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712 NE 95 St (5)B1 NFIP COMMUNITY NAME & COMMUNITY NUMBER VILLAGE OF MIAMI SHORES 1 120652 B2. COUNTY NAME MIAMI -DADE B3. STATE FLORIDA B4 MAP AND PANEL NUMBER 0093 B5. SUFFIX J 86. FIRM INDEX DATE 3-2 -94 B7. FIRM PANEL EFFECTIVE/REVISED DATE 7 -17 -95 138. FLOOD ZONE(S) ' X' 89 BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) N/A • PROCESS# FOLIO#11- 3206 -014 -1920 NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE C.O.R EL — 9.31' Important Read the instructions on pages 1- 7. BUILDING O'WNER'S NAME JOHN AND LIANNE YAO BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 712 N.E. 95 STREET CITY STATE MIAMI SHORES Florida PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 10 AND 11, BLOCK 67, "MIAMI SHORES SECTION NO. 3" PLAT BOOK 10AT PAGE 37 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ##' - tf#.##" or ##. ##t✓##) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile XXX FIRM ❑ Community Determined ❑ Other (Describe): 811. Indcate the elevation datum used for the BFE in B9: X NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the budding located in a Coastal Barier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes X No Designation Date Building elevations are based on: ❑ Construction Drawings* ❑ Buidng Under Construction" X Finished Construction 'A new Elevation Certificate wwii be required when construction of the budding is cornplele. Building Diagram Number I (Select the budding dojo n most similar to the budding for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch a photograph.) Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 - A30, AR/AH, AR/AO Complete Items C3. - a - i below according to the budding dagram specified in Item C2. State the datun used. If the datum is different frcm the dahm used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided a the Comments area of Section D a Section G, as appropriate, to downed the daturn conversion. Datum NGVD29 ConversioniComments NONE Elevation reference mark used COUNTY - BM Does the elevation reference mark used appear on the FIRM? ❑ Yes X No O a) Top of bottom floc (inducing basement or enclosure) ❑ b) Top of next higher floor l7 c) Boil= of lowest horizontal siuctual member (V zones only) ❑ d) Attached garage (top of slab) O e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Continents area) ❑ f) Lowest adjacent (finished) gade (LAG) ❑ g) Highest aciacent (finished) gade (HAG) ❑ h) No. of permanent openings (flood vents) within 1 ft. above acf acent grade NIA ❑ ) Total area of ail pemanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME CHARLES W. CARR LICENSE NUMBER PLS NO. 1060 TITLE PRESIDENT •ADPRESS 9245 S.W. 44TH STREET SIGNATURE FEDERAL EMERGENCY MANAGEMENT AGENCY SECTION A - PROPERTY OWNER INFORMATION HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 19133 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 11 . 09 ft(m) NIA _ft.(m) NIA _ft.(m) WA _tt.(m) NIA . _ft (m) 9 . 0 ft.(m) 9 . 3 ft(m) CITY MIAMI DATE JANUARY 15r", 2004 O.M.B. No. 3067 -0077 Expires DECEMBER 31, 2005 ZIP CODE 33138 STATE FLORIDA TELEPHONE (305) 221 -3416 For Insurance Company Use: Pdicy Number Company NAIC Number SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other: CHARLES W. CARR JANUARY 15' 2004 STATE OF FLORIDA PLS NO. 1060 COMPANY NAME CHARLES W. CARR LAND SURVEYOR ZIP CODE 33165 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Zone A0 and Zone A (without BFE), complete Items E1 trough E4. If the Elevation Certificate is intended for use as support Section C must be completed. E 1. Bunting Diagam Number _(Select the building diagram most similar b the building for which this certificate is being completed represents the budding, provide a sketch or photograph.) For Insurance Compary Use: BUILDING STREET ADDRESS (Including Apt , Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO 712 N.E. 95TH STREET _ _in.(c natural grade, if available). E3. For Building Diagams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the bilking is _ 1.(m) grade. Complete items C3.h and C3.i on front of farm. E4. For Zone A0 only: If no flood depth rnmber is available, is the top of the bottom floor elevated in accordance with the community's Policy Number CITY STATE ZIP CODE MIAMI SHORES FLORIDA 33138 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) carrnunity official, (2) insurance agentcor pang, and (3) budding owner. ADDRESS CITY STATE.. ZIP CODE FLORIDA SIGNATURE fATF TFh FPNnnrF • The following information (Items G4 -39) G4. PERMIT NUMBER G5 DATE PERMIT ISSUED JLV Hall L - IJUICIJII• CLLYM 1 /VI. 1111 UIVYIM grain hJUI - WC 1 IN 1 INL IJuINCUr NIl LUIVC M./ ryiu L JIIG M Iv vi 11T/U 1 UFCJ For Zone A0 and Zone A (without BFE), complete Items E1 trough E4. If the Elevation Certificate is intended for use as support Section C must be completed. E 1. Bunting Diagam Number _(Select the building diagram most similar b the building for which this certificate is being completed represents the budding, provide a sketch or photograph.) information for a LOMA or LOMB -F, see pages 6 and 7. If no diagram accurately eck one) the highest adacent Bade. (Use _in.(cm) above the highest aciacent floodplain management ordnance? E2. The top of the bottom floor (inducing basement or enclosure) of the bulking is ft(m) m) • above or • below (c _ _in.(c natural grade, if available). E3. For Building Diagams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the bilking is _ 1.(m) grade. Complete items C3.h and C3.i on front of farm. E4. For Zone A0 only: If no flood depth rnmber is available, is the top of the bottom floor elevated in accordance with the community's • Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, 8, C (Items C3.h and C3.i onty), and E for Zdne A (without a FEMA - issued or community- issued BFE) or Zone A0 must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME to administer the community's floodplain management ordinance can complete sign below. from other documentation that has been signed and embossed by a licensed surveyor, (Indicate the source and date of the elevation data in the Continents area E for a budding located in Zone A (without a FEMA - issued or carrnunity- issued BF is provided for community floodplain management purposes. ADDRESS CITY STATE.. ZIP CODE FLORIDA SIGNATURE fATF TFh FPNnnrF COMMENTS G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built Suomi floor (including to sernent) al the building is G9. BFE or (in Zone A0) depth of flooring at the building site is: LOCAL OFFICIALS NAME COMMUNITY NAME SIGNATURE COMMENTS TITLE TELEPHONE DATE • _fl(ni) _ ft fin) ❑ Check here if attachments Datum: Datum: ❑ Check here if attachments • • • ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The Certificate. G1. G2. G3. local official who is authorized by taw or ordinance Complete the applicable item(s) and to administer the community's floodplain management ordinance can complete sign below. from other documentation that has been signed and embossed by a licensed surveyor, (Indicate the source and date of the elevation data in the Continents area E for a budding located in Zone A (without a FEMA - issued or carrnunity- issued BF is provided for community floodplain management purposes. Sections A, B, C (or E), and G of this Elevatia engineer, or architect who is authorized by 1- low.) ) or Zone A0. • The information in Section C was taken state or local law to certify elevation information. • A community official completed Section • The following information (Items G4 -39) G4. PERMIT NUMBER G5 DATE PERMIT ISSUED G6 DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED COMMENTS G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built Suomi floor (including to sernent) al the building is G9. BFE or (in Zone A0) depth of flooring at the building site is: LOCAL OFFICIALS NAME COMMUNITY NAME SIGNATURE COMMENTS TITLE TELEPHONE DATE • _fl(ni) _ ft fin) ❑ Check here if attachments Datum: Datum: ❑ Check here if attachments • • • •BUILDING OWNER'S NAME JOHN AND LIANNE YAO o r BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 712 N.E. 95 STREET PROCESS# FOL10#11 - 3206 -014 -1920 C.O. R EL — 9.31' CITY FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A - PROPERTY OWNER INFORMATION STATE MIAMI SHORES Florida PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 10 AND 11, BLOCK 67, "MIAMI SHORES SECTION NO.3" PLAT BOOK 10 AT PAGE 37 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LA JLL #eO ( - tff' - tllf. ttti" or flYf. ttitin ie) TITLE PRESIDENT III DDREss 9245 S.W. 44TH STREET SIGNATURE HORIZONTAL DATUM: 12] NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP CITY MIAMI DATE 111 Yes JANUARY 15TH, 2004 O.M.B. No. 3067 -0077 Expires DECEMBER 31, 2005 X No Ec w m ar � 7 E = z. ° v N to J ZIP CODE 33138 For Insurance Company Use: Policy Number Company NAIC Number SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other: B10. Indicate the source of the Base Food Elevation (BFE) data abase food depth entered in B9. ❑ FIS Profile XXX FIRM ❑ Community Determined ❑ Other (Describe): B11. Indcate the elevation datum used for the BFE in B9: X NGVD 1929 ❑ NAVD 19:•: ❑ Other (Describe): B12. Is the budding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: ❑ Construction Drawings* ❑ Buikdng Under Construction* X Finished Construction *A new Elevation Certificate vd be required when corstmction of the baking is complete. Building Diagram Number 1 (Select the building cfagam most similar to the buildng for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photogeph.) Elevations — Zones A1-A30, AE, Ali, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A AR/AE, AR/A1-A30, ARIAH, AR/A0 Complete Items C3. -a -i below according to the building 'Jag specified in Item C2. State the datrm used. If the dahm is different from the datum used for the BFE in Section B, convert the datiun to that used fa the BFE. Show field measurements and datun conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to doament the datum conversion. Datum NGVD29 Conversion/Canunents NONE Elevation reference mark used COUNTY -BM Does the elevation reference mak used appear on the FIRM? ❑ a) Top of bottom floor (inducing basement or enclosure) 11 . 