ROOFINGDate 7 Job Address /02"/ / //C 93 J" k Tax Folio //' Y ?•( = 0 AC'''. 0.17 e
/�
Legal Description , // i/!•�/"k A17/ ) , 06 / G Historically Designated: Yes No
O / Tenant 1 D/14 - Master Permit # Y7 0 / 3
Owner's Address a 7/ r 9157- /<d /! Phone 3 a sJ 7s ---- 7 0 3,--,..
Contracting Co. ‘ie P 0 &ia// /7 Address 2 2 / // /9 /J i /t// V 1 Y/e
Qualifier ∎ 1 / a/5Z SS# / Phone �c. ' 3 2' r/7
State # O-& 3 7a / Municipal #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL • OOFIN t PAVING FENCE SIGN
WORK DESCRIPTION / C�i e� ""' /4v-e.ttgei a!i/ / Q (� /8C' - � / h.
Square Ft.
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
law ting construction and zoning. Furthe ore authorize the above -named contractor to do ork stated.
3 6 /
do'
, ,
of o c er and/or Co
l —r41'
e o Pre $ ent
t
Date
o gb STEVE P. GORY
:` MY COMMISSION # CC 865151
EXPIRES: August 22, 2003
".� Bonded 'Nu Notary Public UndorwrItere
No
as to Owner and/or Condo President
My Commission Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
3 33 '
FEES: PERMIT Rd-al'
RADON
6
Competency #
Address
Address
Address
Estimated Cost (value)
2 6
Signature : C act r or Owner Builder Date
Not as to Contractor or Owfl'a er-Builder
My Commission Expires:
o'el U t` —:and ny�S3btdX3 . - ` •
51999 30 # NOISSIWW Mt __
MO9 d ?A31S
C.C.F. / ' D NOTARY
/‘.6(/6 Ins. Co 2s/d
BOND .-- e
TOTAL DUE S
APPROVED:
Zoning Building ( Q V tO Electrical
Mechanical Plumbing Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. /7 ,? 7-v ( /3 S o ;' CU
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 7.13, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address:
Interest in property:
16r. / •
2. Description of improvement:
3. Owner(s) name and address:
Name and address of fee simple titleholder:
5. Surety:(Payment bond required by owner fr m contractor, if
Name and address:
Amount of bond $
6. Lender's name and address:
1.figismvt„.
7. Persons within the State of Florida designated by Owner upon
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: /.
Of owner
Print Owners Name - ,2'ti,f,9N bJ 6 Fz 2--
Sworn to and subscribed before me this /0 day of ■/ C.4
Notary Public
Print Notary's Name
My Commission Expires:
at
NC 93�
r-
! /p/Z h Z
008290034 2000 JUN 16 11:20
/e; /vim /‘/ 31/ 3a'
4. Contractor's name and address: CX ,'6'2T /Gp- ij ,6 ion/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) -
/D - r
• &4 4 imdt, '
...........
; STEVE P. GORY
.`. MY COM
EXPIRES: August 22,'"
gi a Thn, Nnf.y PAMMIE.1tn 4 ,wriure
1Pr.RY CFR 1;FY that this 's a true c
or :J;r.cl f, cd in L. s
AC 20
W11 fd;.:.S rr:✓ h 'd + -.rt r� Seal.
H A,RVt r li �';. l l f h n13.
D.C.
STATE OF FLORIDA, COUNTY OF OP&
the
ces or other documents may be served as provided
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: / n
Prepared by: \/6I4 ' `6
Address: Z,2.-6 '& /9/ i2
9/ g veo
123.01 -52 10198
Contractor's Name:
{�}C /LZ•' /CazgJ �e f/9 /,z Job Address:
Ca 9 7 , Geer y Z / ROOF CATEGORY
'RI (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
3335
Flat Roof Area (ft _gsgaW Sloped Roof Area (ft 0 Total (ft , ' 677 Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
Ft.
Ft.
A
Deck type: 7-7f (-s
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
- o' 1 %z r (F) CA 1- CA,
A - f �or� ROOF PLAN
ATTACHMENT
Fastener Type: 1 f Y ,e'f
SPACING
V . 6 a (
Field: 6'' /L Perimeter: Corn
DETAIL 1 & 2
r
r
r
r
123.01-78 9/96
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Page -1
--
1 I
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 o er's initial in the adjacent box indicates that the item has been explained.
-I/ 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
pro - • 1: 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
f 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
ed prior to removing the existing roof system)
Nit Common Roofs: Common roofs are those which have no visible delineation between
vil - - j .. ng units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
sti or and/or owner should notify the occupants of adjacent units of roofing work to be performed.
.■ e.Il. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can ilt 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
of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
use water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
al distress and may require the review of a professional structural engineer. Ponding may shorten
e expectancy and performance of the new roofing system. Ponding conditions may not be evident
e original roofing system is removed. Ponding conditions should be corrected.
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
aded from a build up of water. Perimeter /edge walls or other roof extensions may block this
,ge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
er in accordance with Chapter 23 of the SFBC.
st
th
1.6%
001; . Ventilation: Most roof structures should have some ability to vent natural airflow through the
• of the structural assembly (the building itself). The existing amount of attic ventilation shall not
ed. It may be benefit': to onsider additional venting which can result in extending the service
the roof
er's/Agent' Signa
Signature
5104 APPENDIX "F"
actor's
ignature
METRO -DADE
PRODUCT CONTROL NOTICE OF ACCEPTANCE
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
Your application for Product Approval of:
G. Conventional Built-LP 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:
Dynateclt Engineering, Inc., Factory Mutual 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 -40 and the standard conditions on page 41.
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.: 9
Expires: 11/04100
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE CO`1M1ITTEE
This application 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 in Dade County, Flor A under the
conditions set forth above.
Approved: 11,04/9
Revises No.: 95 1003.03
Internet mail address: postmaster @buildingcodeonline.com
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET. SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 3 -2901
FAX (305) 3 -2908
PRODUCT CONTROL DIVISION
(305) 375-2902
FAX (305) 3
aul R.odrizuez
Product Control Supervisor
Charles Danger, P.E.
Director
Building Code Compliance Dept.
Metropolitan Dade County
Homepage: http : / /www.buildingcodeonline.com
.Applicant:
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Category: Membrane Roofing System
Sub - Category: Built -up Roofing
Type: Conventional
Sub - Type: Fiberglass
System Description
GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years,
produces a wide range of roof products for built -up and modified bitumen roofing systems. In addition,
GAF offers two ply modified systems to meet the demands for multi -ply SBS modified specifications.
GAF provides warranted systems over various insulated and non - insulated substrates. copies of which
can be obtained from GAF and can be found in the "GAFGLAS Built -1,p Roofing, Application and
Specifications" manual published annually.
GAF roof system assemblies have been extensively tested at Factory `.iutuai Research Corporation and
L Laboratories and have been tested in compliance with a:i re.,uir_,ments of the South Florida
Buildin__ Code. Specific classifications for assemblies are listed in the current L.L. Roofing, Material
Directory and the current Factory Mutual .kppro'. a! Guide.
GAF `laterials Corporation products are distributed through a wide network of r`otin, wholesale
distributors throu_hout the South Florida area.
For more information on specific roof system constructions, contact the Technical Sep, ice Office. located
in \L a_, ne, New Jersey, at 1 -800- ROOF -41 1.
Contact:
William J. Woodring
Director of Technical Services
(973) 628 - 4134
Page 2 of 4
Product Control No: 97- 0804.21
Product Control No.: 97-0804.21
Approval Date: November 4, 1997
Expiration Date: November 4, 2000
rank Zuloaga,
Roct7nP. Product Control Exarr.iner
Insulation Types:
Material
Wood
Material
«Wood
Basalt Wool
Perlite
Polyisocyanurate
Composite Board
Wood Fiberboard
High Density Wood Fiberboard
Rockwool
Maximum Design Pressure
Design Pressure
-75psf
Maximum Fire Classification
Classification
Class 'A'
Product Control No: 97 0804.21
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.
Page 3 of 41
ga
Rooting Product Control Examiner
Product
GAF Asphalt
Concrete Primer
GAF Mineral Shield2s
Granules
G.AF WeatherCoatE
Emulsion
GAF Premium
Fibered Aluminum
Roof Coating
GAF Jetblak All
Weather Plastic
Cement
RLBERO!Dg
Modified Bitumen
Flashing Cement
J_:bla,:k Premium
F!ashir._ Ceni :
GAFGL. -\Sk =
G.1FGL.S -S0
Lltima Base Sheet
GAFGLAS Ply 6�
GAFGLAS Flex
PIyT'
GAFGLAS Ply 4g
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Test
Dimensions Specification
5, 55 gallons ASTM D 41
60 Ib. bags ASTM D 1863
5 gallons .STN1 1227
1 :, 5 gallons .AST`1 D 2824 Fibered aluminum coating.
1. 5 gallons
5 g allons
5 gallons
3 sq. roll
75 Ib. roll
2 Sq. Roll
ibs.'rol!
5 sq. roll
45 Ib. roll
5 sq. roll
45 Ib. roll
5 sq. roll
AST`1 D 3019
ASTM D 3409
Page 4 of 41
Product Control No: 97 - 0804.21
Product
Description
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 ShieldF
Granules shall be used for flashing
applications only.
Surface coating for smooth surfaced -
roofs.
Refined asphalt blended with a mineral
stabilizer and fibers. Permits adhesion
to wet and dr. surfaces.
.ST\1 D 4586 Fiber reiilf'orced. polymer modified
Fiashin, cement
.AST \1 D 4586 Aspi::....'csh:. Ce.ne: :
A.S T `t1 D 460, .Aspi:a!t :n: _ gated an .:ooa :ed 2.1ass
mat base she:.
AST`I D460: asphalt imps _Pate,. and _gated,
fiberuiass base sheet
AST\I D 31 T }pe VI asphalt i npr _-;aced class felt
with asphalt .'oa :in2.
ASTNI D 2178 T■. pe VI asphalt impregnated glass f _I:
with asphalt coating.
.ASTM D 2178 Type IV asphalt impregnated glass felt
with asphalt - oa.;ug,
Product Con:roi
)
GAFGLASB
Mineral Surfaced
Cap Sheet
CAFGLASk
STR.ATA VENT
Perforated
G.AFGLASgt Flashine
G.AFGLASg
STRATAVEtiT
Mailable
RUBEROID Modified
Base Sheet
G :\FTEN1P s
Isotherm R
Tapered GAFTEN1Ph
lsotherm R
V.-\rTE`IP Isotherm
RA
Tapered GAF I E`IP
!sothe-m RA
GAFTE`1P Isotherm
R
Tapered GAF T E`1P
Isotherm RN
G.AFTE`1n
Composite
Product
Dimensions
76 Ib. roll
60 Ib. roll
various
69 Ib. roll
3 sq. roll
67 lbs.
various
various
ario::s
various
various
various
various
Test
Specification
ASTM D 3909
ASTM D 4897
D 3672
ASTti1 D 489
D 3672
PA 110
PA 110
PA ! !0
PA HO
PA 1 10
Page 5o(4
Product Control No: 97- 0804.21
Product
Description
Asphalt coated, glass fiber mat cap sheet
surfaced with mineral granules.
Fiber glass 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 and
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-
Tvpe 11, UL Type modified base sheet
G2 BUR
Polyisoc\anurate foam insulation.
Taper-.....! Po!k s foam
insulation
Pol; isoc.•anurate ■Da :,, ,�su!ati
Tapered Poi, ;secs n rate
a�'� foam
insulation
Polvisocvanurate foam insulation
PA 110 Tapered Poly isecyanurate foam
insulation
PA 110 Poly isocvanurate foam insulation with
high density fiberboard or Permalite
perlite insult,
Rooting Product Control xam
Tapered GAFTE,M1P®
Composite
G.AFTE''v4P1i
Composite A
Tapered GAFTEMPg
Composite A
GAFTEMPg
Composite N
Tapered GAFTE:N1P®
Composite N
GAFTEN1Pg
Fiberboard
GAFTE`1Pg
Permaliteg
G.AFTENIP Recover
Board
G.AFTE.1Pb
High Density
Fiberboard
Product
G.AFTITEg =;=
Standard
Roofing Fastener
GAFTITEg =i
Heavy Duty
Roofing Fastener
GAFTITE ASAP
Dimensions
various
various
various
various
various
various
various
l,'2 thick
various
a
b
Test
Specification
PA 114
PA 110
PA 110
PA 110
PA 110
PA 110 Tapered Polyisocyanurate foam
insulation with high density fiberboard
or Permalite perlite insulation.
PA 110 Fiberboard insulation.
PA 110 Perlite insulation board.
PA 110 Penile re.:3\ e
PA 110 Hi,h densit■ 'wood fiberboard
insulation.
PA 1 1 ' Insulation fast_ner for steel and plywood
decks.
P.i I :1 Insulation fas :e:".e7 for steel, 'wood and
concrete decks.
Page 6 of 41
Product Control No: 97-0804.21
Product
Description
Tapered Polyisocyanurate foam
insulation with hi;h density fiberboard
or Permalite perlite insulation.
Polyisocyanurate foam insulation with
high density fiberboard or Permalite
perlite insulation.
Tapered Polyisocyanurate foam
insulation with hieh density fiberboard
or Permalite perlite insulation.
Polyisocyanurate foam insulation with ,
high density fiberboard or Permalite
perlite insulation.
Pre - assembled GAFTITE Fasteners and
metal and plastic plates.
oot :ng Product Control txarn
Product
GAFT1TE Base
Sheet
Fastener and Plate
Ga'valume Plates
NTB Fasteners
Polypropylene Plates 3" and 3 '/"
RuberoidE 20
Ruberoid Mop
Granule
RLBEROID MOP
Smooth
RUBEROID.s MOP
PLUS
RUBEROIDY MOP
- OFR
RL BEROIDg `1OP
FR
RLBEROID)
TORCH Smooth
RUBEROID•E
TORCH Granule
Test
Dimensions Specification
3" and 3 Y.1"
1.5 sq. roll
95 lbs.
1 sq. roll
103 lbs.
1 sq. roll
87 lbs.
I sq. roll
102 lbs.
1 sq. roll
103 lbs.
1 sq. roll
105 lbs.
1 sq. roll
87 lbs.
1 sq. roll
102 lbs.
PA 114
ASTM D 5147
AST`1 D 5147
AST.1 D 3147
ASTM1 D 3147
AST`1 D 5147
ASTMM D 5147
AST`1 D 5147
Page 7 of4l
Product Control No: 97- 0804.21
Product
Description
Base sheet fastening assembly.
PA 114 Round galvalume stress plates.
PA 114 Fastener for use in gypsum, tectum and
lightweight insulating concrete decks.
PA 114 Round poly propy lene stress plates.
ASTM1 D 5147 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.
ion- wo‘ polvstcr mat coated with
polymer modified asphalt and surfaced
ith mineral granules.
on -V■ ^ ester mat coated with
Lire retarda: t aol‘mer modified asphalt
and surfaced ‘'ith mineral granules.
`on -fit oven pokester mat coated with
fire retardant pol }mer modified asphalt
and surfaced N.%ith mineral granules.
Heavy duty, poly - ester reinforced,
asphalt modified bitumen membrane,
smooth surface.
Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
granule surface.
oor ng Product Control Examine
Product
RLBEROID®
TORCH PLUS
RLBEROIDg
TORCH FR
RL'BEROIDE 30
RUBEROID 30 FR
RUBEROID
LLTR.ACLADZ SBS
Vent Stacks (metal
and plastic)
G.AF Aluminum
Emulsion
RLBEROIDZ 109. Roll
LLTRACLADk SBS 101 lbs.
GAF .Aluminum Roc( 5 gallons
Paint
G.AF Built -Lo
Rootin' Asphalt
RLBEROID NIOD 60 Ib. kegs
.Asphalt
Test
Dimensions S ecification
3 /. sq. roll
90 lbs.
1 sq. roll
92 lbs.
1 sq. roll
92 lbs.
lsq. roll
101 lbs.
5 gallons
3 /4 sq. roll
93 lbs.
100 Ib. cartons,
bulk
ASTM D 5147
ASTM D 5147
.ATM D 5147
ASTN1 D 5147
AST`1 D 5147
PA 100(A)
ASTM D 1929
AST`1 D 635
None
AS IN! D 5 147
AST`1 D2824.
Type 1
AST`1 D512, Interp!k moopm2 and sur racing asphalt
Types 1. 11, 111 and
IV
Page 3 of 41
Product Control No: 97- 0804.21 .
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 ;ranules.
Non woven fiberglass mat coated with
fire retardant polymer modified asphalt,
and surfaced w ith mineral granules.
Woven fiberglass mat coated with
Polymer modified asphalt and surfaced
with aluminum. copper or stainless steel
foil.
One way valve vent used to relieve
built -up pressure within the roof system.
GAF Vent Stacks are available in metal
or plastic.
Nlir.erai bituminous emulsion
with re': :: e aluminum flakes
\\,.0% en floe _ !ass ;nat coated with
Po!\;ner modiF:ed asphalt surfaced with
aluminum. upper or stainless steel foil.
Non- fibered aluminum pigmented,
asphalt roof coating
SEBS modified asphalt
Rao'ing Product Control Examiner
Product
RL'BEROID MOD
Asphalt L
RL'BEROID MOD
Asphalt P
G.AFTE;MP
Composite A
GAFTEMP Tapered
Composite A
G.AFTEMP
Composite N
GAFTEMP Tapered
Composite N
GAFTENIP Tapered
Isotherm R
GAFTENIP Tapered
Isotherm RA
GAFTENIP Tapered
Isotherm RN
GAFTENIP •
GA FC.ANTT`'
GAFTENIP
GAFEDGET`
Tapered Edge Strip
GAFTENIP
PERNTALITE s
Tapered Roof
Insulation
GAFTENIP Recover 1/2" thick,
Board Various sizes
Shin;le- MateT"
Lnderlay ment
4 sq. roll
30 lbs.
Test
Dimensions Specification
60 lb. kegs
60 lb. kegs
Various
Various
Various
Various
Various
Various
Various
Various
Various
Vario
,
PA 110
PA 110
PA 110
PA 110
PA HO
PA 110 Perlite board
Page 9of4I
Product Control No: 97.0804.21
Product
Description
SEBS modified asphalt
SEBS modified asphalt
Polyisocyanurate / ood fiberboard
composite
Tapered Polvisocvanurate!wood
fiberboard composite
Polyisocvanurate,'w%.00d fiberboard
composite
Tapered Polvisocvanurate /wood
fiberboard composite
Tapered polyisocvanurate foam
PA 110 Tapered polyisocvanurate foam
Tapered pol■:soc�anurate foam
Cut p:'ii._ bo: rd
Tapered per l ite boar
PA 110 Tapered perlite board
Fiberglass reinforced shingle
underlay ment
Fr
Roofing Product Control Examiner
Product Control No: 97- 0804.21
Test Product
Product Dimensions Specification Description
GAFTITE® ASAP 500 per box PA 1 14 Pre - assembled fastener and metal and
plastic plates
Page 10 of 41
oaga,
Roofing Product Control Examiner
Pyrox
ACFoam
Product
ACFoam II
H -Therm White
�ine
'\ ilCllorbond
Fastener
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS
Test
Dimensions Specification
various
various
various
Hy-Therm Nail -line various
Hy -Therm SP various
Hy-Therm AP various
Hy -Therm Stable R various
various
Dekfast Fasteners
_
Dekfast Hex Plate 2 g" x
3 I.,ti.
PA 1 1 0 Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate foam
insulation
PA 1 !0 Polyisocyanurate foam
insulation
PA 1 10 Polyisocyanurate foam
insulation.
PA 110 Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate foam
insulation
PA
Polyisocyanurate , . _....
insulation
PA ; i Insulation fastenin_
assembly
PA 111 Insulation Fastener for steel
and concrete decks
PA 1 I ' Galvalume hex stress plate.
Pagel 1 0(4!
Product
Description
Product Control No: 97-0804./1
Manufacturer
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)
C 1c.e\ Corp.
.ur_nt PCA)
Celotex Corp.
current PCA)
Construction
Fasteners Inc.
(''. ith current PCA)
Construction
Fasteners Inc
('.with current PCA)
P. uioaoa.
Rooting Product Control Examiner
Test
Product Dimensions Specification
Dekfast Fasteners
14
Dekfast Fasteners
-12
High Density Wood various
fiberboard
Petite Lrethane
Composite
various
Perlite Insulation various
Polyethylene 4 mil min.
Red Rosin various
Roofing Nails
Minimum 4
12
PA 114
Page 12 of -1 1
Product
Description
Product Control No: 97- 0804.21
Manufacturer
Dekfast Lock Plate 3" x 3 1/4" PA 114 Polypropylene locking Construction
plate. Fasteners Inc.
(with current PCA)
PA 114 Insulation fasteners for Construction
concrete decks Fasteners Inc.
(with current PCA)
PA 114 Insulation fastener for steel Construction
and wood decks. Fasteners Inc.
(with current PCA)
ISO 95+ Composite PA 110 Polyisocvanurate / perlite Firestone
rid,ed insulation (with current PCA)'
Asphalt ASTM 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 g eneric
insulation
PA 110 Wood fiber insulation board generic
110 Perlite / urethane composite generic
board insulation
PA 110 Perlite insulation board generic
Vapor barrier ,• Air barrier generic
rosin paper for barrier Vener is
layer on wood decks
Corrosion resistant annular
ring shank nails
generic
aga,
Rooting Product Control Examiner
l
Tin Caps
Test
Product Dimensions Specification
N1B aluminum roof
coating
Dens -Deck
=12 Roofgrip
=14 Roofgrip
Gripdek Fastener
Hexcel Fastener
Hextra
Standard Plastic
Plate
iSO 95—
E'\RG'Y -2
ISORoc
Min. 32 ga. x
various
3" round
various
various
various
Olympic Standard 3" round
PA 121 Aluminum roof coating
PA 110 Gypsum insulation board.
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
PA 114
P 110 Polvisocvanurate foam
insulation
PA 110 Polyisocvanurate foam
insulation
PA 110
Product
Description
Corrosion resistant circular
discs.
Insulation fastener and
metal or plastic plate
Polvolefin plastic plate
Polyisocyanurate foam
tockwool composite
insulation
PA 114 3" round galvalume
AZ55 steel plate
Page 13 of 4 I
Product Control No: 97 0804.21
Manufacturer
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
(,ith current PCA)
Firestone •
ith current PCA)
RG Barriers, Inc.
(v,ith current PCA)
NRG Barriers, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Roofing Produc: Control Examiner
Test
Product Dimensions Specification
Olympic Fastener
"14
Olympic
Polypropylene
Olympic Fastener
x-12
Olympic Fastener
ASAP
Olympic CR Base
Felt Fastener and
Base Sheet Disc
GlasFast Fastener
Paroc Base Board
Paroc Cap Board
Multi-flax
Multi -Max FA
3.25" round
various
various
various
various
PA 114 Insulation fastener
PA 114 Polypropylene
plastic plate
Product
Description
PA 114 Insulation fastener
PA 114 Pre - assembled Insulation
fastener and plate
PA 114
PA 114
Insulation fastener
assembly. for Base Sheet
fastening only
Insulation fastener
assembly with recessed
plastic plate
PA 110 Rockwool insulation
PA 110 Rockwool insulation
PA 110 Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate foam
insulation
Page 1.4 of 41
Product Control No: 97- 0804.21
•
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)
ens - Corning
Fibervlas Corp
I w i :h current PCA)
Partek, Inc.
("i :h current PCA)
Partek, Inc.
(with current PCA)
Rmax, Inc.
(with current PCA)
Rmax, Inc.
(with current PCA)
Roofing Product Control Examiner
Product
Instil Fitix P 3" round
Raw! Fas teners
Pla :e
--Fast DL
Test
Dimensions Specification
UltraGard various PA 110 Polyisocvanurate foam
insulation
Insul -Fixx Fastener PA 114
roun ,
3.04" round PA 1:4
Product
Description
Insulation fastener for steel SFS /Stadler
and wood decks (with current PCA)
PA 114 3" round polyethylene
stress plate
PA :.- Insulation `as :_ne s :__.
and wood decks
'as:..._.
s:__.. red cr c. ,.,.. _._
PA : . 2a \a'.urne AZ--
membrane plate
PA : : 3 ca va:,..._ AZ:: ne Rawlplug
Czmaan■ Inc.
S:__.
•
Pag :: 5 of s'
Product Control No: 97- 05Ue.s t
Manufacturer
Schuller
International Inc.
(with current PCA)
SFS.'Stadler
\A :.n current PCA'■
Raw 1pluE,
Compan.y
c...en: PC.A
:mpany Inc.
cu..ent PC.A
The Raw lplug
Company Inc.
t'.%;... current PCA
Inc:.
• °nt PC.A'■
Ins;..a : :cn fastener For s :ee.. T' -Fast
PCA?
3.04" round pelye:hvlene Tru -Fast
plastic plate (with current PCA)
oaga,
Roofing Product Con Examiner
•
Tru -Fast MP -3
Tru -Fast HD
Tru -Fast Ultra
Tru -Fast DP
rj-ras. PA 114
Test Product
Pr Dimensions Specification Description
Product Control No: 97 -0104.2
Manufacturer
3.23" round PA 114 3.23" round galvalume Tru -Fast
AZSO steel plate (with current PCA)
PA 114 Insulation fastener for use Tru -Fast
in wood, steel or concrete (with current PCA)
decks
PA 114
PA 1 1
r
Stainless Steel fastener For
use in steel, wood and
concrete decks
Tru -Fast
( current PCA)
Insulation fastener for use Tru -Fast
in steel or µood decks
.. :h :urrent PCA)
insu!a:ior. fastener for ,:se T... -Fasst
in steel or wood decks • _,.,rent PCA)
various PA 110 . H :ah densir' wood ,.be- Wood Fiber
Industries
v ^ c..rrent PCA)
Page !6 of 4!
Roofing Produc: Cor.trol Examiner
Test
.Agency /Identifier
Factory Mutual Research
1 Corporation
1
Name
Current Insulation
Attachment
Requirements
Factory Mutual Research' Wind Uplift
: Corporation FMRC 4470 - PA 114
Factor `lutual Research Wind Uplift
'Corporation FMRC 4470 - P.A 114
Factors Mutual Research Wind Uplift
• Corporation FMRC 4470 - PA 114
Factory ~lutual Research Wind Uplift
Corporation
Factors Mutual Research
Corporation
Factory Mutual Research
Corporation
c3 :;,7ies. i
D:.-:atech Engineering
Corporation
D; na:ech Engineering
Corporation
FMRC 4470 - P.A 1 14
Wind Uplift
FMRC 4470 - PA 1 14
Wind Uplift
FMRC 4470 - PA 1 14
Fac tor' \lur,;ai Research Wind Uplift
Cor- ora::on F`1RC 44'0 P.A 1 14
Research Wind L'phft. FMRC 11 , i39AS.ANI
4 P.1 1 1
Fire Resistance
Ciassification
L'L 790 - PA 114
Wind Uplift
PA 114
Find Uplift
PA 114
TEST REPORTS
Report Date
FMRC 1996 01.01.96
J.I. OT4A I .AM
J.I. 1V8A4.AN1
=4482.02.95 -1
Page 17 of 41
Product Control No: 97 0804.21
08.26.92
06.28.93
• J.I.1RIA6..AM 11.15.91
J.I. OT2Q4.ANI 10.17.91
J.I. 0Q6A6.Ati1 07.16.91
J.1. 3Y3A2.A\-1 08.02.94
J.l. 0Y9Q3.A.1 07.29.94
R1306.SThK11319 01.01.93
= 3600.02.95 -1 02 .02.95
02.02.95
ga,
Roofing Product Control Examiner
Deck Type 1I:
Deck Description:
System Type A(1):
Systems
Wood, Insulated, New Construction or Reroof
19 / or greater plywood or wood plank
Product Control No: 97 -0804.21
Anchor sheet mechanically fastened, all layers of insulation adhered with
approved asphalt.
All General and System Limitations shall apply.
Insulation Fastener Fastening Fasteners Fastener
Laver Type Detail No. Per Board Density
(see PA 117)
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, GAFTENP Composite, GAFTEMP Composite A,
GAFTEMP Composite N
Minimum: I" x 3' x 4' N/A N/A N/A N/A
Approved Type(s): ISORoc, GAFTEMP® Tapered
Minimum: 1" x 4' x 4' N/A N/A N/A N/A
Approved Type(s): High Density Wood Fiber, GAFTEN P® High Density Wood Fiber, GAFTEMP
RecoverBoard
Minimum: '/•_" x 4' x 4' N/A N/A N/A N/A
Approved Type(s): Wood Fiber, GAFTEMP® Fiberboard
`linimum:' /-_ "x3'x4' NIA N /.A N/A N/A
.Approved Typef s): Paroc
Minimum: 3 /," x x 4' N/A N;'A N N'A
Approved Type(s): Pcrlitc, GAFTEMP Permalite' Permalite Tapercd
Nlinimum: 3 /r " x _' x 4' N/A N/A N'A N/A
`linimum
(for Tapered) '/," x 2' x4' N/A N/A N/A N.'.A
.Approved Type(s): Fiberglas
Minimum: 1)/16" x 4' x 4' N/A
N/A NIA NIA
Approved Type(s): Permalite Tapered Roof Insulation
Minimum: '/ `' x 3' x 4' N/A N/A • N/A N'A
Approved Type(s): Tapered Isotherm R, Tapered Isotherm RA, Tapered IsothcrmRN, GAFTEMP
Composite Tapered, GAFTEMP Composite A Tapered, GAFTEMP Composite N Tapercd
Minimum: ' /a" x 4' x 4' N/A N/A N/A N/A
Page IS of 41
;a.
Roofing Product Control Examiner
t
Note: All insulation shall be adhered to the anchor sheet in full moppings of approved hot asphalt
within the EVT range and at a rate of 20- 401bs. /s Please refer to Metro -Dade County Roofing
Application Standard PA 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 top 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:
Base Sheet:
PIy Sheet:
Cap Sheet:
Sur`acin_:
Maximum Design
Pressure.
`laximum Fire
Classification:
Maximum Slope:
Product Control No: 97 0804.21
GAFGLAS® PIy 4 ®, PIy 6 ®, GAFGLAS Flex PIyTM 6, #75 Base Sheet,
GAFGLAS #80 UltimaT' 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
(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 R4).
One, two, or three plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6® Ply or
GAFGLAS Flex PIy 6 sheet adhered in a full mopping of approved asphalt
applied within the EVT range and at a rate of 20 -40 lbs. /sq..
(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..
(Required if no cap sheet is used) Install one of the foliowin,:
1. GAF Special Roofing Bitumen with an application rate of 20 Ibs.!sq with an
application rate of 1.5 eal.'sq.; or GAF WEATHER COAT Emulsion with an
application rate of 3 gal.'sq.: or GAF Premium Fibered Aluminum Roof Coating
with an application rate of 1.5 eal.;sq..
2. Asphalt flood coat at an application rate of 60 lbs. 'sq. 20 %: plus eravel or
slag with an application rate 01 400 lbs., sq. & 300 lbs.. sq.. respectively.
-45 psf (See General Limitation =-)
'A'. See General Limitation #2.
3 ":12 "; See General Limitation #3.
Page 19 or 41
Roofing Product Control Examiner
Wood Deck System Limitations:
I. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F')
of 95 lbf or greater as tested in compliance 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
calculations in compliance with Metro -Dade Roofing Application Stanadrd PA 1 17.
All standard insulation panel sizes are acceptable for mechanical attachment. When panels are
applied in hot asphalt, maximum panel size shall be 4' x 4'.
a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of
275 Ibf. as tested in compliance with Merto -Dade County Protocol PA 105 & Roofing
Application Standard PA 117. If the fastener value, as field tested, are below 275 Ibf. insulation
attachment shall not be acceptable.
3 A slip sheet is required with PIy 42 Flex PIy' 6 and PIy 62 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 37 of4l
u oaga.
Roofing Product Control Examiner
Product Control No: 97 - 0804.21 •
Product Control No: 97- 0804.21
GENER&L, LIMITATIONS
I All asphalt shall comply with ASTM D 312 type III or type IV requirements, and
approved by applicant.
Fire ratings are determined by a combination of slope, deck type and assembly. Refer to
current Underwriters Roofing Materials Directory or other fire testing data listed in the
testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of
the South Florida Building Code.
3 Maximum slope range shall vary for each system; consult current Underwriters
Laboratories Roofing Materials Directory and manufacturer's specifications for
compliance with design criteria for each project.
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 isocvanurate foam insulation, the
maximum design pressure is limited to — 60psf.
All work shall be performed by a contractor licensed to do rootin= work in `letro -Dade
County. Contractor shall be farripar 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
sole responsibility of the contractor.
Page 38 of 41
ran Zuloaga,
Roofing Product Control Examiner •
Page 39 of 4
Product Control No: 97-0804.11 .
7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas,
as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener
densities shall be increase for both insulation and base sheet as needed calculated in compliance
with Metro -Dade County Roofing Application Standard PA 1 17. (When this limitation is
specifically referred within this NOA, General Limitation #20 will not be applicable.)
8 All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination
designs shall conform with Metro -Dade County Roofing Application Standard PA 111
and the wind Load requirements of Chapter 23 of the South Florida Building Code.
9 Flashings shall be installed according to the manufacturers standard details. and may be
applied in cold application adhesive approved asphalt or may be applied in conjunction.
with an approved torch applied modified bitumen membrane Specific details, approved
by the manufacturer, shall be submitted with the Section II Permit Application. All details
shall comply 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 Toad
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 lbf., as tested in compliance with PA 105. If the taste -,er value. as field tested,
are below 275 lbf. insulation attachment shall not be acceptable.
.Asphalt moppin,s 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 tlash point. Asphalt
types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South
Florida Building Code.
13 Insulation may be installed in multiple layers. The first layer shall be attached in
compliance with Product Control Approval guidelines. All other layers shall be adhered
in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40
lbs..'sq.. 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 insulation panels in approved asphalt or tdhesive, which shall
comply with provision of Roofing Application Standard PA 1 17.
Roofing Product Control xam
Page 40of41
Product Control No: 97- 0804.21 •
14 All standard panel sizes are acceptable for mechanical attachment. When applied in
approved asphalt, panel size shall be 4' x 4' maximum.
15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a
bonding 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.
17 Roll good materials shall be stored on end and on a clean, flat and dry surface.
18 If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or
approved adhesives may be used prior to the application of the insulation laver.
19 Consult current Underv. 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 (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.)
Rooting Product Control Examiner
GAF Materials Corporation
1361 Alps Road
Wayne. NJ 07470
Product Control No: 97.0804.21
ACCEPTANCE NO.: 97- 080421
APPROVED : November 4, 1997
EXPIRES : November 4, 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.
Any and all approved products shall be permanently labeled with the manufacturer's name, c:ry, state, and the
Following statement: "Metro -Dade County Product Control Approved ", or as speciricail;. 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 :he 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. acf..ert isin or any other
purposes.
6 The Notice of .Acceptance number precede by the words `letro -Dade Cot:n: F:or:;ia. the
expiration date may be displayed in advertising literature. If any por,icn of the `c:'c o: . Ac:ptance Is
displayed, then it shall be done in its en :ire^:.
.1 copy of this Acceptance as well as approved drawings and other documents, µhere it app.:es, shall be
provided to the user by the manufacrurer or its distributors and shall be mailable 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 1 through 41
END OF THIS ACCEPTANCE
Page 4I of 4I
r:
u:oaga.
Roofing Product Control Examiner
•
•, •
GAFGLAS Specifications I- B- 5 -M /P6, I- B -5 -M, and NN -B -5 -M
Roofing
' Asphair
o rAcc ep tabl eeek�
or Acceptable Insulation
r S idt
LnD
liar Side
Lap
i
19 /e'�
39 WA'
GAFGLAS
Base Sheet
(see below)
GAFGLAS Ply
GAFGLAS
Mineral Surfaced
Cap Sheet
Non - nailable decks or insulated decks up to 6 inches per foot slope Poured
concrete. precast concrete. acceptable root insulation.
Materials
GAF Materials Corporation Asphalt/Concrete Primer (when applicable)
Base Sheet
GAFGLAS Ply (3 plies)
GAF Materials Corporation Roofing Asphalt
lnterplies
Cap Sheet
GAFGLAS Mineral Surfaced Cap Sheet (1 ply)
Approximate Weight per Square 245 -320 lbs.`
' Plus weight of insulation and fasteners.
Design and Application Considerations detailed in this Manual shall apply in
addition to the following recommendations and specifications.
1. Starting at the low point of the roof. mop one ply of Base Sheet into place
providing for 2 inch side laps and 6 inch end laps. (See "Special Instructions'
below.)
2. Starting at the low point of the root. mop three plies of GAFGLAS Ply shingle
fashion: lapping each sheet 26 71 inches over the preceding sheet; solidly mop-
ping to the underlying base sheet to provide four plies over the entire roof area.
Base sheet and interply moppings of GAF Roofing Asphalt must be applied
in a continuous film and shall consist of approximately 25 pounds per 100
square feet of roof area with a tolerance not to exceed 20% plus or minus.
The appropriate asphalt for the slopes involved must be used.
Slope per foot Asphalt Type
Up to 3' Steep ASTM Type III
3' 6' HT -Steep ASTM Type IV
On slopes up to 1 /2 inch per foot, Flat ASTM Type II may be used
except in Florida, Texas, New Mexico, Arizona, and California.
r
GAF MATERIALS
CORPORATION
Apply GAFGLAS Mineral Surfaced Cap Sheet in accordance with the application
instructions on page 20. so that the laps are offset from the laps of the ply
sheets.
1. For roof slopes 1 inch per foot or more. all plies must be back - nailed 4 inch-
es in from the back edge of the felt into wood nailers. (See "Installation on
Steep Roofs," page 10.)
2. Acceptable base sheets include: GAFGLAS STRATAVENT' Perforated (which
is laid dry. i.e.. it is not mopped in, see 'Venting Systems." beginning on page
54). GAFGLAS €75 Base Sheet. RUBEROID' Modified Base Sheet, GAFGLAS
FlexPly6. and GAFGLAS Ply 4. For insulated decks there are restrictions. (See
below and "Roof Insulation." page 10.)
3. For decks insulated with GAFTEMP` Isdtherm R. GAFGLAS STRATAVENT
(Vent Ply) Perforated must be used as the base sheet. (See "Roof Insulation."
page 10.)
UL Class
A
Substrate Slope
C - -- - - ._ 2;— 3A
C 31/ 3A
Insulation
1 . Substrate
C = Combustible and Noncombustible
Combustible = Wood planks. boards. etc.. plywood (min. `/,: inch thickness).
oriented strand board (min. /: inch thickness).
NC = Noncombustible only
Noncombustible = Steel. poured or precast structural concrete. lightweight
insulating concrete, gypsum. structural wood fiberboard. etc.
2. Slope
Maximum slope allowed. in inches per foot.
3. Insulation
3A = Optional, GAFTEMP PERMALITE Wood Fiberboard. High
Density Fiberboard. Isotherm and Composite (perlite side up) Insulations.
Guarantees Available
Specification Liberty Guarantees
20,15,12,10, 5 yr.
12,10, 5 yr.
I- B- 5 -M/P6
I -B -5 -M and NN -B -5 -M
23
ROOFING SYSTEMS (IGFU)— Continued
- tt- Ifoamt "Po ly -Iso" or "Poly -Iso Special' wills "Polyfoam 251" or "Polyfoam
303', 1 In. min.
' lase Coat: One or two applications "Gacollex 118- 7050', applied at 1
}p gyal /sq /application or llnee applications, applied 1 -1/4 gal /sg /application
;1.i'(16.32 dry hills). •
pis S utlacing: "Gacollex LIA -65" Series (various colors), applied 1 gal/sit (12
dry mils).
30.'.Drcks IIC Incline: 1/2
foam: "Poly -Iso' m "Poly -lso Special' with "Polyfoam 251' or "Polyfoam
303', 1 in. min. r lase Coal: One or two applications "Gacollex UU- 1050', applied at 1
" 1 9ai /sq /application or Three applications. applied 1.1/4 gal /sq /application
16.31 dry mils).
1h>r urfating:'Gacullex UA•60' Seties (various colors), applied 1 gal /sq (15
dry roils).
17 Dad: IIC Incline: 2
•'' foam: "Poly-ho' or "Polyiso Special" with "Polyfoam 251' or "Polyfoam
i 303', 1 In. min.
r lease Coat: "GacuSil 5.1000', applied at 1 gal /sq (10 dry mils).
Sulfating: "Gautier( 5. 1000 ", applied at 1 ga /sq (10 dry mils).
it Deck: RC Incline: 1
la: foam: 'Polyfoam 251' or "Pulyfuan: 30J ", any thickness.
- Sulfating: 'Gacullex the- Shield 7007 ", 40 dry mils.
Y. Desks HE Incline: 2 -1/2
1 ":k; foam: 'Polyfoam 275', any thickness.
lase Coal: 'Gacullex A- 6211', 1-1/2 gal /sq (14 dry mils).
1' 'Gacullex A -6200' series (valluus cubs), 1.1/2 gal /sq (14
., mils).
30r \:
iAF'HAiERIALS CORP R1306 (N)
- 1361 ALPS RD, WAYNE 11.1 07470
fIIUDtR0ID 20' or 'HUMID Modified Base Slteet" may be utilized as an
Ornate to lype G2 base sheets in any of the following Classifications.
1/2 I n. thick (min) gypsum board or 1/4 in. thick (min) Georgia- Pacific
i ens•Ueck•' overlaymenl board may Ire used In any existing noncombustible
— deck (Iassllication. When this is done, the resulting roofing system is
knplable fur use over combustible (15/72 in. min) cool decks. lire joints in
V), r gy mum boaid and overlaymenl board are offset 6 in. with the joints in the
,,
�.ck. 11 polystyrene is part of the tool system. it must be placed below the
— Irirtayment board.
ASPIIALT FELT SYSTEMS WlilI 110T ROOTING ASPIIALT
Type G2 asphalt glass mat base sheet ('GAIGLAS 1115 Base Slreel") is a
)able alternate for Type GI asphalt glass fiber ply sheet ( "GAFGLAS Ply 4' or
— 1,1TGLAS Ply 6') In the (lass A, B of C roof systems Indicated below.
114 roof deck may first be covered with a Type G2 asphalt glass mat base
sheet 'GAIGLAS Sltatavent S Vent -I'ly) perforated' or "GAFGLAS St►alavent
(Vint -Ply) fur mailable decks". Perforated to be stopped and mailable to be
—wwte��hanically attached granule side down.
�FU4n option Type G2 asphalt glass mat base sheet ( "GAFGLAS (175 Rase Sheet'
GAFGi�AS Stralaveht (Vent -Ply) for nailable decks ") may be substituted fur
I asphalt glass fiber ply sheet ( GATGI.AS Ply 4' or "GAIGLAS Ply 6 ") as the
pled base ply In the following systems.
bottom ply to base sheet may be solid mopped, spot mopped or mechanically
- ..)a ttened.
Unless otherwise indicated, all insulations may be hot mopped or mechanically
.stentd.
t�JIMIAS flashing' or'Rubetold' may be used for flashing in any of the (lass
_A B or C systems listed below.
i When 'perlite' is refetenced, this Includes "GA1TEr4P PERMALITE*" or any
is. Mher Ul Classified penile insulation.
.Gushed stone or slag are suitable allemales fur gravel in any of the Class A,
_I2r C systems listed.
,.htklural cement fiber building milts ate considered suitable to Ire Included
'a deck In the roll.winq (Iris A, tl or l' systems listed Over C - 15/32 ni NC.
The use of gypsum board under any of the following Class A, B or C systems
boos not adversely effect the rating. the use of 1/2 ln. min gypsum board is
In acceptable alternate for Insulation over C -15/32 decks.
7fre use of polystyrene insulation board between min 3/4 hr. perlite boaid
deck with rosin paper (petlile /rosin paper /polystyrene /perlite) Is a
ble alternate for lsocyanwate board in the following (lass A, 0 or C
_t'ytiems.
;Wl1EMP Isotherm RA ", "GAFiEMP Tapered Isothe RA' and "GAFTEMP
poslle A' may he substituted fur any ssotyanurate Insulation in any of the
wing (lassilicaliuns.
- • Class A, B and C.
liot tooling asphalt, fut use with organic and glass fells or modified bitumen
slsinbranes.
(.. ., (lass A
DtrksC -15/32 Incline: 3
Insulation (Optional): One or more layers penile, wood fiber, glass
l
— "q,Ftber, Isocyanurate, methane, perlite /isocyanurale composite, perlite/
T�
1>�
mss-
ROOF COVERING MATERIALS (IEVT)
LOOK FOR MARK ON PRODUCT
ROOF COVERING MATERIALS (TEVI) 135
ROOFING SYSTEMS (IGFU) Continued
urethane composite, wood Tiber /isocyanurale composite, phenolic, any
thickness.
Ply Sheet: Three or mole layers Type G1 "GAFGLAS Ply 4' or "GAFGLAS Ply
6'. hot mopped.
acin.: Gravel.
Deck: -15 3
Insulation (Optional): One or more layers penile, wood fiber, glass
fiber, isocyanurale, methane, perlite /Isocyanurate composite, penile/
:methane composite, wood Tiber /isocyanurale composite, phenolic, any
thickness.
My Scheel: Three or none layers Type GI "GAFGLAS Ply 4' or "GAFGLAS Ply
6'.
Cap Sheet: One la er Type G3 "GAIGLAS Mineral Sulfated Cap Sheet ".
ckiT
Insulation (Optional): One or note layers penile, wood fiber, glass
fiber, Isocyanurate, methane, perlite /isocyanurale cmnposite, perlite/
urethane composite, wood Tiber /isocyanurale composite, phenolic, 2 In.
max.
Ply Sheet: Two or mute layers Type GI " GAFGLAS Ply 4" or "GAFGLAS Ply
6 ".
Cap Sheet: One layer Type G3 "GAIGLAS Mineral Surfaced Cap Sheet'.
4. Deck:11C IrtctIne:1 /2
Insulation: One or two layers "Isotherm R', 4 In. max, hot mopped.
Ply Street: Any UL Classified gravel surfaced Class A asphalt glass fiber
mat system.
S. Deck: C -15/32 Incline: 1
Slip Sheet (Optional): Red rosin paper, nailed to deck.
Base Sheet: Utte layer of Type G2 "GAIGLAS 1115 Rase Sheet' (may be
nailed).
Ply Sheet: One or mote layers of Type 61 %MGI.AS Ply 4' or GAFGLAS Ply
6. -
Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ".
6. Deck: NC Incline: 3
Base Sheet: One layer of Type G2 "GAFGLAS 1115 Rase Sheet'.
Ply Street: One or more layers of type G1 "GAFGLAS I'ly 4" or GAIGLAS Ply
6 ".
Cap Street: One layer of lype G -3 "GAFGLAS Mineral Surfaced Cap Slreel'.
7. Deck: C -15/32 Incline: 2
Insulation: One or more layers penile, glass fiber. Isocyanurate, methane,
perlite /isocyanurate composite, perlite /urethane composite, phenolic.
1.0 hr. min (offset from plywood joints 6 In.).
Base Sheet: One or mule layers of Type G1, G2 or G3.
Membrane: One or note layers of "Rubenold Tomb' (smooth or granule),
"Ruberohl Torch Plus" (granule), ' Ruberoid Mop' (smooth or granule) or
"Ruberoid Mop Plus" (granule).
Cap Sheet: 'GAIGLAS Mineral Surfaced Cap Sheet", but mopped.
8. Deck: C -15/32 Incline: 2
insulation (Optional): One or more layers perlite, wood fiber. glass
fiber, Isocyanurate, urethane, perlite /isocyanurate composite, penile/
melhane composite, wood fiber /isocyanurate composite, phenolic, any
thickness.
Base Street: Iwo or mote layers of lype G2 or 63.
Ply Sheet (Optional): One or more layers of Type G1.
Membrane: One or smote layers of 'Ruberoid lolls' (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop' (smooth or granule) or
"Ruberoid Mop Plus' (granule).
Cap Sheet: "GAFGLAS Mineral Sulfated Cap Sheet ". hot mopped.
Class B
I. Decks C -15/32 Incline: 3 -1/2
Insulation (Optional): One or mute layers perlite, wood fiber, glass
fiber, isocyanurate, urethane, penile /isocyanurale composite, penile/
methane composite, wood Tiber /isocyanurale composite, phenolic, any
thickness.
Ply Sheet: Iwo ur must layers of type G1 "GAIGLAS 1'ly 4' or'GAiGI.AS
Ply 6'
Cap Street: Type G3 "GAIGLAS Minna! Surfaced Cap Sheet', hot mopped.
2. Deck: C -15/32 Incline: 3.1/2
Insulation (Optional): One or more (ayes perlite, wood fiber. glass
fiber, isocyanurate, melhane, penile / isucyanurate composite, penile/
urethane composite, wood fiber /isocyanurale composite, phenolic, any
thickness.
Base Sheet: Two or more layers of Type GI, G2 or G3.
Membrane: One or mule layers of "Rld►cruid Null" (smooth or granule),
"Ruberoid With Plus" (granule), 'Rubesold Mup' (smooth or granule) Of
"Ruberoid Mop Plus" (granule).
Cap Sheet: "GAFGLAS Mineral Surfaced Cap Slreel', hot mopped.
Class C
1. Decks C -15/32 Incline: 1/2
Insulation (Optional): One or more layers penile, wood fiber, glass
fiber, isocyanurate, melhane, perlite /isocyanurale composite, perlite/
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
p p ( OWNER TO RRETAIN COPY)
Date le '-� !�/ Job Address j /1/E /
1 Z Q. fve . w P <
/ Lessee / Tenant - P-li ' t-'
Legal Description
Owner's Address 1 C7 c� f (" 9;
-(/'"
Contracting Co.
Qualifier ■j A1\AES I-L3it -e,
O
State # C L9O(
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one
WOR
Date:
DESCRIPTION
4-
Square Ft.
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
will be done in compliance with all a cable laws regulating construct n and
F I autho ri he above -name contractor to do the work state
•
O
•
of Owner and/
/i9/
r
Condo
resid
7
ore,
ng
• ;UILDING ELECTR
Notary as to Owner nd /or Condo President
*
My Commission Expires: NOTARY M S PUBLIC ION EXP STATE OCT OF . FLORIDA
* * * BONDED RU GENE P,
q INS . h93
.
Building
chanical Plumbing
Si2/6 - 0
Phone
. v) Zai
Address (013 -1J-
SS# ( Phone 64 0 y 7U
Com etenc # Ins. Co. vor
Address
c; ?W /S D0-7 d--
Tax Folio /f
Master Permit #
Address
Address
CAL PLUMBING MECHANICAL PAVING FENCE SIGN
Estimated Cos °'
� p )
A
gna
lifi : `
l0
# / /. /. %!fai .
%. ar as to Contractor or Owner - Builder
ontra
y Commission Expires:
* *
*
PERMIT T FEE: APPROVED: Fire Othe q % ) 1 )
Electrical
Engineering
39,—
all work
zoning.
.
Owner -- Builder -
*
PERMIT # Tax Folio No. / /',��(7s /, o 70 9-
,,- •
State of Florida
=ounty of Dade
Jotary Public
NOTICE OF COMMENCEMENT
IHE UNDERSIGNED hereby gives notice that improvement will be made to ..certain real
.roperty, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
1. Description of property: (legal description of the property, and street address if
available) I 1 -- ( 2_ `vim 1 v��` /' /LE rr- 1'(
- 4 11 3Q &.(7 0D 3 - 1 0,91 'F 53 S / f / J
General descri.ption of improvement: '✓1 d r
�.v
�. Owner information:
a. Name and. Address: \ ' ' ��JL7 , 72-(G t _Z- (a)/ Nig- 5'‘ 3 S - 7 `
b. Interest in property:
c. Name and address of fee simple titleholder(if other than owner):
Contractor: (name and address) 14} e_- (0- /C) Co -; t-
�/ 7 3 A / t) ) /
Surety:
a. Name and Address
b. Amount of bond$ ?AMP
/
Lender: (name and address) (A.. / P A • " s ` D �(�(.(E 2- -2
/Qa / Av 4 S 3 5'7` 4 � 3 31
7. Persons with 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)
In addition to himself, Owner designates - of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
Expiration date of notice of commencement (the expiration date is 1 year from
:worn to and subscribed before me this oV
9182.0773 1991 JUtM 21 32
the date of recording unless a_different dat specified)
ure of Owne
NOTARY PURL 'L
My Commission Expires: MY C0Mt4ISSI►
STATE OF FLORIDA
COUNTY OF DADE
1 HEREBY CERTIFY that this Is a true 02.4t3
original ittl in this office on
AD 19
WI1 my hand and OfFklial S.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
/e
Date.. LY /7- /79(Job Address
Legal Description
Owner's Address
c
Lessee / Tenant /we. 1 5 ct/liU/1..140
Contracting Co. STEVE, I J. OP - . Address Q ySD U3• ga 9 Sj j
Qualifier SreArtA) V: 7'y SS# - - 1 hon =. 1/4 53 - 0 0 i/30
State# L 02,X3,9
Architect /Engineer DV Address
Bonding Company 4/ Address
Mortgagor du Address
Permit Type (circle one):
WORK DESCRIPTION
Square Ft. Q P)IU SQ /- . Estimated Cost 425 /° a
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
REbCORDING 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 of` and /or C
Dates :
/Da/ 13.E. % 3 Q sr Phone >6)- 039.R
Competency # ( �. Jq; c
sident
o y /s to wne and /or Condo President
My oianission Expires: NOTARY PUBLIC, STATE OF FLORIDA M
* * * *Y COMMI*10N EXPIRO APRIL l* 1902 *
BONDED THRU STEMBLER -ADAMS & SWEET
PERMIT FEE: APPROVED: Fire
Building
Mechanical Plumbing
Tax Folio ,� �� / �
Master Permit # 3/y0
k06 /(6 o62
ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
Coi97AvrL Mot
ary as to Contractor o Ow er- Builder
Commission Expires:/je
Other 7/19 9/
Electrical
Engineering
. e r /94CIA/ns
i2
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
STATE OF FLORIDA, I
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
Owner's Name and Addres.... _,. _ _..
Registered Architect and /or Engineer
Name and address of licensed contractor= ��•(Ct .
Location and legal description of lot to be built on: 7
3 3 r .
Date / d , 19.4 d
No./0 f Street-M-12.-C- 91 Sr
Lot Block Subdivisio
and Number where work is to be done.
State work o b and purpose of • uilding (by floors).
New Building Remodeling Addition
To be constructed of Kind of foundation. Roof Covering._
G
-9
and for no other purpose.
Repairs ✓ No. of Stories /
Estimated Total cost of improvements $..1 / 5 0 • .==="' Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building..._ Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. -
Remarks (Signed) _. . �t��r1' 1 —
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 4, Date___. 6 ° Read, Sworn to and Subscribed before me.
Disapproved D ' e .___
/G .. l �� 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- 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby utnde for the approval of the detailed statement ur 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.
�1/Y/ !� Date ..f.. 3 __. _ ,1977
Ov.-ner's Name and
_ No.../0 /._... Street_. •• 'i3' ,5'
Registered Architect and /or Engineer.. t ,
Name and address of licensed contractor L —zit/ t .. :!l -ay .a.a . ..4 ...., e o .: 4, • I -i 5)).
Location and legal description of lot to be built on:
Lot Block Subdivision .^.... _..-..._.._ ..... _._ ........... ....
Street and Number where work is to be done 14 / /J . ..a & _.._� __._....__
State work to be done and purpose of building (by floors) A 112...31:1.P . �•: ..G.�..�_. _a... .,e4...11„4z_
..4..6. _. -4 ,p, .a.f - -q.... - 2- 1.. me. . _��La1t..t.1, L._ A. �.t ?.. .G C f b...
and for no other purpose.
Disapproved Date
(Signed)
Building Inspector
New Building Remodeling Addition Repairs �� No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 3. 114, ei, Amount of Permit $... s.QU
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.. ..... ZJ... - /, _, 1%1') s7 .
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 Snp lement,
andi has complied Stith 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. �! r
Remarks (Signed ). ?C.... _......_.... �.�
Notary Public, State of Florida
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 Zstated .� are true. I �JQ
Permit No........ ( Date I 0 3 1. . 1 1 Read, Sworn to and subscribed before me.
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 niter approval has kern obtained from
the I'I.rnnir,;; Board.
A re—inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspectiom or faulty
n terials and /or workmanship.
BUILDING ❑
ELECTRICAL ❑ DATE 196-
PLUMBING ❑ PERMIT N? 9945 Contractor's y
License No
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
❑ Work to be performed under this Permit
CONTRACTOR OR BUILDER
Bt.
Subdi-
vision
Sq. Ft
Value of
Project $
BY
Amt. of
Permit $
AUTHORITY
•
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the atements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed a BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.