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1119 NE 99 St (11)Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? /Y I o MEAN HEIGHT Deck type: Underlayment: 3_ Instil 4 434A/6Le( '" k Insulation: love 12" ROOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cap Sheet: Roof Covering: Drip edge: 4,40 /�IG ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS (Pmaxl: LI t 1 x X (Aerodynamic Multiplier): ' q ) - M v' = M PCA: 1 1 0 - M 5 9 = M t l PCA: (10.4 (Pmax3: x (Aerodynamic Multiplier): 44 ) - M 51_ = M L, PCA: ' i f (Pmax2: a (Aerodynamic Multiplier): ' a' T o`it S, (e Rit Page -2 Apr -27 -2001 09:22 From - CYPRESS INSURANCE GROUP +954TT26464 T -737 P.002/002 F -558 April 27, 2001 Susan Ackley 1119 NE 99th Street Miami Shores, FL 33138 Re: FL140029790048 Homeowners (01/02/2001 to 01/02/2002) Dear Ms. Ackley: The insurance provider, Florida Select Insurance Company is requesting documented proof all the repairs to your home have passed code inspections including: L1 Roof :9 /DO / )1 S AC /Heat : Plumbing: D O y93aa, i /oa A- y'o47, IZIq p, v Electrical : (1 19c� ?. s .3 { )1)9' ,] 95'67 Please provide some evidence of these to pections with dates of completions so they rnay have it on file with your property's records, Should the Village of Miami Shores or you have any questions, please call me so we may quickly meet the insurance provider's request. Thank you for your prompt response. Sincerely, y Garcia, Ext. 263 Customer Service Representative CYPRESS INSURMCE GROUP INCORPORATED 5800 N. Andrews Avenue • P.U. Drawer 9328 • Ft. Lauderdale, Florida 33310 -9328 Telephone: 954 -771 -0300 + Fax: 954 - 772 -6464 Contractor's Naniliuoit kbc Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Job Address: ((Q"( ►V 9q Si- ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof I4 Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft 3! -f Total (ft 4 Master Permit No. Exposure category (per ASCE 7 -88): C Building Classification category (per ASCE 7 -88 table 1): Ft. A v Ft. A v Deck type: ATTACHMENT Fastener Type: SPACING Field: Perimeter: Corner: 12101-78 0/96 DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page -1 r ROOF PLAN Ridge Ventilation? MEAN REICIIT Deck type: Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION nderlaymnd• D E T A I L 3 Insulation: Fastener type & spacing: Cap Sheet: ROOT [LOPL Roo Covering: Drip edge: TILE CALCULATIONS (Pmaxl: x 71, (Aerodynamic Multiplier): ) - M = Kt: PCA: (Pmax2: X 71, (Aerodynamic Multiplier): ) - M = M PCA: (Pmax3: X A, (Ae odynamio Multiplier): ) - M = M PCA: Page -2 ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations • d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 /J8 /0OJob Address in Tax Folio Legal Description Historically Designated: Yes /Lessee / Tenant 8( ,X54 ,' Owner's Address /// qq 6-7 Contracting Co. A !.0 (. pf 77t70 Address Qualifier gQxppPs , F ✓ 1.r 7ni ) ! ( e t KF-, ss# State # rZ 06 g og Municipal # Bonding Company Mortgagor - 7///0/0 Signature of owner and/or Co o esident Dat Notary as to Owner or Condo President atte My r Commissio Expires: /-0 ' _ �. "tie '✓ = ^-C� 5 t APPROVED: Zoning Mechanical S•N CC797/2 MY commission EXPIRES rrr 17,20 RADON C.C.F. Building Plumbing - Phone )gq2 ` G 5^Q' Competency # Ins. Co. Jl ,c` tt`C.0 AG, Architect/Engineer - J 4Lt4d le v A ; iectS Address Address Square Ft. Estimated Cost (valu L. NOTARY 5 Master Permit # 4g Phone ,f' 166s Ne 13 '7 Electrical Permit Type (circle on BUILDING LUMBING ECHANICA ROOFING PAVING FENCE SIGN 1 WORK DESCRIPTION Le jr t'NT AC T .i 1 •{' IPr`- o. 0 pA, 2S ( Q O4 ,) f . «o 7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. tractor or Owner - Builder Dat 2 ? otary as to Contracto Date My Conunission E rA C- G l t J " /� Q l e k Z S j "r y � � ` 47 ) 4. MY COMMISSION ISSION pc OF FV P(� OFFICIAL NOTARY SEAL L BOND pE c. 17,200 TOTAL DUE tetA>cC.P Structural Engineer /oo Received Jan -15 -98 10:01am from 561 338 5391-4 PIONEER ROOFING '03/22/00 WED 16:56 FAX 561 333 5391 MONIER LIFETILE MIAM .OADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 13= NW 20 St. Boca Raton CONTRACTOR I:NFORCEMENT SECTION (305) 3''5.2966 FAX (305) 375.2905 PRODUCT CONTROL DIVISION Yot.r application for Product Approval of: (305) 375.2902 FAX (305) 372.6339 ,4tluntis Shake and Slate Flat Profile Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate: Materials and Types of