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ROOFINGDate oeloi Job Address r 6 6 NC Legal Description Owner/Lessee / T e n a n t W 1 l l I r1 M eau -rk0 161 X Owner's Address Qualifier LA CANT a S state # a C C o 5 / 6,5 N j A Architect/Engineer Bonding Company Mortgagor PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3) 7 /, O!3 _ 3090 Historically Designated: Yes No Master Permit # % 6. / tT3 16.6ivg co s +,L Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION Square Ft. Signs resident Date Notary as to My Commissr FEES: PERMIT resident D = to se Dario Perez ommission # CC 770762 Expires AUG. 26, 2002 BONDED THRU OF ATLANTIC BONDING CO., INC. o f RADON C.C.F. APPROVED: l e � Ong Building Mechanical Plumbing S "rte F Tax Folio < 1 Co Address Contractin c0L 6(el .T l :9E7 S / ss# / Phone .3 5 _c 3 5 -17O0 Ins. Co. Municipal # Competency # Address Address PLUMBING Address MECHANICA Phone (303 — 7,r - 7- b 0 017 c t o C J q,s5 C(EEf 44 ted Cost (value) / 3, g ROOF G PAVING FENCE SIGN Le_ Roy, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named actor to do the work stated. NOTARY Electrical 6 yla wner- Builder Date P .SY P4 Jose Dario Perez `",=, Commission # CC 770762 9 � Ex AUG. 26, 2002 h. 6 BONDED THRU OF F‘. ATLANTIC BONDING CO., INC. BOND 3O7J � n 0 TOTAL DUE c� T o Engineering v NOTICE OF COMMENCEMENT $i RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1 3a_ 0 6 - 0 (3 - 3 0 90 STATE OF FLORIDA: COUNTY OF 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 Cortynenceme t. 1. Legal description of property and sj�r`e /6 t�✓ (1fG 93 f-� b 7 J�Mr' { 5 / PL 3 (3 2. Description of improvement: eR Ny 3. Owner(s) name and address: IntI I 1 1414 t Interest in property: C7- Name and address of fee simple titleholder 4. Contractor's name and address: L44o1 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: /■Lit Amount of bond $ 6. Lender's name and address:- Nl Notary Publi Print Notary' Name Kegs My Commission Expires vre Kum -F a rd .STATE OF FLORIDA. COUNTY OF DADE HEREBY CERTIFY that this is a tr opy ht the yn m 1 filed in this office on / day of CA th0 TNESS my hand and Official Seal. Nt i IVIN, CLEfi of Circuit and County Courts 1 20 11 1 > P/ D.C. -tit -v.LC ,AD20 ��v f 4014 / re,k4 r 5 1,0 r� 0 1 8 3 1200 O 1 2001 JUN 15 14:30 Ft.- 13 1 3r 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: A/0P d-- 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N '( >/%1¢ 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) Signaturb of Owner Print Owner's Name ( V v 11 i.0 Sworn to and sub cri , ed before me thi 511/ day of Tu fl e_ , 20 0 1 . A True Copy Attest NOTARY PUBLIC My commission expos 1 ov 0 Prepared by Address: 1350 Mass Alf . Cc>r,rnbvidP MA- O -I3K PERMIT NO. • ADDRESS: • MIAMI SHORES BUILDING / ZON VILLAGE NG DEPARTMENT' SECTION BY DATE ZONING' ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTU RAL BUILDING OFFICIAL 1. Subject to compilance with ell Federat State. Ca. at Vane cute: ted regutatOn3. Wiayi tssuc no responsibility for accurtcy odor results fro these Tans. 2. This copy of plans dust be irt(ltbie on bufidfny site or no Inspection will be conducted. • JOB ADDRESS • l CRITIQUE SHEET e S APPLICANT PHONE # /' APPUCATION # �" SHEET . OF MISCELLANEOUS 2 DATE COMMENTS INITIALS • APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix F ", it is the responsibility of ute roofing rorrracwr to provide Cue ov.c•,r with t tc required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 3'4 of the South Florida Building Codc (SFE3C) govern all 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. J'J 1. Aesthetics-Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion perform :nice 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 its part of the agreement benvten the owner and the contractor. N V I C 2. Renalling Wood D'ects: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 oldie SFBC. (The roof deck is usually concealed_prior to removing the existing roof system) WY \ 3. Common Itoofs: Common root's are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, eta.). In buildings with common roofs. the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. • K.,11. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof deckin_, can be Viewed from below. The owner may %v'ish to ntaintair, the architectural a pptarance, therefore, roofing nail penetrations of the underside of the decking ma) not bc acceptable. The SFBC provides the option of maintaining this appearance. ‘ Ponding Water: The current roof system and /or deck of the t.uildinv. may not drain well and may caul 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 profesion�I structural engineer. f origin, may shorten the life .tres. exp ctan_y and performance of t h e a '. roofing s Po:tding conditions nay not be evident until the ort_inal roofing system is removed. Pondin�, conditions should be corrected. _6. Overflow Scuppers Ora1I outlets): It is required that rainwater flow cuff so that the roof is not overloaded from a build up of water. Perimeter /edge gulls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may he necessary Co install overflow scuppers in accordance ■vith Chapter 23 of the SFBC. Ventilation: I`'lost roof structures should have same ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not bc reduced. It may be beneficial to consider additional venting tvhich can result in extcndin�, the service life of the roof. WK S. The owner may contact the Miami -Dade County inforniation rec4arding [hc above. 6/ 3/ o ( Da •..W Or cr's /Agent's Signa 'trc Consumer Services Department for Contractor's Signature further Cont ac ors e: pei Sow ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof O.i0 S Job Address: I (4 kg- ?3 s+- ROOF CATEGORY ❑ (Nail -On Tile) (Mortar- Adhesive Set Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft — – � Sloped Roof Area (ft 32 d 0 Total ( ft2 ) 3Z 00 Master Permit No. Exposure category (per ASCE 7 -88): - Building Classification category (per ASCE 7 -88 table 1): Ft. A v Ft. A v Deck type: 12 ROOF Fastener Type: ATTACHMENT SPACING Field: Peiimeter: Corner: DETAIL ,1 & 2 ROOF HEIGHT AND SYSTEM DETAILS GAS VENT S MC ? YES ❑ NO VI y7.7, -- t r u i ❑ LPGX (Draw details as needed) ROOF PLAN 123.01-78 5/00 . Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 Ridge Ventilation? Deck type: MEAN HEIGHT I Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. z Underlayment: Insulation: D E T A I L 3 SLOPED SYSTEM DESCRIPTION 12" ROOF SLOPZ Fastener type & spacing: Cap Sheet: Roof -/ Covering: Page -2 MoVII - lire - \.. X 3SP\ Drip edge: 3' / / oC e f U '/ 0,G . ' O.G. �� - /* C_obi Z 3 � !. t ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals A TILE CALCULATIONS � O P maxl: t` U 1 x Aerod lti v cf ' ( ( Yn uP lien ) : Ic I` ) - M g : .. = M Kr PCA: 1 IA, (Pmax2: ° 119.5 „A., (Aerodyn 9; ) - M i. = M PCA: 1 I /) i q (Pmax3: (PS X X. (Aerodynnartu'd Multiplier):'(` lib l ) - M k + 16 = M 50) PCA: l > q q 01,16/2001 11:32 MEDITERRANEAN ROOF TILE 4 195444161E0 MIANU - DADE COUNT': FLORIDA MIAM)-0AO METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO•DADE FLAGLER BUILDING ts0 WEST FLAGLER STREET, SUITE 1603 MIAMI. FLORIDA 33130-1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (30$) 375.2901 FAX (305) 315.2902i CONTRACTOR LICENSING SECTION (105) 373 -2527 PAX (305) 375.2358 CONTRACTOR ENFORCEMENT SECTION (305) ]732966 FAX 1305) 375 -1908 PRODUCT CONTROL DIVISION Your application for Product App roval'of: (305) 375-2902 FAX (SOS) 372 -6339 Atlantis Slurlie and Slate Flat Profile Tile Types of under Chapter 8 pf the Code of Miami-Dade County governing the use of Alternate Materials and Typ Construction, an:1 completely described herein, has been