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ROOFPhone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I I1O Time Type Insp'n' V ) Permit No. � ''' JI" �� 2Q t�? J . Name O coi e{ Address Compan 1.a0 I - lq S 4 (Ac r _ For Inspector: 6 9 7 (2' Name & Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /)' I l O Time Type Insp'n — Fi r \r p 100 0 t no Permit No.l )? CCD O Name 0 CC Address VD-0 QE PSI Company POPM r Phone # For Inspector: I 1 I Name & Date Approved Correction Re- Insp'n Fee ?.99 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B ilding Inspection Request Date 1 Time Type Insp'n y-'lopInot . (roo €) Permit No. 6P 200 3 - 10 (0 3 Name O U 1 6---- - Address N 9a S T Company ?oP \ ` Q.00f- -1 Phone # 30S -82,1 For Inspector: QjP 19"— I _Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buiding Inspection Request Date 9 cop Type Insp'n I `fl Cb ? (coc f) Permit No. t )v 2-637).- t063, Name 00eW"' —• � Address 120 [ - l_t `- Company ?qU'Q r e0 G ` ' Y 'G Phone # � ✓ — - 5 3 1 For Inspector: 01 /5 Name & Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu ding Inspection Request Date /! Type Insp'n HnQ1 (Rcor) Permit No. 6P 2003 1 0( 03 Name oe) OTC LQJ'a _ Address L 1 Compan PY20 ICI V . Phone # For Inspector: 6 1 7 7 I I Name & Date Approved Correction Re- Insp'n Fee Time sue-/ �,o � Cam-- lt541111( Date 06126/2003 Job Address 1201 N E 99th STREET Tax Folio Legal Description Owner/Lessee / Tenant HAROLD ODUBER Master Permit # Owner's Address 1201 N E 99th STREET MIAMI SHORES FL 33138 Phone 305 756 -5311 Contracting Co. POPULAR ROOFING INC Qualifier DOLORES T - NERNANDF.Z SS# State # CC— CA57455 Municipal # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL OOFING�PAVING FENCE SIGN WORK DESCRIPTION RE—ROOF INSTALL ONE TIN CAP 301 FELT TO SMOOTH SURFACE. INSTALL ONE 901 SLATE TO 301 FELT, SET IN HOT ASPHALT. INSTALL CLAY TILE SANTAFE COLOMBIA SET FOAM. Square Ft. 3579 REC EUVWlt) PERMIT APPLICATION FOR MIAMI SHORES VILLA t E JUN 2 7 2003 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio and zoning. Furthermore, I authorize the above -named contr tor to .. the work stated. an r Condo P esident ate �JL IL L . Notary as to Owner and/. ' My Commission Expir lr Signature of owner y., v ondo Presigen ° ��j 1 * Z tr- FEES: PERMIT . • S 0 RADON APPROVED: Zoning Building Mechanical 4 3 #DD 199663 1 .:1 5. "S s oociedmo Historically Designated: Yes No 3 Address 7953 N W 163 TER, MIAMI FL 33016 Estimated Cost (value) $16.400.00 Signature of Co Notary as to :or 1 ';• My Commission Expires: Phone 305 821 -5394 Competency # Ins. Co. 1 1 tractor o er -Bui der 2F ate z6 D ate SloNF . ��j _* 'O : 3 %C .9 9'�mw amN 0 NOTARY\ IlitiBil O' O TOTAL DUE-5_1141 JUL - 3 2003 Electrical Plumbing Engineering STATE OF FLORIDA, COUNTY OF ^E 1 HEREBY CERTIF that this is a try c r r the otl.ce on _ �) r ot V,J original Iliad to th WfTivESS myha� and 0 !i„ al Saal. HARVEY RUVIN, 1 of ircui . � d .unty Courts By �� "9 D.C. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. SP 2003 - 1063 TAX FOLIO NO. 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: 1201 N E 99 St. MIAMI SHORES VILLAGE FLORIDA 33138 2. Description of improvement: RE ROOFING. 3. Owner(s) name and address: HAROLD. ODUBER 1201 N E 99th STREET MIAMI SHORES, FLORIDA 33138 Interest in property: OWNER. Name and address of fee simple titleholder: 4. Contractor's name and address: POPULAR ROOFTNG TWC. 7953'N W 163 TER, MIAMI FL 33016 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 or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 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: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differen Signature of Owner Print Owner's Name cified) kS\ RODR/ •� i 29 2po � - m this Z •of #oo,.#9 ' s -5) ended t � Q � . , A �b14 Und ; • \ ���\,. // 1 I 1iN' 0 \�� Sworn to and subscribed bef l Notary Public Print Notary's Name_ My commission expires: __..._ .... . 7' • i? t'AGI a 80' 20 . 1111111111111111111111111111111111111111111111111111111 C_F= N 20o3Ro4 -4 -2737 OR Bk 21387 Ps 2467; (1as) RECORDED 07/01/2003 12:21:51 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE Prepared by Norberto Martinez Address: 7953 N W 161 TFR, MIAMI FL 33016 Miami Shores Village Building Department BUILDING CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name d / A nfy aM S �i/� JUL - 3 2003 b Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Contractor's Name A,/ v (; h c) I' Job Address / 2 2 / ,V S r ROOF CATEGORY ❑ Low Slope ❑ Asphaltic Shingles ❑. New Roof ( L Re- Roofing ❑ Recovering D Repair ❑. Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 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 Io cation of parapets. Form A$ -326 ( Page 2 of 5) New 1/16/02 Section A (General Information) Process No. ❑' Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE Morta /Adhesive SeSe ❑ Wood Shingl a es f J-7 I I I 1 1 1 1 / 4 2 1 1 1 1 i 1 ' II i i i N j 3 I ti 9 N -1 — 1V -> 4. rill c.i 3 ' 1 — -- Mir r r ,, b Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Contractor's Name A,/ v (; h c) I' Job Address / 2 2 / ,V S r ROOF CATEGORY ❑ Low Slope ❑ Asphaltic Shingles ❑. New Roof ( L Re- Roofing ❑ Recovering D Repair ❑. Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 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 Io cation of parapets. Form A$ -326 ( Page 2 of 5) New 1/16/02 Section A (General Information) Process No. ❑' Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE Morta /Adhesive SeSe ❑ Wood Shingl a es f J-7 Roofing .Permit gtapt- ication Forrrl • High Velocity Hurricane Zone Uniform Roo 9 Pe Mid MI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: -5 Roof Mean Height- - Ridge Ventilation: Perimeter Width: Roof System Manufacturer: N/A -filetf:od -af Tile Attachment: PoI Polypr° Adhesive, Large Paddy yf oam - -- Alternate -Tile Attachment Method: Clip Spacing for Metal Root Panels Field: Perimeters: Comers_ Section D (Steep Sloped Roof System) Sane Corporation 00- 1212.0 Notice of Acceptance Number If (from RAS 127 or Calculations): Minimum Design Wind Pressures. � �� ?� . Pmax 3: Pma -x1: . . 3 Pmax 2 l Maximum Design Pressures, (From the RCA Specific system): Sloped - System Description- - DeckType:.fJ/rG`° plywood ■ Alternate Deck Type: Undedayment type: file: //C: \\Iviy %o20Doeuments\sect on d_3•htm Page 4 C# 30 Felt Type insulation /Fire Barrier Board: N/A Optional Nailable Substrate: N/A _..._...._. _ Fast asteners: - 11/4" R/S Corrotion Res: Cap Sheet Type/Adhesive Type: #90 FeltBacknaiied Roof Covering.: Spanish "S° _ Roof Covering Attachment Method: Adhesive 3 fae Drip. Edge Size & Gauge . 26 ga. Drip Edge Material Typ Galvanized Metal Drip Edge Fastener Type: 3 "x �-- 3 " DI E 26 ga Hook. StripiCteat ga. or weight: 4/11/2002 Method 1 "Moment Based Tile Calculations Per RAS 127" 47.6 x - - M' c;.<7,2= Mr:1 := : i 3 NOA .Mf: 61.9 P1: g• 61_` 00.6 xA T -Mg: . r1: Z N O A A Mf :l P 2. � � 90 = M - F37.5 NOA Mt. 61.9 P 3: I00:6 X,� .297 - Mg: :` 0 = Method 2 "Simplified Tile,Calculation Per Table Below" o of Resistance (Mr) From the Table Below:E Required Moment M Required Moment Resistance* Hurricane Zone Uniform R fo nl g Permit Application Form High Velocity ,— -- MIAMI -DARE COt}NTY BUILDING DEPARTMENT.ELECTROt7IC APPLICATION Section E (Tile Calculations) are- the values For M with the values es from f. chose either Method I r than or to the for Mr with the values front Mf. if the Mf values are greater Mr v- alues, for each aea of the roof, then the tile attachment method is acceptable. NOA 'This Table must be used in conjunction with a list �om a �. If: Appeals. systems endorsed by the Broward county Page 5 Jroofin ermiting /seetian_e_3 .htm -S�n � '�` Fe 4/11/2 hnp: IIWWvv.co.miami- cTade.fl.us�ldg g� �4 SECTION-1524 IIIGIH VELOCITY II OItRtr.CA -NE ZONES REQUIRED OWNERS NOTIFICATION POlit ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for rooting system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owners initial in the adjacent box indicates that item has been explained. V et 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, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs arc those which have no visible delineation between units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing co r ctor neighboring owner should notify the occupants of adjacent units of roofing work to be performed. )10 4. Exposed Ceilings: Exposed, open beam ceilings arc where the underside' of the. roof decking can be viewed from. below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the • option of maintaining this appearance. Yt' 5. Ponding Water: The current roof system and /or deck of the building. may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an