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415 NE 102 St (6)° � '1 '�s MIAMI SHORES VILLAGE 301? BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 21 Type Insp'n nO I Permit No. P r .. Name Address 4 4 ' N6 102 S Company t—C1WO E IC _ Phone # Inspection Date 1 (i Re- Insp'n Fee ❑ Correction Date ',,/J Type Insp'n ÷ ' /,, " �l Permit No. Name Address Company Phone # Inspection Date Approved Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildiryg Inspection Request \ S O5 - O e low I Test Location Uplift Pull Test(P or F) 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 �l 26 �j� 51 76 2 27 52 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 9 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 75 100 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 SITE SPECIFIC INFORMATION Owner's Name S � BO C9c E -T Permit # -005 4/ o Job Address 1 5 1,.1 e_ toz ST., ( S OE, Roofing ContracIpr• Type of Tile: 1'' Approximate Roof Height: Z feet Type of Access to Roof: Scaffolds ' Ladder Approximate Square Footage of Roof: 2 + Zo p ft Required Testing Force: 35 lbs. Testing Equipment: Chatillion100 Date Tested 4.- 7.0 IN ACCORDANCE WITH T E CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL T Civil Engineer: Lab Certification # 98- 0608.04 THIS REPORT BY State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. QAr .-( ? TEST RESULTS P = PASS, F = FAIL Project, 6371 • *Date Installed: ' -�� Roof Pitch: 3 ' ( 2- Other Sketch of Roof 111111111111 111111111111 ■■ ■111■ ■1MMENU ■ ■ ■■ ■ ■ ■■ ■. ■■ ■ ■■■■■ ■ ■ ■ ■I ■■1 ■`:\ MIGIII■ ■ ■■■PIIMINIES ■ ■ ■■■ ■ ■ ■■I■ ■1FIR ■ ■ANIM ■ ■IIIIM ■`id 11..11■ ■.11.1■■1411�� ■■■�.■■ ■ ■ ■■`■ ■ •■•11 ■■■11 ENIIIITAII AIIIMM ■11■ ■■■ ■■■ ■ ■1111■ ■ ■■11111■1■■ii Ii1111R'!■■■ IMEI X11■ IE■1111■ ■ ■ ■G''►� ■I ■�.� \<J ■.�!' ■11 ■11� ��7 ■■ 11.11 ■11 ■■■■I■■ 1 1111 %E:11■ ■■1111■ ■■!1.\!MI ■■■■■ ■1111.1■■IL11,1 ■■ ■1111.11■511•MEEM■ ■1111■ 1111■ 111■■ 11PM ■NEMEE `:i EIMIMI M ■ ■1111. 1 _Notes: 13 e OTC -410 �b+lT to ?G. — +1244 56sr Job 4i (Je. I 07 Z'. L( (4 eL ;VT Sheet Number f Contractor {Gr�u9 � i . 7 ) -t i 4) Checked By Scale Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2005 -410 Printed: 3/31/2005 Applicant: RITA MCCARTHY Owner: MCCARTHY RITA JOB ADDRESS: 415 NE 102 ST Contractor KAWALEK, PAUL RICHARD Local Phone: 786 277 - 9540 Parcel # 1132060170780 Contractor's Address: P.O. BOX 531051 Legal Description: AMD PL OF MIAMI SHORES SEC 4 Permit Status: APPROVED Permit Expiration: 9/18/2005 Construction Value: $11,000.00 Work: RE -ROOF COLOR THRU TILE Page 1 of 1 PB 15 -14 E1/2 OF LOT 14 & LOT 15 Fees: Description Amount FEE2005 -4006 Building Fee $300.00 FEE2005 -4007 CCF $6.60 FEE2005 -4008 Notary Fee $5.00 FEE2005 -4009 Training and Education Fee $2.20 FEE2005 -4010 Technology Fee $7.50 FEE2005 -4011 Scanning Fee $21.00 FEE2005 -4012 Submittal Fee ($50.00) Total Fees: $292.30 Total Fees: $292.30 Total Receipts: $0.00 hio 5 Signed: (INSPECTOR) 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: 2016524057 04/01/2005 02:19 2016524057 KAWALEK ROOFING NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. f51 as -k-A \O TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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: yls /OF Jo. S1- -, pliaikto .Bore FJ 33/38 2. Description of improvement: 3. Owner(s) name and address: /(44_ 4 IVfe- g er7 Gt / l- raKd Co ufsge , d+ t fJere f1- 3313.8 Ott Lieu. ■ 1 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: Amount of bond $ 6. Lender's name and address: Signature of Ow :r Print Owner's Name d all y I o e4- 4 Sworn to and subs crlb:. • efore me is l W day of 1`� G Y Notary Public 111. �� h _� + Print Notary's Nam= 4I s li%C�� k...0. My commission expl Ille - '"'t w -: '•. 123.01-5z PAGE 4 otoz I Irlr r G ro a 1 K P• K away Jf` /a PL 23 153 ATE °Ming COUNTY OF DADS 5. Surety: (Payment bond required by owner from contfttMEndarFivterY that this iY agtru c;.)y or the Name and address: oeiyinst file a rre on != - . AD20 . tyirNN_S, ft�hci>tS.et Hr1i:Vlry R ' o County Cawic Fay 7. Persons within the state of Florida designated by Owner upon whom notices or • er documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to 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 differe :..:: t • is specified) IIJ, , 2COS •a,e T. ,I 11 Bonded Thru Atlantic Rnndina Co.. InC 11111111111111111 1111111111111111 CFN 2OO5RO316195 OR Et: 23221 Ps 2637; (tag) RECORDED 03/31/2005 10:09:16 HARVEY RUVIN, CLERK OF COURT f1IAf1I -DAOE COUNTY? FLORIDA LAST PAGE Prepared by PAGE 01 e- Address: ^ � 0 ii 6re,id 3ncivrj Nom gheu4 35i 3 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA COUNTY OF MIAMI -DADE: 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: 1 /15 - AID /1902 S - Ria's° Jiores, FL 33138 2. Description of improvement: 3. Owner(s) name and address: Sik 1 f /Vick � - (/ C� ro je c( Co n (:a u / , aided fL 3313E Interest in property: OW LierL Name and address of fee simple titleholder. 4. Contractor's name and address: l i le re - roo-P Name and address: Amount of bond $ 6. Lender's name and address: differe. -t- is specified) � � r Signature of Ow' = r Print Owner's Name Sworn to and subscrib F , / Notary Public ` ti ] �� ��rr�� O �� � Print Notary's Nam :I T L My commission expi 123.01 -52 PAGE 4 8102 TAX FOLIO NO. a ki< P Kaw'Je t Po Box S / 4.#4; / P'L 33153 51 A T� • F F RIDAS COUNTY OF DADS 5. Surety: (Payment bond required by owner from con1Mtel f(�Ogil Y that this is -a.r copy of the original file . T 6Cl 6^3oger+ /n� efore me is W day of I`l�U re_ - , ale 'a - .:►. 1 •ii CFH 20058031619! DR Bk 23221 Ps 2637; (1as) RECORDED 03/31/2005 10:09:16 HARVEY RUVIN. CLERK OF COURT MIAMI -DADE COUNTY. FLORIDA LAST PAGE ..— Co b:L l j . / 61121: P office on de A D 20 WITNESS my hanr Gificia! Seal •\S\. 1 1 • '.: � t HARVEY R ' • n C i ✓ :; i " ,o C�.rtanrlCo�n. ►vrnrrt ���. , , �:�:.�;�:a��. «� BY q f' i 01 7. Persons within the state of Florida designated by Owner upon whom notices or o er documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to 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 Prepared by AX ( W y Address: &O 1 6r4itd &cM m iarr Chao 'V 35131 ; ; :a Expires: Jul i 3, 7007 . Bonded ThrU ov.� Atlantic Rnodine Co., Inc BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Electrical Plumbing Owner's Name (Fee Simple �} Titleholder) � a lL �� Q o er+ Phone # 3Q s- li Owner's Address oO 1 ra. concourse. City tct. Wt;t SIi 0 re. State r- Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade is Building Historically Designated YES NO X Contractor's Company Name n Contractor's Address PO 0x 5 310 Si City 1,�0� V■M State F1— Zip 331 53 Qualifier State Certificate or Registration No. Certificate of Competency No. " 1 313 3001-13 b Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration ENew al Repair/Replace Describe Work: 1 if t; T -P - f-D t / -e ) £ / e W/ J y� Submittal Fee $ 'CO CCF $ V CO /CC Notary $ Training/Education Fee $ / p Technology Fee $ 7/ 5 0 Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Miami Shores Village 10050 N.E.2nd Avenue, Miami .hores, Florida 33138 P. A is le4. i00634 Pai 65 i *one # 3o s- '7s'1 - 01 l / Permit Fee $ Building Department Tel: = (3115)2 MO 2 2 2'15 y (S A) c_ !D $ Structural Plan Review. $ 756.8972 Permit No. EPOS - L O aster Permit No. Mechanical Zip 33138' Phone # Square Footage Of Work: Zip 3 3138 Radon $ Zoning Bond $. L 2OO El Dem li o e concrele 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. J , Signature ne or Agent Contractor The foreg ' ng instrruument was acknowl ged before // a this �U The foregoing instrument was acknowledged before me this /, X20 _ day of { �� r( th by ��G .3 (; (-� day of , 20 by who is personally Sign: Print: * * * * * * ** Bonded Thru NOTARY My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 wn to me or who h produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. Mabel VargU®TARY PUBLIC: mission #DD231984 `*� 007 Sign: int Pr: .Inc -- fc , 4#6,utzeW My Commission Expires: ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: `l!< 2 5 �` Plans Examiner Engineer Zoning •�l • a'1 !3_01-48 5/03 PAGE 2 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. Process No. Contractor's Name P1L,d K&AJ c to Job Address /1)5 !VE /az n a 3*, ❑ Low Slope ❑ Asphaltic Shingles 13 New Roof ROOF CATEGORY ❑ Mechanically Fastened Tile Mortar /Adhesive Set"Tpe ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes Are there ❑ Prescriptive BUR -RAS 150 Gas Vent StacI s Yes 0 No lWf ROOF TYPE Type: Natural O LPGX O i R e.Roofjng ❑ Recovering 1:7 Repair CI Maintenance ROOF SYSTEM INFORMATION 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 identify dimensions of elevated pressure zones and location of parapets. ■r.ri■ . r .r. . Il •• C C ::: .r•• Crrrr' r rr:r r C MUMMY .r. . C C..,, . ■ CCCC■ ■.■.�■■■rr .EC:C'r.�iCrrC Er .CEr: s:: - :: p :E mm E rrr ' :rr ■ rr r ' CrrC rr '"`lr armor CCC' EE EECCC ' S E r: : r::rrr... C rrrrrrm . : r CCC ■r ■E F.� rr.■.■ rr■ ■r.■■rr..rr..r ■r ■■ C.■■. ..■.rr■ ■rr■rR.r ., r, r■ r. rrS r... rrrrrrrr■■ d�CCr C"CmompA .■■C■■■■■■■■C.� .■■■■■■■■■■■ r.■...■ �i.■r...r►,ar.r.r.r.,slrmr.rr■ ■r■.rr■ ■■■ r■ "rr■ rr.r■ rCs■rr.r�.m.r.r■ r ■r■ r. .... - r rr■r■rC.■■rC.r■rrCr■ .■■.■ ■s,■ ■rr .r.Py �NIMMIXIII■rrrrriMOICOM CC'Errrriri ` '. C' Cr" Crrrrr •. "C ► ■■■■■■ ■■ ■■ ■■p ■■r.rr.r.rrimmu r.rrmm r E .■ �i r rp■■■sr � �ir■■r.e■r■ ■r..■► ■►.�■■rrr.r►a.r■r..rr.r. ■■ ■■ ■.■ . ... F rr■ C ■N■rr■►\Ri rr■■ ■r►rr. ■.rr■cr.■ ■■■■ r C:rr.ruC:'rrrrrp :C:m :::rsome carom ■ "" :': E ::: � :: ::.'Egs:CECC:C::C::: ■rrr.■.rrrlrr.■ ■.■. ■"rr .r..■rrr■rr■ ■rrr Ibi. C ■u_cw.rr.rrrrrrr■ ■.■ ..■ ■...�.rrm■ .■■■ ■r ■ G■r■r■■■Il" rrr. rr.rrIC■Crr�aarrrrr■■r■■ r■.r■■s rr.■ ■rr Cr.■.■rr�rrrslC■rrrr■rrCCmulm rr.r■ir C■.rr Crr■ ■mummu.i■■ ■■.r.r ■rrr.rrrr■ .rrr►r.r.■ r r.r.r.iiC.rrr.■ r C CCCCC.r a mim C:nm o lia mE■p.r r■r r.M■ . Cr Ci m.wo CrC�CC' ■■ ■■■ i I r..r■ ■ ..G■ .. . %a.rrr fi rm" pr6CErrEE ■urr.G7s"rrrr�Crr'E.r■.rrr■s 1C Pm OMNIr■w■■ CCM ■ . ■rC.C E rrr Cr .■UIt Mr .Or■■■ C ■r r .■■rr.. C r. ■ r OMEN r■M C Cr ■ �CrrC ► " . i�.C■C ■ ri i p CCC i�:"II iC IC' " '"■ ■ ■■r ■rr ■111.1 ■r■ ■r ■Cr.C1111rr■ .C■■... itC.Cr■ ■■ ■ rm ■■ ■r , ■ : :1' 1 ' : " 1 '1 ' Cr:E . 4 • Cr:11CL EE�'l ■ 1. ■r■■CE■n � C 1 CE ri.r.a.■ - Inv ■■■ ■r.■ ■ ■rry r 111 C p ■.r. nlr■ ■ " rCC C1:'r1r opt Ci ■�■ ■.rr■■ ■ r� r ■ ■ ■■rr■ ■ ll..e ■ .■..■ ■ r rr r 11111114111 E . ■ ■�. ■ G •�'�s n a 1. � ■r■ ■ r ■ r■ ■ '..■' . . ■ ■ Ir■ C 4 C 0 . ' rr: IIIIINIMMiiihillitiliiinil ��"C■C ■• 1Cr r CC ■1� G..�ir i E. ;�C 1 11C 1 qE,B"1EVC „1” r ■ 1 • I...CE ■■ ■ w >la I C ■1 .r.■■■ ■■G i �r ■ r �■ p r�r■C e ►nrr:r� r� ■�a I I L�CCC C CgC J s � ■ � ��1 ■ NIII Nu � �r�s�rr■■ ,. aC 1 11:41111111111111111111 �7 r OCCG�._� CmCR iii I Roof System Manufacturer: 1M 0' n 1 e r Notice of Acceptance Number: 0 _ I' 1 l e 0 g Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: Lilai(✓ P2: 1001 b P3: loaib Maximum Design Pressure ff (From the NOA Specific System): I 1 �5 , q Method of tile attachment: Pci I y i o�� !1 e e, f Foam 123_01-48 5/03 PAGE 4 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Fonn. 1 Section D (Steep Sloped Roof System) Roof Slope: :1Y Steep Sloped Roof System Description Deck Type: I V-'Sv ►v t ype Underiayment: nsuiation. Ridge Ventilation? N1t( Fire Barrier: Mean Roof Height: la! NI n astener Type & Spacing: dheslve Type: ype Cap Sheet. oof Covering: I /y ' ) 1;,5l Nai l5 1 ;.g 1 , 1 170" asphaI+ "` -Trqo Mohler 1 locF colo - }-hr() R&' ti.jh 'tt.-� -t` le, Type & Size Drip dge: 3x3gctIv Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier 2, NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance M, Calculated Minimum Attachment Resistanoe F NOA Required Uplift Resistance F Calculated Average Tile Weiiht W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time ofpermit application. M. Required Moment Resistance* Mean Roof Height 15' 20' 25' 30' 40' — Roof Slope Z 2 34A 36.5 38.2 39.7 42.2 3:12 32.2 344 36.0 37.4 39.8 4:12 304 32.2 33.8 35.1 37.3 5:12 284 30.1 31.6 32.8 34.9 6:12 264 28.0 294 30.5 324 7:12 24A 25.9 27.1 282 30.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. For Moment based tile systems, choose either Method 1 or 2. Compared the values for M with the valves from M . If the M, values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Section E (Tile Calculations) Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below Tile Calcul : do = Mrr Per RAS 127" i t .. ) NOA I t a l I NOA M,_! tic NOA r4 J is., NOA Mr *Mast be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P : z 1: = z w: = ) — W: z cos 6: = F NOA F' (P2 : z 1: = z w: = ) — W: z cos 8: = F NOA F' (P : z 1: = z w: _ ) — W: z cos B: = F NOA F' 123_01-48 5/03 PAGE 5 Where to Obtain Information Description Symbol Where to find Design Pressure PI or P2 or P3 RAS 127 Table 1 or by an engine 7 ing analysis prepared by PE based on ASCE Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier x NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance M. Calculated Minimum Attachment Resistance F NOA Required Uplift Resistance Fr Calculated Average Tile Weight W NOA Tile Dimensions 1= length vr= width NOA All calculations must be submitted to the Building Official at the time of permit application. 123_01-48 5/03 PAGE 5 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Forth. Met (P rerair ill (P3:40.i i X Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M, with the values from M t~ If the M I values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method 1s acceptable. t Bas Mg: — Mg: — Mg: Per RAS 127" 6 NOA MI I I �, I NOA MI NOA 111f i �� "1 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr M Required Moment Resistance' Mean Roof Height — Roof Slope 2: 2 3:12 4:12 5:12 6:12 7:12 15' 34.4 32.2 304 284 264 24.4 20' 38.5 34.4 32.2 30.1 28.0 25.9 25' 38.2 38.0 33.8 31.6 294 27.1 30' 39.7 37.4 35.1 32.8 30.5 282 40' 42.2 39.8 37.3 34.9 3214 30.0 *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P : z 1: = z w: = ) — W: z cos 9: = F NOA F' (P : :1: = z w: = ) — W: z cos 6: = F NOA F' (P x1: = x w:= ) —W: z cos 8: = F NOA F' 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 units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be i from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication or 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 o from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. .... _ .. nt's Signe Date 3 /($/oS Contractor's Signature MIA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20 Street Boca Raton, FL 33431 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product, TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 2. PRODUCT DESCRIPTION Manufactured by Applicant Monier Lifetile Atlantis Shake and Slate Tile Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofing Flat Profile Roofing Tiles Concrete 1. SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Dimensions 1_ = 15" w = 10'/ 1 '/" thick 1= varies w = varies varying thickness Test Product Specifications Description PA 112 Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Identifier 7161 -03 Appendix lII 94 -060A 94 -084 25- 7094 -2 25- 7094 -8 25- 7094 -5 Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Date Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page2of6 The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Test AQencv Test Identifier Test Name/Report 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 PO402 Project No. 307025 Test #MDC -77 224 -47099 520109 -1 520111 -4 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier Moment of Gravity 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System NOA Expiration Approval Date Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 Sept. 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 No.: 02- 1211.08 Date: 12/16/07 Date: 01/09/03 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.25 0.865 Table 3: Restoring Moments due to Gravity - M (ft-1bf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Monier Lifetile Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck DirectDeck 6.0 5.9 5.8 5.6 5.5 Table 2: Aerodynamic Multipliers - A. (ft) Tile Profile X (ft Direct Deck Application Monier Lifetile Atlantis Shake & Slate Tile 0.24 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approva_ Tate: 0:/0;1C3 Page 4 of 6 Table 4: Attachment Resistance Expressed as a Moment - Mr (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Atlantis Shake & Slate Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 - S^^oc'." c- Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 50.3 65.5 48.3 1 Installation with a 4" tile headlap and fasterners are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mt (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance for Single Patty Expressed as a Moment - Mr (ft-Ibf) Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile PolyPro 118.9 PolyPro 40.4' 4 Large paddy placement of 45 grams of PolyProT'. 5 Medium paddy placement of 24 grams of PolyProTM. Table 5B: Attachment Resistance Expressed as a Moment - M -Ibf) for Mortar or Adhesive Set Systems Tile Profile . Tile Application Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Mortar Set 39.0 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 5 of 6 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS t° ,,�, 1'Is' MONIER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 6 of 6 J 23!01 VON 13:08 FAI 953 579 103: MCAMI Ape PT2nln T OH NOTTCC A PTAN [? 1'nlyro:tm Products, Inc. 2400 Spring:- Stucbncr Road Spring .TX 77383 -1132 POLITO /a PRODUCTS, INC. 21002 MIAMI -DA DE COUNTY, FLORIDA METRO -DADE FLACLER t3uit.DINC DUILDINC CODE contrL)AyccCJVFICE NIL MO -DADE F1.AOL4It fU11.•DINO 140 wUSr- FLAGLCR STRCCr, SUITE 16113 M(AMt. FLAt(II3A 33110 -1363 (305) 77S -2901 FAN (305) 3 - :9011 CON'Ilt croR 1.ICt:N`iINc st:CrtnN (705) 375. 527 FAX (3051 cn I:NFnRCENIK.w r utv),ION 005)375-296a FAX (3u3) 375.19us PRODUCT' CONTROI. DIVISION 005)373.2902 FAN (305)37:A339 Yuur application for Notice of Acceptance (NOA) on Two Component Polyurcthenc Foam Adhesive under Chapter 8 ol'the Codc o f Miami - Dade County governing the use of Alternate Materials and Types of Construction. and completely described herein, has bccn 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 time from a jobsite or manufacturer's plant for'quality control testing. IP 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 or the South Florida Building Code. The expense ot testing will be incurred by the 11anufacturcr. A CC1?P7'ANCF. 140.: (11 EXPIRES: OS /1 0/200! / 21 7 2-1 s-0 haul Rodriguez ChicrProduet Control Division 11 T. S TIM covF.RS1Tt?FT S' T)t • Y,11.PACTS FOR SI'E 1 ) NT:RA CQNDITIONS rtUILDING Cnl)i .cc PIWD ItF VTF. \V COM TTE This application for Product Approval has been reviewed by the BCCO and npproved by the Building Code and Product Review Committee to be used in Miami - Dade County. Florida under the conditions set . forth above. APPROVI?D: 06/14/21101 1"rancisco J. Quintnna. R.A. Director Miami -Dads: County Building Code Compliance OITicc ■ 2c .pance co .ar pa(o,dot Internet mull address: post mnslcrgbulldluccuJeonline.cotn 10 Iloutcpure: httr : / /www.bulldingcodoonllne.cnm MA 1T 4UU4 I If: 14 MUM-AL Jurrt.i u'o POLYFOAH PRODUCTS. INC. !' n1 y1'on m Produ, (tt4 c . ACCEPTANCE No.: 01- 0S2l.O2 .07/23/c'1 MON 13:08 FA! 954 578 104: ROOFING ASSEMBLY APPROVAL C;LtcrInrv: Roof ng Approval Onto June 14,2001 Sul►- Catcgnry: Rcu11''I'ilc Adhesive tvIntcrictls: Polyurethane 1. scoir This approves I'otypru® A11160 :ti m:lnu1'acturcd by Poly foam Products, Inc. as described in Section 2 ot' this Notice ol Acceptance. For the locations where the design pressure requirements. as determined by applicable building coda, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127. for use with approved nat. low. and high profile roof tiles systetn using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double potty systems 2. PRODUCT DESCRIPTION Manufactured by A.pplic:utt PolyprodO AN 1 60 FoantproaD RTF1000 ProP0ek4l, 305. 100 2.2 Typical Physical Properties: ASTM D 1622 ASTM l7 1621 t'rnperty Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Di ntension+ N/A N/A N/A A STM D 1623 ASTM D 2 127 ASTM E 96 ASTM p 2126 Test Spcciflcaf1An,1 PA 101 Expiration Drat:: M:,v I n3006 Results 1.6 IbsJft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise (1.08 Lbs. /Ft'- 3.1 I'ernt / inch Product Dc.iCriprinr Tvo component • polyurethane Dispensing Equipment Dispensing Equipment 2.1 Cnmponcnts or products manufactured by pothers: Any Minnti -Dade County Product Control Accepted Roof Tilk Assembly having a current NOA which list uplift resistance values with the use of Polypru Al 1160 roof tilt adhesive. +n,07% volume Ch :rage n •40° F.. weeks Volume: Cltan'u I lttntitliry, 2 wor:ks. `.' Frank Waage. ttRC Product Control Examiner 003 MAR- 11-2004 16:25 FRt7M 5urrLr U4 0/23 /O1 HON 13:09 FAX 954 578 1042 POLVFOAli PRODUCTS, INC. �,lUUa Polyfohm Products, Inc. ACCEPTANCE No. : a(- 052t.aZ Note: The physicnl properties listed above me presented us typical overage values as determined by necepted ASTyt test methods nt►d are subject to normal manufacturing yarintion. 3. Ltr 11TATIONS 3.1 rirc classification is nct part of this acceptance. Rorer to the Prepared Roof Tile Assembly for fire rating. 12 Polypro0 AK 160 shall solely be used with flat, low, & high tile profiles. 3.3 Minimum underlttyments shall be itt compliance with the Roofing Application Standard RAS 110, 3.4 Ttoof Tile manufactures acquiring acceptance for the use of Polypro® AI•I160 roar tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with thc use of Polypro® AH 160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein, ( ' ) W F'— _ MS 4. INSTALLATION 4.1 Polypro® AH 160 maybe used with any roof tile assembly having a current NOA that lists uplift resistance values with thc use of Polypr''`' 4.2 Polypro® AN 160 shall be applied in compliance section and the corresponding Placement Dm' assembly's adhesive attachment with the use suflicicnt attachment resistance, expressed the uplift resistance determined in compt' Application Standards RAS 127. The tile assembly NOA 4.3 Polypro® AH 160 roof tile adhesiv accordance with Roofing Applic Polypro® Al Operating l• 4.4 Installation must be by a Far by Polyfoam Products, Inr applicators to the author 4.5 Calibration of the Foa' any adhesive. The rr be maintained bety deliver 0.0175 to shall be approved. 4.6 Polypro® A11 160 dispensing cquipm 4.7 Polypro® Al 1 1 60 OT/23/01 MON 13:09 FA.I 954 578 1042 Pnlyfolns Products. inc. 5. LABELING ruuIruti► 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH IGO has been dispensed. 4.9 Polypro® AH 1 60 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile pro tilc requires the specilic placement noted herein, AJI Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 ACCEPTANCE No.: o t- 0521.02 gram: zuloaga. RRC 'Product Control Examiner Tnble 1: Adl csivc Piriccmcnt For Each Generic Tile Profile Tilel'refilc Placement Detail tl1 Single fnddy Weight Min. (grams) 35 Two Paddy Weight per paddy Min. :rams N/A Flat. Low, Fli.h Profiles High Profile (2 Piece Barrel) ti l 17 /side on cap and 34/ an N/A Flat, Low, High Profiles 42 b3 24 N/A 8 — � Flat, Low. Hi h Profiles OT/23/01 MON 13:09 FA.I 954 578 1042 Pnlyfolns Products. inc. 5. LABELING ruuIruti► 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH IGO has been dispensed. 4.9 Polypro® AH 1 60 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile pro tilc requires the specilic placement noted herein, AJI Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 ACCEPTANCE No.: o t- 0521.02 gram: zuloaga. RRC 'Product Control Examiner 07/.23/C1 HON 13:09 F.0 954 575 1042 rUL1 'UAA Y)WuuL>.a, ' Polv(o'm Products, Inc. �aA lweupn p•ilc sown+ auef ite liIft n,1 P1 tm.2Y wer my Wok* 1pre. ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 3 ACCEPTANCE No.: 01- 0521.02 I Plan tlt qh H11skn to wNc+t 11 ua Louise Ie041 111 pa. Mt 1) Tan cm. 2014 pan. No 1i1Ulk 1/1 In to I In. Fun woshk epa al ewer lit T>ra 1..d4 the ls. A,M. St UM salt !kit"? CON trim Go. .ea u um,a was pptaoMl is. Lnwrs a+ w d \ how &us akou Ilk in MA a usaIYM Itfn We bye delve 1 a101t1 s) We11heis flab 1141al u e el sWSrAti applkalklts NO "I Ph OM OC;MA Frank Luloaba, R.RC Product Control Ex.arniner 01/23/01 11ON 13:10 FAS 953 578 1042 POLlruwa rt.v ✓�� -� rolyfaam Products. Inc. MIU mtoupn plesltc amen pgdy 181110 NI UnaNlYrtllnl i 7 In. Ern Cane CIA Cleat Fted. ADHESIVE PLACEMENT DETAIL 2 SINCLIr PATTY MITI Ilvemyn pgWc tempi uId t lt3)rtlul 7 In. 411 4W luc4 ./31n. In. tos duo brs Curio ?oft (OIMill+ Mil Waugh plotlle pl'nlanl Undt G ACCEPTANCE No.: 01.0571.02 Plaa718tnla1A 1011 Em Nun Frank Zllloaga, R.RC Product Control E . niner Fn cvn.r_ •z __ -- p'► /23/01 HON 12:10 FAX 954 578 1032 POLYFOAN PRODI • Polvfotlni Products, Tnc. ACCEPTANCE No.: 01- 0 ADHESIVE PLACEMENT DETAIL 3 DODULE PATTY Nell titration plastic cement Naj tnrougn plastic amyl UndadAynani I _ 44ln.c31n. S{nyla 4 In. ;Addy on under. laymen! SInele paddy under Tile tin Canna Nall through plastic cement Shale putdy :r3 In. under 111e I r i Single paddy on un4er• laymen! Single cloddy on top of the Slr1Ie paddy an top of the F C o,c 7 Single paddy between tile Eon MU. Z tn. t 1 In. es•dlum site paddy me cane only Fascia Slnele;Addy under till Singte paddy between Me 2 k e T In. medium ahn p6d47 ern gonna only Freda WHOolt ten c beun OAcl gain Frank Zulonga, R1tC Product Control Examiner rui.l runs r 1 ,1 + 14 . ,..,.., 07.23101 1MON 13: to FA.s asp bid lusa PoIyfoitn ProciuCts, Inc. ACCEPTANCE No. : 01- 0521.03 • Renewal of this Acceptance (approval) shall be considered alter a renewal application has been filed and the original submitted documents, including test - suporting data, engineering documents, arc no older tltuut eight (K) }tars. 2. Any and all approved products shall be permanently labeled with the manuf'acturer's name, city, state, and the following statement: "Mi:uni -Dads: County Product Cuntrol Approval ", or as specifically stated in the specific conditions of' this Acceptance. 3. Renewals of Accaxance will not be considered if: a. There has been a change in the South Florida IIuilding Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer tic salt: product (identical) as the one originally approved, c. If the Acceptance holder has not complied with 111 the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. Aisy revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance. unless prior vvrittcn approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds For removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, fur saps, advertising or any other purpoScS. 6. The Notice of Acceptance number preceded by the ■vords Miami -Dade County, Florida, and followed by the expiration date may be displayed in advenising literature. If any ponion of the Notice of Acceptance is displayed, then it shoal be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, whore it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at 111 time. The engineer need not reseal the copies. 8. Failure to comply vvith any section of this Acceptance shill be cause for termination and removal of Acceptance. 9. Tltis Notice of Acceptance consists of pages 1 through END OrT1I1S ACCErTt'NCC 8 Frank Zutoaga, RItC Product Control Examiner Name Address Company Phone For Inspe Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time 1 J;7 S f MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date Type Insp'n I`Q f ID an Permit No. OS 410 Name p'E k zs Company lQun 4 Address Phone # Inspection Date Approved Correction Re- Insp'n Fee CONTRACTOR New Construction /� Name A z- 5 Lif �� D /At .) License 1Vo G C o f y 75 - O' Address /07.,2/ c5l j /4 S Telephone &A ._ 5 I YZlFax 7.. Za - G / S Z Qualifier Name / ` �v/"r L � a 1 b A/ re PROPERTY OWNER New Construction Name s y "....,,,,ct:d �/ ��� Enclosure Addy / 7 7 7 ,{�t f v li � 4 V ,f' Home Telephone X , Business Telephone �f� 2--- Demolish Fax . 25 /45R J TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Step I. INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 Address PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Other Roofing (l Fence PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Apt. City Master Permit No. Subsidiary Permit No. State Folio Number Description cription of Work /t '? / /� a� frZ PERMIT APPLICATION Zip Lot Block Subdivision PB PG Zoning Linear Feet Current Use of Property 5 r 4 Square Feet / 5 7 1 ' ' ' Units Floors Proposed Use of Property 57`74— , "Value of Work e Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. 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, P' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of F rida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF Signature of Owner I /t IDA, CO i OF MIAMI -DADE /(7/1 Print Name Sworn to and subscribed before me this 7 day of flf Signature o 0 €1 ota� Public - Sta�. �f � 7 ILLA SEAL: w My COMMISSION # DD 011868 4* EXPIRES: March 25, 2005 4300 FL Notary Service & Bonding, Inc. Personally known OR, Produced Identification STATE 0 RIDA, COUNTY OF IAMI -DADE orIlr Si e of Contractor/Qualifier /0 Print Name Sworn to and subscribed before me this 2.eQ Sign SEA PERMIT APPLICATION 11? 7 day o f /vD (OfigI e '91MStratthIPPJA EXPIRES: March 25, 2005 7- 8043NOTABY FL ko ey Service & Bonding, Inc. a ELIFA BONILLA Personally known i/ OR, Produced Identification Type of identification Produced: Type of Identification Produced: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/7/2002 Applicant: LARRY Owner: it C— AFFTHY - JOB ADDRESS: 415 NE 1 Contractor MIS CORPORATION Local Phone: 305 - 553 -9476 Parcel # 1132060170780 Fees: FEE2002 -6322 FEE2002 -6323 Description Building Permit Application Fee CCF Total Fees: Permit Status: Approved Permit Expiration: 5/6/2003 Construction Value: $1,500.00 Work: ROOF REPAIR OVER GARAGE COLOR THRU FLAT TILE ALL TILES SAME COLOR If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: (INSPECTOR) BY: 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. Building Permit Permit Number: BP2002 -1913 PUMA ST Amount $60.00 $1.20 $61.20 Page 1 of 1 MIAMI SHORES VILLAGE NOTICE Owner is Responsible for Maintenance of Contractor's Address: 10221 SW 16 ST All Village Sidewalks as per Village of Miami Shores Code of Ordinances, Including Driveways, * :lased By Current Construction Activities. Legal Description: AMD PL OF MIAMI SHORES SEC , 4 PB 15-14 E1/2 OF LOT 14 & LOT 15 Total Fees: $61.20 Total Receipts: $0.00 REG C01 111202 1257 MCU01 002673 CASH (Contractor or Builder) BY: $61.20 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 Asphaiti ._.i; Ir• A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7 Metal Roo - A,B,D 1,2,3,4,5,6,7 ,1 tee► - . • • o gles and S ake A,B,D 1,2,4,5,6,7 0 e As Applicable 1,2,3,4,5,6,7 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofin • Considerations Re- Roofin • Onl 7. Any Required Roof Testing /Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: Maste Contractor's Job Address Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Ap.lication Form. Section A (General Information) 't No. Process No. ❑ Mechani ; � ened Tile ❑ Mortar /Adhesive Set Tile ❑ Low Slope ❑ Asphaltic ❑ Metal P . ;;= "i • les ❑ Wood Shingles /Shakes Shingles -Prescriptive B ` = t S 150 ROOF TYPE ; ❑ New Roof ■ Re- Roofing ❑ Recovering ❑ -'`• :� ❑ Maintenance ROOF SYSTEM INFORMATION lope 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 identify dimensions of elevated pressure zones and location of parapets. identify dimensions of elevated pressure zones and location of parapets. ■1111■■■■ ■ ■ ■ ■1111■1111■© ■ /f ■Ih■ ■ ■ ■ ■■■ ■11■■ ■� ■ IFISiLiHI■ ■■ ■ ■11 ■� ■ !1111111 i ■ ■ >I■t111tII >■■t■■ m■1■ 111.11■ ■ ■ ■r■■ ■ ■1 IIIIII ■R bAR �u NO11 � II € ®■11/■■■ 11 ®11 alum ■■ i ■ ■■■■■■ .. ■mIi1■■ ■■11 ■11 ■ ■ ■ ■ ■ - 11= »■�� 11111111■■■■■ . ■N■11;11■NN ■■ :�■(■■111� ■U11 t1111tt11■ ■ ■■■ III ■■■■■ ■1t ■V I■111�q ■ /•r7 ■ ■m ■ ■■■ ■t1■ ■11 OMMILs11111M11 ■ /ARIMIHI ■®1i■ ■11 1f1111� t11111MOUI ■■■11i IIIIIIIIIIIIIMINIIIIIIIIIIIIIIIMIIIIIIIIIIII 1111 N�■i■ ■■ ■1w ■111111■ t ■Q ■11t111GtYliififiifi' IMI E7FAr �14�'�:� n , ,m 'z - ; .: RIPMIIIII ifilma ∎USI1i1NYt11p4Wate' ■ ■ ■■■W%.: 's'ia NIIIIIMir41111111IIIIIIIIIPILREE=IIIIIIIIIIIIMMIMIIII 1111■ I.RIMAIRMR1■■11 ■ ■ ■tI11■■■■ ■UU ■ ■AA ■ u 111 ■� NK ii■s ■■■ _ 4i ' i _. 11 P ■ ■�11a11 ■� l ■i■■ ■ ■■11i■■ •• ■♦ ■ ■■11■11 ■■mri■1► P i t �ti ■1111 r4•U5 i m m l i I ! mii am u11»I ■■m■■m1 • i =iiil taa U � i l• • �� »ham ® 111111 ■■ ■■® m■■11m ■11m ; nv■iamm 11o11■■■ ■ism■■■■® ■ ■■m■m ■■■■11 ■11■m■■11■■ .011111,; . ^, n■■ CLIRR.ANDIAa■■■H■■11■■■m 11 I I r O •• •••u ■ ■■m■■im H 1111111111111111111111111111111111, 11 uo■tu■I11tt//■ ` E R 'v',ORNO a ■m■■■m■■ at iI ■■ ■lli� ■■#11�1�Ma HMIIIris Enliii� ■ ■11m■1111■ ■ida0 ■ ■■■■ man■■ ■■ ■■ milIMIMUMBREIUMMI ■1■ nm11. �■■■■iu■ ■Ii11 11■RRERIII ■■■11 • , v IIMUMI■�■ mm11■■■1a■■_ mm■11■ ■■■ ■m■ 1/ , OR as ■ m■■ ■■1t7 ■■M■■■11!1!111■■aIIII■■ ■■11111■■11■ ■ml lt■■■■■■■■■■■■■■■■>a ■■■■11111111 ■ ■■■ a■m f ■■1!■■■■1111u11■■■■■■m ■1■m■■■ ■ ■ ■ ■ ■m11M. mummummumummula ■■■■■ i l i ■■1!f■H•■ ■ ■N■■■■■■® m■11■ ■1l Hil ■MMOU NNMEMOM OSU ■ m ■■■■a111!■■n.11masamg • Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Contractor's Name Job Address 0 Section A (General Information) fij fie- /0 z s i ROOF CATEGORY Process No. /L5 /4-r `2 ❑ Low Slope ❑ Mechanically Fastened Tile Mortar /A hesive Set Tile ❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof ❑ Re- Roofing ❑ Recovering Repair ❑ Maintenance ROOF SYSTEM INFORMATION 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 Roof System Manufacturer: / d.v "C'' /t -P . G G-e" Notice of Acceptance Number: 9c -" /0/7-67 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: S' Z P2: /Y• / P3: a / `( Maximum Design Pressure (From the NOA Specific System): 39.0 Method of tile attachment: oli ' /-ll x Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof Slope: 3 : 12 Deck Type: ype Underlayment: Insulation. Ridge Ventila tion? /t/( l //4 Steep Sloped Roof System Description Mean Roof Height: / Z 6 P G 4 Fire Barrier: 2''! 2) z 2 7y/2e N(� Fastener Type & Spacing: Adhesive Type: ype Cap Sheet: /Z G� - x /' �r lz ' Roof Covering: �,df41 4' Type & Size Drip dge: 2-' ' C -l" _ M Required Moment Resistance* Description Mean Roof Height Roof Slope { 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3 :12 32.2 34.4 36.0 37.4 39.8 4 :12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6 :12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site . Roof Slope 0 Job Site Aerodynamic Multiplier x NOA Restoring Moment due to Gravity M NOA Attachment Resistance Mr NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions 1= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M with the values from M. If the M values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" q (P V7.(9 x X, . 2 `i = / tan)._ Mg: 6.0 = M rt 5, to NOA Mr 3 ( (P /Od- (o x X - 2 , S 4 = 2 - ti dyl - Mg: 44.6 = M )t/ '( NOA Mr 39- (P / ' x X zf = 4 -Mg: 6.c) = M 1 " ( NOA Mf 45f Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mr *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F. If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" x w:= ) -W' x cos 0: = F NOA F' x w : = ) - W: x cos 8: = F NOA F' x w: = ) - W • x cos 0: = F NOA F' (P x 1: = (P : x 1: = (P : x 1: = 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 Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 4 () 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building $ ode. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 7 s a" 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's /Agent's Signature CADOCI')I C -14mp' LOCALS- I%r.mp\SECTIO 1514.d. / l ei Date ontractor's Signatur 4 A11AM7 D4DE COUNTY,, FLOE METRO -DADE FLAGLER BUILD BL CODE COIIPLLANCE OFF MET RO -DADE FLAGLER BU[LD 140 WEST FLAGLER StR ; SUITE 1 MIA I FLORIDA 33130 -1 (305) 375 -290I FAX (305) 375 -7! CONTRACTOR LICENSING SECTIC (305) 375 -2327 FAX (305) 375 -25. CONTRACTOR ENFORCE E.NT SECTIO (305) 375 -2966 FAX (305) 375 -290 - Your application for Product Approv of• Shake and Slate Flat Profile Tile PRODUCT CONTROL o: (305) 375 -29Q2 FAX (305) ) 37� 372 -6 633' under Chapter S of the Code of Miami -Dade County governing the use ofAltemate and c ompletely - described herein, has been recommended - acceptance by the Miami-Dad, f �jiernate Materials and T County Building Code Compliance Office (BCCO) under the conditions onditio for ecce Types This approval shall not be valid after the expiration dare stated below. B CCO specified herein. product or material at anytime from a jobsite or manufacturer's plant for quality y c controntrol t es o the t r If this product or material fails to perform in the a right to secure rl the use of such product or material ' pprOVed manner, BCCO may revoke, modify determined BCCO that immediately. BCCO reserves the right to revoke this a ' or suspend this product or material f ails t o meet the requirements of the South Florida �� if it is Code_ BuiIdin <_� The expense of such testing will be incurred by the manufacturer. Acceptance No.: 99- 1012.07 (Revises No_: 98- 0604.0I) Expkes:l 1loi'?0u2 _ – – Raul Rodriguez J THIS IS THE COVERSHEET, SEER ---- — ChiefProduct Control Divisioi DDITIONAL PAGES FOB SPECIFI YD GENERAL CONDITIONS BUILDING CODE & PROD REVIEW CO1•INTITTEE This application for Product Approval has been reviewed by the BCCO and Product Review Committee to be used in Dade County, Florida and approved by the Building Code t3 under the conditions set forth above. Approved: 12130/1999 PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC I35 NW20 St. Boca Raton FL 33431 1 of Francisco 5. Quintana, R.A. Director Miami -Dade County Building Code Compliance 0: Monier Lifetile Atlantis Shake and Slate Ti le Trim Pieces 2.1 Product Rainproof II Ice and Water Shield APPROVED :December 30, 1999 EXPIRES :December I6, 200 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. SCOPE This revises a roofing system using Monier Lifetile Atlantis Shake & Slate Concre Tile, as manufactured Monier Lifetile LLC described in Section 2 of to Roof °1 Acceptance, designed to comply with the South Florida Building e this Notice r Miami -Dade County. For the Iocations where the pressure requirements, as d to Edition a for SFBC Chapter 23, do not exceed the design by compliance with � Pressure values obtain by calculations in RAS 1 27 using the values Iisted in section 4 herein. calculations shall be done as a moment based system. The attachment Category: Prepared Roofing Sub Category: Flat Profile Tile PRODUCT DESCRIPTION tl/Lan ufactured by Annlicant 1= I5" w = 1031S" 1 V.." thick 1= varies w = varies - varying thickness Dimensions 30 "x 75' roll 36" x 75' roll or 60" x 75' roll Dimensions 36' x 75' roll PA 103 Test Specifications PA II2 Components or products manufactured by others Test Snecifications PA 112 Accessory trim, concrete roof pieces for use a[ hips - rakes - ridges and valley_ - -- -- terminations. Manufactured for each tile profile. - Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. - - - Product Self- adhering unde Product Description Description • Manufacturer . PA 104 Single ply, nail -on Protect -O -Wrap, underfayment with 2" Inc. self- adhering top (with current NOA) edge. W -R Grace Co. (wan cu OA) Frank Zuloaga, 'C . 77-1UL_.U/ • Roof Tile Adhesive ("Polypro© AHI60 ") Wood Battens Tile Nails Tire Screws Roof Mortar ( "BONSAL® Roof Tile Mortar Product Roof Mortar ( Roof Tile Mortar ('Quikrete® Roof Tile Mortar 21114O") NOTICE OF ACCEPTANCE: STANDARD COYDITIONS Vertical Min. /"x 4" Horizontal Min. 1"x 4" for use with vertical battens or Min. I "s 2" for use alone N/A N/A • Dimensions Min. I0dx 3" ?8x 2 %" long 0335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N /A- PAI23 PA 123 Test Specifications • Product Description Wood Preservers Salt pressure treated Institute LP - 2 or decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA IZ3 Corrosion resistant screw or smooth shank nails Corrosion resistant, coated, squafe drive, galvanized, coarse - thread wood screws _ Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof file applications. See PCA Two component polyurethane adhesive designed for adhesive set roof tile applications. ltu. : Jl-1 U1L.U/ APPROVED :December 30, 1999 EXPIRES :December 16, 2002 M ange r generic generic generic _ Bermuda Roof__. --_ . Company, Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsai Co. with current PCA Poiyfoam. products, Inc. Product Roof Tile Adhesive TileBond Hurricane Clip & Fasteners 4 - 1 L' ■ 1 1.1-1.C., NOTICE OF ACCEPTANCE: Test Product Dimensions Specifications Description n_ntion Factory premixed See PCA Single componen canisters polyurethane foam roof tile adhesive Clips Min. 4" width Min. 0.060" thick Clip Fasteners Min. 8d x I %" PA 114 Appendix E AUULY1A1rL.r. 1Y O.: 99- IUI2.07 APPROVED EXPIRES STANDARD CONDITIONS Corrosion resistant clips with corrosion resistant nails. :December 30, 1999 :December I6, 2007 Manufacturer t FIexible Products (with current ■pA)- Generic 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. For mortar or adhesive set tile applications, a static Feld 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, appendix 'A'. Such testin. shall be submitted to the Building Code Compliance Office for review. - 3.4 Minimum underla - -_- . yments shall be in compliance with the applicable Roofing r. -- ___-.Applications Standards section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed e e the roof slope unless statedotherwrise by the underlayment material manufa l t ers to published Literature. 3 . 6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3 . 7 May be installed on slopes 7 :12 and greater with a minimum .of two screws, 4. INSTALLATION :. 4.I Monier •Lifetile Atlantis Shake & Slate Concrete Roof Tile and its components shall be installed in strict compliance with - Miami - Dade Count Roofin Application Standard RAS 11S, RAS 119, and RAS 120. y 4 -7 Data For Attachment Calculations Monier Liifetiie Atlantis Shake & Slate Tile . NOTICE OF ACCEPTANCE: APPROVED :December 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Table 2: Restoring Moments due to Gravity - M (ft -1bf) I 5' :'12" Tile Profile 3 ":12" I 4 ":12" 6 " :12" " I 7 ":12" or Its Direct De I Shake & Slate Tile Deck 1 Direct Deck ' Direct Deck greater Monier Lifetile Atlantis 6.0 Direct Deck Oirect0eck 5 . 9 5.8 1 5.6 1 5.5 Table 3: Attachment Resistance Expressed as a Moment - M for Nail -On Systems r (ft-1bf) Fastener Type Tile Profile Direct Deck - Direct Deck Battens (min 15132" (min. 19132" plywood) plywood) 2 -10d Ring Shank Nails 1 30.9 1-10d Smooth or Screw 38.1 1 17.2 Shank Nail I s 8 4.9 2 - 10d Smooth or Screw f • Shank Nails 1 P3 Screw Monier Lifetite Atlantis Shake & Slate Tile • 19.0 I 22.1 1 48.3 7.3 14.0 18.8 I 7.4 1 30.8 1 30.8 1 18.2 1 -10d Smooth or Screw 1 Shank Nail (Feld Clip) 24.3 - 1- 24.2 24.3 1 -10d Smooth or Screw Shank Nail (Eave Clip) • I 19.0 2 - 10d Smooth or Screw I Shan k ?s7Fieltr Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) 35.5 35.5 34.8 31.9 31.9 I 32.2 1 Installation with a 4 2-10d Ring Shank Nails' 1 tile he dlap and fas e located mers are locat 50.3 1 65.5 a min. of 2W from head of tile. Table 4: Attachment Resistance Expressed as a Moment M r (ft-lbf) for Two Pa Tile Profile' Adhesive Set Systems Tile Application - Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile 3 1.3 3 2 See manufactures component approval for installation require ts 3 Rexibie Products Company Tiilegond Average weight per patty 13.9 grams. Polyfoam Product. Inc Avera a wei• ht per patty 8 . rams. Prank uloaga, RRC Rooting Product • NOTICE OF ACCEPTANCE: APPROVED :December 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Table 4A: Attachment Resistance Expressed as a Moment for Single Patty Adhesive Set Systems M (ft -Ibf) Tile Profile Tile Application Minimum Attachment Resistance 118.9 40.4 Monier Lifetile Atlantis Shake & Slate The 4 Large paddy Placement of 45 grams of PolyPro T'M. 5 Medium paddy placement of 24 grams of PolyPro 71 . Table 45: Attachment Resistance Expressed as a Moment - for Mortar or Adhesive Set Systems Mr (ft -Ibf) Tile Profile Tile Monier Lifetile Atlantis Shake & Slate Tile Application Attachment Resistance 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's or following statement: "i�'fiami -Dade County Product Control A name or logo, 6• BUILDING PERMIT PProved ". 6.1 REQUIREMENTS Application for building - 6.1.1 g permit shall be accompanied by copies of the following: This Notice ofAcce.tance. 6.1 Any other documents.required by the BuiIding Building Code (SFBC) in order to properly evaluate the installation or the South Florida of this system. Frank Zuloag Roofing Product Comm 7y -1 U11 APPROVED :Dece EXPIRES tuber 30, I999 NOTICE OF AC :December I6, 2007 :December STANDARD CONDITIONS PROFILE DR w cs W ATERLOr7Cy OVERLAY 1 MONIER LIFErILE ATLANTIS SHAKE cSc - - SATE CONCRETE ROOF TILE Frank Zuloa } APPROVED :December30, /999 EXPIRES :December I6, 2002 NOTICE OF ACCEPTANCE STANDARD CO \'DITIONS I• Renewal of this Acceptance (approval) shall be considered after a renewal a licat' filed and the original submitted documents including test-supporting da ne t °n has been are no older than eight (8) years. engineering documents, �• Any and all approved products shall be permanently Labeled with the manufacturer's state, and the following statement "Miami -Dade. County Product Control ,q ale' city, specifically stated in the specific conditions of this Acceptance: or as 3 . Renewals of Acceptance will not be considered if a. There has been a change in South Florida BuiIding Code product.and the product is not in compliance with.the code changes_ g the evaluation of this b. The product Ls no longer the product (identical) as the-one-originall y approved. • c. If the Acceptance holder has not complied with all the requirements o this cc tance including the correct installation of the product. P d. The engineer who originally prepared,. Y P pared,. signed and sealed the required documentation initially submitted, is no -longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or cess automatically be cause for termination of this Acceptance, unless prior written appro has been -- requested (through th filing of a revision application with appropriate Fee) and granted bS_is. office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. - - Misuse of this Acceptance- as •arr endorsement of any product, For sales, advertising other purposes. - or any 6. The Notice of Acceptance number preceded by the words Miami -Dade County, followed by the expiration date may be displayed in -advertising Iiterature. If an Florida, and Notice of Acceptance is displayed, then.it shall be done in its entirety. Y portion of the 7. A copy of this Acceptance as well as approve d drawings a n d other documents, • menu, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available For inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause Acceptance. ause for termination an d removal 9. This Notice of Acceptance consists of pages I through 7 and this last page 8. END OF THIS ACCEPTAN Frank Zuloaga, RRC Roofing ELECTRICAL i'VPI Minimum Fee QTY TYPE Dryer QTy. TypE Outlet, Appliance QT\ . 1 . VPI.: Service Repair O1 V 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 I IECHANICAL TYI'E Minimum Fee QT1'.4PE QTY. Condensate Drain TYPE: Generator QTV. 'ruff: Q'I'V. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. 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 PL U NI 131 NG TYPE A/C Condensate QTY. TYPF: Drains, Roof QTY. T\'PE Miscellaneous Fixture QTY. 'rv Soakage Pit Q'I'V. 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: Page 4 OFFICE USE ONLY CHECKLIST ❑ 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) ❑ OTHER (Specify & Attach) $ $ 4D 1 $ f 1 p( \J (sq.ft. = x/1000 _ 1 x 0.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE (/92J- PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ (O 7, ISSUING OFFICIAL DATE: 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 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement us me plans and specifications herewith submitted for the build • in 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. W I Date........... _ ....__....... , .o.. Owner's Name and Address s �r.i.S© _ No. e Street) E / Registered Architect and /or Engineer , .... ...•• ,. .MI*! Name and address of licensed contactor TA?- Q °A...L!? S- j... Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and urpose of buil �u.c..... 1 b si 6A TO ..t RED s t r�F -c�c STATE OF FLORIDA, 1 . COUNTY OF DADE. j SS' L �, Disapproved Date (Signed) Subdivision l:f'hoJC 1�1�jTC a I:tio . U© - (? o f= 1.1'T14 floors). C . — ing (b S.9 OA ICC. (Signed) .... 1 !-: sT _._ "f tv t • and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 9.27D 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 Remuks 0 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. .__ L 5 5 5 Date I — 0 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commluion Expires PLANNING BOARD DATE Chairman Mcmbcr \tcrr.ber Member Member.. ... _.....__....._..._._...._....._ Member ...__ —.._ ... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Pl.tnnir.g 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. Owner's Name and Address MIAMI SHORES VILLAGE g Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date__ /1 �� , 19 g No Street Registered Architect and /or Engineer u Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done T /.S ' 8 / o State work to be done and purpose of building (by floors) New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind f foundation Roof Covering Estimated Total cost of improvements $__ -1 d and for no other purpose. Amount of Permit $. ...F 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 axe licensed by Miami Shores Village. Remarks - (Signed) STATE OF FLORIDA, COUNTY OF DADE. Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 9/6 Disapproved ( Signed) 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ■