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1210 NE 97 St (14)• • ••• • • • • ••• y 10050 N.E. Avenue • Miami Shores, Florida 33138 • 305- 795 -2204 Date I��� JobAddress am 1�E f��• Ta,Feliot• • .•• • • • • •--•—•---1 • • • • • • O • • • • • • • • • Legal Description HiStbricaly•15esignated: • Yes' No Owner /Lessee/Tenet 7eLb • • Masser Permit #• • ) 1 al ° WS E I el 7744‘ Stf . • . :. : • 0 W 159 Sa 5 5 Contractin Co. j1tJ& Atoin-lt16 Address 1]) M E • qO Qualifier P'Ut) 1& I eg SS# D Gi X1 c2 ""Phone O5 75'4 -- °1 1iif Competency # C r 3 a 6 Ins. Co. LC a- "C3 r Owner's Address State # Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON TIIE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: I ear Off e X I h! ° I e ro c'-P ' rep )ii e LU I k Q. Y e tv' M o h t er q � Couxel co jorkr-bch+(ke 1e6 4-he Stove c h3r-4i l e Square Ft. 3LI0 Estimated Cost (value)- I3/ goo coo 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 ANY 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. 1 understand that separate permits are required for all disciplines. OWNERS 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 wo: stated. otary as to Owner a or Condo President My Commission Ex Angela M Becker 4 • My Commission DD150040 Vor n Expires November 15, 2006 FEES: PERMIT *_-C w RADON • • • • • • • • • • PERMIT APPLICATION 'OR MIA:MVII VILLAGE APPROVED: Zoning Building Mechanical Plumbing • • •• • • • • ••• •• •• • • • •• •• • Notary My C.C.F o r Signature of C actor or Owner Bui 4- 4 J J�3 Date t vzol*ftlgioBuil - pire3XPIRi ' Ron: od 1hrn WW ' .an • - i r .11 MY COMMIS e EXi'IFif'S: •t,gust'6 2003 'tpfryg` Bonded Thn. Notary Publ e U 1daM -- NOTARY %O O BOND 3 C TOTAL DUE ' + ( Q Electrical Structural Engineer NOTICE OF COMMENCEMENT Notice of Commencement must be filed if the lob valuation of $ 2,500.00 and /or more in labor and material. Please file at 22 NW 1st Street, 1st Floor, Miami, Florida (305) 275 -1155 0 41349 2003 FEB 28 13 :02 Permit Number: Tax Folio Number: State of Florida County of Dade The undersigned hereby gives notice that imporvements will be made to certain real property, and in accordance with Chapter 713, Florida Statute, the following information is provided in this Notice of Commencement. Lena! dde _crr of property and street address: e S Description of improvement: R e" roc'P Owner(s) name and address: El ( b e+I Mt. 4- ma , v 1110 NE 6 4 1 7 1-11 Q-, M(stto r'esLFL 33 1 ? Interest in property: t AN - Name and address of fee simple titleholder: Jontrac or's name and dr ss: Q,Id\ frt t-c gS r 3 J , /0 Surety: (Payment bond required by owner from contractor if any) Name and address: Amount of Bond: $ '_ender's name and address: rint Owner' Name: flyzA 4e7ht- ji , f ..,wom to end subscribed before me this ay of F , 266 Personally Known, or v U - 3 I/ Produced Identification 410 Ames M Becker. Oath taken 7 ,4 • MY no s �'► a ,:d wir es Nova rZboa 111© NE Miami S{toreS, n� • fr cop /the 0 , AD 20 CD )1 Soot. ncuit and County Courts tJ �TATF flF Fl C)RIfl I HEREBY CERTIFY that this �s a tru ,ngrnal file m fhu^ of,Ico on WITNESS my hand •IARVEY RUVIi�, E Ely T OF DAOE 'ersons with the State of Florida designed by Owner upon whom notices or other documents 'ay be served as provided by 3ection 713.13(1)(a)7., Florida Statute: Jame and address: i addition to himself/herself, Owner designates the following permit(s) to receive a copy of a Lienor's Notice as provided in 3ection 713.13(1)(b), Florida Statute: lame and address: 7xpiration date of Notice of Commencement: (the expirations date is one (1) year from the date of recording unless a ifferent date is specified) (Signature of Owner) Prepared by: Address: Notary Public: Print Notary's Nam Commission Expires: Revised as of 02/28/2002 f: /bull /$adm /evie /01 -02 /Counter /Forms /Contractor Applicatlon_Form.xls /NOTICE OF COMMENCEMENT LI_1_ - 1 1. 1' 1 I-- _Li L I -1 1__. I L! ...1_1_ 1_ 1 1 _ r � 1_I ,_ -1_{ ! ' = -i- _ ! L� 4 -j=' ± -� _ ' 1_1_.1__ — .� is _rii_r_; L.: 1 - .L J _ _ ,;, - .J_. 1 I 't- 1_? -t -1-{ 1 L J_ IL : 1 .�-_,_ I ' 1 _ - -' 1-1J� i - L -I [ - { 1 - - ■_ -_� 1_;_ ,� , 1 _1_ -t - i I LJ .1-1,-1- !_ _:_ 11 -4-`, i_ 1 ; ,a . ❑ Low Slope ❑ Asphaltic Shing ❑ New Roof v./0, fe 2)0 ME. 9`7t •• • .• • ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles • • .• .• • uil . Florida Bding Cod @liti 002 High Velocity Hurricane Zone Uniform Pe - rnl Application Form. Section A General I for atictak Master Permit No. •' ' • • • : •• • • Piss ale. • Contractor's Name Job Address • • • • • • • ••• ••• • - ,_, + J ±_L � i- i - L��� ■ I I_ g 1 -L J 1 - 1 -1-1___-14_1-, 1. 1 \\ 1_1;_1-:1- -. ■ 1 -! ' 1 .1_1_1 - t . I -1 '' _!.�_ .! i..!_L -j _ -1 - i - --I - 1 °I MET -�1._ -I- 1 - - 1 !J !- 1...1 -• �-' - ? —t _+ - 1 - -. -L id --1 J ' I .�_ 1_ _' r . . _. _. A_1_ i _,__ _ j ' - ,- ' _t 1 -� { =1 - j f - 3 I 114.-- -� 1 -1 l_!_ �I1_1JJJ_1 J -J-4: _ r L1_i !. �_ f ! -• -1 ! j 1-1.-1_1-1-1-1.1-1 1 _!_ 1-4!-1 _ I =1 -E 1 - v - -1 ! t - - , - ' . 1, - !J _ I _._. 1' J _..., 1_.--: -.