1235 NE 100 St (15)LG ENGINEERING SERVICES, INC.
Consulting Engineers
North Office:
7370 N.W. 36th Street
Suite 374
Miami, Florida 33166
Tel: (305) 994 -8128 Fax: (305) 994 -8135
Suntech Construction, Inc.
P.O. Box 01014
Miami, Florida
Project:
Dear Sirs;
South Office:
13380 S.W. 131 Street
Suite 120
Miami, Florida 33186
TILE UPLIFT TEST
De Thomas Residence
1235 Northeast 100 Street
Miami Shores, Florida
Information provided by client:
Permit Number: 44240
Date Completion: April 8, 1999
Roofing Contractor: Space Age Roof Tech
LG Engineering Services, Inc. Project Number: LG99 - 0481
(Testing Laboratory Certification # 95- 0607.05)
C • 1 • V• 1•
E•N•G•I•N•E•E•R
April 23, 1999
In accordance with your request and authorization, a representative of LG Engineering Services,
Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was
performed in general accordance with Protocol PA 106 -94 -- Field static uplift test for mortar or
adhesive set tile systems and mechanically attached, rigid, discontinuous roof systems.
The total of the tested roof surface area was less than 5000 square feet, and the mean height of
the roof is less than 15 feet above ground surface. The type of tile used for this project was
reported to be Spanish "S" Roof Tile. This tile was reported to have been foamed in place.
At the time of this testing, a total of forty -five (45) tests were conducted; ten (10) at the roof
perimeter and ten (10) at the roof corner and twenty -five (25) in the field area. More than 5%
of the roof tile located in the field area and more than 10% of the roof tile at the roof perimeter
were physically examined.
Based on our test results, we conclude that the installation of the roof tile. at. the above referenced
project meets the test requirement outlined in the above mentioned protocol. Attached please find
a copy of our test report for you review.
LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you
have any questions or if we may be of further assistance, please do not hesitate to contact the
undersigned.
Respectfully submitted;
LG Engineering Services, Inc.
hamad Sonny Salle if. P
roject Manager
T1LE_UPLIEJ EST
De Thomas Residence
1235 Northeast 100 Street
Miami Shores, Florida
Report of
TILE UPLIFT TEST
for
De Thomas Residence
1235 Northeast 100 Street
Miami Shores, Florida
Permit Number: 44240
Test Number
1C
2C
3C
4C
5C
6C
7C
8C
9C
10C
11P
12P
13P
14P
15P
16P
17P
18P
19P
20P
21F
22F
23F
Test Load >(lbf)
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
Test Status
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number: 44240 , Page 1
Test Number
24F
25F
26F
27F
28F
29F
30F
31F
32F
33F
34F
35F
36F
37F
38F
39F
40F
41F
42F
43F
44F
45F
Test .Load•
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
35
Test Status
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Note:-
C = Corner
P = Perimeter
F = Field area
LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number: 44240, Page 2
North)
Q LI
1b
to
33 /
35
31-
2- 4
55'
22
D
21
Iq
t
/ 4.3
11
41
3
cr
try
12
Approximate Test Location
LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number. 44240 , Page 3
tami Shores Village, Fla.
fi
"..OWNER 22 7'2/T DATE 7 -) / 7
ir /03 /eir. C e 7
Tz.,E
INS PECTION _.2..el'eP-?4
TIME READY -1 ; itm
1 / Z- 4 - 7." Ve
PERMIT NO.
t -c
CONTRACTOR /2"
TELEPHONE NO. 2 )67.5 -7 s" 3 3(
INSPECTOR
.
1
1
77.1..1
DATE 7) .
Miami Shores Village, Fla.
OWNER j) 7 e— DATE a ! O 1 c9- �J
ADDRESS /0 3 /L/, /D
INSPECTION 1 --.—v ' r f t 7
TIME READY
PERMIT NO. 4141,72 `/C
CONTRACTOR !J ��� ���
4
TELEPHONE NO.
INSPECTOR *DATE
J
Contractor's Name: Space Age Roof Tech Job Address: 1235 N.E 100 Sires NGami Shores, Rorida
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) El (M
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft Sloged Roof Area (ft2) 3'400 Total (ft2) 3'43° Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7-88 table 1): 1
Ft
n
v
Ft.
A
Deck type:
ATTACHMENT
Fastener Type:
Field:
SPA CING.
Perimeter: Corner:
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
i
r
r
r
r
'1
ROOF PLAN
2
4
r
Tile)
Rldj. Ventilation?
N/A
MEAN HEIGHT 1
(Pmaxl:
(Pmax2:
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
SLOPED SYSTEM DESCRIPTION
13"
ROO) .LOT'
D E T A I L 3
Fastener type & spacing:
Cap Sheet:
Roo fCovering:
Drip edge:
TILE CALCULATIONS
72.3x ? (Aerodynamic M 22.41 ) - M : 7.10 =15.31
1173 x, (Aerodynamic MultipIier) ) - M = 9.26
(Pmax3: 1173x ? (Aerod Multiplier)3 ) - M = 49.26
1 1/4" rs nail with 1 5/8" tin cap (9" laps & 12' field)
90# astm slate mopped on wits hot asphalt
Metro Spanish -S cement tile
Page -2
3" x 3" galvanized eave drip
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
PCA: OK
pC,e6.5 OK
PC /6.6.5 OK
•
PRODUCT CONTROL NOTICE OF ACCEPT
Metro Roof Tile, Inc.
