RELATIVE CLOSURE IN THE FIELD MEASURED GARY IS BETTER 1HNW1k 1 FOOT IN 7,500 FEET; UNEAR (SUBURBAN). 3_) A TITLE REPORT WAS NOT PROVIDED FOR THUS SURVEY. THEREFORE, THEM MAY EE RESTRICTIONS ON THIS PARCEL THAT ARE NOT SIWUN THAT MAY BE FOUND 1N THE PUBLIC RECORDS OF BROWNE COUNTY, FLORIDA. NO D OR IMPLIED DETERMINATION OF TITLE OR OWNERSHIP TO THE LAND) DESCRIBED I5 MADE 4-) 'THERE MAY BE UNDERGROUND UUUW LOCATIONS AND SUBSURFACE FEATURES WRHUN 11IE PARCEL THAT ARE NOT SHOWN. THERE IS NO VIE SURF/V OR OVERHEAD ENCROACHMENT, OTHER THAN SHOWN ON THUS SURVEY. 5 -) R IS A VIOLATION OF RULE 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE TO ALTER THUS SURVEY DRAWING WITHOUT THE PRIOR WRITTEN CORSI NI OF THE' SURVEYOR. 6-) ALL SET IRON PIPES (S.I.P.) OR SET IRON RODS ARE 18 INCHES IN LENGTH AND 1/Y DIAM.(ID.) OR No.4 RE11AR, RESPECENELY, ARID HAVE A PLASTIC CAP MARKED: LJ3.7433 7 -) DRMNFIFID LOCATION IS APPROX(MA1E ELEVATION NIFOR IATIOI* BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR AE REVISED ON /11/2009THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE BASE FLOOD ELEVATION 8 FT. COMMUNETY 120652 PANEL NUMBER 0306 SUFFIX L ELEVATIONS(WHEN SHOWN) REFER TO N.G.V.D., 1929 DATUM, NE 104 ST BRIDEGE OVER CANAL USA 17 24' NGVD BRASS DOT DISC IN TOP OF CONC. COUNTY BENCHMARK USED3250S B -26 -RA ELEVATIONS FEET &M. LOCATON GUARDRAIL AT SE CORNER OF BRIDGE THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. • DATE M K A. HIGGINS PROFESSIONAL SURVEYOR Be MAPPER FLORIDA REGISTRATION #5549 - NOT VAUD WITHOUT THE SIGNATURE. DATE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER' 05/03/2011 APR-19-2011 Bb : 4 r Ft PI 201 • • • • PROJECT: Batboouo Woad 10626 NE 10 Ct. Miami Shores, Fl. 33138 • • • • ... • DESCRIPTION • .. • .. .. • • .. • ••• •.:�• •• • AGES: 21 + COVER • .. . • • • • ••• CESAR A. CANO, A.I.A. REGISTRATION 9 4929 4906 Campo Sans Ct., Coral Gables, FL. 33146 PH. 308 740 7919 DATE: April/ 18/2010 .• ••• • • •. • • • • STRVCTVRAL CALCI I ATIONB 1- Wind loads 2 -- Plan and roof connectors 3 - Steel frame 18- Footing APR -19 -2011 07:06 AM CESAR A. CANO A.I.A. RE©ISTRED ARCHITECT AR 4929 4906 Campo Sam Ct., Coral Gates, FL.. 33146 Phone 305 740 7929 Project Barbecue Island 10628 NE 10 Ct Miami Shares, Fl. 33138 Velocity EINISIBE qh • 0.00258kzkdkzt'V qh • 39.4 psf Wl.ursa 9 =15° a =3' p = qhGCN Coefficient CN Eff. Wind area sa' > al, s4.0a' 4.0a Wind arose myna Eff. Wind area sa' ia',s4.0a' > 4.0a' Eff. 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Loads RslnforclnJ ( values ghen per wit width of Wing) 1 18� Cd As Rsq'd 0.515in2Mt • &atom 0.518 h 2m @ Botton, 0.518Irr2/ft Bottom ACI C•1 & C-2 DL ACI C•1 & C-2 I.1. ACI C-1 & C-2 ST ....sitsmlc ST • • •• .• • • • • • • • • • •• .•• •• ••• ••• • ••• • • • • • • • •. • • • • • • •• •• • • •• • • ••. • • • • • • .. • • •• • ••• • (per ACI. appped Internally to entered loads) 1.400 1.700 1.700 1.100 • • • •• • • • • • •• • • •. ••• • • .•• • • .•• • • •. • • . ••• • • • • • . • • • • • • • •• •• • ••• • • Title Gown: Diaorlptlon ellta 0 rdiklm05 WPM As Iteq'd 3.56 psi -0.518In2Mt ® Top 3.33psi -0.8181n2Mt • Top 1.47 ps1 .0.618 in= STop ACI C-2 Group Factor ACI C-3 Deed toad Factor ACI C-3 Shat Tenn Feria 0.750 Additional 8ebmb "1.4• Pack 0.500 Addlllorral Sskmlc'o.e' Facto 1.300 Jos r Z f t,�sAm 5:03PAA. 18 APR 11 P. 11 tyrop poratdaistorm Pigs 2i ABIlbadOldgelit 0.35 3 hi Ae .51 tn2M1 ® Bolcom 0.33 pet 0.8t8ln2/11 • $ Bottom 0.15pe1 0.518 kern ® Bottom 1.400 0.000 FLORIDA DEPARTMENT OF HEALT Harry Sanchez 10626 NE 10 Ct Miami, FL 33138 RE: Contingency Letter Application Document No: AP998852 Centrax Permit Number: 13 -SC- 1308601 OSTDS Number: 10626 NE 10 Ct Miami, FL 33138 April 01, 2011 Lot:6 Block:6 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 03/22/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your existing system is adequate for the proposed use (BBQ island to remain, but existing sink in BBQ island to be removed). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645 Sincerely, Jo • ` 'fir , gineer Specialist II Rick Scott Governor NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 1 0 � NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements wi0a property, and in accordance with Chapter 713, Florida Statutes, tb,pfa'b Is provided in this Notice of Commencement. or }it i 1. Legal description of property and street/address: 2. Description of improvement: 9. Expiration date of this Notice of Commencement gnature(s) of Prepared By Print Name fru). It. Title /Office owt.)4..' STATE OF FLORIDA COUNTY OF MIAMI -DADE By Signature(s) % ' 129.01 -S2 PAGES 3/10 14 L J )a Space above reserved for use of recording office ( 0(9240 ,J !OH (4)012-7" l ;41.4; a Mid 0 -(5 , eti 3. Owner(s) name and address: Filtli-Nk. Interest in property: t• Name and address of fee simple titleholder. 4f 1t ttrA DE/ 4. Contractor's name, address and phone number. latiA CX• Lf. 3ai 4 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: er(s)' Authorized Officer/Director/Partner/Manager Prepared By Print Name Title /Office The foregoing instrument was acknowledged before me this By ❑ Individually, or ❑ as for orally known, or ❑ produced the following type of identification. Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts ted In it are true, to the best of my knowledge and belief. 111101 11111 1111111 111 11111 11111 1111111111111 CFN 201180274097 OR Bk 27668 Ps 1914i (1as) RECORDED 04/27/2011 14 :31:011 HARVEY RUVIHIr CLERK OF COURT tlIAtlI- C'AC'E COUNTYr FLORIDA LAST PAGE 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 Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: (the expiration date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK - R RECORDING YOUR NO OF COMMENCEMENT. (2...t L.