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ROOFING
Approved Correction Re-Insp'n Fe MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp' "l r4LL-_ o s Permit No. L ` D Name ...z - 7 Address NE: / az. 3-1---, Company Phone # 7 For Inspector: 1 Name CAI 5C0 W n 7 49 0 Q r 4 )2 1-2,401 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 8 -15 -01 Job A ss 332 N.E. 92 Street Tax Folio //— Q / '( — O/ — 6 5 0 C Li S 7 >' 1a� Legal Description . S S-Q. C j k b � � orically Designated: Yes No owner/Lessee /Tenant Marilyn Pare / .4/v — m.4-R/,, Ag, Master Permit # 1 .( c t C r s ' l l Owner's Address 332 N.E. 92 Street Miami Shores Phone 754 -7525 Contracting 01 'Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Que Carlos Arocho State# RC0058627 Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION • Tear off old roof to wood deck, replace rotted wo 301b. ASTM felt, install galvanized eave drip and valley metals wh e required, m on with type III asphalt one layer of 901b. ASTM felt, install Spa ish S Cla colo ru tile wit po yfoam adhesive setting. Flat roof to install rubero SquareFL 20sq. Tile 2sq. Flat Estimated Cost (value) $ 1 1 , 400.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDS 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 we will be performed to meet the standards of all laws regulating construction in' this jurisdiction. I understand that separate permits are required for ELECTRIC!. 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 regulat: construction and zoning. ermore, I authorize the above -named contractor to do the work stated. AfrAi t ' tur.\ of owner - ,pr Condo President Date Signature of Contractor o Owner Builder Date ... I _ Notary as to • / and/or Con My Commission Expires: FEES: PERMIT RADON Municipal # T YLOU HERNANDEZ MY COMMISSION # CC 680474 EY+:; %3L, . October 10, 2001 Bonded fhnl Notary Public Underwriters C.C.F. / , c 0 NOTARY Q '" - ' B O N D O O - 0 0 APPROVED: Zoning Building Mechanical Plumbing Structural Engineer SS# Phone 751-0382 Competency # 17889 Ins. Co. Notary as to Contr tor or 0 My Commission Expires: Electrical modified .' M A L O U H E R N A N D E Z MY COMMISSION # CC 680474 EXN:RES: October 10, 2001 o: ;;r Bonded 7hni Notary Public UndeMRiters TOTAL DUE � ,a1) NOTICE OF COMMENCEMENT A'RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. // — 2,2.() A U/3 - 2 6 0 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: 332 N . E. 92 Street Miami Shores, Florida 33138 2. Description of improvement: Reroof to a new Tile and F1 a f - rnnf 3. Owner(s) name and address: Interest in property: Owner Name and address of fee simple titleholder: Quality Roofing Contractor, Inc. 13800 N.W 1st Avenue Miami, Florida 33168 4. Contractor's name and address: 5. Surety:(Payment bond required by owner from contractor ;Aif;•rapyk; „t1;m; r; c n original tired Name and address: IVA by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A Notary Public Print Notary's Name My Commission Expires Marilyn Parel f 4N— /4L,e /& /4 , P' 332 N.E. 92 Street Miami Shores, Florida 33138 1/r � 1��4'C rn 7. Persons within the State of Florida designated by Owner upon whom notice bp Si �I ure of Owner Print Owner's Name J 4 /1,42 /c 4 . / Sworn to and subscribed before me this .S day of A(A, . , 2001 . ERNANDEZ MARYL J I _ EXPIRES: October 10, 2001 I � • Thin Notary Public Nndoe.- -* 01 R 5 15254 2001 SEP 20 09:39 !ter, r„ Ih Amount of bond $ 0 0 ,,, r” r = _ 1 A l ,a) _G -., , rn hnna m 1 cdf, � rn l. rIA V Y �1OVIN, CLi i K, 0 t w it anu Cow ,. 6. Lender's name and address: N /A co, ...„.. 4 D.C. ther documents may be served 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: N/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a diffe nt date is spE cifie Prepared byCarlos Arocho Quality Roofing Contractors Address: 1 3800 N.W 1st Avenu Miami, Florida 33168 Contractor's Name:OLLAvi 'Annfin 0-0A LC i Tielr.-‘ Job Address: 3 3 1 ROOF CATEGORY (Low Slope Application) 0 (Nail-On Tile) Te‘rta 0 (Asphalt/Fiberglass Shingles) 0 ( Metal Roofs\Wood Shingles & Shakes) 0 (Other) ROOF TYPE V 0 New Roof Re 0 Recovering 0 Repair 0 Maintenance Flat Roof Area (ft') Sloped Roof Area (ft O S9 Total (ft') f ).,a. 57 Master Permit No. Exposure category (per ASC 7-88): c Building Classification category (per ASCE 7-88 table 1): Deck type: Wood_ Nap, ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) G-AS VENT STACKS? YES 11 NO TYPE—NATURAL ri LJ ROOF PLAN P r7 VP Y' I as 24 r 1 + 5 ' t 1 - ATTACHMENT SPACING DETAIL 1 & 2 , t■ , Fastener Type: ' „ II-1 RI S nct:t ls Field: 1).. `G. Perimeter: (2 1 0 Corner: Co c'0 cJr lc—vs 123.01-78 4/99 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page-1 Ridge Ventilation? MEAN HEIGHT Deck type: Underlayment: Insulation: 12" HOOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION 3 1b, yTitiv N I R Fastener type & spacing: I l i t /,2 1 'b l .r.. i ; �;. L►,S "0t Cap Sheet: Roof Covering: Drip edge: GO/'hefi ,l n V { L5 CcD ATTACHMENTS REQUIRED I) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Covcr Sheet a) Specific System Description h) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. TILE CALCULATIONS (Pmax1: 44. x X (Aerodynamic Multiplier): 13 3r) ) - M S .9 o = M 9. - PCA: (, I . 