330 NE 97 St (8)SYSTEM LId11TATI . NS
(CONTINUED)
9. Applications for roofing permits shall include a con; :feted Section 11 of the Uniform Building
Permit, a copy of Monier Roof Tile's current specific..ions and details, a copy of this Product
Control Approval and a copy of the Product Control h, _.roval of any Roofing Component used in
the proposed tile application. Reference shall be mac to appropriate data for the required fire
rating.
10. The applicant shall retain the services of a Dade Cot 'y certified testing laboratory to maintain
quality control in compliance with the South Florida l3t.'ding Code and related protocols. Samples
taken shall be in compliance with Dade County Protoco. 'A 1 12, Appendix 'A'.
11. Any amendments to these provisions shall be in complir - ;e with Sections 203 and 204 of the South
Florida Building Bode.
Raul Rc :iguez
Product Control No.: 94 - 1221008
s•
Tabl
Tile
Profile
Bermuda Flat Rat Tile
Tile
Profile
Monier Bermuda Flat Flat Tile
DATA FOR ATTACL..iEt•IT
CA LCU LATIQN,
o 1: Aerodynamic Mutt: . :ers - X (ft')
from PA 108 Test: - j
(ft')
Batten Appllcatic
N/A
Tile
Profile
Monier Mission
Barrel Tile
Table 2: Restoring Mome
from PA
3 ":12"
5.20
4 ":12"
5.12
nts due 3ravity - M (ft -Ibf)
101 Test: .3
5 " :1: .z
Table 4: Attachment Resistance Express..: as a Moment - M (ft -Ibf)
• from PA 101 Test'
Tile
Application
Mortar Set
Adhesive Set
5C
Rnut Rc.'.: igucz
Product Control No.: 94-122
X (ft
Direct Deck Application
0.24
6 ":12"
4.89
7 ":12" or
greater
N/A
Attachment
Resistance •
39.00
118.90
r
PROFILE DRAW:, .
(u)
MONIER ROOF TILE
oust or nu
DUll 1Ito -�
01111 (110
I1A1� 1101CS
1
1S
lir—
` 3-1/0 r
MAD Of PLC
10 -1 /r
ow.atOot
sut1C1uu.
•
t /:
BERMUDA FLAT FLA'_'TILE
Raul R iguez
Product Control No: 44•1221.08
4
•
METRO DADE dIETROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING.
DUILDINQ CODE COMPLIANCE DEPARTMENT
SUITE 1G03
METRO -DADE FLAOLEII BUILDING
140 WEST FIAULER STREET
NOTJCE OIr ACC(,.(' NCE: STAN: cR12CONDITIONS. MIAMI, FLORIDA 33130.1503
(305) 976.2001
FAX (305) 970.2.000
S. Extensions of Acceptance may be considered niter a n;, application has been filed and the supporting
data, test reports no older than ten (10) years, have been r...:valuated.
All reports of re- testing shall bear the seal, signature , :_ date of an engineer registered in the State of
Florida.
2. Any revision or change in the materials, use, or mnnufac .. :e of the product or process shall automatically
be cause for termination, unless prior approval is granted revisions or change.
3. Any unsatisfactory performance of this product or proces.:; a change in Code provisions shall be grounds
for re- evaluation.
Q. This acceptance shalt nut be used as an endorsement oCa.: ;product for sales or advertising purposes..
5. The Notice of Acceptance number preceded by the we Dade County, Florida, and followed by the
expiration date may fie displayed in advertising literate :c: If any portion of the Notice of Acceptance is
displayed, then it shall be done in its entirely. •
6. Product approval drawings, where required for permit a:`ications, shall be provided to the applicant by
the manufacturer or his distributors unless otherwise no::. in the Notice of Acceptance. The prints need
not be re- sealed by nn engineer.
7. Failure to comply with the Standard Conditions shall be c: .:se for termination of the Approval.
This approval supersedes all previous approvals.
liat . .odriguez
Pro:: wt Control Division
Sup : isor
Test Location
Uplift Pull
T t (P or F)
Test Location
P
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
1
26
p
51
9
o
2
27
52
3
28
53
4
29
54
5
30
55
6
31
56
7
32
57
8
33
58
9
34
59
10
35
60
11
36
61
12
37
62
13
38
63
■17
14
39
64
15
40
65
16
41
66
17
42
67
18
43
68
19
1
44
69
20
45
70
21
46
71
22
47
72
23
48
73
24
49
74
25
50
75
M iti Du Quesne & Associates, Inc.
Owner's Name:
Job Address
Roofing Contractor
Type of Tile:
Approximate Roof Height:
Consulting Engineers
Testing Laboratory
Type of Access to Roof:
Approximate Square Footage
Required Testing Force: 35 Ibs
Date Tested 2°
Quesne, P.E.
eer
3
Quesne & Associates, Inc.
E.B. License #0005245
Lab Certification #94- 0318.01
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
SITE SPECIFIC INFORMATION
00
Permit 40870
14 tilt
hate Installed 2° 1 4 'C 7
feet Roof Pitch: :17_
Scaffolds Ladder
of Roof 'E®e: ft
Testing Equipment:
TEST RESULTS
P a PASS, F = FAIL
Chatillion DFIS 100
SKETCH OF ROOF IN BACK
UTR 1 SZH
Environmental • Civil • Structural
Building Inspection Services
Other
IN ACCORDANCE WITH THE,QRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.;
7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426
KETCH OF ROOF
JOB 130 L g q, � Y`h .5�?; r �•
SHEET NO 0
CALCULATED BY
CHECKED BY
SCALE
DATE
DATE
■■■ NEM E'aE!M ■■\ ■ ■I ■ ■ ■■MI 1111■■■■■
■■IIIIF! ■ ■■■ aNN M\ ■■I■RER ■ ■ ■ ■ ■■■■
■ ■ab■ ■ malliWiiii■I ■ ■ ■LJ ■ ■■ ■1111■■
IMINIEUEEMERIMMIErallIERMINIIMMIN
■ ■ ■1EL ■ ■` ■ ■1 ■� ■
■■ENSI ■■!!RI ■ ■ ■■■
ilI!![1IiIIFIIIiIIUII
1111111111111111111 NMI
■■ ■■■■■■■■liu ■■1 ■r■l ■ ■em■ !fie!■■ ■■
■
■
IIIIIIIIINIIIIIIIITIIIIIII
■■ ■■ ■■■■■■ ■■■■1111■■ ■■1111■ ■■ ■■■■■
• Product Control No.: 94 -1221 OR
s"
C
Undcrlaymcnt:
Rooting Tile:
SYSTEMS
Deck Type: Wood, Non - insulated
Deck Description: New construction 19 4 2 " or greater ply and or wood plank.
SYSTEM D: Mortar or Adhesive Set Application
Slope Range: 2 ":12" to 7 ":12"
Note: System D is only acceptabL..: this slope range.
Install choice of approved underla ..ent system, noted on Page 1 of Dade
County Protocol PA 120, in comp: .. :ice with Section 3.02 of PA 120. See
System limitation / /G.
Install tile in compliance with PA AO using one of the approved tnortars or
adhesives noted in this approval. Mortar or adhesive shall be applied in
compliance with the mortar man °cturer's Rooting Component Product
Control Approval. The mortar or attachment shall provide sufficient
attachment resistance expressed as . moment to meet or exceed the required
moment of resistance determined it :ampliance with PA 1 IS or PA 127. The
mortar and adhesive attachment data 's noted in Table 3, attached.
Comments: 1. For re -roof applications, "/,_" ply _'ood is an acceptable substrate.
2. For mortar set applications, the . .: three courses of tile shall be nailed with
not less than one nail per tile. As alternate, the first three courses of tile
shall be applied in mortar over a s :.gle layer of minimum 12 ga. wire mesh
with square openings of not Tess dm '4" which is mechanically attached to the
deck with not less than one roolir, nail every 1 ft'. For roof pitches from
6" :12" to 7 ":12 ", every third tile or . eery fillb course, beginning at the eighth
course, shall be nailed with not less an one nail per tile.
Raul Ro _rigucx
Product Control No.: 94- 1221.0k
SYSTEM LIMITA T .NS
1. The standard minimum roof, pitch for Monier "Bern ..;.la Flat" mortar set or adhesive set tile
applications is 2" rise in 12" run (2 ":12 "). The maxim. .. roof pitch for mortar set or adhesive set
tile applications is 7" rise in 12 " ":12 ").
