Loading...
800 NE 95 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date i (s j -'s Job Address es 1 � I/ S Tax Folio No Legal Description Owner/Lessee / Tenant 1 l Q `,`D, Owner's Address qa c F `k .S 14 S �t xcn.i Contracting Co. Qualifier C.- State # CAC_ Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION \A C Square Ft. Estimated Cost (value) D r L/ 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 abov- • •,•ntractor to do the work stated. /kJ-a- (9- --- Signaof owner and/or Condo President Date n 6 IDeS3CIAL NOTARY SEAL 0 III SANDRA P. MOt4TIEL / I * COMMISSION NUMBER CC401261 1.7 vK A , NAY CO N. MISSION EXP. OF F� � . A UG. 17.1998 Notary ,: • ! �! : and/or Condo Presi.dent Date My Co _...e F S: PERMIT , r RADON APPROVED: Zoning Mechanical Municipal # � �S Historically Designated: Yes Master Permit # Phone <1— Address gC.S Competency # Ins. Co. Address Address Address = c_i o ontractor or Owner- Builder Date otary My Co tractor or Owner- Builder Date 0 0 ua#FICIAL NOTARY SEAL rr SANDRA M MONTIEL COMMISSION NUMBER .IP o a CC401261 Q' MY COMMISSION .EXP. ✓: P•�0 � -�Nfix 97 C C.C.F. r 5.0 NOTARY `, x TOTAL DUE 3Ba7o 5- Building Electrical Plumbing Engineering Date 3-31-99 Job Address 800 N.E. 95 Street Tax Folio • Legal Description Historically Designated: Yes No Owner/Lessee / Tenant / Y 7 GIA 4t4... Notary as to wner and/or Condo Prc4.dent My Commission Expires: FEES: PERMIT / 1 4 / .— RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Amy Periv4ft ,GIcG(e h a and Seatf Pert. u Master Permit 9(71 73) Owner's Address 800 N.E. 95 Street Miami Shores, Fla.Phone 757 -4082 Contracting Co. Oua lit y Roofing Contractor, Tnc. Address 13800 N.W. 1st Avenue Qualifier Carlos Arocho Phone 751-0382 State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, tin cap 301b. ASTM felt as per cod: install galvanized eave drip and valley metals where required, mop on wth type III asphalt one layer of 90LB. ASTM felt, install Flat White Colorthru Tile with adhesive foam attachment. Flat roof to install base and mop modified bitumen. SquareFt. 45sq. Tile 2sq. Flat EstimatedCost(value) 1 15 , 300.00 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. X 5171 Signature owner and/or Condo President Da e APPROVED: Zoning _ Buildin Mechanical Date MARYLOU HERNANDEZ : MY COMMISSION # CC 680474 s EXPIRES: October 10, 2001 Bonded Dm Notary Public Underwriters Notary as to Co actor or My Commission Expires: C.C.F. 1-6,0 NOTARY -- 0 " BOND 30 ✓ TOTAL DUE 1 62±12- Plumbing y/ C /9 Signature of Contractor or Owner - Builder Date . ' RYLOU HERNANDEZ MY COMMISSION N CC 680474 EXPIRES: October 10, 2001 Bonded Thru Notary Public Undeiwitters - Ate► ..iv Electrical Engineering 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 DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 2. Description of improvement: Reroof to a new Tile and Flat roof . 3. Owner(s) name and address: Amy Pcrwinkle.Gle ((an anc( S�otf PU'w rY) Interest in property: Qwnpr Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quali Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 0 0 6. Lender's name and address: _I /A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N /A 8. In addition to himself, Owner 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: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owners Name C CC[ 4h1 Sworn to and subscribed bef re me this ,29 day of Q,,,c , 19 ri . Notary Public Print Notary's Name My Commission Expires: 800 N.E. 95 Street Miami Shores, Florida 33138 800 N.E. 95 Street Miami Shores, Florida 33138 13800 N.W. 1st Avenue Miami, Florida 33168 STATE OF FLORIDA; COUNTY OF DADE 1 HEREBY CERTIFY that this h a trot cep y_ of the original filed in this offi on duso ' A• o• 19 WITNESS my h d and Official a .1, HARINY , e � Cr�� , of Circuit •,nd County Court y 0 C. Prepared by:Carlos Arocho Quality Roofing Contractor Address: 13800 N.W. 1st Avenue Miami, Florida 33168 123.01-52 7/98 Contractor's Name: (IAA. 'i0144 l Dn c cfr)r1J'ob Address: 0 Q0 N . E' _ "I s Si-reef i(Low ROOF CATEGORY Slope Application) ❑ (Nail -On Tile) (Mortar Ad esive Set Tile ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof Re- roofing - ❑ ' ❑ Repair ❑'Maintenance Flat Roof Area (ft') 02 57 _ Sloped Roof Area (i3 4Ssq . Total (ft') 4/7 , Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): 0 Ft. A 123.01.78 8/D8 Deck type: '0001 j Fastener Typeujj r�n� Shr,.1 uc DETAIL II & 2 . Appendix "E" { .UN FORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) &L ACHMENT SPACING Field:. 