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RE-ROOF
Type Insp'n Permit No. Name Address Company Phone # Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE x BUILDING DEPARTMENT col- 305- 795 -2204 Building Inspection Request Date 1 - 3d - o y st6 ' 13 f coo, - Ci/4i1G- tvg' / /1/6 /oz St g9 - 777f Inspection Date "� y MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 11..LO 2— Time Type Insp'n f ( YYLO p Permit No. ftPo3- /(05{ Name 5 °' ' ` G d co- .-- Address 1.1,6 l0 S T Company 2 Phone # JU — - Z Z 9 For Inspector:9 l'403 Correction ❑ Re- Insp'n Fee ❑ Name & Date 1' MIAMI SHORES VILLAGE' 0 2(0 0 BUILDING DEPARTMENT 305- 795 -2204 Building Insspection Request Date / ey Type Insp'n Permit No. 8 7 200 ,3- 6r / Name iirq"i/Tir Address 9 J 5 / Q 2 g /V 7L Company s r} ,0O D ; G1 Cj Phone # 30S gel, 7 7 7, Inspection Date Approved Correction Re- Insp'n Fee / .-20 -o y 0 Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test P or F) Test Location Uplift Pull Test (P or F) 1 J 26 51 2 27 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 '.\( 50 75 Du Quesne' & Associates, Inc. Consulting Engineers Testing Laboratory THIS UBMIT '_Y: ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 rge.Du Quesne, vil Engineer - P.. #24513 - Du Quesr e & As • - -tes, Inc. E.B'License #0005245,_ Lab Certification #94- 0318.01 SITE SPECIFIC INFORMATION Owner's Name: Ai : 0'J'!2 Permit #. 13 P D 3 '-1 h�Y Job Address 29 /0 /6 Roofing Contractor N P F6 Type of Tile: : Ala ,* Date Installed //6 oy Approximate Roof Height /� feet Roof Pitch y �1e Type of Access to Roof: Scaffolds Ladder Other Approximate Square Footage of Roof n006 ft 2 Required Testing Force 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested / G / TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Please Note: This form is not valid unless Company logo appears in color (burgundy) Environmental • Civil • Structural Building Inspection Services UTR - 18767 THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 KETCH OF ROOF JOB SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES. . ,08 2-7 /V, E. 102 srf, tiri4i/ • SHEET NO Z OF Z / • CALCULATED BY 7 6-20 DATE / � --- A CHECKED BY DATE SCALE $KETCH OF ROOF 4' /8' 30 6 3D ' trN 0 INN Ft4 l 4 NOTES' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. 03 J - 7 PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ❑Addition ❑Alteration :New ❑ Repair/Replace ❑ Demolition Describe Work: * * * * * * * * * * * * * * *** * * * * * * ** *a* Fees * * * * * * * * * ** *yes * * * ** ** * ** ** * * ** Submittal Fee $ ® Permit Fee $ ;,4 ` — CCF $ 94 0 Nota ry $ Training/Education Fee $ 3 , t 0 Technology Fee $ 5.1 3 Scanning $ 3 - Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ a gig . 93 (Continued on opposite side) 34 - so. — a 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 be approved and a reinspection fee will be charged. Signature Owner or Agent 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: Chc 10/14/03 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: * * * * * * * * * * * * * * ** see**** s** * * * * * * * * * * * * * * * *s * * *s**** * * ** ** ** * * * ** * ** * * * *+ *** * *** * * * * * * * ** * * * * *** * * * * *s * * *** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: tOOZ 1 130 Plans Examiner Engineer Zoning CONTRACTOR Name 5 4 f 12_0Cd'1"l n usy Tr0.Gt es inc. J License No. au D W 2g ' Address l'l 3 We ST 22 aire-et - 1fta,1 , Pe • 33a t0 Telephone 8$.Z ...i G raz ? O43,..1 — 11 $3 J Qualifier Name .�Q%� 2 • Ve PROPERTY OWNER New Construction Name 1 t k _ AY rn4r Enclosure Address 2Q 1\)e. 102 CJ . 1 - rG 4 * M , 2r...■ Shore-s 1 f-f . 33 ? Home Telephone ..b05.--1 95 2 Q D p Repair Business Telephone 2 , 5$5 - tv8 2 3 Alteration Interior Fax -6 21`, - 1 be- e-t""_ Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other C V INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 4)- , \t)$ • Address PERMIT TYPE ( ✓) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Folio Number Lot Block Subdivision PB PG Current Use of Property 5c-(t- Proposed Use of Property 5F--(L. Tenant Information PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax /'ti& rIi Swe'S PoruOkt City State Description of Work Re-Roof trG PERMIT APPLICATION 0 ` 2 0 0 l ast r Permit No. 15�o2J61- 1654 ------ Subsiiiary Permit No. Zip Zoning Linear Feet Square Feet '300' Units 1 Floors Value of Work 1 r 'J 2.00 ° ° Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER License No. Name Address Telephone Fax Page 2 IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. runt frame Sworn to and subscribed before me this 441 day of OC662A- * MY CO E A MISSION # RES: June 2 hru B d PEZ D 035758 ,2005 tary Services 201�Y F�B� /c sr 7r6 OF Ft. Signa'. - o. SE Personally known RIDA, OUNTY OF MIAMI - DADE STATE OF FLORIDA OR, Produced Identification Type of Identification Produced: PERMIT APPLICATION Sworn to and subscribed before me this Y 1 day of OC-4v betL„ JA INE LOPEZ ISSION # DD 035758 PIRES: June 21, 2005 Bonded Thru Budget Notary Servkes Signa SE Personally known ° OR, Produced Identification Type of Identification Produced: ELECTRICAL 'FITE Minimum Fee Q'I'Y. TYPE Dryer QTY. "I'V1'L: Outlet, Appliance Q "I'V. T1 PI'. Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New N'IECHANICAL TI'PE. Minimum Fee QTY. T- Tl'I'E. QI'Y. Condensate Drain Tl'rI: Generator Q 'I'Y. 'I'VI'I QT Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C WaWWin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TYPE. A/C Condensate QTY. 'I'1'1'E Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. "I'Vl'E. Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official / OCT 2 1 Page 4 OFFICE USE ONLY CHECKLIST O OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) LI OTHER (Specify & Attach) PERMIT FEES $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: 3 ( x .60 x/1000 ) (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /28/2003 Applicant: Owner: JOB ADDRESS: 29 Parcel # 1132060131650 NE 102 Contractor S & J ROOFING CONTRACTORS INC Local Phone: 305 - 887 - 7779 Signed: (INSPECTOR) Building Permit Permit Number: BP2003 -1654 ST Contractor's Address: 173 W 22 ST Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & LOT 16 Fees: FEE2003 -6583 FEE2003 -6584 FEE2003 -6585 FEE2003 -6586 FEE2003 -6587 Description Building Fee CCF Scanning Fee Training and Education Fee Technology Fee Total Fees: Amount $325.00 $9.60 $3.00 $3.20 $8.13 $348.93 Total Fees: $3 9 Cit Total Receipts: $ .00 cc-r6 GO Permit Status: APPROVED Permit Expiration: 4/17/2004 Construction Value: $15,200.00 Work: RE -ROOF BLK 12 LOT SIZE 4 4FS -93 • zag9(ts/ NOV 0 5 PAID 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: 021 ,3 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 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. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane one) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be enailed 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 its (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 iewed 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 use 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. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not verloaded 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 cordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the terior 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. er's /Agent's Si C:1DOCli>I E -Ik mp1LOCA LS- 11TtmOECTIO.`I I SSJ.doe Roof System . Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application . A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 `Concrete or Clay A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 6. Owners Notification for Roofing Considerations (Re- Roofing Only) - 7. Any Required Roof Testing /Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone:Untform Permit Application Form. 3. 4. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: Fire Directory Listing Page From Notice of Acceptar. - Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 Other Comnoncnt Notice of Acceptances Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Contractor's Name Job Address ❑ Low Slope ❑ Mechanically Fastened Tile 0 ❑ Asphaltic ❑ Metal Panel/Shingles ❑ Shingles ❑ New Roof Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 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, clearly irlonfifir rilmnncinnc of clova+nd _ Section A (General Information) 5 e'. G.,r ckc s , . IQ Stt e-ek ROOF CATEGORY ❑ Prescriptive BUR -RAS 150 �� ROOF TYPE Re- Roofing ❑ Recovering ROOF SYSTEM INFORMATION e, Process No. nr-ncc“ , -rnnnc anri Innafinn of narpnets"- r Mo dhesive Set Tim Wood ingles /Shakes ARE THERE GAS VENT STACKS? YES ❑ NO ❑- TYPE—NATURAL ❑ LPGX ❑ Repair ❑ Maintenance - - -- __ ■ ....._.. _gamma ■■ • • ■■ • IN .......C... •a • ■ a.... .� . mil p. C . ■ .0 ■ ■■ ■ .C..MiEREV. ■.M. EE�■■iEna p MMEM--- -�'■■! ■ m ■■ .■E■ ■ - ---- ---- -- -- 91.ri1■C� �m ■ p E ■p1 .. IIMI ■ E Il e■ Immil : •Cupp ..:•: u : .u. G :: i ■ •p • p ° p ■m■ . .0 C...■. ■CC ■ .0 � �E .. 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C: • Epppp • IIUUIIUI n . m innWSE E :CE:E■°■ • IN : EE E E E C■■ I System Manufacturer: 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION NOA No: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax 2: Pmax3: Maximum Design Pressure, From the Specific NOA System: Deck type: 5/8" Plywood • These decks require a fastener pull test by an approved test fabratory Other Deck Type: Joist Spacing: Slope: Anchor /Base Sheet & No. of Ply(s): Section C (Low Sloped Roof System) Fill in the Specific Roof Assembly components and Identify Manufacturer (If a component is not used, identify as "NA ") Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer /Size & Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Fastener /Bonding Material: Insulation Top Layer /Size & Thickness: Page 3 Wood Nailer: Base Sheet(s) & No. of Ply(s): Base Sheet Fastener /Bonding Material: Ply Sheet(s) & No. of Ply(s): Ply Sheet Fastener /Bonding Materiel: Drip Edge Size & Gauge: 2" face 26 ga. rip Edge Material Type: Galvinized Metal Hdok Strip /Cleat gauge or weight: N/A Coping Metal: Top Ply: Top Ply Fastening /Bonding Material: Surfacing: FASTENER SPACING FOR BASESHEET ATTACHMENT Fastener Type: Y," R,S, Nails Alr rnate Fa§faiieFL: 1. Field: " o/c @ laps & rows © 2. Perimeter: " o/c @ laps & rows @ 3. Comers: " o/c @ laps & rows @ NUMBER OF FASTENERS PER INSULATION BOARD Field: Perimeter: Corner: Page 1 of 1 " o/c " o/c " olc file: / /C :\ Documents% 20and %20Settings\Lizbeth.SJROOFING.001 \My %20Documents\Pe... 6/13/2003 • High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping /Flashing, Continuous Cleat, Cant Strip, Base Flashing,Counterflashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing Or: Submit Manufacturers Details that Comply with RAS -111 and Chapter 16. \, Page 3a Parapet Wall Height Ft. Mean RoofHeiet Ft. Page 1 of 1 file: //C :\ Documents %20and %20Settings\Lizbeth. SJROOFING. 001 \My %20Documents \Pe... 4/1 5/2003 Roof System Manufacturer: SA NM Pe 111E C D Rfl2- II T1 Or'J Notloe of Aooeptanoe Number: 00 - 1 2.12 . O V - Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1: 'I -S'-i P2: 22 :`-IZ P3: Z2.' -12 Maximum Design Wind Pressures, (From the PCA Specific system): Lo 1 C 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: .3 "/12" Roof Mean Height: 15 Ridge Ventilation: Method of Tile Attachment: Adhest��,la �e Pc�c�lt� f Prr,cioLCZ Alternate Tile Attachment Method: Clip Spacing for Metal Roof Panels Field: N Perimeters: Corners: Perimeter Width: NIA Section D (Steep Sloped Roof System) Sloped System Description Deck Type: 5/8" Plywood Alternate Deck Type: N A Underlayment type: Hs1Y(t 1.3224. 11WW it a Insulation /Fire Barrier Board: Page 4 Optional Nailable Substrate: NIA Fasteners: /y � fat 5 Cap 3hee1 Type/Adhesive T• pe: RS1111 D2q qi(i ctO AAStm b 312. Roof Covering: SANT'R Fe S 11 LE Roof Covering Attachment Method: R C A t l e itre. , i' P a J J kt 12o(4 3 m IP u e-t5 Drip Edge Size & Gauge: face 26 ga. Drip Edge Material Type: Galvinized Metal Drip Edge Fastener Type: rlctt is Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 file: / /C: Documents%20and%20Settings\ Lizbeth. S. IROOFING .001\My%20Documents\Pe... 6/13/2003 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 erp 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 • • - ' . . • • - - - ...T.:. • . _ _ • • - - •• • . - •. • , . . • • - ••••••••• • • • . - . . . . . acceptable. • _ _ .. , High Velocity HurriCane Zone.Vniforrn Roofing Permit Application:To M IAMI-DADE COUNTY BUILDING , ...____ DEPARTMENT ELECTRONIC APp _ - _ . .,. . Section_E (Tile Calculations) For Moment based tile systems, chose either Method 1 or 2. Compare the values for Mr with the v-alues 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 Method 1 "Moment Based Tile Calculations Per RAS 127" NOA Mf: P 2: FOT x A - Mg: 1 Mrt: NOA Mf: u .9 5: Mrl: I:4 .4Z NOA M : 'This Table must be used in conjunction with ifist of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 • • . • . Method 2 "Simplified Tile Calculation Per Table Below" , Required Moment of Resistance (Mr) From the Table Below: r.= NOA , --zy - 1 . Mr Required Moment Resistance• • • • • • -• • • • • • • -• • • •••■ • • • • • 07/09/2003 • M1AMtOADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Santa Fe Tile Corporation 10302 N.W. South River Drive, By #16 Medley ,FL, 33)78 Your application for Notice of Acceptance (NOA) of: Spanish "S" Ctay Tile. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction. and completely described herein, has been recommended for acceptance by the Miami -Dad County Building Cock Compliance Office (BCCO) under the conditions specified herein. This NOA shall not bc valid after the expiration date stated below. BCC° reserves the right to secure this product or material at any time from a jobsitc or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke. modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval. if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Codc. The expense of such testing will bc incurred by the manufacturer. ACCEPTANCE (\O.: 00- 1212,06 EXPIRES: 02/01/2006 Rau( Rodriguc7. Chicf Product Control Division THIS iSTIiP COVF.RSHEF'.T SEE ADDITIONAL. PACTS (OR St'I- ;C_IFIC AND c EN ERA CONDITION'S BUILDING COD & PRODUCT REVIF,\V COMMITTE1 This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to bc used in Miami -Dade. County, Florida under the conditions yet forth above. APPROVED: 02/01/2001 11:20 MEDITERRANEAN ROOF TILE = 3058877183 N0.980 P001 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING (IUILUINC CODE COr' OFFICE METRO -DA()E PLAGLEIt t3UILOING 140 «'CST FLAGLER STREET_ SUITE 160; M(A\'U. F 33130.156; (305) 375 -290t 1:AX (305) 375 -290s C(r 1_'CF:NStNC Se.cl'tnN 005) 375 -2527 TAX (305) 375.255x CONTRACTOR t:SFOKCL'IEN - r D 1VISIO (305) 375 - 2966 FAX (3051 )75 -290 � I KODUCr CONTItOL vlvl�iU� (305) 375 -2902 FAX (305) 372.63;9 Francisco 1. Quintana, R.A. Director Miami -Dade County 13uiiding, Codc Compliance Off cc 11T04,5000 11pc2O00ikemotat i1nouce acceponce oo•R paxedec Internet mn:I jtdrext: p .eons 0, Iforne a� p C: htLl> J /..•wvv,lruiidigccodeontinc.com I •el 0S00888SOE uoiae.Jod4o a 0 1:31 ajeaueS dL2 t £0 co ugti 4,1 07/09/2003 •a 11:20 MEDITERRANEAN ROOF TILE 3058877183 SANTAF E TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 ROOFING ASSEMBLY APPROvAL Catc_ory: Roof n� Ce,t►_('ati..,nrv: 07320 Roofing Ties Materi:►Is Clay Roof Tiles T)t•ck Type: ',rood Approval Date: February I, 2001 Expiration Date: February 1 2006 1. SCOPE This renews roofing system aria; Santa Ic'Santafc ' clay roofing tile, manufactured by Santafc Tile Corporation described in Section 2 ofthis Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade Counry. For locations where the design pressure requirements. as determined by applicable building code, does not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant limrnsinns C r Cflfi C:itl()Rs I)Cs[`rItlilAn Santafe 'S' Clay 1= 1E" PA 112 One piece high profile clay roof tile Roof Tile w = 1 1.5 equipped w,8, two nail holes. For nail - on. %" thick mortar set and adhesive set applications. : r i w Pieces 1 - varies PA 112 Accessory trim. clay roof for use at w = varies hips, rakes. ridges and valley terminations, varyinr, Manufactured or each the profile. thickness 2.1 COMPONENTS OR PRODUCTS MANUFACTURED BY OTHERS Test Product Product, Dimensions Specifications Description Manufacturer Tile; Screws 48 x 2 - long PA 114 Stainless Steel generic 0.130" shank dia. Appendix £ 0.178 flute dia, 3. LIMITATIONS 3.1 Fire clarification is not part of this acceptance. � 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 PA 112 a di.v• ' • chap bc submitted to the Building Code Compliance OfliC 1 uloaga, RRC Roofing Product Control Examiner NO.980 P002 Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -lbf) For Nail -On System Tile Profile Tile Application Two Nails Onc Screw Two Screws Onc Sera.. w/ Clip Two Screws w/ Cli Santafe S Direct peck 21.8 29.16 _ 38.2e 57.31 57.60 61.77T -- Barrens Santafe 'S' 1, A. .roved screws as noted 'Product manufactured b others 07/09/2003 11:20 MEDITERRANEAN ROOF TILE 3058877183 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 3.5 30/90 hot mopped underlaymcnt :applications may bc installed perpendicular to the roof slope unless stated otherwise by the underlaymcnt material manufacturers published literature. 3,6 This acceptance is for wood deck applications. Minimum deck requirements shall bc in compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118. RAS 119. and RAS 120. 4.1.2 Data For Attachment Calculations Tile Profile Santafe 'S" 2 ":12" Battens 5.93 Table 2: Rcstorin• Moments due to Gravit M ft - lb Direct Deck 5.90 3":12" Batten:: 5.85 Direct Deck 5.82 4 ":12" 7" :12" or 9re ater Battens Direct Deck 5" :12 6":12" 8ancns 5.73 8rnens Direct Battens Direct Deck Deck 5.56 5.53 5.32 5.29 Direct Deck 5.69 e -d ncnnanacnc uo t P,n.�,r+ -+ r . , . . p...,... Frank Zuloaga. RRC Roofing Product Control Examiner NO.980 0003 Table 4: Attachment Resistance Expressed as a Moment - M (ft-ibf) for Mortar or Adhesive Set S stems Tile Profile Tile • ..lication Attachment Resistance Santafe 'S' J. (ft Mortar Set 23.6 Adhesive Sct 61.9 07/09/2003 11:20 MEDITERRANEAN ROOF TILE 3058877183 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 3.5 30/90 hot mopped underlaymcnt :applications may bc installed perpendicular to the roof slope unless stated otherwise by the underlaymcnt material manufacturers published literature. 3,6 This acceptance is for wood deck applications. Minimum deck requirements shall bc in compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118. RAS 119. and RAS 120. 4.1.2 Data For Attachment Calculations Tile Profile Santafe 'S" 2 ":12" Battens 5.93 Table 2: Rcstorin• Moments due to Gravit M ft - lb Direct Deck 5.90 3":12" Batten:: 5.85 Direct Deck 5.82 4 ":12" 7" :12" or 9re ater Battens Direct Deck 5" :12 6":12" 8ancns 5.73 8rnens Direct Battens Direct Deck Deck 5.56 5.53 5.32 5.29 Direct Deck 5.69 e -d ncnnanacnc uo t P,n.�,r+ -+ r . , . . p...,... Frank Zuloaga. RRC Roofing Product Control Examiner NO.980 0003 Table 1: Acrod namic Mutti•l crs— )..'ft Tile A (ft3) J. (ft Profile Batten Application Direct Deck Santafe 'S' 0.274 0,297 —` 07/09/2003 11:20 MEDITERRANEAN ROOF TILE 3058877183 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 3.5 30/90 hot mopped underlaymcnt :applications may bc installed perpendicular to the roof slope unless stated otherwise by the underlaymcnt material manufacturers published literature. 3,6 This acceptance is for wood deck applications. Minimum deck requirements shall bc in compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118. RAS 119. and RAS 120. 4.1.2 Data For Attachment Calculations Tile Profile Santafe 'S" 2 ":12" Battens 5.93 Table 2: Rcstorin• Moments due to Gravit M ft - lb Direct Deck 5.90 3":12" Batten:: 5.85 Direct Deck 5.82 4 ":12" 7" :12" or 9re ater Battens Direct Deck 5" :12 6":12" 8ancns 5.73 8rnens Direct Battens Direct Deck Deck 5.56 5.53 5.32 5.29 Direct Deck 5.69 e -d ncnnanacnc uo t P,n.�,r+ -+ r . , . . p...,... Frank Zuloaga. RRC Roofing Product Control Examiner NO.980 0003 07/09'2003 11:20 MEDITERRANEAN ROOF TILE 3058877183 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 5. LABELING 5.1 All tiles shall bear the imprint or identifiable markini of the manufacturers name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the followine,: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the ,8uildint Official or applicable Building Codc in order w properly evaluate the instJllat;oti of this system. PROFILE DRAWING SANTAFt "SANrAFE S" CLAY ROOF TILE N0.980 D004 0 ?/09:2003 11:20 MEDITERRANEAN ROOF TILE = 3058877183 2 Any and all approvcd products shall bc permanently labeled with the manufacturer's name, city, state, and the following stalcrncnt: 'Monti-Daft County Product Control Approval". or as specifically stated in thc Spccifr conditions of this Acceptance. 3 Renewals of Acceptance .trill not bc considered if a) There has been change in the South Florida Building Codc afTocling the evaluation of this product and the product is not in compliance with thc code changes; b) The product is no longer the same product (identical) as thc one originally approved; c) lithe Acceptance holder has not complied with all the requircrnents of this aceeptanct, including rlic correct installation of the product; d) Thc cnfinecr who originally prepared, signcd and sc,lod the rcquircd documcntation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials. tut, and/or manufacturc of the product or process shall automatiatliy bc cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acccpssantc a) Unsatisfactory performance ()IOUs product or process; b) Minusc of this Acccptartcc as an endorstmcnt of arty product, for sales. a dvertising or any other p ur p oscs. G The Noticc of Aet.cptancc number preceded by the words Miami -Dade County. Florida, and followed by the expiration date may bc displayed in advertising literature. IS any portion of the Notice of Acccptancc is displayed. then it shall be done in its enure y. 7 A copy of this Acccptancc as wcIl as approved drawings and other documcnts, where it applies, shall be provided to the user by the manufacturer or its distributors and shall bc available for inspection at thc job site at all times. Thc topics need not bc =scaled by thc engineer, 8 Failure to comply with any scc rion of this AccCptanee shall bc cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 5 END OF THIS ACCEPTANCE SA NTAFE. TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 NOTTCE OF ACCEPTANC STANDARD CONDTT1OKS Renewal of this Acccptancc (approval) shall bc coruidcrcd after a renewal application has ken filed and the original submitted documentation, including test supponirtg data, engineering documents, are no older than ci£ht (8) yclrs, Frank Zuloaga, RRC Roofing )?roduct.Control Examiner NO.980 D005 • - ::�ccr'�t3�ev.�? _ :•�ei� +_ - . 09/11/01 WE' 08:18 FAX 954 57d 1042 rlrt.Ytu*x rtevuen ice. �r� PRODUCT CONTROL NOTjCE OF ACCCP TANCI Polyfuam Products, Inc. 2.UU Spring -Stucbncr Road Spring ,TX 773834132 M.FwMIU_ADE:Ct3UNTY�FIrpR(Di�- _ =;.. - _., MF TRO=D DE.F AGtEIt=:HUILDiNG== = QU l LD1 NC -CODE =COIN PLUq4CE MCtikor pC;FL%GLER:DUtLDRJG 140 WI$T Ft: GLEKSTREE'r urrg" MinMI ;FLQR1t A71 156t (305)375 -'2901 FAX (305)375__90g CONTRA c-ro UCVISlNC NEC-rim ()QS) )73-:537 -FAX 0051171- 2iStl- • coNt1LACTOIt nts'ttoN.- (3a`sjins -2 f,cv W95) 37S-2904 rttou OCT co 4 r 404 DtvtstoN (305) 371 -294: FAX (39) Jr2- )j9 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethcuc Fo>tm Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction. and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any rime from a jobsite or manufacturer's plant for quality control testing_ If this product or material foils to perform in the approved manner, BCCO may revoke. modify, or suspend thc use of such. product or material immediately. BCCO res the right to revoke this approval. if it is determined by BCCO that this product or material fails to mect the requirements of thc South Florida Building Code. The: expense of such testing will be incurred by the manufacturer. :CCEt'TANCE IYO.; Q1- 0521.42 EXPIRES; OS /10/2906 THT IS Til COVF SEE An TIONA1 PAGFC FOR s J FCIf AND GF.N AL CONlMMONS fUILDING COfr PRORyC r R COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by thc Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 06/1-1/21101 1 %L01300011pc2000 tliemppce.4.o0ce 1cupranco co.ce pitedoc Internet moil address: P011niastee@huildingcodooadine.com R:,t1l Rodriguez Chicf Product Control Division Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office Hocnenage: httr: / /evcvw.bui)dinbeocleonlinc.eom 09/11/01 - .TAE - 08 c 19- FAX 954 578 1042 Palyfnam =Ptrr Jacts,-inc ROOFING ASSEMBLY APPROVAL Category_ - Roofing Sub - Gatcto ry: Matan_a� Polyurethane 1_ sCOrE. This :appiovet Polypro®. A1 as manufactured by roiyfuam Products, Inc. as- described in 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 cnkulruions in compliance with Roofing Application Standard RAS I27, 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 party placement, and as an uplift based system for double patty systems 2. PRODUCT DESCRIPTION Nina utactured by Applicant Polyproe AH 160 Foampro RTF1 N/A Pro Pack® 30 & 100 Roof Tile Adhosivc aiMemtions N/A 2 .1 Components or products manufactured by nthcrs: Any Miami - Dade County Product Control Accepted Roo( Tile Axntbly having a current NOA which list uplift resistance values with the use of Polypro A11160 roof adhesive. 2.2 Typical Physical Properties: Property Density Compressive Strength TTnsik Strength Water. Absorption Moisture Vapor Tnnsntission Dimensional Stability IJA Dispensing Equipment Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 POLYFOAII PR09L ACCEPTANCE' No. :-- 01- 052d_02- Test Spccilkatin,ts PA 101 1.6 IbsJ(1.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 38 PSI Parallel to rise 0.08 Lbs. /rt 3.1 Pcmt / Inch Approval Date: June 14, 2001 Expiration Date: May 10, 2006 Results - -0.07% Volume Change ©n1 -40 F.. 2 week +fI.O% volume Chance to Humidity. 2 weeks Product Descri(l do n Two component polyurethane Dispensing Equipment Prank 2uloagn, ItRC Product Control EX2minor 08/11/01 . TUE 08:19 FAI:954 578 1042 PolrfoaRi:T'irQtlucts Idc..::.. POLYFOAX- PRODUCTS,INC. 3 MS PrankLuloaga, RRC Product Control Examiner Note: The :p1iysicai- prnpertics listed above nre presented as typical average valucS As detci by accented ASTM lest Methods and Are subject to normal manufacturing variation: ' - 3. LI Pet (TATLONS 3.1 Fire classification is not part of this acceptance. Refer to the. Prepared RQoCTilc _. Assembly - foi f rc 'jatins. 3.2 Polypro®AH1G0 shall solely be used with flat, low, & high tile profiles 3.3 Minimum underlaymcnts shall be in compliance with thc Roofing Application Standard RAS 120. 3,4 Ro2f.Tile_inanufactures acquiring acceptance for the use of Polypro ® :AH 160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 RoofTile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tilt adhesive with their tilt assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. _ z) -w F — 4. - ;INSTALLATION 4.1 Polypro® AH160 maybe used with any roof tile assembly !raving a current NOA that lists uplift resistance values with the use of Polypro® AH 160. 4.2 Polypro® Ali 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® A11160 shall provide sufficient attachment resistance. expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted iti the roof tile assembly NOA 4.3 Polypro® A1-160 roof tile adhesive and its components shall bc installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4,4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoarn Products Inc. shall supply a list of_approved applicators to the authority having jurisdiction. 4,5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between thc "A" component and thc "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (8). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tilt as determined at calibration. No other settings shall be approved. 4.6 Polypro® AH I60 shall bc applied with Foampro RTFI000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® Aul l G0 shall not be exposed permanently to sunk ACCEPTAN No s = 0 4..111.14:1?: : = -:.: _ Ti leProfile . Placement Attail Single Pnddy Weight Min, (ruins) Two f ' per pitddY (griiiiiijt HY • Flat, Low, High Profiles . # I 35 N/AL'-' - — High Profile (2 Piece Darrel) if I I 71side on cap and 34/pan N/A Flat, Low, High Profiles i2 24 N/A Flat. Low, High Profiles 43 a . _ • — _ • "i -12 Pr.... 14; 6 7 .41: 2 -1 - A - • - • - 7 7 : _ " • 09/11/01 TUE- OS: 20 054: Sii- 1042 POLYFOAkTRODUCTS,INC. ----••• ..... . . • . - .." • • . Polyroant 4.8 Tiles must adh be ered in freshly applied adhesive. Tile must be set within:fiii minutes after Polypro® AH160 has been dispensed. 4.9 Polypro® A1.-1160 placement and minimum patty weight shall be in accordance the 'Placancnt Details' herein Each generic tile profile requires the specific placement noted herein. -• •• - • • • ACCEPTANCE Nil. _______ Table I: Adhesive Placement For Ench Generic 'file Profile s. LABELING All Potypro® AII160 containers shall comply with the Standard Conditions listed herein. 6 BUI LIMNG PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. frank Zuloaga. RRC Product Control Examiner • 09/11/01 .TUE - 09:19 FAX 9S4 sia 1041 . • • - " • - -• Palyfoam Prockicts • -------- • ■ • -■ - • • _ •• • • liotYrOAN -PRODUCTs. irtc ADHESIVE PLACEMENT DETAIL SINGLE-PATTY I:rank Zuloaga, RRC Product Control Examiner ACCEPTANCE Nt1L. • . . 09/11/01 XUE - 08:20 FAX 954 578 1042 I'olyfo:rnr Products, Inc: ADHESIVE PLACEMENT DETAIL 2 SINCLE PATTY 6 Frank Zuloaga, RRC Product Control Examiner ACCEPTANCE_NO..:..OI- 0521:02 - =-= Of/ix o•rto Luift jYry Potyroam rroductsjnc. ADHESIVE PLACEMENT DETAIL 3 DOUBLE 7 . _ AC.CE.PTANCE No- : 01-0511:0 T r• 1=T-.1,1k Zuloasa, RRC Product Control Examiner -• _ . 141144064 Z&til kmc 011 /11/01 'YUE oar. zu rAL •854 YOLYFUAA mmuCTS.iNC. Potyfonm Products, -Inc. 1. Renewal of dais Ac ePtan shall bc considered after a renewal application has.bct filter and the original sulintitu d documents, including test - supporting data, engineering documents. are no- older than eight ($) jars. Any a7td all approved products shall be permanently labeled %yidh the ntarurlaccurt.r's Hank, cite_ state, and thc- following-. scale icnt: - "Miami -Oadc County Product Control Approval ", or as specifically stated in plc specific conditions of this Acceptance. 3. Renewals of Acceptance will not bc considered if: a. There has baxn a change in the south Florida Building Code affecting the cvaluatiou of this product and the product is not in compliance with the code changes. b. The product is no longer the some product (identical) as the on originally approved. c. if to Acceptance holder has not complied with all the requirements of this acceptant. including thc correct installation of the product. d. The engincxr who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 1. Any revision or change in die materials, use, and/or manufacture of the product or process dull automatically bc cause for termination of this Acceptance, unless prior written approval has bxn requested (through the filing of a revision application with appropriate fcc) and granted by this office. 5. Any of the following shall also be grounds for rentoval of this Acceptance: a. Unsatisfactory performance of this product or procw. b. Misuse of this Acceptance as an endorsement of any product, for sales. advertising or any other purposes. The Notice of Acceptance number prtxcdcd by the words Miami-Dade County Florida, and followed bhp the expiration date may be displayed in advertising literature. II any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety A copy of this Acce_ptancc as icell as approved drawings and oeh.:r documents. where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection ar the job site at all time. The engineer need not reseal the copies. Failure to comply with any section of this Acceptance shall be cause For termination and removal of Acceptance. This Notice of Acceptance consists of pages I through . 8. END Of THIS ACCEPTANCE X ACCEPTANCE No. :.01-0521.02 frank Lulaaga RItC Product Control Examiner • Application is hereby wade for the approval of the detailed statement of ore 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 Villap shall be complied with, whcther herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of the work. // Date ..._.... ...I _ ,. _....__ ,19 6 Owner's Name and Address e n 4-• (LS • _ No Street Registered Architect and /or Engineer.. Name and address of licensed contractor Location and legal description of lot to be built on: r. Q Block /Q . Subdivi 1' .0'i J ' I , 4i/ f° _ � 745–b Street and Number where. work is to be done _ _.... ..o - ... _ .._.. __ __._. 1. _ rn5tAirl • Lot ,h'd` /p State work to be done and purpose of building (by floors) Remarks pealed New Building Remodeling Addition To be constructed of Kind of foundation.. ., Estimates Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor Permit No Disapproved (Signed) APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date and for no other purpose. {•- �•C�... Amount of Permit S. 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, therein by him stated are true. 001S1 Date Repairs No. of Stories Roof Comin .Plan Cubage s Size of Building Lot Reatl, $worn to and Subscribed re me c 001_334 /3 I hereby submit all the plans and specifications for said uilding. Al notices witbi reference to the building and its construction may be sent to.. t.a.S.3 C� .0 - .. 1►`t rr1 1 'F r< 3 bS 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 Sup ilewent, anti has complied ■sith 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 pcnnit, as are licensed by Miami Shores Village STATE OF FLORIDA, COUNTY OF DADE. ' ss' Before me, the undersigned authority, a notary public, duly authorizcd to administer oaths and take acknowledgments, per ap. < r(1 fle.'� y) lZ�wt.can .r.e. lc{e►1 — known, m and that he did sign thesae, end that till facts Notary Public, tat e of F on 'da My Commission Expires Notary lrc, St .E. jidc p �Y" PUb �11VIi13s7on " ate 1"xpiras Oct. 17, 1889 targA Building Inspector PLANNING BOARD DATE Bonded thru Maynard Bonding Agency Cirair:nan Member Merr,ber bfember 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 heen obtained from the I'Lrnnio 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. Owner's Name and Addres s j J44/ .4 r.� -- _ l�/ rt.) No. ,/1_.G_ Street../..4"....2.,S Registered Architect and /or Engineer Name and address of licensed contractor.. e aU_i ... Location and legal description of lot to be built on: Lot.... /,4^.4./- Block. 1.,2" Subdivision Street and Number where work is to be done ... , _1 ; State work to be done and purpose of building (by floors )......... Disapproved Dat (Signed) I- Building Insp ��i.�2,1 _�.• ,7a.. • New Building Remodeling Addition Repairs -' To be constructed of Kind of foundation Roof Covering -. e Estimated Total cost of improvements $ -- ' 9 `.. Amount of Permit $- Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. 1 ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he 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... Ara o Date Z — Read, Sworn to and Subscribed before me. i and for no other purpose. No. of Stories Zig to me well known, Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this 'application after approval has been obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner of Building BUILDING ELECTRICAL PLUMBING ROOFING E 9 PERMIT Architect Contractor... or Builder - �". �{ ► Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permi B1 N° 5255 J V DATE -/ {0 l 19 Contractor's License No. ..1111•• Subdi- vision fi Address of , , „ � �f ..- Value of 1 Amount of Building . -: },.; 4? i Protect $ <?5't ' 1 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. ( •*�sL.rr�__.� INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance yth all ordinffelr vregulcttlons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the Miami cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. t — CONTRACTOR OR BUILDER f BY AUTHORITY ABBOT 4E34 HAM, SHORES VILLAGE, FLA. No JOB "" ' a- - ADDRESS c , • � . /® - INSPECTION • TIME READY �- �- =.> REMARKS 5948' / 1 � INSPECTOR DATE <t 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. �j' C )4•6.1/1),-.5 Date y -y / , 19 Owner's Name and Address / ' C ' 1 � / / No ! Street ' r/n.- ° Registered Architect and /or Engineer _ Name and address of licensed contractor __ '/` /1 pQ Rey j Ofi A✓ /V (. / _S__ ____$ - 7 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State w rr e done and purpose of building (by floors). R_ t _f2 _.__p f_ i t NGAf Disapproved (Signed) - Building Insp or MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date " j7 1 -50 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind o foundation Roof Covering / Estimated Total cost of improvements $ ( 00 Amount of Permit $‘_ ..6 Zone cubage required Plan Cubage Distance to next nearest building 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 contrac . s or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspectio 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 tra .rs, o ork to be performed u this permit, as are licensed by Miami Shores Village. Remarks (Signed) Size of Building Lot STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No °� ` Date —/� � O y Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from 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.