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ROOFINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Ti e Type Insp' n Permit No. Name ! Company /<atued2I1 Phone # O) 04/ ' 0 ! 61 I For Inspector: Approved , Correction Re -In n Fee ❑ Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 # F-1? 26 27 t X74 D 51 52 � ��EIJ 76 77 2 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 R7 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 0_,..-, 75 100 Owner's Name: 176 t 1 ®0 Permit #• 5 ® 2 - 1 9 Job Address' 6 1 1 A q- 5T.:, 01/1.41 FO .67a, f p1. Roofing Contractor: 144 - R-4)0c . 1 V- Type of Tile: � - l9* ' ^ FO iizP.A her Approximate Roof Height (4feet Type of Access to Roof: Scaffolds ✓ Ladder Other Approximate Square Footage of Roof: 5 ft' Required Testing Ford: 35 I s 2. 0/ Date Tested: 12. o�o S UT Engineering rhig & Testi i ; g Lab 0 9 Inc. 6065 N.W. '47th Street, Suite B -23 G Miami, Florida 33015 Telephone: (305) 558 -2588 o Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE ON FULL ACCORDANCE W TH METRO -DADE BUILDONG CODE COMPLIANCE PROTOCOL PA 106 Testing Equipment: Chatillion 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Civil Engineer: Lab Certification # 98- 0408.04 State of FL Certificate Authorization # 4100 SITE SPECIFIC INFORMATION TEST RESULTS P = PASS, F = FAOL Date Installed Roof Pitch Project 11820 SKETCH OF ROOE JOB 915 (4E 94 ST., MiAMt 5140gE5 1. SHEET NO CONTRACTOR CHECKED BY SCALE OF t W g4.- ` k t - ,.I..■■.... mm ` r ■ ■■ '. . .), .t.! it7� i1. illiariiiiiiiiiiiiiiiiiiii u iiivauuiiiinuuiiuiiiuini u 1 II!iE ■■■•wi ii i ■■■E I■■•■■■■■■■■■ ■■ 11111111111111 ■■■■I Z■■ 121111M■Iir NSIMI ■■■■■■■■■■ IlIIPiEHiIIIIiil!PiIIIIIIIIIU ■ ■ ■ ■1� ■■ \i/ ■7r� �I ■�i�l ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■m■■■■■■■■■isc Amom ■■■■ ■■■■■ ■■■ ■■ r ■ ■u.ui► � > -.r ii �■■ ■■■■■■■ ■■■ ■I�^■�■I c iF■■r' ■■■■■■■■■■ ■■■r is ■I utr �;iii�iri ■►.ri■■■■■■■■■■ ■■■'`i %iaimiIuhie iiiur7\I■■■■■■■■■■ 1111 / i=^C=== ==Mi :r ■■■■■■■■■ ■ ■i ■ MMINIiM ■�i!1 ■■■■■■■■■ ■■■■I CEI\�■ aM U' �' eM ■ MAIM ■1111■■■■■■■ ■ ■ ■ ■1 i ■mMVu [ ■■ ■ ■Ei►.i■■ ■ ■ ■■ ■ ■■■ ■ ■ ■■PBMIEM ROMM r i ■■■� ■ ■■■■■■ ■■■ ill /i'Ea?i�i \``►iirl■�■■■■■■■■■■ MUMMEMOMAGMBAMMEMMEMMEMMIIM 11111 I I 1111111 11111111 NOTES 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 Villaffe shall be complied with, whether herein specified or not. A copy of approved plans and specifications must bc kept at building during progress of the work. Dat ®..._..._ ..._..... _ January 22 .19 74 Owners Name and Address Osmond How �___ — No 975 st N, E a 94th St, Registered Architect and /or En$inceP ,, :,.. . ........:..... ... „,,,.,,- ,,,,. - -. Name and address of licensed contactor Obenour Roofing Co, 7357 N. W. Miami Court Miami, Fla Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 975 N , E. 94th St. �— -- Remove tile roof and replace with 1 -30 lb, felf State work to be done and purpose of building (by floors).... _ ___.... ...__..._........_._..– __.._ –_ _ 1 ®90 lb, slate, galy, flashing and white shingle tile, and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering 3 5 s q s 9. Estimated Total cost of improvements $ 4579 , 00 0 Amount of Permit & $8.00 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 Su) a anent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emplo . 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 w h die notice or notices as are required by the Act. The undersigned agrees to employ only such subeon actors, on w•rk to under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss Permit No M I , ' . M I SHORES V I L LA G E 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 htfjted are true. Disapproved (Signed) Date BUILDING INSPECTION DEPARTMENT. Date. Bu Inspector Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, PLA)GIVINC 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 hecn obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date - -1 Job Address ` 1 5 .E • 9 Tax Folio 1 Q X 20 0020 a Legal Description 6 ---0 T 2_. M £ H 14-I o G / Lessee / Tenanq SusAr► J10wE Master Permit IE bireA5 Owner's Address)( °> 7 M /04,y4! Phones - e - 03, Contracting Co. (uQ ( I/{a , -Tee, Address c95 / NW 9 9 } S Qualifier C Af /D S Aroc.AO SS# Phone 267 3 g State # fie 005 ���/�lunicipal 1i , C7 � ,2Gq Competency it , 7 4 9 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL I (�� PAVING PENCE SIGI WORK DESCRIPTION 1. Cefa\r '• - J �} f7 e one-,A i n S it ne co me ic,k ►nS +-c& h bc.c L 1 c Q r� Estimated Cost(value) 4 o!, q00• t0 1 s Square Ft. �. cumc WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO Dc SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUI NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th standards of all laws regulating construction in this jurisdiction. I understand that separat permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wil be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. ) ` • / x Signature of owner � nd /or Condo President Signature of Contractor or Owner- Builder Date: y- y - Lf/ Notary as t•'Owner and My Commission Expires: * APPROVED: * . * FEES: PERMIT -fie Zoning / I Q " ., do WIY =r'• ' W ANDEZ MY COM ION d CC 324212 EXPIRES: October 10, 1997 Bonded Thni Notary Public Underwriters * * * Other Electrical Mechanical Plumbing Engineering •.'s2 s ' MARYiOU HERNANDEZ MY COMMISSION a CC 324212 W. a EXPIRES: October 10. 1997 ....... Breed Thu Nary Putt Ulklerwdters Date: da - L/.�� Notary as to My Commission RADON C.C.F. 1 '1 ' 1° NOTARY TOTAL DUE / 3 /73 Job Address 9 / ` Date % �i % Tax Folio /l — 3.;Le KM' -�? U� .r Legal Description ZA/ - k 1� /C -9�" &�Gv'c�li � lialicwifri6.,� 57 _�..� , Lessee / Tenant atS Fy/Z) 64-- #009 • Master Permit #.2.3 Phone 757- (75f ,5 Owner's Address 97 Contracting Co. 4WK6644 JAk Address ia �7C / F � Qualifier !�! // #(4 / Phone S6 , State # ('G /07?.C4 Municipal # Competency # U23 5S,6 Ins .Co. So911fil X4evGy Architect /Engineer /d/9 Bonding Company / ?A Mortgagor WORK DESCRIPTION Permit Type(circle one): PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Square Ft. Estimated Cost(value) ® WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO 'SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done 'n compliance with all applicable laws regulating constructio ..nd zo ;ng. Furthermore, I author the above- _ d co actor to do the work state Signature of owne /and /or Condo President Date: Notary as to APPROVED: Zoning 0 r and rondo President My Commission Expirs J. - Ara. ** * * * s7 Mechanical Plumbing_ Address Address f Contracto Signature D -te: Notary as" to. C• trac -or Owner-Builder My Commission Exp PAVING FENCE SIGN r- Builder * FEES: PERMIT • " RADON C.C.F. c • 0 NOTARY TOTAL DUE. `' * * Other Electrical Engineering eat 7144,47,:idt;gew(a a 52 Itaa4 14, Markowitz Bros. Inc. Order No. the attac this 12th HARRY C.. 31773. I HEREBY, CERTIFY: That hed SKETCH is revised day of Nay, '.1958:. SCHEBKE ASSOCIA 'ESq INC. �� / : � Vice Pres. Robert C. Septyebke ,egisterd Lart'd veyor` #11067' State of F1orfdQ c • v1 CI 4 j Zri O L1 0 7,?, 1/2.57 o • 24.0 0 Lot 2, MAGEE 81 HA'WKINS SUBDIVISION. nccordin6 to the Plat thereof, recorded in Plat Book 51, at pace 5, of the Public Records of Dade County, Florida. Order 44n77 F.B. 01— 1 I HEREBY CERTIFY; That the attached "SKETCH OF SURVEY" of the above described property is true and correct to the beat of my know'odre and belief, as recently survcye4 .And. .platted under my direction. arry C. S chwebke • Reri`s.tY:r d Land Surveyor 1602 0p0e of Florida X9,84 ), SKETCH OF SURVEY A \1, January 25, 1951 Scales shoi LE IliRi ,A 4 .... F wrc , .. • • .,F W..' - Minimum Fee QT Y - .1** l ' Y PE Dryer -. `4 M - . .4. f1/4 .-- , ..,$.-. ' , 7 I __ QT T Y. y PE j Outlet, Appliance 777 QTY. 7r— ., ' ,,,f. r• TYPE _ , • , ' ,.,' Service Repair QTY A/C Central 1-3 Ton Heating Strips, each Fan Outlet, Wall A/C Wall/Win. Tons Service, Temporary Dryer Vents, Number of A/C Central 4-7 Ton Ventilation, Cost Fire Pump Outlet, Switch Signs Piping, Flammable Liquid AJC Central 8-15 Ton Fixture - Fluorescent Oven Fire Sprinkler System Space Heater (kw) Pump and Abandon A/C Central 16-20 Ton Bath Fan-Vented, # Fixture Light Parking Lot Lights Pressure Vessel Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip 'Cap - Sewer Subfeeds, No. of Amps Gas - Natural A/C Window Pump, Fire Stand FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Temporary Water Closet Swim Pool, Residential Clothes Washer Chiller Gas Piping Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Pump, Sprinkler Temp Serv., Construction Utility - Sewer Compactor Discharge Well Low-volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low-volt, Fire Renew - Temp Service Indirect Wastes Relay Repair Demolition Vacuum Pump Low-volt, Intercom/Teleph. Repair Circuits Interceptor Dishwasher Low-volt, Television Service, Number of Amps Domestic Well Laundry Tray MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain ()Ty: 'nil Generator QTy. TYPE Refrigeration, Tons J ,1 A/C Central, Tons Qrry., 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 Pump and Abandon Bath Fan-Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING I'I'I A/C Condensate QTY. I 1 TYPE Drains, Roof wry. TYPE Miscellaneous Fixture QIIY. TYPE Soakage Pit Qrry., 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 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural 1 ( Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $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 ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) PERMIT FEES $ Tip $ DO $ (sq.ft. = x/1000 x ¢.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) • ISSUING OFFICIAL TOTAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. lying 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 AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY 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. A FFIDAVIT - Please read carefully. I • ri 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, 1t' 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. and subscribed before me this STATE Print N SEAL: FLO Signa a of Owner Sw: / ignature of , rry Public_ O:'. ICIAI 7'O. v.+Y S'GL cjP ` PU A NGELA M BECKER � , �C carwt,so (xv uum czn CV786697 ,3 ct.\ Q MY co;:;::I'.,CON "X'IRES CF F Sta OUNT _ O y MIAMI -DADE Personally known OR, Produced Identification 1 Type of Identification Produced: / y50. 4 / 43 , - 3 •-17a- d STATE OF FLO Sign a of Contractor / Qualifier \awl K60wa( Print Name worn to and/ubscribed before me this / / day of / (/O lJ -/ SEAL: Personally known i rr ,Pi�`b .teAfJ'le •M BECi" R •alt,(, 4••,i O CAta :SS tlr,' WUE50En CC:i'd5697 MY CC.' ) ^+ • ",'�iR ..xCFF �. ,,. PERMIT APPLICATION IpA, COUN Y F IAMI -DADE OR, Produced Identification Type of Identification Produced: 'PROPERTY 1 OWNER Name J D TI A D 1 , // 8 t v p Address 97} N / s1 Home Telephone 5 -4— - (5 6 e 1 Business Telephone _ / Fax Fax Relocation of Structure ENGINEER New Construction Name / /� Enclosure License No.0 9 3 0 Address Repair Telephone 3 a 5 _ 7 c . _ / Fax Demolish 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 • BoilXa_ Master Permit No. Subsidiary Permit No. S0 a PERMIT APPLICATION INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. 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. APPLICATION ob Address: ? 7 5 3 e ( l Address Apt. Folio / 03S Numb_.? 06 � � °ko Lot BI Subdi is t, . -_' ! PG� Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Zonin PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax s7 Cit escription of Work State eAee� -t/- �3i3 Zip 5 Spare Feet 5 6 � Units Floors © /� Value of Work / j 00 Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. CONTRACTOR Name License No. Address Telephone Fax Qualifier Name PAUL R. KAWALEK ROOFING & PAINTING 2393 485 N.E. 92ND STREET PH. 305 -754 -0191 \ I ©� MIAMI SHORES, FL 33138 -2566 Date \ . 2 i2 63-271631 FL 810 Pay to the ?� ` t ��� r Ala m �, ho re6� $ 137 order of V i ?o *P.vev) \-1 tired r-y-- Sevci' -° Bank of America P CH FUr 0871'00277 ''� - • er rA 1 A For 1 1-✓ I "E 1:063 LOO 2771: 00366060 L9 L11o° 2393 a nP 123.01-78 500 • ••. • • • ••• • •• •• • • • • •• •• • _• • - • • . • • • ... • Appepdix " • UNIFORM ROOFING;PEM1T 2►PPJ;ICtT[ON ••• • ••• ••• •• PROCESS No. Contractor's Name: Pakl Kawa1 eR • • Job'Odressi : l•�. 1 o 4 � • •• • • • • • .•• •• ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar-Adhesive Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) iRe_roofing ROOF TYPE ❑ New Root' L ❑ "ecovering ❑ Repair ❑ Maintenance Flat Roof Area (ft 0 Sloped Roof Area (ft 5 boo Total (ft2) 5604,3 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. n Ft. A V Deck type: Fastener Type: Field: AOOD SLOPE NAM SHORES Metal flashing at all cha MllAh ll SNORES dDd Metal Flashing at all change ATTACHMENT SPACING Perimeter: Corner: DETAIL. 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS AR1E THERE GAS VENT STACKS YES ❑ NO °E- NATURAL ❑ LPGX ❑ (Draw details as needed) MM/AGE nge of Plane EACE of Blare ROOF PLAN Page -1 • •• • • • • • • ••• • • • ••o • • • • • • • • • • • ••• • • • • • • • • • ••• • • • • ••o Appendix "E" • UNIFORM ROOFING PERMIT ZAPil .Ic9.']tIO11 • • • • • •; : : : PROCESS No. Ridge NO 'on? Deck type: MEAN HEIGHT � 2 r 1 )(b v - Underlaynlent: •• • - o ft Insulation: 12" ROOF SLOPE D E T A I L 3 Fastener type & spacing: Cap Sheet: Roo ••• ••• www. • SLOPED SYSTEM DESCRIPTION • • • • •• Drip edge: • •• ••• • • • • ••• • • •o O O -. 915[6_ Covering: S1\ ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -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 (Pmax2: 17 Sx ? (Aerodynamic Multiplier): ' ) - (Pmax3: "I a ( Aerodynaric Multiplier): t 1 ) - TILE CALCULATIONS (Pmax1: lib, I x A (Aerodynamic Multiplier): ' ) - M v .5 = M t e bLmS M g = M 1 PCA: tbeS Mg:15I = M a 7 PCA: 6 b e y PCA: Po>' FOu So+ I 1 Page -2 nas 410. • • • 00. • • • .. 00 • • • 00 .0 . • • • • • • ■ • ._ _ 0 • • 41410 -. • • • • • • • • • • 4100 • • • • 000 • • • • • •• • • • • •41 •• •• • • • • • • • • •• • • • • • • • • ••• • •• ••• ••• ••• .. 4100 .. • • • 041 • • • • • • • 00 000 • • • • • 00 APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) 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 34 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. _ Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (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 ighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contactor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5104 APPENDIX "F" 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until t original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. . 1 ,. . Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Off er's /A,. ent s Sig Signature 11) 51 PI (fut4 2 )4AAJA-ib i2 Date Contractor's Signature PRODUCT CONTROL NOTICE OF ACCEPTANCE Santa Fe Tile Corporation 10302 N.W. South River Drive, Bay #16 Medley ,FL, 33178 Your application for Notice of Acceptance (NOA) of: Spanish "S" Clay Tile under Chapter 8 of the Code of Miami -Dade County governing ;the use of Alternate Materials and Types of Construction, and completely described herein, has been recom ?vended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the coonditions specified herein. This NOA shall not be valid after the expiration date stated belbw. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 00- 1212.06 EXPIRES: 02/01/2006 APPROVED: 02/01/2001 11 3 04 5 00 0 11 pc200011templatesk nonce acceptance cover page.doc Internet mail address: postmaster @buildingcodeonline.cont k 11AM1 -DADE COUNTY METRO -DADE FLAGLER BUILDING CODE COMPLIAN l.$ ' METRO -DADE FLAGLER 1311 .1NC 140 WI .ST FLAGLER STREET. SW* ed03 .. MIAMI. FLORIDA 331301563 (305) 375 -2901 FAX (305) 373 -2908 .CONTRACTOR LICENSING SECTION (303) 375 -2327 FAX (305) 375 -2353 CONTRACTOR ENFORCES' EN r DIVISION (305) 375 -2966 FAX (305) 375 -2903 PRODUCT CONTROL DIVISION (305) 375 - 2902 FAX (305) 372 -6339 Raul Rodrinuer. Chicf Product Control Division THIS IS THE COVERSHI;ET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENF,RAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by t-hc Building Code and Product Review Committee to be used in Miami -Da?1e County. Florida under the conditions set forth above. Francisco J. Quintana, R.A. Director Miami -Dade County Ouilding Coda Com Ph°ne 1115 • )5/ -557'9 P 5 4 b5 _1:S 0650 tam rtorriepage- http : / /www.buildinecodeonline.com • SANTAFE TILE CORPORATION ROOFING ASSEMBLY APPROVAL Catevory: Sub- Catcaory: Materials Deck Type: Roofing 07320 Roofing Tiles Clay Roof Tiles Wood 1. SCOPE This renews a roofing system using Santa Fe "Santafe Santafe Tile Corporation described in Section 2 of this comply with the South Florida Building Code, 1994 Ed locations where the design pressure requirements, as de does not exceed the design pressure values obtain by ca using the values listed in herein. The attachment calcirl system. 2. PRODUCT DESCRIPTION Manufactured by Apnlicant Santafe 4 S 4 Clay Roof Tile Trim Pieces Product Tile Screws 3. LIMITATIONS 3., 3.2 Dimensions 1= 18" v 11.5 / :" thick 1 = varies = varies varying thickness Dimensions #8 x 2 -'V" long 0.130" shank dia. 0.178 flute dia. Test Specifications Fire classification is not part of this acceptance For mortar or adhesive set tile applications, a accordance with RAS 106. 3.3 Applicant shall retain the services of a Mi perform quarterly test in accordance with PA submitted to the Building Code Compliance 0 . a !ACCEPTANCE No.: 00-121 Approval Date: February 1.2001 Expiration Date: February 1, 2006 " clay roofing tile, manufactured by otice of Acceptance, designed to ion for Miami -Dade County. For rmined by applicable building code, illations in compliance with RAS 127 $tions shall be done as a moment based Product Description PA 112 On piece high profile clay roof tile egiipped with two nail holes. For nail -on, mdlrtar set and adhesive set applications PA 112 Ac:'kessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations Manufactured for each tile profile 2.1 COMPONENTS OR PRODUCTS MANCFACtURED BY OTHERS Test ! Product Specifications '(Description PA 114 tainless Steel Appendix E Manufacturer generic tic field uplift test shall be performed in •County Certified Laboratory to X 12 a• " hall be I :loam RRC Roofing Product Control Examiner i; Table 1: Aerodynamic Multip s- Table 4: Attachment Resistance Express d as a for Mortar or Adhesive Sef Systems Moment - M (ft-Ibf) Attachment Resistance 23.6 - • 1 (ft Direct