2. Monier's "Bermuda Flat" tile profile has not been _sled for Wait -on applications, therefore,
System A (Counter- Batten Nail -On Application), Syst: 13 (Direct Deck Nail -On Application) and
System C (Horizontal Batten Nail -On Application) do . .t form part of this approval.
3. System installation shall be in compliance with the s: . tem specifications outlined in this Product
Control Approval. Mortar set or adhesive set tile s- .:I be attached using an approved mortar or
tile adhcsivc noted in' this approval, the data of whit,' 's noted in Table 3 of this Approval. The
method of attachment utilized shall provide sufficient .achment resistance expressed as a moment
io meet or exceed the required moment of resistance :::ermined in compliance with Dade County
Protocol PA 115 or PA 127.
4. For mortar set applications, the first three courses of ':s sltall be nailed with not less than one nail
per tile. As an alternate, the first three courses of tilt _ tall be applied in mortar or adhesive over a
single layer of minimum 12 ga. wire mesh with sq ;.:_ :c openings of not less than '/," which is
mechanically attached to the deck with not less than c .c roofing nail every 1 ft'. For roof pitches
from 6 ":I2" to 7 ":12 ", every third tile of every fifth cc :se, beginning at the eighth course, shall be
nailed with not less than one nail per tilt.
5. For mortar set or adhesive set tile applications, ..:lead static uplift test by a Dade County
accredited testing agency, in compliance with Dade C: Ally Protocol PA 106, shall be required not
less than 30 days after application to confirm tile ac.: lion. The results of this testing shall be
reported to the l3uilding Official and the installer static .hat the application has passed or failed PA
106 testing. If the application fails PA 106 testing, t,. . report shall state which portion of the test
was failed; Category 1 (examination for loose tile) or C...egory 2 (uplift testing of tile). Subsequent
to testing, the installer may repair not more than 5% " field area tiles and 10% of perimeter area
(i.e. ridge/rake) tile with approved tile adhesive. The i_ .taller shall place an identifiable marking on
each repaired tile for future reference. Any PA 106 re -...st shall not include any marked tile.
6. For mortar • adhesive set tile applications, 30/90 L. mopped undcrlayment applications may be
installed perper. ''cular to the root' pitch prior to June 1, .995 unless stated otherwise by the material
manufacturer. ` reaftcr, 30/90 undcrlayment system_ . be installed parallel to the roof pitch in
compliance with i pendix'A' of Dade County Protocc. ?A 120.
7. All tiles shall bear the imprint or identifiable mark! g of the manufacturer's name or logo for
identification in the field.
8. The Monier "Bermuda Flat" tilt profile has been tes _;d for both wind characteristics and static
uplift performance, therefore, attachment calculation.. for installation in compliance with Dade
County Protocol PA 115 or PA 127 shall be done as a `i :omen' ,Based System'
•
Raul IL :rigucz
•
1 MEETfOUADE METfOPOLITAN DADE COUNTY, FLORIDA
METRO•DADE FLAGLER BUILDING.
APPROVED:
Monier ltoofTile . _
1900 Northwest 2Ist Avenue
Fort Lauderdale, FL 3311 I
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1003
METRO -DADE FLAMER DUILDINO
• 140 WEST PLAOLER STREET
MIAMI, FLORIDA 33130-1503
• ' • (305) 375.2001
Pitonue ' CONTROL NOTICE OF ACCEPTANCE FAX (905) 376.2000
Your application for Product Approval of Monier Goof Tile Atortttc_orAdheslve Set Concrete "Ttennudn lie.
Roofing Till under Chapter 11 of the Metropolitan 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
Rcdland Technologies, The Center for Applied Engineering, k.::. and Professional Service lndttslrles, Inc. has
been recommended for acceptance by the Building Code Compliance Department to be used in Dade County,
Florida under the specific and standard conditions set forth herein.
The approval shall be valid for a period of three years. The Building Code Compliance Departinent reserves the
right to secure a product or material at any time for a jobsite or Manufacturer plant for quality control testing. If
product of Material fail to perform in the approved manner, the Code Compliance Department may revoke, modify
or suspend the use of such product or material immediately. The Building Code Compliance•Deparlmenl reserves
the right to require testing of this product or material should any amendments to the South Florida Building Code be
enacted affecting this product or material.
