ROOFINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Q /
Date v � /el& Job Address / b 7 Q N 9 b Si Tax Folio
Historically Designated: Yes No
�,/ r Master Permit # 7 cr/0
/ Tenant / -� � • ,�4Tj2 C , k �-.� f t/
Owner's Address / 0 '7 9 tI C 91, s 7 " Phone 363 -5 t° 9 4, 7 6
Contracting Co. /I-- -s r 0 r 4 ``/ Address /02-').-/ 6 (, /<,
Q»alifier A a L . .. N SS# Phone c3 2$ `5- 9 V
Municipal # Competency # Ins. Co. e
Legal Description
State #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING )PAVING FENCE SIGN
WORK DESCRIP'T'ION
Square Ft 3 , 2 0
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 co + < for to do the work stated.
, T(301 ids
Signature of owner and/or Condo President Date Sign: w■ •f Contract; Date // ,
1._l.a/,u _ s ffi > L s - e
Notary as to Owner and/or Condo President Date ' otary as to •' . (,, + M ■ -r Date
My Commission Expires: My Commrss . 1•;r, : .Ca„p, , SF E
;.z, ,t t f, 0
csN stP. s 1 72-
7-Z =_= /. 6
FEES: PERMIT 7 to RADON
APPROVED:
Zoning Building
Mechanical Plumbing
("fru c- 4 c 4 77 Co
/t/..‘4.a I-6.v i r2 , , 77 CP
Estimated Cost (value)
o Owner -Buil
C.C.F. s 'O
(
NOTARY ,S
Electrical
7
du L42 / /22Q/11
o o
s
BOND 3610
TOTAL DUE
Engineering
4
STATE. cia' FLORIDA, COUNTY OF '�
d r:C?r.:o57 cr TI2Y 4caf this is a 0v — - - t
c2rEir,
�al fiil od i 4 o ce on __ • ` ii)
A C. 19 G /__
W 'NESS my h t d iciioll sc.!.
Ge 0 l i ,,}}++s Age cult and CounfVCourPo
l ,� � `E Y�� /C /Jl� D.C.
7 -_— —t
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: 9884774 -10 1998 SEP 29 11:24
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following informatidn is provided in this Notice of Commencement.
1. Legal description of property and street address: \n1 °1 N e :. ( "C (C)
\ S 1�E
2. Description of improvement:
3. Owner(s) name and address: \ 12 Cam..
\ OZ so
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner fjm contractor, it any)
Name and address:
N
1"
Amount of bond $
6. Lender's name and address:
r >l�.
•
OP r ik. art
nature of own f
Print Owners Nam - wr
Sworn to and subscribed before me thi -ice day of 'r m.
0
1,
./
v �:
N
h y
otary Public
Print Notary's Name
!IU '
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:
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:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differs dat is spe ed)
19 ei g.
r 4c7 EAL
NOTARY PL]IP..' at Af r GP PIARIDA
:,:O1 0I»al) - J NO. CC592902
M Y CTlMMiti"+ION EXr.lx°f 13�200�
Prepared by nRn K :„1N`
Address: ` � l . �Za►
� LJ \
A
i
Contractor's Name: / X� 3 / o i/.� - 7 ? d
11S
Address: / d V q h• 9 g o.
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) (Mort - Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof ,"Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft Sloped Roof Area (ft 3 2 0 0 Total (ft 3, 2-0 Master Permit No.
Exposure category (per ASCE 7 -88): C- Building Classification category (per ASCE 7 -88 table 1): ' L
Ft.
A
V
Ft.
A
V
Field:
Deck type:
ATTACHMENT
Fastener Type:
SPACING
Perimeter: Corner:
123.01 -78 9/96
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Page -1
r
r
r
r
r
ROOF PLAN
4
Append
UNIFORM ROOFING;-PERMIT PLICATION
PROCESS No.
A
Ridge Ventliation?
(1-
MEAN MEAN HEIGHT
Deck type:
I'x " 6, 54
Underlayment:
3
Insulation:
12"
ROOF SLOPE
S 6 FFst r 14 --7) c.J
frer-=
D E T A I L 3
SLOPED SYSTEMDESCRIPTi 1 %
Fastener type & spacing:
f P �" - Y y am ,
( COAX ( „
Cap Sheet:
Roof Covering:
acv
Drip edge:
"--"0
A 0 ( A' -5 i P �
� i ,c3 t i 24, 64- G410''
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
TILE CALCULATIONS
(Pmaxl: 72 -4 ? (Aerodynamic Multiplier): ° 7 ) - M g : 6- ✓ 0 = M ri : P �� PCA: 6c'G 1
( Pmax2: ( b(c 'X a (Aerodynamic Multiplier): • 2 ) - M 6`3 V =K - 0 PCA: S L — G I
( Pmax3:! b/' x X (Aerodynamic Multiplier): l 2 ? ) - M 6-3 8 = M 3 .6 PCA: S r
Page -2
PRODUCT CONTROL NOTICE
Monier Lifetile LLC_
135NW20 St. - -
Boca Raton, Florida 33431
Your application for Product Approval of: - -
Monier Lifetile LLC Villa, Capri, & Roll Tiles -
. under Chapter of the Miami -Dade County Code governing the use of.Altemate Materials and Types -
_of Construction, and compTeteIy described in the plans, specifications calculations as submitted by:
Rutland Technologies, The Center for= Applied Engineering, Inc., and ProfessionatService
Industcjes =- -- =
_ 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 -14 and.the standard conditions on
page 15. _ --
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 ormanufacturer's
plant for quality control-testing. If this product or material fails to perform in the manner, the
Building Code Compliance Office may revoke, modify, or 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.: 97- 1124.16
EXPIRES: 06/25/01
Internet mall address: postmaster4bulldingcodeonline .com
OF ACCEPTANCE
Revises: 95- 0322.07
95- 0322.03
95- 0316.04
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901
FAX (305) 375 -2908
PRODUCT- CONTROL DIVISION
(305) 375-2902 -
FAX (305) 372 -6339
aril Rodriguez
Product Control Supervisor
_ 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 Miami -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.
