ROOFINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date(/ 'O • }/ Job Address 3 /e// 9/ , Cze Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Master Permit # �' 8 )
Owner's Address 3 23 AE 9/srS7Aaat=7
Contractin Co. J;(71A/ �(,6ST/) -
Qualifier T Blesrig
State # ' ' g04eg Municipal # Competency # Ins. Co.
Architect/Engineer /!/A
Bonding Company /(/®
Address
Address
Mortgagor /% Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAI4OOFIN9 PAVING FENCE SIGN
WORK DESCRIPTION RE - " /47 terj< ARM
Square Ft. 7/ i Jir
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.
Signature • •wner and/or Condo President Date
c 51
Notary as t as and/or Condo President
My Commi §sion_Expues:�
� .:��'' c i :.�.
• r..�
FEES: PERMIT
APPROVED:
".7
RADON
Zoning Building
Date
SS#
Phone 30.5 — 64a/ 7 1 7 1 g 7
Address 3a, 9 /.1i ,s•z r
Estimated Cost (value) $'4 300
Signature of Contractor or Owner- Builder
Notary as to Contractor or Owner- Builder
My Commission Expires: _ _ _ .
C.C.F. NOTARY - 1 1 ) BOND
Mechanical Plumbing Structural Engineer
CO
TOTAL DUE 5 23
Phone. 96 9f
D -03 — O/
Date
Date
r ,
MO
1L�_i
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. //32)06 4/3 65"00
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 Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: 32.3 /✓. F. 9/ S39 7 '
, f/Affi zilmoS,AZ , 33/38
LOT /5 /6 8Loc, 4e? P6 to -10
2. Description of improvement: RE-ki.A11 - /iV(
3. Owner(s) name and addressMthAM. / 4 TLERkE
323 4e4 &el,sailder<- ,CZ. 3
Interest in property:
Name and address of fee simple titleholder: NA'
4. Contractors name and address: Zf '//ic/ Re/STA ICO30/ .T 1e. .
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: /(/jr9
Amount of bond $
6. Lender's name and address: /V
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
. by Section 713.13(1)(a)7., Florida Statutes,
Name and address: /r/ /4
8. In addition to- himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: 4
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
Signaf of Owner
Print Owner's Name i 4 rage
Sworn to and subscribed before me this .3 day of /fiAy , 20 f.7 / .
Notary Public C§
Print Notary's Name
My Commission Expires
SEAL
A BUS"rA
F FL
COMMISSION NO. CC 75257
fC' CCMMt G 3N r );F. 3'E.t'T i 4,2 )O2
STATE OF FLORIDA, CCU1 T Y OF DADE
I HEREBY CERTIFY that this is a ;, py of the
original filed in this cMico on day of
-. ,47 " , AD 20 a/
bt ITNcSS/my hand and Official Seal.
HA RVEY ircuit an
r D F: K, of Circuit County IV1 r Courts
Y
D.C.
Prepared by�,irJAis 4
Address: ‘9 AE" cr r
PERMIT NO. .
ADDRESS:
MIAMI SHORES
BUILDING / ZON
VILLAGE .
NG DEPARTMENT'
SECTION
BY
DATE
ZONING'
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
" PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to cocapflancc with ett Federal, State.
Co ty,Yatage rules and revtattcns. Ydtage mum=
M10 responstbltlty for accurtcr otter results froca
these plans.
2. This copy of plans mutt be sulfate ce
bacling cite or co tnspection wilt he condccted
JOB ADDRESS
APPLICANT
PHONE #
APPUCATION #
SHEET OF •
MISCELLANEOUS
(N)<'
4 t
DATE
CRITIQUE SHEET
A)10_, yt 34
COMMENTS INITIALS
Contractor's NamZaViVaZs222 Job Address: 3 g3 A/.E 9 /if;
ROOF CATEGORY
X (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof X Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') 7zo 7 -o Sloped Roof Area (ft') -- Total (ft') 72.40 Master Permit No.
Exposure category (per ASCE 7 - 88): Building Classification category (per ASCE 7 -88 table I):
/4
Ft.
Ft.
//
ROOF HEIGHT AND VSTEM DETAILS
(Draw det Isis needed)
rk
GA f. `,iEN7'ST2
.aS 1 O
1 i
ATTACHMENT
SPACING
Deck type: 10 MAMIE 11 1
eleatE
Fastener Typei T PS GII //774. t4/4,.t
u e
Ftc d: /' Perimeter: f%O Corner: �p
DETAIL 1 & 2
■
te
ROOF PLAN
123.01 -78 4/99
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Page -I RAT AREA A 1 # Qty 4 O
Pi to fiPla 13 20 G' 07
Rid eV ntilation?
Deck type:
MEAN HEIGHT
(Pm ax
(Pmax2:
(Pmax3:
Underlaytuent
Insulation:
D E T A I L 3
X (A• odynamic Multiplier):
X (Aerodynamic Multiplier
Appendix "E "•
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
SLOPED SYSTEM DESCRIPTION
N /i4
1Y•
ROOF SLOP[
X (Aerodynamic Multiplier ' ) - M
N/A
Fastener type & spacing:
Lap Sheet: dIV /Q
Roof Covering:
N/A
TILE CALCULATIONS
Page -2
a�
Drip edge:
•
ATTACHMENTS REQUIRED
I) Fire Directory Listing Page
2) Miami -Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner
with the required roofing permit, to provide the owner with this appendix and to explain to the owner the
content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
The owner's initial in the adjacent box indicates that the item has been explained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
ng that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
d in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually
concealed prior to removing the existing roof system)
3. Common Roofs: Common roofs are those which have no visible delineation between
boring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
5104 APPENDIX "F"
4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
e viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
a ause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
//i / 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
"0. •aded from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with Chapter 23 of the SFBC.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
for of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of the roof.
wner's /Agent's Signature
Signature
Contractor's
Signature
PRODUCT CONTROL NOTICE OF ACCEPTANCE
G.A.C. Materials Corporation
1361 Alps Road
Wayne NJ 07470
The expense of such testing ‘vill be incurred by the manufacturer.
Acceptance No.:00-0331.15
Expires: 1 1 /04/2003
A p p roved : 06/29/2000
METRO -DADE FLAGLER 8&.
BUILDING CODE COMPLIANCE pFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET. SUITE 1603
MIAMI. FLORIDA 33130.1363
(305)375.3901 FAX (30S)375.3901
CONTRACTOR LICF_\SL\G SECTION
(305) 375.2527 FAX (30$) 3
CONTRACTOR ENFORCEMENT SECTION
(303) 375.2966 FAX (303) 375 -290$
PRODUCT CONTROL DIVISION
(305) 375•2902 FAX (305) 372.6339
Your application for Product Approval of:
GAF Conventional Built -Up Roof Systems for Wood Deck.
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami =Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at anytime from a jobsite or manufacturer's plant for quality control testing.
If this product or material fails to perform in the approved manner, BCCO may revoke. modify, or suspend
the use of such product or material immediately. BCCO reserves the right to revoke this approval, il' it is
determine' BCCO that this product or material fails to meet the requirements of the South Florida Building_
Code.
Raul Rodriguez
Chief Product Control Division
THIS IS THE COVERSI{EET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COW
the Cole
. _''•' ... ''.: o • t i; ( r ' conditions \
RC CC alp �:, t v. ,SCC :�: �.1�: 1. -.,l;i I'�:J.'�.a under �: CO lulii0 S SC 101'(11 a7 e. 0
'rancisco . Quintana. R.A.
Director
l
01'32 Miami -Dade County
Building Code Compliance Olria
Internet mail address: pos (master @huildingcodeonline.com Homepage: http : / /www.buildingcodeonline.com
ROOFING SYSTEM APPROVAL
Catcoorv:
Sub- Catet.orv:
Deck Type:
Maxim nn Design Pressure
Fire Classification:
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
Product
GAF Asphalt
Concrete Primer
GAF Mineral Shield'ID
Granules
GAF WeatherCoat2
Emulsion
GAF Premium
Fibered Aluminum
Roof Coatine
GAF Jetbl::; All
Weather Pl.-Is-tic
Cement
R 3ER C,�3
Jetblack Premium
Flashing Cement
GAFGLAS® #75
GAFGLAS #30
Ultima Base Sheet
GAFGLAS Ply 60
!tootng
I3UR
Wood
-75 psf
See General Limitation #1
Test
Dimensions Specification
5, 55 gallons ASTM D 4 I
60 lb. bags
5 gallons
I. 5 gallons
I, 5 uallons
5 gallons
3 sq. roll
75 lb. roll
2 Sq. Roll
70 lbs. /roll
5 sq. roll
45 lb. roll
Asphalt concrete primer used to promote
adhesion of asphalt in built -up roofing.
ASTM D 1 363 Granules for surfacing of exposed asphalt,
cold process cement or emulsion. GAF
Mineral Shield® Granules shall be used
for flashin`, applications only.
ASTNI 1227 Surface coating for smooth surfaced roofs.
ASTM D 2824 Fibered aluminum cottinr_.
AST\I D 3019 Refined aspi:a!: blended with a mineral
AST`I D 3409 stabilizer and tibe-s. Permits adhesion :o
\ and c'. e
.ASTM D •
ASTM D 4586 Asphalt flashing Cement
ASTM D 4601 Asphalt impregnated and coated glass mat
base sheet.
ASTM D460I Asphalt impregnated and coated, fiberglass
base sheet
ASTM D 2173 Type VI asphalt impregnated glass Mt
With asphalt coating.
of 32
1 r
Product
Description
Approval Date: June 29 2000
•
Expiration Date: November 04 2003
Zulouga, RRC
Roofing Product Control Examiner
' Product
GAFGLAS Flex
PIyTM 6
GAFGLAS Ply 4®
GAFGLAS®
Mineral Surfaced
Cap Sheet
Test Product
Dimensions Specification Description
5 sq. roll
45 lb. roll
5 sq. roll
76 lb. roll
ASTM D 2173 Type VI asphalt impregnated glass felt
with asphalt coating.
ASTM D 2178 Type IV asphalt impregnated glass felt
with asphalt coating.
ASTM D 3909 Asphalt coated, glass fiber mat cap sheet
surfaced with mineral granules.
GAFGLAS® 60 lb. roll ASTM D 4897 Fiber glass base sheet impregnated and
STRATAVENT® D 3672 coated on both sides with asphalt.
Perforated Surfaced on the bottom side with mineral
granules embedded in asphaltic coating
with factory perforations.
GAFGLAS® Flashing various Asphalt coated glass fiber mat flashing
sheet available in three sizes.
GAFGLAS 69 lb. roll ASTM D 489 Fiber glass base sheet impregnated and
STRATAVENT D 3672 coated on both sides with asphalt.
Nailable Surfaced on the bottom side with mineral
granules embedded in asphaltic coating.
RUBEROID Modified 3 sq. roll ASTM D4601, Premium glass fiber reinforced SBS-
Base Sheet 67 lbs. Type II, UL modified base sheet
Type G2 BUR
G.AFTEMP 3 various PA 1 I
ors � 0 Pol.isoc%a:;r...:_ 'oa:7 insulation.
Isotherm
Tapered C.\[" T Ev P . .'.':O :s PA ,0 Taperc l n- :. "2: i7.sulation
I sct;.c,: R
G.\FTENIP Isotherm , .arious PA 110 Polyisocyanurate roam insulation
RA
Tapered GAFTEMP various PA 110 Tapered Polyisocyanurate foam insulation
Isotherm RA
GAFTEMP Isotherm various PA 110 Polyisocyanurate foam insulation
RN
Tapered GAFTEMP various PA 110 Tapered Polyisocyanurate foam insulation
Isotherm RN
3 of 32
Frank Zuloaga, RRC
Roofing Product Control Examiner
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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
Registered Architect and/or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot ,/, " /6' Block �a
/z;1
Street and Number where work is to be done -'
State work to be done and purpose of building (by floors), state
3bz 1c
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Subdivision
Date I I
Remarks (Signed)
°KJ
/i-f to //r
Read. Sworn to and Subscribed before me.
Date ` - /6)- -- / l j 9 A 0
No. 303 Street /V
exterior colors (submit samples) ,r � f/ ' �'" y r� � /
,r / i` �// / Gi Fr i 4� Gf 02
and for no other purpose.
New Building Remodeling Addition Repairs / 5 3 of Stories �—
To be constructed of Kind of foundation Roof Covering r/"7 , 9✓" /se L
Estimated Total cost of improvements S 2 s Amount of Permit S 0
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 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 obligatons 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.
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true.
Permit No.
Disapproved - Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
Notary Public. State of Florida
4v.
Product
GAFTEMP®
Composite
Tapered GAFTEMP®
Composite
GAFTEMP®
Composite A
Tapered GAFTEMP®
Composite A
GAFTEMP®
Composite N
Tapered GAFTEMP®
Composite N
GAFTEMP®
Fiberboard
G.AFTE`1Pg
P�rmal::e =;
GAFTENI?
E3 card
GAFTE v1P s.
High Density
Fiberboard
GAFTITE® #12
Standard
Roofing Fastener
GAFTITE® #14
Heavy Duty
Roofing Fastener
GAFTITE ASAP
Test
Dimensions S pecification
various
various
various
various
various
various
various
various
I ? thick
various
PA 110
PA 110
PA 110
PA HO
PA 110
PA 110
PA 110
PA i10
PA 1 10
PA 1 1 4
PA 114
PA 114
4 of 3?
Polyisocyanurate foarp insulation with
high density fiberboard or Permalite perlite
insulation.
Tapered Polyisocyanurate foam insulation
with high density fiberboard or Permalite
perlite insulation.
Polyisocyanurate foam insulation with
high density fiberboard or Permalite perlite
insulation.
Tapered Polyisocyanurate foam insulation
with high density fiberboard or Permalite
perlite insulation.
Polyisocyanurate foam insulation with
high density fiberboard or Permalite perlite
insulation.
Tapered Polyisocyanurate foam insulation
with high density fiberboard or Permalite
perlite insulation.
Fiberboard insulation.
Perlite insulation board.
Product
Description
High density ' fiberboard insulation.
Insulation fastener for steel and plywood
decks.
Insulation fastener for steel, wood and
concrete decks.
Pre - assembled GAFTITE Fasteners and
metal and pla
ran Zuloaga, RRC
Roofing Product Control Examiner
C
Product
GAFTITE® Base
Sheet Fastener and
Plate
Galvalume Plates
NTB Fasteners
3" and 3 'A"
Polypropylene Plates 3" and 3 '''A'
Ruberoid® 20
Ruberoid Mop
Granule
RUBEROID MOP
Smooth
RUBEROIDB MOP
PLUS
RUBEROIDE MOP
1'OFR
R :JBEROIDZ MOP
FR •
RUBEROID®
TORCH Smooth
RUBEROID®
TORCH Granule
RUBEROID®
TORCH PLUS
Test
Dimensions Specification
1.5 sq. roll
95 lbs.
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.
'/. sq. roll
93 lbs.
PA 114
PA 114 Round galvalume stress plates.
PA.1 14 Fastener for use in gypsum, tectum and
lightweight insulating concrete decks.
PA 114 Round polypropylene stress plates.
ASTM D 5147 SBS modified asphalt base sheet and
interply sheet reinforce with a glass fiber
mat.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 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 5 147 Non-Woven ccl• ester mat coated with fire
retardant :c:..7._7' modiried asphalt and
sur;'a,:ed ,.., ,... era
.\STM D 5147
ASTM D 5147
ASTM D 5147
ASTM D 5147
5 of 32
Product
Dcscrintion
Base sheet fastening assembly.
Non -Woven : ester mat coated with tiro
retardant polymer modified asphalt and
surfaced with mineral granules.
Heavy duty, polyester reinforced, asphalt
modified bitumen membrane, smooth
surface.
Heavy duty, polyester reinforced, asphalt
modified bitumen membrane, granule
surface.
Heavy duty, polyester reinforced, asphalt
modified bitumen membrane
surface
Zuloaga, RRC
Roofing Product Control Examiner
Product
RUBEROID® 3 /4 sq. roll ASTM D 5147 Heavy duty, polyester reinforced, coated
TORCH FR 90 lbs. with fire retardant asphalt modified
bitumen membrane, granule surface.
RUBEROID® 30 1 sq. roll ASTM D 5147 Non woven fiberglass mat coated with
92 lbs. polymer modified asphalt and surfaced
with mineral granules.
RUBEROID® 30 FR 1 sq. roll ASTM D 5147 Non woven fiberglass mat coated with fire
92 lbs. retardant polymer modified asphalt and ..
surfaced with mineral granules.
RUBEROID lsq. roll ASTM D 5147 Woven fiberglass mat coated with Polymer,.
ULTRACLAD® SBS 101 lbs. modified asphalt and surfaced with
aluminum, copper or stainless steel foil.
Vent Stacks (metal PA 100(A) One way valve vent used to relieve built -
and plastic) ASTM D 1929 up pressure within the roof system. GAF
ASTM D 635 Vent Stacks are available in metal or
plastic.
GAF Aluminum
Emulsion
RUBEROID 109. Roll
LLTRACLAD SBS 101 lbs.
G �F Root 5 CZ allons
Test Product
Dimensions Specification Description
5 gallons None Mineral colloidal bituminous emulsion
with reflective aluminum flakes
ASTM D 5147 Woven fiber lass mat coated with Polymer
modified asphalt surfaced with aluminum,
copper or stainless steel foil.
AST`1 D2324, Nor ..bere : m Di e ^:e�, aspha::
T. re I
GAF Bui,t -L'p 100 lb. cartons, AST\f D3:2, Interply a :1J surac:ng asphalt
Roofing Asphalt bulk Types I, II, III
and I V
RUBEROID MOD 60 lb. kegs SEBS modified asphalt
.Asphalt
RUBEROID MOD 60 lb. kegs SEBS modified asphalt
Asphalt L
RUBEROID MOD 60 lb. kegs SEBS modified asphalt
Asphalt P
6 of 32
rank Zuloaga, RRC
Roofing Product Control Examiner
C
Product
GAFTEMP
Composite A
GAFTEMP Tapered
Composite A
GAFTEMP
Composite N
GAFTEMP Tapered
Composite N
GAFTEMP Tapered Various
Isotherm R
GAFTEMP Tapered Various
Isotherm RA
GAFTEMP Tapered
Isotherm RN
GAFTEMP
GAFCANTT"
GAFTENIP
GAFEDGET't
Tapered Edge Strip
GAF
PElPNI- \CITE"
r'
Roor
hisulation
Shingle- MateTM
Underlayment
GAFTITE® ASAP
Test
Dimensions Specificatio
Various
Various
Various
Various
Various
Various
Various
Various
GAFTEMP Recover 1/2" thick,
Board Various sizes
4 sq. roll
30 lbs.
500 per box
PA 110
Polyisocyanurate/wood fiberboard
composite
PA 110 Tapered Polyisocyanurate/wood fiberboard
composite
PA 110 Polyisocyanurate /wood fiberboard
composite
PA 110 Tapered Polyisocyanurate /wood fiberboard
composite
PA 110 Tapered polyisocyanurate foam
PA 110 Tapered polyisocyanurate foam
7 013
Tapered polyisocyanurate foam
Cut perlite board
Tapered perlite board
PA ; . 1 Tape:-.2d
PA 110 Perlite board
Product
Description
Fiberglass reinforced shingle
underlayment
PA 114 Pre - assembled fastener and metal and
plastic plates
ran Zuloaga, RRC
Roofing Product Control Examiner
r•
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS:
Product
Test
Dimensions Specification
Product
Description
Pyrox various PA 110 Polyisocyanurate foam
insulation
ACFoam I various PA 110 Polyisocyanurate foam
insulation
ACFoam 11 various PA 110 Polyisocyanurate foam
insulation
Hy -Therm Nail -line various PA 110 Polyisocyanurate foam
insulation
Hy -Therm SP various PA 110 Polyisocyanurate foam
insulation.
Hy -Therm AP various PA 110 Polyisocyanurate foam
insulation
Hy -Therm Stable R various PA 110 Polyisocyanurate foam
insulation
Nv -Therm White
r i n e
Deans: Fasteners
; 4
Dekfast Hex Plate
various
2 7/8" x
3 1/4"
PA 110 Polyisocyanurate foam
insulation
PA
!.,su!ation :as
a ssembl,.
PA I !a Insulation fastener • or s:ec
and concrete decks
PA 114 Galvalume hex stress plate.
Dekfast Lock Plate 3" x 3 1/4" PA 114 Polypropylene locking plate.
of 32
• Manufacturer
-vJJ I.17 :_ark
Apache Products Co.
(with current PCA)
Atlas Energy
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.
ith current PCA)
=c,ote
C. Corp.
.::. current PCA)
Construction
Fasteners Inc.
(with current PCA)
Construction
Fasteners Inc.
(with current PCA)
Construction
Fasteners Inc.
(with current RCA)
oaga, RRC
Roofing Product Control Examiner
Tes Product
Product Dimensions Specification Description Manufacturer
Dekfast Fasteners PA 114 Insulation fasteners for Construction
#14 concrete decks ~. Fasteners Inc.
(with current PCA)
Dekfast Fasteners PA 114 Insulation fastener for steel Construction
#12 and wood decks. Fasteners Inc.
(with current PCA)
ISO 95+ Composite PA 110 Polyisocyanurate / perlite Firestone
ridged insulation (with current PCA)
Asphalt ASTMM D 312 Type III or IV Hot asphlat generic
bitumin adhesive
Asphalt Primer ASTM D 41 Asphalt Primer generic
EPS various PA 110 Extruded polystyrene generic
insulation
High Density Wood various PA 110 Wood fiber insulation board generic
Fiberboard
Pelite.'L'rethane various PA 110 Perlite / urethane composite generic
Comp )s :te board insulation
Perli Insulation various PA 110 Perlite insulation board generic
Poi:, ::11: 4 mil min. Vapor barrier / A:r 72.77 generic
R_ Rom .: .a,ious
Rosin piper t•_, b:..._: ge.._ -
on wood decks
Rooting Nails Minimum n PA 114 Corrosion resistant annular generic
12 ring shank nails
Tin Caps Min. 32 ga. x Corrosion resistant circular generic
15/8. discs.
MB aluminum roof PA 121 Aluminum roof coating Grundy Industries
coating (with current PCA)
Dens -Deck various PA 110 Gypsum insulation board.
9 or 32
Georgia Pacific
(with curre ' CA
Frank Zuloaga, RRC
Roofing Product Control Examiner
Test
• Product Dimensions Specification
#12 Roofgrip
#I4 Roofgrip
Gripdek Fastener
Hexcel Fastener
Hextra
Standard Plastic
Plate
ISO 95+
E'NRG'Y -2
ISORoc
C k m c: S' n l ar d
Olympic Fastener
»I4
Olympic
Polypropylene
3" round
various
various
various
3" round
Product
Description
PA 114 Insulation fastener for steel
or wood decks
PA 114 Insulation fastener steel,
wood or concrete decks
PA 114 Insulation fastener
PA 114 Insulation fastener
PA 114 Insulation fastener and metal
or plastic plate
PA 114 Polyolefin plastic plate
PA 110 Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate foam
insulation
PA 110
Polyisocyanurate foam
rockwool composite
insulation
PA 11-4 3" round eakah.:n,`
A755 steel pL t
PA 114 Insulation fastener
3.25" round PA 114 Polypropylene
plastic plate
10 of 32
Manufacturer
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)
Firestone
(with current PCA)
NRG Barriers, Inc.
(with current PCA)
NRG Barriers, Inc.
(with current PCA)
Olympic
Ninn�.taeturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Frank Zuloaga, RRC
Roofing Product Control Examiner
C
Test Product
Product Dimensions Specification
Description Manufacturer
Olympic Fastener PA 114 Insulation fastener Olympic
#12
Manufacturing
Group, Inc.
(with current PCA)
Olympic Fastener PA 114 Pre - assembled Insulation Olympic
ASAP fastener and plate Manufacturing
Group, Inc.
(with current PCA)
Olympic CR Base PA 114 Insulation fastener assembly Olympic
Felt Fastener and for Base Sheet fastening Manufacturing
Base Sheet Disc only Group, Inc.
(with current PCA)''
GlasFast Fastener
Paroc Base Board
Paroc Cap Board
Multi-Ntax
Ntu'ti -`•tax FA
lnsul -Fixx Fastener
Insul -Fixx P
Rawl Fasteners
#I2
various
various
various
various
• arlJ'.:�
PA 114 Insulation fastener assembly Owens- Corning
with recessed plastic plate Fiberglas Corp.
(with current PCA)
PA 110 Rockwool insulation Partek, Inc.
(with current PCA)
PA 110 Rockwool insulation Partek, Inc.
(with current PCA)
PA 110 Polyisocvanurate foam Rmax, Inc.
insulation (with current PCA)
PA 110 Polvisocvanuratc : Rmax, Inc.
insulation (.`.:th current PCA)
P:\ Pc I: isoc\. an..:rat_ ,= Schuller
insulation International Inc.
(with current PCA)
PA 114 Insulation fastener for steel SFS /Stadler
and wood decks (with current PCA)
3" round PA 114 3" round polyethylene stress SFS /Stadler
plate (with current PCA)
PA 114 Insulation fastener for steel
and wood decks
IIof32
The Rawlplug
Company Inc.
(with current PCA)
Frank Zuloaga, RRC
Roofing Product Control Examiner
Product
Rawl Fasteners
#14
Rawl 2" Plate
Rawl 3" Plate
Rawlite 3" Plate
Super Prep 11
Tru -Fast DL
Tru -Fast Plastic
Plate
Tru -Fast Ultra
Tru -Fast DP
Tru -Fast TP
Structodeck
Test
Dimensions Specification
2" round
3" round
3" round
3.04" round
Tru -Fast MP -3 3.23" round
HD
various
PA 114
PA 114
PA 114
PA 114
PA 121
PA
PA 114
PA 114
PA 114
PA 110
13 of 32
Product
Description
Insulation fastener for use 41, The Rawlplug
steel, wood or concrete • Company Inc.
(with current PCA)
The Rawlplug
Company Inc.
(with current PC
The Rawlplug
Company Inc.
with current PC
The Rawlplug
Company Inc.
with current PCA
hermo - Material
Inc.
with current PCA
2" round galvalume AZ55
membrane plate
3" round galvalume AZ55
steel plate
3" round galvalume AZ55
steel plate for use with
Rawlite fasteners
Roof coating
PA 114 Insulation fastener for steel,
or wood
PA 114 3.04" round polyethylene
plastic plate
PA 114 • 3.23" round calvalume
AZ50 steel plate
,food s',.eI u'
decks
Stainless Steel fastener
use in steel, wood and
concrete decks
High density wood fiber
for
— Manufacturer
Tru -Fast
(with current PCA)
Tru -Fast
(with current PCA)
Tru -Fast
ith current PCA)
fist
.1 Current PCA)
Tru -Fast
(with current PCA)
Insulation fastener for use in Tru -Fast
steel or wood decks (with current PCA)
Insulation fastener for use in Tru -Fast
steel or wood decks
(with current PCA)
Wood Fiber
ndu
th cu cnt PCA)
Frank Zuloaga, RRC
Roofing Product Control Examiner
A)
A)
s,
EVIDENCE SUBMITTED:
Test Agency
Factory Mutual Research FMRC 1996
Corporation
Factory Mutual Research J.I. 1 V8A4.AM4
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Underwriters
Laboratories, Inc.
Dynatech Engineering
Corporation
Dynatezh Ennineerin4
Test Identifier
1.(. 2B8A4.AM
J.[. 3B9Ql.AM
1.I. 0DOA8.AM
J.[. ODIAB.AM
J.1. 0Y9Q5.AN1
J.I. 3X3A2.AM
1.1. 0Y9Q5.AM
R1306, 87NK11819
43600.02.93 -1
448,.02.9:- I
I3 of 32
Descriation ..
Current Insulation
Attachment Requirements
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 44704
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
PA 114
Wind 1: c:i
pA
Date
01.01.96
06.28.93
07.02.97
0 1.08.98
07.09.99. •
07.29.94
04.0 1.98
08.02.94
07.29.94
Fire Resistance Classification 01.01.93
UL 790 -PA 114
02.02.95
02.02.95
Frank Zuloaga, RRC
Roofing Product Control Examiner
-Systems
Deck Type 1I: Wood, Insulated, New Construction or Reroof
Deck Description: 19
System Type A(1): Anchor sheet mechanically fastened, all layers of insulation adhered with
approved asphalt.
All General and System Limitations shall apply.
Insulation Fastener Fastening
v�e Detail No. Fasteners Fastener
Laver T
Per Board Density
One or more layers of any of the following insulations.
Approved Type(s): ACFoam -I, E'NRG'Y 2, GAFTEMP® Isotherm R, E'NRG'Y 2 Plus,
GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEtNIP
Composite A, GAFTEMP Composite N
Minimum: l "x3'x4' N/A N/A
N/A N/A
Approved Type(s): ISORoc, GAFTEMP® Tapered
Minimum: l " x 4' x 4' N/A N/A
N /A N/A
Approved Type(s): High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMIP
RccoverBoard
Minimum: %" x 4' x 4' N/A N/A
N/A N/A
Approved Type(s): Wood Fiber, GAFTEMP® Fiberboard
Minimum: '' " x 2' x 4' N/A N/A
Approved Type(s): Paroc
Minimum: ?/," x 4' x 4' N/A
/A
/ or greater plywood or wood plank
.\;;prop. T pe(s): Perlite, GAFTEMIP Pernt,tlitc.u. '
, Permalite Tapered
`•Iinimt::;t
for Tapered) 'V." x 2' x4' N/A N/A
N'A N/A
Approved Type(s): Fiberglas
Minimum: 15 /16" x 4' x 4' N/A
Approved Type(s): Permalite Tapered Roof Insulation
Minimum: V4 "x2'x N/A N/A
N/A N/A
Approved Type(s): Tapered Isotherm R, Tapered Isotherm RA, Tapered IsothermRN, GAFTEMP
Composite Tapered, GAFTEMP Composite A Tapered, GAFTEMP Composite N Tapered
Minimum: '/." x 4' x 4' N/A N/A N/A
N/A
14of33
N/A
N/A N/A
Frank Zuloaga, RRC
Roofing Product Control Examiner
-45 psf (See General Limitation #7)
Maximum Fire
Classification: See General Limitation #1.
Maximum Slope: See General Limitation #1.
Note: All insulation shall be adhered to the anchor sheet in full moppings of approved g pproved hot asphalt
within the EVT range and at a rate of 20-40 lbsJs Please refer to Metro-Dade County Roofing
Application Standard RAS 117 for insulation attachment. Insulations listed as base layer only
shall be used only as base layers with a second layer of approved top layer insulation installed as
the final membrane substrate. Composite insulation panels may be used as a tol3 layer placed with
the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT®
perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all
isocyanurate applications.
Anchor sheet: GAFGLAS® Ply 4 ®, Ply 6 ®, GAFGLAS Flex Ply"' 6, #75 Base Sheet, GAFGLAS #80
Ultima ' Base Sheet, STRATAVENT® Nailable, RUBEROID Modified Base Sheet or
RUBEROID® 20 base sheet applied to the deck with approved annular ring shank nails
and tin caps at a fastener spacing of 9" o.c. at the lap staggered in two rows 12" in the
field. Base sheet shall serve as anchor sheet for attachment of insulation
Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 Ultima' Ultra Base
Sheet, GAFGLAS STRATAVENT® Perforated or RUBEROID Modified Base Sheet
directly over the top layer of insulation. Adhere with any approved mopping asphalt
applied within the EVT range and at a rate of 20 -40 lbs. /sq; (see General Limitation #4).
Ply Sheet: One, two, or three plies GAFGLAS PLY 4 ®, 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 lbs. /sq..
Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full
mopping of approved asphalt applied within the EVT range and at a rate of 20 -40
lbs. /sq..
Surfacins: (Required if no cap sheet is used) Install one of the following:
1. GAF Special Roofing Bitumen with an application rate of :0 lbs. /sq with an
application rate of 1.5 gal. /sq.: or GAF WEATHER COA <. E:nuisi n ,�iti: ai
application rate of 3 gal. /sq. ' rc or GAF P:cn;uum Fibett : \,i: I'1 ; \J ` C ?I
� '':: `.Itll 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.
Maximum Design
Pressure:
Specification No.: I- B -5 -M, I- B- 5 -M/P6, I- B -5 -G, I- B- 5 -G/P6, I- B -5 -C, l- B- 5 -C /P6, I- 0 -5 -M, I- 0- 5 -M /P6 I-
B-4-M, I- B- 4 -M /P6, I- 0 -4 -M, I- 0- 4 -M /P6, 1- B -4 -G, I- B- 4 -G /P6, I- 0 -4 -G, 1- 0- 4- G - /P6, I-
0-4-C, f- 0- 4 -C /P6, I- B -4 -C, 1- B- 4 -C /P6,
I - B - - M, I - B - - G, I - B - - C, I- 0 -3 -M, 1- 0 -3 -G, I -0 -3 -C
15 of 32
Roofing Product Control Examiner
Wood Deck System Limitations:
I A slip sheet is required with Ply 40 Flex PlyT' 6 and Ply 6® when used as a mechanically
fastened base or anchor sheet.
2. '''A Type X gypsum board is acceptable to be installed directly over the wood deck..
30 of 32
Frank Zuloaga, RRC
Rooting Product Control Examiner
c
GENERAL LIMITATIONS:
I Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials
Directory for fire ratings of this product.
Insulation may be applied in multiple layers. The first layer shall be attached in compliance with
Product Control Approval guidelines. All other layers shall be adhered in a MI mopping of
approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /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
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.
5 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value
of 275 Ibf., as tested in compliance with TAS 105. If the fastener value, as field- tested, is below
275 Ibr'., 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 the specific system. Should the fastener resistance be less than that required, as determined
by the Building Official, a revised fastener spacing, prepared, si_,ned and sealed by a Florida
Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize the
withdrawal resistance value taken from Miami -Dade Protocol TAS 105 and calculations in
compliance with Miami -Dade Roofing Application Standard RAS 117.
Perime:er and corner areas shall comply with the enhanced uplift pressure of these areas. as
calc in compliance with Chapter 23 of the South Florida Buildinc, Coe Fastener densities
sh:,:1 be increase for both insulation and base sheet as needed cai .:..: __ c _•;;alia ; ;.ce % \ith
N! :. : ;: -Dade :■oofing Application Standard TAS 1 1 7. (When this lilnit,ttion is sin:eine:illy
r rrcd c'i;hin this NOA, General Limitation 9 NNW not he apltlic.ihl,..)
and sizing of perimeter hailers, metal
cc;ltvr:'1 ■ Miami -Dade County Roorin . Application Standa ": ,` 1;.,! iile '∎fnd I,
requirements of Chapter 23 of the South Florida Building Code.
9 The maximum designed pressure limitation listed shall be applicable to all root pressure zones (i.e.
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.)
31 or
Frank Zuloaga, RRC
Rooting Product Control Examiner
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been
filed and the original submitted documentation, including test supporting data, engineerin
documents, are no older than eight (8) years. g
2 Any and all approved products shall be permanently labeled with the manufacturer's name, cit y,
state, and the following statement: "Miami -Dade County Product Control Approved ", or as
specifically stated in the specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered if:
a) There has been a change in the South Florida Building Code affecting the evaluation of this
product and the product is not in compliance with the code changes;
b) The product is no longer the same product (identical) as the one originally approved;
c) If the Acceptance holder has not complied with all the requirements of this acceptance,
including the correct installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engineering profession.
4 Any revision or change in the materials, use, and/or manufacture of the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has been
requested (through the filing of a revision application with appropriate fee) and granted by this
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 `fiarni -Dade Co:: Florida, and
tolled by the expiration date may be displayed in advertising literature a: port
ot;,:e. Jr .Acceptance is displayed, then it shall be done in its entirety. ` ion of th
A copy of this Acceptance as well as approved drawings and other documents, '.here it applies,
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection at the job site at all times. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal
of Acceptance.
9 This Acceptance contains pages I through 32.
END OF THIS ACCEPTANCE
32 of 32
Frank Zuloaga, RRC
Roofing Product Control Examiner
C
ROOF COVE IO MATERIALS (TEVT)
Roofing Systems (TGFU)- Continued
Co.. (final: "Gaootlex UA-65" Series (various colors), applied
sa i/•aq or " Gacoflex UA-W', applied at 1 -1/4 gal /sq (12 dry mils).
a,,dc NC Incline 1/4
"Poly -Iso" or "Poly -Iso Special" with "Polyfoam 251" or "Poly -
3033 ", • 1 u'- min.
saga C One or two applications " Gacoflex UB -64 ", 1
r, lion (12 -24 dry mils).
skimp " Gacoflex UA-65" Series 1 gal/ sq or "Gacoflex UA -60",
mils applied at 1-1/4 gal /sq (12 dry mils).
Dadc VC Incline: 1/4
p "Poly -Iso" or "Poly-Iso Special" with "Polyfoam 251" or "Poly -
ries ", foam 303 ". 1 in. min.
Base Coat One or two applications "Gacoflex UB- 7050", applied at 1
Sal
; c1, application or three applications, applied 1 -1/4 gal /sq/
application (16-32 dry mils).
5arfacing: "Gacoflex CA -65" Series (various colors), applied 1 gal /sq
112 do mils). Incline: 1/2
gl Deck: NC
Foam: "Poly -Iso" or "Poly -Iso Special" with "Polyfoam 251" or "Poly-
foam 303 ", 1 in. min.
Base Coat: One or two applications "Gacoflex UB- 7050 ", applied at I
;al sq application or three applications, applied 1 -1/4 gal /sq.
application (16-32 dry mils).
Surfacing: " Gacofex CA-60" Series (various colors), applied 1 gal, sq
15 dr% 7.1131.
l: Deck: \C Incline: 2
Foam: " ?alt -lso" or "Poly -lso Special" with "Polyfoam 251" or "Poly-
warn 303 1 in. min.
Ba.e Coat: "CacoSil S- 1000 ", applied at 1 gal /sq (10 dry mils).
Surfacing: " Cacoflex S- 1000 ", applied at 1 gal/ sq (10 dry mils).
C. Deck: \C Incline: 1
Foam: "Polvfeam 251" or "Polyfoam 303 ", any thickness.
Surfacing: "Gacoflex Ure- Shield 7007 ", 40 dry mils.
Ii Deck: \C Incline: 2
Foam: "Polyfoam 275 ", any thickness.
Base Coat: "Gacoflex A- 6211 ", 1 -1/2 gal /sq (14 dry mils).
Surfacing: "Gacoflex A- 6200" series (various colors), 1 -1, 2 gal / /sq (14
r: mils
�+ Deck: NC Incline: 2
Foam: ? i . n. :51, "Poi': foam _, 5" or "Polyfoam 303 any thic:1ress
Base Coat: . ' e or two ap ^Iications "Gacode\ CB-7050 apri:ed 3: 1
411 w cr. ;16--: dr::ails).
Surfacing: C-e arriicanon of ' Gacoflex A-55 Series V31701.15
17:' :e : . 4 ,1 !15 dry mils'.
Deck: Incline: 1 4
Foam: :. r.'.: . '7o . r.oa^ 275 o r • Pc;. foam 31'7 any th,c,-
Base Coat: Claco;.ex L3- 4. applied at 1 -1 2 ,a! sq. ;1; dry r:as
Trowel Coat: 30 r0 mesn coshed walnut shells mixed at a rate of 3
1' gal with "Gacoiiex LB -b4,"' applied at 1 -1(2 gal, sq or " Gacoflex
L13-64 ", applied at 1 -1/2 gal /sq (18 dry mils) followed by the broadcast
application of 30;60 mesh crushed walnut shells applied at 7 -8 lb/ sq.
. Surfacing: "Gacoflex U -66 ", applied at 1/2 gal /sq. (6 dry mils).
MATERIALS CORP R1306
ALPS RD, WAYNE NJ 07470 •
ID 20" or "RUBEROID Modified Base Sheet" may be utilized as an
to_ Type G2 base sheets in any of the following Classifications.
al& (min) gypsum board or 1/4 in. thick (min) Georgia -Pacific
overlayment board may be used in t>lnoombus-
; ' ' • Ct�ifiatioa this is date, the !� is
he use over bk (15/32 in. min) roof D in
board and araieyme ro baud erne offset 6 in. e vdt 1o8ttb in the
board is part of the roof system, it moat be isoed below the
iltiple plies of " GAFGLAS Ply 4" or "Ply 6" may be adhered to
• pl:.'?t:. in hot asphalt
Stratavent Nailable Base Sheet" may be mechanically attached
u Q 1 opped over noncombustible decks and as a recover over existing roof
CLAS Perlite Insulation may be utilized as a cover board over "EVER -
Q " insulation in any of the following systems.
ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT
asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or
��
LAS *BO Premimum Base Sheet" ) is a suitable alternate for Type Cl
glass fiber ply sheet (" GAFGLAS Ply 4" or "GAFGLAS Ply 6" ) in the
)6 ",
aopli
:gal
•
sq.
gal /sq/
LOOK FOR THE UL MARK ON PRODUCT
Roo&tg•Syserma
Class A. B or C rootsysterns Indicated below.
The roof deck may first be covered with a Type G2
sheet " GAFGLAS Stratavent (Vast -Ply) perforated" or •
( Vent - Ply) for !tellable decks". Perforated to be mopped
mechanically attached granule side'down. -
As an ophon Type G2 asphalt glass mat base sheet r
Sheet", GAFGLAS #80 Premium Base Sheet" or "G
(Vent -Ply) for nailable decks" ) may be substituted for Cl
ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6" ) as the nailed sc,ly
the following systems. •
Bottom ply or base sheet may be solid mopped, spot mopped of ruck
cally fastened.
Unless otherwise indicated, all insulations may be hot mopped or
cally fastened.
" GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of th,
Class A, B or C systems listed below.
When "perlite" is referenced, this includes "GAFTEMP PERMALITEi r• 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.
"GAFTEMP Isotherm RA", "GAFTEMP Tapered Isotherm RA" and
"GAFTEMP Composite A" may be substituted for any isocyanurate insulator.
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 may be used in any of the following
systems.
"GAFglas Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ".
"GA Permalite Recover Board" may be used in lieu of arty perlite
insulation in any of the following NC Classifications .
Class A, B and C
Her roofing asphalt, for use with organic and glass felts of modified bitumen
membranes.
- Ruberoid Heat •\eld 585 roofing_ membraner may be used in tieu -
2 be ei Nlop' `6= -nd rs :n any apriicabie Ciassi::ca
Class A
Deck: C. :_ Incline: 3
Insulation (Optional): One or more layers •er!::e. ed ricer. ,!a
: :be ISCc a•^ura :e are:b ire :'r,r11'.e ,'C. 3:'. ..r3 to �i - •:e. ^rC!C
..retnane rte: "....1:
Ply Sheet: ',Tree or more !a.e :? is e GI 'l::;FC: ,r 4.. •
GAFGLAS Ply c mowed •
Surfacing: Gravel.
2. Deck: C-15/32 Incline: 2
Insulation (Optional): One or more layers perlite, wood fiber, glas
fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite
urethane composite, wood fiber /isocyanurate composite, phenolic, an'
thickness.
Ply Sheet Three or more layers Type GI "GAFGLAS Ply 4" c
"GAFGLAS Ply 6 ".
Cap Sheet One layer Type G3 "GAFGLAS Mineral Surfaced Cal
Sheet".
3. Deese NC ■ • ' • Incline 2
Insalidora (Opdonal): One or more layers pride, wood s '
RbeL i eocyanurate uudtane, perlite/isocyanurate oorrp0r.4
urethane composite, wood fiber / isocyanurate compotes
max- -
Ply Sheet Two or more layers Type G1 " GAFGLAS Ply 4" or "CAI'
GLAS Ply 6 ".
Cap Sheet One layer Type G3 "GAFGLAS Mineral Surfaced Ca
Sheet ".
4. Deck: NC Incline: 1/ 2
Insulation: One or two layers "Isotherm R ", 4 in. max, hot moppe
Ply Sheet Any UT. Classified gravel surfaced Class A asphalt glass fib`
mat system.
3. Deck: C -15/32 incline: 1
Slip Sheet (Optional): Red rosin paper, nailed to deck.
_ MIAMI ROOFING A INSULATION CORP.
Mario J. Ibanez
PUBLIC RELATIONS
Phone: (305) 635 -7551
All Types of Roofing
Commercial • Industrial • Residential
3340 N.W. 54th Street, Miami, Florida 33142
r• .r
STATE OF FLORIDA
COUNTY OF DADE. } ss.
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 building 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
Registered Architect and /or Engineer 7 �- --
Name and address of licensed contractor " 3 4 7 �7, /' O "c AN � 1.-"1_re►
Location and legal description of lot to be built on: �/ �{ �/ A� J / _
Lot / C L /(/' Block Subdivision o r/ /✓ /,ate/ /� / �"/ /+'I� // JGP /3 �"`S 1 g
` /
Street and Number where work is to be done � � �T ��
State work to be done and purpose of building (by floors), state exterior colors (submit samples) �' — 4�o- f"+G✓! i�e� L✓4
S 6gsrr�v� T" s,
A s..- - Z. _/ and for no other purpose.
New Building Remodeling Addition Repairs v No of Stories Q � f / �
To be constructed of Kind of foundation Roof Covering 6 r�/ /'�^ ^'� /
O_O
Estimated Total cost of improvements S /4 Amount of Permit $ W.(66)
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 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 obligatons 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)
c 9T7o Date. / /9®
Permit No.
Disapproved Date
(Signed)
Building Inspector
Befo` xie, the undersign ut ity, a notary blic, duly authored to administer oat d take acknowle
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
Date J —?-- .19
No. 3 a3 Street 9/ £z'
135- 7 5/
Cord.
ents, personally appeared
6 O 1 to me well known.
same, and the ll facts therein by him stated are true.
My Commission ExpiresSoNoeo S TATE OF FLORIDA
MY COMMISSION EXPIRES: MAY 6. 1991'
.. .
ognwourRR
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date____ February 5 19 7 0
Owner's Name and Address
R. S. l i Fb e r No 3 2 3 Street E. 91st St.
Registered Architect and /or Engineer
Name and address of licensed contractor 0 b e n o u r Roofing C O. 7357 N lU ° (d i a m i C t,
Location and legal description of lot to be built on:
Lot Block ub division
Street and Number where work is to be done 3 2 IV ° E ° 91st t
State work to be done and purpose of building (by floors) _ ___ Remove t h e roof, repl a c e with 1 30 lb.
felt, 1-90 lb. slate, gals. flashings and white shingle tile.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering___ _.
19 sqs
Estimated Total cost of improvements $ 1560.00 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 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 subcontr ctors, on work to be.. per fined under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) an-eV
Disapproved
(Signed)
Chairman
Member
Member . ._. _.
Council Approved
WJAMI SHORES VILLAGE
Building Inspector
l! .DING INSPECTION DEPARTMENT
APPLO ' " FOR BUILDING PERMIT
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 -- -- -- -
to me well known,
and who, being by me first duly sworn, upon o .s and says that he is the
of the above described construction, that he ha carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him s ed ..� true.
Pe �� � �
rmit No V ( 6 ate___. ___ ___. Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD__ __ . DATE
Member
Member
Member
__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 inspc, :ion or faulty
materials and /or workmanship.
•
OVe- M AMI SHORES VILLAGE
U DING 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.
qq��,, Date —3,/l,.. -- ,19_,C..,3
Owner's Name and Address P 4 /*At ai c ii p,e0 ,1' �1P'e No._ 3 2. 3 Street___ _ E.. °t' / s l
Registered Architect and /or Engineer CI- i e.,f , i i i 4 ea_
Name and address of licensed contractor____ s Ai no- - 7: 4 f R -rev 4 j/ S7
Location and legal description of lot to be built on:
Lot .1 C t /' Block 4_ fr Subdivision n n f p i@ a a g re of s /
Street and Number where work is to be done 323_J1 .5- II g" •
State work to be done and purpose of building (by floors)_ g e n+Q ell' C t C;44 -PG'/Q — ) ' • 6.
.-- ?°
L ma x_c�4 ._ — o 20 a/+ ,e,2Mo _Po 8F. OJ
w.QT _g_e4�.Rev's* /to 8.14.41.
P e$1.6 0 ef..c•4ta- D 20a.f etc 1'( o.Qi02 - 0 _lls r '7 stil`_ 6.- and for no other purpose.
New Building L. Remodeling '� Addition Repairs No. of Stories /
To be constructed of C BS Kind of foundation C- - 14 4,0 1 " 4 -- Roof Covering 0 444 L. 7/ 4 e-
' fo l;r,
Estimated Total cost of improvements $ 10 ti Amount of Permit $
Nolen —
Zone cubage required _______________.Plan Cubage
o
Distance to next nearest building , _Size of Building Lot /ex X j V
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 g G f-% Si GA- 71_4!__9 -Ceti df / ¢ _ / cf «, • 3 3!
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. Q
Remarks ( Signed) 2�✓
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-
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 foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No ( l j ! Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
Building Inspector y Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
A -(Le,4
310 oc
4' 4•4r
AG :Tba'v
Po r cJ •
1`
-c. krT s � Pea
2..1 1 —o r Z t L 4
LJ Of - X44 1 1 2
44 , 3
4 G zf o'o
z, s9� I19
took, ego
15 a 3 • ' °4.3. ‘.2-1
Lot Block
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 ________
Registered Architect and /or Engineer
Name and address of licensed contractor '
Location and legal description of lot to be built on:
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
( Signed)
MIAMI SHORES VILLAGE
Building Ins tor
BUILDING INSPECTION DEPARTMENT
Chairman
Member
Member _
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
Date
PLANNING BOARD DATE
6
,19,�
No Street
Subdivision
State work to be done and purpose of building (by floors) r
CCC
r =v_ _ ____ and for no other purpose.
New Building Addition Repairs No. of Stories 0A
To be constructed of
Estimated Total cost of improvements $
Remodeling
Kind of foundation Roof Covering
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 referenc9, to the building and its construction may
be sent to tr
The undersigned applicant fo 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.
7 Permit No 2' Date Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
My Commission Expires
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
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.
, 19 � 7
Owner's Name and Address ��
�/L a A 4 e} Date /74 No ? Street V1 V n
Registered Architect and /or Engineer
C : n
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 done and purpose of building (y floors)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
BUILDING INSPECTION DEPARTMENT
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 $ S C� ° C Amount of Permit $
Zone cubage required -Plan Cubage
Distance to next nearest building Size of Building Lot
Disapproved Dat
S 2_:
(Signed)
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 5968, 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 insp ection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcg4tractor , on work to be performed under this
permit, as are licensed by Miami Shores Village. /
Remarks (Signed) °
Notary Public, State of Florida
c.
fi
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 i Date. S' ' - Read, Sworn to and Subscribed before me.
to me well known,
Building Inspect r� My Commission Expires
PL/ NNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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..
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 0 7 9 , - r • ( z
State work to be done and purpose, of building (by floors)
Registered Architect and /or Engineer...... ...... .
Name and address of licensed contractor
permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Permit No
ate
Disapproved CI / /'ate
( Signed) ��, } . �_ •..
Building Inspector
PLA
Chairman
Member
Member
Council Approved Date
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date :?mom • 2 1/
ter
r//
o.
Street
, 19.. -,1..` i<1
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 $.__._ /i .. 0 6 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 sub - ntraetors on work be performed under this
Remarks (Signed) ° . �� � L/),
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
therein by him stated are true.
b / , '�' 2 ; i> D
Read, Sworn to and Subscribed before me.
ING BOARD DATE
to me well known,
he did sign the same, and that all facts
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
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 and /or workmanship.
Qualifier --- 0 --(9 7/A./ , 779
Total Fee Now Due $ S b 3 0
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
RECEOVED
BUILDING I +
G 6 Inn
PERMIT APPLICATI ,N c,
FBC 2001
Permit No. P��SD — 9/7
Master Permit No.
---
Permit Type (circle): Building Electrical Plumbing Mechanical ( Roofing
Owner's Name (Fee Simple Titleholder) / Phone # ,jam -757
Owner's Address'' "" 32;3 1 /3 :- 9;',57 - , _ ,S5
City lty=;i State f� Zip l3
Tenant/Lessee Name /VA # �
VA
Job Address (where the work is being done) 3 3 A/e `S /mod
City Miami Shores Village County Miami-Dade Zip
Is Building Historically Designated YES NO X
Contractor's Company Name \ A/e -C7A /� Phone # 2/9 94' 99
•
Contractor's Address ,30(5/(/ 9Arr
City�ffj.1/ State Zip 3 g
Architect/Engineer's Name (if applicable) k Phone #
pp
$ Value of Work For this Permit l - - -;04 Square Footage Of Work: Zd .
Type of Work: ['Addition ['Alteration ENew
Describe Work: TLS galie A /cL I M 7 6
Code Enforcement $ Structural Plan Review. $
G*
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Repair/Replace ❑ Demolition
Submittal Fee $ S SQ` (v`t* 258 7 Permit Fee $ ./190 CCF $ ( 9 6 CO /CC
Notary $ Training/Education Fee $ . a 0 Technology Fee $
Scanning $ r-- Radon $ ' Zoning �" Bond $
Bonding Company's Name (if applicable)
Bonding Company's AddresF
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is sissued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
The foregoing instrument was acknowledged before me this 7i'1
day of „TOE , 206, by
who is personally knbwn to me or who has produced ✓
L -
My Commission Expires:
* * * * *. **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
,,,,,, •" LORRAINE KELLER
Notary Public - State of Florida
Bonded By National Notary Assn.
State
e. dr/Lee`�_
wner or Agent
APPLICATION APPROVED BY:
Chc 12/15/03
/
As identification and who did take an oath.
Signature
NOTARY PUBLIC:
Sign:
Print:
AlMIX4ONWICPAIMNAMPPti9ilt*
4ZLt3O as • uoisslwwoo
s �OOZ'91. AVsal u4��
wuAPI = - i s '*y' .:
•a ski 1 atelS - Wand /AM
lam.
113 3NIV21N01 : r ey r•
Certificate of Competency
ti
* ** * * * * * * * * * * * * *„. ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
JUL - 6 2004
Zip
Contractor
The foregoing instrument was acknowledged before me thisX
day of�LG1 20� ,by
who is personally known to me or who has produced
as identification and who did take an oath.
Plans Examiner
Engineer
Zoning
121 111 .a8 n t1J 14\{UI
Flprida Bulld g Code Edition 2002
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ROOF SYSTFM INFORMATION
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OOF CATEGORY
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Shatch Roof Piga: /Iiimttra ? all levels and sevens, roof drama€ . p4 a c etT
5camptws and overflow drains. include d norwalons of aettions arid km"
identify dirnenelons of elevated fissure zones and Westion of garage.
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HIGH VIA,Ot.',11' 1111311.1-tlICA.NIT, REQII I 1 ItlY,Ito (OWNERS NOTIfelt.:ATION 1 t3It.
CONSIDli;RATIK)NS
1524.1 As it f!ertains to this section
it is ih responsibility of the roofing cuutractor 10 provide th e. owner with
the requii al roofing piNiltit, and to explain 10 the owner the content of this SiN;tiOn.. The provisions of (tit 15 of (he Florida Building Code., Iluilaingt!,oviun the minimum requirements and st:mdards of the industry for
roofing system installations. Additionally, thc following items z.;Itould be addressed as part of the :VC:C.131(11t.
between the. owner and the corthactOr. Thc owner's initial in the adjacent box indicates that. the item has been
explained.
_ _ Aosthetics-Workmanship: The workmanship provisions of Chapter [5 (High Velocity thuricaue
.) arc for the purpose of providing that the roofing system meets the. wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
piovisions. Aesthetic issues such as color or architectural. appearance, that are riot part of a - zoning code, should
be addressed as part of the agreement between the owner and the contractor.
2, Repaihing Wood. Decks: When replacing roofing, the existing wood roof deck may have to be
renai ed in accordance with the current provisions of Chapter I fi (High Velocity Hurricane Zonesi oC the Florida
Building Code. (Thc roof' deck is usually concealed prior to removing the ex isting roof sys tem).
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
units .c. townh(3uses, condominnuus, etc.). .In buildings with common roofs, the roofing contractor andlot
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Evoseil Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can he
vied from heiow. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
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5. Ponding Water: The current roof system andlor deck of the building may not w and ntay
ot drain II
cans Fater to pond (accumulate) in low-lying areas of the roof rotating can be an indication of struetnial
distress and Play require the review of a professional structural engineer, Ponding !nay shorten the IiI
expectancy and performance of the new roofing system. Ponding may not be evident until the
original roolirry, system is removed. Ponding conditions should be corrected.
6, Over scuppers (wall outlets): It is required that rainwater flow off so that the (trot is nol
0 V e rio, cd rrom a build up of watet. Vet imeteriedge Wails or other roof ex tensions may bl this t h ii ,•h;irgo il
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overtlow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers m
accordance with the Florida 13ui i ug, Cock, Plumbing,.
7. Ventilation: Most root sit sbond have sonie ability to vent natural airflow 410)1101 lite
interior of the structural assembly the building ilsClU. The existing amount of attic ventilanou shall not bc
reduced. It may be beneficial to consider additional venting, which eau result in extending the servi..sc kt of the
roof.
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;:itgoature
Miami Shores Village
10050 NE 2nd Avenue
Printed: 7/7/2004
Applicant: MARGARET LUEBKE
Owner: LUEBKE MARGARET
JOB ADDRESS: 323 NE 91 ST
Contractor JOHN BUSTA
Local Phone: 305 - 219 -9699
Parcel # 1132060136500
Signed: (INSPECTOR)
Building Permit
Phone: 305- 795 -2204 Permit Number: BP2004 -917
Contractor's Address: 300 NE 91 ST
Page 1 of 1
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15 & 16 BLK 48 LOT
Fees: Description Amount
FEE2004 -6767 Building Fee $100.00
FEE2004 -6768 CCF $0.60
FEE2004 -6769 Training and Education Fee $0.20
FEE2004 -6770 Technology Fee $2.50
FEE2004 -6771 Scanning Fee $3.00
Total Fees: $106.30
Total Fees: $196.38 . v
Total Receipts: $0.00
-S� 3
X11_
Permit Status: APPROVED Permit Expiration: 1/2/2005 Construction Value: $350.00
Work: TILE ROOF REPAIR EAST SIDE
' JUL 15 PAID
'JUL 1 PAID
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.
Signed: (Contractor or Builder) BY:
8/10/2006
To: Current Owner
323 NE 91 Street
Miami Shores Village, FL 33138-
Dear Sir or Madam
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 • Fax; (305)756 -8972
Permit: BP2004 -917
Address:323 NE 91 Street Miami Shores Village FL33138-
Date Expired: 1/2/2005
In order for us to serve you better, we need to keep our files up to date. Our records
indicate that the above reference Permit has expired.
The Building Department has determined that the work applied for has been completed
with out the required inspections and it has been more than 180 days since your last
approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida
Building Code. You are required to renew your permit and schedule all required
inspections.
In the event you do not comply with the requirements herein, the Building Department
will file a complaint with Miami -Dade County Building Code Compliance Office for
possible disciplinary action against your licensed contractor And /or if permit was
obtained by the home owner the requirements of the Unsafe Structure Code of Miami
Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed
unsafe and a permit shall be obtained to demolish the structure or bring the building in to
compliance with applicable codes as provided herein."
Please contact the Building Department, immediately upon receipt of this letter.
Mabel Vargas
Administrative Assistant