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ROOFINGTest Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 17d °� i 6 jE� 26 27 `7 . ,D ` 51 52 ,4t t 17 76 77 2 3 28 53 78 4 29 54 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 Owner's Name: Required Testing Force: 35 lbs. Date Tested: 12. 1Z • 00 THIS REPORT SUBMITTED BY: lt+L&..) t i t MPs Job Address 11 32 4 - 10 1 Roofing Contractor: Qo.i -'t T Type of Tile. a Nh `� t t Approximate Roof Height �� -feet Type of Access to Roof Scaffolds Approximate Square Footage of Roof: 23 ft2 c40- 1 -1151L0 P.E. Civil Engineer: Lab Certification # 98- 0608.04 State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, 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 COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION 1, Ind. t C• t S t4-& -& g - -o®.; - 11-1 L &6-4 GjET Ladder Testing Equipment: Chatillion 100 1 0 0 TEST RESULTS , P = PASS, F = FAIL t • z iermit #. 414 07 tr"1 Date Installed - Roof Pitch Other Proje 12• S.o0 3 •1Z- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. N°_ 000635 NOTES: SKETCH OF ROOF JOB 1 I 3?- 1`1 E i o -2 -OF SHEET NO CONTRACTOR CHECKED BY DATE SCALE Pri1101111111 e 4,.i►'' ■\e■ ■r n\e■■ mmerdi - ■■■Q■Nre■ MICIr /et • ' 1 1 1 !�\` \III■ 0� i; ■L m� Ng 1►riI U■I■U!II1 I raw Sistwomptordall MI uiiiunuiii G3'me■e■n ■11 ■ ■ammata 111111111111111111 II1iiiuuIi1 r- ■ma`raummr mmximmoormo. iiiiiiiiiiiiiii PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 8-24-00 Job Address 1132 N.E . 1 01 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant John Hillman Master Permit # 4 yyg' 7 Owner's Address 1132 N.E. 101 Street Miami Shores Phone 757 -7661 ContractingCo.Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Qualifier Carlos Arocho SS# State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, tin cap 301b. ASTM felt, install galvanized eave drip and valley metals where required, mop on with type I1I asphalt one layer of 901b. ASTM felt, install Spanish S Clay colrthru tile with polyfoam adhesive setting. Square Ft. 2 5 s q_ 1. e.. Estimated Cost (value) $ 11,000.00 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 OF 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction zo i,! . Furthermore, I uthorize the above -named contractor to do the work stated. igna PA' of . (r er and/ 611 as to own - land/or C r '" '": MY ; F 't p EXPIRES: '' OF ,,, Bonded Thru No !7 Notary My Co v' •i FEES: PERMIT /30 RADON APPROVED: Zoning Mechanical Plumbing Date -00 C.C.F. 6.60 NOTARY Phone 751 Signature of Contractor or • er - ilder Date Notary as to Contract . r or My Commission Expires: Electrical O Date MARYLOU ' ERNANDEZ +� MY COMMISSION # CC 6B041e irn EXPIRES -�� : October 10, 2001 "2;,,, ; °••' Bonded Thru Notary Public Underwriter BOND3VO TOTAL DUE 443 / ffa Structural Engineer . NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. r17// 5 2 a7 / 9 t '' z 7o/ STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street, address: 1 1 32 N .E . 1 Street 2. Description of improvement: Reroof to a new Tile Roof . 3. Owner(s) name and address: Interest in property: Owner Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quality Roofing Contrac Inc. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ nn 6. Lender's name and address: N/A 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: N/ A 8. In addition to- himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differe . • ate is • = cif" Sign ne ri ► Owner's Name 0 ii F h 1 ) /h m,y) worn to and subscribed before me this a2K day of Notary Public Print Notary's Name My Commission Expires 4'I T NA IBy John Hillman Miami Shores, Florida 3313R 1132 N.E. 101 Street Miami Shores, Florida 33138 13800 NW 1st Avenue Miami, Florida 33168 ,20t STATE OF FLORIDA, COUNT OF DADr t HEREBY CERTIFY that this is a tr , ' eDY 6/ tli@ g�no fit his . ti e o 4 ad l y li � rath ' +/ circut and Co 00R437690 2000 SEP 11 10:43 Prepared by Quality Roof ingContractor Address: 13800 NW 1 Avenue Miami, FL 33168 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name. iU, t `( ylfattbr Job Address: 1 13 a kj L F _ 101 5tee-4 ROOF CATEGORY CO ❑ (Low Slope Application) ❑ (Nail -On Tile) L1 (tar- ❑ (Asphalt/Fiberglass `Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE '❑ New Roof R e - roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') Sloped Roof Area (ft ; } S( . Total (ft') 025'3 9 • Master Permit No. Exposure category (per ASCE 7 -88): C- Building Classification category (per ASCE 7 -88 table 1): X A Ft. A V v Deck pe: t Fastener Type: AT ACHMENT SPACING Field: Perimeter: Corner: ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) DETAIL 1 & 2 ROOF PLAN 129.01.78 4/99 Page -1 Appendix "Et UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? 1 �) Pr MEAN HEIGHT Deck type: 3 oO c - I tC(i nderlayinent: liuulation: 3a Ib , f - 5TM a 12- aoorfLOPL D E T A I L 3 SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cap Sheet: Rooff overing i Drip edge: 4 /04,-,; • Itt c ` b.c. �a� 6? "p. c . cprner$ -1- Pe_c/r - r-s ATTACHMENTS REQUIRED I) Fire Directory Listing Page 2) Miami -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 TILE CALCULATIONS e- (Pmaxl:7. x X (Aerodynamic Multiplier): 19.52,) - M 5-35 = M .I PCA: (p( 4J a,3 (Pmaxl: !03!1 X X (Aerodynamic Multiplier) .L 1 , l t ) - M = M _(0'f PCA: (p(p -SD (Pmax3:/D3,'? x ? (Aerodynamic Muttiplier):4-1 t , ) - M - 3 , C = M PCA: &(0. D APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDER: \TIONS '{%s it pertains to this Appendix "F ", it is the responsibility of the rooting contractor to provide the owner with t11c required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this fort,. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the n►inim:: requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed ns part of thc agreement between the owner and the contractor. The owner's initial in' the adjacent box indicates that the item has been explained. Acstl►etics- NVorkn►ansl►ip: The workmanship provisiois of Chapter 34 are for the purpose of / •►ding 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 nddressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roofdeck may have to be renai'ed accordance with thc current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed pr io: to removing the existing roof system) r,ir 3. Common Roofs.: Common roofs are those which have no visible delineation between neighboring ' L. Its (i.e. townhouses condominiums In buildings .._t., common roofing owner should notify the occupants or adjacent units of roofing work to be performed. Air 4. Exposed ceilings: Exposed, open beans ceilings are where the underside of the roof decking can be /Mewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations ()idle underside of the decking may not be acceptable. The SFBC provides the option of maim, inin�, this appearance. r' Agent's Sigi't rc S. Ponding \linter: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low '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 thc 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 ro: verloacled from n build up of water. Perimeter /edge walls or other roof extensions may block this dis :I:arge if overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in a :corda n.c with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the i s ttr iQ: of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. I: may be beneficial to consider additional venting which can result in extending, the service life of the roof. • S. The owner may contact the h•linnti -Dade Count • Consumer Service Department r f :r > s for � ► •he, . information re'nrding thc a•o c. Date g — o2 r —Oc7 Contrs►ctor's Si mature ..91/28/2000 11:31 3056659626 MIAMI BUILDING CODE COMPLIANCE oFFICI METRO.DADE FLAGLER 8UILD)Nc (40 WEST FLAGLER STREET. SUITE 160 PRODUCT CONTROL NOTICE OF ACCEPTANCE (303)375.2901 FAX (305) 371. A1mar (USA), Inc. CONTRACTOR LICENSING SECTIOt 6645 NW 77 Ave. (305) 373.2527 FAX (305) 375.291 Mia FL 33166 CONTRACTOR ENFORCEMENT SECTIOP (305) 373.2966 FAX (305) 375 -2901 application for Product Approval of: PRODUCT CONTROL DIV[SLO( Your a pp pp (305) 375.2902 FAX (305) 372.6334 Altura "S" Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types Construction, and completely described herein, has been recommended for acceptance by the Miami -Dad County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval sht..t not be valid after the expiration date stated below. BCCO reserves the right to secure' product or material at anytime from a jobsite or manufacturers plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspen the use of such product or material immediately. BCCO reserves the right to revoke this approval, if It is determined BCCO that this product or material fails to meet the requirements of the South Florida Buildir Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:99- 1102.04 (Revises No.: 97- 0918.02) Expires :12 /16/2002 Approved:12 /16/1999 1 of 8 COMA CAST CORPORATIO PAGE 02 MIAMI - DADE COUNTY. FLORIO METRO -DADE FLAGLER BUILDIN Raul Rodriguez Chief Product Control Divisi THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Cot and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. tancisco . e uantana, Director Marni -Dade County Btiiding Code Compliance C Interest eta)1 addre»i peelmaeterebuildiaeeedtoallae .00hs Hanapatee Imp: // w.buIIdiopcodsonline.coaI ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 1. SCOPE This revises a roofing system using Alrnar'One Piece S' Clay Roof Tile, u manufactured Alinar (USA), Inc. described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design ,pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4`herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by ADUlicanl One Piece `S' Tile Trim Pieces M30 Felt Product 1143 Coatel Base Sheet NOTICE OF ACCEPTANCE: STAISDARD CONDITIONS Category: Prepared Roofing Sub Category: High Profile Tile Test gimeasionj Specifications 111 V2" w-10" thick nom inal I varies ,v - varies varying thickness 2.1 Components or products manufactured by others pime nalons N/A N/A COMA CAST CORPORATIO APPROVED :December 16, 1999 EXPIRES :December 16, 2002 Product Desert tp ken PA 112 High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications. PA 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test gpecifications 2 Product pescrintlon ASTM D 2626 Saturated and coated organic base sheet for single or double ply underla Manufaeterer ASTM D 226 Saturated organic felt to generic type II be used as a nailed anchor sheet. generic Frank Zuloafa, RAC /tooting Product Control Examiner PAGE 93 ,. 01/287'2000 11:31 3056659626 ALN1AR (USA), INC. Product pimention 'Mineral Surface Cap Sheet Rainproof 11 Ice and Water Shield Wood Battens Tile Nails Tile Screws Roof Tile Mortar ("TileTiteTM ") ACCEPTANCE No.: 99- 1102.94 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEg'TANCE: STANDARD CONDTTj ON4 N/A 30 "x75'roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll is min. 1 "x4" horizontal min. I" x 4' for use with vertical battens or min. I" x 2" for use alone Min. 10d x 3" Na x 2 Wiens 0.333" head dia. 0.131" shank dia. 0.175" sctrew thread diameter N/A COMA CAST CORPORATIO Test 5pecitications ASTM D 249 PA 104 PA 103 Wood Preservers Salt pressure treated or Institute LP • 2 decay resistant lumber battens PA 114 Appendix B PA 114 Appendix E PA 123 Product Itaszlaibln Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. Single ply, nail -on underlayment with 2" salfadhering top edge. Self- adhering underlayment for use as a top ply in atwoply underlayment system with Approved 00 or 043 u the base layer. Prepared mortar mix designed for mortar set roof tile applications. Frog Zuloaga, ARC Roofing Product Control Examiner PAGE 04 bjltaafacturer generic Protect -O -W ra p, Inc. with current NOA W.R. Brace Co. with current NOA generic Corrosion resistant, generic smooth, screw or annular ring shank nail. Corrosion reslstand coated generic square drive, galvanized, coarse thread wood screw Bermuda Roof Company, Inc. (with current NOA) 01/28/2000 11:31 3056659626 COMA CAST CORPORATIO PAGE •05 •$ ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 20 NOTICE OF' A CCEPTANCE•.ST— ANU Test ELWIISS Dimensions Soseillcattgns Quickcrete Roof N/A PA t23 Tile Mortar Roof Tile N/A Adhesive ( "Polypro0fl AH 160 ") Tile -Bond Factory premixed canisters 3. LIMITATIONS Product Deuisillan Prepared mortar min designed for mortar set roof tile applications. See PCA Two component polyurethane adhesive designed for adhesive set roof tile applications. See PCA Single component polyurethane foam roof tile adhesive 4 Frank Zuloaga, RRC Rooting Product Control Examiner Manufactures Quickrete Mortar (with current NOA) Polyfoam Products, Inc. (with current NOA) Flexible Products (with current NOA) 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar 'One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standud RAS 118, RAS 119, and RAS 120. Table 3: Attachment Resistance Expressed as a Moment • M, (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 13/32" plywood) Direct Deck (min. 19/32" plywood) Battens One Piece 'S' Tile 2 -10d Ring Shank Nails 20.0 41,2 19.4 1 -10d Smooth or $craw Shank Nail 5.1 6.8 2.8 2.10d Smooth or Screw Shank Nails 6.8 9.2 7.3 1 .#8 Screw 28.7 28.7 N/A 218 Screws 58.2 582 26.8 1.10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0.. 1.104 Smooth or Screw _Shank (Val (E8y CHp) 29.3 29.3 24.0 2.10d Smooth or Shank Nails (Field Clip) 27,6 27. 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 41.8 . i 2.1bd Ring Shank Nall:;' 33.1 48.1 45.2 ' Installation with e-4" the Nadia and footmen are located a min. of 2W from head of tile. ,••01/2872000 11:31 3056659626 ALMAR (USA), INC. The Profile One Piece '9' Tile 447 5.35 COMA CAST CORPORATIO PAGE 06 Table 2: Restoring Moments due to Gravity - M, (ft -lbt 3 ".12" 4 ":12" or less 5 ":12" Battens Direct Battens Direct Oar* Deck 4 . 4 0 5.2t 4,31 _ 5.16 ACCEPTANCE No.: 99 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 trOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers - >L ( Tile Profile One Piece 'S' Tile X (ft') Batten Application 0.253 ) X (ft') Direct Deck Application 0.274 Battens Direct Deck Battens _ 5 03 0 9 4.20 6 ":12" Direct Deck r:12" or rester Battens Direct Deck 4.08 4.e Zuloaga, RRC Roofing Product Control Examiner 01/28/2000 11:31 3056659626 ALNMAR (USA), INC. Tile Profile One Piece 'S' Tile Adhesive COMA CAST CORPORATIO - . • 1 1 1 e Table 4: Attachment Resistance Expressed as a Moment M, (ft -lb!) for Two Patty Adhesive Set Systems Tile T Tile Application Profile ne Piece 'S' Tile PAGE ' 07 ACCEPTANCE No.: 99- 11Q244 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 Minimum Attachment Resistance 2•.3 2 See manufactures onent royal for Installation r ulrements. 3 Flexible Products Company T Iesond Average weight per patty 10.7 grams. Pclyfoam Product, Inc. Avert)* weight per patty 8 prams. Table 4A: Attachment Resistance Expressed as a Moment • M, (ft -Ibf) for Single Patty Adhesive St/1y; sterns Tile Application Minimum Attachment Resistance 66.5' Po foam P • Pro'" 3e.7 ecement . • • rams ct Po Pro 5 odium add dacament of 2 rams of P ro*". Tile Profile One Place 'S Toe Polyfoam oolyPro' Table 48: Attachment Resistance Expressed as a Moment - M,(ft -ibf) for Mortar Set Systems Tile Application Mortar Set' Attachment Resistance 24.50 S. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building 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 the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. 6 Frank Zulosga, RRC Roofing Product Control Examiner ,. .01/28/2000 11:31 305665962E ALMIAR (USA), INC. COMA CAST CORPORATIO PAGE 08 ACCEPTANCE No.: 99-1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 10•I/ 2" PROFILE DRAWINGS ONE PIECE `S' CLAY ROOF TILE Freak Zuloeg*, RRC Roofhs Proouez Control Examiner 01/2812000 11:31 3056659626 COMA CAST CORPORATIO NOTICE OF eCCEPTswCE; STANDARD CQNbrrtnns PAGE 09 A LMAR (USA), INC. ACCEPTANCE No.: 994102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents. are no older than eight (8) yeah. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami•Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered it a. There has been a change in the South Florida Building Code affecting the evaluation of thii product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved, • c. if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami.Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the Job site at all time. The engineer need not reseal the copies. 8. • Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 7 and this last page 1. END OF THIS ACCEPTANC 8 Fran loaga, lUtC Rooting Product Control Examiner PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 61/119R Job Address )( ( 3 1 1V • E. 1 el s "-Tax Folio Legal Description Owner/Lessee / Tenant rY1 1^, Owner's Address Contracting Co. Qualifier State # Square Ft. o� � My Co FEES: PERMIT APPROVED: Zoning Mechanical )l3a N,E. 1e1 3/ Phone 36J -'71'7- t rut.) t )E..e_ lzoo-Ct Address �a�� N.�. 119 ©14 A, 1 EEL Municipal # Competency # t 1 g Ins. Co. g u r L I 01 I A) Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL OFIN�G PAVING FENCE SIGN WORK DESCRIPTION I R 341. -C 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 OF 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 rm 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in c9tYipliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. fcq Signs of owner and/or Condo President Date IJWII anw .).... p NOTARY SE SO m$ • e 9G B IMRGAJ TA MONT IEL • • fl ppMAMfNON NUMBER CC797277 OF F`61 t v C Q � 20O P1RES 2 RADON Buil Date Tz vO 4' I._ ER tL*3E 1 P.ofl C.C.F. Historically Designated: Yes No Y Master Permit # SS # - - Zc 3 0S - 447- - 1"7'77 0 Estimated Cost (value) � $ ture of Contractor or Owner - Builder Notary as to Contractor My Commission E pir by p ir y a OF p NOTARY Electrical BOND TOTAL DUE Date Date 6 -7/-7 Plumbing Structural Engineer BUILDING INSPEdTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address MIAMI SHE] $ VILLAGE o (f k Registered Architect and /or Engineer Name and address of licensed contactor /�" t./.,6). 2V- Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where work is to be done State work to be done and purpose of building,(by floors) ) Date .... � ......_...._......_ .. , 19.. No.. L,.5 .. ._ Street. -,l a ,f ._ 6• 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 $ flJ...c 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 subm,t all the plans and specificattjons for said building. All notices with reference-to the building and its construction may be sent to 7 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup )lenient, 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. _ Remarks._. (Signed) .... ` V I 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.__..i 2. 33 Date (e Read, Sworn to and Subscribed before me. Disapproved n �� (Signed) ��t /yl. Building Irrlpector Chairman Member Member ....... PLANNING BOARD DATE Notary Public, State of Florida My Commission Expires 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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 budding during progress of the work. Owners Name and Address Registered Architect and /or Engineer Name and address of licensed contractor it /" • e — Location and legal description of lot to be built on: Lot Block Subdivision y =•' Street and Number where work is to be done // 3 2 - State work to be done and purpose of building (by floors) �� - -••• �--7T 3 G �e.L �' :.� .__� ..._ ._. �� � (' ""°) 4.14 Vi and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering .._ Estimated Total cost of improvements $ Amount of Permit $� plan Cubage Distance to next newest 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks - -- -- Zone cubage required Date ,n `e 1 oJL Co0 Permit No.._1 _7 - Date � - " J / Disapproved _ Date (Signed) (Signed) ; ._._._... ,9 75_ No.//3 2-- street[!! ,/.Q./.. J / STATE OF FLORIDA, ss. COUNTY OF DADE. J 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. Read, Sworn to and Subscribed before me. 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 hecn obtained from the Planning hoard. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspectitm at faulty materials and /or workmanship.