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280 NE 95 St
`Ni/CZ' s J r) s r ( 8Y) -- PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 2 D (� C S S 1 , Tax Folio a� Z0 -- � -3 7/0 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant ‘S/1U I S S U R I S T Master Permit # 1/93 TS 7 Owner's Address .22 a9L gig ,5'(,� moil 5N-DR PL 33 3E Phone 3 05 "' 75 7 — 7 3 Z" Contracting Co. Wit 1T4 Seto- Me VM Sai..1700 Qualifier R t E 1 r.1 / ©6'� - SS# Phone 96 9 2 - - 73 ? State # E 1 O 19 2' 7 Municipal # Competency # C b e r g 3 Co. Architect/Engineer P J I Address Bonding Company )11f Address Mortgagor N itt Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION Square Ft 3 3 e 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 com.liance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named coptra for to do the work stated n A-'icc . w eer sr . FEES: PERMIT 7 / RADON PAVING FENCE SIGN `f l b rP B R '-, 1°E. ® t1& Pi fi-ce f7 L)l A) 77 1 -( ft_. / 447? , G N.tary as to Owner or Condo President Da e My Commission Expires: APPROVED: Zoning Building Mechanical Plumbing C.C.F. Estimated Cost (value) t° Signature of Contractor or Owner- Builder ary as to Contr Commission Exp M Electrical ITATE OOF FLORIDA MMISSION NO. CC718059 MMISSION EXP. FEB. 19, 2002 NOTARY — BOND D TOTAL DUE X 99 Dae ate Engineering b (] n i h A 0 gid .4 ` i 3f i 1 1" 1 r A 01 I I i I M i a % N. A . .r.j gi W A Q �j z v ❑ $1 11 i La.i .7 •!, • "..•'..•-•••• • . Ventilation? Deck type: Underlayment SLOPED SYSTEM DESCRIPTION MLAN HEIGHT 3 • DETAIL 3 Insulation: Fastener type & spacing: Cap Shee(: Roor SILOPI 96 Drip edge: i•t•PAr Roof Covering: W. ISPAgir 411( (.5147tives s 12 4. 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 (Pmax1:7Z ° 3 x X (Aerodynamic Muhiplier): (Pniar2:A X A. (Aerodynamic Multiplier): UNIFORM ROOFING PERMIT 'APPLICATION PROCESS No. TILE CALCULATIONS .3/) - M "PCA: = M„:21.1 PCA: ) f‘4,. (Pmax3: / X (Aerodynamic Multiplier): ) - M 1 " r = M„: 2 PCA: Page-2 ht >6 L 1 -. F-4 4 - 1:- 2i 4r1) I a ti 1 - -- - - J .. -- - --- ------ - 17 1 1 k ral A NMI III 0 � .(f-4l. I __ RilA (4" 11 I 1 igt 11 'it IP r g ir l 1 ,,10,1 I.IIriImiuI li 4I Ii U' fl 'Nil I Ilk, 0 I - : 1111 Ali) 1 --.- ___ _ � ; s r ( mor 1 f' ' 1 0 ' ! 111111 I 0. IIII 10 -- 1 i iiiii MEI -1 _PI fr II 2 4 5 Prepared By Approved By Initials 6 Dal 2. Description of improvement: 3. Owner(s) name and address: JAINIS J UKIS 1 280 NE 95th STREET: MIAMI SHORES FL 33138 Interest in property: OWNER Name and address of fee simple titleholder: 4. Contractor's name and address: WHITE SEAL. ROOFING COMPANY 5. Surety:(Payment bond required by owner from contractor,if any) Name and address: Annuud “fbond S 6. Lender's name and address: Name and address &pane' e c'f Owner Owners Name_ JANIS JURIST. Sworn to and subscribed before m Notary Public Print Notary's e 9 2010 SHERMAN STREET. HOLLYWOOD. FLORIDA 33020 NOTARY PUBLIC S A E OF FLORIDA COMMISSION N E CC718059 MY COMMISSION EXP. FEB. 19, 2002 NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. it 3 - D l 3 - 37/a STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 280 NE 95th STREET: MIAMI SHORES, FL 33138 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1) (a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Leinor's Notice as provided in, Section 713.3(1)(b), Florida Statutes. 9. Expiration date of this Notice of Commencement: (Use expiration date is 1 year from the date of re ordn g unless a di lent date is specified) 15 day of _MARCH, 1999 REROOF 99R 134369 1999 1AR 16 11 %04 Prepaired RV. WHITE SEAL ROOFING CO. 2010 Sherman Street • Hollywood, FL 33020 :ATE OF FLORIDA, COUNTY OF DADE NL7:11u3v C:':`2rCCV t c: Phis is a if 13 of tho A (;,u ' /caorPs FEB 11ED! 12 :21 PM ABC. SUPPLY. V DU Monier Ufctile LLC 135 NW 20th St. Boca Raton, FL 33431 Your application for Product Approval of: Monier Lifetlie LLC Spanish "S" high Profile Tile under Chapter 8 of the Miami -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: Center for Applied Engineering, Inc., Professional Service Industries, Inc., and Redland Technologies, 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 fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, 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. The expense -r such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 97- 1124.18 Revises: 98. 