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ROOFING
BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot herefor in strict compliance with all ordi drawings, statements or specifications that time if the work is not done in compliance MIAMI SHORES VILLAGE, FLORIDA ❑ DATF' ❑ PERMIT IN? 13807 Co >✓'e ❑ License No ❑" Work o be performed under this Permit CONTRACTOR ORBU[LDIIR This permit is ranted to the contractor or builder named above to construct the building or to install the eiOlgasost or device described in the applicatipn nces pertaining thereto and with the understanding that the work will hit may have been submitted to and approved by the proper municipal a with such ordinances or if the plans are changed without authorization. iA armed in compliance with any plans, This Permit may be revoked at any condition upon which this permid is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knotalledge 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 responsibility for work done by his agents, servants or employe Signed• Subdi- vision Value of Project In consideration of the issuance to me of this permit I agree to ` p ' r?orm the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformi with the plans, drawings, statements or specifications submitted to the paper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, ly agent, servant or emplb se BY $ !?- S - 4 . 195 Amt. of Permit $ AUTHORITY APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. /� ��, Date.. - _...��./. � _. ....----- _ °...__- ....... 19._�� Owner's Name and Address 4t'r' ` fit ` "'' ,_ — No 1 0 " . Street4' 7 N` R egistered Architect and /or hngincer..... • - ,.... . .. ............. <.........,..,,.,_ . ..... 1 . . . , ,: . OY E� ! .., �. �y G is il Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.._ / e() State work to be done and purpose of budding (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $.... t _ Amount of Permit $. Zone cubage required _Plan Cubage Size of Building Lot Distance to next nearest building 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 notices as arc required by the Act. The undersigned agrees to employ only such su• • on work to be performed under this pennit, as are licensed by Miami Shores Village. ,; L: Remarks (Signed) • '� STATE OF FLORIDA, COUNTY OF DADE. j ss. Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -- — -- . - .. - . - •-- ...... - _.... -_ -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved (Signed) Date Date Buildi Inspector My Commission Expires Chairman Member Member ...... _ -- _ ._...__._..._.� -- -•- Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLA INC BOARD DATE Member Member Member 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 -in' pcction 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. 6J\5 ; L 1• 4 f 1 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 JOEL AMSTELL Registered Architect and /or Engineer Chairman Member Member ...... _.r...--- ..._._...-- -.--._ Council Approved Date C. E. SHEPPARD R00FING, INC. Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1015 N.E. 97th STREE State work to be done and purpose of building (by oors) - REROOF- RESIDE No. ..._........_...._.. Street._... _ - .._ 29 SQ. S...... 0EJI EI.IE..ELAI.J.ILE.. Rau ....... __..._._ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering white flat t i l e Estimated Total cost of improvements $ 9,850.00 Amount of Permit S. 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 C. E. SHEPPARD ROOFING, INC. 41 N. W. 20TH STREET 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 lVorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the p rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perforce under this permit; and will post or cause to be posted for inspectiioon the site the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcsnt eat d, on be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -13 C 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 b hi stated are true / c Permit No. a I I 0 p ` Date f l r C y /A Disapproved . .._.�. Date / (Signed) PLANNING BOARD Read, Sworn Building Inspector My Commissi and Subscribed before me. blic, State of Florida to me well known, on Zxprresf?tb:c.• :#ate ci ,:i i,..._.__ .4 j 101 ter s o: F ri 2, a B A is. Troy Fain • hRUrartco, Inc, ' Member Member Member 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Y 2. Time Type Insp'n Permit No. Name Address Company Phone # For Inspector: 3 Approved Correction Re-Insp'n Fee z 1 � r 49 ' 2 " u, Esv i'4" x. 5` ' G' `1'4" ys. l g' C `� Sa t o " 1► '7.4 232.2, 131.q S39. "Stc. ‘z 2-85 I .'