09 ft(m) ❑ b) Top of next higher floor N/A _ft.(m) ❑ c) Bottom of bwest horizontal structural member (V zones only) NIA . ft.(m) O d) Attached garage (top of slab) NIA ft(m) ❑ e) Lowest elevation of machinery and/or equipment servicing the budding (Describe in a Comments area) N/A . _ft(m) ❑ f) Lowest adjacent (finished) Bade (LAG) 9 . 0 ft.(m) ❑ g) Highest adjacent (finished) Bade (HAG) 9_. .1 ft ❑ h) No. of permanent openings (flood vents) within 1 ft. above adacent Bade NIA ❑ i) Total area of ail permanent openings (flood vents) in C3.h N!A s4 in. (sq. cm) CHARLES W. CARR JANUARY 15' 2004 STATE OF FLORIDA PLS NO. 1060 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME CHARLES W. CARR LICENSE NUMBER PLS NO. 1060 COMPANY NAME CHARLES W. CARR LAND SURVEYOR STATE FLORIDA TELEPHONE (305) 221 -3416 ZIP CODE 33165 B1 NFIP COMMUNITY NAME & COMMUNITY NUMBER VILLAGE OF MIAMI SHORES / 120652 B2. COUNTY NAME MIAMI - DADE B3. STATE FLORIDA B4 MAP AND PANEL NUMBER 0093 B5 SUFFIX J B6. FIRM INDEX DATE 3-2 -94 B7. FIRM PANEL EFFECTIVE/REVISED DATE 7 -17 -95 B8. FLOOD ZONE(S) • X' B9 BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) N/A •BUILDING OWNER'S NAME JOHN AND LIANNE YAO o r BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 712 N.E. 95 STREET PROCESS# FOL10#11 - 3206 -014 -1920 C.O. R EL — 9.31' CITY FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A - PROPERTY OWNER INFORMATION STATE MIAMI SHORES Florida PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 10 AND 11, BLOCK 67, "MIAMI SHORES SECTION NO.3" PLAT BOOK 10 AT PAGE 37 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LA JLL #eO ( - tff' - tllf. ttti" or flYf. ttitin ie) TITLE PRESIDENT III DDREss 9245 S.W. 44TH STREET SIGNATURE HORIZONTAL DATUM: 12] NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP CITY MIAMI DATE 111 Yes JANUARY 15TH, 2004 O.M.B. No. 3067 -0077 Expires DECEMBER 31, 2005 X No Ec w m ar � 7 E = z. ° v N to J ZIP CODE 33138 For Insurance Company Use: Policy Number Company NAIC Number SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other: B10. Indicate the source of the Base Food Elevation (BFE) data abase food depth entered in B9. ❑ FIS Profile XXX FIRM ❑ Community Determined ❑ Other (Describe): B11. Indcate the elevation datum used for the BFE in B9: X NGVD 1929 ❑ NAVD 19:•: ❑ Other (Describe): B12. Is the budding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on: ❑ Construction Drawings* ❑ Buikdng Under Construction* X Finished Construction *A new Elevation Certificate vd be required when corstmction of the baking is complete. Building Diagram Number 1 (Select the building cfagam most similar to the buildng for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photogeph.) Elevations — Zones A1-A30, AE, Ali, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A AR/AE, AR/A1-A30, ARIAH, AR/A0 Complete Items C3. -a -i below according to the building 'Jag specified in Item C2. State the datrm used. If the dahm is different from the datum used for the BFE in Section B, convert the datiun to that used fa the BFE. Show field measurements and datun conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to doament the datum conversion. Datum NGVD29 Conversion/Canunents NONE Elevation reference mark used COUNTY -BM Does the elevation reference mak used appear on the FIRM? ❑ a) Top of bottom floor (inducing basement or enclosure) 11 . 09 ft(m) ❑ b) Top of next higher floor N/A _ft.(m) ❑ c) Bottom of bwest horizontal structural member (V zones only) NIA . ft.(m) O d) Attached garage (top of slab) NIA ft(m) ❑ e) Lowest elevation of machinery and/or equipment servicing the budding (Describe in a Comments area) N/A . _ft(m) ❑ f) Lowest adjacent (finished) Bade (LAG) 9 . 0 ft.(m) ❑ g) Highest adjacent (finished) Bade (HAG) 9_. .1 ft ❑ h) No. of permanent openings (flood vents) within 1 ft. above adacent Bade NIA ❑ i) Total area of ail permanent openings (flood vents) in C3.h N!A s4 in. (sq. cm) CHARLES W. CARR JANUARY 15' 2004 STATE OF FLORIDA PLS NO. 1060 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME CHARLES W. CARR LICENSE NUMBER PLS NO. 1060 COMPANY NAME CHARLES W. CARR LAND SURVEYOR STATE FLORIDA TELEPHONE (305) 221 -3416 ZIP CODE 33165 ( V E) The property owner or owner's authorized representative who canpletes Sections A, B, C (Items C3.h and Pi only), and E for Zone A (without a FEMA - issued or community- issued BFE) or Zane A0 must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE FLORIDA SIGNATURE DATE TELEPHONE COMMENTS G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: • New Construction • Substantial Improvement GB. Elevation of as -built lowest fidwr (including basemen%) of the bulking is _. _it (M) Datum: G9. BFE or on Zone A0) depth of flooring at the bulling site is: _. _ ft (itn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check he if attachments ' ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), canplete Items El (trough E4. lithe Elevation Certificate is inbnded for use as supporting information for a LOMA or LOMR -F, Section C must be completed El . Bunking Diagram Number _(Select the bunking diagram most sintiar to the building for which this certificate is being completed T see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The by of the bottxn floor (inducing basement or enclosure) of the buildng is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural Bade, if avalable). E3. For Building Diagams 6-8 with openings (see page 7), the next higher floor or elevated fbor (elevation b) of the budding is _ fl (m) _in.(an) above the highest adjacent grade. Complete items C3.h and C .i on front of form. E4. For Zone A0 only: If no flood depth number is avalabte, is the top of the bottom floor elevated in aocordanoe with the community's floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTATICERTIFICATION ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to artniruster the canmunilys floocplatn management ordinance can cornplette Sections A B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 01. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area oelow.) 02. ❑ A community official completed Section E for a budding located in Zone A (without a FEMA - issued or corrmunity- issued BF =) or Zone AO. G3.0 The following information (Items G4 -G9) is provided for community floodplain management purposes. I IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Inducting Apt., Unit, Suite, and/or Bldg. No.) OR P O. ROUTE AND BOX NO. 712 N. E. 95TH STREET Policy Number CITY STATE ZIP CODE MIAMI SHORES FLORIDA 33138 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticanpany, and (3) budding owner. ( V E) The property owner or owner's authorized representative who canpletes Sections A, B, C (Items C3.h and Pi only), and E for Zone A (without a FEMA - issued or community- issued BFE) or Zane A0 must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE FLORIDA SIGNATURE DATE TELEPHONE COMMENTS G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: • New Construction • Substantial Improvement GB. Elevation of as -built lowest fidwr (including basemen%) of the bulking is _. _it (M) Datum: G9. BFE or on Zone A0) depth of flooring at the bulling site is: _. _ ft (itn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check he if attachments ' ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), canplete Items El (trough E4. lithe Elevation Certificate is inbnded for use as supporting information for a LOMA or LOMR -F, Section C must be completed El . Bunking Diagram Number _(Select the bunking diagram most sintiar to the building for which this certificate is being completed T see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The by of the bottxn floor (inducing basement or enclosure) of the buildng is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural Bade, if avalable). E3. For Building Diagams 6-8 with openings (see page 7), the next higher floor or elevated fbor (elevation b) of the budding is _ fl (m) _in.(an) above the highest adjacent grade. Complete items C3.h and C .i on front of form. E4. For Zone A0 only: If no flood depth number is avalabte, is the top of the bottom floor elevated in aocordanoe with the community's floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTATICERTIFICATION ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to artniruster the canmunilys floocplatn management ordinance can cornplette Sections A B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 01. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area oelow.) 02. ❑ A community official completed Section E for a budding located in Zone A (without a FEMA - issued or corrmunity- issued BF =) or Zone AO. G3.0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: • New Construction • Substantial Improvement GB. Elevation of as -built lowest fidwr (including basemen%) of the bulking is _. _it (M) Datum: G9. BFE or on Zone A0) depth of flooring at the bulling site is: _. _ ft (itn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check he if attachments ' ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), canplete Items El (trough E4. lithe Elevation Certificate is inbnded for use as supporting information for a LOMA or LOMR -F, Section C must be completed El . Bunking Diagram Number _(Select the bunking diagram most sintiar to the building for which this certificate is being completed T see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The by of the bottxn floor (inducing basement or enclosure) of the buildng is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural Bade, if avalable). E3. For Building Diagams 6-8 with openings (see page 7), the next higher floor or elevated fbor (elevation b) of the budding is _ fl (m) _in.