521 NE 94 St (7)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildin Inspection Request
Date
Type Insp'n R a KG
/�
Permit No. ( 2_0 09- / JOt `
Name Ro5617-i
Address 5O/ , V E l ! g/
Company ) • < u-wu - ` e k ) oo- ►y,
Phone #✓ 25!`
Inspection Date
Correction
Re- Insp'n Fee
(" MIAMI SHORES VILLAGE
sJ o' BUILDING INSPECTION DEPARTMENT
1, ' 8"t APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement ur Inc plans and specifications herewith submitted for the build •
inc 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 .....gene .SCArn d
Registered Architect and /or Engineer
Name and address of licensed contactor ObenouA Roo
Location and legal description of lot to be built on:
Lot Block Subdivision .._ —..__
Street and Number where work is to be done 52 1 N. 6. 2 . #t . R. Miami, 31a.
State work to be done and urpose of building by /l
floors). Remove ext ►t�. /r and nep./ac�e wait .. ed x l
Lae itoo/ n9, on .lo ped tuea turd AMA j 4 ail ti? aa
p AaL and 9.AaveL ort aec.L•%vii:
_...._..._.. and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories
To be constructed of Kind of foundation Roof Covering 2? 'IP! ........ _______
Estimated Total cost of improvements $ 7,600.00 Amount of Permit $. 20.00
Zone cubage required Flan Cubage
Distance .to next nearest building. Size of Building Lot
Disapproved
(Signed)
Building Inspector
3e.biwaii i 17, 1984
Date..._..._.. _.__._�.
...... ._ No...5
7357 N. W. Miami � t. I)I tanr�; ..a.
Notary Public, State of Florida
My Commission Expires
—7 741)1 9. 3 - i:
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 empl- r d by him
in the work to be performed under this permit; and will post or cause to be post for inspection on the site of the war su�uhlic notice
or notices as arc required by the Act. The undersigned agrees to employ only su ubcontractors, on work to r • e. under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true..
Permit No.._. Pil)J. Date 4- Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman Member
Mfcrr.ber 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 Pl. Board.
A rc- inspection Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description o roperty and stree address:
k f e<5 ) G _,3f313
2. Description of improvement: Re- ro
4. Contractpr i e and address:
5. Surety: (Payment bond required by owner from contractor, iba
Name and address:
Amount of bond $
6. Lender's name and address:
d
Sig - Owner
Print Owner's Nam
Sworn to and subs
Notary Public
Print Notary's Na
My commission expires:
123.01 -52 PAGE 4 8/02
before me this i 0day of
•
"'Fl`' Atlantic Boding Co.. Inc
Prepared by
1111111 IIIII11111111111IIII111111111111111111
CFN 2004-R0653423
OR Bk 22534 P9 2153; (1Ps)
RECORDED 08/02/2004 15:57:53
HARVEY RUVIH, CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
* s
3. Ow tar(s) name arid address:
Mid. KM ,shore , i - 3313
Interest in property: 0 kfiVer
Name and address of fee simple titleholder:
C%I RR
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Exp; ration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
ecified)
lOctu61 Viatietie$P
,D. B 3 31 ��i
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/4/2004
Applicant: LUZ
Owner: ROSARIO
JOB ADDRESS: 521 NE 94
4 .
Contractor KAWALEK, PAUL RICHARD
Local Phone: 786- 277 -9540
Parcel # 1132060140860
Signed:
(INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2004 -1047
ROSARIO
LUZ
ST
Contractor's Address: P.O. BOX 531051
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 16 & 17
Page 1 of 1
Fees:
FEE2004 -7906
FEE2004 -7907
FEE2004 -7908
FEE2004 -7909
FEE2004 -7910
FEE2004 -7911
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$300.00
$6.60
$5.00
$2.20
$7.50
$15.00
$336.30
Total Fees: $336.30
Total Receipts: $0.00
AUG 0 5 PA I
0
Permit Status: APPROVED Permit Expiration: 1/26/2005 Construction Value: $10,900.00
Work: RE -ROOF ALTUSA SPANISH "S" COLOR THRU MULTI -COLOR TILE
BLK 55 LOT SIZE 100.000 X
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict
conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
BY:
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building Electrical
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Address 6/7 513 /a J
City "7/°".. ' State
Qualifier ail,(#.' T 4k.�1.) Q-I E
State Certificate or Registration No. CC # 936JOO y3
$ Value of Work For this Permit ,fy9 `ea
Describe Work: /r-e— /-d / Tear
Total Fee Now Due $ d 0
(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
RECEIVED t
Jut40
Contractor's Company Name ' e.Ok4 4 %.e 4,/,;,,
gal 9 Wfti s4(
/7'
Permit No. BPcbO`I " I U4
! Master Permit No.
