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ROOFINGMIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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 rdinance 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. Owner's Name and Address._.. 1 61 A' i"_LC II Z Date.. 91‘ / .71-3 No «F/_�l ] Street._2i Registered Architect and /or Engineer ....._ .. Name and address of licensed contractorz !C. =.2:G . ..._ (j � - s`, f!o. 4 '<-1 t —/ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done q' 3 2 ' r State work to be done and purpose of building (by and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of f undation Roof Covering Estimated Total cost of improvements $., 49 _Amount of Permit $ / Q 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 Remarks 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 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 su contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. r (Signed). ( 2- Z .� Permit No 6 `' Date �, 1 Disapproved ,r Dat4i___,, � t (Signed) ' ' ( • ` Building Ins ctor 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 — – - -- 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. 2 S / Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD 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 approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of "? Building IC Architect Contractor or Builder +" Legal Lot Description Address of Building ( Y tt� c MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6319 Work to be performed under this Permit Value of Project $ DATE , • % —( 195 Contractors Z3 4 License No. 0404,/ 1' v Subdi- vision 4') Amount of Permit $ 4 ' 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 1TWerdinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings .pr in the sta ants or specifications and that a asaum responsibility for work done by his agents, servants or employees. / /7/ Signed• c. r , .i —. BY: INSPECTOR ,..—.........................a_. In consideration of the issuance to me of this permit I agree to perform the work covered he nder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi d to the proper authorities of Miami Shores Village. In ac- ting thjg petit I assue responsibility for all work done by either, myself, my agent, servant employee. / 1 BY AUTHORITY ,,h Owner's Name and Address Hai pt= 'L/ .f MIAMI SHORES VILLAGE & BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement or erne 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. LI A .....43 1 .., - ... _ 913 NoJ....::.....__ Street-A- Registered A httert and /or Engineer ,.,. .,.•••t... A1711TTVq,•• • ft. 1fl /i tc . a' S LE Name and address of licensed conttactor.. 1 • 1LuDi: .... ....R , t}.. �!_.. �_...... L:. ..�a�4 ...... ................ AN FLA ... Location and legal description of lot to be built on: 3 1 4 I� 9 f n r yl /+ ni F+ -2 �. r�: ..; R% 3 3 7 Loth 1 ,. � Block 9 Subdivision.. ....._..._ ....._ _. State work to be done and purpose of building (by floors .Ef ) 'C t_ CPC f= ft.) � r S .Aj' L t - C', r -'�R 6EA) l2 00,FL_ Street and Number where work is to be done and for no other purpose. New Bui!ding Remodeling Addition ✓ Repairi No. of Stories To be constructed of t r -Uh/ti ° t of foundation ( ,00- XtS Roof ,Covering .ALi1Wi- S(Ri E_ (FJQ/;t/le$) Estimated Total cost of improvements $ , .Q•QO , . Amount of Permit 3,....r!!_ r 51 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 lam. Lire: ifVUU _STtP -t-ti tAiL 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 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 wo such public notice or noticcs as are required by the Act. The undersigned agrees to employ only suc su ntractors, on k to be p rformed under this permit, as are licensed by Miami Shores Village. t / Remarks Building Inspector Date (Signed) STATE OF FLORIDA, COUNTY OF DADE. i ss• Before me, undersigned auth rity, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Qt3L �T L PC _.. 