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290 NE 101 St (4)LG ENGINEERING SERVICES, INC. 7370 Northwest 36 Street Suite 100 -C. Miami, Florida 33166 Tel.': , (305) 994 -8128 (305) 842 -9014 Mike Wilson Roofing 870 Northeast 122 Street Miami, .Florida Project: Dear Sirs; May 27, 1997 TILE UPLIFT. TEST Reszetucha Residence 290 Northeast 100 Street Miami Shores, .Florida Information provided by client :. Permit Number: 41312 Date Completion: May 21, 1997 Roofing Contractor: Mike Wilson Roofing LG Engineering Services, Inc. Project Number: LG97 -0456 (Lab # 95-0607.05) 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 Protocol PA 106-94 Field static uplift test for mortar or adhesive set tile systems and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface was less than 5000 square feet, and the mean height of the roof is less than 15 feet above ground surface. The type of tile used for this project was reported as Vanguard Roll Monier Roof Tile (PCA# 94= 1221.08) This tile was also reported to have been foamed in place. At the time of this testing, a total of forty -five (45) tests were conducted; ten (10) at the roof perimeter, ten. (10).at.the roof corner and twenty-five (25) at the roof ,field area. More than.5 % of ,the roof tile located in the field area and more than 10% of the roof tile at roof perimeter were physically examined. Based on our test results; we conclude.'that the, installation of the roof tile ' at the above referenced project meets'-the test requirements outlined' in the above mentioned protocol. ` Attached please find a copy. : of,our test report for your review.- LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. r V ,ep GanEla P: oject, Manager ,,L 41'.7-0Y5-6 TILE UPLIFT TEST Reszetucha Residence 290 Northeast 100 Street Miami Shores, Florida Test Number Test Load (lbf) Test Status 1C 35 Pass 2C 35 Pass 3C 35 Pass 4C 35 Pass 5C 35 Pass 6C 35 Pass 7C 35 Pass 8C 35 Pass 9C 35 Pass 10C 35 Pass 11P 35 Pass 12P 35 Pass 13P 35 Pass 14P 35 Pass 15P 35 Pass 16P 35 Pass 17P 35 Pass 18P 35 Pass 19P 35 Pass 20P 35 Pass 21F 35 Pass 22F 35 Pass 23F 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 Reszetucha Residence 290 Northeast 100 Street Miami Shores, Florida Permit Number: 41312 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number: 41312, Page 1 Test Number 24F 25F 26F 27F 28F 29F 30F 31F 32F 33F 34F 35F 36F 37F 38F 39F 40F 41F 42F 43F 44F 45F Test Load (11)f) 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 35 Test :Statt s Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Note:- C = Corner P = Perimeter F = Field area LG Engineering Services, Inc. -- Tile Uplift Test Result -- Permit Number: 41312, Page 2 54 4 4 ( / Vt ) / / 34 1.4 I. / )4' 1 / 2* yr) $r/ fkl 11 I 9 7 l y LG Engineering Services, Inc. — Tile Uplift Test Result Permit Number: 41312, Page 3 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby unnde for the approval of the detailed statement 01 ene plans and specifications herewith submitted for the build • in or other structure herein described. This application Is made in compliance and confonnity 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 budding during progress of the work. care..: «...» - ...tea.«« «..... , ►s�;� Owner's Name and Address .. ...._ ...... «_ « No... ».. ......».. Streeter. 1 � 4•/ Registered Ar hit d/o E ' c ► ec t and/or Engineer the er ... Name and address of licensed contractor... ) Location and legal description of lot to be built on: Lot . Block Subdivision Street and Number where work is to be done. ...,i/::/.A...! �'6 State work to be done and purpose of building (by floors):. " STATE OF FLORIDA, COUNTY OF DADE. ss' Building Inspector Aca ,t1 . fIt•••ttt• tt,ttltt•fMt••••tt ttttt etf!• f. riscp and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stones To be constructed of Ki of foundation Roof Covering. Estimated Total cost of improvements 5:2-0 0 Amount of Permit S. 1 S :.Q.Q. 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 iabur 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 tkc 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 subcontractors, on work to be performed under this pcnnit, 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 .f_ ....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 thcrcin by him stated are true. Permit No 2 - 1 -1) L Date $ - 1 ` S? Read, Sworn to and Subscribed before me. Disapproved ,. �.� Date « ---• (Signed) Notary Public, State of Florida 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 tic Planning Board. A rc•in.pection 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. APPLICATION FOR BUILDING PERMIT .Application is hereby wade for the approval of the detailed statement ut me plans and specifications herewith submitted for the build • inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miarni 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 prggress •of the work. Owner's Name and Address f / f fie 2 S / { w STATE OF FLORIDA, COUNTY OF DADE. } ss. (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Street and Number where work is to be done State work to be done and purpose of building (b a/ /6 ` JC �- 3 Date o N� / _ No Street Registered Architect and /or Engineer ,ff. ,ff••• Name and address of licensed contractor co 7-1 g° 4/.1 93 MOKr T - c `` "' e / / C 4/S: Location and legal description of lot to be built on: Lot Block Subdivision /l -r• den O a — / 4-2L-?' - /mad - 3 D -4 9'!7 60/4-, 4- S 4% /LC- _.._. and for no other purpose. New Building Remodeling Addition Repairs ` No. of Stories To be constructed of Kind f foundation Roof Covering Estimate Total cost of improvements $ /� Amount of Permit 5. ..t x.0Ll.. 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 Libor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has comphcd ssith the provisions thereof, and will require similar compliance from all contractors or sub -con gqtors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit t r'ork such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subco tract • s, on w to perfoy ed 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 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, raid that all facts therein by him stated are true. N tt Permit No U Date 1 J 1 1t9 Read, Sworn to and Subscribed before me. Disapproved Date.. to me well known, Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .. .. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fce of $1.00 will be charged when such re inspection is made necessary by improper notice for inspectiom 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.. Registered Architect and /or Engineer Name and address of licensed contractor.- Location and legal description of lot to be built on: Lot Block ubdision 6 / e / Street and Number where work is to be done �� � 1 � _.� State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stones To be constructed of Kind of . Roof v ing 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 subco ctors, on work to be psformed under this permit, as are licensed by Miami Shores Village. //��//�� 1 a Remarks (Signed) - (�fi..� 26 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 and who, being by me first duly sworn, upon oath deposes and says that he the. of the above described construction, that he has carefully read the fore :o' : application, and that he did sign the same, and that all facts therein by Permit No Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Date ff9d o (..-‘;_c. Building Inspect mission Expires Chairman Member Member Council Approved Date P % NNING BOARD DATE Date � 61 A � , 19 No 02 / d Street Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, 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 $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 Li PLUMBING El ROOFING Owner of Building MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6966 Architect Contractor or Builder ' Legal Lot Description Address of Building .•1 CONTRACTOR OR BUILDER Work to be performed under this Permit ,V! Signed. INSPECTOR DATE - 2 7 Contractor's License No. Subdi- vision Value of Project $ BY / Amount of 1 Permit $ 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 -cr in th tatements or specifications and that he assutnes responsibility for work done by his agents, servants or employees. ./' 'Bi• _ - . - '1/4*,, In consideration of the issuance to me of this permit I agree to perform the work cover/hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications giibmitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all wail done by either, myself, my agent, servant or employee. AUTHORITY 6 'T JOB: BUILDING PLUMBING • • • • Inspector's Report: ELECTRICAL . AD: : WORK : DONE BY: • : REQUESTED The following is ready for Inspection: . WILL BE READY 5 -9 - <f/ JOB: a c poi A D BUILDING ELECTRICAL PLUMBING • • • • • • • • • • : • • • • • : • : REQUESTED The following is ready for Inspection: Inspector's Report: : WORK : DONE BY: • WILL BE READY e vii7fZ&‘*14,A- ; 5 79