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785 NE 94 St (9)CONTRACTOR Name � a'- / l ,jC✓ " e License No. e_ e 1 c y j j b - 1 p 6 3 f Address 7 G PYlia(n/ ` Aefi s, �/33 ;3 Telephone3Q5 v / �9 Fax Qualifier Name j' )` / � � PROPERTY OWNER Name f V' Ill- 64/6, 6 s Address /is /t,- c7 s Sd- /14 /a 4/ Shores 4/331u Home Telephone 3 - / 7 S-V O C) Q au ' Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. •• • • • •• .•. Complete the attached permit aptlilitiOn'hth Inuct •be s by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more ac:uriate3rivii. y ou •application. If roofing work will be done, a roofing application must be submit- ted along with this permit app'ication. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: '/ d 5 AZ 9> £/ Address Apt. Folio Number ! ! 3 ;66' 0/ 9 3 0 Lot Block Subdivision PB PG Current Use of Property /22.PAC. c_- Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other tr • ••. • • . ••• • • • • - - - - . • ••• • • • • • • • • • • • • ••• • • ••• • • • • PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Telephone F Zoning Square Feet Value of Work Si/90 PERMIT APPLICATION 1 U21 • :•• .' . • • : Master Permit No. :.: ' Subsidiary Permit No. • • • • • la,�i �SGI .33 /3K City / State Zip Description of Work lAi S 2-/i P'9 79 Linear Feet Units Floors Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Telephone F Page 2 IMPORTANT NOTICES ••• 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERItle Ala:VERN:IT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT ANDS ANWARY CQNIlITIQN free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROV•DIRTIOND DtBilIS: : • : • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR lEIiItCEt, �NI3 v©C NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. •• ••• • • • • • •• 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1°' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. ST TE OF FL IDA, COUNTY OF MIAMI -DADE STA ; OF FLORIDA, COUNTY OF MIAMI -DADE .'1i4-& Signature of t er TA& PA�e,LiA F3 CAS Print Nam C'� Sworn to and subscribed before me this \ day of . Sgnature of Notary Public - State of Florida SEAL: Personally known Type of Identification Produced: ••• •.• • • • • .•. • • SEAL: • • • • • • ••. • • • • • • • ••••••• ..• : PERMIT APPLICATION Signature of Contractor / Qualifier Da k,tei ink Print Name , om to and subscribed before me this J5 day o d !_ ._hi' , rte_ •tore o Nota.� blic - S . to of Personally known PA Becker • anv Commission 00160048 —sores November 18, 2006 OR, Produced Identification Type of Identification Produced: ELECTRICAL TYI,I,, Minimum Fee Q.i'v .. fig.: Dr er • • ••• • Q...` •• rvPI: Outlet, Appliance Q.LY. TY Service Repair Q . Q . Y . A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights I Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY TYPE Condensate Drain QTY TYPE Generator QTV TVPE Refrigeration, Tons QTY" A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUN'IRING TY'PF: A/C Condensate QTY. TYPI? Drains, Roof QTY. 'FYPP. Miscellaneous Fixture QTV. TVPI.: Soakage Pit Q'f Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • .•• • • • • • • • • • • • ••• • • • • • • • • • ••• • • • • • • • • ••• ••• • ••. • •• • • • • • ; . n PERMIT APPLICATION INSTRUCTIONS: Please indicftt he tine of ;vorl.l and quantity(ies) in the space provided below. ir RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Wing Electrical Mechanical Plumbing Fire Public Works Structural Building Official CE \4;t2 Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Comrnercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary $ ❑ PROOF OF OWNERSHIP (Attach) • • ••• • • •• ❑ HRS / DERM APPR1JVAL •• ••• (Septic / Sewer) O IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) © A $ (¢.005 /sq.ft.) v ISSUING OFFICIAL REVIEWED AND PREPARED BY: • •• • • • • ••• • ••• • • • (¢.01 /sq.ft.) • (Xq..ftt. = x/1000 • • • • • • • • • •• • • • • • • • ••••••• •• • • • • • : PERMIT APPLICATION • ❑ CONDO ASSOCIATION APPROVAL (Attach) •• • • • •• • •: P :B'R AFrROVAL (Restaurants) • • • • • •• ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ CJ 6 d DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com •. .. v. • • • • Owner' /Agent's Signa • • ••• • • • • • • • • • • • • • ••• • • ••• • •• • • • • • • • • • • .. • • • • • • ..• • • • • • • ..• •. • • • • • : : • • . • :' . 