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1170 NE 97 St (14)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date -5°' 3 0 •'d � Job Address //26 /l/ /O S Tax Folio Legal Description Owner/Lessee / Tenant fl (Q(4i j) Owner's Address Contracting Co. Qualifier State # /cL /170 VE � �7 � 4 Municipal # Architect/Engineer ` Address Bonding Company v Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION rEu E G G- ^gam - f,/,/ / 61° Square Ft. r,2 CJ O 'J 7 Estimated Cost (value) t ,50 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. o owner and/or Condo ; resi• en Signature Notary as to Owner and/or Condo President My o sr$®�i s CiOYANV @2A' ! O G sAmmin rA ¢ ONTIEL Z. � .' * COMPliIISM PliJosan , 11i CC4O12� l yfe' �"", .. V CO>~7C-si,s!ON ZV OF F� AUG. 17 le0t., FEES: PERMIT 3 7 RADON APPROVED: Zoning Mechanical ate C.C.F. Building 01411f Historically Designated: Yes No SS# Address - 3 o q .l' Signature of Contractor or Owner- Builder Notary as to Contractor or Owner- Builder M y� -- I W I ® S '8 i e aTaFIv 62AL I o � e sAVOwQ r..7 U � i H 1 '!11'..7+ CO : CC4012611 i! �l z ° EV COR'i iS3iOP; .EXP. ``n FL ' d nua. 1v , ;ref._ Master Permit # Phone 75/7/0 Electrical 3 - 78,6° Date NOTARY S i TOTAL DUE 4 Plumbing Engineering 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. Owner's Name and Address Dr. Stanley Fromm Registered Architect and /or Engineer .. Name and address of licensed contractor Biscayne Roofing Co, 5180 E Ave Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1170 N.E. 97th Street State work to be done and purpose of building (by floors)E. ,IIIQYO....eXi 1-3W g el t IYl° 5 11_..2 g lam: eav i ?-s. ? ... II14 21l � .. 1-90d slate over Complete 'oQ .. _a,nd1-ay Garay_..1 ._.white. tile and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Coveringwhite shingle tile Estimated Total cost of improvements $ 4 r 700.00 Amount of Permit 30 SqS . 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 a rploy of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sul )1ement , 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 ntractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed)... t STATE OF FLORIDA, 4 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..79 -9=-C Date....tr "-- ' zr Disapproved Date (Signed) �i %�..'�i Building Inspector PLANNING BOARD Chairman Member Member ...... Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re inspection fee of $1.00 will be charged materials and /or workmanship. — No. g 7 2 ._ . ..._.. Street . E. 97th St. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires DATE Member Member Member Date Disapproved or changes to this application after approval Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA PERMIT N° 5494 Owner of Building Architect Contractor or Builder Legal Lot Description i I Bl Address of Building CONTRACTCR OR BUILDER DATE 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of Project $ Amount of Permit $ 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 responsib 1ity 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. 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner's Name and Address_ 7 / , %:'--%f! % -,_Y �!�✓ –l'� Registered Architect and /or Engineer ` �� Name and address of licensed contractor___ ;2S Location and legal description of lot to be built on: 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 V // , 19` -' No Street Lot Block Subdivision Street and Number where work is to be done /1 __LIt __ / T _i State work to be done and purpose of building (by floors)._ and for no other purpose. New Building To be constructed of. Remodeling Addition Kind of foundation Roof Covering R, y.. Estimated Total cost of improvements $ 4 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 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 ublic 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 ___ STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No —_ - Date Disapproved Date Council Approved Repairs No. of Stories 0 0 ( Signed ) _ . /. –4, 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 true. to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida (Signed) - Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. Date has been obtained from for inspection or faulty Disapproved Date (Signed) [7 - Chainnan Member Building Inspector 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- -.-L j "4 d.- 19... Owner's Name and Address.. .,._, 'f fi , . . Registered Architect and /or Engineer g g ,w, � n ) r � 1 - i, r , i . A/ a , . '1 Name and address of licensed contractor l __�._�_,_ __.'_ -/- �_ �u ;� � � ��' 7t .. �� ° ' �/ Location and legal description of lot to be built on: ° \ Lot Block Subdivision. ') Street and Number where work is to be done_ 1.._.i.G 1�i �d !" State work. to be done and purpose of building (by floors) w 2 r' ' ' � .