__t v i I I 1_ I + • -- , + -1 =1 i 1 - _ -i ! J JJ-1 1- J _1-4-4-4-4_ r - � -- 1-1 • •• • • • •• • • • i AA o+tar /Adhesive Set Tile ❑ Wood Shingles/S aces ❑ Prescriptive BUR -RAS 150 ROOF TYPE Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION ow Slope Roof Area (SF) Steep Sloped Ro Area (SF) Total (SF) 3 Dom 3 y �� Sketch Roof Plan: Illustrate on Is B R � ° P lan scuppers and overflow drains. Include dimensions of sectio s, and levels, clearly arly identify dimensions of elevated pressure zones and location 1.-_,J-1_14_1-1 I - •- - - ! _!� -! 1 -L - - pets. 1 _{ { i , 1 _. 1 _L��-1- i- • wl_:- _?_:_.1 ' 1 L. ;- t- - -_. — -- -j - .- 1_1_i_.I_ _ � i _ L1 u_ 1 _1J�_1J_1 + _ 1 1 � L � : _._u _LI_L U_' - �- ' .- t j- _1 -u !I-i '-' 1_L _ J _{ - 1- l -J-1 -1 - Li - :J_: 1 _ L �- . 1J - :_ _-1_{ -f_ ;J�; _l_ — _ _ - 1 I L 1 J -1_ -+ - L.L.1_r..- 1 _1 1 -4_1 - 1 -i-LI _U _ 1 _H 1 i - I--L ! _ l _l_ i _:J_L! I i 1 ' I 1 L -I __ I- ! -1 . I __._,_ ,_ I i 1_ 1 J-1 Li��_'_ i 1✓ i I _u_. -1 l_L,L 1 , 1_!_a _r_,_i_ _1__ IJ_I_' l -` L i _LLl 1 - Li._ , _L_!_J._! i_' ' L: __ �J_ J.�� _!._1� 1 L:_LLi_.' ^} , - -- i�i. I L . i i -L 1- u, -!_.! i i 4_, -- l ! i �_ J_1- . —_LI_I I ;_i_, `+_'� 1 , i T- ! - � 1 i iy1 .1 = ,_ , _i_1__.' - f-1_l _1_! j_� Fill in Specific Roof Assembly Components and Identi (If a component is not used, identify as 'WA') System Manufacturer. NOA No.: Design Wind Pressures, From RAS '128 or Calculations: Pmax1 Pmax2: --__ Pmax3: Max Design Pressure, From the Specific NOA System: Deck: Type: Gauge/rhickness Slope: Anchor /Base Sheet & No. of Ply(s) Anchor/Base Sheet Fastener /Bonding Material: Insulation Base Layer. Base Insulation Size and Thickness :_ Base Insulation Fastener /Bonding Mate_ ria Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of Pl --_ _ Base Sheet Fastener /Bonding Material: Ply Sheet(s) .8, No. of Piy(s) : �_ Ply Sheet Fastener /Bonding Material: Section C Top Ply. Top Ply Fastener/ Bonding Material: Surfacing: fY Manufacturer Field i • ••• • •• • oo • • • • • • • • • Florida Building 9 Cpde:Egatian 2602 • High Velocity Hurricane Zone Uniform Permit Application Form. ----__ Low SIo •. • . . . • • Cto •' S - era • Faste • • Spacing for • Attachment , • • • • Sheet • : i l d ; . 44°Ct�Lip #VAS • Perimeter a oc © Lap. # Row Comer. " oc oc @ Lap, # Rows C ' oc Number of Fasteners Per elation Board Perimeter _ Illustrate Components N Details as A pp li and oodlockin �� W � b g, Gutter, Edge Termination, Stripping, Flashing, Continuous eat., Cant Coping, Etc. pn Base Flashing, Courr_.x_ Fshing, Ind icate: Mean Roof Height, p ei Height of Base Flashin Height, Com Material Thickness, Fastener Material, stener Spacing or Submit Man T Fastener t Comply with RAS 111 and Chi- that pte- 1c . Z. Parapet f eioht • 2' Roof Slope: : 12 • a • • • •:• • Florida Building Cock Editign ZODZ High Velocity Hurricane Zone Unifonh Perinib/4pplitafori Form. • • • Section D (Steep Sloped Roof Sys1:. m •• ••: • •• - • • • • • 1 1 Roof System Manufacturer: Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): /0016 P3: P1: 61 1 P2 Maximum Design Pressure 14 (From the NOA Specific System): ►") Method of tile attachment: Po 1 y Fc2 l%l. v c _cL s v e Steep Sloped Roof System Description Deck Type: I ` , �1, ype Underlayment: I nsulation: Ridge Ventilation? JA Mean Roof Height: J 2 - N i Fire Barrier: d — r r� •Mo: : •• • • • • •�- • • • • 0. • • • 4• • • :astener Type & Spacing: dhesive Type , f ype Cap Sheet: HI ErtE )a oof Covering: I Type & S ze Drip Edge: 1 Mean Roof Height — Roof Slope I 15' -- 20' 25' 30' , t3 ;R 2:12 34.4 36. 38.2 I 39.7 3:12 32.2 34.4 36.0 37.4 4:12 30.4 32.2 33.8 j 35.1 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:Bdi ih9 Ccklit d3tictn 2002 High Velocity Humcane ZgQt; Permit ANlication Form. Section E (Tile Calcutatigns) i • • • • • • • • • • • . • • • • • • • • • • • . • • • to • For Moment based tile systems, choose eitlle.r.Nfethod 1 or 2.'Compared the values for M with the values from M r• If the M values are greater than or equal to th Mr values, for each area of the roof, then the tile attachment method is acseptable. •. • • • • • • • • • • • 141 i 1 "► ' i nt Bast a :CMG 2=� z 7l — Mg: = lbl � (P3: t z X . �iy = _ 3�fA1 — Mg: b I Q = M Description Method 2 "Simplified Tile Calculation Per Table Beow" Required Moment of Resistance (M From Table Below NCCA m *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. Compared 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 12' (P t : x l: = 1 w: = ) — 'W: z cos 9: = Fri: NOA F' (P2 x1: a w:= ) —W: x cos 9: = F NOA F (P3 : x 1• = x w: = ) — W: it cos 9: = Fra: NOA F Design Pressure Mean Roof Height Roof Slope Aerodynamic Multiplier Restoring Moment due to Gravity Attachment Resistance Required Moment Resistance Minimum Attachment Resistance M Required Moment Resistance* Where to Obtain :Information Symbol Where to find PI or P2 or P3 RAS 127 Table 1 or by an engineering snares prepared by PE based on ASCE 7 H 0 M M M F Required Uplift Resistance F Average Tile Weight W Tile Dimensions 1" length w= width All calculations must be submitted to the Buildin ••• Job Site Job Site NOA NOA NOA Calculated NOA Calculated NOA NOA • • Official at the time of 'ermit application. Per RAS NOA11% I � NDA Mr j -1 NDAmr • ••• • • • •• • •• • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • .•. • • • • .• • • • • SECTION 1524. •• ••• • °. ": HIGH VELOCITY HURRICANE ZONES REQUIRED ON4tNER$•NDTI I11TJQN FOR ROOFING CONSIDERATIO • ..