8EVTION 1524 HIGH VELOCITY HURR1rAi3iEZp�HFS REQUIRED OWNERS NOTIFICATION FOR ROOFING • • � ' • • • CT NS1DERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with . respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be ren iled 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 unit (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be vie ed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cau a 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 ove oaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the inte or 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. d Dar / 2003 Date Contractor's Signature Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/16/2003 Applicant: MARY Owner: BRIGGS JOB ADDRESS: 785 Contractor Local Phone (305)754 - 9892 Parcel # 1132060142030 Permit Status: Approved Permit Expiration: 10/13/2003 Construction Value: Work: INSTALL FASCIA If there is no permit packat fee is $50.00, which must be This Permit is granted to the contra( ordinances pertaining thereto and with and approved by the proper municipal authorization. A further condition upor ordinances and regulations pertaining by his agents, servants or employees. Signed: In consideration of the issuance to r with the plans, drawings, statements ( myself, my agent, servants or employ Signed: � NE 94 • Building Permit Permit Number: BP2003 -601 BRIGGS MARY ST Contractor's Address: 78 NE 106 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 E1/2 OF LOT 24 & ALL LOTS 25 & 26 LESS E15FT Fees: _ FEE2003- 222 FEE2003 -2227 FEE2003 -2228 Description Building - Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 01- - � •. +� fAr Gnc nn t• fnt{�tA_uprifV there _Will be_no.insoections. Re - inspection S e � c`u,r i t y ;cm h n c c d/d o c m rn t S t e i 6 a c k ` .o •r+ d e t a i l a..57 \ f � 4 ,�i 1,', t, lam! :`., `�/ /\ /r •. - DALEY ROOFING, INC: 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305 - 754-9892 PAY TO THE ORDER OF $490.00 V b `tcczzi-LU; cia,azco DATE #1 /de. Bank ofAmerica. ACH R/r 063100277 6 21950 311' 4422 1$ (,S' 60 63 -4/630 Fl 1035 DOLLARS 8 FT FT • _ . .. • • . • • • • • • • • • • • • • • • • • • • • FLORIDA BUILDING CODE — BUILDING • • •• • • ••• • •• • • • • • • • • •• • • • • ••• • • • • • • ••• • • • • • •• • • • SECTION 1525 HIGH VELOCITY HURRICANE ZONES • •• ••VNIEQRM PERMIT APPLICATION •• • • • Contractor's Name: DH' ! , )1't •1/4 ' Job Address: '7/ /(,&• 9z/ ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar -Set Tiler ❑ (Asphalt/Fiberglass Shingles) - . ❑ (Metal Roofs/Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof':'. ❑ Re- roofing ❑ Recovering Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft Total (ft Master Permit Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 7 -93): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) DECK TYPE: FASTENER TYPE: ATTACHMENT SPACING FIE1O: PERIMETER: COR DETAIL 1E.2 NER: - r- t- . J FIGURE 152° 4 Date 1 9,71 _9 lo Job Address $S F. 90-4 S " Tax Folio Legal Description I- listorically Designated: Yes ssee /Tenant (AT )1; corn 4 Nark' f CJS Master Permit ti _ 1/ 3 Owner's Address �S OJ • E. q 5 Phone S t1 �l 2 8 839 ContactingCoQuality Roofing Contractor, Inc. Address 2 51 N.W. 99th Street Qualifier Carlos Arocho State >I R C O O S R f 77 Municipal # Competency 11 1 7 a2 - -- Ins. Cu. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROQEU WORK DESCRIPTION 1 c r- O i- foot' +0 1.4300J.... cLe L�c '� eG. 30 (b. PrShM p ors, out pe- 6 %- 5 el 10 ..1'1 - r ' Tv�s� all er1o•e- d- VAlIs1/4./ whe CLncL ( tS4 - q01b T \o r — 9 Ce- i'A-c ar-c 0 Qm:0-C-- - F: t c Ike t ccr- -- sue - cur oo Square Ft. .23 31I cAre_ 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 OB'T'AIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM ENCEM ENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (ii' applicable: I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand than .slid :atr permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECH ANICAL WORK. ''OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance ,vim all applicable laws regulating construction and zoning. Furthermore, l authorize the above- named contractor to do the work stated. Signature downer and/or Co MARYL RNANDEZ MY COMMISSION # CC 324212 EXPIRES: October 10, 1997 Bonded Thnr Notary Public Undenudters Notary as to S' vner and/or Co My Commission Expires: 0 FEES: PERMIT 9M. RADON ' C.C.F. . NOTARY APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE President Building Date Plumbing SS# Phone _ _8.2__. Estimated Cost (value) __ ) 0 Notary as to Con actor or My Conunission Expires: Electrical Engineering Signature of Contractor or Owner- Builder N. PAVING FENCE SIGN . M U "T ARY HERNANDEZ , MY COMMISSION # CC 324212 EXPIRES: October 10, 1997 'F, OFF °' Bonded Thru Notary Public Underwriters 30 c) 6 I'O "f Al_ 0111 3c/ 0_ Job Address: WS ( , 1 (-) 5T The undersigned certifies that the Mortar or Adhesive