Plumbing Mechanical LRoofinJ
Owner's Name (Fee Simple Titleholder) % cC'iz(/L /634/7 a Phone # 3al 7 - e'' 3 7
Owner's Address SW (.6 fy �s.i
City Ai // CS4ii.-e State / Zip ,. 3/31-
Tenant/Lessee Name Phone #
County Miami -Dade Zip
NO
Phone If 3 0 7rr -0/J`/
Zip /S 7 - 3
Certificate of Competency No. c, 3 8 Sooty 3 /
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration n n ❑New Lig Repair/Replace ❑ Demolition
LxiS n g -4=► le- roo-r; re-P14(6 e
w l h a n e_Aw A- c Spntsh S co I or-IA r o ug co ) or 3 619/or-
b° ` !? - r rGC. r Gl a.0 % Fu.ri12 , 6 • ' de
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
0�
Submittal Fee $ 30'`� c -kt5 Permit Fee $3 0 0 , CCF $ r T V Co /CC
Notary $ - 0 C.) Training/Education Fee $ o o 0 Technology Fee $ - . S
Scanning $ S - O 0 Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not b approved and a reinspection fee will be charged.
Signature y Z!
Owner or Agent
The foregoing instrument was acknowledged before me this The fe ego g instrument was ackno ed before me this
day of d{ , 20D?), by N i r of , L. A - P_ c t,i : cA day o - , lam, y
who is personally known to me or who has produced R-)--- C. 2 to ( who is personall known to me or " o has produced
-. Ts - identification . • • did take an oath.
S I ,;U
NOTARY
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
. *_ . -
AM_ � 11r -i e y ded ThrU
* * 1 * * * * * **
As identification and l 19diNtaighbhth.
Commission #DD231`i ?4
13. " NOTARY
Print:
Signature _ ture CU k9.
Contractor
S1 ,� nCeP
n
My Commissio 1�frer:
***********************************Ap
-- J
a
** * * * * * * * * * * ** * * * * * * * * * * * * **
* * ************* **** * *** *** * ** * * ** ****** * **** **
Plans Examiner
Engineer
Zoning
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section A (General Information)
Master Permit No. Proce s No.
Contractor's Name SP- I
q i. / h - P l
` S : ) \ j 9L/ +h
Job Address
❑ Low Slope ❑ Mechanically Fastened Tile
❑ Asphaltic ❑ Metal PaneUShingles ❑
Shingles
❑ New Roof
ROOF CATEGORY
❑ Prescriptive BUR -RAS 150
ROOF TYPE
I Re- Roofing ❑ Recovering
. ROOF SYSTEM INFORMATION
Mortar/Adhesive Set Tile
Wood Shingles /Shakes
ARE THERE
GAS VENT STACe?
TYPE - NATURAL ❑ LPGX
❑ Repair ❑ Maintenance
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
p g6o0 zboo
YES ❑ NO
Section B (Roof Plan)
Sketch Roof Plan: ' Illustrate all levels and sections, roof drains, scuppers, overflow
scuppers and overflow drains. Include dimensions of sections and levels, clearly
Identify dimensions of elevated pressure zones and location of parapets.
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Roof System Manufacturer: A l+ tiLceic
Notice of Acceptance Number: 02 1 1 1 S 1
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: `IS P2: 1SJ P3: 6 15 -1 1
Maximum Design Pressure C ,
(From the NOA Specific System) a J
Method of tile attachment: P 0 t Ll Eoo,w U.], ke-
Slope:
a :12
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section D (Steep Sloped Roof System)
Steep Sloped Roof System Description
Deck Type:
v--
ype Underlayment:
nsulation.
Ridge Venti la tio ?
/
Fire Barrier.
Mean Roof Height:
1r.3 o Fe
/A
astener Type & Spacing: 11 i
dhesive Type:
ype Cap Sheet.
0_6 PhcLH-- -P;e
oof Covering:
-sr Ros Icc-e
Type & Size Driii
Edge:
Jot
1)
5
Where to Obtain Information
M Required Moment Resistance*
Roof Slope Height —
Pe I '
15'
20'
25'
30'
40'
2:12
34.4
38.5
38.2
39.7
42.2
3:12
32.2
344
38.0
314
39.8
4:12
304
32.2
33.3
35.1
37.3
5:12
284
30.1
31.8
32.8
34.9
6:12
204
28.0
294
30.5
32.4
7:12
244
25.9
27.1
28.2
30.0
Where to Obtain Information
Description
Symbol
Where to find
Design Pressure
P1 or P2 or P3
•
RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE
7
Mean Roof Height
' H
Job Site
Roof Slope
9
Job Site
Aerodynamic Multiplier
x
NOA
Restoring Moment due to Gravity
M,
NOA
Attachment Resistance
Mt
NOA
Required Moment Resistance
M,
Calculated
Mfinimum Attachment Resistance
F
NOA
Required Uplift Resistance
F,
Calculated
Aveage Tile Weight
W
NOA
Tile Dimensions
1= length
w- width
NOA
All calculations most be submitted to the Building Official at the time of permit apolicatiou.
r.-
•
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section E (Tile Calculations)
For Moment based tile systems, choose either Method 1 or 2. Compared the values
for M with the values from M i If the M values are greater than or equal to the Mr
values, for each area of the roof, then the tile attachment method is acceptable.