The expense of such testing will be incurred by the Manufacturer.
PRODUCT NO. :
ACCEPTANCE. NO.: 94- 1221.08 Raul Rodriguez
Product Control Division
EXPIRES: DEC 2 7 1997 Supervisor
•
- PLEASE NOTE -
TUIS IS TIIE COVERSIIEET. SEE ADDITIONAL P,' CES FOR SPECIFIC AND GENERAL
CONDITIONS.
IIUILDINC CODE COMMITTEE
• This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code
Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under
the conditions set forth above.
DEC 21 1994
t
Charle4Danger, P.G., Direct
Building Code Compliance Department
Metropolitan Dade County •
Applicant:
Monier Roof Tile
1900 Northwest 21 st Avenue
Fort Lauderdale, FL 33111
Category: Prepared Roofing
,Sub - Category: • Tile
Type: Mortar Set/Adhesive Set
,Sub -Type: Concrete
PRODt1C1' CONTROL NOTICE 07 ACCEPTANCE
ROOFING SYSTEM APPROVAL
Sy3teln Descriplim
Approval Date:
Monier hoof Tile is a member of the Rcdland Group, a world wide producer of primary building
products and roof tile. Monier manufacturers concrete roc: tile for nail -on, mortar set or adhesive set
applications in plants throughout the United States ranging f om Washington State to Florida. All tile is
manufactured from extruded concrete consisting of Portland Cement, plasticizer, iron and metallic
oxides, and blended aggregates. This Product Control ADp;nvat relates to Monjsr's "penman Flat" tile
profile. lidet_ln itPPEQP[i PrQstucLat lr 1IApptoYa1 fors ber tile proacs.
Monier sells tile systems through local distribution ,nd directly to consumers. All profiles have
matching trim pieces used for rake hip, ridge hip, and valley terminations. Tile system accessories such
as underlayment, ventilation systems and flashing systems are also available. These accessories are
manufactured for all profiles and form a part of this Product Control Approval.
lvtonier's "l3ermuda Flat" roof tile has been tested in compliance with the South Florida Building
Code requirements for concrete, mortar or adhesive set tile applications. The minimum roof slope for
lvIonier's "Bermuda Flat" mortar or adhesive set tiles shall be 2 ":12 ". See the "Profile Drawing" section
in this approval for the "Bermuda Flat" profile drawing. The Monier "Bermuda Flat" tile profile has
been tested for both wind characteristics and static uplift performance, therefore, any consideration for
installation shall be done as a 'Moment Based System'. Data for attachment calculations is noted in
Tables 1 through 3 of this approval.
Contact:
Reese 1 Moody
Technical Service Acce_sories Manager
1900 NW. 21st Avenue
Ft. Lauderdale, FL 33311
(800) 432 -2715
Product Control No.: 94- 1221.08
0E 271994
Expiration Date: DEC . 2 7 1997
Raul Rodriguez
•
°
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED IIY'APPLfCANT
\
Test Product
prod ad D inteosin i'' Spccifitadlna: Description
Bermuda Flat Flat 1 15" PA 112 Flat, interlocking, extruded concrete
Tile w a 10'/ roof the equipped with two nails holes. •
1'h" thick For mortar set or adhesive set
applications.
Trim Picccs
— 1.- varies
w a varies
varying thickness
PA 112
Raul Rodriguez
Product Control No.: 99- 1221.08
Accessory trim, concrete roof pieces
for use at hips, rakes, ridges and valley
tenuinations. Manufactured for each
tile profile.
Product
1130 Felt
1143 Coated Base
Sheet
Mineral Surface Cap
Sheet
Lenzingtex -Z13 140 59" x 164' roll
Underlayment 22 Ibs/roll
Rainproof II
Ice and Water Shield
Mopping Asphalt
Flashing Cement
TRADE NAMES OF PRODUCTS 1VIA .UI%ACI'URED OTHERS
Dimensions
N/A
N/A
N/A
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
36" x 75' roll
N/A
N/A
Test
Specifications
ASTM D 226
type 11
ASTM D 2626
ASTM D 249
PA 104
PA 104
PA 103
ASTM D 312
type III or IV
ASTM D 4586
Raul R Ddrittuez
Product Control No.: .94-122 LOS
Product
Description
Saturated organic felt
to be used as a nailed
anchor sheet.
