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RF-06-2812Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 NOV 17 2000 u BY - Permit No. f' M — Z 2 - Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing y Owner's Name (Fee Simple Titleholder) b O by 1 KMS . Phone # J 0 S 1 RO S8 qQ . Owner's Address 140t RE ►o1 ST Cityl , 40k Skwmis State rL • zip 3 M 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) 1401 Ki k d I ST City Miami Shores Villaee County i Miami -Dade zip 3,:s ( 36 . FOLIO / PARCEL # Is Building Historically Designated YES NO ✓ Contractor's Company Name _ Contractor's Address S3nb city Tby l U utERLA► w Qualifier Name ?WIRT 1T CC Nvi 11 Aw Phone it % 4 qS 6 02 6 3 State F L- zip s 33 d9., Phone # 305 345 319 3 State Certificate or Registration No. C C C V 5 8 OQ j Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone #. Value of Work For this Permit $ 1 l • G "D' Type of Work: ❑Addition r ❑Alteration Describe Work: PE-Wf 1 11IM114th Square/ Linear Footage Of Work: 3e5 ! � skfD-5.11 ❑New. N O Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $(� �l y CCF $ j c� Ci O/CC Notary $_� Training/Education Fee $ Technology Fee $ U' 1� Scanning $ I• co Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ Total Fee Now Due $ See Reverse side -� VIAU Bonding Company's Name (if applicable) _ Bonding Company's Address City 11t * max `; State 1^..4y Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochurewill a delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement mu be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence suc posted notice, the inspection will not be approved and a reinspection fee will be charged. � • ` Signature_ L�oL-1f - �. Signature Owner or Agent Contractor The foregoing instrument was ackno 1 ged efore me thi The foregoing instrument was acknowledged before me this pCJ day of, 20 0,�,by day of ;b . 2099h, who is personally known to me or who has produced k who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY IC: x,41 00nne sauerwhite NOTAR;PIc: Da6M--satt* #A, My Commission DD261580Expires February 15 2008Sign: Si Print: ! e My Commission Expires: My Commission Expires: /P� 1�9 A�-a? 0&1 APPLICATION APPROVED BY: UV('11111-710k Plans Examiner (Z Engineer Zoning (Revised 02/08/06) HIGH-VELOCIT-W HURACANE ZONES ROMA cgzwL,1'i 7 0.*..-I-o.w---$folio--- .13 ww R*.*of El' f1 cha ill , ioiwifetTl Oil —k 0 p 00 .T.Y..fw -Cl..-A 0 R cv , 00 FdR A.YVON. Lo*,$Iop 6 F160f f .: gqfah goo 111potrole Anil HIGH -VELOCITY HURRICANE ZONES Flofida.Bullding Co.d.e EcAbon 2004 Oed R00f:'§M§kMl Descri-IALDn- peer Type: =R-pof SJOPe: 4- :42.. Wtdg.!D Veptlkm pe unctutiurimim. � CRE * 3D \,,,Sul ation: F 1A /Ar 114/Ar - aner Type &&p6r_inM AdhoSlve.T)tpe. F40—i —im oc � Va$ 01MO C ve X - m AO *sheet;�Ap 10 GI f �1t3i �i�Q ft Mean Roof HeA7(chhtt, 0 0 0 0 0 0 0 - 0. 0 0 -T" .0 die: 0.. 0 0 0 0 �+ 00 00 0 0 0 .0 N. 0 so 0.0, 41 :Tyj�eize Drip Uv r:11 0 0 0 0 0 . : : : . *so 000 0 a 0 : 0 :0: 0 :0 0: 000 :0 0: m x Florida Suilding CadaEdWon 1004 H Veto** -Hurflcana:Zone-Urdf6rm.--P6m*Appitmbn form. Section E (Tilw.'G. alculatigm I HIGH -VELOCITY HURRICANE ZONES for -Korwenf bmdd-lileaystemsi choose either Method I or I. Cowparodthe.wlues .f Al or Mwith -the v4u4eefromA1r.TftbeMry aes are greater than or -equal, tor the'Mr vajueXI.far eat h.areft otthe.-r"t."thtn thetilestmehmedi'meth6d is.-acceptidyle. Met.hbd -1 "KmCUt Hasid Tito Cala Per RAS'127" S - Is (P,.4c?, goON1 ) Per Approval M,G1.4 fy Mi .' )f* — M91 Product Approval M,@.A 9 AA--. _ MS T --M42g.S* Product Approval K9.N etlalFt:ct1:Momeot ofR-aistaoce (Mj'.F.r.m TAX Wow Product Approval M, *Must latugedt :' Y. q9 eats eadoMed' b 4he Rrowurd'Conoty Board- iff-Atiles 01xd.Apq9'ei4& For 16#1jift based file -systems lft'.Method,3, F1 w.IW--'.tbe -values fWr.XrJf thg:F' valites nre.,grenter-t�twor..4"Ou. the F., •vuLxtes, fw 4a& ,area M4*od.-3"*"U-plift*.'Oksed"�3lt Cftleuluboft.S.Per FLAS IV" - x w. — __j — W, — I cos .&.� "'FA�— Product Approval. F' X. _.x COS .-"tFr4-_ Product Approval F' 4t— Product Approval F* bo Where.va find 'Madn RDOfHelffht Roof'$Iopa i is, 20, i\itaarrRo6iFie' 6t 10, 40' 2!12 -34.4 36.15 38,2 30-7 42.2 3;.42 32.2 .44A SO4 37A iki 4d7_ 90.4 12.2 -Mf 1iM!PA_Wfch=ntResistmm Fb 0 57.3 :A ' '71WWjjolt w roduct Approval Cs: -2 *Produm Apprdoeal 0: 0 0: 0 • *;re -o I gdqmmust bc -sub nf Iadd ip- ib—& B tfiftk. jbF.;y7_9n ft_T& , MI*L 1:12 2&19 _271 *Must latugedt :' Y. q9 eats eadoMed' b 4he Rrowurd'Conoty Board- iff-Atiles 01xd.Apq9'ei4& For 16#1jift based file -systems lft'.Method,3, F1 w.IW--'.tbe -values fWr.XrJf thg:F' valites nre.,grenter-t�twor..4"Ou. the F., •vuLxtes, fw 4a& ,area M4*od.-3"*"U-plift*.'Oksed"�3lt Cftleuluboft.S.Per FLAS IV" - x w. — __j — W, — I cos .&.� "'FA�— Product Approval. F' X. _.x COS .-"tFr4-_ Product Approval F' 4t— Product Approval F* FLORIDA *BUILDING CODE — RESIDENTIAL 44.23 bo Where.va find P.1 vrnarlS RAS'127 amlyiis pqpamd--by. TE lensed ojiASCE 7 i\itaarrRo6iFie' 6t 14 #. Auodynamk I Product Approval •Prddudt0 0 00 qv!1 jA- - .0r6doW a a • It rail MoYni tet "RIN IMI• Elft ISTe CE•:W: 0- -Mf 1iM!PA_Wfch=ntResistmm Fb 0 Go Prodti@1Apj*ov 1* 0 go :A ' '71WWjjolt w roduct Approval *Produm Apprdoeal 0: 0 0: 0 • *;re -o I gdqmmust bc -sub nf Iadd ip- ib—& B tfiftk. jbF.;y7_9n ft_T& , MI*L FLORIDA *BUILDING CODE — RESIDENTIAL 44.23 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it 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 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 ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. 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 t e owner and the contractor. 2. 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 's usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roo ng to be performed. 4. 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 accepiable. he provides the option of maintaining the 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 until the original roofing system is r moved. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a 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. Ventilation: Mos%oof g:rv=0s:; ave some ability to vent natural airflow through the interior of W str+ttc&e asserab;y{ •e bu' ding itself). The existing amount of attic ventilation shall not be reduced. It may a be ficial to consider additional venting wh�i�ch can result in e`xt;niqg the lerTice lif§o ro f . L+ t 'L" 1111-b Owner/Agent's Signature Date Contractor Signature Date�14010 . ... . . . .. . . .. .. • . • •• .. .... . . .... . a AlihNl" MIAMI-DADE COUNTY, FLORIDA METRO -DADS FLAGLER BUILDING . F1...11:D1NG QBE CQMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL QIVISIOIV MIAMI, FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE(NOA) ��yEtl� ��oductszTnc.1 --- iBouaftaus Road :To a<nball; .TX 77 75 ` SCOPE: This NOA is being issued under the applicable rules and regulations overnin the use of construction materials, IT .The documentation. submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review !COO= to be used in Miatni Dade County and other areas where allowed by the Authority. Having Jurisdiction-(AHJ)• Thrs:itQA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or. the AHI (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 cxpense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or � • material within their jurisdiction. BCCO rescrves the right to revoke this acceptance, if it is determined by BCCO thatthis product or material fails to meet the requirements of the applicable building code. -pSodt�.is•-1 as-descn ed hr rim, �....d ham, b dmi F tv w►ti}rly vr;iu the Iii a v ci0iiiy iiCui-ii:tutc Zone_of the Florida Building Code. DESCRIPTION:L' FoTypr AHIb RF iIEWAL of this NON shall be considered after a renewal application has been filed and there has been no change in the applicable buildingcode negatively affecting the performance of this product. TFR&MATION.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 'Awith;any section of this NOA shall be cause for termination and removal of NOA. } ADVERTLSEME'NT: 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 dome in its entirety. INSPEkMON: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors J and -shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01-0521 A2 and consists of pages 1 through 7 The submitted documentation was reviewed by J rge L. Ac000 0ebo. • • • . • • f • • • • • • • • ••• • 00 00 0 0 • • • NOA No.: 06-0201.02 • Expiration Date: 05/10/11 Approval Date: 04/13/06 • Page 1 of 7 • ROOFINGASSEMBLY APPROVAL: Category: Roofing Sub -Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro* AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 ofthis-Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high' Pm le roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Dimensions Test Product Description SPeciflcations Polyproo AH160 N/A TAS 101 Two component polyurethane foam adhesive Foampro® RTF 1000 N/A Dispensing Equipment ProPa*2 30 & 1.00 N/A Dispensing Equipment PRDOUCTS MANUFACTURED BY OTHERS: Any Miami -Dada County Product Control Accepted Roof Tile Assembly having a current NOA which list ftoment resistance values with the use of Polypro ABI 60 roof tile adhesive. PHYSICAL PROPERTIES: Test Results Density ASTM D 1622 1.6 lbs./ft.3 Compressive Strength ASTM D 1621 18 PSI Parallel to rise Tensile Strength 12 PSI Perpendicular to rise ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08 Lbs./Ft2 Moisture Vapor Transmission ASTM E 96 3.1 Perm / Inch Dimensional Stability ASTM D 2126 +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @I 580F., 100% Closed Cell Content Humidity, 2 weeks ASTM D 2856 86% Note: The physical properties listed aboA a are •res • • • by accepted ASTM test methods a aare1ub&p t 4d PsMical average values as determined �**0*%4'rbal iannufactaring variation. .... . • ..... . . . . ' ' ' • NOA No.: 06-0201:02 .. ... • Expiration Date: 05/lo/11 Approval Date: 04/13106 "' • • • • "' • • Page 2 of 7 .. • . . ... N0 ••• •• • • • •• •• EVIDENCE SUB.IS!I MED: Test_ ncv Center for Applied"lEngineering Miles Laboratories Polymers Division Ramtech Laboratories,. Inc. Southwest Researchzlnstitute Trinity Engineering Celotex Corp. Testing Services Test Identifier #94-060 257818 -IPA 25-7438-3 25-7438-4 25-7438-7 25-7492 NB -589-631 9637-92 01-6743-011 01-6739-062b[1 l 7050.02.96-1 528454-2-1 528454-9-1 528454-10-1 520109-1 520109-2 520109-3 520109-6 520109-7 520191-t 520109-2-1 _Test Name/Revort TAS 101 TAS 101 SSTD 11-93 SSTD 11-93 SSTD 11-93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM E 84 TAS 114 TAS 101 TAS 101 TAS 101 Abate, 04/08/94 12/16/96 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 10/23/98 12/28/98 03/02/99 LrMITATIONS : 1. Fire classification is not part of rating. this acceptance. Refer -to the Prepared Roof Tile Assembly for fire 2. Polyps® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underpayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manuf*ctures acquiring acceptance for the use of Polypro® AHI 60 roof the adhesive with their file assemblies shall test in accordance with TAS 101. S. Roof Tile manufactures acquiring acceptance for the use of HANDI-STICK roof tile adhesive with their tile.assembl�es shall test in accordapgeAO TAS 1101 with seotion 10.4 as modified herein. I� 0 0.000 00 0 0 .. 0 00 . tF ......... . 0000... . �2; .. 000 00 0 0 . 00 F=. MS 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0so NOA No.: 06-0201.02 Expiration Date: 05/le/1I - Approval Date: 04/13/06 ... ... Page 3 of 7 000 0 0 . 000 . ... WSTALLATION: L PolyproO AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use ofPolypro@ AH 160. 2. Polyprog AHI 60 shall be apphcd in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof the assembly's adhesive attachment with the use of Poiypro® AH 160 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.' Polypr* AH160 roof tile adhesive and its components' shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH 160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' a Products, Inc. Polyfoam Products Inc. shall 1 a list of approved oved and licensed u ho ity having jurisdiction.Pp y applicators to the authority 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. Thea dx ratio between the "A" Component and the "13" 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 file as determined at calibration. No other settings shall be approved. 6. PolyproO AH160 shall be applied with Foampro RTFI000 or ProPackO 30 & 100 dispensing equipment only. er_ 7. Polypi AH140 shall not be exposed permanently to sunlight. $: it OWf be aaerea iii freshly applieif'a�lhesive. Tile must be set within 2 to 3 minutes after POI AHI60 has been dispensed. 4: Polyprog AHI -60 placement and minimum patty weight shall be in accordance with the Placement Details' herein. Each generic the profile requires the specific placement noted herein. Toble 1: Adhesive. Placement For Each Generic Tile Profile Tile:Pofile Placement Single Paddy Two Paddy Weight Detail Weight Min. per add 11!lati. P Y (2 #1 #1 Low, High Profiles 4#2 Low,.High Profiles #3 35 N/A 17/side on cap and I N/A 24 N/A LAB LMG:. All Polypro@ AH1.60 containers shall comply with the Standard Conditions listed herein, $UII.I?IN P -ER- T REQUIREMENTS: • • ... • • • • • As required by the Building Official or appliLve ftl ng r," Wdrdef so properly evaluate the installation of this system. • • • • • • • • • • • • • • • ••• ••• ••• •• • • ..' '.' • • • • • • NOA No.; 06-0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 • � • : 0:0 :• : : : : Page 4 of 7 -A—nHESIVE PLACEMENT DETAIL Z SINGLE PATTY PX* Tio) Nap thm* Pwwc maim Paddy (pereatl� ipa) 101n 21a o Fara EaveCoaae Fla mwQ* �Pa�ra�ppaas�. Kaepa�alw�apprea, �► 4ia.4pldapaaagb*g 4inapirNnareaplrofea O'adp Paddp(Ba wyk) 'T-- Etaaam Fatab • •• • • • • ••• • so 098 • • • • • • • • {: • • • : • : • : • NOA No.: 06-0201.02 • • • • • Expiration Date: 05/10/11 Approval Date: 04/13/06 *00 • a . • ... . • Page 5 of 7 . • ••. • • • . • • • • . • IMfhough-pMaBy.canent f { 7h v ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY FW4 (Nn"m Th) E>aMCQI•p •� • EM Closet Nd aroo Aft o�nent EM Comae Fucb 'L Es" chaos Fucla Paddy (&n A 7Na) •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• • • • ••• ••• ••• •• • • • • • • • • • • L. : • : • : • NOA No.; • • • 06-0201.02 Expiration Date. 05/10/1-1 Approval Date. 04/13/06 • • • • • • Page6 of 1 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY . .. . • • • •.. • • . . • • • ............ END -OF THIS ACCEPTANCE . . . . .. • 0 ..... . . . . • • • • • i • • V i • i • NOA No.: .00-020L02 Expiration Date: 05/10/11 .. • • . • • .. • • Approval Date: 0$/13/06 Page 7 of 7 a ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY . .. . • • • •.. • • . . • • • ............ END -OF THIS ACCEPTANCE . . . . .. • 0 ..... . . . . • • • • • i • • V i • i • NOA No.: .00-020L02 Expiration Date: 05/10/11 .. • • . • • .. • • Approval Date: 0$/13/06 Page 7 of 7 e M IA M ICADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION MIAMI DADS COUNTY, FLORIDA METRO -DADS FLAGLER BUILDING 149 WEST FLAGLER STREET, SUITE 1603 MAW FLORIDA 331301563 (305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation -- �.— WZ NW W Street Metlleey, FL 33178 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The doc uanentadon 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 Miami -Dade County Product Control Division (In Miami Dade County) and/or the AW (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 AHI 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 descries herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION an a parish 6 .P Clan 00 e" 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. ADVERTZS1ii111ENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in_advertising literature. H any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be;uovided to the user by the manufacturer or its distributors and shall be available for inspection at the job site;; the regiW v 'the 3341$1 Official. • • •• • . • This revises and renews NOA # 04-0420.03 and censistwdf jades' j ih;bilgh° . The submitted documentation was reviewed by Alex Tigera. .. ..° ..° 00 0 000 • 0 .EsPlrationDate:0?JOl/11 • Approval Date: 02/A2106 ••° Page 1of5 ROOFING ASSEMBLY APPROVAL -CjLtWM: Roofing Sub-Catum: 07320 Roofing Tiles erlal: clay Dak Toe: Wood 1. SCOPE This revises a roofing system using Santa Fe "Santafe 'S" Clay Roof Tile, as manufactured Santafe Tile Corporation 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 DESCREMON Manufactured by Test Product R-kmgm EMM Santafd `S' Clay N/A TAS 112 One piece high profile clay roof file equipped Roof Tile with two nail holes. For nail -on, mortar set and adhesive set applications. Trim feces 1= varies TAS 112 Accessory trim, clay roof pieces for use at w = varies P &V; hips, rakes, ridges and valley terminations. varying thickness . ; ; ;legis of Screw vs,•• Manufactured for each the profile. 2.1 SUBmmm EVIDENCE: TestAsencv In d Test Name/Renort $gee The Center for Applied Engineering, Inc. 94-156-8 TAS 101 Aug. 1994 94-156-9 TAS 102 The Center for Applied Engineering, Inc. 25-7205-1 TAS 101 March 1995 The Center for Applied Engineering, Inc. Project: 07-074)0-91 TAS 100 Sept 1994 (307023) Redland Technologies 7161-03 TAS 108 Dec.1991 Appendix H (Nail -On) Redland Technologies Redland Technologies 7161-03 Static Uplift Testing Appendix III TAS 102 & TAS 102(A) P &V; • Withdrawal Resistance • ' • . . . ; ; ;legis of Screw vs,•• • • • • : ' 0: '.' :ikthshank nails Dec. 1991 Sept:. 1993 NOA No.: OS -0921.02 Faphidon Date: 02N►1111 Approval Date: OWN Page 2 of 5 •°• :°: 0t• �. .: ••°.: •% Dec. 1991 Sept:. 1993 NOA No.: OS -0921.02 Faphidon Date: 02N►1111 Approval Date: OWN Page 2 of 5 r Tem. Aaencv Test Ident3iler Test Names I,�e 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 09f22/03 IBA Consultants, Inc. 2353-93 ASTM C 1167 07/18/05 3. LnwATIONS 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 Staudards listed section 4.1 herein. 3.5 30/90 hot mopped undedayment 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 ick requirements shall be in compliance with applicable building code. 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 (1 x w) Tile Profile Welght W QbQ Santafe'S' 6.7 Length-1(ft) 1.5 Wodth-w (ft) 0.958 a _e : A mic N�ulii The .... A (� Profile eatten� (• Ilcat%n:: • • DlrM Deck 5antafe 'S' 4 • ... �0. Y • . • : NOA No.: 05-0921.02 • • ... ; • Expiration Date: O?Alnl Approval Date: 02AW06 ... Pagee 3 of 5 • : so • 0 • 0 • • ss .s 3: rina omerrts l ue 0 Tile 2":120 30:1211 4":120 60:12" 60:12" 7":120 or Profile Santaf®'S' — -k 2,6 r Betters I Dirty Battens Direct Bats Banwe Dhect BOM Dined Battery Direct Sm"fe'S' 5.93 Dedt 5.90 5.85 ID1 De& 5.8L 5.73 Dick 56s5.56 De k 5.53 5.32 Int 5.29 5.�i Deck wA Table S: Attachment ResW ant a aWresnd as a Foment j& (ft." liar Tim ftft Adhesive Set S"Mme 'Tile Tile Applicatlon talinimrun Atechment Tutft 6: Attchment Reskftma Evressed as a Moment - Nr (f# &q fier or AdimsWe Set Tile MIS Attachtnimt Profile 1c Won Reser Santaf®'S' (Mortar Set 2,6 S. LABELING 5.1 All tiles shall hear the imprint or identifiable marking of the manufachm Ws name or logo, or following statement: "Miami -Dad 7,*une,*,b�PoductaoIrQl QPProvecl". • •NOA No.: 0S4W= • Date: 0? ini Approval Dale. 0 A2106 ••• Page4ofS 00. •. .. 0 0 ; • • . r 6. BUHMING PERMIT REQUntEMENTS 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. '�,:w r��71 �0( PROFILE DRAWING 44SAN7CC"S" CLAY ROOF TILE END OF THIS ACCEPTANCE NOA No.: 0541921.02 ESphvdion Date 02/01/11 Approval Date: 021OV06 Page S ors goo :0 00 0 000 :.'.: • NOA No.: 0541921.02 ESphvdion Date 02/01/11 Approval Date: 021OV06 Page S ors Inspection Worksheet Miami Shores Village [YYY 10050 N.E. 2nd Avenue Miami Shores FL Q. Phone: (305)795-2204 Fax: (305)756-89726f 04eliii, Inspection Date: 11/21/2006 Inspector. Grande, Claudio Owner. VICKERS, ROBERT 2 2006 Job Address: 1401 101 Street NE Miami Shores Village, FL 33138 - Project: <NONE> Block: Contractor. PROINT CORP PROFESSIONAL TILE ROOFING Buildina Department Comments Permit Type: Roof Inspection Type: Tile In Progress Work Classification: Roof - New Phone Number (305)790-5899 Parcel Number 1132050230140 Lot: Phone: (954)958-0283 Monday, November 20, 2006 Page 1 of 2 � P! Inspector Comments Passed Failed El Correction Needed Re -Inspection Fee ($75) No Additional Inspections can be scheduled until re -inspection fee is paid. Monday, November 20, 2006 Page 1 of 2 nm lu Inspection Date: 12/01/2006 Inspector: Grande, Claudio Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Owner: VICKERS, ROBERT® b 110 Job Address: 1401 101 Street NE Miami Shores Village, FL 33138C10000 - Project: <NONE> Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number (305)790-5899 Parcel Number 1132050230140 Block: Lot: Contractor: PROINT CORP PROFESSIONAL TILE ROOFING Phone: (954)958-0283 Building Department Comments �/1 0 Inspector Comments Passed 6 Failed Correction Needed Re -Inspection Fee ($75) No Additional Inspections can be scheduled until re -inspection fee is paid. Thursday, November 30, 2006 Page 1 of 2 U.S. SOUTH Protect No8396 Engineering & Testing Lab., Inc. -. 6065 N.W. 167th Street, Suite B-23 • Miami Lakes, Florida 33015 Telephone: (305) 558-2588 • Fax: (305) 362-4669 ON-SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO-DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 -------------------------------------------------------------------------------------------------------------- SITE SPECIFIC INFORMATION Owner's Name: Job Address: — Permit # FIF 11_v6 -24f(2_ Roofing Contractor: Type of Tile: -5 -F=7 I - Date Installed: 11- �� Approximate Roof Height: feet Roof Pitch: 4 , Type of Access to Roof: Sc lds '� Ladder Other Approximate Square Footage of Roof -a fo(a ®C> ft2 Required Testin Force: 35 lbs. Testing Equipment: Chatillion100 Date Tested: - ----------------------------------------------------------------------------------------------------------- TEST RESULTS P = PASS, F = FAIL ------------------- - - - - -- ---------'----------------------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUBMITTED BY: l"l C P.E. Lo Lab Certification # 98-0608.04 State of FL Certificate Authorization # 4100 Mlii3 ®_�'_.f KF W. 0_ ------------------- - - - - -- ---------'----------------------------------------------------------------- IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUBMITTED BY: l"l C P.E. Lo Lab Certification # 98-0608.04 State of FL Certificate Authorization # 4100 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 `- Permit Permit Status: APPROVED Issue Date: 11/17/2006 Expires: 05/16/2007 Permit Number: RF -11-06-2812 Owner's Name: ROBERT VICKERS one: (305)790-5899 Permit Type: Roof Work Classification: Roof - New Parcel #: Block: ,lob Address: 1401 101 Street NE Section: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor PROINT CORP PROFESSIONAL TIL (954)958-0283 Yes Additional Information Type of Work: Re -Roof Additional Info: Classification: Residential 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 $7.20 Education Surcharge $2.40 Permit Fee - New Roof $325.00 Scanning Fee $9.00 Technology Fee $8.12 Total: $351.72 Building De t File Copy Applicant Signature 1132050230140 Lot: PB: Total Square Feet: 3579 Total Valuation: $ 12,000.00 Tin Cap Hot Mop Tile In Progress Up Lift Report Final Roof Invoice Number Amt Due RF -11-06-26791 $351.72 Total: NOTICE: In addition to the requirements of this permit, then: 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.