1 "Moment Base ' T Calculati ns Per RAS 127"
r
— Mg:' i t = M1 t l NOA b'k r 6: S
— Mg: • • S NO
s �
— Mg: • = M r l , . (/ NOA 11-f b
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (M) From Table Below NOA if
*Must be used In conjunction with a Iist of moment based tile systems endorsed by the
Broward County Board of Rules and Appeals.
For Upllft based tile systems use Method 3. Compared the values for F' with the
valves for F If the F' values are greater than or equal to the F values, for each
area of the roof, then the file attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(P1: xI: z w: = ) —W: z cos 0: = Frt: NOA
(P2 : x I• = z w: a ) — W: x cos 0: = Fr2: NOA F'
(P3 z 1: = z w: = ) — W: z cos 0: = Fr]: NOA F'
g
SECTION 1524
HIGFI VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for
roofing system installations. Additionally, the following items should be addressed as part of the agreement
between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been
• explained.
i — 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should
be addressed as part of the agreement between the owner and the contractor.
Y 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owned should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed Ceilings: Exposed, open bean ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
opti nn�of maintaining this appearance.
� / C-5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the
original roofing system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
'• Ventilation: Most roof structures should have some ability to vent natural airflow through the
c:X
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
0 e ' ' gent's Signature
7 30 D L
..,07,$)
Date Contractor's Signature
r
M I A M
MIAMI -DADE COUNTY. FLORI
METRO-DADE FLAGLER DUILOI1
Obt COMPLIANCE OFFt
MC•I I q
P R On tii_C ' N t, w o -onut: LER5 n,nGLLeCK ovtsUt.or
NOT tp a LE rf±77tI:1TE U
1'ul ,�luam Products, Inc. PTA y
ZaUO S tilr4h,t- r I r.Rtpp »Ijafj
ltrin� Stucbncr !l () tr 3 ))75-il01 FA\ f)gSl317s-211
Spring .TX 77383 -1132 Cttrmt {c-rox r.rc rvrrnc: : .
ousl)71.2s,7 FAX tCllt •
�'rtN• fir 17 J-1J
r Trott LNrntict :At /' Anima
Y'� :►r application for Notice of vosl)1s -2 FAXOen37t.�
Two Component Polyurct
Acceptance (NOA) of: t'aoovc- ,•co,,nXot
hrnc Fn ;t Uus > :J._a z ptvtyto,
.►n: cr Chapter 8 0l the Code o f rn Adhesive t r F ��c 005) 3724.9
Construction. and co Miami -Dade County governing the use of Alternate mplerciy described herein, has been recommended for acce to
(. or:ray 6ujldin6 Code Corr Hance OtGcc p Materials and T
P ' (BCCO) under the conditions specified herein.
Types o!
by the Miami-Dude
h
'Ci Non shall no: be valid after the expiration dace stated below:
Thi t or s eta :crral nt a ny time r t e a BCCO
rU:l�tct or material fails to ,obsitr. or manufacturer's plant the right ti S�c!t i f this
perform in the approved manner, Platte for quality
1,,c: r ' of such product cr material immediately. CCO may Y contro testing. if this dt: tcrr.incd by BCCO that y f CCO reserves the right to revoke ' modify, p r suspend Oz. 7-,:::'ding thi ro
r . i Code.
product or material fails to meet the requirements of a Sou al, if it is
_ of the South Florida •I expense of smell f,:stinb will he incurred b
y :he minuracturt:r.
A ccr :lrmscr n•o.: 01-0S2 13)2
F,XI'IICES: O5 /1 p
APPROvED: nut-vim:
It nut Rodriguez
Chief-Product Control Division
L[is 1S THE COVF .T Sr -
I)I t+V� I'r,c S FOR S DDF �() VI ;IZA7•117:12A1 C>` Sr 12 N 1 yc 12
c CT REV
• I•'• •! -I.s ar :olici!ia for f'rcC::ct Approval --..
S and Product Review h' s bccn reviewed by the BCC() and
Co :ntitlttcc to be used in ,Miami -Dade Count F� approved nder the by the Building
Y, arida under the conditions set t
Francisco J. Quintana, R ./1.
l)ireclor
til ;lot i -Dade County
f)uiiJing Code Compliance U.Ticc
,1041 C 00 IkipC :00011ranOcirs )cc.poc,(• co.ar Nt..elo,
:! 1 tcrnet mull rJdrr,$: pottmosrer@_putldlnt ;errJcontine.com
Itorncpage: hop : / /ww..•bwlldl
^icodoonllnc.cont
:mac ;
-•v0 'Ai 83J 378 10,12
p mom' d ucts,.
I2450FtNG ASSEMBLY APPROVAL
tit Iexprv:
Roof
tiult- Cite-fnry: Rt t f •I'ilc
Adhesive
I.ta to rip Is:
Polyurethane
SCOI'1.
This approves l'olyprua A11160 as manufactured by l'ulyruam Products, Inc. as
rlcse in Section 2 of this Notice of Acceptance. For the locations where the design
pressure rt:gt:trements, as delcrmincd by applicable building
on
design pressurc values obtained by calculations in compliance ovith Roofing p ati
Stand :trd RAS 127. for use with approved flat, low, a high r APP anon
Polvproai All 160. Whe the attachinent calculations arc done a moment bid S min
for sin
c tt
6� p Y P I; cement, and as an u p li t brtscd system for double system
P s
2. PRODUCT DESCRIPTION
Ma n ufrctu red by
Applicant aniszgatis
PolypratA AH160 N/A
I'o niproD RTF I000 N/A
Prol'act,30 30.i::CO N/A
2.2 Typical Physic :11 Properties:
I'rnncrty
Density
Compres)ive
Strength
Teusi:c 5trc! th
Water A bsorpticn
Vto,stt.rc Vapor
Tr:tts.,tissu - Dt
DitttcusiC'ia: AST\.1 1) 2' 26
i ztabthly
L 79 29. (9 ON . 45-1
POLIT0411 PRODUCTS, INC.
Test
S u•ciric,ilton,
PA 101
1st( 14 51111:
ASTM 0 1622 1.6 l bs /ft.'
ASTM 1) 1621 18 PSI Panilel to risc
aST.�t 0 1623 12 PSI Perpendicular to rase
28 PSI Pnra.tcl to rise
ASTM D 21 11.08 L5sJFi2
ASTM E 96 1.1 Terra / each
h.Lacr NI A'dd,:S �Ec
ACCEPTANCE No. 01-11-
Approval Date:. •arat
Expiratio Dale: M to 2nn
+.7.07% Volume CII it$c
Necks
'5.0% Volume Clean
1l::ntitlity, 2 tvicel•,c
• J
n
C
Product
pi asz i nI L an
Two component
polyurethane
Dispensing Equipment
1)7incnairg Equipment
2.1 Cnntpnncnts Jr products ntanu :it:hi ct) by others:
Att) Mi: mi- Dada; Comity Product Control Acccp :cd Roof Tile Assembly !, : ;ss a current `OA
��''ti:l► list uplirt res■staa varu`s with the use of rol)pro A11160 roof tile adhcsi■_.
1:milk 2431oaga, KW
Product Control Examiner
•
�� _. ;:"• :M :n_nr
.nw .34 s)a 1032
Pot trtoatm �rorlucts r
A CCEPTANCE No. : 01- 0.$21.02
Note: ' Tlrc physical properties listed above sire p a
neccpted ASTM test methods arid sire sub t „ s typical t factur e values as determined by
J normal ntnnuracluriar yar:•lion.
#. LIMITATIONS
3.1 Fire classification is nct part of this acceptance Refer to the Prepared (toot T
Assembly for fire rating. P tic
3.2 l'olypro*) Al stall solely be used with Il;tl iow, R hit t Cie ''rofiles.
3.3 Mi nimum underlayntcnts shall be i:t compliance with the Roolin Application
Standard RAS 120. +S pp n
3.4 Roof Tile mar ;ufiictt,r es acquiring acceptance for the use•of Polypro® AH160 roof
3.5
ti!c adhesive with their tile assemblies shall test in accordanc with PA 101.
Roof Tile m,1tturactures.acquiring acceptance for two paddy placement with the
use of Polypro® Ali 160 roof tile adhesive with their
accorda,lce with PA 1(11 and with section 10.4 as modifir_d herein.
shat! test in
_ - w
kS
4 . INSTALLATION
t. J Polypr oe AN; 60 ma be used with any roof the assembly hav; -e a current NOA that
lists uplift resist:: values with the use of Poly pro® AH 160.
4.2 Polypro® Ai-{ 160 shall 5c applied in compliance with the Cornpener.t Application
section and the cor•espondin' Placement Details noted herein. The roof tile
as=cntbly's adhesive attachment with the use of Polypro® A1- shat provide
s: fl;c:cn: a :ta:!:m;n; resistance, expressed as an uplift based sus :cr. to meet cr exceed
the uplift resistance determined in compliance with Miami -Dade County Rnefing
App ;ica :ion Standard: RAS 127. The adhesive attachment Ca:a is noted in t:;e roof
tile assembly NOA
4.3 ?elyproe Al1160 -cot file adhesive and its components shat1 be installed in
accordance with Roofing Application Standard RAS 120, and ?o►yt;.atn Prcducts. Inc.
Polypre AH :60 Opera :ins (nsfruction and Maintenance Dxic!c :.
uplifted Applicator' .4 [nstal :3tion must be by a Factory Trained A '
Q approved and :icetued
by Pc:yfoart Products. Inc. Polytoant Prcducts !nc shall supcly a '::st of approved
a,lp'.icitors :o t!tc a:tthcrity having jurisdiction.
4.5 a ''il ;rvion cif :1 :e Feampro® dispersing equipn.cnt is rewire: bef; re application of
Y e T::c rniv ratio .;etwccn the 'A" component and the '3' component shat
be n•air:tained t e wccn ! 0 -. (A) : I 0 (D). The dispense
deliver 0.0' 75 :e 0 1 5 2ct..tds per tile ,is determined at� ilib:z: c 3 No 1 othe r seitings
shall be aPprcv'cd.
4.6 Poly9toe ,1t 1 i 60 shall be ,applied with Foa:npro it'm 1 000 or ProPack0 30 & 100
dispcnsins cquip -. on
4.7 PolyproA ' i r 160 sits :J t :ot L•c c.. pused pet rttancntty to sum
<Sj
3
POLvroAV PtiODUCTS, INC.
Frzna Zutocga. RRC
Pr :+:c: Control Examiner
!'z4 'n rn uurt •
®001
• Po(vfo ni Products
1..1 "saliva 'liana u ..1.I
tire .Arr nirr
r 41 N.w9 1 4 Sunkttwwl
1,.........h:
a..r ...J..writ 4 P. rI
4 641 r. •••.
Ir.. c.v ..
L59 :5G
ON Xtid
/rlp IMA.a
►'M IL 11
ruLIrvn* PAODUCTS,INC.
ACCEPTANCE No. : 0 - 0521.02
ADHESIVE PLACEMENT DETAIL 1
SINGLE PATTY
tt.i Ibaq� P.
t1.r1
N..1t11 a.•n
I ; Pion .....40 21 Y •rllrvt 17 V D
140.:art i.okoo lir t.MUCI .4P. he p.. re
11 '.n....r. y.Y. �•— Ar. fI.IM. w7 I►
y i
(Ao p;
Itlk /rrn +Mw.l�rrltr•vY
rA.. ►...a 11.I .
I.a. Y.t
w ft.
y. Y Yawl Yana I .
r
M. him •
I tan 6.4 • \
..a r....
lbw atria rr • r.Y - I
ift•ar nt r•I
Nub ammo NI
Fri Zui &RC
Product Eunuocr
000
• _:
Polyfon ProdifC(S.
• _ r RODUCTS, INC.
ACCEPTANCE : 01-11521.02
• A DI-I ESI VE PLACEMENT DETAIL 2
SINGLE PA rry
ON XVI
6
Frk Z.ra RRC
Product Examicux
-%LeiCt.' :1`
007
PQ IYfozni Prod in c.
Nap through ptaollc cancel
Stink p+edy
f 7 In. under Ute
e]
SMpla paddy on
undo•
laynent
A "qta paddy
or lop cI isle
ACCEPTANCE No. ; 0.1 -052 Ot
A U11ES, VE PLACEMENT DETAIL 3
DODULE PATTY
2
A
rude
4 .L.r Uuna
1 in, i I iri orlon
Aro paddy ou
cowls e"*
y 1l through plaatIc tenon!
O� in.a I
Steele POly
ve und.naymanl �!
Mp0 .
undo/ lilt
cn top o 4
• Jl
:•-■"`‘
(b.r...n tile)
(under 1116)
7
1" ,Y' t cal
Mai Urnupi p i 1 trrna^I
Un1eA SInf1e N ddy under 1111
a)menl .
Sint V WMy :::::: :.��
I*- haa only
.4 In. 2 7 In.
meg on
II4
Slnylc In 7 rn
MIo
la/msn l `
Swo • po
n.n.e.n ;IIe
_mil i
Senor at arier i • 5�„
en Iopal114 .
\ )hey1n.
Fwd ; a � n
f lu W, Lift toots only
rrzu: Zufaa
s�.ltxc
Product Control E'umincr.
m-u
:?: .:31"
Fne
ern :inch,
048 .dyer
r..
•
PolYfoam Products
.na
Rcric-woi of this Acceptance (approvo1) sh311 be considered oiler a rc,
the original submitted documents, includin + test L s - supporting dat :.T_, application in d . .. IC I fi: o
order that eight (8) )ears.
sad t � - � in� deeu..rcnts. ar no
1 Any a:t all
folio pr:,a'cts shall Any and
tl► a ful ve d + u permanently labeled with the .,� factUrcr's name, city.
b sta :entent• "Mi uni -Dade County Prod.::
specie ally stated in the specific conditions of this Acceptance, s:1ra1 Approval or s
3. Renewals of Acceptance 1v :11 not be considered if.
a.
t
There has been a c;,a;Igc in the South Florida Building Code a"..__
product and the product is nor to compliance with the code than_ -� ' the `valuation of .I:_�
The product is no !Cnber the sane product (identical) .s the or.e • �" approved.
c If the Acceptance holder has not complied with all 'lie reci..; _ _.
Ire;uding the correct installation of the r ' of this atcepta, ;;c.
d. The engineer who crid u,a;l 1 product
y prep signed and scaled the reel.. do initi:.'I)•
submi:rcd, is no amber practicing the engineering profession.
NOS 13:10 FAX 554 576 3042
d• n:t� revision or cltan• +c i•1 1� •
b • the materials, use, and/or manufacture Cr t:_
;,Jeri .7.: call)• be cause io: termination or this Acceptonce. unless r .:
= roduct or process s^:.!1
reS�C3:Cd (t.1ro„ thc :.:;n on a p
g of 3 revise application with rc c �rcn approval granted by �ha
5 :1ry of the fcllOw;r s!:all
d a :so be grounds for removal of this Accept:,
a. I,'r,s: rs:actory perforation:: 0'04
%1ijuse or di, Acceptance as an product rsern process. o( n rode_ i.
other purposes. y p a %c advertising or any
• Th.: `cticc of Acceptance cc nut:tber preceded by the , words Miami- na: - . Florida, and fcilo
exp;ration at rt:a be drsplayed rn adveriisirtg literature.
�'. :c:pt. etc: is disp :3)•ed, t':: :: ;; stall be C - "a1ion of the Nolic:
one in its e1
7 A copy ;,f tins Accep :a:: as welt as approved drawings and otbv: dcc :r: _�; where it ib applies,
5: ; :dca 10 Inc t.s: � e!lie m3nt:f3cturer or Its distruter
OU S�Ie :t ' s d S r.
� 1I: tin,: rl:: an sh:. _ : s h ag rcr inspection :.
enb,ncer need re. reseal :lie copies.
Failure :o comply ,�,� , ; sec :ion of this Acceptance shall be cause
Accap :arise.
9. T•:s 1'c!::: ofAcccp!ar ; ;: cor.slsts cf;tages 1 through 8.
END OF TIIIS ACCEPTANCE
CN Xd ; - i1d0(". )i
POLI•FOAlr PAODUCTS.INC.
ACCEPTANCE Pto.: 01-o t_o2
• 1•rulicn and rcmotia :
k.
RRC
Caalrol Examiner
•
BUILDING CODE COMPLIANCE OFFICE (HCCO)
PRODUCT CONTROL DIV1S1OIi
NOTICE OF ACCEPTANCE (NOA)
Almar (USA), Inc.
6801 NW 77 Avenue
Miami, FL 33166
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 unc.er the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdic tion (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 m.lnufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend tl►e use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if i t is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the regt irements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: Altus* "S" Clay Roof Tile
LABELING: Each unit shalt 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 manufi cture 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 TOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be d splayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of t its 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 consists of pages 1 through 7.
The submitted documentatio was reviewed by Frank Zuloaga, RRC
L l .d VLY. :01.1
NOA No.: 024115.03
Expiration Date; 12/16/07
Approval Date: 12/12/02
Page 1 of 7
VidO?: ? 1 7,007 ' 61 ' 0;O
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub - Category:
Material:
1.
Trim Pieces
Clip
Clip
Test Aaencv
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Celotex Corporation Testing
PRI Asphalt Technology, I
Redland Technologies
Liz,
Roofing Tiles
Clay
SCOPE
This renews roofing system using Altusa One Piece S' Clay Roof Tiles, as manufactured by
Almar (USA), Inc.. and described in Section 2 of this Notice of Acceptance. For locations where
the pressure requin:ments, as determined by applicable Building Code does not exceed the design
pressure values obi ained by calculations in compliance with RAS 127 using the values listed in
section 4 herein. T ie attachment calculations shall be done as a moment based system.
2. PRODUCT DES CRIPTION
Manufactuured by Test
Applicant gjmenslong SP eelfleatlenk
Altusa One Piece S' L = 18 V." TAS 112
Tile W = 10.5"
CIA" thick nominal
3.25" high
Length; varies
Width: varies
varying thickness
L =6"
D - 0.125"
L• &h -2"
W = 1 /1"
0.05" thick
2.1 SUBMITTED EVIDENCE:
TAS 112 Accessory trim, clay roof pieces for use at
hips, rakes, ridges and valley terminations.
Manufactured for each tile profile.
PA 114 Tile clip
Test Idea (1Jer
94 -083
PA 114 L Shaped tile clip
94 -084
25. 7200 -1
Project No. 307025
Test #MDC -78
MTS 520649
CLF- 003.02 -01
7161 -03; Appendix II1
Product
Description
High profile clay roof tile, For direct deck or
batten nail -on, mortar set or adhesive set
applications.
