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ROOFING
v Passed Inspector Comments r : e.� L te tp._ c.,_ --c 1 5 ` �" r )( Failed f / l ea Tta t - Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until M nspection Number: INSP -853 Inspection Date: 02/02/2006 Inspector: Desharnis, George Owner: Job Address: Project: Contractor: GAVIRIA, TERESA 136 91 Street NE Miami Shores Village, FL <NONE> R&R ROOFING Building Department Comments Wednesday, February 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph • ne: (305)795 -2204 Fa. .(305)756-8972 Block: Permit Number: BP2005 -1363 Permit Type: Imported Permit Inspection Type: Final Work Classification: Roof - New Phone Number Parcel Number 1131010190040 Lot: Phone: 305 - 305 -3870 Page 2 of 2 Customer ID Customer PO Payment Terms 0063 LG05 -0106 Net Due Sales Rep ID Shipping Method Ship Date Due Date Courier 1/6/06 Quantity Item Description Unit Price Extension 1.000001 Root Tile Uplitt Test Robert 01)1/4/1\ I ci((j) ( 9 i , r9)t 120.00 Dia 120.00 LG Engineering Services, Inc. 2020 Northwest 7 Street Miami, FL 33125 Voice: Fax: (305) 649 -6454 (305) 541 -3298 Client: R &R Roofing 10000 Southwest 53rd Street Miami, FL 33165 Check No: Project:, Residential Home 136 Northeast 91 Street Miami, FL Subtotal Sales Tax Total Invoice Amount Payment Received TOTAL Invoice Invoice Number: 060044 Invoice Date: Jan 6, 2006 Page: 1 120.00 120.00 120.00 c•I•v•I•L E•N•G•I•N•E•E•R Project: Dear Sirs; LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 Fax: (305) 541 -3298 R and R Roofing 10000 Southwest 53 Street Miami, Florida 33165 TILE UPLIFT TEST Residential Home 136 Northeast 91 Street Miami, Florida Information provided by client: Permit Number: Not Provided Date Completion: December 23, 2005 Roofing Contractor: R and R Roofing LG Engineering Services, Inc. Project Number: LG06 -0106 (Testing Laboratory Certificate #00- 0224.07) January 6, 2006 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of tile used for this project was reported to be Concrete Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined in the above mentioned protocol. Attached please find a copy of our test report for your review. LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. Project Manager TILE UPLIFT TEST Residential Home 136 Northeast 91 Street Miami, Florida ad Sonny Salleh, P.E. Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 24 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Report of TILE UPLIFT TEST for Residential Home 136 Northeast 91 Street Miami, Florida Project Number: LG06 -0106 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG06 -0106, Page 1 Test Number Test Load (lbf) Test Status 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG06 -0106, Page 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 NOp11 -I + ++ + + + + + + + ++ + + + + + + + + + M. 46 APrOX. ROOF 1E51 LOCATIONS ANl7 t7IM NSION5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Approved Correction Re -Insp' n Fee MIAM1 O ES VILLAGE BUILDINU DEPARTMENT 305- 795 -22 .x ' 3 0 m Building Inspection Request Date Type Insp'nl7T 1 "1OP:5 1 N- Permit No. IS -- 5 I33 Name t ` \/ l L2 1 A Address 1 3(=, N - 1 S� Company 2 e Phone # (,° `��— 381 0 Inspection Date ' 30 06 MIAMI S 4K1 EIS VILLA ' �� BUILDING DEPARTMENT 0e 305- 795 -2204 • B uilding Inspection Request Date r ®S Type Insp'n CPT Permit No. r b ( C I6r3'J3 Name C (A,MW p 1 Address ..' (fit Company l\ ,H �` I1Dpc6 Phone # 'N)51 O\ ° "I ` d� Inspection Date Ikb Approved Correction Re- Insp'n Fee EV MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date l h 1 1 9 ' 1 Type Insp' n 1 / C .. 1 t-4. PR. S Permit No. 8Fca5 - / 3G3 Name I 1 -S E Pry I R 1 Pct Address � M I ST— Company R . R Rc / i1 r Phone # a:DS) so' - C9 i 8ss Inspection Date I 1 15 1 Approved Correction Re- Insp'n Fee o / Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/21/2005 Applicant: TERESA Owner: GAVIRIA JOB ADDRESS: 136 NE 91 Contractor R & R ROOFING Local Phone: 305 - 305 -3870 Parcel # 1131010190040 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -1363 GAVI RIA TERESA ST Contractor's Address: 10000 S. W. 53 ST. Legal Description: 1 53 41 EL PORTAL SEC 2 PB 9 -115 LOT 5 Page 1 of 1 Fees: FEE2005 -12656 FEE2005 -12657 FEE2005 -12658 FEE2005 -12659 FEE2005 -12660 FEE2005 -12661 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $300.00 $9.00 $5.00 $3.00 $7.50 $3.00 $327.50 Total Fees: $327.50 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/18/2006 Construction Value: $14,850.00 Work: RE -ROOF TO COLOR THRU TILE CASA BLANCA BLK 7 LOT SIZE 50.000 X 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. REG C01 092205 1105 i +C #01 030932 CASH 4327.50 BY: Tenant/Lessee Name BUILDING PERMIT APPLICATION FBC 2001 Job Address (where the work is being done) $ Value of Work For this Permit Total Fee Now Due $ 3Z' i 5 , (Continued on opposite side) Miami Shores Village Building Department 10050 N:l~ A w - A4iaai Shores, Florida 33138 1 *Al: (305) 795.2201 'ax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing • Owner's Name Fee Simple Titleholder) '� ( P ) � . � � � � + G l t'V �� v , r t�-S Phone # ,, 0 J Owner's Address 13 6 A) E - ! 3 f City VV l+,� vv, State C 1 J g Zip -� 1 Phone # (, CA N C ( s City Miami Shores Villa :e County Miami -Dade Zip Is Building Historically Designated YES NO r- n Contractor's Company Name V_ 4--' , `; 0 C v vl Contractor's Address U L �i 3 CI City \''\ \ A. 1 State c t Qualifier c', �!j t i L:-) L t c.,\tA -�-/ State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit No Master Permit No. - ?In Phone # (,lJ✓ "- 7D Zip Square Footage Of Work: s P Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ['Demolition Describe Work: 1 1 Submittal Fee $ Permit Fee $ 30 CCF $ '• 00 CO /CC Notary $ 6 . COO Training/Education Fee $ 3 . Technology Fee $ 7- D Scanning $ 3 - CO Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature t. Contractor The foregoing instrument was acknowledged before me this day of ,20�by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ** * * * * * * * * * * * * * * * * * * * * * * * * *« ** * s *s * * * * *s *s * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED C34 MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION NO. MA- - 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 street/address: 3l0 NE cf 1 S T - - . m l l ► Srrecos 2. Description of improvement: ieey) 3. Owner(s) name and address: G01 i 54) a •■ G4 If1 l 310 ca_ S% t• Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: C, 1 , r (..33/6 5. Surety: (Payment bond required by owner from contr Name and address: !HEREBYCERT!-1 t!t atMk:is , ! y of( Amount of bond $ 40 ori titoo in this o ' .. _ SI y o pi, 6. Lender's name and address: �•u'�Trk:SSmy mind . =.!".:I i L. gy J • � c-1/ 7. Persons within the state of Florida designated by Owner upon whom no oother 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 Statute . Name and address: Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE4 10/04 ono' a 4�S mm ate. My Coission 00218241 a S • ,, txpires June 4 , 2uUr 111111111111111111111111111111111111111111111 1 CF N 2005R0980603 OR Bk 23787 Ps +1147; (1PO) RECORDED 09/16/2005 13:50:37 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE l C 3D ...S1,3 S3 sr-. 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) CAIAS Croat Signature of Owner n `1 Print Owner's Name LAU S GQU 12 I Sworn to and Obscribed before me this fie day of , 20 g. Prepared byyJk./ 1- F 03` 1 "Q. Z Address: It0OeQ 5w 3 ST r % 4wj , PC. 33J' BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) i • • ''y , n / -TA j ∎ ; A Phone # Owner's Address .• ` ` �" ! v N � ■ 1. SA City VM l ,A,'•^ -1 State �� j Zip .3 7 1 , Tenant/Lessee Name Phone # ; ;.X Contractor's Company Name Contractor's Address C �.� �_ � S Qualifier $ Value of Work For this Permit Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) 4 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) 1 ,a �% ' _- ! c, l City Miami Shores Village County Miami -Dade Zip .j % Cs- a Is Building Historically Designated YES NO Architect/Engineer's Name (if applicable) Phone # Master Permit No. Phone # Permit No. City oc�i`�' , State lZ t Zip ,2 7 fit. f� 0 State Certificate or Registration No. OK � � Certificate of Competency No. UCH t 0 j (7_ Square Footage Of Work: Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace ❑Demolition Describe Work: Yg l * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I nc Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ 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 Ca S (pV 1Y1li: NOTA '.Y Sign: Print: APPLICATION APPROVED BY: chc 05/13/03 Naomi F Fuentes Signa Owner or Agent Contractor The foregoing instrument was acknowledged before me this 2 ( The foregoing instrument was acknowledged before me this2. -( day of SFr ,20tn4,by , day of S , 20 0 S'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 oath. NOTARY P Sign: My Commission uul Print: e • Expires June 23, 2007 My Commission Expires: • MyCommissO�, My Commission Expires: Expires June 23. z,y * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Plans Examiner Engineer Zoning r 123_01-48 5/03 PAGE 2 r • SOO • • •• •• • ••• • • • •• • • • • • • IP • • Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. • • • • • 1 • • • • • • • • • • • •• 0 • • • •• Section A (General infortiattldre.: Master Permit No. 05 - Process No. Contractoes Name Job Address O Low Slope O Asphaltic Shingles O New Roof )240-Roofing 0 Prescriptive BUR-RAS 150 ROOF TYPE ROOF SYSTEM INFORMATION 0•• •0 • • • 10 1 • • • t • • • • • • • • • • • • ROOF CATEGORY O Mechanically Fastened Tile --1,klortar/Adhesive Set Tile O Metal PaneUShingles 0 Wood Shingles/Shakes Are there Gas Vent Sta ks' .2 Yes 0 No Type: Natural 0 PG s., u 0 Recovering 0 Repair 0 Maintenance Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) c›,2 - 7 0 (9 a 70 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 zones and location of parapets. Thai+ 1"mu l l 11111111111191 •IIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIII INN • • V 11.11 • lim MUMMISNOMomil MN IN Milmil 11 m MIN 1 IIIN 1 i .1.1 al : 41.1:: ammilivi: alm:41;111 1 ii Il I il 110.1111111011111111 IIILIIr 4 Iiiiiiiimilliblip • 10611 il I lim a m illi! 'TA— ___ E_Isesaltgoll _ -AB AM L m " ill a ili A M:IA iiiiIIIIIIIIIIIIIIIIIIIIIIiiiiiiiiiiiiiiii m e d riliPlitipi app oopppoommp rulffini k i ppl o iP p l i rdill e iblig 0 Wiwi imam wlm im_p pi Jul spurn 111 r o mi Upwrillirmilliarg .I• ••••. 11 1; m i O 1 or 1111111 11411111111 A 1 1 1 III irr I 1 1 III 11 Mill a l il pia .ppoi lli i III i p • 1 p pouriArgup.pppil II Lap RMINAMA MI .1 IMEETE pinill I I l 1 II i I 11„115 11111111 11111111 11 4011 . i i MI 61111161 IIIIIIIII 1111 111 1 1111 11111 1. 1 11m 6 i s 1 i I l ir .-1 11111 !Pi 1 0 i " T s 1 i n 11 W 1 l II il ' I i in i I All 11 T will I A i I RN Il Roof System Required) seccguons ©i the P®rrmmitt Application Form Attachments Required See Kieft Beim Lora SOoip® QLpLpOocaltt0on Q,[ ,© 9,2, 3,4,5,6,7 Prescriptive IBLOR -RAS 96© A,[l ,C 4,6 As1phaitio Shingles AE:;, 1,2,4,6,6,7 Concrete or May ToOe A,B,D,C 1.2.3.4.5,6,7 Mote Roe's &BM 1,2 Mn7oodl ShlinjDes and Shakes A,B,D 1,2,4,6,6,7 Or QsAplplicabie 1,2,3,6,5,6,7 1. Fire Directory Listing Page 2. From Notice off Arzelot Ain ®: Front Page S pecciff>icc System Description SpecciffOCC System Lou immBtattti General] Limitations Applicable Daten Drawings 3. Design C Occulations per Chapter 16, or Off A1ppOiccelbOe, RAS 127 or RAS 128 4. Other component Rloticce of Acceptances 5. Munioilpai Permit AIppilicitioo'u 6. Owners aotiffoccatiow for Rooting Considerations (Re- Roofio ©lly) 7. Any Required Roo? 4estiovcq /Caiiccuietion Documentation 123_01-48 5/03 PAGE 1 o • ••• • • 0 ••• as as • •• • • O • • • • O 0 • •e• 0 0 • o • • 0 0 0 0 • o 0 ••o e 0 0 0 •0 • e oi %Wang Code I dlkicui) 26002 '�119 y$ Zone Uniform Permit Appl*cetlon Form. 6. 1kM ' AbC710M FAOE e o 0 e e0 Oe 0 • 0 •• ••0 e• 0 .:44 idt[kin 4 C K CLSSAG°3Y SECTOOo KS (�OF e• U [BLS• s • IMFOR (� N ROOFOKS PERMIT aPPUCaMOo K FORA AND ATTACH ThL REQUIRED DDOOCUIN 4S 1OOTC D BELOW': . . . . • • ..• • • • Florida Building Code Edition 2002 • • • Higb Velocity Hup3cwine Zone Uniform Permit Application Form. 1 • • • . . • .. C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Ident.Mahtdkfctutbt .. • (If a component to riot&d,pentif; as 'NA') •• • • • • • ••• •• System , anufacturer. NOA No.: Design Wind Pr =- =- =ures, From RAS 128 or Calculations: Pmax1: P Pmax3: Max. Design Pressure, Fro the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor/Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener /Bonding Material: Ply Sheet(s) .& No. Ply Sheet Faste • ;. Insulation Base Layer. Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener/Bonding , aterial: Base Sheet(s) & No. of Ply( Base Sheet Fastener/Bo ding Material: Ply(s): r/Bonding Material: Top Ply. Top Ply Fastener/ Bonding Material: Surfacing: Fastener Spacing for Anchor/Base Sheet Attachment Field: ° oc © Lap, # Rows © ° oc Perimeter. oc © Lap, # Rows © ° oc Comer. ° oc CO Lap, # Rows © ° oc Number of Fasteners P = r Insulation Board Field Perim er Comer • Illustrate Co • • nents Noted and Details as • placable: Woodblocki _ , Gutter, Edge Termination, Stripping, lashing, Continuous Cleat, Cant Strip, .. = se Flashing, Counter- Flashing, Copan ' , Etc. : Mean Roof Height, Parapet Height, H : ght of Base Flashing, Component Material, aterial Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that mply with RAS 111 and Chapter 16. Parapet Height Mean Roof Height 123_01-48 5/03 PAGE 3 • • • •.• • • •• • ••. •• ••• • •. •• • • • • • • • • • • • • • • • • • • • ••• • • • Roof System Manufacturer: ' t L Fes . �•. •• • • • • • • •• • • • Notice of Acceptance Number: 0 L! Q 2 0:S Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: 6: P2: 1 /. 1 Y P3: 2,1.1e Maximum Design Pressure From the NOA S 1 ecific System): Method of tile attachment: - ©c, ei", N e{I . �G1/4 I Roof Slope: : 12 123_01-48 5/03 PAGE 4 Florida Building Code Edition 2602 High Velaofty Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof:Systehct) Ridge ventilation? Steep Sloped Roof System Description Deck Type: C 5' V4LOD0(4 ype Undorlayment: nsu,lation. Fire B Mean Roof Height: 1 ... • • 1110 • • • .. . . • . .. . • • • • • . • . . • • • . • • • • • . • • • .. .. • • • • • • • • • • .. .. . 1 - t 3D Lb, bq arrler. astener Type & Spacing: dhesive Type ype Cap Sheet. oof Covering: ) V es. !o pe. IP rods Id' 6C, Fie PoIgFbar i Type & Size Drip a 3" s elcil ceves ivri ,-9(0 5Q �c i &.i i 2en0 dge: ik-q0 lb, psi 1f0.yi'QuA 60( Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an enguiearring analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 9 Job Site Aerodynamic Multiplier a, NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance M Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance Fr Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. M Required Moment Resistance* Mean Roof Height 15' 20' S!5' 30' 40' - Roof slope 2:2 34.4 36.5 38.2 39.7 42.2 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 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 123_01-48 5/03 PAGE 5 • •• • • • . • ••• • • • • • • • • • ••• • • • • •• • • • • • •• • • • • • • • • •• • .•• • • • • • • • •-- _ Florida Building Code Edition 20102 _ High Velocity Hurricane Zone Uniform Permit Application Forth. • • • • •. • • • • • ' • 5ebtibh E (Tile Calculatiolnsi ••• ••• . • . For Moment based tile systems, choose either Method 1 or 2. Compared the values for 14 weh<he swlses fdolh 1 tf If the M values are greater than or equal to the Mr values, fa r tjaagh !rea of fie roof then the tile attachment method is acceptable. Method 1 "Moment Based Tile Cale tions Per RAS 127" ,/ (P : �... °� = \ Q� - Mg: 7.50 = M j 6 S NOA Mr 4 S (P2: i A. ,2 / I ca - Mg: (0. 