— . tr �� �g S;U er(s) or Ow ner(s)'s Authorized Officer/Director/Partner/Manager who signed abover /4;41°!1 •, rwgeS , P4 2,313%3 41l9 AIVJON : _ 10 1190110 By Inspection Number: INSP - 158819 Scheduled Inspection Date: April 28, 2011 Inspector: Devaney, Michael Owner: HERNANDEZ, FRANK Job Address: 10626 NE 10 Court Miami Shores, FL 33138 -2102 Project: <NONE> Contractor: HOME OWNER Building Department Comments April 27, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Phone Number \6 Permit Number: EL -12 -10 -2177 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Parcel Number 1122320280960 ELECTRICAL FOR BBQ AREA Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments g , - 74 Page 22 of 22 BUILDING PERMIT APPLICATION FBC 20 City: Miami Shores Folio/Parcel #: Z23 202.1301 GO Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Oui AIL Address: 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 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): F 4 Phone #: 4Q1r Address: 1 t L7 !. 4ig 10th 0011 City: 4 Ar%i 4tioa.g, State: TAA Zip: 33134 Tenant/Lessee Name: die! Phone #: Email: r?.4)IC.014 p 1..144 :41) • Wet JOB ADDRESS: 1 b(,2 L, FiEC LJ'f h cat) II I County: Miami Dade NO GCS4n- M. ewo A •1.4 1-4414.1 540 , ARQoiTtcr Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration a1.1 w URepair/Replace Description of Work: tkaZiorsi l►jt7i u7lNt. roR. TME 1tESliritJa Lo Garen 0 21110 ti Permit No. e I ., Master Permit No. V( 1r" / I rte " Zip: ?j3 13 Flood Zone: Phone #: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: *or ?40- 1 or 8o7 -/3 40 44 Fr ❑Demolition ******************* * *** :*********** Xi ' a,F �x�x**** �r�xx��xa��x*• x�x�x�x* �x�xa :x��x�x ****�x****x��x�xm�x� *** Submittal Fee $ = �� Permit Fee $ aG CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ C 7� TOTAL FEE NOW DUE $ k t 1 '�.% 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 whit' . ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app ' ved .' nd a reinspection fee will be charged. Signature Owner :r Agent Dj The foregoing instrument was acknowledged before me this day of %Q , 2010 by C - ►A^ -- , who is personally known to me or who has produced Ft— 10 As identification and who did take an oath. NOTARY/RI Q'•'' pir' •` Sign:' T4RY PUB c '��`�il hU ai Cipn Expl s: ..1.016590 ..... "/ /,, OF F LO� 4 •��\\. APPROVED B Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) �Plans Examiner Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by 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: Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: rT2A iJ ii. e 0, ti>ry 1 DATE: 10 ADDRESS: (dl.2L. p1E the c 6t'a ( MiANIi 4140P-6 l Fi4 v,31313 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 residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). 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 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.I.C.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 understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial FN 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 94 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial Fil 4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. InitialI 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. F Initial r1 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial FA 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: 10 1;21, 10411 )j� i f4A 3 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractors workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of , 20 By who was personally known to me or who has Produced there Lic or as identification. NOTARY Initial �) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL � ^ f � � Phone: (305)795 -2204 Fax: (305)756 -8972 V (�) 1 Inspection Number: INSP - 154151 Scheduled Inspection Date: April 29, 2011 Inspector: Hernandez, Rafael Owner: HERNANDEZ, FRANK Job Address: 10626 NE 10 Court Miami Shores, FL 33138 -2102 Project: <NONE> Contractor: HOME OWNER Building Department Comments April 28, 2011 For Inspections please call: (305)7624949 Permit Number: PL -12 -10 -2176 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1122320280960 PLUMBING FOR SINK IN BBQ Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 2 of 16 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) F fl..A,J lL I 1...14tJb 2 Phone # [Z3 -2412. Owner's Address 10L2.(, ix 104i, c jtJef City rl j t 4 c wage, State filtV Tenant/Lessee Name PIA Phone # Email iztvo) ic.-,J H Pa 1.40.1 (Ad Job Address (where the work is being done) Notary $ Scanning $ Radon $ Double Fee $ 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 Training/Education Fee $ Zip I062L 1.) 10 cava.$ Architect/Engineer's Name (if applicable) «Ail - K e4,J0 A • 1 . A Phone # 144114 4A0Criaa 4i l td ❑Alteration Violation date: DPBR $ Structural Review. $ Total Fee Now Due $ E :_ o 9 2010 Permit NoT L " rth Master Permit No. I. z 33136 City Miami Shores Village County Miami -Dade Zip 331313 FOLIO / PARCEL # 1 1 271 '7-oziael Lo Is Building Historically Designated YES NO L.''' Flood Zone Contractor's Company Name Ow ii . Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail *af .4 '1 4 1 2 1 (1.1" Value of Work For this Permit $ Square / Linear Footage Of Work: �. 5Q Type of Work: ['Addition giCrew ❑ Repair/Replace ❑ Demolition Describe Work: ACLE - 5JL1 OI10)itJC. Foil 1)t (1,ESi1)E,Ja: 1.1askl 1? 1001. OE 101 Cr• HiA►A 5AMA + k 33I39 4 P) 3 4JcJtL Arc►tcI T w fro veg. 1 NL Ex Si - r— vp ******** * * * * * * * * * * * * * * * * * * * * * * * *k * * * *** F * * * * * * * * * * * *** * * * * * * * * * * * * * * * ** Submittal Fee 90,4, Permit Fee $ /0 0 CCF $ CO /CC $ Technology Fee $ Bond $ 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 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 inspectio' . hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not .e ap. oved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of k2 , 20 t 0, by F of - - I kaNANttrtz , who is personally known to me or who has produced ..1. D who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: � `\`'‘ C11s lu//i , Sign: . :,�, ........ y.,� �' Sign: �7'n' ' • . d s Print: _ i 1 /05/2012 A _ Print: My Comiss fo m = nts iC My Commission Expires: DD165901 APPROVED BY ` /2 -a /f "' Plans Examiner 4 4 Zoning (Revised 07 /10 /07)(Revised 06/10/2009) Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by Engineer Clerk checked 5. 1 understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. 1(31 IN. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: FT ' L4,)fc- 14eft06 DATE: 2:' la ADDRESS: 1004. Na lokh c, 11 kAiCt 4' +D11.0 , FLA '3136 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 residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). 