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262 NE 97 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 6D Job Address Gl ie AJi 7 / � Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant .3eZep-/y L-ife// 4 ' Owner's Address a 6 c9- Aie 971 S f Ye€ Master Permit # Y 7(d Phone 450 S. ' 5 7' /V 2)' Contracting Co. /e S' eD� Address / 6 z 2( 5 11 C Y� # Qualifier el Led G , / :"- 1 00 --A- (7-4- - SS# State # ‘Gc Obit75 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC AVING FENCE SIGN WORK DESCRIPTION P% 5:17 / 6 / /' Square Ft, (9,c3sneD r 2`3 W, S Notary as to My Commission kfulo Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOV PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all wo_ will be perfom ed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulati construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. st ialCHAEI WIISON M•. t,.wrn ; . 3 1/r' 1 Pas.. y ,ciWNf. t 1 Other I.D. C C.F. NOTARY —® — BOND it, TOTAL DUE 4 APPROVED: Zoning Building Mechanical Plumbing Structural Engineer Electrical NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 008354 - 738 2000 JUL 24 12 :04 PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordancde with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. LegaOcription of itop�y and street address: 7.010 2. Descrip)ibn •- of improve en : �� �� �Tcs;af i j i/o l �4 /f/eed /z ro y- 3. Owners) name and address: . ?Jew- p- Interest in property: /76Y72 2 o 4.e.J Name and address of fee simple titleholder: 4. Contractor's name and s: c addre ..L.5 6A ? • � 2 6' / ` Y 'Q' F /etid& 5. Surety:(Payment bond required y owner from contractor, if any) Name and address: /V Amount of bond $ /r/ /i- 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specified) Notary POlic Print Notary's Name my (-tam rn e NAL . /d(7 7.7/2 b• / n - ' / *v' •p • e ' 4,9-O Prep r d by: -I i � , W f I N / G . 1 ! 4 4 t L 4 My Comm gyp. Sal N. CC 930003 Addres �s� s.' p /Q v /1 t l hnan+tb - ONw 10. / A - A ,A' » t ' C — /‘t 3 /6 /. ���� �F OAO� , CE. OF FLO',11OA, G� / O Copy A f th f a 1 HEREBY CERTI�`' tnat tnis is ai o 1 HEREBY thus office on ' A 2� original hied Of Seal. CO nty Coup E g g my Nand ` .f ucurt and County tiARVEV 0, By -- S Contractor's Name: 123.01.78 8196 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. �-� 40 Z-14 0 . Job Address: � !V Q 6, • ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar -A esive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance SQd.+ 412.e Si . Flat Roof Area (ft -- Q Sloped Roof Area (ft a3ao Total (ft 02300 Master Permit No. Exposure category (per ASCE 7 -88): C. Building Classification category (per ASCE 7 -88 table 1): FL A V v A Ft. Deck type: ATTACHMENT Fastener Type: SPACING Field: Perimeter: Corns . DETAIL 1 & 2 Page-1 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) r r r r ROOF PLAN 1sr+1010a Omen we. 2L �. Z sew gems Appendix „E.° UNIFORM ROOFING PERMIT APPLICATION PROCESS N® aOPlD CfaThiD .iCIIIMW r MILCALCIUMIONS or/ s tom■► w'Mwis) � . ) • 'fie L.10 ' M • Pt'A fie i o Ol J ! i► vsw. w' %Pii ) ' 7 - so 6 ° - la 11 PCA 1/8 .4.1g. OA" �. THit - _ I R O do%.. ihke � I tf( [ c.e.a avow . • t 4-1ict.i$` Set ;r : 2 di:4A/. 34. a A 7 G3C Arr OICIIMeNTS 1t EOUTAILD ) Fie* Dummy Liseu. Page 2) Dodo Coeur Product Caw* Notion or Aoo Oe-Co► Shoo •) Sp t *INS DeunM'on b) Sportc Sown LalMaanon cB Omni Langston' d) Am ii Demi Drawings 3) Inb r appal Porno A 1) alts' Componowt Aoprowals J APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility u: tip ro(t►ng contractor to provide the ow t.,r t'.ich the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building, Codc (SI govern all the minimum requirements and standards of the industry for roofing system installations. Additionally the following items should be addressed as part of the cereement between the owner and the contra:.tor. The o■ner's initial in the adjacent box indicates that the item has been explained. Aesthetics - workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance fund water intrusion performta'nce 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 of a Toning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renalling wood Reeks: When replacing roofing. the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed -prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between ncighborinc units (i.e. townhouses, condominiums, eta.). In buildings with common roofs. the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. s 4. Exposed ceilings: Exposed. open beam ceilings are kvhere the underside of the roof decking, can bc t'iewed from below. The owner may wish to maintair. the architectural appearance, therefore, roofing, nail penetrations of the underside of the decking ma■ not be acceptable. The SFBC provides the option of maintaining this appearance. 