Set Tile System Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DADE np Before me this day personally appeared l±G r I O s D L110 who, being first duly sworn, deposes and says that all information submitted herein is true and correct. Sworn to and subscribed befor 191k . My commission expires: Job Address: I gS lO t E 1 q Sf re f 1. General 2. Documentation 12ao1 -158 Licensed Contractor / Owner Signature • i . L' • RYL U H MY COMMISSION b CC 324212 EXPIRES: October 10, 1997 )c2:' Bonded Thru Notary Public Undenadters Lary Pu tic State of Florida APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II MORTAR OR ADHESIVE SET TILE SYSTEMS Contractor: The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. The following documents are required for submission with the Uniform Building Permit application: ► Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). ▪ One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. ► All documents attached herein, filled out full. 3. Project Information Check one of the following: _ ❑ New Construction if Re -Roof and completed in Nole: Mortar or adhesive set tile systems are not acceptable as recover applications. Contractor: iakal .� Mortar or Adhcsivc Set Tile Systems Page - 8 Mortar or Adhcsivc Set Tile Systems Page -1 Is the deck solids thed? (circle 'yes' or 'no') no Deck Type (check one of the foilowina ❑ Nominal 'A" Plywood (for re -roof only) ❑ Nominal '/ Plywood L" Wood Plank )C t " ❑ Other (fill in) Roof Pitch (fill ink: 2 " : 12" Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 7W:12 ". Mortar or adhesive set tile applied at a pitch greater than 5 " :12" and less than or equal to 7 ":12" shall have the first three courses of tile nailed with not less than one nail per tile. As an alternate, the first three courses of tile may be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 34" which is mechanically attached to the sheathing with not less than one nail per 2 f. Circle 'ves' or 'no' for each of the followin Have you attached two copies of the tile system manufacturer's Product Control A A. ' royal for the proposed tile system? no Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and o _ :literature no Is the proposed underlayment approved for use with this tile system assembly ?? no Process No. Process No. Job Address: 7 S ' N E C I - I S n e eF Project Information (continued): If the proposcd underlaymcnt is self- adhered, have you complied with the venting requirements of Section 2913.3 (b), (c) and (d) of the South Florida Building Codc? yes no Are all related accessories approved for use with this tile system assembly? no Are the proposed edge metal attachment fasteners in compliance with the requirements of the South Florida Building Code (minimum 12 ga. annular rin hank, corrossion reisistant nails)? no 4. The Tile System Assembly: The following information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. Tile: Tile Name: Manufacturer: h P.} go 0 T T-nc . Tile Material: ❑ Clay P' Concrete ❑ Other: Product Control Approval Number: Mortar or Adhesive: ci9-12a ..Iy 3`1 Check one of the following which apply to the proposed tile securement for use with the proposed tile system assembly: Mortar or Adhesive Set Tile Systems Page - 2 Job Address: g 1J • E _ 9-t Sr, Contractor: Contractor: Mortar or A.dhcsivc Set Tile Systems Page - 7 ,4,4soofvi, Length: EIN /A Process No. hd" Mortar: Manufacturer: --j Fe- Mixing Ratio: 3 5 T ❑ Adhesive: Type: Manufacturer: Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12" and is less than or equal to 7 ":12 "): Check one of the following which apply to the proposed tile fasteners (for the first three courses) for use with the proposed tile system assembly: ❑ Minimum 12 ga. galvanized roofing nail: Length: ❑ Other: Type: Note: All tiles shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if applicible) shall be of sufficient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of / ", whichever is less. Underlayment: The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Q 11 VOOC ) Wak. BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Process No. Skctch Roof Plan, indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimeter and corner dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached) 13' Ce S3 ( -1 Job Address: ?SS 0, E. 9 Li Are.e. + Ridge Height: feet BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 6 Job Address: '7 2.S ' Are-et Contractor: Underlayment (continued): Check all of the following which apply to the proposed underlayment for use with the proposed tile system assembly: 11ASTM #30 asphalt saturated felt with: Manufacturer: ❑ ASTM #15 asphalt saturated felt with: Manufacturer: Manufacturer: ❑ Other: Type: Manufacturer: Underlayment Fasteners (if applicable): ❑ Other: Type: Length: Manufacturer: O 19" overlap O 6" overlap 114" overlap O 19" overlap O 6" overlap O 4" overlap IV Mineral Surfaced Roll Roofing with: ❑ 19" overlap O 6" overlap 1W'4" overlap Check one of the following which apply to the proposed underlayment attachment: Ltd" Minimum 12 ga. electro - galvanized roofing nail with minimum 32 ga. x 1' / tin cap: Length: 1 " Manufacturer: Contractor: Qtutt Process No. Eave Height: Roof Mean Height /O feet 11 feet Mortar or Adhesive Set Tile Systems Page - 3 Insert Building Ridge Height, Eave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. ( See ASCE 7 -88 Fact Sheet Attached ) Exposurc Category: Classification Category: At Hurricancc Occanlinc ?: Y �N Basic Wind Speed at Building Location: 110 mph Building Condition based on % of openings: C.. (See Table 9 ofASCE 7 -88) Ground Level — 0,tiF c.,j No. Spacing (per tile system assembly Product Control Approval): Field: Jag " o.c. Laps: C " o.c. 5. Related Accessories: Edge Metal (refer to Section 3408.2 of the South Florida Building Code): Type: G-aa Van z cA Dimensions: o2 Y Gauge or Thickness: go 9 c, Finish: era. Note: All edge metal shall be nailed on the flange and nailed or clipped at the face in compliance with the provisions set forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the following): ❑ Cold Adhesive: Type: Manufacturer: [9 Cement: Type: Manufacturer: /}STµ Cry ti C_ Job Address: 73,S N, 9y SJ-r-c -r. t Contractor: Adhesives (continued): Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. Ventilation System (check one or more of the following): The following information is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. 0 Ridge: Type 6d Soffit: Type Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is applied as an anchor sheet below the self - adhered underlayment. Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly only. Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION 1, noting the permit number issued. Job Address: I ff,S /J F. / / S re e f Roof Pitch Ridge Venting: (If applicable ) Deck: Type: U.300 rhicb,e,• Size �jin2 Sze - .2 • 1X.0 Underlayment: 3C 119 Underlayment • Fastener: 1 t i Mortar or Adhesive Set Tile Systems Page - 4 t / S teX,A'Ci 12" DETAIL #1 Job Site Identification: c p j (9(Arta goo n� IPrT Additional Notes: Contractor: aLC 0 (k ft r No. Mortar or Adhesive Set Tile Systems Page - 5 Process No. FILL IN APPLICABLE ROOFING COMPONENTS WIIICII MAKE UI' TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN ON TIIIS PAGE. ( Where Roofing Componcnt not used in Tile System Assembly, fill in with "N /A ". ) Head Lap Dimension: 3 " (minimum 2' unites otherwise specified In the tilt system assembly Product Control ApproroO Mortar /Adhesive: %,, G / fL Tile: T 1 G ri GJ �tOC -q. .. r?Y, i . Tile Fastener: Edge Metal or Gutter Fastener: r1c..:ts Bird Stop: ,(.\ (If applicable) �J Edge Metal or Gutter: ( .. 1t 6. toyaw - h Existing or Proposed Soffit Venting: (, l t CcTw • J y�/ • O sal = �. oR ,c6 METRO•DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Metro Roof Tile, Inc. 11350 N.W. South River Drive Miami, FL 33178 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL SECTION (305) 375 -2902 FAX (305) 372 -6339 Your application for Product Approval of: Flat Cement 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, TheCenter forApplied Engineering, Inc., and Testwell Craig Laboratories & Consultants, 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 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the 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 ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:94- 1222.14 Expires:06 /15/98 L 4 Raul Rod'•iguez P Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 06 /15/95 L t c!S anger, Director Building Code Compliance Dept. Metropolitan Dade County Applicant: Metro Roof Tile, Inc. 200 Story Road Lake Wales, FL 33859 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Prepared Roofing Sub- Category: Flat Tile Typ: Nail- on/Mortar Set/Adhesive Set Sub -Type: Concrete System Description Metro Roof Tile, Inc., located in Medley, Florida, manufacturers clay roof tile for nail -on, mortar set or adhesive set applications. This Product Control Approval relates to Metro Roof Tile's "Concrete Flat" flat tile profile. Refer to appropriate Product Control Approvals for other tile profiles. The Metro Roof Tile "Concrete Flat" tile profile is available in a variety of colors and has matching trim pieces used for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all