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1226 NE 97 St (7)BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 10201 ROOFING I 21 Owner of Building Architect Contractor or Builder Legal Lot i l Description i I BI Address of Building r , , 0 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employee3. Signed F °'� 3 _4.' '.(INSPECTOR) BY 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. CONTRACTOR or BUILDER Work to be performed under this Permit t Subdi- vision Date 19.k Contractor's License No t. Sq. Ft. a. Value of I Amount of Project $ ' - t+ I I Permit $ BY AUTHORITY Application is hereby made for the approyal 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. �y Own: is Name and Address._. _kV / ` lg.- M�E ! 7 J� - --- .... - • -- - -- No - -- Street- -• - - -- ... _ .. Regftered Architect and /or Engineer. _ Name and address of licensed contractor_. C/ }/2 � %� /�UUF/ (x. �'(J: JfJC • lV w 7/ Location and legal description of lot to be built on: Lot__ Block 1 /_ Subdivision C Street and Number where work is to be done __ 02424 J 1 State work to be done and purpose of building (by floors) and for no other Turpose. New Building Remodeling _.. Addition Repairs__ ✓ No. of Stories To be constructed of Kind of foundation.... Roof Covering ,$// /A/0-1 E Tl L & Estimated Total cost of improvements $ 33 G'`/ 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 foi said building. All notices with reference to the building and its construction may be sent to____ 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, Pennanent 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 .o 'ce or notices as are required by the Act. The undersigned agrees to employ only such bcontr,tofsi on w•: to be . - • ••• - • ..4100 s permit, as are licensed by Miami Shores Village. Remarks (Signed) . •-^ Permit No e• •Z .�1 Disapproved ____ _ . ___. __. Date_ (Signed) MIAMI SHORES VILL BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING (PERMIT Date__ :3 -c- Building Inspector PLANNING BOARD. aG E Read, Sworn to and Subscribed before me. 7— J 191. 7, 00 Notary Public, State of Florida My Commission Expires_. DATE Chairman _ Member Member Member Member Member . ._ Council Approved . _Date Disapproved STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, ncc 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. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. �() MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT , 0 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date / 19` / Owner's Name and Address 60 Nc Street Registered Architect and /or Engineer Name and address of licensed contractor_ ^'� Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done r �_� • �= • "' State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories F To be constructed of Kind of foundation Roof Covering f / L Estimated Total cost of improvements $_ _____Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot ____. Maximum live load to be borne by each floor 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 Seddon 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all ccntractors or sub - contractors employed by hirn 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 subco actors, on wo to be performedffinder this permit, as are licensed by Miami Shores Village. l �' — / ., Remarks (Signed) _ _! / i i Disapproved Date ( Signed) Subdivision `S (, (d.) � r STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by nie first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUfl ELECTRICAL PLUMBING Owner of Building Architect contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License No Work to be performed under this Permit L! PERMIT N° 10781 r This permit is granted to the contractor or bu %der 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. r Signed: Al' BY , iNsPotrow _ ~.. f J ✓ 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 all wo ;k done by either, myself, my agent, servant or employee. j I r �r 1 / [...A SAIL .2'-76.._ ft ,,, .. c Fa - y ( /- ..,A— . CONTRACTOR OR BUIL ER } BY - AUTHORITY • 1 i Bl. Subdi- vision Value c` Project $ Amt. of Permit $ t 195 BUILDING PERMIT APPLICATIQN r FBC 2001 Permit.Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) Pet a. SOW' + LYeJtie Z. YAW, Phone it 3OS" 7...