Loading...
456 NE 100 St (6)nsPee Inspection Date: 02/12/2007 Inspector: Grande, Claudio Owner: THE CHURCH OF THE RESURRECTION, Job Address: 456 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: FLORIDA ROOFING INC Building Department Comments Friday, February 9, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - Repair Phone Number Parcel Number 1132060170350 Lot: Phone: (305)592 -7732 Page 1 of 1 FEB 1 2 20117 Passed Z Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until nsPee Inspection Date: 02/12/2007 Inspector: Grande, Claudio Owner: THE CHURCH OF THE RESURRECTION, Job Address: 456 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: FLORIDA ROOFING INC Building Department Comments Friday, February 9, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - Repair Phone Number Parcel Number 1132060170350 Lot: Phone: (305)592 -7732 Page 1 of 1 Test Location Uplift Pull Test(P or F) 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 T 26 rTt 51 1�[tlC�i9 76 2 Fa��L 27 52 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 9 20 45 70 95 21 46 71 96 22 47 72 97 23 '`._ • 48 73 98 24',.• -' ~ 49 74 99 23. ...- _ .tee 50 / 75 100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 SITE SPECIFIC NFORMATION Owner's'Name• 1 - 4 t 4�i 2F V,r �tObJ Permit # Job Address WO -1- f) 64 t tJ % S 'tAa i Roofing Contractor: 1 ` '-p.& kO -. t 049 Type of Tile: 6 11- k S °' - O - Date Installed f — ' 9 - " ' - Approximate Roof Height: 12 - feet Roof Pitch: Type of Access to Roof Scaffolds ✓ Ladder Other Approximate Square Footage of Roof: 7- 500 ft Required Testing Force; 35 lbs. Testing Equipment: Chatillion 100 Date Tested — 'ii IN ACCORDANCE WITH THECRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REFORT 4 TED BY: Lab Certification # 98 0608.0 P.E. State of FL Certificate Au orization # 4100 TEST RESULTS P = PASS, F = FAIL Project No 87 93 2 -CoL -- Z4 Notes: Sketch of Roof LINNIUMMINIMI imirm ■1■■E■■■I■■rii■■1 IMIUMMEEMMINAME IIIIpNIIiiIIIIIII � ■ ' tlI ■■■II bad 'SAINIU IM �■ ■ IIMEMPANIMILMI 1161%111111 ■ ■■PAI�■rEPMl! ®i ce■ !NO= II IMMUNIMIL91•• 2.11E1MINEW ■ `M■■■/: II ■■■■M/!NIIIMB!! imummwomailillamo mordrrnominvommo me 1 emmem ■■■ minim 1■ IMILI MENEMrE■■IIILtal► 1 !P!!i!uuuu . 1111111111111 �► ai■im\■n' ■■■■m■■ •rm ■ ■ 111111 A [eJ%■■e■ /mr►i■►n? hir/I ■ iiii1111i11 ■■■■1`iiL. �� ■ � \ \ ■■ ■10111■■ ■■• \ \■MI►I 1 1111111611111111111 ■ ■■■ mussommlomumpum ■■■■■Iii■ NEI 1010■ Job DAV lam, M *-1v " r V 1 Sheet Number *,--of Z C ontractor "P.1' d J f Checked By Scale PERNNT NO._ STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements well be made to certain real property, and inaccomiarice with Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. 1. Legal description of property and street/address: 4 ` j ./E /"Q e - -• � 1t'��' tea / *.e F rte/ • 2. Description of improvement; NOTICE OF COMMENCEMENT A RI~COROEO COPS' MUST tIE POSTED ON WE JOB SITE AT TIME OF FIRST INSPECTION TAX FOLIO NO, // °3.'19 w •/? `d.3 ' 3. Owner(s) name and address: _ 7)46' et ee. /// - Interest in property:_ Name and address at tee simple titleholder: 4. Contractor's name and address: fDie1477 5, Surety: {Payment bond required owner from contractor, if any) Name and address: Amount of bond 6. Lender's name acid address: 0, in addition to himse @f, Owners designates the f in Section 713.13(1)(b), Florida Statutes. Name and address: 7. Persons within the state of Florida designated by Owne upon pon whom notices or other do: uments may be served by Section 7 '13.13(1)(a)7., Florida Statute • rued as Nance and address 9. Expiration date of this Notice of Commencement: - ( different date is specified) ._ -X Print Owner's Namo f ta-I .1 ,4_ y ati r Sworn to and subscribed before me this � }�^^pp -z A,Z4d day of _ 1 0 CJt�7 6z Notary Public Print Note Name My corhrrmissfory expire 123 as-5,2 F 4Gg, 4 a A Notary PuG c - o — • '.��" . ... ssief► Gommiesion # DP 490137 ,4 4 t i",t, y "' Bonded By National ai iry"7�ss"iiT 1 111111 111111111111111 11111111111111111111111 CF 2006R10$964 -') OR Bk 24968 Ps 2170f (1as) RECORDED 10/03/2006 09 :52:07 HARVEY RUM. CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE ems C''7 , t) G, o (towing person(s) to receive a copy of the Lienor's Notice as provided Prepare b • " G- Address: Rear part of roof has been covered by the the underlayment, only front part of roof is open for inspection. 10/30/06 CG. Infractio Passed Comments TIN CAP SPACEING False Passed N) 0? Inspector Comments 1./ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -30994 Permit Number: RF -10 -06 -2476 Inspection Date: 10/30/2006 Inspector: Grande, Claudio OCT Owner: THE CHURCH OF THE RESURRECTION, Job Address: 456 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: FLORIDA ROOFING INC Building Department Comments Monday, October 30, 2006 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - Repair Phone Number Parcel Number 1132060170350 Lot: Phone: (305)592 -7732 Page 1 of 2 ' `I -�t) Passed Inspector Comments ✓" Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number INSP-30996 .Permit Number: RF -10-06 -2476 Inspection Date: 10/30/2006 Inspector: Grande, Claudio Owner: THE CHURCH OF THE RESURRECTION, Job Address: 456 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: FLORIDA ROOFING INC Building Department Comments Friday, October 27, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 x'31 Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - Repair Phone Number Parcel Number 1132060170350 Lot: Phone: (305)592 -7732 Page 2 of 2 Issue Date: 10/13/2006 Expires: 01/01/2999 Owner's Name: THE CHURCH OF THE RESURRECTION Permit Type: Roof Work Classification: Roof - Repair Job Address: 456 100 Street NE Additional Information Miami Shores, FL 33138- Contractor(s) FLORIDA ROOFING INC Phone (305)592 -7732 Primary Contractor Yes Type of Work: Classification: Residential Additional Info: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $9.00 