° • 1524.1 As it pertains to this section, it is the responsibility ofthe ccx:lx r.ttfprovide the owner with the required roofing permit, and to explain to the owner the jtrtetrtAt tliisgrtt :'tr.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimunLraq fire ierVs :a dstantTards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box 7.1idicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chap:e- 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wir..c resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideratic- with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 1 2. Renailing Wood Decks: When replacing roofing, the existing :cd roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocit Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the exist=-_ roof system). 3. Common Roofs: Common roofs are those which have no visible cei:neation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with corn non r o o f s :he roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be perfcrm d. 4. Exposed Ceilings: Exposed, open beam ceilings are where the unce ,:de of the roof decking can be viewed from below. The owner may wish to maintain the architectural appea: therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The FIcr :: a Building Code provides the option of maintaining this appearance. t 5. Ponding Water: The current roof system and/or deck of the builcir may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding car. oe an indication of structural distress and may require the review of a professional structural engineer. ending may shorten the life expectancy and performance of the new roofing system. Ponding condition= 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 build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary tc mstall overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to ven: 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 ir. extending the service life of the roof. Owner's/ CAOOC1 :11C- Ikmpq..00ALS- 1\Trmpl5ECT1OY I52.1.doe / / D 3 ent s ignature Date Contractor's Signature 02/,28/2003 11:29 9544914489 MIA DgpE BUILDING CODE COMPLIANCE OFFICE (BCCO) PROM CT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monica Lifctile, LLC 135 NW 20 Street Boca Paton, FL 334 :31 This NC•A consists of pages 1 through 6. The sub pitted documentation was reviewed by Frank Zuloaga, RRC ABC #130 -TILE • • •• • • • • • • • • • • • • • • • • • • ••• ••• • • • • • • • • • • o•• • •• • • • • . • • • • • • •.• • • • • • • • • • • • • • o•• • • • • . • • • • • • ••• • • ••• • • • • ��ItAAII- DADECO {,FLORIDA • • : VEjRO - DADS FLAGLEI: BUILDING • 140 e FLAGLER STREET. SUITE 1603 MIAMI, FLCRiDA 33130 1561 •• ••• •(305) 375 -2901 FAX (3 375 -2905 • NOA No_: 0l -12: ' .00 Expiration Da'e 121 : 6107 Approval Dare OM 9/03 Page : of 6 PAGE 01 SCOPE : This NOA is being issued under the applicable rules and regulations governing the use of construct en riiterials. The do' :umcntation submitted has been reviewed by Miami -Dade County Product Control Divisicr, and tcceptcd by the i3oard of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where al :awed by the Aut hority Having Jurisdiction (AHJ). This NI )A shall not be valid after the expiration date stated below. The Miami -Dade County Prod t Cc r.:ro! Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade Countyy) reserve the •fight to have this product or irtaterial tested for quality assurance purposes. If this product or material fails to perform in thc accr :pted 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 revol. this acceptance, if it is determined by Miami -Dade County Product Control D :.'sion that 'his , rodt:c• r materia fails to meet ehe requirements of the applicable building code. This pr 'duct is approved as described herein. and has been designed to comply with the 1 iigh Vcloc :t: ! sari' :arid Zone of the Florida Budding Codc. DESCA1PTION: Atlantis Shake & Slate Concrete Roof Tile LABE'.iNC: Each unit shall bear a permanent label with thc manufacturer's nz.ric or :o_o, city, state and followit ;g statement: "Miami -Dade County Product Control Approved ", unless o:icrw :sc noted herein. RENEWAL of this NOA shall be considered after a renewal application has Sc :n filed and there has be :n no change n the applicable building code negatively affecting the performance. of :his procu_t. TERMINATION of :his NOA will occur after the expiration date or if there beer.. v ;sion ,:h:: c ii) materia•s, use, and/or manufacture of the product or process. Misuse of this NO.\ as ar. cn:Jorscmen product for sales, advertising or any other purposes shall automatically tenr.rr.a:c this `OA. Failu-e to •:'irnpiy with any section of this NOA shall be cause for termination and removal of NOA. ADVEttTISEMENT: The NOA number preceded by the words Miami -Dade Cour.t■. Honda, and folowed by the expiration date may be displayed in advertising literature. If any portion o` the NOA is displa, cd.:n -r :t shah be done in its entirety. INSPECTION: A cony of this entirc NOA shall be provided to the user by the rnanufa:: : :rcr or its dis'r :::to-s and sha. I be available i.'or inspection at the job site at the request of the Buildirg Official. 