702 NE 95 StPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 5 - Job Address 702
Legal Description / ?e/
Owner / Lessee / Tenant Dr. Camp
Owner's Address 702 N.E. 95th
WORK DESCRIPTION
b'ti Icizny code , Mop
rAr%& rd (3‘.(
Square Ft. � l7 501
FEES: PERMIT 301
APPROVED:
Zoning
Contracting Co.Quality Roofing Contractor, Inc. Address 251 N.W. 99th Street
Qualifier Carlos Arocho
State �fReD051(o� Municipal # 0.07'aG ci Competency # IOk!l5
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): :U DIN' ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIG'
Tor.Lr
of-f- r'r (n - 1 -- o wood- deck - fir) ca t i 3o /b, e if o‹ pe c
on to i }-. /O}" Gspha,/+ qo fb, ,'nS}Cci. t'etue
f - 'oeQ rand i ris( -c (1 FIc.t L,oh4 it: /e. loo( .
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUF
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet th
standards of all laws regulating construction in this jurisdiction. I understand that separatf
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 wil:
be done in complianpe wi all applicable laws regulating construction and zoning. Furthermore,
authorize the abo e-n ed contactor to do the work stated.
Signature of owner an$or Gonc(io President
Date:
Estimated Cost(value) .3 !)DD . C00
4
Notary as to Owner a omdo
My Commission Expi>ie,.fj;
•
Fl.
OF '
** *
RADON
* *
N.E. 95th Street
Street
Mechanical
SS#
OFFICIAL SEAL
P 7tICITMORE
Y COMMISSION EXPIRES
AUGUST 11. 1995
C.C.F. ) 4$d NOTARY
Fire
Building
Plumbing_
O cix ,
Tax Folio // J-10/ / / / 910
Master Permit #
Phone -1841
Phone 7 '. 2
Ins.Co.
Other
Electrical
Engineering
N 9S ST.
Signature of Contractor or Owner- Builder
Date:
Notary as t. Contractor or Owner- B
My COmmi S TIU TAR Y P UB L C STATE OP FEORIO. --+11
NY COMMISSION EXPIRES: OCT. 10. 19912
aONDED THRU NOTARY PUBLIC UNDERWR
* * * * * * **
TOTAL DUE 3 ) ‘,""6
'ATE OF FLORIDA
r. UNTY OF DADE
HFnF.3Y CERTIFY that this is a tru copy of the
• nal filed in his office on�
a of
1 / , A. D. 19_ �--
WITNESS my ha d/and Official Seal.
By
V
Clerk Circuit Court
'ERMIT' '#! 3 .5 -1 7
5. Surety: /
a. Name and Address N/A
/ .
. r!t.G.� Girt -n.�w� • � � t_ /2L; 2G�-f k-
D.C.
b. Amount of bond$ N/A
6. Lender: (name and address) N/A
;worn to and subscribed before me this
iJ tary Public M y
Tax ' Folio No. 1/ 7 -� Le k / 7 C)
NOTICE OF COMMENCEMENT
itate of Florida
2ounty of Dade
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
1. Description of property: (legal description of
available) 4- /3 /V LS S&&
2. General description of improvement: Install new tile roof.
the date of recording unless a different
Prepared By: Quality Roofing Contractor, Inc.
Carlos Arocho
251 N.W. 99th Street
Miami, FLorida 33150
702 N.E. 95th Street
3. Owner information:Dr. Camp
a. Name and, Address:
b. Interest in property: Owner
c. Name and address of fee simple titleholder(if other than owner) :•N/ A
4. Contractor: (name and address) Quality Roofing Contractor, Tnr•.
251 N.W. 99th Street Miami, FLorida 33150
7. Persons with the State of Florida designated by Owner upon whom notices or
other documents may be served as provided by Section 713.13(1)(a)7., Florida
Statutes: (name and address)
9. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from
date
the property, and
day
street address if
702 N.E. 95th Street
is specif d)
/ 1 /LL//
atur•�of ��ner
of _ _ 6l; d
•
• _
•
•
Commission Vx "-
..' ▪ F ' : rP
, 1991.
OFFICIAL SEAL
R•E•NNA WHITMORE
r.OMMlgy0#4 ia(Pht5
•UGUST 11, 1993
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / V Job Address 210, /`� 5 Tax Folio // � cc9g "i)/ ' / 9.3./3
Legal Description tZ ¢ Al /3
/ Lessee / Tenant c 4 9 /#/, Master Permit # 7.N4
Owner's Address 70 7'/.5 39.5- Se Phone 7
Contracting Go.44ffe S (7,11x0 Of 4J-4 Address //A '/, &� Z-
Qualifier Ole S 6 %/c c' SS4 # Phone 6C .2d fr/.i
State 4P Municipal #;2 Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANIC
G PAVING FENCE SIGN
WORK DESCRIPTION )6_,44- .r-L- A- A - / ut. Z
Square Ft. /
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in com an wit ;all applicable laws regulating construction and zoning. Furthermore, I
authorize t contractor to do the work stated.
and /o5 /Condo President
• RY
Notary as F. ~ sa nd /oCI rg lent
k .
io 3 1..• r4s.
