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848 NE 91 Terr (8)Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Dat Aug. 31 1988 Owner's Name and Address John B e t u s Na 848 Street NE 91 T e r r. Registered Architect and/or Engineer Name and address of licensed contractor Location and leggal description of lot to be built on: Lot 74` i V Block Street and Number where work is to be done 848 N. E. 91 Terrace State work to be done and purpose of building (by floors). state exterior colors (submit samples) Re-Roof. tile roof. Tin cap 1 -30# felt. Mop 1 -90# s1ate.Tnsta11 new cement, tile roof. New Building Remodeling Addition Repairs X To be constructed of Kind of foundation Roof Covering Cement tile Estimated Total cost of improvements S 7175. 00 Amount of Permit $ $30.00 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to Disapproved (Signed( MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 11 Ave-ilialeah,_ 1. QQ�� 33013 ¢� 3 G Subdivision /� /fait/ /I( 4/J hat/ l � . ,71/ 45'. -5 . 1 i• 25 Sgltares Biscayne Roofing Co. 5180 E. 11 Ave. Hialeah, F1. 3 . 1013 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only ch subcontractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. }SS. Permit No. - "Z 8 317 7 Date Building Inspector d r Date Remove existing Read .Sworn to and Suhsctfibed,hefore me. Not aryst'ublic. State of Florida Nedry ►ublit My Commission Expires State at FNtida at Large Ml Cammusan tapres Aprtr2O,1992 PLANNING BOARD DATE and for no other purpose. No. of Stories 1 James T. Laing Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared James T. Laing tor, t.cll known. and who. being by me first duly sworn. upon oath deposes and says that he is the Roofing Contractor of the above described construction. that he has carefully read the foregoing application. and that he did sign the same. and that all facts therein by h :ii stated are true. Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. Issue Date: 8/28/2006 Owner's Name: MOJDEH SHOSHTARI Permit Type: Roof Work Classification: Roof - New Job Address: 848 91 Terrace NE Contractor(s) BAY CONTRACTING FIRM INC Phone (305) 885 -2112 Primary Contractor Yes Comments: RE -ROOF TILE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/24/2007 Type of Work: Re -Roof Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy pplicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF -8 -06 -2190 Phone: 1132060050350 Lot: PB: Total Square Feet: 4650 Total Valuation: $ 32,000.00 Re • uired Ins ' ections Tin Cap Hot Mop Tile In Progress Up Lift Report Final Roof Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $19.20 $6.40 $350.00 $9.00 $8.75 $393.35 Invoice Number RF -8 -06 -26021 Total: Amt Due $393.35 Cis SEP 0 8 P1 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: RF -8-06 -2190 Inspection Date: 11/27/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Miami Shores Village, FL Project: <NONE> Contractor: BAY CONTRACTING FIRM INC Building Department Comments Monday, November 27, 2006 NOV 2 8 z066 Block: Permit Type: Roof Inspection Type: Final Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 - 2112 Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: RF -8-06 -2190 Inspection Date: 11/27/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Miami Shores Village, FL Project: <NONE> Contractor: BAY CONTRACTING FIRM INC Building Department Comments Monday, November 27, 2006 NOV 2 8 z066 Block: Permit Type: Roof Inspection Type: Final Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 - 2112 Page 2 of 2 Tenant/Lessee Name Is Building Historically Designated YES Contractor's Company Name Contr. :toy's Address City Qualifier Name Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: • . dition Pi Alterati OAP Structural Review. $ Miami Shores Village Building Depart 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Cvoy 1 6 21112 PERMIT APPLICATION (, FBC 2004 Permit Type (circle): Building El ctrical I Plu bing Mechanical Roofing Owner's Name ^� (Fee Sim le Titleholder) 0 ► V hone # (� 1 17 ( >� ) e, �i �a �� d5)� D 3 ► �c n i r� v� r rr ni Owner Address State `FL Zip - 531 - 5g Job Address (where the work is being done) 4� N 0 11 k/1 / . City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Inc n NO State Certificate or Registration No. Certificate of Competency No. Square / Linear Footage Of Work: Submittal Fee $ Permit Fee $ Notary $ f ■°. • Training/Education Fee $ Scanning $ •00 Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Permit No. 1 qO Master Permit No. Phone # 7 () 525 Phone # . g -GOO 1 Phone # CCF $ Total Fee Now Due $ 1 l ' ❑ R•p.ir /Replace • embFto� ***************************************F ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 31 (.1( CO /CC Technology Fee $ Zoning $ 