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ROOFINGs Job Address: APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II MORTAR OR ADHESIVE SET TILE SYSTEMS 1. General The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. 2. Documentation 2K/Ir9e 5r Contractor: The following documents are required for submission with the Uniform Building Permit application: ► Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). ► One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. ► All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: ❑ New Construction Re -Roof Note: Mortar or adhesive set tile systems are not acceptable as recover applications. Is the deck solid ' ed? (circle 'yes' or 'no') no Deck Type (check one of the following): Mortar or Adhesive Set Tile Systems Page - 1 Roof Pitch (fill in): ❑ Nominal ''A" Plywood (for re - roof only) ❑ Nominal '/ rood Pl - Wood Plank " — r-il ❑ Other (fill in) " : 12" Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 71/2":12 ". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and less than or equal to 7 ":12" shall have the first three courscs of tile nailed with not less than one nail per tile. As an alternate, the first three courses of tile may 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 sheathing with not less than one nail per 2 ft Circle 'yes' or 'no' for each of the following: Have you attached two copies of the tile system manufacturer's Product Control Aval for the proposed tile system? O no Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and of -._ iterature no Is the proposed underlayment approved for use with this tile system assembly? no 1 Job Address: 2_„g /V q5 51 Project Information (continued): If the proposed underlayment is self - adhered, have you complied with the venting requirements of Section 2913.3 (b), (c) and (d) of the South Florida Building Code? yes no Are all related accessories approved for use with this tile system assembly? Are the proposed edge metal attachment fasteners in compliance with the requirements of the South Florida Building Code (minimum 12 ga. annular rind ank, corrossion reisistant nails)? Tile: Tile Name: Manufacturer: 4. The Tile System Assembly: The following information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. Tile Material: ❑ Clay Concrete ❑ Other: Product Control Approval Number: Mortar or Adhesive: no no Z b A- -I:LA ) M©i t EIZ 1 `fm ��- r2z , of� Check one of the following which apply to the proposed tile securement for use with the proposed tile system assembly: Mortar or Adhesive Set Tile Systems Page - 2 Contractor: J In h QT ? , k nci`-'T f Process No. Mortar: Manufacturer: Mixing Ratio: ❑ Adhesive: Type: Manufacturer: Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12" and is less than or equal to 7": 12" 1: Check one of the following which apply to the proposed tile fasteners (for the first three courses) for use with the proposed tile system assembly: ❑ Minimum 12 ga. galvanized roofing nail: ❑ Other: Type: Length: N/A Length: Note: All tiles shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if applicible) shall be of sufficient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of 'V, whichever is less. Underlayment: The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Job Address: tki 677 Underlavment (continued): Check all of the following which apply to the proposed underlayment for use with the proposed tile system assembly: ASTM #30 asphalt saturated felt with: ❑ 19" overlap 6" overlap 5. Related Accessories: ❑ 4" overlap Manufacturer: ❑ ASTM #15 asphalt saturated felt with: Manufacturer: X Mineral Surfaced Roll Roofing with: Manufacturer: ❑ Other: Type: Manufacturer: Underlavment Fasteners (if applicable): Length: Manufacturer: i t ❑ 19" overlap ❑ 6" overlap ❑ 4" overlap ❑ 19" overlap g . 