profiles and form a part of this Product Control Approval. The Metro Roof Tile "Concrete Flat" roof tile has been tested in compliance with the South Florida Building Code requirements for concrete, nail -on, mortar set or adhesive set tile applications. See the "Profile Drawing" section in this Approval for the Metro Roof Tile "Concrete Flat" profile drawing. The Metro Roof Tile "Concrete Flat" profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval. Contact: Fernando Arias Metro Roof Tile, Inc. 11501 Northwest 1 17th Way Miami, FL 33178 (305) 5:58 -6712 2 Raul Rodriguez Product Control No.: Approval Date: Expiration Date: 94- 1222.14 JUN 1 5 1995 JUN 1 5 1998 Product Control No.: 94- 1222,14 Test Product Product Dimensions Specificationg Description Metro Roof Tile 1= 16" PA 112 Flat, interlocking, high pressure Concrete Flat w = 10" extruded, concrete roof tile equipped 11/4" thick with two nail holes. For direct deck or battened nail -on , mortar or adhesive set applications. Trim Pieces TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT 1= varies w = varies varying thickness PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. 3 Raul Rodriguez Product 1130 Felt 1143 Coated Base Sheet Mineral Surface Cap Sheet Lenzingtex -ZB 140 Under layment Rainproof 11 Ice and Water Shield Mopping Asphalt Flashing Cement TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimcnsiong N/A N/A N/A 59" x 164' roll 22 Ibs /roll 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll N/A N/A Test Specifications ASTM D 226 type 11 ASTM D 2626 ASTM D 249 PA 104 PA 104 PA 103 A.STM D 312 type 111 or IV ASTM D 4586 4 Raul Rodriguez Product Control No.: 94-1"m,14 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. Single ply, nail -on underlayment. Single ply, nail -on underlayment with 2" self - adhering top edge. Self - adhering underlayment for use as a top ply in a two ply underlayment system with approved 1130 or t143 as the base layer. Asphalt for bonding a mineral surface cap to a mech. attached base sheet in a double ply underlayment system. Cut back, asphalt based, asbestos free, fiber reinforced, trowel grade cement for repair and flashing applications. Manufacturer generic generic generic Lenzing Performance, Inc. w ith current PCA Protect -O -Wrap, Inc. with current PCA W.R. Grace Co. with current PCA generic generic Product Asphalt Primer Roofing Nails Tin Caps Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteTM') Roof Tile Mortar ( "Quikrete® Roof Tile Mortar /1 1140") Dimensions N/A min. 12 ga. with '4" head min. 32 ga. min. 1' / o.d. max. 2" o.d. vertical Wood Preservers min. 1" x 4" Institute LP - 2 horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alone min. 8d x 2W or niin. 10d x 3" #8 x 2'W' long 0.335" head dia. 0. 131" shank dia. 0.175" screw thread diameter N/A N/A Test Specification ASTM D 4 l PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E PA 123 I'A 123 5 Raul Rodriguez Product Control No.: 94 Product Description Cut back, asphalt based coating used to facilitate bonding of dissimilar materials. Annular ring shank, hot dipped, electro or mechanically galv. roofing nails for use in underlayment attachment. Corrosion resistant circular disc for use in underlayment attachment Salt pressure treated or decay resistant lumber battens Corrosion resistant, .screw or smooth shank nails. Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared 11101lar mix designed for mortar set roof tile applications. Manufacturer generic generic generic generic generic Bermuda Roof Company, Inc. with current PCA Quildete (,un,ti icliu Products with current PCA Test Product Product Dimensions Specifications Oescri rtion 1 Manufacturer Roof Tile Mortar N/A PA 123 Prepared mortar mix W.R. Bonsai Co. ( "BONSAL® Roof designed for mortar with current PCA Tile Mortar Mix ") set roof tile applications. Roof Tile Adhesive N/A PA 110 Adhesive designed Polyfoani Products, (Polypro® A11160) for use in roof tile Inc. applications. with current PCA Hurricane Clip & Clip5 PA 114 Corrosion resistant Fasteners min. /2' width Appendix E bronze, aluminum, min. 0.060" thick stainless steel, galvanized steel or Clip Fastener plastic attachment min. 8d x 11/4" clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. Valley flashing Drip Edge min. 26 ga. min. 16" width min. 26 ga. min. 2" face flange min. 2" deck flange ASTM A 525 Galvanized steel valley flashing PA I 1 1 Galvanized steel drip edge Product Control No.: 9 22, t4 6 / 7/ )//L ( Raul Rodriguez generic generic generic Test Agency Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Testwell Craig Laboratories •&'Consultants, Inc. TEST REPORTS Test Identifier 7161 -03 Appendix III 7161 -03 Appendix 111 94 -084 94 -060A 7161 -03 Appendix I1 Report Dated Aug. 1, 1994 P0631-01 PO402 Project No. 307025 Test #MDC -77 Lab #: EA -22 Tech: G. Suarez 7 Raul Rodriguez Product Control No.: 94- 1222.14 Test Name /Report Static Uplift Testing PA 102 Static Uplift Testing PA 102(A) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) 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 smooth vs. screw shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Da Dec. 1991 Dec. 1991 May 1994 March, 1994 Dec. 199I Aug. 1994 July 1994 Sept. 1993 Oct. 1994 July 1994 Underlayment: Roofing Tile: Comments: SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction 19 / 12 " or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Product Control No.: 94- 1222.14 • Slope Range: 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Install underlayrnent system in compliance with Dade County Application Standard PA 120. (See System Limitation H5.) Install tile in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, 15 / plywood is an acceptable substrate. 11 Raul Rodriguez SYSTEM LIMITATIONS Product Control No.: 94- 1222,14 1 The standard minimum roof pitch for Metro Roof Tile's "Concrete Flat" flat profile tile shall comply with Dade County Application Standards PA 118, PA 119 or PA 120, depending on the method of installation. 2. For nail - on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the prefortned holes in the tile. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127. The Metro Roof Tile "Concrete Flat" tile profile 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 a 'Moment Based Systetn' 4. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. 5. For mortar set tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Metro Roof Tile'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. 8. 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. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'A'. 9. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 12 Raul Rodriguez Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Nail -On Systems Tile Profile Tile Application Approved Nails Approved Screws Approved Field Clip With: Approved Eave Clip With: 1 nail 2 nails 1 screw 2 screws 1 nail 2 nails 1 nail 2 nails Metro Roof Tile Concrete Flat Battens 4.90 7.40 5.40 9.10 24.20 34.80 22.10 32.20 Direct Deck 9.80 18.80 25.30 41.30 24.30 35.50 19.00 31.90 Table 2: Restoring Moments due to Gravity - M (ft -Ibf) Tile Profile 3 ":12" or less 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Metro Roof Tile Concrete Flat 6.53 6.97 6.43 6.86 6.29 6.71 6.14 6.54 5.97 N/A Table 4: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Mortar and Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Metro Roof Tile Concrete Flat Mortar Set 39.00 Adhesive Set 118.90 Table 1: Aerodynamic Multipliers - X (ft') Tile X (ft') a. (ft') Profile Batten Application Direct Deck Application Metro Roof Tile Concrete Flat 0.27 0.29 DATA FOR ATTACHMENT CALCULATIONS 13 Raul Rodriguez Product Control No.: 94 -1 l4 , PROFILE DRAWINGS METRO Roar TILE CN NIENT FLAT TILE Raul Rodriguez Product Control No.: 94- 1222.14 METf1ODADE NOTICE OF ACCEPTANCE: STANDARD CONDITIONS METROPOLITAN DADE COUNTY, FLORIDA 7\4E1110-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1803 ME1110-DADE FLAGLEII BUILDING MO WEST FLAGLEt1 STREET MIAMI, FLORIDA 33130.1563 (305) 375.2001 FAX (305) 376.2900 1. Extensions of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words 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. 6. Product approval drawings, where required for pennit applications, shall be provided to the applicant by the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. This approval supersedes all previous approvals. 15 Raul Rodriguez Product Control Supervisor METRO ROOF TILE INC. 11501 N.W. 117 WAY MEDLEY FL. 33178 (305) 558 -6712 • INSTALLATION INSTRUCTION FOR " FLAT " TILE 1. CHECK ROOF PROPERLY THE FIRST RUN CAN OVERHANG BETWEEN 1/2 AND 3/4 INCHES OVER THE EDGE. ALL OTHER HORIZONTAL LINES SHOULD BE MARKED AT 13.0 INCHES (3" OVERLAP). a) THE MORTAR HAS TO BE FRESH AND SHOULD BE USED WITHIN ONE HOUR AFTER BEING MADE. IN DADE COUNTY A PREMIX BAG HAS TO BE USED FOR MORTAR. THE MORTAR IS APPLIED VERTICALLY WHERE THE TWO CAVITIES OF THE TILE ARE LOCATED. A FULL TROWEL No. 10 WILL BE SUFFICIENT FOR THE JOB. IT WILL TAKE BETWEEN 5 AND 6 POUNDS OF MORTAR ENOUGH AMOUNT OF MORTAR SHOULD BE APPLIED TO FILL THE CAVITIES. AS THE TILE IS BEING PLACED ON THE ROOF, IT SHOULD SQUEEZE SOME MORTAR OUT. b) THE TILE SHOULD NOT BE WALKED ON AFTER IT HAS BEEN SET IN PLACE, UP TO AT LEAST 5 DAYS AFTER ITS INITIAL PLACEMENT. c) AFTER THE 5 DAYS THE ROOF CAN BE CLEANED AND CHECKED FOR ANY LOOSE TILES THAT WERE NOT IN- STALLED PROPERLY. IF ANY ARE TO BE FOUND, ANY CEMENT GLUE SUCH AS RT 600 CAN BE APPLIED TO FIX THE LOOSE TILES. 2).THE TILES ARE BEING MANUFACTURED IN MIAMI 11501 N.W. 117 WAY MEDLEY FL. 33178 NOTICE OF COMMENCEMENT A COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 2. Description of improvement: --Tr i.Stc, 11 tOe Tr' / t° gnoi 3. Owner(s) name and address: L3 ) ` MEt c. der qc S Interest in property: D10 (\ O C Name and address of fee simple titleholder: 13) i 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: (3) I ) Amount of bond $ 0 6. Lender's name and address: (1) Dati ti lt tit Signature of Owner O Print Owners Name w t b C ) S Sworn to and subscribed before me this T 'day of - , 199 to . Notary Public Print Notary's Name My Commission Expires: MARYLOU NANDE." V. MY COMMISSION # CC 324212 %P EXPIRES: October 10, 1997 Hnrutarl Thrr Notary Public tindery/tens VT ATE bF GbOraY OF 6AIjt t HEREBY CERTIFY that this is a true day originalfilod in this offi on Q pg. 19 nd Official Seal. ,L� �\ irc andco Ay 968464.273 1996 OCT 10 10:59' 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: S /J E. 91/ See/ (e3 4'k 33137 4. Contractor's name and address: l tAC, l , t/ � nof r nc ( ac_ 1 t is /S t tOL . c1c1 S r f I�- t'r�,r• , F I of : 3313 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: IJ I 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: itA- 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) -- P by: ea rl D5 NC Dr ko [ .I,t tt Address: .2 S I 13, 1.0 . CIC1 Skeet flbr: clr 331 s t 123.01 -52 2/93 C_ Test Location Uplift Pull +[ st(PorF Test Location Uplift Pull Test (Po Test Location Uplift Pull Test (P or F) 13,S9E� 1 f� �j Cj� 26 �r �G ,� 51 2 27 52 3 28 53 4 29 54 5 30 55 6 31 +� 56 7 32 V 57 8 33 VA F D 58 9 .r• 34 59 10 35 60 11 VA n 36 61 12 37 62 13 38 63 14 �Ac$ - 0-P 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 w _ r . 50 -..r 75 Du Quesne & Associates, In 7 ' 1 c. . Consulting Engineers Testing Laboratory ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION Owner's Name: I- 1 (0-4. 4 ) �" f � B � 1 445 Permit #• 503 Job Address 7 B 5 9 4 S 1 L4 1& wt l S to P-ES , - L Roofing Contractor Q- L i T y Roo 1,-) 6 Type of Tile: 42 v ' Smith" r HI*C SSiDate Installed• 1 l " 'f to Approximate Roof Height: ( feet Roof Pitch. 3 12 Type of Access to Roof: Scaffolds >( Ladder Other Approximate Square Footage of Roof `Z 4 ft 2 Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested 1 - l 3 -q -1 THIS REPO' " ED B i ii Jor-; - 1 u Quesne, P.E. Civ ineer P.E. .13 �u Qu- e & Associates, Inc. .B. License #0005245 Lab Certification #94- 0318.01 TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK UTR N2 118a Environmental • Civil • Structural Buildin Inspection Services IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. 0 — /3 of ,/5 -9? 7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 KETCH OF ROOF JOB 7135 ME `MST ST 6. . 9b o r i, SHEET NO of I CALCULATED BY DATE I' CHECKED BY DATE SCALE ■■■P•. mum# ■■■■■■ 111111 khd., �ILINMM� MEAN NUENNNEMNEWM PliMUNININNI ■■IMI■o iNIIIIMMINiErPta. ► IMMI I ■reriu•uu•■►�■w ■i Lugii �� ■MI■i■r •v Sri MINIUMAINIMMIIIIPAVAI NM FA MINDOWIMi ■ ■■i!7Ni% /-J ■WA ,■r�r7EN\L1 II ■\a EUMM ■■ ■�'rr,�' ■MEr<< J■■, EM■IIIII■M lIF ■`/■■■■■ 11111-trarm -, �1'EW ilINIlilIl ■■[c>■ ■M 1'ii■ ••■■■ ■■■r■■ ■l1'■MIN= ■111 ••ice■■■■■■ ■■R• ■■■■■1111■ ■■ ■■ ■■■■■■■■■■ II EN ■■■■ ■ ■■ ■■■ ■■■■ ■■■■■■■■■■ ■ ■ ■■ ■■■■■■■■■■ ■■■N ■■■■■■■■■■ MI MN ■■■■■■■■■■ ■■■■ ■■■■■■■■■■ ■■■■ ■■■■■■■■■■ NOTES' 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 buildin uring progress of the work. Ce 24;5" 5 ' Owner's Name and Address 7 .-- 00e,o4/7.r Date No Street Registered Architect and/or Engineer Name and address of licensed contractor $ 71)::TICE- -) r - Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors)_ New Building Remodeling Addition Repairs_ To be constructed of Kind of foundation Estimated Total cost of improvements $ Amount of Permit $___ Zone cubage required - .Plan Cubage Distance to next nearest building / Size of Building Lot Maximum live load to be borne by each floor__ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspecti. on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub oo tor'; on work to bp perf ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- and who, being by me f t duly sworn, upo of the above described onstruction, that h therein by him stated . e true. Permit No Date Disapproved (Signed) Building Inspfetor Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT PLANNIN :OAB DATE C1tirma . Member Memb Member M ° • er Member Disapproved Date Date and fo o other purpose. No. of Stories Roo Covering diead, Sworn to and Subscribed before me. to me well known, os • . and says plat he is the lly ead the fo-egoing application, and that he did sign the same, and that all facts Notary Public, State of Florida My Commission Expires NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address. .1 s T. Owens Registered Architect and /or Engineer Name and address of licensed contractor Brady Roof ft. & Sheet .__Metal - 2955 N, W. 73rd Street Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 785 N. E. 94th St. State work to be done and purpose of building (by floors) Ranfing: builtup and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering builtup Estimated Total cost of improvements $__135.0Q Amount of Permit $.._5.00 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications 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 St , dement, and has complied with the provisions thereof, and will require similar compliance from all contractors .r sub- contractors empl by him in the work to be performed under this permit; and will post or cause to be posted for inspection o t e si - of the work sucl iblic notice or notices as are required by the Act. The undersigned agrees to employ only such subc.ntractorsjo w to be perf i : under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 1.r.11 ' Disapproved \ (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date / Building Ins: br Date , 19 No.___._785 N. EStreet 94th St. to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PL NING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Disapproved (Signed) MIAMI SHORES ,VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of me 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 progreu of the work. Owners Name and Address ni ..L Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description o ' l l o job built on: �+ Lot.E y2...e�- �{ .. it J r` (7 Il lock U. Subdivision... � ,7. ._ . ._.. �LL.. fo Zid t Z Oje �i 7 ss N q $ . Street and Number where work is to be done .._ .._._._....__ _ State work to be done and purpose of building (by floors)....._.. d (�..._�L. 1zoc !..�_.._.._ Date Building Inspector BUILDING INSPECTION DEPARTMENT yy���� ��/��-• Date.. 1.111.f.1:t.�1 _ No. . . .L ; 6J Str�eet_.L4 �i/ 7s t ifs and for no other purpose. New Building Remodeling Addition Repairs V No. of Stories To be constructed of Kind of foundation Roof Covering... j..1 p ... T� Estimate Total cost of improvements $ 0 Amount of Permit $. J !'. ' Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such • •ntractors,on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, d ly uthhorized to administer oaths and take acknowledgments, personally ap- peared nn K% tioL 'bed before me. 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. r1L r" " Date 4 7 Read, ro to and Sub Publi State of Fl Y o Mary Public, State of Florida My Commission Expires Notary �Y Commitina, - i7t986 �eond�rnf„,r .: y' �E : Inwnna�, Itilu PLANNING BOARD DATE Chairman Member _ MIcrr1ber 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 niter approval has been obtained from the Planning Board. A re inspection fee of S1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty natcrials and /or workmanship. BUILDING 0 MIAMI SHORES VILLAGE, FLORIDA a -� Date— 19 ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10476 Contractor's ROOFING ❑ License No. �`� X 0 3► Owner of Building ❑ Work to be performed under this Permit J (to � 4 Architect Contractor or Builder I ' "L T' ` (–A% # j c t i` t •.• Legal Lot Description BI Address of ' L ( o1/41 , , Building !Q'�l This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. �,,,} . r Signed:— (INSPECTOR) BY In consideration of the issuance to me of this permit I e to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, dra ;rigs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work one by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER 4 7: Poe.. a ¢ . t t BY AUTHORITY Subdi- vision Sq Ft ft. Value of t>d � � Amount of --- Project $ ' � '� Permit $ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date j _ Time Type Insp'n 1' I Y- Permit No. C2-0O3 ' X001 Name Address g qF_ S Company y. Phone # For Inspector: '13 P 71 Approved Correction Re- Insp'n Fee Name & Date agar/ • MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Date(l� z Time Type Insp'n .. % Permit N Name 3A Address S Company C , Phone # For Inspector: l 1- l OLD Name & Date Approved ) Correction ❑ Re- Insp'n Fee ❑