ROOFINGDate
Legal Description
ix.elfd Th radon
Owner's Address (. / ,2. lA E 101 �2 /
Contracting Co.
Qualifier
State #
Architect/Engineer
Bonding Company Y _
Mortgagor
/ Tenant
Job Address
0 &na ctriv
3." • Obeno
itHo
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL VING FENCE SIGN
120
sg.
/90° 5 4f O
WORK DESCRIPTION — 1 e O r F 1 t l l. (200F. )1 ioc .r 1 — 30 M o c 1 — ' 1 o
�fi A i4thAct a.d ittstot ��l (CI'Oie T4 c
Estimated Cost (value) 4 •=1, (n es. °" •
Square Ft.
WARNING TO OWNER: Y OU MU RD 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 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.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that - work will be done in .. % lance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named cos a • or to d• e wo
/• .
Signature of owner if d/or Condo Pres 1 n
Notary as to Owner and/or Condo President D to
My Commi Expires:
0 rill. SANDRA D. HART
At �n L e+COMMISSION # CC623733
^` EXPIRES MAR 12, 2001
. BONDED THROUGH
� 4. .1 7 ATLANIIC BONDING CO., INC.
FEES: PERMIT 6e- RADON C.C.F.
c_
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
310k Air
Municipal #
ate
Mechanical Plumbing
Tax Folio ,1 — p( —0 /3 — 5 2-D
Historically Designated: Yes No 1 ,7
Phone
Addresse c . , C(��n , ct f . Qi7& F
SS# Phone 3/3
Competency # r Ins. Co. Uei,SZ- r ` atz
Address
Address
Address
Master Permit # 9 y3
at
5X(Zt-1 t/?
Notary as to Contractor or Owner - Builder D t
My Commi ifA Expires:
dk . kt SANDRA D. HART
�� c+COMMISSION # CC623733
^` N. EXPIRES MAR 12, 2001
BONDED THROUGH
z!�pF . ATLANTIC BONDIN9 Co
gnature of Contractor or Owner - Builder
10 . OD NOTARY
Electrical
BOND 3 6 a' ® e7
TOTAL DUE
Engineering
STATE OF FLORIDA, COUNTY OF DADE
I HEREBY CtRTIFY that 'this is a 9rue copy of t
o in this offico on
A D 19 0 1. L.
,
W NESS my
HA.tVE RU
By
PERMIT N0.
Surety's name
and address
Bond Number
and Of�idal Seal.
LER11, •' circuit andCounty
PBZ 1/2/91
,STATE OF FLORIDA )
COUNTY OF DADE )
THE UNDERSIGNED hereby gives notice that improvements will be made to the real property located at
3J ? N E /(),( S in the City of Miami, Florida, and
in accordance with Chapter 713 of Florida Statutes, the following informatidn'is provided:
Legal description of property:,
Lot(s) Block of
General description of improvements �.�
) ';\ • \CITY OF MIAMI
PWINING „ BUILDING 1 ZONING. DEPARTMENT
rdTl E OFdCEMEIII
` •r
C1 F and address, if
Owne itle Holder's nacre (�
ferent from job address t /n-
Contractor's name Attie-CIA
and address 3.ti r fr Or_ _C
t
Lender's name /
and address
Person within the State of Florida, designated by Owner to receive service of notices or other
documents as provided by Section 713.13(1)(a)7 of Florida Statutes:
Name
address
Person, in addition to owner, designs ed )O receive a copy of Lienor's Notice as provided in Section
713.13(1)(b) of Florida Statutes:
Name
address
Sf/D reel
My PCB
SANDRA' ART
commission expires: : o� e1, G�OMMISSION B CC 623 733
y p ? ( ." �1 EXPIRES MAR 12.2001 •
6 . C 4 BOND®THRO
4� A pr AT.ANTIC BONDING CO.. INC.
FOLIO N0.
98R242699 1998 MAY 21 11:46
Expiration date
(Signature of Own
Notary Public
—oto —D0— 53,2o
Unless a different date is specified, the expiration date of this Notice of Commencement shall be one
(1) year from. date of recording.
.004A Q C . f1-Ri i- PAY
(Print Owner's name)
t v�/1 8
Sworn to and subscribed before me on this s day of I I �Q.(-t ,19
obi 50N St
Contractor's Name:
Ft.
Ft.
Fastener Type:
Field:
DETAIL 1 & 2
*Includes Mortar and Adhesive Set Tile
Supplement No. 3
bawl i
ATTACHMENT
5103 APPENDIX E
SPACING
Perimeter: Corner:
5101 - 7
SOUTH FLORIDA BUILDING CODE (REVISED 19941
Job Address:
1 41
31a NE 101
ROOF CATEGORY
❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar -Set Tile) *
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof 15 roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft') 1 Lj S Total (ft) I 9I5 Master Permit No.
Exposure category (per ASCE 7.88): Q ' Building Classit£ation category (per AS E 7 -88 table 1):
ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed)
ROOF PLAN
Ridge ventilation?
Deck type:
MEAN HEIGHT' 1
wart p) AN k.
Underlayment: AerM 4 f -
Insulation:
tt^
ROOF SLOPE
DETAIL 3
(Pmax3: I X X (Aerodynamic Multiplier): • 31
SLOPED SYSTEM DESCRIPTION
N l
A
Fastener type & spacing:
rin95hANk £1 fTPI S Go.L. 1975 goo
Cap Sheet: ASTM 4 90
Roof Covering:
pi -11.15,9 SPA'^' sh S
Drip edge:
2 p4 1 . f.v`
TILE CALCULATIONS
(Pmaxl:1 x X (Aerodynamic Multiplier): • 3( ) - M = M 1'1 PCA: 66•4"
o I
(Pmax2:'21. x X (Aerodynamic Multiplier): • 31 ) - M : M 02. � PCA: GG.1
) - M VC= M PCA:
0411E5111e 5E_
p `f
ATTACHMENTS REQUIRED
I) Fire Directory Listing Page
2) Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
Supplement No. 3
5101 -8
SOUTH FLORIDA BUILDING CODE (REVISED 19941
5 12'0.4 -Ct1C
METRO-DADE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Altusa Tile, Almar (USA), Inc.
6645 Northwest 77th Avenue
Miami, FL 33166
Your application for Product Approval of
Altusa Tile Nail - On, Mortar Set or Adhesive Set One Piece "S" Tile Roofing Tile
under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of
Construction, and completely described in the plans, specifications and calculations as submitted by:
Redland Technologies, The Center for Applied Engineering, Inc.
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 -16 and the standard conditions on page 17.
This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office
reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality
control testing. If this product or material fails to perform in the approved manner, the Building Code
Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The
Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building
Code Compliance Office that this product or material fails to meet the requirements of the S. th Florida Building
Code.
The expense of sucli.testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 96 1030.03 Renews 94 0914.0
EXPIRES: 02/13/00
APPROVED:02 /13/97
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
SUITE 1603
METRO DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130 -1563
(305) 375-2901
FAX (305} 375 -2908
INTERNET: mdcc0l @shadow.net
PRODUCT CONTROL SECTION
(305) 375 -2902
FAX (305) 372 -6339
Raul Rodriguez
Product Control Division
Supervisor
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Metropolitan Dade County B ding Code
Compliance Office and approved by the Building Code Committee to be use. in / de County, F under the
conditions set forth above.
Charles Danger, P.E.
Director
Building Code Compliance Dept.
Metropolitan Dade County
Applicant:
Altusa Tile
Alfareria del Turbio, S.A.
Barquisimeto, Venezuela
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Category: Prepared Roofing
;Sub-Category: Tile
Tvpe: Nail -on /Mortar SetiAdhesive Set
Sub -Tvpe: Clay
• System Description
Alfareria del Turbio, S.A. (Altusa), located in Barquisimeto, Venezuela, manufacturers clay roof
tile for nail -on, mortar set or adhesive set applications. All tile is manufactured from natural Venezuelan
clays. This Product Control Approval relates to Altusa's "Altusa S" tile profile. Refer to appropriate
Product Control Approvals for other tile profiles.