Charles Danger, P.E. _
Director
Building Code Compliance Dept.
APPROVED: 06/25/98 1 -- - _ - Miami -Dade County
Homepagef http : / /www.buildingcodeontine.com
_ MONIER LIFETILE LLC
MonierLifetile
-LLC Villa & Roll
MonierLifeitile
LLC Capri Tile
Trim Pieces
Product
Rainproof II
Ice and Water
Shield
Product
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED - BY APPLICANT
I =16%"
w = 13"
%" thick
L = 17"
W= 12 ' /
V" thick
= varies
w = varies
varying
thickness
Test
Dimensions Specifications
Test
Dimensions Specifications
30" x 75' roll PA 104
36 "x75'roll
or
60 " x75' roll
36" x 75' roll PA 103
Product Control No.: - 97- 1124:16
PA 112 Low profile, interlocking, high
pressure extruded concrete roof tile
equipped with one nail hole and
double roll ribs. For direct deck or
- battened nail -on, mortar or
adhesive set
PA 112 Low profile, interlocking, -
- pressure extruded concrete roof tile
equipped with one nail hole
double roll ribs. For direct deck or
battened nail -on, mortar or
adhesive set applications.
PA 112 Accessory trim, concrete roof
- pieces for use at hips, rakes ridges -
- and valley terminations. - - _ _
Manufactured for each tile profile.
TRADE -NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Page 2 of 15
Product
- Description
Single ply, nail -on
underlayment with
2" self - adhering top
edge.
Self- adhering
underlayment
Product
- Description
Manufacturer -
Protect -O -Wrap,
Inc.
(with current NOA)
W.R. Grace Co.
(with current NC -A)
Frank Zuloaga, RRC -
Roofing .Product Control Examiner
• MONIER LITETIU E fLL -__ .
Product
Wood Battens -
Tile
Tile -- Screws
Roof Tile Mortar
( "TileTitem ")
Roof Tile Mortar
( "Quikrete0:6 Roof
Tile Mortar -
# 1140 ")
Roof Tile - Mortar
( "BONSAL®
Roof Tile Mortar _
Mix ")
Roof Tile
- Adhesive
( "Polypro®
AH 1 ")
Hurricane Clip & Clips
Fasteners - - - - - _ Min. ''A" width
- _Min. 0.060" thick
Clip Fasteners
Min. 8d x 1 ''h"
D
: - Vertical -
:=_Min..1;'x - ..
.Horizontal - -
- Min. 1 "x " foruse _
with vertical battens
- or
Min. 1"x 2" for use
alone
Min: 8d -x 2 14 "
- min. 10dx 3"
#8x 2 'A" long
0.335" head dia.
0.131" shank dia.
- 0.175" screw thread
- = dia. _
- N /A
N/A
N/A
— N/A
Test -
Specifications
Wood_ Preservers
Institute LP - 2
PA 114 Appendix E Corrosion resistan
screw or smooth=
,____ -_. _. - shank nails _ _
PA 114_Appendix E Corrosion resistant,
PA 123 -- _ Prepared mortar Bermuda Roof
-- mix designed_for_ _ Company, Inc. with
mortar set roof tile - current -PCA
- -- applications.
PA 123
PA 123 -
See PCA
Page 3 of 15 - --
Product Control - No.: 97 1124.16
Product
- Description
Salt pressure .
treated or decay
.resistant lumber
vattens - - -
_ coated, square
drive, galvanized,
coarse thread wood
screws
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Two component
_ polyurethane
adhesive designed
for adhesive set
roof tile _
applications.
PA 114 AppendixE Corrosion resistant
-clips with corrosion .
resistant nails.
Manufacturer
generic -
generic
generic
Quikrete
Construction
Products with
Current PCA
W. R. Bonsai Co.
with current PCA
Polyfoam Products,
_ Inc.
PCA #94- 0401_0.1
Generic - -
11111111
ADO
r ,I Z -
!Roofing Product Control Examiner
19IO1 R TILE LL-C
- Test A.Qencv _ -
Redland Technologies
RedlandTechnologies
The Center_for_Applied
Engineering, Inc.
The Center for Applied --
Engineering, Inc. —
The Center for Applied
Engineering, Inc.
The Center for Applied -- 254094 -7
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc
The Center for Applied
Engineering, Inc.
Test Identifier
-EVIDENCE SUBMITTED
7161 =03 -_
Appendix III
7 r6 I -03
Appendix III
94 -084
25- 7094 -4 _
94 -060B
25- 7094 -1 _
25-7183-1
25- 7183 -2
. Product Control No.: 97- 1124.16
Static Uplift Testing
_ _PA 101 —
(Mortar Set)
Static Uplift Testing
PA 101
(Adhesive Set)_
Test - Name/Report_ _ Date -
Static Uplift Testing- Dec. 1991
- • PA102
Static Uplift Testing _ . Dec._1991-
. PA 102(A)
Static Uplift Testing
PA 102
(4 ". Headlap, Nails, Direct _
Deck, New Construction?
Page 4 of 15
Static Uplift Testing- -
PA 102
(4" Headlap, Nails,
Battens)
Static Uplift Testing
PA 102
(4" Headlap, Nails, Direct
Deck, Recover/Reroo)
Static Uplift Testing
PA 102
(2 Quik -Drive Screws,
Direct Deck)
Static Uplift Testing
PA 102
(2 Quik -Drive Screws,
- Battens) —
May 1994
March, 1994
Oct. 1994
Oct. 1994
Feb. 1995
Feb. 1995
Oct. 1994
uloaga, C _ - — _.
