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ROOFING
Issue Date: 9/12/2002 Owner's Name: LORETTA KLEINMAN Permit Type: Imported Permit Work Classification: <NONE> Job Address: 655 97 Street NE Contractor(s) Phone QUALITY ROOFING CONTRACTOR 305 - 751 -0382 Primary Contractor Yes Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/11/2003 Perm Type: Building Alpha Four: Roofing Alpha Six: SINGLE FAM Pay Amount: 60.6 Bond Return : Alpha Two: Repair /Remodel SF Residential Alpha Five: Residential Pay Date: 9/17/2002 Pay Comments: 1 ck (3 permits) 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: EXPIRED Permit Number: BP2002 -1579 Phone: Total Square Feet: Total Valuation: Required Inspections 1132060171890 Lot: PB: 0 $ 525.00 Fees Due Amount Total: Invoice Number Total: Amt Due Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES . Date 08/28/2002 7obAddncss 655 N.E. 97 Street Legal Description OwnerfLessee /Ten= Dennis & Loretta Klienmen Owner$Address . 655 N.E. 97 Street Miami Shores, Fla. Contracting Co. Quality Roofing Contractor, Inc. Qualifier Carlos Arocho s tate * RC0058627 Municipal # competency # 000017889 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA WORK DESCRIPIZON Repair leak on tile roof on front flashing. Square Ft. Repair Estimated Cost (value) $525.00 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 perfnmad to wect.the standards cif all laves regulating consaviatinn in ibis yvcisdinttian. t understand. that scgarata porwita arc 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. Signature of owner and/or PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Notary as to Owner and/ My Commission Expir : :? .,, MARYLOU HERNANDEZ i 1 � MY COMMISSION # DD 060579 °" EXPIRES: October 10, 2005 Rf,40 Bonded Thru Notary Public Underwriters FEES: PERMIT 6 7 President_._ RADON APPROVED: Zoning Mechanical 20 C.C.F. Tax Folio Building 9/ Electrical Historically Designated: Yes No ,�. ���- q Master Permit ' r (305) 759 -7750 Phone Address 13800 N.W. 1st Ave. SS# Phone (305) 751 -0382 Notary as to Contrac My Commission Expires: Ins. Co. AVING FENCE SIGN e� (AL Signature of Contractor or Owner -B 'lder Date I r or Owner- Builder i % ,,,, MARYLOU HERNANDEZ MY COMMISSION # DD 060579 EXPIRES: Bonded Thru Notary y PPublic Underwriters • 0 NOTARY 0 _ , BOND TOTAL DUE b b . 0 J Z 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Master Permit No. Contractor's Name: Quality Roofing Contractor, Inc. 655 N.E. 97 Street Roof Category ❑ Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 d Other:, Repairs Low slope roof area (ft. n/a ❑ New Roof d Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance Section A (General Information) Process No. Roof Type Job Address: Are there Gas Vent Stacks located on the roof? ❑ Yes d No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Steep Sloped area (ft. n/a Section B (Roof Plan) Page 2 ❑ Mortar /Adhesive Set Tile Cl Wood Shingles /Shakes Total (ft. Repairs Page 1 of 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width a'): Corner Size (a' x a'): t t7 J http: / /www.co.miami- dade.fl.us/ bldg / roofing_ permiting /permit_app_section_a.HTML 9/10/2002 i Owner's Notification for Roofing Permits issued under the Florida Building Code MIAMI L1ADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section 1524 - High Velocity Hurricane Zones Required Owners Notification for Roofing Considerations 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern The minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. esthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zontirig md should be addressed as pact of the agreement between the owner and the contractor. �`X�2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Buildin ode. (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 neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. Exposed C,eftitings: Exposed, open, beam catititings are where the ur decstide of the roof deckutig can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident unttiti the origtinati coofticwg system tis removed. Pontidting contidtittions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be seduced. tit may be beneftictial to consider addtittionati ventting wnhick■ can result tin extegdting the setivtice titife of the roof. Own siAgent's Signature Date // L Contractor's Signature rage 1 01 1 http: / /www.co. miami - dade. fl. us / bldg / roofing_ permiting /owner notification.html 8/12/2002 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2002 -1579 Printed: 9/12/2002 Applicant: DENNIS KLEINMAN Owner: KLEINMAN DENNIS JOB ADDRESS: 655 NE 97 ST Contractor QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE Local Phone: 305 - 751 -0382 Parcel # 1132060171890 Fees: Description Amount FEE2002 -5103 Building Permit Application Fee $60.00 FEE2002 -5104 CCF $0.60 Total Fees: $60.60 Total Fees: $60.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 3/11/2003 Construction Value: Work: Repair leak on tile on front flashing If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. 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 orspecifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: Signed: Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 18 & W1/2 OF LOT 19 BLK 101 LOT SIZE (INSPECTOR) Building Permit BY: • $525.00 Page 1 of 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliahce with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village: In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes (Contractor or Builder) BY: QUALITY ROOFING CONT'RACTOR, INC. 13800 N.W. 1ST AVENUE MIAMI, FL 33168-4849 PAY TO THE ORDER OF ) 1-42./r144. i/ALl ACM R/T 063100277 pe,y): FOR 11 406300004?4 001.595300246v 1348 $ • OLLARS 8 17670 63-4/630 ft APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address To be constructed of C-i)12 o.60c (5-3 / (6 Registered Architect and/or Engineer n Name aqd address of licensed contractor �e H(7 o F/ �`1 C /410 bil/ev rjo c 7- /WA Location and legal escriptio Lot Block n of lot to be buil on: 1 / 9 /1 . Subdivision /� ` 9 0 MO /l j�o6 /7 /i�� D �j n � Street and Number where work is to be done 6 g - / Y ! 97 674-.7 / / ' / ') , - cc 0 1-es State work to be done and purpose of building (by floors), state exterior colors (submit samples) �/''/ 1 /) 2 F 7 24—)4 / ; //,, -fie C I./cit. � e -I Ti /- , . .�j xi ® . �. 9Y4LL__ � ,. c , � --e-. -- 6 �d v > /�� ..(J) y____2O-ez -'��� ,-` 0-"_'� . 6 ic( 2," L (. �' °44 L- /J / &n9 //7 tar�/} n of er purpose.✓J�� New Building / Date / - Er No. Street 9 7 7// "� = ; isg Addition Repairs No of Stories © A / C 5 r � Estimated Total cost of improvements S 9 0 Amount of Permit 5� 0 Kind of foundation Roof Covering Zone cubage required Plan Cubage Distance to next nearest building .J Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this per. 't; and will .ost 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 agree to e..: oy only s bcontractors .n work to be performed under this permit, as are licensed by Miami Shores Village. Remarks e. /3 a gr z) a1 e` (Signed) STATE OF Y OF DADE. } ss• pf (9 7 C‘ Ca � D / COUNTY Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally a 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. X70 70g Date Read, Sworn to and Subscribed before me. Permit No. Disapproved Date (Signed) � Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of S25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Notary Public, State of Florida e /3.2-8 . . Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No - 13RD4 — \473 1 PERMIT APPLICATION I'I M aster Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical CRoofin Owner's Name (Fee Simple Titleholder) Owner's Address (9 t 10 CI 1 • City Wtia(Y11 S)(le'd % c' State Zip a e Tenant/Lessee Name Phone # Job Address (where the work is being done) (0S lu i- q S* City Miami Shores Village is Building Historically Designated YES Contractor's Company 0 ame Contractor's Address t 0 o City '" ` Ck. Qualifier alt. State Certificate or Registration No. $ Value of Work For this Permit Type of Work: Describe Work: 0 41157 Total Fee Now Due $ (Continued on opposite side) I )4,0p0 ❑Addition ❑Alteration (AJk, co Nere- Miami Shores Village • e Phone # 305 —15 County Miami -Dade NO X Zip 3313" Phone # OE 75 - I K aiA/60,(42-tate Zip 33 Certificate of Competency No. q3 g S ooy 36 Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: 3,1 SO \ ❑New Repair/Replace ❑ Demolition off e � - �- f e ro ° -epl ice to h 4 tt et 11 h c`z e5 the Same (0/ap- e iCe .sy, rn. * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee S .00 Permit Fee $ 3� 5 CCF $ CO /CC Notary $ Training/Education Fee $ Scanning $ /3 Radon S Zoning Code Enforcement $ - Structural Plan Review. $ Technology Fee $ �• � Bond $ "� Bonding Company's Name (if applicable) ' ►' - B ♦ 11 +► C A rst P on whose property is subject to attachment. Also, a certified copy of recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatu Print: As identif ation and who did take an oath. My Commission Expires: Chc 05/13/03 APPLICATION APPROVED BY: Signature CA z Z a \AockAA2 Owner or Agent Q The foregoing instrument was acknowledged before me this �j The foregoing instrument was ac ledged before me this I, , 20 as , by wA `�•t Y1 ANk. Y\ , day of r1 OU , 2€ i4 , by r" �U I (CC(LQ 1,e t who is ► • .nail kno . 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I:C:C:uuuuuu:CCCC Uuuuu.uumu.u..u..uC: r: l'.' `CECCCCCC:C i1 • i y • Florida Bulldlin$ Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name t Pc0,0 1-<aA,Liatek �� q- Job Address � ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof ROOF CATEGORY ❑ Mechanically Fastened Tile {Mortar /Adhesive Set Tile ❑ Metal PaneUShingles ❑ Wood Shingles/ aces ❑ ARE THERE Prescriptive BUR..RAS 150 GAS VENT STAc�K ? • ROOF TYPE YES NO 1E3 101'1(1-Roofing TYPE- NATURAL ❑ LPGX ❑ ❑ Recovering ❑ Repair ❑ Maintenance . ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 3 50 3850 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of : levated pressure zones and location of parapets. Roof Slope: 3 :12 ` Rid ge Ventil i on? fV M inimum Design Wind p • es s�'Qs,:if'gpp t f c P1: P2: b1e`�Prorn RAS 127 maximum r Design Pr 2 ' ���� 6 P or Calculation s). From the �ps� assure 3 lam `' A S• eclfic s stern : I n : . slop k "'ane 2 ne o __i d 20D2 n D St • ... er�,F Stee Slo. ed Roof stem De�Cri Deck T ype: • tio Ype Underlayment: Jo j'ft r in sulation : Fire Ba rrier: Fastener Type & Sp acing; \Adhasi•1 N.. Ype Cap Sheet: oof Coverin Type g SizeD p 9 e: Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for At with the values from M r. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Meth 1 (P 17 . t _ ( :JILLLZ a (P3: nt Base)" Tile Calc Mg 6 I(l = —Mg : = Mg: =11I, 16 . Per RAS 127" NOA NOA Mt I t NOA 11� l l r7 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA 117 M Required Moment Resistance* 15' 20' 25° 30' 40' Mean Roof Height — Roof Slope 2:2 3:12 4: 5:12 8:12 34.4 322 30:4 284 284 38.8 344 322 30.1 38.2 38.0 33.8 31.8 294 • 39.7 374 35.1 32.8 422 39.8 37.3 34.9 28.0 30.5 28 324 30. *Mast be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F,. If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (pr: z ➢• = z w: ) —W: z cos 9: = F NOA F ( z 1• _ : w: = ) — W z cos 8: = F NOA F (P3 : 3;1: = z w: _ , — W: z cos 0: = Fra° NOA F' Where to Obtain Information Description Design Pressure Mean Roof Height Roof Slope Aerodynamic Multiplier Restoring Moment doe to Gravity Symbol Pl orP2 or P3 Ii 9 M. Attachment Resistance Required Moment Resistance Minimum Attachment Residence Required Mr F Rem escalated A eTileWe W NOA F T e D ms NOA w- width All akulatioas must be submitted to the Building Official at the time of permit application. Where to find RAS 127 Table 1 or by an engineering analysis prepared by PE baeedan ASS 7 Job Site Job Site NOA NOA NOA Calculated NOA SECTION 1524 HIGH VELOCITY HURRICANE ZONES O REQUII ED OWNERS NOTIFICATION FOR ROOFING 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. A. 1. Aesthetics - Workmanship: The Workmanship provisions of Chapter 15 (High Velocity Hurricane. Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 6 - 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance roof with deck e is current ually concealed prior Chapter o (High Velocity the existing roof system). Hurricane Zones) of the Florida Building Code. (The ro CJ's 3. Common Roofs: Common roofs are those which have no visible between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roods, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. Cq ' 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding'conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. ( 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. " 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's/Agent's Signature cW.comascs mdSertogetelistaeld SaategitTampaeopsawry Wawa ries1CsatounvicusArrnucrion lsulll+c // / 03 / 6 - 9 - Date Contractor's Signature lot* M IA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 N V 20 Street Boca Raton, FL 33431 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375.2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA 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 NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. • The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance: For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Monier Lifetile l = 15" PA 112 Atlantis Shake and w = 10 3 / 8 " Slate Tile 1 'A" thick Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofing Flat Profile Roofing Tiles Concrete 1= varies w = varies varying thickness Test Identifier 7161 -03 Appendix III 94 -060A 94 -084 25-7094-2 25- 7094 -8 25- 7094 -5 PA 112 Product Description Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Date Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 2 of 6 Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Test Identifier 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix IT Letter Dated Aug. 1, 1994 P0631 -01 PO402 Project No. 307025 • Test #MDC -77 224 -47099 520109 -1 520111 -4 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations Test Name/Report Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier Moment of Gravity 25 -7094 25 -7496 25 -7584 25- 7804b -8 25-7804-4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Date Feb. 1995 Feb. 1995 March, 1995 March, 1995 • Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 Sept. 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.25 • 0.865 Table 3: Restoring Moments due to Gravity- M. (ft-lbf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater DirectDeck Monier Lifetile Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck 6.0 5.9 5.8 5.6 5.5 Table 2: Aerodynamic Multipliers - X (ft Tile Profile ). (ft Direct Deck Application Monier Lifetile Atlantis Shake & Slate Tile 0.24 LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1211.08 Expiration Date: 12 /16/07 Approva_ Tate: 0_ /07 /C3 Page 4 of 6 Table 4: Attachment Resistance Expressed as a Moment - M (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Atlantis Shake & Slate Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 - 0:' S'o' c• Scrcw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 50.3 . 65:5 48.3 1 Installation with a 4' tile headlap and fasterners are located a min. of 2A from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile PolyProN 118.9 PolyPro 40.4' 4 Large paddy placement of 45 grams of PolyProTM. 5 Medium paddy placement of 24 grams of PolyProTM. Table 5B; Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Mortar Set" 39.0 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 5 of 6 S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami - Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. WATERLOCIC • OVERLAY PROFILE DRAWINGS : /2- c' MONIER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 6 of 6 R -1 -2004 16:24 FROM -ABC SUPPLY 048 ((7/21 110N 13: 08 FAX 954 578 1042 MIAM Al>E 'BO ON NOT1CC A PTA !; I'olyfo:tm Products, Inc. 2400 Spring- Stucbner Round Spring ,TX 77383 -1132 The expense of such testing will be incurred by the manufacturer, ACCt?t►TANCl NO.: nl- n521.02 EXPIRES: 0S /10/2006 APPROVFD: 06/14/2001 561 585 4657 7-779 P.001 /008 F -260 POLYFOAI8 PRODUCTS, INC. 0002 MIAMI•DADE COUNTY, FLORIDA METRO -BADE FLAGLER BUILDING OUILDINC CODE COMPLIANCE OFFICE Mt?TRo.oArn r•I.AGLER BUII,.DINCI 140 wtisF- FLAGLEtt STREET, SUITE 1603 MIAMI, FLORIDA 33130.1363 (305) )73.2901 FAN (305) 315-200N CO r lt.-tt" EoR I.ICKNNIr SECTION (3051371 - 2137 FAX (301)373.2$311 CO,YrltACrOII ENFnRGI:attwr IIIVI5toN (30)37S-2946 FAX (3u3) 373aqua PRODUCE CONTROL DIVISION (303) )73.2002 FAX (305) 37240))9 Your application for Notice ol (NOA) of: Two Component Polyurcthene Foam Adhesive under Chapter 8 ofthe Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction. and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for'quality control testing. If this product or material tails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Codc. 7 Raul Rodriguez Chief Product Control Division 111. S TILE COVRRSIIFVT S' 131 • 1. PACCS FOR SPF. 1 ) NERA CONDITIONS RUI1. CT AINC. CODE & PRODU RF .V(RW COMM1 V' This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. francisco J. Quintana. R.A. Director Miami -Dade County Building Code Compliance Office 1 t4045000I \pc2000 \ltompiatea4muco aceopanca Co.er pato.dot Internet mo post mnstcr(abulldln avid continc.com' • Ilolttcpurt: http :/Avww.bulldin((codoontIne.com • :-1I -2004 16:24 FROM -ABC SUPPLY 048 0T/23/01 '610N 13:08 FAX 954 578 10.2 POLYFOAM PRODUCTS. INC. Pnlvfonm Products I nc. ACCEPTANCE No.: 01- 0521,,Q2 ROOFING. ASSEMBLY APPROVAL. Cutcrnrv: Roofing Approval Datc: 14,21101 Sub-Category: Rol" file Adhesive Materials: Polyurethane 1. SCOPE This approves I'ulypru© A11160 as manufactured by Poly Nam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved tint, low, and high profile roof tiles system using PolyproOD AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty system: 2. PRODUCT DESCRIPTION Manufactured by Applicant Polypro® AH 1 60 FoamprooD RTF1000 ProPackli 30 S. 100 Dimensions N/A N/A N/A 2.1 Cnntponents or products manufactured by others: Any Miami - Dade County Product Control Accepted Roof file Assembly having a currant NOA which list uplift resistance values with the use of Polypro Al 1160 roof tile adhesive. 2.2 Typical Physical Properties: I'rnnc�ty, Tin Density ASTM D 1622 Compressive ASTNI f) 1621 Strength Tensile Strength ASTM D 16 Water Absorption ASTM D 2127 Moisture Vapor ASTM t 96 Transmission Dimensional ASTM 1) 2126 Stability 561 585 465T T P.002/008 F - 260 Test SpeciflentInna PA 101 Rests 1.6 IbsJlt' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt 3.1 Perm / Inch Expiration Dote: May 11 001 +0,07% Volume Change n -d0 F.. 2 weeks ►-6.0 "/u Volume Clan •u Itunu idiiy, 2 %veck: Product Iltistingut TWO component • polyurethane Dispensing Equipment I)ispcnsing Equipment Frank 2uloabn. I&RC Product Control Examiner 0003 -11 -2004 16:25 FROM-ABC SUPPLY 048 0 ?!23/01 .HON 13:09 FAX 934 578 1042 561 585 465T T -TT9 P 003/008 F-260 POLITOAM PRODUCTS, INC. IpJUu4 Polvfoam Products, Tnc. ACCEPTANCE No.: 01- 0$21.0Z Note: The physical properties listed above are presented us typical average values as determined by necepted ASTM ter methods mid are sub ject to normal manufnuurinc ynrimtion. 3. LIMITATIONS 3.1 fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® A1-1160 shall solely be used with nat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH 160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH 160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. M S 4. INSTALLATION! 4. I Polypro® AH l 60 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro'' "" " 4.2 Polypro® AH 160 shall be applied in complianc' section and the corresponding Placement Dcta' assembly's adhesive attachment with the use sullicient attachment resistance, expressed the uplift resistance determined in cotnpl: Application Standards RAS 127. The tile assembly NOA 4.3 Polypro® A1-1160 roof tile adhesiv accordance with Roofing Applic Polypro® AH 160 Operating l• 4,4 Installation must be by a Far by Polyfoam Products, lnr applicators to the author* 4.5 Calibration of the For any adhesive. The rr be maintained bets deliver 0.0175 to shall be approved. 4.6 Polypro® IGO V dispensing equipm 4.7 Polypro® A1.1160 Table 1: Atli esive Placement For Each Generic Tile Profile Tilel'rofile Placement Detail Sin& Paddy Weight Min. (grunts) Two Paddy Weight per paddy Min. rams Flat. Low, Hi. h Isrotiles # I 35 N/A High Profile (2 Piece Barrcl) #1 17 /side on cap and 34 /pan N/A Flat, Low. High Profiles 1/2 24 _ N/A Flat, Low. Hi h Profiles ti3 8 11 -2084 16:25 FROM-ABC SUPPLY 048 at /23/O1. UON 13:09 FAX 954 578 1042 PAlyfonm Products Inc. 4 5b1 5d5 401 I-((y Y.UU4 /UUd F - zbU ruLlt•uAm rauuu't.. ,A•.. ACCEPTANCE No.: 01 0521.02 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH I G0 has bccn dispensed. 4.9 Polypro® AH 1 G0 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein, 5. LABELING All Polypro® AI containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. Crank Zuloaga, RRC Product Control Examiner 11011011/.10 -11 -20n4 16:25 cR0M —ABC SUPPLY 048 0'/23/01 HON 13:09 FA1 954 378 1042. ruLlrUAn r(UUu1.1,lnL. Poiv(nnt Produjs, Inc. mail Rllo Yob p139114 co 'NM Ua0114111NAI Cenewill Ean Qum Pisa) llama rh1) l In. P mop rn..Wh m) Pads (hi Oo ral 'Abet) h&l wwiN pllllic :cmlal Wltall>1w.w 1:t14N In.CMi (I•1 mine oar Reap mInesnI l p'te. / l► • . haft eimphau .51* f O/nua 1k) HILL likeekela a.. iu,wt OAp 00 Nap 1ltoull pl/plI ullwll Fan Can' 10tn. kid 10M1 oat! up I Peak sppNl41p. v, Inc •u new ADHESIVE PLACEMENT DETAIL I SINGLE PATTY 5 I0 40.1►. ...1: h.p !011111 1apl.s k .p rtn Impalas 1) Meet vwigh 111111.. V ltllkte 11 is la Will 1 .11111 IA t w4IE1 MIA IM es OA Thai Ing■di Ow Ilk is I In. hal% 4.4a1.4 4064 el 44.0114 Z Turn us s u .M. Sm. ANN IecpM la IA ` / iel 0(1 ��i al s I ma ,...-v-- ‘00-)e\ - a... _-. ,.. -- WMt two Ills. 5 MVW. Enwnw -d prll aid mu r11 In MII Al WI Ur* Ern 0~WI WNphUI II41 r leaftei meal UmIvtarMAI 5 II 561 585 465T T —T79 P 005/008 F-260 ACCEPTANCE No.: 0I- 0521.02 apiaut Ise) tar ' ~° IIHppfls IkJlpnl Naltlun O-Reea Peraw Witt .. ow 111% 3141 Frank Zuloaba,, RRC Product Control Examiner pap VVU 1 -2004 16:25 FROM —ABC SUPPLY 048 71.23/01 MON. 1 :10 FAX 954 578 1042 sulyfuiim Products, Inc. 701 707 4o71 POLYFOAM PRODUCTS. INC. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY M/U TDfougl plastic ccmcsl $MI UVoupn puluc c mInl UId11t1�RU *1 1 6 1 - 1 1 4 1 • 1.160/0 V V V I • V V 461 WI ACCEPTANCE No.: 01- 0,i1.0Z Drank Zuloaga, RAC Product Control Examiner I1 -20n4 16:25 GR0M -A8C SUPPLY 048 1/2,3/01 .H0N 17:10 FAX 954 578 1042 Polvfonni Products Inc. 561 585 4657 7 -779 P.007 /008 F-260 POLYFOAH PRODUCTS. INC. ACCEPTANCE No. : 01- 052102, ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nag lhrevgh plea& cement Single biddy on lop GI tile Single ;eddy under Ills Neil Inrtvgn plastic cemcnI Single paddy an top of the Ear, Coupe Los court Single pa •dy under the peeh (between tile) Pilot )under tile) 7 Nail through plastic cement Und,drytnenl 1 /31n. a S ln. Single 4In. ■ giddy on under• Ieymoni Single paddy on top of Uio Ern Owns Eire Clem 7 �► s i In medium Wee paddy ears courts onl fade f rank Zulotga, RJZC Product Control Examiner ICJ UV Single paddy under tile Single paddy between ID. 21n. e T In, meatus she paddy save tam only Feeds Weephole Live gloom Ode edge 1172094 16:22 FROM-ABC SUPPLY 048 /23/01 MOir' 13: 1U t•'Ai a54 arts 1U4 Polyfot Produc f nc. rULir 11 P AUL U".id, ••■,• • 9. This Notice of Acceptance consists of pages 1 through 8. 561 585 4657 END OF TIIUS ACCErT,tNCE T -TT9 P 008/008 F-260 ACCEPTANCE No.: 01- 0521.02 I. Renewal of this Acceptance (approval) shall be considered alter a renewal application has been filed and the original submitted documents, including test- supporting data, engineering documents, are no older than tight (tt) years. I�SIGIIIL � � 1 �I I pp Ir ' ilE� p � I � . I III I L„w I� i • or specifically stated in the specific conditions of this Accepianc 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 change. b. The product is no longer the sane product (identical) as the one originally approved, C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing tiee 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 performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. f,. The Notice of Acceptance number 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 time. The engineer need not reseal the copies. H. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. Prank Zuloaga. ARRC Product Control Examiner Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -1473 Printed: 11 /18/2004 Applicant: DENNIS Owner: KLEINMAN JOB ADDRESS: 655 NE 97 Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060171890 Signed: (INSPECTOR) Building Permit KLEINMAN DENNIS ST Contractor's Address: P.O. BOX 531051 Page 1 of 1 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 18 & W1/2 OF LOT 19 BLK 101 LOT SIZE Fees: FEE2004 -11526 FEE2004 -11527 FEE2004 -11528 FEE2004 -11529 FEE2004 -11530 FEE2004 -11531 Description Building Fee CCF Notary Fee Training and Education Fee Scanning Fee Technology Fee Total Fees: Amount $325.00 $8.40 $5.00 $2.80 $15.00 $8.13 $364.33 Total Fees: $3_6433 Total Receipts: $I.00 314- Permit Status: APPROVED Permit Expiration: 5/9/2005 Construction Value: $14,000.00 Work: RE -ROOF MONIER TILE COLOR THRU .0 18 MOOD 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 monformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work 'done by either myself, my agent, servants or'employes. Signed: (Contractor or Builder) BY: