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ROOFINGDate/ Job Address /O 4s ,s 9 4.7 Tax Folio Legal ' pion Historically Designated: Yes No I/ 1 7 / 9 q5 Owner/Lessee / Tenant f �. Owner's Address ! Phone 7.5 /.r2.8 � 6 A/ � f � ����' Contracting Co. 06 gA) e) J,C. 1400 pc,,i» Address 930/ � ee ,idu g Qualifier State # d b ti / Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILLG ELECTRICAL PLUMBING MECHANIC WORK (DESCRIPTION Square Ft. APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE od Pen Address T ,Otc'F rn2 /s! o t y Estimated Cost (value) Notary as to 1 er and/or Condo President My Commission Expires: row.. lJ� " 30tiJ?:-D Yn 1Jvri Of 0 ATLArd' ;, ONOING CO„ — FEES: PERMIT on RADON "' °` ' C.C.F. nt/ /9 9'e rl or Building Electrical Master Permit # SS# Phone 73 7 / Competency # Ins. Co. Oita )n'i Address Address ` AVING FENCE SIGN /-34 /LCo p 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 tated. ture of Contractor or Owner - Builder 1 ate Q otary as to Contractor or Owner - Builder My Commission Expire,,:, (' ..z ..:;,.� l.L, " '.4 ' i f .� ® v4' ARAM BONDING N C O . t9t : , 3 . NOTAR BOND TOTAL DUE 3 e/e to Plumbing Structural Engineer 12 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: 99R598175 1999 NOV 23 13:00 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street . address: t/ 05 1 /f MJ1z 1 i S/2orr, / P2 31)3g 2. Description of improvement: 6. Lender's name and address: 8. In addition to himself, Owner designates the follow' Section 713.13(1)(b), Florida Statutes. Name and address: Sig ; fro o1 Owner Print Owners Name 04e, ShQ 12d/JoPP 16 rools#T44,. 3. Owner(s) name and address: )A. /O 5-4" /UC 9! th Interest in property: 514-0 s re 3 3 / 3 Name and address of fee simple titleholder: 4. Contractor's name and address: 1 A./0(Az, ,Poo - � q ;01 Ag, kiX AYE LS /I i R 3 I/ 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Sworn to and subscribed before me day of AI ,107 , ,1% Po Si.. ,, F.' , ,: , n, ';,?I Address: 4'!904 /7i/,<) .51 - Notary Public . rr Q EXPIRES mAr l t. 2 ,dr7l� 1 # t_ 33 °� �� t;Uidutu i:iXC:.r,,t! J Print Notary's Name .5 ' A - ‘,I4' ATL ANTIC _ .. BONDING cOa �. • My Commission Expires: 129.0142 lose /• .oitE OF FLORIDA, COUNliC OF DADZ HEREBY CERTIFY that this is a true o of tbo� r riginot in t Is office on ,A.O.1 •tf TNESS my h. nd o,'d Of icial Seol. HAVE MEW: of circuit anti CountyCou person(s) to receive a copy of the Lienor's Notice as provided in Prepared by: -.�— ' ` 7 ? Contractor's Name: Obe,No(14_L /014 i ROOF CATEGORY (Low Slope Application) ❑ (Nail -On Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof 1211 Re- roofing ❑ Recovering \ Repair 0 Maintenance Flat Roof Area (ft') Sloped Roof Area (ft') Total (ft') Master Permit No. Exposure category (per ASCE 7 -88): e, Building Classification category (per ASCE 7 -88 table 1): 1 r Ft. A v Ft. A v Deck type: IIV oOd Fastener Type: Field: ATTACHMENT SPACING Perimeter: Corner: DETAIL 1 & 2 Appendiz "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Job Address: ❑ ( Metal Roofs \Wood Shingles & Shakes) ROOF TYPE ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page-1 r r 1051 NE c1p' &t r r r (Mortar- Adhesive Set Tile) ❑ (Other) ROOF PLAN (Pmtcal (Pmas? W tip+ ) LICXT D B D E T A L SLOPED SYSTEM DESCRIPTION Underlayment: Insulation: Fastener type & spacing: Cap Sheet: •X (Aerodynamic Multiplier): ,� �• v X X (Aerodynamic Multiplier): _ 1 ) - M ? = M (Pmas3 (p° X X (Aerodynanuc Multiplier): ° � ) - M ° = M Page -2 TILE CALCULATIONS PCA 9 rbo PCA: 008.1 1 •� • PROCESS No ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade Counry Product Control Notice of Acceptance -Cover Sheet a) Speci5c System Dcsenpoon b) Specific System Ltmrtanon c) Genera) Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals 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 pan of the agreement between the owner and the contractor. I 1 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be ailed 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) --T 3. Common Roofs: Common roofs are those which have no visible delineation between ghboring 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. S 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking c n 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 ay 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. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not 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. 2 — 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the c rior 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 ioof. 5104 APPENDIX "F" ner's /Agent's Signature Date Contractor's Signature Signature >'� PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 N.W. 20 St. Boca Raton, FL 33431 Your application for Product Approval of: Monier Lifetile Nail -On, Mortar Set or Adhesive Set "Atlantis Shake Or Slate" Roofing Tile under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service Industries, Inc.. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -8 and the standard conditions on page 9. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0604.01 Renews No.:95-0322.06 EXPIRES: 08/27/98 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charte' -D er, P.E. Director Building Code Compliance Dept. 1 APPROVED:8 /27/20 1 Metropolitan Dade County V / Raul Rodriguez Chief, Product Control lL� 01%16.99 FRI 09:37 FAX 561 338 5391 MONTER LEFETILE LLC 6 t: Mooier Lifetile LLC 135 NW 20` Street Boca Raton, FL 33431 Ca;e� ry: Sub•Catetorv: Tsge: Sub -Tyke: Trim Pieces Product J30 Fel: 4+43 Coated Base Sheet Mineral Surface C -:o Sheet Rainproof II PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Prepared !tooting Flat Profile Tile Nail-on/Mortar Set/Adhesive Set Concrete TRADE NAMES OF PRODUCTS M.AiNT FACTURED OR LABELED BY APPLICANT Test Product Product Dimensions Specifications Description Monier Li fetite Atlantis (= IS" PA 112 Flat, interlocking, extruded corcrete root' the Shake Or Slate Tile w , 10 3/3" equipped with two nail holes. For direct cec.k-e■ Ott -*t?, mortar or adhesive set IV." thick applications. l = varies w n varies varying thickness TRADE NAMES OF PRODUCTS MANUFACTURED OTELERS Dimensions N/A N/A N/A 30" x 75' roll 36" x 75' roll or 60" x 75' roll MONIER LIFETILE Test S pecifications ASTM D 226 type 11 ASTM 0 2626 ASTM 0 249 PA 104 ?acre 2of9 -•a-• MEDITERRANEAN 43003 Product Control No 98- 0604.01 Product Control No.: 98- 0604.01 Approval Date: August 27,1995 Expiration Date: AAuoast 27,2001 PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product Descrip tNIgnyfacturer Saturated organic felt to be generic used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underlayment. Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlaymer..r system. generic generic Protect -O -Wrap, in;. Single ply. nail -or. underlayment with 2" self- with cur -ent PCA adhering top edge 1 , r1ONIER L[FETILE LLC Product Control No 93- 0604.01 Shield Tile Nails Tile Screws Roof Tile Mortar ("T ;(eTiteT" ") Roof Tile Mortar ( "Quikretell. Roof Tile Mortar 01140") Roof Tile Mortar ( °BONSAI® Roof Tile Mortar Mix") Roof Tile Adhesive (Polypro® AH160) Hurricane Clip cot Fasteners Th: Center for Applied Engineering, Inc. min. 8d x 3Si" or min. IOdx3" x3 x 2'/;" long 0.333" head dia. 0.131" shank dia. 0.173" screw thread dia. N/A NiA N/A NI Clips min, A" width min. 0.060" thick Clip Fasteners min, 3d x 1' 4" Test Anent: Test Idcntifcr Redland Technologies 7161.03 Appendix II( PA 114 Appendix E PA 114 Appendix E PA 1/3 PA 173 PA 123 PA 110 PA 114 Appendix E EVIDENCE SUBMITTED 94 -0S4 Page 5 of 9 underlayMent for use as a top ply in a two ply underlayment system with Approved .30 or ;413 as the base layer. Corrosion resistant. screw or smooth shank nails. Corrosion resistant, coated. square drive, galvanized. coarse thread wood screw Prepared mortar mix designed for mortar set rocf tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar m it designed for mortar set roof the applications. Adhesive designed for use Polyfoam Products. in roof the applications. Inc. with current PCA Corrosion resistant bronze. aluminum, stainless steel. galvanized steel or plastic attachment clips for supplemental the ar.achtnent. Clips are installed with corrosion resistant roofing nails compathle with the chp. A hurricane clip is required cn all nail -on cove tiles. Test Milne /Rcnnrr Static Uplift Testing PA 1 PA 102 & IO2(A) Static Uplift Testing PA 10( with current PCA generic generic Bermuda Root' Company, Inc with current PCA Quikrcte Construction Products .vi current PCA W.f.. Bonsai Co. with current PCA generic t)ate Dec !99I May 1994 •ran • Lu!oaza R.RC Rooting Product Control Examiner '0.3.11.-'99 THI 17:17 FAA 5b1 spa MONIER LIFETILE LLC The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center For Applied Engineering. Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering. Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Professional Service Industries, Inc. 94 -060A 25- 7094 -2 25- 7094 -3 25- 7094 -5 25- 7183 -6 25-7183-5 25 7214 - 1 25 7214 - 5 7161 -03 Appendix 11 Letter Dated Aug. I, 1994 P0631 -OI PO402 Project No. 307025 Test 4iMDC -77 224 -47099 333 -37003 MU JL1\ LL1 L.11 LL Page 4 of 9 Product Control No 98- 0604.01 Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck. New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, U wPra) Static Uplift Testing PA 102 (4" Headlap, Nails. Direct Deck, Recover /Rcroot) Static Uplift Testing PA 102 (2 Quik -Drive Screws. Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Scrcws,zett- ) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, m) Wind Tunnel Testing PA 108 (Nail -On) Physical p PA•L \._% /( ''T ----- / - March, 1994 Ocr 1994 Oct. 1904 Oct. 1 994 Feb. 1 995 Feb. 1995 March. 1995 March, 1995 Dec. 199 I Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) Wind Tunnel Testing July 1994 PA 103 (Mortar Set) Withdrawal Resistance Testing or Sept. 1993 screw vs. smooth shank nails Wind Driven Rain Oct. 1994 PA 100 Physical Properties Sept. 1994 PA 112 904 Rooiinv. Product Control E.Camu;tr MONIER LIFETILE LLC SYSTEM D: Slope Range: Underlayment: Roofing Tile: Comments: SYSTEMS SYSTEMS 1' l plywood is an acceptable substrate. Comments: 1. For re -roof applications, / p Y� Deck Type: Wood. von- insulated 19 Deck Description:New construction / or greater plywood or wood plank. SYSTEM B: Direct Deck Application Slope Range: 4 ":1 to 7 ":12" Note: System B is only acceptable in this scope range. Underlayment: Install underlayment system in compliance with Dade County Application Standard PA 118. Rooting Tile: Install tile in compliance with Dade County Application Standard PA 1 I S. (See "Data for Attachment Calculations" included in this Approval.) Deck Type: Wood, Non - insulated Deck Description:New construction /,," or greater plywood or wood plank. Product Control No 9S- 0604.01 Mortar or Adhesive Set Application 1 ":1 1 " to 7 ": 12 . ' Note: System D is only acceptable in this slope range Install underlayment system in compliance with Miami -Dade County Application Standard PA 120. (See System Limitation #5.) Install tile in compliance with Miami -Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this .Approval.) 13 1. For re -roof applications. /,," plywood is an acceptable substrate. Page 3 of 9 Frank Zuloa�,a RRC Roofua; Product Control Examiner Table 1: Aerodynamic Multipliers - X (ft') i from PA 108 Testing Tile X (ft') X (ft') Profile Batten Application Direct Deck Application Bermuda Flat Flat Tile N/A 0.24 Tile Profile Monier Bermuda Flat Tile Table 2: Restoring Moments due to Gravity - M (ft -Ibf) — from PA 101 Testing 3 ":12" or 4 ":12" 5 ":12" 6 ":12" 7 ":12" or Tess greater 5.20 5.12 5.01 4.89 N/A Table 4: Attachment Resistance Expressed as a Moment - M1 (ft from PA 101 Testing Tile Profile Monier Bermuda Flat Flat Tile "` ,' V.J01 10.01th L1t .11L1r' DATA FOR ATTACHMENT CALCULATIONS Tile Application Mortar Set Adhesive Set Page 11 of 13 Product Control No.: 96- 0528.06 Attachment Resistance 39.00 118.90 Frank Zuloaga Roofing Product Control Examiner E2] 012 Table 2: Attachment Resistance Expressed as a Nloment - elf (ft -lbf) for Nail -On Systems' Tile Profile Tile Application Approved Nails Approved Screws" Approved Field Clip With: Approved Eave Clip With: 1 nail 2 nails I screw 2 screws 1 nail 2 nails 1 nail 2 nails Monier Litetile Atlantis Shake Or Slate Direct Deck 9.30 13.50 30.80 51.70 24.30 35.50 19.00 31 90 Tile Profile Tile Application Two (2) IOd x 3" long nails Monier Litetile Atlantis Shake Or Slate Direct Deck NOV Construction (min. 19 /31" plywood) 65.50 Direct Deck Recover /Reroof (min. l /3 plywood) 50.30 i Table 3: Attachment Resistance Expressed as a Moment - Nlf(ft -Ibl) for iVlortar or Adhesive Set Systems j Tile Profile Tile Application Attachment Resistance 1 Monier Lifetile Atlantis Shake Or Slate Mortar Set 39.00 Adhesive Set 1 1 S.90 O3. 11- 9 THU 17:24 FAX 561 336 o3`oi Tile Profile Monier Litetile Atlantis Shake Or Slate Tile ONIER LIFETILE LLC Product Control No 98- 0604.01 DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - . (ft X (ft Direct Dcck Application 0.341 ' Data noted in Table 2 is for installation with a 3" t headlap. Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Table 2 - A: Attachment Resistance Expressed as a Moment - tVlf (ft -1bo For Nail -On Systems'.. 'Tile installation with a 4" head lap using two (2) Approve l Od x 3' . nk on , ring sha na installed in manufactured holes located 21/2" from the head of the tile. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Page 7 of 9 Frank Zuloaga RRC Rooting Product Control Examiner 03:11/99. THU 17:22 FAX 561 333 5391 Y MONIER LIFETILE LLC Product Control No 98- 0604.01 Fire classification is not part of this acceptance. MONIER LIFETILE rej 001 SYSTEM LIMITATIONS The standard minimum roof pitch for Monier Lifetile's "Atlantis Shake Or Slate ", low profile tile shall comply with Miami -Dade County Roofing Application Standards PA 118 and PA 120, depending on the method of 3. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the pre - formed holes in the tile. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127. The tile profile listed herein has been tested for both wind characteristics and static uplift performance , therefore. attachment calculations for installation in compliance with PA 1 1 5 or PA 127 shall be done as an 'rivtoment Based System' 5. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited resting agency, in compliance with Miami -Dade County Protocol PA 106, shall be performed. 6. For tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 8. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit. a copy of Monier Lifetile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Rooting Component used in the proposed tile application. Reference shall be made to appropriate data for the required tire ratin. 9. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Pale 6 of 9 Frank Zuloaga RRC N1ONIER LIFETILE LLC Product Control No 93-0604.01 r.:. WATERLOCK Profile Drawing 1 " • . .•••••44- 4 •. .._.•••• 161/e" NIONIER LIFETILE ATLANTIS SFIAKE OR SLATE31LE Page 3 of 9 lifa" rnL u °an R Roormg Product Control Examiner 0311 THU 17:27 FAX 561 338 5391 MUjNIth LIttl1Lt NTOti LITETILE LLC Product Control No 98- 0604.01 Monier Lifetile Roof Tile ACCEPTANCE NO.: 96- 0528.06 135 N.W. 201' Sr. APPROVED: August 27,1998 Boca Raton, FL. 33431 EXPIRES: August 27.2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Metro-Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents. where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 9. END OF THIS ACCEPTANCE Page 9 of 9 Frank Zuloaga RRC Roofing Product Control Examiner 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 ?7.¢1c- 5`77. D 26 — b lat .3) 51 2 27 11 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 50 75 Owner's Name: Job Address Du Quesne & Consulting Engineers Testing Laboratory ssociates, Inc. ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WltTH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION DR. . \A pk 1 `a \ Permit #• 4 , ®, Roofing Contractor 05V- I�OOf. - ROD cl 4 '� Type of Tile: ' 1 �,V 1 �T1 - '' 1 Date Installed l•2.O • 00 Approximate Roof Height 14 feet Roof Pitch ; Type of Access to Roof: Scaffolds Ladder Other Approximate Square Footage of Roof: 'Soo ft I Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested -"2,4 .O0 TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK UTR 16645 Environmental • Civil • Structural Building Inspection Services IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. e Du Quesne, P.E. Engineer 24513 Du •uesne & Asso = es, Inc. E.B. License #0005245 Lab Certification #94-0318.01 THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 4 JOB SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES. vit KETCH OF ROOF ZoF SHEET NO CALCULATED BY CHECKED BY SCALE DATE DATE 1 �1 0 1 g NOTES' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /DDS N E 99 S7 Tax Folio I t 24% 01 37/1) Legal Description Historically Designated: Yes No Owner/Lessee / Tenant E- , R0 bet`7(, - 72h An, Master Permit # Owner's Address / d s' n E Contracting Co. D bell o4.i/1 7420 "Cie), ' SJtidcileVOAddress 9�5� rL 'r (� I�4M;�harrl ,'( 37)3A Qualifier . j azo c 3 �. /2J24, B� Phone i n "7 - o? GG / state .# COOS q..9126 Municipal # 6 T v Competency # Ins. Co. Architect/Engineer Bonding Company Mortgagor WORK DESCRIPTION Square Ft. s o/1 hs,if Si a e of own 'r i or ondo President Date FEES: PERMIT APPROVED: Zoning Mechanical RADON Building /a /9 c ern . Notary as to Owner an ....__ •. • • f N 1 Date Art My Commission Exp t s: C - A ii Npr('AP•Y PUBLIC STATE CY COMMISSION N �•:jI i. _s. '�1 MY COMM S\- 2„•, Address Address Address Phone Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFIN r PAVING FENCE SIGN racr ohs 57 ) - 1 � ik Y6 /( � k Co / D IGt, b � / / � 2)0 6O 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 in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named c , tractor to do the work stated. ignature of Contractor or Owner- Builder 1 ate C.C.F. 1 NOTARY Notary as to Con actor or 0 - der _ Date My Commission Expires: C 'z I, - - _. .6 q �y� 7MIC3XN DC C0 .JC. C ) � :r:r-� Electrical TOTAL DUE t t m79 9 c:2/9/9 Plumbing Engineering PERMIT NO. STATE OF FLORIDA ) COUNTY OF DADE ) Surety's name and address Bond Number Lender's name and address 3TATE OF FLORIDA, COUNTY OF DADS hir !s : uo copy Vhla office en / of the r /� c'oy 9 u6 S. nd UOftcry e Lt th, c I�. - X- a (Print Owner's name) PBZ 142/91 �• �� OFFICLAL 'CYCARY S My commission expires: SANDRA r: o5RN OUR I NGTA Y PUBLIC SATE OF FLORIDA COM '�. ✓.Mi:9:if}iti NO. C;'.265272 t. f•, "::I C ?.:PT' ti; Dis: EXP. NIAN. 12,1997 y d Ccr:o • PLANNING, BUILDING & ZONING DEPARTMENT NOTICE DF COMMENCEMENT 9 6 R0 6 2 7 1 CI 1996 FEB 13 12050 FOLIO NO; , " I t - V d6 Ui - 3 7 ,'V THE UNDERSIGNED hereby gives notice that improvements will be made to the real property located at 05 SS ./2 C 9 6 5.-r in the City of Miami, Florida, and in,accordance with Chapter 713 of Florida Statutes, the following information is provided: Legal description of property: Lot(s) Block of General des of improvements . t Owner /Title Holder's name ✓ Igo �-v� �)4� and address, i� different. from Sob address Contractor's name Obe li 1 ►_ (n 3 0 i Gi and address 9.401237: I: /0 byrl Expiration date Person within the State of Florida, designated by Owner to receive service of notices or other documents as provided by Section 713.13(1)(a)7 of Florida Statutes: Name address Person, in addition to owner, designated to receive a copy of Lienor's Notice as provided in Section 713.13(1)(b) of Florida Statutes: Name address Unless a different date is .specified, the expiration date of this Notice of Commencement shall .be one (1) year from date of recording. Sworn to and subscribed before me on this 1 day of / ignature ° Own r) ,19 '3 Notary Public P«n• 4 0 k*1 V;11.) MMIO p/1t)B Monier Roof Tile 1900 Northwest 21st Avenue Fort Lauderdale, FL 3311 I Your application for Product Approval of Jcr_ Ras under Chapter R of the Metropolitan Dade Comity ode governing the use of Alternat Types of Construction, and completely described in the plans, specifications and calculations as ltedlancl Technologies, e Materials and tics, The Center for Applied Engineering, subnt1 as been recommended for acceptance by the Building � Inc. ittc and Professional Scrv(rc Industries, Inc. has Florida under the specific and standard conditions set forth herein. Department to be used in Dade County, The approval shall be valid for a period of three years. The Building Code Compliance Oc artine right to secure a product or material at any lime fora jobsitc or Manufacturer plant for qualit control product or material fail to perform in the approved manner, the Code Compliance Department p ttt reserves the or suspend the use of such product or material immediately. The Code Compliance Y o1 testing. !f he right to require testing o ire lcstf this product lc material should any amendments may revoke, modify enacted to affecting this product of or material. t i o Florida department reserve to the South C Building Code be The expense of such testing will be incurred by the Ivianufacturcr. PRODUCT NO. : ACCEi'TANCE NO.: 9�t -122 Raul Rodriguez EkP1RES: DEC 2 ? 1997 Product Control Division Supervisor THIS IS TIIC COvEI2SI1[sLT, SEE _ PLEASE NOTE - S ADDITIONAL PACES FOR SPECIFIC AND GENERAL CONDITIONS. IIUILDiNG CODE COMMI fTF, This application for Product Approval has been reviewed by the Metropolitan Dade County Building Compliance Department and approved by the Building Code Committee to be used in Dade County, Fl u ode the conditions set forth above. DEC 2 7 1994 � . ndcr APPROVED: t;'; • METT1Oi'OLITAN DADE COUNTY, FLORIDA MEMO•DADE J LAOLtyp dUILIDING. UWlp:NO CODE COMpLIANC4 DEPAt1TM1;11T SUITE IGO • METRO•DADE FLADLER BUiLDINO 110 WEST FLAOLER STREET MIAMI, FLORIDA 33130.1503 Mx t3os) 7iO CharicaPangcr,1'.E., Direct... Dullding Codo Compliance Department Metropolitan Dade County 0 • 1 7 B I ELER Q j2{zli��ns; Monier Roof Tile 1900 Northwest 2Ist Avenue Fort Lauderdale, FL 33111 Prepared Roofing Stl 2-('ni • Tile Mortar Set/Adltesive Set 12.C: Concrete PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Monier Roof Tile is a member of the ItcdL•utd Grou p, a world wide producer of primary building products and roof tile. Monier manufacturers concrete roof tile for , tail -on, mortar set or adhe ' applications in plants throughout the United States ranging bt►t6 from Washington State to manufactured from extruded concrete consisting Florida. All tile is rve set oxides, and blended aggregates. " c b of t7ortland Cement, plasticizer, iron and metallic oxides, (iSi.Ib il(21 i arsmlrcl1_ � t_es (L Mnni �Srtttu 0ilu hint. LApproyals_ft.)atl> tile_prQrtlgs• - - .._sIn.Clnt tilt Monier sells tile systems through local distribution and directly to consumers. All rofiles h - matching trim pieces used for rake hi p ridge p aye as underlayment, ventilation systems and flashing ems are ot These accessoavailable. system aacceso sure manufactured for all profiles and form a part of this Product Control Approval. ries are ufa Monier's "Bermuda Flat" roof tile has been tested in compliance with the South Florida Bttil Code requirements for concrete, mortar or adhesive set tile a roof slo Iic. ions. The minimum ro ding M onier's "Bermuda Flat" mortar or adhesive set tiles shall be 2":12". See the "Profile Draw on for tile in this approval for the "Bermuda Plat" profile drawing. The Monier "Bermuda Flat" ing" profile has been tested for both wind characteristics and static uplift performance, therefore any consideration e erof ha installation shall be done as a 'Moment Based System', Data for attachment calculations for arrests is noted its Tables 1 through 3 of this approval. Contact: Reese H. Moody Technical Service Accessories Manager 1900 NW. 2Ist Avenue Ft. Lauderdale, FL 33311 (800) 432 -2715 9+24 P02 Hilt) 1 t "=.1c; 5 0_r : Product Control No.; Approval Date: C 7 l g 9 4 Expiration Date: 7 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY'APPLICANT Trim Pieces P I ELER Test SltiGstijLtut5 Product Dcrmuda Plitt Flat 1.. IS« rip110ii Tile PA 112 Flat, interlocking, extruded concrete w 101/1" roof Tile equipped with two nails holes. I W thick For mortar set or adhesive set applications. — I-. varies w ® varies varying thickness 2 PA 112 924 P03 hli=ii.,' 11 09:54 Product Control No.: Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile, L'latu i 1/30 Felt 1/43 Coated Base Sheet Mineral Surface Cap Sheet Lcnzingtex -z(3 140 59" x 164' roll Underlayment 22 Ibs /roll Rainproof 11 Ice and Water Shield 36" x 75' roll Mo pping Asphalt Flashing Cement 7.:;171F-1-=.3.-7.;-9974 B I ELER Product Control No.; TRADE NAMES OF pnopuC7,s MANUFACTURED OTIIE12S 30 " x 7 5'roll 36" x 75' roll or 60" x 75' roll N/A N/A Pdatzuslous N/A N/A N/A ASTM f.) 249 M 104 PA loll PA 103 ASTM D312 type 111 or IV ASTM D 4586 3 Test I[isa�s ASTM D 226 type 11 ASTM 1) 2626 Single ply, nail -on underlayment with self - adhering top edge. Se /f- adhering underlayment for use as a top ply In a two ply underlayment system with approved 1130 or 1143 as the base layer. Asphalt for bondin a mineral surface cap to a mech. attached base sheet in a double ply underlayment System. Cut back, asphalt based, asbestos free, (ibe reinforced, Vomit vde cement A or�epand flashing pp Icatlons. P134 NO ,' 1 Ei ,q9 139.55 Product Dracrialittil Maargsig Saturated organic felt to be used as a nailed generic anchor sheet. Saturated and coated organic base sheet for generic single or doubl pl u nderlayment. Mineral surfaced asphalt roll roofing for use as a lop pl in a double ply underlayntent system. Single ply, nail-on underlayment. generic Lcnzing Performance, Inc. PCA 1194.0527,05 Protcct•o_Wrap, Inc. 2 " PCA 1194 - 0714.01 W.R. Grncc Co. PCA 1192-1116.01 generic generic Earl uct Asphalt Primer Roofing Nails Tin Caps Tile Nails Roof Tile Mortar ( "TileTitc ") Roof Tile Mortar ( "Quikrctc0 Roof Tile Mortar /11140 ") Roof Tile Mortar ( "13ONSAL® Roof Tile Mortar Mix ") Roof The Adhesive (Polyproe AH 160) Valley flashing 3n5 E I ELER Ditataishum N /A\ min. 12 ga. with ' / head min. 32 ga, min. 1' 4" o .d, max. 2" o.d. min. 8d x 2 or min. 10d x 3" N/A N/A N/A N/A ruin. 26 ga, min. 16" width Test � Product La ASTM U 41 Cut back, asphalt bnscd coating used to facilitate bonding of dissimilar materials. PA 114 Appendix E PA 114 Appendix 1: PA 114 Appendix R PA 123 PA 123 PA 123 PA 110 ASTM A 52S 924 P05 Corrosion resistant circular disc for ttse in uttdcrlayment attachment Corrosion resistant, screw or smooth shank nails for additional tile attachment at cave tile courses, Prepared mortar mix designed for mortar sct roof tile applications, Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortal set roof Lila applications. Adhesive designed for use in roof file applications. .Catvanized steel valley flashing NOV 10 ' 95 09:55 Product Control No.; Annular ring shank, itot dipped, clectro or mechanically gaiv. roofing' nails for use in underlaymcnt attachment. blarlillfst,titcx generic generic generic generic )icrmuda Roof Company, Inc. PCA 1194- 0614.01 Quikrelc Constructio Products PCA 1194- 0808.01 W.k, Bonsai Co. PCA 1 /94- 0628.03 Polyfoam Products, Inc, PCA// . 94- 0A01.01 generic 7 05 - -533—c.1974 B ELER 924 P06 NO 10 'SFI 09:56 Product Coturol No.: ...11 Test Product ZO.111.C.1 Di1141111141S 5fttcittcagans nuctiatka Ma_aufardiztr Drip Edge min, 26 gn. PA 111 Galvanized steel drip 'generic min. 2" face flange edge min. 2" deck flange / - , O5-5T , 3-974 B I ELER Test A , s u The Center for Applied Engineering, Inc. The Center for Applied 94 -060A Enignccring, Inc. Redland Technologies P0631 -01 TEST REPORTS, q'. 9''4 P07 Product Control No,: L.9q.12 ---- -2 o \. Tss.LI.ds,.uliGsi Tes�_ t Nn tagns,zi Dais \ 94 -084 Static Uplift Testing May 1994 PA (01 (Mortar Set) Static Uplift 'testing PA 101 (Adhesive Set) Wind Tunnel Testing PA 108 (Mortar Set) March, 1994. July 1994 Professions! Service Industries, Inc, 224 -47099 Physical Properties Sept, 1994 PA 112 Ni iI„J 1 t=t ' 95 nci : 55 B I ELER DecicType: Wood, Non - insulated • Deck Description: New construct " / or greater 1 wood or p Y o wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: 2 ":!2" to 7":12" Note: System 1) is only acceptabl in this slope range, Unde►•laynient: install choice of approved undcrla County Protocol PA 120, in compliance t w th Section e 3.02 ) of PA 1 120. Dade System Limitation 1 /6. 120. See Install the in compliance with PA 120 using one of the approved mortars or adhesives noted in this approval. Mortar or adhesive shall be applied in compliance with the mortar n)antfacturer's Roofing Component Product Control Approval, The mortar or adhesive attachment shall provide sufficient attachment resistance expressed as a moment to tneet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. The mortar and adhesive attachment data is noted in '('able 3, attached. I. I'or re -roof applications, "/„" plywood is an acceptable substrate. 2. For mortar set applications, the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the shall be applied in mortar over a single layer ofmit num��12 gn. wire of wills square openings of not less than 3 / 8 " which is mechanically attached to the deck with not less than one roofing nail every 1 IV. i'or roof pitches from 6 ":12" to 7 ":12 ", every third tile of every fifth course, beginning at the ei hth course, shall be nailed with not less than one nail per tile. $ Roofing 'rife: Coma eats: SYSTEMS P i8 NOV 10 " Grp: 5r. Product Control No.: __21...122128___ 0 - 0 3 -9974 B I ELER SYSTEM LIMITATIONS 1 . The standard minimum rood', pitch for Monier "Bermuda Flat" mortar set or e applications is 2" rise in 12" run (2":12"). The maximum roof pitch for mortar set adhesive or set set t tilt applications is 7" rise in 12 "run'(7 " : 12 "), adhesive s 2 . 1V1onier's "Bermuda Flat" tilt profile has not been tested for nail-on System A (Count r- Batten Nail -On Application), System 13 (Direct Deck Na >I- On t a System C (Horizontal Batten Nail -On Application) do not form part of this prova� ppl i caio and p 3. System installation shall be in compliance with the system specifications outlined Control Approval. Mortar set or adhesive set tile shall be attached using an approved tile adhesive noted in this approval, the data of which is noted in Table 3 of this Approval. The lutrd in this Product method of attachment utilized shall provide sufficient attachment resistance. Pp ec1 mortar or to meet or exceed the required moment of resistance determined in compli nce with Dade nCounty Protocol PA 115 or PA 127. Y 4, For mortar set applications, the first three courses of tile shall be nailed with per tile. As an alternate, the first three courses of tilt shall 1,)e applied in tnortar or over a esiv o na il single layer of minimum 12 ga, wire mesh with square openings of not less than )/," mechanically attached to the deck with not Icss than one roofing nail every I ft'. For roof from 6":12" to 7 ":12 ", every third tile of every [fifth course, beginning nt which is nailed wills not less than one nail per tile. the eighth course, shall be pitches 5. For mortar set or adhesive set tile applications, a field static uplift test e. ta slate which portion of by a accredited testing agency, in compliance with Dade County Protocol PA 106, shall be ade r n t t less than 30 days after application to confirm tile adhesion. The results of this testin o reported to the l3uilcfing Official and the installer stating that the application has passed or failed 106 testing. If the application fails PA 106 testing, the report shall testing shall be was (Wiled; Category] (examination for loose (ale) or Categor y 2 tt the lest PA to testing, the installer may repair not more than 5% of field area tiles and�a 0% perimeter die). Subseq (Le. ri /rake) tile with approved tile adhesive. The installer shall place an identifiable rkin o n each repaired tile for future reference. Any PA 106 re-test shall not include any marked til on lc. 6. For mortar or adhesive set tile applications, 30/90 hot Mopped underlaytnent applications installed perpendicular to the roof pitch prior to June 1, 1995 unless slated otherwise by may be manufacturer. Thereafter, 30/90 under systems shall be installed parallel (0 the material Compliance with Appendix 'A' of Dade County Protocol PA 120 roof pitch in 7. All tiles shall hear the imprint or identifiable marking of the manufacturer's name identification in the field. ne or logo for 8. The Monier "Bermuda Flat" tile profile has been tested for both wind characteristics uplift performance, therefore, attachment calculations for installation in comp wit D a d e County Protocol PA 115 or PA 127 shall be done as a 'Moni Ba System' p with Dade \. Product Control No,: -- 21.4$_._ 9- P09 NOV 10 '95 09:57 7 . 11 5 - 537 , -9974 B I ELER A 9241 P10 1 io B=, 58 Product Control No,: _24 SYSTEM LIMITATIONS (CONTINUE)) 9, Applications for roofing permits shall include a completed Section II of the Uniform I3uilding Permit, a copy of Monier Roof Tile's current specifications and details, a copy of this Product Control Approval and n copy of the Product Control Approval or any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 10. The A pplicant _shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'A'. 11. Any amendments to these provisions shall be in compliance with Sections 203. and 204 of the South Florida Building Bode. 1=iP- ,._ -9974 E: 1 ELER DATA FOR ATTACIAlpiT CA LCULATIONs Tile Profile Bermuda Flat Flat Tile X (ft') Batten Application Olrect Deck Application Table 1: Aerodynamic Multipliers - X (ft') from PA 108 Testing N/A Table 2: Restoring Moments due to Gravity from PA 101 Testing - M (ft•!bf) 9%4 P11 Table 4: attachment Resistance Expressed Moment - M, (ft -lbf) • from PA 101 Testing NOV 10 17 19:5R Product Control No.: _' 94_ t72 i nQ 'O5—::-9974 B I ELER MONIER ROOF TILE Host or 1dtt PROFILE DRAWING 1191 XI8U1._1U EIRAIUIIA FLAT FLAT TILE 924 P12 NOV 1Ft .=,5 09:59 Product Control No.: __911 z t nt_ .U1tictr uLL 31_i5 -1=33- 9974 t✓ I EVER METr10U/1`DE. Extensions of Acceptance may be considered Mier a new application has been filed data, (aos data, test reports no older than ten (t 0) years, have been re- evaluated. All r epep and the supporting o rorts of re- testing shall bear the seal, signature and date of an engineer registered in i A (�e Stale of 2. Any revision or change in the materials, use, or manufacture of the product or'process shall automatically be cause for termination, unless prior approval is granted for revisions or change, rovisio 3. Any unsatisfactory performance of this product or process or a change in Code for re evaluation' provisions shall be grounds 4. This acceptance shall not be used as an endorsement of any product 5 . The Notice of Acceptance number preceded by the words Dade expiration date may lie displayed in advertising literature, If any displayed, Then it shall be done in its eutirct 6, Product approval drawings, where required for permit applications, shall be provided to the apby the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance, ii nl not be re- scaled by an engineer. P The pr printts s need 7. failure to comply with the Standard Conditions shall be cause for termination of the Approval. T'hls approval supersedes all previous approvals. Y. is Raul Rodriguez Product Control Division Supervisor 924 P13 NOV 1t7 '9S 09:59 M ETrtOPOLITAN DADS COUNTY, Kann MI:Tf10.DADE J AGLEl1 BUILDING DUILDINQ CODE COMPLIANCE DEPARTM SUITE 1003 METRO.DADE FLAQIER lUILdtND Ho WEST Ft,AOLER STREET MIAMI, FLORIDA 03130 - 1563 ' (305) 376.241)1 075.2900 for sales or advertising purposes.. County, Florida, and followed by the portion of the Notice of Acceptance is Job Address: /oS',f »lam ft Si APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II MORTAR OR ADHESIVE SET TILE SYSTEMS 1. General 2. Documentation 12301-158 Contractor: The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. The following documents are required for submission with the Uniform Building Permit application: ► Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). ► One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. ► All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: 0 New Construction 11 Re -Roof Noje: Mortar or adhesive set tile systems are not acceptable as recover applications. Mortar or Adhesive Set Tile Systems Page - 1 D�S tE,Jv Process No. Is the deck solid sheathed? (circle `yes' or 'no') «3je no Deck Type (check one of the following): O Nominal'' Y2" Plywood (for re -roof only) O Nominal' /," Plywood E1 Wood Plankrf' " O Other (fill in) Roof Pitch (fill inl: 3 ": 12" Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 7%: ":12 ". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and less than or equal to 7 ":12" shall have the first three courses of tile nailed with not less than one nail per tile. As an alternate, the first three courses of tile may be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than ' /," which is mechanically attached to the sheathing with not less than one nail per 2 ft Circle'ves' or 'no' for each of the following: Have you attached two copies of the tile system manufacturer's Product Control Approval for the proposed tile system? no Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and other literature y no Is the proposed underlayment approved for use with this tile system assembly? es no Job Address: /ACC A-) 94 xr Contractor: 0 6 V..443 v ti Process No. Project Information (continued): If the proposed underlayment is self - adhered, have you complied with the venting requirements of Section 2913.3 (b), (c) and (d) of the South Florida Building Code? yes no Are all related accessories approved for use with this tile system assembly? Tile: Tile Name: Manufacturer: Tile Material: ❑ Clay Concrete ❑ Other: Mortar or Adhesive: es no 4. The Tile System Assembly: let j Are the proposed edge metal attachment fasteners in compliance with the requirements of the South Florida Building Code (minimum 12 ga. annular ring shank, corrossion reisistant nails)? C& no The following information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. ���•� C 4r MO Ale reap. j. /g Product Control Approval Number: 7*`- /2-21. D Check one of the following which apply to the proposed tile securement for use with the proposed tile system assembly: Mortar or Adhesive Set Tile Systems Page - 2 Mortar: Manufacturer: 4v t clitC . Mixing Ratio: ❑ Adhesive: Type: Manufacturer: ❑ Other: Type: Length: 54 N/A Underlayment: Length: N � Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12" and is less than or equal to 7 ":12 "1: Check one of the following which apply to the proposed tile fasteners (for the first three courses) for use with the proposed tile system assembly: ❑ Minimum 12 ga. galvanized roofing nail: It Note: All tiles shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if applicible) shall be of sufficient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of / ", whichever is less. The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Job Address: /o.rs- 5‘ Contractor: rise, e, Process No. Underlayment (continued): Check all of the following which apply to the proposed underlayment for use with the proposed tile system assembly: Spacing (per tile system assembly Product Control Approval): Field: 1 y " o.c. Laps: 4 " o.c. ❑ ASTM #30 asphalt saturated felt with: 0 19" overlap O 6" overlap 5. Related Accessories: O 4" overlap Manufacturer: 1a( 2 ✓ /ap Edge Metal (refer to Section 3408.2 of the South Florida Building 1 Code): ❑ ASTM #15 asphalt saturated felt with: 0 19" overlap ❑ 6" overlap Type: E4'✓,E 0 4" overlap Manufacturer: t✓ � Dimensions: 2 s 2_ ❑ Mineral Surfaced Roll Roofing with: Manufacturer: ❑ Other: Type: Manufacturer: Underlayment Fasteners (if applicable): ❑ Other: Type: Length: Manufacturer: i A,414. O 19" overlap ❑ 6" overlap O 4" overlap 11f L out✓l*r Check one of the following which apply to the proposed underlayment attachment: ❑ Minimum 12 ga. electro - galvanized roofing nail with minimum 32 ga. x 1' / tin cap: Length: 1 1 " Manufacturer: G en A 9;c14 Mortar or Adhesive Set Tile Systems Page - 3 Gauge or Thickness: 14 Finish: ,4 /do Niz. Note: All edge metal shall be nailed on the flange and nailed or clipped at the face in compliance with the provisions set forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the following): ❑ Cold Adhesive: Type: Manufacturer: E Flashing Cement: Type: Manufacturer: Job Address: Arc 1„)E..... S 1' Contractor: .060.41Othi. Adhesives (continued): Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. Ventilation System (check one or more of the following): The following iriformation is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. ❑ Ridge: Type Size in 76- Soffit: Type 5C eA) Size l00 in' Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is applied as an anchor sheet below the self - adhered underlayment. Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly or_ ly. Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION I, noting the permit number issued. Mortar or Adhesive Set Tile Systems Page - 4 Process No. Additional Notes: (/� ed edevt r' -Cade 1 €fij1'E5 ?exic 9ag _ G /GA- / Sit s - l4Si /�6 Cain4 ad Dr.4WY� y e : / x id a t., 5" If x 51 el j v 0 S' a .,1- e_exie / ✓e rte 43 Job Address: Arr 41.4. f isi Contractor: 04oAdaJJA- Process No. Roof Pitch Ridge Venting: (1/ applienble ) Dcck: ljpe: 4)o0 d Thiel:nue: yil Underlayrnent: # 3v --- # fit Underlayment, Fastener: / Vil /GAT atit.4.14k 12" DETAIL 111 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 5 FILL IN APPLICABLE ROOFING COMPONENTS WHICII MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SIIOWN ON THIS PAGE. (Where Roofing Component not uscd in Tile System Assembly, fill in with "N/A". ) Head Lap Dimension: 3 " (minimum 2' units, other-wile tpectlied in the tile *wen, aseemblyProduct Control Mortar/Adhesive: Tile: Anti C -15ev44,/dA Ft r eyskie takelft r11izo&64.) Tile Fastener: r Proposed Soffit Venting: Qv( ciC cp Edge Metal or Gutter Fastener: yg s Bird Stop: , (1! applicable ) 4. Edge Metal . or Guncr: 21‘2. 14414#91Xed e• )kity Job Address: (c .rf a)a f Contractor: ai.a Ale Ridge Height: Eave Height: 12` feet 9 feet Insert Building Ridge Height, Eave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. ( See ASCE 7 -88 Fact Sheet Attached ) Exposure Category: Classification Catcgory: / At Ilurricancc Occanlinc ?: Y ✓ N Basic Wind Speed at Building Location' 110 mph Building Condition based on % of openings: (See Table 9 ofASCE 7 -88) ?4, /_- 7 Pro dvcr c # 9 Mac, - 72. x 2.1/ - /7. 3S - 5. 2. /2. /.!' itlie L -" 3 x .2 ((— S. 2 Roof Mean Height 1°-"deaf 27•C/ - S 2 2 -7 1 " - '3 //4.3 ,r . 2. (- 2. z7s / - S.z 22-.7/ Ground Level S. 2 JP BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 6 Process No. Job Address: loss �J� 9L f Contractor: a Eoucw . /ID t o rt �C � Vd &o ,tt! C L s Tif,[ y 43 1 Skctch Roof Plan, indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimeter and comer dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached) t 7f BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 7 Process No. Job Address: /o,1-3 da) E 56 ) r Contractor: The undersigned certifies that the Mortar or Adhesive Set Tile System Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DADE Before me this day personally appeared �Qme5 n�NQ�l who, being first duly sworn, deposes and says that all information submitted herein is true and correct. Sworn to and subscribed before me this 1981 . _ • icensed Contractor / Owner Signature lL th day of F2 r My commission expires: ?! _ ._ � `� ' -" = - _�- ' ?� is °� =.�1 Notary Public State of Florida Mortar or Adhesive Sct Tilc Systems Page - 8 g3r 44 Process No. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby upndc for the approval of the detailed statement 01 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 Oa b Registered Architect and /or Engineer 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 State work to be done STATE OF FLORIDA, . COUNTY OF DADE. ss• Building Inspector Disapproved Date (Signed) 3 _ Noid Street' Ai . .!i. it, t.. •!.,ttlttliwt. ”. and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. f Stories / '14 2 To be constructed of Kind of foundation Roof Covering e Estimated Total cost of improvements $ .. ° Amount of Permit $. Zone cubage required Plan Cubage Distance .to next nearest building Size of Building Lot Mfaxiunum 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 Libor under the Florida \Vorkinen•s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Siip dement, 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 subcontractors, on work to be performed un •er this pcnnit, as are licensed by Miami Shores Village. Remarks. .. (Signed 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 are true. Permit No. 54, Date / 3 / Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _............_..__ ._ PLANNING BOARD DATE Chairman Member Member Member Mtembcr .. ... _....._......_..._.— ...._....._ 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 rein >lx•c•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o, other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Vrllag -, F orida, and all provisions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and all rules and regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A coP' of approv d plans and specifications must he kept at budding during progress of the work. Owners Name and Address ___ Dr. R. L. sham Registered Architect and /or Engineer __ . _ _ _. PALMER'S ROOFING CO, INC. 1729 No. Miami Avenue Name and address of licensed contractor .. ___ _ __ � _ ___ 9_ Location snd legal description of lot to be built on: Lot __ _ Block Subdivision Street and Number where work is to be d o n e- - - - - - - - - - - - - - - - - - - - - - _ __ .. ..__ _ _ Re- Roofing 30 -90- W/C Shingle Tile State work to be done and purpose of building (by floors)________ lI Squares For the sum of :.$765.©0 New Building _____ ____ ____ _ Remodeling . __ . Addition_ To be constructed of _ _ _ _ _ . Kind to . Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required____ ___ __ _ ____ __ _ ___plan Cubage. Distance to next nearest building__ __ _ ____ __ __ _ ._ _ -_.__ _______ Size of Building Lot Maximum live load to be borne by each floor_ Ihereby 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 o . . a, ' erm nt Supplement, and has complied with the provisions thereof, and will require similar compliance from all contracto .r sub - contractor iployed by him in the work to be performed under this permit; and will post or cause to be poste inspectio : the site of the .r such public notice or notices as are required by the Act. The undersigned agrees to employ only s su on t` s, •� irk : .e performed under this permit, as are licensed by Miaiui Shores Village. // Remarks -- - - ----- - --- - ---- -- STATE OF FLORIDA, COUNTY OF DADE. j ss. Disapproved _ ( Signed) Member _ _ __ _ Council Approved _ APPLICATION FOR BUILL;• INS PERMIT Building Inspector MIAMO SHORES VOLLAGE BUILDING INSPECTION DEPARTMENT Date - (Signe Member ___ Daie Disapproved Date_ _ . 31 -_ _ _ _ _ No._ 1055N_ ° _E Street__ - 96th Repairs Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are ye. �— Permit No. ___ _ _b- 3 ___ __ . _„_ Date.. _ _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _ ___ PLAN G BOARD -. DATE Chairman . _ __ _. Member __ Member Member ,19. 66 and for no other purpose. No. of Stories $ Covering R• to me well known, 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. 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. Date July 19 lg 65 L H. . is ham 1055 N. i. 9 t. Owner's Name and Address No Street Registered Architect and /or Engineer Name and address of licensed contractor ra lme r S Hoofing Co., In c . 1729 N. Miami Ave. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 10_55 N. State work to be done and purpose of building (by floors)__ Remove existing roofing tin cap one 30 mop on one 90# slate fl _white cement shingle tile = approx. lloo sq. ft. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 30'90'w /c skiing Estimated Total cost of improvements $_ 520,00 Amount of Permit $ _Plan Cubage Size of Building Lot Zone cubage required 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 P almer_ __Ran>' ing --- C- a- - - - -T n c, - 172-9 --N-.- The undersigned applicant for this building permit does hereby certify that he understands and of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General and has complied with the provisions thereof, and will require similar compliance from all con in the work to be performed under this permit; and will post or cause to be pos - 'ns . - ' .n. or notices as are required by the Act. The undersigned agrees to employ only stich su. o• trdctor permit, as are licensed by Miami Shores Village. i n ac o is o s of Florida, Penn ctOrs or sub - contractors site ofthewo .. , ork . ons as an employer nent Supplement, employed by him such public notice erformed under this Remarks ( Signed) T./$'. Palmer 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 are true. Permit No _ Lo-__ f2D Date _- ( Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) �'�' -- -- ----- - - - - -- --- 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. 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. Date , 19 Owner's Name and Address._.. ..... Dr.A__.Ishalm No 10.55 N.E.Street 96th St. Registered Architect and /or Engineer Name and address of licensed contractor3raay..RQQf .flg & Sheet Metal Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1055.__ I_.___E_,__96th. St, State work to be done and purpose of building (by floors) &flof__Addition.: 30.9 Tile and for no other purpose. New Building Remodeling. Addition. ../. Sq• Repairs No. of Stories To be constructed of Kind of foundation Roof Covering T.la.e Estimated Total cost of improvements $_65.._Q0 Amount of Permit $.. Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an empl :•er of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent SuPple -nt, and has complied with the provisions thereof, and will require similar compliance from all contractor or sub - contractors employed . iim in the work to be performed under this permit; and will post or cause to be posted for i spection e sit - of the work such bli otice or notices as are required by the Act. The undersigned agrees to employ only such s L" ontracto o w to be pe forme u . er this permit, as are licensed by Miami Shores Village. Remarks (Signe 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 are true. Permit No 1. 4- 4- - Date - -fit- — Disapproved _ , ( Date (Signed) Buildin spector Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 195 ❑ PERMIT N? 15804 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Contractor's ❑ License No ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bl. Description Address of Building 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 time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER Subdi- vision Value of Project $ BY Amt. of Permit $ Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN• APPLICAT1 N FOR IlLIILDING "EPMIT Application is hereby made for the approval of the det_ iled statemen• of the plans and specifications herewith submitted for the build- ing or o h. :ructure her 1 described This ri licatic is made in compliance and con w.th the Building Ordinance of Mia Shores Vi11ave, .or.da, and all pro. isions of the Laws cf the State of FL.,rid. all o d nances ,,f Mi au Shores Village and all rules and regu a•ion, of the Building Div.. i of .ram Shoi illage F '1 ,e , o. ipl_ed with, whether herein specified or not. A copy of approved plans and specificati .ns must be kei•. at building durin, progress of tl.e work. Date 2/18/34 _ ._.. ..._ , 19 Owner' Name and Address____,flo___B. No 1055 Street NE 96th St, Registered Architect and /or Engineer.__ Name nd address of licensed contractor. Lang_ Roofing and Tile Co., Inc., 430 NoW, 79th St, Location and legal description of lot to be built on: Lot_ Block.__ ____ Subdivision Street and Number where work is to be done 1055149 Efl__.96th St., Miami Shores. State work to be done and purpose of building (by floors) • and for no other purpose. New Building _ Rernodeling__ ____ _ __. Addition____ ____ ___ _____ __ _ Repairs_ . X _ No. of Stories_ To be constructed of_ _ _ Kind of foundation . Roof Covering_. Tile _. Estimated ". atal cost of improvements $_. . 375_.00_ Amount cf Permit $_ . 5.00 __ - _ - _ - Zone ^ubage required_ ._. __ __.Plan Cubage Distance to next nearest building__ _ . - _Size of Building Lot Maximum live load to be borne by each floor _ _ _____ hereby submit all the plans and specirications for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th•s building permit does hereby certify that he understands and accepts his .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anen. &ipph: rent, and h s compl ed w'th 'he prov' ions thereof, and will require s•milar comp lance from all contractors or sub-contractors emplo .ed by him in the wo k to be p rf -med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public notr e or .otices as are requir d by the Act. The u. d.r ign.-d agrees to employ only such abcontr. ctors, on work to be perforn. d . der this permit as are licensed by M am. Shores ge. Lang Roofing and Tile Co., Inc. Remarks_. (Signed) . STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm :nister oaths and take acknowledgments, personally a p- geared _. and who, being by me first d. ly sworn, upon oath deposes and says that he is the of th abov. de,e•ibed ,struction. t. : h has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. / Permit No / 5 0 _ Date__ __0 1 v Read, Sworn to and Subscribed before me. Chairman Member __ __ _ _ ______ Member _ Council Approved Disapproved D ade; (Signed) Buildin� Ihspector Notary Public State of Florida PLANNING BOARD DATE Member Member ... . _ Member _Date Disapproved to me well known, My Commission Expires_ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application , .ft.-r approval 11 is been obtained from the Plans ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspe:•har or fa. ity materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING r4 ❑ Work to be performed under this Permit Owner of Building, C ; Architect Contractor { - or Builder �� °, c �, y am , Legal Lot s Description II Bl. vision Address of �_ ,• r' Value of Building 4;: ,: 1 'K 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. g. Signed I— —*-- ' °�. ,: INSPECT OR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance witljall ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao ceptfng this permit I assume responsibility for all work done by either, myself, my agent, - servant or employee. r d CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N9 7387 BY Contractor's . `?. 1 r License No. DATE 19 b`' r 1 :1 Amount of c S Permit $ AUTHORITY ABBOT BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA �.- ❑ DATE 19 o PERMIT N9 6660 Contractor's ❑ ,a' License No. ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Lot Description II Bl Subdi- vision Address of Value of - Amount of Building Project $ 1 Permit $ t' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. . k ... - ` i 1.- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances allitl'Segulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER AUTHORITY nU BOT Zara Associates, i Roofing Laboratory Testing and Research Moisture and Up -Lift Testing RE.: TEST TO DETERMINE ROOF TILES ARE SECURED TO DECK AFTER 30 DAYS INSTALLATION - SOUTH FLORIDA BLDG. CODE 3404.3 Date: 4/26/96 Property address: 1055 N.E. 96h. Street, Miami Shores, Fl Owner: Dr. Robert (sham Contractor: Obenour Roofing Permit #: 39283 City: Miami Shores Type of Tile: Monier 9" oyster white Product Control #: 94- 1221.08 Roof Slope: 3/12 Sq.ft. area: 1,100 sq.ft. approx. Testing Equipment: Chatillon - DFIS 100 - Calibrated 9/7/93 April 29, 1996 The purpose of this quality control test is to confirm that there exists sufficient bonding by the mortar to the tile and underlayment in the tile system applied; it will be determined whether 75% of the tile bonds to be tested in three different roof areas, provides sufficient resistance to an arbitrary static uplift load applied on the tile. This procedure will satisfy the Building Code Compliance requirements set forth in Protocol PA 106 -95. Tiles have been tested on three different roof areas: field, perimeter and comer areas. Prior to testing, dimensions of these areas were determined and recorded according to Chapter 23 of South Florida Building Code. Tiles selected at random from the three different areas, were lifted by hand, in order to test for loose components. LOAD APPLICATION: An arbitrary load of 35 Ibf. has been applied to each tile, holding the Toad for 5 seconds. Test results are tabulated as follows: 2524 W. 3rd. Avenue, Hialeah, Florida 33010 C954)433-1484* {454)437 -2332 * Fax {954 }437 -2296 Yletra -Dade County Certification Pia. 94- 0125.08 AREA # PULLS LOOSE TILES BROKEN/ CRACKED TILES ADHESIVE DELAMINATED FROM UNDERLAYMENT TILES DELAMINATED FROM ADHESIVE Field 25 none none none none Perimeter 17 none none none none Corners 24 none none none none Enclosed find a sketch of the test site roof, indicating field, perimeter and comer areas with dimensions, and also, location where pulls have been conducted. XX XX Truly yours, ZARA AND ASSOCIATES, INC. ETER L. RA Lab. Director Encl. Sketch More than 75% of the tile bonds tested in each of the three areas, provided sufficient resistance to the arbitrary Toad applied. More than 25% of the tile bonds tested in each of the three areas, did not provide sufficient resistance to the arbitrary Toad applied. More than 10% of the components have been determined to be "loose" components. The static uplift quality control test for the property in question, complies with the Code requirements 3404.3 and Protocol PA 106 -95. RICARDO CARLES, P.E. PROPERTY LOCATED AT 1055 N.E. 96TH. STREET, MIAMI SHORES, FL 32 ft 6 Field ® Perimeter 0 Corners 10ft 26 ft • • ® I J 8ft 2ft- r J EXISTING ROOF FRONT 24 ft 28 ft 0