Roofing Product ContcoTExathiner _
MONIER LIFETILE LLC
Test Afencv-
- The Center for - Applied
Engineering, Inca -
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies -
-- Redland Technologies
The Center for Applied
Engineering, Inc.
Professional Service
Industries, Inc.
Letter Dated Aug. 1,
1994
P0631 -01
— PO402 --
Project No. 307025
Test #MDC -76
Test Identifier
25- 7214 -2 Static Uplift Testing
- PA 102
(1 Quik-Drive
- Direct Deck)
25- 7214-6 Static Uplift Testing
-- PA 102 — -
(1 Quik -Drive Screw,
Battens)
7161 -03 - Wind Tunnel Testing
Appendix — =PA
_ - (Nail -On)
224 -47099
Page 5 of 15
Product Control No:: 97- 1124:16
Test Name/Report - Date
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
March, 1995
- March, 1995
Dee; 1991
Aug. 1994
July 1994
Sept. 1993
Oct. 1994
Sept. 1994
MONIER IIFETILE LLC
Deck Type:
Deck Description:
SYSTEM C:
Slope Range:
- Underlay - meat;__
Horizontal Battens:
Roofing Tile:
_ Comments:
Wood, Non - insulated
Horizontal Batten Application
SYSTEMS
(CONTINUED)
Page 8-of 15
- New construction 19 /32" or greater plywood or wood plank.
Product Control No.: 97- 1124.16
4 ":12" or greater
Note:_ Horizontal battens, -as noted below, are required for slopes in excess
of 7 ":12" and are optional for slopes of 4 ":12" to_ ":12 ". For slopes
-less than 4 ":12 ", refer to System A. _
Install underlayment system in compliance with Dade County Application
Standard PA 119.
Install horizontal battens in compliance with Dade County Application
Standard PA 119.
Install tile - in compliance with Dade County Application Standard PA 119.
(See "Data for Attachment Calculations" included in this Approval.)
1. For re- roof-applications, 15/32" Plywood is an acceptable substrate.
Frank Zuloaga, RRC -
Roofing Product Control Examiner - —
MONIER LIFETIME LLC Product Control_No.r- - =974124.16
Deck Type: Wood, Non - insulated
Deck Description: New
19/3 " - or greater plywood or wood plank. _
SYSTEM A: -
Slope Range : -- 2 ":12" to 7 ":12
Note: Counter- Battens, as noted - below, are required for slope range
2":12" to Tess than 4 ":12" and optional for slopes of 4 ":12" to
7 ":12 ". For slopes exceeding 7 ":12 ", refer- to:System C.- _ _.. -
Ilnderlarment: Install - underlayment system-in compliance .with Dade County Application
Standard PA 118.
Vertical Battens:
•
Counter -Batten Application
SYSTEMS-
Page 6 of 15
Install -vertical battens in- compliance with -County Application Standard
PA 1.18
Horizontal Battens: Install horizontal battens in compliance with Dade County Application
Standard PA 118.
_ . Roofing Tile: - Install -tile in compliance with Dade County Application Standard PA 1-1 -8.
.(See "Data for Attachment Calculations" included in this Approval.) -
Comments: 1. For re -roof applications, 1 5/32" plywood is an acceptable substrate.
ran Zuloaga, RRC -
- Roo_tf ng Product Control Examiner
MONIER LIFETILE_LLC
Deck Type: Wood, Non- insulated
Deck Description: New construction 19 /32" or greater plywood or wood plank.
SYSTEM B: _ Direct Deck Application -
Slope Range:
Underlayment: - - Install underlayment system in - compliance with Dade County _Application -
Standard PA 118.
Roofing Tile:
Comments:
4 " :12" to 7":12!_— -
Note: System B is only acceptable in this slope range. For slopes less than
4 " :12 ", refer to System_ A. For slopes in excess of 7":12"; refer to
System C. — --
Install tile in compliance with Dade County_ Application Standard_PA 118.
— (See "Data for Attachment Calculations" included in this Approval.)
1. For re -roof applications, 15 /32" plywood is an acceptable substrate.
SYSTEMS -
(CONTINUED)
- -Page 7 of 15
Produci- - Control No.: 974 124.16
uloaga, RRC
Roofing_Product Control Examiner
q..
. _ MONIER LIFETILE LLC
Slope Range:
- Roofing Tile:
SYSTEMS
(CONTI■jJED)
DeckrType: Wood, Non - insulated
Deck Description: New construction 19 /32" or greater plywood or wood plank.
SYSTEMD� �— Mortar or Adhesive Set Application
Page of 15
Product Control No.: 97- 1124.16
2":12" to 7 ":12"
Note: System . D is only acceptable this slope range. For slopes in excess -
-- -- - of 7 ":12 ", refer to System-C
- Uniierlayment: - Install underlayment system in compliance with Dade County Application
Standard PA 120. (See Limitation.#S_) - - - -
Install tile in compliance with -Dade C -ounty Application Standard PA 120.
-- (See "Data for Attachment Calculations" included in this Approval.)
Comments: 1. For re -roof applications, 15 /32 " is an acceptable
ran Zuloaga, RRC -
Roofing Pduct Control- Examiner
MONIER LIFETILEL3,c _
- SYSTEM - LIMITATIONS'_ .. -
_ The standard minimum roof pitch -for Monier Lifetile LLC Villa, Monier Lifetile LLC Capri- &
_ Monier Lifetile LLC =Roll, low profile -tile shall - comply with Dade County Application Standards
- - PA 1-113, PA - 1 -I9 or PA 1 20; depending on the method of installation. -
2: _For nail -on applications, fasteners- for mechanical attachment of tiles shall have a head diameter-
larger that of the preformed holes in the tile.