Cor.struction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. Thir approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the :se of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the: South Florida Buildin, Code. Tilt: expense of such testing wil be incurred by the manufacturer. Ae :eptance No.:99- 1012.07 (Revises No.: 98- 0604.01) Expires:12 /16 /2002 FL 33431 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECI:i IC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code ani Product Review Committee to be used in Dade County, Florida under the conditions set forth above. A plproved:12 /30/19 1 of 8 Internet mull uddre;: postmuster (`g.huildingcudeantine.cunt page 1 X001 MIAMI -DADE COUNTY. FLORIDA METRO -DACE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -CADE FLAGLER BUILDING 1.0 WEST FLAGLER STREET. SUITE 1603 alt 1,Ni, FLORIDA 33130-1563 (305) 315.2 -901 FAX (305) 375-2905 CONTRACTOR LICENSING SECTION (305) 3'5-2527 FAX (305) 375.2553 Raul 3.odriguez Chief Product Control Division rrran :isco I Quintana, R.A. Dire ;tor Miami -Dade County Building Code Compliance Offic Humepuge: http : / /www.huildingcudeunline.eom deceived Jan -15 -98 10:01am from 561 338 5391 -' PIONEER ROOFING 6''3/22/O WED 16:57 FAX 361 338 5391 MONIER LIFETILE MONIER LIFETILE LLC ACCEPTANCE No.: 99- 101.2.07 APPROVED :Decetnber 30, 1999 EXPIRES : Decetnber 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. SCOPE This revises a roofing system using Monier Lifetile Atlantis Shake & Slat:: Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain 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. Trim Pieces Rainproof It Category: Prepared Roofing Sub Category: Flat Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description vlonier Lifetile 1 15" \tlantis Shake and w = 10 3 /S" Slate Tile 1 '/'" thick Product Ice and Water Shield 1= varies w = varies varying thickness 2.1 Components or products manufactured by others 30 "x75'roll 36 "x75' or 50" x 75' roll 36" r. 75' roll PA 103 PA 112 Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applicatior.s. PA 1 (2 Test Product Dimensions Specifications Description PA 104 Accessory trim, concrete ;oof pieces for use at hips, rakes, ridges and %•alley terminations. Ivlanuractved For each tile profile. Single ply, nail -on Protect -O -Wrap, underlayment with 2" Inc. self-adhering top :with current NOA) edge. Self - adhering uncle C`Ianufacturcr W.R. Grace Co. cu;rrr• NOA) Frank Zuloaga, RRC Roofing Product Conlol Examiner page 2 Z002 July 5, 2000 Ms. Susan Ackley 1119 N.E. 99 Street Miami Shores, Florida Re: 1119 N.E. 99 Street Miami Shores Dear Ms. Ackley: The following are our reconimen Very truly yours, DAVIS ENGINEERS, P.A. /� BY: Iv /' . - vii P. 7- 7 — Zd / RC /jb DAVIS ENGINEERS, P.A. 780 TAMIAMI CANAL ROAD • MIAMI, FLORIDA 33144 PHONE: 305- 266 -2566 FAX: 305 - 267 -1556 On July 5, 2000, we conducted a structural inspection of the fire-damaged guest bathroom and living room at the above referenced residence. ". Guest Bathroom 1. Floor joists and ood�deck as well as partition wall , 'are to be removed and replaced keepmg�the:same size an spacing. 2. Floor joists should be 2" x 10" southern pine #2 or better, spaced at 16 ", attached to header joist with EUH 28 -10 joist hanger (Hughes - NOA = 98- 1216.07). 3. Partitionwall.should Code. South Florida Building Living Room 1. Seven : (7) floor joists (2" x 10 ") were. to berdamaged. They should be removed and replaced w the same size and spacing (16" c /c). These joists should be attached to headers with�EUH 28 -10 j oist hanger (Hughes — NOA #98- 121607) ,. 2. The wood deck for the floor in this " "areashould also be removed and replaced keeping the existing size i:x, Comments: APPLICATION FOR CERTIr ICATE OF RE- OCCUPANCY hereby apply for a certificate to re- occupy the single family residence known as: (address) 4 0 A) q S , M'iatni Shores, Florida. Legal description: Lot: / (, ,Block: ( Fr ,PB&PG: 5 3 5 I hereby certify that I understand that the zoning of the property is for single -family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, Florida, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Print Name: C ft N E L . -t, P/ Al ( )11 **_*.*************.*******.******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For the purposes of conducting the inspection required by Section 902 of the Mfiami Shores Development and Zoning Code, contact: Contact Name: J#'J J , . CA —L / //r 2 Telephone: 3 -5 / x/ Z Buyer. Seller: Realtor:4 Company Name:, (24-/e V/ OA � �4-e_ y Application Fee (S50) Paid: Cash: Check:4 Number 3/ Inspection: By:F • LEBIE pproved: X Denied: 9 / 1= & SONS, Inc. POST OFFICE BOX 4300 PRINCETON, FLORIDA 33032 M. Finn Future ?-; rcow 3820 E.7. 135th St. Miami, Fla. 33054 , PM t JAN Received ,Jan -15 -98 10:01am from 561 338 5391 -► PIONEER ROOFING 03/22/00 WED 16:57 FAX 561 338 5391 _ MONIER LIFETILE IONIER LIFETILE LLC Product \, ood Battens Tile Nails 1 ile Screws Roof Tile Mortar ( "Ti leTiteT" ") 'tool Tile Mortar "Quikrete® Roof 'File Mortar 8 140 ") Roof Tile Mortar "BONSAL® Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polypro® AH 160 ") NOTICE OF ACCEPTANCE: Dimensions Verti ;aI Min. t "x 4" Horizontal Min. t "x 4" for use with vertical battens or Min. 1 "x 2" for use atone Min. lbdx 3" 48x. 2 V:" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N,•A NI A N/A i•IfA Test Snecitications Wood Preservers Salt pressure treated institute LP — 2 or decay resistant lumber ba ?ens PA 114 Appendix E PA 114 Appendix E PA 123 PA 123 PA 123 See PCA ACCEPTANCE No.: 99- 1012.07 APPROVED :Decetnber 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product Description Corrosion resistant screw or smooth shank nails Corrosion resistant, coated, square drive, ealvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Manufacturer generic generic generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsai Co. with current PCA Two component Polyfoam Products, polyurethane Inc. adhesive designed for adhesive set roof tile applications. Frank Zuloaga, RRC Roofing Product Control Examiner page 3 l�003 Received Jan -15 -98 10:01am from 561 338 5391 PIONEER ROOFING '03/22/00 WED 16:58 FAX 561 338 5391 MONIER LIFETILE MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CO`DITIO`'S Test Product Dimensions Specifications Description Manufacturer Product Roof Tile Factory premixed See PCA Single component Flexible Products P dhesive canisters polyurethane foam (with current T ileBond roof tile adhesive NOA) vurricane Clip & Fasteners . LIMITATIONS Clips PA 1 14 Corrosion resistant Min.'' /_" width Appendix E clips with corrosion Min. 0.060" thick resistant nails. Clip Fasteners Min. Sd x 1 V.�" 3.1 Fire classification is not part of this acceptance. 3.2 For mortar cr 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 Ce tif Laboratory to perform quarterly test in accordance with PA 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for r. :view. 3.4 Minimum underlayments 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 installer 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 chapter 29 of the SFBC. 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 & Slate Concrete Roof Tile aid its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Tile Profile Table 1: Aerodynamic Multipliers - X (ft') Monier Lifetile Atlantis Shake & Slate Tile .24 4 (ft') Direct Deck Appli.:ation Generic nano: Luloa,a, RR Rooting Product Control Examiner page 4 fit004 STATE COY State of of Section he desires to Bloc property, a the Village of Miami Shores, 0 • , being duly sworn, doth depose and says that under the jet Sub section 0), of the Building Code of Miami dpi required by the Zoning and Building Directors • 1. Fie plate and specifications and obtain o ha Balding inspector, 2. A for and secure a permit. 3 ., Pad►. rte required fees for license and for permit, 4. Bite the work in accordance with the pr o si.ons of and l.ecica1 Codes of Miami. Bbores Village. 50 Apply for inspeotions. 6. File with the Building Inspector certificates that pro to wry the necessary Workman's Compensation, Public Da ';.z ge Insurance. File with the Building Inspector as the job progresses pert the payment required by the Federal Social Security Act tF Florida or the United States of America. Assume tho responsibility of not employing contractors or sub other than those properly licensed by Miami Shores Village or aw -pa portion of the work Lnoluding, but not limited to, general oontrao i plumbing, heating, olootrioal, septic tank, solar s ystem, lathi torrazo, painting, roofing and cheat metal, work or installation. 9. Not set himself up as 4 UContractorh 10. cute Builder's Band4 A.nd fur sr this Deponent says not. work personally, and that he will, at suds SUB$0RI 3 ID AND Std TO BID E ME THIS „ DAY of .