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ROOFING
Type Insp'n Permit No. Name 2.O MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Address Company C/ Phone # Inspection Date Approved Correction Re- Insp'n Fee -- D3' .9 eac9 Jug' 4q r rf%Ii�[Lrr ', 47 S' 7 (/1/4)ter) s Type Insp'n • ,r Permit No. Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILD. IIEPARTMENT = 305-795-2204 y Building Inspection Request Abate ° Company Name Address BUILDING PERMIT APPLICATION $ Value of Work For this Permit 45 0 Silt,mittal Fee $ Notary $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: 305 7 6.8972 NECEOVED OD C 2 2 nV1 FBC 2001 `= `� � Y � Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) n . iL 4 }0 /l/ r i 0 Phone # TD J 7,5- et? ( 7 Owner's Address -2 2 it). L q 3 S City /O. SAor e5 State ( Zip Tenant/Lessee Name Job Address (where the work is being done) , , Z /o r !,s S 4- Phone # City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name 0 0 ' Phone # RY ?4 /- Pi 79 Contractor's Address o2 0/ 0 Sh e�M a S Cite W,.., ' / I State r/ Zip , o ,2 , Qualifier Oon r� e /4 C r/ 0.J State Certificate or Registration No. CC C D St 0J'/ Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: ❑Addition E] Alteration ❑New / ❑� Repaireplace ❑ Demolition Describe Work: rGc� a,' / Oo ' i t 0 % / aX ne b re-...1 o�i r eS � i,,,q 0' 4,f 11 /.7 0 - c) re 7 01 1 ee�ie J o 4 /i * * * ** * * * * * * * * * * * * * * * *** * * * ** F ees * * ** * * * * * * * * * * * * * * * * * * *** * * * ** ee CCF $ 40 ,?0 Training/Education Fee $ Lt° Permit Fee $ Structural Plan Review. $ Permit No. RJL \Col 1 aster Permit No. Zip CO /CC Technology Fee $ 50 Scanning $ Radon $ 0 Bond " Code Enforcement $ 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 apd installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 NOTARY PUBLIC: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** iTi ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DEC 2 2 21Eit Plans Examiner Engineer Zoning State # CC c� CA 0 S Municipal # PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 Notary as to Owner d/or Condo President My Commission Expires 0 II - 3266-bI3 -3cb6 a s Date 0'7 Job Addres 2 6 t Ai C 13 5 - r , Tax Folio Legal Description NA/IM C dlfoa7 5 C 1 P Historically Designated: Yes /�� Owner /Lessee /Tenet eAm k A • n IU / - /� q 'A i o Owner's Address 2 b N613 5 I / Phone 3 0.S' - - )c8- 1 -/V9 Contracting Co. A g 1\ 0 O f 6 Address b � ���`7" 1�, g� 3 d6 C 14/ 9� 5 Qualifier � � �� +� �-( >• t � � 4 •, SS# � Phone r5 1 Master Permit # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION: �Jc,.! Mcv,(er c /o‘.•06 rol/ 70e . 4 4 u i IC // / f imet: Dt Cl.m.n 7 /2e -SCGI 14 6 . f' ret let 71 1 ! I Square Ft. Estimated Cost (value) 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature o owner and/or ondo President Date Signature of ontractor or Owner Builder `/ Date Notary as to Contractor or t.. er B , �.►ui Di Date My Commission Expires ; Commission #DD26701ii "� • _ 3, Expires: Nov 1 A NOTARY 19 -a ,)-E/ BOND FEES: PERMIT RADON C.C.F APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer ■ 11 �ili iiu° i •u°II�1111 141111••••••111111111111 m ■1/1111ra uu111111 WIRIIl■■■■■■° ■ MUL••••■■■■■■■■■■■■■■■■l•■■■■ 1111 Iii iillA■ ■1111.1 ■ ■ ■ ■ ■ ■ ■11u 1111•••111■11••••••••••••••••• 11111• ■1•■Ir■■■••••■■•••••■■■!•A ■11w••■■•■1•■1•■■■/!••■•■■!•■ 1111111II1111II111111111111111M11111111111111111111111111 in111111111111/1111.1111 ■ ■■ ■.111..1■■ • •1111111111•111111••11•1111•••••••••• 11 WI I111111N111111111• IU1W 11I •1111111•••• ••••••••111111 ■1 ■ 1111 MI ■ ■111 / ■. ■11.11 ■1111111 ■1111111111■ �il�u■�fi11111 lrt .� ; 1/ ••1■1■11•■u111■■1111u11 II11/■ •■1 �� �i I ; //1111I11W111111I11111• 111111••••••••••••••11•11 � "■�i�i11�lur + ••••••••••••••••••••••••• 1Ill•••••••••••••••• 111•••••1111••••••1111•11111/1•••••••••1 •••1•Eam mum 11••••••••• 11W ■.III•••••••••• ■.!/■!!111=2 Boni % ■■■ ■ ■ ■ ■ ■ ■11 ■ ■ ■ ■ ■I;• ■W■11 ■ ■1 111. 1111■••••.•..∎•■►./■ 1.//••■ 11■■■/■■ ■ ■ ■ ■ ■ ■ ■■■ ■ ■ ■ ■ ■H ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■■• ∎•• ••.11 ■11% ■•• ∎•••m1111u•••••• ■ ■■ ■1111 ■ ■ ■1•••• ■■ ■11.11■ MUM 1111■111111111111111 ■•11 ■1111111 ■ ■ ■1 ■ ■1 ■ ■11:•III/_ri■ 111■■■ 1■■ 1■■■■ ■111•/1111■ ■ ■ ■ ■ ■ ■■■ ■•i ■ ■•■d ■ ■ ■ ■ ■ ■ ■ ■■ 1111•1111■•11•111111••• ■11! : iiiI■■■■ iic.sulma.gTummommsi•' ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■■ ■SIT =.iiiiti1■ ■ ■■ 111 1�1/ 1■/■ ■11 1 \ 11111\ ■ ■ ■ ■ ■ ■ ■ ■ ■,■ ■ ■ ■ ■ ■ ■■■ 111111/ ■ / ■ ■ ■•••••111111•110111/11w11u ■ ■ ■ ■ ■1• ■1111 ■■1111 ■ ■ ■I1 ■ ■■ ■111 ■■ 11 ■■� I .T■\l■ ■ ■ ■ ■ ■1 ■111■ ■ ■ ■11• ■1 %1••••••••• ■•111.111/•11/lAi iii•••••• •••••••• IIIIII4 « ' MIMI =,1111 ■ ■■ ■■11/{•11 MUMMIES G minnumIIIIIIIIIIIIIIIIIIINIIIIIII_AIIIIMIIIIIIIII ••Hull ■ ■ ■ ■11 ■1 \111.1 t■/ ■111•••• ■ ■ ■ ■ ■ ■E■I11 ■ ■ ■ ■■■ /■ ■ ■Lwm "'''''''' MailiE 1•■!:M — "I1■10/■I ■I ■/1 ■ / ■11 ■I•I ■1111■/■. •11•11•••••••••■ ■■■•■■■•■1;•1111 .iii aT rEI ■■■■■11■I■I■■■■I■■ momma 11u1111111111.11u•11111Ir ma ni mmu■11IUr�1■omaam= ■I■11■momm N1111 IIIIIti9 !' 111111111111111111111111111111 mum ■■11I111111111111•■immismi■ mmumm111■nan111111■■■11111I111111■1111■ • • ,1■ ■1111 ■ •••••• TM i M•%11 1 •11•r11 ••••••••••••••••• 111 1 _.__Z +_:' 1_�_ — 1 ' rt -- .__? .:11•11 11RIUM •• UM Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof Section A (General Information) Master Permit No. —� /� Contractor's Name lJ '`,� d�o 4-11 Job Address 2/, .Z Fs S T- Process No. ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Metal Panel/Shingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Re- Roofing ❑ Recovering ROOF•SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof d scuppers and overflow drains. Include dimensions of se identify dimensions of elevated pressure zones and Iocation, Repair ❑ Maintenance V 1 ■ ow early Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/28/2004 Applicant: FRANK Owner: DEMARIO JOB ADDRESS: 262 Contractor J & K ROOFING INC Local Phone: 954 961 - 7663 Parcel # 1132060133500 NE 93 Fees: FEE2004 -13156 FEE2004 -13157 FEE2004 -13158 FEE2004 -13159 FEE2004 -13160 FEE2004 -13161 FEE2004 -13162 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Submittal Fee Total Fees: Amount $100.00 $0.60 $5.00 $0.20 $2.50 $6.00 ($50.00) $64.30 Total Fees: $64.30 Total Receipts: $0.00 v \ Permit Status: APPROVED Permit Expiration: 6/20/2005 Construction Value: $850.00 Work: REPAIR ROOF AROUND CHIMENY BY REMOVING TILE RESEALING FLASHING AND REINSTALL TILE AS NEEDED Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -1671 DEMARIO FRANK ST Contractor's Address: 2013 LEE STREET Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 5 BY: Page 1 of 1 BLK 26 LOT SIZE 84.710 X . Date Legal Description �lr�cJ i-ocr J L 2- to Owner/Lessee / Tenant / /1/ t //OD crf X6 0/ Al 7 cP Owner's Address Contracting Co. ,O GO /V E Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICA //J PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION de ( V' "F/ dpi Square Ft. Estimated Cost (value) 70 ®, 0 0 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 regulati : - I structior; and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signattir PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address ,7 (' ,93 c1 i Tax Folio l ( . 3 ZO ( -- 0 (3 — 3 5b 0 er and/di.C President Date Signature of Contractor or Owner- Builder Date Srrd/ 96 Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder Date My Commission Expires: W Expires: .`pn 1) U 6, OFFICIAL NOTARY SEAL O ,, ! � SCOTT W DAVIS _ c COMMISSION NUMBER N, '*.;III d Q CC255237 7l ci MY COMMISSION EXP. OF Fv° . . JAN, 26 1997 FEES: PERMIT YO. O 0 RADON C.C.F. J) NOTARY ‘ c, TOTAL DUE 1 APPROVED: Zoning Mechanical Building Historically Designated: Yes t)ph, Master Permit # Phone 75---GP- `S d c7 m Electrical No J Plumbing Engineering Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: 3/27/2006 Expires: 12/15/2006 Owner's Name: ADOLFO GONZALEZ GARCIA Permit Type: Roof Work Classification: Roof - New Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Permit Contractor(s) Phone NOTTOLI CONSTRUCTION & REMO Primary Contractor Yes Comments: NEW ROOF FOR ADDITION Additional Information Type of Work: New Roof Classification: Residential Additional Info: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF -3 -06 -601 Phone: (305)206 -0463 1132060133500 Lot: PB: Total Square Feet: 484 Total Valuation: $ 2,904.00 Required Inspections Tin Cap Hot Mop Tile In Progress Up Lift Report Final Roof Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $250.00 $6.00 $6.25 $264.65 Invoice Number RF - 3 - 06 - 24249 Total: Amt Due $264.65 MAR 2 8 Pi Amt Paid cc/ Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Tenant/Lessee Name Building City (+AI ),,KA State FL. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 EI trical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) i!k'?:.'+x,. Phone # Owner's Address Job Address (where the work is being done) 2.0 2_ hir . � i11C =i City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO State Certificate or Registration No. —LL 13 2_ (.42--'1`2___ Certificate of Competency No. Permit No.2. P LCD 1 Master Permit No. Zip 3* .li Phone # Phone # Zip Contractor's Company Name - "C, - "4 6 Contractor's Address _ (1 bJ City _ ■: State % Zip_ ' 1 `A, 2. Qualifier_ 1_ is, m 17, IV(i Architect/Engineer's Name (if applicable) L',y - Ni+0i= P.'a Phone # $ Value of'%'Vork For £�`iis "r`ermit Type of Work: ❑,Addition Describe Work: Submittal Fee $ Notary $ Scanning $ - Code Enforcement $ (Continued on opposite side) Roofing Total Fee Now Due $ 4' d 0 14 . Iteration * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * *:: * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ (i 5 CCF $ / - 5° CO /CC Technology Fee $ Pa . Z E Radon $ Zoning Bond $ Training/Education Fee $ ew Structural Plan Review. $ Square Footage Of Work: ❑ Repair/Replace ❑ Demolition 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 reinjection fee will be charged. ° H' Signature NOTARY.' BL Sign: Print: chc 05/13/03 My Commission Expires: ,Ie�Svner pr Agent The foregoing instrument w as acknowledged before me thi day of_ 20 &, by 4d / ti t%GA 24I ,, t o is personally known toms or who has produced - - As identification • nd who did take an oath. APPLICATION APPROVED BY: 40 1t; DOUGLAS MY COMMISSION 8 DD 497329 EXPIRES: February 5, 2010 ,Rf,tk on.? Nu Notary Public Underwrfters Contractor The foregoing instrument was acknowledged before me this day of . � :�� 20 .. yi uhQ ,personally_ known {o me or who has produced PUBLIC: Sign: Print: -MARIA MARTINEZ Ololiry pubic - State of Florida My Commission Expires: d • d'd take an oath. Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Owner's Address Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES State Certificate or Registration No. Architect /Engineer's Name (if applicable) S Value of Work For this Permit Type of Work: ['Addition ❑Alteration Describe Work: Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical ' Roofing Owner's Name (Fee Simple Titleholder) Phone # City ., : w; . , State Zip Tenant/Lessee Name vl,o,W ' County Miami -Dade NO Contractor's Company Name - ��- , ' ) � ,�,.�. ��, . �� �y � �u ='hone # , �� ,�. , ./.N. ��" , t Contractor's Address V V "�k' \, � '�\�� �` t City 6' °. , , , .''tea State Zip °-4 i . Qualifier „ , '.`z , ";, ❑New Structural Plan Review. $ Certificate of Competency No. Phone # Square Footage Of Work: ❑ Repair /Replace Master Permit No. Phone # ET7Ti Permit No. Zi .a ° °` P 40 4 - o g ❑ Demolitions • **********************,:**** aa s * * * * * * * * * * * * * * * * * * ** * * * * * * **** Submittal Fee $ Permit Fee $ ./ CCF $ CO /CC Notary $ Training /Education Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Technology Fee $ , • 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. 1 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 My Commission Expires: c ), / ,,,,,,, : &Amer or Agent Chc 05/13/03 APPLICATION APPROVED BY: Signature Print: a The foregoing instrument was acknowledged before me this i The foregoing instrument was acknowledged before me this day of 1�t.42;A i , 20 t 4, by f 1(tt. \�'A €: ()(V C 4 I , day of 1r ,, 20 , by :e ,,,, - � (.rl� e) i who is personally known ,to [neor who has produced (who is personally known to nor who has produced did take an oath. as identification and who did take an oath. NOTAR MARIA` MARTINEZ t = =. s •, "` e P ' "'••' State of Florida NOTARY PUBL,WV•,, ' �II+� Ex lies Jul 7, 2008 ' R • �RTINEZ Sign: - _'t�r'4A. p - .. Print: � rr t ,, , UNE Sign: ('i4n+ ' te of Florida hq +tarp • My Commission Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * **** ****************** * ** * * * * * * * *** * * **x * * ** * * * *4 * * * * * * * * ** * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning I ! ! 1 ! I ! 1! 1!! 1 1' 1 1 1 1 1 I I 1 1 1 i 1! I 13 1 11 1 I. 1 3 1 3 - i ! i-. lI 1!11 111111! 11!111 11 1111 11 111 I II 11 I 1 1_1_1_ ! 1 I I! 1 1 1 1 1 1 1 I I i i l l l 3 I I l i 1 1 1 1 1 I! I II! 111 ®• 1I4 1,1 1111 1 !1111 1 !!! 1 I I I ! ! 1 3! 1 1 1 1,110 131 1 1 1 II ! I! 1 I I I 1 ! 1 1 1 - I 1 I! ! I! 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I I I I i i 1 1 1 i l 1 i ; I{ �, 11 11 1 1 � ! 1 3 1 1 1. 1 • 1 1 I 1 1 � 1 i ! 1 1 11 1! 1 1 ! ! ••••• I 1 1 1 1 1 t, i t ! 1 1 1 11 • 1 .1 I I !. 1 I I 3w J • . � 1 U 1U - 1 I 1(i 1 U! II11iI■ IMM 1l •• �H ! 1 1 1 m 1 1 1 I u 1 I i I 1 1 �� i�I�Iii1)IiGI■ A- 11 ENI 1 1 1 1 ; I 1111/11111 I•W1{■MIarJLy■ ■■ 1 ■0 I l 1 1 , ! 1 1 3 I U 3 I l 1 1 l l 1 1 3 1 i 1 1 1 1 1 1 1 1' 1 I i 1 1 I ■n■v ! I NM • 1 1 1 1 ■■■■■■■■■® ■■■ini■iin■■■o■n■■■■■ 1 1 3 3 ! LI Section A (General Information). ' Master Permit No. Process No. Contractor's Name 00-t t( Job Address t9(0g IQE Cl3ral Sr New Roof ROOF CATEGORY ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Re- Roofing ❑ Recovering ROOF SYSTEM INFORMATION Section B (Roof Plan) • 0 • • • • • • • • • • • • O • • • • • • • • • • O • • • • • • • • • • ••• • • • • • ❑ Low Slope ❑ Mechanically Fastened Tile XMo A ❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wo S Shingles ❑ Repair • • • • • • ••• • • • • Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) "4 4 84 • • • • ••• High Velocity Hurricane Zone Uniform Permit Application Form • ••P • • • • • • • • a.. •• • •• ••• • • ••• •• 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. Florida Building Code Edition 20412 : • : : •.. . High Vel Hurricane Zone Uniform Permit Application Fobn. : • :. : : : • • • • • ••• Roof Slope: :12 Sects Stee Sloped Roof Syste Deck Type: • • • • • •• • • • • • • •• . • Re ff System Manufacturer: A- •.i ■A, SA- �. • • • • • • • • • • Notice ,.f Acceptance Number: •• • • • •• ••• •• • ol- Illy • 3 • • • • • • • • •• • • �• • • ••• •• Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations): P1: ( S P2: ` • b P3: 20 •b Maximum Design Pressure (From the NOA Specific System): G Method of tile attachment: k -i ' ' ° ot li 1 - t Steep Sloped Roof System Description ype Underlayment: nsulation. Fire Barrier: Ridge Ventilation? Mean Roof Height: Q a astener Type & Spacing: dhesive Type ype Cap Sheet: 14s' -v" Ars t� I �- -0-� .� LT oof Covering: •• • • • • • • 1 ." *in 1 b� Alkci frs a OF- Type & Size Drip Edge: • • ••• • • • ••• • • . • • • • • • • - •• • AlA -Asp S ;1 3 " X3" Ore gl Ott frt (s 123_01-48 5/03 PAGE 4 Where to Obtain Information Description Symbol Where to find Design Pressure P 1 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 9 Job Site Aerodynamic Multiplier x NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance MT Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions 1= length ar= width NOA All calculations must be submitted to the Building Official at the time of permit application. 23_01-48 5/03 PAGE 5 • • •.• • • • ••• • • .. • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • • • • • Florida Building Code Edition 2002 Hi t h Velocity Hurricane Zane Uniform Permit Application Foe.. • • • • ' • • ' • • • • 6 • ▪ • • Section E (Tick Calculath r s • • • • . • • • • For Moment teased to. 'e s ystems, choose either Method 1 or 2. Compared the 8 for Mr a veil es from M f . If the M values are greater than OP equal to MN* vanes, for each area of the roof, them the tile attachment method is accep : "b1:. : • • • Method 1 "Moment Based Tile Calculations Per RAS 127 ° (P1: - � s I •33) -Mg: =M -5 NOA G6 •1° (P _ zx 7 lGo3) - m � •3\ = �a8 NOA17 C. (P3: s � � % A ' L'9 �� 2.4,0))_ Mg: . 3 r A9 /D • 10 g NOAH L L • Method 2 "Shnpliiled Tile Calculation Per Table Below' Required Moment of Rests :. Ilea (M From Table Below NOA Mr C, •.Y •. .• . .. •.• • • • . • • .• • .• • • • . . • . • • • •• •. • • . • leant Roof Height - Roof Slope 2: 2 3:12 •2 5:12 6:12 7:12 M Required Moment Resistance* 15' 34.4 32.2 30.4 34.4 2 28.4 26.4 24.4 20' 36.5 30.1 28.0 25.9 25' 38.2 36.0 33.8 31.6 29.4 27.9 30' 39.Y 40' 42.2 39.8 3 ' 34.9 32.4 28.2 30.0 37.4 .1 32.8 30.5 *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: yl: - % w:= ) -W : cos B:= Fri: NOAF' (P2: al: _ % w:= )- W: cos 9 : F NOA F' (P3: xi: - % w:= - W: %cos9: Fri: NOA MIA MMADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DMSION NOTICE OF ACCEPTANCE (NOA) Almar (USA), Inc. 6801 NW 77 Avenue Miami, FL 33166 • • •• •• • • • • • • • • • • 0110 • • • • ••0 - AM A. • • • • • • • • • • • • • • • ••• • • • o • • • o • • ••• • • • • ••• MIAMI - DADE COUNTY, FLORIDA MM+l'ptOtIniDE FIINGI BUILDING • • 140 WEST FZ.ACI.EIt STRXEV, $U1T$1$03 • • • • • 1teIJAMI, PIORIpie33136 -,150 • • (305) 375 -2901 FAX (305) 375 -2908 •• • • • • • NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 1 of 7 ••• •• • • • ••• •• • 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: Altusa "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Material: 1. 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions Altusa One Piece `S' L = 18 '' /e" Tile W = 10.5" %2" thick nominal 3.25" high Trim Pieces Length: varies Width: varies varying thickness Clip L = 6" D = 0.125" Clip L &h = 2" W ='Y2" 0.05" thick 2.1 SUBMITTED EVIDENCE: Test Agency 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 PRI Asphalt Technology, Inc. Redland Technologies SCOPE Roofing Tiles Clay This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Almar (USA), Inc.. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Test Product Specifications Description TAS 112 TAS 112 PA 114 PA 114 Test Identifier 94 -083 94 -084 25- 7200 -1 Project No. 307025 Test #MDC -78 MTS 520649 CLF- 003 -02 -01 7161 -03; Appendix III High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Tile clip L Shaped tile clip Test Name/Report Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 102 (Quick -Drive Screws, Battens) Wind Driven Rain PA 100 PA 102(A) PA 102 PA 102 • ••• • • • ••• • • • • • • • • • • • • . • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • •.• . O •• • • •• • • • • •• • •• • • • • • • • • • • • • • • • • . • • • • • • • • • • • •• • • •. • • • •• ••• •• • • • • • • •• • • • • • • •• • Date April 1994 May 1994 Feb. 1995 Oct. 1994 May 2000 October 2001 Dec. 1991 NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12 /12/02 Page 2 of 7 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) One Piece 'S' Tile 6.9 1.52 0.875 Test Agency Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 3. LIMITATIONS Test Identifier 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 PO402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations 25 -7183 25 -7094 • • •• •• • • • • • • • • • 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 o•• • • • ••• • • • •• •• • • • ••• • • • • • • • • • • • • ••• Test Name/Reeort • Date • • • •• • ••• Wind Tunnel restntg • ; Dec. 19 %1 : : • PA 108 (bail -011) • ' • • • Wind Tunnel Testing • 4qg. 19914 • • PA 108 (Nail`On?.• • • •• ' • • • • • • Wind Tunnel Tasting : • • • July 1994 • • PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `Altusa One Piece S' Clay 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- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 3 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -lbf) for Nall-On Systems Tile Profile Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19/32" plywood) Battens One Piece 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 .#8 Screw 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 1 Screw with Altusa Clip (See c ip details) One Piece "S" Tile' 1 Screw with clip (at the head of tile) 187.1 187.1 N/A One Piece "S" Tile' 1 Screw with clip (at the water course of tile) 35.2 35.2 N/A 1. Screw must be installed in the inside nail hole located nearest to the hump of the tile. Table 5: Attachment Resistance Expressed as a Moment Mr (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance One Piece 'S' Tile Adhesive 29.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 3: Restoring Moments due to Gravity - M. (Obi • • • • ••• • Tile Profile 3 ": 12" or less 4 ": 12" 5 ": 12" 6 ": 12" 7 ": 12" or greater One Piece 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 4.47 5.35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 • • ••• •• •• • • • • • • • • • • • • • ••• • • •• • • • • • • • • •• • • • • • ••• • • • • • • • •. • ••• • • • • ••• • . • • NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12 /12/02 Page 4 of 7 • • .• • • Table 2: Aerodynamic Multipliers - X (f4 • ' ∎ _ ■ • - • • • ' ' Tile Profi X (ft Batten Application :: • : Z (# •' • . • Direct Deck Application One Piece 'S' Tile 0.253 0.274 • • ••• •• •• • • • • • • • • • • • • • ••• • • •• • • • • • • • • •• • • • • • ••• • • • • • • • •. • ••• • • • • ••• • . • • NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12 /12/02 Page 4 of 7 • • .• • • Table 5A: Attachment Resistance Expressed as a Molient for Single Patty Adhesive Set Systems: .14,(ft -Igf) ' • • :.: :: :: • _. • Minimum Attachment Resistance Tile Profile Tile Application One Piece 'S' Tile One Piece 'S' Tile Polyfoam PolyPro • . ape: : ape: • - _ _ _ Polyfoam PolyPro ' • : • : 28r;." • • • 4 Large paddy placement of 63grams of PolyProm. ... • • • • • "' • 5 Medium paddy placement of 24grams of PolyProlm. Table 5B: Attachment Resistance Expressed as a Moment - M for Mortar Set Systems Tile Profile Tile Application Attachment Resistance One Piece 'S' Tile Mortar Set' 24.50 • •• • • • • • • •o• • • • ••o • • • • • • • • • • ••• • • • • • 0 • • • • ••. ••• • • • 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 ONE PIECE `S' CLAY ROOF TILE NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 5 of 7 • • • • • • • • • • • •• CLIP WITH ONE (1) SCREW ATTACHED TO DECK "SPANISH 3" TILE BY ALTUS (TYP.) CLIP DETAILS 2 -1/2" OVERLAP (COVERS PIN HOLE) • • • • • • • • • • • • ••• •• CLIP PLACEMENT DETAIL • ••• • • • • • • • • • • • • • • • 0 • • • •• •• •• • • • • • • • • • • • • • •• • . • • • • • SCREW IN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE DECK CLIP • . O • • • • • • • • • • • ••• •• •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • O • • • • • • ••• • NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 6 of 7 •• SCREW (HOLDS CLIP ONTO DECK) 'SPANISH S" TILE BY ALTUSA (TYP.) CLIP PLACEMENT DETAIL CLIP DETAILS (CON'T) 2 1/2" OVERLAP (COVERS PIN HOLE) END OF THIS ACCEPTANCE 1 5/W 1. 5/8" t 3.00" DECK • • ... • • • ••• •• •• • • • •• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • •• • • • •• • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • o • • • • e •• • • • SCREW IN THE INSIDE NAIL HOLE NEAREST TO THE HUMP OF THE TILE DECK 1 1/4' 1 3/4" 3/4° / / ■ / 1 • •• • • • • • • • • • • • • 11 • • • • • •• • • • • •• • • • • • • • • • •• •• GALVANIZED METAL CLIP 2 1/2" SCREW NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 7 of 7 T AFL! ES AND ROO l! OJT RI3 A U: Master Permit i o. Ci.ntrreotor's Warne Job A_dr ze L bv) Asa: £iii Lowy Slope Roof Are {SF) eeee�eeveae s Sketch Root Klan: Illustrate all levels and sectors, roof drains, Loup rs, overflow souppe'rs ar inDlu d� dimensions Vf esotlarw end leve1s, aal,rlyr idrrtliy air3ensloeo; etSvatsd pT:;.sure z perapa is.. F orlrra BufIding ceritt 2OC4 HieVkielooliy Munk Zone i?nitorn I rnti App73oetlgn Form. S ct?on A IGeri9r ; Itiorrn +ofl . .j 5ttr- CATr DPI e�i nlc_ll� F_ster_ i t?e Prescriptive B I.1R -R1$ 150 • ROOF TY?= "emoting D rRecoo' :ring RODFSYSiE INFORMATION Se ep Sloped Roof Are (SF) 4.RKI Section B (Roof fn) Rroo s No, i0Deii .rJACliciivS Set Ilia • i 1 Wood Shingles/Shakes 0 C R" Raper L Mein en -ands . • • ••••.•• • • • • • • • "rotif I'S FT • ll'' Ze , 7 3 v,r • • • • •• •. • a • •••i•• • • > • • r � • ••• J• r7 vf•• •••• - • • • •••. • • U••• • • • •••• • • MIA M IDE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20` Street Boca Raton, FL 33431 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, c rti, state an� • • , • following statement: "Miami -Dade County Product Control Approved ", unless otherwise noalicrcin. RENEWAL of this NOA shall be considered after a renewal application has been filed and iltere 1 as begtfle• 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 reviAft pf change In the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endozse:nant of any • product, for sales, advertising or any other purposes shall automatically terminate this NOA. failure to coq• 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 follow4 5y • the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 1 of 7 • ' • • • • • • • • • .M Required Moment tteslsIHnce Mean Roof Height — Roof Slope 1 15 ' 2p 25 , so' 40' 2:12 3.4,4 35,5 36.2 39.7 422 3:12 32.2 344 36.0 37.4 39.8 4:12 30.4 322 33.8 35.1 37.3 5:12 28,4 30,1 .31.6 32.8 54.9 6:12 26.4 289 29.4 30.5 32.4 7:12 24.4 239 27.1 28.2 30.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone UniformPermiiApplication Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M the values from M f. If the 1\ 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" ( 15.1 _ X o q e i3. - Mg to, =A 0,66 NOA ! q 6: 2 :��' g� -. �G = � ) -M nas� =M, -D.' % NOA11 "�Q 6 / 116A-_ (�3=C gory � ���� a'�) - Mg: V�a•A� =m- d9/ .tea . NOA 1� Method 2 "Simplified Tile Calculation Per Table Below" Regnired Moment of Resistance (M From Table Belo' NO.: A *Must be used in conjunction with a list of moment based the systems endorsed by the Broward County Board of Rules and Appeals. • • • • • • •• • For Uplift,based file systems use Method 3. Compared the - values for F' with•t • • values for F If the F' values are greater than or equal to the F values, for Idai • •••• area of theroof, then the tile attachment method >t acceptable. • •••• • Method 3 "Uplift Based fine Calculations Per RAS 127" • • •. • • (P al := g w:= • ) —W: acosi: = Fit: NOAF:•, :__) —W: x cos B: = F,2: NOk : (2 a1: a w: _ ) -Y+: x cos9: = Fr3 ' • • • • • • • • •• • • • • • • • •••• • • •••• •••• • •••• • •••• • • •••• •.•• • • • 0t- Whereto Obtaiu Information • • Description Symbol Whereto find De.tsraPleseme P1 on or P3 Mem Roof Height Roof Slone NOA • Aerodynamic Muldplier Restaime Moment due to Gravity I M hmentResisanoe Mr MT I Calculated P,egi'ired Moment Resstence , *+ • 70 , tm Attobmet J;esseaae Required Uplut Resistance Average Tile,' eight The Dimensions leneii NOA yr=wid h All calculations mint submitted to the Building 03cielatlie brit cpe tappliceflon.• H e F, RA5127 Tole 1 or by an eneineng anelysis prepared by PE based on ASCE 7 Job Site Job Site NOA NOA NOA Calculated W NOA • • • • • •• •• • • • •• • •• • •• ••• • • • Roof •System Manufacturer: 6 e (. L'ij . . V Notice of Acceptan ce Number: Oa i D 5 O Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: g5i P2: q5, q P3: q5.4 Maximum Design Pressure (From the NOA Specific System): 5. Method of tile attachment: -1 1e,c1 t tais.i i Roof Slope: 4 : 12 Florida Building Code Edition 2002 High Velocity Hurricane Zone Unifom Permit Application Form. Section D (Steep Sloped Roof System), Deck Type: ype Underlayment: nsulation, Ridge Ventilation? Fire Barrier. Mean Roof Height: P I astener Type & Spa dhesive Type ype Cap S Steep Sloped Roof System Description oof Covering: Type & Size Dr Edge: • • • .. .• • •••• • • ... • • . . .. 3.)14t§p .. • • • • . • ...• • • • •. • • .. a • • T. • • • • •••• • ... • •• • .••• cing: 3knz. (oteoid heet: "9O Pt —i PkOlk ke14 skPelt 10 \ •. • .. • .; • • • faeld Test AQencv 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. 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 -76 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 Test Name/Report Date Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Physical Properties Sept. 1994 PA 112 Static Uplift Testing Oct. 1994 PA 102 (4" Headlap, Nails, Direct Deck, New Construction)❑ Static Uplift Testing Oct. 1994 PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing Oct. 1994 PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Wind Driven Rain Oct. 1994 PA 100 Static Uplift Testing Feb. 1995 PA -102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing Feb. 1995 PA 102 • • (2 Quik -Drive Screws, Battens) . • Static Uplift Testing • • *Match, 1995 • • 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 •••• • April 1996 December 1996 April 1999 April 1999 • .• • • • • •••• •••• ....Up. 1998 •••• • • • aec. 1998):• • • •Merch 1999 • • • Match 1995*" • • February 199b • •• • •••• • • • •• • NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 3of7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC and described m Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does' not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Monier Lifetile LLC 1= 16' /s" Villa & Roll w = 13" %' thick Monier Lifeitile LLC L = 17" Capri Tile W= 12 3 / '' /2" thick Trim Pieces 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engi I ng, Inc. ( o t. • Rio r r p .�\• Low Profile Roofmg Tiles Concrete 7161 -03 Appendix III 7161 -03 Appendix II PO402 94 -060B 94 -084 Product Description PA 112 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 Low profile, interlocking, high pressure • • extruded concrete roof tile equipped with•one nail hole and double roll ribs .For tirect tlegk • or battened nail -on, mortar or atltiesive set • • • applications. PA 112 Accessory trim, concrete roof piecos for use • • • • at hips, rakes, ridges and vallfyt giination$, • • • • Manufactured for each tile p ieft • • Test Identifier 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) • • • • • Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 •••• • • • • •••• • • • • •• • • •••• Date • • •• NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 2 of 7 Table 3: Restoring Moments due to Gravity - M (ft -Ibf) : . 6" • 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 (I x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) Monier Lifetile Villa and Roll Tile 9.1 1.33 1.08 • Monier Lifetile Capri Tile 9.51 1.42 t03 • e • • Table 2: Aerodynamic Multipliers - A. ft • Tile Profile X (ft) A...(fi • • Batten Application Direct Deck;i pplicatiorw,, Monier Lifetile Villa, Roll and Capri Tile 0.267 0J8%.• ..;. 3. LINIITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed m 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 • • • • • • • • •• • •• • •• • • •• •• • • e • • Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min.19/32" plywood) Battens Monier Lifetile Villa, Roll, and Capri Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 43.0 67.5 50.9 1 Installation with a 4" tile headlap and fasteners are located a min. of 2%A" from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems - • • • • Tile Profile Tile Application MlnimufhAttachment Resistance • • • Monier Lifetile Villa, Roll, and Capri Tile Adhesive •29.1i • • .••••• • • • • 2 See manufactures component approval for installation requirements. •••• • • - 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. • • • • Polyfoam Product, Inc. Average weight per patty 8 grams. • • • • •••• Table 5A: Attachment Resistance Expressed as a Moment - M (f$.lbf,. • '44•4 for Single Patty Adhesive Set Systems • • • • • • ; Tile Profile Tile Application Minimum AttachmenY Resistance Monier Lifetile Villa, Roll, and Capri Tile Polyfoam PolyProT"" 86.61" Polyfoam PolyProT"" 45.5 4 Large paddy placement of 54grams of PoIyProni. 5 Medium paddy placement of 24grams of PolyProTm. • • c • • • • • • • • NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 5 of 7 • • • • • • •• • • Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Mortar Set' 20.60 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS MONIER LIFETILE VILLA CONCRETE ROOF TILE Villa • 0 • • • • • •••••• • •••• • • •••• • • • • NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 6 of 7 • •• • • •• • • • • •• •G.••• • • •••• • • • •••• •••• • • • •• •• •••• •••••• • • • • •••• • • • • • • •••• • • • • • •• • •••• • • • • • • • MONIER LIFETILE ROLL CONCRETE ROOF TILE 11" • • • • •••• • • 17" • MONIER LIFETILE CAPRI CONCRETE ROOF TILE END OF THIS ACCEPTANCE 12-3/8" • • NOA No.: 02- 1205.05 Expiration Date: 12 /16/07 Approval Date: 01/02/03 Page 7 of 7 • • • • • • • • • • •••• • • • • • •• • 1111!I!11 11111111111 31II1111111111111l1 1 ll1 l 11 Ill;3 i•i_ 111! 11 l 13I1111 11I1!1i1 •I 1111 1l 1111 11 1 11(1 I! I Ilill lillII 1 1 1 1 1 !!l !!11 "11 1 i!!i 11 I II 1111 11 ■■■ ■ru I 1I1 1 1 1 1 1 I .' 1 I I I i. 111 1111 111 1 ! 1 1 1 1 ■I uaNIBIEI .0 1 1 I I I I I I I I I I I !! 1 1 ■■■■■1ouum llllia ' a'' I 1 1 1 1 1 1 1 I 1 1 I. 1 1 1 1 I 1 ■■11k ■■ x:41 `- 1 1! 1 11 1 1 1 . 1 1 I I :11TRON ■■90/40111 ! i l l!! I I I ■ I I I 1 I 1 1 1 1 1 111 I IN1 A■11N11I1 ■ I 1 1 ! 1 1 1 1 1 1 I I I 1 1 B I I I i 1 1 I I I I! l I 1 ! I 1 1 1 !! 11 1 I 1 I I F ! I I 1• ■■■■1 1• I I Z ®0 ■'n1r u i 1 ■■■ ■■ 3 I 1-1 1 1 I 1 1 3 .0�■■' 1 rert ■■■� i i 1 1. 1 1!! I ! ! 1 I■B■r • 'A■■■ll'i 1 ■B 1 I 1 1 1 ■ 1 1 1 1 1 ! 3 1 1 il■■/' ' l • 1 N■O,�i 1 1 1 1 1 1 1 1 i pI.W_h I l l '1 1 . iii, 1 1 1 1 3 11/1 1 1 1 1 1 1 1 1 1 17! -L:.1..! 1 I 1_1_1 !.! I 1 1 1 I I 1 I ' I I I I I 1 I 1 1 1 1 i i__l I I 1 11 I ! 1 1 I I 1 I I I I I i •1 I !_i_ 1 NUN ! I I ! i I 1 1 1' I3 1! 1 1 I 1 1 f 1 I I I ii I I L f JJ I 1 1 1 1 _! 1 I 7i 111 i !1 Fri i 11 ! ! • IF1.! Iill1 ! 1111 !1!11 1i i 11111111 L. j I' j I ! ! !1.!!! 11 1 __1 1 11111 I LLl I I!1 1 1 1 1 ! 1 ! i ! I j 1 1 ; 1 1 ! i 1! 1 I I ! l l 1 1! 1!! 1 I I ! 1 ! ! l l l I!! ! I I I I I I I I I • I . !!! 3 1 • 1 1 I I 1 ' - 1 i I 1 1 ! 1 1 I 1 1133 333 1111 I 1! ! I 1 !' 1 1!1 ! 11! 111 1!11 1 11 it 11 11 � 1! I3 3 111 131 11!11 1 1111i 1 !il ! ! I 31 I! I I I `i 1 1 1 1 1 1 11 I — I I I 1 L i 1 1 1 ! 11 1 1 3 1 I I 1 1 3 i .1 1 1 1 I!! 1 1 I- I ill 111 1!11 I! I I 1 I 1 ■ 1_1__3 I! ! 311 I 3 1! I 1 33 1 11 11 I1 31 I I 1 !111 11 111 I 1! !1 1!' i' III 13i! 1 31 33 33 !3111 1 1 13 31 (1 11111 1 1 31 1 1131 1 31!11 1 11 31 3 33 11111 1 1 3 I 11! 1 I ! 1!!! t-1 I ! 11 1111!! i1� 11 11 I� II IIII 3 Master Permit No. 05® 124 \ Contractor's Name 4 5 R • d n rG 54- Job Address c9(0g- �l� ❑ Low Slope ❑ Asphaltic Shingles High Velocity Hurricane Zone Uniform Permit Application Forjn Section A (General Informationt. ..: ROOF CATEGORY •. • Process No. ..s-• s ❑ Prescriptive BUR -RAS 150 ROOF TYPE New Roof ❑ Re- Roofing ❑ Recovering ❑ Repair ROOF SYSTEM INFORMATION Section B (Roof Plan) •• •• • • ••• • • • •.. • • • • • • • • • • .•. • • • • • • • • • • • • _ • ••• • • • • • •• • • • •• • . . . . . • • • • • • • • • Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) L i 814 Li 4 ❑ Mechanically Fastened Tile Mortar/Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shin i§hlafc \ - \ 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. • • • . • •• • . . .. Roof System Manufacturer: �,/ ■-k SA- ' .A c._• . • . 1.---• • . • • • • • . • - • • . • . • Notice of Acceptance Nun;ben 01 MC C ' ° 3 _•• • • • •• • ••• • . •• . . . . Minimum Design Wind Pressures, if Applicable (From • P1: (O ' S P2: 2-0' h 3 P3: 1,, S 127 or C &Iculati ns): 0 . b 6 Maximum Design Pressure . �° (From the t OA Specific System): Method of the attachment: k ( a J(14.-.5 i O - t rr Florida Wilding C ,de Mitkn2002 • . ... • • • ••• High Vel. Hurricane Zone Uniform Permit Application For;n • • • • • • Roof Slope: :12 Ridge Ventilation? S6cti®n Mee* Waited Ro S st rrn Steep Sloped Roof System Description Deck Type: ype Underlayment: nsulation: Fire Barrier: Mean Roof Height: 1 f' astener Type & Spacing: dhesive Type: ype Cap Sheet: oof Covering: • •.. Type & Size Drip Edge: • • • • • • • ••• • • • • ••• • • • • 8 0 9 L 30k O22 ' fy f � ( G ,�, S� gi\ 1� 1 1" " 0 C 114 - 1v"n °I t) A t ir S ;1 -e • x 3" pr p 4 .rt) ('tit .Is 2655 123_01-48 5/03 PAGE 4 Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Heiet 11 Job Site Roof Slope 9 Job Site Aerodynamic Multiplier X NOA Restoring Moment due to Gravity MB 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. Mr Required Moment Resistance* w Roof Height 15' 20' 25' 30' 40' — Roof Slope 2 :2 34.4 36.5 38.2 39.7 42.2 :12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 322 33.8 35.1 37.3 5: 2 28.4 30.1 31.8 32.8 34.9 6:12 26.4 28.0 29 a 30.5 32.4 7:12 24.4 25.9 27.1 282 30.0 123_01-48 5/03 PAGE 5 Florida Building Code Editiv lr� 20©2 Hl s h Velocity Hurricane Zone Uniform Permit Application Form. Swell° E (Tile net ••. ••. For Moment bssed • ,e c ystems, choose either Method 1 or 2. Coi pared the ¶: ; l es • for Mr ii a values o M M. If the M values are greater than or equ to e Mr values, for each area of the roof, en ,,' a tile attar., Ale t method is acceptabie.. • • Method 2 "S plaffied Tile C :; ;culation Per Table Required Moment of ; esistance (M From Table Below • • • • • • • • • • • • • • low" •• •• • • • •• •• • • • • • ••• • • • • • • • • • . • • ••• • • • • •• , Method 1 "Mo may ent used Tile Calculations Per RAS 1a�� . • (PI: 4 a a 0 I L • — Mg: ¶ . 3 � = M, (.• 5 8 NOA r G • (Pa: $A 0/0 2 Co 0 )- Mg: S°. 3 \-- • 3\ _ _> 8 NOA C. G•� (P -1S x 24 a)) - Mg: 5.3� =1V$, • ba NOA N c,_1„.• NOA 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 valves 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 : sl: = w:= )— W: cos 9: F NOAF' (P2 : a l: = E w: _ ) — W: a cos B: _ = F NOA F' (P s1: = a w:= )- W:_a cos 0 :_= F NOA • • •• • • • • • • • • •. • • • • • • • • • •• • • •. .•• •• • • • • • ••• • • • •. • MIA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Almar (USA), Inc. 6801 NW 77 Avenue Miami, FL 33166 EOcp=- CEO Q • • ••• • • •• • • • • • • • • • • • • ••• • • • • • • • ••o • • • • • •• •• •• • • • • • • • • • • • • • ••• MJALVII•B4DE pl J NNTY 4 FLOri1 A • • • MIVIP- DADE SL1LDI11G: • • 140 WESP S'ItEETi IJITL + b6i713 . • • MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 •• • • • • ••• •• • • • • • • • • • •• • • • • • •• •• SCOPE: This NOA is being issued under the applicable rules and regulations goveming 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: Altusa "S" Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub- Category: Material: Altusa One Piece `S' Tile Trim Pieces Clip Clip Test Agency 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 PRI Asphalt Technology, Inc. Redland Technologies Roofing Tiles Clay 1. SCOPE This renews roofmg system using Altusa One Piece S' Clay Roof Tiles, as manufactured by Almar (USA), Inc.. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions L= 18'/4" W = 10.5" '/z" thick nominal 3.25" high Length: varies Width: varies varying thickness L= 6" D = 0.125" L &h = 2" W =' /z" 0.05" thick 2.1 SUBMITTED EVIDENCE: Test Specifications TAS 112 TAS 112 PA 114 PA 114 Test Identifier 94 -083 94 -084 25- 7200 -1 Project No. 307025 Test #MDC -78 MTS 520649 CLF- 003 -02 -01 7161 -03; Appendix III L Shaped tile clip • ••• • • • •.. •• • • • • .• •. • • • • • • • • • - • • ••• • • • • 0 • • • • • • • • • • • • • • • • • ••• • • • • • • •• • •••- • • Test Name/Report Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 102 (Quick -Drive Screws, Battens) Wind Driven Rain PA 100 PA 102(A) PA 102 PA 102 • • • •• • • • • • • • • •• •• •• • • • • • • • • •• • • • • •. • • • •. •.• .. • • • • • • • •• • • • • • ••• •• Product Description High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Tile clip Date April 1994 May 1994 Feb. 1995 Oct. 1994 May 2000 October 2001 Dec. 1991 NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 2 of 7 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) One Piece 'S' Tile 6.9 1.52 0.875 Test A2encv Redland Technologies Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 3. LIMITATIONS Test Identifier 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 PO402 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations • •• • • • • • • Test NamelRebbtt • • • Wind Tunnel T esting • . ° PA 108 (Nail -On) Wind Tunnel.?est: • • • PA 108 (Nail Or' . • Wind Tunnel Testing • PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 • • • • • O ••• 0 • • • • • • • • • • • . • • • • • O.• • • • O • • • • • • 0 • • • • ate. • • •• • • jet. 1991 • • • Paw. 994• • • • July 1444 Sept. 1993 March 1999 March 1995 February 1996 April 1996 December 1996 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be m compliance with the applicable Roofmg 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. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `Altura One Piece S' Clay 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- 1115.03 Expiration Date: 12 /16/07 Approval Date: 12 /12/02 Page 3 of 7 • • •• • • • • • Table 4: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Nall -On Systems Tile Profile Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19/32" plywood) Battens One Piece 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 .#8 Screw 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 1 Screw with Altusa Clip (See c Ip details) One Piece "S" Tile' 1 Screw with clip (at the head of tile) 187.1 187.1 N/A One Piece "S" Tile' 1 Screw with clip (at the water course of tile) 35.2 35.2 N/A 1. Screw must be installed in the inside nail hole located nearest to the hump of the tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance One Piece 'S' Tile Adhesive 29.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 3: Restoring Moments due to Gravity - Mq Ift-Ibf' • • • "' • • Tile Profile 3 ": 12" or Tess 4 ": 12" 5 ": 12" 6 ": 12" 7 ": 12" greater Battens or Direct Deck One Piece 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 4.47 5.35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 Table 2: Aerodynamic Multipliers - X (it •, : : •.= Tile Profile )L(ft3) Batten Application 0.253 ••• •• ).( ••• • Direct Deck Application • • • • Q. ..: . • One Piece 'S' Tile • • ••• • • • ••o •• •• • • • •• •• • • • • • • • • o • • • • • ••• • • • • • • • • • • • • • *00 • • • • 1 • • ••• • • • • • • • • NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 4 of 7 •• • • •' Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance One Piece 'S' Tile Mortar Set' 24.50 Table 5A: Attachment Resistance Expressed as a Moment'•M" (ft- lbf)•• • • • • • • • • for Single Patty Adhesive Set Systems • • ..• • • • 1 Tile Profile Tile Application Minimum Attachment , • • • f teeistaace' • • ° • 4 • • • :4.1 : • • One Piece 'S' Tile Polyfoam PolyProM Polyfoam PolyProTM' 3 8 . • .. . •••• •.. •. , 4 Large paddy placement of 63grams of PolyProTM'. 5 Medium paddy placement of 24grams of PolyProN. PROFILE DRAWINGS ONE PIECE `S' CLAY ROOF 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 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 5 of 7 • .• CLIP WITH ONE (1) SCREW ATTACHED TO DECK "SPANISH S" TILE BY ALTUS (TYP.) CLIP DETAILS 2 -1/2" OVERLAP (COVERS PIN HOLE) CLIP PLACEMENT DETAIL • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • SCREW IN THE INSIDE HOLE NEAREST TO THE HUMP OF THE TILE • • ••• • • • • •• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • •• • • • •• ••• •• • • • • • • • • • • • • • • • • • •• • • • • • •• • DECK CLIP NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 6 of 7 SCREW (HOLDS CLIP ONTO DECK) "SPANISH S" TILE BY ALTUSA (TYP.) CLIP PLACEMENT DETAIL END OF THIS ACCEPTANCE 1, 5/8" 1 5/8" l 3.00" • •• • • • • • • • • .• o • • •• • • • • • • • • • • CLIP DETAILS (CON'T) ; ; •. • • • • • •.� • • • . • • • • • . • • • • • • •• • • •• • • • •• ••• •• 2112" OVERLAP • • • • • • • • • (COVERS PIN • ••• • • • • • • • • • • HOLE) • • • • • • • • • •• • • • • • ••• •• SCREW IN THE INSIDE NAIL HOLE NEAREST TO THE HUMP OF THE TILE DECK 11/4° 1 3/4" 3/4" i i / / ••• • • • ••• • • • •• •• • • • • • • • • • ••• • • • • • • • • • ••• • • • • ••• GALVANIZED METAL CLIP DECK 2 1/2" SCREW NOA No.: 02- 1115.03 Expiration Date: 12/16/07 Approval Date: 12/12/02 Page 7 of 7 Date Thursday, December 7, 2006 12/07/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: RF -3 -06 -601 Invoice Number: RF -11 -06 -26766 Applicant: ADOLFO GONZALEZ GARCIA Company Name: Owner Address: 262 NE 93 ST MIAMI SHORES, FL 33138 Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Payment Type Check Number 3277 Amount $113.00 Change $0.00 Total Payment: $113.00 Page 1 of 1 Inspection Number: INSP -11618 Inspection Date: 12/11/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> GONZALEZ GARCIA, ADOLFO 262 93 Street NE Miami Shores Village, FL 33138- Building Department Comments Monday, December 11, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Block: 1105'12'H Permit Number: RF -3 -06 -601 Permit Type: Roof Inspection Type: Final Work Classification: Roof - New Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 2 of 2 �, Passed / Inspector Comments , , i .." Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -11618 Inspection Date: 12/11/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> GONZALEZ GARCIA, ADOLFO 262 93 Street NE Miami Shores Village, FL 33138- Building Department Comments Monday, December 11, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Block: 1105'12'H Permit Number: RF -3 -06 -601 Permit Type: Roof Inspection Type: Final Work Classification: Roof - New Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 2 of 2 November 30, 2006 Dear Sir; Very truly yours, Edward A. Landers, ago � �4`. Miami Shores Village Building and Zoning Department Miami Shores, Florida • Re: Adolfo Garcia Gonzales 262 NE 93` Street Miami Shores, Florida envelope component of said structure. LETTER OF COMPLIANCE Permit No.: RC12051241 Contractor: - Edward A. E.7173 � CONSULTING ENGINEERS • . • ••• I, Edward A. Landers, P.E. having performed and approved the regu;rgl inspections, as indicated in the attached approved inspection log, herlahy attest. that to the best of my knowledge, belief and professional judgement; t4 • • structural envelope components of the above referenced structure int compliance with the approved plans and other approved permit dopnts. •I..• also attest that to the best of my knowledge, belief. and professionalj&.bd9ement, • the approved permit plans represent the as -build condition of the structural mitt**. • • •• •• • • • •• • • ••• • • • •• • This document is being prepared in accordance with Florida Building Code and is being submitted to the Building Code Compliance Department at the time of the final inspection for the above referenced structure. Should you have any questions or need any additional information please do not hesitate to contact me. 7850 NW 146 STREET, SUITE 509 • MIAMI LAKES, FL 33016 • (305)823 -3938 • FAX (305)823 -9355 • • • • • • • • •• • • • • z. APPROVED BY: TYPE OF INSPECTION: COMMENTS: APPROVED BY: TYPE OF INSPECTION: COMMENTS: APPROVED BY: EDWARD A. LANDERS, P.E. 7850 N. W. 146th St, Suite 509 Miami Lakes, Florida &J16 LOG OF APPROVED INSPECTIONS TO COMPLY WITH FLORIDA BUILDING CODE 105.13.4.1 DATE: DATE: DATE: OTHER (SPECIFY) OTHER (SPECIFY) Revised as of 02/28/2002 f:/ buii/$ adm/ evie/01- 02/oontra,ul.xds/SAI4PLES PERMIT NUMBER: Pc - ∎ I - DS - t 224 ( ADDRESS: _ 06 Z A 2'3 - ARCHIENGR:. , A Y 2 CONTRACTOR: / 77'x., / 4 / a/z4-711 . TYPE OF INSPECTION; COMMENTS: - - FOUNDATION APPROVED BY: ,,- DATE: , " TYPE OF INSPECTION: COMMENTS: 77 6.6L(1r14N f R "ter. 7i� /9., y,. II;:' < , r . REINFORCING APPROVED BY: / '�..i. .1l j/ DATE: .! 31' TYPE OF INSPECTION: COMMENTS: - WINDOW AND DOORS APPROVED BY: DATE: li TYPE OF INSPECTION: AS -BUILT 1 z. APPROVED BY: TYPE OF INSPECTION: COMMENTS: APPROVED BY: TYPE OF INSPECTION: COMMENTS: APPROVED BY: EDWARD A. LANDERS, P.E. 7850 N. W. 146th St, Suite 509 Miami Lakes, Florida &J16 LOG OF APPROVED INSPECTIONS TO COMPLY WITH FLORIDA BUILDING CODE 105.13.4.1 DATE: DATE: DATE: OTHER (SPECIFY) OTHER (SPECIFY) Revised as of 02/28/2002 f:/ buii/$ adm/ evie/01- 02/oontra,ul.xds/SAI4PLES Purchaser's Name and Address: Nottoli Construction 5838 SW 49 Street Miami, Florida 33155 TREATMENT SITE: 262 NE 93 Street Miami Shores, Florida Project: Cut Out Building: N/A Chemical: Cypermethrin Product: Demon Max Square Footage : 25 Linear Footage: N/A Number of structures treated: 1 Date of Completion: 11 -20 -06 Accurate Pest Control, Inc. hereby confirms that this building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws as established by Florida Department of Agriculture and Consumer Services. Exterior perimeter treatment was completed upon final grade. Guarantee None 1 Year 5 Years LICENSE NO. 1752 ACCU P raA'OKOMPLETION OF SUBTERRANEAN ag���� TERMITE TREATMENT J l J �� e ���o, r, BY: Harvey '. made , Pres ent Revised on 5 -26 -05 ❑ Renewal Yes ❑ No ✓ B Y: - e- 00 0°o°0000°o -- 300 So STATE ROAD 7 • PLANTATION, FLORIDA 33317 • 954 -584 -8588 • 1 -800 -749 -8588 • FAX: 954 - 584 -6117 B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12025C0093J J 07 -17 -1995 03 -02 -1994 X N. /A PROCESS # FOLIO # C.O.R. 11.09' U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program Al. Building Owner's Name A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and. 262 NE. 93rd STREET City State MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etor� Ye LOT 5, BLOCK 26, PLAT'BOOK 10, PAGE 70, MIAMI - DADE COUNTY A4. A5. A6. A7. Building Diagram Number 8 A8. For a building with a crawl space or enclosure(s), provide: a) Square footage of crawl space or enclosure(s) 2295 sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b 1792 sq in B1. NFIP Community Name & Community Number MIAMI SHORES 120652 B2. County Name MIAMI - DADE B3. State FLORIDA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile © FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes © No Designation Date ❑ CBRS ❑ OPA C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR /A, AR /AE, AR /A1 -A30, AR /AH, AR /AO. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized SEE BACK OF FORM Vertical Datum NGVD 1929 Conversion /Comments Check the measurement used. a) b) c) d) e) f) g) ADOLFO GONZALEZ - GARCIA Building Use (e.g., Residential, Non- Residential, Addition, Accessory, etc.) RESIDENTIAL Latitude/Longitude: Lat. N. 25.8606° Long. W. 80.1920° Attach at least 2 photographs of the building if the Certificate is being.used to obtain flood insurance. 12 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Top of bottom floor (including basement, crawl space, or enclosure floor) Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) Certifier's Name ANTONIO FIORE Title Company Name VICE- PRESIDENT A. FIORE AND ASSOCIATES, INC. Address 921 SW. 122nd AVENUE Signature ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized'by law to certify elevation information. /certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. License Number No. 5184 ZIP Code City State MIAMI FLORIDA 33184 Date Telephone 12 -01 -2006 305 - 221 -3040 FEMA Form 81 -31. February 2006 See reverse side for continuation. „eiTr d. 000000000voovaoov OMB No. 1660 - 0008 Expires February 28. 2009 For Insurance Company Use: Policy Number Company NAIC Number Horizontal Datum: ❑ NAD 1927 A9. For a building with an attached garage, provide: a) Square footage of attached garage N/A sq 11 b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in 11.3 E feet ❑ meters (Puerto Rico only) I� I ZI 12.1 l feet ❑ meters (Puerto Rico only) N/A U feet ❑ meters (Puerto Rico only) N/A © feet ❑ meters (Puerto Rico only) 11.2 J feet ❑ meters (Puerto Rico only) 11.2 ❑X feet ❑ meters (Puerto Rico only) 11.4 feet ❑ meters (Puerto Rico only) 12 -01 -2006 NAD 1983 ?LACE SEAL HETE Replaces all Previous editions For InSurance'Company Use PPlitY,Nktrrber Company NAIO Number IMPORTANT:. In thesespaces,,copythe.corFespibriding information from Section A. Building -Street Address (including Vnit Route and Box No 262 NE. 93rd STREET city. State ZIP Code • MIAMI SHORES FLORIDA 33138 SECTIOKTh-..:SURV.EY0.R-, ENGINEER 0 KARCHITECT.CERTIFICAT U.Eb) Copy.both sides of:this' Elevation dedifiCatafOr (.11:community;OffiCiat, an4(3),tpildingowner.; Comments MIAMI-DADE COUNTY BENCHMARK No.N-566; LOCATOR=3100; ELEVATION=10.78'; Signature Signature A/C PAD ELEV.=11.18' NOT ATTACHED BLDG. ELEV.=11.54' Date 12-01-2006 adi SECTION E - BUILDING ELEVATION'INFCiRMATIONOURVEYNCIT REG/MED).:FOR ZONE:Ati.ANDJZONE A 1e.ttITHOLMBFEy For Zones AO and'A (withPut. BFE),,P,ornPfetettern&EI-E5t, Itthe CartifreateArriterrdectto.support a t011it,Adr. LOMFk.rfeCitre PPOr..44 : 4eCtignkAi P.. and C. For.ltems E1-E4„usenaturat grade, if : available. ChecitAenteasurement used. In Puerto:Rico.:only,enter meters. El. Provide elevation informatiOnfOrtitefoifowingand cheCk the:appropriateboxesto show whether the elevationls above ocbelow thehighest acifacent grade (HAG).and-theloWest adiadent grade (LAG) : a) Top of bottom floor (includingbasernent crawl space or enclosure) is . El feet. 0 'meters 0 aboVe:0 04belOWithe.HAG: b) Top: ofbottom floor (including basernent,,,tra‘kktpace, orenclosure) is . 0 foot: 0-meters 0 abOVecoit abeloW the LAG., E2. For Building. Diagrams 64 with perrnanent:flood!openings provided in Section A, Items 8 and/or 9 age..,a, of Instructions t the next higher floor (elevation C2.13...in-the of the-building is . El feet 0 meters 0 above.br :below the HAG. E3. Attached garage (tcp-of slab) is . Deet ID:meters [Jabove or E] below the:HAa E4. , Top of platform of machinery and/or equipment Servicing the is . 0 feet 0 meters 0 above or below the' HAG. E5. Zone AO only: If no,flood depth number i,, available; isstWop,cgthe bottom elevated in accordance with thecornmunitYslocdplain management ordinance? 0 0 14 0 Unknown local OfqOial must certify this inforrnation in SectiOn-G. SECTION - PROPERTY;OWNERIOR OWNER'S REPRESENTATNE) CERTIFICATION The property owner or owneesauthorized representative whO 13; and E for Ion e A (withoUta FEMA-issubcForOomniunity,issued BFE) or Zone AO must sign here. The statements in7SeOtionsA B ancfg`arecorrect,forthe best of my knowledge Property.Owner's or Ownees AuthorizedRepresentatiVe& Name Address City State, ZIP Code Comments. The local official who is:authorized bylawor.ordinancetoadminiSterthecoMmunitys floodplain management ordinance:cancomplete SectidrisikS COI' Ey, and G.of this Elevation Certificate. COMpletelhe-applicabledtern(s)and in below. Check Items G8.,.ard.G9 . . . . Gt . 0 The information inSection C:wasstakenfrom other documentailorr that has been signed and.sealed by alicensectsurveyorengineer:orarchitectwho is authorized:by laiirto certify efeVation infOrrnati di ; (Indicate:the sourcei.and date of the elevation - datainthe.C& iitient&drea IS G2. 0 A-communitTofficial 'completed Section , for. a:building ,focated in. Zone koNithouta,FENIA.issue,d or community-issuect,BFEPorIZOne AO, G3. 0 The following information (Items G4,G9a is:pro:Med:for community flObdpfainmanagementpurposes. G4. Permit Number SECTIONG - COMMUNITY INFORMATION (OPTIQNAL) GS, Date Permit Issued G7. This permit haa been. issued fd: . N:e1y . , C.00 EISubsttintial trnprOvernent G8. Elevation:ota.s,bUililoWeStflbor(including basement) of the building: 0 feet 0 rrieters4PR). Datum BFE or (in Zone 405 clepltrOttfooding afeet 0 meters 1 Datn LocaL0ffiCiars Name Title. Community Name: Telephone Signature Date comments. Date Telephone, D-Ch G6. Date:CertificateOf Compliance/OCCdPaliqlsSued 0 Checlehereifattachments FEN* Form 81.,, Fogoory2006 _Rep4og-Ativey.k9u*octitiori Pending final plumbing inspection , and shower to have perculating rocks at base area. 12/12/06 CG. Passed Inspector Comments Failed im Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -34635 Permit Number: RC -12 -05 -1241 Inspection Date: 12/12/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Tuesday, December 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 1 of 2 Inspection Date: 12/08/2006 Inspector: Grande, Claudio Project: <NONE> Permit Type: Roof Inspection Type: Final Owner: GONZALEZ GARCIA, ADOLFO Work Classification: Roof - New Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 2 of 2 Passed _ Inspector Comments P ,. 1 a let. i / /y��� , e7_.... j `J - - -6 P /U Failed ' / .x..e....e.- =C 4 Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 12/08/2006 Inspector: Grande, Claudio Project: <NONE> Permit Type: Roof Inspection Type: Final Owner: GONZALEZ GARCIA, ADOLFO Work Classification: Roof - New Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Thursday, December 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 2 of 2 Inspection Number: INSP -11619 Permit Number: RF -3 -06 -601 Inspection Date: r AVMS ll��� tOG Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Passed Failed Correction Needed Re- Inspection Fee ($75) at No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments tgo 6 , / �{�-r m op ru f l,&);e (7& N i fr, AI z jA,w,er& 1 1/4 e -"Q °? d 4, r 04edo e I` .1 I � .fo Thursday, November 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 1 of 2 nspection Number: INSP -11617 Permit Number: RF- 3- 06-601 Inspection Date: 08/16/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Tuesday, August 15, 2006 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 1 of 2 Infractio Passed Comments TIN CAP SPACEING False Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP -11617 Permit Number: RF- 3- 06-601 Inspection Date: 08/16/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Tuesday, August 15, 2006 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 1 of 2 Permit Type: Demolition Work Classification: Building Job Address: 262 93 Street NE Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 3/27/2006 Expires: 12/15/2006 Owner's Name: ADOLFO GONZALEZ GARCIA Contractor(s) Phone Primary Contractor NOTTOLI CONSTRUCTION & REMO Yes Comments: REMOVE ROOF AND DECK, INTERIOR DEMOLITION OF GUEST COTTAGE Type of Demo: Building Additional Info: ROOF, DECK AND INTERIOR Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $5.00 $100.00 $3.00 $2.50 $112.10 Building Department File C opy p licant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: DEMO -3 -06 -603 Phone: (305)206 -0463 1132060133500 Lot: PB: Total Square Feet: 440 Total Valuation: $ 1,800.00 Required Inspections Final Invoice Number DEMO - 3 - 06 - 24248 Total: Amt Due $112.10 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Date: 06/14/2006 Inspector: Devaney, Michael Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AABAA ELETRICAL SERVICES CORP Building Department Comments Tuesday, June 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenke Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Electrical - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Phone: 305- 620 -7864 Page 1 of 2 Passed nspector Comments /PC 7 'A- 97 L'I /'7 X Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 06/14/2006 Inspector: Devaney, Michael Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: AABAA ELETRICAL SERVICES CORP Building Department Comments Tuesday, June 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenke Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Electrical - Residential Inspection Type: Underground Rough Work Classification: Addition /Alteration Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Phone: 305- 620 -7864 Page 1 of 2 Inspection Number: INSP -11633 MAY 6 F-AIV Inspection Date: 05/25/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Project: <NONE> Building Department Comments Wednesday, May 24, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Block: c/sr,} Permit Number. DEMO -3- 06-603 Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 1 of 2 Passed - ,e 2/1/ Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -11633 MAY 6 F-AIV Inspection Date: 05/25/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Project: <NONE> Building Department Comments Wednesday, May 24, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Block: c/sr,} Permit Number. DEMO -3- 06-603 Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (c k Building Elteical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 4!} t:.' -.Ai. . - (.000; Phone # <'� 2L(. ` '`it 3 Owner's Address 2C il( . ilz. City 1.; -., State Tenant/Lessee Name Job Address (where the work is being done) i !kit 13 " fit "�1= f City Miami Shores Villa County Miami -Dade NO Is Building Historically Designated YES State Certificate or Registration No. (. /;. (' r, Certificate of Competency No. Architect/Engineer's Name (if applicable) 1 .at,i ,,a Phone # a� $ Value of Work For this Permit / L l: Total Fee Now Due $ 1 ! 2. - 1 0 (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State r'`� Master Permit No.? - I ? 1 Zip 3.3134L Phone # Structural Plan Review. $ Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** Permit No.bE Zip Contractor's Company Name ti u-« L-, Phone # Contractor's Address j..t) V< .S City / 1 Qualifier t, Us Zip _,1 ' `. Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace vir Demolition Describe Work: r� '.� l `c / 2) /.A-r-y e, ,g3° ) uJ t� �'i ::,,; , , e : �L t, Submittal Fee $ Permit Fee $ /0 CCF $ 1 .3 D CO /CC Notary $ S . ZJ Training/Education Fee $ 0. C7cD Technology Fee $ 2 • J Scanning $3 • CX : Radon $ Zoning Bond $ Code Enforcement $ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State State 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. Owner or Agent The foregoi g instrument was a�covyld efore,.me�, day of 20 O ', by rr ,f) 7a Alcz , w is personally n to me or who has produced As identification and who did take an oath. NOTARY Sign: Print: My Commission Expires: DOUGLAS GRABOWSIQ 29 EXPIRES: February 5, 2010 Bonded Thru Notary RAW I hwkw, tens ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: chc 05/13/03 Zip Signature Contractor The foregoing instrument was acknowledged before me this 9 day of 1•4(.- 20y who is personally known to me or who has produced t as identification and who did take an oath. RY PUB ICi NOT Sign: Print: My Co sionacti % 'tlan *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** bc o Zip PL lc -s OF FLORIDA Bonding Co. Plans Examiner Engineer Zoning Inspection Number: INSP -3007 Permit Number: RC -12 -05 -1241 Inspection Date: 07/17/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Block: Permit Type: Residential Construction Inspection Type: Roof Sheathing Work Classification: Alteration Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Friday, July 14, 2006 Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -3007 Permit Number: RC -12 -05 -1241 Inspection Date: 07/17/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NOTTOLI CONSTRUCTION & REMODELING Building Department Comments Block: Permit Type: Residential Construction Inspection Type: Roof Sheathing Work Classification: Alteration Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Friday, July 14, 2006 Page 1 of 2 • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Owner's Name (Fee Simple Titleholder) A001.1 CcOKUtt.E2. Phone # 3oS — ZA6— OQ(c,3 Owner's Address 262 NS C(? s' j�Rk.c' City MAm _ , itiS VildAtx State FL- Zip 3113% Tenant/Lessee Name Phone # Job Address (where the work is being done) 2(.2. NC eirg SW City Miami Shores Villa :e County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name _r`V ii -+ L. Contractor's Address City , <_ Qualifier _ -� State !' € State Certificate or Registration No. _,- ' . �� /� , Certificate of Competency No. M tbMto 22.5 Architect/Engineer's Name (if applicable) MAT P 1EZ ON Phone # 305 -- 32,1-(„G,1 a t✓D tAMOrRS 3c -- 81.3 -3931 $ Value of Work For this Permit , x 'tyt) Type of Work: ['Addition ®Alteration ['New ❑ Repair/Replace ❑ De molition Describe Work: Zk,ttoVAw. D1 i)IkC Tool. CMAKA 1.r MI NEW 1200F ) NEw tott& Qow /POOR 6 i ExD ems - ril -t oDM Ew 1 -16hl7N( Submittal Fee $ :. Notary $ Scanning $ Radon $ Zoning Bond $ Structural Plan Review. $ ,4 �_ t Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Permit Fee $ Training/Education Fee $ Permit No. .,� Master Permit No. Plumbing Mechanical Roofing � •-• :i tom, Phone # o � t_y.. , Zip Square Footage Of Work: 47/ SQ. FT * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** CCF $ Technology Fee $ MAR ' ;`, FV9 CO /CC • Bonding Company's Name (if applicable) s 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. chc 05/13/03 Signature)( t Signature My Commission Expires: Owner or Agent APPLICATION APPROVED BY: Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this__ day of — - _ , 20 _; by 00Lf Ft' 7 , l.'GYt.,{?_ (4 f "day of C , 20 o by K ) J\ i it) L, who is personally known to n5e or who has produced c -scho personally known to rpe who has produced As identification and who did take an oath. NOTARY PUBL1 / i `/ NOTARY PUBLIC: Sign: / /.,�;y � �- � , f � �- Sign: % ROBERTA SCHIMMEL Print: - * MY COMMISSION I DD 405371 Print: as identification and who did take an oath. AQapar ROBERTA SCRUMP! * MY COMMISSION I DD 405371 EXPIRES: July 9, 2009 EXPIRES: July 9, 2 009 '>rF F\#' Bonded Thm Budget Notary Services My Commission Expire$: ****************************************************** * * * * * * * * * * * * * * * * * * * * * ** * * * * * *s h ** ,1lyt twitetiaat* ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,O" 2/ / A�® f+1 - 4. Plans Examiner Engineer Zoning Bill To ADOLFO GONZALEZ GARCIA 262 NE 93 ST MIAMI SHORES, FL 33138 -2827 Return to: I Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Permit Type: Roof / Work Classification: Roof - New Date 12/06/2006 12/06/2006 11/15/2006 Wednesday, December 6, 2006 Fee Name Scanning Fee Revision Fee Re- Inspection Fee 1st Occurence Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: RF -11 -06 -26766 Invoice Date: November 15, 2006 Permit Number: RF -3 -06 -601 Fee Type Calculated Calculated Fixed Fee Amount $3.00 $35.00 $75.00 Total Fees Due: $113.00 cancelled for 11/13/06 but rescheduled for 11/14/06 by maria 1) ROOF WAS MOPPED WITHOUT INSPECTION. PROVIDE ENGINEERS CERTIFICATION ON THE BACKNAILING OF 90 #. 2) APPROVED PLANS CALL FOR ALTUSA, CLAY TILE, USING MONIER, CONCRETE TILE, NEED REVISION OF PLANS. INSTALLATION OF FOAM IN TILE OK. 11/11/06 CG. Passed Inspector Comments Failed Correction Needed Re-Inspection J Fee - ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Date: 11/14/2006 Inspector: Grande, Claudio Owner: GONZALEZ GARCIA, ADOLFO Job Address: 262 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -11619 Permit Number: RF -3 -06 -601 Contractor: NOTTOLI CONSTRUCTION & REMODELING Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number (305)206 -0463 Parcel Number 1132060133500 Lot: Page 1 of 2