not of l strcc ttii al distress and may require the review of a professional structural engineer. Ponding rnay shorten the life expectancy and performance of the new roofing system.. Ponding conditions may not be evident until the original roofing system is removed. Pounding condition should be corrected. . i4 ..,6. . Overflow scuppers (wall outlets): It is required that hat rainwater flow off so that the roof is not overloaded from a build up of water_ Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers. (wall outlets) arc not provided. It rnay be necessary to install' o.v_erfIow scuppers in accordance with the Florida Building Code, Plumbing. •A9 4 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the intet'ior of the structural, assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional�venting which can result in extending.the service life of the roof. Owner's/Agent's Signature CPLOCCA4 1b.aLLOCe1_}.rarovt$xCT10.• IS_a.Js Tate L3 Contractor's Signature 02/13/2001 11:09 3058880050 M rA M I•DADE PRODUCT CONTROL NOTICE OF A CEPTA Santa Fe Tile Corporation 10302 N.W. South River Drive, Bay #16 Medley ,FL 33178 Your application for N iami -Dade County governin Construction, and completely described herein, has been recorrr County Building Code Compliance .Office (.BCCO) under the. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 00- 1212.06 EXPIRES: 02/01/2006 This application for Product Approval has been reviewed by Code and Product Revie.w Committee to be used in Miami -Da forth above. APPROVED: 02/01/2001 of Acceptance (NOA) of: SANTAFE TILE CORP PAGE: 01 MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO-DADC FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 3 ;130 -1563 (305) 375 -2901 FAX (305: 375-2908 CONTRACTOR LICENSING SECrIO' (305) 375 -2527 FAX (30:4 375-2553 CONTRACTOR ENFORCI•:AM ENT DIVISION (305) 375 -2966 FAX (30 375 -2908 PRODUCT CONTROL DIVISION (305) 375.2902 FAX (30.i) 372.6339 the use of Alternate Materials and Types of ended for acceptance by the Miami -Dade nditionsspeci.fied herein. - This NOA shall not be valid after the expiration date stated bel.w. 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, 3CCO may revoke, modify, or suspend the use of such product or material immediately. BCCO resery the right to revoke this approval, if it is determined by BCCO that this product or material fails to rl eet the requirements of the South Florida Building Code. Raul Rodriguez Chief Product Control Divi ;ion THIS IS THE COVERSHF,ET. SEE ADDITIONAL PAC: S FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE the BCCO and approved by the E.uilding e County. Florida under the conditions set Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \ O 4500011pc200011templateslnotice acceptance cover page.dot Internet mail address: postmaster @buiidingcodeonrine.com Horr eprge: http : / /www.buildingcodeonline.com 02/13/2001 11:09 3058880050 1. SCOPE This renews a roofing system using Santa Fe "Santafe clay roofing tile, manufactured by Santafe Tile Corporation described in Section 2 of this ' otice of Acceptance, designed to comply with the South Florida Building Code, 1994 EdiOion for Miami -Dade County. For locations where the design pressure requirements, as detirmined by applicable building code, does not exceed the design pressure values obtain by calculations in compliance }vith. RAS 127 using the values listed in herein. The attachment calculations shall be done as a moment based system. ROOFING ASSEMBLY APPROVAL Category.: Roofing Sub- Cateftorv: 07320 Roofing Tiles Materials Deck Type: 2. PRODUCT DESCRIPTION 2.1 SANTAFE TILE CORPORATION : ACCEPTANCE No.: 00- 1212.06 Manufactured by Applicant Santafe `S' Clay Roof Tile Trim Pieces Product Tile Screws 3. LIMITATIONS I 18" w = f1.5" ''A" thick I = varies w = varies varying thickness Dimensions #8 x 2 - /" long 0. 130" shank dia. 0.178 flute dia. Clay Roof Tiles Wood Test Dimensions Specifications COMPONENTS OR PRODUCTS MANUFACTiURED BY OTHERS 11 Product ascription Stainless Steel Tes t Specifications PA 114 Appendix E 2 SANTAFE TILE COWI' • Approval Date: February 1, 2001 Expiration Date: February 1, 2006 Product Description PA 112 One piece high profile clay roof tile equ:pped with two nail holes. For nail -on, mot ar set and adhesive set applications. PA 112 Ace ssory trim, clay roof pieces for use at hips rakes, ridges and valley terminations. Ma ufacturcd for each tile profile. Manufacturer generic 3.1 Fire classification is not part of this acceptance, . 