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 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.I.C.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 understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial f)4 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial " ' " 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial 4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial F14 Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial F14 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. �. Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contribution fct (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial �F} 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http : / /www.mvforidalicense.com /dbpr /pro /cilb/iindex.html Initial 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: J ()GIL arc I I GT • M i Art) SHortQ , FLA 33138 Initial f14 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractors workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of , 20 By who was personally known to me or who has Produced there Lic: il or as identification. j or/if 1r R NOTARY toifro BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Fa41,11. OM uAN7i Phone #: 3o(J .8_202 Address: 1062A. tic 1 o4i4 COIfl City: M i Ai* 5 State: 1"-LA Zip: 3015 1 Tenant/Lessee Name: PIA Phone #: Email: fn o:WO-hl if. p 1...4;01741)A4 tic • WM JOB ADDRESS: (DI,v. NG 1O1+1 caJlt� City: Miami Shores Folio/Parcel #: 1 122.3 a e L 0 Is the Building Historically Designated: Yes Type of Work: ❑Address Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 County: Description of Work: &( 30R- 414-V1 11. Master Permit No. r Miami Dade Zip: 3313 8 0 2010 Permit No. kdi O '21$S NO Flood Zone: CONTRACTOR: Company Name: OW plat- Phone #: Address: City: State: Zip: Qualifier Name: Phone #: Certificate of Competency #: State Certification or Registration #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Q NI 404d0 4. 1 . A Phone #: 146 • za_ m4Q Qa-rectr 3o.i 8o1 -14w Value of Work for this Permit: $ .4 Square/Linear Footage of Work: 4 4 , IT DAlteration Ct7fiew ORepair/Replace ODemolition 1 In f i , . L ' c.is -iN iL t t�r1 ' • . . Li L> COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: r Submittal Fee $ Permit Fee $ CCF $ CO /CC $ uo Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 6 b 60 Jr A 0a W Z. .I (TA t A �y TOTAL FEE NOW DUE $ "3% 6 - ra 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 issued. In the absence of such posted notice, the inspection will not be approve;= nd a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this day of 12 , 20 Ea, by 41\11eL, ¥ ( l \AAt i.2 , day of , 20 _, by who is personally known to me or who has produced — 1 I) who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. �� ��` " NOTARY PUBLIC: � \ clen / ' ",, NOTARY PUBLIC: �Clr, so - Sign: Print: My Commission Expires: APPROVED BY ��� ®R (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6 /4/10) Sign: Print: My Commission Expires: Plans Examiner Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: ,J (t 1-1 l4JA J P F70 DATE: r r 1 110 ADDRESS: ID(,2(, tie 10441 (Aver 14iAM1 yt R6 PA '31e 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 residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). 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 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.I.C.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 understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial FA 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 1 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial F 4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. o r 1 Initial 1" . 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial Fll 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial ' FA 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may §ubject to'serious finandial risk. 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http:// www.myfloridalicense.com /dbpdpro /cilb /index.html 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: I b( i) i b fb+ Gr. INi4ili S RJR- g 4 331'N) 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and retumed to the local permitting agency responsible for issuing the permit. A copy of the property owners driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of , 20 By who was personally known to me or who has Produced there Li -ns- or as identification. NOTARY Initial FO Initial Y'4I Initial 194 Initial ri4 Initial ' T► Inspection Number: INSP - 158527 Permit Number: RF -4 -11 -684 Scheduled Inspection Date: May 13, 2011 Inspector: Bruhn, Norman Owner: HERNANDEZ, FRANK Job Address: 10626 NE 10 Court Miami Shores, FL 33138 -2102 Project: <NONE> Contractor: HOME OWNER Building Department Comments TILE ROOF FOR BARBEQUE ISLAND Passed 7(75- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 12, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 to - 2175- Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile Phone Number Parcel Number 1122320280960 Page 8 of 12 CESAR M. CANO A.I.A. architect As -built Certificate Thursday, May 05, 2011 To: City of Miami Shores Building Department 10050 NE 2 Ave Miami Shores, FL 33138 Re: Barbecue Island in a Residence Property of Frank Hernandez Located at 10626 NE 10 CT Miami Shores, FL 33138 Permit Number: 10 -2175 Date of Inspection: April 21st, 2011 Building Code in Effect: Florida Building Code 2007 Inspection Methodology: Visual Inspection, Partial Demolition. Dear Sir. I hereby certify that to the best of my knowledge, belief and professional judgment the submitted as -built plans represent the existing condition. At the time of inspection some components of this structure were concealed by permanent construction and /or finish materials. Portion of the structure and finish was demolished for visual inspection. I have inspected the entire structure and its components included but not limited to foundation, metal columns, metal beams, prefabricated wood trusses, roof sheathing and found that they comply with approved plans and the FBC 2007. Should you have any questions, or need additional information, please do not hesitate to contact me. Sincerely Cesar M. Cano A.I.A. 1 of 3 4906 Campo Sano Ct. Coral Gables, FL 33146 Phone (305) 740 7929 Fax (305) 740 7929 PICTURES PICTURES BUILDING PERMIT APPLICATION FBC 20 Miami Shores Village Building Department Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): r- W- Phone #: W*9 52$. '2472 Address: l 0-4 1-tI - 1O G-'r 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 City: M t .41.441.1 TKO . State: i=t- Zip: 4j9, I V e7 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 1 O Co ?..p IJ . t® ! • City: Miami Shores County: Miami Dade Zip: 47 7j 1 V! 92 - Folio/Parcel #: 11-- 22o2 t ot e - aloe) Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: 4::it•Jf - .bii• 'lojo' Phone #: 9/•* x126 24'2 Address: 1 06 0.4 1`.i■ t O (< City: lottzs t-4 t GA-kO State: C. Zip: ,V • 0"/:, -. Qualifier Name: c te.