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ROOFINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE I i 1 Date 1 //9/00 Job Address /0 9.2 ,lJ 9 y Tax Folio 1 5 1 0 � $ 1. ; 1 4 Description 0 r y ILegal Ph 1 Historically Designated: Yes 1 . No .--" DI..essee /Tenant S. E , Z . eo i s Tit a c i/o A) J 1 tiC Master Permit # y s' s" S 3" 95ij Owner's Address / / a / /tit / 7 8 r-e % ,!Q . Contracting Co. K00/ .77/f S S C. A /. S Address 1.2 0 / N /8'-" S7 Qualifier tEi.rA /l) t) A b4 /J■Q SS# .?( Phone j7. • .22 3 • o0o S' X 1.,'12 State # CC p S 7 9/ 3 Municipal # Competency # Ins. Co. Architect/Engineer N/4 Address P 30S • 4.5.2 • a S OS Bonding Company n/ //I Address Mortgagor N/A Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHHANICAL OOFING PAVING FENCE SIGN WORK DESCRIPTION 30/ f o a et f /17 t n/ % .Qo mi % ; /l • 6 % f C S %.! % f e 9k e 77/eoac /1- 179/9 Al 0.v T'i /f 7 A/7 / Square Ft. 3 3 of 3 5'q , F Estimated Cost (value) /0 S/ 5/ ° g WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Mechanical APPROVED: Zoning Building✓i *NM Signa of Contractor or Owner - Builder / o : as to Contractor •r Owner -Buis My Commission tJ FEES: PERMIT �U ` 'J RADON C.C.F. NOTARY BOND Electrical Date es: 1 p„ KATHLEEN JOHNSTON 711 'o-:` ;} MY COMMISSION # CC 899354 EXPIRES: January 3, 2004 ',.•` Banded Thor Notary Public Underwriters Plumbing Structural Engineer Ft. Deck type: DETAIL 1 & 2 *Includes Mortar and Adhesive Set Tile Appendix "E" UNIFORM ROOFING PERMIT APPLICATION Contractor's Name: Foo/ /.JE - 5? Job Address: /O$ y Si. ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar- -Set Tile) * 'CA • o a ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Reofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE giNew Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (fl "6 Sloped Roof Area (ft 3 3 9 Total (it) 3 3 9 3 Master Permit No. ySS 9S Exposure category (per ASCE 7 -88): c Building Classification category (per ASCE 7-88 table 1) : ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) v T v ATTACHMENT Ft. Fastener Type: / R/ N C s#,4/ he _ A NA/!S .. cjfd /s /8 7 i" CA SPACING p I/ N Field: C! O. G� Perimeter: G . 0' C Corner:6 O. C r PROCESS No. ROOF PLAN Ridge Ventilation? 1 AIM 1 NEANHExzr a 3.0 Deck type: z Underlaymen Iasniadon: Appendix. "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF SLCPY DETAIL 3. SLOPED SYSTEMDESCRI Fastener type & spaei 1 Cap Sheet: Roof Covering: Drip edg ATTACHMENTS REQUIRED I) 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 CALCULATI ONS (P max 1:7 2.3 x (Aerodynamic Muitipiier):4 . 9 ) - M G ' = M / 9S PCA: “.4 - (Pmax2: 52.7 x X. (Aerodynamic Multiplicr):D . a 9 ) - M G .S = M Y PCA: la • 6 ao, y 86.G (Pmaz3: S ?.? x71 (Aerodynamic Multiplier): O. a 5 ) - M G•S = Mr3• PCA: 24593 Custom Residence REVISED 5/12 1/16 " = 1' -0" Two Story MSF 10 -8 16' -11" 6' -3" Note: See proposal to determine what is and is not included, and for any options 43'- 0" 33'- 3" 1 _I 15'- 2" 15 0„ a +T _ 4 „ 16'- 0" • 19'- 4" T- 6' 24'- 5" REcENED OCT 1 5 1228 MIAMI - DADE MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0717.01 Renews No.:95- 0630.04 EXPIRES: 10/01/01 Raul Rodriguez Chief, Product Control BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375-2908 CONTRACTOR LICENSING SECTION (305) 375.2527 FAX (305) 375-2558 PRODUCT CONTROL NOTICE OF AC.CEPTANCVNTRAcTOR ENFORCEMENT SECTION (305) 375.2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372-6339 Entegra Roof Tile Corporation 1201 NW 1 Street Pompano Beach, FL 33069 Your application for Product Approval of: Entegra Nail -On, Mortar Set or Adhesive Set "Estate " Roofing Tile under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service Industries, Inc.. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -10 and the standard conditions on page 11. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material faits to perform in the approved manner, the Building Code Compliance Office may revoke, modirv, or suspend the use of such product or material immediately. The Building 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. THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Comm' - tf•e used in D, ae County, Florida under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. Annroved: 10/08/98 1 Metropolitan Dade County ENTEGRA ROOF TILE CORPORATION Applicant: Entegra Roof Tile Corporation 1201 NW 18` Street Pompano Beach, FL 33069 CateQorv: Sub- Cateaorv: Tvoe: Sub -Type: Product Entegra "Estate" Trim Pieces Product 430 Felt 4.13 Coated Base Sheet Mineral Surface Cap Sheet Rainproof 11 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Prepared Roofing Low Profile Tile Nail - on/Mortar Set/Adhesive Set Concrete TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Specifications PA 112 Dimensions 1 = 16 ' /_" w= I3" %" thick 1= varies w = varies varying thickness TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimensions N/A Test Snecifications ASTM D 226 type II N/A ASTM D 2626 N/A 30" x 75' roll 36" x 75' roll or 60" x 75' roll ASTM D 249 PA I04 Page 2 of 11 Product Descrintion Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underiayment. Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underiayment system. Single ply, nail -on underiayment with 2" self - adhering top edge. Product Control No 98- 0717.01 Product Control No.: Approval Date: Expiration Date: 98- 0717.01 10/08/98 10/08/01 Product Descrintion Low profile, interlocking, high pressure extruded concrete roof tile. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, rides and valley terminations. Manufactured for each tile profile. Frank Zuloasa RRC 1'1 _ _ _ T _. J . Manufacturer generic generic generic Protect -O -Wrap, Inc. with current PCA ' ENTEGRA'ROOF TILE CORPORATION Product ice and Water Shield Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteT" ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar 41140 ") Roof Tile Mortar ( "BONSAL® Roof Tile Mortar Mix ") Roof Tile Adhesive (Polypro® AH160) Hurricane Clip & Fasteners Dimensions 36" x 75' roll vertical min. 1 "x4" horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alone min. 8d x 2'/" or min. 1Od x 3" 48 x 21/" long 0.335" head dia. 0.13 1" shank dia. 0.175" screw thread dia. N/A N/A N/A N/A Clips • min.'/" width min. 0.060" thick Clio Fasteners min. 8d x Test Specifications PA 103 Wood Preservers Salt pressure treated or Institute LP • 2 decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 123 PA '123 PA 123 PA 110 PA 114 Appendix E Page 3 of 11 Product Description Self - adhering underlayment for use as a top ply in a rwo ply underlayment system with Approved 430 or 443 as the base layer. Corrosion resistant, screw or smooth shank nails. Corrosion, resistant, coated. square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile appiications. Prepared mortar mix Quikrete Construction designed for mortar set roof Products tile applications. with current PCA Prepared mortar mix designed for mortar set roof tile appiications. Adhesive designed for use in roof tile applications. Corrosion resistant bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. A hurricane clip is required on al eave tiles. Product Control No 93- 0717.01 Manufacturer W.R. Grace Co. with current PCA Bermuda Roof Company, Inc. with current PCA W.R. Bonsai Co. with current PCA Polyfoam Products, inc. with current PCA generic generic generic generic Frank Zuloaga RRC ENTEGRk ROOF TILE CORPORATION Product Control No 98- 0717.01 Test Aeencv Redland Technoiocies 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. The Center for Applied Engineering, Inc. The Center for Appiied Engineering, Inc. Redland Technologies Redland Technologies EVIDENCE SUBMITTED Test Identifier 7161 -03 Appendix 1I1 94 -034 94 -060B 23- 7094 -1 25-7094-7 25- 7094 -4 25- 7183 -1 25- 7183 -2 25- 7214 -2 25- 7214 -6 7161 -03 Appendix II Letter Dated Aug. I, 1994 Redland Technologies P0631 -01 Page 4 of 1 I Test Name /Report Static Uplift Testing PA 1 PA 102 & 102(A) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing __ -- PA 102 • (4" Headlap, Nails, Barrens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover /Reroo f) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws. Battens) Static Uplift Testin= PA 102 (I Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 103 • (Nail -On) Static Uplift Testing PA 101 (Mortar Set) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 103 (Mortar Set) Date Dec. 1991 May 1994 March, 1994 Oct. 1994 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 ENTEGRA ROOF TILE CORPORATION Test Aoencv Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Professional Service Industries, Inc. Professional Service Industries, Inc. Test Identifier PO402 Project No. 307025 Test 4MDC -76 224 -47099 383 -87003 395 -20004 -194 Page 5 of 11 Product Control No 98-0717.01 Test Name /Renort Date Withdrawal Resistance Testing of Sept. 1993 screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Physical Properties PA 112 Physical Properties PA 112 Oct. 1994 Sept. 1994 Sept. 1 994 June 1998 ENTEGRA ROOF TILE CORPORATION Product Control No 98- 0717.01 Deck Type: Deck Description:New construction 19 /37" or greater plywood or wood plank. SYSTEM A: Slope Range: Underlavment: Vertical Battens: Horizontal Battens: Roofing Tile: Comments: Deck Type: SYSTEM B: Slope Range: Underlavment: Roofing Tile: Comments: Wood, Non - insulated Counter -Batten Application 1 ":1" 7 " to 7 " :12" Note: Counter- Batten, as noted below ,are required for slope range 2 ":12" to less than 4 "12 and are optional for slopes of 4 ":12" to 7":12". For slopes exceeding 7 ":12,.refer to System C. Install underlayment system in compliance with Miami -Dade County Roofrinsz Application Standard PA 1 18. install vertical battens in compliance with Miami -Dade County Roofing Application Standard PA 118 Install horizontal battens in compliance with Miami -Dade County Roofing Application Standard PA 118 Install tile in compliance with ivliami -Dade County Roofing Application Standard PA 118. (See "Data for Attachment Calculations" included in this Approval.) I. For re -roof applications. 10 /32" plywood is an acceptable substrate. Wood, Non - insulated Deck Description:New construction 19 /3," or greater plywood or wood plank. Direct Deck Application SYSTEMS SYSTEMS 4":1" to 7 ":12" Note: System B is only acceptable in this slope range. For slopes less than 4 ":12 ", refer to System A. For. slopes in excess of 7 ":12 ", refer to System C. Install underlayment system in compliance with Miami -Dade County Application Standard PA 118. Install tile in compliance with Miami -Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, 1 x'32' plywood is an acceptable substrate. Page 6 of 11 Frank Zuloa_ta RRC ENTEGRA ROOF TILE CORPORATION Product Control No 98- 0717.01 . Slope Range: SYSTEMS (CONTINUED) Deck Type: Wood, Non- insulated Deck Description:New construction 19 /2" or greater plywood or wood plank. SYSTEM C: Horizontal Batten Application 4 ":12" or greater Note: Horizontal - Batten, as noted below , are required for slopes in excess of 7 " :12" and are optional for slopes of 4 ":12" to 7 ":12 ". For slopes exceeding 4 ":12, refer to System A. Underlayment: Install underiavment system in compliance with Miami -Dade County Roofring Application Standard PA 119. Horizontal Install horizontal barrens in compliance with Miami -Dade County Roofing Battens: Application Standard PA 119 Roofing Tile: Install tile in compliance with Miami-Dade County Roofing Application Standard PA 119. (See "Data for Attachment Calculations" included in this Approval.) Comments: Slope Range: 1. For re -roof applications, 1 5 /11" plywood is an acceptable substrate. SYSTEMS Deck Type: Wood, Non - insulated Deck Description:New construction 19 /; -:" or greater plywood or wood plank. - SYSTEM D: Mortar or Adhesive Set Application 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. For slopes in excess or 7 ":12, refer to System C. Underlayment: Install underlavment system in compliance with Miami -Dade County Roofring Application Standard PA 120. Rooting Tile: Install tiie in compliance with Miami -Dade County Roofing Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, 1 5 '32" plywood is an acceptable substrate. Page 7 of 11 Frank Zuloatta RRC D nnren D.nra.,nr ! C•nn,:nor• i ' ENTEGR. ROOF TILE CORPORATION Product Control No 93- 0717.01 1. Fire classification is not part of this acceptance. A SYSTEM LIMITATIONS ?. The standard minimum roof pitch For Entegra's "Estate ". low profile tile shall comply with \iiami- Dade County Roofing Application Standards PA 113, PA 119, and PA 120, depending on the method of installation. 3. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the pre- formed holes in the tile. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 113 or PA 127. The tile profile listed herein has been tested For both wind characteristics and static uplift performance , therefore, attachment calculations for installation in compliance with PA 115 or PA I27 shall be done as an'Ivloment Based System' 5. For mortar or adhesive set tile applications. a field static uplift test by a Dade County accredited testing agency, in compliance with Miami -Dade County Protocol PA 106, shall be performed. 6. For tile applications, 30/90 hot mopped underlavment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underiayment material manufacturer's published literature. 7 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. S. Applications for roofing, permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Ente__ra's current specifications and details. a copy of this Product Control Approval and a copy of the Product Control .Approval of any Roofing, Component used in the proposed tile application. Reference shall be made to appropriate data For the required fire rating,. 9. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance With the South Florida Building. Code and related protocols. Page S of 11 Frank Zuloaza RRC Table 3 -A: Attachment Resistance Expressed as a Moment - tMf(ft -lbf) from PA 102 Testing Tile Profile Tiic Application Two (2) 10d x 3" long nails Entegra Estate Tile .,.. .. Direct Deck New Construction (min. 19 /31" plywood) 67.50 Direct Deck Recover /Reroor (min. 15 /3," plywood) 43.00 Battens New Construction ._. . .. _ . _.. . 50.90 Table 3: Attachment Resistance Expressed as a ivloment - Mr(ft -lbf) for Nail -On Systems Tile Profile Tile Application Approved Nails Approved Screws' • Approved Field CIip With: Approved • Eave Clip With: 1 nail 2 nails I screw 2 screws I nail 2 nails 1 nail 2 nails Entesra Estate Tiie IU Battens 4.10 7.10 2 2.90 49.10 2 4. 2 0 34.80 2 32.20 Direct Deck 1 1.80 21.90 25.80 47.10 24.30 35.50 19.00 31.90 Table 2: Restoring Moments due to Gravity - M (ft -Ibt) e Tiic Profile ,,. 2 „ 3 .1_ ' . 2 ," �, .1_ 5 �,. 2,+ ., .I_ ,,. 2„ 6 .1_ 7 " :1 or greater Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Entegra Estate Tile 5.91 6.74 5,82 6.64 5.70 6.50 5.56 6.33 5.40 N/A Table 1: Aerodynamic Multipliers - k (ft PTiilele X (ft3) Batten Application X (ft Direct Deck Application Entesra Estate Tile 0.27 ( 0.29 ENTEGRA ROOF TILE CORPORATION Tile Profile Ente__ra Estate Tile DATA FOR ATTACHMENT CALCULATIONS uta noted In s Hol . u f or ins ion vltn a . le ncadtap. 2Approved screws are as noted in the 'Trade Names , or Products Manufactured By Others' and 'Profile Drawings' sections of' this Approval. Clips on rave tile are not required for this attachment conti_uration unless the Required Moment of Resistance exceeds the values noted above. nc uu�uuuuon wi[n a I teaot ap Lslna two pproveo t uu x .i" tone polymer coated. corrosion resistant. rink shank nails installed in manufactured holes located 2'/" from the head or the tile. Clips on cave tile are not required for this attachment contiguration unless the Required Moment of Resistance exceeds the values noted above. Table ;: Attachment Resistance Expressed as a tMoment- (ft -lbf) for Mortar or Adhesive Set Systems Tile Application Mortar Set Adhesive Set Page 9 of 11 Product Control No 98-0717.01 Attachment Resistance 20.60 86.61 Frank Zuloaga RRC Roofing Product Control Examiner ENTEGRA ROOF TILE CORPORATION Profile Drawing Nail Holes E.NTEGRA "ESTATE S" Page 10 of 11 Product Control No 98- 0717.01 ENT GR4 ROOF TILE CORPORATION Entegra Roof Tile Corporation ACCEPTANCE NO.: 98- 0717.0I 1201 NW 18` Street Pompano Beach FL. 33069 APPROVED: 10/08/98 EXPIRES : 10/08/01 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of tliis Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently labeled with the manufacturers name, city, state, and the following statement: "Metro-Dade 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 code changes; b) The product is no longer the same product (identical) as the one originally approved; c) Lithe Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, si_ned and sealed the required documentation initially submitted, is no longer practicing the engineering profession. =' 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 ofa revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro -Dade County, Florida, and followed by the expiration date may be clispla2, advertising Notice of Acceptance is displayed, then it shall bedoe in its entirety If If am potion of the i 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 for inspection at the job site at all times. The copies need not be resealed by the engineer. S Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 11. END OF THIS ACCEPTANCE Page 11 of 11 Product Control No 98- 0717.01 Frank Zuloaga RRC EtthrOean COklalft Wtia1Y149(74 - 5 (8 ItJrf, nixcrty wal) 7\ Iu AsCitit\9 [Alf 51 E1911104 1 99-00,-61 stz (05ttuction mmii 5InCi P00 %OPE .. Q.1261-flat F 9 / 12 ## ha spired - p MOVE GUM Z- 22M f 1. "5 e 24 0.199 01.126. Vilfiffl 0- 12.61 f f. rr. 11 9 c 52 0.116 Lawn OLIZi. 