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574 NE 102 St (12)Issue Date: 1/17/2007 Owner's Name: CARLOS GONCALVES Permit Type: Roof Work Classification: Roof - New Job Address: 574 102 Street NE Additional Information Miami Shores Village, FL Contractor(s) Phone KAWALEK ROOFING & PAINTING, I 786 - 277 -9540 Yes Primary Contractor Type of Work: Re -Roof Classification: Residential Additional Info: COLOR THRU In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $11.40 Education Surcharge $3.80 Notary Fee $5.00 Permit Fee - New Roof $300.00 Scanning Fee $12.00 Technology Fee $7.50 Total: $339.70 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 07/16/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF- 1 -07 -73 Phone: 305/754 -5840 1132060171030 Lot: PB: Total Square Feet: 2500 Total Valuation: $ 19,000.00 Re. uired Ins s ections Tin Cap Hot Mop Tile In Progress Up Lift Report Final Roof Invoice Number R F - 1 - 07 - 27232 Total: Amt Due $339. Amt Paid LAN 1MM D NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. NOTICE OF COMMENCEMENT A;RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11 3D 0(o 0 1 11039 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: S 1'J lv L� 1 dc)1, d' 6 t f 4 &yv � o reS FL3313 Tif 2. Description of improvement: 7 e° —ry C tt OS 3. ONer(s) name and address: WNW !ore 1 33 1 3 Interest in property: 9 W V\ ex Name and address of fee simple titleholder: grint 4. Contractor's name and address: PO 1.<amio 1e); pi °. tOX 53) cos) Miami I 5 3 FL, TS ea 5. Surety: (Payment bond required by owner from contractor, if any)__ STAT OF FLORIDA, COU,di'1' Name and address: I HEREBY CERTIFY !Nit tlr.r,<'s - 1,,,; Amount of bond $ a' 6. Lender's name and address C;K, o RVEY RUM, Q.Et21i, o f 7. Persons within the state of Florida designated by Owner upon whom notices o 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 da'e is specified) gnature of Owner Print Owner's Name Sworn to and subscrib-d before me this 11 day of — AM Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 12/05 original tied in Mk; 'vViTIVES,i m / har 6ON1A(v , 201. 111 CFN 200780053633 OR Bk 25283 P9 0381; (1P9) RECORDED 01/17/2007 11:58:24 HARVEY RUVINr CLERK OF COURT IIIAMI -DADE COUNTY? FLORIDA LAST PAGE ac4lve IVE 10c)-Ind £ LI • •ocu ens Prepared by • o rcc\ +Pa.iA.l Natioxie) 33138 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical C� � P umbg Mechanical Ca 4- f U Owner's Name (Fee Simple Titleholder) h k li r Phone # 305 30.2 6) 6 / 3 Owner's Address 517 l ItE 1 p<2 V1 a 8-1- City M 1 Sh o r e-s State - Zip S313 Tenant/Lessee Name Phone # Job Address (where the work is being done) 5 1 me )0;A h d S� City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # tt -. 3D— 0 ? O 17 1 O3 Is Building Historically Designated YES Contractor's Company me '<imN0l.1 VOOc- r i � Phone # Contractor's Address '01 BOX 531051 �/ City Qualifier Name ' A., au •- 1 1P�{< Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 18, Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 0 1 1) 710 I ti; State FL NO Master Permit No. State Certificate or Registration No. Certificate of Competency Phone # Total Fee Now Due $ 305 175II-0 1 X1 Zip 3313 $ Phone # ( - I ©�q No. 06133000'7 Square / Linear Footage Of Work: 5 0 0 Type of Work: ❑Addition ❑Alteration ❑IN, w Repair/Replace El Demolition Describe Work: ' rear !) &X is t tr °I'1 ro ) r-Pp )c&t 4 h o r e-w _JAVA er 5pah i S - c-o n c - re co lor -h ro"ut 14 color Cv 1or iS :wr erg rid i u' Igo ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 3 () () CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ See Reverse side —> 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 b approved and a reinspection fee will be charged. Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature �� f Signature C----•-- - Owner or Agent Contractor The .regoing instrument was acknowledged before me this (I The foregoing instrument was acknowle.; . a me this h. da of 1k ,20 ( ,by Can (A(4h i(' , day of li ,20 Q # by . " ttrx�� , w o is personally known to me or who has produced fl • S y U(1' S whois'personally known to me or who has produced 1 rak `Okio u As identification and who did take an oath. as identification and who did take an oath. `' NOTARY PUBLIC: NOTARY PUB IC: \CPU 48,5 5 \Sgo∎42� „nms PES P� Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Master Permit No. Process No. Contractor's Name Job Address 5911 ME i O& h S °5 ❑ New Roof ❑ Low Slope ❑ Asphaltic Shingles Iorida Building Code Edition 2004 I. ;ty Hurricane Zone Uniform Permit Application Form. • ection A (General Information) ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes ❑ Repair Low Slope Roof Area (SF) 0 0 Steep Sloped Roof Area (SF) Q50O 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. • • ••• • :• • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • •• • • • • ••• • RE :;iEnD JAN 1 :t07 ❑ Maintenance Alm WINO ct • • • • • •• g i w CG 8= 0 0 8 w w (n 0 15.32 FLORIDA BUILDING CODE — BUILDING • • • • • • ••• • • ••• • • • • • • • 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) e '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 renailed rdance 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 it :e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner shousdnotify 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 viewbd -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. ( t 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 roo 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 overladed 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 he Florida Building Code, Plumbing. i 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of s ural 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. SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS Owner's /Agent's Signature Rev:120/2005,Computer Services, Building Department / / 11 / Date • • • ••• • • • • • • • • • • • • • • • • • \-)PckaZ Contractor's Signature 5 M /O7 JO 9 / S fleeEs Property Address Fc 3) / Permit Numb& • • • • • • • • • • • • • •• ••• •• • • • •• • • • •• ••• • • • • • • • • . • • • • • • 51 � 1 ( \ avid, v -+-i aJ 1 Ines ' . .. • 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 9 Job Site Aerodynamic Multiplier 2 Product Approval Restoring Moment due to Gravity M Product Approval Attachment Resistance M Product Approval Required Moment Resistance M Calculated Minimum Attachment Resistance F Product Approval Required Uplift Resistance Fr Calculated Average Tile Weight W Product Approval Tile Dimensions L = length W = width Product Approval All calculations must be submit ed to the building official at the time of permit application. M required Moment Resistance* 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 • • • • • ••• • •• •• • • . • • • . . • • • • • • • • • • ••• • • • • • • • • • • • ••• • lorld Bd�dia dole Edition 2004 �4I h- Velocit Hurries n e•Zonet p for n Permit Application Form. • • ••• Section E (Tile Calculations) For Moment based tile systems, choose either IIdetho4 1 or j.Comp•i• Rte valtA for M with the values from M. If the Mt values are greater than or equal to the M values, for each .sea of tit rdbf,:len:he:de . tta•h•tent method is acceptable. • ••• • •• • • ' • e "lufoRieneBa Ii Calculations Pcr RAS 127" ••,,� • • L� Q Q n (P r11bx7 Q ■ = Mg: i 1 = Mr13r Product Approval M 320 ' I (P & r . M Qs1 .m„ P I CC 1 Product Approval M f d g Q r 7 (P / VxxigSgav1 M = M Product ApprovalMf Mcthod 2 "Simplified Tile Calculations Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval M f ROOF ASSEMBLIES AND ROOFTOP STRUCTURES *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 Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Moment Based Tile Calculations Pcr RAS 127" (PI: (P2: (P3: xL = xw: =J -W: x cos 0 =Fri xL = xw: =_) -W: x cos = Fr2 = xw: =_ _) - W: x cos 9 = F xL Product Approval F' Product Approval F Product Approval F' FLORIDA BUILDING CODE - BUILDING 15.35 Roof System Manufacturer: i\A 0 n \ er Notice of Acceptance Number: 0 —i vS p - I Minimum Design Wind Calculations))• P1: Pressures, If Applicable (From RAS 127 or 9,1b P2: I00112 •P3: load? Maximum Design Pressure (From the Produc t Approval Specific System): 35. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Ro( Slope: : 12 Ridge ptilatkri? Mean Roof Height: _ Florida Building Code Edition 2004 High - Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Steep Sloped Roof System Description Deck Type: l 7(, b V —TD i 1'\--FW OO Type Underlayment: Insulation: Fire Barrier: N I Pc Nei_I L_ - ` ►_o l��c Fastener Type & Spacing: ) f i4 1 KI IC I,5 /$ 1 ireid Adhesive Type: 4V1 OI.S p no " J Type Cap Sheet: f 1*1 D,s r�,± 1 , E o lor \Roof Covering: ®V11 f C� ` s rc e-i-i )e Type & Size Drip Edge: • •• •• • • • • • � • • • • ; • , • • •• • • • • •l• • s • • • • • • • • • , • • • • •• ,• • - • • • ,.• • • ••• • L3 o v 15.34 FLORIDA BUILDING CODE — BUILDING • • ••• • • • •• • • • • • • • • • • • • , • • ••• • • , • • • 1 •• • • • • ' • • • 111 MIAMFDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20` Street Boca Raton, FL 33431 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: Spanish `S' 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 5. The submitted documentation was reviewed by Frank Zgloaap • • • • . •• ••• •• • • • •• • • • ••• • • . • • • • • . • • • • • . • • • . • •• ••• • •• • ••• • • • • • • • • • • ••• • • • • • • • •• • • ••• • • • 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 • • •• • • • • NOA No.: 02- 1205.07 Expiration Date: 01/02/08 Approval Date:01 /02/03 • • Page 1 of 5 • • • • • • • • •• •• ROOFING ASSEMBLY APPROVAL Category: Sub- Category: Material: 1. SCOPE This renews a system using Monier Lifetile Spanish `S'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. 2. PRODUCT DESCRIPTION Manufactured by Applicant Monier Lifetile Spanish 'S' Tile Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Auencv Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofing High Profile Roofing Tiles Concrete Dimensions 1 = 18" w = 10 3 / 8 " min. 3/4" thick 1 = varies w = varies varying thickness Test Specifications Test Identifier 7161 -03 Appendix III 7161 -03 Appendix 11 P0647 -01 PO402 94-084 94-083 25- 7183 -4 PA 112 PA 112 .• • • •• • • • • • • • • • • • • • • • • ••• • Product Description High profile, interlocking, one- piece, 'S' shaped, high-pressure extruded concrete roof tile equipped with two nail holes. For direct deck nail -on, mortar set or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) • • • • Static Uplift Tasting • • P440 (2 Qn -Dive Screws, •. ' . : • Airtctl Date Dec. 1991 Dec. 1991 Aug. 1994 Sept. 1993 May 1994 April 1994 Feb. 1995 • ••• ... • NOA No.: 02- 1205.07 • • : : F3piration Date: 01/02/08 • • • • • : :Approval Date:01 /02/03 •• • •. • • • • • ••• • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • ••• • • • ••• • Page 2 of 5 The Center for Applied Engineering, Inc. 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. 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. 4. INSTALLATION 4.1 Monier Lifetile Spanish `S' 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 Test Agency Test Identifier 25- 7214 -3 Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC-78 224 -47099 520111 -3 520191 -2 -1 Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Calculations o o 0 0 Test Name/Report Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Wind Tunnel Testing PA 108 (Nail -On) Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier 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 7 _ C _ n • C C , Date March, 1995 Aug. 1994 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 NOA No.: 02- 1205.07 Expiration Date: 01/02/08 - = Approval Date:01 /02/03 Page 3 of 5 Table 4: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nall-On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Monier Lifetile Spanish 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 1 .#8 Screw 20.7 20.7 2 .#8 Screws 43.2 43.2 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 Table 5: Attachment Resistance Expressed as a Moment Mr (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Spanish 'S' Tile Qdhetille • • • . ilk • - 29.3` 1 See manufactures component approval for installatOn requi (hntq(Qs._ . _ _ _ 2 Flexible Products Company TileBond Average weight lier paryh0:7 /tars: •: • Polyfoam Product, Inc. Average weight per p a t t y 8 gnms• • • • . • • • •• Table 3: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Monier Lifetile Spanish 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck N/A 8.51 N/A 8.44 N/A 8.27 N/A 8.07 N/A 7.87 Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Spanish 'S' Tile 9.64 1.5 0.865 Table 2: Aerodynamic Multipliers - A. (ftl Tile Proflle X(ft) Direct Deck Application Monier Lifetile Spanish 'S' Tile 0.259 • • • 0041 • • • • • • • • • • • • • • • • • • • • • •• ... • .. • .. • • • • ••. . • • .. • • • • • • • • ... • • • • • • • • • • • • •. •• • .•. • • •:• • NOA No.: 02- 1205.07 •• Eipiradon Date: 01/02/08 • • • Approval Date:01 /02/03 Page 4 of 5 Table 5k Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Spanish 'S' Tile Polyfoam PolyProTM 66.5' Polyfoam PolyProTM 38.r 3 Large paddy placement of 63grams of PolyProm'. 4 Medium paddy placement of 24grams of PoIyPron". Table 5B: Attachment Resistance Expressed as a Moment - M. (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Spanish 'S' Tile Mortar Set 24.5 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 MONIER LIFETILE SPANISH • S' C„oicitgn 1 OOF.TILE • • • • • • • • • • • • • END OF THIS ACti TL'E' :: • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • ••• • • •• • ••• • • • • • • • • • •• • ••• • • • ••• • • • • • • •• • • • • • • • • • • • • •• •• • ••• • • • • • • NOA No.: 02- 1205.07 :Eipiration Date: 01/02/08 • • • Approval Date:01 /02/03 • • Page 5 of 5 MIAMIDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro® AH160 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by JRrge L. Acebo. e 0 00 0 _ 0 00 0 0 0 0 000 0 000 000 e O. 0 n C. 000 0 0 0 0 000 0 n 0 0 0 O 0 0 000 0 0 a 0 0 0 O 00 00 0 0 000 0 0 0 000 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 o 0 0 O • o 00 NOA No.: 06- 0201.02 QExpiration Date: 05/10/11 ) Approval Date: 04 /13/06 Page 1 of 7 0. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name /Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -IPA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB -589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01 -6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® A11160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH 160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. I �F` W F'= MS •• ••• • • • • • •• • • • • • • • • •• ••• •• • • • •• • • • ••• • • • • • - • • • • • • • • • - • • • • •• ••• • .- • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •, • • • •• •• ••• • • • ••• • • NOA No.: 06- 0201.02 • • • • Expiration Date: 05/10/11 • • • Approval Date: 04/13/06 • • • • Page 3 of 7 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® A11160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofmg Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH1 60 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic tile profile requires the specific placement noted herein. LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. 0 0 0 0 0 0 0 . 0 .. - 0 '. o C0.- 0 -- --- C 0 C C. -0 cc 0 0 0 - „ c 000 _ NOA No.: 06- 0201.02 0 0 E3Cpiration Date: 05/10/11 0.pproval Date: 04 /13/06 Page4of7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY 1) Planaenoughadhesfvoto achieve 1Tto>{l optiar3l415kv square inches in contact with the pantile ster* Pitch aPPlicithmis 2) rum covers upside down Place adhesive 112 in` To 14► From outside edge of cover lb. �� Then instal the tile. Nail through plastic cement mP pain of the cave Course cover file. Abut to second cease of Fan toes. Entire erre end of pan and cover hies are flush at save line. Eave closure (rooriar shown) Weephole Fascia B Optimal . Potd p Mortar on longitudinal etas: of •• • •• • • • • • •• • • • • • • • • • •• ••♦ •• • • • •• • • • • •• • • • • • • • • • • • • • • • • • • • • • •• ••• • •• • ••• • • • • • •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • •• • • • •• • ••• • • • ••• • • NOA No.: 06- 0201.02 •; • • EEt;piration Date: 05/10/11 • • tkpproval Date: 04/13/06 •• ••• Page5of7 • ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY .. . .. • • • • * •• • • • • • • • • •• •• • • • •• NOA No.: 06- 0201.02 • • • • • • • • • • • t Date: 05/10/11 • • • • • • . • • • • • • • • • • • 7tpproval Date: 04/13/06 • • • • • • • • • •• • •• • • • Page6of7 ••• • •• • • • ••• • • • ••• • • • • • • • • • ••• • • • • • • • • • • • • •• • • • • •• ••• • • • •• • ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic semen Underlayment r e - 3 in. x3in. Single 4In. ■ Paddy on under- layment Single paddy under tile Single paddy between tile 2In. x 1 in. medium size paddy eave course only Sin* Ply on top of tile Fare Course Nail through plastic cement in. x 3 In. S ingle paddy on undertayment S ingle paddy on top of tile Eave Course Single paddy between tile Eave Closure 21n. x 1 In. medium sine paddy eave course only Fasaa END OF THI • ACcE i rr4l'q'g1' • • • • • • .. ••• •• • • • •• NOA No.: 06- 0201.02 • • • • • • • • • • Date: 05 /10 /11 • • • • • • • • Approval Date: 04 /13/06 •• • • • •• •• •• • • Page7of7 ••• • •• • • • ••• • • • • • •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • TEAR OFF EXISTING TILE ROOF, REPLACE W/ A NEW MONIER SPANISH S CONCRETE COLOR THROUGH MILTI COLOR MAR 3 0 20E Passed Inspect r Comments �) V ) 4-6611 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until .................. ................... .................. ................... [sect Inspection Date: 03/29/2007 Inspector: Grande, Claudio Owner: GONCALVES, CARLOS Job Address: 574 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Wednesday, March 28, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 et_ Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number 305/754 -5840 Parcel Number 1132060171030 Lot: Phone: 786 - 277 -9540 Page 1 of 2 Test Location Uplift Pull TTeesg F) Test Location Uplift Pull Test P or F) Test Location Uplift Pull Tese or F) Test Location at(P Uplift Pull Te or F) 1 -kr- Di v 26 pT /� � 51 76 2 [ 27 1 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 , j -o CO - '.../ Job Address -q- fame (02A t..( Roofing Contr ct r• S � D I (W -Ft 06 Type of Tile: t, '� 4144 . 'F Approximate Roof Height: ' —feet Type of Access to Roof Scaffolds Ladder Approximate Square Footage of Roof: 2-, 7 ft Required Testing Forl 35 lbs. Testing Equipment: Chatillion 100 Date Tested 'T 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 IN ACCORDANCE WITH THE CRIS RTA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT MI Lab Certification #.98- 0608.04 BY: State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. TEST RESULTS P = PASS, F = FAIL 3 , - 2 ® -43 Project No 9090 Date Installed: 3 Roof Pitch: Other Sketch of Roof 1111111111111111 PlIFPlummmm 111111111111 111116111 11111111111111111111111111L I I MEMEMEMEMMEMIMMEMMIUMMEMMEMERN MMEMEMEWMEMINIMMENWHMEMMEMMEMMEM 11111MMEMEMEMMOMMINEEMMUMWMOMMEM 11111111LaillE111111d11111 Illimpommummswammam 1111111111111MEN11111111111 mommimmommiliimmmummommummmom 11111111•11111111111111111111MIMMIELIMMEMIN PE 111111111111111111111111111111 ORMEMMMERMEMOMMEMOMEMEMMOMOMMEN MMEMMEMERMIMMEMEMINUOMMIMMIIMUM IIMMINIMMIRMEMEMEMEMEMMOMMMEMMEMM MINNIMMERVEMMEMMENKNUMMOMMEMMMEM MMOMMEMINIMMEIMMERNMEMINNUMENMEM 1111111111111111111111111111111 MMEMMEMEMENTATIMmum.22E222MMEMMOM • • _ Job /5 q-4 102-5 U Sheet Number Contractor Checked By Scale TEAR OFF EXISTING TILE ROOF, REPLACE W/ A NEW MONIER SPANISH S CONCRETE COLOR THROUGH MILTI COLOR Passed Inspector Comments ©g V 7 Failed Correction Needed ,I Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -37264 Permit Number: RF- 1 -07 -73 Inspection Date: 03/01/2007 Inspector: Rodriguez, Jorge Owner: GONCALVES, CARLOS Job Address: 574 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number 305/754 -5840 Parcel Number 1132060171030 Lot: Phone: 786 - 277 -9540 Wednesday, February 28, 2007 Page 2 of 2 TEAR OFF EXISTING TILE ROOF, REPLACE W/ A NEW MONIER SPANISH S CONCRETE COLOR THROUGH MILTI COLOR Passed 06 + Inpector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until .. .................. Inspection Date: 02/26/2007 Inspector: Grande, Claudio Owner: GONCALVES, CARLOS Job Address: 574 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Friday, February 23, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 - 2204 Fax: (305)756 - 8972 Block: Permit Type: Roof Inspection Type: Hot Mop Work Classification: Roof - New Phone Number 305/754 - 5840 Parcel Number 1132060171030 Lot: Phone: 786 - 277 -9540 Page 1 of 1 TEAR OFF EXISTING TILE ROOF, REPLACE W/ A NEW MONIER SPANISH S CONCRETE COLOR THROUGH MILTI COLOR Infraction Passed Comments TIN CAP SPACEING True Passed / C l ispector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until nspectmn Inspection Date: 02/15/2007 Inspector: Grande, Claudio Owner: GONCALVES, CARLOS Job Address: 574 102 Street NE Project: <NONE> Miami Shores Village, FL Contractor: KAWALEK ROOFING & PAINTING, INC Building Department Comments Wednesday, February 14, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number 305/754 -5840 Parcel Number 1132060171030 Lot: Phone: 786 - 277 -9540 Page 1 of 1 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) )ate S /Job Address (IJirU /d/�sta" ')weer / Lessee / Tenant huner's Address 7.ontracting Co. qualifier Mate /X001'6.3 4 Competency# Ins. Co. regal Description Master Permit # 1q7/ OVA! � '1 N I VP'CC Z 5 /' C---% /0,2 57 Tax Folio //-3a -e /7 /436 Address Xrchitect /Engineer Address 3onding Company Address Sortgagor Address 'ermit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN IORK DESCRIPTION 6 ',<VC)F ////rR (/j7 4/f7/7� C 7- /G Square Ft. p ( 57/ - 29 IARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO )0 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 ECORDING YOUR NOTICE OF COMMENCEMENT). pplication is hereby made to obtain a permit to do work and installation as indicated above, and n the attached addendum (if applicable). I certify that all work will be performed to meet the tandards of all laws regulating construction in this jurisdi -fon. I understand that separate ermits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS,(ROOFIN , and MECHANICAL work. JNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work ill be done in compliance with all applicable laws regulating construction and zoning. urtherznore, I authorize the above -named contractor to dg-t1 wgrkgt-ated. ignat EN0066AMM/ili Condo President ry wATEOFFLORIDA B EXAP 12/1.0/93 ate: Dtary as to Owner and /or Condo Prese pires : v Commission Ex POT?! PUT.!:', Wit u. ,.L. ■ 0, r. , �1f * . * IC _Jr :Y:1! ,.,'.' ` :XF :, <* , /t'.r ^ � 3RMIT FEE: APPROV 4ea i.Lra ai.Bitt; Ar,i' %tJ ei -e% Fire Zoning Building Mechanical Plumbing Phone SS# Phone /R R.5" A/ t/ /d/{ Si- Estimated Cost 00,3 -; 2 o Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY PUBLIC STATE OF ROTA * * * * COWAISIAOW * RES 5,/C*,'94 Bonded thru Stembler -Adams & Sweet Other Electrical Engineering e-r- Builder .918170066 6611S111 6P Dt.M. 1 Mkt'? Ea001 Mn9 GFa$o Bo a° fry �t of boo 9�ibiWt�l pi i n 0010 oe � ® p _ A.B. 9 Y L'' 4dp itoWd UWd �FVItiIUI 8ceI. �� la elkt yjd utzi ; cola PERMIT # Tax Folio No. // ,:>d-z96 `. - ©l 7'- /650 State of Florida County of Dade NOTICE OF COMMENCEMENT THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) • -C 4 D . General description of improvement: /7 A 7/ `G 7' 7 6' /4 or .,./) p 3. Owner information: a. Name and. Address: b. Interest in property: rYOuEA ,//9/7/' S ,//-67 is c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) ft i--//4/ ;-- (:; picff ficD I ,,'(:. e f` ( ._ 3. Surety: ' iS (t) , k� 1( 0�� -Sv ( a. Name and Address Ml�i ` L "3 I b. Amount of bond$ 0/4 •) J. Lender: (name and address) ( / / /(,% /- 7. Persons with the State of Florida designated by. Owner upon . whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes:(name and address) 3. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. ?. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) G Signature of Owner worn to and subscribed before me this / day of -7a , 1991. Q AWILDAALVAREZ r+o"u7, STATE OF FLORIDA s r� ; 001ur►t DP 12/1OV93 otary Public My Commission Expires: ` - BONDED BUILDING ELECTRICAL PLUMBING ROOFING CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA D E PERMIT Owner of , Building Architect Contractor or Builder 1 r • i. < Legal Lot Description II Bl N° 5273 Work to be performed under this Permit DATE 1 19 Contractor's License No. Subdi- vision Address of Value of I Amount of • , Building I -/ F'l ' / i Project $_,:. - r I Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed- et- INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all r'ordinances and 'regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shapes Villa)e. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. ` r r BY AUTF ORIT1t ABBOT *C,3Z 4u Owner's Name and Address__ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to b Lot -3 Block New Building Remodeling Permit No MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. L / built on: Street and Number where work is to be done State work to be done and purpose of building (by floors)_________ !?Lt-'1A7 Date No Street co _ , Subdivision 7.9 -1-/.e / Notary Public, State of Florida Date Read, Sworn to and Subscribed before me. o � 19 and for no other purpose. Addition Repairs No. of Stories Kind o foundation Roof Covering $__lp Amount of Permit $ ' er To be constructed of Estimated Total cost of improvemer}Is Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor__ I hereby submit all the plys and specifications for said building. All notices with reference to the building and its construction may be sent to____ t' _Plan Cubage _Size of Building Lot 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 - .rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such u on wor o be .erformed under this permit, as are licensed by Miami Shores Village. R / 1'C i 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. Disapproved Date (Signed) .. Building Inspecto 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.