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955 NE 92 St (10)F ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ' 1 Off Job Address q4 1e. Te, Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant a e & J kl c 1...,,, -4 Master Permit # i4:77i. & Owners Address_, is\ 9 ° g ° Phone A• 'k • G rz7 Contracting Co. ci,i N. teA , ii..) o---- --a ,‘ Address - . ■ .*K \‘• a . le . rr 4 • Qualifier ?J A L , p ot.s,c, A . Phone 10 - c iQ ` A State # e LA Q 1• Municipal # / Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRIC MBING MEC : ROOFING PAVING FENCE SIGN WORK DESCRIPTION ) Square Ft. �DC-'d' FEES: PERMIT fsT . RADON APPROVED: Zoning Mechanical Building ee> eVA � �A: of '' �� ; . 'T® Estimated Cost (value) l �� 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. 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. k J �� Signature of owner and/or Condo President Date Signature of Contractor or Owner- Builder Date Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner - Builder Date My Commission Expires: My Commission Expires: C.C.F. < � NOTARY BOND TOTAL DUE /S‘ 7 ' Id Zectrical Plumbing Structural Engineer Jul 19 00 01:52p inndi .c yr ‘ rsvaincruwastrrcint T ' 'A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION TAX FOLIO NO. PERMIT NO. STATE OF FLORIDA: 4 C:OLINTY OF DADE: i. ( G t' 4- Cl ED hereby �-�n THE UNDERSIGN a -� y gives notice that improvements will n CI 44 1 4 2000 J 18 i0:0 intorm Chapter 713, Florida Statutes, the following on is P be made to certain real ro Perry. a ati t • PfOYtdedr n this Notice of Commencement. ►at description of properly and street address: 55 �" qal- 5-1- 2. Description of improvement: 3 .Owner(s) name and address: • iNii.••■••.••••• in pro peRy: Name and address of fee simple titleholder: 4. Contractor's name and address: - 73kq tl•(.v 54- 5. Suretr(payment bond required by owner from contractor, if any) n , t� rn y) v, If111 and address: Arriount of bond $ 6. Lender's name and aggress: -_, 7 . i'ersons within the State of Florida designated by N, upon K., by Section 713.13(1)(a)7., Florida Statutes, Naive anc address: '"tt` et Owner P nt Owner's Name f P i Sworr to and subsc • all t Get. b r i tan at ari day of Expires June 18.2004 Bonded rim +Noy ar Publit: Print Notary';: Name Jose Betancourt ,20 O Q 305 -256 -0635 9. Eairatio, date of «•re ti��;�� c` e expiration date is 1 year from the date of recording d ffet Qne d3t a is re of C ommencement: (the j — p owls:;, a ••••■•■••••••■ p. 1 or notices. c: other doc;;mE _ t• In addition to himself, Owne• deSin�a�o the fo4ow+n t bon 71 . 3 .13(1)(b), Florida Statutes. 9 person(s) to receive a copy of the l.ienor's Notice as pn+rided in I Ian 1 e and address: Prepared by .115 c(__ Address: 7 {� • 1 u � c# • Date IY10 Job Address . q C r t . C O" S � Tax Folio Lea Desc!iption Historically Designated: Yes No Owner/Lessee / Tenant .� i & i& a% Master Permit # Phone CO US) (C I — 13 p Address -7s 8q n -W Qualifier pal 2 h ( � . ( � t I S b T ) Phone ( 5 0 S ) 0 2 Owner's Address q55 .e l a S4 Contracting Co. 1 1)0 1 i I d' -er4 • State # G G1 O - (84441 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 2- — e Square Ft. 2100 Estimated Cost (value) (0, ‹L06 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IIIPROV EMIENTS ;'O 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. cv OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable •N laws regula g construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Co o ' esident S aliziAkiat Notary as to Owner and/or Condo President My Commission Expires1U fl e l 0 4 ,.•�,Y ?o� Idalis Betancourt =?Q' Commission # CC 934331 jef Expires June 18, 2004 ��pF S Bonded TJvu aor•` Atlantic Bonding Co., Inc. FEES: PERMIT RADON APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date . 7// 0 °61 Date C.C.F. I Signature of Co actor or Owner - Builder Date NOTARY � I/0 IZ.r) Notary as to Contractor or Owner- Builder Date My Conunission Expires: el P (� � . QO Lt �,pr py1- Idaus Betan �� �`,• b o, Expires June # CC 934331 2 QF Alkss Bond T r Atlantic Bonding Co., Inc. BOND TOTAL DUE Building Electrical Plumbing Engineering Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: i 4 W 2701c -ems Job Address: X55 /.1a. °12• STcaawr ROOF CATEGORY , �/ ❑ (Low Slope Application) ❑ (Nail -On Tile) [ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof [4e ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') • • Sloped Roof Area (ft') 2 Total (ft') 2500 Master Permit No. Exposure category (per ASCE 7 -88): C Building Classification category (per ASCE 7 -88 table 1): Ft. Ft. Deck Fastener Type: Field: Perimeter: DETAIL Y & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) ATT CHMENT SPA 'ING Corner: ROOF PLAN 129.01 -78 9/96 Page -1 Page -2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. r Ridge Ventilation? MEAN HEIGHT 12? Deck type: Underlayment• D E T A I L 3 SLOPED SYSTEM DESCRIPTION c1.5-rei Insulation: 12" ROOF SLOPE 11 u L • Fastener type & spacing: � 1{4 R . S • 1 6, o . GU PS. Cap Sheet: 4:1 1 . C• L$ A..S" N1. Y Roof Covering: norr - I '^' l � Drip edge: I Ca" -• Csie. • ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance-Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS Pmax1 x ? Aerod c Mul tier ).J J M : 6-y ( �� ( � � ):n• 1 ) - g f . = m,. 09- ? PCA: 86.61 (Pmax2: - (2.3' x ? (Aerodynamic Multiplier): 0 .. t ) - M 610( = M r2 : Z. PCA: 8 ( (Pmax3: 2, 9 y x X (Aerodynamic Multiplier): 041)- M 6.0 $ = M �s0 Q PCA: gb• ` 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. WC\ 1. Aesthetics The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. P ' " 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 1 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. l s ► 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the o � tion of maintaining this appearance. r f\ S. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident un the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. co () 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life ofther..f. Owner's /Agent's Sign . Date Signature /o ' 0 Ip Please enter the square footage for the roofing work you are performing in the space provided next to the appropriate roof type for your job. Listed below each roof type is the minimum requirement for the roof. If your roof type does not fit in the specific categories listed, please see a building processor or inspector. All roofing systems must be installed as per South Florida Building Code, Manufactures Specification, Product Control approvals and protocols. Ica ion is Repair re Under penalties of perjury, I declare that to the best of my knowledge, the facts stand that perjury is a felony of the third degree. 'CATEGORY 9 ./ OW SLOPE APPLICATIONS (GRAVEL, SMOOTH, MODIFIED, SINGLE PLY EPDM, SPRM) Fee Code )escription Fee Calculation Unit # of Units Fee B1 Roofing (Groups H and I) .075 per sq. ft. of roof coverage Sq. Ft. S:11 Roofing (Other Groups) .075 per sq. ft. up to 30,000 sq. ft. Sq. Ft. .043 per sq. ft. thereafter MINIMUM CODE REQUIREMENTS: One approved glass base sheet tin capped in place. Two layers of #15 fiberglass felt set in hot asphalt. Flood coat of hot asphalt into which gravel is embedded. Minimum 26 gauge galvanized gravel stop /drip edge. ROOF PITCH REQUIREMENTS -NO MINIMUM 3:12 MAXIMUM ON GRAVEL. CATEGORY 93 - TILE ROOF (NAIL ON APPLICATION) Fee Code Description Fee Calculation B105 Roofing (Groups H and I) .096 per sq. ft. of roof coverage B117 Roofing (Other Groups) .096 per sq. ft. up to 30,000 sq. ft. .055 per sq. ft. thereafter MINIMUM CODE REQUIREMENTS: As per Notice of Acceptance and Product Control Approvals.. CATEGORY 94 - TILE RO Fee•Code Descriptio B 105 Roofi Groups H and I) ing (Other Groups) r a: ® 0 New Roof • tY Re -Roof • ❑ Repair • 0 Recovery fired inspections: 009 -Time of installation 001 -Final F (MORTAR SET APPLICATION) Fee Calculation .096 per sq. ft. of roof coverage .096 per sq. ft. up to 30,000 sq. ft. .055 per sq. ft. thereafter MINIMUM CODE REQUIREMENTS: One layer of #30 felt tin capped 12" O.C. One layer of #90 ASTM mineral surfaced slate set in hot asphalt. Minimum 26 gauge galvanized eaves drip and valley metal. Tile set in appropriate mortar base as per Notice of Appearance. Pull test required prior to final inspection. ROOF PITCH REQUIRED: As per Notice of Acceptance. 123.01 -71 9/99 PAGE 1 MIAMI -DADE COUNTY BUILDING DEPARTMENT ROOFING-PERMIT-FEE-SHEET a - . in thi Sig ture REQUIRED INSPECTIONS 059- Before anchor sheet is covered 001 -Final REQUIRED INSPECTIONS 059- Anchor sheet inspection 010 -Tile placing 001 -Final Unit Sq. Ft. Sq. Ft. REQUIRED INSPECTIONS 059- Anchor sheet inspection 063 -Cap sheet inspection 010 -Tile placing 001 -Final Unit # of Units Fee Sq. Ft. Sq. Ft. # of Units ent ' e true. I under- Fee (L.S.) CATEGORY 95- SHINGLES (ASPHALT, FIBERGLASS, SBS) Fee Code B104 B116 Description Roofing Roofing (Other Groups) MINIMUM CODE REQUIREMENTS: One #30 ASTM D -226 Tin cap 6" o.c. on laps and 12" o.c. on field Six (6) nails per shingle. 16" Valley Metal over Mineral Felt Dade County approved shingles ROOF PITCH REQUIREMENTS: 2:12 CATEGORY 96 SHINGLES (ASPHALT, FIBERGLASS, SBS) Fee Code B104 B116 Description Roofing Roofing (Other Groups) MINIMUM CODE REQUIREMENTS: See Chapter 34 of the S.F.B.C., manufacturer's specifications protocol and Product Control approvals PAGE 2 Fee Calculation .075 per sq. ft. of roof coverage .075 per sq. ft. up to 30,000 sq. ft. .043 per sq. ft. thereafter REQUIRED INSPECTIONS Fee Calculation .075 per sq. ft. of roof coverage .075 per sq. ft. up to 30,000 sq. ft. .043 per sq. ft. thereafter REQUIRED INSPECTIONS 059- Anchor sheet inspection 009 -Time of installation 001 -Final 009 -Time of installation 001 -Final Unit # of Units Fee Sq. Ft. Sq. Ft. Unit # of Units Fee Sq. Ft. Sq. Ft. WARNING A) Chapter 455 of the Florida Statutes provides for fines in the amount of $500.00 to $5,000.0 ' for any consumer (owner - builders, contractor, etc.), who "aids and abets the unlicensed practice of a professions by employing such unlicensed person" B) A Product Control "Notice of Acceptance" and method of installation must be provided at time of permit applica- tion and posted at jobsite for inspection on all roofing system. C) The Contractor or owner- builder must provide an O.S.H.A. APPROVED ladder for two or . rre stories for roof access at the time of inspection. Failure to do so, will result in reinspection fee. MIAMI .OADE M -DADE COUNTY, FLORIDA NiETRO•OADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 NW 20 St. Boca Raton ��✓ iva�nn�n�� 1 \6/6/1 £LL. JC:7J CJO rJOJJ The expense of such testing will be incurred by the manufacturer. Acceptance No.: 99- 1012.02 (Revises No.: 97- 1124.16) Cxpires,12 /16/2002 A pprove /30.'1999 BUILDING CODE & PRODUCT REVIE \V COMMITTEE NU. ..3b10 WI J B ILDIFGCODECOMPLIANCEOFFICE METRO -DAOE FLAGLER BUILDING I -0 WEST FLAGLER STREET. SUITE 1603 MIAMI, FLORIDA. 35130.1363 (;051 375.2 )01 FAX (3051 375•2909 CONTRACTOR LICENSING SECTION (305) 375.2527 FAX 105) 375.2558 FL 33431 CONTRACTOR ENFORCEMENT SECTION (305) 3 75 -2966 FAX (305) 375.29013 Your application for Product Approval of: PRODUCT CONTROL DIVISION (301) 175.2902 FAX (305) 372-6339 Villa c4 Roll Capri Low Prof 1 ' Tile - under Chapter 8 of the Code of Miami -Dade County governing the use o .Alternate Materials and Construction, and completely described herein, has been recommended for acceptance by the Mimi -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval stthil not oe valid after the expiration date stated belou.. BCCO reserves the right to secure this product or material at anytime from a jobsitc or manufacturers plant for quality control testing. pro;. or material fails to perform in the approves n,c„utcr, DECO may revoke, modiF 3r suspend the use of such product or material immediately. BCCO reserves the hehl to revoke this approval, if it is determined BCC() that this product or material fails to meet the reou:rements of the South Florida Building Code. Raul Rodriguez Chief Product Control Division THIS IS THE COvERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL L.v1�/Jr r tvt1. This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisco !. Quintana, R.A. Director I of 9 Miami -Dade Count) Building Code Compliance Office Internet mail ;waIres,: po .tmrltrr ©husidingcudeuulife.com tSt N.,niepr►e: Bitp :r / .-ww,buird;aFeudee,il'ne.cem MONIER 4,onier L,feitile LLC Capri Tile Trim Pieces �.IFETILE LLC APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: : CONDITIONS 1. SCOPE • This revises a roofing system using Monier Lifet V ella, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed ;a comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressurc requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the vale— listed in section 4 herein Thy nr• --;enr calculations shall be done as a moment based system. Sub Category: PRODL CT DESCRIPTION Prepared Roofing Low Profile Tile L = 17" \V= 12 '!," '/•" thick 1= varies w = varies varying thickness Manufactured by Test Product Apni;ennt Dimensions Specifications Description Monier Lifetil: LL. 1= 16 PA 112 Low profile, interlocking. high pressure. Villa & Roll w m 13" extruded concrete roof tile equipped with '/_" thick one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive sut applications. PA 112 Lou. prof I._, interlocking, high pressure extruded concrete roof tile equipped w itn one nail hole and double r oll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 ACCEPTANCE No.: 99- 1012.02 Accessory trim. concrete roof pieces For use at hips, rakes. ridges and valley terminations. Manufactured for each vile profile. Frank Zuloaga, RRC Roofing Product Control Examiner MONIER LIF'ETILE LLC ACCEPTANCE vo.: 99- 1012.02 Produel. Rainproof I f Ice and Water Shield wood Batten: Tile Nails Tile Screws Roof Tile Molar ( "TiteTiteT " ", Roof Tile Molar (' Roof Tile Mortar ,:I 140 ") APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 2.1 Components or r: oducts manufactured - by others Test Dimensions Specilicatigni 30" x 75' roll PA 104 36 "x or 60" x 75' roll 36 "x75'roll PA 10'3 Vertical Wood Preservers ��ttn• x 4 institute LP — 2 Horizontal ,Min, I "x 4" for use %.ith vertical barrens or Min. t "x 2" for use alone IOdx 3" PA 114 Appendix E Corrosion resistant �8x 2 V" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. NIA N/A shank nails PA 114 Appendix E Corrosion coated, square drive, galvanized, coarse thread %wood screws PA 123 PA 123 Product Description tm nufacture Single ply, nail-on Protect -O -Wrap. underlaymcnt with Inc. 2" self - adhering top (with c .'' ent NOA) edge. Sell - adhering W.R. Grace Co. underlay (with current NOA) Salt pressure generic treated or deczy resistant lumber battens screw or srrmn•h Prepared mortar mix designed For mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. generic generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with Current PCA Roofing Product Convol Examiner MONIER. LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 Product Test Product Dimensions Specifications Description Roof Tile Mortar N/A PA 123 Prepared mortar W. R. Bonsai Co. ( "BONSAI® mix designed for %vital current PCA Roof Tile Mortar mortar set roof tile Mix"') applications. Roof Tile N/A See PCA Two component Polyfoam Products, Adhesive polyurethane Inc. ( "Polypro9 a .: AH160 ") for adhesive set roof tile apply canons. NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Roof Tile Factory premixed See PCA Single component Flexible Products Adhesive canisters polyurethane (with current TileBond foam roof tile NOA) adhesive Hurricane CIic & Clips PA 1 14 Appendix E Corrosion resistant Fasteners Min.'' /" width clips \vith corrosion Mon. 0.060" thick resistant nails. Clip Fasteners Min. 3d x 1 '/. 3. LIMIIT.'TIONS 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 PA 112. appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot moppcd 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. -= .. • s shall be in compliance with chapter 29 of the SFBC�— 4 APPROVED :December 30, 1999 EXPIRES :December 16. 2002 Manufacturer Generic Zuloaga. RAC Roofing Product Control Examiner ,vu. 7Q10 V i t t aote 1: Aerouy,idrnlc Multipliers - X (W) Tile Profile X (ft') Batten Application k Of) Direct Deck Application Monier Lifetile Vita, Roll and Capri Tile 0.267 0.289 Profile t MMONTER LIFLTILE LLC NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1 (v.onier Villa, Roll, aslu Capri Concrete i.00t Tic and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118. RAS 119, and RAS 120. 4,2 Data For Attachment Calculations Tile Profile Table 3: Attachment Resistance Expressed as a Moment - M, (ft - tbf) for Nail -On Systems Fastener Type Monier Lifetite 2 -100 Ring Shank Nails Villa, Roll, anti 1 -10d Smooth or Screw Capri Tile Shank Nail 2 -10d Smooth or Screw Shank Nails 1 *a Screw 2 tti8 Screw • 1 -100 Smooth or Screw • Shank Nail (Field Clip) 1 -10d Smooth or Screw Snank Nail (Eave C1pL 2 -10d Smooth or Screw Shank Nails (Field CIS) 2 -10d Smooth or Screw Shank Nails (Save Clip) Direct Deck (min 15/32" plywood) 27.8 8.8 16 4 21.9 25.8 1 25.8 47 1 24.3 19.0 35.5 31.9 _2 -10d Ring Shank Nails' 43.0 Installation with a 4 file heaalap and rasterners are located a min. of 21 5 ACCEPTANCE No.: 99- 1012 ^ 02 APPROVED :December30, 1999 EXPIRES :December 16, 2002 Direct Deck (min. 19/32" plywood) Battens 374 2 :.3 7.1 22.9 47.1 49.1 2 24.2 19.0 35.5 31.9 Frank Zuloaga, RAC Roofing Product Control Extuniner 22.1 34.8 32.2 Table 2: Restoring Moments due to Gravity - M, (ft -Ibf) Tile 3 ":12" 4 " :12" 5 ":12" 1 6":12" 7 ":12" or Profile 1 greater Monier Li(etite Battens Direct Battens I Direct Battens Direct Battens Direct Battens Direct Vona, Roil, ani Deck Deck Deck I Deck Deck Capri Tile 5 57 6.30 1 5.48 1 6.18 5.37 1 6.05 1 5 24 5.90 1 5.09 5 73 t MMONTER LIFLTILE LLC NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1 (v.onier Villa, Roll, aslu Capri Concrete i.00t Tic and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118. RAS 119, and RAS 120. 4,2 Data For Attachment Calculations Tile Profile Table 3: Attachment Resistance Expressed as a Moment - M, (ft - tbf) for Nail -On Systems Fastener Type Monier Lifetite 2 -100 Ring Shank Nails Villa, Roll, anti 1 -10d Smooth or Screw Capri Tile Shank Nail 2 -10d Smooth or Screw Shank Nails 1 *a Screw 2 tti8 Screw • 1 -100 Smooth or Screw • Shank Nail (Field Clip) 1 -10d Smooth or Screw Snank Nail (Eave C1pL 2 -10d Smooth or Screw Shank Nails (Field CIS) 2 -10d Smooth or Screw Shank Nails (Save Clip) Direct Deck (min 15/32" plywood) 27.8 8.8 16 4 21.9 25.8 1 25.8 47 1 24.3 19.0 35.5 31.9 _2 -10d Ring Shank Nails' 43.0 Installation with a 4 file heaalap and rasterners are located a min. of 21 5 ACCEPTANCE No.: 99- 1012 ^ 02 APPROVED :December30, 1999 EXPIRES :December 16, 2002 Direct Deck (min. 19/32" plywood) Battens 374 2 :.3 7.1 22.9 47.1 49.1 2 24.2 19.0 35.5 31.9 Frank Zuloaga, RAC Roofing Product Control Extuniner 22.1 34.8 32.2 MONIER I.IFETILE LLC ACCEPT.N'CE No.: 99- 1012.02 Meowm paddy placement of 24grams of P yPro' ". Tile Profile Monier Lifetiie Villa, Roll And Capri Tile for Mortar Set Systems Tile Application Mortar Set' APPROVED :December30, 1999 EXPIRES :December 16, 2002 NOTrg OF ACCEPTANCE: STANDARD CONDITIONS Table 4: Attachment Resistance Expressed as a Moment M, (ft -Ibf) for Two Patty Adhesive Set Systems Tile Tile Application i Minimum Attachment Resistance Monier Lifetrle Villa, Roll, and Adhesive 26.1' Capri Tile 2 See mar+uf +cures comoe 'mot aoprovd' ` ^, , rallanon requirements Flexible Products Company TileBond Average weight pet patty 11.4 grams. Polyloam Product, Inc. Average weight per party 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Sinale Patty Adhesive Set Systems Tile Tile Application ; Minimum Attachment Profile Monier Ldetile Villa Roll, Polyfoam Poi r 2 86.61' and Capri Tile Resistance Polyfoam Pro' 45.5' large paocy placement of 54grams of PolyPro" . Table 48: Attachment Resistanc Expressed as a Moment - M,(ft - Ibf) 3. LABELi∎r v Alt tile! shalt bear the imprint or identifiable marking of the manufacturer's name or loco, or following statement: "Miami -Dade County Product Control Approved". 6. BUILD•"4C PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the follom.ing' 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Attachment Resistance 20.60 utoaga. RRC Roofing Product Control Examiner I ILI• .JL)V 17 1 `-1 'A J. MONU R LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWINGS .JV.! IL J4.0 C/V .I�! MONIER LIFETILE VILLA CONCRETE ttuLd1 TILE MONIER LIFETILE ROLL CONCRETE ROOF TILE 7 APPROVED :Dccember 30, 1999 EXPIRES :December 16, 2002 Frank Zuloaga, RRC Rexfn� Product Control Examiner i�u. J lfIJ • MONIER LIFETILE L C ACCEPTANCE No. : 99- 101?.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS R MONIER LIFETILE CAPRI CONCRETE ROOF TILE u1onga. RAC Roofing Product Control Examiner NOTICE OF ACCEPTANCE: STANDARD CONflmoNic 9. This Notice of Acceptance consists of pages 1 through 3 and this last page 9. END OF THIS ACCEPTAN mink Zuloaga. RAC Roofing Product Control Examiner • MONIER LIFETIL1r LLC ACCEPTANCE No.: 99- 10)2.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Renewal of this Acceptance (approval) shall be considered after a renewal application has bccn filed and the original submitted documcnts. including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name. city, state, and the following statement: "Miami•Dade County Prodip -r c.....o.,1t", or as specifically stared in the specific conditions of this Acceptance. 3_ Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not ir, . _ _ ,__ .,,,n the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has sot complied with all the requirements of this acceptance, including the correct installation of the product. . c c.iginccr who originally prepared, signco ana stated the required documentation initially submined. is no longer practicing the engineering profession. 4. Any re% islon or change in the materials. use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unlass prior written approval has been requested (through the filing of a revision application with appropriate tee) and granted by this office. 5 Anv of the following shall also be grounds for removal of this rt.cccpta,tce: a, U'satisfactory performance of this nr nr��• -- b 'cuse of this Acceptance as an endorsement of any product, for sales. advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County. Florida. and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice c f Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 3. Failure ::o comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. PRODUCT CONTROL NOTICE OF ACCEPT Polyfoarn Products. Inc. 2400 Spring.Stuebnet Road Spring, TX. 77383 ACCEPTANCE NO.: 98- 030302 Renews: 96- 0402.02 EXPIRES: 04/16/01 APPROVED: 04/16/9R METROPOLITAN DAOE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE MSTRO -MADE FLAGLER BUILDING 140 WEST FLAGLER STREET SUITE 1 603 MIAMI, FLORIDA 33130.1563 (305) 375.2901 FAX (305) 315.2908 PRODUCT CONTROL 01VISION (305) 375.2902 FAX (305) 372.6339 Your application for Product Approval of Polyfoum Products "Polvnro AH.160" Rog Tile Adhesive under Chapter d of the Mianti - Dade County Code governing the usc of A Iternate Materials and Typca of Construction. and completely described in the plans. specifications and calculations as submitted by: The Center for Applied Engineering. Inc. and Miles laboratories Polymers Division has been recommended for acceptancc.by the Ruilding Code Compliance Office to bc used in Dade County. Florida under the specific conditions set forth an pages 2-la and the standard conditions on page I5. This approval shall nut bc valid alter the expiration date stated below. The Building Code Compliance Office reserves the right in secure this product or material at any time from a jobsitc or manufacturers plant for quality control testing. If this product or material fails to perform in the approved manner. the Building Code Cumpliance Office may revoke. mudify. or suspend the usc of such product or material immediately. The Uuilriing Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. aul Rodriguez Product Control Supervisor Charles Uartgcr. Oircctnr Building Code Compliance Dept. Miami -Uadc County �TIS T S T14-(LS WC SEF Annl'1'IUNAL PAGES FOR SPFCll ANI) GL:NERAL CONI)1TIOLYS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Miami•Oade County Building Code Compliance Office and approved by the Building Codc Committee to be used in Dade County, Florida under the conditions set forth above. . Internet malt address: postmasterebulldlnecodeonttne .eem WOrnepspe: htlpJtwww .0u11d1ngcodoOnlIns.com 1 4 f POLYFOAM rRODUCCS. INC. Product Control No.: 98 0303.02 PRODUCT CONTROL. NOTICE OF ACCFPTANCF. ROOFING COMPONENT APPROVAL Aonlicant; Poly1'usm Products, Inc. , Product Control No.: 98- 0303.02 2400 Spring - Stuebncr Road Spring, Texas 77383-1132 Approval Date: Anvil 16,1998 Catertory: Roofing Component Sub- Catettorv: Fastening/Adhesive Type: Roof Tile Adhesive Sub -Tvoe; Two Component Polyurethane System Description Expiration Date: April 16, 200 Q Polyfoam Products, Inc.. produces two - component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polypro® AHI60 is specially designed for application of concrete and clay roof tile over a variety of roof deck substrates and underlayment materials. l'olypro4D adhesive is applied with proprietary Foampro® RTFI000 dispensing equipment. Approval of this product is specific to the two component mix and Foampro® RTF1000 dispensing equipment. Alternative methods of dispensing will require a revision to this approval. Polypro® adhesive shall be applied only by 'Qualified Applicators'. licensed by Polyfoam Products. Inc. Certificates and identification cards are issued to applicators upon successful completion of a application training program. Approval of this adhesive system is contingent upon application by a 'Qualified Applicator. Contact: Pat Murray P.O. pox 1132 Spring, Texas 773R3• 1 132 Phone: (713)350 -8888 Fax: (713)288 -6450 Page 2 of 15 Frank Zuloago. RRC Roofing Product Control Examiner , .4 POLYFOAM PRODUCTS, INC. Product Control No.: 58 =0303 OZ TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT roduct Polypro® AH160 Foampro® RTF 1000 Test Product Dimensions Specifications Description N/A PA 101 Two component polyurethane N/A See Delail Attached Dispensing Equipment 3 Page 3 of 15 Frank Zuloaga, IRKC Roofing Product Control F,xanriner POL 'FOAM PRODUCTS, INC. Product Control No.: 98 0303.02 TRADE NAMES OF PRODUCTS MANUFACTURED UY OTHERS Product Undcrlaymcnt Roof Tile Test Criteria Page 4 of 15 Product Description PA 120 All Dade County Component Approved products as detailed in Dadc County Application Standard PA 120 . PA 101 All Approved roof tile systems having tested in compliance with Dade County Protocol PA 101, as deteikd in the systems section of this Component Approval Manufacturer All Dade County Approved Products All Dade County Approved Products Fran Zuloaga, RRC Roofing Product Control Examiner POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303,01 Test Agency TEST REPORTS Test Identifier lest Name/ c or atc Center for Applied H94.060 Miami Dade Protocol 04 /08/94 Engineering PA 101 Center for Applied 257818 -IPA Miami Dade Protocol 12/16/96 Engineering PA 101 Center for Applied 25- 7438 -3 SSTD 11 -93 10/25/95 Engineering Center for Applied 25- 7438 -4 SSTD 11.93 10/25/95 Engineering * Center for Applied 25-7438-7 SSTD 11 -93 11/02/95 Engineering Center for Applied 25-7492 SSTD 11 -93 12/17./95 Engineering Miles Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories. 9637 -92 ASTM E 108 04/30/93 Inc. Southwest Research 01. 6743 -011 ASTM E 108 11/16/94 Institute Southwest Research 01. 6739- 062b(11 ASTM E 84 01/16/95 Institute Trinity Engineering 7050.02.96 -1 PA 114 03/14/96 Page S Frank Zuloaga, RRC Roofing Product Control Examiner • POLYFOAM PRODUCTS, INC. Product Control No.: 8- 0 .02 TYPICAL PHYSICAL PKOPERTIES Property Density Compressive Strength Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs. /Ft Moisturc Vapor ASTM E 96 3.1 Perm / Inch Transmission Diinensional Stability Closed Celt Content 1821 Result, ASTM D 1622 1.61bsJfi.' ASTM 1.) 1621 18 PSI Parallel to rise 12 PSI Perpendicular to rise ASTM D 2126 ASTM D 2856 86% +0.07% Volume Change (41.400 F., 2 weeks +6.0% Volume Change Q158°F., 100% Humidity, 2 weeks Note: The physical properties listed above are presented Ms typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. Page 6 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner ' POLYFOAM PRODUCTS. INC. Product Control No.: 98. 2422 SYSTEMS Deck Type: Wood. Non - insulated, New Construction/Remof Dcck Description: Is / or greater. plywood or wood plank. SYSTEM A: Adhesive Set Application Slope Range: 2 " :12" to 7 " :12" Undcrlayment: Shall comply with Miami -Dadc Roofing Application Standard PA 120 Roofing Tile: Comments: Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment lei meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof tile assembly NOA. 