The "Altusa S" tile profile is available in a variety of natural clay colors and has matching trim
pieces used for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all
profiles and form a part of this Product Control Approval. Optional rubber or clay eave closures are also
available.
Altusa roof have been tested in compliance with the South Florida Building Code
requirements for clay, nail -on, mortar set or adhesive set tile applications. The minimum roof slope for
the "Altusa S" nail -on tiles shall be 2 ":12 ". See the "Profile Drawing" section in this approval for the
"Altusa S" profile drawing. The "Altusa S" profile has been tested for both wind characteristics and static
uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based
System'. Data for attachment calculations is noted in Tables I through 4 of this Approval.
Almar (USA), Inc., located in Miami, Florida, is the sole approved importer under contract for
selling and distributing Altusa products in the South Florida jurisdiction.
Contact:
Carlos J. Fernandez
General Manager
Altusa Tile, Almar (USA), Inc.
6645 Northwest 77th Avenue
Miami, FL 33166
(305) 471 -5830
Product Control No.: 96 1030.03
Product Control No.: 96- 1030.03
Approval Date: February 13, 1997
Expiration Date: February 13, 2000
Frank Zuloaga
Plans Examine:, Product'Control Division
#43 Coated Base
Sheet
Mineral Surface Cap
Sheet
Lenzingtex -ZB 140
Underlayment
Rainproof 11
Ice and Water Shield
Flashing Cement
TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS
Test Product
Product Dimensions Specifications Description Manufacturer
#30 Felt N/A ASTM D 226 Saturated organic felt generic
type II to be used as a nailed
anchor sheet.
N/A ASTM D 2626 Saturated and coated generic
organic base sheet for
single or double ply
underlayment.
N/A ASTM D 249 Mineral surfaced
asphalt roll roofing
for use as a top ply in
a double ply
underlayment system.
59" x 164' roll PA 104 Single ply, nail -on Lenzing
22 lbs/roll underlayment. Performance, Inc.
with current PCA
30" x 75' roll PA 104 Single ply, nail -on Protect -O -Wrap, Inc.
36" x 75' roll underlayment with 2" with current PCA
or self - adhering top
60" x 75' roll edge.
36" x 75' roll PA 103 Self- adhering W.R. Grace Co.
underlayment for use with current PCA
as a top ply in a two
ply underlayment
system with
Approved #30 or #43
as the base layer.
Mopping Asphalt N/A ASTM D 312 Asphalt for bonding a generic
type III or IV mineral surface cap to
a mech. attached base
sheet in a double ply
underlayment system.
N/A ASTM D 4586 Cut back, asphalt
based, asbestos free,
fiber reinforced,
trowel grade cement
for repair and flashing
applications.
Product Control No.: 96- 1030.03
Frank Zuloaga
Plans Examiner, Product Cor,trol Division
generic
generic
Test Product
Product Dimensions Specifications Description Manufacturer
Asphalt Primer N/A ASTM D 4 I Cut back, asphalt generic
based coating used to
facilitate bonding of
dissimilar materials.
Roofing Nails
Tin Caps
Wood Battens
Roof Tile Mortar
( "TileTiteT" ")
min. 12 ga. with
V /," head
min. 32 ga.
min. 1' /," o.d.
max. 2" o.d.
horizontal
min. I" x 4" for use
with vertical battens
or
min. 1 "x2 "for use
alone
PA 114
Appendix E
PA 114
Appendix E
Annular ring shank,
hot dipped, electro or
mechanically galv.
roofing nails for use
in underlayment
attachment.
