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489 NE 101 St (9)Issue Date: 10/11/2006 Owner's Name: PAMELA JARVIS Permit Type: Roof Work Classification: Roof - New Job Address: 489 101 Street pE, Miami Shores Village, FL Contractor(s) DALEY ROOFING INC Phone (305)754 -9892 Primary Contractor Yes Additional Information Type of Work: Re -Roof Classification: Residential Additional Info: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $19.20 $6.40 $5.00 $325.00 $12.00 $8.13 $375.73 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 04/09/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF -10 -06 -2501 Phone: 1132060170690 Lot: PB: Total Square Feet: 3500 Total Valuation: $ 31,750.00 Re • uired Ins • ections Tin Cap Hot Mop Tile In Progress Up Lift Report Final Roof Invoice Number RF - 10 - 06 - 26390 Total: CIL 4 657,b Amt Due $375.73 Amt Paid NOV 0 3 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Inspection Number: INSP -29077 Permit Number: RF -10 -06 -2501 Inspection Date: 01/22/2007 Inspector: Grande, Claudio Owner: JARVIS, PAMELA Job Address: 489 101 Street NE Project: <NONE> Contractor: DALEY ROOFING INC Building Department Comments Friday, January 19, 2007 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number Parcel Number 1132060170690 Lot: Phone: (305)754 -9892 Page 1 of 2 JAN 2 3 2001 j Passed .7' ® Inspector Comments , Si2/2___ AIIATALID D r---- Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -29077 Permit Number: RF -10 -06 -2501 Inspection Date: 01/22/2007 Inspector: Grande, Claudio Owner: JARVIS, PAMELA Job Address: 489 101 Street NE Project: <NONE> Contractor: DALEY ROOFING INC Building Department Comments Friday, January 19, 2007 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number Parcel Number 1132060170690 Lot: Phone: (305)754 -9892 Page 1 of 2 GEOTECHN CAL ENVIRONMENTAL HYDROGEOLOGY ASBESTOS • Miami, January 10, 2007 Mrs. Pat Daley DALEY ROOFING, INC. 738 NW 107` Street Miami, FL 33168 Re: Roof @ 489 NE 101 Street Miami, FL Dear Mrs. Daley: In accordance with your authorization, DYNATECH ENGINEERING CORP. performed an uplift test in compliance with Testing Application Standards TAS -106 and the Florida Building Code High Velocity Hurricane Zone on January 10, 2007 at the above referenced project. Dynatech Engineering Corp. is a Certified Dade County Testing Agency. The purpose of our inspection was to determine the uplift capacity of the existing roof tiles for the one -story residence at the above referenced project. This is not a roof tile inspection, this is a tile uplift test only. The subject roof consisted of a Spanish "S" roof tiles polyfoam set. On January 10, 2007 our field engineer visited the site and conducted (80) uplift test on the roof tiles at the locations indicated on the attached sketch. All tests were performed according to the Florida Building Code High Velocity Hurricane Zone and protocol TAS -106 using a Humboldt scale model H -4620. The following is a summary of results: Field Test Results are: /I/11a W!'!N\\\\ 11111111111111 _ - - -- � 1aln DYNATECH ENGINEERING CORP. Field Uplift Test Test No. Test Location Pull Test Result 01 — 42 F See Attached Diagram > Than 35 LBS Passed 43 — 69 P See Attached Diagram > Than 35 LBS Passed 70 — 80 C See Attached Diagram > Than 35 LBS Passed TESTING LABORATORIES DRILLING SERVICES INSPECTION SERVICES ROOFING 750 West 84 Street, Hialeah, FL 33014 -3618 • Phone (305) 828 -7499 • Fax (305) 828 -9598 Page No. 2 489 NE 101 Street, Miami, FL. Test results were found in compliance with the Florida Building Code and TAS -106. The test results are limited to the tested areas. If other roof areas exhibit different conditions, it should be brought to our attention for remedial work. This uplift test is not a roof top inspection. A final roof inspection must be conducted by the building official for approval. The test results presented here, reflect the condition of the roof system at the time of the test. These results are time and sample dependent since roof conditions are continuously changing due to exposure to the elements. It has been a pleasure working with you and look forward to do so in the near future. Sincerely yours, Wiss • aamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 Special Inspector No. 757 WN /sk Dynatech Engineering Corp. Client: DALEY ROOFING, INC. Scale: N.T.S. Project: 489 NE 101 Street Miami _ VI. Date: 01 -10 -7 53 sr . 3g 36 5 2 1 t3 Sg 37 36 35 34 33 3 2. 7q 1 8 zs 26 8 8 2., 1 12 20 25 iz 8, zy 6 s 66 93 3 67 7 y8 95 is 6 66- 10 11 7 3 1 Y 68 6 7 A N ......................... Inspection Date: 11/14/2006 Inspector: Grande, Claudio Owner: JARVIS, PAMELA Job Address: 489 101 Street Project: <NONE> Miami Shores Village, FL Contractor: DALEY ROOFING INC Building Department Comments Monday, November 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number NOV 15 pip Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Parcel Number 1132060170690 Lot: Phone: (305)754 -9892 Page 1 of 2 Infraction Passed Comments TIN CAP SPACEING True I 1 Passed t /b i nspec t or c omments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until ......................... Inspection Date: 11/14/2006 Inspector: Grande, Claudio Owner: JARVIS, PAMELA Job Address: 489 101 Street Project: <NONE> Miami Shores Village, FL Contractor: DALEY ROOFING INC Building Department Comments Monday, November 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number NOV 15 pip Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Parcel Number 1132060170690 Lot: Phone: (305)754 -9892 Page 1 of 2 mop in progress Passed Inspector Comments V Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 11/1W/20061p e Ion Inspector: Grande, Claudio Owner: JARVIS, PAMELA Job Address: 489 101 Street Project: <NONE> Miami Shores Village, FL Contractor: DALEY ROOFING INC Building Department Comments Tuesday, November 14, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NOV 2 1 En Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number Parcel Number 1132060170690 Lot: Phone: (305)754 -9892 Page 1 of 2 BUILDING PERMIT APPLICATION ief FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address 4,s9 N. 10, City IL 114't/11 S e s State Tenant/Lessee Name Contractor's Company Name Contractor's Address Architect/Engineer's Name (if applicable) Type of Work: Describe Work: Structural Review. $ Miami Shores Village C M Buildin g Department artment OCT 05 nos 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) .4-9 101 ST City Miami Shores Villa :e FOLIO / PARCEL # Is Building Historically Designated YES Electrical Plumbing Mechanical G oofing 191) -(/1m 0 Phone # NO rt� 4cLokrA h /�; X13 ' N.) 1O9 sI City KA 119 -Vyl 1 State ''I_i Qualifier Name 1Gt -/Vt.0 - ba, State Certificate or Registration No. C La / 6 1 0 Value of Work For this Permit $ 2 15 0 0 County Miami -Dade Zip 33/ 3 Certificate of Competency No. Square / Linear Footage Of Work: 35C0 ❑Addition ['Alteration ['New (Repair/Replace a /11.00E- 111-E ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 51.. CCF $ CO /CC Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ zip 33/38 Total Fee Now Due $ Phone # Phone # Phone # Permit No. P.F Master Permit No. 3�s7 % Zip 331CD6 Phone # 3ac 76V 9(f Z See Reverse side -+ ❑ Demolition Technology Fee $ Zoning $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not roved and a reinspection fee will be charged. Signature The foregoing instrument was acknowledged before me this day of �' / , 20 , by ray , who is a sonally kno to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: * * * * * * * * * * * * * * * * * * * * * * ** Owner or A nt Expires: S%P 11, 2009 Bonded Thru A1.14ntic Bonding Co., Inc. APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this 