Loading...
1077 NE 91 Terr (5)BPZ -2/00 Building Permit No. Project Name: Job Address: STAT EMSNT OF COMPLIAx We the undersigned, hereby certilY that the T BRMAL INS n with the latest edition of the STA — ' - --- ��� has been installed in the above referenced project, in compliance ORIDA GENCY CODE, the APPRO ENER CAT CULATI and Plans, and in accordance with good construction - -" applicable . p`�Q� The insulation furnished and installed has the characteristics shown below. (Check any cr I) Exterior CBS Walls Insulation: R- S (Mini.) Material: Thickness: r y mews); Density: lb/fb Manuf.: o 2) Exterior Frameanetal Stud Walls: R (Min.): Material: Tin: inches; Density: lb/ft; Manufacturer: O 3) Exterior solid concrete walls: R - (Min.): Material: Thickness: inches; Density: - - -_ lb/ft; Manufacturer: 0 4) Interior walls separating A/C from non -A/C spaces insulation: R- Material: Thickness: inches; Density: Ib/ft.; Manufacturer: 0 5) MULTI -FA_ y RE3 IDh'IVTtAt C ONSTRUC TION O ; the COMMON different tenants shall be insulated as follows: (Party) WALLS separating by Energy Code Requirements. See "energy Code, 97 Edition, Section 600.2A.4 Edition ". These wn try /GIs afMsulgtjon are not included in the Energy ' pages 6 t through nst ed in L ith e field >BY Clatioas, but shall be installed in 6) A bove deck type ROOF INSULATION: R- (Min. 46.76--c ); Material: � V7) Ceiling Ib/ft.; Manufacturer: Ceiling insulation: R ��r (MJn ); Material: - � TDucmteas: 4 .inches; Density: lb /R.;Maii>ifacGuter. 0 8) NOTE: Densities of sparse-on, loose fill, or any other composed-on-site insulation shall be the P.CF.(Ib /ft3) average of three (3) "DRY SAMPLES" of actual installation. Installed by Indeaslimpselfte awd; Insulation Contractor Cc * ,—.� 5 O.C. /Builder: aNseetnene Building Contractor CCU: (I o5 RAISA CONSTRUCTION, INC. 2213 SW 58 Court, Miami, Florida 33155 (305)216 -4818 Robert Ramirez CRC 057177 7 Date Certified: C.C.. 05 7/ 77 Date Certified: Data Dursbsn TC Product tlsed Notite of ri*eliktiltiVe ,Tr th en1 fti 'Te (as regains,. by letbOa'Bsl Cod* CM) 10424 Super Pest Control Addrus eflereatineat or Letiltiodx arftettmat 1077 N.E. 91 terr Miami Shores, Fla. 8:00AM Czpyr1fos phoopkoratMotte (ate ION AAA tireaii f art ?eTeZ t t1onastr211911 Sall Treatraent Shalt attreata t (nor 'r+ , Adiattek Slab, retreat 0:d bad am) 2 Yeats *Oka b tlr the ib ael extoller mestsa+e#t, tultfsl sad dam is Cesepreuor Spreyt+r Aavuealar ZOO Amon. Lugar feed watts, As per 100.4. — Yf m t timatitat bare* rnattr4d toi termite proveatioa b used, fitai eras ed bs completed prier to Asst hattriteg app *L May 4, 2001 J-,-_,„---- —k Siab 1913 S.E..-area a L - 2 ri S13 1,1 Center ersa of building slab -----,---- -- 7; .------1,-------- ii j...---...—.4.-.-_-..------ Ar- rer, `r 7 - A- A ••-x- L talent: Rain Construction 2213 SW 58 Court Miami, FL 33155 • Comments: NELCO TESTING AND ENGINEERING SERVICES FIELD DENSITY TEST REPORT - PROCTOR DATA • • FIELD DENSITY TEST RESULTS Date: May 2, 2001 Job: 106.7 • • . Mititift 13.9 "71:6 8 • BM : %.9 Pcss Final 0....=-,...--,.....-. ---::: If 1.1 ,• i i: ■•• 1. - fi ti Si q 7- / Y 1 – 1 ,-- ----5, --....AT-__,-,.--4,........- 1____ 1 ---- , t 1 i /: /?/145 - t be �Ac� fh,r, 2 sew d&c � „IL/ /e � ,5 �r? • 5-.1e a / PERMIT APPLICATION FOR MIAMI SHORES VILLAGE WORK DESCRIPTION c" Square Ft. /951 &ilk/ _ _ Signature of owner and/ Condo Preside t Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT / � RADON Estimated Cost (value) 0 My C C.C.F. NOTARY " O l/ Qv 5 © a Date r �� ��i ob Address /0 77 /(/ ( / . Tax Folio X : - Legal Description E lO Jl-p -fl 0�) 1 le/ 1 Historically Designated: Yes No it---/ t ooig Owner/Lessee / Tenant AieV 5?>!2J *) knr9 --ltt r / Master Permit #( O 0 . 7)99 /7 Owner's Address / 0 77 � flJ l : / / 7i-vv Phone -7 5/ 9 2 Contracting Co. r� . a - ' � / ed Address /a �� � / Qualifier (I4 . 0,i iti -,4- SS# Phone .l 43 r — 74' 4 3 State # C[ ? C? vT - 7 ¶"9 ' Municipal # Competency # Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL $ OPLN PAVING FENCE SIGN Lo la r r ait ledsa>< �f /?,voo. o WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be perfom►ed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. S' of Contractor or 2t, ate Builder a�4 Y5__, ` . "4 AMN" Mirk: 77 ,; u nn ,n11� , n }s81An e, V)tP. j(J� .. - .. J BOND = ; _ o— TOTAL DUE ;t• • 2,2 /-/ Date D/ APPROVED: Zoning Building / 42(jElectrical / /6 -- Mechanical Plumbing Structural Engineer 4 Contractor's Name: , Job Address: 1 6 7) / IX(Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ROOF CATEGORY ❑ (Nail -On Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE New Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft /Z Sloped Roof Area (ft Total (ft') c% !c Master Permit No. 6 b 7 Exposure category (per ASCE 7 -88): d— Building Classification category (per ASCE 7 -88 table 1): (Mortar- Adhesive Set Tile) ROOF HEIGHT AND SYSTEM DETAILS IJ U Ft. (Draw details as needed) Ft. Deck type: b) �e2G Field: ....�..� L i.11 ' 1 L' .411 L : : 2 i i A ATTACHMENT Fastener Type: 414 14 SPACING Perimeter: Corner: DETAIL 1 & 2 ARE THERE GAS VENT STA F.,? YES ❑ NO TYI;E —NATURAL R LIN r r - �Cv 123.01-78 4199 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 Appendix "E" • • UNIFORM ROOFING PERMIT APPLICATION PROCESS No. r : MEAN HEIGHT 10 I ion? Deck type: Underlayment: Insulation: 12" ROOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION a1DfIQ 601 Fastener type & spacing: Cap Sheet: SQf f& e)O.4-77 Roof Covering: 146-n 114. Drip edge: 3 )(... 3 2,4„ C -leL /mil /),S Cwt), ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmax1. 'Ix % (Aerodynamic Multiplier): ✓49" TILE CALCULATIONS = M rt : / • I PCA:" (G/ (Pmax2:' x a. (Aerodynamic Multiplier):O' ) - M 4 ` M • 0 PCA: 4 (Pmax3 - Aix X, (Aerodynamic Multiplier): � - M 6 v � = M PCA: t(-17/ Page -2 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) 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 and the contractor. The . er's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of that the roofing system meets the wind resistance and water intrusion performance standards. s etics (appearance) issues 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 • f • f the . greement between the owner and the contractor. Renailing Wood Decks: When replacing roofing, existing wood P g g, g roof deck may have to be , na 'd in . ccordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually conceale• prior to removing the existing roof system) 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing ail penetrations of the underside of the decking may not be acceptable. The SFBC provides the tion •, maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and y ause 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 unit th original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o rloaded om a build up of water. Perimeter /edge walls or other roof extensions may block this discharge i overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers! - accordance with Chapter 23 of the SFBC. ommon Roofs: Common roofs are those which have no visible delineation between g units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing and/or owner should notify the occupants of adjacent units of roofing work to be performed. 11 . Ventilation: Most roof structures should have some ability to vent natural airflow through the int = i • of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to conside - •ditional venting which can result in extending the service life of the roof. P W'/'S/ e 't 'A bnature S' nature Contra Signature \ • MIAMI-OADE NM PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 NW 20 St. Boca Raton 'IIAMI -DADS COL`'TY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIA NCE OFFICE '.1ETRO•DADE FLAGLER. BL,'ILDING 140 \VEST FLACLER STREET. Sl;: T 2 t603 MtAsti, FLOR :DA. 33130.1563 (305) 375 -2Vol FAX (305; 375 -2908 CONTRACTOR LICENSING SECTION (305) 375.2527 FAX (3I; 3 FL 33431 CONTRACTOR ENFORCEMENT SECTION (305) 375.2966 FAX (305) 375.2903 P. :ODL :CT CONTROL DIVISION Your application for Product Approval of (205) 375•2902 FAX (305) 372-6339 Villa Roll Capri Low Profile Tile .under Chapter 8 of the Code of Mimi-Dade County governing the use of Alternate Ala :eria!s and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the condi:ions specified herein. This approval shnil not be valid after the expiration date stated below. BCCO reserves the right to secure this • product or material at anytime from a jobsi :e or manufacturer's plant for quality control testing. • If this product or thateral fails to perforrn in the approved manner, BCCO may revoke, ;modify, or suspend the use' of such product or material immediately. BCCO reserves the right to revoke this approval, if k is dete=tined BCCO that this product or material fails to meet the requirements of the South Florida Building Cede. The expense of such tesring will be incurred by the manufacturer. Acceptance No.:99- 1012.02 (Revises `o.: 97- 1124.16) / Expires:12 /16 /2002 - Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the 3uilding Code and Product Review Committee to be used in Dade County, Florida tinder the conditions sec forth above. Approved:12 /30:'1999 1 of 9 ( rancisco I. Quintana, R. A. Director Miami-Dade County Building Code Compliance Of icc • Internet snail adilreea: pos tmrstrr®bulld[agcudeoulinc.eom t5br Hvmcp .it;e: http : /I_ww.buitdiazcudeontine.eJm ;MONIER C:IFETILE LLC 1. SCOPE This revises a roofing system using Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this No:ice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SF EC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The artachment calculations shall be done as a moment based system. Cateer.ry: Sub Category 2. PRODUCT DESCRIPTION yfsnufactured by Applicant Monier Lifetil: LLC Villa & Roll Monier Ureic; le LLC Capri Tilc Trim Pieces NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1= 16%." \v ^ 1:,•.. I irk L= 17" 1:'= 12'/,' V" thick i= varies w — varies varying thickness P:epa ed Roofing Low Profile Tile Test Dimensions Specifications • PA 112 Low profile, interlocking, high pressure. extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, morar or adhesive set applications. PA 112 A ACCEPTANCE No.: 99- 1012.0' . APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Product Description Low profile, interlocking, high pressure extruded concrete roof tile equipped with .;re nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Accessory trim. concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Frank Zuloaga, RP,C Roofing Product Control Examiner MIONIgR LIFETILE LLC 3.1 Prod Rainproof 11 ice and Water - Shield Wood Batter:: Tile Nails Tile Screws Roof Tile Mortar T'ileTit&' ', Roof Tile Mo :-tar ( "Quikretee Roof • Tile Mortar 81140 ") NOTICE OF ACCEPTANCE: • Components or products manufactured by others Test Dimensions Specifications 30" x 73' roll 36" 75' roll or 60" x 75' roll 36" x 73' roll PA 103 Vertical Wood Preservers Min. 1"x 4" Institute LP — 2 Horizontal Min. 1 "x 4" for use with vertical barrens or Min. 1 "x 2" for use alone Min. 10dx 3" #8x 2 Y:" long 0.335" head dia. 0.131" shank dia. 0.175" Screw thread dia. PA 114 ,appendix E Corrosion resistant screw or smooth shank naiis PA 114 Appendix E Corrosion resistant. I N /A. NIA PA 123 PA 104 Single ply, nail -on Protect -O -Wrap, underlayrnert with !nc. . 2" self - adhering top (with current NOA) edge. • ACCEPTANCE No.: 99-1012.02 APPROVED :Decei;nber30, 1999 EXPIRES. :December 16, 2002 STANDARD CONDITIONS . Product Description Nfanufactu ref- Self-adhering, W.R. Grace Co. underiayment (with current `OA) Salt pressure treated or decay resistan: lumber battens coated, Square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. generic generic generic Bermuda Roof Company, Inc. with current PCA PA 123 Prepared mortar Quikretc mix designed for Construction mortar set roof the Products with applications. Current PCA ran uloaga, RRC Roofing Product Control Examiner MONIER 1.IFETILE LL,C ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTit�F Ol~ AC TANCE: STANDARD CONDITIONS Test Product Product Dimensions pecifications Description Manufacturer Roof Tile Mortar N/A PA 123 Prepared mortar W. R. Bonsai Co. ( "BONSALO mix designed for with current PCA Roof Tile 1'4o:tar :norm: set roof tile Mix) applications. Roof Tile N/A See ?CA Two component Poly fcam Products, Adhesive polyurethane Inc. (' Folyproe adhesive designed AH160 ") for adhesive set roof the applications. Roof Tile Factory premixed See PCA Single component Flexible Products Adhesive canisters polyurethane (with current TileBond foan roof tile NOA) adhesive 3. L1MIIT. „TIONS . Hurricane Clic & Clips PA 114 Appendix E Corrosion resistant asteners Min. W' width clips with corrosion Alin. 0.050” thick resistant nails. Clip Fasteners Min. 3d x 1 V.." Generic 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 PA (12, appendix `A'. Such tasting shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 13.5 30/90 hot .mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the undcrlaynient material manufacturers published literature. - 3.6. This acceptance is for wood deck applications. -= .. s shall be In compliance with chapltt. 29 of the SF BC.�� Zuloaga, R.RC Roofing Product Control Examiner Table 3: Attachment Resistance Expressed as a Moment - M, (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19/32" plywood) Battens , Monier Lifetil€ villa. Roll. and Capri Tile • . 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 ( 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 - 100 Smooth crScrew Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 - 10d Smooth or Screw Shank Nails (Field Clip) 35:5 t 35.5 34.8 2 -10d Smooth or Screw Shank Nails Eave Clip) 31.9 31.9 . 32.2 • 2 -10d Rin• Shank Nails' 43.0 5i. ! ins :vaticn with a 4 tile headLap and fasterners are located a min. of 2' AU cad of ti -. Table 1: Aerodynamic Multipliers - X (ft') • Tile Profile } (ft') Batten Application i. (ft) Direct Deck Application Monier Lifetile Villa, Roll and Capri - Fie f 0.267 0.239 MONIER LIFETILE LLC 4. INSTALLATION Tile Profile Monier LifetiIE! villa. R'oll, ar s Capri Tile ACCEPT.ANCE No.: 99- 1012.02 APPROVED :December30, 1999 EXPIRES NOTICE • F ACCEPTANCE: STANDARD CONDITIONS • 4.1 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofins; Application Standard RAS 113, RAS 119, and RAS 120. 42 Data For Attaclrnent Calculations :December 16, 2002 Table 2: Restoring Moments due to Gravity - M, (ft-lbf) 3 4":12" 5':12 6 I 7 ":'12" or 1 treater Battens 5.57 Direct Battens Direct Battens Direct Battens Direct 1 battens Deck I Deck I I I Deck ' Deck 6.30 I 5.48 1 6.18 . 5.37 I 5.05 1 5.24 1 5.90 1 5.09 Direct Deck 5.73 5 r�.rtS: 2uloaga. RRC Roofin; Product Control Examiner Table 4: Attachment Resistance Expressed as a Moment M (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile, Adhesive 26.1' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per party 11.4 grams. • Polyfoam Product, Inc. Average weight per patty 8 grants. Table 4A: Attachment Resistance Expressed as a Moment - M (ft for Single Patty Adhesive Set Systems Tile - Profile Tile Application - Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile - � Polyfoam PolyProTM 66.61' • Polyfoam PolyPro 54grams of PotyProTM. 4 5.5 5 Large padcy placement of 5 Medium paddy placement of 24 grams of Po Pro'. VIONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 APPROVED :December30, 1999 EXPIRES :December 16, 2002 NOTICE F ACCEPTANCE: STANDARD CONDITIONS Table 4B: Attachment Resistance Expressed as a Moment - M -ibf) for Mortar Set Systems Tile Application I Monier Lifetile Villa, Rolf, and - Mortar Set' I 20.60 i Capri Tile Tile Profile 5. LABELING All tile:. shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERIN /11T REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the foliowing: 6. l.1 This Notice of Acceptance. 6. L.2 Any other documents required by` the Building Official or the South Ftorida Building Code (SFBC) in order to properly evaluate the installation of this system. 6 Attachment Resistance uloaga, RRC Roofing Product Control Exami,ier NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWINGS MONIER LIFETILE VILLA CONCRETE ROOF TILE . MONIER LIFETILE ROLL CONCRETE ROOF TILE Fra,nkZuioaga, RRC • Roofing Product Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 APPROVED :Dccember 30, 1999 EXPIRES :Decembcr 16, 2002 ONIER LIFETILE LLC NICE OF ACCEPTANCE: STANDARD CONDITIONS MONIER LIFETILE CAPRI CONCRETE ROOF TILE ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 oig; RRC Roofing Product Control Examiner • MONIER LIFETILE LLC ACCEPTANCE No.: 99 -1 012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: _ STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturec's name, city, state, a :td the following statement: "Miar i•Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use,.and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the `ollowina shall also be grounds for removal of this Acceptance: a. U lsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance 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 Notice c,f Acceptance is displayed, then it shall be done in its entirety. 7. A copy, of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 3. Failure r.o comply with any section of this Acceptahce shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8 and this last page 9. '. END OF THIS ACCEPTAN rank 2uloaa..RRC • Roo Ing Product Control Examin 1 04:26.01 THU 09:23 FAX 954 575 104 04/25.'01 WED 15 :15 FAX 305 3726339 MIAMI April 25, 2001 Ivlr. Bob Ferrante Poly'foam Products, Inc. P.O. Box 1 132 Spring, TX 77383-1132 Re: Two Component Polyurethane Foam Adhesive; Renewal No. 01-0404.01 Dear Mr. Ferrante: This is to inform you that the Notice of Proposed Action for the above referenced ro ng Code and Product Review Committee final ?. � expect that their review will be corn p duct under said renewal number will be issued and sent to the Building F 00 WC completed within 20 tee for their time the Notice of Acceptance (NOA) will be issued. review an April P 0 days, at which By means of this letter we are extending the expiration of the below listed NOA from the April 16. 2001 expiration date to June I, 2001 to cover the committees final review tit lease al a copy of this letter to the existing NOA at time of permitting. rte. Picric attach a 99-0423 Two Component Polyurethane For Adhesive This letter expires June 1, 2001. We hope this addresses your concerns, should you require any further infom -jo feel free to contact this office. tt on this matter please Sincerely, .7 Raul Rodriguez Chief Product Control Division cc Francisco J. Quintttna. NOA file • firm 0 P:tt'tt T7:, i.SVATIJSV)∎ olrruz:nProdints4t.dye Interact mail address: postmaster @tuildingcadeenlinaeom POLL FOAM PROW. C 15. 1 .0 BCCO PRODUCT CONTROL DIV 10 t1 J 0 001 htl -DADS COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING DUILDING CODE COMPLIANCE OFFICE METRO FLAGLI.R BUILDING i a I:sr I: Ac1.1 :R S'I'Rlil_ i'. SUITE 1603 MIAMI. FLORIDA 331311 -1563 (305) 375 -2901 FAX (305) 37S -2911( PRODUCT CO 17t01, DIVISION 1305) 375 - :902 AX (305) 372.6339 New Expiration Date Juno 1, 2001 Hatnet,agc: tt(tp: //wwW.buiLiitzg ti,atius'_coru This approval shall not be valid after the expiration date stated below. BCCO reserves the tight to sec4:re this , product or material at anytime from a jobsite or manufacturer's plant for quality control iestirg.• Hillis product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reser• :cs the right to revoke this approval, if it is • determined that this product or material fails to meet the requirements oft the South Florida Building Code. • The expense of such tdsti ng will be incurred by the manufacturer. • t 1 Acceptance No.:99- 0423.01 (Revises No.: 9S- 0303.02) . • Expires:04 /1612001 r • PRODUCT CONTROL NOTICE OF ACCEPTANCE Poly-foam Products, Inc. P.O. Box 1132 Spring TX 77383 -1132 Your application for Product Approval of Tivo Component Polyurethane Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction:, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions speciried,herei:i.". ; t r THIS IS THE COVERtHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE PRODLICT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building, Code and Product Review Committee to be used in Dade County, Florida under the conditions se-t forth above. 1 of 8 Approved:07 /1+54999 Internet mail rddress: postcastcr ebunci ;n :eo6eon1Ine.com - MIAMI -DADE COVINTY. FLOR'ID■ METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADEE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130.1563 (305)375.2901 FAX (305) 375-2905 CONTRACTOR LICENSING SECTION (303) 375.2527 FAX 035; 376.25Ss CONTRACTOR ENFORCEMENT SECTION (305) 375.2966 FAX (305) 375.29es PRODUCT CONTROL DivISION (305) 375 -2902 FAX (305) 372.6339 Raul Rodriguez Chief Product Control Divisier. rancisco Quintana, R.A. Director Miami -Dade Cour.ty Building Code Compliance Of► ct Homcpy :e: bttp :ilwwW.buildin:eodconlinr.eog% 1 r9lvfoam Products In NOTICE OF ACCEPTANCE: A. DRAWINGS: NONE B. TESTS: Test Aaencv Center for Applied Engineering Center for Applied Engineering Center forApplied Engineering Center for Applied Engineering Center for App!i_d Engineering Miles Laboratories Polymers Division Renztech Laboratories, Inc. Southwest Research 1r s,ijute Southwest R:Sc.r:.h Institute Trinity Engineering Celot:x Corp. Testing Services Cclotcx Corp. Testing Services • • • EXPIRES: 04/16/2001 EVIDENCE SUBMITTED (For File ONLY. Not part ofNO.4.) - Test Identifier *94-060 25781 E -1PA 25- 7438 -3 25- 7438 -4 25- 7438 -7 25 -7492 N'13- 589 -631 t 9637 -92 01. 5743 -011 01- 6739- 062b(1) 7050.02.96 -1 52S454-2- 1 525454 -9 -1 528454-10 -1 520109-1 520109-2 520109-3 520109 -6 520109 -7 E -1 • ACCEPTANCE No.: 99- 0423.01 � U12 15b1999 APPROVED: Test Name/Report Date Miami Dade Protocol PA 101 04/08/94 Miami Dade Protocol PA 101 12/16/96 • . e SSTD 11 -93 10/25/95 SSTD 11 -93 - SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E !OS ASTMES4 PA 114 Miami Dade Pro:oco! PA 101 • • mo t 11/02/95 12/1J95 02/01/94 04/30/93 11/16/94 01/16/95 03/14/96 !0/23/98 Miami Dade Protocol PA 101 12/28/98 Frank Zulcaga, RRC • Product Control Examiner Product Control Division L • • 1. SCOPE NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS This approves Polypro® AH160••a_s manufactured by Poly-foam Products, Inc. as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values; as obtained by calculations in compliance with PA 115 or 127, for approved flat, low, and high profile roof dies system using ?olypro® A1-1160, and were the attachment calculations shall be done as an uplift based system. Category: Roofing Sub Category: Roof tile adhesive 2. PRODUCT DESCRIPTION Manufactured by Test _ Product • Applicant Dimensions Specifications Description Polypro® N/A PA 101 • Two component polyurethane Foampro® RTF1000 N/A I Dispe sing Equipment ProPack0 30 & 100 N/A Dicpe,-,s ing .gcipmc tt 2.1 _ Components or products manufactured by others: Any Miami -Dade Count' Product Control Accepted Roof Tile Assembly having a current NOA which list u plift resistance values with the use of Poiypro AH150 roof the edhesive. 2.2 Typical PhysiraI Properties: 1. Property Test Results • Density ASTM D 1522 1.61 :sift.' Compressive : ' -- ASTM D 1621 18 PSI Parallel to rise Strength - ' 12 PSI Perpendicular to rise Tensile Strength ' ASTM D 1623 2S PSI Parallel to rise Water Absorption • ASTM D 2 127 0.6:LbsJFt 2 ACCEPTANCE NO. : 99- 0423.01, APPROVED 04/16/2001 JUL 151999 • Frank Zuloaga, RAC Product Control Examiner Product Control Divisior. • • • • • polvfoaiia Products Inc. . . -. :o f a"etitT :i D -.) A �c r" 1 :.I ACCEPTANCE No `a" 99 -0 23.01' • s rbo f�crrto APPROVED: JU L 15 :1999 EXPIRES: 04/16/2001 J OTICF OF ACCEPTANCE : '' EVIDENCE SUBMITTED (For File ONLY. Not part of A'0 .-1.) Test Aoencv Celotex Corp. Testing Services E. STATEMENTS: NONE Test Identifier 52019 =1 1. 520109 -2.1 D. MATERIAL CERTIFICATIONS: NONE E -2 Test Name/Rclinr•t Date -. Miami Dade Protocol PA 101 =' 03!02/99 C. CALCULATIONS: Walker Engineering, Inc., Evaluation of Tests. Dated 04/07/99 . lr • Frank Zuloags, RRC Product Control Examiner , Product Control Divisio • ~�.t:; .Vii•' +Y� .... .. i•r Posvfoam Products, Inc. f00V. .' • r - - _ Properrv. Test • Results Moisture Vapor ASTM E 95 3.1 Pcrrn / Each Transmission Dimensional ASTM D 2I26 +0,07% Volume Change @ -40 F., 2 -. Stability weeks =6.0% Volume Change 6158 I00% Humidity, 2 weeks Closed Cell Content Note; The physical properties listed above are presented as typical average values.as determined by accepted ASTM test methods and arc subject to normal manufacturing variation. 3. LIMITATIONS 3.1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile • Assembly for fire rating. 3.2 Polyproe AH160 shall solely be used with flat, low, high tile profiles, 3.3 Minimum underlayments shall be in compliance with the Roofng Application i _ Standard PA 120. . 3.4 - Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. • 3.5. Roof Tile manufactures acquiring acceptance for two paddy piace:nent with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as rnodif ed herein. i t - F= ,2 MS . 4. INSTALLATION • 4.1 Poiypro® AH160 may used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. • 4.2 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, expres'sedas an uplift ba. •d system.; exceed the uplift resistance determined in compliance wish .NOTICE OF ACCEPTANCE: ASTM D 28:6 86% 3 ACCEPTANCE No. '9:0423:01 APPROVED : JUL 151999 EXPIRES : 04/16/2001 SPECIFIC CONDITIONS ounty Frank Zuloaga, RAC Product Control Examiner Product Cor.:rol Divisior. • L Table 1: Adhesive Placement For Each Generic Tile Profile •TileProfile - • Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. . (grams) Flat, Low, High Profiles "1 35 High Profile (2 Piece Barrel) ii I 17 /side on cap and 34 /pan . • Flat. Low, High Profiles . 1 f2 24 Flat, Low, High Profiles • • 1 r3 8 • Roofing Application Standards PA 115 or PA I27. The adhesive attachrnent data is noted in the roof tile assernbly'NOA 4.3 Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Miami Dade County Rooting Application Standard PA 120, and Polyfoarn Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and .licensed by Poly Products, Inc. and shall supply a list to the Building Official. 4.5 Calibration of the Foarnpro® 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 (3). The dispense timer shell be set to r deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No. other settings shall be approved w!t_hout revision of NOA. 4.6 Polypro® AH160 shall be applied with Foarnpro RTF1090 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® AH160 shall not be exposed permanently to sunlight. 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 -3 minutes after Polypro® AN160 has been dispensed. 4.9 Polypro® AH160 placement and rrinirnum patty weight shall be in with the 'Placement Details' herein. Each generic tilt 'profile requires the specific • placement noted herein. 5. LABELING All Palypro® AH160 ci?ntairiers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or the South (SFBC) in order to, properly evaluate the ins:allatio ACCEPTANCE No. : 99 0423.01 APPROVED : JUL 1 5 1999 - EXPIRES : 04/1612001 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS Frank Zuloaga, RRC Product Control Examiner - Product Centro! Division C ' FolyfoRm Prfaduct�, Inc. :cot - r NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS ADHESIVE PLACEMENT DETAIL DETAIL g1 5 ACCEPTANCE No.: 99- 0333.0 APPROVED : JUL 15 1999 EXPIRES : 04/16/2001 1)Pba efo.shacrati ° :4ntn rcAK In tsAC v;-N Lti re e..p pMj� tpp.crlett Z Tum r+rJ att. do.:. PJci ►:�. :� } 7frt!Ara e+. Ql Yr� Old . Sil. Ak b acs! (P.m of ptn rR Nun wn re of pas re m w the to flak d an G.. Errs damn !meat duel Ilw?Aei :wit Wl : roe. silt em-..Al 1 Frank Zuloaga, RRC Product Contrdl Exarn:ner • • Product Control Division r potvfoam C -F c l NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS • DETAIL 42. 6 ACCEPTANCE No.: 99- 0423.01 APPROVED : JUL 1 5 1999 EXPLRES :. 04/1 6/2001 Frank Zuloaga, RRC Product Con::o1 Ex3rr.iner Product Contro: Division e e . . Lar■** • • • Nall thou; h plastic .mint 7 3 1:1. unciat x 3 lr. Sint. padef osi 2 in. sods& anc rit SLIfilr Faddy on top a glo 446 Paddy c:/etwetri Me) Paily .(coldir tiis) - Ern :31.-sr 21.n.X7 rnedlurri Lb, paddy says Fri,* CV WU o.-Jy NOTICE OF ACCEPTANCE: SPECIFIC CONDITION'S Na through plastic ca:nrrt Ne 3 h 3 LA. Sirvie pd4 N . unde.d.rirrierd Singh ori tcp of Os Err :r.na Sittgla pity under tn. s.qh F Siwes W• Cke..rs 2 h. x 7 L. rt. ps St.ty ern mine cry Fsszis DETAIL 4 ACCEPTANCE No. : 99-0423.01 APPROVED :JUL 1 5 1939 EXPIRES : 04/16/2001 iU through plastic caned UlderirriNsnt 3 Ina 3 In. 4 in. ■ luds 14 / 0,1 tarnent Single paddy under No reify paddy be tweer, tie 2 tr. 7 L. rivcflura ski prd4 ern cress only Sti;tr pstly on top Vie Ern Cacrst Fascia VI'mphcle Ern *sun Chip rev Frank Zuloaga, RRC Product Control Ey.arnincr Product Control Division END OF THYS ACCEPTANCE • 3 ACCEPTA.NCE No.: 59-0423.01 APPROVED NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS :JUL 1 5 1999 EXPIRES : 04/16/2001 1 1 1. Renewal of this Acceptance (approval) shall be considered a renewal application has been filed and the original submitted docrni'ents, including test - supporting data, engineering documents, are no older than eight (S) years. Acy all approved products shall be permanently labeled with the manufacturer's name, city, state, and the fblloM ig statement: "Miami-Dade County Product Control Approval ", or as specifically stated in the spepine conditions of this Acceptance. '3. Renewals of Acceptance will not be considered if: .= a. • There has been a change in the South Florida Building Code affecting the evaluation of his product and the product is not in compliance with the code changes. . • • b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required doct:mentation initially submitted, is no longer practicing the engineering profession" 4. Any revision or change in the materials, use, andror manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and ( granted by this of2�ec... t 1 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Aceeptan :e as an endorsement of any product, for sales advertising or any other purposs. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida; and fcl!owed by the expiration 'date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be 'provided to the user by the manufacturer or its distributors and shalFbe available for ' inspection at the job site at all time. The engineer reed not reseai the copies. 8. Failure to comply with dry- ,scctioriofahis Acceptance shall be cause for termination and removal of Acceptance. - 9. This Notice of Acceptance consists of pages 1 through 7 and this ;List page S. ran;: Zuloaga, RRC • Product Control Examiner , Product Control Division ROOF COVERING SYSTEMS (Cont'd) RE-CON BUILDING PRODUCTS, INC. • Abbotsford, BC CANADA CUSS 'A' Non Comb. Deck Slope: See below 1, 6hetiMrtg a. At slope. of 4, : 2 or greater • spaced or solid shaa;"irg. b. At stops of 3:12 to Is than 4 :12 • solid she;ath.irg r giiirsd b meet the 4 ii :t ;*aria in N0W2. 2. Underlay/rent: 1. At slope of 4.12 0' greater • :-rdedaymert not teQu rt;•tJ b. At slope 013:12 tc less thar a 12 • Type 3C, 36' wrce fe" ur2o ay-ler•: re;u':;d to meet additional Cri'era in Note 2. 3. 'FlreFree''beroemert :aoirg' ;.r shake -. shingle -, s'ete•'ire profiles) :r:sta,led per mattufac"drer's insc;rc" Ohs wilt; Type 3C, 10' wi4e i , terayn•ent between c :nsecLeve Courses. NOTE: 1. Ir;ttliat on cf roofs having stapes of less thar. 4.:2 ncrnalty rraq..i'es approve at the AH„ 2 These roof covering ;ys :ems have been evaluated agars : •CBC -ES Ar,;2ptar: a C "rena *dal Rcc`.n. System. AC.07•RI. 3439, and as meting the mart of caragrach g.25: ' ;f :re Nabors/ Belding Cod, 31 Canaca. SEALOFLEX WATERPROOFING SYSTEMS - Charleston, SC CLASS "A" Non•Comb. Deck Slope: 2:12 1 . ? o t y sccianeate r salatikin boa,'d, any thickness. "te.innhic ly tea erect polytenctaaurate :r..sulanon board is 0, l oral i' the Sa=_.00ez sy; :erir s a;p';e.: :ve• concrete S4.1ace. 2. Optional Tin 1/4' LhicA Otos De:k, •mechancal:y'as1e'1c'J or applied n hat asphalt. 3. "Seatoftex P °nk . aaptred at a coverage •a:o of 2.5 ;al' 30 sq. n 4. " $eaioflex Facnc ,'n'bodried per man J'ac!urer'; "sin. :•ion. 5. "See otlex Fobs: Cca.'•, 3CytieI: al a :overage 'ate M 1.4.3 or.03. sq.ft. Comb. Deck Slope: 1:12 1. Opnor4l!• p'` /isnoya.'n.rate'ns.ld :'Un board. any th.ccess. meonar'ral'iy !iS:o€:. 2. Mininurn l ' thxk: er OecY, mac an cuty fastened or app:i<' •r hat 3. "Seabflex ?:n4', 40Olod a: a co're'ase rate of 2.5 ;a ;'r :: sq 5. 4. " SetIo'lex Patric', .mce,t:e0 per marufec:u!e s nsrxLrr. 5. "Seaic'ler.; nisi Caat', apples al a oon'a ;e rata of 1.43 gas:::* ; 1 SEAMAN CORP. - Wooster, OH CLASS 'A' Comb. Deck Slope: 112:12 1, 1 -Pty of y; q pate thee% mccrcn'. a.!y tasrened a -ot r ^ ;pt :e w Ih xc`ny alpha!! ,A3 - M 0312:. 2. One layer of 5 mm 'f1C•:k- ca'0.se-la•p. 3. '1 -Pye! '1 :bc rte X , recr.anicaey'astered. SOPREMA ROOFING & WATERPROOFING,INC. - Wadsworth, OH CLASS 'A' Comb. Deck Slope: 1:12 1. 1Q "Strd1?ieck' o• 5 1 :m - o'ocro;' i ly <5; -set. 2 . $00rala•c 180 ;lam', real ta5':O. 3. "Eiaatoprese F'arr FR 3rar.u•es'. heat .''sad Comb. Deck Slope: 1:12 1. Cpttonal insulaxons - Gass':bw. penile polytsa :yilru'uf.. wood `be•, n: :kw0CI. any oombinatiOr's of Nese or S mm 'rock:Tex* or 1,'2 "Stn „o ode'K Fs' 2. 1•Ply of Type 1 base :,last ;ASTAt 0 4801 a 'Scprag!a;s 40', mesn3ric3! :y'estrred a: N. moped with roofing as; (ASTM 0 3'2). Ovtiunat «ion 5. mm 'Rock. ar 'Shuctodeedk :• is used. as rnsula:ion. 3. 1•Ply of "Elastoahere Sanded', Eset^prene 183'. E a; :apnene 180 ':1' ttzt r:ppec nor' rooting asphalt (ASTM 3 213) r • Sopra :ene 180 F!atn' lea: 'used. 4. 'Etastophene FR Grasses'. not m% ed w^R •oof.ng J4 !'a1 l 0 312; s °E'tys'OP - s - e Flint FR Granules'. neat fused. FIRE RESISTANT PRODUCTS & COMPONENTS ROOF COVERING SYSTEMS (Cont'dj SOPPE,MA ROVING & WATERPROOFING INC. • Wedeworth, QN /Cord) Comb. Deck Stops Unlimited 695 Z' / /re 614 Optional :rs:setion's • 13lasa Aber, pe'ute pciy:socyanurate, wood fiber, ?OCkwOOI, any wm8inacons of these or 5 mm 'RxK -Tex' or 1.'2' 'StrnCtOdeek FS'. 2. 1-Ply Ot Type !1 base sheet )ASTM 0 4601) c 'Sopraglass 40', me:haniraliy fastened or rC; mopped with roofing asphalt ;ASTM 3 3'2). 3 s 1•Pty Of "rlastcphene SanrjeJ', 'Eias ;opnene 180. not mopped wan roofing asphalt :AS'M 0 312). Opt!ortf wnen 5 mm 'RCek.Tex' s used as .nsuaf on 4. 'Sopralaat 30 TV At.' nem ksed or hot mopped wiN roofing asphalt (ASTM 0 312). Comb. Deck Slope.: 1/4:12 1. 2•Pfies.31 Type 11 base sheet IASTM 3 4 601i Or 'Scpraglass 40' recrar.icaiy festered or not mopped 0411 roofing asphalt (AS 0 312). 2. i - 0: "Elastopnene Sanded', .hot mopped with :sang asphalt ;A.S'M •0 312; or Scpr.ere 180 Fan' heat lased. 3 'SOpraiene 250 Flam FR Grande, 6, ea:'4sed, 'Scpraler•e 250 FR : ranu'a', not mopped with rao`ry atirel ). $':A 0 312:. CLASS '9' Comb. Deck Scope: 21,2:12 1-Pry 4r - yoe li base sheet (ASTM 0 46; Scp:3glass 43', "1CC1'ai'ical!y fastened Cr h"' mopped''*,1 '/ng asphah (AST M J .12; V 1•Ply of "ElastOpnane Sanded',' :t mopped Mr rooli "; asphalt;AST'A 0 312i 3 'E aa!OCnene PR Grannies', 101 'nop;e with roofing seen ;!1(ASPA 0 312) ;r "El3s1oPhc ^r Clam =P Grande', heat IuseC. UNIVERSAL POLYMERS - Vancouver,'BC CANADA CLASS 'A' Comb. Deck Slope 1/4:12 1. 5/5' 3cuias fit ,aywald t3 /Pd w';` 6' wide glass _lo!r felt.; 2 "LIR :O.S' sap/ ed at a rut; of 54 sq.f! oei. 3. hen-woven Polyester talon. 3 "'UR ¶GJ' 31:;2ie,1 at 3 rate a' T! sa.4..22ai. 5 Optic.nal Insel3 :'" -1 /.0 ;rru m 3' of ColysrjranF:. r4''! , phe ;a:, class'3er, poly eneyan4 :a'e, wood abet or ;Opposite of:hes0 6. Mlrener • •1 thick in :eroding c: ivretc pavers Sealoftex Waterproofing Systems W.P. HICKMAN ROOFING SYSTEMS, INC. - Solon, OH CLASS 'A' _ Comb. Deck Slope: 1,2: 12 1. Cpec • rsu'atior• as 3yecired by the'narufec:o'Sr, 2 Option: - ease sheet or R:s,n P3J 35 sGecifie: by Te ran_ acftree 3. '3-, 4-P des al ( spurt • °'y '111 M.4i•Ply :lass CL'. Tha `'rst a.y n•eC"an :ca!1y lastened fWly aohcr.e m11. HK Molii•PIy:.T'es., ','M• :.i: Ply Adnecwe .V al 3 oat ;q. S•.2e4'4.4' 1 plies fully adhered with 'HK Matti -Ply A3..es:vc' ,'Mu•ti•P!y Adhesive L'v' at 3 ,34! : sq. 1. 'Coating of rK Mu•1. -Pty Adhesive, Nclti•P'y A44 ` at 3. 4 ga..'sq. or'Nie•.m3n Elastoareee po'ymer- mai:fie' e rins'e's at 3. 5 gs':sa. 5 Coaling erbct3kr) with roof grave! st 3 .'n'n,rum of 4C: Comb, Deck Slope: 1,2:12 Opticr.a - W20, `ter, grass Aber, aol;isocya :wale. per"ne, phenolic •rs,datvn, 2. '1•Plyof'hMPI113"!y552','HKMLI3-pry Casa pro'! ''er,las:.fitefei0ase sheet, fuuly adhered with'BeR.-PLUS' or not mopped . 0 31; root! :lg 3st;hah. 3 '2. 3-Piles 4 ' Frem'um ' fully adhere:I with 'BL ?-PLUS' Or not mopped ASTM D 312 rook - •g asphalt. 4. 'Foot coat of 'EL R - ?LU' or ASTM 0 317 'OOGng d ?':no!:. 5. Rooting gravel ballast at a minimum 0f 503 •bs.'sq. Comb. Deck Slope: 1/2:12 Miri• . r• lltergrass ir.sulaticn. ? '2-Plies Premien ?y W ply steels, telly adhered w'h ASTM 0 312 roofing asora.1, hot Hopped. 3 • t •Py a k; Ply cap sheet, 1 3Jhcred wrc' ASTM 3 3'2 roofing asrra!l. het mopped M1AMI -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Sealoflex, Inc. 2516 Oscar Johnson Drive Charleston SC 29405 r MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 Of I'R,A TOR ArIFORCEMENT SECTION `(305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305) 372-6339 Roof Waterproofing System - Concrete Deck under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Acceptance No.:99- 0429.02 . Expires:05/20/2002 0 Approved: 05/20/1999 1 of12 Internet mail address: postmaster @buildingcodeonline.com The expense of such testing will be incurred by the manufacturer. •i .1 Ott =Jri Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisco . Quintana, R.A. Director Miami -Dade County Building Code Compliance Office Homepage: bttp : / /www.buildingcodeonline.com SEALOFLEX WATERPROOFING SYSTEMS, INC. Applicant: Sealoflex, Inc. 2516 Oscar Johnson Dr. Charleston, SC 29405 Category: Sub- Cate2orv: Type: Sub -Type: Deck Type: Insulation Types: Material Concrete Polyisocyanurate Dens Deck PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Membrane Roofing System Single Ply Liquid Applied, Reinforced Liquid Acrylic Concrete Maximum Design Pressures Maximum Fire Classification See General Limitation #1 Page 2 of 12 Design Pressure -475 psf Product Control No.: 99- 0429.02 Product Control No.: 99- 0429.02 Approval Date: 05/20/1999 Expiration ate ` `05/20/002 Frank Zuloagai RRC Roofing Product Control Examiner • SEALOFLEX WATERPROOFING SYSTEMS, INC. Product Control No.: 99- 0429.02 Product Cemflex Concentrate TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Dimensions Specification Description if 1 or 5 gal. =P 114 Add'itive to produce Cemfl 1 Slurry, a base liquid coat for use over concrete substrates. Sealoflex Pink 1 or 5 gal. PA 143 Metal Etch Primer 1 or 5 gal. Proprietary Sealobond Primer 1 or 5 gal Proprietary Sealoflex Fabric Proprietary Sealoflex Finish Coat 1 or 5 gal. PA 143 Sealoment Plus 50# bags Proprietary Page 3 of 12 Base liquid coat. Primer for all unprotected metal surfaces. Primer for use over painted concrete, wood or steel, or unpainted masonry substrates. Non -woven polyester reinforcing fabric for use in the Sealoflex roof system. Top waterproofing coating. Concrete surface treatment. Roofing Product Control Examiner SEALOFLEX WATERPROOFING SYSTEMS, INC. Test Aaencv Dynatech Engineering Corp. Datech Engineering Corp. Exterior Research & Design, LLC. Exterior Research & Design, LLC. Exterior Research & Design, LLC. Exterior Research & Design, LLC. Intertek Testing Services NA, Inc. Celotex Testing Center, Inc. EVIDENCE SUBMITTED Test Identifier 4211 - 12.94 -2 4213.04.95 -1 #7050.02.96 -1 #4210.04.96 -1 #4451.11.95 -1 #4213.07.97 -1 Job No. J97017119 Page 4 of 12 Description Uplift Resistance PA 114, Appendix D Adhsion Performance PA 114, Appendix H Adhesion Performance PA 114, Appendix H Adhesion Performance PA 114, Appendix H Adhesion Performance PA 114, Appendix H Uplift Resistance PA 114, Appendix D Fire Resistance PA 114, Appendix A (UL 790, ASTM E 108) MTS Job No. 25821 1 Physical Properties PA 143 Product Control No.: 99- 0429.02 Date 12/18/94 =- = - 704/01/95 03/01/96 05/28/96 11/14/95 07/15/97 01/12/98 05/20/98 Frank Zuloaga, RRC Roofing Product Control Examiner ' SEALOFLEX WATERPROOFING SYSTEMS, INC. Product Control No.: 99- 0429.02 Deck Type 3: Concrete Decks, Non - insulated, New Construction Deck Description: 2500 psi structural concrete or concrete plank System Type F -1: Sealoflex system applied directly to substrate. All General and System Limitations apply. Note Metal Etch Primer is required'on all unprotected iron and steel and previouslypainted surfaces. Primer: Apply Sealobond Primer at an application rate of 240 ft /gal. and allow to dry. Membrane: Apply Sealoflex Foundation at an application rate of 40 ft' /gal. A single layer of non -woven polyester fabric applied to the wet foundation coat. Fabric joints shall be overlapped a minimum of 4" followed by saturation coat of Sealoflex Foundation. Apply Sealoflex Finish Coat at an application rate of 70 -100 ft /gal.. Surfacing: None. Maximum Design Pressure: -347.5 psf.(See General Limitations #9) Maximum Fire Classification: See General Limitation I. Maximum Slope: See General Limitation 41. Page 8 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner SEALOFLEX WATERPROOFING SYSTEMS, INC. Product Control No.: 99- 0429.02 1. Sealoflex is a suitable waterproofing layer over sloped concrete plank or slab to receive adhesive set tile. app cation of Cemflex slurry at an application rate of 60 ft.:' /gal is a suitable waater roofing ' €ayer aril bonding substrate for the application of concrete of ay tile over structural c6riatte slab. Trade name: Thickness: Description: Sealoflex CONCRETE DECK SYSTEM LIMITATIONS: ROOF COATING APPLICATIONS PHYSICAL PROPERTIES OF COMPONENTS See Systems Approvals Below. An acrylic, elastomeric waterproofing compound, applied with or without Sealoflex Fabric, for applications over new or existing non - structural metal roofing, smooth surface BUR and granule surfaced, modified bitumen membrane systems. Details in accordance with the Sealoflex's recommended application procedures. Container Size: 5 gallons. Note all cautions on container label. Systems Approvals: Methods of application and quantities shall comply with the details enumerated under the required fire classification. (See General Limitation #1) Page 10 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner 4 1t SEALOFLEX WATERPROOFING SYSTEMS, INC. Product Control No.: 99- 0429.02 GENERAL LIMITATIONS Page 11 of 12 Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2 Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Contzol Ap roval guidelines. All other layers shall be adhered in..4full mopping of a roveSas� 4alt'a liedithin the EVT range and at a rate of 20 -40 lbs. /sq., r -� y PP P - PP g echanicall attached using the fastening pattern of the top layer 3 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4 An overlay and /or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of psf. 5 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with PA 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6 Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Miami -Dade County Protocol PA 105 and calculations in compliance with Miami -Dade Roofing Application Standard PA 117. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as calculated in compliance with Miami -Dade County Roofing Application Standard PA 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8 All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform with Miami -Dade County Roofing Application Standard PA 1 1 1 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) Frank Zuloaga;, RRC Roofing Product Control Examiner • SEALOFLEX WATERPROOFLNG SYSTEMS, INC. Sealoflex Waterproofing Systems, Inc. 2516 Oscar Johnson Drive Charleston, SC 29405 NOTICE OF ACCEPTANCE STANDARD CONDITIONS L_ -. Renewal of this Acce0,tan e(,alfprova shall be filed and the origina l - submitted - documentation, documents, are no older than eight (8) years. 9 This Acceptance contains pages 1 through 12. END OF THIS ACCEPTANCE Page 12 of 12 Product Control No.: 99- 0429.02 ACCEPTANCE NO: 99- 0429.02 APPROVED : 05/20/1999 EXPIRES : 05/20/2002 considered after a renewal application_ha__ - n including test supporting data, engineering 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this o ffice. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance 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 Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. Frank Zuloaga, RRC Roofing Product Control Examiner MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owners Name and Address i'IrS • William l YOUI1 , �» Registered Architect and /or Engineer. Name and address of licensed contractor Lang Roofing & Tile Location and legal description of lot to be built on: Lot Block Subdivision 1077 N. E. 91st Terrace Sc to work to be one nd purpos of buildin (b floor) rear off front Fla. room roof, tin cap 1 - 0; felt to s ea han oards, m op 2 -15;T felts with hot asphalt & cover with Street and Number where work is to be done layer of pea gravel embedded into hot poured asphalt. and for no other purpose. New Building Remodeling Addition Repairs' Re.-.roof No. of Stories 1. To be constructed of Kind of foundation Roof Covering Gravel Estimated Total cost of improvements $ 495,00 Amount of Permit $. 5. Q Q... Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live Load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection the site of the work such ppublic notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontra s, on work jlt,e performe nder this pennit, as are licensed by Miami Shores Village. Remarks 4sa s • STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No..__.._ &" ± Date I( ' � -2 3 _ Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector Date__ PLANNIN Chairman Member Member Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. OARD DATE .... No.1 0.77._...._. s treet . 2. E. 91st !'err. Co., Inc. X73 N. W. 71st St. Miami = ice (Signed) ' :� Notary Public, State of Florida My Commission Expires Member Member Member .._._ Date Disapproved making corrections or changes to this application after approval h to me well known, Date as hecn obtained froth when such re- inspection is made necessary by improper notice for inspection etr faulty BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date L.- /I- C P , 19 Owner's Name and Address . -_ Q "(1 -!�� Q® 7 /l'4 No z Street re Fa Registered Architect and /or Engineer Name and address of licensed contractor _. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done '" / / - ; e' ' • State work to be done and purpose of building (by floors) B� Fi STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE and for no other purpose. New Building Remodeling Addition '' - Repairs No. of Stories To be constructed of Kind of foundation Roof Coffering Estimated Total cost of improvements $ #%r - . Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to_ to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection he site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ,--- subcontra • rs, n work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) L_x _..e-A_ Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No C Disapproved (Signed) to me well known, Date.___ __1__S[ - !_ _ Read, Sworn to and Subscribed before me. Notary Public, State of Florida ice wilding Inspec My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .. . Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE 751 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby merle for the approval of the detailed statement of me plans and specifications herewith submitted for the build • in or other structure h d escri b e d. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whcther herein specified or not. A copy of approved plans and specifications must be kept at building during progreu of the work. Owner's Name and Address Registered Architect and/or Enoncer 12/5 84 ....19 Martha Young 44tirr Carruth Roofing Co., INc 301 7rsi " t"iihi, 1a Name and address of licensed contractor Locatiop and legal description of lot to be built on: Lot. .j& mock Stzeet and Number where work is to be done to be done and purpose of lgtOng (by fl g.3 A Building Inspcctor viti 9 Of eirf, 9 geroof with Gray 1 '.4 10 a and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ - Cif5: Amount of Permit &. DO Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The mulersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and has complied ss ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) 41 STATE OF FLORIDA, COUNTY OF DADE. ss. Before_m th understwed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Pr , i - dent - of Lu - h t 41815filig k w". of the above described construction, that he has carefully read the foregoing a ion," therein by him stated are Permit No 71.5.2ei e. and who, being by me first duly sworn, upon oath deposes and says that he is did sign the same, and that all facts Dite iff? Readfi Disapproved Date (Signed) Notary Public, S My Commission Expires PLANNING BOARD DATE fore me. of Flord Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir.:4 Board. A rv•impection fee of 31.00 will be charged when such re-inspection is made necessary by Improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE ' / 196 PLUMBING ❑ PERMIT N9 9723 Contractor's r License No ROOFING IS ❑ Work to be performed under this Permit r x Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER Bl. Subdi- vision Sq. Ft Value of Project $ Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. r Signed 1 ' I , A, i t C ( • BY INSPECTOR 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, servant or employee. BY AUTHORITY 7 MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE ( 195 l PLUMBING ❑ PERMIT N? 8856 Contractors ' License No / 3 ROOFING 10 ` ❑ Work to be performed under this Permit- ' i ' C i fi •-3 Owner of Building Architect Contractor or Builder Legal Description Lot Address of Building 7/ '77 3 "-r This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or spe4ificatipFs and that he assumes responsibility for work done by his agents, servants or employees. CONTRACTOR OR BUILDER /f Signed• Subdi- vision Sq. Ft Value of Project $ ¢ � r 7f /' k BY Amt. of Permit $ , BY INSPECTOR 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 asstune responsibility for all work done by either, pself, y agnt, servant or employee. AUTHORITY 7