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ROOFINGMiami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -850 Printed: 6/23/2004 Applicant: MARJORIE HORD Owner: HORD MARJORIE JOB ADDRESS: 574 NE 95 ST Contractor DELG BROTHERS ROOFING Local Phone: 305 - 551 -0715 Parcel # 1132060140790 Building Permit Contractor's Address: 9810 sw 16 st Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 3 & 4 BLK 55 LOT SIZE 100.000 X Fees: Description Amount FEE2004 -6368 Building Fee $250.00 FEE2004 -6369 CCF $1.20 FEE2004 -6370 Training and Education Fee $0.40 FEE2004 -6371 Technology Fee $6.25 FEE2004 -6372 Scanning Fee $12.00 Total Fees: $269.85 Total Fees_ $229.85 Total Receipts: $0.00 9 " Permit Status: APPROVED Permit Expiration: 12/18/2004 Construction Value: $2,000.00 Work: RE - ROOF MONIER TILE TO MATCH EXISTING TILE Signed: (INSPECTOR) !JUN 2 9 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPARTMENT / 305- 795 -2204 Building Inspection Request Date (43c) Type Insp'n 1 alp 2 �^ Permit No. 619 0 -(SO Name Hu Address 51 —1- 1E q 5 Company � � ^^ CS O- Phone # )6& 41 3- CSO- Inspection Date '7 I i Approved Correction Re- Insp'n Fee 305- 795 -2204 Building Inspection Request Date a q,) C Type Insp'n I 1 ( C p Permit No. P 'CS S( Name (- )e (+ Address S1 14 NF q 3 5-i- Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUJLDING DEPARTMENT Company �/ f ) ^ C r Phone # (){0 41� O Inspection Date - ) I MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu'lding Inspection Request Date 2 - Type Insp'n Ti W. On pbc.i 1 1 , 1&0 1 If Permit No. v — .K5eD . Name RO Address 574 1 t q5 J Compan DG Phone # Inspection Date Approved Correction Re- Insp'n Fee CT -1(o-3— MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 2- s Type Insp'n g ; i ! , O$C c— Permit No. L 6P0 Name PO Address 574 CIS s+- Company I cin do Roo cirr Phone # - 7 ) Inspection Date 4 Approved Correction Re- Insp'n Fee ❑ No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 41 -45 71 -75 91 -95 6 -10 Passed 26 -30 46 -55 76 -80 96-100 11 -15 31 -35 56 -60 81 -85 101 -110 16-20 36 -40 65 -70 86-90 111 -200 FLORIDA Reviewed by: Raf.: Iroz -Seda, P.E. No. 39228 & 843 mg Building Solutions For The Construction Industry eering & suiting, Inc. 13605 S.W. 149 Avenue Unit 1 Miami, FL 33196 Rafael Droz -Seda, P.E. 9130 Crescent Dr. Miramar, Fl 33025 PROPERTY ADDRESS: 574 NE 95 ST. OWNER: PCA No: CONTRACTOR: ZARA CONSTRUCTION, INC ROOF PITCH: 2.5:12 ROOFING SQUARES: 5 THLS ROOF HAS PASSED: TILE TYPE: ATLANTIC FLAT CONTACT PERSON.: Testing Equipment: Digital Chatillon DFIS 200 Ell CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH MIAMI-DADE COUNTY PROTOCOL TAS -106 Test Tabulation Lab Report No. 04- 070042 PERMIT No: BPO4850 INSPECTION DATE: TEST DATE: 07/09/04 JOB NUMBER: Certificate No.02- 0501.06 Required Testino Force: 35 lb FAILED 0 THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI-DADE COUNTY TAS 106. "ROOF SKETCH" Front 2 4 8 North Voice: 305.256.4550 floridatec.net Fax: 305- 256 -1995 Company Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT � Inspection Date 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address S r [ ] ()) . ( ( 1-5 - 3 ° 51 (� o � lS MIAMI SHORES VILLAGE BUILDING DEPARTMENT �t 305- 795 -2204 Building Inspection Request Dat) I o Type Insp'n fP` -1 , Permit ■o. P ( cP 5 0 1 a Name Address S r) l/ ' 0) f , 9 -, Company )- 3 1. } Phone # ) L' r _ , r . / I Inspection Date 0 Approved Correction Re- Insp'n Fee Miami Shores Village 4 Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305 ! y ' 756.8972 RECO BUILDING 2 1 ir.4 Permit No. 6P - [so PERMIT APPLICATION _ _ _ _ aster Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical r Roofing Owner's Name (Fee Simple Titleholder) �/1 4 I C `k) Al 0 R d Phone # Owner's Address c ( A. L c -r.7 City N11 pp..; S40 QC-S State X-1 Tenant/Lessee Name Phone # Job Address (where the work is being done) S-----, L/ A/ t= `1 r.( / City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO_ Contractor's Company Name 0E4 6 l 47 / e 0 S Phone # 7 0 f - -Fri 0 "7 � Contractor's Address ) ©-Ss w J D S City 1 .4 State <. Zip 3 3) 67 Qualifier R P c l L 6 0 State Certificate or Registration No. C CC 0 UO U J 9 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit v1 ,j Type of Work: EAddition n ❑Alteration Describe Work: — 0 U 1 2i 6% 5E0S Submittal Fee $ • CO Permit Fee $ 5 O — CCF $ I i CO /CC Notary $ Training/Education Fee $ a` L 1 4 Technology Fee $ R5 Scanning $ 1 Radon $ — Zoning Bond $ — Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) ALAI 4 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** rIF I ❑New Zip Square Footage Of Work: 5 0 1� J Repair/Replace 0 ❑ Demolition ( IC /'mod Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / Cj day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 day of ; u , 2009 by who is personally NOTARY PUBLIC: NOTARY PUBLI Sign: Sign: Print: Print: My Conunission Expires: My Commission Expires: C� !i'tctor ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Date Job Address State #( co1DU < 9 4f -c 4) Signature of ner and/or Condo President Notary as to • wner and/o My Commission Expires PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972 Legal Description Historically Designated: Yes No Owner /Lessee/Tenet m % K q i k) J4o r 1. Master Permit # Owner's Address S LI /" 9 S 17 Phone Address R ej 0 s c{) ) 6 i Contracting Co. DEZ � , eRas Qualifier /' a- F f L i C U 0 SS # --{ phone? 