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ROOFING
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9 -29 -97 Job Address 1065 N.E. 96 STREET Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant DONALD S . Z ERN Master Permit # Owner's Address 1 065 N.E. 96 STREET MIAMI SHORES, FLA.Phone 751-1610 Contracting CoQUALITY ROOFING CONTRACTOR, INC . Address 2 51 N.W. 9 9TH Qualifier CART,OS AROCHO State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION TEAR OFF OLD ROOF TO WOOD DECK, TIN CAP 30LB. ASTM FELT AS PER CODE, INSTALL VALLEYS AND EAVE DRIP GALVANIZED METALS WHERE REQUIRED, MOP ON WITH TYPE III ASPHALT ONE LAYER OF 90LB. ASTM FELT , INSTALL SPANISH S WHITE COLORTHRU TILE ADHESIVE SET. Square Ft. 32 SQ . Estimated Cost (value) $ 13,000.00 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 lalvs regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sigrr re of owner a Notary as to 0 er and/or Condo President My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical RADON Building s , ,: MARYLOU HERNANDEZ MY COMMISSION # CC 680474 EXPIRES: October 10, 2001 ' ' ;; ' Bonded Thni Notary Public Undervvdten; Plumbing C.C.F. Phone 7S1-0382 • _ �� %� /' 9/A- Signature of Contractor or Owner - Builder Date Notary as to Co actor or My Commission Expires: NOTARY Electrical Ins. Cb. BOND No STREET [TOTAL DUE Engineering 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: 97R467542 1997 OCT 15 10:05 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: 1 0 6 5 N .E . 9 6 STREET MIAMI SHORES, FLORIDA 33138 2. Description of improvement: REROOF TO A NEW TILE ROOF . 3. Owner(s) name and address: DONALD S . ZERN Interest in property: OWNER Name and address of fee simple titleholder: N/A 1065 N.E. 96 STREET MIAMI SHORES, FLORIDA 33150 4. Contractor's name and address: QUALITY ROOFING CONTRACTOR, INC . 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A ,�'CCOO111 251 N.W. 99TH STREET MIAMI, FLORIDA 33150 Amount of bond $ 00 y `- N .: _,y 6. Lender's name and address: N/A a ��'��'- lb 'V KJ l_ LF I \, of {'jtcuif ount ourts n toug t-'jt, •. 7. Persons within the State of Florida designated by Owner ugvn om notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 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) Signatur Owner Print Owners Name � n ,J,r,� s _ 2Ei2/J Sworn to and subscribed before me this 3 0 day of it . , 1999 . Notary Public Print Notary's Name My Commission Expires: E OF FLORIDA, (AUNTY OF. DADE 1 HEREBY CERT FY fhnf ph1. Ian Oren 6 06 � original Nod in This office on /5 ' ' � p day oP ' ✓��_ A O. 19 W TNESS my h,nd and Official Seal. Prepared by: CARLOS AROCHO QUALITY ROOFING CONTRACTOR, I Address:251. N.W. 99TH STRF.F,T MIAMI FLOR DA 331 0 123.01.52 2/93 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name:0u Root nc f3�1 � <rt r I Dkc Job Address: ) Oc, 0.F. % Si -r ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) g'(Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Otlier) ROOF TYPE ❑ New Roof l21 Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft 3 . S . Total (ft2) 3 a 3c , Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): 1 Ft. V Ft. A V Deck type: 1- 00c9ri ATTACHMENT I 1 ` Fastener Type: l h find 5krirlic. nallS SPACING I Field: �� 11 0.c . Perimeter: (o ti 0 -c _ Corner: D 123.01.78 9/96 DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) G •� 1 Page -1 H r ROOF PLAN r Ridge Veatilutioo I MEAN ItEtcliT Deck type: 1Z I LOcod ) X Ce z Underlayment: Insulation: 12" ROOF SLOPZ D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION 30 lb, A sTAA Fe l I- F)- Fastener type & spacing: Cap Sheet: Roof Covering: Drip edge: TILE CALCULATIONS (Pntaxl :72..3 x X (Aerodynamic Multiplier):,) .'- ) - M 7, I 0 = M 15,3 PCA: (o(0 • 50 (Pnlax2: x (Aerodynamic M ) - M r ],10 = M 05 PCA: (o( .)0 (Pnrax3: I C3 01 x X (Aerodynamic Multiplier):3 . I J ) - M 9.1 0 = M . OS PCA: . S 0 / r 3 -pei. d��r .210 �(Ll coIcrthn AdAiesiw .5ci ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) 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 I METRO DADS PRODUCT CONTROL NOTICE OF ACCEPTANCE Metro Roof Tile, Inc. 11350 N.W. South River Drive tl'Iianli, FL 33178 Your application for Product Approval of: Spanish S 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: Redlairrl Technologies, The Center for Applied Enginering, Inc., and Teshvell Craig Laboratories & Consultants, Inc. has been recommended for acceptance by the Building Code Compliance office to be used in Dade