recommended for acceptance by the :Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shill not be valid after the expiration date stated below. BCCO reserves the right to secure this product or rnater al at anytime 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 BCC° that this product or material falls to meet the requirements or the South Florida Building Code. The expense of .)uch testing will be incurred by the manufacturer. Acceptance No.:99- 1012.0? (Revises No.; 98- 0604.01) Expiroci:12 /1� 2 TOG E rylonier Ltfctilc LLC 135 NW 20 St. Boca Raton FL 33431 Approved: 12/:0/1999 Internal Nell tdOrcw povtatutera)buildiogaudeonlia • .cool N 111132 I 0 •vim 31112411 II3INIOR n0 NO.219 D001 Raul Rodriguez Chief Product Control Division THIS IS TH:E COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL, CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This appiicatio :I for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisco + uintann. Director Miami -Dade County 1 of 8 Building Code Compliance O ffic HQu,epugv: bttp :f /www.buildingeudeonlinc.COd T6£S 8£C ift IYA 9T :8T 3rLL 00 /IT /TO 01;16/2001 f .. 11:32 MEDITERRANEAN ROOF TILE 4 19544416160 NO.219 D002 SON1E j,,I ETILE 1,1X 1. SCOPE This revises a roofing system using Monier Lis;etile Atlantis Shake & Slate Concrete Roo Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as deter a ions bn S Chapter 23, do not exceed the design pressure values obtain by compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: Flat Profile Tile 2. PRODUCT DESCRIPTION Manufactured by pn>?li li t Monier Lifet.le Atlantis Shake and Slate Tile Trim ?ieces Rainproof 11 E T E: N , CONDtTIQNS Test Product plmensioti,s 5necifietjons Pswajolign PA 112 Flat, interlocking, high pressure extruded concrete ;hake and slate roof tile equipped with two nail holes. For direct deck, 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. 1= 15" w * 10 318" 1 V•" thick 1.. varies w = varies varying thickness 2.1 Components or products manufactured by others uc :l ice and Watt:r Shield Test ThmedSions Spe ingStlops 30 "x roll ?A 104 36 "x 75' r011 or 60" 75' roll 36" X75' roll PA 103 7 ACCEPTANCE No. ; 99- 10175 APPROVED :December 30, 1999 EXPIRES :December 1.6, 2002 Product Oescrintion Single ply, nail -on undcrlayment with 2" self - adhering top edge. Sclf- adhering uncle ea,factur� Protect-O.Wrap. Inc. (with current NO A) W.R. Grace Co OA) Frank Zulocga. RR Roofing Product Control Examiner 01416/2001 11:32 MEDITERRANEAN ROOF TILE 4 19544416160 I iN10NXEIi I,IFETIX.E LL j'oduct Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "Quikretea Roof Tile Mortar 01140") Roof Tile Mortar ("SONSALCD Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polyproa3+ AMIGO ") OF pimensi9n§ Ysrtical Min. 1"x 4" H i�zontal Min. 1 "x 4" (Or use with vertical battens or Min. 1 "x 2" for use alone Min. 10dx 3" #8x 2'A" on 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. Roof Tile Meirtar N/A ( "TileTiteT'' ) N/A NIA N/A Test agisinsuign Wood Preservers Salt pressure treated Institute LP —2 or decay resistant lumber battens PA 114 Appendix E PA 1,14 Appendix E PA 123 PA 123 PA 123 Set PCA ACCEPTANCE No.: 994012.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 D • D ON Product Description Corrosion resistant screw or smooth shank nails Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Two component polyurtthane adhesive designed for adhesive set roof tilt applications. Mangf.g cu generic generic generic Quikrete Construction Products with Current PCA Frank Zuloage, RRC Roofing Product Control Examiner NO.218 D003 Bermuda Roof Company, inc. with current PCA W. R. Bonsai Co. with current PCA Polyfoam Products, Inc. 01/16/2001 11 :32 MEDITERRANEAN ROOF TILE 4 19544416160 MONIER LIImTILE LLC Product Roof Tile Adhesive TileBond Hurricane Clip & Fasteners 3. LIMITATIONS lY9'PICF P A.CCE TANCE• STAKDp R C NDIT NS 1, tensions Factory premixed canisters Clips Min. ``V" width tvlin. 