6" overlap 4" overlap Check one of the following which apply to the proposed underlayment attachment: �l Minimum 12 ga. electro- galvanized roofing nail with minimum 32 ga. x 1 tin ca Contractor74 `� �2 4 fJ1-n N Process No. Mortar or Adhesive Set Tile Systems Page - 3 Spacing (per tilc system assembly Product Control Approval): Field: /Z" o.c. Laps: " o.c. Edge Metal (refer to Section 3408.2 of the South Florida Building Code : Type: Dimensions: Gauge or Thickness: Z. 9 . Finish: Note: All edge metal shall be nailed on the flange and nailed or clipped at the face in compliance with the provisions set forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the following): ❑ Cold Adhesive: Type: Manufacturer: ❑ Flashing Cement: Type: ❑ Other: Manufacturer: Type: Length: Manufacturer: Job Address: Adhesives (continued): ,A 1\1 E39g Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. Ventilation System (check one or more of the following): The following information is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. ❑ Ridge: Type Size in cg Soffit: Type Size I. n 2 Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is applied as an anchor sheet below the self - adhered underlayment. Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly only. Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION I, noting the permit number issued. Contractor: Mortar or Adhesive Set Tile Systems Page - 4 Additional Notes: &1 Process No. Job Address: 15 IQ `7 g s T Contractor: o A , J'LT No. Deck: /'r -1+9 Type: (fJ Thickness: Underlayment: a"' 4 ' Unde ner: F it /! If q1-z. 1 2.... , c4,....„ / Fastener: tt Ridge Venting: (if applicable) 325 / T,,J c A° Roof Pitch 12" FILL IN APPLICABLE ROOFING COMPONENTS WI IICI I MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN ON THIS PAGE. (Where Roofing Componcnt not used in Tile Systcm Assembly, fill in with "N /A ". ) Existing or Proposed Soffit Venting: Head Lap Dimension: (minimum 2' unless otherwise specified in the tile rynem assembly Product Control Approve) Mortar /Adhesive: it111)IJ I V1 .r � ` Tile: ?`-'' 1 0 t F r Tile Fastener: 1Q Pr Edge Metal or Gutter Fastener: Bird Stop: (lf applicable ) Edge Metal or Gutter: Co rl) T) Jo 0 5 Job Site Identification: . (b 5 I Mortar or Adhesive Set Tile Systems • Page - 5 Job Address: Contractor: td a Height: Ea ye Height: R o M Height feet /0 feet 1.. eet Insert Building Ridge Height, Eave Height and Roof Mean Hcight. Also insert applicable information pertaining to the building below. (See ASCE 7 -88 Fact Sheet Attached ) Exposure Category: Classification Catcgory: At Hurricance Occanlinc7: Y N Basic Wind Speed at Building Location 110 mph Building Condition based on % of openings: (See Table 9 of ASCE 7 -88) Ground Level BUILDING K pR ' 141 T Job Site Identification: - N �- F Mortar or Adhesive Set Tile Systems Page - 6 ��� T/rocess Job Address: 2 0 f Contractor: 0 i2.127 04 BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 7 �nr Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimeter and comer dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached ) ess No. Job Address: 2 1 r q. T The undersigned certifies that the Mortar or Adhesive Set Tile System Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DADE Before me this day personally appeared S\.Cl who, being first duly sworn, deposes and says that all information submitted herein is true and correct. orn to and subscribe l My commission expire Licensed Contractor lwner Signature • - • - 11 . 1 • . r 1 4 1AL ' • AR SEAL YVONNE D SCRIVENS NOTARY PUBLIC_ STATE CF FLORIDA COMMISSI.ON NO. Cc?soo .t ) Y COMMISSION EXP. UI.Y 5,199 th da of Notary Public State of Florida a Contractor: bQ-1 \ MT) \Process No. Mortar or Adhesive Set Tile Systems Page - 8 ir!EtnoDAtIri MIMI Monier Roof Tile 1900 Northwest 21st Avenue Fort Lauderdale, FL 33111 APPROVED: tWILUINO CODE COMPLIANCE DEPAf1TMENT SUITE 1663 METBO.DADE Ft-ADLER llthlbINO . 