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ROOFING/GUTTERSDate Type Insp'n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address l (FS ) 0 1 Company Phone# S Y3"` l D� Inspection Date Approved Correction Re- Insp'n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address 1 1 1 (:)' City • i v'C 514 R L c State Tenant/Lessee Name Job Address (where the work is being done) i ) ;-' S f1, r City 4i dlk `ji Miami Shores Village Is Building Historically Designated YES City 1 -to /AI( Qualifier , 1 ( rj c; S $ Value of Work For this Permit Notary $ Building Total Fee Now Due $ J D 3 l (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:/(305) 795.2204 Fax: (305) 756.8972 Type of Work: fl Addition ❑Alteration ❑New Describe Work: ‘tGt Cl L 1f r,, .1 -E Y" -1c• 116661•C_ Permit Fee $ Permit No. t3 )1 — 5 t7a Master Permit No. Roofing Phone # "' r� f Electrical Plumbing Mechanical fr i - PLA Zip 2.3 I S Phone # County Miami -Dade NO Contractor's Company Name Cc, 6 114: i �) li, � .� ( "t1 t_ - 11' - ce'? Phone # Contractor's Address 5 C i Architect/Engineer's Name (if applicable) Phone # L--1(o " Zip 33 State Zip 333 / Square Footage Of Work: /� . * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 50'0 Scanning $ Radon $ Zoning Code Enforcement $ r Structural Plan Review. $ Bond $ RECEIVED A 2 8 2MM4 ct Si/ ° S' ❑ Repair/Replace ❑ Demolition CCF $ V� ‘O CO /CC Training/Education Fee $ (� p Technology Fee $ , r .50 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State • Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signa Owner or Agent Contractor The foregoing instrument 5 strument was acknowledged before me this ` The foregoing instrument was acknowledged before me this 5 _Y/ l A e `- day of , 20 Off,, by , day of i ,4 1 , 20 t by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY' PUBLIC: P Sign: 4 0.1 1 N IN Jessica Reyes • My Commission DD209704 Print: \ o Cxpiros Mo> 00, 2007 My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 NOTARY PUBLIC: Sign: Print: My Commission Expires: Je`s�ca Rays. D • My commissio ,ti` n DWI* "p w a'" Expires may LW zo07 (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APR 2 8 2004 Plans Examiner Engineer Zoning CORNERSTONE t, . 3 UTTERS & SIDING, INC. Lic. 978317 AL X Lic. #CC 028500048 b Gamcbe- Salesman Signature: PROPOSAL PROPOSAL SUBMITTED TO: Work Telephone Home Teleph 3 af utel2e k- e S . 3r)S - -34 '204/7 risr-- 95St Address HIS' PJ Jot st= f ro}vnt Sl -foRFs -33I 3,P Gutter Color: Downspout Color Soffit Color: L Fascia Color. '3+vnz�f t o-1 105 G3n6rne 4 1310;,t.1 I a k I'v1D1, rU t i o er rock' 1 5' `; 33 i3 954-583- 4468 ACCEPTED SIGNA �t�'L/ :''- ` DATE: O, ('f.(' 4by 2 DATE: • This proposal may m hoot »d Vaal _do• 1/510v / 5 5380 SW 8111 Cant - Plantation , FL 33317 (954) 583.4468 (954) 818-2237 (Cell) Free Estimates — 6" Seamless Gutters WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR COMPLEIE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE SUM OF DOLLARS (8 ) PAYMENT TO BE MADE AS FOLLOWING: D I e i . IIJZ� yy �Y) '� ` (TERMS AND CONDITIONS OF CONTRACT) - 1. All material is guaranteed to be as specified and all work will be completed in a workmanship -lOce manner for standard practices. 2. Any deviation or alteration from above specifications involving extra costs will become an extra charge over and above the estimate. 3. Customer agrees to pay a 1 -112% (10%) per month service charge on any unpaid balance of this contract over 30 days past due. 4. Customer agrees to pay all costs and expenses of collection of any unpaid balances due under this contract, including a reasonable .attorney's fee. 5. Manufacturer's 20 year warranty on Date e 13 51yg 14014-246Y fwd Metal Gutter System Arnerimax INSTALLATION GUIDE Jolae � wah Drop Shaw Q as part Walston OP --- Fascia Bracket Hidden Hanger whcrew Hidden Hen sr Hanger Choices Use One Every 24 6 441 0 i S Ike a Ferrule • Root Hanger w/atrap Snap Lek Fascia Bracket Not iifl = ■■ SKt:7C H YtlUA M■ ■■ • Measure oiline where putter wilt be intalled ■ ■ E II moiling • Mark X where downspout locatd ■■■ IUMM ■■ r■ I .■ 12 pcs. -19 ft. ■■ ■ � ■ ■■ ■■■► ■R■A■ ■r■ ■II■ 4 pcs - arts ■� ■� INN • JqIfl min ■ ■■ ■rr ■ ar i i ■ ■■■■ ■ ■ r!!! ■■ ■■ mamma■ ■ ■ ■r■■ ■■■ ■■■■m ■■ ■r■r■rMr ■r ■■ mmu ■ ■■■■ ■ I� rr �■r■ s■ �I■■ra■ ■ ■■rr ■ ■ ■■ ■ N � : i i IIi i i Ii I i I I :: I :u I ■r r�r■ ■■ i■ ■ ■■ ■■■ ■■■/■ ■r ■■ ■■ ■■ ■■■ E ■i �■rr■r■r ■ 1 ■■■r■■ ■r ■ ■■ P a memo I ■ a ■■ 12 pc*. - t$ tt. ■A ■■r■u■ ■■ ul ■r■r ■ r■ ■ ■■ERam mm ■m■■ ■s 4 Dawaspouts m ■�■ri■■ a ■ ■■■E■ WM' ■1 A.u■MO „ �'l■ ■■ ■A■■E■ ■ ■■ II ■.J!r!!�/ ,IVIA'�!`�ielr■■■■■ II MO ■■A m ■mat ■ ew J1W 4 Seeraer Oarwrepord bead Gutter SeaMwtY ar" .bluer/ Sta mer'' Whit Mllre nuktde Mkre Home Products, � Joiner/Seamar' Screw& Fe( Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/4/2004 Applicant: RUBEN Owner: FUENTES JOB ADDRESS: 1185 NE 101 Contractor Local Phone: 954- 583 -4468 Parcel # 1132050190110 Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -572 FUENTES RUBEN ST CORNERSTONE GUTTERS AND SIDING INCContractor's Address: 5380 S. W. 8 CT. Page 1 of 1 Legal Description: 5 53 42 MIAMI SHORES SEC 8 REV PB 43 -67 LOT 1 BLK 176 LOT SIZE Fees: FEE2004 -4525 FEE2004 -4526 FEE2004 -4527 FEE2004 -4528 FEE2004 -4529 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $3.00 $106.30 Total Fees: $106.30 Total Receipts: s.. 3 � Permit Status: APPROVED Permit Expiration: 10/25/2004 Construction Value: $410.00 Work: ADD NEW GUTTERS vo 0 1 P In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin: Inspection Request Date t •' 03 Time Type Insp'n ��'� i � P ry ri A-4 Permit No. PJP ZOO 3 - 13(0 - 7 U 2-D N& Io( sr - (� Ko3O cF i 505 Est -03g For Inspector: tq / 0/.0 43 Name & Date Approved l Correction Re- Insp'n Fee 40 peAAA-1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date \ °'I I ) Time Type Insp'n 711-e. (pt Permit No. 3(0 Name `!'"),D2' ' 1 L Address 1 gU NJ % — ' � Company 1 t Phone # For Inspector: ('L f Name & Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /- ae -- Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee /1 WS Nk' / S� - 7Js% -0.3..2 tgaltfrr cfs,‘ PERMIT APPLICATION FOR MIAMI SHORES VILLAGER E Ei Date 08/12/2003 Job Address 1185 N.E. 101 Street Tax Folio 1 1- 3205 - 019 -0110 A ,G 9 9 2003 Legal Description Historically Designated: Yes OwnerlLessee /Tenant Ruben Fuentes Add . 11 85 N.E. 101 Street Phone (305) 758 -9551 Contracting Co Quality Roofing Contractor, Inc. Qualifier Carlos Arocho ss# Phone (305) 751 -0382 state# RC 0058627 Municipal # Co # 000017889 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, replace rotted wood, tin cap 30Ib. felt, install galvai eave drip & valley metals, mop 901b. felt, install tiles with polyfoam adhesive setting. Square FL BM <9 57 Estimated Cost (value) /a, 00 0. 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 (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 wink 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 and zoning. Furthermore, I authorize the above -named contractor to do the work stated. ,.t .,4 Notary as to • er and/or Co My Commission Expires: ' ■. - ., !d. in:. . gtr, lIIIIII ..w ^r''••. MARYLOU HERNANDEZ i. - MY COMMISSION # DD 060579 RI , EXPIRES: October 10, 2005 '•% of NQ:` Bonded Thru Notary Public Underwriters RADON APPROVED: Zoning Building Mechanical Plumbing Notary as to Con r or My Commission Expires: C.C.F. / . NOTARY Address 13800 N.W. 1st Ave. g//0 Signature of Contractor or Owner -B • der a te AUG 2 6 2003 Electrical Master Permit # V p 7.trs % s a 9_ MARYLOU HERNANDEZ MY COMMISSION # DD 060579 EXPIRES: October 10, 2005 •!F OF . Bonded Thru Notary Public Underwriters BOND TOTAL DUE ' ' d 3 StucMel Engineer ?ci‘ei ■ 61 30 .OD Owner's Notification for Roofing Permits issued under the Florida Building Code 1 11AlaJ.GADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPIJ Section 1524 - High Velocity Hurricane Zones Required Owners Notification for Roofing Considerations 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of t'ne 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 ha • been explained. . Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane e) are for the purpose of providing that the roofing system meets the wind resistance and water rntruslon performance standards. Aesthetics (appearance) issues are not a consideration with respect to workma ship provisions. Aesthetic Issues such as color or architectural a zonin•` .. e, st oukd be addressed as pact of the agreement behireen the oP ne rand the contra p rt of a 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be r77ailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida/ ilding Code. (The roof deck is usually concealed prior to removing the existing roof system). L� . 3. Common Roofs: Common roofs are those which have no visible delineation between riliehboring units (Le. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contrac,,,r and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Catttngs'. Exposed, open beam ceilings are %+there the underside of the roof decking roofing be viewed from below. The owner may wish to maintain the architectural appearance, therefore, provid all penetrations of the underside of the decking may not be acceptable. The Florida Building Code the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and ay 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 ex•ectancy and performance of the new roofing system. Ponding conditions may not be evident until the tnal roofing system is re hvied. Ponding conditions shoutd be corrected. OAK 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not loaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge f overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scupper n accordance with the Florida Building Code, Plumbing. 0, .7. Ventilation: Most roof structures should have some ability to vent natural airflow through in 'rior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced, it may be benefidat to cAnstder additional venting vrhich can result to extending the service life of the roof. OwneesfAg Wes Signature Contractor's Signature hRP : / /`' ww. co• miami- dade.fLus/bldghoofing _permiting /owner notification.html 9/26/2002 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Master Permit No. Contractor's Name: 1 Quality Roofing Contractor, Inc. ❑ Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Low slope roof area (ft. /a Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Other: ❑ New Roof Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance Section A (General Information) Process No. Roof Type Are there Gas Vent Stacks located on the roof? ❑ Yes 122 No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Steep Sloped area (ft. 2800Sq. Total (ft. =) _ 2800Sq. Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'): Corner Size (a' x a'): �l::::���:•• •° iiiIui 1��y� �i Page 2 Job Address: 1185 N.E. 101 Street Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes Page 1 of 1 http: / /www.co. miami - dade. fl. us / bldg /roofing permiting/permit_app _ section_a.HTML 8/19/2003 Roof System Manufacturer: Santa Fe Tile Corporation Notice of Acceptance Number: 00-1212.06 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P1: -45 P2: - 95.1 P3:' -95.1 Maximum Design Wind Pressures, (From the PCA Specific system): 61.9 7. High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: 2 1/2 Roof Mean Height: ! 1 Ridge Ventilation: n/a Perimeter Width: n/a "/12" Method of Tile Attachment: Adhesive, Large Paddy Polyfoam Polypro Altemate Tile Attachment Method: Clip Spacing for Metal Roof Panels Field: f n/a _ Perimeters: n/a Corners: n/a Section D (Steep Sloped Roof System) Sloped System Description Deck Type: 1 X 6" T & j 1I Page 4 Alternate Deck Type: http: / /www. co.miami -dade. fl. us/ bldg /roofing_permiting /section_d_3 . html n/a Underlayment type: _ 30Ib. ASTM felt Insulation /Fire Barrier Board: n/a Optional Nailable Substrate: n/a Fasteners: 1 1/4" R/S nails Cap Sheet Type /Adhesive Type: 90Ib. ASTM felt Roof Covering: Santa Fe S Clay Terracotta Tile Roof Covering Attachment Method: Polyfoam adhesive setting Drip Edge Size & Gauge: 3" face 26 ga. j �l Drip Edge Material Type: G81VIrtIZed Metal j Drip Edge Fastener Type : , 1 1/4" R/S Nails Hook Strip /Cleat ga. or weight: _N /A 1 Page 1 of 1 7/29/2003 Mean Roof Height in Feet 15 ' 20 ' 25 30 ' 40 Roof Slope 1 1 1 1 1 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 • Page l of l High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section E (Tile Calculations) For Moment based tile systems, chose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1 : r -45 x A 13.37 - Mg :5.90 P 2: ; -95.1 x A 28.24 - M 5.90 P 3: , -95.1 x A ` 28.24 - M 5.90 Page 5 = Mr1: 7.47 _ mil: 22.34 = Mr1: _22.34 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: , Mr Required Moment Resistance* NOA Mf: 61.9 NOA Mf: 61.9 NOA Mf: 61.9 NOA Mf: *This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. http: / /www.co. miami - dade. fl. us / bldg /roofing_permiting/section e_3.htm 8/19/2003 l fffffffff� MIA MMADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Santa Fe Tile Corporation 10302 N.W. South River Drive, Bay #16 Medley ,FL 33178 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 00- 1212.06 EXPIRES: 02 /01/2006 APPROVED: 02/01/2001 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of: Spanish "S" Clay Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. 7 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \. s \pc20001\templates\notice acceptance cover page.dot Internet mail address: postmaster ®buildingcodeonline.com e Homepage: http : / /www.buildingcodeonline.com SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 ROOFING ASSEMBLY APPROVAL Category: Roofing Approval Date: February 1, 2001 Sub - Category: 07320 Roofing Tiles Expiration Date: February 1, 2006 Materials Deck Type: 1. 2. PRODUCT DESCRIPTION Manufactured by Applicant Santafd `S' Clay Roof Tile Trim Pieces Dimensions Product Tile Screws SCOPE This renews a roofing system using Santa Fe "Santafe `S" clay roofing tile, manufactured by Santafe Tile Corporation 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 locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in herein. The attachment calculations shall be done as a moment based system. 1 =18" w= 11.5" 'A" thick 1= varies w = varies varying thickness 2.1 COMPONENTS OR PRODUCTS MANUFACTURED BY OTHERS Dimensions #8 x 2 - %s" long 0.130" shank dia. 0.178 flute dia. Clay Roof Tiles Wood Test Specifications PA 112 PA 112 Test Product Specifications Description PA 114 Stainless Steel Appendix E 2 Product Description One piece high profile clay roof tile equipped with two nail holes. For nail -on, mortar set and adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. uloaga, RRC Roofing Product Control Eicaminer Manufacturer generic 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112 a shall be submitted to the Building Code Compliance Ofc• • • •�1 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 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 applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.1.2 Data For Attachment Calculations Tile Profile Santafe 'S' Table 1: Aerodynamic Multiplyers— .. ft X (ft Batten Application 0.274 X (ft Direct Deck 0.297 Table 3: Attachment Resistance Expressed as a Moment- Mf (ft-lbf) For Nail -On System One Screw Tile Profile Santafe S Tile Application Direct Deck Battens Two Nails 21.8 29.16 Two Screws 38.28 One Screw w/ Clip 57.31 Two Screws w/ Clip 57.60 61.77' 1. Approved screws as noted 'Product manufactured by others' Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mortar or Adhesive Set Systems Tile Profile Santafe 'S' Tile Application Mortar Set Adhesive Set Attachment Resistance 23.6 61.9 3 rank Zuloaga, RRC Roofing Product Control Examiner Table 2: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7":12" or greater Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Santafe '8' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32 5.29 5.03 N/A SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 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 applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.1.2 Data For Attachment Calculations Tile Profile Santafe 'S' Table 1: Aerodynamic Multiplyers— .. ft X (ft Batten Application 0.274 X (ft Direct Deck 0.297 Table 3: Attachment Resistance Expressed as a Moment- Mf (ft-lbf) For Nail -On System One Screw Tile Profile Santafe S Tile Application Direct Deck Battens Two Nails 21.8 29.16 Two Screws 38.28 One Screw w/ Clip 57.31 Two Screws w/ Clip 57.60 61.77' 1. Approved screws as noted 'Product manufactured by others' Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Mortar or Adhesive Set Systems Tile Profile Santafe 'S' Tile Application Mortar Set Adhesive Set Attachment Resistance 23.6 61.9 3 rank Zuloaga, RRC Roofing Product Control Examiner SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 5. LABELING 5.1 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 applicable Building Code in order to properly evaluate the installation of this system. PROFILE DRAWING SANTAFE "SANTAFE S" CLAY ROOF TILE 4 Frank Zuloaga, RRC Roofing Product Control Examiner SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 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 5 END OF THIS ACCEPTANCE 5 Frank Zuloaga, RRC Roofing Product Control Examiner snnr7r, MMiAM1-1 Al► • NT . N• C Polyfn:ttn Products, Inc. 2400 Spring Stuebnt:r Road Spring ,TX 77383-1132 Your application for Notice of Acceptance (NOA) of: Two Component Polyurcthcne Foam Adhesive tinder Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and T Construction, and completely described herein, h@. been recommended for acceptance by the Mi:tmi.D County Building Code Compliance Office (BCCO) under the conditions specified herein, Types of t This NOA shall not be valid after the expiration date stated below. BCCO s product or material at any time from a jobsile or'manufacturer's plant for qualityscontrol testing. If this product or material fails to perform in the approved manner, BCCO may revoke, s id this use of such product or material immediately. BCCO reserves the right modify, or suspend the b if it is determined by BCC() that this product or material fails to meet the requiremc is of the South Florida Building Codc, The expenso of such testing will be incurred by the manulacttlrcr. ACCEPTANCE NO.: 1114aLa FXt'I 05/101 106 This application for Product Approval has been revic■ved by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: Q6/14/2rla 14 045000i 1pc300011t0Alputestnotkesee .punta camp pate.eol In tarnot Atoll uJt)ress: portmaxtor (tbultflinl;eodeonitne.toro 8O /T0'd •f• • er• • 1.1RAN 1 ..yr, , r £££££S6S0£ 01 P8PSL6S S0£ T t' MIA MI -DADS COUNTY. FLORIDA METRO - DADE %ADLER (3UlLOINO aUILnINC CODE COMPLIANCE OFFICE McTka DAD!*, FLAQLrR tl(J(I,OINO l�n w r; 5- FLAGLER STREET. SUITE I GO3 MIAMI. FLORIDA 331711.1363 1305) 775. PAX On3) 375•19ny CONTRACTOR 1,1CY.N.C(NG Sr.c. N (3VS) 3 -2527 FAX 13051375.355 CnWI'Ie.1 i'Dfc F:NlrortcfaL y • ItIVINION (3us) 375 - 29ao VAX (305) 3 75 .3yuy I'ltot)vcr COrrl'ItOL UI VWLON 00131S-290Z FAX (30!) 3234)39 / Rut Rodrigticr, Cillef Product Control Division Francisco J. Ouint:tnn, R.A. Director Mh1111 -D:,de Count Building Code Compliance ofl)ct: HCMCrilgc: ttllp:// wlrw.IuLIdIttgeoelcotiIine.cnlp ran, new U.a 1.4.1 1 n. • P r 7%,V en l P A • ,, S3I 0DQtiide bd 8T;60 £0OZ L0 eitiW ** 80•3088 18101 ** P�1x atn roduCt3 nc. 2 . PRODUCT DESCRIPTION Manufactured by ROO'RI•NC ASSEMI3LYAPPROVAL cast �Y Roofing S u -Cr n RoofTiic Adhesive 114:___Ltsid4j21 Polyurethane I. SCOPE This approves Pulypru® Alt 160 as manufactured by I'olyfuum Products, inc. as described in Section 2 of this Notice o1'Acceptance. For the locations when: the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved tlet, low, and high profile roof tiles system using Polypro® Ali ;60. Where the attachment' calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems Anelican4 pi c Test Product Polypro®Ah1160 � 5pcci1lghtinns D�criojpr! N/A PA 101 Two component I'oaiuprolD RTf 1000 Nlq polyurethane Dispensing Equipment ProPnckt11 30 & 100 N/A 2 .1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof file Assembly haying a current NOA which list uplift resistance values with the use of Polypro AI I t G0 roof tile adhesive. 2 .2 Typical Physical Properties: franc rtyy est Density ASTM 0 1622 Compressive ASTM 0 1621 Strength Tensile Strength ASTM 0 1623 Water Absorption ASTM D 2127 Moisture Vapor ASTM C 96 Transmission Dimensional ASTM 0 2126 Stability 80/80•d "1:•T ' C T'1 'i /rnv i rnve, r ££22£S6SO£ O1 t'8PELGS S0£ 1.6 Ibsm.► 18 PS1 Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to risc 0.08 Lbs./Ft 3.1 Perm / Inch ACCEPTANCE No. : 1 -0"'Z 0 Approval Date: •luno d 'OO1 Expiration Date: Muy 11 2006 Regulta -+ -0.07% Volume Change a .100 F.. 2 weeks +6.0% Volume Change n Itumidity.2weeks Dispensing Equipment Frank Zuloaga. ((RC Product Con trot Examiner Sd 17ddf1S OD0886 8d '.Z :60 £000 LO bJW f' fonay 1'rp nicts Inc ACCEPTANCE No.: 0(_0521,02 Note: ' The physical properties listed above are presented as typical average values ns determined by accepted ASTM test methods and are subject tO normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for lire rating. 3.2 Polypro® AHI60 shall solclybe used with flat, low, R: high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3,4 Roof Tile manufactures acquiring acceptance for the use of Polyproe All 160 root' tile adhesive with their tile assemblies shall test in accordance with PA 101. 3 .5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. ( zJ- w F' — M S 4, INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polyproe Ali 160, 4.2 Polypro® AH 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® All 160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH 160 roof tilt: adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypr•oe AM160 Operating instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc, shall supply a list of approved applicators to the authority having jurisdiction, 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0,0175 lc 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH I60 shall be applied with Foatnpro Ill F 1000 or ProPackt8 30 & 100 dispensing equipment only, 4.7 Polypro® At -[IGO shall not be exposed permanently io sunit 80 /L0'd 3 • n,*i • c 1 flnrtnv ? rave. r ♦n n r Frank Zu!oaga, RAC Pruduct Control Cxaminer 22222S6S0£ 01 b8176L6S S0£ S3I iddf1S OXQdd8 dd iir : 60 £00Z 60 2itiW crinral Pol o. t Products in 4:S Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after holypro® AH t 60 has been dispensed. 4.9 Polyproe Al-1 i 50 placement and minimum patty weigh: shnll be in accordance with the 'Placement Details' heroin. Erich generic tiic profile requires the specific placement noted herein. Table I: Adhesive I'luccoteat For Each Generic Tile Profile 'I'ileProflc • Placement Single. Paddy W , 1r y „ht Two Paddy WCI` lit Detail I Min. (gr:uns) per paddy Min. 'Flat Low, Ili *h Profiles #1 35 (1%4r11/Ants) 4 (High Prordo (2 Piece Barrel) I ill N /A i t% /side on cap and NIA Flat. Low, Hi 'h Profiles 34/ an #2 24 Flat, Low, xi .11 ProProfiles p3 N/A IS c. LABELING All Polypro® AH 1 GO containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 • ^ 117 . P • A ....... oral" ....- • 90 _ £££££S6S0£ 01 b8b5L6S S0i ACCEPTANCE No.: 01 0521.02 t'r,1nk Zuloaga, I RC Product Control Examiner S3I -ddf1S OOQ063 'd '2:60 £00z LO de.4 onn fis ?.2! to •odu ts . In Unialil4 Il pitce tntulAe�tiMleleNt.e11t1 U °"� 1 W :411111 Irttiri h Come wto At pin 111 U /t4 letllepplurltW th0 Of 041 plo \1c Raat i11Wit.Fn 11101 dllNmrut tun hIlat ti., • y/ U+Gtbltten; W..O W f1001 • 80 /S0'd ACCEPTANCE No. 01- 0x ADHESIVE PLACEMENT DETAIL, I SINGLE PATTY S •1 \Ii 'f`t1.\RAVt t'RIA eV�A• Frank Zuloabn, MAC Product Control Examiner £££££S6S0£ 01 t'8b5L6S SO S3Ilddf1S 0:0t3618 lid 02:60 £00Z 610 8UN nn rd. .2j. tonm Produce, Iicc. 80ib0'z; ADHESIVE PLACEMENT DETAIL 2 SINGLE' PATTY 6 rSVnj7.1nr ACCEPTANCE No.: 0 (- 0521.02 Frank Zuloaga, RRC Product Control Owmint:r ££E££S6S0£ Ol Oat /EL6S S ©E S3I - IddriS 0DQtid8 lid 0e:60 E00z L0 a7W r I 1 1 Pr° d 11 t 111C. lot voirft 2 r 7 Ir. medIum Ott pad* CP VT COMO Only Palm Noll through pksde cornent e lolIthrOugh Pink Content In, 13In. Shp) paddy on under- laymenl SIngle Addy on top ol Ule d S;ngle pay unoor die ACCEPTANCE No. 01-0521,02 AD1.1ESIVE PLACEMENT D ETA L. 3 DouilLE PATty 7 •, toor . ev . Nneretvz wvAJT-NN, 4ail through polo cement Single paddy under Illo grioymem Single p.tddy belvreentlle 2 In. Inanodiurn also paddy tiara cane only 3;11.0 fn. Single play on under. 13Veleol .11n, Single ooddy on top al ills tan Come 1:rnnk Zutoosa. RItC Product Control Examincr CEE2ES6SOE 01 VEWEL6S SO C S3I7dcOS ODOdde 61 :60 £00Z 2 ddN Fascia ParMolt Ervi trosurt Driprprge nn �i Polyfoa»t Produces, inc. ACCEPTANCE No.: 01. 0521.02 Renewal of this Acceptance (approval) steall be considered after a renewal application has been tiled an0 the original submitted documents, including test - supporting data, engineering documents. arc no older than eight (fS) )oars. 2 . Any and all approved products 31 ill be permanently labeled +vial the mane actarer's name, c °t , state, and the following $tetleniCnt: " Miami -Dark Cotnnty Peohct Control Approval ", or as specifically stated in the specific conditions of -this Acceptance. Renewals of Acceptance will not bc considered if: a. Then has been a change in the South Florida Building Code affecting the evaluation of this product and tiro product is not in compliance with the code changes. U. The product is no longer the santt product (identical) as the one orisinally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of thc product, d. The engineer who originally prepared, signed and scaled the r,:quircd documenL1tion initially submitted, is no longer practicing the engineering profession;, 4. Any revision or change in the materials, use, and/or martufucturc or the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been =posted (through tic filing of a revision application with appropriate fee) and granted by this office. 3. Arty 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 or any product, for safes, advenising or any other purposes. 6. The Notice of 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 bc done; in its entirety. 7. A copy of this Acceptance as tvall as approved drt■vings and other documents, where it applies, Shall bc provldi!d to the user by thc manufacturer or its distributors and shall be avail-ibte For inspection at the job site at all time. T1tc engineer need not reseal the copies S. Failure to comply with any section of this Acccptance shah be cause for termination and removal of Acceptanco 9. This Notice of Acceptance consists of pags 1 through S. END OF TIUS ACCEPTANCE 80/E0'_ '9ATT'C r,rlar 7J i inJT'Tn 1 Frank Zuloaba, R14C Product Control Examiner O.nn •.•.. .._. ew .... ££.£S6S0£ 01 b8t7EL6S SO2 S3176:1175. ODCW66. old. 6T :60 £00E L0 a:iW Test 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) 26 51 76 2 27 52 77 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 - ter 70 95 21 46 71 96 _ 22 47 72 97 23 48 73 98 24 49 74 99 25 -- 50 75 100 SITE SPECIFIC INFORMATION Owner's Name O 1= -- - ermlt # ® -1367 Job Address.� S + �•�% �� Roofing Contractor: A t f = LAO G Type of Tile: `� 1216'.b--3 1 � aA T Approximate Roof Height: feet Type of Access to Roof: Scaffolds Approximate Square Footage of Roof 3i' 12(p ft ✓ Ladder Required Testing Force: 35 lbs. Testing Equipment: Chatillion100 Date Tested 1— 6-0 Civil Engineer: - Lab Certification #98-0608.04 IN ACCORDANCE WITH THjCRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TES THIS REPOgUTTED BY: State of FL Certificate Authorization # 4100 t — -- U.S. SOUTH Project 4866 Engineering & Testing Lab., Inc. 60167th Street, Suite B -23 • Miami Lakes, Florida 3301565 N.W. Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 P #/ / 5 _ / -7 —4) st TEST RESULTS P =PASS, F =FAIL PRINTED BY: UNIQUE GRAPHICS: 954-484-9923 FAX: 954 - 484.9967 Date Installed: 1 Z - - 0 3 Roof Pitch: ' 1 Z Other L NOTES' SKETCH OF ROOF SHEET NO (�? T p,J 1 ^ 'nDF2 CONTRACTOR I ` 4 'T Ro tiO Ig CHECKED BY DATE SCALE III I OP PR IN 1 li i 1. En - FM (IP Aorirmormi MI a NIP= r � § . r ■P!�v .J I ELORMI®IM_ _ 4 i 1 III c3 a ti rr NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain teal property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property an d swee a 1185 N.E. 101 Street 2 D escr i p a en of i mprovement: Reroof to a new Tile Roof. 3, Owner(s) name and a Ruben Fuentes Interest in property: Owner Name and address of fee simple titleholder: N/A 6. Lender's name and address: N/A Notary Public Print Notary's Name My Commission Expires Miami Shores, Florida 33138 1185 N.E. 101 Street Miami Shores, Florida 33138 Quality Roofing Contractor, Inc. 4. Contractor's name and address: 13800 NW 1 St Ave, Miami ,Florida 33168 5. Surety:(Payment bond required by owner from contractor, It any) Name and address: N/A Amount Of bond $ 00 111111111111111111111111111111111111111111111 CFN 2003R066311 OR Bk 21627 Ps 4152; (1139) RECORDED 09/10/2003 09:45:38 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE 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 6.19 addition Whitman, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(0), Florida Statutes. Name and address: N/A 9. Expiration dale of this Notice of Commencement: (the expiration date is 1 year from the dale of recording unless a different date is specified) tu re of Owner Print Owner's Name RAilad 2 Swom to and subscribed before me this .? day of 4L,2oo3 ___. ;,.: MY COMMISSION I DD 060579 471 EXPIRES: October TO, 2005 koi Bonded Thru Notary Public Underwriters p repare d b Carlos Arocho Quality Roofing Contractor, Inc. Address: 13800 NW 1 st Avpniip Miami ,Florida 33168 Owner's Name and Address Estimated Total cost of improvements $ STATE OF FLORIDA, . COUNTY OF DADE. ss. Disapproved Date. (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or 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. givehee-u3s.- 0 0.0'0 New Bui!ding Remodeling Addition To be constructed of and has complied .cith the provisions thereof, and will require similar comp) frara_al in the work to be performed under this permit; and will post or cause to be :sled for inspe or notices as arc required by the Act. The undersigned agrees to employ only su pcnnit, as are licensed by Miami Shores Village. Remarks (Signed)—...... No.1.1 `r » . Street ‘5 Registered Architect and /or Engineer , ,.,. ,,., 1 . . 12 Name and address of licensed contractor pes?7--137e,' Location and lc al description of lot to be built on: p �- 1 / Lot / Block 721 Subdivision ` e s .. /L .Z. ,(! 1/ 3 I � a /10,5 Street and Number where work is to be done l! gr/ ( I.QL s Q „ : „ ._.. „ ...�. State work to be done and purpose of building (by floors) i �el P °, „ 774 ..t. Luz - !` -- 7 l e O.G. ° Repairs Kind of foundation R 1. -4110 i and for no other purpose. No. of Stories f hovering - .cr„gr'it6 Amount of Permit S. d 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, Permanent Slip dement, contract° . or su ntr ion • the s he be e of rk to tors employe by him ork such public notice ormed under is 46isife 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. & t Date....IU ,L A✓? TZ` Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member — Member Member Member Member — Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship.