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RF-09-998Project Address 9050 PARK Drive Miami Shores, FL 33138- Owner Information DIANE BUTLER Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - Repairs Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $1.20 $0.40 $100.00 $6.00 $50.00 ($50.00) $2.50 $110.10 Authorized Signature: Owner / Applicant Building Department Copy July 29, 2009 Address Contractor(s) JOHN BUSTA ROOFING INC Phone Cell Phone (305)757 -7620 Parcel Number 1132060400020 Block: Lot: 9050 PARK Drive MIAMI SHORES FL 33138 -3158 / Contractor / Agent Phone Valuation: Total Sq Feet: $ 2,000.00 IMISIMEMINKOMMaiMEMMEINSWOMMESENEENOMMOM Type of Work: Repair Additional Info: WHITE COLOR THRU TILE Classification: Residential Invoice # RF -6-09 -35094 RF-6-09 -35094 Total Amt Paid Amt Due $ 110.10 $ 50.00 4 $110.10 $110.10 $ 0.00 Expiration: 12/19/2009 Applicant DIANE BUTLER Cell For Inspections please call: (305)762-4949 Available Inspections: 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. July 29, 2009 Date 1 Inspection Type: Roof Repair Final Roof Roof Review 1 WA NYG3 Miami 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 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) 014 Pi Q,o' �L4/ Phone # 1 �5� ��� - d 6a Owner's Address l I Dar o Park Drive A A City f"1 iaj', S�?0 S state 1L zip 3,3(3 Tenant/Lessee Name NA Phone # oe1 /s4 Qualifier Name State Certificate or Registration No.&'C 495 O4 Architect /Engineer's Name "(tf applicable, Valueof Work For ;this Permit $ Type of Work: DAddition 905o Par k Drive state F ['Alteration iI Describe Work: � iiv �R � fit /Mite 7 i / p er . wi f'ai W1 49 Colo( 7ket, `7r /.. ia JUN 5 2009 Permit No. RPM Master Permit No. Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 33 / 3 $ FOLIO / PARCEL # Is Building Historically Designated YES NO_ Contractor's Company Name 'J ©hP) &S` Z Roo Oo i t J-v C Phone # £OS " 76 7- r7 G d 0 Contractor's Address /VE 9/ 5i City Mia l S h©re s Joliet 8c1� a Zip 33/3 3 ° o7 /V _ 9699 Phone # Certificate of Competency No. AT rt Phori # 4 14 DNew �s Repair/Replace °r Areas ,43 Nee ***************************************Fees******************************************** ***************************************Fees******************************************** Submittal Fee $ ...Safi) Permit Fee $ CCF $ 1' CO /CC Notary $ 4— ** Training/Education Training/Education Fee $ Technology Fee $ a. cs Scanning $ (.D • 00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (00.10 See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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. Signature '— Owner or Agent The foregoing instrument was acknowledged before me this /d day of Ja '/e. , 20 P9 , by O a ie &71er who is personally kno Sign: Print: SCA h O � YGt My Commission Expires: APPLICATION APPROVED BY: (Revised 07/10/07) A h � Zip tate who is personal .x .01 ti— NOTA My Commission Expires: Zip Signature Contractor The foregoing instrument was acknowledged before me this 10 day of Vt¢t'le , 20 04 , by J oh h gcAs4ct 4, SANDRA A. BUSTA of pt -VON tiffliittf Ceram Expo Sep 14, 2010 Commission # OD 59382? Bonded ,. :I No Asp. Sign: Print: 6,a k<it VV O A-- • (4 oath. ***** * * * * * * * * * * ************ * ******* : *** ** *: *** *a:****** :•x****** ** *********+ x***** ***a: ***** **:x**:x**** ********** Plans Examiner Engineer Zoning • • • • • .' • • • • • JUN 1 aoo� 5 Florida Building Code Edition 2004 JUN 1 5 2009 High Velocity Hurricane Zone Uniform Permit Application Section A (General Information) P it No. \ 0 1 X1 0 c 7OOb Part L Contractor's Name: Job Address: ❑ Low Slope ❑ Asphaltic .Shtrtgles . SUBJECT TO C+i ►J' � � : WITH ALL FEDERAL T AND COUNTY RULES AND REGULATIONS ROOF CATEGORY Mechanically Fastened Tile Metal Panel/Shingles Re- Roofing ('1 ❑ Prescriptive BUR -RAS 150 ROOF TYPE 0 Recovering Repair ROOF SYSTEM INFORMATION F) Steep Sloped Roof Area (SF) 2- Section B (Roof Plan) APPROVED BY Mortar /Adhesive Set Tile Wood Shingles /Shakes ❑ Maintenance M Snores Viiiage Total (SF) /O Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. 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"el, Notice of Acceptance Number: . Minimum Design Wind Pressures, if Applicable (From RAS 127 or Calculations): '••• ••• • • P1: P2: P3: • ... . .. . IVI ximuip osign Pressure $Fxbm he.01(3A Specific System): • likfthod Of tile attachment: c�- . • • • • • • I•••• • • • • • 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 ••• •• • • •• Roof Slope: q :12 23_01 -48 5/03 PAGE 4 Section D (Steep Sloped Roof System') • •• • • • • Deck Type: Ridge Ventilation? P// Steep Sloped Roof System Description Mean Roof Height: / 5 L'® 6" V ,S0 i✓l , L ype Underlayment: nsulation: ASW DCd6 - 30 Type ?l' t,14" il ead Iop Ni Fire Barrier: F - 1 -- w4 astener Type & Spacing: dhesive Type ype Cap Sheet: oof Covering: 1' 1,4" KrzSke nlc Akii /s„1 _ 1 /17;or4e j od row 6 " 'LP rnfiekl d 01' /Vs MCI' - Tile Seal 41r) Type & Size Drip Edge: Mon(er A41c,.i4's 510* Wlif -4e Color Thou 1 °° 03 &k,a. M Required Moment Resistance* " • - - • • • • • ••• Mean Roof Height 15' ' 20' ' 25' ' •••• • '• ..�. • ••• • • — Roof Slope � 2: 2 345 36.5 38.2 • • .`947. 422 3:12 32.2 34.4 38.0 ••a14. .•e1.1: - - 32.8 • 49.8' •ST'S • 5 341. •••• 4:12 30A 32.2 33.8 �$ 28A 30.1 31.6 6 :12 264 28.0 29A 30.5 32.4 1:12 24.4 25.9 21.1 28.2 30.0 Florida Building Code Edition 2002 HI . h Vel • . Hurricane Zone Uniform Permit , i cation Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M the values from M t• If the Mf values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (Pt: z) . _ � - Mg: ° Mr' NOA 1Vli (P z ? m __) _ Mg: = H4a NOA M, (P3: z _ —) – Mg: ° NOA Mr •••• • • • • •. Method 2 "Simplified Tile Calculation Per Table Belo' • . • Required Moment of Resistance (M From Table Below NOA VI • •• .. • • ••.• • • • • *Must be used in conjunction with a list of moment based the 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 F,. If the r values are greater than or equal to the F values, for each area.of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (Pl x1: = w:= ) -W: cos 0: = FN: NOA F' (P2: zl: = z w:_ ) –W: cos 0: = Fa: NOA F (P z l: = z w: = ) – W: z cos 0: = F NOA F' Where to Obtain Information Description Design Pressure Mean Roof Height Roof Slope Aerodynamic Multiplier Restoring Moment due to (3tavity Attachment Resistance Requited Moment Re ance Minimum Ate Resistance Requited Uplift Resistance Average Tfte Weight Tile Dimensions Symbol P1 or P2 or P3 H 9 Mf MI F' F w 1= length vi= width Where to find RAS 127 Table 1 or by an engineeting analysis prepared by PE based on ASCE 7 Job Site Job Site NOA NOA NOA Calculated NOA Calculated NOA NOA All calculations must be submitted to the Building Official at the time ofpermltapplication. • • • • .• • 4 • • 123_01 -48 5/03 PAGE 5 M1AMIDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 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 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 A1IJ 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 requi,ements 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 Jp rge L. Acebo. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 1 of 7 ROOFING ASSEMBLY 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 of this 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 profile 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: Product Dimensions Test Specifications N/A TAS 101 Polypro® AH160 Foampro RTF 1000 ProPack'I 30 & 100 PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro A11160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. N/A N/A Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment Results 1.6 lbs. /ft.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40° F., 2 weeks +6.0% Volume Change @158 °F., 100% Humidity, 2 weeks 86% NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA 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® AH 160 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® AI-1160 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. 'F` F' = MS W 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 24 N/A N/A Flat, Low, High Profiles #2 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® A11160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® A11160 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® AH 160 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. Polyprog 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' AH 160 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. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 1) Place hough adhesive toachieve 17 to 23 Optional 214% for applications swam inches In contact with the pan the 2) Tura corers ups down. Placemive To 1 tn. From of cover tle. Then install the tile. /�A... . ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY lop potion oldieeave course cover tle. Abed to second comae of pan tiles. Eire eave end of pan and cover ties em flush at eave line. Eavaelosere Weephote Feria Adtthough plash: cement 0 Pohl -up Vadar on langthdlnal Wins Mb NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 5 of 7 Sheaddng ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 Nail through plastic cement 1 •r 3 in. x3In. S ingle paddy on underlayment S ingle paddy on top of tile ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Undedayment 1 9 44in.x 3 in. Single 41n. paddy on under - layment Single paddy under tile Single paddy between tile 21n. x 7 in medium sine paddy eave course only Single paddy on top of the 06 Ears Course Fascia WeepiroN Eave closure Drip edge Faye Course Single paddy between tile Save Closure 2 In. x 7 In. medium Fasclaze paddy eave course only END OF THIS ACCEPTANCE NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 7 of 7 Inspection Number: INSP - 116919 Permit Number: RF -6 -09 -998 Scheduled Inspection Date: April 16, 2010 Inspector: Bruhn, Norman Owner: BUTLER, DIANE Job Address: 9050 PARK Drive Project: <NONE> Miami Shores, FL 33138- Contractor: JOHN BUSTA ROOFING INC Building Department Comments April 15, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Roof Work Classification: Fiat Phone Number Parcel Number 1132060400020 Phone: (305)757 -7620 remove flat white repair areas as needed, and repalce with flat color thru tile Passed 0 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 1 of 23