My Commisi 1, •,i fr� R AEANNA WHITMORE
v � co 1 r tOMMISSION EXPIRES
•. 4r AUGUST 11, I s
* • .... * * *
** *
APPROVED:
Zoning
Estimated Cost(value) 53?-
nature of Contractor or Owner- Builder
ate:
∎.∎:V ■ VI &A/31W
OFFICIAL NOTARY SEAL
Gn CRESENT MARRIOTT
* COMMISSION NUMBER
Notary as t 4. tracto �Jos ls s9s
My Commission Expires:
*
*
**
FEES: PERMIT l RADON C.C.F. , (1 NOTARY TOTAL DUE . 5 1 1‘16
Fire
Buildin
Mechanical Plumbing
Other
Electrical
Engineering
/ /3 6/9
MIAMI SHORES VILLAGE / ;c"
BUILDING INSPECTION DEPARTMENT S
APPLICATION FOR BUILDING PERMIT 1.--
Application is hereby mode for the approval of the detailed statement or ine plans and specifications herewith submitted for the build •
in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of tie Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progreu of the work.
Date..._.. Se�.t� ?Q .._._ . .__._..._._._..._.... , 19 8.3_
Owner's Name and Address ...... Dr.....ZLQ.if7CJi Q?IIiP .a. _ _ No.._2Q2 .._... Street_... E .9.5. Zt.A
Registered Architect and /or Engineer .,:t. ,.,......• .,.,,..- ,,,.....,,,t.t.,t !VMS
.
Name and address of licensed contractor Ca uth RQ,?fing Cp. Inc, - 3Qt NW „7� St_, Miami
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 702 , NE Q, St,
_..._._.. __...._.._
State work to be done and purpose of building (by floors)
Disapproved
(Signed)
Building Inspector
Part :al...#ie -7Coof -
2,51_squazes cement phing,e'_ti.e
and for no other purpose.
New Bui!ding Remodeling Addition Repairs X No. of Stories ],
To be constructed of Kind of foundation Roof Covering...CQAI.ent.. t.� t*......_..__
Estimated Total cost of improvements $ 6.,.005..00 Amount of Permit S..
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.
The tourer igncd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ∎kith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed) ' ° : � % i Ze
_
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully rea i the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. °/ 99 p
Permit No �� .. Date.... .1�°�/(.A,,,�._._ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Cirair;nan Member'
Mfcrr,ber Member
\tcmber Member ...._
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application niter approval has been obtained from
the PI.rnnir.;; 11u, rd.
A rv.wspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
PERMIT NE? 4278
Architect
Contractor
or Builder'
r f
Legal Lot
Description
Address of
3uilding
MIAMI SHORES VILLAGE, FLORIDA
Bl.
Work to be performed under this Permit
1
f'
Value of
Project $
DATP _ ` �` 195 a_
Contractor's
License No.
Subdi-
vision
I Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
ime 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
;ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
, ertaining to the work covered hereby whether shown on the plans or drawings cr in the staterents or specificatipns and that he assumes responsibility for work
one by his agents, servants or employees. tt'' /
f
l.
Signed. � - BY �y�`.
INSPECTOR / w
In consideration of the issuance to me of this permit I agree to perform the work covered her nder in compliance with all ordinances and regulations
, ertaining thereto and in strict confonaity with the plans, drawings, statements or specifications submitt d to the proper authorities of Miami Shores Village. In ac-
opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER BY AUTHORITY s
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 Builder 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
Owner's Name and Address;° ' O-- -1 .'' ---, - No.
Registered Architect and /or Engineer..........
Name and address of licensed contractor ^� / - - . ! �' >' 6 •
Location and legal description of lot to be built on: / 7/
Lot Block � ® Sub ision ...... � �.
Street and Number where work is to be done (!.
State work to be done and purpose of building (by floors)
Disapproved _.... .__ _{� .
(Signed)
e
Street
, 4) p2/.0
.and for no other purpose.
New Building.. Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation of Covering..
Estimated Total cost of improvements $ (4 � Amount of Permit $ '
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. AU notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen Compensation Act, being Section 5988, 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 work such public notice
or notices as are required by. the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks._...._ __ ._. ..._ .._.. (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. J
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 e.
Permit No._ ?? . Date � ` Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD........... DATE
Chairman Member
Member..._.._.._._...._.._.. .._..___......._..........___._ . _...._...._._.._._.._ Member
Member • __...__...._ Member
Council Approved._ Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
SHORES VILLAGE, FLA. No
JOB P _
ADDRESS 1, �� � r .
INSPECTION IC 7de iC
TIME READY ii i - ° / 4
REMARKS :
7123'
INSPECTOR DATE
MIAMI Si (ORES VILLAGE, FLA. N? 7110
JOB
ADDRESS
INSPECTION ( C--v"\ c-
TIME READY
REMARKS •
orD
INSPECTOR
DATE
•
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 Address.. Lowery (.amp
Date , 19
No j02 N. E S treet 95th St.
Registered Architect and /or Engineer
Name and address of licensed contractor Brady__Joaf ng heet metal - 29.55 h. W. 73rd Street
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 702 N. E. 95th Street
State work to be done and purpose of building (by floors)
Disapproved
(Signed)
Building Inspector
Date
Roofing
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering_30 90. -Tiie
Estimated Total cost of improvements $ 700...0.0 Amount of Permit $.__500
Zone cubage required _Plan Cubage 19OG._ sq..ft...
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employe
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws Florida, Permanent Sup(pleme ,
and has complied with the provisions thereof, and will require similar compliance from ally ontract. s o sub- coj►tractors employed by I m
in the work to be performed under this permit; and will post or cause to be posted for inspection . the ite of'the work such publ'. n. iFe
or notices as are required by the Act. The undersigned agrees to employ only such s (Signed
, c�,ntractor- on ork'to'be performed .er this
permit, as are licensed by Miami Shores Village. i , i ' '
Remarks ��' � ' s J
i
-
STATE OF FLORIDA, v V COUNTY OF DADE. j ss• /1
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 5 F_ _ Date
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD p DATE
Chainnan Islember
Member Member
Member
Member
Council Approved Date Disapproved
Date
NOTE: A charge of $1.00 will be made for making corrections or chances 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.
