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ROOFINGPAPPLICATION FOR MIAMI SHORES VILLAGE Date I I CO 1 Job Address BB IV�. �d T ax Folio' 1 3 "1 05 (/ 7 0 Li st�cally Designated: Yes No 0 1 1 Phone - ` -Rea 1L :)S Legal Description Pat 4{,Yt ii kH c t' Owner/Lessee / Tenant c1- L e- k Owner's Address :700 0 F, t 5� Contracting Co. .,• H State # Municipal # Competency # 92,55 O DO Qualifier Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA RO WORK DESCRIPTION t-•s': VOA ° ` l I < Tf C t ( Square Ft 3 � � O Estimated Cost (value) 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. !lam /y," � � Sienir of o r and/or Condo Presi ent D ate Notary as Owner and/or Condo President Date My Commission Expires: FEES: PERMIT o C, RADON Building C.C.F. Addresses ;^i.?, ?, ) 7S _AO`, Signature of Contractor or Owner- Builder Notary . to Contractor or Owner - Builder My Commission Expires: ' MARIETTA RODRIGUEZ -NOVO " MY COMMISSION 11 CC 713506 • ii ; - EXPIRES: February 1, 2002 C..• Bonded fire Notary Public Underwriters Master Permit # NOTARY APPROVED: Zoning Mechanical Plumbing Electrical — 236 - Li 0-/ OFING PAVING FENCE SIGN :01 61ass Pt, ) //41/5 Date Date BOND TOTAL DUE 53/ Engineering PERMIT NO. TAX FOLIO NO. 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: I LCD o tie NOTICE OF COMMENCEMENT A RECORDED COPY MUST 13E POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 2. Description of improvement: 1.� 3. Owner(s) name and address: 1 5 c - ti Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: ti 'q — / n 5 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 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: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date i specified) Signa ure of Owner Print Owner's Name Notary Public Print Notary's Name My Commission Expir ir5o1c-. L Sworn to and subscribed before me this c / day of 1-61 mr She, r P s 1,1-CXD NC (3 D. 53 , J4, (? ra i ,fit e - /Sah C.7 ca. .7-1 Ct ' , "7 STATE OF FLORIDA. COUNT OF DADE I HEREBY CERTIFY that this is a true copy of the original filed in this office on a.2 day of , A D 20 O WITNESS m 'h and and Official Seal. !`% iu' HARV ,� RI{, of Circuit and County Courts ay � � D.C. ,20 .6. Address: Co ct0v C c. .rv,G. t rt--v Coca -/ 6cz e.S. T C 33/q( Prepared by lerC L.4 1-6-r 4- ca-Q -A T f 4 1 Appendix "E" • . UNIFORM ROOFING PERMIT APPLICATION PROCESS No. 1 OF HEIGHT AND SYSTEM DETAILS � j`� (Draw details as needed) C i . t 7> cct Ft. A V Ft. V A ATTACHMENT 7 Deck type- i e Fastener Type: 14 n5 SPACING Field: Ial' Ic,.' Perimeter:) Z' Icc. SC orner y� N /I+ DETAIL 1 & 2 il r r r ROOF PLAN Contractor's / �_�* _ Job Address: ROOF CATEGORY EI Low Slope Application) ❑ (Nail -On Tile) ❑L( rta ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof L'I(e- roofing ❑ Recovering ❑ Repair ❑ Maintenance e Flat Roof Area (ft Sloped Roof Area (ft 3 /r)c, Total (ft')• .3 - 7c Master Permit No. Exposure category (per .ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): 123.01 -78 4,99 Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: , Underlayntent: Insulation: 12" ROOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION ,1 Fastener type & spacing: Cap Sheet: Roof Covering Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS (Pmax1:7 Z- ' a (Aerodynamic Multiplier) 3 1) - M y ' c l'= M 1 7. fo) PCA: - C1 (Pmax2: 'a' • Zx A, (Aerodynamic Multiplier): " 31 ) - M ' = M ZU S PCA: L..0 1 • C 1 (Pmax3: I D (Aerodynamic Multiplier): • 3 I ) - M y • k = M 2io..� PCA: Co 1 • Page -2 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 govern content of this form. The provisions of Chapter 34 u Ith fo o �o l ofing syste ' installaUons (S Add i t ionall y , the minimum requirements and standards of industry the following items should be addressed as par th the the agreement been between the owner and the contractor. The owner's initial in the adjacent box indicates .l". 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are the purpose of providing that the roofing system meets the wind resistance and Aesthetics (appearance) issues are not a consideration with orespect a workma anship provisions. o a th as issues s suc as color or architectural appearance, that are not part 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 renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually conceaied:prior to removing the existing roof system) etween • 1 •3. Common Roofs: Common roofs are those which have n no isible delineation b the roofing neighboring units (i.e. townhouses, condominiums, etc.). and/or owner should notify the occupants of adjacent units of roofing work to be performed. 1AL 4. Exposed ceilings: Exposed, open beam ceilings ar e w he re t hetund underside of the roof de can be viewed from below. The owner may wish in not be acceptable. The SFBC provides the roofing nail penetrations of the underside of the decking may option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck the � of. the Ponding can t drain indication of m ay cause water to pond (accumulate) in low -lyin areas ay shorten structural distress and may require the review of roofing structural Ponding conditions ma}nno be evident dent the life expectancy and performance of the new g system. until the original roofing system is removed. Ponding conditions should be corrected. �� 6. Overflow Scuppers (wall outlets): g) that a othea t ro ext that the roof block this overloaded from a build up of water. Perimeter/edge walls or 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 all not interior of the structural assembly (the buildina existing which csultttn extending the ce be reduced. It may be beneficial to consider additional venting can re life of the roof. ner's /A t's Signature D . to d Contractor's Signature M G : TPO-O' Post-it' F . x Note, To ► Y CuJOepr. Phone 4 Fat a PRODUCT CONTROL NOTICE OF AC'CEPTAt CE Santafe Tile Corporation Ladtillera Santaff Bogota, Colombia Your application for Product Approval of: Sanlafe Tile Corporation, Nail -On or Mortar/Adhesive Set Clay "San:afe 5" Roofing Tile under Chapter S 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: • Redland Technologies, The Cente.i∎for.4pplied Engrtreer1ne, Inc. and Testwell Craig Laboratories 4 Consultants. 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 7 and the standard conditions set forth on page 8. The approval shall not Ke 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 the manufacturer Expires: 0122/01 Approved: 01/22/L4 • 7 671 Data From Co. . Phone g Fax Acceptance No.: 97_0515.05 ..Reises No. 96 - 0318.02 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES 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 to be used in Dade County, Florida under the conditions set rth.,above. i r Inte •nnr rn •f 11 nn of nmrl C.e♦ r/a• F+ni I.4,.+ -. r. n.lnnnfinn rnM BUILDING CODE. COMMITTEE aragt :TROPOLITAN DADE COUNTY FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130 -1563 •(305)375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372 -6339 ul Rodrig ez Product Control Supervisor Charles Danger. P.E. Director Building Code Compliance Dept. Metropolitan Dade County Unmans fie • 1'040% • /rWWW h nil Iif rnr" SANTAFE TfLE C'OR.PORATION ACCEPTANCE NO.: 97 -05J 5.05 Applicant: Santafe Tile Corporation Ladrillera Santafe Bogota, Colombia Categorv: • Prepared Rooting Sub- Ca teeirv: High Profile Tile Tvoc: Nail- oniMortar Set/Adhesive Set Sub -Type: Clay Ladrillera Santafe, located in Bogota, Colombia, manufacturers clay roof tile for nail -on and mortar/ adhesive set applications. All Ladrillera Santafe tiles are available in standard unglazed and a glazed color finish. This Product Control Approval relates to the Ladrillera Santafe "Royal" tile profile. Refer to appropriate Product Control AAnrovals for other tile nrofiles. Santa Fe Tile Corporation is the sole, approved distributor of Ladrillera Santafe roof tiles. Product Santafe S Clay Roof Tile r ' r Trim Pieces PRODUCT CONTROL NOTICE OF ACCEPTANCE . ROOFING SYSTEM APPROVAL Contact: Daniel Bernal General Manager : „Santafe Tile Corporation 8825 NW 95 St MMiami, Florida 33122 (3 317 8 ) (305) 885- 9002/888 -0050 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions Specifications I = 18” w = 11.5" 'h" thick 1= varies w = varies varying thickness System Description ASTM C 1167 ASTM C 1167 Page 2 of 8 Product Control No.: Approval Date: Expiration Date: Product assdatigt 97-051.5.05 January 22, .1998 January 22 2001 It S u High profile, one piece, clay roof tile equipped with two nail holes. For nail - on, mortar set and adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profil oaga Roofing Product Control Examiner SANTAFE.TRE' ACCEPTANCE NO.: 97- 4)515.05 Test 4gencv The Center for Applied Engineering. Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Redland Technologies Tcsnvell Craig Laboratories Consultants. Inc. • TEST REPORTS Test Identifier 94.156 -9 25- 7205 -1 94 -156-3 Test Name /Report • Date Static Uplift Testing Aug. 1994 PA 102 Static Uplift Testing March 1995 PA 101 Static Uplift Testing Aug. 1994 PA 101 Project: 07- 07 -00 -91 Wind Driven Rain Sept. 1994 (307023) PA 100 -• 7161 -03 Appendix II 7161 -03 Appendix 111 7161 -03 Appendix 111 P 0647 -01 P 0631 -01 P 0402 Lab iMK -4 Tech: G. Suarez Page 3 of 8 Wind Tunnel Testing Dec. 1991 PA 108 (Nail -On) Static Uplift Testing PA 102 Static Uplift Testing PA 102(A) • Wind Tunnel Testing PA 108 (Mortar Set) Dec. 1991 Dec. 1991 Aug. 1994 Wind Tunnel Testing July. 1994 ?A 108 (Mortar Set) Withdrawal Sept. 1993 Resistance Testing of Screw vs smooth shank nails Physical Properties July 1994 ASTM C 1167 Frank Zuloaga Roofing Product Control Examiner SAI\TAFE TtLE CORPORATION ACCEPTANCE NO.: 97- 05I3.03 SYSTEMS SYSTEM B: Direct Deck Nail -on Application Deck Type: Wood, Non- insulated Deck Description: New construction 19 /32" or greater plywood or wood plank. Slope Range: 4 ":12" to 7":1 Note: .System B is only acceptable in this slope range. Underlay meat: Roofing Tile: Comments: Install underlayment system in ,compliance with Metro -Dade County Application Standard PA 118. Install file in compliance with Metro -Dade County Application Standard PA 118. (_See "Data for Attachment Calculations" included in this Approval.) 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. SYSTEM D: Mortar or Adhesive Set Application Deck Type: Wood, Non- insulated Deck Description: New construction 19 /32" or greater plywood or wood plank. Slope Range: 2 " :1 to 7 ":12" Note: , D is only acceptable in this slope range. Underlay rnent: Roofing Tile: Comments: f • Install underlayment system in compliance with Metro -Dade County Application Standard PA 120. Install tile in compliance with Metro -Dade County Application Standard FA 120. (Sec "Data for Attachment Calculations" included in this Approval.) 1. For re =roof applications. 1 5 /32" plywood is an acceptable substrate. Page 4 of 8 Frank Zuloaga Roofing Product Control Examiner SA'iTAFE TILE CORPORATION A CCEPTANCE 97- O515.)5 SYSTEM LIMITATIONS I. The standard minimum roof pitch for Ladrillera Santafe's " Santafe S" high profile tile shall comply with Dade County Application Standards PA 118. 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. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide a minimum characteristic resistance load greater than or equal to the required uplift resistance determined in compliance with Metro -Dade County Protocol PA 115 or PA 127. The Ladrillera Santafe "Santafe S" tile 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 an 'Moment Based System' 4. For mortar and adhesive set tile applications. a field static uplift test by a Metro-Dade County accredited testing agency, in compliance with Metro -Dade County Protocol PA 106, shall be performed. 5. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 6. For mortar or adhesive set tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch prior to June 1, 1995 unless stated otherwise. by the material manufacturer. Thereafter, 30/90 underlayment systems shall be installed parallel to the roof pitch in compliance with Appendix 'A_.o €Dade County Protocol PA 120. 7. The applicant shall retain the services of a Metro -Dade County certified testing laboratory to maintain qua!ity control in compliance with the South Florida Building Code and related protocols. Page 5 of 8 Frank Zuloaga Roofing Product Control Examiner SA TA FF_, TILE(_ ORPORATION ACCEPTANCE NO.: Tile Profile Santafe S I Tilo Profile L antafe S Table 1: Aerodynamic Multipliers -A (fe) Tile Profile X (ft') X (ft') Nail -On, Direct Deck Mortar or Adhesive Set Sania`e S Clay Roof Tile 0.34 0.31 7 A Table 2: Restoring Moments due to Gravity - M, (ft -tbf) 2:12 3:12 1 4 :12 5:12 6 :12 7:12 4.9 4.8 I 4.7 '4.6 4.5 .. 4.4 Table 3: Attachment Resistance Expressed as a Moment - Mf (ft Two Approved Nails 21.8 • DATA FOR ATTACHMENT CALCULATIONS One Approved Screw Page 6 of 8 Mortar Set 18.4 ( 23.6 Adhesive Set 61.9 Frank Zuloaga Roofing Product Control Examiner 2 -0515.05 SANTAFF.; TILE CORPO.RATION ACCEPTANCE NO.: ,)7 ..0515.05 • PROFILE DRAWLING / • , Page 7 of 8 LADRILLERA SANTAFE "SANTAFE S" CLAY Roo F TILE Frank Zuloaga Roofing Product Control Exam iner SANTA FE TILT CORPORATION ACCEPTANCE NO.: 97- 41515.0; Santa ft Tile Corporation Product Control No.: 97- 0515.05 Ladrillera Santafc Bogota. Colombia Approval Date: January 22, 199S END OF THIS APPROVA Page 8 of 8 Expiration Date: January 22, 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS t. Renewal of this Acceptance (approval) shall be considered after a renewal application has been tiled and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (3) years. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptane 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 ofthe 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 shal } "a1 *o 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, tlienit shall be done in its entirety. 7. A copy of this Acceptan 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 sitt.afall times. The copies need not be resealed by the engineer. • . • 8. Failure to com ply with any section of this Acceptance shall be cause for termination and removal of Acceptance 9. This Acceptance contains pages I, through 8 this last page. U oaga Roofing Product Control Examiner PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoant Products, Inc. 2400 Spring- Stuebner Road Spring, TX. 77333 Your application for Product Approval of: Polvfoarn Products "Polvpru AH -160" Roof Tile Adhesive under Chapter 8 of the Miami -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: The Center for Applied Engineering, Inc. and Miley Laboratnricy Polymer:- 44ivision has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County. Florida undcr the specific conditions set forth on pages 2 -14 and the standard conditions on page 15. This approval shall not be valid after the expiration date stared 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. It 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 Codc Compliance Office reserves the right to revoke this approval, ilk is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. Thc expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0303.02 Renews: 96- 0402.02 EXPIRES: 04/16/01 APPROVED: 04/16/98 Intornet mall address: postmaater @buildingcodeonlIne.com APR 29 '98 11:41 METROPOLITAN DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING HUILnING CODE COMPLIANCE OFFICE MF1 R0.0f OE FLAGLEF, BUILDING 14C WEST rLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130.1563 (305) 375.2901 FAX (305) 3T5.2908 PRODUCT CONTROL OIVISION (305) 375.2902 FAX (305) 372-6339 aul Rodriguez Product Control Supervisor • THIS IS THE COVERSIIEF.T, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENF..RAL CONDITIONS BUILDING CODE CO(�iMITTEF. This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charles Danger, P.E. Director Building Codc Compliance 1)cpl. Miami -Dade County Homepago: http : / /www.buildtngcodeonllne.com 954 475 1462 PAGE ".002 FOLYFOAM PRODUCTS, INC. Product Control No.: 95 0303.0Z at orv: Sub -Ca_ t_ at�oi Tv°e: Sub -Type: Ayplicant: Polyfoam Products, Inc. 2400 Spring - Stucbner Road Spring, Tcxas 77383 -1132 PRODUCT CONTROL NOTICE: OF ACC.E? FANCE ROOFING COMPONENT APPROVAL. Roofing Component Fastening/Adhesive Roof Tile Adhesive Two Component Polyurethane System Description Product Control No.: 98-0303.02 Approval Datc: April 16, 1998 Expiration Date: April 16, 2001 Polyfoam Products, Inc., produces two - component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polypro® AH160 is specially designed for application of concrete and clay roof tile over a variety of roof deck substrates and underlayment materials. Polypro® adhesive is applied with proprietary Foampro® RTF1000 dispensing equipment. Approval of this product is specific to the two component mix and Foampro® RTF1000 dispensing equipment. Alternative methods of dispensing will require a revision to this approval. Polypro® adhesive shall be applied only by 'Qualified Applicators', licensed by Polyfoam Products, Inc. Certificates and identification cards arc issued to applicators upon successful completion of a application training program. Approval of this adhesive system is contingent upon application lication b a Q Applicator. rcc 70 CA 11: Contact: Pat Murray P.O. Box 1132 Spring. Texas 77383 -1132 Phone: (713)350 -8888 Fax: (713)28. -6450 Page 2 of l S Frank Zulnaga. RRC Roofing Product Control Examiner 954 475 1462 PAGE.003 Foampro® RTF1000 ooR 2S '96 11:41 Product Cuturol No.: 98- 0303.02 • POLYFOAM PRODUCTS. tic- TRADE NAMES OF PRODUCTS MANUFN`C. U1U D OR LABELF.D BY APPLICANT Tcst Product ' roduct Pimcnsions Sncci_ cations Description N/A PA 101 Two component Polypro® A1i160 polyurethane N/A Sec Detail Attached Dispensing Equipment Page 3 of 15 Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE .004 POLYFOAM PRODUCTS, INC. Product Control No.. 98- 0303.02 TRADE NAMES OF PRODUCTS MANUFACTURED BY O1 HFA'.S Product Underlayment Roof Tile C,PR 2S 'SG 11:42 Test Criteria Product Description PA 120 All Dade County Component Approved products as detailed in Dade County Application Standard PA 120 PA 101 All Approved roof tile systems having tested in compliance with Dade County Protocol PA 101, as detailed in the systems section of this Component Approval Page 4 of 15 Manufacturer. All Dade County Approved Products All Dade County Approved Products Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PPGE.n`- • POLYFOANI PRODUCTS, INC. TEST REPORTS Test A en Test Identifier Test Namc/Rc ort 1)atc #94 - 060 Miami Dade Protocol 04/03/94 Center for Applied PA t01 Engineering Center for Applied 257818-1 PA Miami Dade Protocol 12/16/96 PA 101 Engineering Center for Applied 25- 7438 -3 SSTD 11 -93 10/25/95 Engineering lied 25- 7438 -4 SSTD 11-93 10/25 /95 Center for App Engineering lied 25- 7438 -7 SSTD 11-93 11/02/95 Center for App Engineering Center for Applied 25 -7492 SSTD 11-93 12/12/95 Engineering — NH- 589 -631 ASTM D 1623 02/01/94 Miles Laboratories Polymers Division Ramtech Laboratories, 9637 -92 ASTM E 108 04/30/93 Inc. A$TM E 108 1 (/16/94 Southwest Research 01- 6743 -011 Institute O 1- 6739- 062b(1 j ASTM E 84 01/16/95 Southwest Research Institute 7050.02.96 -1 PA 114 03/14/96 Trinity Engineering ,c •ca 11: Page 5of15 Product Control No.: 98 0303.02 Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.006 • POLYFOAM PRODUCTS, INC. Property "us Density ASTM D 1622 TYPICAL PHYSICAL PROPERTIES Compressive ASTM D 1621 18 PSI Parallel to rise Strength 12 PSI Perpendicular to rise Tensile Strength ASTM D 1623 28 PSI Parallel to rise Water Absorption ASTM D 2127 0.08. Lhs. /Ft Moisture Vapor ASTM E 96 3.1 Perm / Inch Transmission Dimensional ASTM D 2126 +0.07% Volume Change a -40 F.. 2 Stability weeks +6.0°A Volume Change cr I5S °l ., 100% Humidity, 2 weeks Closed Cell — ASTM D 2856 86% Content Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. APR 2S 'SS 11:42 Page 6 of 15 1.6 Ihs. /ft.' Product Control No.: 93-0303.02 Results Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.007 POLYFOAM PRODUCTS. II C. Product Control No.: 98- 0303.02 Underlaymcnt: Roofing Tile: Comments: APR 2S '98 11 :42 S YSi - k;MS Deck Type: Wood, Non - insulated, New Construction /Reroof Deck Description: 15/32" or greater, plywood or wood plank. SYSTEM A: Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Shall comply with Miami -Dade Roofing Application Standard PA 120 Any roof the assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient artaclunent resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami - Dade County Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof tile assembly NOA. 1. All 'System Limitations' noted in the tilt Roof System Assembly Product Control Approval shall apply. Page 7 of 15 Frank Zuloaga, RRC Roofing Product Control Cxamincr 954 475 1462 PAGE.008 POLYFOAM PRODUCTS, INC. Product Centro' No.: 9S- 0303.02 SYSTEMS (CONTINiJF.D) Deck Type: Concrete, New Construction /Rcrouf Deck Description: New construction SYSTEM 13: Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Undcrlaymcnt / Install Approved underlayment system of one of the following: Waterproofing: Underlayment: (30/90 Hot Mop) fully adhered in full mopping of ASTM D. 312 type IV asphalt applied within the EVT range. Back nailing and laps shall be in compliance with Rooting Application Standard PA 120. Any liquid applied roofing system having a current NOA for its use as a tile underlayment system. Roofing Tile: Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance. The adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Roofing Application Standards PA 115 or PA 127. The adhesive attachment data is noted in the roof tile assetbly NOA. Comments: 1. All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval or waterproofing component Roofing Component Product Control Approval shall apply, as applicable. APR 29 '98 1 1 43 Page 8of15 Frank Zuloaga. RRC Roofing Product Control Examiner 954 475 1462 PAGE.009 Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Two -Piece Barrel NI 'S' Shaped a2 Double Roll N3 Flat t{4 POLYFOAM PRODUCTS, Product Control No.: 9S 0303.02 COMPONENT APPLICATION 1. Polypro® A11160 tile adhesive shall only be applied over an underlayment installed in compliance with application instructions detailed in its NOA.. Underlayment may be any underlayments or undcrlayment systems listed Miami -Dade County Roofing Application Standard PA 120. 2. Adhesive application shall be in accordance with the instructions provided herein. Tthe manufacturer may provide additional instructions subsequent to this approval date which may prevail. Installation must he by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoarn Products, Inc. 3. Calibration of the Foampra® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "A" component shall be maintained between 1.0- 1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.08 to 0.15 pounds per tilt as determined at calibration. No other settings shall be approved without revision of NOA. 4 Adhesive shall be dispensed in a 17 in' to 23 in' pad at time of application. The cured pad shall be approximately 5" x 12". Foam placement shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires a specific placement. as noted in Table 1. below 5. Adhere tilt: directly in freshly applied adhesive. Tile must be sct within 2 to 3 minutes after foam has been dispensed. Page 9of15 Frank Zuloaga, RRC Roofing Product Control Examiner APR 29 ' 11 :43 . 954 475 1462 PAGE.010 POLYFOAM PRODUCTS, NC. Product Control No.: 98 SYSTEM L IMITATIONS 2. Polypro® A1[160 adhesive shall be installed only by 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. •` 3, For adhesive set file applications, a field static County Roofing App t DaDcauo accredited l OG, testing agency, in compliance with Mt shall be required not less than 72 hours after application to confirm tile adhesion. 4. Rcfcr to application drawings published by the National Tile Manufacturers Association for penetrations and terminations; as well as the'I'lacement "Details' included with NOA. 5. Refer to tile Roof Tile Assembly Product Control NOA for system acceptance with this Component. 6. Refer to the Prepared Roof Tile Assembly for firc rating. 7. Polypro® AH160 shall not be exposed permanently to sunlight. 8. Polypro® AH1•60 shall be applied with Foampro RTF1000 dispensing equipment only. 9. Polyfoam ProductsTiic. shall supply Building Official with a list of 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. Page 10 of 15 Frank Zuloaga. RRC Roofing Product Control Examiner 954 475 1462 PAGS.21l POLYFOAM PRODUCTS, INC. uw.wlwwwt ow•.• 1•' '.. l'•% .f u.. o.•. corn. Ma. Abort 1. .o.o of .o.r.. .4 Fro Woo. t000ro *two oodt at pow sad .•.M d1.. sr. Atr.t. .t Ammo Wyo. !..• .l•.... t•••Aot .A.wtw APR 2S 'se 11:4 PLACEMENT DETAILS 14.h1 th.r.omot. 'Wide ......w( ‘ , 4 1°F. (..A..t regain./ by e•) 4 O'tl.we a. +'. tor •tw. Wok .tolled lows. r..e1. Placement Detail #1: Two -Piece Barrel Profile Page 1 1 of 15 Product Control No.: 9S -0303 0 Ovth wol pot.-Up Marto/ w Lwoht,elwe o.yo.. a 111.. !boot Ittoo Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 146E PAGE.012 • POLYFOAM PRODUCES, INC. Product Control No.: 9S- 0303.02 IM..y/1 pI..I■ ..o,.n( tarirw r-,..' by sw/.I PLACF.MENT DETAIT,S (CONTINUED) us.rl.y.•«At [a.. Wa+w. Nfdy ommeply wM «I..1. .aM.w IT I. ra . . I..A.s 1. sr /sell with Or Placement Detail K2: 'S' Shaped Tile Profile Page l2 of 15 f...1. s...r Delp ar. Frank Zuloaga, RRC Roofing Product Control Examiner AAP 29 '98 11 :44 954 475 1462 PAGE 213 POLYFOAM PRODUCTS, INC. Product Control No .: 98- 0303.02 Noll thr...0w (r lrw r.q *r•'g by e.+l ^� Y.d.rl.y.r.•t (...s Cerise :; ^ -? 29 '98 1 1 :45 PLACEMENT DETAILS (CONTINUED) *U.....r..welt. bray a .rw.rr.y !' .. _ Apply ......w .1w..Iw (. *.M... 17.3 ..p*. I..d.. M ..wtast ..lrw tw. 1111.. Placement Detail 113: Double Roll Profile Page 13 of 15 an Verona Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PPGE.014 • POLYFOAM PRODUCTS, INC. M.0 itte000tt p1.•11• w.wwl r.y.Iw• bf amok.) C... Comm* „_o , .oA 11:45 PLACEMENT DETAILS (CONTINUED) Como ..r.t..dy, R.w Frew w..v•.1•• Placcmcnt Detail M4: Flat Profile Pagc 14 of 15 Product Control No.: 98- 0303.02 AY1 •wool• .••wl.o to �ti... 1743 ov..•. Irk... (w .awtaal totals DA. ttl . (d. Giwwo • uloaga. RRC Roofing Product Control Examincr 954 475 1462 PAGc.215 FOLYFOAM PRODUCTS, INC. Product Control No.: 98- 0303.02 Polyfoam Products, Inc_ ACCEPTANCE NO. 9R- 003.02 2400 Spring- Stuebncr Road APPROVED April 16, 1993 Spring, TX 77383 EXPIRES : April 16, 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS I Renewal of this Acceptance (approval) shall bc considered after a renewal application hug been filed and the original submitted documentation, including test supporting data, engineering documents. are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name. city. state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with thc 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 thc correct. installation of thc product; d) Thc engineer whc 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 he 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 uny other purposes. 6 The Notice of Acceptance number preceded by thc words Miami - Uadc County. Florida, and followed by the expiration date may bc 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 uther documents. where it applies. shall be provided to the user by the manufacturer or its distributors and shall bc available for inspection at the job site at all times. Thc copies need not be resealed by the engineer. g Failure to comply with any section of this Acceptance shall be cause for termination and retneval of Acceptance. 9 This Acceptance contains pages 1 through 15. END OF THIS ACCEPTANCE AoR 29 . 99 11 :45 Page 15of15 • • Frank Zuloaga, RRC Roofing Product Control Examiner 954 475 1462 PAGE.e16 • PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Acceptance No.: 97 -0804.21 Revises No.: 95- 1003.03 Expires: 11/04/00 Approved: 11/04/97 ass: postmaster@buiiriinnrnd•nai;re ,..._ METROPOLITAN DADE COUNT',: 9:QRIDA METRO - DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 'MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375-2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372-6339 Your application for Produci Approval of - GAF Conventional ' -Up RoofSysteresfor Wood Decks under Chapter 8 or the Metropolitan Dade County Code governing the use of Alternate Materials and T ypes a • Construction, and c ,pletely described in the plans, specifications and calculations as submitted by: Dynatech Engineering, Inc, Factory Afutaal Research Corporation, and Underwriters Laboratories, Inc has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2-40 and the standard conditions on page 41. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. aul 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 in Dade County, Florid under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County 1 Applicant:, GAF Corp 1361 Alps Road Wayne, NJ 07470 Category: Sub - Category: Type: Sub -Type: PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL tion ,, Roofing ystem Built -up Roofing Conventional Fiberglass System Description GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produces a wide range of roof products for built -up and modified bitumen roofing systems. In addition, GAF offers two ply modified systems to meet the demands for multi -ply SBS modified specifications. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the "GAFGLAS Built -Up Roofing Application and Specifications" manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. GAF Materials Corporation products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. For more information on specific roof system constructions, contact the Technical Service Office, located in Wayne, New Jersey, at 1- 800 - ROOF -411. Contact: William J. Woodring Director of Technical Services (973) 628- 4134 Page 2 of 41 Product Control No.: 97- 0804.21 Approval Date: November 4, 1997 Expiration Date: November 4, 2000 ran Zuloaga, Roofing Product Control Examiner ins :elation Types: Material Wood Material Basalt Wool Perl ite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Design Pressure Design Pressure -75psf Maximum Fire Classification Classification Wood Class 'A' Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. Page 3 of 41 ga, Roofing Product Control Examiner Product GAF Asphalt Concrete Primer GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion GAF Premium Fibered Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement FGLAS® #75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Ply 66 GAFGLAS Flex pi 6 __ G &FGLAS Ply 4® TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions Specification 5, 55 gallons 60 Ib. bags 5 gallons 1, 5 gallons 1, 5 gallons 5 gallons 3 sq. roll 75 Ib. roll 2 Sq. RoII 70 lbs. /rol l 5 sq. roll 45 Ib. roll 5 sq. roll 45 Ib. roll ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 1863 ASTM 1227 Product Description ASTM D 2824 Fibered aluminum coating. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced. polymer modified Flashing cement 5 gallons ASTM D 4586 Asphalt flashing Cement ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. 5 sq. roll ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt oa i g Page 4 of 41 0o mg Product Contro Product G GLAS® ineral Surfaced C, • Sheet GAFGLAS® STRATA VENT® Perforated GAFGLAS® Flashing GAFGLAS® STRATA VENT Nailable RUBEROID Modified 3 sq. roll Base Sheet 67 lbs. GAFTEMP® Isotherm R Tapered GAFTEMP® Isotherm R GAFTEMP Isotherm RA Tapered GAFTEMP Isotherm RA GAFTEMP Isotherm RN Tapered GAFTEMP Isotherm RN GAFTEMP® Composite Test Product Dimensions Specification Description 76 Ib. roll ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. 60 Ib. roll various 69 lb. roll various various various various various various various ASTM D 4897 D3672 ASTM D 489 D 3672 Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D4601, Premium glass fiber reinforced SBS- Type II, UL Type modified base sheet G2 BUR PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 Page 5 of 41 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 density fiberboard or Permalite perlite insul Rooting Product Control xam Product RUBEROID® TORCH PLUS RUBEROID® TORCH FR RUBEROID® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS Vent Stacks (metal and plastic) GAF Aluminum Emulsion 5 gallons RUBEROID® 109. Roll ULTRACLAD® SBS 101 lbs. GAF Aluminum Roof Paint GAF Built -Up oofing Asphalt RUBEROID MOD Asphalt Test Dimensions Specification % sq. roll ASTM D 5147 93 lbs. 'h sq. roll 90 lbs. 1 sq. roll 92 lbs. 1 sq. roll 92 lbs. 60 Ib. kegs ASTM D 5147 ASTM D 5147 ASTM D 5147 lsq. roll ASTM D 5147 101 lbs. PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D 5147 5 gallons ASTM D2824, 100 Ib. cartons, ASTM D312, bulk Types 1,11, 111 and IV Page 8 of 41 Product Description Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. 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 pigmegted, asphalt - roof Interply moppin SEBS modified asphalt r acing asphalt Roofing Product Control Examiner Dekfast Fasteners #14 Dekfast Fasteners #12 ISO 95+ Composite Asphalt Product Asphalt Primer EPS Dekfast Lock Plate High Density Wood Fiberboard Pelite/Urethane Composite Perlite Insulation Polyethylene Red Rosin Roofing Nails Test Dimensions Specification 3 "x31/4" various various various various 4 mil min. various Minimum # 12 PA 114 PA 114 PA 114 PA 110 ASTM D 312 ASTM D 41 PA 110 PA 110 PA 110 PA 110 PA 114 Product Description Polypropylene locking plate. Insulation fasteners for concrete decks Insulation fastener for steel and wood decks. Polyisocyantirate / perlite ridged insulation Type III or IV Hot asphlat bitumin adhesive Asphalt Primer Extruded polystyrene insulation Wood fiber insulation board Perlite '/ urethane composite board insulation Perlite insulation board Vapor barrier / Air barrier kosin paper for barrier layer on wood decks Corrosion resistant annular ring shank nails Page 12 of 41 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 generic generic generic generic generic Roofing Product Control Examiner Tin Caps aluminum roof coating Dens -Deck #12 Roofgrip #I4 Roofgrip Gripdek Fastener Hexcel Fastener Hextra Standard Plastic Plate ISO 95+ E'NRG'Y -2 ISORoc Product Test Product Dimensions Specification Description Min. 32 ga. x I s/ various 3" round various various various Corrosion resistant circular discs. PA 121 Aluminum roof coating PA 1 10 Gypsum insulation board. PA 114 Insulation fastener for steel or wood decks PA 114 Insulation fastener steel, wood or concrete decks PA 114 Insulation fastener PA 114 Insulation fastener PA 114 Insulation fastener and metal or plastic plate PA 114 Polyolefin plastic plate PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam / tockwool composite insulation Olympic Standard 3" round PA 114 3" round gaivalume AZ55 steel plate Page 13 of 41 • Manufacturer generic Grundy Industries (with current PCA) Georgia Pacific (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) 1TW Buildex (with current PCA) ITW Buildex (with current PCA) Firestone (with current PCA) NRG Barriers, Inc. (with current PCA) NRG Barriers, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Roofing Product Control Examiner TEST REPORTS Test Name Report Date Agency /Identifier 0 Factory Mutual Research Corporation Current Insulation Attachment Requirements Factory Mutual Research Wind Uplift J 1 V8A4.AM 06.28.93 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J IRIA6.AM 11.15.91 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J . 1 . 0T2Q4.AM 10.17.91 Corporation FMRC 4470 - PA 114 Factory Mutual Researc h Wind Uplift .1.1. 0Q6A6.AM 07.16.91 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J 08.02.94 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift J.1. 0Y9Q5.AM 07.29.94 Corporation FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift, FMRC J.1. 1B9A8.AM Corp. 4470". PA 114 Underwriters Fire Resistance R1306, 87NK11819 01.01.93 Laboratories, Inc. Classification UL 790 - PA 114 Dynatech Engineering Wind Uplift Corporation PA 114 Dynatech Engineering Wind Uplift Corporation PA 114 Wind Uplift J OT4A 1 .AM 08.26.92 FMRC 4470 - PA 114 #4482.02.95 -1 Page 17 of 41 #3600.02.95- 1 U. UC7Y FMRC 1996 01.01.96 02.02.95 02.02.95 ga. Roofing Product Control Examiner Systems • •Deck Type 1I: Wood, Insulated, New Construction or Reroof Deck Description: 19 / 32 " or greater plywood or wood plank System Type A(1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. Insulation Fastener Fastening Fasteners Fastener Laver Type Detail No. Per Board Density (see PA 117) One or more layers of any of the following insulations. Approved Type(s): ACFoam -I, E'NRG'Y 2, GAFTEMP® Isotherm R, E'NRG'Y 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N Minimum: 1" x 3' x 4' N/A N/A N/A N/A pro ev d Type(s): ISORoc, GAFTEMP® Tapered Minimum: 1" x 4' x 4' N/A N/A N/A N/A Approved Type(s): High Densi 0 - rFt er�EMP® High Density Wood Fiber, GAFTEMP RecoverBoard . Minimum: %2" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Wood Fiber, GAFTEMP® Fiberboard Minimum: Y2 "x2'x4' N/A N/A N/A Approved Type(s): Paroc Minimum: 'h" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Perlite, GAFTEMP® Permalite®, Permalite Tapered Minimum:' /." x 2' x 4' N/A N/A N/A N/A Minimum (for Tapered) '/: ' x 2' x4' N/A N/A N/A N/A Approved Type(s): Fiberglas Minimum: 15 /16" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Permalite Tapered Roof Insulation Minimum: 'h " x 2' x 4' N/A N/A N/A N/A Approved Type(s): Tapered Isotherm R, Tapered Isotherm RA, Tapered lsothcrmRN, GAFTEMP Composite Tapered, GAFTEMP Composite A Tapered, GAFTEMP Composite N Tapered Minimum: '/." x 4' x 4' N/A N/A N/A N/A Page 18 of 41 N/A a, Roofing Product Control Examiner Note: All insulation shall be adhered to the anchor sheet in full moppings of approved hot asphalt within the EVT range and at a rate of 20- 401bsJs Please refer to Metro -Dade County Roofing Application Standard PA 117 for insulation attachment. Insulations listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanuratc applications. Anchor sheet: Base Sheet: Ply Sheet: Cap Sheet: Surfacing: ALAS® PIy4 ®, PIy 6R, GAFG Flex Ply"' 6, #75 Base Sheet, A FGLAS #80 Ultima ase.$tteet, STRATAVENT® Nailable, RUBEROID ' Pied -Base She - RUBEROID® 20 . base sheet applied to the deck with approved an ar ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered in two rows 12" in the field. Base sheet shall serve as anchor sheet for attachment of insulation (Optional) Install on ply of GAFGLAS® #75, GAFGLAS #80 Ultima"' Ultra Base Sheet, GAFG STRATAVENT® Perforated or RUBEROID Modified Base Sheet directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 IbsJsq; (see General Limitation #4). One, two, r three plies GAFGLAS PLY 4®, GAFGLAS PLY 6® Ply or GAFGLA PIy 6 sheet adheredin.a_ ulLmopping of approved asphalt applied within the EVT range and at a rate of 20-40 IbsJsq.. (Options One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping f approved asphalt applied within the EVT range and at a rate of 20 -40 Ibs./sq.. (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 IbsJsq with an application rate of 1.5 gal /sq.; or GAF WEATHER COAT® Emulsion with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of I'.5 galJsq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 Ibs./sq. & 300 IbsJsq., respectively. Maximum Design Pressure: -45 psf (See General Limitation #7) Maximum Fire Classification: 'A'. See General Limitation #2. Maximum Slope: 3 ":12 "; See General Limitation #3. Page 19 of 41 Roofing Product Control Examiner Specification No.: I-B-5-M, I-B-5-M/P6, I- B -5 -G, 1- B- 5 -G/P6, I- B -5 -C, I- B- 5 -C /P6, I- 0 -5 -M, 1- 0- 5 -M/P6 I- B-4-M, I- B- 4 -M /P6, 1- 0-4 =M, I- 0- 4 -M/P6, 1- B-4 -G, 1- B- 4 -G /P6, I- O-4 -G I- 0- 4- G -/P6, 1- 0-4-C, I- 0- 4 -C /P6, I- B-4 -C, 1- B- 4 -C/P6, I- B -3 -M, 1- B -3 -G, I- B -3 -C, I- 0 -3 -M, I- 0 -3 -G, I- 0 -3 -C. Page 20 of 41 nuuuct LOntrOl NO: Y /- UtSU4.21 Roofing Product Control Examiner Wood Deck System Limitations: 1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force of 95 Ibf or greater as tested in compliance with Merto -Dade County Protocol PA 105. [ff F tested is below 95 Ibf, a professional engineer ma � the withdrawal resistance value taken from Merto -Dade County ing 0 5 li a n d calculations in compliance with Metro -Dade Roofing Application Standdrd PA 117. I05 and � All standard insulation panel sizes are acceptable for mechanical applied in hot asphalt, maximum panel size shall be 4' x 4'. auachment. When panels are L Fastener spacing for insulation attachment is based on a Minimum 275 Ibf. as tested in compliance with Merto -Dade �' Protocol P Fot�ce (F) g f Application Standard PA 117. If the fastener value, tocol PA 105 & Roofin attachment shall nor be field tested, are below 275 insulation acceptable. 3 A slip sheet is required with Ply 4® Flex Plyt'" 6 and Ply 6® when used as a mechanically nr anchor sheet. echanically fastened 4 . % Type X gypsum board is acceptable to be installed dinxtly over the wood deck.. oaga, Rooting Product Can rrr,l c..__:_ 2 1 GENERAL LIMITATIONS MI asphalt shall comply with ASTM D 312 type III or type approved by applicant. requirements, and Fire are determined by a combination of slope, deck type and ass Underwriters Roofing Materials Derry or other fire testin embly. Refer to testing. file. Ftr�e ratings shall be in strict co � g data listed in the the South Florida Building compliance with Sections ,4pl,s and 3401.6 of . . ing d Code J 3 Maximum slope tame shall Laboratories Roo vary for each system; consult ant Underwriters compliance with desi � Directory and manufacturer's Specifications for gn for each project 4 An verlay An cell and/or recovery board insulation panel is required on alI applications over foam insulations when the base sheet is fully mopped, If no recovery used, install one layer of GAFGLASS STRATAVENT Perforated, board i may be applied using spot mopping � la dry.A base sheet Aping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each si the sheet allowing a continuous area of � and one down the center of acceptable. A 6" break shall be placed every 12' mo, ribbon of the strips is not Asphalt application of other n to allow cross ventilation. system shall be at a minimum rate of 12 Ibs./sq. Note: Spot u approved iso attached systems shall be limited to a maximum design pressure of -4 VENT Perforated is ed over 5 1�f n, th e maximum design cyanurate foam insulation, the � Pressure is limited to —bOpst S All work shall be performed by a contractor licensed to do roofin work g in Met■-fade . County. Contractor shall be familiar with the details and specifications blished manufacturer, and the requirements of the SFBC. �' by the 6 The submission of system specifications and details shall accompany the Section II Building Code Permit, This information is available in the publications 'System Description' of this Product Control A val. listed in the documents, as well as the �' ... The submission of these Proper application and installation of all materials shall be the sole responsibility of the contractor. • rack Zuloaga. Roofing Pmrih►rt f•�....,�_r_ a Perimeter - apd comer areas shall comply with the enhanced lift as calculated in compliance with Chapter 23 of the South Florida B uildi ng Co these arms, densities shall be increase for both insulation and Building �' Fastener with Metro-Dade dun base sheet as needed calculated in compliance with rc tr t' Roofing Application S y referred within this NO Standard PA 117. (When this limitation is A' Generai �fatioa #20 will not be applicable.) 8 All aaachmeat and sizing of perimeter milers, metal designs shall conform with Metro-Dade Co Profile, and/or flashing termination and the wind load requirements of Chapter 23 ofthe South Application B u l Standard PA 111 Florida urJding Code. 9 Flashings shall be installed according to the man -- -- - applied in cold application adhesive, approved u�ras standard details, and may be with an approved torch �� or may be applied in conjunctio by the manufacturer, shall be submitted with membrane. Specific details, appro shall �.omply with the � the Section-II Permit Application. All desalts Provision of South Florida Building Code, 10 Fastener s for ba sheet . value as attachment is based Co w �1D a Mi�um Characterunc t PA 105. If the fa tested in compliance with Metro -Dada a Force values as tested are below those listed in the System fastener submit a revised fastener Yst� Limitations, a professional engineer tna Dade Coup wing utilizing the withdrawal resistance value taken from a Metro- ty Protocol PA 105 test report and etro. - - requirements of Chapters of the South Florida Beti calculations with the wind load PA 117. 6 and Roofing Application Standard 11 Fastener spacing for insulation attachment is based on a Minirnurn (F') value of 275 Ibf., as tested in compliance with PA 105. tribe fastener value, Foese are below 275 Ibf. insulation attachment shall not be acceptable. f �d tested, . 13 Asphalt mo t •� PIS ngs shall be with applied with approved asphalt and shall be in com 1i with equiviscous temperature (EVT) methods of p� bulk tickets shall indicate an asphalt deteimirwtion Asphalt containers or types and tan EVT• f inished b lowing temperature (FBT) and !lash point. Asphalt Pure 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 la .. — .. - - - - compliance with Product Control Approval guidelines. All other la wed in in a full mopping of approved asphalt applied within the EVT shall be adhered lbs./sq., or mechanically attached using the fastening partner of th la a rate of to manufacturer's literature and/or the NRCA Roofing and' War top layer. Refer o application procedures of insulation panels in �T00fing Mang for correct: comply with provision of Roofing Application Standard PA 117. or adhesive, w shall • 17 - Ro lfgood materials shall be stored on end and on a clean, fiat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier app roved adhesives may be used p to application of the unc tion with proprietary etary or insulation layer. 19 Consult cunmt Underwriters Laboratories Directory fo roofing assembly to obtain the b the approp Wig for each said compliance with required fire rating. The assembly shall be installed in —_. ... sections 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 20 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, corners). No rational analysis, nor extrapolation shall fastening at enhanced be permitted for enhanced f . pressure zones (i.e perimeters, extended comers. and corners (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable) � - 14 All Adard, panel sizes are acceptable for 'm . appm asphalt, pared size shall be 4' x 4' � attachment. When appIred in 15 In re covpy/rz- roofing applicatio � bonding substrate shall be to the application, all existing roof surfaces used as a tested in compliance with Metro-Dade County Prowl PA 124 for uplift resistance. Test pressures shall be calculated in compliance with requirements of Chapter 23 of the South Florida Building Code to the design pressure wind toad ne of the roof. 16 In re- roofing applications, moisture content in an Section 3401.10(m), (n) of the. South Florida Buil ding Co m be in compliance with oaga, Roofinr' Product ( c..__: . GA FA ' �t�inLs Corporation 1361 Alps Roar ACCEPTANCE NO. " 97-01104.2I Wayne, NJ 07470 APPROVED : November 4, 1997 EXPIRES : November 4. 2000 NOTICE OF ACCEPTANCE STANDARD CONDITIONS I Renewal ofthis AcceptanCe (approval) shall be considered after a original submitted dowmentatioq includin test s upportin renewal appl'canon has been filed and the eight (8) yea g data, engineering documents, are no older than 2 Any and all approved products shall be permanently labeled with the manufacturer's specific cons ent t D� County Product Control Approved', or as specifically city, ditions of this state, and the aeptance. ly stated in the 3 Renewals ofAcceptance will not be considered il: a) There has been a change in the South Florida Building b) _product is not in compliance with the rode �g uarion of this Product and Product is no longer the same product (identical) as the one originally approved; c) If the Acceptance not lied with aA the �' • correct utsmllation ofthe producs; - �'� of �u ice, inclndin the d) engineer who arigirmll - �-�- -.- is no longer pig the engineering profession. � the required documentation initially submitted. 4 Any revision or age in the materials, use, and/or be muse for termination of this Acceptance, unless manufacture ofthe product or process shall automatically filing of a revision pace written approval has been requemd (throu the application with appropr fee) and granted by this office. 5 Any of the following shall also be grounds for ranoval of this Acceptance: a) unsatisfactory performance of this product or P b) Misuse of this Acceptance as an endorsement of arty product, for sales, advertising or any other purposes. _ 6 . The Notice of A �snm:e number preceded p date by the words Metro -Dade County, �- expiration may be displayed in advertising orida, and followed by the ernsur literature. if any portion of the Notice of ACCeptarttx is duplaYed. Char it shall be done in its entirety. 7 A copy of thik Acceptance as well as approved drawings and other documents, where it applies, provided to the user by the manufacturer or its distributors and shall be available for inspection shall o at all times. The copies need not be resealed by the engineer. mP ion at the job site g Failure to comply with any, section of this Acceptance shall be c ause for termination and removal Acceptance. of This Acceptance contains pages 1 through 41 END OF THIS ACCEPTANCE oaga, Roofing Produce o0 de_%1_-ck (k-E3_ e 0 As Owner of Building Architect Contractor or Builder Legal Description Address of Building BUILDING PLUMBING L 0 PERMIT ROOFING ❑ ( e 0 Y i. - ti •- ! `I . Lot ❑ Work to be performed under this Permit Y This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in thq,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 he 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 be assumes respon- sibility for work done by his agents, servants or employes. Signed • � ( INSPECTOR) BY 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 MIAMI SHORES VILLAGE, FLORIDA \, Date o • BY 474t,4 /w (.A1-4 S : ) (, . ) ;JfT Subdi- vision! ;r / 1 to i ! Sq. Ft.: Value of Project $ f • () ' -.) 6 . • 1 5370)200 08130 /AgigitITY 531. u ).. . I9 Contractor's License No. Permit: CCF: Notary: Bond: Radon: Amount-of Permit: 3 - 1-- E l" DATE 7 " ■ No. izt r a N eb ®� Cr) NW FROM W ~ c CS III = OF RENT 2..E46W C} - OF ACCOUNT PAYMENT BAL. DUE DOLLARS BASH fl FROM QCHECK 3, " O MONEY BY ORDER TO KETCH OF ROOF JOB SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES: Test Location Uplift Pull . Test (P or F) Test Location Uplift Pull Test (P or F Test Location Uplift Pull Test (P or F) 1 26 51 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 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 Owner's Name: 11 4 Job Address � O Roofing Contractor f Type of Tile: Approximate Roof Height: y feet Type of Access to Roof: Scaffolds Approximate Square Footage of Roof Required Testing Force: 35 lbs. Date Tested' THIS REP MITTE e Du Quesne, P.E. Engineer P. - 24513 Du Quesne & Ass cotes, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 SITE SPECIFIC INFORMATION tiD s i 11 ft Testing Equipment: Chatillion DFIS 100 (o moo TEST RESULTS P = PASS, F = FAIL Ladder SKETCH OF ROOF IN BACK UTR 17496 Environmental • Civil • Structural Building Inspection Services Permit #• y Date Installed Roof Pitch ? Other IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. 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 KETCH OF ROOF JOB / ado // f ? P- Sr. ✓ A4/A-/T4/ SHEET NO y OF Z CALCULATED BY 7 P DATE // - o CHECKED BY DATE SCALE 1111111111 ir .0 1 i h. 1 ) 1 iii mik , ANNEFIIIIMEIVOIIIIIIIIIN 1111111111111111111MMEMERVAIIIIIIIIIIIIIIIIIIIMMIN 111111111•Mmunnam„, rorrommE11111111•11 NIMMIUNIMINIMPSillellEMEMENIIIIIII••• I !IIi!iI I 1IiI i 33 NOTES. APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date..Becombe.r 26, 1972 Owner's Name and Address .LQL31.Q...Cc.,..._AP1". .t11d4!_ .._.... — No �zQ . Street_ N a 92nd St . s _ Registered Architect and /or Engineer _�... + ___•__ -+ -_ _ . •___1_11 Name and address of licensed contractor Bohndrt Roofi.na. & Supply Co. Inc. 3710 N'.7 41st. St. Location and legal description of lot to be built on: Lot Block Subdivision _....__..___ Street and Number where work is to be done 1200 NE 92nd St. 1 Miami Shores, Fla. State work to be done and purpose of building (by floors)... Rc-. r. oa£....r.eGide. nc. e... ..'.L'ila_- S.Q.G.La..LLC1...AII .ys.. 1 ...base ....f.lt.a..- L415.... fQllt ... l?3• one (1 ) ... 90 . Slate. '.Jhite color cement shingle tile. and for no other purpose. New Building Remodeling Addition Repairs ' e No. of Stories 1 To be constructed of Kind of foundation Roof Covering Ale e Estimated Total cost of improvements $ 500 amount of Permit $. 9. 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...371Q...N.J l ast. 5t.. Tliatfli, Fla. 33142 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 site of the work such ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such.sybcontr eto , work r rrn under this pennit, as are licensed by Miami Shores Village. B fl e o %Iin3 4upply .O. Inc; . , Remarks (Signed) ' '� ^ 'i r f STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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 ...... 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 \fcrhber 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspections or faulty materials and /or workmanship. BUILDING El MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9833 ROOFING ,O 0 Owner of Building Work to be performed under this Permit r • -' . c./ Architect Contractor or Builder / Legal Lox I I Description 11 Bi Address of L Building CONTRACTOR or BUILDER Date 1 / Contractor's License No. Subdi- vision Sq Ft Value of - Amount of Project $ 1 II Permit $ BY AUTHORITY This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an ■ 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) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation pertaining thereto and in strict conformity with the pans, 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. 5 » / Owner's Name and Address__ _ ' it Registered Architect and /or Engineer Name and address of licensed contractor____. 2I e4 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done /0. 0__L2/'2 State work to be done and p pose of buildi (by r / floors) __l " 60910 7 �t ( q7 ��/7-, _ lam✓ _ ' { aim? permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved ,v (Signed) ____2 D. to Buildin nspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date )1 1 die No C Street 7/0 19..4x' 9/;?-e- ; and for no other purpose. New Building Remodeling Addition Repairs V No. of Stories To be constructed of Kind of found Roof Covering 0, � e Estimated Total cost of improvements $ /` 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 i spection on the site of f• work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sul ontr .. /'s, on work . .e performed under this Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 9 p 3 Date - � r1 Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA ❑ ❑ PERMIT N9 5743 ❑ Owner of Building Architect Contractor or Builder Legal Lot Description — � Bl Address of Building DATE 195 Contractor's License No. Work to be performed under this Permit Subdi- vision Value of H Amount of Project $ ' 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 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 6 4 T'. ;UILDING LECTRICAL 'LUMBING :OOFING ?wner of wilding 0 ❑ DATE t 195 {, PERMIT N° 4008 Contractor's License No. / `- rchitect ontractor it Builder .egal Lot )escription >ddress of ; uilding MIAMI SHORES VILLAGE. FLORIDA Bl V ❑ Work to be performed under this Permit Subdi- vision Value of Project $ a' Amount of 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 application ,erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any me 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 ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations .ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and )hat he assumes responsibility for work one 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 ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted• to the proper authorities of Miami Shores Village. In ac- epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ems• Owner's Name and Address.. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Registered Architect and /or Engi Name and address of licensed contractor Location and legal description of lot to be built o Lot Block Subdivision Street and Number where work is to be done `� O State work to be done and purpose of building (by floors) Date r 19 u " No g9 Street ,o"rs Diu/7Y1-, Read, Sworn to and Subscribed before me. and for no other purpose. New Building .. Remodeling. Addition Repairs No. of to s To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ,la v ° Amount of Permit $ 0 - d 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 5968, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for 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) 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 tr4}e. / Permit No ! E ' d � // Date l � Disapproved Date - Notary Public, State of Florida (Signed) GL - { Bui ding Inspectorr// • . Commission Expires PLANNING BOARD DATE Chainnan 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.