-4 •t -lrF- •7.rl. • Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: 4 - ( 3O Phone #: WO* 140 4q2 Value of Work for this Permit: $ WOO. 00 Square/Linear Footage of Work: Type of Work: ❑Addition — Description of Work: ❑Alteration APR 1 8 2011 Permit No. l 0 - 21 Master Permit No. 124- [ 1 .- (o- 9 ❑New ❑Repair/Replace Oft ❑Demolition ******** * * ** * * * ** * * * *** * * * * * * * * * ** * **** F ees * * * ** *** * *** * * **** *** * * * ******* * * * * * * * * * *** �� Submittal Fee $,J V Permit Fee $ a, r° e.° CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ lh a )) 3 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whi occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a''rove'' and a reinspection fee will be charged. ,.I Signature Signature 0 or Agent Contractor The foregoing instrument was acknowledged � before me this 15 The foregoing instrument was acknowledged before me this day of Aee- -; 20 t ( , by f �41 VkC-- N geN'11r da of , 20 _, by who is petsonally known to me or who has produced -- who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: , ‘ .: 1 3 NOTARY PUBLIC: 1O6S9 Sign: Print: My Commission Expires: 1101 31190d AVON Sign: Print: My Commission Expires: aloai9oiso �a' •.say i d��? '' �' 4/is . s\.‘ \\,\ * * * * * * * * * * * * * ***** * * * ******** **a: ****** **a:********* ***** ****+x** ****+x***** *** *** ** x **u:****** * *** **** ********* APPROVED BY 7 yl Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Contractor's Name Job Address ❑ Low Slope ❑ Asphaltic Shingles Low Slope Roof Area (SF) FLORIDA BUILDING CODE — BUILDING Florida Building Code Ed High - Velocity Hurricane Zone Uniform Perm Master Permit No. ( — 2 I ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE �$ New Roof ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Miami Shores Village n-- Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes ❑ Repair ❑ Maintenance Steep Sloped Roof Area (SF) Total (SF) Section B (RoofPlan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. • t2 — r tt • - s w 1 0' ERAL TIONS /1 Roof System Manufacturer: `e;;. }ilk • Notice of Acceptance Number: fp? ORIR. O‘ • Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): • (r!' / P2: 7g: b P3: 1 I 4 I. 1 Maximum Design Pressure (From the Product Approval Specific System): '. 7 a..- 1- oL, ROOF ASSEMBUES AND ROOFTOP STRUCTURES FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. Ser_tinn r1 (Steep SInperl Rnof System) Roof Slope: 5 : 12 Ridge Vegtilatio \ Deck Type: Type Underlayment: Insulation: Mean Roof Height: !� < <i Steen $lope l Roof System Description 1 ("2" Pt.4-? (04.00 b- Fire Barrier: Fastener Type & Spacing: I `& tE4L.16i ��<< Adhesive Type: Type Cap Sheet: Roof Covering: Petoq K0 Vbc.c.e Type & Size Drip Edge: 104 r- sZ. o,i t{ w00 Tt C 4 M DR.1 , Where to Obtain Information Description Symbol Where to find Design ' : sure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis •. •, -.. ' ' E ., -. on ASCE 7 Mean Roof H ' ght H Job Site Roof SI.. 0 Job Site Aerodynamic Multiplier . Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mr ' Product Approv Required Moment Resistance M Calculated Minimum Attachment Resistance F Prod '- ppmval Required Uplift Resistance Fr culated Average rile Weight W Product Approval Tile Dimensions L =leng W _ Product Approval Nk All calculations must be submitted to the building official at the time of permit application. Florida Building Code Edition 2007 High Velocity Hurricane Zone Uniform Permit Application Form. Ser_tInn E (TiIO CaIr-ttlatInnc) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mr. If the Mr values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES // II �yj7( 1'x, Method 1 "Moment Based Tile Calculations Per RAS 127" % . (x ?v ,.."2.34- Mg: ! = M 749 ( {f Product Approval Mr 31 �f Product Approval Mr 3 / (P J l 2 , �► = J - M `e " _ sta U Product Approval Mr s" • 7 Method 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below geh4 Product Approval Mf M required Moment Resistance* 24.4 28.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F with the values for Fr. If the F values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (Pi: xL = xw: = ) - W: x cos 0 =Fri (P2: x = - xw: = -W x cos = (P3: x = - xw:= ) -W: x cos =F FLORIDA BUILDING CODE — BUILDING Product Approval r Product Approval F' Product Approval F SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics- Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. ` Common roofs: Common roofs are those which have no visible delineation between neighboring units (Le., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. CR\ Exposed Ceiling: 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, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. TIN 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. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. M Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension 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 Sections R4402, R4403 and R4413. �! _ Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the s _ <- - re assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It m - b- neficial to consider additional venting which can result in extending the service life of the roof. Owner /Agent's i Revised on 7/9/2009 LD Date Contractor Signature Date M I� ADte BUILDING CODE COftermatat OFFICE (SCCO) PRODUCT CONTROL DIYISION ML4MI DADE COUNTY. FLORIDA MBTRO•DADE 10 -AGLER BUILDING 140 WEST FLAGLER SPt3>I r, SUITE 1603 MXAM1, FLORIDA 33130 -1563 (305) 3752901 FAX (305) 375.2908 NOTICE OF ACCF.II'TANICE OA Clay Forever, LLC 6801 NW 77 Avenue Miami, FL 33166 SCOPE; This NOA is being issued wader 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 IVliarni, Dade County and other areas where allowed by the Authority Having Jurisdiction (ART). 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 AIU (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 AM 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 heroin, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zane of the Florida Building Code. DESCRIPTION: Altusa "S" Clay Roof The 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 Bled 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 theproduct or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Pollute to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number pwceded 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 renews NOA #06-0706.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA Na: 07. 0919.03 Expiation Date: 12/116/12 Approval Date: 12/20/07 Page 1 of 7 PROFILE DRAWINGS 41Z17 'c' r` . £ RWF TIC CUP DETAILS CLIP NOA No.; 07- 0919.O5 Itgl ratloa Date: 12/16/1 Approval Dote; 1 0!07 Page 6 of 7 Table 6: Attachment Resistance Expressed as a Moment Mr (ft Ibf) • coo ?two p Adhesive Bei S Profile Muse 'R' Tltn Adhesive yiv crr�li�li 2 See manufactures co eat = . .1 or Installation r -- _ 3 Flexible Products Company TrleB nd Average weight per patty 10.7 grams, Pol cam Product Inc. Ave : wet { • r 8 ram. Altura 'S' Tlie Poly/cam PolyProrm r oiyloarn r 0lyp r®T'm Larne paddy placement of 63 grams of PoIyProTM. team Paddy Placement of 24 ,grams of PatyProTM. Tile Tile Application Tde Profile WE1N'flF1CATRW MA IOW BM Ae T!J . 66'9 c a a. a .o . T * y�� UNDERNEATH q U�w4fis R. 11�. Loc& VNY 6H ET1$ Minimum Attachment Resistan e 29.3 Table 7: Attachment Resistance Expressed as s Moment - M (ft Ibf) for Single Patty Adhesive Set Tile application Minimum Attachme t Resistance 66.5` 33.,7° — Table 8: Attachment Resistance Expressed as a Moment - M1(ft -ibf) for Horror Set tams Tile The Profile Application Altusa S' Tile - _ Mortar Set' Attachment Resistance 24.50 5. LABELING All Ii10 s h -71 boar e1... a�..i _t ki La ln .4f ten P S R =._.a - L e6aaa.aeua Vd i�n:nn��anie nvlr no the. �' .e;g ;:;, iia following statement: "Miami -Dade County Product Control Approved �■ �-- WA -� ■ter -.�._ _ ® si 11 1 ii s yG�GVGIJ4 3 3 41 6. BUILDING PERNB,T REQUIREMENTS U-a Application for buiidinn nr_rmi► ahm11 ism �rcrsarm.n..a a... f as _ f ll .� A wwyrw by vu�/A4D Vl Y 1;G �UUW3ng: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or �a:M_bie building nd.a :a. mow- to Trial/64y . � n .n wdcr to cvr ivaie the installation of this system. NOA No.: 07- 0919.05 n Date 12116/12 Approval Date. 12/20/07 Page 5 of 7 1 d es ' o d naril HD- _mv_n_____ m Tile k lk anon Profile aattett App lca tian Direct Dec Altusa `S' Tile A 12,1E/2 A pp �Ntv Profile Altusa '8' T110 Tile Profile Tile Profile Table 1: Average Weight (W) and Dimensions (� dd *n e..a. 914444,4$0 46. Weight W'(Ibf) ( Lomita-1(ft) Table 3: Restoring Moments due to Gravity - M° (ftlbf 3": 12" 4 " : 12" 5 ".12" 6°: 12" or less Battens Direct Battens i Direct Battens Deck Crack 4.47 5.35 4.40 ' 5.27 • 1 4.31 i 5.16 4.20 5.03 Table 4: Attachment Resistance E s a Moment .. M for Nail -On Systems f=astener Type Direct Deck I Direct Deck (Min 15/32" (Min. lain phi+ld) plywood) Altura 'S' Tile [ 2-10d Rma Shank Nails 1-10d Smooth or Screw Shank Nail 2 - 10d Smooth or Sore w 6.9 - 9.2 Shank !Ma 1 .#8 Screw 28.7 2 .08 Screws 582 2 1.10d Smooth or Screw 23.1 Shank N`aii i ieid Clip) 1-10d Smooth or Screw 29 : 3 29.3 Shank Nall (Save Clip] 2 -l0d Smoother Screw Shank Natls (Field Clip) 2 -10d Smooth or Screw 38.1 38.1 Shank Nails (Eave CItp 1 Screw with Aitusa Clip (See clip details), 167.1 187.1 28.6 5.1 t3.e 63 3a 6/.44 0.2`74 41.2 e7 v Altusa "3" 1 Screw with clip (at the Tile head of tile) Altusa "S" 1 Serf** with clip (at the 35.2 T110 water course of tie 1. Screw must be Installed in the inside nap hole located nearest to the hump of Mollie- Width. (1-0 7 " :12" or greater Direct Battens Dlner Battens Direct Doak 4.08 4.89 (plbf) Battens 19.4 2.8 7.3 N/A 26.8 19.0 24.0 38.5 41.8 N/A N/A NOA No.: 07-0919.05 t ats Date: 121102 Approval Date: 12/20/07 Page 4of7 • Zest Anencv PRI Asphalt Technology, Inc. Red land Technologies Red lurid Red land Techeciloirica Red land Technologies Red land Technologies Walker Engineering, Inc. Walker Engineering, Inc. WV -r Eirterinpprifte iTsr. Walker Engineering, Inc. Test Identifier CLF•003-02-01 7161-03; Appendix Ili 7141 :yrf Appendix li Auu. 1. 1994 P0631-01 PO402 Calculations AJM iAi.ifi:AaaaazaspAR. Evaluation Calculations It t Name/Report TAS 102 TAS 102 TAS 108 (Nail-On) W1 I COM! I.141r111tir TAS 108 (Nll.On) Wind Tunnel Testing Ift4 Ma mortar sat) Withdrawal Resistance Texiimr raf vslrekw Tv_ seree.-94, shank nails Aerodynamic' Multiplier i.5713 25-7094 -ae Evaluation Calculations 25-7584 5*5-7741.11`14 25-9804-4 & 5 25-784114 3.1 Fue classification is not part of this acceptance. Date October 2001 Dec. 1991 Tilly 1994 Sept. 1993 March 1999 Mich 1995 February 1996 "In LI 1 YA3 December 1996 POT: ettitesive set tiln 4 .11in acc.ordance with RAS 106. 3.3 Applicant shall retain the services of a Miami County Certified Laboratory to perform nitiFirterly test in seernssIn.7.7.7 wZ 2„,a, ita jg the Building Code Compliance Office for review. Mi - ii im cvnipilance with die applicable Roofing Applications Standards listed section 4.1 herein: 3.5 30/90 hot mopped underlaymeut applications may be installed perpendicular to tbe roof slope =less stated otherwise by the tindesrl4yramit rawstevreti mtien.f..-17.=f; pagi u sitrat , 74 ... 3.6 This acceptance is for wood deck applications. Minimum deck requirement; shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and Kremer. 4. INSTALLATION 4.1 'Altura One Piece S' Clay Roof Tile and its components shall be installed in strict rnmplinll.r=t tvith P..ftftling Applic.a SIT.a.lazd RAS 11S, riAS 11P, anti RAS 120. 