(/ »o7 Owner's - Address Q 2& f✓ 7 St Cit Th 14 4 , v e '6 eU.A State f°L Zip 3:-1 83 Phone # Tenant/Lessee Name Job Address (where the work is being done) 42.26 1 City Miami Shores Village County Miami -Dade Zip .°;. (3 5' is Building Historically Designated YES NO )X Contractor's Company Name P. KAU) 04 te- T.04 an Contractor's Address Po B c)( 5" 3 9 051 State Certificate or Registration No. Certificate of Competency No. � � B s ®o9 3' Architect/Engineer's Name (if applicable) Phone # Ae $ Value of Work For this Permit J U 8 Lici Miami. Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Master Permit No. State ��- Zip 3? i f Square Footage Of Work: Phone# 37 37Q0 Type of Work: ['Addition Alteration [ ❑New ERepair/Re ❑ Demolition Describe Work: .,r- � 1 I {�� � � V O ) w Q C� k-c € h f& live. hie et � t 4 i &+ c0 l o ` -kro u k+ ex 11 '1-1 `—Gee w et 1cr -1211t ro e0 *************************F ees ****************************** * F * * * * * * * * * * * * * * * * * * * * * * ' * * * * * * ** Permit Fee $ 3 ,� CCF $ ;, 6 l0 CO /CC Co — J', 0 Technology Fee $ go bmittal Fee $ Notary $ Scanning $ — Radon $ Zoning Bond $ Total Fee Now Due $ Code Enforcement $ Structural Plan Review. $ — (Continued on opposite side) Training/Education Fee $ N orl? 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. i( Signature Owner or Agent The foyeg; ing instrument a acknol ledged befor me day o /. 20 O by t who i rsonally nown to has produced � 5OD�T 5 ?_ � — ?32s identtfi ation and_whti .id take an oath. •—' ��Il — dp i e I r w iju i1I.. .r ' i LM!I ' Cam. 4 : I1rA v 1: MIN/ Wu 'll ; 1 $S r by A; me or who has produced tification and who did take n ny H. Gonell scion NOTARY P Sign: P C: My Commission Expire * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Signature ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** The for ;oing day o Glnnyf11' UBLIC: Commission #DD323 -�? Fxpires: May 26, 20 gn' Bonded Thru "�," Atlantic Bonding Co., print: My Co ** *** '. * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,''Po1/4,0b JAN 2 1 2115 Contractor as arc cnowle ed before m this g oath. .F Tres: May 26, 2008 Thw 'M iti i'h 'C `c. * ., * * * * ** ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Master Pernik No. Contractor's Name Job Address Florida Building Code Edition 2002 High Velocity. Hurricane Zone Uniform Permit Application Form. Section A (General Information) Process No. pAi,u1 wE 9' St- ROOF CATEGORY ❑ Low Slope ❑ Mechanically Fastened Tile a; Mortar/Adhesive Set Tile D . Asphaltic D Metal PaneUShingles 0 Wood Sh ng es/Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE Ira ❑ New Roof Re- Roofing ❑ * Recovering 0 Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) --- So 3 6S0 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels- and sections, roof drains scuppers, overflow i scuppers and overflow drains. Include dimensions of sections anlevels, clearly dentify dimensions of elevated pressure zones and locatton of parapets. • � - � : ' i '11- t - .• - . r•� .. i. :.�-t - • r 1. Florida Building Code Edition 2002 High Ve Jody Hurricane Zone Uniform P p er , Form. Section C (Low SIo Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, idontiy as NA") System Manufacturer; NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Pmat1 Pry ® P 3: Max Design Pressure, From the Specific NOA Deck Type Gauge Thtdmess Anchor1Base Sheet & No of Py(s): Anchor/Base Sheet Fastener/Bonding Matedat Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation FasteneriBonding Material Base Sheet(s) & No. of Ply(s): Base Sheet Fastener/Bonding Material: Pty Sheet(s) & No. of Py(s): Ply Sheet Fastener/Bonding Material Top Ply: Top Ply Facer/ Bonding Material Surfacing Ped Roof Svsteml Fastener Spacing for Anchor/Base Sheet Attachment Mkt: ' oc Lap, 8 Rows @ • oc Perimeter ' oc @ Lap, 8 Rows e Comer: ' oc a Lap, # Rowvs • - ' oc Number of Fasteners Per Insulation Board Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Wbodblocking, Gutter, Edge Terminatim Stripping, Flashing, Continuous Clete Cant Coping, E Flashing, Co unter• Flashing,, )ndlaate: Mean Roof Height, Parapet Height Height of Base Flashing, Component Material, . Material Thickness, Fastener Type, Fastener Spacing or Submi Manufacturers Detarls that Comply with RAS 111 and Chapter 16 . oc Parapet Mean Roof Height Roof Slope: =: 12 Maximum Design Pressure From the NOA 81 ecific stem Method of file attachment: Deck Type: nsulation: Ridge Ventilatio ? IV ft ti Ire Ba er: I Mean Roof Height 1 D. SeCt o • , d �. oo sterni Roof System Manufacturer: Notice.of Acceptance Number: © v — " 10'8 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: L ill 6 P2: i00%6 P3: 1OO Steen Stoned Roof System Descrl non L b ype Underlayment: : Pot`/ i t4eL c'keL{ ! (ye 1 30 Pe stoner Type & Spacing: dhesive Type n 2002 1 Fenn. 1 1 6 A-6 plIO.f " 4361 r° Cap Sheet: I 1 S la4e oof Covering: E � Type & 8tzo Drip • —r 1 dge: C �x3 Jv Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height 11 Job Site Root 0 Job Site Aerodynamic Multiplier x NOA Restoring Moment due to Gravity M NOA Attachment Resistance tit, NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions :1= length .w= width NOA • All calculations must be submitted to the Building 011icial at the time of permit application. ,M Required Moment Resistance' Mean Roof Height -� Roof Slope 4, 15' 20' 25' 30' 40' 2:12 34.4 38.5 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 8:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Meth() (PI: x • (P IUUIt,x ; • (P,: IDU,bx x Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M, with the values from M If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. 1 "Moij ent Base Calculatio s RAS 127" - Mg: b = M,, t al NOA Mr _ - M Mr1 t I NOA Mr - Mg: = M,3 NOA M, Required Moment or Resistance (M,) From Table Below Method 2 "Simplified Tile Calculation Per Table Below" NOA M, - "Must be used in conjunction with a list of moment based tile systems endorsed by the [froward 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 127" (P : x I: = w: = ) - W: x cos B• = F NOA F' (P x I: = x w: = ) - W: x cos ©. = F,2: NOA F' (P x l: = x w: = ) - W: x cos B: = F,3: NOA F' * y f1 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 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 adjacent box indicates that the item has been explained. ' . 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 intrusicn performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part ()Ca zoning code, should be addressed as part of the agreement between the owner and the contractor. .�' - -2. Rellailing \Vood 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 I- iurricane Zone::) of the F'.cr, a Building Code. (The roof deck is usually concealed prior to removing the existing real system). i / /�-. Common Roofs: Common roofs arc those which have m) 'il delineation bet!'Jecll lit :lglil Ul:i:tt units (i.c. townhouses, condominiums, etc.). In buildings with common hoofs, the roofing contractor and.''or owner should notify the occupants of adjacent units of rooting'.vork to be pertormed. � i •1i4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can e viewed from below. The owner may wish to maintain the architt:t: appearance, therefore, rooting; nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provide:: •::c option of maintaining this appearance. / 5. Ponding Water: the current roof system aiuVor deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Funding 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. (� .V 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 to install overflow scuppers in accordance with the Florida Building Code, Plumbing. L' 7. Ventilation: 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. Li i I V l 4CJ C L i/i Imo.. / 11 -1 / J 'r A . Owner's/Agent's Signature Date Contractor's Signature 01`21/2003 14:53 9544914489 BUILDING CODE COMPLiANCE OFFICE (BCCO) PRODi ICT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifctilc, LLC 115 NW 20 Street Boca Raton, FL 33431 ABC $$130 —TILE PAGE 01 MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLLGLE1t BUILDING 140 WEST FLACLER STREET, SUITE 1603 MIAMI, FLORID,. 33130 -1563 (305) 375 -2901 FAX (3)5)375-2908 SCOPI :: This NOA is being issued under the applicable rules and regulations governing the use of construction taaterials. 