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ROOFINGPERMIT APPLICATION FOR MIAMI SHORES VILLAGE D a t e 4 , - Z / d Z J o b A d d r e s s L a S N C 93 1-4D ST. Tax Folio Legal Description l 24 S ru .6 6 /3 ST . ,u IPqrn t Site P Historically Designated: Yes No O w n e r / L e s s e e / Tenant J o Ni -T N it ) 4 A L i G F Loo Master Permit CQ (DPt 1 r d Owner's Address 124 S fro E ?3` `; k 1 1n 1 51 26 F L • Phone (3&) 737- S Z 3 Contracting Co. &X E Curt VC- Address 1502.a S- W . E2R T 11 S1' . i .y■ I . 33117„ Qualifier PW - Pe) A SS# Phone (3° ) S78 — Sb v 6 State # CC: C 0 3ek 7 4S Municipal # Competency # Ins. Co. Architect/Engineer ,x/14 Address Bonding Company AVA Ac dress Mortgagor Ad /A Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBINC MECHANICAL ROOFING AVING FENCE SIGN WORK DESCRIPTION RE r c r Ft- tkT Roo (_ 4 F P' l 12 'iv m t- (20oF Square Ft. `� 0 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. as to Owner an c My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical •, on it CC Silt 'Expires Mai. Ill, 2003 ,104 Thru 0 i 3ono.ing Co., Inc. RADON Buil C.C.F. e P ( NOTARY O - BOND ? 0 Esti:nated Cost (value) Z ./,gad e of Contractor or Owner - Builder Net ii y as to Contractor or, My Commission Expire Electrical ,Comm!ssio CC 819 a:,pires li "anr. flti, 20( 13 Bonded Thrill Atlantic Bonding Co., Inc. TOTAL DUE 54/ Date ate Plumbing Structural Engineer Contractor's Name: ECG tV6 EZO0E-/A)6, ROOF CATEGORY (Low Slope Application) ❑ (Nail -On Tile) X (Mortar -Set Tile)* ❑ (Asphalt/Fiberglass Shingles) ❑ (Metal Roofs/Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof X Re- roofing ❑ Recovering Repair ❑ Maintenance Sloped Roof Area (ft 71 s Total (ft Drat Master Permit No. Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 7 -98): s Flat Roof Area (ft ce ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) op6 BF6L*s 1r sta c4Tie 4 ( FT Fth5 willere % w I at,Oetx.K Q i ) LPI5 =ON_ fit eed 6wed w / 170T aspl'7a(.t. DECK TYPE: S10 ATTACHMENT FASTENER TYPE: Rih}� `7111'I k LJ �,1l_S f SPACING l+ FIELD: PERIMETER: 0.9 CORNER: V) DETAIL 1&2 SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Job Address: lZ4S A)6 93 °A 5T. r 42.ve by ✓D'/ L ROOF PLAN FIGURE 1525 - � J FLORIDA BUILDING CODE — BUILDING 15.37 E. E. / FIGURE 1525 SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION DECK TYPE: RIDGE VENTILATION Ill /) MEANHEIGFIT /® SLOPED SYSTEM DESCRIPTION 6 /0 P /y'° " 12" UNDERLAYMENT: INSULATION: dt,/ FASTENER TYPE a. SPACING:I2I,, 5I9ry 1 /G CAP SHEET: -ROOF COVERING: I ?e ,4 151711 ReiV /JL ROOF SLOPE ---- DRIP EDGE DETAIL 3 TILE CALCULATIONS (Pntarl: -47.0 x). (aerodynamic Multiplier): 0.2f93) -Mg: 4.70 = Mrl: ,S, 8 G PCA: 24• (Pmax2: (- lerodynamic Multiplier): 0. 3 ) —Mg: (Q. 70 = Mr2: /9.75" PCA: V/. S (Pmax3: --100.(0 xX (Aerodynamic Multiplier): 0. )4`. ) - Mg: (0.7O =Mr3: /9.7S PCA: Z / 1• �/ RA a041/- 5 1 Ve .1** 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 IMITATION D)APPUCABLE DETAIL DRAWINGS 3) MUNICIPAL PERMITAPPLICATION 4) OTHER COMPONENTAPPROVAL .S'c M(& N& /,wase0 /2- "o-c. /40f 15.38 FLORIDA BUILDING CODE — BUILDING Downloaded from Miami -Dade county !Building &Zoning.1-21 -U2 L lOam ES Section 1524 - High Velocity Hurricane Zones Required Owners Notification for Roofing Considerations 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. AL, 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 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concea'.ed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. At.- 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Agen s Signature OFFrC� NOTA W 1. O gPgY P � e4. PEDRO A GCDOY r ^ m CON4? ISSiO41 N1t::.f1ER cca 1047 OP O® JUNE SO 2409 er's Owner's Notification for Roofing Permits issued under the Florida Building Code IMA I -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION �R / 2-ll i0 Date contractor's Signature CiFICNI NOTARY P.m!?. . PEDRO A OODoy 3 < C�d,SSION NUh:3ER p OCU -gperi r bo MYteMc_"; _ .Hi . 1 NIF 0 ',.,Q. a'()LL4 • ..._._..._....--- . 4 .4.,..• ,i, f 4 • •-••••'1•1•• MIAMI -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Pioneer Concrete Tile 1340 S.W. 34 Avenue Deerfield Beach FL 33442 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305) 372 -6339 Barrel Roof Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and 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 shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO 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.:99- 0803.07 (Revises No.: 97-0929.05) Expires:12 /16/2002 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Approved: 12 /16/1999 Internet mail address: postmaster @buildingcodeonline.com vuffro MIAMI -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 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 rancisco . Quintana, R.A. Director I of 6 Miami -Dade County Building Code Compliance Office Homepage: http : / /www.buildingcodeonline.com HDM -010 ' PIONEER CONCRETE TILE ACCEPTANCE No.: 99- 0803.07 1. SCOPE This revises a roofing system using Pioneer `Barrel' Concrete Roof Tile, as manufactured Pioneer Concrete Tile described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade 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 attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Pioneer Barrel Tile Trim Pieces #30 Felt Category: Prepared Roofing Sub Category: High Profile Tile 2.1 Components or products manufactured by others Product #43 Coated Base Sheet NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions 1 =18" w =9 -%" varying thickness I= varies w = varies varying thickness Dimensions N/A N/A Test Specifications Test Specifications ASTM D 226 Saturated organic felt to type II be used as a nailed anchor sheet. ASTM D 2626 Saturated and coated organic base sheet for single or double ply underlayment. - 2 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 Product Description Product Description PA 112 High profile, two- piece, extruded concrete roof tile. For mortar set 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. Manufacturer generic generic uloaga, RRC Roofing Product Control Examiner { PIONEER CONCRETE TILE ACCEPTANCE No.: 99- 0803.07 Product Mineral Surface Cap Sheet Lenzingtex -ZB 140 59" x 164' roll Underlayment 22 lbs/roll Rainproof II Ice and Water Shield Roof Tile Mortar ( "Ti IeTiteTM ") Roof Tile Adhesive ( "Polypro® AH 160") Tile -Bond 3. LIMITATIONS NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Dimensions Specifications N/A 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll N/A N/A Factory premixed canisters ASTM D 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. PA 1G4 Single ply, nail -on underlayment. PA 104 PA 123 See PCA 3 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 Product Description Single ply, nail -on underlayment with 2" self - adhering top edge. PA 103 Self- adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Prepared mortar mix designed for mortar set rooftile applications. Two component polyurethane adhesive designed for adhesive set rooftile applications. See PCA Single component polyurethane foam roof tile adhesive 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a sta performed in accordance with RAS 106. Frank Zuloaga, RRC Roofing Product Control Examiner Manufacturer generic Lenzing Performance, Inc. with current NOA Protect -O -Wrap, Inc. with current NOA W.R. Grace Co. with current NOA Bermuda Roof Company, Inc. (with current NOA) Polyfoam Products, Inc. (with current NOA) Flexible Products (with current NOA) hall be Table 3: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Pioneer Barrel Tile Polyfoam PolyPro 133 (Concrete tile) Flexible TileBond 84 (Concrete tile) 5 Place 23 grams per pan and 23 grams per cap of PolyPro TM . 6 Place 11.8 grams per pan and 11.6 grams per cap of TileBond. Table 3A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Pioneer Barrel Tile Mortar Set' 24.5 Table 2: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Pioneer Barrel Tile 6.80 6.70 6.56 6.39 6.21 PIONEER CONCRETE TILE ACCEPTANCE No.: 99- 0803.07 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 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. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 4. INSTALLATION 4.1 Pioneer Barrel Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 120. 4.2 Data For Attachment Calculations Table 1: Aerodynamic Muitipliers - X (ft Tile Profile Pioneer Barrel Tile X (ft') Direct Deck Application 0.263 4 Frank Zuloaga, RRC Roofing Product Control Examiner PIONEER CONCRETE TILE ACCEPTANCE No.: 99- 0803.07 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, 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: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. PROFILE DRAWINGS 5 PIONEER BARREL CONCRETE ROOF TILE 8-3/4" an Zuloaga, RRC Roofing Product Control Examiner ' * PIONEER CONCRETE TILE ACCEPTANCE No.: 99- 0803.07 2 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 9. This Notice of Acceptance consists of pages 1 through 5 and this last page 6. END OF THIS ACCEPTAN 6 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 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. 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 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 Miami -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 time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. Frank ZiiToaga, RRC Roofing Product Control Examiner •DADE MIAMI GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 5/23/2002 9:50 PM 5/23%2002 8:99 5/23/2002 8:38 PM 5/23/2002 8:27 PM 5/23/2002 8:16 PM BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) FROM: Fax TO: 3056685161 PAGE: 001 OF 021 PM FROM: Fax TO: 3056685161 PAGE: 001 OF 021 FROM: Fax TO: 3056685161 PAGE: 001 OF 021 FROM: Fax TO: 3056685161 PAGE: 001 OF 021 FROM: Fax TO: 3056685161 PAGE: 001 OF 021 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable Hiles and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Deck. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miant Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 1 of 21 5/23/2002 9:50 PM FROM: Fax T0: 3056685161 PAGE: 010 OF 021 5/23/2002 8:49 PM FROM: Fax T0: 3056685161 PAGE: 010 OF 021 5/23/2002 8:38 PM FROM: Fax T0: 3056685161 PAGE: 010 OF 021 5/23/2002 8:27 PM FROM: Fax T0: 3056685161 PAGE: 010 OF 021 5/23/2002 8:16 PM FROM: Fax T0: 3056685161 PAGE: 010 OF 021 APPROVED ASSEMBLIES Deck Type II: Wood, Insulated, New Construction or Reroof Deck Description: 19 / 72 " 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. One or more layers of any of the following insulations. Insulation Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =S, platic plate only (Table 3) Density/ft =P) 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, BMCA EnergyGuard, BMCA EnergyGuard Composite, EverGuard ISO, ISORoc, EnergyGuard RA, EnergyGuard RA Composite Minimum 1" thick N/A N/A BMCA High Density Wood Fiber, GAFTEMP@ High Density Wood Fiber, GAFTEMP RecoverBoard, Wood Fiber, GAFTEMP® Fiberboard) Minimum %2" thick N/A N/A Perlite, GAFTEMP® Permalite®, Permalite Tapered, Paroc Minimum %" thick N/A N/A Fiberglas (Min. "/ thick) N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt . within the EVT range and at a rate of 20-40 Ibs/100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation 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® Eliminator Perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: Fastening Options: GAFGLAS #80 Ultima Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat -Weid Smooth or RUBEROID S3S Heat -Weld 25 base sheet mechanically fastened as described below•, GAFGLAS® Ply 4 ®, GAFGLAS Flex Plylm 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 10 of 21 Base Sheet: Ply Sheet: Cap Sheet: Surfacing: Maximum Design Pressure: 5/23/2002 9:50 PH FROM: Fax TO: 3056685161 PAGE: 011 OF 021 5/23/2002 8:49 PH FROM: TO: 3056685161 PAGE: 011 OF 021 5/23/2002 8:38 PH FROM: Fax TO: 3056685161 PAGE: 011 OF 021 5/23/2002 8:27 PH FROM: Fax TO: 3056685161 PAGE: 011 OF 021 5/23/2002 8:16 PM FROM: Fax TO: 3056685161 PAGE: 011 OF 021 GAFGLAS® Ply 4 ®, GAFGLAS Flex Ply T 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or # 14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf, See General Limitation # 7) GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation # 7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure — 60psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) # 12 or # 14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 Ultima' Ultra Base Sheet, GAFGLAS STRATAVENT Eliminator Perforated, RUBEROID Modified Base Sheet, RUBEROID Mop Smooth, RUBEROID® 20 RUBEROID SBS Heat -Weld Smooth or RUBEROID SBS Heat -Weld directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq; (see General Limitation #4). One or more plies GAFGLAS PLY 4 ®, GAFGLAS Flex Ply 6 sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied wit un the EVT range and at a rate of 20-40 lbs. /sq. (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 gal. /sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal. /sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal. /sq. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400lbs. /sq. & 300 lbs. /sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 S3 Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. See Fastening above. NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 11 of 21 FROM: Fax T0: 3056685161 PAGE: 021 OF 021 FROM: Fax T0: 3056685161 PAGE: 021 OF 021 FROM: Fax T0: 3056685161 PAGE: 021 OF 021 FROM: Fax T0: 3056685161 PAGE: 021 OF 021 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum Vs" Dens Deck or' /: Type X gypsum board is acceptable to be installed directly over the wood deck. 5/23/2002 9 <50 PM 5/23/2002 8:49 PM 5/23/2002 8:38 PM 5/23/2002 8:27 PM GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer dull 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 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum 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 shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 2751bf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed snd sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers and comers). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE 5/23/2002 8:16 PM FROM: Fax T0: 3056685161 PAGE: 021 OF 021 NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 21 of 21 2001 ROOFING MATEKIALS & SYSTEMS DIRECTORY ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU)- Continued Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule) "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). 6. Deck: 15/32 Incline :2 Insulation: One or more layers perlite, wood fiber, glass fiber, isocya- nurate, urethane, perlite /isocyanurate composite, prelite /urethane com- posite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet One or more layers Type G2 or G3, mechanically attached with above insulation. Membrane: One layer "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). Adhered in a uniform coating of Karnak Inc. No: 81 or Gibson -Homan No. 6160 -900 applied at 1 -2 gal /sq. Surfadng Karnak No. 97 at 3 gal /sq. 7. Deck 15/32 Incline: 2 Base Sheet One 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 Mop FR ". Adhered in a uniform coating of Karnak Inc. No. 81 or Gibson -Homan No. 6160 -900 applied at 1 -2 gal /sq. Surfacing: Grundy Ind. 20 F emulsion at 3 gal /sq. 8. Deck: 15/32 Incline:1 Insulation One or more layers perlite, wood fiber, glass fiber, isocya- nurate, urethane, perlite / isocyanurate composite, perlite /urethane com- posite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet: One or more layers of Type G2 or G3. Membrane One or more layers of "Ruberoid Mop FR. Adhered in a uniform coating of Karnak Inc. No. 81 or Gibson -Homan No. 6160 -900 applied at 1 -2 gal /sq. Surfacing Grundy Ind. 20 F emulsion, 3 gal /sq. 9. Deck: NC Incline: 1/2 ' Base Sheet One or more layers Type Gl, G2 or G3. Membrane: One or more layers "Ruberoid Mop FR. Adhered in a uniform coating of Karnak No. 81 or Gibson- Homans 6160 -900 applied at 1 -2 gal /sq. 10. Deck: C -15/32 Incline: 1 Insulation (Optional): Polyisocyanurate, wood fiber, perlite, glass fiber any thickness, hot mopped or mechanically fastened. Base Sheet One or more plies "Ruberoid 20", Type G2 "GAFGLAS #75 or " Ruberoid 20 FR" base sheets, hot mopped or mechanically fastened. Membrane: One or more plies "Ruberoid 30". or "Ruberoid Modified Cap Sheet 601 ", hot mopped in pt ce. 11. Decic C -15/32 Incline: 1/2 Insulation (Optional): Perlite, glass fiber or wood fiber, 2 in. max. Base Sheet Type 15 asphalt organic felt, Type G2 or "Flex Base 60" (modified bitumen); mechanically fastened or adhered with hot roofing asphalt. Membrane: "Ruberoid® Torch 1" (modified bitumen), heat fused. Surfacing: Karnak Chemical "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating", 1-1/2 gal /sq. 12. Deck: C -15/32 Incline: 2 Base Sheet Type G2 (modified bitumen), mechanically fastened or adhered with hot roofing asphalt. 13.� Membrane: "Ruberoid® Torch 1" (modified bitumen), heat fused. eck: C -15/32 Incline: 1 Insulation (Optional): Perlite, fiberboard, high density fiberboard, polyisocyanurate, perlite /polyisocyanurate, fiberboard/ polyisocyanurate. Base Sheet One or more plies GAFGLAS #75 Base Sheet, GAFLAS #80 Premium Base Sheet, Stratavent Nailable, Ruberoid Modified Base Sheet, Ruberoid 20. Ply Sheets (Optional): One or more GAFGLAS Ply 4, GAFGLAS Ply 6, GAFGLAS Flex Ply 6. Cap Sheet Ruberoid Torch Smooth, Ruberoid Torch Granule, Ruberoid Torch Plus, Ruberoid Mop Smooth, Ruberoid Mop Granule, Ruberoid Mop Plus, GAFGLAS Mineral Surfaced Cap Sheet. 14. Deck: C -15/32 Incline: 1 -1/2 Gypsum Board (Optional): 1/2 in., mechanically fastened. Insulation: Johns Manville "E'NRG'Y 1G ", Rmax "Ply I" or "Multi- Max", Apache Building Products "Pyrox White ", Firestone Building Products "Iso 95+GL" or Atlas Roofing " ACFoam II", 1-1 / 2 in. thick min. Membrane: "EverGuard FB ", 40 -100 mil (TPA). 15. Deck: C -15/32 Incline: 1 n..., r/. .. T. ... ... •• a ..., A.. ..., .,....a ROOF COVERING MATERIALS (TEVT) 179 Roofing Systems (TGFU)- Continued Insulation (Optional): Perlite, wood fiberboard, polyisocyanurate, perlite / polyisocyanurate, fiberboard / polyisocyanurate hot mopped or mechanically fastened. Base Sheet: One or more plies "GAFGLAS #75 Base Sheet", "GAF - GLAS #80 Premium Base Sheet ", " Stratavent Nailable", "Ruberoid Modifed Base Sheet" or "Ruberoid 20". Ply Sheet One or more plies "GAFGLAS Ply 4 ", " GAFGLAS Ply 6" or "GAFGLAS Flex Ply 6" hot mopped. Cap Sheet "Ruberoid Torch Smooth ", "Ruberoid Torch Granule ", "Ruberoid Torch Plus", "Ruberoid Mop Smooth ", "Ruberoid Mop Gran- ule", "Ruberoid Torch PLUS" or " GAFGLAS Mineral Surface Cap Sheet ". Class A - Mechanically Fastened 1. Deck NC Incline: 2 Gypsum Board (Optional): 1/2 in., mechanically fastened. Insulation: Apache Building Products, " Pyrox White" or Johns Manville "E'NRG'Y 2G ", any thickness. Membrane: "EverGuard SR ", 40 -100 mil (TPA). 2. Deck: NC Incline: 1 -1/2 Gypsum Board (Optional): 1/2 in., mechanically fastened. Insulation Rmax " Thermaroof Plus" or Atlas Roofing " ACFoam II", any thickness. Membrane: " EverGuard SR ", 40-100 mil (TPA). 3. Deck C -15/32 Incline: 3-1/2 Insulation (Optional): Isocyanurate, extruded or expanded . polysty- rene, any thickness. Barrier Board: 1/2 in gypsum wallboard or 1/4 in. G-P Gypsum Dens -Deck® . Membrane: "EverGuard SR ", 40-100 mil (TPA). 4. Deck: NC Incline: 1/4 Insulation: Polystyrene (1 to 2.5 lb per cu ft), 1 in. min. Slip Sheet Atlas Roofing "FR -10". Membrane: "EverGuard SR ", 40-100 mil (TPA). 5. Deck: NC Incline: 2 -1/2 Insulation Celotex "Thermax Hy. -Ted', 1 in. min. Membrane: "EverGuard SR ", 40-100 mil (TPA). 6. Deck: NC Incline: 1 Insulation Firestone Building Products "Iso 95+GL", Atlas Roofing "ACFoam II", Rmax " Thermaroof Plus" or "Multi- Max", any thickness. Membrane: " EverGuard SR ", 40-100 mil (TPA). 7. Deck NC (Concrete) Incline: 1 Insulating Concrete (Optional): Deck covered with one of the follow- ing insulating concretes (poured in place): Cellular, vermiculite, perlite, gypsum or structural. Membrane: "EverGuard SR ", 40-100 mil (TPA). 8. Deck NC Incline: 3-1/2 Insulation (Optional): Any UL Classified, any thickness. Barrier Board: Regular or water resistant wallboard, 1/2 in. nom. Membrane: "EverGuard SR ", 40-100 mil (TPA). 9. Deck: Structural Cement Fiber Unit Incline: 2 Insulation (Optional): One of more of the following or combinations, any thickness: Rmax "Thermaroof Plus" or "Multi-Max ", Atlas Roofing or "ACFoam II" or Johns Manville "E'NRG'Y 2G ". Membrane: " EverGuard SR ", 40-100 mil (TPA). 10. Deck: Structural Cement Fiber Unit Incline: 1/4 Insulation: Polystyrene (1 to 2.51b per cu ft), 1 in. min. Slip Sheet Atlas Roofing "FR -10". Membrane: " EverGuard SR ", 40-100 mil (TPA). 11. Deck NC Incline: 2 Vapor Retarders (Not UL Classified): (1) 6 mil polyethylene (2) B F Goodrich "Permate ", (3) Johns Manville "Asbestogard ", (4) Fortifiber "Pyro -Kure 600" or (5) Fortifiber "Vaporstop 298 ". Insulation: One or more of the following or combinations, any thick- ness: Rmax " Thermaroof Plus" or "Multi- Max", Atlas Roofing "ACFoam II" or Johns Manville "E'NRG'Y 2G ". Membrane: " EverGuard SR" 40-100 mil (TPA). 12. Deck NC Incline: 2 -1/2 Vapor Barrier (Optional): Polyethylene or polypropylene, any thick- ness. Insulation: Celotex "Hy -Therm AP", 2 in. thick max. Membrane: "EverGuard SR ", 40-100 mil (TPA). 13. Deck: NC Incline: 3/4 Insulation: "GAFTEMP ", wood fiber, glass fiber or perlite any thick- ness. • • ing paper . if required) GAFG GAFGLAS PAi•( pUcs) GAF Materials Corporation Roofing Asphalt Irderplies . . • ' Wit' S LAS•Mineral erfaced Cap Sheet (1 ply) .Approximate Weight per Square est Zones •, t slope. except for lightweight insulating to a um slope of 1" per foot Wood, , tanks, other acceptable naitable see page 9. ; 1D,th7. South. and • Mailable decks up to 6 Inches per concrete decks which are limited plywplywood. wo poured gypsum. precast gypgu d decks. For lightweight insulating concrete GAFG LAS® Specifications 14- B- 4-MIP6 and N-B-4 Specifications General Application recommendations detailed on pag� - . 0 shall in addition to the following recommendations and specifications. Application of Rooting Membrane • bi 1. Over entire surface, lay one ply of sheathing paper where applicable. Lap Lap etch sheet 2 inches over preceding sheet Nails fitly Base d i n Sheet. 2. Starting at the low point of the roof. lay one ply tipping each sheet 2 inches at edges and not less than 6 inches at end taps.il t6ail along lap of base ply at intervals not to mead 9 inches and stag9 town center of sheet in two rows with nails spaced at 18 inch intervals in each row. Use fasteners with integral metal heads at least fnch in d r or s quare that are recommended by GAF Materials Corporation e deck manufacturer. (See "Special Instructions' below.) 3. Starting at the low point of the roof, mop two plies of GAFGLAS Ply fashion: lapping each sheet 19 inches over the preceding sheet solidly mop- ping to the underlying base sheet to provide three plies over the entire roof area. Asphait Requirements must be applied in a continuous film and s y m ist of approximately r Roofing 25 pounds munds per 100 square feet of root area with shall consist of aPPro t Po a tolerance not t exceed 20% plus or minus. The appropriate asphalt for the slopes involved must be used. On slopes up to 'I2 inch per foot. Rat ASTM Type II may be used except in Florida. Texas, New Mexico, Arizona. and California. Apply GAFGLAS Mineral Surfaced Cap Sheet laps a ply instructions on page 20. so that the laps are on : ec:ai .miss: Cns m decks on page 9. 1. See recommendations for use to TAW. ' (Vent )tor N 2. Aceep GAFGLAS Base gypsum decks, GAFGLAS 175 Base Sah Decks S PLY , freshly ann h GAFGLAS Ply 4. For wood dells and structural Sheet, G fiber decks. 4 or GAFGLAS PLY 6 Is used as a base wood fiber decks. when GAFGLAS Ply sheet, a sheathing paper is required. 3. See'Naipng of Base Sheet; page 19 t must be back - nailed 4 : 4. For roof slopes of l inch per foot or more, all Py on Steep Roofs: Page 10. ; inches in from the back edge of the felt. See install .L v :asz;ricarion p- UL Chart ley 1. Substrate C = Combustible and Noncombustible plywood (min. "Is inch thickness) Combustible = Wood Ph i 'la inch tideless). oriented strand board NC = Noncombustible only t � concrete, lightweight Noncombustible = Steel �� wood fiber, etc. insulating concrete, gyp 2. Slope Maximum slope allowed, in inches per toot • 4 0 .u_ 4 . - A•" 0.- 4-19•= 4 !: 0- 4a1 4 4 . nrel ►- n. -lMnr - . 4. yn► +lr_nr_n aru_a►_N_n►yN= nr_n►_nr nr nY-nr_NCnr it 6 Y Pay to the order of EXECUTIVE ROOFING, INC. 8022 S.W. 89TH ST. MIAMI, FL 33156 ll . 4 -� ��7 4 9/ �es 77m6 E ( x-z)l2 $x/ c"I ,o c e fit?5 BANKATLANTIC A FEDERAL SAVINGS BANK HIALEAH OFFICE 1455 WEST 49TH STREET �7 HIALEAH, FL 33012 For V / en-4 --;$ 4 . /f ( . J 142 "0038540 1:26 708 3 7631: 005 3855 68376/2670 Date 644-, � $ 3 j B/ . / C9c-) Do MTh E.= 14411' 2 �aiTa.:1I1�i1r�1i °1.4_1.4: IY�IIr_II71ri1br /Na Y� Ilr_II_a� 11 Ir=11,11Y._111._11F41,. r.= 114.4 °11.11 0.:1Y _411._11 4 41 D.n ►.n►.N.n ►.n.- nr-- n. .n►an ►. nr. 4r.nY- rl ►.rir.1l►.n ►:rl► = 0 41rd1.411,40 41ra1Y _11,41,m:/Y 41,41 .411..4W.1Yc41,..0,4 .10../00..1 :41,41,411,41 c40,4,41 T ar. =1b:= 4 NOTICE OF COMMENCEMENT A RECORDED COP( MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 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: 1).45 136 9 3 5 i 2. Description of improvement: Z 6 Roo F (Loo r 4 p F •i ) L.6 Zoo F-. 3. Owner(s) name and address: oto AT MI- N 4 1 I1 c6 Loo Interest in property: MIAMI SNO(e L Pi_ . 331 3g t7-4.S • 93R iktoI .5No2ES FL. 33130 Name and address of fee simple titleholder: Aetrj, 04071.611C 4. Contractor's name and address: EX v 6 toot= 006 L• Z Z Sc ) sot 1 -Sr. ILk 1 tAti'Y\ i t FL 3 3 t S70 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: x Al, .,1 _ _ 1-73 SA• 1 Owner Print •wners Name o Sworn to and subscribed before me this 2 / of Notary Public �/ v Print Notary's Name ./ My Commission Expires: C, 3 //.P' / /1 +F CERTIFY that This is a true original filed ce n LV! TNESS my IIARVEY RUV1 , 7. Persons within the State of Florida designated by Owngyupon whom n by Section 713.13(1)(a)7., Florida Statutes, Name and address: /t) ar; and 0 02 R418675 2002 JUL 08 110:11 oeufnliTcis may be as provided 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) ` ,• ' '.,P'r ' a il s # CC 819 Walter C. Lund, Sr. s ion 1 pared by: 1"r 1 :: j¢ onde r. 18, 2003 , fJ(FC7Ir/F ,go/ 'IY� onded Thru At:nntin Pending Co., Inc. dress: (�O Ad O Y 7 V x7 ,,,e) 35, sCo Owners Name and Address Manley King Name and address of licensed contractor Disapproved 14,2,1( (Signed) Date 14 ,;12,50 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR EUILDING PERMIT Application is hereby u'nde for the approval of the detailed statenrc.it of the plans and specifications herewith submitted for the build ine 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 iuilding 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 No 2075 _. streec_. Road Registered Architect and /or Engineer Biscayne Roofing Co. 5180 E. 11th Ave. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 124 NE. 3 "d Street State work to be done and purpose of building (by floors)- _ -n Oa 1 3 felt $ $$ iYls tall gaVl_. cave drip around eaves, 12" metal in valleys. Over the entireroof mop 90' slate over roof lay spanish s. tile and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ...Spani.sh...s.....tile 35sq Estimated Total cost of improvements $ 5 Amount of Permit S,. 1 .1 Zone cubage required PIar. 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 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subco actors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed )...... 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 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. ._--. 'S Date // /// " -_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Buil•mg Inspect. My Commission Expires to me well known, P ANNINC 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.