4.2 Data For Attachment Calculations NOA No.: 07-0919.05 Expiration Dem 11/16/12 Approval Date; 12/20/09 Page 3 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub- Category: MatDerial: 1. SCOPE This renews roofing system, using Altura One Piece S' Clay Roof Tiles, as manufactured by Alfareria Del Turbio, S.A. (ALTUSA) in Venezuela and descatal in Section 2 of this Notice of Acceptance. For Locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained 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. 2. PRODUCT DESCRIPTION Mama:wtured by Anulicaut Altusa One Piece `S' L =18 W /4° Tile W 10.5" 1/2" thick nominal 3.25" high Length: varies Width: varies varying thickness =6 " D 0.125" L &h 2" W _ 1 „ 0.05" hick 2.1 SUBMITTED EVIDENCE: Trim Pieces Clip Gip Test Aeenev IBA Consultants, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotea Corporation Testing ng Roofing Roofing Tiles Clay . Test So Ueatiiom Test Identifier 2397 -116 94-083 94084 25- 7200 -1 Product TAS 112 High profile clay roof We. For direct deck or batten nail -an, mortar set or adhesive set applicataions with minimal headlap of 2-W' TAS 112 Accessory trim, day roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. TAS 114 Tile clip TAS 114 L Shaped file clip Project No. 307025 Test #MDC 78 MTS 520649 Test$ame/Renoar& AST I% C 1167 Static Uplift Testing TAS 101 (Adhesive Set) Static Uplift Testing May 1994 TAS 101 (Mortar Set) Static Uplift Teattug Feb. 1995 TAS 102 (Quick-Drive Screws. Battens) Wind Driven Rain ' Oct. 1994 TAS 100 TAS 102(A) May 2000 NOA No.: 07-0919.05 Expiration Data: 12/16/12 Approval Date: 12/20107 Page 2 of 7 P 06/28/07 April 1994 CLIP DETAILS (CON'T) END OF THIS ACCEPTANCE NOA Na: 07- 0919.05 Expiration Date: 17/16112 Approval Date: 12120/07 Page 7 of 7 MIAMI•D�ADIr COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eovibuildine/ SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section 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 Section (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. BNC 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 of the Florida Building Code. DESCRIPTION: Polypro {m A11160 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 renews NOA# 06- 0201.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. FADE COUNTY APPROVED NOA No.: 11- 0124.04 Expiration Date: 05110/12 Approval Date: 04 /14/11 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro® A11160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro'? AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Polypro E;? AH 160 N/A Foampro® RTF1000 ProPacko 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. I1AMt•DADE CO APPROVED NTY N/A N/A Dimensions Test Specifications TAS 101 Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158 °F., 100% Humidity, 2 weeks 86% NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro0 AH160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F'— F w 2 MS NOA No.: 11 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 3 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polyprol AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro' AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro (4 dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro ■? AH160 shall be applied with Foampro RTF1000 or ProPaok® 30 & 100 dispensing equipment only. 7. Polypro AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro? AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. APPROVED IOADE CO NTY LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 4 of 7 Nall through plastic cement Underlaymeat 1 Eva Scums EavoCosure 10tn` Paddy (Beneath Tile) Fascia Eave course only: Keep adhesive approx. 4 In. up from weepholes ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY FaveCOINS Eave course only: Keep adhesive approx. 41n. up from weepholes Paddy (Beneath Tile) Fascia Weephoio Rave closure Drip edge 1) Place enough adhesive to achieve Tito 23 opttona12x4'8for square inches In contact with the pan Ole steep pitch appticeKae 2) To 1 to From outside ldood Place adhesive U21n` / Then Install the filo Underlayment Re top piton of the carne course cover Ole. Abut tosecond course of pan tiles. Ensure owe end of pan end cover Wee are flush et pave line Fave closure (mortar shown) Weephote Fascia Nall through plastk cement Optional I on sdgoe oldie Sheathing NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 5 of 7 „J DADECOU APPROVED ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 6 of 7 Nan through plastic cement � x 3 in. Single paddy on under- layment Single paddy on top of tile Single paddy under tile Paddy (between tile) Paddy (under tile) 1 In. X7 In. medium size paddy eave Fascia course only 0 NUMB CO APPROVED ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Single paddy on underlayment Single paddy on top of tile f i ghin.x 3 In. Ewe Course Nall through plastic cement Underlayment Single paddy under the Single paddy between file 2 In x 1 In. medium elle paddy eave course only tge 3 In. 41n. Single paddy on under. layment Single paddy on top of tile fik Eave Course Fascia Weephole Eave closure Drip edge Single paddy between tile EaveClosure 2 In. x 71n. medium eke paddy eave course only Fascia END OF THIS ACCEPTANCE NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 7 of 7 THIS JOB 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES M il U A SP 1 Master Permit No. t 0 • at r7' Pro ' ss No. Contractor's Name Job Address tO� Z(0 ❑ Low Slope ❑ Asphaltic Shingles Low Slope Roof Area (SF) ORIbA BUILDING CODE — BUILDING Florida Building Code Editi High - Velocity Hurricane Zone Uniform Penult A ( a " ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 160 ROOF TYPE )El. New Roof ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION � APR 1 8 2011 BY: - Z..l.. 2 -...... BLDG DEPT 4K2 (_ SUR1FCT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes ❑ Repair ❑ Maintenance Steep Sloped Roof Area (SF) Total (SF) SeCttinn I�/Rnnf P_ In' a, Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. t �rL N Roof System Manufacturer: Gt. { iF LL-C-, - , Notice of Acceptance Number: ®* IR. ® Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations �1: / P2: 75 P3: la 02 Maximum Design Pressure (From the Product Approval Specific System): 7 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Spr_tinn n (Steep Sinped Rnnf System) s N A \S Roof Slope: 5 : 12 Ridge Vey ? � Mean Roof Height: P�' a ,Stepp Sloped Roof System npseriptinn \ Deck Type: tot Aye 'v(..Kwalvf7 • Type Underlayment: Insulation: Fire Barrier: 'h0#k c•re4A N �.