Village of Miami Shores
JOB
ADDRESS
INSPECTION ®®ii
TIME READY
REMARKS
("I
N9 4889
Village of Miami Shores
JOB
REMARKS
N9 4632
ADDRESS 2. 7/ ' 9 0 r3
INSPECTION 1
TIME READY t 5 ,�
INSPECTOR DATE ' -'
Village e o. Miami Shores
JOB
ADDRESS
REMARKS (9(
INSPECTOR
769-z 7
N° 4625
INSPECTION
TIME READY % t (J ¢ •2 /6 ` 6
DATE 9 - i� ��
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 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 C m
Registered Architect and/or Engineer
Name and address of licensed contractor RCA')Q/i -5 cf \1 hl (1 -L ) •
Location and legal description of lot to be b ilt on: Q Lot A ', /3 Block 1 Subdivision yi // V 1 /'j� // 3 e 5
Street and Number where work is to be done - 70 ►V q � ' ,c /7
P
State work to be done and purpose of building Iby floors), state exterior colo (submit samples) f�25i 1C/Yj! r
o, wtSt 14) 4 1 04 / nl 141/4
J / c and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
c11 Of4L 4r6k e)t\/<D
Date 19 96
No. 7Oc ILL Street/ 1C r / Q"
To be constructed of ?? Kind of foundation Roof Covering
Estimated 'fatal cost of improvements S 3.S 3 Amount of Permit S „f o-
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 ■orkmen'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 undersign agrees to emp oy only uch subcontractors, on work to be performed
under this permit, as are licensed by Miami Shores Village. �.
Remarks (Signed)
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.
Permit No. / (!/ Date' 2 7 ' Read, Sworn to and Subscribed before me.
Disapproved Date
� Notary Public, State of Florida
(Signed) VV
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
'r
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder) Douglas Stokesberry Phone# (305) 756 -1006
Owner's Address 702 N.E. 95 STreet
City Miami Shores State Florida Zip 33138
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 702 N. E. 95 Street
City Miami Shores Village County Miami -Dade Zip 33138
Is Building Historically Designated YES NO X
Contractor's Company Name Quality Roof inq Contractor Phone# (305) 751-0382
Contractor's Address 13800 N. W. 1st Avenue
City Miami
QualifierCarlos Arocho
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit $18700.00
Type of Work: DAddition ❑Alteration ['New ® Repair/Replace ❑ Demolition
Describe Work: Tear off old roof to wood deck, tin cap 301b. ASTMfelt, install galv.
eave drip and valley metals, mop with asphalt one layer of 901b. ASTM felt,
install Tiles with polyfoam adhseive setting.
Total Fee Now Due $
(Continued on opposite side)
g ,
Miami Shores Village
Building Deaartment
10050 11.E � E? es, Florida 33138
T 1: (3t ` ''SZ20 ' ax (3I ) 756.8972
1 0 6 £
Electrical
State
Florida
Permit No. .019
Master Permit No.
Plumbing Mechanical Roofing
Zip 33168
Square Footage Of Work: 4 5 0 0 s q_
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee Permit Fee $ 550_
" CCF $ / I f CO /CC T/ °'
Notary $ -- Training/Education Fee $ ) l I3 (/ Technology Fee $ g, 7 c
Scanning 8 Radon $ ��' Zoning �— Bond $
Code Enforcement $ Stryctural Plan Review. $ --�
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 •n a • f pection fee will be charged.
Signatur
Owner or Agen
The foregoing instrument was acknowledged before me this on
day of Pe .c - , 200 _{, by Do /4. A ok,- ;,Ae-rry
who is personally known to me or who has •roduced
As identification d who did take . oath.
NOTARY PUBLIC
Sign: ` /,t/
Print:
r-
My Commission Expires;'' i ` ;•= MY COMMISSION # DD 060579
EXPIRES: October 10, 2005
(Certificate of Competency Holder)
Signature
NOTARY PUBLIC:
Sign:
Print:
My Commission E
State Certificate or Registration No. Certificate of Competency No.
Chc 12/15/03
Contractor
The foregoing instrument was acknowledged before me this ,22l
day of Pe , 200'/, by t iw /47-4) L ,
who is personally known to me or who has pro i uced
L
MARYLOU HERNIA
. MY COMMISSION t? DD • x,79
• o r, Lord! iht, 4 .vr. ,.,, 9tnWnbrc
as identification and w
did take an oath.
*
********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****************** r * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: JAN 1 2 2_..t Plans Examiner
Engineer
Zoning
N
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
expl4dned.
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.
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).
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.
4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code 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 , roofing system. Ponding conditions may not be evident until the
original roofing system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
nterior 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.
Date
C:IDocumenu and SettInyechammuLLocal SettInatlTetnpVI emponry Interact FONICouun.lEAOKLBAFT ISECTION 152 4II I.doc
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION< font>
Section A tGenerai information)
Master Permit No. Process No.
Contractor's Name: Job Address:
!Quality Roofing Contractor, Inc. 1702 N.E. 95 Street
❑ Low Slope
❑ Asphaltic Shingles
❑ Prescriptive BUR -RAS 150 ❑ Other: 1
Low slope roof area (ft. 1N /A
Roof Category
❑ Mechanically Fastened Tile
❑ Metal Panel /Shingles
Roof Type
http: / /www.miamidade.gov/ bldg /roofing _permiting /permit app_sect...
❑ New Roof El Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance
Are there Gas Vent Stacks located on the roof? ❑ Yes El No If yes, what type? ❑ Natural ❑ LPGX
Mortar /Adhesive Set
Tile
❑ Wood
Shingles /Shakes
Roof System Information
Steep Sloped area (ft. Total (ft. 45sq.
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.
Perimeter Width (a'):
Comer Size (a' x a'): I
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1 of 2 1/5/2005 3:36 PM
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
Roof System Manufacturer: Santa Fe Tile Corporation
Notice of Acceptance Number: 00-1212.06
Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations):
P 1:-45 P 2: -95.1 P 3: -95.1
Maximum Design Wind Pressures, (From the PCA Specific system):
Roof Slope: U 2 1/2
Roof Mean Height:
Ridge Ventilation: N/A
13'
"/12"
Method of Tile Attachment:
Adhesive, Large Paddy Polyfoam Polypro
Alternate Tile Attachment Method:
1N /A
Clip S
Field:
acing for Metal Roof Panels
N/A Perimeters: N/A Corners:
Perimeter Width: N/A
Section D (Steep Sloped Roof System)
http:// www. miamidade. gov /bldg/roofmg _permiting/section d 3.html
61.9
Sloped System Description
Deck Type: 1 "x "T&
N/A
Page 4
Alternate Deck Type:
CN /A
Underla ment •e:
30Ib. ASTM D -226
Insulation /Fire Barrier Board:
N/A
O tional Nailable Substrate:
N/A
Fasteners:
1 1/4" R/S nails
Cap Sheet Type /Adhesive Type:
901b. ASTM felt
Roof Coverin •
Drip Edge Fastener Type:
11 1/4" R/S nails
Spanish S Clay Tile
Roof Covering Attachment Method:
1 Polyfoam adhesive setting
Drip Edge Size & Gauge: 3" face 26 ga.
Drip Edge Material Type:
Galvinized Metal
Hook Strip /Cleat ga. or weight: N/A
1 of 1 12/8/2004 3:26 PM
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI - DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
Section E (Tile Calculations)
For Moment based tile systems, chose either Method 1 or 2. Compare the
values for Mr with the values from Mf. If the Mf values are greater than or
equal to the Mr values, for each aea of the roof, then the tile attachment
method is acceptable.
P 1:
P 2:
P 3: i -95.1
Method 1 "Moment Based Tile Calculations Per RAS 127"
xA
-95.1 x A
xA
13.31
28.24
28.24
- Mg:
Mg:
Mg:
5.90
5.90
5.90
= Mr1:
= Mr1:
= Mr1: 22.34
'7.47
[22.34
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (Mr) From the Table Below: NOA Mf:
Mr Required Moment Resistance*
Mean Roof 15' 20' 25' 30' 40'
Height in Feet
Roof Slope 1 1 1 1 1
2:12 34.4 36.5 38.2 39.7 42.2
3:12 32.2 34.4 36.0 37.4 39.8
4:12 30.4 32.2 33.8 35.1 37.3
5:12 28.4 30.1 31.6 32.8 34.9
6:12 26.4 28.0 29.4 30.5 32.4
7:12 24.4 25.9 27.1 28.2 30.0
*This Table must be used in conjunction with a list of moment based tile
systems endorsed by the Broward county Board of Rules and Appeals.
Page 5
http://www.miarnidade.gov/bIdg/roofmg_penniting/section_e_3.htm
NOA Mf: 61.9
NOA Mf: 61.9
NOA Mf: 61.9
1 of 1 12/8/2004 3:27 PM
MIAMI•DAD
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Santa Fe Tile Corporation
10302 N.W. South River Drive, Bay #16
Medley ,FL 33178
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 00- 1212.06
EXPIRES: 02 /01/2006
APPROVED: 02/01/2001
MIAMI - 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
CONTRACTOR LICENSING SECTION
(305) 375 -2527 FAX (305) 375 -2558
CONTRACTOR ENFORCEMENT DIVISION
(305) 375 -2966 FAX (305) 375 -2908
PRODUCT CONTROL DIVISION
(305) 375 -2902 FAX (305) 372 -6339
Your application for Notice of Acceptance (NOA) of:
Spanish "S" Clay Tile
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 Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This 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 Code.
7 1 "1 2-1 , - 0
Raul Rodriguez
Chief Product Control Division
THIS IS 'ME COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
Francisco J. Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance Office
\\50450001 1 pc2000 \ \templateslnotice acceptance cover page.dot
Internet mail address: postmaster ®buildingcodeonline.com Homepage: http : / /www.buildingcodeonline.com
SANTAFE TILE CORPORATION
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub - Category: 07320 Roofing Tiles
Materials
Deck Type:
1. SCOPE
This renews a roofing system using Santa Fe "Santafe `S" clay roofing tile, manufactured by
Santafe Tile Corporation described in Section 2 of this Notice of Acceptance, designed to
comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For
locations where the design pressure requirements, as determined by applicable building code,
does not exceed the design pressure values obtain by calculations in compliance with RAS 127
using the values listed in herein. The attachment calculations shall be done as a moment based
system.
2. PRODUCT DESCRIPTION
Manufactured by
Applicant
Santafe `S' Clay
Roof Tile
Trim Pieces
Product
Tile Screws
Dimensions
1 =18"
w= 11.5"
' /z" thick
1= varies
w = varies
varying
thickness
Dimensions
#8 x 2 -%1" long
0.130" shank dia.
0.178 flute dia.
Clay Roof Tiles
Wood
Test
Specifications
Test
Specifications
PA 114
Appendix E
submitted to the Building Code Compliance Offi
ACCEPTANCE No.: 00 1212.06
Approval Date: February 1, 2001
Expiration Date: February 1, 2006
Product
Description
PA 112 One piece high profile clay roof tile
equipped with two nail holes. For nail -on,
mortar set and adhesive set applications.
PA 112 Accessory trim, clay roof pieces for use at
hips, rakes, ridges and valley terminations.
Manufactured for each tile profile.
2.1 COMPONENTS OR PRODUCTS MANUFACTURED BY OTHERS
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in
accordance with RAS 106.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to
perform quarterly test in accordance with PA 112 a .,. •.:._ hall be
2
Product
Description
Stainless Steel
Manufacturer
generic
•
ce .
uloaga, RRC
Roofing Product Control Examiner
4
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00 1212.06
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof
slope unless stated otherwise by the underlayment material manufacturers published
literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with applicable building code.
4. INSTALLATION
4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade
County Roofing Application Standard RAS 118, RAS 119, and RAS 120.
4.1.2 Data For Attachment Calculations
Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -Ibf)
For Nail -On System
One Screw
Tile Profile
Santafe S
Tile
Application
Direct Deck
Battens
Two Nails
21.8
29.16'
Two Screws
38.28'
One Screw
w/ Clip
57.31
Two Screws
w/ Clip
57.60
61.77'
1. Approved screws as noted Product manufactured by others'
3
rank Zuloaga, RRC
Roofing Product Control Examiner
Table 2: Restoring Moments due to Gravity - M (ft-Ibf)
Tile
Profile
2":12"
Tile
Application
3":12"
4":12"
5 ":12"
6 " :12"
7":12" or
greater
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Santafe 'S'
5.93
5.90
5.85
5.82
5.73
5.69
5.56
5.53
5.32
5.29
5.03
N/A
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00 1212.06
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof
slope unless stated otherwise by the underlayment material manufacturers published
literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with applicable building code.
4. INSTALLATION
4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade
County Roofing Application Standard RAS 118, RAS 119, and RAS 120.
4.1.2 Data For Attachment Calculations
Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -Ibf)
For Nail -On System
One Screw
Tile Profile
Santafe S
Tile
Application
Direct Deck
Battens
Two Nails
21.8
29.16'
Two Screws
38.28'
One Screw
w/ Clip
57.31
Two Screws
w/ Clip
57.60
61.77'
1. Approved screws as noted Product manufactured by others'
3
rank Zuloaga, RRC
Roofing Product Control Examiner
Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf)
for Mortar or Adhesive Set Systems
Table 1: Aerodynamic Multiplyers- X
ft
Tile
Application
Attachment
Resistance
Tile
Profile
X (ft3)
Batten Application
23.6
X (ft3)
Direct Deck
Santafe 'S'
0.274
0.297
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00 1212.06
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof
slope unless stated otherwise by the underlayment material manufacturers published
literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with applicable building code.
4. INSTALLATION
4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade
County Roofing Application Standard RAS 118, RAS 119, and RAS 120.
4.1.2 Data For Attachment Calculations
Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -Ibf)
For Nail -On System
One Screw
Tile Profile
Santafe S
Tile
Application
Direct Deck
Battens
Two Nails
21.8
29.16'
Two Screws
38.28'
One Screw
w/ Clip
57.31
Two Screws
w/ Clip
57.60
61.77'
1. Approved screws as noted Product manufactured by others'
3
rank Zuloaga, RRC
Roofing Product Control Examiner
Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf)
for Mortar or Adhesive Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Santafe 'S'
Mortar Set
23.6
Adhesive Set
61.9
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00 1212.06
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof
slope unless stated otherwise by the underlayment material manufacturers published
literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with applicable building code.
4. INSTALLATION
4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade
County Roofing Application Standard RAS 118, RAS 119, and RAS 120.
4.1.2 Data For Attachment Calculations
Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -Ibf)
For Nail -On System
One Screw
Tile Profile
Santafe S
Tile
Application
Direct Deck
Battens
Two Nails
21.8
29.16'
Two Screws
38.28'
One Screw
w/ Clip
57.31
Two Screws
w/ Clip
57.60
61.77'
1. Approved screws as noted Product manufactured by others'
3
rank Zuloaga, RRC
Roofing Product Control Examiner
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06
5. LABELING
5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo,
or following statement: "Miami -Dade County Product Control Approved ".
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit shall be accompanied by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or applicable Building Code in
order to properly evaluate the installation of this system.
PROFILE DRAWING
SANrAFt"SANTAFE S" CLAY ROOF TILE
4
Frank Zuloaga, RRC
Roofing Product Control Examiner
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06
NOTICE 01? ACCEPTANCE STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the
original submitted documentation, including test supporting data, engineering documents, are no older than
eight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and
the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the
specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered if:
a) There has been a change in the South Florida Building Code affecting the evaluation of this product
and the product is not in compliance with the code changes;
b) The product is no longer the same product (identical) as the one originally approved;
c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the
correct installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engineering profession.
4 Any revision or change in the materials, use, and/or manufacture of the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has been requested
(through the filing of a revision application with appropriate fee) and granted by this office.
5 Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other
purposes.
6 The Notice of Acceptance number preceded by the words Miami Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is
displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be
provided to the user by the manufacturer or its distributors and shall be available for inspection at the job
site at all times. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
9 This Acceptance contains pages 1 through 5
END 01? THIS ACCEPTANCE
5
Frank Zuloaga, RRC
Roofing Product Control Examiner
MIA MI•D
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Polyfoam Products, Inc.
2400 Spring - Stucbner Road
Spring ,TX 77383 -1132
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 01- 0521.02
EXPIRES: 05/10/2006
APPROVED: 06/14/2001
MIAMI -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
CONTRACTOR LICENSINC SECTION
(305) 375 - 2527 FAX (305) 375 -2558
•
CONrItACTOR ENFORCEMENT DIVISION
(305) 375 -2966 FAX (305) 375 -2908
)'ItODUCT CONTROL DIVISION
(305) 375 -2902 FAX (305) 372 -6339
Your application for Notice of Acceptance (NOA) of
Two Component Polyurethcnc 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 Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This 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 Code.
Raul Rodriguez
Chief Product Control Division
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
Francisco J. Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance Office
11 s 04 S 00 011pc200011tcmplateslnodce acceptance cover page.dot
l_•____. _.. _•.•._.- -. __- • -'__•__ �� ..:�.�:__ -...� �:_.. _..... teiL U.....- ......... ►.�� /! .v..•v h..il.linnrn,lrnnlinP rnm
Polvfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub - Category: Roof Tile Adhesive
Materials: Polyurethane
2. PRODUCT DESCRIPTION
Manufactured by
Applicant
Polypro® AH160
Foampro® RTF1000
ProPack ®30 & 100
2.2 Typical Physical Properties:
Property Test
Density ASTM D 1622
Compressive ASTM D 1621
Strength
Tensile Strength
Water Absorption
Moisture Vapor
Transmission
Dimensional
Stability
Dimensions
N/A
N/A
N/A
ASTM D 1623
ASTM D 2127
ASTM E 96
ASTM D 2126
1
Test
Specifications
PA 101
1.6 lbs. /ft.'
18 PSI Parallel to rise
12 PSI Perpendicular to rise
28 PSI Parallel to rise
0.08 Lbs. /Ft
3.1 Perm / Inch
Approval Datc: June 14, 2001
Expiration Datc: May 10, 2006
1. SCOPE
This approves Polypro® AI1160 as manufactured by Polyfoam Products, Inc. as
described in Section 2 of this Notice of Acceptance. For the locations where the design
pressure requirements, as determined by applicable building code, does not exceed the
design pressure values obtained by calculations in compliance with Roofing Application
Standard RAS 127, for use with approved tlat, low, and high profile roof tiles system using
Polypro® AI-I 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
Results
+0.07% Volume Change @ -40 F.. 2
weeks
+6.0% Volume Chan *c u
Humidity, 2 weeks
Product
Description
Two component
polyurethane
Dispensing Equipment
Dispensing Equipment
2.1 Components or products manufactured by others:
Any Miami -Dade County Product Control Accepted RoofTile Assembly having a current NOA
which list uplift resistance values with the use of Polypro A11160 roof tile adhesive.
M:
Frank Zuloaga, RRC
Product Control Examiner
Polyfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02
Note: The physical properties listed above are presented as typical average values as determined by
accepted ASTM test methods and are subject to normal manufacturing variation.
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile
Assembly for tire rating.
3.2 Polypro® AH160 shall solely be used with flat, low, & high tile profiles.
3.3 . Minimum underlayments shall be in compliance with the Roofing Application
Standard RAS 120.
3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof
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
4. INSTALLATION
4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that
lists uplift resistance values with the use of Polypro® A1-1160.
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 Polypro® AH160 shall provide
sufficient attachment resistance, expressed as an uplift based system, to meet or exceed
the uplift resistance determined in compliance with Miami -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 1.0 -1.15 (A) : 1.0 (B). 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® AH 160 shall be applied with Foampro RTF 1000 or ProPack® 30 & 100
dispensing equipment only.
4.7 Polypro® AH160 shall not be exposed permanently to sunli
3
MS
Frank Zuloaga, RRC
Product Control Examiner
Polyfoam Products, Inc.
4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3
minutes after Polypro® AH 1 60 has been dispensed.
4.9 Polypro® A1-1160 placement and minimum patty weight shall be in accordance with
the Placement Details' herein. Each generic tile profile requires the specific placement
noted herein.
5. LABELING
All Polypro® AH160 containers shall comply with the Standard Conditions listed herein.
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.
4
ACCEPTANCE No.: 01- 0521.02
Frank Zuloaga, RRC
Product Control Examiner
Table 1: Adhesive Placement For Each Generic Tile Profile
TileProfile
Placement
Detail
Single Paddy Weight
Min. (grams)
Two Paddy Weight
per paddy Min.
(grams)
Flat, Low, High Profiles
#1
35
N/A
High Profile (2 Piece Barrel)
#1
17 /side on cap and
34 /pan
N/A
Flat, Low, High Profiles
#2
24
N/A
Flat, Low, High Profiles
#3
8
Polyfoam Products, Inc.
4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3
minutes after Polypro® AH 1 60 has been dispensed.
4.9 Polypro® A1-1160 placement and minimum patty weight shall be in accordance with
the Placement Details' herein. Each generic tile profile requires the specific placement
noted herein.
5. LABELING
All Polypro® AH160 containers shall comply with the Standard Conditions listed herein.
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.