032101 EXPIRES: 96/25/01 s_. I I I IJ IS T COVE P CONDTI'IONS BU1rumkCODE COMMITTEE APPROVED: 0645/98 1 F A EPTA,NCE ul Rodri : uez Product Control Supervisor IF GF This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County Florida under the conditions set forth above. Charles'I3anger, P.E. Dit,tor Built Code Compliance Dept. Miami -Dade County P. 1 FAX NO. 954 4.'1 4489 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1663 (305) 375.2901 FAX (335) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372.6339 IntlrOeitnatla'ddresa: postrnaster ®butkun tdeonIIne.cotn • Nonwimerhttp :f/wwwbultdingcodeonline.00m FEB-24 - 99 'WED 12:22 PM ABC, SUPPLY. MONLER LIFETILE LLC Monier Life ll° LLC Spanish 'S' Tile Trim Pieces dggi Rainproof 11 Ice and Water Shield Wood Battens Tile Nails Product TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Dlmenaionl 1-18" w ti 10' / min. W thick I varies w =0 varies varying thickness Test Specifications FAX KO. 954 4.91 4489 P. 2 Product Control No.: 97- 11124.14 Product pescrintiQn PA 112 High profile, interlocking, one - piece, 'S' shaped, high- pressure extruded concrete roof tile equipped with two nail holes. For direct deck nail -on, mortar set or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for ase at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimensions( 30 "x75'roll 36"x75'roll or 60 "x75'roll 36" x 75' roll Vertical Min. 1"x 4" Horizontal Min, 1"x 4" for use with vertical battens or Min. 1"x 2" for use alone Test soedlncations PA 104 Wood Preservers Institute LP — Min. 8d x 2 W' or PA 114 Appendix E Corrosion resistan min. 10dx 3" screw or smooth shank nails Page 2 of 11 Product De�erjt�iap Manufacturer Single ply, nail -on underlayment with 2" self - adhering top edge. Protect -O -Wrap, Inc. (with current NOA) PA 103 Self-adhering W.R. Grace Co. underlayment (with current NOA) Salt pressure generic treated or decay resistant lumber voter's generic ran Zuloage, RRC Roofing Product Control Examiner FEB724 -99 WED 12:22 Pty ABC, SUPPLY, MONIER LIFETILE LLC product Tile Screws Roof Tile Mortar ( "TileTite'M ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar 111140") Roof Tile Mortar ( "BONSAI.® Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polyprol® A11160 ") Hurricane Clip & Fasteners Test Pirnensiona Suecitications 18x 2 Y2" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A N/A NIA Clips Min. W' width Min. 0.060" thick Clip Fasteners Min. 8d x 1 ''A" PA 114 Appendix E Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws PA 123 PA 123 PA 123 Prepared mortar mix designed for mortar set roof tile applications. See PCA Two component polyurethane adhesive designed for adhesive set roof tile applications. PA 114 Appendix E Corrosion resistant clips with corrosion resistant nails. Page 3 of 11 FAX MO. 954 X91 4489 Product Control No.: 97- 1124.18 Product pescriotlort Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Manufacturer generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsai Co. with current PCA Polyfoam Products, Inc. PCA 1194- 0401.01 Generic Frank Zuloaga, RRC Roofing Product Control Examiner P. 3 FEB-24 -99 12:23 P11 ABC. SUPPLY. • MONIER LE STILE LLC Test A¢encx Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, inc. EVIDENCE SUBMITTED mitt Ideniifler 7161 -03 Appendix III 7161 -03 Appendix 111 94-084 94-083 25- 7183 -4 25. 7214 -3 7161 -03 Appendix 11 Report Dated Aug. 1, 1994 P0647 -01 PO402 Project No. 307025 Test #MDC -78 224 -47099 Page 4 of 11 FAX NO. 954 491 4489 Product Control No.: 97- 824.1, Test Ijime/Reaort Static Uplift Testing PA 102 Static Uplift Testing PA 102(A) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (2 Quilt-Drive Screws, Direct Deck) Static Uplift Testing PA 102 (1 Quik -brave Screw, Direct Deck) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail.On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 le L Dec. 1991 Dec. 1991 May 1994 April 1994 Feb. 1995 March, 1995 Dec. 1991 Aug. 1994 Aug. 1994 Sept. 1993 Oct. 1994 June, 1994 uloaga, RR Roofing Product Control Examiner FEB, - 24 -99 WED :2:29 Pll ABC. SUPPLY. ' MONIES. LIFETILE LLC Product Control No.: sE SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction 19 /32" or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Note: System D is only acceptable in Ibis dope range. FAX NO. 954 491 4489 P 6 Underlayment: Install underlayment system in compliance with Miami -Dade County Application Standard PA 120. (See System Limitation #5.) Rooting Tile: Install tile in compliance with Mlami -Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. Page 6 of 11 Frank Zuloaga, RRC Roofing Product Control Examiner FEB: 24 -99 'WED 12:24 PM ABC. SUPPLY. • MONIER LIFETILE LLC Product Control No.: 97- 1124.18 1. The standard minimum roof pitch for Monier Lifetile LLC's "Spanish S ", high profile tile shall comply with Miami -Dade County Application Standards PA 118 or PA 120, depending on the method of installation, 2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 3. 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 Miami -Dade County Protocol PA 115 or PA 127. The 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 127 shall be done as a 'Moment Based System'. 4. For mortar or adhesive set time applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance with Miami -Dade County Protocol PA 106, shall be performed. 5. For the applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufhcturer's name or logo for identification in the field, 7. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of manufacturer'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. 8. The applicant shall retain the services of a Miami -Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Miami -Dade County Protocol PA 112, Appendix 'A'. 9. Fire classification is not part of this acceptance. SYSTEM LIMITATIONS Page 7 of 11 FAX NO. 954 491 4489 Frank Zutoaga, RRC Roofing Product Control Examiner P. 7 FEB -24 - 99 WED 12:24 PAl ABC. SUPPLY, • MONIER LIFETILE LLC Product Control No.: 97 -11241 Tile Profile Tile profile Monier Likable LLC Spanish Tile ft -lb Monier Litetie LLC Spanish 'S Tile N/A Table 2: Restoring Moments due to Orav 4 ":12 5" :12 3 ":12" 8.51 N/A 8.44 N/A 0.27 Battens Direct Battens Direct Battens Direct Deck Deck Deck 6 ":12" Battens WA Direct Deck 8.07 7 ":12" or greater Battens Direct Deck N/A WA M onier Ufetile i Battens LLC Spanish 'S' Tile Table 3: Attachment Resistance Expressed as a Moment - M (ft - Ibf) for Nall -On S stems Tile Tile Profile Application Tile Profile Monier Lifetile LLC Spanish 'S' rile DATA FOR A'1TACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - a (r) A. (ft') X• (H') Batten Application Direct Deck Application Approved Naiis 1 nail N/A 2 naffs WA N/A 1 screw N/A Direct Deck 9.20 28.70 39.80 23.10 27.60 2 .30 39.10 1 Data noted In Table 3 is for installation with a 3" the headlap. 2 Approved screws ere as noted in the Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on ewe tae are not required for this attachment Configureton unless the Required Moment of Resistance exceeds the values noted above. Table 4: Attachment Resistance Expressed as a Moment - M (ft•Ibf) for Mortar or Adhesive Set Systems Tile Application Mortar Set Adhesive Set Page 8 of 11 Approved Screws FAX NO. 954 :91 4489 P. 8 2 screws NIA Approved Held Cl is With: 1 nali 2 naffs N/A WA 0.31 Approved Eave Clip With: 1 nail 2 nails WA Attachment Resistance 24.50 66.50 N/A ran Zuloaga, RRC Rooting Product Control Examiner FEE-24 -99 IVED 12 :25 Ili ABC. SUPPLY. MONJER LIFFTILE LLC iQ3 /g' UNDER LOCK NAIL HOLES 18' PROFILE DRAWINGS MONIER LIFETIL E LLC SPANISH'S' TILE Page 9 of 11 FAX NO. 954 X91 4489 P. 9 Product Control No.: 97-1124.18 OVER LOCK END uloaga, RRC Roofing Product Control Examiner FEB -24 - 99 WED 12:25 PM ABC, SUPPLY, MONIER LIFETILE LLC Product Control No.: - 24. PROFILE DRAWINGS (CONTINUED) FAX 110. 954 491 4489 P. 10 ,APPROVED SCREW FOR SCREW DATA IN TABLE 3 Page 10 of l 1 ran Zuloaga, REC Roofing Product Control Examiner FEB - 24 - 99 WED 12 :25 PIL ABC. SUPPLY. • MONIER LIFTTILE LLC Product Control No.: 4 97 - 4124,18 Monier Lifetile LLC ACCEPTANCE NO: 97-1124.18 135 NW 20 St. APPROVED ,tune 21 1998 Boca Raton, FL 33431 EXPIRES : June 25, 2001 NOT10E OF ACCEPTANCE STANDARD CONDITION 1 Renewal of this 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. 