¢. Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: Roof Covering: for ce Fc p•pt fvu?Pro Type & Size Drip Edge: 1 Oe t•6c gtk,r1.'xc- • 4 104 two Cale C 1 ? tar-oo : Tt tole FLORIDA BUILDING CODE — BUILDING Where to Obtain Information Description S mbol Where to find Design Pres PI or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared • ' E based on ASCE 7 Mean Roof Heigh H Job Site Roof Slope 8 Job Site Aerodynamic Multiplier Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mt • tux - : royal Requited Moment Resistance M ted Minimum Attachment Resistance r , ` Product A • , val Required Uplift Resistance Fr Calculated Average Tile Weigh W Product Atmroval Tile Dim -. sions L _ length W = width Product Approval All calculations must be submitted to the building official at the time of permit applicati ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High- Velocity Hurricane Zone Uniform Penult Application Form. Spcti F (TM Calculatinnc) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mf. If the M( values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" '- x 2, 2 F-1 '(. Mg: c 5= Mil 7 of Product Approval Mr (P2: 75:(,),x 3' =a4 M $ = M� � f Product Approval Mf - (P 41 A .27V = J t 6 if Mg: .J = M Ya Product Approval Mf . • 7 Method 2 "Simplified Tile Calculations Per Table Below" had Moment of Resistance (Mr) From Table Below Yr %A Product Approval Mf '.a• �' M re • uired Moment Resistance* Mean Roof Height Roof Slope 4, 2:12 3:12 4:12 6: 15' 20' 34.4 5 Att.2 36.0 30' 39.7 37.4 35A 32.8 40' 41.2 39.8 37.3 34.9 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (Pt• x L - x w: = _ J - W: x cos g = F Product Approval F' (P2: x L = x w: = - W: x cos B = F Product Approval F' (P3: = - xw:= -W: x cos =F PPS Product A al 7' FLORIDA BUILDING CODE — BUILDING SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. 4 Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. F4 Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. J 4 Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing to be performed. 4. T■ Exposed Ceiling: 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, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. 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. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not ove oaded from a buildup of water. Perimeter /edge wall or other roof extension 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 Sections R4402, R4403 and R4413. 5 1 3 ( 7. ✓ Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the s assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It m - j - _ neficial to consider additional venting which can result in extending the service life of the roof. Owner /Agen s Revised on 7/9/2009 LD Contractor Signature Date M IA M 6DAf�E BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Clay Forever, LLC 6801 NW 77 Avenue Miami, FL 33166 MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: 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 Mani 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 of the Florida Building Code. DESCRIPTION: Altusa "S" Clay Roof Tile 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. Fannie 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 Mani- -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 renews NOA #06-0706.09 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No.: 07- 0919.05 Expiration Date: 12/16112 Approval Date: 12(20/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Roofing Tiles Material: Clay 1. SCOPE This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Alfareria Del Turbio, S.A. (ALTUSA) in Venezuela and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained 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. Trim Pieces Clip Clip 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions Altusa One Piece `S' L = 18 Tile W = 10.5" V2" thick nominal 3.25" high Length: varies Width: varies varying thickness L =6" D = 0.125" L&h =2" W =y2" 0.05" thick 2.1 SUBMITTED EVIDENCE: Test Agency IBA Consultants, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Test Specifications Test Identifier 2397 -116 94-083 94-084 25-7200-1 Project No. 307025 Test #MDC-78 MTS 520649 Product Description TAS 112 High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications with minimal headlap of 2-1/2" TAS 112 TAS 114 TAS 114 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Tile clip L Shaped tile clip Test Name/Report Date ASTM C 1167 06/28/07 Static Uplift Testing April 1994 TAS 101 (Adhesive Set) Static Uplift Testing May 1994 TAS 101 (Mortar Set) Static Uplift Testing Feb. 1995 TAS 102 (Quick -Drive Screws, Battens) Wind Driven Rain • Oct. 1994 TAS 100 TAS 102(A) May 2000 NOA No.: 07-0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 2 of 7 Test Anenev PRI Asphalt Technology, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Wallcer Engineering, Inc. Walker Engineering, Inc. Test Identifier CLF- 003-02 -01 7161-03; Appendix III 7161-03 . Appendix II Letter Dated Aug. 1, 1994 P0631 -01 PO402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Test Name/Report TAS 102 TAS 102 Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Nail -On) Wind Tunnel Testing TAS 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier 25 -7183 25-7094 25-7496 25 -7584 25-7804b-8 25- 7804 -4 & 5 25- 7848 -6 October 2001 Dec. 1991 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 3. LIMITATIONS 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 Mian i -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment 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. Mmimim4 deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 `Altura One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 07. 