ROOFINGTest Date September 27, 2000
Project Address
Contractor
Permit Number
Roof-Pitch
Tile Installation Date
Adhesive Type
Tile Type
TEST SUMMARY
TEST RESULTS: PASSED
ROOF REPORTERS, INC.
Ro O
TAS 106
Roof Tile Uplift Test Report
245 NE 93 St. Miami, FI.
All testing is in strict -accordance- with'The -Dade County_ version -of The South Florida
Building Code, Section 3401.10 and PA 106 -95.
Each Test location- was- pulled_usingaCbatillon Force Gaugeto a minimum of 35 lbs..
See Attached Sketch for Further Details
A -Star Roofing
47353
3:12
September 22, 2000
Poly Foam
Altusa
(561) 434 -7555
Roof Area - TotaL #of_Tests - # of Tests Passed %Passed
Field & Ridge 25 25 100%
Corner 1-0 10- 100%
Perimeter 10 10 100%
Dade County. Certified Testing Agency, # 99- 0615.04
3281 Lake Worth Road1 Suite EO Lake WorthOFlorida 33461
RoolConsu g..&T - esting.O- Visual Surveys &Evaluations ORoof System Design O
Moisture Surveys
r
1•
T
1
T
T
r
r
T
r
r r T
, L j NE 73 JT r� E�Y
T
Y
Cif
)0 re S 1� `_ 0 Is
SYNERGY
Labs, Inc
Manufacturer: CHATILLON
Model Number. D IS 130.
Seriat Number: 25282'
Custoier SN:. 25282
`Description: DIGITAL FORCE .GUAGE :
Customer:
Cer..ificate.Number :.; 93
Certificate of Calibration
ROOF REPORTERS, INCORPORATED
En Ternp: 21. deg C Relative humidity: 45%
This 'certifies that the above: equipment was calibrated in compliance with the requirements of ANSIINCSL -Z540-
1994, - ISO'Guide25 and ISO 10012 using applicable procedures..
At planned intervals, Synergy Labs?Inc measurement standards are calibrated by comparison to or measurement
;against national standards, natural physical constants,. consensus standards. or by ratio type measurements using
self- catibeating techniques
Cimi c:
NONE
Remaks: UNIT RECEIVED IN TOLERANC — NO ADJUSTMENTS REQUIRED
Calibration Date: • Jun 29, ' : 2000"
Calibration Due: Sep 29, . 2000
Reference` Standards Used:
Manufacturer
•
Model
Number
Serial
Number
Synergy Labs. Inc' 8211 NW 64 ST #3 Miami FL 33166 Ph (305)- 477 -5414
Trace
Number Cal Due Date
AMETEK -M &G WG -23 18830 74645 May 19, 2C0
Josman Bnzuela
Quality Assurance
:National standards:are administered by NIST (National Institute of Standards and 'echnology) or other recognized
national standards. laboratories.
Supporting documentation relative to traceability is on file and is available for examination upon request.
Date ^ Job Address
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 69 Ch e' Master Permit # 4
t 7 Y 6(- EEIQ gi +i''�f: p j Phone
Contracting Co. /9 J fi /°— Co Jam" rp LI'v r-J Address 4,W r /% !ff) j U 5k7it...avd
Qualifier ,,,,W2,/ Ci,� e_ r-0 SS# / 9t5 / 9:010
Owner's Address
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
S D . • q 3 5Z Tax Folio
State # ccco J' 3t( Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICALCOOFING PAVING FENCE SIGN
WORK DESCRIPTION r e' co4'x' meoUC -if{
sroi su .S • eir- A LruSA Ties
'4 / .
' fr
o o4-) s9"-
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.)
Square Ft.
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 w
construction and z. ' g. Furthermore, I authorize the above -named contractor to do the
II II 1.! •
S II Ke of >�f1 II`
or Condo President
7 -2o —00
Date
2- o--o0
,• ,f : • ' esident Date Notary as to Contr
My Commission Ex
.V ( 20,pJ Ce D of .} D �t._ # G. CS - 2 ? - 70 — 0q6,-.0
za Roger A a ro
{ I *My Commission CC790581
,,, Expires November 12, 2002
Notary !to Owner
My Commission Expires:
C.C.F. . NOTARY ° BOND 3 0
APPROVED: TOTAL DUE
Zoning Building �� "51 Electrical
FEES: PERMIT 1
J ® RADON
Estimated Cost (value) (Op
'11 be dye ' ompliance with all applicable laws regulating
d.
Mechanical Plumbing Structural Engineer
Contractor's Name:
❑ (Low Slope Application)
❑ (Asphalt/Fiberglass Shingles)
❑ New Roof
A- SIP CoiJrJQC fJ
Job Address:
SDL
ROOF CATEGORY 4"(MortarAdhesive
❑ (Nail -On Tile) Set Tile)
❑ ( Metal Roofs \Wood Shingles & Shakes) (Other)
ROOF TYPE
Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
/ fi
Flat Roof Area (ft') Sloped Roof Area (ft itU 2 J Total (f1 ' i)J Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
Ft.
A
V
Ft.
V
A
i
ATTACHMENT
Fastener Type: ',J
/1/R J
SPACING
/1
6
Field: Perimeter: Corner:
DETAIL 1 & 2
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
ROOF PLAN
123.01 -78 4/99
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Page -1
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
e Ventilation?
Deck type:
MEAN HEIGHT / '
Underlaylnent:
Insulation:
Fastener type & spacing:
Cap Sheet:
12"
ROOF SLOP[
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
1
ItJ
J/9/-i
Roof Covering: 4/ / i J a v e j
Drip edger
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Miami -Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System Description
b) Specific System Limitation
. c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
TILE CALCULATIONS
(Pmaxl f -3x x (Aerodynamic Multiplierar ' ) - M s• M rl / �PCA: t? i-,7
(Pmax2t *O y x a (Aerodynamic Multiplier): ) - M 0 2 f M -/ PCA: 3 / .a
B'
( Pmax3 1 � i ' , j x (Aerodynamic Multiplier): ) - M -4 , ' J M 7 PCA: 29
0z
As it pertains to this Appendix "f ", it is the resllnnsihilit of
(Ct.aired roofing permit, to pruvi the ntvnrr %v•itt, this aril,'
form. TIIc provisions of Clothier 14 of the 'milli I Inr,J.l
icqui(crncn(s and slnnd,ltds of 111c industry for rur,lin, S);I•
should be addressed ny (t,,rl of IIIC agreement btlwcrn I no
adjacent box indicates that the il h.i. h r, n
t c--C 1, ,Aesthetics 1Varlcnlanshll►: the ssUtl.
. pros'idir;a Ilia( the rooting sy'Irm n►crrs the sviml 'Hsi;
Aesthetic; (ippearance) issues ore not n r ssitlr it
3tICI1 ;1i Ctilor or architectural al)l that rue out halt 01
alireen►ent between the ussner and IIIe contractor.
/ . ;. pn>teJ cciliugs: L posed, open boom ceiling;; u
viewed front be OW. '1 he owner may wish to n►ainlain tit pcnclraliOAS of tit: underside of lllo oeci.in„ nl.,y Ind I„: u, : crli ,
this 3ppcnrnrce.
. Pogt)ing 1Vntur: The current (uof Syiteut and/or
c;rGsc water to pond (nccuntul,ite) in low-lying Arta3 of Ihr
distress and may require the rr.vicsv of n I :11
expectancy (rccfturrianl'c ut Illc ,1'N' r001i1111 ])'Ilr IU. I'r)Ilr
roofing System i.s removed, conditions should be cog
G� Obtrllols' Scuppers (s► :iII mullets): It is rctiuirt
oyf (loaded front a build up of water. I'erinteterhtl!»e stalls t
ovcrfloW Scupper; (Nall owlets) ;ir 1o..prus iticll. It nifty h-
svitll Chaplet' _; of the SFI!( :.
______ . Ventilation: tvinst toof structures should I,,Ivc 3u„
of the sln,Ctura1 Assembly (Illy, building Itself). Tim cNistin
may be be:tefi :i.,I to cullsidcr additional seI►lin". s►hir.11 c.u, it:
(4. TIIc o►s•ncr may cunl,,ct Iltc Miami Dade Co
ntornlation re :artlin,i Iht: ;,huge.
Ou irAgcn1's Signature
.1.11) It.Ij11.'S 'Mlly
,r ronfin•. (r►Illr;►r• to: I. Irr(u Ole Illr now( f 1t'rll, II •
l, nod (r) rv 1 r I t r the r'"1 ,,I Of Il,ii
Iluil.lin� (' (.,1 11(.) I: nIl di: nlinintullr
11 l";I.111 �I , \ ,Irl,li.ln ►II the (nIII►wi
ilom:
lI t nod Ihr rnnlr....or ill,. m‘111.1 in;1 In tL-
, rnvi)innl of (,I,.II►I1t )J urr Iur Ih1 I Of
sic(' mild. svatrr 1 ,I11,1 (,rrl" :,u :,rice sI;Ind. rd,
:1r:I to ssorl,nla :l ;lllp rros ^.c;ll:'tic
t ?.mart" r(,tr, 51,nr,I,l Ior nr1,1(ect,:rl n: pint cf the
!(ennilin: `Y0011 peeps: When' replacing; rnr►fln ,• Il 14' 1 '4i0111' t,�rrl l Ir►,lf rlccl, l; e I,► he ren.lilc'
rn accord ace ss'Itlt the Current p10Visinns of Ch.I rlrr 1') of I,,
I roc. (The roof 41:1 k i s u n1.1111 rnnrr,'IrJ;(Ir inr t,
removing the txistin;; rnnfsyslcn►)
J •
Conlmon hoofs: Commo roofs nrr, dime sl hie
un•(cs (Lc. townhouses, condominiums c tc. ), t u
I , L rlJinl;s
owner should notify the occupants of adjacent units of roofing
hue rlu viS4)I t1rlinea(ien b :tss'i :n r.ci;yorin
'rill c('nlnlnn rnnr; ihr rnnfr contractor 2nd'c:
cod: In h. (•.'1Inrn,r,l
e where the ,, nJc'11i , (t; • of thr rune r11 :r..ime can I)
,
an hllr'rturnl rlilrrivant•e, Ihrterr,rr•, ronfin' n2i1
rlrlc. 7I►r. '.iI 1I(' terns i In nhlinn of n
,Irr:l; of the building may 1101 drain tt1c11 nntl mat
rnnr. I'1tntlin can Irrr an irltlic,l(inn or S(ruClur:I
IClur.il runsnerr. voodoo Ins! :hn,trn the I;r:
inl( r.nnrlilinllt ,I, ,,• not hr wart :nt until Ow nrlrioz1
crinl.
� I 11141 rdinss.,Icr Ilu„ s,ff 3o that the ricf i; no;
r nth :r roof runs t'hjr:l, this tl„cl,arc; if
rr ess.11) In ,nsl 414c1110wv SCII,);crs in J. :C^tdart :e
Ic In vcnl n ;ll airflow lhrou_I1 the int,•riy
'mouth of nits; 1 •I1lil,l(ion $II not It trtln :t.0 is
IItt III C.CICll(Jll1',: the ;('rt•i lift• II 1114 rl),)r•
nu). Cunsun►rr `,rn ir:rs C1r1l.trlmc,ll for ft!; - :a::
t ol'li
nurn;;� s"C 1. 1 t :(1 Ut'i r.'nu
0
its: ?fi j ol, is • :
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Almar (USA), Inc.
6645 NW 77 Ave.
Miami FL 33166 CONTRACTOR ENFORCEMENT SECTION
(305) 315-2966 FAX (305) 375.2908
PRODUCT CONTROL DIVISION
Your application for Product Approval of: ^5) 375 2901 FA. (3D5;
Altusa "S" Tile
under Chapter 8 of the Code of 'vt-:aai -Dade County governing the use of Alternate Materials anu Typ s or
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 tiuwl •ritrcl te:,ti ng.
If this prod or rngtPrial [ iv perforrl t;l the approved manner. BCCO may revokkc, iiiodil`y, 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 tesrir , will be in•;ured by the manufacturer.
Acceptance No._99- 1102.0: (Revises Nu.: 97- 0918.02)
Exnires:12 /1 („2002
Approved: 12/16/1
1 of8
Interact melt Wrest: :. l;: 7IettrratI :a:4ingcodeonline.com
N[I.AMI -DARE COUNTY. FLORID -.
METRO -DADE FLAGLER BUILDING
BL'ILDi�'G COOE CON(PLIANCE OFFICE
METRO -DADE FLAOLER BUILD :NG
140 WEST FLAGLER STREET. sUrrE It03
MIAMI. FLORIDA 33:30 -1563
(305) 375 -2901 FAX (305) 375-:906
CONTRACTOR LICENSING SECTION
(305) 315.2527 FAX (305) 375 -255S
vi fI
Raul Rodriguez v
Chief Product Control Divisicn
THIS IS THE COVERSHLE'T, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application foi Product Approval has been reviewed by the BCCO and approved by the Building Code
and Product Re, :ew Committee to be used in Dade County, Florida under the conditions set forth above.
1
1 I ;TT A A
1 LL11�.l S�+V J. utotan :, 11.A.
Director
Miami -Dade County
Building Code Compliance Offi
Hontepigc: http;/ /N :;;v1 :ol!i•r..c3m
.L I!'f.: l\r4 �Vfi�l
ALMAR (USA), INC. ACCEPTANCE i\o. 99- 110:..0
ouu Category:
M14.1111 rO Pt...'..I I, ,
Trim Pier..
#30 Fait'.
APPROVED :December 16, 1999
EXPIRES :December 16, 2002
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
1. SCOPE
This revises a roofing system using Almar `One Piece S' Clay Roof Tile, as manufactured
Almar (USA), Inc. 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 attaclunent calculations shall be done as a
moment based system.
2. PRODUCT DEcCRTPTP
rugn rrofile 1 ite
=18'A"
wm10
'A" thick rom nal
vzr ius
a varies
varying thickness
Aar;n Dlnt2 ., :51�.;�ltl.ationt
PA 112
2.1 Components or proc ..is manufactured by oti.
Product Dintensio1.J Snecificatigr.
N.IA, r". °TM D 221i
'ype I
#4= Co^ted Base N/A ASTrvi D 2626
Sheet
PA 1 I2 1
t
applications.
Product
Description
Saturated e.•r . 1a r�
organic base sheet for
single or double ply
underlay ect,. _
i
C '1 11' '
Saturated organic felt to
be used as a nailed
anchor sheet.
1 .r. .n. •n. tr' n. •,:11.C1
Acce s v trim, clay roof pieces for use at hir
rakes rio, 's and valley terminations.