3. System installation shall be compliance with the system specifications outlined in this Product
Control Approval. The method of attachment utilized shall provide sufficient attachment resistance
to - meet or exceed the required resistance determined in compliance with Dade County- Protocol PA
115 orPA 127. Tile profiles listed here in have been tested for both wind characteristics and static -
uplifi therefore, attachment calculations for_installation in conipliancewith PA 1115 or
PA 127 shall be done as a'Moment Based System!. = -
4. For adhesive set tile applications, a field static uplift test by a Dade County accredited testing -
agency, in compliance with Dade County Protocol PA shall be performed.
5. For tile applications, 30%90 hot mopped underlayment applications may be installed perpendicular _
to the roof pitch unless stated otherwise by the underlayme ii material manufacturer's published
literature. - —
6 AIl_tiles shall bear the imprint or identifiable - marking of the manufacturer's_ name _ -or logo for -
- identification in the field. -- - — -. — -
7. Applications for roofing permits shall include a completed Section II of the Uniform Building
Permit, a copy of manufacturer'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.
8. 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. Fire classification is not part of this aceptance.
Page 10 of 15
Product Control No.: _ 97- 1124.16
Frank Zuloaga, RRC– -
RoofingProduct Control Examiner
Table 3
Table 1: - Aerodynamic Multipliers - X (ft')
Tile -
Profile
- X - (ft') -
- Batten Application.
_ - X (ft')
Direct Deck Application — _ .
Monier Lifetile LLC - Villa Tile,
Roll Tile, and Capri Tile
- 0.27
-
_ -- 0.29
Table 3
3: Attachment Resistance - Expressed as a Moment - M (ft -Ibf) -
for Nail -On Systems --
Tile T
Tile —
— Approved A
Approved A
Approved A
Approved
1 nail 2
2 nails 1
1 2
2 1
1 nail 2
2 nails 1
1 nail 2
2 nails
Monier B
Battens 4
4.10 7
7.10 2
22.90 4
49.10 2
24.20 3
34.80 2
22.10 3
32.20
1 D t
Direct Deck 1
11.80 2
21.90 2
25.80 4
47.10 2
24.30 3
35.50 1
19.00 3
31.90
MONIER LIFET1LE LLC
Tile
Profile
Monier
Lifetile LLC
Villa Tile,
Roll Tile, -
and Capri
Tile
Batten
s
5.5T
Table 2: Restoring Moments - due to Gravity - M (ft-Ibf)
3 ":12" -- 4 ":12" 5 ":12" 6 ":12"
Direct
Deck
6.30
Batten
s
5.48 -
DATA FOR ATTACHMENT
CALCULATIONS
Direct
Deck
6,18
Batten
s
5.37
a a noted m Table 3 is fo instal ation with a 3" tile headlap. -
2 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.
Page 11 of 15
Direct
Deck
6.05
Product Control No.: . 97 1124.16
Batten
s
5.24
Direct
Deck
_5.90
7 ":12" or
greater
Batten Direct
s Deck
5.09 N/A
uloaga, RRC
Roofing Product Control Examiner-
- -= - : MONIIER LIFET LE LLC
Page 12 - of 15
DATA FOR ATTACHMENT _
CALCULATIONS (CONTINUED)
___. Product Control No.: 97- 1124.16 - `
Table 3 -A: Attachment Resistance Expressed as a Moment - M, (ft -Ibf)
for Nail-On Systems -
Tile
Profile
Monier Lifetile
LLC Villa Tile, -
Roll Tile, and
.Capri -Tile
Tile
Application
Direct Deck
— New- Construction
(min. "/ plywood - )
Direct Deck
Recover /Rerodr-
(mfri:: / plywood) _
Battens
New Construction
Two (2) 10d x 3" long nails
67.50
43.00
-- 50.90
1 Tile installation with a 4" headlap using two (2) Approved 10d x 3" tong
_
polymer coated, corrosion resistant, ring shank nails installed in
manufactured holes_located 2W 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.
uloaga, RRC - ` _ _ -
Roofing Product�onTrol Examiner
- Table 4: Attachment Resistance Expressed as a Moment - M, (ft-Ibf)
for Mortar or Adhesive Set Systems
Tile
Profile
Monier Lifetile LLC Villa Tile,
Roll Tile, and Capri Tile
Tile
Application
Mortar Set
Adhesive Set
Attachment _
Resistance
20,60
86.61
- 'MONIER LIFETILE LLC
PROFILE DRAWINGS
Page 13 - of 15 _
MONIER LIFETILE LLC VILLA TILE
MONIER LIFETILE LLC ROLL TILE
Product Control No.: - 97- 1124.16
uloaga RRC
Roofing Product Control Examiner
' MONIER LWETILE LLC
0.07"
0.34" 0.10'
-d k- oar
MONIER LIFETILE LLC CAPRI
_ -- PROFILE DRAWINGS
(CONTINUED)
w
20 DEG.
2.45
-Page 14 of 15
1.76"
P ro d uct Ca intro I N o.: 97-11-24.16
0.101"
APPROVED SCREW FOR SCREW DATA IN TABLE 3
*********--
Roofing.Psoduct Control Examiner
0.175
MONIER LIFETIME LLC
Monier Lifetile LLC
135 N.W. 20 St.
Boca Raton, FL. 33431
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 with the manufacturer's name, city,
state, and the following statement: "Miami -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 Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the
Notice of Acceptance is displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as approved drawings and other documents, where it applies,
shall be provided to the user by the manufacturer or its distributors and shall be available for -
inspection at the job site at all times. The copies need not be resealed by the engineer.
8 Failure to comply with section of this Acceptance shall be cause for termination and removal
of Acceptance. -
9 This Acceptance contains pages 1 through 15. - -
END OF THIS ACCEPTANCE
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
Page 15 of_15
Product Control No.: 97- 1124.16
ACCEPTANCE NO: 97- 1124.16
APPROVED - : - June 25, 1998
EXPIRES : June 25, 2001
, oaga,
Roofing Product Control Examiner
�.� �•� + -.0 •-• • e. .y vac, r 1 ,J U 0..m . 77'1 Y / 7 1 CO
,I � fNETAO -r1�E
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Polyfoatn Products, Inc.
2400 Spring- Stuebner Road
Spring, TX. 77383
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 98- 0303.02 Renews: 96- 0402.02
EXPIRES: 04/16/01
APPROVED: 04/16/9R
Internet mall address: postmaster @buiidingeodeonllne.com
APR 29 '98 11:41
METROPOLITAN DADE COUNTY. FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI. FLORIDA 33130 -1563
(305) 375-2901
FAX (305) 3V5 -2908
PRODUCT CONTROL DIVISION
(305) 375 -2902
FAX (305) 372.6339
Your application for Product Approval of:
Polvfoam Products "Polvpru AH - 160" Roof Tile Adhesive
under Chapter 8 of the Miami - 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:
The Center for Applied Engineering, Inc. and Miles Laboratories Polymers Division
has been recommended for acceptance by the Building Code Compliance OMce to be uscd in Dade County.
Florida under the specific conditions set forth on pages 2 -14 and the standard conditions on page 15.
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 !'rom a jobsite or manufacturer's plant for quality
control testing. If this product or material rails 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 Codc.
aul Rodriguez
Product Control Supervisor
THIS IS TILE COVERSJIEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL,
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance
Office and approved by the Building Code Cotnmittce to be used in Dade County, Florida under the conditions set
forth above.
Charles Danger, P.E.
Director
Building Codc Compliance Dept.
Miami -Dude County
Homepage: http : / /www,buiidingcodeonllne.com
. uG
954 475 1462 PAGE.002
_ _ _ -. . .r . � . , �ou4 r CA LA U a 11C -
•
• 'r
•
POLYFOAM PRODUCTS, INC.
Applicant:
Polyfoam Products, Inc.
2400 Spring - Stucbner Road
Spring, Texas 77383 -1132
Catea orv:
Sub- Catettorv:
Type
Sub -Type:
System Description
Polyfoam Products, Inc., produces two - component expanding polyurethane adhesive for the attachment
of clay and concrete roof tile. Polypro® AI-I160 is specially designed for application of concrete and
clay roof tile over a variety of roof deck substrates and underlayment materials.
Polypro® adhesive is applied with proprietary Foampro® RTF1000 dispensing equipment. Approval of
this product is specific to the two component mix and Foampro® RTF1000 dispensing equipment.
Alternative methods of dispensing will require a revision to this approval.
Polypro® adhesive shall be applied only by 'Qualified Applicators', licensed by Polyfoam Products, Inc.
Certificates and identification cards arc issued to applicators upon successful completion of a application
training program. Approval of this adhesive system is contingent upon application by a 'Qualified
Applicator.
APR 29 '98 11:41
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING COMPONENT APPROVAI.
Roofing Component
Fastening/Adhesive
Roof Tile Adhesive
Two Component Polyurethane
Contact:
Pat Murray
P.O. Box 1132
Spring, Texas 77383-1132
Phone: (713)350 -8888
Fax: (713)288.6450
Page 2 of 15
.4.a' O wOL
Product Control No.: 98. 0303.02
•
Product Control No.: 98-0303.02
Approval Datc: April 16, 1998
Expiration Date: April 16, 2001
Frank Zuloaga, RRC
Roofing Product Control Examiner
954 475 1462 PAGE.003
-- . .r .y. ‘.0 Gila rf 6..11uu6.—L. I1C.
. POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02
Test Product
duct Dimensions Specifications Description
Polypro® A11160 N/A 1'A 101 Two component
polyurethane
Foampro® RTF1000 N/A See Detail Attached Dispensing Equipment
APR 29 '98 11:41
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Page 3 of 15
=5'+ + / - i'+D P.04
Frank Zuloaga, RRC
Roofing Product Control Examiner
954 475 1462 PAGE.004
• POLYFOAM PRODUCTS, INC.
Test Agency
TEST REPORTS
W Baia - 1•+OC 1 ' -ub
Product Control No.: 98- 0303.02
Test Identifier Test Name/Report Date
Center for Applied #94 -060 Miami Dade Protocol 04/08/94
Engineering PA 101
Center for Applied 257818 -IPA Miami Dade Protocol 12/16/96
Engineering PA 101
Center for Applied 25- 7438 -3 SSTD 11 -93 10/25/95
Engineering
Center for Applied 25- 7438 -4 SSTD 11 -93 10/25/95
Engineering
Center for Applied 25- 7438 -7 SSTD 11 -93 11/02/95
Engineering
Center for Applied 25 -7492 SSTD 11 -93 12/12/95
— . Engineering --_
Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94
Polymers Division
Ramtech Laboratories, 9637 -92 ASTM E 108 04/30/93
Inc.
Southwest Research 01-6743-011 ASTM E 108 11/16/94
Institute
Southwest Research 01-6739-062b111 ASTM E 84 01/16/95
Institute
Trinity Engineering 7050.02.96 -1 PA 114 03/14/96
APR 29 '98 11:42
Page 5 of 15
Frank Zuloaga, RRC
Roofing Product Control Examiner
954 475 1462 PAGE.006
— . ,i 4 vain r • UU U a_ ,_. . /C . 70 '+ •l • / a 1'+06 h' . l!0
• POLYFOAM PRODUCTS, INC.
