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400 NE 101 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ) b" I D''d ' ( Job - 0 \ c \ - . Tax Folio 0 p 0( T� 0 Legal Descriptio .. �. �/ /' . Historically Designated: Yes N Owner/Lessee / Tenant _PA A Vi V ` Master Permit # 5 () -\ Owner's Address L '10 0 ``-' E `01, Sc' . Phone Address ■ I) 3 1S' Contracting Co. A Qualifier / - )6t-,. cu SS# - 305 — fch Lt(1. State # S,C — - P 12 ( Municipal # /(Q 3 3 �— - Competency # Ins. Co. d`'t Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC WORK DESCRIPTION Square Ft. t \to J6 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 AFFIDA 11 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construe d z o ' g. urthermore, I authorize the above -named contractor to do the work stated. Signature o owner an \fie Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT 3 it RADON APPROVED: Zoning Mechanical - 10' 2 or Condo President Date Date Aso 'V Michelle Gibson *;: *My Commission CC8692e8 ' R Expires August 19, 2009 C.C.F. Estimated Cost (value) Signature of ntractor or f er- Builder Building Plumbing Notary as to Contractor or Owner - Builder My Commission Expires: RO FING VING FENCE SIGN 1c6,1a . O iSN4. Michelle Gibson * :y *My Commission CC853268 '' Expires August 13, 2003 —0( Date Date Date OTARY BOND 0 0 - TOTAL DUE S Electrical Structural Engineer ALL ATLAS ROOFING OF SOUTH FLORIDA, INC. New Roofs • Re -Roofs • Residential • Commercial Mr. Carl Paulsen 400 N.E. 101 Street Miami Shores , Florida TILE REROOF (954)520 -5385 Page 1 of 3 1. We propose to remove the roof at the address above down to the wood deck and haul away all roofing debris. 2. We are then to renail the existing roof sheating with 8 penny nails as per South Florida building code. 3. We are then to replace all rotted sheating up to 200 lin or square ft. without an additional charge ; any sheeting , facia boarda or rafters exceeding the allowance will be bill on a time and material basis. 4. Over the entire roof nail and tincap 1 -layer of #30 -lb felt to withstand inspection by Miami Shores building and zoning. 5. We are then to install new painted white eavedrip 3x3 around the entire roof as per South Florida building code. 6. We are then to install new 26 gauge galvanized 5x7 L-flashing as per South Florida building code. 7. We are then to install new 26 guage galvanized valley metal in all valleys as per South Florida building codes. 8. Over the entire roof mop down solid with hot asphalt 1 -layer of Tamko Awaflex modified bitumen roll roofing as per South Florida building code. 9. Install new lead flashing around all plumbing pipes as per South Florida building codes. 10. Install new roof vents same as old ones as per South Florida Building code. 11. Over the entire roof install new Altulsa clay Spanish S tile with the poly -foam system as per South Florida building code. 12. Premises are to be left in a clean condition , free from all roofing debris. *Guarantee* All Atlas Roofing of South Florida Inc. will guarantee all workmanship and material for a period of (15) Fifteen years from date of completion. We will replace faulty material or faulty workmanship with -in the period free of charge. *Price* Eighteen thousand seven hundred $18,700.00 All Atlas Ro find of South Florida Date /o iL /� Mr. Carl Paulsen Date t t i r,'2.^ 1 ., * (Ina-451/Po on 40oNelol Ir9A -, Y 2113 Lincoln Street • Hollywood, Florida 33020 • (954) 923 -9990 • Fax (954) 923 -9130 sWYI A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION • r r: PERMIT NO. TAX FOLIO NO. • STATE OF FLORIDA: • COUNTY OF DADE: ' ' =iV• THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is �P g Pr ovided in this Notice of Com ncement. w 1. Legal description of property and street address: kloc N I i.. \0 2. Description of improvement: oo 3. Owner(s) name and address: ofsA 4 a` - Interest in property: Name and address of fee simple titleholder: qtr v fns'p 'g o f o. 914 2113.LiruolnSt. • iloalywood 33aza 5. Surety:(Payment bond required by owner from contr Name and address: + I!' Rt r>' r'! R rFV rna r .