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 3 of 7 Table 1: Average Weight (W) and Dimensions (1x w ) Tile Profile I Weight W Length-I (ft) Width -w (ft) Altusa'S' Tile 6.9 1.52 0.875 Taste 4: Attachment Resistance Expressed for Nall-On Systems Direct Deck (Min 15/32" plywood) Table 2: Aerodynamic Multipliers - a. (ft Battens Tile Fastener Type X (ft 1. (ft) 28.6 Profile 19.4 Batten Application Direct Deck Application Altusa 'S' Tile 2.8 2 -10d Smooth or Screw Shank Nails 0.253 0.274 Taste 4: Attachment Resistance Expressed for Nall-On Systems Direct Deck (Min 15/32" plywood) as a Moment - Mr (ft Ibf) Direct Deck (Min. 19/32" plywood) Battens Tile Profile Fastener Type Musa 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nall 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 92 7.3 1 .#8 Screw 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nall (Fleld Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave COW 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 1 Screw with Aitusa Clip (See Op details) Ti Musa "S" lel 1 Screw head of clip j at the 187.1 187.1 N/A Altusa "S° Tile' 1 Screw with clip (at the water course of tile) 35.2 35.2 N/A 1. Screw must be Installed in the Inside nail hole located nearest to the hump of thn tiles Table 3: Restoring Moments due to Gravity - M (ft -Ibl The 3": 12" 4": 12" 5": 12" 6": 12" Profile or less Altusa 'S' Tile Battens 4.47 Direct Deck 5.35 Battens 4.40 Direct Deck 5.27 Battens Battens 4.31 5.16 7 ": 12 or greater 4.20 Direct Deck 5.03 Battens Direct Deck 4.08 4.89 NOA No.: 07. 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 4of7 Table 8: Attachment Resistance Expressed as a Moment - Mf (ft -lbt) for Mortar Set Systems Tile Profile Tile Application Attachment _ Resistance Altusa 'S' Tile Mortar Set' 24.50 Tile Profile Table 6: Attachment Resistance Expressed as a Moment Mf (ft -lbf) for Two Patty Adhesive Set Systems Tile Application Minimum Attachment Resistance Aitusa 'S' Tile Adhesive 29.3' 2 See manufactures component approval for Installation requirements. 3 Flexible Products Company THeBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 7: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for SIngle Patsy Adheshre Set Systems Tile Tile Application Minimum Attachment Profile Resistance Altusa 'S' Tfe Polyfoam PolyProTM Polyfoam PoIyProTM 4 Large paddy placement of 63 grams of PalyProTM. 5 Medium paddy placement of 24 grams of PolyProm. 66.5" 38.r 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement "Miami Dade County Product Control Approved ". * * * ALTUSA MADE IN VENEZUELA 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. IDENTIFICATION MARS FOR ALTUSA `S' CLAY ROOF TILE LOCATED UNDERNEATH TILE NOA No.: 07- 0919.05 Expiration Date: 12116/12 Approval Date: 12/20/07 Page5of7 CLIP WITH ONE (1) SCREW ATTACHED TO DECK 'SPANISH 8' TILE BY AL. C YP.) PROFILE DRAWINGS ALTUSA `S' CLAY Row TILE CLIP DETAILS 21/2' OVERLAP (COVERS PIN HOLE) SCREW iN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE DECK CUP NOA No.: 07- 0919.05 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 6 of 7 SCREW (HO "SPANISH 8° TILE By ALTUSA (YIP) CLIP DETAILS (CON'T) SCREW (HOLDS CLIP ONTO DECK) CLIP PLACEMENT DETAIL 2 W OVERLAP (COVERS PIN HOLE) END OF THIS ACCEPTANCE SCREW IN THE INSIDE NAII. HOLE NEAREST TO THE HUMP OR THE TILE DECK 1 1/4' 1W4• 3/4° 1 I I , NOA No.: 07- 0919.05 Expiration Date: 12/1 6/12 Approval Date: 12/20/07 Page 7 of 7 MIAMhD�ADE COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section 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 Section (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. BNC 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 of the Florida Building Code. DESCRIPTION: Polypro® A11160 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 renews NOA# 06- 0201.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MANMADE COUNTY APPROVED MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.mlamidade.aov /building/ NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications Polypro AH160 N/A TAS 101 0 Foampro® RTF1000 ProPack® 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. MANMADE Co APPROVED N/A N/A 1D Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /ft 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt 3.1 Perm / Inch +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Change @158 °F., 100% Humidity, 2 weeks 86% NOA No.: 11 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11 /02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. ( F) w 2 AH160 shall solely be used with flat, low, & high tile profiles. F'— MS NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 3 of 7 Table 1 :. Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro 'D AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro+:? dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack(.4 30 & 100 dispensing equipment only. 7. Polypro AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro +? AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polypro {? AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MIAMI•DADE COUNTY APPROVED NOA No.: 11- 0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY steep sh sppt 1) Place enoughadheetve toschteve 17 to 23 s p p or square Inches In contactwlih the pan die taeP 1 lcas 2) To 1 In From outside of�errgle. In. Then Install the tile. Underiaymenl 1 Re RIP Phriton dine ova course cover MIIB. Abut tanned course of pan files. Ensure Gave end of pan and cover Ulu are flush eteave Ilno. Eave closure (mortar shown) Weaphote Fascia Nall through plastic cement Optional Pahttup Mortar on longitudinal edges eight NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 5 of 7 Sheathing ADHESIVE PLACEMENT DETAIL SINGLE PATTY NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 6 of 7 Nall through plastic cement 0 • tn. x 3 in. Single paddy on under- layment Single paddy on top of tile Single paddy under tile Paddy (between tile) Paddy (under tile) in. X 71n. medium sloe paddy eave Fascia course only 8 COWED M I. CO APPROVED ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Single paddy on underlayment Single paddy on top of tile P .41n.x 3 in. 4 In Eave Course Nall through plastic cement Underlayment 1 3 In. 4 In. Single paddy on under- layment Single paddy on top of Ole Single paddy under the Single paddy between the 2 In. x 7 In, medlum sin paddy eave course only Fascia Weephole Eave closure Drip edge Single paddy between the E8V8 Closure 2 in. x 7 in. medium sin paddy cave course only Fascia END OF THIS ACCEPTANCE NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 7 of 7