(an) above the highest adjacent grade. Complete items C3.h and C .i on front of form. E4. For Zone A0 only: If no flood depth number is avalabte, is the top of the bottom floor elevated in aocordanoe with the community's floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTATICERTIFICATION ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to artniruster the canmunilys floocplatn management ordinance can cornplette Sections A B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 01. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area oelow.) 02. ❑ A community official completed Section E for a budding located in Zone A (without a FEMA - issued or corrmunity- issued BF =) or Zone AO. G3.0 The following information (Items G4 -G9) is provided for community floodplain management purposes. ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), canplete Items El (trough E4. lithe Elevation Certificate is inbnded for use as supporting information for a LOMA or LOMR -F, Section C must be completed El . Bunking Diagram Number _(Select the bunking diagram most sintiar to the building for which this certificate is being completed T see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The by of the bottxn floor (inducing basement or enclosure) of the buildng is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural Bade, if avalable). E3. For Building Diagams 6-8 with openings (see page 7), the next higher floor or elevated fbor (elevation b) of the budding is _ fl (m) _in.(an) above the highest adjacent grade. Complete items C3.h and C .i on front of form. E4. For Zone A0 only: If no flood depth number is avalabte, is the top of the bottom floor elevated in aocordanoe with the community's floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTATICERTIFICATION ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to artniruster the canmunilys floocplatn management ordinance can cornplette Sections A B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 01. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area oelow.) 02. ❑ A community official completed Section E for a budding located in Zone A (without a FEMA - issued or corrmunity- issued BF =) or Zone AO. G3.0 The following information (Items G4 -G9) is provided for community floodplain management purposes. 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 absent• ., such posted notice, the inspection will not be approved and a reinspection fee will be charged. (— Owner or Agent Contractor The foregoing instrument was acknowled before me this 2' The foregoing instrument was acknowledged before me this 0-1 day of in , 20 , by [ Y40 , day of en q-'f , 20 0'1, t 20N, who is personally known to me or who has produced who is personal ly known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. Signature Print:P�(uv.> My Commission Expires: Chc 12/15/03 Cuu- u_e_u. APPLICATION APPROVED BY: Signature NOTARY PUBLIC: Sign: Print: .(c..vi) My Commission Expire; ��11A,Y P ty Arlenis tea ., *_Commission #DD296544 ( fica Certite of Competency Holder) p . *_ ices Mar 04 2008 Expires: Mar 04, 2008 p y ) = • BondedThtu %: Bonded Thu � Adantic BondingCo..inc. State CeitificA4lilig19gi Io. Certificate of Competency No. ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************ ** * *fit * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 4 • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical (Roofing) Owner's Name (Fee Simple Titleholder)"5OHN ANp Li Akffaci.. t-?po Phone # 3D5-- Owner's Address 11`3- Ner- Qin 5T Cityri (} nt State (—f, Zip 33 t 3 5- Tenant/Lessee Name Phone # Job Address (where the work is being done) 7 12 t�Yt cl.S S? City Miami Shores Village County Miami -Dade Zip ( , Is Building Historically Designated YES NO Contractor's Company Name I N ( PILCWi J2 1 Sr1"LV I GAS Phone # Contractor's Address I % 040 NW (ot-T CitYk1OCTArt. fY11 Arn Qualifier f-0,.nvratb C) Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 2 u(Qc . pct Type of Work: Describe Work: Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (C Addition ❑Alteration ❑New ❑ Repair/Replace (Vr i - i I'nN O f- 4 t r G 4 12- (o A2AQ, rL State (-L Zip • 31 („cg Permit No. ' ' G�'-C.'� — 7 0 Master Permit No. P) F C4 - 9 Square Footage Of Work: 3C c - * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Demolition Submittal Fee $ CC Permit Fee $ a ® -- CCF $ 1 / 80 ' co /CC Notary $ Training/Education Fee $ O f 60 Technology Fee $ (6 Scanning $ /4 Radon $ ^ Zoning Bond $ Code Enforcement $ ' Structural Plan Review. $ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # Approved Correction �,�iL 0 4L _- - 70 93 J- Inspection Date 4 — 3o '© Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil u ing Inspectio : - Est L) Date Type Insp'n Permit No. Name d � Address ` 1 ct. Company C.) N Phone # Inspectionn Date Approve Correction Re-Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -707 Printed: 7/22/2004 Applicant: JOHN YAO Owner: YAO JOHN JOB ADDRESS: 712 NE 95 ST Contractor ALL IN ONE PROPERTY SERVICES INC Contractor's Address: 14040 NW 6 CT Local Phone: 305 - 688 -9550 Parcel # 1132060141920 Permit Status: APPROVED Permit Expiration: 11/20/2004 Construction Value: $2,400.00 Work: ROOF ON ONE CAR GARAGE ADDITION Signed: (INSPECTOR) Building Permit Page 1 of 1 Total Fees: $270.65 Total Receipts: S $0.00 Legal Description: 5 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOT 10 & 11 BLK 67 LOT SIZE Fees: Description Amount FEE2004 -7286 Building Fee $250.00 FEE2004 -7287 CCF $1.80 FEE2004 -7288 Training and Education Fee $0.60 FEE2004 -7289 Technology Fee $6.25 FEE2004 -7290 Scanning Fee $12.00 Total Fees: $270.65 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: 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Master Permit No. Contractor's Name: ALL - -00E. Low slope roof area (ft.') 1 Section A (General Information) Process No. Roof Category L ow Slope Mechanically Fastened Tile A sphaltic Shingles Metal Panel /Shingles Prescriptive BUR -RAS 150 I Other: 1 Roof Type C New Roof f Re- Roofing r Recovering r Repair Maintenance Are there Gas Vent Stacks located on the roof? Yes 154 No Roof System Information Steep Sloped area (ft.') F 3(00 5 , Total (ft?) E 3(00 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, dearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'): i Corner Size (a' x a'): I Job Address: 5 s -rszva:r rg Mortar /Adhesive Set Tile • Wood Shingles /Shakes If yes, what type? f Natural r LPGX Page of l http: / /www.co.miami- dade.fl.us/ BLDG / ROOFING _PERMITING /PERMIT_APP_SECTI ... 3/26/2004 System Manufacturer: NOA No: High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Design Wind Pressures, From RAS 128 or Calculations: Pmax1: w Pmax 2: I .W.:.......,,_._..._...... Pmax3: Maximum Design Pressure, From the Specific NOA System: Deck type: 5/8" Plywood 1 • These decks require a fastener pull test by an approved test Iabratory Other Deck Type: I Joist Spacing: Slope: I Anchor /Base Sheet & No. of Ply(s): r • Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer /Size & Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Fastener /Bonding Material: Insulation Top Layer /Size & Thickness: Section C (Low Sloped Roof System) Fill in the Specific Roof Assembly components and Identify Manufacturer (If a component is not used, identify as "NA ") Wood Nailer: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener /Bonding Material: 1 Ply Sheet(s) & No. of Ply(s): PIy Sheet Fastener /Bonding Material: Drip Edge Size & Gauge: 2" face 26 D Edge Material Type: Galvinized Metal Strip /Cleat gauge or weight: ng Metal: 1 op Ply: Top Ply Fastening /Bonding Material: 1 Surfacing: Page 3 FASTENER SPACING FOR BASESHEET ATTACHMENT Fastener Type: f 1 ' /o " R.S. Nails __... �_. �...._.. w�. .w..a_.._.._..�..__...,...._.._ —, Alternate Fasteners: 1. Field: 2. Perimeter: 3. Corners: NUMBER OF FASTENERS PER INSULATION BOARD Field: 1 Perimeter: " o/c @ laps &1 rows @ "o /c 11 [-• @ laps & [ _ __ rows @ j� _ " o/c " o/c @ laps 8.1 .._ ~ rows @ o/c Corner: Page 1 of 1 http: / /www.co.miami- dade.fl.us/ BLDG / ROOFING _PERMITING /SECTION_C_4.HTML 3/26/2004 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping /Flashing, Continuous Cleat, Cant Strip, Base Flashing,Counterflashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing Or: Submit Manufacturers Details that Comply with RAS -111 and Chapter 16. Page 3a Party et'Wall Height. Ft VlesnRoofHeig t Ft. Page 1 of 1 http: / /www.co.miami- dade.fl.us/ BLDG / ROOFING _PERMITING /SECTION_C_4_2.HTML, 3/26/2004 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI-DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: 1 Roof Mean Height: 15 Ridge Ventilation:! COtAlltaVOLIS Method of Tile Attachment: 1N 1r Alternate Tile Attachment Method: 01A Clip Spacing for Metal Roof Panels Field: r A Perimeters: N Corners: jiSt Perimeter VVidth: i 1.4)rt http://www.co.miami-dadeRus/BLDG/ROOFING_PERMITING/SECTION_ Section D (Steep Sloped Roof System) Sloped System Description Deck Type: 1518.1rPrywood--71 Page 4 Alternate Deck Type: Underlayment type: face 26 ga. 71 Hook Strip/Cleat ga. or weight: , N/A Page 1 of 1 2242 TiVE Insulation/Fire Barrier Board: JAIN Optional Nailable Substrate: 14 IN Fasteners: 1 1 1 1"1 1. . el:SCSI.061(1J 1 Cap Sheet Type/Adhesive Type: P,STrA 2 .