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 Dadc County and other areas where at owed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after thc 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 h:t.ve this product or material tested for quality assurance purposes. If this product or material fails :o pc - form in th a accepted manner, the manufacturer will incur the expense of such testing and the AH1 may immediately rc voke modify, or suspend the use of such product or material within their jurisdiction. BORA reserve.: the right tc revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this aroduct or rr ateri:.I fails to meet the requirements of the applicable building code. Tiis product is approved as described herein, and has been designed to comply with the High Vclo' :ity i lurricanc Z ►nc o f the Florida Building Code. D ESC RIPTION: Atlantis Shake & Slate Concrete Roof Tile Ai3I LING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state aid fallow ng statement: "Miami -Dade County Product Control Approved ", unless otherwise noted hcr!in. R ENE WAL of this NOA s hall be considered after a renewal application has been filed and there I b:en no cl.ange in the applicable building code negatively affecting the performance of this product. T ERMI ATION of this NOA will occur after thc expiration date or if there has been a revision o: change in thc m.rteri :.Is, use, and/or manufacture of thc product or process. Misuse of this NOA as an endorsement of my pr Dduc , for sales, advertising or any other purposes shall automatically terminate this NOA. Failure: to comply w th ary section of this NOA shall be cause for termination and removal of NOA. A DV>~ RTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida. and fl flowed by th:7: expiration date may be displayed in advertising literature. Warty portion of the NOA is display :d. then it shall bc don in its entirety. INSPF CTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors ar d sh:.11 be available for inspection at the job sitc at thc request of the Building Official.. T►is NOA consists of pages . l through 6. T'tc submitted documentation was reviewed by Frank Z_uluaga, RRC NOA No.: 02 -1; 11.08 Expiration Date: 12 16/07 Approval Date: 01 '09/03 Page 1 of 6 `/zir2003 14:53 9544914489 ROOFING ASSEMBLY APPROVAL Category: Sub-Category: Material: 2. PRODUCT DESCRIPTION l Eanufactured by Test An nlicant Dim en sn ions Specifications Mo iier Lifetile Atl. rntis Shake and Sla ;e Tile Trirn Pieces Test Aaencv Redl Ind Technologies [he renter for Applied Engi; leering, Inc. fhe Venter for Applied �ngilleering, Inc. 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: nce ('enter for Applied ngir leering, Inc. nce ('enter for Applied leering. Inc. 1= 15 ". w= 10' / 1 %" thick Roofing Flat Profile Roofing Tiles Concrete I. SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate 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 Cod 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 )ased system. Test Identifier 7161 -03 Appendix III 94 -060A 94 -084 25- 7094 -2 25- 7094 -8 25- 7094 -5 PA 112 PA 112 ABC #130 -TILE Product Descri tion Flat, interlocking, high pressure extruded concrete shake and slate roof tile cquipp:d with two nail holes. For direct deck, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley tern:inat ons. Manufactured for each tile profile. Test lvarne /Report Da c Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA 102 (4" Iicadlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Ileadlap, Nails, Battens) Static Upli Testing PA 102 (4" I- Icadlap, Nails, Direct Deck, Rccovcr/Rcroof) PAGE, 82 Dee 99: March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: u2- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/19/03 Page ! of 6 0101 / 2003 14: 53 9544914489 Test Agency The Center for Applied Eng ineering, Inc. The Center for Applied Eng .necring, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Red'and Technologies Red.and Technologies Red and Technologies Red:and Technologies The 'enter for Applied Engi ncering, Inc. Prof•:ssional Service Indu ;tries, Inc. Cele :cx Corporation Testing Scry cc Walker Engineering, Inc. Wal6. Engineering, Inc Walker Engineering, Inc. Wall cr Engineering, Inc. Wal4 cr Engineering, Inc. Waller Engineering, Inc. Wall Engineering, Inc. Waller Engineering, Inc. Test Identifier 25- 7183 -6 ABC #130 - TILE Test Name /Report PAGE 03 D ite Static Uplift Testing Feb. 1995 PA 102 (2 Quik -Drive Screws, Direct Deck) 25- 7183 -5 Static Uplift Testing Feb. 1995 PA 102 (2 Quik -Drive Screws, Battens) 25- 7214 -1 Static Uplift Testing Marct, 1995 PA 102 (1 Quik -Drive Screw, Direct Deck) 25- 7214 -5 Static Uplift Testing March, 1995 PA 102 (1 Quik -Drive Screw, Battens) 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix II PA 108 (Nail -On) Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 108 (Nail -inn) P0631 -01 Wind