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. Page 7 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner • POLYFOAM PRODUCTS, INC. Product Control No. : 9 - ]03.02 SYSTEMS (CONTINUED) Deck Type: Concrete. New Construction/Reroof Deck Description: New construction SYSTEM It Adhesive Set Application Slope Range: 2":12" to 7" :12" Underlaymcat /. Install Approved underlayrnent system of one of the following: Waterproofing: Undcrlaymcnt: (30/90 Hot Mop) fully adhered in a full mopping of ASTM 1) 312 type I asphalt applied within the EVT range. Back nailing and laps shall be in compliance with Roofing Application Standard PA 120. Roofing Tile: Comments: Any liquid applied roofing system having a current NOA for its use as a tile underlayment system. Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Application Standards PA t I S or PA 127. The adhesive attachment data is noted in the roof tile assembly NOA. 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval or waterproofing component Rooting Component Product Control Approval shall apply, as applicable. Page $ of IS Frank 7_uloaga, RRC Roofing Product Control Examiner Table 1: Adhesive Placement For Each Geacric Tile Profile Tile Profile Placement Detail Two -Piece Barrel 'S' # I Shaped #2 Double Roll d3 Flat H4 "' " 4 ' 0 POLYPOAM PROOUCVs. INC. COMPONENT A PPLICATION Product Control No.: 9 8-0303.02 1. Polypro® AH160 tile adhesive shall only be applied over an underlayment installed in compliance with application instructions detailed in its NOA.. Underlayment may be any underlayments or underlay,nent systems listed Miami -Dade County Roofing Application Standard PA 120. Z. Adhesive application shall be in accordance with the instructions provided herein. Tthe manufacturer may provide additional instructions subsequent to this approval date which may prevail. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products. Inc. 3. Calibration attic Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "8" component shall he maintained between 1.0- 1.15 (A) : 1.0 (B). The dispense timer shall be sct to deliver 0.08 to 0.15 pounds per tile as determined at calibration. No other settings shalt be approved without revision of NOA. 4. Adhesive shall be dispensed in a 17 in' to 23 in pad at time of application. The cured pad shall be approximately 5" x 12 ". Foam placement shall be in accordance with the 'Placement Deta ils' herein. Each generic tile profile requires a specific placement, as noted in Tahle I, below 5. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam has been dispensed. Page 9 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner POLYFOAM PRODUCTS. INC. Page 10 of 15 Product Control No.: 98- 0303.02 SYSTEM LIMITATIONS 2. Polypro® A11160 adhesive shall be installed only by 'Qualified Applicators' approved and licensed by Polyfoam Products. Inc. 3. For adhesive set the applications. a field static uplift test by a Miami -Dade County accredited testing agency. in compliance with Miami -Dade County Routing Application Standard PA 106. shall be required not less than 72 hours after application to confirm tile adhesion. 4. Refer to application drawings published by the National Tile Manufacturers Association for penetrations and terminations. as well as the 'Placement Details' included with NOA. 5. Refer to tile Roof Tile Assembly Product Control NOA for system acceptance with this Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. 7. Polypro® A1•I160 shall not be exposed permanently to sunlight. 8. Polypro® AH I60 shall be applied with Foampro RTF1000 dispensing equipment only. 9. Polyfoam Products Inc. shall supply Building Official with a list of 'Qualified Applicators' approved and licensed by Polyfoam Products. Inc. Frank Zuloaga. RRC Roofing Product Control Examiner POLYVOAM PRODUCTS. INC. Ikolorloputont if To. ..•••. *pad." iw•.. Novo .M_L W s. r boos fa. r1.1il.K• NOW 1M.. Theo l.•1•n !Ow to ...l.•. 17 1.a .q, l.dr.Nmool.NeofN the Pew ulw firm asp '••Nr J Or 0111VO ~SO Ulm. Aid to .•...r ...•.. of pow IN•.. Ew•.r. ww — of •.w sad .••.• Moo ••. 11•..M .1 ..•. Ew. (.•••tto • PLACEMENT DETAILS 00UM1212Wea •4=.1. .Ifd•MIMIM.. sue-- - Woopboo Page 11 of 15 U.w W.•y. MGM• •■•••■• b..•. wW.. •-.-I Fusel. Soong Placement Detail #1: Two -Piece Barrel Profile Product Control N0. N0.:11Kigam Ortionol IMwWp U.4 •• �t1•.Il.d •d0m. •1 Ina■ Frank Zuloaga, RRC Roofing Product Control Examiner POLYFOAM PRODUCTS. INC. 64 Ib..aA.l..u.Somme boars ...dw s b a...- P',Ac>EmENT DETAILS (CONTINUED) Wage 12 of 15 MiM/ wk aaw..n.. .di... IT t. =7 agars. e..w.• ti ~WI WM M. um.. lave thou., s...i. 8.s,4 Placement Detail a2: 'S' Shaped Tile Profile Product Ccmtrol No.:_ 9R -0_ 30i.p2 an, Era. Frank Zoloaga. RRC Roofing Product Control Examiner POLYPOAM PRODUCTS, INC. ISM Indpruk /hells e.rmw rnr.1 loomed M - lone Caw.. PLACEMENT DETAILS (CONTIIVuvn) ewe course eels. bey eeerro1.e erreraek.eller rwr ..eeMlee. Page 13 of 15 ws ornery meal.o t. eeMlwe 17.13 ~wee imbue 1e eeeleel wee M. We. Placement Detail 03: Dnubk Roll Profile Product Control No,: 91 -0303.02 Coro clear. Frank Zulaaga, RRC • Roofing Product Control Examiner * e o 6 POLYFOAM PRODUCTS, INC. - ..M+►.r by ands/ PLACEMENT DETAILS (CONTINUED) Clover C..... ION ...... -.Kw .Awa• .N...4w_u., r 6.w .. Placement Detail H4: Flat Profile Pagc 14 of 15 Product Control No.: 98-010 ywr awe* "ON,. S7.*) .o.n. lash.. 1.1 swilled with Um Uhl. tee* Chrome /rob .uloaga. RRC Roofing Product Control E.aaminer -. •.. v POLYFOAM PRODUCTS, INC. Product Control No.: 911- 0303.02 Pnlyfoam Products, Inc. ACCEPTANCE NO: 98 Q1Q3.02 2400 Spring•Stuebner Road APPROVED : April 16. 199t1 Spring, TX 77383 EXPIRES : Asrril 16 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS I Renewal callus Acceptance (approval) shall be considered sRer a renewal application has been filed and the original submitted documentation, including tcu supporting data. engineering documents, arc no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturers name. city, state, and the following statement: "Miami-Lade County Product Control Approved ". or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the coda changes; b) The product is no longer the same product (idcnticul) as the one originally approved; c) if the Acceptance bolder has not complied with all the requirements of this acceptance. including the • correct installation of the product; d) The engineer who originally preoared. signed and sealed the raauired dnnn.c4tnhie n :�:.�,lt., �,•..., ;... is no longer practicing the engineering profession. 4 •Any revision or change in the materials. use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance. unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process: b) Misuse of this Acceptance as an endorsement of any product, for salts. advertising or any other purposes. 6 The Notice of Acceptance number preceded by Ilse words Miami -Dade County. Florida. and followed by the expiration date may be displayed in advertising Literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents. where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by t engineer. 8 Failure to comply with any section of this Acceptance shall be cause for terntination and removal of Acceptance. 9 This Acceptance contains pages 1 through 13. END OF THIS ACCEPTANCE Page 15 of 15 Frank Zuloaga. RRC Roofing Product Control Examiner Test Date Project Address Contractor Permit Number Roof -Pitch TAS 106 Roof Tile Uplift Test Report ROOF REPORTERS, INC. yea '� October 23, 2000 955 NE 92 St. Miami Shores, FI. J&W- Builders 47150 4 :42 Tile Installation Date October 20,2000 Adhesive. Type_ Tile Type All testing is in. strict _accordance_with_The_Dade - County- version.of The South Florida Building Code, Section 3401.10 and PA 106 -95. Each Test location ing a Chatillon_Eorce _.Gauge_taa.minimum of 35 lbs.. TEST SUMMARY TEST RESULTS: PASSED, See Attached Sketch for Further Details frj'cc4 �Ia�gni Poly Foam Vanguard Black Roof Area Total- #- of-Tests- #-of Tests - Passed- %Passed Field & Ridge 25 24 96% Corm 1-0- 1-0- 100% Perimeter 10 10 100% Al Maccagli, RRC #116 Dade._County Certified Testing Agency_ #99.4615.04 (561) 434 -7555 1 0i1.11llrt miT!t 3281 Lake Worth RoadO Suite EO Lake WorthOFlorida 33461 RooLConsu►6ng_&Testing flV isuaLSucveys. &Evaluations.ORanfSyrstem.Design 0 Moisture Surveys OCT -23 -2003 06:30 PM RARKLEY cif — 5 5 ' 9.g.5 (32 • 1 i GLAAA : 9547354621 P.08 • UNIT UNDER TEST: Mfr S1N: Cust S1NI: PROCEDURE NAME CALIBRATED BY: P.O. NUMBER: SUBMITTED BY: CERTIFICATE NUMBER: 30445:97049759X Synergy Labs, Inc certMes that the above listed instrument meets or exceeds all specifications as stated in the referenceo procedure (unless otherwise noted). It has been calibrated using measurement standards traceable to the National Institute of Standards and Technology (NIST), or to NIST accepted intrinsic stanoarcts of measurement, or derived by the ratio type or self- ca`lbration techniques. This calibration complies with ISO GUIDE 25 and ANSIINCSL 2540 -1 -1994. This report may not be reproduced. except in full, unless permission for the publication of an approved abstract is obtained in writing from Synergy Labs, Inc. Note Any Test Uncertainty Ratio (TUR) that is less than four to one will appear under the "TUR" heading on the data record. lithe TUR meets or exceeds four to one, the field is left blank rents were nc ssa-y. C 111 ca Standards Used Asset 999473 999469 999002 Signec: is um was ounc 0 -CalibratirOrrarileTair n REPORT OF CALIBRATION fa! PRINTED ON. 3 Oct 2000 ROOF REPORTERS Report of Calibration Synergy Labs, Inc 8211 NW 84 St #3 Miami, FL 33166 888.346.2430 CHAT!LLON DFIS 100 DIGITAL FORCE GUAGE 25282 25282 TB9- 6670- 255 -50 Josrnan Brizuela VERBAL o erance a 1e :re o Description TROEMNER 9080 WEIGHT TROEMNER 9080 WEIGHT AMETEK VVG -23 WEIGHT SET SERIAL. NUMBER • 25282 ra ton.: o ac PERFORMED ON: NEXT CAL DUE:: TEMPERATURE: HUMIDITY: !us CAL DATE 27 Apr 2000 27 Aor 2000 19 May 1999 20ct2300 02Jan2001 23.0`0 -1- 1 DEG 45 % +1- 5% CAL DUE DATE 27 Apr 2001 27 Apr 2001 19 May 2001 Synergy _abs assyned ASSE` NUMBER 33445 1 of 1 PERMIT APPLICATION FOR MUNICIPALITIES OF DARE COUNTY (OWNER TO RETAIN COPY) q fa l Job Address Legal Description �j�'f /W/ 6('2(`,4/Ks e=r,g /i0i, Master Permit # %k5 / Lessee / Tenant Ii9h4 4, e'-/ K `' scAel0/‘- Owner's Address q TC 1\ q sT Phone i -v/ n Contracting Co. /9,01a /k0Ae. Address Qualifier SS1 - - Phone State# Competency # Ins.Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one BU ILDI N i ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Re . 4).- 2k,l r/ 41,111 Pt r Signatuir of Owner and /or Condo President Date: (IOi f Notary as to Owner and/ r Condo President My Commission Expi es: /6/ 4 PERMIT FEE: APPROVED: Zoning ,ajCO� Fire Building Address Address Address Tax Folio eZ_ 4< a.1 Square Ft. Estimated Cost Jc D WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furt rmore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner - Builder Date: Notary as to Contractor or Owner - Builder My Commission Expires: * * * * * * Other Electrical Mechanical Plumbing Engineering „ o MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT INSTRUCTIONS TO OWNER- BUILDER Ypu have, this date, made application for a building permit as an owner - builder. You should be advised of the following provisions and requirements that apply to owner - builder. Proof of Ownership - Prior to a building permit being issued to you, you must submit proof of ownership of the land concerned in the application in the form of a recorded deed, showing you own the property, or a copy of mortgage or warranty deed of the land, or a Dade County tax receipt, statement to contain legal description of property and indicate property is in your name. Legal description and name on document of proof must correspond to the name and legal description on the application. Responsibility - You will be responsible for all work done by your day labor employees, and you must either employ licensed contractors or persons to be paid on an hourly or per diem basis. Any one contracting (including labor) with you, verbally or in writing, on a fixed fee basis for any work, who is not properly licensed, will be subject to a fine of $500.00 and /or imprisonment for six months. Insurance - You should be advised that if your day labor employees cause any damage to persons or property, or if any of your day labor employees are injured on the job, you are liable. Your regular home insurance policy ordinarily does not cover this type of liability. Withholding Taxes, etc. - You should be advised to investigate your responsibility for withholding Social Security, Federal and State Unemployment Insurance Taxes and Federal Income Taxes from the wages of employees working for you on the proposed construction, and for making returns thereof to the proper agencies. Work Permitted Owner - Builder - An owner - builder subject to the foregoing provisions and requirements, is limited to constructing one single family residence each year for his own use and occupancy; ;or maintaining, altering or repairing his own single family residence. If you do not intend to do the work involved yourself, or with day labor, please list below, the name of the individual or firm with whom you have entered (or will enter) into a contract for the work. NOTICE: SEPARATE PERMITS REQUIRED FOR ELECTRICAL, PLUMING, ROOFING AND MECHANICAL WORK 1 k. q?, Name of Individual or Firm Address I, the owner of property described as that I have read the foregoing instructions, and am aware of my responsibilities and liabilities under my application for a building permit for construction work on the above described property. 7aLk Witness do hereby certified Owner '')/)-q/q) Date MIAMI SHORES VILLAGE BUILDING IktPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of uee plans and specifications herewith submitted for the build inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of the work. Date..._..._...__ .. June 4th _._._..._.... , 119.. 87 Owners Name and Address John Scheer .... No._955 _,.,,.,.. Strom NE 92 St. Registered Architect and /or Engineer .,,. ..,•••,,...,,,,,. - ....• <..,. Name and address of licensed contractor Biscayne Roofing Co. 5180 E. 11 Ave. Hialeah, Fl. Location ,legal description of lot to be built on: // 5--2.12e a 6 � e c — o ° Lot .�• �j Block Subdivision. R A1/ j�l,t- _..P.1G J1% .I71,,,(C _... Street and Number where work is to be done 955 N. E. 92 5 t r e e t State work to be done and purpose of building (by floors ).......E g.- Q Qf.: Remove ez i s t i n g wh . t . e f l o t s. t i l e • ......... Tin cap 1 -30# base sheet, mop ._1_90 # Install white,. flat cement tile. ,,�7 26...$ q u a r e s and for no other purpose. New Building �'" n Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $....6.8.9.0 DD Amount of Permit 1..3Q...0Q Zone cubage required _.....plan Cubage Distance .to next nearest building _ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. Biscayne Roofing Co. 5180 E. 11 Ave. Hialeah Fl. 33013 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Lihur under the Florida Workmen's Compensation Act, being Section 5J66. Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be pos or inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only s ch ntractors, on work to be perfe ed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, I COUNTY OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- peared James T. Laing __ ....to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. R.o.o f. in.g C o n't r a c t o r of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and.that all facts therein by him stated are true. / Permit No..__. . r.. 7.,L - ^ Da ( te `� 1 8 ,� Disapproved (Signed) " 1 Building Inspector Chainnan Nfernber Member .. Council Approved Date • Repairs X No. of Stories 1... Roof Covering Tile J James T. Laing Read, Sw•rn serib\bef Notary Publics � t t`� ,��.�... y ola is usig OF FORMA My Commission Expir a .._ gt 6missiofl tuP, JOhg 4, - PLANNING BOARD Member Member ...._._ Member ....�._..... Disapproved ................. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Pl..nnir,g Board. A re-inspection fee of SI.00 will be charged when such re- inspection is mad. necessary by improper notice for inspection or faulty materials anti /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. _ r �-- ��te ,19 Owner's Name and Address. i - -/ `' `,_g � r,. t..._-,? ,' .0. °l ' No. Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: r MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Lot. Block Subdivision Street and Number where work is to be done a State work to be done and purpose of building (by floors) 1 v ' 14 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering < v? / /r �� �� . � Estimated Total cost of improvements $___ [ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•. r ' ors jon2torJi to be performed under this permit, as are licensed by Miami Shores Village. r Remarks (Signed) _ fl ___ __:�''� STATE OF FLORIDA, COUNTY OF DADE. i Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. .G ' Permit No , Q 4s Date 1 7 - 8 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building nspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. t'