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549 NE 95 St (6)/ Date L Job Address $ 7-7,/`Z 6 7 Tax Folio" .ofl' /4 ifl71d /NM .6.Y 7/1,0(i7 Legal Description ® ERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Owner / Lessee / Tenant .Q . Master Permit #_;z3A/ Owner's Address 674 Q'' N.f5 93 St Contracting Co. „Z4 ,:e • 1e e=” ,4g??. Address /3 / /ea �2 Qualifier i _ 4 1 - c�' _ APPROVED: ** * Phone State # Municipal # Competency # /t5O? Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one WORK DESCRIPTION �� t . Signature of owner and /or Condo President Date , 3- /7 .-qz No'ary as to Owner a /or Condo President My Commission Expir - fOT.ARY PUBLIC STATE Of rLORIDA pY COMISSIO@ EXP JHQE Al * B001:0 TKU f3E11146 t050 4 * FEES: PERMIT , RADON Phone 71/- .6 : BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN Zoning Mechanical * * C.C.F. Fire Building Plumbing, ka , Date: Square Ft. Estimated Cost (valud 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. Signature of Contractor or Owner- Builder as Ci •':sntr ctor or Owner - Builder My Commission . ?fires: 4OTARY PUBLIC STATE Of ;LORID1 * * * qY COP ISSIO. KP JL E 1Y4 BOWED MN &Ewa at to.. it ** -2, NOTARY' OTAL DUE ®O Other 14 IP Electrical Engineering Remarks._ ___.... Chafnnan _.. Member Member . Council Approved._ MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PER • - --- ----- ----- - - - - -- - - • _ -- -- l < 1 PLANNING BOARD__ __ . _ DATE Member Member Member _Date Disapproved IT Application is hereby made for the approyal 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. Date. FEBRUARY 14 Own;,r's Name and Address_H.... V _ CQx _ _.__ _ No. 549 _N .__E street. _.95.th__S t Regifaered Architect and /or Engineer.... . Name and address of licensed contractor . ANDREWS ROOFING F I M P ROV . 4300 E 11th Ave . Location and legal description of lot to be built on: Lot__ Block____________________ ___ Subdivision Street and Number where work is to be done 549 N_A.___E._____ _5_t_h.__S_t__ State work to be done and purpose of building (by floors) Residence Re - R Q f ffQ ll $_Q and for no other purpose. New Building Remodeling X _..__. Addition Repairs No. of Storied. To be constructed of Kind of foundation..__. Roof Covering .....__. Estimated Total cost of improvements $ $ 1314 _ Amount of Permit $ $5.00 Zone cubage required plan Cubage_ Distance to next nearest building._..___ . Size of Building Lot Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to___._ _ __ANDRE_WS _ROOFING .IMPROVEMENT._ CO_ , _43.00 Eas_tll_th.__Ave. , _Hi a 1_e-ah1 The undersigned applicant for this building permit doe. 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 he site of the work s..i public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, n work to per rmed der this permit, as are licensed by Miami Shores Village. (Signed) 1/ STATE OF FLORIDA, COUNTY OF DADE. 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 177 Date. ___. ... Read, Sworn to and Subscribed before me. Disapproved Date. .. � Notary Public, State of Florida ( Signed) -_ ( C » Building Inspector \ My Commission Expires 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. As it pertains to this Appendix "F ", it is the responsibility of the rooting 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 all the minimum requirements and standards of the indus- try 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. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof- ing 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, are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 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.) APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town- houses, 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. 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 under- side of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5. 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 roof- ing system. Ponding conditions may not be evident until the original rooting 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) e not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur- a . assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to onsider venting which can result in extending the service life for the roof. 8. The owner may contact the Miami -Dade County Consumer Services Department for further information regarding the above. Owner's /Agent's Signature 123.01 -12 PAGE 2 7/99 Date Contractor's Signature Contractor's Name: O l., 1() ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof Flat Roof Area (ft) • Sloped Roof Area (ft / SG 0 Total (ft / S 0 C/ Master Permit No. Exposure category (per ASCE 7 -88): C. Building Classification category (per ASCE 7 -88 table 1): Ft. A V Ft. A V Deck type: Fastener Type: 1 p ly 11 (O0 i al5 Oct, Field: ATTACHMENT SPACING Perimeter: Corner: 123.01 -78 4199 DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Job Address: 5 l i C1 [\;t (lip a- ROOF CATEGORY ❑ (Nail -On Tile) 2" Set Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE D'Tte- roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) (13 Page -1 ROOF PLAN 2.�^ � MEAN HEIGHT Ridge Ventilation? Deck type: ROOF SLOPE D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION iJ Fastener type & spacing: Cap Sheet. Roof Covering Page -2 Drip edge: TILE CALCULATIONS (Pmax1: 3 x X (Aerodynamic Multiplier): Z ) ;- Mg : G .IS = M 13.3`1 CA: L _ (4: 1 (Pmax2:11) ). 2.X X (Aerodynamic Multiplier): : 2 7 ) - M .) y = M a lL i PCA: KL.. le ) (Pmax3: Z X a, (Aerodynamic Multiplier): • Z - M to .) M 'Dr ) 7PCA: S (G • le 1 )3 ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135NW20St. Boca Raton, Florida 33431 Your application for Product Approval of: Monier Lifetile LLC Villa, Capri, & Roll Tiles 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: Redland Technologies, The Center for Applied Engineering, Inc., and Professional Service Industries 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 -14 and the standard conditions on page 15. 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 of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 97- 1124.16 EXPIRES: 06/25/01 APPROVED: 06/25/98 1 Internet mail address: postmaster ®buildinacodeonline.com Revises: 95- 0322.07 95- 0322.03 95- 0316.04 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 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372 -6339 aul Rodriguez Product Control Supervisor 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 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 Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County Ho h t t p : / /ww MONIER LIFET11LE LLC Monier Lifeitile LLC Capri Tile Trim Pieces Product Rainproof II Ice and Water Shield TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Product Dimensions Monier Lifetile 1= 16W LLC Villa & Roll w = 13" %" thick L = 17" W= 12 V," V2" thick I = varies w = varies varying thickness Test Specifications PA 112 PA 112 PA 112 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions Specifications 30 "x75'roll PA 104 36 "x75'roll or 60 "x75' roll 36" x 75' roll PA 103 Page 2 of 15 Product Control No.: 97 1124.16 Product Description Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and doubie roii rigs. FOr airectileck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product Description Single ply, nail -on underlayment with Manufacturer Protect -O -Wrap, Inc. 2" self - adhering top (with current NOA) edge. Self - adhering underlayment W.R. Grace Co. (with current NOA) Frank Zuloaga, RRC Roofing Product Control E: :aminer 11'MONIER LIFETIME LLC Product Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteTM ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar #11407) Roof Tile Mortar ( "BONSAL® Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polypro® AH 160 ") Hurricane Clip & Fasteners Dimensions Vertical Min. 1;'x 4" Horizontal Min. 1"x 4" for use with vertical battens or Min. 1 "x 2" for use alone Min. 8d x 2 '/" or min. 10dx 3" #8x 2 'A" long 0.335" head dia. (1,1l1" shank (pa . 0.175" screw thread dia. N/A N/A N/A N/A Clips Min. 'A" width Min. 0.060" thick Clip Fasteners Min. 8d x 1 ''A" Test Specifications Wood Preservers Institute LP — 2 PA 114 Appendix PA 114 Appendix PA 123 PA 123 PA 123 See PCA Product Description Salt pressure treated or decay resistant lumber vattens E Corrosion resistan screw or smooth shank nails E Corrosion resistan coated, square 'fr �g 1u{� 1'fPd� coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Two component polyurethane adhesive designed for adhesive set roof tile applications. PA 114 Appendix E Corrosion resistant clips with corrosion resistant nails. Page 3 of 15 Product Control No.: 97- 1124.1=6 Manufacturer generic generic 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 #94- 0401.01 Generic mi NTER LEEETILE LLC Test Agency 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. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. EVIDENCE SUBMITTED Test Identifier 7161 -03 Appendix III 7161 -03 Appendix III 94 -084 94 -060B 25- 7094 -1 25- 7094 -7 25- 7094 -4 25- 7183 -1 25- 7183 -2 Page 4 of 15 Product Control No.: 97 -1124A 6 Test Name/Report Date Static Uplift Testing Dec. 1991 PA 102 Static Uplift Testing Dec. 1991 PA 102(A) Static Uplift Testing May 1994 PA 101 (Mortar Set) Static Uplift Testing PA 101 Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) March, 1994 Oct. 1994 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 uloaga, RRC Roofing Product Control Examiner MOVER L1 ETELE LLC Test AEencv The Center for Applied Engir..eering, Inc. The Center for Applied Engineering, Inc. Iledland Technologies Redland Technologies Red land Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Test Identifier 25- 7214 -2 25- 7214 -6 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 PO402 Project No. 307025 Test #MDC -76 224 -47099 Page 5 of 15 Product Control No.: 97 Test Name/Report Date Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) 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 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 ... aga 1' Roofing Product Control Examiner MONIER LLFEE LE LLC Product Control No.: 97- 112446 Deck Type: Wood, Non - insulated SYSTEMS Deck Description: New Construction 19 /32" or greater plywood or wood plank. SYSTEM A: Counter -Batten Application Slope Range: 2 ":12" to 7 ":12" Note: Counter - Battens, 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. Underlayment: Install underlayment system in compliance with Dade County Application Standard PA 118. Vertical B attens: Install vertical battens in compliance with Dade County Application Standard PA 118 Horizontal Battens: Install horizontal battens in compliance with Dade County Application Standard PA 118. Roofing Tile: Install tile in compliance with Dade County Application Standard PA 118. (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 15 Zuloaga, RRC Roofing Product Control Examiner MONIER LIFETIME LLC Product Control No.: 97- 1124.16 SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction 19 /32" or greater plywood or wood plank. SYSTEM B: Direct Deck Application Slope Range: 4 ":12" 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. Underlayment: D....$....T :f.. Install underlayment system in compliance with Dade County Application Standard PA 118. • ♦ :t - -� t_ -� -- _.L Dada P._ a 1:.�.•_ n . .�Jl n a a:ba:.•� a•.0 uc'v..••.•.... •. .a. � aua a ada a.Naa/•ay 'r. Js l{.Gaavn "Jld lUJdlli 1 % (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. Page 7 of 15 uloaga, RRC Roofing Product Control Examiner n l . U. MONIER LIFETILE LLC Product Control No.: 97- 1124.16 Deck Type: Deck Description: SYSTEM C: Slope Range: SYSTEMS (CONTINUED) Wood, Non - insulated New construction 19 /32" or greater plywood or wood plank. Horizontal Batten Application 4 ":12" or greater Note: Horizontal battens, 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 less than 4 ":12 ", refer to System A. Underlayment: Install underlayment system in compliance with Dade County Application Standard PA 119. aaVa a.a.•I al Lail LlaaLabasa• Roofing Tile: Comments: lawaaalt +11%04 la.l#uaua valaaGifJ is i . v u l Yildllee ir7141 a/au6 %...vuasay ' fJ[J 1L:dllvl Standard PA 119. Install tile in compliance with Dade County Application Standard PA 119. (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. Page 8 of 15 Frank Zuloaga, RRC Roofin pre I rIntrrll Pvarn; nor MONIER LIFETILE LLC Product Control No.: 97- 1124:16 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 this slope range. For slopes in excess of 7 ":12 ", refer to System C. Underlayment: Roofing Tile: Comments: Install underlayment system in compliance with Dade County Application Standard PA 120. (See System Limitation #5.) Install tile in compliance with Dade County Application Standard PA 120. lc Aga " tm. ;, ,. 0 »0�.{..... tt �I u ._ .t; • 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. Page 9 of 15 ran Zuloaga, RRC Roofing . T..1trt r',ntrnl A'IONYER LIIFETILE LLC Product Control No.: 97- 1124.16 SYSTEM LIMITATIONS 1. The standard minimum roof pitch for Monier Lifetile LLC Villa, Monier Lifetile LLC Capri & Monier Lifetile LLC Roll, low profile tile shall comply with Dade County Application Standards PA 118, PA 119 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 to meet or exceed the required resistance determined in compliance with Dade County Protocol PA 115 or PA 127. Tile profiles listed here in have 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 adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency. in compliance with Dade County Prntnrnl PA I shall he nerfnrmrrl 5. For tile 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 manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section II 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 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 Dade County Protocol PA 112, Appendix 'A'. 9. Fire classification is not part of this aceptance. Page 10 of 15 Frank Zuloaga, RRC Roofine Product Contrni �..�...�.,P. i MONIER LIFETILE LLC Tile Profile Monier Lifetile LLC Villa Tile, Roll Tile, and Capri Tile Tile Profile Monier Lifetile LLC Villa Tile, Roll Tile, and Capri Tile Tile Profile Monier Lifetile LLC Villa, Roll, and Capri s Deck 5.57 6.30 Tile Application Battens DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers -1 M 1l (ft) X(ft') Batte pp • ation Direct Deck Application / 0.27 0.29 . ✓•••■•• I s 5.48 l /\: -a VII Vyt Deck 6.18 1 nail 2 nails 4.10 7.10 Table 2: Restoring Moments due to Gravity - M (ft -Ibf) 3 ":12" 4":12" 5 ":12" 6":12" 1 '1_4 -- 1..IGI14L01 1 s ! Deck 5.37 f 6.05 1 screw 22.90 Page 11 of 15 1 r'1: -a LOU GVL 2 screws 49.10 24.20 Product Control No.: 97- 1124.16 LJ OlLG:1 1 s 5.24 ,\... - Lill Girl Deck 5.90 Table 3: Attachment Resistance Expressed as a Moment - Mt (ft -lbf) for Nail -On Systems Approved ( Approved Nails I Screws Approved Field Clip With: 1 nail 12 nails 34.80 I I L L I 1 1.111 Girl s 5.09 Approved Eave Clip With: 1 nail 1 2 nails 22.10 7 ":12" or greater uloaga, RRC Roofine Prnthtet Control 1` YARI Ir1Pr Deck N/A 32.20 Direct Deck 1 11.80 1 21.90 [ 25.80 j 47.10 24.30 35.50 1 19.00 1 31.90 I Data noted in Table 3 is for installation with a 3" tile headlap. 2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. i MONYER LIFETILE LLC Table 3 -A: Tile Profile Monier Lifetile LLC Villa Tile, Roll Tile, and Capri Tile DATA FOR ATTACHMENT CALCULATIONS (CONTINUED) Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Nail -On Systems Tile 1 Two (2) 10d x 3" long nails Application Direct Deck New Construction (min. 18 / plywood ( Direct Deck Recover/Reroof min. 15 4 2 " plywood) Battens New Construction 1 Tilt ine +711o+inn u,i +11 .3 A" ke .nn I leinn hAin PI% a nn.n..nei polymer coated, corrosion resistant, ring shank nails installed in manufactured holes located 2%" from the head of the tile. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Table 4: Attachment Resistance Expressed as a Moment for Mortar or Adhesive Set Systems Tile Tile Profile Application Monier Lifetile LLC Villa Tile, Mortar Set Roll The, and Capri Tile Adhesive Set Page 12 of 15 Product Control No.: 97-1124.16 67.50 43.00 50.90 - M1 (ft -lbf) Attachment Resistance 20.60 86.61 uloaga, RRC Ronfino Prn ,4,,- -r rn..s.,sI MONIER LUETILE LLC PROFILE DRAWINGS 1 &.-- ;047 ---d- :R COURSE NOSE MONIER LIFETILE LLC VILLA TILE Page 13 of 15 MONIER LIFETILE LLC ROLL TILE Product Control No.: 97- 1124.t6 Villa uloaga, RRC RAnfina Prnri,..., rnnfrni C.... — = -__ • MONYER LIFETILE LLC -Si I..Q.o, 0.07' 0.11' —o w o.1r } PROFILE A- DRAWINGS (CONTINUED) MONIER LIFETILE LLC CAPRI 23 DEC. Page 14 of 15 0.131 APPROVED SCREW FOR SCREW DATA IN TABLE 3 Product Control No.: 97-1124:16 0.34^ ■1011■1■000$01■SP■ 0.173• MONIER LIFETILE LLC Product Control No.: 97- 1124:16 Monier Lifetile LLC ACCEPTANCE NO: 97- 1124.16 135 N.W. 20 St. APPROVED : June 25. 1998 Boca Raton, FL. 33431 EXPIRES : June 25, 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 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 I through 15. END OF THIS ACCEPTANCE Page 15 of 15 PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring- Sttiebner Road Spring, TX. 77333 APPROVED: 04/ 16/98 • addrese: postmaster ®buildingeodeonllne.com • tw METROPOLITAN DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BU1LnING CODE CO�4FL14NCE OFFICE ME1 RO.O! OE FLA„LEF1 BUILDING 14C WEST rLAGLER STREET. SUITE 1603 MIAMI- FLORIDA 33130.1563 (305) 375-2901 FAX (305) ars -2go PRODUCT CONTROL. DIVISION (305) 375-2902 FAX (305) 372 -6339 Your application for Product Approval of Polvfoam Products "Polvpru AH -160" RoufTile Adhesive 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: The Center for Applied Engineering, Inc. and Miley Laboratories Polymers Division has been recommended for acceptance by the Building Code Compliance Office w be used in Dade County. Florida under the specific conditions set forth on pages 2 -14 and the standard conditions on page 15. This approval shall not be valid after the expiration dace stated below. The Building Code Compliance Office reserves the right' to securr 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 Codc 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 tnanufacturer. ACCEPTANCE NO.: 98 0303.02 Renews: 96 0402.02 EXPIRES: 04/16/01 Q(nut Rodriguez Product Control Supervisor TH(S IS TITS COVERSIIEF.T, SEE ADDI'T'IONAL PAGES FOR SPECIFIC AND CENF.RAL CONDITIONS BUILDING COVE COMMITTEE 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 Danger, P.E. Director Building Codc C Miami -Dade nunty =cc Dept. Homepage: http : / /www.buildIngcodeonllne.com '98 11:41 554 475 1462 PAGE.002 • POLYFOAh1 PRODUCTS iNC. Product Control No.: 9S 0303.02 PRODUCT CONTROL NOTICE: OF AC::. ?I'ANCE ROOFING COMPONENT AYYROVAL. Applicant: Polyfoam Products, Inc. 2400 Spring - Stucbner Road Spring. Tcxas 77383-1132 Cateeorv: Roofing Component C��h_CateQpr i Fastening/Adhesive lys_s Roof Tile Adhesive S -Tyne: Two Component Polyurethane System Description Polyfoam Products, Inc., produces two - component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polypro4 AH 160 is specially designed fur application of concrete and clay roof tile over a variety of roof deck substrates and underlayment materials. Polypro® adhesive is applied with proprietary Foampro® RTF1000 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 applicatiion p training program. Approval of this adhesive system is contingent upon a ligation by a 'Qualied Applicator. - c 7c 'AA 11: Contact: Pat Murray P.O. Box 1132 Spring. Texas 77383 -1132 Phone: (713)350 -8888 Fax: (713)28R-6450 Page 2 of 15 Product Control No.: 93- 0303.02 Approval Datc: April 16, 1998 Expiration Date: April 16, 2001 Frank Zulnaga. RRC Roofing Product Control Examiner 954 475 1a62 PAGE.003 aPP 29 '96 11 : POLY'FOAM PRODUCTS, n-1 C. Product Cuncrol Na.: 9S- 0.;03.02 TRADE NAMES OF PRODUCTS MANUFb.C1 URED OR LABELF.D BY APPLICANT Test Product ' roduct pimcnsions Snccifications Description N/A PA 101 Two component Polypro® Alf 160 polyurethane Foampro® KTF1000 NIA Sec Detail Attached Dispensing Equipment Page 3 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE•004 • POLYFOAM PRODUCTS, INC. Product Underlayment Koof Tile APR 2S 'SG 11:42 TRADE NAMES OF PRODUCTS MANUFACTURED 13V 01 H1r1'.S Test Criteria Product Description PA 120 All Dade County Component Approved products as detailed in Dade County Application Standard PA 120 PA 101 All Approved roof tile systems having tested in compliance with Dade County Protocol PA 101, as detailed in the systems section of this Component Approval Page 4 of 15 Product Control Nu.. 9S 0303.02 Manufacturer All Dade County Approved Products All Dade County Approved Products Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.22 • POLYFOA1`1 PRODUCTS, INC. Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Miles Laboratories Polymers Division Ramteeh Laboratories. Inc. Southwest Research Institute Southwest Research Institute Trinity Engineering .,c .co 11:42 Product Control No.: 98- 0303.02 TEST REPORTS Test Identifier Test Namc/RcPort Date #94 -060 Miami Dade Protocol 04/03/94 PA 101 257818 -IPA Miami Dade Protocol 12/16/96 PA 101 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 - SSTD 11 -93 10/25/95 25- 7438 - SSTD 11-93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 NH- 589 -631 ASTM D 1623 02/01/94 9637 -92 ASTM E 108 04/30/93 01-6743-011 ASTM E 108 01-6739-062141j ASTM E 84 7050.02.96 -1 PA 114 Page 5 of 15 11/16/94 01/16/95 03/14/96 Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.006 • POLYFOAM PRODUCTS, INC. Property Dcnsity Dimensional Stability APR 25 . se 11:42 TYPICAL PHYSICAL PROPERTIES cst ASTM D 1622 Compressive ASTM 1) 1621 13 PSI Parallel to rise Strength 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08, Lhs. /Ft Moisture Vapor ASTM E 96 3.1 Perm / Inch Transmission ASTM D 2126 Closed Cell — ASTM D 2856 86% Content Note: The physical properties listed above arc presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. Page 6of15 1.6 Ihs. /ft.' Product Control No.: 93 0303.02 Results +0.07% Volume Change n -40 F., 2 weeks +6.0% Volume Change @158 100% Eluinidity, 2 weeks Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PFGE.007 POLYFOAM PRODUCTS, £NC. Product Control Nu.: 98- 0303.02 sys•i Deck Type: Wood, Non - insulated, New Construction /Retool Deck Description: 15/32" or greater, plywood or wood plank. SYSTEM A: Adhesive Sct Application Slope Range: 2 ":12" to 7 ":12" Underlaynrcnt: Shall comply with Miami -Dade Roofing Application Standard PA 120 Roofing Tile: Comments: APR 29 '98 11:42 Any roof tile assembly having a current shall be applied in compliance with the Component Application scction 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 115 or PA 127. The adhesive attachment data is noted in the roof tile assembly NOA. 1. All 'System Limitations' noted in the tilt Roof System Assembly Product Control Approval shall apply. Page 7 of 15 Frank Zuloaga, RKC Rooting Product Control Examiner 954 475 1462 PAGE.008 • POLYFOAM PRODUCTS, INC. Product Control No.: 9S- 0303.02 SYSTEMS (CONTINUED) Deck Type: Concrete, New Construction /Rerouf Deck Description: New construction SYSTEM B: Adhesive Set Application Slope Range: 2 ":12" to 7":I2" Undcrlaymcnt / Install Approved underlaymcnt system of one of the following: Waterproofing: Underlayment: (30/90 Hot Mop) fully adhered i n . a full mopping of ASTM D 312 type I V asphalt applied within the EVT range. Back" nailing and laps shall be in compliance with Rooting Application Standard PA 120. Any liquid applied roofing system having a current NOA for its use as a the underlaymcnt system. Roofing Tile: 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 115 or PA 127. The adhesive attachment data is noted in the roof tile assetbly NOA. Comments: 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval or waterproofing component Roofing Component Product Control Approval shall apply, as applicable. APP. 29 '98 1 1 : 4 3 Page 8 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.005 Table I: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Two -Piece Barrel #1 'S' Shaped #2 Double Roll #3 Flat #4 • POLYFOAM PRODUCTS, INC. 1. Polypro® Al 1160 tile adhesive shall only be applied over an underlayment installed in compliance with application instructions detailed in its NOA.. Underlayment may be any uncicrl:iyments or undcrlayment systems listed Miami -Dade County Roofing Application Standard PA 120. 2. 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 he by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoant Products, Inc. 3. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "fl" component shall be maintained between 1.0- 1.15 (A) : 1.0 (B). The dispense tinier shall be set to deliver 0.08 to 0.15 pounds per tilt as :determined at calibration. No other settings shall 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 Details' herein. Each generic tile profile requires a specific placement. as noted in Table 1, below 5. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam has been dispensed. APR 29 '96 11 : COMPONENT APPLICATION Page 9 of 15 Product Control No.: 98-0303 02 Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.010 POLYFOAM PRODUCTS, INC. SYSTEM LIMITATIONS 2. Polypro® A1[160 adhesive shall be installed only by 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. 3. For adhesive sec tile applications, a field static uplift test by n i m Da o County J ccr dit I testing agency, in compliance with Miami -Dade County Roofing shall be required not less than 72 hours aQer application to confirm tile adhesion. 4. Rcfcr application drawings published by the National Tile Manufacturers Association for p penetraa tions and terminations; as well as the'l'lacement 'Details' included with NOA. 5. Refer to tile Roof Tile Assembly Product Control NOA for system acceptance with tltik Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. 7 P AH160 shall not be exposed permanently to sunlight. 8. Polypro® AH1.60 shall be applied with Foampro RTF1000 dispensing equipment only. ved oam ProductsTnc. shall supply Building Official with a list of 'Qualified Applicators appro 9. Polyf and licensed by Polyfoam Products, Inc. Page 10 of 15 Product Control No.: 98-0303 01 Frank Zuloaga. RRC Roofing Product Control Examiner 954 475 1462 PAC2.211 • POLYFOAM PRODUCTS, INC. 11.A th.. •q$ '1.411. ••••••A (•rA• r•O.•Ir.J by u.• •r1.y.w •t :; =? 29 '58 1 1 : 45 PLACEMENT DF.TALLS (CONTINUED) ..+1 ^ .cM.•. 17.23 .r..r. 1•• d.• .14 lt 11• ta41 .Al. 111 4441411‘ 4%1 Caws Corms • v • t.•. .wr....Jy, Loa. vt•■•7•• Apprpdw.tt.y 4• •• Ir.. am.Nri.•. Placement Detail #3: Double Roll Profile Page 13 of 15 Product Control No : 98- 0303.02 • Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.214 POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 Polyfoam Products, Inc. ACCEPTANCE NO. 9R- 03U7.02 2400 Spring- Stuebncr Road APPROVED April 16, 1998 Spring, TX 77383 EXPIRES April 16, 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall bc considered after a renewal application hus been filed and the original submitted documentation, including test supporting data, engineering documents. are no older than cight (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) 'pure has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with thc 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 thc correct, installation of the product; d) The engineer whc 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 oldie produc: or process shall automatically he 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 uny other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Uadc County. Florida, and followed by the expiration date may bc 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. g 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 15. END OFT111S ACCEPTANCE ciQR 29 ' 98 1 1:45 Page 15 of 15 Frank Zuloaga. RRC Rooting Product Control Examiner 954 475 1462 PAGE.016 Test Location UPI Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 I /.'1 26 i an . 