Tunnel Testing Ally .994 PA 103 (Mortar Set) PO402 Withdrawal Resistance Testing E.cpt. 1993 of screw vs. smooth shank nails Project No. 307025 Wind Driven Rain Oct. 994 Test #MDC -77 PA 100 224-47099 Physical Properties Sept. 1994 PA 112 520109 -1 Static Uplift Testing Dec. 998 520111 -4 PA 101 March 1999 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations Aerodynamic Multiplier Moment of Gravity 25 -7094 25 -7496 25 -7584 25- 7304b -S 25-7304-4 & s 25- 7348 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Sct System March 1999 Sept. 1999 Februar /1996 April 1996 December 19" 6 March 1995 April 1999 April 999 NOA No.: 02- 1711.08 Expiration Date: 12416/07 Approval Date :; 01/09/03 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (t) Monier Lifetile Atlantis Shake & SL ate Tile 8.5 1 25 - 0.865 Tile i Profile 3":12" 4":12" 5' n _, 6 ":12" 7":12" o rr gr��ate Monier Lifetile Atlantis Sha <e & Slate Tile ' Direct Deck Direct Deck Direct Deck Direct Deck Dire .stDe:k j 6.0 5.9 5.8 5.6 5.5 01/21/2003 14:53 9544914489 3. LIMITATIONS ABC #130 - TILE PAGE 04 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 R.AS 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 thc Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with thc 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 thc underlayment material manufacturers published litcriture. 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 with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shrill be installed in strict compliance with Roofing Application Standard RAS 118, RAS. 11S, and RAS 120. 4.2 Data For Attachment Calculations Tile Profile Monier Lifetile Atlantis; Shake & Slate Tile Table 2: Aerodynamic Multipliers - �/ft ) X (ft ') Direct Deck Application 0.24 Table 3: Restoring Mom due to Gravity - M (ft NOA No.: 02- 1211.05 Expiration Date: 12/ :6/07 Approval Dare: 011+19/03 F *ge', of 6 Table 5B- Attachment Resistance for Mortar or Adhesive Expressed as a Moment - Mr(ft-Ibf) Set Systems Tile Tile Attachment Profile Application Resistance MI mier Lifetile Atlantis Shake & Slate Tile Mortar Set 39.0 01421/2003 14 :53 9544914489 ABC 11130 -TILE Tile Profile Monier Lifetile Atlantis Shake & Stite Tile Table 4: Attachment Resistance Expressed as for Nail -On Systems Fastener Type Direct Deck (min 15/32" plywood) 2 - 10d Rim Shank Nails 1 -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 Nair (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) Tile Application Adhesive Monier Lifetile Atlantis Shake & Slate Tile 2 See manufactures component approval for installation requirements_ 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product. Inc. Average weight per patty 8 grams. Monier Lifetile Atlantis Shake & Slate Tile Tile Application POIyPro• PolyPro TM 4 Large paddy placement of 459rams of PolyPro "'. L. 5 Medium paddy placement of 24 grams of PolyPro TM'. 30.9 7.3 14.0 30.8 511 24.3 19.0 35.5 31.9 a Moment - Rif (ft -Ibf) Direct Deck Battens . (min 19/32" Plywood) 38.1 9.8 18.8 30.8 51.7 24.3 2 -10d Ring Shank Nails' _ 50.3 65.5 Installation with a 4" tile headlap and fasterners are located a min. of 2 from head of tile. Table 5: Attachment Resistance Expressed as a Moment M, (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile 31.3 Table 5A: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Single Patty Adhesive Set Systems Tile Profile Resistance 118.9 40.4 172 4.) 7..1 182 24.4 24.2 19.0 22.1 35.5 34.3 31.9 32.2 48.3 Minimum Attachrr ent Resistance Minimum Attachment NOA No.: 02- 12t1.08 Expiration Date: 12/16/07 Approval Date: 011)9/03 I'age iof6 PAGE 05 0/21/2003 14:'53 9544914489 .a S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturers name or lo3o, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies ()idle following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable budding code in order to properly evaluate the installation of this system. PROFILE DRAWINGS ABC I$130 -TILE MO IER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE. ROOF TILE END OF THIS ACCEPTANCE NOA No.: 02- 121 :.08 Expiration Date: 12/1( 107 Approval Date: 31/05/03 Page 6tsf6 PAGE 06 MAR -1 -200'0 16:24 FROM -ABC SUPPLY 048 4 MON 13:08 FAT 954 578 1042 • MIA AOE 561 585 4657 T -779 P.001/008 F -260 POLFFOAI! PRODUCTS, INC. PRODUCT CONTRQJ.. NOTICE OF ACCEPTANCE I'nlyfo:tm Products, Inc. 2400 Spring- Stucbncr Rood Spring ,TX . 