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541 NE 102 St (5)Date Type Insp'n Permit N Name Address - Compa Phone # For Inspectir U( ame & Date Approved Correction f - ►�7� —/ A iv �� Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 01. Time V; 46 w ir- -1 For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date _ Tim Type Insp'n Permit No. Name Address Compan Phone # f Type Insp Permit No. Name Company Phone # Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 0 \Time Address L, (0 A- • • Ankihdill For Inspector: 1 l ) 10A3 ame & Date Approved tt74— Date 09/20/2002 Job Add Owner's Address . 541 N.E. 102 Street Miami Shores .zit. Itt Owner ■otary sto Omer and/or My commissi Y ffikes: Brenda Fowler v ', 9 \= c E B o n d p. 2004 CO Atlantic Bonding Co., Inc. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 541 N.E. 102 Street Tax Folio Legal Description Historically Designated: Yes No owner/Lessee /Tema Mary Ellen Kelly Master Permit #J C 2 Phone (305) 751 -6657 Contracting Quality Roofing Contractor, Inc. g Address 13800 N.W. 1st Ave. Queer Carlos Arocho ss# Phone (305) 751 -0382 s tate# RC0058627 Municipal # c ompe t ency # 000017889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, replace rotted wood, tin cap 30Ib. ASTM felt, install galv. eave /valley metals, mop 90Ib. ASTM felt, install Santa Fe Terr colorthru tile with polyfoam settin. S9 Ft 20sq. Estimated Cost (value) $8,800.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMI ENCEM NT AND YOUR FAMURE TO DO SO MAY RESULT IN YOUR PA°t3k IG 'MICR OB,3I VIII AIRI f3 TO `i 11,1TI i ?I" I 4.1.17P Oirr::,N.13 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER al t AN ATTORNEY Mi C:I ItiCORDING YOU2 liOTIC.2 O: C:sM NCI NT.) Application is hereby made to obtain a motif. to do w k and iwtollafion: vs iudiested above, and on the attached ade.t xtum (it; applicable). 1 cc rtity that ten Work will be perfonued to root Ube, standar& of ell lag:x=04411i% canztrution. tbia imatuliatioa. Ivuriectaodtats aiz 94xsoitz gxeteAuixoclrn[ELECTCICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVTF: I certify that all tlx: foregoi, itik. is t-vsrurgc taut that all work krill lie done in compliance with all applicable laws regulating construction and zoning. Furthermore, 1 authorize the above-Totaled cotrttector to do the wuti; atat(d• 9/7 /i2 Date Notary as to Co My Commission Expires Sigaadrre of Contractor or Owner- Builder Date tor or Own - Builder 1 1 i by, , MARYLOU HERNANDEZ 41% :.,.. MY COMMISSION # DD 060579 '�. =': EXPIRES: October 10, 2005 ',of n . . Bonded Thru Notary Public Underwriters Date FEES: PERMIT I RADON C.C.F. 5. 41) NOTARY APPROVED Zoning Building Electrical Mechanical Plumbing Structural Engineer BOND 3 0 a TOTAL DUE. SS. (/ /v Page 1 of 1 1 Owner's Notification for Roofing Permits issued under the Florida Building Code JJIAMJ -DADE COUNTY BUILDING DEPARTMENT ELECTRONJC APPUCATJON 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 cif 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. 6 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, shokski be addressed as pact of the agreement betwieeh the owner acrd the cohtractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). (J/ 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 worts to be performed. 4. Exposed Cetilings: Exposed, open beam acetttngs are where the ucrderskie of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident l.c►ttt the octgtha' roams system is removed. Pocxiktig cohdtttohs shookd 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 sliouiid 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 redkiced. It may be bectietkokat to =skier' addtttonat v s tthg'# hi+ch car% resu4t kr% extendtag the secvlca kite of the roof. Owner'slAgent's Signature Date Contractor's Signature http:// www. co. miami- dade. fl .us/bldg/roofing _permiting/owner notification.html 8/26/2002 1, High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Master Pennit No. Contractor's Name: [Quality Roofing Contractor, Inc. ❑ Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 Low slope roof area (ft. , n / a Section A (General Information) Process No. Roof Category ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Other: Roof Type Job Address: `541 N.E. 102 Street ❑ New Roof r° Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes Are there Gas Vent Stacks located on the roof? ❑Yes 123 No If yes, what type? ❑ Natural ❑LPGX Roof System Information Steep Sloped area (ft. 20sq. Section 8 f Roa Plan Page 2 Total (ft. ; 20sq. Page 1 of 1 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. 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MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Roof Slope: 1 , 2 1/2 "/12" Roof Mean Height: ( 1• Ridge Ventilation: r n /a Method of Tile Attachment: 'Adhesive, Large Paddy Polyfoam Polypro Altemate Tile Attachment Method: In /a Clip Spacing for Metal Roof Panels Field: In /a _Perimeters: n/a Perimeter Width: ,n /a 1 Section D (Steep Sloped Roof System) Comers: _n /a Sloped System Description Deck Type: (1 " X 6" T & Page 4 Altemate Deck Type: 'n /a Underlayment type: 30Ib. ASTM Insulation /Fire Barrier Board: n/a Optional Nailable Substrate: 'n /a Fasteners: 1 1/4" R/S Nails Cap Sheet Type /Adhesive Type_: 90Ib. ASTM felt/Typelll Asphalt Roof Covenng. (Santa Fe S CI Roof Covering Attach Tile ethod: , Polyfoam adhesive setting Drip Edge Size & Gauge: 3" face 26 ga. i Drip Edge Material Type: Galvinized Metal Drip Edge Fastener Type: 1 1 1/4" R/S Nails Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 http: / /www.co. miami - dade. fl. us / bldg /roofing j,ermiting /section_d_3.html 9/26/2002 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 3.42 32.2 34.4 36.4 37.4 39.6 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 1 7:12 24.4 25.9 27.1 28.2 30.0 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form 1 MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION For Moment based the systems, chose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1: - 47.6 x A 0.297 - M 5.90 P 2: -100.6 x A 0.297 : - M 5.90 P 3: , A 297 _ M 5.90 Section E (Tile Calculations) = Mrl: 8.24 NOA Mf: 61.9 Mr1: 23.98 NOA Mf: 61.9 Mr1: 23.98 NOA Mf: 61.9_ Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: Mr Required Moment Resistance* *This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 NOA Mf: Page 1 of 1 http: / /www.co. miami - dade. fl. us / bldg /roofing permiting /section_e_3.htm 9/26/2002 FEB 21 '01 14:12 FR BRRDCO MIAMIOA Sant* Fe Tile Corporation 10302 N.W. South River Drive, Day #16 Medley XL 33178 44. APPROVED] 02IO1nf01 305 59? 9484 TO 3059533333 P.01/05 PRODUCT CONTROf., NOTICE OF ACCFPTA 3CE i MtAMI•DADE COUNTY. FLORIDA METRO•DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER DUILDING I40 WEST r1.AGLCR STitLCT. SUITE 1603 MIAMI. FLORIDA 33130 -1363 (303) 375.2001 VAX (303) 313.2001 CQ►+Ti cTOtt LICl r *1NG SECI'ION (303) 375.1327 PAX (303) 37s -2335 coNTRLiCToR ENFORCFmxtn• nrv,slO DOS) 375-3046 FAX 1303) 37S -2901 Your application for Notice of Acceptance (N0A) of: Spanish "S" Clay 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 recoitt vended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the ctonditlons specified herein. This NOA shall not be valid after the expiration date stated be.ow. BCCO reserves the tight to secure this product or material at any time frorn a jobsite or manufactur is 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 rese s the right to revoke this approval, if it is determined by BCCO that this product or materlsl fails to eet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufactu f r. ACCEPTANCE NO 00-1212.06 EXPIRES: Ot /¢tn0o6 Raul Rodriguez Chief Product Control Division THTSJSTHE COVERSHEET. SEE ADDITIONAL PAr/WOR SP) CEFIC AND qFNl: RAL SONI)1T1ONS 1) D V W iv This application for Product Approval has been reviewed by the BCC() and approved by the Building Code and Product Review Committee to be used in Miami -Dale County, Florida under tho conditions set forth above. PRODUCT CC1Y1'itOl. UIYl510X (303) 315 -2902 FAX (303) 31243)9 Francisco J. Quintana, R,n. Director Miami -Dado County Building Code Complia OCficc A acupam. Mw Wesdoc Internet ntsalt addreu: postma sterebulldlnt;eodeonline.com H ncpago: hltp :t.'.ww.D FEB 13 '01 17145 3058880050 PAGE.01 :-:-;.) f b '1504 I1! U Q, . .....- $ANTAFE TTLEEORPORATXON ROOFING ASSEMBLY APPROVAL 'dame or : • Rooting Sub- Cate1'orv: 07320 Roofing Tiles Materials D eck Tvnot 1. SCOPE This renews a roofing system using Santa Fe "Santafe Santafe Tile Corporation described In Section 2 of this comply with the South PlorldaBuilding Code, 1994 E locations where the design pressure requirements, as d does not exceed the design pressure values obtain by c using the values listed in herein. The attachment calcu aystem. 2. PRODUCT . DESCRIPTION • Manufactured by Mnlicant Swan 'S' Clay Roof Tile Trim Pieces FEB 23 °01 11 ;45 Clay Roof Tiles Wood Test Dimensions ;necifications 1= 18" w 11.3" K. thick 1= varies w • varies varying thickness. 2.1 COMPONENTS OR PRODUCTS MANUFAC Tort Product Dimeatiollj Sncei{ientionl Tile Screws 118 x 2 -h" long PA 114 0.130" shank dia. Appendix E 0.178 flute dia. 3. LIMITATIONS 3.1 Fire classification is not port of this acceptanc 3.2. For mortar or adhesive set tilt applications. a accordance with RAS 106. 3.3 Applicant shall retain the services . of a Mia perform quarterly cost in accordance with PA submitted to the 13utlding Code Compliance 0 J Ie WW4YV a-..:v.r II ACCEPTANCE No.: 00- 1212.06 Approval Date: February 1. 200t Expiration Date: F'obrunry ><, 2006 S" clay rooting tile, manufactured by J mice of Acceptance. designed to i don for Miaml -Dade County. For tarmlned by applicable building code. leuIetions in compliance. with RAS 127 tions shall be done as a moment based Product Descrintlon PA 112 Ole piece high profile clay roof the e. ipped with two nail holes. For nail •on, rn. mar set and adhesive set applications. PA 112 A:cessory trim. clay roof pieces for use at hiss. rakes, ridges and valley terminations. M% nufactured for each tilt profile, URED BY OTHERS Product peserintinq •tainless Steel Mnnufneturcr generic alit field uplift teat shall be performed in i-Dadc County Certified Laboratory to ' ll be , 112 a ha • !. �� _-- •. „- ,L.L�L:,!_ Oita, RRC Rooting Product Control Examiner 3058880050 • PAGE. 02 Table 2: Restorin• Moments due t• Gravit - M. tt-IDT Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 " :12" or • reater Battens 'uect Dock 21.8 Direct Dock I!ii Direct De k tuna Direct Deck Battens Direct Deck Batton; ()net Deck Santaie 'S 3.93 5.90 5.85 3.82 MEll 5.69 5.53 5.32 5.29 5.03 N/A j For Nall -On Syst Tile Profile Tlla Application Two Nails One Screw wo Screws One Screw w/ Clip Two Screws w/ Clip Santee S Direct Deck 21.8 29.16' 38.28 57.31 57.60 Battens tt! t 61.77 1. Approved screws as noted 'Product manufactured byothers' !' FEB 21 '01 14.13 FR BRADCO SANTAFE TILE CORPORAT1QN 3.5 30/90 hot mopped vrderlaymeat applications slope unless stated otherwise by the under' literature. 3.6 This acceptance is for wood deck appitcaoon compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installe County Roofing Application Standard RAS 11 4.1.2 Data For Attachment Calculations Santaie 'S' FEB 13 '01 17:46 Tile Profile Table 1: Aerodynamic Multi 305 597 S484 TO 3059533333 = .0305 ve) Batten A • • 1ic 0.274 3 ACCEPTANCE No.: 00 1212.06 n ay be installed perpendicular to the roof run: material manufacturers published Minimum deck requirements shall be ui in strict compliance with Miami Dade , RAS 119, and RAS I20, lyers- 7•. ft Lion (ft) Direct Deck 0.297 Table 3: Attachment Resistance Express4d as a Moment- Mf (ft -Ibf) Moment - Mr (ft -Ibf) ms Attachment Resistance 23.6 61.9 rank Zuloaga, RRC Roofing Product Control Ezamincr Table 4: Attachment Resistance Expres d as a for Mortar or Adhesive S t Syste Tile Profile Santafe Tile Application Morter Set 3058900050 PAGE.03 SANTAIZ TILL CORPORATION 5. LADELING 5.1 All tiles shill bear the imprint or identifiable narking of the manufacturor's name or Togo, or following statement: "Miami-Dade County lioduct Control Approved ". 6. BUIImIIiG PERMIT 1iEQUIItFMENTS 6.1 Application for building permit shall be accom4nlcd by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other . documents rrquired by the Building Official or applicable Building Code in order to properly evaluate the installation othis system, PROFILE DRAWL* SANTAFt "SANmAyE S" CLAY 600F TILE F8 13 '01 17 :46 4 ACCEPTANCE No.: 00- 1712.06 'Frank Zuloaga. RAC Roofing Product Control Examiner 3058880050 PAGE . e4 SA NTA TXLEORPORATION FEB 13 '01 11 :46 JIJ+r E ND ACCEPTANCE No.: 00-1212.06 1 Renewal of this Acceptance (approval) shall be considered etc a renewal application has been filed and thc original submitted tloc;rnentation. Including test supporting da ongineering documents. arc no older than eight (Y) years. 2 Any and all approved products shall bc permanently labeled wi the following stattmenC 'Miami -Dade County Product Contra specific candWons of this Acceptance. 3 Ranewtls of Acceptance will not be considered if a) There has been a change In the South Florida Building Cod affecting the evaluation of this product and the product is not is compliances with the code change b) The product is no longer thc same product (Idcnticrl) as one originally approved; c) if the Acceptance holder has not complied with all thc rtq r ements of this acceptance. including toe correct installation of thc product; d) The engineer who originally prepared, 3i4 and scaled required documentation initially subrnlued, is no Longer practicing the engineering prefessi o Any revision or change in the materials. use, and/or niautiactu automatically be cause for termination of this Acceptance, unJa (through the filing of a revision application with appropriate fcc 3 Any of the following shall also be grounds for rc:noval of Ibis Al a) Unsatisfactory performance of this product or process*, b) Misuse of this ACCeptance as an endorsement of any pr purposes. 6 The Notice of Acceptance number preceded by the words tvfiami expiration date may be displayed in advertising literature. if an displayed, then It shall be done In its entirety. 7 A copy of this Acceptance u well as approved drawings and oth provided w the user by the manufacturer or its distributors and c site at a1: times. The copies need not be resealed by the engineer 5 h ONDITIONS the manufacturer's range. City. stale. and pprovcd - , or as specifically stated in thc of the product or process shall prior written approval has bccu requested and granted by this office. plane: ci. for sales, advcnJsing or any other ads County, Florida, and followed by the •nlon of thc Notice of Acceptance is documents. tncore it applies, shall bc 11 be available for inspection at the job 8 Failure to comply with any sermo of this Acceptance shall bc casc for tcrrnination and removal of Acceptance. 9 This Acceptance contains pages I lttrough 5 END OF THIS ACCEPTA ra.nkZuloega, ARC ofing Product Control Examiner 3esseses50 PAGE.e5 ** TOTAL PAS,= . PERMIT ND, TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain teal property, and in accordance with Chapter 713, Florida Statutes, the Mowing information Ts provided In this Notice of Commencement. 1, Loaf desstipIon OI property and Melt address; 541 N.E. 102 Street Alb NOTICE OF COMMENCEMENT A RECORDED Corr MUST SE POSTED ON THE JOR SITE AT TUAI OF FIRST INSPECTION Z, D of insprovemant: Reroof to a new Tile Roof. S, conearm name and address: Mary Ellen Kelly worm fa drapawly: Owner Mate and address of fee simple fibs holdor: N/A 4. Contractor's name and address: Quality Roofing Contractor, Inc. 13800 NW 1 st Ave, Miami ,Florida 33168 S. Sutety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ n n 6. Linder's name and address:. NIA Miami Shores, Florida 33138 541 N.E. 102 Street Miami Shores, Florida 33138 7. Persons within the Staff of Florida designated by Owner upon whom notices or other documents may be seev/d u provided by Sargon 713.13(1)(a)7„ Florida Sautes, Name and address: N/A 1. ln addition *himself, Owear designates the following persons) to receive a copy of the Lienor's Notice as provided in . INIlon 713.13(1)(b), Florida Stalu$es, NM and a: N IA 6• Expiration doe of this Notice of Commencement: phe expiration date is 1 year from the 421e 01 wording unbis 1 dlserlmdais Is i tl e;7 a k tur " f r,e/,-- Print Owners None k STATE OF FLORIDA, COUNTY OF DADDE HE_REEY CERTIFY that this is a jrue cop of th orlon- filed in is office on day of WITNESS ^ —`— , A 0 20 my hand and Official Seal. HAR j� VIN, CL Y u B o i cuil 20 a ', Quality Roofing Contractor, Inc. Address:, 1'Rnn NW 1 qt Avarua Brenda Fowler Miami ,Florida 33168 96816 . 19,2004 `.0 • Cri / /,`..,r ( LERK C ✓\' p repare d b Carlos Arocho Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305- 795 -2204 Permit Number: BP2002 -1715 Printed: 10 /8/2002 Applicant: DAVID /MARYELLEN KELLY Owner: KELLY DAVID /MARYELLEN JOB ADDRESS: 541 NE 102 ST Contractor Local Phone: 305 -751 -0382 Parcel # 1132060170960 QUALITY ROOFING CONTRACTORS INC Contractor's Address: 13800 NW 1 AVE Legal Description: MIAMI SHORES SEC 4 AMD PLAT Page 1 of 1 PB 15 -14 LOT 16 & W1/2 LOT 17 Fees: Description Amount FEE2002 -5636 Building Fee $150.00 FEE2002 - 5637 CCF $5.40 FEE2002 -5638 Buildier's Bond $300.00 Total Fees: $455.40 Total Fees: $455.40 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 4/6/2003 Construction Value: $8,800.00 Work: TEAR OFF OLD ROOF TO WOOD DECK REPLACE ROOTED WOOD TIN CAP 30 LB STM INSTALL GAV EAVE METALS MOP 90 LB ASTM 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: In consideration of the issuance to me of this permit, 1 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 specifi 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: (INSPECTOR) BY: ,./--- or Builder) BY: 6 0 QUALITY ROOFING CONTRACTOR, INC. 13800 N. W. 1ST AVENUE MIAMI, FL 33168 -4849 © Secu ri l enhanced document. See hack L delai Is ET PAY —' -' ,' \ TO THE ORDER OF ( ► ` t. �/ '�� :Q 4/° <.dv / te a BankofAmerica . a rx - / ?/S ACH R/T 083100277 DATE 63-4/630 R 11 - J - &D . 1348 $ g5 5 y0 RS B ° :- FOR knn,..- 5 I i , It - - L c � y "Oi790511' 1:0630000471: 00 1 59 5 300 246v 17905 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 ' t k D 26 p pil, �J L D 51 FA s� — 0 76 2 27 t 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 91 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 SITE SPECIFIC INFORMATION Owner's Name ► ='1 1 _ ' - t t - M Permit # Job Address it ( 1 ®2 S T. t N(.1Ato t SI- o1 R, Roofing Contractor: Q 0 l_�� t 9 Type of Tile: "5 f iN A 6 t t - T - Approximate Roof Height: 1 feet Type of Access to Roof: Scaffolds . '' Ladder Approximate Square Footage of Roof: 2° 42 0 ft Required Testing Force: 35 lbs. Testing Equipment Chatillion100 Date Tested 12 - 2- r 02 IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL T. T. THIS REPORT • : MITTED BY:. Civil Engineer: Lab Certification # 98- 0608.04 State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. N9 4 6065 N.W. 167th Street, Suite B -23 • Miami, 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 PA 106 TEST RESULTS P = PASS, F = FAIL 44/'15 12I3AL- Date Installed• I - 2 Z. --tom Roof Pitch: 3 : 1 z_ Other 1 /6) NOTES KETCH OF ROOF JOB ".4 av- 2 5T. 4u AAA t SAD L r�• '2 'OF Z Qc9att-cy taog* 12. -0a SHEET NO CONTRACTOR CHECKED BY DATE SCALE 1 1 (, l PERMIT APPLICATION FOR MIAMI SHORES .VILLAGE fi Signatur Date: My Commission Expires: ** * * APPROVED: Zoning _ Presidents J /( vote-Lk • v. HE NRY SDKI ON MY COMMISSION # CC 244574 EXPIRES Fire Buildi Date lit' 'q3 Job Addre tr41 11145 'Oel Silec - Legal Description/64 Lessee / Tenant F'IYQ., Got' Strat i t L - . Owner's Address Sit( NE ma I � a� � � Phone Contracting Co. 8.6 !-1; (sow °'t C O . Address (C440 50 I rr rei, c. I 14;404; Qualifier Cro I. PlerGk SS# - - Phone (3g State # Municipal # Competency 4a~ Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN l/ ,,� �� ' �, re4o(5t4Ch . 2ear I/ WORK DESCRIPTION :- 2�U''IOU� OIQ�"IR e�"�,' % °` /P� o� S a c °c litIC"( Gl� M (lewtou t ago( /l lac& bicker. fit( ( a> , eeo(ee . �e ',fact 1awlq eol eatk w ell . Square Ft. Estimated Cost(value) 1“ 5..° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in complianc- all applicable laws regulating construction and zoning. Furthermore, I authorize tractor to do the work stated. * * * * * * * * * * * * ** FEES: PERMIT c/ (� / 124V RADON C.C.F. ci NOTARY TOTAL DUE 2/09 Master Permit # �� HENRY KIDSON : *= MY COMMISSION # CC 244574 EXPIRE d im o„ r aN �7RRU FA I�ANCE,IF ilder My • �� • 'expires: Other Electrical Mechanical Plumbing Engineering Application is hereby mode for the approval of the detailed statement Ut me plans and specifications herewith submitted for the build • inc 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. Ownci s Name and Address Registered Architect and /or Engineer State work to be done an Name and address of licensed contractor Location and legal description of lot to be built on: 3 Lot.. /6...V Ilit... -:47 Block Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss. Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ,19...gt? et 1'1 a A/ .9 1 _ _ No...... .._.. Street_ Subdivision. 1 c of buildin (by floors ).... . t. ' Y.Qo.. it7.7 1 / 3 06 / 7 -09 60. 7 • .1 Q. 4 -ir- ` _..__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation ,� Roof Covering Estimate Total cost of improvements $ ✓ iIU.V Amount of Permit S�....1.{!11 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 su • • . work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signe Bcfore 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 ////1J. e�trye. c19 .r / ?? / Permit No Date. Read, Sworn to and Subscribed before me. Disapproved ,f . �. :.._ Date. Notary Public, State of Florida (Signed) My Commission Expires PLANNING BOARD DATE Chairman Member Member Member _..._.......;...._ Sfember 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.. Board. A rein.pection fce of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials gnu /or workmanship. BUILDING ❑ ELECTRICAL ❑ DATF a 195 PLUMBING ❑ PERMIT N? 8201 ROOFING 0 ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA B1. Subdi- vision Contractor's License No Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A 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. . v BY 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 responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY v BUILDING ❑ ELECTRICAL ❑ PERMIT o PLUMBING ❑ N . 8192 ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE. FLORIDA CONTRACTOR OR BUILDER Bi. DATE 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Sq. Ft Value of Project e Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A 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 • BY 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 _j assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT pplication 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 January. 3, , 1959.. Owner's Name and Address .0 ....W.___Davidson No 541 Street N. E. 102nd St., Registered Architect and /or Engineer Name and address of licensed contractor Lang Roofing & Tile Co., Inc. , 430 N. W. 79th St..., Miami Fla Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.. 541 N,.___E.,_._ .02nd___St.._, Miami Shores., Fla_. State work to be done and purpose of building (by floors) Tear off and re -roof entire residence, and for no other purpose. New Building Remodeling. Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering. barrel . tile Estimated Total cost of improvements $ Amount of Permit $ $5,00 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 suUontractors on workt9 �� p med under this M permit, as are licensed by Miami Shores Village. LANG ROOFING O 1N U Remarks (Signed) ,' f ► x_4_1 __ .�� K. F. Everngam, Vice President. 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 Disapproved ( Signed) edir Building In .ector 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 47/ Date 1 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. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address.'!�P.i Registered Architect and /or Engineer > / p� Name and address of licensed contractor ': % / -' ---. " ) !..L&-. ` L D �' / 9 D i2 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. Disapproved Chairman Member Member ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date State work to a done and purpose of building (by floors) Date /2- -3 ,195`d No Street / Zl C,/oz-at, and for no other purpose. New Building Remodeling Addition Repairs.!". No. of Stories To be constructed of Kind of foundation ._. Roof Cov irk Estimated Total cost of improvements $ ' Amount of Permit $....tie 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 s conttr ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. - Remarks (Signed) Notary Public, State of Florida PL : NING BOARD DATE 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 tth foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._.Q ►_1. . Date / Z � � Read, Sworn to and Subscribed before me. (Signed) Building Inspector / " Commission Expires Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re - inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.