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 scat d are true. qq F Permit No..__ �' Date. .1 Disapproved ... (Signed) �. to a• S. ri• c re me y i% ►/ A otary ' ublic, Sta � • Fl t: fr ‘51.1111 N: ARY RUB IC ' E OF ri.OR1DA LA My Commission Expires fol.C.p m . .m1.. 7,7985 ONDED THRU GENERAL INS. UNDEKWR I TFRa PLANNING BOARD DATE Chairman Member MIcrr.ber Member Mtember .. .. _....._..._. _ ...._ Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hero obtained fran the l'I.urnir.;; Board. A re fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. r-1 ,yte "W,ItiVr'1;;7: jEct , + .55 - • S 4:1 5 4 Of' din" 5 1 1,1,101" / BUILDING 0 PLUMBING ELECTRICAL o PERMIT 'S ROOFING 0 Owner of Building Architecti Contractor or Builder Legal Description Address of Building Lot This permit is granted to the contractor or builder named above to constr tion herefor in strict compliance with all ordinances pertaining thereto and with plans, drawings, statements or specifications that may have been submitted to and at any time if the work is not done in compliance with such ordinances or if the permit is granted is the understanding that The contractor or builder named above regulations pertaining to the work covered hereby whetljer shown on the plans or sibility for work done by his agents, servants or empI ' es. Signed • (INSPECTOR) BY 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 p I assume responsibility for all work done by either, myself, my agent, servant or employee. �I/ 111 • 'ACTOR or BUILDER 6 161",' s MIAMI SHORES VILLAGE, FLORIDA N° ?4483 Work to be performed under this Permit I 320 (p 14- 342_0 b Subdi- 111At'll 6%' c%ed SEC. 2PPS to -3't 14106 I I BI. VD vision Sq. Ft. i '^ Value of $O 1 Amount of Project tJ y1 Permit $ B Date Contractor's License No. - it I- 2.00fr iU. 50 cc �' izo uct the building or to install the equipment or device describe f .. 40deplica- the understanding that the work will be performed in compliance with any approved by the proper municipal authorities. This Permit may be revoked plans are changed without authorization. A further condition upon which this assumes the responsibility for a thorough knowledge of the ordinances and drawings or in the statements or specifications and that he assumes respon- AUTHORITY Date 6 1 Job Address Legal Description 'Owners / Lessee / Tenant Owner's Address V/ _ ,' ' JP: Phone Contracting Co. / ( , . Qualifier State # c Architect /Engineer Bonding Company Mortgagor OW Permit Type(circle WORK DESCRIPTION 1 /I L Square Ft. Sig Date APPROVED: PERMIT APPLICATION FOR MIAMI SHORES M 6 Z P8 o -3 Municipal # Competency # Ins.Co. i , Address Address one): BUILDING / I I - - L4 ir ELECTRICAL PLUMBING MECHANICAL( ROOFING' PAVING FENCE SIGN 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 authori the a a -name • cont ctor to do the work stated. of owner a or Condo Pr SS# - ident F , Not y as to Owner and /or 'ondo President My Commission EkilbrieUVEILIC. STATE OF FLORIDA. MT COMMISSION MISSION EXPIRES: NOV. 25. 1993i �ONUL'D TNRU NOTARY PUBLIC UNDERWRITERS. **/ * * ## o ///*/ S * * FEES: PERMIT itI r RADON C.C.F. 1 "/ Fire Zoning Building Mechanical Plumbing_ /3— I44/f j Tax Folio!' Address I 1 ), ( 0r c4, / 7 ( Address Estimated Cost(value) ature of Con ractor or Owner- Builder e: ( c/ 1 Y� S, Notary as to My Commission * * NOTARY 15 ( TOTAL DUE i " Other Electrical Engineering .c)(13 Phone VILLAGE Master Permit 11 3 T T 8 3 ) Alg i L. o itv " tg�,$ si it lld r DA -re S COMMISSION NUMBER o CC255237 4. MY COMMISSION EXP. , cfreceoreljewmaaanwrallke se: ** TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT CALL L � RETURNED YOUR To Date / 4715 Time A � WHILE YOU WERE OUT M` / n e -teit C/ of Phone Area Code //. Z Number Extension Message Operator Campbell 09301 NOTICE OF COMMENCEMENT PERMIT NO. TAX FOLIO NO. 1 ! " 3 2c)C>7 _ q 1 3 Co STATE OF FLORIDA: 938323 153 1993 JUN 29 14:06 COUNTY OF 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: / - S A/ /- F' S M. /} 44 1 < A b L (4S fa, 2. Description of improvement: 7 rs i3 r'2. 