6_, " J S 1 -0 7 J Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: i\ I ' I `(9 0 Soo . T 0 11 r --" Square Ft. C) / Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. sidrllYN MORALES )ate My Comm Epp. 7/31/O6 ..No. DO 025063 'H h mAMPi 1,0 ,14. 1 . 6 Date Signature Tax Folio Competency # Ins. Co. o o Contract Lt. -) Notary as to Contractor or 0 My Commission Expires NOTARY c) ,0 !' h it Owner Builder CJ 7=t. Q Date BOND FEES: PERMIT RADON C.C.F APPROVED: TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. M GU/, 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. Mwu 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 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). ■14JU 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. M t/ Ja 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the sleeking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. M6; /U 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 roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. M WI/ 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. M 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Dui K4L-e/ r'(/Agent's Signature C:\ DOC1: 3IC- 1 \cmp\LOCALS- 1 \TcmpNSECTIOY 132J.da ■ High Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Master Permit No. Process No. - .L 6 r2Qd s Contractor's Name Job Address .. 5 i\K_E rr is :.�.. - i f_r {�- -; - t om i.. L 1 r — I i f ! • . 1 t .! • 1. . I _ . i . i..l —.t..!...1 .. t .-..^ ' . . s • .i. i 1 i _ ( . ' ._ . i i . i : .� , i (. _ (i t . • .,i.. 1 i i ROOF CATEGORY ❑ Low Slope Y ❑ Mechanically Fastened Tile LJ Mortar /Adhesive Set Tim ❑ Asphaltic . ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes Shingles ❑ Prescriptive BUR -RAS 150 ❑ New Roof • • Re- Roofing ❑ Recovering ❑ Repair ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) o J O / Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. -i - ! 1 _ r -- • ROOF TYPE '.! ' t..' r -i. ' . ..... !..............:...._ _._...._.. _ ... ❑ Maintenance + . 1 7 _ 1 ...- ! - 4 Roof System Manufacturer: ) b ti � Z/ Notice of Acceptance Number: 0(9 J all- 0 Minimum• Design Wind Pressures, If Applicable (From RAS 127 or. Calculations): Pmax1:7 • & 1S Pmax2• ' Pmax3: .)• Maximum Design Pressure I Q (From the NOA Specific System): I I High Velocity Hurricane Zone'Uniform Permit Application'Form Section D (Steel Sloped Roof.System) Deck Type: ype Underlayment: Insulation: Ridge VI tilation? 1 , , p,- Fire 6 Mean Roof Height: ) Sloped System Description 5-4 arrier: ii-s 61a4 Fastener Type & Spacing: Adhesive Type: N// I /lie PJ 6 Hip ` TiY,.4) ' t/ 4-s? 2 ype Cap Sheet: ( T7c rioT oof Covering: dge:, Type & Size Drip • Whcrc to Obtain Information Description Symbol Whcrc to find - PE ' = 'Design Pressure PI or 1'2 or 1'3 RAS 12T or o by an engineering analysis prepared by based on ASCI : 7 Mean knotllcight 11 Job Site koorSlopc 0 Job Site AeroJTynamic Multiplier X NOA Restoring hlome t due to Gravity hl, NOA Attachment Resistance hl, NOA Required Resistance I. Calculated hlininnun Attachment Resistance 1' NOA . ItequiredOplia Resistance I:, calculated . Average Tile Weight W NUA 'fine Dimensions I• length NOA w• width All calculations must he submitted to the Building (Alicia! at the time of permit application. M Required Moment Resistance' . Mean Roof Height --O. Roof Slope 4, 15' 20' 25' 30' 40' 2:12 30.7 33.4 35.7 37.7 40.7 3 :12 28.7 31.3 33.4 35.2 38.1 4:12 26.6 28.9 30.9 32.6 35.2 5 :12 24,5 26.7 28.5 30.0 32.5 6:12 22.5 24.5 26.2 27.6 29.8 7:12 20.8 22.6 24.1 25.4 27.5 I , High Velocity Hurricane Zone Uniform Permit Application Form Section \E (Tile Calculations) For Nlon►ent based tile systems, choose cithcr Method 1 or 2. Compared the values for M the values from M if the M values arc greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "}Moment Based Tile Calcul;itions l'cr RAS 127" rr.•� 7, r Xrra =I/. /o - Me: < "' N1. S-1 NOA hlri' • NOA M, (I'?; /o6 x Jar . =c U.1 y) - M K', 0 - M ad NOA 11 Method 2 "Simplified Tile Calculation Per Table Below" Required Momcnt of Resistance (M,) From Table Below NOA M `Must be used in conjunction with n list of ntotncnt based tile systems endorsed by the llroward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. IM lcthod 3 "Uplift Based Tile Calculations Pcr RAS 127" NOA F' NOA F' F' (P : x I: x ) - W: x cos O: = F,.: (f'. x I: x w: s ) - W: x COS O: = F (f � x I: x N►': a ) - W: x cos 0.