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595 NE 96 St (9)Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor /000Fli Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors) Estimated Total cost of improvements P $ Zone cubage required A P P U D CAT M N FOR ERA LD U N S P E R RAJ 9T ,5q Sub /67f, 00 Remarks Chairman Member Member Council Approved Date WAM@ SHORES W BLLAGE BUILDING INSPECTION DEPARTMENT (� Date f! L __....... �/d/l/ se/iv, No. .. 7? `S Street_ Cott/NS Ave . fie -- .30/ Mil time( ivision NE ?1 S T New ieooF w/Ilrt s/}ingci TI tF and for no other purpose. Addition Repairs No. of Stories / New Building V Remodeling To be constructed of Kind of foundation Roof Coverin ht/ tiGLE T(LF L. D 0 Amount of Permit $ 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor on wor to be per ed u der this permit, as are licensed by Miami Shores Village. (Signed). r STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - - - - -- to me well known, and who, being by 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-4 �-- ` Date — 7._ 2d Disapproved Date. / (Signed) __ ( CR— G� 4i� (,a 'A Building In ector Read, Sworn to and Subscribed before me. PLANNING BOARD DATE o1 Notary Public, State of Florida My Commission Expires Member Member Member 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 rc- 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. Date Job Address Tax Folio PERMIT APPLICATION IZ'O.R MIAMI SHORES VILLAGE a 2 ®6c-g• hi, pick at ? (Pa ©- —0 ra Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 69 c 0 Owners Address 2 (c_ ✓/�`" /� I Contracting Co. ge-- t 42 o ' 4 ✓ -- /,t) 4- 2 Qualifier --%/2PS State # ' y BS 002 vi Municipal # Competency # Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING WORK DESCRIPTION ELECTRICAL PLUMBING MECHANICALROOFING/ PAVING FENCE SIGN Pe Q. Square Ft. 9 16-17 Estimated Cost (value) `O 2t 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. or ondo Presid Signa W oo. of s ....� , 4/, I leovr No . to Owner : or Condo President My commission • /• es: FEES: PERMIT APPROVED: Zoning Mechanical 1 Y o lY , , , yp,,, DAYSI RODRIGUEZ ,[ %� MY COMMISSION # CC 859170 = ;,. 1 EXPIRES: Judy 29, 2003 7 8 " F � DoNled Thw Notary Pubic Undroirdnrs RADON Building Plumbing C.C.F. b Q NOTARY Master Permit # p ' -' - 9.(2 Phone Address o >13C° w SO SS # 4-6 - f7 - Va Phone C3OS ?g(a- — 79 6 I Signature of Co - 4■7:4 7 •4 .4 °L111 2!_411111 Notary . ' o Contractor o My Co ssion Expir Electrical Ins. Co. o ° one in compliance wi or Owner- Builder 1 applicable laws regulating DAYSI RODRIGUEZ 1`.' CO'• MISSION ,1 CC 959170 CXPIRES: July 29, 2003 uondec !hruN' ',ryP,l+IcUndlrvoiterS -- BONDS TOTAL DUES b I Structural Engineer �e�O .T4 0 A/6 2.14/ - 0 0 —27 9i PREasoN PAY TO THE ORDER OF Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/19/02 Applicant: JORGE Owner: BIBILONIA JOB ADDRESS: 595 NE 96 Contractor PRECISION ROOFING CORP Local Phone: 305 - 556 - 0264 Parcel # 1132060171600 Permit Status: Approved Permit Expiration: 10/12/02 Precision Roofing, Corp. 2440 W 80th Street Bay # 5 Hialeah, FL 33016 (305) 822 -9969 0 f �/ a.rvl t' 5 , r Permit Number: BIBILONIA JORGE ST Parma PZmoa -76s Contractor's Address: 655 W 77 ST Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 22 Fees: FEE2002 -2212 FEE2002 -2213 FEE2002 -2214 Description Building Fee CCF Buildier's Bond Total Fees: Amount $262.50 $6.60 $300.00 $569.10 Total Fees: $569.10 Total Receipts: $0.00 Construction Value: $10.200.00 THIS DOCUMENT HAS A COLORED BACKGROUND AND MICROPRINTING. THE REVERSE SIDE INCLUDES AN ARTIFICIAL WATERMARK. Work: REROOF COI t7RTNp1 I 1 r ^' ' —" -- - %\ 63-1182 / 670 12925 d2 DOLLARS S MEMO �v`3` 1 nni ' /3ii ,� {LVC� 9S yvE9 ..... / 4a . ...._.._.___ "jr" Aa clr en67otLa251: 305L090406 Page 1 of 1 e- inspection BLK 99 LOT SIZE 50.000 X 3tion herefor in strict compliance with all rations that may have been submitted to Dr if the plans are changed without nsibility for a thorough knowledge of the at he assumes responsibility for work done pertaining thereto and in strict conformity •ponisibility for all work done by either NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION a•airtIVII PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713. Florida Statutes. the following information is provided in this Notice of Commencement. 1. Legal description 61 property and street address: 595 NE 96 ST, MIAMI SHORES, FL ti 2. Description of improvement: RE -ROOF 3. Owner(s) name and address: Interest in property: N/A Name and address of fee simple titleholder: N/A JORGE BIBILONIA 595 NE 96 ST, MIAMI SHORES, FL 4. Contractors name and address: PRECISION ROOFING, CORP. 2440 W 80TH STREET, BAY 5, HIALEAH, FL 3301 • f 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 6. Lender's name and address: N/A 7. Persons within the State of Florida designated by Owner upon whom notices ohet by Section 713.13(1)(a)7., Florida Statutes, PRECISION ROOFING, CORP. 2440 W 80TH STREET, BAY 5, HIALEAH, FL 33016 Name and address: 8. In addition to•hlmself, 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: PRECISION ROOFING, CORP. 2440 W 80TH STREET, BAY 5, HIALEAH, FL 33016 9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a different date is specified) /� 1 A — Sign i Print • er's Name = IBILONIA Prepared by JULIO MARTINEZ Swom to and subscrib = • • - or = e this fi day of ' 200',.. \ .At / m ,Q Notary Public Print Notary's N l• IR COMMISSION f CC 859170 . C('). I ilI a 028224601 2002 APR 11 13:44 �1 ';TATS OF FLORIDA, COUNTY OF DADE I HEREBY CF RTIFY that this Is a true g copypt the original bred In this office on 11 d " 1 day of Ao 20 0 V.' '1'--`_' i 'r;y narlJ aria UftIc: it . Il*,I '•I r . .'r AtiBe r • ^ .nunt'Cnurt wmenis may be served as pro i " Address: 2440 W 80TH ST, BAY 5 HIALEAH, FL 33016 1 ' •�` Master Permit No. Process No. Contractor's Name Ga E'c45 Job Address cf J IV C 9 G ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof IA. Re- Roofing ❑ Recovering ❑ Repair D Maintenance ROOF SYSTEM INFORMATION ( ✓, e- - Low Slope Roof Area (SF) Stee; Sloped Roof Area (SF) Total (SF) Section B (Roof Plan), Sketch Roof Plan: Illustrate all k eels and sections, roof drains, scuppers, overflow scuppers and overflow drains. I aclude dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. • r Florida Bu lding Code Edition 2002 High Velocity Hurricarie Zone 'Uniform Permit Application Form. Section A (Genera I Information) ROOF CATEGORY ❑ Mechanically Fastened Tile Z Mort r /Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF ofr TYPE 1_ 34 NAM. 1s..�a • 9E ".�feial. las}i rig iat_aII. t�i. it. Plane 4 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: "/12" Roof Mean Height: I Ridge Ventilation: ! N /A Method of Tile Attachment: [Adhesive, Large Paddy Polyfoarrt Polypro Alternate Tile Attachment Method: Clip Spacing for Metal Roof Panels Field: Perimeters:. Corners:. Perimeter Width: I' 4 • Section D (Steep Sloped Roof System) Sloped System Description Page 4 Deck Type: Altemate Deck Type: 5/8" Plywood Underlayment type: [ASTM D 226 Type 11 #30 Insulation /Fire Barrier Board. IN /A Optional Nailable Substrate: IN /A Fasteners: 1 1 1/4" Corrotin Resistant Cap Sheet Type /Adhesive Type: 1ASTM D 249 # 90 Roof Covering: Villa , Roll & Capri Tile Roof. Covering. Attachment Method: http : / /www.co.miami- dade.fl.us/bldg/ roofing _permiting /section_d_3.html 'Adhesive Polyfoam Drip Edge Size &Gauge:131i face 26 ga. Drip Edge Material Type: IGalvinized Metal 1 Drip Edge Fastener Type: 13"x3" D/E 26 ga Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 3/28/2002 Roof System Manufacturer: Monier Lifetile LLC Notice of Acceptance Number: j99 -1012.02 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): -Pmax 1 17.57 Pmax 2: [22.•8. Pmax 3: 22.$ Maximum Design Wind Pressures, (From the PCA Specific system): 1 86.61 4 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: "/12" Roof Mean Height: I Ridge Ventilation: ! N /A Method of Tile Attachment: [Adhesive, Large Paddy Polyfoarrt Polypro Alternate Tile Attachment Method: Clip Spacing for Metal Roof Panels Field: Perimeters:. Corners:. Perimeter Width: I' 4 • Section D (Steep Sloped Roof System) Sloped System Description Page 4 Deck Type: Altemate Deck Type: 5/8" Plywood Underlayment type: [ASTM D 226 Type 11 #30 Insulation /Fire Barrier Board. IN /A Optional Nailable Substrate: IN /A Fasteners: 1 1 1/4" Corrotin Resistant Cap Sheet Type /Adhesive Type: 1ASTM D 249 # 90 Roof Covering: Villa , Roll & Capri Tile Roof. Covering. Attachment Method: http : / /www.co.miami- dade.fl.us/bldg/ roofing _permiting /section_d_3.html 'Adhesive Polyfoam Drip Edge Size &Gauge:131i face 26 ga. Drip Edge Material Type: IGalvinized Metal 1 Drip Edge Fastener Type: 13"x3" D/E 26 ga Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 3/28/2002 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section E (Tile Calculations) For Moment based tile systems, chose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1: 47.6 � _ Mg: = Mrl: 17.57 NOA Mf: 8.61 6 xA 0.289 6.18 P 2: 100.6 x A10.289 _ Mg 6.18 = Mr1: 122.89 NOA Mf: 186.61 P 3: ITET x A 07289 _ M 1678- Mr1: 22.89 NOA Mf: 8671 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: i Mr Required Moment Resistance* NOA Mr: Mean Roof Height in Feet 15' 20' 25' 30' 40' Roof Slope J. 1 J. 1 2:12 301 .33.4 35.7 37.7 40.7 3:12 28.7 31.3 33.4 35.2 38.1 4:12 26.6 28.9 30.9 32.6 35.2 5:12 24.5 26.7 28.5 30.0 32.5 6:12 22.5 24.5 26.2 27.6 - 29.8 7:12 `20.8 22.6. 25.4 25.4 27.5 *This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 Page 1 of 1 APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F', it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the minimum requirements and standards of the indus- try 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. Aestheties- Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof- ing system meets the wind resistance and water intrusion pedomtance 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. Renalling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system.) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town- houses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupar:ts of adjacent units of roofing work to be performed. f 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. rooting nail penetrations of the under- side of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. S. Pending Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in Iow -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 roof- ing 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. Perimeterhdge 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 *Chapter 23 of the SFBC. � Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur- al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider venting which can result in extending the service life for the roof. The owner may contact the Miami -Dade County Consumer Services Department for f nfirma n the above. swim: /AGE 2 rm OcD PRODUCT CONTROL NOTICE OFLACCEPTANCE Monier Lifctilc LLC 133 NW 2C St. Boca Raton Your application for Product Approval of: " (Villa &Rol, C4'74 ti L5 - 1.. Profile Til.! under S of the Code of Mia:ru Co...mty oovernina Constructior. and completely described her:. has been recorr fcr 2c:e:.:ar..: b; the Count:: Building Coe Compliance Office under the co7 herein. This approva shall no: be valid after the expi:atic)n z stated 7 product or material a: anytime from a jobsice c: r: For c:ntrol If this produc or material fails to perform in th:e 2pp.:oved man:. ECCO vckZ, the use of sucl product or material immeciia:&.y. 'BCCO reserves the is determined B2C0 C this product cr materia: fails zo meet the req.::re=ls o.;:he Code. The expense of such testinc will be incurred by the manufacture:. Acceptance No.:99-1012.02 (Revises No.: 97-1124.16) Expi rcf:1216 002 Approved: I/L - 3)11999 FL 33431 1 of 9 COND iT IONS BUILDING CODE & 'PRODUCT REVIEW CO317'ITTEH. - Cf'%IFL!.; •=i7 077:= ••• 3 SL'ITE 22:7 : • :f . .:7•2 , .'66 FAN 375.2c.j EA.\ ■:;) 7/ THIS IS THE CnVERSHEET, ADDITIONAL PACE... FOR :.•IFIC AND G E.Tc R_A This applicatic n Product Approva has beeh rL•vic...ved1 the 3CC and Lhe En: Cc and Product Cornmittv-o to be 1. LION ER LIFETELE LLC ACCEPTANCE No. : 2 Th Til Ac Mi SF co cal PR C tegor Prepared Rood-_ S b Catezory: Low Fcofile Tile ianufa tured by 'rest Product Ann leant Dimensions Snc_ifications Description Monier Li etile LLC Villa R.II Monier Li. iti!e LLC Capri Tile Trim Pieces NOTICE OF .ACCEPT.ANdE: STAND RD CONDITIONS OPE s revises a rooting system using !onie- Lifeti:_ Vila, Roll, and Capri Cc -cret° Roof , as manufactured Monier Life:i:'e LLC described in Section 2 of this No : :e of eptar,ce, designed to comply wi :.. the South F: rid Building Code, 199- E Building �dition for i -Dade County. For the locatic::= where the -essure requirements. as de:e,-mir. by C Chaoter 23, do not exceed :-_ design pressure values obtain by cat :..la:;; s in pliar,ce \vith R_-.S 127 using the . - .•aloes listed in section 4 herein. The _ttac= .-;ent ulatior.s shall be done as a moment based system_ DUCT DESCRIPTION L = 17" V."= 12 thick i = varies �• _ varies var, in_ thickness APPROVED : Deccmt ::— 30. 1999 E: \ ?IRES :December 16. :002 112 Low profile, interlockin„ itiai cres;ur_ ez:. -ded concrete roof ti!e enuic :ed \. it.. one -ail hole and double roil ribs. For dire:: deck or battened nail-on, rr crtar cr adhesive set applications. 112 Low x -1e, in :erlcckin: hi_h cr_ ext tied concrete roof tilt rluipa_:1 wit`. one -ail `:•!e and double roll ribs. =or dire_: deck or battened nail -on, rrc.,ar c- adi _sivve set applications. ! 1- Acssor- trim. _oncrcte rocs Diet_: For se a: :_, ra. :es, r. es and valley i.!anufactured e:::i ti!C •10:\ ER LIFETILE LLC Tile Nails Tile Screw 1 Components or products manufactured others uct Roof Tile N o� tar (` Tile i ite •') RoorTilc ,`I.rrar ( `Quikrctc0 Roof I ilc MIcrtar g1140 NOTICE OF ACCEPTAN•E: STANDARD CONDITIONS • Test Product Dimensions 5recific:tticns Dcscrintion :%i.inuf:tcturcr Raineroo 11 30' x 76 rill PA 104 Sin_!e olv, nail -on Fro:__. C •rap, 36" x 75' roll u^ �rla:ment ��'ith Inc. or self- adherinz top (w,.., cu.,_-: ,:1: 60' x 75' roll ?,. Ice and \\i ter 36' x 75' roll PA 103 S °11- adhering \'• .R.:;race Co. Shield unc'er!a:•ment (v.i.., purr -..t NO.-1) ` Ba ens Vertical \'%oo' Preservers S:i' pressure c2eneric Mn. i 1"x 4" ins::tute LP — tree :ed or decay Horizontal resis :ant lumber Min. 1 "x 4" for use barns with vertical baaens or Mn. i 1"x ?" for use alone l0dx PA i 1- Appendix E Cor- :lion resistant s: or smooth �r. nails '8x 2 '/_' long PA 1 1 t Appendix. E Cer :••sign resis :ant. 0.335" head dia. ccc:eJ. square 0.131" shank d a. drive. ^alvani:ed, 0.175 screw .;:,cad c_ r__ thread wood dia. screws N/A N/A r.. 1:3 Pre--. _c mortar Ee - _;a _o` saesi_ned for Con::;. nlor;: set roof ;He PA 123 ACCEPTANCE No. : 99 -1 n'. _.0: APPROVED :Decc.m.ber =1l 1999 EXPIRES :Decc-m`e- 16. 200? Prer. '_d mortar i:•; •:_si_ned for mo-;:r set roof tilt ap;;i actions. C. -. :rust i•�r Pr: :ucts wit h Cement , I■N ER LTFETTLE LLC ACCEPT.-CE No.: ^a -1 " :2.02 Roof Tile Mortar ("BONS. • L® Roof Tile Mortar Mix") Roof Tile Adhesive ( "Polypro AH l 60 ") S. LI,1'I T&TIONS NOTICE OF .ACCEP T .- kNCCCE: STANDARD CONDITIONS !• Test Product Dimcnsio.,s Snii'cifica:icns Dcscrintic..r. PA 123 Prepared mor:ar W. F.. mix d mort se: roo til� applications. N/A N/A PCA APPROVED :D•_cer,-:er _ 1 1. 1999 EXPIRES :Dcccr,:tcr Ic. =00_ Two com__ ._•.. pol ure :h: ad ^psi'•_ for adhesive se: roof tile applications. Roof T tle Factory premixed S •° PCA Single com.o -. r: FlexH.e Adhesive canisters pol uretha e Tile6end foam roof :e . • adnesi• Hurricane lip & Clips PA 1 14 Appe..cix E Corrosion Fasteners ivIin. 1 ,4 width clips with :_,- :si_- Min. 0.060" th ck resistant nails. Clip Fasteners Min. Sd x l 3.1 Fire classification is not ca rt of this acceptance. For mortar or adhesive set tile a. .._a_,_•ns, sh:.• performed in accordance ith RAS 1 Applicant shall retain the services of a •`i =.-ni -Dade Co::-:t.• C_-:itiec to perform perform quarterly test in accorcar::_ '.'.ith P.-_ 112. __ -: ", 'A �__ -. •_ =.: _ shall be submitted to the Building Code Compliance Off;:_ 3.4 Minimum underlavments shall'.be in compliance with the Applications Standards listed section 4.1 hcrein. �•- 30/90 hot mopped underlavmer app•:i_ations may be installea? pert•_-::: ::u'._ - to the roof slope unless stated othertiv isc by the undcrlavm_nt material man.: f_c :_. _rs published literature. 