RF-14-2559 Miami Shores Village
Building Department NOV 2 0 2814 �
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 r
BUILDING Permit No. I- ILI"'��✓5
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING
ROOFING
OWNER:Name((Fee Simple Titleholder)- .-�am Myr a oc. Phone#: 3o5 q
Address. ri 1 r)'5t
City: M + S k o re!5 State: FL Zip:3M I°
Tenant/Lessee Name: Phone#:
Email: —M�.5 EA� (y
JOB ADDRESS: ri'! 1 vE: 10 C1�k
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name: U-1 Ka Iw o l e R 40-F'1Phone#: '319S '/ /—00I
Address: 3 9 q / S'W' 1 err
q
City:_ CAAMr lSttate: 1'�--- Zip:
Qualifier Name: W o 1/✓ 6< Phone#:
State Certification or Registration#: Certificate of Competency#: cc®6 2-5 ®00®" /p�
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
45
Value of Work for this Permit:$_ 50 Square/Linear Zerpair/Replace
ge of Work: '� 1
Type of Work: ❑Addition ❑Alterations ❑New � ❑Demolition
Description of Work: CSIrin Cue-rol:I
Submittal Fee$ Permit Fee$ 1 °W CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ e-- .Cir Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$31
f i
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. 1 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
-//
Signature Signature
qM44�,U�-
Owner
or Agent Contractor
The foregoing instrument was acknowledged before me this*i, The foregoing instrument was acknowledged before me this
day of by &QiLdocfC day of NW - ,20 ,by AQ%.- JR. �Ayj �l -
who is personall r nown to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. LA L�F-- as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign iciz� Aot/-, Sign:
Print: Adtft,, Print
e Sindia Abarez
My Commission Expires: Ban�ms, tue, w� My Commission a' My Commission FF 156750
NftyNft•.. ` �� Expires 08/03/x018
zg k 9k jk=k=k=k Ha sk H+sk sk sk=k H=gs Ha fk ak=k sk ak ak ak=k sk sjs sk$asp$ads$s sk ik�s gs sk ak a$sk ak ak=k=k ik nk 9k 9k nk Dk nk ak Hs xg ik ak sk$s$s$e S:9k g:sk�ak=k jk=k��eh�k Has$H=tk=k ak=k=k sk ak ak sk ads sg$s s(a aja sk�a sk H=sk gs Hi$s sIe$t$t s$s#sk sk sk
APPROVED BY Z Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
,,.. . .� Miami s Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tei: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project
prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate
officers or members of a limited liability company (LLC)
elect to be exempt if in the construction industry may
1. The officer owns at least 10 percent of the stock of the corporation,or in the case
of an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the
Department of State,Division of Corporcorporation in the records of the Florida
corporation
and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members
are allowed to be exempt. Construction exemptions are valid for a periodof two years or until
a voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers'compensation exemption.In these circumstances,Miami Shores Village
does not require verification of workers'compensation insurance coverage from the contractor's company. Therefore.you may be
ersonallliable for the worker compensation in'uries of an erson allowed to work under this ermit please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ
CONTENTS. THIS NOTICE AND UNDERSTAND ITS
Owner Contractor
Print Name Print Name: L (�(
1
Signature: Signature:
State of Florida) State of Florida)
County of Miami-Dade) County of Miami-Dade)
Sworn to and subscribed before M ®®
me this rSworn to and subscribed before me s l 2
day of/�Dl/Pslze%' ,20 f day of � ,20 t
By By
e CYNnt :1N
(SEAL) _�:, _ My COMMISSION�E 646M
EXR!RRESalType of Identification roduc Tfuu N r 2018 (SEAL)
any putrlm Undenvet0re T e of Identification rodu
Notary Public State of Flori a
Commission FF 7 0
�Q a5
My Co 155 5
atExpires 0910312018
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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.
I. -- i 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. 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. PIK 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. ._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. Ak _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. ,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
\9 f. wava�/' lwltwwa&9�)'
Owner/Agents Signature Date Contractor Signature Date
Revised on 7/9/2009 LD
t
v .
t � •
y MIAMI DADE COUNTY
® PRODUCT CONTROL SECTION
DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY AFFAIRS(PERA) 11805 SW 26 Street,Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474
T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/oera
Santafe Tile Corporation
8825 NW 95h Street
Medley,FL 33178
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°S' Clay Roof Tile
0000
LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,.state adid fallawing 0000..
statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein 0000
000000 0000 0000..
RENEWAL of this NOA shall be considered after a renewal application has been filed and therefias been lib change
in the applicable building code negatively affecting the performance of this product. "" 0000.. 8
0000 . 00009
0.0.000 0l. 00000
II
TE11 NATION of this NOA will occur after the expiration date or if there has been a re vision er chanj�m the 0 0
00
materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endQVg t of any groduct,
for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to c841y with any section.0 0:0
of this NOA shall be cause for termination and removal of NOA. 0000 0
.. 0000
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and M1td*ed 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 Tigera.
NOA No.:12-0210.01
t�uargi oaDe corm rr Expiration Date: 02/01/16
Approval Date: 05/31/12
Page 1 of 5
ROOFING ASSEMBLY APPROVAL
Cateaory Roofing
Sub-Cateaory: 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 S.A.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 Test Product
Applicant Dimensions Specifications Description
Santafe`S' Clay Roof L= 18" TAS 112 One piece high profile clay roof file equipped with
Tile W= 11.1" two nail holes. For nail-on,mortar set and adhesive
set applications.
Trim Pieces 1=varies TAS 112 Accessory trim,clay roof pieces for use at hips,
w=varies rakes,ridges and valley terminations. Manufactured
varying thickness for each tile profile.
2.1 MANUFACTURING LOCATION
1. Bogota,Colombia ••••• ••••••
2.2 SUBMITTED EVIDENCE •
...... .... ......
Test Aaencv Test Identifier Test NamdRgeerr• ;0 6&ILte ••••••
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:--:-: Match 1995 •.
. . ......
The Center for Applied Engineering,Inc. Project: 07-07-00-91 TAS 100. :SLS i.-1994 .
(307023) 0.0 0000 •-••--
Redland Technologies 7161-03 TAS 108 -pec. 1991
Appendix H (Nail-On)
Redland Technologies 7161-03 Static Uplift Testing Dec. 1991
Appendix III TAS 102&TAS 102(A)
Redland Technologies P 0402 Withdrawal Resistance Sept. 1993
Testing of Screw vs smooth
shank nails
NOA No.:12-0210.01
MIAMMDADECOUNTY Expiration Date: 02/01/16
Approval Date: 05/31/12
Page 2 of 5
2.2 SUBMITTED EVIDENCE
Test Agency 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. LmaTATIONS
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. � m •
•
3.6 This acceptance is for wood deck applications. Minimum deck requirements b .m comUg4ce with
applicable building code. 000090 040 ease:
3.7 May be installed on slopes 7:12 and greater. a 0 a 0 0 s
•000&0
0000
0000..
4. INSTALLATION ••••a eeae•••••
•
aaaae0000 ea
4.1 Santafe 'S' and its components shall be installed in strict compliance with Roefing•Applicatidn itandaf&••;•
RAS 118,RAS 119 and RAS 120. :00:0: 0
•
4.2 Data.For Attachment Calculations a :..e:.• 0000.
0 a 0000..
0000
Table 1: Average Weight(W)and Dimensions (I x w) 69:0
s
Tile Profile Weight W(Ibf) Length-1 (ft) Width-w(ft)
Santafe'S' 6.7 1.5 0.958
NOA No.:124210.01
MIA ]_APPRECD! Expiration Date: 02/01/16
Approval Date: 05/31/12
Page 3 of 5
c
Table 2: Aerodynamic Multiplyers—A#e)
Tile %(ft) (ft�
Profile Batten Application Direct Deck
Santafe'S' 0.274 0.297
Table 3: Restoring Moments due to Gravity-Mg(ft4bf)
Tile 2":12" 3":12" 4":12" 5":12" 6":12" 7":12"or
Profile greater
Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct Battens Direct
Deck Deck Deck Deck Deck Deck
Santafe'S' 5.93 5.90 5.85 5.82 5.73 1 5.69 5.56 5.53 5.32 5.29 5.03 5.00
Table 4: Attachment Resistance Expressed as a Moment-Mf(ft-lbf)
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 29.16 N/A
Two#8 Screws 38.28 N/A
One#8 Screw w/Clip 57.31 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 5: Attachment Resistance Expressed as a Moment Mf(ft-lbf)
for Two Patty Adhesive Set Systems
Tile Tile Application Minimum Att&%cjjment
Profile & Fesls!&QA&o
Santafe'S' Tile Bond • • ; 38.9 .•.. .•
Polyfoam Polypro AH 160TAA .•.. 28. •:. .. .:.
2 See manufactures component approval for installation requirements. • W
3 Fle)dble Product,Inc.Average weight per 10.4 rams. •' ••;
4 Polyfoam Product,Inc.Average weight per patty 9.4 grams. • • •••••• ..
Table 5A: Attachment Resistance Expressed as a Moment-Mp(fiJb#) ••• ••••••
for Single Patty Adhesive Set Systems •
Tile Tile Application lnlrpum At;aIsIlmnt
Profile 9,,e Resistanq%,, •••••
Santafe'S' Poi oam Polypro AH 160'rm 63. •
9 a
Polyfoarn Polypro AH 16OTm 61.9
5 Paddy Placement of 63 grams of Polypro AH 1607"'.
6 Paddy placement of 24 grams of Polypro AH 1607"'.
Table 6: Attachment Resistance Expressed as a Moment-Mf(ft-lbf)
for Mortar or Adhesive Set Systems
Tile Tile Attachment
Profile Application Resistance
Santafe'S' Mortar Set 23.6
NOA No.:12-0210.01
rneua�•nt�oe eouw rr Expiration Date: 02/01/16
Approval Date: 05/31/12
Page 4 of 5
L
T
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.
PROFILE DRAWING
When using one screw
use this hole.
18"
O
000
0000
0000 ....�.
.. 0000 •.
0000.. 0000 0000..
0000..
0000..
0000
0000..
0000 . 0000.
0000.. 0
0860::
0000 0000.
•0000• • •
11.15,
. . . . 00000.
.00000
. . .00000
.. 0000
09:9
"SANTAFE S"CLAY ROOF TILE
END OF THIS ACCEPTANCE
NOA No.:12-0210.01
rne►r�ie couNTM Expiration Date: 02/01/16
JAPPROVEDI Approval Date: 05/31/12
Page 5 of 5
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