ROOFINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
D a t e 4 — 9 eJob Address / 5 1 t O PC < J t Tax Folio 1 3/ ] 1 0 J / O a t
(a/ 7
Legal Description "' .40 Z - P6 9 " / Q 4/{ Historically Designated: Yes
Owner/Lessee / Tenant - r)..4..
/ p, ,�C
Owner's Address / $ b '7 1 ' � E ( / .
C l l .- tk K Addre ( 2 a o k A s . w7 e ,a-
Contracting Co. CO � d 0 t' 1'�/`
6 s 1r r p d Phone 9 S /- 3 3 0
Qualifier eo , ` ,
stile 058' s 4,
WORK DESCRIPTION
0 YV' F2 T SsG�
Square Ft. 02 0 0
Si ature of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
�ylY NINA M. MCLEOD
• � COMMISSION # CC6>�993
EXPIRES APR 04, 2001
BONDED THROWN.,
40FA, /MANTIC BONDING
APPROVED:
Zoning Building
Municipal # Competency # Cr? 6 0 Ins. Co. /J 6 ,...11,1„, 1' 7 0 iv
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
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 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.
Date
VING FENCE SIGN
rnc3 CL . k roc
3 r x' 7
Date
FEES: PERMIT (O Q, RADON C.C.F. 4- 647
Master Permit #
Phone
Estimated Cost (value) [D t? 0
44,447/e_
Signature of Contractor or Owner- Builder
NOTARY
Electrical
0-0
No
Notary as to Contractor or Owner-
My Commission Expires:
� �y1Y P NINA M. MCLEOD
COMMISSION 9 CC633993
Mt t EXPIRES APR 04. 2001
4 0• ...^'` • BONDED THROUGH
'fi'OF MANTIC BONDING CO., INC
3.0rCt . `IT
BOND 3o v
TOTAL DUE. 3 d 66
Mechanical Plumbing Engineering
'4�
t
. r e
Contractor's Name: gobby tee o e try
ow Slope Application)
(Asphalt/Fiber lass Shingles)
Flat Roof Area (ft a at Sloped Roof Area (ft Total (ft Master Permit No.
Exposure category (per ASCE 7-88): Building Classification category (per ASCE 7-88 table1.0
Ft.
Ft.
123.01-78 9/96
ROOF CATEGORY
0 (Nail-On Tile) 0 (Mortar-Adhesive Set Tile)
LI ( Metal Roofs\Wood Shingles & Shakes) 0 (Other)
ROOF TYPE
toot' geieoofing El Recovering LI Repair LI Maintenance
rnci: V 4 K
r
F; bat 4A S'S Mel" 4- 44
SM. eAS &
RoS t P ri
Deck ty4 P 1/v 47 ci
•111 , 40 0•42%
ATTACHMENT
/ rj 11/
Fastener Type: 8, - ) -/
SPACING
• •
/ 11
Field: 0 Perimeter: C
/ Corner:
DETAIL 1 & 2
Appendix "E."
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Job Address:
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
91 s-rf el'''. I
3x A94. I e
Page-1
r
r
r
r
ROOF PLAN
■
PRODUCT CONTROL NOTICE OF ACCEPTANCE
GAF Materials Corporation
1361 Alps Road
Wayne, N.1 07470
Your application for Product Approval of:
GAFRuberoid® Modifed Bitumen Roof Systems for Wood Decks
under Chapter 8 of the Metropolitan Dade County Code governing the use' of Alternate, Materials and Types of
Construction, and completely described in the plans, specifications and calculations as submitted by:
Dynatech Engineering, Inc., Factory Afutual Research Corporation, and Underwriters Laboratories, Inc.
has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida
under the specific conditions set forth on pages 2 -60 and the standard conditions on page 6L
This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office
reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality
control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance
Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code
Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance
Office that this product or material fails to,meet the requirements of the Building Code Compliance Office that this
product or material fails to meet the requirements of the South Florida Building Code.
The expense of such testing will be incurred by the manufacturer.
Acceptance No.: 97- 0804.14 Revises No.: 95- 1003.03
Expires: 11/06/00
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
.,.
This ;ption for Product Approval has been reviewed by the Metropolitan Dade County Building Code
Compliance Office and approved by the Building Code Committee to be used Dade County, F1oridi under the
conditions set forth above. ��
r �/
L ww ,
Charles Danger, P.l:,,. • -
Director
Building Code Compliance Dept.
Metropolitan Dade County
Approved: 1 1/06/97
/"I , ..• . ,
Raul Rodriguez
Product Control Supervisor
f' PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
ant:
Product Control No.: 97
�Iateria� Corporation
\lps Road
Ni 07470
Approval Date: November 6, 1997
�� _ � �
Expiration Date: November 6, 2000
Membrane Roofing System
�o Built -up Roofing
-Cate o Modified Bitumen
e: App and SBS
System Descri tp ion
F Materials Corporation has been manufacturing commercial roofing products for more than 100
.rs. The modified bitumen
products for built -up roofing systems. rodnc a wide APP and SBS roducts in smooth, granule and fire rated versions. In addition,
duots include both APP and S products
the specification requirements for multilayer SBS modified
�F offers two ply modified systems to
ecifications. wholesale distributors throughout the
AF produce are distributed through a wide network of roofing
Ruth Florida area. copies of wh,ch
eroid Modified Bitumen Application and
a provides
warranted systems over various insulated and non - insulated substrates, co
an be obtained from GAF and can be found in the u
; pecification manual published annually. oration and
Mutual Research Corp
tested Research
compliance with
a s emblies have been extensively tested at Factory CAF roof er st "�, .
.
Underwriters . GAF modified bitumen mem '�"
ASTM D 5147 test requirements.
Contact:
William J. Wo`
Director of T
_ieNiceS
(973) 628- 41
Age 2of
Frank Zuloaga,
Roofing Product Control Examiner
J
•
Types:
Ar74^
7 V •. fOr- w 00B
•-'
'
, 4 Po l y isocyanurate
..• .
posIte Board
F
Wood A Fiberboard L OM .
":";ft111.iigh"-Denst u
77•04'pc:' Rock:Y/00 . .
Maximum Design Pressure
Material ,
i
Wood
iot
Material
Wood
•
•
Design Pressure
-75psf
Maximum Fire Classification
Classification
Class 'A'
••
•
Page 3 of 61
• . •-•: "
Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck
types. Review system listings for design pressures and the Underwriters Laboratories Roofing
Materials Directory for Fire Classifications.
Frank Zuloaga,
Roofing Product Control Examiner
Product
'G"AF Asphalt'
a;Concrete Primer
GAF Mineral Shield®
GranulCS
GAF Wc4therCoat®
Emulsion
GAF Premium
Fibered Aluminum
Roof Coating
GAF Jetblak All
Weather Plastic
Cement
GAFGLAS #75®
GAFGLAS #80
Ultima Base Sheet
GAFGLAS Ply 6®
GAFGLAS flex
Ply"' 6
` AS Ply 40
GAFGLAS®
Mineral Surfaced
Cap Sheet
TRADE
AMES OF PRODUCTS MANUFACTURED OR
' LABELED BY APPLICANT
Test
Dimensions Specification
•
5, 55 gallons
ASTM D 41
60 Ib. bags ASTM D 1863
5 gallons
1, 5 gallons
1, 5 gallons
3 sq. roll
75 lb. roll
2 Sq. Roll
70 lbs. /roll
5 sq. roll
45 Ib. roll
5 sq. roll
45 Ib. roll
5 sq. roll
76 lb. roll
ASTM 1227
ASTM D 2824
ASTM D 3019
ASTM D 3409
ASTM D 4601
ASTM D4601
ASTM 2178
ASTM D21 78
ASTM D 2178
ASTM D 3909
Product
Descr tion
Asphalt concrete primer used to promote
adhesion of asphalt in built -up roofing.
Granules for surfacing of exposed
asphalt, cold process cement or
emulsion. GAF Mineral Shield®
Granules shall be used for flashing
applications only.
Surface coating for smooth surfaced
roofs.
Page 4of61
Fibered aluminum coating.
Refined asphalt blended with a mineral
stabilizer and fibers. Permits adhesion
to wet and dry surfaces.
Asphalt impregnated and coated glass
mat base sheet.
Asphalt impregnated and coated,
fiberglass base sheet
Type VI asphalt impregnated glass felt
with asphalt coating.
Type VI asphalt impregnated glass felt
with asphalt coating.
Type IV asphalt impregnated glass felt
with asphalt coating.
Asphalt coated, glass fiber mat cap sheet
surfaced with mineral granules.
rank Zuloaga,
Roofing Product Control Examiner
•
RUBEROID ® =?2 9%Y, 4 ' gal Ions ;.-
•1VfodifiedBitumeni t1t :,
Adhesive ; trilairiit
GAFGLAS ®r' ai,ir . 460 Ib. roll.)
TRA•TAVENT � s1.;y _ i
erforated 7r r'� T i1 Vtr r
•
trsc3 c:fiuteaiaoaiuf b .... .
•r'izasb t+!irl driw
GAFGI AS® Flashingli - various
GAFGL.AS®
STRATAVENT
Nailable
69 Ib. roll
RUBEROID Modified 3 sq. roll
Base Sheet 67 lbs.
GAFTEMP®
Isotherm R
various
Tapered GAFTEMP® various
Isotherm R
GAFTEMP Isotherm various
RA
Tapered GAFTEMP various
Isotherm RA
GAFTEMP®
Composite
P Isotherm various
Tapered GAFTEMP various
Isotherm RN
various
_Test
Specification
ASTM D 3019
Type III
ASTM D.4897
D3672
ASTM D 489
D3672
PA 110
PA 110
PA 110
PA 110
PA.110
PA 110
Pag
of k1
Product
Description
Fibersreinforced, rubberized Adhesive
Fiberglass base sheet impregnated and
coated on both sides with asphalt. .
Surfaced on the bottom side with
mineral granules embedded in asphaltic
coating with factory perforations.
Asphalt coated glass fiber mat flashing
sheet available in three sizes.
Fiber glass base sheet impregnated an I
coated on both sides with asphalt.
Surfaced on the bottom side with
mineral granules embedded in asphaltic
coating.
ASTM D4601, Premium glass fiber reinforced SBS-
Type II, UL Type modified bas a sheet
G2 BUR
Polyisocyanurate foam insulation.
Tapered Polyisocyanurate foam
insulation
Polyisocyanurate foam insulation
Tapered Polyisocyanurate foam
insulation
Polyisocyanurate foam insulation
Tapered Polyisocyanurate foam
insulation
.,. ....--- .rte. -- -
PA 110 Polyisocyanurate foam insulation with
high dens' r- Permaiite ---,
perlite insu a i•
00 0
xi Zulpaga,
Roofing Product Control Examiner
Product' rt 2 " Dimensions
a, A • �ti' :e"ieli,1?? various •
GA "FTEIvIP® :'' � .: ...
E omposite :t.t t;ia r L: lsr.
. TaperedGAFTEMP ®/A':r: various
• Composite A
GAFTEMP® various
Composite N
Tapered GAFTEMP® various
Composite N
GAFTEMP®
Fiberboard
GAFTEMP®
Permalite
GAFTEMP Recover
Board
GAFTEMP®
High Density
Fiberboard
GAFTITE® #12
Standard
Fastener
GAFTITE® #14
Heavy Duty
Roofing Fastener
GAFTITE ASAP
various
various
1/2" thick
various
} Test
Specification
PA110
PA 110
•
PA 110 Tapered Polyisocyanurate foam
insulation with high density fiberboard
or Permalite perlite insulation.
PA 110 Polyisocyanurate foam insulation with
high density fiberboard or Permalite
perlite insulation.
PA 110 Tapered Polyisocyanurate foam
insulation with high density fiberboard
or Permalite perlite insulation.
PA 110
PA 110
PA 110
PA 110
Product
• Description
Tapered Polyisocyanurate foam.. . _
insulation with high density fiberboard
or Permalite perlite insulation.
Polyisocyanurate foam insulation with
high density fiberboard or. Permalite'..
perlite insulation.
Fiberboard insulation.
Perlite insulation board.
Perlite recover board
High density wood fiberboard
insulation.
PA 114 Insulation fastener for steel and plywood
decks.
PA 114 Insulation fastener for steel, wood and
concrete decks.
4 . 114 Pre- assembled GA1.1111r tas n rs and
Page 6 of 61
metal and
� I
-° uloaga,
Roofing Product Control Examiner
.
Product: • _ ^ �`bimensions
GAFTITE ®Base
Sheetu:
astener and Plate asiL.i `..- •-
valume Piate"s 7 - 4 ? ,6 !,'..L-3 ".and 3 1/21i
'and 3 % :"
- �•�`Po ;yleiie Plates �� � 3"
Ruberoid® 20 1.5 sq. roll
Ruberoid® Mop
Granule
RUBEROID MOP
Smooth
RUBEROID MOP
PLUS
RUBEROID MOP
170FR
RUBEROID MOP FR
ID TORCH
RUBEROID TORCH
Granule
1 sq. roll
103 lbs.
1 sq. roll
87 lbs.
1 sq. roll
102 lbs.
1 sq. roll
103 lbs.
1 sq. roll
105 lbs.
1 sq. roll
87 lbs.
1 sq. roll
102 lbs.
r +' PA 114
.rr.-
i. PA 114
PA 114
ASTM D 5147
ASTM D 5147
ASTM D 5147
ASTM D 5147
Page 7 of 61
Product
Description
Base sheet fastening assembly.
Round galvalume stress plates.
Fastener for use in gypsum, tectum and
lightweight insulating concrete decks.
PA 114 Round polypropylene stress plates.
SBS modified asphalt base sheet and
interply sheet reinforce with a glass fiber
mat.
Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non -woven polyester mat coated with
polymer modified asphalt and smooth
surfaced.
ASTM D 5147 Non -woven polyster mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -Woven polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
Non -Woven polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
ASTM.D 5147 Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
smooth surface.
