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ROOFING PERMITSC • • v • i • t Consulting Engineers g g 2020 Northwest 7th Street Miami, Florida 33125 E•N GI•N•E•E•R Tel: (305) 649 -6454 Fax: (305) 541 -3298 Contrera's Roofing 144 Northeast 26 Street Miami, Florida 33167 Project: Dear Sirs; 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 Standard RAS 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 than 5000 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 Monier Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, 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 conclud that the project meets thetest requirement outlined in t a;copy, of our test report for „your review`; LG ENGINEERING SERVICES, INC. TILE UPLIFT TEST Wynn's Residence 46 Northeast 100 Street Miami , Florida Information provided by Client: Permit Number: 49187 Date Completion: April 26, 2002 Roofing Contractor: Contrera's Roofing LG Engineering Services, Inc. Project Number: LG02 - 0838 (Testing Laboratory Certificate #00 0224.07) installation of the roof file at” e above mention April 30, 2002 ea oye ' ref erence a 44.6 p l ease find 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. amad Sonny Sal!eh, P.E. P oject Manager TILE UPLIFT TEST Wynn's Residence 46 Northeast 100 Street Miami , Florida Test Number Test Load (lbf) 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 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Report of TILE UPLIFT TEST for Wynn's Residence 46 Northeast 100 Street Miami , Florida Project Number: LGO2-0838 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG02-0838, Page 1 Test Number Test Load (Ib!) Test Status 24 35 Pass 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 1 1 1 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: LG02 -0838, Page 2 Test Number Test Load (lbf) Test Status 53 35 Pass 54 35 Pass 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 1 1 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG02-0838, Page 3 Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date /2 Time For Inspector: , 52. ' e Name & 1 . to Approved Correction Re- Insp'n Fee December 6, 2001 Mr. and Mrs. Kenneth Wynn Miami Shores, Fl. 33138 RE: Roof Dear Mr. and Mrs.Wynn: Sincerely, Charles B. Esher Building Official CBE /ab Si,taTina BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138-2382 TELEPHONE (305) 795-2204 FAX (305) 756.8972 During a recent inspection, we noticed that the tile has not been installed on your roof. We wish to remind you that the permit is only good for 6 (six) months. If there is some reason that this job has been delayed, please contact us. Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 6 7 -%1 Job Address .� - t eiC1 ST Tax Folio k Legal Description Historically Designated: Yes Owner/Lessee / Tenant .yJ W? � .1 tJ Master Permit # / 9 / g7 Owner's Address 44,0, �` F \ ¶ Contracting Co. Qualifier �� ��� SQL ,� 5 SS # NAehoneafl'S FLUTE 'OP.CAAAN.,54.4„, State # c:.CCOSi Zc`N Municipal # Competency # Ins. Co.; t C.F. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ;_OOFING PAVING FENCE SIGN WORK DESCRIPTI Square Ft. j 00 • \ ' — - O t J a Q Phone Address Wc ►J E , �+�D S � *AI/4W sz..sc®c 'c-azsia. 1`4E� OBE. Estimated Cost (value) ' �f WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance ll applicale regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. t e` ' ICY <'G '', "• <� y I�tto G 1'lI '. J W`���tJ�' `� Com �'`� Si atureof tractor 2� 7/2- eiti,J7 at e'° Signa of owner and/or Conde ident Date ` ���i ® gn ° � + i �o, � ,c O {vRY p� o �� � 00 00 0 f � o'.: `400G400 \ ea-N-Oe (0-i-o No as to Owner r Condo President Date o m. of ' as to ontractor or •,fir - Builder Date My C mnussion Expires: 6 7 2 . -p / 244 ss Expires: /' a 0p000000000°' APPROVED: Zoning Building Mechanical Plumbing FEES: PERMIT RADON C.C.F. NOTARY" -^ BOND Electrical TOTAL DUE i Structural Engineer PERMIT NO. • ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT • SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL i BUILDING OFFICIAL 1. Subject to compliance vdth eft Federal, State, County. Village Mes and regulations. Waage assumes no responsibility for accuracy oflor resutts from these plans. 