Saturated and coated
organic base sheet for
single or double ply
underlayment.
Mineral surfaced
asphalt roll roofing
for use as a top ply in
a double ply
underlayment system.
Single ply, nail -on
underlayment.
Single ply, nail -on
underlayment with 2"
self-adhering top
edge.
Self - adhering
underlayment for use
as a top ply in a two
ply underlayment
system with approved
1130 or 1143 as the base
layer.
Asphalt for bonding a
mineral surface cap to
a mech. attached base
sheet in a double ply
underlayment system.
Cut back, asphalt
based, asbestos free,
(iibei reinforced,
trowe'4 rade cement
for repa . and (lashing
applications.
Manufacturer
generic
generic
generic
Lenzing
Performance, Inc.
PCA 1194 - 0527.05
.Protect -O -Wrap. Inc.
PCA /194 - 0714.01
W.R. Grace Co.
PCA 1192 - 1116.01
generic
generic
Test '. • Product
product Dimensions Speeification Dsscr1p.LIQn Manufacturer
Asphalt Primcr N /A\ ASTM D 41 Cut back, asphalt generic
\ bused coaling used to
1A f• facilitate bonding of
dissimilar materials.
Roofing. Nails
Tin Caps
Tile Nails
Valley Flashing
min. 12 ga. with
'/," head
min. 32 ga.
min. 1'4" o.d.
max. 2" o.d.
min. 8d x 2%" or
tnin. 10d x 3"
min. 26 ga:
min. 16" width
PA 114
Appendix 13
PA 114
Appendix 13
PA 114
Appendix 13
Roof Tile Mortar N/A PA 123 Prepared mortar mix Bermuda Roof
( "TileTitcm' ") designed for mortar Company, Inc.
set roof tile PCA 1194- 0614.0I
applications.
Roof Tile Mortar N/A PA 123 Prepared mortar mix Quikrete Constructio
( "Quikrete® Roof designed for mortar Products
Tile Mortar 111140 ") set roof file PCA 1194- 0808.01
applications.
Roof Tile Mortar N/A PA 123 Prepared mortar mix W.R. Bonsai Co.
( "BONSAL® Roof designed for mortar PCA 1194- 0628.03
Tile Mortar Mix ") set roof tile
applications. ..
Roof Tile Adhesive N/A PA 110 Adhesive designed Polyfoam Products,
1 ' (Polypro® AH 160) for use in roof tile Inc.
applications. PCAII')4- 0401.01
ASTM A 525
Raul Rodriguez
Product Control No.: 94-_,1221.08
Annular ring shank,
hot dipped, clectro or
mechanically galv.
roofing nails for use
in undcrlayment
attachment.
Corrosion resistant
circular disc for use in
underlayment
attachment
Corrosion resistant,
screw or smooth
shank nails for
additional tile
attachment at cave tile'
courses.
Cnivanized steel
valley flashing
generic
generic
generic
generic
a•
Test Product
Product Dimensions S ceificnlions DescrlpJiQn Manufacturer
Drip Edge min. 26 ga. PA I 1 I Galvanized steel drip generic
. min. 2" face flange edge
min. 2" deck flange
5
•
R. Rodriguez
Product Control No.: 94- 1221.013
t
TEST REPORTS,
'''.;
TraLAg&y •\ Test identifier v Test Natue/Re AUL Mac
The Center for Applied \ 94 -084 Static Uplift Testing May
Engineering, Inc. 1. ''' PA 101
(Mortar Set)
The Center for Applied 94 -060A Static Uplift Testing March, 1994
Enigneering, Inc. PA 101
(Adhesive Set)
•1
Raul Rodriguez
Product Control No.: ' Q4- 1221.08
Redland Technologies P0631 -01 Wind Tunnel Testing July 1994
• PA 108
(Mortar Set)
Professional Service 224 -47099 Physical Properties Sept, 1994
Industries, Inc. PA 112
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Page -2
Ridge Venjilation?
