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1285 NE 101 St (12)li!. `o4 y G1 nspection Number: INSP -13245 Inspection Date: 03/28/2006 Inspector: Grande, Claudio Owner: CLIFFORD, PAUL Job Address: 1285 101 Street NE Project: <NONE> Monday, March 27, 2006 Miami Shores Village, FL Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phon : (305)795 -2204 Fax: (305)756 -8972 r c� Block: Permit Number: RF -2- 06-421 Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - Repair Phone Number (305)505 -4122 Parcel Number 1132050220010 Lot: Phone: 305 - 757 -2612 Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. u Inspector Comments Page 1 of 2 ROOF REPAIR D� Infractio Passed Comments TIN CAP SPACEING False Passed . Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 1 'Inspection Number: INSP -10075 Inspection Date: 03/27/2006 Inspector: Grande, Claudio Owner: CLIFFORD, PAUL Job Address: 1285101 Street NE Project: <NONE> Miami Shores Village, FL Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC Building Department Comments Friday, March 24, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone (305)795 - 2204 Fax: (305)756 - 8972 Block: Permit Number: RF -2- 06-421 Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - Repair Phone Number (305)505 -4122 Parcel Number 1132050220010 Lot: Phone: 305 - 757 -2612 Page 2 of 2 t Miami Shores Village ail/ ,D'°. Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 IE BUILDING CEIN ') PERMIT APPLICATION FEB 1 oll kiaster Permit No. FBC 2001 Total Fee Now Due $ Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address /Z 6 ,S it/E /0/ City /J SLf 0 E 5 State 7G Tenant/Lessee Name Phone # Job Address (where the work is being done) 4;2 0 .$ /1/ �O / 5 r City Miami Shores Villa County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name /66:: OD Contractor's Address 930/ it/E 6 A-1/F ,4t !o City fi r 4744, c'fe, Ef State , - Qualifier <7471/ E f' n U/Q E//O ✓/`- Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit ' / 9 (Continued on opposite side) 2b3. .5r/ r C< /FFd/1� Zip 39 Permit No. *" DL) — ZiA" Electric . ' Plumbing Mechanical (iZoofin Phone # .sal — Phone # 30S" 1,r 7 - �1 zip State Certificate or Registration No. 0 0 ! / Certificate of Competency No. 0000es G ys S/ Square Footage Of Work: /G Type of Work: ['Addition ❑Alteration ❑New ® Repair/Replace El Demolition Describe Work: /S ifA/T A4i/D JAI j¢LC (iorr/Z S T///VJ) //VG 5s-4 i* 6v/JO //;z goo F 7 %��� /.� C�C` E Y /i/7A/C / »Am AGE,) f ?v/t t f;/v/', /1 4 NE 14//4 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zip 33/ 3F Submittal Fee $ cD Permit Fee $ 1./ CCF $ 1 . ZO CO /CC Notary $ Training/Education Fee $ CD . 40 Technology Fee $ G •25 Scanning $ • 00 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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. 1 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature NOTARY PUBLIC: Sign: Print: Signatu ' Owner or Agent Contractor The foregoing instrument was acknowledged before me this 4, The roing instrument was acknowledged before me this day of r , 200p, by .Jill C'J- day of , 20.0 , by J � Q. Nie VOW/ , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. My Commission Expires: MT`U1Li; r ` `F J.ORITA 1 4,1 5 i i tr)1 NOTARY PUBLIC: My Commi'g'ilt E #t?s . ' j J < - ,r fin.. ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** y/7 o APPLICATION APPROVED BY: chc 05/13/03 Plans Examiner Engineer Zoning • ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 15.32 Section A (General Information) Master Permit No. £ R Oc° — 42. Contractor's Name D i3 i'V 1 /,e 2C 2 /7AJ Job Address ❑ New Roof ❑ Low Slope ❑ Asphaltic Shingles Low Slope Roof Area (SF) Florida Building Code Edition 2004 • High - Velocity Hurricane Zone Uniform Permit Application Porn.* /-2B$ NE /0/ 'r eer 'A Reroofing ROOF CATEGORY ❑ Mechanically Fastened Tile Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ Recovering ROOF SYSTEM INFORMATION • • • •• •• • • • • • • • • • • • • • • ••• Process No. '. - :.: , :® • ❑ Mortar /Adhesive S ❑ Wood Shingles/ ❑ Repair ❑ Maintenance Steep Sloped Roof Area (SF) /G 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. Total (SF) /l �^ SToR T/[ /4.r wH/ EIMBITErmok imrawrzeziass li c36 4 J FLORIDA BUILDING CODE — BUILDING cQ • • e�' ©$x °� >,•"5: P �s s9 c o Roof Slope 3 :12 Ridge Ventil Lion? Mean Roof Height: • ..• • • • •.. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • . Florida Building Code Edition 2002 : : •; : : • HIGH VELOCITY HURRICANE ZONE UNIFORM ROOFING PERMIT APPLICATION • • ••• Roof System Manufacturer: Notice of Acceptance Number: Maximum Design Wind Pressure (From the NOA Specific System): Method of tile attachment: • • . ••• •• . • • • • •• • • • • Section D (Steep Sloped Roof Systeril • • • • • • • • • • • • • • • ••• • • •••• • ••• ••• • • • P 1: P2: P3: Underlayment Type: ef.sr#4 D 224 Insulation: ,t/(1" Fire Barrier: )4-Air )*Eee ooFpt, CAys ��ol /$ ,',igshaak ee', (,22 PANES 5 4/ 3 • Steep Sloped Roof System Description Deck Type: U/o-wfte.Q /4/6 •• • • • • • Nye 3 oisvrcvg,2 aPRiI/Ff t 2 PA t PANEL f ••• • • • • • • Minimum Design Wind Pressures, If Applicable (from RAS'f27 or •• Fastener Type & Spacing: //v Ta(i e.4h'4r G °� / lieco /2 e`c Fie/ AdhesiveType: AF/4 Type Cap Sheet:4. T)t SEzrAhireaeAe Roof Covering:`t'#Z 4-7/A ff J /MC i"l Type & Size Drip / / Edge: oto or Cottec 1/er /d' oZ a ,9 pie 5t,N4 live SA 20 or c-ofeex ,o,e., , eE 02!17„2060 09:12 3057518579 n�1' �M r l•DADE BL'ILDWG CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA Polyglass USA Inc. 1150 Lyon Drive Fernley, NV 89408 ABC SUPPLY CO • ..• • • • ... • .. • • • • • . • • • • • • • • • • • • • 000 . • • • • • • • • • • 000 • • • • 000 • • • • N 1LA.1∎11.0 VD1 g O • • • • • • IJVTY. FLORIDA • S4 t!TRO•DAIp 1 13UILDM1G • • • • • . • • 140.11-Es:' FI.AGLEIt STREET, SUITE 1603 AITAM1, FLORIDA 33130 - 1563 • • • • ( 37 � 290i • FAX (305) 375-2908 • • •••••••• •• • •• • • • • • • • ••• •• NOA No 03. 0818.03 Expiration Date: 09/13/06 Approval Date :11120/03 Page. 1 of 5 PAGE 01/05 SCOPE: This NOA is being issued under the applicable rules ard regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA .reserves the right to revoke this acceptance, if it is determined by Miami -Da.de County Product Control Division that this product or rrtate.ria: fails to meet the requirements of the applicable building code. This product is approved as described herein. and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polystick P, IR/IRX, TU, TU Plus and MU Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miarni -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA a s an endorsement of any product, for sales. advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. I.f any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 02- 0603.08 and consists of pages I through 4. The submitted documentation was reviewed by Frank Zuloaga, RRC :02/1'6006 09:12 3057518579 .Product Polystick P un derlayrnen t Polystick IR /1RX underlayment Polystick TU underlayment Polystick TU Plus Roll: �anderlayment TAS 103 and 6S'8 "x 3'3)/" ASTMD 1970 80 mils thick Polystick MU underlayrren.t ROOFING COMPONENT A.PPRC!VAL qt or'v: Sub -Cate pry: PRODUCTS DESCRIPTION: lDinaensions Roofing Underlayrnent Test Spesacjitim Roll: ASTM D 1970 75' x 3' 40 mils thick Roll: TAS 103 and • 63'8" x 3'3 - ASTM D 1970 80 mils thick Roll: TAS 103 and 32'10" x 3,3 - /a" ASTM D 1970 100 rails thick Ro1': TAS 103 and 65'8" x 3'3 ASTM D 1970 80 mils thick AEC SUPPLY CO • • 000 • • • - • •• • • • -• •• • • • • • • • • • • • • 0 0 0 • • • • • • - • • 00* • • • • • • • . . . . • •• • • •• • • •�� • • • • • • • • • • • . 41041 ••- • • - Material: • • • • • --"--° - SBS , A:'P Self - Adhering Madifled Situalee • • •. • .• • . • •. • • • ••• • IS • • ••- • . • • •- • .• •• Product llescri tion A polyethylene top surface. self - adhering. SBS polymer modified bituminous sheet material for use as an underlayment in sloped .roof assemblies, Designed as an ice & rain shield. A fine granular /sand top surface self- adhering, APP polymer, modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof. assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass reinforced, bitunrirtous sheet material for use as an tinderlay.tnen.t in sloped roof assemblies, .Designed as a a roof tile underlayment. A non- wicking fabric surfaced, 'self- adhering, APP polymer modified, fiberglass reinforced with a bight strength polyester fal uric, bituminous sheet material for use an a;: underlayment it sloped roof assemblies. ) esigned as a metal roofing and roof til& u :1derlayrnent. A non - wicking fabric surfaced, self - adhering, APP polymer modified.. fiberglass reir:.r'jrced, bituminous sheet material for u::e an an underlayment in • sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. NOA No 01 4818.03 Expiration Dote: 09/13/46 pproval Date :11(20/03 Page 2 of 5 PAGE 02/05 02/17/x006 09:12 3057518579 EVIDENCE SUBMITTED: Test agency Exterior Research. 84 Design, LLC Exterior ,Research & Design, LLC PRI Asphalt Technologies PRI Asphalt Technologies PRI Asphalt Technologies Test Identirlet #11756,04.01 -1 #11756.05.01 -1 PRI0111 i PT SA- 005 -02 -0I PUSA•018.02.01 ABC SUPPLY 00 • • • • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • 11410 • • • • 00* • • • ••• • •• • • • • • • • • • • • • • • • • • • • • • 410 • • • • • • • • • • • • • • • • • • • . •• . ••• • • • �t N DJ TAS,.103 tetrZ7i 01 AS TM 3 940 •' 03/14/01 1 • • • • • • • • • • • ASTM D 4977 04/C8/02 ASTM D 4977 01/31 ASTM D 2523 07/1,4/0 NOA No 03- 0618.03 Expiration Date: 09/13/06 Approval Date:11 /20/03 Page 3 of S PAGE 03/05 72/17.'2005 09:12 3057518579 ABC SUPPLY CO • • ••• • • • ••- .. •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• PAGE 04/05 INS TALLAiOiY; • ••• • • • • • • • • • • • • • • • • . • • • • • • • • • •.. • • • • • • • • • Deck Type 1: • • • • • • ... ▪ • Base Sheet: Food, non - insulated, new construction .. One or more lies of AS Fastening: Nails and tin caps l2 TM D 226 Typet dr ASS • - ... . • • • Membrane: l ?Vallstan membranes grid 6" o.c. at l fen to h ate detto • , Surfacing: on mbranes self - ad •• • • • • • . 'I_... AIl Halls in- the deck Shall be carefully checked panels, and sweep the deck thoroughly to remove f °rpratruding heads. Re- fasten -an 2• place the d sweep p [ ent over mrta! h edge any dust and debris y loose decking 3. Place the frost course of P g• in accordance with pr).o' to application. mean pane parallel to the eave, rolling the 1 I .l . contact. Remove the release firm as the .membrane is applied. contact, end laps Remove be a , membrane s all be maximu rninirt;.urn of 6. Ro(l the ra Al! side lass shall be a Vertical strapping of the roof with Polystick is acceptable. Membrane after removing minimm of 3•rr with applicable building shall be back n tiled in a cordanc 4. When applying g code rite membrane in the valley, start at. the low point and work e membrane from the center outwa in both directions. • 5. For ridge a P o k to ti:e high point. rolling the g applications, center the n and roll from the center outward in both di 6. Roll or broom a the entire mertibzane surface sorts to have 100% contact with attention to lap areas, 7, Flash vent directions. h the surface. giving special pipes, stacks. chimneys and Control Notice of Acceptance. penetrations in compliance with Roof Assem.t.[y cuzretit Product 8. All protrusions or drains shall ! be Fresco in place and fo ' initially taped with a'6" piece of underi ytnent. The lashing tape sh shall be applied over the underla��mcnt. rmed around the protrusion to ensure a tight fit. A second layer of, Polystick all LIM.ITATT 1• Fire classification is not r 2 • . Polystick P and pa'~t of this acceptance. may be used in a.sphaltic shingles, wood shakes and sh.ineles, non - structural metal roofing, and quary slate roof assemblies, Polystick P shall not be used as roof tile underla 3. Deck requirements shall be in compliance with a • Polystick membranes shall be applied to a smooth, clean and din! � sg surface, The deck shall be ytnent. irregularities. free of 5. 6. Polystick membranes shall not be applied over an existing too f membrane. Polystick P shall not be left exposed as a temporary roof for longer, than 30 days aft tha Polystick IR/ZRX, MU, TU or Pi Plus shall not be left exposed as a temporary roof For longer t 90 days aftor application. All products listed .herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. NOA No 034819.03 Expiration Date: 09/13/06 Approval Date:11 /2D/0? Page 4of5 02/17; 2006 09:12 3057513579 ABC SUPPLY CO • • ••• • • • • •• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • • PAGE 05/05 7 ' in roof file application. data for • •0: ' • manufacturer's Notice, Pol the attachme • • • • •: • • resists • • • • • •• m echanically fastened roof tJ application TU, TUT Plus and MUeaf • be • use ; • file � shel be a� set fQrrh in the roof file ' fastened The Pplications, 1'01 , Yb use to bath adhesive set and assemblies s { he maxim roof slo e s as r is Ii, hall be as des p for use a s roo Gi.�e mired to :fdr.( ni lly fastened roof cribed below �n�2erl�t+m *n • r -- Tire e • ProEI1 • • • • • r C fdr.(dirrSt -to-deck) tile Flat Tile Po/ stick IR .. • • • ••• ••• cofil d ire 5:1.2 - '° Pa t v stick MI. TU P No limitation lus P olvstick TL Prohibited �nitation 5:1 No limitation N 8• Care No limitation should be taken during the loading 9. dropping of dfbe taken g procedur e to keep Refer to prepared directly on the anderlaYmcnu foul traffic to a P � ared room, minimum and to avoid Product with specific re system Product Control Notice of Acceptance product uct a P pared roofing products. Polystick P. P for listed approval of this approved roof covering Notice of Acceptance listing Polystick P �IRX. TU, TUlsJus w a component part of an verin bl P. as a c not listed, a r yin the Notice of MU m ay be used request may be Acceptance. If pol P. 172 TU, TU Plus & MU County Product listed, a r equ s Y made to the Authority t io A 1J TU. Tt; Plus & compatibility Department for approval Y Having p Jurisdiction documentation (, � n i s p r o i de de P of. the roduc provided thdt appropriate suits. is products, wield uplift resistance, and fire testing results. Provided to LABELING: l • Al) membranes shall bear the imprint or identifiable markin g t of Miarx�i -.Dade County logo or the following statement: "Ivliatzi DCounty Pr ade Co n or I the Product Control Approved". BUILDING PERMIT Q DTR_E1t'i:.lENTS: 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 Any other documents required by the Building Official or applicable bui properly evaluate the installation of this materials, iding code in order to END OF THIS ACCEPTANCE NOA No 03- 0818.03 Expiration Date: 09/13106 Approval Date:11 /20103 rage 5of5 Issue Date: 2/17/2006 Owner's Name: PAUL CLIFFORD Permit Type: Roof Work Classification: Roof - New Job Address: 1285 101 Street NE Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/17/2007 Contractor(s) Phone Primary Contractor OBENOUR ROOFING SHEET META 305 - 757 -2612 Yes Comments: FABRICATE AND INSTALL COPPER STANDING SEAM CUPOLA ROOF AND REPLACE EXISTING DAMAGED FROM HURRICANE WILMA Type of Work: New Roof Additional Info: REPAIRS Classification: Residential 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF- 2- 06-421 Phone: (305)505 -4122 1132050220010 Lot: PB: Total Square Feet: 16 Total Valuation: $ 1,890.00 Required Inspections Tin Cap Hot Mop Tile In Progress Up Lift Report Final Roof Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $250.00 $6.00 $6.25 $263.85 Invoice Number RF -2 -06 -23886 Total: 2iP Amt Due Amt Paid $263.85 , 4 2.63 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 \I Building Inspection Request Date I1 If'1 Time Type Insp'n 111Q, ` . O Permit No. P lit J Mao Name I 1 rd Address t L S E. Company V e; A Phone # c, " 1 - a_o a . For Inspector: Correction Re- Insp'n Fee Name & Date 2 1-SS I MIAMI SHORES VILLAGE BUILDING DEPARTMENT ' 305- 795 -2204 Building Inspection Request Date Time Type Insp'n n Ca o l Permit No. P h I ( 2OC Name )41 i'ree l • Address I 2 _ U+ Company (Y4- nue Phone # For Inspector: "I \O Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Time Type Insp'n iJU Mop. 2. Permit No. 6? 03 - iaUcs Name agfC d - Address aZS yof_. tdl5 Company b( 4x42 Phone # For Inspector: Approved Correction Re- Insp'n Fee it )1‹ Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 4r c 305- 795 -2204 Building Inspection Request Date t Time Type Insp'n -J I )e. J Permit No. 0 3_ 1106 06 Name parz Address 2 S [O l 5+ Compan 6 '32! Y' ,v, ' Phone # For Inspector: t t I 1 Approved ❑ Correction Re- Insp'n Fee ❑ 44-667 Name & Date 4Sn MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time n Type Insp'n 1 -- 1 CO (` Permit No. t5 P 05- Name Address \ ASS AC 101 S fi Company � Phone # �40S - l S? " - For Inspector: f/P 11 /0 Name & Date ) e Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 BuildingInspection Request Date l 2 (r Type Insp'n 1 ✓101. I`O 1 "l5 Permit No. P)? o 120 (o Name C.liC c, • Address [-05 N € 101 S T - Company (7 )P2 • ROD 1 Phone # 065 7S7 - 2J /�-- Correction Re- Insp'n Fee Inspection Date \g. • I BUILDING PERMIT APPLICATION FBC 2001 $ Value of Work For this Permit Miami Shores Village :Building Department Number of: Bays Stories Type of Work: ❑Addition % Alteration Describe Work: IP .I . PI 0. . iYii!?? j5 ( A Aa6,1 7y�Lcv * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fee Calculation -Mist P * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. bp ?CX33 - 0P- Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofin Owner's Name (Fee Simple Titleholder)') k u.0 avk.J •) C r Phone # 0S 7S7 MS A / " Owner's Address ( ( N Z 1 01 S7'K��T' zb►� City ilk \fl\ ( ShaILtS State (' L Zip ?, 3( 3 Tenant/Lessee Name /VIA Phone # Job Address (where the work is being done) 12 S ) (1( Sl' City Miami Shores Village County Miami -Dade Zip 33, /` Is Building Historically Designated YES NO Contractor's Company Name ©ben Mtn_ el. 0n n) Phone # .30S 757 1(el 2-• Contractor's Address 4 3c1( (v z (erg Air-k A- 1 0( City AA I lb MI s (i 0 I' S State c Zip `. (_3 ' Qualifier Architect/Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State Zip Square Footage Of Work: S Osf S Families Bedrooms 5 Baths ❑New( Repair/Replace ❑ Demolition County Escrow Fee $ I a� Permit Fee p ?s . D Notary $ Tech $ Scanning $ Radon $ Struct $ EducationlTraining Fee $ t . , S Code Enforcement $ Bond $ 3 O 0 Minus Plans Check Fee $ Fee Totals $ vac\ . 4r2D_?)L4 cc. (Continued on opposite side) 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 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 ection fee will be charged. inspection will not be approved and a rein , e'(( L' J Signature Owner or Ag7ht The foregoin instrument was acknowledged before me this 1/ day of ,20 f,by ;flu Clifford who is personally known to me or who has produced As identification and who did take an oath. chc6/1 8/03 Signature The foreg day of Contractor m g instrument was acknowledged before me this e 20 03,by TQ,m(s P. bbrititat who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign Print: NOTARY PUBLIC: Sign: 1,,44040..r9 Print: S Q,neLy(2 D. f-! ar-i- My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. CFI S� diQ D. -jar -1- My Commission Expires: APPLICATION APPROVED BY: JUL 2 2 2003 Plans Examiner • Zoning SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane ne) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be enailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring Is (i.e. townhouses, condominiums, etc.). 1n with common roofs, the roofing contractor and /or \vner should notify the occupants of adjacent units of roofing work to be performed.. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can he ewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail enetrations of the underside of .the decking may not be acceptable. The Florida Building Code provides the ption of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected.. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o ,e `�. ed from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if• overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. l i A ent's i wner's/ g gnature CV OCCMC- 11anp1LOCALS- 11Tcmp‘5CCT10S l l.d.c 1 / /(x / 03 ractor's Signature C:FIa 2003R0483042 OR P..K. '�143ri J IIIII I �IBII II( IUIIII , RECORDED O7 IIIIIIIIIIIIIIIIIIIIIII1 /16/'�003 10:55:51 HARVEY MIN, CLERK OF CO1)RTr t'IIArI- -GAGE COUNTY' FLORIDA LAST PAGE NOTICE . :QF 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 properly and street address: 1 2. S tJ / U 1 3r # — 32 - .0S - 00t u 2. Description of improvement: <t r i 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: Vaal J� �i- 4. Contractor's name and address: bends, —t-. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7 13.13(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 01 Comm ment: (the expiration date is 1 year from the date of recording unless a different date is specitieO) / 1 r/ signature of Own0 'rint Owner's Name iworn Lo and subscribed before lotary Public tint Notary's 1y Commission Expires me this D day of - 5 4 , vn(A i i- f ry ( - .4 t %Y-t, I I Q Gii — ( G -- rc ,j=- a: i,:�a�•;Fi.;,�! ,'.. U1) G1-tt i ?2 .,o;.i,:.; A i! 2 • `aln:: 1nr:ain; t is 794. L , U N L rZ- A 6 1 i b`'L 6 LV1�.�. \ P ��" � SG 5 STATE OF FLORIDA, COUNT OF DADE I HEREBY CERTIFY that tits is a true copy of the original -d in th r lice on _ _ cry or A 0.26 O.3 W /TNO my nand al pii;c,ai Seal. HAR V 'V, CLE R;; f Circuit and County C arts BY D.C. Prepared by -7L L L cry , �2 3:502/ Address: /Yl ,��aAi l / • • Master Permit No. Contractor's Name Job Address ErLow Slope El Asphaltic Shingles CI New Roof High Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Process No. ROOF CATEGORY 0 Mechanically Fastened Tile iMortar/Adhesive Set Tile 0 Metal Panel/Shingles 0 Wood Shingles/Shakes 0 Prescriptive BUR-RAS 150 ROOF TYPE IY,Ke-Roofing El Recovering Repair D Maintenance • ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 3.111., " '' • _ ** 1111•• • I • 1 ' ; ' _I L_ •__ ; Tr I • : ; i t • ,..• 1 : • lii 'r ri r•1 Lr _ - L.:1• 1 I `. • I: _ r - r • Fr ! 1 1 1 • L , • r . L1 _ 7 7 . : 1 ' 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. a : . •oe, ,I! •.1. . a i a • • • . . 1 ' ! 1 1 ■• ' ' ! _ I LI LI_ _I__ _i___!_: L..: ... ..: _1 _:_; : I ; - __L; 1 , a _. a ; _ a • ! —i 1 . , -1 a 1 1 ! • a a . . . 1 a . j ; 11 -. _ I I I I ' ■ ..i.- ' • i 1_, :.• . I LL' _!_'__t i I I , : 1 . . , . : ....■• r .. . • 1 ; . i 1 1 • 1 • I I 1 a L l e •.L2 L if.. L i 1 ' 1 .1• :1 /;!1 ' '. '''''."' •'. i f i i .. • • • I 1 i I : I I . : : I ■ g I . ■ I • •'''' ..L I I I ... .. Tf:••1•••• • fii , • • - • • • i . • 1 1 . , "II .....-t_i_f !.._'. — • i 1 - 7-77--- 7- . ...-7 1- 7-... 'Lit !- • . i I : I 1 i : 1 - 1 j ; _ 1 1 _• : I I I i i 1 -' -7- ;- ' L_ 7 i iT:i••• ItIIII j ri ,_, ; 1 1 T .,___!_t_;_ . FE • •__t 1 1.. t__I. L.. ,.. L. 1 ;___:__...1_:,_,L . 1 -- . -- __:Lt - , _ 1 i! L l_ i ___ — --. _. f '. - i . A I' r ---_ `- I i r+ii + F.. I Fir • - i - i - Ti - 1 - 1 - - ; - i - ir -• .-", - — - 1 - : - [ -- i - '71. - - --" • , , I , • a • 7; ' :-• I ' i'l : ; — *: ' "-- '` .. ' i . ".._'. t _:. _a. i I ..' ok ........._. 1 .L_L ..1... _ 1 _ —'• 1 __ , . • • ; 1 1 : ; . • a , : I f "; ' " 7 "'• . i - r •;--..- :--•• --- •-• • • .... • i • ■I . , • II • ; • • • A : ■ . : . • . ■ • .■ I .0 • : -... ...... . ., . 1 • • 11 , ..I ..., ....I .... I : • . 1 1 1 • . I. . ' :-.• • .•- ■ ..: 1 ...; • ..' ■ • :.. !, . 0.. ':. .• 1 : ; • i• .; j !•• .: ■)r■.,..•■• .■ 1 , . H '..: 1 .? ■.! ',. 3:... ? t [...L.t.r ;1 C": '•'-, . ; •,- 1 .; • • : , : , • • 1 , • . • • . ... ; 1.... , , . : .i...... ; .. • •,....., ;..._•,_...i..,.;...;. - : : 1" ' i ..;• . : ; -: ;••;• • ; • .:. ---..;. I ; . ' .i -.; . • —•••i : ....1 . • I - :, ..L. .1..: ..... ; i : I • I i F ,-...., . : f • : .1 . i. .,_ . 1 . 1...t .,._...i.. :..1.4.2 .. ' i I - .- . . i . a • 1, A ,.: .1 • 1 , i I • ' "r " • 1' — i ' - r - ; r ;•••- •..,1,:..,••. , i •1 --' •,•, i ri ........ ..- - ., i..1_1..1 ' 1 : • . . ,.. . f I '' • , • 1 . j , 1 1 . 1 , , a - . , • — . ,1=-,....n ..r. ,...ic..,v ..._,.....„....... ._..„.,.. , , : ., 1 • i • 1 • .t.......2- ,2- e Y bit . ovrar 5 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section C Low Slop Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as `NA') System Manufacturer. 1 0 NOA No.: 01, offcri . to Design Wind Pressures, From RAS 128 or Calculations: Max. Design Pressure, From the Specific NOA System: $ Deck: Type: ()0X L Gauge/Thickness: 3 /y Slope: far Anchor/Base Sheet & No. of Ply(s): Anchor/Base Sheet Fastener/Bonding Material: Insulation Base layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Ply Sheet Fastener/Bonding Material: A u4vAr.4 86 Base Sheet(s) & No. of Ply(s): 1 GArpi4( b2Se Base Sheet Fastener/Bonding Material: - - 5( _ '1 1 Q ef'z ec. s 1- Rof'K/la v9£g© Top Ply: 1- Imo/perk a /10 F( Top Ply Fastener/ Bonding Material: .►►r,'. L Surfacing: 6 4 -)(l E 52.5 x.“ 3%{64 3 41,9 — 873 g8 7G 3 (0. • ed Roof S stem Fastener Spacing for Anchor /Base Sheet Attachment Field: 9 ' oc @ Lap, # Rows 2_ @ ! ' oc Perimeter: 4 ` oc @ Lap, # Rows 3. @ c Corner. ( ` oc @ Lap, # Rows @ 4 ' oc Number of Fasteners Per Insulation Board Field P rim eter Corner Illustrate Components Noted and Details as °Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Cop, Etc. Indicate: Mean Roof Height, Parapet Height, Height.of Base Flashing, Component Material, Material�,,Thickness, Fastener Type, Fastener Spacing' or Submit ManufacTurers Details that Comply with RAS 111 and Chapter 16. Y9a. ?We chip 10, fq(. car pd/5.-A0 ..- 74.4.4 4 42 4 tratI Ave AILAWORo rinrr.4 ts aVe /34V )4 5.t0 74 . ` oc Parapet Height / 1 FT. 1€ Mean Height Section D Stee :oof Slope: 12 . • Deck Type: Ridge Ventilation woora ype Underlayment: Insulation: Fire Barrier: Mean Roof Height :_ 77 Florida Building Code Edition 2002 H h Veloci Hurricane Zone Uniform Permit A. placation Form. Slo• ed Roof S stem Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations P1: 4.o P2: /9'•J/ P3: 9. -7 Maximum Design Pressure From the VOA S • ecific S stem : Method of tile attachment: St eep Sloped Roof S stem Descri tion N Fastener Type & Spacing: \AdhasivP Z -,E i ype Cap Sheet: I TY/E ee� 9�fFS 2 f Roof Covering: /Y/On ICS/ 4 4 0 4/5 I/6° AlA Type & Size Drip k E d ge: /'4�!>f S/1/F Sf! Florida Building Veloci Hurricane Zon U err m i tAp l zOi n Form. Section E Tile Calculations For Moment based tile systems, choose either. Method 1 or 2. 'for M with the values from M. If the M values are values, for each aren o f t he roof, then the al attachment re greater method is is equal to the Mr Compared the h Mr m acceptable. Meth d 1 "Moment Based Tile Calculations Per RAS " • (132 '1111i_. x� _- �� ` ��,,�� —M = 1�1 1 M _ (p2' 0 x1 _ �S 1 — M g:_iA =i11,, NOAMr . — Mg: _ = Ma A.17 NOA M NOA Mr Me th od 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M,) From Table Below NOA M (Pt (P3 * Must be used in conjunction with a list of moment based tile syst 28 2 Broward County Board of Rules and Appeals. ems endorsed by the For Uplift based tile systems use Method 3. values for F,. If the F' values are greater than or equ� to the F, valu alu es, }`dot -, each F the area of the roof, then the tile attachment method is acceptable, the Fr Method x 1: x1: 3 "Uplift Based Tile W:_ ) — \V: Calculations Per RAS 127" = F = F,,: Where to Obtain Information x cos 9.• x cos 9.• x cos 9.• Descri.tion S mbol Mean ;en Pressure PI or P2 or P3 RAS I27 Table t b.. _ i 7 Where to find of an Roof Het - t H Roof Slope lob Site Acrod amic Multiplier Restorin Moment due to Gray' Attachment Resistance Re • uirrd &foment Resistance Minimum Attachment Resistance R • uired U. 141 Resistance A`•erate Tile Weight Tile Dimensions All caluutatinns must be submitted to the Buildin¢ Otlirial at the time of •crmit so • Ilea non. NOA F' NOA F' NOA F' "MIAMI•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) i\tonicr Lifetile, LLC 135 NW 20" Street Boca Raton, FL 33431 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (A1-IJ). This NOA shall not be valid after the expiration date stated below. The Nliami - Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's namc or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The submitted documentation was reviewed by Frank Zuloaga, RRC 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 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Monier Lifetile Atlantis Shake and Slate Tile Trim Pieces Roofing 1= 15" w = 10' / 1 '' /A" thick 1= varies w = varies varying thickness 2.1 SUBIVIITTED EVIDENCE: Test Avsncv Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Flat Profile Roofing Tiles Concrete Test Dimensions Specifications Test Identifier 7161 -03 Appendix III 94 -060A 94 -084 25- 7094 -2 25- 7094 -8 25- 7094 -5 Product Description PA 112 Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name /Report Date Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" 1lcadlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover /Reroof) Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 2 of 6 Test Agency Test Identifier Test Name /Report Date The Center for Applied 25- 7183 -6 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik -Drive Screws, Direct Deck) The Center for Applied 25- 7183 -5 Static Uplift Testing Feb. 1995 Engineering, Inc. PA 102 (2 Quik -Drive Screws, Battens) The Center for Applied 25- 7214 -1 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik -Drive Screw, Direct Deck) The Center for Applied 25- 7214 -5 Static Uplift Testing March, 1995 Engineering, Inc. PA 102 (1 Quik -Drive Screw, Battens) Redland Technologies 7161 -03 Wind Tunnel Testing Dec. 1991 Appendix II PA 108 (Nail -On) Redland Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing Aug. 1994 PA 103 (Nail -On) Redland Technologies P0631 -01 Wind Tunnel Testing July 1994 PA I OS (Mortar Set) Redland Technologies PO402 Withdrawal Resistance Testing Sept. 1993 of screw vs. smooth shank nails The Center for Applied Project No. 307025 Wind Driven Rain Oct. 1994 Engineering, Inc. Test #MDC -77 PA 100 Professional Service 224 -47099 Physical Properties Sept. 1994 Industries, Inc. PA 112 Celotex Corporation Testing 520109 -1 Static Uplift Testing Dec. I99S Service 520111-4 PA 101 March 1999 520191 -1 Walker Engineering, Inc. Calculations Aerodynamic IMlultiplier March 1999 Walker Engineering, Inc. Calculations Moment of Gravity Sept. 1999 Walker Engineering, Inc. Calculations 25 -7094 February 1996 Walker Engineering, Inc. Calculations 25 -7496 April 1996 Walker Engineering, Inc. Calculations 25 -7584 December 25- 7804h -S 1996 25- 7304 -4 & 5 25- 7848 -6 Calculations 25-7183 March 1995 Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Calculations Aerodynamic Multipliers April 1999 Calculations Two Patty Adhesive Set System April 1999 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.25 - 0.865 Table 3: Restoring Moments due to Gravity 5 ":12" - M (ft-Ibf) 6 ":12" 7 ":12" or greater Tile Profile 3 ":12" 4 ":12" Monier Lifetile Atlantis Shake & Slate Tile Direct Deck _ Direct Deck Direct Deck Direct Deck DirectDeck 6.0 5.9 5.8 5.6 5.5 Table 2: Aerodynamic Multipliers - A. (ft') Tile Profile X (ft') Direct Deck Application Monier Lifetile Atlantis Shake & Slate Tile 0.24 3. LIMITATIONS 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page4 of 6 Table 4: Attachment Resistance Expressed as a Moment - M1 (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Atlantis Shake & Slate Tile 2 -10d Rinq Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 50.3 65.5 48.3 Installation with a 4" tile headlap and fasterners are located a min. of 2W from head of tile. Table 5A: Attachment Resistance for Single Patty Expressed as a Moment - M (ft -Ibf) Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile PolyProTM 118.9 PolyPro TM 40.4' 4 Large paddy placement of 45 grams of PolyPro T'". 5 Medium paddy placement of 24 grams of PolyPro TM'. Table 5: Attachment Resistance Expressed as a Moment M (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5B: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Mortar or Adhesive Set Systems Tile . Profile Tile Application Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Mortar Set 39.0 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 5 of 6 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documcnts required by the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS MONIER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 6 of 6 MIA M I•DADE APPROVED: 06/I4/21101 1:0150001 tpc :Inatl <o Ic<epuna cO.e( pap ant Internet mail ad11rcSS: pn, Slrnnslcr OlniildiDgcndconlin0,com 10' d t'8t'88SLSOC 1O.L 'LCC989SOC rvLlruAA rmul2u.. J,.). 1N{.. PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyf(,am Products, Inc. 240U Spring- Stucbncr Road ' Spring ,TX 77383 -1132 MIAMI - DE COt1T-ITY, FLORLOn METRO -DAUE FL.;GLER C3UILDING BUILDING CODE COMPLIANCE, OFFICE METRO -DARE. 1:1. C L,ER t3i11LDINO 1.10 WEST FLAGLER STREET. SUITE I6t11 MIAMI. FLORIDA )3130 -150 I31S) )7S -2 VAN OOS) 37S 2')Iu4 ( oNTRAcroft LIf'F!NsINt: N :cI'IUY 005)3/5-252i FAX (305) 375 -35: CON'I tt.►CI't)tt (•;YIDQItc :NII:N'r III\'I ION 150:) )75 -791,6 I %Ax (305) 175 :'UUA I'It(DL'C°I' CONTROL DIVISION i3u111S- 2901I:A' OUS1171.6),:A Your application for Noticc of "Acceptance (NOA) of: Two Component Polyurethene Fo ;lm Adhesive under Chapter B 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 Mianti -Dade County 'Budding Code Compliance Office ((ACED) under the conditions specified herein. This NOA shall not be valid after the expiration date slated below. BCCO reserves the right to secure this product or material at any time from a job5ite or manufacturer's plant for quality control testing. It this product or material fails to perform in the approved manner, ECCO may revoke, modify, or suspend the us 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 Coda. The expense of such testing will be incurred by the manulacturcr, ACCEPTANCE NC.: 01-0 EXPIRES: 05/10 /2006 Raul Rodriguez Chief Product Coctrnl Division TWIS I5'TIIr COViRSIIEFT, SEE ADDITIONAL PAGES FOR SPECIFIC AND C ENE.R.4I. CON nITIONS 13UfL,OING CODE S c TIE yIEW CON'IM1TTEE rims application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami County, Florida under the conditions set forth above. t'nnciscv J, Quintana. R.A. Director lvlianti -IDade County i1uihhrt Ct?tic Cons pliance Orrice IA 002 14nmcp:tgc: Itttp :Nwww.bultdingcrnlcorttinc.coin ODaHdH ad 17S :9T CO3 ,2 20 8dt-I r- ROorING ASSEMBLY APPROVAL c_ ltcLnry: Roofing Suh catunry: Root'Tile Adhcsiv4: Jr• 1J• 4N l 111 1 •40 111.1 O•!V J1.. lti • al,yfnam_Product5, 1. ACCEPTANCE No_ : 0l-O.52i.07 Ma tsrial.: Polyurethane 1. SCOPE This approves l'olyprue M -1160 as manufactured by Polyfu:rm Products., inc. as described in Section 2 of this Notice of acceptance. For the Iocctions where the design pressure requirements, a.s dcterminal by applicable building cocl, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 12'7, for use with Approved flat, low. and high profile rocuftiles system using Polypre0D Ali 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Applissint Polyproci Al-1160 -L ProPacl;tl) .30 Sc 100 Dimensions N/A Poamprog RTl' 1000 N/A N/A Dispensing Equipment 2.1 Cornpuncntti or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile AS;arnhly having a current NOA which list uplift resistance values with the use of Polvpro A11160 roof tilt adhesives. 2,2 Typical Physical Properties: Prsperry Test Density ASTM D 1622 Compressive ASTM D 1621 Strength T:.nsile Strength ASTM D 1623 Water Absorption ASTM D 2127 Moisture Vapor ASTM E 96 Tr:tnsntission Dimensional ASTM D 2126 Stabili�y t8P88SLSOC 01 :716696SS06 4 L. LL V: L:L 11 \ 111' :. A.11. • Test Sner.ircntinus PA 101 1.6 Ibsen ' 13 PS1 Pnrall 1 to rise 12 PSI Perpendicular to rise 28 PSI Parallel to 0.08 Lbs. /Ft 3.; Perna / Inch Approval Datc: June_ la 2001 l;:cpirati'on Date! ML10 2006 Results +0.07 ^ /0 Volume Chance u. -40 1F.. weeks +(.0;S, Volume Chance rid l Itnt,idity. 2 weeks Product l escript Two COM poncnt polyurethattu Dispensing Equipment s • , 1n. rrunk Zulo:tgn. RRC Product Control Gsnrniner omuda t'S : S I C002 20 eldt uL 1J !!J aril 4 : ua t,ti.l >;!J•+ ;:4 Au 4z CO•d Pottfoam Products laic. ACCEPTANCE No. : pt- 0521.02 t7885L OC 01. VLCCSESSOS 1 ry4xrv,,; rimAJuv :..+.:%L , (Note: The physical properties listed alcove are presented :t; typical average values ns determined by accepted ASTfv1 test methods :Ind arc subject to nor'nial nt :u,ufiiCturin variation, 3. LIMITATIONS . 3.1 Fire classification is not p:trt or :his acceptance. Assembly for tire rating 3.2 Polypro® A1-1160 shall solely be used with flat, 3.3 Minimum undcrinvments sh ll be in compliance Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance fur the use. of Polyproe Al-I160 root tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polyprotl Al roof tile adhesive with their tilt assemblies shall test in accordance with PA. 101 and with section :0,4 as modified herein, w ms It.efcr to the Prepared Roof The low, & high ti!e profiles, with the l000tinE Application 4. INSTALLATION 4.1 Polypro® AI-1160 may be used with any rocf tile assembly having a current NOA that lists uplift resistance values with the use of Polypro'i AI -I l 60. 4.2 PolyprorD AH 160 shall be applied in compliance with the Component Application section and the correspond :nb Placement Details noted herein The roof tile assembly's adhesive attachment with the use of PolyprnS Al-1160 shall provide sufficient attachment resistance, expressed as an uplift based systcrn. tO meet or exceed the uplift resistance determined in compliance with Miari, -Dade County Roofing Application Standards RAS 127, The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AI-1160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc Polyproe AH 160 Operating Instruction and Maintenance Booklet, 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having Jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the ''A'' component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (0). The dispcnsa timer shall be set to deliver 0.0175 to 0.1 pounds per tile as determined ;.t calibration:, No other settings shall be approved 4.6 Polypro® AI-1160 shall be applied with Foampro RTr 1000 01' Prot'ack® 30 S 100 dispensing equipment only. 4.7 Polypros AI.II60 shall not be cxposed permant.rtlly to swill t r1nk. Zuloaba, RAC Precinct Control Examiner c o a i63 8d SS :9I E002 720 880 I rw' • 10 • ■+0 Lill. 11 • 111 X':1.\ . J'1 4 1 1.'1L Palyfo:ttj► Products Inc. 4.9 Tiles must be adhered in freshly applied adhesive Tile must be set within 2 to 2 minutes afle.r PoIyproe A)-11610 has been dispensed 4.9 Polyproe AH 160 placenmcrt and minimum patty \ vcight shall be in accordance with the. 'Placement Details' herein, Each generic tile profile requires the specific placement noted heroin. �_ fable 1: Adhesive Placement For tsadh Cencric - 111c I'rofiic TileProrlc 1 Single Paddy Nti'I:i 17 Paddy \\'eight Detail Min, (grants) per paddy Min. Flat. Low, I-lu;h Profiles _ !i I l- h Profile (2 Piece Barrel) :'1 Plat, Low, I Fieh Profiles {12 Flat. Low, Hiallt Profiles �. LABELING All Polypro® AHI60 containers shall comply with the St:indard Conditions listed herein. •6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly valuate the, installation of this system h0'd L8188SLS08 01 t7LCC969S0C f '.11.1 r V:a1 1'1\11111.'1 1 .7. 1:v1. ACCEPTANCE N. 01- 0521.02 35 17isicle on cap and 34/pan 1. N/A NIA N/A FrankLuloaba, I'tRC Product Control I!.:unincr t1J Lill 3 0Da'3 3 dd SS : 91 0007 20 dr �U 0.j:13. '1Hu 17:10 MI 05.1 370$ 10.12 Yul31- YAulA , INc:. Sl7' Polytonal Products, Ync. Mail Ihrapn punk („Pool Vrulana,manl Lod Comp nail into wan pulp: cnmcnl pTJC) Ia 0..m 111.) 0e6 \ \ :nt Coo+ L.1 CI „ur1 5tte taunt 0n4: Atq )dh topvoe. I ia, oP Iro , .uoltelt �. hady Daum titol Lt•1 Loull• 0/ Y1rp )dm.1). 1041 I tr. up I':n rrpn.h, l j�� FllaiT OH :I 10 Ind tel,nt enly. >4..p adnetha aPMe1 +I Irrn .re rpn0ltt � r11E11 otiomple ea da.uq OAF rdgi t) +t Ce.1v • NIdr91n)C!4 In I A'..1 .ilo Iht 0)n Ill, re 1 I:1, Frain Nitta!, ldpe al a 4OW I uri M.4H Lv lilt. A UAUU U,n'tid \ \ %r tip., 1 `�• t o \ r �. PP y.nian 'Sq'Iste, Meat tOar Uia, 0 Thal t0 man: count d cal r t Entrn. .w Yla 01 � �`, aa`, anf ram! CIr1 or Crntl tlOrl dot E1•c cw +rt I.KfUI 1t -0rh� q Plate comb a9nerlve CO )Chit.: tt to J) OPlkn+l !ti1 or Heap pun )ppl t- ADIIES1VE PLACEMENT DETAIL I SINGLE PATTY 3 ACCEPTANCE No.: 01-0521.02 Nn9 Ivo 0 Oit,toe :client Unterhprm We oehtlr F..( Pain IBUM)la U.) I'rallk, Zuloagi, RRC 1'rodu, [ Conlroi EsArnint:r SAreV,idl t 8b8SSLSSE 01 tL66969S@6 0=omas ad 9S:9I 0002 68 �JdH U.. JJ•u,J Int. 41;J.10 r+.ti `J 3 J14 luk. Polyfonm Products, Inc. Hill mrougn pWStic Ceme,N 7In tar Coon P,1 CIa7Wt FM Cane 90'd b8P88SLS06 Col b,'_66969506 r UAn r(ULILI.15 t>jtlllt ADHESIVE PLACEMENT DETAIL 2 SlNCLE PATTY Nail tnrouop plasttC cement UnderikrTenl \� Pa9Cy(9tnealh TI ( Z) p] :ay ( ;nt) C.1■t Can t FAAtla Wllphaia GAte Ci oaura Drip eclat 6 AU.CEPTANCI No.. 01- 0.521.02 N lll Inlaunn pla111c cement llnaecrment ��•\ ic 1 7 In. 2 Frank Lulaaga, RItC Product Control Examiner Pkady(etnuU, rae) OD 6d 9S :91 6178: E0 �dH ** 80•39dd 14101 ** 80'd 9. This Notice of Acceptance consists, of pages I through R. 1781?88S,SOC 01 P,CC969SOC u,♦ ... . . . . 1 , . L END OF IS ACCEPTANCE Pulvfq;tm Products, Inc. ACCEPTANCE Na. : O) -O52 t.02 Renewal of this Acceptance (approval) shall be consido'cd after c, r�uc ;tl , has b, :ec filed and the original submitted documents, including :est- supporting data, cn ineer,n6 documents, are no older than eight (8) year;, 3. Any and aI1 approved proCUCts shall be peru:viently lal:acc cult t h e manufacturer's name, city, tate, and the following st:aemen:: 'Miami County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance, 3 Renewals of Acceptance toil! riot be considered if: a. There has been a change in the South Florida Ouildrnj Code al'li:ecing the evaluation of this product and the product is not in compliance w ih the code cit;ulgcs. b. The prod•iet is no longer the sate product (identical) as the one originally approved. c. If the Acceptance holder has nor complies! ■'ith all the requirements of this acceptance, including the correct installation of the product. d. The cn :r who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession 4 Any revision or change :n the rmerials, use, andior manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior tvritten approval has been rqucsted (through the filing of a revision application with appr0priat,: fee) and graaated by this office, 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process, b Misuse of this , \ccuptancc as an endorsement of any product. for sal' advertising or any other purposes ti The Notice of Acceptance number preceded by the words Mi ;tmi•Dade County, Florida, and fol:owcd 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 ,ono shall be available for inspection at - dte job sit.: at all time, The engineer need not reseal the copme„ 8. Failure to comply with any section of ills Acceptance shall be cause For termination and removal of Acceptance, i r;a;nl: luloaga, RILC Product Control E,arnincr la 111)51 OJQNdI 219 ,S:9I 0009 90 ddld MIAMIDADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product • Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and /or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and /or manufacture of the product or process. Misuse of this NOA as an endorsement of any product; for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. 'his NOA consists of pages 1 through 33. The submitted documentation was reviewed by Frank Zuloaga, RRC. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 1 of 33 Membrane Type: SBS BS Cold Applied Deck Type 1: Deck Description: System Type E (1): Base sheet mechanically fastened to roof deck. All General and System Limitations shall apply. Wood, Non - insulated New Construction or Reroof 19/ or greater plywood or wood plank decks Base sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; Fastening GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any Options: of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure — 45 psf, See General Limitation #7) GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure — 45 psf, See General Limitation #7) GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. — (Maximum Design Pressure — 52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure — 60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure — 75 psf, See General Limitation #7) Ply Sheet: (Optional) One or more plies GAFGLAS PLY 4 ®, GAFGLAS Flex Ply 6, GAFGLAS #80, RUBEROID MOP Smooth or RUBEROID 20 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs. /sq. NOA No: 02- 0408.10 Expiration Date: 11/06/03 _Approval Date: 05/23/02 Page 27 of 33 Membrane: Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lb. /sq. and 300 lb./sq. respectively in a flood coat of approved asphalt at 60 lb. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 lb. /sq. + 15 %. 3. GAF Weathercote® MB +(Matrix 715 MB Coating), Applied at 1 to 1.5 gal. /sq. 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 gal. /sq. Maximum Design Pressure: See Fastening above One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 20, Ruberoid® 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladTM SBS in adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40lbs. /sq. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, Ruberoid® 20, RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladTM SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 28 of 33 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply TM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 'A" Dens Deck or /2 Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and /or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform with Roofing Application Standard RAS I 1 1 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 33 of 33 TGFU - Roofing Systems Page Bottom Guide Information GAF MATERIALS CORP 1361 ALPS RD WAYNE, NJ 07470 USA Online Certifications Directory TGFU.R1306 Roofing Systems Questions? Roofing Systems Page 1 of 36 "Ruberoid 20" or "Ruberoid Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. 1/2 in. thick (min) gypsum board or 1/4 in. thick (min) G -P Gypsum Dens -Deck® may be used in any existing noncombustible deck Classification. When this is done, the resulting roofing system is acceptable for use over combustible (15/32 in. min) roof decks. The joints in the gypsum board and overlayment board are offset 6 in. with the joints in the deck. If polystyrene is part of the roof system, it must be placed below the overlayment board. "GAF Stratavent Eliminator Venting Base Sheet (Nailable)" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof systems. R1306 Also, multiple plies of "GAFGLAS Ply 4" or "Ply 6" may be adhered to G -P Gypsum Dens - Deck® in hot asphalt. GAFGLAS Perlite Insulation may be utilized as a cover board over "EVERGUARD" insulation in any of the following systems. Unless otherwise indicated, the roof insulation is mechanically fastened, adhered with hot mopping asphalt or urethane insulation adhesive. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "GAFGLAS #80 ULTIMA" ) is a suitable alternate for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply u ") in the Class A, B or C roof systems indicated below. http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FRAME/showpage. html?name=TG... 10/23/02 • TGFU.R1306 - Roofing Systems Page 7 of 36 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: — Three or more layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: — Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. 3. Deck: C -15/32 Incline: Unlimited Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: — Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: — "Weather Coat Emulsion" at 3 gal /sq. FLUID APPLIED COATING SYSTEM 1. Deck: NC Incline: Unlimited Surfacing: — " Weathercote Low VOC" or "Weathercote" - 2 gal /sq. SINGLE PLY MEMBRANE ROOFING SYSTEMS Unless otherwise indicated phenolic insulation may be used in any of the following systems. Unless otherwise indicated any of the following Single Ply Membrane Systems may utilize multiple layers of Ruberoid Membrane. "GAF Premium Aluminum Roof Coating" may be used on any of the following Classifications not exceeding 1/2 in. "GAF Weater Coat Emulsion" may be used on any of the following noncombustible Classifications not exceeding 1/2 in. Ruberoid® Modified Bitumen Adhesive, Monsey Corp. "MBA Gold" and Karnak "No. 81" adhesives may be used in any of the following noncombustible deck Classifications. Tropical Asphalt "No. 711 AF" adhesive may be used in any of the following Classifications. GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. Unless otherwise indicated, "EverGuard SR" membranes used in systems are mechanically fastened with large head metal or plastic fasteners spaced 18 in. OC and max 2 in. from membrane's edge. Adjacent sheets are lapped 4 in., covering fasteners. Laps are then heat sealed. The "EverGuard FB" membranes are hot mopped in place. (Optional) Noncombustible deck classifications are applicable for use over combustible (15/32 in. min plywood) decks when 1/2 in. (min) gypsum board or 1/4 in. (min) G -P Gypsum Dens - Deck® are used directly over the deck with all joints staggered 6 in. (min) from plywood joints. http : / /database.ul.com /cgi- bin/XYV /template /LTSEXT /1 FRAME /showpage.html ?name =TG... 10/23/02 TGFU.R1306 - Roofing Systems 4. Deck: C -15/32 Incline: 1/4 Insulation (Optional): — Perlite, glass fiber or wood fiber, any thickness. Membrane: — "Ruberoid Torch Granule 1" (modified bitumen). Slip Sheet: — 0.004 in. polyethylene (not UL Classified). Surfacing: — 3/4 in. thick concrete with one layer of No. 10 Summerville Quarry tile (or equivalent) grouted in place. 5. Deck: NC Incline: 2 Insulation (Optional): — Perlite, glass fiber or wood fiber, any thickness. Membrane: — "Ruberoid Torch Granule 1" (modified bitumen). Surfacing: — 3/4 to 1 -1/2 in. diam river bottom stone at 1000 lb /sq or concrete pavers weighing not less than 10 lb /sq ft and spaced not more than 1/8 in. 6. Deck: NC Incline: 3 Insulation: — a)Polystyrene, 2 in. max, b)Isocyanurate, any thickness, laid loosely. Membrane: — " EverGuard SR" or "EverGuard FB ", 40 -100 mil (TPA), laid loosely. Surfacing: — River bottom stone (3/4 - 1 -1/2 in. diam) at 1000 lb /sq or concrete roof pavers. 7. Deck: C -15/32 Slip Sheet: — Membrane: Surfacing: — 8. Deck: C -15/32 Incline: 1/2 One or more layers Atlas Roofing "FR50 ", mechanically fastened. — " EverGuard TPO Plus" , 45 mil. River bottom stone, (3/4 to 1 -1/2 in. diam) at 1000 lbs /sq or concrete roof pavers. Incline: 1/2 Class A - Fully Adhered 1. Deck: NC Incline: 1/2 2. Deck: NC Incline: 1/2 Page 9 of 36 Base Sheet: — Two or more layers Type G2, "GAFGLAS Basesheet #75", mechanically fastened. Membrane: — " EverGuard TPO Plus ", 45 mil. Surfacing: — River bottom stone, (3/4 to 1 -1/2 in. diam) at 1000 lbs /sq or concrete roof pavers. Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet (Optional): — One or more layers Type G1, G2 or G3. Membrane: — One or more layers "Ruberoid Torch" (Smooth or Granule), "Ruberoid Torch Granule Plus ", "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus Granule" (granule). Surfacing: — Gravel, 400 lbs /sq, loose laid or applied in a flood coat of hot roofing asphalt. http: // database.ul.com /cgi- bin /XYV /template /LISEXT /1 FRAME /showpage.html ?name =TG... 10/23/02 v `I'GFU.R1306 - Roofing Systems Page 11 of 36 Granule Plus ", "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus Granule ". Surfacing: — Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel. 8. Deck: NC Incline: 1/2 Insulation: — One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, 1 -1/2 in. min. Base Sheet (Optional): — One or more layers Type G1, G2 or G3. Membrane: — One or more layers "Ruberoid Torch" (Smooth or Granule), "Ruberoid Torch Granule Plus ", "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus Granule ". Surfacing: — Grundy "AL MB Aluminum Roof Coating" at 1 -2 gal /sq. 9. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet: — One or more layers Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: — One or more layers Type 01 "GAFGLAS Ply 4 ", hot mopped in place. Membrane: — "Ruberoid Mop 170 FR ". Surfacing — (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gal /sq or "GAF Weather Coat Emulsion" at 3 gal /sq. 10. Deleted. 11. Deleted. 12. Deleted. 13. Deleted. 14. Deleted. 15. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Perlite, fiber glass, isocyanurate, urethane or perlite /isocyanurate composite. Base Sheet: — One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): — One or more layers Type 01, hot mopped in place. Membrane: — "Ruberoid Mop 170 FR ". 16. Deck: C - 15/32 Incline: 1/2 Insulation (Optional): — Perlite, fiber glass, isocyanurate, urethane or perlite /isocyanurate composite, offset 6 in. from joints. Base Sheet: — One or more layers Type G -2 or -G -3 base sheet, hot mopped or mechanically http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FR A ME/shownage. html?name=TG... 10/23/02 No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 Passed 43-48 Passed 71 -75 91 -95 6 -10 Passed 26 -30 Passed 49 -51 76 -80 96 -100 11 -15 Passed 31 -35 Passed 52-66 81 -85 101 -105 16 -20 Passed 36 -42 Passed 67 -70 86 -90 106 -200 FLORIDA tang Building Solutions For The Construction Industry neering & nsulting, Inc. P. O. Box 770694, Miami, FL 33177 Certificate No.02- 0501.06 PROPERTY ADDRESS: 1285 NE 101 ST. OWNER: Mr & Mrs Clifford. CONTRACTOR: Obenour Roofing ROOFING SQUARES: 29 sq. THIS ROOF HAS PASSED: Voice: (786) 486 -6468 TILE TYPE: Monier. CONTACT PERSON: Yusi (786) 486 -6468 Testin E Digital Chatillon DFIS 20 47 1 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO -DADE COUNTY PROTOCOL TAS -106 FAILED ❑ THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI-DADE COUNTY TAS -106. "ROOF SKETCH" 21 48 46 01 44 47 43 42 5 21 -41 Test Tabulation 40 37 22 36 39 36 ' 38 23 51 24 www.FloridaTEC.net ROOF PITCH: 3/12. INSPECTION DATE: 11/20/03 TEST DATE: 11/21/03 35 JOB NUMBER: 32 30 31 21 29 25 Lab Report No. 03- 110150 PERMIT No: 2003 -1206. PCA No: 34 33 26 28 2 Required Testing Force: 35 lbs 33 Fax: 305-408-1367 rillardCE'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 nr of property and street address: 1 Z S' N ((U I S1 /RI kyt 5 lilac Fe_ 33/. ' -d(CU ) (- 32 , -0L2- - ow 2. Description of improvement: (- RE t «f 4 51 c Ti 1.E a,r4 V" (o - rc 4 3. Owner(s) name and address: 4. Contractor's name and address: Oi I au.' , 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: /v /p- ignature of Own Print Owner's Name Sworn to and subscribed before me this Notary Public Print Notary's Name My Commission Expires u u� (° G° (I J --� 0 (: -- Q air l�.r -e� �'I� A_ �- [tdC.arc Interest in property: Name and address of fee simple titleholder: Va a J ; l i rcf 13 U( N f " v e A ) c) I ��u�� ; 3/- : f- s F_ ' 3) r •31r 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: 1 I 8. In addition to. himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: n s;•n.;.' 1)00!4f{72 'i n "; AD: a 2,2.005 ifua'..xi Thai :iilan:. 'i rrr 4; Co„ .f't.. C:FN 2003R0483042 OR BK. 214311 1 , 1 11i � I I � I III�I !' �I RECORDED 07/16/2003 10:55:51 HARVEY RUVINr CLERK. OF COURT? MIAMI-DADE COUNTY? FLORIDA LAST PAGE 9. Expiration date of !his Notice,of Comme,asement: (the expiration date is 1 year from the date of recording unless a different mate is sp } c� STATE OF FLORIDA, COUNT OF DADE HEREBY CERTIFY that this is a true copy of the A original ci in this lice on / f . U3 ��. 20 WITN:>?' my hand a Oli,c,at Seal, HARV fi tI , CLER ,',' Circuit and County C•urts By D.C. , Prepared by �� Address: t (dO /Y)aai, , 33o II Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2003 -1206 Printed: 10 /27/2003 Applicant: KATHRYN H. CLIFFORD Owner: CLIFFORD PAUL JOB ADDRESS: 1285 NE 101 ST Contractor OBENOUR ROOFING Local Phone: 305 - 757 -2612 Parcel # 1132050220010 Permit Status: APPROVED Permit Expiration: 1/17/2004 Construction Value: $21,485.00 Work: RE -ROOF BUILT UP MODIFIED & TILE ROOF MONIER ATLANTIS WHITE COLOR THRU TILE Signed: (INSPECTOR) Building Permit Page 1 of 1 Contractor's Address: 9301 NE 6 AVE SUITE A - 101 Legal Description: 5 53 42 AMD PL OF PORT OF REV PL OF MIAMI SHORES SEC 8 PB 41 - 64 ALL Fees: Description Amount FEE2003 -4471 Building Fee $225.00 FEE2003 -4472 CCF $13.20 FEE2003 -4474 Inpector State Educational Fund $15.58 Total Fees: $253.78 Total Fees: $3#78 a Total Receipts: 0 0 — a 3C- a o3 • rly ;a Sa OCT 2 7 %'MD 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: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 t • ? - O o o Job Address /,? P3 / / .4l • Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant /1/1. Owner's Address /c2 /.ail 7 . Phone Contracting Co. Qualifier L L- Z (;:k-E4• l , -Address 47) A SS# /� Phone (j , ' , 0 7ff • / J 2 / State # CO- o r7 Y Z- 9 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one) WORK DESCRIPTION ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ÷_14,<A, i/g .0D i.t,k x 4,„4 .c;tir.%< Square Ft. Estimated Cost (value) ///,5-0 0. 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOL' 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. and/or Condo President Signature of o APPROVED: Zoning Mechanical as to Owner President 1/- Nil -00 Date // Da My Commission i xpireS)FFICIAL NOTARY SEAL )AVIFS NOTARY PUB 1 A !'! , rF 1-1,ORIDA COMMITS r•' - • 'x36040 MY COMML P Y 11,20a1 y 4)_o FEES: PERMIT / RADON C.C.F. �. o muldmg wo Master Permit # / 7g "- No My Commi as to Contractor or Owner- Builder NOTARY NOTARY SEAL JULIE A DAVIES NOTARY PUBLIC STATE OF FLORIDA I COMMISSION NO. CC836040 MY COMMISSION EXP. MAY 11 2003 i O Electrical l //160 BOND TOTAL DUE ate 00 Plumbing Structural Engineer Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 ?P.‘6 ..,/) 26 VA5 51fp 51 i .p 2 27 52 f 3 28 53 — 1 — 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 ..L.... 50 75 Du Quesne & Associates, Inc. Consulting Engineers Testing Laboratory ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION Owner's Name: C- ' t F F 0RA Permit #. 4 S I Job Address 1 85 t•I ID I ST, MtAMI k. Roofing Contractor Q f4 o vR. goo F tt4(v 4r PCP Type of Tile: MON IER � - �AT — F SE r Date Installed I 1 9 p . Approximate Roof Height: ' 3 feet Roof Pitch' 3 12- Type of Access to Roof: Scaffolds ?C Ladder Other Approximate Square Footage of Roof: ft Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested' 1 ' 4 4 / • ge Du Quesne, P.E. 'I Engineer P. #24513 Du Quesne & Assoc . es, Inc. E.B. License #0005245 Lab Certification #94. 0318.01 TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK Environmental • Civil • Structural Building Inspection Services IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 UTR 16222 THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) $KETCH OF ROOF JOB SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES c. $ KETCH OF ROOF JOB I $ 5 f J tot ST 1 �.� • o - e‘ SHEET NO CALCULATED BY DATE CHECKED BY DATE SCALE OF ? • R.. (42 c9 oo 5 r$ n p � � 0 14 i NOTES. PERMIT PPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /0?/%...5 / c /o f Tax Folio Legal Description _� Historically Designated: Yes No Owner/Lessee / Tenant .' (� �y �h I 12 -C� Master Permit # i l l ; I a- 9 Owner's Address 42 PE l 6/ S Contracting Co. Ob ti e›/( ,00 Qualifier (J'b Z'N p_ `' - Phone 74 o?6 ' / Alta- y /oti d G4S�vtL State # c� (Y1 300 Municipal # Competen. # Ins. Co. &V Pr es /( /G Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANI WORK DESCRIPTION '.JC r0O e( �I OLQ c 4 /c SIP c4 )h 611 / .. Atli P1011 l d r 4S OO ede, /' L Estimated Cost (value) 'j D(. Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOU: . 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work Y Sture of o and/or Notary` - as to Owner and/or Cglndo My Commission Expires: �;, r ` FEES: PERMIT APPROVED: Zoning Mechanical RADON VD 5 ,' ?l1' liF F' - CIS 02816. r Lo YrStC CO . tS�� A tii1C 50'4.0.0 Building Address Address Ad. - - C.C.F. • 15) NOTARY "- Phone Address 93 D / / ' E tP A42 fY r4 /1-9 2 Notary as to Contractor or My Commission Expires: Electrical AVING FENCE SIGN be done in compliance with all applicable laws regulating ture of Contractor or Owner- Builder et- Builder 7 BOND © /+ TOTAL DUE 3 6 � /99 Date Plumbing Structural Engineer NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO TAX FOLIO NO. 99R380254 1999 JUL 22 10:21 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: f„7 & dLJ — / D I A/14 0i ShOrr F/ .33/3K 2. Description of improvement: /0 rULJ r pa s 'f n _s 1'7 lu r �h L�.,hi 4p iYlcni o.- Lf f l 3. Owner(s) name and address: K/1 'Mk lk n (' a x.14 R (1 /c S to /0 T s' ihcrc' Interest in property: Name and address of fee simple titleholder: 11/r2e. 4. Contractor's name and address: eft. -OL 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: STATE OF FLORIDA, COUNTY OF DADS I HERE'y CERTIFY Char this is a t o Ipn ;n this off r /33/ger e-4>711 Sir—( (`ft pp // • :`�� i /Gt T' vS2- 'rp P J » 3 co 13 , f 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 Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) j G}; Slinature of Owner Print Owners Name Sworn to and subscribed before me this 7 day of Notary Public Print Notary's Name CAIkekik-e My Commission Expires: 4 0 i t9 99 I __', 1'iC Prep red by: i/ ( -;,� A • i i, 14 ) Address: 93 1V E" 6 X71^ -rte •230• •52 r.;. p t� Owner's /A Signature 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) ) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. l./ 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. K 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. .It may be beneficial to consider additional venting which can result in extending the service life of the roof. Date ontractor's Signature t rs Name: Contrac o �h /N c►►u a UNIFORM ROOFING PERMIT APPLICATION PROCESS No Job Address: ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) . Ft. A Ft. V Deck type: UV L/C-DA p\dh IL- A T T A CHM ENT Fastener Ty . e: Field: P rimeter: DETAIL 1 & 2 Corner: Page- I 185 NE/a /ST: ROOF CATEGORY E (Low Slope Application) ❑ (Nail -On Tile) n (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft) Sloped 7 Roof Area (ft " Total (ft') '74 Master Permit No. ' Exposure category (per ASCE 7 -88): C Building Classification category (per ASCE 7 -88 table 1)• � VJ (Mortar- Adhesive Set Tile) ROOF PLAN Wo r Venu 2 � MI.4:iKJCHT I / Deck type: Undertayrnent Insulation: II" 100.eLO.[ D E T A I L UNIFORM ROOFING PERMIT APPLICATION PROCESS No SLOPED SYSTEM DESCRIPTION Faatener type & spacing: Cap Sheet: Roof Covering. TILE CALCULATIONS C . 1 (Pmer/ O11 X X (Aerodynarruc Multiplier): .24 ) - M i . 6 2 , c = M : ,, . O/ PCA: b 7. / Q (Pmax2 94 x X (Aerodynamic Multiplier): •24 ) - M • = M ' I�• PCA:( , " G t (Pax3 qt/ X (Aerodynamic Multiplier): .7 4 ) - M = M, 1 " �� m PCA: 11 5o Page -2 Drip edge: I Nc G Ltp s L/5 I 2'C/( ficko 4 �g l J e S -� Y �i S f eo 102 --4-4U1 ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Descnpuon b) Specific System Limitation c) Genera] Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 N.W. 20 St. Boca Raton, FL 3343 Your application for Product Approval of: Monier Lifetile Nail -On, Mortar Set or Adhesive Set "Atlantis Shake Or Slate" Roofing Tile under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service Industries, 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 -8 and the standard conditions on page 9. 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- 0604.01 Renews No.:95- 0322.06 EXPIRES: 08/27/98 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, lorida under the conditions set forth above. r � AP /27 1 .'1 V_�1L1\ LLL LL 1Lt. Raul Rodriguez Chief, Product Control �Ciiarlesber, P. E. Director Building Code Compliance Dept. Metropolitan Dade County ()J.;16/99 FRI 09:37 FAX 561 338 5391 MOTIER L IFETILE MON ER LITETLLF LLC p l i ac a t: Mooier Lifetile LLC 135 NW 20" Street Boca Raton, FL 33431 Catevory: Sub- Catetorv: Sub -Type: Product Monier Lifetile Atlantis Shake O: Slate Tile Trim Pieces Product '30 Fel; 043 Coated Base Sheet Mineral Surface G:p Sheet Rainproof 11 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Prepared Rooting Flat Profile Tile Nail- ort/Mortar Set/Adhesive Set Concrete TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Specifications Description PA 112 Fiat, interlocking, extruded corerete roof cite equipped with two nail holes. For direct dec:k-yr , mortar or adhesive set applications. Dimensions 1 =15" w = .0 3/3., IV." thick I= varies w n varies varying thickness TRADE NAMES OF PRODUCTS MANUFACTURED OTELERS Dimensions N/A N/A N/A 30't75'roll 36" x 75' roll Or 60" x 75' roll Test S pecifcations ASTM D 226 type 1( ASTM D 2626 ASTM D249 PA 104 Pagz2of 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 underlaymer.t system. MEDITERRANEAN 11003 Product Control No 98- 0604.01 Product Control No.: 98- 0604.01 Approval Date: August 27,1998 Expiration Date: AuEust 27,2001 PA 112 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, t V1Lnyftieturer generic generic generic SinGlc ply. nail -or. Protecr. - Wrap, inc. underlayn:ent with 2" self- with current PCA adhering top edge. lvaott•R. Roofing Product Cort ro TF�,zrrn ,er MONIER L[FETILE LLC Product Control No 93-0604.01 Shield Tile Nails Tile Screws P.oc.f Tile Mortar (" T:leTiteT`t ") Roof Tile Mortar ("Quikrete41) hoof Tile Mortar 0 3140") Roof Tile Mortar ("8ONSAL® Roof Tile Mortar Mix") Roof Tile Adhesive (Polypro® AH 160) Hurricane Clip & Fasteners Th: Center For Applied Engineering. Inc. min. 6d x 2 or min. 10d x e3 x 2 long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A N/A N/A d ies min. A" width min. 0.060" thick Clio Fasteners min. 3d x 1 W' Test Anenev Test Identifier Redland Technologies 7161 - 03 Appendix III 94 -084 PA 114 Appendix E PA 114 Appendix E PA 123 PA 175 PA 123 PA 110 Adhesive designed for use in roof tile applications. PA 114 Appendix E EVIDENCE SUBMITTED Page 3 oF9 underlayment for use as a top ply in a two ply underiayment system with Approved t30 or :43 as the base layer. Corrosion resistant, screw or smooth shank nails. Corrosion resistant. coated. square drive. galvanized, coarse thread wood Strews Prepared mortar mix designed for mortar set roc Nile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Corrosion resistant bronze. aluminum, stainless steel. galvanized steel or plastic attachment clips for supplemental tile arachinent. Claps are installed with corrosion resistant roofing nails compatihle with the clip. A hurricane clip is required cn all nail -on cave tiles. Test tv.unc /Repnrt Static Uplift Testing PA I PA 102 & •102(A) Static Uplift Testing PA 101 with current PCA generic generic Bermuda Root Company, In with current PCA Quikrete Construction Products with current PCA W.F.. Bonsai Co. with current PCA Polyfoam Products. Inc. with current PCA generic t) :etc Dec 199 May 1994 4111 +Allho . . Rooting u!ca ^a RRC R C oot ing Product Control Examiner 0;11.:99 11.•99 THU 17:17 FAX 561 338 5391 MONIER LIFETILE LLC The Center for Applied Engineering. Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering. Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering. Inc. The Center for Applied Engineering. Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering. Inc. Professional Service Industries, Inc. Professional Service Industries, Inc. 94 -060A 25- 7094 -2 25- 7094 -3 25- 7094 -5 25- 7133 -6 25- 7133 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 PO402 Project No. 307025 Test ',10M DC-77 324 -47099 333 - 37003 MONIER LIFETILE Page 4 of 9 Static Uplift Testing March, 199; PA 101 (Adhesive Ser) Static Uplift Testing PA 102 (4" Headlap, Nails. Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, 8omww) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover /Reroof) Static Uplift Testing PA 102 (2 Quik -Drive Screws. Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Scrcws,.8etterr,) Static Uplift Testing PA 102 (I Quik -Drive Screw. Direct Deck) Static Uplift Testing PA 102 (I Quik -Drive Screw, r?) Wind Tunnel Testing PA 103 (Nail -On) Wind Tunnel Testing Aug. 1994 PA 103 (`fail -On) Wind Tunnel Testing July 1994 PA 103 (Mortar Set) Withdrawal Resistance Testing or Sept. 1993 screw vs. smooth shank nails Wind Driven Rain Oct. 1994 PA 100 Physical Properties Sept. 1994 P.\ 112 Product Control No 93- 060 -1.01 Oct 1994 Oct. 1904 Oct. 1094 Feb. 1995 Feb. 1995 March. 1995 March, 1995 Dec. 1991 Physicalp F r;-Cii;- �crioa��a Roofin't Product Control Examiner ,-, F MONIER LIFETILE LLC Product Control No 93- 0604.01 Deck Type: Wood, Non - insulated SYSTEM 0: Slope Range: Underlayment: Roofing Tile: Comments: SYSTEMS Deck Type: Wood, Non - insulated I9 Deck Description:New construction / or greater plywood or wood plank. SYSTEM B: Direct Deck Application Slope Range: 4 ":l2" to 7 ":12" Note: System B is only acceptable in this slope range. Underlayment: Install underlayment system in compliance with Dade County Application Standard PA 118. Rooting Tile: Install tile in compliance with Dade County Application Standard PA 1 IS. (See "Data for Attachment Calculations" included in this Approval.) Comments: I. For re -roof applications, / plywood is an acceptable substrate. 15 SYSTEMS Deck Description:New construction / or greater plywood or wood plank. Mortar or Adhesive Set Application 2' :12,' to 7 " :1?., Note: System D is only acceptable in this slope range Install underlayment system in compliance with Miami -Dade County Application Standard PA 120. (See System Limitation K5.) Install tile in compliance with Miami -Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) is ' . For re -roof applications. /;," plywood is an acceptable substrate. Page 5ot9 • Frank Zuloau,a RRC Rooting Product Control Examiner 03 11. 99, THl' 17:22 FAX 561 333 5391 MONIER LIFETILE LLC Product Control No 98- 0604.01 Fire classification is not part of this acceptance. MONIER LIFETILE Z SYSTEM LIMITATIONS The standard minimum roof pitch for Monier Lifetile's "Atlantis Shake Or Slate ", low profile tile shall comply with Miami -Dade County Roofing Application Standards PA 113 and PA 120, depending on the method of installation. 3. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the pre - formed holes in the tile. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127. The tile profile listed herein 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 an 'Moment Based System' 5. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Miami -Dade County Protocol PA 106, shall be performed. 6. For tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof' pitch unless stated otherwise by the underlayment material manufacturer's published literature. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. Applications for roofing permits shall include a completed Section II of the Uniform Building Permit. a copy of Monier Lifetile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required tire racin The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Page 6 ot'9 Frank Zuloa;a RRC Tile Profile Tile Application Approved Nails Approved Screws Approved Field Clip With: Approved Eave Clip With: I nail 2 nails I screw 2 screws 1 nail 2 nails 1 nail 2 nails Monier Litetile Atlantis Shake Or Slate Direct Deck 9.80 13.80 30.80 51.70 24.30 35.30 19.00 0 .� (13;i199 :I;I HL 17 : Z-t t.-L\ at1 J46 aJJ1 Tile Profile i Monier Litetile Atlantis Shake Or Slate MOINIER LIFETILE LLC Product Control No 93 0604.01 Tile Profile Monier Litetile Atlantis Shake Or 'Slate Tile Tile Profile I N:Ionicr Litetile Atlantis Shake Or Slat_ .11 .... �........ DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - ti (ft Table 2: Attachment Resistance Expressed as a Moment - Mr (ft -lbf) for Nail -On Systems' ' Data noted in Table 2 is for installation with a 3" tile head lap. Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on cave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Table 2 - A: Attachment Resistance Expressed as a Moment - Nit (ft - Ibf) For Nail - On Systems' Tile Application Direct Deck New Construction (min. 19 /31" plywood) Direct Deck Recover /Reroof (min. 15 /31" plywood) 'Tile installation with a 4" headlap using two (2) Approved 10d x 3" long , ring shank nails installed in manufactured holes located 21/2" from the head of the tile. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. Table 3: Attachment Resistance Expressed as a Moment - ttil f(ft-Ibf) for vlortar or Adhesive Set Systems Tile Application Mortar Set Adhesive Set Page 7of9 (ft Direct Deck Application 0.34 Two (2) 10d x 3" long nails 65.50 50.30 Attachment Resistance 39.00 I IS 90 Frank Zuloaga RRC Rooting Product Control Examiner NIONIER LIFETILE LLC ..• • • • .‘ .••• ...• .... " . ••• WATERLOCK Profile Drawing 167/8".. • 1 Product Control No 93-0604.01 MONIER LIFETILE ATLANTIS SHAKE OR SLATEJJI..E Page S of 9 F rtnL u oan R Rooting Product Control Examiner . 03.114 9 THU 17:27 FAX 561 338 5391 MOU1ER Lir> i1Llr MIO"TER LffETILE LLC Product Control No 98- 0604.01 Monier Lifetile Roof Tile ACCEPTANCE NO.: 96- 0528.06 135 N.W. 20'" St. APPROVED: August 27,1998 Boca Raton, FL. 33431 EXPIRES: August 272,001 NOTICE OF ACCEPTANCE STANDARD CONrDITIONS 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: "Metro -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. e. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro -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. 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 inspects n at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 9. END OF THIS ACCEPTANCE Page 9 of 9 } Frank Zuloaga RRC Roofing Product Control Examiner Date T . 2 Job Address/ A/ / 0 / e I � Tax Folio Legal Description / Lessee / Tenant, C*/^/ 1285 N. E. 101 St. Owner's Address Contracting Co. G. & L. ROOFING CO. Address 7814 N. E. 4th Ct. Qualifier THOMAS I: %tOVERIN SS# Master Permit # 36'l4 Phone 7Jr © Q‘Ls Phone 757 -1675 State # Municipal # Competency # 1338 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION Repair tile roof in southeast valley one story part 16' X 3' Estimated Cost(value) 1280. 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 ontractor to do the work stated. Signature of Contractor or Owner- Builder Date: ,- No ary as to Contractor or Owner- Builder My Commission Expires: * * C'ni/a,M: ° Min * ** C.C.F. coo NOTARY TOTAL DUE t` /$1 Fire Zoning Buildin Electrical Mechanical Plumbing Engineering Other Zara E Associates, Inc. Roofing Laboratory Testing and Research Moisture and Up —Lift Testing July 19, 1994 RE.: TEST TO DETERMINE ROOF TILES ARE SECURED TO DECK AFTER 30 DAYS INSTALLATION - SOUTH FLORIDA BLDG. CODE 3401.10 Date: 7/ 19/ 94 Property address: 1285 N.E. 101 Street, Miami Shores, Fl Owner: Clifford Contractor: G & L Roofing Permit #: 36244 City: Miami Shores Village Type of Tile: Metro flat tile Product Control #: 940106.06 Roof Slope: 3-12 Sq.ft. area: 1,700 sq.ft. approx. Testing Equipment: Chatillon - DFIS 100 - Calibrated 9/7/93 The purpose of this quality control test is to confirm that there exists sufficient bonding by the mortar to the tile and underlayment in the tile system applied; it will be determined whether 75% of the tile bonds to be tested in three different roof areas, provides sufficient resistance to an arbitrary static uplift load applied on the tile. This procedure will satisfy the Building Code Compliance requirements set forth in Protocol PA 106 -94. Tiles have been tested on three different roof areas: field, perimeter and corner areas. Prior to testing, dimensions of these areas were determined and recorded according to Chapter 23 of South Florida Building Code. Tiles selected at random from the three different areas, were lifted by hand, in order to test for loose components. LOAD APPLICATION: An arbitrary load of 35 lbf. has been applied to each tile, holding the load for 5 seconds. Test results are tabulated as follows: 2524 W. 3rd. Avenue, Hialeah, Florida 33010 1- 840 -684 -8454 (305)437 -2322 Fax {305)437 -2296 Pietro-Dade County Certification No. 94- 0125.08 AREA # PULLS LOOSE TILES BROKEN/ CRACKED TILES ADHESIVE DELAM INATED FROM UNDERLAYMENT TILES DELAM INATED FROM ADHESIVE Field 25 none none none none Perimeter 12 none none none none Corners 30 none none none none Enclosed find a sketch of the test site roof, indicating field, perimeter and corner areas with dimensions, and also, location where pulls have been conducted. More than 75% of the tile bonds tested in each of the three areas, provided sufficient resistance to the arbitrary load applied. Truly yours, ZARA AND ASSOCIATES, INC. TER L ZA Lab. Director - Encl. Sketch , More than 25% of the tile bonds tested in each of the three areas, did not provide sufficient resistance to the arbitrary load applied. More than 10% of the components have been determined to be 'loose" components. XX The static uplift quality control test for the property in question, complies with the Code requirements 3401.10 and Protocol PA 106 -94. l RICARDO A CARLES, P.E. PROPERTY LOCATED AT 1285 N.E. 101 STREET, MIAMI SHORES, FL Field Perimeter 0 Corners SECTION OF HOUSE TESTED - 1 STORY FRONT 2ND. STORY FEES: PERMIT ?d APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date S /al /'' Job Address 1 285 N. R. 101 St. Tax Folio Legal Description Owner / Lessee / Tenant Kathryn Chi ffnrrl Master Permit # Owner's Address 1285 N. E. 101 St. Phone Contracting Co. G. & L. Roofing Co. Address 7814 N. E. 4th Ct. Qualifier Thnma s T . T.nvpri n SS# Phone 757 -1675 State # Municipal # 11RR 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 Remove tile roof on west 1 story section, tin cap 1 -30 mop 130 1 -90# slate, install solid color white one inch tile Square Pt. 1700 Estimated Cost(value) 8,340.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do 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. ` J r Signature o Date: awner a Condo President Notary as to Owner nd /or Condo President My Commission Expires: FLORIDA NorAnit PUBLIC STATE OF MY COMIMISSIGN E P.DEC�S. 95 g�NED THRU GENERAL * it Notary as to Contractor or Owner-Buiider My Commission Expires: RNIFARY PUBLIC. STATE OP 1r 011113Ps MY CO :t 115' ON ;'. '.Ci :^.13,0s * * * * BORNEO THE; GENSI iiIN:LW , ** RADON C.C.F. 44 NOTARY TOTAL DUE ', Zoning Mechanical Fire Building Plumbing_ Signature of Contracto ' or Owner - Builder Date: Other Electrical Engineering NOTICE OF COMMENCEMENT c:,/)// 3 7, 7777 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPCTION PERMIT NO. TAX FOLIO NO. / 1 0 5 60 10 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 descn tion of propert and street address: J 2. Description of improvement: Replace tile roof on west one story roof CL Fo -h 1 W 2 10) S 1 � ok 17)--\ 51, orS, = L 33 )36 Interest in property: Name and address of fee simple titleholder: 3. Owner(s) name and address: 41 4. Contractor's name and address: G. & L. ROOFING CO. 7814 N.E. 4th Ct. Miami, Fl. 33138 OF DOC' o � 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond S 6. Lenders name and address: • . /PST `. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents . y be se � �-- • as et, by Section 713.13(1)(a Florida Statutes. � _ fy Name and address: 0 :93W10 ' 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 Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner f Print Owners Name /.-7 7`/A .�-- y �"ty C /, / � Dr Sworn to anc subscribed before me this / %° day of/7'7' ,V , 19 Notary Pubic Print Notary's Name NOTARY PUBLIC SCA i P My Commission Expires: MY COMMISStoNEXP.DEC• 18 , 1995 -.. -- -, ..+,- .*.nrr. f !ATC: TTTT11 94R248253 1994 MAY 23 08:56 ATE OFF � t?,Ou ST OMOP.• oAls to a Or a @ ge9Y ced Q i6 ollico'o^ ev)...01.1• le r °In ca Prepared by: y Address: 12 NBC \n t C V\ALf+ ‘ X313 123.01 -52 2/93 METROPOLITAN DADE COUNTY, FLORIDA for# 'METRO 0 IMO METRO -DADE CENTER Metro Roof Tile, Inc. 11350 N.W. South River Drive Medley, FL. 33178. Your application for Product Approval of Cement Flat Roof Tile under Sections 203 and 204 of the South Florida Building Code governing the use of Alternate Materials and Types of Construction, and completely described in the plane, specifications and calculations as submitted by gusto R. Rodriquez. P.E. along with test report dated September 10. 1990 has been accepted by Product Control to be used in the Unincorporated areas of Dade County under the Specific Conditions set forth on pages 2 -2a and the Standard Conditions on Page 3 ACCEPTANCE No.: 90- 1005.3 APPROVED EXPIRES • APPROVED: November 19. 1990 PRODUCT CONTROL NOTICE Og ACCEPTANCB 1 s anion• , P.E. : Nov. 19. 1990 roduct Control Supervisor Metropolitan Dade County Nov. 19. 1993 Building & Zoning Department * *PLEASE NOTE ** TYTc Tc THE f QNFRqHFFT cFF An1?TTTf?NAL PAGES FOR...PFCTFT(' AND GENERAL COMITIOLLS BOARD OF RULES AND APPEALS NOTICE OF ACCEPTANCA This application for Product Approval has been accepted by the Metropolitan Dade County Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of Dade County under the conditions set forth above. -1- BUILDING & ZONING DEPARTMENT METRO-DADE CENTER 111 N.W. FIRST STREET SUITE 1010 MIAMI, FLORIDA 33128.1074 (305) 375 -2612 W omas M. Blac P.E. Deputy Secretary Metropolitan Dade County Board of Rules and Appeals METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE NOTICE OF ACCEPTANCE; STANDARD CONDITIONS - 41,, liwal AI OPPv METRO -DADE CENTER BUILDING & ZONING DEPARTMENT SUITE 1010 111 N.W. 1st STREET MIAMI, FLORIDA 33128-1974 (305) 375 -2612 1. Extension of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer or his distributors; unless otherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with Standard Conditions shall be cause for termination of Approval. Gil Diamond, Product Control Supervisor Metropolitan Dade County Building & Zoning Department METRO METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1803 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130 -1593 (305) 375-2901 FAX (305) 375-2908 TO WHOM IT MAY CONCERN Metro Roof Tile Corporation has filed with this office the additional and required acceptable test data to support the request for renewal and continued use of their Cement Flat Roof Tile for a mortar -set system which will expire on November 19, 1993. The tile shall be installed on a solid nailable roof deck of 5/8" thick plywood for all new construction or to 1/2" plywood deck on re- roofing. The prepared deck shall consist of an underlayment (anchor sheet) conforming to No. 30 Type 11 (ASTM D - 226) and tin capped 6" o.c. on all laps, 12" o.c. in the field and 4" on drip edge over this, a hot- mopped 90 # ASTM D -249 granular surface cap sheet by Tamko, or equal applied. . The tile shall be applied with a 2" head lap to the roof with the mortar consisting of Rinker Roof Tile Cement mixed with sand conforming to ASTM C -144 for a 3:1 mix. The tiles shall be presoaked and set using approximately one full trowel; of mortar, Due to Hurricane Andrew, this office has been inundated with requests for both new products and renewals of those to expire which has caused a large back log in responding with an official Notice of Acceptance. In the interim period, please accept letter in allowing these products to be installed by a licensed roofing contractor in accordance with the manufacturer's further specifications and Chapter 34 of the South Florida Building Code until an official Notice of Acceptance is issued. GD:co 4' ': June 15, 1993 Dian P.1"s.. Product Control Division Supervisor • Metro Roof Tile, Inc. 1. This approves flat cement tile as conforming to Section 3404.1 of the South Florida Building Code., 2. The tile shall be installed in conformance with Sections 3404.2 0: the South Florida Building Code., 3. The tile shall conform to the following: VOTICE OF ACCEPTANCE I SPECIFIC CONDITIONS, f kW 4•A 'ACCEPTANCE No.: 90 -1905, 3 ; APPROVED : Voy, 19, 1990 EXPIRES : pox. 19. 1993 M • • r 1 M1Ir� • it Diamond, P.E sp' Product Control upervisor Metropolitan Dade County -2- Building & Zoning Department • Metro Roof Tile, Inc. ACCEPTANCE No.t 90- 1005.3 - 2a- APPROVED popiC$ OF ACCEPTANCES' SPECIFIC CONDITIQLI$ $ Nov. 19, 1990 EXPIRES t Noy. 19. 1993 Each tile shall be identified by the markings METRO ROOF TILE 5. Quality Control The permittee shall retain the services of a an independent testing laboratory to maintain quality control. Testing shall be performed on a minimum of five (5) tiles. Tile shall be selected by ASTM D -3665. Selection shall be made periodically from domestic tile. The tile shall be tested for strength according to Section 3404 of the South Florida Building Code and for moisture absorption according to ASTM C -4. The test reports shall identify the tile by a description of the tile as well as the Notice of Acceptance number. Test reports shall be transmitted to the Dade County Product Control Section every ninety (90) days. If no test reports are received within a one hundred twenty (120) day period, the Notice of Acceptance will•be considered as being abandoned and the approval will be cancelled without.notice - to the permittee. Reinstatement will require a new application and full fee. 6. This renewal supersedes Notice of Acceptance #87-0901.1 dated October 19, 1987. Gil Diamond, P.B. Product Control Supervisor Metropolitan Dade County Building & Zoning Department APPLIri'TIDN FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer.. Name and address of licensed contractor MIAMI SHORES VILLAGE Bll';t_DING INSPECTION DEPARTMENT Date 1 "1 ,/ , 11 � � ,c . I f -1 � No�Z �` Street '... l 5 - 0 :274 /z/09/ /et/, a 44-c Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1 _Z .5 .4 State work to be done and purpose of building (by floors)igd / -36 /` 7 o and for no other purpose. New Building Remodeling __ .___ Addition._. Repairs No. of Stories To be constructed of Kind of foundation Roof Covering... 5 - 0v __.._. ��yt Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required plan Cubage _. Distance to next nearest building__. ___ _ ______Size of Building Lot__ Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to - -- 4;4 00� �r �N C � Gl° 4/ K - ..... 1.0 -4 -£ The undersigned applicant for this building permit dots hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /� 'r!�e. Remarks.. _ (Signed) _ _ � _ _. _ _. STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared q-(3 -7 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 ar e I�, Permit No.___________ Date Disapproved __. _ _ -_ Date (Signed) C��' � ` Notary Public, State of Florida -- - -- - -- Building Inspector My Commission Expires_____ PLAN'.P G BOARD__ __ to me well known, Read, Sworn to and Subscribed before me. DATE Chairman Member Member Member .. _ Member . __ . Member Council Approved .._Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for ins, on or faulty materials and /or workmanship. 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. Owner's Name and Address Registered Architect and/or Engineer Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Location and and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done V V `, State work to be done and purpose of building (by floors) ' . -7 , 19.q Date No / 5'T S Street • T and for no other purpose. Repairs No. of Stories ' Roof Covering New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor__ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 such subcontractors, on work to be performed under this permit as are licensed by Miami Shores Village. Remarks (Signed) to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit 3 7 Date Read, Sworn to and Subscribed before me. Disapproved _ ... e (Signed) 65 ) 71 -- - 'Tr4 Building In/s ctor My Commission Expires.. PLANNING BOARD DATE Chairman Member Member Member Member . Member Council Approved Date Disapproved (:) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida 3 Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.