• = Fn: l SCOPE: r . . MIAMI.OADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20 Street Boca Raton, FL 3343I This NOA is being issued under thc applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).' This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division an Miami Dade County)and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AH.1 may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of thc applicable building code, This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in thc materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County. Florida, and followed by the expiration date may be displayed in advertising.Iiterature. If any portion of the NOA is displayed, then it shall be done in its entirety. • INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall sbe available for at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. . The submitted documentation was reviewed by Frank ZuloaSa, RRC MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLACLER BUILDING 140 WEST FLACLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375.2901 FAX (305) 375 -2908 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 1 of 6 "2... -.. resistance ' for Nall-On r_xpressed as a Systems ; ' ' Direct Deck , (min '15/32" . plywood) Moment - M, (ft-Ibt) • • Direct Deck (min. 19132 plywood) Tile Profile Fastener Type Battens Monier Lifetile ' Atlantis Shake & Slate Tile • . 2-10d Ring Shank Nails 1 30.9 • 38.1. 17,2 1-10d Smooth or Screw Shank Nall 7,3 . 9.6 : . , 4.9 2-10d Smooth or Screw Shank Nails 14.0 18.8 ' '• 7.4 1 #8 Screw 30.8. 30.8 5i.7T 18.2 24,4 2 #8 Screw 51.7 1-10d Smooth or Screw Shank NaillField Clip) 24.3 .19,0 - ' • ' -. : • 35.5 . • . • 31.9 , . 24.3 190 35.5 , 31.9 . 24.2 22,1 34.8 32.2 1-10d Smooth or Screw Shank Nall (Save Clip) 2-10d Smooth or Screw Shank Nails (Field Clip) 2-10d Smooth or Screw Shank Nails (Eave Clip) 2-10d Ring,Shank Nails 50.3 65.5 48.3 1 __ Installation with a 4" tile hendlan and factomare ,...t,..,....*,..■ . ....t- -I nt... ,____ ._ . .• .. Tile Profile Monier Lifetile Atlantis Shake & Slate Tile • 2 e. Table 5: Attachment Resistance Expressed as a Moment MI (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application J Minimum Attachment •, • Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive . 31.3 2 See manufactures component approval (or installation requirements, , 3 Flexible Products Company Tilefilond Average,weIght per patty 13,9 grams. Polyfo2m Product, Inc. Average weight oil:ebony 8Arams. Table 5A: Attachment Expressed as a Moment - (ft7lbf) for sin le pa. Tile Profile Tile Applications Minimum Attachment .•: Resistance Monier Lifetile Atlantis Shake & Slate Tile PolyPro'la . ; 118,9" Poyron' 40.4 Lar e add lacement of 45 rams of Poi Pro • ' . 5 Medium paddy placement of 24 grams of PolyFroym. , ' Table 5B: Attachment Resistance Expressed as a Moment - Mt (ft-lbf) for Mortar or Adhesive'Set S stems Attachment Application Resistance Mortar See' , ' 39.0 NOA No.: 02-1211.08 Expiration Date: 12/16/07 Approval Date: (mown 06/18/2004 08:30'. ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 2. PRODUCT DESCRIPTION Manufactured by • Applicant Monier Lifetilc Atlantis Shake and Slate Tile Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Arzencv Redland Technologies The Center for Applied CnSincering, Inc. The Center for Applied Engineering, Inc. The Ccntcr for Applied Engineering, Inc. The Ccntcr for Applied Engineering, Inc. MEDITERRANEAN ROOF.TILE 7>:J05'5127:;- Roofing Flat Profile Roofing Tiles Concrete 1. SCOPE This renews a system using Monier Lifetile Atlantis. Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC and described iri Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure . values obtained by calculations in with RAS 127 using the values listed in section 4 herein. The attachment shall be done as a moment based system. Test Dimensions Specifications 1— 15" w =10 1 '/" thick = varies w = varies varying thickness Test Identifier 7161-03 Appendix 111 94 -060A 94 -034 25- 7094 -2 25.7094 -8 25-7094-5 Product Description PA 112. Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive sct applications. PA 112 Accessory trim, concrete roof pieces for use at hips,' ° rakes, ridges and valley terminations. Manufactured for each tile profile.. Test Na inc /Report Static Uplift Testing ,• ,PA & PA 102(A) Statie .Upli.ft Testing PA 101, (Mortar Set) (Adhesive Set) Static Uplift Testing . PA102 (4" Eleadlap, Nails, Direct Dcck,. New Construction) Static Uplift Testing PA 102 (4" 1!cadlap, Nails, Battens) Static Uplift Testing PA 102 (4" E{cadlap, Nails, Direct Deck, Rccover/Rcroof) Date Dec. 1991 March. 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA rIo.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 NO.565 D002 Table 1: Average Weight (W) and Dimensions (I x w Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile • 8.5 1.25 0,865 Table 3: Restoring Moments due to•Gravitx: MM (ft-Ibf) 7 ":12" or greater Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" Monier Lifetile Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck DirectDeck 6.0 5.9 .. 5,8 - 5.6 5.5 • 06/18/2004 08:30 MEDITERRANEAN ROOF TILE 4:•305551 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static Feld uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform .• quarterly test in accordance with TAS 112, appendix `AI Such testing shall be submitted to the Building Code Compliance Office for review.. . 3.4 Minimum underlayrnent shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by.the underlaymcnt material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7 :12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 1 1 8, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 2: Aerodynamic Multipliers • X Tile Profile Monier Lifetile Atlantis Shake & Slate Tile X(ft Direct Deck Application 0.24 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 NO.565 P004 Test Agency The Center for Applied Engineering, Inc. The Center for Applied • Engineering, Inc.• The Center for Applied :Engineering, fnc.. ' The Center for : Applied Engineering, 1ne.•= ;•;.;•' Redland Technologies Redland Technologies Redland Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering Inc. Walker Engineering, Inc. Walker Engineering; Inc. Walker Engineering. Inc.. Walker Enginccring, lnc. • Walker Engineering; [nc. Test Identifier . 25- 7183 -6 Redland Technologies The Center for Engineering, Professional Service Industries, Inc.. CeIotex Corporation Testing Service • • 7161 -03 Appendix II, ' Letter Dated Aug, 1, 1994 P0631-01 PO402 Project No, 307025'' #MDC77 224.47099 520109 - 1 520111-4' 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations CalcUlations Test-Name/Repnrt Date Static Uplift Testing Feb. 1995 :. PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing .. Feb. 1995 PA 102 (2 Quik - Drive` Screws, Battens) • Static Uplift Testing • PA102 Quik -Drive Screw, Direct ...Deck) Static `Uplift Testing PA '102 (1 Quik -Drive Screw, Battens Wind Tunnel Testing Dec. 1991 PA 108 (Nail -On) Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Wind Tunnel Testing July 1994 PA 108 (Mortar Sct) Withdrawal Resistance Testing Sept. 1993 Of screw vs. smooth shank nails Wind Driven Rain Oct. 1994 'PA 100 . Physical Properties Sept. I994 . PA 112 • Static Uplift Testing Dec. 1998 PA 101 March 1999 Aerodynamic Multiplier Moment of Gravity 25 -7094 25-7496 Aerodynamic Multipliers March, 1995 March, 1995 March 1999 Sept. 1999 February 1996 April 1996 25 -7534 December 25- 7804b -8 1996 25.7804 -4 & 5 25- 7848 -6 25 -7 183 March 1995 April 1999 Two.Patty Adhesive Sct System.. April 1999 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01 /09/03 Pxge ° of 6 5. • • . . .... . , • . , All tiles., shall bear the iinPript'Oridentiflable'rnartcing,o(the. Manufacturer's 'name or logo, ,..... , .., ... . ,. or • • :••..• ...":;.,..-:.:„ owing statement! tami.Dade County Product Contrbt Approved". . 6. - - .BUILbING. OE.R.MITREOVIREIVItNTS'j:....' '',;•.'..•;;;;;;;;';'.;,•.;,,..• ;',;-...':':';',..• '. ' :!. ... , •:. • • 1.. . ' 6 for permit shall be accompanied by copies of the following: - • .•; , This , Nbtice'Of"Aceeptance•:, , •:; , -•:,; , -. ;: • ; .•:',-,•,•,•.-.,,,,. • . - . - 6.1.2 Any other documents required by the Building Official or applicable building ' ..... :-', s .," ',..• • • code in order to properly e valuate the installation of this system. . •. • • PROFILE DRAWINGS • .yarf_FILOCK " ,,„.. . „ , *' • •••••• "--* ..;,, * „ lye .... . „ ... • ... - *, • "-• " • • • ' • • • . • „ ‘s .• ....OVERLAY • • • END OF TI-IIS ACCEPTANCE • • MONIER LIFETILE ATLANTIS SHAKE 8c. SLATE CONCRETE ROOF TILE 0-1211.08 " 12/16/07 • ; • 01/09 , . ; .•:;,Page.6*.of 6. ••••••;'. '08/26/2003 10:36 ' MEDITERRANEAN ROOF TILE 3055512767 954 578 1042 . 1:!1'0!01 ,_TL'E.J4:57 FAX 954 578 1,042 MIAMI.o- f uCT C NTRO NOTICE 9F ACCEPTANKI Palyfoarn Products, Inc. 2400 Spring= Stucbncr Road Spring ,TX 77383 -1132 NO.587 0001 POLYFOAM PRODUCTS. INC. .qh 001 •i MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMrLtANCE OFFICE MLTRO -DADL: FL. GLFR BUILDING 140 wr:S'r F• LAGLER STRUT. SUITE 103 MIAMI. FLORIDA! 3 3 1 30 -1 51.3 (305) )73.2901 FAX (305) 373 -29lx CON'I'K.1CToR LICENSING SF.Cr mIN (305) )75 .2527 I'Ax ()cm 375 -255x CONTRACTOR I;NI%OIICF.xler r 1)!VISION( (3051 37S - ZU66 I'A: (705) 375 - 29as PROP VC!' CONTROL DlvuloN 005) 9a: (AX (305) 37: -633 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethenc Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miattti -Dude County Building Code Compliance Office (BCCO) under the conditions specified herein. NOA shall not be valid after the expiration date stated below. BCCO 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. BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails •to meet the requirements of the South Florida Building Codc. The Cxpense of such testing will be incurred by the manufacturer. : .