3.2 For mortar or.adhesive set tile applications, a sta is field uplift test shall be performed in accordance with RAS 106. • 3.3 Applicant shall retain the services of a Miamd -Dade County Certified Laboratory :o perform quarterly test in accordance with PA 112 submitted to the Building Code Compliance Offs a hall he uloaga, RRC 'hoofing Product Control Examiner • t'HUt. '02 Table 2: Restoring Moments due to Table 4: Attachment Resistance Expresse4 as a Moment - Mf (ft -lbf) for Mortar or Adhesive Set] Systems Tile Profile Tile Profile Tile Application 4 :12 / Attachment Resistance Santafe 'S' 6":12" Mortar Set Battens 23.6 Adhesive Set r 61.9 Table 2: Restoring Moments due to Gravity - Ma (ft,lbf) Tile Profile 2 , � :12' 3 .12 4 :12 / ' :12 6":12" 7":12" or c reater Battens Direct Deck Battens Direct Deck Battens Direct Deck BatlE�ns f Direct Deck Battens Direct Deck Battens Direc :t Dec'c Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.6 5.53 5.32 5.29 5.03 N /P 02/13/2001 11:09 3058880050 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 3.5 30/90 hot mopped underlayment applications t lay be installed perpendicular to the roof slope unless stated otherwise by the underlavrnent material manufacturers published literature, 3.6 This acceptance is for wood deck applications. lvlinimum deck requirements shall be .n compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed County Roofing Application Standard RAS 118. 4.1.2 Data For Attachment Calculations Tile Profile Santafe S Table 3: Attachment Resistance Expressed as a Moment Mf (ft - ibf) For Nail - On Syste Tile Application Direct Deck Battens Two Nails 21.8 One Screw 29.16 . Approved screws as noted 'Product manufactured by others' 3 SANTAFE TILE CORP PAUL n n strict compliance with Miami Dadc RAS 119, and RAS 120. Twvo Screws 38.28' One Screw w/ Clip 57.31 rank Zuloaga, RRC Roofing Product Control Examiner Two Scrcw:; w/ Clip_ 57.60 61.77' Table 1: Aerodynamic MultiptrVers— X(ft Tile A. (ft) k (ft Profile Batten Applicat on Direct Deck Santafe 'S' 0.274 0.297 02/13/2001 11:09 3058880050 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 3.5 30/90 hot mopped underlayment applications t lay be installed perpendicular to the roof slope unless stated otherwise by the underlavrnent material manufacturers published literature, 3.6 This acceptance is for wood deck applications. lvlinimum deck requirements shall be .n compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed County Roofing Application Standard RAS 118. 4.1.2 Data For Attachment Calculations Tile Profile Santafe S Table 3: Attachment Resistance Expressed as a Moment Mf (ft - ibf) For Nail - On Syste Tile Application Direct Deck Battens Two Nails 21.8 One Screw 29.16 . Approved screws as noted 'Product manufactured by others' 3 SANTAFE TILE CORP PAUL n n strict compliance with Miami Dadc RAS 119, and RAS 120. Twvo Screws 38.28' One Screw w/ Clip 57.31 rank Zuloaga, RRC Roofing Product Control Examiner Two Scrcw:; w/ Clip_ 57.60 61.77' • 02/19/2001 11:09 • 3058880050 SANTAFE TILE CORPORATION PROFILE DRAWIN SANTAFE "SANTAFE S" CLAY 4 SANTAFE TILE CORP PAGE U4 5. LABELING 5,1 All tiles shall bear the imprint or identifiable rking of the manufacturer's name or los;o, or following statement: "Miami -Dade County Pe duct Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accomp ied 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 system. ACCEPTANCE No.: 00- 1212.06 OOF TILE Frank Zuloaga, RRC Roofing Product Control Examiner • 02/13/2001 11:09 3058880050 SANTAFE TILE CORPORATION 5 SANTAFE TILE CORP 9 This Acceptance contains pages 1 through 5 END OF THIS ACCEPTAICE • • • • • • • • • ACCEPTANCE No.: 00-1212.0S NOTICE OF ACCEPTANCE STANDA' D CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after: renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older that eight (8) years. 2 Any and all approved products shall be permanently labeled wit the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control pproved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building C affecting the evaluation of this product and the product is not in compliance with the code changed b) The product is no longer the same product (identical) as [t* one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed required documentation initially submitted, is no longer practicing the engineering profcssio 4 Any revision or change in the materials, use, and/or manufacturi� of the product or process shall automatically be cause for termination of this Acceptance, unlesd prior written approval has been requested (through the filing of a revision application with appropriate feej and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; s b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Miami`iDadc County, Florida, and followed by the: expiration date may be displayed in advertising literature. If any) portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. • • 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and stttall be available for inspection at the job site at all times. The copies need not be resealed by the engineer 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. Frank Zuloaga, RRC Roofing Product Control Examiner PAGE 05 r f in . PRODUCT CONTROL NOTICE OF ACCEPTANCE ' 1'olyfiiam Products, Inc. 2400 Spring- Stuebner Road Spring ,TX 77383 -1132 Your application for Notice of Acceptance (NOA) of: \ , wive ' A l ` 'Itirtg,the use of Alternate Materials and T Construction, and completely described herein, has been recommended for acceptance by the Miam -D s of County Building Code Compliance Office (BCCO) under the conditions specified herein. ude • This NOA shall not be valid after the expiration date stated below. BCCO reserves the right secure this product or material at any time from a jobsite or manufacturer's plant for quality contrl testin . If this product or material fails to perform in the approved manner, BCCO may revoke, modif , g use of such product or material immediately. BCCO reserves the right to r: yoke this ap approval, if it is determined by BCCO that this product or material fails to meet the requirem•nts of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. APPROVED_ 06 /14/2001 ACCEPTANCE N EXPIRES: 05/10/2006 11; 04500011pc200011ccmolare;Inotiee aeccpr nco cover page.dor \ In !cruet snail address: postmestcr(iDbuildinl;codennllne .corn • 1 1.TT I C.1' l 'TAM' f TTVA T T'TA T J MIAM[ -DADS COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADS FL,\GLr,•R I3UIr,DrNG kin WE,S'f rr,,AGLER SIREE7. SUITE 1603 MIAtvrl. FLORIDA 33130 -1563 (305) 375 -2901 i,\X (305)375-290S CONTRACTOR (.ICENSINC SECTION 0 FAX (3051 375.2558 CONTRACTOR ENFORCEMENT t)IVISIOiN ( 375 - 29GG PAN (305)375 PRODUCT CONTROL_ DI VISION ( - 2902 FAX (305) 372 -6339 Raul Rodriguez Chief Product Control Division TI-ITS IS T[.IF COVERSFTEET SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved. b Code and Product Review Committee to be used in Miami -Dade County, Florida under the on s forth above. s set Francisco J. Quintana, R.A. Director tvtitiii -Dad Count. I3uilding Code Contpli : Office Hontep;It;e: littp://www.buildingeodeonlinc.com 7cnT nln .nn T1VT nn • IT T \T nn iln i nn Cm n a Pol.yfoa•m Products, Inc. R00■ING ASSEMBLY A PPROVAL =s-- Roofing Sub -Cat c�t,ty. Roof Tile Adhesive Approval Date_ -Tune 14 2001 Expiration Datc: May 10, 2006 Materials: Polyurethane . SCOPE This approves Polypru® AH160 as manufactured by 1'ofyfoam 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® AI-I 160_ Where the attachment calculations are done as a naornent based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by An I'_ezint Polypro® AI -1160 Dint� N/A Foauiproe RTFI000 N/A ProPack® 30 & 100 N/A 2.1 Components or products manufactured by others; Any Miami-Dade County Product Control Accepted RoofTile A (raving a current NOA which list uplift resistance values with the use of Polypro Al roof tile adhesive. Z•2 Typical Physical Properties: Pro cr 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 2126 Stability "I0T T.'TVA.TT' Tcs t St teci frcntiortc PA 101 Results 1.6 lbs. /ft.' 18 PS1 Parallel to rise 12 PST Perpendicular to rise 28 PST Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch ACCEPTANCE No.: 01_0521.02 +0.07% Volume Change o -40p F.. 2 weeks --6.0% Volume Ch; n llumidity. 2 weeks Product Description Two component polyurethane Dispensing Eq Dispensing Equipment Frank Zuloaga, RRC Product Control Examiner hnn r3i, Polyfoam Products. Inc. ACCEPTANCE No. : 01- 0521.02 Note: The pliyaicnl 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. Refer to the Prepared Roof Tile Assembly for lire rating, 3.2 Polypro® A1.1160 shall solclybe used with flat, low, & high tile profiles. 3 -3 Minimum underlayments shall be in compliance with the Rooting Application Standard RAS 120. 3 . 4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH l 60 root' '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. _) 1' z 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 4.2 Polypro® AH160 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 4.3 Polypro® At roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AR 160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoarn 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 "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. 4.6 Polypro® A[ -1160 shall be applied with Foarnpro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4 .7 Polypro® AF[ 160 shall not be exposed permanently t0 sunli 3 'NOT I' ^,r1 /TrAT T 171.7e.T T'T!1T w F'= — MS Frank Zu1oa'a, RRC Product Control Examiner cnn Pol foam Products Inc. ACCEPTANCE No. : 01- 0521.02 ' 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 • minutes after Polyproe AH 160 has been dispensed. 4 .9 Polypro& AI - 160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic "file Profile Flat, Low, 1-li Profiles Single l'adcly Weight Min. (grants) Two I'nddy Weight per paddy Min. rnnrs 5. LABELING All Polypro© AH 160 container's shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building properly evaluate the installation of this system. Code in order to 4 • "'IV( r 'r r ^nirn rr rTVn ♦ran r FrankLuloaga, RRC Product Control Examiner Ann a Polt'roan) Products, Inc. ACCEPTANCE No. 01-0521.02 . ADHESIVE PLACEN1 NT DETAIL l SINGLE PATTY Noll through plastic cement Paddy Illan.sth Thl Fon Volute 101n. Fisch an coupe only: Katp ade..6o approx. 4 In, up Isom wo.pholes Nall through pleatic cum! Undadaymenl Eno Cools E2.1 CoUttt onf Kelp adhesive *ppros, 4 in, up from armholes Paddy (Elenoalh Tllol Fascia Ern Clatter, Hall through plastic come nI Undcrloy noel 101n. Eove counc only; Keep adhetive approx. 4 In. up Iron Woapholes Paddy (fioneath T yl Faith Weephol. Ears Omura Odp edge 1) Place onouph adheolve to achieve 17 to 22 Iquara Inchct In contact with the pan Ilia 21 Turn coeera upild. down. Place adho'Ns 1)2 In. To 1 In. From outtlde edge of corer ilk. Then mists) the ill., p Dna ia't or stoop pitch application. 4sa through plaid: ccmcnt 5 • T • r• il"A \T r nivr, •••••" • Ramp. lop portion of the ',ea counc cover 010. Abut to Mcond courm of pan (Ilea- Daum Ian In of pan and cover dies art hush 11 es vs line, El"' Bos {mortar thorn) Weepholt Fasele Bo Optional Pohnt•up 4orut on longltudInal 'Opal of Ills Sheathing Frank Zuloagn, RRC Product Control Examiner Ron Fdi — Poi Foam Products. Inc. ACCEPTANCE No. : 01-0521.02 • ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Single paddy under the Paddy (botwaon Me) Paddy (under tile) • Eave course 2 in. X7 in, medium size paddy gave Fascia course only Nail through plastic cement Underlayment Single paddy on under- laymen1 Single paddy on top of Ille bye Course Nall through plastic cement Single paddy on top of tile Eave Course 3 In. Single paddy on underlayment Eave Closure 2 In. r 7 M. medium size paddy eave course only Fascia 7 - nmr . cr-Nnt - rnyff Tavel.vv Frank Zuloaga, RRC Product Control ENaminer ,LAT eNta, .er.tvl. Single paddy undor Illo Single paddy bclween Ille 2 In. r 7 In. medium size paddy gave course only Fascia Weephole Eave closure Drip edge Polv(onm Products, Inc_ ACCEPTANCE No.: 01 -0 502 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Feld) Werphde Ewe cloture Drip tripe 6 '1AT7 �C7"11l lT(1Vl IIiVAST"TA T FrankZuloaga, RRC Product Control Examiner e . Pol foam[ Products inc. RcE;;;:ival of this Acceptance (approval) shall be considered rifler a renew and the original submitted documents, including engineering application I e erigdoc has umen i s . a tiled older than ei Yht S test-supporting Bala ccring docts arc no S (K) years. ve all approved and d od Any arid the f000tdirp, products shall bc permanently labeled with the manufacturer's name, city, specifically stated in the specific rconditions�of this DAccep County Product Ceutrol Approval ", or as 3 . Renewals of Acceptance will not bc considered if: a. There has been a change in the Sotidt Florida Building Code affecting t product and the product is not in compliance with the code changes. - b. The product is no longer S Itc, evaluation of this c, If the Acceptance holde has icon (ident w all as the one originally • approved, including the correct installation of the the requirements of this acceptance, d. The engincr who on � product, ginally prepared, signed and scaled the required documentation initially submitted, is no longer practicin the engineering profession. 4, Any revision or change in the materials, use and /or manufacture of requested (throu th automatically bc cause for termination of this Accc tance. w Product r process shall requested gh die filing F ,unless prior written approval has been offi r g of a revision application with appropriate fee ) and granted by this 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. • b. Misuse of this Acceptance as an endorsement of any product for sale other purposes. s, advertising or any 6 . The Notice of Acceptance number preceded by the. words Miami -Dade Colin b.' the expiration date may bc displayed in advertising and Acceptance is displayed, their it shall be done in its entirety. itenture.. if rtnyportrooriod�,t►te Noticov`oF 7. A copy of this Acceptance as tvcll bc provided to the user by as approved drawing and other documents, where it applies, shall b� the manufacturer or its distributors arid shall be available For inspection at the job site at all time. The engineer need not reseal the copies, 8. Failure to comply with any section of this Acceptance shall be cause use for termination and removal of 9. This Notice of Acceptance consists of .1 throu 8. END OF THIS ACCEPTANCE 8 "IAiT r'IORn171 tTVnJ r-rn ACCEPTANCE No.: 01- 0521.02 Frank Zuloaga, RRC Product Control Examiner 7inT n inn TPT, �� rr w.v. w �� METROPOLITAN DADE COUNTY • FLORIDA BRICKELL PLAZA BUILDING 909 S.E. First Ave. — Room 524 Miami, Florida 33131 XXXXIKXXX C4XXOCMCNOCXXXXX3GX 579 -2981 Mr. Frank Lubien, Director Building and Zoning, Miami Shores 10050 N. E. Second Ave. Miami Shores Village, Fla. 33138 Subject: Re- roofing of residence at 1201 N.E. 99th St.Miami Shores - 17 - Dear Mr. Lubien: Pursuant to your request and Dr. R. Dickstein for our Division to make an inspection of a re -roof and tiling job at the subject residence, the following is a general opinion of the building inspection team as noted on site on March 20, 1979 at 2:30 p.m. Present on location were Dr. and Mrs. R. Dickstein, owners, Mssrs. Sheldon Hacker, consultant for the owners, and the inspec- tion team, Frank Lubien, Director of Building & Zoning, Miami Shores; James S. Varady, Assistant Chief, John J. Delaney and Frank Albury, Jr. Building Code Enforcement Dade County and Adrian Dolemba, representing A. B. Martin Roofing Co. Avisual examination and inspection was made by the inspectors and from the surface it seems apparent that the roof tile layed on the sub - surface seems sound underfoot and meets the Building Code requirements. We found no loose roof tile subject to wind uplift, however, on several areas there were slight air gaps between and underneath the roof tile, although they seemed fairly and firmly well imbedded. The roof tile had at some parts a wavy appearance, apparently from the sub - surface structure. The coating application and appearance and overall work, on an opinion consensus of the CODE ENFORCEMENT DIVISION BOARD OF RULES AND APPEALS March 22, 1979 • 2 Mr. Frank Lubien, Director March 22, 1979 Building & Zoning, Miami Shores inspectors, seems to meet the Building Code requirements. However, since the Code Enforcement inspection group was not present during the sub - surface re- construction, no opinion can be given and the owners, if they so desire, at their own expense, wish to employ a qualified engineering consultant, to remove portions of the surface roof tile, to reveal any defective sub - layers, or improper material, reflective to pertinent Building Code compliance; the representative inspec- tion department, will in cooperation with such roofing engineer- ing consultant, review the sub - surface assembly for Building Code requirements. This Division will render any further assistance found beneficial, related to subjective problem. Sincerely yours, JSV:as cc: attachment Dr. & Mrs. R. Dickstein 1201 N.E. 99th St. Miami Shores 33150 A. & B. Martin Roofing Co. 3680 N. W. 135th St. Miami 33054 Reference: South Florida Building Code Chapter 34 para 3403.2(b)(e)(f)(g)(h)(i) James S. Varady, Assistant Chief Code Enforcement Officer M7.07 TO JAMES S. VARADY, ASST. CHIEF CODE ENFORCEMENT OFFICER FROM ,�. JO J. DELANEY CODE ENFORCEMENT OFFICER (STRUCTURAL) MEMORANDUM DAT E MARCH 21, 1979 SUBJECT COMPLAINT - TILE RE- ROOFING JOB, 1201 N.E. 99TH ST. MIAMI SHORES On Tuesday, March 20, 1979 the following list of people met at 1201 N.E. 99th Street, Miami Shores, to investigate a complaint of a tile re- roofing job done at that address. Mr. F. Lubien, Building Official, requested the presence of the Code Enforcement Team to be present and make an evaluation of said re- roofing job. Dr. R. Dickstein, Resident owner Sheldon Hacker, General contractor and consultant for owner Frank Lubien, Building Official, City of Miami Shores James Varady, Asst. Chief Code Enforcement Officer Frank Albury, Jr., Code Enforcement Officer John J. Delaney, Code Enforcement Officer Adrian Dolemba, Representative for A.B. Martin Roofing Co. Upon investigation and visual inspection of said roof, it is the opinion of this Officer that the tile laying appears to have been applied to meet the requirements of the code. This Officer was not present at any time during the application of the roof and can only give his opinion after the fact. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. Date..._... »... __. ._ _ ......_ .�...... ,19.. ___ Owner's Name and Address No.. ..... Street 2Q1...T{..Z.._ Registered Architect and /or Engineer ... B. I artin Roofing; Contractors Inc 680N.W. 13,E St Name and address of licensed contactor A Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1231. r a.`. 99..i? .ft State work to be done and purpose of building (by floors) Re - Roof j5 sq. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Flat Tile Estimated Total cost of improvements $ 5425 Amount of Permit s. 16.50 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 \Vorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted fo 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 u wntra on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks..._ (Signed)- 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 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 appl ation, a that he did sign the same, and that all facts therein by him state are true. Permit No._ N .__. _ Date q 1 I 15l Read, o.• . 'nd Subscribed before Disapproved Date (Signed) Building Inspector My PLANNING BOARD • to me well known, Notary Public, State of Flori � NC.)IARY ' t .:r _ ",T LALT,': CommissionAF 4 4'.+ +4.p.};; , -,:,a4 ,_4- 4.9{,1- -... —_ &ONDED a•EU GL :.;,;L li.�. LJI , 11: 1 FRWp1Ii+7; DATE Chairman Member Member Member Member Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after npproval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE Street and Number where work is to be done BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. Date 5415156 19 Owner's Name and Address ._.. Pall ._Kiririeyw1201...N_.E__.99... St. NZ .XLf KX Registered Architect and /or Engineer Name and address of licensed contractor LANG.. $OOEING..&__TIT•P' - 3Q_.N__W._?9._.St Location and legal description of lot to be built on: Lot Block Subdivision 1201 N E 99 St State work to be done and purpose of building (by floors) 30# felt 90# . slats,_..whita...shingle...ti1e and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering tile Estimated Total cost of improvements $ 900,00 Amount of Permit $ 5a 0 0 Zone cubage required .Plan Cubage Distance to next nearest building._.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) STATE OF FLORIDA, COUNTY OF DADE. I 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 Date Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Building Inspector Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. PLANNING BOARD DATE Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty VilThge of TVliami Shores JOB ADDRESS INSPECTION 7 �r TIME READY REMARKS N9 4395 -o :e' %!`'S / ASS♦ 4y '(-_ L INSPECTOR DATE 4 -//--)t- Villa e of Miami Shores JOB Po k AuN c- ADDRESS / 2 c ( , ' c • Ss INSPECTION INSPECTOR �T. N9 4262 /2 � r�,c� -. �- Cc ‘41 , / TIME READY REMARKS DATE -6 ' / d-Z ilinrge of Miami Shores JOB uL k , ,-ti ADDRESS / 2- a ! /t/ F 9 =5 7 INSPECTION Aix. s 7 TIME READY 2 r/vi . .rS- / - S G. N? 4188 REMARKS _ INSPECTOR 0 v- DATE " /- •}�,