4
ACCEPTANCE No.: 01- 0521.02
Frank Zuloaga, RRC
Product Control Examiner
Polvfonm Products, Inc.
ADHESIVE PLACEMENT DETAIL 1
. SINGLE PATTY
5
ACCEPTANCE No. : 01-0521.02
tlsU Uvough p1iiLc cement
Underlayment
10 Vt.
five Cant
Ear. course oak:
Keep adhesive *pro.
4 In. up from weephoie
held., (Beneath TII)
Fascia
Weephole
Erre dotter'
Drip edge
Optional 24s to
1) Place enough adhesive to achieve 11 lo 23
square Inches In contact with Use pan We steep pitch applicsilons
2) Turn torus upside down. Place adhative 1(2 to. 44 .,
e
To 1 ln. From ouulde edge
ae
Then install Ihtic „--
Rama
ic9 Forikn
" 41' k °. , " , , . ? , • ,,
ol the save
course cover Ult. .‘earee• 00/ 11.1r 0IP P.'
, •
Abut to second court. ol
pan Optional
O141. Ensun s.nre end of
pan and cover tilts are
ilosh at 4IVO !Inc
Ears closure Wesphole Nide
.414
Point-up Mortar
Oa knOtudinal
edges al 114
Imo shown)
Utrough plat dc cement
Frank ZulOaga, RRC
Product Control Examiner
Pol foam Products Inc.
Nall through plastk cement
ACCEPTANCE No. : 01-0521.02
ADHESIVE PLACEMENT DETAIL 2
SINGLE PATTY
6
Frank Zuloaga, RRC
Product Control Examiner
•Po lyroant Products, Inc.
ADHESIVE PLACEMENT DETAIL 3
DOUBLE PATTY
•
Nag through plastic cement
( 3 In.
I x3 in.
Single paddy on
under.
laymen!
Single paddy
on top of tile
Single paddy
under tile
Paddy
(between tile)
Paddy
(under tile)
Ern course
In. X 7 In. medium
size paddy lave
Fascia course only
Nall through plastic cement
t e4in. x 3 In.
Single paddy
on underlayment
Single paddy
on top of tile
Eave Course
7
ACCEPTANCE No. : 01-0521.02
Nail through plastic cement Single paddy under the
Underlayment Single paddy between the
2 in. x 7 In. medium
course only
size pacidy save
, /3 - In. x 3 In.
41n.
Single
paddy on
under.
layment
Single paddy
on top of the
Eave
Course
Fascia
Weepholo
Eave closure
Drip edge
Singlepaddy
between the
Lave Closure
2 In. x 7 In. medium
size paddy eave course only
Fascia
Prank Zuloaga, RRC
Product Control Examiner
Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02
1. Renewal of this Acccptancc (approval) shall bc considered after a renewal application has been filed
and the original submitted documents, 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: "Mizuni -Dade County Product Control Approval ", 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 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 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 Acccptancc 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
Acccptancc is displayed, then it shall be done in its entirety.
7. A copy of this Acccptancc 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 bc available for inspection at
the job sitc at all time. The engineer need not reseal the copies.
8. Failure to comply with any scction of this Acccptancc shall bc cause for termination and removal of
Acccptancc.
9. This Notice of Acccptancc consists of pages 1 through 8.
END OF THIS ACCEPTANCE
8
Frank Zuloaga, RRC
Product Control Examiner
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/14/2005
Applicant: DOUGLAS
Owner:
JOB ADDRESS: 702 NE 95
Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE
Local Phone: 305 - 751 -0382
Parcel # 1132060141930
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -22
STOKESBERRY
ST
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 12 & 13
Page 1 of 1
Fees:
FEE2005 -647
FEE2005 -648
FEE2005 -649
FEE2005 -650
FEE2005 -651
FEE2005 -652
FEE2005 -653
Description
Building Fee
CCF
CO /CC
Training and Education Fee
Technology Fee
Scanning Fee
Submittal Fee
Total Fees:
Amount
$350.00
$11.40
$50.00
$3.80
$8.75
$21.00
($50.00)
$394.95
Total Fees: $394.95
Total Receipts: $0.00
'JAN 2 5 ND
Permit Status: APPROVED Permit Expiration: 7/5/2005 Construction Value: $18,700.00
Work: TEAR OFF OLD ROOF TO WOOD DECK, TIN CAP 30 LB. ASTMFELT, INSTALL GALVANIZED EAVE DRIP AND VALLET
BLK 67 LOT SIZE 123.230 X
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
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1/14/2005
Applicant: DOUGLAS
Owner:
JOB ADDRESS: 702 NE 95
Building Permit
Permit Number: BP2005 -22
STOKESBERRY
ST
Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE
Local Phone: 305 - 751 -0382
Parcel # 1132060141930
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 12 & 13
BY:
Page 1 of 1
BLK 67 LOT SIZE 123.230 X
Fees:
FEE2005 -647
FEE2005 -648
FEE2005 -649
FEE2005 -650
FEE2005 -651
FEE2005 -652
FEE2005 -653
Description
Building Fee
CCF
CO /CC
Training and Education Fee
Technology Fee
Scanning Fee
Submittal Fee
Total Fees:
Amount
$350.00
$11.40
$50.00
$3.80
$8.75
$21.00
($50.00)
$394.95
Total Fees: $394.95
Total Receipts: $0.00
' L 12 5 PAID
Permit Status: APPROVED Permit Expiration: 7/5/2005 Construction Value: $18,700.00
Work: TEAR OFF OLD ROOF TO WOOD DECK, TIN CAP 30 LB. ASTMFELT, INSTALL GALVANIZED EAVE DRIP AND VALLET
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 1 assume responisibility for all work
done by either myself, my agent, servants or employes.