11501 Northwest 117 Way
Medley, Fl. 33178
• METROPOLITAN DADE COUNTY, FLO:
. METRO -DADE FLAGLER BUILT
ANCE
BUILDING CODE COMPLIANCE Of
METRO-DADE FLAGLER OUIL
140 WEST FLAGLER STREET. SUITE
MIAMI. FLORIDA 33130
(305) 375
FAX (305) 375
PRODUCT CONTROL DIVI
(305) 375
FAX (305) 372
Your application for Product Approval of:
Metro Roof Tile, Nail -On, Mortar Set, or Adhesive Set "Spanish S" Roofing Tile
under Chapter 8 of the Miami-Dade County Codc governing the use of Alternate Materials and "Types
of Construction, and completely described in the plans, specifications and calculations as submitted by:
Rcdland Technologies, The Center for Applied Engineering, Inc. and Tcs(wcll 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 -1 1 and the standard conditions on
page 12.
'Phis approval shall not be valid after the expiration date stated below. The Building Code Compliance
Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's
plant for quality control testing. If this product or material fails to perform in the approved manner, the
Building Code Compliance Office may revoke, modify, or suspend the use of such product or material
immediately. The Building Codc Compliance Office reserves the right to revoke this approval, if it is
determined by the Building Code Compliance Office that this product or material fails to meet the
requirements of the South Florida Building Code.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 98- 0423.10 Renews: 94- 1017.01
I:X1'IRF.S: 06/04/01 G(taul Rodrig%te.
Product Control Supervisor
THIS IS'1 THE COVERS11EI I•. SEE AI)DFI'IONAL I'A( ;ES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application fur Product Approval has been reviewed by the Miami -Dade County Building Code
Compliance Oflicc and approved by Ilse Ituildinl; Coif Committee to be used in Dade County, Florida
under the conditions set forth above.
APPROVED: 06/041/9H
Charles Danger, 1'.11.
Director
Building Code Compliance Dept.
Miami -Dade County
ME I'lio Roof 'I'rI,E INC.
Rainproof!!
Product
Spanish 'S'
Concrete Root
Trim Pieces
Product
Lcnzingtex -ZB
Undcrlayment
lee and Water
Shield
TRADE NAMES OF PRODUCTS MANUFACTURED Olt
LABELED BY APPLICANT
Test
Dimensions SLecifications
1= 18"
w == 10 t'"
%2" thick
= varies
w = varies
varying
thickness
PA 112
Product Control No.: 98- 0423.10
Product
Description
lligh profile, interlocking, one-
piece, 'S' shaped, concrete roof tile
equipped with two nail holes. For
nail -on, mortar or adhesive set
applications.
PA 112 Accessory trim, clay roof pieces for
use at hips, rakes, ridges and valley
terminations. Manufactured for
each tile profile.
TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS
'Pest Product
Dimensions Specifications Descri Manufacturer
140 59" x 164' roll PA 104 Single ply, nail -on
22 Ibsfro:I urdcrlayment.
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
I'A 104
36" x 75' ruI1 I'A 103
Page 2of12
Single ply. nail -on
underlayment with
2" self- adhering top
edge.
Self- adhering
underlayment for
use as a top ply in a
two ply
underlayment
system with
Approved 1130 or
1113 as the base
.: layer_
2
Lenzing
Performance, Inc.
with current PCA
Protect -O -Wrap,
Inc.
with current PCA
W.IZ. Grace Co.
wish current PCA
METRO ROOF TILE INC. Product Control No.: 98- 0423.1(
Product
Wood 13attens
Tile Nails
Tile Screws
Roof Tile Mortar
( "TileTtteT "'")
Roof Tile Mortar
("Quikrete® Rool'
'file Mortar ")
Roof Tile Mortar
( "I3ONSALO Roof
Tile rvlortar Mix ")
Roof Tile Adhesive
(Polyproe Alt 160)
Dimensions
vertical
min. 1" x 4"
horizontal
min. 1" x 4" for use
with vertical
battens or
min. 1" x 2" for use
alone
min. 8d x 2'/2" or
min. 10d x 3"
118 x 2'/2" long
0.335" head dia.
0.131" shank dia.
0.175" screw thread
diameter
N/A
N/A
N/A
N/A
Test
Specifications
Wood Preservers Salt pressure treated
Institute LP - 2 or decay resistant
lumber battens
PA 114
Appendix E
PA 114
Appendix f:
PA 123
PA 123
1'A 123
I'A110
Page 3 of 12
Product
Description
Corrosion resistant,
screw or smooth
shank nails.