3. Owner(s) name and address: 7- 4 • 1)1E C_ c c i "7 Interest in property: Name and address of fee simple titleholder: /t/ 4. Contractor's name and address: FO 1 - 1 2 C6 u Ai T`7 S / 7/ )S A'Lo_ L) /=T rA__'//z1 6. Lender's name and address: Signature 01 Owner Print Owners Name rL 5. Surety:(Payment bond required by owner from contractor, if any) ; Name and address: Amount of bond $ 7. Persons within the State of Florida designated by Owner upon whom noti¢'es or by Section 713.13(1)(a)7., Florida Statutes, Name and address: • /o//9 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Denor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N //q 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) -- /1_5 0 it .03 11/ /c ' i o c f t 0 OA/6 /. ) / 3.P Prepared by: 41 444' Sworn to and sUbscribedbp$ore me this /5 day of T 5P 19 93 T; Address:_ 1-( Print Notary ame / ///`1S N(JIIU T PUBLIC. STATE OF FLORIDA: My Commission Expires EXPIRES: NOV. 25. 1993. s � Dc�rnn� Ns •�••i Y•Y1G LINDiNW1{ITLRY� As¢ 4 er documents may be served as provided id / 123.01 -52 2/93 Monier Roof Tile has filed with this office a request to renew the following expired Notices of ,Acceptances: 90- 0205.1 90- 0205.2 89•- 0626.8 TO nail IT ilAYS'-Qa$GSEN .......• 1M , , - r,r �.r. .r i,r -' - . v 1 11 %=V n 41r1 METRO -DADE FLAGLER BUILDING [WILDING CODE COMPLIANCE DEPARTMENT SUITE IOW ME flO OAnE F1.AOLEA BUILDING 140 EST FLAGLER STREET MIA I. FLORIDA 331301003 000) $1b.7.901 FAX 3061 375 2900 March 25, 19193 - Gory Flat Cement Tile. - Gory Barrel Tiles. - Monier Mission "8" Shake and Slate, Classic "100" and villa Concrete Roof Tile. The to Hurricane Andrew, this office has been inundated with requests for both new products and renewals of those to expire which has caused a large brick log in retiponding with an official Notice of Acceptance. In the interim period, please accept this letter in allowing the products to be installed by a licensed roofing contractor in accordance with the manufacturers specifications and Chapter 34 of the South Florida Building Codepuutil further notice by this office. 1993- -03 -24 3111 4001 Jr210D bC62.581750C ly ours, G3;1 D amend, P.E. Product Control Supervisor 2VI57 PAGE a 02 1E:10 SZ- CO 4 y product Contro to . use-r. '4de County under the Specific dndard Conditions on Page 3 �Ondito, ,, 'e3 ;�y �BY i1' 9a kion for Product A pproval of Iti1 -eu.„1 nloyvvt • ` Pr • a Bu 1 .• ng Cede uns ►$, t . and Types• of Construction� , R., � ' { ' eCifiCations.'and calculations g' theu r and completel, eizu t.. - i#• 56a 3 dL. oc 4 2 gubmi ';!% ' p �,... • - of,Y:is,:,: tol D OF `RULE tion -ijor product Approval has bee n Dadco County Board of Rules and Appe ands Unincorporated areas of Dade CQ et .forth above. DAbE COUNTY, FLORIDA t a J i 1vr VI Thomas Deputy sec Metropo Board of Rul Lactation is: *Building Building ` St:- 33130 • e305 375 2908 ADE COUNTY, FLORIDA CODE COMPLIANCE (305) 375 TO WHOM IT MAY CONCERN ow METRO -DAB OFFICE OF THE CQU BUILDING ;ODE February 22, 199 4 'Building Products, Corp, has filed wi 7� this of i • - ' Qnfor the use of their Wind and Wate Seal as i '` -�;Y'-"r`�: � ' onfor'mance with Section 3403.4 (b) of the Sou1h, = +�..w:• 6 ,.Code ' (S.F.B.C.) . This underlayment yment shall be fast r;. .ether nailable decks in conformance with Section iiro ; p roduct'covsists of fiberglass acrylic core,G sphalt.Aldhesive having a total thickness o ng 30. lbs. per square,an 36", wide 4'an avalanche of requests for new approvals b# Hurricane Andrew, the issuance of Notice of Accep fig.: delayed . Via.: interim _ period, please accept this letter tqz be' used-.._as. an underlayment under `shingle or other nail applied tiles. Sincerely yours o�v�.avi Diamond, Product Control Su ' •1 •METR_LITAN DADE t..OUNTY, FLORIDA METRO•DADE Gory Roof Tile 100 Park Central Boulevard, South Pompano Beach, F1. 33065. Your application for Product Approval of Spanish "S" Concrete Roof Tile under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by J.E. Brenman. P.E.. Report 097- 0Q1 -99 dated 4 -3 -90. PSI Report dated 1 -16 -91 $anufacturers Installation Guide Specification dated 4 -3 -90 ha been accepted by Product Control to be used in the Unincorporated areas of Dade County under the Specific Conditions set forth on pages 2 -2b and the Standard Conditions on Page 3 ACCEPTANCE No.: 91- 0403.3 APPROVED ,Gil Diamond, P.E. May 13. 1991 Product Control Division Supervisor EXPIRES May 13. 1994 (305) 375 -2612 PRODUCT CONTROL NDTICE OF ACCEPTANCE * *PLEASE NOTE ** THIS IS THE COVERSHEET. SI+E ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS DOARD OF RULES AND_APPEALS NOTICE or ACCEPTANCE This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of Dade County under the conditions set forth above. ? APPROVED: May 13. 1991 _ l, _� dl1 Charles anger P.E. Deputy Secretary Metropolitan Dade County Board of Rules and Appeals hbAlkals lAik METRO.DADE CENTER BOARD OF RULES AND APPEALS CODE ENFORCEMENT SUITE 1010 111 N.W. 1st STREET MIAMI. FLORIDA 33128.1974 iie zGJlP Gory Roof Tile ACCEPTANCE No.: 91- 0403.3 APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECCTIC CONDITIONS 1. This approves Gory Spanish "S" Portland cement concrete roof tile as complying with Section 3404.1 of the South Florida Building • Code. 2. The tile shall conform to the following shape: Spanish "S" Architectural Roof Tile by Gory. Spanish cuts. barrel Trim and neoprene eave closures comolemanl the field me package lot easier installation and a butter appearance Specifications (2W Headlap) Overall Length E■possd Length Overall Width E>tposed Width Crown Height Butt•End Thickness Pieces per square Weight per ware •011•,IN rr.1111•+ *An we .w•. w..— somata• Pump/mil t r 10'.* 9' 2Y, lOS pcs S90 Ms Nad•on or mortar-set Installation May 13. 1991 May 13. 1994 1 ,g Gil Diamond, P.E. Product - Control Division Supervisor Gory Roof Tile ACCEPTANCE No.: 91- 0403.3 APPROVED EXPIRES �• • • � May 13. 1991 May 13._1994 3. The tiles are approved for installation as mortar -on system and as a nail -on system. Both systems shall be installed over 1/2" solid plywood deck as set forth in Section 2909.2 of the Code. 4. The mortar -set application of this tile shall be subjected to the limitations set forth in Section 3404 of the Code. Head -lap shall be 2 1/2 ". 5. The tile shall be installed in accordance with Section 3404 of the ,South Florida Building Code, or the referenced manufacturer's directions, whichever is most restrictive. It is the responsibility of the manufacturer, i.e. the permittee to provide copies of this Notice of Acceptance and the manufacturer's directions, on site and 'available for the use of the Building Inspector. These directions shall comply with Section 3404.1 (a) (3) and shall give any other directions necessary for the intended installation. Failure to provide these documents shall be cause for re- inspection. 6. Nail -on applications shall be limited to 55 feet above grade. Headlap shall be 2 1/2 ". Installation shall be as follows: A. for slopes 4 : 12 and greateer: Underlayment shall be 43 pound asphalt saturated felt. Each tile shall be nailed with two 8 penny hot dipped galvanized common nails, and each rake tile shall be nailed with two 10 penny hot dipped galvanized common nails. B. For slopep less that; 4 : 12. but. 3 ; 12 or greater: The underlayment shall be in accordance with Section 3404.2 (b). Each tile shall be fastened with two 8 penny hot dipped galvanized common nails, and each rake tile shall be nailed with two 10 penny hot dipped galvanized common nails. Each nail shall be sealed between the tile and the granular surfaced roofing membrane with a spot of plastic roofing cement. „i„e it Diamond, P.E. Product Control Division -2a- Supervisor • .Gory Roof Tile 8. Ouality Control: 9. Markings: ACCEPTANCE No.: 91- 0403.3 APPROVED EXPIRES NOTICE .0£ ACCEPTANCE: SPECIFIC CONDITIONS May 13. 