� se V 1 ;t .; GAO '1 ,� ' ` - 128/ _ Z • 1 4 1 , 2 8 / e . z� ate ki c adz T Date • , 1) PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 I lUJob Address ) D 15 ! ny / h - t Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee/Tenet Omni K S "Hart Owner's Address 1 ) 5 Wz 97 5 Contracting Co. K t va k J P'I Qualifier Pu'( ) K State # Municipal # Master P i t Phone 6G D3 o'1 Address 145 IE, 6 1.2n d !J* SS# Phone 3 5 r S1 Competency # ¶ Co. ix a d - rY IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION: ear �T e)CI S`�'J ng -� j le I Fl r� c -f % re, �4�CE' W!h Yt e w N4c, i �Ct t , co lor-i-hrmA6 kFa,lH4fes ke 64, iecoJo, -f `14 MOP sy51rfks Square Ft. 1 1 ° 0 Estimated Cost (v. ue) 1 / 5°° o -- t. te Li 1 o WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCE NT AND YOUR FAIINRE TO D! :O MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YO b NTEND TO OBTAIN FI ING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF C 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 all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatin construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. � ner an �i 'e Pr •' Not. •• as to O � ova � �,n ,,; e , . i, . ;, Date e!OGA - . My Commission Expir •i i co N ∎ :- < M Commission Expires '1 + ti n A% Q Ct 7dc i�] ��., Q MY CO�.i.. 1., 'i',' C' . 2 /h/ //� r,f O N O Y/ ✓�/ FEES: PERMIT(� �•`� RADON C.C.F / ' D NOTARYs i O j� BOND../ Not. as to onttac APPROVED: gf7 TOTAL DUE Zoning Building Electrical Mechanical Plumbing Structural Engineer O 0 N 0 Pay to the order of Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/6/2002 Applicant: DARIK Owner: AMSTELL JOB ADDRESS: 1015 NE 97 Contractor KAWALEK PAUL Local Phone: 305 - 218 -3552 Parcel # 1132050170120 Legal Description: 5 6 53 42 Fees: FEE2002 -4358 FEE2002 -4359 FEE2002 -4360 FEE2002 -4361 Description Building Fee CCF Notary Fee Buildier's Bond Total Fees: Amount $307.50 $9.00 $5.00 $300.00 $621.50 Total Fees: $621.50 Total Receipts: ` $0.00 Permit Status: Approved Permit Expiration: 1/29/2003 Construction Value: $14,500.00 Work: PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305. 75 - 0191 WW1 SHORES, FL 33138 -256 TEAR OFF EXISTING TILE ROOF REPLACE W/H A NEW MONIER CONC. COLORTHRU ALt21TILES THE COLOR TILE TILE & BUILT rerify, there will be no inspections. Re- inspection action. If there is no permit package accessible. "» +6— fee is $5n nn -= 11P •, e c Mi 'hbt V fD _ Bankof America. perM I� AF:wr°46I Iv f l' "cJ� � For I D u' :1363 i00 2771: 00366060 L9 L4 2804 Building Permit Permit Number: BP2002 -1343 SMART I JOEL ST Owner is Responsible for Maintenance of Contractor's Address: 485 NE 92 ST All Village 3itfvalks as per Village of Miami Sh res Code of Ordinances, Including Driveways, 1t Caused By Current Construction Activities. PB 43 - 51 REV PL MIAMI SHORE S SEC 8 LOT 12 BLK 180 2804 63- 271631 FL 610 $ 2t •so , ,op DotlarS BY: Page 1 of 1 MIAMI SHORES VILLAGE NOTICE I the equipment or device described in the application herefor in strict compliance with all e with any plans, drawings, statements or specifications that may have been submitted to is not done in compliance with such ordinances or if the plans are changed without actor or builder named above assumes the responsibility for a thorough knowledge of the ings or in the statements or specifications and that he assumes responsibility for work done i compliance with all ordinances and regulations pertaining thereto and in strict conformity ss Village. In accepting this permit I assume responisibility for all work done by either — BY: _ BY: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 0' 2002 AUG 02 1432 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. ' t M C j S - FL 1. Leal descrption of property and street address: 3 13 2. Description of improvement: 3. Owner(s) name and address: 32 ) Interest in property: (5 [A 2 rf- Name and address of fee simple titleholder: 4. oftractor's name and address: 5. Surery:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 5. Lender's name and address: Persons within the State of Florida designated by Owne upon Whom Dy Section 713.13(1)(x)7 Florida ..- .4ame and address: ;� -azure of Owner Tint Owners Name worn to and s _,, • n • Wary Publjc rint Notary's Name -4)3 - � - MY co,. `y Commission Expires: � J.— ^ FL o NC _. �.._ �v q�NE cUf1 d C T •n, � /'' '_C: -:. COLT N 1 G D,n 0,-: 1 {'Lt: • "C'- '.)L'Y hat ink., IS i u co , f the cn1rr,1 i .c • c'.icc or d "NY ' � : MAIMS , - 1. �1 RiVEN Vii. ,� CvUa�l �•�y C1 x a of ' s. =. meats may be'�eu�d provided . 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. ;ame and address: . Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a i"erent date is specified Prepared by: �� ( ' 1 T Gil* 1't i - - �= Address: 1 :3 po ANG( L.ti RA (3c � h re -_;') ? � , cc �ascs� I 12301.52 293 — The Sunshine State LICENSE NLMSER S S3-548-72-768-0 peviic.;: 14 SMART 3760 146 TR MIFtAMPR, FL 33027-0000 BIRTH DATE SEX MT. REST ENDORSE 07-28-72 F 6-04 ISSUED EXPIRES 03-26-01 07-28-06 OUPLICA, 00404 Q1 S2SO243 Operation of a motor vehicle constitutes consent to any sobriety test required by law. a Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name ❑ Low Slope ❑ Asphaltic Shingles Pu+ia 4/-,<AAAAiIe. Job Address L® 15 I vE ROOF CATEGORY ❑ Mechanically Fastened Tile L" Mortar /Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof il/J Re-Roofing Recovering ❑ Repair ❑ 9 g Maintenance p M ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) �l b 33.5 Lfl / 00 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location • f parapets. 15 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Manufacturer. V ikr NOA No.: Section C (Low Sloped Roof System) 99- o6oei-c5 Design Wind Pressures, From RAS 128 or Calculation Pmax1: Pmax2: t Pmax3: ' Max. DesignAespre, From the Specific NOA System: '� c Deck: Type: Gauge/Thickness: woo Slope: Anchor/Base Sheet & No. of PIy(s): b -e A c r/ t F t ne o di g nal Cyir h ,t r ��� a— rt i i n Insulation Base Layer. Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of PIy(s): Base Sheet Fastener /Bonding Material: Ply Sheet(s).& No. of Ply(s): I y i berg ` Ply Rheet FEst @r/(3ond Material: Top Ply. M■ � Cap 6 bed TopAly F„a t erf[ bonding Material: Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment Field: " ° oc © Lap, # Rows @ ' ° oc Perimeter. i_ oc © Lap, # Rows _3 @ . " oc Comer. V " oc © Lap, # Rows J @ " oc Number of Fasteners Per Insulation Board Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener S pacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. Parapet Heiaht Mean Roof Height 111" Yvt'1 tAered gexto Roof System Manufacturer: M ®lA or Notice of Acceptance Number: 41 u/t 40) Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): , P1: ''I, P2: 9 P3: 6 1615 Maximum Design Pressure q 10 b 1 (From the NOA Specific System): Method of tile attachment: Vo kl 7t1 Wn c d ti ps' ve Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof Slope: : 12 Ridge Vent lation? I' iP Steep Sloped Roof System Description Deck Type: ype Underlayment: nsulation. Fire Barrier. Mean Roof Height: 1• 4+30 F 1+ neon N/ A astener Type & Spacing: X 1 /IS tt) dhesive Type: ype Cap Sheet: 1P i/ trgo j c1 - e oof Covering: m n i er eph rot) co/U Ar R 1� Type & Size Drip Edge: -a-)a wI i`t c Where to Obtain Information Description Symbol Where to find Design Pressur6 PI or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope g Job Site Aerodynpmic Multiplier ?L NOA Restoring Moment due to Gravity M, NOA Attachment Resistance Mr NOA Required Moment Resistance Mr Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance Fr Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. M Required Moment Resistance* Mean Roof Height 15' 20' 25' 30' 40' - Roof Slope I 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 84.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. (P (P2: (P3: Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M the values from M . If the M values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Me h 1 "Moment Base a Calculations Per RAS 127" Q6tb1 x + `3I Mg: _ r NOA Mr O C a ' X . ENB = ) - Mg: = M NOA Mr 6/ � a � =� -Mg: �j1 =Mr3 NOA 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M) From Table Below NOA Mr *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F. If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P xl: = x w:= ) -W: cos 9: = F (P : x l: = x w: = ) - W: x cos 9: = F (P3 : x l: = x w: = ) - W: x cos 9: = F NOA F' NOA F' NOA F' SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. P r la 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. J 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (high Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 05 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with connnon roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 05 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 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 cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. DS 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. DS 7. 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. Owner's /Agent's Signature rdnnrttat v- ne....0 nra, S-nT.. CT10?7 152l.doe Date Contractor's Signature MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address pis /•19-1 Company Phone # For Inspector: Appro Correct Re -Insp' Time 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 r a` s a7 26 'Fa' 1? 51 4 C(7 76 F44-s5.... 2 27 52 ` 77 3 28 53 78 4 29 54 79 4 5 30 55 80 6 31 56 81 7 32 57 87 8 33 58 R3 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 _ 75 100 Owner's Name: NAl Job Address 0 0 Date Installed '7 6 Roofing Contractor '� -EB 0- or t'�t W id— 1 r Le— �� - F 1 r•-) et Type of Tile 'r-- GC. p E — IA --t S 1 g 2 D�- I Approximate Roof Height: feet Roof Pitch -( Z Type of Access to Roof Scaffolds Ladder Other Approximate Square Footage of Roof: 3 3 00 ft' Required Testin Force: 35 lbs. Testing Equipment: Chatillion 100 Date Tested: q 4 - O 2 IN ACCORDANCE WITH/ 'E CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONT' • L T THIS Civil Engineer: Lab Certification 4 98- 0608.04 b4 ITTED BY: TEST RESULTS P = PASS, F = FAIL State of FL Certificate Authorization 4 4100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION 4-41 Project M. 24498 Permit #. 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