Deck type:
aiS
MEAN HEIGHT /°C 0
R87g J e
060P SAIghrlimi
z Underlayment:
12"
ROOF SLOPE
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
,ssr & fi g o
Insulation:
Fastener type & spacing:
Cap Sheet:
a od
ip.$ `r 17
Roof -/ Covering:
Drip edge:
#q - /a o.Ot
t•
p
mis
I704 N , l,6,40064 /o
�
3Si3 .46 ro ffs �sQ, 04; � r E>
�
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
(Pmax1:72, ' x X. (Aerodynamic Multiplier): ) -
(Pmax2: /czar X ? (Aerodynamic Multiplier): 2 C )
(Pmax3: IOD 4' x a, (Aerodynamic Multiplier): 2 S 1 )
TILE CALCULATIONS
M : 5.20 = M :/ PCA: 0 3 0
, 0
g rl
- M �: B° = M rz: I _ PCA: '! 1.•942
- M = M r3: _ PCA: f f®
Contractor's Name: L. L& t Ro0 - / ' 4' l
Job Address: 33aAM: 5 s /4i,irv_rie g
ROOF CATEGORY ��
❑ (Low Slope Application) ❑ (Nail -On Tile) LI (Mortar
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof L11 Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Spor
Flat Roof Area (ft Sloped Roof Area (ft 'SOC Total (ft 3/0a( Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
Ft.
A
v
Ft.
v
A
Deck type:
ATTACHMENT
1 Y/
Fastener Type:
Field:
SPACING
Perimeter: Corner:
DETAIL 1 & 2
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
jar €S ' €8
';!( = i a 0
✓ yam?
ROOF PLAN ae'd
123.01 -78 9/96
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Page -1
RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. /1 _ 3 2-0 6 - 0/3 -
STATE OF FLORIDA:
COUNTY OF 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: LoT / `4` K)
Pt r ; S ko fe.�3 . I
330 N. E,- 9'7 :S+• f i/hvi;
2. Description of improvement: Re —roof ing
•3. Owner(s) name and address: f - I h e r-4 3r-- 21 5
2 3o N 9') ST • / p , Ft_ 3 3/38
Interest in property:
owner
Name and address of fee simple titleholder:
4. Contractor's name and address:
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: n /a.
Amount of bond $
n/a
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: n/a
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: n/a
9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
X nQf ff d e t
Signature01Owner `.TRW 05 �J 11' 26 ?i?"0j.5"--?.? O 9 -0
Print Owners Name A 4B£f7 PEYTR Er 44 z/I
Sworn to and subscribed before me this /7day. f . 19Y1_•
Notary Public
Print Notary's Nam
My Commission Expires,
/1; 0.
n/a
D.L. Allen Roofing, Inc.
5826 S.W. 23 St. Hollywood, FL 33023
3 3/ 3cf''
Prepared by: R. Allen
Address: 5826 S.W. 23 St.
Hlwd. FL 33023
MARCO SINAI
- My Commission CC488875
7 � Expires Aug. 18. 11NV
12a01 -52 2
Sl'AT'c' IF F<'ORIDC,, COUNTY OF DADE
8 %1 Ce2FiPY 11-.n, ?Lis is c t'r ogriof Mc
01 it 0411 ! jrerYt, cffi-:o on
� l •
_ , A. D. i9
1J i ' ! r,-' n n r / c6 f i:I Sco f.
ndCounty
0
1•d
0
0
N
t
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
❑ Work to be performed under this Permit_
CONTRACTOR OR BUILDER
BI
N? 6425
DATE 19
Contractor's
License No.
Subdi-
vision
Value of
Project $
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 employees.
Signed. t ,, T INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
o
BY
_,11 Amount of
I! Permit
AUTHORITY
ii!OT 14K24-
MIAMI SHORES VILLAGE, FLA. N9 6846,
JOB
ADDRESS A 0 ( <
INSPECTION ,(7; c
TIME READY ��� "/ d -
REMARKS :
INSPECTOR
DATE
MIAMI SHORES VILLAGE, F
JOB �
ADDRESS -73 ': ''
INSPECTION 1 ( -eN
TIME READY '7 1 -3 `
REMARKS :
INSPECTOR
LA. N9 6952
DATE
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Lot
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
CONTRACTOR OR BUILDER
N9 6425
DATE f 19
Contractor's
License No.
Work to be performed under this Permit____
B1
BY AUTHORITY
Subdi-
vision
Address of - Value of ,11 Amount of
Building Project $ " II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the 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 employees.
Signed: fi — INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employed.
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 tuilding 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
Owner's Name and Address Dean ClausSe>1a No
STATE OF FLORIDA,
COUNTY OF DADE. ss.
19
Registered Architect and /or Engineer
Name and address of licensed contractor Brady Roofing 8: Sheet M e t a l 0 2955 No W. 73rd Streit
Location and legal description of lot to be built on:
Lot Block Subdivision
Street arid Number where work is to be done 330 1V 9 . .t; a _. 97th Street
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering_3C °9G °T
Estimated Total cost of improvements $ 1035.00 Amount of Permit $ 7000
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.'
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No 1__ _-)------ Date `1 — (c7__ S --- Read, Sworn to and Subscribed before me.
Disapproved Date
( Signed) "1 Notary Public, State of Florida
-"
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairnan 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.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 4 / / LI his Job Address , , () M E, q c r Tax Folio
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contacting Co. lo 141) w t.f.12 � e e co lei
Square Ft.
Qualifier p H tU 1 ESA
State # Municipal #
Architect/Engineer
Bonding Company
Mortgagor
3.ofi .�•
r,
Signature of owner and/or Congo President
/,/ S'.1
Date
!/
i
Chi -f/ (/—/ 7 Pff
Notary as to Owner and/or Condo President Date
My Con $119N E6gir9rff03AL NOTARY SEAL
®
0 e, SANDRA Fa] ciotrria.
COMMISSION Nuteer i= i
Q CC481269
:• RAY COMMISSION •F.X0.
FEES: PERMIT ;IL/. � RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Historically Designated: Yes No
Master Permit # 3 7 f 7
P h o n e ' 1 1 : 7 I ( 9 o
Address 4 4S31 k).14). J1'
Phone (wO a: -1' '7 0
Competency # ) t 9 Ins. Co.
Address
Address
Address
Estimated Cost (value)
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA R S'OFING ' "AVING FENCE SIGN
WORK DESCRIPTION r e.Pq I r° K. e.4 K fl N b. E 'R oc S
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of gontractor or Owner - Builder Date
Notary as to
My Commi .iORI R4 OFFICIAL NOTARY SEAL t;
O SANDRA M MONTIEL
O • COMMISSION Nu 1aEF:
• CC401261
Vcll� r
MY COteINISSION .EX P.
OF P. AUG. 17 1998 �J
C.C.F. SO NOTARY Cr. oC) TOTAL DUE as
Electrical
44-
00
Date
Engineering
Date
ti
Owaet's Address -- 3 3 •
Contracting Co. 73
Qu,rlifier '"
State #e
Architect/Engineer
Bonding Company
Mortgagor
Square Ft. 3 id
Notary as to • er angtpr
My Comm .: ion Ex p - .. °c
* ,11 .
O0 f;�rarA
1 . PF FF�
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address `; ` 0 N e C ) 3t Tax Folio 4 d 66
Legal Description t- 9 4 8 Ht S j e. 1 Historically Designated: Yes
Owner/Lessee / Tenant Al 5 Master Permit # �/ c 1/
Municipal #
9 7
Signature of owner and/or Condo P -esident Date
O
FEES: PERMIT 6 4% . RADON
o President Date
MARCO SINAI
My Commission CC4488815
&mpiren Aug. 16, 1989
No
• Phone 73 °� l PC
e, Address .:5' i SQC.co • r ,SF w(
SS# ( ?('.
Competency #
Address
Address
Address
Ins. Col -4
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL #O PAVING FENCE SIGN
WORK DESCRIPTION r c ?c e �� e j Ye_ AoLc — R —r zuAt:/.2..
�. A r G fovl =
Estimated Cost (value) 0 j'
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1:
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
• ®,
B„g 7
Signature of Contractor or Owner - Builder
Notary as j*5 Cozbtr�ctor or
.
My Commisgi w es:
APPROVED:
Zoning
Mechanical Plumbing
Owner - Builder
MARCO SINAI
My Commission CC48E805
Eikpires Aug. 16, 1999
C.C.F. L J NOTARY BOND > deie=)
Electrical
Date
Iv 9ti.
ate
TOTAL DUE -,/;
Engineering