121 NE 100 St (12)!ORES ® 2 11 �o�5
MIAMI V �A2GE
' BUICDING°DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 11\ lt0 S
Type Insp' n FALL\ / R(L'tof
Permit No. 6 2.&J IN
Name 11X�
Address (2-1 wt ' (S
Company cho li1'( /kM
Phone # — 15
Inspection Date
Approved
Correction
Re- Insp'n Fee
Date LX1
Type Insp'n l ; Z IN ,407X055
Permit No. Rere 0 S— 1 0 / 0
Name •
121 A 00 A ) 0 0 5 - ;
D/, a 4 •
3Os -7r7— ?-(o fa
j 1 i / o -
t
Address
Company
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
46qt, NOV 2 1 2005
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305= 795 -2204
Buildi g Inspection Request
3335
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 8 le 106
Type Insp'n— ' CC:LP •
Permit No. - 1010
Name Shaun NlQd f /1C RQt
Address 12-1 NE loo ,V ST
Company �'V
Phone # (3C5 ✓ 7 57- Z' I Z
Inspection Date 8 `9 ins
Approved
Correction ❑
Re- Insp'n Fee ❑
Type Insp'n
%4Z`
MIAMI SHORES VILLA(iE
BUILDING DEPARTMENT O4
305- 795 -2204
Building Inspection Request
Date 8124
Permit No. .FPS- 10
Name .20 (,5•
11 IJ tOOS-k
Address
Company Orel L.X
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
511'1 4 Kb
to
MIAMI SHORES VILLAGE s 40
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date8j243
Type Insp'n I 1 (C. Pb3Stn
Permit No. S 0S - l0 10
Name PfS
j2 t N& 100,S-L_
Company V tel\CU •
Address
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
33 .6
MIAMI SHORES VILLAGB"
BUILDING DEPARTMENT s 4
305- 795 -2204
Building Inspection Request
Dat'(Z4 105
Type lnsp'n r t� I!1 %a9 ✓
Permit No. aRDS I D I C
Name 5 hQvr> Nadi
Address /IZ I tUE (CC `ST
Company I'w ( Z L Y
Phone # C3o5 /751 - Z6 12 .•JJ
Inspection Date g /aS /oS
Approved ❑
Correction
Re- Insp'n Fee ❑
~
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,
, .' ...11111k,tekopows.d
21 N E (bOs
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6P- 05- two
OSEtkwa
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
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100
THIS REP / UBMITTED
Lab Certification # 98 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE
PROTOCOL TAS 106
eq li-9
SITE SPECIFIC INFORMATION
Project 19O 6 5 4 5
Owner's Name ' Permit # 5-- 10 i 0
Job Address: 1 2.1 N 1006T: . lax A-1-Lt Ci bA-e) 4 a F1
Roofing Contrac or • To∎ ti 0 • Ii
Type of Tile: .‹. Date Installed: 5 - 'Z e - �
Approximate Roof Height: feet Roof Pitch: 5- 12
Type of Access to Roof: Scaffolds ../ Ladder Other
Approximate Square Footage of Roof: 2.1 3 0 0 ft
Required Testing orce: 35 lbs. Testing Equipment: Chatillion 100
Date Tested: tI - 10 -07C—
TEST RESULTS
P = PASS, F = FAIL
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTRO_ EST.
P.E.
NIMwMIMEos
111111111111161POSISOMEMEIII
MIMENIERIMMORMIRmoraMMOMBEMINIIIIIN
IMMERIZIMICHIAMEMEN
mum un
.....ag- ZhillIMMINIUMEIMMINEM11111
11111111111111a0MIMIIIIMINIMIENEINIMMII
11111111111111111•1011111111 Its
11111111111111111111111111111111
1111111111101011111§UNIENE
101111111111111111=1111 NENE
momminemarmitamsuammummmomm
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/29/2005
Applicant: SHAUN & NADINE
Owner:
JOB ADDRESS: 121 NE 100
Contractor OBENOUR ROOFING SHEET METAL & SUPPattr tAdtte's Address: 9301 NE 6 AVE SUITE A -101
Local Phone: 305 - 757 -2612
Parcel # 1132060132040
Building Permit
Permit Number: BP2005 -1010
ROGERS
ST
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 & E10FT LOT 16 BLK 15 LOT SIZE
Fees:
FEE2005 -9267
FEE2005 -9316
FEE2005 -9317
FEE2005 -9318
FEE2005 -9319
FEE2005 -9320
CEEE2005 -11746
Description
Submittal Fee
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
43uTdn F_e
Total Fees:
Amount
($50.00)
$300.00
$11.40
$3.80
$7.50
$3.00
$35_00_
$310.70
Total Fees: $310.70
Total Receipts: $275.70
Permit Status: APPROVED Permit Expiration: 3/31/2006 Construction Value: $19,000.00
Work:
Signed:
Page 1 of 1
REROOF ENTIRE RESIDENCE AND INSTALL HANSONS MISSION RED BARREF COLOR THRU ONE COLOR TILE
(INSPECTOR)
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:
SEP 2 3 PAID
roc - (58-7
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/7/2005
Applicant: SHAUN & NADINE
Owner:
JOB ADDRESS: 121 NE 100
Contractor
Local Phone: 305 - 757 - 2612
Parcel # 1132060132040
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -1010
ROGERS
ST
Page 1 of 1
OBENOUR ROOFING SHEET METAL & SUPRLdri>t Actor's Address: 9301 N. E. 6 Ave, Suite A101
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 & E1OFT LOT 16 BLK 15 LOT SIZE
Fees: Description Amount
FEE2005 -9267 Submittal Fee ($50.00)
FEE2005 -9316 Building Fee $300.00
FEE2005 -9317 CCF $11.40
FEE2005 -9318 Training and Education Fee $3.80
FEE2005 -9319 Technology Fee $7.50
FEE2005 -9320 Scanning Fee $3.00
Total Fees: $275.70
Total Fees: $275.70
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/2/2006 Construction Value: $19,000.00
Work: REROOF ENTIRE RESIDENCE AND INSTALL HANSONS MISSION RED BARREF COLOR THRU ONE COLOR TILE
`JUL 1 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:
Miami Shores Village
BUILDING
PERMIT APPLICATION
FBC 2001
State Certificate or Registration No.Ce 0 01 4 3 4
$ Value of Work For this Permit
Type of Work:
Describe Work:
Submittal Fee $
Notary $
Scanning $
0
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
* * * * * * * * * * * * * * * * * * * * * * * * *
Permit Fee $
Training/Education Fee $
Radon $
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
litteLINED
AUG 2 4 2605
ster Permit No.
Permit Type (circle): Building ec ric Mechanical
Owner's Name (Fee Simple Titleholder) N A ci'(i`? . 021 f=e ' / Phone #
Owner's Address 0 u E i () 0
City th S h or e5 State fr(
Tenant/Lessee Name
Zip 3K
Phone #
Architect/Engineer's Name (if applicable) Phone #
Job Address (where the work is being done) I ° ( I.) E ` 0 0 £ 7
•City Miami Shores Village County Miami -Dade ,Zip
Is Building Historically Designated YES NO
Contractor's Company Name(( 'en Contractor's
A '
Contractor's Address q3 f lit /v 6 4-e -LT
City '4 t n4vt 1 .� h G r 'e 5 State -Pc
Qualifier CI" / S 73 () -to U L
30 SJ 2 — ( � g � (�
Phone # \ J � �5 - 20)6/2_
met
Zip 33136
Certificate of Competency No. C ? dodo()
Square Footage Of Work:
e Vr< I LJ
EAddition EAlteration ❑New,
?Not I
t1 r , . ^C l r ►-i-ct r e {- A p
v
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
e v i bk)
Permit No.Oi e 6 5 / 0 1 0
CCF $ CO /CC
Technology Fee $
Zoning Bond $
Structural Plan Review. $
epair/Replace ❑ Demolition
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 , en (7) days after the building permit is issued. In.l' e absence of such posted notice, the
inspection wil not be a, proved and spection fee' will be charged.
Signature
Owner or`'j .'t
The fore ing instrument was acknowledged before me thisc'F
day of
,20‘, by ,
NOTARY
Sign:
Print: C�xTIIE`? NE A. I... :
My Commission E r : `'rr�`� ` ETC-P.
LI s C.7, 200.9
y x k i Thru 0antic Bor ddin Co., In:.
Signature
Contractor
The f• _:. ing instrument was acknowledged before me thiPf
day � ' 2"7
who is personally known to me or who has produced who is personally known to me or who has produced
As identification an . who did take an oath. as identification and who di t take an oath.
NOTARY PUBLIC
YP
tOMM1551 ; = DD403798
0.7 iRcs. \Z'.R. 07, 2009
Bmsle8 fitinij jO'fi tRicif iS °., Inc.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
**************************************** * * * * * * * * * * * * * * * * * * * # * * * * *** * * ** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** * **
APPLICATION APPROVED BY: 2 Plans Examiner
Engineer
Zoning
chc 05/13/03
Roof S
System
y
`
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,7
Prescriptive BUR - RAS 150
A,B,C
4,5,6,7
Asphaltic Shingles
A,B,D
1,2,4,5,6,7
Concrete or Clay Tile
A,B,D,E
1.2.3.4.5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and
Shakes
A,B,D
1,2,4,5,6,7
Other
As Applicable
1,2,3,4,5,6,7
1.
Fire Directory Listing Page
•
r
/
nw
'
J
2.
From Notice of Acceptance:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or If Applicabl: 'AS 127 or
RAS 128
4.
Other Component Notice of Acceptances
5.
Municipal Permit Application
6.
Owners Notification for Roofing Considerations (Re- Roofing Only)
7.
Any Required Roof Testing /Calculation Documentation
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF
THE UNIFORM ROOFING PERMIT
APPLICATION FORM. AND ATTACH THE
REQUIRED DOCUMENTS AS NOTED J3ELOW:
ATTACHM REQUIRED
i
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Ridge Ventilation?
Section D (Steep Sloped Roof System)
Roof System Manufacturer•:___ 1/16 l -
Notice of Acceptance Number: Q .2 0/0 ? • o 7
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: 5,12 P2: (9. C P3: (9.6
Maximum Design Pressure
(From the NOA Specific System): cVt•
Method of tile attachment:
Steep Sloped Roof System Description
Deck Type:
ype Underlayment:
Insulation:
Fire Barrier:
Mean. Roof Height: 11
4v30 icTiut D zZ (D
U
N'
astener Type & Spacing:
dhesive Type
ype Cap Sheet:
(� tif f(t .91 W(L t lS .car V ke
d rows ix" Dic
to
qr 7 e ;45
oof Covering: I r ' G ��
Type & Size Drip
Edge:"
l ).
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section EJTile Calculations)
For Moment based tile s ystems, choose either Method 1 or 2. Compared the values
for M with the values from M. If the M values are greater than or equal to the Mr
values, for each area of the roof, then the tile attachment method is acceptable.
A, [ Method 1 "Moment Based Tile Calculations Per RAS 127"
( z A D o ' -f G - M (i ( _ 1V1,. 5 NOA 111
(P2 z X = - Mg: U. V' =1V4-21L41 NOA 117r
(P 1A = L )- Mg: 7i�9- =1yo /y. NOAH
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (M) From Table Below NOA 11
M Required Moment Resistance*
Mean Roof Height -
Roof Slope I
2:12
3:12
4:12
5:12
6:12
7:12
15'
34.4
32.2
30.4
28.4
26.4
24.4
20'
36.5
34.4
32.2
30.1
28.0
25.9
25'
38.2
36.0
33.8
31.6
294
27.1
30'
39.7
37.4
35.1
32.8
30.5
28.2
40'
42.2
39.8
37.3
34.9
32.4
30.0
*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 values, for each
area of the roof, then the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
( zl: = z w: = - W: z cos 0: = . NOA F'
x w := ) -W: z cos O
(1'3 • z l: = z w; Fr2� NOA F'
- W: z cos 6: = Fra: NOA F'
Where to Obtain Information
Description
Design Pressure
Mean Roof Height
Roof Slope
Aerodynamic Multiplier
Restoring Moment due to Gravity
Attachment Resistance
Required Moment Resistance
Minimum Attachment Resistance
Required Uplift Resistance
Average Tile Weight
Tile Dimensions
Symbol
P1 or P2 or P3
H
8
x
M
M
M�
F'
F,
w
1= length
w= width
All calculations must be submitted to the Building Official at the time of permit application.
Where to find
RAS 127 Table 1 or by an engineering analysis prepared b PE based on ASCE
7
Job Site
Job Site
NOA
NOA
NOA
Calculated
NOA
Calculated
NOA
NOA
123_01 -48 5/03 PAGE 5
MIAMI-OA
PRODUCT CQNTROL NO ,E OF ACC MACE
Bermuda Roof Co., Inc.
1499 W. Palmetto Park Rd # 169
Boca Raton ,FL 33486
MIAMI -DADE COUNTY, FLORIDA
METRO•DADE FL.AGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAOLRtt DUI WINO
140 wIST FLAGL[at STREET, SUITE 1(,03
MIAMI, FLORIDA 33130.150
(305) 375 -2901 FAX (305) 375-2908
CONTRACTOR I,ICY„vSINC: ;:h :C'IYON
(305)3/S4527 FAX (sus) 375.253X
CONTRACTOR yNrORCI,:.MMI NT Il,VISION
(303)373.2966 rAx (3D ) 175-208
PRODUCE COiNTROI. UIVIMON
(305) 315.2902 PAX (305) 372.33
Your application for Notice of Acceptance (NOA) of:
Lightweight Premixed Rooftile Mortar
under Chapter it 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 date stated below. I3CCO 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.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 01- 0130.09
EXPIRES: 09/20/2106
APPROVED; .99/20/2f!(11
n - '1I \LI I
1IJT nn A008 rd0W83S
Raul Rodriguez
Chief Product Control Division
Tit IS IS TI1I: COVERSMF,IFT, SEE ADDITIONAL, PAGES FOR SPECIFIC AND GENFRAt
CONDITIONg
I3UILFING CODE & PROD1J T RF.VIBW COMMITTEE,
This application for Product Approval has been reviewed by the BCC° and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
Prnncisww J. Quintana, R.A.
Director
Miami -Dade County
Building Coda Com pliance Office
113045000I1pc20001 1templaas4gtice acceptance cover pase,doc
Internet mail address: postmaster(glbuitdingcodeonlinc .con► • Homepugo: http . / /www.buildingcodeonline.com
ZES905L T9t 8S : t t o @Z / t?Z /8n
Bermuda Roof Company, Inc.
Acceptance No: 01•.0130.0
ROOFING SYSTEM APPROVAL
"Tile Tite "Roof Tile
Mortar
Roofing
Tile Mortar
Category:
Sub - Category:
1. SCOPE Roof Company, lac. as
Thin renews "Tile -Tile" Roof Tile Mortar. as manufactured by
described in Section 2 of this Notice of Acceptance, and designed to comply with the South Florida
Building Coda, 1994 Edition for use with approved Roof Tile Systems.
2. PRODUCT DESCRIPTION
Manufactured by
pnacant Dimensions
N/A
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance.
3.2 Field uplift testing shall be performed. in compliance with the test procedure set forth in RAS
106. Testing shall be performed not prior to 30 days after installation.
3.3 "Tile- Tice" Roof Tile Mortar shall be placed in Iccordance with the 'Placement Details'
provided herein. Each generic tile profile requires a specific placement, (see Placement Detail
listed herein).
3.4 "Tile -Tile' Roof Tile Mortar shall be applied in accordance with Bermuda Roof Specilnations.
3.5 Tile must be applied within $ minutes of the application of "Tile -Tile' Roof Tile Mortar.
3.6 Refer to RAS manufacturer'srPrroduct and
Co Control Notice Acceptance 'Placement
cefor system Details' rcin.
approvals.
3.7 Refer
INSTALLATION
4.1 "Tilc.Tite" Roof Tile Mortar and its components shall be installed in strict compliance with
RAS 120.
4.2 Placement Details
Adhesive Placement:
5. LABELING
All bags shall be labeied in accordance with the Standard Conditions herein.
6. BUILDING PERMIT REQUIREMENTS
6.1 Any documents required by the Building Official or applicable building code in order to
properly evaluate the installation of this syste
, .MT nn anima VenWeeE
Product
Premixed prebaggeed ro roof tile mortar for used
with approved roof tile In accordance with
RAS 120
Spanish & Mission
Low Profile Roll
Flat
ENERIC PLACEMENT
PROFILE: DETAIL N
Page 2
Approval Date: ,atombar 20.2001
Expiration Data: acptember 20 2006
Frank Zuloaga Roofing
Product Control Division
miner
ZE9505LT.99 85:TT 9tiOZ!t'Z; 8[t
Bermuda Roof Company, Inc.
TILE & MORTAR PLACEMENT - BARRELTILE - 2 PC.
lit ON EDGE
(WI EN REQUIRED
FOR STEP ROOF PITCUtS)
P AN
MORTAR BED
FOR COVERT' E
WUEEPUOLE
PLACEMENT DETAIL "A"
POINT -UP
MORTAR BED
FASCIA BOA
..., in mu H f rim a
Page
10 NIASOPI TROWEL
FUI OF ntotrrAa
METAL F„Av: DRIP
Acceptance No 01- 0130.09
NAIL FIRST PAM IIERE
(WUEN ADDITIONAL.
NAILING REQUIRED BY CODE)
y- ----- p
NAIL COVER IIERE
(WIZEN REQUIRED)
Frank 2uloaga Rooting Plans Examiner
Product Comm! f)ivs :Winn
ZE99O9LT9S 8G :TT SON/V3/80
Bermuda Roar Company, Inc.
FASCIA BOARD
PLACEMENT DETAIL "B"
TILE & MORTAR PLACEMENT - ROLL TILE
90 0 MINERAL SURFACE
ROOFING FELT
10" MASON TROWEL
FULL OF MORTAR
NAIL TIIROUGN PLASTIC
ROOF CEMENT (WHEN
ADDITIONAL NAILING IS
.REQUIRED 1W CODE
m -4nna tIGilid3EI
Page 4
Acccptal CD No 01- 0130.09
(BARGE BOARD
Frank Zuloaga Roofing Plans Examiner
Product Control Division
ZESSI39LT99 8S :TT SOMit'Z/8@
Bermuda Roof Company, Inc.
f
90 A MINERALSURFACE
ROOFING FELT
Ia" MASON TROWEL
FULL OF MORTAR
TILE & MORTAR PLACEMENT
SPANISH "S" TILE OR MISSION "S" TILE
FASCIA
BOARD
WIIEEI'IIOLE
(EPON) FRF,.FARRICATE
CLOSURE NAILED T IIROUGII
ELASTIC ROOF GWENT OR
INTO APPROVED ADHESIVE
PLACEMENT DETAIL. "C"
n“T 4nm4 -Jell W63S
Page 5
Acceptance No: 41- 0130.09
NAILTIIROUGII PLASTIC
ROOF CEME'tT (WREN
ADDITIONAL NAILING is
REQUIRED BY CODE
SECURE WITH CORROSION
RESISTANCE MARS
BARGE BOARD
POINT•UP Wall COLORED
MORTAR TO MATCH TILE
SURFACE
ROLLED RAKE TILE
(SrANISII "S" CUTS)
SURFACE
Frank Zuloaga Roofing Plates Examiner
Product &ontrol Division
ZF_99OSL I9S SS : T L SBOZ /bZ /80
Bernnuda Roof Company, inc.
NOT , MORTAR SnALL, NO/ KEACII
INTO 'nut IiitAD TILX IN U9
pUNSI OK INTO UNugRLOC► OP
ADJACENT TILL
or MASON TNOWYL
EUU. o► MouirAK
IIKAOLAI
A1Kl'AI. Y.AVK 11141r
YAMCIA ROARK
TIIICKKUT
TILE
PLACEMENT DETAIL "D"
TILE & MORTAR PLACEMENT • FLAT TILE
Pagc 6
Acceptance No.: 01 0130.09
1• Tu6 11KAI Or ONE TILE
L Tilt UNDCRLOCK Slot OP
A SECOND TILE
3, ME UNDERSIDE OFTIIE
TILE URHNC Ahrt
NAIL, HERE THROUGH
PLASTIC KOOE cDIEN'r
tWW N NEOVIIIKU
KY CODE)
11A N.01: IIl).\kII
SAWCUT I 411,1.'111.K
rOIMTI •I • U1' MORTAR IIKR
Frank Zuloaga Roofing Plans Examiner
Product Control Division
, 11,I7 m -Inns MQaJJ33 Z,E9909L T99 39 : T T 9003 / /S0
Bermuda Roof Company, lac.
Pogo 7 •
Acceptance No,: 01.0130,09
Renewal of this Acceptance (approval) shalt be considered after a n r , w w aing due has been filed
and the. original submitted documents, including ttat -supp4 i{
older than &ht (8) years.
2. Any and all approved products shall be pcnnanantly labeled with the rnunefacturer's m city.
state, and the following statement: "Miami County Product Control Approval ", or :tr
spaciflcauy staaia.d 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 niTecting the evaluation or thin
product and the product is not in compliance Idei h the cps h e �� originally approved. b. The product is no longer the sane product ( t o of thin acct �t etc+ ,
a. if the Acceptance holder has not complied with all the requirements finally 1�
including the correct installation oft v sp�uctand � the required doe unaontatian :niti:tlty
d The engineer who originally prepared, gn
submittal, is no longer practicing the engineering profession.
and/or manufacture of the product or process sh .2ti
d. Arty rcvii4ion or change in the materials, use, approval has b�cn
automatically be cause for termination of this Acceptance, unless prior to Sc) and grante s this
requested (through the filing of a revision application with approP
office.
5. Any of the following shall also be grounds for removal of this Acceptance::
a. Unsatisfactory performance of this product or proeeas. • odverli8inb or any b. Mimosa of this Acceptance as an endort iflent or any product, for sales.
other purposes.
G. The Notice of Aeceptattcc l mm preceded y by i ds si t b iumi.D literature. County,
Fenia 3. and
followed by the exptraaon may
Notice of /t.ceuptanec is dlaphiycd, then it shall be done in its entirety.
7. A copy of this Acceptance as well as approved drmvings and other documents. where it aPPlics, shall
be provided to the user by the manufacturer or its distributors and shall be available for inspection at
the job site at all time. The engineer need not reseal the copies.
8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
9 This Notice of Acceptance consists of pages 2 through 7
CND OF THIS ACCP?TANCP
Frank Zutooga Roo tag Plana
Product bawd Division
,tatniner
Z8,9S0GLT.99 89:TT SON/b7, /60
BUILDING
PERMIT APPLICATION
Miami Shores Village
' Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No.
— rat°
n
6 , .s.. ,
Mauer Permit No.
FBC 2001 Mli `fir. >!
i ���o
Permit Type (circle): Building Electrical ,Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) / fro..L1r5- J 4 ex - s - Phone #
Owner's Address /01 1 7n. ' !co sTr ecl--
State FL Zip 3' 1 33'
l 4
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO '
O' r\ )
Contractor's Address 3 01 W (9 , / e. V�
�lJ
State E
Qualifier - c kw__ oe - ■f()L)(
Contractor's Company Name p ,^� II 1�
p Y ®� L IV ou(
City k t r i o re-)
Architect /Engineer's Name (if applicable)
$ Value of Work For this Permit i 00 0
Total Fee Now Due $ Z 5 • "'1 C)
(Continued on opposite side)
Phone #
oc-es_ oo sTze
County Miami -Dade Zip . I2
State Certificate or Registration No.0 000 4 V `P Certificate of Competency No. C
Type of Work: ❑ dditior Alteration ❑New El
Describe Work: (eY 0Ok e-r,4 4 �c Cc. 5 t d ein
t - - j - t - 5 t l S S 7 6 tr\ R- cri ;i7 0.1 ✓ e.1
C,{)\ 0 r 4 i c
Phone # 'C�`J� � S �
Zip -3 ? Z�
Phone #
•
00
••••
• •
•
• .
•
• • .
• • ••••
Repair /Repl$ce ❑ D emolition
Q nci_ iIv1 .•.
Cr,1 1, r 'k vv (9)y).
•
•
cx ocfc, * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * *......,.. * * * * * * * * **
Submittal Fee $ • 00 Permit Fee $ 30D CCF $ 1 / •40 CO /CC
Notary $ �"� Training /Education Fee $ 3• Technology Fee $ - 1 - 5
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
••
••••
•
•
•
••.4 ••••.
•• Square Footage Of Work: • • �c 3 d •
• •
•
•
•
•
Bonding Company's Name (if applicable)
Bonding Company's Address /1
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
P
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 b approved and a nspection fye will be charged.
Signature
•••• Owner or Agent
ef jit•fbf egoing LTstr way acknowledged before me this
aaxc if ,206 •,•by•3) i.t D. Q., r rs
vvlio•ic,ersonallY known to r,r6e,Qr who has produced
• •
• • • • As id>sfitSfication and who did take an oath.
NOTARY
Sign:
chc 05/13/03
• •••
••••
L• ''•
• •
•• ••
APPLICATION APPROVED BY:
** ******* ***** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Signatur,
Contractor
The foregoing instrument was acknowledged before me this /
day of , 20 05 by N - c S 019 V100/
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBL
Sigt1
• • : ~ ; +;� L D. HART
C0',1',:755Io - D3403808
IVIy Commissient xrires: • ` vJ Exi'IF. s: ARIL 02, 2009
•
Bonded Thru Atlantic Bonding Co„ Inc. Bonded ran: A:?cy:ic5und . Co., • b e.
****************************************************************************** * * * * * *Ye * * * * * * * * * * * * * * * * * ** * * **
Print' ., , f; L ", °•':i 1 , a " f tN
My Go[ }i1lis'sit n:- •Ex;pi:re §", 07, ?009
* * * * * * * * * * * * * *ft * * ** Wyk****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
Bag& VULOCITY EURRIaiLlill ZOUUB
, - RUQUXWAD QWUUR.B NOT1rICATIGN
Mk ROOPIIN CONSIDIZZATIOWS
$152,1,1 scopo, As is pertains to this section, it is the responsibility
of the roofiuci contractor to provide the owner i t the required roofing
permit, and to explain to the owner the content of this seo-zion. The
provisions of cLieL-2.; of she Florida Building Code, ng govern
the minimum requirements and standards of the indUstry for roofing sy-acem
installations. Additionally, the following items should be addressed as
part of the agreement between she owner and the contractor. The owne's
'rticial in shc designated space indicates that the item has been explained.
;Lea thacida - Workmanahip ; The workmanship provisions of c hapter is
(High Velocity Hurricane Zone) are for she purpose- of providin.Q that
the roofing system meets the wind rmaietenee
perfo . and water incrusion
rman Qe sta ndards. Aesthetios (appearanCe) are not a
consideration with respect co workmanship provisions. Aesthetic
issues etch as color or architectural appearance, that are not par: of
the owner anO the oo.fTtaccor.
ri should b
code, se addressed a); part of tne agreement hel.:Well
;1. RonailiAg wcied DeckAi When replacing roofing, the exieting wood
roof deck M4Y have to be renailed in accordanCe with the current
proviaions of C hazt,er,_ 16 (High Velocity Hurricane Zone) of the. (The
system).
roof deck is usually concealed prior to removing the exist-111g roof
comupla Rocifis COrrifilOrl roofs are those which have no visible • -
delineation between neighboring urAits (i.e. townhouses, condominiums,
etc.). In buildings with COM111411 roofs, the roofing concraceor and/or
OWnOr ahould nOtify the occupants of adjacent units of roofing work to
be performed.
Expoead cal.11.4gAl Exposed, open beam ceilings ere - where chi
unberaide of the.coof decking can be viewed from below. The owner may
wish
to maintain the architectural appearance; therefore, roofing nail
penetrations or the undereida of the decking.mby not be acceptble.
The provide the option of maintaining.chia appearance.
Poudieir Water; The current roof system and/or deck of the building
may no drain Well and may cause water to pond (accumulate) 111,10w--.
lying are of the roof, Ponding
distreea i
can 1:4. ication o acructural
and may require the ceview of a profetIsional structural .
an nd
engineer. Po4.4ding may shorted the life expectan.c be evident
y and performanoe of
c.,11 new roofing ayatem may . Ponding
Corrected.
the original rogfiA9 By$eem iB remoVed. Ponding conditions should he
conditions watt:
6. Ovor4lo1. lao%;ppar4 (,1.4.11 outieta); Ie is reqUired thAt rainwat"..f
flow off se chax the 4foof is not overloaded from a buildup of water.
Perimeter/edge walls or other roof extensions may bloc lc this discharge
if overflow scuppers (wail outlets) are not provided. It may be
neceesary to install overflow scuppers in accordance with th ....
requirements of:
• •
• ....
•
vex Most roof structures should have some ability co •••
•
. •
• • •
natural airflow through the interior of the structural essembly.4e:e• •
S. •
building itel). The existing amount of attic ventiiation ahall,o4Q1; ..
Oe reduce It may t* beneficial to cons der additional vencing,vitilt,h 4 ....
tiain r C 1 ' 1- the service 'lit / ,. the roof
...di •
Afk,,krecis,
4,
k„..,,
• •
wrie
. . I ■ .
WMA 1 4i. Al' gnAl; ,:
- Date
/ ol
.--. 40
ontractor's Signature
4 41...
•
•• ••
• •••
• ,••:•,,,
Ai. •
.-
A
• •
• • •
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•
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•
•
• •
• •
•
•
• • • •
•
• •
0000 • •
• 00 • •
• • •
• • •
STATE OF FLORIDA, COUtdTY OF DADS
I HEREBY CrRTfFY that thi� �iry��f �
original fil us office \ e 0 20
WITNESS my h[r d and Officio) S ol.` 1 , wiry Cowls
HARVEY RUVI fk K, f Cif
By
U
V.
>UryyY �
J
I lryoo w. 1114
.e ccA0
PERMIT NO,
STATE OF FLORIDA:
COUNTY OF DADE:
NOTICE OF COMMENCEMENT
TAX FOLIO NO.
Irl1- Vh. Shore t-( 33l3
4. Contractor's name and address: C . >V 1 u �( / �( ✓fie
�3
w e A- ( o 1, u i A K.t., i
5. Surety :(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
Name and address:
9na ire ot,Owner
rintOwners Name
worn to and subscribed before, me this i day of o,7.LAl
otary Public
•int Notary's Name
y Commission Expires:
IL II ART
APRIL 02, 2009 .
Rnnd.•1 Th: %rlr• ^ tic i n jiirz
111111111111111111111111111111111111111111111
C 11 2 005R06 :II ? 1 64
OR Bk 23473 Ps 3045; (fps)
RECORDED 06/14/2005 14 :20:57
HARVEY RUVIN, CLERK OF COURT
MIAMI —DADE COUNTY? FLORIDA
LAST PAGE
THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and in accordancerwith
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
• 1. Legal description of property and street address* l I f 1-z- I OD S
2. Description of improvement:
S
3. Owner(s) name and address: Th q_ ice. r3 b a cry
tat nE tot ST 1 Sh0 E) 3
Interest in property :. 0 W'n e Y
Name and address of fee simple titleholder: 'S A m
• •
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•
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••••
•. •
••
.
6
• •
3c •3 \z
•
•
•
•••• •••• • •
•
7. Persons within the State of Florida designated by Owner upon whom notices or other documentsa aa be served•as rov'
by Section 713.13(1)(a)7., Florida Statutes, • �• • p ' •
•
I. Expiration dale of this Notice of Commencement: (the expiration date is 1 year from the date of recording unlessa
ifferent dam is specified
• • •
•
....
• •
.... • •
• .
• • •
•
B. In addition to himself, Owner designates the fotlowin • • •
g person(s) to receive a copy of the Lienor's Notice as profRded in
Section 713.13(1)(b), Florida Statutes.
Varna and address:
Prepared by: Si/V\eQf 4
• •
Address: L)9 /rad/ I'
44i / /4 1 FL al) 3oyl
Roof System
Required Sections of the
Permit Application Form
Attachments Required
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,7
Prescriptive BUR -RAS 150
A,B,C •
4,5,6,7
Asphaltic Shingles
A,B,D
1,2,4,5,6,7
Concrete or Clay Tile
A,B,D,E
1.2.3.4.5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and
Shakes
A,B,D
1,2,4,5,6,7
Other
As Applicable
1,2,3,4,5,6,7
1.
Fire Directory Listing Page
2.
From Notice of Acceptance:
Front Page
Specific System Description •••••
Specific System Limitations •••• •
General Limitations "• • • •
Applicable Detail Drawings .
•••• ....
• •
3.
Design Calculations per Chapter 16, or If Applicable, RAS•1.27 or ....
RAS 128 • •
4.
Other Component Notice of Acceptances • • • •
5.
Municipal Permit Application . " " .
6.
•
Owners Notification for Roofing Considerations (Re- Roofing Only • •••
.7.
Any Required Roof Testing /Calculation Documentation •• •
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Apolication Form
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF
THE UNIFORM ROOFING PERMIT
APPLICATION FORM. AND ATTACH THE
REQUIRED DOCUMENTS AS NOTED,3-ELOw:
ATTACHMENTS REQUIRED•
• •
•••••
•• ••
•
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•
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•
. •
•
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•
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section A (General information)
Master Permit No. !!ll
Contractor's Name DO 14
Job Address i r)- I NE' E 100
Process No.
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile 1/Mortar/Adhesive Set Tile
❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingles /Shakes
Shingles Are there
❑ Prescriptive BUR -RAS 150 Gas Vent Stacksy
Yes ❑ No
ROOF TYPE Type: Natural ❑ LPGX ❑
❑ New Roof [(Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
tv a31,09
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.
•
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123_01 -48 5/03 PAGE 2
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1...•
Roof System Manufacturer: f tfl/)c Y
Notice of Acceptance Number: 0 0 10 e2 ` 0 l
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: P2: P3:
Maximum Design Pressure
(From the NOA Specific System): L22
1
Method of tile attachment: P. 1 .. . ::0l0�r
11
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
i
Section D (Steep Sloped Roof System)
Roof Slope:
: 12
Ridge Vet ?tilation?
K
Steep Sloped Roof System Description
Laud 044-
derlayment.
ulation.
Fire Barrier.
iv .30 AAA
/ ( P A
astener Type & Spacing: t iIt+ t i Ste: ti
R �
/j . r
dhesive Type
(4qF ...***
•
•
. .
Deck Type:
ype Un
In
Mean Roof Height:
ype Cap Sheet.
oof Covering:
Type & Size Drip
Edge:
...
.. �
M Required Moment Resistance*
Mean Roof Height -
Roof Slope 1
15'
20'
25'
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
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section E (Tile Calculations)
For Moment based the systems, choose either Method 1 or 2. Compared the values
for M the values from M a If the Mr values are greater than or equal to the Mr
values, for each area of the roof, then the tile attachment method is acceptable.
Method 1 "Mo ent Bas d e Calculations Per RAS 127"
( ! P p 2: ,: 3 = .��in '' - Mg: - t s. Y NOA M V 3
(P A � J x X •2�3 s _
Mg: NOA r
(P3: za, .143 '. -Mg: =Mrs NOA M
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (M From Table Below NOA M
*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 values, for each
area of the roof, then the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(P x1: = x w:= ) -W: x cos 0: = Fri: NOA
(P : x 1: = x w: = ) - W: z cos B: = Fr2: NOA F'
(P x1• = x w:= - � -W: x cos 9: = Fr3: NOA
• •
..•.
Where to Obtain Information
S. • •.• •
..
Description
Design Pressure
Mean Roof Height
Roof Slope
Aerodynamic Multiplier
Restoring Moment due to Gravity
Attachment Resistance
Requited Moment Resistance
Minimum Attachment Resistance
Required Uplift Resistance
Average Tile Weight
Tile Dimensions
Symbol
PI or P2 or P3
H
0
M
M
M�
F'
Fr
W
1= length
w= width
All calculations must be submitted to the Building Official at the time of permit application.
Where to fins .
••
7
RAS 127 Table 1 or by an engineering analysis preparoti 6y PE based on A CE • ••••
Job Site
••••
••••
Job Site
..•.
NOA
•• " •• -
•• •
NOA
N
• • •
Calculated
•
•
NOA
• • •
.
Calculated
S. •
• •.•
AI
NOA
•• •
NOA
••.•
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•...
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23_01 -48 5/03 PAGE 5
y
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M IA M I•DADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
Hanson Roof Tile d.b.a. Pioneer Concrete Tile
1340 SW 34 Ave
Deerfield Beach, FL 33442
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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is
determined by BCCO 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 South Florida Building
Code, 1994 Edition for Miami -Dade County or Florida Building Code.
DESCRIPTION: Barrel Roof Tile
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 receded by the words Miami -Dade County, 1~lor;aa, and f8118dved by
P Y h'.
the expiration date may be displayed in advertising literature. If any portion of the NOA 41jialayed, tTea i� shall
be done in its entirety. •
•••• ••••
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its di'strilwtbrs
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
•• •
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• • • •• •
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NOA No.: 03- 0102.01
Expiration Date: 12/16/07
Approval Date: 01/03/03
Page 1 of 5
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ROOFING ASSEMBLY APPROVAL
Category:
Sub Category:
Materials:
1. SCOPE
This renews a roofing system using Hanson `Barrel' Concrete Roof Tile, as manufactured by
Hanson Roof Tile d.b.a. Pioneer Concrete Tile described in Section 2 of this Notice of
Acceptance. For the locations where the pressure requirements, as determined by applicable
building code do not exceed the values listed in section 4 herein. The attachment calculations
shall be done as a moment based system.
2. PRODUCT DESCRIPTION
Manufactured by Test
Dimensions Specifications
Applicant
Hanson Barrel Tile
Trim Pieces
2.1Components or products manufactured by others
#30 Felt
Product
#43 Coated Base
Sheet
Mineral Surface
Cap Sheet
Roofing
Roofing Tile
Concrete
Length: 18"
Width: 9 -1/2 "
Varying thickness
Length: varies
Width: varies
Varying thickness
Dimensions
N/A
N/A
N/A
Lenzingtex -ZB 140 59" x 164' roll
Underlayment 22 lbs. /roll
TAS 112
TAS 112
Test
Specifications
ASTM D 226
Type II
ASTM D 2626
ASTM D 249
TAS 104
Product
Description
High profile, two- piece, extruded concrete roof
tile. For mortar set or adhesive set
applications.
Accessory trim, concrete roof pieces for use at
hips, rakes, ridges and valley terminations.
Manufactured for each tile profile.
Product
Description
Saturated organic felt to
be used as a nailed
anchor sheet.
Saturated and coated
organic base sheet for
single or double ply
underlayment.
Mineral surfaced asphalt
roll roofing for use as a
top ply in a double ply
underlayment system.
Single ply, nail -on
underlayment.
Manufacturer
Generic
(With current NOA)
....
• •
• • tseneric • • • •
Q? tti urrent' .lrA
..
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•
•••• •••••
• • • • •�ieneric ....'
rttrcurrenttNo:N
•• .. •• •
.• •
Leming •
• Petf rnance
(With currerfJ0i )
NOA No.: 03- 0102.01
Expiration Date: 12/16/07
Approval Date: 01/03/03
Page 2 of 5
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Test Product
Product Dimensions Specifications Description
30" x 75' roll Single ply, nail -on
Rainproof II 36" x 75' roll TAS 104 underlayment with 2"
or self - adhering top edge.
60" x 75' roll
Self- adhering
Ice and Water 36" x 75' roll TAS 103 underlayment for use as
Shield a top ply in a two -ply
underlayment system
with Approved #30 or
#43 as the base layer.
Prepared mortar mix
Roof Tile Mortar N/A TAS 123 designed for mortar set
( "TileTiteT"' ") roof tile applications.
Two- component
Roof Tile N/A See NOA polyurethane adhesive
Adhesive designed for adhesive set
( "Polypro® roof tile applications.
AH 160 ")
Single component
Tile -Bond Factory premixed See NOA polyurethane foam roof
canisters tile adhesive
3. LIMITATIONS
compliance with applicable building code.
Manufacturer
Protect -O -Wrap,
Inc.
(With current NOA)
W.R. Grace Co.
(With current NOA)
Bermuda Roof
Company, Inc.
(With current NOA)
Polyfoam Products,
Inc.
(With current NOA)
Flexible Products
(With current NOA)
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with
RAS 106 may be required, refer to applicable building code.
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 perpendi!ulk to the.toof
slope unless stated otherwise by the underlayment material manufacturers published
literature. •
3.6 This acceptance is for wood deck applications. Minimum deck reqtritertEsts shalr Delp
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NOA No.: 03 -0102.01
Expiration Date: 12/16/07
Approval Date: 01/03/03
Page 3 of 5
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Table 3: Attachment Resistance Expressed as a Moment - M (ft-lbf)
For Single Patty Adhesive Set Systems
Tile
Profile
Tile Application
Minimum Attachment
Resistance
Hanson Barrel Tile
Polyfoam PolyPro
133 (Concrete tile)
Flexible TileBond
84 (Concrete tile)
5 Place 23 grams per pan and 23 grams per cap of PolyProTM'.
6 Place 11.8 grams per pan and 11.6 grams per cap of TileBond.
Table 3A: Attachment Resistance Expressed as a Moment - Mt (ft-1M
For Mortar Set Systems
Tile
Profile
Tile
Application
Attachment
Resistance
Hanson Barrel Tile
Mortar Set'
24.5
Table 2: Restoring Moments due to Gravity - M (ft-Ibf)
Table 1: Aerodynamic Multipliers - A. (ft)
Tile
4 ": 12"
X (ft
Profile
7 " :.12" or
greater
Direct Deck Application
Hanson Barrel Tile
6.70
0.263
Table 2: Restoring Moments due to Gravity - M (ft-Ibf)
Tile
Profile
3 " 12"
4 ": 12"
5 ": 12"
6 ": 12"
7 " :.12" or
greater
Hanson Barrel Tile
6.80
6.70
6.56
6.39
6.21
4. INSTALLATION
4.1 Hanson Barrel Concrete Roof Tile and its components shall be installed in strict compliance
with Roofing Application Standard RAS 120.
4.2 Data For Attachment Calculations
6. BUILDING PERMIT REQUIREMENTS
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 ".
• • •
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00 • 000 0
....
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6.1 Application for building permit shall be accompanied by copies of thh'fbIlb ving: ..
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or' ljeable 414iirg
code in order to properly evaluate the installation of this systeT... ....
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NOA No.: 03- 0102.01
Expiration Date: 12/16/07
Approval Date: 01/03/03
Page 4 of 5
PROFILE DRAWINGS
HANSON BARREL CONCRETE ROOF TILE
BARREL TILE
END OF THIS ACCEPTANCE
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NOA No.: 03- 0102.01
Expiration Date: 12/16/07
Approval Date: 01/03/03
Page 5 of 5
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HOU 11 2004 08:34 FR ERADCO
•
•
Isoll AM 1.0
ACCEPTANCE NO.: {)t- rN21A2
F�+'P11Y1CS: O /itti2i106
Alit ►ROVEL): (16/11 /2not
SUPPLY
305 836 2152 TO 3057588484 P.01
!N1I,01l -DADE COUNTY. FLORIDA
METRO -DAIOE FLAG LEP. BUILDING
jgODUCTLONTT OL NOTICE or ACCEPTANCE
Polytonal Products, Inc.
2400 Staring- Stucbner float!
Spring ,TX. 77383 -1132
The expense of such testing will be incurred by the manufacturer.
This application for Product Approvtll Itas
Code and Product Review Committee to be
Carib above.
fU1LPtl' O Cone COMPLIANCE OFFICE
riCTRO -Caul: rl.:\cLCi et;ILotNCi
1.10 wlls'r ri.ci.r;►t S• rrtr;r1 I: I
iAIrtrril. r LOAll)r13)iJn - 1S6:1
005)375 FA'< i:105) 375 29I1X
c; ;Wr1tAc. I.trt:4,tr+r. sI_r-rtta
(.1W) 3"$-21 FAN (JOS) P P":.$511
CC1N'1'itACI'OII I•tNPo,tC£ ?1I:N'I DiVI$loN
(L)) 75 -2VGL VAN (3t)) )71.24I
PROD VC. F COrTIt0 DIVISION
04S1375.243i PAS (Ni) 3'e-u))'1
Your application for Notice of acceptance (NOA) of:
"Iwo Component Polyurcthenc Vo:am Adhesive
ultder Chapter S of the Code of Miami -Dade County governing the use of Alternate Materials anti Types of
Corlstruelion, and completely described herein, has beta recommended for acceptance by the Ltiami•Dadt
County Building Code Compliance Office (BCCO) under the conditions specified herein.
Tltis NOA shall not be valid alter the expiration dart stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer'° pirot for duality control testing, If this
1.)rOduct or material fails to perform in the approved manner, BCC() may revoke, modify, or suspend the
Ilse: of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
deterniaeu by BCCO that this product or material fails to meet the requirements of the South Florida
l3uildirt(; Coda.
Raul Rodriguez
Cluef product Control Division
THIS TS rl cove 11GFT rM At) f '11714AL P1t.CF.S FO! t S1' inc. AN!) c 1:Nt IZrII.
coNpJTIONS
ritJlLDtNG CODE•. & PRODUCT RP;vtrW COININIITTEE
been reviewed by the i3CCD and approved by the Building
used in Miatni -Dade County, Florida under the conditions set
t��" I 4A„, •
((///// • •
• • •••• •
1=rancisca J!€ 11IIIIf a. R.A. •
Dtri ctr,7r • ••
rvli, = „ i- n.+tn•enenty • ' • •
lluiltlin c 81,!rlinpli,m!egr iee • •
• •••• ••••
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'.trO454Qt)t\pe70l)t1 ietnnlo4eahecica acceFlAnce co,e0 plle.
It%Icrnct m » II address: rostmrsler dy,iildiuccncleonlinc.cuin , Houtl:p:ct;e.: II It 11W 4.bUt 'OCi C311 iinc.CQ%n
•
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Noy 11 2004 08:35 FR BRADCO SUPPLY
• Pnl.vfnam Products. Inc. ACCEPTANCE No.: 01- 0521.02
' ROOFING ASSEMBLY APPROVAi.
C:i(ec:rt Roofing Approvai Dale: June 141 2001
Suh- C:ttct c ry: Roof Tile Adhesive
Polyurethane
SCOPE
This approves Polyprod All t(i0 to manufactured by Poly foam Products, Inc. as
described in Section 2 of this Notice at'Acceptance. For the locations where the design
pressure requirements. as determined by applicable builcIitlg code, does not exceed the
design pressure values obtained by calculations in compliance with Roofing Application
Standard RAS 1.27, for use with approved tint, low, and high profile root tileb system using
PnlyproM) AH 160. Where the attachment czlculatioas are done as a moment based system
for single patty placement, and as an uplift based system for double patty systems
2. PRODT?CT DILSCRIPT(ON
Manufactured by Test Product
A.rplicant Dimensions $PCCifiCntinns T�escr'intion
Polypro* Aii160 N/A PA 101 Two co mpenenc
polyuretiio.ne
Dispensing Equipment
roarnpra0b Rrr 1000 N/A
ProPacktli) 30 Se 100 N/A
�.1
Components or products ntanufnctured by others: •
Any Mianti -Dade County Product Control Acccptcc RaorTile Assembly having a current NOA
which list uplift resistaltrc vatucs with lltc use of Palypro Al 1160 roof rile adhesive.
2.2 . Typical Physical Properties:
1'r inert Test
Density ASTM D 1622
Compressive ASTM D 1621
Streri th
Tensile Strength
Water Absorption
Mo +shire Vapor
Transmission
Di i t nsion:11
Stability
ASTM 1:t 1623
ASTM D 2127
ASTM E 96
ASTM D 2126
2
305 838 2152 TO 3057589484 P.02
1.6 lbsJft.
1$ PS1 Pnraltol to rise
12 PST Perpendicular to rise
28 PSI Parallel to rise
0.08 Lb5.lr't
3. 1 Perm / Inch
Expiration Date: M:I,v 10, 2006
fZC$pll4
(Dispensing Equipment
• • •
S. •
- +0M7% Volume ChantzG cd -40 rt.i••••
weeks
Voltinic Ci zt'i t; X11 5 .n
l
!midi! y. 2 ■ec:ti,: �-..
. .•. •
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....
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•
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Prank Zuloaua, J? RC •
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Product Cotltroriz moil • •••
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305 836 2152 TO 3057588484
Polyfonm Products, Inc,
ACC[l'T; \NCB. No.: 01-052 t.02
Note: The ph.ysicul properties listed above are presented as typical nvcrit values ns dctcnuiired by
accepted ASThj test metho :ind ;Ire subject to nor'runi m:uturnduring variation.
3. LIMITATIONS
3,1 Fire classification is not ptart of this acccplac,cc. Refer to the hrep;tred Roof Tilc
Assembly for tire ratir.t!
3 . 3
3_3 Palyproe API 160 shall solely be used with fit, low, �f: hic�h dtc profiles.
Minimum underlayments shall be in compliance with the hoofing AppliCatiott
Standard RAS 120.
3.4 RoofTile manufactures atcluiring acceptance for the use etPotypro0 AI•I160 roof
3.5
tile adhesive with their tile assemblies shill test in , Accordance with PA I01.
Hoof Tile manufactures acquiring; acceptance for two paddy placement with the
use of Poiyproe Af 160 roof tile adhesive with their tile assemblies shall test in
accordance with PA 101.and with section l0,4 as modified herein.
j' ` w
Noy 11 2004 08:35 FR BRADCO SUPPL`r'
M
S. INSTALLATION
4.1 Polypror& AI may be used with any roof the asses Sly having a current NOA th
lists uplift resistance value with the use or ?olyproe .A1 -11 60.
4 .2 Polyproi3 A11160 shall be applied in compliance w.vith the Component Application
section and the corresponding Placement Details noted herein The roof tile
assembly's adhesive attachment with the use or Polypror Al-1160 shall provick
sufficient attachment resistance, cr•orescd as an uplift based system, to meet or exceed
the uplift resistance determined in compliance with ivliami - Dide County Roofing
Application Standards R.AS 127. The adhesive attachment data is noted in the root'
tilt assembly NOA
4.3 Polyproe A(R160 roof tile adhesive and its components shall be installed in
accordance with Retiring Application Standard 12.AS 120 and t foam Products
Polypreef AEI160 Operating Instruction and Maintenance Booljlcy Inc,
4.4 Installation must be by Factory Trained 'Qualified Applicator' approved and licensed
by Polyfoanl Products, Inc. Polyfoam Products Inc. shall supply a list of approved
applicators to the authority havinz jurisdiciion.
4 .5 Calibration of the Foamprog dispensintj eequipment is required before application or,••••,
"Al
airy adhesive. The mix ratio between the component and tha "0" Campptent shall'•'
•
be maintained between I.0 -1 , l S (A) : 1.0
Q), The dispense ? tinier shall bC'Set ••• '
deliver 0.0 175 to 0.15 p ound � • .
per tile as determined at calibration. No •'
shall' be approved. ar .•.• r ttinss
4.6 1'olypro; , A11 i60 sltnll be applied wills I oninpro kT . •••c •
!00 • •••• •
4.6 t �If�OC or I'rrol'1c1; �••••'
dispensing equipment only.
•.. • • '
�.7 I'olyproei A1-1160 shill not be exposed perInuently to sunit� '" •�-'• ""''`-
_ •
• • tr.,ik1u�lc�;t•z • •• •
•
It12C •• •
Prodttet Control Cxattliner
P.03
•
•
•
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NOLJ 11 2004 06:36 FR BRADCO
Pot •f2 u Products, Inc
g rU P F> LY
4.8 Tiles must be adhered in freshly applied adhesive Tile nt.ist be sot within 2' to 3
minutes after PolyprotD A }I 160 has beer, dispensed.
4.9 Polypro0 Al 6C placement and minimum patty wen,, itr shall be in accordance with
the 'Placement Detaiis' herein. racit,�eneric rile profile requires the specilic placement
noted herein.
�_____�� 'Y'nbI 1: AdJ esiv4 f ° I;rcertterrt I or Ir »crt C `– " "^- ---� --
Y'ilel `— --- Cncr�c'1'itC J rptilC
! lacement i Single ?nth!). 'Weight 77 Toddy Weight 1
I betarl 1 Milt. (I;r:►ts) l
tat, Low Ili Eh ProFlc3 '� -- nuns) � - 35
17/side on cap nrnJ
Flat. Loty. High Profilt;s y i �tl u
f lot, Lo I huh Profiles ( j j -- 2.4 N ���.
�— _—
>' r l
I CH�Ir Pronic (? Piece barr el) •,l
S. LABELING
A11 PolyproS .S11I60 containers shall comply with the Standard Conditions listed herein.
G. nirILDTNC PERMIT REQUIREMENTS
6.1 As required by the Building Official or a Building , r
properly evaluate the installation of this syscern Li tt l .,n bode in order to
4
305 836 2152 TO 3057586484
ACCEP1':.\NCE N0 . t?I- 0521.02
N/A
• •
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I. ••
•
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•
Prank Zuloa.ya, RAC
Product Control Examiner
•
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NO0 11 2004 08:36 FR BRHDCC1 SUPPLY
1411 Gloato
Nar( IMJYj}h Oa lac 44.,1:!1
i 61"tarlearl \ f
P 9 { y for Produ Ajtic.
L . WVI9611i1'
{aH UAW /4 awe!" 4 n,;
uen •:414.4.4
NJiI LIM:211 pI4I11e 9emenl
Hall INiuph ;ls�!Ic
V I
t 'I Cwnt tN1Y
rue 3:,1111.4 1.4r5t
1 n, u; I:lm tatopNdn
htelapn
t h f
a jljo
'Cs'N
I.4 :14,14
9103 (Wrenn nkl
•—• i341 Clam,
305 836 2152 TO :30575884184
ACCEPTANCE No. ; QI- 053[.02
A U1 [ES1 Vt PLACEMENT DET,ur_ 1
S +NCLE C';1'rry
rtuk
• 4..0414
tnI ri
dd0 4404
II Plitt 04411 0dntrmr In ititrrt 11197] n4't4 •.r
lawn fnlI 4 fn ;1/ 4441 Op tan uk eeP D J F.totnnl
1; " rltttl vpl;a9 44.441. ?be, trheth, !� k
f9 111.1t with. t 1 0o if ctlrr 04.
Ih.n mtlell u9 h..
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gnu ccv ouy.
Reap 901rett 4't 14
41A. 40 fine .t tph old y
far, Cent.
it4Tj i90nli!R 19+(
C
Nad IiI /NMI OA II or 44m, 4f
■%Pones
411•4
11..
wn IIIa9. (mum 44vot4d . °. ` \\
as∎ ,"
4 . 11 4141 , 01. f
cty death
44 tt;llcit
inWal 1119.4}
40.trt tet et We
Mut L, 1t4en2 1tur1w ur
hick at
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I: rtulk L : t ioa61, R, Q.fi • • ••• • •
Product Control E, • • •
�min�r • • •
1":".
Noy 11 2004 08:37 FP BRALCO SUPPLY
•
Lj Foartl Prodnets.j „c
rtdl! throv0r plastl, cemtnr
Undvi.rment
I
7 In
ACCEPTANCE No.: 01- 0521.012
ADlIESI l L CEME1%,T DCT,11L 2
SINGLE, I'Ar y
` 4 F aien3enedth Tie)
305 836 2152 TO 3057508484
Ns\
( \7■ \
Cf
Elie Zs„nr .�
1 '4 1 Lroup hpD I tic cm:tit `— —•_
�` �. P a Itlenc.:A'.hl
Untlarlaynlonl \ Yom\ I
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ue . _
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6
daft ova ugh paett^ CrMCnt
' iaady VIA 3 11 1 no)
Un0e111ymeni , �/
file C.eeu,«
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Product Control Examiner
• •
P.006
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'Apo 11 2004 08:37 FP BPADCO 6UPPL`r
ablaap, Producis, Inc.
Nail through plastic ceMOnt
NlttA
! e] in.
Single paddy an
unaer
leym�l
e�
Single Daddy
sin lop of tit
_ .
in. t 7 is medium
Sias Daddy te4s
Faris courso nely
Single paddy
OcrwCtn the
J
Simile paddy
under file
ADI1ESWYL•" PLACEMENT DC AIL 3
DOUBLE PATTY
P M't
(bet plan IN
„
Hair through pins Ic cement
.k
' 4" 3 In. s 3 in.
Single paddy
on andersaymenl
Single )addy
On 10D a1I o
East Coerse
305 836 2152 TO 3057586484
ACCEPTANCE. No. _ OI- 0521.02
4ai{ thrcugn plant : _ecueI
Underlay /nee' \ !
I In, e7In.
Single
paddy on
under. L
laynlent
(Jr.. 21n.
Single paddy
on to p of rite
:suns
fact asure
2In. e 7 I. medium
site paddy ea%s courso only
Fascia
• •
• • •
•• . •
•
Single paddy under lie
Single paddy between Iltc
2 In. e T in. medium
not paddy cave
covert only
••• •
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•
•
rralik ZuluZeT ill +C• ••••••
!'rudttct Co1141 Eiliiincr •..•
•• • • • • •
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P. 07
hula
Weephate
'toys closure
04 rage
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!IOU l t 2004 08:37 FR BRADCO SUPPLY
T olvf41n1 Pr tucts file,
I. :
Rcn�l�:'7( of :his Azceptancc (
and the f o f 1(s ppr).al) slr :tll be considered submitted documcttt:;, irtcl;l�'ling iest -,I• al:cr a data, e 1 `�tl v e'ri n t: d o c t h�,
older than ci gilt li Itt )r,rtiu been `!cd
' b � ) y'C:ifi. t S d:.tt1, cnylllurrrnl: docu'ncnt.;, are 110
'
Any all ar;d approved products shall be pant :only Iab�icl.1 t1i1h the ,nanat•nc:urur's name, city,
s1c° - st:,temert: " -D : ,_
E ci;rcally stared in clic specific r-ouditians o, this Acc`Ctint:v. !'roduci Control apprtwal" or A$ 3 Renewals or Acct tancc wit! lalanrc.
P ,I not be ca r,:
There h,•u been 1 cltarll;l_: in the Florida
d if
�.
product and the product is nor in (t:D the code ch:;n es
b C.uJr :tt•tcct:r,� the. cv:tl
b. The (t- ocJuwt is nc longer the same , _ r 11: tort of tlii;:
prodLier .
If the Acceptance holder his riot corn licdr nvi as the one originally approved.
including P Jr a the rctruirl:cnt o( thstcce�;
S qlc correct installation ache product.
u. The cn yin • ` r t ulc�,
b e r 11h0 or,girtnlly prepared, signed and 4
submitted, is 110 lonScr practicing t 1 ^gated the required ocun
the engineering r 11:nt;111D11 Inrcllll;,
.t.
Any p ares,ian
}' rcvlalC)n Or f'hg11'r•
be in the Materials, use, and.'or ni:IrlUf ctii7C
automatically b, cause (Df termination � r c
of the product or motes shall
requested (thn tl��h the tiling �ti Acct�Atancc, unless prior
office, b of a revision application with appropriate pr Gr t� rirrcn spprav al his. been
Nl �priate lo..) and rrz,tted by ;Jlis
�• Any aflltu f shall also be p .
a. 1 Jnsatjsf. 0 ,rounds for removal of ibis Atecp panc..
ry performa of this product or prrscess•
b acceptance as an eadouentent or al ty pre�lucr, cr
ti The i ales, advertising Or any
other purposes.
11G Notrre or Acceptance number ! edcd b
by the expiration )rez
hi 'pion deer oily be !• :he 11•arws ,�ti;tru- Celtic Co;liut•,
1tecLIIt c p I$ diSplaye thenbrshallbe one nitsrentir'et�rtcrltt,rr,�_ !f ,,n`• Florida, and followed
portion of the Notice of
7 A Cop }' of this Acceptanc as l , well
be. provided CO the user by Ere ntolnui 1 distributors and
S nd other hall documents, ,1 it i Sp ic3, shall
the job site at all tint,:. The cnginocr, iced not reseal the copies.
shall (�� ;vailabl;; ; ^r Ir It
d, s to comply with any Section of this Acceptance shall be r c .
Acccptlnc`• au.c Car termination and removal of
9 . This Notice of Acceptance consists of pages I through $•
305 836 2152 TO 3057588484
ACCEPT.1NC'E No, , C I - Qti4l,
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END 0 i IS ACCEPTANCE
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1
MIAMI SHORES VILLAGE
BUILDIN" INSPECTION DEPARTMEN•
- APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the det, iled statemen• of the plans and specifications herewith submitted for the build-
ing or o h.. :ructure her r described. This ri- licatic is made in compliance and con•o'm ty w.th the Building Ordinance of Mia ii
Shores Village, I and all pro. isions of the Laws cf the State of Fkrid. all o d-nances .,f Mi m Shores Village and all rules and
regu'anon, of the Building Div.. i of .ram Shot illage 1• 'I e o ipl.ed with, whether herein specified or not. A copy of approved
plans and specrficatr or must be kei . at burtding durin progress of tl.e wcrk.
Date itlay__20 , 19..x54
Owner'. Name and Address _ idney__1,4_r__.Weis8 -- No. __12l__N - -E Street_. _ ]QQS•b. Miami—Shores
Registered Architect and /or Engineer.
.nd address of licen•ed contractor.
Location and legal description of lot to be built on:
Lot. Block ___.. Subdivision
Street and Number where work is to be done_ Same
STATE OF FLORIDA,
COUNTY OF DADE. ss.
State work to be done and purpose of building (by floors)
Ili Inspector My Commission Expires.
PLANNING BOARD DATE
Chairman Member - --- -- -- -- -- -
Member __ __ _ _ ___ Member
Member _ .__ . Member
Council Approved- Date Disapproved
FterQa '_ _ with__ _red __bnrrsl.__tile_._..roof,
-- - and for no other purpose.
New Building_ Remodeling__ ___ _ __. Addition____ ____ ___ ___ _ Repairs_ - _ - No. of Stories
To be constructed of ___ _ _ Kind of foundation -. . Roof Covering_.
Estimated 's atal cost of improvements $__. •100Q 0 00 Amount c Permit $__ .
Zone -ubage required_ ___ _Plan Cubage
Distance to next nearest building__ _ _ _ _._Size of Building Lot
Maximum live load to be borne by each floor_. _ . ----- ___
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 unde signed appli -ant for this building permit does hereby certify fiat he understands and accepts his ,•bligations as an employer
of 1 bor under he Florida Workmen's Compensation Act bong S. , tion 5966 Coi p led Gen al Laws of Florida P r anon. Stipple Went,
and h s compl ed with he prov ':ions thereof, and will require s•milar comp lance from all contractors or sub - contractors emplo •ed by him
in the work to be p' rf -, -med under th "s pern it and • ill post or.cause to be posted for inspection on the site of the work su :h public: noh• e
or otices as are requir• d by the Act. The u..d. r fgn. -d agrees to employ only such abcontr- ctors, on work to be perform d . der this
permit as are licensed by M am: Shores Nil:: ge.
Remarks_- (Signed)._ -- C . E.. Bowen
Before me, the undersigned authority, a notary public, duly authorized to administer oaths “nd take acknowledgments, personally r p-
peared _.
.to me well known,
and who, being by me first d.ly sworn, upon oath deposes and says that he is the
of th abov. de,c -ibed •ustruction t:.: h. has careially read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are tr re.
Permit No. 02O (_.__ Date__ S CZ - Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public State of Florida
NOTE: A charge of $1.00 will be made for making corrections or changes to this application rfh•.r approval h-is been obtained from
the Plam':ng Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is mu de necessary by improper notice for inspe:-t•or or fa. +ty
materials and /or workmanship.
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Date