Corrosion resistant,
coated, square
drive, coarse thread
wood screws
Prcparcd mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof the
applications:
Prepared mortar
inix designed for
mortar set roof tile
applications.
Adhesive designed
for use in roof tilt
applications.
Manufacturer
generic
generic
generic
Bermuda Roof
Company, Inc.
with current PCA
Quikrete
Construction
Products
with current I'CA
W.R. Bonsai Co.
with current PCA
Polyloam Products
Inc.
with current 1'CA
ME'I'12O ROOF TILE INC. Product Control No.: 98- 0423.11
Test
Product Dimensions SLccilications
Hurricane Clip & Clips PA 114
Fasteners min. '," width Appendix 1?
min. 0.060" thick
Clip Fasteners
min. 8d x I'' 'A"
Page 4 of 12
Corrosion resistant
bronze, aluminum,
stainless steel,
galvanized steel or
plastic attachment
clips for
supplemental tile
attachment. Clips
arc installed with
corrosion resistant
roofing nails
compatible with the
clip.
Product
Description
Manufacturer
generic
METRO ROOF TILE INC. Product Control No.: 9R- 0423.10
EVIDENCE SUBMITTED
Test Agency Test Identifier Test Name /Report Date
Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991
Appendix 111 PA 102
Redland Technologies 7161 -03 Static Uplift Testing Dec. 1991
Appendix III PA 102(A)
The Center for App!iecl 25- 7200 -1 Static Uplift Testing Feb. 1995
Engineering, Inc. PA 102
(Quik -Drive Screws,
flattens)
The Center for Applied 94 -0S4 Static Uplift Testing May 1994
Engineering, Inc. PA 101
The Center for Applied 94 -083 Static Uplift Testing April, 1994
Engineering, Inc. PA 101
(Adhesive Set)
Redland Technologies
Rcdland Technologies
Redland "Technologies
Rcdland Technologies
The Center for Applied
Engineering, Inc.
Tcstwcll Craig
Laboratories &
Consultants, Inc.
716I -03
Appendix 1I
Report Dated
Aug. I, 1994
P0647 -0 i
PO402 Withdrawal Resistance Sept. 1993
Testing of smooth vs.
screw shank nails
Project No. 307024
Test IIMDC -73
Lab ll:I:A -22
Tech: G. Suarez
Page 5 of 12
Window Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA-I08
(Nail -On)
Dec. 1991
Aug. 1994
Wincl Tunnel Testing Aug. 1994
PA-I08
(Mortar Set)
Wind Driven Rain Oct. 1994
PA 100
physical Properties Sept. 1994
PA 112
METRO ROOF TILE INC. Product Control No.: 9H- 0423.10
SYSTEMS
SYSTEM A: Counter - Batten Application
Deck Type: Wood, Non - insulated
Deck Description: New Construction
19/ or greater plywood or wood plank.
2 ":12" to 7 ":12"
Note: Counter - Battens, as noted below, are rcgtiircd for slope range
2 ":12" to less than 4 ":12" and are optional for slopes of 4 ":1 to
7 ":12 ". For slopes exceeding 7 ":12 ", refer to System C.
Undcrlayment: Install undcrlayment system in compliance with Miami -Dade County hoofing
Application Standard PA 118.
Vertical Battens: install vertical battens in compliance with Miami -Dade County Roofing
Application Standard PA 118
Slope Range:
Horizontal Battens: ..install horizontal battens in compliance with Miami -Dade County Roofing
Application Standard PA 118.
Roofing 'rile: Install tile in compliance with Miami -Dade County Roofing Application
Standard PA 118. (See "Data for Attachment Calculations" included in this
Approval.)
Con 1. For re -roof applications, 15/32" plywood is an acceptable substrate.
Page 6 of 12
METRO ROOF TILE INC. Product Control No.: 98- 0423.1
SYSTEM II: Direct Deck Application
Deck Type: . Woad, Non - insulated
Deck Description: New construction 19 /32" or greater plywood or wood plank.
Slope Range: 4 ":12" to 7":12"
Note: System I3 is only acceptable in this slope range. For slopes less than
4 ":12 ", refer to System A. For slopes in excess of 7 ":12 ", refer to
System C.
Underlaymen1:
Roofing "File:
Install underlaymcnt system in compliance with Miami -Dade County Roofing
Application Standard PA 1 18.
Install the in compliance with Miami -Dade County Roofing Application
Standard PA 118. (Sec "Data for Attachment Calculations" included in this
Approval.)
SYSTEMS
(CONTINUED)
Comments: 1. For re -roof applications, 15 /32" plywood is an acceptable substrate.
Page 7 of 12
•
METRO ROOF TILE INC. Product Control No.: 98- 0423.10
SYSTEMS
(CONTINUED)
SYS'T'EM D: Mortar or Adhesive Set Application
Dec lc Type: Wood, Non - insulated
Decic Description: New construction 19 /32" or greater plywood or wood plank.
Slope Range: 2 ":12" to 7 ":12"
Note: System D is only acceptable in this slope range. For slopes in excess
of 7 ":12 ", refer to System C.
Underlayment:
Roofing Tile:
Install underlayment system in compliance with Miami -Dade County Roofing
Application Standard PA 120. (See System Limitation 115.)
Install tile in compliance with Miami -Dade County hooting Application
Standard PA 120. (Sec "Data for Attachment Calculations" included in this
Approval.)
Con I. For re -roof applications, 1 5 /32" plywood is an acceptable substrate.
Page S of 12
METRO ROOF TILE INC.
Product Control No.: 98- 0423.1(
SYSTEM LIMITATIONS
►.
The standard minimum roof pitch for Metro Roof Tile's "Spanish S ", flat profile tile shall comply
with Miami -Dade County Rooting Application Standards PA 118 or PA 120, depending on the
method of installation.
2. For nail -on applications, fasteners for mechanical ettachment of tiles shall have a head diameter
larger than that of the preformed holes in the tile.
3. System installation shall be in compliance
attachment J shall provide specifications
sufficient attachment es
Control Approval. The method of
expressed as a moment to meet or exceed the required moment of resistance determined in .
compliance with Miami -Dade County Protocol PA 115 or PA 127. The 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, n field static uplift test by a Miami-Dade County
accredited testing agency, in compliance with Miami Dade County Protocol PA 106, shall be
performed.
5. For mortar set tile applica :ions, 30/90 hot mopped underlayment applications may be installed
perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacture!
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 pennies 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 i
the proposed tilt application. Reference shall be made to appropriate data for the required fire
rating.
8. The applicant shall retain the services of a Miami -Dade County certified testing laboratory to
maintain quality control in compliance with the South Floiida Building Code and related o'A'`
Samples taken shall be in compliance with Miami -Dade County Protocol i A 112, Appendix
9 or 12
i•
re
Table 2: Restoring Moments due to Gravity - M. (ft -Ibf)
Tile
Profile
3 ":12"
4 ":12"
5 ":12"
6 ":12"
7 ":12" or
greater
1 nail
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Metro Roof
Tile Concrete
Flat
6.70
7.10
6.60
7.00
6.46
6.84
6.30
6.67
4.08
N/A
Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf)
for Nail -On Systems
Tile
Profile
Tile
Application
Approved
Nails
•
Approved
Screws
Approved
Field Clip
With:
Approved
Eave Clip
With:
1 nail
2 nails
1
screw
2
screws
1 nail
2 nails
1 nail
2 nails
Metro hoof
Tile Concrete
Flat
Battens
N/A
N/A
N/A
26.80
N/A
N/A
N/A
N/A
Direct Deck
6.20
8.40
28.70
31.80
21.20
25.30
26.90
34.90
1 Data noted in Table 3 is for instal
ation with a 3" tile headlan
METRO ROOF TILE INC.
DATA FOR ATTACHMENT
CALCULATIONS
Product Control No.: 98 - 0423.1
Tile
Profile
Metro Roof "file Spanish 'S' Tile
Table 1: Aerodynamic Multipliers -
X (ft')
Batten Application
0.29
PP
(ft')
X (ft')
Direct Deck A
.0.31
lication
2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others'
and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this
attachment configuration unless the Required Moment of Resistance exceeds the values
noted above.
Table 4: Attachment Resistance Expressed as a Moment — M (ft-lbf)
for Mortar or Adhesive Set Systems
Tile ,,.
Application
Mortar Set
Tile
Profile
Metro Roof Concrete Flat
Adhesive Set
Pale 10 of 12
Attachment
Resistance
24.50
66.50
METRO ROOD' TI LE INC.
1'—
PROFILE DRAWINGS
10 -1/4'
-- 3 -3/0' 5 7/0'
1
1/2'
L
T
3/4'-
rt1FTkto floor TILE Ci :i i r r FLAT TI
Page 11 01 12
Product Control No.: 98- 0423.1
- as'
1 3 -1/4'
3747-1-
METRO ROOF TILE INC. Product Control No.: 98 -0423
Metro Roof Tile, Inc. ACCEPTANCE NO 98- 0423.(
11501 N.W. 117 Way APPROVED : June 4. 199
Medley, FL. 33178 EXPIRES : June 4.20C
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been
filed and the original submitted documentation, including test supporting data, engineering
documents, are no older than eight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name, city,
state, and the following statement: "Miami -Dade County Product Control Approved ", or as
specifically stated in the specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered if:
a) There has been a change in the South Florida Building Code affecting the evaluation of this
product and the product is not in compliance with the code changes;
b) The product is no longer the same product (identical) as the one originally approval;
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 tiling 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 perlbrntanec of Ibis product or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any
other purposes.
6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the
Notice of Acceptance is displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as approved drawings and other documents, where it applies,
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection at the job site at all times. The copies need not•be resealed by the engineer.
X Failure to comply with any section of this Acceptance shall be cause for termination and removal
of Acceptance.
') This Acceptance contains pages 1 through 12.
END OFTHIS A(.:CEPTAN(:I.:
Page 120112
Date
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant L. Y/ 5 P4-- i - Master Permit # 91,290
Owner's Address / /og y Phone
Contracting Co.
Qualifier Iii /G "y',z cti SS# - - ‘( Phone 3Bi - 93 7 'y //:// 3
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /T�
7 7
Square FL G�®� Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President
,e//,0
•
7
4 OF F�
FEES: PERMIT /0 �U / RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address / Sl Tax Folio // z-/c)
Bonded by NFNU
800- 224.6388
Date
Notary as to er and/or Condo President Dat
My Commission Expires G 1 4e, ISABEL BEEVERS
■
My Comsion CC460995
*'» l * Expires May. oa, 1999
Address 14%) / �j /dtO /.
Signature of Contractor or wner- Builder Date
otary as to •ntractor or Owner - Builder Date
My Commission Expire .
r h
+ 4 ►4 B ei, ISABEL BEEVERS
1 My Commission CC460995
7f Ehes May. 08. 199°
Bonded NFNU
- c OF fla 80 0- 224 -8388
C.C.F. v ►O NOTARY 0
/6(
BOND 3 a
TOTAL DUE
APPROVED:
Building j�jl Z' t" fer Electrical
Zoning G
Mechanical Plumbing Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. //
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain 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:
3. Owner(s) name and address:
4. Contractor's name and address:
Name and address:
Amount of bond $
6. Lender's name and address:
.4 / ,q, � /
2. Description of improvement: /G697:
771,;
3 s'
4 _ /
Interest in property:
Name and address of fee simple titleholder:
5. Surety:(Payment bond required by owner fro ,contractor, if any)
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:
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:
9. Expiration date of this Notice of Commenceme 1: (the expiration date is 1 year from the date of recording unless a
different date is spied) A
•
Signature of Owner 1
Print Owners Name ,.o 'r i' r"- eS
Sworn to and subscribed before me this /rf day of , 19 g� Po
Ital. el. ISABEL BEEVERS Address:
W My Commission CC46o4
1 >
Expires May 08 1 r•.
Bonded by NFNI •
13 00-224-ewts
Notary Public '
Print Notary's Name "T 'S � � / 8f- e1 � ��` S '� r►o�
My Commission Expires:
,,r FLORIDA, COUNT( O.' D,.
• • dEBV CERTIFY t' a fhi; is a frve copy of tho
rigina!filod in 4/us o i on B' f day of
ZI�jGUQ /L AO 19 �
W MESS my h . 1 • r. Of•icial Soal.
NARK r RU)II id CJ-ERK, of Circuit and Counfy Coer
1101 2
P
Prepared by: ,%7y 'Y
123.01-52 2/93
Ft.
Ft.
129.01.78 9/98
A
Deck type:
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Contractor's Name: Space Age ROOF T Job Address: 1235 N.E. 100 Street, Miami Shores, Florida
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) I 1 (Mo
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ • (Other)
� ROOF TYPE
❑ New Roof i Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft) 3,400 Total (ft) 3 ° Master Permit No.
Exposure category (per ASCE 7 -88): G Building Classification category (per ASCE 7 -88 table 1): 1
ATTACHMENT
Fastener Type:
SPACING
Field: Perimeter: Corner:
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Page -1
r
17
s ue ,
ROOF PLAN
t
Tile)
Ridge Ventlhtient
NA
MILAN IRICdHr 1
Deck type:
5/8" plywood /wood plank
/Underlayment 30# astm felt
Insulation: N/A
Fastener type & spadng:
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
11"
IIOOI ILOPZ
D E T A I L J
SLOPED SYSTEM DESCRIPTION
Cap Sheet:
Roof overing:
A Drip edge:
TILE CALCULATIONS
(Pmax1: 72.3x A, (Aerodynamic Multiplier): ) - M = M
(Pmax2: 117.; x, (Aerodynamic MultipIier) ) - M = M 9.26
(Pmax3: 117.3x ? (Aerodynamic Multipiier ) - M = M
1 1/4" rs nail with 1 5/8" tin cap (9" laps & 12" field)
90# astm slate mopped on with hot asphalt
Metro Spanish -S cement tile
Page -2
3" x 3" galvanized eave drip
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
PCA:66.5 OK
pcA66.5 OK
Pa6.5 OK
METRO -MDE
PRODUCT CONTROL NOTCCE 01? ACCEPT
Metro Roof Tile, Inc.
11501 Northwest 117 Way
Medley, FL 33178
METROPOLITAN DADE COUNTY, FLO:
METRO -DADE FLAGLER BUILI
ANCE
BUILDING CODE COMPLIANCE Of
METRO -DADE FLAGLER BU1L
140 WEST FLAGLER STREET, SUITE
MIAMI. FLORIDA 33130
(305) 375
FAX (305) 375
PRODUCT CONTROL DIVA
(305) 375
FAX (305) 372
Your application for Product Approval of:
Metro hoof Tile, Nail -On, Mortar Set, or Adhesive Set "Spanish S" Roofing Tile
under Chapter 8 of the Miami-Dade County Code governing the use of Alternate Materials and T
of Construction, and completely described in the plans, specifications and calculations as submitted by:
Rcdland Technologies, The Center for Applied Engineering, Inc. and Tcstwcll Craig
Laboratories & Consultants, Inc.
has been recommended for acceptance by the Building Code Compliance Office to be used in Dade
County, Florida tinder the specific conditions set forth on pages 2 -1 1 and the standard conditions on
page 12.
This approval shall not be valid after the expiration date stated below. The Building Code Compliance
Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's
plant for quality control testing. If this product or material fails to perform in the approved manner, the
Building Code Compliance Office may revoke, modify, or suspend the use of such product or material
immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is
determined by the Building Code Compliance Office that this product or material fails to meet the
requirements of the South Florida Building Code.
The expense of such testing Will be incurred by the manufacturer.
ACCEPTANCE NO.: 98 Renews: 94 1017.01
E XPitt S:• 06 /04/01 tau! Rodrit, tez
Product Control Supervisor
I ' I I I S IS "1'(1E C()VERSI1E1 1; j I E AI)1)I'1'IONAl., PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Miami-Dade County Building Code
Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida
under the conditions set forth above.
APPROVED: 06 /04/98 1
ve•-('-‘jC
Charles Danger, P.E.
Director
Building Code Compliance Dept.
Miami -Dade County
METRO ROOF TILE INC. Product Control No.: 98- 0423.10
Product
Spanish 'S'
Concrete Raof'I'ile
Trim Pieces
Product
Lcnzingtcx -Z13 140
Underlayment
Rainproof II
Ice and Water
Shield
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Dimensions
1= 18"
w == 10 '/
'A" thick
1= varies
w = varies
varying
thickness
Dimensions
59" x 164' roll
22 Il,s /rol l
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
16" x 75' roll
Test
Specifications
PA 112
I A 112 Accessory trim, clay roof pieces for
use at hips, rakes, ridges and valley
terminations. Manufactured for
each tile profile.
TRADE NAM1?S OIL PRODUCTS MANUFACTURED OTHERS
'Pest
: Specifications
PA 104
PA 104
I'A 101
Page 2 of 12
1 ligh profile, interlocking. one-
piece, 'S' shaped, concrete roof tile
equipped with two nail holes. for
nail -on, mortar or adhesive set
npplications.
Product
Description Manufacturer
Single ply, nail -on
underlayment.
Product
Description
Single ply, nail -on
underlayment with
2" self - adhering top
edge.
Sell - adhering
underlayment for
use as a top ply in a
two ply
underlayment
system with
Approved 1130 or
.1143 as the base
.•:layer.
Lcnzing
Performance, Inc.
with current PCA
Protect -O -Wrap,
Inc.
with current PCA
Grace Cu.
with current PCA
METRO ROOF TILE INC. Product Control No.: 98- 0123.1(
Product
Wood 13attens
Tile Nails
Tile Screws
Roof Tile Mortar
( "TileTiteT"' ")
Roof Tile Mortar
( "Quikrete® Roof
Tile Mortar ")
Roof Tile Mortar
( "BONSADV Roof
Tile fvlortar Mix ")
Itoof Tile Adhesive
(I'olypro® All 160)
I)i nteusions
vertical
min. 1" x 4"
horizontal
min. I" x 4" for use
with vertical
battens or
ntin. 1" x 2" for use
alone
min. 8d x 2'/1" or
min. 10d x 3"
118 x 2'W long
0.335" head dia.
0.131" shank dia.
0.175" screw thread
diameter
N/A
N/A
N/A
N/A
Test
Specifications
Wood Preservers
Institute LP - 2
PA 1 1 4
Appendix E
PA 114
Appendix E
PA 123
PA 123
PA 123
I'A 110
Page 3 of 12
Product
Description
Salt pressure treated
or decay resistant
lumber battens
Ccrrosion resistant,
screw or smooth
shank nails.
Corrosion resistant,
coated, square
drive, coarse thread
wood screws
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Adhesive designed
for use in roof tile
applications.
Manufacturer
generic
generic
generic
Bermuda Roof
Company, Inc.
with current PCA
Quikrete
Construction
Products
with current PCA
W.R. Bonsai Co.
with current PCA
I'olyfoam Products
Inc.
with current PCA
METRO ROOF TILE INC. Product Control No.: 98- 0423.11
Test
Prod net Dimensions Specifications
Hurricane Clip & Clips PA 114
Fasteners min. V2" width Appendix 1:
min. 0.060" thick
Clin Fasteners
min. 8d x 1'V,"
Page 4 of 12
Corrosion resistant
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.
Product
Description
Manufacturer
generic
METRO ROOF TILE INC. Product Control No.: 98-0423.10
Test A('ency
Redland Technologies
Redland Technologies
'I'Ihe Center for Applied
Engineering, Inc.
The Center for Applied 94 -084 Static Uplift Testing May 1994
Engineering, Inc. PA 101
The Center for Applied 94 -083 Static Uplift Testing April, 1994
Engineering, Inc. PA 101
(Adhesive Set)
Redland Technologies
Redland Technologies
Red land Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
'f estwell Craig
Laboratories &
Consultants, Inc.
EVIDENCE SUBMITTED
Test Identifier
7161 -03
Appendix 111
7161 -03
Appendix 111
25- 7200 -1
7161 -03
Appendix 11
Report Dated
Attg. 1, 1994
P0647 -01
Test Name /Report Date
Static Uplift Testing Dec. 1991
PA 102
Static Uplift Testing Dec. 1991
PA IO2(A)
Static Uplift Testing Peb. 1995
PA 102
(Quik -Drive Screws,
flattens)
Window Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA -I08
(Nail -On)
Dec. 1991
Aug. 1994
Wind Tunnel Testing Aug. 1994
PA -108
(Mortar Set)
PO402 Withdrawal Resistance Sept. 1993
Testing of smooth vs.
screw shank nails
Project No. 307024
'Pest IIIvMDC -73
Lab ll:liA -22
Tech: G. Suarez
Page 5of12
Wind Driven Rain Oct. 1994
I'A 100
Physical Properties Sept. 1994
PA 112
MI. CRO ROOF TILE INC. Product Control No.: 98- 0423.10
SYSTEMS
SYSTEM A: Ccunter -E atten Arplic:t:on
Deck Type: Wood, Non - insulated
Deck Description: New Construction
19 /32" or greater plywood or wood plank.
Slope Range:
2 ":12" to 7 ":12"
Note: Counter - Battens, as noted below, are required for slope range
2 ":12" to Tess than 4 ":12" and are optional for slopes of 4 ":1 to
7 ":12 ". For slopes exceeding 7 ":12 ", refer to System C.
Underlayment: Install underlayment system in compliance with Miami -Dade County hoofing
Application Standard PA 118.
Vertical Battens: Install vertical battens is compliance with Miami -Dade County Roofing
Application Standard PA 118
Horizontal Battens: ..Install horizontal battens in compliance with Miami -Dade County Roofing
Application Stan;lard PA 118.
Roofing Tile: Install tile in compliance with Miami -Dade County Roofing Application
Standard PA 118. (See "Data for Attachment Calculations" included in this
Approval.)
Comments: 1. For re -roof applications, 15 /32" plywood is an acceptable substrate.
Page 6of1
METRO ROOF TILE INC. Product Control No.: 98-0423.11
SYSTEMS
(CONTINUED)
SYSTEM B: Direct Deck Application
Uecic Type: . Wood. Non - insulated
I)ccic Description: New construction 19 /32" or greater plywood or wood plank.
Slope Range: 4 ":12" to 7 ":12"
Note: System 13 is only acceptable in this slope range. For slopes less than
4 ":12 ", refer to System A. For slopes in excess of 7 ":12 ", refer to
System C.
Underlayment: Install underlaymcnt system in compliance with Miami -Dade County Roofing
Application Standard PA 118.
Roofing Tile:
Comments:
Install tile in compliance with Miami -Dade County Roofing Application
Standard PA 1 18. (See "Data for Attachment Calculations" included in this
Approval.)
1. For re -roof applications, 15 /32" plywood is an acceptable substrate.
Page 7 of 12
METRO ROOF TILE INC. Product Control No.: 98- 0423.10
SYSTEM D: Mortar or Adhesive Set Application
Deck Type: Wood, Non - insulated
Deck Description: New construction 17 /31" or greater plywood or wood plank.
Slope Range: 2 ":12" to 7 ":12"
Note: System 1) is only :acceptable in this slope range. For slopes in excess
of 7 ":12 ", refer to System C.
Underlayment:
Roofing Tile:
SYSTEMS
(CONTINUED)
Install underlayment system in compliance with Miami -Dade County Roofing
Application Standard PA 120. (See System Limitation 115.)
Install tile in compliance with Miami -Dade County Rooting Application
Standard PA 120. (Sec "Data for Attachment Calculations" included in this
Approval.)
Con 1. For re -roof applications, i 5 /32" plywood is an acceptable substrate.
Page 8 of 12
monkO ROOF TILE INC.
Page 9 of 12
Product Control No.: 98- 0423.1(1
SYSTEM LIMITATIONS
1. The standard minimum roof pitch for Metro Roof
Standards PA 1 or PA 120, depending Ion comply Miami-Dade County Roofing Application
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.
3. System installation shall be in compliance With
the system
utilized shall p ovi provide sufficient specifications
11
Control Approval. The method of attachment attachment res stnno
expressed as a moment to meet or exceed the required moment of resistance determined in .
"Spanish
compliance with Miami -Dade County Protocol PA ies and static uplift pc fonnance therefore,
S" tile profile has been tested for both wind chars cterist
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 fieldstatic ade County test t' a Miami Oa
accredited testing agency, in compliance with Miami Y
performed.
5. For mortar set tile applications, 30/90 hot stopped underlayment applications may be installed
perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacture!
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 permit:: shall include a completed Section 11 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 i
the proposed tile application. Reference shall be made to appropriate data for the required fire
rating.
8. The applicant shall retain the services of a Miami-Dade County certified testing laboratory to
maintain quality control in compliance with the South Florida Building Cole and related o'A'`
Samples taken shall be in compliance with Miami -Dade County Protocol I A 112, App
Table 2: Restoring Moments due to Gravity - M (ft -Ibf)
Tile
Profile
3 ":12"
4 ":12"
I 5":12"
6"•12"
7 "•12" or
grea ter
1 nail
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Batten
s
Direct
Deck
Metro hoof
Tile Concrete
Flat
6.70
7.10
6.60
7.00
6.46
6.84
6.30
6.67
4.08
N/A
Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf)
for Nail =On Systems
Tile
Profile
Tile
Application
Approved
Nails
Approved
Screws
Approved
Field Clip
With:
Approved
Eave Clip
With:
1 nail
2 nails
1
screw
2
screws
1 nail
2 nails
1 nail
2 nails
Metro hoof
Tile Concrete
Flat
Battens
N/A
N/A
N/A
26.80
N/A
N/A
N/A
N/A
Direct Deck
6.20
8.40
28.70
31.80
21.20
25.30
26.90
34.90
1 Data noted in Table 3 is for installation with a 3" tile headlan
NMLTRO ROOF TILT INC. Product Control No.: 98- 0423.1
Tile
Profile
Metro Roof Tile Spanish 'S' Tile
DATA F012 ATTACHMENT
CALCULATIONS
Table 1: Aerodynamic Multipliers - X (ft')
X (ft') X (ft')
Batten Application Direct Deck Application
0.29
.0.31
2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others'
and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this
attachment configuration unless the Required Moment of Resistance exceeds the values
noted above.
Table 4: Attachment Resistance Expressed as a Moment — M, (ft -Ibf)
• Tile
Profile
Metro Roof - file Concrete Flat
for Mortar or Adhesive Set Systems
Tile ,,.
Application
Mortar Set
Adhesive Set
Page 10 of 12
Attachment
Resistance
24.50
66.50
1
9
METRO ROOT" TILE INC.
1'-
PROFILE DRAWINGS
10 -1/4'
-- 3 -3/0' -- 5 7/0'
1
1/2• L
3/4'
r= :1 -1 /;''
Page 11 of 12
MI:'riic) ItoorTILE Ct• :n FLA'rTILE
Product Control No.: 98- 0423.1
- a:5'
1 3 -1/4'
71T-1- 1
3
METRO ROOF TILE INC. Product Control No.: 98 -0423
Metro Roof Tile, Inc. ACCEPTANCE NO 98- 0423.(
11501 N.W. 117 Way APPROVED : June 4. 199
Medley, FL. 33178 EXPIRES : June 4.20C
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been
filed and the original submitted documentation, including test supporting data, engineering
documents, are no older than eight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name, city,
state, and the following statement: "Miami -Dade County Product Control Approved ", or as
specifically stated in the specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered in
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) lithe 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 or the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory perli)rnnanec of this product or process;
1)) Misuse of this Acceptance as an endorsement of a product. fur sales, advertising or any
other purposes.
6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the
Notice of Acceptance is displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as approved drawings and other documents, where it applies,
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection at the job site at all times. The copies need not-be resealed by the engineer.
IS Failure to comply will any section of this Acceptance shall he cause For termination and removal
of Acceptance.
9 This Acceptance contain: pates I through 12.
I•:N1) OF THIS A(. :C1T'fANCE
Page 12 of 12
Owner's Name and Address
Chainnan
Member
Member ._ . .. .. ....... .
Council Approved
Building Ins ector
MIAMI SHORES VILLAGE
BU .DING INSPECTION DEPARTMENT
APPLIC'TION FOR BUILDING PERMIT
Application is hereby made for the approyal 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.
Registered Architect and /or Engineer
Name and address of licensed contractor .f 's -zr7 67 7 0 e 3
Location and legal description of lot to be built on:
Lot_ Block Subdivision
Street and Number where work is to be done hi 3 3 .__A/ - e ie
State work to be done and purpose of building (by floors)
- -- -- __ - -- -- -- __ - _ - � - ---_ --_ - � and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation o & a.._.. Roof Covering./ f /40. ti`v
Estimated Total cost of improvements $ / S 7� Amount 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 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 5968, Compiled General Laws of Florida, Pennanent 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 suc bcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
(Signed) i-
STATE OF FLORIDA,
COUNTY OF DADE.
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._____ / Z 3. Date 7 - 2 v - 70 Read, Sworn to and Subscribed before me.
Disapproved ___ _. _. Date _
(Signed) ( Notary Public, State of Florida
: °`•- - � �
My Commission Expires
•
PLANNING BOARD__. __.. DATE
Member
Member
Member
Date Disapproved
Date_ 1 7 — ,19 '76
No Street/ 9-3 S tll, l.A.Q
to me well known,
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hrer 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 insp....ion or faulty
materials and /or workmanship.