140 WEST FIAOLEU STREET MIAMI, FLORIDA 33130.15e3 11tODIJC1' C aciT1 S)k.riom LQ�� ACC1PThNCI FAX (305) 375. Oe Your application for I'rodtrc� or Mohler mot Tile_1►_'torinr_ ur A dhesLYe SeLConcrete "Herrman Flat" Iao[ ini [.1t under Chapter of the Metropolitan Dade, County Coda governing the use of Alternate Materials and Types of Construction, and completely described in the plans, spe ilications and calculations as submitted by Itedland Technologies, The Center for Applied Engineering, Inc.: nd Professional Service Industries, Inc. has been recommended for acceptance by the Marling Code Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth herein. 'Hie approval shall be valid fora period of three years. The Building Code Compliance Departient reserves the right to secure a product or material al any time for n jobsilc or n►anufaclurer plant for quality control testing. If product or material fail to perform in lite approved foamier, the Code Compliance Department may revoke, modify or suspend the use cif such product or material immediately. The Building Code Compliance Department reserves the right to require testing of this product or mntcrial should any amendments to the South Florida Building Code be enacted affecting this product or material. The expense of such testing will be incttrred by the Manufacturer. PRODUCT' NO. : ACCEPTANCE NO.: 94-1211,,M MI TnoPOLITAN BADE COUNTY, FLORIDA MEMO-DADE FLAGLEfi BUILDING. I t out Rodriguez l'roduct Control Division EXI'IItES: DEC 2 7 1997 Supervisor - PLEASE NOTE - TIIIS IS THE COVEItStIEET: SEE ADDITIONAL PAGES FOlt SPECIFIC AND GENERAL CONIITIONS. BUILDING CODE COMn'1I'ITEF • This application for Product Approval has been reviewed by the Metropblilan Dade County Building Code Compliance Department and approved by the (Building Mode Committee to be used in Dade County, Florida,under the condition set forth above. D 2- 1994 Charles:)anger, P.E., Direct luilding Compliance Department Metropolitan Dade County . Trim Pieces — 1 - varies w " varies varying thickness 2 1, TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED IltY'APPLICANT Test Product product DUne nsIphj ,., Sintrilisnliwts Descriptiotl Bermuda Flat Flat 1= 15" I'A 112 flat, interlocking, extruded concrete Tile w o IO' /," roof tile equipped with two nails holes. 1'/." thick For mortar set or adhesive set applications. 1'A 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product Control No.: 94- 1221.08 I'rodu" 1130 Felt 1143 Coated Base Sheet Mineral Surface Cap Sheet Rainproof 11 Ice and Water 'shield Mopping Asphalt Flashing Cement TRADE NAMES OF PRODUCTS MANUFACrURED OTIIERS Dimensions N/A N/A N/A Lenzingtex -Z13 140 59" x 164' roll Underlayment 22 lbs/roll 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll N/A N/A Test Stiesificnlious ASTM 1) 226 type 11 ASTM D 2626 ASTM 1) 249 • PA 104 PA 104 I'A 103 ASTM U 312 type: Ili or IV ASTM D 4586 Product Control No.: 94- 1221.013 Product Description Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underlayment. Mineral surfaced asphalt roll roofing for use as a top ply in n double ply underlayment system. Single ply, nail -on undcrlayment. Single ply, nail -on underlayment with 2" self - adhering top edge. Self- adhering underlayment for use as a top ply in a two ply underlayment system with approved 1130 or 1143 as the base layer. Asphalt for bonding n mineral surface cap to a mech. attached base sheet in n double ply underlayment system. Cut back, asphalt based, asbestos free, (ibei{ reinforced, trowecl grade cement for repak and flashing pplicatiohs. 