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RF-14-715Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Art 0 Lz : t FBC 20 . C Permit No. Master Permit No. `° � l 1 Permit Type: BUILDING ROOFING err 1 JOB ADDRESS: 5 f v G 1 0 J $t City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 1" ek °1' '141. % 1 ! 1 r1$ Address: 5A5 WE 10 I St City: Me 6 ho re`s State: P7— Zip: 2313'3 Tenant/Lessee Name: Phone #: Email: Phone #: 305 ris� °a97a CONTRACTOR: Company Name: P .NiveL el < R voC n8 Co Phone #: 305 " ! 5' "b l q / Address- 3$ Lrl 6: W. 1 bg4h- re rr city: M+ rarAa r State: FL Zip: 330a9 Qualifier Name: Pet-tAA %.,W .,1(K Phone #: State Certification or Registration #: Certificate of Competency #: lib RS ocv ©17 Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ii500 Square/Linear Fo i : ge of Work: j <a Li - e Type of Work: DAddition OAlteration �? UNew /R lace UDemolition Description of Work: C L\J t€ r o O'T rep A r� y i o f f e po+ -f t e- C,) °- 'Wf7 -rb y- vo.1 d, L '. .rr. Color thru tile: * * * ** ** **** ** * * * ** ** * *** * * * * * *** * * * * ** Fees*********** * * **** * * * ** * * * * * ** * * * *** ** * * * ** x* Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 097 / ' j' v Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature72'lgjt/f(& Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this fit The foregoing instrument was acknowledged before me this 9 �F. day of tttaiev, 20 /y by /Ma V-144 01P 11/4 S , day of 612(1-- '"k---, 20 ty , by ri'C — tot4Att,--44-S-2,C_ who is personally known to me or who has produced who is personally kno e or who has produced 'i As identification and who did take an oath. as identification and who did takes pan oath. NOTARY PUBLIC: `��‘���t rrrr'� NOTARY PUBLIC: Sign: Print: My Commission Expir_ r) cad' k tM-'9 1 S APPROVED BY EILEEN L SAMMONS MY COMMISSION # EE877097 EXPIRES February 21, 2017 Sign: Print: °`,„,le , a..... c. My Commission Expires: ************************ * * * * * ** * * * * * ** * * * * * * * * * * ** * * ** * ** Plans Examiner Structural Review (Revised 5/2/2012XRevised 3/12/2012) XRevised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) Zoning Clerk v 1111 Florida Building Code Ed' High Velocity Hurricane Zone Uniform Pe Miami Shores Village APPHOVED , 11 p. 4414.44r.P.A1'.. Section A (General InfonnlatE SUBJECT TO COMPUANCE WITH ALL EDERAL Master Perndt No. Process No. -STATE AND COUNTY RULES AND REGULATIONS ‘A/ e o BY DATE Contractoes Name Job Address _5A5 )0) 31- ROOF CATEGORY Mechanically Fastened Tile Mortar/Adhesive Set 111. Metal Panel/Shingles 0 Wood Shingles/Shakes Are there Prescriptive BUR-RAS 150 Gas Vent Stacks? YesUli No1:I ROOF TYPE Type: NaturalU LPGX:11 0 Re-Roofing 0 Recovering '2( Repair 0 Maintenance . ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 0 1/4 c+ 3 tuare o- tre ftsligniMaidgkpl Sketch Roof Plan' illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Includo dknenslons of sections and levels, dearly identify dimensions of elevated pressure zones and location of parapets. imemmemumnammemesammummenmenemmaremommememmumummonmerommummememmemmumma IMONSIENNUMMENNUMUMMMENSUMMUSENNESSOMMUMMENUMMEMUNOWNWOMMUMMINIIIMMUNIMMIIMEN IMMINISIMMINUMMUNIMMIONIMENSUMMOMMOIMESMOINUMSUMUMMUMMINNUMMUSIMUMMOMMUMMUMUNSW INUMUMMINNOMOINUMMUMMNIMUNIIIMMMENOMMEMMMMONNUMMUNUMMINUMMUMMUMMMMWEIMUMMENS 1110111111MMESIMMUSSIONNUMMISSOMEMMENNUMMUNISENSOMEMUMUMMEMINSIMMUSISSUMNIMOINUMME 1111111MANNIIIMMUMMEMENUMMINUOMEMENSUMMEMENUMMUSSIMMMENUMMINSIONIMMUMNIUMMUNEUMN ISSINSIMMUMMUNIMMUMMINOUNNUMIMMENSIMMUNIMMUMMINUMMENNEMMUMMUMMOSUMMXINNOWNWI 11111MINIONSSIMINUMENUMMENNUMENUMEMMUMUSMNIMINMENUMMENNIMMWEEMENUMMENUMMUSEMINI IMM11.11111161111118111111111111MMINNUMOMENUMEMMUM11111011111111011MMUNIMMINNUMMOVIMMUMMOMMUMMENS INUMMUNIINNIMMUNIMMINNOMMNIMMINEMMUMMENURMS1111111111111111111101111111111MINSESSIOUNIMMUMMIN summinumummumunmessammummeammanmammaremmemmasemmemmeremmmeeammemummeam 111111111111111111118.1115112SEMINSMUMMUMMUMWMMENNOMMINUMNIONENNIOUSUMMOOMMIUMMSMONOMUNOMOIN IMMWEEMINNUMMINAMONIMMUMMENSHOMMUOMMUSSUMNIWOMMUMMINIUMIWEIMWASIMINNIUMMENS. 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Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Re- Roofing Only) 7. Any Required Roof Testing/Calculation Documentation 123_01 -48 12/09 PAGE 1 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As ft pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. AIL Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) 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. 7712 Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. ht►ie-d 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 to be performed. 4. -711,e- Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. °Y 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. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. -7 hie-- Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure 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. q,, fL 4 Signature Owner/Agent's g gnature Date Contractor Signature Date Revised on 7/9/2009 LD DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation 8825 NW 95th Street Medley, FL 33178 MIAMI DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov/pera SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami Dade County PERA - Product Control Section 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 Section (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. PERA reserves the right to revoke this acceptance, if it is determined by Miami Dade County Product Control Section 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 Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Santafe Spanish `5' Clay 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 replaces NOA# 10- 1005.15 and consists of pages 1 through 5. The submitted documentation was reviewed by Alex Tigers. NOA No.: 12-0210.01 Expiration Date: 02/01/16 Approval Date: 05/31/12 Page 1 of 5 ROOFING ASSEMBLY APPROVAL Cate2orv: Roofing Sub- Categorv: Roofing Tiles Material: Clay Deck Type: Wood 1. SCOPE This approves a roofing system using Santa Fe "Santafe `S" Clay Roof Tile, as manufactured by Ladrillera Santafe SA. in Bogota, Colombia and distributed by Santafe Tile Corporation as 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 Santafe `S' Clay Roof Tile Trim Pieces Dimensions L= 18" W = 11.1" 1= varies w = varies varying thickness 2.1 MANUFACTURING LOCATION 1. Bogota, Colombia 2.2 SUBMITTED EVIDENCE Test A2encv The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Test Specifications TAS 112 TAS 112 Product Description One piece high profile clay roof tile equipped with two nail holes. For nail -on, mortar set and adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Identifier 94 -156 -8 94 -156 -9 25- 7205 -1 Project: 07 -07 -00-91 (307023) 7161 -03 Appendix II 7161 -03 Appendix III P 0402 Test Name/Report TAS 101 TAS 102 TAS 101 TAS 100 TAS 108 (Nail -On) Static Uplift Testing TAS 102 & TAS 102(A) Withdrawal Resistance Testing of Screw vs smooth shank nails Date Aug. 1994 March 1995 Sept. 1994 Dec. 1991 Dec. 1991 Sept. 1993 NOA No.: 12-0210.01 Expiration Date: 02/01/16 Approval Date: 05/31/12 Page 2 of 5 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as shown below, or following statement: "Miami Dade County Product Control Approved ". SANTA FE TM MADE IN COLOMBIA LABEL FOR SANTA FE SPANISH "S" CLAY ROOF TILE 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. 18" PROFILE DRAWING When using one screw use this hole. "SANTAFE S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 12-0210.01 Expiration Date: 02/01/16 Approval Date: 05/31/12 Page 5 of 5 HP Officejet 5600 series 5610 Personal PrinterlFax /Copier /Scanner Speed Dial Report for Paul Kawalek 19544359878 Apr 08 2014 3:54p Individuals: No. Name Destination 110 i I S : O %Insaa sae uot4euna B82EL88SOE 4ua8 xej dL2 :20 80 udkl uot4eot4t4uapl adRj awtj a'e0 uotioesueuj 4sei uauueos /aatdo0 /xejlua4ut.:d Ieuosuad dTS :C f+i02 80 udI 8L868E.1,17S6I mateme3 tried .god 3o, OI9S satuas 009S 4araot4d0 dH Table 2: Aerodynamic Multiplyers— Mft3) Tile Profile 71, (ft3) Batten Application A, (ft3) Direct Deck Santafe 'S' 0.274 0.297 Table 3: Restoring Moments due to Gravity - Mg (ft -Ibf) Tile Profile 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" greater Battens or Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32 5.29 5.03 5.00 Table 4: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck Battens Santafe 'S' 2 -10d Ring Shank Nails 21.8 N/A One #8 Screw 29.161'2 N/A Two #8 Screws 38.28' N/A One #8 Screw w/ Clip 57.31'°2 N/A Two #8 Screws w/ Clip 57.60' 61.77' 1. Approved screws as noted 'Product manufactured by others'. 2. When using one screw It must be installed in the inside hole located nearest to the hump of the tile. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Sing e Patty Adhesive Set Systems Mf (ft -Ibf) Table 5: Attachment Resistance Expressed as a Moment for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Tile Bond 38.93 Polyfoam Polypro AH 160TAA 28.54 2 See manufactures component approval for installation requirements. 3 Flexible Product, Inc. Average weight per patty 10.4 grams. 4 Polyfoam Product, Inc. Average weight per patty 9.4 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Sing e Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Santafe 'S' Polyfoam Polypro AH 160Tm 63.8b Polyfoam Polypro AH 160Tm 61.9b 5 Paddy placement of 63 grams of Polypro AH 160'A'. 6 Paddy placement of 24 grams of Polypro AH 160TM. NOA No.: 12-0210.01 Expiration Date: 02/01/16 Approval Date: 05 /31/12 Page 4 of 5 Table 6: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Santafe 'S' Mortar Set 23.6 NOA No.: 12-0210.01 Expiration Date: 02/01/16 Approval Date: 05 /31/12 Page 4 of 5 2.2 SUBMITTED EVIDENCE Test Auencv Test Identifier Test Name/Report Date Redland Technologies P 0647 -01 TAS 108 Aug. 1994 (Mortar Set) Redland Technologies P 0631 -01 PA 108 July. 1994 (Mortar Set) Celotex Corporation Testing Services 520305 -01 thru 05 PA 102 June 1999 IBA Consultants, Inc. 2353 -4 Restoring Moment Aug. 1999 PRI Asphalt Technologies, Inc. SFTC -003 -02 -01 TAS 101 12/06/02 IBA Consultants, Inc. 2353 -70 TAS 101 09/22/03 IBA Consultants, Inc. 2353 -71 TAS 101 09/22/03 IBA Consultants, Inc. 2353 -93 ASTM C 1167 07/18/05 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 TAS 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 Santafe 'S' 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 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight W (Ibf) Length -1 (ft) Width -w (ft) Santafe 'S' 6.7 1.5 0.958 NOA No.: 12-0210.01 Expiration Date: 02/01/16 Approval Date: 05/31/12 Page 3 of 5 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210616 Permit Number: RF -4 -14 -715 Scheduled Inspection Date: May 29, 2014 Inspector: Rodriguez, Jorge Owner: COLLINS, MARTH ANNE Job Address: 525 NE 101 Street Miami Shores, FL Project <NONE> Contractor: PAUL KAWALEK ROOFING CO. Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number (305)758 -2972 Parcel Number 1132060171110 Phone: (305)754 -0191 Building Department Comments CLAY TILE ROOF REPAIR Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 28, 2014 For Inspections please call: (305)762 -4949 Page 11 of 32