3. Ponding Water: The current roof system and!or deck of the building may no: d well f structural anrnay cause \water to pond (accumulate) in low- lying areas of the roof. Ponding can b -_ t distress and may require the review of a professional structural cngtit_er. Ponding may shorten the life expectancy and performance of thy_ new roofing system. Po:tdin�, conditions may not be evident until the ortgtn;11 roofing system is removed. Pondinn, conditions should be corrected. Overflow Scuppers (wall outle(s): It is required that rainwater flog': off so that the roof is not overloaded from a build up of water. Perimeter /ed,c walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may he necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 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 bc reduced. It may bc beneficial to consider additional tenting which can result in extcndin�, the service life oldie roof. The owner may contact the Mianti -Dade County Consumer Services Department for further information rearding the above. o ractor'> ign:lturc voivaiae MON 16:0T FAX 591 336 $391 !IONICS F The expense otsurh testing will be incurred by the manufacturer. METROPOLITAN DADE COUNTY. FLORIDA METRO.OADE FL■GLER BUTLDiNG INUU ate COOS cOMPLUINCE ostler METNOaQA E ♦LAQ1,ER sua,turia I so WEST F1.AGLSN $ 1ET. SUITE ts03 MIAMI. FLORIDA 33130.1663 P ON 3 FAX (erns) 375.29011 PnoouCT CONTROL, ow1S:OP4 Post 37$2902 FAX 1305l 372 pRODUCT CONTROL NOTICE OF_ACCtPTANCE Monier Itoof Tile 135 N_W. 20 St. Boca Raton, FL 33431 Your application for Product Approval of: Ditiva rda Plat Tile under Chapter 5 of the Meaopolitan Dade Cowley Code Sove sling the use of Alternate Materials and Types of Consavction, and completely deser;bed in the plans, specifications and calculations as submitted by: Rsdland Teebaelogtee, The Caster far Applied Engineering, 1st. and Professional Service Industries, roc.. � has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County. Florida under the specific conditions set forth on pages 2.12 and the standard conditions on PIP 13. This approval shall not be valid alter the expiration date stated below. The Building Code Compliance OMce reserves the right to seems this product or mated at any time boat a Visits or mmnufacwi>:i's plant for quality canoe! testing. If this product or material faits to perform in the approved manner, the Building Code Compliance Office may revoke. otodilY, or suspend the use of such product or wisteria! immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Cods. APPROVED: 4!M ! Metropolitan Dade County ACCEPTANCE NO.: 2filffltai Renews No44422115 EXPIRES: pima Raul Rodr s Product Control Supervisor THIS 1S THE cQyuisiirmstg ADDmONIAL ZAGE$9R SPECi1NC AND CENERA& CONDmONg BUILDING C DLCOMM1TCEE This application for Product Ap,proval has been reviewed by the Metropolitan Dade County Building c:ooc Compliance Office and approval by U he Building Code Committee to be used inprie County, Florida unbar the conditions sot, forth above. 4 A ,�y v t-, C rrarh,, 47,dnippr, r.a. idirector kftiiiQinE f..uOc Cornpiianse. trepi- !a'.=.n :a: =ail idJraii. azr•r istoiultm e;id;Aficadiaiiiiui.c&vii ' kereirmpags: petitelfwaiw.64,6E41iv 'aSiaui.e isd ®0 01 ® — ® o PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOM /4G SYSTEM APPROVAL hisdis Mosier Root The Product Convot No.: 0.41521144 13SNW20St. Boca Raton, FL 33431 Approval Oate: dneutssgr 5.199E Expiration DSc: ,I'a■sary 5. 30A. CAM: Prepared Roofing SrrbgatafteC Tete Dar Mo,tir Set/Adhesive Set Milking: Coracle Svstem Desct io ign Contact: Reese H. Moody Technical Service Accessories Manager 133 N.W. 20 Se. Boca Raton. FL 33431 (407)3384200 Pagc 2 of 13 Product Control No.: _46.052L b Monier Roof Tile is a manber of the Rodland Group. a world wide producer of primary building produces and roof tile. Monier tmenufactuters concrete roof the for nail -on mortar set or adhesive set applications in plants throughout the United Stales tangit,,g from Washington State to Florida. AU tile is manufactured from extruded concrete consisting of Portland Cement, plasticiser, iron and metallic oxides, and blended aggregates. This Pro4nct Control Aoornat 12 ►we arers "OersadtzF,�lat" rile 'waffle. uet Control Aevrovak for other tile_erofdtg. Monier sells rile systems through local distribution and directly to consumers. All profiles have matching trim pieces used for rake hip. ridge hip, and valley terminations. Tile system accessories suds as underiayment, ventilation systems and flashing systems are also available. These accessories are ma,sufactvrtd for all profiles and form s part of this Product Control Approval. Monierrs 'Bermuda f IaC roof tile has been tested m compliance with the South Florida Buitdiag Code requirements for concrete, mortar or adhesive sat site applications. The minimum reef slope for Manier's "Bermuda Etas' mortar or adhesive set tiles shall be r:1 r. See the "Profile Drawing section in this approval for the "Bermuda Flat` profile drawing. The Monier Vermuda Flat' tilt Fronk has been tested for both wind characteristics and static uplift performance. therefore. any consideration for installation shall be dare as a 'Moment Based Sy rem'. Dais for atsovknent calculations is noted in Tables 1 through 3 of this approval. rank Zuloaga Roofing Product Control Examiner TRADE NHS OF PRODUCTS MANUYCrUItED OR LABELED BY APPLICANT Test Product Prodaet Dimensions Specifications 1Description Bermuda Flat Flat 1 - PA 1 12 Flat, interlocking, extruded Tile w = 10 31g" concrete roof tile equipped with 1'A" thick two nails holes. For mortar set or adhesive set applications. Trim Pieces . 1-1 varies PA 112 Accessory trim, concrete roof w varies pieces for use at hips, rakes, ridges varying and valley terminations. thickness Manufactured for each tile profile. Page 3 of 13 Product Control No_: 96 0528.06 Frank Zuloaga Roofing Product Control Examiner 130 Felt Predict 043 Coated Base Shoat Mineral Surface Cep Sheet Rainproof 11 Ice and Water Shield TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS 1j eneinrex-28140 59" a 164' roll Underlayment 22 ibs/roll Tam Product Dianortsf�rts Silicification! Description i+tlA ASTM U 226 Serrated organic Oise II felt to be used as a nailed anther sheet. WA 30" t 75' roll • 36" ac 75' roll or 60' x 75' ron 36" x 75' roll ASTM D 2626 Saturated and cooped organic base sheet for single or double ply underlay/nem ASTM D 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply tndertaymettt system. PA 104 Single ply, nail -on anderleyenertt. PA 104 PA 103 Self ad Bring undsrlayme nt for • WO as 1. top ply ina two ply underlayenent systems with approved 030 or 043 as the baba layer. Page 4 of 13 Produt Cannel No.: 94-0321106 Single ply, ntxit-on underiayment with 2' self adhering top edge. M anufacturer generic gawk . generic Lensing Performance. Inc. PCA 1944527.05 Protect -O -wrap, Inc. FCA 494 - 0714.01 W.R. Grace Co. PCA 092 - 1116.01 Fmk Zulongs Roofing Product Control Examiner Mopping Asphalt Flashing Cement Asphalt Pri Roofing Nails Tin Caps Tile Nails Product Dimensions N/A NIA N/A min. 12 ga. with 3 /g" head min. 32 ga- min. 1 o.d. max. 2" o_d. rrr�irr. 8d x 2W or rain. 10d x 3 Test Specifications ASTM D 312 typs Ill or 1V ASTM D 4386 ASTM D 41 PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E Page S of 13 Product Control No_: 96- 0528.06 Product Description Manufacturer Asphalt for bonding generic a mineral surface cap to a mech. attached base sheet in *double ply underiayment system. Cut back, asphalt generic based, asbestos free, fiber reinforced, trowel grade cement for repair and flashing applications. Cut back, asphalt based coating used to facilitate bonding of dissimilar materials. generic Annular ring shank, generic hot dipped. clears or mechanically gals. roofing nails for use in w derlayrnent attachment. Corrosion resistant generic circular disc for use in underlayment attachment Corrosion resistant. generic sctewv or sineoth shank nails for additional the attachment at cave rile courses. frank Zulvaga Roofing Product Control Examiner Product Roof Tile Mortar ("TrbTke"r") Roof Tile Mortar ('QuOnetell0 Roof Tie Meow 111401 Roof Tile Mono ("BONSALS Roof Tile Mortar Mime) Roof Tile Adhesive (Potypto® AH160) Valley Flashing Drip Edge Dissensions WA N/A WA WA min. 26 ga. min. 16" width min. 26 ga. min. 2 face flange Hairs. 2" deck flange 0 Test Sneeifieatloss PA 123 PA 121 Page 6 of 13 Product Control No.: 96452106 Predate Dt� - Prepared maw mix designed for math sst manila applications. Prepared mortar mix designed for mortar set eoo` applications. PA 123 Prepared mortar mix designed for mortar sat roof tics *OW ions. PA 110 Adhesive designed for use is roof tile appliCations. ASTM A 525 Galvanized gel valley flashing PA 111 Galvanized steel drip edge Manufacturer Bermuda Roof Conspeny, Inc. PCA 194-0614.01 Quiitfete C.Osduction Products PCA 1940101.01 W.Q. Bonsai Co. PCA 494.0621.03 Polyfoam Products, Inc. PCAa 94- 0401.01 generic generic Frank Lama Roofsog Product Control Examiner Test Arno The Center for Applied Engineering. inc. 71+e Center for Applied En ignoring. kw. Redlsnd Technologies Professional Service Industries, Inc. 0 O TEST REPORTS Test Identifier 94-084 94.060A P0631 -01 224 -47099 Page 7 of 13 Product Control No .: 96.OSZ*.04 Test Plante/Report Static Uplift Tasting PA te (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Wind Tunnel Testing PA 108 (Mono Set) Physical Properties PA 112 Date May 1994 • Much, 1994 July 1994 Sept.1994 Frank Zuloage Roofing Product Control Examiner SYSTEMS Deck Type: Wood, Non- insusstcd Deck Description: New eonstructian 1 %2" ar greater plywood ou wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: Uederlayement: EN1:sS Tits: 2:I2 " to 7":12" Note: System D is ay acceptable is Ibis slope rsnrt. Install choke of approved undertaytecnt system. noted on Page 1 of ttade County Protocol PA 120, in compliance with Section 3.02 of PA 120. Sc c System Limitation t6. Install tik in compliance w lb PA 120 using one of the spptoved moms Cr Adtnesives noted in this approval. Mortar or adhesive shall be `applied ion compliance with the mortar marina Roof Compooutt Product Control Approval. Ito mortar or adhesive asacbrnent shall provide sufficient sRmchment rasistattee expressed as • moment to %nag or exceed she required moment of resistance determined in compliance with PA 115 or PA 127. The mortar and adhesive atteehment data is noted in Table 3. attached. Commyeats: 1. For to roof applications. 15 /32" plywood is an acceptable substrate. 2. Fer mortar set applications. the first three Nurses of ale shall be nailed with not less than one nail per tile. As an alternate, dse first dare courses of tide stall be spplisd in mortar over a single layer of minimum 12 p. wire mesh with square openings of not leas than 3 /6® which is mechanically attached to the deck with not less than one roofing rail every 1 k For roof pitches from 6 to r:12", every third tile of every Sak i:an:se. beginning st the eighth course. shall be nailed with not less than one nail per tile. Page 11 of 13 Product Cana& t4o_: 96- 0528.06 Frank Waage Roofing Product Control Examiner •• SYSTEM t.IMITATiOI Preset Control No : 9 6052$ -U 1. The standard minimum roof pitch for Monist "9srnnvda plat" mortar set or adhesive set the applications is 2' rise in 12° run (2 " :12 "). The maximum roof pitch far mortar set or adhesive se tik appiications is 7° rise in 12" run (7':12"). 2. Monier's "Bermuda Flat" the profile bas not bean tested for •ai1-oe appiieatioaa, tnsrollaec, System A (CouniU.8attan Nail -On Application). System 8 (Direct Deck Nai1-0n Application) and System C (Horizontal Batten Nail -On Application) do not form pot of this approval. 3. System installation shall be in compiiannce with the system specifications outlined is this Product Control Approval. Mortar set or adhesive set tile shall be snaked using an approved natter or tile adhesive noted in this approval. the data of which is noted in Table 3 of this Appmvsl. The method of attachment utilised stall provide sufficient =admen; resistance exptessed as a moment m ateet or exceed the required moment of reSistanee detenekted in compliance with Dade County Protocol PA 115 or PA 127. 4. For mortar set application. the first throe courses of file shall be mailed with nod lees than one nail per tits. As an alternate. the first throe eowses of tile shall be applied in mortar or adhesive over • single layer of minimum 12 ga. wire matt with square openings of not is than 3/e which is mechanicaily attached to the deck with not less than one roofing nail every i 11 For roof pitches from 6 ":12 to 7': sveiy third the of ell fifth course. beginning St the eighth coarse. shall be nailed with not less than one rail per tile. 3. For mortar set or adhesive at tile applications. s field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106. shall be required not lass than 30 days Ater application to confine tile adhesion. The results alibis testing shall be reported to the Building Official end the installer stating that the application has passed or failed PA 106 testing. if the application fails PA 106 testing, the report 0811 slats which patios of the tech was failed: Category 1(examination for loose tile) or Category 2 Whit testing etas). Svbsequemt to testing. the instalke they repel not more than S% afield area tiles and 10% of perimeter area (i.e. ridgehaks) tile with approved the adhesive. The installer shaft place an identifiable eaekiag on each t epee:4 tile iW future reference. Any PA 106 s -test shall awe include any merited ale. 6. For mortar or adhesive Set tile applications, 30/90 hot mopped undarlaytnent applications may be installed perpendicular to the roof pitch prior to Jude 1, 1995 unless seated otherwise by the material) manufacturer. Thereafter. 30/'90 underlaymeat systems shall be nutshell parallel to the roof pitch in compliance with Appendix 'A' of Dade County Protocol PA 120. 7. All tiles shalt bear the imprint or identifiable sharking of the manufacturer's name or logo for identifleation in the ltd. ' a. The Menier'Benmuda Fist° tile profile Ms been tested for both wind characteristics and static uplift performance. therefore. attachment calculations for installation in compliance with Dade County Protocol PA 115 or PA 127 shall be done as a 'Moment Based System' Page 9 of 13 SYSTEM LINtriATIONS (Corrnrium) Product Control No.: 96- 0528.06 9. Appiicstloas for roofing permits shall include a completed Section 11 of doe Uniform Building Patnit, a copy of Monier Roof Tile's current speeifcsuoas end desiis, a copy of this Product Control Approval end s copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Rskrence stroll be made to appropriate data for the required tray rating. 10. The applicant shall resin the service of a Dole Cowan, unified testing laboratory to maintain quality control in compliance with the South Florida Building Cods and :elated protocols. Samples taken shall be in compliance with Dods County Protocol PA 112. Appendix W. 11. Any amendments to these provisions shell be in compliance with Sections 203 and 204 of dna South PIcndz Building Code. Page 10 of 13 Franc Zaloags Roofing Product Contrvt Eaanmer Table 2: Restoring Moments due to Gravity - M (ft -Ibf) from PA 101 Testin . Tile Profile 3:12" or Tess 4 " :12" 5":12" 8 ":12" T':12" or router Monier Bermuda Flat Tile 5.20 5.12 5.01 4.89 N/A Tile Profile JX (R Batten Application NIA X (W) Direct Deck Application 0.24 Bermuda Flat Flat Tile DATA FOR ATTACHMENT CM- CVLATIONS Table 1: Aerodynamic Multipliers - X (ft') Torn PA 108 Testin Table 4: Attachment Resistance Expressed as a Moment • M, (ft -ibf) from PA 101 Testing Tile Profile Monter Bermuda Flat Flat Tile Tile Application Mortar Set Adhesive Set Page 11 of 13 Product Control No.: 96- 052E_0b Attachment Resistance 39.00 118.90 rank Zu loaga Roofing Product Cootroi Examiner PROFILE DRAWL 4G BERMUDA FLAT FIAT TILE Page 12 of 13 Product Coauul Pio.: 96.05211_U6 Frank 2utoaga Roofing Prodons Coniiol Exsminst •O1d06i.Je MON 38:13 FAX '581 338 5381 9 This Aoeepranee contains pages 1 through 13. IND OF THUS ACCEFTANCt filet Limit LE 013 Page 134013 Product Control No.; Artalaki Monies Roof Tile ACCEPTANCE Nat 96 4nS•44 135 N.W. 20 St. APPROVED . ore 111998 Boca Raton. FL. 33431 Z71?IRES : lanmar v D, 2eOt rOT1CIEQF ACCEIPUNCE STAZ4DARa CONt1 r [Or4 1 Renewal of this Acceptance (approval) shall be considered alter a renewal application has been filed and die original submitted documentation. including tat supporting data. engineering daeweents. are no older thew eight ($) years. 2 Any and all approved products shall be permanently labeled with the mainsfacturers name. city. stain. and the following statement: `Mae u -Dade County Product Conirol App ". or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if a) 'Then has been • change in the South Florida Building Code affecting the evaluation o f this product and dwp oduct is not in compliance with the coda changes; • b) The product is no hangar the same product (identical) as the one originally approved; e) Tr the Acceptance holder has not complied with alt the requirements of this acceptance, iee1uding the comet installation of die product: in The engineer who originally prepared. signet and sealed the required documentation initially submitted. is no longer pteeticing the eapieeeriag p 41 Any revision or change in the materists, use;, adlor manufacture of the product or process shall automatically bs eMese for tenwinatiow of this Acceptance. unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and grained by this office. 5 Any of the following shall also be grounds for termini! of this Aee;sptaee: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptor.* as an endorsement ofany product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Meno Dade County. Florida, and followed by the expiration date may be displayed in advertising literature. limy portion of the Notice of Acceptance is displayed. then it shall be done in its entirety. 7 A copy of this Acceptance as well es approved drawings and other documents. where it applies. shell be provided to the user by the enanufactiaer or its d svibutors and shall be available for inspection et the job site at .11 times. The copies mad not be resealed by the engineer. $ Failure to comply with any section of this Ampoules shall be cause for termination and remount of Acceptance. weep Roofing Product Control Examiner PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfonm Products. Inc. 2400 Spring- Stuebner Road Spring, Tx. 77383 Your application for Product Approval of: Yolyfonm Products " Poly ro AII•160" Roof Tile Adhesive under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by The Center for Applied Engineering, Inc. and Miles Laboratories Polymers Division has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Flat ida under the specific conditions set forth on pages 2.14 and the standard conditiions on page 15. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in die approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will bc incurred by the manufacturer. ACCEPTANCE NO.: 98- 0303.02 Renews: 96- 0402.02 EXPIRES: 04116/01 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR St'r:CL LC AND GENERAL CONDITIONS BUILDiNG CODE COMMITTEE This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to bc used in Dade County, Florida under the conditions set ford' above. APPROVED: 04/16/98 internal mall addrose: postmaster ®buildingeodeonline.com METROPOLITAN DADE COUNTY, FLORIDA METRO -DAD FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372.6339 aul Rodriguez Product Control Supervisor Charles Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County Homepage: hop : /lwww.bulldIngcodeonlfne.coni POLYFOAM PRODUCTS, INC_ Applicant: Polyfoam Products, Inc_ 2400 Spring - Stuebner Road Spring. Texas 773834 132 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING COMPONENT APPROVAL Category: Roofing Component Sub- Categofv; Fastening/Adhesive Type; Roof Tile Adhesive Slob -Type: Two Component Polyurethane System Description Polyfoam Products, Inc., produces two - component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polypro® AH160 is specially designed for application of concrete and clay roof tile over a variety of roof deck substrates and underlayntent materials. Polypro® adhesive is applied with proprietary Foampro® RTF 1000 dispensing equipment. Approval of this product is specific to the two component mix and Foampro® RTF 1000 dispensing equipment. Alternative methods of dispensing will require a revision to this approval. Polypro® adhesive shall be applied only by 'Qualified Applicators', licensed by Polyfoam Products. Inc. Certificates and identification cards are issued to applicators upon successful completion of a application training program. Approval of this adhesive system is contingent upon application by a 'Qualified Applicator. Contact: Pat Murray P.O. Box 1 132 Spring, Texas 77383 -1132 !'hone: (713)350 -R888 Fax: (713)288 - 6450 Page 20115 Product Control No.: 98- 0303.02 Product Control No.: 98 - 0303.02 Approval Date: April 16. 1998 Expiration Date: Aril b 3001 Frank Zuloaga, RRC Roofing Product Control Examiner Product Control No.: 93- 0303.02 POLYFOAM PRODUCTS, INC. TRADE NAMES OF PRODUCTS MANUFACTURED Old LABELED BY APPLICANT Test Product �ficatla Dcseri iien aduct D1 °� as Two component p ®lypro®AH 160 NIA PA 101 polyurethane Foampro® R.11:1000 NIA See Detail Attached Dispensing Equipment Page 3of15 Frank Zuloaga, RRC Roofing Product Control f eaminer Apr -30 -98 04: 11P Po1yfoaarre Products Inc. POLYFOAM PRODUCTS, INC. Product Underlaytnent Roof Tile TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Criteria Page 4 of 15 Product Description PA 120 All Dade County Component Approved prodtects as detailed in Dade County Application Standard PA 120 PA 101 All Approved roof tile systems having tested in compliance with Dade County Protocol PA 101, as detailed in the systems section of this Component Approval 954 475 - 1462 P.05 Product Control No.: 9$- 0303.02 Manufacturer. All Dade County Approved Products All Dade County Approved Products Frank Zuloaga, RRC Rooting Product Control examiner POLYFOAM PRODUCTS, INC. Product Control No.: 98 - 0303.02 TEST REroR'I:S Test Agency Test Identifier lest Name/Renort Date Center for Applied #94 -060 Miami Dade Protocol 04 /08/94 Engineering PA 101 Ccnter for Applied 257818 -IPA Miami Dade Protocol 12/16/96 Engineering PA 101 Center for Applied 25- 7438 -3 SSTD 11-93 10/25/95 Engineering Center for Applicd 25 - 7438 - SSTD 11 -93 10/25/95 Engineering Center for Applied 25- 7438 -7 SSTD 11 -93 11/02/95 Engineering Center for Applied 25 -7492 SSTD 11 -93 12/12/95 Engineering Males Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, 9637 -92 ASTM E 108 04/30/93 Inc. Southwest Research 01- 6743 -011 ASTM E 108 11/16/94 Institute Southwest Research 01- 6739- 062b(1 J ASTM E 84 01/16/95 Institute Trinity Engineering 7050.02.96 -1 PA 114 03/14/96 Page 5 of 15 Frank Zuioaga, RRC Roofing Product Control Examiner • /Apr - sv -�� V • . l lr r 1.J 1111 V a 111 re 1...• u 1.∎ POLY FOAM PRODUCTS, INC. Property Tcst Density ASTA4 D 1622 TYPICAL PHYSICAL PROPERTIES 1.6 lbs. /ft.' Results Compressive ASTM D 1621 1R PSI Parallel to rise Strength 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM U 2127 0.08 LbsJFt Moisture Vapor ASTM E 96 3.1 l'erm / Inch Transmission Product Control No.: 98- 03Q102 Dimensional ASTM 1) 2126 +0.07% Volume Change @ -40 F., 2 Stability weeks +6.0% Volume Change 01,158 100% Humidity, 2 weeks Closed CeII Content ASTM D 2856 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. Page 6 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner 'Apr •30 -98 04:11P Poly - roam Products Inc. 954 475 -1462 P - 08 POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 SYSTEMS Deck Type: Wood, Non - insulated. New Construction /Rcroof Deck Description: 1 562" or greater, plywood or wood plank. SYSTEM A: Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Underlayment: Shall comply with Miami -Dade Roofing Application Standard PA 120 Roofing Tile: Any roof tile assembly having a current shall be applied in compliance with the Cornponent Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof tilt assembly NOA. Comments: 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. Page 7 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner �i pY - .sSr - =o v=a Z. a ir POLYFOAM PRODUCTS, INC. Deck Type: Deck Description: SYSTEM 18: Slope Range: Underlaymettt / Waterproofing: Undcrlayment: Roofing Tile: Comments: r La 0 1 La 0110 r e s.0 Ld o. o a • e SYSTEMS (CONTINUED) Concrete, New Constrnction/Reroof Ncw construction Adhesive Set Application 2 ":12" to 7 ":12" Install Approved underlaymcnt system of one of the following: Product Control No.: 98 0303.02 (30/90 Hot Mop) fully adhered in a full mopping of ASTM U 312 type tV asphalt applied within the EVT range. Back nailing and laps shall be in compliance with Roofing Application Standard PA 120. Any liquid applied roofing system having a current NOA for its use as a tile undcrlay:nent system. Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment sltatl provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami-Dade County Roofing Application Standards PA 115 or 1'A 127. The adhesive attachment data is noted in the roof the assembly NOA. 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval or waterproofing component Roofing Component Product Control Approval shall apply, as applicable. Page 8 of 15 Frank Zuloaga, RRC Roofing Product Control txantiner Table t: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Two -Piece Barrel 1t 1 'S' Shaped M2 Double Roll q3 Flat 1!4 COMPONENT APPLICATION Page 9 of 15 POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 { Polypro® All 160 tilt adhesive shall only be applied over an underlayntent installed in compliance with application instructions detailed in its NOA.. Underlayment may be any undcrlayments or underlayment systems listed Miami -Dade County Roofing Application Standard PA 120. 2. Adhesive application shall be in accordance with the instructions provided herein. Tthe manufacturer may provide additional instructions subsequent to this approval date which may prevail. Installation must be by a Factory Trained 'Qualified Applicator approved and licensed by Polyfoam Products, Inc. 3. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "8" component shall be maintained between 1.0- 1.15 (A) : 1.0 (R). The dispense timer shall be set to deliver 0.08 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved without revision of NOA. 4. Adhesive shall be dispensed in a 17 in' to 23 in' pad at time of application. The cured pad shall be approximately 5" x 12 ". Foam placement shall be in accordance with the Placement Details' herein. Each generic tile profile requires a specific placement, as noted in Table 1, below 5. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam has been dispensed. Frank Luloaga, RKC Roofing Product Control Examiner • e Ap r - 3u -` Jt1 un : asr vo uyr can®n r r . cauuc: a SYSTEM LIMITATIONS Page 10 of 15 1 . I _ _ - 9J / ...I 6 1V POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 2. Polypro® AN 160 adhesive; shall be installed only by 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. 3. For adhesive set tile applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance with Miami -Dade County Roofing Application Standard PA 106, shall be required not less than 72 hours after application to confirm tile adhesion. 4. Refer to application drawings published by the National Tile Manufacturers Association for penetrations and terminations, as well as the 'Placement Details' included with NOA. 5. Refer to tile Roof Tile Assembly Product Control NOA for system acceptance with this Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. 7. Polypro® AH 160 shall not be exposed permanently to sunlight. 8. Polypro® AH160 shall be applied with Foampro RTF1000 dispensing equipment only. 9. Polyfoam Products Inc. shall supply Building Official with a list of 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. Frank Zuloaga, RRC Roofing Product Control Examiner r ( r POLYFOAM PRODUCTS, INC. PLACEMENT DETAILS Placement Detail 0i1: Two -Piece Barrel Profile Page 11 of 15 Product Control No.: 98- 0303.02 Prank Zuloaga, RRC Roofing Product Control Examiner r t r Apr -30 -98 04:14P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. Halt throws% sH.etro cornea.. (.,..a t.tna..d Hq e.A.► PLACEMENT DETAILS (CONTINUED) Le.Oerleyeneet Page 12 of 15 apply aseaseh vMeeo.• t. oche+. 17 1.23 spoors lade. he s.ateet ottb the Ul.. @w. clo.w. Placement Detail W2: 'S' Shaped Tile Profile 954 475 -1462 P.13 Product Control No.: 98- 0303.02 Rommel* Lead Ddp Eda. Frank Luloaga. RRC Roofing Product Control Examiner FOLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 M.tl ttv.rM plane ar+M.e3 oar- t...L.d by .sM1 Wtd.wttq...at Roo Goa PLACEMENT DETAILS (CONTINUED) t?... Cam-v. swig. lump .gAamt...ppe.l...tlq r rp ft.tw ,fl_,._. soot, .d ..iv. S. .,.Moor• 17.22 .yrar. t.r:M. I. ...I..1 ..9th Ur tile. Placement Detail #3: Double Roll Profile Page 13 of 15 ... Claims. /oasts Frank Zuloaga, RRC Roofing Product Control Exam int:r POLYFOAM PRODUCTS, INC. MID Ilenemph plastic, s...•el 1..1.... - ..s tiwd •) !w. Ceres* PLACEMENT DETAILS (CONTINUED) !we ewes• owl,. «..7 ,..w _.__I Placcmcnt Detail 04: Flat Profile Page 14 of 15 Product Control No.: 98- 0303.02 144,111 =reek aiws.hr. 1. ad l.o• 1*•SI) .pm. Weems le m..Waa, .Ml. t . 111.. !ore Closure fuel. n — tuloaga, RUC. Roofing Product Control Examiner POLYFOAM PRODUCTS, INC. Product Control No.: 98.0303.02 Polyfoum Products, Inc. ACCEPTANCE NO: 98- 0303.02 2400 Spring- Stucbncr Road APPROVED : April 161998 Spring, TX 77383 EXPIRES : April 16. 2001. NOTICE OF ACCEPTANCE STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including tcst supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturers name. city, state, and the following statement; "Mianti•Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) there has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes: b) The product is no longer die same product (identical) as the one originally approved; c) lithe Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance. unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory perfomiance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpoSCs. 6 The Notice of Acceptance number preceded by the words Miami -Dade County. Florida. and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 15 END OF THIS ACCEPTANCE Page i S of 15 Prank Zuloaga, RItC Roofing Product Control Examiner Disapproved (Signed) 7 =, c MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ,19. nn !I>, 7 S .. street -E E-. %7 '` ,$ Owner's Name and Address ....f.���� �i ./�.......�.1�� r.�.� , � ' �. No �� ' Registered Architect and /or Engineer.. /. f'C J, _-, ..._. Name and address of licensed contractor likiei � "`iy.��� Cc.o 5 >'ip e �,{a R? �: .6'6 .st 1 / / 1 733 Location.and legal des ption of lot to be built on: ° Lot W �� "1 ... Block 5 Subdivision ........__..._ Street and Number where. work is to be done c2 1 - 7 ". 5r/i 9 2... ?? T State work to be done and purpose of building (by floors)EY 51/ _ A ./.1.a.l L i Lf 2 :fir e .A. ../PA — e E'v d j L. // P . L 41 "t4)....... X r c 2 .1. 1'A' it 4 5.`?.. I-' _ .. and for no other purpose. New Building Remodeling w Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $...J , 0e. O Amount of Permit $. 4 C Zone cubage required plan Cu bage Distance to next nearest building Sizd of Building Lot Maximum live load to be borne by each floor r I hereby submit all the plans and specifications for said building. All noti es with reference to the building and its construction may be sent to . 11 g .`"1-/R5 , FA) C-0 N . ?il e- e? A. 4' L/ 2 d / ,f / .el • J C The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. / Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. -------------- _ - __ - � to me well ;mown, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No..__.___ Date " ` Read, Sworn to and Subscribed before me. Date.. 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 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. LG ENGINEERING SERVICES, INC. Consulting Engineers North Office: 7370 N.W. 36th Street Suite 374 Miami, Florida 33166 Tel: (305) 994 -8128 Fax: (305) 994 -8135 M. I. S. Corporation 10220 Southwest 16 Street Miami, Florida 33165 Project: Dear Sirs; South Office: 13380 S.W. 131 Street Suite 120 Miami, Florida 33186 TILE UPLIFT TEST Lychako Residence 262 Northeast 97 Street Miami Shores, Florida Information provided by client: Permit Number: 47020 Date Completion: August 1, 2000 Roofing Contractor: M. I. S. Corporation LG Engineering Services, Inc. Project Number: LG00 - 1432 (Testing Laboratory Certificate #00- 0224.07) C•I•v•1•1 E•N•G•I•N•E•E•R August 4, 2000 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 20 feet above ground surface. The type of tile used for this project was reported to be Flat Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on.our test results, we conclude thatthe installation of the roof the at the above :referenced project meets the t requirement outlined i the' above mentioned protocol; Attached please find a copy of our test report for your review LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. TILE UPLIFT TEST Lychako Residence 262 Northeast 97 Street Miami Shores, Florida oha . .d Sonny Salieh, P.E. Project Manager Test Number Test Load (lbt7 Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Report of TILE UPLIFT TEST for Lychako Residence 262 Northeast 97 Street Miami Shores, Florida Project Number: LGOO-1432 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOO -1432, Page 1 Test Number Test Load. (Ibf7 Test Status 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, c ,:. Inc. .. Engineering s Uplift Test Result — Project Number: L000 -1432, Page 2 Test Number Test Load (lbf) Test Status 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOO -1432, Page 3 North_>- SS GL 5 13 goKEN TILL L S c,. 60 SL 5% Sy � y3 (.d ti 7 1 4% 4 =t Z9 )6 zl 2 .. 10 Approximate Test Location LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOO-1432, Page 4 1 MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Owner's Name and Address Genecia Lane BUILDING INSPECTION DEPARTMENT 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. Street and Number where work is to be done 262 N.E. nth State work to be done and purpose of building (by floors) Tear off install 26guage gals. eave drip and mop lay Gory 1" white cement shingle tile New Building Remodeling. Addition Remarks. _. (Signed) 8 - -77 NO262 —. Str 97th Street R egistered Architect and /or Engineer r . ... .... .............................� Name and address of licensed contractor Biscayne Roof ing. Co. 180 E. 11th Ave. Location and legal description of lot to be built on: Lot Block Subdivision To be constructed of Kind of foundation Estimated Total cost of improvements $ 3 i 000' 00 Amount of Permit $. Street _ .._. _._... existing roof. Tin cap 1-30# felt. 1 -90# slate. Over the entire roof Notary Public, State of Florida and for no other purpose. Repairs No. of Stories Roof Covering. 4:2 23 sq s . Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for nspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such st; f � co ntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 � / 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 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.._ _ J_.�--'2_i , Date C SC � � Read, Sworn to and Subscribed before me. Disapproved Date _,. } .._ _ l � % e-. - ;L. . � \ r -2 ' <- �Q "mac C- 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.