1 Manufacturer generic generic generic Lenzing Performance, Inc. PCA 1194- 0527.05 Protect -O -Wrap, Inc. PCA 1194 - 0714.01 W.R. Grace Co. PCA 1192 -1 1 16.01 generic generic Applicant: Monier hoot Tile 1900 Northwest 21st Avenue Fort Lauderdale, FL 33111 Category: Prepared Rooting t.113- Category:" ' Tile TOG: Mortar Set/Adhesive Set Sub-Ty: Concrete PRODUCT CONTROL. NOTICE OF ACCEPTANCE RoOiINC Svsrinl API'lltOVAL, Monier Roof Tile is it member of the Redland Group, a world wide producer of primary building products Ind oof tile. Monier manufacturers concrete roof tile for nail -on, mortnr set or adhesive get app:ir.rti n: .•1.,nts throughout the United States ranging from Washington State to Florida. MI tile is n 1 om extruded concr' :te consisting of Portland Cement, plasticizer, iron and metallic ox ides, and b 1:nded Aggregates. JitLi..l.'.f dueL<<ottllr ?I.Approva1 rc1ilesi11 vices "Bermuda Flal "liL male. i;c1 PtQslttcl Ctiul toL[ 1put; crvitlslursAltr •dilc_ptoltlos• Monier sells tile systems through local distribution and directly to consumers. All profiles have matching trine pieces Used for rake hip, ridge hip, and valley terminations. Tile system accessories such as underlayment, ventilation Systems and (lashing systems are also available. These accessories fire manufactured for sill profiles and form n part of this Product Control Approval. Ivlonier'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 ". See the "Profile Drawing" section in this approval for the "l'3erniuda Mat" profile drawing. The Monier "Bermuda Flat" tile profile has been tested for both rvind characteristics and static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based System'. Dater for attachment calculntions is noted in Tables 1 through 3 of this approval. SY.SitIlLDC5.1aiPlit211 Contact: Reese 11. Moody "technical Service Accessories Manager 1900 NW. 21st Avenue Ft. Lauderdale, FL 33311 (800)432 -2715 Product Control No.: 94- 1221.08 Approval Date: oit 2 7 1994 Expiration Date: DEC 2.7.1991 Z !hot Rod! 1;trce •tom Product Asphalt Pruner Roofing Nails Tin Caps Tile Nails Roof Tile Mortar ( "TileTiteT"' ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar 111140 1 Roof Tile Mortar ("BONSAI-4D Roof Tile Mortar Mix ") Roof Tile Adhesive (Polypro49 A1-1160) Valley Flashing Min. 12 ga. with bend min. 32 ga. min. 1 o.d. mart. 2" 0.d. min. idx2'/,, " or min. 10d x 3" N/A N/A N/A N /A, min. 26 ga; min. 16" width Test S4':.&ifsnttonS ASTM D 1'A 114 Appendix 13 I'A 114 Appendix L' I'A 114 Appendix 13 PA 123 PA 123 I'A 123 PA 110 ASTtv1 A 525 Product Control No.: 94- )221.08 Product Descrinlitin Cut back, nsphnit based coating used to facilitate bonding of dissimilar materials. Annular ring shank, hot dipped, electro or mechanically gale. roofing nails for use in underlayment attachment. Corrosion resistant circular disc for use in undcrlayrnent attachment Corrosion resistant, screw or smooth shank nails for dditional tile attachment at cave tile courses. Prepared mortar mix designed for mortar set roof tips applications. Prepared mortar mix designed for mortar set roof tile :applications. Prepared mortar mix Jcsigned for mortar set roof tile applications. Adhesive designed for use in roof tile applications. Galvanized steel valley (lashing 4 Hata Gaut: irasez Manufacturer generic generic generic generic Bermuda Roof Company, Inc. PCA 1194- 0614.01 Quikrete Constructio Products PCA 1194- 0808.01 W.R. flonsal Co. PCA 1194- 0628.03 Polyfoam Products, Inc. PCA1l V4- 0401.01 generic 4 ed'O TEST )7EPORTs, 'best Aes�ttryt \. TstLilleutIn :t.estham /R pnrl Dais The Center for Applied \ 94 -084 Static Uplift Testing May 1994 Engineering, Inc. 1,i, "' PA 101 (Mortar Set) The Center for Applied 94 -060A Static Uplift Testing March, 1994 Enigneering, Inc. PA 101 (Adhesive Set) Redland technologies P063 1 -01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) Professional Service 224- 47099 Physical I'roperties Sept. 1994 industries, Inc. I'A 112 Posit Pm! ■;ssr Product Control No.: ' 94.1221.Q11. 5 It, ill ltruhs ;rtt ? Product Control No • 44- 1221.08 Test Product Product plinerlsionj Succificntions Description Manufacturer brip Edge min. 26 gn. 1'A 111 Onlvanized steel drip generic min. 2" race flnngc edge min. 2" deck flange Roofing Tile: SY MS Deck Type: Wood, Non- insulated Deck Description: New construction "i or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: 2 " :I2" to 7 ":12" Note: System Des only acceptable in this slope range. Undcrtnytnent: Install choice of approved underinymimt system, noted on Page 1 of Dade County Protocol PA 120, in compliance with Section 3.02 of PA 120. Sec System Limitation f16. Install tile in compliance with I'A 120 using one of the approved mortars or adhesives noted in this approval. Mortar or adhesive shall be applied in compliance with the mortar manufacturer's 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 'fable 3, attached. Cortehientsi: 1. For to -roof applications, " /, 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' / „” which is mechanically attached to the deck with not less than one roofing nail every 1 IV. For roof pitches from 6 ":12" to 7 ":12 ", every third tile of every Milt course, beginning at the eighth course, shall be nailed with not less than one nail per tile. lt.+.ut ... Product Control No.: 94- 1221.011 ttott ikt PROFILE DRAWING MONIER GOOF TILE pull klto c HHAR DIKES 1t1�XtK1111tt.[ ,l,i BERMUDA FLAT ILAT 1 11.E GO Raul Product Control No.: • 94- 1221.08 ` 3- 3 /• . Z ` : to -ye OnAlOClt iKAD of It.0 SYSTEM Lu 1ITATIoNS 1. The Standard tninimuni rod, pitch for Monier "I3crnuida plat" mortar set or adhesive set tile applications is 2" rise in 12" run The maximum roof pitch for mortar set ar adhesive set the applications is 7" risb in 12 "rruti ":12 "). 2. Moniet's "Bermuda Flat" lilt✓ profile has not been tested for nail -on applications, therefore, System A (Counter - Batten Nail -On Application), System h (Direct Deck Nail -On Application) and System C (Horizontal Batten Nail -On Application) do not form part of this approval. 3. tiystent shall be in compliance with the system specifications outlined in this Product Control q Mortar set or adhesive set tile shall be attached using an approved mortar or tile ;Wirt 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 br PA 127. 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 p,a. Wire mesh with square openings of not Tess than '1," which is mechanically attached to the deck with not less than one roofing nail every I 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. 5. For mortar set or adhesive Set tile applications, a field static uplift test by a Dade County accredited testing agency, iti compliance with 1 >ade County Protocol PA 106, shall be required not less than 30 days after application to confirm tilt adhesion. The results of this testing shall be reported to the Building Official and the installer stating tl at the application has passed or failed I'A 106 testing. If the application tails PA 106 I'�sting, 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 Clan 5% of field area tiles and 10% of perimeter area (i.e. ridge/rake) tile with approved tile adhesive. The installer shall place an identifiable marking on each repaired tile for future reference. Any I'A 106 re - lest shall not include any marked tile. 6. For mortar or adhesive set tilt applications, 30/90 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, 30/90 underlayment systems shall be installed parallel to the roof pitch in compliance with Appendix 'A' of Dade County Protocol I'A 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 tester; for bout wind characteristics and static uplift performance, therefore, attachment ca lculations for installation in compliance with Dade County Protocol PA 115 or PA. 127 shall be done as a 'Motncn . Based System' 8 6 Raul It native,: Product Control No.: 94- 1221.08 Table 4: Attachment Resistance Expressed as a Moment - M, (ft -lbf) • from PA 101 Testing Tile Profile Tile Application Attachment Resistance • Monier Bermuda Fiat Flat Tile Moiler Set 39.00 Adhesive Set 118.90 Table 2: Reystoring Momertls due to Gravity - M. (ft -Ibf) • from PA 101 Testing • Tile Profile 3 " :12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Monier Mission Bartel Tile 5.20 5.12 5.01 4.89 N/A Table 1: Aerodynamic Multipliers - X (ft') from PA 108 Testing J t Tile Profile X (ft') Batten Application X (f Direct Deck Application Bermuda FIat,Fiat Tile — MIA 6.24 DATA FOR ATTACI1MFNT CALCULATIONS •� •tip. Raul Rod; ;pie?. Product Control No.: 94- 1221.08 Product Control No.: 94- 1221.0*. SYSTEM LIMITATIONS (CONTINUED) , 9. Applications for rooting permits shall include a completed Section 11 of the Uniform Building Permit, n copy of Monier Roof Tile's current specifications and detnils, n copy of this Product Control Approval and a copy of the Product Control Approval of any hooting 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 cmitrol in complinnce will► the South Florida Building Code and related protocols. Samples taken shell be in complinnce with Dade County Protocol PA 112, Appendix 'A'. 11. Any amendments to these provisions shall be in complinnce with Sections 203 and 204 of the South Florida Building Bode. IN ETlhp METROPOLITAN DADE COUNTY, FLORIDA METf1O•DADE FI AGLEf BUILDING. nU1tDIN0 CODE COMPLIANCE DEPARTMENT SUITE 1003 METRO.DADE FLAQLER BUILDINO 140 WEST FIAOLER STREET NOTICE 01? ACCT P iAfC1: STANUAMD CONDITIONS. MIAMI, FLORIDA 33130.1503 • (306 ) 376.2001 FAX 1305 378.2000 Extensions of Acceptance may be considered idler n new application has been filed and the supporting data test reports no older than ten (10) years, have been re-evaluated. All reports of re- testing shall bear Iihe seal, signature and dale of an engineer registered in the State of Florida. 2. Any revision or change In the inaterinis, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or n c in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration dale may lie dispinyed in advertising literature. If any portion of the Notice of Acceptnnce is displayed, then it Shall be done in its entirely. 6. Product approval drawings, where required for permit npplications, shall be provided to the applicant by the nhnnufnclurer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. This approval supersedes all previous approvals. G tt IA 11 It odriguez Product Control Division Supervisor PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4 -12_ ` % b Address 'Z S' /L) b q o s / Tax Folio Legal Description Historically Designated: Yes No Master Permit # 3 77 9U Owner's Address "2-- g Phone 7; ✓ V I 9 2, 3 7/'"77'7 Contractin Co. ()W JJ P (L Q Q- Address 2-3 /V t / / Qualifier l O 62 / . 1 ", AZT ► ■\ SS# ; Phone . 37' `Y' ' State # Municipal # Competency # Ins. Co. Owner/Lessee / Tenant Architect/Engineer Bonding Company Mortgagor J N Permit Type (circle one): BUILDING ELECTRICAL PL 1 MBING MEC AL ROOFING PAVIN FENCE SIGN 1. G / f �V WORK ESCRIPTION e (HOC. / N I j(, G . Kaki o �- ki 1 Low _riAAAL. + 11 00 Estimated Cost (value), , Square Ft. 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. (/— Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT n I/' RADON C.C.F. 2ij NOTARY Mechanical Plumbing Address Address Address Si a . ture of Contractor or Owner- Builder Notary as to Contractor or Owner -B lde My Commission Ex • fires: APPROVED: A Z.oni n g Building ( Electrical TOTAL DUE Date Date y \ P P4/ OFFICIAL NOTARY SEAL 2 V <, BARBARA ANN FUGAZZI * COMMISSION NUMBER a ' CC360191 F MY COMMISSION EXP. � Engineering