■CCE)'T,NCI: NO.: 01- 0521.02 EXPIRES: 0; /1Q /2006 Raul Rodriguez Chief Product Control Division Ii•II,S IS VERSIIr>~ �.1 A 1'1 L 'AC1 OR St�l+ FrC Nf) INFRA L CaMalarIS 13UILD(NG, COfF $c PROpUCT RF,VrFtiy CQIViM1TT r • This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee 10 be used in Miattti -Dude County, Florida under the conditions sec forth above. • APPROVED: (16114 /200 Francisco J. Quintana. R.A. Director NI (am i - Dade County 13u,ilding Code Compliance Office 1) 08026/2003 10:36 .MEDITERRANEAN ROOF TILE 4 3055512767 '12/10/02 TUE 14:57 FAX 954 578 1042 POLYFOAM PRODUCTS,INC. Pol.yfonm Products : ACCEPTANCE No. : 01- 0521.02 ROOFING ASSEMBLY APPROVAL Catetlnrv: Roofing Approval Date: June 14 Suh- Cater'ory: RoorTilc Adhesive Materials: Polyurethane 2. PRODUCT D.ESCR,1PTION Manufactured by ApnlictLt Polypro® A1-1160 I'oamproc RTF 1000 ProPack® 30 & 100 Dimensions N/A N/A N/A 2.2 Typical Physical Properties: Test Prnpertv Density ASTM P 1622 Compressive ASTM D 1621 Strength Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor ASTM E 06 Transmission Dimensional ASTM D 2126 Stability Test Sneciticatin94 PA 101 I. piration Date: May Ill, 2006 1. SCOPE•• This approves 1'olyp.ro® A11160 as manufactured by l'olyfuam Products, Inc. as described in .Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, us determined by applicable building code, does not exceed the design pressure values obtained by calculations incompliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high protile roof tiles system using Polyproq AI 160. Where the attachment calculations are done as a moment based system • for single patty placement, and as an uplift based system for double patty systems Prod uct Dcscriptl0t Two component polyurethane Dispensing Equipment Dispensing Equipment 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted' Roof Tile Apsentbly having a current NOA which list uplift resistance values with the use of Polypro A11160 roof tilt adhesive. NO.587 0002 CC1 002 Results IbsJft' 18 PSI Parallel to rise 12 PST P tsrpendicu•lur to rise 28. PSI Parallel to rise 0.08 LbsiFt 3.1 Pcrtil /Inch +0.07 " 43 Volume Change 0 - 40 0 F..2 ■viceks +6.0% Volume Chan T n : • • °/ Humidity, 2 weeks 01111 Prank Zulougn, RRC Product Control Examiner 08/26/2003 10:36 MEDITERRANEAN ROOF TILE -) 3055512767 '12/1/02 TUE 14:58 FAX 954 578 1042 POLYFOAM PRODUCTS, INC. foam Pi Inc ACCEPTANCE No.: 010521.02 Note: The physical properties listed above are presented as typical averag values ns determined by accepted ASTN! test methods and are subject to normal manufacturing variation. ' I 3. LIMITATIONS 3.1 Fire classification is not part of ibis acceptance. Refer to the Prepared Roof Tile Assembly for tire rating. 3.2.., Polypro® A1-1160 shaill solely be used with flat, low, & high tile profiles. 3 3 Minimum underlayments shall be in compliance with the Rooting Application Standard RAS 120. 3.4 Roof Tile manufactures accluiring acceptance for the use of Polypro® AH160 root' tile adhesive with their tile assemblies shall test in accordance with PA 101, 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. w F' 2 MS 4. INSTALLATION 4.1 PolyproilD AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use orPolypro® AH160, 4.2 Polypro® AH160 shall be applied in compliance with the Component Application section and the.corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Pol A1-1160 shall provide sufficient attachment resistance, expressed tts an uplift based system, to meet or exceed the uplift resistancc determined in compliance with Mianti -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc, Polypro® AH160 Operating Instruction and Maintenance Booklet, 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc, Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction, 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between I:0 -1.15 (A) : 1.0 (13). The dispense timer shall be set to deliver 0,0175 to 0.15 pounds per tile,as determined at calibration. No other settings shall be approved. , 4.6 Polypro® A1.1I60 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4,7 Polypro® AFI 160 shall not be exposed permu'nently to surnli NO.587 P003 Frank Zuloagn, RRC Product Control Examiner 2003 08/26/2003 10 :36 MEDITERRANEAN ROOF TILE 9 3055512767 12/10.02 TUE 14;58 FAX 954 578 1042 POLYFOAM PRODUCTS,INC. Polvfonm Products, Inc. ACCEPTANCE No. : 0t- 0521.02 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH 160 has been dispensed. 4.9 PolyproQ9 AH 160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. High Profile (2 Piece Barrel) 6. LABELING Table 1: Adhesive Placement For Each Generic Tile PrpElc 7 "ite!'roPle Placement Single Paddy Wci jht Two Paddy Weight ll�;tail Min. (grains) per paddy Min. (grants) Plat, Low, High Profiles 111 35 N/A Flat, Low, High Profiles Flat. Low, High Profiles #I I2 43 17 /side on cap and 34 /pan 24 N/A N/A 8 frank Zuloaga, RRC PrnArirr r"nntrnl Pvnmin.r 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. All Polypro® AH160 containers . shall comply with the Standard Conditions listed herein. N0.587 P004 r t� 08/26/2003 10:36 . MEDITERRANEAN ROOF TILE + 3055512767 NO.587 0007 i2/1-0/02 TUE 14:59 FAX 954 578 1042 POLYFOAM PRODUCT 5 , INC . Z 0 0 7 k • . Polyfoant Products, Jnc. ADI.IESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cernonl '41n. t z3in. Single paddy on undo. layment in. XI in, medium sill paddy sus Fascia course only Single paddy on top of tile Single paddy under the Paddy (batwoon tile) Paddy (under tile) 3 In. Single paddy . undorlayment Single paddy on top of ills Ern erkirti Nall through plastic cement • ACCEPTANCE No. : 01-0521.02 Nail through plastic cement — $1nglo paddy under tile tlndedaymint Single paddy between tlie Ins paddy save course only in, s 7 In. mediLan under. Isymont Single paddy on top of me Ern court. Eve Clonal 2 In. 7 in. MedItIm site paddy 401 course on)y FiSCLI Frank Zuloaga, 11.ILC Product Control Examiner Fascia WIIphOit Esve closure Ono edge 08;26/2003 10:36 MEDITERRANEAN ROOF TILE 4 3055512767 '12/10/02 TOE 14:58 FAX 954 578 1042 POLYFOAM PRODUCTS, INC. Polvfoam Products, Inc. NIn wovlh F.14 tk comonl Eta tam IC In, Lav tvil nntt: l•. OuC:v.Ipprot. Ii. 4rWMkl ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Nlll through piatIc cc, ..* N A PP 41 . 4111%4 AP / 7 (Jo Wu flec4 Eire loon DAped11 Um:103ynwn E/w DU4$4 Only: KV*idMchl Ippo4. 1 In. up kin wl.ohol.I ACCEPTANCE No.: 01-0521.02 Ptldy (1nath 11141 31?Iu1 /npuph idhollvp to aeN... 11 lo i) Optional 7vei tocawC1withth.$' GI ttetp ouci+epplc.twna lawnIieh/l Z Tun uwtl upnldt Ia01.?13u Win ll.. 1I la, To 1 In. horn ouuidt 4111 sic/mud, Tht1 Install the N. Uld.rlayr W t•phela r 10 NO.587 P005 L Z005 Optlaul oink* Yana • 441410 151 SneanIng Frank Luloagn, RItC Product Control Examiner 08/26/2003 10:36 MEDITERRANEAN ROOF TILE 4 305551276? NO.587 P006 12/10/02 TUE 14:59 FAX 954 678 1042 POLYFOAM PRODUCTS,INC. j 006 Pc_ olyfonm Products, Trtic. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through plastic ccmcnt Undcrlsyme Erre Count Eavt Clczun Ei.t Cone Fatal; Paddy (Booth X14) Em Nun urtd.rtayntutt Paddy )&nc.lh TiI J NO through plastic cement Undtrliymtnt 1 ACCEPTANCE No.: 01-0524 Nall through plesllc ctment Paddy ltitntrih Tits) Frank Zuloaga, TtitC 08/26/2003 .10:36 MEDITERRANEAN ROOF TILE 4 3055512767 12 /10 /02 TOE 14 :59 FAZ 954 578 1042 POLYFOAM PRODUCTS,INC, Potvfotnt Products, Inc. ACCEPTANCE No. : 01- 0521,02 1. Renewal of this Acceptance (approval) shall be considered allcr a renewal application has been filed and the original submitted documents, includin4 test - supporting data, engineering documents; are no older than eight (8)' years. '.. Any and all approved products shall be pcnt'um illy labeled with the manulacturer's name, city, slate, oral the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance, 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. 'Me product is no longer the santo product (identical) as the one originally approved. c: if the Acceptance holder has not corriplied with all the requirements of this acceptance, including the correct installation of the product, d. The engineer who originally prepared, signed and scaled 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 tiling of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also bc 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 folloNved by the expiration date may be displayed in advertising literature. It' any portion of the Notice of Aceopt utce is displayed then it shall be done in its entirety. 7. A copy of this Acceptance as well is approved drawings and,other documents, where it applies, shall be provided to. the user by the manufacturer or its distributors and shall 'be available for inspection at the. job site at all time. The engineer need not reseal the topics. 8. Failure to comply with any section of this Acceptance shall bc cause for termination and removal of Acceptance. 9. This Notice of Acccptancc consists of pages 1 through 8. END OF THIS ACCEPTANCE I:rank Zuloagn, RRC Prn,I11/.1 ('n.Yrn1 r......,: -..- NO.587 D008 tJ008 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date y- - Job Address .x / /F 9,5''" Tax Folio // -3 e6 D r 5' 4) J�D Legal Description X7 3i�. 5 S Historically Designated: Yes No / Tenant 0 /1/1 4 uZet-!'6 Owner's Address .5 Contracting Co. �.�mGS £ l/ e ' der 6 O State # A . 11Zp , 3 ® Municipal # 7/ V 3 Architect/Engineer Bonding Company Mortgagor 1 h aturef owner and/or Condo President Date Notary as to Owners ' or Condo Presi My Commission Expires: FEES: PERMIT 34) RADON CRESENT MARRIO State of Florida MYCornn• Exp. June 26, 1996 Comm. # CC 202129 Competency # Address Address Address Address Master Permit # Square Ft. VC> Estimated Cost (value #4.".6. APPROVED: Zoning Building Mechanical Plumbing Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL / ROOFING PAVING FENCE WORK DESCRIPTION la ■•it , �r-�• /.7Qy� ✓ /4`l sy ..�,r�. at--4 t of Centime or or Owner- Builder Notary as to Contracto or Owner- Builder Commission Expires: Electrical // cote .il O c ,7 es - GS a1' ' 3 D V Ins. Co. SIGN 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. Date CRESENT MARRIOTT State of Florida My Comm. El?. Jim^ 1996 Co.r #CC 2G:i2D C.C.F. " NOTARY TOTAL DUE WI Engineering Date '� ,Y 1 %`' Job Address Legal Description. 'Y .yt �J Contracting Co. c WORK DESCRIPTION 7-5 Square Ft. (. - t ; _r L 3//9/ Y✓ Signaturg '/of owner and/or Condo President Date • • - � [ � y I. • • OFFICIAL say SAL JENNI.E' NFFTAL NOTARY P1:3LIC SiAit 02 FLORIDA COM: 'ISSION NO. CC23'1626 MY COMMISSION EXP. OCT. 11,1996 Not as to Own My Commission PERMIT APPLICATION FOR MIAMI SHORES VILLAGE FEES: PERMIT <U, RADON APPROVED: '�� / 91 Zoning Building ,� <� \ Mechanical Plumbing r/. =? 7-0 TaxFolio /i- 3-Zoro- 0/0 Historically Designated: Yes No �� 3� t 3 ( Owner/Lessee / Tenant ,' ! d� J - i. i - : ,i) .,e r / /', ''Y"- '- Master Pe rmit # Owner's Address / G - - ✓ Phone � 7 5 - . i�- Address a ( t Qualifier 6 -f , , 4..,"-• A� �.. • 1 . y a SS# , - k, i State # Municipal # Competency # e j i .7 t Ins. Co. .. 1a le, Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value) / WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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 0 er- Buil• Date ....u, w_ , .. - a.•,_ _ r otary a3 to Contrac4• 0 9 .n - -: l • - ii�, . My Commission Exp OFFICIAL NO r47 SEAL JENNIFER L • FTA L NOTARY PUBLIC SCAT t O? FLORID!• COMMISSION NO. CC234626 L L.IY COMMISSION EXP. OCT. 11,1996 C.C.F. - Lr NOTARY TOTAL DUE %U J� Electrical Engineering BUILDING ❑ ELECTRICAL ❑ PLUMBING ROOFING Owner of Building 0 PERMIT Architect Contractor .F, or Builder a ,"'"'l i ." i l �p„'r fog Legal Lat Description Address of Building Signed• CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Date 19.7 I I I Bi Work to be 4f a N 9 • performed under this Permit 1 BY 9307 Subdi- vision Sq Ft Value of Project el5 _.. 7 ,�► License No. Contractor's tea Z 11 Permit $ 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 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 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 he plans or drawings or in the statements or specifications and that he assumes respon sibility for work done by his agents, servants o; employees. ' (INSPECTOR) In consideration of the issuance to m of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, wings, 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. BY AUTHORITY 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 / /" / /p et 12' APPLICATION FOR BUILDING PERMIT Registered Architect andior Engineer Name and address of licensed contractor /_ fl i1 r i?• I' CI i4 /e �� �• v �/ ��l 5/6" n2 1 �0 / J73/3` Location and legal description of lot to be built on: ✓J/// /f � /,� /�q�/ Lot 3 T Block Subdivision /� / �• �^ + / `� f I / • i' / I Street and Number where work is to be done LC 2 ?' State work to be done and purpose of building (by floors), state exterior colors (submit samples) it G t az 7 ' . X / 5 T, {- % Zl� . rA 1 / .yi a, %.w / 1 *, //A /4-7:; 4 e • %,9 / , . ;( 1 fv i, 1 30'j b tr ,. �✓i.' /mac n4e,t/ 9e2 New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 6 d / 7: Permit No. � MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Estimated Total cost of improvements S ❑ LTC) — Amount of Permit s ,ffe 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 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 rly such subcontr: •rs. •n �york to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) t/� /�� Date 9 oT 7, 44tI) Read. Sworn to and Subscribed before me. Date 19 ! No. c hr 7 a Street Notary Public. State of Florida and for no other purpose. STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved Approved PP roved 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 $25.00 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 FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement to the plans and specifications herewith submitted for the build • ins 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 tilt Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisinn of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of the work. Owner's Name and Address . Registered Architect nd /or Engineer n tracer -� n _ _ �"' ' ,,:,. ,,sass, ,•., .,,.,.,f... . Q 7 ..<,.,,,,,•.. Name and address of licensed contractor ! I T.. : 1 : ...... � ` '-.... L ..f c� ...Sa� Location and legal description of lot to be built on: Lot Block Subdivision _ Street and Number where work is to be done 574 k . N . Ee _ .s. "�-e ._. —•••_- State work to be done and purpose of building (by floors)... 1 1...........x s __..........._..._ ......_... ...._._.._.._— Chairman Niel/fiber Member .. .. Council Approved :Date. 1 Date Building Inspector NOTE: A charge of $1.00 will be made for the PLtnnir.;; Board. A rc•in.pection fee of 51.00 will be charged materials anti /or workmanship. .. ,19 — No. ..._ 1 .�_. Street_... V _..25 SAC. _ ..._ ~ _........and for no other purpose. Addition Repairs " No. of Ssorles one _ Roof overing IVY __ D I New Building Remodeling To be constructed of Kind WAS foundation W Estimated Total cost of improvements $•••A•'00 Amount of Permit t. Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor (Signed) PLANNING BOARD 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 Libor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup clement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors 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 noticcs as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work b9 performed under this permit, as are licensed by Miami Shores Village. Remarks , /6 STATE OF FLORIDA, COUNTY OF DADE. i ss. Before me, the ZJ undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared /n 5 b rf co 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 er e , true. Permit No. ._!