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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me his day of ,20_,by , day of ,20by who is personally 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: Sign: Print: My Commission Expires: NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) oco Plans Examiner Engineer Zoning Bill To MOJDEH SHOSHTARI 848 NE 91 TERR MIAMI SHORES, FL 33138 -3218 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 11/17/2006 Scanning Fee 11/17/2006 Revision Fee Monday, November 27, 2006 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: RF -11 -06 -26782 Invoice Date: November 17, 2006 Permit Number: RF -8 -06 -2190 Permit Type: Roof / Work Classification: Roof - New Fee Type Calculated Calculated Total Fees Due: Fee Amount $3.00 $35.00 $38.00 Payments Date Pay Type Check Number Amount Paid Change 11/27/2006 Check 362 $38.00 $0.00 Total Paid: $38.00 Total Due: $0.00 Are th I high Velocity Hurricane Zone UUnifomi Roofing Penieit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section A (Gene `^ y : r.Pennit No. NOV 1 0 AR , Contractor's Name: • B Y: ( - 1 Y c—c:•1 �'f 1 W4 1 �1� h E 9 r °z vt 12 r Low Slope I Asphaltic Shingles I Prescriptive BUR R1 1� Low slope roof area (ft �) Job Address: Rooff Category • ✓ Mechanicaiiy1 astened Tile ✓ Metal Panel/Shingles .Otfrec_� r Yes 'Roof System Inffonreatiori Section B (Roof Plan) Page 2 eal iret�orrnaQion) "C - 2) 9 jl Process Rao. (./ Roof Type r Recovering r Repair r Maintenance E Woad Shfigles/Shakes If yes, what type? r Natural r LPGX Steep Sloped area (iL=)1 e Total (fLI I t Sketch Roof Plan: mustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. include dimensions of sections and levels, dearly identify dimensions of elevated pressure and Manion of parapets. Perimeter Width (a,:1 . Cotner Size (a' tt r ------ - I f/, P Iv litlign=i0inifilillit I11I 1illl! Midilillkill X11 /11LIIII!llll�llllIllngif _ 1111 1111111 PI 11111111111 ■ i♦!..■ � %V iIV� I I 1... M■ MIIMIf 1 GGIIIIIIIG11i1e'11iBCIi /it/.'�I____ f/ .r4 L'S 11121111103/1,1230,51111.11 a u ui:U l 11I� �l 1 11 1� i >i� 11�t11 f• �10NERI ilfiTi � l M I luIIMMIl1ii� �.� — g la Roof System Manufacturer: -"` - Notice of Acceptance Number: , k ., _ c . _,, ; z i , Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations: �` : =_01 P2: P3: Zeo Maximum Design Pressure ( (From the Product Approval Specific System): =i' -- Ridge Ventilation? • I j � I Mean Roof Height: 1 Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: ,a d � Vi -_ c �- Type Underlayment: 1 ?, _ vl Roof Slope: u s_;c ,l'!1t' i� �` j -?:? : 121 Insulation: 1 r i .� Fire Barrier: j \\ Fastener Type & Spacing: • 2.- \ - - ?� s ,. -- 17 , Adhesive Type: f - k..1 � i \ Type Cap Sheet: \Roof Covering: r �\1,:•f t, - : j - .... L1 \ Type & Size Drip ' i >.p �t, = .3 . \ Edge: � i f I i RoofNoleld Roof elope 4 . II:. t12 5:12 7:12 15 ao. 2t4 aa1 26A 2a' mn'mw Elmo ammo 31,e 27.1 SW 39.7 874 90.1 32A aaa 201.2 40' X2.2 37.3 ass 32.4 t be deed fn ado nth a Ott of =non bated We system endowed by the Froward Canty Baud of Rules sad Appeals. Fortip30@ based deem= aweMeme89. Coragond te values ter Mathes vasfar&utboFvalues ae far + sees of me toot hen me tae method b savable. gasoermm m die* nnuee� Method 3 "Momssr Bssed no Pox RA2 127" Blonde Building code Edition 204 Nurricano ton. Uniform Permit Application Rim. For Moman based me systems. choose elderl adI 2. Camperstbegp�ax .id�mevetoesteom ow(w the b rattle. fa acs axes of me mod ego the tae Madan= Oe Ifebeb4 hired= Etna a Itsfahod I 'Mom= Based14ea:RliaasPrRAs127" (p c6 x 0291. a5.44leip5-1Z ..*4t 2 had= gppeoval[M (P2: 95 xxo`�'d7.4eRa) -Mitra• a ?_le) PtadnatAearommt. 5-62. .hitsia_90 Prod= Approval Mg d biomes ofRess:soe PEEnt°daleBebw -- Prater ApprovdM R.ORIDA BUILDING CODE — BUILDING xL x ° Fri Floduot Mooed x an B . Fax dlodon Apps F xL . xw:. x aos0 • FdO Product F x cos 0 ROOF AM ROOFfOlt STRUCTURES 19..35 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation 8825 NW 95 Street Medley, FL 33178 • L, 2, NOV !_ 6 7006 SCOPE: This NOA is being issued unit The documentation submitted Review Committee to be usedin-Mi Jurisdiction (AHJ). This NOA shall not be valid er it - ►i tated below. The Miami -Dade County Product Control Division (In Miami Dade Ci) AHJ nareas other than Miami Dade County) reserve the right to have this product or material t sted for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Santafe Spanish `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. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preced the expiration date may be displayed in advertisin be done in its entirety. INSPECTION: A copy of this entire NOA shall and shall be available for inspection at the job site a This revises and renews NO The subm d; ; :, a . ' and co by Alex Wc6-3-190 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 and regulations governing the use of construction materials. by the BCCO and accepted by the Building Code and Product ty and other areas where allowed by the Authority Having llowed by en it shall NOA No.: 05- 0921.02 Expiration Date: 02/01/11 Approval Date: 02/02/06 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Deck Type: 2. PRODUCT DESCRIPTION Manufactured by Santafe `S' Clay Roof Tile Trim Pieces N/A 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Roofing 07320 Roofing Tiles Clay Wood 1. SCOPE This revises a roofing system using Santa Fe "Santafe `S" Clay Roof Tile, as manufactured Santafe Tile Corporation 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. Test Applicant Dimensions Specifications TAS 112 TAS 112 94-156 -8 TAS 101 94 -156 -9 TAS 102 25- 7205 -1 TAS 101 Project: 07- 07-00 -91 TAS 100 (307023) 7161 -03 Appendix II 7161 -03 Appendix 111 P 0402 Product Description One piece high profile clay roof tile equipped with two nail holes. For nail -on, mortar set and adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Identifier Test Name/Report TAS 108 (Nail -On) Date Aug. 1994 March 1995 Sept. 1994 Dec. 1991 Static Uplift Testing Dec. 1991 TAS 102 & TAS 102(A) Withdrawal Resistance Sept. 1993 Testing of Screw vs smooth shank nails NOA No.: 05 Expiration Date: 02/0U11 Approval Date: 02/02/06 Page 2 of 5 Test Agency Redland Technologies Redland Technologies Celotex Corporation Testing Services IBA Consultants, Inc. PRI Asphalt Technologies, Inc. IBA Consultants, Inc. IBA Consultants, Inc. IBA Consultants, Inc. 3. LIMITATIONS Test Identifier P 0647 -01 P 0631 -01 520305 -01 thru 05 2353 -4 SFTC- 003 -02 -01 2353 -70 2353 -71 2353 -93 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with 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 Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Santafe 'S' 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 Table 1: Average Weight (W) and Dimensions (I x w ) The Profile Santafe 'S' Weight - W (Ibf) 6.7 Length - I (ft) 1.5 Width - w (ft) 0.958 Table 2: Aerodynamic Multiplyers- )t(ft Tile Profile Santafe 'S' ( Batten Application 0.274 X (ft Direct Deck 0.297 Test Name/Report Date TAS 108 Aug. 1994 (Mortar Set) PA 108 July. 1994 (Mortar Set) PA 102 June 1999 Restoring Moment Aug. 1999 TAS 101 12/06/02 TAS 101 09/22/03 TAS 101 09/22/03 ASTM C 1167 07/18/05 NOA No.: 05- 0921.02 Expiration Date: 02/01/11 Approval Date: 02/02/06 Page 3 of 5 Tile Profile Santafe 'S' Table 3: Restoring Moments due to Gravity - (ft -Ibf) 12° 3 °:12" 2 Battens 5.93 Direct Deck 5.90 Battens 5.85 Direct Deck 5.82 4 Battens 5.73 Direct Deck 5.69 5 °:12 Battens 5.56 Direct Deck 5.53 6 Battens 5.32 Direct Deck 5.29 7 ":12° or greater Battens 5.03 Direct Deck N/A Table 4: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nall -On Systems Profile Fastener Type Tile Santafe 'S' 2 -10d Ring Shank Nails One #8 Screw Two #8 Screws One #8 Screw w/ Clip Two #8 Screws w/ Clip 1. Approved screws as noted 'Product manufactured by other ;'. Direct Deck 21.8 29.16' 38.28 57.31' 57.60' Battens N/A N/A N/A N/A 61.77 Table 5: Attachment Resistance Expressed as a Moment M (ft-Ibf) for Two Patty Adhesive Set Systems Tile Application Tile Profile Santafe 'S' Tile Bond Polyfoam Polypro AH 160TM' 2 See manufactures component approval for installation requirements. 3 Flexible Product, Inc. Average weight per patty 10.4 grams. 4 Polyfoam Product, Inc. Average weight per patty 9.4 grams. Minimum Attachment Resistance 38.9 28.5` Table 5A: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesive Set Systems Tile Application Tile Profile Santafe 'S' Polyfoam Polypro AH 160T" Polyfoam Polypro AH 160TM 5 Paddy placement of 63 grams of Polypro AH 160 6 Paddy placement of 24 grams of Polypro AH 160"'. Minimum Attachment Resistance 63.8 61.9" Table 6: Attachment Resistance Expressed as a Moment for Mortar or Adhesive Set Systems M (ft -Ibf) Tile Profile Santafe 'S' Tile Application Mortar Set Attachment Resistance 23.6 5. LABELING 5.1 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 ". NOA No.: 05-0921.02 Expiration Date: 02101/11 Approval Date: 02/02/06 Page 4 of 5 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. PROFILE DRAWING "SANTAFE S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 05- 0921.02 Expiration Date: 02/01/11 Approval Date: 02/02/06 Page 5 of 5 Miami Shores Village maw • Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 0 I ) J Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 1) 1 ( Oa PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) MQ`a e.A t O5 hU,1hone # R4g N E v q , TE • 1 City MaMt Shore s State F L Tenant/Lessee Name Owner's Address Job Address (where the work is being done) City FOLIO / PARCEL # Miami Shores Village Contractor's Company Name 52 Architect/Engineer's Name (if applicable) Type of Work: Describe Work: Zip County Miami -Dade Is Building Historically Designated YES NO II -i v&tt Contr. ctor's Address 10 City C State Qualifier Name Q C State Certificate or Registration No. e GC�� 61 _ Certificate of Competency No. Value of Work For this Permit $ �2 UO 0 ['Addition ['Alteration ['New ["Repair/Replace ❑ Demolition ®l "re-/? -' 1 L lc ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *F **,,*.,,************* * * * * * * * * * * *** * * * * * * * * * * * * * * ** **� Submittal Fee $ Permit Fee $ 0� \ CCF $ 11 CO /CC Notary $ Training/Education Fee $ 40 Technology Fee $ Scanning $ 4 -00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ pq_ Master Permit No. Zip 3 13 g' Phone # Zip Phone .# Phone # Permit No. Square / Linear Footage Of Work: la gCgIIdg� AUG 2 1 2006 B Y:t(cC \F06 - 2_Ic0 33138' ih)3o3— 976 Phone # 3DO� 60 ?)? D 1 c� 36S— -.z) Structural Review. $ Total Fee Now Due $ 315 . M See Reverse side -) SEP 0 8 pct] 1 Sign: Print: , Company's Name (if applicable) ,ng Company's Address Mortgage Lender's Name (if applicable) , H Mortgage Lender's Address �- 4 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, S [GNS, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the aesor, whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the j-rlh .,ite for the first inspection which occurs seven (7) days after the building permit is issued. In the b ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature - Signature .011. p Owner or , The foregoing instrument was acknowledged before me this 9 The foregoing instrument was acknowledged before me thi day of ,4L% , 204,, by , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced _ As identification and who did take an oath. as identification and who did take an lath. NOTARY PUBLIC: My Commission Expires: (Revised 02/08/06) APPLICATION APPROVED BY: State Zip Shawn Hasseji ' n #DD 18304I res: 1 I I, 2007 Bonded Thru Atlantic Bonding Co., Inc. NOTARY PUBLIC: Sign: , 1. , .f, MARIA ISARFI SANTA Print: * .. } * MY COMMISSION if DD 193663 CXl'IRES, Aril p 19, 2007 Bonded Thru Budget Notary Services My Commission Expf e9•D� Plans Examiner Engineer Zoning 123_01'-48 eras PAGE2 ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof Florida Bul • ing Code Edition 2002 High Velodly Rooms Zone Uniform Pup* Application Fomt Section A (General Informatlont Master Permit No. eF -t(o- 2t 1D Process No. Contractor's Name ( co1ATR■ (.z ( Job Address � � v £ ROOF CATEGORY • ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ i k4 e- Roofing ❑ Recovering ❑ Repair ❑ Maintenance. ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep. f.Area (SF) Total (S 5 • . ' • . Section B (Ro f P'11a Sketch Roof Plan Illustrate all levels and sec.$ons, roof drains, scuppers, overflow.. scuppers and overflow drains. Induct% dimensions of, sections and levels,. dearly Identify) dimensions of elevated pressure zones and lOcatioe of parapets. 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' i11 ' a■re1111ra11•r•11a11e11r1111aa•r11aa•1111r Ir•a•• ■afrr11r11 . 1 ••e11•a1111•r11r1111111111e1111a11ra1111a11a11■ 1 ■■1111.11raa•111111•e•11a11aa•117rrrr11[a 11 a• 11 111111rea11.11re•11rr11r11ummu e11■ • .. 0 Prescriptive BUR- RA8150 ROOF TYPE rtar /A W ood Shingles/Shakes • Are there Gas Vent Sta Yes. ❑ No 'Pipe: Natural ❑ LP ❑ 0 Roof System Manufacturer: i J M 10 f) " � • c-e 1 L (I e Notice of Acceptance Number: 0 D 15 -0 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): • • • P1: S P2: • P3: • if Maximum Design Pressure 14S--) (From the NOA Specific System): • ill • Method of tile attachment: Q Ridge Ventilan ick 123_01-48 5/03 PAGE 4 -4 Section D (Steep Sloped Roof System) Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Fonn. • Mean Roof Height: Steep Sloped Roof System Description Deck Type: ype Underiayment: 1. nsuiation. Fire Barrier. :: • •• • •• • • •■• ••••••••• YIA • • ..• •. • • • • • • • • • • • • • • • • • ..••••••• • • • • • • • • • • • • •• •• • • ••• • • • • • • • • • • • • • ••• • • •• •• • • ••• • • • • N I A astener Type & Spacing: nannkka( cl4anV A c+? eca ° Ib.c 60-1ups�l�� (Z14c�s ti o. dhesive Type ype • • 1 •• •. 1 • • • • • • • • • • •• • oof Covering: Type & Size onp dge: fl c • Where to Obtain Information Description : Symbol' ' i Whit f h id , Dee Pre* .p 1 P2 or P3 RAS 127 Table 1 or by an eogioeering : ' 7 '',: : p y PE based on ASCE IIIIP f , � � g $t 4 H % Job Site 36.0 37.4 1 • 8 Job Site 32.2 33.8 A . a, NOA 284 30.1 Restoring M to Qia'vily MI NOA 8:12 284 1. + Aftelmient Resistance Mr NOA 32.4 7:12 Required Moment Resistance M Calculated ri I v 28.2 30.0 Nfusimum Attachment Resistance . F... • . NOA _ _ t Required Uplift Resistance • F • • • Calculated • • '' A Tile Weight • W .: • - : IAA: :.: - • dop e"' Dimensions . � w= width • • • . �1P .. • calculations must be submitted to the Building Official at the time of permit application. M, Required Moment Resistance* 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 284 30.1 31.8 32.8 34.9 8:12 284 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 hft#4;lb Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M with the values from M If the M 5 values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method (PO4 _ j.z (P2:‘,34 .1 zx "± (P z Bas Ale Cale ` mma Mg - Mg: bons Per •I11L. od 2 "Situp fi Toe Calculation P aa Required Moment of Resistance (11M) From Table Below RAS 127 -- NOAM � � NOA Mf (l c, ,�� NOA r4 y b le Below" NOA M1 *Mast be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. 4 For Uplift based tile systems use Method 3.„C&O e ues for F' with the values for F. If the F' valu are greater than or equal to the F values, for each area of the roof, then the tl : I t hod is aceptable. • • • • • • • • • • •• • • • • • • •• • • • Method 3 " Uplip B Tit alculations Per RAS 127" (P : z 1: z w: = - W: _� z cos B: = F NOA F' (P : z 1: m za - z cos e: = Fa: NOA F' (P3 : z 1: _ f v z cos e: = F NOA F' • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • •.I 123_01-48 5/03 PAGE 5 • • • • • • • • • • •• •• • • ••• • • • • • • • • • • • • ••• • • • • • • • • • • •• •• 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 with the required roofing permit, and to explain to the owner the content of the section. The R4402 govern the minimum requirements and standards of the industry for roofing system i Additionally, the following items should be addressed as part of the agreement between the contractor. The owner's initial in the designated space indicates that the item has been expla 1. MIQ 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. Mk) 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. ltit 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. The provides the option of maintaining the appearance. 5. MA) Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. 1t4A) Overflow scuppers (wall outlets): It is required that rainwater flow 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. 7. NA) Ventilation: ivIpzt. roof structures should have some ability to vent natural airflow through the interior otthstrt.tct .trmss,mbly (the building itself). The existing amount of attic ventilation' slaaA tio may be bene'i ial to consider additional venting which can result in e ending the service life of the • • f Owner/ AA) • • . • • • LL gent's Sign ature• •Y ate 4 •.. • • . . . . ••• • • • .• • • .. ..1 ••l• • • • • • • • • • • .•. • • • •. • •• • • • •• •• • • • • ••• • • • to provide the owner provisions of Section nstallations. owner ant the fined. @ont : +;r Si ; s Date M1AM' ADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20'" Street Boca Raton, FL 33431 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 Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Villa, Roll, and Capri Concrete 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. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC • • • • • • • • • .. ... .. • • • .. • • • • .. • . • • • • • • • • • • • • • • • • • • • • .. • • • • • • • • • • • • .. • • • • • • .. • ... • • • • • • • .. .. • • ... • • • • • • • • • • ... • • • NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 1 of 7 ROOFING ASSENIBLY APPROVAL Category: Roofing Sub - Category: Low Profile Roofing Tiles Material: Concrete 1. SCOPE This renews a system using Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC 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. 2. PRODUCT DESCRIPTION Manufactured by Applicant Monier Lifetile LLC Villa & Roll �ot1i e r�si'fe i' f i1�T t�:� .ti4 cvm:.r +. a i3Ti1 i:. Trim Pieces Test Azcncv Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engl. cring, Inc. o v CT��II. o Dimensions 1= 16W' w= 13" :" thick L = 17" W= 12 3 %2" thick 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Test identifier 7161 -03 Appendix III 7161 -03 Appendix II PO402 :94 -06QB • 4 -0 •• • • ... • • • • • • • • •• • • • • • Test Specifications • • • • •• • • •. PA 112 PA 112 PA 112 Static Uplift TF•''irg PA102& Wind Tunnel Testing PA 108 (Nail - On) Withdrawal Resistance Testing of screw vs. smooth shank nails . . . .. • • Static Uplift Testing PA 101 (Mortar Set) ••• ••• • Product Description Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. • P4 101 J< • • • • • • • • • • • • • • • • • • • • .•• • • • • • • • • • • • • • • • • • • • ••• • • • • • • .. • - •• ••• • • • ..• • Test Name/Report Date Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 NOA No.: 02- 1205.05 Expiration Date: 12 /16/07 Approval Date: 01/02/03 Page 2 of 7 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) Monier Lifetile Villa and Roll Tile 9.1 1.33 1.08 Monier Lifetile Capri Tile 9.51 1.42 1.03 r Tile Profile ..._..._..................... 3 ":1Z" 4 ":12" 5 ":12" - 'VIP 6 ":12" Inn -lull 7 ":12" greater Direct Battens Deck or Direct Deck Monier Lifetile Villa, Roll, and Capri Tile Battens ' Direct Battens Deck I Direct Deck Battens Direct Deck Battens 5.57 6.30 5.48 6.18 5.37 6.05 5.24 5.90 5.09 5.73 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 Miami -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. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Monier Lifetile Villa, Roll, and Capri Concrete 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 Tile Profile Monier Lifetile Villa, Roll and 2: Aerodynamic Multipliers - X 3) a (ft Batten Application d Capri Tile ft 0.267 (ft Direct Deck Application 0.289 Table 3: • • • • • • • • .. ... .. • • • •• . • ••• ••• • • • • • • • • ▪ • • • • • • NOA No.: 02- 1205.05 • • • • • w • • • • • • • • • • ; E Date: 12 /16/07 • • Approval Date: 01/02/03 Page 4 of 7 •• ..• • • • • • .. • • • • • ••• • • • • • • • ••• • • .. •• • • • • • • • • • • • • • • •. Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Villa, Roll, and Capri Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' I 43.0 I 67.5 I 50.9 Installation with a 4" tile headlap and fasterners are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment M1 (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Adhesive 26.1' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - M,'(lk -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Polyfoam PolyProrm 86.61 . Polyfoam PolyProTM 45.5' 4 Large paddy placement of 54grams of PolyPro 5 Medium paddy placement of 24grams of PolyPro . NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 5of7 Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Mortar Set' 20.60 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 ". 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. PROFILE DRAWINGS MONIER LIFETILE VILLA CONCRETE ROOF TILE .. ... • • • • • .. • • • . •• • • .. ... .. • • • .. • •• • •• • • • • • • • • • • • • • • • • • • • • • • • • • .... • • • • • .. • • • • •• • • • • • • • •• • • • • ••• • • • • ... • • • • • • • • • • • • •.• • • • • • • • • • - •-• -.. - • - - -.. _.. ... -.. ._.. .•. • • • ••• • • NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 6 of 7 MONIER LIFETILE ROLL CONCRETE ROOF TILE MONIER LIFETILE CAPRI CONCRETE ROOF TILE: END (5F AeCEP': ANCE NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 7of7 MONIER LIFETILE ROLL CONCRETE ROOF TILE MONIER LIFETILE CAPRI CONCRETE ROOF TILE •• ••• • • • • • •• • � NR : 4 eA • • .•. •.. • • . • • • • • • • • • • • • • • • • • • • • ..... • • • • .. • • • .. • • • • • • •• • .... • • • • • • • • • • ••• • • • ••• • • NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Pagc7of7 M1AMI•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION 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 by the BCCO and accepted by the Building Code and Product Review Committee 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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by J; rge L. Acebo. • • • . • • .. .•. •. • • • •• • • • • ••• • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • •• • • • • .• • • • • •.• • • • • • • • • • • • .. • • • • • • • • . • • • • • • • • • • 0 • . • • • •• • • • MIAMI -DADS COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro0 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® All 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® AH 160 Foampro® RTF 1000 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: Dimensions Test Specifications N/A TAS 101 N/A N/A • Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 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. •• ••• • • • • • •• • • • •• ••• •• • • • • • •• • • ••• ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • ••• • • • • ••• • • • • • • • • • • • ••• • • • • • • • •• •• • • • •• • ••• • • • ••• • 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.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 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 257813 -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 tire rating. 2. Polypro® AH 160 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 Polypro® 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 2. F'= MS W NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 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) N/A Flat, Low, High Profiles #1 35 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 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® AH160. 2. Polypro® A1-1160 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® 30 & 100 dispensing equipment only. 7. Polypro® AHI60 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. • • ••• • • • • • • • • • • • • • • •• •.