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230 NE 100 St (12)
MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date3 1 1 Type Insp' n R t YO I 0-oaf Permit No. ejr 0■IJU — .; 1 Name nI 0 ' Address .Z30 4 ,' 1n N 130 S Company r.JOIe k- . 101 1 Phone # Inspection Date 3 1g- Approved Correction Re -Insp' n Fee ❑ Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date "if Approved Correction Re- Insp'n Fee MIAMI SHORES VILL GE BUILDING DEPARTME 305- 795 -2204 Budding Inspection Request v MIAMI SHORES VILLAGE BUILDING DEPARTM ( N 305- 795 -2204 Building Inspection Request Da' / Z. / . r Type Insp'n Permit No. 0 '� a N amefZ/l�l / Address " ( Company Phone # Inspection Date Correction Re- Insp'n Fee Test Location Uplift Pull Test(P or F)) i }�IC� Test Location p 26 6�•-• Uplift Pull Test(P or F) 17 Test Location 51 Uplift Pull Test(P or F) Test Location 76 Uplift Pull Test(P or F) 1 2 27 52 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 —1-' 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 _ 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 75 100 4. Owner's Name Job Address 2 : 0 Roofing Cont . ctor: Type of Tile: Approximate Roof Height: THIS REPORT 4UBMITTEG F' Civil Encineer: Lab Certification # 96- 0608.04 2, State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 feet SITE SPECIFIC INFORMATION 1 1 . NA) A'sb—A- 1 Pe mit # o4 - Type of Access to Roof: Scaffolds Other Approximate Square Footage of Roof 2_10e ft ✓Ladder Required Testing Forced lbs. Testing Equipment: Chatillion 100 Date Tested 3 �� TEST RESULTS P = PASS, F = FAIL IN ACCORDANG`_ WITH THE CRi`i F=RIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. , 'FS PRINTED BY: UNIOUE GRAPHICS: 954-484-9923 FAX: 954- 4849967 [04o X , Project No 5051 Date Installed: Roof Pitch: 3 E 2 - ' IZ SKFTCH OF ROOF JOB 2 � tJ- 1005 SHEET NO.' 2 OF CONTRACTOR. ■J 04 • 7-490 T N CI. CHECKED BY ' SCALE DATE I I 1 1 ' 1 ■ III _� ■ MEM ft ■ c.9 _. 1111 ■ ■ 1FA .......... wil _a sreimm m i■ ■fug! lib" di m i` :olio :new rm■■ NOTES 'r • • Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 cal Master Permit No. BUILDING PERMIT APPLICATION FBC 2001 City M 1 ck4A 1 . !\ o rt State FL._ r s ys-fe IAA ! LRo I 1 41 IC Miami Shores Village CLL \(O Submittal Fee $ 50 • ©0 Permit Fee $ 300 _ Notary $ Training/Education Fee $ a „f?t) Scanning $ 6" Radon $ Job Address (where the work is being done) -0 10 O ' St City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO V Contractor's Company IXame <GL t.V & I e K JV Uzi �c Contractor's Address r .!o 1 B OX 5 11,5 City M /� vv \ State FL-- Qualifier VAN ff C&tJ ca Zip 33)3 Permit No. ofidzOu Zip 33138 Permit Type (circle): Building � Electrical Plumbing Mechanical � Owner's Name (Fee Simple Titleholder) I U t'\ be61ro Phone # Owner's Address ..93 0 1 v (0 O±h6*1 Tenant/Lessee Name Phone # Phone # 3 o5 ' Zip 33 153 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit wo Square Footage Of Work: 2/ 00 Type of Work: EAddition DAlteration DNew 6,f Repair/R_ a Ala e ❑ Demolition Describe Work: - Tear o f eX 15+i he --I-i I e rood j ► ep )a.ce w (-I-ha v e14/ Mo er c a v Cr c • o �.. 0 - �.I � e es M(' CO for I * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 6t Q— Technology Fee $ 7/ ro Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this day of F (U 1 -,20ci'(, by TOvIA. who is personally known to me or who has produced As identification and who did take an oath. NOTARY P LI Sign: I� Print: — 30•711'A tT E My Commission Expires: APPLICATION APPROVED BY: Chc 10/14/03 Barbara A Estep z My Commission I 1 8470 Expires March 2g 70x16 Signature G{, Contractor The foregoing instrument was acknowledged before me this �3 day of 20U , by 1(,(U 1 Kaita If 1I , who is personally known to me or who has produced Print: as identification and who did take an oath. NOTARY PUBLIC: Sign: /.Jl./,1.t6 (/(, E arbara A Estep p � 78470 My Commission Expires: o, o Expires March 29, 2008 ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, ' ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** FEB 2 0 200 Plans Examiner Engineer Zoning 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Master Permit No. Contractor's Name Job Address Section A (General Information) 'a. tA.l 4Z&(4)&( �.3 N IvoS Process Nq. ROOF CATEGORY �,,� ❑ Low Slope ❑ Mechanically Fastened Tile L�J Mortar /Adhesive Set The ❑ Asphaltic ❑ Metal PaneU3hingles ❑ Wood Shingles/Shakes Shingles ARE THERE ❑ Prescrlptive BUR- RA3150 GAS VENT STA ? • ROOF TYP YES ❑ NO M E TYPE - NATURAL ❑ LP6X O ❑ New Roof tiRe- Roofing ❑ Recovering ❑ Repair P Malntenan !?Lj ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) cI, 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. I■. 1 ..■ 1 o. m m■.■ mm..■....■. 1■m■ 1. m.■■. mm ..■■...■■.m m.■■■.nonnomm■onn mo onni onsonsmonmosonIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIImom mmonmommom�gggg: 1...■mm■o..■ ■. ■o.. ■.o...■ ■.. ■ ■om..s■■ ■ omm on sommonno.■■.J.umnms ■■ . ..m■..... . I.......... I ....■. .. ■....... ■.... ■■■■C■■■■■■. 1! .. . ■...... 1. 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" onsono moonnou...•m.o, ;/ mosnon.: v ro:"::mmismo moonset mpsorpomm: `s1 � U 61o I �lo. ■ ■. ■i.. m ismom ..................mommosI r1 ■1' ••. 1 /. 1 ■ mono■ . . . ■ ■.■ ■ s0.0■ ■001mm I..■ ■!oo1mormo0so■.o.1 ■ ....■■m■.1 ■ ■..10 ■mosomonom0 ■omonnos ■.o ■0■m10■ Irsnommolow0.' - ■.■■ m.■.■■ ■■■ .. .. r m mm ■o0.. ■1 ■s1101s0■ ■1 ■0m1.000 ■ ■0■ 121UNIU 1 W °':qi "r 7.rI. ■ ■1.1.. ■m. ■. ■m1m.■ 1011\■.■ ■..11. ■ ■mo■ ■1.1.11.sm ■s ■ ■0.1.■■ Ot-r-?? Roof System Manufacturer: MO 1 O \ 'T Notice of Acceptance Number: 0_2 P.o {S Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: r'1 Ilb P2: 1o0tb P3: 100112 . Maximum Design Pressure qb t b 1 (From the NOA Specific System): Met hod of tile attachment: Po 1 y FO am o.-d k es i ' e Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof Slope: el p :12 Deck Type: Ridge Ventilation? / � Steep Sloped Roof System Description 1X t ype Underlayment: nsulation. Fire Barrier: Mean Roof Height: Yv/A- astener Type & Spacing: dhesive Type: ype Cap Sheet: � b r�� 1 1i� l A, S, N6u 15 , I I ChA-F MO d oof Covering: M o v e � L ()AC pe f e to for i �ro i!z ah fi 1e •Type & Size Drip Edge: ox ly White 9dt ek M, Required Moment Resistance* Moan Roof Height - Roof Slope 15' 20' 25' 30' 40' 2 2 34.4 38.5 36.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.8 32.8 84.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 • Where to Obtain Information Description Symbol Where to find Design Pressurt P 1 or P2 or P3 RAS, 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 . Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier X NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance F Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M the values from M h If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. (P2: (P3: nt Based Mg: Mg: - Mg: e Calc ti Per RAS 127" NOA M NOA NOA Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M) From Table Below NOA I *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Upllft,based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F, values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (1' xl: =_x w:= ) -W: x cos 0: F NOA (1' x1: _x w:= ) - W: x cos 0 : = F NOA x1: =x w:= ) - W: x cos 0 : _ = F NOA F' 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. 4 ,. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) 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. s ZK2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed 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 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. \ 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 Florida Building Code 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. 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 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. Owner's /Agent's Signature C:\ OOCU51E- IkmOLOCAL5- 1\Temp\SECTION 152$.doe / 1g, Date o►� 4 Contractor's Signature • MIAMIDADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 14'0 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375-290S BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE NOA Monier Lifctile, LLC 135 NW 20` Street Boca Raton, FL 33431 This NOA is being issued under the applicable rules and SCOPE: regulations tade County Product`ControlCDitvistiuontand accepted The documentation submitted has been reviewed by Miami-Dade 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).. Th ntrol is NOA shall not be valid after the expiration date stated below. "� n Miami Dads County) reserve the to Division (In Miami Dade County) and/or the AHJ (in areas o h P ave this product or material tested for quality assurance purposes. of such testip g ductor Aa-t al failsto perform in the accepted manner, the manufacturer will incur the expense revoke, ke modify, or suspend the use of such product or material within their ju Control Di B r at thi p the rig tt r to to revoke this acceptance, if it is determined by Miami Dade County material fails to meet the requirements of the applicable building code. is roduct is approved as described herein, and has been designed to comply with the Iligh Velocity I lurricane This p Zone of thc Florida Building Codc. D ESCRIPTION: Villa, Roll, and Capri Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and RENEWAL of this NOA shall be considered after a renewal pp r cation ce of this ile m there has change in the applicable building code negativ affecting P \'ATION of this NOA will oceu: after the expiration date or if ther�OA been an endorsement of change in thc mate riaalI � s, use, and/or as of the product or process. Misuse ° product, for sales, advertising or any other purposes shall automatiicallvat o nat this NOA. Failure to comply : with any section of this NOA shall be cause for termination an r ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, OA F displayed, and d, followed i shall the expiration date may be display in advertising iterature. If any ports be done in its entirety. I�srE i CTION: A copy of this entire NOA shall be provided to thc user by thc manufacturer or its distributors and shall be available for inspection at thc job site at the request of thc Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. b ccn no NOA No: 02- 1205.0 Expiration Date: 12/16/0 Approval Date: 01/02/0 Page 1 of 7 ROOFING ASSEMBLY APPROVAL Roofing Category: Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifctile� Villa, l , R oOn 2 of tCapri C encf crete Roo e i . e, F as manufactured Monier Lifetile LLC and described applicable Building Code does not locations where the pressure requirements, as determined by app 127 using thc exceed the design pressure values obtained by calculations �shall done as a based values listed in section 4 herein. The attachment alculation system. 2. PRODUCT DESCRIPTION Manufactured by Anne Monier Lifetile LLC Villa & Roll Monier Lifeitilc LLC Capri Tile Trim Picccs Tcst�c°cv Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc.- The Center for Applied Engi. ng, Inc. 4 t, Low Profile Roofing Tiles Concretc Test Product Description Dimensions Specif 1= 161/2' PA 112 Lo'.v profile, interlocking, high pressure w = 13" extruded concrete roof tile equipped with one '' /" thick nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. L = 17" PA 112 Low profile, interlocking, high pressure W= 12 3/8" extruded concrete roof tile equipped with one nail hole and double roll ribs. For dircct deck '/," thick or battened nail -on, mortar or adhesive sct applications. for use PA 112 at hi rakes, dges and alley ions. P Manufacturcd for each tile profile. 1= varies w = varies varying thiclmess 2.1 SUBMITTED EVIDENCE: Test Identifier 7161 -03 Appendix 111 7161 -03 Appendix 11 PO402 94 -060B 94 -084 Test Name/Report Date Dec. 1991 Static Uplift Testing PA 102 & PA 102(A) Dec. 199 Wind Tunnel Testing PA 108 (Nail -On) Withdrawal Resistance Testing of Scpt. 1993 screw vs. smooth shank nails March, 1994 Static Uplift Testing PA (Adhesive Sct) Static Uplift Tcsting PA 101 (Mortar Set) NOA No.: 02- 1205. .:Expiration Date::12/16 /07 Approval Date:0 i /02/03 • Psige2 0(:7. May 1994 Testae Redland Technologies Redland Technologies Professional Service Industries, 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. Thc Center for Applied Engineering. Inc. Thc Ccntcr for Applied Engineering, Inc. Celotcx Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering 'Inc. Walker Engineering Inc. Walker Engineering, Inc. Walker Engineering, Inc. Test Identifier • P0631 -0 Letter Dated Aug. 1, 1994 224 -4709 25- 709 -1 25- 709 -7 25- 709 -4 Project No. 307025 Test #MDC -7 25- 7183 -1 25- 718 -2 25- 72 -2 2 5- 7 -6 528454 -2 -1 520109 - Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Walker Engineering, Inc. Evaluation Calculations Test Name/Re ort Date Wind Tunnel Testing PA 108 (Mortar Set) Wind Tunnel Testing PA 108 (Nail -On) Physical Properties PA 112 Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Dcck, New Construction)0 Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, R Wind Driven Rain PA 100 Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Dcck) (1 Quik -Drive Screw, Battens) Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7183 25-709 25 -749 25 -7584 25- 7804b -8 25- 7804-4 & 5 25- 78 -6 Aerodynamic Multipliers July 1994 Aug. 1994 Sept. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Scp. 1998 Dcc. 1998 March 1999 March+ February 1996 April 1996 December 1996 April 1999 April 1999 Evaluation Calculations Two Patty Adhesive Set System NOA No.: 02-1205.05 Expiration Date: 12/16/ Approval Date: 01/02/03 Page 3of7 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall bc submitted to for review. Building Code Compliance Office Applications 3.4 Minimum underlaymcnt shall bc in compliance with the applicable Roofing App Standards listed section 4.1 herein. p 3.5 30/90 hot mopped underlayment applications � may � manufac p .rp . turers published literatuoeslo e unless stated otherwise by the under) ym 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and Standard its I ISo 1 hall in in strict compliance with Roofing Application RAS 120. 4 Data For Attachment Calculations Monier Lifetile Villa and Roll Tile Monier Lifetile Ca ri Tile Tile Profile } (ft ) Direct Deck A •lication 0.289 Tile Profile Monier Lifetile Villa. Roll and Tile Profile Monier Lifetile Villa, Roll. and Cain Tile 3 ":12" Battens 5.57 Table 1: Average Weight (W) and Dimensions (1 x w Table 2: Aerod namic Multi 'hers - X ft X(ft ) Batten A• •lication Ca Weight -W (lbf) ri Tile Table 3: Restoring Moments due to Gravi - M ft-lb 4..:12" 5..:12" 6..:12.. Direct Battens Direct Battens Deck Deck 6.05. •5.24 Direct Battens Deck 5.90 1 5.09 5.73 6.18 5.37 Direct Deck 6.30 Battens 5.48 0.267 Length -1 (ft) Width -w (ft) '7":12" or reater Direct Deck NOA No.: 02- 1205. Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 4 of 7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Profile Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Villa, Roll, and Capri Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 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' I 43.0 ] 67.5 I 50.9 Installation with a 4 tile headtap and fasterners are located a min. of 2% from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mf (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Adhesive 26.1' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Polyfoam Product. Inc. Average weight Average weight per patty 11.4 grams. per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Polyfoam PolyPro 86.61' Polyfoam PolyPro' 45.5' 4 Large placement of S4grams of PolyPro paddy 5 Medium Daddy placement of 24qrams of PolyPro T ". NOA K o.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 5 of 7 Table 5B: Attachment Resistance Expressed as a Moment - M -Ibf) for Mortar Set Systems Tile Profile Monier Lifetile Villa. Roll, and Capri Tile Tile Application Mortar Set' Attachment Resistance 20.60 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. 1 -,1 10-vr W TERL PROFILE DRAWINGS NAIL HOU 1 „-314 4 i-- 1 - ' 1 !Y NOSE warER cOurE MONIER LIFETILE VILLA CONCRETE ROOF TILE RAY 2 -1V8" Villa NOA No.: 02- 1205.05 Expiration Date: 12/16/01 Approval Date: 01/02/03 Page 6 Of 7 MONIER L IFETILE ROLL CONCRETE ROOF TILE MONIER LIFETILE CAPRI CONCRETE ROOF TILE END OF THIS ACCEPTANCE . • M1AJNIDE PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring- Stucbner Road Spring ,TX 77383 -1132 The expense of such testing will be incurred by the manufacturer. APPROVED: 06/14/2001 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR I.ICENSING SECTION (305) 375.2527 FAX (305) 375-2558 • CONTRACTOR ENFORCEMENT DIVISION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethcne Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this produdt or material fails to perform in the approved manner, BCCO may revoke, modify,•or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South. Florida Building Code. ACCEPTANCE NO.: 01- 0521.02 EXPIRES: 05/10/2006 Raul Rodriguez Chief Product Control Division THIS TS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office Wm :4S00015pc200011templ teAnodce acceptance cover pagndot Internet mail address: postmaster @buildingcodeonline.com E Homepage: http : / /www.buildingeodeonline.com Polvfoam Products, Inc. ROOFING ASSEMBLY APPROVAL Cateaorv: Rooting Sub- Catcforv: Roof Tile Adhesive Materials: Polyurethane 1. SCOPE This approves Polypro® AI.1160 as manufactured by l'olyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Manufactured by Applicant Polypro:+ AH160 Foampro® RTFI000 ProPack ®30 & 100 Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Dimensions N/A N/A N/A 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a currcnt NOA which list uplift resistance values with the use of Polypro AI-1160 roadie adhesive. 2.2 Typical Physical Properties: Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 2 ACCEPTANCE No.: 01 0521.02 Test Specifications PA 101 Approval Date: June 14.2001 Expiration Date: May 10, 2006 Results 1.6 lbs. /ft' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch Product Description Two component polyurethane Dispensing Equipment Dispensing Equipment +0.07% Volume Change @ -40 F.. 2 weeks +6.0% Volume Chan c Humidity. 2 weeks Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manuracturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® AH I60 shall solely be uscd with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH 160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. ; -w F _ 2 3 MS ACCEPTANCE No.: 01- 0521.02 4. INSTALLATION 4.1 Polypro® AH 160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH 160. 4.2 Polypro® AH 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH 160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH 160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® 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 approvtd applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH 160 shall be applied with Foampro RTF 1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH 160 shall not be exposed permanently to sunk Frank Zuloaga, RRC Product Control Examiner Table 1: Adhesive Placement For Each Generic Tile Profile TileProfile Placement Detail Single Paddy. Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piccc Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 Polyfoam Products, Inc. 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH 160 has been dispensed. 4.9 Polypro® AH 160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. 5. LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 ACCEPTANCE No.: 01- 0521.02 Frank Zuloaga, RRC Product Control Examiner Po Ivream Products, Inc. Nai through plastic coned Uadoetspool Ens Ewa Eases coma air Kap seaman ppm 4 it op horn sternotts ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Coda Ern Ooze ACCEPTANCE No. : 01-0521.02 1) Rao osicugh adhesive lo 'darn 17 to V Optional tars for swears Wets lo cows sirs Cis psa 11. 1/8"Pikh *Pk*" thrOOIN FAIMIC USW Tum covers opsids dank Placs adhesive li2 To 1 IA Ron outside ars el caw 7hoo WWI Iho \. $ 1 Fitia 10 e P&p '7INik Abs to mond corm of co cane cover St pan Glos. Eason my odd oar and COM Mos art '''.41-kw4100- e1 On me lkesh at ow bin Era desire Wollhok Fads 4 1P' . . 1 • Imo= down) 5 • Frank Zuloaga, RRC Product Control Examiner Polyfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 6 ACCEPTANCE No.: 01- 0521.02 Frank Zuloaga, RRC Product Control Examiner • Polyfonm ProduCts, Inc. ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY 7 ACCEPTANCE No. : 01-0521.02 Nail through plastic cement Single paddy under tile Underlayment Single paddy between tile 1 2 In. z 7 In. medium elle paddy erre couru only Nall through plastic cement /.iIn.x 3 In. Single paddy on undedayment Single paddy on top of tile Eta Coarse Single paddy under the Singlefeddi between tUe Ears Closure 2 in. x 7 In. medium size paddy eave course only Fascia Frank Zuloaga, RRC Product Control Examiner , Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 1. Rcncwal of this Acceptance (approval) shall bc considcred alter a renewal application has been filed and thc original submitted documcnts, including test- supporting data, engineering documents, are no older than cight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not bc considered if: a. Thcrc has been a change in thc South Florida Building Code affecting the evacuation of this product and the product is not in compliance with the code changcs. b. Thc product is no longer thc same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all thc requirements of this acceptance, including thc correct installation of thc product. d. The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing thc engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of thc product or process shall automatically be cause for termination of this Acceptance, unlcss prior written approval has been requested (through the filing of a revision application with appropriatc fee) and granted by this office. 5. Any of the following shall also be grounds for rcmoval of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misusc of this Acceptance as an endorsement of any product, for salcs, advertising or any other purposcs. 6. The Notice of Acccptancc number preceded by the words Miami-Dade County, Florida, and followcd by thc expiration date may be displaycd in advertising litcraturc. If any portion of thc Noticc of Acccptancc is displaycd, then it shall bc done in its entirety. 7. A copy of this Acceptance as we l as approvcd drawings and other documents, where it applics, shall bc provided to thc user by thc manufacturer or its distributors and shall be available for inspcction at the job sitc at all time. Thc engineer nccd not reseal thc copies. 8. Failure to comply with any section of this Acccptancc shall bc cause for termination and removal of Acccptancc. 9. This Notice of Acccptancc consists of pages 1 through 8. END OF THIS ACCEPTANCE 8 Frank Zuloaga, RRC Product Control Examiner M IAMI -DADE COUNTY. FLORIDA O-DADE FLACLER OUILD•Q 0v1L -01NC COOT cOMp41't,NCE OFFiCE PRnn ;� N ML"r•R0 NOTI lip wl;ct.r GLEK ovlt.plH 1 Product A I- �ltillSR I�u 3�U0 Spring , inc PTA 11 r &mum, t 1r R 113 A »1�a1 G0 (tnn�..Stucbner Road ( 373 FAX 005) 375.290 Spring ,TX 77 38 3.1132 Ct1 wilt-tcram t.tcrvvrnc; m7:nyO . 0051 ) FAX (343J 777 -2s7a Cc) MITLA(►r0 evrottcrAt (305) )7S-26 rA X U a s ) i 7 s . s v Y�t,;tr application for Notice ol'gcccp►anec Two Component PolyuretAcnc Foam BOA) of: t ' R OOUC - t•COPfl 0l.al n; e p Adhesive t�usJ S;s. :oo2 FAN 005) )T�) r C'ha tt:r 8 of Code oC,�iianti -pQd�. Count construction. :apt a8 completely described hereiC County 8ovcntin the Co t no Code complete:), de ce described Q s been reeOIflI1 nded for acceptance a by th and Types Ypcs of un the conditions specified herein, the Miami-Dade This '�'OA s1 :111 no: be valid after the expiration date state Th isucl or ma:erral at any d below. ;.ry :tact or material fails t a to t oerfor;mm�a[ ob approved :re BCCO reserve the right s ti l secure . I t manufacturer's plant for quality 7r' of such product Cr material im i diatcl manner, BCCO may revoke, control or suspend '',Ne of by Y• BCC() reserves the right to ' e this modify, �' If this Code. DCCO that this product or material fails to meet the r equirements a revoke this appro a if t i� quircmcnts Of the South Florida T le expense otsucli t,:stin 6 will he incurred by the tninuf'acturcr. . NC E NO.: 014521.02 F.XI'IitES: 05/10/2006 ' &. 4SQOOI'c200 011t•mp;3(&, ouca 'Cc a ponca CO., a pa ,d !!Itcrttet nt,,,! slid rot: pottntasrebulldlesecodcontine .coat : .;C • :C .3N X i tout Rodriguez Chief product Control Divisio /Lu Tllf COYF.liSltErT St" - nl YA 1. 1'C S FOR 41'F'C1F r3lili n(ht- C -QJ NS --i n CT REV THs ir- nlici!ton for ('rcd::ct q :'t do and Product Review pprovp.i has been reviewed by Co :n�ttiuc to be used in Miami- Dade O approved :..eve. er the by the Building arida under the conditions sit 1 'nncisco J. Quirttnna, R.A !Director W anti -D:1de Count. tluittling Code Coittpti,rtee Uric k: • (totncPaCv: bttp;/hhNw.baildlnirodoonlinc.cont d^S CR i;c • • .. =1" r::; - 4 J ve FAX 634 Sze 1012 POLyp0 PRODI'CTS,INC. l ^ • � uc tt s. ROOFl1YC ASSL'MRLy APPROVAL Rooting to Rour'rilt naties;v 1. Scope Polyur 2 . PRODUCT DESCRIPTION ACCEPTANCE No.: 0 ..�5 . 2 Approval Datt::.tu j ' Expiration Date: Mary to nn, y�IY !!GU as A approves "I'hi, aapproves 1't►IypruTJ ! manufactured b 'This described pp in Section 2 oft 1 Notice of Acceptance. requirements, t t his No ttcd b applicable Y t�ul loc P roducts, wher the e Accc,ptartcc. For the locations where pressure a req value, obtained by Y builditt c the exceed the desigp ssu I3 y calculations in complin ce wit1 Roo lint Apl Application \ 7, for u with approved flat, low, Standard Ali I G0. for usc where the art Application for sin ,c , placement. a as ; h'nent calculations arc s a ro of tiles E patty moment based s using ugh based system for double potty p31ty sysccros !Manufactured by Al 1/1ic:tnt Test f of r� x122% a YI' 6s AH1G0 - - S �ccltic,tttnny I roduct PA 101 D t•e I�oantprot RTf'1000 Two component Prol'ic1.� 30 S... . Dispans;ny Equipment ti/A 1)ispeasiog Cquipntcnt 2.1 Components or products manufactured by others: Any Miami-D:14 COt:nty ('roduct Au y It list uplift r�s:a v t Control Act:cp :cd Rout Assembly ! a atucs %vial the use of ror)rro A11160 roof t; `� current NOA 2.2 Typical � d I csir.. ic:tl Physical Properties: I'rn crt Density ASTM 0 1622 Crunpres,i%.e ASTNI SIre.tgtlt T�tsi;c ALsor S!rc:t •th r'i:c.• t ASTN1 0 1623 pticu 'ST.M 0 2127 Vto'sct.rc Vapo Transmission AS f �t 1 96 !�int�n�ic ia' AST 1) 2'26 Stability 'CN X51 IZect � 1.6 lbsJft.' 18 PSI Parallel to rise 12 PSI Perpendicular to r'se 28 P51 Para'icl to rise 0.08 Lash%: 1.1 I't:rrn /1:14:11 4.i.077] V o l ttntc Chat �c rl - J „ o - tv 2 •6.(y, Volum e Clt,q.., 1 h:ni ittity. 2 tvcvk . .ri.L8Ct! ail A - cie. •• I'r:tt'{; Zuloago. ItRC Product Control Examiner • - • ` rcr -,v M '1 • PolrfOhm Produ n c. :•r1 c !Vote: Tile physicnl CCEPTANCE No. : 01- 0$21.0, incepted AST proper/it, l above nre presented as M test methods and are subject ton tyPienl e ve r normal menu a me values wt determine) by i. LIN'i1TAT1ONS tturint rarialion. 3.1 fire classificatio is net part of this S acceptance neCeplanee. Ram r to the Pre 3.2 Polypro A1-1160 shall solely be used with fl Pared hoof Tile Assembly for arc rating. 3.3 Minim ►trn underlayntents stall be in c ' %l• tow, & hiryi laic profiles. Standard RAS 120. on %pliartcc with the Roofing 3.4 Roof Tilc mar:ul:tmanufactures es ac � APPI,ca�on tile adhesive r uI 9 for the use of Polypro® AHIEO roof 3.5 ►t the tile assemblies shall test in accordance w i t h PA 101. Roof Tale ma►tt,factures.acquirirt use of 1•'olyproe Ah l6C : oof file , dhesve witlothc otPadcy placement with the accordance with PA 107 and with section 10.4 as modified ,F e e r , shall test in _( -11_ W F' -_i 4. I \STALL ATION 4.1 ('olypro ® AH i 60 may be used with an lists uplift resistcnce values with the use of Polyp o® AH 60 ��e a current NOA that 4.2 Polypro® Al-{160 shall be applied in compliance with the Compencnt se:t;o�t and t!•c corresponding Placement Details noted herein. The ro o f Ppe cation assembly's adhesiv Y dI,CS�v a• tac!i;- •,cr,l with the s`fl;c:cn. use of a:ta :!:m ;ctt resi ;tancc, expressed as an u ol lif; rb® �I•! 160 sJ,a;l provide Thc uplift resistance determined in compliance with Miami -Da s to meet cr exceed r n5 Application Application Standard! RAS I?7, c County Rnc:t tile assembly NOA e adltcsive altacit►ucnl data is noted in t;:c roof 4.3 ?elyproe AN 160 reor'tilc adhesive and its components shat! accordance with Roo f,n A x installcrr in !; Application Standard RAS 120, and ?o ;yfoant Products. Inc. Polypro€ AH :60 Opera:ins Instruction and Maintenance Booklet, Installation must be by a Factory Tra ;ned'Qua;ified applicator Products a by Pc:yfoam Products. Inc. Poly/foam .rtc shall su c! ::_ aap'icitors :o the a ;rl'terit Itav; ,• ' approved and licensed ic , Y g jurisdiction. P Y = , �t o; approved Ca.,s,,, .ion :!:c � f ^ c campro® dispensing equipn'cnt is require: bcr: re application of any adhesive. ;Me miv ratio ' the 'A" component and :h be maintained ;; ; ;w ! 0 -,.IS ,1 c '3" component s deliver 0.0' ?5 :e 0 1 5 � ) . 1 0 (�). •rlte dispense ::trot shall be set to ,.tds per file as deter Wined at e ;L- 2:io No ocher settings de li bC approved. 4.6 ('olyproct Al-1160 sita!I be applied with foa:npro It'I'F 1 000 or ProPaek ®30 & 100 dispensing cquip o . :y 4 Poly' roA , %1 r 1 G0 sha :1 not Le exposed ,rot tnancntly to suni 3 -- -• "AZ +7tODUCTS, I NC. MS Frsnr Zutmga. RAC Pr°C+,c. Control Examiner • Gl'd = = . C311 EC -SO -iii. Pol I'oant Pro duct Inc. -•o avSISZ ruLITOAM PRODUCI'S.INC. A CCEPTANCE No.: 0 1-0521.07 4.8 •Tiles must be adhered in freshly • minutes alcr Po! r y PP bee adh�jve Th must be set within 2 to 3 4.9 Pol ro® Yp ° ®AH !GO has been dispensed. yp AH 1 GO placement and minimum patty weight shall be in accordance with noted herein. the 'Placement Details' herein. Each generic tilt profile requires the specific placement P CCntcgr, TO,le 1: Adhesive Placement For Each Ccncric Tilcl'roJ 1c Flat, Low, Hi Profile High Profile (2 Piece Dar Flat, Low. Hi , 11 Profiles 5 . LABELING All Polypro® Ali160 containers shttjl com P j 6 . BUILDING PER Y with the Standard Conditions listed herein. �'IIT REQUIREMENTS 6.1 As required b the l3vildi, ► ti property evaluate the installation � or this system cable Building Code in order to L_79bSES:9c 'ON WI 4 Frank Zulootm CRA Product Control Examiner ;�.dCM )17 A ddfS Cai ad 9 : [ C31" riff - cn_vur •1 Polvfoam rod!lcts 'r li A9t11"i4.0 Moho Y Wien 17 U D 1 4u 44 4 M1dr119 t..yp._ n. ' .. 0* * wawa 21 !wit Way flew ham Mt 1117 d h. 1 I l e In. has w w ways 1i 1 P1 tF V Vl . Y- �•11I1i.ry 1 �r Ian cans t1y et 11.1o.r.11n. . \ � 9w g al Wu...A Oink tlntl,I � 9�I �.......,. 1 s34 578 1042 111 I 4.4 won 844i: �14.44144 ts 4'1. '•M r yyy. ACCEPTANCE No .: ADHESIVE PLACEMENT BETA IL 1 SINGLE PATTY II /P41NO.1 rag — /�M { 6... R! IAI Corot •.6 d1 L995�99:99 'ON WI OL ?WAWA* P RODUCTS INC. 1 1111b. y1 1 1/ y s lc trwn r1 4114 1M Yr M lrla «f� Po Ir 1110111 eve at g w1'1.. CM Wes" Plata amyl Wag 1 p i _• 1 •..19.. :1y� Fri Zuic . ARC Product Examiner - 0521.02 0 00s I ro�fo i 1 Products (uc. • ON Xdd ACCEPTANCE No. : 01-052 1.02 A DHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 6 ." ^' P RODUCTS, INC. Frank 2...sava, RRC Procluc: Cor.crol E asniacx . yucr� x� -caf:S 0 -efE ®0o? I o• Product inc. • Nag tArovph pestle central f In peal >< 7 In, under We SMOI paddy on lands/. Lemont s paddy 9• top of We _7�hgES. Ch '6.1 Paddy Ibiewson tllo� hday (tender Ins) 7 •• "„ PRODUCTS, INC. ACCEPTANCE No. : 01:0210/ AU! IESI Vtr PLACEMENT DO UU L E PATTY :t t L 3 Al'7'Y 2 r 2 w 12 ut , wei,en sire Reddy $a Facie course only VA ?ArcotA Plastic cement N1i !Stroup plastic enninl UnleAayn,e (:),>• } In. t 3 In. Si t )n paddy of land... la /msnt Slop per, on top of 14 Gagne ZJl under 1ik O `r 3 gin. a S l Slagle pedey ►�� `` On ur+dt ntynunl .� Sells en lop of Ewa Corm 1 In swi Sato, bsf* En. Usual UL e f 71tyai 1NeR law cprrte only Frain Z uto ga, RItC Product Control Etamincr. %coil Single N doh Under M Sink Paddy betoe1q fly Zit eyIRfoto,e ebe PM1 yn aerie eek car. • sun 13 :10 FAX 954 376 1042 8 Pal foam Pr 1 is inc. Rent - izi of this Ate:plarco (approval) shall and the ori5inal subnl;lred documents, includi considered tiller a . a \- of • than eight (8)) C.lrs b test- supportins data. c nation ..ie tS. a e n Any ny and 111 .�n_.,7n� decu..tctrts. are no approved pr6eluets shall be permanently labeled with li state. aad the following approved p s i : rarity sta :ernent• Mi uni -D = �rfacAper's name, cal stated in the specific condition Cooney t ), Renewals of Accc )canr:c w, s of this Acceptance. '"�� Approval", 0r s 3. I 11 not be eotuidercd it'. a. T!t.re has been a c;ta;it;e in the product and the product is not in co ia witlpth e code Ti e product is n0 ; - t:: � '•! evaluation of .I:;� enbcr the sane product (identical) 110' c l the Acceptance holder has not tom ) �T thc one o-;.. _ F t the a plied with alt the rccL :approved. d. 8 orrc i nstallation of the product ' of this acre p The engineer who originally prepared, W,::.c, su5,� is no Ion 1 signed and scaled the rcc_ . bcr practicing fire en nrccrin documentation initi:'i) d• tip;• revision or g t {profcssiort. �^ change , ;; the materials, use: �• be cause for th ma er s, , 3nd/or manufacture e' this Acceptance. unless pr t . � ruct or process b e ccs :cd (rou tti h the �.:;n8 of a re vision application with _ tied rcg t . ) a d r ant has best S .pPrcp' .._ . and granted b►• :h:s Anv of the `clloe \•;r;b 5!:111 ::so a. be grounds for removal ts (.'t ;sa s:acto r , n,o al of this Accr !_ ` � ry pef mane: of this product Cr process. ➢ - susc of Ui Acccpra:rce as an endorsement of any produ : ; ;_ other purposes. �' T cf Ae 'r, advertising or a^ "c =' "ur�rber preceded b ~! re m cr d11 b de y the %yards Mi ti , % - v :h ancc :s Cisp;a).rdr' ;a)' a d�spla�•ed in advertising literature. : \ Florida, and ot .c 7. �:: :• . shall be done in it 7.- of the ' g A `••':r%' o 1,; ACCC :]:: 5 )�� is wr 5: r:o�:o t :s l - i t as approved drawin `''` �s:r ;..s. the manufacturer and other dc:.: whom it applies, s.---: . S pro • d e l al: tit::e or its distributers and shz. _ ?M.: engineer need n ,:1yl for i speclio c; rese ; h c topics, - Ac-p F to comply r\ c -�• section of this Acceptance shall be eau tattcr. '='Lruticn and rrntc\a; ar 9. T : s \'c!::; of Acccp!]•_. cor.sists cf p . ,)lgcs 1 through 8. END OF T1tlS ACCEPTANCE ACCEPTANCE No. : 01_p 1.02 • oaga. RkC .'- � Cosurol Examiner Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/20/2004 Applicant: THOMAS BENTON Owner: BENTON LAUREN JOB ADDRESS: 230 NE 100 ST Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060134480 Fees: Description Amount FEE2004 -1816 Building Fee $300.00 FEE2004 -1817 CCF $6.00 FEE2004 -1818 Training and Education Fee $2.00 FEE2004 -1819 Technology Fee $7.50 FEE2004 -1820 Scanning Fee $6.00 Total Fees: $321.50 Total Fees: $33b1.o5,a0 �l Total Receipts: $d.00 0*_ c7 t Permit Status: APPROVED Permit Expiration: 8/17/2004 Construction Value: $9,800.00 Work: RE -ROOF COLOR THRU ROLL TILE Signed: (INSPECTOR) Building Permit Permit Number: BP2004 -231 Contractor's Address: P.O. BOX 531051 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9 BLK 33 LOT SIZE 100.000 FEB 2 0 pp10 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: DI NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -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: 230 N ►L ` 1 Oo t '5/ /i, j ek IAA j Shores 1 R_ 33 J3 g 2. Description of improvement: R e -r, P 3. Owner(s) name and address: D V1n 6,° ys�-b h a 30 ,"' �' 1FL- 331 d Interest in property: O IA/V1€) Name and address of fee simple titleholder: 4. Contractor's name and address: Fl. 3I 9. Expiration date of this Notice of Commencement: (the expiB different date is specified) 2 ( Signature of Owner Print Owner's Name 11111111111111111111111111111111111111111 1111 CFN 20104 - 801015716 OR Bk 22045 Ps 4338; Ups) RECORDED 02/17/2004 12:49:12 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST F'AGE [)alp,l a1k/&[eK Pro &X 53IoS/ n^iCt\44i 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 713.13(1)(a)7., Florida Statutes, Name and address: 5, AT OF PLoRID/�, Cr1U TY OF DADE 8. In addition to himself, p o coo Owners designates the following peril( • - • - vet cbl f �ig , in Section 713.1 3 1 b Florida Statutes. or7gina filed " . � Name and address:_r_j�! JARV , 200'{. fi's N tic as providi iv( 7 6 ! ar from the date of recording unless a Prepared by k,L Ka- wR Sworn to and subscribed before me this 1 day of Felx1 jt'x' Notary Public 6,1)2/0' Barbara A Es Print Notary's Name � ,CN ►Url (� E „ tep • 4 nay commission OW /8470 My commission expires: 1/4 R d , Expires March 20. 2008 123.01 -52 PAGE 4 8/02 Address: R • ,Ox '531 1 1'�I trk.tVl(i ¶ 331J3 BUILDING ❑ ELECTRICAL PLUMBING 0 PERMIT ROOFING 0 Owner of Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Date 19 Contractor's License No. Work to be performed under this Permit Architect Contractor or Budder b Subdi- Legal I.Ot , 1 vision Description B1. Sq. Ft.: Address of y Value of y " Building P $ , r.° ,�' � . � y , This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the 'plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed V • (INSPECTOR) BY 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, servant or employee. BY AUTHORITY Permit: CCF: Notary: Bond: Radon: Amount of Permit: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 10-27-99 Job Address 230 N. E. 100 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Tom Benton Master Permit # 7 5S"/ Owner's Address 230 N.E. 100 Street Miami Shores Phone ( 305) 751-1084 Contracting Co. Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Qualifier Carlos Arocho SS# Phone 751-0382 State # R c 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Reseal around chimney. Repair leak on front overhang. Square Ft. Re pal rS z Estimated Cost (value) $ 400.00 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. Fujtltermore, I authorize the above -named contractor to do the work stated. 1/- /9 -r'7 Signature of owner and/or Condo President Date Notary as to l er and/or C My Commission Expires: FEES: PERMIT {i' D s RADON APPROVED: Zoning Building Mechanical MARYLOU HERNANDEZ MY COMMISSION # CC 680474 EXPIRES: October 10, 2001 .'' °! Bonded Thru Notary Underwriters or t�,• ry Public Unde C.C.F. 1 a D NOTARY lg Signature of Contractor or Owner- Builder D ate 4 Notary as to Contrac r or Owner - Builder D/ite My Commission Expires: Electrical 1- ,:rw MARYLOU HERNANDEZ • ' +- MY COMMISSION # CC 680474 ma EXPIRES: October 10, 2001 :; Bonded Thru Notary Public Underwriters BOND Plumbing Structural Engineer 1 V TOTAL DUE f" - - L , r Contractor's Name: Lj:r1 � o l �n� eh,J Go- in Job Address: 023 J . E, 1 p 0 -hr-e+ ❑ (Nail-On Tile) ❑ (Mortar- Adhesive Set Tile).. • ❑ (Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof ❑ Re- roofing • • -•❑ Recovering "Repair • ❑•Maintenance ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ROOF CATEGORY Flat Roof Arca (ft') Sloped Roof Area (ft •• ' Total (ft') Master Permit No. Exposure category (per ASCE 7 -88): e_ Building Classification category (per ASCE 7 -88 table 1): • FL A U Ft. A Deck typo: ATTACfMENT Fastener Type: Field:. p PACMG . Perimeter: _ _ Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS • (Praw details as needed) : • r r r r r r ROOF PLAN wwww TT -•f -. -T 123.01.79 9136 . Appendix "E" . UNIFORM BOOKING PERMIT APPLICATION • ...... PROCESS No. Page -1 • Rid a venuhuont MEAN ILEICHT (Pm axl : (Pmax2: (Pinax3: Deck type: z Underlayntent Luulatlon: • Appendix "E" UN ORri R?00FrNG PERMIT APPLICATION PROCESS No. 13� IIc07gLOrt D E T A I L. 3 SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cup Sheets '1 floor overing; A ...• Drip edge; TILL CALCULATIONS X (Aerodynernto MulUplier): ) - M = M ri• • PCA: x' 2 (Aerodynarnto Multiplier): ` - r ) - Me: " Mr3: PCA: X X, (Aerodynamlo Multiplier): ___ - M - M; PCA: Page -2 ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations • ••• d) Applicable Detail Drawings 3) Municipal Permit Application •4) Other Component Approvals 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 all 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 adjace t box indicates that the item has been explained. 1. Aesthetics - Workmanship: The %vorknianship provisions of Chapter 3; are for the purpose of pro‘ 'ding 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 renaited 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 uni (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. 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 roofi • g 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 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. 4 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. S. The owner may contact the l\liami -Dade County Consumer Services Department for further information regarding the above. 1( - 1,% 77 Ow'ner's /Agent's Signature Date Contractor's Signature Owner's Name and Address ....2 °An C0 Registered Architect and /or Engineer. O�enowt. Poo Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby upnde for the approval of the detailed statement us tree 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, anti n1I provisions of the Laws of the State 01 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 •proved plans and specifications must be kept at building during progress of the work. Date / Cr/ Location and legal description of lot to be built on: Lot Block . isio 2 ' . . Po Si: Street and Number where work is to be done . 72'emove £e ex i� i cii . /too an7 tept wi M Stac k tc b7 "or e and purpo f buildi Boors) _. . ._.. . .. ... de __ ........ _........_.._.._ e v. anct�"w a .t*e :. _..� and for no ether purpose. New Building Remodeling Addition Repairs No. of Stpries To be constructed of • Kind j �udyttlon 20 00 Covering /4fi 4� Estimated Total cost of improvements $ UU Amount of Permit $. Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live Ioad'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•underyands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 3966. Compiled General Laws of Florida, Pennanent Supplement, and hats complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors emp . •ed 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 wo su uhlic notice or notices as are required by the Act. The undersigned agrees to employ only uch subcu on work to under this permit, as are licensed by Miami Shores Village. 1em.uks (Sign pd)....1�'��" e! STATE OF FLORIDA, i COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgments, personally ap- peared Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 Disapproved ...... Date (Signed) �. . Building Inspector My Commission Expires PLANNING BOARD DATE • Chairman Member Member Member Member .. _....._..._. ....._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the 1'). nnir., Board. A repo'; •thou fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anu /or workmanship. MIAMI SHORES VILLAGE, FLA. N9 7918 JOB ADDRESS 2 �e av _ r� INSPECTION ■20 � TIME READY REMARKS: INSPECTOR DATE - /3 4 13 Owner of Huilding Architect ontractor ?r Builder Legal )escription Lot Address of luilding : r CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA /MELDING ❑ �, ELECTRICAL ❑ DATE r 195 PLUMBING ❑ PERMIT N9 7535 HOOFING ❑ Work to be performed under this Permit r". '7 131. - / 0 44 t %f Subdi- vision S¢. Ft / ` Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, lrawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed- 4.9> ') f INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to In accepting this permit I assume responsibility for all work done by either, *yself, my agent, seprant or em BY ./f i Contractor's License No Amt. of Permit r • BY in compliance with all ordinances and regulations the proper authorities of Miami Shores Village. ployee. ter. AUTHORITY aliMfi/j.o. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made In compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State Qf Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall h& complied with, whether here 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 . t... Registered Architect and/or Engineer Name and address of licensed contracto Location and legal description of lot to be Lot Block Street and Number where work is to be done.... 0 State work to be done and purpose of building (by floors) ..... MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT and for no other purpose. New Building Remodeling Addition. No. of Sto Estimated Total cost of improvements $ -itk To be constructed of Kind of foundation Covering Estimated a Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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) STATE OF FLORIDA, f COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true-- Permit No 713 5 Date 7 —-7— C — r - Read, Sworn to and Subscribed before me. Disapproved Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA 0 PERMIT B1 1■'° 2644 DATF Contractor's License No. 3 Work to be performed under this Permit Subdi- vision Value of •. Project $ f` Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. o- Signed.- _ . BY " ∎.) INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, sgpx;mt or employee. CONTRACTOR OR BUILDER BY AUTHORITY c , . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date , 19 Owner's Name and Address C No. .._X 3 .. ®_... Street Registered Architect and /or Engineer a.. Name and address of licensed contractor �_ lQt9 -'� .r�lLt.d. t ... Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Q *he _,____f'gig rt r' -_, State work to be done and purpose of building (by floors) New Building Remodeling. Addition Lea, 09'--f `=t' . e ,t;.do- 4cu14_ and for no other purpose. Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ®vering Estimated Total cost of improvements $ /2 c-- Amount of Permit $ L.e... Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed tinder this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, g COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. .. Permit No D `. 4 Date t `� � Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn 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.