10 day of W.) , 20 by K who is personally known to me or who has produced as ide .ui., tion and who did take an oath. NOTARY PUB Otkr MO , cry? so Commission Expires: NOTARY PUBLIC -STATE OF FLORIDA Ronda Alonso 4/a Sign: Print: My Commission xpires: Plans Examiner Engineer Zoning * ** • •• • • • • • • ••• • • • ••• • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • ••• • • • • ••• SECTION 1524 .: •' • . • • . " HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS QOTIRICATIt N FQ QQFING CONSIDERATIONS. • • P C , (S01 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of WIS sbc coq' PtrpraflOogSbf Chapter 15 of the Florida Building Code, Building govern the minimum requirements CstintiatdS o: the industry for roofing system installations. Additionally, the following items should be addYeSseti asWatt Of treagrepnent between the er 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 15 (High Velocity Hurricane Zone) ar for the purpose of providing that the roofing system meets the wind resistance and water intrusion erformance 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 dressed as part of the agreement between the owner and the contractor. 2. Renalling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed rdance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building e 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 i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner d potify 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 ed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail enetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the opffo of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may e water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural stress 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 original system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not rloaded 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 theelorida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of tructural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be I to consider additional venting which can result in extending the service life of the roof. Owner's/Ag - s Si • ature Property Address led 7 Rev:1/20/2005, Computer Services, Building Department n v - Date Contractor's Signature Permit Number 11-k( 1 - - - • ••• High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Master Permit No. L/(5J . 01 Contractor's Name: 1)4-mq gook ,rC ❑ Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Are there Gas Vent Stacks located on the roof? ❑ Yes I o If yes, what type Low slope roof area (ft. - - -- - • •• • - • • • • • • • • • • • • • • •• Section A (General Informatiob); • • • • • Process No • • • • • • Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Other. Roof Type ❑ New Roof e- Roofing ❑ Recovering ❑ Repair ❑ in en Roof System Information Steep Sloped area (ft. SZd Total (ft. Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, dearly identify dimensions of elevated pressure zones and location of parapets. Perimeter Width (a'): Corner Size (a' x a'): .111111111101111111111111111111111111111111101111111.11 02% ■ 1111■■■1111•.1111 ■•■ti■i■r ■■■•/ri■11.■ ■■■■■■..■..1.11.11... 1111■■.■ ■•11MU .■■■■■■■■■■■■■.t■■M■r■■■■■■. Maw N............■.111 ■■■{ 14111111111111111111.111111••••M•111111111111111101 KIMUI111%111�.110 iI Iri■ IM INIMI K i O MINI MIN .11.11...11..... d.....u' ■►� r. . m iiii iR g iii�iiiiii i ■' . ..11.. ■....1..0 ri .• y �C .1 :::ii . inum . ■.�. ■..•....... r..■.�.morwil -- _ immo: mummu. ... .. 1111. ■.....r11..... 11..r1111...rriOm lm...itl -.• 1 ■. .... ■1111 ■■...■■..... ■ .... ■.■�■....� 1111■ �....■. ■■..m ■ ....■■.....m....■.■r...!!````.nir■/� ■.11■ . ..11 11.11.. ■. U■..■■■■a•■ w .11....■■■ ■r■■■m gy m'...... ■...... ..1111 , ......rri ■`rm■ ■..■■11.11 1111..■r r ■111111.1 ■...A .rr11r.r...11O111111.111111.... Z C . 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Page 2 • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • •• ••• •• Job Address:* • • • • • • • • lortar /Adhesive Set Tile Ci TY vy (PA9 Page 1 of 1 http: / /www.miamidade.gov/ building /roofing_permiting/permit app_section a.HTML 9/29/2006 - • • Roof System Manufacturer: c rrfr v (-E" • • Notice of Acceptance Number. 0S c)- Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P1: in► 10. P2: /DD,L P3: /CO. LO Maximum Design Wind Pressures, (From the PCA Specific system): • • ▪ la High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENTELEr I9N • • • •... 1 1 • Roof Slope: & "112" Roof Mean Height: IP Ridge Ventilation: I4 Method of Tile Attachment Alternate Tile Attachment Method: Clip Spacing for Metal Roof Panels Field: Perimeters: Perimeter Width: ••• .•• • • Section D (Steep Sloped Roof System) Comers: • • .•. • • • •.• • • • • • ..• •. • • • • • • • • • • • • • • • • • • • .•• • • • • .• • • • •• Sloped System Description Deck Type: Alternate Deck Type: Page 4 Underiayment type: Pou-is TL) • • • •• • • . . 1 Insulation/Fire Barrier Board: Optional Nailable Substrate: Faste ers: I4$ -7v1ta-PS> !/g V,S.vbof nos Cap Sheet Type /Adhesive Type: Roof Covering: 5/ 17 Fe. Roof Covering Attachment Method: Poi' Fv Avvt Drip Edge Size & Gauge: 3 face 26 ga. Drip Edge Material Type: Galvinized Metal L_J Drip Edge Fastener Type: i I N i rvdf AILLIS Hook Strip /Cleat ga. or weight N/A • • • ••• Page 1 of 1 http: / /www.miamidade.gov/ building /roofing jermiting/section d 3.html 9/29/2006 Mean Roof Height in Feet 15' 20' 25' 30' 40 ' Roof Slope 1 1 1 1 1 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 • • ••• • • • ••• .... • • • •• •• • • • • • ..... • • • • ••• • • • • .•• • - - - --- High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT•ELECTRONIC #,RPLICATION • • • ••• • • • • • • • • • • • Section E (Tile Calculations)• • •• •.. •• • • For Moment based tile systems, chose either Methpd'1 pr2. tqe y;lues for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method Is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P1: 117,10 xA I I,q3 -Mg: 5, =Mrl: S3NOAMf: mq P 2: C 00,1 x A At , )S - Mg: 5. c = Mrl : 1 �'.'LS NOA Mf f 1 T. P 3: 10() x A o 2`j. IS- Mg: 5 = Mr1: I I •?-S NOA Mf: 11 g. c? Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: 3 , a NOA Mf: / 1 6' E. 9 Mr Required Moment Resistance* *This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 Page 1 of 1 http: / /www.miamidade.gov/ building /roofing permiting/section e_3.htm 9/29/2006 MIA M FDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation 887.5 NW 95 Street Medley, FL 33178 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Santafe Spanish 'S' Clay Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors . and shall be available for inspection at the job site at the request of the Building Official. This revises and renews NOA # 04- 0420.03 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigera. • • • • ... • • •.. • • • •.. .. .. • • • .. .. • • • • • • • • • • • • • • .. • • • • • • • • • • • • • • 0 • • • • 000 • •• • - • MIAMI -DARE COUNTY. FLORIDA • MElRp- DA$ETL G BUILDING .' 140 VITSiTFAGLIDI SST, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 .• • • • .. ... .. • • • • • • • • • .. • .. NOA No.: 05- 0921.02 Expiration Date: 02/01/11 Approval Date: 02/02/06 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: 07320 Roofing Tiles Material: Clay Deck Type: Wood 2.1 SUBMITTED EVIDENCE: Test Aeencv The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies 1= varies w = varies varying thickness Test Identifier 94-156 -8 94-156-9 25- 7205 -1 Project: 07 -07 -00-91 (307023) 7161 -03 Appendix 11 7161 -03 Appendix III P 0402 • . ... • • • .. .... • ..... • • • • • • ••• • • • • • • • • • • • ....... ... • • • • • • .. .. .. • • • . .. • • • ..... ... .. • • • • • • .. • .... .... ... • • .... • .. ... .. • • • • • • 0 • • • . • • • • .. .... ...... . 1. SCOPE This revises a roofing system using Santa Fe " Santafe `S" Clay Roof Tile, as manufactured Santafe Tile Corporation and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured.bv Test Product Applicant Dimensions Specifications Descrintion Santafd `S' Clay N/A TAS 112. One piece high clay roof tile equipped Roof Tile with two nail holes. For nail -on, mortar set and adhesive set applications. Trim Pieces TAS 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report TAS 101 TAS 102 TAS 101 TAS 100 Aug. 1994 March 1995 Sept. 1994 TAS 108 Dec. 1991 (Nail-On) Static Uplift Testing Dec. 1991 TAS 102 & TAS 102(A) Withdrawal Resistance Sept. 1993 Testing of Screw vs smooth shank nails NOA No.: 05. 0921.02 Expiration Date: 02/01/11 Approval Date: 02/02/06 Page 2 of 5 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length-I (ft) Width -w (ft) Santafe 'S' 6.7 1.5 0.958 Test Agency Redland Technologies Redland Technologies Celotex Corporation Testing Services IBA Consultants, Inc. PRI Asphalt Technologies, Inc. IBA Consultants, Inc. IBA Consultants, Inc. IBA Consultants, Inc. Test Identifier • • Test Naene/Reeort • • • • • • • • •••.••• •.••• P 0647 -01 • • : TAS:108 • • • mug. 1994 (Mortar Set) P 0631 -01 •• • • • 520305 -01 thru 05 •' 2353 -4 SFTC- 003 -02 -01 2353 -70 2353 -71 2353 -93 • • ••• • • • ... • • • • • • • • • • • • •• • • • • • • • •.. • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Pty 108. • • • • duly. 1994 • : ict) :' • OOOOO • PA' 102 • • • • • • June 1999 Restoring Moment Aug. 1999 TAS 101 12/06/02 TAS 101 09/22/03 TAS 101 09/22/03 ASTM C 1167 07/18/05 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Santafe 'S' and its components shall be installed in strict compliance . with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 05-0921.02 Expiration Date: 02/01/11 Approval Date: 02102/06 Page 3 of 5 Table 2: Aerodynamic Multiplyers- its) Tile Profile ) ( ) Batten Application X (ft Direct Deck Santafe 'S' 0.274 0.297 Test Agency Redland Technologies Redland Technologies Celotex Corporation Testing Services IBA Consultants, Inc. PRI Asphalt Technologies, Inc. IBA Consultants, Inc. IBA Consultants, Inc. IBA Consultants, Inc. Test Identifier • • Test Naene/Reeort • • • • • • • • •••.••• •.••• P 0647 -01 • • : TAS:108 • • • mug. 1994 (Mortar Set) P 0631 -01 •• • • • 520305 -01 thru 05 •' 2353 -4 SFTC- 003 -02 -01 2353 -70 2353 -71 2353 -93 • • ••• • • • ... • • • • • • • • • • • • •• • • • • • • • •.. • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Pty 108. • • • • duly. 1994 • : ict) :' • OOOOO • PA' 102 • • • • • • June 1999 Restoring Moment Aug. 1999 TAS 101 12/06/02 TAS 101 09/22/03 TAS 101 09/22/03 ASTM C 1167 07/18/05 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Santafe 'S' and its components shall be installed in strict compliance . with Roofing Application Standard RAS 118, RAS 119 and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 05-0921.02 Expiration Date: 02/01/11 Approval Date: 02102/06 Page 3 of 5 • • • •• • • • • • • • • • • • • •• • • • • • • ••• • • •. •• • • • • • • • • • •• • • • • • • • • • • • •. • • • ••• • .. • , • • . • • • • • Tile Profile Battens Table 3: Restoring Moments due toGr vity'- I1i(ff4bf) • ' • 12° • 6 4 :12° • 2u: Direct Deck 3 Battens Direct Deck 4 °:12° Battens Direct Deck •; Batten • Oil $att @rts Rlt INIck 7:12° or greater mittens Direct Deck Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56: $.53 . 5.37. 5.29 5.03 N/A • • • ••• •. Table 4: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Nall -On Systems Profile Fastener Type The Santafe 'S' 2 -10d Ring Shank Nails One #8 Screw Two #8 Screws One #8 Screw w/ Clip Two #8 Screws w/ Clip 1. Approved screws as noted 'Product manufactured by others'. Direct Deck 21.8 29.16' 38.28' 57.31' 57.60' Battens N/A N/A N/A WA 61.77' Table 5: Attachment Resistance Expressed as a Moment Mf (ft -Ibf) for Two Patty Adhesive Set Systems Tile Application Tile Profile Santafe 'S' Tile Bond Polyfoam Polypro AH 160T"" 2 See manufactures component approval for installation requirements. 3 Flexible Product, Inc. Average weight per patty 10.4 grams. 4 Polyfoam Product, Inc. Average weight per patty 9.4 grams. Minimum Attachment Resistance 38.9 28.5 Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhesive Set Systems Tlia Application Tile Profile Santafe 'S' Polyfoam Polypro AH 160T"' Polyfoam Polypro AH 160T"" 5 Paddy placement of 63 grams of Polypro AH 160m. Minimum Attachment Resistance 63.8 61.9" 6 Paddy placement of 24 grams of Polypro AH 160TM. Table 6: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Mortar or Adhesive Set Systems Tile Profile Santafe 'S' Tile Application Mortar Set Attachment Resistance 23.6 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". NOA No.: 05. 0921.02 Expiration Date: 02/01/11 Approval Date: 02/02/06 Page 4 of 5 • • ••• • •• 6. BUILDING PERMIT REQUIREMENTS : : : : : . :. : ; 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the BuildiprOtficttal.or byflaing code in order to properly evaluate the installation of this Meta: I . • : • ' . PROFILE DRAWING "SANTAFF S" CLAY ROOF TILE END OF THIS ACCEPTANCE • . •• • . . r " ' .. • •• • • . • . • • •• . • • • i • • • • 0 ••• • • . • •.. .. • • • • • ... .. • NOA No.: 05-0921.02 Expiration Date: 02/01/11 Approval Date: 02/02/06 Page 5 of 5 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 • • • • • This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by JRrge L. Acebo. ••• . • • • • • •• • • '• • • • • '•• • • • • • • • • •• MJ4411 -DARE C41I,NTY, FLORIDA J : • S I:IE; g0 -QAQE: 14: LER BUILDING • • • 1140 VGEtTFLAGLI±R tiTkEkT, SUITE 1603 ••• • • • MIAM FLctUDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 -t • • • • • • • •• 't • • • • • • • • •• SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. NOA No.: 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 1 of 7 ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: SCOPE: S• :'• • . • • • • • • • This approves Polypro® A11160 as manufactured by Polyfoam Irroducts, Inc. as descn'b'edin Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications Polypro® AH 160 N/A TAS 101 Foampro® RTF1000 ProPack® 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Roofing Roof tile adhesive Polyurethane N/A N/A Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 • • •• •• • • 3 • • • • ••• • • • ••• • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • •.• • • • • • ••. • • ••• • •• • •• • • • • • • • • • • • • • •••• • •• • . • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • •• ••• •• • • •1 • • • • • • Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /ft. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06-0201.02 Expiration Date: 05 /10/11 Approval Date: 04 /13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Center for Applied Engineering Miles Laboratories Polymers Division Ramtech Laboratories, Inc. Southwest Research Institute Trinity Engineering Celotex Corp. Testing Services LIMITATIONS: 1. Test Identifier #94 -060 257818 -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 NB -589 -631 9637 -92 01- 6743 -011 01- 6739 -062b[1] 7050.02.96 -1 528454 -2 -1 528454 -9 -1 528454 -10 -1 520109 -1 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 520109 -2 -1 W • • • • • • • • • • • • • • • • • • • t••• •• •• • • • TtSt Name/Report TAS 101 ••TAS•101• • •• • •S ;TPi1/91 • ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 TAS 101 • • • • • • • • . • • • • • • • • • • • • • • • • • • • • • • • • • • • • •. • • •• • • • • • .•••• • • • •• • • •••• ••• • • • • •••• Nate 04/08/94 ; • • .102/16/96 • 19/25/95 • •. • • • • • ••• •• SSTD 11 -93 11/02/95 SSTD 11 -93 12/12/95 ASTM D 1623 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 10/23/98 12/28/98 • 03/02/99 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH 160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. F ' 2 F= MS NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 3 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detall Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #I 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • • • • • • • ...... • • ••• INSTALLATION: • •.. • •• 1. Polypro® A11160 may be used with any roof tile assembly hair a c *rrrnt, NIA t&at,lists uplift resistance values with the use of Polypro® AH160. "' ' • 2. Polypro® AH 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tilg esslmtly. s #d eajvt, attaglirhent with the use of Polypro® AH160 shall provide sufficient attachmegt rgsiQt4ict, evIreVed as'an uplift based system, to meet or exceed the uplift resistance deterniised Zn goftplial1c8 4itb Mieini -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® A11160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® A11160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 • ••• • • • ••• • .. • • • .. .. • • • •• • • • • • • • • • • • • • ... • • • • .. • ADHESIVE PLACEMENT»E1 AIL 1. • . : • .' • • SINGLE PATTY ; • • • • • • • • ... • 1) Rea ono* edMeMb Wire 17to ' upon Wes Indotedeithin°penSe 0, T cores n doen. Place adhesive 1 h r edge ofcowtie. rbe instil deS . too PEN of the ern course cow Ws. Modb second come of pen lies. &sure comae,weedot w Rush el we Int. Five down (rnerter shown) %whole Fade OpOonal kik* brier an WIDOW edges of 9s NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 5 of 7 • • •.. • • • ••• •• •• • • • •• •. • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • ••• • • • • ..• ADHESIVE PLACEMENT.VEtA jL 2.6. : " . . SINGLE PATTY • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • .. • • • .. ... .. • • •.• . . . • • • • • • • • NOA No.: 06-0201.02 Expiration Date: 05/10 /11 Approval Date: 04/13/06 Page 6 of 7 Hall through plastic cement Single pally on u dortayment Simple paddy on top of tile .41n. x 3 in. ADHESIVE PLACEMElyT DJAn.,.3. . • • • • • • DOUBLE PATTY• • • • • • •••• •••. ••• • • • • EaveCoarse • • ••• • • • ••• • • •• • •• • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • ••• • • • • • • •• •. • • • • %iggle paddy Wider toe • • .. Si1& paddy between file 21n. x 71n. medium she paddy are course only Single paddy between tile Eave Cbsue 2 bi. x 11n. medium size t paddy eave course only END OF THIS ACCEPTANCE •• ••• NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 7of7 MI _ BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 • • •.• • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • •. • • • • • •. • • MIAMI- DADECOUNTY� FLORIDA • • : L : 4E14(2-i� tL4G1�EI� BUILDING 144V1EST CL4GI Ejt ST1 ECr, 1603 • • • • • MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 •• • • • •• ••• •• • • • • • • •• • • • • • ••• •• SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polystick P, IR/IRX, TU, TU Plus and MU Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No. 04- 0810.03 and consists of pages 1 through 5. The submitted documentation was reviewed by JgFge L. Acebo. �r NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval Date: 09/14/06 Page 1 of 5 ROOFING COMPONENT APPROVAL Cateeorv: Sub- Cateeorv: Material: PRODUCTS DESCRIPTION: Product Polystick P underlayment Polystick IR/IRX underlayment Polystick TU underlayment Polystick MU underlayment Test Dimensions Specification Roll: ASTM D 1970 75' x 3' 40 mils thick Roll: 65'8" x 3'3- 80 mils thick Roll: 32'10" x 3'3- 100 mils thick Polystick TU Plus Roll: underlayment 65'8" x 3'3 80 mils thick Roll: 65'8" x 3'3 80 mils thick Roofing Underlayment SBS , APP Self - Adhering Modifibd $itijmefh • TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 •• •• • • • • • • • • • ••• • •• • • • • • • • • • • • • • • • • •• •• . •• ••• • •• • • • • • • • •• • • • • • ••• • • • ••• • • • • •• • • • • • •• •• • • • • • • • • • ••• • • • • • • • • • ••• • • • • ••• • • • • • • • • •• •• Product Description ••• •• • • • A polyethylene top surface, self - adhering, SBS polymer modified bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield. A fine granular /sand top surface self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. A non - wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced with a high strength polyester fabric, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. A non - wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. NOA No 06- 0424.03 Expiration Date: 09 /13/11 Approval Date: 09 /14/06 Page 2 of 5 EVIDENCE SUBMITTED: Test Agency Exterior Research & Design, LLC PRI Asphalt Technologies Test Identifier #11756.04.01 -1 #11756.08.01 -1 #02202.08.05 PRI01111 PUSA -005 -02 -01 PUSA- 018 -02 -01 ASTM D 2523 • • ••. • • • • •• •• .• • • • •• •• • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • . • ••• • • • • • • • •• • • • ••• • • Telt Ninie/Rel,a3t • • • • • • • • • • • 'TAB 103 • ASTM D 1970 •TAS103 • .• • • ••• ASTM P 3977 • : : ASTM D 4977 • • • . • • • Bate • • - r —r 1 04/2 . 7/01 08/14/01 • • • 0889/05 • • : • • 44/08/02 01/31/02 07/14/03 INSTALLATION: Deck Type 1: Wood, non - insulated, new construction Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626 or Polyprotector UDL or Polyprotector UDL AS. Fastening: Nails and tin caps 12" grid, 6" o.c. at laps. (for base sheet only) Membrane: Polystick membranes self - adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3- and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have 100% contact with the surface, giving special attention to lap areas. Polystick TU and TU Plus shall not be left exposed as a temporary roof for longer than 180 days after application. Polyglass reserves the right to revise or alter product exposure times. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval Date: 09 /14/06 Page 3 of 5 LI IITATTIONS: 1. Fire classification is not part of this acceptance. •• • • • •• ••• •• • 2. Polystick P and IR/IRX may be used in asphaltic shingles, • slj4syn ll ►i gles, structural metal roofmg, and quary slate roof assemblies. PpOstIpI:P %h811 jed al roof tile underlayment. 3. Deck requirements shall be in compliance with applicable building code. 4. Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polystick membranes shall not be applied over an existing roof membrane. 6. Polystick P shall not be left exposed as a temporary roof for longer than 30 days after application. Polystick IR/IRX, or MU shall not be left exposed as a temporary roof for longer than 90 days after application. Polystick TU and TU Plus shall not be left exposed as a temporary roof for longer than 180 days after application. Polyglass reserves the right to revise or alter product exposure times. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice. Polystick TU, TU Plus and MU may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR/IRX is limited to mechanically fastened roof tile applications. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as described below: Tile Profile Flat Tile Profiled Tile Polystick IR/IRX 5:12 Prohibited Polystick MU No limitation 5:12 Polystick TU, TU Plus No limitation No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. • • ••• • • • ••• •f •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • ••• • •• •• • • • • • • • • • • • • • •• • •• •• • • •••• • • • •••• •••• ••• • • • • • NOA No 06-0424.03 Expiration Date: 09 /13/11 Approval Date: 09/14/06 Page 4 of 5 LIMITATTIONS: (CONTINUED) 9. Care should be taken during the loading procedure to keep foot dropping of tile directly on the underlayment. Refer to Polyglass procedure. • • • 6 • • •• • • • • • • • • • Roofing Tiles (6 Max. Per Stack 12 END OF THIS ACCEPTANCE • • ••• • • • •.. •• •• • • • •• •• • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • ••• • • • • ••• • ••• • •• • • • • • • • • • • • • • • • •••• • •• • •••• • • • • traffic to a minimum and to avoid Tile loading detail for loading • • •• ••• •• • • • • •• • • • • • • • • ••• •• 10. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick P, IR/IRX, TU, TU Plus & MU may be used with any approved roof covering Notice of Acceptance listing Polystick P, IR/IRX, TU, TU Plus & MU as a component part of an assembly in the Notice of Acceptance. If Polystick P, IR/IRX, TU, TU Plus & MU is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. LABELING: All membranes shall bear the imprint or identifiable marking of the manufacturer's name or logo, the Miami -Dade County logo or the following statement: "Miami -Dade County Product Control Approved ". BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No 06- 0424.03 Expiration Date: 09/13/11 Approval Date: 09 /14/06 Page 5 of 5 RE -ROOF TILE ROOF COLOR THRU SANTA FE TILE JAN 0 5 2007 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until ................. ................. ................. ................. Inspection Date: 01/04/2007 Inspector: Grande, Claudio Owner: JARVIS, PAMELA Job Address: 489 101 Street NE Project: <NONE> Miami Shores Village, FL Contractor: DALEY ROOFING INC Building Department Comments Wednesday, January 3, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number Parcel Number 1132060170690 Lot: Phone: (305)754 -9892 Page 1 of 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT Date Address Company Phone # Inspection Date Correction Re- Insp'n Fee 305- 795 -2204 ■') Buildin Inspection Requestl Type Insp'n Permit No. Name A // JGi'� BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village RECEIVED Building Department JAN 2 6 2'2 5 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) J/9jyJ %,L(/ /S' Owner's Address 7if q /t6 /0/ <I- City Miami Sh iryeS State Tenant/Lessee Name Phone # Job Address (where the work is being done) `/t 9 /1-c /0/ �t City Miami Shores Village County Miami -Dade Zip ,3 3/3 e is Building Historically Designated YES NO Contractor's Company Name CC Loa/A.)0 / Phone # 3 . 79/ 9g92. Contractor's Address 7 ice /0 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this e Type of Work: ❑Addition ❑Alteration ❑New Notary $ Total Fee Now Due $ (Continued on opposite side) Training/Education Fee $ Zip .33J30 Scanning $ 3 — Radon $ Zoning Bond $ Code Enforcement $ `� Structural Plan Review. $ �— so Permit No. 3I 6--I 1 R- Technology Fee $ So Phone # 3 GS / 757 99 72_ Cit /14 ' " " S/i (1Y'QS State / Zip33 /30 Qualifier D a u. t.l State Certificate or Registration No. d_a_ct6671.90 Certificate of Competency No. Square Footage Of Work: 1r4 C1FD /Replace ❑ Demolition Describe Work: ItaalOYe, ('f p % p, 0 k Ail k iia -e Q Q -61- cuL ► .d e-L 1 ia'U9(LLA,, . .S-VS * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $, �! C C Permit Fee $ /NO CCF $ '9r'(9 ** O CO /CC e9, qo Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection w : ' approved and a reinspection fee will be charged. Signa day o who is person The foregoing instrument was W , 20 OS by NOTARY P Sign: Print: My Commission Expi * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Owner or ledged before m us !Q ly known to me or who has produced As identification and who did take an oath. *,0 2 ila7ii * *GMON Notary Public, State of Florida My comm. expires April 7, 2008 ***V2414416.56****** Signature Contractor The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: **************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** JAN 8 Sa5 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/8/2005 Applicant: DIRK GROENENBERG Owner: GROENENBERG DIRK JOB ADDRESS: 489 NE 101 ST Contractor DALEY ROOFING INC Local Phone: (305)754 - 9892 Parcel # 1132060170690 Permit Status: APPROVED Permit Expiration: Work: ROOF REPAIR Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -117 7/25/2005 Contractor's Address: 78 NE 106 ST Construction Value: $550.00 Page 1 of 1 Legal Description: AMD PL OF MIAMI SHORES SEC 4 LOT 24 & E3/4 OF LOT 23 BLK 91 PB Fees: Description Amount FEE2005 -1703 Building Fee $100.00 FEE2005 -1704 CCF $0.60 FEE2005 -1705 Notary Fee $5.00 FEE2005 -1706 Training and Education Fee $0.20 FEE2005 -1707 Scanning Fee $3.00 FEE2005 -1708 Technology Fee $2.50 FEE2005 -1709 Submittal Fee ($50.00) Total Fees: $61.30 Total Fees: $61.30 Total Receipts: $0.00 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS . I Its spe: alfa■ ee: is scrum, ssiesapmamie* efieeseeimmgammiodorispeeiieieammersiSL impiad mallegpmat, ani ev pls *ie:woerieassental;ssedsie_Ile: pimilsi,s af'T' -_ IS villa. meit Re■'IiiglieiLibiTii ga is a --s a.his are* aaiikfit =fig swims .ibleleadIA, ic iiiaeoieg ioemes AMINE be miasma spset area — maw — cesamass lbc °maeeark in'id ilea ael ao &bmEimiaaamrs irtiee: iambs hoes ( •7 L 1 IL /be issitimmeli0 poaeoaae: mi iea is firoleirebely lim m MC u# aft limbs: sealing slam aate: lie inisiaselamoD ad irks imeee -a r. bars as art a aaia"#aimem alb =pea to m! paw assoei r siranribmsami arpostavamliwiarzlatijile et a paSetViespeeenustbamuemen aeee a■eifeesem ombe. - ■ g 11bsd mini* Salem is =Wag _j mat Axe se r bac is be ■eilm - afCbgmeriqpite.Nielmeraimicalelemegjareeleitille die:.a berme£ ieafsaeeailyeaa®iedpmiarissamwie becs iesfslsbne. 3. Gam i■& C4 aural ssfeeoe Ueees i e� imsiasM a de:.it i7iys i sesame mike Se sme g axisdar aeiir i 41.E gam, ap aibeameaipa: sieemeieanimatealiesaieiaegaaice is Wm. 'The aamnr MEW asmlre is per is amiiedemai *mum, liommisk, s said •pemetniSmes =fie 1 et SD de WilellElj s■tiNG Seatildik. TIC idaeiis.Hn7iAg Gab *Nibs Mc � S.Bowl eegIrmesullbecommasaisara mined er afieLmTimge gramt+iaimadla■dmow a eeie - ID pond s Isalibg seas of iee sa iL li me8■g gam aaling■ _ at ame eaammei any dram lbe liE abbess araet may sepia le sewisw of : paeeiesmie:teeai! sbsleeeal! � � be smimlat seems tieG agleam, amdmala amroe of lbc maw I m m sue. aieer awilmi 4 411mtimmr mamas (mil lb it seg m�mi imi der lbw =gm retie: mot is ant a boeRmpefvmieEPcaaamfeegeamibeEdeermrfessemioammmyIeseEliaesebwgult araDow saw= Own . sieme am amt pseeiieei i =my he aeeeceeeea7 as aeei sseslissr =mom is - a r e a ~Ma asemely fee Wing -1 a mommeirallis salaam iboe sot be roof • Contractor's Name: T GL K;U,( ,ZD U 1 K6 14 Job Address: AS9 /OE /PI S t O (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) Flat Roof Arca (ft Sloped Roof Area (ft Total (ft Master Permit No. Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 798): FT FT a i ❑ New Roof ;. • ❑ (Nail -On Tile) ❑ (Mortar -Set Tile)' ❑ (Metal Roofs/Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ Re- roofing ❑ Recovering ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) 1118:11C1Yii 1 • DETAIL 1&.2 SECTION 7525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION SIVICING ROOF CATEGORY COUNBit ❑ Repair ❑ MaIntemn a ■ a • s • a•;. a' • a a. 0 e• ' . o s■ i 00 o • 0 0 0• 0 0 0•oo •� ■ ■ ■o.i a ao.s" �a s ▪ : ■ s : :s s :s ■a s : ■ a■ a ■ a ■ a .a a a :a =• :o• :i•vis :■ :' a i :•a- s'�■'sas a ■.a� saa • a ia n!jj i■ • a - I• • � • • a•� s • • a a • a a • a .■ • • s : s s s i: s a :o :i :wsw - • a • - • • • • a s • ▪ •.• ■ a a • a• ■ • RGU BUILDING Miami Shores Village Building Department u VEI F - 0 5 2004 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ' ' Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical ( Roofing Owner's Name (Fee Simple Titleholder) 'Y e L1 (1 C n0 W kSPhone # 1S 0 / 3 Owner's Address t. cu 101 4 Cit ►�I�'(,(,C44M t C )1 e4 State Tenant/Lessee Name Phone # Job Address (where the work is being done) - J [� / 0 / S� City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name '-b Ci V f'' �' Contractor's Address 1 r to cam ( Q $ Value of Work For this Permit It �jZc Type of Work: ❑Addition ❑Alteration ❑New Describe Work: Ct /(au-4 Scanning $ Code Enforcement $ Structural Plan Review. $ r• Total Fee Now Due $ (Continued on opposite side) State zip 3 13g Square Footage Of Work: Permit No. e3 � L( )t— I4q Phone# 75T / o Zip Zip Architect/Engineer's Name (if applicable) Phone # /Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** Fees * * * * * * * * * * * * * * * * * * ** * ** * * * * * * ** Submittal Fee $ 5D•O0 Permit Fee $ /t9 2 CCF $ Of 6 CO /CC Notary $ 5 , co Training/Education Fee $ V, Technology Fee $ ( RI C 0 Radon $ ' ' Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature )C Owner or Agent The foregoing instrument was acknowledged before me this � � day of A() , 20 �cl byT�QO,Q VIC � , lr YIOU� -�' • , who is personally known to me or who has produced As identification and who did take an oath. NOT Sign: Print: Y My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 ��rpY P Mabe r g•. Vi�.._ 14.1 1 3, 2007 Bonding Co., Inc. Signature Contractor The fore day ledged before ' sn ►n�_p- J l who is personally known to me or who has produced identification and who did take an oath. NOTARY P Si ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** oing instrument was ac , 200‘\ , b Zip Zip . - a 1 : P t: IPc,/1 m M Cem l,s+c nn9Ic1138 My CommissiN in spi Movcmbar 15, 2006 Plans Examiner Engineer Zoning (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** FEB - 6 2004 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with . the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofmg 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. t L 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be as part of the agreement between the owner and the contractor. l�- 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). i ' r 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 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 underside of the decking may not be acceptable. The Florida Building Code 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 roofing system. Ponding ' conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 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 install overflow scuppers in accordance with the Florida Building Code, Plumbing. W k._ 1" I' k._ 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 may be beneficial to consider additional venting which can result in extending the service life of the roof. � Owner's/Agent's Signature Date L1 /a9 IMDeoamb sad SetthWidltaemassWocal Sdtb{ATmVlTemponr7 latend NnlfoatnUESOKLBAPfRSECTION 1524111 Contractor's Name: O (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ (Metal Roofs/Wood Shingles & Shakes) 0 (Other) ROOFTYPE • 0 New Rao ooTa =. • ❑ Re- roofing ❑ Recovering / v Repair ❑ Maintenan Fiat Roof Arca (ft Sloped Roof Area (ft Total (ft Master Permii No. Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 7 -98): 1 DE KTY1PE- i FT FT 13abd " ti Job Address: L/ '€ c70/ 51 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) • FASTENERTYPE DETAIL 182 SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION ROOF CATEGORY 0 (Nail -On Tile) ATTAtNT SPACING • F18.D; PERIMETER: CORNER; r 0 (Mortar -Set Tile)* ROOF RAH FlGUI r Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/10/2004 Applicant: FREDERICK Owner: KNOWLES JOB ADDRESS: 456 Contractor DALEY ROOFING INC Local Phone: (305)754 - 9892 Parcel # 1132060170460 Fees: FEE2004 -1366 FEE2004 -1367 FEE2004 -1368 FEE2004 -1369 FEE2004 -1370 FEE2004 -1371 NE 101 KNOWLES FREDERICK ST Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -149 Legal Description: 6 53 42 Contractor's Address: 78 NE 106 ST Amount $100.00 $0.60 $5.00 $0.20 $2.50 $3.00 $111.30 Permit Status: APPROVED Permit Expiration: 8/4/2004 Construction Value: $325.00 Work: ROOF REPAIR BY: Page 1 of 1 PB 15 -14 AMD PL OF MIAMI SHORES SEC 4 LOT 5 BLK 90 Total Fees: $1).1.30 Total Receipts: 16.08 ` y cb 3 cO 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 responisibility for all work done by either myself, my agent, servants or employes. Da Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHOR1Si- VILLAGE BUILDING DEPARTMENT \ (� 305- 795 -2204 \ �( r Building Inspection Request o BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) r Owner's Address 4 4 b -/ ltE 101 :; Cit kVL(Atit L S J4 LL State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES $ Value of Work For this Permit Type of Work: Describe Work: Miami Shores Village Building Department Plumbing Mechanical ggAto/ County NO Miami -Dade Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. V 2OO " 3 )5 Master Permit No. Phone # Zip 3 all Phone # 306 i 99 7 2- Zip 33/38 Contractor's Company Name 7) (au( I O _1 4.3 c-- Phone # 15V 9I Contractor's Address 6 / f /U Cit ' h/ 4 S144. State '� Zip 33 / 38 Qualifier b ctit Zip /375 Square Footage Of Work: Z 61- Bedrooms Baths ['Addition ['Alteration DNew ❑ Repair/Replace ❑ Demolition ap nrd • 1 /5 Number of: Bays Stories Families Code Enforcement $ ` Bond $ Education/Training Fee $ e/ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ / v Permit Fee $ MO Tech $ p� 50 Minus Plans Check Fee $ • (:)° Total Fee Now Due $ 96( cO 6 1-161q Scanning $ Struct. $ T a , l U Notary $ g Radon $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State • Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, • CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will , : . - proved and a reinspection fee will be charged. Signa Chc7/7 /03 Signature MAR 1 11004 Plans Examiner Engineer Zoning • Zip Own- or ent Contractor The foreg ing instrument as . knowledged before me this I The foregoing instrument was acknowledged before me this day of 0 YC , 200 , by 00 I `G O Y A S . , day of 20 by —, who is personally known to me or who has produ ed who is personally known to me or who has produced As identification and , who di ,oath. as identifi and who did take an oath NOTAR : LI = o' ,- . Co mission #DD2 1984 a , • y NOTARY PUBLIC: Sign: �� �d, :, . piresj Jul l 3 2007 r Sign: ,(il� Print: , _f �� Atlantic Bond +ngCo.,.lnc. - Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. •••****** s************* s***** s* s** s**** * * * * * * * * *• *s * * *s * * * *s ** * *** * *ss *ss * * * * ** *sss * * * * ** *sss *s *s * * *s* APPLICATION APPROVED BY: Contractor's i■iatnp: c b42 14 -71 . • 41 4 C., Job Address: Litq AA )()) a • • 1 " • • ROOF CATEGORY O (Low Slope Application) 0 (Nall-On Mk) 0 (Morfarl•Set Tiler O (Asphalt/FTherglass Shingles) - 0 (Metal RpoRfWood Shingles & Shakes) 0 (Other) ROOF TYPE . re: 0 New Rixif O Re-roofing 0 Recovering ) ReFair 0 Mains= Flu Roof Area (1t Sloped Roof Area (R Mod (ft Master Pertnialo. Exposure category (per ASCE 7-98) Building Classification category (per ASCE 7-98): _ :. :::,'..-:::• _ • ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION FIG SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installation 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 15 (High Velocity Hurricane e ) 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 dressed 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 r- iled in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (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 • (i.e. townhouses, 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 team ceilings are where the underside of the roof decking can be vi ed froin below: °Tlie owner may wish to maintain the architectural appearance, therefore, roofing nail enetrations of the underside of the decking may not be acceptable. The Florida Building Code 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 e water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural stress 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 original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not oaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if rflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in acco . • ce with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the or of the structural assembly (the building itself). The existing amount of attic ventilation shall not be re ' ced. It may be beneficial to consider additional venting which can result in extending the service life of the roof: Moments w SetttspUbelasttgal SeabietTemprreaporary wKae ru,na a.UVo mAsu., ON l574114 Miami Shores Village 10050 NE 2nd Avenue Printed: 3/12/2004 Applicant: DIRK Owner: GROENENBERG JOB ADDRESS: 489 NE 101 Contractor DALEY ROOFING INC Local Phone: (305)754 -9892 Parcel # 1132060170690 Signed: (INSPECTOR) Building Permit Phone: 305- 795 -2204 Permit Number: BP2004 -315 GROENENBERG DIRK ST Contractor's Address: 78 NE 106 ST Page 1 of 1 Legal Description: AMD PL OF MIAMI SHORES SEC 4 LOT 24 & E3/4 OF LOT 23 BLK 91 Fees: FEE2004 -2673 FEE2004 -2674 FEE2004 -2675 FEE2004 -2676 FEE2004 -2677 FEE2004 -2678 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $1.20 $5.00 $0.40 $2.50 $3.00 $112.10 Total Fees: $112.10 Total Receipts: i&.08 ° Permit Status: APPROVED Permit Expiration: 9/5/2004 Construction Value: $1,375.00 Work: REPAIR ROOF 3 LEAKS -----05— 50 0 Sor3e *,0 IN 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: PB f PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2--9-01 Job Address 489 N . E . 101 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Pamela Jarvis Master Permit # •90 Owner's Address 489 N.E. 101 Street Miami Shores Phone 758 - 9972 Contractingco, Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Qualifier Carlos Arocho SS# State# RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Repairs on tile roof. .Seal 4 leaks and reinstall tiles. SquareFt. Repairs on tile roof EstimatedCost(value) $ 2,000.00 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 perforated to meet the standards of all laws regulating construction itr 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 constructionerid zoning) Furthermore, I authorize the above - named contractor to do the work stated. ""( , - /:9/k /119 Signature downer and/or Copdo President Date c— Notary as to • er and/or C My Commission Expires: , 'v RYLOU HERNANDEZ "; �•� : MY COMMISSION # CC 680474 - '�� q EXPIRES: October 10, 2001 ."''• of derwr ,,,,, Bonded Thru Notary Public Underwriters ,,,,,,, APPROVED: Zoning Building Mechanical 6 FEES: PERMIT RADON C.C.F. NOTARY MARYLOU HRRN U MY COMMISSION # CC 0 EXPIRES: October 10, 2 174 Rf, ;;q�° Bonded Thar bin • Publlc Undo:vi tas Signature of Contractor or Owner- uilder Notary as to Con .' tor or Owner - Builder My Commission Expires: Electrical BOND Phone 751 -0382 TOTAL DUE Date 0 Plumbing Structural Engineer Contractor's Name:�I, (re Job Address: q g( �� e _ 10 ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE � - ❑ New Roof ❑ Re- roofing ❑ Recovering lld Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft') Total (ft Master Permit No. Exposure category (per ASCE 7 -88): a Building Classification category (per ASCE 7 -88 table 1): Ft. A V Ft. A V Deck type: ATTACHMENT ■ Fastener Type: SPACING Field: Perimeter: Corner: 129.01-78 4199 DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page -1 ROOF PLAN ---- ------ -- -------- Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -2 rlayment: Iluulation: Fastener type & spacing: Cap Sheet: Roof Covering: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a 'ecific System Description b) Spe ' c System Limitation . c) General tions d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals Ridge Ventilation? MEAN HEIGHT Deck type: zUnd 12" ROOF el. D E T A I L ■ 3 SLOPED SYSTEM DESCRIPTION Drip edge: TILE CALCULATIONS (Pmax1: x a. (• ....amic Multiplier): ) - M = M ri / PCA: (Pmax2: X X (Aerodynamic Multiplier): (Pmax3: x X (Aerodynamic Multiplier): = M PCA: PCA: 1 ` • APPENDIX. "F" REQUIRED O11'NERS NOTIFICATION FOR ROOFING CONSIDERATIONS - A,s 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 nll the mininl;: requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed ns part of the agreement between the owner and the contractor. The owner's initial in•tite ja -ent box indicates that the item has been explained. 1. Aesthetics-Workmanship: The workmanship provisions or Chapter 3; are for the purpose or viding that the roofing system meets the wind resistance and water intrusion performance stanch -d;. esthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such ns color or architectural appearance, that are not part of a zoning code, should be addressed as part of rite 't,gr_eement between the owner and the contractor. 2. Rcnailing \Vood Decks: When replacing roofing. the existing wood roof deck may have to be renai'.ed ccordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to oving the existing roof system) L_ 3. Common Roofs.: Common roofs are those which have no visible delineation between neighboring u its (i.e. townhouses, condominiums, ctc.). In buildings with common roofs, the roofing contractor and/or , iL r 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, . vie' from below. The owner may wish p to maintain the architectural r c It bil ar netrntions of the underside of the decking may not be acceptable. The SFBC provid th t l option of n i'uain ng („. .....ehis_appearance. S. Paneling \\ titer: The current roof system and /or deck of the building, ca sc water to pond accumulate in low-lying '� may not drain well end may ( ) > g areas of the roof. Ponding can be an indication of structural stress and may require the review of a profes structural cn;incer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions ntav not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): k is required that rainwater flow off so that the roof is no: erloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge verflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in accordance ‘vith Chapter 23 ()idle SFBC. (7) --/ 7. Ventilation: Most roof should have sortie abilit v ni y to ern natural IhfGa`_II lle I.tci•,�. le structural assembly (the building itself). The existil amount of attic ventilation shall not be reduced. I: fay be beneficial to consider additional venting which can result in extending the service life of the roo. S. The owner may contact the fvliam1.Dadc County. Consumer Services Department foe further rmatiionregarding the above. u �� l c fit` Contractor's Signature "ncr's /,\gent s Sio`Ilatllre Legal Description Qualifie Notary My Commie APPROVED: Lessee Owner's Address Contracting Co Signature •f owner a Da • • Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 14 Z: 1/4d/ 4/7 Tax Folio / Tenant eA/i€457/f/id Master Permit # 37/3) Phone_�S'���J %I-0e /� /. Addres l 3 e.). ?zr.> eeei,•.9 1 / / Phone �7f! — i 7 State i Gt7g74.0 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION AX4frie A/0,1/e 5024fIe. 7 /e -4/�� Square Ft. o 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 co - tion and zoning. urthermore, I authorize the above - named contractor to do the work stat 047ii&&_/. oil j!S J�4 or Condo President s n Expirelv111Paisident £Annission MCC 327872 ** * * * * * * * * FEES: PERMIT ,v RADON C.C.F. Fire Buildin ignature of Co 'lder Date Notary it My Comm _ P . ° OF NOTARY traclbflfl9 Mi er- Builder ion Expires 11/2197 ommission MCC 327872 ** TOTAL DUE : r Other Electrical Mechanical Plumbing Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date? 3 -9/ Job Address Y19 " `' lot S-r- Tax Folio 3206 /. °69 0`/ 3/ 23 9' / 4 PL M 3/�� Legal Description WV L' • S ster Pe rmit �� 3/ ,� f r/ /!/. }- .-o/1/Gd o/ S Owner / Lessee / Tenant Owner's Address ( 5' Ai-3 /0 ( Contracting Co. �1 L � ?s. ' �( ?rNry - 3' d / � �7 �e/4. /G' ���"'�J � *Si- Address ,,� 1 D Qualifier / ( °Il/l �oUJ/�� SS# Phone 61/1 ° �T State # C6 c Op ( p /(ompetency # 7 e G Ins. Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION / A per 7-0 rJ 7 7 C-C Square Ft. 3/ 7t Estimated Cost / /D0 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner and /or Condo President My Commission Expires: * . * * * * * fa. 0 0 Phone Signature of Owner and /or Condo President Signature of Contractor or Owner - Builder Date: Date: Nota as to Contractor or Owner- Builder My Commission Expires: PERMIT FEE: APPROVED: Fire Other Zoning Building \1 7)') / ) Electrical Mechanical Plumbing Engineering * * * f • • MIAMI SHORES VILLAGE 3 ( 322 • 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 building 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 o g. 0 3. 19 �?- // Owner's Name and Address 061/ 'S Y/� A O � No. 1 ' " Street ( 0 / Registered Architect andior Engineer V / Name and address of licensed contractor L4)(L / ' 41 4 1 'S7 Location and legal description of lot to be built on: Lot Street and Number where work is to be done Block Subdivision tree9 Af /b ( State work to be done and purpose of building (by floors). state terior c ors (sub�ftf! samples) - `� e xr T / l ' . 0 (f ,s.".'( f a...4,/ r% (....,G-7- ° /2I7c/ 1/2 0 N CriGe�;.2iss) ZS) 4 � 3/ (F / ct T7 ati °et 7 '4). and for no other purpose. New Building • Iylmodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S ‘L? 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 plans and specifications for said building. All notices with reference to the building and • nstruction may be sent to 11 itW Z ( ( 7 /i1 W 97: ®P4'j-o-q. / 1/f 4) 11)(44/6, (U/ C:' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons 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 requi 'milar 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 fo on the site of the work such public notice or notices as are required by the Act. The undersigned a es to employ only such 1 .contractors. on work to under this permit. as are licensed by Miami Shores Village. g /MO / 1) r _ I T STATE OF FLORIDA etge • 0 0 COUNTY OF DADE. } ss. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared to me well known. Remarks (Signed) 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 5 ^'`AA-� ONotary Wk. State of Florida (Signed) MARI i LA :-_ 'IOTARY PUBLIC Building Inspector My Commission Expires ST/ATP C, r F l () R l f) A' PLANNING BOARD DATE COMMISSION EXPIRES 9/25/94 Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 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 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 progress of the work. 3 -28- 78 Date ..._........ ._ ». Mrs. Martha Drebert .. �t8gw — ' - ' '"N':71 - 0 st" Owners Name and Address — No...._........_.... . Street._.. Registered Architect and /or Engineer L al,•, H, ,,,,,,,,,,,,,,e,- „ ...... Biscayne Roofing Co. 5180 11th Ave. Hialeah, Fla. 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 489 N. E. 101st S t r e e t State work to be done and purpose of building (by floors)... » RiRrNElf tear off existing roof . Tin ea._ -30# felt. Install 26 guage galv. eave drip and mop 1 -90# slate. Lay G 1” solid color shingle tile —� and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering shingle tile 29 sqs. Estimated Total cost of improvements $ 5.,-300.00 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 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 insp tion 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 performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Chairman Mcrrbcr Member ...... Council Approved 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 e. Permit No.. .21' 3 Date 3 2- 7: - 7 Read, Sworn to and Subscribed before me. Disapproved Date (Signed) .._ Notary Public, State of Florida ... Bu ldi nspector My Commission Expires P NNINC BOARD _.._......DATE Membcr Membcr Member Date Disapproved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. or changes to this application after npproval Date has been obtained from for inspection a faulty BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address . .CP , C r:.... -- At"V ' Registered Aschitect and /or Engineer Name and address of licensed contractor. and legal description of lot to be built on P ` 11 Disapproved ...... (Signed) ....... MIAMI SHORES VILLAGE Date. .�._� 19 6 G� r No... � � f�,1 Street..f��..c. .r. /4f .$' Lot Block Subdivision. iJ o 0 Street and Number where work is to be done State work to be done and purpose of building (by .. - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof C.gvering.) (.." 0 r q@a Estimated Total cost of improvements $... ,,,>'C10...r Amount of Permit $ rl.i ..,,...� Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lo 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) - "` e STATE OF FLORIDA, t COUNTY OF DADE. a 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,_. .Q... Date 4/ — - rte- — 6° Read, Sworn to and Subscribed before mo. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member hiomber 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 ',� ( „7 - 6 , � � D�,//,‘, 19 A r Owner's Name and Address. t ,�� it � . No..y? Street.r � q Oan__S'. Registered Architect and /or Engineer ........... ... n, Name and address of licensed contractor.:. - 7 = - % v , Location and legal description of lot to be built on: Lot Block ry Subdivision.. Street and Number where work is to be done....._ /. W °... State work to be done at purpose of building (by floors) New Building Remodeling Addition Repairs To be constructed of Kind of foundatio . Estimated Total cost of improvements $ C2 • and for no other purpose. No. of Stories Roof Covering j / £ c 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 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 SuPplenient, 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 ( I , ' li te r"-._ _.? STATE OF FLORIDA, COUNTY OF DADE. j 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 fore pit g application, and that he did sign the same, and that all facts therein by him s ted are true. Permit No 33 a Date /( _ Disapproved t 4 Date (Signed) Chairman Member Member Building Inspec Read, Sworn to and Subscribed before me. Notary Public, State of Florida ANNING BOARD DATE y Commission Expires 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. FLORIDA BUILDING ❑ el / ELECTRICAL ❑ _ DATE 195 PLUMBING PERMIT N° 7330 Contractor's ❑ License No. ROOFING ❑ Work to be performed under this Permit Owner of Building / r / L ' C 4. f ' , , /4.) r••'?? f «« Architect Contractor or Builder 1 r- '` f& (.7 Q 4) AC! Legal Lot Description 1 Bl. Address of j/ fr 1 A4 5/ S( Building ? i/ �° Subdi- vision a es Value of --- 11 Amount of S •---» Project $ 11 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 furthgr„ condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowI dge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in tk statements or s cifi�ons andthat he} assumes responsibility for work done by his agents, servants or employees. !� Signed INSPECTOR f In consideration of the issuance to me of this permit I agree to perform the work covered ereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub tiled to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume res nsibility for all work done by either, myself, my agent, servo or employee. / CONTRACTOR OR BUILDER BY AUTHORITY