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ROOFING
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ° , ;L: J I Add /) 3 Tax Folio Legal Deseiption Historically Designated: Yes No Owner/Lessee / Tenant Owners Add ir (7 ) Contracting Co. ; },1 'a Qualrfier / �7 LV .�� -!"...,;;;..i..4:-., T SS# & Phone :7! : ✓\ y > v A e -- a i . State # -+.; ._ ; %:� i ‘s Municipal # Competency # — Ins. Co. Arc litectfEngineey Address Bonding Canny Address Mortgagor Address Permit Type (circle ®T e): it WILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING ENCE SIGN Square Ft. G fr o,' WORK DESK ": [I 1 ON ;Lt. iL^' . 5 ' ' te.() �. WARNING 70 o WI IM: YOU MUST RIECO "'L A NOTICE F C'O'MMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOtm PAYING TWICE FOR II I' ROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDKri OR AN ATTORNEY 13EF*RE RECORDING YOUR NOTICE OF COMMENCEMENT.) Notary as to Owner and/cr Cando My Commission Exp itt)L1C4 C (President Application is hereby made to obtain,a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. ?Furthermore, I authorize the above -named contractor to do the work stated. Date OFFICie.L SuJTARR'd SEAL S PRY PV e` BARBARA ANW FUGAZI 2 SAS{ 0 COMMISSION f n Qk Q CC723468 9j. 4. t �tf MISSION EXPIRES e � �• 29 2002. FEES: PERMIT RADON C.C.F. APPROVED: Zoning Mechanical P 1 Master Permit # Building NOTARY Phone -77 'Ay' Address A> 4J P . Electrical Estimated Cost (value) ,0 .� t'riL'.a f1t' Signature of Contractor or Owner- Builder Cwt .,dA a Notary as to Contractor or Owner -Buil My Commission E Date il/ Date OFFICIAL RY EA SL .PRY NI., 3ARBARA ANN NOTA FUGaAZ 2 l %' COMMIssion RIU? BER ti c CC723453 . Cis Ih i : �C ""' COMMISSION M 002 (7, , BOND TOTAL DUE ), 6 Plumbing Structural Engineer Ft Contractor's Name: 4 j - Job Address: • Vg C £ G I £ u (Low Slope Application) (AsphaltPFiaglass Shingles) 0 1 0 New Roof Re roofing • (- L Sloped Total (ft c Master Permit No_ Flat Roof Area ($> ped Roof Area (ft> Exaosure category (per ASCE 7 -88): Building CtaniRcation category (per ASCE 748 able I): _ °indudes Mortar and Adhesive Set Tile .Append " UNIFORM ROOFING PERMIT APPLICATION .. . PROCESS No_ ROOF REIGST AND SYSTEM DETAILS (Draw details is needed) Deck rypc ,kTTA CHMFNT A SPA IN DETAIL 1 & 2 ROOF CATEGORY • ❑ (Nall-On Tile) ❑ ( Memel RoofslWood Shingles & Shakes) ROOF TYPE 0 Recovering ❑ Repair 0 Maintenance 1! `` I Ne FastenerTypc ��._..� /) fZ49 61 1LS to a� Field: � �'e"Perimeter: �a Corner: oe Page -I • 1 1 1 ❑ (Mortar-Set Tile) ❑ (Other) ROOF PLAN 11 11 11 11 11 11 11 11 11 11 11 11 11 1 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 6 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of viding 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 of ailed 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 neighboring 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. ii aV4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing 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 may cause 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. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not erloaded 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 erior 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. Owner's /Agent's Signature at Contractor's Signature Signature c The expense of such testing will be incurred by the manufacturer. Acceptance No.: 97- 0804.14 Revises No.: 95- 1003.03 Expires: Ill /06/00 Approved: 1 1/06/97 PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, Ni 07470 Your application for Product Approval of: CA F Ruberoid® Modiped Bitumen Roof Systems for Wood Decks under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Dynatech Engineering, Inc., Factory 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 -60 and the standard conditions on page 61. 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. Willis 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. Raul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE 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 to Dade County, Florida under the conditions set forth above. // Charles Danger, P.E. Direc :or Building Code Compliance Dept. Me Dade County C i ;METROPOLITAN DADE COUNTY. FLORIDA FLAGLER BUILDING BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -OADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 PRODUCT CONTROL NOTICE OF ACCEPTANCE PRODUCT CONTROL DIVISION (305) 375 -2902 GAF Materials Corporation FAX (305) 372 -6339 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of: CA F Ruberoid® Alodifed 8itunte,, 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: Dynatec /t Engineering, /nc., Factory ,llutual Research Corporation, and Underwriters Laboratories. Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -60 and the standard conditions on page 61. 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 Codc 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 Codc Compliance Office that this product or material fails meet the requirements of the South Florida Building Code. • The expense of such testing will be incurred by the manufacturer. ee 97- 0804.1 t e ~ -.Acceptance No.: Revises No.: 95- I003.03 / Expires: 11/06/00 Raul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET. SEE ADDITIONAL PACES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE 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 usedjn Dade County, FloiidA under the conditions set forth above. Approved: 1 1/06/97 Internet matt address: pottmastar ebulldlnpcadeonitne.com • / .•i • • - • Charles Danger. Pl.. Director Building Codc Compliance Dept. Metropolitan Dade County Homepage: http :/ /www.bulldtngcodeonitne.cota C' tg }: Insulation Types: Basalt Wool Perlite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Design Pressure Material Design Pressure Wood -75psf Maximum Fire Classification Material Classification Wood Class'A° Page 3 of 61 Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for . design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. Frank Zuloaga, Roofing Product Control Examiner C c P® RUBEROID Modified Bitumen Adhesive GAFGLAS® STRATAVENT® Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Nailable RUBEROID Modified 3 sq. roll Base Sheet 67 lbs. GAFTEMP® Isotherm R GAFTEMP® Composite Tapered GAFTEMP® Isotherm R GAFTEMP Isotherm RA Tapered GAFTEMP Isotherm RA GAFTEMP Isotherm RN Tapered GAFTEMP Isotherm RN Test Dimensions Specification 5 gallons ASTM D 3019 Type 111 60 Ib. roll various 69 lb. roll various various various various various various various ASTM D 4897 D 3672 ASTM D 489 D 3672 PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 Page 5 of 61 Product _Description Fiber reinforced, rubberized Adhesive 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 04601, Premium glass fiber reinforced SBS- Type 11, UL Type modified base sheet G2 BUR Polyisocyanurate foam insulation. Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high dens erboard-or perlite insu Zuloaga, Roofing Product Control Examiner C C c Product RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 30 RUBEROID 30 FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Built -Up Roofing Asphalt 'h sq. roll 93 lbs. '/. sq. roll 90 lbs. I sq. roll 92 lbs. I sq. roll 92 lbs. 5 gallons RUBEROID® 109. Roll ULTRACLAD® SBS 101 lbs. GAF Aluminum Roof 5 gallons Paint 100 Ib. cartons. bulk RUBEROID MOD 60 Ib. kegs Asphalt RUBEROID MOD 60 lb. kegs Asphalt L RUBEROID MOD 60 lb. kegs Asphalt P Test Dimensions Specification ASTM D 5147 ASTM D 5147 Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 5147 Product - Description Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Non woven fiberglass mat coated xvith polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. PA 100(A) One way valve vent used to relieve ASTM D 1929 built -up pressure within the roof system. ASTM ID 635 GAF Vent Stacks are available in metal or plastic. •None ASTM D 5147 ASTM D2824, Type I ASTM D312, Types I, 11,111 and IV Page 8 of 61 Mineral colloidal bituminous emulsion with reflective aluminum flakes Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non - fibered. aluminum pigmented, asphalt roof coating Interpiy mopping and surfacing asphalt SEBS modified asphalt SEBS modi fied asphalt SEBS modified asphalt Frank Zuloaga, Roofing Product Control Examiner c c • Product Dimensions Specification :''. Description GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam Isotherm R GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam Isotherm RA GAFTEMP Tapered Various Tapered polyisocyanurate foam Isotherm RN GAFTEMP Various Cut perlite board GAFCANTTM GAFTEMP Various Tapered perlite board GAFEDGET"' Tapered Edge Strip GAFTEMP PERMALITE® Tapered Roof Insulation Various GAFTEMP Recover 1/2" thick, Board Various sizes Shingle-Mater" 4 sq. roll Underlayment 30 Ibs. GAFTITE® ASAP 500 per box RUBEROID® Modified Bitumen Adhesive 5 gallons roduct PA 110 Tapered perlite board PA 110 Perlite board ASTM D 3019 Type III Page 9 of 61 Fiberglass reinforced shingle underlayment PA 114 Pre - assembled fastener and metal and plastic plates Fiber reinforced, rubberized Adhesive ` ./ ank:Z -!-� ■ Ming Product Control Examiner Product • Olympic Standard 3" round Olympic Fastener #14 Olympic Fastener #12 GlasFast Fastener • Test Product Dimensions Specification Description - Manufacturer PA 114 3" round galvalume Olympic AZ55 steel plate Manufacturing Group, Inc. (with current PCA) PA 114 Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) Olympic 3.25" round PA 114 Polypropylene Olympic Polypropylene plastic plate Manufacturing Group, Inc. (with current PCA) PA 114 Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) Olympic Fastener PA 1 14 Pre - assembled Insulation Olympic ASAP fastener and plate Manufacturing Group, Inc. (with current PCA) Olympic CR Base PA 114 Insulation fastener Olympic Felt Fastener and assembly for Base Sheet Manufacturing Base Sheet Disc fastening only Group, Inc. (with current PCA) PA 114 Insulation fastener Owens- Corning assembly with recessed Fiberglas Corp. plastic plate (with current PCA) Paroc Base Board various PA 110 Rockwool insulation Paroc Cap Board various PA 110 Rockwool insulation Page 13 of 61 Partek, Inc. (with current PCA) Partek, Inc. (with current ?CA) fenk oaga, Rooting Product Control Examiner EPS Product Dim ensions' } Dekfast Lock Plate 3" x 3 1/4" Dekfast Fasteners #15 Dekfast Fasteners #12 ISO 95+ Composite Asphalt Asphalt Primer High Density Wood various Fiberboard Pelite/Urethan Composite Perlite Insulation Polyethylene Red Rosin Roofing Nails various various various 4 mil min. various Minimum # 12 PA 110 PA 114 PA 114 0 Page 11 of 61 Polypropylene locking plate. PA 114 insulation fasteners for concrete decks PA 114 Insulation fastener for steel and wood decks. PA 110 P olyisocyanurate / perlite ridged insulation ASTM D 312 Type 111 or IV Hot asphlat bitumin adhesive ASTM D 41 Asphalt Primer PA 1 10 Extruded polystyrene insulation PA 110 Wood fiber insulation board PA 110 Perlite / urethane composite board insulation Perlite insulation board Vapor barrier / Air barrier Rosin paper for barrier layer on wood decks Corrosion resistant annular ring shank nails generic generic generic generic generic uloaga Roofing Product Control Examiner Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Firestone (with current PCA) generic generic generic generic �1 ` •fir }r =� "S Test . Name t'tgency/Identif Dynatech Engineering Corporation Wind Uplift #4482.02.95 -1 02.02.95 PA 114 Page 17 of 61 Report Date ran Zuloaga, Roofing Product Control Examiner Membrane Type: Deck Type 11: Deck Description: System Type A(5): Base sheet: Ply Sheet: Membrane: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: Wood, Non - Insulated, New Construction, or Reroof 111 / 31 or greater plywood or wood plank Base sheet mechanically fastened. All General and System Limitations shall apply. GAFGLAS® #75 Base Sheet, GAFGLAS #80 Mime Base Sheet, STRATAVENT® Nailable, or RUBEROID® 20 base sheet is applied to the deck with 2" side laps with GAFTITE #12 or #14 Screws and 3" Plates 8" on center, in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" OC in the field of the sheet. (Optional) One, two, or three plies GAFGLAS PLY 4, GAFGLAS® PLY 6® or GAFGLAS FIexP1y ' 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 IbsJsq.. One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladTM SBS in adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 Ibs.sq.. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID': Mop Granule. RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID U1traCladT'a SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal /sq. Page 28 of 61 Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 IbJsq. and 300 lb/sq. respectively in a flood coat of approved asphalt at 60 lb/sq.. 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 lb/sq. + 15 %. - 75 psf (See General Limitation #7) 'A'. See General Limitation 42. 2 ":12 "; See General Limitation #3. ran Zuloaga, - _...• Roofing Product Control Examiner C c Wood Deck System Limitations: 1. 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 Ibf, 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 117. 2 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 lbf. 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•lbf. insulation attachment shall not be acceptable. 3 A slip sheet is required with GAFGLAS FlexPIy 4® and Ply 68$ when used as a mechanically fastened base or anchor sheet. 4. '/a Type X gypsum board is acceptable to be installed directly over the wood deck.. Page 57 of 61 Frank Zuloaga, Roofing Product Control Examiner c 7:. l'eriaieter and coiner areas shall comply with the'enhaiiced uplif pressure of these area -5. 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 117. (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 load requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 117. 11 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 Ibf., as tested in compliance with PA 105. If the fastener value, as field tested, are below 275 Ibf. insulation attachment shall not be acceptable. • 12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South 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 manufacturers literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with provision of Roofing Application Standard PA 117 Page 59 of 61 rank Zuloaga, Roofing Product Control Examiner c C C GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 ACCEPTANCE NO.: 9797 -081 APPROVED: November 6,1997 EXPIRES: November 6 2000 NOTICE OF ACCEPTANCE STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and alU approved products shall be permanentlx labeled with the manufacturer's name, city, state, and the following statement: "Metro -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 oldie product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the tiling of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site 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 61 END OF THIS ACCEPTANCE Page 61 of 61 Frank Zuloaga, Roofing Product Control Examiner RDOFING SYSTEP s'luFU7 +rtiriacd NC . Insulation (Optional): One w more lame pate. fiber, isocyanurate, urethane; per(ite/isocyanurate "rood fiber, glass urethane composite, wood fiber so. ate. phenolic. Roman/ thickness �' y aom pasftherrotic, any Ply Sheet: Three or more ads of Type G1 ° GAFG(AS Pl 4° or 'GAFGLAS Ply 6". Surfadng: `Weather Coat Emulsion' at 3 gal/sq. 3. Deck: NC Inclines 1/2 Insulation: One or two layers Isotherm r. 4 in.. hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. • Oeck: NC Iodine. 2 Insulation (Optional): Isocyarurate, pertite, isocyanurate /composite, woad fiber and glass fiber, any thickness. mechanically fastened - Base Sheet One P G2, mechanical( ty Type GI or G2 mopped. Y fastened or hot Ply Sheet: One or more plies Type G1 or G2, adhered with hot roofing asphalL. Surfacing: °GAF Premium Fibered Aluminum Roof Coating". 1 -1/2 gal/sq ar ''GAF Weather Cot 'Emulsion', 3 gal/sq, 5. - Deck: NC Insulation 0 tional). Incline: mechanically astened, a P y thickness. S� fiber, poty;socyanurate, woad fiber, Base /Ply Sheet One or mare plies of Type G1 or type YRe G2, hot ncoPed in Coating: "Fr1 erect Aluminum Roof Coating". 6. Deck: NC lation (Optional), Incline= I Insu ns u anicalt Perlite, glass fiber, polyisocyanurare, wood a :er, y fastened, any thickness. Base /Ply Sheet One ar more plies of Type G1 or Typ G2, filly adhered with either' Ruberoid Modified Bitumen Adhesive' or "Ruberoid Modified Bitumen flashing Cerneete Coating: "Fibered Aluminum Roof Coating". 1 -1/2 gat / sq. 7. neck C 15/32 Base Sheet One or more plies Type G2. mechanically fastened. Ply Sheet Three or more plies. Type G1, het mopped in place. Coatings: • Fibered Aluminum Roof Coating ", i'1 /2 gal /sq. Class B I. Deleted. 2. Deck: C -15/32 Insulation (Optional): one cr more layerseper(ite, wood fiber, fiber, isocyarurate, ureLeare, er,ite ,so anurate c Sass urethane composite. wood fiber / socyanur� ate m composite. h`e to pertite/ thickness p otle, any Ply Sheet Three or more layers of Type G1 'GAFGIAS Ply 4° or "G:.FG1AS Ply 6 hot mopped. Surfacing: Grundy Indus•ies it M8 Aluminum Roof Coating". 1-1/2 geliere 3. Oeck: NC • • Insulation (Optional): One or more layers Incline: 2 fiber, isacyanurate, urethane, perlite/isocyanu ale corn csi e. per t, e/ urethane composite. wood fiber /isocyanurate composite, phenolic, any thickness. Ply 6" Ply Sheet Three or morr•(ayers of Type G1 - GAFGLAS Ply 4" or "GAFGLAS Surfacing: 'Weather Coat Emulsion AP at 1-1/2 gat /se. Deck C -15/32 Cass C incline: Unlimited • Insulation (Optional): ): One or more Layers fiber, 2 in, max. Ye Periite. aocd fiber cr g(rss Ply Sheet Three or more layers of Type G1 "GAFGLAS Pty 4° or "G4FGiAS Ply 5°. • >, Surfacing: Grundy Indusr:es at .MB Aluminum Roof Coating" at : -:/2 gal/sq or "Headier Coat Emulsion' at 3 gal /so. 2. • Peck: C-15/32 • '�j . " ..- • - • '''•'! Insulation 0 ..: Incline: z' :•r:. . • (ptional): One' or more layers •pertite. • wood fiber, glass fiber,. isocyanurate, urethane.- - pertite /iscyanurate composite; pertite/ thickness :lonrposite. wood A ber /isccyanurete composite. phenolic, any Ply Sheet T tree or n r' r u Ply She ' ore a ye rs o ° GAFGLAS ?' 4" Y or "GAi ;iA$ ga/s urfacing: Gn ntiyandustnes'Aal MB Alaminum':Roof• Coating" at I /Z q. • .. _ - • 3. Oectc:'C -15/32 i:we-Insulation ` r mor dt Unlimited .fib : + - . " Tcya numCe. u rethineeeeertite /isocyanurateecamposi eeperllite eS{ �e Pflss �Yood fib'er/ifacyarneate / ;'*T5t. “ %:;.. ; a;;....- ._,. .. o�mi7a le arty lee "a /, noie ;layers :of .Type Cl , •!i4 . fGAFGLAS }. 64 J. 6. Deck NC I Insulation: a ao( ync 3 loosety. ystyrene, 2 in. nix, b Isoc anUrate, any thickness. laid Membrane:'verGuard sr or '_verGuard F3'.1140-100 mil (TPA). laid loosely. Surfacing: River bottom store ;3/4 - 1 -1/2 in! diem) at 1000 lb /sq • concrete roof pavers. • .i 1. Deck NC Class A - F4(y Adhered ij . Insulation iodine: X /titz` (Optional): One or more L ayers pere. wood fiber. gglen fiber, isocyanurate, urethane, penile /isoc,ranurate composite. 1ertitr/. • urethane composite, woad'fiberrisocyanurate composite. phenolic. 3af thickness: . O ease Sheet (Optional): One or more layers Tyee G Gl.'GZ or'G3. Membrane: One ar more "Ruberoid :creir" (smoot:h or gremli ` "Ruberoid Torch 'Plus". (granule), 'Zubercid Mop?, (smooth•or'grenule).or ° Ruberoid .M0 Surfacing: Gravel, e00•Lbs/se,,:lacse fed in a 1ud ccat•y of 'DeCk;'lfC.: �r :: vl :t:7: : 017 7n . 6 � ' b )- ' r:s Rase •Sheet (Optional): One -or mareEta y er s' T Oe � i' ' lj f 2�1 t1 : z:.rtc roc r e: :.. • T, 'T b r To : f are eIajreis -'lebero;d Torchee(smoothror'4faiur . ;'''Ruberoid Mop Phil' (granule): "Ruben:m =Mop. (smooth pr granule • • • Caattn (granule, _..t�?t• edge:. r :s!er-w=_s '"-7 g: Karnak No: 971^1 = r r , 3 _' Dedc '�"IC•'� if rls. %? ,� 4a� sy. �.T - 4 :ri _c T rlinc_ �•• ' `t. "tt - In3ulation 0 tloi + - sIli' •RK f `M � ( �e �'' t • e el-Aber,iany.thi l e Rfe hireP :o _1 : ., • 5 . • ROOFING SYSTEMS (TG ROCI ,COVERDIG a A Surfacing: "Weather Coat Emulsion' at 3 gal/sq SINGLE PLY MEMBRANE ROOFING Unless o indicated phenolic insulation m following systems. Unless otherwise indicated any of the following Sing may utilize multiple layers of Ruberoid Membrane. "GAF Premium Aluminum Roof Coating' ma be used Classifications not exceedin I/Z in. 'GAF Weater Coa: Emulsion” may be used on any o bustible Classifications not exceeding 1/2 in. Mousey Corp. 'MBA Gobi" and Karnak "No. 81° adh cf the following noncombustible deck Cassifcations. Tropical As al a be used to any of th Pty Mmnbrane Systes n any of the lolic:Wil the following nonco may be used in my o. 711 AP adhesive may be use any of the flees ;� Gassificaticns. GAFGIAS 430 Premium Base Sheet may be used at any of the following systems. IIII Unless otherwise indicated. "EverGuard SR" membrades used in systems are mechanically fastened with large head metal or ptasSG fasteners spaced 18 in. QC and max 2 in, from membrane's eCge. Adjacent sheets are lapped 4 :n covering fasteners. . Laps are teen heat sealed. The ":' arc hot mopped in place. ten rerGuard sr membrar,� (Cptianal) Noncombustible deck classifications are combustible (15/32 in. min ptywoad' decks when 1 /2 or 1/4 in. (min) Georgia- Pacific a pplicable for use over e. s in. (min) gypsum :ward over the deck with all joints staggered 6 e in. (m Ove ) n f me"y are used erred e Cass A - Ballasted n I plywood Ioin 1. Oeck: NC Insulation: One or two layers ''sctherm nr�''thickn mechanically fastened. ess. Loose aid Membrane: Any UL Cassified membrane used ij a ballasted Surfacing: River bottom stone, 3/4 to 1 -1/2 in diem. 1000 Ibs/se. 2. Deck: C -15/32 Insulation: Partite, glass fiber or wood fiber. 3 4 to 1-1/Z in. Membrane: °Rubenside Torch 1 (modified bi en). Surfacing: Grave( at =00 Ibs /sq, loose laid of concrete blocks, at 1G lbs /sq and spaced not mare Cyan :/8 ,n. 3. Oeck: NC Incline: Insulation (Optional): Per(it glass fiber or wood fiber. 3/4 to :4/2 t.9. Base Sheet (Optional): Type 15 asphalt organic felt or Type G2. Membrane: nuberoid Torch. i° (modified bitumen). Surfacing: Gravel. ;I 4. Deck: C -15/32 • Insulation (Optional): Pertite, glass fiber or woad fiber any thickness Membrane: Ruberoide Torch :" (modified bitumen). Slip Sheet 0.004 in. polyethylene (not tit Ctaestfied). Surfacing: 3/4 in. thick concrete with one layer of No. 10 Summerville Quarry tie (or equivalent) grouted in place. 11 Oeck: NC Insulation (Optional): pertite, glass fiber wood fiber, z Membrane: "Ruberroide Torch le (modified bitumen). nY thickness Surfacing_ 3/4 to 1 - 1/2 in. diam river bottonel stone at 1000 tb /sq or concrete pavers weighing nct'tess than 10 ib than 1/8 in. /s4 `t and spaced not mart I it PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date t i 1, it `lJob Address Jig 6 • r. 9'/ 4T Tax Folio Legal Description Historically Designated: Yes No Owner /Lessee / Tenant f •S . Master Permit # Owner's Address Lab NI % E. 9/ 3r Contracting Co. - TT) 14 1,,,) 4.) eez. �A c 4 wag Qualifier 1; (4 1e) State # Municipal # FEES: PERMIT gnature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: 6 RADON Phone 73 S Address I . . a 79 SS # /o 77 0 Competency # 1/ C 1 9 Ins. Co. a r 1 e _ Nu Architect/Engineer Address Bonding Ccnnpany Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECI-IANICA . " O i FING ; PAVING FENCE SIGN WORK DESCRIP'T'ION Ert 1tP L EFt t o L E i' e o . . S Ft Estimated Cost (value) Att ?cc 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 Y!s UR 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 of i ontractor or Owner - Builder Notafy as to Contractor or Owner - Builder My Commission Expires: ih Date i Date C.C.F. ^ (✓ (- NOTARY �, BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechmical Plumbing Engineering BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA U PERMIT 'N? 12174 Work to be performed under this Permit Subdi- vision DATE 195 — . Contractor's :License No Legal Lot Bl. Description Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: 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. CONTRACTOR OR BUILDER Value of Project $ Amt. of Permit $ BY AUTHORITY MIAMI SHORES VILLAGE BUR-DING INSPECTION DEPARTMENT PPLICATIDN FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building (Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approv plans and specifications must be kept at building during progress of the work. Date..._..._... __..... _ _._._ Aupaot 9th Ile 76 Owner's lame and Address TF �' ` R _. No ... ..._....__. Street _ 9 ° Registered Architect and /or Ensineer ,,... > ,»:.••<.... »•., >•, Name and address of licensed contractor Lang. Roof ..& 11 i 1 e 0 o° a Location and legal description of lot to be built on: Lot Block Subdivision Estimated Total cost of improvements $ • Street and Number where work is to be done 4'• N .E• 9l et SCTeot Replace two vallego. State work to be done and purpose of building (by floors) ..... . PAIi,110 (FE#K) New Building Remodeling Addition To be constructed of Kind of foundation Zone cubage required Distance to next nearest building Disapproved _- Date (Signed) = Inc. 573 N.U. 7lot, nia. F1c ° 33150 Amount of Permit $. 5° _Plan Cubage Size of Building Lot and for no other purpose. No. of Stories 1 Roof Covering Shalnzle $1O Repairs g Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit _psi work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only pennit, as are licensed by Miami Shores Village. Remarks... (Signe STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths end 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 care ully read the foregoing application, and that he did sign the same, and that all fast therein by him stated are true f } / / Permit No.._ _1 a z_ .1._.......... Date ,!_ " �' ! 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Buildin nspector My Commission Expires PLANNING BOARD DATE Chairman Member Mernber 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 here obtains 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 inspectiona ae fatmlty materials and /or workmanship. 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. , 19 Owner's Name and Address_ , , ' , No. ' ff °�_ % �� i' Street_ Registered Architect and /or Engineer. r 6� Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision s" Street and Number where work is to be done ` "'�/ _ _________'_ State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories be constructed of ._.__ Kind of foundation Roof Covering____. Estimated Total cost of improvements $ ,y, 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') Permit No Date Disapproved _ Date (Signed) MIAMI SHORES VILLAGE J, d ' ■ 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 UILDINO INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT .application is hereby made for the approval of the detailed statement or ute plans and specifications herewith submitted for the build in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approv plans and specifications nnust be kept at 'wilding during progress of the work. Owner's Name and Address . ..,�! .SA Registered Architect and /or Engineer T .... Name and address of licensed contactor c £Z L � �� Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done t �. 'E 7- State Ivor J . d and purpose of buildiry floors) STATE OF FLORIDA, COUNTY OF DADE. SS. t m state ^ are we. Permit No..__�� ( 6 ( Date.i Disapproved _�* C Date (Signed) Building Inspector and for no other purpase. New Building Remodeling Addition Repairs S No. of es _ To be constructed of Kind of foundation Roof Covering tC .A(/ ......._..__ Estimate Total cost of improvements $ ��J Amount of Permit t ` 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 ‘Vorknnen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement, anti has complied ssith 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 be performed under this permit, as are licensed by Miami Shores Village. /n Remarks__ ( Signed) Rot__ _ c. 97 - 6 " ._ No...._ ..... ......__ Street._._ My Commission Expires Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well Before me, the undersigned authority, a norm/ public, duly authorized to administer oaths and take acknowledgments, perosially 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 herein b y hi d -1// !� MANNING BOARD DATE Chairman Member a Nicrr,ber Member Me mber .. .. _....._......_..._._ ...._....._ Member ...._ __.._ _ Council Approved Date Disapproved Dada NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtain >° fansr the Pl.tnnir.g Board. A re fce of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspectian c ffcamlty materials anti /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted feta the build in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specifies' or not. A copy of approved plans and specifications must be kept at building during progress of the work. 19 oquares Owner's Name and Address Mrs. Beller St—LE. 910t-Stroot Registered Architect and/or Enghwer Name and address of licensed contractor Ln R°°fino_ g & Tile Co Location and legal description of lot to be built on: Lot Bock Subdivision Street and Number where work is to be done.a)...K.E......918±1.-Stre.et. State work to be done and purpose of building (by floors).RgX.9.2.S...t.i1e_ sactiow Taar...off-eacis-ting- felt to oheathing mop 1 -901b. slate uith hot asphalt cover with R iyc O ffiite tlit0A6.2::1.1 cemen shingle tile . and for no other purpose. New Building Remodeling Addition Repairs..Rerciof No. of Stories 1 To be constructed of Kind of foundation Roof Covering...Shingle.. the 1 . Estimated $265000 ated Total cost of improvements Amount of Permit $.12a..50 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 ‘Vorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the wovisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performe d nder this permit; and will post or cause to be posted for inspect on the si or notices as arc required hy the Act. The undersigned agrees to employ only subcontr pennit, as are licensed by Miami Shores Village. (7k Remarks (Signed)\a-- a aaf' Date.. Building Inspector BUILDING INSPECTION DEPARTMENT the work such public notice ork to be performed under this • •-• ....... •••• 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, sand that all facts therein by him 4: are4 o re Permit No. Date Read, Sworn to and Subscribed before me. to me well 'mown, Notary Public, State of Florida y Commission Expires PL NINC BOARD DATE Chairman Member Nfernber Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made fin- making corrections or changes to this application after approval has heen obtained from the Planning Board. A re fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection es faulty materials anci/or workmanship. Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POS'T'ED AT THE 103 SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE . 7 ; , y gnature of Owner SEAL: Print Name Swgrn to aid subscribed before me this Personally known 0 7day of 3 -. "/ MICHAEL WILSON My Comm Exp. 5/1/O4 No. CC 930003 I 1 Pcrsmeany Known I 1 04her I.Q al/ l� Sign., a of • • . OR, Produced Identification Type of Identification Produced: Signature of Contracts / Qualifier E It - i ORI ►,A, CO ' ' . t -DADE Print Name SEAL: . nd subscribed before me thi PERMIT APPLICATION day .f - - u r e of ' . o r ry ' ub is State of Flo�Ida Q 1 i ( te n Personally known a H r7t iienuficalion __ OF fvo Type of Identification Produced: CONTRACTOR New Construction Name - &4 C G l� •��, 2 I sT License No /' - 2 ? / r/ (9 G � .. Address � I � (� / 7 S(* V slim' /G�� 33/ /. Tv:e, :. J✓ Fax �r9- 96O. Qz alufiez Naure i / / e , /' i 77 PROPERTY OWNER New Construction l� •��, 2 I sT /� � .. Address Address zit __ 1,/ s - 5 l/�� Repair 3 3 3 X. Home Telephone(2 l 754‘ 77 Business Telepho NQIlosation of Structure Fax Shell Only 'IT'YPE OF MANAGEMENT (✓ ) New Construction Enclosure Allteration Exterior Repair Allteration llnterior Demolish NQIlosation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be _ i • ned b the 'ro pert owner and i ualifier. Both si nativ must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: V80 t/ 4i 9� Siee Address Block PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. Folio Number / ( o 0196 Da© Lot Subdivision PB Current Use of Property Proposed Use of Property Tenant Information PG PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Zoning Square Feet Value of Work Master Permit No. PERMIT APPUCAaITION Subsidiary Permit No. ( 00 &M.. 'r20 COQ 1&&..241? S ecrec p4 33/3 Y it State Zip Description of Work ghl 60,0e frk- 7 A Linear Feet Units Floors Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGIINEER Name License No. Address Teephone Fax ELECTRICAL TYPE Minimum Fee QTY :Dryer QTY. I TYPE Outlet, Appliance QTY. TYPE Service Repair TY. A/C Central 1-3 'Ten Drinking Fountain Fan Miscellaneous Repairs Outlet, Wall Solar Water Heater Service, Temporary A/C Central 4-7 'Ton Fire Pump Outlet, Switch Cap - Fixture Signs 'Fountain A/C Central 0-11S 'Ton Pump and Abandon Fixture- Fluorescent Sprinkler System Oven Space Heater (kw) A/C Central 116-20 'Ton 'Fixture Light Cap - Sewer Parking Lot Lights Gas - Natural Spas/Hot Tubs Pump, Fire Stand AJC Centre 20+ To Temporary Toilet Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window Clothes Washer FPL - Load Central Gas Piping Posts Pump, Replace - Pool Swim Pool, Commercial Urinail Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Discharge Wel1.1 Chi:ler lice Maker Generators, etc. Pump, Sump Receptacles Utfity - Water Switchboards Ciear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low-volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low-volt, Fire Renew - Temp Service D'rFi 4" ?res. Lavatory Demolition Septic Tank Low-volt, Intercont/Teleph. Water 1}:eater New Repair Circuits Meter Set (Gas) Dishwasher Low-volt, Television Drains, 72cor Service, Number of Amps Minimum Fee Shower MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Drinking Fountain Cooling Tower Miscellaneous Repairs Heating Strips, each Solar Water Heater Vent Hood, Cost A/C Wall/Win. 'Tons Dryer Vents, Number of Paint Booth Cap - Fixture Ventilation, Cost 'Fountain Air Handier, Tons Pump and Abandon Ductwork, Cost of Sprinkler System Piping, Flammable Liquid Periodic Inspections larbecue Fire Sprinkler System Cap - Sewer Process/Pressure Piping Gas - Natural Pump, Fire Stand lath Fan-Vented, # Temporary Toilet Fireplaces, Number of Pressure Vessel Pump, Re-circulate PLUMBING TYPE A/C. Condensate QTY. TYPE Drains, Roof QTY. 'FY P E Miscellaneous Fixture QTN'. 'FYPE QTY. Soakage Pit Math 'Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bizlet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture 'Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, iiomestic Supply, AC Wel2 Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch 13zsirrn Gas - Propane Pump, Re-circulate Temporary Water C:oset. Clothes Washer Gas Piping Pump, Replace - Pool Urinail Deta i Chair Grease a Pump, Sprinkler Utiiity - Sewer Discharge Wel1.1 lice Maker Pump, Sump Utfity - Water Dishwasher 'Indirect Wastes Relay Repair Vac= I?mnp Disposz: 'Interceptor Roof? Inlet Water C:cset Dcc We Laundry '1 Septic Connection Water Heater D'rFi 4" ?res. Lavatory Septic Tank Water 1}:eater New DrE..ins, Area Meter Set (Gas) Sewer Connection Water Re-pipe I Drains, 72cor Minimum Fee Shower Water Service 1 Drains, Frenc27 Miscellaneous Equipment Sink We, Supp:y I Page 3 PERMIT APP ICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND 1REVYEWED BY: DATE. Page 4 OFFICE USE ONLY C IECI'LIST Li OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) :&oo (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ ($.01 /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ 6 1) ISSUING OFFICIAL DATE: Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756-8972 • http : / /www.miamishoresvillage.com MICHAEL WILSON 305 - 893 -1557 870 NE 122ND STREET N. MIAMI, FL 33161 Pay to the o.• rof c —fZL e i $ 6 4. Maximum Advantage Banking Trust l; g Bank BCS Man Shwas FL For 1 :063 L09430 49 030 6 L 2ll' 3519 - - u rawweomco - -- /Date Dollars LJ 3519 63- 943/631 BRANCH 89232 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ,, Time Type Insp'n na, 2 Permit No y © 0 6 c Name Address '' ® .�/ Company Phone # For Inspector: Correction ❑ Re- Insp'n Fee ❑ r. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company Phone # For Inspector: Approved Correction Re- Insp'n Fee Time PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 5 ! /rD .76 Addmas Q/ s r - Tax Folio //' 32' Lege Description Owner / Tenant t"iS' . 6 77a OwTes Address " (( Contracting Co. .1.(.)/r a J I 7 Address 7 L/ /E /0 ( " QualifeT �'�1 % ! a .r7 r State J - ` • °, I" ?� ' Mtmicipal # Competency # / des. Co. Areniteot/Engince7 Address Bong Company Address Mortgage: Address Permit Type (oa Ez one): ICU ffi DING ELECTRICAL PLUMBING MECHANICAL ROOFING / PAVING FENCE SIGN WORK DESCRTh iii N / 1 6zJ /? 7 77( C-. a f- (ye? , % s'/ J? Square Ft. Estimated Cost (value) WARNING T ^gyp OWNER: YOU 'MST RECORD A Nei TICE OF COMMENCEMENT AND YOUR FAILURE T I DO SO MAY RESULT Iii YOUT PAYEVG TWICE FOR OVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FIINANCING, CONSULT WITH YOUR LENDLF OR AN ATTORNEY BEFO ' F1ECORDING Yi' UR NOTICE OF COMMENCEMENT.) FEES: PERMIT APPROVED: Zoning Mechanical Piturab' Building !/U 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 '= 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regaiafilz construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Sigrk ture of owner rid a 'ATP NoLry as to Owner aTuYoar c s6 t 1, My Commission Expires: °o r �S6i<1 X". ",2002 RADON C.C.F. Signature of Contractor or Owner- Builder 10 Historically Designated: Yes le?o Electrical Master Permit # Phone Notary as to Contractor or Owner- Builder My Co r sss 1 xj fires`. L ,. F.0 L :: - ' A n l ci z n cr �' ..a.� u ., us u, 1 ' ' K .''7?7277 , ' e c " (t- NOTARY BOND TOTAL DUE ate Date 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 all the minimum requirements and standards of the indus- try 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. lid 2. Renal, ling Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed 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.) i� � '. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town- houses, 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. 1 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof - ing 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. u 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish tsh to maintain the architectural appearance, therefore, roofing nail penetrations of the under- side 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 may cause 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 roof- ing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build 6. d 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. ii ii . Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur- al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider venting which can result in extending the service life for the roof. ' 8. The owner may contact the Miami -Dade County Consumer Services Department for further information regarding the above. 0 ner's /Agent's Signature 123.01 12 PAGE 2 7/99 gD e Contractor's Signature .Appendix "E" UNIFORM ROOFING PERMIT APPLICATION Contractor's Name: � Cba JJJ C- Job Address: '/ / L 91 ROOF CATEGORY D (Low Slope Application) 0 (Nail -On Tie) 0 (Mortar-Set Tile) D (AsphalUUFtherglass Shingles) 0 (Metal RnofslWood Shingles Shakes) 0 (Other) ROOF TYPR D New Roof D Re roofing D Recovering D Maintenance Mar Roof Area (ft") Sloped Roof Area (ft] Total (ft) Master Permit No. Exposure category (per ASCE 7 -88): Btnlding Classification category (per ASCE 748 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as seeded) T Ft Deck type A .TTAC_HMFNT Fastener Type: SP AC'1N( Field: Perimeter: Corner: DETAIL 2 *includes Mortar and Adhesive Set Tile Page -1 r PROCESS No. ROOF PLAN L ?J 11 II II 11 11 11 11 11 11 11