2. This copy of plans must be available oa bufding site or no Inspection Mil be conducted. • JOB ADDRESS z/6 N e /U6 gY- APPLICANT PHONE# APPUCAT1ON SHEET OF • MISCELLANEOUS DATE N oC CRITIQUE SHEET COMMENTS INITIALS Ridge Ventilation? �r Deck type: 36 ( MEAN HEIGHT 1 Underlaylne%z Z 2.4a N/ Pk Iltsulation: %o? l . t LTl LAX 1bO ow 1k.0 vsts I L 3 Appendix "E UNIFORM ROOFING PERMIT APPLICATION ' PROCESS No. 12" ROOF SLOP[ SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cap Sheet: Roof Covering: TILE CALCULATIONS (Pmax1(2 a (Aerodynamic Multiplier):•2. ) - M:b 3G M PCA:e6.1 (Pmax kri.lX a. (Aerodynamic Multiplier):.2. ) - M PCAJI 1 (PmaX. `1\ X a (Aerodynamic Multiplier): •1,Q ) - M "tc> M A- NPCA: 'p j+ AttoC Sr4 Li K AJA!d 6 0c. Log woe. e. F !eL, ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals ASust �E S; c4lZ Contractor's Name:=,„ A. Job Address: 4 11%Z.le (Low Slope Application) (Asphalt/Fiberglass Shingles) 123.01-78 4/99 ❑ New Roof Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF CATEGORY ❑ (Nail -On Tile) ❑ (Mortar- El ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE Re- roofing ❑ Recovering ❑ Repair Cl Maintenance Flat Roof Area (ft' Sloped Roof Area . (ft 2 )Total (ft Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): A--- ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) ARE 7 ` 17‘1. ,_ GAS SAS :: G? 1 TI•. ` VL .S NO NO Ft. v Ft. A V Deck type: ATTACHMENT Fastener Type: SPACING Field: Perimeter: Corner: DETAIL 1 & 2 Page -1 ROOF PLAN APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the minimum requirements and standards of the indus- try for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. �1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof- ing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renal ling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system.) X 7 (/" 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town- houses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the under- side of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roof- ing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 9 / 11/ 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur- al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider venting which can result in extending the service life for the roof. 2 _ The owner may contact the Miami -Dade County Consumer Services Department for further information regarding the above. (/ ( Owner's /Agent's Signature Date Contractor's Signature 123.01-12 PAGE 2 7/99 - M APPROVED: 06/25/98 • ACCEPTANCE NO.: 97- 1124.16 EXPIRES: 06/25 /0I BUILDING CODE COMPLIANCE-OFFICE - METRO -DADE FLAGLER BUILDING • • 140 WEST FLAGLER STREET SUITE 160 PRODUCT CONTROL NOTICE Monier Lifetile LLC 135 NW 20•St. Baca Raton,•Florida 33431. MIAMI. FLORIDA 3 3130 -1563 - OF ACCEPTANCE (305) 375 -2901 FAX (305) 375 -2908 PR ODUCT - CONTROL:DIVISION • -- (3_05.).3752902" X (305) 372-6339 • Your application for Product Approval 6f... - Ni onier Lifetile LLC Villa, Capri, &Roll Tiles •_• under Chapter 8 of tfie Miami -Dade County Code_governing the use of-Alternate Materials and Types - :of Construction, and completely described in the plan specifications and.calculations as submitted by: Redland- Technologies, The Center - for: Applied Engineering,Ine:;:arid Professional_Service• -- ` -- Industne s - - - -- _ _ _ . -. - _ . has been recommended for acceptance by the Building Code Compliance Office to be used in Dade' County, Florida under the specific conditions set forth on pages 2 -14 and the standard conditions on page 15. _ This approval shall not be valid after the expiration date stated below: The Building- Co Compliance Office reserves the right to secure this product or materiaT any time -from a jobsite or- manufacturer's plant for quality control-testing. If this product or material fails to perform in the the Building Code Compliance Office may revoke, modify, or use of such product -or material immediately. -The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by_the Building_ Code_Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. - - - The expense of such testing will be incurred by the manufacturer. Internet mall address: postmaster @bulldingcodeonlirie.com Revises: 95- 0322.07 _ 95- 0322.03 95- 0316.04 •t o METROPOLITAN DADE COUNTY. FLORIDA • - -METRO -DADE FLAGLER BUILDING _ THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR CONDITIONS BUILDING CODE COMMITTEE aul Rodriguez Product Control Supervisor SPECIFIC-AND GENERAL This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charles Danger, P.E. Director ... Building Code Compliance Dept. Miami -Dade County Hornepago:.http://www.buildIngcodoonline.cc MONIER L[FETILE LLC - :Product .. MonierLifetile a ' - -LLC Villa & MonierLifeitile - LLC Capri Tile - Trim Pieces Product Rainproof II Ice and Water Shield - TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED- BY- - .APPLICANT I = 16V2" w = 13 %" thick Dimensions - L =17 "' -W= 12 34 %2" thick 1= varies w = varies varying thickness Dimensions 30" x 75' roll 36" x 75' roll or 60" x 75' roll - 36" x 75' roll Test Specifications PA 112- PA 112 - PA 112 Accessory trim, concrete roof pieces for use at hips, rakes; ridges and valley terminations. - .. Manufactured for each tile profile. TRADE-NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Specifications PA 104 PA 103 Page 2 of 15 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. - Low profile, interlocking,-high - - -- pressure extruded concrete roof tile equipped with one nail hole double roll ribs. For direct deck or battened nail -on, mortar or - adhesive set appli - cations. Product - Description Manufacturer- - Single ply, nail -on Protect -O -Wrap, underlayment with Inc. 2" self. adhering top (with current NOA) edge. Self - adhering underlayment .Product Control No.: 97- 1124.16 Product Description W.R. Grace Co. (with current NO Frank Zuloaga, RRC Roofing Product Control Examiner Product Tile = Tile-Screws MONIER LIRETU4E LLC Roof Tile Mortar ( "TileTiteTM ") ._. Roof Tile Mortar C'Quikrete Roof Tile Mortar #1140 ") Roof Tile-Mortar - ( "BONSAL® Roof Tile Mortar_ Mix ") Roof Tile'' - Adhesive 'Polypro® AH1 - 60 ") Hurricane Clip & Clips Fasteners - - Test - Dimensirorc=' Specifications Vertical- Wood. Preservers • :Horizontal = -Min. 1")c 4 "- forlise" with•vertical batte_ ns - or Min. 1"x 2" for use alone Miri;3d x=-2"%" or -PA 1 min. 10dx 3" - • - - • #8x 2 %," long PA 0.335" head dia. 0..131" shank dia. - 0.175" screw thread dia. - N /A - N/A N/A Min. %2" width Min. 0.060" thick Clip Fasteners Min. 8d x 1 '' /," - Institute LP - 2 14 Appendix E 114-Appendix E PA 123 PA 123 N/A See PCA Page 3 of 15 ._Product Control No.: 97 112.4.16 Product - - Description Salt pressure treated or decay - 'resistant lumber vattens -- Corrosion resistan generic - screw or smooth - -- - ' _ _ shank - nails _ _ Corrosion resistan _ coated, square... drive, galvanized; - coarse thread wood screws PA 123 — _Prepared mortar mix designed_foc_ mortar set. roof_ tile - applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Two component _ polyurethane adhesive designed for adhesive set roof tile applications. PA 1 14 Appendix E _Corrosion resistant -clips with corrosion . resistant nails. t , Manufacturer generic . - generic Bermuda Roof _ Company, Inc. W ith- current -PCA __... Quikrete Construction Products with Current PCA _ W. R. Bonsal Co. - -- with currenfPCA Polyfoam Products, Inc. PCA #94- 04Q1.0_I.. Generic 11 ). oag Roofing Product Control Examiner MONTER LIFETILE LLC Test Agency - The Center for - Applied Engineering, Inc. The Center for Applied - Engineering, Inc. - - Redland Technologies - Redland_Technologies Redland Technologies -- - Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Test Identifier 25- 7214 -2 25- 7214 -6 7161 -03 Wind Tunnel Testing Appendix-II - :.. :PA =108 - - (Nail On) Letter Dated Aug. 1, . Wind Tunnel Testing Aug. 1994 1994 -- - -PA 108 (Nail -On) P0631 -01 . PO402 - - - -- Project No. 307025 Test #MDC -76 224 -47099 Page 5 of 15 Wind Tunnel Testing PA108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Physical Properties PA l 12 Product Control No.: 97 1124.16 Test Narne%Report Static Uplift Testing - PA 102 (1 Quik -Drive Screw, - Direct Deck) . Date - March, 1995 Static Uplift Testing - March, 1995 -- PA 102 - (1 Quik =Drive Screw," Batten - s) Dec ; - 1991- July 1994 Sept. 1993 Wind Driven Rain Oct. 1994 PA 100 Sept. 19 oaga, Roofine Product Cnnrrnl FY�n MONIER LIFETILE LLC Deck Type: Deck Description: SYSTEM _A: - Slope Range Underlarment: Vertical Battens: - HorizontafEtattens: __._.Roofing Tile: Comments: Install- file - -in compliance -with _Dade County Application Standard PA 1-18 .