940 NE 99 St (4)MIAMI SHOR.FS VILLAGE
BUILDING DEPARTMENT /\
305- 795 -2204
B it . ing Inspection Request
Date 1 5
Type lnsp'n Cii'Y I
Permit No. P 04 03-J
Name
Address 9q0
6a<(r /
Company
Phone #
Inspection Date
orrection
Re- Insp'n Fee
/t
il��Ii%
�( IAMI SHORES VILLAGE
q�1 UILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
Inspection Date
Correction
Re- Insp'n Fee
q
cacQ.c e
� � P5 Qt
,OJJz,o
Date
Type Insp'n
Permit No.
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 if)�
Building Inspection Request
Name
Address 9 1l Ai, 99
Company 6/`1 go4A.C1
Phone # / f.r_a2
Inspection Date l 5b \ D'
o/<
r Ar
r
SX{ETCH OF ROOF
Permit #:
Q er's Name:
Jo Address: 9Y12_ . -5
Ro ng Contractor: ,P r l /5 14
of Tile: Piga i 7i/e Date Installed:
Ap ximate Roof Height: i 0 / feet Roof Pitch: ,5" 1 x '
Ty R . of access to Roof: 0 K Scaffolci Ladder _,,,other
Ap oximate Square Footage of Roof: ft 2
Re ired Testing Force: 35 Ibs.
Da Tested: 17 - i > - u g
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Permit #:
Q er's Name:
Jo Address: 9Y12_ . -5
Ro ng Contractor: ,P r l /5 14
of Tile: Piga i 7i/e Date Installed:
Ap ximate Roof Height: i 0 / feet Roof Pitch: ,5" 1 x '
Ty R . of access to Roof: 0 K Scaffolci Ladder _,,,other
Ap oximate Square Footage of Roof: ft 2
Re ired Testing Force: 35 Ibs.
Da Tested: 17 - i > - u g
P
BUILDING
PERMIT APPLICATION
FBC 2001
1
1
Contractor's Address 36" ✓Gv
City ,4', yhc+' fl 4k#5
Qualifier ���. r-k, • 6:
$ Value of Work For this Permit /14 SI
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): ildi Electrical Plumbing Mechanical 'woofing
Owner's Name (Fee Simple Titleholder) J01/A0 6: l e a---e Phone #
Owner's Address L�'0c 7 HE 91 5 /
City /17 /A/�i / � [ S /�_ j State cG Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) q4P Al- g9
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO Y'
Contractor's Company Name � a2� - D / � }'�i��.� /Z gCflJ J to Phone # 7j Z29 ,L/
Architect/Engineer's Name (if applicable) Phone #
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace Demolition
Describe Work: t Lk.. a.45 . 1' r (Q , (P
Q
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
'U —
Submittal Fee $ �'ei:5iik . Permit Fee $ 300
Notary $ V/ r 2 b
Scanning $
Is
Training/Education Fee $
Radon $
State Zip 3, f9 /(o
Permit No. PAP of r 0
Master Permit No.
Square Footage Of Work: S
CCF $ s 6d CO /CC
Technology Fee $
Zoning Bond $ —
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
n tore
Chc 12/15/03
Owner or Agent
Signature
Contractor
The foregoing instrument was acknowledged before me this .? ( ‘ A The egoing instrument was acknowledged bef a me this` -.(
day of iN \- , 2d L b �C 3t C t�` r-)` day of iV�t1. , 2 ° b ) �1� ' . S
.1 y ∎ 1 �l% I , Y ( - \ L ,
who is personally known to me or who has produced 1.__ (aio is personally known me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY,PUBLIC: NOTARY PUBL C:
_ r I
Sign: \0<(),., C < \ C ' ") t - 1 '-'? n Sign: C. e L5k c )-
Print: ''t \\y1 , t a (7 CA( ° j - r'_ ` i s '?1 Print: M ,i2 V CC lC "� C ` fr --
Celeste °y Gs
My _ , ,,,yr4 � ���` Ma Commission ODD My Commission Expires:
M Commission Expires: t67
My I o Reyes
* * * * * * * * * * * * * * * * ** C�'�� * * *** * * * * * ** '* ExP��s�KA�' IG��****** t* ********* ***** w*.y�9F t * * * * ** * * * **
�/ • My Commission DDt itwv.
- Zoe: c ertificate of Competency Holder) `, ,
State Certificate or Registration No. L° LC C S . 7 Z' Z 4v Certificate of Competency No.
tiy�: • �r
,, r•4, •
��. c
cr p o i Expires May 13, 2003
****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: JUN 1 2004 Plans Examiner
Engineer
Zoning
N° 174
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla.,
Owner, Agent or Tenant of Building
Lot Block Subdivision
Street Address _
Approved use by occupancy
Remarks:
This Certificate of Occupancy is issued to the above named .
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the
erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
NO 174 BUILDING DIVISION
mi Shores Village, Fla
�' � %'� - i „
Owner, Agpnt or Tenant of Building
Lot (' - Block %! Subdivision 1)
, l ' � 7' Street Address % � / / �i �' ��
Approved use by occupancy /
Remarks:
This Certificate of Occupancy is issued to the above named ' // «'
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances Miami Shores Village pertaining to the
erection, construction, alteration or remodeling of b ild or structures.
BUILDING DIISION
N9 174
mi hores Village, Fla ,
O er, Agent or Tenant of Building : 4 -
r•
Lo • Block . - ." -� Subdivision 1 1/. , r
Street Address e ' '
Remarks •
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Apprejed use by occupancy i
This certificate of Occupancy is issued to the above named ay
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the
erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
hone
—
Lot BlQck,
-
Subdivision
Lic.
General Lic. o
Zone Req.Cu. Ft.. -2 A 0 0 0 CL.b.Cont.9a
Plat Restriction --- Clik - d; By
_ Re-Submitted to P.Bd.
•
Plan & Spec. "Checked by `-'•
•••--- Approved
•
To Councir
Nliber Str
•
ApprovelY4 /6 - -
To Planning Board Rejected
App ove Rejected
Dat
Rejected
Bldg. Permit NQ.,1,31. Da_t/A./4 4 Fee &
Cost od a
Type -- Stories
New Cohstfuction Alterations
v .
Plumbing- Permit...No./J S- Date//-23'-vd Fee
Septic -Tank__
ft AL"
•
ti
Sewer .._.,.. -
Miscel.
e , L New Const. . Altera ion
Roof
Rep
11
4 ,11;15
Repairs
octri cal Permit No. 2/
1 ixtures
. ,Icater •
Motors
Misce17
Nei Const,.
— 13 - 1dg.
Insp.
oundatio
B cams &_„L
Final, Cl ean-Up,
Plumbing Inspt
Roughing--
F ixtur es
Sewer
Se Tank ,
Solar... Heater
Final Cert
El cal _Znsp Da
/
Fixtures __
Final
Rough
Service 0. K. to Power
te
/
Date
'• '3' i f Ole
e elavpkge
1 0A I I I I L IIP7 07 1 % 0 1; K.'
AIENIMMErlid&WR
ter12
4 re
By Heinsp. 13y •• ,
Date / e-,0 Fee
• If .
71 <, 9
7
Alteration Repairs
_ -
e-Insp .
•
a 6
Reinsp By
Re- Insp • By' Reinsp. By
LOCATION , 940 N.E. 99th Street (
GARBAGE TAX RECORD
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
) ��
; ;
1940
1941
l/ ',
1942 -` SL`
�: '
/a 6-
�/�
/ ,7 /7 -T�
QQ/
L T 1/
L�
e.
' �_ LL
, ,
I
/
_ //
1943
—! a / /
1944
.
J-. 4 -VY
!_ 1 0s
L? Q S$
1'54 1
V
1 -Fh/ �/• is j .igt��
1945
/0 . 1-0
4 gro �
�1 ` � �/ .
•
q
1946
1947
-
/ \
/ . .S 1 /
J `� 4
1 a \ J `-- 1 .?- 9€b
/0/0/
//ma y/
41 "/
/
0
/i
q
le
1948
1949
1950
/X o a
/■: 00
J
/g'v- V
4 / - l e
/a - 3 / -s' ,
/6(.0a r(' -, V - r (
/d ,6-0 (2 ?? 19
,, 1 - //- Z
V
it
I f
LOCATION , 940 N.E. 99th Street (
GARBAGE TAX RECORD
940 X. E. 99th St.
by
F. 8aillie
e�-
0 0
year annual tax period used
/9 .5/ /5. 6 • s/
I ys:2- /
amount paid
date paid
V s
receipt #
0.
U
v �.
DATE / 2q\
RECEIVED FROM
OFOR RENT AA eyf 700
No. 2137'35
DOLLARS
ACCOUNT
PAYMENT
BAL. DUE
O CASH
O CHECK
O MONEY
ORDER
Inspection Date
Approved
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT n'
305- 795 -2204
Buil.ing Inspection Request
(422_
Date
Type Insp'n Red )f 2c117 He
Permit No. 8I- U "t - 1 (:c
Name o k c
Address G to NC_._ gei u�
Compan 17oto
Phone #
h �.e`iesz 67
�ri 995f7'
Inspection Date
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE)?
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date‘. ) O y
Type Insp'n
/
Permit No
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
5
Date
COO
Type Insp'n Tt C.Qp fi/` 11 '`Cop
Permit No. BP 04-100
Name G caws
Address C IA
Company eQf 1C/1
Phone #
Inspection Date o�3 .
Approved
Correction ❑
Re- Insp'n Fee ❑
Section A (General Information)
Master Permit No. Process No.
Contractor's Name 0 e-- a- ecA.fl.A_. -n.)
0 1 /V t 9 9 - 7 /24 J/9-274/ z
Job Address
Florida Building Code Edition 2002
High VelocittHurricane Zone Uniform Permit Application Form.
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile rtar/Adhesive Set Tile
❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes
Shingles
❑ Prescriptive BUR -RAS 150
ROOF TYPE
❑ New Roof -e- Roofing ❑ Recovering ❑ Repair ❑ Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
4 S
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow
scuppers and overflow drains. Include dimensions of sections and levels, clearly
identify dimensions of elevated pressure zones and location of parapets.
Roof System Manufacturer: , OFR ,G /r, ht-.. 4 Z
Notice of Acceptance Number:
MinimUr Design Wind P er if Applicable (From RA6127 or Calculations):
P1: P2: q-- P3: r �
Maximum Design Pressure aP- •� 1-0r)
From the WA S eciflc S stern : /
Method of tile attachment: A .c 09 / Aee mss / , r ,r
Roof Slope:
12
123_01-48 5/03 PAGE 4
Ridge Ventilat n
Florida wilding Code. edition 2g02
High Val 4 Hurrlathe Zone Uniform Permit, °iiction Form
Section a .Saes SJq ed oof NAOMI
Stee Sio - ed Roof S: - ste m Deetsicr
Deck Type:
ype UlndarCayment:
nsulation:
Mean Roof Height: /e2
/ /.
Fire Barr er
dhesive Type
astener Type & Spacing:
ype Cap She
oof Covering:
fr/Proak 44 /14,41
Type & $Izo Drip
Edge:
M Required Moment Resistance*
Mean Roof Height .'--
Roof Slope (
15'
20'
25'
30'
40'
2:12
34.4
36.5
38.2
39.7
422
3:12
32.2
34.4
36.0
37.4
39.8
4:12
304
32.2
33.8
35.1
37.3
"
5:12
28.4 ,
30.1
31.6
32.839
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
Where to Obtain Infortnatio � .
Description
Symbol
Where to find
Design Pressure
P1 or P2 or P3
RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE
7 .
Mean Roof Height
H
Job Site
Roof Slope
g
Job Site
Aerodynamic Multiplier
X
NOA .
Restoring Moment due to Gravity
M
NOA
Attachment Resistance
Mr
NOA
Required Moment Resistance
M
. Calculated
Minimum Attachment Resistance
F'
NOA
Required Uplift Resistance
F
Calculated
" Avernge Tile Weight
W
NOA
Tile Dimensions
1= length
w= width
NOA
All calculations must be submitted to the Building Official at the time ofpermit application.
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniforrn Permit Application Form.
Section E (Tile Calculations)
For Moment based tile systems, choose either Method 1 or 2. Compared the values
for M the values from Mt If the Mt valves are greater than or equal to the M
values, for each area of the roof, then the tile attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
$ g a. • 2 5 4 1 = l3,01 ) . -M C O ° = Mei Of 7/ NOA 11k
d' 7.`/G1 ) - Mg: 3 M / 9 NOA 11�
ga ; 219 = Z7:1'i) - Mg: = M r 3 /. / NOA
Method 2 "Simplified Tile Calculation Per Table Below"
(P2 :5
(P °a:5
Required Moment of Resistance (M) From Table Below
(Pi: g1• = g w:= ) -W: cos 9: = F
(P al• - g w: ) -W COS 0: = F
(P3 : X1: = g w: = ) - W: z cos 9: = F
NOA M.
*Must be used in conjunction with a list of moment based tile systems endorsed by the
Broward County Board of Rules and Appeals.
For Uplift based tile systems use Method 3. Compared the values for F' with the
valves for F If the F' valves are greater than or equal to the F values, for each
area of the roof, then the tile attachment method is acceptable.
Method 3. "Uplift Based Tile Calculations Per RAS 127"
NOA
NOA F'
NOA ]F'
May.13. 2004 12:20PM SUNNiLAND
MIAMi-DADE
BUILDINC CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACC>CnANCE NOA)
Monier Lif<etile, LLC
135 NW 20`" Street
Boca Raton, EL 33431
No.6611 P. 1
MIAMI -DADE COUNTY, FLORIDA
METRO -DADS FLAGLER BUILDING
tai WLS1 FLAGLER
AM STREET, SUITE 1603
FLORIDA 53130-'563
(305) 375 PAX (305) 375-2008
SCOPE:
This NOA is being issued under the applicable reviewed b rules Miami County Product e Gontro[ 1�ivisi accepted
The documentation submitted has been re y
by the Board of Rules and Appeals (BO'RA) to be used in Miami Dade County and other areas where allowed by
the Authority );laving Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date a ` other than Miami Dade County) reserve the right to
Division (In Miami Dade County) and/or the AII1 (s to per
have this product or material tested for quality assurance purposes. expense of such testing and AI- IJ i l mmed �tely in
the accepted man incur the
mariner, the manufacturer will in
revoke, modify, or suspend the use of such producia�j
[ t og Division �tlyat this product or
to revoke rhiis acceptance, if it is determined by Miami -Dade County Product Con
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with thc nigh Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: Villa, Roll, and Capri Concrete Roof Tile
LABEL ING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami - Dade County Product Control Approved ", unless otherwise noted herein,
RENEWAL of this NOA shall be considered after a renewal application has been fled and there has been no
c hange in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur aver the expiration dte or if
this there has as an tadorsetn or change any in the
materials, use, and/or manufacture of the product or process. Misuse
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOP..
ed by
ADVERTISEMENT: The NOA number preceded tbythe e Yf any Miami-Dade County,
the NOf��s displayed, then is shall
the expiration date may be displayed to advertising e
be done in its entirety.
INSPECTION: A copy or this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of thc Building; Official.
This NOA Consists of pages 1 through 7.
The submitted documentation was reviewed by Frank Zuloaga, RRC
NOA, No.: 024205.05
EYpiratlon Date: 12/16/01
Approval Dote: 01/02/03
rage 1 of 7
. . Mai • 13. 2004 12:21 PM SUI'IN I LAiND
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub - Category: Low Profile Roofing Tiles
Material:
Concrete
No.6611
X. SCOPE oof
as
This renews a system using Monier L1 Roll,
Section 2 of this Na� a of Acc tt, le, For
manufactured Monier Lif'etile LLC and described in Sea
oes riot
locations where the pressure requirements, as d lculat ons bn compliance with R AS 127 u sing the
exceed the design pressure values obtained by
values listed in section 4 herein. The attachment calculations shall be dime as a moment based
system_
2. PRODUCT DESCRIPTION
')Cost Product
Manufactured by Test
Apallealit 7imcnsions eciilcntions
Villa S c R le LLC 1 w y - 13 " PA 112 extruded interlocking, high pressure tie equipped with one
Villa � Roll = 13
1/4" thick nail hole and double roll ribs. For direct deck
or battened nail - on, mortar or adhesive set
applications_
Monier Lifeitilc LLC L el 17" PA 112 Low profile, intcriocking, high pressure
W= 12 /a extruded concrete roof the equipped with one
Capri Tile 1 /2" thick nail hole and doable roll ribs. For direct dcck
or battened nail - on, mortar or adhesive set
applications.
Trim Pieces 1= varies PA 112 Accessory trim, concrete roof pieces for use
w = varies at hips, rakes, ridges and valley terminations.
varying thicicoess Manufactured for each the profile,
2_I SUBMITTED EVIDENCE:
Test Identifier
7161.03
Appendix 11:1
7161 -03
Appendix 11
PO402
94 -060B
94.084
l'oLAsiLyi
Rutland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
The Center for. Applied
Engi, cring, Inc.
ta t .
rr� /tip
f, P�
Test N Date
Dec. 1991
Static Uplift Testing
PA 102 & PA 102(A)
Wind Tunnel Testing Dec. 1991
PA 108 (Nail•On)
Withdrawal Resistance Testing of Sept, 1993
screw vs_ smooth shank nails March, 1994
Static Uplift Testing
PA 101 (Adhesive Set) May 1994
Static Uplift Testing
PA 101 (MOrtar Set) NOA No.: 024205.0
Expiration Date: 12/16/07
Apprava! Date; 01!02103
Page 2 of 7
,May.)3. 2004 12:21PM SUNNILAND
issibuacy.
Redland Technologies
Redland Technologies
Professional Service
Industries, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Celotex COrporntion
Testing Services
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering, Inc.
Walker Engineering; Inc.
Walker Engineering, Inc.
Walker Engineering, Inc,
Walker Engineering, Inc.
Test Identifier
P0631 -01
Letter Dated Aug_ 1,
1994
224 -47099
25- 7094 -1
25- 7094 -7
25-7094-4
Project No. 307025
Test #MDC-760
25- 7183 -1
25- 7183 -2
25- 7214 -2
25- 7214 -6
528454-2-1
520109 -2
Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Evaluation Calculations
Tc t Na.m /�„Kcuort
Wind Tunnel Testing
PA 108 (Mortar Set)
Wind Tunnel Testing
PA 108 (Nai1 -O0)
Physical Properties
PA 112
Static Uplift Testing
PA 102
(4" Headlap, Nails, Direct Deck,
New Construction)❑
Static Uplift Testing
PA 102
(4" Headlap, Nails, Battens)
Static Uplift Testing
PA 102
(4" Headlap, Nails, Direct peck,
RccoverfRcroo f)
Wind Driven Rain
PA 100
Static Uplift Testing
PA 102
(2 Quik -Drive Screws, Direct
• Dcck)
Static Uplift Testing;
PA 102
(2 Quik -Drive Screws, Battens)
Static Uplift Testing
PA102 •
(1 Quik -Drive Screw, Direct Dcck)
(1 Quik -Drive Screw, Battens)
Static Uplift Testing
PA 101
Aerodynamic Multiplier
25-7183
25 -7094
2$ -7496
2.5-7584
25- 7804b -8
25 780 - 4 & 5
25- 7848 -6
Aerodynamic Multipliers
Evaluation Calculations Two Patty Adhesive Set System
No.6611 P 3
Date
July 1994
Aug. 1994
Sept. 1994
Oct. 1994
Oct. 1994
Oct. 1994
O 199
Fcb. 1995
Feb. 1995
March, 1995
Sep. 199$
Dec. 1996
March 1999
March 1995
February 1996
April 1996
December
1996
April 1 999
April 1999
NOA No.: 02- 1205.05
Expiration Dote: 12/16/07
Approval Date: 01/02/03
1?age3of7
An . 13. 2004 12: 21 PM9 SUNK 1 LAND
No.66i1 P 4
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance.
3,2
For mortar or adhesive set tile applications, a static field uplift test shall be performed in
accordance with RAS 106.
3.3 Applicant shall retrain the services of a M.2 WD x `p� t s shall be submitted to
ed Laboratory to perform
quarterly test in accordance with TAS appendix
the Building Code Compliance Office for review. y applicable Roofing Applications
3.4 Mit►irtium underlaymetit shall be in compliance with the app
Standards listed section 4.1 herein. perpendicular to the roof slope
mopped underlayment applications may be installed
3.5 unless' hot
unless'stated otherwise by the underlaym eat material manufacturers published literature.
tance is for wood deck applications, Minimum deck requirements shall be it
3.6 Thi s acce p
compliance with applicable building code.
4.1
Mor+icr Lifetile Villa, Roll, and Capri Concrete R on T ile and its 118, o
1 pon 119, shall and
4. INSTLLATION
installed in strict complianCe with p.00fitag Cpl'
RAS 120.
4.2 Data For Attachment Calculations
Tile Profile
Monier Lifetile Villa and Roll Tile
Monier Lifetile Capri Tile
Length - 1 (ft)
— 1,33
Table 1: Average Weight (W) and Dimensions (I x w
Table 2:
Tile
Profile
Monier Lifetile Villa. Roll and Ca ti Tile
Battens
6.16 5.37
Direct
Deck
6 " :12"
Battens
Direct
Deck
Battens
Direct
Deck
T 3: Restorin• Moments due to Gravi
Tile 3" :12" 4 " :12.,
Profile
Monier Lifetile Battens Direct
Villa, Roll, and 6.OS
Capri Tile 6.30 5.48
7 " :12" or
reater
NOA No 07,- 1205.
Expiration Date: 12./16/07
Approval Date: 01/02/0
page 4 of 7
Ma.'y.13. 2004 12:21PM SUNNILRND
No.6611 P 5
Tile
Profile
Fastener Type
2 -10d Rin• Shank Nails
1 -10d Smooth or Screw
Shank Nall
2 -10d Smooth or Screw
Shank Nails
1 #8 Screw
2 #8 Screw
1.10d Smooth or Screw
Shank Nall Field Cli
1 -10d Smooth or Screw
Shank Nall Eave GU•)
2 -10d Smooth or Screw
Shank Nails Field Clip)
2 -10d Smooth or Screw
Shank Nails Save Cli
Table 4: Attachment Resistance expressed as a Moment - Mi (ft -lbf)
for Nail -On S stems
Direct Deck Deck Direct De Battens
(min 15132" (min. 19 ck
plywood) plywood)
Tile
Profile
Monier Lifetite Villa, Roll, and
2 Rin, Shank Nails
43.0
installation with a 4" We headla• and fasterners are located a min. of 2W from hrsd of tile.
Minimum Attachment
Resistance
26.1
Adhesive
Capri Tile
2 See m Products Company TileBo d Average l weight per patty 11 4 grams.
Flexible Products
Pol aam Product, Inc, Avera•e wsi•ht •er •a 8 •rams_
Table 5A: Attachment Resistance Expressed as a Moment - Ni (ft-Ibf)
for Sin • le Patt Adhesive Secs stems Minimum Attachment
Resistance
98,.61
Tile
Profile
Tile Application
Monier Lifetite Villa, Roll, pat o�
and Ca•riTile
4 1-ar• •add ►lacemont of 5d .rams of Pol Pro
5 Medium •odd •lacementof 24, rams of Poi Pro'"",
Table 5; Attachment Resistance Expressed as a Moment Mr (ft -lbf)
for Two Pa Adhesive Set S stems
Tile Application
NO A. No -: 024205.
Expiration Date 12116/0
Approval Date; 01J0Z /
rage 5 of 7
iUY.13. 2004 i2:22PM SUNNILAND
MONIER LIFETILE ROLL CONCRETE. ROOF TILE
MONIER LIFETILE CAPRI CONCRETE ROOF" T1LYr
END OF THIS ACCEPTANCE
No.6611 P 7
NOA No.; 024205.05
Expiration Dam: 12116/07
Approval Date 01/02/03
Page 7 of 1
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for
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 - Workmanship: The workmanship provisions of Chapter 15 (High • Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should
be addressed as part of the agreement between the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
ensiled in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
nits (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
ie ew d from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
4u �! 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
se water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the
original roofing system is removed. Ponding conditions should be corrected.
d ' v & 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
erloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
erior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
/ Z / /
Owner's /Agent's Signature Date'
CA DOCUSi C- Pemp 11TeeneStC710N 1SSJ.doe
Contra .= s ignature
M I A M I•DADE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Polyfoam Products, Inc.
2400 Spring - Stuebner Road
Spring ,TX 77383 -1132
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 01- 0521.02
EXPIRES: 05 /10/2006
APPROVED: 06/14/2001
MIAMI - 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
CONTRACTOR LICENSING SECTION
(305) 375 -2527 FAX (305) 375 -2558
CONTRACTOR ENFORCEMENT DIVISION
(305) 375 -2966 FAX (305) 375 -2908
PRODUCT CONTROL DIVISION .
(305) 375 -2902 FAX (305) 372 -6339
Your application for Notice of Acceptance (NOA) of:
Two Component Polyurethene Foam Adhesive
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this
product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the
use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined by BCCO that this product or material fails to meet the requirements of the South Florida
Building Code.
Raul Rodriguez
Chief Product Control. Division
THIS IS THE COVERSHEET SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
Francisco J. Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance Office
\\ s045000I \pc2000 \ \templates\notice acceptance cover page.dot
Internet mail address: postmaster®buildingcodeonline.com Homepage: bttp : / /www.buildingcodeonline.com
Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub - Category: Roof Tile Adhesive
Materials: Polyurethane
1. SCOPE
This approves Polypro® AI1160 as manufactured by Polyfoam Products, Inc. as
described in Section 2 of this Notice of Acceptance. For the locations where the design
pressure requirements, as determined by applicable building code, does not exceed the
design pressure values obtained by calculations in compliance with Roofing Application
Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using
Polypro® AH 160. Where the attachment calculations are done as a moment based system
for single patty placement, and as an uplift based system for double patty systems
2. PRODUCT DESCRIPTION
Manufactured by
Applicant
Polypro® AH160
Foampro® RTF1000
ProPack® 30 & 100
Dimensions
N/A
N/A
N/A
2.1 Components or products manufactured by others:
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA
which list uplift resistance values with the use of Polypro AH160 roof tile adhesive.
2.2 Typical Physical Properties:
Property
Density
Compressive
Strength
Tensile Strength
Water Absorption
Moisture Vapor
Transmission
Dimensional
Stability
Test
ASTM D 1622
ASTM D 1621
ASTM D 1623
ASTM D 2127
ASTM E 96
ASTM D 2126
2
Test
Specifications
PA 101
1.6 lbs./ft.
18 PSI Parallel to rise
12 PSI Perpendicular to rise
28 PSI Parallel to rise
0.08 Lbs./Ft
3.1 Perm / Inch
Approval Date: June 14, 2001
Expiration Date: May 10, 2006
Results
+0.07% Volume Change @ -40 F., 2
weeks
+6.0% Volume Chan ' e
Humidity, 2 weeks
Product
Description
Two component
polyurethane
Dispensing Equipment
Dispensing Equipment
Frank Zuloaga, RRC
Product Control Examiner
•
Polvfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02
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.
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile
Assembly for fire rating.
3.2 Polypro® AH160 shall solely be used with flat, low, & high tile profiles.
3.3 Minimum underlayments shall be in compliance with the Roofing Application
Standard RAS 120.
3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof
tile adhesive with their tile assemblies shall test in accordance with PA 101.
3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the
use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in
accordance with PA 101 and with section 10.4 as modified herein.
rF_
F' -
4. INSTALLATION
4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that
lists uplift resistance values with the use of Polypro® AH160.
4.2 Polypro® AH160 shall be applied in compliance with the Component Application
section and the corresponding Placement Details noted herein. The roof tile
assembly's adhesive attachment with the use of Polypro® AH160 shall provide
sufficient attachment resistance, expressed as an uplift based system, to meet or exceed
the uplift resistance determined in compliance with Miami -Dade County Roofing
Application Standards RAS 127. The adhesive attachment data is noted in the roof
tile assembly NOA
4.3 Polypro® AH160 rooftile adhesive and its components shall be installed in
accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc.
Polypro® AH160 Operating Instruction and Maintenance Booklet.
4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed
by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved
applicators to the authority having jurisdiction.
4.5 Calibration of the Foampro® dispensing equipment is required before application of
any adhesive. The mix ratio between the "A" component and the "B" component shall
be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to
deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings
shall be approved.
4.6 Polypro® AH160 shall be applied with-Foampro RTF1000 or ProPack® 30 & 100
dispensing equipment only.
4.7 Polypro® AH160 shall not be exposed permanently to su
3
MS
Frank Zuloaga, RRC
Product Control Examiner
Table 1: Adhesive Placement For Each Generic Tile Profile
TileProfile
Placement
Detail
Single Paddy Weight
Min. (grams)
Two Paddy Weight
per paddy Min.
(grams)
Flat, Low, High Profiles
#1
35
N/A
High Profile (2 Piece Barrel)
#1
17 /side on cap and
34 /pan
N/A
Flat, Low, High Profiles
#2
24
N/A
Flat, Low, High Profiles
#3
8
Polyfoam Products, Inc.
ACCEPTANCE No.: 01- 0521.02
4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3
minutes after Polypro® AH160 has been dispensed.
4.9 Polypro® AH160 placement and minimum patty weight shall be in accordance with
the 'Placement Details' herein. Each generic tile profile requires the specific placement
noted herein.
5. LABELING
All Polypro® AH160 containers shall comply with the Standard Conditions listed herein.
6. BUILDING PERMIT REQUIREMENTS
6.1 As required by the Building Official or applicable Building Code in order to
properly evaluate the installation of this system.
4
Frank Zuloaga, RRC
Product Control Examiner
Polvfoam Products, Inc.
Nail through plastic cement Paddy (Beneath The)
Underlayment
Eire Course
10 In.
Eave Closum
Fascia
eve course only.
Keep adhesive approx.
4 In. up from weepho es
ADHESIVE PLACEMENT DETAIL 1
SINGLE PATTY
Underbyment
1
Nall through plastic cement
Faddy (Beneath TUe)
10 In:
Eave Course
Eave course only:
Keep adhesive approx
41n. up from weepholes
Fascia
Weepy
Eave closure
Drip edge
1) Place enough adhesve to achieve 17 to 23
square Inches In contact with the pan the
To 1 In. From outside sdge of cover tile.
Then Install the tile. Rin`
2) Tum covers upside down. Place adhesive 1
Undertayment
top portion
of the *eve
course cover file.
Abut to second course of
pan plea. Ensure eave end of
pan and cover tiles are
flush at eave Una.
Eave closure
(mortar shown)
5
ACCEPTANCE No.: 01- 0521.02
Weephole Fascia Bo
Optional 214's for
steep pitch applications Nall through plastic cement
Optional
Poln•rp Mortar
on Iongltudinal
edges of the
Sheathing
Frank Zuloaga, RRC
Product Control Examiner
Polyfoam Products, Inc.
ADHESIVE PLACEMENT DETAIL 2
SINGLE PATTY
6
ACCEPTANCE No.: 01- 0521.02
Nail through plastic cement
Underlayment
1
71n. Ne 2 In.
Eave Course
Paddy (Beneath The)
Fascia
Weephole
Eave closure
Drip edge
Frank Zuloaga, RRC
Product Control Examiner
Polvfoam Products, Inc.
ADHESIVE PLACEMENT DETAIL 3
DOUBLE PATTY
Nall through plastic cement
•
r
31n.
Single paddy on
under.
layment
Single paddy
on tap of tile
Single paddy
under the
Paddy
(between tile)
Paddy
(under tile)
Eave course
in. X7 in. medium
size paddy eave
Fascia course only
Nail through plastic cement
Underlayment
i ttkin. 4 x 1 3 n. ln.....
Single
paddy on
under.
layment
Single paddy
under tile
Single paddy
on top of tile
Eave
Course
Nall through plastic cement
).
1 1 .-4 3 in. x 3 In.
Single paddy
on underlayment
Single paddy
on top of tlle
Eave Course
ACCEPTANCE No. : 01-0521.02
Single paddy
between the
Eave Closure
2 In. x 7 in. medium
size paddy eave course only
Fascia
Single paddy under the
Single paddy between tile
2 in. x 7 In. medium
she paddy eave
course only
Frank Zuloaga, RRC
Product Control Examiner
Fascia
Weephole
Eave closure
Dip edge
Polvfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02
1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed
and the original submitted documents, 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 Approval", 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. 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, 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 site at all time. The engineer need not reseal the copies.
8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
9. This Notice of Acceptance consists of pages 1 through 8.
END OF THIS ACCEPTANCE
8
Frank Zuloaga, RRC
Product Control Examiner
Polyfoam Products Inc. ACCEPTANCE No.: 01- 0521.02
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
(For File ONLY. Not part of NOA.)
A. DRAWINGS: NONE
B. TESTS:
Test Agency
Center for Applied
Engineering
Center for Applied
Engineering
Center for Applied
Engineering
Center for Applied
Engineering
Center for Applied
Engineering
Miles Laboratories
Polymers Division
Ramtech.Laboratories, Inc.
Southwest Research Institute
Southwest Research Institute
Trinity Engineering
Celotex Corp. Testing
Services
Celotex Corp. Testing
Services
Celotex Corp. Testing
Services
Test Identifier
#94 -060
257818 -1PA
25- 7438 -3
25- 7438 -4
25- 7438 -7
25 -7492
NB -589 -631
9637 -92
01- 6743 -011
01- 6739- 062b[1]
7050.02.96 -1
528454 -2 -1
528454 -9 -1
528454 -10 -1
520109 -1
520109 -2
520109 -3
520109 -6
520109 -7
520191 -1
520109 -2 -1
E -1
Test Name/Report
Miami Dade Protocol PA 101
Miami Dade Protocol PA 101
SSTD 11 -93
SSTD 11 -93 11/02/95
SSTD 11 -93 12/12/95
ASTM D 1623 02/01/94
ASTM E 108 04/30/93
ASTM E 108 11/16/94
ASTM E 84 01/16/95
PA 114 03/14/96
Miami Dade Protocol PA 101 10/23/98
Miami Dade Protocol PA 101 12/28/98
Miami Dade Protocol
Date
04/08/94
12/16/96
10/25/95
Frank Zuloaga, RRC
Product Control Examiner
Polyfoam Products Inc. ACCEPTANCE No. : 01-0521.02
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
(For File ONLY. Not part of NOA)
C. CALCULATIONS: Walker Engineering, Inc., Evaluation of Tests. Dated 04/07/99
D. MATERIAL CERTIFICATIONS: NONE
E. STATEMENTS: NONE
E -2
Frank Zuloaga, RRC
Product Control Examiner
1
Miami Shores Village
Building Department
UILDING CR IQUE SHEET
5\00(f
10050 ►, nd Avenue
Miami ores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
rmit No. Pp Oc o 0
Job Name
Miami Shores Village
10050 NE 2nd Avenue
Printed: 6/22/2004
Applicant: DOREEN LASCH
Owner: CACACE JOHN
JOB ADDRESS: 940 NE 99 ST
Contractor
Local Phone: 305 - 820 -7009
Parcel # 1132060143380
Signed: (INSPECTOR)
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2004 -700
Contractor's Address: 3550 N. W. 52 St.
Permit Status: APPLIED Permit Expiration: 12/15/2004 Construction Value: $11,000.00
Work: RE -ROOF TILE TO TILE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 6 & 7 BLK 80 LOT SIZE 100.000 X
Fees: Description Amount
FEE2004 -5532 Building Fee $300.00
FEE2004 -5533 CCF $6.60
FEE2004 -5534 Technology Fee $7.50
FEE2004 -5535 Training and Education Fee $2.20
FEE2004 -5536 Scanning Fee $15.00
Total Fees: $331.30
Total Fees: $331.30
Total Receipts: $331.30
0
uo-41)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 6/2/2004
Applicant: DOREEN
Owner: LASCH
JOB ADDRESS:
Contractor
Local Phone: 305 - 820 -7009
Parcel # 1132060143410
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2004 -700
LASCH
DOREEN
ST / � ./C ct?
Contractor's Address: 3550 N. W. 52 St. p t
Permit Status: APPLIED Permit Expiration: 11/20/2004 Construction Value: $11,000.00
Work: RE -ROOF TILE TO TILE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 11 & 12 BLK 80 LOT SIZE 100.000 X 102 OR
Fees:
FEE2004 -5532
FEE2004 -5533
FEE2004 -5534
FEE2004 -5535
FEE2004 -5536
Description
Building Fee
CCF
Technology Fee
Training and Education Fee
Scanning Fee
Total Fees:
Amount
$300.00
$6.60
$7.50
$2.20
$15.00
$331.30
Total Fees: $3430
tALD
Total Receipts: 00
$ag/o
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT ^ TIME OF FIRST INSPECTION
r
PERMIT NO. O L 1 oo TAX FOLIO NO. 11-7 2 i 01 Lau 1.0
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: pc 1 v�L�� itQ � a�� �-
PY0 N E. c
( '
2. Description of improvement: NCw Q o c)
3. Owner(s) name and address: TO hin C a C C
4'4 c) 4v e_ M corn i shire. C
Interest in property: 41.11AC___Q
Name and address of fee simple titleholder:
a
OUNTV or
-
q�
r.0, Pt It'lll
//��
1(o
I' D DE
,,py of the
origlnt�1 filed in office' _ �Y
4Ml k .z A D 2O
gagga and y Count Courts
0 c7
cou,
4. Contractor's name and address:
' NW
5. Surety: (Payment bond required by owner from contractof Fv ORIDA
Name and address: 1 H� ,� i YCER Y1i t
Amount of bond $
6. Lender's name and address:
re of Owner
Print Owner's Name 76 h n Caatria `�.
Sworn to and subscribed before me this
► ,,511 Ana Cnstlna
' iajlap
Notary Public a` _ Commi #jam ,04
Print Notary's Name E xpir e i,n„ o f • " r i a, ?G0
My commission expires: I, C1, '�� * AB fl mi w r Wit
123.01-52 PAGE 48/02 -�W IU `_.� "-�
CFN 2004804 -81570
OR Bk 22398 Ps 2297; (1)
RECORDED 06/16/2004 13:10:40
HARVEY RUVIN? CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
HARVEY RU
day of , 20 _.
s c� c la c r.
rnQ
11111111111111111111111111111111111111111
7. Persons within the state of Florida designated by Owner
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
is fur, 16 -oci
V18.9 M
ents may be served as -•
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
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)
Prepared by MAR.1 1 Zb 1 E QQ A
Address:.,VN1i
13SS wow 36 /sr
Date_
Type Insp'n
Permit No
Name,
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
For Inspector: /1
f
Approved
Correction
Re- Insp'n Fee
1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204
Date R f - � y3- Job Address 9 / y Tax Folio
Lem Description Historically Designated: Yes No X
ssee/Tenet �r E- .S Aa 1 //1-€., Master Permit # 1 ? 15-4
( 9
q4® � �1 �t 30S 751 s 9I s
Owner's Address ''�`` Phone
Contracting Co. 1 ) 4 /f y P - 0 0 1 1 - - - 4 , \L7 C Address `9F W-6 /Do
Qualifier `/ a kid 6 LIe L 1 / SS# Phone 3' A • t 9
State # a aao / i % 0 Municipal # Competency # Ins. Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING
WORK DESCRIPTION: /e— Q t. Pi4 /.e �� 1e. /97.46.0X 020
Square Ft. ail flit p2J h Estimated Cost (value)
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 ANY 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). 1 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 all disciplines.
OWNERS 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.
,6(7L 4_ 6
Signal . ow r and/or Condo r ident
4itkc J 4nd/tir auto +
y Commiss Expires
V/\
Date
2 /90
v
q/Li/0-2_,
Date Signature of Contractor or Owner Build Date
Notary as to Contractor or Owner Builder Date
My Commission Expires
C.C.F ' Q 0 NOTARY '° v BOND
FEES: PERMIT ta U u RADON
APPROVED: te/r/ir TOTAL DUE
Zoning Buildin. /// Electrical
Mechanical Plumbing Structural Engineer
0
V\
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/4/2002
Applicant: NORMAN
Owner: BAILLIE
JOB ADDRESS: 940 NE 99
Contractor DALEY ROOFING INC
Local Phone: (305)754 -9892
Parcel # 1132060143380
Permit Status: Approved Permit Expiration: 3/3/2003 Construction Value:
Work:
Fees:
FEE2002 -4971
FEE2002 -4972
FEE2002 -4973
Description
Building Permit Application Fee
CCF
Notary Fee
Total Fees:
Amount
$60.00
$0.60
$5.00
$65.60
Total Fees: $65.60
Total Receipts: $0.00
REPAIR APPROXIMATELY 20 TILES
If 4hnrn Lo ..w -—-._ _ •• . • ..
Security enhanced document. See bark Lor details. Li
PAY
TO THE
ORDER OF
BankofAmerica
ACM 11/T 083100277
FOR
DALEY ROOFING, INC.
78 N.E. 106TH STREET
MIAMI SHORES, FL 33138
305- 7549892
but-t- c4,4 -.t. ,+ -Et,,AA
►1'00409 LII' 1:063000047.: 00LS96 2 L95031s
Building Permit
Permit Number: BP2002 -1549
BAILLIE
NORMAN
ST
Contractor's Address: 78 NE 106 ST
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 6 & 7
DATE
$490.00
q / /o /02_
33.
LL�I D ARS 8
4091
•
63 -4/630 FL
1035
Page 1 of 1
BLK 80 LOT SIZE 100.000 X
;e- inspection
ation herefor in strict compliance with all
ications that may have been submitted to
. or if the plans are changed without
Dnsibility for a thorough knowledge of the
at he assumes responsibility for work done
s pertaining thereto and in strict conformity
.sponisibility for all work done by either
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for
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.
g 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should
be addressed as part of the agreement between the owner and the contractor.
k ti C 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Flo
Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
•
/ 3. Common Roofs: Common roofs are those which have no visible delineation between neighboriri
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
)II 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
l��- 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the
original roofing system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
/a4 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
9 3 / a.?--
Owner's /Agent's Signature Date
Cnn tronM..'..
Ac #05 34201.
STATE OF FLORIDA
DEPARTMENT OF BUSINESS
DATE CONSTRUCTION I A DRPRrOFESSIO_NAL REGULATION-. ICENSNG BOARD
matimi.,,,,, CONSTRUCTION �� : 0: z ....,2,083:502
The ROOFING CONTRACTOR ' • �
Named below IS CEID
Under the provisions
Expiration date: AUG 31 Chapter 489 FS.
. 2004
DALEY, DANIEL P
D ALEY ROOFING INC
MIAMI 106TH STREET
JEB BUSH
GOVERNOR
FL 33138
DISPLAY AS REQUIRED BY LAW
RIM BINKLEY -SEYER
SECRETARY
❑ (Low Slope Application)
FT
DECK TYPE:
FASTENER TYPE:
ATTACHMENT
SPACING
FIELD: PERIMETER: CO
DETAIL 1&2
SECTION 1525
HIGH VELOCITY HURRICANE ZONES
UNIFORM PERMIT APPLICATION
Contractor's Name: 7)4 ,� 6 11) 1'. Job Address. q`f'b �9
ROOF CATEGORY
❑ (Nail -On Tile) ❑ (Mortar -Set Tile)*
❑ (Asphalt/Fiberglass Shingles) • ❑ (Metal Roofs/Wood Shingles & Shakes) 0 (Other)
ROOF TYPE
❑ New Roof ' ` ❑ Re- roofing ❑ Recovering X Repair ❑ Maintenance
Flat Roof Area (ft Sloped Roof Area (ft Total (ft Master Permit
Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 7 -98):
ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed)
NER:
r-
8.
r-
r
r
r
r
root PLAN
7 t
1 '
'
- - -1 :::
-, 1 1 1
1 1 1 1
1 1 '
1
r - ` -1 , ii ' 1
r-1 ' 1 i ' 1 1 1
ii ii
1 1 1
1 1 1 1 ' 1 1 1
1 1, 1 1 1 1 1
1 1 1 1 1 1 1
1 1: 1/ 1'/
1 1 1 1, 1 1 1
1 1 .' 1 1 1 1 1
1 1 1 1 1 1 '
1 1 , 1 1 1,
1 / 1 1 , 1 1 1 t 1
: : : : ; 1
1 1 ,,: 1 1 1 1
1 1 1, 1 1 1 1 1
1 1 , 1: 1 1
1 : 1 1 ,
, 1 1 1
1 1 1 1 1
1 1 1
: 1 :
1 1
1
1 ,
1
- - -- ' 1
1
1
FIGURE tc
t
.1
Owners Name and Address Mr. T. Baillie
Registered Architect and /or Engine cr
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved ��
(Signed) ....1.�
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby rnde for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Da'.
9 -20 -77
No 940 NE Street__ 99 Street
Name and address of licensed contactor W.R.Robbins & Son Roofing Co. 1401 NW 20 St. Miami 33142
Location and legal description of lot to be built on:
Lot Block Subdivision _...._ .
Street and Number where work is to be done 940 NE 99 Street Miami Shores
State work to be done and purpose of building (by floors)....Ri9Al.WLQ...PJ.L1. i<Qt7.f..,....a 1p, J. y. ...113Q...t.7.Agi3J?_..QAlids.. 1190_
with hot asphalt, lay new hite cement shingle tile
27 squares Cost 4860.00
_..._ .__ and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit S.
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 Ill.. R... RQbba. fls... -.. San. .. Ro. afiptg... Cla.... 1. 40. 9.... NW. .2.Q...Sat.,.--_Miami...3.31.42 325 -0880
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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stHd //are true t r
Permit No .__.
CP 1 Read, Sworn to and Subscribed before me.
._ D ate �^
Notary Public, State of Florida
Building Inspc ii My Commission Expires
to me well known,
LANNINC BOARD DATE
Chairirlan Member
Micrnbcr Member
Member ...... _....--- ..._.r...._....__ 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 hoard.
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 anti /or workmanship.
AL a
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address Mr. T. Baillie
6 - 9 - 75
Date ,19
94Ll_ No
NE- - -9 - -S t91tEeett
Registered Architect and /or Engineer
Name and address of licensed contractor_ W.R.Robbins & Son Roofing 1401 NW 20 St. Miami 33142
Location and legal description of lot to be built on:
Lot__ Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors) Ramo_ve .__snlsr___tray_
1/90_s1ate,._replace solar tray. 3/4 square Cost
New Building Remodeling
940 NE 99 Street, Miami Shores
F € - € -- t513-6-043-
and for no other purpose.
Addition
1 /3f1___tinc.ap___rlailaid,
$790.00
Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Amount of Permit $
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 W.R.Robbins & Son Roofing Co. 1401 NW 20 St. Miami 33142
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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. 1 1
Remarks-- -- - - - - -- - - - - -- - -- - -- -- (Signed) k.l s t` i c s C.- — 1
d .166
STATE OF FLORIDA,
COUNTY OF DADE. j 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 e is the
of the above described constru '.n, that he has carefully ad •e-fUi going a.. 'cation, and that he did sign the same, and that all facts
therein by him stpter
Permit No f I
Disapprove
(Signed)
Chairman
Member
Member .
Council Approved
Read, om to and Subscribed before me.
Notary Public, State of Florida
g Inspector/ - mission Expires
PL : f NING BOARD __.. • ATE
Member
Member
Member
_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.
TIME READY
' REMARKS
JOB
aage of Miami Shores
ADDRESS
INSPECTION
INSPECTOR
Zon /
fE
N.? 4414
JOB:
PLUMBING
•
•
•
Inspector's Report: -
•
•
The following is ready' for Inspection:
AD:
•
BUILDING •
•
• • WORK
• DONE BY
ELECTRICAL
REQUESTED
•
WILL BE READY