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ROOFINGTest Location Uplift Pull Test (P or F) Test Location Uplift Pull (P or F) Test Location Uplift Pull Test (P or F) 1 5 E - 1, 26 ` Test VA-64s 51 FA- 5E3> 2 27 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 -- 50 75 Owner's Name: Du Quesne & Associates, Inc. Consulting Engineers Testing Laboratory ON -SITE CONCENTRATED UPUFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO-DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 1Ro 81. 121 SITE SPECIFIC INFORMATION Job Address Roofing Contractor QL IA Ty Type of Tile: Tu e7,4.` s' - Approximate Roof Height' ('4 feet Type of Access to Roof: Scaffolds Approximate Square Footage of Roof' 1 ®O ft 2 Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested ' 14 "9 ►11 _ �. Du Quesne, P.E. ngineer .E. °"4513 Du Quesne & Associates, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 .00 "k y TEST RESULTS P = PASS, F = FAIL UTR 15 Environmental • Civil • Structural Building Inspection Services Permit #: 4 3 t Date Installed 1. Roof Pitch. • ( 2- K Ladder Other IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. SKETCH OF ROOF IN BACK THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears in color (burgundy) 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 �• g KETCH OF ROOF JOB SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE f NOTES' KETCH OF ROOF JOB t 12, E— 9 3 ST, , KA I Abp,‘ ,-C1 SHEET NO 2OF CALCULATED BY CHECKED BY DATE SCALE DATE I 4 . . i '' dil 11111111111Elliterhillii ■n ■v u■ ■n�ia► p ie _'..wm �n ■ IL lid! mummommcwommummummummaimmum MMEMMEMUMMMENEMMOMEMMUMNSMERUMM MEMMEMMEMEMUUMMMEMMEAMMEMMIIM 11111111111 ea. 6 . 1111111111111111111 1111 NOTES. • Date 9—t-98 Job Address 1 1 2 N.E . 93 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee /Tenant Robert Italia Owner'sAddress 278 N.E. 101 Street Miami Shores Phone 576 -7758 ContractingCo.Quality Roofing Contractor, Inc. Qualifier Carlos Arocho PERMIT APPLICATION FOR MIAMI SHORES VILLAGE State # RC 0 0 S 8 F 2 7 Municipal # Competency # Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off roof to wood r1 r-k tin rap 301h ASTM felt as per code, install valley and eave glavnized metals where required, mop on with type .ra_ •. — •1 • —.. with adhesive stting. Flat roof to tin cap base sheet and mop on Flintlastc Square Ft. 'I 7 s G_ Ti l e 7 s q_ F l a t Estimated Cost (value) 12,500.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Da a Signature of Contractor or Owner - Builder Date 9 39 Date Notary as to • er and/or Condo Presid My Commission Expires: MARYLOU HERNANDEZ MY COMMISSION # CC 680474 EXPIRES: October 10, 2001 '%., °` Bonded Thru Notary Public Underwriters ftir FEES: PERMIT 1 1. 7 RADON C.C.F. SS# APPROVED: f� Zoning Building V* ) 61'1 Address Master Permit # 1 3. 3 / Address 13800 N_W_ 1st Avenue 751 -0382 17889 Ins. Co. Notary as to Con '• ctor or Owner- Builder My Commission Expires: 0 O NOTARY Electrical 4z 9/3/97 Date • WIARYLOU bERNANBBY i._ MY COMMISSION # CC 880474 ' -p',` EXPIRES: October 10, 2001 '' F,� ;; Bonded Thru Notary Public Underwntters BOND 3 Bc) TOTAL DUE LP • gr Mechanical Plumbing Engineering rr NOTICE OF COMMENCEMENT A RE ORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO f(� 3 6 - /3 - 3 /�4 STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Legal description of property and street address: 1 1 2 N.E. 9 3 Street 2. Description of improvement: Reroof to a new Tile and Flat roof. 3. Owner(s) name and address: Robert Italia Interest in property: Owner Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quality Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 00 6. Lender's name and address: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a37., Florida Statutes, Name and address: NIA 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/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the dale of recording unless a ditferent date is specified) S■gnature of Owner Print Owners Name kc be./-r Sworn to and subscribed before me this 3 day of -. , 19 Notary Public Print Notary's Name t My Commission Expires: Miami RhnrPs, Fl nri cla 1113R 278 N.E. 101 Street Miami Shores, Florida 33138 13800 N.W. 1st Avenue Miami, Florida 33168 • ft„ MARYLOU HERNANDEZ 74 EXPIRES: October 10, 2001 d Thru Notary Public Undetwtlters STATE OF FLORIDA, COUNTY oc DADE 1 HERESv CRRUIRY Phut this is c fro • V of ih yqf D orlginalFilOd in P ' o'ficn on A _1pa(j W NESS n:9 h , nd on•I J / � ici Soot. WAR z1 RUdly CLt_hr'�, r i 1 r or Prepared by:Carlos Arocho Quality Roofing Contractor, : ddress: 13800 N.W. 1st Avenue mi, Florida 33168 ■2101.52 U9� Contractor's Name: LY( ROOF CATEGORY __ ❑ (Nail -On Tile) Lod" (Mortar(Adhesive Set Tile ❑ (Asphalt/Fiberglass Shingles) . ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) �/ = ROOF TYPE ❑ New Roof ET ❑ Recovering ❑ Repair ❑ Maintenance lJ (Low Slope Application) Flat Roof Area (ft) r i 5 . Sloped Roof•Area (ft) Total (ft) Master Permit No. Exposure category (per ASCE 7 -88): C Building Class�n category (per ASCE 7 -88 table 1): r F Ft. A 123.01.78 8/88 1 � �? (,0 h JO ob Address: Deck type: (...)0bd 1 Y (o ROOF HEIGHT AND SYSTEM DETAILS , (Draw details as need edI `, r 4 a` l 9 S y P s�``f ROOF PLAN Appendix "E" UNIFORM ROOFING PERMIT APPLICATI ATTACHMENT SPACING DETAIL 1 & 2 fiffiw 11 Fastener Type: I �/� ri el5 na. is Field: /2 Perimeter: 9 C; .G. Corner: C. Page-1 r !/2 AO 0l r 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. r Ridge Ventilation? MtANHEtcxr 1 ,Z I Deck type: Underlayment: Insulation: u \ a007 sL07I Fastener type & spacing: Drip edge: C4uc dr: p ATTACHMENTS REQUIRED 1) Fire Directory Listing. Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific. System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmaxl: r]a .3 X X (Aerodyn is Multiplier): 2 2 •t4 (Pniox2:103 n x:9%, .31 (Aerodynamic Multiplier): 3L, 15 (Pmax3:1D3n x ? (Aerody aamioMultiplier): 3X.1 TILE CALCULATIONS ) - M 5•3S = M 19.06 PCA: (0 (0 ., 0 - M 5 .3 j a t (A , • :- !0(0.50 ) - M Q : J •3 S = M 2 PCA: to & Page -2 M ETRO -OA OE ENE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130.1563 (305) 375 -2901 FAX (305) 375 -2908 INTERNET: mdcc0l Ashadow.net PRODUCT CONTROL NOTICE OF ACCEPTANCE . AIt usa Tile, Almar (USA), Inc. 6645 Northwest 77th Avenue Nltanli, FL 33166 PRODUCT CONTROL SECTION (305) 375-2902 Your application for Product Approval of: : t /utsa Tile Nail-011, Mortar Set or Adhesive Set Otte Piece "S" Tile Roofing Tile tinder Chapter S of the Metropolitan Dade County Code governing the use of :alternate ,Materials and Types of Construction, and completely described in the plans, st:ecitica Lions and calculations as submitted by: Red /and Technologies, The Center for Applied Engineering, 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 -16 and the standard conditions on page 17. FAX (305) 372 - 6339 This approval shall not be valid after he expiration dale 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 revol :e, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves :he 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 S th Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 96- 1030.03 Renews 94- 0914.0 EXPIRES: 02/13/00 TI-fIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL COtNDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the , Metropolitan Dade County 8/g..ding Code Compliance Office and approved by the Building Code Committee to be useq r..de County, F1.6 L. under the conditions set forth above. APPROVED:02 /13/97 Raul Rodriguez Product. Control Division Supervisor Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Annlrca Altusa Tile A lfarcria del Turbio, S.A. i3arquisimcto, Venezuela Product Control No.: 96:1030.03 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Cate,ory: Prepared Roofing Sub- Cateaorv: Tile Type: Nail-on/Mortar Set!Aciiiesi e Set Jul ) yn . Clay Product Control No.: 96- 1030.03 Approval Date: February 13, 1997 Expiration Date: February 13. 2000 System Description AIfareria del Turbio, S.A. (Altusa), located in Barquisimeto, Venezuela, manufacturers clay roof tile for nail -on, mortar set or adhesive set applications. All tile is manufactured from natural Venezuelan clays. This Product Control Approval relates to Altusa's "Altusa S" tile profile. Refer to apnropriatc Product Control Approvals for other tile profiles. The "Altusa S" tile profile is available in a variety of natural clay colors and has marching trim pieces used for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all profiles and form a part of this Product Control Approval. Optional rubber or clay cave closures are also available. - Altusa roof tiles have been tested in compliance with the South Florida Building Code requirements for clay, nail -on, mortar set or adhesive set tile applications. The minimum roof slope for the "Altusa S" nail -on tiles shall be 2 ":12 ". See the "Profile Drawing" "Altusa S" profile drawinn. The "Altusa pr section in this approval for the S" profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shall be done as a'tMoment Based System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval. Almar (USA), Inc., located in Miami, Florida, is the sole approved importer under contract for selling and distributing Altusa products in the South Florida jurisdiction. Contact: Carlos 1. Fernandez General Manager Altusa Tile, Almar (USA), Inc. 6645 Northwest 77th Avenue Miami, FL 33166 (305) 471-5830 Frank Zuioaga Pans Examiner, Product Control Division Test Product Product Dimensions Specifications Description A Itusa One Piece "S" • 1 = 18" PA I 12 High profile clay roof tile for direct Tile w = 1" deck or battened nail-on, mortar or V:" thick adhesive set applications. Head-lap min. Exposure max. Trim Pieces TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT - i = varies = varies PA 112 1 Accessory zrim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Frank Zuloaga Plans Examiner, Product Contro! Division Product Control No.: 96- I 030.03 SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction 19 / 3 ," or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Ranee: 2": 2" to 7": 2" • Note: System I) is only acceptable in this slope range. For slope in excess of 7":12", refer to System C. [ ndcrlavnient: Roofing Tile: Con: in ents: 1nst all underlavment system in compliance with Dade County Application Standard PA 120. (See System Limitation g5.) Install tile in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) 1. For re - roof applications, t / plywood is an acceptable substrate. Frank Zuioaga Paris Exarniner Fro;1uct Control Division Product Control No.: 96- 1030.03 i 'Altusa 'S' Tile (Altusa 'S' Tile Tile Profile Tile Profile DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - X (ft') Batten Application 0.29 Table 2: Restoring Moments due to Gravity - M (ft-Ibf) from PA 102 Testing Tile 3 ":1 2.. 4":12 , , Profile I 5 ":12 6":12" 7 ":12" or or Less I I greater I Battens 1 Direct I Battens Direct Battens Direct Battens Direct Battens Direct I 1 Deck I Deck Deck II Deck :a 5.3;, tusa 'S' Tile 4.47 i I f Deck r 1 1 � 4.4 U � 5.27 ' 4.3, 1 5.16 I 4.20 I 5.03 4.08 i N/A Table 3: Attachment Resistance Expressed as a Moment - M (ft-Ibf) from PA 102 and PA 102(A) Testing Tile TILE 1 APPROVED 1 APPROVED' 1 APPROVED ' Profile APPLICATION NAILS APPROVED I SCREWS I FIELD CLIP WITH: EAVES CLIP WITH: 1 1 nail 1 2 nails 1 1 screw 12 screws' 1 nail 1 2 nails 1 nail l 2 nails j Altusa 'S' Tile 1 Battens 1 N/A 1 N/A 1 N/A 1 25.80 1 N/A 1 N/A N/A N/A 1 1 Direct Deck 1 6.20 + 8.40 1 23.70 1 58.20 1 21.20 1 25.30 1 1. Quik -Drive screws installed in two manufactured holes located 1' / and 1 from the head of the tile. I 26.90 1 34.90 1 Table 4: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) from PA 101 Testing Tile Application Mortar Set Adhesive Set 12 Product Control No.: 96 1030.03 Direct Deck Application Attachment Resistance 24.50 66.50 Frank Zutoagz Pian5 E>:an,;r,cr i'r ciis C; Control 0.31 A,s152 Mir"0, 4 "> I _ A ,6 ,e) ,/ • A f , DOVE TAIL LOCKS 10" PROFILE DRAWING ALTUSA " S" CLAY ROOF TILE i3 FrariF trloaga Plans Examiner, Product Control Divis:0 • Product Control No.: 96-1030.03 NJUL HOLE PROFILE DRAWING ALTUSA "S" CLAY ROOF TILE ACCESSORIES NAIL f-i BIRD STOP ,..4.;11.71r777, GABLE -RAKE Fran =: uloaga Pl2ns Exarr,incr, Prod'.;c: Control Divis n Product Control No.: 96- 1030.03 • • 1 I : 3,3 - 1 i n) \I \ \k j 1 \\ Y °\---- \ . \ ---. • 1 \ i \ A • PROFILE DRAWING APPROVED SCREW 23 3L Frank Zuloaga Plans Examiner, Prod:::: Control Division Product Control No.: 96L1030.03 I I I 0.1,3" SYSTEIM L[rv1LTAT[ONS Product Control No.: 96- 1030.03 The standard minimum roof pitch for Altusa "S" high profile tile shall comply with Dade County Application Standards PA 1 1 S, PA 119 or PA 120. depending on the method of installation. �. For nail - on applications. fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. System installation shall be in compliance with the system s pecifica :ions outlined in this Product Control .Approval. The method of attachment utilized �: :, i , _ _ �; ��wi�., �.,, tiicient attachment resistance ev:—..ssed as a moment to meet or exceed the . q ed moment of eslstan;.e determined in compliance with Dade County Protocol PA 115 or PA 127. ;Altus:, "S" Tile the profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done: as a 'Moment Based System'. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade Coun :y Protocol P.A 106, shall be performed. �. For mortar set tile applications, 30/90 hot mopped tinderlayinent ; ;;icatiolts - may be installed perpendicular to the roof pitch unless stated otherwise by the underlavment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section II of the Uniform Building Permit, a copy of Pioneer's current specifications and details, a copy of this Product Control .Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate da :a for the required fire rating. S. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 1 ! 2, Appendix 'A'. 16 t l Fran, Pi:tns Fx::min_r. iProd' Con' 'ol Division Altusa Tile, Alntar (USA), Inc. 6645 Northwest 77th Avenue. Miami Fl 33166 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shat; he considered after a renewal application has been filed and the original submitted documentation, includintt test supporting data, en;ineering documents, are no older Ilan 'i,h: (J% :Cat's. • Any and all approved products sha!! be permanently labeled with the manufacturer's name, city, state, and :he following statement: "Dade County Product Control Approved", or as specifically stated in the specific conditions o: this Acceptance. 3. 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; h) The product is no loner the sane product (identical) as the one originallapproved; c) I f the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted , is no longer practicing the engineering profession.. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process: b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words 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 I through 17. END OF THIS ACCEPTANCE ACCEPTAN NO.: 96- 1030.03 APPROVED : February 13 1997 EXPIRES : February 13, 2000 Product Control No.: 96- 1030.03 17 Fran& u oaga Plans Examiner, Product Con:r•. Division t.+ETRO.OADE PRODUCT CONTROL NOTICE OF ACCEPTANCE GS Roofing Products Company, Inc. 5525 NMacAuthur Boulevard, Suite 900 Irving, Texas 75038 METROPOLITAN DADE COUNT)', FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADS FLAGLER BUILDING 40 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 3752901 FAX (305) 3752908 PRODUCT CONTROL DIVISION (305) 3752902 FAX (305) 3726339 'r'our application for Product Approval of: CS Roufmn Produces hludifred Bitumen Roof Systems Over !Vaud Decks under Chapter 8 of t he Metropolitan Dade Counry Code governing the use of Alternate Materials and Types al Construction, and completely described in the plans, specifications and calculations as submitted by: Factory rtilutual Research Corporation and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County. Florida under the specific conditions set forth on pages 2 through 31 and the standard conditions set forth on page 32. The 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 for 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 applicant shall re evaluate this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. 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 South Florida Building Code. The expense of such testing will be incurred by W. man ac r Acceptance No.: 97 - 0620.01 Revises No. 95- 0502.04 Raul Rodr_uez Expires: 06/19/00 ' Product Control Supervisor THIS IS THE COVERSHEET. SEE ADDITIONAL PACES FOR SPECIFIC .AND GENERAL CONDITIONS This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee co be used in Dade County. Florida under the conditions sec forth above. a pproved: 06/19/97 BUILDING CODE COMMITTEE C 1es anger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County e:net mail aaoress: postmas ter @buildingcodeonline.com Homepage: htt2 : / /www.bulidingcodeonlinc:.corn A oolic3nt: CS Roofing Products Company, Inc. (MB) S25 rMlacArthur Blvd. Suite 900 Irving, TX 7503S Category: Membrane Roofing System Sub- Cate,orv: Built -up Roofing Tvoe: Modified Bitumen Sub-Tv e: SBS /APP ROOFING SYSTEM APPROv: \L Contact: Pat Neuhaus Commercial District Manager 2900 Bird Si Charleston Heights, SC 29405 (803) 744 -7451 Product Control No.: 97.0520.01 Product Control No.: 97- 0520.01 Approval Date: June 19, 1997 Expiration Date: June 19, 2000 System Description GS Roofing Products Company, Inc. manufactures and markets nationally a complete line of residential arid commercial BUR and modified bitumen products. GS Roofing Products Company, Inc. markets these prddducts through local distribution in the South Florida jurisdiction. GS Roofing products and systems are the result of years of manufacturing experience and product development and nave been proven by years of experience in the construction field. GS offers a variety of approved insulated and non - insulated roofing systems. For detailed system constructions, refer to the following publications: "Commercial Roof System Specification Manual". GS products and systems have been tested in compliance with all provisions of the South Florida Building Code as well as Underwriters Laboratories, Inc., and Factory Mutual Research Corporation for fire and wind uplift resistance. GS provides technical service and warranty information through regional offices. For the South Florida Metro -Dade area, call 1- 800 - 777 -3563, 1nm/a/ion Tvnxo Fibrous glass Polite Fiberboard Rockwool polyisocyanumte Polyisocyanurate Composite Board Maximum D,oicnPressures Material Design Pressure Wood -45.0 psf Maximum Fire Classification Material Classification Wood Class A Mom: Fire classifications and maximum design pressures do not reference all assemblies over deck types Review ,yv'emmungs � or other approved testing agency /�dngdirectory for Fire Classifications. � «ry J yroducc Control No.: '.'7'8520.0 | ct Control Div. Wood Deck System Limitations: A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage d base sheet to wood plank deck. Red rosin sheet may also be installed on plywood decks a sanooptiton of g 2 Pre - assembled 'Cap Nail' shall not be used for base sheet attachment. 3 When All Weather Empire base sheet is installed as the base sheet, a ply sheet ofASTtM1 D 4601 type 11 (type G2) must be applied in approved mopping asphalt applied within the EVT range and at a rate of 20 -40 lbs./sq prior to installation of membrane. 29 uloaga -Plans Examen Product Control No.: 97- 0520.01 uct Control Div. GENERAL LlmITAT10NS . All asphalt shall comply with ASTM D 312, type III or IV requirements and approved by applicant Fire ratings are determined by a combination of slope, deck type and assembly. Refer to We current Underwriters Laboratories 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 South Florida Building Code. 3 Maximum slope range varies for each system. Consult the current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. An overlay and/or recovery board is required on all applications over closed cell foam insulations .` nc;, the base sheet is fully mopped in hot asphalt. All work shall be performed by a contractor licensed to do roofing work in Metro -Dade Count, Contractor shall be familiar with the details and specifications published by t h e nranufacturcr ana tne requirements of the South Florida Building Code. The submission of system specifications and details shall accompany We Section H Building Coac 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 We proper application and installation of all materials shall be the sole responsibiliry of the contractor. 7 Perimeter and comer areas shall comply with the elevated design pressures of these roof areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Anchor or base slice; fastening panems and/or insulation attachment densities shall be increased in compliance with the provisions set forth in Metro -Dade County Roofing Application Standard PA 117 to meet these elevated design pressures. All attachment and sizing of perimeter nailcrs, metal profile and/or flashing termination designs shall conform w Metro -Dade County Roofing Application Standard PA I I I and We wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturer's standard details and may be applied in colt 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 viii, the Section 11 Permit Application. All details shall comply with the provisions of We South Florida Building Code. 10 Fastener spacing for anchor or base sheet attachment is based on a Minimum Characteristic Resist ^c_ Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA ! 0 or PA 105(A). If F', as tested, is less Wan that listed in We System Limitations, a professional engineer may 'submit revised fastener spacings utilizing F', taken from a Metro -Dade County Protocol PA 105 or PA 105(A) test report, and the provisions set forth in Metro -Dade County Roofing Application Stanaarn PA 117. Fastener density for insulation anachment is based on a Minimum Characteristic Resistance Force (F as determined through field testing in compliance with Metro -Dade County Protocol PA 105. 1 f F'. as tested, is less than 275 lbf., insulation anachment shall not be acceptable. 12 Asphalt moppings shall be applied with approved asphalt and shall be in compliance with the 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 Buildin Code. 1 3 Insulation may be applied in multiple layers. The first layer shall be attached in compliance with e Product Control Approval guidelines. All other layers shall be adhered in a full mopping of appro v ea asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using ere fastening pattern of the top layer. Refer to manuf :e:urer's literature and/or the NRCA Roofing ano Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with the provisions of M • —i • It.... • .• n ?'j7pI-+CJ(IUn Standard PA 117. Product Control No.: 97- 0520.01 oaga -Plans rrC .ne_a. uct COmrU! Dv. 31 Product Control No 97- 0520'01 i . All standard insulation panels sizes are acceptable for mechanical at tachment. Wh a approved asphalt, panel size shall be 4' x 4' ma I � In re-cov ppliru in a pplications, prior to.the application, all existing roof surfaces used as a bonding shall be tested in compliance with Metro -Dade Count •l 2 shall be pressures shall be calculated in compliance y Protocol PA 4 for uplift Chapter 23 or' resistance. e Ssu� ul ,, Florida Building Code for the roof in ques �vl the wend load requirements of CIIa 1 � 16 In re-roofing a qu p th So o applications, moisture content in an existing roof must be in compliance with S e(( . 340 1.10(m) . (n) of the South Florida Building 17 S Root ;Dods shall be stored on end and on a clean, flat and dry surface. It any Facto adhesives may Factory Mutual Approved vapor ctio y be used prior to the application or baeins insulation layer. with proprietary or approv 19 Consult current Underwriters Laboraorieie sDirec o de Insulation layer. Cons to obtain (he required fire ator Directory for the appropriate The assembly intal coating for each lanc y hall be installed in for compliance Lviitl Subsection 3401,5 and 3401.6 of the South Florida Building Code for maximum fire classification. uloa;a- Plans ` am �TOt- Product Control Div Product Control No.: 97- 0520.01 CS Roofing Products Company, Inc. 3333 MacArthur Blvd., Suite 900 Irving, Texas 75033 ACCEPTANCE NO.: 97- 0330.01 _ APPROVED: June 19. 1997 EXPIRES: June 19, 2000 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently 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 subrnined, 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 ofa 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 °T ally product, for sales, advertising or any tither 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. 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 32. END OF THIS ACCE 33 • ''��'� 0 Product Control Div Membrane Type: SBS MODIFIED Deck Type 1: Wood, Nbn- insulated Deck Description: '° /,:" or greater plywood or wood plant: decks System Type E: Base sheet mechanically fastened. All Ceneral and System Limitations apply. Base Sheet: Fastening: Ply Sheer Membrane: Surfacing: Maximum Design Pressure: -45 psf One ply of GS Gias Base, GS Flex -I Glas Base. FIe -I Glas FR Base or GS Poly SMS base mechanically fastened as detailed below. Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9' o c. in the lap and two rows staggered in the center of the sheet 12" o.c. (Optional) One ply of GS Glas Base, GS Flex- I -Glas Base, Flex•I -Glas FR Base. GS PoIySMS or one or more plies of Flintglas Ply Sheet (Type IV) or Flintglas Premium Ply Sheet (Type V1) adhered to the base sheet in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq.. One ply of Flintlastic GMS, Flintlastic Premium GMS, Flintlastic FR - Flintlastic Premium FR - Flintlastic FR -PG or Flintlastic FR Cap adhered w base or ply sheet with approved mopping asphalt applied within the EVT range and at a rate of 20 to 40 lbs. /sq. or Flintlastic GTS torch adhered to base or ply sheet (Optional) Install one of the following: I. 400 lbJsq. gravel or 300 lb./sq. slag in a flood coat of approved mopping asphalt at an application rate of 60 lb./sq.. 2. Karnak 97 or APOC 212 Fibrated Aluminum at an application rate of I Y gal. /sq.. Maximum Fire Classification: Class 'A'; see General Limitation 42. Maximum Slope: 1:12; see General Limitation 43. Specification No.: GMS 2 -3, FRP 2 -3, GTS 2 -3, FRBC 2 -3 7 7 Product Control No.: 9 0520.01 Frank Zuloaga -Plans Examiner, Pro' uct Control Div ROOFING SYSTEMS (TGFU)•- Continued One layer 'FlintJostic GTA ( -3�4 so or •1 sq), GrS' (modified ^an), heat fused•o7 "Flintlasric GMS . hot mopped. Srracinq: APO:. 'No. 212 Vibrated 'Aluminum!, at 1.1/2 gat. 100 sq /ft. r■C incline; 3/4 vapor Retarder (optional): Typc C2 "Glasbasc base .sheet or UL r•tzssif'eo vapor retarder, 'r,s•itation (Optional): One or more layers or combination of the iC!les�ng: UltragarJ Premier, polyisocyanurate. pertite..9lass fiber or ..,oho fiber insulation. Ease Shect: Orin layer. of Type G2 "Glasbase" base sheet. Membrane: One layer of "Ftlntlastic STA (modified bitumen), heat fused. i:r acing: Karnak 'No. 97 Vibrated Aluminum, at 1 -1/2 gal. per WO r ;jit eci= 0-:5/32 Incline: 1/2 !mutation (optional) Schutter International "UltraGard Premier. pclyisocyanurate, wood fiberboard. partite, fiberglass, tsocyanurate, any se Sheet One or more plies of "Glasbase ", hot mopped or mechanically c awe:: • • item brene: One ply of'Flintlastit: FR' (modified b1b n en), hot mopped in .'•: Incline: 1/2 Potyisoc•onurate, glass fiber. pertite, wood fiber, hot mopped mechanically fastened, any thickness. .:::se Sheet: Type G2, mechanically fastened or hot mopped. "Flinclastic GTA or VA", heat fused. >,rf acing: henry Co. "Henry 520 Aluminum', applied at 1 -1/2 gaVsq. '•� tC• Incline: 1/4 :s.la on (optional) :•Glass fiber, purlite or wood fiber board. °.r $fl it.• Type G2. nrechanicallybstened. •. ?:carne: "rllnttastic STA ", "GTA ", 'GTA Black Diamond' or - G - TA White heat fused. Karnak Chemical Corp. "Karnak No. 9T'. 1 gal/sq. Incliner 1 1 .nsulabon: Pot)isorytnurate. glass fiber, pertite. wood fiber, mechanically astened or adhered with hot roofing sphalt any thickness. :ase Sheet Type G2, mechanically fastened or adhered with hot roofing membrane: 'Fllnthastic GMS', "GMS Premium', adhered with hot roofing urfadn : Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum ;:•;halt Roof Coating ", 2 -1/2 gal /sq. ' C•15/32' Incline: 1 •:.!t joints blocked with Zx4's. •::selation: Glass fiber, partite, 3/4 in. min, j oints in insulation must be -:`sec 6 in. from joints ir, deck, mechanically fastened. .3 :is Street Type G2, mechanically fastened or adhered with hot roofing - sphal:. Membrane: "Flintllstic GMS ", adhered with hot roofing asphalt i';rfaciag: Karnak Chemical Corp. 'Karnak No. 97 Fibrated Aluminum , s;i:alt Roof Coating', 2-1/2 gal/sq. NC Incline :1/2 .nsuladon: Polyisoeyanurate, glass fiber, partite, wood fiber, mechanically >:er.ed or adhered with hot roofing asphalt, any thickness. ,tf•e Shaw:: Type G2, mechanically fastened or adhered with hot roofing :5 ^hatC. •.••..'awe: "Untlastic 5TA ", 'GTA", 'GTA Black Diamond' or "GTA White _...n.', net h:sed in place, Karnak Chemical Corp. "Karnak No. 97 Vibrated Aluminum zt• Roof Coating ". 3 gat/sq. ..•�' ' - Incline: 1 :rs_!ati n (Optional)i - idle glass :$bey olyurethane, i;ocyanurate, ::tenolic coubination isocyanurate /petite, p` rothane /pct rwood_ :, any thickness. hot mopped or nailed. •:2:r:;:'ane: "ilintlastic STA'. "GTA ", "GTA Black Diamond','Flintlastie GTA Diamond", "GMS "GMS -511", "GMS Double Coverage' or "GMS 'rarnium', heat fused or hot mopped in place. _rr cin3: Grundy Industhles, Inc. "al MB Aluminum Roof Coating' at 1r2 ;; C•15/32 Tatting: 1/4 ' • ' nsula ion (Optional): Any thickriesa polyf;.ocyanunste. as fiber or m?charitcally fastened, joints in insulation must ba offset 6 in. =::r joints in deck. Shect TYV G2 base /ply sheet, mechanically fastened' or hot ".y Sheet: ' Type G2 base /ply shcbt, mechanically fastened or hot :err.brane: "Flintlastic STA', 'GTA White Diamond' or "GTA Black Diamond'. ':rfncing: Grundy's "al MB Aluminum Roof Coating' ax 1 do 2 gal/sq. < tit Incline: 1/2 :•.s_la:ion (optional): Polyisocyanurate, glass fiber, Aerlite, wood fiber, ny combination, any thickness, mechanically fastened. • . LOOK FOR MARK ON PRODUCT W ROOFING Sl'STEN.S (TGFU)— Continued '.ir411. a li'r► Vasa Sheet: Type G2, 'Flex'1 -G'as FR' or "Flintl:.stic FR Oast', mechanidl,r fastened or adhered with hot roofing asphalt- r '• .4i; Membrane: 'Flintlastic t.R•P ", 'ninth; tic Premium FR: s „ "Flintlastic- FR /PG' or - FlintlrstiC FR,Cap', adhered with hot roofi„ ' asphalt ; .121 Ocek C- 15/32' incline: 1/2 ' "i1 'All joints in deck blocked .vith 2s4 • r. Insulation (Optional): P•rlyisocyanurate, glass fiber. partite. combination, any thickness mechanically Fastened. i Base Sheet' Type G -2, meet aatically fastened or adhered with h9t t asphalt. • Membrane: "I:Untiestic FR- P", 'Flirlttastic Premium FR -P" or'Ftintia ' FR/PG'r adhered with hot :oofing asphalt .;.q ^eek \�NC 1n t ne: 1/2 Insulaation •(Optional): E'S. any thickness, covered with 1/2. perlite or wood fibe :. trier hanically fastened_ • :, Base Sheet- Type G2. me( hanically fas or adhered with hoc` asphalt. o, .tv`{j,� ti Membrane:'Flintlastic F(•P', 'FlintLtstic Premium FR -F" or 'Fli '' i + v • FR /PG', adheied with hoc roofing asphalt. : i� rh� 14. Deck NC incline: 1/2 :; 'r' . - Insulation:, Polyisocyarruhatc,.glass fiber, perlite. wood - fibe it:.,. 1 Combination. any thickr.e. .'mechanically fastened. '.•;'' „•; .� • Base Sheet Type G2 or 'Flex- i•glas”, adhered •with hot roofing:: 1141 Membrane: "CRS', adhered with hot roofing asphalt. ,:..,-:.:1- . Ply Sheec - Poly SMS Base Sheet ", adhered with . hot roofing :l;p vr:1,r Surfacing: Karnak Chemical Corp. - Karnak No. 97 FibratednA , s4 Asphalt Roof Coating ". at 2-1/2 gaVsq. • 'ttic•;1.'F�,�rj 15. Deck: NC Indio= 1/4 ;;� 'fit.. {,dl..% Insulation (Optional:: Potyisocyanurate. glass fiber, pertite,�wor:i4%' any combination. any thickness, mechanically fastened or adtie .t,t • hot' roofing .asphalt. c .5. 0 e k el : <�. Base She Type G2 or "F;ex- i•gtas ", Inechanically faste.red,orr'a� , l'?x with hot roofing asp talt" ; -e ;j,7�; Ply Sheet (optional): Type G2 or'Fle.c- i- glas', mechauiolly,.. r adhered with hot roafing asphalt. .. : � Membrane: "Flintla tic GMS ", "GI•i.S Premium', adhered with! - hoe - asphalt. ..s• •� ,•� Surfacing: Asphalt Products Oil Corp. 'APOC-400 Sunbritel Is4;Vol Insulation: Gla.. fiber, pertita, 1 in. min, joints in insula '° '''' P Base Sheet Type G2 or "Fle,x-i-glas"..mecharrically fas r •f ' it Ply Sheet (Optim let): Type G2 or "fle.x-i-glas", mechanic . ;- adhered ivith hot roofing asphalt. asphalt Membnne: 'Flirriartic CMS "GetS Premium', adhered Wi i .. i r l i b. : : ::? . .;r1 ... .;. : : : . - Base Sheet: One or more layers of Type 02 or 'Flex-i-glas faste'ned or hol mopped in place. ';'...Ca mechanically fatened or hot mopped in Place- ". •'"' :.9‘ - ..!;!'klri 'i.' Membrane: "Fintlastic GTA', "GTA Black Diamond', "GTA W . 41):rii**9: , ■ or "STA', hear fused. Surfacing: Karnak Chemical Co. "No. 97", applied at'l'-.1, IV I` 113 Insulation (Optional); Pertite, glass fiber, mechanicially:i 4 1 1 ..:}1i;On' t ? Base Sheet: One or more layers of Type G2 "Fle.s-i-gla,.?" ----.—tztened or not mopped in pLice_ or "Poly SA!, Base Sheet Or hot.. Membrane: "GTA", 'LTA Black Diamond', "GTA Surfacing: APOC No. 212 Aluminum oating,.applied'a el .4: • or hot nt.: ppcd in place ease She :t: Type G2, "Flex- I- GUIs' or "Flex- 1 -Glas FR Q to. rt r• fcanad or hot mopped in place '•, '�' ' „ Ivi: . etembrarre: 'flinl'lastic FR -F", "Flinttastic Pier.liunt FR: on fir." ... r FR/PG', rot mopped in place., • ' .. T , 4� ,.: 20. Deck NC • Incline: 2 .' 3,•jT- �'.,� "a r1�'e:! Insulation (optional): Perlite, glass fiber. poly.rrethan �T,att�;4T, phenolic, combination isocyanurate /pertite. potyureth :1 fiber, a ty. thickness. . mechanically fastened or hoc md' •'• e' � �� •, • • Base Sheet:'Flex -I -Gees FR Base', Type G2 or -Flez -i -GL n, r ;ttti. fastened or hot mopped in place. =Y ∎F�•�, sit t • . N•7 ip i •" r 1.. • • iidmGr FP,•P' .I. DrC1. C Inyut7 or hot Base Memb c$4 ti< C• Y Insul' tb' n : u:t Base om raofir easy Pty : aa ;a He m t:. C 1.: Ins tact 8.0 eon pr. Ply - rlr roh Sa .4 Ca rr tosi MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement to the plans and specifications herewith submitted for the build • in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the juilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Jane 24 1990 Ow-ner's Name and Address Eliex.t....G.eJ,ger .. _ No t Street N of o 9 St o Registered Architect and /or Engineer Name and address of licensed contractor.,A:ta.$n iC Dade Roof ing- 1 N. YY o 20 Ave o Location and legal description of lot to be built on: Lot.04 Block £' subdivision '2 Li2?L .._.._.. //. 3aW _/3 . /& Street and Number where work is to be done... 112 N e E . 93 St State work to be done and purpose of building (by floors) residence-- Fla. room ,19. Reroof Fla Room- Install new skylight Total of 700 ft. 7,6Z, d for no other purpose. New Bui!ding...Rei: oof Remodeling Addition Repairs X No. of Stories 1 To be constructed of ... Kind of foundation Roof CCovering ,..p�,y...bUilt..>ap Estimated Total cost of improvements $...$850.s•QQ Amount of Permit 5,.3 ✓/ c& t,'U e Zone cubage required .Plan Cubage Distance to next nearest building. Size of Building Lot _.......... . \faxiunum 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.. .. 20 ave 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, 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as arg licensed by Miami Shores Village. Remarks (Signed) 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 rr►e 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 ead the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / Permit No ,....s '.7 . ..... Date /! a` f Read, Sworn to and Subscribed before me. Disapproved ...\ .__.. / Date.._ , Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member , Member Member .. .. Member .._..... Council Approved Date Disapproved , .. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained (mm the I'lannir.;; Board. A re m.peetion fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. STATE OF FLORIDA, COUNTY OF DADE. ss. M IIAN SHORES VILLAGE Chairman Member Member ...... BUILDING INSPECTION DEPARTMENT. A-1 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 Villar shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of the work. Date...-... _...__.....__.._ _.__.fl7_.1. -.73 .._.... ,19..._ Owner's Name and Address Mrs. E. Geiger 112 NE 93 Stre — No StreeL..- Registered Architect and /or Engineer ..,.., .1,..,,..,....,..,...,..,,., -.. Name and address of licensed contrpctorW .R.Robbins &Son Roofing Co._ _NW 20 Street Miami 331 42 Location and legal description of lot to be built on: ...-d Lot "c ` Block ' Subdivision lG i° 1 Street and Number where work is to be done 112NE 93 Str Miami Shores State work to be done and purpose of building (by floors) R.emava -..old roe.f.,...ap. ply?.. 1., 3C ,..2 /1S... sphalt_.anti...gLave1 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $....9211..03 Amount of Permit $.:12...53 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...W...R.Rabbins.._&... Son._ Roof. .ing...Co.....1.4II1...lyW..2fl -- Bones?,.-- Ina.ami...331.42 325 -0880 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 rovisions 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 subeontractprs, o• •rk to .be performed under this pennit, as are licensed by Miami Shores Village. Remarks.. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are te. �/ a ' i / / Permit No-___ I' .L Date I'1 ._ Read, Sworn to and Subscribed before me. Disapproved / bate (Signed) . ... Buildin� nspector / My Commission Expires _ - ..__.. _ . Member Member Member Notary Public, State of Florida PLA INC BOARD DATE to me well known, Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re fee of 3L00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Mrs. E. Geiger 112 NE 93 Street No Owner's Name and Address Street__ Registered Architect and/or Engineer ?? ,14,1.-,11••••11,11TIVIr .1 .R.Robbins & Son Roofing...C.o.a...1.4111..1114...2D...Stztaat9...Pliami..33142 Name and address of licensed contractold Location and legal description of lot to be built on: Lot Block Subdivision SWIM — Street and Number where work is to be done 112 NE 93 Streeta_BUMI 2 State work to be done and purpose of building (by floors)....Renao.ve..0,14_ goof "5--eepttelt and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $..920.40. Amount of Permit $1.2 Zone cubage required 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. 32S — 0880- 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 arc required by the Act. The undersigned agrees to employ only such su • ntra ors, ' n ork performed under this permit, as are licensed by Miami Shores Village. / . Reinarks.. (Signed). di STATE OF FLORIDA, COUNTY OF DADE. ss. Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared •--- ..... -A..-- MOAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR -JUILDING PERMIT .... 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._ Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re fee of 31.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials anci/or workinanship. BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA �_,, r) Date f�� ELECTRICAL 1:1 ' 'g ,, PLUMBING ❑ PERMIT N? 10120 Contractor's ROOFING ❑ License No. rs ❑ Work to be performed under this Permit Owner o f s,_- Building f' " , ;4 <� ,,_ y'r Architect - Contractor 'it or Builder - ' Legal Lot 1] Description 11 Bl Address of Building C. s- o y` (.' CONTRACTOR or BUILDER BY AUTHORITY Subdi- vision Sq Ft Value of e;:), I I Amount of Project $ - ' II Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed • � (INSPECTOR) ` a BY In consideration of the issuance to me of this permit I agrie 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.