Test Name/Report
Static Uplift Testing
PA 101 (Adhesive Set)
Static Uplift Testing
PA 101 (Mortar Sot)
Static Uplift Testing
PA 102
(Quick -Drive Screws, Battens)
Wind Driven Rain
PA 100
PA 102(A)
PA 102
PA 102
at
April 1994
May 1994
Feb. 1995
Oct. 1994
May 2000
October 2001
Dec, 1991
NOA No.: 02- 1115.03
Expiration Date: 12 /16/07
Approval Date: 12/12/02
Page 2 of 7
NO£ l OOZ •6l'=D240
Te ble 1: Average Weight (W) and Dimensions (1 x w )
-
Tile Profile
Weight -W (Ibf)
Length -I (ft)
Width - w (ft)
One Piece 'S' Tile
8.9
1.52
0.875
• Test Agency
Redland Technologies
Redland Technologies
Redland Technologies
Rutland Technologies
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
L.' E. • d
Test Ideptiiler
7161 -03
Appendix II
Letter Dated Aug. 1,
1994
P0631 -01
PO402
Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Test Name/Report
Wind Tunnel Testing
PA 108 (Nail -On)
Wind Tunnel Testing
PA 108 (Nail -On)
Wind Tunnel Testing
PA 108 (Mortar Set)
Withdrawal Resistance
Testing of screw vs. smooth
shank nails
Aerodynamic Multiplier
25 -7183
25 -7094
25 -7496
25 -7584
25- 7804b -8
25- 7804 -4 & 5
25- 7848 -6
Dec. 1991
Aug. 1994
July 1994
Sept. 1993
March 1999
March 1995
February 1996
April 1996
December 1996
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance.
3.2 For mortar cr adhesive set tile applications, a static field uplift test shall be performed in
accordance Kith RAS 106.
3.3 Applicant shill 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 erode Compliance Office for review.
3.4 Minimum ur derlayment shall be in compliance with the applicable Roofing Applications
Standards 1is.ed section 4.1 herein.
3.5 30/90 hot me pped 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 %,rith applicable building code.
3.7 May be installed on slopes 7:12 and greater.
4. INSTALLATION
4.1 Almar 'Attu is One Piece S' Clay Roof Tile 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.: 02- 1115.03
Expiration Date: 12 /16/07
Approval Date: 11/12/02
Page 3 of 7
WdH:7,1 7,007, '61'0 ;4
Table 2: Aerodynamic Multi liens - R (ft
Tile
X (ft)
A. (ft
Profl14
Batton Application
Direct Deck Application
One Piece 'S' Tile
0.253
0.274
Tebl 3:
Restoring Moments
4 ": 12"
due to Gravity
5 ": 12"
• Mn (ft-Ibf
6 ": 12"
7": 12" or
greater
Tile
Profile
3 ": 12"
or ess
One Piece 'S'
Tile
Battens
C irect
I?eck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
4.47
5.35
4.40
6.27
4.31
5.16
4.20
5.03
4,08
4.89
Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf)
for Nall -On Systems
Tile
Profile
Fastener Type
Direct Deck
(Min 15/32"
plywood)
Direct Deck
(Min. 19/32"
plywood)
Battens
One Piece 'S'
Tile
2 -10d Rlrg Shank Nails
28.8
41.2
19.4
1 -10d Smooth or Screw
Shank Nail
5.1
8.8
2.8
2 -10d Smooth or Screw
Shank Nails
6.9
9.2
7,3
1 .08 Screw
28.7
28.7
N/A
2 .008 Screws
58.2
58.2
26.8
1 -10d Smooth or Screw
Shank Neil (Field Clip)
23.1
29.3
27.8
38.1
23.1
29.3
27.6
38.1
ip details)
19.0
24.0
38.6
41.8
1 - 10d Smooth or Screw
Shank Nell (Eave Clip)
2.10d Smooth or Screw
Shank N ails (Field Clip)
2.10d Smooth or Screw
Shank N ails pave Clip)
1 Screw with Altuse Clip (See c
One Place "S"
Tile'
1 Screw with clip (at the
head of tile)
187.1
187.1
N/A
One Place "S"
Tile'
1 Screw with clip (at the
water course of tile)
35.2
35.2
N/A
" o.s,.....,,e" ti_ i,,."iauar4 i1 fha fr lAA Holt holm lec.sated nearest to the hump of the tile.
Table 5:.4ttachment Resistance Expressed as a Moment
for Two Patty Adhesive Set Systems
Mr (ft -Ibf)
Minimum Attachment
Resistance
Tile
Profile
_
Tile Application
One Piece 'S' Tile
Adhesive
29.3
2 See manufactures component approval for Installation requirements.
3 Flexible Products Company TIIe8ond Average weight per patty 10.7 grams.
Polyfoam Product, Inc. Average weight per patty 8 prams.
'd )'1El' °N
NOA No.: 02411 5.03
Eipiredon Date: 12/16/07
Approval Date: 12 /12/02
Page 4 of 7
WdOE:ll 1002 '61'C30
Table 5A: Attachment Resistance Expressed as a Moment
for Single Patty Adhesive Set Systems
- M1 (ft -Ibf)
Minimum Attachment
Resistance
Tile
Profile
Tile Application
One Place '6' Tile
Polyfoam PolyProTM
08.5
Polyfoam PolyPro
38.7
4 Large paddy placement of 63grems of PolyProTM,
1
I
5 Medium paddy placemf nt cf 24grams of PolyPro TM ,
Table 5B: attachment Resistance Expressed as a Moment - M, (ft -Ibf)
for Mortar Set Systems
Tile
Tile
Attachment
Profile
Application
Resistance
One Place 'S' The
Mortar Set'
24.50
5. LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or
following stet :ment: "Miami -Dade County Product Control Approved ".
6. BUILDING PERMIT REQUIREMENTS
6.1 Applicat on 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
c ode: in order to properly evaluate the installation of this system.
L/5 'd tiLEZ' °■
PROFILE DRAWINGS
ONE PIECE `S' CLAY ROOF TILE
NOA No.: 02- 1115.03
Expiration Date: 12/16/07
Approval Date: 12/12/02
Page 5of7
Wdl£ Zl 1002 '6l'3da
Li9 'd
CLIP WITH ONE (1) SC REW
ATTACHED TO (DECK
"SPANISH S"
TILE BY ALTUSA
(Tyr.)
CLIP DETAILS
2 -1/2" OVERLAP
(COVERS PIN HOLE)
CLIP PLACEMENT DETAIL
SCREW IN THE INSIDE HOLE
NEAREST TO THE HUMP OF THE TILE
CLIP
ECK
NOA No.: 02- 1115.03
Expiration Date: 12 /16/07
Approval Date: 12/12/02
Page 6 of 7
7.,00Z '61.3;a
SCREW (HOLDS
CUP ONTO DECK)
L%L 'd tL : .0t1
"SPANISH a"
TILE EY ALTW iA --\
c ) I
CLIP PLICENENT DETAIL
CLIP DETAILS (CON'T)
2 112" OV!RLAP
(CO PIN
SCREW IN THE INSIDE NAIL HOLE
NEAREST TO THY HUMP OF THE TILE
5
5/'
END OF THIS ACCEPTANCE
3.00"
DECK
1 1/4" 1 3/4" 3/4'
/
6l
GALVANIZED
METAL CLIP
DECK 21(2' SCREW
NOA No.: 02- 1115.03
Explratlon Date: 12/14/07
Approval Date: 12 /12/02
Page 7 of 7
Wdl£ Zl Z007, '61'3 ;0
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date S /ll / - Type Insp'n c T PneP
Permit No. P 0 B
Name
Address L/ A/ n 6 7
Company Pa.t4X.
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
20s- 7 - Y - 0)9/
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 ( 1')
Building Inspection Request
Date E'v�in
Type Insp'n 1 I n (0
Permit No. ,c✓ P00 — 1047
Name 20 (CO n
Address � 1 NE _
Company oLLo 1e
Phone #
Inspection Date BJ80�1
Approved
Correction
Re- Insp'n Fee ❑
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(p or F)
1
1]
26
4,--12
51
(l
76
2
27
52
FA-4
F
I
77
3
28
53
78
4
29
54
1 I ' /
79
5
30
55
4
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
:..---
50
-----
75
100
5523
4�
THIS RE UBMITTED B
Civil Engineer:
Lab Certification # 98 - 0608.04
State of FL Certificate Authorization # 4100
Project
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE
PROTOCOL TAS 106
SITE SPECIFIC INFORMATION
Owner's Name O c41. o o Permit # aOOL _ 0 0 9 l7
Job Address - � IA !st i <P'
Roofing Contractor x. ° ',fr.— Fl 0 6
Type of Tile: rte' i f ® #v A-1-4- �1'-
Approximate Roof Height: 1 1 - feet
Type of Access to Roof: Scaffolds ✓Ladder
Approximate Square Footage of Roof: `Z 1 40,0 ft
Required Testin Force: 35 lbs. Testing Equipment: Chatillion 100
Date Tested 'I -- q ®G '
TEST RESULTS
P = PASS, F = FAIL
lifeat (7. eQr_7,�
Date Installed• 'i' -2-1C4 •
Roof Pitch: - f2-*
Other
IN ACCORDANCE WIT THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL ' ST.
P.E.
PRINTED BY: UNIOUE GRAPHICS: 954.791 -3101 FAX: 954791 -3103
NOTES:
•
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