• •• • • • •• • • • • • • • • • • .. • • • • • • •• • • • • • • • • • • • • • • • ••• •• •• • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• •• • • • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 Nail through plastic cement Underlaymen! 1 Eave Course Eave Closure 10 M. Paddy (Beneath Tile) Fascia Eave course only: Keep adhesive approx. 4 In. up from weepholes ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY •• ••• • • • • • • • • • • • •• ••• •• • • • •• • • ••• ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • •• • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Nail through plastic cement Underlayment 1 10 in Eave course only: Keep adhesive approx. 4 M. up from weepholes Paddy (Beneath Tile) Fascia W.a ole Eave closure Drip edge 1) Place enough adhesive to achieve 11 to 23 square inches in contact with the pan file 2) Turn covers upside down. Place adhesive 112 In, To 1 M. From outside edge of cover tile. Then install the tie. Underlayment Remov top portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave end of pan and cover tiles are flush at eave lino. Eave closure (mortar shown) • • • •• Weephole Fascia B Optional 2x4's for steep pitch applications Nail through plastic cement Optional Point•up Mortar on longitudinal edges of file NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 l'age 5 of 7 Nall through plastic cement Underlayment ' �tz s. ts.a r; 7 4 is 2 Eave Course A"' Paddy (Beneath Tile) Fascia Eave Closure Underiayment Tin. Eave Course ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through plastic cement • • 041, • • • • • • • • • • • • • • • • •• ••• •• • • • •• • • ••• ••• • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • •• • • • • • • •• • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• 000 • • • ••• • • Paddy (Beneath Tile) NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04/13/06 Page 6 of 7 Fascia Weephole Eave closure Drip edge Nail through plastic cement 3 in. I x3in. Single paddy on under - layment Single paddy on top of tile Single paddy under tile Paddy (between tile) Paddy (under tile) Eave course 2 in. X 7 in. medium size paddy eave Fascia course only ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Single paddy under tile Underlayment Single paddy between tile 2 In. x 7 in. medium course paddy eave course only (Z) tee 3 in. x 3 in 4 in. Single paddy on under - layment Single paddy on top of tile Eave Course Fascia Weephole Eave closure Drip edge Nail through plastic cement s�. Jr 3 in. x 3 in. Single paddy on underlayment Single paddy on top of tile S ,.. \ \��.� // ✓ I Eave Closure • 2 i 7 in. medium size paddy eave course only Fascia Eave Course END O IJ ' U STANCE • •••••• • • . . ••• •• • • • .. • • • .• ••• • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • •• • • • • • • •• • • • • • ••• • • • • ••• • • • • • • • • • • • • • •• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Single paddy between tile NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 7 of 7 inspection Number: INSP -30944 Permit Number: RF -8-06 -2190 Inspection Date: 10/30/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Miami Shores Village, FL Project: <NONE> Contractor: BAY CONTRACTING FIRM INC Building Department Comments Friday, October 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 311 2M Block: Permit Type: Roof Inspection Type: Final Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 2 of 2 Inspector Comments _.0t* 4-4( -L-; ?- e item. t C f -e . z '''''? S (_, (Z ° 1 --7 Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. inspection Number: INSP -30944 Permit Number: RF -8-06 -2190 Inspection Date: 10/30/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Miami Shores Village, FL Project: <NONE> Contractor: BAY CONTRACTING FIRM INC Building Department Comments Friday, October 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 311 2M Block: Permit Type: Roof Inspection Type: Final Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 2 of 2 Tile has been completed without a tile in progress inspection. Provide an Engineer's certification letter on the installation of the tile as per FBC chapter 15 and RAS 120. Provide a revision of the permit showing the use of Santa Fe clay tile instead of Monier roll tile. 10/24/06 CG. Passed Inspector Comments Dip Lg tf T l , 5 ct - pd. b11ud 011 -1 1ty 4 l ° Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be schedue►iti2 re- inspection fee is paid. Z/ V.�i u Inspection Number: 1NSP- 25174 Permit Number: RF -8 -06 -2190 Inspection Date: 10/24/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Contractor: BAY CONTRACTING FIRM INC Building Department Comments Tuesday, October 24, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 1 of 2 Inspection Number: INSP -25175 EP 2 1 2006 Permit Number: RF -8 -06 -2190 Inspection Date: 09/20/2006 Inspector: Desharnis, George Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Tuesday, September 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit T Inspection Typ Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 1 of 2 Passed _ Inspector Comments G -----/- / 0 o2O /.. 4 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -25175 EP 2 1 2006 Permit Number: RF -8 -06 -2190 Inspection Date: 09/20/2006 Inspector: Desharnis, George Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Tuesday, September 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit T Inspection Typ Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 1 of 2 Inspection Number: INSP -25176 Permit Number: RF -8 -06 -2190 Inspection Date: 09/20/2006 Inspector: Desharnis, George Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Tuesday, September 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 s 2 1 2006 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 - 2112 Page 1 of 2 P assed Inspector Comments IS \ S Ce / i -1 . 0 / 7 ---- /96( ■. a/ Failed Correction • Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -25176 Permit Number: RF -8 -06 -2190 Inspection Date: 09/20/2006 Inspector: Desharnis, George Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Tuesday, September 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 s 2 1 2006 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 - 2112 Page 1 of 2 Inspection Date: 09/14/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Wednesday, September 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP -25172 Permit Number: RF -8 -06 -2190 1 4 EC Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 1 of 2 Infractio Passed Comments TIN CAP SPACEING True t Passed Inspector Comments __ --,, did ,,,,,„_ p C ' L D--'� ,. o r' )---ii e ‘ 7 , //a.._., 4. .....":, , /2 5 ---- f,,, / / 1.' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. fT c / � ga / ----7 / l .2✓ until Inspection Date: 09/14/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Wednesday, September 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP -25172 Permit Number: RF -8 -06 -2190 1 4 EC Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 1 of 2 Inspection Number: INSP -25173 Permit Number: RF -8 -06 -2190 Inspection Date: 09/14/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Wednesday, September 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CO 1 '1 RECD Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 1 of 2 Inspector Comment d 1--/Z/4„ gea/ , 1- f C7R -5: Passed Failed X Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled is re- inspection fee s paid. 04 1 f / c / � ` 7 �/ -, YU � i/ until Inspection Number: INSP -25173 Permit Number: RF -8 -06 -2190 Inspection Date: 09/14/2006 Inspector: Grande, Claudio Owner: SHOSHTARI, MOJDEH Job Address: 848 91 Terrace NE Project: <NONE> Miami Shores Village, FL Contractor: BAY CONTRACTING FIRM INC Building Department Comments Wednesday, September 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CO 1 '1 RECD Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1132060050350 Lot: Phone: (305) 885 -2112 Page 1 of 2 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: RF - - - 2190 Invoice Number: RF - - - 26021 Applicant: MOJDEH SHOSHTARI Company Name: Owner Address: 848 NE 91 TERR MIAMI SHORES, FL 33138 Job Address: 848 91 Terrace NE Miami Shores Village, FL Date Friday, September 8, 2006 09/08/2006 Cash Payment Type Check Number Amount $393.35 Change $0. 00 Total Payment: $393.35 Page 1 of 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and stre address: 4 2,2 /41477(6 AW s 33 /3 2. Description of improvement: 3. Owner(s) name and address: Interest in property: t Name and address of fee simple titleholder: r`��► 4. Contractor's name and address: �1 - '- �1 1 �< <� f i r`V% ` v s7� D R_ 11, 33)640 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond S 79- 6. Lender's name and address: 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 and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: a 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Print Owner's Name /�D � Sword to and subscribed before me this day of Shawn Hasse; O .�lY.Y P(� Notary Public 2r• ; �. Commission if (1DjJl Print Notary's Name Expires: Feb 11, f i bondea Ivly commission expires: "' "' Atlantic Bond!ng . • a eif e r i c2/ ' Terzi2l1C / M (4}-M ( s r f cg c- 33/ 3‹ 4 20 STATE OF FLORIDA, COUNTY OF DADE HE RE[3Y CE1 :hat this is a true co n Lois c lice on A rk 'NI I NEC; n; hind .,r ,.N,ci 31 Seal. HAR Circuit and County Courts By D.C. CF NI 2006RO9 7Cu1 OR P4 -8S1 P9 1646'r (1G3) RECORDED 1- 19/07 /21 /1/ HARVEY Ri_!+ ihlr CLERK. OF COL/- MIAMI -DADE COUI•iT'r r FLORIDA LAST PAGE 111111111111111 INIi 1111111111 111111111 illl Prepared by Address: jj\1 I