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ROOFINGCONTRACTOR Name Mar A f� �� I " l.r Name Pcw �) g 1 n 'T� t 6014 License No. /I 1 s 3 Address X45 iv ci2h Asti Telephone 305 1 Fax Qualifier Name �� j,(, t n'a 1 eg PROPERTY OWNER Name Mar A f� �� I " l.r Address 10,b 1 tEe 9b �S + Home Telephone 305 r g ' i bio3 Business Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish elocation of Structure Shell Only . , Foundation Only Add'I Attachment Other Add'I Detachment Other ,f2.....! -IL1 LJ "- tlelty 01190 0 'IIYSTT2uc7'IONS "'hie in steps niusi be to o o nl a permit from lie riiami Shoires 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. Job Address: 1 0 3 , AEa 6 16 St tt4.S orc'5 ( FL 33) Apt. Folio Number 11,'"3,0 ©1) 95S Lok )O ) ,� d:I •) o.l' Block O Subdivision / PB Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name Address License No. Telephone Fax Master Permit No. Subsidiary Permit No. $o i 0 City State PERMIT APPLICATION Zip Description of Work (4 CC) k ?r goo Zoning Square Feet Value of Wor 0 C — o ck. 1leti e roc'` \+kksa icoctt‘ f Sh S Linear Feet Units Floors Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name Address License No. Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT 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 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. 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. STATE OF FLORIDA, COUNTY OF Mrk 4I -DADE Print Name Sworn to and subscribed before me this � - 7c ay of be-, Signature of Notary Public - Sta SEAL: Personally known Type of Identification Produced: ,./;; . ROBERT JORQUERA MY COMMISSION # CC 912748 I 1 .. EXPIRES:,February 21, 2004 • . Bonded Thru Nora' ry Public Underwriters OR, Produced Identification FLo�coP- eQic LiCe"S X STATE OF FLORIDA, COUNTY OF MIAMI -DADE Si e of Contractor / ualifier Print Name Sworn to and subscribed before me this 6 day of / 140 4 1 , a–e v/ OW gnatur SEAL: 1 . LISA CARSON MY COMMISSION # CC 866680 EXPIRES: August 26, 2003 Bonded Thnr Notary f•ubac Underwrhu,s Personally known PERMIT APPLICATION OR, Produced Identification Type of Identification Produced: 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 .(5E.P 26 27 (y 51 52 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 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 f 50 75 100 SITE SPECIFIC INFORMATION Owner's Name: Y 4� �1 Permit #. 5 Job Address I �' �� [� �- 1 S ► ti M ►A tvi i ,F1. -\<ku.) ofc-k 'Ron Fit type ofTile: Required Testing Date Tested: 3 Florc¢: 35 lbs. THIS REPORT SUB D BY: Civil Engineer: Lab Certification # 98- 0608.04 P.E. State of FL Certificate Authorization # 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 Testing Equipment: Chatillion 100 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. TEST RESULTS P = PASS, F = FAIL Project uVQ U. ('321.6, 31/2...: (2_ SKETCH OF ROOF JOB 3 t qe SHEET NO "*OF 2 gAid 1e- 1?-ooFd DATE 716' CONTRACTOR CHECKED BY SgALE NOTES: one. For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Ti Type Insp'r; PlQ 0 Permit No. 3cV 0 1 Name l vLt � / � (n Address 16 AA Lt �� I \t 9 ` Company 2 L `fix, • Phone # W SZ/ V 05 '§41/4'.0v NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: TAX FOLIO NO. 01R618297 2001 NOV 08 15:2 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 provi ed in this Notice of Commencement. 1. Legal de r iption of pro perty and street address: 103 V 1 v E q X313 S -k- PA. Sh oreS 2. Description of improvement: Qg -' rouf) ner(s name an • _ ddress: Interest in property: Name and address of fee simple titleholder: 4. Contract is name and address: Pa-Gt. M.5 -e r 3 3 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: - C., r't -t ,. . • 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may-be.