__ .. , l ' � 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 $.... ._ , 66 Amount of Permit $.1 0�� Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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)._,' r STATE OF FLORIDA, �(� , ,. , r / COUNTY OF DADE. i ss. `` � =v 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 state are true. Permit No Date <5 1 S" to me well known, Read, Sworn to and Subscribed before me. PLANNI .' BOARD DATE Member Member Notary Public, State of Florida y Commission Expires 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. Df f :t for er ion Lot 31. Subdi- vision o f Value of Project $ Amt. cf Permit $ .... BUILDING ELECTRICAL PLUMBING ROOFING Owner Buildin Archite Contras or Build Legal Descrip Addres Buildin CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 13639 Work to be performed under this Permit 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. 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. r DATE 195 Contractor's License No BY AUTHORITY OAUO SXuniza VOLL QED Z BUILDING INSPECTION DEIPARTMENT ,o FFUCATi MN FOR f 3IJILD0MM PERMOT 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. October 19, 1972 ,19 Owner's Name and Address.. Dr. Stanley From@ N 1170 ..agistered Architect and /or Engineer Name and address of licensed contractor Ideal RoofinG & c Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1170 NE 97th St. STATE OF FLORIDA, COUNTY OF DADE. ss. Chairman Member Member Date Date Notary Public, State of Florida street NE 97th St. State work to be done and purpose of building (by floors) Roof repairs -in valley — – ` and for no other purpose. New Building Remodeling Addition Repairs XX No. of Stories 1 To be constructed of Kind of foundation Roof Covering Tile Estimated Total cost of improvements $ 26,5.00 Amount of Permit $,._ . 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 of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perin and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -contr in the work to be performed under this permit; and will post or cause to be •. '. pection on the site of or notices as are required by the Act. The undersigned agrees to employ y such subc. tr s. +rs, on wo 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 stated are true. ?" °� Read, Sworn to and Subscribed before me. Permit No 1 Disapproved (Signed) Building Ins ector My Commission Expires LANNING BOARD DATE 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- inspe•cticn 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. 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 OwnPi s Name and Address..E 1_l2 .. Ans tine Real ter - A.d ki ns- Registered Architect and/or Engineer.. Aft d 1) 8 f1 * Ra t_i * * 2 fa e . Andrews Roof. $ Improv. Name and address of licensed contractor_._ Andrews Location and legal description of lot to be built on: Lot._ Block Subdivision Street and Number where work is to be done 1170 N . E. 97th St. State work to be done and purpose of building (by floors) Repay x_s .1 Sq. and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation___.. Roof Covering-__ E.l.at._._Tile Estimated Total cost of improvements $ 150. 0 0 Amoun o Permit $ 5.00 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 foi said building. All notices with reference to the building and its construction may be sent to_. An d x_e_>a s_. -Bo o f_a___ $ Improv.. Co . _ 4 3 0 0_- E_o___11 th _Ave Hi a1 eah _..Fla . The undersigned applicant for this building permit doe 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 ork s i public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors work to perf,( ed µ er this permit, as are licensed by Miami Shores Village. � /� j,� %_� �' n 7 �� Remarks__ _ ...... . STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aailowledgments, 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 true Permit No 13® - Date - - -_- 3 Z_ 7/ . Read, Sworn to and Subscribed before me. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT - -------- --- - - - - - -- _ (Signed) Disapproved - - _ _ Datz _ .--- ---- -- - -- --- -- (Signed) Building Inspe p` My Commission Expires_ March _25 _, No.90-71-. -B is t$ta l -e-- -B-1 v-d -. Co. 4300 E. llth Ave. Hialehh to me well known, Notary Public, State of Florida P 1 NING BOARD__ __ . DATE Chaannan 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. Uplift report OK, see attached 10/23/06 CG. Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -26217 i Permit Number: RF -9 -06 -2291 Inspection Date: 10/20/2006 Inspector: Grande, Claudio Owner: BELTRAMINI, CIRO Job Address: 1170 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CAPITAL ROOFING Building Department Comments Monday, October 23, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Q Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number Parcel Number 1132050170150 Lot: Phone: (954)298 -4739 Page 1 of 2 f Root T Svw;a,., 14.6. 1500 WebtCopa.vv&Roa.d, Pompano - Beach, FL 33064 October 17, 2006 Capital Roofing 100 N. Federal Highway, Suite 742 Fort Lauderdale, FL 33301 Job Address: 1170 NE 97 Street, Miami Shores Permit # RF -9 -06 -2291 Job # 06 -2596 Building Department Official; M IAMI-DAD NOA: 02 SO/ e/1998 As requested Florida Roof Testing Services, Inc. performed a tile uplift test on the building described within the attached report. Please find enclosed: Site Drawing, Test Results and Gauge Calibration Certificate. The tile uplift test consists of placing a load test device manufactured by, Chatillon Industries, [Model LG -100] over the tile with an adjustable connector placed under the front lip of the tile and gradually increasing upward pressure until a reading of 35 pounds is obtained. All testing was conducted in accordance with FBC 2004 -TAS 106. Florida Roof Testing Services responsibility in this project was specifically tile uplift testing to a specific limit. No other conclusions or observations are expressed or implied. Florida Roof Testing is not responsible for any damaged or broken tile during the course of the test. Florida Roof Testing Services appreciates this opportunity to be of service. If you have any questions or need additional information, please do not hesitate to call the undersigned. Sincerely, Florida Roof Testing Services F� Hw414444 Frederick Hernandez General Manager Attachments Phone.: 954-975-9010 * Fa o954 - 956 -0990 Location Perimeter i Area # Tests # Broken % Failed Perimeter P =4' 1500 15 0 0% Corners 128 8 0 0% Field 2172 11 0 0% Total 3800 34 0 0% Job Address: 1170 NE 97 Street, Miami Shores Permit # RF -9 -06 -2291 Job # 06 -2596 Application Method: Foam Set, Monier, 3800 sq feet Date Tested: 10/11/06 Test Results: Pass Roof Diagram & Test Locations Note: All measurements are approximate. • Page 2 ras 106 - rae'upl;tReport 25 35 10 ek) R. N. Sailappan, P.E. Florida Registration No. 46696 CERTIFICATE OF'e Pompano Beach, FL. : AMETEK Inc. • TRACEABILITY STATEMENT TRACEABILITY AS DEFINED IN THIS CERTIFICATE IS TO AN AMETEK TEST AND CALIBRATION INSTRUMENTS DIVISION LABORATORY REFERENCE STANDARD, OR STANDARDS. SAID STANDARDS ARE ULTIMATELY-TRIACEAEtLE BY MEANS OF AN UNBROKEN CHAIN OF CALIBRATIONS TO 'rim INTERNATIONAL SYSTEM OF UNITS (SI-SYSTEME INTERNATIONAL D'UNITES) THROUGH AN ACCREDITED NATIONAL METROLOGY INSTITUTE (SUCH ASNISL PIS/D10, 13NM, LNE, IGMC, 011, CENAM, ETC), OR BY TO A NATORAL.pHYSICAL CONSTANT ACCEPTED BY CGPM AND CIPM. AMETEK CALIBR41ION NORMS ARE IN ACCORDANCE WITH THE BASIC REQUIREMIWS OF iS010012 AND ANSI Z540-1. REFERENCE: ISO 17025, S ECTION 3.6 - — . - • , . • MODEL: LG-100 , SERIAL NUMBER R04354 CALIBRATION PROCEDURE:mGFP-78 DATE CEItriELED: 8/31/2006 PRODUCT SPECIFICATION ACCURACY LIMITS: +/-0.5% of full scale TEST ( LBF ) TENSION COMPRESSION STANDARD 20.0 0.0 0.0 40.0 0.0 0.0 60.0 0 . 0 .. 0.0 - 602 61 80.0 0.0 0.0 - 80.5 81 100.0 0.0 0".0 _100.2 101 110.0 0.0 0.0 NOTE: 1. THE ABOVE LISTED RESULTS RELATE ONLY TO THE MODEL AND SERIAL NUMBER OF THE UNIT AS SPECIFIED.ON THIS. CERTIFICATE OF CALIBRATION: 2. CALIBRATION PERFORMED AT. 711.42 DEGREES F AND 62.20 % 3. THIS CERTIFICATE OF CALIBRATION SHALL $OTr BE REPRODUCED EXCEPT IN FULL, WITHOUT THE WRITTEN APPROVAL OF-;AM>y"IE& INC `' • 4. CALIBRATION STANDARIS.HAVE'A ONE YEAR CALIBRATION CYCLE AMETEK Test and Calibration Instruments Division certifies that the product referenced in the Certificate meets specifications; and, further certifies that the referenced instrument was serviced and/or calibrated using quality and manufacturing systems governed by the requirements of ISO 9001 registered compliant, file UL A4716. �'1 Building Department Miami Shores Village 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ,Tel: (305) 795.2204 Fax: (305) 756.8972 1r r �1 BUILDING 11 1 Permit No. if 0 6 . "2- ( i, / PERMIT APPLICATION Kf FB C 2004 Tenant/Lessee Name Job Address (where the work is being done) City _ Miami Shores Villa e FOLIO / PARCEL # 11 Architect/Engineer's Name (if applicable) Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) r 9S� tOt�� ^ Phone # / .� / Owner's Address 1 d 7t (Ir_ -6 ' 5 f City svrt, p . 2 , C.:1( State (7L I County Miami -Dade 01 '7c fi r) Is Building Historically Designated YES NO Zip 33 I 3 ? Phone # Phone # ■ Zip > / S { Contractor's Company Name ( 1 g, Phone # /,� 2 . // 73 C o n t r a c t o r ' s Address J (jet D / ! t q 'Fe re 7 y r� City r� •'� L1. (let )4 State FL Zip 333 C f Qualifier Name J d (€ Phone # [ ' `) 9 n7 State Certificate or Registration No. C <'(- f a � 7 7 41. Certificate of Competency No. Value of Work For this Permit $ 3/, r 0 Square / Linear Footage Of Work: vo 0 Type of Work: ['Addition ['Alteration ❑New IX Repair/Replace ❑ Demolition Describe Work: /Cc' 4 r 'L **** * *, *, * * ** *** * * *** * * * * * * * * ** * * **** F ees * *, * * * * * * * * *, * ** * * * * * * * * * * * ** * * * * * ** ** * *** ** Submittal Fee $ Permit Fee $ '} Z c ° .1 2 .-- - -I CCF $ ! �' ' CO /CC Notary $ Training/Education Fee $ i , Y Technology Fee $ ... Scanning $ 1 % ir Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ , -" �, See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this__ day of ,20,by , day of ,20_,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) O 0 y Plans Examiner v Engineer Zoning NOTARY PUBLIC: BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple p Titleholder) C r 0 IJe / , 1 Owner's Address \ \70 / E 7 .4t, 5 t City h, 4, 'N • Q/I vfe,y 11.11 State FL zip 33( Tenant/Lessee Name Phone # Job Address (where the work is being done) 11 0 A) c17 ' Permit No. Master Permit No. City Miami Shores Village County Miami -Dade Zip 3313? Is Building Historically Designated YES NO Contractor's Company Name `R(. 4'0 1 o ) �'f r' Contractor's Address (00 /1 ,f P de•- ' 1 /4 p„ . 0 7'-J Cit F 1-41,..0A1 /-)ogle State Qualifier M 4 rk Co 11,,, .5. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 3 1 0 00 Type of Work: ❑Addition ❑ Alteration Describe Work: l -- ro Total Fee Now Due $ (Continued on opposite side) ❑New Phone #t95 /) ,r-4L737 Zip 333® ) Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** '477 — $-97a 37oo I , Repair /Replace ❑ Demolition Submittal Fee $ Permit Fee $ CCF $ Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The fore oing instrument was acknowledged before me this ° ' The fore day of 20tU a'0 C ��,1 � by ) , day of who is personally known to me or who has produced u6 a who is ersonall As identification and who did take an oath. r L c JES CA-ISA RLIC; MY COMMISSIOIa}4 EXPIRES: Se .19..2009 oAda Notary 6 U.' O NOTARY Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * ** ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** State Certificate or Registration No. APPLICATION APPROVED BY: Chc 10/14/03 c cc, 3P7q 1 . Contractor ng instrument was acknowledged before me this 0 My Commission (Certificate of Competency Holder) 213 ,by A A - , known to me or who has produced tification and who did take an +ath. SHARON A. KARCii te Notary Public. State of Florida ** 4.11, c taw%*IiVIR44 tF *0* * * No DO 268661 Certificate of Competency No. Plans Examiner Engineer Zoning bOCUMENT COVER PAGE bOCUMENT TITLE: N0 1-,r (D fi✓yl/rn"eMt 4 a EXECUTEb BY: C; r,, An Irr' : n 117n /lip 12 Si 5 m,e 5 Ft— 33/ 3 r TO: Brief Legal Description: iyb r` / by (if applicable) e: r v I�cf f- �n�� »7 N '?7 .# `' Sr 131111 1131 MHOMMUM CFN 20046R093-50 IL 1 OR Bk 24863 Fss 2492 - 2493F C2as RECORDED 08/31 /2006 10 :47035 HARVEY RUVINp CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA b41 (APO: S th 33 �3� "G BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2500.00 PERMIT # TAX FOLIO # STATE OF F tof,L THE UNDERSIGNED HEREBY GIVES NOTICE THAT IMPROVEMENT 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. LEGAL DESCRIPTION OF PROPERTY(INCLUDE STREET ADDRESS IF AVAILABLE): GENERAL DESCRIPTION OF IMPROVEMENT: Re - t 0 OWNER: 1" A al': K 4- C , r r.) DL' I +1` Pr . n. ADDRESS: lU7p N L % 47 54 M.' 9 .�, .` 5 L. d P e I, E L_ 3 3 / 3 8 PHONE #: (5 I) r.{ -- 7 - 7 - 5 FAX fi: INTEREST IN PROPERTY: NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER(IF OTHER THAN OWNER): CONTRACTOR: C ADDRESS: lo PHONE #: SURETY COMPANY(IF ANY) ADDRESS: PHONE # BOND AMOUNT: LENDER/MORTGAGE COMPANY ADDRESS: PHONE #: FAX #: 1 PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OOTHER DOCUMENTS MAY BE SERVED AS PROVIDED BY SECTION 713.13(1)(A)7., FLORIDA STATUTES: , NAME: ADDRESS: PHONE #: FAX #: IN ADDITION TO HIMSELF OR HERSELF, OWNER DESIGNATES OF TO RECEIVE A COPY OF THE LIENORS NOTICE AS PROVIDED IN SECTION 713.13(1)(B), FLORIDA STATUTES. PHONE #: FAX #: EXPIRATION DATE OF NOTICE OF COMMENCEMENT: THE EXPIRATION DATE IS NE (1) YEAR FROM THE DATE OF RE UNLESS A DIFFERENT DATE IS SPECIFIED ABOVE. �/ YJ M 4,.q C �r.gt�� 1 ` 0n. lls -tors SIGNATURE OF OWNER SWORN TO AND SUBSCRIBED BEFORE ME THIS a DAY OF BY Itv f t c41157Yl /kGi be Y17t' ,A( TARY SIGNATURE / data/ bl d /bldg_forms/Current.formsdwc.aw NOTICE OF COMMENCEMENT COUNTYOF d c FAX #: OR BIK 24863 PG 2493 LAST PAGE PERSONALLY KNOWN OR PRODUCED ID �� 1 \T - ( CGS ° TYPE OF ID Gr JESSICA ISAACS MY COMMISSION # DD473413 / tort " EXPIRES: Sept. 19.2009 (407) 398.0163 Florida Notary SeMce.com F 2006 02/06/03 Inspection Number: INSP -26215 Permit Number: RF -9 -06 -2291 Inspection Date: 10/04/2006 Inspector: Grande, Claudio Owner: BELTRAMINI, CIRO Job Address: 1170 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CAPITAL ROOFING Building Department Comments Tuesday, October 3, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number Parcel Number 1132050170150 Lot: Phone: (954)298 -4739 Page 1 of 2 c 1 , 4 Passed or Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -26215 Permit Number: RF -9 -06 -2291 Inspection Date: 10/04/2006 Inspector: Grande, Claudio Owner: BELTRAMINI, CIRO Job Address: 1170 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CAPITAL ROOFING Building Department Comments Tuesday, October 3, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number Parcel Number 1132050170150 Lot: Phone: (954)298 -4739 Page 1 of 2 Inspection Number: INSP -26214 Permit Number: RF -9 -06 -2291 Inspection Date: 09/27/2006 Inspector: Grande, Claudio Owner: BELTRAMINI, CIRO Job Address: 1170 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: CAPITAL ROOFING Building Department Comments Tuesday, September 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 aLe 28 Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1132050170150 Lot: Phone: (954)298 -4739 Page 1 of 2 Passed k o i "Y � Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -26214 Permit Number: RF -9 -06 -2291 Inspection Date: 09/27/2006 Inspector: Grande, Claudio Owner: BELTRAMINI, CIRO Job Address: 1170 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: CAPITAL ROOFING Building Department Comments Tuesday, September 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 aLe 28 Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1132050170150 Lot: Phone: (954)298 -4739 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -26213 Permit Number: RF -9 -06 -2291 Inspection Date: 09/25/2006 Inspector: Desharnis, George Owner: BELTRAMINI, CIRO Job Address: 1170 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: CAPITAL ROOFING Building Department Comments Friday, September 22, 2006 V 2 5 E Block: Permit Type: Inspection Typ Work Classification: Phone Number Parcel Number 1132050170150 Lot: Phone: (954)298 -4739 ew Page 1 of 2 Infractio Passed Comments TIN CAP SPACEING True Passed Inspector Comments , / l i .-, q., e s.-1, AO fr , V Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -26213 Permit Number: RF -9 -06 -2291 Inspection Date: 09/25/2006 Inspector: Desharnis, George Owner: BELTRAMINI, CIRO Job Address: 1170 97 Street NE Project: <NONE> Miami Shores Village, FL Contractor: CAPITAL ROOFING Building Department Comments Friday, September 22, 2006 V 2 5 E Block: Permit Type: Inspection Typ Work Classification: Phone Number Parcel Number 1132050170150 Lot: Phone: (954)298 -4739 ew Page 1 of 2 . NOTICE OF C A RECORDED COPY MUST BE POSTED ON PERMIT NO .. q - � TAX MMENCEMENT JOB SITE AT TIME OF FIRST INSPECTION OLIO NO. %1 a�3��`I�CJ�D 111111111111111111111111111111111 C:I='4 2006R0931.837 OR Bk 24860 Ps 4'2811 f. 1 is ! RECORDED 05/28/2006 12 :45 :35 M I AM I_Y A � CLERK OF DART MIAMI COUNTY, FLORIDA D LAST PAGE . • STATE OF FLORIDA: COUNTY OF .. •c ( �l) t � at improvements will be made to certain real 3, Florida Statutes, the following information t. reet/address: ' / L NI- c . ,' �, THE UNDERSIGNED hereby gives notice t property, and in accordance with Chapter is provided in this Notice of Commenceme 1. Legal description of property and s e c 1 • - • 2. Description of improvement: R +; a _ f 00 3. Owner(s) name SL l and address: OX r 1 U., L.Q.. - p-a VlC Q C_-/D ME, Los s K 1 Co-tt S kJ> r - C - 8 , F 1 33 f Interest in property: Name and address 0i/9n of fee simple title ,• 'der: AV A 4. Contractor's 153)q 1NvU name and address: P, 1e2) 8 Ron sr�9 COM ()On./ I St r0 jt T1�LORiAA, COUNTY 5. Surety: (Payment Name and address: Amount of bond 6. Lender's name Of' D.�DC bond required by •caner from contractd :; ERTIFYthatt�ls f j- 1 ,,.} o , p c top,. a rigi ., ` - , in th ofce on _ i , I_ < �'o'• A /� _At / - 'i e. Off $ 1 _ /.�,� � a ry y . WWlty Courts , O - ,A` ' .� and address: 0 d' !// � __ 7. Persons within provided by Section Name and address: the state of Florida 4 713.13(1)(a)7., Fl. NV A esignated by Owner upon whom notices or other documents may be served a Statutes, 8. In addition to in Section 713.13(1)(b), Name and address: himself, Owners desi Florida Statut N1Ai nates the following person(s) to receive a copy of the Lienor's Notice as provide . 9. Expiration date diffe t date is of this Notice of Co cified _O _JA A nmencement: (the expiration date Is 1 year from the date of recording unless a S ignature of owner Print Owner's Name eh-QV/Val Sankt La Ca Sworn to and subscribed before me t is 1 u day of V I � 20 6 (61 Address: Print Notary's Name Notary Public -- N �, ��RY PUB W il e F OP U 0 - I' O W 1 54 123.01-52 PAGE 4 1 0/04 484955 My commission expires: � :r,.•. Expires: sa�+ot4ctico..1xG DED TliR� 1u � Xd� 13C213Sd1 dH WdL2 : . 9002 .17 . 1 daS G A1C gs et) Prepared by Date Friday, September 15, 2006 09/15/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: RF -8 -06 -2197 Invoice Number: RF -8 -06 -26023 Applicant: REGINA PAVONE Company Name: Owner Address: 541 NE 105 ST MIAMI, FL 33138 -2044 Job Address: 541 105 Street NE Miami Shores Village, FL 33138- Payment Type Check Number 3683 Amount $307.68 Change $0.00 Total Payment: $307.68 Page 1 of 1 Permit Number: RF -9 -06 -2291 Invoice Number: RF -9 -06 -26138 Applicant: CIRO BELTRAMINI Company Name: Owner Address: 1170 NE 97 ST MIAMI SHORES, FL 33138 Job Address: 1170 97 Street NE Miami Shores Village, FL Date Wednesday, September 20, 2006 09/20/2006 Check Payment Type Check Number 3683 09/20/2006 Check 3684 Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Amount $307.68 $90.25 Change $0.00 $0.00 Total Payment: $397.93 Page 1 of 1 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES ST 0 7 M11 Master Permit No. Process No. Contractor's Name f Job Address I I 7/1 of 97 � „n v , . LL r r € FL 3 ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile Mortar /Adh ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shi Shingles ❑ New Roof Reroofing Low Slope Roof Area (SF) ofraq 1 Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Recovering ❑ Repair ROOF SYSTEM INFORMATION Total (SF) 3 (7 Steep Sloped Roof Area (SF) .1 11 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. i / N M no « —t � t. 1 1 15.32 FLORIDA BUILDING CODE — BUILDING 1. Roof System Manufacturer: 2. Notice of Acceptance Number: 4. Maximum Design Pressure (From the NOA Specific System): 5. Method of Tile Attachment: Ridge Ven ilation? Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form Section D (Steep Sloped Roof System) NOTE: Items 3 & 4 are not required for shingles with NOA 0v .e r 3. Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations- Method 1): Pmax1: .3 ,off Pmax2: PFIy5e Mean Roof Height: 15 t. oa- ■ aD5 Pmax3: Steep Sloped Roof System Description Deck Type: Type Underlayment: Insul L C l T © (pi c A vie i -f 1041 A STii tion: N �9 Fire Barrier: Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: or M From Sec. E, Method 2 : / V \Roof Covering: Type & Drip Ed (00 0.' &' I qf' e. C Icon lz' o.t. I ' r,..J y4 .9/ ,.,ti 2 ?„/ fL / To fI Size ge: Tae M ;eta 5 (z.: 31(3 kg 2 s Roof 09/27/05 /S Where to Obtain Information Description Symbol Where To Find Design Pressure P or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier X Product Approval Restoring Moment due to Gravity M Product Approval Attachment Resistance M Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F' Product Approval Required Uplift Resistance F Calculated Average Tile Weight W Product Approval Tile Dimensions 1= length w =width Product Approval All calculations must be submitted to the Building Official at the time of permit application. M Required Moment Resistance* 15' 20' 25' 30' 40' Mean Roof Height -11. Roof Slope I} 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compare the values for M with the values from Mf . If the M values are greater than or equal to the M values for each area of the roof, then the tile attachment method is acceptable. (P1: (P2: (P3: (P x I: (P x I: (P3: x 1: XX XX XX Method 1 "Moment Based Tile Calculations Per RAS 127" ) - Mg: ) - Mg: - Mg: Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below : 30, y Product Approval Mf *Must be used in conjunction with a list of Moment Based Tile Systems endorsed by the Broward County Board of Rules and Appeals. For Uplift Based Tile Systems use Method 3. Compare the values for F' with the values for F If the F' values are greater than or equal to the F values for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" = x W:= ) - W: X w:= ) - W: X w:= ) - W: = Mri = M = Mr3 x cos 9: x cos 0: x cos 0: = Fr = Fr = Fr NOA Mf NOA Mf NOA Mf Product Approval F' Product Approval F' Product Approval F' Roof 09/27/05 SECTION 1524 HIGH-VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained. w'1 Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High - Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renalling wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High - Velocity Hurricane Zones) of the. (The roof deck is usually concealed prior to removing the existing roof system.) r �,' /. Common roofs: Common roofs are those which have no visible delineation between neighboring units (Le., 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. 4 ` 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. 4 ri Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Iorida Building Code, Plumbing. . Ventilations Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. eft ne 's /Agent's Signature Da e Contractor's Signature M1AMFDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20 Street Boca Raton, FL 33431 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Spanish `S' Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA 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 NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 5. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Sub- Category: Material: 1. SCOPE This renews a system using Monier Lifetile Spanish `S'Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant, Monier Lifetile Spanish 'S' Tile Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofmg High Profile Roofing Tiles Concrete Dimensions 1 =18" w = 10 3 / 8 " min. 3 /4" thick 1 =varies w = varies varying thickness Test Specifications Test Identifier 7161 -03 Appendix III 7161 -03 Appendix II P0647 -01 PO402 94-084 94-083 25- 7183 -4 Product Description PA 112 High profile, interlocking, one - piece, 'S' shaped, high - pressure extruded concrete roof tile equipped with two nail holes. For direct deck nail -on, mortar set 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. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Date Dec. 1991 Dec. 1991 Aug. 1994 Sept. 1993 May 1994 April 1994 Feb. 1995 NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 2 of 5 Test Agency The Center for Applied Engineering, Inc. Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 3. LIMITATIONS Test Identifier 25- 7214 -3 Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -78 224 -47099 520111 -3 520191 -2 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Test Name/Report Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Wind Tunnel Testing PA 108 (Nail -On) Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7094 25 -7496 25 -7584 25- 7804b -8 25 -7804-4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Date March, 1995 Aug. 1994 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Monier Lifetile Spanish `S' Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 3 of 5 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Monier Lifetile Spanish 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 1 .#8 Screw 20.7 20.7 2 . #8 Screws 43.2 43.2 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 Table 5: Attachment Resistance Expressed as a Moment Mf (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Spanish 'S' Tile Adhesive 29.3 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Polyfoam Product, Inc. Average weight Average weight per patty 10.7 grams. per patty 8 grams. Table 3: Restoring Moments due to Gravity - M (ft-lbf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Monier Lifetile Spanish 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck N/A 8.51 N/A 8.44 N/A 8.27 N/A 8.07 N/A 7.87 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) Monier Lifetile Spanish 'S' Tile 9.64 1.5 0.865 Table 2: Aerodynamic Multipliers - A, (ftl Tile Profile X (ft ) Direct Deck Application Monier Lifetile Spanish 'S' Tile 0.259 NOA No.: 02 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 4 of 5 Table 5A: Attachment Resistance Expressed as a Moment - Mt (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Spanish 'S' Tile Polyfoam PolyProTM' 66.5' Polyfoam PolyProTM 38.7 3 Large paddy placement of 63grams of PolyProTM'. 4 Medium paddy placement of 24grams of PolyProTM". Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Spanish 'S' Tile Mortar Set 24.5 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NAIL HOLES PROFILE DRAWINGS MONIER LIFETILE SPANISH 'S' CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 5 of 5 MIA MMADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polystick P, IR/IRX, TU, TU Plus and MU Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA 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 NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 03- 0818.03 and consists of pages 1 through 6. The submitted documentation was reviewed by Jorge L. Acebo. NOA No 04- 0810.03 Expiration Date: 09 /13/06 Approval Date: 11/24/05 Page 1 of 6 ROOFING COMPONENT APPROVAL Category: Sub- Category: Material: PRODUCTS DESCRIPTION: Product Polystick P underlayment Polystick IR/IRX underlayment Polystick TU underlayment Polystick TU Plus underlayment Polystick MU underlayment Roofing Underlayment SBS , APP Self- Adhering Modified Bitumen Test Dimensions Specification Roll: ASTM D 1970 75' x 3' 40 mils thick Roll: TAS 103 and 65'8" x 3'3 ASTM D 1970 80 mils thick Roll: TAS 103 and 32'10"x3'3- ASTM D 1970 100 mils thick Roll: TAS 103 and 65'8" x 3'3 ASTM D 1970 80 mils thick Roll: TAS 103 and 65'8" x 3'3 ASTM D 1970 80 mils thick Product Description A polyethylene top surface, self - adhering, SBS polymer modified bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. A fine granular /sand top surface self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. A non - wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced with a hight strength polyester fabric, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. A non - wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. NOA No 04- 0810.03 Expiration Date: 09/13/06 Approval Date: 11/24/05 Page 2 of 6 EVIDENCE SUBMITTED: Test Aeencv Exterior Research & Design, LLC PRI Asphalt Technologies Test Identifier #11756.04.01 -1 #11756.08.01 -1 #02202.08.05 PRI01111 PUSA- 005 -02 -01 PUSA- 018 -02 -01 Test Name/Reaort Date TAS 103 04/27/01 ASTM D 1970 08/14/01 TAS 103 08/29/05 ASTM D 4977 04/08/02 ASTM D 4977 01/31/02 ASTM D 2523 07/14/03 NOA No 04- 0810.03 Expiration Date: 09 /13/06 Approval Date: 11/24/05 Page 3 of 6 INSTALLATION: Deck Type 1: Wood, non - insulated, new construction Base Sheet: One or more plies of ASTM D 226 Type 11 or ASTM D 2626 or Polyprotector UDL or Polyprotector UDL AS. Fastening: Nails and tin caps 12" grid, 6" o.c. at laps. (for base sheet only) Membrane: Polystick membranes self - adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3 -1/2" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to lap areas. Polystick TU and TU Plus shall not be left exposed as a temporary roof for longer than 180 days after application. Polyglass reserves the right to revise or alter product exposure times. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No 04- 0810.03 Expiration Date: 09/13/06 Approval Date: 11/24/05 Page 4 of 6 LmUTATTIONS: 1. Fire classification is not part of this acceptance. 2. Polystick P and IR/IRX may be used in asphaltic shingles, wood shakes and shingles, non - structural metal roofing, and quary slate roof assemblies. Polystick P shall not be used as roof tile underlayment. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick membranes shall not be applied over an existing roof membrane. 6. Polystick P shall not be left exposed as a temporary roof for longer than 30 days after application. Polystick IR/IRX, or MU shall not be left exposed as a temporary roof for longer than 90 days after application. Polystick TU and TU Plus shall not be left exposed as a temporary roof for longer than 180 days after application. Polyglass reserves the right to revise or alter product exposure times. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice. Polystick TU, TU Plus and MU may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR/IRX is limited to mechanically fastened roof tile applications. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as described below: Tile Profile Flat Tile Profiled Tile Polystick IR/IRX 5:12 Prohibited Polystick MU No limitation 5:12 Polystick TU, TU Plus No limitation No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. NOA No 04- 0810.03 Expiration Date: 09/13/06 Approval Date: 11/24/05 Page 5 of 6 LIMITATTIONS: (CONTINUED) 9. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass Tile loading detail for loading procedure. 0 N Roofing Tiles (6 Max. Per Stack) 12 10. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick P, IR/IRX, TU, TU Plus & MU may be used with any approved roof covering Notice of Acceptance listing Polystick P, IR/IRX, TU, TU Plus & MU as a component part of an assembly in the Notice of Acceptance. If Polystick P, IR/IRX, TU, TU Plus & MU is not listed, a request may be made to the Authority Having Jurisdiction (AI-1J) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. LABELING: 1. All membranes shall bear the imprint or identifiable marking of the manufacturer's name or logo, the Miami -Dade County logo or the following statement: "Miami -Dade County Product Control Approved ". BUILDING PERMIT REQUIREMENTS: 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 . Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. END OF THIS ACCEPTANCE NOA No 04- 0810.03 Expiration Date: 09/13/06 Approval Date: 11/24/05 Page 6 of 6 M I A M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA 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 NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by Jp rge L. Acebo. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: SCOPE: This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® All 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Polypro® AH 160 N/A Foampro® RTF1000 N/A ProPack® 30 & 100 N/A PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Roofing Roof tile adhesive Polyurethane Test Specifications TAS 101 Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs. /Ft 3.1 Perm / Inch +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Change @158 ° F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name /Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH 160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® A11160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. ■ !F 2 F'= MS W NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofmg Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTFI000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Eave Cone Eave course only: Keep adheske approx. 4 In up from weepholes Paddy (Beneath Tfte) Fascia Weephole Eave closure Drip edge 1) Place enough adhesive to achieve 17 to 23 Optional,214% for square Inches In contact with the pan tile To 1 in. From outside edge of Then install the tile. cover tile. 2) Tum covers upside down. Place adhesive 1/2 I\ f n 7A Rem top portion of the eave course cover tile. Abut to second course of pan Wes. Ensure eave end of pan and cover tiles ere flush at save line. Eave closure (mortar shown) Nail through plastic cement Optional Point-up Mortar on longftudinal eiltles oftfla NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 Nail through plastic cement `rain. I x3in. Single paddy on under• layment Single paddy on top of tile Single paddy under tile Paddy (between tile) Paddy (under tile) Eave course 2 in. X 7 in. medium size paddy eave Fascia • course only Nail through plastic cement J I -43in.x3In. Single paddy on underiayment Single paddy on top of tile ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Eave Course Nail through plastic cement Underlayment ebs in. x 3 in. Single 4In. paddy on under - layment Single paddy on top of tile Eave Course Single paddy between tile rF% '41%* X , Eave Closure • s In. epad .mcm size paddy y eave course only Fascia END OF THIS ACCEPTANCE Single paddy under tile Single paddy between tile 2 in. x 7 in. medium sae paddy eave course only NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 7 of 7 Fascia Weephole Eave closure Drip edge