+90 Roof Covering: SqvTi1/4 St"44GIA 1% CI.144 COLCR Roof Covering Attachment Method:______ pwt 05,.bikesv Drip Edge Size & Drip Edge Material Type: laa lvTnTzedaet Drip Edge Fastener Type: rig " p L.A" 0 .c• sTPA . 3/26/2004 Roof System Manufacturer: 1 -m140 - 14e, - pizin›oers Notice of Acceptance Number: ot -oGoe.. 0 1 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): r ... .._.. . .. P 1: i 41 . 69 P 2: 22.2( P 3: 1 22 .2 I Maximum Design Wind Pressures, (From the PCA Specific system): r... 649 .0 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI-DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: 1 Roof Mean Height: 15 Ridge Ventilation:! COtAlltaVOLIS Method of Tile Attachment: 1N 1r Alternate Tile Attachment Method: 01A Clip Spacing for Metal Roof Panels Field: r A Perimeters: N Corners: jiSt Perimeter VVidth: i 1.4)rt http://www.co.miami-dadeRus/BLDG/ROOFING_PERMITING/SECTION_ Section D (Steep Sloped Roof System) Sloped System Description Deck Type: 1518.1rPrywood--71 Page 4 Alternate Deck Type: Underlayment type: face 26 ga. 71 Hook Strip/Cleat ga. or weight: , N/A Page 1 of 1 2242 TiVE Insulation/Fire Barrier Board: JAIN Optional Nailable Substrate: 14 IN Fasteners: 1 1 1 1"1 1. . el:SCSI.061(1J 1 Cap Sheet Type/Adhesive Type: P,STrA 2 .+90 Roof Covering: SqvTi1/4 St"44GIA 1% CI.144 COLCR Roof Covering Attachment Method:______ pwt 05,.bikesv Drip Edge Size & Drip Edge Material Type: laa lvTnTzedaet Drip Edge Fastener Type: rig " p L.A" 0 .c• sTPA . 3/26/2004 Mean Roof Height in Feet 15' 20' 25' 30' 40' Roof Slope l . 4, 1 1 2:12 34.4 36. 39.7 42.2 3:12 32.2 34. • . s 37.4 39.8 4:12 1 30. 32 ;3. 35.1 37.3 5:12 2 .4 30 31.6 32.8 34.9 6:12 26.4 2 .0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 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. Method 1 "Moment Based Tile Calculations Per RAS 127" P1 jil ?.l. xA( - Mg It$o =Mr1: NOA P 2: boo. 4 x A jo.714 - Mg: 215(0 = Mr1 5 5 -35 NOA Mf: G G P 3: lo. o x A ,j 0.27'/ - Mg: l 27•St• = Mr1: ! 5.35 NOA Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: NOA Mf: Mr Required Moment Resistance* Page 5 *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 1 of 1 http: / /www.co.miami- dade.fl.us /BLDG /ROOFING_PERMITING /SECTION_E_3.HTM 3/26/2004 Description Symb here t Fin Design Pressure P1 or or • ; • , S 12 a P. [ Tabl J or by an engineering analysis prepared base on ASCE 7 -98 Mean Roof Height H Job Sit Roof Slope A Job Sit Aerodynamic Multiplier A NOA Restoring Moment due to Gravity Mg NOA Attachment Resistance Mf NOA Required Moment Resistance Mr Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance Fr Calculated Average Tile Weight W NOA Tile Dimensions I = length w = width NOA High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION For Uplift based tile systems use Method 3. Compare the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. (P1: I Method 3 "Uplift Based Tile Calculations Per RAS 127" x w. x cos e: = Fri; NOA F' xw:i Ib•W:l x cos e: =Fr2I x cos 0: =Fr3 (P ; x I 3 = (P3: { x 1: 1 Page 5a All calculations must be submitted to the Building Official at the time of permit application. Page 1 of 1 http : / /www.co.miami- dade.fl.usBLDG/ ROOFING_ PERMITING /SECTION_E_3_2.HTMI_, 3/26/2004 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS rena Buil 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. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zo are for the purpose of providing that the roofing system meets the wind resistance and water intrusion per • ance 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 in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida g 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 uniO (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or oar r 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 from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail tions of the underside of the decking may not be acceptable. The Florida Building Code provides the vie pen option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cau -- ater to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distr 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. lib. rill 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overl; ed from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if over v 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 inte' • of the structural assembly (the building itself). The existing amount of attic ventilation shall not be redu . It may be beneficial to consider additional venting which can result in extending the service life of the roof. / 0i ( Owner's/Agent's Si Date CADOCI 'SIE- 14mOLOCALS- Iq.mp■SECTIO\ ISZA.duc ontra or's Signatur MIAMI BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation 8825 NW 95` Street Medley, FL 33178 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee 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 (In 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 AHJ 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 the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Santafe Spanish `S' Clay 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 the 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 literature. 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 be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 00- 1212.06 and consists of pages 1 through 5. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 03- 1125.03 Expiration Date: 02/01/06 Approval Date: 03/25/04 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: 07320 Roofing Tiles Material: Deck Type: 1. SCOPE This revises a roofing system using Santa Fe "Santafe `S" Clay Roof Tile, as manufactured Santafe Tile Corporation and described in 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 compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Santafe `S' Clay Roof Tile Trim Pieces N/A Clay Wood = varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies TAS 112 TAS 112 Test Identifier 94 -156 -8 94 -156 -9 25- 7205 -1 Project: 07- 07 -00 -91 (307023) 7161 -03 Appendix II 7161 -03 Appendix III P 0402 Product Description One piece high profile clay roof tile equipped with two nail holes. For nail -on, mortar set and adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report TAS 101 TAS 102 TAS 101 TAS 100 Date Aug. 1994 March 1995 Sept. 1994 Dec. 1991 Static Uplift Testing Dec. 1991 TAS 102 & TAS 102(A) Withdrawal Resistance Sept. 1993 Testing of Screw vs smooth shank nails TAS 108 (Nail -On) NOA No.: 03- 1125.03 Expiration Date: 02/01/06 Approval Date: 03/25/04 Page 2 of 5 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -1 (ft) Width -w (ft) Santafe 'S' 6.7 1.5 0.958 Test Agency Test Identifier Test Name/Report Date Redland Technologies P 0647 -01 TAS 108 Aug. 1994 (Mortar Set) Redland Technologies P 0631 -01 PA 108 July. 1994 (Mortar Set) Celotex Corporation Testing Services 520305 -01 thru 05 PA 102 June 1999 IBA Consultants, Inc. 2353 -4 Restoring Moment Aug. 1999 PRI Asphalt Technologies, Inc. SFTC - 003 -02 -01 TAS 101 12/06/02 IBA Consultants, Inc. 2353 -70 TAS 101 09/22/03 IBA Consultants, Inc. 2353 -71 TAS 101 09/22/03 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 TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment 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 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 Santafe 'S' and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 03- 1125.03 Expiration Date: 02/01/06 Approval Date: 03/25/04 Page 3 of 5 Table 2: Aerodynamic Multiplyers- X(ft Tile X (ft) X (ft) Profile Batten Application Direct Deck Santafe 'S' 0.274 0.297 Test Agency Test Identifier Test Name/Report Date Redland Technologies P 0647 -01 TAS 108 Aug. 1994 (Mortar Set) Redland Technologies P 0631 -01 PA 108 July. 1994 (Mortar Set) Celotex Corporation Testing Services 520305 -01 thru 05 PA 102 June 1999 IBA Consultants, Inc. 2353 -4 Restoring Moment Aug. 1999 PRI Asphalt Technologies, Inc. SFTC - 003 -02 -01 TAS 101 12/06/02 IBA Consultants, Inc. 2353 -70 TAS 101 09/22/03 IBA Consultants, Inc. 2353 -71 TAS 101 09/22/03 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 TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment 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 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 Santafe 'S' and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 03- 1125.03 Expiration Date: 02/01/06 Approval Date: 03/25/04 Page 3 of 5 Table 5: Attachment Resistance Expressed as a Moment MI (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Tile Bond 38.9' 28.5 Polyfoam Polypro AH 160TH 2 See manufactures component approval for installation requirements. 3 Flexible Product, Inc. Average weight per patty 10.4 grams. 4 Polyfoam Product, Inc. Average weight per patty 9.4 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Polyfoam Polypro AH 160TH 63.8 Polyfoam Polypro AH 160TH 61.9 5 Paddy placement of 63 grams of Polypro AH 160 6 Paddy placement of 24 grams of Polypro AH 16OTM Table 3: Restoring Moments due to Gravity - M (ft-lbf) Tile Profile 2 ":12" 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 Table 4: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck Battens Santafe 'S' 2 -12d Ring Shank Nails 21.8 N/A One #8 Screw 29.16' N/A Two #8 Screws 38.28' N/A One #8 Screw w/ Clip 57.31 N/A Two #8 Screws w/ Clip 57.60' 61.77' 1. Approved screws as noted 'Product manufactured by others'. i 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. NOA No.: 03- 1125.03 Expiration Date: 02/01/06 Approval Date: 03/25/04 Page 4 of 5 PROFILE DRAWING SANTAFE "SANTAFE S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 03- 1125.03 Expiration Date: 02/01/06 Approval Date: 03/25/04 Page 5 of 5 1 a 'il9rG!