897 NE 91 Terr (8)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Job Address sr 5)-7 „./, - 5 T.r..r T Folio // 320 6 e5 ()Jai e
Legal Description �h � E �� ,, 41,100/ 41 aster Permit # i ....-L
S :6 -----
Lessee / Tenant ``f W1.45. jg�-4452; y
Owner's Address
Contracting Co.
r9 7 }EJS 9/
�R /f d /...)C 1' G. J/fws��nv7�cb.J
Qualifier ,ci e.J
State# Competency# / g',s7
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
WORK DESCRIPTION "50 f
Signature of Owner and /or Condo President
Date:
3s.s�
Address /),c5/
phone
phone
Ins. Co.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
(TT
m-0
Square Ft. _co Estimated Cost
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that all work will be performed to meet the standards of all laws regulating construction in this
,jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS,
POOLS, ROOFING, and MECHANICAL work.
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.
Furthermore, I authorize the above -named contractor to do the work stated.
PERMIT FEE: APPROVED:
D' Zoning Building , Cf k /Electrical
5. o 0 7')&
Mechanical Plumbing Engineering
Signs ure f Contractor or Owner - Builder
e: ' /� 2, 9 9 )-
/..� J(
Notary as to Owner and /or Condo President Notary as to Contractor or Owner - Builder
My Commission Expires: My Commission Expires:
4101MillipegV4FP.OMIA
*
MY COMMISSION :MRCS 5/03/94
Fire Other Bnnded thni Sternhter -Adams R, Sweet
'WILDING
- I- FCTRICAL
T UMBING
_OOFING
Owner of
Building
/7/
Architect " /
Contracfor
or Builder
Legal
Description.
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT IT? 11114
Work to be performed under this Permit
4r
,-,.,�* Value of Amt. of
Project $ i Permit
This permit is ranted t6 the contractor or builder named above to construct the building or to install thG equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: 1: . '' BY , ;r
In consideration of the issuance to me of this permit I agree toherform 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 tb;e proper authorities of Miami Shores •Village.
In accepting this permit I assume responsibility for all work done ky either, myself, my agent, servant or employee.
Subdi-
vision
DATE / 195 f- Contractor s
License No
$ �a
AUTHORITY
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT "'
305- 795 -2204
Building Inspection Request
Date
Type Insp'n
Permit No. / g g
Name ,� /
Address Cj 7 / V �i q/
,?►,
Company
Phone #
Inspection Date ca/�S
MIAMI SHORES VILLAGE \\
MILDING DEPARTMENT , '
305- 795 -2204
Building Inspection Request
Date
Type Insp'n j L /
Permit No.
Name
Approved
Correction
Re-Insp'n Fee
Address 7 /VC q0 butib
Company ''frail =' , � ,
Phone # -
Inspection Date ca 0 �
Type Insp'n
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Permit No. cs-
NameC %L) y� t
Address 59 / -FP / '
CompanyPal)V G N C(C
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -220`4
Building Inspection Request 1�
Date q..1
Type Insp'n t G(-- 6()-'
Permit No.
Name
Address cr A "' C 1 1 - "Fe
Compan )o C YC1&
1
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee ❑
Date
Type lnsp'n 1(n Cc-Ap
Permit No.
Name
Address 8 ME-
Aim
" '.t
Companyr HC C7C--1 C'k
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buil!ing Inspection Request
IL/
1
inOrio 0 4„ 4 „,/
4,0_ d4i,r
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 (-
Building Inspection Request \
Dated
Type Insp'n 1 l(
1
Permit No. P C
Name 1 U ' ,
Address sc I 1 (� I �t1 1 K/
Company (-• I CJ T r
I
Phone #
Inspection Date
� .
Approved
Correction
Re- Insp'n Fee
110 r
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT / \
305- 795 -2204
Building Inspection Request
Date
Type Insp'n t''-
Permit No. 6 O•
Name pp �
Sq
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
-JVIIAM:SHORES VILLAGE
BUILDING DEPARTMENT
Building Inspection Request
Date 'd
Type Insp'n >� t"_ ~' "
0
Permit No.
Name
(:)( .,I /J •� . i ! ��:
/
cam. GL,
Address
Company
Phone #
Inspection Date
Approved
Correction
305- 795 -2204
Re- Insp'n Fee ❑
AA9 7C- ,
•
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
2
Date 3
Type Insp'n 4 ) d [Q 1
Permit No. 6P6S t5g
Name rL)5 5
Address gT1 1 " E el / *Yt
Company 1 ea (Ci c
Phone #
Inspection Date 3 y ��
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
1 -5
Passed
21 -25
Passed
41 -45
Passed
71 -75
95 -105
6 -10
Passed
26 -30
Passed
46 -55
Passed
76 -80
96-110
11 -15
Passed
31 -35
Passed
56 -60
81 -87
111 -134
16 -20
Passed
36 -40
Passed
65 -70
88 -94
135 -200
P11, ORIID \
eking
1ngineering &
PROPERTY ADDRESS: 897 NE 91 TERR
OWNER: JUAN TORRENS
CONTRACTOR: COTES MANAGEMENT CORP.
ROOFING SQUARES: 33
TILE TYPE: VOLCAN "S"
CONTACT PERSON:
O Inc. 13605 S.W. 149 Avenue, Unit 1, Miami FL 33196
1� Rafael Droz -Seda, P.E. 9130 Crescent Dr. Miramar, Fl 33025
Testing Equipment: Digital Chatillon DFIS 200
Sincerely,
roe
Ra - • . Droz -Se i a P.E.
No. 39228 & 843
Voice: 305- 256 -4550
Lab Report No. 05- 030009
Building Solutions For The Construction Industry
CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE
TO COMPLY WITH METRO -DADE COUNTY PROTOCOL PA -106
24
1
Test Tabulation
THIS ROOF HAS PASSED: LJ FAILED U THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS 106.