-segr pro Provided by Section 71 3.13(1)(a)7., Florida Statutes, =� Name and address: \ 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor s Noticeas prpGid in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of'this Notice of Commencem nt: (the expiration date is 1 year from the date of recording unless a different date is specified) ame n,. , . Sworn to and subs Notary Public 1 Print Notary's Name Nary Ilvtkz . eA i G 10 31) T/& 116±h5+1 M. chore.: fore me this t a. day of s.M1ly, , ROBERT JOROUERA '• :.: MY COMMISSION # CC 912748 a I EXPIRES: February 21, 2004 Af t\' Bonded Tluu Notary Pubth Underedten Prepared by: P&AA.1ACquale.l. cc cr Address: L- f 5 I v • 1 d 7 L 01 33�3� Contractor's Name: Piii.lk I Ol 041 e 1. Ft. v Ft. A v Deck type: Fastener Type: ATTACHMENT SPACING Field: Perimeter: Corner: 123.01 -78 499 UNIFORM ROOFIN'' i : . f DETAIL 1 & 2 rt'jY Job Address: Page -I APPLICATION `. ,,;'' ° "0 . a` �: ro PROCF -SSNo. --" - `h to3b ME q& S- —, ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) V(Mortar-Acihesiye Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof Re-roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') v Sloped Roof Area (ft q°V Total (ft % 1 °° Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) QC ,/z/ ROOF LAN N - t z7t Ridge Ventilgt• Deck type: M EAD' HEIGHT 6 � \ b NJ.-7o in - t V Undera)ment:3L ) Fe I* Insulation: 12" ROOF SLOPL D E T A I L 3 uIIKvAu!? K SLOPED SYSTEM DESCRIPTION tv/ Fastener type & spacing: II k' Cap Sheet: Roof Covering: TILE CALCULATIONS (Pmaxl: t� i �C � (Aerodynamic Multiplier): t; ) - M q = di bL 11' r PCA: (Pmax2: C1 (i t ,� (Aerodynamic Multiplier ac( ) - M 1 1=1,4,2:H.117 PCA: U� t Pmax3: ( (Aerodynamic Multiplier): '� ( b x aor 1 6 1 )- m,: D I =1 3 : 1 "7 PCA: ' Page -2 - PROCESS No. (; i iah I 'C�il ? elf Co leni-I1) c ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Cor>Erol Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 31 Municipal Permit Application 4. Other Component Approvals • y EC'Ct,ti1 Set Owner' ` ' Agent's Signature Signature WEIN Date r ^ y 5104 APPENDIX "F•j . ...AO KDI "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it with the stains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner required roofing permit, to provide the owner with this appendix and to explain to the owner the the content this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roo?ing system installations. Additionally, The following items should be addressed as part of the agreement between the owner and the contractor. tees 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. 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 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) NO\ 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 1 \i ' M 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. 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. V� Overflow Scuppers (Wall outlets): It is required that rainwater flow of so that the roof is not ov erloaded 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. 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. Contractor's Signature ' 0 l ' AA) AM I -DAOE PRODUCT CONTROL NOTICE OF ACCEPTANCE Almar (USA), Inc. 6645 NW 77 Ave. Miami FL 33166 CONTRACTOR ENFORCEMENT SECTION (305) 375-2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305) 372-6339 A /tusa "S" 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 recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO 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, 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 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.: 99- 1102.04 (Revises No.: 97- 0918.02) Expires:12 /16/2002 Approved: 12 /16/1999 MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375-2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 3 -2553 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisco Quintana, R.A. Director 1 of 8 Miami -Dade County Building Code Compliancc Offi' Table 3: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens One Piece 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 . #8 Screw 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 • 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 , 41.8 2 -10d Ring Shank Nails' 33.1 48.1 45.2 I Installation with a 4" tile headlap and fasterners are located a min. of 2W from head of tile. Table 2: Restoring Moments due to Gravity - M (ft-lbf Tile Profile 3 ".12" or less 4 ":1 5 ":12" 6 ":12" 7 ":12" or greater One Piece 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 4.47 5.35 4.40 5.27 4.31 5.16 4.20 5.03 4.08 4.89 •J ALNIAR (USA), INC. ACCEPTANCE No. : 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations Frank Zuloaea. RRC Table 1: Aerodynamic Multipliers - X (ft Tile X (ft a. (ft3) Profile Batten Application Direct Deck Application One Piece 'S' Tile 0.253 0.274 •J ALNIAR (USA), INC. ACCEPTANCE No. : 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations Frank Zuloaea. RRC Table 4: Attachment Resistance Expressed as a Moment M, (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance One Piece 'S' Tile Adhesive 29.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance One Piece 'S' Tile Polyfoam PolyPro 66.5 Polyfoam PolyPro 38.7 4 Large paddy placement of 63grams of PolyProTu. 5 Medium paddy placement of 24grams of PolyProT" Table 4B: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance One Piece 'S' Tile Mortar Set' 24.50 ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS Y 6.1 Application for building permit shall be accompanied by.copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. nni^ ALMAR (USA), INC. DOVE: iAiL • LCCK5 10-1/ 2" PROFILE DRAWINGS ONE PIECE `S' CLAY ROOF TILE J ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Frank Zuloasa RRr: ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 1. SCOPE This revises a roofing system using Almar `One Piece S' Clay Roof Tile, as manufactured Almar (USA), Inc. described in Section 2 of this Notice of Acceptance, designed to comply with the. South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant One Piece `S' Tile Trim Pieces R30 Felt 2.1 Components or products manufactured by others Product R43 Coated Base Sheet NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Category: Prepared Roofing Sub Category: High Profile Tile Dimensions 1 =18%" w= 10" '_" thick nominal 1= varies w = varies varying thickness Dimensions N/A N/A Test Specifications Product Description PA 112 High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications. PA 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Specifications Product Description d ASTM D 226 Saturated organic felt to type I1 be used as a nailed anchor sheet. ASTM D 2626 Saturated and coated organic base sheet for single or double ply underlavm Manufacturer generic generic C., .L 7..1... Ono ALMAR (USA), INC. ACCEPTANCE No. : 99- 110104 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 3. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluaticn of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages I through 7 and this last page 8. END OF THIS ACCEPTANC C.o.. 7..i... on• ALMAR (USA), INC. Mineral Surface Cap Sheet Rainproof 11 Ice and Water Shield Wood Battens Tile Nails Tile Screws Product Roof Tile Mortar ( "TileTiteTm ") APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions N/A ASTM D 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. 30" x 75' roll 36" x 75' roll or 60" x 75' roll vertical min. l "x4" horizontal min. l" x 4" for use with vertical battens or min. l" x 2" for use alone Min. 10dx3" 48 x 2 'Y long 0.335" head dia. 0.131" shank dia. 0.175" sctrew thread diameter N/A Test Specifications PA 104 Product Description Single ply, nail -on underlayment with 2" self - adhering top edge. 36" x 75' roll PA 103 Self - adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or 1 43 as the base layer. Wood Preservers Salt pressure treated or Institute LP - 2 decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 123 ACCEPTANCE No. : 99- 1102.04 Corrosion resistant, smooth, screw or annular ring shank nail. Corrosion resistand coated square drive, galvanized, coarse thread wood screw Prepared mortar mix designed for mortar set roof tile applications. Frnc• 7nlneno DQ(' _. Manufacturer generic Protect -O -Wrap, Inc. with current NOA, W.R. Grace Co. with current NOA generic generic generic Bermuda Roof Company, Inc. (with current NOA) ALMAR (USA), INC. Product Quickcrete Roof N/A PA 123 Tile Mortar Roof Tile Adhesive ( "Polypro0 A H 160 ") Tile -Bond 3. LIMITATIONS NOTICE OF ACCEPTANCE: Test Dimensions Specifications N/A See PCA Factory premixed canisters See PCA ACCEPTANCE No. : 99- 1102.01 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product Description Prepared mortar mix designed for mortar set roof tile applications. Two component polyurethane adhesive designed for adhesive set roof tile applications. Single component polyurethane foam roof tile adhesive d Frank Zuloacza. RRC Manufacturer Quickrete Mortar (with current NOA) Polyfoam Products, Inc. (with current NOA) Flexible Products (with current NOA) 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified La3oratory to perform quarterly test in accordance with PA 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel 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 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, IntercomlTeleph. 