3.6 This acceptance is for wood dec1•;at:p!:ca :ions. be in compliance Nvith chapter 29;'of the SF BC. :\ TON ER LTFETILE LLC ACCEPTANCE Vic.: • = p, APPROVED :Dc.__; 117c: 999 EXPIRES :DecoT�- ._. :) 0 3 (NOTICE OF ACCEPTANCE: STANDARD CONDITIO. \S 4 IN'.TALLATION 1: 4.1 Monier Lifetiie Villa, Roll, and Capri Concrete roof Tile and its c•=- : : -•�(I b� installed in strict compliance yid Miami Dade County Rcoftn_ RAS 118, RAS 119, and RAS 12 6. l! 4. Data For Attachment Calculations; Table 1: Aerodynamic Multipliers - ;. (ft') Tile Profile I' ;- (ft') Batten Application -_ i`+1 Direct D:- = : :::tion Monier Li etile Villa. Roll and Capri Tile Ii 0.'257 ' _ :'- Table 2: Restoring Moments due to Gravity - M, (ft-lb`) Tile Profile 3 ":12" I i 1 4' :12" ; 5":12" I 6":12" ! _ c. cr_a-er M ni r Li Villa, Roll, Capri Tile a) v r_ Battens ( Direct Battens I Deck Di ec� Battens 1 9e'tk !iI 1 Direct !Battens i Direc: i �- - - • - ect I Deck I Deck ! - - 2e , 5.57 1 6.30 1 5.48 1/6.18 1 5.37 5.05 1 5.2 I 5.90 a. -= I =.73 Ly II Table 3: Attachment Reslstancle Expressed as a Moment - M, (f; -11:r) for Nail -On Systems Tile Profile Fastener Type Direct Deck (mi 15/32" pl f Direct Deck E _ -_,s (min. 19/32" plyv: oo Monier Litetde Viila, Rol', andl Capri Ilk i 2 -10d Ring Shank Nai s 27.8 37.4 i -10d Smooth or Screw Shank Nail ;8.8 i i 11.8 • 2 -10d Smooth or Screw Shank Nails 16.4 21.9 1 #8 Screw 25.a . 1 25.= __ . _ 2 #5 Screw 7.1 1 4 7.1 •_ i - 10C Smooth or Scree Shank Nail (Field Clip) 24.3 24 :_ ; , - 10d Smooth or Screw Shank Nail (Eave Clio) 1:.0 1 1 1 ! I • I 2 -10d Smooth or Scree. Shank Nails (Field Clip) 35.5 1 35.5 II I 2 -10d Smooth or Screw Shank Nails (Eave Cii,:) 31.9 I 31.9 __ : I ( I I i• i 12 -10d Ring Shank Nails 1 43.0 i _1 !- 1 Instafation with a < tile headlac and fasterner; are Ildcateed a min. of 2% .ren Head cf b). 1 J :\ TON ER LTFETILE LLC ACCEPTANCE Vic.: • = p, APPROVED :Dc.__; 117c: 999 EXPIRES :DecoT�- ._. :) 0 3 (NOTICE OF ACCEPTANCE: STANDARD CONDITIO. \S 4 IN'.TALLATION 1: 4.1 Monier Lifetiie Villa, Roll, and Capri Concrete roof Tile and its c•=- : : -•�(I b� installed in strict compliance yid Miami Dade County Rcoftn_ RAS 118, RAS 119, and RAS 12 6. l! 4. Data For Attachment Calculations; �? �R LIFETILE LLC NOTICE OF ACCEPTANCE: ST.AicDARD CONDITIONS 5. L. BELING All tires shall bear the imprint or ,ceri'tifiabie m_r ink _.- _._ acturcr's .°_ or c1:2%‘ ..inc statement: "l\' *terra =c_ 6. BUI LDING PERtti1IT REQUIREMI :NTS 6.1 . pem — lit shall be oF the -_ 6.1.1 This Notice of Acce ::mince. 6.1.2 Any other docurner: :• r °quit °c bvv the Bui: =,- Oiftcia: or the S=_:`? Florida Euilding Code (SPEC.) in crOe- tq pre-er , evalt_.- ..._ installation e....,_ =. s._n:. ACCEFT. -ONCE No. : 9 9- 101 2.0= APPPO\ ED :Dccembc- =O. 19?9 EXPIRE. .5 :December 10. =00' Table 4: Attachment Resistance Expressez1 as a Moment M (ft -lbf) for Two Patty Adhesive Set Systems Tile Profile 1 ;, Tile Application ( Minimum .Attachment ' i Resistance Monier Capri Tile Lir_tile Villa. Roll, and I Ad,nesive J '7 .z . 1 _ See manufactures component aocreval `cr in tailation rncuirements. i FieKibe Poi Products Company Tile•Bcnd A•: erzC6 weigh: per catty 11.4 era. -s. I rfcam Product. Inc. r.ve2c weic .t 7.'..2' =airy 8 crams. I Table 4A: Attachrnent Resistance Expressed as a Moment - M, (ft -ibf) for Sincle Patty Adhesive Set Systems Tile Tilts Application Profile i ■iIinimurn ,2 - t2 :h -;ent Res.in c e Monier and Capri _if_ Villa, Roll, I Pclyfoam PolyPron i.-.� -•' r,ie j Polyfcam Pcl', Pro"' I 4 Lar;e caddy placement of 5- 4 crams cf Pc y -re". l 5 Med um caddy otac.ement of 2acrams cf P I Table 48: Attachment Resistance Expressed as 2 ?,Moment - h;,(ft -i f) fcr Mortar Set Systems Tile 1 Tile • , _t 1 Profile Apelicaticn Resistan oe Monier Capri Tie Life:.; . :;Ile, Roll, and 1 Mort.' S °t' - 1 __ • �? �R LIFETILE LLC NOTICE OF ACCEPTANCE: ST.AicDARD CONDITIONS 5. L. BELING All tires shall bear the imprint or ,ceri'tifiabie m_r ink _.- _._ acturcr's .°_ or c1:2%‘ ..inc statement: "l\' *terra =c_ 6. BUI LDING PERtti1IT REQUIREMI :NTS 6.1 . pem — lit shall be oF the -_ 6.1.1 This Notice of Acce ::mince. 6.1.2 Any other docurner: :• r °quit °c bvv the Bui: =,- Oiftcia: or the S=_:`? Florida Euilding Code (SPEC.) in crOe- tq pre-er , evalt_.