(See_ "Data for Attachment Calculations" included in this Approval.) _ _. ._ SYSTEMS- _ Wood, Non - insulated New Construction 19 /32:'- or greater plywood or wood plank. Counter -Batten Application 2 ":12" to 7 ":12 " -- - Note:: :Counter- Battens; as noted - below, are required- for slope range 2 ":12 - " to. less than.4 ":12" and optional_ forslopei of 4 ":12" to 7 ":12 ". For slopes exceeding 7 ":12 ", refer- to:System C.-- Install :underlayment system =iri :compliance with Dade County Application Standard PA 118. - Install- vertical battens in- compliance. with Dade - County Application Standard PA 118 _- Install horizontal battens in compliance with Dade County Application Standard PA 118. 1. For re -roof applications, 15 /32" plywood. is an acceptable substrate. Page 6 of 15 .=Product Control No:: 97- 11.24.16 ran Zuloaga, RRC - Roofing Product Control Examiner 4-- MONIER LIFETILE LLC - Deck Tyre: Wood, Non- insulated - SYSTEMS - . (CONTINUED) - - -.Deck Description: : 19 - - _- - _ .. _ . New construction /32" or greater• plywood or wood plank. SYSTEM 1I _ ... _.......: __Direct Deck Application - -Slope Range: - - 4 ":12" to 7"-:12_ - Comments: - -- - Page 7 of 15 - Prod ContrO1 No..: 97= 1124.16 Note System B is - only acceptable in this slope range. For slop than 4 " :12 ", refer to System A._ Forslopes in excess 07_1:12"; rOei. to - _ System C. - -..... _.. - Underl yment: Install underlayment system in - compliance with Dade County _Applicatiofl : Standard PA 118. . Roofing Tile: Install Life in compliance with Dade County A lication Standard_PA 118. - p ty App See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. uloaga, RRC Rnofinrr Product Cnntrnl Fvan,41 ”r •moNteg IJFETILE LLC - - Deck rype: Wood, Non-insulated • Deck )escripiion:- New Constritction or greater plywood o wooel plank. • . • SYSTEM C: HorizontilTI Application Slope Range: .- 4":12" or greater .. _ - . Ndte.:__ Horizontal battens, noted below, are required for slopes in excess of 7":12 are optional for slopes of 4":12" to For slopes ..._ -less than 4":i2", refer to System A. _ - Utiderlayment: Horizontat — - _ - Btiens: Install horizontal battens in compliance with Dade County Application Standard PA 119. Roofing Tile: nsta1F nderlaet system in compliance with Dade County Applkation - Standard PA 119. Install tile -in compliance with Dade County Application Standard PA •119. (See "-Data for Attachment Calculations" included in this Approval.) Comm 1. For re 15 /32" plywood is an acceptable substrate. • SYSTEMS (CONTINUED) Page 8-of 15 Product Control No.:. 97-1124.16 • Frank Zuloaga, RRC - Rnnfiner Prrflirt Cnnt,-,1 MONIER LEFT IFETILE LLC _ :Deck Type:. Wd Non` = in P Slope Range: - Underlaynient: Comments: - SYSTEMS - (CONTINUED Page of 15 -. eck Uescr_iption: New construction _ or greater plywood or wood plank. - SYSTEM_D_;r, Mortar or Adhesive Set Application 2 " :I2" to 7 " :12" __.... Note: Sysfetn_D is only acceptable-in this s lope range. For slopes in excess - of 7 " :12 ", refer to System - G-::- . -.. - ;Install .iindeclaYin - - in - Compliance with Dade County Application - Standard PA 120. (See Limitat on #5� - - - - - _Roofing Tile: Install tile in compliance with -Dade - County Application Standard PA 120. -- (See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, 15/32 "-plywood is an acceptable; substrate. Product Control No.: 97- 1124.16 -.� at o ..-+111011P . " .- ran Zuloaga, RRC - Roofing Product Control incr 1GIONIER LIFETELE =LLC Product Control No.: 97 1124.16 SYSTEM LIMITATIONS'. The standard minimum roof pitch-for Monier Lifetile LLC Villa, Monier Lifetile LLC Capri. & _ Monier Lifetile LLC low profile tile shall comply with Dade County Application Standards PA 11.8, PA 119 or PA In, depending on the method of installation. 2: .For nail -on applications, fasteneri for mechanical attachment of tiles shall have a head diameter. -= -larger than that of the preformed holes in the tile. 3 System installation shall be compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance to - meet or exceed the required resistance= determined in compliance with Dade County- Protocol PA 1 oPA-127. Tile profiles listed here in have been -tested for both wind characteristics and static - uplift;perfoiinance therefore, attachment calculations for_ installation in compliance with PA 1 or- -= PA 127 shall be done as a 'Moment Based System'. - 4 For adhesive set tile applications, a field static uplift test by a Dade County accredited testing ag ency, in compliance with Dade County Protocol PA shall be performed: • � : - -- 5. For tile applications, 30790 hot mopped underlayment applications may be installed perpendicular .. to the roof pitch unless stated otherwise by the underlayment-material manufacturer's published literature. — - __ AII_tiles shall bear the imprint "or identifiable- marking of the manufacturer's name-or logo for - - identification in the field: — - - —.. - 7. Applications for roofing permits shall include a completed Section 1I of the Uniform Building Permit, a copy of manufacturer's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference .shall be made to appropriate data for the required fire rating. 8. The applicant shall retain the services of a Dade County certified testing laboratory to maintain - quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be - in compliance with Dade County Protocol PA 112, Appendix 'A'. -- -9. Fire classification is not part of this aceptance. Page l 0 of 1 5 Frank Zuloaga, RRC.- Roofine Product Control Examiner MONO. LIFETILE LLC • 1 nail DATA FOR ATTACHMENT CALCULATIONS 1 Control No.: 97- 1124.16 Monier Lifetile LLC Vlla Tile; Roll Tile, and Capri Tile Table 1: =Aerodynamic Multipliers - X (ft') Batten Application._ Tile Profile Batten s _Direct Deck Monier 5.5T Lifetile LLC Villa Tile, Roll Tile, - and Capri Tile 6.30 5.48 Table 2: Restoring Moments -due to Gravity - M (ft -Ibf) 5 ":12" - 4 ":12" Direct Deck Batten s Direct Deck 6 ":12" _. Batten s - -= Direct Deck _5.90 Batten s Direct Deck Tile Profile Battens Direct Deck 11.80 2 nails 21.90 1 screw 22.90 25.80 2 screws 49.10 47.10 2 nails 1 nail 24.20 34.80 35.50 22.10 19.00 2 nails 32.20 31.90 Table 3: Attachment Resistance- Expressed as a Moment - M (ft-Ibf) .for Nail -On System _.... Tile - Approved Application Nails I Data noted in Table 3 is for installation with a 3" the headlap - 24.30 Page I I of 15 Approved Screws Approved Field Clip With: Approved Eave Clip With: 2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this -- attachment configuration unless the Required Moment of Resistance exceeds the values noted - above. uloaga, RRC Roofintr Prnrinr.t Cnntrnl - _ MOMER LIFETIL LLC DATA FOR ATTACHMENT • CALCULATIONS (CONTINUED) Page 12of1S - `product Control No.: '97- 1124.16 Table 3 -A: Attachment Resistance Expressed as a Moment - Mt (ft -Ibf) for Nail-On Systems - Tile Profile - - Monier Lifetile LLC Villa Tile, - 'Roll Tile; artd • .Capri Tile - - Tile - Application Direct Deck - New (min. 19 /2 pIyvdood) Direct Deck - Recover/Reroof (min: _1 plywood) _ Battens New Construction - Two (2) 10d x 3" long nails 67.50 43.00 50.90 1 Tile installation with a 4" headlap using two (2) Approved 10d x 3" 57-1g g polymer - coated, corrosion re __ sistant, ring shank nails installed in - manufactured holes _located 2'/" from the head of the. tile. Clips on eave tile are not required for this attachment corifiguration'unless the Required Moment of Resistance - exceeds the values noted above. - Table 4: Attachment Resistance Expressed as a Moment for- Mortar or Adhesive Set S ystems - Mf (ft-Ibf) Tile Profile Monier- Lifetile LLC Villa Tile, RoII Tile, and Capri Tile Tile Application 8 Mortar Set Adhesive Set Attachment _. Resistance - 20,60 86.61 uloaga, RRC Roofing Product Control Examiner MONIER LIFETILE LLC PROFILE DRAWINGS - MONIER LIFETILE LLC VILLA TILE MONIER LIFETILE LLC ROLL TILE Page 13. of 15 Product Control No.: • ` 97 1124.16 Roofiiie Product Cnntrnl F.xnrn; ,,-.- .MONGER LIFETILl:I,LC . -.t 1: -f0a3- r PROFILE DRAWINGS . . (CONTINUED) MONIER LIFETILE LLC CAPRI **** ***- 23 DEC. APPROVED SCREW FOR SCREW DATA IN TABLE 3 - Pagc l 4 of 1 S 1.70' Product Control No.: 97 - 124.I 6 r1 • ga, •• Roofing Product Control Examiner O.173- MONIER LIFETILE LLC Monier Lifetile LLC 135 N.W. 20 St. ACCEPTANCE NO: 97-1124.16 Boca Raton, FL. 33431 PROVED : ' June 25 1998 EXPIRES . : June 25 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the.original submitted documentation, _ including test.supportingdata, engineering. documents, are no older than eight (8) years. 2 Any and all approved products shall be permanentfylabeled with the manufacturer's name crty, state, and the following statement: "Miami -Dade County Product Control Approved", or as specifically -stated in the specific conditions of this Acceptance. - ! 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting•the evaluation of this product and the product -is not in compliance with the code changes; - b) The- product is no longer the same product (identical) as the one originally approved; _.. c) If the Acceptance holder has not complied with all the requirements of this acceptance, . including the correct installation of the product; d) The engineer who originally prepared, signed and sealed -the required documentation initially submitted, is no longer the engineering profession. - 4 Any revision or change in the materials, use, and/or manufacturemf-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 times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 15. - END OF THIS ACCEPTANCE Page 15 of 15 .Product Control No.: 97- 1124.16 `.; n oaga, Roofing Product Control Examiner PERMIT APPLICATION FOR MIAMI SHORES VILLAGE S � Date 9 I /93 Job Address 4 -1 4 / b D Tax Folio �/ Aga.0 o Legal Description k m67,1,k2 Master Permit it,57 % 4 / 02 UU sT Owner's Address _T ( Q N E . /Do Phone Contracting Co. Z i) A LO tit' Address 9$3 N • l t' . J 7 JT Qualifier J f) U IADE -EQ Phone 44`F- ! 7 70 State ;!r` Municipal it 1)1 De. Competency # /199c Ins.Co. Owner / Lessee / Tenant M r.4. ' s . P-1 A 1,'(. I< Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION r Rt ?Atr ' oor LE %g Square Ft. Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: ** * * * * * * * APPROVED: Fire Zoning ildin Mechanical Plumbin Estimated Cost(value) 5 / as to y Commission Cro WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating c nstrgction and zoning. Furthermore, I authorize the above -named contractor to do the work state b Signature o Contractor or Owner- Builder Date: a.o i /./ / JOSEPHINE `� CHURCH ., y . MdS��OMi�tI��ExpB ti�� . b ft No. CC197545 ** FEES: PERMIT ` RADON C . C . F . r C� D NOTARY 7 0 D TOTAL DUEIJ - i Other Electrical Engineering 7 \ _ A .1 : c PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address V (L i 1 Flo ,' Tax Folio /q 501 Legal Description / 74 Gr/ /Master Permit # 3 • ?s Owner / Lessee / Tenant KA-4-1-.t. 4- h b , to ST. Contracting Co. �y� � ( (5i" ! (i Address ! , D , Qualifier /L o � , L ` o e � J SS# - - phone State # C.. C D 3.1 - 6 'I w 4ompetency # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION g L' r t ,} "F C_ jz o'P Owner's Address Ins. Co. phone ! C b - j Square Ft. 1 1D S Q P.- . Estimated Cost 4 o v „.o PAVING FENCE SIGN WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and honing. Furthermore, I authorize the above -named contractor to do the ork st -ij ed. Signature of Owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: * * * * * * PERMIT FEE: APPROVED: Zoning Mechanical Fire Building Plumbing ) V Signature of Contractor or Owner-Builder Date: Date: 11/ N ary t(s to Contractor. or Owner - Builder Commission Expires: NOTARY PUBLIC, STATE OF FLORIDA * * * * 4IY COMMION EXPIRES APRIL fib, 1992 BONDED MU STEMBLER-ADAMS & SWEET Other Electrical Engineering OwTncr's Name and Address JOIN /44w/1K MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATOON FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur iiie plans and specifications herewith submitted for the build • ine 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 iuilding 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 pragreu of the work. Registered Architect and /or Engineer .• :.. ...•• •... •,...,,.,,..+.•.• Name and address of licensed contractor CAl'v Poor- Ca. JNG. — , // NW 7/ S% 1/ /fl/Y/ Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors) _te - q Subdivision _.......___..__ 96 NE /00 Sr. • New Bui!ding Remodeling Addition To be constructed of Kind of foundation STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No.._...�� Disapproved (Signed) .. ,.� Date pe ..„ Building Inspector Chairman Member Member ... _.....__..._._..._.�...._ Council Approved Date Date..._..._.��.. a — No. 16 Street_..NE /Gl' T!� co vEL; aa7y 0 me — s7 IQ Tar Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires and for no other purpose. Repairs ✓ No. of Stories Roof Covering �1cP ' G Estimated Total cost of improvements $ 66Ga• o Amount of Permit S. l0 BO 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 %cith 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 su ntractors, n worly be performed udder this permit, as are licensed by Miami Shores Village. Remarks ( Signed ).... 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.. Old 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 Pl.rnnir,g 13o.trd. A re•in'.pec•tion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. I 1 0 c m 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—.. •3 .__.......__._...... _ ..... • ,19. k' Street�4�t. ..r._ .... � Owner s Name and Address. • ,,. ..� 2 =" .. ....._.._ ... No....... /� Registered Architect and /or Engineer iu A - Yl -. .,,, ,.,. ",. °,,.,,.., ^..... •,,,•'. -, Location and legal description of lot to bc'6uilt on: Lot Block Subdivision /' Street and Number where work is to be donefU.�f - - -= State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of S ries C „_ To be constructed of Kind of foundation Roof Covering ........_... _ • Estimated Total cost of improvements $ Amount of Permit S. Zone cubage required _..__..T1an Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to ........ - The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work t. be 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 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 �ta e e. / _ '7 Z— Permit No.___.. 7 �f Date (° , Read, Sworn to and Subscribed before me. Disapproved / -_¢ ,!_� Date Notary Public, State of Florida (Signed) Building Inspect! My Commission Expires P ANNINC BOARD DATE Chairman Member Member Member Member Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty crials and /or workmanship. • e.o(m it 4,5 SEPi. 3o, ll`i) . (ylarlc.(;i_ C_N L 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. Owners Name and Address _r l=~ -i ............. No C ./. Street_ (©C S4 — Registered Architect and /or Engineer Name and address of licensed contractor C. 0 - S - t A--) i3c„ P C • l "c / 0 21 ti'. (..,,.) - L Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done c- (4 ::: , N - / State work to be done and purpose of building (by floors) ( L._l?4LIZ ((<- E !? -Q.}.1F' Date Date Building Insfector My Commission Expires and for no other purpose. New Building Remodeling Addition Repairs.__ ,/— No. of Stories / To be constructed of Kind of foundation _ Roof Covering Estimated Total cost of improvements $ C.:14:::::) Amount of Permit $ S 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 the plans and specifications r said building. All notices with eference to the building and its construction may The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted or inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such bcontractors, on wo k to be performe nder this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Notary Public, State of Florida .to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date $V / Read, Sworn to and Subscribed before me. Disapproved (Signed) PLANNING BOARD DATE Chainnan 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 inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING ' Owner of -' , Building ' Architect Contractor or Builder Legal Description 0 MIAMI SHORES VILLAGE, FLORIDA 1/ ❑ � ' DATIi_�f �'"�' � d 19 ° PERMIT N9 6082 Contractor's 0 License No. " Lot Work to be performed under this Permit .'t -� h•r�+► B1 tf F' Subdi- vision Address of ,. , Value of ; t� Amount of.� � ;. R Building << W - . Project $ e 't �, -r ' This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. .' t '' —: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianc !with all ordin��d regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 4.0" . e2i4 CONTRACTOR OR BUILDER C� B ' AUTHORITY ABBOT 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. Owner's Name and Address__.fi STATE OF FLORIDA, COUNTY OF DADE. j ss. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be bui on: Lot Block Subdivision 'v. - /DO Street and Number where work is to be done Date � D '- — 3 , 19.6 `- / - L L - _ No 4/a Street_ —/ State work to be done and purpose of building (by floors)__ _•"`-"' - -_ - and for no other purpose. New Building Remodeling Addition Repairs C-- No. of Stories o-1. .- To be constructed of Kind of foundation Roof Covering / `_c� Estimated Total cost of improvements $ • Amount of Permit $____ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). 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. /� -7, 1-' _ Permit No (0 ® C, Date ' (__ Read, Sworn to and Subscribed before me. Disapproved ( Signed) Notary Public, State of Florida Building Inspector \(C.0 y Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address. . - " .t& 41 �_ _- t l'�- ' No O $ Stree BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Registered Architect and /or Enneer Name and address of licensed contractor ./ ' -G / 9 Location and legal description of lot to be built o I v r Lot Block Subdivision Street and Number where work is to be done • State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. o S To be constructed of Kind of foundation „ Roof Covering /.2 Estimated Total cost of improvements $ /' O • " Amount of Permit $ 3 • 8 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 en i loser of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General : ws of Florida, Permanent Sup ment, and has complied with the provisions thereof, and will require similar compliance from all co. ac .rs or sub - contractors employe .y him in the work to be performed under this permit; and will post or cause to be posted for inspe. i. th ite of the work - u notice or notices as are required by the Act. The undersigned agrees to employ only such s : cont ors, cork to be •. der this permit, as are licensed by Miami Shores Village. Remarks (Sig STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and tak cknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him sta. d are true. 7-- _ Permit No ._ [1 2 7' Date r 7 , r Read, Sworn to and Subscribed before me. Disapproved / - Date (Signed) 'r a Building Inspector My Commission Expires MIAMI SHORES VILLAGE 20 � to me well known, Notary Public, State of Florida PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PERMIT N9 9079 PLUMBING ❑ ROOFING 4 �x Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA 4�r j 6 CONTRL)drOR' OR BUILDER • '` w - 111. Work to be performed under this Permit r °`� /thy # • Subdi- vision This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifics ' ns and that he assumes responsibility for work done by his agents, servants or employees. '',,.,,_ de Signed- +'4t 9 ! • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or slecifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I i responsibility for all work done by either, myself, my agent, servant or employe,e.l A. < r ate... Sq. Ft Value of Project $ ` "« BY t' DATE 7 ~ Contractor's License No. Amt. of Permit AUTHORITY 4CDX Owner's Name and Address e Registered Architect and /or Engineer Name and address of licensed contractor •``''' Location and legal description of lot to be built on: Lot Block _- Subdivision ("N Street and Number where work is to be done 3� Building Inspector 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 /te No T 6 Street 19 ` NC /o ®.,' • State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Il&! Amount of Permit $ * - — Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may-- - be sent to The undersigned applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra tors, on work to .e performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed ) _ STATE OF FLORIDA, t r 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. Disapproved Date Notary Public, State of Florida (Signed) My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. JOB: BUILDING • • • ELECTRICAL PLUMBING Inspector's Report: • • • : : • : • • • • : • • . a WORK DONE BY: The following is ready for Inspection: AD: 44 GI� /o REQUESTED : WILL BE READY