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 QTY. TYPE 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY TYPE Soakage Pit QTY 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: Page 4 OFFICE USE ONLY CHECKLIST ❑ . OWNER - BUILDER FORM (Attach) O 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) ❑ OTHER (Specify & Attach) a $ 3 b o () (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works BY Structural Building Official DATE 7 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL 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 J Date 4-11-00 Job Address Legal Description Historically Designated: Yes Owner/Lessee / Tenant Owner's Address State # FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Mary Mncenir 1016 N F 96 Street Tax Folio ContractingCo.Ouality Roofing Cnntractnr, Tnr Qualifier Carl nG Arnrhp RC0058627 Permit Type (circle one): BUILDING WORK nrSCRIPTION crev o.‘\ nee -v Square Pt. - B` * .•� d-a Notary as to vi wner and/or Condo Pres My Commission Expires: Municipal # ignature qn er and/or Condo President 111 L h ' Z MARYLOU HERNAND . � i� fix MY OOMMISSION 0 00 680474 rs EXPIRES: October 10, 2001 " ;'''' Bonded Thru Nottny Public Undemitters RADON Building SS# Competency # 17889 Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address ELECTRICAL IPLUMBING MECHANICAL ROOFING PAVING FENCE SIGN c v�� � ne c lQ_ c,zre re vim.-. 4=c L b 43 - -' I 1.c) ∎ ins.., � -� � $ c - tc- re i /1,S" . (A Estimated Cost (value) $ � 300- WO WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. �7 // 3 !� Date Signature of Contractor ate APPROVED: Zoning Mechanical Plumbing 50 Master Permit # Phone 757 6003 A d d r e s s 1 1 / 1 0 0 N TAT 1 qt LQ(.0 Notary as to Con ctor or Owner - Builder Date My Commission Expires: C.C.F. NOTARY BOND Electrical No Avenue Phone 751-0187 r Owner- Builder Date I °��' �IAARYLOU Pi as EXPIRES: October 10 880474 ° `: °' Bonded Pau Notary 2001 . Nom P ��lk Una ten TOTAL DUE Engineering ::;1E APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the rooling 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 or this fort,. The provisions of Cr.apter 34 of the South Florida Building Code (SFBC) govern all the minim :m requirements and standards cf the industry for roofing system installations. Additionally, We 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. c 1. Aesthetics- \Vorkmanship: 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 or the agreement between the owner and the contractor. �?cC 12. Renailiug \Mood 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) 2 ,G 2093. Common Roofs: Common roofs are those which have no visible delineation between neie.hborine units (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 ■vork to be performed. )1CG22--(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 n::il penetrations of the underside of the decking may not be acceptable. The SFBC provides the option or maintaining, this appearance. ere )/15. 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 or the roof. Ponding can bc an indication of structural distress and may require the review of a profes 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. i t 1I. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is overloaded from a build up of water. Perimeter /edee \valls or other roof extensions may block this dis :karce i.` overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in a :eordan.c with Chapter 23 of the SFBC. Jl17. Ventilation: Most roof structures should have some ability to vent natural air(lo'.' thro.luh i:,teri:- of the structural assembly (the building itself). The existing, amount of attic ventilation shall not bc rec'nccd. may bc beneficial to consider additional venting, %'hick can result in extcndine the service life or the roof. C ' The owner may contact the tvlianti -Dade County Consumer Services Department for ferthc; information retarding the above. O%vncr's/ gent's Signature Date 6 — /I- .) - /e)c) Contractor's Signature Appendix "E" rl UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ventilation h MEAN HEIGHT Deck type: 1 Underlays nt: Insula on: D E T A I L 3 SLOPED SYSTEM DESCRIPTION ner type & spacing: Cap Sheet: Drip edge: ATTACHMENTS REQUIRED 1 ire Directory Listing Page 2) Mt i -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 TILE CALCULATIONS (Pmaxl: x a odynamic Multiplier): ) - M = M . PCA: (Pmax2: x X (Aerodynamicult )- M , = M (Pmax3: x X. (Aerodynamic Multiplier): ) M = M 3 : PCA: Page -2 PCA: (Pmaxl: X I\ odynamic Multiplier): (Pmax2: X A, (Aerodynamic Mull (Pmax3: X a, (Aerodynamic Multiplier): Ap, endix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: D E T A I L 3 Underlay» nt: a• Insula on: Fasten r type & spacing: 12" ROOF SLOPE SLOPED SYSTEM DESCRIPTION Cap Sheet: Roof Covering: Drip edge: ATTACHMENTS REQUIRED 1 ire 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 TILE CALCULATIONS ) - M = M PCA: M� = Mr2 Page -2 PCA: PCA: Contractor's Name: Q 1 `r`( � ODk J eDAh tJvr Job Address: 1031e . '_ 9 ID Sft ce-+ ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof ❑ Re- roofing ❑ Recovering Q' Repair ❑ Maintenance Flat Roof Area (ft') Sloped Roof Area (ft Total (ft Master Permit No. Exposure category (per ASCE 7 -88): c Building Classification category (per ASCE 7 -88 table 1):- Ft. Ft. V A Deck type: ATTACHMENT Fastener Type: Field: SPA CIN Perimeter: Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) r ROOF PLAN 123.01 -78 4/99 Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. HUILDING ❑ ' LEECTRICAL ❑ PLUMBING ❑ ;zOOFING Owner of Building Architect Address of luilding In consideration of the issuance to me 'ertaining thereto and in strict conformity with =epting this permit I assume responsibility for /4 r, MIAMI CONTRACTOR OR BUILDER SHORES VILLAGE. FLORIDA DATF PERMIT N° 6629 4 _* "Jontractor ' ` Jr Builder ., . s w _ d ° 40 , • J 0 /', legal Lot t� Description +' Bl 3one by his agents, servants or employees. �., ,!^ /, �✓�� - o ,rh ,j t . 'a, Signed• s Work to be performed under this Permit Subdi- vision Value of Project $ 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 application 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 iime 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations uertaining to the work covered hereby whether shown on the plans or drawings or in the statements or-specific ns and that he assumes responsibility for work 'INSPECTOR 195 Contractor's License No. Amount of Permit $ BY AUTHORITY BY • of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac. all work done by either, myself, my agent, servant or employee. Owner's Name and Address.. Mnrwood Registered Architect and /or Engineer Estimated Total cost of improvements $ 1400 ADO (Signed) . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. Name and address of licensed contractor n Roofing & Tile Co. , /an Street and Number where work is to be done___ 0 3 6 NO E Q 9th St Q 4 „ Miami Shore s State work to be done and purpose of building (by floors) g e= — e F New Building X Remodeling Addition To be constructed of Kind of foundation Permit No f Date_ Disapproved _ A _ „? D e Date January 16th 195 ,19 No. 1036 Street N EQ.. 96th S t o p nc, p 430 No W. 79th Sto Miami Fla. Location and legal description of lot to be built on: Lot Block Subdivision Fla. I4o.rs a- Repairs No. of Stories Roof Covering white barrel tile 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 pennit 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. LANG ROOFING & TILE CO. INC ,' Remarks (Signed) G lirz 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 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 true. r? ° 5 L Read, Sworn to and Subscribed before me. and for no other purpose. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING 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. '1'