/'2,0Idj 11:42 JUObtitf'i 3tJ .1 04 /21403 MON 11 :34 FAX 954 378 1042 MiAM ur L INLU PRODUCT CONTROL, NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring Stucbrtcr ROati Spring ,TX '77383 -1132 ACCEPTANCE NO.; O1-QS .02 EXPIRES_ asrturzo06 • THIS TS APPROVED : , 04/144 001 • Your application for Notice of Acreptnnce CWOA) of Two Component Polyurethane Foam Adhesive under Chapter 8 of the Codc 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 -Dads: County IIuildin Code Compliance Office (13CCO), 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 inanufacrurcr's plant for qualIty control testing. If Phis product or aiatenal fails to perform in the approved manner, BCCO may revoke, modity, suspend the use of such product or m tcrial immediately. OCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails. to moot the requirements of the South Florida Building Code. The expense of such testing will tx: incurred by the manufacturer. forth tibove. C RS14 1M r ION COJVD IT[ONS BUILDING CODE se r Ut) el L V This Application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used ill Vinrni -Dade County, Florida under the conditions set 1\s0.I5000115420041 PbterMake ate*pevice cover pic4mc d g li IEtZ l 15 TN /0£ : I l '1S /oE: I t sOOZ ZZ 9 (3n1) POLYPOAII PRODUCTS, INC. MIAMI -DADE COUNTY, FLORIDA METRO -OADE FLAGLER BUILDING 6UILOlNC COD€ COMPLIANCE Orel CE NICTRO•oADD n,AGLER 3UILDI140 %40 wi;ST FLAGLER mat SUITE I fiD) Mw ., FLORIDA 33130-ISO (3oS) 373.2901 FAX (303) 37S -Z%$ cor4 n tCZ'na LicENIS1Nc, «Cf (308 375.2127 FAX (305) 375 2551f CONTRACTOR NI OHCI M €err eivssro, r 005131S-wee FAX COO) 3754503 PRODUCT CON'rN.oL DIVISION (305} 375.2903 r?AX p05) 372.133v Raul 'Rodriguez Chief Product Control Division, AGF ! . CCP n ENF Francisco 3. Quintana. R.A. Director Mier -Dade County Building Code Compliance Offiri X 002 Eit1/ • L // 4)b.1 '1 42 JU btitsood 44 /21/03 kON 11:54 FAX 854 578 1042 p Producty,_Yutp UtLAi'VU 12 PRODUCrS.INC. t ACCEPTANCE No. g1- 0521. - . - 02 , ROOFING ASSEM13LY APPROVAL Catc`ry : , Roofing 1 Approval Date: .1640,p 14 ,1001 u1 16.22m. Roo rTile Adhesive Expiration t ttle: M 10.2 3Y 006 'k Mat ials: Polyurethane 1. SCOPE This approves Polypro® All 160 as manufactured by Pelyfoam Produacts, Yoe. as. described in•Section 2 of this Notice of Acceptalice. For the locations:where the design pressure requirementss, as determined by applicable building coda, do not exceed the design pressure. values obtained by calculations is compliance with Roofing Application Standard 12AS 127, for use with approved fiat, low; and high profile roof tiles system using • Polypro® Ali 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift bt sed system for double patty systems PRODUCT DESCRIPTION Manufactured by Anplic,�.r Polypro® A14160 Foampro® RTF1000 2.02,2ttl. Density Compressive Strength Tensile Strength water Absorption Moisture Vapor Transmission Dimensional Stability • • • ProI''nck ®30 $ 100 N/A N/A N/A 2.2 Typical Physical Properties; ASTM D16 ASTM 0 1 621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 3126 Z d 91110Z115'ON/0£ :11.15/18 :11 8003 13 5 (3n1) h Test Snecitcatinns PA 101 Product Dbphuon . Two component polyurethane . O Equipment Dispensing Equipment 2.1 Component% or products manufactured by others: Any Mimi -Dade County Product Control Accepted RoofTilc A,ssornbly having a current NOA which list uplift resistance values with the use of Polypro Ali 160 roof file ndhcsivc. Walk c 1.6 Ibs /tt? ,18 PSI Parallel to rise 1iPSI :Psrpendlcutar to rise 231 P$1 Parallel to rise 0.08 LbsJFt= 3.1 Perm / Inch +0.07% Volume Change @ -40 F..2 +6.0% Volume Chan Iiiumidity. 21.vecks • 1 r1 VG V. Vv• v X1 60 3 Frank Zulbega, RRC Product Control Examiner WO'd :1� L / /'LYJb:3 1L:4L Jg7000 333 4/21/03 YON 11 :65 FAX S54 678 1042 Pulyfualm Eryductz, POLYFOAX PRODUCTS . 4 i, • ACCEL TAN No.: 4t 0521.02 Note: The physical properties listed above are presented us typical avarnge values as determined by - acccpted ASTM test methods and are subject to normal manufacturing variation. 3. LIMITATIONS , ! - 3,1 are classification is not part of this acceptance. Rear to the Prepared Roof Tile A.crombty for fire rating, i i i 3.2 Polypro® A1d160 shall solely be uscd;with flat, low, & high the profiles. 3,3 Minimum undcrfayuucr►ts stroll be in compliance with thc Roofing Application Standard RAS 120. . 3.4 Roof Tile manufactures acquiring acceptance for the us* or Polypro® AI-1.160 roof tile adhesive with their tile assemblies shall test in accordance with PA 10 L. 3,5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypi A.EI160 roof the adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. _(2) -w F' : ,' Nis 4, INSTALLATION 4.1 Polypro® AH160 be used with any roof tile assembly having a currelu NOA that lists uplift l-esistancc values with the use of Polypro® Al -1160. 4.7. Polypro® AH160 shall be applied in with the Component Application section stud the corresponding Placement Details noted herein. . The roof tile: assembly's adhesive,attachmcnt with the use of Polypro® AHH160 shall provide " sufficient attachment resistance, expressed as an uplift based system, to meet or exceed 1hr.11lift resistantr- dcr.cnnined In compllatscc with luilanti -bade County Ykoofing Application Standards [tAS t27. The adhesive attachment data is noted in the roof the assembly NOA 4.3 Polypro® Ali 1 60 roof tile adhesive and its components shall be installed in aeoordanoo WW1 I1o oPin y elppiicaCion '.3caiidaid R i3 I2O and ' olyfbam Product*, Lnc. Polypro® AH160 Operating Instruction and Maintenance Boollet. 4.4 Installation must be by a Factory Trained 'Qualified ApplicaLOf approved and licensad 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 peforc application of any adhesive. The mix ratio between thc "A" component and the "B" component shalt 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 shrill be approYed. - 4.6 t'olyprog A14160 shall be applied with Foajmpro IRTF1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro' A1.i160 shall not 1 c exposcd ,permanently to sunli £ d 91/.1£173119 'ON /OS: l t '1S/ L£: H. £0O3 LZ 9 (3111) . 3 • 1a1004 Prank Zuloaga_ RRC Product Control Examiner Table 1: Adhesive Placement For Each Coterie Trite Profile TileProfile • A'lAti i Detail .._.. 11 I i t . Si Paddy Weight Mitt. (grams) 3,5 ,.Two Paddy Wctg]it per paddy Min_ _Scrams) N/A flat, Low, Hist Profiles High Profile (2 Piece Darrel) 01 i 1 17 /side on cap and 34/ an N/A Flat, Low. High Proflrs #2 , 24 N/A ` Flat, Low, High Profiles in ' ! g . bo/ 2 // Ldb3 1 �b5bbby=b 04/21/03 NON 11:55 FAX 954 575 1042 Polvffarn Products, Inc_ 5 4 - Tilos must be adhered in freshly applied i cihesive_ 'file roust be'scst within 2 to a minutes after Polyprot3 AH 160 has been:dispensed. 4.9 Polypro® A1-1 160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein, Each generic tile profile requires the specific placement noted heroin. 5. LABELING . • All Polypro® AHL60 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUI121EMENTS . 6.L As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. POLYFOii PRODUCTS, INC. ' 4 7 d 91L1£tZ1.1S 'ON/OE:l l '1S /Z£: 1 l SOH Lc S (3111) UML A NUU ACCEPTANCE No. ; 0t- 0521,02 rr,ue tJ; O 7 'ZOOS Crank Zulosga. RRC Product Control Ex:Intincr ■0a .4. t. T � JuJV VUJJJV U4 i /UJ Puri 11:56 FAX 864 578 1042 Polvfoani product Tnc. fan 4ano fJN Gem aro # p iiik e60+011 1 ,01~ Eno count elk ken ressletiu ADHESIVE P1.ACEnMENI r DETAIL 1 SINGLE PATTY p r,61 Rada Er.c+.n, y d 9lLlEb3I l S 'ON /OE: l l '1S /3E; l l SON Ld S (3(11) rAut bb: d POLYr0Af ?IlODUCTS 1 INC . o00 . , r .4'111 .. UML..HI YLU I►► txkekowilladr1 11r>rr6dAlnklllo33 416:414-11 iauf• Ych.1 is =OLIO IAN r.. ass A+ atiri 011d14041 - Vol croon quids 66" PM Shah +AIL To 1 hi. No Wild+ of c w ua lwrlu,rw 1 I1J' 1 ~A11 11 /III M} from ••• ..d pon s64 ewa Nw as Wth 3d.M/ i+L EMI demi Vim Ow* fuck 5 ACCEPTANCE No.: 01- 0521.02 M /4006101 Crank Zuloaga, RRC Product Control Examiner 0f IlaSa< 31.016 NIOU 0 •5/ 2 t / / 1L: 4L J17Db7a7JCl O4/21/03 YON 11:SS FAX 944 67s 1042 Polvroafn Products. Tr►c. 9 d 91L LE6a t G5 'ON /OE , I I '1S /d£: l l SON Lac (3f11) UrLP- ILL P©LYFOA[ PRODUCTS. INC. ACCEP'IANCE No.: Q1- 9521.02 t . ADHESIVE PLACEMENT DETAIL 2 SINdLE PATTY 4 Frank Zuloaga. R.RC Product. Control Examiner 123007 WOd� . ti..� 4 r LvVJ 1G. YL JUJ0007UU 04121/0 1(ON 11:66 - FAR .954 578 1042 Poiyfpam products, Inc_ NFU througA plastic cement r3 In. Coil; piddr vA undo• (whet* on top dtile Single paddy undar Nth (beNwan Paddy (under 1110 Wig Ottotzgh p1.7ctle cement aM+Gd DAY tar► Iop OW. Eut Cwte L d 9ltl£n l l5 'ON /0£ l l 'iS /££; l l £OOZ LZ 5 (3fli) UKLHIVUU POL LOAM PRODUCTS INC. j 1 ACCePTAINCG No, : 01.- u521..02 AD 19 & IVE. PLACEMENT DETAIL 3 Dounk P +Try 7 Mash paddy berwun the Frank ruloagn. RItC Product 'Cotltrol Examiner 1'FZ(aE= 08/ Id WOU t oo Single paddy under Wu S'O Aiddy be weed 2IR.17i .0. tlhe paddy W womanly w. tavtek Kg et th4 4 r i LGtJ 1Z:44 dE7ibbwJnob UIKLANUU PAGE 09/09 f14/21/0a YON 11:66 P Ai 64 576. 1042 9. This Notice oFAceoptaitea consists of pages 1 through 8, 9llI.