02/28/2003 11:20 ROOFING ASSEMBLY APPROVAL C : tcgory: Roofing Sub - Category: Flat Profile Roofing Tiles M itcrial: Concrete 2. PRODUCT DESCRIPTION Manufactured Applicant Mo tier Lifetilc Atlantis Shake and Slat: Tile Triri Pieces 2.1 SUBMITTED EVIDENCE: Test Adencv Redknd Tcchnoiogi.cs Thc ( enter for Applied Engircering, Inc. Thc ( enter for Applied Engircering, Inc. The C enter for Applied Engir;:ering, Inc. The C enter for Applied Engir. :cring, Inc. 9544914489 I = 15" w = 1 0 ' /„" 1 '' /." thick 1= varies w = varies varying thickness Test identifier 7161 .03 Append:x III 94 -060A 94 -084 25- 7094 -2 25-7094-8 25-7094-5 PA 112 PA 112 ABC #130 -TILE p 02 • • •• •• • • • • • • • • • Test Dimensions Specifications ••• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• ••• • • • • • 000 • • • • • • .• • • • •• ••• •• • • • • • • • • • • • • • • • • " • • ••• • • • • • I- SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concree Roc T: c, as manufactured Monier Lifetilc LLC and described in Section 2 of this Notice of Acceptar.cc. For locations where the pressure requirements, as determined by applicable Bu: :ding Code: dot s not exceed the design pressure values obtained by calculations in compliance with RAS 127 us :r g the values listed in section 4 herein. The attachment calculations shall be done as a moment )ascd system. Product Description Flat, interlocking. high pressure concrete shake and slate roo`tile equip ?:d with two nail holes. For direct deck, :no -a: o r adhesive set applications. Accessory trim, concrete roof piece!. f cr at hips, rakes. ridges and valley tcrrr;inzt-cn,. Manufactured for each ti :e profile. Test NimeiRe _ort Static 11p•.i.• Testtr.`� PA 102 & PA 102(A) Static Uplift Tcst:ng PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA :02 (4" Hcadlap. Na: Direct Deck, Ncw Construction) Static Uni Testing PA W2 (4" Ileadlap, Na;is, Ba "er.s` Static Up1 Test:nt PA 10 (4" 1-1cadtap, Na' :s, Direct Dcck, RccoverfRcroof) :)lie Marc_ 19'4- May 1 Oc; : %•)= NOA No.: 02 - 12 :.GS Expiration Date i :,': at: Approval Dace • 01, 3 Page = 3 f 6 02/28/2003 11:20 9544914489 Test Asen y The Center for Applied Enb .veering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redi and Technologies Redl Ind Technologies Rcdland Technologies Redl.tnd Technologies The :enter for Applied Engineering, Inc. Profi•ssional Service Indu: tries, Inc. Ccloicx Corporation Testing Scry : :c Walk cr Engineering, Inc. Walker Engineering, Inc. Walk cr. Engineering, Inc. Walk 2r Engineering, Inc. Walk :r Engineering;, Inc. Walk :r Engineering, Inc Walk :r Engineering, inc. Walk Engineering, Inc. Test Identifier 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 P0631 -01 PO402 Project No. 307025 Test #MDC -77 224 -47099 520109 -1 520111-4 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations ABC t$130 -TILE • .. • • • • • • 7161 -03 Appendix II Letter Dated Aug. 1. 1994 • • •Test1Vam 79cbOrt • • • • • • • • • :.. : ,Sta ft a "Up l il'L TcttitSg PA 102 • (? QWik- Drivfr.icreyigs. .. •.. • • • • • • •. • • • • • • • • •• • • • • • • • • ••. • • • • • • • • • • • Ek). • • tat :c.S1 12 (t '�'gsti-ig • PA 102 (2 Quik -Drive Screws, Ba :^-rn) Static Uplift Tcsti: PA 102 (1 Quik -Drive Screw, Di 7=1 Deck) Static Uplift Tcstirz PA 102 (1 Quik -Dri vc Screw, 0::-7= ) Wind Tunnel Testing PA 108 (Nail -On; Wind Tunnel Testis PA 108 (Nail-On) Wind Tunnel Testier. PA 108 (Mortar Sc- Withdrawal Resistance T -c:rig of screw vs. smooth shar.i. -as Wind Driven Rair. PA 100 Physical Propertie PA 112 Static Uplift Tcsr. I'A 101 Aerodynamic ,Mul ::o Moment of Gravir. 25-7094 25 -7496 • • • • • • • ..• 25 -7183 Aerodynamic Mult:ni r: Two Patty Adhesive Sc: __-•i Dire Feb. 1995 Fcb. 1995 March, 1995 March 1995 Dec. :991 Aug. 1994 July 994 Scpt. .993 Oct. 1994 Scpt. 994 Dec. 993 Ivtirch 1999 25 -7534 Ce �r. i�cr 25-7804b-8 25- 7504 -4 & 25- 7844 -6 March 1995 A n -i l : 999 oi)A No.: 02 -12 l : flR Expira n Dstc: 12.' o/07 Aaprcrwal Date: 01/(19/03 Page {,C 6 PAGE 0? March 1999 S.:pt. 999 Fcbruar : 1:)96 April 996 02/28/2003 11:20 9544914489 3. LIMITATIONS • • ••• • . • • • • . • .. .. • 3.1 Fire classification is not part of this acceptane. c • 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be p---fz tcd in accordance with RAS 106. .. . . • .. ... .. • .......• 3.3 Appl::cant shall retain thc services of a Midmi,'Dada Ciotitity Mrtified Laborator- :; aerfcrr quarterly test in accordance with TAS 112 ?appcllidi A'. Sif testing shall be s_ it fed to the Building Code Compliance Office for review. 3.4 Minitnum underlayment shall be in compliance with the applicable Roofing A- 7.:c :c.t :sons Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to tr._ goof slcpc unless; stated otherwise by thc underlayment material manufacturers published iii arc 3.6 This acceptance is for wood deck applications. Minimum deck requirements. :L:1 be in compliance with applicable building code. 3.7 May be installed on slopes 7:17 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its Como°-: - ;: be installed in strict compliance with Roofing Application Standard RAS 118, RA_ 15, and RAS 120. 4.2 Data For Attachment Calculations Monier Lifetile Atlantis Shake & Sr: le Tile Tile Profile Mon:er Lifetile Atlantis Shal e & Slate Tile ABC 11130 -TILE PAGE 04 • • • .. .. • • • • • • • • • • • ▪ .• • • • • 0 ••• • • • • • • Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile i Weight -W (Ibf) 8 Length -I (ft) 1.25 Table 2: Aerod namic Multipliers - ) Tile X (ft?) Profile Direct Deck Application Mc Tiler Lifetile Atlantis Shake & Slate Tile 0.24 Table 3: Restoring Moments due to Gravity - M (ft -lbf) 3 ":12" 4 ":12" 5 ":12" 6 " :12" Direct Deck Direct Deck Direct Deck 6.0 l 5 9 L 5.8 Widtr•- ('t ) I T .-_ c Direct Deck =.-mac k 5.6 ! Ti NOA No.: C:- _2l 1.08 Expiration Dar_ ':116107 Approval Daft C :/C9..'03 L4.4cf 02/28/2003 11:20 9544914489 • • • • ••• _ Table 4: Attachment Resistance Exptl'Aed'as • a.Ma>:nent .M, (ft -lbf, • for Nail -On Systems. • • • Tile Fastener Type Direct Deck Direct Deck 3att ins Profile irrtiinj 1;5/ Q ' : • • : • trrtitf- 19/32" M. Inier Lifetile Atlantis Shake & SI. ite Tile 2 -10d Ring Shank Nails -10d Smooth or Screw Shank Nail 2-10d Smooth or Screw Shank Nails 1 #8 Screw 2 #8 Screw 1 -10d Smooth or Screw Shank Nail (Field Clip) 1 - 10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) — 2 -10d Smooth or Screw Shank Nails (Eave Clip) Mo pier Lifetile Atlantis Shake & Slate Tile 4 Large paddy placement of 45 grams of PolyPro'. 5 Medium paddy placement of 24 grams of PolvPro TM Tile Profile M< nier Lifetile Atlantis Shake & Slate Tile ABC #130 -TILE i✓at 05 • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • lalyNtbad plywood) • • • • • • • •.• • • 30.9 7.3 14.0 30.8 51.7 24.3 19.0 35 5 L 31.9 PolyPro TM Poi VProt" 38.1 9.8 18.8 30.8 51.7 24.3 19.0 35.5 31.9 2 -10d Ring Shank Nails'J 50.3 j 65.5 1 Installation with a 4" tile headlap and fastemers are located a min. of 2W from head of tile. Res ista n :e - — 118.9' 40.4 172 4. :1 182 24. 24.2 22.1 34 o ? Table 5: Attachment Resistance Expressed as a Moment M (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Atta:rtrr Resistance Mclier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3' 2 See manufactures componentleproval for installation requirements. 3 Flexible Products Ccripany TileBond Average weight per patty 13 9 grams Polyfoam Product, Inc.. Average weiht per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Sin_gIe Patt y Adhesive Set Systems Tile Profile Tile Application Minimum Atta=`irr.E2n; Table 58: Attachment Resistance Expressed as a Moment - M (ft -lbf) for Mortar or Adhesive Set Systems Tile Attachment Application Resistance Mortar Set 39.0 NOA No.: [2-12 :.ab Expiration Dail.: 121 &I' Approval Date:: 011!9/113 Page : of 6 02/28/2003 11:20 9544914489 • • ... • • • • . . • • • S. LABELING • • • • • All tit' s shall bear the imprint or identifabl maliufacttu:t-r's name in lo.;.:'. cr following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS. :.:: m• 6.1 A.ppiication for building permit shall ¢gacroittpriep l:ygpig5tf t:7= following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable build::: code in order to properly evaluate the installation of this sy=-,. OVERLAY WATERLOcx PROFILE DRAWINGS 1." 1 -• 16 ABC 11130 -TILE F4EE 0E. • • ••• • • • •.. •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • ••• • • • • •.. 9• 1112" - 1ONIER LIFETII_E ATLANTIS SIIAKE & SLATE CONCRETE. ROOF TILE END OF THIS ACCEPTANCE • 7 ' r NOA tio.: 0: -121: Expiration Date: 1211 i Approval Date: O l O % t" Pzge 6 c' 07/23/01 MON 13:08 FAX 954 578 1042 milt/AIDE TI;n Lc NTRO,, NOTICE OF ACCT PTANCE I'ulyfo:trn Products, Inc. TWO Spring- Stucbner :moll Spring ,TX 77383 -1132 r\Pl'P.OYF.D: n6it4 /21301 POLYFOAM PRODUCTS, INC. .- ; AT -,dfS ID 002 MIAMI -DADS COUNTY. FLORIDA ME1RO -DADS FLAGLER BUILDING oUrLDINC copecoMroANYcE OFFICE ML'TRo -j FEAGLEtt DUILDING ton WEST STREET. sUrTE Ito) M(AML FLORII**1 3) I21 -IX.3 (303) )75 -2901 FAX (30S) 7 $4.9011 Corcnt-t TOR t.terN!iiNc!U211t)N (3C32 375 -2327 FAX (3AS: 37 -73* CnNTuAe:rok EEFfItcciu rr owls:on Ore) 375 -2766 FAX (105; 771.1W6 PROoUCC' CON1'ROt. LinernON (3:1; :'S -.00 Y.1 ; )7- 1.3)'r Your application for Notice of Acceptance (NOA) on Two Component I'olyurcthcnc Foam Adhesive under Chapter 8 oldie Code of Miami-Dade County governing the use of Alternate M;serials and Tv :T=3 of Constructien.:.nd completely described herein, has been recommended for acceptar::c. cy the Miami -wade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall no: be valid after the expiration date stated below. BCCO reserves t ;:.:, right to sec._ :: -e this product or material at any time from a jobsitc or manufacturer's plant for quality control testing. IT this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of' such product or material immediately. BCCO reserves the. right to revoke this approval, is it is determined by BCCO that this product or material fails to meet the requirements of the South =tcrida 3uildint Code. The expense ofsuch testing will he incurred by the manufacturer. , 'CCEPTANCE 01- 0521.02 EXPIRES: O5 /t0/2006 Raul Rodr :ga.0 Chief Nee.= Control D:vi ; : D1Ii t.5 Ir. COVFRSflr.T :T, SF,F. ADt)ITTOLt.�t 1sAC' ` C FOR SL`FCIFIG AND GENERA: CQQ�IQN fuuf,nINC CnpE .0 !Ii4DU RF,ViF.�y CO MM1'r ` TYF This application for Product Approval has bccn reviewed by the BCCO and app-;, :_d by the i3. : : :aing :udc and Product Review Committer_ to be used in Miami -Dade County, F'.erida under the condition_ set for ::t above. 1/),L.,„, I'rancisco 1. C;rustana. R.A. Director Nt:•l :'.tr -Dadt County riuitdin Co dc Compliance u ■00.0 oat -,dot I +� tcrnct moil oddr;ss: pottmnsrer (_bu 11) Iincpc: hitp:A/www.baiklingeodooniine.con 07/2)/01 MON 13:08 FAX 954 S78 1042 POLYFOAM PRODUCTS, INC. PnlYfanm_Ermincts, Inc. ROOFING ASSEMBLY APPROVAL. ralsjoyzi Su►i- Cutcgnry: Ntatcritils: Polyurethane 2. PRODUCT DESCRIPTION Manufactured by Aiwlic :ant f) 9inns Polyprodi) A H 1 60 N/A I'oamprod9 RTF1000 N/A Prol'ncl 30 & :CO i 2.2 Typical Physical Properties: Property c, Density ASTM 0 1622 Compressive ASTM f) 1621 Strength Tensile S!renblh Water Absorption Moisture Vapor Transmission Dintensional Stability ASTM D 1623 ASTM D 2127 A S rM E % ASTM 1) 2126 ACCEPTANCE No.: 01-4151l.O2 Rooting Approval Date: Jung J4.2g111 l oolTile Adhesive Expiration Date: *lay 10,1006 1. SCOPE This approves I'olyprui Alt 160 is ntanulacturctl by I'ulyfoant 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 PotyproatD AU 160. Where the attachment calculations arc done as a moment based system for sinElc patty placement, and as an uplift based system for double_ patty systems Text Slrceillc*altnn9 PA 101 Product Dpcjptinq Two component polyurethane Dispensing Equipment N/ A Dispensing Equipment 2.1 Components or products manufacture) by others: Any Miami -D;tdv County Product Control Accepted Roof Tile Assembly !laving a current NOA which list uplift resistance values with the use of Poly pro A11160 roof tile adhesive. EsluDa 1.6 Ibsift.' 18 PSI Parallel to rise 12 PSI Perpendicular to r :sc 28 PSI Parallel to rise 0.08 Lbs./rt 1.1 Perm / Inch +O.Q7% Volume Chun -400 2. wcc•a Voltmtc Chan u.i 611 Humidity, 2 weeks Frank Zutoaga, KR.0 Product Control Examiner -ii NT la 003 07/23/01 1i0N 13:09 FAX 954 578 1042 Polyfoim Producls,Inc. • POL1FOAll PRODL►CTS.INC. Note: The physical properties listed above are presented as typical A vernoc vniur5 as determined by accepted ASTM test methods and are subject to normal manufacturing !variation. 3. LIMITATIONS 3.1 fire classification is net part of this acceptance. Asscrnbly for fire rating. 3.2 Polypro® A1-1160 shall solely be used with flat, 3.3 Minimum underlayments shalt be in compliance Standard RAS 120 3.4 Roof Tile manufactures acquiring acceptance for the use of Po y row AF.160 roof tile adhesive with their tile assemblies shall test in accordance wit: PA : :). 3.5 Roof Tile manufactures acquiring acceptance for two padcy ;:aunt with the use of Polypron AH160 roof tile adhesive with their tile, & sserr .: s shall tut in accordance with PA 101 and with section 10.4 as modifies ^try- MS 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly 11av47.L z c.:_ -rc;u NOA that lists uplift resistance values with the use of Polypro® AH 16C 4.2 Polypro® A1-1160 shall bc applied in compliance with the Corsccr® -: !app: :motion section and the correspondin Placement Details noted herein T assembly's adhesive attachment with the use of Polypro® A1115C i' T ;; sufficient attachment resistancc, expressed as an uplift based sys :c _, me:: :.r exceed the uplift resistance determined in compliance with Miami -Da.c CcL - :s Recring Application Standards RAS 127. The adhesive attachment Casa i_ :.:e roof tile assembly NOA 4.3 Polypro® A1-1160 rcot'tilc adhesive and its components shat' be ,r�t�. _ in accordance with Rooting Application Standard RAS 120, and ?c :. F-cducts. Inc. Polypro® AH160 Operating instruction and Maintenance Dc'cK V. 4.4 Installation must be by a Factory Trained 'Qualified Applicator c ;;r`v� a-:c licensed by Polyfoam Products, Inc. PolyI'oani Products Inc. shall suc:ly o _: o "app - oved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispersing equipment is require:: __ - a^pli; .tion of any adhesive. The mix ratio between the "A" component and : ^e _;, :rent shall be maintained between 1 0- (A) : 1.0 (13). The dispense 37:11. a set to deliver 0.0 ; 75 :o 0 15 pounds per tile as determined at caiib-a'.cr. Li o : ^.c- settings shall be approved. 4.6 Polypro® ,1l-I I60 shall bc applied with Foampro R'FFI000 P.o ®30 i 100 dispensing equipment only 4.7 i'olyproQO A11160 snail not be exposed permanently to sun) 3 ACCEPTANCE No.: 0I- 0521.0Z Refer to the Pr arb Itoof Tile, low, R high Cie profiles. with the Itae 1,,-ph ation Frzna 4..1=a-zz.. RAC Pro:::: Examiner ®004 al 07 MON 13:09 FAX 954 578 1042 Flat, Low, Hgh Profiles POLVFOAM PRODUCTS. INC. 4 0 24 Polyfo:tnt Product,, Inc. ACCEPTANCE No.: 0:41511.07. 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within: to3 minutes after Polypro® AH 160 has been dispensed. 4 .9 Polypro® AH 160 placement and minimum patty weight shall be in accordanc-wit}t the'Placcmcnt Details' herein. Each generic tile profile requires the spccif:-- .p. noted herein, Table I: Adhesive Placement I'or Each Generic 'rile Profile Tilcfrork Placement Single Paddy Weight Two Paddy Wroth. It Detail Min. (grams) per pnddy Mir Flat, Low, High Profiles a Iroms 3 5 NIA High Profile (2 Piece Darrel) 141 17 /side on cap and NJA 3 Flat, Low. High Profiles NJA g 5. LABELING All Polypro® A11160 containers shall comply with the Standard Conditions 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Olticia! or applicable Building Code ir. properly evaluate the installation of this system. (". Y r .:C.::..` NC Frantz Zuloaga, RR. I'roduct Control Exonimer Woos 07/23/01 MON 13:09 FAX 954 578 1042 Polvfoin1 Products Inc. ap Wwph plank unrnl W ow lgnuM la.1 C.44 /HO tiiaugh p' 3.lk iIn,uY + ►ihg!huts ta.l U.cerler r,l 1H 00...1 POI: [ NI .1111.11. 4910 t, *•.1 1,w w. y,e41 POLYFOAM PRODUCTS, INC. ®00$ ACCEPTANCE N o .: 01- 0521.02 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY (PI C I''I wia c h.0 Ilrwpll Plunk usu.l 6.1 UN14 Y!r wI .O , ..l■l arf. Cs 111110. Mr"1h rAW u b .tMt'1( 17 le D If Wan Nelms M thaw ON Stu pa. y. 4r"r Pita, 11 rum welts weld. bwn. Al• MtIM ,n Is lolls. Nu PASl11*NW tut / ik IA.a 1..W the Lk t....cIwM w Mar CtM11 14.0 ft. 4W ill Mewl (WM wok.. gems we r.1 el Ml 1w.FM O.1 we II.M r w. Iha 6.4 GIMPS Wwp •II hut. OsSu tll M Frat RAC Prot ;:c: Evnunc- u; Sus. met must 07/23/01 MON 13:10 FAX 954 578 1042 FOLVFOAM PRODOCTS.INC. Polyfon ProduCtS, Inc. Na'J dirovvA plasik cameo! ADHESIVE PLACEMENT DETAIL 2 suslc LE PArrY ON ACCEPTANCE No. : Pl-j2§2 Nall Waugh pl3i0c camel! Frank Z..scasa., RAC Product aor.crol Examiner Q007 071/23,'01 MON 13:10 FAX 954 578 1032 POLITOAN PRODUCTS, INC. 1 Products, Inc. EIVII COMi SIngle paddy an woldor• inyrnont Singh paddy an tap 014 fen Guru NA through plastic cemcnI t el■n., 31n, Single pidAy on undertiymen1 Singh Odds/ en top al tile Eno Count Singh pi under tae 5.0 Pg*/ between the COI Coley, Nall through Ohmic ctmrnl Singls paddy r 3 11 . under Ills In. Single Paddy Oil under. LayriaM Single Daddy Or top of tilt AUMESIVE PLACEMENT DETAIL 3 DOUULE PATTY Pah lbotwoon Paddy (under ON 7 ACCEPTANCE No, ; (11.CINA,A4 Frank Zuloaga, RAC Product Control Eta:ran= C SlaVegnidy under Oh gain indily bolivnin Uig 2 itn.metlhas prkly uys cultic, may had: viwtanit Ern :knurl' Orip obis ' 07/23/01 HON 13:10 !~AI HSd 57S 10.12 .is Nct :cc of Acccptanca consists cif pages 1 through 8. ':N POLYFOAI( PRODUCTS, INC. RD 000 Polyfoint Products, Inc. ACCEPTANCE. No. - D1- 05j1.02 Renewal of this Acceptance (approval) shall bc considered alter a rui. w b been filed and the original submitted documents, including test - supporting data, ens ate^ itiocuments. art no older than tight (lt) years. 2. Any and all approved products shall be permanently labeled with the oaf: pr's (name, city, state, and the following Statement "Mi uni -Dade County Nadu:: Aproval", or as specifically slated 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 :valuation of the product and the product is not in compliance with the code chani, l• The product is no longer the same product (identical) as the ai•.c o .. � vecJ. c if !,'ic Acceptance holder has not complied with all the regc..r y dti; acceptat.cc, including the correct installation oldie product. d. The engineer who originally prepared. signed and scaled the Not:. ca:_en;zi•,ylion initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, usc, and/or manufacture o' t,_ text:: or process shr11 automatically be cause for termination of this Acceptance, unless pr:; :7 roerl has bo=n requested (through the r :ink of a revision application with apprepr: ::; ,_) ar.t granted by h:s office. 5. Any of the following shall also bc grounds for removal of this Acceptai_ :_ a. Uttsats :actor• performance of tJt :s product or process. b Misuse of this Am:ptaucc as an cnoorscnicia of any product. i_ ;. -''vertising or any other purposes. C(. Tit,: Nctice of Acceptance number receded by the �� Miami-Dad.: P p words Miattt .__.. V .._- :da, and follo��c;.� the ~y e expiration date may be dtspiayed in. advertising literature. ! _ - of the Notice of Acceptances Cisplaycd, C1:2:1 it shall ac done lit its entirely. 7 A copy of tilts Accepts ::cc as well as approct:d drawings and other dc_:17_ .. -•: it applies b. pro. :idea to Inc user by the manufacturer or its distributors and she. fer inspection -_ the job site at all time The engineer nerd net reseal Arc copies. Failure to comply title any scctior. c; this Acceptance sltnll be cause :c and removal cf Acccp!ancc. END Of THIS ACCEPTANCE 8 i.LaOM : �. - RRC :=� Caa-a_ Examen r Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -350 Printed: 3/3/2003 Applicant: ELIZABETH M STONEHOUSE Owner: HOFFMAN JOB ADDRESS: 1210 NE 97 Contractor Xcti c :) , Contractor's Address: Local Phon Parcel # 1132050090610 Fees: Description Amount FEE2003 -1283 Building Fee $255.00 FEE2003 -1284 Buildier's Bond $300.00 FEE2003 -1285 Notary Fee $5.00 Total Fees: $560.00 Total Fees: $560.00 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 8/30/2003 Construction Value: $13,900.00 Work: TEAR OFF EXISITNG TILE ROOF: REPLACE W A NEW MONIER 9" FLAT CONCRETE COLORTHRU (WHITE) ALL TILES THA SAME COLOR If there is no permit package accessible on the job -site for insper• *y% vPrifv. there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for ano This Permit is granted to the contractor or builder named above to construct the buildir ordinances pertaining thereto and with the understanding that the work will be performed and approved by the proper municipal authorities. This Permit may be revoked at any tir authorization. A further condition upon which this permit is granted is the understanding ordinances and regulations pertaining to the work covered hereby whether shown on the by his agents, servants or employees. Signed: In consideration of the issuance to me of this permit, I agree to perform the work cow with the plans, drawings, statements or specifications submitted to the proper authoritif myself, my agent, servants r employes. C\ Signed• (INSPECTOR) Building Permit HOFFMAN ELIZABETH M STONEHOUSE ST Legal Description: EARLETON SHORES PB 43 -80 W1/2 LOT 19 & LOT 20 LESS W12.50 FT (Contractor or Bu PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305- 754 -0191 MIAMI SHORES, FL 33138 -2566 Page 1 of 1 Date 35/c3 Pay to the order of BankofAmeric a. -ekrAAN- ACH Wr 063100277 For ': ? ?,: 0 0366060 L9 1411 35 15 6 1 /CV Dollars 3516 63 27/631 Ft 810 $ . 56o. co rchitect )ntractor Builder =gam scription dress of Ming Lot CONTRACTORpR BUILDER MIAMI SHORES VILLAGE, FLORIDA TTILDING ❑ DATE 195 t:CTRICAL I 1 PERMIT 10 11359 Contractor's -UMBING n License No DOFING Work to be performed under this Permit wner of • uilding T om» Bl. 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 for in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, !ings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any if the work is not done in compliance with such ordinances or if the plans are changed without authorizatioi. A further condition upon which this permit is ited is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regutions aining 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 e by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covered hereunder i:z compliance with all ordinances and regulations =ining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to . :he proper authorities of Miami Shores Village. ccepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Subdi- vision Value of Project $ Signed• BY INSPECTOR BY .rF Amt. of Permit $ AUTHORITY MIAMI SHORES VILLAGE Owner's Name and Address.... 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 conforrnity 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. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done / D State work to be done and purpose of building (by floors) : N ° 7 e) Date r No.... `22 •'L Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stopys To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ _1 3 , 0 0 Amount of Permit $ ei 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 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 SuPplenient, 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 cinder 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. l Remarks ( Signed) / P , a ° e'' II ,19 STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being y me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the fo ng application, and that he did sign the same, and that all facts therein by him stated are,true. d Permit No 1 k Date -+ Read, Sworn to and Subscribed before me. 7 Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or p+orkmanship. Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Type Insp'n Permit No. Name Address Company Phone # For Inspector o 5 o,04/14/ q7 S ctAA A/'0 1 P74% V 06 Date Type Insp'n Permit No. --� Name Phone # For Inspector: Approve Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPART T 305- 795 -2204 Building Inspection Req v ❑ Address / f\ 7 r 5 Company AO /VY) etAJ C /LP - LiZ ac P15. Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reques Date Time Type Insp'n Permit No. Name Address Company Phone # For Inspector Approved Correction Re- Insp'n Fee o Date Type Insp'n Permit No. Address Company Phone # For Inspector3 ?7f O3 Name Correction AMI SHORES VILLAGE ILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ❑ Re- Insp'n Fee ❑ � 1 3 ( 7; '-kek Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 Oe built on: Lot / * iV 2241 Block New Building Remodeling To be constructed of Estimated Total cost of improvements S . Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Street and Number where work is to be done 1 a I V State work to be done and purpose of building ibyf�op , state exterior colors Is 1-16---4- o c p P, ` -n bmit samples) Subdivisio Addition Kind of foundation 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 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 obligatons 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 . ork to be performed under this permit. as are licensed by Miami Shores Village. / 7 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 appeared 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. 2715 Date v ` Read, Sworn to and Subscribed before ma Date Amount of Permit S "307 • 60 Notary Public. State of Florida 37 o0 N aal i.�-LY.rStreet 5 / 5)-r;ep . QOP.6 FIA - W J y0. 7I 5:1 /(iN 1 FM, I.6)5.8 Re Ya r NoAf Ston Roof - Roof Covering Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member k Member Member Member Council Approved Date Disapproved Da', NUT)_ A charge of F2.`i(t(J wil! be mad for roalt.rii correction or change - t tin application after apprrna! ha beer obtainer from tht A re- inspection fee of 525.0U will be charged when such re- inspection is made necessary by improper notice for inspection or fault) material. and o w, rr.raan -i.,i and Tor o r purpose.