1991 May 13, 1994 7. Installation of underlayment, ridge and rake tile, flashing, valleys and the requirement for the use of plastic roof cement shall be in accordance with the referenced test documents. These documents contain the manufacturer's recommendations and shall be on the installation site for the use of the building inspector. Installation of the nail -on system shall be in accordance with the manufacturer's recommendations, this Notice of Acceptance or the South Florida Building Code whichever is most restrictive. The manufacturer shall retain the services of an independent testing laboratory to maintain quality control. Testing shall be performed on a minimum of five (5) tiles during production of domestic tile for strength according to Section 3404 of the South Florida Building Code and for moisture absorption according to ASTM C -4. Test samples shall be selected by a laboratory according to ASTM D- 3665 -82. Results shall be submitted to Dade County Product Control Section every ninety (90) days. Test reports shall bear a description of the tile by material and color, i.e. clay, red. All tiles shall bear the imprint of the manufacturer's name and tile designation, to permit identification in the field. 10. This product must be re- evaluated for structural adequacy when installed within the Coastal construction Zone, in accordance with Chapter 23, Sub - section 2309.2 (b) of the South Florida Building Code. 11. The renewal supersedes Product Approval #90- 0311.2 (88) R dated November 19, 1990. atof Gil Diamond, P. Product Control Division -2b- ' Supervisor METROPOLITAN DADE COUNTY, FLORIDA METRODADE NOTICE OF ACCEPTANCE: STANDARD CONDITIONS METRO -DADE CENTER BUILDING & ZONING DEPARTMENT SUITE 1010 111 N.W. 1st STREET MIAMI. FLORIDA 33120 -1974 (305) 375 -2612 1. Extension of Acceptance may be considered after a 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 the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, 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 a change 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 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. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer 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 Standard Conditions shall be cause for termination of Approval. -3- Gil Diamond, 1 5 731 - 7 ----3 Produdt Control Supervisor Metropolitan Dade County Building & Zoning Department RTU •1100 Mot ile Underlavmant *i•:)■• t.4. • t:•: L 1:f ■'",• •CleN cin i lers .r ks f r-4, ;ric:, ;IP 19 Hr 1. Lerl(rt 'If 1 1 • V'f.N 7 v !fee rrl', (I( 01 Et .•';• iy 1.r, . ( )0iicat! :L f trn •,i; on 1 ) . 1,4 kt K 1 ""v: ••-• : t nf)rto--2r nf the vPHpl If• flJ f tL 1 ,, „ ritaiH (t f.)nfirq il the ror, (of t nv e .4. "t'+') Stii+ r l 1 ; • • t ••• •[. • •\„ • i/H flt .. 4 i• , r1 ; : ..; ; , S ; , ; Or, rh . ` r'',•:1+,-71t.„ .. Vt-lt .4, 4.„ . • • !,!-. ; 4 4 •!!,, " 2f.pf-•4 • HI•HH No trIti ;I r ilsitinow Inc. Fine Road, Brentwood, NI! 03833 • 603/778-8899 • FAX 603/7784455 • r -,, r , - r u,,. 1 4 4 4.a 7 4 CI t 4 ;t f)1,11' !i 111 : Storfcc O264,-co it., w.co 'Arlf= N TY APt -rit Number 88P * r A x. w)J3, 778-7455 Owner's Address Contracting C . Qualifier WORK DESCRIPTION L APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date rIY. C/ f Job Address q A Z7 W 571- Legal Description /OA l' / •1' t "'Owner / Lessee / Tenant /� y � / ,4 7 e State # Municipal # £ k � ' • Notary as to Owner and /or P h My Commission Expires: r� G '. �oq� 99 S �� / / , ''� F FLOR�OP / ** * * * * * * * * * FEES: PERMIT RADON Tax Folio f/,v e./ Vdo i�dr 5 - C. A / DCZ FO e SS# . one Competency # Master Permit 4f .3 Phone 1.1Y 0:2 i L Address Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): UILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN9 PAVING FENCE SIGN 3 C) 1 Square Ft. 6 a 5 Estimated Cost(value) l<P