77383 -1132 . MIAMI- D.et7E COUNTY, FLORIDA METRO- OACIE.FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE MI:"rRO.DADE Ft,AGLI:It BUILDING 140 WI.sI - r STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1363 (305) 375.2901 FAN (305)37S-290N CON'tll rrOR t.ICEN:SIir xi :cries Y (305)37s-2527 FAX (305) 373 -253r CON•1•tuct'ont ENFORCEMKNT (DIVISION (305 375 -2946 FAN (303) 373.1')uu PRODUCE CONTIt01. DIVISION (305) 375-2903. FAX (305) 37243)'I Your application for Notice of Acceptance (NBA) of: Two Component Polyurcthene Foam Adhesive under Chapter 8 oI'the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant Coequality control testing. If 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, if it is determined by BCCO that this product or material fails to rneet the requirements or the South Florida Building Codc. The expense ofsuch testing will be incurred by the manufacturer, ACCEPTANCE NO.: nI- 0521M2 EXPIRES: Oil 0/2006 1115 1 S TIIE COVF'ItSrtt"rT SFF A1)t)ITIONAL PnCES FOR SI'F•CIFIC APf0 ENr.RAt CONDITIONS r3Ut1.DING CODE Sc PRODUCT RF;VTl \V COMMITTF , This application for Product Approval has been reviewed by the BCCO and approved by the Building • Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 0G/ 14/2001 Raul Rodriguez Chief Product Control Division Francisco J. Quintana. R.A. Director Miami -Dade County Building Cade. Compliance Office 040450001 \pc2000\4omplateslneuce ut•pwito eo.er pa(.•doc Interact utuil address: pastmnslcrtbulfdlnicodeonllnc .com' fe Ilootcpagt: httpa /www.butld919RcDdoonlIne,com 0002 MAR- 11-2004 16:2.4 FROM -ABC SUPPLY 048 POLYFOAM PRODUCTS. INC. Pn1y(ggm Pr9tjucts, Inc. ACCEPTANCE No. 41 052l.O2 • .07/23/01 MON 13 :08 FAX 954 578 1042 ROOFING ASSEMBLY APPROVAL Cztcrnrv: Roofing Approval Date: lam JAJALt. Sub - Category: Rnorfilc Adhesive Materials: Polyurethane 1. SCOPE This approves Polypru© A11160 as manutacturcd by Poly foam Products, Inc. as described in Section 2 ot'this Notice or 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 .vith approved flat, low, and high profile roof tiles system using PolyproaD AH 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 2. PRODUCT DESCRIPTION Manufactured by Test Product Apnlic: nt L)intceyions Specil1eatinn9 1t PolyproOD AH 160 N/A PA 101 Two component pofyure:aharte FoamproaD RTF 1000 N/A Dispensing Equipment Proracke 30 & 100 N/A Dispensing Equipment 2.1 Components or products manufactured by others: Any Miami-Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplirt resistafcc values with the tin of Polypro A11160 rouftile adhesive. 2.2 Typical Physical Properties: Prnnrcv IsT1 Density ASTM D 1622 Compressive ASTM t7 1621 Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability ASTM D 1623 ASTM D 2127 As•rM E )6 ASTM I) 2 126 1 561 585 4657 T-•779 P.002 /008 F -260 11051110 1.6 IbsIfL 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt 3.1 Perm / Inch Expiration Date: May 10, jO01 +0,07% Volume Change rr -40 F.. 2 weeks +6.0% Volume Chan •u n !tumidity, 2 wcukr vi Frank Zuloagn., 1&R,C Product Control Examiner 003 MARM11 -2004 16:25 FROM -ABC SUPPLY 048 . 07/23/01 MON 13:09 FAX 954 378 1042 561 585 4657 T - 7711 P.003/008 F - 260 POLFFOAM PRODUCTS, INC. 4JUU4 Polvfohm Products, Inc_ ACCEPTANCE No. 131 - 0$21.02 Note: The physical properties listed above me presented us typical overage values as determined by accepted ASTM tcyc methods and arc subject to normal manufacturing yarintion. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. . 3.2 Polypro® Ali I60 shall solely be used with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AE 160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of PolyproaD A1 roof the adhesive with their tilt assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein, ( -1; ) -w NIS 4, INSTALLATION 4.1 Polypro® AH 160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polyprr' A 4.2 Polypro® AH 160 shall be applied in compliance section and the corresponding Placement Dm' assembly's adhesive attachment with the use suflicient attachment resistance, expressed the uplift resistance determined in compr Application Standards RAS 127, The tile assembly NOA 4.3 Polypro® A1-1160 roof tile adhesiv accordance with Roofing Applic' Polypro® AH160 Operating lr 4.4 Installation must be by a Far by Polyfoam Products, Inr applicators to the author 4.5 Calibration of the Foar any adhesive. The n be maintained bets deliver 0.0175 to shall be approved. 4,6 Polypro® A1.1160 dispensing equipm 4.7 Polypro® A1.1160 Tnble 1: Adhesive Plnccmcnt For Each Generic Tile Profile Tilcl'rofile Plucemcnt Detail Single Paddy Weight Min. (;rums) Two Paddy Weight per paddy Min. rnmz Flat. Low, Hi., h Profiles ill 35 N/A High Profile (2 Piece Barrel) 41 17 /side on cap and 3a /pon N/A Flat Low, Hi h Profiles 42 24 N/A Flat, Low, High Profiles 43 8 MAR -1'1- 2094' 16:25 FROM -ABC SUPPLY 048 07/23/01 MON 13:09 FAX 954 578 1042 Po1Yfo ni Products, Inc. 4 561 585 4657 T-779 P.004/008 F -260 ?ULkIUAM sq uLUl.iJ. ins.- ACCEPTANCE No.: 01.O52I.n 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH I GO has been dispensed. 4.9 Polypro® AH 160 placement and minimum patty weight shall be in accordance with the 'Placement Details herein. Each generic tile profile requires the specific placement noted herein, 5. LABELING AJI Polypro® AI-I160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system, (?rant: Zuloaga, RRC 'Product Control Examiner Rugby.... MAR:11 -2004 16:25 FROM -ABC SUPPLY 048 0 ?/23/01 HON 13:09 FAA 954 578 1042 YUL1rUA!! rKUUUl1J,tpl.• Polv(o;Int Products, Inc. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Isar. IM pats. Of tM Ilt■ coma car 1t4. ami u unmet WAN Y rat IWr. Cron we and d No /r laver ins In ai am line. Ern dwwo *AY Alma) 5 561 585 465T T -779 P.005/008 F -260 ACCEPTANCE No.: , 9.1- 0521.02 1) flan trough N1uu}. to rrMlttc 17 toil arlon41l114171 44A IA cwrt %MA IN Na Ono ;OA arpYcmm1 7) Toni cows uuW owl hum aauM ltl In h 1 M. f nn wasW 11Qg11 al Mgt Ila him halaM IM us. 11117Wo1it 'Wop Op11wa1 ilimv Win Dalin Frank Zuloaba, 11.RC Product Control Examiner 1 WO V V V NO Mrovpn plastic cement Unatll]yma 6 561 585 4657 T -779 P.006 /008 F -260 1AAR-11 -2004 1 16:25 FROM -ABC SUPPLY 048 01 MON 13:10 FAX 954 578 1042 POLTFOAM PRODUCTS.INC. Polyronm Products, Inc. ACCEPTANCE No.: 0I- 0521.02 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nall Uvoupn plastic omen Uadsrleymeu Frank Zuloaga, RAC Product Control Examiner lJ Uur • • W1R041 16:25 ;ROM-ABC SUPPLY 048 561 585 4657 T-779 P0071008 F-260 d/23/01 MON 13:10 FAX 954 578 1042 PO LYFOA/4 PRODUCTS INC . iajuua Polvfoini Products inc. ACCEPTANCE No. : 01.0521,02 ADHESIVE PLACENIENT DETAIL 3 DOUBLE PATTY Paddy (between Mal Paddy (under ills) NMI throw plastic cement Fors Coons Ease course NaU ihrougn plastic cement Unterlaymeni Single paddy under Vic Lys Com •••■■••••■•-• Nall through plastic went `r 3 In. z3in. Single raddyon under. laymeni Single paddy on top of tile Single paddy under Ills 7 Single paddy between the bra Clown In. s 7 In. moan sits paddy sass come only Fascia Frank Zulonga. RRC Product Control Examiner :Single paddy under tile paddy between toe 2 ln. el In. mature she paddy eve course only Folds Waybills Dm skate Drip Idle MAR: :117 2 09416:25 FROM -ABC SUPPLY 048 87.129/01 MON 13:10 ras 934 aro lu4z • 3. 561 585 4657 r UL1rUA01 (P.UUU%.1J, iN'.. T -779 P.008/008 F -260 Polyfotsm Products, Tnc. ACCEPTANCE No. : 01 0521.02 Renewal of this Acceptance (approval) shall bc considered after a rcneN al application has been filed and the original submitted documents, including test - supporting data, engineeiing documents, are no older than tight (tt) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Mivni -Dade County Product Control Approval ", or as specifically slated in the specific conditions of this Acceptance. Renewals of Accept.1nec will not be considered Jr. a. There has been a change in the South Florida Building Cade allotting rho evacuation of this product and the product is not in compliance with the code change. b. The product is no longer the same product (identical) as the one originally :approved, c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture or the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes, 6. The Notice of Acceptance number preceded by the words Miami - Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Noticc. of Acceptance is displayed, Utcn is shall be done in its entirely. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall bc available for inspection at the job site at all time. The engineer need not reseal the copies. t!, Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through!, END OFTI ACCEPTANCE a Frank Zuloaga, RItC Product Control Examiner NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOUO NO STATE OF FLORIDA COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement - 1. Legal description of property and street/address: ik)(.. 