County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material atanytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the Sout i Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:94- 1017.01 Expires:06 /15/98 Product Control Supervisor TI-IIS, IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. • Approved:06 /15/95 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST' FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375-2908 PRODUCT CONTROL SECTION (305) 375.2902 FAX (305) 372-6339 Director Building Code Compliance Dept. Metropolitan Dade County Applicant: Metro Roof Tile, Inc. 11501 Northwest 117th Way Medley, Florida 33178 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL C'u ory: Prepared Roofing Sub Category: High Profile Tile "type: Nail- on/Mortar Set/Adhesive Set S t� h- Tyag: Concrete System Description Contact: Fernando Arias Metro Roof Tile, Inc. 11501 Northwest 117th Way . Miami, FL 33178 (305) 558 -6712 2 Product Control No.: 94-1017.01 Approval Date: Expiration Date: Raul Rodriguez JUN 1 5 1995 JUN 1 5 1498 Metro Roof Tile, Inc., located in Medley, Florida, manufacturers clay roof tile for nail -on, mortar set ur adhesive set applications. This Product ControLApproval relates to Metro Roof Tile's "Spanish S" high tile profile. Refer to appropriate Product Contro)Lpprovals for other tile profiles. The Metro Roof Tile "Spanish S" tile profile is available in a variety of colors and has matching trim pieces used for rake hip, ridge hip,. and valley terminations. These accessories are manufactured for ::11 profiles and form a part of this Product Control Approval. The Metro Roof Tile "Spanish S" roof tile has been tested in compliance with the South Florida Building Code requirements for concrete, nail -on, mortar set or adhesive set tile applications. See the "Profile Drawing" section in this.Approval for the Metro Roof Tile "Spanish S" profile!drawing. The Metro Roof Tile "Spanish S" profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval. Product Control No.: 44- 1017.01 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Produc( Dimensions ,$pecificationg Description Spanish 'S' Concrete 1= 18" PA 112 High profile, interlocking, one - piece, Roof Tile w = 10%3" 'S' shaped, concrete roof tile equipped %3" thick with two nail holes and a single roll. For nail -on, mortar set and adhesive set applications. 1 = varies PA 112 Accessory trim, clay roof pieces for w = varies use at hips, rakes, ridges and valley varying thickness terminations. Manufactured for each tile profile. 3 7 4 e7/'/C) Raul Rodriguez Product 1130 Felt 1143 Coated Base Mineral Surface Cap Sheet .. -ZB 140 �.:Cr�a }'meal Rainproof 11 and Water Shield Mu ?ping Asphalt II,tshing Cement TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimension! N/A N/A N/A 59" x 164' roll 22 Ibs/roll 30" x 75' roll 36 "x75'roll or 60" x 75' roll 36" x 75' roll N/A N/A Test Snecilications ASTM D 226 type 11 ASTM D 2626 ASTM D 249 PA 104 PA 104 PA 103 ASTM D 312 type III or IV ASTM D 4586 4 Raul Rodriguez Product Control No.: 94- 1017,01 Product Description Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underlayment. Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underla)'mcnt system. Single ply, nail -on underlayment. Single ply, nail -on underlayment with 2" self - adhering top edge. Self - adhering underlayment for use as a top ply in a two ply underlayment system with Approved 1130 or 1143 as the base layer. Asphalt for bonding a mineral surface cap to a mech. attached base sheet in a double ply underlayment system. Cut back, asphalt based, asbestos free, fiber reinforced, trowel grade cement for repair and flashing applications. ,fi'70 JVlnnufneturer generic generic generic Lenzing Performance, Inc. with current PCA Protect -O -Wrap, Inc. with current PCA W.R. Grace Co. with current PCA generic generic 1'r r;d1! ( Rco%n;'�: ails fax Jcre • s ' !'•lort� r Roo!" Tile Adhesive i'olyproO Al.l160 ") Dinrenslont N/A min. 12 ga. with ' /," head min. 32 ga. min. 1' /," o.d. max. 2" o.d. vertical min. 1" x 4" hnri7ontal min. l " x 4" for use with vertical battens or min. 1" x 2" for use alone min. 8d x 2%:" or niin. l0d x 3" //8 x 2 long 0.335" head dia. 0.13I" shank dia. 0.175" screw thread diameter N/A N/A Test Specificatiorm ASTM D 41 PA 114 Appendix E PA 114 Appendix E Wood Preservers Salt pressure treated Institute LP - 2 or decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 123 See PCA 5 Raul Rodriguez Product Control No.: 94-1017.01 Product Description Cut back, asphalt based coating used to facilitate bonding of dissimilar materials. Annular ring shank, hot dipped, electro or mechanically gals. roofing nails for use in underlayment attachment. Corrosion resistant circular disc for use in underlayment attachment Corrosion resistant, screw, smooth or annular ring shank nails. Corrosion resistant, coated, coarse thread wood screws. Prepared mortar niix designed for mortar set roof tile applications. Two component polyurethane adhesive designed for adhesive set roof tile applications. Manufacturer generic generic generic generic generic generic Bermuda Roof Company, Inc. with current PCA Polyfoam Products, Inc. with current PCA Product Hurricane Clip & Fasteners Valley Flashing Drip Edge pimensiona CEPA min. 'A" width Mid. 0.060" thick Clip Fasteners min. 8d x 11/4" min. 26 ga. min. 16" width min. 26 ga. min. 2" face flange min. 2" deck flange Test Specifications PA 114 Appendix E ASTM A 525 PA Ill 6 Raul Rodriguez Product yessriptioit Manufacturer Corrosion resistant generic bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. Galvanized steel valley clashing Product Control No.: 94- 101.7,01 Galvanized steel drip edge generic generic Tot Az_ency Redland Technologies !tea!: nd Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Reiland 'technologies .:e;l!and 'Technologies Redland Technologies Red land "Technologies The Center for Applied Engineering, Inc. 'I'estwcll Craig Laboratories a. Consultants, Inc. TEST REPORTS Test Identifier 7161 -03 Appendix 111 7161 -03 Appendix 111 25- 7200 =I 94 -084 94 -083 7161 -03 Appendix 11 Report Dated Aug. 1, 1994 P0647 -01 PO402 Project No. 307025 Test HMDC -78 Lab HEA -25 Tech: G. Suarez 7 Raul Rodriguez Product Control No.: 94-1017.01 Test Naine /Report Datg Static Uplift Testing Dec. 1991 PA 102 Static Uplift Testing PA 102(A) Static Uplift Testing PA 102 (Quik -Drive Screws, Battens) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA .100 Physical Properties PA 112 Dec. 1991 Feb. 1995 May 1994 April 1994 Dec. 1991 Aug. 1994 Aug. 1994 Sept. 1993 Oct. 1994 July 1994 SYSTEMS (CONTINUED) yrcl: Type: Wood, Non- insulated ck Description: New construction 19 / 32 " or greater plywood or wood plank. S"1'En1 1): Mortar or Adhesive Set Application iupe Mange: 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. Install underlayment system in compliance with Dade County Application Standard PA 120. .(See System Limitation #5.) . Install tile in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) :nderi:iymeut: i� ;uting 'untmeiits: 1. For re -roof applications, 13 / 32 " plywood is an acceptable substrate. 11 Raul Rodriguez Product Control No.: 94 1017.01 SYSTEM LIMITATIONS Product Control No.: 94- 1017.01 The standard minimum roof pitch for Metro Roof Tile's "Spanish S" high profile tile shall comply with Dade County Application Standards PA 118, PA 119 or PA 120, depending on the method of installation. For nail - on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127. The Metro Roof Tile "Spanish S" tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based System' 1. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. 5. For mortar set tile applications, 30/90 hot mopped underlaymcnt applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. u All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Metro Roof Tile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'A'. 9. -Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 12 Raul Rodriguez le 1: Aerodynamic Multiplier - X (ft') (ft') Batten Application 0.29 X (ft') Direct Deck Application 0.31 :ro Roof Tile Spanish 'S' Tile - I r ufile ;lo Roof Tile :nsh 'S' Tile Tile Horde Tile Profile 6.70 TablE 3: Attact TILE APPLICATION Roof Tile Battens h b I Ile I Direct Deck Tile Profile Boot Tile Spanish 'S' Tile Tab Table 2: Restoring Moments due to Gravity - M (ft -Ibf) 3" 12" or Tess Battens Direct Deck 7.10 4 " :12" Battens Direct Deck 6.60 7.00 5 " :12" Battens 6.46 Direct Deck 6.84 6 ":12" Battens 6.30 Direct Deck 6.67 7 ":12" or greater Battens 4.08 Direct Deck iment Resistance Expressed as a Moment - M (ft -Ibf) for Nail -On Systems APPROVED NAILS 1 nail N/A 6.20 2 nails N/A 8.40 APPROVED SCREWS 1 screw N/A 28.70 2 screws 26.80 31.80 APPROVED FIELD CLIP WITH: 1 nail N/A 21.20 2 nails N/A 25.30 APPROVED EAVES CLIP WITH: 1 nail N/A 26.90 2 nails N/A 34.90 ent Resistance Expressed as a Moment - M (ft -Ibf) r Mortar or Adhesive Set Systems Tile Application Mortar Set Adhesive Set Attachment Resistance 24.50 66.50 Table 4: Attachm fc DATA FOR ATTACHMENT CALCULATIONS 13 Raul Rodriguez Product Control No.: 94-1017.01 N/A PROFILE DRAWING Raul Rodriguez METRO ROOF Tt L SPANISH TILE Product Control No.: 94 -10 17.01 G7� 6l_ 1110 0AuE ➢w,,Y, ;NOTICE OF ACCP.ITANCP.: ,STANDARD CONDITIONS METROPOLITAN DADE COUNTY; FLORIDA MET11O•DAOE FLAGLER BUILDING UUILDINO CODE COMPLIANCE DEPAI1TMENT SUITE 1003 METRO•DADE FLAOLER I]UILDINO 140 WEST FLAOLER STREET MIAMI, FLORIDA 99100.1500 (305) 075.2001 FAX (305) 070.2000 Extensions of Acceptance may be considered after a new application has been filed and the supporting test reports no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of C�!urida, 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. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds f'or re- evaluation. This acceptance shall not be used as an endorsement of any product for salts or advertising purposes. !1_• Notice of Acceptance, number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. Product approval drawings, where required for permit applications, shall be provided to the applicant by the mnnu facturev or his distributors unless otherwise noted in the Notice of Acceptance. The prints need not be re-scaled by an engineer. Hi!ure to comply with the Standard Conditions shall be cause for termination of the Approval. awproval supersedes all previous approvals. 15 Raul Rodriguez Product Control Supervisor 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 "I-1...4 26 V.A,4CSt> 51 S5 .D 2 27 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 _a—• 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 THIS REP Du Quesne & Associates, Inc. ITEM 13576 Consulting Engineers Environmental o Civil o Structural Testing Laboratory Building Inspection Services MIZOTE COME:3T ATE® UPLIFT LOAD TESTORIG OF ROOF TILE OL1 nCCCO63©AbCI 'K7OTNI mmoaatoz MUDDING CODE COMPLOARICE PROTOCOL PA 9 06 Owner's Name: t7 • z E R 1y Roofing Contractor QOAI1T 1 Zoo y 1Q 3 ge Du Quesne, P.E I Engineer #24513 D uesne & Associates, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 SITE SPECIFIC INFORMATION Job Address 1 0 to % N \ S . 4 \ (9 ST., M,1 A k i t t. S Ac R 4 1 1= L • Type of Tile: 'PAN 1 ri k� 1G > ' FO fkik( SEA r Approximate Roof Height: 1 feet Roof Pitch 3 ' 12. Type of Access to Roof: Scaffolds )_ Ladder Other Approximate Square Footage of Roof. 4000 ft 2 Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested* 1 - 3 0 -617 TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK Permit #• 4 (qe t 4 - Date Installed 12 11> - IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 KETCH OF ROOF NOTES: JOB to ,5 NE 16ST M I a.t.4.) c4E6—S ' SHEET NO OF CALCULATED BY DATE I Z+. 0 .q 7 CHECKED BY SCALE ,'+ DATE bigger lt� 6 4k • 11111111131111 EMI a AP 4 13 1 pid I a e erg Mr4 _or Ea ■ IIIIIM ■ ■Yn► ISM VA ■■■i■■7111111111 IIIIRIVEIIIMIRIV IIIIIMILINIMMIMIIIII I__■■1■111-- ` ., ■ weramormacmitrammo „IIPMINEHM=11,1111.41/All 4 9 ' (174 DuQuesne & Associates, Inc. Consulting Engineers Engineering, Testing & Environmental Services Du Quesne, ' .E. & As tes, Inc. Laboratory Compliance Letter The PA 106 test reported in report No. i 35' — lb has been performed in full accordance to the requirements of Dade County, with no deviations. 7X21 S. Y. 2.4 Street. Suite #104. Miami. Florida 3315 (305) 264 -1425 Fax (. 05) 264 -142t STATE OF FLORIDA, COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE 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. August 6 _ __.._...__ _...._ �.._.... 76_ Owner's Namc and Address ....A.QX3...Z.e.rn Registered Architect and /or Engineer Name and address of licensed contractor s Y ...B.4Qf Ig. C4 ??!?/24I Y Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1065 N.E. 96th Street State work to be done and purpose of building (by floors) White. .. C.emen.t. ..T. Residence and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 4,900.00 Amount of Permit S. • 00 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent 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 su. % tractors, on weak t �e performed under this pennit, 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 star d are true. Permit No —I _ Date 9! �- 7 ._._ Read, Sworn to and Subscribed before me. Disapproved Date. (Signed) Building Inspector, My Commission Expires BUILDING INSPECTION DEPARTMENT Notary Public, State of Florida 20 .52u PL/ NINC 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 anti /or workmanship.