Deck 0.297 Tile Profile Tile Application Mortar Set Santafe 'S' Adhesive Set ; 61.9 Table 1: Aerodynamic Multip s- ft Tile Profile 1 (ft) L Batten Applica 1 (ft Direct Deck 0.297 Santafe 'S' 0.274 r I Tile J 2 ":12" 3 ":12" 4 ":12" 5":12" 6 ":12" 7 ":12" or Profile greater Battens Direct Battens Direct Battens Direct Bafiens Direct Battens Direct Battens Direct Deck Deck Deck Deck Deck Deck Santafe 'S' 5 5.90 5.85 5.82 5.73 5.69 6 5.53 5.32 5.29 5.03 N/A : SANTAF'IE TILE CO RPQ)IIATION 1 Santafe S 3.5 30/90 hot mopped undedayment applications n 6y b installed perpendicular to the slope unless stated otherwise by the under t material manufacturers publishod literature. 3.6 This acceptance is for wood deck applications. ij Minimum deck requirements shall be in compliance with applicable building code. 4.1.1 Santafe 'S' and its components shall be installed n strict compliance with Miami Dade County Roofing Application Standard RAS 118; RAS 119, and RAS 120. 4.1.2 Data For Attaclunent Calculations 4_ INSTALLATION Table 2: Restoring Moments due to fravity - M (ft -Ibf) Table 3: Attachment Resistance Expressed as a Moment- Mf (ft-Ibf) For Nail -On Syste Tile Profile i Tile Application Direct Deck Battens Two Nails One Screw 21.8 29.16 1. Approved screws as noted 'Product manufactured by others' 3 'rim) Scrcws 38.28 One Screw w/ Cli 57.31 Two Scrcws w/ Cli 51.60 61.77 rank Zuloaga, RRC Roofing Product Control Examiner 4 t SANTAF); "SAiYTAFE S" CLAY ROOF TILE 4 • . jACCEPTANCE No..: 00-12U 5. LABELING 5.1 All tiles shall bear the imprint or identifiable king of the manufacturer's name or Idgo, or following statement "Miami -Dade County Pr uct Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accomp hied b copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Buildiig Official or applicable Building Code in order to property evaluate the installation of his system. PROFILE DRAWIN Frank Zuloaga. RAC 11 Roofing Product Control Examiner SANTA TII,E CO RPORATION NOTICE OF ACCEPTANCE STANDAIjR CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered alter renewal application has been filed and the original submitted documentation, including test supporting da , engineering documents, are no older than eight (8) years. : • , 2 Any and all approved products shall be permanently labeled wit the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Controli pppoved", 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 Coat affecting the evaluation of this product and the product is not in compliance with the code change b) The product is no longer the same product (identical) as tltt one originally approved; c) If the Acceptance holder has not complied with all the requremcnts of this acceptance, including the correct installauon of the product; d) The engineer who originally prepared, signed and sealed th required documentation initially submitted, is no longer practicing the engineering professk i. 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 fee4 and granted by this office. 5 Any of the following shall also be grounds for removal of this AAt:ceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance numbcr preceded by the words Miam -Dade County. Florida, and followed by the expiration date may be displayed in advertising literature If an4 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 othi:r documents, where it applies, shall bc 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 enginee'• 8 Failure to comply with any section of this Acceptance shall bc cause for termination and removal of. Acceptance. 9 This Acceptance contains pages I through 5 END OF THIS ACCEPTA 4CE 5 ACCE) 'ANCE No. : 00-126.06 Frank Zuloaga, RRC Roofing Product Control Examiner