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285 NE 100 StDate 5 -5 -97 Job Address 285 N.E. 100 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Mrs. H a t t e' e n Master Permit # Owner's Address 285 N.E. 100 Street Phone 758 -0202 ContractingCo.Quality Roofing Contractor, Inc. Address 251 N.W. 99th Street Qualifier Carlos Arocho SS# Phone 751-0382 State # RC 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 Tear off old roof to wood deck, tin cap 301b. ASTM felt as per code install valleys and eave drip metals where required, mop on with type III asphalt one layer of 901b. ASTM felt and install Spanish S Clay Altusa Tile adhesive set. Cofrxe twali Square Ft. 4 2 s q• Estimated Cost (value) $ 14,500.00 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. :signature of owner and/or Condo President PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Notary as to 0 .r ier and/or Co My Commission Expires: APPROVED: Zoning Mechanical YLOU HERNAN� ED Z MY COMMISSION rl CC 324212 ;,�, ; EXPIRES: October 10, 1097 •4 ' Bonded Thai Notary Public Undenriters FEES: PERMIT it } i' RADON C.C.F. Building Date Plumbing Signature of Contractor or Owner- Builder YLOU HERNANDEZ MY COMMISSION # CC 324212 EXPIRES: October 10, 1097 Bonded Thru Notary Public Underwriters Notary as to vintractor or My Commission Expires: Electrical Engineering NOTICE OF COrnivit mLivttiv lI A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 2. Description of improvement: Reroof to a new Tile Roof _ 3. Owner(s) name and address: Mrs . Hatte.,5en 4. Contractor's name and address: 285 N.E. 100 Street Miami Shores, Florida 11138 97R27 1493 1997 JUN 18 10: 24 Interest in property: Owner Name and address of fee simple tilleholder:N /A 285 N.E. 100 Street Quality Roofing Contractor Inc. 251 N.W. 99th Street Miami, Florida 5. Surery:(Payment bond required by owner from contractor, if any) su OF aiC '� ® ^ eru % y t o . Gbh a tft� •. , Amount of bond $ 00 0.4*J Name and address _JILL �`' b� , }kim b u,rd Of � s� RUV(N CLERK, of ' « aC 6. Lender's name and address: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b2,.Florida Statutes. Name and addf@ss: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) _ )72 /✓ 5ipnature of Owner / /j� //f Print Owners Name �l'�4Cl,i Ji f fe5e l't Sworn to and subscribed before me this ),1 day of :1990 . Notary Public Print Notary's Name My Commission Expires: ISSION 4 CC 324212 0 997 1;t °, Bonded fins Nutzry Pubic Underwriters Prepared QUality Address: Miami, 5 CD¢ E 9tb d oB by: Carlos Arocho Roofing Contractor, In 251 N.W. 99th Street Florida 33150 i27.0t•57 2l: Contractor's Name: 0 tAAAI ,1 �Dt1f /�y l or��/r�r.{z�� vl.� Job Address: ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) lJd'(Nlortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) �� ROOF TYPE ❑ New Roof [I Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft 'y / Sg . Total (ft 4 / s'l , Master Permit No. Exposure category (per ASCE 7 -88): C_. Building Classification category (per ASCE 7 -88 table 1): r Ft. V Ft. V A Deck type: (.10ocl ATTACHMENT Fastener Type: I�'4' ri rte. s SPACING /1 Field: ia p .r • Perimeter: (p n -c • Corner: 123.01 -78 9/96 DETAIL 1 & 2 Appendix "E" . UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page -1 ..283 A), F. /00 S �r�� ROOF PLAN I BS Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? 1 MEAN HEIGHT 1) I Deck type: LOoOL IY4 z Underlaytnent: Iusul 12" ROOF SLOP'. D E T A I L 3 SLOPED SYSTEM DESCRIPTION 30112, A--s-riA. tion: OW Fastener type & spacing: Cap Sheet: Roof Covering: Drip edge: d- .c - e4 c r.� C Cjlt)CW�' 4LC r G.?- to 57' 6. le ATTACHMENTS 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 TILE CALCULATIONS { ✓ . e/k (Pmaxl: 9)- 3 x ? (Aerodynamic Multiplier):. K 1 ) - Mg: S = M 19 1)( ( PCA: (, .) 0 (Pmax2: IO ?7 x a, (Aerodynamic Multiplier): ;2. 1S ) - M 5.35 = K ("I 0 PCA: 1 & .50 (Pmax3: /of) x a, (Aerodynamic Multiplier)34.. I S ) - M -35 = M ? .5j p PCA: 1,21,_•10 Page -2 PRODUCT CONTROL NOTICE OF ACCEPTANCE . Alt usa Tile, Alrnar (USA), I • 6645 Northwest 77th Avenue :` :trlli,-FL 33166 METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO OAOE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130.1563 (305) 375-2901 FAX (305) 375-2908 INTERNET: mdccot Ashadow.net PRODUCT CONTROL SECTION (305) 375-2902 FAX (305) 372-633 Your application for Product Approval of: : iltasa Tile !Vail-OF!, Mortar Set OF Adhesive Set One Piece "S" Tile Roofing Tile t::ider Chapter S 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 v Rerlland Technologies, The Cetzterfor Applied Engineering, Inc. has been recommended for acceptance by the Building p Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 - and the standard conditions on page 17. 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 Florida Building Code. s to meet the requirements of the S The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 96- 1030.03 Renews 94- 0914.0 EXPIRES: 02/13/00 APPROVED :02 /13/97 Raul Rodriguez Produc: Control Division Supervisor - TI-fIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIOiNS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County B ding Code Compliance Office and. approved by the Building Code Committee to be use. in ..de County, F . under the conditions set fo,ih above. Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Applicant: Altusa Tile A lfareria del Turbio, S.A. 13arquisirncto, Venezuela Product Control No.: 96- 1030.03 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Cate,,orv: Prepared Roofinm Sub- Cateeor\: Tile net Nail-on /Mortar Set/Adhesive I\ e Set Sub-Type: 'S ' Clay Product Control No.: 96- 1030.03 Approval Date: Expiration Date: February 13. 1997 February 13, 2000 • System Description Alfareria del Turbio, S.A. ( Altusa), located in Barquisimeto, Venezuela, manufacturers clay roof the for nail -on, mortar set or adhesive set applications. All tile is manufactured from natural Venezuelan clays. This Product Control Approval relates to Altusa's "Altusa S" tile profile. Refer to appropriate Product Control Approvals for other tile profiles. The " Altusa S" tile profile is available in a variety of natural clay colors and has matching trim pieces used. for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all profiles and form a part of this Product Control Approval. Optional rubber or clay eave closures are also available. Altusa roof tiles have been tested in compliance with the South Florida Building Code requirements for clay, nail -on, mortar set or adhesive set tile applications. The minimum roof slope for he " Altusa S" nail -on tiles shall be 2 ":12 ". See the "Profile Drawing" section "Altusa S" profile drawing. The "Altusa S" profile has been tested for both wind characteristics antd static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval Almar (USA), Inc., located in (Miami, Florida, is the sole approved importer under contract for selling and distributing Altusa products in the South Florida jurisdiction. Contact: Carlos J. Fernandez General Manager Altusa Tile, Almar (USA), Inc. 6645 Northwest 77th Avenue INf iam i, FL 33166 (305) 471 -5530 Frank Zuioaga Plans Examiner, Product Control Division Pieces Product Control No.: 96- 1030.03 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Product Dimensions Specifications Description Altus: One Piece "S" 1= 13" PA 112 High profile clay roof tile for direct Tile w = I" deck or battened nail -on, mortar or �'/ thick adhesive set applications. Head -lap min. 21• • Exposure max. 15' i = varies w = varies PA 113 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Frank Zuloaga Plans Examiner, Product Contra! Division Product x30 Felt ::43 Coated Base Mineral Surface Cap Lenzingtex -7_B 140 U nderlayment Rainproof it :`flopping Asphalt Flashing Cement A TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Dimensions N/A N/A ,N /A 59" x 164' roll 22 Ibs/roll 30" x 75' roll 36" x 75' roll or 60" x 75' roll Ic- _rid Water Shield 36" x 75' roll N/A N/A Test Specifications ASTM D 226 type!! ASTM D 2626 • ASTM D 249 PA 104 PA I C4 PA 103 ASTM D 312 type III or IV ASTM D 4556 Product Description Saturated organic felt to he used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply un crlaymcnt. Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. Single ply, nail-on underlayment. Single ply, nail -on underlayment with 2" self - adhering top ed�ze. Self - adhering underlayment for use as 2 top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Asphalt for bonding a mineral surface cap to a mech. attached base sheet in a double olv underlayment system. Cut back, asphalt based, asbestos free, fiber reinforced, trowel grade cement for repair and flashing applications. Product Control No.: 96 1030.03 Frank Zuloaga PlanF. Examiner. Prot :.. ct Control Division Manu facturer generic Lenzing Performance, Inc. with current PCA Protect -O -Wrap, Inc. with current PCA W.R. Grace Co. with current PCA genetic generic generic generic Test Product Product Dimensions Specifications Description Manufacturer Asphalt Primer N/A ASTM D 41 Cut back, asphalt generic based coating used to facilitate bonding of dissimilar materials. Roofing Nails Tin Caps ` Battens Roof Tile Mortar ( "TileTiteT`'") min. 12 ga. with '1," head min. 32 ;a. thin. o.d. max. 2" o.d. vertical min. 1" x 4" horizontal min. l" x 4" for use \vith vertical battens Or mist. l" x 2" for use alone PA 114 Appendix E I'A 114 Appendix i_ Wood Preservers 1nsti:ute LP • 2 5 Annular ring shank. hot dipped, clectro or mechanically ,alv. roofing nails for uso anderlayment attachment. Corrosion resistant circular disc for use in underlaymcnt attachment Salt pressure treated or decay resistant lumber battens Hurricane Clip & Clips PA 114 Corrosion resistant Fasteners min. Y" width Appendix E bronze, aluminum, min. 0.062" thick stainless steel, galvanized steel or Clio Fasteners plastic attachment min. Sd x 1' /." clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. A hurricane clip is required on all nail -on eave tiles. Frank Zuloaga Plans Examiner, Product Control Division Product Control No.: 96- 1030.03 generic generic generic generic N/A PA 123 Prepared mortar mix Bermuda Roof designed for mortar Company, Inc. set roof tile with current PCA . applications. Product Roof Tile Mortar ( "Quikretc® Roof Tile Mortar /. 1 140 ") Roof Tile Adhesive ("POIvpro0 A H160") Valley Flashing Drip Edge 1 Dimensions N/A N/A min. 26 g• rn:n. 16" width min. 26 min. 2" face flange min. 2" deck flange Test Specifications PA 123 See PCA AS l Nl A 525 PA 111 Product Description Prepared mortar mix designed for mortar set roof tile applications. Two component polyurethane adhesive • designed for adhesive set roof tile applications. Product Control No.: 96- 1030.03 Galvanized steel generic valley flashing Galvanized steel drip generic edge Frank 7_u;oaga Plans Examiner, Product Control Divis r Manufacturer Quikrcte Construction Products with currcnt PCA Polyfoam Products, Inc. with current PCA Test Ajencv Testwell Craig Laboratories & Consultants, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies Rediand Technologies 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. 1 Test Identifier Lab. #AAP -2 7161 -03 Appendix 111 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 Wind Tunnel Testing PA 108 (Nail -On) P0631 -01 Wind Tunnel Testing PA 10S (;Mortar Set) PO402 Withdrawal Resistance Testing of screw vs. smooth shank nails • 7161 -03 .Appendix 111 94 -83 94 -054 25- 7200 -1 Project No. 307025 Test R;MDC -7S TEST REPORTS Test Name/Report • ASTM 1167 Static Uplift Testing l'A 102 Wind Tunnel Testing • PA 108 (Nail -On) Static Uplift Testing PA 102(A) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) Wind Driven Rain PA 100 Static Uplift Testing PA 102 (Quick -Drive Screws, Battens) Frank Zuloaga Plans Examiner, Produc: Control Division Product Control No.: 96- 1030.03 Datc Oct. 1994 Dec. 1991 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Dec. 1991 April 1994 May 1994 Feb. 1995 Oct. 1994 SYSTEMS (CONTINUED) Deck Type: .Wood, Non - insulated Deck Description: New construction 19 / 32 " or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope 2 :!?' to 7": Note: System 1) is only acceptable in this slope range. For slopes in excess of 7":12", refer co System C. l:ntlerla ment: Roofing Tile: 0 C.olt.tnents: Inst ;tl1 underlavrncnt system in compliance with Dade County Application Standard PA 120. (See System Limitation i`5.) Install the in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) I. For re -roof applications, 15 /32" plywood is an acceptable substrate. 'I Frank Zuloaga Plans Examiner, r•rodu: Contro! Division Product Control No.: 96- 1030.03 • 7 T Table 1: Aerodynamic Multipliers - X (ft') Ai :usa 'S' Tile . Buse 'S' Tile Tile Profile ;.AM-- se 'S' Tile Tile Profile Tile 3 ":12" Profile or less TILE APPLICATION Battens Direct Deck DATA FOR ATTACHMENT CALCULATIONS Batten Application 0.29 Table 2: Restoring Moments due to Gravity - M, (ft-Ibf) from PA 102 Testing 4 ":12" j 5 1 3attens i Direct Battens Direct Battens Deck Deck 4.47 I 5.35 I 4.40 I 5.27 I 4.31 Table 3: Attachment Resistance Expressed as a Moment - (ft-Ibf) from PA 102 and PA 102(A) Testing OVED' EWS 2 screws 1 26.80 58.20 APPROVED FIELD CLIP WITH: 1 nail 12 nails N/A I N/A 21.20 I 25.30 APPROVED EAVES CLIP WITH: 1 nail N/A 26.90 2 nails N/A 34.90 APPROVED 1 APPR NAILS 1 SCR 1 nail 12 nails I 1 screw N/A I N/A I N/A 6.20 I 8.40 [ 23.70 Direct Deck 1 Battens 5.1G 4.20 Product Control No.: 96- 1030.03 Direct Deck Application 0.31 6 ":12" Direct Deck 5.03 Qui -Drive screws installed in two manufactured holes located 1 and 1 from the head of the tile. Frank Zuloaga Plans E?:amin;:r. f'r)duc: Control Divi:;ion Battens 4.08 7 ":12" or greater Direct Deck N/A Table 4: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) from PA 101' Testing Tile Profile Tile Application Attachment - Resistance AItusa 'S' The 1 1 Mortar Set 24.50 Adhesive Set 66.50 T Table 1: Aerodynamic Multipliers - X (ft') Ai :usa 'S' Tile . Buse 'S' Tile Tile Profile ;.AM-- se 'S' Tile Tile Profile Tile 3 ":12" Profile or less TILE APPLICATION Battens Direct Deck DATA FOR ATTACHMENT CALCULATIONS Batten Application 0.29 Table 2: Restoring Moments due to Gravity - M, (ft-Ibf) from PA 102 Testing 4 ":12" j 5 1 3attens i Direct Battens Direct Battens Deck Deck 4.47 I 5.35 I 4.40 I 5.27 I 4.31 Table 3: Attachment Resistance Expressed as a Moment - (ft-Ibf) from PA 102 and PA 102(A) Testing OVED' EWS 2 screws 1 26.80 58.20 APPROVED FIELD CLIP WITH: 1 nail 12 nails N/A I N/A 21.20 I 25.30 APPROVED EAVES CLIP WITH: 1 nail N/A 26.90 2 nails N/A 34.90 APPROVED 1 APPR NAILS 1 SCR 1 nail 12 nails I 1 screw N/A I N/A I N/A 6.20 I 8.40 [ 23.70 Direct Deck 1 Battens 5.1G 4.20 Product Control No.: 96- 1030.03 Direct Deck Application 0.31 6 ":12" Direct Deck 5.03 Qui -Drive screws installed in two manufactured holes located 1 and 1 from the head of the tile. Frank Zuloaga Plans E?:amin;:r. f'r)duc: Control Divi:;ion Battens 4.08 7 ":12" or greater Direct Deck N/A • / • / ' / r1ffm7Zq /..s a "y1 10" PROFILE DRAWING ALTUSA "S" CLAY ROOF TILE ( DOVE TAIL LOCKS 13 • Product Control No.: 96- t030.03 Fran uloaga Plans Examiner, Prodaci Control Divisicm NAIL HOLE NAIL n i- �t ! E. BIRD STOP 1 PROFILE DRAWING ALTUSA "S" CLAY ROOF TILE ACCESSORIES 14 6'ItCil+llft 7j1 p :•t'" �Oy2 1 Fran : uloaga Pans Examiner, Product Control Division Product Control No.: 96- 1030.03 GABLE-RAKE 3.:1 A PROFILE DRAWING APPROVED SCREW 2.4S" •n• 0 :5.. i\ —\\ t \\\ \‘:\ \ k\-- \ 3 DV: Product Control No.: 96-1030.03 Frank Zuloaga Plans Enrnincr, Prod;::: Control rAvision I SYSTEM LtlM1LTAT(ONS . 16 Con•roi Division Product Control No.: 96- 1030.03 The standard minimum roof pitch for Altusa "S" high profile tile shall comply with Dade County Application Standards PA I IS, PA 119 or PA 120, depending on the method of installation. For nail -on applications, fasteners for mechanical attachment of tiles shall have a head diameter lar_,er than that of the preformed holes in the tile. System installation shall be in compliance with the system specific:t: ions outlined in this Product Coi• :rol :Approval. The method of attachment utilized nha ' •r: — Icient attachment _• � provide . attachment resistance �S i! as a riloine exceed th regtiired ;Ilomer •�' to meet or ot•resistance determined in compliance with Dade County Protocol PA 115 or PA 127. Altusa "S" Tile tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations ror installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based System'. For mortar or adhesive set tile applications, a t eld static uplift test by a Dade County accredited testing agency, in compliance with Dade Coun :y Protocol PA 106, shall be performed. (`. IIIOi tar set :11c applications, 30190 hot mopped d tlilder•l:tyln. nt nfl;;!icatiollsmay be installed perpendicular to the roof pitch unless stated otherwise by the. underlaynhent material manufacturer's published literature. i!! tile; shall bear the imprint or identifiable marling of the manufacturer's name or logo for identification in the field. Applications for roofing permits shall include a completed Section!! of the Uniform Building P rnhit, a copy of Pioneer'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 ;,rooposed tile application. Reference shall be made to appropriate data for the required fire rating. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 1 12, Appendix 'A'. Altusa Tile, Alntar (USA), Inc. 6645 Northwest 77th Avenue. Miami FI 33166 NOTICE OF ACCEPTANCE STANDARD CONDITIONS Recewai of this Acceptance (approval) shall he considered after a renewal application has been filed and :he on in.ri submitted documentation, including test supporting dzIta,eneineering documents. are no older :....n ''�: ( :i ) •at•s :t.;l; ::ppr:.)ved produ u .;h:>UI be permanently labeled ■iih the manufacturer's name. city, state, and ,f1C i� )li0'•�'i': t ,iaement: "!)ade Count. '� Product Control Approved", or as specifically stated in the specific conditions o:* this Acceptance. Renewal :, of Acceptance will not be considered if: a) There has been a change in the South Florida Building Cod;; 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 or iginttll) 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. 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. Any of the follot■•ing shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process: b) Misuse isuse of this Acceptance as an endorsement of any product, for sales, advertising or any oilier purposes. 5. The Notice or .Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. irany portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. . . • 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. S. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. This Acceptance contains pages I through 17. END Of THIS ACCEPTANCE ACCEPTANCE NO.: 96- 1030.03 • APPROVED : February 13, 1997 EXPIRES : February 13, 2000 Franc u oaga Plans Exaininer, Product Control Division Product Control No.: 96- 1030.03 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 � r a D 26 i<4.55 a I) 51 1 FA- =P 2 27 52 3 28 53 4 29 54 5 30 • 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 ....+ 50 _,,,— 75 ■• Job Address* THIS REPORT ...iii ITTE Du Quesne & Associates, Inc. Consulting Engineers Testin Laborator ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO•DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 Owner's Name: kik 2T1- - k "A • A a TT G eGN Permit #: 4 l 5 2 4 2 85 ►V to 0 �, l 4µ 1 S , j:;S ,�rL Roofing Contractor Qt- L 1 T'/ Q+O 0 •F l NCa Type of Tile: AI -7 S A S Approximate Roof Height: ( feet Type of Access to Roof: Scaffolds Approximate Square Footage of Roof' 4- ft 2 Required Testing Force: 35 lbs. Testing Equipment: Date Tested 1 Z 3 - 9 7 SKETCH OF ROOF IN BACK 71 14! a_5 SED IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Jo Du Quesne, P.E. gineer E. 513 D'. Qu• ne & Associates, Inc. E.B. License #0005245 Lab Certification #94-0318.01 SITE SPECIFIC INFORMATION _ Ladder TEST RESULTS P = PASS, F = FAIL Chatillion DFIS 100 UTR 13141 Environmental • Civil • Structural Buildin Inspection Services Date Installed 1 7 Roof Pitch: ••• 12 Other Please Note: This form is not valid unless Company logo appears in color (burgundy) 7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 • <41_14 a i ppr- .17,„ ° c►1 1 ,� ■ ■ ■� ■ ■ IC7111 ■i I NEME■WPAN r'7■ ■11■■■ Ka111111111111=11•11.111111111111r MEM 1111 ■■I1►1I \t LAMER ■1I■■■ :� �+ r' ■��''��'a�■■■ ■'J ■ ■11■■■ ..... �JJII[I L=am■ ■ ■L��i�i►,� i ■ri■1• :ATIM■%: ii■■ r ? ■I �l 7S■L %■ ■ ■J ■r ■I PralreffielleAlELIMMIIMMENE5111111110e eareimoremios■■■e 7■■■■`''J■■Am rirmirirAtEmminummummoraio 0 • a 3 i 1 2. 4 t Z5WS: KETCH OF ROOF JOB 285 ...3 e. %O) en-. P/i i3O4.4.1 Slkokii5:r4 SHEET NO V OF 2. CALCULATED BY DATE I ' 13 . CHECKED BY DATE SCALE ( vo 4 •vl 1 18 ' 4174 DuQuesne & Associates, Inc. Consulting Engineers Engineering, Testing & Environmental Services The PA 106 test reported in report No. ) ) ! / has been performed in full accordance to the requirements of Dade County, with no deviations. Quesne, Associ Laboratory Compliance Letter 7821 S.W. 24 Street, Suite #104, Miami, Florida 33155/Telephone (305) 264 -1425 Fax (305) 264 -1426 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE 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 .... peared Street and Number where work is to be done •=- 5 ..� State work to be done and ?urpose of building (by floors) (Signed). Date... Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision �r��laz3 — No. Str�PD ' y L41 d Q S7 and for no other purpose. New Building Remodeling Addition Repairs.... No. of Storm To be constructed of Kind of foundatio Roof Covering O. Amount of Permit Estimated Total cost of imirovernents $ Zone cubage required Flan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be birne by each floor I hereby submit all thaplans and specifications for said building. All notices with reference to the building and its construction may be sent to The u ndersigned appliant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Vorkmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the ;revisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performci 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 bathe Act. The undersigned agrees to employ only such subcontrac4ors, on work to be performed under this permit, as are licensed by liami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersi authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to me well known, and who, being by me first d; sworn, upon oath deposes and says that he is the. of the above described constr that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are ', f� C D ate � 0 - / ? `� Permit N -• - - -- Read, Sworn to and Subscribed before me. Disapproved (signed) Building ate. Notary Public, State of Florida ector 'My Commission Expires \NN C BOARD ___ ..... .DATE Chairman .................. Member - _..-•-• �Serr ber _.._..._.. Member Member ...... ............................................ ...... •- -- ...----- ......_.._.- .......... \\ Member Council Approved ........................................ Date Disapproved Date NOTE: A c harge of SIAO will be ma\ making corrections or changes to this application after approval has been obtained from the Pl.,nning Board. A re -inspection fee of $1.00 will be chq vt hen such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MP MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby unndc for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and nll provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date.. — �.L_..__......... ,19. ?: Owner's Name and Address .. .. .-.. No.c2 Stree a . .L ®t' d P Registered Architect and /or Engineer Name and address of licensed contrj ctor..EQ , / . S v 'a--Cf) CA & Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.. i2 F- State work to be done and purpose of building (by floors) - .••• -- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories. To be constructed of Kind of foundation Ryo F�rijg$ 7 T , Estimated Total cost of improvements) ?`�. S GP on Amount of Permit S- lone 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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � Remarks (Signed) .... STATE OF FLORIDA, COUNTY OF DADE. 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 sarne, and that all facts therein by him stated are true. Permit No.._.... Date ._ Read, Sworn to and Subscribed before me. Disapproved Date 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 PlAnnirog 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 anti /or workmanship. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL PERMIT N? 9377 PLUMBING ❑ ROOFING Owner of Building Architect Contracto or Builder Legal Descriptic Address Building Work to be performed under this Permit DATE ' 195,_ Contractor's License No 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, 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. Signed • t 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 r n Lot Bl. Subdi- vision ,f �.... s.,, ,,. Sq. Ft Amt. of Permit $ • t ' Value of Project $ MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL PERMIT N? 9377 PLUMBING ❑ ROOFING Owner of Building Architect Contracto or Builder Legal Descriptic Address Building Work to be performed under this Permit DATE ' 195,_ Contractor's License No 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, 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. Signed • t 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 17 BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building Lot 0 ❑ DATF - 195 PERMIT N° 2519 Contractor's Owner of _ - ---- Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA License No. Work to be performed under this Permit Bl Subdi- vision Value of Project $ 7 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. 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, servant or employee. BY AUTHORITY 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.. • Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. ss Permit No Disapproved (Signed) APPLICATION FOR BUILDING PERMIT State work to be done and purpose cf, b 'Iding (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of fou�ation.�.., Roof Covering o f Oca Amount of Permit $ � _Plan Cubage Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor on f to be performed under this permit, as are licensed by Miami Shores Village. '/ r Remarks (Signe. - Before me, the undersigned authority, a notary public, duly authorized o administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. MIAMI SHORES VILLAGE Date Date BUILDING INSPECTION DEPARTMENT ,Subdivision Date a Jab b to me well known, Read, Sworn to and Subscribed before me. Notary Public, State of Florida 19" --% r Stref?) '1- d Ze- Buil ng 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.