10 (Pmax2: l(, .) x X (Aerodynamic Multiplier): / •1 ) - M 5.'10 = M PCA: (<1 Veto (Pmax3: %(, 5 x (Aerodyna n c Multiplier): )■,') - ti ) - M 5, e i Q = M LO1 PCA: ((I _Ci L Page -2 v�� APPENDIX "F" REQUIRED O\\' \CRS NOTIFICATION FOR ROOFING CONSIDERATIONS 'fps it pertains to this Appendix "F" it is the responsibility of the roolin2, contractor to provide the owner v. isle the required roofing permit, to provide the owner with this appendix and to explain to the owner the cont.nt of this fort,. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the ntinint::ri requirements and standards cf the industry for roofing system installations. Additionally, the following items sho•.tld be addressed as part of the agreement between the owner and the contractor. The owner's initial in the ^�1ja^ cnt box indicates that the itcw has been explained. 1. Aesthetics The workmanship provisions of Chapter 3; arc 1 the p.irposc o f P v tiling that the roofing; system meets the wind resistance and water intrusion performance standards. A s:hctics (appearance) issues are not n consideration with respect to Workman -ship provisions. Aesthetic iss::es such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agre -meat between the owner and the contractor. 2. Rcnniling \Vootl Decks: \Vhen replacing roofing. the existing wood roof deck may have to be renai!ed it accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to re wing the existing roof system) 3. Common Roofs: Common roofs arc those which have no visible delineation between neighbori :tn u its (i.c. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or o`Uner should notify the occupants of adjacent units of roofing work to be performed. p forntcd. 4. Exposed ceilings: Exposed, open beam ceilings are \vhere the underside of the roof deckin be vi wed from below. The owner may wish to maintain the architectural appearance, ` penetrations of the underside of the decking may not be acceptable. The SFBC provides th therefore, option of m ai, t tt .i ' n ' : this appearance. S. Ponding \\'atcr: The current roof system and /or deck of the building near not drain well end n:,.N use water to pond (accumulate) in low-lying 'areas of the roof. l onding can be an indication of strt:ctt:rel distress and nay require the review of a professional structural engin:cr. Pondinc mav short c expectancy and performance of the new roofing n tl:: life system. fording conditions may not be ev id ent until the o: i;ine! roo lu system is removed. Ponding conditions should b.. 1 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is r.o: erioaded from n build up of water. Perimeter /edge walls or other roof extensions may block this dig :karec overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in a :codan :c wit! Chapter 23 of the SFBC. .h 7. Ventilation: Most roof structures should have some ability to vent natural airflo•••: tltroa`,h sire i::icr the structural assembly (the building itself). The existing amount of attic ventilation shall no: be rcd.rcd. I: • be beneficial to consider additional sentin`, which can result in extending_ the service life of the roo. S. The owner may contact the ivlianti -Dade County Consumer Services Department fog o fear in the above. /7 U:ttc Contractor's Si.,;n:iturc • MIAMI.OA R FEB 21 '01.14:12 FR BRADCO C C Santa Fe Tile Corporation 10302 N.W. South River Drive, Ray #16 Medley .FL 33178 Your application for Notice of Acceptance (NOA) of Spanish "S" Clay Tile under Chapter 8 of the Code of Miami -Dade County governin Construction, and completely described herein, has been reco County Building Code Compliance Office (BCCO) under the APPROVED= 02/0ER001 T E •F A1045000 1)17c2000Utemph De notice aceepenes cave, psgedot 305 597 9484 TO 3059533333 P.01/05 PT CONDITIONS BU1LDtfyG C ODE :PROD RF • l CE MIAMI -OADE COUNTY. FLORIDA METRO.DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE O FtCE METRO -DADC FLAGLER BUILDING too wE;ST rLAc4GR STREET. sum 1603 MIAMI. FLORIDA 33130 -1363 (303) 375.2001 FAX (303) 373.2906 CONTRACTOR 1.1CL'•31NC 5ECriO'. (303) 375.2327 I'AX (303) 75 coNTlbacroR I NFORM DWISI (305)373.2966 PAX (303) 375 -2905 the use of Alternate Materials and Types of ended for acceptance by the Miami -Dade nditions specified herein. This NOA shall not be valid after the expiration date stated b ow. BCCO reserves the right to secure this product or material at any time from a jobsite or manufactu is 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 reserAs the right to revoke this approval, if it is determined by BCCO that this product or material fails to M eet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 00- 1212.06 1 EXPIRES: 02/Q1120U6 / Raul Rodriguez Chief Product Control Division This application for Product Approval has been reviewed b; the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -D de County, Florida under the conditions set forth above. rttouUcT CONTROL u;VISION' (303) 375 -2902 FAX (303) 372439 Francisco J. Quintana, R.A. Director • Miami -Dade County Building Code Compliance Office Internet mail address: postmasurt $bulldtngcodcon)(ne.com H4tncpago: nttp :l ».•w.rrulldingeodeontinc.com FEB 13 '01 17145 3058880050 PAGE.03. FEB 21 '01 14:13 FR BRADCO ROOFING ASSEMELY APPROVAL Cnte2grv; Roofing Sub- Cateforv: 07320 Roofing Tiles Materials Deck Tvno: 1, SCOPE This renews a roofing system using Santa Fe "Santafe Santafa Tile Corporation described in Section 2 of this comply with the South Florida Building Coda, 1994 E locations where the design pressure requirements, as d does not exceed the design pressure values obtain by c using the values listed in herein. The attachment calcu system. 2. PRODUCT DESCRIPTION Manufactured by haPtiont Santaff 'S' Clay Roof Tile Trim Pieces Test Dimensions Snecifcatians I= 18" w 11.5" 1 /:" thick I= varies W ° varies varying thickness Clay Roof Tiles Wood 2.1 COMPONENTS OR PRODUCTS MANUFAC Test Product Din: maims, Sneelficatione Tile Screws 08 x 2 - %s" long PA 114 0.130" shank dia. Appendix E 0.I78 flute dia. 3. LIMITATIONS 3.1 3.2. FEB 13 '01 17 ;45 Fire classification is not port of this acceptant For mortar or adhesive set tilt applications, a accordance with RAS 106. 3.3 Applicant shall retain the services of a Mia perform quarterly test in accordance with l'A submitted to the Building Code Compliance 0 305 5y'l 1[0 :30953:6.33 SANTAFE TILE CORPORATION ti ACCEPTANCE No.: 00- 1212.06 Approval Date: February I, 2001 Expiration Date: Fchru;try 1, 2006 S" clay rooting tile, manufactured by otice of Acceptance, designed to Lion for Miami -Dade County. For ermined by applicable building code. Icuiations in compliance with RAS 127 tions shall be done es a moment based Product laoscrintlon PA 112 0 e piece high profile clay roadie e ipped with two nail holes. For nail -on, m rtar set and adhesive set applications. PA 112 A cessory trim. clay roof pieces for use at hi. rakes, ridges and valley terminations. M ' nufacturcd for each tile profile. URED BY OTHERS Product pescrintion tainless Steel Mnnufftctkrcr generic atic field uplift test shall be performed in fi -Dade County Certified Laboratory to 112 a.!._ • hall be c uloaga, RRC Roofing Product Control Examiner 3058880050 P�. 02 Tile Profile Santee 'S 2 ":12" 3 ":12" 4 ":12" _ lt wo Seraws 38.28 5 ":12" 6 ":12" 7 ":12" greater or ' - Direct! Deck Battens 3.93 Direct Deck 5.90 Battens 5.85 Direct Deck 5,82 Battens Nal Direct Deck 5.69 S ens Direct Deck Battens Disci Deck Batten; .56 5,53 5.32 5.29 5.03 N/A 1 FEB' 21 ' 01 .14: 13 F R BRADCO SANTAZ TILE CORPORATION i ACCEPTANCE No.: 00 1212.06 3.5 30/90 hot mopped underlayment applications slope unless stared otherwise by the under! literature. 3.6 This acceptance is for wood deck appiicsvor. compliance with applicable building code. 4, INSTALLATION 4.1.1 Santafe 'S' and its components shall be instal to strict compliance with Miami Dade County Roofing Application Standard RAS 11 , RAS 119, and RAS 120, 4,1.2 Data For Attachment Calculations Table 1: Aerod namic Multi Tile X (k') Profile Batten Applic Santate 'S' 0.274 Santafe 'S' FES 13 '01 17:46 Tile Profile • Restori Moments due t Table 3: Attachment Resistance Express Table 4: Attachment Resistance Expres for Mortar or Adhesive 305 597 9484 TO 3059533333 F.03/05 'Tile Aeplication Mortar Set Adhesive Set 3 gay be installed perpendicular to the roof ymcn: material manufactu rers published Minimum deck requirements shall be in 1 ers- ? tion ft Gravity - M ( ft - lb 7` (ft ) Direct Deck d as a Moment- Mf (ft -ibf) 0,297 d as a Moment - Mr (ft -Ibf) t Systems Attachment Resistance 23.6 81.9 rant Zuloaga, RRC Roofing Product Control Examiner 3058680050 PAGE, 03 For Two Nails 21.8 Nall-On System Otte Screw 29.18 lt wo Seraws 38.28 One Screw wi Clip 57.31 i Two Screws w/ Cli 57,60 61.77 Tile Profile Tile Application Santafe S Direct Deck Battens 'i 1. Approved screws as noted_ 'Product manufactured by,othcrs' ! 1 FEB' 21 ' 01 .14: 13 F R BRADCO SANTAZ TILE CORPORATION i ACCEPTANCE No.: 00 1212.06 3.5 30/90 hot mopped underlayment applications slope unless stared otherwise by the under! literature. 3.6 This acceptance is for wood deck appiicsvor. compliance with applicable building code. 4, INSTALLATION 4.1.1 Santafe 'S' and its components shall be instal to strict compliance with Miami Dade County Roofing Application Standard RAS 11 , RAS 119, and RAS 120, 4,1.2 Data For Attachment Calculations Table 1: Aerod namic Multi Tile X (k') Profile Batten Applic Santate 'S' 0.274 Santafe 'S' FES 13 '01 17:46 Tile Profile • Restori Moments due t Table 3: Attachment Resistance Express Table 4: Attachment Resistance Expres for Mortar or Adhesive 305 597 9484 TO 3059533333 F.03/05 'Tile Aeplication Mortar Set Adhesive Set 3 gay be installed perpendicular to the roof ymcn: material manufactu rers published Minimum deck requirements shall be in 1 ers- ? tion ft Gravity - M ( ft - lb 7` (ft ) Direct Deck d as a Moment- Mf (ft -ibf) 0,297 d as a Moment - Mr (ft -Ibf) t Systems Attachment Resistance 23.6 81.9 rant Zuloaga, RRC Roofing Product Control Examiner 3058680050 PAGE, 03 FE3 21 '01 14:13 PR 8RPDCO 59`i '484 ; u 31 5. 333j SANTAFE THE CO PORATION ! ACCEPTANCE No.: 00- 1212,136 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami-Dade County Pi Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accom by copies of the following: 6.1.1 "Ibis Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation othis system, PROFILE DRAWINIC SANTAFE "SANTAFE S" C LAY {ROOF TILE FEB 13 '01 17:46 4 frank Zuloaga. RAC Roofing Product Control Examiner 3058860050 PAGE.04 'SANTAfE TELE C_QRPORATION ;NOTICE OF ACCErTANCE STANllA(i.D CJDTTIONS Renewal of this Acceptance (approval) shall be considered afte a renewal application has been filed and thc original submitted doctmerttation, including test supporting da engineering documents. arc no older than eight (Y) years. 2 Any and all approved products shall bc permartentiy labeled wit the manufacturer's name, city. stale, and the following statement: "Miami -Dade County Product Control{ pproved ", or at epocifi©aily 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 C affecting the evaluation of this product and the product is not in compliance with the code changes( b) The product is no longer thc same product (identical) ss one originally approved; c) Yf the Acceptance holder has not complied with all the req rements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed required documentation initially submitted, is no longer practicing the engineering prcfessi 4 Any revision or change in the materials, use, and/or rnandacturt of the product or process shall automatically be cause for termination of this Acceptance, unlcs , prior written approval has beep requested (through the filing of a revision application with appropriate fee and g tarttod by this office. 5 Arty of the following shall also be grounds for rcrnoval of this Mi. ptancc: a) Unsatisfactory performance of this product or process: I b) Misuse of this Acceptanee as an endorsement of any prod for salts, advertising or any other purposes. FEB 13 '01 1746 5 ACCEPTANCE No.: 00 - 112J2.06 f► The Notice of Acceptance number preceded by the words NLiarni- I.?ade County, Florida, and followed by the expiration date e+ay be displayed in advertising literature. If any , rtlon of thc Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Aeetptartcc as wolf as approved drawings end oth documents, where it applies, shall bc provided to the user by the manufacturer or its distributors ands 11 be available for inspection at the job site at a1: times. The copies need not be resealed by the engineer 8 Failure to comply with any station of this Acceptance shall he ca se for tcrinination and removal of Acceptance. ii 9 This Acceptance contains pages 1 through 5 END OF THIS ACCEPTAN10E ra.rtk Zuloaga, RRC orng Product Control Examiner 3058880050 P9i E . 05 ** TOTAL PAOE.05 ;:;r• • MIAMI.OAOE PRODUCT CONTROL NOTICE OF ACCEPTANCE G.N ; N4,aterials Corporation 1361 Alps Road CONTRACTOR ENFORCESIE.NT SECTION Wayne \,) 07470 (305)375.:966 FAX (30S)375.290$ PRODCCT CONTROL DIVISION (305) 375.2902 FAX (305) 372.6339 Your application for Product Approval of: GAF Ruberoid Modified Bitumen Ruuf Sys'te'ms For Wood Deck. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types or Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) uncler the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the riuht 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 manutilcturer. Acceptance No.: 00-0331.08 Expires:11 /06/2003 Raul Rodriguez Chief Product Control Division TEHIS IS TEIE COVERSI SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COIMI \1ITTEE 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:07 /06 /2000 Internet mail address: postmastertg7bui ldingcodeonline.com .ranctsco . Quintana. IZ.A. Director 1 or 55 Miami -Dade County Building Code Compliance Oflice MIAMI - DARE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING (WILDING CODE COMPLIANCE OFFICE. METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MI.\MI1. FLORIDA 331301563 (305) 375 - 2901 FAX (305) 375.290S CONTRACTOR LICENSING SECTION (305) 375.2527 FAX MS) 375-2553 Homepage: http : / /www.buildingcodeonline.com CAF MATERIALS CORPORATION Cate , orv: Sub- Categorv: Deck Type: Maximum Desitm Pressure Fire Classification: TRADE NAiY1ES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product GAF Asphalt Concrete Primer GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion GAF Premium Fibcred Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement GAFGLAS #75® GAFGLAS W80 UltimaTm Base Sheet GAFGLAS Ply 6® GAFGLAS Flex PIyT•t 6 ROOFING SYSTEM APPROVAL Rooting SBS /APP, Modified Bitumen Wood -75 psf See General Limitation # I Dimensions 5, 55 gallons 60 Ib. bags ASTM D 1863 5 gallons 1, 5 gallons 1, 5 gallons 3 sq. roll 75 Ib. roll 2 Sq. Roll 70 lbs. /roll 5 sq. roll 45 Ib. roll 5 sq. roll 45 Ib. roll Test Specification ASTM D 41 ASTM 1227 ASTM D 3019 ASTM D 3409 2 of55 Acceptance No: 00 0331.03 Approval Date: .1111v 6, 2001) Expiration Date: Nuvcmbcr 06, 2003 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 2824 Fibercd aluminum coating. Relined asphalt blended with a mineral stabilizer and libers. Permits adhesion to wet and dry surfaces. • ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Typc VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. Frank Zuloaga, RRC Rooting Product Control Examiner CAT 1.ATERIALS CORPORATION Acccpt:u c No: (10- U3.31.11s Mcnib.rpne Type: Deck Type 1: . Deck Description: System Type A(2): Base Sheet: PIy Sheet: Membrane: Surfacing: Maximum Desiw Pressure: Nlaximum Fire Classification: Maximum Slope: Specification No.: SBS Wood, Non- insulated New.Construction or Reroof or greater plywood or wood plant. decks Base sheet mechanically fastened. All General and System Limitations shall apply. GAFGLAS® #75, GAFGLAS #30 Ultima "' Base Sheet, GAFGLAS'ts% PLY 4`.D. GAFGLAS® PLY G ®, GAFGLAS FlexPly'" Base Sheet,GAFGLAS'D STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROIDfs) 20 applied to the deck with approved annular ring shank nails and minimum 1 ' 1 , " tin caps at a fastener spacing or 9" o.c. at the lap, 12" o.c. in two rows statlgered along the center line of the sheet in the field. (Optional) One, two, or three plies GAFGLAS PLY 4 0. G; \FGLAS'!s PLY G.1 PIy or GAFGLAS Flex PIy 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 --30 lbs. /sq.. One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, RuberoidD Mop Plus Granule, Rubcroid.D 30 or Ruberoid® 30 FR or Ruberoid'D Mop ER or RUBEROID UltraCladT" SBS in adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROIDO Mop 170 FR,.RUBL•ROIND Mop Plus Granule, RUBEROID )D 30. RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCIadTM SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 Ib. /sq. and 300 lb. /sq. respectively in a flood coat of approved asphalt at 60 lb. /sq.. GAFGLAS Mineral Surfaced Cap Sheet 'in an approved asphalt at an application rate of 25 lb./sq. ± 15%. -45 psf (See General Limitation 117) Sec General Limitation # I. See General Limitation # I . 19 of 55 Fran - Zuloaga, RRC Rooting Product Control Examiner GAF ,NIATERIA LS CORt'Olt:\ rIO,\ WOOD DECK SYSTEM LI'11T:\TIONS. :\, Nu un_u33i.us 1 A slip sheet is required with Ply 4'i Flex 1)1v'" G and 1'Iv (> L when used as a nteeh :uiicall\ fastened base or anchor sheet. 2. '/ - Type X gypsum board is acceptable to be installed directly over the wuud deck. G ENERAL LIMITATIONS: 1 Fire classification is not part of this acceptance, refer to a current Approved Roofin'e ,Material; Directory for lire ratin`ss of this product. Insulation may be applied in multiple layers. The lirst layer shall be attached in compliance \\ ith Product Control Approval guidelines. All other layers shall be adhered in a lull mopping! ul' approved asphalt applied within the EVT range and tit a rate of 20 -40 lbs. /sq., or ntech:i iicall∎ attached using the fastening pattern of the top layer. 3 All standard panel sizes are acceptable for mechanical attachment. When applied in ap1)ru\ 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 may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.: or strip mopped 8" ribbons in three rows, one at each sidelap 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 or either system shall be at a minimum rate or 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5 Fastener sparing for insulation attachment is based on a Minimum Characteristic Force (F•) value of 275 Ibf., as tested in compliance with TAS 105. 11 the fastener value, as field-tested, is below 275 Ibt., 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 the specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacin„ prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize withdrawal resistance value taken from tliami -Dade Protocol TAS 105 and calculations the compliance with Miami -Dade Rooting_ Application Standard RAS 1 1 7. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure or these areas. as calculatedin compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Miami-Dade Roofing Application Standard TAS 117. (When this limitation is specifically referred within this NOA, General Limitation 49 will not be applicable.) 8 All attachment and sizing of perimeter Hailers, metal profile, and /or flashing termination desi�.;ns shall conform with Miami -Dade County Roofing Application Standard TAS I I I and the wind load requirements of Chapter 23 ofthc South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. lield,.perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters. extended corners, and corners). limitation is specifically referred within this NOS \, General Limi 1Tiistt applicable.) 5-t o1 55 Frank Zuluaga, RRC Routing Product Control Examiner • c:,\1 MATERIALS CORPOR:\TIO.\ ;NOTICE OF ACCEPTANCE STANDARD CONDITIONS I Renewal of this Acceptance (approval) shall be considered after a renewal application has been tiled and the original submitted documentation, including test suppurtinv, 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 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 chan,es: 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 ol'the product: (I) The engineer who originally prepared, signed and sealed the required documentation initially submitted. is no longer practicing the eI1giileeri:i profession. 4 Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing ofa revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process: b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice oIAcceptance 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 the job site at all times. The copies need not be resealed by the engineer. 3 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages I through 55. END OF THIS ACCEPTANCE 55 of 55 \iiClll.0 lei \�� "".11331.11S Frank Zuloaga, RRC Rooting Product Control Examiner ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU)— Continued Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocya- nurate, urethane, perlite /isocyanurate composite, perlite/ urethane com- posite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" .(smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq.. 9. Deck: C -15/32 • Incline: 1/2 Insulation (Optional): One or more layers perlite, glass. fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, phenolic, 1 -1/2 in: min. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. • • • Ply Sheet: One or more layers of Type GI " GAFGLAS Ply 4 ", hot mopped in place. Membrane: "Ruberoid Mop FR" (granule). Surfacing '(Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 10. Deck: C -15/32 Incline: '1 /2 • Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite; perlite/ urethane composite, phenolic, 1 -1/2 in. min. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet', . hot mopped, or mechanically fastened in place... Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply, 4 ", or "GAFGLAS Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule)., Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 11. Deck: C -15/32 Incline: 1/2 Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber, any thickness, hot mopped or mechanically fastened . in place. Joints offset 6 in • Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheer, hot mopped or mechanically fastened'in place. '• '• Ply Sheet (Optional): One or more layers of Type G1"'GAFGLAS Ply 4" or "Ply 6" hot mopped in place. . Membrane: " Rtberoid Torch 170FR" (granule). • Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /s or GAF Weather.Coat Emulsion at 3 gal/sq; • 12. Deck: C -15/32 Incline: 1/2 Insulation (Optional): • isocyanurate, perlite or glass fiber, any thick- ness, hot mopped or mechanically fastened in place. Joints.offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet', hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type Gl " GAFGLAS Ply 4" or. "Ply 6 ", hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal/sq or GAF Weather Coat Emulsion at 3 gal /sq. 13. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate,, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule).. . Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1-1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 14. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. . . Base Sheet: One or more layers of. "GAFGLAS #75 Base Sheet", hot mopped in place. Ply Sheet (Optional): One or more layers of. "GAF GLAS Ply 4" or "Ply 6" hot mopped in place. • Membrane: "Ruberoid Torch 170FR" (granule).... • Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal/sq or GAF Fibered Aluminum .Coating at 1 -1/2 gal /sq. 15. Deck: C -15/32 Incline: 1/2 2000 ROOFING MATERIALS & SYSTEMS DIRECTORY Roofing Systems (TGFU) — Continued Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type Gl, hot mopped in •• place.. Membrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 16. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite /isocyanurate composite or phenolic, offset 6 in. from joints. Base Sheet: One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. • Ply Sheet (Optional): . One or more layers of Type G -1, hot mopped in place. . Membrane: One layer of "Ruberoid Torch" or "Ruberoid. Mop" (smooth). Membrane: One layer of "Ruberoid Torch 170FR" or "Ruberoid Mop FR" (granule) 17. Deck: NC Incline: 1 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type Gl, hot mopped in place. Membrane: One layer of "Ruberoid Mop FR ".or "Ruberoid Mop 170 FR" (granule). 18. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet (Optional): One or more layers Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or rry a layers of Type C -1, hot mopped in place. Membrane:. One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop" '(smooth). • • :•., . Membrane: One•layer of "Ruberoid Torch 170FR ", "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). • . 19. Deck: NC Incline: 1/2 Insulation (Optional): One or more layers of perlite, glass fiber, isocyanurate,, urethane, perlite /isocyanurate composite or phenolic, any thickness. Base Sheet: One or more plies G1 or G2, hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" . cold applied adhesive at .1-1/2 gal/sq. Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid •Mop - 170 FR" (granule), hot mopped or adhered with'Karnak Chemical Co. "No: 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1-1/2 gal/sq. 20• Deck: C -15 .Incline: 1/4 Insulation: Polyisocyanurate, any thickness. Base Sheet: "GAFGLAS #75" (Type G2), mechanically attached. Membrane: One or more plies of "Rubberoid Torch (smooth). Membrane: "Ruberoid Torch 170FR" (granule). 21. Deck: C-15/32 Incline: 1/2 Insulation (Optional): Polyisocyanurate, wood fiber, perlite, glass fiber any thickness, hot mopped or mechanically fastened. Base Sheet: One . or more plies of Type • G2 "GAFGLAS #75" or "Ruberoid 20 FR" base sheets, hot mopped or mechanically fastened. Membrane: One or more plies of "Ruberoid 30 FR" hot mopped in place. Deck: C -15/32 Incline: 1. •• Insulation (Optional): Polyisocyanurate, wood fiber, perlite, or glass fiber any thickness, hot mopped or mechanically fastened. ...... Base Sheet: One or more plies of Type G2 "GAFGLAS #75" hot mopped or mechanically fastened. • Ply Sheet: One or more plies of "Ruberoid 20" or "Ruberoid 20 FR ", hot mopped in place. • • Membrane: . One or more plies of "Ruberoid 30 FR ", hot mopped in place. • 23. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Fiber glass or perlite, mechanically fastened. Base Sheet: • One or more layers Type G2, hot mopped or mechanically fastened. 22. LOOK FOR. THE UL MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 26 ,4c,Gl 51 ' a gg c p 76 77 2 27 ` 52 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 _._..— 75 100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION T A M. q Owner's Name: v � 1'► � " � %'e � '� � # Y 41 Job Address 3 32. 1� 11 �� 6142.7 S T - 1 � U. l 5 4t7 2- Permit 7 t Roofing Contractor: Q_* .&' T ■ 1 0 F 1 0.3 Cy Type of Tile: 4rh L I s t - i4o-A SST Date Installed. 12 - 1 4 - 0 1- Approximate Roof Height: t 2 - feet Roof Pitch Z 1/2- . 1 2- Type of Access to Roof: Scaffolds Ladder Other Approximate Square Footage of Roof 250° ft' Required Testing Fo e: 35 bs. Testing Equipment: Chatillion 100 Date Tested: 1 y / 2v Q`( Civil Engineer: IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT UBMI BY: Lab Certification # 98 0608.04 P.E. State of FL Certificate Authorization # 4100 TEST RESULTS P = PASS, F = FAIL lZ/z Project N° 1812 3”- SHEET NO Z OF $KETCH OF ROOF JOB CONTRACTOR CHECKED BY SCALE g.44. iii ■ .N..A1'■ IMEIMM111!Nr1►1 AIMMIHRi IMMISMINIMAIMINOMMINElla INEPOIltimilFiNIMMININIPPENIIN MEIMMEMPTAREMINIMINIIIII 111 ,I1` i111r /t4 1■1rg HIE ing /`'n " %■mm 7rs ■1 ��!�r /rrz t - 1r[[L'1I11�Ii11irI c ,, . UI1IIIIIIIIRPLUi1 iioiiiii ► 11111 ■11 ■'�:i1� it 'fur �111111:i 111 �1111It3iNN 1 `111111111 11=141 UIIIiIIIIUiP!iiII ■1r71r.P ► 1 1r'11 /�1 ....�... L.....`rn• • II NOTES. 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 Name and address of licensed contractor _ •ILl I \ �/� r ` f. 33 i5a /1 30z od /3 4 #110 Location and legal descr'pti J t to be built on: Lot C N J' 9' '7 Street and Number where work is to be done State work to b done and purpose MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT f building ( Subdivisi floors). state exter Disapproved Date (Signed) Building Inspector 7/1'Jo'/ f lv?' colors (sub it amples) Remarks (Signed) I New Building Remodeling Addition Repairs No of Stories J/ To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S ?' q q� by Amount of Permit 5 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot - Maximum live Toad 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 employ only such subcontractors. on work to be performed under this permit. as are licensed by Miami Shores Village. 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 Notary Public. State of Florida 6. d for no other p rpose. to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application. and that he did sign the same, and that all facts therein by him stated are true. Permit No. °" Date r/ Read, Sworn to and Subscribed before me. My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved 1 ate Disapproved Date NOTE: A charge of 525.00 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 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida all ordinances of Miami Shores Village and all rules and regulations of the building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during prggress of the work. 1 p Owner's Name and Addrcs C Registered Architect and /or Engineer .„ 1111.,, . „11,•11,,,,,„ Name and address of licensed contractor..at.SW.li. tD 6 1.1 4 / / 7 -5Y A. Location and legal description of lot to be built on: Lot Block Subdivision p v Street and Number where work is to be done ... h[ /._P�... _ 1111 �� • .• ,p State work to be done and purpose of building (by floors ).L�..'° Yo A !.. L` 3 D •- ° CaQ en d • ,1 ,., -.20 its I ca. C°. W 6, i e $ F •tip /cm T,• l4� _ _ `� __11_11__..__ ;. and for no other purpose. New Building Remodeling Addition ° e- No. of Stories QN „„1111 To be constructed of Kind of foundation • Roof Covering... Estimated Total cost of improvements $.rv.j.Q.piD0 Amount of Permit $, Zone cubage required _1111. __Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc)ubcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks._____._.__..._.___._ (Signed STATE OF FLORIDA, COUNTY OF DADE. j ss Date s Date gtr , 1$.`.�� Read, Sworn to and Subscribed before me.— Notary Public, State of Florida r, Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. _ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that ,all facts therein by him stated are e. Permit No. Disapproved _ (Signed) Building In•pector My Commission Expires 1 PLANNING BOARD....._ . __._._._DATE Chainnan Member Member Member Member_ ..._..__..._ . _11_11_._. _�.._...._ Member ...._.....___..._ ._ 1111 _11__11__ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or clianges 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. Maximum live load to be borne by each floor ..._._. Application is hereby made for the approval of the det ..fled statement of the plans and specifications herewith submitted for the build- ing or other structure lieroi, described. This 1-plicatic . is made in compliance and con'onn.ty w,th the Building Ordinance of Mia ti Shores Village, Florida, and all provisions of the Law., c f the State. of 1- lurid. all o d nances of Mi an Shores Village and all rules and regularions of the Building Dir;:.i ,n of ?:rtnr Sho: illage 1 '1 e ipled with, whether herein specified or not. A copy of approved plans and specificati ms must. be kepi at building durin, progress of the wcrk. Chairman Member ___. Member Council Approved APPLICATION FOR BUILDING PERMIT (� Date � P.3 °Z_ 19 Owner's Name and Address ''W' G � ' k No Street. Registered Architect trd /or Engineer._. Name and address of licensed contractor Location and tal d scription of lot to be ? on: Lot. __.. Block... _ _ S ._ Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) -4 '&1..Q. MIAMI SHORES VILLAGE Remodeling_ BUILDIN INSPECTION DEPARTMEN New Building_ To be constructed of _ .. _._ Kind of kundation Estimated " ,ta1 cost of improvements $.. t/ q Q-- Amount c` Permit $ Zone ^ubage required ..... _plan Cubage Distance to next nearest building_- . _ ______________ _._Size of Building Lot hereby submit all the plans and spcciii.•ations for said building. All notices with reference to the building and its construction may be seat to .. The unde signed appli -ant for th "s building permit does hereby certify i'iat he underaands and accepts his obligations as an uiuI lo\er of 1- bor under he Florida Workmen's Compensation Act be'rsg S. -t :on 5966. Co: n led Gen al Laws of Florida P r . an ^n S ipt,l• gent, and h s compl ed w :th he prov•sions thereof, and will require s•riuiar coi•ir: tan_e from all contractors or sub contractor:, mole) .ed by him in the wo k to he p rf med under th•s pern it and • ill post or e_aus. to be nested for inspection on the site of the work su •h puhlir not e or .otices as are requir d by the Act. The u. !; r igu •d agrees to employ only such ,ibconlr. ctors, on work to be perform, d der this permit as are licensed by M am. Shores Nil!: ge. Remarks - ( S ;;.led) l Ge'o -�C �r STATE OF FLORIDA, -� COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths ..nd take acknowledgments, per >ona11 ap- peared and who, being by me first d lv , worn, upon oath depoFes and says that he is the .. of di abov. de ' ibed istruction t, : 1,. has careially read the foregoing application, and that he did sign the same, and t1 at .11 jots therein by him stated are tr le. Permit No._ Date. • __. Read, Sworn to and Subscribed before me. Disapproved _ . __.___-. ___ - - - - - - - - - - - - - - - - - - - - - - - - -D a t e .__. - Date_. Notary Public State of Florida (Signed) - - - - - - - - - - - - - - - - B u i l d i n g Inspector My Com:ni: cion Expires_ PLANNING BOARD _____ -___ °_ R. f -_� ._ ___.._.________ - DATE Member Member ..._ Member Date Di; ap,-rot, _ Date . and for no other purpose. Addition._ . __ ... _ ._. __ . Repairs. - _ No. of Stories Roof Cov'ring.. NOTE: A charge of $1.00 will be made for snaking corrections or -_'L•tnges to this application 'ft.•r approval 1. s I u , •I:ta lied from \the Planr ng Board. A re- inspection fee of $1.00 will be charged when such re- inspection is nu ., ncces.ar) by improper notice lc r insp• t•, or L ty materials and /or workmanship. A1' to me well known, STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Datp ( Signed) 4 — MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. 4) Date 19 Owner's Name and Address_g '`` No. Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision and Number where work is to be done GC S `� `�' U C y . 4a ? u State work to be done and purpose of building (by floors) ` and for no otherkpurpose. New Building Remodeling Addition Repairs' No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $as Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared – - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No L �� 1 - %� Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building /Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- 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. TELEP~�NE 0 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot RAN NKEt. TREAS SEC RETARY C PERMIT IN? 12872 Contractor's License No Work to be performed under this Permit I MIAMI SHORES VILLAGE, FLORIDA This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances . - - fining thereto and with the understanding that the work will be performed in compliance with any plans, en submitted to and approved by the proper municipal authorities. This Permit may be revoked at any inances or if the plans are changed without authorization. A further condition upon which this permit is der named above assumes the responsibility for a thorough knowledge of the ordinances and regulations n the plans or drawings or in the statements or specifications and that he assumes responsibility for work 8.2433 + I Signed. , . t 3 3 t. �BY INSPECTOR it I agree to perform the work covered hereunder in compliance with all ordinances and regulations drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. k done by either, myself, my agent, servant or employee. drawings, statements or specifications time if the work is not don • granted is the pert • • NL SOO M if �'.�µ+ni G greatest O14 e n e C/ u ets 680 PALM OA HtAL EAN. Bl. Subdi- vision Value of Project $ BY DATE Amt. of Permit $ AUTHORITY 195