5 NE 96 St (7)1 a 4•
Date . 2 Job Address
Legal Description Historically Designated: Yes
Owner/Lessee / Tenant Et/el 1 A rq m p OS
Owner's Address /06 ( // (p
Contracting Co. J " Qcu■ It Z.9 0 . 16(...1 Address 73 / o . /VA) 6 £7
Qualifier Pr AID /J A\AQ2,
State # Ccc. ALM 2 3
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): BUILDING EL CTRICAL PLUMBING MECHANICA ROOFIN V]ING FENCE SIGN
WORK DESCRIPTION kje.00 atAC )/) ,? 17/1 09y �$ g0 /4d /noel j..37
z),I2Lc) Copra) - Lii,F-- i cofo -4a u . ufi kes, 4,2._ An4
Square Ft. 2400 Estimated Cost (value) `t' Q 0 !7
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.)
App:ication 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 consiructiofi d zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
ndo President
R#
ST.
Municipal #
Building
Date
/
Tax Folio
Master Permit #
Phone 372 - -2,'/ c�
SS# 6 oZ Co S 99224
Competency # Ins. Co.
Address
Address
Signa ure
o Contractor
i lder
My Commis • .• e�Qaue AES Aam "627917
Notar D.2 Woo
Electrical
TOTAL DUE
g /2 !7
/ ate
4
Date
Plumbing Engineering
SEP. 26. 1997 3:50PM P 1
PHONE NO. : 305 858 4366
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
FROM : RICK CHAVEZ
PERMIT NO. TAX FOLIO NO.
1 2.0 60/3O .F20
STATE OF FLORIDA:
COUNTY OF DAIS: 97R439702 1997 SEP 26 15:26
THE OJNDSt1 (GNED hereby gives notice that improvements will to made to certain real property. and in accordance with
Chapter 713, Florida Statutes. the (Mowing information is s•. twitted in this Notice of Commencement.
ment.
1. Legal description of }property and street address:
2. DBsption of improvement:
3.Owner(s) name acid address:
.5"
4- Connotes name and address:
73 )-
6. Lender's name and address:
taterest in property:
Name and : r.,+ rasp of fee simple titleholder:
5. Surety:(Paymsnt bond required by owner from contractor. if any) S#RTtr OF nQRtiae. Cot9H?Y d` ppBt:
Name and address: motiEgy cow e obis +e e+ true c& day
A3Taourtl of %?and $ 00
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be ,Sere- • provided
by Section 713.1311)(a)7., Florida Statutes,
Name and address:
to addition to himself, Owner designates the following , ;.rson(s) to receive a copy of the Lienor's Notice as provided in
Section 713.93(1)(b), Florida $tetutee.
Name and address:
. Expiration date of this Notice o3 Commencement: (the expiration date is 1 year from the date of recording unless a
different date is spedi
Notary Public
Print Notary's Name
My Commission Expires:
.e TN E �� ^d 0frida see/.
SS
Prepared by:
J ;re ---�° . ). a�
1271+.112 i:b
V
Contractor's Name: J u n
Ft.
A
V
Ft.
A
v
Deck type:
ATTACHMENT
Fastener Type:
Field:
SPACING
Perimeter: Corner:
123.01 -78 9/96
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
p04-
DETAIL 1 & 2
Job Address:
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) Al (Mort . - . dhesive et 1
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft / Sloped Roof Area (ft 2 _l oo Total (ft 2 ( f 0U Master Permit No.
Exposure category (per ASCE 7 -88): C- Building Classification category (per ASCE 7 -88 table 1):
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Page -1
c, 57
ROOF PLAN
•
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Ridge Ventilation?
MEAN HEIGHT
Deck type:
/
z Underlayment:
Insulation:
Fastener type & spacing:
Cap Sheet:
12
ROOF SLOPE
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
Ro
,04 /J T_ 6'kk
( P /2 `fo C 771PD
7-
Ago h ®A
Roo Covering:
4/E '4j 2 ./ -
Drip edge:
Cc f
3)3 G4 kom �eD
TILE CALCULATIONS fJ - 0 `(
(Pmax1: 7Z • a, (Aerodynamic Multiplier): i ?. I ) - M (e. •4O = M q. (4 PCA: 56 . (c 1
(Pmax2: 117.3 x a, (Aerodynamic Multiplier): • 2-' ) - M: .10= M g9,, ( PCA:
2
(Pmax3: 1 0 1.7' X X (Aerodynamic Multiplier): - 1 ) - M (0 U = M U.' }, 4 PCA:
Page -2
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
• ‘.7 1 :./1 2/
•
METROOADE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Lifetile Corporation
200 Story Road
Lake Wales
Approved:06 /14/95
NED I TERM ..14NEAN • ROOF TILE --> 305 858 4366
FL 3389 -0632
NO. 384
METROPOLITAN DADE COUNTY. FLORIDA
METFIO -DADS FLAGLER BUILDING
BUILDING CODE COMPLIANI:
SUITE CE OFFIC 1803
METRO -DARE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAAAI. FLORIDA 33130 -1563 •
• (305) 375.2901
FAX (305) 375-2908
PRODUCT CONTROL SECTION
(305) 375.2902
FAX (305) 372-6339
001
Your application for Product Approval of:
Nail On Mortar or Adhesive Capri Tile
under Chapter 8 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:
Redland Technologies, The Center for Applied Engineering, Inc., and Atlanta Testing &
Engineering
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 et. seq. and the Standard Conditions
on page 3.
This approval shall not be valid after the expiration date stated below. The Office of Code Compliance
reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for
quality control testing. If this product or material fails to perform in the approved manner,
the Code
Compliance Office may revoke, modify, or suspend should arty f ammendments to the South Florida Buila ng
applicant shall re- evaluate this product or material
Code be enacted affecting this product or material. The Building Code Compliance Office reserves the
the right to revoke this approval, if it is determined by the u'►ldin� Thee pense
product or material fails to meet the requirements of the South Florida Building
such testing will be incurred by the manufacturer.
Acceptance No.:95- 0316.04 (Revises No.: 94- 0914.23)
Expires:06 /14198
Raul kod iguez
Product Control Supervisor
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Metropolitan Dade County Building
Codc Compliance Department and approved by the Building Code Committee to be used in Dade
County, Florida under the conditions set forth above.
s anger,
Director
Building Code Compliance De
Metropolitan Dade County
. •03/12796 1$:51 • MED I TERRANEAN' ROOF TILE -► 305 858 4366
of ate:
Lifetile
200 Story Road
Lake Wales, FL 33859
s„h : C a t gr:
Tyne:
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Prepared Roofing
Tile
Nail - on/Mortar Set/Adhesive Set
Concrete
Contact:
Dave Faulkner
Technical Services Manager
200 Story Road
P.O. Box 632
Lake Wales. FL 33359 - -632
(813) 676 - 9405
NO. 384
Product Control No.: _ _ . EQ31 6. .
JUN 1 4 1995
JUN 1 4 1998
Approval Date:
Expiration Date:
Systei D ' ti
Lifetile is a member•of the Boral Group and is a national producer of extruded concrete tile in
California, Texas and Florida. Lifetile manufact'r concrete roof d molds tivi th the exposed
adhesive set applications. All tile is extruded under o P e le d
is
tile surface finished with a cementitious material colored with synthetic (' d p�pre s. r 1 l�S tQ
'cured' prior to shipping to achieve maximum strength. Ih.� 2 '= ' — — r
profiles.
ching trim
Lifetile sells tile systems through local, wholesale dis T�le u system ac cssor es as tilation
pieces used for rake hip, ridge hip, and valley terminations.
systems. flashing systems and birdstops are also available. These accessories are manufactured for all
profiles and form a part of this Product Control Approval.
Building
Lifetile's "CapriT "` Tile" roof tile has been tested in compliance
e , set with the
Code requirements for concrete, nail -on, mortar set a nd
roof slope for Lifetile's "Capri"' Tile" nail -on, mortar ase or ldhesiet ti rawin hall be Li 12 le e the
"Profile Drawing" section in this approval for the C p i profile
Tile" tile profile has been tested for both wind characteristics s and static
uplift p a for at t
any consideration for installation shall be done as a 'Moment
calculations is noted in Tables 1 through 4 of this approval.
2 / IL 1 A/(°
1:702
b3 -13 -1996 10:05 305-
" JUN Jo-ms td': 23 I'RQM L 1 FE'1 1 LE INC
•
SYS1 - E`ls
(CoNriNluE.r))
Deck Type: Wood, Nnn- in: ;ulared
Deck Description: New construction ' „” ur Zrcater plywood or wvoci plank.
SYSTEM Ii: Direct 'deck Application
Underlaynlent:
Roofing Tile:
Comments:
P. 05
1D-e13t'•rr31432 PAGE 11/1E
Product Control No.
Slope Range: 4 ":1 to 7 "• 1 7"
Note: System B is only acce.pt3hle in this slope range- For slopes 1e:cti than
4 ":13 ", refer to System A_ For slopes in excess of 7 " :12 ", refer to
Systt m C.
install underlJyutenr system in c caaplian. a lx.ith Dade County Application
Standard PA 118.
Install tile in compliaocer. with Dade County Application Standard PA 118.
(Sec "Data for Attachment Calc;ll3uons" included in this Approval.)
1. for te- •rot'f appli: ariOns, Is la" plywood 13 tit! acceptable substrate.
.MAR-1 09.37, FROM . L I FET I LE INC
SYSTEM LIMITATIONS
I0.9416791432
Product Control No.: 95- 0316.04
1: The standard minimum roof pitch for Lifetile's "CapriTM Tile ", tow profile tile shall comply with •
Dade County Application Standards PA 113, PA 119 or PA 120, depending on the method of
installation.
2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter
larger than that of the preformed holes in the tile.
3. System installation shall be in compliance with the system specifications outlined in this Product
Control Approval. The method of attachment utilized shall provide sufficient attachment resistance
expressed as a moment to meet or exceed the required moment of resistance determined in
compliance with Dade County Protocol PA 115 or PA I27_ The Lifetile "CaprP Tile" tile profile
has been tested for both wind characteristics and static uplift performance, therefore, attachment
calculations for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment
Based System'.
4. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited
testing agency, in compliance with Dade County Protocol PA 106, shall be performed.
5. For mortar set tile applications, 30/90 hot mopped underlayment applications may be installed
perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's
published literature.
6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
7. Applications for roofing permits shall include a completed Section Il of the Uniform Building
Permit, a copy of Lifetile's current specifications and details, a copy of this Product Control
Approval and a copy of the Product Control Approval of any Roofing Component used in the
proposed tile application_ Reference shall be made to appropriate data for the required fire rating.
S. The applicant shall retain the services of a Dade County certified testing laboratory to maintain
quality control in compliance wan the South Florida Building Code and related. protocols. Samples
taken: shall be in compliance with Dade County. Protocol PA 112, Appendix 'A'.
9. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South
Florida Building Code.
Raul Rodriguez
PAGE 1/6
MPuR -t3 796 09 =38 FROM.LIFETILE INC
2
Capri" Tile
Tile
Profile
Data noted in Table 3 is for installation with a 3" tit
DATA FOR ATTACHMENT
CALCULATIONS
Table 1: Aerodynamic Multipliers - (ft
from PA 108 Testing
X (ft
Batten Application
0.27
Tile
Profile
Capri` Tile
Table 2: Restoring Moments due to Gravity - M (ft -Ibf)
from PA 102 Testing
3 ":12"
Battens
5.92
Direct
Deck
6.80
4 ":12"
Battens
5.82
Direct
Deck
6.69
5":12"
Battens Direct
5.70
6.55
6 ":12'
Battens
5.56
Direct
Deck
6.39
Tile
Profile
Capri" The
Tile
Application
Battens
Direct Deck
Approved
Nails
1 nail
4.10
11.80
2 nails
7.10
21.90
Approved
Screws' . .
1 screw
25.80
2 screws
49.10
47.10
Approved
Field Clip With:
1 nail
2420
24.30
2 nails
34.80
35.50
Table 3: Attachment Resistance Expressed as a Moment - M (ft -tbf)
from PA 102 and PA 102(A) Testing'
14
Raul Rodriguez
ID =9416761432
Product Control No.: 95- 03316.04
0.29
X (ft
Direct Dec . • • lication
Battens Direct
Deck
5.41
7 ":12" or
greater
N/A
Approved
EEave Clip With:
1 nail
. 2.2.10
19.00
PAGE 2/6
2 nails
32.20
31.90
Approved screws are as noted in the Trade Names of Products Manufactured By Others' and 'Profile
Drawings' sections of this Approval. Clips on eave tile are not required for this attachment configuration
unless the Required Moment of Resistance exceeds the values noted above.
Table 3-A: Attachment Resistance Expressed as a Moment - M, (ft-Ibf)
from PA 102 Testing
Tile
Profile
Tile
Application
Two (2) 10d x 3" long nails'
Capri'" Tile
Direct Deck
New Construction
(min. 14 4 2 " plywood)
67.50
Direct Deck
Recover/Reroof
(min. "4 plywood)
43.00
Battens
New Construction
50.90
14AR -13 - 96 09.38.FROM.LIFETILE INC
DATA FOR ATTACHMENT
CALCULATIONS (CONTINUED)
T instal lation with a 4" headlap using two (2) Approved 10d x 3" long polymer mated,
corrosion resistant, ring shank naffs installed in manufactured holes located 2W from
the head of the tile. Clips on eave tile are not required for this attachment configuration
unless the Required Moment of Resistance exceeds the values noted above.
Table 4: Attachment Resistance Expressed as a M
from PA 101 Testing
Tile
Profile
Capri" Tile
Tile
Application
Mortar Set
Adhesive Set
15
Raul Rodriguez
ID =9416761432
Product Control No.: 95- 0315.04
oment - M (ft-ibf)
Attachment
Resistance
.20.60
86.611
PAGE 3/6
'MAR-10-.98 09.39 FRC1M . L I FET I LE INC 10.9416781432 PAGE 4/6
•
PROFILE DRAWINGS
CAPRI TILE
16
Raul Rodriguez
Product Control No.:_254: .04
'MAR - 10-96 09.39 FROM.LIFETILE INC
PROFILE DRAWINGS
(CONTINUED)
APPROVED SCREW FOR SCREW DATA IN TABLE 3
Raul Rodriguez
ID.9418781432
Product Control No.: 9546 1604
PAGE 5/6
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
.Application is hereby sonde for the approval of the detailed state:i.u•nr or roe 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 progreu of the work.
Date..—..---. Julie 2 0a.. _ 19.. 85
Owner's Name and Address Ms Kusek ._ No.... Street__ N. E. 96th Street
Registered Architect and /or Engineer
Name and address of licensed contractor Obeneur Roofing Co. 7357 N. W. Miami Ct. Miami, F].
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done 5
State work to be done and purpose of building (by
and for no other purpose.
Ncw Bui!ding Remodeling. Reroof. Addition Repairs No. of Stories
To be constructed of Kind of foundation flood Roof Covering. BU Roof
800.00 20.00
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.. 7357 N. W. Miami Ct. Miami, F1, 33150
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 %Vorkincn's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup element,
and has complied with the � pruvisions thereof, and will require similar compliance from all contractors or sub onntractors employed by him
in the work to be performs under this permit; and will post or cause to be posted 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 sybcontractors, on work to be pefformed under this
permit, as are licensed by Miami Shores Village.
Remuks.
STATE OF FLORIDA,
COUNTY OF DADE. ss'
Before me, the
peared
Disapproved
(Signed)
ersigned auty a not p I y duly authorized to administer oaths and take acknowledgments, personally ap-
Mk
Da e..
Building Inspector
Subdivision
N. E. 96th Street
floors) Reroof entire tialkway _ tlith ` Ara
and who, being by me first duly sworn, upon oath deposes and says that he
of the above described construction, that he has careful) read the foregoing
therein by him stated are true.
Wz 4 Perrnit No.. 240 Date... .... :.. ...�
Chair:nun
\fcrr,ber
Member _-- • •---- ..._..._. ....._....._
Council Approved Date
My
WI? ,.....,,,•,,.,,.,.<,..t.,•,t,
Commission
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
the Plannii.it Board.
A rc inspection fce of 31.00 will be charged when such re- inspection is made necessary by improper notice
materials anti /or workmanship.
to rite well known,
is the.
appleion, and that he did sign the same, and that all fads
,Sworn to a s nd Sub ribed fore
r y
Notary Public, State of Florida
NOTARY PLIC STATE OF FLORTA
ExpireAlY,SVMS3 C PIRESTEr I bU
PLANNING BOARD DATE
Member
Member
Member
Disapproved Date
has been obtained friars
for inspection or faulty
APPLICATION FOR BUILDING PER IT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
'g or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
hones Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
gulations 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 9 / 2 d 59
'9
Owner's Name and Address Mrs. K. 11ebig PL� °9098 No 5 Street No E. 96 St
o
Registered Architect and /or Engineer
Name and address of licensed contractor affen Indus tri e s Q Inc.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 5 ._.. N_a E. 96th Step Miami Shores 9 Fla.
State work to be done and purpose of building (by floors)
Re -Roof Front Porch Remove old roof- .. &.
.One__ Combo Sheet & 2 Layers PermacP1y et coat with a1uminationo Relolfir
Leak over Garage with 1/ f elto
and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 181 Amount of Permit $.._5P) 00 J (1.=341. Squares)
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.. Gif'f'en Industries., Ince
Remarks (Signed)
' a
Permit No Date e. `
Disapproved Date i
(Signed) L,a .r , / /`
Building Infector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor unclu 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 , �tor� pe under this
permit, as are licensed by Miami Shores Village. X11 ll i !, a
9
- 1/ 4 73
nter9 n.rease
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.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
applY
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ o PERMIT
PLUMBING ❑ N. 9234
ROOFING
Bl.
Subdi-
vision
Sq. Ft
Value of
Project $
DATE 195
Contractor's
License No.
Work to be performed under this Permit
Arat. of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
BY AUTHORITY
7
Date L�
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address.`) /i/ c Tax Folio
Owner / Lessee / Tenant i 1/ LY/t/ ( 7 6
Owner's Address 2 A/F Q
Contracting Co. GE Address,.
Qualifier SS# - - Phone
State # Municipal # / Competency # Ins.Co.
Architect /Engineer -(/ a- Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION )46,550/4 e 4/t1 / X5'4 /1.L ax2 2 /)A /i �� /i
E 1/ ,,l7 ,4l /, /I)77 ,,e )/ .? 5, /ILE /5 0/1.1/T - -.Q�) /A)7 - 0A, 2%
a / Al 7 "Y G7it ,E" a S WEE.Lk_ -- b0H i 7 .
Square Ft. / 0 a/ Estimated Cost(value) ✓ *360- o C)
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 •p g. Furthermore, I
authorize the above -named contractor to do the work stated
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * *
APPROVED:
Notary = �er-Ou Builder
My Co K 1dOTARY SEAL
� '' � � ( �`siiNDRA M MONTIEL
* COMMISSION NUMBER
'.ili :�• Q CC401261
*MY COMMISSION fcXP.
Or• FO AUG 17
NOTARY TOTAL DUE
Other
Electrical
Engineering
RADON C.C.F.
Fire
Buildin
Mechanical Plumbing,
Zoning
Master Permit # - ;44(_)
Phone 1/4\-q7:2 - 74
G?J/:
ature /f Contractor o•Owner- Builder
1. e:
**
•
Florida Roofing Services
14107 S. W. 66th Street Unit D4
Miami, FL 33183
November 02, 1997
Project: TILE UPLIFT TEST
Evelyn Campos
5 N. E. 96th Street
Miami Shores, FL:
Dear Sirs:
Protocol Engineering Corp.
2452 N. W. 78th Street
Miami Florida 33147
Lic.# EB0007474
Information provided by client:
Permit: 41925
Date Completion: October 27, 1997
Contractor: Ji Quintero Roofing
Protocol Engineering Corp. Project Number: PEC97 -0242
(Lab #96- 6826.02)
In accordance with your request and authorization, a representative of Protocol Engineering
Cotp., completed the Roof Tile Uplift test for the above referenced project. This testing was
performed in general accordance with Protocol PA 106 -94 -- Field static uplift test for mortar or
adhesive set tile systems and mechanically attached, rigid, discontinuous roof systems.
The total of the roof surface area was less than 5000 square feet, and the mean height of the roof
is less than 15 feet above ground surface. The type of tile used for this project was reported as
Capri Life Roof Tile. This tile was installed with a Polypro AH -160" Roof Tile Adhesive
At the time of this testing, a total of forty five (45) tests were conducted; ten (10) at the roof
perimeter,ten (10) at the roof corner and twenty five (25) in the roof field area. More than 5% of
the roof tile located in the field area and more than 10% of the roof tile at the roof perimeter were
physically examined.
Based on our test results, we conclude that the installation of the roof tile at the above referenced
project meets the test requirements outlined in the above mentioned protocol. Attached please
find a copy of our test report for your review.
PHONE 305-388-3599
FAX
•
•
•
Project Number: PEC97 -0242
Protocol Engineering Corp., 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,
Protocol Engineering Corp.
James Neal Hutchinson, P. E.
Chief Engineer
TILE UPLIFT TEST FOR:
Evelyn Campos
5 N. E. 96th Street
Miami Shores, FL
•
•
•
Project Number: PEC97 -0242
Protocol Engineering Corp., 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,
Protocol Engineering Corp.
James Neal Hutchinson, P. E.
Chief Engineer
TILE UPLIFT TEST FOR:
Evelyn Campos
5 N. E. 96th Street.
Miami Shores, FL
TestNumber
::::: r Li dilibl)
1!" Ite. .ult • 1
1C
35
Pass
2C
35
Pass
3C
35
Pass
4C
35
Pass
5C
35
Pass
6C
35
Pass
7C
35
Pass
8C
35
Pass
9C
35
Pass
10C
35
Pass
11P
35
Pass
12P
35
Pass
13P
35
Pass
14P
35
Pass
15P
35
Pass
16P
35
Pass
17P
35
Pass
18P
35
Pass
19P
35
Pass
20P
35
Pass
21F
35
Pass
22F
35
Pass
23F
35
Pass
24F
35
Pass
25F
35
Pass
26F
35
Pass
27F
35
Pass
28F
35
Pass
29F
35
Pass
30F
35
Pass
•
•
Protocol Engineering Corp.
TILE UPLIFT TEST RESULTS
Evelyn Campos
5 N. E. 96th Street
Miami Shores, Fl
41925
2452 N. W. 78th Street.Miami, FL Page 1
I 31F
35
Pass
32F
35
Pass
33F
35
Pass
34F
35
Pass
35F
35
Pass
36F
35
Pass
37F
35
Pass
38F
35
Pass
39F
35
Pass
40F
35
Pass
41F
35
Pass
42F
35
Pass
43F
35
Pass
44F
35
Pass
45F
35
Pass
•
•
•
Note: C = Corner
P = Perimeter
F = Field area
TEST RESULTS: PASSED
Comments:
See Drawing
Evelyn Campos
5 N. E. 96th Street
Miami Shores, Fl
41925
Protocol Engineering Corp. 2452 N. W. 78th Street, Miami, FL Page 2
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5 NE crbr
2
4
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