0, .i,. Perimeter: 0 .c,. Corner:(n J i `L f; ? -e r- >° ROOF PLAN G stir.. Page -1 r r r r r �� 0' Appendix "E" UNIFORM RQOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: ►3 . ,SLOPED SYSTEM DESCRIPTION • 4 /Underlaysuent Insulation: 13" 7t007 SLOPS D B T A I L Fastener type & spacing: Cap Sheets ti I• . RoofCovering: A. Drip edge: Ia. -c. 4-■e1d 4 l'o.c. cifs t, 0.c. Corners ,- pear:.e.d ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations • d) Applicable Detail Drawings 3) Municipal Permit Application ' 4) Other Component Approvals (Pmaxl: (Pmax2: 031 (Pinax3: 11)3.C) X (Aerodynamio Multipilec): X' , (Aerodynamlo Multiplier): ,2.4 X (Aerodynamlo Multipller): TILE CALCULATrONS 11.3S) - M 1 •�,O a M ¶ S' PCA: I `1O Z4'1) - M 'Up p ° M 15 tOCl PCA: DM )- M : 9. % a : 15,0 PCA: - Page -2 Expires: 06/19/00 Approved: 06/19/97 PRODUCT CONTROL NOTICE OF ACCEPTA GS Roofing Products Company, Inc. 5525 MacAuthur Boulevard, Suite 900 Irving, Texas 75038 Your application for Product Approval of: GS Roofing Products Modified Bitumen RoofSystenu Over Wood Decks under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types Construction, and completely described in the plans, specifications and calculations as submitted by: Factory Mutual Research Corporation and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specific conditions set forth on pages 2 through 31 and the standard conditions set forth on page 32 The approval shall not be valid after the expiration date stated below. The Building Code Compliance .Office reserves the right to secure this product or material •al any time for a jobsite or manufacturer's plant for quality control testing. If this product o;r material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this.product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by th man ac r. Acceptance No.: 97- 0520.01 _ Revises. No. 95-0502.04 THIS ISTHE COVERSHEET. SEE ADDITIONAL PACES FOR SPECIFIC AND GENERAL CONDITIONS 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 set forth above. Internet mail address: postmaster @biJildingcodeonline.com BUILDING CODE COMMITTEE NCE • 4 4,4 ..: .. • •. ins :.. �::��, • �;. , ,rr? METROPOLITAN DADE COVN R FLORIDA'. - METRO -DADE FLAGLER BU,ILDIN - G .. BUILDING CODE COMPLIANCE'OFFICE, METRO- DADE•FLAGLER BUILDING %. 140 WEST FLAGLER STREET. SUITE 1603.; � f MIAMI. FLORIDA 33130 - 1563 . (305) 375-2901 FAX (305) 375.2908 PRODUCT CONTROL DIVISION:: 375 - 2902 FAX (305) 372.6339 ". Raul Rode _uez Product Control Supervisor - ar e g er, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Homepage: http : / /www.buildingcodeonline.com Applicant: CS Roofing Products Company, Inc. (MB) 5525 MacArthur Blvd. Suite 900 Irving, TX 75033 Catesorv: Membrane Roofing System Sub - Category: Built -up Roofing Tvpe: Modified Bitumen Sub -Tvpe: SBS/APP ROOFI,NC SYSTEM APPROVAL System Description Product Control No:: 97- 0520.01 Product Control No.: 97- 0520.01 Approval Date: June 19, 1997 Expiration Date: June 19, 2000 GS Roofing Products Company, Inc. manufactures and markets nationally a complete line of residential and commercial BUR and modified bitumen products. GS Roofing Products Company, Inc. markets these 'products through local distribution in the South Florida jurisdiction. GS Roofing products and systems are the result of years of manufacturing experience and product development and have been proven by years of experience in the construction field. GS offers a variety of approved insulated and non - insulated roofing systems. For detailed system constructions, refer to the following publications: , "Commercial Roof System Specification Manual ". GS products and systems have been tested in compliance with all provisions of the South Florida Building Code as well as Underwriters Laboratories, Inc., and Factory Mutual Research Corporation for fire and wind uplift resistance. GS provides .technical service and warranty information through regional offices. For the South Florida • Metro -Dade area, call 1- 800 - 777 -2563. d Contact: Pat Neuhaus Commercial District Manager 2900 Bird St. Charleston Heights, SC 29405 (803) 744-7451 ran • uloaga -Plans Examin uct Control Div. •Insulation Types Fibrous glass Per lite Fiberboard Rockwool Polyisocyanurate Polyisocyanurate Composite'Board Maximum Design Pressures Material Design Pressure Wood -45.0 psf, Maximum Fire Classification Material Classification Wood Class A uloaga-Plans Exami Product Control No.: '.. • Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. • r . ct Control Div. 39 Product Control No.: 97- 0520.01 Wood Deck System Limitations: 1 A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to wood plank deck. Red rosin sheet may also be•installed on plywood decks as an option. 