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ROOFINGDate 6/2-?* gj Job Address 720 /U(= /O/ ''S'/-419:5W Legal Description Owner / Lessee / Tenant 4fiavi f /614 teen Owner's Address 2 A) 97 '" 41 gre.P4- , ,cilares Contracting Co. ( 2 6gW4 s e, SSoG Address /td c / 5 O? ?, r�l�P �f'vGr. lea +y P Qualifier ( 6, ; /('mss WORK DESCRIPTION ej,ea Square Ft. 3200 Signature of owner and Date: APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 75 -4/ e l - 5 - or Cd State #CG Municipal # Competency # Ins.Co. Architect /Engineer /U /14 Bonding Company Mortgagor /10-1 Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL 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 cOrA4er to 9 k stated. George R. Phillips . .1'��.� a � 11 OHIO is P-14- 4/ov- ** * * * * * * * * FEES: PERMIT .# j RADON C.C.F. Fire Expires 6/26/04 id:tmission #CC 025187 Signatur Date: • 66oirg- a, (4, 6/7/? F Notary as to Owner and /or Condo President My Commission Expires: Buildin Mechanical Plumbing SS# / Phone bogs - - 725 Address Address Address Estimated Cost(value) -, 000 - 2 Notary as to Conte /AC /w My Commission Eirki .0" COMMISSION NUMBER f ' � CC360191 f �' 74 O ? Y COMMISSION EXP. `c OF F i M EL.....11P g8 * * * Tax Folio 5] Master Permit # Phone 7S - 411 PAVING FENCE SIGN H,,(. 7 1.e , 6 of Contractor or Owner- Builder A � �n 1 kfzl NOTARY TOTAL DUE i t t i - Other Electrical Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 2. Description of improvement: 3. Owner(s) name and address: #-/a Vl £' Ko+6 (eftf. 1- Interest in property: .( A 9i r' Name and address of fee simple titleholder: gernoC (.&) 4 (ot4- 14 II 1� rcrr►��w J7 4. Contractor's name and address: &e,i2/�-c a -.�,, l( e 4c.oc j 1 ' c 1 1 e /Sn? / S. ers , vPr.�r_ j nj Amount of bond $ 71//1"4- =de" my 6. Lender's name and address: signature of Owner Print Owners Name Sworn to and subscribed before me this 2 7 day of � - , 19 c t : . Notary Public Print Notary's Name My Commission Expires: gt, ; /l ,-; 948 312258 1994 JUN 28 09:47 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 6 3/c k /04- 6u4),Ivr GY rG.r1�, sTY't= Vt ((a5e / 7Z0 /tfe /0/ 3 5 f. Nro,mr Sh-arirS .nd and OR:cicf ■ -s ,A.v.19 STgTE OF FLORPDA, COUNYY OF L;k3es 5. Surety:(Payment bond required by owner from contractor, if any) 1 rlrlxE3v CEMPY oho, fills !� G fruo e s is Name and address: if i /t7 01 in this °I nca on - -- CLEF[" n4C rcu:l.. td f 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s)10 receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) G. R. PHILLIPS Y COMMISSION it CC 979809 DO'IRES: June 26, 1998 • g ; h °:` Bolded lbru Nary Pubic UndpynlMS Prepared by: gecn -1 Address: / 6 - 6 2 / 5. a3iic . ARn.-e �rr , �l r a,; n ; 2 33/6g 12301-52 2/93 MTTRO•DADE Metro Roof Tile, Inc. . 11350 NW South River Drive Medley, FL 33178 ACCEPTANCE No: 94- 0106.06 EXPIRES: FEB 1 4 1997 APPROVED: , FEB 1 4 1994 PRODUCT CONTROL NOTICE OF ACCEPTANCE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 Your application for Product Approval of Metro Roof Tile, Inc. roofing tile under Chapter 8 of Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Construction Research Laboratory, Inc., Testwell Craig Laboratories and Consultants, Inc. and Justo R. Rodriguez, P.E., has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the Specific Conditions set forth in pages 2 et seq. and in the Standard Conditions detailed on page 3. The approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to require retesting of this system within the first two years of the approval should any amendments to the South Florida Building Code be enacted affectin ti's co f one or roof systei * *PLEASE NOTE ** it Diamond, P.E. Product Control Division Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Co to be u in Dade County, Florida under the conditions set forth above. THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT CONTROL APPROVALS #89- 0814.06 & #90- 1005.03 Ch. es Danger Building Code Compliance Department • Metropolitan Dade County m Applicant: Metro Roof Tile, Inc. Product Control No.: 94 -0106.06 11350 NW South River Drive Approval Date: FEB 1 4 1 994 Medley, FL 33178 Expiration Date: FEB 1 4 1997 Category: Prepared Roofing Sub - Category: Tile Type: Nail - on/Mortar -set Sub -Type: Concrete Metro Roof Tile, Inc. is a Florida based manufacturer of extruded concrete roof tile. Tile is available in two profiles: Flat concrete interlocking and Spanish 'S'. Tile is marketed through local roofing wholesale distribution and is approved for both nail -on and mortar -set applications in the South Florida jurisdiction. Matching trim pieces are manufactured for all profiles and all mortar, metal flashings, fasteners shown in this document form an intergal part of this Product Control Approval. Metro roof tiles have been tested in compliance with all South Florida Building Code requirements for nail -on concrete tile application. Product Control Notice of Acceptance Roofing System Approval System Description Contact: Fernando Arias 11350 NW South River Drive Medley, FL 33178 • (800) 892-8033 System Trade Names Spanish 'S' Roof Tile _ Hip and Ridge Tile Maximum Design Velocity Pressure Material Design Velocity Pressure Wood, Non - insulated psf (See Comments and Limitations) Material Wood, Nail -on Maximum Fire Classification Classification Class A Product Control No.: 94 -0106.06 Product Spanish 'S' Roof Tile Hip and Ridge Tile Cement F1atTM Hip and Ridge Tile Trade Names of Products Manufactured or Labeled by Applicant Dimensions 18'1" x 101/4" 10" x 16" x 2" Test Specifications PA 112 Gil Diamond, P.E. Product Control No.: 94- 0106.06 Product Description Interlocking, high pressure extruded concrete roof [iles;with a Spanish S' profile. PA 112 High pressure extruded concrete hip and ridge tiles for Spanish 'S' tile applications. Extruded, interlocking flat roof tile for nail -on and mortar set application Product #30 Felt #43 Base Sheet Mineral Surface Cap Sheet Asphalt Primer Mopping Asphalt Flashing Cement Trade Names of Products Manufactured by Others Dimensions Test Specifications ASTM D 226, type II ASTM D 249 ASTM D 41 Product Description Saturated organic felt to be generic used as a nailed anchor sheet. ASTM D 2626 Saturated and coated organic base sheet for single ply underlayment. Gil Diamond, P.E. Product Control No.: 94 - 0106.06 Manufacturer generic Mineral surfaced asphalt generic roll roofing. Cut back, asphalt based generic coating used to facilitate adhesion of dissimilar materials. ASTM D 312, Asphalt for bonding the generic type III or type mineral surface cap sheet IV to the base sheet. ASTM D 4586 Cut back, asphalt based, generic fiber - reinforced trowel grade cement for flashing and repair applications. Valley Flashing Min. 26 ga. x 16" ASTM A 525 Galvanized steel valley generic flashing. Drip Edge Min. 26 ga., 2" x ASTM A 525 Galvanized steel drip edge. generic 2" Wood Battens Min. 1" x 2" for LP - 2 . Pressure treated wood generic horizontal, 1" x battens. 4" for vertical - Roofing Nails Min. 12 ga. x 1 "_ ASTM A 641 Corrosion resistant roofing g eneric nails. Tin Caps Tile Nails Product Control No.: 94- 0106.06 Min. 32 ga. x Corrosion resistant circular generic 1 -5/8" discs. Min. 11 ga. ASTM A 641 Corrosion resistant nails. generic Nail heads shall exceed the size of nail holes in tile. Hurricane Clip PA 114 Galvanized , bronze, aluminum, plastic, or stainless steel attachment clip for high wind areas. • Hurricane Clip #8 x 2" PA 114 Compatible fastener for generic Fasteners clip Tile Adhesive ASTM D 3498 Structural bonding Ohio Sealants, Inc. adhesive for roof tile. Mortar ASTM C 91 Approved mortar ratio, 3:1 generic Sand to mortar generic Test Agency Construction Research #5276 Laboratory, Inc. Test Identifier Test Name/Report Testwcll Craig Laboratories EA- ALT -14 Material.Properties Test 09/03/93 and Consultants, Inc. EA- ALT -10 EA- ALT -09 EA- ALT -06 Justo R. Rodriguez, P.E. 11091090 Material Properties Test 09/10/90 Water Absorption and Breaking Strength #060790 #030990 Gil Diamond, P.E. . Test Reports Uplift Approvals Static Pressure Structural Uplift Resistance Water Absorption and Breaking Strength Material Properties Test 07/12/93 Water Absorption and Breaking Strength Material Properties Test 05/29/93 Water Absorption and Breaking Strength Material Properties Test 03/06/92 - Water Absorption and Breaking Strength Material Properties Test Water Absorption and Breaking Strength Product Control No.: 94- 0106.06 Date 03/09/90 06/07/90 Material Properties Test 03/09/90 Water Absorption and Breaking Strength Deck Type 1A: Deck Description: Slope Range: System A. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comments: Wood, non - insulated Systems New construction, 19/32" or greater plywood or wood plank 4":12" to 7":12" Product Control No.: 94- 0106.06 Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head lap shall be mininnun 2" and side lap shall be minimum 6 ". Vertical battens are optional for roof slopes of 4 ":12" to 7 " :12" Horizontal battens are optional for roof slopes of 4 ":12" to 7 ":12" The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6 For re -roof applications, 15/32" plywood is an acceptable substrate. Gil Diamond, P.E. Deck Type 1A: Deck Description: Slope Range: System B. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overturning Moment: Comments: Deck Type 1B: Deck Description: Slope Range: System A. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Wood, non - insulated New construction, 19/32" or greater plywood or wood plank 4 ":12" to 7 ":12" Product Control No.: 94- 0106.06 Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens are optional for roof slopes of 4 ":12" to 7 ":12" Horizontal battens are optional for roof slopes of 4 ":12" to 7 ":12" The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6 For re -roof applications, 15/32" plywood is an acceptable substrate. Wood, non - insulated New construction, 19/32" or greater plywood or wood plank >7 ":12" Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 "; side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head lap shall be minimum 2" and side lap shall be minimum 6 ". Vertical battens are optional for roof slopes >7 ":12 ". Horizontal battens shall be installed on roof slopes >7 ":12 ". Horizontal battens shall be minimum 1" x 2" treated lumber shall be installed directly to the deck in a maximum 1/8" thick bed of flashing cement and secured through the sheathing into the top truss cord with approved fasteners at a maximum rate of 24" o.c.. Spacing shall be in compliance with the Metro -Dade County Model Nail -on Tile Specifications and the manufacturer's recommendations. The Metro -Dade Specification shall take precedence. The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Approval. Deck Type 1B: Deck Description: Slope Range: System B. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overturning Moment: Comments: Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. - To be completed by May 30, 1994. Refer to Limitation No. 6 Maximuin Aerodynamic Overturning Moment: Comments: For re -roof applications, 15/32" plywood is an acceptable substrate. Wood, non- insulated New construction, 19/32" or greater plywood or wood plank >7 ":12" Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens are optional for roof slopes >7 ":12 ". Horizontal battens shalfbe installed on roof slopes >7 ":12 ". Horizontal battens shall be minimum 1" x 2" treated lumber shall be installed directly to the deck in a maximum 1/8" thick bed of flashing cement and secured through the sheathing into the top truss cord with approved fasteners at a maximum rate of 24" o.c.. _ Spacing shall be in compliance with the Metro -Dade County Model Nail -on Tile Specifications and the manufacturer's recommendations. The Metro -Dade Specification shall take precedence. The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. To be completed by May 30 1994. Refer to Limitation No. 6 For re -roof applications, 15/32" plywood is an acceptable substrate. Product Control No.: 94- 0106.06 Deck Type 2: Wood, non - insulated , Mortar Set - Deck Description: New construction, 19/32" or greater plywood or wood plank Slope Range: 2 ":12" to 7 ":12" System A. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Membrane: Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head lap shall be minimum 2" and side lap shall be minimum 6 ". Vertical Battens: None Horizontal Battens: None Mortar /Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Application: Model Mortar -Set Tile Specification. Mortar shall be Type "M ", mixed in the ratio set forth in the 'Products by Others'. Any adhesive application shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with system 113, of the Dade County Model Tile Specification. r • The tile system shall be installed in compliance with the Metro Dade County Model Mortar /Adhesive -Set Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application_ methods stated in the execution section of said model specification. See Limitation No. 6. Roofing Tile: Maximum Design Velocity Pressure: Comments: For re -roof applications, 15/32" plywood is an acceptable substrate. On slopes 4 ":12" to 6 ":12" tile shall have the first three courses of tile nailed with not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a single layer of nuninimn 12 ga wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail per every 211 For pitches from 6 ":12" to 7 ":12" every third tile of every fifth course, beginning with the eighth course, shall be nailed. On Slopes >7 ":12" all provisions of 'System 1' of the Dade County Model 'Horizontal Batten' Nail -on Tile Specification shall apply. Gil Diamond, P.E. Product Control No.: 94 -0106.06 Deck Type 2: Wood, non- insulated , Mortar Set Product Control No.: 94 -0106.06 Deck Description: New construction, 19/32" or greater plywood or wood plank Slope Range: 2 ":12" to 7 ":12" - System B. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Membrane: Any mineral surfaced, self-adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical Battens: None Horizontal Battens: None Mortar /Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Application: Model Mortar -Set Tile Specification. Mortar shall be Type "M ", mixed in the ratio set forth in the 'Products by Others'. Any adhesive application shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with system #3, of the Dade County Model Tile Specification. Roofing Tile: The tile system shall be installed in compliance with the Metro Dade County Model Mortar /Adhesive -Set Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Approval. Applications, as detailed in the test reports, are consistent with the application — methods stated in the execution section of said model specification. See Limitation No. 6. Maximum Design Velocity Pressure: Comments: For re -roof applications, 15/32" plywood is an acceptable substrate. On slopes 4 ":12" to 6 ":12" tile shall have the first three courses of tile nailed with not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a single layer of minimum 12 ga wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail per every 2f For pitches from 6 ":12" to 7 ":12" every third tile of every fifth course, beginning with the eighth course, shall be nailed. On Slopes >7 ":12" all provisions of 'System 1' of the Dade County Model 'Horizontal Batten' Nail -on Tile Specification shall apply. • - Gil Diaftlond, P.E. Limitations: 1. This roof system assembly may be applied to roof slopes no less than 4 ":12 ". 2. Horizontal battens shall be used on all tile applications on slopes of >7 ":12 ". 3. Mortar set systems may be applied to roof slopes of 2 ":12" to 7 ":12 ". 4. Nails for attachment of tile shall have heads larger than the pre - formed nail holes in the tile. 5. All tiles shall bear the imprint of the manufacturer's name or logo, as noted attached, to pernut identification in the field. 6. Allowable height above ground shall not exceed a maximum height of 45' for non - coastal, 30' in Coastal Area 1 and 2, and only by job approval from the Chief Product Control Compliance Officer in Coastal Area 3. 7. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 8. All nails shall be corrosion resistant. Exposed nails shall be hot dipped galvanized, stainless steel, or copper oily. 9. The manufacturer shall retain the services of an independent testing laboratory to maintain quality control. Testing shall be performed on a minimum of five (5) tiles every three (3) months, for strength according to Section 3404 of the South Florida Building Code, and for moisture absorption according to PA 112. Test samples shall be selected by a laboratory according to ASTM D 3665. Results shall be forwarded to Dade County Product Control Section. Test reports shall bear a description of the tile by material and color, i.e. cement, grey. 10. All domestic distributors and private labelers of foreign manufactured tile shall have a completed distribution agreement filed with the Metro Dade County Office of Code Compliance confirming the distributor's agreement to adhere to the conditions of this report. 11. Metro Roof Tile, Inc. tile shall be installed in strict compliance with the application instructions noted herein as well as the manufacturer's and Metro -Dade County specifications and application instructions. The Metro Dade County Model Tile Specification shall take precedence. 12. The use of all pre - formed trim and specialty tile tested is required as it forms an intricate part of these product control approval tests. =13. Applications for roofing permits must be accompanied by Section II of the Uniform Building Permit, clearly indicating the extent of the work to be performed, along with current manufacturer's specifications and details. In addition, a copy of this approval shall be attached to the permit application. Reference shall be made to all appropriate data for the required fire rating. Acceptance Number: 94- 0106.06 Approved: Expires: 14. The following documents were submitted with the application: Metro Gem Product Literature Profile Drawings Application Instructions Acceptance Number: 94 -0106.06 Approved: Expires: Gil Diamon .E. Metropoli n Dade County Office of Code Compliance - METRO-DADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING NOTICE OF ACCEPTANCE: STANDARD CONDITIONS BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 1. Extension of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the Slate of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re-evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising puiposes. 5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. Many portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer or his distributors; unless otherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. • An annual certificate confirming listing with Factory Mutual Research and Underwriters Laboratories or such other listing agency approved by the Office of Code Compliance shall be submitted on or around the first of April annually. 8. Failure to comply with Standard Conditions shall be cause for termination of Approval. iamoud, P.E. P •duct Control Division upervisor --METRO ROOF TILE MAMXACTUIIENE OF CEUINE ROOF ULEU " 3/ Technical Data Sheet A 14 -�" 34° 4 . s i c. t= g W=1!- o' .SPANISH TILE M.R.T. G /80 %G H. . END VIEW 1/2 2 Id 2 1/4" HIPS, RIDGE AND GABLE TILE R IDGE 151/2" l TOP VIEW HIPS AND. RIDGE TILE T 18" • APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ut ire 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 budding during progress of the work. .. , 10.. Lille 2 v ..... _ ._ be _........._ Owner's Name and Address .... JC36.1# fl Mv/ _. No. ..._ 7 C —. Street —LE / ~ ST" Registered Architect and /or Engineer t.... IMO •••t,.•.,..,.tt.t...•< Name and address of licensed contractor CARRvy leocf/n,e 6, JA, — 3CL._ it, 1)__ /9/i1ri/ Location and legal description of lot to be built on: L ot Block Subdivision _ ....r...._,.._._..... _ Street and Number where work is to be done 7g 0 /t £ k/ _ST __ _ State work to be done and purpose of building (by floors RE F — a 7 i a- X f>-I/ /rt,E SfNl_C -/C 7 LE Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date _ wilding Inspector peared and for no other purpose. N New Building Remodeling �• Addition Repairs No. of Stories / e1 To be constructed of Kind of foundation Roof Covering Pfil t 5 11 /1-( TUE Estimated Total cost of improvements $ 79oo. et Amount of Permit $. / GC Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot \faxitnum 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 ttnder>igned 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 % %nth 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 noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this __ pcnnit, as are licensed by Miami Shores Village. ( 7 /. ) C� 1 7 . `E un_ ; y Remarks..._..... ( Signed) � L . / STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ape — _ 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 fads therein by him state are true, 1 Perm st it No.._! .. .12: k Date... 4 9.(� .._..._._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commiuion Expires......._._._... .. _._.. _.._...� ._. PLANNING BOARD DATE Chairman — Member Member — Member Me mber .. .. _....._..._._....._ 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 Pl.tnnir.g Board. A rc in'.peo•tion 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.