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ROOFINGApproved Correction Re-Insp'n Fee MIAMI SHOES VIZ_,LAGE S BUILDING DEPARTMENT 305- 795 -2204 Dat::4. I Yrh•/ 1 Type Ins Permit No. P 'I^ 4-4 J Name EIO-Se- Addres Company Phone # Inspection Date Buildin: Inspection Request Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request `ZZ Date Type Insp'n \ J Permit No. "VP 0 �l - 1 0 l e Name Address Company Phone # Inspection Date gALik U6 � MIAMI SHORES VILLAGE - BULLDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n Permit No. Name Address L) O • l 1 - Company Phone # Inspection Date Correction Re- Insp'n Fee 13, /4t' c•I•v•I•I Li ENGINEER Project: Dear Sirs; Mr. John Busta Miami, Florida LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 i f I Fax: (305) 541-3298 TILE UPLIFT TEST Residential home 348 Northeast 91 Street Miami, Florida Information provided by client: Permit Number: Not Provided Date Completion: April 29, 2004 Roofing Contractor: Not Provided LG Engineering Services, Inc. Project Number: LGO4 -1249 (Testing Laboratory Certificate #00- 0224.07) May 6_ 2004 In accordance with your request and authorization, a representative ofLG 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 ofthe bonding ofmortar 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 30 feet above ground surface. The type of tile used for this project was reported to be Vanguard 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 corder were physically examined. Bascd on our test rcsl4lts, we concludc tliat the installation ofthe rooftile at thc above refere dproject meets the tcst requirement outlined in the above mentioned protocol Attached plead r Of our test report for your review. ; r�� ) 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. TI LE UPLIIT'I'EST Residential Horne 348 Northeast 91 Street Miami, Florida Mg - amad Sonny Salleh, P.E. Project Manager Test Number Test Load (lb!) 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 • Report of TILE UPLIFT TEST for Residential Home 348 Northeast 91 Street Miami, Florida Project Number: LG04-1249 . — LG Engineering Services, Inc. — Tile Uplift Test Result --Project Artunber: LGO4-1249, Page 1 Test Number Test Load (lbf) Test Status . , 23 35 Pass 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass LG Engineering Services, Inc. — Tile Uplift Test Result -- Project Number: LG04-1249, Page 2 . Test Number Test Load (lb!) Test Status 51 35 Pass 52 35 Pass 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass — -- LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG04-1249, Page 3 APPI;OX, POOF 1151 LOCATIONS ANf7 f71ME;N5ION5 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. P 0 (q- PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofin Owner's Name (Fee Simple Titleholder) /IL., - 0 Phone # rya`; - /C7 , /i Owner's Address ,3 ,, /' f7 ,e City 4/ ,;-/Y/7/1F.-.5" State �`-- Tenant/Lessee Name /( /f Job Address (where the work is being done) Y City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO y r �' J' i I t,/A v /7, Phone # ''�� ' 2" / Contractor's Company Nam��� Contractor's Address -,7 t ;c 7 City ,"// "° Qualifier e? -,r";j . ® r `, Describe Work: 47 _; State $ Value of Work For this Permit o Type of Work: ['Addition ['Alteration ❑New Scanning $ -"-' Radon $ .--- -- Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ S i 3 10 (Continued on opposite side) °-- Zip Phone # ift Zip ''�l� Architect/Engineer's Name (if applicable) t ; 1 Phone # Square Footage Of Work: ;i Repair/Replace -1)- 71 * * * * * * * * ** * * * * * * *** * * * * * * ** Fees * * * * * * * * * * * ** * * * * * * * * * * * * *** ** Submittal Feel? • 0 Z Permit Fee $ CCF $ 6' 0 Nota ry $ Training/Education Fee $ 0 Technology Fee $ 7r . 57 Bond $ ❑ Demolition Bonding Company's Name (if ap pli le) 40 Bonding Company's Address /1 City / 4 State f .M Zip AM Mortgage Lender's Name (if applicable) 4 Mortgage Lender's Address NA City ,O) State Zip /0 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 Contractor The foregoing instrument was acknowledged before me this oZ2 f4F The foregoing instrument was acknowledged before me this2 77' day o - G _• ' 20 '`, by �s/,�"[,.i. , day of 20 iy,, by' , who is perso . ly 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 Sign: Print: My Commis -1 1 i As • s: ; A , t • 1 4. L ( No ublic - State of AW4304,411M MAW 47 Commission 3 DD 1097C Bonded By Notional Notary Assn. P IC: XPPLICATION APPROVED BY: he 10/14/03 dG�c NOTARY PUBLIC: Sign: Print: My ConuniSs * * * * * * * * * * * * * * * * * * * * * * * * * * ** • , ** i ** ` +k+tE�iWlv�lbelpa Fl P M liicate of Competency Holder) ¢E Commission * pp `� ` Bonded By National Notary A an. State Certificate or Registra o Certificate of Competency No. 0************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *# ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAR — 4 1004 Plans Examiner Engineer Zoning C26 ** Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -268 Printed: 3/4/2004 Applicant: ELIZABETH ELOSGE Owner: ELOSGE ELIZABETH JOB ADDRESS: 348 NE 91 ST Contractor JOHN BUSTA Local Phone: 305 - 219 -9699 Parcel # 1132060190230 Fees: Description Amount FEE2004 -2311 Building Fee $300.00 FEE2004 -2312 CCF $6.60 FEE2004 -2313 Training and Education Fee $2.20 FEE2004 -2314 Technology Fee $7.50 FEE2004 -2315 Scanning Fee $9.00 Total Fees: $325.30 Permit Status: APPROVED Permit Expiration: 8/25/2004 Construction Value: $10,500.00 Work: RE- ROOFING SLOPED ROOF COLOR THRU TILE Signed: (INSPECTOR) Building Permit Contractor's Address: 300 NE 91 ST Page 1 of 1 Legal Description: EL PORTAL PB 9 -101 LOT 7 & E1/2 OF LOT 8 BLK 2 LOT SIZE 75.000 X Total Fees: $325 Total Receipts - Vino__ 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: in Section 713.13(1)(b). ( Statutes. Nam and address' N TICE OF COMMENCEMENT A RECORDED COPY MUST RE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 1'FIA111 NO . . .1AX FOLIO NO/472-0:7 IATI: OF FLOHIDA. COUN1 , 1' or miAmi-1)Al 1 1 UNDF1-11.310\11T:f) gives notice that improvements will be made to certain real pro, lefty, and in uc;ot la' c NiIII GI pier 713, Honda Statutes, the following intormation provided in It Nowt. of c.emmencement. t 3 Owner(s) name and idi.1111:: EL4',5GE ./Mii/ ./c-L. 33/ Interest in looperty:, /A Name and address of fee siinple titleholdei 4. Contractor's, name tru addres-i: ci,e,(A. . 30o NAN/ Si,ez 33/30 Not;iry Public Print Notary's Nano My col nmission expires: . 1 ( 0 r aoos_ • 1 1111111 1 1111111 1 1111111 11 111111 11 1111111 11 11 CFN 2004R0118857 DR Bk 22062 Pg 1730; t1Pg RECORDED 02/23/2004 11:10:40 HARVEY RUVIN? CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE 1. Legal description of properly and street/address; 4,c Fs9 . 4-07 7. I 73tk . . e/ 9 *14/ i : 2. Description of improver nef 7.4 Surety: (Payrrie1.11)0nrIrequired by owl ier from contractor, it any) Nanle . . Amount of Ltorid $ . _ 6. t_erider's name and address: tr./ . . . ....... ........._. . . Persons state of Florida ciesk by ()wrier upon whoni notices or ()trier docurrientsinay be ;.,;(1ryerl 1)10Yided by SeC11011 71:1 13(1)(a)7., Florida SIa(ute,-;, Name iinc.1 address: /!"..). .......... . ........ t1 Iti adclitioll to hinisell. Owners desit. the followiricl persoil(s) to receive a copy (4 the I...iermr's Notice as provided 9.1:x01 date of Noce of i',7,0inniericenienl: (the expiration date is 1 year from the date 01 recording unless ri different date is specifie(1) Si c um, at Owner Drill( Owner's Nait' ee:1247W 1 Prepared t.)V Sworn to .11 svihsciibed before me 11 mm gc day of/SeRO/ej , 20 e. Address: e?„ 9 / ST LORRAINE KELLER _ Nota/yPtiblle= " my cominktslonEpres Apr 1 • • • Commission t nr.t • . Bonded Pv National Nutzuy identify dimensions of elevated pressure zones and ocation of parapets. ( 1 1 1 1 1 1 1 1 111 I I I i i� 1 T 1 � �_! t !i i!!!!! I! I I I! 1 t!11 !JiI`j'1 :ii"tii444i±"liTiTi - t 111 11!"1!! i :_1_ {j] 7_:_t: _ - ! -/J _ _1_ -i_ J _ J - - F 1-111:1 'a ..lw S■ t _ i - - 1-4_.1..-4 i ! I i ! 1 7 �s. �ri�Rws : i _ 111-4! ! i1! 1 1! 1 1 1 Iil1 ! i! ±Lti•� lifi yl_ ± i i !--FR `i-i- �� 1 1 ! ! : , "li'lTii i ! s" _ )'1 14 iV ! 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I 1 11 I I I i I i i 1 1 1 - 11 - 1 - 1 i! i f I I 1 i f !! i !Ti - 1 - I 1 - i - i i i {1 =1_1 1 1111171171 fl _ a _ . . f t t I ! !1 I !- -1 ._J- , I111t riti!i1 !! -41 - l - l - i - l!I 7 11 i! i I I i I! _�_ -. _ � I_ _ - 17 - 17 1 11 7 1 - 1 1 1 ! 1 1 1 11 I 1 I i i 1 1 1 1 1 1 1 1 1 1! I t 1 11 1 1 1 1 1I 11 = I _1 1 1 1 I i 1 1 I 11I{I1111iT11111111(�_I_1I1liii 1 i t ! ( 71 1 -' 111!I(tT-1-1+1+17-1-1 1 !1!i11i1ii! I I I t11 i I i = 1 T !1 i i !1711 i i i! 1 1 1 i ii-1_1 ;! I i I 1 1 1 1 1 111 1 111 i It11l fiiii1iI ] ii i11!1!!I� i Tiiii!IiI!IS!II1! �= -4-4__-471-4'-4 = 71%11111 i! iiTf1 i T i ■ 1 FR-M7 1 11 i!{ 1 -41 1 1 1 I i 1 1 !il !III l i l 1 l 111- - {--471-4 �1 i I i li`i 111 I ( I _ 111_1� ! "171 ! 1!! 1! 1 till l liii l i T m 1 1 1 1 r mrm Tt ! 1 1 1 1 t H 1 1 1 1.J 1I 1 1 l� 1_I, 11.1 1 1 1 1 1 1 1 1 1`11 _ JJ_.1_ _ LI_ _ . 1_ 1 1 l l i l 1 1 1 1 1 1 i !� 1i`fT1 . - - - - _I �; b=iTi7(it;Hi t_ _ - .:1 -1-1_I_1 . 1 1 1 1 1_1 11Th ! i 1 I 7111111 Florida Building Code Edition 2002 High Velocity Hurricane Zone Unifomi Permit Application Form. Section (General Master Process Conti S: Job 377 ROOF ►TI ❑ Low Slope CI Mechanically ist Mortar/Adhesive Set Tile ❑ Asphaltic Metal Panel/Shingles 0 Wood Shingles /Shakes Shingles 0 Prescriptive BUR-RAS 150 ROOF TYPE ❑ New Roof A Re- Roofing CI Recovering _ ._.,pair ❑ Maintenance ROOF SYSTEM INFORMATION Steep Sloped Roof Area (SF) Total (SF) Z529 Low Slope Roof Area (SF) Section B (Roof Plan) Sketch Roof Plan: Illustrate a I levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Fill in Specifi and Identify Ma (If a component is n oof Assembly Components Fastener Spacing for Anchor /Base Sheet ufacturer Attachment used, identify as "NA ") System Manufacturer. NOA No.: Design Wind Pressures, Fro RAS 128 or Calculations: Pmax1: Pmax2: Pmax3: Max Design Pressure, From the S v ecific NOA System: Deck: Type: Gauge/Thickn Slope: Anchor/Base Sheet & No. of PIy(s): Anchor /Base Sheet Fastener /Bonding Material. 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(s Base Sheet Fastener /Bon ing Material: Ply Sheet(s) .& No. of ly(s): Ply Sheet Fastene Bonding Material: Top Ply. Top Ply Fa- ener/ Bonding Material: Section C (Low Sloped Roof System) Surfaci g: Field: " oc @ Lap, # R ws " oc Perimeter. " oc : p, # Rows _ @ " oc Comer. " oc Q : p, # Rows @ " oc Number of F • steners Per Insulation Board Field Illust • to Components Noted and Det • Its as Applicable: Wo • o blocking, Gutter, Edge Termination, St ping, Flashing, Continuous Cleat, Cant S p, Base Flashing, Counter- Flashing, oping, Etc. Ind cate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. Perimeter Comer Parapet Height Mean Roof Height Roof System Manufacturer: / 1 7Af /E_. // 4te-- Notice of Acceptance Number: 0Z — / ? ®5 s 05 Minimum Design Wind Prpsssures, If Applicable (From RAS 127 or Calculations): P1: P2: 957 P3: 95 / Maximum Design Pressure ' �/ (From the NOA Specific System): Method of tile attachment: (2LYi A.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Roof Slope: 12 Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: ype Underlayment: nsulation: Ridge Ventilation? ii// e: Fire Barn / r: Mean Roof Height: 15 / Ay vT 7, W.57.q A/M astener Type & Spacing: dhesive Type ype Cap Sheet: oof Covering: I * ° SNRi/P...3` WI/ b /g"77/l'Cf1Pds 12" 0C F/ 6 & "er. 4.04 eS 14 s L jr asTm 7'90 ; : 1AY/rrr A4 A/WARD had Type & Size Drip Edge: Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier X NOA Restoring Moment due to Gravity M, NOA Attachment Resistance Mr NOA Required Moment Resistance Mr Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance F. 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' 25' 30' 40' - Roof Slope I 2:12 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 • Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. (P1: (P2: (P3: Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M with the values from M r. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" a A. I _ /30 .- M 619 = r 6•3 NOA 1VJ X a, a J - Mg: 6• /g = itd NOA MI x X _ I7 - Mg: ✓, =M, / NOA Mf Required Moment of Resistance (M From Table Below Method 2 "Simplified Tile Calculation Per Table Below" NOA Mr .a•C/ *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" (P al: = z w:= ) -W: x cos 9: = F NOAF' (P xl: = z w:= ) -W: cos 0: = Fr2: NOAF' (P : a 1: = a w: = ) - W: z cos 9: = Fr3: NOA F' • SECTION 1524 HIGH VELOCITY HURRICANE ZONES NSIDERED O OWNERS NOTIFICATION FOR ROOFING CO 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 roofmg 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. e, 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) 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. t 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance roof with deck us Chapter ually concealed prior o removing the existing roof system). Hurricane Zones) of the Florida Building Code. (The r e. 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. e 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. 6 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. 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. E 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. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the �m terior 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. er's /Agent's Signature CAD...m.b ..d 9eetl.pde --• SeettagATaRATegopersry Internet neACe.a.l.lESOKLBArtT 31 OH 1524111.4.. Contractor's Signature 02/27/2004 10:58 MEDITERRANEAN ROOF TILE -> 3057572728 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifctile, LLC 135 NW 20 Street Boca Raton, FL 33431 NO.970 P001 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLACLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2905 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 Mimi 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 AHD 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 thc 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 oCany 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 thc user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1205.05 Etpiratton Date: 12/16/07 Approval Date: 01/02/03 Page 1 of 7 02/27/2004 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Material: 10:58 MEDITERRANEAN ROOF TILE i 3057572728 1. SCOPE This renews a system using Monier Lifetilc Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Man factured by Test Anpilcant Dimensions Specifications Monier Lifetile LLC Villa & Roll Monier Lifeitilc LLC Capri Tile Trim Pieces 2.1 SUBMITTED EVIDENCE: Test A1cnty Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied n ii ; 1 ering. (nc. .. G `�t i.q t � fFPV' Low Profile Roofing Tiles Concrete Product Description 1= 161/2" PA 112 Low profile, interlocking, high pressure w = 13" extruded concrete roof tile equipped with one '/," thick nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA (12 Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. L = 17" W= 12'/," 1/2" thick (= varies w = varies varying thickness Test Isicntificr 7161 -03 Appendix 11( 7161 -03 Appendix 11 PO402 94 -0608 94 -084 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) NO.970 P002 Date Dec. 1991 Dec. 1991 Scpt. 1993 March, 1994 May 1994 NOA No.: 02- 120$.0S Expiration Date: 12/16/07 Approval Date: 01/02103 Page 2 of 7 02/27/2004 10:58 MEDITERRANEAN ROOF TILE 3 3057572728 Test A.. - -n_ 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. Thc Center for Applied Engineering, Inc. Thc Center for Applied Engineering, inc. Cclote* .Cbrporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering Inc. Test dentificr P0631 - Letter Dated Aug. 1, 1994 224-470 25- 709 -1 25- 709 -7 25 -7094-4 Project No. 307025 Test #MDC -76 25- 718 -1 25- 718 -2 2S- 721 -2 25- 721 - 528454 -2 - 520109 - Calculations . Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations • Te t Nam 0rt Wind Tunnel Testing PA 108 (Mortar Set) Wind Tunnel Testing PA 108 (Nail -On) Physical Properties PA 112 Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck. New Construction)D Static Uplift Testing PA, 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroo 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 -709 25.7496 25 -753 25- 7304b -8 25- 7804 -4 & 5 25- 78 43-6 Aerodynamic Multipliers Two Patty Adhesive Set Systcm NOA No,: 024205.05 Expiration Date: 12/ro� Approval DatP-age 3 of 1 Date July 1994 Aug. 199 Sept. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 NO.970 P003 Sep. 1993 Dec. 1998 March 1999 March 1995 February 1996 April 1996 December 1996 April 1999 April 1999 02/27/2004 10:58 MEDITERRANEAN ROOF TILE + 3057572728 . 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. (nations 3.4 Minimum undcrlaymcnt shall be in compliance with the applicable Roofing App Standards listed section 4.1 herein. perpendicular to the roof slope 3.5 30/90 hot mopped underlayment applications may be installed peril unless stated otherwise by the undcrlayment 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 Table 1: Average Weight (W) and Dimensions (I x w 9 Tile Profile Weight-W (Ibf) Length-1 (ft) Width -w (ft) Monier Lifetile Villa and Roll Tile Monier Lifetile Capri Tile Monier Lifetile Villa, Roll and Ca Monier Lifetile Villa, Roll, and Capri Tile ri Tile Table 3: Restorin 9.1 9.51 1.33 1.42 1.08 1.03 Table 2: Aerodynamic Multipliers - fe) (h3) Profile Batten App Tile (ft, lication Direct Deck Application i 0.267 0.289 Moments due to Gravi M. ft -lb 6 ":12" N0.970 0004 Direct Battens Deck 6.05 5.24 7 ":12" or reater Battens Direct Deck Tile Profile 3 ":12" Battens Direct Deck 4 ":12" Battens Direct Deck 5.48 6.18 Battens 5 ":12" Direct Deck 5.90 NOA No.: 024205.05 Expiration Dater 12/16/07 Approval Date: 01/02/03 . Page 4of7 02/27/2004 10:58 MEDITERRANEAN ROOF TILE i 3057572728 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Battens (min 15132" (min. 19/32" Profile plywood) plywood) Monier Lifetile Villa, Roll, and Capri Tile 2 -10d Ring Shank Nails 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails 1 #8 Screw 2 tt8 Screw 1 -10d Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave CV) 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) Tile Profile Monier Lifetile Villa, Roll. and Ca s ri Tile 4 Large paddy placement of 54grams of PolyPro"'. 5 Medium paddy placement of 24qrams of PolyPrro 27.8 37.4 8.8 11.8 16.4 21.9 25.8 25.8 47.1 47.1 24.3 24.3 19.0 19.0 35.5 31.9 2 -10d Rin ' Shank Nails 43.0 Installation with a 4 tile headlap and easterners are located a min, of 2W from head off Table 5: Attachment Resistance Expressed as a Moment M (ft -Ibf) for Two Patty Adhesive Set Systems_ Minimum Attachment Tile Application Resistance 26.1' Tile Profile Monier Lifetile Villa, Roll, and Capri Tile 2 See manufactures comj)onent approval for installation requirements. Flexible Products Company Tile:and Average weight per patty 11.4 grams. Po oam Product, Inc. Avers • e wel • ht . at 8 . rams. Table 5A: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesi Set S stems Minimum Attachment Tile Application Resistance Adhesive 35.5 31.9 67.5 28.8 4.1 7.1 22.9 49.1 242 22.1 34.8 32.2 50.9 N0.970 D005 NOA No.: 02- 1205.05 ' Expiration Date: 12/16/07 Approval Date: 01/02103 page 5 of 7 02/27/2004 10:58 MEDITERRANEAN ROOF TILE 3057572728 • Table 5B: Attachment Resistance Expressed as a Moment - Mt (ft -lbf) for Mortar Set S stems Tile Attachment A • • //cation Resistance 20.60 Tile Profile Monier Lifetile Villa. Roil, and Capri Tile 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 My other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. Mortar Set PROFILE DRAWINGS MONIER LIFETILE VILLA CONCRETE ROOF TILE NO.970 P006 NOA No.: 02- 1205.05 E:pIratlon Date: 12/1 Approval Date: 01/02/03 Page 6 of./ • 02/27/2004 10:5B MEDITERRANEAN ROOF TILE i 3057572728 MONIER LIFETILE ROLL CONCRETE ROOF TILE END OF THIS ACCEPTANCE MONIER LIFETILE CAPRI CONCRETE ROOF TILE NO.970 D007 NO A, No.: 02=1205.05 1 . Eiplt'a't(on A'ete: 17/16107" Approval Date: 01/02/03 Page 7 of 7'i Mar 04 ,04 06:50a John 13usta Rfg 1. MA MP PRODUCT CCNTRUL NOT1C.E OF ACCEPTANCE P nlyfoatn Pr iducts, Inc. 2400 Spring- Stueberer Road Spring ,TX 77333 -U22 Your application for Notice of Acceptance (NOA) Two Component Polyttretherte Foam Adhesive under Chuptcr 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 - Ducic County Building Code Compliance Office (DCCO) 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'rnanufacturer's. plant for quality control testing. It' 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 revakc this approval, if it is determined by BCCO that this product or material fails to meet the: requirements of the South Florida Building Code. The expense nsc of such testing will be incurred by the manufacturer. ACCEPTANCE. NO.: 0t- 052102 -- EXPIRES: 05/10/2006 3057572728 p.2 MIAMI-DALE COUNTY. FLORIDA METRO -DADE; FLAGLER BUILDING HUIl.i3INC Coot conic .l,iNce Or rlCt METRO- D: \Dr. rt. :\GLCR BUILDING I40 WEST rt,ACA1,Fti s'rnGtol Sltl't't: 10113 Wd�lMI. FLOrtli)A 331311.1503 (305) 375 -2901 CAN (305) 375 -27 t :e)NT1tLCTOit t.Irk:NSINc Si•C1 e6N (303)775 -2.57.7 FAX ( (151 37 :;•7..51$ ctttrt'nxr_IVIt VISION (305) 375 -2966 VAX (30S) 315 -29Uli ritouticT et - rum_ DIVISION' (305117S -I5AU: VAX (3115) 3'771.6339 Raul Rodrlttlei Chief Product Control Division THUS tS THE COVERSHEET, SEE ADDITIONAL PAGES roll SPLCtP'1C_ A 1) CI_ NF.RAt CONDITIONS BUILDING CODE: & PRODUCT 12EVIEW 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. APPROVED: 06/14 /21101 ib13 clUtotIcc accopcanec cbvur pngc.dot Francisco 3. Quintana. R.A. !Director Miami -Dade Comity fluiicling Code Conlptiatuc Orlicc Mar 04 04 06:50a John Busta Rfg 3057572728 p.3 rt. i{ €< :102._4"_xQ40aP; :gi.%.111c- ACCEPTANCE No. Od - 4i. _t?f RO(.7 ASSEMBLY APPROVAl. Rooting ' ltoorrile Adhesive f'�IfSOtcria►t_::. l'olyurctlulne This approves Polypt•u® AN 160 as manufactured by l'ollyfiaaun Products, lute. as described in Section °'_ of this Notice or Acceptance. For the locations where. the desi. p p1CSSUrc requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations ih compliance with Roofing Application St::indatd RAS 127, for use with approved fiat, low, and high profile roof tiles system using polypro® Ali 160. Where the attnchrent are done as a moment based system for single patty placement, and as an uplift based system fur doable patty systems 2. PRODUCT DESCRIPTION NIt:attisia: ured by Test Product Apvlicsant piranerareonx Sgiccifictations Description PolyPro0 AH 160 N/A PA t01 Two eontponent polyurethane Fuatttprot8) PTF1000 N/A Dispensing Equipment I'rol=arclt ®'+® 30 & 100 N/A Dispensing Equipntcnt 2.1 Components or products manufactured by others: Any Miami-Dade County Product Control Accepted Root Ai;scuably having a current NOA which list uplift resistance values with the Use of Potypro AH 160 roof' tile adhesive. 2.2 Typical Physical Properties: ' ra�x ray Test Density ASTM D 1622 Compressive ASTM D 1621 Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability ASTM 0 1623 ASTM 01137 ASTM 1; 96 ASTM 0 2126 1.6 l bs. /il.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise ' 0.O8 Lbs. /Ft 3.1 Perna / Inch Approval Date: June 1 Z0f 1 Expiration Date: ft+lm 3U 2001; :+o.07'%u Volume Change a -41W F.. 2 . weeks +6.014, Vrtinnrc Chan •c l tuaoaidity. 2 weak:: Frank Zuloagn. RR.0 • Product Control Examiner Mar 04 .04 06:50a John Busta Rfg 3057572728 p.4 yOlOnar l_Protine ss ACCEPTANCE No.. C Nott: The physical pauperties listed above Tart: Orescritcd as typical average values has dcterntiatt;d by accepted A STI'1 test methods and nue subject tU normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance, Refer to the Prepared Roof Tile Assembly for fire rating. 3,2 Polypro® AHI60 shall solely be used with flat, low, & high tile: profiles. 3.3 Minimum unticriayrnents shall be in compliance with the Rooting Application Standard RAS 120, • 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AFI I60 rocs(' tile adhesive with their the assemblies shall test in accordance with PA 101. .5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® A11160 rooftile adhesive with their kite assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F— 2 W M S 4. INSTALLATION 4.11 Polypro® Akf 160 may be used with any roof the assembly having a current NOA that lists uplift resistance values with the use of Polypro® AE-I 160. 4.2 Polypro® A1 shall be applied in compliance with the Component Application section and ttte corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Potypro® A1 shell 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 tilt assembly NOA. 4.3 Polypro® AH 160 roof tilt adhesive and its components shall be installed in accordance with Roofing Application Standard R.AS 120, and l'otyfoant Products, Inc. Polypro® AI-1.160 Operating Instruction and Maintenance Booklet. 4.4 installation must be by a Factory Trained 'Qualified Applicator approved and licensed by Polyfoarn Products, inc. Polyfoan Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipntent is required before application or any adhesive_ The rnix ratio between the "A" component and the "t3" component shall be maintained between 1.0 (A) : 1.0 (13). 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® A1.1160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 PotyprotID Ail 160 shall not be exposed permanently to such Frank Zuloaga, RRC Product Control Examiner l'abls 1: Adhesive Placement For Each Generic 'tile p _ __ 'I'ilcl'roCate Placement Del ail Single Paddy Weight Mitt. (grains) TWO !Paddy i'Vcigltt per paddy M. Flat, Low,, ITIE I'ioftles tigh Motile (2 Piece Barrel) 81 35 NIA 81 17 /side en cap and 34 /pan N/A _ Flat, Low, High Profiles Flat, Low, Higll Profiles 02 24 N/A ti3 li Mar 04 '04 0,6:51a John Busta Rfg Ii�:�R �b4/Sid'Ja �Ai.ta 158 = �1at 3057572729 p.5 ACC II; PTA 1\1 C'9 No. 4.3 ;riles must be a.dberecl in freshly zithilicct adhesive. - Lilt must be set within 2 to 3 minutes al'ier ?olyproi AL -11' (0 has been dispensed. 9,9 Pty ti� 4.1.1.1(,0 placement nand ,..s patty 1,vcight shall be in ac emd.anee with the 1? acetn ell t Det yiis' herein. Each generic tilt pi ut'ile require; the spec:ilLt' placement noted herein. 5. LABELING • All Polypi'o® AH160 containers shall comply with the Staindard Conditions listed herein. 6. IL11JIL DING PERMIT REQUIREMENTS 6.1 As required by the Building; Official or applicable Building Code in order to properly evaluate the installation of this system. Frank Ztilo:it ;a, R1ZC Prochiet Control Evannincr Mar 04 04 06:51a John Busta Rfg 3057572728 p.6 `'fzdv_loain Prod ct & ::alf LSIwe'. g1Mlto t¢rnant Paddy tDaae`J' flat tttttHltyfitn '• r ?� f � Eats Cletvm Hail through plank thou.& Irritant tai CAIRO Foe e wet Drat: Ka+p kale:St 1pnet 4 I vp Lem rtepMle$ 141. F 3l.31K SlVE L.ACY_;I4 NT DETML 1 StNCiI.E PAT1 � Pi'31 (Uentil%tIb( Fan.' ■ flame ACCEPTANCE. No.. 4i 4 ^ Q3;1: .ljZ Earl cootie t;0}: KatD 26r0v4 d9p&ea, r Aa.1 to from ornoIrotr 13 Kite ertou4tt t0tttetve b KNove 1 T to 23 ammo hKMt N tooatt rtth Ma pan Itto /11..ro CA I f 00116 tam lutr sea.,t 4 tri It tot k boat orulre ed9 . th er tic r � Tins laWnIt lln, °1 4! " Avtx+ QC PM; GU al Col sari tounitor& 114. Then lttmfd mono 11 DM Ulm. faun ono a■e of 611 atd tevt■ & t lit aid tl tit or the. Eau 0a0010 ' ta.rotlr shoo/ WH h II ira4 20 OptlottP he'ei1 atleo Oath apDecAlonr HldCwaghptaWcave.t Frank Zuloaga, RRC Product ConErol Exalmiut:r Mar 04 04 06:51a John Busta Rfg P Iv Itn it P resluct j ttc. AI•E:Sin PLACEMENT DETAIL 2 SINCALE PATTI( ACCEPTANCE Nu. 0O2 602 :6 3057572728 lonk Zuloaga, 11.11.0 Product Control EN:uttincr P • 7 Mar, 04 04 06:51a John Busta Rfg • r t undo- / SInglc paddy on too of tile Fascia Nall through ple..11c cement 3 In. Single paddy on underlayenenl Single paddy nn top or tito Ea,' cos st H ADESIVE PLACEMENT DETAIL DO ti E ll PATTY r-e.'".1111, 31n. 4 In. Single 'midi on undo- laymtnt 3057572728 ACCEPTANCE No : P-052(.07, 4 ", E&CO C1310341 1 In. X 1 In. attefium she paddy ealei Caws+) only Nal) through plank cement Paddy pail through plastic Cement .-----... 3111 gle pinkly undo: elln ...__ -.......... ....", s ' , ..,.. , PAISdn011 MO \,,..../ ,,,.. e s •-, kinthlriAVITIttit \\ ./.''''s Singlo paddy hetunen tile —.. - -. / (under We) ,...-- Prddy . k -.. ".".. , - , :‘,. - ....t .... --•:_,-..._,.. ....„ -- `s.".. 1";7?.11 \:.,%...........s.,.. I 13 3 In. -,."."/".'' ,z / -- i .„.er ; i SIngln paddy an c- 2 in, . .„... .. m. !ArtnRR 17 ..... • Sin paddy on top of the Earn Curia p.8 1ln. a 7 In. nicdtunl tira paddy who corn tniv Vie enheit 'Eyre CIOIWO Urip adv. I Zulonga. R.P.0 Product Control ENantincr Mar , 04 04 06:51 a ♦ tt • 6 1?1roritictsi Bute. John Busta Rfg ftcneartl of this Acccptancc (approval) shall be considered after a renewal application has been tiled and the original submitted doeurneints, including test- supporting data, engineering documents. are no older than eight (8) years. 2. Any and all approved product:; shall be permanently labeled with the tuai►ttfactut•er's name, city, state, and the following; statement: "Miami -Qadc County Product Control Approval or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acccptancc will not be considered if. a. Then: has been a change in the South Florida Building Code affecting the :valuation 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 Acccptancc holder has not complied with all the requirements of this acceptance. including the correct installation or the product, d The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or mann facture of the product or process shall automatically be cause .for termination of this Acceptance, unless prior written approval has been requested (through the tiling 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 or any product, for sales, advertising or any other purposes 6, The Notice of Acceptance number preceded by the words Miatni -Dade County, Florida, and followed by the expiration date may be displayed in advertising titcrature. It' any portion of the Notice of Acccptancc is displayed, then it shall be done in its entirety. 7, A copy of this Acccptancc as well as approved drawings and other documents. tcdtcrc 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 steed not reseal the copies. S. Failure to comply with any section of this Acceptance shall be cause for tcrnllnatlon and removal of Acccptancc. 9. This Notice of Acccptancc consists of pages I through B. END OF rt•us ACCEPTANCE 3057572728 Frank Zuloag a, ttRC Product Control C•xantincr p.9 • ACCEPTANCE No. : 0l- 05211.02 STATE OF FLORIDA, COUNTY OF DADE. j ss• Disapproved y Date (Signed) Building Inspector NOTE: A charge of $1.00 will be made for the I'Iannir.g Board. A re inspection Ice of 31.00 will bc charged materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ut 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 iuilding Divisinn 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. Date... .......�1_ _._.. C p . ,19.1ER Owner's Name and Address ``,D� 4 E. \�as.ea.. _ _ _ No. .e...._... Street.A .�f J Registered Architect and /or E :ngineer.. CAvt..S'. al ® Pfa'siS Name and address of licensed contractor 9.2-N-- � Location and legal description of lot to be built on: Lot Mock Subdivision _ ------ — Street and Number where work is to be done 3_... At, .. ._. __ State work g be done and purpose � b uilding (by floors)....._ � e,,.e.f . r / 0 . 1.LC... 1,1 1 ",tn.Q : 1 — 9 0 Fr(t ore e. T� I A — R. \ - 9.. _ .. — . »....:......and for no other purpose. New Bui!ding Remodeling • Addition Repaint No. of Stories / Estimated Total cost of improvements $ Co 0 '� Amount of Permit �,. °r/� vering,l 3o e�? @ �i1� To be constructed of Kind of foundation Roof 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 mulersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the previsions thereof, and will require similar compliance from all contractors or sub-•• •actors employed by hire in the work to bc performed under this permit; and will post or cause to be posted for inspection on the si work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such u~ •ntractors, on be performed under this permit, as are licensed by Miami Shores Village. Remarks _ (Signed Chairman Member Member .. _.....__....._..._._...._....._ Council Approved Date PLANNING BOARD DATE Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- _.....to me well known, geared 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.. Permit No.. ! .. Date 1 0 4X/ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _ _ _......... ».._. ._._ Member Member Member . _.._.. _.._..... Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty