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ROOFINGMIAMI.SHORES VILLAGE (n BUILDING DEPARTMENT rn 305- 795 -2204 Budding Inspection Request Dat Inspection Date Approved Correction Re- Insp'n Fee Type Insp'n ° ' l I Y IO uifc R A' Permit No. P4 -S® Name Cnry ` Address \DA C, 1\J-. ) 0 1 3+ ` Company 'rlC-tc) r )ict Phone # ;$N cm, 0 " m ,O' MIAMI SHORES VILLAGE �QO� BUILDING DEPARTMENT 305- 795 -2204 Bu}lding Inspection Request ( 5 1 ) Date 20 ROSS Type Insp'n , 2od Ti IC. R in9 Permit No. C,I P OA 50 Name Cr Address I t = Compan al` 0 . Phone # Inspection Date 61 13 Approved ) Correction ❑ Re-Insp'n Fee ❑ • Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT ' � .&-) 305- 795 -2204 Building Inspection Request ()) Dat Type Insp'n T Permit No. P") P D 4- 5 0 Name Address I Company Phone #, MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / —0 9 Type Insp'n f c � ftaoni ng ,L 1/4 5i,eu.`1!7/ 1 Permit No. D / oe � V ' Y O Name Oil") COhheQiriler Address / a/8 N6' /,/ S/` Company / 9- r c O Phone # Z 4--0 D Inspection Date / — /2 c Approved Correction Re- Insp'n Fee /t/Led /605 / ON r Ateto Pied- 4m/1' IAN O� S sek,y4e.l. /at_e_ er Ade.- ovai 461 RP \`',(2c Date Type Insp'n Permit No. Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAG1 BUILDING DEPARTMENT 305- 795 -2204 vi Building Inspection Request , 1 Name Address Company Phone # Inspection Date 1 2. S 111 / ' No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 Passed 41 -45 Passed 71 -75 91 -95 6 -10 Passed 26 -30 Passed 46 -55 76 -80 96 -100 11 -15 Passed 31 -35 Passed 56 -60 81 -85 101 -110 16 -20 Passed 36 -40 Passed 65 -70 86 -90 111 -200 FLORIDA PROPERTY ADDRESS: 1218 NE 101 Street PERMIT No: 2004 -50 OWNER: Arco Construction PCA No: CONTRACTOR: Florida Roof Tech ROOF PITCH: 3:12 ROOFING SQUARES: 12 INSPECTION DATE: TILE TYPE: Monier White TEST DATE: 8/18/04 CONTACT PERSON: JOB NUMBER: Testing Equipment: vital Chatillon DFIS 200 ❑ I E:risti Roof North Reviewed by: Dry z -Seda, P.E. No. 39228 & 843 Voice: 305.256.4550 ting Building Solutions For The Construction Industry ineering & sulting, Inc. 13605 S.W. 149 Avenue Unit 1 Miami, FL 33196 Rafael Droz -Seda, P.E. 9130 Crescent Dr. Miramar, F133025 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH MIAMI -DADE COUNTY PROTOCOL TAS -106 Test Tata Lab Report No. 04- 080097 Certificate No.02- 0501.06 • A LED ❑ THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS106 "ROOF SKETCH" Front floridatec.net Fax: 1- 866 - 333 -6988 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -50 Printed: 1 /23/2004 Building Permit Applicant: ROBIN CONNEARNEY Owner: CONNEARNEY ROBIN JOB ADDRESS: 1218 NE 101 ST Contractor FLORIDA ROOF TECH CORP Local Phone: 305 - 557 -9685 Parcel # 1132050210020 Contractor's Address: 2730 W 78 ST Legal Description: MIAMI SHORES SEC 8 AMD PB 42-40 N100FT LOT 5 BLK 184 A LOT SIZE Fees: Description Amount FEE2004 -736 Building Fee $275.00 FEE2004 -737 CCF $4.20 FEE2004 -738 Training and Education Fee $1.40 FEE2004 -739 Technology Fee $6.87 FEE2004 -740 Scanning Fee $6.00 Total Fees: $293.47 Total Fees: $2 3.4J # Total Receipts: 1Soo L)) ' 3, `if Permit Status: Permit Expiration: 7/13/2004 Construction Value: $6,400.00 Work: ADDITION ROOF - INSTALL BUILT UP SYSTEM & MONIER SPANISH S COLOR THROUGH Signed: (INSPECTOR) Page 1 of 1 OCJ JAN 2 6 PAID 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: 0'0 6 j BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address /c / ,c) L' / City State ( v 2 ; . Zip Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name c/o/2 ( 26 v Contractor's Address ) w ) 7 ms`s i Cit of./ R4 (bi4 State / Qualifier IL-toil-4z? L $ Value of Work For this Permit Notary $ - Training/Education Fee $ Scanning $ _ Radon $ Code Enforcement $ Total Fee Now Due $ \' , 1 (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 Electrical /� Plumbing Mechanical b 1.9 L. 6 /74� Phone # County Miami -Dade NO X Structural Plan Review. $ Lev Zoning Permit No. 7 Master Permit No. 1 o o - l 8 vlb Phone # Phone # ****************************F Submittal Submittal Fee $ 1/4 ct er�hit Fee $ Zip 5 or- .14 Zip 3 36)/ C� Architect/Engineer's Name (if applicable) Phone # cf c)D • J v Square Footage Of Work: () : Type of Work: ❑Addition ❑Alteration VNew ❑ Repair/Replace ❑ Demolition Describe Work: 46 b % l t') ( ��' �� ui C 1 - -G S J7- �%r• -i 4 mar i49t (3/,/ /4.z) /44-1c76) G(.'; // » (:57J �o2 CCF $ it, a 0 CO /CC Technology Fee $ �T 6 Bond $ '" / Bonding Company's Name (if applicable) Bonding Company's Address Cite 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." Aotice 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,5rochure 11 be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice /of Ggtn cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is i 'suec ` n the abs ce of such posted notice, the inspection will not he approved and a reinspection fee will be charged. Signature ,1'' (140/0 Signatur My Commission Expires: Owner or Agent As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: APPLICATION APPROVED BY: Chc 12/15/03 The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this /1 day of , 20 _ , by day of Tax..4 f , 20Uy, by i' " %' , c .0 who is personally known to me or who has produced who is personally known to me or who has produced as ide My Commission Expire j v tion and who did take an oath. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. CL! "2.- ( ,1 _" Y "C Certificate of Competency No. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** JAN 2 1 2004 Plans Examiner Engineer Zoning PAY TO THE • ORDER OF FLORIDA ROOF TECH CORP. 2730 W 78 STREET HIALEAH, FL 33016 PH: 305 -557 -9685 e COMMERCEBANK NATIONAL ASSOCIATION 2750 West 68th Street, Suite 136 40 Hialeah, Florida 33016 63- 1050/670 DATE I CHECK NO. I CHECK AMOUNT .013864 100L386410 I:06 70 L0509 : 4084004 20311'06 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. 00 3 - 7- 2/b/4- Contractor's Name Job Address / cl t ,OL / :/ S/ ROOF CATEGORY Low Slope ❑ Mechanically Fastened Tile Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood f IngleslShakes Shingles Grits ❑ Prescriptive BUR -RAS 15Q-t,1, S ' "'f Sp "SA/ 1V ROOF TYPE LP DXr-, New Roof ❑ Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenartth . ROOF SYSTEM INFORMATION P7,7 Process No. - i'CZ/ c2 Low Slope Roof Area (SF) Steep Sloped Roof-Area (SF) Total (SF) 9d-Y y io 66P 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. ICIC I. tICCuC CIC CICCCC CiuI..... I... I. CI.. ...CIIIu.I IIul.*.C.°e...0 ...uu / ........................... 1........■...... 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Section D (Steep Sloped Roof System) Roof Slope: 12 Steep Sloped Roof System Description Deck Type: ( me 1/Q 0 ,-( S l g ype Undeday• nsulation: Ridge Ventilation? s )? /4 • • 1 A / Fire Barnett. Mean Roof Height: / D / PL #30 /�/� -St rr= r��,v. P41 � -sr��v ,0/„,q 1 astener Type & Spacing: N s/8 T,, 7/%0 //, , / ,(11, Fe /d /-? L /, dhesive Type; n /0 r)/4 �� _ D �/d ype Cap Sheet oof covering: PI 70 Ve.2/44 //ormor / gfr3.i',4-ctel l c5 Type & Size Drip dge: C /_ Roof System Manufacturer: � , p2 % /.e Notice Acceptance Number: Da - LA0.117 D 7 of Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: -‘741— � f P2: - ` P3: - 9/ Maximum Design Pressure 3 (From the NOA Specific System): tile T DL A/�� �� � Method of attachment: y Florida Building Code Edition 2002 High Velocity Humcane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof Slope: 12 Steep Sloped Roof System Description Deck Type: ( me 1/Q 0 ,-( S l g ype Undeday• nsulation: Ridge Ventilation? s )? /4 • • 1 A / Fire Barnett. Mean Roof Height: / D / PL #30 /�/� -St rr= r��,v. P41 � -sr��v ,0/„,q 1 astener Type & Spacing: N s/8 T,, 7/%0 //, , / ,(11, Fe /d /-? L /, dhesive Type; n /0 r)/4 �� _ D �/d ype Cap Sheet oof covering: PI 70 Ve.2/44 //ormor / gfr3.i',4-ctel l c5 Type & Size Drip dge: • M, Required Moment Resistance* Mean Roof Height - Roof Slope I 1s 20 30' 40' 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 37.3 512 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 27.1 282 30.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M the values from M i• If the M f values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. 1 "Moment Base r Mg: �•3, -fit b 0 3 ) - Metho z 1l e Caicj}lat pns Per RAS 127" - N NOA M 6 • .[tom NOA M mr _ NOA Mf_ Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M,) From Table Below NOA Mf *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F,. If the F' values are greater than or equal to the F valarrs, for each area of the - roof, then the tile attachment method is acceptable. / Method 3 "Uplift Based Tile Calculations Per RAS 127" (P x1: - z w:- ) -W: cos 0: = F NOA (P z1: - z w: -_ ) -W a cos 0: = Fir' NOA (P3: z l: - z w: - - W: z cos 11 = Fes: NOA F • Description DcsimPressart Mean Roof Height Roof Slope Acedynanie Multiplier Restoring Moment doe to Gravity Attachment Resistance Required Moment Resistance Minimum Attachment Resistance Required Uplift Raistooe Average Tde Weight 15le aoa Where to Obtain Information Where to find Symbol Pl otP2 orP3 H 9 Ma Mr F Fr VN 1= length w= width All aicu1atioms most be submitted to the Building Official at the time ofpennit application. RAS 127 Table 1 or by an tng;aaang analysis pied by PE based on ASCE 7 Yr' Job Site Job Site NOA NOA NOA G1dwlatoi NOA NOA NOA Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used identify as 1 System Manufacturer. NOANo.: 03 - Dd27f-O Desi Wind Pressures, From RAS 128 or Calculations: Pmax1: /' Pmax2 ^ ems• 6 Pmax3: Y-3 Max Design Pressu,, Fiptn the Specific NOA System: - Vo? - n Type: 'i' � �/ l,t)v 0 �C Gauge/Thickness: ck <51 fY Slope: 0/7a `` Anchor/Base Sheet & No of Ply(s): fr Anchor/Base Sheet Fasteprng Material: Insulation Base Layer: Base'Insulation Size and Thickness: 1 A) Base Insulation FastenedBortdan Mja edal: Top Insulation Layer k"" Top Insulation Size and Top Insulation FastenedBorg terfat Section C (Low Sloped Roof System) Base Sheet(s) & No. of Ply(s):07re / Sheet /YS' S & , #JG L. Ply Sheet(s) & No. of Ply(s): /'L l t� Pl CJ SheQt F �ng Mat3/ /� Top Ply. /-'f l4te.� /f T /7cA st iP a42 Surfacing. Fastener Spacing for Anchor /Base Sheet Attachment Field: / ' oc @ Lap, # Rows ° @ 2 ' oc Perimeter. 4 • oc @ Lap, # Rows / @ f • oc Comer oc @ Lap. # Rows ?@ 'oc Number of Fasteners Per Insulation Board Field 4/0- Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. ndicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. i A n 1 1 Parapet Height . l Mean Roof Height MIA MMADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20 Street Boca Raton, FL 33431 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Spanish `S' Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 5. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifetile Spanish `S'Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained 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 Applicant Dimensions Monier Lifetile 1 = 18" Spanish 'S' Tile w = 10' / min. 3 /4" thick Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofing High Profile Roofing Tiles Concrete 1= varies w = varies varying thickness Test Specifications Test Identifier 7161 -03 Appendix III 7161 -03 Appendix 11 P0647 -01 PO402 94 -084 94 -083 25- 7183 -4 Product Description PA 112 High profile, interlocking, one - piece, 'S' shaped, high - pressure extruded concrete roof tile equipped with two nail holes. For direct deck nail -on, mortar set 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. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Date Dec. 1991 Dec. 1991 Aug. 1994 Sept. 1993 May 1994 April 1994 - Feb. 1995 NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 2 of 5 Test A2encv The Center for Applied Engineering, Inc. Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. 3. LIMITATIONS Test Identifier 25- 7214 -3 Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -78 224 -47099 520111 -3 520191 -2 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations Test Name/Report Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Wind Tunnel Testing PA 108 (Nail -On) Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7094 25 -7496 25 -7584 25- 7804b -8 25 -7804-4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Date March, 1995 Aug. 1994 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 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 TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment 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 applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Monier Lifetile Spanish `S' Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 3 of 5 Table 4: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Monier Lifetile Spanish 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 1 .#8 Screw 20.7 20.7 2 .#8 Screws 43.2 43.2 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 Table 5: Attachment Resistance Expressed as a Moment Mr (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Spanish 'S' Tile Adhesive 29.3 1 See manufactures component approval for installation requirements. 2 Flexible Products Company TileBond Polyfoam Product, Inc. Average weight Average weight per patty 10.7 grams. per patty 8 grams. Table 3: Restoring Moments due to Gravity - M (ft -Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 18 :12" or greater Monier Lifetile Spanish 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck N/A 8.51 N/A 8.44 N/A 8.27 N/A 8.07 N/A 7.87 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Spanish 'S' Tile 9.64 1.5 0.865 Table 2: Aerodynamic Multipliers - X (ft) Tile Profile X (ft Direct Deck Application Monier Lifetile Spanish 'S' Tile 0.259 NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 4of5 Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Spanish 'S' Tile Polyfoam PoIyProTM 66.5' Polyfoam PoIyProTM' 38.7 3 Large paddy placement of 63grams of PoIyProTM. 4 Medium paddy placement of 24grams of PoIyProTM'. Table 5B: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Spanish 'S' Tile Mortar Set 24.5 5. 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 applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS MONIER LIFETILE SPANISH `S' CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 Page 5 of 5 M1AMI�DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring ,TX 77383 -1132 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0521.02 EXPIRES: 05/10t2006 APPROVED: 06/14/2001 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethene Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADD1iIONAL 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 \\ s0450001 \pc2000 \ \templates\nodce acceptance cover page .dot Internet mail address: postmaster @buildingcodeonline.com • Homepage: http : / /www.buildingcodeonline.com Polvfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Roof Tile Adhesive Materials: Polyurethane 1. SCOPE This approves Polypro® A11160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Applicant Polypro® AH160 Foampro® RTF1000 ProPack® 30 & 100 Dimensions N/A N/A N/A 2.2 Typical Physical Properties: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor • Transmission Dimensional Stability Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 2 Test Specifications PA 101 1.6 Ibs. /ft 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch Approval Date: June 14, 2001 Expiration Date: May 10, 2006 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which List uplift resistance values with the use of Polypro AH160 roof tile adhesive. Results +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Chan Humidity, 2 weeks Product Description Two component polyurethane Dispensing Equipment Dispensing Equipment Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the -use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. _ F'— '2 MS 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 4.2 Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH160 shall not be exposed permanently to sunl 3 Frank Zuloaga, RRC Product Control Examiner Table 1: Adhesive Placement For Each Generic Tile Profile TileProfile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 4.9 Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. 5. LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY ACCEPTANCE No.: 01- 0521.02 1) Place enough adhesive to achieve 17 to 21 square Inches In contact with the pantile 2) Tum come upside down. Place adhesive 112 In. To 1 In From outside edge of cover de. Then Wall the Me. 5 t of the save coursecoeeroa Abut to maid course of pgetnandcoeab add lush et essay. Eau closure (mortar Ow) Weephole Fula Optional2x4's for steep pitch applications Nag through plastic cement Frank Zuloaga, RRC Product Control Examiner Optional PoMkp Mortar on longftudbal edgu of tge SheedJng Polyfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nail through plastic cement Undalayment Eve Course 7In. 6 ACCEPTANCE No.: 01- 0521.02 Fascia Eave Closure Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement • t 4in. x3in. Single paddy on under. layment Single paddy on top of tile Single paddy under tile Paddy (between (ile) Paddy (under tile) Eave course in. X7 it medium size paddy cave Fasda course only Single paddy under tile Single paddy on top of tile Eave Course Nall through plastic cement 3In.x 3 In. Sint& paddy on underfayment Single paddy on top of tlie Eave Course 7 ACCEPTANCE No. : 01-0521.02 Single paddy between the %% 4 2 In. x 7 In. medium size paddy eave course only Fasda Eave Closure Frank Zuloaga, RRC Product Control Examiner Single paddy under the Single paddy between tile 2 in. x 71n. medium size paddy save course only Fascia WeePhole Eave closure Drip edge Polvfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance Aha11 be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8. END OF THIS ACCEPTANCE 8 Frank Zuloaga, RRC Product Control Examiner 188 ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) Continued Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in. max. • Ply Sheet Two or more layers Type G1 "GAFGLAS Ply 4" or "GAF- GLAS Ply 6 ". Cap Sheet One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. • 5. Deck: C -15/32 Incline: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet One layer Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet One or more layers Type G1 "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet One layer Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 6. Deck NC Incline: 3 Base Sheet One layer Type G2 "GAFGLAS #75 Base Sheet ". Ply Sheet One or more layers Type G1 "GAFGLAS Ply 4" or "GAF- GLAS Ply 6 ". Cap Sheet One layer Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, ure- thane, perlite /isocyanurate composite, perlite /urethane composite, phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet One or more layers Type Gl, G2 or G3. Membrane: One or more layers "Ruberoid Torch" (Smooth or Granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus" (granule). • Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. 8. Deck C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers Type G2 or G3. Ply Sheet (Optional): One or more layers Type Gl. Membrane: One or more layers "Ruberoid Torch" (Smooth or Granule), "Ruberoid Torch Plus" (granule), 'Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class B 1. Deck: C -15/32 Incline: 3-1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Two or more layers Type G1 "GAFGLAS Ply 4" or "GAF- GLAS Ply 6" Cap Sheet Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. 2. Deck C -15/32 Incline: 3-1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers Type Gl, G2 or G3. Membrane: One or more layers "Ruberoid Torch" (Smooth or Granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class C 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". 2003 ROOFING MATERIALS AND SYSTEMS DIRECTORY 1. 1. 2. 3. 4. 5. 6. 7. 1. 2. 3. LOOK FOR THE UL MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) Continued Surfacing: "Special Roofing Bitumen" 20 Ibs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite; perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more Layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped with coal tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber or glass fiber, 2 in. max. Ply Sheet Three or more layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. Deck: NC Incline: 1 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ Urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". . • Surfacing. "Weather Coat Emulsion" at 3 gal /sq. Deck NC • Incline: 1/2 • -. "''Insulation One or two layers 'Isotherm R ", 4 in., hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. Deck: NC Incline: 2 Insulation (Optional): Isocyanurate, perlite, isocyanurate /composite, ' wood fiber and glass fiber, any thickness, mechanically fastened. Base Sheet One ply Type Gl or G2, mechanically fastened or hot mopped. Ply Sheet: One or more plies Type Gl or G2, adhered with hot roofing asphalt. Surfacing "GAF Premium Fibered Aluminum Roof Coating ", 1 -1/2 gal /sq or "GAF Weather Coat Emulsion ", 3 gal /sq. Deck: NC Incline: 1 Insulation (Optional): Perlite, glass fiber, polyisocyanurate, wood fiber, mechanically fastened, any thickness. Base/Ply Sheet One or more plies Type Gl or type G2, hot mopped in place. Coating. " Fibered Aluminum Roof Coating ". Deck: NC Incline: 1 Insulation (Optional): Perlite, glass fiber,. polyisocyanurate, wood fiber, mechanically fastened, any thickness. • Base/Ply Sheet One or more plies Type G1 or Type G2, fully adhered with either "Ruberoid Modified Bitumen Adhesive" or "Ruberoid Modi- fied Bitumen flashing Cement ". Coating: "Fibered Aluminum Roof Coating ", 1 -1/2 gal /sq. Deck: C 15/32 Incline: 1 Base Sheet One or more plies Type G2, mechanically fastened. Ply Sheet: Three or more plies Type G1; hot mopped in place. Coatings: " Fibered Aluminum Roof Coating ", 1 -1/2 gal /sq. Class B Deleted Deck: C-15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped. Surfacing: Grundy Industries "al MB Aluminum Roof Coating ", 1 -1/2 gal /sq. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. M1AMI•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Deck. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been-a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer of its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA #02- 0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 1 of 21 ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: Product GAF Asphalt Concrete Primer (MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrix TM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixT' System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® #75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Flex P1yTM 6 Roofing BUR Wood -75 psf See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Dimensions 5, 55 gallons 601b. bags 5 gallons 1, 5 gallons 5 gallons 5 gallons 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Test ,Specification ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 2824 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement ASTM D4601 ASTM D4601 ASTM D 2178 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 2 of 21 �. Product GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable RUBEROID® SBS Heat - WeIdTM Smooth RUBEROID® SBS Heat - We1dTu Granule RUBEROID® SBS Heat - We1dTM 170 FR RUBEROID® SBS Heat - We1dTx PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID® SBS Heat - We1dTi 25 RUBEROID Modified Base Sheet Ruberoid® 20 Ruberoid® Mop Granule Dimensions 39.37" (1 meter) wide 39.37' (1 meter) wide 39.37" (1 meter) wide Various 39.37" (1 meter) wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Test Product Specification Description ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. ASTM D 4897 Fiberglass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in.asphaltic coating. • Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. ASTM D-6164 Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 4897 D 3672 ASTM D -6164 ASTM D-6164 ASTM D -6164 • ASTM D-6164 ASTM D -6164 ASTM D4601, Type II, UL Type G2 BUR ASTM D 6163 ASTM D 5147 ASTM D 6222 ASTM D 5147 Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced Premium glass fiber reinforced SBS - modified base sheet SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10t23 /03 Page 3 of 21 Product Ruberoid® Mop Plus (Granule) RUBEROID MOP Smooth RUBEROID® MOP 170FR RUBEROID® MOP FR RUBEROID® TORCH Smooth RUBEROID® TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 170FR TORCH RUBEROID® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS RUBEROID® Dual FR Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37' (1 meter) wide 39.37' (1 meter) wide 39.3T' (1 meter) wide 39.3T' (1 meter) Wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37' (1 meter) wide 39.3T' (1 meter) Wide Test Product Specification Description ASTM D 6222 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer- modified asphalt and smooth surfaced. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen thembrane, smooth surface. Asphalt impregnated, coated felt, surfaced with mineral granule. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non -woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer modified asphalt and surfaced with mineral granules. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 4 of 21 1 . Product Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix® System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet Tile -Mate Cap Sheet Shingle- Materm Underlayment TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCote® MB+(Matrix 715 MB Coating) TopCoat MB+(Matrix 715 MB Coating) WeatherCotem (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid ®MB) Matrix 201 System Pro SBS Flashing (Ruberoid ®MB) Matrix 102 Select SBS Adhesive Test Dimensions ecifi Sp cation PA 100(A) ASTM D 1929 ASTM D 635 5 gallons None 5 gallons ASTM D2824, Type I 1001b. cartons, bulk 601b. kegs 39.37" (1 meter) ASTM D4601 wide 39.37" (1 meter) ASTM D 3909 wide 4 sq. roll 30 lbs. 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons ASTM D3019 5 gallons ASTM D3019 5 gallons ASTM D3019 Product Description One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Non - fibered aluminum pigmented, asphalt roof coating ASTM D312, Interply mopping and surfacing asphalt Types I, II, III and IV SEBS modified asphalt Asphalt impregnated and coated, fiberglass base sheet Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass reinforced shingle underlayment Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. NOA No: 03 -0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 5 of 21 Product (Ruberoid ®MB) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Aluminum Matrix 304 Select Non - Fibered RUBEROID® Modified Bitumen Adhesive APPROVED INSULATIONS: Product Name GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons (BMCA)GAFTEMP® Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANTn GAFTEMP Permalite Recover Board GAFTEMP GAFEDGET' Tapered Edge Strip (BMCA) GAFTEMP® Haigh Density Fiberboard BMCA EnergyGuard, RA BMCA Composite EnergyGuard, RA PYROX White Line Test Dimensions Specification ASTM D4586 ASTM D4586 ASTM D4586 ASTM D3019 TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocynurate /wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Product Description Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement Standard Plastic Asphalt Roofing Cement Caulk Grade. Cold Applied Asphalt Adhesive. ASTM D 2824 Fibered aluminum coating. ASTM D2824, Non - fibered aluminum pigmented, asphalt Type I roof coating. ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. (AF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. Apache Products Co. NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 6of21 • APPROVED INSULATIONS: Product Name ACFoam I,11 & Composite ISO 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck ENRG'Y -2 & ENRG'Y -2 PLUS, UltraGard Gold FiberGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number 1. 2. 3. 4. 5. 6. Product Name GAFTITE® (Drill-Tec®) #12 Standard & #14 Heavy Duty Roofing Fastener GAFITTE® (Drill-Tec®) ASAP GAFTITE® (Drill -Tec ®) Base Sheet Fastener and Plate Galvalume Plates (Drill- Tec® Metal) Polypropylene Plates (Drill -Tec® Plastic) Dekfast Fasteners #12, #14 & #15 TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Insulation fastener for - steel, wood & concrete decks. Pre - assembled GAFTTTE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks 3 " and 3' /s" 3 " and 31" Manufacturer (With Current NOA) Atlas Energy Products Firestone Building Products, Inc. _ Firestone Building Products, Inc. generic generic generic G -P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Product Manufacturer Description Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp: — - - Construction Fasteners Inc. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 7 of 21 f APPROVED FASTENERS: Fastener Product Number Name TABLE 3 Product Description 7. Dekfast Hex Plate Galvalume hex stress plate. 8. Dekfast Lock Plate Polypropylene locking plate. 9. #12 Roofgrip Fasteners Insulation fastener for wood and steel. 10. Metal Plate Galvalume stress plate. 11. Gearlok Plastic Plate Polypropylene round plate 12. Glasfast Fastener Insulation fastener assembly with recessed plastic plate 13. Olympic Fastener #12 & Insulation fastener #14 14. Olympic Fastener ASAP Pre - assembled Insulation fastener and plate 15. Olympic Polypropylene Polypropylene plastic plate 16. Olympic G -2 3.5" round galvalume AZ55 steel plate 17. Olympic Standard 3" round galvalume AZ50 steel plate 18. Insul Frxx Fastener Insulation fastener for steel and wood decks 19. InsulFixx S Plate 3" round galvalume AZ50 steel plate 20. Insul-Fixx P Plate 3" round polyethylene stress plate 21. Tru-Fast Insulation fastener for steel and wood decks 22. Tru East Plates 3" round galvalume AZ55 steel plate 23. Tru-Fast Plates Polyethylene plastic plate Dimensions 2 7/8" x 3 1 /a" 3 "x3 /a" 3 " round 3" square 3.2" 3.25 " round 3.5" round 3" round 3" round 3" round 3" round 3" round Manufacturer (With Current NOA) Construction Fasteners Inc. Construction Fasteners Inc. ITW Buildex Corp. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. SFS /Stadler ITW Buildex Corp. ITW Buildex Corp. Johns Manville SFS /Stadler SFS/Stadler The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 8 of 21 EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corp. Factory Mutual Research Corp. Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. IRT of S. Fl. IRT of S. Fl. Test Identifier FMRC 1996 J.I. 2B8A4.AM J.I. 3B9Q1.AM J.I. 0D0A8.AM J.L OD1A8.AM J.I. 0Y9Q5.AM GAF -012 -02 -02 GAF - 020-02 -01 02-005 02 -014 Description Current Insulation Attachment Requirements Wind Uplift FMRC 44704 Wind Uplift FMRC 4470 - PA 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 Date 01.01.96 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 11.06.01 02.01.02 01.18.02 03.22.02 NOA No: 03 -0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 9 of 21 Deck Type 1: Wood, Non - insulated Deck Description: 19 / 32 " or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -45 psf, See General Limitation #7) GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill-Tec (GAFT1TE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure -45 psf, See General limitation #7) GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure -52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill-Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill-Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure -60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -75 psf, See General Limitation #7) Ply Sheet: One or more plies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6® ply sheet, #80 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 401bsJsq. Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbs. /sq. NOA No: 03 -0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 18 of 21 Surfacing: Maximum Design Pressure: See Fastening Above (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 201bs. /sq with an application rate of 1.5 galJsq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal. /sq. 2. Asphalt flood coat at an application rate of 60 lbsJsq. ± 20 %; plus gravel or slag with an application rate of 400lbs. /sq. & 300 lbs. /sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. NOA No: 03 -0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 19 of 21 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1/4" Dens Deck or Y2 Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The fast layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12lbs.sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter Hailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not -- :.-:---- be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 21 of 21 MIAMI SHORES VILLAGE C ` 7Y BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 313 Type Insp'n I t Co p Permit No. SP e3OOLI — C rO Name � ( c Address ,pl, g n k\C t , Sf- Company F I Rock- i pCh . Phone # Inspection Date 3) 4 Approved P Correction ❑ Re-Insp'n Fee ❑ MIAMI SHORES VILLAGE �`b BUILDING DEPARTMENT \ 'P 305- 795 -2204 Building Inspection Request Date .4 ' 2:2_ ]� Type Insp'n 1 I C,eA p J Permit No. bP 4 Name l_.kJ t / Address 17_1K [01 S4 Company Phone # C Inspection Date 412. Approved Correction Re- Insp'n Fee • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City Tenant/Lessee Name Phone # Contractor's Company Name Contractor's Address Describe Work: State 10050 N.E.2ad Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) /a 19 4, //. Sr City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO CO City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: EAddition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ vss / - j `f's 1 'l * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 35' Notary $ Training/Education Fee $ Scanning $ Radon $ Zoning Total Fee Now Due $ (Continued on opposite side) Miami Shores Village g Building Department Code Enforcement $ Structural Plan Review. $ -C -Oe©c Phone # Permit No. Master Permit No. Electrical Plumbing Mechanical Roofing Zip CCF $ Technology Fee $ Bond $ (0( 23q) CO /CC 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. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 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: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * *** * * * * ** k * * * * * * ** � *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I R O 'I APPLICATION APPROVED BY: ,� � j � ^r``�1Q4-- 5lkuel— Plans Examiner Chc 12(15/03 Engineer Zoning BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle Desc Wo . Total Fee Now Due $ (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 Owner's Name (Fee Simple Phone # Owner's Address City State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition EAlteration * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Notary $ Scanning $ q '�� Code Enforcement $ Electrical Plumbing Mechanical Roofing ❑New Radon $ Zoning Structural Plan Review. $ Training/Education Fee $ Permit No. Jr 0 3 -.1/3 Master Permit No. Zip Phone # ❑ Repair/Replace *dwe* * * * * * * * * * * * * ** ❑ Demolition CCF $ CO /CC Technology Fee $ Bond $ 3 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 fir the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 _, 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: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** l _ *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 Plans Examiner Engineer Zoning PERMIT NO. • ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT" SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Sub}ect to compliance with eat Federal, State. County. Vittage rotes tad regulations. Wage assume.; no responsibility for accuracy oUor results from these plans. 2. That copy of plans must be available CM building site or no Inspection will be conducted. CRITIQUE -SHEET 0 y Gvia-4 JOB ADDRESS j ( /V // r APPLICANT PHONE tt APP ADM rio SHEET OF • MISCEUANEOUS DATE ZU.NING aWo Y r 4L- e00( = - 5 0 .3.02 pzS .2 /h TzL/. ft-' A-- 0 w e COMMENTS INITIALS Oaf A stoF 3 D S'3 X /s90— y‘°?.9 , Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Test (Po Pull r F) 1 Ass>�.Tj 26 p,�s7 51 2 ' 27 \ 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 l 50 l 75 THIS R MIT Du Quesne & Associates, Inc. Consulting Engineers Testing Laboratory ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 Owner's Name: I Ac Permit #. 42-2- 64 Job Address' 12 (8 N. (01 5- r., !sl1, (4• Nl L Roofing Contractor lQ 1) . ( cry ROD F l P44, Type of Tile: PA.-I-5 ( "54- I S I — 44-( SST Date Installed' LO • q8 Approximate Roof Height: 19- feet Roof Pitch' 3 I Type of Access to Roof: Scaffolds —) Ladder Other Approximate Square Footage of Roof: 3300 ft 2 Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested' 6.11 • Q S Du Quesne, P.E gineer P. 4513 Du Quesne & Associates, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 SITE SPECIFIC INFORMATION TEST RESULTS P = PASS, F = FAIL • SKETCH OF ROOF IN BACK UTR 14232 Environmental • Civil • Structural Building Inspection Services IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 MICELQLIM 103 SHEET f'i0. _ CALCULATED IlY CHECKED f1Y_ SCALE OF DATE.. DATE_ 1t_ I I ■ ■ ■- ■ ■. I ■ + J ,- _■ ;. ■■ 1 - __ f r -•' 1 _,. ■ 1 L ■ ■ ■ I■ ■ L _,.L _1 I 1 _ , I. 't . [ _I I 1 1 �. _:. i - _ .l t - _ 1 ._1 _ _ . t -. L_1 I ___ , ' , , i , + { ._ - . I L -I _ - 1 ._ - i L 1- _I 1 -1 1 . ■ ( 1 J l I 1 i - -- 11 MICELQLIM 103 SHEET f'i0. _ CALCULATED IlY CHECKED f1Y_ SCALE OF DATE.. DATE_ SKETCH OF ROOF JOB 1 toA 9 r -, II.16 ��A�����C�7,�h SHEET N0 bF DATE T • CALCULATED BY CHECKED BY DATE SCALE J \nnom ■■■millimr7■ I ■■■■■■■■■■ 111114ffiMEMMINROMMMEMALIMIMMEMEMMUM ■■ ■MMIIM ■ ■\ ■►` \u■■\■■EA �;■■■■■■■ ■■ �1OMMEM ■ ■ ■EM MMINI(�,�'1■ ■ ■.L'f�■■■ ■ ■ ■ ■ ■■ • MEii .■IWEEMMEMMr ■■■■■■■ ■M IM `MMEMrM ■ ■■� ■ ■E11■ ■■■MIIMME■ (:* i . 111111111iuiiciziiiiriiu ■ ■■ ■ ■ ■■■ ■■ ■ ■...N..■.,..■ ■M ■.■■ 1111■■■■ ■.,..W.Mii t ■ ■ ■1.111■■■ : e 7 . .d NOTES' Date 12 -9 -97 Job Address 1218 N.E. 101 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Tim Alper Master Permit # Ownei'sAddress 1218 N.E. 101 Street Miami Shores. F141one 756 -0503 ContractingCo.Quality Roofing Contractor, Tnc _ Address 1 3R00 N w 1 ci- Artnne Qualifier Carlos Arocho SS# 265 21 - 4369 Phone 751 -0382 State # RC 0 0 5 8 6 2 7 M u n i c i p a l # C o m p e t e n c y # 1 7 8 R 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 a s per (ride install galvanized eave drip and valleys metals where required, mop on with type III asphalt one layer of 901b. ASTM felt, install Spanish S white r'o1r- thru tile with adhesive setting. Square Ft. 33 s q. Estimated Cost (value) $ 12 000 0 0 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 regulat; g construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Si PERMIT APPLICATION FOR MIAMI SHORES VILLAGE /2-9-97 o own r an r Condo President Date Signature of Contractor or Owner - Builder Date Notary as to 0 ' er and/or Condo Presi My Commission Expires: FEES: PERMIT e ll RADON APPROVED: Zoning Building Mechanical Date MARYLOU HERNANDEZ MY COMMISSION N CC 680474 EXPIRES: October 10, 2001 Bonded Thru Notary Public Undenadters Plumbing C.C.F. 7/ 26 NOTARY BOND 1 Notary as to Contractor or My Commission Expires: Electrical a- Builder Date • M: RYLOU HERNANDEZ MY COMMISSION N CC 680474 d' EXPIRES: October 10, 2001 ''' ' • Bonded Mitt Notary Public UnderMdters TOTAL DUE jtk& Engineer 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: 97R582598 1997 DEC 23 09:16 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: 1218 N .E . 101 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile roof _ 3. Owner(s) name and address: Tim Alper Interest in property:Owner Name and address of fee simple titleholder: N/A 4. Contractor's name and address:Quality Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, Name and address: N/A ,Amount of bond $ 00 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 Lienor'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 different date is specified) xY / Sig Lure of Owner Print Owners Name 1218 N.E. 101 Street Miami Shores, Florida 33138 13800 N.W. 1st Avenue t'mi, Florida 33168 STATE OF FLORIDA, COUNTY 0 DADE 1 HEB E3Y CERIIFY P.'•ai This is o Pry9 y o tho 1, 0 Hod it 'fice on of G ,AU :Y W PNE y ! and �l 'idol Seal. HA; . � 01 Cif CUlti C Cou Ps Y !r • D.C. Alpe/ Sworn to and subscribed before me this day of , 1997 . Notary Public Print Notary's Name My Commission Expires: Prepared by: Carlos Arocho Quality Roofing Contractor, Inc Address:13800 N _W _ 1st Avenue Miami , Fiorillo 33 123.01.52 2/93 Contractor's Name: (Lai: Vil - RorVC; .9 Cpr. cie Job Address: ) 1g /) , F. 1 D i S)-feel ROOF CATEGORY ,,_ ❑ (Low Slope Application) ❑ (Nail -On Tile) L`gr(Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof Qt‘ ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft 33 sc l • Total (ft2) 3 --- Master Permit No. Exposure category (per ASCE 7 -88): C. Building Classification category (per ASCE 7 -88 table 1): ' Ft. A Ft. v A Y Deck type: ATTACHMENT Fastener Type: Field: SPACING Perimeter: Corner: 123.01 -78 9/96 DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page -1 r ROOF PLAN Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge VeilMetion? rt MEAN HEICHT j) , Deck type: wood ) Xtp z Underlayment: 1. Insul 12 " \ ROOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION 30 lb /}St' tion: N/n Fastener type & sparing: Cap Sheet: 90Jb. A-, Root C overing 102 � 'D.e T`e /d / to fi t9.(_ C evsz.ur3 %Ih m 1c /e DrIp edge: 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 (Pmax1:72.3 x a, (Aerodynamic Multiplier):» . 1 ) - .3G (Pmax2:rJ.1,3 x A, (Aerodynamic Multiplier): 2.41 ) - d3c (Pmax3:i01°1 X 21, (Aerodynamic Multiplier):3) . }l ) - TILE CALCULATIONS M • it O = M 15.31 PCA: (,PL? M 74 0 =M J5.31 PCA: JGoS M 1.10 M 25". SPCA: 66 .5 • Page -2 METhO•DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Metro Roof Tile, Inc. 11350 N.W. South River Drive Miami, FL 33178 Your application for Product Approval of: Spanish S under Chapter 8 of the Metropolitan 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: Redland Technologies, The Center for Applied Enginering, Inc., and Testwell Craig Laboratories & Consultants, Inc. 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 et. seq. and the Standard Conditions on page 3. This approval shall not be valid after the expiration date stated below. The Office of Code Compliance reserves the right to secure this product or material at anytime from a jobsite or manufact;urer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any ammendments to the South Florida Building Code be enacted affecting this product or material. The Building Code Compliance Office reserves the 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. Acceptance No.:94- 1017.01 Expires:06 /15/98 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST!FLAGLER STREET MIAMI. FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 PRODUCT CONTROL SECTION (305) 375-2902 FAX (305) 372-6339 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 Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. • anger, Director Building Code Compliance Dept. Approved: 06/15/95 -1- Metropolitan Dade County Applicant: Metro Roof Tile, Inc. 11501 Northwest 117th Way Medley, Florida 33178 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Prepared Roofing Sub- Category: High Profile Tile Typg: Nail- on/Mortar Set/Adhesive Set Sub -Type: Concrete • System Description Contact: Fernando Arias Metro Roof Tile, Inc. 11501 Northwest 117th Way Miami, FL 33178 (305) 558-6712 2 Product Control No.: 94- 1017.01 Approval Date: Expiration Date: Raul Rodriguez JUN 1 5 1g95 JUN 1 5 1996 Metro Roof Tile, Inc., located in Medley, Florida, manufacturers clay roof tile for nail -on, mortar set or adhesive set applications. This Product Control Approval relates to Metro Roof Tile's "Spanish S" high the profile. Refer to appropriate Product Control Approvals for other tile profiles. The Metro Roof Tile "Spanish S" tile profile is available in a variety of colors and has matching trim pieces used for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all profiles and form a part of this Product Control Approval. The Metro Roof Tile "Spanish S" roof tile has been tested in compliance with the South Florida Building Code requirements for concrete, nail -on, mortar set or adhesive set tile applications. See the "Profile Drawing" section in this Approval for the Metro Roof Tile "Spanish S" profile drawing. The Metro Roof Tile "Spanish S" profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Product . Dimensions Specifications Description Spanish 'S' Concrete I. 18" PA 112 High profile, interlocking, one- piece, Roof Tile w = 1O/3" 'S' shaped, concrete roof tile equipped %3" thick with two nail holes and a single roll. For nail -on, mortar set and adhesive set applications. Trim Pieces 1= varies w = varies varying thickness PA 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley temilnations. Manufactured for each tile profile. 3 Raul Rodriguez Product Control No.: 94- 1017.01 Product //30 Felt //43 Coated Base Sheet Lenzingtex -ZB 140 Underlayment Rainproof 11 Ice and Water Shield Mopping Asphalt Flashing . Cement TRADE NAMES. OF PRODUCTS MANUFACTURED OTHERS Dimensions N/A • .N/A Mineral Surface Cap N/A Sheet 59" x 164' roll 22 Ibs/roll 30" x 75' roll 36" x 75' roll or 60 "x75'roll 36" x 75' roll N/A N/A Test Specifications ASTM D 226 type 11 ASTM D 2626 Saturated and coated organic base sheet for single or double ply underlayment. ASTM b 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply undcrlaymcnt system. PA 104 Single ply, nail -on underlayment. PA 104 PA 103 Self - adhering underlayment for use as a top ply in a two ply underlayment system with Approved 1130 or 1143 as the base layer, ASTM D 312 type III or IV ASTM D 4586 4 Raul Rodriguez Product Control No.: 94-1017.91 Product Description Saturated organic felt to be used as a nailed anchor sheet. Single ply, nail -on underlayment with 2" self - adhering top edge. Asphalt for bonding a mineral surface cap to a mech. attached base sheet in a double ply underlayment system. Cut back, asphalt based, asbestos free, fiber reinforced, trowel grade cement for repair and flashing applications. Manufacturer generic generic generic Lenzing Performance, Inc. with current PCA Protect-O -Wrap, Inc. with current PCA W.R. Grace Co. with current PCA generic generic Tin Caps Tile Nails Test Product Product Dimensions Specifications Descriptiort IvInnufacturer Asphalt Primer N/A ASTM D 41 Cut back, asphalt generic based coating used to facilitate bonding of dissimilar materials. Roofing Nails Wood Battens Tile Screws Roof Tile Adhesive ( "Polypro® AF1160 ") min. 12 ga. with PA 114 Annular ring shank, generic 3 / 8 " head Appendix E hot dipped, electro or mechanically gals. roofing nails for use in underlayment attachment. min. 32 ga. min. 1' 4" o.d. max. 2" o.d. horizontal min. I" x 4" for use with vertical battens or min. 1" x 2" for use alone min. 8d x 2' /s" or min. I0d x 3" #8 x 2%3" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread diameter PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E 5 Raul Rodriguez Product Control No.: 94- 1017.01 Corrosion resistant circular disc for use in underlayment attachment vertical Wood Preservers Salt pressure treated min. 1" x 4" Institute LP - 2 or decay resistant lumber battens Corrosion resistant, screw, smooth or annular ring shank nails. Corrosion resistant, coated, coarse thread wood screws. I generic generic generic generic Roof Tile Mortar N/A PA 123 Prepared mortar mix Bermuda Roof ( "TileTiteT "' ") designed for mortar Company, Inc. set roof tile with current PCA applications. N/A See PCA Two component Polyfoam Products, polyurethane adhesive Inc. ; designed for adhesive with current PCA set roof tile applications. Product Hurricane Clip & Fasteners Valley Flashing Drip Edge Dimensinnl . S�IpB min. % :" width Min 0.060" thick Clip Fastenem min. 8d x 11/4" min. 26 ga. min. 2" face flange min. 2" deck flange Test Specifications PA 114 Appendix E min. 26 ga. ASTM A 525 min. 16" width PA 1I1 6 Raul Rodriguez Product Control No.: 94 1017.01 Product Description Manufacturer Corrosion resistant generic bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. Galvanized steel valley flashing Galvanized steel drip edge generic generic Test Agency Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Red land Technologies Redland Technologies The Center for Applied Engineering, Inc. Testwell Craig Laboratories & Consultants, Inc. Test Identifier 7161 -03 Appendix 111 7161 -03 Appendix 111 TEST REPORTS 25- 7200 =1 94 -084 94 -083 7161 -03 Appendix II Report Dated Aug. 1, 1994 P0647 -01 PO402 Project No. 307025 Test #MDC -78 Lab #EA -25 Tech: 0. Suarez 7 Raul Rodriguez Product Control No.: 94- 1017.01 Test Name /Report Date Static Uplift Testing Dec. 1991 PA 102 Static Uplift Testing Dec. 1991 PA 102(A) Static Uplift Testing Feb. 1995 PA 102 (Quik -Drive Screws, Battens) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA.I00 Physical Properties PA 112 May 1994 April 1994 Dec. 1991 Aug. 1994 Aug. 1994 Sept. 1993 Oct. 1994 July 1994 SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated • Deck Description: New construction "42" or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. Underlayment: Install underlayment system in compliance with Dade County Application Standard PA 120. .(See System Limitation #5.) Roofing Tile: Install tile in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Comments: 1. For re -roof applications, "/,=" plywood is an acceptable substrate. 11 Raul Rodriguez Product Control No.: 94- 1017.01 SYSTEM LIMITATIONS Raul Rodriguez Product Control No.: 9'1- 1017.01 1. The standard minimum roof pitch for Metro Roof Tile's "Spanish S" high profile tile shall comply with 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 than that of the preformed holes in the tile. i 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 Dade County Protocol PA 115 or PA 127. The Metro Roof Tile "Spanish S" tile profile 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 Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. 5. For mortar set 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 Metro Roof Tile'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 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 Dade County Protocol PA 112, Appendix 'A'. 9. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. Table 4: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Metro Roof Tile Spanish 'S' Tile . Mortar Set 24.50 Adhesive Set 66.50 Table 1: Aerodynamic Multiplier - A (ft') Tile ? (ft') X (ft') Profile Batten Application Direct Deck Application Metro Roof Tile Spanish 'S' Tile 0.29 0.31 Table 2: Restoring Moments due to Gravity - M (ft Tile Profile 3 ":12" or less Battens 6.70 Direct Deck 7.10 4 ":12" Battens 6.60 7.00 5 " :12" Direct Battens Direct Deck Deck 6.46 6.84 6 ":12" Battens 6.30 Direct Deck 6.67 7 ":12" or greater Battens 4.08 Direct Deck Metro Roof Tile Spanish 'S' Tile DATA FOR ATTACHMENT CALCULATIONS Product Control No.: 94-1017.01 N/A Tablk 3: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nall-On Systems TILE APPLICATION Battens Direct Deck APPROVED NAILS 1 nail N/A 6.20 2 nails N/A 8.40 APPROVED SCREWS 1 screw N/A 28.70 2 screws 26.80 31.80 APPROVED FIELD CLIP WITH: 1 nail N/A 21.20 2 nails N/A 25.30 APPROVED EAVES CLIP WITH: 1 nail N/A 26.90 2 nails N/A 34.90 Tile Profile Metro Roof Tile Spanish S Tile 13 Raul Rodriguez PROFILE DRAWING No� y,1 L-L g � P eovI vwp wfJe4.1 METRO RooF TILE SPANISH 'S' TILT. Raul Rodriguez Product Control No.: 94- 1017.01 METIIDDADE METROPOLITAN DADE COUNTY; FLORIDA METRO•DADE FLAMER BUILDING UUILDINO CODE COMPLIANCE DEPARTMENT SUITE 1003 METRO•DADE FLAMER bUILDINO 140 WEST FLAGLEII STREET MIAMI, FLORIDA 30190.1500 (305) 075.2001 FAX (305) 370.2000 NOTICE OF ACCF.PTANCF,: STANDARD CONDITIONS 1 Extensions of Acceptance may be considered tiller a new application has been filed and the supporting data, test reports no older than ten (10) years, have been re- evaluated. All reports oUre- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any u;atisfactory performance of this product or process or a change in Code provisions shall be grounds for reevaluation. t . Tlr a acceptance shall not be used as an endorsement of any product for sales or advertising purposes! 5. The Notice of Acceptance number preceded by the words 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. 6. ['roductapproval drawings, where required for perniit applications, shall be provided to the applicant by the ntauufac!urer or his distributors unless otherwise noted in the Notice of Acceptance. The prin.s need not be re sealed by an engineer. 7. Failure to ;amply with the Standard Conditions shall be cause for termination of the Approval. This approval supersdcs all previous approvals. 15 Raul Rodriguez Product Control Supervisor Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be si / V built on: {[ �f a' / ., ' t �J Lot / a r9 / - Block /. e 11 p Subdivision ` 311 /g„..„ � AND 7/ ..2,0s-- � o Street and Number where work is to be done J - )d ( _ J / L / 0 / 3 State work to be done and purpose of building (by floors). state exterior colors (submit samp)es) fr ').- 2 / u f o o --r u o- fle f Lc, cK c,... ho is and for no other purpose. New Building Remodeling Addition Repairs f/.---- No. of Stories �� To be constructed of Kind of foundation 3 Roof Covering Estimated Total cost of improvements S O ��' .e4) Amount Amount of Permit S . 0O 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 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 obligatons 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 onl subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 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. Disapproved (Signed) }SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date /7/ 1 V �������w ate Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. /?J? r /O/ Read. Sworn to and Subscribed before me. Date ? / 19 No. Street O Notary Public. State of Florida to me well known. BUILDING 0 MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ Date + i ° ' 7 I9 ' ., f. PLUMBING ❑ PERMIT NQ 8236 Contractor's ti ROOFING ❑ License No. 0 Owner of Building it y` Architect Contractor or Builder Legal Lot Description I I Bl Address of Building - 4 1 ( ' Work to be performed under this Permit s Subdi- vision Sq Ft Value of 11 Amount of Project $ " ` + 11 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 or employees. Signed: (INSPECTOR) BY In consideration of the issuance to me of this permit I ag ee to perform the work covered hereunder in compliance with all ordinances and regulation, 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. BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Contractor or Builder PERMIT Na 7370 MIAMI SHORES VILLAGE, FLORIDA ❑ Work to be performed under this Permit Owner of Building Architect Legal Lot Description II Bl CONTRACTOR OR BUILDER DATE. 19 Contractor's r. License No. Subdi- vision Address of Value of I ( Amount of Building ' ' Project $ / t 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 or employees. i; Signed. / ' , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliatit:e 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 ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT 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. � Date__ e e e tm e✓ / 12 66 No. 1_Z 1 ¥ Street IU EA 1 0 1 5fre r Owner's Name and Address__ 1- Registered Architect and /or Engineer ii� Name and address of licensed contractor__J__l1-Lt Location and legal description of lot to be built on: State pork t be done an rpo of uilding (by ors) Disapproved Date ( Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT red '/ ou l cl W r Lot Block Subdivision .�. I Street and Number where work is to be done 12. ' New Building Remodeling Addition To be constructed of__ Li] __C.— Kind of foundation Estimated Total cost of improvements $ (P 2 5 , 0 Zone cubage required Amount of Permit $___a? - 0___Q .Plan Cubage Size of Building Lot Notary Public, State of Florida oc► l3 t J t W . 11 +Tith e o f and for no other purpose. Repairs No. of tories r Roof Covering 514Y_ Distance to next nearest building 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 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) STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that 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 Z 3 e, Date f � ° Read, Sworn to and Subscribed before me. Building Inspecr My Commission Expires ANNING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. e2 New Building Remodeling MIAMI SHORES VILLAGE Date 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. Date March 29th, 1966 ,19 Owner's Name and Address Fred Yould No 1218 Street N , E. lnlst Street, Registered Architect and /or Engineer Miami Shores, Fla. Lan Roofing & Tile Co., 573 N. W. 71st St., Miami Fla. Name and address of licensed contractor Inc.., Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done 1218 N. E. lnlst St. i Miami Shores, Fla, State work to be done and purpose of building by floors) ___. ___ a5_m___t efl __Qf f___Ete st __end__szf __x'!i si de.Taa e .,___ .ga.rage and above study, replace 30r felt, 90 # slate and standard w' cement shingle tile. Date 3 To be constructed of Kind of foundation Roof Covering _,;esuent_._shingLe___t11e Estimated Total cost of improvements $ Amount of Permit $ 5.00 Zone cubage required_ Han 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 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 inspection o . e site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such contractor work to be perfo •d under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) J A. MARTIN, PRESIDE:i'T. STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 3 - 7 1, Disapproved (Signed) LASA and for no other purpose. Addition Repairs Re-rO No. of Stories to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector ] My Commission Expires PLA s• ING 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address l 1 444444— Registered Architect and /or Engineer. - ._ __.. Name and address of licensed contractor �llA.r Location and legal description of lot to be built on: Lot Chairman Member MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT 2,- BUILDING INSPECTION DEPARTMENT Date_._ No I /ale_ Street.fa New Building Remodeling Addition Repairs__ To he constructed of Kind of foundation _Roof Covering -�}. /y e o 4 ' 2 = Estimated Total cost of improvements $ ._V Amount of Permit $_. Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot iJt Block Subdivision j Street and Number where work is to be done_ /_I2.C:....:_ State wor to be done .an purpose of building (by floors) and for no other purpose. No. of Stories 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 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 1 -24e!��t� f.f- +-.<.4 • 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 tr ue. , . 1 Read, Sworn to and Subscribed before me. Permit No 4-i c Date Disapproved _ Date__ ( Signed) Bui ding Inspector \ My Commission Expires Notary Public, State of Florida PLA INC BOARD DATE 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. c APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address q%) Registered Architect and /or Engineer Q+1 Name and address of licensed contractor 't.; . I 4 ' STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 7, , Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 2 0 Date c State work to be done and purpose of building (by floors) ! - -- 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 ? 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 5986, 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 w k to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) '� � a1..._. % � Member Member Council Approved Date Disapproved 4 r 7 q 2 . ,19 ``/Y Street ,c., 1' 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 state are true. Permit No._ �- Disapproved (Signed) `42 Bui Date if ' 7 47 d` Read, Sworn to and Subscribed before me. Date ding Inspector My Commission Expires PLANING BOARD DATE Chairman Member Member Member Notary Public, State of Florida NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. Date has been obtained from for inspection or faulty