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ROOFINGDate 6 t . Legal Description Owner/Lessee / Tenant 1 4 di RAO /Up /04 � � iU � Contracting Co. 0 V V,Artsr Qualifier 1 �i► tj Owner's Address State # e o 5 1. j 67 Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BU WORK DESCRIPTION Square Ft. 393 ost (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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / © O R) �C, f 0/ Tax Folio Historically Designated: Yes / Master Permit # 1 ; 1 1 .- e) it G Phone — 27- s 6, - -71 ature of owner and/or Condo President Date Signature of Contractor or Owner - Builder Date FEES: PERMIT I o S - RADON APPROVED: Zoning Building Mechanical C.C.F. Plumbing Address ss# � Phone �� BOND TOTAL DUE 4 Date Engineering 0 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. //- 2 - 0 - 3 STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice off Commencement. 1. Legal description of property and street address: �c 4J' . /0 j .1 Lc 1 )3 i `t ! R. (S Pe) i O - 7() )11 to rn �FIo ■4; ry bi 's 2. Description of improvement: 3. Owner(s) name and address: I' 1,1/r0 OD '04, Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: Notary Public Print Notary's Name My Commission Expires: Signature of Owner Print Owners Name Sworn to and subscribed before me this %24 L P1L krI Li d C.00 j IF �YA#dll� •1 l in 4s 6r1, 7. Persons within the State of Florida designated by Owner •on 1 +• n• i•- by Section 713.13(1)(a)7., Florida Statutes, Wir,^J §o 6 • a ; a.: R:: _ p � v Name and address: fJ afiR i(� r #�� � UrrnrI •nd County Courts Name and address: 6 — to r zAu3 - �ZJvtdl w, 8. In addition to himself, Owner designates the following rson(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of this Notice of Commencement: (the expiration date rom the date of recording unless a different date is specified) t0•, ,6u) H )3� Prepared by: Address: kso--1 A Cl !23. ?•52 2,93 Ft. Contractor's Name: ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof Job Address: /CO / - 1 te-e ROOF CATEGORY ❑ (Nail -On Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE Y Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance rtar- Adhesive Set Tile) Flat Roof Area (ft Sloped Roof Area (ft 3 313 Total (ft') 3 � Master Permit No. Exposure category (per ASCE 7 -88): C_ Building Classification category (per ASCE 7 -88 table 1):. Deck type: DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) TTACHMENT Fastener Type: SPACING Field: Perimeter: Corn r: Page -1 r r r ROOF PLAN 30 r r r X. 31. a l �I ' k q„n 63 � ° Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Rid _ e Ven MEAN HEIGHT Deck type: Underlayment: Insulation: u ROOF BLOPL D E T A I L 3 SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cap Sheet: Roof ✓ Covering: s Drip edge: Ott ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (PmaxlTA), 3 X X (Aerodynamic Multiplier): OIcJ) - (Pmaz' x ?1, (Aerodynamic Multiplier): D i)"1) - (Pma7C.if "`g X X (Aerodynamic Multiplier): TILE CALCULATIONS M 7� = 1v1 f i d i M M)-° 3 D )PGA: `J s. iv M 3' PGA: /J'') �' _ I Page -2 APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) 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 34 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 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (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 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. 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 SFBC provides the option of maintaining this appearance. '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 v�5 erloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this P g Y discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 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. wner's /Agent's Signature Date Signature 5104 APPENDIX "F" Contractor's Signature MADE PRODUCT CONTROL Monier Lifetile LLC 135 NW 20th St. Boca Raton, FL 33431 Your application for P .• _ •. .val of: Monier Lifetile L Tiles ACCEPTANCE NO.: 97- 1124.15 EXPIRES: 06/25/01 APPROVED: 06/25/98 1 Renews: 95- 0316.01 95- 0322.02 95- 0316.02 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 40 WEST FLAGLER STREET, SUITE 1603 NOTICE OF ACCEPTAN MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT - CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Slate ", "Colonial and Shingle Blend ", and "Sierra Shake" under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Center for Applied Engineering, Inc., Professional Service Industries, Inc., and Redland Technologies, has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -14 and the standard conditions on page 15. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Raul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County MONIER LIFETILE LLC TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Product Dimensions Monier Lifetile LLC 1= 16%:" Flat Shake and Slate w = 13" Tile S /," thick Monier LifetileLLC Sierra Shaken' Tile & Super Shaketile" Monier Lifetile LLC Colonial Slate & Shingle Blend Tile Trim Pieces Product Rainproof II Ice and Water Shield I = 17" w = 12 'I," 1 '''A" thick 1 =17" w = 12 'V," 1 %' thick I a varies w is varies varying thickness Dimensions 30" x 75' roll 36 "x75' or 60" x 75' roll 36" x 75' roll Test Specifications Product Control No.: 97 1124.15 Product Description PA 112 Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Flat, interlocking, high pressure extruded, concrete shake roof tile, with a textured top face, equipped with two nail holes. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Flat, interlocking, high pressure extruded, concrete roof tile equipped with two nail holes. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Test Specifications PA 104 PA 103 Page 2 of 15 Product Description Single ply, nail -on underlayment with 2" self - adhering top edge. Self- adhering underlayment Manufacturer Protect -O -Wrap, Inc. (with current NOA) W.R. Grace Co. (with current NOA) t MONIER LIFETILE LLC Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteTM ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar #1140") Roof Tile Mortar (`BONSAL® Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polypro® AH 160 ") Product Dimensions Vertical Min.,1 "x 4" Horizontal Min. 1 "x 4" for use with vertical battens or Min. 1"x 2" for use alone Min. 8d x 2' /2" or min. 10dx 3" #8x 2 %2" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A N/A N/A Hurricane Clip & Clips Fasteners Min. %2" width Min. 0.060" thick Clip Fasteners Min. 8d x 1 '''A" Test Specifications Wood Preservers Institute LP — 2 PA 114 Appendix E Corrosion resistan screw or smooth shank nails PA 114 Appendix E Corrosion resistant coated, square drive, galvanized, coarse thread wood screws PA 123 PA 123 PA 123 See PCA Two component polyurethane adhesive designed for adhesive set roof tile applications. PA 114 Appendix E Corrosion resistant clips with corrosion resistant nails. Page 3 of 15 Salt pressure treated or decay resistant lumber vattens Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Product Control No.: 97- 1124.15 Product Description Manufacturer generic generic generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsai Co. with current PCA Polyfoam Products, Inc. PCA #94- 0401.01 Generic MONIER.LIFETILE LLC Product Control No.: 97- 1124.15 Test Agency Test Identifier EVIDENCE SUBMITTED Redland Technologies 7161 -03 Static Uplift Testing Dec. 199! Appendix III PA 102 Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991 Appendix III PA 102(A) The Center for Applied 94 -084 Static Uplift Testing May 1994 Engineering, Inc. PA 101 (Mortar Set) The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. .fur 94 -060A 25- 7094 -2 The Center for Applied 25- 7094 -8 Engineering, Inc. Page 4 of 15 Test Name/Report Date Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) March, 1994 Oct. 1994 Static Uplift Testing Oct. 1994 PA 102 (4" Headlap, Nails, Battens) The Center for Applied 25- 7094 -5 Static Uplift Testing Oct. 1994 Engineering, Inc. PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) The Center for Applied 25- 7183 -6 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik -Drive Screws, Direct Deck) The Center for Applied 25- 7183 -5 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik -Drive Screws, Battens) The Center for Applied 25- 7214 -1 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik -Drive Screw, Direct Deck) The Center for Applied 25- 7214 -5 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik -Drive Screw, Battens) MONIER LIFETILE LLC Product Control No.: 97- 1124.15 Test AQencv Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Atlanta Testing & Engineering, Inc. Test Identifier Test Name/Report Date 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix II PA 108 (Nail -On) Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 108 (Nail -On) P0631 -01 Wind Tunnel Testing July 1994 PA 108 (Mortar Set) PO402 Withdrawal Resistance Sept. 1993 Testing of screw vs. smooth shank nails Project No. 307025 Wind Driven Rain Oct. 1994 Test #MDC -77 PA 100 R1.894 Physical Properties Aug. 1994 R2.894 PA 112 R3.894 Professional Service 224 -47099 Physical Properties Sept. 1994 Industries, Inc. PA 112 Page 5 of 15 Frank Zuloaga, RRC MONIERLIFETILE LLC Deck Type: Wood, Non - insulated SYSTEMS Deck Description. New Construction 19 / „” or greater plywood or wood plank. SYSTEM A: Slope Range: Underlayment: Install underla Application Stand Roofing Tile: Comments: 1. Fo re -roof applications, ' / plywo unter -Batten Application Page 6 of 15 Product Control No.: 97- 1124.15 2 ":1 to 7 ":12" Note: ounter- Battens, as noted be ow, are required for slope range 2 -12" to less than 4 ":12" . nd are optional for of 4 ":12" to 7 ": ". For slopes excee . i ng 7 ":12 ", refer to System C. ent syste in compliance with Miami -Dade County PA 11 Vertical Battens: Install vertical battens compliance with Miami -Dade County Application Standard PA 118 Horizontal Battens: Install horizontal ttens in compliance with Miami -Dade County Application Standard PA 11 Install tile i ' compliance with M : mi -Dade County Application Standard PA 118. (See Data for Attachment Ca ulations" included in this Approval.) d is an acceptable substrate. Frank Zuloaga, RRC t MONIER LIFETILE LLC Deck Type: Deck Description: SYSTEM B: Slope Range: Underlayment: Roofing Tile: Comments: SYSTEMS (CONTINUED) Wood, Non - insulated New construction 19 / 72 " or greater plyw.od or wood plank. irect Deck Application 1. For r -roof applications, ls/ Page 7 of 15 Product Control No.: 97 1124.15 4 " :12 o 7 ":12" Note: tem B is only a ceptable in this slope range. For slopes less than 4 ":1 ", refer to system A. For slopes in excess of 7 ":12 ", refer to System Install underlaym n system in compliance with Miami -Dade County Application Stan and P • 118. Install tile in ompliance wi • Miami -Dade County Application Standard PA 118. (See "rata for Attachment alculations" included in this Approval.) od is an acceptable substrate. rank Zuloaga, RRC MONTER LIFETTLE LLC SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: Ne construction " /,." or greater plywood or •od plank. SYSTEM C: Underlayment: Horizontal Battens: Roofing Tile: Comments: ns in c Horizon : I Batten Application Product Control No.: 97- 1124.15 Slope Range: 4 ":12" or gre. er Note: Horizo al battens, as no d below, are required for slopes in excess of 7 ":12" : nd are optio al for slopes of 4 ":12" to 7 ":12 ". For slopes less than 4' 12 ", refe to System A. Install underlayment em in compliance with Miami -Dade County Application Standard P 19. Install horizontal ba Standard PA 119. 1. For re- • of applications, "/ plywoo Page 8 of 15 mpliance with Miami -Dade County Application Install tile in c• pliance with MI: i -Dade County Application Standard PA 119. (See "D. a for Attachment Cal • lations" included in this Approval.) is an acceptable substrate. • Frank Zuloaga, RRC t MONIER LIFETtLE LLC Product Control No.: 97- 1124.15 Deck Type: Deck Description: SYSTEM D: Slope Range: Underlayment: Roofing Tile: Comments: Wood, Non - insulated New construction Mortar or SYSTEMS (CONTINUED) r greater plywood or wood plank. pplication 2 ":12" to 7 " :12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Install underlayment system in compliance with Miami -Dade County Application Standard PA 120. (See System Limitation #5.) Install tile in compliance with Miami -Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, 15 ' 32 " plywood is an acceptable substrate. Page 9 of 15 i MONIER LIFETILE LLC Product Control No.: 97- 1124.15 SYSTEM LIMITATIONS 1. The standard minimum roof pitch for Monier Lifetile LLC's "Flat Shake & Slate ", "Sierra Shake & Super Shaketile ", and "Colonial Slate & Shingle Blend" low profile tile shall comply with Miami - Dade County Application 'Standards PA 118, PA 119 or PA 120, depending on the method of installation. 2. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger thara that of the preformed holes in the tile. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Protocol PA 115 or PA 127. The tile profile listed herein has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based System'. 4. For mortar or adhesive set tile applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance with Miami -Dade County Protocol PA 106, shall be performed. 5. For tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section II of the Uniform Building Permit, a copy of manufacturer's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 8. The applicant shall retain the services of a Miami -Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Miami -Dade County Protocol PA 112, Appendix 'A'. 9. Fire classification is not part of this acceptance. Page 10 of 15 rank Zuloaga, RRC Table 1: Aerodynamic Multiplyers- X(ft 3 ":12" 4 ":12" Tile Profle X (ft Batten Application X (ft Direct D : ,.' • . pli. ation Monier Lifetile LLC Flat Shake & Slate Tile, Sierra Shaken' Tile & Super Shaketilen' , Colonial Slate & Shingle Blend Tile 0.27 Direct Deck / 0.29 Direct Battens Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Approved Eave Clip With: Battens Direct Deck Battens Direct Battens Direct Deck Battens Direct Deck Battens Direct Deck Monier Lifetile LLC Flat Shake & Slate, Sierra Shaken' Tile & Super Shaketilen', Colonial Slate & Shingle Blend Tile 6.51 7.52 6.47 7.43 6.33 7.27 6.17 7.09 6.00 N/A Table 3: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Nail -On Systems Tile Profile Tile Application Approved Nails Approved Screws Approved Field Clip With: Approved Eave Clip With: 1 nail 2 nails 1 screw 2 screws 1 nail 2 nails 1 nail 2 nails Monier Lifetile LLC Flat Shake & Slate,. Sierra Shaken' ' Tile & Super Shaketilen', Colonial Slate & Shingle Blend Tile _ Battens 4.90 7.40 18.20 28.60 24.20 34.80 22.10 32.20 Direct Deck 9.80 18.80 30.80 51.70 24.30 35.50 19.00 31.90 1 Data noted in Table 3 is for installation with a 3" the hearilan t MONIER LIFETILE LLC 2 Approved screws are as noted in the Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. DATA FOR ATTACHMENT CALCULATIONS Table 2: Restorin Moments due to Gravi - M (ft- Page 11 of 15 Product Control No.: 97- 1124.15 Frank Zuloaga, RRC Table 4: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile LLC Flat Shake & Slate, Siena Shaken' Tile & Super ShaketileTM, Colonial Slate & Shingle Blend Tile Mortar Set 3�9„ Adhesive Set 8.90 Table 3 -A: Attachment Resistance Expressed as a Moment - M (ft -Ibf) For Nail -On Systems Tile Profile Tile Application Two (2) 10d x 3" long nails Monier Lifetile LLC Flat Shake & Slate, Sierra Shake TM Tile & Super ShaketileTM,.. Colonial Slate & Shingle Blend Tile Direct Deck New Construction (min. 19 /32" plywood) 65.50 Direct Deck Recover /Reroof (min. 15 /32" plywood) 50.30 Battens New Construction 48.30 MONIER LIFETILE LLC DATA FOR ATTACHMENT CALCULATIONS (CONTINUED) Product Control No.: 97- 1124.15 1 Tile installation with a 4" headlap using two (2) Approved 10d x 3" long polymer coated, corrosion resistant, ring shank nails installed in manufactured holes located 2%" from the head of the -tile. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Page 12 of 15 Frank Zuloaga, RRC MONIER. LIFETILE LLC PROFILE DRAWINGS MONIER LIFETILE LLC FLAT SHAKE & SLATE TILE Product Control No.: 97- 1124.15 OVERLAY 13' SIERRA SHAKE AND SUPER SHA Page 13 of 15 MONIER LIFETILE LLC 0.07^ 0.34" 0.15^ L 0.11- 0.12" r COLONIAL SLATE & SHINGLE BLEND TILE A 23 OCG. 2.45" APPROVED SCREW FOR SCREW DA =� " Page 14 of 15 1.7d 0.151" Product Control No.: 97- 1124.15 0.175" MONIER LIFETILE LLC Product Control No.: 97- 1124.15 Monier Lifetile LLC ACCEPTANCE NO: 97- 1124.15 135 NW 20 St. APPROVED : June 25, 1998 Boca Raton, FL 33431 EXPIRES : June 25, 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) 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 times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 15. END OF THIS ACCEPTANCE Page 15 of 15 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Dateg I V' I I Job Address 10 1 J 101 't Tax. Polio l / Z0(9O ! ; 2 2 Legal Description (2-(t2 I - '1 ?" - 9790 Owner / Lessee / Tenant /V i AL.- Q_ 1 DM4 1 4 Master Permit # A/A 6f/� Owner's Address --o rn e Phone ?S7 /3/3/..358 PAID Contracting Co.v ' M . KtOIv firpiW Address 4 1" 5O S t ) (00 1 Qualifier Call-ill) R.Neof13ee,9 ss# ' Phone /i7-72 Li 0 State #0116 ; # Competency # Ins.Co. Architect /Engineer A //A Bonding Company Ai/14 Mortgagor /04 Permit Type(circle one): BUILDING ��EL PLUMBINGG MECHANIC 'OOFING PAVING FENCE SIGN WORK DESCRIPTION � (...� 00 A / if/ i\ i i1 /e7D S J . v ott.6 y Ro Gpoy 'HU Square Ft. ( oo WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this juris I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOL'S 00FING d MECHANICAL WORK. i OWNER'S AFFIDAVIT: I certify that all the foregoing informat': 's accura / and that all work will be done in compliance with all applicable laws regulating c -ns uction an zoning. Furthermore, I authorize t e =bove -name • contra tor to do the work stat ZOE Signature of owner and /or Co Date: /CAW,' sident Notary as to F. • • •••• dent • FFICIA NOTARY SEAL My Commissio E •1 �6 OS SUTHERLAND NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC197115 ** * * My EXP. NhAY 21,106 C.C.F. FEES: PERMIT 4 RADON Estimated Cost(value) gnatu of Contractor fr Owner - Builde Address Address Address ry as to Cont . a c w I;U esi P m il�de &v Commission Ex res�'t ti g *c p �t }�L P �:.�• ;:S�I(�d .:�fi. ds � vr• :"ti!:n:f }_:i ; I.J : }.1�Kv '�•..�N- ' " %*�L ti4u' 1.4YxL 00 * * NOTARY TOTAL DUE 1 W5 15 APPROVED: Fire Other Zoning Buildin Electrical a T x • Mechanical Plumbing Engineering Job Address: NICK FRIEDMAN f Contractor: 100 N.E. 101 STREET METRO -DADE UNIFORM BUILDING PERMIT SECTION II MORTAR OR ADHESIVE SET TILE SYSTEMS 1. General The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. 2. Documentation J.M. Montgomery Rig. The following documents are required for submission with the Uniform Building Permit application: (a) Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). (b) One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. (c) All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: ❑ New Construction Re -Roof Note: Mortar or adhesive set tile systems are not acceptable as recover applications. Mortar or Adhesive Set Tile Systems Page - 1 PA ) ON J.M. MONTGOMERY RFG rocess Is the deck soldid sheathed? (Check 'yes' or 'no') Yes Deck Type (check one of the following): ❑ Nominal 1/2" Plywood (for re -roof only) ❑ Nominal 5/8" Plywood ❑ Wood Plank ® Other Roof Pitch (fill in): ":12" Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 7- 1/2 ":12 ". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and less than or equal to 7 ":12" shall have the first three courses of tile nailed with not less than one nail per tile. As an altemate, the first three courses of tile may be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3/8" which is mechanically attached to the sheathing with not less than one nail per 2ft2 Circle 'yes' or 'no' for each for the following: Have you attached two copies of the tile system manufacturer's Product Control Approval for the proposed tile system? No Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and other literature? No Is the proposed underlayment approved for use with this tile system assembly? Yes J.M. Montgomery Rig. Job Address: NICK FRIEDMAN 100 N.E. 101 STREET Project Information (continued): If the proposed underlayment is self - adhered, have you complied with the venting requirements of Section 3913.3(b), (c) and (d) of the South Florida Building Code? Yes Are all related accessories approved for use with this tile system assembly? Yes Are the proposed edge metal attachment fasteners in compliance with the requirements of the South Florida Building Code (minimum 12 ga annular ring shank, corrosion resistant nails)? Yes 4. The Tile System Assembly: The following information is required to confirm compliance with Subsections 3403.5(a) and (c) Section 3404 of the South Florida Building Code. Tile: Tile Name: 9" BROOMSWEEPT RED Manufacturer: GORY Tile Material: ❑ Cla ❑ Concrete Other Product Control Approval Number: Mortar or Adhesive: Check one of the following which apply to the proposed tile securement for use with the proposed tile system assembly: PA Contractor: J.M. MONTGOMERY RFG Process No. TIL REPAIR Mortar or Adhesive Set Tile Systems Page - 2 Mortar: Manufacturer: Miximg Ratio: ❑ Adhesive: Type: Manufacturer: Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12" and is less than or equal to 7 ":12 "): Check one of the following which apply to the proposed tile fasteners (for the first three courses) for use with the proposed tile system assembly: ❑ Minimum 12 ga. galvanized roofing nail: Length: omery ❑ Other: Type: Length: ❑ N/A Note: All tiles shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if applicable) shall be of sufficient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of 5/16 ", whichever is less. Underlayment: The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. J.M. Montgomery Rig. Job Address: NICK FRIEDMAN 100 N.E. 101 STREET Underlayment (continued): Check all of the following which apply to the propose underlayment for use with the proposed tile system assembly: ❑ ASTM #30 asphalt saturated felt with: 19" overlap ❑ 6" overlap ❑ 4" overlap ❑ ASTM #15 asphalt saturated felt with: ❑ 19" overlap ❑ 6" overlap ❑ 4" overlap ❑ Mineral Surfaced Roll Roofing with: ❑ Other: Type: Length: Manufacturer: / I W V- /e ? pc lIL () ❑ 19" overlap ❑ 6" overlap ❑ 4" overlap ❑ Other: Type: Manufacturer: Underlayment Fasteners (if applicable): Check one of the following which apply to the proposed underlayment attachment: ❑ Minimum 12 ga. electro- galvanized roofing nail with minimum 32 ga. x 1 -5 ?8" tin cap: Length: omer Manufacturer: Contractor: J.M. MONTGOMERY RFG Process No. TILE REPAIR Mortar or Adhesive Set Tile Systems Page - 3 Spacing (per tile system assembly Product Control Approval): Field: Laps: " o.c. " o.c. Related Accessories: Edge Metal (refer to Section 3408.2 of the South Florida Building Code): Type: Dimensions: Gauge or Thickness: Finish: Note: All edge metal shall be nailed on the flange and nailed or clipped at the face in compliance with the provisions set forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the following): ❑ Cold Adhesive: Type: Manufacturer: ❑ Flashing Cement: Type: Manufacturer: elf Job Address: NICK FRIEDMAN 100 N.E. 101 STREET Adhesives (continued): Ventilation System (check one or more of the following): The following information is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. ❑ Ridge: Type: ❑ Soffit: Type: J.M. Montgomery Rig. Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. /f\I e 2 Size: i 2 Size: i n Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is applied as an anchor sheet below the self - adhered underlayment. Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly only. Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION I, noting the permit number issued. A c" Contractor: J.M. MONTGOMERY RFG Mortar or Adhesive Set Tile Systems Page - 4 Additional Notes: Process No. TILE REPAIR Job Address: J.M. Montgomery Rig. NICK FRIEDMAN 100 N.E. 101 STREET Ridge Venting: (if applicable) Deck: Type: Thickness: Underlayment: Underlayment Fastener: " Roof Pitch 12 FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN ON THIS PAGE. (Where Roofing Component not used in Tile System Assembly, fill in with "N /A ".) Head Lap Dimension: 00 (minimum 2" unless otherwise specified in this tile system assembly Product Control Approval) Mortar /Adhesive: Tile: 9" BROOMSWEEPT RED Tile Fastener: Existing or Proposed Soffit Venting: Edge Metal or Gutter Fastener: Bird Stop: (if applicable) Edge Metal or Gutter: Job Site Identification: Contractor: J.M. MONTGOMERY RFG DETAIL #1 Mortar or Adhesive Set Tile Systems Page - 5 Process No. TILE REPAIR Job Address: NICK FRIEDMAN 100 N.E. 101 STREET J.M. Montgomery Rig. Job Site Identification: BUILDING INFORMATION #1 Mortar or Adhesive Set Tile Systems Page -6 Contractor: J.M. MONTGOMERY RFG Process No. TILE REPAIR Ridge Height: Eave Height: Roof Mean Height feet feet feet Insert Building Ridge Height, Eave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. (See ASCE 7 - 88 Fact Sheet Attached) Exposure Category: Classification Category: At Hurricane Oceanline ?: Basic Wind Speed at Building Location: Building Condition based on % of openings: (See Table 9 ofASCE 7 - 88) Ground Level E 110 mph ¥ ❑ N J.M. Montgomery Rig. Job Address: NICK FRIEDMAN 100 N.E. 101 STREET \ Contractor: J.M. MONTGOMERY RFG Process No. TILE Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimeter and comer dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached) BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 7 J.M. Montgomery Rig. Job Address: NICK FRIEDMAN 100 N.E. 101 STREET The undersigned certifies that th ITL 2ERAI is in compliance with the plan the nett- STATE OF FLORIDA - COUNTY OF DADE • Before me this day personally appeared who, being first duly sworn, deposes and says that all information submitted herein is true and correct. Licensed Contractor /Owner Signature Sworn to and subscribed before me this — th day of 19 _ . My commission expires Contractor: J.M. MONTGOMERY RFG Process No. TILE REPAIR Notary Public State of Florida Mortar or Adhesive Set Tile Systems Page -8 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. 1. Date... - dept. 29th — .19 ....rA Owner's Name and Address....._ .,.. N ®:,=,:, __ 9tteeE- �,� .. J '�: DtY3ree ...:: ....:.. ....... = =,_ =n• 1,00,,, =__, ,,: . = = E = = =1�1 °• =st:::_._. .. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done i00 - 13. 'E . 1Oist--- Street State work to be done and purpose of building (by floors).�f_r._of f_ tf>I[ raofi - - ti - n a 1i30i- -- fe1t 1 -90# g.. 11gr P ..__ s �P • slate - wfttr trot a and-- -cover- - wig• -- red-- t�lend - - -m, .1 �2 & -3 eert�t �t�i�1e tie-- tile - - - - -- - and for no other purpose. New Building _ Remodeling Addition RepairsR. No. of Stories 2 To be constructed of Kind of foundation Roof Covering.._ C meat the Estimated Total cost of improvements $..3800. 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 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 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 subconractors, on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks 588gs- (Si STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 51.00 will he charged when such re inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ❑ I MIAMI SHORES VILLAGE, FLORIDA v Date ' ,> ELECTRICAL ❑ PLUMBING ❑ PERMIT N: 13562 ROOFING x Owner of Building Architect Contractor / or Builder , /4 4. / . v,a..44 - Legal Lot / / 1 Description BI .� Building of / / / ;' /1/ �� 9l/! r Building /O!� `'[ c CONTRACTOR or BUILDER Work to be performed under this Permit ilp Contractor's A A r e/ License No. 1911 BY AUTHORITY Subdi- vision Sq Ft Value of r I I Amount of 9� Project $ ✓ / II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants o employees. Signed- Milli,. /�/ I (INSPECTOR) BY In consideration of the issuance to me of th _- permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Imo; Bradford: This permit cost 9.00, we are taking credit due on ,. Mr. Castellano's job. Returning permit. ALL WORK GUARANTEED .Lam ROOFING & TILE CO., INC. Licensed and Insured SHEET METAL 573 N. W. 71sT STREET MIAMI. FLORIDA 33150 Mr. Bradford Miami Shores Building Department 10050 N. E. 2nd Avenue Miami Shores, Fla. 33138 L J Dear Mr. Bradford: Very truly yours Seldon E. Gambill, President. P 751 - 2878 758 -1009 We are returning this permit for the following reason. Seems one of our customers of 1970 was not satisfied with her re —roof, claimed we did not use the tile she ordered, this was not true, we ordered the same tile that her contract called for. To make a long story short The Dillree's decided to get some other roofer to do their work, let it go on record, Lang Roofing did not re —roof their residence. • MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ PLUMBRNG L Dr PERMIT N? 14047 ROOFING Owner of Building �,Inl DILLaE Architect Contractor � rtv or Builder G e. Legal Lot I Description I Bl Address of lC t IOC ee Building L Subdi- vision Sq Ft. Value of Project Work to be performed under this Permit PE Y This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- se e, sibility for work done by his agents, servants or employees. � n „` i / Signed • 1! 1L 6 / �• 4 (INSPECTOR) GKJ t0 In consideration of the issuance to me of this p:i mit I agree to p form the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR or BUILDER — Ill 1� I L IY BY Date Contractor's License No L5 N,W. 11d NiArn I Amount of q- II Permit $ AUTHORITY 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. Sept. 71 Owner's Name and Address., '.,..$t,, l ie,. Date STATE OF FLORIDA, COUNTY OF DADE. ss. fitteet F-1.4 E. 101 st Registered Architect and /or Engineer r Name and address of licensed contractor Lang Roofing & Tile Co., Inc. 573 N. W. 71st St., Miami 33I50 Location and legal description of lot to be built on: Lot Block Subdivision • Street and Number where work is to be done 100 N, E. 101st Street State work to be done and purpose of building (by floors) . Tear off existing roofing„tin cal 1 -30# felt, mop 1 -90it .?te with hot asphalt and cover with red blend m 1 -2 & 3 cement shingle type tile. w` • - — — and for no other purpose. New Building Remodeling Addition RepairserOOf No. of Stories 2 To be constructed of Kind of foundation Roof Covering Cement tile Estimated Total cost of improvements $- .- 3800,,100 Amount of Permit k 9 00 Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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, Perinanent 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 subcortracto ;s, 9a- Work to be perfprmed under this pennit, as are licensed by Miami Shores Village. Remarks 38,ac,8.. (S ,nd� -- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 1 (11 Date q-20-7/ Read, Sworn to and Subscribed before me. Disapproved ate (Signed) Build �}_ Inspector Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman. Member Member Member Member .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1 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 Divisinn of Miami Shores Village shall be complied with, whether herein s #cified of not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address ! • 4 6 /QS Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block New Building Remodeling To be constructed of Kind of foundation permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved / Date (Signed) Building Inspector `Su pEg Subdivision Date Addition Remarks ( Signed) O O C o o r_ , Street and Number where work is to be done State work to be done agcl purpose of building by floors and for no other purpose. Repairs No. of Stories oof Covfung Os° 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 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 Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub -co actors 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 owork such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra rs, on worlW=re be performed under this 1 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 ff egoing application, and that he did sign the same, and that all facts therein by him stated are p of Permit No 7 1g ci Date `14 _" Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My v + mission Expires PL e NING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Planning Board. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BU Do ELECTRICAL PLUMB Owner of Building Architect Contractor or Builder Legal Description Address of Building In con taining they accepting t Lot PERMIT 'CONTRALTO/ OE :UIL MIAMI SHORES VILLAGE, FLORIDA DATE N? 10994 Work to be performeel`under this Permit Bl. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the .understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations , ertaining to the wok covered hereby whether shown on the plans or drawings ors the statements o specifications and that he assumes responsibility for work :one by his aets'"servants or employees. Signed: the issuance to me of this permit ,I agree x ,.;strict conformity with the plans, drawings, s permit I assume resB9wysibility fe all work done Subdi- vision Value of Project $ BY Contractor's License No 0' Amt. of Permit I 'SPECTOR erform the work covered hereunder in compliance with all ordinances and regulations ements or specifications submitted to the proper authorities of Miami Shores Village. either, myself, my agent, servant or employee. AUTHORITY 195 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. 11 L Date . � , 19.17 Owner's Name and Address _T 1___ • L1_ 12_____ _ J_A! rf Q 1 No. _J_Q_1 Street_A) L ) 0 1 s Registered Architect and /or Engineer Name and address of licensed contractor__ _r__ _ -____J _a_io_ f / ►d 6 / / J s r _ & C. 7 51 A A.). r 7 a V , Location and legal description of lot to be built on: Lot Block Subdivision S Street and Number where work is to be done_ /13_11 /a(• g . / 6 I — W. /+ State work to be done and purpose of building (by floors) 1QL -' o o f i r. 9, 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 $ 1_3_tiS_h o — Amount of Permit $ 2 SO 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 sE 4d y J an _ • 0 r i ), .. - - -± _S� M'1 C. Caa oZ `I Si •U• e W, 7 2. cr The undersigned aplicant 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 / Remarks ( Signed) "'�+'�O` _ � �„ �i i_) c . STATE OF FLORIDA, COUNTY OF DADE. Ss: Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit Date?. ead, Sworn to and Subscribed before me. Disapproved Date (Signed) Me •er Member to me well known, Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chair Member Mem er Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.