Product
Underlayment
Roof Tile
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS
Test Criteria Product Description
PA 120 All Dade County Component Approved All Dad:
products as detailed in Dade County County
Application Standard PA 120 Approved
Products
PA 101 All Approved roof tile systems having All Dade
tested in compliance with Dade County County
Protocol PA 101, as detailed in the systems Approved
section of this Component Approval Products
Page 4 of 15
Product Control No.:. 9$- 0303.02
Manufacturer.
rank 7uloaga, RRC
Roofing Product Control Examiner
•
APR 29 '98 11:42 954 475 1462 PAGE.005
r-u tyr octm rroauccs Inc. J'.S4 4 /b - 14•Z P.07
• . PO.LYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02
APR 29 '98 11:42
TYPICAL PHYSICAL PROPERTIES
Property III! Results
Density ASTM D 1622 1.6 lbs. /ft.'
Compressive ASTM 0 1621 18 PSI Parallel to rise
Strength 12 PSI Perpendicular to rise
Tensile Strength ASTM D 1623 28 PSI Parallel to rise
Water Absorption ASTM D 2127 0.08 Lbs. /Ft
Moisture Vapor ASTM E 96 3.1 Perm / Inch
Transmission
Dimensional ASTM D 2126 +0.07% Volume Change @ -40 F., 2
Stability weeks
+6.0% Volume Charm 0158 °F.. 100%
Humidity, 2 weeks
Closed Cell — ASTM D 2856 86%
Content
Note: The physical properties listed above arc presented as typical average values as determined
by accepted ASTM test methods and are subject to normal manufacturing variation.
Page 6 of 15
Frank Zuloaga, RRC
Roofing Product Contml Examiner
954 475 1462 PAGE.007
•�f+• - - moo ll :wur+ ro iyroam rroauccs tnc.
POI.YFOAM PRODUCTS, ENC.
SYSTEMS
Dcck Type: Wood, Non - insulated, New Construction /Reroof
Deck Description: 15/32" or greater, plywood or wood plank.
SYSTEM A: Adhesive Sct Application
Slope Range: 2":12" to 7 ":12"
954 475 -1462 P.08
Product Control No.: 98- 0303.02
Underiayment: Shall comply with Miami -Dade Roofing Application Standard PA 120
Roofing Tile:
Comments:
APR 29 '98 11:42
Any roof tile assembly having a current shall be applied in compliance with the
Component Application scction and the corresponding Placement Details of
this Notice of Acceptance. The adhesive attachment shall provide sufficient
attachment resistance expressed as a moment to meet or exceed the required
moment of resistance determined in compliance with Miami -Dade County
Roofing Application Standards PA 115 or PA 127. The adhesive attachment
data is noted in the roof tile assembly NOA.
1. All 'System Limitations' noted in the tile Roof System Assembly Product
Control Approval shall apply.
Page 7 of 15
•
Frank Zuloaga, RRC
Roofing Product Control Examiner
954 475 1462 PAGE.008
- • • -. • J • ••■• •r••• • • v ■•• u % ■ -
Roofing Tile:
Comments:
Page 8 of 15
• •
Underlayment / Install Approved underlaymcnt system of one of the following:
Waterproofing:
• POLYFOAM PRODUCTS, INC. Product Control No.: 9S- 0303.02
SYSTEMS
(CONTINUED)
Deck Type: Concrete, New Construction /Rcroof
Deck Description: New construction
SYSTEM B: Adhesive Set Application
Slope Range: 2 ":12" to 7 ":12"
Underlayment: (30/90 Hot Mop) fully adhered in a full mopping of ASTM D 312 type IV
asphalt applied within the EVT range. Back nailing and laps shall be in
compliance with Rooting Application Standard PA 120.
Any liquid applied roofing system having a current NOA for its use as a tile
underlaymcnt system.
Any roof tile assembly having a current shall be applied in compliance with the
Component Application section and the corresponding Placement Details of
this Notice of Acceptance. The adhesive attachment shall provide sufficient
attachment resistance expressed as a moment to meet or exceed the required
moment of resistance determined in compliance with Miami -Dade County
Roofing Application Standards PA 115 or PA 127. The adhesive attachment
data is noted in the roof tile assembly NOA.
1. All 'System Limitations' noted in the tile Roof System Assembly Product
Control Approval or waterproofing component Roofing Component
Product Control Approval shall apply, as applicable.
Frank Zuloaga, RRC
Roofing Product Control Examiner
APR 29 '96 11:43 954 475 1462 PAGE.009
Table 1: Adhesive Placement For Each Generic Tile Profile
Tile
Profile
Placement
Detail
Two -Piece Barrel
#1
'S' Shaped
#2
Double Roll
#3
Flat
#4
• . POLYFOAM PRODUCTS, INC. Product Control No.:. 98- 0303.02
COMPONENT APPLICATION
1. Polypro® Al 1160 tile adhesive shall only be applied over an underlaymcnt installed in compliance
with application instructions detailed in its NOA.. Underlayment may be any undcrlayments or
underlayment systems listed Miami -Dade County Roofing Application Standard PA 120.
2. Adhesive application shall be in accordance with the instructions provided herein. Tthe
manufacturer may provide additional instructions subsequent to this approval date which may
prevail. Installation must he by a Factory Trained 'Qualified Applicator' approved and licensed by
I'olyfoam Products, Inc.
3. Calibration of the Foampro® dispensing equipment is required before application of any adhesive.
The mix ratio between the "A" component and the "II" component shall be maintained between 1.0-
1.15 (A) : 1.0 (8). The dispense timer shall be set to deliver 0.08 to 0.15 pounds per tilt as
dctcrmincd at calibration. No other settings shall be approved without revision of NOA.
4. Adhesive shall be dispensed in a 17 in' to 23 in' pad at time of application. The cured pad shall be
approximately 5" x 12 ". Foam placement shall be in accordance with the 'Placement Details'
herein. Each generic tile profile requires a specific placement, as noted in Table 1, below
5. Adhere tilt directly -in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam
has been dispensed.
APR 29 '98 11:43
Page 9 of 15
Frank Zuloaga, RRC
Roofing Product Control Examiner
954 475 1462 PAGE.010
• • POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02
SYSTEM LIMITATIONS
2. Polypro® AI 1160 adhesive shall be installed only by 'Qualified Applicators' approved and licensed
by Polyfoam Products, Inc. _
3. For adhesive set tile applications, a field static uplift test by a Miami -Dade County accredited
testing agency, in compliance with Miami -Dade County Roofing Application Standard PA 106,
shall be required not Icss than 72 hours after application to confirm tile adhesion.
4. Refer to application drawings published by the National Tile Manufacturers Association for
penetrations and terminations, as well as the Placement Details' included with NOA.
5. Refer to tile Roof Tile Assembly Product Control NOA for system acceptance with this Component.
6. Refer to the Prepared Roof Tile Assembly for fire rating.
7. Polypro® AH 1 60 shall not be exposed permanently to sunlight.
8. Polypro® AH160 shall be applied with Foampro RTF1000 dispensing equipment only.
9. Polyfoam ProductsTne. shall supply Building Official with a list of 'Qualified Applicators' approved
and licensed by Polyfoam Products, Inc.
Page 10of15
Frank Zuloaga, RRC
Roofing Product Control Examiner
APR 29 '98 11:44 954 475 1462 PAGE.011
- • • • • v.r... • • .r v..s�..r a. 1 *a... ••• . 1 i — _ 1tV - . 1L
• POLYFOAM PRODUCTS, INC.
PLACEMENT DETAILS
APR 29 '98 11:44
Placcmcnt Detail H1: Two -Piece Darrel Profile
Pagc 11 of 15
Product Control No.: 98- 0303.02
Frank Zuloaga, RRC
Roofing Product Control Examiner
•
954 475 1462 PAGE.012
POLYFOAM PRODUCTS, INC.
N.li th...ss pleats wweet
(ahem required y sear,
uwd.rlsyse.wt
APR 29 '98 11:44
PLACEMENT DETAILS
(CONTINUED)
Placement Detail 112: 'S' Shaped Tile Profile
Page 12 of 15
r.ve claw*.
Apply eeseigh adlaishre is
s t IT to tii store
IssAss 1. sssus.t wag the
111..
/.gds lewd
Product Control No.: 98- 0303.02
Orly bes
• Frank Zuloaga, RRC
Roofing Product Control Examiner
•
954 475 1462 PAGE.013
N POLYFOAM PRODUCTS, INC.
APR 29 '98 11:45
Men lh.eepe ple.ta emmwA
(whew tegWWr.d ti ewe.)
Unrwlmposwl
Cave Coarse
PLACEMENT DETAILS
(CONTINUED)
4M1 ease* adhesive /•
ashleme 174) saww•we lashes
lw eswlast with tea tile.
see V
r
slam eeewee eel 7, hers
aeuesM appwewdww ales 4' ep
hew seeseashas.
Placement Detail #3: Double Roll Profile
Page 13 of 15
Product Control No.: 98- 0303.02
paaola
Frank Zuloaga, RRC
Roofing Product Control Examiner
954 475 1462 PAGE.014
POLVFOAM PRODUCTS, INC.
Nail IlP.wah N..u. ..1wwt
twMaw aseui .d be ..r.)
F 41141111•711160114
Rave Comm*
APR 29 '98 11:45
PLACEMENT DETAILS
(CONTINUED)
Product Control No.: 98- 0303.02
la.. sews. •••y, Kew
adhesive a»r.dw atlse f ,y
heat waw±.l.•
Placement Detail #4: Flat Profile
Pagc 14 of 15
Apply .wawa rdil.oloo to
achieve 17.23 wgrw. l..•...
)a.awtaot with S. tw.
sr Cloture
fascia
uloaga. RRC
Roofing Product Control Examincr
•
954 475 1462 PAGE.015
p
# .
` POLYFOAM PRODUCTS, INC.
Product Control No.: 98- 0303.0;
Polyfoam Products, Inc. ACCEPTANCE NO: 98- 0303.02
2400 Spring - Stuebner Road APPROVED : Anrii 16. 1998
Spring, TX 77383 . EXPIRES : April 16, 2001
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
I Renewal of this Acceptance (approval) shall bc considered after a renewal application has bccn filed and the
original submitted documentation, including test supporting data, engineering documents, are no older than
cight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the
following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the
specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered II
a) !'here 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) lithe Acceptance holder has not complied with all the requirements of this acceptance, including the
correct installation of the product;
d) The engineer whaoriginally 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
he 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 uny other
purposes.
6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may bc 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 sitc
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 15.
END OF TI I IS ACCEPTANCE
APR 29 '98 11:45
Page 15 of IS
Frank Zuloaga, RRC
Roofing Product Control Examiner
954 475 1462 PAGE.016
New Building Remodeling
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement in me 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 Miarn
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 Villa ;c 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 ..._..._...
Owner's Name and Address ....... v t . . 1���► N ._
Registered Architect and /or Engineer
Name and address of licensed contractor.... .
Location ' and legal description of lot to be built o
Lot J Block Subdivision.
Stzeet and Number where work is to be done. .....LC.?
State work to done and purpose of building (by floors)...
112. CAAIL.
Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering "
...........
Estimates 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
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 labur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perrnanrnt Snp �leu�ent,
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 s tra ors, on rk,to be rig rmed der this
pcnnit, as are licensed by Miami Shores Village. � 6�� • c r-,-.;/ 4j o ,
Rem.uks..._ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
} SS.
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.. ® Date &l g.') Read, Sworn to and Subscribed before me.
Disapproved ...
(Signed) v .
Date..
Building Inspector
Chairman
Member
Member .. _....._......_..._. _ ...._.......
Council Approved Date
NOTE: A charge of $1.00 will be made for
the I'l.innir.g Board.
A rc inspection fee of 51.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Addition
44 33
A
367
and for no other purpose.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
7(-/x'
to me well known,
Member
Member
Member ...._
Disapproved Date
making corrections or changes to this application after approval has been obtained Irmo
when such re- inspection is made necessary by improper notice for inspection or faulty
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
LG ENGINEERING SERVICES, INC.
Consulting Engineers c• I• v• I• L
North Office: South Office:
7370 N.W. 36'" Street 13380 S.W. 131 Street
Suite 374 Suite 120
Miami, Florida 33166 Miami, Florida 33186
E•N•G•I•N•E•E•R
Tel: (305) 994 -8128 Fax: (305) 994 -8135
M. I. S. Corporation
c/o Mr. Pedro Pulgar
407 Northeast 27 Street
Miami, Florida
Project:
Dear Sirs;
TILE UP IFTSES]
Catigan Residence
1079 Northeast 96 Street
Miami Shores, Florida
Information provided by client:
Permit Number: 43570
Date Completion: December 1, 1998
Roofing Contractor: M. 1. S. Corporation
LG Engineering Services, Inc. Project Number: LG98 -1231
(Testing Laboratory Certification # 95- 0607.05)
December 4, 1998
In accordance with your request and authorization, a representative of LG Engineering Services,
Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was
performed in general accordance with Protocol PA 106 -94 -- Field static uplift test for mortar or
adhesive set tile systems and mechanically attached, rigid, discontinuous roof systems.
The total of the tested roof surface area was less than 5000 square feet, and the mean height of
the roof is less than 15 feet above ground surface. The type of tile used for this project was
reported to be Monier Roof Tile. This tile was reported to have been foamed in place.
At the time of this testing, a total of forty -five (45) tests were conducted; ten (10) at the roof
perimeter and ten (10) at the roof corner and twenty -five (25) in the field area. More than 5%
of the roof tile located in the field area and more than 10% of the roof tile at the roof perimeter
were physically examined.
Based on our test results. we conclude that the installation of the roof tile at the above > referenced
project meets the test requirement outlined in the above mentioned protocol Attached please find
a copy of our test report for you review.
LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you
have any questions or if we may be of further assistance, please do not hesitate to contact the
undersigned.
Respectfully submitted;
LG Engineering Services, Inc.
ham Sontly, P.E.
Project Manager
TILE UPLIFLTEST
Catigan Residence
1079 Northeast 96 Street
Miami Shores, Florida
Test Number
Test Load (lbf)
Test Status
1C
35
Pass
2C
35
Pass
3C
35
Pass
4C
35
Pass
5C
35
Pass
6C
35
Pass
7C
35
Pass
8C
35
Pass
9C
35
Pass
10C
35
Pass
11P
35
Pass
12P
35
Pass
13P
35
Pass
14P
35
Pass
15P
35
Pass
16P
35
Pass
17P
35
Pass
18P
35
Pass
19P
35
Pass
20P
35
Pass
21F
35
Pass
22F
35
Pass
23F
35
Pass
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Report of
TILE UPLIFT TEST
for
Catigan Residence
1079 Northeast 96 Street
Miami Shores, Florida
Permit Number: 43570
LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number: 43570, Page 1
Test Number
Test Load (lbf)
Test Status
24F
35
Pass
25F
35
Pass
26F
35
Pass
27F
35
Pass
28F
35
Pass
29F
35
Pass
30F
35
Pass
31F
35
Pass
32F
35
Pass
33F
35
Pass
34F
35
Pass
35F
35
Pass
36F
35
Pass
37F
35
Pass
38F
35
Pass
39F
35
Pass
40F
35
Pass
41F
35
Pass
42F
35
Pass
43F
35
Pass
44F
35
Pass
45F
35
Pass
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Note:-
C = Corner
P = Perimeter
F = Field area
LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number: 43570, Page 2
North -
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Approximate Test Location
LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number: 43570, Page 3
* 41°
Street and Number where work is to be done
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.
Owner's Name and Address
Registered Architect and /or Engineer _ ________________
Name and address of licensed contractor_
Location and legal description of lot to be built on:
APPLICATION FOR BUILDING PERMIT
State work to be done and purpose of building (by floors)
MIAMI SHORES \iLLAGE
BUILDING INSPECTION DEPAlRlTMENT
Chairman
Member
Member ___.___
Council Approved
Lot Block Subdivision__
Date , 19.
No c �' Street__
and for no other purpose.
New Building Remodeling Addition. __ _ ._ __ .___________
g g Repairs No. of Stories
To be constructed of Kind of foundation a Roof Covering � "
Estimated Total cost of improvements $ Amount of Permit $_, r
Zone cubage required____ ____ _ ____. ___— _Plan Cubage _ �, -, f ._
Distance to next nearest building _ _ __Size of Building Lot .___
Maximum live load to be borne by each floor wi ... ,___
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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks_--_- _____________ - -- (Signed)._
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-
pcared
____ to me well known,
and who, bein ''by me first duly sworn, upon oath deposes and says that he is the
of the above d scribed construction, that he h /carefulltv read die / foregoing application, and that he did sign the same, and that all facts
therein by him's are true. / ,
Permit No.___ k __ '_.. -_ Date � / ,, i Read, Sworn to and Subscribed before me.
Disapproved' . - -1 Date
-
'" " // , Notary Public, State of Florida
(Signed) _, y R .' / /'' 1.
Building Inspector '/� My Commission Expires
_ i t
PLANNING BARD 1 DATE
Member
Member
Member
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.
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