"ROOF SKETCH"
North
21 19 16
22 23
18
1 2
17 35 34
20 31
26 32
30
25 28
27 29
PERMIT No: BP0588
PCA No:
ROOF PITCH: 3:12
INSPECTION DATE:
TEST DATE: 03/02/05
Front
JOB NUMBER:
48 47
5
Required Testing Force: 35 1
15
7
Certificate No.02- 0501.06
46
9
14
45
43
40
WWW.Floridatec.net Fax: 1
42
44
41
33
36
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
1 -5
Passed
21 -25
Passed
41 -45
Passed
71 -75
95 -105
6 -10
Passed
26 -30
Passed
46 -55
Passed
76 -80
96 -110
11 -15
Passed
31 -35
Passed
56 -60
81 -87
I11 -134
16 -20
Passed
36 -40
Passed
65 -70
88 -94
135 -200
FLORIDA
esting
'Engineering &
nsulting, Inc.
Testing Equipment: Digital Chatillon DFIS 200
THIS ROOF HAS PASSED:
Reviewed By :
//: •
ii'''i �
_ � -: � e... ' .E.
No. 39228 & 843
Voice: 305- 256 -4550
Building Solutions For The Construction Industry
13605 S.W. 149 Avenue, Unit 1, Miami FL 33196 Certificate No.02- 0501.06
Rafael Droz -Seda, P.E. 9130 Crescent Dr. Miramar, Fl 33025
CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE
TO COMPLY WITI -i METRO -DADE COUN'T'Y PROTOCOL PA -W6
PROPERTY ADDRESS: 897 NE 91 TERR PERMIT No: BP0588
OWNER: JUAN TORRENS PCA No:
CONTRACTOR: COTES MANAGEMENT CORP. ROOF PITCH: 3:12
ROOFING SQUARES: 33 INSPECTION DATE:
TILE TYPE: VOLCAN "S"
CONTACT PERSON:
24
North
Test Tabulation
TEST DATE: 03/02/05
.10B NUMBER:
FAILED ❑ THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS 106.
"ROOF SKETCH"
22 23
Front
48 47
1 2
27 29
5
Lab Report No. 05- 030009
Required Testing Force: 35 Ibs
10
7
12
13
46
45
43
\V \V\V.F Ioridatee.net Fax: 1 -866- 333 -6988
42
9 40 41
11
38
37
21 19 16 14
18 15
17 35 34
20 31
26 32
30
25 28 33
44
39
36
•
City Miami Shores Village
$ Value of Work For this Permit
Notary $ Training/Education Fee $
Scanning $ RI —
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
oo,
Miami Shores Village
Build' e • De • artment
10050 N.E nd Mi ue l fS s, Flo
Radon $
Tel: 305) 7 (305) 7
2 BUILDING L---- A _
PERMIT APPLICATION Master Permit No.
FBC 2001 141/ ,/iQ • /( -J2 -oo( 03oo
Permit Type (circle): Building Electrical � Pl l umbing Mechanical Roofing
Owner's Name (Fee Simple Titleholde iu /,� � / ✓ L cC -P l ' Phone #
Owner's Address / 9c2(72) / / - e . p
City
>Y1 State Zip a
Tenant/Lessee Name Phone # 30.f- - ,2:35 S3 5
Job Address (where the work is being done) 39 ? 9 / //o
County Miami - Dade
Is Building Historically Designated YES NO
� /qo C3
Contractor's Company Name / %/Z LJ .(� ' CJf� °�Phine #
Contractor's Address �
City -,C� c . State Zip 3 3 6 /6
Qualifier '77 (-
11 /���✓
State Certificate or Registration No. 2'i i ) a 6 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: j "� t ® )�
* * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 3G CCF $ 1 7 1 ( a CO /CC
Zoning
Structural Plan Review. $
a 33138
972
Permit No.
Zip
Technology Fee $
Bond $
Square Footage Of Work: .3) 4 0 0
!
Bonding Company's Name (if applicable) 1
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 f) (6 `)
Owner or Agent
The foregoing instrument was acknowledged before me this . D
day of NVOLIAd , 2005",
who is personally known to me or who has produced
As identification and who did take an oath.
Sign:
Print:
Chc 05/13/03
NOTARY PUB I
�,Eett
My Commis on Expires: p�S�i ,, 5\ ROI)ii r My
: *: N
.. • O. • .i • * '
* * * * * * * * * * * * * * * * * ** *fie; * ** * *** * * *' *,. * * * * * * * * * * * * * * * * * * * * * * **
I. 3u33
y' :, . p, ,01 p � • • (
er
APPLICATION APPRO
i/
Signature /
Contractor
The fo -going instrument was acknowled ed before me this c Cam.
day of , 20 4a by fe 1, /4
who is personally k n to me or who has produced
as i. -ntification and who did take an oath.
NOTARY PUB
Sign:
Print: A.r e' r • ,' d C,
Commission Expirtct-P � ,� 1 1S ,°�oa i �
N
*
F4 * * * * * * * **
: �dn
ijodz o • CS
4 .4% C;4 tE o 'i1ns Examiner
Engineer
Zoning
B. Type of Loan
1, _ PHA R. P•HA 'J. Dowv, tJwlw..
4. ^ VA B. _ CenV. Ins.
0. Pile Numb.,
204 -535
7. LON% NUMeer
M. NI050055•e Ia.urewe. 12•.• NJMbw,
C. NOTE; Thte form fe fUmlehed to give you a sta 1-ee ettlatnerlt *oats. Amounts palo t0 end Dy the settlement agent are shown.
Items marked (P.O.0.) ware paid 0 he oloeingl they own here for tntorrnatlon purposes and are not ine4lded 11 the 10tala.
0. Nuns and Address of Borrower
AM50U(N TRUST AND INVESTMENT CORP.
897 NE 91 TERRACE
NLMI, FL 33138
Name and Addrese of
ROBERT HARK HANNA
897 NE 91 TERRACE
MIAMI, FL 33138
F. Name and Address of Lender
MEISTER FINANCIAL GROUP. INC.
1835 NE MIAMI GARDENS DRIVE, 3TE 199
NORTH MIAMI BEACH. FL 33179
O. Property Looation
1397 NE 91 TERRACE
MIAMI. FL 33138
H. Settlement Agont
Floridian Hro. Title rnrp.
Place of Settlement
2750 NOrtn 29th Avenue •
Suite 118
Hollywood. Florida 33020
1. Settlement
Clot*
0 12/08/04
J. SUMMARY OF BORROWER'S TRANSACTION:
K SUMMARY OF SELLER'S TRANSACTION:
100. Grass Amount Due From Borrower
101. Contract sales prime . 345.000.4)0
400. Gross Amount Due To Seller
401. Contract sales price
345,000.110
102. Personal property
402. Personal property
103. Settlement ah . , e9 to borrower 1i1e 14001
104, A55IsNHENT Fee . 28.000,00
404.
105.
405.
Adjuatmefl a for items paid by aeller In advance
Adjuetynents for items paid by Seller i n advance
106. Cltyltown taxes to
408. City/town tense t0
107. County taxes to
407. County taxes to
--
108. Assessments to
409. Assessments to.
109.
400 -
110.
410.
1,».
411.
112
412
_
120. GROSS AMOUNT DUE FROM BORROWER
390,169.65
420. GROSS AMOUNT DUE TO SELLER
346.000.00
200. Amounts' Paid By or In Behalf of Borrower
500. Reductions in Amount Due To Seller
201. Deposit or eemest money
1,000•00
501. b3 ess (see Instructions)
202. Principal amount of new Ican(s)
275.000.00
502. Settlement charges to seller (Mite 1400)
26,553.07
203. ltrstItIg !Pants) taken subject to
503. IBdsting loans) taken subject to
204.
504. Payoff of ftrst mortgage loan
205_
608. Payoff of second mortg_•pe lean
805. SECOND NORTMAG3 PROCEEDS
75,778.50
000
207.ROOF CREDIT
81000,00
307, ROOF CREDIT
8,000.00
208.
508.
209
509, ROOF REPAIR
,-___...-
Adjuetmente for Items unpaid by seller
Adivatmento for items unpaid by seller
210. GIN /town tides le
510. Ckynown wawa • Io
211. County taxes 01101 to 12/08
2,352.71
611. County taxes 01/01 to 12/00
2,352.71
212. Assessments to
512. Assessments to
518.
210.
214.
510_
215.
616.
216.
616.
217.
817.
21e.
918,
219.
519
220. TOTAL PAID BY/FOR DORROWER
366,131.21
520. TOTAL. REDUCTION AMOUNT DUE SELLER
39,406.78
Boo, Cosh At Settlement From or To Borrower
800. Oath At Settlement To or From Seller
901. O ro s. amount duo from borrower (Mine 120)
900.169.65
601. Cameo .nneunt duo to Cal;or (I0 . .420)
242, 000.00
302. Last amounts petd byfror borrower (Tine 220)
a 65.131.21
802. Less roduotIon amount due seller gins 880)
39,406.78
elm. GAS1II FROM rt�r1N(,/WeR
2b,(J38.44_
603, CASH TO SELLER
306,694.22
Received 12/09/cu04 16:24 in 02:40 on line (5) for ADMINISTRp,..t( * Pg 4/6
' 12/69/2004 17:19 9549204906 FLORIDIANHOT'ETITL.E
A. SETTLEMENT STATEMENT U.8. Department of Housing
and Urban Development
12.09.2004 4t 4 :18 PM
'd 0L66' °N
PAGE 04/06
OMB No. 2502.0266
Idred ay law to prey .. , aettl•m.m AOmm Vin ! o 1 oorr•�r moa�er IeenIMeatlon cumber. I1 yogi 4o 001 prevkl• Plo.14wn 540,00 111. Oerp.
•Teel twirpaysr 40.055 o5 en number •ss b .0� to olv er rle,ln•1 •111 I1� PP .d 1, I..,, y
5 .5 , 1 un6afy coat 8.. numUsr •hewn en Paw •10ta 55 IY fl • COr Iso l rLNpaer idsnane•1bn number.
Telt IV Nunitt&0
813 It TRUdnoNB: h the red estate war sew rinoital re.Its.new Ill, Form 7110 a alai. or prenerlge el PrInetp01 Road•noe, ler any 980, Wilk yew lneom.
toot ral • ter other 1 rae5on.. eompte, the .ppl wale Pert. o Form 5794 Perm U 4 art 11
r 8011.0µ5e MO'," r 1040).
SJJSUT U t 1 E lor�eQ• Ta. Inform4llen contained In Mayas C. 0. h1,1 snot 00 I1ns 401 (ar, U n. 401 le aaterlek,4, lino. 400 ire 404) to Important '02 Inlorm Ion
a nd 1. 0.4 11
5,0 lvtAlih1d 50 0 MIMnOI movenu• 0•5150•. 5i you ar. qq h.d le t '.
l. •. ( v5, ) a n.oI000501)1 r 055, n n
e. p.n. ..1 1.n0110 0111 ea Im poe.d . ye. 54
fr.l• 11.21 1. .sub.. • e. ..p.,... 4. •w. 0. t.eo r_t.r,..M_. • 0 5 , - net 0e.n ,.pert.,.
RF-SPA, M8 4905.2 - FtEV, HU0.1 (3/59)
Wd9ti:9 9002 '81.ueC
Received 12/09/2004 16:24 in 02 :40 on line F ( ( 51 1 f I for A MI NH❑ STRA i UR + Pg 5/6
' 12/09/2004 17:19 9549204906
u.S. DEPARTMENT OF MOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT
L_ SETTLER/ENT CIIA �, GE•31:
000• EMS PAYABLE IN CONNECTION WITH LOAN
9b
801. Loon • - inallon Fes
802_ Lean Discount
BP LOMB. LL.c
P.O.C.
1.100.00
O
t0
806. Lender's tie aote•n Fee to
006. Mt . n>,_ • • PCatlon roe to
809 A •►a
804. Crede RapOrt
815.
904.
807. Assum ion Fee to
808. DOC PREP FEE
002.
Mg REQUIRED BP/ L ND
12/08/04 to 01/01/05
to
901. Interest tom
502. Morts•pa In6Urano Promlum for
903. Hazard insurance Premium for
12-09.2004 at 4:18 PM
E 'd 0L66' °N
BP I,QANS, LLC
• BE PAID 1
1l 1ir
i
_•VANCE
®$ 1.38.16 Ida
24 De 9
to
I . • X0minetiOrt •
1104. TRIe ttsu we binder to
Floridian Homo Title Corp.
1106_ Document preparation
1100. No -. feea
10
.00
MIAMI -DADE COUNTY TAX COLLECTOR
1304. REIDI2D QUIT CLAIM DEED & AFT. CLERK OF CIRCUIT COURT
MIAMI SHORE= VILLAGE WATER DEPT.
10Ub. UTILITY DUE
1908, GARBAGE & STORMWATER
1307.
1308.
1400. TOTAL SETTLEMENT CHARGES enter on lines 103 end 502 Sootion9 J and K
MIAMI SORE VILLAGE
Trio .w
PAID FROM PAID FROM
BORROWER'S SELLER'S
FUNDS AT FUNDS AT
SETTLEMENT SeT LEMENT
MEE
1,820.00
PAGE 05/06
PAGE 2
50.00
1107. Attomol'0 Moon
tnoludee above Ibema No:
t0
FOWLER WHITE BURNEfT. F.A.
10
Floridian Hone Title corp.
1100. TRW Insurance
(includes above items No: MRR 1850.00
a75.000.00 •- -- 25.00
110Q. 1 anrl•1r'R r:rrvwra9 $
1110. Owner's coverage
348,000.00 - - -- 1800.00
35.00
30.00
20,040.00
295.00
®'
1300. 2004 REAL ESTATE TAXES
1.564.27
17,169.65 26.053.07
*o
sate OONIONAT10N
IN 11- EVENT A RE. AORAT10N OF THY TAMS la a/N WM•J. THE TAX e1LLa POR 2000 APO � 0 p '' / • 11110 accurate elm em.n1
N TF 5. EMnCLV[ 1 nave caraluly reviewed the a H I'IO O• SHUm
••gql 61Atom0 and 1. 1000 00•00 0 toy 01101/ , %' 01 • HANO ✓
114 radelpl11 and diebureemsnt• made on my 4 et by M 011
0.0.111 et by m• lhio 01111ao0 00. 1 Draw oatMY MU I rM 0-1 O•tOom•nt Ot.r.m•ni.
Jr_ ++ /'. - _ _ at'MIMMIMMER`-
, • • • ,' . - ° ' .. •1 1 . d ad and 111100 b•en
•n p ,. . 4 I .,e by0 :11:r; 1A• I� '-' Glare M•1 wn l. • ioa or•earea a "" and 0000r • eeeoun / �a dS �I r•
.r veal b. dl.bur.•d by m 2.111. . a• Yul of 100• •0' 0010111 er th4 00.0100 e
a up
p•
WARM Ic l0 a CJ I0.• m 11eawln0 mane Ii.. •uulnent• to 100. Vnn.d ai.e en 1001E Or M11 °100°0 .10.0110 10,00.. 11011110.0 on 0ea..la ion •On Ind•0• n n.. and
Impn00n1 0fl. For V •11111• .••1 T1110 1. u••:. Cede 6.0110,0 1001 0 .,4 0.011401 at
1010.
REBPA, HO 4906.2 - REV. HU0- (3186)
6Vd917:9 goon 'si'Uer
061140
490.00
128.70
Return to (enclose self - addressed stamped envelope)
This instrument prepared by
Ivctte L. Arango, Esq.
Fowler White Burnett P.A.
1395 Brickell Avenue, 14th Floor
Miami, FL 33131
Property Appraisers Parcel Identification (Folio) No(s):
11- 3206 - 005 -0300
Grantee(s) Social Security Number(s):
STATUTORY WARRANTY DEED
(Section 689.02 F.S.)
THIS STATUTORY WARRANTY DEED made the , 74{ day ofDecember, A.D. 2004,
by ROBERT MARK HANNA, a single man , hereinafter called the grantor, to
AMSOUTII TRUST & INVESTMENT CORP., a Florida corporation , whose postoffice
address is
hereinafter called the grantee:
WITNESSETH: That the grantor, for and in consideration of the sum of Ten and No /100
($10.00) Dollars and other valuable considerations to said grantor in hand paid by said grantee,
receipt whereof is hereby acknowledged, does hereby grant, bargain, sell, alien, remise, release,
convey and confirm unto the grantee, his successors and assigns forever, all that certain land situate
in Miami -Dade County, Florida, viz:
SUBJECT TO:
Lot 26 and the East %T of Lot 25, Block 2, GOLDEN GATE PARK
ADDITION, according to the Plat thereof, as recorded in Plat Book
6 at Page 130 of the Public Records of Miami -Dade County, Florida
1. Real estate taxes for the year 2005 and all subsequent years.
2. Covenants, conditions, restrictions, limitations and easements of record, if any, without
seeking to reimpose same.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging
or in anywise appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND the grantor hereby covenants with said grantee that the grantor is lawfully seized ofsaid
land in fee simple; that the grantor has good right and lawful authority to sell and convey said land;
that the grantor hereby fully warrants the title to said land and will defend the same against the lawful
claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes
accruing subsequent to December 31, 2004.
8 'd OL66' °N
Wd817:9 9002 '81.uU
IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day
and year first above written.
Signed, sealed and delivered
in our presence:
(
P r i n t Name: .t u per, r
STATE OF FLORIDA
COUNTY OF 1vfIA.MI -DADE
I HEREBY CERTIFY that on this day, before me, an officer authorized in the State aforesaid
and in the County aforesaid, to take aclrnowledgmen , personally appeared
ROBERT MARK HANNA a sin le man who is personally known to me to be the
person described in and who executed the foregoing instrument, or [ who produced
as identification, and they
acknowledged before me that he executed the same for the purposes therein expressed.
WITNESS my hand and seal in the County and State last aforesaid this day of
c , 2004.
(SEAL) `,PRYP�B Judith D. Rodman ,taryXyblio, State
? ��;1.�, _Cammisslon # D31 D57845
°�t �� '�= Rip Oct ltt, 2405 rint Name: . J t 1.l j7 i � % ) k,m,/
" ' Atlantic
Bonded d My Commission expires: to/4 ;; Sr"'
[jdr] W:166872\D5ED3048.JDR(12/7/4 -10:2}
OL66' °N
2
t r Abh 4 1----.---.
(JROBERT MARK HANNA
Address: 2315 Hartford Road
Austin, TX 78703
Wd817:9 9002
PERMIT NO.
0
STATE OF FLORIDA:
COUNTY OF MIAMI -DADS
TAX FOUO NO.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: ? 9
2. Description of improvement: fa. - if o
3. Owner(s) name and address* S 00 I _ 7/2 0.15 JAJ v es /x/e/i Zg
Joe) A / 5 ee 47/7/
Interest in property: (./ Div /2 C-
Name and address of fee simple titleholder:
4. Contractor's name and address: !BR To k 6 Rc.i 4 Roo Pt At 9 6 4'I' 7 /4IAA/ L AK6f .Pd _zoo 1
A40,441 Lode's p/ 3.30 4
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $ I11EREThrC
0.^giAa±
6. Lender's name and address:
7. Persons within the state of Florida designated by Over upon " om
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
gnatu , /of Owner `/
Print Owner's Name /�1 AAJ (j j (2) /z-t
Sworn to and subscribed before me this J d day of
Notary Public
Print Notary's Name
My commission expires:
123.01 -52 PAGE 4 10/04
CFN 2005R0078 540
OR Bk 23025 Ps 3908; (1Ps)
RECORDED 01/25/2005 13 542 :26
HARVEY RUVINI CLERY. OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
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:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
diff - - nt date is : - ified) 9■ P4 s 1745.<4 101.4/ DA T E
� i
Prepared by -`-� - e 1. 8/2
Os�
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2005 -88
Printed: 2/1/2005
Applicant:
Owner:
JOB ADDRESS: 897 NE 91
Contractor PORTO & GARCIA ROOFING
Local Phone: 305 - 820 - 7009
Parcel # 1132060050300
Building Permit
TERR
Contractor's Address: 3550 N. W. 52 St.
Permit Status: APPROVED Permit Expiration: 7/20/2005 Construction Value: $6,650.00
Work: RE -ROOF WITH TILE
Page 1 of 1
Legal Description: GOLDEN GATE PARK ADDN PB 6 -130 LOT 26 & E1/2 LOT 25 BLK 2 LOT SIZE
Fees: Description Amount
FEE2005 -1242 Building Fee $325.00
FEE2005 -1244 CCF $4.20
FEE2005 -1245 Training and Education Fee $1.40
FEE2005 -1246 Technology Fee $8.13
FEE2005 -1247 Scanning Fee $21.00
FEE2005 -1254 Submittal Fee ($50.00)
Total Fees: $309.73
Total Fees: $309.73
Total Receipts: $0.00
o
A ,9 jO
4/30_3
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
•
1
Florlda Building Code Edition 2002
High Velodty Hurricane Zone Uniform Permit Application Fonn.
1
Section A (General information)
Process No.
Contractors Name
44 /
Job Address X;aETZi952:4--- Rq
Master Pennft No.
O Low Slope
O Asphaltic
Shingles
O New Roof
ROOF CATEGORY
O Mechanically Fastened Tile
O Metal PaneUShingles
0 Prescriptive SUR-RAS 150
ROOF TYPE
itirte-Roofing
0 Recovering 0 Repair • Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
S 3 ot3
330D
4/a qa
Are there
Gas Vent Stacks?
Yes 0 No
Type: Natural 0 1.1
f) 0 41 eth4n/e41 wok'
Section B (Roof Plan)
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 :ones and location of parapets.
imammommommimmummummummommummummumpsimmummumummilimmmumemmilum
111111:1111:11";;;;WVIRMIIIIIIIIIIIIiiiinliiiiIIII 11:11111111
11.11 IMNIMINUraggEigagaiMINAIMMUMM 11.411111119411:11111711
:1111.■ NN ■ a- - -. III mglOMMI MS II a
1 il Milli Iii 1111MUM
11111111111 A 111111 M 111111 11 1111111111111111 III
ILI :II 1 I ITIMINIM li id i
ME mum ss .
sus . i Jr lir m 1
:POEM nialralliiii . Mill. 1:141
I
in 1.1...... -. 11 ..F..., 4 . mom in m In m. im vell
I d 11 1 IIIIIIIIM:1111 11111111! III 1111111 1 I II i
ill N ile I. ill
II Ili I 1 IIIIm a RIPII 11 1 1 millipq &III II mili 1 III i • 5 M WI N 1 lill Is lin . 11 1 4 IIII isleignifilgillfaillim
.1 1 I IF "IF gr1iblisigiklilLliploblill a
•
1
A 111 M liVitkill II 111041Iiiiillail •
1 a UMW iiii - iiiiiiimisillims
I 11 11111 II 1 :Mill 101111 1_
•1 msmoss .11-1 1 411
11 4 0 4 11 I-11 7: I f iii
it _LI 1 .
Migilifflan
__LI_ -
_
__LI-
-
123_01-48 5/03 PA
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern 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 and the contractor. The owner's initial in the adjacent box indicates that the item has been
explained.
y-- 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
orle) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues 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.
!r t 76I 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida
Building Code. (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 (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 work to be performed.
6 ) 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
( ) 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
cau e 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 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
ov rloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
,C 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
/
AA t e Signature Date
C o rt ar's Signature
Owner s /Ag n�s
C:IDOCUSI C -Ik mOLOCALS- IlTempASECTIO.`I 152J.dx
1
Roof Slope:
3':12
Florida Building Code Edition 2002
High Velocity Huntcane Zone Uniform Permit Applicadon Form.
Section D (Steep Sloped Roof Svsteml
Roof System Manufacturer: CLY FOREVER
Notice of Acceptance Number 04- 0426.04
Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations):
P1: —6.42 P2 —19.20 P3: —19.20
Maximum Design Pressure
(From the NOA Specific System):
Method of tile attachment:
ADHESIVE
Steep Sloped Roof System Description
Deck Type:
I 5/8" plywood
1
ype Underlayment
nsulation:
re Be
Ridge Ventilation?
N/A
Mean Roof Height: 12
I ASTM D 226 Type II #30
1
N/A
I N/A
1
astener Type & Spacing:
dhesive Type
ype Cap Sheet:
ADHESIVE POLIFOAM
1
oof Covering:
Type & Size Drip
Edge:
1 11" Ring Shank C.R
1
ASTM D 249 * 90
13 "X3" D/E 3" Face I
26 GA
1 23_01-48 5.09 PAGE 5
1
Florida Building Cods Edition 2002
High Vetoolly Fhrticane Zone Uniform Permit Application Form.
1
Section E (Tile Calculations)
For Moment based tale s ytems, choose either Method 1 or 2. Compared the values
for M,wfh the values from Mt; If the M, values are greater than or equal to the Mr
values, for each area of the roo4 then tie tile attachment method is acceptable.
Method 1 "Moment Based Tile Cakuladons Per RAS 127'
(p -45 1.0_ 755m11 _4a -Mr 5_ � h,t -6..42 NOA 11lQ
(rim JiA , (1_ 755m24_29- Mg: 5.n5 ..M.2 20 NOA lltt =
(li -95. k1,0. 255s24.25 - M t: 5.05 -1■4 NOAII% , _
Method 2 "Shoplifted Tile Cakaiadon Per Table Below"
Required Moaeat of Resistance (M From Table Below NOA 11lF
'Mart be used in eon/audios with a list of moment based the systems cottoned by tie
Brossard County Board of Rules sad Appeals.
For Uplift based tee systems use Method 3. Compared the values for F with the
values for F,. If the F' valves are greater than or equal to the F, values, for each
area of the roo4 ties the tee attachment method b acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(rt - zL• - = w: - zcos
- z L• � z w NOA F
F ~' NOA
(rz : F
( r i : =1: : - — ices 8: = F
z w: - � - W z cis 0: p
_ rs: NOA F
Description
Dago Pressure
Mum Roof
Roo[
11
Aerodynamic Multiplier Restoring ,
Required Moment Reliance Me
loom Atdchmeot Rename F
Requited Uplift Resistance F,
Aw i
e D e cu W
rye p� i" Ices h
Where to Obtain Information
Symbol Where to find
PI or P2 or P3 RAS 127 Table I or by an eogineedog samba
7
prepared by PE hued an ASQ
Job Site
B Job Site
NOA
NOA
NOA
Calculated
NOA
Calculated
NOA
NOA
All calculations must be submitted to Budding
�e O�Cial at the time of permit application,
MIA M10
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
Clay Forever
6801 NW 72 Avenue
Suite 301
Miami, FL 33166
MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 331301563
(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 Florida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTION: Volcan by Altusa, 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
%kith 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 Buildinc Official.
This NOA revises NOA # 01- 0828.01 and consists of pages 1 through 6.
The submitted documentation was reviewed by Frank Zuloaga, RRC
NOA No.: 04. 0426.04
Expiration Date: 08 /26/09
Approval Date: (18/26/04
1
ROOFING ASSEMBLY APPROVAL
Category:
Sub Category:
Material:
Manufactured by
Applicant
Volcan by Altusa
Spanish "S" Clay
Roof Tile
Trim Pieces
Roofing
Roofing Tiles
Clay
1. SCOPE
This new roofing system using Volcan by Altusa Spanish "S" Clay Roof Tile as manufactured by
Clay forever as 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
Dimensions
(nominal)
Length: 19.8"
Width: 10
varying thickness
Length: varies
Width: varies
varying thickness
Test
Specifications
Product
Description
High profile, one - piece, 'S' shaped single roll
clay tile with a nominal 2 -1/2 inch headlap.
For direct deck nail -on, mortar set, or
adhesive set applications.
Accessory trim, clay roof pieces for use at
PA 112 hips, rakes. ridges and valley terminations.
Manufactured for each tile profile.
ASTM C 1167
2.1 SUBMITTED EVIDENCE:
Test Agency
IBA Consultants, Inc.
PRI Asphalt Technologies, Inc.
PRI Asphalt Technologies, Inc.
Roof Tile Association
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications. a
accordance with RAS 106.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform
quarterly test in accordance with PA 112, appendix '.1'. 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.
Test Identifier
2397 -59
PDI- 002 -02 -01
PDI -01 -02 -01
99 -0041 NTRMA High
Test Name/Report
ASTM C 1167
TAS 101
TAS 101
Miami -Dade NOA
Date
04/27/04
10/08/02
10/08/02
1999
static field uplift test maybe performed in
NOA No.: 04- 0426.04
Expiration Date: 08/26/09
Approval Date: 08/26/04
Page 2 of o
4. INSTALLATION
4.1 Volcan by Altusa Spanish "S" Clay Roof Tile and its components shall be installed in strict
compliance with Roofing Application Standard RAS 120.
4.2 Data For Attachment Calculations
4.78
Tile Profile
Volcan by Altusa
Volcan b Altusa
5.12
Tile
Profile
4.71
Table 1: Average Weight (W) and Dimensions (I x w )
Ta • e 3:
or: less 3": 12"
or less
Batten Direct Batten t irect
Deck Deck
Weight - W (lbf)
7.1
Table 2: Aerod
0.235
toring Moments due to Gravi
4 ": 12"
atten Direct
Deck
4.62 4.96
5 ": 12"
Length -I (ft)
1.650
namic Multi • liers - X ft
X(ft)
Batten A • • Iication
X(ft)
Direct Deck A • • Iication
- M (ft -Ibf)
6 ": 12"
Batten Direct Batten Direct
1 Deck Deck
4.51 1 4.84. 4.38 1 4.67
Width - w (ft)
0.255
0.833
7 ": 12" or
reater
Batten Direct
Deck
4.25 4.55
NOA No.: 04 0426.04
Expiration Date: 08/26/09
Approval Date: 08/26/04
Pape 3
Table 4: Attachment Resistance Expressed as a Moment - M1 (ft -Ibf) -
for Nail -On Systems
Tile
Profile
Fastener Type
Direct Deck
(Min 15/32"
plywood)
Direct Deck
(Min. 19/32"
plywood)
Battens
Volcan by
Altusa
2 -10d Ring Shank Nails
28.6
41.2
19.4
1 -10d Smooth or Screw
Shank Nail
5.1
6.8
2.8
2 -10d Smooth or Screw
Shank Nails
6.9
9.2
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 Nail (Field Clip)
23.1
23.1
19.0
1 -10d Smooth or Screw
Shank Nail (Eave Clip)
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
Table 5A: Attachment Resistance Expressed as a Moment - M1 (ft-Ibf)
for Single Patty Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Volcan by Altusa
Polyfoam PolyProrM
66.54
8.7
Polyfoam PolyProTM
4 Large paddy placement of 63grams of PolyProTM
5 Medium paddy placement of 24grams of PolyProTM
Table 5B: Attachment Resistance Expressed as a Moment - M (ft -Ibf)
for Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Volcan by Altusa Mortar Set'
24.50
Table 5: Attachment Resistance Expressed as a Moment M (ft -Ibf)
for Two Patty Adhesive Set Systems
Tile Application
Tile
Profile
Volcan by Altusa
Adhesive
2 See manufactures component approval for installation requirements.
3 Flexible Products Company TileBond Average weight per patty 10.7 grams.
Polyfoam Product, Inc. Average weight per patty 8 grams.
Minimum Attachment
Resistance
29.3
NOA No.: 04- 0426.04
Expiration Date: 08/26/09
Approval Date: 08/26/04
Page 4 of 6
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, o
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.
NOA No.: 04- 0426.04
Expiration Date: 08/26/09
Approval Date: 08/26/04
Page 5 of 6
VOLCAN `S' STATUE CLAY BARREL ROOF TILE
PROFILE DRAWINGS
END OF THIS ACCEPTANCE
NOA No.: 04- 0426.04
Expiration Date: 08/26/09
Approval Date: 08/26/04
Page 6of6
PoJ*t* Prod u Inc. _ !�'
2400 Spring-Stuebner Read
Spring ;131 77383 -1132
Your application for Notice of
;'_'pte 8 'iciitang
Construction, and completely descnied herein, has been recommended for acceptance
the use of Alternate Materials and Types of
County Buikling Code Compliance Office (BCCO) under the conditions specified �Y Mmmi Dade
'rids NOA shall not be valid after the expiration stated below. product or material at any time from a jobsite or , reserves the right to secure his
product or material firils to perfonn in the approved manner, BCCO may revoke, quality control . If s
use of such product or material immediately. BCCO reserves the right .
Building Code.
determined by BCCO that this product or material' fails to meet to revoke this approval, if it is
• or suspend the
the requirements of the South Florida
The expense of such tesdng wM be incurred by the mannfa
ACCEPTANCE NO.:
EXPIRES: Mom
APPROVED:
METRO -DADS FLAMER
con cO O,
1N1R0.DADE FLAMER BUILDING
140 miff FLAGLERSTREET', sums 1603
FLORIDA 3 31304363
(303) 373.2901 FAX (305)375..
copintwrat MIMING SEC/ION
MS) 375-2527 FAR 003)37$0.158
cone IMORCINICIPITDIVEION
(n93754966 FAX (305)37S-290B
FRoBocr 1 375002 cambia.
0/
Rani Rodriguez
Chief h odoct Control Divisice
This
Code p Approval has been levied by the BCCO and appinved by the Building
forth above. Commitboe to be used in MlamiDade� Floridaset
Francisco h J R.A.
Miami-Dade County
Big Code c nplianoe Office
r
R A LY ACCEPTANCE Nas Alas
fillitQfteuzi Roof The Iffsibdik Adhesiv 1
P olymethsoe
This approvet_ Polypi/GO AR160 Pleasure described in 2 °fdds Noti of byre For the Plygillegat bit. "
bloam
mamba, RAS li.es_ign Pressure values ol tained ,for use with bY in compliance' c°deswithdroofingalA �08n
sr single pattypiananient, Pointy. Ali 1 60. Moe the • . and as e p aA� ill" asa sin
f�
Patti' n
2, PR „ intscaninopt
• �red by •`
l
111 p�RZF1000 NIA PA 101 '
ProPackst
30 tit 100 D 7►methaue
WA Equipment
2
Divas s i ngEctripnent
A to or products
Any CoantyPxdoot l by o
%
Z2 with the n80 �Y a
imagit
Cbalineasiv ADD 14'22
Strength
I
Xfth
MD 1b'21 18 PS/Parallel s
T D t� 12 Pa r
.161"1" a , D2 28 P L1 nee
Dime s ona1 AS D 3.1 ple
y 2126
We*" Voiume ' C. -40 P., 2
+6 . 0 '36%
home
2 weaior
Rank n�..
Ersmioer
. AC CEPTANCE No. : lias
•
No* The pbmikur invitee*, listed +we are presented as %Aral amass Mao as &embed by
3. UMITAITOM
accepted AS774 test methods sod sze subject to nomad ussoofseturbg woistial.
} .
0 3.1 lie dassiflostio is not pert ofthie autptiles. R' to the Prepareli Roofer&
Assembly tor Ike satin&
3.2 _Poingw.A8160 shall solely be mat with ils; low, & high *make
A.3 . 4.catimum tabledayawats shell be in como+ce with the Roofing Application
StandantRAS 120.
3.4 Roof Tile meauthotures acquirio saceeptelie l e ibr tbe use ofPolyproth AR160 roar -
tile adhesive with their tie gusembliee Ad tectii ea:valance vvith PA 101.
3.S Roof Tile assuuthettues &vides acceptona,_ for two paddypieetinent with the
11110
adhesive with Met Ws alsonbiles Ad testa
wh PA 101 and with section 10.4 as asedithd heroic -a*
• . •
ACCZPI'ANCE No. : 01-0521.02
4.8 Tiles must be adhered in freshly applied adhesive. Tile must lbe set within 2 to 3
mitmtes after Polypro® AH160 has been dispensed.
4.9 PolypraD AH160 placement and minimum patty weight shall be in accordance with
the Placement Details' havin. Bach genetic the profile requires the specific placement
noted herein.
Profile (2 Piece Bane°
fl
Table 1: Adhesive Placement For Fach Generic The Profile
TlleProfile SR* Paddy Weight
kfm. (grams)
Low Profiles
Low Profiles
Low • Pitides
35
17/side ea cap sad
nva Paddy Weight
Per WO kfia.
Irt
Placement
Detall
01
#1
#2
N/A
N/A
N/A
8
. 5. LABELING
All Polypro® AH160 containers shall comply with the Standard Conditions fisted herein.
6. BUILDING MUM' REQ
6.1 As required by the Bullcrmg Official or applicable Building Code in an to
properly evaluate the installation of this system.
4
Fmk &Jo RRC
ao.
Product Coutro BunciaN
ACCEPTANCE Na :
ADZE PLAN DETAIL 1
SINGLE PATTY
s
Product Couto! Bbauimr
ACCEPTANCE Na : - __
ADHESIVE PLACEMENT DETAIL Z
SINGLE PATTY
6
Product duct
B�niaor
I • • ADHESIVE PLACEMENT DliTAIL 3
DOUBLE PATTY ,
7
ACCZPI'ANCE No. Rants
&loop MC
Prodact Control Ibraoiner
•
ACOPTANCE Nei : 0
1. Renowal of this Acceptance (applovid) shall be and the original mod ° 0 aim' a has bean a ad
older than eight (8 mss. , an, no
2. Any sod all a pproved pmducts shall be permanently labdod with the manuktorer's name,
specifically shod �.t s of ��d C ance. P Caatcal A vat �'
� Acceptance. •
3 . wale of Acceptance will not be cansidaed if
a. T]rre has bees a change in the South Fbrida Bulling Code affecting
b. product and the p is not m moo with the evahmtiQn of this
c. If the Aoo holder has � C as the one originally . approved
d the installation oftho with all the
requirements of this aooq,t
who originally pupated, signed
submittal, is no seakd fessi the doh initially
4. Any revision or change in the metal* use, and/or maarfactore automatically be cause far of o r i a P s well
requested (trough the filing o f a rcvaion with by been
S. An y of the slmll also be
a Uasa . for removal o�fthia.Acceptance:
Perfi maaco ofthis puduct or
b. Pu Acceptance as an end. advertisiug cr any
6 . Notice ofAcceptance amber preceded by the words
man date may bo displayed in Ifs'
Acceptant= is display then it shall be done in its eidin ty. any portion of the Notice of
7. A co py of this Acceptance as well as approved drawings and other where it applies, shall
be provided to the user by the manufactu flue job site at aD time. cr its ,' shall aw ebb inspection at
Hood not reseal the copies.
8. Failure to comply with any section of this Acceptance be
Acceptance. andal�
9. This Notice of
Aloe consists ofpages 1 through 8.
END OF THIS ACCEPTANCE
8
IIOTiC� �(S SQ�IED
(For Mk ONLY Not p at ofNOA.).
OF (M;
A. DRAWINGS: NONE
B. TESTS:
Test Anencv
Center for Applied
Engine' ming
Center for Applied
Engineering
C.entar for Applied
Engfiaaing
- Center for Applied
Engineering
Center for Applied
Engineering
Miles laboratories
Polymers Division
Raaitech Laboratories, Inc.
Southwest Research liistitzte
Southwest Research Institute
Trinity Engineering
Celote x Corp. Testing
Services
Cdotea Corp. Testing
Services
Cdoten Corp. Testing
Services
Teat Identifier
04-060
257818 -1PA
25- 7438 -3
25- 7438 -4
25- 7438 -7 .
25 -7492
NB-589-631
9637-92
01- 6743-011
01-6739-062b(1]
7050.02.96 -1
528454 -2 -1
528454 -9-1
52845410 -1
520191 -1
520109 -2 -1
&1
ACCEPTANCE Na : 01- 0521.AZ
Tea NamdReoort
Mani Dade Protocol PA 101
Muni Dade Protocol PA 101
SSTD 11-93
SSTD 11-93
SSTD 11-93
AS1M D 1623
AS1M B 108
AS1M B 108
AS1M884
04/08/94
12/16/96
1025/95
11/02/95
12112/95
02/01/94
04/3093
11/16194
01/16195
PA 114
Miami Dade Protocol PA 101 1&23198
03/14/96
520109 -1 Miami Dade Protocol PA 101 12/28198
5201109 -2
520109 -3
520109.6
520109 -7
SRC
Product Control Ebaminer
vv
�Qr Pile O Y4 N XOLJ
G CAI.CUI.ATION& Waller Eagteeerlag Lam, Evaluadon of Teets. Dated 04AITM
D. MATEBIA.L CERTIFICATION& NONE .
E. STA NONE
&Z
Freak RFC
hoduot ClomelExamioar