ROOFING PERMITLocation and legal description of lot to be built on:
/36
MIAMI SHORES VILLAGE /
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby innde for the approyal 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 i3uilding 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.
Owner's Name and Address / O 2 / s — ?Z' ._. No ....... Street_.. _.. _.
Registered Architect and /or Engineer 1
......,.1111,..,- .1.....
� ...,
� y
Name and address of licensed contr ctor... ..1.:./.��.��..1 . � ! � i / /4Z: . ::__..,! 41.1.6.--
J
f
Lot Block Subdivision
Street and Number whero work is to be done
State work to be done and purpose of building (by floors)
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 $ 3 t' ``' " Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Sfaximum 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 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 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 on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subc�n tractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks._._ (Signed) — �� 'f
STATE OF FLORIDA,
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. __.. /�` 71 Date Read, Sworn to and Subscribed before me.
Disapproved _._ Date..{
(Signed) lit d 004 er` .r�,
Building Inspector
Chairman
Alcrnber
Member 1111..
Notary Public, State of Florida
My Commission Expires
PLA NNING BOARD DATE
Membcr
Member
Member 1111_
to me well known,
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application nfter approval has been obtained from
the Planning Board.
A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
nspection Number: INS
Inspection Date: 08/02/2006
Inspector: Grande, Claudio
Owner: TEE, ANDREW & BERNA
Job Address: 102 91 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Building Department Comments
Wednesday, August 2, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
AUG 0 8 RECD
Block:
Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC
Permit Type: Imported Permit
Inspection Type: Final Roof
Work Classification: <NONE>
Phone Number
Parcel Number 1131010190010
Lot:
Phone: 305 - 757 -2612
Page 1 of 2
Passed
v�
Inspector Comments
122
^ .r-A C
l� n
0
1�
i
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection Number: INS
Inspection Date: 08/02/2006
Inspector: Grande, Claudio
Owner: TEE, ANDREW & BERNA
Job Address: 102 91 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Building Department Comments
Wednesday, August 2, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
AUG 0 8 RECD
Block:
Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC
Permit Type: Imported Permit
Inspection Type: Final Roof
Work Classification: <NONE>
Phone Number
Parcel Number 1131010190010
Lot:
Phone: 305 - 757 -2612
Page 1 of 2
Test Location
Uplift Pull Test(P or or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
1 �Z
!E b
26
7 ✓iP
51
76
2
27
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
8
13
38
63
8 8
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
50
75
100
SITE SPECIFIC INFORMATION
Owner's Name — >r _ Permit #-..? 24°9 - 153
Job Address 102 N E eli1r., Mt t kLt. t 1 147r s i ' i.
Roofing Contra t o ?- arc - ?
Type of Tile: t s — u Date Installed: ' 2.43.- st : t
Approximate Roof Height: Iii feet Roof Pitch: ly
Type of Access to Roof: Scaffolds -'Ladder Other
Approximate Square Footage of Roof Zt ADD ft
Required Testing Force: 35 lbs. Testing Equipment: Chatillion l00
Date Tested R -3 4 .
IN ACCORDANCE WITH THE CRITERIA OF'PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST. .
THIS REPORT SUBMITTED BY:
Y c v 1 ,/ 4( 10
P. P.E. x o 3
Lab Certification # 98 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE
PROTOCOL TAS 106
TEST RESULTS
P = PASS, F = FAIL
Project No 7668
. Sketch of Roar
J ob i 02 (LM ` 4 1 I CT:. 1.4 1.4ms ot okt3 i 1.
of
Cc -rtor c if) to �.N
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3-r4
Notes.
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. Sketch of Roar
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of
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Notes.
Inspection Date: 07/25/2006
Inspector: Grande, Claudio
Owner: TEE, ANDREW & BERNA
JUL 2 5 RECD
Job Address: 102 91 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Block:
Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC
Building De artment Comments
Monday, July 24, 2006
Permit Type: Imported Permit
Inspection Type: Tile In Progress
Work Classification: <NONE>
Phone Number
Parcel Number 1131010190010
Lot:
Phone: 305-757-2612
Page 1 of 2
al.
Passed
OL
Inspector Comments
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled
re-inspection fee is paid .
until
Inspection Date: 07/25/2006
Inspector: Grande, Claudio
Owner: TEE, ANDREW & BERNA
JUL 2 5 RECD
Job Address: 102 91 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Block:
Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC
Building De artment Comments
Monday, July 24, 2006
Permit Type: Imported Permit
Inspection Type: Tile In Progress
Work Classification: <NONE>
Phone Number
Parcel Number 1131010190010
Lot:
Phone: 305-757-2612
Page 1 of 2
11 •
'Inspection Number: INSP -10
Inspection Date: 02/22/2006
Inspector: Grande, Claudio
Owner: TEE, ANDREW & BERNA
Job Address: 102 91 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Building Department Comments
Tuesday, February 21, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone (305)795 -2204 Fax: (305)756 -8972
Block:
Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC
Permit Number: BP2005 -1538
Permit Type: Imported Permit
Inspection Type: Hot Mop
Work Classification: <NONE>
Phone Number
Parcel Number 1131010190010
Lot:
Phone: 305 - 757 -2612
Page 2 of 2
Y 0p='
Passed
Inspector Comments
c7 a...4.4
40-1 ) R- . 0 --- ,
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
11 •
'Inspection Number: INSP -10
Inspection Date: 02/22/2006
Inspector: Grande, Claudio
Owner: TEE, ANDREW & BERNA
Job Address: 102 91 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Building Department Comments
Tuesday, February 21, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone (305)795 -2204 Fax: (305)756 -8972
Block:
Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC
Permit Number: BP2005 -1538
Permit Type: Imported Permit
Inspection Type: Hot Mop
Work Classification: <NONE>
Phone Number
Parcel Number 1131010190010
Lot:
Phone: 305 - 757 -2612
Page 2 of 2
FLAT SECTION ONL
Infractio Passed Comments
TIN CAP SPACEING False
Passed
? �
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
'Inspection Number: INSP -10149 Permit Number: BP2005 -1538
Permit Type: Imported Permit
Inspection Type: Tin Cap
Work Classification: <NONE>
Inspection Date: 02/21/2006
Inspector: Grande, Claudio
Owner: TEE, ANDREW & BERNA
Job Address: 102 91 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Bu ildn qp�a tment C ents
Friday, February 17, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone - 305)795 -2204 Fax: (305)756 -8972
Block:
Contractor: OBENOUR ROOFING SHEET METAL & SUPPLY CO. INC
Phone Number
Parcel Number 1131010190010
Lot:
Phone: 305 - 757 -2612
Page 1 of 2
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building \ n Plumbing
Owner's Name (Fee Simple Titleholder)
Owner's Address 10.). ) E
City m,/1wv.
Tenant/Lessee Name Phone #
Job Address (where the work is being done) FDA tit q(
City Miami Shores Village County Miam .Dade
Is Building Historically Designated YES NO V
Contractor's Company Name 951(004 Phone #
Contractor's Address L O / Or (P"` `dui
City Maims. Si State Q. Zip 331
4) D-
D(
Qualifier
State Certificate or Registration No.
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work:
Describe Work:
❑Addition
Submittal Fee $
Notary $
Scanning $ . 00
Total Fee Now Due $ e �Dh
(Continued on opposite side)
State
Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
91
FL- Zip
tg, (0(0 "
❑Alteration
Permit Fee $
Electrical
N RECEIVED
V
['New
Code Enforcement $ Structural Plan Review. $
2AD5 M
Phone #
Certificate of Competency No.
Permit No. — 9 ` fj
ter Permit No.
Phone #
Mechanical
Zip
Square Footage Of Work:
Er Repair/Replace ❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ O •. CO /CC
Training/Education Fee $ 3 . ( 00 Technology Fee $ . ZC�
Zoning Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a pennit 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 ch o •urs se •n (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be ppro • .�.� d Ispection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this PI
day of (2 , 20 O( by I &t) Tee-
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign: c
Print:
My Commission Expires:
As identification and who did take an oath.
Signatur
The fo
day of
Contractor
oing instrument was acknowledged before me this / `�-
, 20 , by A'1CS tlt [_f.eax.e,t
who issonally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: tialtdik y (`
�: il Print: NOV. 1' PIS' T.IC•STATE OF FLORID A
Cu , Inc. 14. r e BART
My Commission Expires;`' • :� = f
• *****,************** ***************************** * * * * * * * * * * ** * * * * * * * * * * ** * * * * * ** *ri * * * * * * * * * * * * * * * #: * * *# e r *
APPLICATION APPROVED BY:
chc 05/13/03
/ I 1-/ 006 .
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/7/2005
Applicant: ANDREW & BERNA
Owner: TEE
JOB ADDRESS: 102 NE 91
Parcel # 1131010190010
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Building Permit
Permit Number: BP2005 -1538
TEE
ANDREW & BERNA
ST
Contractor OBENOUR ROOFING SHEET METAL & SUPIUti atc 's Address: 9301 NE 6 AVE SUITE A -101
Local Phone: 305 - 757 -2612
Legal Description: EL PORTAL SEC 2 PB 9 - 115 LOT 1 & W1/2 LOT 2 BLK 7 LOT SIZE 76.800 X
Fees:
FEE2005 -14182
FEE2005 -14183
FEE2005 -14184
FEE2005 -14185
FEE2005 -14186
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$325.00
$10.80
$3.60
$8.20
$9.00
$356.60
Total Fees: $356.60
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 5/2/2006 Construction Value: $17,610.00
Work: RE -ROOF
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 responisibility for all work
done by either myself, my agent, servants or employes.
BY:
Page 1 of 1
NOV 08P161
e.-Vi 1 lZ
Y OF r1h( `n �A, y ,
07: f-LOF,4DA, C` fNT of iho i.� c
- '"��;K ��
:+ °iAh,,i :.;YC ::r'ilFYti101thiSIsa - Z• 1 ` a u.. P � ,
. / 'i ) '...7e./;...1.(.11 ,,
` t. .
n'+ N A 0 20 i +id Oiflc
fal Sot l. IN G"D M
It \t <JL'( RUVICl; Cj�tt:, of Crrc it and County CoiD � s y <
NOTICE OF COMMENCEMENT
Notice of Commencement must be filed If the job valuation of $ 2,500.00 and /or more in labor and material.
Please file at 22 NW 1st Street, 1st Floor, Miami, Florida (305) 275 -1155
Permit Number:
State of Florida
County of Dade
The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statute, the following information is provided In this Notice of Commencement.
Legal description of property and street address::
Description 9f improvement:
Owner(s) name and address: e'
1 to.. NE `t l ^ -rru SR. 2 4 PC
Interest in property:
Name and address of fee simple titleholder:
Contractor's name and address:
Name and address:
Expiration
different
1
of N
Amount of Bond: $
Lender's name and address:
Tax Folio Number:
IDS L)E qkf'
btx,theLte
Surety: (Payment bond required by owner from contractor if any)
If
Persons with the State of Florida designed by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1 Florida Statute:
Name and address:
In addition to himself /herself, Owner designates the following permit(s) to receive a copy of a Lienor's Notice as provided in
Section 713.13(10), Florida Statute:
Name and address:
ate i . s d)
mencement: (the expirations date is one (1) year from the date of recording unless a
(Signature of Owner)
Print Owner's Name: 1 A/0 A.V , ) Er- ` Prepared by:
Sworn to and subscribed before me this Ip Address:
day of • (1 , 205
�/ Personally Known,,,of
Produced Identification
Oath taken
Oath not taken
i� //
Notary Public: J
Print Notary's Name:
Commission Expires:
1 111 111 11111 11111 11 111 11111 11111 11111 111 1111
CFN 2005R11588
OR Bk 23940 Fe 3773; (1Pe)
RECORDED 11/08/2005 09:20:13
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
M)T4 Py Pi n?'C `I`. or F�: {�►L
S kynR„.. D,
elcom.. sslo:; , In408o8
EXPIRES; APRIL 04 2009
Bonded Ttn-u Miami Sodding
Roof Slope:
: 12
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Ridge Ventilation?
Section D (Steep Sloped Roof System)
Roof System Manufacturer:
Notice of Acceptance Number_ 0.1_,
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: 9 ° P2: V3 P3: 0 " 71 :- 4/ 3
Maximum Design Pressure
(From the NOA Specific System): 0/4. 7'
Method of tile attachment:
Steep Sloped Roof System Description
Deck Type:
tav
ype Underlayment:
Insulation:
•
Fire Barrier:
Mean Roof Height:
11
•
•
• •
430 /4
astener Type & Spacing:
dhesive Type
ype Cap Sheet:
• ••
oof Covering:
• • •Type & Size Drip
•• •• • • Edge: •
• •
••. •
• •, •
•• •
• • •
• • ••• •
• • •
• •• • •
••• •
• • • • ••
••
••• •
u
•
• • • •.• • • •
• • • ••• • • •
• • • • • • • • • •
• •• •• • • • •• ••
••• • • • ••• • •
9 '0'1 qzetc
Description
Mean Roof Height
Roof Slope
Symbol
20'
Where to Find
Design Pressure
40'
PI or P2 or P3
34.4
RAS 127 Table 1 or by an engineering analysis prepared by a P.E.
based on ASCE 7
Mean Roof Height
39.7
H
3:12
32.2
Job Site
Roof Slope
37.4
g
4:12
30.4
Job Site
Aerodynamic Multiplier
35.1
J1
5:12
28.4
NOA
Restoring Moment due to Gravity
32.8
M
6:12
26.4
NOA
Attachment Resistance
•
Mr
• •
•
• 'GA. • •
Required Moment Resistance
28.2
M,• •
•: •
• •
•COctiuid - •
Minimum Attachment Resistance
F' _ •
• • `
. •
•NeA: ; • • •
Required Uplift Resistance
F,
Calculated
Average Tile Weight
W
NOA
Tile Dimensions
1 ;r length
sv,Atli
•
•
•
•
11110A ••• • • •
:: • •
M Required Moment Resistance*
Mean Roof Height
Roof Slope
15'
20'
25'
30'
40'
2:12
34.4
36.5
38.2
39.7
42.2
3:12
32.2
34.4
36.0
37.4
39.8
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.6
32.8
34.9
6:12
26.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
Florida Building Code Edition 2002
HIGH VELOCITY HURRICANE ZONE UNIFORM ROOFING PERMIT APPLICATION
(P x I:
(P x l:
(P xI:
• , . SECTION E (Tile Calculations)
For moment based tile systems, chose either Method 1 or 2. Compare the values for M with the values from Mr. If
the M,• values are greater than or equal to the M values, for each area of the roof, then the tile attachment method is
acceptable.
Method 1 "Moment Based Tile r Calculations Per RAS 127"
P -4S x •303 = ( ( ) -Mg: `t -8 =M, ( NOA M 24.7
P2: -9 S- 1 x X .101 = 24 • �- ) -Mg: 4. I L y 3 NOA ME: -2 4- 7
es-. x ? - 3 t9 = Pi. 9 ) -Mg: LL I 4 = M ?4,43 NOA Mr: ad'
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (M,) From Table Below:
*This table must be used in conjunction with a list of moment based tile systems endorsed by the Broward County
Board of Rules and Appeals.
For uplift based tile systems use Method 3. Compare the values for F' with the values for F If the F' 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"
x w: ) - w: x cos 0: = Fri:
xw: ) -w: xcos8: = Fri
X w: ) - w: x COS 0: = F
Where to Obtain Information
NOA Mf:
NOA F':
NOA F':
NOA F':
All calculations must be submitted to t BuiIAi e Qnt of'f ertQij wation.
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MIA M I•DADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE NOA
Alfareria El Volcan
8405 NW 53 St., suite c -102
Miami, FL 33166
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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 mariner, the manufacturer
will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such
product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is
determined by BCCO that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the South Florida Building
Code, 1994 Edition for Miami -Dade County or Florida Building Code.
DESCRIPTION: Volcan "S" Statue Clay Barrel Roofing Tile
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
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 consists of pages 1 through 4. • • ••• • •
The submitted documentation was reviewed $ Fr k
NOA No.: 01- 0828.01
Expiration Date: 11/27/07
Approval Date: 11/27/02
Page 1 of 4
123.01-40 5/03 PAGE 3
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Fonn.
1
Fill In Specific Roof Assembly Components
and Identify Manufacturer
(If a component is not used, Identify as 'NA')
System Manufacture :. 0!T F
NOA No. a O S6 (• t J
Design Wind Pressures, From RAS 128 or Calculations:
Pmax1:'Cq. Pmax2 :o vv -( Pmax3 : ?`f• 3
Max. Design re ure, From the Specific NOA
System:
Deck:
Type:
Gauge/Thickness:
Insulation Base Layer:
Section C (Low Sloped Roof System)
Slope: n.
Anchor /Base Sheet & No. of Ply(s): 14
Anchor /Base Sheet Fastener /Bonding Material:
Base Insulation Size and Thickness:
Base Insulation Fastener /Bonding Material:
Top Insulation Layer:
Top Insulation Size and Thickness:
Top Insulation Fastener /Bondj$g►Ihaterial:
Base Sheets) & No. ofPI ( 1) 1 ti
I dsC G 4..
apse t Fastener Bonding M4teri t S
1 TT t4 t � sv) a L sl(`, y1-
Ply Sheet(s).& No. of Ply(sk - ) � o- p1
PI Sheet Fa tener Bo din Material:
Ply X64-1A6ficd
Surfacing: Cc 1 '4i't 4 L•
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Top Ply: .7 (o R C Sh c44 • • • • •
•
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Fastener Spacing for Anchor /Base Sheet
Attachment
Field: ° ' oc a Lap, # Rowsgv @ 9 1 oc
Perimeter " oc @ Lap, # Rows3 @
,,11 i
Comer: oc @ Lap, # Rows @ v ' oc4 IN `T
Number of Fasteners Per Insulation
Board N'
Field Perimeter ___Corner
Illustrate Components Noted and
Details as Applicable:
Woodblocking, Gutter, Edge Termination,
Stripping, Flashing, Continuous Cleat, Cant
Strip, Base Flashing, Counter- Flashing,
Coping, Etc.
Indicate: Mean Roof Height, Parapet Height,
Height of Base Flashing, Component Material,
Material Thickness, Fastener Type, Fastener
Spacing or Submit Manufacturers Details that
Comply with RAS 111 and Chapter 16.
S "Cfr *G4,1(
'L i Lt" o•�
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krAq
qte
Li•
'z-4 X g - 7S
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Parapet
Height
Mean
Roof
Height
Top Ply Fastener/ Bonding Material: itl 44
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ROOFING ASSEMBLY APPROVAL
Category:
Sub Category:
Material:
1. SCOPE
This new roofing system using Volcan `S' Statue Clay Barrel Roofing Tile as manufactured by
Hacienda EL Volcan described in Section 2 of this Notice of Acceptance. For locations where
the pressure requirements, as determined by applicable Building Code does not exceed the design
pressure values obtained by calculations in compliance with RAS 127 using the values listed in
section 4 herein. The attachment calculations shall be done as a moment based system.
2. PRODUCT DESCRIPTION
Manufactured b
A licant
Volcan `S' Statue
Clay Barrel
RoofingTile
Trim Pieces
2.1 SUBMITTED EVIDENCE:
Test A encv
IBA Consultants, Inc.
PRI Asphalt Technologies, Inc.
PRI Asphalt Technologies, Inc.
3. LIMITATIONS
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 112, appendix `A'. Such testing shall be submitted to
the Building Code Compliance Office for review.
3.4 Minimum underlayment shall be in compliance Ivith. the applicable Roofing Applications
Standards listed section 4.1,1ic'reftf
3.5 30/90 hot mopped underlayftignt a4�liT apoajn
�ay Le pigtailed perpendicular to the roof slope
unless stated otherwise by Ws tingerlayfilent material manufacturers published literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with applicabl .building code. • •;' • ' • •
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Roofing
Roofing Tiles
Clay
Dimensions
Length: 18.25"
Width: 10.50
varying thickness
Length: varies
Width: varies
varying thickness
Test Product
Specifications Description
High profile, one - piece, `S' shaped, clay roof
PA 112 tile with a single roll. For direct deck nail -on,
mortar set, or adhesive set applications.
Accessory trim, clay roof pieces for use at
PA 112 hips, rakes, ridges and valley terminations.
Manufactured for each tile profile.
Test Identifier
2799 -1
PDI- 002 -02 -01
PDI- 01 -02 -01
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Test Name/Re
TAS 112
TAS 101
TAS 101
ort
Date
08/22/02
10/08/02
10/08/02
NOA No.: 01 0828.01
Expiration Date: 11/27/07
Approval Date: 11/27/02
Page 2 of 4
4. INSTALLATION
4.1 Volcan "S" Statue Clay Barrel Roofing Tile and its components shall be installed in strict
compliance with Roofing Application Standard RAS 120.
4.2 Data For Attachment Calculations
Tile Profile Weight -W (Ibf)
Volcan "S" Statue Clay 6.43
Barrel Roofin • Tile
Length -I (ft)
Table 2: Aerod namic Multi • Iiers - ft
Tile
Profile (ft')
Volcan "S" Statue CIa Barrel Roofin • Tile Direct Deck 0.3 08
• • lication
08
Table 3: Restoring Moments due to Gravity - M (ft -Ibf)
Tile Profile
Direct Deck Direct Deck
5 ":12"
Direct Deck
4.73
6 ":12"
Direct Deck
4.63
7 ":12"
Direct Deck
4.52
Table 4: Attachment Resistance Expressed as a Moment - M (ft -Ibf)
for Sin • le Pa Adhesive Set S stems
Tile Application
Tile
Profile
Volcan "S" Statue Clay
Barrel Roofin • Tile
1 Padd •iacement of 41.5 •rams of Pol ProTM.
Polyfoam PolyProTM AH 160
Minimum Attachment
Resistance
26.7
Table 1: Average Weight (W) and Dimensions (I x w )
5 . LABELING
All tiles 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 PERMIT REQUIREMENTS
6.1 Application for building permit shall be accompanied by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or applicable
building code in order to properly evaluate the installation of this
system.
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NOA No.: 01- 0828.01
Expiration Date: 11/27/07
Approval Date: 11/27/02
Page 3 of 4
VOLCAN `S' STATUE CLAY BARREL ROOF TILE
PROFILE DRAWINGS
END OF THIS ACCEPTANCE
41. 00: : 000000
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• • . • • • • • • • • • • NOA No.: 01- 0828.01 • "' Expiration Date: 11/27/07 •
• • • • Approval Date: 11/27/02
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APPROVPD: (1604/2 (MI
• r vLl r u.lp rtruuL I. 1.1) . 1' +l .
PRQ_DUCT CQNTR cr. or Ace c,��
1' nly'fo:•rn Products, Inc. - - 2-40o Spring- Slucbnrr r'.ond
' Spring 1TX 77383 - 1132
Your application For Notice otAcceptance. (TfOA) of:
Two Cr:mot:Incnt Polyurethenc Foam Adhesive
under 1 ^hapte:c�8 of - the Code oCMiami -Uadt: ,
County governing the use of AI ternate Materials and T z
Types
Construction. and completely describ d herein, has been recommended for acceptance by the t\•f anti -Dude
o
County Building Code Compliance Office 03 C00) undi:r the conditions specified herein.
llti hrlOA shzl1 not be valid 'after the ex ; r
I i anon date stated below. BCC° reserves the right to secure this
product or material ;tt any time from A jobsite or manufacturer's plant for quality control testing. If this
product Or material fails tea perrorm in the approved manner. P moy revoke, 1m1odily, or suspend the
:cm: a such product• or material 111117)t;dlJl.c r
deterniincd by BCC :O that this product or I rtat rd fail reserve.;
the is or e Sou al, if it is
Building Code,
t the South Florida B
The. expense of such testing will be incurred by the m.lnulacturcr•
ACCJ r+fi'+i iii CF NO 0 1• -O52 l,tp
r. �PIltCS: QS /10/20n6
Raul R.odriguc
Chief Product Comm! Division
iiii5 5 "- rl` ovErtSlrrhT,kE ADDITIoy + 1L rA(;R,S roiz s.mcirrc nN c rNr•ri,At.
CnNt iinNS - —�._. �,.
TLitil arryG, c TI,A rEa) 1CT i Fvrr4v
�-- --_ . �. oklytr7Trr
This application for Product Approval has been reviewed by the BCCO and approved by the 3uildin
Code and Product Review Committee: to be used il, tvtiZ:ni -Grade County, Florida under the conditions set
forth above.
'i so4s00011pe10O011tempntcanotlto 3 ctepmnCa cover plat dot
it e roe C !rind address: p (n'�lluildingen(Iccurli i c,Cl A n•
• ••
1 o - d ret 0.t `4`:s_31'''ft[i3
I'nncisco J, Quinlnnn, R.A.
•• ••• • • • • • •• Director
•
• • • • • rvl lam i- ip;l(le Ccwniy
• •
•• •c• •• • • • •• rluillling Code Compliance Office
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MIA I -DA DE cout1Ty. FLORIpn
METRO- D+tI)E FLAG LER [iUILDING
Il(J1LnrN - Conc COI\IPLIANCC OF(tICF
1 rtCTZO -D.1OF 1'1.. ,cd.,E t Qi /ll_OING
1•41 WEST FLAGI.r_lt S RE 1'. st1r'I; 1601
MIAMI.. FLORIDA )3130 -150
13 Ai) )75- 29111 FAN 005)175-.7:90M
t :ON•ru.t c )•Ot? I.I('VvsiNG :;r:cr1(,N
(101] -2327 VAN iJP51 7�c_'3
CON', RA. C-1-011. L-NT'OitCl:Nt'iN'r 111'.'ISIUN
(1(1$) )75 -7!+b It O05i 175 -3volt
ritoot'C1' CrD,Yrttot. 1)1'✓1SIClN
(30117s.2.10? It,kx (a05) )7a.(,3;)
•
�r l
1iJ 00
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••• • • • . i
13nmjpa IAt;: // v,vw.I ulldingeudr.oniine.con1
•
OC''loaa :! r :) T
.. 1 J \) J 1 114. 1. 1. s.I
q'yfn 7 ProductA,_l
tvlatt;riala
1. SCOPE
1'rnocrty
Density
Compressive
Strength
Tznsile Strength
Water Absorption
Moisture Vapor
Transmission
Dimensional
St bi1ily
J 1
R.OoriNG ASSEM73LY APPROVAL
Catunr Roofing
Suh-citteznryi Rool'TilelAdhcsivc
Polyuretltitnc
1
This approves l'olyproZb A11,1160 as manufactured by Poly full m Products, Inc. as
described in Section 2 of thi Notice of Acceptance. For the (sections where the clesign
pressure requiremcnB, as do ermini:l_I by applicable building code, does nor exceed ihc:
design pressure values obta;iited by calculations in compliance with Roofing Application
Standard RAS 1.2'7, for use with approved tat. low, and high profile 1 - ooftiles system using
Polypre AH 160. Where tlVc attachment cticulations are done ns a moment based system
for single patty placement, rand as an uplift based system for double patty systems
2. PRODUCT DESCRIPTION
Manufactured by Te8t Product
Ail 0 lican t 1)iraenslpnti acriliCntinns Qescriptio
Palypro®ARI60 ��,'A PA 101 Two component
polyurethane
roil inproa kIr 1 00t) Dispensing Equipment
ProPackTO J0 & 100
N/A
N/A
2.1 Components or prtrducts ni lnufactured by others:
Any Miami-Dade County Product. Control Accepted Itool'T ;le As ;cnibly havinb n current NOA
which list uplift resistance values with Inc use ofPulvpro AI1160 roof adhcsiv. ,
2.2 Typical Physical rf npertics:
l Test
ASTM D 1622
A$TNI t) 6'31
ASTM D 1623
ASTM 0 2127
ASTM E.96
ASTI
et.t?C,SL 0C o .L
116.11 . 1 1.1, „' 1:.1 •.. .1 .1'.
ACCEPTANCE Yo_ : 0l•)5? 1.0l
R cv u lI s
1.6 Ib ;Jrl.'
1S PSI Parallel to rise
12. r'S1 P l!.rpendicul;tr to rise
2R PS1 Parallel to ri:c
0.08 Lbs./Ft
3.1 Perm / Inch
Approval Date: ; lune,14 2110
l;,xpiralion Date: M,►y 7,006
D 2126 +0.01% Volume Chanel.: h -40 r.. 2
• 1vCcl: • F • • • • • ••
• •
e:C :live
1(tim•tti*y.2
•• ••
r)ispensinG Equipment
• •
• • • • • • • • • -
• •
•
•• • • • • •• • i • • I'r�r�4 C�1�01 a. It
••• ••• ••• ••• Prscluct•C0nlrol L
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. •
• • •• • • ••' i• 0 a : t 1 :: 1 . 69 f; lit* •
•
rs:9
c•oo7. 70 ddJ
,'J.. ..) lril 11:Utl t',1.1 ;JJ•1 .'r,) , I
CO'd
pol foam Prodlc .,Inc,
ry Lo.t vr'.'t r nuu l'�.
. t
Note: The physical properties listed above. are presented as tyt,icnl nventge values ns determined by
ntccptcd ASTM test in tliods :Ind l subjccr h) norni;il nlnnurnCturinp v 1ri,Ition.
3. LIMITATIONS
3.1 Fire classification is not part of his acceptance It_efcr 1 .0 the Prepared Roof Tilt:
Assembly for lire; rtitint
3.22 1'olypro® AF1162 shall solely be used with Hat, low, high We profiles.
3.3 Minimum undcrlgtymcnts shell be in compliance with the ftoo :ink; Application
Standard RAS 120.
3.4 Root - Tile manufilctures acl!uirio acceptance fur the use. of Polypro0 AN160 roof
tilt adhesive with their tile, assemblies shall teat in accordance with PA 101.
3.5 Roof Tile manufactures aequirintt ricceputnct for two paddy placement with the
use of f'olyprotlt AN 160 roof rile adhesive with their the assemblies shall test in
accordance with ?A. 101 and with section :0,4 as modified herein,
4. INSTALLATION"
4.1 PolyprorEu A( - 1160 may be used with any roc tilt assembly hav'inr~ a current 1\ that
lists uplift resistance v with the use of Polypro'br Al - ! 100.
4.2 Polyproe A1-I160 shill be applied in compliance with the Component Application
section and the corrcSSpend:nb Placement Details noted herein The roof kilt
assembly's adhesive attachment with the use of Polypro2 ?) A1-1160 shall provide
sufficient attachment resistance, eapresscd as tin uplilZ based system, to meet or exceed
the uplift resistance cAtcrmincd in compliance with Miami-Dade County Roofing
Application Standard RAS 12 ?, The adhcsivC attachment data is Holed in the roof
tile assembly VOA
4.3 Polypro® AR 160 roof tile adhesive and its components shall be installed in
accordance with Roofin Application Standard RAS 120, and Polyfoam Produces, Inc.
PolyproZtl .A1 Operating Instruction and Maintenance Booklet.
4.4 Installation must be by a Factory T-aincd 'Qualified Applicator' approved arid licensee
by Polyroam Products fnc. Polyloam Products Inc. shall supply a list of approved
applicators to the authority having Jurisdiction.
4.5 Calibration of the Foamproe dispensin; equipment is required before application or
any adhesive. The rni`! ratio between the "A" component and the "E3" component shall
be maintained butwecri 1,0 -1.15 (A) : 1 .0 (f3). The dispense timer shall be set to
deliver 0.01'75 to 0.15l per tilt: as determined ;.t calibration, No other settings
shall be approved.
4.6 I'olyproto AI slain be applied i1)o ;fin :r4Ki'rf ivup'ur Prol'ack® 30 & 100
dispensing equipment Only. •
•
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•
•
4.7 Polypro e A1.1160 sltallI not be 1 sunk .i
'8t7 . S[ C
• •
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ACC, E.1 i`o. : 01-0521.02
••.( ••
• •
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• • • e • `�
• • • • • • i's,nLR!,,iloagn, Rl:C
••• •
•
1' rodttct Control EN.ainlncr
•
••• • • • • ••• • •
• • • • • •
• • • ••• • • •
•• •• • • • •• ••
0. h1_t,t 965 &. • • • ••• • r73C1 dd3 :'JJ
ZIP ,idk
ro' d
1111. 1':1.1 8J'1 •1 r ,) .'
Pulx_Loam Products. Inc.
4.9 Tiles must be adhcrjd in freshly applied ndhcs,vc Tile must be set within 2 to 2
minutes after Polyp o0 A1-I 1(30 has been disp■msa
4,9 Polyprotb Al-1160 p ,tcen!crt and minimum patty weight shall be in accordance v
(he 'Placement Deta. Is herein, l ;tcn generic tilt protilc requires the specific placement
noted herein.
I'nblc 1: Adhesive PlAte.Itttnt Far (itch Generic -file 1' l
1'ilcl'roflI Plncclncnt Sirt�,lc I'ntl�ly We; ght wo ruddy Wci6I i
Ucrail 1 \_11n. (gr,lnis) pc!' pnddy Min.
(Crnrns�_
Rat. Low, Hit;h Profilas
H;th Pro(Ic (2 Pit :cc: Barrer)
Flat, .ow I'fit:h Profiles
Flat, Low, I -figl) ['corks
▪ LABELING
AJI .Polypro0 co miners shall comply wish the Standard Conditions listed herein.
.(3. 1 131111 -D1NC rtrZ,NITT R.TQUf REIMEN"•Cs
(.1 As required b the Building Official or applicable Building Code ir, order to
properly evaldatrs the installation or this system
.. 000 • •
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•
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•
•• 4 10 0
ACCEPTANCE No, . 01- 0521.02
35 NfA
17/s ;dc on cap and �N!A
34,/pan
24
d
• • • ••
• •
•• • • • ••
N/A
8
/Z 1
• • • • • • • • ▪ •
• • • ��� --r`"' . • • •
•• • • • ▪ • • • • 661nl. luloa6a, RAC
•
••• • • r'roduct Control 1.xamntc:r
1 ,11. 1 ua
• • ••• • •
41 •
• • • ••• •
• • • •
c?r i r r -. r I, r CSH'1S �.� •• •� •�• •�• i 9 13131:18E 'I i S' 91 c llE ='0 ddtrl
13 •03 'rnv 17:1(1 FA,‘, y5•1
Polyfonnl ProdLCI.S,
CIOM
N]il r, :eV 4o pI3e11t C41401
JedwATIII
\
• Ilronpn plltllc Ler .nl
1 10041 erh'
Ell) 1dhn�.
toms, t l;, b0
e on1 4117111..1
U.I'L !JUL.J - U',!I F KUUl S, 1 C.
;\ EFTA N,'C-E No. : 01
1.1E51VE. I'[,ACEN1E1\T DETAIL 1
SINGLE PA'T'TY
M 1014111111,1.)
1.1 Mlle brig
WOO 1dAr111. 40ev.,
I
if. dt I':n 41•010111
lam • NLkl
7•)
3
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4.1.11A/304 pla)31e ,flea? ,,.
p lBent)Ip twl
( �f
� n
lbrnc ll•CI ui,, ? '�., " 4 •,
1b • •
1 4 1 1 U, 46..4' 4.114 • d ' �[ \ \
cal . 4d .u.(, tlr1 ere
114,111 4141,1 IUII
II rluc 140,..0 1 341111444 le 14111.. Il 101)
4!t11p 011011 )t Y 4r1{ 0 IJ114:611011 4111 L'c 1:1
10131x In44el In 3OM):1 ■nn the 0 >n 114
71 vm 11.17! •p)ide 00.n. rice lot 1!cd If; 1
10 1 1:1. FI0,h1 014 147 1414 )I t.. .. 101.
th.. t •WI la. 1111
UAV.34re t111
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N •'>
E1•1 (N441.
ITC,.3 1 )4.11
41•1. Cr..,
f e•e :tune 14114.
044p edheel, n .,0111
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ACCEPTANCE No.: 0101 - 0.
ADIIESIVE: VLACE';1'tIE.N'1' DETAIL 3
DOUBLE PATTY
Pa.1dr
(beINean tna)
Dadcy
lundur IIl0]
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Polyfo,m Products 11,c.
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NO In/con Ia111c cement — '
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PoIvf4:lrit Products. inc.
Renewal of his Acccptancl, (approval) shall be considered peter renewal ,application has (3iil'. Illed
and the original submitted d ocuments, including :c,t stl[ portin data, cIi ince:r:ny documents, an: ho
either than eibh: (li) years.
2.
Any and all approved proqucts shall be pernt:ur.ntly la'a Ice„ c the Inanul:,Cluier's nAinc, City,
stab:• and the rolloeving :aci tn:: • I`liaint U ;ieh: County Product Coulrot Approval ", or as
specifically stated in the sp�.•i ;lie conditions of this Acceptance,
3 Renctval4 of Acccplancc with not bt considered if:
a. There has been a clr;tln6e in the Sauth Florid i Ouilduisl Cock affecting the evaluation or this
product and the prodkt is not in compliance \n' th the cad eltane,cs.
b The prod-ret is no longer the spine: product (idl:ntical) as the one originally approved.
c. ft the Acceptance holder has no compliec! with all the requirements or this acceptance.,
including tic correct installation of the (redact.
d. The cngincr :r who originally prcpare`d, sinned and scaled the reentered documentation initially
submitted, is no longel practicing the engineering profession
4. Any rcvi ;ion or change :n yh, n.a:crials, use, anJior n inuiacturc or the product or process shall
automatically be, cause for termination of this Acceptance, unless prior written approval has been
rquestcd (through the Filin` of a revision application with appropriat.: tcc) and gra,urd by this
office.
5. Any of the following shall all° be grounds for removal of this Acci_plance:
A. Unsatisrr ctory perl'orn once of this product or process.
b Misuse of this AccepIF ncc as an endorsement ot any product. for sal.s, ai•rcrtisirlg er any
other purposes
ti The Notice of Acceptance nu nbcr preceded by the: Nvords till ;iini County, Florid, and lot:owed
by the esp,ration date iii 5c d'splaye:d in •dvcrlising lileraturc. Ir any [= 01'ti0n of the Notice of
Acceptance is displayed, thei it shall b, done in its entirely.
7 A cope of Acceptance AS \vcll as approved drawings ZnJ other documents, where it applies, shall
be provided to the user by thI manufacturer or its distributors ;Inn <_hiII, be available for inspection at
the job sit_ at all time, The engineer h riot reseal the copies,
8. Failure to comply with any S.Uion of Liis Acceptance shall be cause for termination and removal of
Acceptance.
9, This Notice of Acceptance consist. of pasts i through S.
END Or THIS ACCEPTANCC
•• ••. • • • .. ••
ACCEPTANCE • No, : 01- 0521.02
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G I"'GSE S O1 t},! .91;940 •• • •
•• •• • • •. 0)']1Yd9 Jd 9 t 0003 20 Jdlc
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Product Control Examiner
LJ I I
M I A M IDADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
GAF Material Corporation
1361 Alps Road
Wayne, NJ 07470
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 Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves
to revoke this acceptance, if it is determined by Mianu -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Deck.
LABELING: Each unit shall bear a permanent la el with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miarni -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 NOQ.shal•bt pro .idgdo:heL•ser by the manufacturer or its distributors
and shall be available for inspection at thl job sit. aptQe reQudstof tlae Building Official,
• • • • • •
This NOA renews NOA #02- 0408.09 and consists of pages 1 through 21.
The submitted documentation was reviewed by Frank Zuloaga, Mc ...
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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
NOA No: 03- 0501.05
Expiration Date: 11/04/08
Approval Date:10 /23/03
Page 1 of 21
ROOFING SYSTEM APPROVAL
Category:
Sub - Category:
Deck Type:
Maximum Design Pressure
Fire Classification:
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
TABLE 1
Product
GAF Asphalt Concrete
Primer (MatrixlM 307
Primer)
GAF Mineral Shield®
Granules
GAF WeatherCoat®
Emulsion (Matrix TM
Fibered 305 Emulsion)
GAF Premium Fibered
Aluminum Roof Coating
(MatrixTM System Pro
Aluminum Roof Coating
Fibered 301)
GAF Jetblack All
Weather Plastic Cement
(Matrix TM Standard
Wet/Dry Roof Cement
204)
RUBEROID® Modified
Biturnen Flashing
Cement
Jetblack Premium
Flashing Cement
GAFGLAS® #75 39
GAFGLAS #80 Ultima 39
Base Sheet
GAFGLAS Flex P1yTM 6 39.
Roofing
BUR
Wood
-.75 psf
See General Limitation #1
Dimensions
5, 55 gallons
601b. bags
5 gallons
1, 5 gallons
1, 5 gallons
.•• •
Test
Specification
ASTM D 41
.37" (1 meter) ASTM D 4601
wide•• ••• • '
.37" (11i3eter). ; t S 17,4Q7;
wide • • • • •
37" (1 meter) ASTM D 2178
Product
Description
Asphalt concrete primer used to promote
adhesion of asphalt in built -up roofing.
ASTM D 1863 Granules for surfacing of exposed asphalt,
cold process cement or emulsion. GAF
Mineral Shield® Granules shall be used for
flashing applications only.
ASTM 1227 Surface coating for smooth surfaced roofs.
ASTM D 2824 Fibered aluminum coating.
ASTM D 3019 Refined asphalt blended with a mineral
ASTM D 3409 stabilizer and fibers. Permits adhesion to
wet and dry surfaces.
5 gallons () ASTM D 4586 Fiber reinforced, polymer modified Flashing
cement
5 gallons ASTM D 4586 Asphalt flashing Cement
w d • • • • • • ' Ssptialt coatin
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Aighalt impregnated and coated glass mat
Base sheet.
Asphalt impregnated and coated, fiberglass
base sheet
Type VI asphalt impregnated glass felt with
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NOA No: 03- 0501.05
Expiration Date: 11/04/08
Approval Date:10/23 /03
Page 2 of 21
Cap Sheet:
Deck Type 1:
Deck Description:
System Type E (1):
All General and System Limitations shall apply.
Base sheet:
Fastening Options:
Ply Sheet:
Wood, Non - insulated
19 / 32 " or greater plywood or wood plank decks
Base sheet mechanically fastened.
GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated
Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID
SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet
mechanically fastened to deck as described below;
GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or
any of above Base sheets attached to deck with approved annular ring shank
nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two
rows 12" o.c. in the field.
(Maximum Design Pressure -45 psf, See General Limitation #7)
GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or
any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or
#14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The
other rows are equally spaced approximately 12 ". o.c. in the field of the sheet.
(Maximum Design Pressure -45 psf, See General Limitation #7)
GAFGLAS Flex PIy 6, GAFGLAS #75 Base Sheet or any of above Base
sheets attached to deck with approved annular ring shank nails and tin caps at a
fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the
field. (Maximum Design Pressure -52.5 psf, See General Limitation #7)
GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with
Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One
row is in the 2" side lap. The other rows are equally spaced approximately 9"
o.c. in the field of the sheet.
(Maximum Design Pressure -60 psf, See General Limitation #7)
Any of above Base sheets attached to deck approved annular ring shank nails
and 3" inverted Drill -Tec (GAFT111,) insulation plates at a fastener spacing of
9" o.c. at the 4" lap staggered in two rows 9" in the field.
(Maximum Design Pressure -60 psf, See General Limitation #7)
GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with
Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One
row is in the 2" side lap. The other rows are equally spaced approximately 9"
o.c. in the field of the sheet.
(Maximum Design Pressure -75 psf, See General Limitation #7)
One or more plies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6® ply sheet,
#80 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full
mopping of approved asphalt applie,J within the EVT range and at a rate of 20-
40 lbs. /s g
(Optional) Ore ph. if i Surfaced Cap Sheet adhered in a
full mopping•of apptOveQ'asphalt applied within the EVT range and at a rate of
20-40 lbs. /sq.
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• • ' .' . .. • • • ' NOA No: 03- 0501.05
Expiration Date: 11/04/08
• Approval Date:10 /23/03
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Surfacing:
Maximum Design
Pressure: See Fastening Above
(Required if no cap sheet is used) Install one of the following:
1. GAF Special Roofing Bitumen with an application rate of 201bs. /sq with an
application rate of 1.5 gal. /sq.; or GAF WEATHER COAT® Emulsion
(Matrix 305 Fibered Emulsion) with an application rate of 3 gal. /sq.; or GAF
Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum
Roof Coating Fibered 301) with an application rate of 1.5 gal. /sq.
2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or
slag with an application rate of 400 lbs./sq. & 300 lbs. /sq., respectively.
3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus
(Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC
applied at rate of 1 -1.5 gal/sq.
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NOA No: 03- 0501.05
Expiration Date: 11/04/08
Approval Date:10 /23/03
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WOOD DECK SYSTEM LIMITATIONS:
1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or
anchor sheet.
2. Minimum 1 /4" Dens Deck or V2 Type X gypsum board is acceptable to be installed directly over the
wood deck.
GENERAL LIMITATIONS:
1. 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 Control Approval guidelines. All other layers shall be adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20- 401bs. /sq., or mechanically
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 -45 psf.
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of
275 lbf., as tested in compliance with Testing Application Standard TAS 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, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing
shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and
calculations in compliance with Roofing Application Standard RAS 117.
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in
compliance with Roofing Application Standard RAS 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 Roofing Application Standard RAS 111 and applicable wind load requirements.
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 specificajly4efevrad vwithta thielQOA, General Limitation #7 will not
be applicable.) • • • • • •
•
10. All products listed herein shall ha% a 'ualog:astufar4e: audit in accordance with the Florida
Building Code and Rule 9B -72 (Able Plorida Administrative Code.
END OF THIS ACCEPTANLE
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• • NOA No: 03- 0501.05
Expiration Date: 11/04/08
• Approval Date:10 /23/03
••• • • • • • �•• • • • Page 21 of 21
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TGFU.R.1306 - Roofing Systems
Underwriters
Laboratories Inc.
Page Bottom
Guide Information
GAF MATERIALS CORP
1361 ALPS RD
WAYNE, NJ 07470 USA
TGFU.R1306
Roofing Systems
Questions?
Roofing Systems
"Ruberoid 20" or "Ruberoid Modified Base Sheet" may be utilized as an alternate to Type G2 base
sheets in any of the following Classifications.
1/2 in. thick (min) gypsum board or 1/4 in. thick (min) G -P Gypsum Dens -Deck® may be used in any
existing noncombustible deck Classification. When this is done, the resulting roofing system is
acceptable for use over combustible (15/32 in. min) roof decks. The joints in the gypsum board and
overlayment board are offset 6 in. with the joints in the deck. If polystyrene is part of the roof system, it
must be placed below the overlayment board.
Also, multiple plies of "GAFGLAS Ply 4" or "Ply 6" may be adhered to G -P Gypswn Dens -Deck® in
hot asphalt.
"Energy Ultra" is an acceptable alternate to "EnergyGuard" in any applicable Classification.
"GAF Stratavent Eliminator Venting Base Sheet (Nailable)" may be mechanically attached or hot
mopped over noncombustible decks and as a recover over existing roof systems.
GAFGLAS Perlite Insulation may be utilized as a cover board over "EVERGUARD" insulation in any
of the following systems.
Unless otherwise indicated, the roof in�Ulario , •
fastened, adhered with hot mopping
asphalt or urethane insulation adhesive ..Polyltyl•ehe:rafeFhcg.ih any of the following Classficatons
include "ENERGuard EPS Insulation
•
eferences to glass fiber insulation i fie &ude,'Enargyet:ard Fiberfil
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ASPHALT FELT SSSTEMS WITH HOT ROOFING ASPHALT
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Page 1 of 55
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R1306
TGFU.R1306 - Roofing Systems
Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "GAFGLAS #80 ULTIMA" ) is
a suitable alternate for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply
6" ) in the Class A, B or C roof systems indicated below.
The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAF Stratavent
Eliminator Venting Base Sheet (Perforated)" or "GAF Stratavent Eliminator Venting Base Sheet
(Mailable)" . Perforated to be mopped and nailable to be mechanically attached granule side down.
As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet ", "GAFGLAS #80
ULTIMA" or "GAF Stratavent Eliminator Venting Base Sheet (Mailable)" may be substituted for G1
asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6" ) as the nailed base ply in the
following systems.
Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened.
Unless otherwise indicated, all insulations may be hot mopped or mechanically fastened.
"GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C systems
listed below.
When "perlite" is referenced, this includes "GAFTEMP PERMALITE ®" or any other UL Classified
perlite insulation.
Crushed stone or slag are suitable alternates for gravel in any of the Class A, B or C systems listed.
Structural cement fiber building units are considered suitable to be included as a deck in the following
Class A, B or C systems listed over C -15/32 or NC.
The use of gypsum board under any of the following Class A, B or C systems does not adversely effect
the rating. The use of 1/2 in. min gypsum board is an acceptable alternate for insulation over C -15/32
decks.
The use of polystyrene insulation board between min 3/4 in. perlite board and deck with rosin paper
(perlite /rosin paper /polystyrene /perlite) is a suitable alternate for isocyanurate board in the following
Class A, B or C systems.
"BMCA EnergyGuard RA ", "BMCA Tapered EnergyGuard RA" and "BMCA EnergyGuard RA" may
be substituted for any Atlas polyisocyanurate insulation in any of the following Classifications.
Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot
Roofing Asphalt ".
GAFGLAS #80 Premium Base Sheet ma' • b ' e • •' ••• • '••
• y p s!a d.rn.a�ry q the following systems.
"GAFGLAS Flex Ply 6" is a suitable alfernate to GAFGLAS Ply 6 ".
.•
"GAFTEMP Permalite Recover Board" t rf;ed x'ie o� an perlite insulation in any of the
following NC Clas • •
si f cations. •
• • • • • • •
•••
• • ••• • •
Class A awl G • •
•• • • • • • • • • • • •
• • •
• • • • • ••
• •• •• • ••• • •t• .• '•
http: // database .ul.com /cat- bin/XYWt 1 /T TCT'� ET) n 10117
Page 2 of 55
TGFU.R1306 - Roofing Systems
Page 3 of 55
Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes.
"Ruberoid Heat Weld" SBS roofing membrane may be used in lieu of "Ruberoid Mop" SBS products in
any applicable Classification.
Class A
1. Deck: C -15/32 Incline: 3
6. Deck: NC
Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate,
urethane, perlite / isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate
composite, phenolic, any thickness.
Ply Sheet: — Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot
mopped.
Surfacing: — Gravel.
2. Deck: (' -15/32 Incline: 2
Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate,
urethane, perlite / isocyanurate composite, perlite /urethane composite, wood fiber / isocyanurate
composite, phenolic, any thickness.
Ply Sheet: — Three or more layers Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ".
Cap Sheet: — One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ".
3. Deck: NC Incline: 2
Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate,
urethane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate
composite, phenolic, 2 in. max.
Ply Sheet: — Two or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ".
Cap Sheet: — One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ".
4. Deck: NC Incline: 1/2
Insulation: — One or two layers "Isotherm R ", 4 in. max, hot mopped.
Ply Sheet: — An UL Classified gravel surfaced Class A asphalt glass fiber mat system.
5. Deck: C -15/32 Incline: 1
Slip Sheet (Optional): — Red rosin paper, nailed
Base Sheet: — One layer Type cr2 "GSA ,43 #95:1rease Sheet" (may be nailed).
Ply Sheet: — One or more layei%Type*(1 itiAlDly 4" or GAFGLAS Ply 6 ".
Cap Sheet: — One layer Type 04 "OAFMA Mineral Surfaced Cap Sheet ".
yy • . ••. •.•
••• .t eclinr:•3 ;
• . . • •
• .
• • • :.. • • i.
• 'Base Sheet: — One layer TypeT2 "�GAFGLAS #75 Base Sheet ".
Ply Sheet: — One or more layers T' GI." 04F�I,AS Pty 4" or "GAFGLAS Ply 6 ".
• • • • • • • •
• • • • . . •
1 y ••• • • • • • • • ••••
;• •:
h ft�l'''clr, tnl -v, 1,1 rn,,,Irn. �,:. /V'V�T /.._ � . , n ,r
Date
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant
Owner's Address 102 N' E 11 S T,
Contracting Co. , 7 �i e2)�r)
Qualifier / / 1 /
State #c' G' 0 Municipal # Competency # Ins. Co.
Address
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): IcIELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION Ag(°,e5� /P � C e 2/e - /e VI!
'es / 24r v
Square Ft Estimated Cost (value)
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 performed 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 cert that all the for oing information is accurate and that all work will be done in compliance with all applicable
laws regula troy oning. Furthe�. ore, I authorize the above -named contractor to do the work stated.
My Commission Expires:
FEES: PERMIT
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address ,40( Q(J & Q l ' Tax Folio
'f0, RADON
C.C.F. NOTARY
• Master Permit # 1 (7 ! / C
Phone 3�1 — 336— c&;
Address g7 a V ei /c9 oZ s -'
ss# J 813/557
550.
Signature of Contractor or Owner- Builder Date
Notary as to Contractor or Owner- Builder Date
My Commission Expires:
BOND
TOTAL DUE
APPROVED:
Zoning Building j�Ur Electrical
Mechanical _ Plumbing Engineering
.2/ / 4
Application is hereby uinde for the approval of the detailed statement or the plans and specifications herewith submitted for the build
in 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.
APPLICATION FOR BUILDING PERMIT
Date..._..._..._8 /12 83
Owner's Name and Address Gertrude Elli _ N 102 „__, Street_...NE 91 St.
Registered Architect and /or Engineer
Name and address of licensed contractor Biscayne Roofing Co. 518,0,..E 11 Ave .. Hialeah,_ F1.
Location and legal description of lot to be built on:
Lot Block Subdivision .... �...__.__
Street and Number where. work is to be done 102 N.E. 91 s t Street
State work to be done and purpose of building (by floors) Re - RQQf,,._ ..Remove
felt L... ltl01) ... . � . Q # .. .s.l.at,i~.. f.lat....
Remodeling Addition Repairs X No. of Stories 1 _
Kind of foundation Roof Covering Ti.le... &.. rnOQth
7.10.0...QQ Amount of Permit $,.... 2.0.. Qo Surface
Plan Cubage
Size of Building Lot
New Building Remo
To be constructed of
Estimate Total cost of improvements $
Zone cubage required
Distance .to next nearest building
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.. B.i s.ca.yne...Roo.f.ing._.Co._ 51.8.0. E.. .1.1 Ave.. H.i.aleah., El.. 3.3013.. .
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of i. hur under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied s.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 are required by the Act. The undersigned agrees to employ only suc bcontractors, on work to be pgrformed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared James T. Laing
_. to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. Roofing Contractor
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 ue�
Permit No.. Li . r� { ��
Disapproved
(Signed)
1/./0% If
dry /� c .
MIAMI SHORES VILLAGE c . .'
BUILDING INSPECTION DEPARTMENT
Building Inspector
Date ... 1 .. 7
Chair;ran
\1crr,ber
Member .. _ .....__....._..._._...._.......
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
tie Planning Board.
A rein \pection Ice of $1.00 will be charged
materials and /or workmanship.
01d_ _oof. „Tin cap 30#
t,j,],. slope section.
Sqs _.,,,, for no other purpose.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Disapproved Date
or changes to this application after approval has been obtained from
when such re- inspection is made necessary by Improper notice for inspection or faulty
MIAMI SHORES VILLAGE
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.
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Building Inspector
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.
,�- r�ef.C. EQQi
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
State work to be don and purpose of building (by floors)__
654-ptal
I 0 - 2, 1 *I
Permit No `. Date
Disapproved Date
( Signed)
PLANNING BOARD
Chairman - - - - - - - - - - - - - - - - - - - - - - --
M e m b e r _
Member
Council Approved Date
Date
F 1 ? S9
lifcift
Qo
Qo
and for no other purpose.
Repairs 1! No. of Stories
o1
New Building Remodeling Addition
To be constructed of Kind of foundation Roof Covering 13 0
Estimated Total cost of improvements $ 7s
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__.
The undersigned 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 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 on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks _ (Signed)
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.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
_, 19!D
to me well known,
My Commission Expires
DATE
Member .
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
MIAMI SHORES VILLAGE, FLA. No 6456
4S
■
JOB C Z 2r2A
ADDRESS
INSPECTION
TIME READY
REMARKS :
INSPECTO
_Li_ 6, L-1--
DATE
DATE: (-
NAME OF PERSON REQUESTING FILE: --- e)G rrlCA-
(
PHONE #: YOUR ADDRESS: (OZ 1V ` l-4-1
ADDRESS OF FILE REQUESTED:
INFORMATION REQUESTED:
Miami Shores Village
Building Department
I understand that all documents in this file are property of Miami Shores Village and
that NO documents may be removed from this file. You may get 4 complementary
copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not
including any blue prints. If blue prints are order please be aware that we are not
responsible for the quality of the printed documents.
Acknowledged by:
FILE RETURNED TO: INITIA ? I
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 - Fax; (305)756 -8972
PLEASE PRINT
TIME:
( ((g
(4,4- c)-- --(Y6 6--