Manu. '.ctu. 1 for each tile profile.
manufacturer
g r. :It
e i
.15
Franc Zu ioaga, krt C:
(tooting Product Control Examiner
ANUA (USA), INC.
Product
Mineral Surface
Cap Sheet
Rainproof II
Ice and Water
Shield
Wood Battens
Tile Nails
Tile Screws
R 1ile ?‘ilortsr
("T:IeTite' ")
OTICEOFAC P_'N
Test
DimcnaiQai Sttyclficationt
N/A
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
36" x 75' roll
vertical
mir. r 4"
nir . t" "' for
w'.:. ;crticel °attens or
r, ?' fur r.e
IOa x 3"
rd x 2 :.' long
0.335" dia.
r.'3 l" .:hark
u.I /5" sc.re.v thre..,
diar.�.tr
(N', A
ASTM D 249 Mineral surfaced asphalt
roll roofing for use as a
top ply in a double ply
underlayment system.
PA 104
zC(:r" CAN :E vo. 99.1102.04
4PPROvF.D ..f`-c ";st` 'P ^ 9
l■01c
STA s;RDCOND[TIO
Product
DeacrIItion
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
#4:5 as the base layer.
Wood Preservers Salt pressure treated or
Institute LP • 2 .iecay resistant Iu
bznens
PA 1 2)
Corrosion rt9'atar.t.
sr.ro�th, scree or annular
(lilt shank nail.
d cc aced,
sc,,a,•e drive, galvlrized,
cow se thread . ..moo screw
P•eored m._: mi..
dined col mo a- set
;ile
s
Manufactyrcr
generic
Protect -C -Wrap,
Inc.
with current NOA
W.R. Grace Co.
with current NOA
generic
generic
generic
Bermuda Roof
Company, Inc.
(wit't r.it.ent
roA
Frans r.ulot. ARC
R Prc duct Cont::; Exam ner
b
ALMAR (USA), INC.
Product
Quickcrete Roof N/A PA 123
Tile Mortar
Roof Tile
Adhesive
( "Polyprot
. A1-1160")
Tile -Bond
3. LIMITATIONS
NDTt _ ST 1 ;.') 0C^"D1T f NS
Tes rf)ducc
1)intef;iiont .Ler ' D:q�.ripe!
N/A See PCA
Factory premixed
canisters
See PCA
A'2CE1'T.' cE No. : 99- 1102.04
AIPFk•OVEt. :it:em.►�er 16, 1999
EXC':aES :' °'- ember. 16, 2002
Prepared mortar mix
designed for mortar set
roof tile applications.
Two component
polyurethane adhesive
designed for adhesive set
roof tile applications.
Single component
polyurethane foam roof
tile adhesive
Quickrcte Mortar
(with current
NOA)
Polyfoam
Pwduc:z, ice.
(with current
NOA)
Flexible Products
(with current
NOA)
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 o f a M :
tc..)crforrn quarterly test in ace •rdance FA 112, app..zndix 'A'. Such ; sting
sl 11 be submitted to the Buildit 2 Code Cr tpliancc Offic•. fig review.
3.4 h timum underlayraents shall be in co, >liance with to .pplicahle R Ping
,lications Standards listed section 4.1 h_:•:ir_.
3.5 3 )0 irvi ilitipueu �u' _..._..t applications may be installed perpendicular to
roof slope unless state l otherwise by the underlayment material manufac :urers
p dished literature.
3.6 Ti •s acceptance is for wc.: dc_.; applicati. ;s. 1. deck •equir.ement: .:hall
•n compliance with chapter 29 of the SF
3.7 M ' be installed on. slopes 7:12 and greate
4. INSTALL [ION
4.1 Alma carte rte e stay scoot t ue and its - )mpornnnts shall be installed in strict
rnrnn .nee wit! Miami Dade County Roofing kpplication Standard RAS 113, RAS
119,12 1RAS 1: ).
Frank Zuloaga, RP,C
Roofing Product t_..o• trol Examiner
Table 3: Attachment Resistance Expressed
for Nail -On Systems
as a Moment - M (ft -Ibf)
Tile
Profile
Fastener Type
Direct Deck
(min 15/32"
plywood)
Direct fleck
(min. 19/32"
plywood)
Battens
One Piece 'S'
Tile
2 -10d Ring Shank Nails
28.6
41.2
19,4
l 1-10d Smooth or Screw
Shank Nail
5.1
6.8
2.8
2 -10d Smooth or Screw
Shank Nails
8.9
9.2
7,3
118 Screw
28.7
28.7
N/A
2 .08 Screws
58.2
58.2
26.8
19.0... 1
24.0
1 -10d Smooth or Screw
Shank Nail (Field Clip)
23.1
23.1
1 -10d Smooth or Screw
Shank Nail (Eave Cllp)
29.3
29.3
2.10d Smooth or Screw
Shenk Nails (Field Clip)
27.6
27.6
38.6
2 -10d Smooth or Screw
Shank Nails (Eave Clip)
38.1
38.1
41.8
7 0d Ring Shank Nails
33.1
48.1
45.2
Installation with 0.4" tile headlep end Easterners are located a min. of 2',T from head of tile.
t
ALMAR (USA), INC.
One Piece '5' Tile
Tile
Profile
Batters Direct Battens Direct
Deck Deck
Battens Direct
Deck
4.47 5.35 4.40 5.27 4,31 5.16
One Piece 'S'
Tile
NOTICE OF A EPTA STANDARD COND(T> NS
4.2 Data For Attachment Calculations
Table 1: Aerodynamic Multi
Tile 71(ft)
Profile Batten Application
0.253
ACCEPTANCE ^1o.: 99- 1102.04
APPROVED :December 16, 1999
EXPIRES :December 16, 2002
lers -1 (ft
Battens
4.20
Table 2: Restoring Moments duo to Gravity - M (ft
3 ":12" 4 ":12" E " :12" 3 ":12"
or less
a (ft
Direct Deck Application
0.274
7' :12" or
_greater
Direct BaUens Direct
Deck Deck
5.03 4.08 4.89
Frank uloa$a, RRC
Roofing Product Control Examiner
U •
l ale
1 Profile
lone Piece 'S'
r lie
.':: or
3 Flcctle Products C
2 Set! rnanufacturr
Poi roam Prcd' rc.
ALSIAR (USA), INC.
NOTICE OF ACC,�P1",�IVCE S'CAYDA t C0 DITIONS
7 -- table 4: Attachment Resis;ar;:e Expressed as a Moment
for Two P'
Tile
Profile
Ona Pii:r;c rite
l ile
Proflitt
One Fine '5' Tile
atty Adhesive Set Systems
The Application -
i,dhesive
Pc lyfoem PolyPro "'
Polyfoam PolyPro'
Large pads DIe.C.Tr:rt of 639rams of PolyPro
j Me:Aim paddy a;ucement of 24grame of PolyPro^'.
^rr
tponent a pruval far installation requirements.
pany Tile9ond Ave rage weight per patty 10.7 grams,
Average weight prr patty t! grams.
ACCEPTANCE No.: 99-102.04
APPROVED
EXPIRES
Tabis uh.: Attachment Resistance Expressed as a Moment - M, (ft -Ibf)
for Sinile Patty Adhesive Set Systems
Tile Application
:December 16, 1999
:December 16, 2002
M, (ft -Ibf)
Minimum Attachment -'
Resistance
29,3' —
Minimum Attachment
Resistance
65.5'
38./;
Table 48' Attachment Resistance Expressed as a Moment - M, (ft -Ibf)
for Mortar Set Systems
Tile I Attachment
Application j Resistance
Mortar Set' I 24.50
5. L.1.BELING
A. tiles shat -t:ar the imprint or identifiable marking of the manufacturer's name or logo,
or .following sta "Miami -C: •1e County Product Control Approved ".
--t. t:.E:AENTS
=• pv!iC; lr t ing r;i m.: ,;gall be accompanied by copies of the following:
6.1.:
6.1.2 other d.) ^.•tinc ;s::s by the Building Official or the South Florida
BuilrIinE, foi;o (SFRC. in ordtt t . -;-openly evaluate the installation of this system.
Frank Zuloega, RRC
Roofing Product Control Examiner
ALMAR (USA), (NC.
.. r i i.I iuf 7. c r i
ACCEPTANCE No.: 99-1102.04
APPROVED :December 16, 1999
EXPIRES :December 16, 2002
NOTICE Qf ACCEPTANCE: STANDARD CONU[TI S
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 rnanufacturer'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 13!ilding Code affecting the evaluative. of iris
product and Om product is not it compliance with the cc.de chruig.s.
b. The product is no longer the same product (identical) as the one originally approved,
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 documer„o.,,,,,
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 :r-11 as approved drawings and other documents, where it appli• ,,,
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection 7t the job site at all time. The engineer need not reset) the f'ic
v:,m )ly w'rh ad) section of this AcceptancQ shall be cause for termination and removal
of Acceptanc•,.
9. This Notice of Acceptance 'consists of pages I through 7 and this last page 8.
END Or Ti Tifil6 ACCI",li"!'AN(; ; '7. ,". ..., ,,
Frank £uloaga. KKC
P. firug ° ?odui": 9!tt;41 ::Lr�iu:r
ALMAR (USA), INC.
APPROVED ;December 16, 1999
EXPIRES • :December 16, 2002
bOTICE OF ACCEPTANCE; STAN_ CONDITIONS
1. Renewal of this Acceptance ( approval) shall be considered after a renewal application has boon
filed and the original submitted documents, including test - supporting data, engineering documents,
are nc 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 a2
specifi; ally 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 affcc :ing 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 beer,
requested (through the filing of a revision application with approprictc 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 ptuvldcd to the user by the nianu(actut'et or Its dIstrIbutors and shall be available lot
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.
This Notice of Acceptance consists of pages 1 through 7 and this last page 8.
ACCEPTANCE tio.: 99- 1102.04
Owner/Lessee / Tenant
Notary as to
My Commission
Expires:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 8-18-99 Job Address 245 N. E 93 Street Tax Folio
Legal Description Historically Designated: Yes No
Gary Green
Owner's Address 245 N.E. 93 Street Miami Shores
ContractingQQuality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue
Qualifier Carlos Arocho SS# Phone 751-0382
State # RC 0 0 5 8 6 2 7 Municipal # Competency # 1 7 8 8 9 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (eirrele one): I: MIMING ELECTRICAL PLUMBING MECHANICAL ROOIFING PAVING FENCE SIGN
WORK DESCRIPTION Tear off flat roof to wood deck, tin cap base sheet felt as per
code, install galvanized eave drip and tlasning metals where required, uiup uii wit]
type III asphalt one layer of Ruberoid Bitumen.
Square Ft. 6s q • Estimated Cost (value) $ 1,800.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR I" I R. YEMENIS TO YOUR PROPERTY (IF YOU INTEND TO 0 , ;TAN 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 AFFID VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
co ction and o g. Furthermore, I authorize the above -named contractor to do the work stated.
11 r:.._
it
or Condo President
er and/or Condo Presider
MY COMMISSION # CC 880474
EXPIRES; October 10, 2001
Bonded Thar Nrtary Public Underwriters
FEES: PERMIT pO, RADON
laApri
MARYLOU HERNANDEZ
C.C.F.
/ d NOTARY
b / r r y
My Commission Expires:
Phone
11 - '=
Notary as to Contrac ,, .r or Own
Electrical
Master Permit # L AS-S-3 5,
751 -3202
Date Signature of Contractor or Owner - Builder ate
iiii.
MARYLOU HERNANDEZ
' au, MY COMMISSION # CC 680474
a:. :o= EXPIRES: October 10, 2001
Ao ;,,, Bonded Thru Notary Public Underwriters
BOND J ®D,
APPROVED:
Zoning Buil
Mechanical Plumbing Structural Engineer
TOTAL DUE
Appendix "E" .
.UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Contractor's Name.�l .0
Job Address: �i-I� �,F , q3 C
ROOF CATEGORY
(Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ (Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ..
i ROOF TYPN
❑ New Roof aRe- roofing - ❑ Recovering ❑ Repair ❑'Maintenance
Flat Roof Area (ft') w c Sloped Roof Area (f 3)' .. '. Total (ft') (, s , Master Permit No.
Exposure category (per ASCE 7 -88): L Building Classification category (per ASCE 7 -88 table 1):
citt fr C
ATTACHMENT
111 ,
Fastener Type: �t (, ft.5
,SPACING
Field :. p , c . Pcrlmeter: (v d 0, c , , Corner: iv Q,/ ,
DETAIL 1 & 2
ROOF HEIGHT AND SYSTEM DETAILS
• (Draw details as needed)
•
r
r
f
ROOF PLAN
r
r
r
r
r
123.01.78 8198
Page -1
Ridge Ventllytlon0
NEM HE:CHT
(Pmaxl:
(Pn: ax2:
(Pmax3:
Deck type :I
z Und ad:ay:nerd:
Appendix "
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Insulation:
u
A007 SLOPS
D B ?AIL . 3
. ISLOPED SYSTEM DESCRIPTION
Fastener type & spacing:
Cap Sheet:
Ro Covering:
X X, (Aerodynamlo Mull! lien): ) • M :'
e
(Aerodynamlo Multiplier): ) - M
X X, (Aerodynanilo Multipller); �. ) • M
A . Drip edge:
TILL CALCULATION
Page -2
PCA:
PCA:
PCA:
ATTACHMENTS REQUIRED
e Directory Listing Page
2) Da i - ounty Product Control
Notice o = cceptance -Cover Sheet
a) Specific stem 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 OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner
with the required roofing permit, to provide the owner with this appendix and to explain to the owner the
content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
The owner's initial in the adjacent box indicates that the item has been explained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
viding that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
nailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually
concealed prior to removing the existing roof system)
.3. Common Roofs: Common roofs are those which have no visible delineation between
eighboring 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
an be viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
ay cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
erloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with Chapter 23 of the SFBC.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
tenor 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.
O( ne`shgent's Signature
Signature
Dat Contractor's
Signature
PRODUCT CONTROL NOTICE
GS Roofing Products Company, Inc.
5525 MacAuthur Boulevard, Suite 900
Irving, Texas 75038 '.
Approved: 06/19/97
1
Internet mall address: postmaster @buildIngcodeoniine.com
OF ACCEPTANCE'
•
. BUILDING CODE COMMITTEE
Ee j* N r
• M ETRO -DADE FtAGIE s~ ''
•R�g(j�LDING•;�:
r ier
METROPOLITAN DADE CO�J %tY; Lo R ID A St�
BUILDING CODE COMPLIANCE1bFfICE.‹....
METRO.OADE•FLAGL'ER. BUILDING ∎: r:�
ta0 WEST FLAGLER STREET, SUITE 1603•
MIAMI, FLORIDA 33130•4563.
• (305) 375.2901
FAX • (305) 375.2908 •
THIS ISTHE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
PRODUCT CONTROL 0IVISION4;.,
(305) 375.2902r4,.
• FAX (305) 372.6339•
Your application for Product Approval of:
GS Roofing Products Modified Bitumen RoofSystems Over Wood Decks
under Chapter 8 of the Metropolitan' Dade Counry Code governing the use of Alternate Materials and Types'of
Construction, and completely described in the plans, specifications and calculations as submitted by:
Factory Mutual Research Corporation anti •Underwriters Laboratories, Inc.
has been recommended for acceptance by the Building Code Compliance Department to be used in Dade Counry.
Florida under the specific conditions set forth on -pages 2 through 31 and the standard conditions set forth on page
32.
The approval shall not be .valid after the exp(rat(ort, date stated below.. The Building Code Compliance ;Office
reserves the right to secure this product of material •at any time for a jobsite or manufacturer's plant fo f, qualir>
control testing. If this product or material fails 'to perform in the approved manner, the Building Code Compliance
Office may revoke,. modify .or suspend .the use of. such product or material immediately. The .applicant shall
re- evaluate this product or material should any amendments to the South Florida Building be enacted affecting
this product or material. The Building Code Compliance Office reserves the right to revoke this approval,• if' it is
• determined by the Building Code Compliance Offic that this.product or material fails to ; meet the requirements of . • •,
the South Florida Building Code. The expense ofsuch testing will be Incurred by th man ac r. . ,•
Acceptance No.: , 97- 0520.01 .. Revlses • 95- 0502.04
• Raul Rodr uez
Expires: ' 06/19/00 Product Control Supervisor - -
This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code
Compliance Department and approved by the Building Code Committee to be used in Dade Counry Florida under
the conditions set forth above.
ar es •anger, P.E.
Director
Building Code Compliance Dept.
Metropolitan Dade County
Homepage: http : / /www.buildingcodeonline.com
;.r
Applicant:
CS Roofing Products Company, Inc. (MB)
5525 MacArthur Blvd. •
Suite 900
Irving. TX 75038
• Product Control NCI:: 97-0520.01
Riii0FIN6 APPROVAL
•••
•
Category: Membrane.Roofing System
Sub-Category: Built-up Roofing •
Tyne; Modified Bitumen •
Sub-Type:, SBS/APP
• • •
•••••• ;.
Contact:
Pat Neuhaus . •`:
Commercial District Manager
2900 Bird St.
:Charleston Heights:S.0i . 29405 .
(803)7444451. ;;.
2
" ‘ A
•• • • • ,
Product Control No.: 97-0520.01
Approval Date:. June 19 1997
Expiration Date: June 19.2000
.. rSvstemiDescrlPtion
GS Roofing Products Company,. Inc. manufactures and markets nationally a complete line of residential and
commercial BUR:and 'modified bietimett Roofing 'ProduCts Company, Inc. markets thee 'tiro
through local distribution 'In'the South' Flciridajtirisdietion:' • •
GS Roofing products and'systems are the'restili:of years iriiianufacturing'experience and product development ' and
. 2.c. •,
have been proven byyears 'of experiencalit thedithstructiiiii fictd. ' •
GS provides .technical service and warranty Information through regional offices. For the S9uth Florida
Metro-Dade area, call 1-800-777-2563.
ran ulonga-Plans Examtn uct Control Div.
GS offers a variety 01 approvedinSulated'ind iiOn systems. • For detailed system. constructions,
refer to the following publications: "ComniercialltOof *Sidi SpecifiCation Manual". ' • •
well as Underwriters Laboiatories; itrid Factory Mutual Research Corporation for fire and wind uplift
GS products and systems,have been tested.iiicomPliance with all•prtiVii icins of the South Florida B as
resistance.
.Insulation Tvnes
Fibrous glass
Perlite
Fiberboard
Rockwool
�:..• .s•:„ , ..i.: •
Polyisocyanurate • . •
Polyisocyanurate Composite*Board••••,'°;":1..i. • •
Maximum Design Pressures
•Material Design Pressure
Wood -45.0 psf,
Maximum Fire Classification
Material Classification
Wood Class A
i.
" ''"' - 'w .ia,f:F uloaga -Plans Exam
Product Control No.:. 4 ./-0520.01
•
,• 0 .
Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types.
Review systemiistings for design pressures and•the Underwriters Laboratories Rooting Materials Directory •
or other approved testing agency listing directory for Fire ClassIfcations.
ct Control Div.
•
Wood Deck System Limitations:
I A red rosin sheet shall' be installed on all wood plank decks to eliminate asphalt seepage and bonding of
base sheet to wood plank deck. Red rosin sheet may also be•installed on plywood decks as: an option.
2 Pre - assembled 'Cap Nail' shall not be used for base sheet attachment.
3 When All Weather Empire base sheet is installed as the base sheet. a ply sheet of ASTM D'4601 type 11
(type 02) must be applied in approved mopping asphalt applied within'the EVT range and two rate of
30-40 lbsisq prior to installation of membrane..
•
uct Control Div.
GENERAL LIMITATIONS
1.
All asphalt shall comply with ASTM D312, type III or IV requirements and approved by applicant.
-' Fire ratings are determined by a combination of slope, deck type and assembly. Refer to the current
Underwriters Laboratories Roofing Materials Directory or other fire testing data listed in the testing file
Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 ache South Florida Building
Code.
3 Maximum slope range varies for each system. Consult the current Underwriters Laboratories Roofing
Materials Directory and manufacturer's specifications for compliance with design criteria for each
project.
4 An overlay and/or recovery board is required on all applications over closed cell foam insulations when
the base sheet Is fully mopped in hot asphalt.
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 South Florida Building Code.
6 The submission of system specifications and details shall accompany the Section 11 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
7 installation of all materials shall be the sole responsibility of the contractor.
Perimeter and comer areas shall comply with the elevated design pressures of these roof areas, as
calculated in compliance with Chapter 23 of the South Florida Building Code. Anchor or base sheet
fastening patterns and/or insulation attachment densities shall be increased in compliance with the
provisions set forth in Metro -Dade County Roofing Application Standard PA 117 to meet these elevated
design pressures.
8 All attachment and sizing of perimeter nailers, metal profile and/or flashing termination designs shall
conform to Metro -Dade County Roofing Application Standard PA 1 1 1 and the wind load requirements
of Chapter 23 of the South Florida Building Code.
9 Flashings shall be installed according to the manufacturer's standard details and may be applied in 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 provisions of the South Florida
Building Code.
10 Fastener spacing for anchor or base sheet attachment is based on a Minimum Characteristic Resistance
Force (F') as determined through field testing in compliance with Metro -Date County Protocol PA 105
or PA I05(A). If F', as tested, is less than that listed in the System Limitations, a professional engineer
may 'submit revised fastener spacings utilizing F', taken from a Metro -Dade County Protocol PA 105 or
PA l05(A) test report, and the provisions set forth in Metro-Dade County Roofing Application Standard
PA 117.
11 Fastener density for insulation attachment is based on a Minimum Characteristic Resistance Force (F')
as determined through field testing in compliance with Metro -Dade County Protocol PA 105. If:F', as
1 ' -
tested, is Tess than 275 lbf., insulation attachment shall not be acceptable.
Asphalt moppings shall be applied with approved asphalt and shall be in compliance with the
equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets
shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and
temperature ranges shall be in compliance with Subsection 3403.4(A)(3) of the South Florida Building
Code.
13 Insulation may be applied in multiple layers. The first layer shall be attached in compliance with the
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 30 -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 the provisions of M .
PA 117. • • • tink Standard
30
oaga -Plans
Product Control No.: 97- 0520.01
uct Control Div.
14 MI standard insulation panels sizes are acceptable for mechanical attachment. When a
approved asphalt, panel size shall be 4' x 4' maximum. pelted to
1 ' 5 In re-covery applications, prior to.the application, all existing root used as a bonding substrate
shall be tested in compliance with Metro -Dade County Protocol PA*12 4 for uplift resistance :. Test
pressures shall be calculated in compliance with the wind load requirements of Cha ce 23
Florida Building Code for the roof in question. P r 23 of the South
16 In re-roofing applications, pplications,.moisture content in an existing roof must be in compliance with Subsection
34 0l.10(m), (n) orate South Florida Building Code.
17 Roof goods shall be stored on end and on a clean, flat and dry surface.
18 if re uired an
q y Factory•Mutual Approved vapor barrier in conjunction with proprietary
adhesives may be used prior to the application of the insulation layer.
19 Consult current Underwriters Laboratories Directory for the appropriate .coating or approved
assembly to obtain the required fire rating. The assembly shall be installed in str with rootin
Subsection 3401.5 and 3401.6 of the South Florida Building Code for maximum tire classification.
4
3
Product Control No.: 97.0520.0I
uloaga -Plans xa - • uct Control Div.
•
CS Roofing Products Company, Inc.
5525 MacArthur Suite 900
Irving, Texas 75038 ACCEPTANCE NO.: 97- 0520.01
APPROVED: June 19, 1997
EXPIRES: June 19, 2000
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the
original submitted documentation, including test supporting data, engineering documents, are no older than
eight (8) years.
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 changein the materials, use, and/or manufacture of the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has been requested
(through the .filing ofa revision application with appropriate fee) and granted by this office.
5 Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other
purposes.
6 The Notice of Acceptance number preceded by the words Mcu u -DaJc Cuurrty, Florida, told followed by the
expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is
displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be
provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site
at all times. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
9 This Acceptance contains pages 1 through 32.
END OF THIS ACCE
32
Product Control No.: 97- 0520.01
roduct Control Div,
Membrane Type: SBS MODIFIED
Deck Type I: Wood, Non - insulated
Deck Description: " / or greater plywood or wood plank decks
System Type E: Base sheet mechanically fastened.
All General and System Limitations apply.
Base Sheet: One ply of GS Glas Base."GS Flex -I Glas Base, Flex -I Glas FR Base or GS Poly SMS base
mechanically fastened as detailed below.
Fastening: Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c.
in the lap and two rows staggered in the center of the sheet 12" o.c.
Ply Sheet: (Optional) One ply of GS Glas Base, GS Flex- I -Glas Base, Flex-1-Glas FR Base, GS
PoIySMS or one or more plies of Flintglas Ply Sheet (Type IV) or Flintglas Premium Ply
Sheet (Type VI) adhered to the base sheet in a full mopping of approved asphalt applied
within the EVT range and at a rate of 20-40 lbs./sq..
Membrane: One ply of FlintlastIc GMS, Flintlastic Premium GMS, Flintlastic FR -P, Flintlastic
Premium FR -P, Flintlastic FR -PG or Flintlastic FR Cap adhered to base or ply slieer with
approved mopping asphalt applied within the EVT range and at a rate of 20 to 40 lbs. /sq. or
Flintlastic GTS torch adhered to base or ply sheet
Surfacing: (Optional) Install one of the following:
1. 400 lb./sq. gravel or 300 lb/sq. slag in a flood coat of approved mopping asphalt at an
application rate of 60 IbJsq.,
2. Karnak 97 or APOC 212 Fibrated Aluminum at an application rate of 1 '/ gal /sq..
Maximum Design
Pressure: -45 psf
Maximum Fire
Classification: Class 'A'; see General Limitation #2.
Maximum Slope: 1 :12; see General Limitation #3.
Specification No.: GMS 2 -3, FRP 2 -3, GTS 2 -3, FRBC 2 -3
27
• 'w
Product Control No.: 97- 0520.01
F rank Zuloaga -Plans Examiner, Product Control Div.
ROOF14 SYSTEMS (TGFU)--- Continued
obrona: One layer 'F1Intlastic CIA 0/4 sq or •1 s ), cry (modified
mon), heat (used or ` Fllntlasric CMS , hot mopped.
acing: APO( 'No. 212 Fibratod 'Aluminum'., at 1-1/2 gat. 100 sq/ft.
t:C Ineileei 3/4
or Retarder (Optional): Type C2 "Glasbase' base .sheet or UL
;idea vapor retarder,
Cation (0pcional): One or snore layers or combination of the
•wing: Uttragard Premier, polyisocyonurata polite. glass fiber or
o fiber Insulation.
Sheer. One layer of Type G2'Cilaibase base sheet.
,bone: One layer of 'FilntlJStic STA (modified bitumen), heat fused.
'acing: Karnak 'No. 97 FTbratad Aluminum, at 1 -1/2 gal. per 100
C -15/12 lndlne: 1/2
Jurion (Optional): Schuller International 'UltraGard Premier.
, isocyanunte. wood fiberboard, punt:, fiberglass. lsocyanurate, any
amass. -
e Sheet. One or more plies of "Glasbase ", hot mopped or mechanically
ened. • " •
rrbrane: One ply oi'FlintLi: tic FR' (modified bitumen), hot mopped in
- e.
Incline: 1/2 •
station: Polyisocyonurate, glass fiber. petlitt, wood fiber, hot mopped
nechenlcally fastened, any thickness•
e Sheer Type G2, mechanically fastened or hot mopped.
nbnne: "F intiastiC GTA or STA', heat fused.
- facing: Henry Co. "Henry 520 Aluminum', applied at 1 -1/2 gaV q.
Inclines 1/4
uladon (optional) :•Glass Ober, purlite or wood fiber board.
Sheet Type G2. nrichanically'h :toned. ••
mbrene: "Flintiest STA', "GTA ", `GTA Black Diamond' or 'GTA White
mond ", heat fused.
- facing: Karnak Chemical Corp, "Karnak No. 97', 1 gal/sq.
. hC Inclines 1
ulation: PolSisotyenurate. glass fiber. partite. wood fiber. mechanically
lance or adhered with hot roofing asphalt, any thickness.
se. Sheaf Type G2, mechanically fastened or adhered with hot roofing
rrbrane: 'FlintlzstiC GM5', - CMS Premium`, adhered with hot roofing
(halt_
rf3cin : Karnak 'Chemical Corp, "Karnak No. 97 Fibrated Aluminum
,hat( Roof Coating 2-1/2 gal /sq.
C-15/32' Incline: 1
i'. joints blocked math 2x4's.
;Lilac Gla fiber, perlite, 3/4 in. min, Joints in insulation must be
sat 6 in. from joints ir, deck, mechanically fastened,
s e Sheic Type G2, mechanically fastened or adhered with hot roofing
halt_
rnbnne: 'Fllntlastic CRS', adhered with hot roofing asphalt
rfacingi Karnak Chemical Corp. "Karnak No. 97 Rbrated Aluminum
halt Roof Coating', 2 -1/2 gal/sq.
•• '.0 Incline; 1/2
ut:tion: Polyiso cya nurate, glass fiber, partite, wood fiber, mechanically
tened or adhered with hot roofing asphalt, any thickness.
e Shaac Type 62, mechanically fastened or adhered with hot roofing
tell.
(rrbrane: "Ftlnuitic STA'. 'GTA', 'GTA Black Olamond' or 'GTA White
:pond', net f1.•scd in place.
:facing: Karnak Chemical Corp. 'Karnak No, 97 Fibrated Aluminum
hilt Roof Coating ", 3 gat/sq.
Incline: 1
utation (0 or{ onil)i n gtass,fihrekpolyurethane, socyanurate,
anode combination socyanura /patine, p7q0rethane/pellitivood
er, any thickness. hot mopped or nailed.
rnbnne :'Flintlastic STA'. "GTA', ' GTA Blade Diamond', "FUntlastic CIA
.ite Dimond', 'OAS', 'GhtS -5M'. 'CMS Double Coverage' or 'GMS
ilium', heat fused or hot mopped in puce•
mein ;: Grundy Industries, Inc. 'al MB Aluminum Roof Coating' at 1r2
C•15/32 L•idlre: 1/4 ' • '
:lo tion (Optional)): Any thickness polyieo:yanurote, class fiber or
mechanically fastened, joints in insulation must ba offset 6 in.
rn joints in deck.
to Sheet type G2 base /ply sha:et, mechanically fastened' or hot
J;ad.
Sheet: Ty G2 brio /ply shear, mechanically fastened or hot
aped.
rnbnne: "Flintlastic SL.', 'GTAWhite Diamond' or `GTA Blade Diamond'.
sing: Grundy's 'al MB Aluminum koof Coating' at 1 to 2 gaVsq.
Nl' Incliner 1/2
Cation (optional): Polyisocyanuratt, glass fiber, perlite, wood fi ber,
combination, any thickness, mechanically fastened. • . -
LOOK FOR MARK
ON PRODUCT
Donal • nurate
'is
•
3l•
ROOFING SY'STEh.S (TGFU)--- Continued
Base Sheet Type G2, "Flex- I -Was FR' or "Flinthstic FR Base', mechaniq
fastened or adhered with hot roofing asphalt.
Membrane: 'Flintlastic FR-P 'Flintlastic Premium FR
'Flintlastic- FR/PG' or "FUntlsstie FR Cap', adhered with hot roofi
asphalt ti .
42— Oed:s- C•15/�2 Incline: 1/2 ''I t '
'Ml joints in deck blocked •vith 2s4's. • ` Ali. • • Insulation (optional): P•rlylsoeyanurate. glass fiber. perlite..9 •: • combination. any thickness mechanically Fastened. . -�j+.
,Base Sheet: Type C-2. ronchanicaUy fastened with hytt•; -[
asphalt. -,: ,; ;.
Membrane: 'Fllntlastic 14-1s, 'FUntln�ic Pr niium FR•r,or 'Mine . 1le.
'FR/P�G� adhered with hot roofing asphalt ;: ..
eck.00 Incline: 1/2 Oft,
Insulation .(Optional): E'S. any thickness, covered with 1/2.i
polite or wood fiber, men hanica y fafastened. • t • ,-.1
Base Base Sheet: Type 62. men hanically b, tened or adherod with hot Ps •
+`
asphalt- '
Membrane: "Flintlastic Ft.r 'Flintllstic Premium FR -P' or'Ri . ` i •
'FR/PC', adhered with hoc roofing asphalt. sit - .7,1•10%. ,
14. Deck NC Incline: 1/2 ' :•i j j
Insulation:, Pol . glass fiber, perlite. wood -fibs ,.
combination. any thickt.eis,'mechanically fastened. .' ;y : ; a
• Base Sheet: Type G2 or 'Flex•i•gla:: , adhered -with,hokroofin� . LL f
Ply Sheet SMS Ba Sheet'. adhered with •hot roofing :aiy
Membrane: "GALS' adhered with hot roofing asphalt. 6: .
Surfacing: Karna Chemi Corp. 'Karnak No. 97 Flbrated..A � ,
Asphalt Roof Coating'. at 2-1/2 gaVsq• '4w: ,• ' %i : , ��
15. Oecl NC India= 1/4 { •s?•' ;S411e
Insulation (Optional;: Polyisocyanurate, glass fiber, perlite,•1voe:('Ta ;1;; Co
. any combination. any thickness, mechanically fastened or adtie •')1 ,
' hot'roofing.asphall_ c : • i t '444,c ti a.c
Base Sheet Type G2 or•" flex- r•glas'. mechanical fastened oa,;,'� i
with hot roofing asp salt. "• ! st 1e:; m
Ply Sheet (Optional): Type G2 or "Fine- i- glas', mechat»olly„ ^ .I l i` :; r - a
adhered with hot roafin ,asphalt ::��(, ;'. r
Membrane: 'Flintlaf tic GMS , '6145 Premium', adhered with.ho d7' 4a � ,
Surfacin • Asphalt Products Oil Corp. 'APOC -400 Sunbrite?;i3.rg i
16. Deck: C - 15/32 Inctine: 1/4 : r :17 , ee:Ti6: : -
Insulation: Glass fiber, perlite, 1 in. min. joints in ins ua ji o n �j �� �i
offset 6 tn. from j sinI in deck, mechanically fastened.. � :� 7 rs .i,~a
Base Sheet Type G2 or 'F1ex- I- glass, .mechanically fastenedt fts•1��°''
- .l3 i tie?:.
with••hot roonnne ; sphalt.
adhered iviih hot roofing asphalt r1•a % � i , 3i� r
Membrane: 'Flin'iastic CMS'. '6115 Premium', adhered witlsth• yrjl/;f t•
asphalt ..—
Surfacing: Asphalt Products Oil Corp. Sunbrite'.;^
- K7. beck NC Incline: 1/2 • 3 . ..
sul
Ination (0 Pol ' 'y'
1 P ) • Y�� D erlite.' glass fi • . � �r•ar
fiber, any th dotes:, mechanically fastened or hot mopped•.: ,• C
Base fa �ened hot e mopped inaplacef Type 62 or'Fie�t -i gla4 Sg , ; F L e ;•,•
Ply Sheet (Optional): One or more layers or Types G1, G2 - oc +'i•£
mechanically fastened or hot mopped in place. "• " t!,:
Membrane: 'Fintlastic GTA', 'CIA Blade Diamond', 'GTA W
or 'STA', hat fused. • • • . • "• ;a'• It
Surfacing: Karnak Chemical Co. "No. 97', applied at'..1
18. Decks NC '•.
• �rji. : l f i
1 �i•w
u n / •1". , )....1: /. ,. a
• In (optional): Pcrtlte, glass fib m • >:;/ :'' '!'yr ft, ..
mopped in p ace, 2 In. max thidaness. • '
mo a �t %,A
} } g r7 it:
try t ;' :'
Base Sheet One or more layers of Type 62 'F .,:. lax -i-g • o t�ci•t '{ti*
heat fu ed v�S • .
fened or not mopped in place. ` •C • :".4 Ply S to t-�0ptioaa . tie or more sayer, of�Types G1 G2' w =�+�j ; Memb "GT or lrrane' 8 A ,ShGTA�BlackhDimond ,'C d IA Whirc:Diatisp , kaF '�;; l�. :a Q
Surfacing: APOC No. 212 Aluminum Coating, • appUed a „1 ?�'•`; e;
19. Deck: C -15/:2 Incline: ' '=yk• - ''if,;1
lr�afigi'
Insulation: Glass fiber or perlite. min 1 i thick mesh• r 11.► " : "
or hot nnc ppcd in pplace. •• • 'i. /or ;:f �0't.
Zest She at Type 62, '; lex -I -Gras' or'Flex- I -Glas FR Q • , a t •:::: : ' I ;'� . f>stan o hot mopped cd in place. s •'
Membrane: 'flintlastie FR -P', 'Flintiastic Prer • siura 1 F;' FR/PG', lot mopped in place, ' 20. bode NC r. Indtn� 2 . )' ".•� X5 :: Insulation (Optional): Partite, gbss fiber. polyurethe Y ' phenoltr. conthination iaocyanurote /partite, potyureur ts 'F r fiber, a ry. thickness. mechanically fatte or hot mo a • a
• Base Sheet FR Base', Type G2 or'Fle 'X- L ; ', �
futetif d of hot mopped in place aF ' , r. ;fi ; ••,
• r - ;�a`� t!
• ernbr
FP -P",
1. peer (••
lnsuh
or hot
Base'
Herne
Dac>` C.
In sill:
tomb'
must
Base
roofin
Base
Ki(h
Ply •
aria
Hen
Inst
fast
B.0
aJh
. 9
fir
•
ant
• 9e.'
x ,
Date / /g//9Z Job Address .2.X6 27I T 5 Tax Folio /1 ‘0 /3 9.4
Legal Description/or 4.- 9,1 7 f (/".- W L,,h /p )1/(4 /,gV 4b Aoes
C Owner / Lessee / Tenant 94di 4..�'! � Master Permit #
e J
Owner's Address a S /1.6. 9Jm' 1.04.4., '/ 44 Phone 9/- G
Contracting Co. L#9. - enedSTI21107101.1 1A C Address % 4/ 7 Al t ' 6 5.>1 v e
Qualifier MME 6 5 11 SS # Phone (So 5) VI l —7 813
We State #CbZq�oPZMun cipal # Competency # Ins .Go Thil2hEle e //1•' kW.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION
o
Square Ft.
OWNER'S AFFIDAVIT: I
be done in compliance
authorize the above -n
Signat a of owner
Date: /0 — cZ/
APPROVED:
9,0,\
G
p_444e. ki,2
Q.coll
6,
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
and /or Condo
Notary as to Owner
My Commission Expires: /0 _a 95-
Zoning
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.
certify that all the foregoing information is accurate and that all work will
with all applicable laws regulating construction and zoning. Furthermore, I
ed contractor to do the.work stat 3'
Presfil#ITY WARD
STATE OF FLORIDA
My Comrn Exp10/21/95
-__ BONDED
President
Fire
Buildin
Mechanical Plumbing
p1449 t,,t,:N 304
Estimated Cost(value)I5
b
My Commission
N
FEES: PERMIT 3 , 6`v0 RADON C.C.F. J. ®i NOTARY
Expires:
PAVING FENCE SIGN
s to C'V tractor or Owner- Builder
6
TOTAL DUEA.5
**
11 Other
la 1 - Z" Electrical
Engineerin
PERMIT* TAX FOLIO NO.// :4 43 5We t
'State of Florida
County of Dade NOTICE OF COMMENCEMENT
92R39 1 1 6 3 1992 OCT 21 13 :44
THE UNDERSIGNED hereby gives notice that Improvement 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. Description of property :(legal description of the property, and street
address I f a v a i l a b l e ) 1 .2115
AA
°s� 4R4 Otis � � �3S
2. General description of Improvement: Q4A p creec
4vre.tx, �3° - g 3 3'' - e� -�-`t P2 urn 92 •46 P .
.4(14 6-e-64e ,er-kzte ,6X
3. Owner Information:
a. Name and Address:
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor: (name and address)
5. Surety:
a. Name and Address
b. Amount of bond $
6. Lender:(Name and address)
8. In addition to himself, Owner designates
to receive a copy of the Llenor's Notice as
provided In Section 7.13.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date Is 1
year from the date of rec g 7 a different date Is specified)
7. Persons with the State of Florida designated by Owner upon whom notices
or other documents may be served as provided by Section 713.13(1)(a)7.,
Florida Statutes:(Name and address)
STATE OF FLORIDA
My Comm ExP1O /21/t9' S Ig ^a
Sworn to and subs bed before i s [t'- . I -
.lGur. / .AG/
o'ary P
44-44Z°
ass /��• 9,3m4 m 211-0-«
,40-4/94-til t hri 1- A" /
/91;ern-c;
ure of
day of
May Commission Expires
I HEPEf3Y CERTI
orig:
•
STATE OF FLORIDA"
COUNTY OF DADE
WITNESS r,y Iiand and Ofticia
Clerk Cimulli Court
By
dO 111 fp 1 ::\.ce
of ,
199
? S•Z
D.C.
PERMIT APPLICATION FOR MUNICIPAL IT
(OWNER TO RETAIN COPY)
e ( 4c ' p/ . ?a SE
Job Address
Legal Description 024 14 i/ t7` o2 /W7 4%) Master Permit
Owner / Lessee / Tenant 030 S-lik 6 / 44 9 0 , 1.6 -
Owner's Address C.4- )J .0 . t73 Sf phone
Contracting Co. So AA ti 1 :0 rt_06 Address '7a 9e
Qualifier
State# /q j Competency1 Ins. Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION A! (Z. �-
Square Ft.
Signature
Date:
10 1,0d
cc- .5
S .0 -e I t 5 2. ss /f ?
Zoning
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. 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.
Furtherm• e, I au horize the above -named contractor to do the work stated.
Notary as to Owner and /or Condo* e
My Commission Expires • / WIFICIAL NC I AR LINK
OO
PERMIT FEE: APPROVED: Fire
* * * * *0 8ERT L ccr. v on
Building
Mechanical Plumbing
Address
Address
Address
"-11 tai._,
Estimated Cost
Signature of Contra
Date:
Notary as to Contracto orm n / 441der
My Commission
*
IES OF DADE COUNTY
Tax
Folio /� <1020i ��J d
N
phone
Electrical
Engineering
A CT
Expires: °O:►
•
ider
* CISQ- 1 �oT ARY * RAL
pBERT L . oCt. 4,90
Other �gpy( COMt�iSf �1d
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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.
Owner's Name and Address
Registered Architect and /or Engineer 7
Name and address of licensed contractor
Location and le • al description of lot to be built on:
Lot �Y /L�d Block 2 ? Subdivision
Street and Number where work is to be done 2 ¥. N.E • / 3 5 T •
State work to be done and gxexef ng (by floors). state exterior colors (submit samples)
IIYY Gig !f/'ON T
16 L ;) vt y
w -
New Building Remodeling Addition -
To be constructed of
Estimated Total cost of improvements $ p 1 41/ei Amount of Permit $
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all 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 obligatons 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 em . oy only such subcontra .n work • be .erformed
under this permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE. ss-
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
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 a..lication. and that he did sign the same. and that all facts therein by him stated are true.
Permit No.
Disapproved
(Signed)
7t
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
O
Building Inspector
Jose i so ,,?...f-
Kind of foundation
Date
Date
Repairs
Date
Read. Sworn to and Subscribed before me.
19 31
No 2 Street E 93 ST.
/PY
No of Stories
and for no other purpose.
Roof Covering
k,,40
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.