2 Pre - assembled 'Cap Nail' shall not be used for base sheet attachment. 3 When All Weather Empire base sheet is installed as the base sheet, a ply sheet of ASTM D 4601 type 11 (type G2) must be applied in approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq prior to installation of membrane. uloaga -Plans Examin ••uct Control Div. Product Control No.: 97-0520.01 GENERAL LIMITATIONS All asphalt shall comply with ASTM D 312, type 111 or IV requirements and approved by applicant. Fire ratings are determined by a combination of slope, deck type and assembly. Refer to the current Underwriters Laboratories Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range varies for each system. Consult the current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board is required on all applications over closed cell foam insulations when • the base sheet is fully mopped in hot asphalt. 5 All work shall be performed by a contractor licensed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer and the requirements of the South Florida Building Code. 6 The submission of system specifications and details shall accompany the Section 1! Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 7 Perimeter and corner areas shall comply with the elevated design pressures of these roof areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Anchor or base sheer fastening patterns and/or insulation attachment densities shall be increased in compliance with the provisions set forth in Metro -Dade County Roofing Application Standard PA 117 to meet these elevated design pressures. 8 All attachment and sizing of perimeter nailers, metal profile and/or flashing termination designs shall conform to Metro -Dade County Roofing Application Standard PA 11 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturer's standard details and may be applied in cold application adhesive„ approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provisions of the South Florida Building Code. 10 Fastener spacing for anchor or base sheet attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105 or PA 105(A). If F', as tested, is less than that listed in the System Limitations, a professional engineer may submit revised fastener spacings utilizing F', taken from a Metro -Dade County Protocol PA 105 or PA 105(A) test report, and the provisions set forth in Metro -Dade County Roofing Application Standard PA 117. 11 Fastener density for insulation attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105. Iff', as tested, is less than 275 lbf., insulation attachment shall not be acceptable. 1 Asphalt moppings shall be applied with approved asphalt and shall be in compliance with the equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(A)(3) of the South Florida Building Code. 13 Insulation may be applied in multiple layers. The first layer shall be attached in compliance with the Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with the provisions of M .. - . . ' tion Standard PA 117. 30 oaga -Plans uct Control Div. 14 All standard insulation panels sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 1 In re -covery applications, prior to.the application, all existing roof surfaces used as a bonding sub shall be tested in compliance with Metro -Dade County Protocol PA for uplift resistance. Test crate pressures shall be calculated in compliance with the wind Toad requirements of Chapter 23 of the South Florida Building Code for the roof in question. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Subsection 3 (n) of the South Florida Building Code. 17 Roof goods shall be stored on end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with ro riet adhesives may be used prior to the application of the insulation layer. p p �' or approved 19 Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with Subsection 3401.5 and 3401.6 of the South Florida Building Code for maximum tire classification. 31 uloaga -Plans xam Product Control No.: 9 0520.01 uct Control Div. 9 This Acceptance contains pages 1 through 32. Product Control No.: 97 CS Roofing Products Company, Inc. 5525 MacArthur'BIvd., Suite 900 Irving, Texas 75038 ACCEPTANCE NO.: 97- 0520.01 APPROVED: June 19. 1997 EXPIRES: June 19, 2000 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled With the manufacturer's name, city, state, and the following statement: "Metro -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change•in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement a any product, for sales, advertising or any'other purposes. 6 The Notice of Acceptance number preceded by the words Metro -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. END OF THIS ACCE A ''�a • ••'• 'roduct Control Div. Maximum Design Pressure: -45 psf Maximum Fire Classification: Class 'A'; see General Limitation #2. Maximum Slope: 1:12; see General Limitation #3. Specification No.: GMS 2 -3, FRP 2 -3, GTS 2 -3, FRBC 2 -3 27 Product Control No.: 9 0520.01 Membrane Type: SI3S MODIFIED Deck Type 1: Wood, Non - insulated Deck Description: 19 / „” or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations apply. Base Sheet: One ply of GS Glas Base, GS Flex -1 Glas Base, Flex -1 Glas FR Base or GS Poly SMS base mechanically fastened as detailed below. Fastening: E3ase sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c. Ply Sheet: (Optional) One ply of GS Glas Base, GS Flex- I -Glas Base, Flex- I -Glas FR Base, GS PoIySMS or one or more plies of Flintglas Ply Sheet (Type IV) or Flintglas Premium Ply Sheet (Type VI) adhered w the base sheet in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 Ibs./sq.. Membrane: One ply of Flintlastic GMS, Flintlastic Premium GMS, Flintlastic FR -P, Flintlastic Premium FR -P, Flintlastic FR -PG or Flintlastic FR Cap adhered to base or ply stieet with approved mopping asphalt applied within the EVT range and at a rate of 20 to 40 lbs. /sq. or Flintlastic GTS torch adhered to base or ply sheet Surfacing: (Optional) Install one of the following: 1. 400 IbJsq. gravel or 300 lb./sq. slag in a flood coat of approved mopping asphalt at an application rate of 60 Ibisq.. 2. Karnak 97 or APOC 212 Fibrated Aluminum at an application rate of I Y2 Frank Zuloaga -Plans Examiner, Product Control Div. ROOFING SYSTEMS (TGFU)-- Continued M •nbranm: l)ne layer - FIInUastic CIA (•3/4 sq or -1 sq), GTT" (modified bi amen), heat fused or "Flintlastic CMS'. hot mopped. 5 rfacing: APOC 'No. 212 Fibrated'Alumtnum', at 1-1/2 gal. 100 sq/ft. 0- : NC incline: 3/4 V por Retarder (optional): Type G; "Glasbase' base .sheet or Ul. C . csinea vapor retarder. 1 sulation (Optional): One Or more layers or combination of the fo towing: U(tragard Premier, polyisocyanurate. partite_ glass fiber or e.••od fiber insulation. 8 se Sheet One layer of Type G2 "Glasbase" base sheet. M . mbrane: One layer of "f'tintlastic STA (modified bitumen), heat fused. 5 rfacing: Karnak "No. 97 Fibrated Aluminum', at 1 -1/2 gal per 100 s ft. Dec C -15/32 Incline: 1/2 1 sulation (optional); Schuller International "UltraGard Premier. b p.lyisocyanurate, wood fiberboard. perlite, fiberglass. Isocyanurete, any t ickness, 8 . e Sheet: One or more plies of "Glasbase", hot mopped or mechanically fastened." M mbrana: One ply of "Flintlastic FR- (modified bib ;men), hot mopped in pace. 0 k: - NC . 1/2 - I striation: Polyisocyanurate, glass fiber, perlite, wood fiber, hot mopped o mechanically fastened, any thickness. 8 s Sheet: Type G2, mechanically fastened or hot mopped. embranes "Flintlastic GTA or STA ", heat fused. 5 rfacing: Henry Co. "Henry 520 Aluminum', applied at 1 -1/2 gal/sq. D, • NC. Incline: 1/4 1 sulation (Optional) :•Glass fiber, perlite or wood fiber board. P y Sheet: Type G2. mechanically fastened. •• embrane: "Flintlastic STA ", "GTA ", "GTA Black Diamond' or 'GTA White 'antond ". heat fused. 5 rfacing: Karnak Chemical Corp, 'Karnak No. 97', 1 gal/sq. De k: NC Incliner 1 I ulation: Potelsocyanurate, glass fiber. perlite, wood fiber, mechanically f stened or adhered with hot roofing asphalt any thickness. ase Sheet: Type G2, mechanically fastened or adhered with hot roofing sphatt embrane: "FUntlastic GMS ", 'GPIS Premium ", adhered with hot roofing sphatt ulfacing: Karnak Chemical Corp, "Karnak No. 97 fibratcd Aluminum cphalt Roof Coating", 2 -1/2 gal /sq. u= k: C•15/32' Incline :l Alt joints blocked with 2x4's. nsulation: Glass fiber, perlite, 3/4 in. min, oints in insulation must be ffset 6 in. from joints in deck, mechanically fastened. ase Sheet Type G2, mechanically fastened or adhered with hot roofing sphatt embrane: "Flintlastic GMS ", adhered with hot roofing asphalt. urfndngi Karnak Chemical Corp. 'Karnak No. SIT F'ibrated Aluminum sphalt Roof Coating', 2 -1/2 gal/sq. . D eke NC Incline; 1/2 nsulation: Polyisocyanurate, glass fiber, partite, wood fiber, mechanically stoned or adhered with hot roofing asphalt, any thickness. ase Sheet Type G2, mechanically fastened or adhered with hot roofing sphalL ambrane: "Flintlastic STA ", "GTA ", 'GTA Black Diamond" or 'CIA White iamond', heat fused in place. urfacingi Karnak Chemical Corp. "Karnak No. 91 Fibrated Aluminum sphatt Roof Coating " 3 gal/sq. D c .lit'- • Indiee: 1 nsulation (UPtional)) P bt gg ass.fil ey olyurethane, isocyanurate, henolic combination lsocyanurate /perlite, Fen rethane /pe rw ood bar, any thickness. hot mopped or nailed. - Membrane: "Flintlastic STA'. "GTA ", "GTA Black Diamond ", "Flintlastic GTA 'bite Diamond', "CMS', 'GMS -5M', "CMS Double Coverage' or 'GMS Premium', heat felted or hot mopped in place. urfacing: Grundy Industries, Inc. 'al MB Aluminum Roof Coating' at 1r2 u c L C 15/32 Iacitre: 1/4 ' • ' nsulation (Optional); Any thickness polyieu yanurote. glass fiber or perlite, mechanically filtered, joints in insulation must ba offset 6 in. from joints in deck. s-ace Sheet Type G2 base /ply sheet, mechanically fastened' or hot mopped. Ply Sheet: Type G2 base /ply sheet, mechanically fastened or hot mopped. e • Membrane: "flintlastic SA", "GTA White Diamond" or "GTA Black Diamond'. 5 urfacings Grundy's "al MB Aluminum Roof Coating' at 1 to 2 gal/sq. Y ' ack NC Incliner 1 /I; Insulation (Optional): Polyisocyanurate, Mass fiber, perlite, wood fiber, any combination, any thickness, mechanically fo :ctened. • . LOOK FOR MARK ON PRODUCT ROOFING SYSTEN.S (TGFU)-- Continued Base Sheet Type G2, "Flex- I -G'as FR' or "Flintlastic hll Oast', mechanics fastened or adhered with hot roofing asphalt. Membrane; 'flintlastic FR-P", "Flintlastic Premium FR "Flintlastic- FR/PG' or "Flintltstic FR Cap', adhered with hot roofi asphalt. 12_ Oecke C "15/32' Iodine: 1/2 "AU joints in deck blocked 'rith 2x4's, • Insulation (Optional): P•sl y k ocya n urate, glass fiber. partite. combination. any thickness mechanically Postened. :k Base Sheet: Type G -2. mecf anically fastened or adhered with hgt r:: asphalt �. Membrane:'IZintlasac )R•P'",'Flintlastit Premium FR- P".or'flip Fn/P.G . adhered with hot :oofing asphalt . :�, eck.(tiC indtna: /2 N Insulation - (optional): E any thickness. covered with 1,(2.i }� perlite or wood fibe :. mcr hanicaUy fastened. • e. Base Sheet Type G2. men hanically fastened or adhered with hot: asphalt. e Membrane: "Flintlastic Fi.P"; 'Flintlastic Premium FR -P' or 'RI 'fR/PG', adhered with hoc roofing asphalt. crt 14. Deck NC Incline. 1/2 :•; .. insulation:, Polyisocyanurate, . glass fiber, perlite, wood - fibe combination. any thickr.es's,•mechanically fastened. .• ;y • Base Sheet: Type G2 or Ilex-filar. adhered •with..hot,roO ink Ply Sheec - Poly SMS Base Sheet ". adhered with •tot roofing :asp Membrane: "GMs ", adhered with hot roofing asphalt. •,,:; Surfacing: Karnak Chemical Corp. - Karnak No. 97 Fibrated -.A Asphalt Roof Coating ", at 2 -1/2 gat/sq. • '..,, 15. Dec k: NC ... 1/4 ie... Insulation (Optional': Polyisocyanurate, glass fiber, periite,'wo any combination, any thickness, mechanically fastened or adtie • hot•roofing.aspllalt. c:" Base Sheet: Type G2 or•" flex- i- glas'„ mechanically fastenedmo,�; with hot roofing asp sale Ply Sheet (Optional): Type G2 or "Flex- 1- glas', mechanii�Uy adhered with hot ro sfing asphalt Membrane:'Flintla!tic GMS , "GIPS Premium', adhered with`ho asphalt. • Surfacing: Asphalt Products Oil Corp. 'APOC -400 Sunbrite:i..3. a 16. De<k: C -15/32 Inciinc 1/4 Insulation: Glass fiber, perlite, 1 in. min. joints in insulation offset 6 in. from j lints in deck, mechanically fastened.. .4 Base Sheet Type G2 or "Ilex- i.glas "..mechanically fastened o with-hot roonnp ;sphalL •'.lit 1 Ply Sheet (Optional): Type G2 or "Flex- i- glas". mechanically. adhered with hot roofing asphalt. . vl Membrane: 'Flin'aastic GMs, "GMS Premium', adhered witfiiho asphalt ' Surfacing: Asphalt Products OR Corp. "APOC -400 Sunbriten, 7. Deck: NC Incline: 1/2 .••?: Insulation (Optional): Polyisocyanurate perlite.' glass fiber, any th deiess, mechanically fastened or hot mopped :i Base Sheet: One or more layer of Type G2 or'Flex i ti fastened or hol mopped in place. •:act Ply Sheet (0pitonal): One or•more layers or Types G1, G2 . 'oc mechanically fastened or hot mopped in place_ • '• ••n• Membrane: "Finttastic GTA', 'GTA Blade Diamond', 'GTA W or 'STA", haat fused. Surfacing: Kemal: Chemical Co. "No. 97', applied at' 1 18. Dec1a NC ' lading: 1/4 -.:e..' Insulation (Optional); Pcrlite, glass fiber, m anicistly.;, mopped in pace, 2 in. max thidme� .. • • .. , et, Y Base Sheet: One or more layers of Type G2 "Flex- i- glar tened or not mopped in place. .0 Ply Mt or more layers of Types G1;;G2' or "Poly SW. Base Sheet , rnehalriratly.fasten€d or lioktnop Membrane: "GTA', 'GTA Black Diamond', 'GTA Whitir:Dfam heat used . • • - . • ..• 1 Surfacing; APOC No. 21.2 Aluminum Coating,•applied 19. Deelc C -35/32 Incline: 2 n Insulation: Glass fiber or perlite. min 3. In. thick mecha Or hot mcppcd in place. .. '' =; ::ase She ;t: Type G2, ";lax- I -Glas' or "Flex- I•Glas FR 8. festaned or hot mopped in place. . • Membrane: 'Flintlastic FR -F", 'Flintiastic Premium fR•til; Ot ; V, i FR/PG', tot mopped in place. • - .1 20. Decb NC • . _. a Indium 2 .• )• ".•f ; _ Insulation (Optional): Periite, glass fiber, polyurethn phenolic" combination isocyanurote /periite. potyureth ,,, fiber, a ty. thickness. mechanically factoned or hot moo • Base Stieet'Flex- I -Gtas FR Base, Type G2 or "Flee: -Gr, fastened or hot mopped in place. ' "Ii. t a, •cc • cam:• :. . ts ..,, i is :::::scam ''a.' '. • L' Mernbr FR.P" 21 Deck: C-' lnsula Or hot Base Memb Dec >` C. lnsut comb` must Base •oofir Base with Ply ! a ase Men 7 . Deck ins: Fast Bas adh gal, ;P11 ..... "fir • adl ga l x, Co wv..•...% ..aP1;.111_C. PRODUCTCONTR.OL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 N.W. 20 St. Boca Raton, FL 33431 Your application for Product Approval of: Monier Lifetile Nall-On, Mortar Set or Adhesive Set "Atlantis Shake Or Slate" Roofing Tile under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service Industries, Inc.. 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 -8 and the standard conditions on page 9. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it Is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 2$- 0604.01 Renews No.:95- 0322.06 EXPIRES: QJ27/98 Raul Rodriguez Chief, Product Control THIS IS THE COVERSHEET. SEE ADDITIONAL PVT§ FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. �Cha�(eser, P.E. i Director APPROVED• •8/27R001 1 Building Code Compliance Dept. Metropolitan Dade County » DAM.) 1.3J DI1 Aid 1 tUU1 APR 28 '99 15:41 561 338 5391 PAGE.001 MONYER LI FETILE LLC Applicant: Monier Lifetile LLC 13S NW 2O Street Boca Raton, FL 33431 Catenorv: Sub - Category: ?1112: Sub -Tvpe: Product Monier Llfetile Atlantis Shake Or Slate Tile Trim Pieces Product #30 Felt #43 Coated Base Sheet Mineral Surface Cap Sheet Rainproof!! Dimensions N/A N/A 30" x 75' roll 36" x 75' roll or 60" x 75' roll PRODUCT CONTROL NOTICE OF ACCEPTANCE • ROOFLNG SYSTEM APPROVAL Prepared Roofing Flat Profile Tile Nail- on/Mortar Set/Adhesive Set Concrete TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Tat Pimensions Specifications 1I. IS" PA 112 w� 10 /g" I 'A" thick 1- varies w IN varies varying thickness PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Test Speei flea tion ASTM D 226 type 11 N/A ASTM D 2626 ASTM D 249 Page 2 of 9 isWIAGA L11G11LL Product Control No.: Approval Date: Expiration Date: Product Description Fiat, Interlocking, extruded concrete roof tile equipped with two nail holes. For direct decksr sosaiFsrt, mortar or adhesive set applications. Product Description Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underlayment. Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. ' 044 BRADCO MIAMI Q002 Product Control No 98-0604.01 98-0604.01 Aurust 27,1998 AOEUSt 27,2001 Manufacturer generic generic generic PA 104 Single ply, nail -on Protect -O -Wrap, Inc. underlayment with 2" self- with current PCA adhering top edge. 0 Roofing Product Contro er APR 28 '99 15:41 561 338 5391 PAGE.002 MONIER LIFETILE LI.0 eats: Comments: APR 28 '99 15:43 Page s of 9 mwoiGA L1rG11LG SYSTEMS Deck Type- Wood, Non- insulated Deck Description: w construction 1 9 / or greater plywood or wood plank. SYSTEM B: Direct De • Application Slope Range: 4 ":12" to . 2" Note: Syste only acceptable in this slope range. Underlayment: Install •erlayment syste compliance with Dade County Application Standard P • 3. Roofing Tile: install tile in compliance with Dade Coun Application Standard PA 118. (Sec Data for Attachment Calculations" included in t i . proval.) 1. For re -roof applications, 1 5/ plywood is an acceptable substrate. SYSTEMS Deck Type: Wood, Non-insulated Deck Description:New construction 14 / 32 " or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: 2 " :12" to 7 " :12" Note:: System D is only acceptable in this slope range Underlayment: install underlayment system in compliance with Miami -Dade County Application Standard PA 120. (See System Limitation #5.) Roofing Tile: Install tile in compliance with Miami -Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, I! / 3 _" plywood is an acceptable substrate. 444 BRADCO MIAMI Zoos Product Control No 98- 0604.01 Frank Zuloaga RRC Roofing Product Control Examiner 561 338 5391 PAGE.005 MONIER LIFETILE LLC • »» liltAPCO MIAMI 48 00e Product Control No 98- 0604.01 SYSTEM LIMITATIONS 1. Fire classification is not part of this acceptance. 2. The standard minimum roof pitch for Monier Lifetile's "Atlantis Shake Or Slate ", low profile tile shall comply with Miami -Dade County Roofing Application Standards PA 118 and PA 120, depending on the method of installation. 3. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the pre - formed holes in the tile. 4. 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 tile profile listed herein has been tested for both wind characteristics and static uplift performance , therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as an 'Moment Based System' 5. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Miami -Dade County Protocol PA 106, shall be performed. 6. For tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 7 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 8. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Monier 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. 9. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. APR 28 '99 15:43 Page 6 of 9 Frank Zuloaga RRC Roofing Product Control Examiner 561 338 5391 PAGE.006 MONIER LIFETILE LLC Monier Slate Tile le Profile iteti e Atlantis S ake Or Table 2 -A Tile Profile Monier Lifetile Atlantis Shake Or Slate Profile Monier Slate APR 28 '99 15:44 1GA 1.1r C. 1 J. DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - X (ft Table 2: Attachment Resistance Expressed as a Moment - Mr (ft -IbQ for Nail -On Systems' Tile Tile Approved Approved Profile Application Nails Screws" 1 nail 2 nails 1 screw Monier Lifetile Direct (beck 9.80 18.80 30.80 Atlantis Shake Or Slate A (ft Direct Deck Application 0.24 Product Control No 98 0604.01 Approved Field Clip With: 2 screws I nail 2 nails 51.70 24.30 35.50 444 HRADCO MIAMI 141 0 07 Approved Erve Clip With: 1 nail 2 nails 19.00 31.90 ' Data noted in Table 2 is for installation with a 3" tile headlap. 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. h r as a Moment - Mr (ft -IbQ Two (2) 10d x 3" long nails 65.50 50.30 : Attac ment Resistance Expressed For Nail -On Systems Tile A plication Direct Deck New Construction (min. 19 /32" plywood) Direct Deck Recover /Reroof (min. 15 /32" plywood) Tile installation with a 4" headlap using two (2) Approved I0d x 3" long , ring shank nails installed in manufactured holes located 2'r4" 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 3: Attachment Resistance Expressed as a Moment - Mr (ft-lb1) for Mortar or Adhesive Set Systems Tile Application en e At anus hake • r Mortar Set Adhes1e Set Page 7 of 9 Attachment Resistance -- Baas -- -- 118. 0 Frank Zuloaga RRC Rooting Product Control Examiner 561 338 5391 PAGE.007 MONIER LIFETILE LLC APR 28 '99 15:44 4 lGVl.i FA 43/'4L 11.4. WATERLOCK Profile Drawing 1 " g11 ,,...••••1 x ,,,1 1 12" -d' • ••• OVERLAY OVERLAY WATERLOCK %S..... ~ + \ ' Q \ MONIER LIFETILE ATLANTIS SHAKE OR SLA • Page 8 of 9 Product Control No 98- 0604.01 .} an u oaga Rooting Product Control Examiner tiltteltd it 0 Sbos 561 338 5391 PAGE.008 -- �•. �v .._.. . VJ. VJV 4401 MONIER LIFETILE L1.0 Product Control No 98- 0604.01 Monier Lifetile Roof rile ACCEPTANCE NO.: 135 N.W. 20 St. APPROVED: Boca Raton, FL. 33431 EXPIRES: NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Metro -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing ofa revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptanc:e number preceded by the words Metro -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptanc:e as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages I through 9. END OF THIS ACCEPTANCE APR 28 '99 15:45 Page 9 of 9 Muriel'( LIFETILE 444 BRADCO MIAMI ® 009 96- 0528.06 At¢ust 27.1998 August 27,2001 Frank Zuloaga RRC Roofing Product Control Examiner • 561 338 5391 PAGE.009 PERMIT APPLICATION VOR MIAMI SHORES VILLAGE ate Job Address N-G c 61, Tax Folio 1] 3 a©b' A O PI'ID egal Description / / genji 91°0" n er / Lessee / Tenant t o ff 7; . Pe, L n .- 6111 J. ,G{c (Ye / /ay) Master Permit #54 n er' s Address 800 IJ E /157 S tree, A it 77 ShdYes Phone 7S7 gol2 - ntractin Co .2Afl,I N % 4140 (IUG. Address & fate -e ' 'T . 4f (( tecoNr oir -4VE alifier k\ J-X9 3 6, L SGA(E SS# - - 6: g4X4 /// ; 1 • • • •r " °"ae; ;. JOSEPHINE CHURCH •.Nntary Public. State of Ronda •• J,l ( Pf� @l4Siogint_APrit 30. 1 0 9P No. CC197545 tate # Municipal # Competency # chitect /Engineer MAX Lub E e 2Tl )f`M•A3 kaFITFC6 / IikAddress 33 O oce ar-orJ l25 ) - onding Company Address c' ortgagor Address Permit Type(circle one) BUTT5 ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ORK DESCRIPTION f (JkC ru- G9fr-1 P.T f:L( ( t ' -ISM . - 1125 Square Ft. Estimated Cost(value) O• b ARNING 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 f owner and Date W4,793 ��/a793 No ry :s to Owner a My Commission Expire Mechanical or Condo President FEES: PERMIT 19 RADON C.C.F. APPROVED: Fire Zoning (Buildin ,■ !!: igna 're •f Date: * * * , 6 -7 ° Notary as to My Commissio Ins.Co. 1 me ontractor or Owner- Builder C rad stiFFi''' f ` akiid r „., SCO DAVIS COMMISSION NUMBER CC255237 i YtY COMMISSION EXP. ** NOTARY ✓ 0 0 TOTAL DUE (5 Other Electrical Plumbing Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / /�( / 1-1-t Date '� �' 7 Job Address S (9 (� N • � . �, 4 7.- Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant m r S , PP t v 1 ry Master Pen:nit # 1 -4167 , -1 u Owner's Address �' t() N . E. � J r ,ST Phone 7 J 7- ' 1 0 b c r Contracting Co. 3 M tO lam) a E i? .- fl Address /7 I N . W • 17 9 s Qualifier TO14 10 Lo F E>Z SS# Phone 6 c2 Y— /77 D State # Municipal # Competency # < < V Ins. Co. L-) o r-L I v Po Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA R OFIN ► PAVING FENCE SIGN WORK DESCRIPTION Square Ft. 3 „p2 •�'�" 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. FEES: PERMI APPROVED: Zoning Mechanical a- -the/9.7 „ILL" Signature of owner and/or Condo President RADON C.C.F. :Building 7ZE. p4 .- K. it/7N./90r l it i LE. omic Estimated Cost (value) d 00 Date Signature of Contractor or Owner - Builder Date Notary as to Owner and/or Condo President / D Notary as to Contractor or Owner- Builder Date My Commission Expires: r7 / " ei My Commission Expires: Electrical Plumbing Engineering Test Location Uplift Pull Test SP or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 5 26 PA- 4..1:). 51 52 P i� ) 2 27 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 50 75 7 Du Quesne & Associates, Inc. Consulting :Engineers Testing Laboratory ON -SIITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION Environmental • Civil • Structural Builcling Inspection Services Owner's Name: C% Q l k n1 'eQvJ I permit #. 4 41 3 ( Job Address 6 (2 © K V— a 5 51 M (J. 1 Roofing Contractor: 0? ioN t Ty DO 'I t� y Type of Tile: t' l T r VO- K-1 Approximate Roof Height: ( 2- feet Type of Access to Roof: Scaffolds Approximate Square Footage of Roof .4 2- ft 2 Required Testing Force: 35 lbs. Testing Equipment: Date Tested 7 Zc7 '4qQ THIS REPO Du Quesne, P.E. ngineer P.E. 24513 Du Quesrie & Assoc ates, Inc. E.B. License #0005245 Lab Certification #94. 0318.01 TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK Date Installed ' 9 Roof Pitch 3 • (z K Ladder Other Chatillion DFIS 100 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 UTR 15889 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) $KETCH OF ROOF JOB SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES. $KETCH OF ROQE 108 Boo Ind, E 6 1 5q ` M t k x-4 l S 6Fo fez5 , " 2/OF SHEET NO CALCULATED BY CHECKED BY DATE SCALE DATE NOTES' ✓ 0 MGM MGM gt immi? Fi�7 v •r 4 el) 8� Bldg. permit #15946 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. 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 Robert A. PhL7zQtt. ._ — street -. E. 95th Registered Architect and /or Engineer .................<.,...., Name and address of licensed contractor Lanz. RQD. ..ig & Co... Tile..- 573_11I1 . 7 s•t.•- •St•.• .Miami 3.4 Location and legal description of lot to be built on: Lot 1 Block Subdivision JoYl Hei ,--g- Street and Number where work is to be done 800 N • E • 95th Street State work to be done and purpose of building (by floors Install cemir.r1t tile and ravel roof on new construction. and for no other purpose. New Building Yes Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering Cement tile &gravel Estimated Total cost of improvements $...3.,095.00 Amount of Permit 5 ..94) 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, m and has complied with the provisions thereof, and will require similar complianreffro - all contrac 1s,Qr sub - contractors employed by Ii`►m in the work to be performed under this permit; and will post or cause to be posted for inspectio the site of -• work such u lic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr s on •wor . performer nderthis permit, as are licensed by Miami Shores Village. Remarks...40....S4S.. (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved Dat (Signed) APPLICATION FOR UILDING PERMIT 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 state are true. f d Permit No.__..___._k Date 11/1 .:.. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector t My Commission Expires PLANNING OARD DATE Chairman Membcr Member Member Member ...... Mem r Council Approved Date Disap rove Date NOTE: A charge of $1.00 will be made for making corrections or chan s to this application after approval has been obtained from the Planning Board. A re- inspection fee of 3I.00 will be charged when such re- inspection is n gecessary by improper notice for inspection or faulty materials and /or workmanship. !!