bb 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 auth y ze the above- name., cont tor to do the work stated. < l { Signature of Contracto Date: Owner- Builder G /27/Ze s. y A Notar as to Contractor c �, 9 ne slllt. My Commission Expires: X * '40 iY : * * * * C.C.F. NOTARY TOTAt''AU ; R $ Fire Other Zoning Buildin � Electrical Mechanical Plumbing Engineering_ 44— Job Address: l,!5 /.. Contractor: YV a c'e i Process No. :J Is the deck solid sheathed? (circle 'yes' or 'no') yes no 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 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: 1S i Construction Re -Roof Note: Mortar or adhesive set tile systems are not acceptable as recover applications. Mortar or Adhesive Set Tile Systems Page - 1 Deck Type (check one of the following): ❑ Nominal'' V2" Plywood (for rc -roof only) ❑ Nominal 5 / 8 " Plywood ❑ Wood Plank 4 " ❑ Other (fill in) Roof Pitch (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 thrcc courses 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 Approval for the proposed tile system? (es no Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and other literature yes no Is the proposed underlayment approved for use with this tile system assembly ?_ yes no Job Address: Contractor: 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 N/A 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 ring shank, corrossion reisistant nails)? ryes no 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: Tile Name: Manufacturer: Tile Material: ❑ lay la Concrete ❑ Other: Product Control Approval Number: Mortar or Adhesive: yes no 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 E Mortar: N/A Underlayment: Length: ❑ Othej" Type: Length: Manufacturer: Mixing Ratio: ❑ Adhesive: Type: Manufacturer: Process No. kit Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12" and is less than or equal to 7 ":12 "): 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: " 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 / ", whichever is less. The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Job Address: Underlayment (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: Manufacturer: ❑ ASTM #15 asphalt saturated felt with: Manufacturer: ❑ Mineral Surfaced Roll Roofing with: Manufacturer: ❑ Other: Type: Manufacturer: Underlayment Fasteners (if applicable): Check one of the following which apply to the proposed underlayment attachment: Minimum 12 ga. electro- galvanized roofing nail with minimum 32 ga. x 1 tin cap: Length: / .. '__, Manufacturer: ❑ Other: Type: Length: Manufacturer: Contractor: Process No. Field: Laps: O 19" overlap O 6" overlap 5. Related Accessories: 1;1 overlap O 19" overlap O 6" overlap O 4" overlap O 19" overlap O 6" overlap (7 4" overlap Mortar or Adhesive Set Tile Systems Page - 3 Spacing (per tile system assembly Product Control Approval): "o.c. " o.c. Edge Metal (refer to Section 3408.2 of the South Florida Building Code): Type: Dimensions: Gauge or Thickness: 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: L."'rlashing Cement: Type: )/'�... Manufacturer: ,ir,, 14 Job Address: Contractor: Process No. Adhesives (continued): Additional Notes: 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 ❑ Soffit: Type Size in 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. Mortar or Adhesive Set Tile Systems Page - 4 Job Address: Contractor: Ridge Venting: (if applicable) Deck: T ype: (. f Thickness- ` Underlayment: Roof Pitch T r , Underlayment t Fastener: ? l ; 12" FILL IN APPLICABLE ROOFING COMPONENTS WIIICII MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN ON THIS PAGE. (Where Roofing Component not used in Tile System Assembly, fill in with "N /A ". ) I Lead Lap Dimension: (minimum 1' unless otherwise specified in the tile rystem assembly Product Control Approval) Mortar /Adhesive: Tile: Tile Fastener: Edge Metal or Gutter Fastener: 1 Bird Stop: (if applicable ) Edge Metal or Gutter: Existing or Proposed Soffit Venting: DETAIL #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 5 Process No. Job Address: Contractor: BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 6 Process No. Ridge Height: Eave I #eight: Roof Mean Height 9 f t ' feet d ej ,teet Insert Building Ridge Height, Eave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. ( See ASCE 7 -88 Fact Sheet Attached ) Exposure Category: Classification Category: At Hurricance Oceanline7: _ Y _ N Basic Wind Speed at Building Location. 110 mph Building Condition based on % of openings: (See Table 9 ofASCE 7 -88) V Ground Level Job Address: Contractor: BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 7 Process No. Sketch Roof Plan, indicating all dimensions, slopes and any rooftop 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) Job Address: Contractor: Process No. 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 Liel:///'I , 1 /79 /E. who, being first duly sworn, deposes and says that all information submitted herein is true and correct. Licensed Contractor Owner Signature rn to and subscribed before me this 6 th day of 19 7q My commission expires: Notary Public State of Florida , II I% % %% •.• D F �1 � Co � L' e e : n- Mortar or Adhesive Set Tile Systems Page - 8 • d ^ METROPOLITAN DADE:000NTY, FLORIDA DADE `Chairman Bertram S. 11ilrt/W.r lice-Chairman 11.0 La.% %ct T Members R..nul/ .4 err James .lnas George Berlin Thomas Al. Black Lunrrnre &,rrari Ted Bnki.t Oscar Brennan Atlas Calpini Eduardo Comet !„rye de la Turriente H. Carlton Decker .4 rnnlJ Goldman Richard At. Horton Daniel Lewis John Lindstrom Steven Gore Joseph .1 fokher. Sr. James Pinter trillium Riley .4rmando .tl. Ri:,r llamas C••nerbac k 4lir. 1 Hrishn,.l Ruts• H illiurns Board Consultant J ■il,n Pisrunnu Staff Charles Danger ..,ndv lrrinrrb Gel D ,nJ (305) 375 -2612 PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Roof Tile 135 N.W. 20 Street Boca Raton, F1. 33431. Your application for Product Approval of Monray. villa, Roma. Shakes and Slate Style Roof Tiles (on Solid Sheathing) under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Herbert S. Saffir. P.E. has been accepted by Product Control under the Specific Conditions set forth on pages 2 -2b and the Standard Conditions on Page 3 ACCEPTANCE No.: 92- 0318.3 APPROVED EXPIRES BOARD OF RULEa_AND APPEALS NOTICE _OFaCCEPTANCE This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used_ in the Incorporated and Unincorporated areas of Dade County under the conditions set forth.above. APPROVED: September 14. 1992 Gil Diamond, P.E. Sept. 14. 1992 / Product Control Division Supervisor Sept. 14. 1995 4' ,' 4 METRO -DADE CENTER BOARD OF RULES AND APPEALS SUITE 1010 111 N.W. 1st STREET MIAMI. FLORIDA 33128 -1974 (305) 375.2981 * *pLEASE * THIS IS THE COVERSHEET. SEE ADDIT OJMALYAQ S EQR SPECIFIC AND GENERAL CONDITIONS -1- 'Charles Danger P.E. Secretary lt s Metropolitan Dade County.R," Board of Rules and Appeals Monier Roof Tile ACCEPTANCE No.: 92- 0318.3 APPROVED : Sept. 14, 1192 EXPIRES Sept. 14, 1995 NOTICE 9F ACCEPTANCE: SPECIFIC SONDSTIONS 3. Each ridge, hip or rake tile shall be fastened to the roof framing with 2 ring shank 10d nails. A bead of roofers mastic shall be placed where tiles overlap. The two longitudinal edges of hip and ridges tiles shall be made watertight by a bedding -or Portland cement mortar. 4. valley flashing shall be No. 26 gage corrosion - resistant metal, extending at least 9" from the centerline each way with a minimum 1/2" edge return bent toward the center line at an angle of approximately 30 ° . Flashing end laps shall not be less than 6 - . 5. Where rake tiles center over top roll of adjacent perimeter field tile or when water will penetrate through mortar and into space below tiles, provide a metal tray along the length of the gable from the ridge to eaves discharging outside fascia or roll underlayment over edge of sheathing. 6. When roof tiles abutt vertical walls, 26 gage galvanized metal counter flashing with either top flashing or pan flashing shall be installed and secured at.12" o.c. Pan and top falshing shall extend a minimum of 8" above the solid sheathing and be embedded i the stucco when stucco is used. The pan shall extend horizontally to the center rib of each-tile or 8 " and terminate with a folded flange of 1" width at 30 turned back. 7. Ridge trim tiles shall be installed M a as per Monier Technical Florida Bulletin #673 or embedded in type per Building Code Section 2702.10 (b). Provide weep holes in ridging mortar in all troughs of top course tiles. Provide mastic or caulking at the overlap of each right tile. 8. Openings of vent stacks shall have a minimum of 14" x 18" apron shaped to fill th'e tile profile. Flashing shall be of lead, copper, other approved flexible flashing materials. -2a- it Diamond, P.E. Product Division Supervisor VIL. t ( VLr 1 r11 {NETRO•DADE 1• ay Chairman Berman S. ISilydt.nr Ike-Chairman 11.(1. Lasseter Members Amalfi Ago - James .4 rim George Berlin 77u Al. Black Laurence A. Bern. ari Ti rl Bridis Oscar Brennan 114111 Calpini June de la 7 ,rrielnr 11. Carlton Decker Arnold Goldman Richard Al. Nor in Daniel Lruis John Lind strum Start' Lore Joseph Mokhrr. Sr. Janus Pincer ttill4um Riley Armando rtil. Ri:o 77u nms Cttrrba * Alfred IP•ishnrd Rudy Williams Board Consultant John Pi.sturima Staff Charles Danger Sandy IIi•inrrh Gil Diamond t� r v a_ v v ... ' late) " METRO -DADE CENTER BOARD OF RULES AND APPEALS SUITE 1010 111 N.W. 1st STREET MIAMI. FLORIDA 33128.1974 (305) 375-2981 (305) 375 -2612 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Extension of Acceptance may be considered after a 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 the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision of change in the materials, 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 a change 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 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. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer or his distributors; unless otherwise noted in. the Notice of Acceptance. The prints need not•bp re- sealed by an engineer. 7. Failure to comply with Standard Conditions shall be cause for termination of Approval. 1 Diamond, roduct Control Division Supervisor 5. Markings: All tiles shall bear the 'imprint of the manufacturer's name and tile designation, i.e. Vanguard Roll, to permit identification in the field. 6. This product must be re- evaluated for structural adequacy when installed within the Coastal Construction Zone, in accordance with Chapter 23, Sub - section 2309.2 (b) of the South Florida Building Code. 7. This renewal supersedes Notice of Acceptance No. 88-0630.10 dated December 12, 1988. Monier Roof Tile ACCEPTANCE No:: 92- 100-_5 (91) -2a- APPROVED EXPIRES NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS April 13, 1992 April 13.. 1995 Gil Diamond, P.E. Product Control Division Supervisor PERMIT NO. `� 7a0 0 STATE OF FLORIDA: COUNTY OF 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: ( 9'1,1 F y 2. Description of improvement: 3. Owner(s) name and address: 013W,W ` \ . 1 J C•WC\' t w m Interest in property: OW 'a.) 2 • • Name and address of fee simple titleholde 4. Contractor's name and address: e DI/t. C? /1 (kd 6 r:•v C1 a 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different d Notary Public Print Notary's Name NOTICE OF COMMENCEMENT to is specified) My Commission Expires: taci'0,11- TAX FOLIO NO. ( ■R7+ t wt ci I V I - V OQ-Aekc` .. A - Y\ LYNNE • • BACHLER • O ,` - Piep =red b 7 day of IVO/CM tAf. % py omslon Sworn to and subscribed before me this 19' Fx SeCpt m( 1s 7 1996 • signature ot'Ovner ( n Print Owners Name A) ¶` (, I \�1 �� _ NE 'nn ,e oade /e 4 / #7.. 1/ 3 .76 6,— J/ 31(.20 948525345 1994 NOV 09 11:24 /-111- / / s C -, 2 c'PJ 'C PRY 'P U • .,' 6\)4.) r )) 3)S -T 9 • CC 229047 . ',c,Q„ ess• 7 't_ of F1- ,,,,.,.,t%'