97 3L YLtpM, 4C, 3"3(3 2. Description of improvement: 'Re.rr6 - o o Rove sect 12arter�e> -i Cu e +;l e. mac. - 3. Owner(s) name and address: p?Ji t" $Z. G • S tel, A (a.) 4‘, r�-t� .. - I% ! teat NE P7 5 1- ,A-AL..( 331.32 Interest in property: D ‘A/ he r Name and address of fee simple titleholder. . 4. Contractor's name and address: P. V.(k .() - goo ,v o - 7cn- o"k1 ,d C. . 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: : a� { , .. L << ;inCE Amount of bond $ _ 4 ` ' 6. Lender's name and address: � _ _.` - -- it � — ~-� Ay • / . 7. Persons within the state of Florida designated by Owner u provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. E ;ration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a 4 !: nt date is 1 re of Ow Print Owner's Name Sworn to and subscribed Notary Public- - -- ----;1 Print Nory's Name My commission expires: fore me this , 20 .L.5 Ginny H. Gonell Commission #DD323870 Expires: May 26, 2008 8, d? Bondod Th>e ^„ Atlantic Bo C o., Inc. @F hl 2005R0064879 OR Bk 23014 Ps 4737; (1es) RECORDED 01/20/2005 14:41:12 HARVEY RUVIII, CLERK OF COURT I1IAIII -DADE COUNTYr FLORIDA LAST PAGE d .Goan! COUrtz S 11. Prepared by q day of ^ f 1111111111111111111111111111111111 N. ents may bed as p&1,j \ Addre s: P I at 6 6 m 1F-t__ `3 -5)55 Miami Shores Village 10050 NE 2nd Avenue Printed: 1/31/2005 Applicant: LYNNE SHAW Owner: SHAW LYNNE JOB ADDRESS: 1226 NE 97 ST Contractor PAUL KAWALEK ROOFING CO Local Phone: Parcel # 1132050090600 Signed: (INSPECTOR) Building Permit Phone: 305- 795 -2204 Permit Number: BP2005 -85 Contractor's Address: Page 1 of 1 Legal Description: EARLETON SHORES PB 43 -80 LOT 18 & E1/2 19 BLK 4 LOT SIZE Fees: Description Amount FEE2005 -1274 Building Fee $325.00 FEE2005 -1275 CCF $9.60 FEE2005 -1276 CO /CC $50.00 FEE2005 -1277 Notary Fee $5.00 FEE2005 -1278 Training and Education Fee $3.20 FEE2005 -1279 Technology Fee $8.13 FEE2005 -1280 Scanning Fee $15.00 FEE2005 -1281 Submittal Fee ($50.00) Total Fees: $365.93 Total Fees: $365.93 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/19/2005 Construction Value: $15,200.00 Work: RE -ROOF f J4ff 31 P le y 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLA BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Request Dat Type Insp'n Tc Permit No. l ila y (� Name Address 1 X v q Company aUrfie Phone # Inspection Date Zig Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 3 /?/C C. Type Insp'n / 76 / r) Permit No. 82 OS - Sj.- Name Li'c) S rr Address r� J Company Phone # Inspection Date c3 1 I oZJ 105 Correction Re- Insp'n Fee 1R ,2 77 9 S' Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) fr'�� 2 28 .94.$1,46g...,5---y7. 52 53 76 77 78 2 3 5 2 D 55 80 5 55 80 6 . 31 32 ��� 33 f .& D I l 56 57 58 81 82 83 7 8 9 3 59 84 10 35 36 ? 44=1> 60 61 _ 85 86 11 12 37 62 _ 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 ~ —` 47 72 97 23 48 73 98 24 49 74 99 25 50 75 100 Owner's Name N Job Address: Roofing Contract r• itt Type of Tile: ® tJ (6 I C . IAA n A -it, Z Approximate Roof Height: 1 ' 2 feet Type of Access to Roof: Scaff.lds Approximate Square Footage of Roof: If =`'''® ft Required Testin Force: 35 lbs. Date Tested T 5 THIS SUBMITTED BY„ Civil Engineer: Lab Certification # 98 0608.04 State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 SITE SPECIFIC INFORMATION Permit # P C5 1.-69(P-SS i f! 9r PM/ P rep *Date Installed: 15 4 - t 1) Roof Pitch: ' 1 2_ Ladder Other ►� f " . L4 14 A. I P.E. Testing Equipment: Chatillion 100 TEST RESULTS P = PASS, F = FAIL IN ACCORDANCE WI H THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTR • EST. Project � �� 6 �J C ∎_, 3 - z z._o 5 Q c, .°F Permit No. R o - Name L • ' ti S L e„, / 2 a /U E q 7s- Type Insp'n Address Company Phone # Date pprove Inspection Date 3 8_ c G j '4p Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT \ C . ) 305- 795 -2204 Building Inspection Request k "'4 - • ca.Ja L ?zee 2 77 9 mod' Re- Insp'n Fee /" /•'7 Lc-/- 77, a/ Lao 7-; KETCH OF ROOF I I ■■■■■ • • • • 111=1 IIIIII • • ■ • i?J..__J rm'/ POINIFICILIMI WNW ,,,,Oval M vr• ' 4=1111 I iI P I4J IMINI•ipTinte Mg 1[111/.i► ■•_ I[? r/'� INI jjjijUL • ■ ■ ■ -■■ ■ • IIFI ■ • NOTES: JOB I 72-6 k . ' 9r1 M 1 A 54} 9- ' FP SHEET NO. 7--of CONTRACTOR (' r t 06 ›. CHEOCED BY DATE SCAM