2 Any and all approved products shall be permanently labeled with the manufacturer's name. city, state, and the following statement: "Miami -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) If the 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, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall 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 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 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 the engineer. 8 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 FAX 110. 954 491 4489 P. 11 . Roofing Product Control Examiner Test Date Project Address Contractor Permit Number Roof Pitch Adhesive Type Tile Type TEST SUMMARY Field & Ridge Corner Perimeter 10 TEST RESULTS: PASSED See Attached Sketch for Further Details ROOF REPORTERS, INC. R� emdoetegi PA 106 -95 Roof Tile Uplift Test Report 29 10 280 NE 95 St., Miami Shores, FL 27 10 April 26, 1999 44387 White Seal Roofing 3 %:12 Tile Installation Date April 23, 1999 Polyfoam Monier Lifetile Spanish S 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 was pulled using a Chatillon Force Gauge to a minimum of 35 lbs.. Roof Area Total # of Tests # of Tests Passed %Passed Al Maccagli, = RC #116 Dade County Certified Testing Agency # 94 -0916 -11 (561) 434 -7555 93% 100% 3281 Lake Worth RoadO Suite EO Lake WorthOFlorida 33461 Roof Consulting & Testing OVisual Surveys & Evaluations ORoof System Design O Moisture Surveys 25' 280 NE 95 St., Miami Shores, FL Dade County Certified Testing Agency # 94 -0916 -11 3281 Lake Worth RoadO Suite EC! Lake WorthOFlorida 33461 Roof Consulting & Testing OVisual Surveys & Evaluations Roof System Design O Moisture Surveys SYNERGY Labs, Inc Manufacturer: CHATILLON Model Number: DFIS200 Serial Number: 25220 Customer SN: 25220 Description: DIGITAL FORCE GAUGE Customer: ROOF REPORTERS, INCORPORATED Certificate Number: 72568 Certificate of Calibration Environmental Conditions: Temp: 21 deg C Relative humidity: 45% This certifies that the above equipment was calibrated in compliance with the requirements of ANSI /NCSL -Z540- 1994, MIL -STD 45662A. ISO 9002 4.10/4.11, ISO Guide 25, ISO 10012 using applicable procedures. At planned intervals, Synergy Labs, Inc measurement standards are calibrated by comparison to or measurement against national standards, natural physical constants, consensus standards, or by ratio type measurements using self - calibrating techniques. National standards are administered by NIST (National Institute of Standards and Technology) or other recognized national standards laboratories. Supporting documentation relative to traceability is on file and is available for examination upon request. Limits: NONE Remarks: UNIT RECEIVED IN TOLERANCE - NO ADJUSTMENTS REQUIRED Calibration Date: Feb 15, 1999 Calibration Due: May 15, 1999 Reference Standards Used: Manufacturer AMETEK - M&G Model Number WG -23 Serial Trace Number Number Cal Due Date 18830 48037 Apr 28, 1999 Synergy Labs, Inc 8211 NW 64 ST #3 Miami. FL 33166 Ph (305) -477 -5414 di Lago Quality Assurance 8. Report JAN 7.11 The Inspector shall mark any component which 'fails' or becomes 'loose' as a result of the test and shall request that the roofing contractor repair such components using an approved adhesive. 7.12 Components which are repaired pursuant to 7.11 shall not be retested. 7.13 The Building Official shall review and advise the Contractor whether to require and replace the tile assembly or repair the existing assembly. 7.14 Subsequent to testing, the installer may repair not more than 5% of field area tiles and 10% of perimeter area (i.e. ridge /rake) tile with approved tile adhesive. The installer shall place an identifiable marking on each repaired tile for future reference. Any PA 106 re -test shall not include any marked tile. 7.15 The Inspector shall retest the tile assembly following repair or replacement. DO NOT TEST TILES THAT WERE PREVIOUSLY TESTED. 8.1 The final test report shall include the following: 8.1.1 A copy of the Roof System Assembly Product Control Approval. 8.1.2 A sketch of the test site roof which indicates 1) the field. perimeter and corner areas. with dimensions; and, 2) the location of all components on which a static uplift test is conducted. Indicate those attachments which were initially tested and, if applicable. those attachments which \sere tested in the extended testing. 