Education Surcharge $3.00 Permit Fee - New Roof $300.00 Scanning Fee $12.00 Technology Fee $7.50 Total: $331.50 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Invoice Number R F - 10 - 06 - 26418 Total: Q4-26 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF - - - 2476 Phone: Total Square Feet: Total Valuation: Re wired Ins•ections Roof in Progress Final Roof Amt Due $331.50 1132060170350 Lot: PB: OCT 2 4 2006 2500 $ 15,000.00 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. • • • • " ' Inspection Date: 01/18/2007 Inspector: Grande, Claudio Owner: THE CHURCH OF THE RESURRECTION, Job Address: 456 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: FLORIDA ROOFING INC Building Department Comments Wednesday, January 17, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - Repair Phone Number Parcel Number 1132060170350 Lot: Phone: (305)592-7732 Page 1 of 1 JAN 1 9 2007 Passed ct i Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until • • • • " ' Inspection Date: 01/18/2007 Inspector: Grande, Claudio Owner: THE CHURCH OF THE RESURRECTION, Job Address: 456 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: FLORIDA ROOFING INC Building Department Comments Wednesday, January 17, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - Repair Phone Number Parcel Number 1132060170350 Lot: Phone: (305)592-7732 Page 1 of 1 i0h* iturci-o Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING i /0/CG Permit No. — • G � PE APPLICATION /Z • Master Permit No. Pt FBC 2004 "' Permit Type (circle): Building Electrical � Pllumbing Mechanical Owner's Name (Fee Simple Titleholder) Vie" €6 €0 /2/74e e>o5ax ( � ,0,() X70 - 5 Owner's Address / //7,� 4�/f ,C/� 6' .0G V • City �•/ /4/ State re Zip 0%3/6 /— 70Z 4 H Tenant/Lessee Name Phone # Job Address (where the work is being done) 9'%40 A/ 6 /Dl' . f City Miami Shores Villa e County Miami -Dade Zip P • FOLIO / PARCEL # r/ ooze - ®v? - 5"0/ Is Building Historically Designated YES NO Contractor's Company Name r /O/2 /.b4 4 /i7 _Z'-, . Contractor's Address 79a /VGJ CP 0T o City /4r>7•( State Qualifier Name 7 Zip / / • Phone # LOo /ere s T' ie' /74.iee Z State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 45 Dewed • Type of Work: ['Addition ['Alteration Describe Work: APE - 1oep New TiG Phone # 11/E©MgViE tg OCT 0 3 2000 BY: C / ,' . Phone # e6 37 32 k) Square / Linear Footage Of Work: 0 4 �Repair/Replace ['Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ � VD e jt 7 -/' Notary $ Training/Education Fee $ 5 Scanning $ 12 — Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ CCF $ q CO /CC G Technology Fee $ �- C.) Zoning $ Structural Review. $ Total Fee Now Due $ 331.50 See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City S Application is hereby made to obtain a pennit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged ore day of a IV 20 bc who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Expires Noy 13, 2009 � rRAVALDES Sign: - , . Y . i ' • . ' t Iorida /flit • Print: My Commission E ire5%'f7r Bonded By National Notary Assn. fr Contractor '1 n e The a foregoing was acknowle d before me is GC , day of �GTD' /L, 20 C.262by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Zip ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /0 e7 APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MtAMI - QADE_ 1- Legal description of property and street address: 2, Description of improvement: / - oe00p 3, Owner(s) name and address interest in property: Name and address of fee simple titleholder: Name and address: _—-} - Amount of band $ H IV 6. Lender's name end addres&: Notary Public_ Print Notary's Name My corhnissloin expire iza. -Sz PAGE 4 SUR TAX FOLIO NO, / / -49 •ate . THE UNDEFSIGNEO hereby gives notice that improvements will be made to certain real property. and in-accordance with Chapter 713, Florida Statutes, the f000wing information is provided in this Notice of Commencement. 4. Contractor's name and ,address: kid./e1/5 �lJ, 5. Surety: (Pagment bond required @ 4ee i' r-4 e ''C ff e-c e/eEC774 d,,;% �. .3 /� / _.... owner from contractor, if any) 7. Persons within the state of Florida designated by Owner upon whom `-- provided by Section 7 13,13(1)(a)7., Florida Statute Name and address: 8. In addition to himself. Owners designates the in Section 713.13(1)(b). Florida. Statutes. Name and address: 1 slowing person(s) to receive a copy of the Lienor's Notice as provided Print Owner's Name h., ra h! 4 f k a. Ni Sworn to and subscribed before me this ,Zegiday of "V1 r Notary Pub c - i n Expires-WW1/0 0 C. mmisaion # OD 4 o131 Bonded By National 0 ry n. 2O 11111 1111111111111111111111111111111111111111 A/6 a CF 20068 1059640 OR Bk 24968 Ps 2170; (1P9 ) RECORDED 10/03/2006 09 :52 :07 HARVEY RIJVIN, CLERK. OF COURT P1IA19I -DADE COt1.HTYr FLORIDA LAST PAGE 9. Expiration; date 0 this Notice of Commencement: (me expi ation date is 1 Y the ear from t . different date is specified) t ate of recording unless a S• tune of hurts Prepared b Address: _ . Ai z4-) s j 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions;of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has beeniexplained. 1. Aesthetics Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect! to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may h to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurric t 1 ,:,•rida Building Code. (The roof deck is usually concealed . prior to removing the existing roof s 3. Common Roofs: Common roofs are those which have no visib •Cai -tI. be d neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, t r and /or owner should notify the occupants of adjacent units of roofing work to be performed t 4. Exposed Ceilings: Exposed, open beam ceilings are where th ride �• of .�: arcking can be v4ewed from below. The owner may wish to maintain the architectural `,p rc: roofing nail penetrations of the underside of the decking may not be acceptable. The il�'rt Corr provides the option of maintaining this appearance. 1 d 5. Ponding Water: The current roof system and /or deck of the build f • may of d in well and may use water to pond (accumulate) in low -lying areas of the roof. Ponding c- be an indiCa {ion of structural distress and may require the review of a professional structural engineer. Ponding may. shotten the life expectancy and performance of the new roofing system. Ponding conditions may not be eviderf':1.1Mif the ori81rlaI. roofing system is removed. Ponding conditions should be corrected. • • • • •• • • .. • t. 6. Overflow scuppers (wall outlets): It is required that rainwater flow .o1 .so that the roof i% not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block ithiS • if• overflow scuppers (wall outlets) are not provided. It may be necessary to install ov4rflow, gcupp2 il1.2tccordopig. with the Florida Building Code, Plumbing. • • • • . • • • 7. Ventilation: Most roof structures should have some ability to vent nature �jrf throu he interior ol. the structural assembly (the building itself). The existing amount of attic ventilation sjiall•ngt be relined. It may be. beneficial to consider additional venting which can result in extending the service Iifq, of the roof: • • • • • • .. • . •.. . •; • � es/Agent's §gnature Date Contractor's Signature 45-0 ijE loo 'St' �tanu 644-1.42d / FL •x,31' ' (9(0.- ? ?�o Property Address Permit Number Rev:920/2005, Computer Services, Building Department I OCT 0 3 2006, 1I • • • • • • 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. ......... Perimeter Width. (a'): !Corner S ze (a' x a'): . . ..... • i Irt • • HIIIIIIIIIIHNIIIIIMMIHM11111111111111111MIHM11111111011111111111111111111610 MI EMI 1111•111••••111•11111111111111111111111111111•1111•111•111•11111111•11111•11 1111•1••11011111•1011111111••••11••1111•1111• • INN MI •111•••1111 ano firm UM • HINIMMINII 1111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII asimum IIIIIII 111111111MMIMMI •••••1111111 11111111•1111 • UWE 11111•1111•1111 111•11111111111111111111 II•NIEZI 111•••• MUM Oa ••••11g4 1111 111111•1111•11 WM= 111111111111110111111111111111111111111111111 HU 111111 MI UM MEI UM MI MB . 111 MI HI 11111111111111111 , .... ' • ' • • • NM IIIINNI _ 11111111111111111111111 11111111111111111111111 I intrINP • • • • MC hi f Rine , , WHIM IMMINIIIMIMM • • . • • MI Mara APPIIIIC • JIM . • • \ • . • • ..,•:•• • • • • ' • '. 7. t , • . , • • N ' • • • • ION , • • MN • 4 , MN •• •• • ••11111111dill • • • • 111•1111121T• .• MO WWII BMW LICIIICI II 04,J ii LIME MGM M U •••• 1 ■ ••• • •. ••• .... MI um . C - • -.-. NM MI • • • M MU UM O . •,. • . . . 10111•••111 ••••••••Imi. IliiilillIV lumm aimi MIR .,. .111111 mg am • . . • mom. m .. 1111111111.= • . . . . immum...........:1111111111111111 111111101111111OMMOMMIOMMOMMIMIMMUNMEIMMIMMIMMIMMIM MEMMIMMUMMINIMMIMMIMMIMMINIMMINIME 101111111111=1.11111•11 111111111111110101011MMINIMMIMINIMMEMOMMO NIONENNOMMI moms .........mum IIIIMMIIIM 111110111111011111011111 • im musi gg ismi.....Imingiumummilmummummommum r um . um • MU 1•11 mom g• silimaini NB _ 2 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI-DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Master Permit No. 0(0 2A Contractor's Name: Florida Roofing Inc. El Low Slope 2 Asphaltic Shingles Prescriptive BUR-RAS 150 Roof Category Mechanically Fastened Tile 2 Metal Panel/Shingles El Other: Section A (General Information) Process No. Job Address: 456 NE 100 St., Miami Shores Roof Type New Roof Re-Roofing Recovering El Repair Maintenance Mortar/Adhesive Set Tile. Wood Shingles/Shakes Are there Gas Vent Stacks located on the roof? Yes 2 No If yes, what type? IS Natural 2 LPGX Roof System Information Low slope roof area (ft. Steep Sloped area (ft 2) CO Total (ft. 5 Section B (Roof Plan Page 2 Page 1 of 1 • • • • • • • • . • • • • • • • • • 1,1-tn./i r n;citylidACIP arIldhllildingiroofine permitin2/permit app section_a.HTML 9/26/2006 • • • Roof System Manufacturer: Entegra Sales, Inc. Notice of Acceptance Number: 06- 0310.05 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1: -45 P 2: -95.1 p 3: -49.2 Maximum Design Wind Pressures, (From the PCA Specific system): 45.5 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: ! 3 Roof Mean Height: 11 Ridge Ventilation: N/A Method of Tile Attachment: Perimeter Width: N/A "/12" Section D (Steep Sloped Roof System) N/A Alternate Tile Attachment Method: N/A Clip Spacing for Metal Roof Panels Field: N/A Perimeters:', N/A Corners: N/A Sloped System Description Deck Type: 5/8" Plywood Page 4 Alternate Deck Type: N/A Underlayment type: # 30 Ibs tincapped Insulation /Fire Barrier Board: N/A •••••• Optional Nailable Substrate: • • • • • _._. ....... • N/A ••• • • •••• • • • • Fasteners: • • • •••••• . • • 1 1/4 rs nail 6" oc Iaps "oc field • • • • Cap Sheet Type /Adhesive'rya.' • Polystick TU Plus • • • •_ • Roof Covering: ' • • • • • • • • Estate "S" Tile ' • '. Roof Covering Attachment od: • : . 6 : : • Polyfoam meddium' patty: ••• • • • • • • Drip Edge Size & Gauge: 3" face 26 ga. Drip Edge Material Type: Galvinized Metal T` Drip Edge Fastener Type: N/A Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 OCT 12 4d 2..006 BY: http : / /www.miamidade.gov /building/ roofing _permiting /section 10/12/2006 MIAMaa,AaE COUNTY BUILDING CODE COMPLIANCE OFFICE (BCC()) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Entegra Sales, Inc. 819 N. Federal Highway, Suite 300 Stuart, FL. 34994 tW7q"'' SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Mimi-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 (AI3,T). • 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. 1 'd 560 ' °N MIAMI•DADE COUNTY, FLOEiDA METRO -DADE FLAGLER BUILDING 140 WEST F LAGLER STREET, SUnE 1603 ha lljj, P'L OIUDA 33130-1563 (305) 375 -2901 FAX (305) 375.2908 www.bandipacodeonline.com • • • This product is approved as described herein, and has been designed to comply with the Amide tuilding•C?ek, including the High Velocity Hurricane Zone. DESCRIPTION: Estate "S" Tile ... • • .... • • •••• • LABELING: Each writ shall bear a permanent label with the manufacturer's name or loger gity,.state agd • • • following statement: "Miami -Dade County Product Control Approved ", unless otherwise trotetl'herein. • • . RENEWAL of this NOA shall be considered after a renewal application has been filed and Neli has beg; 49 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 reviafozror change jn the materials, use, and/or maniffactvre of the product or proces)Misuse of this NOA as an endorsement of ad j• • 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 renews NOA # 01 -0703.04 anti eonsists of pages 3 through 7. The submitted documentation was reviewed by Alex Tigera. NOA No. 06-0310.05 E piratdon Date: 08/23/11 Approval Date: 07/27/06 Page 1 of 7 ' Wd l0 : l 9006 '9 'Po • • • • •• ROOFXNG ASSEMBLY APPROVAL . Category: Sub Category: Material: Trim Pieces Product Rainproof 11 Ice and Water • Shield Wood Battens Z 'd 56917 ' °N Roofing Roofing Tiles Concrete 1. SCOPE This renews a roofing system using Entegra Estate "S" Concrete Roof Tile, as manufactured Entegra Roof The Corporation in as described in Section 2 of this Notice of Acceptance, designed to comply with the Florida Building Code, 2004 Edition for High Velocity Hurricane Zone. For the locations where the pressure requirements, as determined by. applicable Building Code, does not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculadons shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by ADAM Entegra Estate 'S' Roof The Test Dhnensions 5ingin tions 1 16 -112" w= 13" min. 1/2" thick 1= varies w = varies varying thickness profile. 2.1 Components or products manufactured by others Dimensions 30" x75'roll 36 "x75'roll or 60" x 75' roll 36" x 75' roll Vertical Min. "x 4" on Min. 1 "x 4" for use with vertical battens or Min. 1 "x 2" for use alone Product Dtscriution TAS 112 Low profile, interlocking, extruded concrete roof tile equipped with two nail hole and double roil fibs. For direct deck or battened nail -on, mortal or adhesive set applications TAS 112 Accessory trim, concrete roof pieces for use • at hips, rakes, ridges and aalle • terminations. Manufacdr /breach t jJe • • • Test Prods $oeeifications ' tiou TAS 104 Single ply, nail-on underlayment with 2" self - adhering top edge. TAS 103. Self - adhering underlayment Wood Preservers Salt pressure 1'nstituue LP -. 2 treated or decay resistant lumber battens •••• • 0000 • • 0000 • • • Iii actui►et. • • • . ---r.- • • •Buoteot -O- Wrap, • • e • tic, •e•• (rith NOM) • • e• • 00•0 • • • •• • W.R. Grace Co. (with current NOA Genetic (with current NOA) NOA No. 06-0310.05 Explradon Date: 0823/11 Approval Date: 07/27/06 Page 2 of 7 Wd10 :1 9006 '9 '1)0 Product . Tile Nails Tile Screws Roof Tile Mortar MileTiteln Roof Tile Mortar ( "Qw tc® Roof Tile Mortar #11,40") Roof Tile Mortar (`BONSAI.® Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polypro® AH160 ") Roof Tile Adhesive Ti eBond • Hurricane Clip & Fasteners E 'd 569 ' °N Dimensions Min. lOdx 3" #8x 2 1" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dza. N/A N/A N/A N/A Factory premixed canisters Clips Min. 1" width Min. 0.060" thick Clip Fasteners Min. $d x 04" Test Product catfo ti n TAS 114 Corrosion resistant Appendix E screw or smooth shank nails TAS 114 Appendix Corrosion resistant, E coated, square drive, galvanized, coarse thread wood screws TAS 123 Prepared mortar Bermuda Roof mix designed for Company, Inc. with mortar set roof tile current PCA applications. TAS 123 Prepared mortar mix designed for mortar set roof tile applications. TAS 123 Prepared mortar mix designed for mortar set roof tile applications. See PCA Two component polyurethane adhesive designed for adhesive set roof the applications. See PCA Single component polyurethane foam roof toe adhesive Corrosion resistant clips with corrosion resistant nails. TAS 114 Appendix E Manufacturer Generic (with =rent NOA) Generic (with current NOA) .. .. Quikrete Construction Products with C PCA W. R. Bonsai Co. with current PCA Pct o3m Ptvduets; Inc •••• .... • • •••• • • .. • • • • • .. ?WMle Products' (with dent Nb' • • • • • .. • .. . • • . Generic • •• • NOA No. 06-0310.05 Expiration Date: 08/23/11 Approval Date: 07/27/06 Page 3 of 7 • • WdlO'l 9006 '9 '1 • • • • • • • • • • • • • • 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. • 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance With TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Complianre Office for review. 3.4 Minimum underlayments 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 other lse 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 4.1,1 Entegra Estate "S" Concrete Roof Tile and its components sha11 be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 'd 56917 '91 4.2 Data For Attachment Calculations Tile Profile Entegra Estate 'S' Roof Tile • Tile Profile Entegra Estate 'S' Roof The Tile Profile Entegra Estate Battens Direct '3' Roof Tile - Deck .91 6.74 Table 1: Average Weight (W) and Dimensions (I x w Table 2: Aerod Battens 5.82 Weight - W (lbf) 10.0 amic Multi . liers - 1 (ft) Batten A . • Ilcation 0.267 Length - I (ft) 1.375 Table 3: Restoring Moments due to Gravity - M -Ibf) 3:12 :4:12° 5 ":12° 6b:12" Direct Deck 6.64 Battens 5.70 Direct Deck 6.50' Battens 5.56 Wade! • • • .. . .... • • 0.8 • • .. .. • Direct Deck 8.33 .... 1.08 ••••r .. • • ... .... • • • .. • 7 ° :12" or greater Battens Direct Deck 5.40 N/A NOA No. 06-0310.05 Expiration Date: 08123/11 Approval Dates 07/27/06 Page 4 of 7 • Wd /O :l 900/ '9 '1 • • • • • • • 1 • • • Entegra Estate 'S' Roof Tile Entegra Estate 'S' Roof Tile Entegra Estate 'S' Roof Tile Table 4; Attachment Resists Expressed pressed as a Moment - f.% (it -ibf) for Nall-On Systems T11e Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" plywood) (min. 19/32" plywood) Tile Profile 'd S69b 2.10d Ring Shank Nails 1 -10d Smooth or Screw Shank Nail 2-10d Smooth or Screw Shank Nails 1 #8 Screw _ 254 25.8 2 #8 Screw 47.1 47.1 1 -10d Smooth or Screw 24.3 24.3 Shank Nail (Field Clip) 1 -10d Smooth or Screw 19.0 19.0 Shank Nall Eav Cli 2 -10d Smooth or Screw 35.5' 35.5 Shank Nails (Field Clip) 2 -10d Smooth or Screw 31.9 31.9 Shank Nails (Sava Clip) for Sin le p Adhesive Set ms The Polyfoam PolyProrM Po cam Poly_ roc 4 Large paddy placement of 54 prams of PolyProTM. 5 Medium acement of 24 rams of PolyProTM. Table 5B: Attachment Resistance Expressed as a Moment - Mt (ft -I bf) tor Mortar or Adhesive Set S stems Tile Application Mortar Set 27.8 8,8 16.4 37.4 11.8 21.9 • • • -- •- 45.5 20.60 28.8 4.1 7.1 22.9 49,1 24.2 22.1 34.8 32.2 2 - 10d Ring Shank Nails 43.0 67.5 50.9 1 Installation with a 4` tile headtap and fasteners are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mt (ft - Iii • for Two P Adhesive Set Systems • • Tile Tile Application Minimum AttacttMenf Resistitifi Profile Tile Application Minimum Attachm'erg Profile Resistance 86.61 • • • 6.61 e- ••• • • • • • • • •• - Minimum Attachment Resistance NOA No. 06-0310.05 Expiratfon Date: 08/23111 Approval Date: 07/27106 Page 5 of 7 Entegra Estate 'S' Roof Tile Adhesive • 2 See ufactures component approval for instailatron requirements. 3 FIe:6bte Products Company " • " " puny TileBond Average weight per patty 11,4 grams. • • • Polyloam Product, Inc. Avenue weight per patty 8 grams. - Table Attachment Resistance Expressed as a Moment - M, (ftbf) • • • • • • • WdlQ 9002 9 1 • • • • • • • � • • • • PROFILE DRAG L 'd S69b ENTEGRA ESTATE "S" CONCRETE ROOF Tu,E END OF THIS ACCEPTANCE • • • • • .. • • • • • .. • • • • • • • .. • • • .•• • • • • NOA No. 06- 0310.03 Expiration bate: 23/11 Approval Date: 07/27/6 Page 7 of' 7 • .. • • • • • • • .... • • • WdZO :I 9001 '9 'PO • • • • • • • • 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacture1's name or logo (See Detail Below), or following statement: "Miami -Dade County Product Control Approved ". ESTATE "S" TILB LABEL (LOCATED ON UNDERSIDE of TILE) 6. BUILDING PERMIT 11EQUIRENIENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Bniii in Code in order to properly evaluate the installation of this system. 9 'd 569ti '°N OR ENTESM • • • • .. . . • • .... • .... • • • ... • . • • • • • • • • .. . • • • . . • NOA No. 06.0310.05 Expiration Date: 08!23/11 Approval Date: 07/27/06 Page 6 o 7 • • • .... • • .... • • • . . . • ... • • • • Wd10: 9001 '9 'P0 • • • • • • • M I A M MADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (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 Florida $wikkiag • • • Code, including the High Velocity Hurricane Zone of the Florida Building Code. • • • •• • • •••• DESCRIPTION: Polystick P, IR/IRX, TU, TU Plus and MU Underlayments • • • •••• LABELING: Each unit shall bear a permanent label with the manufacturer's name.or Ioio, city • and following statement: "Miami -Dade County Product Control Approved ", unless pilwytise noted • herein. • • • •• .. • • •• RENEWAL of this NOA shall be considered after a renewal application has been t tectgid there h 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 b8en II revision pt.. change in the materials, use, and /or manufacture of the product or process. Misuse of this NOA as•ari 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 renews NOA No. 04- 0810.03 and consists of pages 1 through 5. The submitted documentation was reviewed by Jglge L. AceboZtr4 NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 1 of 5 ROOFING COMPONENT APPROVAL Category: Sub - Category: Material: PRODUCTS DESCRIPTION: Product Polystick P underlayment Polystick IR/IRX underlayment Polystick TU underlayment Polystick TU Plus underlayment Polystick MU underlayment Roofing Underlayment SBS , APP Self- Adhering Modified Bitumen Test Dimensions Specification Roll: ASTM D 1970 75'x3' 40 mils thick Roll: 65'8" x 3'3- 80 mils thick Roll: 32'10" x 3'3- 100 mils thick Roll: 65'8" x 3'3'/ 80 mils thick Roll: 65'8" x 3'3- 80 mils thick TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 Product Description A polyethylene top surface, self - adhering, SBS polymer modified bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. A fine granular /sand top surface self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. • • . . A heavy granuled surface self adhejing,• APP polymer modifiedJ' fitttglass of • • • polyester reinforced, Balinious sheet' material for use as an und • • • sloped roof assemblie,§, gcsjgned a; roof the underlayment,, • • • • A non - wicking fabric stisfaced, self- • adhering, APP polymer modified • • • • fiberglass reinforced vgith strength polyester fabric, bitumihous Sheet inttra,1 for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. A non - wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval .Date: 09/14/06 Page 2 of 5 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Exterior Research & Design, LLC #11756.04.01 -1 TAS 103 04/27/01 #11756.08.01 -1 ASTM D 1970 08/14/01 #02202.08.05 TAS 103 08/29/05 PRI Asphalt Technologies PRI01111 ASTM D 4977 04/08/02 PUSA- 005 -02 -01 ASTM D 4977 01/31/02 PUSA - 018 -02 -01 ASTM D 2523 07/14/03 INSTALLATION: Deck Type 1: Wood, non - insulated, new construction Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 or Polyprotector UDL or Polyprotector UDL AS. Fastening: Nails and tin caps 12" grid, 6" o.c. at laps. (for base sheet only) Membrane: Polystick membranes self - adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. • • • • • • • 3. Place the first course of membrane parallel to the eave, rolling the membrane IQAbgain maftijvm contact. Remove the release film as the membrane is applied. . All side 1aps.sb 21.t e a minimum of 3 -W' and end laps shall be a minimum of 6." Roll the membrane into place. after lemovijnAtke release strip. Vertical strapping of the roof with Polystick is acceptable. Membf�ie shall be back nailed in accordance with applicable building code. • • • • • 4. When applying the membrane in the valley, start at the low point and work to die high point . : . rolling the membrane from the center outward in both directions. • • • • • • • • • • • • • .. • •••• 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to lap areas. Polystick TU. and TU Plus shall not be Left exposed as a temporary roof for longer than 180 days after application. Polyglass reserves the right to revise or alter product exposure times. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 3 of 5 Tile Profile Polystick IR/IRX Polystick MU Poljtj, J TU, 'Unlit§ Flat Tile 5:12 No limitation •410•1imitation • Profiled Tile Prohibited 5:12 : No lfmitatipti• • • . LINIITATTIONS: 1. Fire classification is not part of this acceptance. 2. Polystick P and IR/IRX may be used in asphaltic shingles, wood shakes and shingles, non- structural metal roofing, and quary slate roof assemblies. Polystick P shall not be used as roof tile underlayment. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick membranes shall not be applied over an existing roof membrane. 6. Polystick P shall not be left exposed as a temporary roof for longer than 30 days after application. Polystick IR/IRX, or MU shall not be left exposed as a temporary roof for longer than 90 days after application. Polystick TU and TU Plus shall not be left exposed as a temporary roof for longer than 180 days after application. Polyglass reserves the right to revise or alter product exposure times. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall betas set forth it the roof tile manufacturer's Notice. Polystick TU, TU Plus and MU may be used 14 Is §gt• and mechanically fastened roof tile applications. Polystick IR/IRX is limited tp j c1 anically • fastened roof tile applications. The maximum roof slope for use as roof tile underlayment for • (direct -to -deck) tile assemblies shall be as described below: • •••• • • The above slope limitations can be exceeded only by using battens and counter battens in accordance. • • with the Approved Tile System Notice of Acceptance and applicable Florida Building Code • • • • • requirements. NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 4 of 5 LIMITATTIONS: (CONTINUED) 9. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass Tile loading detail for loading procedure. LABELING: 6 Roofing Tiles (6 Max. Per Stack) 12 10. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick P, IR/IRX, TU, TU Plus & MU may be used with any approved roof covering Notice of Acceptance listing Polystick P, IR/IRX, TU, TIJ Plus & MU as a component part of an assembly in the Notice of Acceptance. : Polystick P, IR/IRX, TU, TU Plus & MU is not listed, a request may be made to the Authority Heving • •••• . Jurisdiction (AHJ) or the Miami -Dade County Product Control Department fdt'*fval prcMd8d that appropriate documentation is provided to detail compatibility of the prodAd4§,'Wind uplift' resistance, and fire testing results. • ... • • .4,4.. . • All membranes shall bear the imprint or identifiable marking of the manufacturer's game cg logo, t• Miami -Dade County logo or the following statement: "Miami -Dade County Product.Control Apptiwr. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. END OF THIS ACCEPTANCE • • .• •• •• • • • • • • •• • • • •• • ••• • • • • •• • NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 5 of 5 MIA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO an 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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 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 display d, J) {q it shall be done in its entirety. • • • .. • .. • • INSPECTION: A copy of this entire NOA shall be provided to the user by the manufaefunf br its ditttblitors • and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by JRrge L. Acebo. 4,‹ MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 .... • • .... • • • • • • • • • • • • • • .... • • • • • .. .. • .... • • .... • • • • .. • NOA No.: 06- 0201.02 Expiration Date: 05 /10/11 Approval Date: 04/13/06 Page 1 of 7 . . • • • • • • • • • • • • ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: SCOPE: This approves Polypro® AH160 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 PRODUCTS MANUFACTURED BY APPLICANT: Product • Polypro® AH160 Foampro® RTF 1000 ProPack ® & 100 PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Roofing Roof tile adhesive Polyurethane Dimensions Test Specifications N/A TAS 101 N/A N/A Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AI-1160 roof tile adhesive. 1.6lbs. /ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch Results .. . • • • • • .• • • • •••• +0.07% Volume Change @, .4, Z °,1;., 2 wC • • +6.0% Volume Change @1S$. • Humidity, 2 weeks •••• •••• 86% •.••• �•••• • Note: The physical properties listed above are presented as typical average value; al 'determined • by accepted ASTM test methods and are subject to normal manufacturinpvvirtion. • • • •••• • • •••• • • • •• • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name /Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93. 12/12/95 Miles Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01- 6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application starydd RAS 120. • .. • .... • • • • 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 fdd$tire adhesive with their tile assemblies shall test in accordance with TAS 101. • ' • • • 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK rood` file • • adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as; OiltRied hefe.jp!.; � F; • • �2 F' =•• MS W • • • • • •. • .••• • • ..•• • •. • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 • • • • • • INSTALLATION: 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. 2. Polypro® AH 160 shall be applied in compliance with the 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 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® AHI 60 Operating Instruction and Maintenance Booklet. 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. 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. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 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. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Flat, Low, High Profiles High Profile (2 Piece Barrel) Flat, Low, High Profiles Flat, Low, High Profiles LABELING: Placement Detail #1 #1 #2 #3 Single Paddy Weight Min. (grams) 35 17 /side on cap and 34 /pan 24 Two Paddy Weight per paddy Min. (grams) N/A N/A N/A . . •• • • • • •• • • • • • • .... • All Polypro® AH160 containers shall comply with the Standard Conditions li .t� :herein, „� : • • BUILDING PERMIT REQUIREMENTS: • • • • .... As required by the Building Official or applicable building code in order to properly tai 4tt &e. the • installation of this system. • • • • • • • • • • •••• • • • .. • •... • • • .. • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 4 of 7 • ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Nail through plastic cement Underlaymen! 1). Place enough adhesive to achieve 1Tto23 Opeknal s o r square Inches In contact with the pan tile stasP DI►h app 2) Turn covers upside down. Pfau adhesive 1/21n To 11n. From outside edge of cover Vie. Then install the the. Reran top palion of the gave COWae cover Ulg. Abut to second course of pan Ihes. Ensure save end of pea and covet Wes are Bush at taws ine. Ears closure Baxter shorm) to u,. Faye Course Eave course only: Keep adhesive approx. 41o. up from wa.pholes • • • • • • • • • • • • • •• • Paddy (Beneath Ile) Weephole Ewe closure Drip 4620 • • • • •• • • •• • • • • • •••• • • • • •••• •••• • • • • • • •••• •••• • • • • • • • • • •• •• •• •• • •••• • • •••• •••• • • • •• • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5 of 7 • •• • •• • Paddy (beneath Tile) Nall through plastic cement Underlayment 1 71n. � Nall through plastic cement Eave Course Paddy (Beneath Tiie) Eave Closure Paddy (Beneath Tile) Fascia Weephote Eave closure Drip edge Nall through plastic cement Underbymenl 1 7 In. Eave Course Eave Closure ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY • • • •• • • • •••• • • •• •• • • • •••• • • • ••• • •••• • • • • • • • • •• • Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 • • • . • • • • • • • • • • • • • • •••• • • • • •••• • • • • • •• • •••• • • • • • •• • NOA No.: 06- 0201.02 Eave course 2In.X7 In. medium size paddy eave Fascia course only Nail through plastic cement Single paddy on top of tile Eave Course Single paddy under tile Eave Closure 11n. x 7 In. medium size paddy eave course only Fascia Fascia Weephole Eave closure Drip edge Nall through plastic cement ejs 3 In. x3in. Single paddy on under- layment Single paddy on top of tile Single paddy under (Ile ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Paddy (between tile) Paddy (under tile) } in.x3In. / 4In, Single paddy on under. layment Single paddy on top of tile Eave Course END OF THIS ACCEPTANCE Nail through plastic cement Single paddy under tile Underlayment Single paddy between tile 2 In. x 7 In. medium size paddy eave course only • • • •• • • •••• • • •••• • • •• •• • • • •••• • • •••• •••• • • •••• • • • • • • • •• •• • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 7 of 7 • • • • • • • • • • • • • • • • •••• • • • • •••• • • • • • •• • •••• • • • • • •• • • Sig Dat Not My Commission Expires: ** * APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE r / 3,2 0 c /�- 0 3J ' Date Job Address '7 Sb /✓E /00 Tax Folio- P6 IS ' 7 6 45= AY & /2 s P ,GS S v' #4 1 y # Legal DescriptioniQ,�/7 P4. old= /1�IiA/ S �toPe�e �Fc" Y 4_ LoT 3 13 2 9 Owner / Lessee / T ant C ,D /Sco,3,' . c lvAlre /a DI= 7 4E Ats M er Permit # Owner's Address /// 3 Gi9 //� /NG vD Contracting Co. Sr APP 1 ANA.0 + riff .inc • Address,i404. Mt l 02' Srrreek Mia.in i 4-- 531*t Qualifier einArter -. Sr. oopp ss# Phone B - b35 -0b State # 41A Municipal # 4 / 4 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOPING PAVING PENCE SIC WORK DESCRIPTION (4wn►ke. ft-et/ales S ?ailed Ccracge ci) e.. bears O h 1 I nk er• 10 r ei.) g of ror- Square Ft. . Estimated Cost(value U Estimated Cost(value WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO I SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTER TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOI. NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, a: on the attached addendum (if applicable). I certify that all work will be performed to meet t'. standards of all laws regulating construction in this jurisdiction. I understand that separa 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 wi be done in compliance with all applicable laws regulating construction and zoning. Furthermore, authorize the above -named contractor to do the work stated. 4 at 0 •: � I � F SEW C Comm. No. CC 614905 My Comm. Exp. Jan. 25, 2001 Bonded thru Pichard Ins. Agcy. wwwpilirrpfm. do President o President * * RADON Zoning Mechanical Buildin Plumbing 6isc40v6 , 9RK Phone Competency # 3001 Signature of Date: ( 4 , 51q1 Ins.Co. 1 ,rax►Scon1�►ne,. 1% L ins• e GINNY r • • AY RAYMOND NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC518225 v. A otary as "o Contrac o •r — s •' • er My Commission Expires: * * . * * * C.C.F. . 2.4/ D NOTARY ' Fire 000 * * * *i _ /D TOTAL DUE 5 3• Other Electrical Engineering co NOTICE OF COMMENCEMENT 998333334 1999 JUN 30 10 :43 PERMIT NUMBER: TAX FOLIO NUM BER: it 3. o 6 c / n 3J STATE OF FLORIDA 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 in provided in this Notice of Commencement. Legal description of property and street address: P1) /S- / 42p , L. ylli / >i 5 A'ES S L y g /d ..r r ,(U > _S ;% �l o " 7 Y 1 �.... /c) .ii- :3 / fit' ,'9 Description of improvement: Owner(s) name and address: G1.c, ,a t_ /4 ht,L. yr ,- A.- i/ / 7 3 (4-. f i J A,;11 h.Ir ct. -r >_ /21-9 Interest in property: 0 A-1:- 3 Name and address of fee simple titleholder C/, r,/ / Z{ ` le' \L._' / 7 3 -1 j j 4' vc/ /7/ 5 it . ,4,., i s r- . 3 3/6 / J 1 Contractor's name and address: SNAP P S- 4t1eS — Cne • 2 N'I4 21 " Sit r e elf. tM i oim i .-L 33 ‘4• Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: S Lender's name and address: Persons within the state of Florida designed by Owner upon whom notices or other documents may be serv as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 7 Florida Statutes, Name and address: Expiration date of this !Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) 7/7, REV 1/97 SIGNAT' E OF OWNER Print Owner's Name: Sworn to d subscribed before me on this day of 19 lq. ✓ ersonally Known, or Produced ID Oath taken, Oath not taken - BUILDING DEPARTMENT - - .,OF FLORIDA, COUNTY OF DADE d!EREBY 'ERTIFY fhaf is is a ,rr.,• of fho origin f o d it/ Phis of on YR nd and CL • W TN , A G 19 jcial Seal. 0 coif an County Courto COUNTY OF DADE 4 4 O /d0 BOYKIN F. JOHNSON Comm. No. CC 614905 My Comm. Exp. Jan. 25. 2001 nded t ru Pichard I/ . gcy I.� /1 Prepare Addre s: / CO file Notary Public Print Notary's Name: Commission Expiration 1 0 1 S(,/1 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 1 .> 26 A 51 7:8.-S E 2 27 -44 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 —I— 50 75 Job Address 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 SITE SPECIFIC INFORMATION Owner's Name: '9 " O Permit #• 44 3 4s z0 t E t 00 ST. I∎t att ,F Roofing Contractor Q vk 1. LT O.l ►-- 1 Environmental • Civil • Structural Buildin Inspection Services T � l U $�IS 1- D�4 -d Type of Tile: . 3 0 - 4 Approximate Roof Height' 11— feet • ( Type of Access to Roof: Scaffolds SC Ladder Approximate Square Footage of Roof' (gbQ_ 2 Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested 7• ' TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK Date Installed Roof Pitch Other UTR 15852 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY TEST. TH BBY:_. A 1' U • rge Du Quesne, • avil Engineer ' . #24513, Du Quesne & Associates, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 KETCH OF ROOF 100 SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES' KETCH OF ROOF JOB 4120 •► ►90 ST, 114 1?-.1a5 (, SHEET NO 1-CF G CALCULATED BY DATE 7 • • 9 1 CHECKED BY DATE NOT 4 1 111111 I 11 0 Ibi ill i miss % cr 11111111 e) I 1 1 11 firi■■■■► ma■I■■■m�■La■■�i■■■■r rimmmn ■■■■■EN■II■■■■EM ■ ■■■■0 2 MOM= LIMEMMOMMEMMEMMON ■■ /r■■■MMEMEM■■r ENNE N MMri■ ■r =mar m■ primmomminummummemme 11 r 1* r N r 0 a ES 3' 5. LE� 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. June Owner's Name and Address Church of The Resurrection _ No 456 ...._... Street.d.:e. ICO.,atre€ .. Registered Architect and /or Engineer ._.. ...,:•, c,. :c..n...:ne +,.,,,,,,,,_..::,... Name and address of licensed contractor Bob Hilson and Company, Inc_ 2811 S.W. 70th Ave. Miami FL 33155 Loc�on and legal descc qcl to be built on: / ii � Q Lote. .1,5 51 . f P7 tock g`! SubdivisionAlY PZ / vl.�?. _.(�Y�!j�_... �.j ,14 Street and Number where work is to be done 456 N.E. 100 Street State work to be done and purpose of building (by floors) _ ..._......._ ...___._.._.._ ... Single family residence .................. new white coated cement shingle tile roof, according to code. New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ 7100.00 Amount of Permit $. Zone cubage required . plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building be sent to BQb ..t]il5on. .and ..CQmpAny.,_.Inc. 2811 $.W. 70th Avenue Miami, FL 33155 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 arc required by the Act. The undersigned agrees to employ only such subcont alttgrs, o . work,to j e performed under this pennit, 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 RQbett...B.. flilson therein by him stated are true. Permit No._ s.1 Date 7 " �� Disapproved P..-1.- a to (Signed) Building Inspector Chairman Member Member - Council Approved ........Date MIAMI SHORES VILLAGE 261 -64 -3217 CC C017513 RC 0015630 Repaira'REROOF No. of Stories one Roof Covering white cement shingle tile --.:Mr ©O All notices with reference to the building and Contractor 26 squares and for no other purpose. worn to and Subscribed e_me._ its construction may 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 Notary Public, S NOTARY F P UB d LIC. STATE OF FLORIDA My Commission Expires M,�l 2].399D eQNDED CO T NOTARY PUBLIC UNDERWRITERS . PLANNING BOARD _.._ DATE • Member Member Member __.__... 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Disapproved Dat (Signed) Building Ins MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLOCATION 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__ August 21 ,19 70 Owners Name and Address Church o f The Resurrection N.11173 Street G r i f f i n g Blvd. Registered Architect and /or Engineer Name and address of licensed contractor O b e n o u r Roofing Co. 7357 N. W. Miami Ct. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 456 N . E. 100th St. (111 a m i Shores } Fla. State work to be done and purpose of building (by floors) Remove the existing roofing, replace Wit h 1 -30 lb. felt, 1 -90 ib. slate, galv. flashings and white shingle tile. and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering 1 9 s q s • Estimated Total cost of improvements $ 1,944.00 Amount of Permit $ 5.00 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, 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 suc ul)lic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to fo a under this permit, as are licensed by Miami Shores Village. Remarks (Signed )_,,. STATE OF FLORIDA, 1 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. 'J Permit No / - 7 f Date _' 7 - 76 ctor PLANNING BOARD Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspe, lion or faulty materials and /or workmanship.