• •. a l •. ' uny , II ' u (hs alhr'q nrr Amount of bond 4. Contractor's name and address: 6. Lender's name and address: ditto a hilspe fied) gn : to - of Owner n n Print Owner's Name LAI r n4LS'e f • if:any): o rtor I )1� Cr' ;':i r ,, WITNESS m v,•• 7 � 0 1R584067 2001 OCT 24 10:52 and and :. r:,1 u 0 , Sworn to and subscribed b : fotp me this 1 �-- day of i — ; 20 0 Notary Public _. / 1 + ,r` h' Michelle Gibson „"';,``. "' Print Notary's Name k c � S °( 1' ex piieaAuguet13 2003 •M y . Commission Expires • 8 J 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recordsng unless a 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as providedin - Section 713.13(1)(b), Florida Statutes. Name and address:. 7. Persons within the State of Florida designated by Owner upon whom notices or other documentsmay be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: ' Prepared by q- KtA`tf. 1 123.01 -7e e4 . Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: AR pg., D{- SF (/ i � � Job Address: ki by ode. / 0 / ST ROOF CATEGORY �,/ II (Low Slope Application) ❑ (Nail -On Tile) !r (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New.Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance K / s Flat Roof Area (ft Sloped Roof Area (ft b Total (ft YG Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. A v Ft. A v Deck type: Fastener Type: Field: Roor ators ATTACHMENT SPACING Perimeter: Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS ARE THERE GAS VENT STACKS? YES NOD TYPE- NATURAL ❑ LPGX ❑ (Draw details as needed) ROOF PLAN Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Underlayment: Ridge Ventilation? MEAN HEIGHT Deck type: \A Instil D E T A I L 3 I2 ROOF SLOPE SLOPED SYSTEM DESCRIPTION tion: P 3 Fastener type & spacing: Cap Sheet: Roof Covering: Drip edge: o ; ,;sc , ,.1 Cr,: � - / „c g4 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 (Pmaxl: 72.31 X (Aerodynarnic Multiplier): d Ij (Pmax2: 11 X (Aerodynamic Multiplier): - (Pmax3: //2 3 x a, (Aerodynamic Multiplier): 2,g TILE LCUL10: j S - M � 3 5 = M / M 3 M AT 2 PGA: M '7 3g.7 38 - 3 - C490-I 2 y 6 414) v- a q 60„ P D k etiofiy a v 6 LP- Nt c01 Page -2 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 industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been 1. Aesthetics- Workmanship: The workmanship. provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed ih accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or o%yner 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 ; • viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail ;i penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaininril t 's 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 -Iytng areas of the roof. Ponding can be an indication of structA distress and may require the review of a professional structural engineer. Ponding may shorten the`' life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the origin-al.,' roofing system is removed. Pondinr conditions should be corrected. 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 structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It t be beneficial to consider additional venting which can result in extending the service life of the roof. S. The .wncr may contact the t 1iami -Dade County Consumer Scr..iccs Department for further infor g the above. on re ardii Owner s /Agent's Signature • Date Contractor's Signature c� j _; F. 7-00 FR! 1 r.1 F!1 E . SIJFFLY. MIAMI t3E MIAMI -DADE COUNTY, FLORIDA METRO•DADE FLAGLEI? IWL.1)1NC PRODUCT CONTROL NOTICE OF ACCEPTANCE 1lmar (USA), Inc. CONTRACTOR LICENSING SF:c :TIo ti64S N W 77 Avc. (305) 175.2527 FAX (30) 3 - ?55S Miami FL 33166 CONTRACTOR ENFORCEMENT SFCHON (305• 3'•5.2965 FAX (3C$) 375.2968 PRODUCT CON1 ROL DIVISION l t� :IT 2ppilcation for Product Approval of: (305 ) 373.2902 FAX (3C5) 172 -6319 ;1 / /rr5a "5" Tile w der Chapter 8 of the Code of Miami -D. de County governing the use of Altercate Materials ar.d Types of Construction, and completely described herein, has been recommended for acceptance by the M ar.1: - fDnde ('runty Building Code Compliance Office (BCCO) under :he conditions specified herein. 1 his approval shat) not be valid after the expiration date stated below. BC-GO reserves the right to secure this ' duct or material at anytime from a jobsitc or manufacturer's plant for quality control testing. product or material fails to perforce in the approved manner, BCCO may revoke, modify, or sapc:,c the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Fuilding Cade. 7',e expense of such testing will be incurred by the manufacturer. &Acceptance No. :99 1102.04 (Revises No.: 97. 0918.02) Expires :12/16/2002 FAX NO. 954 4'31 44: F 1 BUILDING CODE COMPLIANCE OFFICE METRC -DARE FLAGLER 3U!LDI.0 100 WEST FLAGLER STREET. Sti:TE !6C3 6,11ANI!. SLORIDA 33 :30 -IS( (305) :7S -29mi FA X (le') 3 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL., PAGES FOR SPECIFIC AND GEN1.12AI. CONDITIONS 'WILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Buildi:g Code ar:d Product Review Committee to be used in Dade County, Florida under the concitions set forth ah :?vc. Approved: 12/16/1999 rancisc0 LiRtanB, R.r \. Director 1 o:8 Miami -Dade County Building Code Co mp.iancc Oftic• Interact moil oddress: postmaster ®buildingcodeonline con, Homepige: http : /Iwww.buildinscudeonline.cum -01:1 FR1 1 M ?.3r, ;,'.':'PLY. FAY, N. 954 4 44:? F 2 1. ALMAR (USA), INC. ACCEPTANCE No.: 99- 1102.01 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. SCOPE This revises a roofing system using Almar One Piece S' Clay Roof Tile, as manufactured Almar (USA), Inc. described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For tl,•2 locations where the pressure requirements, as determined by SFBC Chapter 23, do rot exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values !isted in section 4 herein. The attachment ca' :cu,ations shall be done as ;r moment based system. Category: Prepared Roofing Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Manufacture,;) by Test Product Applicant Dimensions Specifications DcscriQttion One Piece 'S' Tile Trim Pieces 1= 18' h" PA 112 High profile clay roof tile. For direct deck or w = 10" batten nail -on, mortar set or adhesive sec 'h" thick nominal applications. I - varies w == varies varying thickness 2.1 Components or products manufactured by others Product PA 112 Accessory trim, clay roof pieces for t:se at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Product Dimersions Specifications Description APPROVED :December 16, 1999 EXPIRES :December 16, 2002 30 Felt NiA ASTM 0 226 Saturated organic felt to type 11 be used as a nailed anchor sheet. , :3 Coated lace. N/A ASTM U 2626 Saturated and coated ._ Sheet 'organic base sheet for single or double ply ur.derla metsi.. ter-- - Manufacturer generic generic Frank Zutosga, RRC Roofing Product Control Examiner r - FR1 1 :55 PM ABC. S1tFF.Y. ALM (USA), INC. f roduct Mineral Surface Cap Sheet Rainproof it Ice and Water Shield Wood Battens Tile Nails Tile Screws Hof Tile Mortar ( "Ti:eTiteTM ") NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions 30" x 75' roll 36" x75' roll or 60" x 75' roll 36" x 75' roll vertical min. I" x 4" horizontal min. ! " x4" for use with vertical batters cr min. 1" x 2" for use a'one Min. l0d x 3" as x 2' " long 0.335" head dia. 0.131" shark d:a. 0 175" sctrew thread diarne:cr Ni'A FA: NI). 954 491 4499 Test Product Specifications Description ASTM D 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system PA 104 PA 103 Single ply, nail -on underlayment with 2" self-adhering top edge. Self - adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Wcod Preservers Salt pressure treated or Institute LP - 2 decay resistant lumber battens PA 114 Appendix E PA 114 Appendix PA 123 3 ACCEPTANCE No.: 99- 1102.01 APPROVED :December 16, 1999 EXPIRES :December 16. 2002 Corrosion resistant, smooth, screw or annular ring shank nail. Corrosion resistand coated, soua-e drive, galvanized. coarse thread wood screw Prepared mortar mix designed for mortar set , roof tile applications. Manufacturer Stneric Protect-0- Wrap, Inc. with current NOA W:R. Grace Co. with current NOA generic gene::c generic Bermuda Roof Company, Inc. (with current NOA Frank uloaga, RRC Rooting Product Cor.trol Examiner FF.- " -CO FR! i :' ? 1 J :i AI,NIAR (USA), INC. ACCEPTANCE No.: 92 Product Qriickcrete Ro_.f I i1e Mortar Roc: Tile Adhesive ! "Polyproq AH 160") Tile -Bond 3. LIMITATIONS NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Product II)imcnsions Specifications Description N/A PA 123 N/A See PCA Factory premixed canisters See PCA 3. I Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test. shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miarni -Dade County Certified Laboratory to perform quarterly test in accordance with PA !12, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayrnents shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendiculzr tc the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements sha!i be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Alma- `One Piece S' Clay Roof Tile and its components shall be installed' in strict comp'.iarce with Miami Dade County Roofing Application Standard RAS 1 1 S, RAS anc 1tAS 120. 4 FAX NO, 954 4`31 4489 °. 4 APPROVED :December 16, 3999 EXPIRES :December 16, 2002 Prepared mortar mix designed for mortar set roof tile applications. Two component polyurethane adhesive designed for adhesive set roof tile applications. Singe component polyurethane foam roof tile adhesive Manufacturer Qu ckrete Mortar (w;th c.trrent NOA) Polyfoam Products, !nc. (with current NOA) Flexible Products (with current NOA) Frank Zuloaga, RRC Roofing Product Control Examiner Tile ( Profile 3 ":12" or ess 4 ":12" i 5":12" I ` 6 ":12" Battens - 7 ":12" or greater ; Ole Piece 'S' Tile i Battens Direct Deck Battens Direct 4 Batens Deck ! Direct Deck Direct Deck BattersED,rect • Deck ; 4.47 5.35 , 4.40 5 27 ; 4,31 5.16 4,20 5.03 4.08 1 4.89 r r: F A�," SUPPLY F.AX 431 44 '1t'. 9�4 9 OFF- -i: PR: , ,. '� ,.' ALMA.11 (USA), INC. ACCEPTANCE No.: 99- 1102.04 NOTICC OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations One Piece 'S' Tilr- Tile Profile Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Nail -On Systems Tile Fastener Type Profile One Piece 'S' 2 -10d Ring Shank_Naits (Tile 1 -10d Smooth or Screw Shank Nail 2 -1 Cd Smooth or Screw Shank Naiis 1 . #8 Screw Table 1: Aerodynamic Multipliers - X (ft') X(ft') i ; (n') Batten Application -! Direct Deck Application 0.253 I 0.274 Table 2: Restoring Moments due to Gravity - M (ft -Ibf Direct Deck (min 15/32" plywood) 28.8 5.1 6.9 28.7 APPROVED :Decembcr 1(, 1999 EXPIRES :December 16, 2002 Direct Deck (min. 19132" plywood) 41.2 6.8 9.2 58.2 23.1 2 . #8 Screws 1 - 10d Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave Clip) 2 -1Cd Smooth or Screw Shank Nails Field Clip) 2-10d Smooth or Screw Shank Naiis (Eave Clip) 29.3 27,6 2 -10d Ring Shank Nails' 33.1 58.2 23.1 29.3 27.6 38.1 38.1 48 1 28.7 Installation wth a 4" We heedlao and fasterners ere located a m n. cf 2% from head of 1:le. Fra irZuloaga, RRC Rooting Product Control Examiner Battens 19.4 ' 2.8 7.3 NIA 26 8 190 24.0 38 6 41.8 45.2 . 7 - 1:: FRI i FM ABC. ?FL`.. FA). O. 954 4''i 4459 ALMAR (USA), INC. ACCEPTANCE No.: 99-1102.04 Table 4: Attachment Resistance Expressed as a Moment M, (ft -Ibf) for Two Patty Adhesive Set Systems Tile Tile Application Profile !One P ece 'S' Adhesive Tile i2 See manufactures component approval for installation reguiremerts. i` Flexible Products Company TileBond Average weight per patty 10.7 gams. Po'yfoa'n Product, Inc. Average weight per patty 8 grams. Tile I Profile One Piece 'S' Tile Y Y Polyfoam PQIyPrQTM 4 Large paddy placement of o'3grams of PotyPro 1 5 Medium paddy placement of 24grams of PetyPro s Table 4B: Attachment Resistance Expressed as a Moment - M,(ft - Ib() One Piece 'S' Tile NOTICE QF ACCEPTANCE: STANDARD CONDITIONS Table 4A: Attachment Resistance Expressed as a Moment - Mr (ft -lbf) for Single Patty Adhesive Set Systems Tile Application Minimum Attachment : R es i s t ance Pol foam Pot ProT" 65.5' for Mortar Set Systems Tile Tile Profile Application Mortar Set' APPROVED :December 16, 1999 EXPIRES :December 16, 2002 Attachment Resistance 24.50 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name er (o2o. or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS , 6.1 Application for building permit shall be acccmpanied by copies of the following: 6.1.1 This Notice of Acceptance, 6.1.2 Any other documents required by the Building Official or the South Fiori;',a 13.tilding Code (SEI3C) in order to properly evaluate the instalta:ion of this system. Minimum Attachment Resistance 29.3 38.7 Frank Zuloaga, RRC Roofing Product C'or:rot Exirniner cl 4 pr cu po 1 • AI,MAR (USA), INC. NOTICE OF ACCEPTANCE.: STANDARD CONDITIONS PROFILE DRAWINGS 10-1/ 2" ONE PIECE 'S' CLAY ROOF TILE •E4 4?! F. ACCEPTANCE No. : 92-119„9,4 APPROVED :December 16, 1999 EXPIRES :December 16, 2007, Frank Zuloaga, FtRC Roofing Product Control Examiner `E: :: F :1 a,! , cat1g1Y, • At.N1AR (USA), INC. ACCEPTANCE No. :_29-1111.2.04 APPROVE!) :December 16, 1999 EXPIRES :December 16, 2002 :., NO. 954 4S1 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal. application has been fi!e:l and the original submitted documents, including test - supporting data, engineering documents. are no older than eight (S) years, Any and all approved products shall be permanently labeled with the manufaiiurer's name, citsy, state, and the following statement: "Miami -Dade County Product Control Approval'', o' as specif.cally stated in the specific conditions of this Acceptarce. Renewals of Acceptance will not be considered if; a. 1 here has been s change in the South Florida Building Code affecting the evaluation Df this product and the prod_ct 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 acceptarce, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initial :y 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 shill. automatically be cause for termination of this Acceptance, unless prior written approved has been requested (through the filing of a revision application with appropriate fee) and granted by ;his office. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b, disuse 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 Miarni -Dade County, Florida, and followed by the expiration date may he displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirely. A copy of this Acceptance as ■'ell as approved drawings and other documents, where is app les, shall e provided to the user by the manufacturer or its distributors and shall be Mailable for inspection at the job site at all time. The engineer need not reseal the copies. 8 Failure to comply with any section of this Acceptance shall be cause for termination ane �ern, of Ac. eptancc. This Notice of Acceptance consists of pages 1 through 7 and this last page 8. END OF THIS ACCEPTANC FreT Zuloaga, RRC Roofing Product Control Examiner MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buil ' ing Inspection Request Date / Approved Correction Re- Insp'' 'ee /c 10- Time Type Insp'n I D P -- 1 ) )1 Permit No. 5 0 GI Name Address Company a- c a- Phone # For Inspecto 5 95 • a e & Date 06' Type Insp'n Permit No. Name Address Company Phone # For Inspe MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bu' ding Inspection Request Date X� 1 q Time Approved Correction Re- Insp'n Fee Name &ate - mow MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time Date Type Insp'n Permit No. `� 01—' Name Address kte /0 Company Phone # For Inspector: Approved Correction Re- Insp'n Fee l7 ct (0 4 ) te) - 1)1,L=6- avu-, c)— • Ogt-ty0J )0 '1 gi-0-61ik'A-,2) .4) Krt s-. lb vso cam. Date - 2 0 °- 3 Job Address - 210 1 ° 1 ' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description S O T / /v /IC& f Lessee / Tenant lita5 Master Permit # - Owner's Address . Contracting Co. � -' 11 Qualifier --2) Z) C;;2 &� State # Municipal # Competency Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING 'AVING PENCE SIGN WORK DESCRIPTION 1 ' 1 S — 6fG i� ALE- � 2- ►\f W Od9 1 LSifiCU__ i L 'moo 11 9 - /-41 '‘ 11 2 l &I S; 4 L T724301-( -- ��� 4 ( -07 7 If /L/ ol/`r • Square Ft. Estimated Cost(value) /? 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 constjuc o and zoning,. rurthercnore, I au orize the above amed contrac or to do the war* stated. 1 Signatur of o er and /or Condo President Date: 4/7 * * * APPROVED: tar ' as to Owner an o y Commission Expires: FEES: PERMIT J Of Q/v RADON C.C.F. / Zoning $z6133 MI 113111110 ININOW Mechanical * * * Buildin Tax Folio /l . /7 - F /• S Ser-9 Address lobo 003 R ce7c, `fie 2/0 - ,,//�1 w�� 274 - 2- 6 , 33 4J 7"�D "l Ins.Co. Signature of Co •ctor or Owner- Builder Date: Notary as to gs144ctoc, Owne'- Builder My Commission' Expires,; * * Phone L • NOTARY 17 OP TOTAL DUE -16' 0 Fire Other Electrical Plumbing Engineering All Atlas Roofing 2113 Lincoln Street Hollywood, Florida 33020 RAS 106 Test Report Permit # 50221 No other conclusions or observations are expressed or implied. Yours ob Tedder, RRO, CSI, RCI IRT- ARCON, Inc. BT /dr cf ------- Certificate Of Autho izajen # 0008172 ( IRT # 02 -0020 Mr. Paulsen 400 NE 101 Street Miami Shores, Florida January 8, 2002 Pursuant to your request, IRT- ARCON, Inc., performed uplift tests on the tile roofing at the above address. The roof is approximately 4316 square feet in area and was tested at forty -eight (48) locations. The tiles, Santa Fe Spanish "S ", had been installed using the "Foam Application" method. The uplift tests consisted of placing a load test device manufactured by CHA11LLON (Model DFIS), over the tile with an adjustable connector placed under the front lip of the tile, and gradually increasing the pressure. The gauge readings are indicated in pounds. Pressure was exerted on the tile until a reading of thirty five (35) pounds was obtained. The roof passed in accordance with Dade County Protocol RAS -106. However, there are three (3) broken tiles that needs to addressed. IRT- ARCON's responsibility in this project was specifically uplift testing to a specific force of thirty five (35) pounds in accordance with Dade County Protocol, RAS -106. IRT -ARCON appreciates this opportunity to be of service. If you have any questions, or need additional information, please do not hesitate to call. Corporate Headquarters 281 NE 32nd Street - Fort Lauderdale, FL 33334 954/630 -0201 - Fax 954/630 -0506 - : /548 -8378 — tca.:___ ()Ai:, Edwin Williams, RRC RRC #0182 29' 13 10 14 12 15 11 16 18 19 32' Denotes Broken Tiles Mr. Paulsen 400 NE 101 Street Miami Shores, Florida RAS -106 Tested Locations Tested at 48 Locations January 7, 2002 IRT # 02 -0020 44' 8 7 17 20 21 22 24 26 30 23 27 25 g 28 29 31 5 32 46 48 47 45 44 42 43 41 40 39 3: 36 37 35 33 34 • 77' -44" UNIT UNDER TEST: Mfr S /N: Cust S /N: PROCEDURE NAME CALIBRATED BY: P.O. NUMBER: SUBMITTED BY: CHATILLON B38093 B38093 SYN 156 Eliu Lago VERBAL DFIS100 FORCE GAUGE INDEPENDENT ROOF TESTING & CONSULTANTS 281 N.E. 32 STREET OAKLAND PARK FL 33334 CERTIFICATE NUMBER: 35656:1003997384 PERFORMED ON: NEXT CAL DUE:: TEMPERATURE: HUMIDITY: 250ct2001 25Jan2002 SEE REMARKS SEE REMARKS Synergy Labs, Inc certifies that the above listed instrument meets or exceeds all specifications as stated in the referenced procedure at the points tested (unless otherwise noted). It has been calibrated using measurement standards traceable to the National Institute of Standards and Technology (NIST1. or to NISI accepted intrinsic standards of measurement, or derived by the ratio type of self - calibration techniques.This calibration complies with ISO Guide 17025 and ANSI /NCSL Z540 -1 -1994. Calibration procedures used provide measurement uncertainty ratios of less than or equal to 4:1 of the specification of the unit under test, with a coverage factor of k =2 at a confidence level of 95 °ro, unless otherwise noted This report may not be reproduced except in full, unless permission for the publication of an approved abstract is obtained in writing from Synergy Labs, Inc. REMARKS: This unit was found to be in tolerance at the time of calibration. No adjustments were necessary. The calibration of this unit was performed on -site in the environmental conditions at the customers location. Standards Used Trace No 999002 Signed: PRINTED ON: 26 Oct 2001 Description C 7i 1 Technician AMETEK WG - 23 WEIGHT SET REPORT OF CALIBRATION for SERIAL NUMBER: B38093 Report of Calibration Synergy Labs, Inc 9831 E Evergreen St. Miami, FL 33157 888.346.2430 Signed: CAL DATE 6 Jun 2001 Qu.lity Assurance CAL DUE DATE 6 Jun 2003 Synergy Labs assigned ASSET NUMBER: 35656 Page ( of__ APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or me 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 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 .. q C Registered Architect and /or Engineer ....t n.•••...•t e,.,,ntr.,.•e•t. ant. Name and address of licensed contractorGO P ` `:. `I :11 a » ... f 4 t� Location and legal description of lot to be built on: Lot Block ,•, Subdivision *Fit .�-� -- Street and Number where work is to be done T ® Ae. ' Fi . t f .w y _ Vf `S`r^� 4 sass © _ . __...._.... ..__ Stato work to be done and pqrpose o( building (by floors) , .....and for no other purpose. Ncw Building Remodeling Addition Repairs l� »• •» No. of Stories To be constructed of Iii d of foundation Roof Covering _ Estimate Total cost of improvements $ b �C'' r� 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 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 ‘Vork,nen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Sap �Icutent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Rernarks (Signed) L'— STATE OF FLORIDA, COUNTY OF DADE. SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Building Inspector K• ._. No._ » ».._... Street —I ' Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, per onally 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 tru . Permit No... .9 Date /o2 0.1 p- Read, Sworn to and Subscribed before me. Disapproved . :.. Date.. Notary Public, State of Florida (Signed) MyCommiuion Expires _...__ _ ».._......._...�. _._. PLANNING BOARD DATE Chairman Member , Merr,ber _ 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 1'I. nnir'.g Board. A rc•inspectiun 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. Legal Description Address of Building Lot ow BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT IT? 12796 [l Work to be performed under this Permit Architect Contractor or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Bl. Signed: Subdi- vision Value of Project $ DATE 195 Contractor's License No ' BY Amt. of Permit $ This permit is ranted 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 specifications and that he assumes responsibility for work done by his agents, servants or employees. �^'11 In consideration of the issuance to me of this permit`i -agree-to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. a BY AUTHORITY