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ROOF
YE' 2005 MIA SHOR V l LAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1011105 Type Insp'n ritiGt 'D Permit No. T - jk 005 C1 0 Name 4/0,6s /GCoomuo Address q of - lc Sr Company 014a,KOJT Phone # J �S - S l c i2 Inspection Date 0 11 ) os Approved Correction Re- Insp'n Fee Se.s2 4 MIAMI 942. HORES VILLA BUILDING DEPA 6 :� o Building Inspection Request Date? J S Type Insp' T 1 ist Permit No. 5 Name L S Gpe..ZO Address 6 t ) — c 9 7 ST Company Phone # (:(StS — 1S - 1 — 2-6 12 Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE ✓'� 1BUILDING'DEPARTMENT �. 305- 795 -2204 c, .5 ` ' Builc ng Inspection Request Date Type Insp'n Permit No. Name Ae_o rkptO Address ' WO 0 NE q S+- Company 0e `Jd . Phone # Inspection Date Correction _G Esp - - (0-7c.) ( 6 e. Re- Insp'n Fee ❑ 23 7:\ Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P F) Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) 1 % rT) 2 %esI/ 51 76 2 27 f 52 77 3 1 28 53 78 4 29 `3 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 75 100 Civil Engineer: Lab Certification #. 98 0608.04 State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. Project 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 1/P Vi (-/ P:E. #6 31 07 0,-3o -Or TEST RESULTS P = PASS, F = FAIL IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUBMITTED BY: o 6447 SITE SPECIFIC INFORMATION _ Owner's Name A g-11 � c00 g- 2 0 Permit # 0 +� f0 -7 0 Job Address• q v!o0 °l Q 1 1.41 �u- l J �? 5 I CI Roofing Contra tor eT3,d0 v R-1,vc, w Type of Tile: 'J >�T °' b -4 67 Date Installed: e ` 3 oS Approximate Roof Height: t feet Roof Pitch: 2 - ' 12 - Type of Access to Roof: Scaffolds \, " Ladder Other Approximate Square Footage of Roof 3 7- 0 ft Required Testi Fo ce: 35 lbs. Testing Equipment: Chatillion100 Date Tested 1 7-1 '0T-- NOTES: KETCH OF ROOF ,og q4549# : a °i S%, 0.4 o i 44Z9 i 5 O tt 7� OF 1 - SHEET NO. CONTRACTOR cr-ii.-3 U c2 Z- Azov l cJ C, CHECKED BY DATE SCALE ;;IIINIIIMILk imvintsfedumnsp, Ii1i fiJINII1i"1111■■ ■ jIII,I1 _ r' ■\■ MN Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/18/2005 Applicant: GLADYS Owner: ACCORNERO JOB ADDRESS: 960 NE 99 Contractor OBENOUR ROOFING Local Phone: 305 - 757 -2612 Parcel # 1132060143370 Work: RE -ROOF Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -670 ACCORNERO GLADYS ST Page 1 of 1 Contractor's Address: 9301 NE 6 AVE SUITE A - 101 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 5 BLK 80 LOT SIZE 84.630 X 103 Fees: FEE2005 -6341 FEE2005 -6342 FEE2005 -6343 FEE2005 -6344 FEE2005 -6345 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $300.00 $10.80 $3.60 $7.50 $12.00 $333.90 Total Fees: $333.90 Total Receipts: $0.00 eA D-ok Permit Status: APPROVED Permit Expiration: 11/1/2005 Construction Value: $17,230.00. 0 3 PAD 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. BY: BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name Contractor's Address r '1) A City 1`/, 1 4 State Qualifier Submittal Fee $ State Certificate or Registration No. $ Value of Work For this Permit 1 1 3C Type of Work: ['Addition Describe Work: f Notary $ Training/Education Fee $ Scanning $ ' Code Enforcement $ Total Fee Nov Due $ (Continued on opposite side) Miami Shores Village Building Department 1005ME.2rxt Akenue, Miami Shores, Florida 33138 Tel:•( 795.2204 Fax: (305) 756.8972 Radon $ 6b Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) � , y`tri, C,1_ Ct eAX Phone # Owner's Address J q , "lam ,OI% `1 /� q _L/u.li City 1 ' 1 OVAL ` ,V !f4, State r'(, Zip (, j Tenant/Lessee Name Phone # Job Address (where the work is being done) 6 I100 O E cq (f 2J 7 J City Miami Shores Village Is Building Historically Designated YES County Miami- NO 111 .,.. Architect/Engineer's Name (if applicable) Phone # Structural Plan Review. $ ade IC� Zip Master Permit No. Zip Phone # — (cD/ Certificate of Competency No. 011 Square Footage Of Work: Permit No. e b (LO . 1 0 * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** EAlteration ['New ❑ Repair /Replace ❑ Demolition Permit Fee $ 90D CCF $ /0 , go co. ^� Technology Fee $ 7 / .50 Zoning Bond $ Pe 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 fnr 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. Signature ,I ° 4.g- ' Owner or Agent The foregoing instrument was acknowledged before me this t CALL day of ( ?.tt. r C , 20 O , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: ■>4444''46-))(1 Print: My Commission Expires: ************************* ** ** * *** * ******** * *** ** *** ** * ** APPLICATION APPROVED BY: Chc 05/13/03 Signatu Contractor The fi going instrument was acknowledged before me this (Z day of , 20 t , by aline /• A.G - who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: (� Sign: („ 11 t,,-t Print: My Commission Expires: • 1 3 E25 Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: qI 2. Description of improvement: 3. Owner(s) name and address: Interest in property: and address of fee simple titleholder: 4. Contractor's name and address: ��f Uf T/O ( 0 a1 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, 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) Signature of Owner Print Owner's Name i t 165 a CeorNe Sworn to and subscribed before me this 1.0 day of Notary Public Print Notary's Name My commission expires: 123.01-52 PAGE 4 10/04 -)tcQi rtv6P r 11ond ;i r h_n:.'. ;anti. .:..ii;1 ; Lu,, i.•.. kir qqohe P,, FL 63■38 f)1,tai u an IA ,20 K. STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that (Ilia rs a trueiCopy of the original filed in fr/� office on day of , A D 20 (V S WITNESS my hand and tfficial Seal. HARVEY RUVIN, C f Circuit n d County Courts B ... " D.C. 111111111111111111111111111111111111111111111 CFN 200.R04.61762 OR Bk 23346 Ps 2134; (Ips) RECORDED 05/06/2005 13:01:30 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE Prepared by 1C 41 Address: >(�U� n2a D 43E2/ UIGA vTILOCTTY EURRICAITU 5.301flia - R.I1OV'R40 OWiluss 1ioTZirICATTGN Polo :t.u3F'INQ COUSIpZRATZOW5 91524.1 seeps, As is pertains to this eeotion, it ie the reaponsibilit,: of the zoofing contractor to provide the owner wzth the required roofing permit, and to explain to the owner the content of chin aact:aon. The provisions of Chapter 13 oX the Florida Building Code, 2ui.:i.);ing govern the minimum recP,al.remenr.a and standards c:r the industry for roofing system installations. Adoir.iunally, the following items should be adcareased putt of the agreement between the owner and the contractor. The QWilr':; i•r,itzal in 0a4.: e:leai._ {paced apace indicates that the item has been explainer. „ — 1 . .A.ea botica- Wor naahip: The workmanship provisions of C hapte:r 15 (High Velocity Hurricane Son.) are for th purpose of providing that the roofing system rree4cs the wind 1 Caist'anc'e and water intrusion performance etandarde . aesthetics (appearan6e) are not za consideration with respect co workmanship previsions. Aesthetic iseuee such ae color or architectural appearance, that are n c par: or a zoning code, should be addressed as Part of the agreement he the owner ant, the cra:'_r,.ractor. . :1. R0414iliAg Wood Deckri ; When replacing roofing, t1i 4xi5lion. wc,ocl roof deck may nave co be r_nail.ed in accorda:nce with the currant provisions of C haRter_15 (High velocity Hurricane zones) root deck i.a uaually concealed prior to removin !� t he existing roof °n the. Ma 61rn'ndm l . • co on R ©o =a; Common roofs are those which have no visible delineation between neighboring w{ica (i.e., townhouses, con etc.) . In buildings with comet condominiums, owner 4houl of o f adjacent unite of roofing word the roofing ing conLraoGox and /or d notify the occupants o to be performed, • • own a, 20,:pbaeyd cv,ia.iAe#, Expoarad, open beam ceilings are where the underside of the root decking n =- wish to roai, maintain t.ha q,:ehit.e~ c be viewed �:ural appearance; "om below. w to car the under The owner a i l aide of the decking t bco t he roofing nail The provides the option of ma.iretairling .this may not be acceptable. 7 thin appearance. . Poudi.up• water; The current roof eysoem and!or• deck of Che building may not drain well and may cause water CO pond (accumulate) in low - lying are of the roof, 1'onding call be an indication of structural distress and may require the review of a t'ondi engineer. engineer. ?wading n� may shorten the life c' _oi� �sional struc�t.urdl ( =ha new roofing system. Ponding oondi.tion ma n not be evide nt and evid na w a t {- of the original roofarig eyetem is removed. 1 flo r QQr ected. nq conditions sho l r,e 6, OYWrf1GV gug4p�¢x� t+ra1 flow s ou tins ppa Y . ( 1 outlets) r le in required• g z 'roof Perimeter /edge walla t orocher roof 1'e xTension block i.t overflow scu ero l� of water. i fCv r CO i pp > (wal out are not provided. s dlccha?c�d I Y natal_ overflow scuppers in accordance wir•h ch be requirements of; 7. vancilation: Not roof at'r.•uctu.res should have sa natural airflow through the interior ct r'br.l -, buil�l:ing ito'dlt) . �• of the structural _ Y CO Vent -he existing amount of attic ventil be reduced. It may beneficial to conaid . gain re:a . t in a•land addition roof, la �• � �' the do :viC .life he Florida Building Code Edition 2002 High Velocity Hurk:ane Zone Uniform Permit Application Forth. Section A (General Information) Master Permit No. Contractor's Name .1) Qt 1 )T Job Address QIP° id q 9 ❑ Low Slope ❑ Asphaltic Shingles I ROOF CATEGORY Process No. ❑ Mechanically Fastened Tile D/ rtar /Adhesive Set Tile ❑ Metal PaneUShingles ❑ Wood Shingles/Shakes Are there ❑ Prescriptive BUR 150 Gas Vent Stacks, Yes0 No ROOF TYPE Type: Natural ❑ LPGX 0 ❑ New Roof 1;1 ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) d7(0 3 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. 123_01-48 5/03 PAGE 2 fl L': 5:: : ■sees■ ' r�QQQQCC ._ . - - ::: 1 : ; iiii-ri G R ► ��G C ■ Ip I I IF I fl hi H i I I I 1IIi IP IIi II I j P fl pI I p II I Ii I I I I I!I r I� EQI ■1rt Q� 1 Q i Q :C Q ooa Q:0 •C '�� p■QQi i�r. o'"Q _ I 1 I h1 l1 1 Ii 1 iI hI111 i L1h1h1111h111j1 II __ Li a --_ - - - -- - dills � � I ; 1 1 ' i! I _ 7, 1 1 1 IT . 1 I( i i 1 ` - _� - di! � -a _ _ = . Q a �- C 1 god -; !� � i i1 Q p ■ C Ihit ■ C QQ ' 1i kI i ii 4 r ur Q QQ ■ ■ Q Q ; Q Q Q Q Q � Q .. - _�. Rill _Q ■ Q Q 1 ■1FI11 1lIIlillii �� 1 111111111111 UMW 1 C Q . Q Q Q ■ Q QQ Q i I m Jill E QQQQIQEBQ1QEQEBQQQQQQQQQ Florida Building Code Edition 2002 High Velocity Hurk:ane Zone Uniform Permit Application Forth. Section A (General Information) Master Permit No. Contractor's Name .1) Qt 1 )T Job Address QIP° id q 9 ❑ Low Slope ❑ Asphaltic Shingles I ROOF CATEGORY Process No. ❑ Mechanically Fastened Tile D/ rtar /Adhesive Set Tile ❑ Metal PaneUShingles ❑ Wood Shingles/Shakes Are there ❑ Prescriptive BUR 150 Gas Vent Stacks, Yes0 No ROOF TYPE Type: Natural ❑ LPGX 0 ❑ New Roof 1;1 ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) d7(0 3 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. 123_01-48 5/03 PAGE 2 Roof System Manufacturer: ClAttOljendi,& Notice of Acceptance Number:_ f 7 Minimum Design Wind P1: J Pressures, If Applicable i P2: 111 (From RAS 127 or Calculations): P3: 6 Maximum Design Pressure (From the NOA Specific System): Method of tile attachment: 0 I Ga Roof Slope: : 12 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Ridge Ventilatio ? 0 k Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: Lao arrier: It iftsu t b- astener Type & Spacing: s- p ba o� - L it ype Cap Sheet: 1 dhesive Type: (Lqi (2,-ocb r r ype Underlayme nsulation: Fire B Mean Roof Height: t �i oof Covering: Type & Size Drip Edge: ACK °p-e 44, 123_01 -48 5/03 PAGE 4 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section E (Tile Calculations) For Moment based tile systems, choose either Method ater than Compared o �al� for M with the values from M 1. If the Mr values are greater equal values, for each area of the roof, then the tile attachment method is acceptable. Meth z? 04. nt Bas�ed Calc at Qps Per RAS 127" - Mg: ...0211._ = Mr' YY NOA 11� _ NOA 111( - Mg: = 3 0 � � r NOA 111< Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr *Must be used in conjunction with a list of moment based tile systems endorsed by the Browerd County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values 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" (PI : z l: _ z w: = ) - W' z cos 9: = F NOA F' (P2: z 1• = z w: _ ) - W' it cos 9: = Fa: NOA F' (p 3: z l: = z w: ) - W: z cos 9: = Ns: NOA F' 123_01-48 5/03 PAGE 5 M Required Moment Resistance* to Obtain Information Description 15' 20' Design Pressure 30' 40' 42.2 Mean Roof Haight - Roof Slope 2:112 34.4 36.5 38.2 39.7 Aerodynamic Multiplier 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section E (Tile Calculations) For Moment based tile systems, choose either Method ater than Compared o �al� for M with the values from M 1. If the Mr values are greater equal values, for each area of the roof, then the tile attachment method is acceptable. Meth z? 04. nt Bas�ed Calc at Qps Per RAS 127" - Mg: ...0211._ = Mr' YY NOA 11� _ NOA 111( - Mg: = 3 0 � � r NOA 111< Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr *Must be used in conjunction with a list of moment based tile systems endorsed by the Browerd County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values 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" (PI : z l: _ z w: = ) - W' z cos 9: = F NOA F' (P2: z 1• = z w: _ ) - W' it cos 9: = Fa: NOA F' (p 3: z l: = z w: ) - W: z cos 9: = Ns: NOA F' 123_01-48 5/03 PAGE 5 Where to Obtain Information 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 a 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 Fr Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA ... __, __,_.:__......... i......,ti..,;....n to rip Ruildina Official at the time of permit application. 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section E (Tile Calculations) For Moment based tile systems, choose either Method ater than Compared o �al� for M with the values from M 1. If the Mr values are greater equal values, for each area of the roof, then the tile attachment method is acceptable. Meth z? 04. nt Bas�ed Calc at Qps Per RAS 127" - Mg: ...0211._ = Mr' YY NOA 11� _ NOA 111( - Mg: = 3 0 � � r NOA 111< Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr *Must be used in conjunction with a list of moment based tile systems endorsed by the Browerd County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values 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" (PI : z l: _ z w: = ) - W' z cos 9: = F NOA F' (P2: z 1• = z w: _ ) - W' it cos 9: = Fa: NOA F' (p 3: z l: = z w: ) - W: z cos 9: = Ns: NOA F' 123_01-48 5/03 PAGE 5 09/23/2003 09:40 MEDITERRANEAN ROOF TILE > 30575984E14 M I A M I.DADE BUILDING CODE COMPLIANCE OFFICE (i3CCO) PRODUCT CONTROL•DIViSION NOTICE OF ACCEPTANCE (NOA Hanson Roof Tile d.b.a. Pioneer Concrete Tile 1340 SW 34' Ave Deerfield Beach, FL 33442 SCOPE: This NOA is being, issued under the applicable rules and regulations governing the use of construction materials: • The'doeumentation submitted has•becn reviewed by Miami- Dade'County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miatiii Dade County and other areas where allowed by the Authority Having Tar sdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control . Division (In Miami Dade County) and/or the AHJ (in areas other•than Miami. Dade ._County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material their jurisdiction. BORA reserves the right to revoke this acceptancc, if it is detcrmined.by.Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building codc. This product is approved as described herein, and has been designed to comply with thc High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Nordic Flat Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, stfte 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 filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERiMINA'1':'ION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, andJor manufacture of t1ie product or process. Misuse of this NOA as an endorsement of any . 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 NOA. ADVERTISEMENT: The NOA 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 NOA is displayed, then it shall be done in its entirety. INSPECTION; A copy of this entire NOA shall be provided to the user by thc manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The submitted documentation was reviewed by crank Zuloaga, RAC NO.906 P001 M1AMI.DftDE COUNTY, FLORIDA METRO -DADS FLAGLER BUiLDiNG t40 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 32130-156? (305) 375 -2901 FAX (305) 375-290S 14OA, No.: Q2 -0916.10 Expiration Date: 12 /16/07 Approv Date: 12/19/02 Page 1 of6 09/23/2003 09:40 MED I TE_RRANEAN ROOF T I L E 9 3057588484 ROOFING ASSEMBLY APPROVAL Catcgo ry: Sub Category: Material: 2. PRODUCT DESCRIPTION _Manufactured by Applicant, Hanson Nordic Flat Tile Trim Pieces Product Tile Nails Min. l0dx 3" Roofing Roofing Tiles Concrete Dimensions Length: 16 Width: 13" Thickness 11/4" Length varies Width: varies Varying thickness #8x 2 1/2" long Tile Screws 0.335" head dia. 0.131" shank dia. 0.175 " screw thread dia. Clips Hurricane Clip & Min. W' width Fasteners Min..0.060" thick Clip Fasteners Min. 8d x 1 `/4" Test Specifications TAS 112 TAS 112 2.1 COMPONENTS OR. PRODUCTS MANUFACTURED RV OTHERS Test Dimensions Specifications TAS 114 Appendix E 1. SCOPE This renews a roofing syStem using Nordic Flat Roof Tile, as manufactured by Hanson Roof Tile d.b.a. Pioneer Concrete Tile described in Section 2 of this Notice of Acceptance. For the locations where the pressure requirements, as determined by applicable Building Code, does not exceed the values listed in section 4 herein. The attachment calculations shall be done as a moment based System. Product ' Description Flat profile, interlocking, extruded concrete roof tile equipped with two nail holes. For direct deck or battened nail - on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips. rakes ridges and 'valley terminations. Manufactured for each tile profile. Product Description Corrosion resistant TAS 114 screw or smooth Appendix E shank nails Corrosion resistant, TAS 114 coated, square drive, Appendix E galvanized, coarse thread wood screws Corrosion resistant •c]ips with corrosion resistant nails. Manufacturer . uric (With current NOA) Generic (With current NOA) Generic (With current NOA) NO.906 0002 NOA No.: 02 -0916.10 Expiration Date: 12/16/07 Approval Data: 12/19/02 Page 2 of 6 09/23/2003 09:48 MEDITERRANEAN ROOF TILE 4 3057588484 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 in accordance with RAS 106 may required, refer to applicable building code. 33 Applicant shall retain the services ofa Miami -Dade Co9nty Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlaynent shall be in compliance with the applicable Rooting Applications Standards listed section 4.I herein. 3.5 30/90 hot moppc'd underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayrncnt material manufacturers published literature. 3.6 This acceptance is for wood..deck applications. Minimum deck requirements shall be in compliance with appiieabie *Ai -ding code. 4. INSTALLATION 4.1 Hanson `Nordic Flat' Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118,119, & 120 4.2 Data For Attachment Calculations Tile Profile TIIe Profile Hanson Nordic Flat Tile Hanson Nordic 5.95 6.78 Flat 'file Table 1: Aerodynamic Multipliers - X (ft X (ft (0) Batten Application Direct Deck Application 0.267 0.289 Table 2: Restoring Moments due to Gravity - M (ft-Ibf) 3 ": 12" Battens Direct Deck Battens 5.87 4": 12" 5":12•' Direct Battens Direct Deck Deck 6.67 5.74 6.54 Battens 5.60 6 ": 12" NO.906 [7003 7 ":12 "®r- - greater Direct Battens Direct Deck Deck 6.37 5.44 6.19 NOA No.: 02- 0916.10 Expiration Date: 1Z/16i07 Approval Date: 12/19/02 Page 3 of 6 Fastener Type Direct Deck (Min 15/32" plywood) Direct Deck (Min. 19/32" plywood) Battens 2 -10d Ring Shank Nails 30.9 38.1 17,2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4,9 --___ 2 -10d Srnobth or Screw Shank Nails 14,0 18.8 7,4 18.2 _ 1 #8 Screw 30.8 30.8 2 #8 Screw 51.7 51.7 24.4 1 -10d. Smooth or Screw Shank Nail (Field Clip) 24.3 19.0 35.5 - 24.3 19.0 35.5 24.2 22.1 34.8 1 -10d Smooth or Screw Shank Nailffave Clip 2 - -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (gave Clip) 31.9 31.9 32.2 L 2 -10d Ring Shank Nails' 50.3 J ; 65.5 48.3 4" tile headlan and factamnre .rA r.,....re.r n nft:n ,.t n,. -:__— 109/23 /2003 09:48 MEDITERRHNERN ROOF TILE 4 3057588484 Table 3: Attachment Resistance Expressed as a Moment - M, (ft -ibf) For Nail -l)n S�<fnme Tile Profile Hanson Nordic Flat Tile 1 Installation with Table 4: Attachment Resistance Expressed as a Moment Mt (ft -Ibt) For Two Patt Adhesive Set S stems Tile Profile J Tile Application Hanson Nordic Flat Tile 12 See manufactures cam orient a roval for installation re uirements. 3 Flexible Products Company TileBond Average weights per patty 13.9 grams. Polyfoarn Product, Inc. Average wei.ht •er •a 8 •rams. POIyPrO rm Hanson Nordic Flat Tile Pol Py ror- e Daddy placement or 45 c, rns of PolyPro TMr, Medium paddy placement of 24 grams of Poi+Pro" . • Tile Profile Adhesive Tile Application Minimum Attachment Resistance 31 3 Table 4A: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) For Single Pa Adhesive Set Systems Minimum Attachment Resistance 118 -9 40.4' NOA No.: 02- 0916.10 Expiration Date: 12/16/07 Approval Date: 12/19/02 Page 4 of 6 NO.908 P004 09.23.'2003 09:48 MEDITERRANEAN ROOT= TILE 4 3057588484 Table 48: Attachment Resistance Expressed as a Moment - MI (ft -Ibt) for Mortar Set S stems 4 , .Tile Profile Tile Application Hanson Nordic Fiat Tile Mortar Set NO.906 0 O5 Attachment Resistance 39.0 5. LABELING 5.1 All tiles shall beargthe imprint or identifiable marking of the manufacturer's name or logo, or following stat&rnent: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for buildin permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. NOA No.: 02- 0916.10 Expiration Date: 12/16(07 Approval Date: 12/19(02 rage 5 0(6 P9/23/2(303 09: 48 MELD I TERRANEAN ROOF T 1 LE -, 3 057588484 NO. 905 W06 FASTENER HOLES PROFILE DRAWING HANSON "NORDIC FLAT" ROOF TILE UNDERLOCK- NORDIC FLAT END OF THIS ACCEPTANCE / - OVERLOCK NOA No.: 02 -0916.10 Expiration Date:.12116107, Approval Date: ,.: P ge :6 of : ` . l� The expense of such testing will be incurred by the m.)nulacturcr, • • • • fl CC1PTA.;vCt; NO.: 01- )521.02 f:XPi)U 3: 05/)O /20f6 PKC])UCT CUNTRQ OF ACCEPTIN.INC !; 1 Products, Cnc. 2-10U Spring Stucbncr Ru;td Sprig ,TX 77383-U32 APPROVPD 06/1diznnt 'A30151360 ) c G Cpunte co Fagg m In(c•r11c( iniiil address: pnstmnsler @l)ui Wing an(Iconlinc,c0,n t 0' d r8o38SLSOC O.L 1 MIAMI - Dr \DE COUT-ITY, FLORIDA NIETRO•.D, \I)E .FL-:,GLER (3UILDING I)(JIL(ING CODE COI \IPLI. NCE OFFECF n IETR.0- 0,\ Df; r•1. 0 .CI,171Z Dtn1-011q0 1.1(1 WEST FLAGLER S rat ' Sur: G I603 hllr \�11, ti..nr ID,l 33130 -Iia) n:<) 1” -i')u1 r+\.'. (11) 375 -'Ui)Y 1 .ONTtt, \ CI' Olt t- ICk' ;:Ii CI•I(,IN (3Q51 3/5-2527 VAX , 3o5)3/5 - Cu v i Ic. \C•i)lt ENFORCEMENT pr\'I\t( ' (5(151 375 -791,6 FAX (305.1)15-290; I'ItODL'C CONTROL DIVISION 005)175 -2902 FAX (30S).72 -w. Your application for Notice of Acr_ep,tancc (TJOA) of: Two Component Polyurethcnc Fo:)rn Adhesive udder Chapter 8 of the Code Or Minni -Dads Count govt:rnin the u e of Alternate tvfateri:tls and Typos o r Construction, and completely describFd herein, has been recommended for acceptance by the &.f iCl(1)i -Dud County Building Code Compliance Office ([3CCO) 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 > jo);,r,ite or ;n s plant for quality control testing. If this product or material fails to perrorm in the approved manner. GCCO ma revoke, rnociify, or suspend the use or such product or material im7ediately. BCCO reserves the right to revoke This approval, if it k determined by BCCO that this product or material fails to met( the requirements of the South Florida Building Code. l/ Raul rtudriemeY. Chief Product Cor.trnl Division TI•Il,s. OVERSITEFT SEE ADDITIONAL ()ACES F012 sI (;C1riC &Nl) C:ENf;(2.Ai. CO(yn(TIONS �. .�. n nL INIG C f)Dt s, PRON.: T RFv1EW COMMITTEE Tills application for Product Approval has been reviewed by INe BCCO and approved by the 3uilding Code and Product Review Committee to be used in Miami-Dade County, Florida under the conditions set fonll above. v ) 142"4-14 1'rancisco J. Qt(in(�n-t R.A. Director Ivli,uli 17:Ide County i'1ui11lin� Cr,(Ic Compliance Oifice IAJ002 I Inmcp. Vic: wip: ocicitiaa aj r'S:91 COO .O dd1-1 r . 1J r \IJ l!!l' 11 \I 1,.'1.1 0 `l J 1 r; 1 +'1 N I. L L \1.I.? 1 •.. .l.rr. ROol,ING ASSE,M13Lrr APPROVAL Cattau Pnl,yfn:\m Prt}ducty, Roofing , Approval 117tc: ; lime. 14 _1l0 Sub C ;ttr•,'rynry+: Root' Till Adhcsivc 1'i1: Polyurethitnc I. SCOP1?. This approves l'olypruc A'ilIli) as rnnnu Cactitre :I by Poly foam Products, inc. as described in Section 2 of lhi; Notice of Acceptance. For the locctions where the design pressure requirement, as determined by applicable building code, does not exceed the design pressure values obtaii by calculations in compliance with Roofing Application Standard h.AS 1.27, for use with approved that. low, and high profile ;ooftiles system using finlypro0 Ali 1 Go. Where t(,c attachment ctilculaticns are done as a moment based system for single patty placement, a as an uplift based system for double patty systems 2. PRODUCT DCSCXI.PT(ON Manufactured by Te8t Product Appljs:►nt l)i►n',ensions ncr.if,c,tt_inr►s Qescriptie Polypro® AHIGI) TWA PA 101 Two component polyurethane N/A Dispcnsiny Equipment /A 1 2.1 Component;, or products manufactured by others: Any Milnii -Dade County Product Control Acccptod Rool'Tile Nsentbly having a current NOA which list uplirt resistance va ties ■vit1i the use or Pc►lypro Al 1 160 roof tile adhesive. roam procg RT1' 1 000 Prof ;tc1.4 30 Sc 100 2,2 Typical Physical Properties: Pr _ncim Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Trnnsmissiou Dimensional Stability Test ASTM — 0 1622 ASTM D 1 621 ,ASTM D 1623 ASTM D 2127 ASTM E 06 ASTM D2126 t7 01. t1LOC9E9S17C ACCEPTANCE, No_ : 01.057.1.07 • Datt May II) 7,006 Results 1.6 IbsJrt 13 PSI Pnrollel to rise 12 PST Ptrpendicularto rise 28 PS1 Parallel Io rise 0.06 l..bs./Ft 3. Perm / Inch Dispensing Equipment +l.0 % Volume Ch;incc u. -40 F.. 2 weck5 +6_0 Volume Change r ll c !tumidity. 2 veil:;; Irt1lik Lilo gt. ItRC Product Control fixntniner oJIIHdJ'a dJ rS :9T cO1 0 J'_40 /L. "J 1 t l .ii: t.f.l JJ•i prq J,U.1L CO • d 78Ve8S,-SO9 01 tilCC969SOC rV4.?rVrt!t FMUL ' .l.��. PolYfonm ProiiiLets, Yr1c ACCEPTANCE N . : 01-052 1..02 Note: The pttysicul properties listed above. arc presented as typical nvcrn vnlucs ns determined by ncccpted ASTN1 test metluods crud ark subject to norn'nl 01;1111.1nicturing vnrintioir. 3. LIMITATIONS 3.1 Tirc classification is not p:lrt of :his acceptance Itclor to the Prepared ItooUTiic Assembly for lire; rating 3.2 Polypro® AEI160 shall Solely be used with flat, low, & prorles. 3.3 Minimum undcrLhvmcnt, shall be in complia ncc with the Roo :ing Application Standard RAS 12.0. 3.4 Roof Tile manuFictures acquirio3 acceptance fur the u.C. of Polypro& Al•II60 roof the adhesive with` thc,r tile: assemblies shall test in accordance with PA 101. 3.S Roof Tile manufactures acquirithe• acceptance for twc paddy placemcr.t with thc: use of Polyproc 1 160 roof tile adhesive with their tilt assemblies shall test in accordance with FA I01 and with section :0.4 as modified herr'in. (� �I - tv 4. INSTALLATION( 4.1 Polypro® AI-1160 ma!) be used with any rocf tilt assembly having a current 1'JOA that lists uplift resistance values with the use of Polypro'r AI-l160. 4.2 Polypro0 Al-1160 shall be applied in compliance with the Component Application i section and the corres,pond:nb Placement Details noted herein The roof tilt assembly's adhesive a;tlachment ,vith the use of Polypra2 ?' AI-1160 shall provide sufficient. attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance d4tcrmincd in compliance with Miami-bade County Roofing Application Standards RAS 12 ?, The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polyprott Ai-1160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, [nc. Polyproe .A.E1160 Optrr Ling Instruction and ivlamtenance r3ooklct• 4.4 Installation must be by a Factory T;aincd'Qualilied Applicator' approved and licensed by PolyFoam Products( [nc. Polyfoam Products Inc. shall supply a list of approved applicators to talc dutliority having jurisdiction. 4.5 Calibration of the Foainpror9 dispensing equipment is required bcrore application or any adhesive, The rnix ratio between the "A'' component and the "I3" component shall be maintained between 1,0 -1.15 (A) : 1.0 ([3). The dispense timer shall be set to deliver 0.01'15 to 0.151pOonds per tile as determined ;.t calibration. No other settings Shall be approved. 4.6 PolyproZ AI-I 160 skill be applied with t o;rmpro rr r 1000 or Prol'a0k0 30 & 100 dispensing equipment tray. 4.7 Polypro ' All 160 shall( not be expo5ud pernranr.nlly to surrlr i' (:'rank Zjloag:l It.RC Product Control Examiner ODQH;da d:3 SS : 91 0007 20 'ddH '1'nblc 1: Adhcsrvr, Pl Accltlent For L;,tch Generic Tile VI - ofi(C ~i TileProfile I I Placement I' Detail 1 Sing,lc Nidely \ti'ci "I'wo Teddy \Vci jltt� 1N1i,t. (gr,utts) i per paddy Min. (CrnmIL Flat. Low, 1 I'rofrlos I III 3S N/A High Protilc (2 Piece Barrel) I 17/side oil cap and 3'1 /pall M �N!A Flat, Low, ►'(igh Profiles I h? #3 34 N/A Flu, Low, 1.41) Profiles [, a • .1..1 • 1111. ♦ 1 . 1'1 •1 111 Pulifsani Products Inc. rl' 4.9 Tiles must be adhcr d in freshly applied adhesive Tile must Le set within 2 to 3 rr.inutes after Polyp o' A1 160 has been disp Poi rotk;' Al-1160 p�arr:m and minimum ally tv 4.9 yp p eight stall bc in accordance with the, 'Placement DcialIs' herein, l[ac,ti gencric tile profile requires the speeilic placement nott:d heren. ;. 'LABELING All Polypro AH1 containers shall comply wi :h the, Standard Conditions listed herein. .6. 13 (19LDING PERmTT R.L.QUfRCn9 CNTS 6.1 As required by the Building Oflici;tl or applicable Building Code it order to properly e.valtl,ate the installation of ibis system Vet788SLSOC Ul tLCC969S0O f �il.l f \�:'•:1 1' 1\181+1.'1 1.?. J 4 ACCEPTANCE No, : 0i-0521.02 Frankluloaba, RRC Product Control i.'.xamrncr 1 .111:, oDauas idd SS :91 OT?.. Z0 ddt:i p13. THII 17 :1U ) A.1 l4 574 0.12 S • d Polyfo:,n, Products MA uvOLIV plank WWI D). JfdrMrmW \ E1 C004 iin Ebun I I' Ihroupn pIASIIc cemon - \ - l'nden yMenl \�( EJVI Como lain D If 1.0 cull. onht K..; 4dh11..1 )oro , 1 I:, op Irnm neeo YU!,1 YV.:!1 PKUUI 1.7`) . 1;.C. ACCEPTANCE. No- : 01_0521.02 ADHESIVE PLACEMENT 'DE TA11_ 1 SINGLE PA k) I (Inn uih 111.1 le'LIU11 Ltel 14. 41.4111 C rIiF ' lei/n 1dne +h• 10441 101,1 kith!' In i:+nU:J - ;to II,e 0)■ ille li VT GOlnf! Y011004n•M. AI,1CO 10e Ih.0 IC In \. 10 1 0, FIDe1 O II 71( .141 71 Oh.i Oh, th.A u••W1 pile. L unJUlJfmun ,\■, y — -. t om ter. !env J sh,lvrnq ran 10 u,Cnl own, I f '�[- - ' �� Oq;jeNl C.e4 .h!( Cue Ir[ `� Pamlap Nonar Alnh II oyi AIIA y d�11 ( JIIL (J•4 (ha1 l.Ii1. 4:44412 Be i', Nn■ IA)OJpn Gla +uc Jt Alcal Vne441., ,.n (1.e :tune WV' 4.,p 4dheelln app,, +IA ut bew. vleDio111 11 fla4t CoeleQh 1Oht11.4C le 2f111t4e 1110 11 � I or 04 l pDIIe. ) CFik iion1 kal derouph F ccre4I i erc.u. , }0.. hl no In. s' 11n,,��• \ \� h) C e� , u -� I`r.u13;- ZtiIoao:1, RRC I)roclu>: (. Control Esa_min,:r P .cry IBIAIJIl IwI )IIGI4 Wes posii E.n CImur, \, o, IAg' • v8v38SLSOC 01 v c1311Wde ;id s: 91 coo72 o chid l%4J'UJ tu. 11;XO Opq Ji* Po lyroant Products, inc. HIll ihrough AitIc temtnt Codcrilvenel 1. E•ot luq4 ruLxruAm rAvvLL.c.),1: 1- DIIESIVE PLACEMENT DETAIL. 2 SINGLE eATTY hdey (Itnc.11h ,••••," • Foc13 1`Ft C4Une 90 d t 01 tLCC969SOC e, Hill in( zunn pl;■xlic cement „....---.„ kirlthit'AVirn1 \''... ). •., . -•,. -,-*--.. ,.... l• --„,c, /7..., (:::,... Iv .::•■,. s ' , ....17 ' ■Nh s - NN PL!ey iBotgh !Jr ••••"'. r1,4ez.N F 3 st 13 -------__ ACCEPTANCE. No. : 01-0.521.02 Nady( u 141 i 1114) Frank Z010:wa, RRC Product Control ENzunincr Vim/ oDoHas ;Jd 9S:9I C007. 20 ,..317.1 Polyfolttt Products Inc. 1 i11, X7 tn. medium s116 9addy uuu Falela tou .a o.+ly Nall through plaollc cement amid, (beiNedn Illol r,dc y �� lLndorlllo) e ? Singlepaduy J 1 1 1 • under Ille thin, / WO paddy on wilder• Single paddy on top of tine ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Sin It paddy on lop 0111le fait Course d t 01 tj'LCC969S0C ti ACCEPTANCE. No. : 01- 0521.02 NV Ilrcwgn pI31;c enmen! ,.,"----..,, \ / � Jndtrlaymrrl Single paddy nn 1101011 \ � i In / / . % '"� °ingl: paddy on sop oh lie bve Hal Ihtcu7^ pls;IIc cement SIrglo padd, i`ndar life Single paddy between the SIngqle paddy er.u)dcrlaymenl Eako I.:act,rk 1 In, t 7 In. mkdlunt the padayta•e covrto only •"Fasna frank Zulo;lgA, RRC Product Control LN iunint_r Single paddy unde Ille Smote paddy celweer Illy 7 tn. r 7't mealun 61.66 paddy oUVo 4ourlc only Fascia Werrehole 'Elva cl0nure Crlp c4gr o j 1e1O1 K;K Polvfoln Products, Int. I. Renewal of this Accept1nel; (approval) shall bc con.'iidiicd alter c, renewal application has IJCCI: fled and the original submitted doeunmtus, including :cat• sunlsorttng data. cnineer.ny documents, arc no older than eight (li) years, I ' 3. Any and all approved pro4.ucts shall be peru:urently c\uh the manulc,cturer's n :urns, city, Sims. and th.e follocving tatcmen :: 'Miami-Dade County I'.rodnct CJlrtrof Approval ", or as specifically stated in the spe it is conditions of this Ac,:Cplanc.. 3 Rent :wall of Acceptance will l not be con if: a, Thcre has been a cic;Ilyge in the South Florida pudding Code affecting the evaluation of this product and the produ t is not in compliance w.th that cads cllant.;eti. b. The proi.ret i; no 104er the . run . product (idi:ntical) as tic one originally approved. c. If the Acccplanec hglder has not complied with all :h: requirements of this acceptance, including the correct i'stallatir:n of ;he prod.ict. d. The en who originally- prepared, signed and sealed the required documentation tniliall7- i submitted, is no longer' practicing the engineering profession 1. Any rcvi;ion or change ;n ills nla:crials, use, andior manufacture of the product or process shall automatically be cause for crminatcon of this Acceptance, unless prior written approval has boon requested (through the filing of a revision applicatiol \vilh appropriat,: fee) and grant d by this 80 • d Any of the following shall alto be I.3rounds for removal of this Acc,_ptanee: a. Unsatisfactory perfornja.nce of this product or prot:ess. b Misuse or this , \ccept'(ncc as an endorsement of any product. I'or salts, aiycrtising or any other purposes C, The Notice of Acceptance nu by the exp,ralion at mad Aeccptancc is displayed, tiler 7 A copy of this Acceptance as ■vcIl as approved dowings and other documents, where it applies, sh'•II be provided to the. user by they manufacturer or ,ts distributor, an bc availal;lu for inspection at the job sit_ al all time, The engineer need not reseal the copes,, a, sitar's to comply with any sgction of t,iis Acceptance shall be cause for tcrmirution and rcmo+;il of Acceptance. 9. This Notice of Acceptance consists of pages i through R. t78G86S1SO8 Ot t}L.CC969GOC ter preceded d bl the Nvords Miami -Dade. County, Florida, foI,otvcd c displayed in advcrtisntr literature. Ii znv portion of the Notice or it Shull be don in its cntiriI\'. END Or THIS ACCEPTANCI; ACCEPTANCE I1ro.: 01-0521.02 ;'ra,,k .'r_ulo;ga, RItC Product Control Examiner La 111)V i'.DIR LS:91 CO2 830 dd Application is hereby mode for the approval of the detailed statement ut trte plans and specifications herewith submitted for the build • in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, l lorid.t. 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. APPLICATION FOR BUILDING PERMIT Owner's Name and Address 00 1 L a°Li 9 ` ° .ICI q14 sr Name and address of licensed contactor � 11 " tt CL (7 ---A.atet e. CA .IC 431= .../V. ... -. ?. RYA tri Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 96 ° _/.sl 9 e'l . LAY ^ -t f " .,f State work to be done and purpose of building (by floors) .skQ.F.l r._ N c gy p ..._ l e ' I a X....1.2 4.._.1 � { r S. / I/, ........"vo ._....L' Y.A e -S, Da if 2..- gq A, - -.. ;ad.. /Ad" r We' i >u n oRTAt- and for no other purpose. Remodeling ( Addition Repair; No. of Stories Roopivering Amount of Permit 5.. f Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Silp t leent, and has complied ssith 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 pe under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) _. No Street Registered Architect and /or Engineer.. L ()lib? Con.ftev 2 X 2- c' New Building To be constructed of Kind of foundation Estimated Total cost of improvements $ 0 STATE OF FLOFIDA, 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 ��tstaat�te a true. Permit No......LS.l.._ . .k Date qt Read, Sworn to and Subscribed before me. Disapproved . .. ®... Date (Signed) wilding Inspector Chairman Nlcmber Member .. Council Approved Date NOTE: A c•h.lrgc of $1.00 will be made for the PLrnnir,;; Board. A re mspcction fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT PLANNING BOARD DATE Date ..._.........__. ,19 Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained (coat when such re- inspection is made necessary by improper notice for inspection of faulty