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ROOFINGLG ENGINEERING SERVICES, INC. Consulting Engineers North Office: 7370 N.W. 36rh Street Suite 374 Miami, Florida 33166 Tel: (305) 994 -8128 Fax: (305) 994 -8135 M. I. S. Corporation. 10220 Southwest 16 Street Miami, Florida 33165 Project: Dear Sirs; South Office: 13380 S.W. 131 Street Suite 120 Miami, Florida 33186 TILE UPLIFT TEST Mr. & Mrs. Schaefer Residence 1255 Northeast 99 Street Miami, Florida Information provided by client: Permit Number: 46282 Date Completion: April 11, 2000 Roofing Contractor: M. I. S. Corporation. LG Engineering Services, Inc. Project Number: LG00 -0679 (Testing Laboratory Certificate #00- 0224.07) E•N•G•I•N•E•E•R April 18, 2000 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 20 feet above ground surface. The type of tile used for this project was reported to be Flat Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20 % of the roof tile at the roof perimeter and corner were physically examined. Based o our tes result , we conclud that the installation of t he roof tile at th0:::a bove referenced p rolect meets the test r qu e irement outlined in the above mentioned protocol: Attached ease pl find a copy of b test report for your review LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, -Inc. oham d Sonny Salleh; P.E. Project Manager TILE_UPLIE TEST Mr. & Mrs. Schaefer Residence 1255 Northeast 99 Street Miami, Florida Report of TILE UPLIFT TEST for Mr. & Mrs. Schaefer Residence 1255 Northeast 99 Street Miami, Florida Project Number: LGOO-0679 itgtiNtlifibeem' 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 e,st Load (lb 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 ................. Test Status Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass ............. . ................ LG Engineering Services, Inc. -- Tile Uplift Test Result — Project Number: LGOO-0679, Page 1 Test Number':.: 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 hest Load (lb'; 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 .. ............................... .. ............................... .. ............................... .. ............................... €Test:Status Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOO-0679, Page 2 er:> ....................... ....................... .................. ?est Num 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 ..... ............................... Test Load ;(lb 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Status Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOO-0679, Page 3 est Number 82 83 84 85 86 Load (lbf) 35 35 35 35 35 Test: Status Pass Pass Pass Pass Pass LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOO-0679, Page 4 North \i/ 55 65 . pproximatle . :Test Location LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGOO-0679, Page 5 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4 2.40 Job Address /ass , eit S Tax Folio Legal Description Historically Designated: . Yes Owner 7� / Tenant (JU ^` Y SC h A O fe'/Z Owner's Address q9 Contracting Co. . Qualifier 11 v C ;vim State # e 00 1/7sg' Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL 19'SL(OF�J I! PAVING FENCE SIGN &4/4 7' /h ,de_S 4l v1 f 9l i�. � Square Ft.301 0 c I Estimated Cost (value /* crew WORK DESCRIPTION 2 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOlitic 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 pemlit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify tiat 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. Furthi ore, I authorize the above -named contractor to do the work stated. L 111 ,2 vo a t: n•. G.: o owner or Condo t y" Comm Exp. ;.',+1P30 1. to 2Z O.: r: S No My Co .•, Tres. Il a Address / Ph e (43' 9Y76 Ins. Co. BOND �D° Date pate 0 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTF.D ON THE JOB SITE AT TIME U)F FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real properly, and in accordance with Chapter 7 ;3, Florida Statutes, the -following information is provided in this Notice of Commencement. 1. Legal ascription of properly and street address: /57 A/ c77 inrrnk s haees' t 4W 33 / 2. Description of improvement: 9/ . Q %i � QP r� y .. 1 - 3313r. 3. Owner(saame address : Interest in property: Name and address of tee simple titleholder: 4. Contra or's name and address: 6. Lender's name and address or Print Owners N Sworn to and sub Notary Public Print Notary's Name TAX FOLIO NO lw L .o t.. UA t 1 Parzaanvig Kra tl War I. "TE OF FLORIDA, COUNTY OF DADE MIRESTI ' aim Thar this is a ✓ fru2) of the fea'1 ilodj& ?fhis office on day of ,A0 so 1 r. • .�n 'u ty u 0818084195 21100 FEB 23 11:36 4,a/ &2) /4L. 5. Surety:(Payment bond requ'red�! owner from contractor, if any) Name and address: � Amount of bond $ Ai 4— /V/ 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: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(11(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the dale of recording unless a different dale is specified) Prepared by:4/ /4. Address: gee _N' APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility ui" uie rooting contractor to provide Litt o.‘t:•■ what the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Codc (SFBC) govern all 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 WorknranshiP: The workmanship provisions of Chapter 34 are for the purpose of roviding that the roofing system meets the wind resistance and water intrusion perform:met 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 accordance with the current provisions of Chapter 29 oldie SFBC. (The roof deck is usually conce:.led_ prior to removing the existing roof system) 3. Common Roofs: Common root's are those which have no visible delineation between nci�hboring nits (i.e. townhouses, condominiums, etc.). in buildings v.ith common roofs. the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. / /I,,' �'itwed from below'. The owner may wish to maintair. the 4. Etiposed ceilings: Exposed, open beam ceilings are where the underside of the roof dcckin_; can c S '= architectural appearance. therefore, roorin�, nail penetrations oldie underside of the decking ma% not be acceptable. The SFBC provides die option of maintaining this app carance. / / =• 5. Ponding Water: The current roof system and/or deck the buildibuilding nay not drain well an niay � an indication of structural cause ��•atcr to pond (accumulate) in low-lying areas of the roof. Pondin can b distress ;rid may require the review of a professional strucural engineer. Pondirta may shorten the life expectancy and performance of the new roofing system. Po:tding conditions may not be evident until the original roof g system is removed. Ponding conditions should be corrected. I D 6. Overflow Scuppers (wall outlets): It is required that rainwater now off so that the roof is not o rloadcd from a build up of water. Perimeter /ed,c %walls or other roof extensions ma }'.bloc!: this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. j 7. Ventilation: !`'lost roof structures should have some ability to Vent natural airflow through the interior the structural 'assembly (the building itself). The existing, amount of attic ventilation shall not be reduced. It may b beneficial to consider additional venting which con result in extending the service life of the roof. S. The owner may contact the Miami-Dade County Consumer Services Department for further i formation regarding die above. D:1 c ontrrctor Signature Ft. A v Ft. V A Deck type: ATTACHMENT Fastener Type: Field: SPACING Perimeter: Corner: 123.01-78 9/96 DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Job Address: T A� Sfyeei. ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail-On Tile) (Morta Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof C (e- rooting ❑ Recovering ❑ Repair ❑ Maintenance (32 5 ) Flat Roof Area (ft 6 -- Sloped Roof Area (ft Total (ft 3 2 6=9 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): I ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page -1 —r ROOF PLAN • Appesdis "E" UMFORM ROOFING PERMIT APPLICATION PROCESS No Owe mks I wuetoaer tyC - jiyiv sidwip 4' 30 4-6te 014 r =q• - •a.n..r • woe L rc l 5. / Z •a CO) atone: AI; .c) G4.0( seild 10 r.i.4 srww,a..r j sr 1..t Coy .ens f 4-14e SAIL Se-r Immo suss" ue" O a T• 1 s trl , a 2 L 4•144 (Paw/ it A am. c. w..: )' L ) • Mt- L.z° M.i : L Z Pc A l8 y (Asps ? 103 7 x A. (A.n.i,,Nn..c iy,rp,.•n): -2 7 ) • M 6 ' - M„ $ 1 . PCA () e LAS j MS A. tAnrwww: %% now) • 7 ) _ M i :. 6 . 2 • - M 1 PCA tf 8 N " ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dads County hobo Control Notice of Accspfance•Covtr Slott a) SDacitic System Description S) Specific System Luautteon c) General Limitations d) Applicable Doan Drawings 3) Municipal Permit Applecauon 4 ) MN Cotaponsat Apptwals 01/13/99 12:08 MEDITERRANEAN ROOF TILE 4 3058999490 561 338 5391 03 /0s, MON 16.07 FAX 581 338 5391 . MONIER LIFETILE ban 1 PRODUCT C Monier Roof Tile 135 N.W. 20 St. Boca Raton, FL 33431 METROPOLITAN DAOE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -OADE FLAGLER BUILDING 1410 WEST FLAGLER STREET. SUITE 1603 MIAMI, FLORIDA 33130 - 1563 (305) 375 FAX (305) 375-2908 RO NOTICE O ACCEP ANCE PRODUCT CONTROL DIV I 2 FAX (305) 372 -6339 Your application for Product Approval of: Bermuda Flat Tile under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service Industries, Inc.. ` has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2-12 and the standard conditions on page 13. This approval shall not be valid after the expiration date stated below. The Building Codc Compliance Office 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, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Cede Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer, ACCEPTANCE NO.: 964528.06 Renews No.:94.1221.08 EXPIRES: 01/08/01 Raul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOIE SPECIFIC AND GENERAL CONDITIONS BUILDING CODE CQMMI7TEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in t •e County, Florida under the conditions set forth above. / Charles Danger, P.E. Director Building Code Compliance. Dept. APPROVED: 01/08198 1 Metropolitan Dade County NO. 209 601 Internet mail address: t> ostmasterebuildingcodeonline .cOm 1131 Mornepage:' fittp :/lwww.buiIdingeodeonline.com lloo1 01/13/99 12:09 MEDITERRANEAN ROOF TILE -> 3058999490 03/09/98 MON 16:08 FAX 581 338 5381 MONIER LIFE TILE PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL i Monieer r Roof Tile Product Control No.: • 96- 0528.06 Mon 135 NW 20 St. Boca Raton, FL 33431 Approval Date: Jaauary 8`998 Expiration Date: Jaouary 8, 2001 Catetorv: Prepared Roofing Sub - Category: Tile Tom: Mortar Set/Adhesive Set 5u12-Tvpe: Concrete System Description Monier Roof Tile is a member of the Redland Group, a world wide producer of primary building products and roof tile. Monier manufacturers concrete roof tile for nail -on, mortar set or adhesive set applications in plants throughout the United States ranging from Washington State to Florida. All tile is manufactured from extruded concrete consisting of Portland Cement, plasticizer, iron and metallic oxides, and blended aggregates. This Produ ct_Control Aonroval s ates to Monicr's "Bermuda Flat" tile profile. Refer to at:orop fate Product Control Approvals for other the p of leg. Monier sells tile systems through local distribution and directly to consumers. A 11 profiles have matching trim pieces used for rake hip, ridge hip, and valley terminations. Tile system accessories such as underlayment, ventilation systems and flashing systems are also available. These accessories are manufactured for all profiles and form a part of this Product Control Approval. Monier's "Bermuda Flat" roof tile has been tested in compliance with the South Florida Building Code requirements for concrete, mortar or adhesive set tile applications. The minimum roof slope for Monier's "Bermuda Flat" mortar or adhesive set tiles shall be 2 ":12 ". Sec the "Profile Drawing" section in this approval for the "Bermuda Flat" profile drawing. The Monier "Bermuda flat" tile profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shalt be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables 1 through 3 of this approval. Contact: Reese FL Moody Technical Service Accessories Manager 135 N.W. 20 Si Boca Raton, FL 33431 (407)338 -8200 Page 2 of 13 Product Control No.: 96- 0528.06 Frank Zuloaga Roofing Product Control Examiner NO.209 902 [b002 01/13/99 12:09 MEDITERRANEAN ROOF TILE i 3058999490 03/09/98 MON 16:09 FAX 561 338 5391 MONIER LIFETILE Product Control No_: 96- 0528.06 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT ' Test Product Product Dimensions Specifications Description Bermuda Flat Flat 1 s 15" PA 112 Flat, interlocking, extruded Tile w = 10 3 /g" concrete roof tile equipped with P /." thick two nails holes. For mortar Set or adhesive set applications. Trim Pieces . 1= varies PA 112 Accessory trim, concrete roof w = varies pieces for use at hips, rakes, ridges varying and valley terminations. thickness Manufactured for each tits profile_ Page 3 of 13 Frank Zuloaga Roofing Product Control Examiner NO.209 D03 rjoo3 03/98/98 NON 16:09 FAX 561 338 5391 01/13/99 12:09 MEDITERRANEAN ROOF TILE - 3058999490 MONIER LIFETILE #30 Felt Product #43 Coated Base Sheet Mineral Surface Cap Sheet Rainproof 1I Ice and Water Shield TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimensions N/A N/A N/A Lenzingtex -ZB 140 59" x 164' roll Undcriayment 22 ibs/roll 30 "x7S'roll 36" x 75' roll Of 60 "x75'roll 36" x 75' roll Tes Slsecificatioas ASTM D 226 type 11 ASTM D 2626 Saturated and coated organic base sheet for single or double ply underlayment. ASTM D 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. . PA 104 Single ply, nail -on underlayment. PA 104 PA 103 Self - adhering underlayment for use as a. top ply in a two ply underlayment system with approved no or #43 as the base layer. Page 4 of 13 Product Control No.: 96 0528.06 Product Description. Saturated organic felt to be usedasa nailed anchor sheet. Single ply. nail - on underlayment with 2" self-adhering top edge. Manufacturer generic generic generic I-cnzing Performance, Inc. PCA *494- 0527.05 Protect -O -Wrap, inc. PCA N94- 0714.01 W.R. Grace Co. PCA #92-1116.01 Frank Zuloega Roofing Product Control Examiner NO. 209 004 Ij 004 01/13/99 12:10 MEDITERRANEAN ROOF TILE - f 3058999490 03/09/68 MON 18:09 FAX 581 338 5391 MONIER LIFETILE Product Mopping Asphalt Flashing Cement Asphalt Printer Roofing Nails Tin Caps Tile Nails Dimensions N/A N/A N/A min. 12 ga. with 3 /g" head min. 32 ga. min. 1 /g" o.d. max. 2" o.d. min. 8d x 2W or min. 10d r 3" Test Specifications ASTM 0 312 type Ili or IV ASTM D 4586 ASTMD PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E Page 5 of 13 Product Control No.: 96 - 0528.06 Product Description Manufacturer Asphalt for bonding generic a mineral surface cap to a mech. attached base sheet in a double ply underlayment system. Cut back. asphalt based, asbestos free, fiber reinforced, trowel grade cement for repair and flashing applications. Cut back, asphalt based coating used to facilitate bonding of dissimilar materials. Annular ring shank, hot dipped, electro or mechanically gals. roofing nails for use in underlayment attachment. Corrosion resistant circular disc for use in underlaymen attachment Corrosion resistant, screw or smooth shank nails for additional tile attachment at eave tile courses. generic i• generic generic generic generic frank Zuloaga Roofing Product Control Examiner NO. 209 D05 ® nos 01/13/99 12:10 MEDITERRANEAN ROOF TILE 4 3058999490 03/69/98 MON 1610 FAX 381 338 5391 MONIER LIFETILE Product Roof Tile Mortar ( "TileTiteh ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar #1140 ") Roof Tile Mortar ("BONSAI- Roof Tile Mortar Mix ") Roof Tile Adhesive (Polypro® AH 160) Valley Flashing Drip Edge Diosensions N/A N/A N/A N/A min. 26 ga. min. 16" width min. 26 ga. rain. 2" face flange min. 2" deck flange Test Specifications PA 123 PA 123 Product Description Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. PA 123 Prepared mortar mix designed for mortar set roof tile applications. PA 110 Adhesive designed for use in roof tile applications. ASTM A 525 Galvanized steel valley flashing PA 111 Page 6 of 13 Product Control No._ 96- 0528.06 Galvanized steel drip edge Manufacturer Bermudo Roof Company, Inc. ('CA #94- 0614.01 Quikrete Construction Products PCA #94.0808.01 W.R. Bonsai Co. PCA #94- 0628.03 Potyfoam Products, Inc. PCA# 94- 0401.01 generic o neric Frank Zulouga Roofing Product Control Examiner NO. 209 006 LJ nos 01/13/99 12:10 'MEDITERRANEAN ROOF TILE i 3058999490 03/08/88 MON 18:10 FAX 581 338 5381 MONIER LIFETILE Test Agency The Center for Applied Engineering, Inc. The Center for Applied Enigneering. lac. Redland Technologies Professional Scrviee Industries, Inc. TEST REPORTS Test Identifier Test Name/Report 94 -084 94.060A P0631 -0I Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Wind Tunnel Testing PA 108 (Mortar Set) 224 Physical Properties PA 112 Page 7of13 Product Control No.: 96- 0528.06 Date May 1994 March, 1994 July 1994 Sept, 1994 Frank Zuloaga Roofing Product Control Examiner NO. 209 D07 007 01/13/99 12:10 MEDITERRANEAN ROOF TILE -> 3058999490 03/09/98 YON 18:10 FAX 581 338 5391 MONIER LIFETILE Deck Type: Deck Description: SYSTEM D: Slope Range: Underlayment: Roofing Tile: Comments: SYSTEMS Wood, Non - insulated New construction 19 /32" or greater plywood or wood plank. Mortar or Adhesive Set Application Page 8of13 Product Control No.: 96- 0528.06 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. Install choke of approved undertayment system, noted on Page I of Dade County Protocol PA 120, in compliance with Section 3.02 of PA 120. Sec System Limitation N 6. Install tile in compliance with PA 120 using one of the approved mortars or .adhesives noted in this approval. Mortar or adhesive shall be `applied in compliance with the mortar manufacturers Roofing Component Product Control Approval. The mortar or adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. The mortar and adhesive attachment data is noted in Table 3, attached. 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. 2. For mortar set applications, the first three courses of' tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses of tile shall be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail every 1 ft For roof pitches from 6 " :12" to 7 ":12 ", every third tile of every fifth course, beginning at the eighth course, shall be nailed with not less than one nail per tile.. NO.209 1708 511 008 Frank Zuloaga Roofing Product Control Examiner 01/13/99 12:11 MEDITERRANEAN ROOF TILE i 3058999490 03/09/98 NON 18:11 FAX 581 338 5391 MONIER LIFEfILE Product Control No.: 96.0528.06 1. The standard minimum roof pitch for Monier "Bermuda Flat" mortar set or adhesive set tile applications is 2" rise in 12" run (2";12"). The maximum roof pitch for mortar set or adhesive set Tile applications is 7" rise in 12" run (7"; 12"). 2. Monier's "Bermuda Flat" tile profile has not been tested for nail - on applications, therefore, System A (Counter - Batten Nail - On Application), System B (Direct Deck Nail - On Application) and System C (Horizontal Batten Nail - On Application) do not form part of this approval. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. Mortar set or adhesive set tile shall be attached using an approved mortar or tile adhesive noted in this approval, the data of which is noted in Table 3 of this Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127. SYSTEM LIMITATIONS 4. For mortar set applications, the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses of tile shall be applied in mortar or adhesive over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3 16" which is mechanically attached to the deck with not Tess than one roofing nail every 1 ft For roof pitches from 6 ":12" to 7 ": ", every third tile of every fifth course, beginning at the eighth course, shall be nailed with not less than one nail per tile. 5. For mortar set or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be required not less than 30 days after application to confirm tile adhesion. The results of this testing shall be reported to the Building Official and the installer stating that the application has passed or failed PA 106 testing. l f the application fails PA 106 testing, the report shall state which portion of the test was failed; Category 1 (examination for loose tile) or Category 2 (uplift testing of tile). Subsequent to testing, the installer may repair not more than 5% of field area tiles and 10% of perimeter area (i.e. ridge/rake) tilt with approved tile adhesive. The installer shall place art identifiable marking on each repaired tile for future reference. Any PA 106 re -test shall not include any marked tile. 6. For mortar or adhesive Set tile applications, 30190 hot mopped underlayment applications may be installed perpendicular to the roof pitch prior to June 1, 1995 unless stated otherwise by the material manufacturer. Thereafter, 30190 underlayment systems shall be installed parallel to the roof pitch in compliance with Appendix 'A' of Dade County Protocol PA 120. 7. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. ' 8. The Monier "Bermuda Flat" tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with Dade County Protocol PA 115 or PA 127 shall be done as a 'Moment Based System' Page 9 of 13 ulonga Roofing Product Control Examiner NO.209 13 ®009 r71:' 1.i yy 11-2.:11 NED i TERRRNEAN ROOF TILE -> 3058999490 NO. 209 D10 03/08/98 MON 16:12 FAX 561 338 5391 MONIER LIFETILE ®010 Product Control No.: 96- 0528.06 SYSTEM LIMITATIONS (CONTINUED) 9. Applications for rooting permits shall include a completed Section TI of the Uniform Building Permit, a copy of Monier Roof Tile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 10. The applicant shall retain the services of a Dade County certified testing Laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shalt be in compliance with Dade County Protocol PA 112, Appendix 'A'. 11. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. Page 10 of 13 Frank Zutoaga Roofing Product Control Examiner 01/13/99 12:12 MEDITERRANEAN ROOF TILE - 3058999490 03/09/98 MON 18:12 FAX 581 338 5381 MONIER LIFETILE Tile Profile Bermuda Flat Flat Tile w Tile Profile Monier Bermuda Fiat Tile 5.20 DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - A. (ft') from PA 108 Testing 5.12 X (ft') Batten Application N/A Table 2: Restoring Moments due to Gravity - M (ft -lbf) from PA 101 Testing 3 ":12" or 4 ":12" 5 ":12" 6 ":12" less 5.01 r -- Table 4: Attachment Resistance Expressed as a Moment - M (ft-Ibf) from PA 101 Testing Tile Tile Attachment Profile Application Resistance 39.00 Monier Bermuda Flat Flat Tile Mortar Set Adhesive Set 118.90 Page 11 of 13 Product Control No.: 96- 0528.06 (ft') Direct Deck Application 0.24 4.89 T' :12" or greeter N/A rank Zuloaga Roofing Product Control Examiner NO.209 ?11' 1Z 011 b1 /13 /vJ 12:12 MEDITERRHNEAN ROOF TILE - 3058999490 N0. 209 Dig 03/09/98 MON 18:12 FAX 561'338 5391 MONIER LIFEIILE (l012 PROFILE DRAWING BERMUDA FLAT FLAT TILE Page 12 of 13 Product Control No.: 96- 0528.06 Frank Zuloaga Roofing Produce Control Examiner 01/13/99 12:12 MEDITERRANEAN ROOF TILE 3 3058999490 01/09/98 MON 16:13 FAX 581 338 5391 MONIER LIFETILE Product Control No.: 96 -0506 Monier Roof Tile ACCEPTANCE NO.: 96- 0528.06 135 N.W. 20th Si APPROVED Januarry 8,1998 Boca Raton, FL. 33431 EXJ'IRF-S : January 8, 2001 NOTICLQF ACCEPTANCE STANDAM CONDITIO YES 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturers name, city, state. and the following statement: "Metro-Dade County Product Control Approved ", 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 Code affecting the evaluation of this product and thrproduct is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially Submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, endlor manufacture of the product or process shall automatically be cause for termination of this Acceptance. unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all 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. 9 This Acceptance contains pages 1 through 13_ END OF THIS ACCEPTANCE Page 13 of 13 uloaga Roofing Product Control Examiner NO. 209 P13 • ®013 ! \Icr• : ')r7 04:10P P4PlyCcc�� Prc.c Tt.c•. METRO\DE PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring, 'TX. 77383 Your application for Product Approval of: Polyfoam Products "Polypro All -160" Roof Tile Adhesive under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: The Center for Applied Engineering, Inc. and Miles Laboratories Polymers Division has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -14 and the standard conditions on page 15. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturers plant for quality control testing. If this product or material fails to perform ill the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurrcd by the manufacturer. ACCEPTANCE NO.: 98- 0303.02 Renews: 96- 0402.02 EXPIRES: 04/16/01 '.C11IS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Miami -Dade County Building Codc Compliance Office and approved by the Building Code Committee to be uscd in Dade County, Florida under the conditions set forth above. APPROVED: 04/16/98 Internet mail address: postmaster @buildingcodeonllne.com kW; c7r,'1 47r.-1402 P.02 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375.2902 FAX (305) 372 -6339 aul Rodriguez Product Control Supervisor Charles Danger, P.E. Director Building Code Compliance Dept. Miami-Dade County Homepage: http ://www.bulldingcodeonllne.com Apr -30 - 9 8 04:1OP Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. Applicant: Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring, Texas 77383 -1132 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING COMYONFNT APPROVAL Contact: Pat Murray P.O. Box 1132 Spring, Texas 77383-1132 Phone: (713)350 -8888 Fax: (7 I 3)288-6450 Page 2 of 15 954 475 -1462 P.03 Product Control No.: 98- 0303.02 Product Control No.: 98- 0303.02 Approval Date: April 16, 1998 Expiration Date: April 16, 2001 Category: Roofing Component Sub - Category: Fastening/Adhesive Type: Roof Tile Adhesive Sub -Type: Two Component Polyurethane System Description Polyfoam Products, inc., produces two - component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polypro® AH160 is specially designed for application of concrete and clay roof tile over a variety of roof deck substrates and underlayment materials. Polypro® adhesive is applied with proprietary Foampro® RTF 1000 dispensing equipment. Approval of this product is specific to the two component mix and Foampro® RTFI000 dispensing equipment. Alternative methods of dispensing will require a revision to this approval. I'olypro® adhesive shall be applied only by 'Qualified Applicators', licensed by Polyfoam Products. Inc. Certificates and identification cards are issued to applicators upon successful completion of a application training program. Approval of this adhesive system is contingent upon application by a 'Qualified Applicator. Frank Zuloaga, RRC Roofing Product Control Examiner Apr -30 - 9 8 04:11P Polyfoam Products Inc_ 954 475 -1462 P.04 POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 TRADE NAMES OF PRODUCTS MANUFACTURED 014 LABELED BY APPLICANT Test Product Product Dimensions Specifications Description Polypro® AH 160 N/A PA 101 Two component polyurethane Foampro® RTN 1000 N/A See Detail Attached Dispensing Equipment Page 3 of 15 Frank Zuloaga, RRC Roofing Product. Control Examiner Apr -30 - 98 04:11P Polyfoam Products Inc_ POLYFOAM PRODUCTS, INC. Product Underlayment Roof Tile TRADE NAMES OF PRODUCTS MANUFACTURED BY OTIIERS Test Criteria Product Description PA 120 All Dade County Component Approved products as detailed in Dade County Application Standard 1'A 120 PA 101 All Approved roof tile systems having tested in compliance with Dade County Protocol PA 101, as detailed in the systems section of this Component Approval Page 4 of 15 954 475 -1462 P_05 Product Control No.: 98- 0303.02 Manufacturer. All Dade County Approved Products All Dade County Approved Products goo). Frank Zutoaga, RRC Roofing Product Control Examiner Apr -30 - 98 04:11P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. Test Agency Test Identifier TEST REPORTS Page 5 of 15 954 475 -1462 P.06 Product Control No.: 98- 0303.02 Test NamcfRenort Date Center for Applied #94 -060 Miami Dade Protocol 04/08/94 Engineering PA 101 Ccnter for Applied 257818 -IPA Miami Dade Protocol 12/16/96 Engineering PA 101 Center for Applied 25- 7438 -3 SSTD 1 1 -93 10/25/95 Engineering Center for Applied 25- 7438 -4 SSTD 11 -93 10/25/95 Engineering Center for Applied 25- 7438 -7 SSTD 11 -93 11/02/95 Engineering Center for Applied 25 -7492 SSTD 11 -93 12/12/95 Engineering Miles Laboratories NB- 589 -631 ASTM ID 1623 02/01/94 Polymers Division Ramtech Laboratories, 9637 -92 ASTM E 108 04/30/93 Inc. Southwest Research 01- 6743 -011 ASTM E 108 11/16/94 Institute Southwest Research 01-6739-0621311] ASTM E 84 01/16/95 Institute Trinity Engineering 7050.02.96 -1 PA 114 03/14/96 Frank Zuloaga, RRC Roofing Product Control Examiner ,Apra -30 - 98 04:11P Poly - foam Products Inc. POLYFOAM PRODUCTS, INC. Closed Cell Content TYPICAL PHYSICAL PROPERTIES Property Tcst Density ASTM D 1622 1.6 lbs. /ft.' ASTM D 2856 86% Page 6of 15 954 475 -1462 P.07 Product Control No.: 98- 0303.02 Results Compressive ASTM D 1621 18 PSI Parallel to rise Strength 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs. /Ft Moisture Vapor ASTM E 96 3.1 Perm / Inch Transmission Dimensional ASTM 1) 2126 +0.07% Volume Change @ -40° F., 2 Stability weeks +6.0% Volume Change @ t 58 °F., 100% Humidity, 2 weeks 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. Frank Zuloaga, RRC Roofing Product Control Examiner Apr -30 - 98 04:11P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. SYSTEMS Deck Type: Wood, Non - insulated, New Construction /Reroof Deck Description: 15/32" or greater, plywood or wood plank. SYSTEM A: Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Page 7 of 15 954 475 -1462 P.08 Product Control No.: 98- 0303,02 Underlayment: Shall comply with Miami -Dade Roofing Application Standard PA 120 Roofing Tile: Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof the assembly NOA. Comments: 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. Frank Zuloaga, RRC Roofing Product Control Examiner • Apr -30 - 98 04:12P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. Deck Type: Deck Description: SYSTEM B: Scope Range: Underlaytncnt / Waterproofing: Undcrlayment: Roofing Tile: Comments: SYSTEMS (CONTIN UF,D) Product Control No.: 98- 0303.02 Concrete, New Construction /Reroof New construction Adhesive Set Application 2 ":12" to 7 ":12" Install Approved underlayment system of one of the following: 954 475 -1462 P_09 (30/90 Hot Mop) fully adhered in a full mopping of ASTM U 312 type IV asphalt applied within the EVT range. Back nailing and laps shall be in compliance with Roofing Application Standard PA 120. Any liquid applied roofing system having a current NOA for its use as a tile undcrlayment system. Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to mcet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof tile assembly NOA. 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval or waterproofing component Roofing Component Product Control Approval shall apply, as applicable. Page 8 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Two -Piece Barrel #1 'S' Shaped #2 Double Roll #3 Flat #4 Apr -30 -98 04:13P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 COMPONENT APPLICATION 1. Polypro® A14160 tilt adhesive shall only be applied over an undcrlayment installed in compliance with application instructions detailed in its NOA.. Underlayment may be any undcrlayntents or underlayntent systems listed Miami -Dade County Roofing Application Standard 1'A 120. 2. Adhesive application shall be in accordance with the instructions provided herein. Tthe manufacturer may provide additional instructions subsequent to this approval date which may prevail. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. 3. 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 (R). The dispense timer shall be set to deliver 0.08 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved without revision of NOA. 4. Adhesive shall be dispensed in a 17 in' to 23 in' pad at time of application. The cured pad shall be approximately 5" x 12 ". Foam placement shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires a specific placement, as noted in Table 1, below 5. Adhere tile directly in freshly applied adhesive. Tile must be set within 2 to 3 minutes after foam has been dispensed. Page 9 of 15 954 475 -1462 P.10 Frank Zuloaga, RRC Roofing Product Control Examiner Apr-30 04:13P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. SYSTEM LIMITATIONS 2. Polypro® AH160 adhesive shall be installed only by 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. 3. For adhesive set tilt applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance with Miami -Dade County Roofing Application Standard PA 106, shall be required not less than 72 hours after application to confirm tile adhesion. 4. Refer to application drawings published by the National Tile Manufacturers Association for penetrations and terminations, as well as the 'Placement Details' included with NOA. 5. Refer to tile Roof "file Assembly Product Control NOA for system acceptance with this Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8 Polypro® A1 shall be applied with Foantpro RTF1000 dispensing equipment only. 9. Polyfoam Products Inc. shall supply Building Official with a list of 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. Page 10 of 15 954 475 -1462 P.11 Product Control No.: 98- 0303.02 Frank Zuloaga, RRC Roofing Product Control Examiner Aprr30 -98 04:14P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. Und.rloym.n1 2) Tara coves upside down. Place Adhrly. 117r to 1 fro* tAa ...1 1d. oda. of goy.. tII . Then Install 111.. 1)ploe..nomak adh..Iva to achieve 17 to 27 •t. Incl.. In contest with ties pan III.. Reaner• top portion of the .ay. owas• til.. Abut to ..aced coarse of pan 111... P..... .... ...d of pan .nd aov.r 111.. are thresh at one* 11... rave also.. (mortar shown) PLACEMENT DETAILS tf'..ptwlo Page 11 of 15 Nall Wont* pl..tac c.m.nl (wM.. r.palr.d by cod•) Optlor 4x4 • for Stoop plleh application.. F..al. •o.rd Placement Detail #1: Two-Piece Barrel Profile 954 475 - 1462 P.12 Product Control No.: 98- 0303.02 Optional pohrt -11p r..tar aw L.oylladlnal .d0.. of 111.. Sheathing Frank Zuloaga, RRC Roofing Product Control Examiner Apr30 - 98 04:14P Polyfoam Products Inc. 954 475 -1462 POLYFOAM PRODUCTS, INC. N.II lhrowh plrtlo c..r.nt (whoa rpolrod ay csd.) PLACEMENT DETAILS (CONTINUED) oohlovo 17 to 23 square loolww oowtool with the Apply wthootvo to 4411S • . O Underlaywowt Page 12 of 15 Lova clo•oro Fual. &..rd Placement Detail f42: 'S' Shaped Tile Profile Product Control No.: 98- 0303.02 Drip Edo.. Frank Zuloaga, RRC Roofing Product Control Examiner P. 13 Apr -30 -98 04:15P Polyfoam Products Inc. • POLYFOAM PRODUCTS, INC. 14-11 IM..gh pl..11c u....d (who. r.v.lr.d by ..d.) U.d.rl.y..«.l rave C.M.. PLACEMENT DETAILS (CONTINUED) e . comm.. e...gy. Y..p .dh I.. 11.pp.n+a....1.y r .p Page 13 of 15 *ply ..«gl..d...ly. 1. sM... 11.23 .q..r. loch.* 1. e.a..l wllA the 111.. 954 475 -1462 P.14 Placement Detail #3: Double Roll Profile Product Control No.: 98- 0303.02 4c Frank Zuloaga, RRC Roofing Product Control Examiner Apr -30 - 98 04:15P Polyfoaln Products Inc. POLYFOAM PRODUCTS, INC. N.Il through pla.tl. c.w.•wt lobe. ..go1..d by cede) raw. C Whiffle PLACEMENT DETAILS (CONTINUED) ..d..l.y...wt -- 4‘ 7" I r.v. Cloeur. Pro. co..... only, K..p .dMelve .ppr.dw..tl.y ! .p how. w.ey►.• Placement Detail #4: Flat Profile Page 14 of 1 5 954 475 -1462 P.15 Product Control No.: 98- 0303.02 APO, effeoch .dl...Iv. to =able.. 17.23 square Inabee 10 eeataet with the lll.. n Iloaga, WIC Roofing Product Control Examiner Apr -30 -98 04:15P Polyfoam Products Inc. POLYFOAM PRODUCTS, INC. 954 475 -1462 P_16 Product Control No.: 98 0303.02 Polyfoum Products, Inc. ACCEPTANCE NO: 98- 0303.02 2400 Spring- Stucbner Road APPROVED : April 16, 1998 Spring, TX 77383 EXPIRES : April 16, 2001 NOTICE OF ACCEPTANCF, STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documeritation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", 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 Code affecting the evaluation of this product and the product is not in compliance with the code changes: b) The product is no longer the same product (identical) as the one originally approved; c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) Thc engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance 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 Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job sitc at all times. Thc 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. 9 This Acceptance contains pages 1 through 15. f,ND OF THIS ACCEPTANCE Page 1 5 0 1 1 5 • Frank Zuloaga, R1tC Roofing Product Control Examiner Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 125.5..1 B.....��.tY] . �t._.Miami. Shore State work to be done and pure a of building (by floors)..._. STATE OF FLORIDA, COUNTY OF DADE. octvutrti IAMI SHORES !/I 1 �� c9.2 Building Inspector BUILDING INSPECTION DEPARTMENT Chairman Member Member ... - ... - ...._..._._ ........... Council Approved Date MUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Plannir.g Board. A r:•in.pe•ction fce of 31.00 will be charged when such re- inspection is•made necessary by improper notice materials and /or workmanship. 0r 9 APPLICATION FOR BUILDING PERMIT 2 , ( Mt .. Applicalion is hereby made for the approval of the detailed statement or the plans and specifications herewith submitted for the build inc 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 pregreu of the work. Date..._. .. »_.allil...12.....__........_ _........ ,19.• Ov.-ncr's Name and Address _BUNNY_ F. ►�EIL..�. :.,�.. w....9.9 ... No.... »» .....__.._. Street_.... Registered Architect and /or Engineer vt,t KV•.... ,ttn„nt• 'Mt? Fla. State Constr. Serv., Inc. 5311 N.W. 17th Ave. and for no other purpose. Repairs No. of Stories Replace roof _ Ncw Building Remodeling Addition To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $4.s.00Q,•OQ Amount of Permit g_20 00 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... Bobby's Custom Roofing (above) The undersigned applicant for this building permit does hereby certify That he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5960. Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance fr• a contractors or sub- actors employed by hin in the work to be performed under this permit; and will post or cause to be posted or ins tion on the si o w•rk such public noti or notices as are required by the Act. The undersigned agrees to employ only suc su v_ actors, on wo j 'formed pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public. duly authorized to administer oaths and take acknowledgments, personally ap- peared .... ....- ...... Joseph ...Weinstock. to me well kzowi , and who, being by me first duly sworn, upon oath deposes and says that he is the.....CDntx15c *or 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.. »_y��. .. Late... e .... Read, Sw e before me. Disapproved, ........ tcl�`l \.._.. 'Date.. (Signed ) Notar Public, State of Florida osailna Hom Notm:y Pubic, Sts a of Florida at Lap's My Commission Espires romm.miS. LoSLatzr -. 'O PLANNING BOARD DATE EOndad thru Maynard Bonding Agsncy Member Member Member Disapproved Date has been obtained from for inspection or faulty BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building ❑ PERMIT N? 15091 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA II Subdi- vision Value of Project $ l / `:y • - DATE 195 -' Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed _ BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Owner' Name and Address__ - C Registered Architect and /or Engineer._. Name nd address of licem,ed contractor. Location and legal description of lot to be built on: MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det.iled statemen of the plans and specifications herewith submitted for the build- ing or o h. -ructure her 1 described This ri licatic is made in compliance and con•o'm•ty with the Building Ordinance of Mia Shores Village, .or da, and all pro • isions of the Laws cf the State: c•f F h.rid. all o d-nances .,f Mi .nr Shores Village and all rules and regu a'ron. of the Building Div.. i of .rani Sho. illage b 'I e -'o ipl.ed with, whether herein specified or not. A copy of approved plans and specificati m must be key at budding durin progress of the wcrk. Date No - Street_. Lot_ __. Block__ ____. Subdivision Street and Number where work is to be done ./e —C 9� '__ -_ State work to be done and purpose of b ')ding (by floors) . and for no other purpose. New Building_ _ _ Remodeling__ ____ _ ._. Addition___ ____ __ ___ Repairs. _ No. of Stories. To be constructed of _ _ Kind of foundation, _ ___ Roof CoA gyring__ Estimated ^ ;tal cost of improvements $__. . / /,j a... Amount o Permit $._. Zone ^ubage required_ __. __Plan Cubage to next nearest building__ _ _ Size of Building Lot _ Maximum live load to be borne by each floor_ _ . _____ ___ 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 unde signed appli ant for th s bulding permit does hereby certify t'iat he understands and accepts his .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S- -tion 5966 Col p led Gen al Laws of Florida P r anon. Stipple cent, and h s compl ed w :th he ploy' noes thereof, and will require smnilar coma lance from all contractors or subcontractors emplo •ed by him in the wo k to be p rt ••med under th s pern it and ill post or cause to be posted for in ction on the site of the work su :h public: note- e or .otices as are requir d by the Act. The u. d.r ign.-d agrees to employ only such a. • tr. ctors, on worn permit as are licensed by M am. Shores N. il:: ge. Remarks -- (Sig 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 d. ly sworn, upon oath depo'es and says that he is the of th abov. de.cribed istruction t. h has carefully read the foregoing application, and that he did sign the same, and that all facts therein by .him stated are tr re. Permit :No 1 S / _ _ Date__ 1- Read, Sworn to and Subscribed before me. Disapproved � � D to (Signed) .__ _ Chairman Member Member Council Approved. NQ'TE: A charge of $1.00 will be made for making corrections or changes to this application Ift <-r approval his been obtained from the P1• m: ng Board. re-inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspe :•t'on or fa. Ity mt`erials and /or workmanship. Notary Public State of Florida Bui ding Inspector My Commission Expires PLANNING BOARD DATE Member Member . Member Date Disapproved be perforn, d der this to me well known, Date