ASTM D 5147 Heavy duty, polyester reinforced,
asphalt modified bitunzstumeltj'$Be
granule surface.
Frank Zuloaga,
Roofing Product Control Examiner
:.:_ :-;3.Test
r;.Specification
Product Dimensions
UBEROID TORCH
S
UBEROID TORCH = % sq. roli"a: ASTM D 5147
90 lbs.:.
! Y• *: Z} � •y :i J3.:i �Q? 5mitz . *:;
RUBEROID 30 1 sq. roll
7c:G zc..: .t 92 lbs.
RUBEOID 30 FR
ft
Vent Stacks (metal
and plastic)
GAF Aluminum
Emulsion
% sq. rollraa
93 lbs.
1 sq. roll
92 lbs.
5 gallons
RUBEROID® 109. Roll
ULTRACLAD® SBS 101 lbs.
GAF Aluminum Roof 5 gallons
Paint
GAF Built -Up 100 lb. cartons,
Roofing Asphalt bulk
.B JIB OID MOD 60 lb. kegs
alt`
RUBEROID MOD 60 Ib. kegs
Asphalt L
RUBEROID MOD 60 Ib. kegs
Asphalt P
ASTMD5147
ASTM D 5147
A§ TM § 1$i Non 'woven fiberglass mat coated with
Fire retardant polymer modified asphalt
and surfaced with mineral granules.
PA 100(A)
ASTM D 1929
ASTM D 635
None
ASTM D 5147
ASTM D2824,
Type I
ASTM D312,
Types 1,1I, III and
IV
Page 8 of 61
Product
Description
Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
granule surface
Heavy duty, polyester reinforced, coated
with fire retardant asphalt modified
bitumen membrane, granule surface.
Non woven fiberglass mat coated with
polymer modified asphalt and surfaced
with mineral granules.
One way valve vent used to relieve
built -up pressure within the roof system.
GAF Vent Stacks are available in metal
or plastic.
Mineral colloidal bituminous emulsion
with reflective aluminum flakes
Woven fiberglass mat coated with
Polymer modified asphalt surfaced with
aluminum; copper or stainless steel foil.
Non - fibered. aluminum pigmented,
asphalt roof coating
lnterply mopping and surfacing asphalt
SEBS modified asphalt
SEBS modified asphalt
SEBS modified asphalt
.1.••- ..a.110.
Frank Zuloaga,
Roofing Product Control Examiner
J
Product
GAFTEMP Tapered
Isotherm
GAFTEMP Tapered
Isotherm RA -
GAFTEMP Tapered
Isotherm RN
GAFTEMP
GAF
GAFTEMP
GAFEPGE rm
Tapered Edge Strip
GAFTEMP
PERMALITE®
Tapered Roof
insulation
GAFTEMP Recover
Board Various sizes
Shingle- MateTM
Underlayment
GAFTITE® ASAP
RUBEROID®
Modified Bitumen
Adhesive
Dimensions
Vario 1�
Itif �.il ulli!) 4i /.ir)ui+(I
Various •
'pA 110
Various
Various
Various
Va riou s
1/2" thick,
4 sq. roll
30 lbs.
500 per box
5 gallons
;;Test: iO
Specification
PA110
PA 110
PA 110
ASTM D 3019
Type III
Page 9 of 61
Description
Tapered polyisocyanurate foam ;t ..,.�
Perlite board
Tapered polyisocyanurate foam
Tapered polyisocyanurate foam ,cis; .
Cut perlite board
Tapered perlite board
Tapered perlite board
Fiberglass reinforced shingle
underlayment
PA 114 Pre - assembled fastener an d metal and
plastic plates
Fiber reinforced, rubberized Adhesive
RA,
w � , •
-fing Product Control Examiner
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS
k:.rn.K r {� ? "• er ► -s'
Product
duc 4 , + . Dimensions Specification AS Description
. Test .
Hy -Therm Nail - line
Hy -Therm SP
Hy -Therm AP
Hy -Therm Stable R
Hy-Therm White
Line
Anchorbond
Fastener
Dekfast Hex Plate
various . .PA 110 yolyisocyanurate foam
:i:;:ct���:.,.�.::.�:N}:► 01 insulation
` ::' 'A.l 10 Polyisocyanurate foam
n >. �z.G insulation
various PA 110 Polyisocyanurate foam
insulation
Polyisocyanurate foam
insulation
various PA 110
various PA 110 Polyisocyanurate foam
insulation.
various PA 110 Polyisocyanurate foam
insulation
various PA 110 Polyisocyanurate foam
insulation
various PA 110 Polyisocyanurate foam
insulation
PA 114 Insulation fastening
assembly
Dekfast Fasteners PA 114
2 7/8" x PA 114
3 1/4"
Insulation fastener for steel
;and concrete decks
Galvalume hex stress plate.
Page 10 of 61
i Manufacturer . :
Apache Products Co.
(with current PCA)
.r-
Atlas Energy .-
.....Atlas
Products
(with current PCA)
Atlas Energy
Products
(with current PCA)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current PCA)
Construction
Fasteners Inc.
(with current PCA)
Construction
Fasteners Inc.
(with current PCA)
r....••••••01•04.••—
rank Zuloaga,
Roofing Product Control Examiner
_; 'Test > ,. •Product
:` °.Product'O Dimensions.. Specification .:: Description' 'r i!.1 Manufacturer
. 114 Polypropylene locking;; ,-,.:4 Construction
plate. Fasteners Inc.
(with current PCA)
-•
,,. r :.
� _;; ...pekfast Fastsi fi PA 114 Insulation fasteners for
T ` " '`' ° concrete decks
3.' '' � jyj 5�i��� -f _ACS �.. :�•7��
Dekf T Faste ;io:z .:c%': 17: PA 114 Insulation fastener for steel Construction
#,, ,,, - + . and wood decks. Fasteners Inc.
,';
(with current PCA)
ISO 9 +Composite
Asphalt
Asphalt Primer
ASTM D 41 Asphalt Primer
Construction
Fasteners Inc.
(with current PCA)
PA 110 Polyisocyanurate / perlite Firestone
ridged insulation (with current PCA)
ASTM D 312 Type 111 or IV Hot asphlat generic
bitumin adhesive
generic
EPS various PA 110 Extruded polystyrene generic
insulation
High Density Wood various PA 110 Wood fiber insulation board generic
Fiberboard
Pelite/Urethane various PA 110 Perlite / urethane composite generic
Composite board insulation
Perlite Insulation various PA 110 Perlite insulation board generic
Polyethylene 4 mil min. Vapor barrier / Air barrier generic
R .. various Rosin paper for barrier generic
Layer on wood decks
Roofing Nails Minimum # PA 114 Corrosion resistant annular generic
12 ring shank nails
Page 11 of 61
ISO 95+
,... k` <: ° )3�sb o- Test
Product"a Dime Specification
Ir Caps' ° .; 'M in. 32g
. x0I :, :•
aluminum roof =.
• ng
#12 ifgrlp.
•
#14 Roo$'grip
=.k
Gripdek Fastener
Hexcel Fastener
Hextra
Standard Plastic
Plate
E=NRG'Y -2
va ,.
various
• ;. l=z tt
3" round
various
various
various
PAl21
PA 110
:.:::.. PA 114
PA 114
PA 114
PA 114
PA 114
PA 114
PA 110
PA 110
- Corrosion resistant circular E
discs.
Product
Description ;:., ; -;;'r Manufacturer
Aluminum roof coating
Gypsum insulation board.
Insulation fastener for steel
or wood decks
Insulation fastener steel,
wood or concrete decks
Insulation fastener
Insulation fastener
Insulation fastener and
metal or plastic plate
Polyolefin plastic plate
Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate foam
insulation
Polyisocyanurate foam /
rockwool composite
insulation
Page 12 of 61
generic
Grundy Industries
(with current PCA)
Georgia Pacific
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
International
Permalite
(with current PCA)
NRG Barriers. Inc.
(with current PCA)
NRG Barriers. Inc.
(with current PCA)
Frank Zuloaga,
Roofing Product Control Examiner
i ,4
•
roduct' Dimensions .Specification
Olympic Standard 3" toundl iamm PA:114 ocl
• - •. •• •. _ 'w ':.s' f .. �•, notJeluenc
-- r1Z
iciFastener
„Ta •
•
Olympi4
Polypropylene
Olympic Fastener
#12
Olympic Fastener
ASAP
Olympic CR Base
Felt Fastener and
Base Sheet Disc
GlasFast Fastener
ase Board
Paroc Cap Board
p ii4Luzpi .
.A ;L14 b ni Insulation fastener
3.25" round PA 114
PA 114
PA 114
PA 114
PA 114
various
various PA 110
ix, Product
: Description
3" round galva1 ime
AZ55 steel plate
Polypropylene
plastic plate
Insulation fastener
Pre - assembled Insulation
fastener and plate
Insulation fastener
assembly for Base Sheet
fastening only
Insulation fastener
assembly with recessed
plastic plate
PA 110 Rockwool insulation
Rockwool insulation
Page 13 of 61
Manufacturer
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Owens- Corning
Fiberglas Corp.
(with current PCA)
Partek, Inc.
(with current PCA)
Partek, Inc.
with cu nt PCA)
u oaga,
Roofing Product Control Examiner
•
v . `Product
asti
U ItraGard
sul -Fixx Fastener
P
•
Rawl F ners
#12
Rawl Fasteners
#14
Rawl 2" Plate
Rawl 3" Plate
Rawlite 3" Plate
202 HS
Super Prep 11
Tru -Fast DL
t�r�btrt Test Product
Dimensions Specification t; Description:`
various''cr ' PA 110' " `- Polyisocyanurate foam
►::�I^ i :eta ;i:/. insulation
3" round
2" round
3" round
3" round
PA 114 Insulation fastener for steel
=rAzt.it noi?n' and wood decks
PA 114 3" round polyethylene
stress plate
PA 114 Insulation fastener for steel
and wood decks
PA 114 Insulation fastener for use
in steel, wood or concrete
PA 114 2" round galvalume AZ55
membrane plate
PA 114 3" round galvalume AZ55
steel plate
PA 114
PA 121
PA 121
PA 114
3" round galvalume AZ55
steel plate for use with
Rawlite fasteners
Roof coating
Roof coating
Insulation fastener for steel,
or wood
Page 14 of 61
Manufacturer
Schuller
International Inc.
(with current PCA)
SFS /Stadler
(with current PCA)
SFS /Stadler
(with current PCA)
The Rawlplug
Company Inc.
(with current PCA)
The Rawlplug
Company Inc.
(with current PCA)
The Rawlplug
Company Inc.
(with current PCA)
The Rawlplug
Company Inc.
(with current PCA)
The Rawlplug
Company Inc.
(with current PCA)
Thermo- Materials.
Inc.
(with current PCA)
Thermo- Materials,
Inc.
(with current PCA)
Tru -Fast
th turrenr - A4
Frank Zuloaga,
Roofing Product Control Examiner
7
f P
Tru-F Ultra
o
Tru -Fast DP
Tru -Fast TP
Structodeck
Test r.
Dimensions Specification
f
3.04" round ::. PA 114
P A1 . 14- .
PA 114
PA 114
PA 114
various PA 110
.. ri•t'_::: Product
Description
3.04" round polyethylene
plastic plate
3.23" round galvalume
AZ 50 steel plate.
r -114 Insulation fastener for use -
in wood, steel or concrete
decks
Stainless Steel fastener for
use in steel, wood and
concrete decks
Insulation fastener for use
in steel or wood decks
Insulation fastener for use
in steel or wood decks
High density wood fiber
Page 15 of 61
Manufacturer
. - • Tru F ast
(with current PCA)
-
Tru -Fast.
(with current PCA)
Tru - Fast
(with current PCA)
•Tru -Fast
(with current PCA)
Tru -Fast
(with current PCA)
Tru -Fast
(with current PCA)
Wood Fiber
Industries
(with current PCA)
- -..r.� -
` - Flank Zuloaga,
Roofing Product Control Examiner
Test
Agency/Identifier
b4 Factory Mutual Research
�.�t ; Corpora - tion''� •
:: {..; ''J)
F actory . Mutual Research.
' . Corporation .. :: Fr = _
utual Research
Co • '•n
Fact utual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corp.
Factory Mutual Research
Corp.
Trinity Engineering
U�iters
Laboratories, Inc.
Dynatech Engineering
Corporation
Name
Current Insulation
Attachment
Requirements
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift, FMRC
4470 - PA 114
Wind Uplift, FMRC
4470 - PA 114
Wind Uplift PA 114
Fire Resistance
Classification
UL 790 - PA 114
Wind Uplift
PA 114
TEST REPORTS
Report
FMRC 1996 •
Yi.i. f.' •
;1I.0T4A 1.AM
1.1. 1 V 8A4.AM
J.I. 1 R 1 A6.AM
J.1.0T2Q4.AM
J.1. 0Q6A6.AM
J.1.3X3A2.AM
J.I. 0Y9Q5.AM
J.I.
1B9A8.AM
J.I. 3D4Q2.AM
4483.04 97 -1
R1306, 87NK11819
#3600.02.95 -1
Page 16 of 61
Date
1.ii�.. ice.•; -:
01.01.96
08.26.92
06.28.93
11.15.91
10.17.91
07.16.91
08.02.94
07.29.94
09.04.97
04.30.97
06.06.97
01.01.93
02.02.95
-
rank Zuloaga,
Roofing Product Control Examiner
• .):: b '..."./••• ' I 11•0049 if It a.;!yi
• ‘' % :- -",.. 7 .
„ ,t •,,i-..v A:Ales ,s. ? •, , .. .. . ,
• LI • . II
Vet ii tte at, i.i.. e•.; cal.,..a
r lb di i
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7. 1e ' ;•,....1,
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' ';:: -.: '''' i ?1 f ifj.: . k,i .^. 1 •G . 4" , eV.. * 'i .„.., ,.. A ,
• .- - ` "" .' ...- ..:r:' ' .1.... ',7F- ...."‘• ' ... ! 'f • "
• „•••
`0: Name .1.— ararer B e po
•
• •. • .
•s
e
- z1511.1rzal
Wind Uplift • #4482.02.95-1 •
0A- ;.-s+ c4);1'...ur,z.no0 ,b3tiluzrit
;, •
.• •
Pgge 17 of 61
••• •
Date
„...; • ,. :•-:
• .- ".
• :
02.02.95
Zuloaga,
Roofing Product Control Examiner
,, . <• ;�,..• ,�,�,.:;�. ....� SBS
Mem�brane''ype :•
Wood, Non - insulated New Construction or Reroof
•
tion � or greater plywood or wood plank decks
wink Base sheet mechanically fastened.
Membrane:
Surfacing:
;J4g Design
Pressure:
Maximum Fire
Classification:
Maximum Slope:
Specification No.:
tent Limitations shall apply.
GAFGLAS® #75, GAFGLAS #80 Uhlman' Base Sheet, GikFGLAS® PLY 4 ®,
' GAFGLAS® PLY 6 ®, GAFGLAS FIexPlyT" Base Sheet,GAFGLAS®
!,'STRATAVENT ®Nailable, RUBEROID Modified Base Sheet or RUBEROID®
o + 4 20 applied to the deck with approved annular ring shank nails and minimum 1 ' /"
at , �icrt
tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered
along the center line of the sheet in the field.
(Optional) One, two, or three plies GAFGLAS PLY 40, GAFGLAS® PLY 60
Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt
applied within the EVT range and at a rate of 20 -40 Ibs.sq..
One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR,
Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 30 or
Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladTM SBS in
adhered in a full mopping of approved asphalt applied within the EVT range and
at a rate of 20 -40 lbs. /sq..
Or,
One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule,
RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, RUBEROID® 30,
RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladTM SBS
in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq.
(Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top
membrane) Install one of the following:
1. Gravel or slag applied at 400 lb./sq. and 300 lb. /sq. respectively in a flood coat
of approved asphalt at 60 lb. /sq..
GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an
application rate of 25 lb./sq. + 15 %.
2.
- psf (See General Limitation #7)
'A'. See General Limitation #2.
2 ":12 "; See Genera! 1 imitation #3.
Page 22 of 61
-
Frank Zuloaga,
Roofing Product Control Examiner
ROOF COVERING MATERIALS (TEVT)
ROOFING SYSTEMS (TGFU)— Continued
elation (Optional): One or more layers perlite, wood fiber, glass
r, isocyanurate, urethane, pertite/isocyanurate composite, perlite/
hane composite, wood fiber /isocyanurate composite, phenolic.
e Sheet: Two or more layers of Type G2 or G3.
Sheet (Optional): One or more layers of Type G1.
nbrane: One or more layers of "Ruberoid Torch" (smooth or granule),
ieroid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
ieroid Mop Plus" (granule).
acing: Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel.
NC Incline: 1/2
:Cation: One or more layers perlite, glass fiber, 3/4 in. min,
janurate, urethane, perlite /isocyanurate composite, perlite /urethane
posite, phenolic, 1 -1/2 in. min.
Sheet (Optional): One or more layers of Type G1, G2 or G3.
ibrane: One or more, tAy • of "Ruberoid Torch" (smooth or granule),
eroid Torch Plus" (gra. ! "Ruberoid Mop" (smooth or granule) or
eroid Mop Plus" (granul
acing: =A�IB Aluminu) , of Coating" at 1 -2 gat/sq.
C - 15/32 I Incline: 1/2
tation (Optional): 0 " . npre layers perlite, glass fiber, 3/4 in.
isocyanurate, urethane, perlite /isocyanurate composite, perlite/
pane composite, phenolic, 1 -1/2 in. min.
Sheet: One or more layers of Type G2 "GAFGLAS tt75 Base Sheet",
Hopped or mechanically fastened in place.
,heet: One or more layers of Type G1 "GAFGLAS Ply 4 ", hot mopped
.ice.
brane: "Ruberoid Mop FR" (granule).
icing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
,veather Coat Emulsion at 3 gal /sq.
- 15/32 Incline: 1/2
ation (Optional): One or more layers perlite, glass fiber, 3/4 in.
isocyanurate, urethane, perlite /isocyanurate composite, perlite/
ane composite, phenolic, 1 -1/2 in. min.
Sheet: One or more layers of Type G2 "GAFGLAS 1175 Base Sheet",
lopped or mechanically fastened in place.
heet: One or more layers of Type G1 "GAFGLAS Ply 4 ", or "GAFGLAS
hot mopped in place.
orane: "Ruberoid Torch FR" (granule).
clng (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
veather Coat Emulsion at 3 gal /sq.
15/32 Incline: 1/2
ation: Isocyanurate, 2 in. min., wood fiber, pertite or glass fiber,
hickness, hot mopped or mechanically fastened in place. Joints
6 in.
Sheet: One or more layers of Type G2 "GAFGLAS 1175 Base Sheet",
opped or mechanically fastened in place.
Beet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or
" hot mopped in place.
, rane: "Ruberoid Torch FR" (granule).
ing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
'eather Coat Emulsion at 3 gal/sq.
15/32 Incline: 1/2
ition (Optional): Isocyanurate, pertite or glass fiber, any thickness,
)pped or mechanically fastened in place. Joints offset 6 in.
sheet: One or more layers of Type G2 "GAFGLAS q75 Base Sheet",
)pped or mechanically fastened in place.
eet: One or more. *alype 61 "GAFGLAS Ply 4" or "Ply 6 ", hot
d in place.
rane: "Ruberoid Torch FR" (granule).
ing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
lather Coat Emulsion at 3 gal /sq.
Incline: 1/2
tion (Optional): Isocyanurate, wood fiber board, perlite, glass
+ny thickness, hot mopped or mechanically fastened in place.
offset 6 in.
heet: One or more layers of Type G2 "GAFGLAS ii75 Base Sheet",
pped in place.
:et (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or
hot mopped in place.
ane: "Ruberoid Torch FR" (granule).
ng (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gat /sq
Weather Coat Emulsion at 3 gal /sq.
Incline: 1/2
on (Optional): Isocyanurate, wood fiber board, perlite, glass
ny thickness, hot mopped or mechanically fastened in place.
rffset 6 in.
heet: One or more layers of "GAFGLAS q75 Base Sheet ", hot
in place.
et (Optional): One or more layers of "GAF GLAS Pty 4" or "Ply 6"
iped in place.
ane: "Ruberoid Torch FR" (granule).
ig (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq or
LOOK FOR MARK ON PRODUCT
ROOF COVERING MATER • 137
ROOFING SYSTEMS (TGFU) Continued
GAF Fibered Aluminum Coating at 1 -1/2 gal /sq. _
Deck: C -15/32 Incline: 1/2
Insulation (Optional): Pertite, fiber glass, isocyanurate, urethane, perlite/
isocyanurate composite or phenolic.
Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped
or mechanically fastened.
Ply Sheet (Optional): One or more layers Type 61, hot mopped in place.
mbrane: "Ruberoid Mop FR" or "Ruberoid .p 170 FR" (granule).
16. Deck: -
Insulation (Optional): Per e, fiber glass, i .cyanurate, urethane, perlite/
isocyanurate composite or p nolic, offs 6 in. from joints.
Base Sheet: One or more lay • of T •e G -2 or G -3 base sheet, hot
mopped or merhanically fastene _
Ply Sheet (Option .mor• ,ayers of Type G -1, hot mopped in
place.
Membrane: One layer of "Ruber. Torc " or "Ruberoid Mop" (smooth).
Membrane: One layer of "R •.eroid Torc R" or "Ruberoid Mop FR"
(granule)
17. Deck: NC
Insulation (Optio
urethane, perlite /iso
Base Sheet: One or m
or mechanically faste
Ply Sheet (Option
Membrane: On
(granule).
18. Deck: NC Incline: 1/2
Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate,
urethane, perlite /isocyanurate composite or phenolic.
Base Sheet (Optional): One or more layers of Type G -2 or G -3 base
sheet, hot mopped or mechanically fastened.
Ply Sheet (Optional): One or more layers of Type G - 1, hot mopped in
place.
Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop"
(smooth).
Membrane: One layer of "Ruberoid Torch FR" (granule).
19. Deck: NC Incline: 1/2
Insulation (Optional): One or more layers of perlite, glass fiber,
isocyanurate, urethane, perlite /isocyanurate composite or phenolic, any
thickness.
Base Sheet: One or more plies 61 or G2, hot mopped or adhered with
Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied
adhesive at 1 -1/2 gal /sq.
Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR"
(granule), hot mopped or adhered with Karnak Chemical Co. "No. 81" or
Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal/sq.
20. Deck: C - 15/32 Incline: 1/4
Insulation: Potyisocyanurate, any thickness.
Base Sheet: "GAFGLAS 1175" (Type G2), mechanically attached.
Membrane: One or more plies of '•Rubberoid Torch (smooth).
Membrane: "Ruberoid Torch FR" (granule).
21. Deck: C -15/32 Incline: 1/2
Insulation (Optional): Polyisocyanurate, wood fiber, perlite, glass fiber
any thickness, hot mopped or mechanically fastened.
Base Sheet: One or more plies of Type G2 "GAFGLAS 1175" or "Ruberoid 20
FR" base sheets, hot mopped or mechanically fastened.
Membrane: One or more plies of "Ruberoid 30 FR" hot mopped in place.
22. Deck: C -15/32 Incline: 1
Insulation (Optional): Polyisocyanurate, wood fiber, perlite, or glass
fiber any thickness, hot mopped or mechanically fastened.
Base Sheet: One or more plies of Type G2 "GAFGLAS 1175" hot mopped or
mechanically fastened.
Ply Sheet: One or more plies of "Ruberoid 20" or "Ruberoid 20441
mopped in place.
Membrane: One or more plies of "Ruberoid 30 FR ", hot mopped in place.
Class B -Fully Adhered
1. Deck: C-15/32 / Incline: 1/2
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.
Base Sheet: Two or more layers of GAF G -1, G -2 or G -3 base sheet, hot
mopped or mechanically fastened in place.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Plus" (granule).
Surfacing: Karnak No. 97 applied at nom 1 -1/2 gal /sq.
2. Deck: C -15/32 Incline: 1/2
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.
cline: 1
I): Pertite, flu • glass, wood fiber, isocyanurate,
anurate - posite or phenolic.
s Type G2 or G3 base sheet, hot mopped
ore layers Type 61, hot mopped in place.
d Mop FR" or "Ruberoid Mop 170 FR"
Membrane:
Maximum Design
Pressure:
Maximum Fire
Classification:
Maximum Slope:
Sp t 1 ton No.:
1.
1 General and Sys Limitations shall apply.
Sheet:. #75, GAFGLAS #80 Uhlma Base Sheet, GAFGLAS® PLY 4 ®, •
GAFGLAS® PLY 6 ®, GAFGLAS F1exP1yT" Base Sheet,GAFGLAS®
4i3Pts.?.uu "S: wacx.` Nailable, RUBEROID Modified Base Sheet or RUBEROID®
q :01444. ZO applied 16 the deck with approved annular ring shank nails and minimum 1 �"
tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered
along the center line of the sheet in the field.
•
Ply Stir (Optional, required when using RUBEROID 20) one, two, or three plies
GAFGLAS PLY 40, GAFGLAS PLY 6® Ply or GAFGLAS Flex Ply 6 sheet
adhered in a full mopping of approved asphalt applied within the EVT range and
at a rate of 20-40 IbsJsq..
One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, Ruberoid®
Torch Plus Granule or Ruberoid® Torch FR torch applied according to
manufacturer's application instructions.
Surfacing: (Optional) Install one of the following:
1. Gravel or slag applied at 400 Ibisq. and 300 lbJsq. respectively in a flood
coat of approved asphalt at 60 lb./sq..
GAF Premium Fibered Aluminum Roof Coating, at 1.5 gal./sq. or GAF
WeatherCoat® Emulsion at 3 gal. /sq. (Torch Smooth applications only)
- psf (See General Limitation #7)
'A'. See General Limitation #2.
2 ":12 "; See General Limitation 43.
Page 23 of 61
rank Zuloaga,
Roofing Product Control Examiner
ood Deck System Limitations•1,0 : _. h; :..45:. I .
�t 1 ' • astener spacing for anchorshe attachment is -based on a Minimum Characteristic Force (F')
ra .p r e a-4e w u
3 of 95 lbf or greater as t i co with Merto-Dade County Protocol PA 105. If F' as
- tested is below 95 lbf, a professional engineer may submit a revised fastener spacing` utilizing
`: - the withdrawal resistance value taken from Merto -Dade County Protocol PA 105 and
culations in compliance with Metro -Dade Roofing Application Stanadrd PA 117.
; r yc - ti • ::� i Cr s fL It t.NJJ 1 , %il... ::_:.:•,
ri t
:' 2.) Alllr standard ins panel sizes are: acceptable for mechanical attachment. When panels are
- applied in hot asphalt, maximum panel size shall be 4' x 4'.
a. ; Ystener spacing for insulation attachment is based on a Minimum Characteristic Force (F) of
5 lbf. as tested in compliance with Merto-Dade County Protocol PA 105 & Roofing
plication Standard PA 117. If the fastener value, as field tested, are below 275-lbf. insulation
chment shall not be acceptable.
3 A slip sheet is required with GAFGLAS F1exPly 4® and Ply 6® when used as a mechanically
fastened base or anchor sheet.
4. '/ Type X gypsum board is acceptable to be installed directly over the wood deck..
Page 57 of 61
- - -- -
Frank Zuloaga,
Roofing Product Control Examiner
asphalt shall comply with ASTM D 312 type III or type IV requirements, and
zapproved by applicant.
Fire ratings are determined by a combination of slope, deck type and assembly. Refer to
. ' % Underwriters Roofing Materials Directory or other fire testing data listed in the
57: .,
.::.. testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of
the South Florida Building Code. •
GENERAL LIMITATIONS
mum slope range shall vary for each system; consult current Underwriters
ratories Roofing Materials Directory and manufacturer's specifications for
pliance with design criteria for each project.
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, install one layer of GAFGLASS STRATAVENT Perforated, laid dry.A base sheet
may 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. Where
STRATAVENT Perforated is used over approved isocyanurate foam insulation, the
maximum design pressure is limited to - b0psf.
5 All work shall be performed by a contractor licensed to do roofing work in Metro -Dade
County. Contractor shall be familiar with the details and specifications published by the
manufacturer, and the requirements of the SFBC.
,The submission of system specifications and details shall accompany the Section II
Building Code Permit. This information is available in the publications listed in the
'System Description' of this Product Control Approval. The submission of these
documents, as well as the proper application and installation of all materials shall be the
e responsibility of the contractor.
Page 58 of 61
Zuloaga,
Roofing Product Control Examiner
i-.-'Perimeter and corner areas shall comply with the enhanced upIift..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 needed calculated in compliance
`szs with Metro -Dade County Roofing. Application Standard PA'1,17. (When. this limitation is
specifically referred withiin this NOA, General Limitation #20 will not he applicable.)
soh
attachment and sizing of perimeter milers, metal profile, and/or flashing termination
esigns shall conforrri with Metro-Dade County County Roofing Fp PA 111
and
gs shall be installed according to the manufacturers standard details, and may be
'ed in cold application adhesive, approved asphalt or may be applied in conjunction
an approved torch applied modified bitumen membrane. Specific details, approved
manufacturer, shall be submitted with the Section IIPermit Application. All details
shall omply with the provision of the South Florida Building Code.
10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force
(F) value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener
values as tested are below those listed in the System Limitations, a professional engineer may
submit a revised fastener spacing utilizing the withdrawal resistance value taken from a Metro -
Dade County Protocol PA 105 test report and calculations that comply with the . wind load
requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard
PA 117.
11 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force
(F') value of 275 Ibf., as tested in compliance with PA 105. If the fastener value, as field tested,
are below 275 Ibf. insulation attachment shall not be acceptable.
12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance
with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or
bulk tickets shall indicate. an EVT, finished blowing temperature (FBT) and flash point. Asphalt
types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South
a Florida Building Code.
sulation may be installed in multiple layers. The first layer shall be attached in
liance 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
lbsJsq., or mechanically attached using the fastening pattern of the top layer. Refer to
manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct
application procedures of insulatio anels in approved asphalt or adhesive, whir eli -
comply with provision of Roo�ink APlication Standard PA 117
Page 59 of 61
rank Zuloaga,
Roofing Product Control Examiner
r.
• N
ti
Page 60 of 61
147All standard panel sizes are acceptable for mechanical attachment. When applied in
'7cr` approved asphalt, panel site shall be 4' x 4' maximum... •
•
15.71rrre- covery/re-roofing applications, prior to the application, all existing roof surfaces used as a
-._.'.-onding substrate shall be tested in compliance with Metro-Dade County . Protocol PA 124 for
uplift resistance. Test pressures shall be calculated in compliance with the wind load
requirements of Chapter 23 of the South Florida Building Code to the design pressure of the roof.
16 In re- roofing applications, moisture content in an existing roof must be in compliance with
Section 3401.10(m), (n) of the South Florida Building Code.
11 good materials shall be stored on end and on a clean, flat and dry surface.
eequired, any Factory Mutual Approved vapor barrier in conjunction with proprietary or
approved adhesives may be used prior to the application of the insulation layer.
19 Consult current Underwriters Laboratories Directory for the appropriate coating for each
roofing assembly to obtain the required fire rating. The assembly shall be installed in
strict compliance with sections 3401.5 and 3401.6 of the South Florida Building Code for
maximum fire classification.
20 The maximum designed pressure limitation listed shall be applicable to all roof pressure
zones (Le. field; perimeters, corners). No 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.)
rank Zuloaga,
Roofing Product Control Examiner
•
_)
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
ACCEPTANCE NO.: 97 -0814.14
APPROVED: November 6,1997
EXPIRES: November 6, 2000
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the
original submitted documentation, 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 manufacturer's name, city, state, and the
wing statement: "Metro -Dade County Product Control Approved ", or as specifically stated in the
jfic conditions of this Acceptance.
a)
b)
c)
als of Acceptance will not be considered if:
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;
The product is no longer the same product (identical) as the one originally approved;
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 office.
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 Metro -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
A N+. Mimes. 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.
9 This Acceptance contains pages 1 through 61 -- - -
END OF THIS ACCEPTANCE
�..� Page 61 of 61
Frank Zuloaga,
Roofing Product Control Examiner
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 Miaml
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miaml 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.
D ate... _ ..__.... _... / _. �f..e � .__..._... , 19.
Owner's Name and Address G • _ �! ,� sass No....,/ -r52...._ Street-AX 67z.
Registered Architect and /or Engineer
Name and address of licensed contractor.
Location and legal description of lot to be built on:
Lot . Block Subdivision
® 6 f •
Street and Number where work is to be done
State w to be done and purpose of building (by floors O
s G>
.._.._.. sass .._........... ... . _
c 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 $ /amount of Permit S.-
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 an i specifications or said lding. All notices with reference to the building and its construction may
be sent to......3 - S s
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 on th site ofth work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco ors, ork permed under this
pennit, as are licensed by Miami Shores Village.
Remarks -. -. (Signed)..
Permit No
Disapproved
(Signed)
Z9‘- 7 /f�
MIAMI SHORES VILLAGE ,V
BUILDING INSPECTION DEPARTMENT
.0T7 e
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
to me well known,
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.
C
— r ?
& 6 3, rr 4' 7 4
/ 4y
Read, Sworn to and Subscribed before me.
Date
Date
Notary Public, State of Florida
Bui mg Inspect° My Commission Expires
PL INC 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 nfter approval has been obtained from
the Planning Board.
A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
MIAMI SHORES VILLAGE ,,2,
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.
ONvnc Name and Address
Registered Architect and /or Engineer.
New Building
To be constructed of
Estimate Total cost of improvements $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Date. _ _ .._.....19..
No..../ . _ .. Street. 6e:,9/ -P
Name and address of licensed contractor....... b:._._.:........ • • ' _..r `�i Er d!! ._
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 done and purpose of building (by floors) ,. _. ..... -. _......... -ms ...... ____
i • - - f '%y.' a.'/.1" 4, ? , '%. t x., i. cts. .and for no other purpose. •
Remodeling
Addition Repairs No. of Stories
Kind of foundation Roof Covering. `Ls fe„sr% 6'..'
a r : %U
r "
r �.. Amount of Permit S.
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
♦ O f
be sent
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 subcop ors, ri .to;b performed under this
permit, as are licensed by Miami Shores Village. - ,�y ... , - -
Remarks (Signed)...a. (6 _ -:-Y- r !t -- _. --__ ...."'
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared - --
____ to me well known,
and who, being by me first duly sworn, upon oath deposes and says that be 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 Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector 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 fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty
materials and /or workmanship.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement or are 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 iluil. ling 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 progress of the work.
Owner's Name and Address Mr. John Newbern .56_N.E, 91
roofer Street —.
Registered Architect and /or
Name and address of licensed contractor. 2 - S • W i „ 69th Co> t , },�,AM�, ,�,,A,zida.,, - - Ej,er
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 156 N A E t 9 1 KPQt.
G .
State work to be done and purpose of building (by floors) Re-roof 1811 5 gy flat cement cement tile and re -root twg uarews,..of,.. float ...rAA£- ..goin.g....back...with
built up gravel.
STATE OF FLORIDA, CC: 10228
COUNTY OF DADE. ss • : 261 -66 -2146
Chairman
Member
Member ..
Council Approved
Date
NOTE: A charge of $1.00 will be made for
the 1'L,nnir Board.
A re inspection fee of $1.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
Building Inspector
BUILDING INSPECTION DEPARTMENT
Pierce Roofing., Inc,
Date_,. - -.._ ?arch 29th, 1982 .1 9_82
and for no other purpose.
New Building Remodeling Addition ArelSsicargralaf. .. No. of Stories one
To be constructed of Kind of foundation Roof Covering flat tile and
Estimated Total cost of improvements $ 4,765,00 Amount of Permit 5.20..00 built up gravel.
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.. Pier.c.e...Roo.f.ing.,....In.G. 2. 7. 2 .1....S..161.....6.9.th....Court Miami.,..... 1or.ida..33155
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 loyed 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 w sac public notice
or notices as are required by the Act. The undersigned agrees to employ only suc g . •ntractors, on work to be rfo ed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks.... ...... (Signed)
Bcfore 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 fads
therein by him stated are true.
Permit No .p� 3 `£i ,
Disapproved Date
(Signed)
4/(,/s>--
Read,)rn to and me.
to me well known,
Notary Public, State of Florida
My Commission Estpirestkca Y.-P_U911.O.SIAIE 0E .ELQR1t1LAT t eRGI
MY COMMISSION EXPIRES APR 24 1984
PLANNING BOARD DAT®®NDED TNR! I r:ctocl A I INS UNDERWRITER'
Member
Member
-- ....__..._._..._. — ...._ Member ... - _ --•-
Date 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
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 prggress of the work.
Owners Name and Address Baden Realty- -Barie N9 9
Registered Architect and /or Engineer 111...1....1.211_.... ,,1111.1
Name and address of licensed contrjtctor Andrews Roo f i ng _._.._.. J.[np 7 a .
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
156 N.E. 91.5.1
State work to be done and purpose of building (by floors) repair re
where leakin in valley on
. .........
0 felt, 90 slate, Plastic cement &
New Building Remodeling Addition Repairs X X No. of Stories 1 —
To be constructed of Kind of foundation Roof Coverings e d flat t i 1 e & a s b.
Estimated Total cost of improvements $ 340.0 0 Amount of Permit $. 5.00
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 t 4ndrews Roofing F Imp. Co. 4300 E. llth Ave. Hia. 33013
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 tq be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. SS.
Permit No.
Disapproved
( Signed) Z17
Building Inspector
PLANN E G BOARD
Date. .._--- _...
d flat tile & asbestos roof
in front porch f garage using
membrane. "Lay tile back.
an tor no other purpose.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
-- ..... _-.... ______ - -- — _ -- --- to me well known,
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- foregotn application, and that he did sign the same, and that all facts
therein by him stated are true.
J / �
�.� Date 1 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
Chair:nan Membcr
Member Member
,fember
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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anu /or workmanship.
Per , it No.
Disappro\ -ed
1.4 n t
( Signed) J
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Applicat on is hereby rnade for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o. other stru ture he'ein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores V-ltag F orida, and all previsions of the Laws of the State of Florida, all ord'nances of Miami Shores Village and all piles and
regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A op of approv d
plans and specifications must be kept at building during progress of the work.
State work to be done and purpose of building (by floors)
8 squares
Remarks__ _. -. (Signed
Date ` C
Date
Building Inspect
BUILDING INSPECTION DEPARTMENT
■
August 23,
Date_
Owners Name and Address
Marion Bangs 156 NE 91
No.. Street
Registered Architect and Engineer _.
Name and address of licensed contractor _ PALMER'S ROOFING CO., - INC • _ 1729 _ No. Miami Avenue
Location end legal description of I it to be built on:
Lot__ __ _ _____ _ _ _ _ _ _ _ _ ___ _ Block _ _ _ _ Subdivision_
Street and Number where work is to be done. 156 N. E • 91st Street
Re- Roofing 30 -90 slate tile
. ..__ and for no other purpose.
New Building _ _. _ _ Remodeling _ _ . - Additroi, - Repairs . _ - -_ No. of Stories __ _ ..
To be constructed of Kind o foundation _ _ _ _ _ Roof Covering
Estimated Total cost of improvements $ ___ X45 Amount of Permit $
Zone cubage required_ _Plan Cubage
Distance to next nearest building_ _Size of Building Lot
Maximum live load to be I., me by each floor
I hereby submit all the plans ar,d specifications for said building. All notices with reference to the building and its construction may
be sent to _ PALMER'S ROOFING CO., INC. No Miami Avenue
The undersigned applicant for this building perrnit 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 ent Supplement,
and has complied with the previsions thereof, and will require similar compliance from all contractors or s ontractors en .loved by him
m the work to be performed u der this permit; and will post or cause to be poste : inspection on th e of the wow. public notice
or notices as are required by the Act. The undersigned agrees to employ only . s ;� %rte acto
perrnit, as are licensed by Miar_ Shoes Village.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary publ.. , duly uthorized to administer oaths and take acknowledgments, personally ap-
peared __
and who, being by me fi. st duly swoni upon oath deposes and says that he is the _
of the above described constiu tion tha, ne has carefully read the foregoing a ""plicat;on, and that he did sign the same. and that all facts
therein by him slated are true
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires .
NING BOARD - DATE
Chairman . _ Member
Member Member
Member - _ M'' ,ber _
Cou .:.il Approved Da.e D sapproved
19 66
J °Q
to me well known,
_ . Date
NOTE. A charge of $1 00 will be made for making corrections or changes to this application after appr. val has been obtained from
the Planning Board
A re- i,._peu' i fee of $1.00 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
DATE
PLUMBING ❑ PERMIT N9 7882
ROOFING El
BUILDING ❑
Architect
Owner of m ,,,
•� -.o`c,
Contractor
or Builder
Lot
Legal
Description
Work to be performed under this Permit
Subdi-
Bl vision
Contractor's
License No.
U
:} ' Value of �.. 4: - --
Address of I Amount of
�-- ,; � ;� ; 7 r �
. -
Building • 1 ' 'f ...t ;� Project $ ia 1 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed. A d 'Q.. %!` r " =r INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in comAance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the properc'authorities of Miami Shores Village. In ac
cepting this permit I assume responsibility for ell work done by either, myself, mypagent, servant or employee.
a ,,. rr
Y M
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT '4S°'