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RF-10-701( i 253k 10 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofing C Owner's Name (Fee Simple Titleholder) M CNIA .L l' 1�� I R Rr Phone # 3 -75 7 l 004 City Ft lei S ike State f Zip 3 3 t b Tenant/Lessee Name o / t 9 t c'44 2y Phone # 3 4 5 / S I O 3 4 Owner's Address Job Address (where the work is being done) City Miami Shores Village EOLIO / PARCEL # I/ 3 2. o 6 Is Building Historically Designated YES Contractor's Company Name Contractor's Address r i Ot Bo( 31 p2K �oeFing City MI State F-- Qualifier Name P1 Ke1/41,V03 e State Certificate or Registration No. Certificate of Competency No. ob bS0 0007 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ['Addition ['Alteration Describe Work: 1r colo ra h Radon $ 1 Bond $ Code Enforcement $ Miami Shores Village Building Department Miami -Dade County o / g NO e /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Phone # Permit No Master Permit No. BY: Zip 33G k Phone # 305 ri54 -ol qJ 33153 Square / Linear Footage Qf (C4at U � .7i AN 2 2010 It (440 t tf ' abso ^ :sue! ENew ( Repair/Replace ❑ Demolition p® e ► � Wi k1 M® I ** **** * ** * * * * * * * * * * * * * * * *** * * * * * *** ** *F * * * * * * * * * * * *** *** * * ** * aate � * * * * * * * * * * * * * * * * * * ** Submittal Fee O $ • Permit Fee $ CCF $ (9 Q CO /CC �,,,/� Notary $ Training/Education Fee $ O . Technology Fee $ 1 . 0C.J Scanning $ lif9t DPBR $ Double Fee $ Zoning $ Structural Review. $ Total Fee Now Due $ (96)8 . See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 4 ' YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CQNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." l'Mtice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the 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 Signature 1VOTARY PUBLIC• Owner or Agent qq ST The foregoing instrument was acknowledged before me this BG 1 The foregoing instrument was acknowledged before me this c% day of Pfau 1.1, 20 ICJ, by Ft I t 4 ( 11.- /` I L`( , day of A 1 , 20 lOby k who is personally known to me or who has produced 00 ,liiNsi 6 r„1 6, As identification and who did take an oath. O'��,�,, VEBORAH D FARHAT NOTARY PUBLIC: :.• •' MY COMMISSION # D0984935 \ 0 � �� Ar1Q% ii� S. +; EXPIRES June 1a, 2014 ` .`�\ :..EX�S c� ® % Sign: �;6� i./( -+� ' Sign: !A% t t Print: Print: _ , X 0 4 9 4' A ' ° 2 My Commission Expires: J e- )11, 2 I My Commission Expires: SI • � 6! S 4 : ************************************************************ ***** * * ********* ************� ® e :4* * *** ° ,a * ' , 1 ORION .�� � ,, nr,iiiiii " E e � to4-4A APPLICATION APPROVED BY: �� (Revised 07/10/07) Signature "1 a ge Contractor i personallvsno e r who has produced 1 as identification and who did take an oath. Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT : A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTIQIIE: R PERMIT NO. TAX FOLIO NO, 1 — oi' f — a 6 g STATE OF FLORIDA COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street / address: 8 57- Mai WW1 Wag. 3 V 10 -31 . 1.01 t3 B Uc -3 oar 1 2. Description of improvement 3. Owner(s) name and address: t - on-K. f-r Interest in property: t4r2 Name and address of fee simple titleholder. 4. Contractor's name and address: Qt L wo>- 5. Surety: (Payment bond required by owner from contra ct Name and Address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner a provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signat a Owner Print Owner's Name Sworn to and subscribed before me this 2,2,.. day of Notary Public: Print Notary's Name: My commission expires: )--v 441 5 itvo ° j2 3 3) 5 ) FLORIDA, COUNTY of DADE 1 HEREBY CERTIFY rbiat (his is t copy Age or!gira! fi!e toffalm Qay A D 20 0 WITNESS my hand d ©ffiicia! Ssal. r4ARVEY RUVIDI, ' , Erg, of !icy rt ! unr o Cr'flrt5 i *9, tykr 111 N 2010R0299551 4: 27272 Ps 4834; (1ps) CORDED 05/05/2010 10:47:44 RVEY RUVIN, CLERK OF COURT AMI-DADE COMM FLORIDA L ST PAGE or other documents may be serves! as Prepared by C‘ C H a ,20 i . '111 (1411W Address: To: Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address: State of Florida County of Dade property mentioned. Sworn to and subscribed before me this Mime Slues `B'i€ a9e & 4 Dointateat 10050 NE 2nd Ave * Miami Shores, FI 33138 Phone 305-795-2204; Fax 305-756-8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. Roofing Permit Number: / ,U C 9 , sr- /1 r4 a°l/ S Dear Building Official: certify that I am not required to retrofit the roof to wall connections of my building because: I The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. D The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Print Name The undersigned, being the first duly sworn, deposes and says that he /she is the owner for the above Notary Public, Sate of Florida at Large ��ila ul IsticA44-e- )4041,1 Date: IA. 1 to 2-61 o 'Z day of t ier tc ' DEBORAH D FARHAT :'- MY COMMISSION # DD964938 EXPIRES June 14, 2014 407) 398.01s3 Flerieemota When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,005.1 1, an FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 2/3 Floors: 1 Living Units: 1 Adj Sq Footage: 1,693 Lot Size: 5,600 SQ FT Year Built: 1954 $50,000/ $53,181 MIAMI SHORES SEC 3 L L Legal PB 10 -37 LOT 13 BLK 73 Description: LOT SIZE 50.000 X 112 OR 17007 - 48601195 1 $25,000/ $78,181 OR 17007 - 48601195 00 Year: 2009 2008 801 NE 97 ST Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable 801 NE 97 ST MIAMI Value: Value: Regional: $50,000 / $53,181 $50,000/ $53,078 Courtly: $50,000/ $53,181 $50,000/ $53,078 City: $50,000/ $53,181 $50,000/ $53,078 School Board: $25,000/ $78,181 $25,000/ $78,078 Folio No.: 11- 3206 -014 -2580 Property: 801 NE 97 ST Mailing MICHAEL J MERRY &W Address: MARIELA $168,555 801 NE 97 ST MIAMI $226,847 SHORES FL Assessed Value: 33138 -2527 Year 2009 2008 Land Value: $88,800 $182,318 Building Value: $138,047 $168,555 Market Value: $226,847 $350,873 Assessed Value: $103,181 $103,078 Year: 2009 2008 Homestead: $25,000 $25,000 2nd Homestead: YES YES Miami -Dade My Home My Home :ma idade.grov Show Me: Property Information Search By: Select Item ( E� Text only Property Appraiser Tax Estimator - Property Appraiser Tax C omparison Portability S.O.H. Calculator Summary Details: Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: ale Date: 11/1995 ACTIVE TOOL: SELL - CT Digital Orthophotography - 2007 0 112 ft My Home I Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home I Using Our Site 1 About 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 2 MIAMI -DADE Legend Property N Boundary Selected Property pP Street 4 ✓ Highway Miami -Dade County Water WE http: / /gisims2.miamidade .gov/MyHome /propmap.asp 4/23/2010 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES ( Master Permit No. ❑ New Roof Lovr'Slope Low Slope Roof Area (SF) FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007, High - Velocity Hurricane Zone Uniform Permit Applicati L aml Shores Village Section A (Gpnetal lnfnrmatior )- _..:I..i? DEPT Process NO Contractor's Name K&.1I/ed Po Inn ❑ Mechanically Fastened Tile 0'A halti47 i ❑ Metal PaneUShingles S ingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ISTReroofing ❑ Recovering ROOF SYSTEM INFORMATION D Steep Sloped Roof Area (SF) DEPT , JEC T (0 Cain _IANCE WI-H ALL FEDERAL TE AND JD CC RULES AND REGULATIONS ❑ Repair ED I/Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes ❑ Maintenance Total (SF) 2650 .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 elevated pressure zones and location of parapets. \03) 1 D a 33 MIT 711! Roof System Manufacturer: M ®hter Notice of Acceptance Number: 0 A310 Minimum Design Wind Pressures, If Applicable Calculations )1: �' I 1 � P2: (From ` RAS 127 or t ®ot b P3: t ® ®t b Maximum Design Pressure (From P o uct Ap v I Specific System): ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Roof Slope: : 12 Ridge Vi Steep Slnperl Rnnf System fle ription Deck Type: wb V - Sinn - wood, Type Underlayment: Insulation: Mean Roof Height: Fire Barrier: -30 - rvi IYI� Fastener Type & Spacing: Adhesive Type: Type Cap Sheet: Roof Covering: ��'uiiN �d'T► 4;..6 o71-aro I5 1P alpha' Type & Size Drip Edge: - 1- hrotAgh r-o 11+1 le 3)(3 sat V FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. ;Sprttinn rl (Stepp SInpert Roof System) Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier d Product Approval Restoring Moment due to Gravity Mg Product Approval Attachment Resistance Mf Product Approval Required Moment Resistance M g Calculated Minimum Attachment Resistance F' Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L = length W = width Product. Approval All calculations must be submitted to the building official at the time of permit application. For Moment based tile systems. choose either Method 1 or 2. Compare the values for M with the values from Mf, If the Mf values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is acceptable. Required Moment of Resistance (Mr) From Table Below M • uired Moment Resistance* Mean Roof Height -, Roof Slope J, 2 :12 3 :12 4 :12 F :12 8•12 7 :12 15' 20' 25' 30' 34.4 . 7 321 M 37 -4 30 4 39 2 19 36.1 28.4 30.1 31 9 328 29.4 28.0 29.4 30.6 24.4 26.9 27.1 28.2 40' 421 39.8 37 7 34.9 32 4 30.0 *Must 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 Fr. If the F' values are greater than or equal to the Fr values. for each area of the roof. then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Per RAS 127" (P xL = xw:= ) -W: x cos B =F (P2: xL = xw:= ) - W: x cos (P3:_ = x w: = ) - W: x cos 0 F_ xL FLORIDA BUILDING CODE — BUILDING Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Seetion E (Tile (.alctilationi I� 6 Method 1 "Moment Based Tile Calculations 4 s Per RAS 127" 1 [` (P): 4 j i x 1 �y I 1. Mg:Si 1 Q l p' � = Mrl ti Product Approval Mf 51 (P,: 00 1b 0 Mg: 51�j = Mr YY 39 D Product Approval Mr 1 455 (p I3 ae �7► Itr .g oO i- Mg :sal= 14,113, 'O Product Approval Mf 155 Method 2 "Simplified Tile Calculations Per Table Below" Product Approval Mf Product Approval F' = F Product Approval F' ROOF ASSEMBLIES AND ROOFTOP STRUCTURES MIAMI DAPE COUNTY belAvrigExcellexce Every 73e SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNER'S NOTIFICATION FOR ROOFING CONSIDERATION 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. 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. 2. Renailing Wood Decks: When replacing roofing, he existing wood roof deck may have to be renailed in ccordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (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. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed om 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. Y . 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 per- formance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. W 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded om 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 t e structural assembly (the building itself). The existing amount of attic ventilation should not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's g s Signature 4/4" 7 5,03' Property Address 123_01 -154 1/07 4 / -/i / Date Permit Number Contractor's Signature M IA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 200 Story Road Lake Wales, FL 33898 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 as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Vanguard Roll 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 7. The submitted documentation was reviewed by Alex Tigers. NOA No.: 07- 1023.07 Expiration Date: 12 /16/12 Approval Date: 12/20/07 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifetile Vanguard Roll Concrete Roof Tile, as manufactured Monier Lifetile LLC in Pompano Beach, FL. 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 Applicant Monier Lifetile LLC Vanguard Roll Tile • Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Roofing Low Profile Roofing Tiles Concrete Test Dimensions Specifications 1= 16 -1/2" TAS 112 w= 13" '/2" thick 1= varies w = varies varying thickness Test Identifier TAS 112 Product Description Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, 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 Date 7161 -03 Static Uplift Testing Appendix III PA 102 & PA 102(A) 7161 -03 Wind Tunnel Testing Appendix II PA 108 (Nail -On) PO402 Withdrawal Resistance Testing of screw vs. smooth shank nails 94 -060B Static Uplift Testing PA 101 (Adhesive Set) 94-084 Static Uplift Testing PA 101 (Mortar Set) P0631 -01 Wind Tunnel Testing PA 108 (Mortar Set) Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 July 1994 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 2 of 7 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. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Nutting Engineering Test Identifier Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -76 0 25- 7183 -1 25- 7183 -2 25- 7214 -2 25- 7214 -6 528454 -2 -1 520109 -2 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Test Name/Renort Wind Tunnel Testing PA 108 (Nail -On) Wind Driven Rain PA 100 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) (1 Quik- Drive .Screw, Battens) Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Evaluation Calculations Aerodynamic Multipliers Evaluation Calculations Two Patty Adhesive Set System TAS -112 13343.1 Date Aug. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Sep. 1998 Dec. 1998 August 2007 March 1995 February 1996 April 1996 December 1996 October 2007 April 1999 ' • June 2007 NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 3 of 7 Table 3: Restoring Moments due to Gravity - M (ft -Ibf) Tile Profile 2 ":12" 3 ":12" 4 " :12" 5 ":12" 6 ":12" 7":12" or .. reater Monier Lifetile Vanguard Roll Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck . Battens Direct Deck 5.30 6.03 5.24 5.97 5.16 5.87 5.05 5.75 4.92 5.60 4.78 5.44 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Vanguard Roll Tile 9.2 1.38 1.08 Table 2: Aerodynamic Multipliers - X ft Tile Profile A, (ft A. (ft Batten Application Direct Deck Application Monier Lifetile Vanguard Roll Tile 0.266 0.289• 3. 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. 4. INSTALLATION 4.1 Monier Lifetile Vanguard Roll 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.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Vanguard Roll Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 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 -10d Smooth or Screw 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 • Table 6: Attachment Resistance Expressed as a Moment M (ft -ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Vanguard Roll Tile Adhesive' 26.1` 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Average weight per patty 11.4 grams. _ . Poi oam Product, Inc. Ave - . e we' . ht • er . = 8 ' rams: Table 7: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Single Patty Adhesive Set Systems Tile. Profile Tile Application Minimum Attachment Resistance Monier Lifetile Vanguard Roll Tile Polyfoam PolyProrm 86.61' Polyfoam PoIyProm 45.5 3 Large paddy placement of 54grams of PolyPro _ 4 Medium paddy placemen of 24grams of PolyProh. NOA No.: 07- 1023.07 Expiration Date: 12/16/12 • Approval Date: 12/20/07 Page 5 of 7 Table 8: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Vanguard Roll Tile Mortar Set 20.60 5 See specific mortar manufacturers Notice of Acceptance 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami -Dade County Product Control Approved ". VANGUARD ROLL MONIERLIFETILE LLC, VANGUARD ROLL TILE IDENTIFICATION MARK (POMPANO, FL PLANT) LOCATED UNDERNEATH TILE 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. NOA No.: 07- 1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 6 of 7 S4 ,1 . PROFILE DRAWING MONIER LIFETILE VANGUARD ROLL CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 07-1023.07 Expiration Date: 12/16/12 Approval Date: 12/20/07 Page 7 of 7 MIAMIDADF BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 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 the BCCO and accepted by the Building Code and Product Review Committee 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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 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 renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by JF rge L. Acebo. 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 NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: Foampro® RTF1000 N/A ProPack® 30 & 100 N/A PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Roofing Roof tile adhesive Polyurethane SCOPE: This approves Polypro® A11160 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 PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Polypro® AH 160 N/A Specifications TAS 101 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro A11160 roof tile adhesive. Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /fl. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Change @158 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25-74384 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739 -062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 • 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro their tile assemblies shall test in accordance with TAS 101. AH160 roof tile adhesive with 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. IF S : W 2. F'= MS NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04 /13/06 Page 3 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® A11160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® A11160 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 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 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. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" 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. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Nail through plastic cement 1) Pla ceenoughadhesivetoachievettto e� a for square hshalncmdactwfthtire pan tfe PP pitch a To 1 In. From Drum covers upsidedown, Place adhesive 1121n. / �edgeofcoverIlla. j Then Maid the tile. toe Portion Otte ease course cover tMa. Abut to second course of � W ot flush ateave Fare closure (mortar shown) Weephole Facia Nall through plastic cement Optional PoIntop Mortar on longitudinal edges otdle NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 Nan through plastic cement in. I x3 in. Single paddy on under- layn ent Single paddy on top of tile Single paddy under the S ingle paddy on top ofdle ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Paddy (between tile) Paddy (under tile) Eave course 21n.X1 in. medlum size paddy save Fascia ' course only Single paddy under tide Single paddy between tile 21n. x 7 in. medium size paddy eave course y Nail through plastic cement Ph in.x 3 In. Single paddy on underiayment Eave Course Side paddy between tile Eave Closure 2 In. x 7 In. medium Fascia a paddy save course only END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 7 of 7 Scheduled Inspection Date: June 16, 2010 Inspector: Bruhn, Norman Owner: MERRY, MICHAEL & MARIELA Job Address: 801 NE 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments June 15, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 146176 Permit Number: RF -4 -10 -701 For Inspections please call: (305)762 -4949 Phone Number Permit Type: Roof Inspection Type: Final Work Classification: Tile Parcel Number 1132060142580 Phone: 786- 277 -9540 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 20 of 20 t Job Address: Contractor: Type of Tile: Type of Access: App. Sq.Ft: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Uplift Pall Test (P or F) 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 IN ACCORDANCE WITH THE CRITERIA 01? PROTOCOL TAS 106, THIS ROOF ASSEMBLEY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Vinayagar M. Balakrishnan V, State of Florida Lic # 63107 F'. FLORIDA INTERNATIONAL ENGINEERING & TESTING LAO INSIG141 •INIEGRATON $elf irJE14-51,diAsA ff Cyr, Owner's Ems/ e�A Rev ,--7 4 Permit# ' D" ® Install Date. - 3 '0 ��AR1E� ,612aZz&,mac&_ 1 ,f1-/ - L - 7 - Approx. Height Floor: / Scaffolds: Ladder: f Slope: I : /2 Test date • 6 '1 /,e2 Z 419 Req. Force: 35 lbs. Testing Equipment: F.G.E. 100X.Shimpo Instrument FLORIDA INTERNATIONAL ENGINEERING AND TESTING LAB LLC 16701 SW 117 Avenue, Miami, Florida 33177 Telephone: (305) 378 -1991- Fax: (305) 378 -1997 Miami Dade Lab Certification # 07 -061211- State of Florida CA # 27273 SITE SPECIFIC INFORMATION TEST RESULTS P= PASS,F =FAIL N2 1885 ^k u Job Address: 6.01 Airn ci• ?' , //1, u/ Tile j Fee Contractor: e2c r / .04 Other: Sketch of Roof (i12 •111111. ■®II111111U11111,11111111111111 ■■11111111 i;1 �1 i 1�11i11i1111111111.111111 ■ ■■ ■■■•1■■1 111 1 'i■1U11111■1M1111111■ ■ ■■ ■11■ ■■11■U•111IIIIIRIIIf 'II1111111111IIIMMIN II■ ■■■■1111■1■ Iuuu ..�ii�duI•J�j■RIIIIIa$��uuII■ ■������� ®�'��:�� \►: 1 111'1r�I[i1�1,1111111111 ■ ■�■ ■■■ ■■11111 ■■Ulr`,`1■1B1211►MAIMt !«UIII•■• ■ ■■ ■11 ■■11111110 "► MAN1ffi��r' dillainER IMENNIIIIIIIN ■ ■ ■■IUIII•I�1 ®■ \ �ir�lll IiIIIUI'II1i1'II ■UU ■■ ■11111111111t1rli!1 % Faii!'i'll IMM1I1IMMI UMIUM■ 111•11111111•••1111111111111611NaliaRIMINEEMMERIMMEIMINININ ■111111111111Dilisairava mmusiiimmusI MEI ■■1■■11111111i■1 M1 CAP1111i111111:1i11U1111■ ■■11111111111111111MI11P'? 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VIVISIIMINN11111S1M11111■111■ ■ ••••••111 :14111ii1iafai11>lMIU11111111111■ ■1111111111■il1111 iii 1p1ui111m11111111111■ ■1111■1 11111■■1E111EU%11■•11i1111 ••11•••• ■■1111111111�■111?t�.. -"-"�■ ■11�',1'I1111111'11 ■111 ■ ■11 ■1 ■ ■111111111t1111M ;,! 1A%I■111M11111111111■ ■1■1111111111i 'r1 I■OM■ 1111111111111 611 K1 i�1'j11'Ii1!11'11�11111111111 ■111 ■ ■111111111'12� OINIl'111111S11111111■■■■ 111■■1111111i 1urARN, iIM1U111i111111111U 11■■111111111 r," 7i� !'�!L1'�,1iii�� ■1i11'�1111111■ ■111■ i1111111111111I r ■!:'r,�'�,Ii1111111111111111 11 ■1111111111111, M11'iLtai1111'111111 ■■ ■11■ 111111111111 111111111111i111111111111111■ ■■1■■1111111111 i1 ■ .11' ■1�'111i1U1■S1111111 ■■ ■111111111111111 111111'11111'11.1111111111■ ■■111■11111111 1!111111111111�1111111111■■■ ■111111111111 1111111 ■1■ ■■■11111111 11111■1111111111111111111■ ■1■ ■11® 1111111111 1111111111111111111111111■ ■1®11 ■111 ■1111111 ■1111 ■ ■11■■ Notes RE: Permit# RF 1OI Pekt.d }< ovWo JeJ< (Print name and circle License Type) License #: CC- 0b 8S 0000r7 INSPECTION AFFIDAVIT On or about Si 131 10 I: 0 0 Q IA (Date & time) Secondary water barrier work at go) NE q '° M iami Shores Viiiage Building Department n) Contractor licensed as a FS 468 Building Inspector 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: 6 ) 101 10 Engineer / Architect, , I did personally inspect the roof deck nailing and (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he /she is the contractor for the above property mentioned. Swom to and subscribed before me this nb rm ' _ t �— � \ S ii've.. ' Notary Public, Sate of Florida at Large ' it a torg>' Ti Comm is s ion 9 Q . 65 � ®�� *General, Building, Residential, or Roofing Contractors or any individual certified under4§�8�f- tteg sudttstction. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection /1 /7 OF millii r O'',0\ � Revised on 5/21/2009. Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 801 NE 97 Street Miami Shores, FL 33138- 1132060142580 Block: Lot: MICHAEL & MARIELA MERRY Owner Information MICHAEL & MARIELA MERRY 801 NE 97 Street MIAMI SHORES FL 33138 -2527 Contractor(s) Phone Cell Phone KAWALEK ROOFING & PAINTING, INC 786 - 277 - 9540 (305)754 Type of Work: Re Roof Additional Info: TILE COLOR THRU Classification: Residential Fees Due CCF Education Surcharge Permit Fee - New Root Scanning Fee Technology Fee Total: Amount 01.20 $0.40 $300.00 $12.00 01.80 $315.20 Address Parcel Number In consideration of the issuance to me of this permit, 1 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 05, 2010 Phone Pay Date Pay Type Invoice # RF-4-10 -37674 05/05/2010 Check #: 7626 04/23/2010 Credit Card Amt Paid Amt Due $ 265.20 $ 50.00 $ 50.00 $ 0.00 Applicant Available Inspections: Inspection Type: Up Lift Report Tin Cap Final Roof Tile In Progress Roof Review Renailing Affidavit Cap Sheet May 05, 2010 Date Cell