51 2 27 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 ` , 63 14 39 ) 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 W 70 21 46 71 22 47 72 23 48 73 24 49 74 25 50 75 Did Quesne & Associates, Inc. UTI18 17465 Consulting Engineers Testing Laboratory Ofd -SITE CONCENTRATED UPLt T LOA® TESTING OF ROOF TILL ON ACCORDANCE'90TH METRO-DADE@UOLDONG CODE CO dWLO PICE PROTOCOL PA 903 SITE SPECIFIC INFORMATION Owner's Name: Permit #• Job Address Roofing Contractor: Type of Tile: Approximate Roof Height: / feet Type of Access to Roof: Scaffolld Approximate Square Footage of Roof: .6,230 ft 2 Required Testing Force: 35 lbs. Testin Equipment: Chatillion DFIS 100 Date Tested* N-3/— 000 TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK Environmental o Civil o Structural Building Inspection Services Date Installed / — fg - - Ze Roof Pitch _Yladder Other IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS RE " : ' ITTE► ‚ J . Du Quesne, P.E. .: 4513 C ' 4 +u Quesne & Ass + -tes, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 KETCH OF ROOF JOB SHEET NO OF CALCULATED BY CHECKED BY DATE SCALE DATE NOTES' $KETCH OF ROOF 108 g ? A L. 75 Jr- /V4 /4i(4/ SHEET NO 2 OF c2— /0 f0 CALCULATED BY 7 DATE / — `' / - 00 CHECKED BY DATE SCALE AIIIP . 2 Mal . cadivaimmralmilmangal - reM1111E7111111M MN ANNINI r , P9 / e NOTES. Owner/Lessee / Tenant • PERMIT APPLICATION' ®R MIAMI SHORES VILLAGE Daa e c-11-1 -0O Job Address 5 k -1 Los A s541 Legal Description S P - Historically Designated: Yes No Owner's Address Contracting Co. ICJ Q \ (� � I<C I sn G Qualifier R (e)( 1 v D J State # ' �-- -q Municipal # Architect/Engineer Bonding Company ■■ Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFING }' AVING FENCE SIGN WORK DESCRIPTION - Re ~-co-P .-- �- 1 " \ Square Ft. 1 ;BOO Oo 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 zo g. Furthermore, I authorize the above -named contractor to do the work stated. S Notary as My Co roo7 - E r r, "TT 1 kl Koss vQ b-t4- ' e of owner and/or Condo Pr- :'dent Date •2ii /moo o Owner and/or Condo President Date jf iOi' Fv+ ;rc.v e .0:47, %#;;r. MARIETTA RODRI.GUEZ -NOVO ,n 1 4 MY COMMISSION /1 CC 713506 .?,��= EXPIRES: February 4, 2002 '-F q 1O•• Bonded Thru Notary Public Undetunfters FEES: PERMIT l b RADON APPROVED: Zoning Building Mechanical Plumbing 1y9 ivE 5 57 L Address , W CG -/ cM 1 2 s cD Competency # — Address Address Estimated Cost (value) 7 Sc ' • O c) Date Notary as o Contractor or Owner - Builder Date My Commission Expires: ' P MARIETTA RODRIGUEZ -NOVO MY COMMISSION a CC 713506 ° ti EXPIRES: February 4, 2002 • ` 4 Banded Thr Notary Public Unde natters Signature of Contractor or Owner- Builder v Master Permit # Electrical hone O C - o. — Li 7ya c iG -(40(4 C.C.F. 1 0 g 0 NOTARY n- BOND 3c o . TOTAL DUE Engineering • Owner of Building Architect Contractor or Builder Legal Description I Address of Building -1 • i f - ' t I N» \ I Lot ; 'CONTRACTOR or BUILDER • &fL L i 3,3 AQA cA)Q BUILDING 1:81 ELECTRICAL 0 PLUMBING 0 PERMIT ROOFING 0 MIAMI SHORES VILLAGE, FLORIDA D .,) • •• Work * r 474u5 to be performed under this Permit ) RV e r • I tics I V _kla4.41 -1 ..c./1/?!.' Subdi- visionfV% • • ' ) „ Sq. Ft.: I ' Value of Project Contractor's License No. if 1 ; 1 ) A rv•rt.vesr, ITN/ Permit: CCF: Notary: Bond: 3:0e) Radon: Permit: Amount This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be 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 uponwhich 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 (7 the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or empIoyee. Signed • (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation pertaining,thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 1538(1200 08/30/09TOM 412.Rfl