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
ERMIT NO. TAX FOLIO NO. 11
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: 702 N.E. 95 Street
2. Description of improvement: Reroof to a npw mi 1e Rnnf
3. Owner(s) name and address: Douglas Stokesberry
Interest in property: Owner
Name and address of fee simple titleholder: N/A
702 N.E. 95 Street Miami Shores, Florida 33138
4. Contractor's name and address: Quality Roofing Contractor, Inc.
13800 N.W. 1st Avenue
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address: N / A
Amount of bond $ 00
6. Lender's name and address: N/A
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address: N/A
8. In addition to himself, Owners designates the °foe
in Section 713.13(1)(b), Florida Statutes.
Name and address: N/A
9. Expiration date o this otice of Commenceme
. dill -met date is s 11,17
ignature : • -
Print Owner's Name
Sworn to and subscribed before m this day of
Notary Public
Print Notary's Name
My commission expires:
123.01 -52 PAGE 4 8/02
Miami Shores, Fla. 33138
CC f'
person(s) to_ r
?. am s " -- ; , ,, MY GOMMISS •N # DD 060579
u a =" EXPIRES: October 10, 2005
'•;�" o, .•P Sandal Pm Navvy public Underwriters
MARYLO ANDEz
CFN 20105R0027 1 23
DR Bk 22984 Ps 4191i (1PS)
RECORDED 01/10/2005 11:08:57
HARVEY RUUIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
Miami, Florida 33168
1111011111111111111111111111111 1111 811 1111
e a cop r�oytf e Ltenor's' Notice as provided
r r
rom the date of recording unless a
Prepared by Carlos Arocho
,20d -.Quality Roofing Contractor
Address: N.W. 1st Avenue
Miami, Florida 33168
MIAMI SHORFS VILLAGE
BUILDING DEPAR TENT
. z
\suilding Inspection Rc
Correction
Re- Insp'n Fee
305- 795 -2204
55 �\
Date
Type Insp' n FF no I Roof
Permit No. 6 Os- ZZ
Name 0009 4 Ct'S ICI'
� A'
Address / 0 � ► `� � `1 q
S 54- Compan VAC UQ
Phone #
Inspection Date �J w
Test Location
Uplift Pull Test(P or F) ,Test
Location
Uplift Pull Test
P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
1
- �
26
p
51
�i
76
2
irtY
27
52
77
3
P8
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
/
82
8
`
33
58
{
,.83
,
9
34
59
8
10
35
60
85
.
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
50
X
75
100
. ,4
SITE SPECIFIC INFORMATION
Owner's Name: 7 2 Permit # /3F057—Z2.
Job Address • ` 02- ►- v Gi'S T S I t k. to t *k
Roofing Contracto • ( / SX11 0.0- 4 - ���
Type of Tile: ' k>N L 21 1 — �� :. Date Installed:
Approximate Roof Height: —� —feet Roof Pitch: 31 ,
I
Type of Access to Roof: Scaffolds ✓ Ladder Other
Approximate Square Footage of Roof 4. CO O ft
Required Testing Force: 35 lbs. Testing Equipment: Chatillion100
Date Tested .Z(o--0
IN ACCORDANCE W ` THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTRO! EST.
Ct.
THI §, UBMITTED BY
Civil Engineer:
Lab Certification # 98- 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE
PROTOCOL TAS 106
P.E. ,� p
i(' r,-3
TEST RESULTS
P = PASS, F = FAIL
�r
Project 11� 6
NOTES:
5KE OI OF ROOF
JoB
SHEET NQ
7',z c `k . 6*r; P �'� � t
of
'CHECKS) BY
sr�►tF ,
NNtt tMN r 111 i����i���i
1111 11111 111111111111 '
L�II•r1�l�
NMI l�iIti r�
r�r t �t�ii�� �t11�NtI
MOM MUM � ■I
■iIt ■�r;��r���r�,� tilt
NMI Ofillia1IN1tENtNNINKO 1ntI
ila INNIM Orlin MIN •t10111A111T11
1•1611•11•611M ••••••111111111M.111•611
NMI MIN wom I I II _ .1 I�I �It rMIMN `�i�i -ttt
MINNINNIEFIllowerri
ININrrrr Z
r /s�sr ��i�i
�� ■ /r/= ��.Lf����
Imwi`siaan, si : n= su Stztatt1�
��t rrrr�tN�� I �t�tit�it�
r � r � t r�rtit�r
1
Imp l �iG �
DM
• r.
Inspection Date
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT (n
305- 795 -2204
Buil i ing Inspection Request
Date
Type Insp'n
Permit No. PQS -
Name
Address
Company
Phone #
c
)1,01- d9os
MIAMI SHORES VILLAGE
• BUILDING- DEPARTMENT Gf)
305- 795 -2204
Builiing Inspection Request
Phone #
Inspection
/ \ 4/0 Approved
Correction
Re- Insp'n Fee
C ' Date .G
Type Insp'n ' 1 '
Permit No. J v ZZ
Name O e 1 ��
Address - ) ��� i a. ((Fr
1
Company I�
Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT f
r 305- 795 -2204
U c5 l B ilding Inspection Request �
Dat•'� 5
Type Insp'n
Permit No. 2P6S
Name C �' CE� L y�'�
Address L NE. Ps
Company 1.
Phone #
Inspection Date
Correction
Re- Insp'n Fee
mIlL)
//:3 ((/