Corrosion resistant
circular disc for use in
underlayment
attachment
Hurricane Clip & Clips PA 114 Corrosion resistant
Fasteners min. Y" width Appendix E bronze, aluminum,
min. 0.062" thick stainless steel,
• galvanized steel or
Clip Fasteners plastic attachment
min. 8d x 1'/4" clips for supplemental
tile attachment. Clips
are installed with
corrosion resistant
roofing nails
compatible with the
clip. A hurricane clip
is required on all
nail -on eave tiles.
Product Control No.: 96- 1030.03
vertical Wood Preservers Salt pressure treated _ generic
min. 1" x 4" Institute LP - 2 or decay resistant
lumber battens
N/A PA 123 Prepared mortar mix Bermuda Roof
designed for mortar Company, Inc.
set roof tile with current PCA
applications.
Frank Zuloaga
Plans Examiner, Product Control Division
generic
generic
generic
Product
Roof Tile Mortar
( "Quikrete® Roof
Tile Mortar #1140")
Roof Tile Adhesive
( "Polypro® AH 160 ")
Valley Flashing
Drip Edge
Dimensions
N/A
N/A
min. 26 ga.
min. 16" width
min. 26 ga.
min. 2" face flange
min. 2" deck flange
Test Product
Specifications Description
PA 123 Prepared mortar mix
designed for mortar
set roof tile
applications.
See PCA
ASTM A 525
PA 1 1 1
Two component
polyurethane adhesive
designed for adhesive
set roof tile
applications.
Galvanized steel
valley flashing
Galvanized steel drip
edge
Product Control No.: 96- 1030.03
Frank Zuloaga
Plans Examiner, Product Control Division
Manufacturer
Quikrete Construction
Products
with current PCA
Polyfoam Products,
Inc.
with current PCA
generic
generic
Test Agencv
Testwell Craig Laboratories
& Consultants, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Test Identifier
Lab. t4AAP -2
7161 -03
Appendix 111
• 7161 -03
Appendix III
94 -83
94 -0S4
25- 7200 -1
Project No. 307025
Test 14MDC -78
TEST REPORTS
7161 -03
Appendix 11
Test Name/Report
ASTM 1 167
Static Uplift Testing
PA 102
Wind Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA 108
(Nail -On)
Letter Dated Aug. 1, 1994
P0631 -01 Wind Tunnel Testing
PA 108
(Mortar Set)
PO402 Withdrawal Resistance Testing
of screw vs. smooth shank nails
Static Uplift Testing
PA IO2(A)
Static Uplift Testing
PA 101
(Adhesive Set)
Static Uplift Testing
PA 101
(Mortar Set)
Static Uplift Testing
PA 102
(Quick -Drive Screws, Battens)
Wind Driven Rain
PA 100
Frank Zuloaga
Plans Examiner, Produc; Control Division
Product Control No.: 96- 1030.03
Date
Oct. 1994
Dec. 1991
Dec. 1991
Aug. 1994
July 1994
Sept. 1993
Dec. 1991
April 1994
May 1994
Feb. 1995
Oct. 1994
SYSTEMS
(CONTINUED)
Deck Type: Wood, Non - insulated
Deck Description: New construction 19 / 31 " or greater plywood or wood plank.
SYSTEM D: Mortar or Adhesive Set Application
Underlayment:
Roofing Tile:
Comments:
4
Product Control No.: 96- 1030.03
Slope Range: 2 ":12" to 7 ":12"
Note: System D is only acceptable in this slope range. For slopes in excess
of 7 ":12 ", refer to System C.
Install underlayment system in compliance with Dade County Application
Standard PA 120. (See System Limitation #5.)
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, 13 / 32 " plywood is an acceptable substrate.
Frank Zuloaga
Plans Examiner, Product Control Division
Table 3: Attachment Resistance Expressed as a Moment - M (ft-Ibf)
from PA 102 and PA 102(A) Testing
Tile
Profile
TILE
APPLICATION
APPROVED
NAILS
APPROVED'
SCREWS
APPROVED
FIELD CLIP
WITH:
APPROVED
EAVES CLIP
WITH:
1 nail
2 nails
1 screw
2 screws
1 nail 12 nails
1 nail
2 nails
Altusa 'S' Tile
Battens
N/A
N/A
N/A
26.80
N/A I N/A
N/A
N/A
Direct Deck
6.20
8.40
28.70
58.20
21.20 I 25.30
26.90
34.90
Table 2: Restoring Moments due to Gravity - M (ft-Ibf)
from PA 102 Testing
Tile
Profile
3 ":12"
or less
4 ":12"
5 ":12"
6 ":12"
7 ":12" or
greater
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Altusa 'S' Tile
4.47
5.35
4.40
5.27
4.31
5.16
4.20
5.03
4.08
N/A
Table 4: Attachment Resistance Expressed as a Moment - M, (ft-Ibf)
from PA 101 Testing
Tile
Profile
Tile
Application
Attachment -
Resistance
Altusa 'S' Tile
Mortar Set
24.50
Adhesive Set
66.50
Table 1: Aerodynamic Multipliers - X (ft')
Tile
Profile
X (ft')
Batten Application
X (ft')
Direct Deck Application
Altusa 'S' Tile
0.29
0.31
DATA FOR ATTACHMENT
CALCULATIONS
Product Control No.: 96- 1030.03
1. Quik -Drive screws installed in two manufactured holes located 1 and 1' / from the head of the tile.
Frank Zuloaga
Plans Examiner, Product Control Division
PROFILE DRAWING
ALTUSA "S" CLAY'ROOF TILE
13
• Product Control No.: 96- 1030.03
a
`i
Fran uloaga
Plans Examiner, Product Control Division
PROFILE DRAWING
APPROVED SCREW
15
Product Control No.: 96- 1030.03
101
a-
23 DEC.
2.•3
1.20
0.131
0. I' 2
Frank Zuloaga
Plans Examiner, Product Control Division
NAIL
HOLE
NAIL
HOLE -
PROFILE DRAWING
ALTUSA "S" CLAY ROOF TILE
ACCESSORIES
BIRD STOP
14
Product Control No.: 96- 1030.03
GABLE -RAKE
Fran uloaga
Plans Examiner, Product Control Division
Altusa Tile, Almar (USA), Inc.
6645 Northwest 77th Avenue.
Miami Fl 33166
Product Control No.: 96- 1030.03
ACCEPTANCE NO.: 96- 1030.03
APPROVED : February 13, 1997
EXPIRES : February 13, 2000
NOTICE OE 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 supporting data, engineering documents, are no older
than eight (3) years.
2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and
the following statement: "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;
h) The product is no longer the same product (identical) as the one originally approved;
c) If the Acceptance holder has not complied with all the requirements of this acceptance,
including the correct installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation
initially submitted , is no longer practicing the engineering profession.
4. Any revision or change in the materials, use, and/or manufacture of the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has been requested
(through the filing of a revision application with appropriate fee) and granted by this office.
5. Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any
other purposes.
6. The Notice of Acceptance number preceded by the words 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 I through 17.
END OF THIS ACCEPTANCE
17
Fran u oaga
Plans Examiner, Product Control Division
r
SYSTEM LI,MIITATIONS
I. The standard minimum roof pitch for Altusa "S" high profile the shall comply with Dade County
Application Standards PA 118, PA 119 or PA 120, depending on the method of installation.
2. For nail -on applications, fasteners 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 in compliance with the system specifications outlined in this Product
Control Approval. The method of attachment utilized shall provide sufficient attachment resistance
expressed as a moment to meet or exceed the required moment of resistance determined in
compliance with Dade County Protocol PA 115 or PA 127. Altusa "S" Tile tile profile has been
tested for both wind characteristics and static uplift performance, therefore, attachment calculations
for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based System'.
4. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited
testing agency, in compliance with Dade County Protocol PA 106, shall be performed.
5. For mortar sct tilc applications, 30/90 hot mopped underlayment applications may be installed
perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's
published literature.
6 All 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 Sectionll of the Uniform Building
Permit, a copy of Pioneer's current specifications and details, a copy of this Product Control
Approval and a copy of the Product Control Approval of any Roofing Component used in the
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'.
16
Product Control No.: 96 1030.03
Fran Zu loaga
Plans Examiner, Product Control Division
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
• Test (P or F)
Test Location
Uplift Pull
Test (P or F)
41.06 5SD
26
rA.
51
PA. Sew
2
27
52
3
28
53
4
29
r
54
5
30
r
55
6
31
56
7
32
57
8
33
58
9
34
59
10
35
60
11
36
61
12
37
62
13
38
63
14
39
64
15
40
65
16
41
66
17
42
67
18
43
68
19
44
69
20
45
70
21
46
71
22
47
72
23
48
73
24
49
74
25
50
75
Du Quesne & Associates, Inc. UTR 1.428
Consulting Engineers Environmental • Civil • Structural
Testing Laboratory Building Inspection Services
ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
rge Du Quesne, P.
I Engineer
#24513
Du Quesne & Associates, Inc.
E.B. License #0005245
Lab Certification #94- 0318.01
SITE SPECIFIC INFORMATION
Owner's Name: VA.1 Permit #. 42'143
Job Address "312 i4 S. (01 •Sr, M t& IA l S tv of -E ,CI
Roofing Contractor D 8E04 o 12,o I •.I c
Type of Tile: Aili)44 ' S‘-. t'0 0.M 66L Date Installed (0 1 ( ' e
Approximate Roof Height: %4 feet Roof Pitch 3 l�-
Type of Access to Roof: Scaffolds X Ladder Other
Approximate Square Footage of Root 19 0o ft 2
Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100
Date Tested' r• . 4 ' q 8
TEST RESULTS
P = PASS, F = FAIL
SKETCH OF ROOF IN BACK
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
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)
7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426
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NOTTS:
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 April 6, 1950 , 19
Owner's Name and Address Leroy Moyer No 310 N :atreet 101__ .Str_eet
Registered Architect and /or Engineer
Name and address of licensed contractor Lang Roofing & Tile___ o._ Q__N.IL.___ 7g__Street
Location and legal description of lot to be built on:
Lot Block Subdivision_
Street and Number where work is to be done 310 N •E ,_101 Street
State work to be done and purpose of building (by floors) T_ ear .__off___.ald__roofing__to___ eatjng__bo
apply 1-30 lb,_ - -felt_,__1 -�Q lbw_plat�e- r -- �camen __barxel-- t,i].e,--- >rappex - -fl � i -�
and for no other purpose.
New Building Remodeling Addition Repairs 11X No. of Stories
To be constructed of Kind of foundation Roof Covering
0
Estimated Total cost of improvements $_____$760_.O0 Amount of Permit $ 1
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)
OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
- - -- to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated e true.
Permit No.__,____ Date 7> ,i Read, Sworn to and Subscribed before me..
Disapproved Date
Notary Public, State of Florida
(Signed) ____ =� /�\�-
t �uilt[ig Ins =p My Commission Expires
PLANNING BO ARD DATE
Chairman Member
Chairman
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.
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 .4ri1 6, 195Q , 19
Owner's Name and Address Leroy MCZy_sr No 310 N tI' »9treet 101 � — .ett
Registered Architect and /or Engineer
Name and address of licensed contractor IC4:r ?_ltQO ! & .@__ Gc ._s__ / 4 3Q__N.W.___7_9__Street
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done___3_10 __ N�E_,__lQ�,__tQ
State work to be done and purpose of building (by floors)____ Tear._ Off__. OILS_ _roofing__to -__sheating__boardg,
apply -- 1-- _30 felt l- 9Ql1ah_ e,___ cement__barrel__tils,__copper_- .Q1 ashi rza._ and for no other purpose.
New Building Remodeling Addition Repairs XX No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ j760.00 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. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks ( Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the 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)
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 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.