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350 NE 100 St (3)Date Type Insp'n Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request in OW c)-I-- Permit No. 6P 0 `'f — z � Name K.)01 Address � 1 �'a 50 100 c5 Company 14 1 e V r p Phone # Inspection Date 5/ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (P IIZ\ Type Insp'n -oo r Fine Permit No. { , F' ('4S p- Name Approved Correction Re- Insp'n Fee Address 350 NE., IM s+ Company Ccprf. Phone # Inspection Date (0)2,1_ Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (p4z Typelnsp'n 2IJV2 FirrAl Permit No. 1 0S+ Name Address 350 NE, 'O6 J4 Company p. Phone # Inspection Date (Dill_ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ` n Type Insp'n �(�� 1`C r 1 n 1 p�f0C\ Permit No. 619001 bn \c‘ Name T L -�I G Address t 5 Company Phone # Inspection Date q Approved ❑ Correction Re- Insp'n Fee ❑ ///k 4Ao tv1 o l . 9/4ev_ 9 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date — Type Insp' n t fl O V Permit No. 6P 01-1— `'I — 5 zs ' Name (IUD' C-0 Address ` ;? O u�' E ( 0 0 5 4 - Company 1"l 1 C cr p Phone # Inspection Date 5/ Approved Correction Re- Insp'n Fee IVIIAMI SHORES VII- ILLAG BUILDING DEPARTMENT 305- 795 -2204 Buil.ing Inspection Request Date 5 Type Insp'n Permit No. Name li1g05\- Address II 3 50 N C. ) 0v 5 Company t 1-n .. CU Phone # Inspection Date 5l aki Approved ❑ Correction ❑ Re -Insp MIAMI SHORES VILLAGE • BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date W Type Insp' n /'Ze /o 12.Q Permit No. 6/ 1 o g- SS/2 Name Address 35Z) Aa5 /00 `f Company Phone # 96 60 — S 9 - 7- 3 1 Inspection Date ( 2 f /5/0 Approved Correction Re-Insp'n Fee C•I V•1 •L E•N•G•I•N•E•E•R M.I.S. Corporation 10221 Southwest 16 Street Miami, Florida Project: Dear Sirs; LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 Fax: (305) 541 -3298 TILE UPLIFT TEST Residential Home 350 Northeast 100 Street Miami, Florida Information provided by client: Permit Number: BPO4 -587 Date Completion: June 15, 2004 Roofing Contractor: M.1.`. Corporation LG Engineering Services, Inc. Project Number: LGO4 -1668 (Testing Laboratory Certificate #00- 0224.07) June 20, 2004 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test'at the above referenced project. This testing was performed in general accordance with Roofing Application St:,.:,dard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less Lim 10000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Vanguard Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every coiner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on our test results, we conclude that the installation of the. roof tile at the above referenced project meets the test requirement outlined in'the above mentioned protocol. Attached please find a copy of our test report for your review.' LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. harnad Sonny Salleh, P.E. Project Manager TILE UPLIFT TEST Residential Home 350 Northeast 100 Street Miami, Florida Test Number Test Load Obi) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 , Pass 24 35 Pass 1 r M 1 1 1 1 1 1 1 1 1 1 1 Report of TILE UPLIFT TEST for Residential Home 350 Northeast 100 Street Miami, Florida Project Number: LG04 -1668 LG Engineering Services, Inc. — Tile Uplift Test Result -- Project Number: LG04 - 1668, Page 1 Test Number Test Load (lbf) Test Status 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 - 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 53 35 Pass 54 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, Inc. — Tile Uplift Test Result -- Project Number: LG04 -1668, Page 2 Test Number Test Load (lbf) Test Status 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, Inc. — Tile Uplift Test Result -- Project Number: LG04 -1668, Page 3 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address � 3 SC) /" f City E ( gr/-1A I State Tenant/Lessee Name Type of Work: EAddition Describe Work: c-7 0- Notary $ Scanning $ Miami Shores. Village Building Department $ Value of Work For this Permit ®'Q 0 • C3 c 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Plumbing Mechanical Roofing Av q v51 (R) 4 I - R Phone # 3c\> - QS 30 5 - - b -36 (15- Phone # Architect/Engineer's Name (if applicable) Phone # Zip Job Address (where the work is being done) 3 S F 1 0 v f(1 S City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name 1 � Phone # "3 7 S M c. V.-t, Contractor's Address \ C' 1- -- \ ∎ — 1 I L 2Z - 7 Ng - City •-1 .(1 , State ` ��.. Zip (,, 7 Qualifier kp, v r A • ..• - +c .tea .r\r ❑Alteration ■ Submittal Fee $ 50 'w Permit Fee $ 3 Training/Education Fee $ Radon $ 414,1 . ?nr14 Permit No. E2 P2oO4 - 5fq Master Permit No. 3i36 Zip 33)34 Square Footage Of Work: -1 - 1 - ® t l ('A Repair/Replace ❑ Demolition ❑New * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC Technology Fee $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ , 7 b (Continued on opposite side) r 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 constniction 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. Signatur NOT Sign. Print: My Commissi Chu 12 /15/03 Owne . gent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. 1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: N NO. cc941y1313 EXP. **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) NOTARY PUBL Sign: Print: My Commission E State Certificate or Registration No. Certificate of Competency No. <. 3 ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *" ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAY 1 12004 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -587 Printed: 5/12/2004 Applicant: AUGUST WOLFE Owner: WOLFE AUGUST JOB ADDRESS: 350 NE 100 ST Contractor MIS CORPORATION Local Phone: 305 - 553 -9476 Parcel # 1132060135440 Fees: Description Amount FEE2004 -4818 Building Fee $300.00 FEE2004 -4819 CCF $5.40 FEE2004 -4820 Training and Education Fee $1.80 FEE2004 -4821 Technology Fee $7.50 FEE2004 -4822 Scanning Fee $12.00 Total Fees: $326.70 Total Fees: $326.70 Total Receipts: 0.08 o_t "irt-- Permit Status: APPROVED Permit Expiration: 10/30/2004 Construction Value: $9,000.00 Work: RE -ROOF COLOR THRU TILE MONIER Signed: (INSPECTOR) Building Permit Contractor's Address: 2428 N. W. 28 St. Page 1 of 1 MAY 17 PAID Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 6 & E1/2 OF LOT 7 BLK 40 LOT SIZE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 123_01 - 5/03 PAGE2 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Process No. Contractor's Name in Job Address _ b ❑ Low Slope ❑ Asphaltic Shingles Section A (General Information) ROOF CATEGORY ❑ Mechanically Fastened The Mortar/ dheslve SetTil \ ❑ Metal PaneUShingles Wood Shingles /Shakes J Are there ❑ Prescriptive BUR -RAS 150 Gas Vent Stacks? Yes ❑ No ROOF TYPE Type: Natural ❑ PGX ❑ ❑ New Roof gRe- Roofing ❑ Recovering ❑ Repair ❑ Maintenance . ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) -- 2 2c c/ ! 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. g i■■■■■■ ■ ■■■■■ ■ ■■ ■■■■■o■■■ ■■ ■■■■ ■ .■• •••• ■` :■E ■g.:■■: : :g ■ ■■■■■■■■■■■■■■. ■■■■■■■■■■■■■■■■ gC ■C■■ C mm■ ■■■ ■:gg ■ ■C■■■ ■ • ■ ■ • g ■ ■ ■ mm g■■■.■■■■■■ ■■■pm a■■ ■■g■■■ ■ ■■■g■g : ■ g ■■ ■■■■n mom ■■ ■ GC MINN ■■■■■ ■■ ■■ ■ ■ ■ ■■ ■■ ■ o ■ ■ ■ ■ � • g : ■■ ■ C ■■g m: ■■■■■C CCC■ gG ■• ■■ • mom • ■ •■ g ■■■ ■ G ■ ■ ■■ r ■■■■ ■■ ■■■■ ■■■■■ ■■ ■ ■■ ■■■ ■ ■■■ ■■• ■■•■■ ■■ ■■ • � :: m ime r� • ■ • • ■ • •u ••C••• • • • •p• :■■ • ••p•••••••••• •••••• . li• ■•■ ■E:�i: ■p •CG' : CC : :' : :...C' C .CC I ■ • :•i ••u•u• u:::: • 11111:1111:11:1:1111:1101111 ■C■ ■ GG■■■. . • ■ ■■■■ Im: Irma . ..Al mirm pm2mmImumnimp ml 16 " lam 1 16' 1 ::: rpm! mum g. 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T G G . e . ■ w r ■■�T L i . g : :: •• L �sm , :r C ■ : ■ ■ ■ ■ E ■ CC:■■■■E : E ■ � ;; Two■ ; ■ ■ .. rr .,1• . .EA • !Pm mum' :mil mini SU .Us ■. ; _■ ,...■ •• G • :: " eI iC • .ill . is E -�„ G a: : E e ... a I ■. r .■ E E� E G g■_ - ■ ■ _ ■ C•g 11EgE ■ _ ■ ■' � ��� t • g ,: • ;. r: .,,_ ■ ■ ' r■ �g �E ■ Wpm. a■ • • �i ■ : ■ . ■ , r■ 1 1: JIM g 8 IU : ■ t■ ■ • ■. i L L . - -- .LL LEL ; C■ .L■ ■ CL ■ ■I ,opium : •r . ■ • worm . 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. i Roof System Manufacturer � '' �ti� �� Notice of Acceptance Number: IJ Z - a Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: tp- P2:2I- 1 P3: '21, Maximum Design Pressure l,► 1 a o (From the NOA Specific System): Method of tile attachment: 1— A \ Roof Slope: : 12 Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: l ( k - -/ 8 3 i„ ype Underlaynen i - i _ �' (' nsulation: Ridge Ventilation? VAJ1. 23_01-48 5/03 PAGE 4 Fire Berner: Mean Roof Height: oof Covering: astener Type & Spacing: dhesive Type ype Cap Sheet: 1 \!(o k VE 1C Type & S ze Drip I(-5 dge: Where to Obtain Information Description Symbol Where to find Design Pressure 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 9 Job Site Aerodynamic Multiplier X NOA Restoring Moment due to Gravity M, NOA Attachment Resistance Mr NOA Requited Moment Resistance Mr Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance Fr 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. _ M Required Moment Resistance* Mean Roof Height 15' 20' 25' 30' 40' - Roof Slope I 2:12 34.4 36.5 38.2 39.7 422 31 32.2 34.4 38.0 37.4 39.8 4:12 304 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Forth. For Moment based tile systems, choose either Method 1 or 2. Compared the values for M the values from M r. If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculatio s Per RAS 127" (P k : : a.6 Vet = I .5 DI) - Mg: (o ° 3 © % 4e =1 1 NOA lVff t (P2: ` . r : AD -22 .. = 2 18) - Mg: to 3"0 = i NOA M ; S:_-- (P3: 4 /c./ x x 0 ` 22 =2'7 Y 1 ) - Mg: ( J = a 21 '11? NOA 1 sL= Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA M1 Section E (Tile Calculations) 'Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F. If the F' values are greater than or equal_to_the F values, for each area of the roof, then the Me attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (PI : : l: _ : w: = ) - W: ' : cos 9: = F NOA F' , (P : :1: = z w: = ) - W: : cos 9: _ = F NOA F' (P : x 1: _ : w: = ) - W: : cos 9: _ = F NOA F' 123_01 -48 5/03 PAGE 5 M I A M IOADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION QTICE OF ACCEPT) CE (NOA) Monier. Lifetile, LLC 135 NW 20 Street Boca Raton, FL 33431 COPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida DESCRIPTION: Roll, and Capri Concrete Roof Tile LABELING: Each unit shall•bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes, shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by Frank Zuloaga, RRC MIAMI -DARE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 1 of 7 ROOFING ASSEMBLY AP ROYAL Category: Sub - Category: ow Profile Roofing Tiles Material: Concre 1. SCOPE This renews a system using Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by 'cant Monier Lifetile LLC Villa & Roll Monier Lifeitilc LLC Capri Tile Trim Pieces Test Aeencv Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Enginering, Inc. Test Dimensions Specifications 1= 16%" w= 13" %" thick L= 17" W= 12 W' thick 1= varies w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Test Identifier 7161 -03 Appendix III 7161 -03 Appendix II PO402 94 -060 B 94 -084 PA 112 PA 112 PA 112 Product Description Low profile, interlocling, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Wind Tunnel Testing PA 108 (Nail -)n) Withdrawal Resistance Testing of screw vs. smooth shank nails Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) Date Dec. 1991 Dec. 1991 Sept. 1993 March, 1994 May 1994 NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 2 of 7 Test Agency 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. The Center for Applied Engineering, Inc. The Center" for Applied Engineering, Inc. Celotex Corporation Testing Services Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc: Walker Engineering, Inc. Walker Engineering, Inc. Test Identifier P0631 -01 Letter Dated Aug. 1, 1994 224 -47099 25- 7094 -1 25- 7094 -7 25- 7094 -4 Project No. 307025 Test #MDC -76 25- 7183 -1 25- 7183 -2 25- 7214 -2 25- 7214 -6 528454 -2 -1 520109 -2 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Walker Engineering, Inc. Evaluation Calculations Walker Engineering, Inc. Evaluation Calculations Test Name/Report Wind Tunnel Testing PA 108 (Mortar Set) Wind Tunnel Testing PA 108 (Nail -On) Physical Properties PA112 . Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction)❑ Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing • PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Wind Driven Rain PA 100 Static Uplift Testing PA 102 (2 Quik -Drivc Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drivc Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Dircct Deck) (1 Quik-Drivc Scrcw, Battens) Static Uplift Testing PA 101 Aerodynamic Multiplier 25 -7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 Aerodynamic Multipliers Date July 1994 Aug. 1994 Sept. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Oct. 1994 Feb. 1995 Feb. 1995 March, 1995 Sep. 1998 Dec. 1 998 March 1999 March 1995 February 1996 April 1996 December 1996 April 1999 Two Patty Adhesive Sct System April 1999 NOA No_: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 3 or 7 LIMITATIONS 3..1 Fite classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building. Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Monier Lifetile Villa and Roll Tile Monier Lifetile Capri Tile Weight -W (Ibf) 9.1 9.51 Length -I (ft) 1.33 1.42 Width -w (ft) 1.08 1.03 Tile Profile Monier Lifetile Villa, Roll and Capri Tile Table 2: Aerodynamic Multipliers - X ft �- 7� (ft Batten Application Direct Deck Application 0.289 X (ft 0.267 ble : Restoring Moments due to Gravity - M (ft -Ibf) 5 ":12" Tile 3 ":12" 4 ":12" Profile 6 ":12" 7 ":12" or greater Monier Lifetile Villa, Roll, and Capri Tile Battens 5.57 irec Deck 6.30 Battens 5.48 Direct Deck Battens 6.18 5.37 Direct Deck Battens Direct Deck 6.05 5.24 5.90 Battens Direct Deck 5.09 5.73 NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 4of7 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Nail -On Systems Tile Profile Monier Lifetile Villa, Roll, and Capri Tile Fastener Type 2 -10d Ring Shank Nails 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails 1 #8 Screw 2 #8 Screw 1 -10d Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank . Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) Direct Deck (min 15/32" plywood) 27.8 8.8 16.4 25.8 47.1 24.3 19.0 35.5 31.9 Direct Deck (min. 19/32" plywood) 37.4 11.8 21.9 25.8 47.1 24.3 19.0 35.5 31.9 2 -10d Ring Shank Nails' 1 1 Installation with a 4" tile headlap and fasterners are located a min. of 2W from head of tile. Battens 28.8 4.1 7.1 22.9 49.1 24.2 22.1 34.8 32.2 43.0 67.5 50.9 Table 5: Attachment Resistance Expressed as a Moment Mr (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Monier Lifetile Villa, Roll, and Capri Tile 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Tile Application Adhesive Minimum Attachment Resistance 26.1' Table 5A: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Single Patty Adhesive Set Systems Tile Application Minimum Attachment Resistance Tile Profile Monier Lifetile Villa, Roll, Pol oam PolyProTM' and Capri Tile ' olyfoam 'olyPro 4 arge paddy placement of 54grams of ' 1:7 . e turn paddy placement of 24grams of Poly 'r. NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 5 of 7 Table 5E3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Mortar Set Systems Tile Profile Monier Lifetiie Villa, Roll, and Capri Tile Tile Applic 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 accompanidd 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. PROFILE DRAWINGS MONIER LIFETILE VILLA CONCRETE ROOF TILE NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 6 of 7 MONIER LIFETILE ROLL CONCRETE ROOF TILE END OF THIS ACCEPTANCE MONIER LIFETILE CAPRI CONCRETE ROOF TILE NOA No.: 02'1205i05 Expiration Date: 12/16X07 Approval Date: Ub02/O] Page 7 of 7 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQ OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the lain to r esponsibility of the roofmg the owner the content of this section.. or to�prpo odisions oowner hapte the required roofing permit, and to explain 15 of the Florida Building Code, Building govern the following ms should be as part o h industry agreement roofing system installations. Additionally, between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. .1_1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofmg system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) itectural consideration with respect to are not part of a zoning code, m should provisions. Aesthetic issues such as color addressed as part of the agreement between the owner and the contractor. g; ._,_2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 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, I with common p roofs, a e roofing contractor and/or owner should notify the occupants of adjacent Ct Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be nail viewed from below. The owner may wish be e ceptabllecThelFlonda Building Code provides the penetrations of the underside of the decking Y no option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may al ca a water to pond (accumulate) in low-lying the sP engineers Ponding may indication shorten thslife onding cn be an distress and may require the review of a professional tructura expectancy and performance of the new roofing system. Ponding •conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o varied from a build up of water. Perimet w It l may be other necessary extensions to ins 11 overflows discharge i if n overflow scuppers (wall outlets) are not provided. accordance with the Florida Building Code, Plumbing. the '7. Ventilation: Most roof structures should have some to n a nal c v i on shall not be t ' r of the structural assembly (the building tionnal venting which can result in extending the service life of the reduced. It may be beneficial to consider additional / 3d l a y —� Owner's /Agent s Signa Date Gad .ad SeetlsdMemsA1^°I Sattlsp\Ten\Teespees% Ioenet YOeAGtlestl/SW KI.6AFITSIC17ON 1324IIIA^e (tractor's Signature IDADE APPROVED: 06/14/2001 RECEIVED PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring ,TX 77383 -1132 The_experlsemflrtes ' '11 be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0521.02 EXPIRES: 05 /10/2006 MIAMI -DADE CO , 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 LICENSING 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 Polyurethene 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 product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Raul Rodriguez Chief Product Control Division THIS IS 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 \ \s045000I\pc2000\ \templates \notice acceptance cover page.dot Internet mail address: postmaster ®buildingcodeonline.com 01) Homepage: http : / /www.buildingcodeonline.com MIA M MADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring - Stuebner Road Spring ,TX 77383 -1132 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0521.02 EXPIRES: 05/10/2006 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 LICENSING 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 Polyurethene 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 product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Raul Rodriguez Chief Product Control Division THIS IS 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 \\ s045000I 1pc20001 \ templates \notice acceptance cover page.dot Internet mail address: postmaster ®buildingcodeonline.com Homepage: http : / /www.buildingcodeonline.com • Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Roof Tile Adhesive Materials: Polyurethane 1. SCOPE This approves Polypro® A11160 as manufactured by Polyfoam 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 Test Product Applicant Dimensions Specifications Description Polypro® AH 160 N/A PA 101 Two component polyurethane Foampro® RTF1000 N/A Dispensing Equipment ProPack® 30 & 100 N/A 2.1 Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values with the use of Polypro A11160 roof tile adhesive. 2.2 Typical Physical Properties: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 2 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 Approval Date: June 14, 2001 Expiration Date: May 10, 2006 Results +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Chan Humidity, 2 weeks Dispensing Equipment Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing 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® AH160 shall solely be used 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® AH160 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 MS 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 4.2 Polypro® AH160 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® AH160 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® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (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® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH160 shall not be exposed permanently to sun 3 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 Piece 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 Polvfoam Products, Inc. 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 4.9 Polypro® AH160 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 . Polvfoam Products, Inc. Nail through plastic cement Paddy (Beneath Tile) Undedayment Eave Course Eave Closure 10 In. In Fascia Eave course only: Keep adhesive ode . 4 In. up from weepholes ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Underbyment 1 Nall through plastic cement N*" 10 In Eave Count Eave course only: Keep adhesive approx. 4 In. up from weepholes Paddy (Sanest Tle) Fascia WeoPilde Eave closure Up edge 1) Place enough adhesive to achieve 17 to 23 steep pitch application square Inches In contact with the pan the 2) Tum covers upside down. Place adheshro 1121n. To 1 In. From outside edge of cover tee. Then Install the tile. Underlayment 1 109 00 of the eave course cover lilt Abut to second course pan Mee. Ensure ewe and of pan and cover tiles are flush et eave Eave closure Irnorter shown) 5 ACCEPTANCE No. : 01-0521.02 Weephole Fatale B Optional 2x41 for Nall through plastic content Optional Point Mortar on longitudinal edges of Ole Sheathing Frank Zuloaga, RRC Product Control Examiner Polvfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 6 ACCEPTANCE No.: 01- 0521.02 Underlayment 7In. In. Nail through plastic cement amo b•si Eave Course Paddy (Beneath Tile) Fascia Weephole Eave closure Drip edge Frank Zuloaga, RRC Product Control Examiner • Polvfoam Products, Inc. ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Paddy (between tile) Paddy (under tile) Single paddy 1F x I under the x31n. Single paddy on under. layment Single paddy on top of tile Eave course In. X 7 hi. medium size paddy eave Fascia course only Nall through plastic cement Underlayment / Single paddy on under. laymen' Single paddy under tile Single paddy on top of tile Eave Course Nall through plastic cement r in.x 3 In. Single / paddy an underlayment Single paddy on top of tile Eave Course 7 ACCEPTANCE No.: 01- 0521.02 Single paddy between tile Eave Closure 2 In. x 7 in. medium size paddy eave course only Fascla Frank Zuloaga, RRC Product Control Examiner Single paddy under tile Single paddy between tile 2 in. x 7 in. medium she paddy save course only Fascia Weephole Eave closure Drip edge Polyfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any • other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8. END OF THIS ACCEPTANCE 8 Frank Zuloaga, RRC Product Control Examiner • Polvfoam Products Inc. ACCEPTANCE No. : 01- 0521.02 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA.) A. DRAWINGS: NONE B. TESTS: Test Agency Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services Celotex Corp. Testing Services Celotex Corp. Testing Services Test Identifier #94 -060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB -589 -631 9637 -92 01- 6743 -011 01-6739-062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 E -1 Test Name/Report Miami Dade Protocol PA 101 Miami Dade Protocol PA 101 SSTD 11 -93 SSTD 11 -93 11/02/95 SSTD 11 -93 12/12/95 ASTM D 1623 02/01/94 ASTM E 108 04/30/93 ASTM E 108 11/16/94 ASTM E 84 01/16/95 PA 114 03/14/96 Miami Dade Protocol PA 101 10/23/98 Miami Dade Protocol PA 101 12/28/98 Miami Dade Protocol Date 04/08/94 12/16/96 10/25/95 Frank Zuloaga, RRC Product Control Examiner • Polyfoam Products Inc. ACCEPTANCE No.: 01- 0521.02 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA.) C. CALCULATIONS: Walker Engineering, Inc., Evaluation of Tests. Dated 04/07/99 D. MATERIAL CERTIFICATIONS: NONE E. STATEMENTS: NONE E - 2 Frank Zuloaga, RRC Product Control Examiner 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: 3 S D NtV et- "e 2. Description of improvement: 3. Owner(s) name and address: •A 4 r e Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: k--k :w _ CF ,._::r•: ,,, K L" 5. Surety: (Payment bond required by owner from contractor, if any), r , 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: IA Name and address: Amount of bond $ vrrnrGss R;; ;.: h.: I: jQ;,:cr_ 6. Lender's name and address: 1ARvpv uf" 7. Persons within the state of Florida designated by O ner upon whom notices or ther aocuments may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 9. Expiration date of this Notice of Commencement: (the expiration different d ' spe Signature Print Owner's Name Sworn to and subscribed before a this 3 o day of , f4?"-2---N , 20 a1 Notary Public 1- Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 a I re O G « Bonded Nu Budget Notary Services CFN 200480320181 OR ak: 22265 Ps 3714; (1P9) RECORDED• 05/05/2004 09:47:57 HARVEY RUVIHr CLERK OF COURT MIAMI -DADE CDUNTYr FLORIDA LAST PAGE 111 111111111 IIIIIIIIIIIIIIIIIIII 3 � \ D.C. date is 1 year from the date of recording unless a WELIDA ARMAS MY COMMISSION # DD 218376 EXPIRES: June 2,2007 Prepared b • Q-4 P by '� -2_°7 s \ vv Gz k Address: t 1 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___ August 18th , 19 71 Owner's Name and Address R,___E Lindgren No.__ 550 Street 100th Registered Architect and /or Engineer Name and address of licensed contractor_ Lang -_ROOfing_- &t'1'ile_. Co"_._InQ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 350_ E. E. 100th Street State work to be done and purpose of building (by floors 11=0V-e- old r-oof ing dog to sheathing boards., Tin sap 1 -3Q felt to sheathing, mop 1 -9Q# slate with hot asphalt and cover with a layer of Gory flashiang for no other purpose. New Building Remodeling Addition Repairs_aembroof No. of Stories 1 To be constructed of Kind of foundation Roof Covering_. Get nt._tile Estimated Total cost of improvements $2,Q95.40 Amount of Permit $. 7.,„00 Zone cubage required plan Cubage Distance to next nearest building _ ___ Size of Building Lot Maximum live load to be borne by each floor__ . I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him m the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s ntra9tors, on w to performed under this permit, as are licensed by Miami Shores Village. Remarks-- -- 22$QA. _. - -- - ( Signed) Disapproved ___ _ Date (Signed) Building Inspector My Commission Expires PLANNING BOARD__. ___. DATE Chairman __ _ _ Member Member Member Member Member Council Approved _Date Disapproved STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - 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 Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 inspc, tion or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT MIAMI SHORES VILLAGE Owner's Name and Address M. E• Lindgren APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Augu 18th ,19 71 No 35 Registered Architect and /or Engineer Name and address of licensed contractor. L ang Roofing & Tile Co., Inc,__ 573 NW 71st St,, Miami 33150 Location and legal description of lot to be built on: Lot_.. Block Subdivision Street and Number where work is to be done 350 N. E 100th Street State work to be done and purpose of building (by floors emove old ___I_Q.of ing .down o___sh a iiing__t?48.rda,, Tin cap 1 -30# felt to sheathing, mop 1 -90# slate with hot asphalt and cover with a layer of Gory red cement shingle tile. Install 26 gauge galvanized iron metal flash laiig for no other purpose. New Building _ Remodeling Addition Repairs._Re3__ZDO.f No. of Stories 1 To be constructed of Kind of foundation Roof Covering Cement the Estimated Total cost of improvements $2 Amount of Permit $ 700 Zone cubage required .Plan Cubage Distance to next nearest building__- Size of Building Lot Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to___.- . The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco actors, w to be performed under this permit, as are licensed by Miami Shores Village. Remarks 22 ac s• -- --- -- - -- (Signed g street N. E. 100th STATE OF FLORIDA, COUNTY OF DADE. J ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -- 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 e. Permit No Date 2 _ 4'__ __ Z/_ Read, Sworn to and Subscribed before me. Disapproved (Signed) Chairman Member Member . Council Approved uilding Inspecto PLANNING BOARD__ Notary Public, State of Florida My Commission Expires_ Member Member Member DATE _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 insp., lion or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of ji Building , At {l-t -� P Architect Contractor or Builder Legal Description Address of Building t 4 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA V ❑ PERMIT 11T° 4647 Work to be Contractor's , License No. / 77 performed under this Permit Subdi- vision Value of Project $ /.i� 9 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 i cr in the statements or specif' do and that he assumes responsibility for work done by his agents, servants or employees. ■ signed' igned' i '!/ 1' d // 7 INSP fO�t 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. DATF /' / 1954' Amount of Permit $ BY AUTHORITY o