0 = M 1. NOA Mr yss1 (Ps: z A T AI_= � - Mg: (/ :)0= M 2.I • is° NOA m y Ste. S / Method 2 "Simplified Tile Calcnlation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the .F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (PI : z l: = z w: = ) - W: z cos 9: = F NOA F' (P z 1: _ : w: = ) - W: z cos 8: = F NOA F' (P z1: = z w: ) -W: cos 0: = F NOA F' 1524.1 As it pertains to this section, it is the responsibility of the roofing AntraUYor'taptox4d4 tI2e owner with the required roofing permit, and to explain to the owner the content of this s'fctioa.:THe laravitidhs:otCbapter 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. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are r 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. 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 unii s (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. 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. 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. chi 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. Q-( 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. ••• • • • • • • • • • • 0 • • • • • 0 • • • • • • 00 041 • • SECTION 1524 •.' ••• • • °•• • 41 • HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS C �w6� wner's/Agent's Signature P.o Pe O i. Property Address ,/'1 ° Date Permit Number 0041 • • 0410 • • 00 00 • • • • • • • • • • • • • ••• • • • • • • • 0 00 • • • • 4100 00 000 4141 • • 0 00 • ••••• • tra tors Signa re • • •• • • • l Q - MIAMI•DADE PRODUCT CONTROL Polyfoam Products, Inc. 2400 Sprint Stuebner Road Spring ,TX 77383 -1132 ACCEPTANCE NO.: 01- 0521.02 EXPIRES: 05 /10/2006 APPROVED: 06/14/2001 .•• • • • .• • • • • NOTICE OF ACCEPTANLE The expense of such testing will be incurred by the manufacturer. ••• • • • •.• • • • • • • • • • • • • • • I II I -t DI eOVNTY, FLORIDA • ; • MFIROpitQWLAVLER BUILDING • • BUILDING CODE COMPLIANCE OFFICE • • ItigTI -DAQE iLL1iLER BUILDING • K0 ST F SUITE 1603 • • • • MIAMI F110RIDA 33130 -1563 • ( 0 375 -2n1 FAX (305) 375 -2908 • • • • cONTRACTPR.I.ICENSING SECTION • • • • • ( 05 3 37: -25p FAX (305) 375 -2558 • •• • • • • • • • • • rorritivt;rort EITFOKEMENT DIVISION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethene Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \\ s045000I \pc2000 \ \templates\notice acceptance cover page.dot Internet mail address: postmaster @buildingcodeonline.com Homepage: http : / /www.buildingcodeonline.com '(1 Polvfoam Products, Inc. ROOFING ASSEMBLY APPROVAL Category: Roofing Sub- Category: Roof Tile Adhesive Materials: Polyurethane 1. 2. PRODUCT DESCRIPTION Manufactured by Applicant Polypro® AH160 Foampro RTF1000 ProPack® 30 & 100 SCOPE This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values with the use of Polypro AH160 roof tile adhesive. 2.2 Typical Physical Properties: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Dimensions N/A N/A N/A Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 2 •.• • • • ..• • . • • 0 • • • • • • • • • • • ACCjP'AN;C �To� : Q1- 021.02 ... • • • • ... • 4000 • • • • • • • • • • 0 • • 0 • • • •Appfodal.Mte::Juile 042001 • • • • • • • • .. ... • .• • • Expiration Date: May 10, 2006 .. ... .. • • • •• Test Specifications PA 101 • • • • • • •• •00 • • • • • .• Results 1.6 lbs. /ft 3 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 Chan • e e Humidity, 2 weeks Product Description Two component polyurethane Dispensing Equipment Dispensing Equipment Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. Note: The physical properties Listed accepted ASTM test methods above are presented as typical.average valves as determined by and are subject to normal iia 4aeti rpng vtriatiop„ • , • • • • • • • 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. A.ef•r.to the Prepared Roof Tile • Assembly for fire rating. •• • • ' ' • • • • • • • 3.2 Polypro® AH160 shall solely be used with flat, 2ow,.&:high:ti?aprofiles' • • 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. i —� F F'- I MS 3 - ••• • • • ••• • • • •• •• • • • • • •• •• • P"TA • • • AC CAE . lYCIE X10..: 111- 0521.02 010 • • • • 0419 • • • • • • •• ••• •• • 4. INSTALLATION 4.1 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. 4.2 Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 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. 4.4 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. 4.5 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. 4.6 Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH160 shall not be exposed permanently to su Frank Zuloaga, RRC Product Control Examiner Table 1: Adhesive Placement For Each GeitPjjc Tit I rc4dt.• : : • .. TileProfile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 Polvfoam Products, Inc. 4 ... • • • ... • • • .. .. • • • .. .. • • • • • • • • • • ACCEIf:TAl'fQ No:: 01- 0521.02 ... • • • • ... 4.8 Tiles must be adhered in freshly applied adhesiva..Tile�nust be set within S 3, minutes after Polypro® AH160 has been dispengect. • . : • . : : 4.9 Polypro® AH160 placement and minimum patty shalt be inaccordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. • • ••• • • • • • • • 5. LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS MENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. Nail through plastic cement Begetter= Eave Come Eave Closure 10 In. Paddy (Beneath Tile) 7 course only: Keep adhesive approx. 4 in. up from weepholes Fastia ADHESIVE PLACEMENT DETAIL 1 • SINGLE PATTY . . . 1) Place enough adheshre to achieve 17 to 23 square inches in contact with the pan the 2) Tum covers upside down. Place adhesive 12 To 1 in. From outside edge of cover tile. Then install the Me portion of the eave course cover tile. Abut to second course of pan tiles. Ensure eave end of pen and cover tiles are flush at ear line. Eave closure (mortar shown) 5 0 0 0 • • • • 0 0 • • .. .. • • • 10 0 • • ACCEPirttliCIR : 41 UnderlaymeM 1 0 0 0 • • • • 0 0 0 • • • • • • • • • • • • Nall through plastic cement Undertayment 10 In. 2 Ewe Course Eave course only: Keep adhesive approx. 4 In. up from weepholes Paddy (Beneath Tile) • • • • • • • • • • • • • • • • • • • 0 Fascia Weepbula Ear closure Dip edge Weephole Fascia Bo • • • • • • • • • • • • • • • • • • • • • • • in. • • • • • Optional 2:4's for steep pitch applications Nall through plastic cement Optional PoInt•up Mortar on longitudinal edges of tile Sheathing Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 2 ... • • • ••• • 6 ACC EP:'ANCE No.;: 07- 0521.02 • • • • • • • • • • • • • • • • • ••• • • • • ••• • . SINGLE PATTY •.• ••• •.• •• • • . • • • • • • • • • • • • • • • • 0 • • • • • • • • • 0 • • • •• ... •• •• • •• • • • •• • Nail through plastic cogent • • Underiayment 1 7 in. ••e 2 In. • • • • • Paddy (Beneath Tile) • Eave Course • 0 Fascia Weephole Eave closure Drip edge Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY • • • • • Nail through plastic cement se 3 in. x 3 in. Single paddy on under• layment Single paddy on top of tile Single paddy under tile Paddy (between tile) Paddy (under tile) Eave course in. X7 in. medium size paddy save Fascia course only • • • •• • • • • • }in. x 3 In. Single 4 in'J� paddy on under. layment Single paddy under tile Single paddy on top of tile Eave Course Nall through plastic cement j' 3in.x3 in. Single / paddy on underlayment Single paddy on top of the Eave Course 7 ••• • • • ••• • ACGEPT411tC' No :: 07-0521.02 • • • ••• • • • • • • • • • • •••• ••••••• • • • • • • • • • • • • • • •• • • • • • •• • • • •• ••• Single paddy between the Eave Closure 2 in. x 7 in. medium size paddy save course only Fascia •• • • • • • •• • Frank Zuloaga, RRC Product Control Examiner •Shtgtepaddy under tile • • Single paddy between tile •• 2 in. x 7 in. medium she paddy save course only Fascia Weephole Eave closure Drip edge Polvfoam Products, Inc. 1. Renewal of this Acceptance (approval) shall be considered.a$er a -enewal appticationhas liieen filed .• • • .. . . . • and the original submitted documents, including test- supporta ala,•eititeertng do�� eits are no older than eight (8) years. • • • • • • .. • ... •• • 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Arodi „ • • • • • � t • �on�roi � �pproyal ", or as specifically stated in the specific conditions of this Acceptance • • •• ••• • • • • • •• 3. Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8. END OF THIS ACCEPTANCE 8 ••• • • • ••• • ACCEI rAlia Nor 01.4321 .02 • • • • • • • ••• • • • ••• • • Frank Zuloaga, RRC Product Control Examiner Po lyfoam Products Inc. NOTICE OF ACCEPTANCE: A. DRAWINGS: NONE B. TESTS: Test Agency Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Celotex Corp. Testing Services Celotex Corp. Testing Services EVIDENCE SUBMITTED (For File ONLY. Not part , ;; ••• ••• Test Identifier #94 -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 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 E -1 ACCEI r 1cE No :: Q1.0521.02 • • • •.. • • • • • • • • • ..• • • • • .•. • • • . • • • • • • • • • • • n •• ••• .. • • • .• .• • •. ... .• • • • .. • •► Test Na}ne/RePork Date Miami Dade Protocol PA 101 04/08/94 Miami Dade Protocol PA 101 12/16/96 SSTD 11 -93 10/25/95 SSTD 11 -93 11/02/95 SSTD 11 -93 12/12/95 ASTM D 1623 02/01/94 ASTM E 108 04/30/93 ASTM E 108 11/16/94 ASTM E 84 01/16/95 PA 114 03/14/96 Miami Dade Protocol PA 101 10/23/98 Miami Dade Protocol PA 101 12/28/98 Miami Dade Protocol Frank Zuloaga, RRC Product Control Examiner Polvfoam Products Inc. ACCEP.TJ JtCENO: D�•Q�21.02 •• • • •••• ••••••• NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED • (For File ONLY. Not part of, O4.) . : : :• • • • • D. MATERIAL CERTIFICATIONS: NONE E. STATEMENTS: NONE E -2 • • • •. • •• 0 • • • • • • • • • •• ••• • •• . • •. ••• .. • • • •. C. CALCULATIONS: Walker Engineering, Inc., Evalsiati@ of'$'est9. bated'84 /07/99 • •••••••• .. ... . . • . . . .. Frank Zuloaga, RRC Product Control Examiner M1AM4DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA Monier Lifet le, LLC 135 NW 20 Street Boca Raton, FL 33431 This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC ... • • • •• • • • •• •• • • • .• • • • • • • • 0 • • • • • • • • • • ••• • • • • • ..• • • • • • . MIAMI -DADE COUNTY, FLORIDA • • • • lbienz DADk RL,4GIsER BUILDING • • • .. • .. . . • • • • • P40 WEB' F GLER F7Rnp r, 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. NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 1 of 7 • • • • • • • ..• • • • • ••. Rooirl .S$E�x ludrAL • • • •. • •• .• • • • • • . .. Categdty: • • • • • • • koofuig . • Material? �•: � . : • ,� Roofing Tiles 1. SCUPt • 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. Monier Lifctile LLC Villa & Roll Monier Lifeitile LLC Capri Tile Trim Pieces Test AQencv Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied En:' . g, Inc. 1 r / r1 • ...••.. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications • 1 = 161/2" PA 112 w= 13" Y2" thick L = 17" W= 12'/8 Y2" thick 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Test Identifier 7161 -03 Appendix III 7161 -03 Appendix II PO402 94-060B 94 -084 PA 112 PA 112 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. Date Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Wind Tunnel Testing PA 108 (Nail -On) Withdrawal Resistance Testing of screw vs. smooth shank nails Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 2 of 7 Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 Test Agency Redland Technologies Redland Technologies Professional Service Industries, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. • • :t: • • •• • • • •• • • • •• • • • • • • • ••• • Test Identifier, P0631 -01 Letter Dated Aug. 1, 1994 224-47099 25- 7094 -1 25- 7094 -7 25- 7094 -4 Project No. 307025 Test #MDC -760 25- 7183 -1 25- 7183 -2 25- 7214 -2 25- 7214 -6 528454 -2 -1 520109 -2 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations itst NAtne/Rettert ; • Wigd Tuptel Testing; PA 108 (Mortar Set) Wind Tunnel Testing PAI48 1 L il4) : • Ph4ica1 Pr9pgrtips 'PA•T1'2 • • • Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction)0 Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Wind Driven Rain PA 100 Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) (1 Quik -Drive Screw, Battens) Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Aerodynamic Multipliers Two Patty Adhesive Set System • .DPte • • • • • • •• • Jnly' 1994 Aug. 1994 •••. • • • • • • Sept. 1994 • • •• Oct. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Sep. 1998 Dec. 1998 March 1999 March 1995 February 1996 April 1996 December 1996 April 1999 April 1999 NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 3 or) Table 3: Restoring Moments due to Gravity - M (ft -Ibf) Tile Profile 3 ":12" 4 " :12" 5 ":12" 6 ":12" 7 ":12" greater Battens or Direct Deck Monier Lifetile Villa, Roll, and Capri Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 5.57 6.30 5.48 6.18 5.37 6.05 5.24 5.90 5.09 5.73 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight W (Ibf) 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 Table 2: Aerodynamic Multipliers -14. ft) Tile Profile A (ft) Batten Application A, (ft) Direct Deck Application Monier Lifetile Villa, Roll and Capri Tile 0.267 0.289 • • I ••••i • •• • • • • ••• • • • •• •• • • • • ••• • • • • • • • • • •.• • • • • ••• . . • . • ••• 3. LIIIIT LIONS• • • • •. • • .• • • •• • • • • •• • • • • • 3.1 F1re classification is net part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in • scaot+danee with RAS 106. 3.3 • tlgpljcart ll•rtiain t! ee crvices of a Miami -Dade County Certified Laboratory to perform • • 11u tr1grlytbst izt aCigrdgtee 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 NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 4 of 7 Table 5A: Attachment Resistance Expressed as a Moment - M1 (ft-ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Polyfoam PolyPro 86.61 Polyfoam Pol TM yf YP ro 45.5' 4 Large paddy placement of 54grams of PoyPron'. 5 Medium paddy placement of 24grams of PoIyProN. • Table 4: Attachment Resistance Expressed as:a Moment =.M,' for Nall -On Systems : : ! ! • " : : • • Battens Tile Profile Monier Lifetile Vila, Roll. and Capri Tile Fastener Type 2 -1Od Ring Shank Nails 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails 1 #8 Screw 2 #8 Screw 1 -1 Od Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 - 10d Smooth or Screw Shank Nails (Eave Clip) Direct Deck (min 15132" plywood) • t 27.8 8.8 16.4 25.8 47.1 24.3 19.0 35.5 31.9 ••• Direct DOCk••• (min. 19/32" .. . plyyeod) • • • • • • • .374 • 11.8 .. ... . . .21 yC . . . . • • • • • •• • • . . . 47.1 24.3 19.0 35.5 31.9 2 - 10d Ring Shank Nails' 1 Installation with a 4" tile headlap and fastemers are located a min. of 2W from head of tile. • • •••. • • • • • .. Q8'8 4.1 • .22.9 49.1 24.2 22.1 34.8 32.2 43.0 67.5 50.9 • Table 5: Attachment Resistance Expressed as a Moment Mt (ft -lbf) for Two Patty Adhesive Set Systems Tile Profile Monier Lifetile Villa, Roll, and Capri Tile 2 See manufactures component approval for Installation requirements. 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polytoam Product, Inc. Average weight per patty 8 grams. Tile Application Adhesive Minimum Attachment Resistance 26.1' • 1 • ••• - • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• '0 • • ( • • • ••• 0 / • • • • • • • • • • • • • • • • •• ••• • • • • • • • ••• • • • • • • • • • • • • • • • ,ter -�-- • "NOTICE OF CCAMENCEMENT ••• • A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECT* : • • • • • • ••• • 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 infenlvatldri; • is provided in this Notice of Commencement. • • • • • • 1. Legal description of property and street/address: 3 3 O NE C f 1 S T • 2, Description of improvement: F (---(2,0,-) F 3. Owner(s) name and address: G rl S l q ,'\ '2 Q v j fa) Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contrec ;1 ! Kt:i..;A CG: Name and address: t HER&TY Amount of bond $ 6. Lender's name and address: Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE4 10/04 My Commission DD211241 s+ p• txpires June is, [uu7 •. • • • • • •• • • • • • •• • • • • •• •. • L Port -ac o ^c'n.:.t ti;aa it this t'47TJcc 5 n!} .. •1.' 6t. .. '� 111J vL :r'�f .; t tit 7: Persons within the state of Florida designated by Owner upon whom notices o provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: .�. r.. S ignature of Owner Print Owner's Name Cr \tt s Gc'u l (. f P Sworn to and iibscribed before me this L day of , 20 Q •�_ •tiIhS o- ,• I((( IlN( I( IIIII11IIIIIIIIII III ••• • • • 20105R0980608 5Ro9so6o8 OR Bk 23787 Ps 0147; (199) RECORDED 09/16/2005 13:50:37 • •HARVEY• RUIN, CLERK OF COURT YtIAPiIrDADC COUNTY► FLORIDA • :LAST TAGE; •• ••• • • •• • • • •• • • • ••• • • • • • • • • 3 /v1 .PDA -u( 1 J9 111 14; twit (• .33/ 6s 0: ttro Su) n! /;•fit V ) V``N i ti 4.. F 7 other documents may be served as 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 Statute Name and address: 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) CHAS G %& Prepared byRJ ••(t f ? oc r, �� e Address: It0000 :5„a j 3 ST d ; div\‘, Ek . 331 c, Table 5B: Attachment Resistance Expressed ilia Morjent IOIt Ktal2i) i i for Mortar Set Systems • • ' ...: 'V Tile Profile Tile Application Attachment _ • , _ Resistance Monier Lifetile Villa, Roll, and Capri Tile Mortar Set' • • • 2$00 • • . • 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 OF THIS ACCEPTANCE NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 7 of 7 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Lot Block 7 Subdivision. Street and Number where work is to be done (2; State work to be done and purpose of building (by floors) New Building To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $.! _ t & Amount of Permit $..� t e0 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Remodeling f Date.(. C%e ._L ,l 9 , 19 C No. Q Street o fl .. s_ _l . 3 _9.21/ -3 �4 and for no other purpose. Addition Repairs No. of Stories Maximum live load to be borne by each floor I Vreby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks... Cl _ $ STATE OF FLORIDA, COUNTY OF DADE. ss • to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 1 - (CC' Date Read, Sworn to and Subscribed before me. Permit No Disapproved Date ' Building Inspee r Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida My Commission Expires ANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. I _`- ' 1 R MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Apg'icaaon is hereby nisde for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other struc 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 Miai.0 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 work. .ter s Name and Address .M.Vise — -� H - --- ------ --- - - - -- _._._- ---- --- - - - --- St ree t_ G � �. Registered Architect and /or Engineer_______________________ ------------- __--- __---- --------- -----_ Rose Semitic Ta 2552 1 ..•. 3rd Ave ,Hialcah,EL Employing Plumber's Name ____ — , — No. Street . �.___ Location and Legal Description Lot___ —. _ Block Street and Number where work is to be performed —No 13 State work to be performed and purpose of building (By Floors)________ ..... _..... ___.___.-______ New Building _.______ Remodeling_ ____ _ -__- Addition._.____._____________ Repairs No. of Stories . . .................. .. Size Septic Tank 700 Gal. - - - -- Type of Tank_ =_ seas 3 F11C. • _ _Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile---------------------------- - - - -- - Nature of Water Supply: City — Well._____ __ _____________- __________:___.__ __-________Size of Soakage Pit Amount Of Permit $ — — — -- (Signed)___(_ Signed) - - -- � — - - . Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob _ations as an employer of labor under 'tho Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Peri ent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors : /ployed by him in the work to be perfforrmi under this permit; and will post or cause to be posted' for inspection on the site of the work s : h public notice or notices as are req;d by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lioenced by Miami Shores Village. (Signed). Date 9/30/60 Subdivision. -__-__ Street N.F. 91st St. Capacity Gals 700 • Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts • therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOeeT8 BATH TUBS SHOWERS O LAVA. TORIES SINKS SLOP SINKS LAUNDRY TUBE URINALS AS CATCH BASIN FLOOR DRAIN DRINKING FOUNT•NS TOTAL FIXTURES CONTR. LIST -•— CFR= CL:PTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL LIST CNECK _ I _`- ' 1 R MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Apg'icaaon is hereby nisde for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other struc 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 Miai.0 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 work. .ter s Name and Address .M.Vise — -� H - --- ------ --- - - - -- _._._- ---- --- - - - --- St ree t_ G � �. Registered Architect and /or Engineer_______________________ ------------- __--- __---- --------- -----_ Rose Semitic Ta 2552 1 ..•. 3rd Ave ,Hialcah,EL Employing Plumber's Name ____ — , — No. Street . �.___ Location and Legal Description Lot___ —. _ Block Street and Number where work is to be performed —No 13 State work to be performed and purpose of building (By Floors)________ ..... _..... ___.___.-______ New Building _.______ Remodeling_ ____ _ -__- Addition._.____._____________ Repairs No. of Stories . . .................. .. Size Septic Tank 700 Gal. - - - -- Type of Tank_ =_ seas 3 F11C. • _ _Dist. Feet of Tank or Drain Field from Well Feet of Drain Tile---------------------------- - - - -- - Nature of Water Supply: City — Well._____ __ _____________- __________:___.__ __-________Size of Soakage Pit Amount Of Permit $ — — — -- (Signed)___(_ Signed) - - -- � — - - . Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his ob _ations as an employer of labor under 'tho Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Peri ent Supplement, and has coin - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors : /ployed by him in the work to be perfforrmi under this permit; and will post or cause to be posted' for inspection on the site of the work s : h public notice or notices as are req;d by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are lioenced by Miami Shores Village. (Signed). Date 9/30/60 Subdivision. -__-__ Street N.F. 91st St. Capacity Gals 700 • Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts • therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. APPLICATION FOR ELECTRICAL PERMIT ZO. f r Permit No - 2 5 Date 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 work. Owner's Name and Address Amount of Permit $ Registered Architect and /or Engine Employing Electrician's Name Location and Legal Description Lot Street and Number where workris to be performed —No 58. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT i No Block Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L (Signed) No Al Street (Signed),... V ' The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspectio on the site as are required by the Act. The undersigned agrees to employ only such sub•contractors on pvork to licensed by Miami Shores Village. Street StWision Street State work to be perforine and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Metal Moulding Electrical Inspector. ccepts h obligations as an employer of of Flo a Permanent Supplement, and sub- ractors employed by him in the of the work such publi ce or notices e perforted unde /. if per as are �. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SEACE H ATER STRIP HEATER TOTAL CONTR. LIST 3 �� ` ,ht;7r....___ CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT ZO. f r Permit No - 2 5 Date 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 work. Owner's Name and Address Amount of Permit $ Registered Architect and /or Engine Employing Electrician's Name Location and Legal Description Lot Street and Number where workris to be performed —No 58. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT i No Block Service Overhead Site Feeders Conduit Main Sw Underground Type of Installation— Conduit Tubing B.X.L (Signed) No Al Street (Signed),... V ' The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspectio on the site as are required by the Act. The undersigned agrees to employ only such sub•contractors on pvork to licensed by Miami Shores Village. Street StWision Street State work to be perforine and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Amps Main Fuses Amps Metal Moulding Electrical Inspector. ccepts h obligations as an employer of of Flo a Permanent Supplement, and sub- ractors employed by him in the of the work such publi ce or notices e perforted unde /. if per as are �. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Application is hereby innde for the approval of the detailed statement ur rile plans and specifications herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, I lorid.r. 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. Sept. /6 80 ?v6eJtt Lewin Date..._..._.. 6 ..__....__.__. Owner's Name and Address ... _ — No...... .. .. . ....._.._... Stree '- 2/2 St. Registered Architect and /or Engineer nos r..• ..... v..•ne Name and address of licensed contractor 06 enUU/t %�UO�t..� _L .D. 7357 N. W. Miami C.:.... Location and legal description of lot to be built on: Lot Block / �u tvision Street and Number where work is to be done 136 ' • ' 9 / /it rt. Disapproved Silf (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date. Building Inspector State work to be done and purpose of building (by floors)...1`?f!. Ye tA4 _e?4 4/.tp... :5g J.gQ, Sd!& .! pl-8.g...fi!: -6?.__ / 30 L6. lea 1 -90 L6. dilate 9aLv_ Pax/ :p_94 and while . 9,1e ..de.. _ and for no other purpose. New Building Remodeling Addition Repairs X No. of S p r ies To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements 5. . 5655. 00 Amount of Permit S. /5. Zone cubage required - ._......Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida \\'orkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup clement, 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 such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks — (Signed) ��.�. ; �'" STATE OF FLORIDA, 1 COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has caref Ily read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. '' 1 41 ' £ Date 9 r - Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ear to me well known, PLANNING BOARD DATE Chainrwn Member Member Member _ Member Member Council Approved Date Disapproved Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained fmtrt the Pl.rnnir.g Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship.