REV-16-1808BUILDING
PERMIT APPLICATION
�UILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
JOB ADDRESS:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
9 S K1 .
BY:
CE
JUN 2'9 -.`3
FBC 201,E
Master Permit No. 12-C 13 - .. 02
Sub Permit No. (6- 186-0
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City:
Folio/Parcel#:
Occupancy Type:
Miami Shores
1132.oszt14.03ti
0
Load:
t3 viv S L►o rt.DAV!.
County: Miami Dade Zip: 3 3 / 3 )
Is the Building Historically Designated: Yes NO
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: '93a S N. �� sk.,et_ n,r.
City: Mt.Sino"-its State:
R
Phone#: 3 or - 2 o
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: I 1 G c r�
Address:
Zip:
Aasic\DA- 15q - - 6(66
Phone#: 30S 4-0
City: M I .•e..' //�� State: �— Zip: 331c. C
Qualifier Name: 4,-,-f Loamy �f-�i.r►a
State Certification or Registration #: C. C C °S.-14 3 S' Certificate of Competency #: / S - 0 9 01.1 0
Phone#: 3us_ Sb° —13 43
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition n Alteration ❑ New / ❑ Repair/Replace ❑ Demolition
Description of Work: Le 7 1+ 4 L., t- t 7/. ♦ v Lc, 41. ,�, CO, GeV.. -1-c.
rb..Aeno!hi:inIt 1 ,nri 1pavtt .«»s�il.wiNrrw
c of color thru tile: * rrit,.::4 1,.;;r �=,:1111' k�}'n'i .°''( �r�, a
Specify 0/or H C'14 %I 6:t../erime3 �.; -
"!y�rt 'F pi r91t04 lit wv) 0. Eye!' t
Permit Fee $ CCF $ C ti" + tCO/CD'$"-t"�' "#
Radon Fee $ DBPR $ Notary $
%�
/'� Training/Education Fee $ Double Fee $
Structural Reviews $ (20 ° W Bond $
TOTAL FEE NOW DUE $ 123 .i
Submittal Fee $
Scanning Fee $ a'
Technology Fee $
(Revised02/24/2014)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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
OWNER or AGENT
CONTRACTOR
The foregoing instrument as acknowledged before me this The foregoing instrument was acknowledged before me this
fat ih
rdici day ofVita- _ , 20 l6 , by 94+' day of __iv n a , 20 l 6 , by
0/10r / ' £ .IJ fro/lit, who is personally known to
,.4646 U4.114 a , who is personally known to
me or who has produced as me or who has produced 114 as
identification and who did take an oath. !!
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY P LIC:
/
/mac fry
Sign:
Prin
Seal.
JOSE J. GIRALOO
Notary Public - State of Florida
•I Commission N FF 228273
47 My Comm. Expires Aug 31. 2019
APPROVED BY
(Revised02/24/2014)
Sign:
Print: z
Seal:
Plans Examiner
Structural Review
2o.�p0.Y. aye c NEREIDA C. HERNANDEZ
* MY COMMISSION # EE 832598
4'-‘176-0F
EXPIRES: January 1, 2017
'9rFOF Flo? Bonded Thiu Budget Notary Services
Zoning
Clerk
' (G --5i(
FLORIDA' \TEC
PROVIDING SOLUTIONS TO THE ROOFING INDUSTRY
Lab Report No. 126006
C.A. # 30448
Lab Certificate # 13-0507.02
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FIELD WITHDRAWAL RESISTANCE TEST RESULTS TAS -105
TEST DATE: May 6, 2016
COMPANY NAME: Aranda Construction
PROJECT ADDRESS: 9325 N Bayshore Dr., Miami Shores
Note: The undersigned representative agrees that all testing has been conducted and results
compliance with Miami Dade County Protocol TAS 105 or TAS 105A.
FIELD TECHNICIAN: Angelo Blanco
EQUIPMENT INFORMATION:
Test Apparatus: Com -Ten FGC 2000
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DISCLAIMER
ri2 2IVED
JUN 9'9 2016
IPV.
All rog penet.rations performed by Florida Tec, Inc. in order to perform the required number of tests will ONLY be sealed on a
limitedtmd4'EMPORARY basis. Contractor and/or owner are responsible to perform permanent repairs to avoid any roof leaks.
Sincerely,
Marlin,Brinson, P.E.
Lic��.''�No.60749
46,
10735 SW 216th St. Unit 416
Miami FL 33170
PERMIT#: V..EV 1�6:t
)
M'ami Shcres Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
S� CT ro CCMI LIA.NCE WITH AG SERAL
STATE AND CCU l f RULES AND REGULATIONS
Page 1 of 4
www.FloridaTEC.net
Tel: 305-256-4550
Fax: 305-256-6833
FLORIDA? \ TEC
PROVIDING SOLUTIONS TO THE
ROOFING INDUSTRY
•
FIELD WITHDRAWAL RESISTANCE TEST RECORDING SHEET
Roof
Area:
A
BUILDING/ROOF SYSTEM INFORMATION
Roof Area Dimensions:: Height:
Length:
Second Largest Dimension:
Total Roof Area:
Squares:
DECK TYPE
FASTENER INSTALLATION INFORMATION
Fastener Type:
Fastener Manufacturer:
Is the fastener a self -driller?
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• • TEST INFORMATION
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• • • dumber ootests conducted:
Gomponn /o be secured:
• • • •Pre -drilled?.
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10735 SW 216th St. Unit 416
Miami FL 33170
Page 2 of 4
www.FloridaTEC.net
30 FT
113 FT
23 FT
2485 FT2
24
LWIC
1.7 Base Sheet
Drill TecrM
YES
NO
13
Anchor or Base Sheet
YES [ NO
Tel: 305-256-4550
Fax: 305-256-6833
FLORIDA'S TEC
PROVIDING SOLUTIONS TO THE % \ ROOFING INDUSTRY
Test
Number
Plan
Identifier
Initial Failure
Load (Ibf)
Field Perimeter or Corner Area
1
A
55
Corner
2
84
Corner
3
87
Field
4
71
Perimeter
5
125
Perimeter
6
97
Field
7
143
Perimeter
8
137
Field
9
108
Perimeter
10
120
Field
11
120
Corner
12
150
Field
13
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74
Comer
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•••••S1ATIS1TC,rLANALYSIS:
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• • •Man Failure Lbad
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• • ..,Sa le Stuhti'atd Deviation:
••_-._--•.•.--
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F=105.46
Sr- 29.99
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• • • i%Iinimu&CIIAfasteristic Resistance Force:
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10735 SW 216th St. Unit 416
Miami FL 33170
Page 3 of 4
www.FloridaTEC.net
F=17.33
Tel: 305-256-4550
Fax: 305-256-6833
FLORIDA'S TEC
PROVIDING SOLUTIONS TO THE
ROOFING INDUSTRY
ROOF SKETCH:
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10735 SW 216th St. Unit 416
Miami FL 33170
Roof Area: A
0'
30'
Ground Level
LWIC
23' -1
1
.
5.
9.
113'
12
3.
6.
8.
10
13
2
4.
7.
11
Page 4 of 4
www.FloridaTEC.net
Tel: 305-256-4550
Fax: 305-256-6833
L \'I('- Permit No.
x
Nliami Shore Village
10050 NE 2nd Ave N. Miami Shores, Florida 33136
305-795-2204
LIGHTWEIGHT INSULATING CONCRETE (LWIC) FILL
FLORIDA BUILDING CODE (FBC)
SPECIAL INSPECTOR REPORT
RC -3-16-591
LWIC. installed over an existing deck (re -roofing)
Prope ty Address:
Date(s) if installation:
9325 N Bayshore Drive
Miami Shores. FL 33138
Building permit No. N/A
LWIC installed during new construction
4-28/4-29/2016 Date(s) of inspection(s): 4-28/4-29/2016
LWIC Product Approval (NOA) No. 13-0307.02 LWIC Manufacturer:
LW IC Installer (approved by manufacturer): LITECRETE, INC.
LWIC installer license No. CGC059735
Celcore Incorporated
Type of LWIC installed 191 7.4.3 FBC
Aggregate Concrete
Cellular Type: (mechanically attached roof system)
Cellular type: (adhered roof system. deck surface prepared per the roof system NOA)
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Building Contractor
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St &rrte the LWIC islnstalled over per 1917.3.12, 1917.4.1 FBC
•• • . .
• • Slotted Ste 1 I tk Existing Steel Deck
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• • • • Steel suppor('s'p3eing: N/A
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• • • •• ••••
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.•
x
(for new construction)
Dec• :: ttachment��etTiod (per the LWIC Product Approval NOA)
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f uddleW �Ia: size N/A {Washers
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Yes
Screw Type: N/A Spacing: N/A
Side Lap attachment method:
X
Structural Concrete
General Contractor
Existing Roof Assembly
Other deck type: N/A
N}
Weld spacing: N/A
N/A Spacing: N/A
Method of venting the LWIC 1917.4.2 FBC
%linimum thickness of the LWIC 1917.4.2 FBC
Minimum slope of the LWIC 1/4"
N/A
2"
Expansion Joints installed per approved permit documents and 1917.4.11 FBC
X
Approved Disapproved N/A
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CAST DENSITY RECORDED (('1IEC'KED IIOt1R1.Y)
ACCEPTABLE RANGES PER THE lAVIGNOA_.__
DRY DENSITY RANGE:
WET DENSITY RANGE:
35.5
45.)
X
YES
NO
PCF (DEPENDING ON TE IE ROOF COVER TYPE)
PCE' (DEPENDING ON T1 IE ROOF COVER TYPE)
28 DAY COMPRESSIVE STRENGTEI 300 PSI (DEPENDING ON TI1E ROOF COVER TYPE)
1V.LKABILITY INSPECTION (1917.2.4 FBC)
APPROVED DISAPPROVED
DATE OF INSPECTION:
05/05/2016
All the LWIC was installed in compliance with the requirements of the Florida Building Code section 1917. the LWIC Product
Control ApproNal (NOA). and the Manufacturer's recommendations and specifications.
From my observations of the mixing. installation and finishing of the LWIC system. To the best of my knowledge. belief and
professional judgment. those portions -of the project outlined above meet the intent of the Florida Building Code and are in
substantial accordance with the approved permit documents.
‘‘ttESSUZ ',,
'V.,•GENSe• •'11
N.
. 232b .* la
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Signed
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[Me: • • •,d, ' ' v/ ' Address: 5121 Orduna Drive, Coral Gables. Florida
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PA. License: 12326 Phone: 305-665-5032
'Engineer / Architect Name:
A Jack Messulam. P.E.
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Litecretty,_hic.ak .` i'.i.,(,_pvuri g Audit Report
Permit t: - RC -3 -1E -5S1
Project Name: Cassola Residence
Address:
Date: 4/2812016
Applicator's name: Litecrete Inc
9325 N Bayshore Drive, PJi2mi Shores, FI 33133
Mix Design
Bags Aggregate
Cement 500 lbs
Foam 16 sec.
Water 28 gal
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Time
8:30 AM
9:15 AM
10:00 AM
••1Q:45AM
"'11:30 fj3ll••••
....32:15 PM •
1:15 Fri 1 •
245 P 1,..••
••1• S • -
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^•' •••• • ••
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Cellula?,Crete only •
Dilution ration AM
PM
Foam Density AM
PM
Foam Flow rate AM
PM
Net Bucket W
i' .5
7.5
--7.5
7.0
—_—_7.0
7.5
7.5
7.0
7.0
0.0
0.0
0.0
1:40
3 pcf
.33 cfs
Was meter Calibrated? `!es X
Density
45
45
45
42
42
45
45
42
42
0
0
No
l 1111111.1!N
•••
SE •
-7: 1
OP
F 0 441•
-FESS‘,C)
Litecrete, Inc. k.,` d".l.(y. pouring audit Report
Permit t: - RC -3 -1E -5S1
Project Name: Cassola Residence
Address: 9325 N.Fayshcre Drive, PJ ie rr i Shores, FI 33133
Date:
Applicator's name:
Mix Design
Bags Aggregate
Cement 500 Ibs
Foam . 16 sec.
Water 28 gal
4/29;2016
Litecrete Inc
Time Net Bucket V1/:
8:30 AM 7.0
9:15 AM 7.0
10:00 AM 7.5
• •30:45 AM 7.0
• • • • • 0:30 AAA • • —^_T0
•• ...,.12:1 P5 , is, 7.0
• 1:15 PV. : 7.5
•
•
•••
•0.0
• • • • 0.0
• •
••___I____•_•••••
-••••
•••..• 0.0
• • 0.0
• • •
0.0
• • •t -
.• •
•-- •••• • ••
• • • •
••••
•
CellularZ•ororete onry
Dilution ration AM 1:40
PM -
Foam Density AM 3 pcf
PM
Foam Flow rate AM .33 cfs
PM
Density
42
42
45
42
42
42
45
0
0
0
0
0
Was meter Calibrated? Yes No