- ..._ installation e....,_ =. s._n:. ACCEFT. -ONCE No. : 9 9- 101 2.0= APPPO\ ED :Dccembc- =O. 19?9 EXPIRE. .5 :December 10. =00' ACCEPTANCE c. : 99-101 NOTICE OF ACCEPTANCE: STANDARD r PROFILE DR.-k‘VINGS 4.; • 11/4 121:— NCSE vErRccJP� IONIER LIFETILEYILLA CONCRETE ROOF TILE 1S-1/2 MONIER LIFE:TILE ROLL CONCRETE ROOF TILE .APPROVED :Dczemt-er O. 1999 EN..PIftES 16. '00: Frank Zuloa_zo. RRC Villa 13- .N10k1ER \ LIFETILE LLC ACCEPTANCE O. . 99-1012.02 NOTICE OF A.CCEPTACE: STA7cDARD CONDITIONS 17" i\IONIER LIFE CAPRI CONCRETE ROOT:TILE .APPROVED :December 30, 1999 EXPIRES :December 16. 7 002 12-3/3' •1O0`:IER LIFETILE LLC END OF ;THIS ACCEPTA:\, ACCEPTANCE No. : 99- 101:.0 APPROVED :December =0. 1992 EX_PIIIES :December 16. 200, NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1 Renewal of this Acceptance (aoprov'al) shall be con after a renewal application has been filed and the on ina: submitted docuti�ents, incl;:djn, test - supporting data, encineeriny dccume.nt:. are no older than eist:.: (3) years. Any and all approved products ...nail; be permanently labeled with the manufacturer's name, city state, and the following statement:, "Miami-Dade Count-: Product Control A.rproval ", or as specifically stated ir. to specific concitions of this Acceptance. 5. Renewals of Acceptance will not be c nsidered if: There has been a chance in the South Florida Bui!din Code affectinz the evaluation or thi; product and the product is not in compliance wi :h the code changes. The product is ro longer the sane produc: (identical) as the one originally approved. If the Acceptance holder has not comp.ied with all the requirements of this acceptance, includin, the ccr :t installation'of the product. The engineer w .o originally prepared, si_-ed and sealed the required dacurn. station initial;. submitted, is no lor.. ter practicing the engineering. profession. 4. if revision or char:_e in the materials, use, z-d1or manufacture of the product cr process shall utomatically be cause for terminatio t of this .accept nc_, unless prior wrinen approval has beer e_uested (throu,h the filing of a revision application with appropriate fee and _ranted by this tTtce. I: 5. .r y of the following s=al also be flrounds for removal of this Acceptance: Unsatisfactoy p=erformance of this prods_ or process. f`tisuse of this . — :otance as an' endorsement oF a product, for sales. ad.. _-jsin_ or any other purposes. 6. he Notice of Acceptance number preceded 'cy the words Miami - Dade Count;, Florida, and flowed by the expire :ion date may be displayed in acv er:lsin` literature. If any no rt ion of the t'_tice of Acceptance is displayed, then :it shat: done in its entirety. 7. copy of this Accec :_nc:e as well as approve_ rawin`s and other documents. v. _rc it a s 1a!i be provided to t: user by the ;manufacturer or its distributers and shall `e available for •szection at the job si :e at all time. Th en`ir.ee- need net reseal the copies. ;lure to comply wit= any section of this Acceptance shall be cause for terninatic: and removal Acceptance. T .is Notice of consists of p I t:-.rough S and this Iasi acc 9. Zulazea. RP.0 M1AM f1;}ADE ° R • CO T • OL NOTICE OF AC Polyfoam Products, Inc. 2400 Spring- Stucbncr Road Spring ,TX 77383 -1132 Your application for Notice of Acceptance (NOA) of: T\vo Component Polyurethcnc Foam Tile Adhesive _ j under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use: of such product or material immediately. 13CC0 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 Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 0 - 0404.01 EXPIRES: 02 / MR003 Raul Rodriguez Chief Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC ANTS n' " "r^ ° r Kr.vir,W t_n1VT11117TFF, This application for Product Approval has bin reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 0i /1 0200 E 'TA CF MIAMI -DADS COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO-DAD,: FLAGLr?R 131111.1)1NC 140 WEST 11.,\C1.F.R STREET. SUM: 1603 MIAMI. FLORIDA 33130.156) (305) 375 -2901 FAX (305) 375 -2903 CONTRACTOR 1.l(:F:NNI`1G NE TIo (303) 375 - 2527 FAX (3os) J75-2351 (:nNTItACTOR t NF'OI(CFAIENT DIVISION (3115) 37S.2y44 FAX (30) 37S - 2903 I CONTROL D11'tsIUN (303)375-290 FAX (305)37Z-6339 Francisco .1. Quintana. It.A. Director Miami -Dade County 13uilding Cade Compliance Orrice • :o :im Pro ducts, inc� ACCEPTANCE No.: 0 1-0404.01 ROOFING ASSEMBLY APPROVAL Roofing 5u h- C:tte•_.orv: Roof Tile Adhesive Materials: Polyurethane 1. SCOPE This approves Polypro® AH160 as manufactured by Polyfoam 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 flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by AnnE Polypro® AH 160 Foampro® RTF 1000 ProPack ®308,; 100 Dimensions N/A WA N/A 2.2 Typical Physical Properties: Prn c . Test Density ASTM D 1622 Compressive ASTM D 1621 Strength Tensile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor ASTM E 96 Transmission Dimensional ASTM D 2 126 Stability Test S ccifcntions PA 101 Approval Date: Mav 10 Expiration Date: Fchru,ry 114 201)3 2 .1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted RoofTilc Assembly havin_ a current NOA I2_ exults 1.6 IbsJft.' 18 PSI to rise 12 PSI Nr- tindicular to rise 28 PSI ri.allcl to rise 0.08 LbsJFt 3.1 Perm / Inch +0.07% Volume Change (Th 40" F.. 2 weeks +6.0% Volume Chanel: l lumidity, 2 weeks Product Dcsc crintion Two component polyurethane Dispensing Equipment Dispensing Equipment Frank Zuloaga, RRC Product Control Examiner • • Polvtoam Products, Inc. ACCEPTANCE No. : 01- 0404. 01 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Assembly for fire rating. 3.2 Polypro® AH160 shall solely be used with flat, 3.3 ?v nimum underlayments shall be in compliance 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® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F -w F'= 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof trle assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 4.2 Polypro® AI-1160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA a y,yv. r f.4 t 1c oy A % . ^ n;� .�:y�:h V SfQ.'�.'lt. .c LYt11.; �' .M::fol (a^.�:.iM s�!•ev -r j�A 2�y,iLl•: ` 3` f;IWVa '" .-«Y'Y',ti `v:-^ir•: »A^ar.•..:.r... accordance with Roofing Application Standard RAS 12U, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "AN component and the 'B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AHI60 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only 4.7 Polypro® AH160 shall not be exposed permanently to sunli .2, MS Refer to the Prepared Roof Tile low, & high tile profiles. with the Roofing Application Frank Zuloag , RRC Product Control Examiner Egyfoam Products, Inc, 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be sc within 2 to 3 minutes after Polypro® AH160 has been dispensed. 4.9 Polypro® AH160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires tfie specific placement noted herein. ACCEPTANCE No. : 01- 0404.01 Table 1: Adhesive Placement For Each Generic Tile Prorate TileProfile Flat, Low, High Profiles High Profile (2 Piece Barrel) Flat, Low, High Profiles Flat, Low. High Profiles Placement Detail 35 17 /side on cap and 34 /pan 02 #3 Single Paddy Weight Min. (grams) Tw•o Paddy Weight per paddy Min. (grams) N/A N/A 24 N/A 8 5. LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Euildine Code in order to properly evaluate the installation of this system. Fr=1:Zulcaga. RRC Product C.-load Examiner �'4l tea TPr o d ucts Tnc ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY hwgpwm 1411 ias Nan a matt stYnn sa 911L .n Ern t: pre ad law Ms at Std at asps it Ewa demo pest Noma 4 Ras aamq► salsa t7ba lm DOOSatlh4i • won laws aa alb es on elakallias A Lt Ruamesain� Metit. a yeNa.vtit, A sastsi 1 ACCEPTANCE No.: 01 0404.01 IWO* Fonts Franc Zuloaga, RRC Product Control Exan,incr Mai IlaogA Outsmart Gamest Mast Wei eon aiOo r Ot t9ivfoam iticts I nc., ACCEPTANCE No. : Ol-0404.01 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Frank Zuloaga, RRC Product Control Examiner • •! Po • foam Products Inc. ACCEPTANCE No. : 01 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY - • Frank Zuloaga, RRC Product Control Examiner � w oam Prod ucts Inc. 1. ACCEPTANCE No.: 0i -040 4.01 Rcnewal of this Acceptance (approval) shall be considered after a rcncwai application has bccn filed and thc original submitted documents, including test-supporting dam, engineering documents, arc no oldcr than eight (8) ycars. 2 . Any and all approved products shall bc permsnmtly Labeled with the manufacturer's fame, city, state, and the following statcmc nt Miami -Dade County Product Control Approval", or as specifically s©tcd in the specific conditions of this Acceptancc. 3 . Renewals of Acceptance will not be considered iF. a. There has beat a change in thc South Florida Building Codc affecting the evaluation of this product and thc product is not in compliance with the code changes. b. The product is no longer the saran product (identical) as the one originally approved. c. If thc Acceptance holder has not complied with all the requiremcnts of this acceptance, including the correct installation of the product. d. Thc engineer who originally prepared, signed and sealed thc required documentation initially submit cd, is no longer practicing the crginccring profession. 4. Any revision or change in thc materials, use, and/or manufacture of the product or process shall automatically be cause for tcrminatian 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. S. 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 Aeaptancn as an cndorsement of any product, for sales, advertising or any other purposes. S. 'Iltc Noticc of Acceptance number precrdcd by the words Miami -Dade County, Florida, and followcd by the expiration date may be displayed in advertising literature. If any portion of thc Notice of Aeccprancc is displayed, then it shall bc done in its cntiray. 7 . A copy of this Acceptance as won as anorovcd drawings and other d is applies, . � �;� r >�,�:;t� �, , ���; :•�� :z�- �,��.�.. �.« �...., acumen , whore it shall •"� ,f•.. 4v.a )A6;'w: d: .�. 7- �.a�t:' .'v..r:a:7 �. . _,.t L ' :. <.J . i t 1 yy ..r.Yd Cr.w�' � v�. r.d.: t�v. '.1�� . :iL�"'S. b�Ct.Y.rar't the job site= all time:. Thc engine r nod not resal thc topics. • 8. Failure to comply with any scction of this Acceptance shall bc cause for termination and removal of Acceptance. 9. This Noticc of Acceptance consists of acs 1 through R. END OF THIS ACCEI TANCE 8 Frank Zulosga, RRC Product Control Examiner No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 Passed 41-45 Passed 61-65 81 -85 6 -10 Passed 26 -30 Passed 46 -50 66 -70 86 -90 11 -15 Passed 31 -35 Passed 51 -55 71 -75 91 -95 16 -20 Passed 36-40 Passed 56-60 76 -80 95 -100 ZARA AND ASSOCIATES., INC. , Metro -Dade County Approved Testing Laboratory Lab. Certification # 98- 0116.01 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO -DADE COUNTY PROTOCOL PA -106 Property Address: 595 NE 96 St. Permit It BP 2002 -768 Owner's Name: Contractor's Name' Precision Roofing Approx. Square feet area: 34 Type of Tile: Vanguard Roll Testing Equipment: Digital ChatillonDFIS 500 The static uplift quality control test for the property in question, complies with the Code requirement 3404 3 and protocol PA -106 "ROOFING SKETCH" F.F. Flaquer, P.E. P.E. #23070 North Front Roofing Laboratory Testing & Research Moisture, Up -lift, Fastener Testing Complete Building & Roofing Inspections Consulting Engineers 75 PC #: Roof Slope: 3:12 Date Tested: 5/10/02 Required Testing Force: 35 lbs. P. 0. Box 770694 Miami, Florida 33177 (305) 256 -4550 Fax (866) 333 -6988 Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date :.S 2P e Time Approved Correction Re- Insp'n Fee 131) W , g 134 4 9e-gi a . 4f o //1 f 3o; 7767 For Inspector: S-72/,02, Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5- 2"a2i Time Correction Re- Insp'n Fee .1 ?t -.745 74 Ale :9 '7 - 7,w,(Aeixkv 70;0//v For Inspector: , 3-9z Name & Date 44. re 2— S e i p -et he pitsa: (0. lee os 7)2,4)J5:czkiza MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 5 - 0 2, Time Type Insp'n y Permit No. o�I z -76 �y '" Name 3;t4;/00 Address A uic�� Compan Phonee °9 1,2z- ` 9 For Inspector: 5 3 —a 2. Named Date Approved Correction Re- Insp'n Fee 3'4 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Type Insp'n .( _ j/1/ Permit No. P ' + J(Q R Name APE Date For Inspectors: Approved Correction Re-Insp'n Fee Address Company Phone # 3 Q S SO aP 9 ❑