0.060" thick Clip Fasteners Min. 3d x 1 'l:' Tile Profile i Mon l Litf:tlle Atlantis Shake & Slate Tile Test Product Svatiftiotions , D ription See ?CA Single component polyurethane foam roof tile adhesive PA 114 Appendix E 3.1 Fire classification is not part of this acceptance. 5.2 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 PA 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments 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 chapter 29 of the SFBC. 3.7 May be installed on scopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 . Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers X, (4t 4 ACCEPTANCE No.: 99- 1012.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Corrosion resistant clips with corrosion resistant nails, Direct Deck A Manufacturer Flexible Products (with current NOA) Generic ` ' �•• 1 uleaga, Roaring Product Control Examiner NO.218 D004 Table 4; Attachment Resistance Expressed as a Moment Mr (ft -1bf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetlle Atlantis Shake & Slate Tile Adhesive 31.3� 2 See manufactures component approve) for Inst allotion 3 Fiexiole Products Company Tile8ond Average weight Poiyfearn Product. Inc. Average weight per patty r equfr em.nts. per patty 13.9 grams. 8 grams. Direct Deck Direct Deck Tile Profile 3 ":12" 4 " :12" 6 ":12" 6 " :12" 7 ":12" or : reater Monier Lifetile Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck DirectDeck 6,0 5.9 6.8 5,6 5.5 Table 3: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On S stems Battens Tile Profile Fastener Type Direct Deck (min 15!32" plywood) Direrct Deck (mitt. 19132" plywood) Monier Lifetile Atlantis Shake & Slate Tile 2 -10d Ring Shank Naito 30.9 38.1 17.2 1 -1Qd Smooth or Screw Shank Nail 7.3 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 xt8 Screw 51.7 51.7 24.4 1.10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Save Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails Field Clip 35.5 35.5 34,8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' o73 65.5 J 48.3 _ I Installation Mtn 8 4' tile headlap and rastem.rs .re located a min, of 2W from head of tile. . 01/16/2001 11:32 MEDITERRANEAN ROOF TILE - 19544416160 MISIEB_LIXETILE LL 5 ACCEPTANCE No.: 99- 101.2.07 APPROVED :December 30, 1999 EXPIRES ;December 16, 2002 NOTICE OF ACCEPTANCTL jrANDARD_SQNDITIOIVS Table 2: Restoring Moments due to Gravity - M (ft - 1bf) uloega, ARC Roofing Product Control Examiner NO.218 0005 Table 4A: Attachment Resistance for Single Patty Expressed as a Moment - M (ft -lbt) Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetil.: Atlantis Shake 8 Slate Tile PotyPro' _ 118.9 Pot ProT" 40.41 J 4 Large oatddy placement of 45 grams or PolyPror.. 5 Medium pandy placement of 24 grams of PolyPre ". 01/16/2001 11:32 MEDITERRANEAN ROOF TILE 4 19544416160 • MONIE LIFETi ILE LLC Monier Lifet le Atlantis Shake & Slate Tile 6 ACCEPTANCE No. 9- 1)12.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE NDARD CONOTTIONS able 4B: Attachment Resistance Expressed as a Moment - M, (ft-ibf) for Mortar or Ad hesive Set Systems Tile Tile Attachment Profile A• •lication Resistance Mortar Se .0 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 the South Florida :3uilding Code (SFBC) in order to properly evaluate the installation of this system. frank 2uloaga, RAC Roofing Product Control Examiner NO.218 0006 01/16/2001 11:32 MEDITERRANEAN ROOF TILE 4 19544416160 _,Olaga LIF TILE LLC ACCEPTANCE No.: 99- 1012,07 NOTICE OE A CEPT NCE• STANDA CONDITIO P ROFILE DRAWINGS 1' 112' . W TERLOCK ,.,. ., . ,r;.:'"':,::: ‘ ,.."'-..., ' .. , •'•..,� 1 -'.. ,.,,, b. rL WATERLOtK °., Y �` ••......, 16ve "'o .. . .- ,`---...:z..., . \. r:.: -. — `-, . ...,. � ••._ .- •.`w • .. `•v im.. `. =' . . ,..5,3--,..• i � OVERLAY - a yo 7 APPROVED :December 30,1999 EXPIRES :December 16, 2002 MOONIER L1FETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF NO.218 D007 Frank Zutoaga, RRC Roofing Product Control Examiner 4/16/2001 11:32 MEDITERRANEAN ROOF TILE 4 19544416160 1vMONTEJ2 LIEETILE LLC ACCEPTANCE No.: 99- 1012.0t APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: _STANDARD C(mDITXONS 1. Renews( of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturers name, city, state, and the following statement "Miami -Dade County Product Control Approval ", 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. I! the Acceptance holder has not complied with ell the requirements of this acceptance, including the correct installation aft 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 automr.tically 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. 3. Any orthe 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 Not ce of Acceptance number preceded by the words Miami -Dade County. Florida, and followed by tho expiration date rnay be displayed in advertising literature. If any portion of the Nobel 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. Failunt to comply with any section of this Acceptance shall be eausa for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages I through 7 and this last page 8. END OF THIS ACCEPTAN Frank 2uloaga, RRC Roofing Product Control Examin NO.218 D008 v •I •t Consulting Engineers 2020 Northwest 7th Street \ L!) Miami, Florida 33125 ENGINEER Tel: (305) 649-6454 Fax: (305) 541 -3298 Lowery- Tiger & Son Roofing 14401 Bass Creek Road Miramar, Florida 33027 Project: Dear Sirs; LG ENGINEERING SERVICES, INC. TILE UPLIFT TEST Residential Home 166 Northeast 93 Street Miami, Florida Information provided by client: Permit Number: Not Available Date Completion: July 16, 2001 Roofing Contractor: Lowery -Tiger & Son Roofing LG Engineering Services, Inc. Project Number: LG01 -1344 (Testing Laboratory Certificate #00- 0224.07) Jul 23 2001 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 RAS 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 5000 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 Flat 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 ab ye refer project meets the test requi,rt~ment outlined in the above mentioned protocol. Attached p' 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. ha ad Sonny Salieh, P.E. Project Manager TILE UPLIFT TEST Residential Home 166 Northeast 93 Street Miami, Florida • Report of TILE UPLIFT TEST for Residential Home 166 Northeast 93 Street Miami, Florida Project Number: LG01 -1344 Test Number. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 ;Test Load. (lbf) 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Test Status Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG01 -1344, Page 1 Test Number Test Load (lbf) Test Status 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 51 35 Pass 52 35 Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOI -1344, Page 2 Test Number Test Load (lbt) Test Status 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGO1 -1344, Page 3 • \ 0 P' , 7 6 5 4 3 2 69 6 8 10 70 65 47 44 71 48 46 43 67 47 45 66 41 50 II 99 ' 6 39 64 57 12 - 13 72 36 63 14 35 62' 73 34 _ 19 62 16 3 17 74 61 31 3 18 30 29 2 6 -19 7 75 51 53 60 52 54 55 56 20 59 26 57 56 77 21 76 76 25 22 23 24 55' APP OKIMAT T LOCATION Owner's Name and Address Name and address of licensed contractor Permit No. Disapproved (Signed) APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Registered Architect and/or Engineer '. vB ,d r7 ,'Lk . yay. ./e .9, ' .57 Location and le al description of lot to be built on: yy p h ,'f Lot 4 kI✓ `7 Block dV Subdivision MX X. � / / M // ✓ � /� �� Street and Number where work is to be done /6;1 N'E• 9 �T State work to be done and purpose of building Iby floors), state exterior colors (submit samples) o .c "9vv /7- .04/ A, ,e o,t- / 5 7. / 4..qT ./,97 7 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories r To be constructed of Jlt_ �/ e �� Kind of foundation Roof Covering �."- i 7 7/ L. Estimated Total cost of improvements S - �� Amount of Permit $ .9 •if)® Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcorptractors. on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA COUNTY OF DADE. } ss. 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. Building Inspector MIAMI SHORES VILLAGE 7'17 ffa/ BUILDING INSPECTION DEPARTMENT Date/ /6l tf Date Date Read, Sworn to and Subscribed before me. PLANNING BOARD DATE 19 c No / / Street N 9 .5 Notary Public, State of Florida My Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date lek.3 Job Address � 71i5 551 Tax Folio / ;'( 7 g ®7, C Legal Description 6 + _/ �7 �f- ` � 7 rp 249 21 / Lessee / Tenant L\)■v\e, Kct-Ckci Master Permit #N- Owner's Address / d4 77 f73 STf Phone -/ // 1 // Contracting Co. (Y..ji/.C/LliA/ Address Qualifier 74 SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost(value), ce/ ' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 1741/2 a r f Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: Si : / /b Dat ** * * * * * * * * * * * FEES: PERMIT, Y ! <<S RADON C.C.F. X50 NOTARY , : d 0 TOTAL DUE 6 APPROVED: Fire Buildin Owner- Builder te ay 40/ tary /as to C n `a t ary�� ta ! # r y Commission c• :M Commission Exp. Aprd 30. 1 ?� No. CC197545 Other Electrical Mechanical Plumbing Engineering BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT Architect Contractor - a or Builder Legal Lot 11 Description Bl CONTRACTOR OR BUILDER f f N° 7732 DATE 19 Contractor's License No. Subdi- vision Work to be performed under this Permit Address of r �` Value of I Amount of Building r Project $— I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. !" Signed. / r ( INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances aad regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY EOT 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Mr. & Mrs. Mark Bachman No. 166 N. E stat3 r d S T r e e t Registered Architect and /or Engineer Name and address of licensed contractor n h P n n l l r R n n f i n g fl n. 7357 N. W. Miami Ct. Miami 33150 Location and Z legal description of lot to be built on: � f� Lot 6 f 9s'' 7 Block v ./ Subdivision / y LQe/ I / r ' /�/� "1 ( � �� ® / // �J (9i2%/� ' Street and Number where work is to be done 166 N. E. 93rd Street State work to be done and purpose of building (by floors), state exterior colors (submit samples) Rernnf entire residence and install new white tile roofing New Building SU Re § eling Addition Repairs Re r 0 0 f No. of Stories — To be constructed of Kind of foundation wood Roof Covering tile Estimated Total cost of improvements $ 8 , 400. 00 Amount of Permit s 32.00 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 7357 N.W. Miami Ct. Miami, F L 33150 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees only such :. 'ontract�rs- on work to be performed —.1 under this permit, as are licensed by Miami Shores Village. Remarks (Signe STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared . -. George Obenour, Jr. to me well known. and who. being by me first duly sworn, upon oath deposes and says that he is the Contractor of the above described construction, that he has carefully read the foregoing application. and that did sign the same, and t t all fgcts tfterein by him stated are true. Permit No. 4 70 4, Date h1 /ia / 67 Read, or to and Subscribed b Disapproved Date a , e / l� ✓ , 6- — Notary Public. State of Florida Building (Signed) NOTARY PUBIC STATE OF FLORIDA r My Commission Expires PLANNING BOARD DI N COMMISSION EXPIRES FEB. 18. 1989 32 sq. Date November 10, 19 87 75'7 - i and for no other purpose. Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.