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SUFFIX B6. FIRM INDEX B7. FIRM PANEL 88. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 0093 J 7 -17 -95 3 -02 -94 AE & X 8.0' BUILDING OWNER'S NAME ADDRESS FEMA Form 81 -31, AUG 99 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. For Insurance Company Use: Policy Number Company NAIC Number SECTION A - PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1092 NE 94 Street CITY Mi ami Shores PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TI II p IJ NAD 1927 L NAD 1983 STATE Florida • • • • • •1 0 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( #00 - ##' - ##.##" or ##.##q## ° ) SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 3067 -0077 Expires July 31, 2002 ZIP CODE 33138 SOURCE: GPS (Type): JJ USGS Quad Map IJ Other. B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 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 B9. IJ FIS Profile lad FIRM LJ Community Determined U Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: LJ NGVD 1929 J_J NAVD 1988 LJ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? JJ Yes J_J No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: JJConstruction Drawings* JJBuilding Under Construction* LNFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number '1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. 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, APJAO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area-of Section D or Section G, as appropriate, to document the datum conversion. Datum 1929 Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? jJ Yes IJ No ❑ a) Top of bottom floor (including basement or enclosure) 10 . 7 tom ❑ b) Top of next higher floor • _ ft•(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) A ❑ d) Attached garage (top of slab) 10 . 0 8.00; E ❑ e) Lowest elevation of machinery and/or equipment m servicing the building _ ft.(m) ❑ t) Lowest adjacent grade (LAG) 9 . —5_ ft.l i ❑ g) Highest adjacent grade (HAG) 9 .7 ft.( ❑ h) No. of permanent openings (flood vents) within 1 ft. abovr: adjacent grade ❑ i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) HOWARD C. GAMBLE 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. I certify that the information in Sections A, B, and C 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. CERTIFIER'S NAME LICENSE NUMBER 1683 TITLE Vice President COMPANYNAI TOUSSAINT & ASSOCIATES, INC. 6 0 NE. 126 St_ ee CITY North Miami STATE_ ZIP CODE 33161 33161 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 1092 NE 94 Street CITY STATE ZIP CODE Company NAIC Number Miami Shores Florida 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is I i J ft.(m) I LJin.(cm) LI above or LJ below (check one) the highest adjacent grade. E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LLJ ft.(m) LLlin.(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? LI Yes L. No LJ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS G4. PERMIT NUMBER COMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. LJ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. LJ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. 1_I The following information (Items G4-G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE I Check here if attachments —I Check here if attachments G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for LJ New Construction LJ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: . ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: . ft.