`!a ` L Read, S Disapproved (Signed) rn to and Subse tbad bstfore me., ry Public State f " g)orida Notary P u bl ic, State of Florida at large My Commission Expirtfi g.GDIDilli9SLQ0. t kept Mpy 10 .,198° - BONDED rbRO HUCKLEBERRY. SIBLEY DAIIIVARVEY INSURANCE a BONDS, INC Member Membcr _ Member Date Disapproved Date making corrections or changes to this application after approval has heen obtained from when such re- inspection is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. Owner's Name and Addres r.S ,E.. L ,lU t t n _ No.S - -. - ._!d�- Street Registered Architect and /or Engineer_ Name and address of licensed contractor_._. Andrews Roo fi ng__. &.- __Imp 4.3(10._. E. __1.1_t_h__Ave.. Location and legal description of lot to be built on: Lot_.. Block __ . _ Subdivision Street and Number where work is to be done 574 N . E . 95th St. State work to be done. and purpose of building (by floors) Re -Roof residence completely and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $ 1 4 3 2 .00 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 foi said building. All notices with reference to the building and its construction may be sent to _ Andr_eia_s Ronfing_. E. Improvement__ Ca— The undersigned applicant for this building permit dm. hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Section 5968, Compiled General Laws of Florida, Pennanent 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 wor ch pul lic notice or notices as are required by the Act. The undersigned agrees to employ only such subconjractors on work be p , on - d/ nder this permit, as are licensed by Miami Shores Village. // Remarks -- _ ..... ( Signed )- ../r. 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 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. 93 D 7 Date_ /‘/ _6 Disapproved r __ ._ _ J , _ Date (Signed) Read, Sworn to and Subscribed before me. wilding Insp 4 r 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. Date Oct. 24, 67 95th St. .977 to me well known, Notary Public, State of Florida PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address' 5 '7 N • E. e1 r TN r . Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant rn V'S. L.%) 1- fl Master Permit # Owner's Address r- C1 K . E.. — C : - r)4 T Phone 3 er Contracting Co. 0 Lb PIES- o tics to Address Ai I N - 1 9 Qualifier 4G j4 N LID EEL SS# ( Phone 3 . leZ `F - I 7 c7 State # Municipal # Competency # 1 1 9 9 Ins. Co. w y Tp,v Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA . RO ' FING PAVING FENCE SIGN WORK DESCRIPTION Rj ET sty- Ron 4 j.. EA K I IL E LE n •P Square Ft. Not My o 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. ID � 3 4 : to • er : • CLAD mmissi NC� r3L1C STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1 a OWNER'S AFFIDAVIT: I . laws re sting construction • • : fr.. o . and/or' S FEES: PERMIT V RADON that all the foregoing information is accurate and that all work will be done in compliance with all applicable zoning. Furthermore, I authorize the above -named contractor to do the work stated. tt.J.A11, S d '-f )99 Si gn a e of Contract r or Owner-Builder Date W & 00— 36 -34/5-o c6, X resident Date_ 00 g . APPROVED: Zoning Buildin Mechanical Plumbing e C.C.F. .0 Estimated Cost (value) C� `,3 S Not as to Con My Commission NOTARY Jr ` ct O actor or 1RY MOLE SPATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 Electrical 4c2) 3Z ^1 s i0 . - I C a Date BOND �- TOTAL DUE 6-7 ` 6° Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE _ � Date 1 OI / 00 Job Address 5''7 4 M. a. ST Tax Folio Legal Description Historically Designated: Yes No K Owner/Lessee / Tenant 11/1 I r ut• r er "be1 _ 3l Owner's Address 5 7 L i • E. 9 T T Phone 3 OS -7-S 7 1 2 a Contracting Co. fe. ({ >U Lt.) FIE 'P K eo C t i► t Address ii-S yV _ t..1.). (1 Qualifier SS# Phone 3OS - lc Z 4. -! 7 f State # Municipal # Competency # / 1 ' 7 ? Ins. Co. Gre. EN;Tr i F_ Architect/Engineer Address Bonding Company Address Mortgagor Address Square Ft. iln ► P.C A/J otary as o Own and/or Condo President My Commission Exp oF ,L NOTARY SEAL ♦Pat 13°6 ANGELA M BECKER 0 1 _ ,9" * c okomssoN NUMBER 2 I 1 , Q CC7866 7,.. My COMMISSION EXPIRES t O F A O NOV. 15 2002 Signature of owner and/or Condo President 30- 5 - ah FEES: PERMIT RADON Date Master Permit # 1 7 7!' VV, Electrical Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFING PAVING FENCE SIGN WORK DESCRIPTION ltr- 'Ripe) ' LEA 1c. C / Le_ or sBS 0 -cT. Estimated Cost (value) 1- 1" 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 OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the for oing information is accurate and that all work will be done in compliance with all applicable laws regulating constructjo and zoning. Furthermore, I author z the above -named contractor to do the work stated. W1114A—. / � 0 c7 Signature , ontractor or Owner - Builder Date 7. 1 No . as to Co tractor or Owner - Builder Conunission Expire • NOT RYS GLADYS I VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1'O02 C.C.F. 1 0 NOTARY S O BOND TOTAL DUE Date APPROVED: Zoning Building Mechanical Plumbing Structural Engineer