£bZll5TN/08: l l' 1S /££:ll £OO? 1Z 9 (3f11) POLYFOAM PRODUCTS. INC. END OF THIS ACCEPTANCE • : 6 Polvronm 1'ro cts, Inc. ACCEPTANCE t1u ACCEI TAN1C1✓ No.. O t- 0521.02 1. Rv-ncwal of this Acceptance (approval) shall bc co Oftur ;t n;newal application has bct:n.filcd acid the original submitted docwnentx, inCitid "any test- urportitts data, engineering documents, arc no older than eight (8) years, 2, Any acid all approv;d products shall be permanently labeled with tlx: manufacturers name?, city, state, and the following statement: "Miami -Dade Product Control Approval ", or as specifically stated in the specific conditions of this Acce7t2nce. i 3, Renewals of Acceptance will not be wnsidcrcd if: a. Thor; has heen a change in the South.hlorida Building Code Affix:tittg 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 appromi. e. iE' the Acceptance holder has not complied with all the requirements of this acea.'ptance, including the correct Installation of the product. d. The engineer who, originally prepared, signed and led the requited 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 titiritton approval has been requested (through the filing of a revision' application with appropriate, fun) :144 granted by this office:. S. Any DEthc follow ng *shall also be grounds for romoval of this Acccptancr; a. Unsatisfactory performance of this product or process. b. Misuse of this Accepca,tte as an cndorsemenE of any product, f'or- saics. advertising or any other purposes, • 6. The Notice orAecc%ptancc number preceded by the words Miami -Dane County, Florida. and followed by the expiration dote may be displayed iii advertising literature, If any portion of tho Notice of Acceptance is displayed, then it shall be done in its entirety, �• A copy of thus Acceptance as welt as approvcd!drawings and outer documents, where k applies, shell bc provided to the user by the manufacturer or its distributors and shall ix avail:blc For inspection at the job site at aiI dine;. "rite engineer need not tcseal the copies. 8. Failure to comply v alt any section of this Acceptance shalt be cause for tcrnainatien and removal of Acceptance, FrtnL- Zutoaga. Rite PracLuct Control Examiner 1-41009 ri ^ Estimated Total cost of improvements $ a �e .�,�.� rC A >c /O STATE OF FLORIDA, I COUNTY OF DADE. Ss. 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. Date ci <,1.1n:. ' . ° y% %;7 , r. . <� F . r. ^. Owner's Name and Address e :" ® e"- `� °� " J 0 No i ' C) Street • ' -' 1 s e Registered Architect and /or Engineer - Name and address of licensed contractor_._c r ' ' "' n L Y ' ' o f` ' C' Location and legal description of lot to be bu3ltq. Lot Block Subdivision Street and Number where work is to be done 7.7_2 1'1%, State work to be done and purpose of building (by floors) � � Amount of Permit $ o and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering %' "•�" Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to__ The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only su subcon • actors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks-- - - -- — (Signed -- •• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 • e. Permit No ii Date % c Read, Sworn to and Subscribed before me. Disapproved (Signed) to me well known, 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 Planni oard. A r inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty mater' s and /or workmanship. -3- There has been a considerable amount of Dade County Municipality Mechanical Insi subject and requests that such a meetin attendance expected, it is suggested tha Bourget at 579 -2547 or 2518 to confirm r you there, and welcome any suggestions yt Venting Systems for Cooking Appliances TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT 1 RETURNED YOUR CALL 1 1 f To i Date // Time W LE Y9U WERE 91„UT of Phone Area Code Number Extension � Message A A % Operator Campbell 09301 TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT 1 RETURNED YOUR CALL 1 1 To Date )-(J / ( Time// r' M of Phone I E YOU W R OUT Message C Campbell 09301 • Area Code Number Extension TELEPHONED P PLEASE CALL CALLED TO SEE YOU W WILL CALL AGAIN WANTS TO SEE YOU U URGENT RETURNED YOUR CALL 1 HIL YOU / ILL O T M L�� _.. 4 !� of La�`I Phone frf Area ode Number Ex -nsion Message // 9A Operator Campbell 09301 TELEPHONED PLEASE CALL v CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU 1 URGENT 1 RETURNED YOUR CALL 1 1 Area Code Number Extension Message eiCt Operator Campbell 09301 4* -3 - ' There has been a considerable amount of Dade County Municipality Mechanical Ins! subject and requests that such a meetin attendance expected, it is suggested the Bourget at 579 -2547 or 2518 to confirm r you there, and welcome any suggestions y Venting Systems for Cooking Appliances TELEPHONED PLEASE CALL CALLED TO SEE Y WILL CALL AGAI WANTS TO SEE Y U I URGENT I RETURNED YOUR CALL J 1 To Date Time ' ( Q M H ERE OUT of Phone Area o e _ Nu mber ' Ext ns Messa CU1 I M 14-1 4 ■ (3t.0eaD � y ?coR eo1-01 Operator Campbell 09301 Vi!kage- of Miami Shores N ° • JOB .1:4, ADDRESS 7/ a 11 INSPECTION 4 ' a) TIME READY C i : 1 is i � R � r ) REMARKS ‘\, INSPECTOR m:n as DATE 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. Owners Name and Address C. McE wen N N E. 95th - - Street Regis tered Architect and /or Engineer Name and address of licensed contractor_ Lang Roof ing Tile Co., Inc. 573 N. W. 71st St. Miami, Fla. Location and legal description of lot to be built on: 3 3 Aso Lot__ _. Block - Subdivision 712 N. E. 95th Street Street and Number where work is to be done State work to be done and purpose of building (by floors)_. Tin cap 1-30# felt., mop ___ - -90 _._slate with hot aspbalt and cover with a layer of Gory Red barrel tile. and for no other purpose. New Building ._._ Remodeling__ Addition . __ _ Repairs X No. of Stories._... 1 To be constructed of Kind of foundation___. Roof Coverin Barrel t l le Estimated Total cost of improvements $ 1575.00 Amount of Permit $6.60 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 fo► said building. All notices with reference to the building and its construction may be sent to._ -_ _ ___ ____ ._ - -__ -- The undersigned applicant for this building permit dot 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, 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 subcontractor on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks 28 sqs. STATE OF FLORIDA, COUNTY OF DADE. j ss. peared --- -- - - -- - - Disapproved // ___ , _ - _ / D (Signed) __ AI � utI ding MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT I actor (Signed) PLANNING BOARD__ __ . DATE Chairman _ . __ Member Member Member Member _ ____ __ _ . Member Council Approved .. _Date Disapproved .__ ... Date March 28th 19 68 Before me, 31. undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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._____l0 J_____ ____________ Date_ _.c �f._ ___ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires. Date .,NO E: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the F lan ng 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 /or workmanship. Application is hereby mode for the approval of the detailed statement or the plans and specifications herewith submitted for the build • ire 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 Villar 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. a Date... Pr t 5 - ... ,19. � .. • Oner's Name and Address r � ` - V r?- _ _ No. ...7f .�...... Street._.. �.. .1✓ _ _ Registered .: ered Architect and /or Engineer . .^ .. .. ...... „,..,,, n.r „,. ,,,, „„ h Name and address of licensed contractor.. /7..__ See) �! ............ 1l�iCJ � .. _. ..•._ .... � :.. I S� Q c Location and legal description of lot to be built on: Y 33 1 G O Lot Block Subdivision Street and Number where work is to be done... ./ .s . q L.5- ii ...._.._..... _.... _ State work to be ne n purpose of building (by floor ).../.. tP1 7L4.E t ._ „ i�"Lb .._C1�� - ........ t 7' o 1 - Q . ...�'/ . . i ill eat fi c.e , ��// and for no other purpose. Remodeling Addition X. Repairs No. of Stories I - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT New Building To be constructed of(-13 .S Kind of foundation _ Roof Covering .... - �-` Estimated Total cost of improvements $ c 00 ° Amount of Permit $. Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection • the site of the work such public notice or noticcs as required by the Act. The undersigned agrees to employ only such subcontracto;d •;, •rk to be performed under this pennit, as apt icens by Miami Shores V Remarks. ..WCJUx.�.� - d (Si STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. «� L Date Permit No.. It' Disapproved ! :...�. O ate s4' 1 �XN Notary Public, State of Florida (Signed) Building Inspector My Commission Expires _........_.._.____ Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chair:.nan Mcmbcr Merr,ber Member Member Member — _.._. Council Approved Date Disapproved Date NOTE: A c•Ii.rrge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Pl.cnnirg Board. A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLU$BING KOOFING =owner of wilding rchitect ❑ p DATE p PERMIT N° 4251 - ontractor r Builderr.° , < < r < egal Lot escription ddress of gilding // rA f 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 >refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ie 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations rtaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work ne by his agents, servants or employees. i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA B1 Signed. Work to be performed under this Permit f / Subdi- vision Value of Project $ i f INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered heleunder in compliance with all ordinances and regulations rtaining thereto and in strict conformity with the plans, drawings, statements or specifications slzbm!(ted to the proper authorities of Miami Shores Village. In ac- ?ting this_agrmit I assume responsibility for all work done by ,either, myself, my agent, s ant or employee. Amount of Permit $ #. 1 195 Contractor's e? ? f License No. BY AUTHORITY .46119° Narne and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ._ ___.. Permit No Date Disapproved i ` Date (Signed) / Building 1"l.ector 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 Registered Architect and /or Engineer ✓' /2 Date �y- _ 0< , 19' No State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Sgvering Estnnated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage D / Distance to next nearest building Size of Building Lot Ma, ;imum 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for 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 pennit, 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 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. PLANNING BOARD ` DATE - Chairman Member Member Member Member Member Council Approved Date Disapproved to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires \ 4,,;) Street and for no other purpose. 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 Legal Description / // Square Ft. ** * 3 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / Job Address S`iee-', 2r'/e evt Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: 7/Z q r Si APPROVED: Fire Zoning Buildin Mechanical. Plumbing, Tenant (8 x 4 " K/51 A f44 , 4A"4- WORK DESCRIPTION n d/ /w -1 y� FEES: PERMIT ?°'• " RADON C.C.F. 6 ° NOTARY Tax Folio //3Z 61601 ‘ , / 920 tar as to C Master Permit ifr-3 3.2( P h o ne 6W- Ow42 Owner's Address Contracting Co. &'r7 � i-7� �� Phone Z� State # C C C ® S f o , VMunicipal # Competency # 7 " ; AP • Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL 'OOFIN PAVING FENCE SIGN Address 0-0/0 Sheotf4ty €/ - r9a/r.9r -o , 7 6,7 7 ' Estimated Cost(value) zD 0 g3 6bse 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 6r Owner- Builder Date: y /� .. �• "'b: • JOSEPHINE MUNCH day Public Sl* y Commission * * * * * * * * * * * * * * ** TOTAL DUB% ' 0 0 Other Electrical Engineering JUL- 7 - 98 TUE 4'10 -NI k , SUPPLY, !88 0 09:54 FAX 561 339 5391 u... de 111.401 5, 199C - Meese li pody • finical SexvlBes Manager 1 5 I4V 201110ieet Boca Raton, llariki Re: Sincerely ii'i- 1124.15 97 -4.16 97- 1124.17 FAY 10, X54 X89 `� i ,rI,ONIK LLFETU•E a-►. BETh ABC POMPANO ® 001 W METRE GIDOT DADD' 11 *'t''iC, p t L 1 TR0 D 11E H ADEITA • , Bpsorid COAL COMPLIANCE OFFICE MBTg ADE FLAMER 8 IL•D1NCr 140 WFS'!' F LER FL '. 3300-063 3 37tar. FAX 375-29* PRODUCT CONTYt DIVISION (305) 375 -290? FAX (305) 3724339 Monier 144di1t LLC "Flat Shake and Slater, 4 1So1ona1 and Shingle Bleed ", and " Sh "Tiles paler Lif • Virlairkri, & Ro14 Tile! *oiler LUedle C "Make S" and Espaac* p'ZTooling Tlire Dear Mc Moody: 'This is to inform you thaw Notjee.of Proposed Action re need ibove for thecli of NON" 95-031610 Colonial Slate,a g1e Blend 9543102 Sierra Shake an r Slate 954316.03 Espana. a. ,1 . • t:een issued anal-sent to the 13uilkiing Colo issv uct mew Commit one 5, 1998. We exert that their review will be ceetrictecineithililkdays, Acceptance ( N O A ) v 1 s issued, Leans of this !peter we are extendingthc expiration o bove listed NOA's from the orig'►.nctl .,.,, iretidiolate of a 14, 1998 to July 31, 1998 to cover committees futa reviewtirne.+Please attach a copy of this letter to the existing NOA's at time of permitting. This letter expires July 31,1998. We hope this addresses your concerns, should you require any further information an this matter please fee1Oee to contact this office, MS= et Control Supervisor g,�Ifial reviegebn ch time the Notice of cc - C. Danger PE Director PAPstembrIL1PCLETTERAOONSENINDusTRV .dote interact wail addtvss: postmastrilraildiageodeeefteceem gitiOromepagez izttpaltNww .balldingtodeonline,ro►n JUL- 7 - 98 TUE 8:47 AM ABC. SUPPLY. iiiii PRODUCT CONTROL NOTICE OF ACCEPT Lifctile Corporation 200 Story Road Lake Wales FL 33859 -0632 Ex pires:06 /14/98 Approved: n6/14/95 -1- FiCt NO 954 491 4489 k. 1 METROPOLITAN DADE COUNTY, FLORIDA METRO•DADE FLAGLER BUILDING ANCE BUILDING CODE COMPLIANCE OFFICE E METRO -DADE FLAGLER BUILDING 140 WEST FLAGLEFF STREET MIAMI. FLORIDA 33130 -1563 ` (305) 375-2901 FAX (305) 375.2908 PRODUCT CONTROL SECTION (305) 375-2902 FAX (305) 372.6339 Your application for Product Approval of: Nail On Mortar or Adhesive Espana Tile under Chapter 8 of the Metropolitan Dade County Codc governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redlrnid Technologies, The Center for Applied Engineering, Inc., and Atlanta Testing & Engineering has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance :serves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Codc Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the Soutar Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 95- 0316.03 - (Revises No.: 94- 0914.22) Rau Rod tguez Product Control Supervisor THIS IS TITE COVI:RSIIEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions sct forth above. L" ti:f�7c "�L tiger, Director Building Code Compliance Dc Metropolitan Dade County JUL- 7 - 98 TUE 9:11 AM ABC. SUPPLY. Agate ant: Lifetile 200 Story Road Lake Wales, FL 33859 alSs 1: f PnoDucT CONTROL. NOTICE OF ACCEPTANCE R.00FING SYSTEM APPROVAL Prepared Roofing Tile Nail -on /Mortar Set/Adhesive Set Concrete Syiem Description Lifetile is a member of the Boral Group and is a national producer of extruded concrete the in California, Texas and Florida. Lifetile manufacturers concrete roof tile for nail -on, mortar set and adhesive set applications. All tile is extruded under high pressure in individual molds with the exposed tile surface finished with a cementitious material colored with synthetic oxide additives. All tilt is 'cured' prior to shipping to achieve maximum strength. duct Controt A i royal relates to l ,ifetilr's "Emma" a" Misslpn Tile" high tile profile. feryo appropriate arodttet ConttoLAnP.roval$- etlacrtjlc p ofile . Lifetile sells tile systems through local. wholesale distribution. Ali profiles have matching trine pieces used for rake hip, ridge hip, and valley terminations. Tile system accessories such as ventilation systems, flashing systems and birdstops are also available. These accessories are manufactured for all profiles and form a part of this Product Control Approval: Lifctilc's "Espana"' Mission Tile" roof tilt has been tested in compliance with the South Florida Building Code requirements for concrete, nail -on, mortar set and adhesive set tile applications. The minimum roof slope for Lift:tile's "Espana" Mission Tile" nail -on, mortar set or adhesive set tiles shall bt 2 ":12 ". See the "Profile Drawing" section in this Approval for the "Espana' Mission Tilt" profile drawing. The Lifetile "Espana" Mission -Tile" the profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables i through 4 of this Approval. Contact: Dave Faulkner Technical Services Manager 200 Story Road P.O. Box 632 Lake Wales, FL 33859- -632 (813) 676 - 9/105 7 FAX I 954 491 4489 P. 3 Product Control No.: _9_5_4121.6.0— JUN 1 4 1995 Approval Date: Expiration Date: JUN 1 4 1998 JUL- 7 -98 TUE 9:25 AM ABC, SUF'FL`t'. Undcrlaytnent: Roofing Tile: Comments: SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction 19 h," or greater plywood or wood plank. SYSTEM f: Mortar or Adhesive Set Application FAX NO, 954 491 4489 P 1 Product Control No.: 95 -01J 6.05 Slope Range: 2 ":12" to 7 " :12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Install underlayment system in compliance with Dade County Application Standard PA 120. (See System Limitation 45.) install the in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) 1. For re - roof applications, ' / „” plywood is an acceptable substrate. 12 JUL- 7 - 98 TUE 9:25 AM ABC. SUPPLY, FAX NO, 954 491 4489 Product Control No.: __E 13 1. Z ---, P. 2 SYSTEM LIMITATIONS 1, The standard minimum roof pitch for Lifetile's "Espana"' Mission Tile", low profile tile shall comply with Dade County Application Standards PA 118, PA 11 or PA 120, depending on the method of installation. 2. For nail -on applications, fasteneholes s for mechanical the hanical attachment of tiles shall have a head diameter larger than that of the preformed 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127, The Lifetile "Espana" Mission Tile" tile profile has been tested for both wind characteristics and static pli fltp e r fo rhall be done f attachment calculations for installation in compliance with PA 115 'Moment Based System'. 4. For mortar or ru1hesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. 5. For mortar set tile applications, 30/90 hot mopped uttderlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment niater manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable narking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Lifetile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating_ aintain S. The applicant shall retain the service South Dor r1. ;uiidin� Code certified and t rel ' ate la d l>t'o o r Sarnplcs w quality control in compliance rtlt t � � Appendix 'A'. taken shall be in compliance with DadeCounty Protocol PA 112. App 9. Any amendments to these provisions shall he in compliance with Sections 203 and 204 of the South Florida l3uilding Code. • JUL- 7 -98 TUE. 9 :25 AM ABC. SUPPLY, Tile Profile Espana" Mission Tile DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - X (ft from PA 108 Testing X (ft') Batten Application 0.26 Table 2: Restoring Moments due to Gravity - M (ft -ibf) from PA 102 Testing Tile 3 ":12" 4 ":12" Profile - Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Deck Deck Deck Deck Deck Esparta 7.77 6.33 7.55 8.20 7.49 803 7.30 7.83 7.10 NIA Mission Tile T 4 _ Tile Profile Tattle 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) from PA 102 and PA 102(A) Testing' Tile Application Battens 1 nail 2.80 Approved Approved Nails Screws' 2 nails 7.30 18.10 • 5 ":12" 14 FAX 110. 954 491 4489 F. 3 Product Control No.: QS -S 1_6.03 1 screw 2 screws 1 nail 2 nails 29.80 19.00 38.60 X (R Direct Deck Application 0.27 6 ":12 " 7 ":12" or greater Approved Field Clip With: Espana` Mission Tile Direct Deck 680 9.20 31,30 43.20 23.10 27.60 29.30 38.10 ' Data noted in Table 3 is for installation with a 3" the headlap. 2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Approved Eave Clip With: 1 nail 2 nails 24.00 41.80 JUL- 7 -98 TUE 9:26 AM ABG, SUPPLY, Tile Profile Espana"' Mission Tile Tile Profile Lspana Mission Tile DATA FOR ATTACI IMENT CALCULATIONS (CONTINUED) Table 3 -A: Attachment Resistance Expressed as a Moment - M, (It -Ibf) from PA 102 Testing Tile Two (2) 10d x 3" long nails' Application Direct Deck New Construction (min. ' plywood) Direct Deck Recover /Reroof (min, " / plywood) FAX MO, 954 491 4489 F. 4 Product Control No.: _95- 03,JILQL 48.10 33.10 45.20 Battens New Construction Tile installation with a 4" headlap using two (2) Approved 10d x 3" long polymer coated. corrosion resistant. ring shank nails installed in manufactured holes located 2W from the head of the tile. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Table 4: Attachment Resistance Expressed as a Moment - M, (ft -lbf) from PA 101 Testing Tile Application Mortar Set Adhesive Set Attachment Resistance 24.50 66.50 JUL- 7 - 98 TUE 9:26 AM AEC. SUPPLY. FAX lift 954 491 4489 Ui11YEnsAL TIIIM TILL I20F'11.1; DRMVINCS ESPANA "' MISSION Ti l.F: Product Control No.: .__9_52031 LIFETILE° 16 7z, ),z) NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. (/ Z O 6 0/V- / 7 Z G STATE OF FLORIDA: COUNTY OF DADS 93R327870 1998 JUL 07 13:01 THE UNDERSIGNED hereby gives notice that improvements will be made to amain reel property, and in accordant :nth Chapter 713. Florida Statutes, the following information is provided in this Nolte of Commencement. 1. Legal description of property and seem address+ /27/477e/ 7 / 2 - '+./ € . 9J i tcj. 5 j -- 9 r/l ie« 33/5f 2 Description of improvement ki t �C!ir" 3: Owners) name and address t Li N < /g /'E m • 7/Z it •s $ At — W5 /Zti l j 3 3 rt Interest in property: Name and address of tee simple titleholder: 4. Contractors name and address: li(// Gf Ceet Bite . 7-1 540it%/1tUyi 44ird / 3o 7--c i E OF FLORIDA, COUNTY O DADE ZiEttEBv CI:Rrt?Y f'"a' this is n f +v ° �fhe • ,• of 5. Surety:(Paymern bond required by owner from contractor, If any) Name and address: A/4 Amount of bond 6. Lenders name and address: 11% 7. Persons within the State of Florida designated by Owner upon whom notices by Section 713.13(1)(a)7.. Florida Statutes, Name and address: / ( C ars odavot Swam to and subscribed belore me this - 7 day of Tv L 19V • Notary Pub * f I L\` My Commissio : xpires: • CIAL NOTARY SEAL JAMES M JOHNSON NOTARY PUBUC STATE OF FLORIDA COMMISSION NO. =718059 • MY COMMISSION FXP. FEB. 19 /:- .. c,„•,; X Wino; fled in 4 ' / , �i ?N!`SS my h •i"d c.nd • Cr, al St • u f 1. ,, <' ■ fPUNE1 Hil VIIM v i s ir :. i • Y tic nts may be served as provided 8. In addtion to himsei. Owner desigtwes the following persons) to receive a copy of The Uenor's Notice as provided In Sec- tion 713.13(1)(b). Florida Statutes Name and address: /IG 7 9. Expiration date of this Notice of Commencement (the expiration date N 1 year from the date of recording unless a different date is specified) A frk,z,/ , 461 : • A 3 v I 2 5 7 0 3 /? r/fr, ' l.-.- ` G,� tJ May-18-98 08 : 42A Miami Shores V i l l a g e 305 756 8972 UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Nam Ft. FL • S 6 7JobMJ1 7 9 Par CATEGORY, • ❑ (Nail -On Tile) ( Metal Roofslwood Shingles & Shakes) BPSL''I ❑ New Roof ro ofing ❑ Recovering 0 Repair 0 Maintenance U (tea+ Slope Application) (Asphait/Ftberglass shingles) Flat Roof Area (ft?)L Sloped Roof Area (fl) ate Total (R 3tee Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 748 table 1): ROOF HEIGHT AND SYSTEM D �� 6 1� Deck t /x 4 T ,I I 'QED Asa s , A •PTAs: g MJr,2N Fastener Type: I / '2P 3 / / / / 2 � SPACING (/ it Field: I g Perimeter. 1 Z Corner: 3/4 f DETAIL1 &2 'Includes Mortar and Adhesive Set Tile ETAILS (Draw details as needed) v y 4 r tv'• t1 • n �v .(A Page -1 oraw-se TIIe) * ❑ (Other) r P.01 May -18 -98 tr namr f O 08:42A Miami Shores Village 305 756 8972 ttp Vvu uA A.A. .J UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SyOPEDCPSTEMD&S DETAIL 3. TILE CALCULATIONS (Pmax1:7 (Aaodyosmic M zI :. 2 7 ) - Mil©. 3 - M 9, 2 PCA: — (Pmax2• S (1Modyns Wrurapl;�j: ° Z 7 ) - M 10.3 - M /M PCA: a 1 ) M / =M •` � (Pmcstj: l � •J x 1 (Aerodynamic Multlplier� / Z d . 3 .� PCA: Page-2 ATrAcHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Cantu' Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Lhnitation c) amend Limitations d) AppI!oble Detail Drawings 31 Mtmicital Permit Aopiication 4) Other Component Approvals P.02 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7/IA? Job Address 7 / Z /V6 4 7-1 5"7 Tax Folio 1 / 3 ao ®/ / /'Z 0 Legal Description Historically Designated: Yes No Owner's Address '/ L tV 991 Contracting Co. /C/# //e / ' 4 / i G Qualifier /l O � r �i/ i State # CC C 67 Municipal # Owner/Lessee / Tenant Architect/Engineer /VA- Mortgagor Bonding Company Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA WORK DESCRIPTION Square Ft. V&' • otary as to Owner and/ y Com missio ... OFFICIAL C OI • SEAL JAMES MI NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. 0718059 MY COMMISSION EXP. FEB. 19 7 ! 2ttLO Condo President RADON Date A5 AZ a /3/r2LC 77a- C.C.F. APPROVED: Zoning Buil Mechanical Plumbing Master Permit # "D• Phone 3 a..1 P/- 7O �a`�" 1 Z6 /O .Sfjc ?/ `7✓ ' / //01 ss# Phone 3' 9Z Competency # Ins. ��a�o. !/�S�r Address Address Address Address 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. ignature of owner and/or do President Date Signature of Contractor o r O er- Builder Date otary as to Con y Commission . ires: NOTARY 1 1 tor or Owner- Builder N ectrical BOND OOFING' PAVING F NCE SIGN LCofor ' r/- / 4 s ee 7/ Date O NOT ARYSEAL JAMES M JOHNSON NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC718059 MY COMMISSION EXP. FE& 192002 TOTAL DUE 7 O��// � 8 Engineering Test Date Project Address 712 NE 95th Street Miami Shores, Florida Contractor Permit Number Roof Pitch Tile Installation Date August 22, 1998 Adhesive Type Tile Type All testing is in strict accordance with The Dade County version of The South Florida Building Code, Section 3401.10 and PA 106 -95. Each Test location was pulled using a Chatillon Force Gauge to a minimum of 35 lbs.. TEST SUMMARY Roof Area Total # of Tests # of Tests Passed %Passed Field & Ridge Corner Perimeter TEST RESULTS: Passed 38 8 9 See Attached Sketch for Further Details ROOF REPORTERS, INC. 1:44,444,44€R44 emeddeou, PA 106 -95 Roof Tile Uplift Test Report 36 8 9 August 25, 1998 White Seal Roofing 43178 3:12 PolyFoam Monier LifeTile Espana Dade County Certified Testing Agency # 9 -0916 -11 (561) 434 -7555 95% 100% 100% 3281 Lake Worth RoadO Suite EO Lake WorthOFlorida 33461 Roof Consulting & Testing OVisual Surveys & Evaluations Roof System Design O Moisture Surveys NSULTANTS N , ; T 9.0' Flat Roof r T T r T T T 20' T T T Flat Roof 1 T T T 20' TT T , T T T PERIMETER = 3' WIDE CORNER 3' X 3' r T T 45' T F T 25' Dade County Certified Testinq Agency # 94- 0916 -11 3281 Lake Worth RoadJ Suite Ell Lake WorthOFlorida 33461 Roof Consulting & Testing OVisual Surreys & Evaluations ORoof System Design O Moisture Surveys SYNERGY Labs, Inc Certificate of Calibration Manufacturer: CHATILLON Model Number: DFIS200 Serial Number: 25220 Customer SN: 25220 Description: DIGITAL FORCE GAUGE Customer: ROOF REPORTERS, INCORPORATED Certificate Number: 66054 Environmental Conditions: Temp: 21 deg C Relative humidity: 45% This certifies that the above equipment was calibrated in compliance with the requirements of ANSI /NCSL -Z540- 1994, MIL -STD 45662A, ISO 9002 4.10/4.11, ISO Guide 25, ISO 10012 using applicable procedures. At planned intervals, Synergy Labs, Inc measurement standards are calibrated by comparison to or measurement against national standards, natural physical constants, consensus standards, or by ratio type measurements using self - calibrating techniques. National standards are administered by NIST (National Institute of Standards and Technology) or other recognized national standards laboratories. Supporting documentation relative to traceability is on file and is available for examination upon request. Limits: NONE Remarks: UNIT RECEIVED IN TOLERANCE - NO ADJUSTMENTS REQUIRED Calibration Date: 8/20/98 Calibration Due: 11/20/98 Reference Standards Used: Manufacturer Model Number Serial Trace Number Number Cal Due Date AMETEK -M&G WG -23 18830 48037 4/28/99 Synergy Labs, Inc 8211 NW 64 ST #3 Miami, FL 33166 Ph (305)-477 -5414 William Everett Quality Assurance 7.11 The Inspector shall mark any component which 'fails' or becomes 'loose' as a result of the test and shall request that the roofing contractor repair such components using an approved adhesive. 7.12 Components which are repaired pursuant to 7.11 shall not be retested. 7.13 The Building Official shall review and advise the Contractor whether to require and replace the tile assembly or repair the existing assembly. 7.14 Subsequent to testing, the installer may repair not more than 5% of field area tiles and 10% of perimeter area (i.e. ridge /rake) tile with approved tile adhesive. The installer shall place an identifiable marking on each repaired tile for future reference. Any PA 106 re -test shall not include any marked tile. 7.15 The Inspector shall retest the tile assembly following repair or replacement. DO NOT TEST TILES THAT WERE PREVIOUSLY TESTED. 8. Report 8.1 The final test report shall include the following: 8.1.1 A copy of the Roof System Assembly Product Control Approval. 8.1.2 A sketch of the test site roof which indicates 1) the field, perimeter and corner areas, with dimensions; and, 2) the location of all components on which a static uplift test is conducted. Indicate those attachments which were initially tested and, if applicable, those attachments which were tested in the extended testing. 8.1.3 A tabulated set of test results, signed by a Professional Engineer or a Registered Roof Consultant. Page - 6 JAN PA 106