8.1.3 A tabulated set of test results. signed by a Professional Engineer or a Registered Roof Consultant. Page - 6 PA 106 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Permit No Disapproved (Signed) Building Inspector Cnair:nan \1ccr,ber Member . . . Council Approved Date MIAMI SHORES VILLAGE him stated are true. � .4 Date .._ ,f.Qr )® BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or the plans and specifications herewith submitted for the build in 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 plots and specifications must be kept at building during progress of the work, Date... a c _— •.�.__ _ ....., .18 Owner's Namc and Address .. ....� �.�.� _ No_... Street Date Street and Number where work is to be done . . 1� .._.....;:..�� _.. purpose State work to be done and u of building (by floors ).�., ��;') ^ m g ( Y Rerrt.uks (Signed). t _.._. and for no other urpose. Ncw Building Remodeling Addition...L Repairs' No. of Sto es..,.� To be constructed of Kind of foundation VI Covering � Estimated Total cost of improvements $ /2 F', 6 ` AAmount of Permit $. ��Y t 0 Zone cubage required Flan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor 1 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 l.rbur under the Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, Permanent Supplement, anti has complied ss ith 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 su on work to b.e performed under this permit, as are licensed by Miami Shores Village. 77 /% STATE OF FLOI,IDA, COUNTY OF DADE. ss, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 hi Read, Sworn to and Subscribed before me, PLANNING BOARD DATE Notary Public, State of Florida My Commission Expires to me well knows, 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 hern obtained from the Planning Board. A rc•m.pcction Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspe ticm or faulty materials anti /or workmanship. s BUILDING INSPECTION DEPARTMENT 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. l / ©� + Date O ® 19 Owner's Name and Address... 1 �!!.0 .�/LI r`�/ No � Street < - Registered Architect and /or Engineer / Name and address of licensed contractor..__ , _ __ ��'6 l '06- Location and legal description of lot to be built on: Lot Block Subdivisio Street and Number where work is to be done ? sr .1i. -4 State work to be done and purpose of building (by floors) - 41rGr ./- MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 6 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 ins ection on the site of the work s 11 public notice or notices as are required by the Act. The undersigned agrees to employ only such sub /tractors, on w.rk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)_ Disapproved . 7 Da Notary Public, State of Florida ( Signed) Building Insp or .1 STATE OF FLORIDA, COUNTY OF DADE. j 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. Permit No Date % ` tt /\ Read, Sworn to and Subscribed before me. My Commission Expires LANNING 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. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building F t • Architect Contractor or Builder Legal Lot Description Bl Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac• cepting this permit I assume responsibility for all work done by eithvi•, Myself, my agent, servant or employee. ,e i njf CONTRACTOR OR BUILD MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N? 5993 ❑ Work to be performed under this Permit Signed. BY • DATE 195 Contractor's License No. Subdi- vision Value of Project $ BY Amount of Permit $ AUTHORITY BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING, ❑ Owner of 7 /' Building j Architect Contractor or Builder Legal Lgt Description Address of, ; uilding 4 , MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 4220 Bl. Work to be performed under this Permit Subdi- vision Value of Project $ DATE Contractor's License No. : s Amount of Permit $ /_195 t i=)) This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. .. ' 1,,0 - • r BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto ,and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit[ I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY a+. h •� Date 7 ' Job Address 2Y 41E % - Tax Folio // <_ .!,‘,6/LI Cg 7/6 Legal Description i/i i U iZ/J/ S / 17_ 1 - Owner / Lessee / Tenant 2 9, T /1 Master Permit # Owner's Address - Phone _ l / / Contracting Co. '//� � 42)/-'", Address L9 SGT 'yam »v ; � - _ � Qualifier , `5 S - e f l-eriM \ - ' Phone e l — (t - 1 - 1 State �� 1(0(93 ( Municipal �� Competency # Ins.Co. L CYtOee- Architect /Engineer Address Bonding Company Address Mortgagor Address Square Ft. OWNER'S AFFIDAVIT: I be don n complianc auth iz the above { I SigWu Date: Notar: as to My Commissl ** * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Permit Type(circle one)(( BUILDING F PLUMBING MECHANIC PAVING FENCE SIGN WORK DESCRIPTION / `' a./I L--exk- Estimated Cost(value) r,2 /41) - 6� 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. 4'1" L L2 of owner d /or Condo President Al President * * * • * * * C.C.F. )/5 Fire Zoning Buildin Mechanical Plumbing Engineering * FEES: PERMIT �G • 6.0 RADO APPROVED: Signat Date: Norary as M Commi's * * certify that all the foregoing information is accurate and that all work will with all applicable laws regulating construction and zoning. Furthermore, I med contractor to do the work stated. of Contrac or Owner- Builder 0 tr& tQ m XOILW6 Ap '. " "ded By HAI * �•' — er- -9323 Builder 1997 * * * NOTARY TOTAL DUE :5)4 �� CO Other R �'" ,1 / - Electrical 4-61 Aiplication is hereby mode for the approval of the detailed statement or 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 n11 provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the 13uilding 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 prggreu of the work. ()v.-flees Name and Address sass FrGI.4 A /A) � � A Aka f — No V Street 1.r Registered Architect and /or Engineer 7- • �V l� ,,,,, ,,, ,,,,,,,,,,, „,,,. „,.,.,,,,,,,,_„ M Name and address of licensed contrpctor _s ass. Location and legal description of lot to be built on: Lot Block Subdivi�sipn Street and Number where work is to be done .( , ij.L) e State work to be done and purpose of building (by floors) 20 4) w of s ..._......... 1.F✓rr ( 4-1..l ........_.._.. __ _ STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Building Inspector BUILDING INSPECTION DEPARTMENT k 4.. d..A. sass. — t _..__ and for no other purpose. Ncw Bui!ding Remodeling Addition Repairs No. of Stories To be constructed of Kind // f ) � foundation Roof Covering Estimated Total cost of improvements $ 0 q � Amount of Permit S. �4°" Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maxunum 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 Lthur under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sn ilentent, and has complied 'sith 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 ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe• under this permit, as are licensed by Miami Shores Village. Betn.uks (Signed). ... - _ 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. 11 Permit No.._.:.kg / Date.... 1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Mcmbcr Mcmbcr Member Council Approved Date Disapproved Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application nfter approval has been obtained from the Plannir:4 1loard. A rc•tn.pection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address \-\U° u t 6 /-3 --Sft Registered Architect and /or Engineer Name and address of licensed contractor Location and legal descriip ion of lot to be built on: Lot A/A - Pp/ Block 17 Street Number w ere work t dN b h ks a to be d one APPLICATION FOR BUILDING PERMIT c. M ar 44 (.9 ac.ro (i1J. a bdivisio %J. + •+ �� State work to be done and purpose of building (by floors). state exterior colors (submit samples) IL a ( ‘■-• and for no other purpose. New Building Remodeling Addition Repairs No of Stories / To be constructed of }� Ki in nd of foundation Roof Covering Estimated Total cost of improvements S 9 �, c0 Amount of Permit $ —.0. Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to STATE OF FLORIDA COUNTY OF DADE. }SS. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared a cb , and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. c' '7( " r f Date Disapproved Date (Signed) Aga Building Inspector PLANNING BOARD Chairman Member Member Member No. Date Street 1/20 19 ) `1 .9a DI /3 .97 /d 8� Read. S �� Sub ibed hh Notary - Pu to me well known. to of Florida My Commission Expires NOTARY PUBLIC STATE OF FLORID :t9 9 2 DATE BONDED THRU GENERAL INS. UND. Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 825.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.