Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
ROOFING
CONTRACTOR Name oU v\ s e.k. Uv 2 c (9 S Name kr Pl./ if 11 e ‘d e ' ,S-..f; e License No. G 66 0 65_ 1 L / Address I a.07 x! Address Home Telephone 3 05-.....75-7 _ c, 3 Telephone 7 y�6 367 /77J 75'/ / cfy Qualifier Name -r^ A O4c ? °7 u e a 5_6 PROPERTY OWNER Name oU v\ s e.k. Uv 2 c (9 S Name +� -/( t ' ,S-..f; e Telephone 2 0 S act 4 3r Address I a.07 x! 4 . a.. 5 Home Telephone 3 05-.....75-7 _ c, 3 /'' Business Telephone 3 ®_5- o); l 6 v 1. a 5_6 Fax Relocation of Structure ARCHITECT Name oU v\ s e.k. Uv 2 c (9 S License No. a q oi U AA Address t3Z.0 S CovtG.v hut We. w. ; 0,w.1 ,1lostiao, 131 81 Telephone 2 0 S act 4 3r Fax oS ? S - / TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: i107 /✓E S tf Address Apt. Subdivision tgov,-/ L (1 lY e PB C l A t PGA Current Use of Property V' CS %0(c- rijc P Proposed Use of Property 0/ Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Description of Work PERMIT APPLICATION Master Permit No. ` b Subsidiary Permit No. 50 1 City J ®vcs 33/3; State Zip / © ' _ G)d�' 4.17 /i2Kv Zoning Linear Feet Square Feet 7 00 di Units / Floors / Glue of Work Li 00 0 . Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. TAT F FL RI A, C Y OF MIAMI DADE ature of Owner L Print Name .)d subscribed before me of daY —9r Sign SE L: of Notary Public,. :IMP �I T My Commission CC873122 4 ""v Expires September 22, 2003 Personally known OR, Produced Identification Type of Identification Produced: STATE OF FLO IDA, COUNTY OF MI Signature of Contrac or / Qualifier Print Name S�vom to aqd 10 � Signatur SEAL: Personally known PERMIT APPLICATION ry Public - •te �:�. O: GAL NOTARY SEAL B <� CLARA L PEREZ * COMMISSION NUMBER ' DCO22268 MY COMMISSION EXPIRES OF Fk. MAY 1,2005 OR, Produced Identification Type of Identification Produced: Contractor's Name: v V ,Rovl 1 CJ ' Job Address: 1 a o N& 7 SrV ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (�vlortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE (New Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft ___ Sloped Roof Area (ft 67 ) Total (ft 4? .S 4 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. v Ft. V A Deck type: ATTACHMENT Fastener Type: Field: SPACING Perimeter: Corner: 123.01-78 9/96 DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Page -1 r r r oY \ / S e e ROOF PLAN s Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT ' 0 Deck type: 1400/ Underlayntent: Insulation: 30 N� 12" \ ROOF SLOP! D E T A I L 3 SLOPED SYSTEM DESCRIPTION Fastener type & spacing: D Y.- 9D Cap Sheet: Roof CCoveri g: s s 7/ olvi e V Drip edge: 4 1/1 ,1 I VOi ",9tiot 1 1 Coc.0 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 c (Pmaxl: - ?),3x ? (Aerodynamic Multiplier):)I71r) - (Pmax2:)0 X (Aerodynamic Multiplier):)P i ` 7) - (Pmax3: X a (A ero ami / d s Multiplier) 7 ) TILE CALCULATIONS 6,3 Mg )c-1 5 %CA: M : (o 3 M l 67 PCA: B M : 6130= M yn B Page -2 • • LA.. 1 CM GLIC11 1 L S j 1■ VLrr'0 /V1 a1Un 1:::LI 1 U. QUI :)Jtl SJS1 MIAMFflNOE PRODUCT NOTICE OF Mvuict Limuc LLe 135 NW 20 Sc. Boca Raton FL 33431 Your application for Product Approval of: Villa & j�QI{ Co ri Low Profile Tilt: under Chapter 8 cf the Code of Miami -Dade County governing the use of Alternate Matc:ials and Ty Construction, and completely described herein, has been recommended for acceptance by the Miami- County Building :ode Compliance Office (BCCO) under the conditions specified herein. This approval sha l not be valid after the expiration date stated below. BCCO reserves the right to secur, product or material at anytime from a jobsite or manufacturer's plant for quality control testing. lfthis product or material fails to perform in the approved mahricr, 'NCO may revoke. ItlQCiify. nr 5►I5[1I,'�,l, the use of such product or material immediately. BCCO reserves the right to revoke this approval, if if determined BCCC that this product or material falls to meet the requirements of the South Florida Bu%14 0 `'• Code. The expense of Acceptance No:: Expirep: h testing will be incurred by the manufacturer. 9- 1012.02 (Revises No.: 97- 1I24.16) 2/16/2002 Raul Rodriguez • 70) _`` Chief Product Conlrol . :. i i q. This application! r Product Approval has been reviewed by the BCCO and approved by the Building and Product Rrvi f nmrnittec to be used in Dada County, Florida under the eenditiOcs3 ut forth ib ! Approved: 12/30%1 99 CONDITIONS • BUILDING CODE & PRODUCT REVIEW COMMITTEE 1 tit', Internet mall add : pay ;tmasterObuildingcodeoallne.com 1SONIER LIFETILE - #- BRAD RADCO DADE BUILDING CODE COMPLIANCE METRO•DADE FLAGLER I J1 tao WEST_FL8G1.F.R STaEET. SUIT$$.; MIAMI. FLORIDA 3314' ACCEPTANCE (303) 375•30c1 tAX (305) 37s,3 CONTRACTOR LICENSING SEC)tI (305) 373.232 FAX 005).3 • CONTRACTOR ENFORCEMENT SE _ � _,_, (305) 375 -2966 FAX ()03)'375', PRODUCT CONTROL ncvtai (305) 375.2901 FAX (305) 372� MIAMI-DADE COUNTY, FLO METRO•DADE PLAGLER BUIL t ranctsco Quintana. lL Alarj. Director Building Code Complitrte:p; Uontepn�t: http :IIwww,buildingcudconlinc.con I• • • 1 C. .:4* C., Cr • 41a QV i you aye& Trim Pieces Monier Lifetlie Villa & Roll ' 1. 2. ■4 I .14..1 I SCOPE This r® Tilt lf Mlitaki- SFBC:C complian calculag Catego 3.4, Cis ?Root a ufactut Monier Lifeitite LLC L = 17" Capri Tile Vircs 12 V," Vi" thick LE LLC CE Or ACCEPTAN E: 4 E, es a roofing system using Monier Lifetile Villa, Roll, and Capri Concrete Roof 1111:Bin iiui rtn 11 ' 1 '1 / • 1./1411kIliab de County. For the locations where the pressure requirements, as determined by pter 23, do not exceed the design pressure values obtain by calculations in e with RAS 127 using the values listed in section 4 herein. The attachment shall be done as a moment Prepared Roofing guzy: Low MILLE 111e DESCRIPTION Test Dimensions $0ocifications 1= varies w = varies varying thickness nuOLZA LArbilLt. 4 4 + tsztAue0 DADE based PA 112 2 system. : ACCEPTANCE No.: 99-1_012.02 APPROVED :December 30, 1990 EXPIRES :December 16, 2002 CO DITIO S Product Desedintion I = 16W' PA 112 Low profile, interlocking, high pressure w = 13" extruded Concrete roof tile equipper! with V:" thick one nail hole and double roll ribs. For direct deck or battened nail-on, mortar or adhesive set applications. Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail-on, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. tink Zuloaga, RRC Roofing Product Control'Examiner • • ION Product Rainproof Il Ice and Water Shield Wnnri RatTrns Tile Nails Tile Screws Roof Tile Mortar ("TileTiterm") Roof Tile Mortar ( "Quikretc® Ro Tile Mortar #1140") ' OT • A _ NCE• STANDAR a • ' I`t • N 2.1 Components or products manufactured by others Dimensions 30" x75' roll 36" x 75' roll or 60" x 75' roll 36 " 75' roll orties( Min. t "x 4" Horizontal ' Min. 1"x 4" for use with vertical battens Or Min. I "x 2" for use alone Min. 10dx 3" #8x 2 ' /s" long 0.315" head dia. 0.131" shank dia. 0.175" screw thread dia. NIA N/A Test Specifications .......... r ....r•WE/ APPROVED ':December 30, 1999 } .,�;''�;+ EXPIRES . 16, 200' + + RAW" V. 1,/"1/Ls ACCEPTANCE No. : 99- 1012.02 Product pe , fanuftcturcr PA 104 Single ply, nalkon Protect -O -Wrap, underlayment with Inc. .',.'. 2" self - adhering top (with current NOA) , edge. z ti•, PA 103 5elf•adh•ring W.R. C1ne.r. Co. undcrlayment (with current NOA) NNI / Institute LP 2 PA 114 Appendix E Corrosion resistant screw or smooth sham: nails PA 114 Appendix E Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws PA 123 PA 123 3 9a11 p1 ensure generic treated or decay resistant lumber battens Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar sec roof tile applications. generic generic Bermuda Roof Company, inc. with current PCA Quikretc Construction Products with Current PCA Zuloaga, RRC Roofing Product Control Examiner t • '; As c • • OCT a= euu l i4 C rK OKMLI. J JUrrL I ..r• r.,• redo ir•rV a' ► Y Vi. YYV J Jai • RaofTile Adhesive ( "Potypro AH160 ") MONT P rod u et Roof Tile Marta e• b&N'A1.'S Roof Tile Mona Mix ") Roof Tile Adhesive TileBond l.lurr;eano Clip Fasteners 3. LIMITA ()TICE 0 IONS Emend= lone N/A N/A Fw..Lury premixed canisters C11pa Min. 1 /3" width Min. 0.060" thick Clip Fastener; Min. Sd x 1 1 /" 1LLVIIALA 1,irG111.G Test Product Sneeifleatinni flrinription PA 1 is Appcnrilx I: Corrosion resistant clips with corrosion resistant nails. 4 ACCEPTANCE No.: 994012. 02 APPROVED :Decenthtr 10,1, R4 EXPIRES ;Decemher 16, 7 ACC PTANCE: STANDARD CONOJTLONS PA 133 Prepared mortar mix aestgnea for mortar set roof rile applications. • See PCA Two component polyurethane adhesive designed for adhesive set rooftile applications. Si R PCA Single aomponc{u polyurethane foam roof tile adhesive M.,:u (w[(kW t W. R. Hansel Co. w1E11 current I' . A Polyfoam Prod Inc. Flexible Products (with current NOA) ()enteric .1 1 PP r'.ltifsi'fac:'tinti ie not part of thi; aceeptanee. 3.2 r mnrrrr nr „Ahocivee nor Mrs application:, a static ttata upset" tart •F,+tt ye, y ►Lvaua�►1 u. an. +6la+w►. w.LJ. Mhr. l no. • • .a .1..11 ..�r....1._ ..__..__....r_ ►.r.... n_.1.. 41 , e1... :R• .1 t..t••.. ..� to perform quarterly test in accordance with PA 112, appendix 'A'. Such testing ,! .41 be t,uluiiittua tv Ulu Building Code Compliance Office tor review. 3.4 inimui i underlayments shall be in compliance with the applicable Roofing pplicatinnn Rtrns(rrdc lictod caetLen 4.1 herein• 3,5 3 !90 hot mooned underloyment applications may be initallcti rQrpenrtic:,,lnr to c roof slope unless stated other by ULtC underlayriwnt material manufacturers p bliohad 11caratura. 3.6 T it Arrantancw ie for wnnA rloe.te a in iav, .,,o.yyl...11 b in cornptia used with chapter 24 of the SP C. 'C, .lees*. N.0 Routing Product Control Examiner • • N./ L. 1 Lt.! t.J ...I 1 I • la .....aao=, ua/40/u1 gun 14:g4 r *4V1 MONT NOTICE OF ACCEPTANCE: ST_A_,NDARD CONDfrIONi 4. LNSTALLATION , '• 4.1 Monier r Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed n.sta.Ikd in strict compliance with Miami Dade County RooftnzApplicatiort Standard RAS 118, RAS 119, and RAS 120. • Tile Profile Monier Lifetile Villa, Roll and Capri Tile 4.2 Datt For Attachment Calculations Tile Profile Monier lifetile Villa, Roil, and Capri Tile Tile Protlie Mater Lifetile villa. Roll, and Capri Tile Sattens 5,57 6.30 Table 2: Restoring Moments due to Gravity - N1,(ft-ibf) 3":12" 4":12" 5":12" 6';:i Direct Deck 1 tt8 Screw Table 1: Aerodynamic Multipliers (fe) (ft') Batten Application 0.287 Battens 5.48 2 10d Ring Shank Nails 1 I Od Smooth or Screw Shank Nail 2 10cl Smooth or Screw Shank Nails 1'10d Smooth or Screw Shank Nail (Field Clip) 1110d Smooth or Screw Shank Nail (Eve Clip 2 Od Smooth or Screw S ank Nails (Field Clip) 2 Od Smooth or Screw 5 ank Nails (Eava Clip) Direct Deck 6.18 Battens 2- Od Rin Shank Nails 43.0 installation wil a 4' the headlap anc festernets are located a min. of 2' i a e 3: Attachment Resistance Expressed as for Nair-On Systems r Fastener Type Direct Deck (min 15/32" plywood) 27.8 8.8 16.4 2 ge Screw 47.1 24.3 19.0 35.5 31.9 5 f;:',1-J,k • :•• in • • • 5.37 »44 BRADCO DADS 1 r 3 • , ACCEPTANCE No. : 99-1012.0.Z '4. • APPROVED December 30, I99. EXPIRES 1 1: 4• December 16, 2002 t.. Direct Deck 6.05 Battens Ditto% Deck 5.24 a Moment (ft-lbf) Direct Deck (min, 19/32" plywood) 11.8 21,9 ;. 47.1 (ft') Direat Deck Application 24.S 71 31.9 0.289 54 0 Frank Zuloaga, RRt Roofing Product Cinutol Examiner 7":12" or greater ElattenSi Direct Deck 5.09 I 5.73 Battens 4.1 7.1 49.1 24.2 22.2 . • ' • Tab' a 4A: Attachment Resistance Expressed as a Moment;.M, (ft:lbf) for Single Patty Adhesive Set Systems 4. Tile MAMA Tile Application 1 Minimum Attachment n.....:—t_.. Polyroam PolyPro'i■rr es.si -'=--- Monier Lifetile Vil a, Roll, and Capri Tile _ Polyfoam PolyPro 4 ; 45 ... - ....................... 4 Large Daddy 0 acement of 549rarns of PolyProl". 5 Medium pacid of 24grarris of PolyPre'. • I • Lots • • • ... • • . • •••••••••• Wi%111.1IVU a MAYS, . . • .4 . N1ONIER UFETILE LLC Prolfita Monier Lifetile V Ia, Roll, and Capri Tile •••••• ••••• • •••••• • am • • 60 •■• 61.16.1 • ACCEPTANCE No.: 99-1012.02 APPROVED ...:Deteniber 30, 1999 EXPIRES ;December 16, 2002 . °TICE OF ACCEPTANCE: STANDARD corsaniloNs le 4: Attachment Resistance Expressed as a Mornent!M (ft-Ibf) for Two Pa Adhesive Set Systems ets Company Thaw Avologli weight per party 11.4 graMS. Avera e wei ht per patty 6 rams, Tabl 4B: Attachment Resistance Expressed as a Moment tr- Mi(ft-1b) for Mortar Set Systems Tie Tile Application Mortar Set' 6 Attathment Resistance 20.80 • 5. LABELI All tiles shall bear the imprint or identifiable or following statement: 'Miami-Dade County G. BUILDIN PERMIT REQUIREMENTS 6.1 Appli tion for building permit shall be accompanied by copies ?f the following; 6.1.1 This Notice of Acceptance, 6.1.2 Any other documents required by the Building Official:for the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. marking of the manufaOurer's name or logo, Product Control ApproNeci". eloaga. RC Rooting Product gtntrol Examiner l .. • Gut-,1 1 .• 1 (\ LI \r1L'rV JV� r ONI LL ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 ..?.4.4 EXPIRES :December 16, 200? "4 '•';�, ;OTICCE OF ACCEPTANCE: STANDARD COND•ITIQY� • PROFILE DRAWINGS 7 2-1 MONIER L1FETLLE VILLA CONCRETE • ROOF TILE MONI LIFETILE ROLL CONCRETE ROOF' TILE V Illa Freak ZuComa. RRC Roofing Product Controi''Exaininet 0 qtt . •A Mk t:1,14 .1 1.* ...k... I G.= a CPU 1 4 C • -• CJ ris. L., i %. rIA.,.....• ...I 6.1 s r . v.• �v, V 4, VIVO Ai. ILO l 1 49.1. 1300 0040.1. MONIER UFETILE LLC NOTICE _OF ACCEPTANCE: ..._ CON IT 0 — ,,— 01VOILX MONIER LIFETILE CAPRI CONCRETE ROOF TILE 8 oaga, ARc Roofing Product Control Examiner WV, ....,......., ,, . wwv 3. Renewals a. The prod b. The c. If th incl d. The subrr 4. Any revisi automatics requested office. nV0.an bii GJ.<i.f D(.WW YAYA M a N • L FETTLE LLC ACCEVTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 IC OF ACCEPTANCE: TANDA t t+ D TI o N 1. Renewal • f this Acceptance (approval) shall be considered after a renewal application has been filed and e original submitted documents, including test - supporting data, engineering documents, are no old • r than eight (3) years. 2. Any and :1t approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specificall stated in the specific conditions of this Acceptance, f Acceptance will not be considered if: has been a change in the South Florida Building Code affecting the'eealuation of this ct and the product is not in compliance with the code changes. roduct is no longer the same product (identical) as the one originally approved. Acceptance holder has not complied with all the requirements of this acceptance, l ing the correct installation of the product. ngineer who originally prepared, signed and sealed the required documentation initially itted, is no longer practicing the engineering profession. n or change In the materials, use, and/or manufacture of the product or process shall ly be cause for termination of this Acceptance, unless prior written approval has been hrough the filing of a revision application with appropriate fee) and granted by this y,T 5. Any of the 'allowing shall also be grounds for removal of this Acceptance: a. Unto isfactory performance of this product or process. b. Misu e of this Acceptance as an endorsement of any product, for sales, advertising or any other urposes, 6. The Notic of Acceptance number preceded by the words Miami -Dade 'County, Florida, and followed b the expiration date may be displayed in advertising literature'. If any portion of the Notice of A captance is displayed, then it shall be done in its entirety. 7. A copy of is Acceptance as well as approved drawings and other documents, where it applies, shall be pr vided to the user by the manufacturer or its distributors and shall be available for inspection the lob site at all time, The engineer need not reseal rhr rnpir. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists o pages 1 through 8 and this last page 9. END OF THIS ACCEI'TAN 9 rank Zuloa:a, RRC Roofing Product Control Examiner r Y., ** TOTAL PAGE.99 ** ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. 'nil: Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY TYPI, Drains, Roof (yry. T}.pl. Miscellaneous Fixture (in'. TYPE Soakage Pit Q.L}. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) (sq.ft. = x/I000 x0.60) $ (¢.005 / sq.ft.) $ (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com PERMIT APPLICATION FOR MIAMI SH ORES VILL AGE � C Date / if Job Address / cR 0 7 /l 7 07 S t . Tax Folio Legal Description Owner/Lessee / Tenant 4F it? 6 J (P owner's Address / o `j 1\1' Cti �/ d Contracting Co. D Q ualifier Ra i (,); (s G o WORK DESCRIPTION J fg Re p Square Ft. 7 e3 S tary as t9 M y - r Tres: Teresita De Commtk o Notary Public, State of Florida ;:= f 'Cf. ) Commission No. CC 560754 oF ¢g'' My Commission Exp. 06/11/2000 1- 800- 3- ROTARY - Fla. 4:othN Servisc A B'trAin Co. , 2SSSSSSS ,SSSSSSSS`,SS)SS> >SSSSSS'Ni'M'i SSSISSSrSS) FEES: PERMIT D ® RADON APPROVED: Zoning Building Mechanical 4 Date 5 ')1(?.e5( Historically Designated: Yes No Master Permit # ,TLY Address ? ? l n 3'U ! 17° SS# - Phone 5 " Phone State # C C,C ® L. c z e 1 7 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ,0( / / ' R© 7) G. f• r. Estimated Cost (value) Electrical _c G U 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 contrac . to do the work stated. otary as to Contr , 9F ! mwmmmrrn»>z< Date My Commission E ueg° pa Teresa %. elgado Nc:ary Public, State of Florida >� `3 Commission No. CC 560754 '*oF i o My Commission Exp. 06/11/2000 '( 3.800-3 - NOTARY • TLs Nosy SCIV&Z & Bonding Co. iC.S:1SSSSSSSSSSS`:SS ?SSSZ 1SSS`. ?SSS,` S'7` S`.Y >SSSSSSSiS,� 2 C.C.F. I' A NOTARY °' BOND . ✓ O TOTAL DUE Plumbing Engineering Contractor's Name: ID E/4, epos- (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) ❑ New Roof t Re roofing Job Address: ! c;1 0 /1/, ROOF CATEGORY ❑ (Nail -On Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ROOF TYPE ❑ Recovering ❑ Repair ❑ Maintenance ❑ (Mortar- Adhesive Set Tile) ❑ (Other) Flat Roof Area (ft') � 7 Sloped Roof Area (11 — Total (ft27(' 7 Master Permit No. Exposure category per ASCE 7 -88): L Building Classification category (per ASCE 7 -88 table 1): J Deck type: ')C U J Gnu 6Ifs Min. c ( c.© c� 61as.P1 a ATTACHMENT / 11 Fastener Type: 1 C1 i-_ t' ; i SPACING 1) 1 Field: Perimeter: 6 13 Corner: DETAIL 1 & 2 19,E1 P;'7ir (''- Q ' C 3 vi No Ls c++ 7 c ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) �,�L�� rte„ . /_`L► L R ROOF PLAN 123.01-78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION Page -1 PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of: GAF Conventional Built -Up Roof Systems for Wood Decks under Chapter o the Metr a e County o e governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Dynatech Engineering, Inc, Factory Mutual Research Corporation, and Underwriters Laboratories, Inc has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2-40 and the standard conditions on page 41. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 97- 0804.21 Revises No.: 95- 1003.03 Expires: 11 /04/00 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. Approved: 11/04/97 Internet mail address: postmaster @buildingcodeonline.com 1 • METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 aul Rodriguez Product Control Supervisor PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Homepage: http : / /www.buildingcodeonline.com Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Category: Membrane Roofing System Sub - Category: Built -up Roofing Type: Conventional Sub -Type: Fiberglass PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Contact: William J. Woodring Director of Technical Services (973) 628- 4134 Page 2 of 41 Product Control No: 97 -0804.21 Product Control No.: 97 - 0804.21 Approval Date: November 4, 1997 Expiration Date: November 4, 2000 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. rank Zuloaga, Roofing Product Control Examiner Insulation Types: Maximum Design Pressure Material Design Pressure Material Basalt Wool Perlite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Fire Classification Classification Page 3 of 41 Product Control No: 97 - 0804.21 L 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. 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 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Dimensions Specification Description 5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 60 Ib. bags ASTM D 1863 Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. 5 gallons ASTM 1227 Surface coating for smooth surfaced roofs. 1, 5 gallons ASTM D 2824 Fibered aluminum coating. 1, 5 gallons 5 gallons Jetblack Premium 5 gallons Flashing Cement 3 sq. roll 75 Ib. roll GAFGLAS #80 2 Sq. Roll Ultima Base Sheet 70 lbs. /roll GAFGLAS PIy 6® 5 sq. roll 45 lb. roll GAFGLAS Flex 5 sq. roll PIyTM 6 45 Ib. roll GAFGLAS Ply 4® 5 sq. roll ASTM D 3019 ASTM D 3409 Product Control No: 97-0804.21 Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced. polymer modified Flashing cement 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. ASTM D 2178 Type IV asphalt impregnated glass felt with asphal oaLing._ Page 4 of 41 ing Product Contro Product GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT 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 Ib. roll various various various various various various various ASTM D 4897 D 3672 ASTM D 489 D 3672 Product Control No: 97 -0804.21 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 11, UL Type modified base sheet G2 BUR PA 110 Polyisocyanurate foam insulation. PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 Page 5 of 41 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 insu Roofing Product Control Dekfast Lock Plate 3" x 3 1/4" PA 114 Dekfast Fasteners #I4 Dekfast Fasteners #12 ISO 95+ Composite Asphalt Asphalt Primer EPS Product Pelite /Urethane Composite Perlite Insulation Polyethylene Red Rosin .'----- Roofing Nails Test Dimensions Specification various High Density Wood various Fiberboard various various 4 mil min. various inimum # 12 PA 114 PA 114 Insulation fastener for steel Construction and wood decks. Fasteners Inc. (with current PCA) PA 110 ASTM D 312 Type 111 or IV Hot asphlat bitumin adhesive Asphalt Primer PA 110 Extruded polystyrene insulation PA 110 Wood fiber insulation board ASTM D 41 PA 110 PA 110 PA 114 Product Description Polypropylene locking plate. Insulation fasteners for concrete decks Product Control No: 97- 0804.21 Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Polyisocyanurate / perlite Firestone ridged insulation (with current PCA) 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 generic generic generic generic generic generic generic generic generic 4 1117111111 Aga, Roofing Product Control Examiner Product MB aluminum roof coating Dens -Deck #12 Roofgrip #14 Roofgrip Gripdek Fastener Hexcel Fastener Hextra Standard Plastic Plate 1SO 95+ E'N RG'Y -2 I SORoc Test Dimensions Specification Min. 32 ga. x Is / various 3" round various various various Product Description Corrosion resistant circular discs. PA 121 Aluminum roof coating PA 110 Gypsum insulation board. PA 114 Insulation fastener for steel or wood decks PA 114 Insulation fastener steel, wood or concrete decks PA 114 Insulation fastener PA 114 Insulation fastener PA 114 PA 114 Insulation fastener and metal or plastic plate Polyolefin plastic plate PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam / fockwool composite insulation Olympic Standard 3" round PA 114 3" round galvalume AZ55 steel plate Page 13 of 41 Product Control No: 97- 080421 Manufacturer generic Grundy Industries (with current PCA) Georgia Pacific (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (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 Name Report Date Agency /Identifier Factory Mutual Research Corporation Current insulation Attachment Requirements FMRC 1996 01.01.96 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. OT4A1.AM 08.26.92 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 1V8A4.AM 06.28.93 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 1RIA6.AM 11.15.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I.0T2Q4.AM 10.17.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 .1.1. 0Q6A6.AM 07.16.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I.3X3A2.AM 08.02.94 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 0Y9Q5.AM 07.29.94 Factory Mutual Research Corp. Wind Uplift, FMRC 4470 - PA 114 J.1. 1B9A8.AM Underwriters Laboratories, Inc. Fire Resistance Classification UL 790 - PA 114 R1306, 87NK 11819 01.01.93 Dynatech Engineering Corporation Wind Uplift PA 114 , #3600.02.95 -1 02.02.95 Dynatech Engineering Corporation Wind Uplift PA 114 #4482.02.95 -1 02.02.95 TEST REPORTS Page 17 of 41 Product Control No: 97-0804.21 Roofing Product Control Examiner s. /sq. Deck Type 1I: Wood, Non - Insulated, New Construction, or Reroof Deck Description: 19 or greater plywood or wood plank System Type A(4): Base sheet mechanically fastened. All General and System Limitations shall apply. T PIY Sheet: Surfacing: Product Control No: 97 GAFGLAS® #75 Base Sheet, AFGLAS #80 Ultima"' Base Sheet, STI�A TAVENT ®Na i7`ab UBEROID® 20 base sheet applied to the deck with 2" side laps with GAFTITE #12 or #14 Screws and 3" Plates, 12" on center, in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" OC in the field of the sheet. One two or three plies,AFGLAS PLY 4®,br GAFGLAS® PLY 6® Ply or GAFGLAS FlexPly 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq.. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet : dhered in a full mopping of approve asphalt app ied within t e ' range an ' at a rate of 20-40 IbsJsq.. (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 Ibisq.; or GAF WEATHER COAT® Emulsion with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 galJsq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. Maximum Design Pressure: - 60psf. (See General Limitation #7) Maximum Fire Classification: 'A'. See General Limitation #2. Maximum Slope: 3 ":12 "; See General Limitation #3. Specification No.: N- B -3 -G, N- B -3 -C, N- B -3 -M, N- B-4 -G, N- B- 4 -G /P6, N- B-4 -M, N- B- 4 -M /P6, N- B-4 -C, N- B- 4 -C/P6, N- B -5 -C, N- B- 5 -C /P6, N- B -5 -G, N- B- 5 -G /P6, N- B -5 -M, N- B- 5 -M /P6 • Page 23 of 41 ga. Roofing Product Control Examiner Product Control No: 97 -0804.22 1 All asphalt shall comply with ASTM D 312 type III or type IV requirements, and approved by applicant. 2 Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap andione down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf except where GAFGLAS® STRATAVENT® Perforated is used, then a maximum design pressure of —60psf is allowed. 5 All work shall be performed by a contractor licensed to do roofing work in Metro - Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer, and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section II Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Metro -Dade County Roofing Application Standard PA 117. (When this limitation is specifically referred within this NOA, General Limitation #20 will not be applicable.) Page 29 of 32 Roofing Product Control Examiner Product Control No: 97- 0804.22 8 All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Metro -Dade County Roofing Application Standard PA 111 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provision of the South Florida Building Code. 10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force (F') value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener values as tested are below those listed in the System Limitations, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from a Metro- Dade County Protocol PA 105 test report and calculations that comply with the wind Toad requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 117. 11 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with PA 105. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 13 Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with provision of Roofing Application Standard PA 117. 14 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA 124 for uplift resistance. Test pressures shall be calculated in compliance with the wind Toad requirements of Chapter 23 of the South Florida Building Code to th Page 30 of 32 oo Ong Product Contro x Product Control No: 97- 0804 22 GAF Materials Corporation ACCEPTANCE NO.: 97- 0804.22 1361 Alps Road APPROVED : November 4, 1997 Wayne, NJ 07470 EXPIRES : November 4, 2000 1 NOTICE OF ACCEPTANCE STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Metro -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture 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 Metro -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance ball be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 32 END OF THIS ACCEPTANCE Page 32 of 32 ran utoaga, Roofing Product Control Examiner • 1 Specifications Gametal AO Mahon t I loyom% te0 , twns ss 11'2° 1111111 •10001 b Maim m AetuxNlM el fleeing Memtn iaa I O e� layer flay of sheathing ganef "Mere epplo4 Lae n0 sheet kart sun pact 2 Starting at t� 2 pout of the roof. by one pay of d km Sher. ing a ch inches at edges and na less than 6 etches at end bps Alm along ong i t of of et 2 pey at intervals 110/ to eased 9 inches and -nail sheet in two rows wr h nabs spaced at 16 mdt mortals to oieh row Use fasteners with Integral metal heads at least 1 melt M diameter or square that are recommended by GAF Materials Corporation or me 0eq manlactu►er (See Special Instructions' belo ) 3 Stamng at the low pant of the roof mop two pies of GAFGLAS Pay stunple Ashton: lapping each sheet 19 inches over me preceding Sheet solgly mopping to the tn0erMnp base sneer to etovtoe three p*es over me ensue tool area Asehan Reeutremeob Inte►ply 'toppings of Rooing Asphalt must be embed in a continuous Pin and stilt coasm of aflproxunatey 25 pounds per 100 sttwte Net el roof area wim a to menu lrof m exceed 20% plus of menus The eponyms aspen br shoes *AWN must be used On slopes up to 'b inch 0er loot Fat ASTM Type 11 may Ir Flortoa, Texas. New Mexico Anton. and California a used flxppl n Mph GAFGLAS Mineral Surfaced Cap Sheet n aocoroanp NIP me a00holan Spacial Intivellons 20. so that the taps an onset from the tips 01 the fly Sheets See feeoenntenoatans for use over pypwtn page 9 2 Acceptable GAFGLAS decks on LAS Base Streets moor STRATAVEN• (Vent POI) fa hatable decks requneC for Ireshy poured Sheet. GAFGuS PLY e.. and GAFGLAS py a. GA wood ads and N and ar Base wood fiber teas. when GAFGLAS Ply qr GAFGLAS a steel. a sheathing paper a required Pl Y 6 b tsad as a Dam 3 4 See 'Wimp of Base Sheet.' pages 16.19 For roof slopes el 1 acts per loot or mole. as es In of 9r am Sae lrsp l�s d it* lels moat 1st todiANN Clasdkades lit Case Coy matt. C. Combustible rid M"r Combuillbii onsined strand • btWJp „ /siI I. (01:1. • /r .X1,,4 •. IC • ua oak trorconibusdON • SIMI, poured a pram w00 ith le .n Wipe =trek Mount srtaueat oval b er. oft. "°'' pax mum slope allowed. es Inches pet tool • • .. • • GAFGLAS• Specifications N- B- 4 -M/p6 and N -B-4•M • North, South. and West Zones concrete arekmne to a slope. Meth for f 1 • pe phi ,rattat p'Y 4. poured 91'psan, laasrmumslope of ►- per loot wood. deers For wphtwepnt Insulating concrete Mains. Inge 9 aOk saga* mg eottane dears, see page g AMMON 16 R 1Mylana oat Woad Dom i5 yr. 1.44, 6,11 NWININ1 COWIN. 9,114 . P i I/4 6 4 a ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued • F oa m: •Poly -Iso" or "Poly -Iso Special" with• "Polyfoam 251" or "Polyfoam 303', 1 in. min. Base Coat One or two applications "Gacoflex UB- 7050", applied at 1 gal/sq/application or three applications, applied 1 -1/4 gal/sq/application (16 -32 dry mils). Surfacing: "Gacoflex UA -65" Series (various colors), applied 1 gal/sq (12 dry mils). peck: NC Iodine: 1/2 F so' or "Po ly -Iso Special" with "Polyfoam 251" or "Polyfoam Base Coat One or two applications "Gacoflex UB- 7050", applied at 1 gal/sq/application or three applications, applied 1 -1/4 gal/sq/application (16 -32 dry mils). Surfacing: "Gacoflex UA -60" Series (various colors), applied 1 gal/sq (15 dry mils). Deck: NC Indine: 2 in. min. or "Po ly -Iso Special" with "Polyfoam 251" or "Polyfoam Base Coat "GacoSil S- 1000", applied at 1 gal/sq (10 dry mils). Surfacing: "Gacoftex S- 1000", applied at 1 gal/sq (10 dry mils). '�• Deck: NC Indine: 1 Foam: "Polyfoam 251" or 'Potyfoam 303 ", any thickness. Surfacing: "Gacoflex Ure- Shield 7007 ", 40 dry mils. 33. Deck NC Incline: 2-1/2 Foam: "Polyfoam 275 ", any thickness. Base Coat "Gacoflex A- 6211 ", 1 -1/2 gal/sq (14 dry mils). Surfacing: "Gacoflex A -6200" series (various colors), 1 -1/2 gal/sq (14 dry mils). GAF MATERIALS CORP R1306 (N) 1361 ALPS RD, WAYNE NJ 07470 - RUBEROID 20" or "RUBEROID Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. 2/2 in. thick (min) gypsum board or 1/4 in. thick (min) Georgia-Pacific "Dens - Deck." overlayment board may be used in any existing noncombustible deck Classification. When this is done, the resulting roofing system is acceptable for use over combustible (15/32 in. min) roof decks. The joints in the gypsum board and overlayment board are offset 6 in. with the joints in the deck. If polystyrene is part of the roof system, it must be placed below the overlayment board. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT suitable alter to for Type mat base sheet GI asphalt glass fiber ply #75 Base Sheet" ( "GAFGLAS Ply 4" is a or "GAFGLAS Ply 6 ") in the Class A, 8 or C roof systems indicated below. The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAFGLAS Stratavent (Vent -Ply) perforated" or "GAFGLAS Stratavent (Vent -Ply) for nailable decks ". Perforated to be mopped and nailable to be mechanically attached granule side down. or ""GAFGLAS Stratavent ent (VenttPly) for nailable sheet cks")Amay #75 Base Sheet" substituted for G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ") as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, aU insulations may be hot mopped or mechanically fastened. GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C systems fisted below. When "pertite" is referenced, this includes " GAFTEMP PERMALITE®" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, 8 or C systems listed. as a decka cement nthe following Class A, B are considered suitabl systems listed over -15/32 or The use of gypsum board under any of the following Class A, 8 or C systems does not adversely effect the rating. The use of 1/2 in. min gypsum board is an acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board between min 3/4 in. pertite board and deck with rosin paper (pertite /rosin paper /polystyrene /partite) is a suitable alternate for isocyanurate board in the following Class A, B or C systems. C GAFTEMP Isotherm RA ", " GAFTEMP Tapered Isotherm RA" and " GAFTEMP o mposite A" may be substituted for any isocyanurate insulation in any of the Class A, wing Classifications. Hot roofing asphalt, for use w organic and glass felts or modified bitumen and C. membranes. 1. Deck: C -15/32 Class A Incline: 3 Insulation (Optional): One or more layers periite, wood fiber, glass 1. fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ LOOK FOR MARK ON 2. 1. ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 " hot mopped. Su rfadng: GraveL 2. Deck: C - 15/32 Insulation Indirre:2 (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, pertite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Pty Sheet Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet Cue layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet". 3. Deck: NC Iodine: 2 Insulation (Optional): One or more layers pertite, wood fiber, glass urethane composite, wood fibe perlite/isocyanurate c t composite, composite, phenolic, 2 in. max. 6". y Sheet: Two or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Pty 4. Ca Sh One layer Type G3 'GAFGLAS Mineral Surfaced Cap Sheet'. Insulation: One or two layers 'Isotherm R" 4 n. max, hot mopped. mat Ply. Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber 5. Deck C -system. Wise: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Rase Sheet One layer of Type G2 'GAFGLAS 175 Base Sheet' (may be nailed). 6 Ply Sheet One or more layers of Type GI 'GAFGLAS Pl 4' or GAFGLAS Ply 6. Delp Sheet One layer of Type G-3 'GAFGLAS Mineral Surfaced Cap Sheet'. Base Sheet One layer of T Indine: 3 6". y Sheet One or more layers of Type G1 "GAFGLAS GAFG Ply 4" or GAFGLAS Ply Cap Sheet One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck: C -15/32 Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, petite/urethane composite, phenolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet One or more layers of Type 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). • Cap Sheet 'GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. B. Deck C -15/32 Insulation (Optional): One Indine :2 . ( or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, pertite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheer, hot mopped. Deck: C -15/32 Class B Insulation Indine: 3 -1/2 (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet Two or more layers of Type 61 "GAFGLAS Ply 4" or "GAFGLAS 41 Ply 6" Cap Sheet Type G3 "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. I '�F Deck: C -15/32 Indine: 3 -1/2 Insulation (Optional): One or more layers pertite, wood fiber, glass I ; ' fiber, isocyanurate, urethane, perlite /isocyanurate composite, perfite/ ; 111 urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. i�' Base Sheet Two or more layers of Type G1, G2 or G3. :1', "Ruberoid Mop C Deck: C -15/32 Indine: 1/2 Insulation (Optional): One or more layers pertite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ PRODUCT 135 Membrane: One or more layers of "Ruberoid Torc • 1 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE II Date ' -)ob Address 1 ©7 N q)-- 5r 6rax Folio 1/ 30205667?- 63 /G Legal Description Let (l 1 k Ss It S -0 Historically Designated: Yes No V 4 ' 1( AL 4 (c`f 2 -p f y I -E ® r ( L ✓e .. �� Owner/Lessee / Tenant Master Permit # c ��__ 7 Owner's Address 1 fr e_ 9 :4- S( 1 t 6 5 * ,Phone i o /- U 7 Contracting Co. r) ■ Qualifier State # ((. C. (. 5 94 Z Municipal # Architect/Engineer Bonding Company Mortgagor Square Ft. ` j -S cons . ction and zo Furthermore, I authorize the above -named contractor to do the work stated. Signa _Signature of Notary as to and/or Condo President Date My Co EES: PERMIT APPROVED: Zoning Mechanical x irest ,,.��„ p �o,� %, Carina C. Barrios `. , _ Commission # CC 954780 E0 � � F4 Expires Sep. 2, 2004 ?9l•..,,,..: •• Bonded Thru ',FOFFno. Atlantic Bonding Co., Inc. RADON Building Plumbing Address g, 0 1 LW [ G S T Phone (3© c; z 6 Competency # Address Address Address Permit Type (circle one): BUILDING ELECTRICAL P UMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRII'TION t''&1 t^ e O k 0Ao Estimated Cost (value) $ I � . 0 (90 . 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 perfonned 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. 0 : 'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done i i compliance with all applicable laws regulating Notary /as to Contractor or Owner - Builder Date mmis ion Expires: C.C.F. NOTARY Electrical Structural Engineer Ins. Co. Date U * Carina C. Barrios Commission if CC 954780 - - - Expires Sep. 2 2004 ?vrF..... Bonded Thru %,,,oFf o s Atlantic Bonding Co., Inc. BOND o 0 . TOTAL DUE SI 00 PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: OOR3 a Aft% 7000 AUG ii r):14 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, a! in acczrdance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 — 7 PE ). :K pi+ ( SVr� k 1. Legal description of property and street address: 2. Description of improvement: Q_ r Q v 1( 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractors name and address: NOTICE OF COMMENCEMENT w•,c6f Z-0 o - 7 MC q7J §{ f V"l ri vy —, 5. Surety:(Payment bond required by owner from contractor, if any) STATE OF FLORIDA, COUNTY OF DADE Name and address: t HERE r 1GCERTIFY that th,s is a true co .. of the Amount of bond $ ,AD20 6. Lender's name and address: WI NE S y hand and Official Seal. Will CLERK, of Crrcui, and County Courts By Vt 1 r t��� D.C. 7. Persons within the State of Florida designated'by'Owner upon whom ' otices or other documents may be ser: ed as provided by Section 7 13.13(1)(a)7., Florida Statutes, Name and address: S. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Noce as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiratio r .df of this Notice o different dat jf "specifi : d) Signature of Owner Print Owners Name Sworn to and subscribed bef Notary Public Print Notary's My Commissro Exoires: E ?i ) ,. S � a day of Cc70 n Prepared ov: ommencement: (th expiration date is 1 year from the date of reco^ing unless a z 0 611e k (u_ Sc- e Address: 1_2_0 - 7 E 5 irm \ Cl I r rc FI S Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: ❑ (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) Z71-in Job Address: t ?0 ? UV E ¶z 54J ROOF CATEGORY (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof 'Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft () Sloped Roof Area (ft a jTotal (ft') 3,cc 0 Master Permit No. Exposure category (per ASCE 7 -88): C Building Classification category (per ASCE 7 -88 table 1): Ft. A V De type: 123.01-78 9/96 Field: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Perimete : Corner: Page -1 r r r ROOF PLAN r r r v Rid a Vent atlon MEAN HEIGHT Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION Deck type: Underlayment: Insulation: 12" OOF SLOFL D E T A I L 3 Fastener type & spacing: Cap Sheet: Ro . ( Roo s Drip edge: ,(o,r L.:Me cRe c (cf TILE CALCULATIONS (Pmaxl: 'Z .3x A. (Aerodynamic Multiplier): B. 22/ - M t13..c M /I 1 9"f PGA: - (Pmax?: (t 7.3x X (Aerodynamic Multiplier): O.2$') - M .3 Gr M 5 (Pmax3: 4 ( X (Aerodynamic Multiplier): 0.725) - M -30 M r 3 jPCA: 4? r 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 5104 APPENDIX "F" APPENDIX "F "REQUIRED 1JIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As er to this A pendix "F ", it is the responsibility of the appendix roofing a tractor to p the e the ownernee with content per tams P wth the required roofing permit, to provide the owner with this form. The provisions of Chapter 34 of the South Fl idateBiuildingllaode (SFBC) govern c of this thhe e minimum requirements and standards of the industry for roofing Y the following a ng items should be addressed as part of the agreementbeen explained owner and the contractor. The owner's initial in the adjacent box indicates that the item of Chapter 34 are for the purpose of I. Aesthetics- Workmanship: The workmanship provisions - -- providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics ions. Aesthec (appearance) issues are not a consideration with respeof a zoning codes to hould addressed as Ac issus such s uch as color or architectural app earance, that are not part part of the agreement between the owner and the contractor. existing wood roof deck may have to be K, a 2. Renadinc Wood Decks: e When po the v sions of Chapter 29 of the SFBC. (The roof deck is usually nailed in accordance with the concealed prior to removing the existing roof system) delineation between )( o visible den V� 3. Common Roofs: Common roofs are those which have roofing 00 hboring units (i.c. townhouses, condominiums, etc.). tc) buildings with h G oing �o o roofs, fing the performed. n ►g b contractor and/or owner should notify the occupants of adjacent � are where the underside of the roof decking �( 4 4. Exposed ceilings: Exposed, open beam ceilings y \ can fin viewed n o g below. The owner may wish to maintain the a r table al appearance SFBC pr therefore, ref t he L roong naail l penetrations of the underside of the decking may not be P option of maintaining this appearance. 5. 6 Ponding Water: The current roof system and /or deck of the P buri�ing building not dam well and i ay cause water to pond (accumulate) in low-lying areas of the roo editions may not be evident structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. until the original roofing system is removed. Ponding conditions should be corrected. not IF Ai 6. Overflow Scuppers (wall outlets): It is required llsaoraothert roof that the roof is block this o erloaded from a build up of water. Perimeter /edge 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. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing can t o of i extending the all not service ac ventiltion be re uced. It may be beneficial to consider additional venting �vh life •the roof / 1 ate / *-91.P-----11,- ctor' AiNir e a Own'`er's /Agents Signature Signa Signature g efj7----- M: AMI -OADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135NWV20St. Boca Raton file expense of s.lch testing wil! be incurred by the manufacturer. Acceptance No.: 99-101).0/ (Revises No.: 97- 1124.16) Expires 12/16/2002 Approved: 12/30.'1999 Internet mail address: postmasterGhuildinKcodeuulinc .conl TOOT] NV3NYHE3.LIU3I{ 3'T T .T.3.-t T 1 T T tJfl T1r TOO C c, T n n MIAMI COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE \IETRO -DADE FLAGLER BUILDING 140 '.`EST FLAGLER STREET, SUITE 1603 FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 CONTk ACTOR LICENSING SECTION (305) 375-2527 FAX (305) 375-2558 FL 33431 CONTRACTOR ENFORCEMENT SECTION (305) 375-2966 FAX (305) 375.2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (3055) 375.2902 FAX (305) 372-6339 Villa & Roll Capri Low Profile Tile under Chapter 8 -3f the Code of Miami -Dade County governing the use of .Alternate Materials and Types of Construction, an completely described herein, has been recommended for acceptance by the Miami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shr.11 not be valid after the expiration date stated belov.. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend :`:e use of such product or material immediately. BCCO reserves the np.,ht to revoke this approval, if it is ceterrnined BCCO that this product or material fails to meet the requirements of the South Florida Building; code. 1 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIE\\ COMgIITTEE This application for Product Approval has been reviewed by the BCCO ar.d approved by the Buiiding Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. --1 1:, / _eau ettlif- rancisco . Quir..tar.a, R.A. Director 1 of 9 Miami -Dade Count.' Buiiding Code Compliance Office Humepa,c: http : /(w_.+.buildinKcudconfint.cum :MONIER LIFETILE LLC ACCEPTANCE No. : 99- 1012.02 1. SCOPE This revises a roofing system using Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -bade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The artachment calculations shall be done as a moment based system. Category: Sub Category: PRODLCT DESCRIPTION Monier Lifetil. LLC Villa & Roll `lonier Lifeiti.e LLC Capri Tile Trim Pieces APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Prepared Roofing Low Profile Tile Manufactured by Test Product A ppliea t Dimensions Specifications Description 1= 16'/' w 13" V thick L =17" W= l 2 , /" thick I = varies = varies varying thickness PA 112 Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or b3nencd nail -on, mortar or adhesive set applications. PA 112 PA 112 Low profile, interlocking. high pressure extruded concrete roof equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Nlanufactured for each tile profile. Frank Zuloaga, RRC Roofing Product Control Examiner MIONIER LIFETILE LLC 2.1 Components or products manufactured by others Produc Rainproof II Ice and Wate, Shield Wood Batten:; Tile Nails Tile Screws Roof Tile vIQ tar ("TileTiteT "" 1 Roof Tile Mortar ( "Quikrete® Roof Tile Mortar 1140 ") NOTICE OF ACCEPTANCE: Dimensions 30" x 75' roll 36 "x75'roll or 60" x 75' roll 36" x 73' roll Vertical Min. l "x 4" Horizontal Min. 1 "x 4" for use .with vertical battens or Min. I "x 2" for use alone Min. lOdx 3" 48x 2 '''A" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A Test Specifications PA 104 PA 103 Self - adhering W.R. Grace Co. underlayment (with current NOA) \Vood Preservers Institute LP — 2 PA 1 14 Appendix E PA 114 Appendix E PA 123 PA 133 3 ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product Description Single ply, nail -on Protect -O - Wrap, underlayment with Inc. 2" self - adhering top (with current NOA) edge. Salt pressure treated or decay resistant lumber bartens Corrosion resistant screw or smooth shank nails Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Manufacturer generic Qeneric generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with Current PCA Zuloaga, RRC Roofing Product Control Examiner I\IONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 Prod uct Roof Tile Mortar ('`BONSAL® Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polypro® AH 160 ") Roof Tile Adhesive TileBond Hurricane Clir & Fasteners 3. LIMIT.kTIONS NOTICE OF ACCEPTANCE: Dimensions N/A PA 123 N/A See PCA Factory premixed canisters Clips Min. '/" width Vlin. 0.060" thick Clip Fasteners Min. 3d x 1 V.," See PCA 4 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Test Product Specifications Description Prepared mortar mix designed for mortar set roof tile applications. Two component polyurethane adhesive designed for adhesive sec roof tile applications Single component polyurethane foam roof tile adhesive PA 114 Appendix E. Corrosion resistant clips with corrosion resistant nails. Manufacturer W. R. Bonsai Co. with current PCA Polyfoam Products, Inc. Flexible Products (with current NOA) Generic 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. l il t •._ -_ • _. s shall be in compliance with chapter 29 of the SFBC -� A I F ow ,-■0110 1 F - " - Zuloaga, RRC Roofing Product Control Examiner table 1: Aerodynamic Multipliers -;+. ft') Tile Profile X (f) Batten Application k (f) Direct Deck Application Monier Lifeti e Villa, Roll and Capri Tile 0.267 0.289 I able 3: Attachment Resistance Expressed as a Moment - M, (ft - Ibf) for Nail - On Systems Tile I Fastener Type Profile Direct Deck (min 15132" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Villa, Roll, and Capri Tile j j 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2-10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31,9 31.9 32. 2 -10d Rin• Shank Nails' 43.0 with a 4" tile headlap and fasterners are located a min. �V ' •' S1' I Installation of 2% - sm nead of ti NIONIER LIFETILE LLC ACCEPTANCE No. : 99- 1012.02 Tile Profile NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1 ;V.onier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County_ Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 2: Restoring Moments due to Gravity - M (ft -Ibf) 3 ":12" 4 ":12" 5 ":12" 6 . Monier Lifetilr! Battens Direct Battens Direct Battens Direct Battens Villa. Roll, an i i Deck Deck Deck ;Capri Tile J 5.57 6.30 l 5.48 1 6.18 5,37 6.05 1 5.24 5 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 7 ":12" or greater Direct Deck 5.90 ; 5.09 5.73 Direct .Battens Deck ank Zuloaga, RRC Roofing Product Control Examiner Table 4: Attachment Resistance Expressed as a Moment Mt (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Adhesive 26.1' 2 See manuf.tctures component approval for installation requirements. 3 Flexible Products Company TileBond Polyfoam Product, Inc. Average weight Average weight per patty 11.4 grams. per patty 8 grams. Table 4B: Attachment Resistance Expressed as a Moment - M for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Mortar Set' 20.60 tMIONIER LIFETILE LLC NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Table 4A: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Single Patty Adhesive Set Systems Tile Application Tile Prolile Monier Lifetile Villa, Roll, and Capri Tile (d Large pad( y placement of 54grams of PolyPro"'. 5 Medium paddy placement of 24grams of PoyPro"'. Polyfoam PolyPro Polyfoam PolyPro M 6 ACCEPTANCE No. : 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Minimum Attachment Resistance 86.61' 45.5' 5. LABEI,ING All tile shall bear the imprint or identifiable marking of the manufacturer's name or loco, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6. [.1 This Notice of Acceptance. 6.[.2 Any other documents required by the Building Official or the South Florida B:tilding Code (SFBC) in order to properly evaluate tie installation of this system. Roofing Product Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWINGS 7 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 MONIER LIFETILE VILLA CONCRETE ROOF TILE. MONIER LIFETILE ROLL CONCRETE ROOF TILE Frank Zuloaga, RRC Roofing Product Control Examiner tMONIER LIFETILE LLC APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS MONIER LIFETILE CAPRI CONCRETE ROOF TILE 8 ACCEPTANCE No.: 99- 1012.02 oaga, RRC Roofing Product Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 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 documents, 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 Approval ", or as specific.tlly stared 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 scaled the required documentation initially st.'bmirted, is no longer practicing the engineering profession. 4. Any re\ ision 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 she following shall also be grounds for removal of this Acceptance: a. U isatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any Oyler purposes. 6. The Notice of Acceptance number preceded by the words ivliami -Dade County, Florida. and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice c f Acceptance is displayed, then it shall be done in its entirety. 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 time. The engineer need not reseal the copies. 8. Failure .:o comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8 and this last page 9. END OF THIS ACCEPTAN 9 rank Zuloaga. RRC Roofing Product Control Examiner MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATICIN FOR BUILDING PERMIT application is madc in compliance and conformity with the Building a fi of Nii Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- tl t of approved plans inC or other structure herein described. This app � Shores Village, Florida, Building and all si provisions oMiami of the Laws of the State a o i w l h, whether regulations o{ tthe iuilding Dhvisio f abuild ng of the complied whether herein specified or not. A c plots and specifications must be kept Date... _._— „__„ ,19..7.a _..__.. �_°� r �...� .__._. —_. Howard Oberman �._.__......... .................. No 1 Street ......{�.� ---- E. }2•rtd•-:S t . Owner's Name and Address • 7 3 5 7 11 4 �� I ,p rr 1,,,. Cl ue Hour 9 ............................ . Registered Architect and /or Engineei..... 1..i;:�;ivuT Name and address of licensed contactor —.. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done — 1207 N. E E. 92nd 5 t A..-- R�.roc .a.-- t4-+e---e-x- i-at3-R•g' O O State work to be done and purpose of building (by floors) 13 3fif1 3 g ��...� y �} t t 11 e . f -1-- X10• ---lbw slate • �..- .gel -v . •g• - -- anr9...r�p1c With- 1 —a - 1ts�r' and for no other purpose. • � No. of Stories - -• w .. Bu i ld Addition Repairs irs New Building Remodeling Roof Covering 45... .S.q.S...... •'- "•-- -- Kind of foundation Es be constructed of 9 aQO Q _ Amount of Permit S.- •• - _ -2 +•5 Estimated Total cost of improvements $ 'r• � _Plan Cubage Zone cubage required Size of Building Lot Distance to next nearest building 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 u ndersigned applicant f me Compensation Act, beinggbSe on certify 966, Compiled General Laws oftFlorida,lPcnnanent Supplement, and s under the Florida has the provisions o under this permit; and will post or cause to be posted for inspectipfl on the wsite ofo w ork sucl blic notice and has complied with the iixovisio tlus1eco {. and will require similar compliance frsu all contractors or sub-contractors emplo Y tim o the ces a t e q by under P g onl su h, s b�ge n or notices as are required h � liamASho es age undersigned agrees to employ only � � /��� permit, as are licensed by 11fye2 - -•-- -- (Signer _..._. ` ._ R _._ - - -••- STATE OF FLORIDA, ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- COUNTY OF DADE. peoed to me well known, — and who, being by me first duly sworn, upon oath deposes and says that he is t ltcation, and that he did sign the same. and that all facts of the above described construction, that he has carefully read the foregoing app therein by him stated are true. (� _ Permit No.._.__ �,;%'C � ..L__ .......... Date ..... .!- / 1 °- Read, Sworn to and Subscribed before me. , roved - .._... Notary Public, State of Florida � 2 � - My Commission Expires Building Inspecctor torr DATE PLAN ING BOARD Member Chairman Member — - . . . . Member Member Date Member Date Disapproved Council Approved rural has been obtained from NOTE: A charge of $1.00 will be made for making corrections or changes to this applicntion� for inspection or Faulty the Planning Board. A rc inspection fee of $1.00 will be charged when such re- inspection is made necessary by materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building 0 p DATE ° 195 p PERMIT N° 352 Contractor's ❑ License No. ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA B1 Subdi- vision Value of I Amount of Project $ �I Permit $ This permit is granted to the contractor or builder named above to construc 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. BY AUTHORITY 6 1 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 April 11, 19 56 Owner's Name and Address.... Dorsey 1 M 1 fl r t i n No Street Registered Architect and /or Engineer Name and address of licensed contractor Sheet M e t n 1 Spec. Co., 5 7 3 N.W. 71st St., M i s m 1 9 Florid r Location and legal description of lot to be built on: Lot 19 1e. 9 E....___50'BQ gk lot 220 Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) Bn,y Lure 1207 Y. E. 92nd Street Roof ink on nev' structure and for no other purpose. New Building X Remodeling Addition Repairs No. of Stories one To be constructed of C . E. S. Kind of foundation Roof Covering tile Estimated Total cost of improvements $ 1509.00 Amount of Permit $ 7, 00 Zone cubage required plan Cubage Distance to next nearest building..... Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) SHEET METAL TAL SPECIALTY COMPANY STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector My 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.