(m) Datum: I I Check here if attachments FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIONS FEB -16 -2001 08 42 ROOF TILE 561 221 9690 P.01/04 Roof Tie Specialists, Inc. - 819 South Federal Highway Suite 103 Stuart, Florida 34994 (561) 223 -0005 (561) 221 -9690 Fax FAX COVER SHEET To: /') r L,-f Fax #: Date: a2 / c.0 d Comments /Instructions: Miami From: JU e Ext. #: Total Pages: r �aea N 94u4 1 CLI The information transmitted is privileged and confidential. It is intended solely for the use of the named recipient. Any other review or distribution of this communication is strictly prohibited. If you receive this transmittal in error, please notify sender immediately by telephone and return this transmittal to the sender by U.S. Mail. If this transmission is illegible or incomplete, please call the number at the top of this cover sheet and enter the extension number of the sender for assistance. Thank you. FEB -16 -2001 08:42 JRT Roof Tile Specialist 1920 NW 18th Street Pompano Beach, Fl. 33069 ;.. RAS -106 Permit #'45595 • Roofing # 46589 . . • ROOF TILE 561 221 9690 P.02/04 Independent Roof Testing & Consulting of S. Florida, Inc Bob Tedder, President, Senior Consultant Certificate of Authorization Number 0008172 October 20, 2000 RE: Custom Residence 1092 NE 94th Street Miami, Florida IRT # 00 -0682 4/ Pursuant to your request, INDEPENDENT ROOF TESTING of South Florida, Inc. (1RT), performed uplift testa on the tile roofing at the above address. The roof is approximately 3479 square feet in area and was tested at forty (40) locations. The tiles, Entegra Estate tile, had been installed using the "Foam Application" method. . The uplift tests consisted of placing a load test device manufactured by CHATILLON (Model DFIS), over the tile with an adjustable connector placed under the front lip of the tile, and gradually increasing the pressure. The gauge readings are indicated in pounds. Pressure was exerted on the tile until a reading of thirty five (35) pounds was obtained. The roof passed in accordance with Dade County Protocol RAS -106. However, there are four (4) broken tiles that need to be address. IRT's responsibility in this project was specifically uplift testing to a specific force of thirty five (35) pounds in accordance with Dade County Protocol, RAS -106. No other conclusions or observations are expressed or implied. IRT appreciates this opportunity to be of service. If you have any questions, or need additional information, please do not hesitate to call. Yours tr Bo . Tedder, RRO, CSI, RCI INDEPENDENT ROOF TESTING of South Florida, Inc. BT /dr Edwin Williams, RRC # 0182 281 NE 32 Street Oakland Park, Florida 33334 Phone: (954) 630.0201 Fax: (954) 630 -0506 FEB -16 -2001 08:43 Custom Residence 1092 NE 94th Street M'rainl, Florida IRT# 00 -0682 ROOF TILE 561 221 9690 P.03/04 ROOF PLAN • RAS 106 TESTING TESTED (40) LOCATIONS ALL TESTED LOCATIONS PASSED October 19, 2000 93' -2" ®1 (4) Broken Tiles 36' • FEB -16 -2001 08:43 UNIT UNDER TEST: Mfr SIN: Gust SIN: PROCEDURE NAME CALIBRATED BY: P.O. NUMBER: SUBMITTED BY: ROOF TILE Report of Calibration Synergy Labs, Inc 8211 NW 64 St #3 Miami, FL 33166 888.346.2430 CHATILLON DFIS -100 FORCE GAGE B34621 B34621 TB9- 6670 - 255 -50 John Martinez INDEPENDENT ROOF TESTING & CONSULTANTS 281 N.E. 32 STREET OAKLAND PARK FL 33334 CERTIFICATE NUMBER: 28030:965899001 561 221 9690 P.04/04 PERFORMED ON: NEXT CAL DUE:: TEMPERATURE: HUMIDITY: 10Aug2000 10Nov2000 SEE REMARKS SEE REMARKS Synergy Labs, Inc certifies that the above listed instrument meets or exceeds all specifications as stated in the referenced 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 standards of measurement, or derived by the ratio type of self -calibration techniques. This calibration complies with ISO GUIDE 25. and.ANSI/NCSL 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 Tess than four to one will appear under the "TUR" heading on the. data record. If the TUR meets or exceeds four to one, the field is left blank. REMARKS: 111ts utut was tound to be m tolerance at file tune or calibration. No adjustments were necessary. • The calibration of this unit was performed on -site in the environmental conditions at the customers location. Asset Description 999250 EATON CORPORATION UPC -5000 BACA PNEUMATIC CALIBRATOR /.. / 7 Signed: J :..�,C,I Calibration Teclt aioi / REPORT OF CALIBRATION for PRINTED ON: 14 Aug 2000 SERIAL NUMBER: 834621 Signed: CAL DATE CAL DUE DATE 3 Nov 1999 3 Nov 2000 71 Ou a "" Assurance v Syn' rgv Labs assigned ASSET NUMBER: 29030 1of; TOTAL P.04