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461 NE 93 St (8)
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 - (a -19 Job Address 4 o 1 n . 7 3 t J�. Tax Folio Legal Description h /A A r� Historically Designated: Yes No Owner/Lessee / Tenant H L lot. ( Tot2,4u Master Permit # 3 , Owner's Address eljo N ! 3 ' S l' t Phone Contracting Co. Ail-64.k) , A 61 0-1 Qualifier D64) Ag_ G ✓ti(,(& State # C6 ( (�c34 7 5 Municipal # Date - .dells COMMISSION EXPIRES: January 12, 2001 1 N Notary Public Undenvntera Notary as to Owner and/or My Commission Expires: FEES: PERMIT APPROVED: Zoning Mechanical RADON Building \ Address Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address -� Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOF b PA' 11 G L FTNCE / SIGN WORK DESCRIPTION 5A L vAeft. 64 (t,'A) L di. S Toil i 6 (tA f11./ f I Jfr f . / . i /4_ / (� Ft,P� j 4 m , uc 4-14 pr - ` U 01 TUajr�A1o�'16 o 1 f 1 c : _- 60,1 /w-'S . t . Square Ft. : 10. 0 D Estimated Cost (value) /(D, 2 v 0 OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Electrical / 7 Signature o Contractor or Owner- Builder 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. compliance with all applicable laws regulating Notary as to Contractor or Owner- Builder Date My Commission Expires w00P ,, "OFF IC L SEAL" *; ,�� •;; Steve P. Gory M Commission Expires 7(3099 Commission �C X170 C.C.F. /G, NOTARY BOND 3 e TOTAL DUE C/G Date Plumbing Structural Engineer PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordan Chapter 713, Florida Statutes, the following information is provided in this Notice of Comme cement. ce with 1. Legal description of property and street address: 3 2. Description of improvement: 3. Owner(;;) name and address: Interest in property: Name and address of fee simple titleholder: a ho d 4. Contractor's name and address: 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served by Section 713 .13(1)(a)7., Florida Statutes, as provided Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided 7 13.13(1)(b), Florida Statutes. P d in Name and address: N , 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) g Sig .. : of Owner Print Owners Name Sworn to and subscribed before me this !D day of Q, 19 461 Notary Public Print Notary's Name My Commission Expires: NOTICE OF COMMENCEMENT 11.4 ; c�PG. °S A. BRUCK MY COMMISSION l CC 612721 ",,e4 ` Bonded Thru e • � "" Nofrry Public Underwrtte STATE OF FLORIDA, COUNTY OF DADE HEREBY CERTIFY that this is o Prie py o/ the origin n in Phis .ff on �� W INES HAR 8 ta � 4 u � o; ' . A 1 "I cuitandCounP Coort s , `i��c? a �,, ' " �2 Y ,7 •.° N ... ,. tY 0 0l .(� c Prepared by: r�ul� C A it 6 ,4d (. Address: 9 JU 1 s• • cy 123.01 -78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Iw c lt/4 Nit tILL& Job Address: 4-L /v. V' S 4 e ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) L"1 (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) — ROOF TYPE ❑ New Roof 24e ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft 150 U Sloped Roof Area (ft I S 0 V Total (ft SO DO Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. A V Ft. Y 1 A 0 i v Deck type: ?CPO' - ATTACHMENT Fastener Type: SPACING 11 r cn Field: `P Perimeter: e+ Corner: Co DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) � .olf 44 / 4 441 1' ROOF PLAN Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ride entilation? //// A Deck type: MEAN HEIGHT ( 1 0" z Underlayment: Insulation: D E T A I L 3 SLOPED SYSTEM DESCRIPTION 10 LS 12 . ROOF SLOPE Fastener type & spacing: Cap Sheet: Drip edge: __J Roof_ / Covering:[ �n / s r Zfic Z <a ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmaxl: x X (Aerodynamic Multiplier): TILE CALCULATIONS ) - M = M PCA: (Pmax2: x X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax3: x X, (Aerodynamic Multiplier): ) - M = M r3 : PCA: Page -2 METROD METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE Artesanos, Ltda. Avenia 0 No. 8A -22 El Salado, Colombia The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0408.02 Renews: 95- 0317.11 EXPIRES: 05/14/01 APPROVED: 05/14/98 1 Internet mall address: postmaster @buildingcodeonline.com BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Product Approval of: Artesanos, Ltda., Mortar Set, Clay "2 Piece Handmade Tapered Mission Barred Tile" Roofing Tile, under Chapter 8 of the Miami -Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Testwell Craig Laboratories & Consultants, Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -9 and the standard conditions on page 10. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. aul Rodri:uez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County Homepage: http : / /www.buildingcodeonline.com ARTESANOS, LTDA. Product Control No.: 98- 0402.02 Applicant: Artezanos, Ltda. Avenia 0 No. 8A -22 El Salado, Colombia Category: Prepared Roofing Sub - Category: Tile Type: Mortar Set/Uplift based Sub - Type: Clay PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Page 2 of 10 Product Control No.: 98- 0408.02. Approval Date: May 14, 1998 Expiration Date: May 14, 2001 Fran Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Product 2 Piecce Handmade Tapered Mission Barrel Tile Trim Pieces Dimensions 1 =17" w = 7" '' /z" thick 1= varies w = varies varying thickness Product Control No.: 98 0402.02 Test Product Specifications Description ASTM C 1167 High profile, two piece, barrel, clay roof tile. For direct deck mortar set applications. ASTM C 1167 Page 3 of 10 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Frank Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Product Control No.: 98- 0402.02 TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Test Product Product Dimensions Specifications Description Manufacturer Roof Tile Mortar N/A PA 123 Prepared mortar Bermuda Roof ' ( "TileTiteTM ") mix designed for Company, Inc. with mortar set roof tile current PCA applications. Page 4 of 10 Roofing Product Control Examiner ARTESANOS, LTDA. Product Control No.: 98- 0402.02 Test Agency Testwell Craig Laboratories & Consultants, Inc. Testwell Craig Laboratories & Consultants, Inc. EVIDENCE SUBMITTED Test Identifier Lab #ABM -4 Lab #ABM -1 Page 5 of 10 Test Name/Report Date Static Uplift Testing January 1995 PA 101 (Mortar Set) Physical Properties ASTM C 1167 November 1994 ran uloaga, RRC Roofing Product Control Examiner I ARTESANOS, LTDA. Product Control No.: 98- 0402.02 SYSTEMS Deck Type: Wood, Non - insulated Deck Description: New Construction 19/32 " or greater plywood or wood plank. SYSTEM D: Mortar Set Application Slope Range: 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. Underlayment: Install choice of Approved underlayment system, noted on Page 1 of Miami - Dade County Protocol PA 120, In compliance with Secton 3.02 of PA 120. See System Limitation #6. Roofing Tile: Comments: Install tile in compliance with PA 120 using one of the Approved mortars noted in this Approval. Mortar shall be applied in compliance with the mortar manufacturer's Roofing Component Product Control Approval. The mortar attachment shall provided sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. The mortar attachment data is noted in Table 2, attached. 1. For re -roof applications, 15 /32" plywood is an acceptable substrate 2. For mortar set applications, the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses of tile shall be applied in mortar over a single layer of minimum 12 ga. Wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail every 1 ft . For roof pitches from 6 ":12" to 7 ":12 ", every third tile of every fifth course, beginning at the eighth course, shall be nailed with not Tess than one nail per tile.. Page 6 of 10 Frank Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Product Control No.: 98- 0402.02 SYSTEM LIMITATIONS 1. The standard minimum roof pitch for Artesanos, Ltda. "2 Piece Handmade Tappered Mission Barrel Tile" shall comply with Dade County Application Standards PA 120, depending on the method of installation. 2. For nail - on applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance to meet or exceed the required resistance determined in compliance with Dade County Protocol PA 115 or PA 127. Artesanos, Ltda. "2 Piece Handmade Tappered Mission Barrel Tile" profile has been tested for static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a Uplift Based System'. 4. For mortar /adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. 5. For tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section II of the Uniform Building Permit, a copy of Monier Lifetile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 8. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'A'. Page 7 of 10 Frank Zuloaga, RRC Roofing Product Control Examiner Table 2: Minimum Characteristic Resistnce Load — F' (Ibf) From PA 101 testing TileProfile Tile Profile Tile Application Attachment Resistance 2 Piece Handmade Tapered Mission Barrel Tile Mortar Set 1.42 78.90 Table 1: Average Weight (W) and Demensions (I x w ) From PA 101 Testing TileProfile Weight -W (lbf) Length -I (ft) Width -w (ft) 2 Piece Handmade Tapered Mission Barrel Tile 4.90 1.42 0.58 ARTESANOS, LTDA. DATA FOR ATTACHMENT CALCULATIONS Product Control No.: 98 - 0402.02 Page 8of10 Frank Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. ARTESANOS, LTDA. " 2 PIECE HANDMADE TAPERED MISSION BARREL TILE PROFILE DRAWINGS 3M L The Tiles Shall be Identified by This Stamp ARTEZANO'S WORLD CLASS ARTEZANO'S INC. (305) 595 -9352 Made in El Salado, Colombia. Page 9 of 10 18" Product Control No.: 98- 0402.02 7 " Fran Zuloaga, RRC Roofing Product Control Examiner ARTESANOS, LTDA. Artesanos, Ltda. Avenia 0 No. 8A -22 El Salado, Colombia END OF THIS APPROVAL Page 10 of 10 Product Control No.: 98- 0402.02 ACCEPTANCE NO.: 98- 0408.02 APPROVED : Mav 14, 1998 EXPIRES : Mav 14, 2001 NOTICE OF ACCEPTANCE STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved;c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted , is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety.. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer.. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Acceptance contains pages 1, through 10 this last page. Frank Zuloaga, RRC Roofing Product Control Examiner - The expense of such testing will be incurred by the manufacturer. A :ceptance No.: 97- 080.3. Revises tNo.: 95- 1003.03 Expires: 1 1/06/00 p rev ed: 1 1 /06" ? Raul Rodriguez Product Control Supervisor PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of: GAFRubcraid`w tlfadifed Bitumen Roof Srstcntsfor Wood Decks under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Dvnatech Engineering, Inc., Factory Mutual Research Corporation, and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Office w be used in Dade County, Florida under the specific conditions set forth on pages 2 -60 and the standard conditions on page 61. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Buildin; Code Compliance Office may revoke, modify, ,uspend the use of such product or material immediately. The Buildin, Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. / / 1 , / r /' " /' /. -- / THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Buildin Cade Compliance Office and approved by the Build inn Code Cornmittec to be used,in Dade County, Florida under the conditions se : Charles Dant2.er. P.I. Director Building Code Compliance i )ept. it'tetropolitan Dade County Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: [Membrane Roofing System Sub - Category: Built -up Roofing Type: Modified Bitumen Sub -Type: APP and SBS System Description GAF Materials Corporation has been manufacturing commercial roofing products for more than 100 years. GAF produces a wide rane.e of roof products for built -up roofing systems. products include both \PP and SBS products in smooth, granule and fire r GAF offers two p ' systems to meet the specification requiremc.. ;ons. GAF products are uis:::buted through a wide network of roofin; wholesah iiirou <ohout the South Florida area GAF provides warranted systems over various insulated and non- insulated substrates, copies of which can be obtained from GAF and can be found in the Ruberoid Modified Bitur,. Application and Specification manual published annually. (i.AF roof system assemblies have been extensively tested at Factory Mutual Corporation and Underwriters Laboratories. GAF modified bitumen membranes have been te:,ied in compliance ■■•ith .•.STN1 D 5147 tes: requirements. Contact: William J. Wood ri nv, Director of Technical Services (973) 628 - 4134 Pc 2 oi6I Product Control No: 97- 0804.14;,: Product Control No.: 97- 0804.14 Approval Date: November 6, 1997 Expiration Date: November 6, 2000 ,,,,d i= ted bitumen In addition, SBS modified C:untrol iner Insulation Types: ivtateriai Wood Basalt Wool Perlite Polyisocyanuratc Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Dcsiin Pressure Design Pressure -7Spsf Maximum Fire Classification Material Classification Wood Class 'A' t',� 3 of 61 Product Control No:= :97- 0804:14f Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. RooTin Product GAF Asphalt Concrete Primer GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion GAF Premium Fibered Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement GAFGLAS #75® AFG '80 UltimaTM Base SheL GAFGLAS Ply 6® GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4® G.=\FGLAS® Mineral Surfaced Cap Sheet TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Dimensions S, 55 gallons ASTM D 41 60 Ib. bags ASTM D 1863 5 gallons ASTM 1227 1. 5 gallons 1, 5 gallons 3 sq. roll 75 Ib. roll Roll 0 Ibs.roll 5 sq. roll 45 lb. roll 5 sq. roll 45 Ib. roll 5 sq. roll 76 Ib. roll Test Specification ASTM D 2824 Fibered aluminum coating. ASTM D 3019 ASTM D 3409 Product Control No: 97 0804.14 • Product Description Asphalt concrete primer uscd 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. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. D4601 .Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt ‘ ith asphalt coating. ASTM D 217S hype IV asphalt impregnated ,'lags felt with asphalt coatin,. AST N1 [) 3909 Asphalt coated, glass fiber that cap surfaced .%•ith mineral granules. P ai 4 of 61 Frank 7.uloa_. Roof Product Control ::�atnin_r RUBEROID® Modified Bitumen Adhesive GAFGLAS® STRATA VENT® Perforated GAFGLAS® Flashing various GAFGLAS® STRATAVENT Nailable RUBEROID Modified Base Sheet GA FTE,v1 P® Isotherm R Product Tapered TEMP . Isotherm R G.AFTE:M1P Isotherm various RA Tapered GAF Isotherms RA G:\1`1 ; :N1P Ci Dimensions 5 gallons 60 Ib. roll 69 Ib. roll 3 sq. roll 67 lbs. various .Jus various various various various Test Specification ASTM D 3019 Type III Product Control No:. 97- 0804.14 Product Description Fiber reinforced, rubberized Adhesive . ASTM D 4597 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with . mineral granules embedded in asphaltic coating with factory perforations. ASTM D 489 D 3672 Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D4601, Premium glass fiber reinforced SBS- Tvpe 11, UL Type modified base sheet G2 BUR PA 110 PA "0 PA 110 PA 110 PA 110 f'.A 1 1 U I'A 1 I 0 Paoe o: 6I Polyisocyanurate foam insulation. iils,_ .alJl • Polvisocyanurate foam insulation Tapered Polvisocyanurate foam insulation Polvisocyanurate foam insulation Tapered Poivisocyanurate foam insulation Polvisocyanurate foam insulation with high density- Ti hcrboard-or - I'erma -- perk:: K TiJQr _ ",=r.i Zuloap.a, - Roo,iry Product Control E antintr 1 Product Tapered GAFTEMP® Composite GAFTEMP© Composite A Tapered GAFTEMP® Composite A GAFTEMP® Composite N Tapered GAFTEMP® Composite N GA FTEM P® Fiberboard GAFTEMP® Perm ^!ite GAFT ti F.ecover Board GAFTEMP® 1-livh Density Fiberboard G AFTITE® ; Standard Roofing Fastener GAFTITEJ 1 -Ieayv Duty Roofing Fastener GAFTIfE ASAP Tes t Dimensions Specification various various PA 110 Polvisocyanuratc foam insulation with Irish density fiberboard or Pcrmalitc perlite insulation. various various various various various various PA 110 Tapered Polyisocyanuratc foam insulation with high density fiberboard or Pcrmalitc perlite insulation. PA 110 Tapered Polyisocyanuratc foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Polyisocyanuratc foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 PA 110 PA 110 P 110 PA 110 PA 114 P:\ 1 1 P:\ 114 Page 6 O 6 i Product Control No: 97- 0804.14 Product Description Tapered Polyisocyanurate foam insulation with high fiberboard or Pennalite perlite insulation. Fiberboard insulation. Perlite insulation board. Perlite recover board High density wood Fiberboard insulation. Insulation fastener for steel and plywood decks . nsuiat;or n r :. r ste_':, %'.uo,': and F're 4s:;cr::tu_ci (i: \1- [ITF. Fasteners and metal and ,;esi pi ". — - -- - . / i, Product GAFTITE® Basc Sheet Fastener and Plate Galvalume Plates NTB Fasteners Polypropylene Plates 3" and 3 '/" Ruberoid® 20 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROID MOP 170FR RUBEROID MOP FR RUBEROID TORCH Smooth RUBEROID TORCH Granule Di mensions 3" and 3 'Y•" 1.5 sq. roll 1 sq. roll 103 lbs. 1 sq. roll 87 lbs. 1 sq. roll 102 lbs. 1 sq. roli 103 lbs. I sq. roll 105 lbs. I sq. roll 87 Ihs. I sq. roll 102 lbs Test Specification PA 114 ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 5147 i'a 7 0' 6 I Product Control No: 97- 0804.14 Product Description Base sheet fastening assembly. PA 114 Round galvalumc stress plates. PA 114 Fastener for use in gypsum, rectum and • lightweight insulating concrete decks. PA 114 Round polypropylene stress plates. ASTM D 5147 SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated xvith polymer modified asphalt and smooth surfaced. Non -woven polyster mat coated with polymer n,t • 91 =It and surfaced with mitt: Non -Woven polyester gnat coated with fire retardant polymer modified asphalt and surfaced with mineral =granules. Non -Woven polyester mat coated with ire retardant polymer modified asphalt and surfaced with mineral gr anules. ASTN1 1) ` i 4 7 Heavy d iv, polyester reinforced. asphalt modified bi;■_:r;t;:n smooth surface. AS 7.1 1) 51 Heavy duty, polyester r::inf, ,cox±. asphalt modified bitumen rncn,br:,nc, =granule surface. Frank luloa . Roofing Product Product RUBEROID TORCI-1 3 /. sq. roll FR 90 lbs. RUBEROID 30 1 sq. roll 92 lbs. RUBEROID 30 FR I sq. roll 92 lbs. Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof 5 lions Paint GAF Built -Up Roofing Asphalt Rt ;B RU[r) MC)[) .Asphalt R0.. iRU1[) N101) . —\ halt 1. '�.:3EROU \1(J1) :" 1' Test Dimensions Specification RUBEROID TORCH Y. sq. roll ASTM D 5147 Heavy duty, polyester reinforced, PLUS 93 lbs. asphalt modified bitumen membrane, granule surface 5 u,allons 100 lb. cartons. hulk 60 Ib. keizs 60 l,3. ke PA 100(A) ASTM D 1929 ASTM D 635 ASTM D2824, Type( Pa,eSof61 Product Control No:97- 0804:14` Product Description Non- fibered. aluminum pigmented, asphalt roof ASTM D312, Interply mopping and surfacing.asphalt Types 1. 11, Wand 1 V SEE3S modified asphalt S!ihS modifi d asphalt SEBS modified aspha!t ASTM D 5147 Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 5147 Non woven fibcr�glass mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. None Mineral colloidal bituminous emulsion with reflective aluminum flakes RUBEROID® 109. Roll ASTM D 5147 Woven fiberglass mat coated wi *h ULTRACLA IX' ' :s. Polymer modified asphalt • . with aluminum, copper or stainl:.::. _t foil. Frank Luloa,a, - i<ool;ng Product Control Examiner Product GAFTEMP Tapered Isotherm R GAFTEMP Tapercd Isotherm RA GAFTEMP Tapercd Isotherm RN GAFTEMP GA FCANTr" GAFTEMP GAFEDGET" Tapered Edge Strip GAFTEMP PERMALITE® Tapered Roof Insulation Shingle - Mater" Underlayment GAFTITE® ASAP RUBEROID® Modified Bitumen Adhesive Tes t Dimensions Specification Various Various I'A 1 10 Tapercd polyisocyanuratc foam Various Various Various Various GAFTEMP Recover 1/2" thick, Board Various sizes 4 sq. roll �U IDS. 500 per box. i o.allons 'i o; 6I PA 110 Tapered polyisocyanuratc foam PA 1 10 Perlite board Product Control No: 97- 0804.14' 1. I'roduct Description Tapered polyisocyanuratc foam Cut perlitc board Tapered perlitc board PA 110 Tapered perlite board Fiberglass reinforced shin;lc and PA 114 Pre - assembled fastener and metal and plastic plates AS TM D 3019 Fiber reinforced, rubberized Adhesive Type 111 TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Product Dimensions Specification Description ACFoam II various PA 110 Polyisocyanuratc foam insulation Product Control No: 97- 0804.14 Manufacturer Pyrox various PA 110 Polyisocyanuratc foam Apache Products Co. insulation (with current PCA) ACFoam l various PA 110 Polyisocyanuratc foam Atlas Energy insulation Products (with current PCA) Atlas Energy Products (with current PCA) Hy -Therm Nail -line various PA 110 Polyisocyanuratc foam Cclotex Corp. insulation (with current PCA) Hy -Therm SP various PA 110 Polyisocyanurate foam Celotex Corp. insulation. (with current PCA) Hy -Therm AP various PA 110 Polyisocyanuratc foam Cclotex Corp. insulation (with current PCA) Hy -Therm Stable R various PA 110 Polyiso --_! foam Celotex Corp. insu' (with current PCA) .t Hy -Therm White various PA 110 Polyisocyanurate foam Celotex Corp. Line insulation (with current PCA) Anchorbond Fastener Dekfast Fasteners X14 Dekfast Ilex Plate PA 1 14 Insulation fastening Celotex Corp. assembly (with current PCA) PA 114 Insulation fastener for steel Construction and concrete decks Fastener_: I nc. :..itlt current PCA _ 7!8" x PA i 14 Galvalun e hex stress plate. Construction 3 1/4" Fasteners Inc. with current i'C: :\ 1 Page 10 o: 61 C \ / F,ank 7_uloa a, iLoolin; Product Control is. \: u n iner Dekfast Lock Plate 3" x 3 1/4" PA 114 Polypropylene locking Construction plate. Fasteners Inc. (with current PCA) Dekfast Fasteners 4'15 Dekfast Fasteners 4'12 ISO 95+ Composite PA 110 Polyisocyanurate / perlite Firestone ridged insulation (with current PCA) Asphalt ASTM D 312 Type III or IV Hot asphlat generic bituntin adhesive Asphalt Primer ASTM D 41 Asphalt Primer generic EPS various PA 110 Extruded polystyrene generic insulation High Density Wood various Fiberboard I'elite /Urethane Composite Perlite Insulation various PA i 10 Perlite insulation board generic Polyethylene 4 mil rain. Vapor barrier / Air harrier `;eneric Re,'. Rosin various Rosin paper for harrier _,cner layer on wood decks ROC•f Test Product Product Dimensions Specification Description various P,\ 110 Perlite / urethane composite board insulation \linin;tiw r • PA 1 14 Insulation fastener for steel Construction and wood decks. Fasteners Inc. (with current PCA) PA 110 Wood fiber inset ' PA 11 4 • Page 11 of 61 PA 114 Insulation fasteners for Construction concrete decks Fasteners Inc. (with current PCA) Corrosion resistant annular g�neri• rim, shank nails Manufacturer gen generic - • . _ Rootint Product Control 1:.xamine: Tin Caps Min. 32 ga. x Corrosion resistant circular generic vs., discs. MB aluminum roof PA 121 coating (with current PCA) Dens -Deck Various I'A 110 Gypsum insulation board. Georgia Pacific (with current PCA) #12 Roofgrip PA 114 Insulation fastener for steel ITW Buildex or wood decks (with current PCA) #l4 Roofgrip PA 114 Insulation fastener steel, IT\V Buildex wood or concrete decks (with current PCA) Gripdek Fastener PA 114 Insulation fastener 1T \ \% Buildex (with current PCA) Hexcel Fastener PA 114 Insulation fastener ITW Buildex (with current PCA) Hextra PA 114 Insulation fastener and IT \V Buildex metal or plastic plate (with current PCA) ISO 95+ various E NRG'Y -2 1SORoc Test Product Product Dimensions Specification Description Manufacturer Plastic 3" round various :\ 1 i(' 110 Polvisocyanuratc foam insulation 12 o! f; rock it v,r.inl;r Inii:1 ;ttion Product Control No: 97- 0804.14 Aluminum roof coating Grundy Industries PA 114 PolvEle ,)lastic plate IT\V Builder (■ith current PC.?-.) P:\ l 10 Polvisocvanurate foam International insulation Pcrmali,e (with current PCA) NRG � Barriers. Inc. (,pith curren: !'CA) Inc Lxith CA.) Product Control No 97- 0804.14`:x: ' - ` • Test Product Product Dimensions Specification Description Manufacturer Olympic Standard 3" round PA 114 3" round galvalume Olympic AZ55 steel plate Manufacturing Group, Inc. (with current PCA) Olympic Fastener n14 Olympic 3.25" round PA 114 PoIypropyi!ene Olympic Polypropylene plastic prate Manufacturing Group, Inc. (with current PCA) Olympic Fastener 712 PA 114 Insulation fastener Olympic ivlan uf<acturing Group, Inc. (with current PCA) PA 114 Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) Olympic Fastener PA 114 Pre - assembled Insulation Olympic ASAP fastener and plate Manufacturing Group, Inc. (with current PCA) Olympic CR Base Felt Fastener and Base Sheet Disc PA 114 Insulr ,. ener Olympic asseml,Iy' Base Sheet Manufacturing fastening only Group, Inc. (with current PCA) GlasFast Fastener PA 1 14 Insulation fastener O \Yens Cornim assembly with recessed Fihcrtlas Corp. plastic plate (with current PCA) Paroc Base Board various P:\ 110 Rockwo -ol. insu!ation Partek. I,r (with Curren; !'c, \ Paroc Cap Board various P:\ 110 Rocwooi insulation ('witlr current I'C. -\ Pat 13 o(61 — +.r -enic oa ,: - Roofin . Product Cur:trul Insul-Fixx P Test Product Product Dimensions Specification Description UltraGard various PA 110 Polyisocyanurate foam Schuller insulation International Inc. (with current PCA) Insul -Fixx Fastener Rawl Fasteners #12 Rawl Fasteners •I4 3" round PA 114 PA 1 14 Insulation fastener for steel SFS /Stadler and wood decks (with current PCA) 3" round polyethylene stress plate PA 114 Insulation fastener for steel and wood decks PA 114 Insulation fastener for use in steel, wood or concrete Rawl 2" Plate 2" round PA 1 ] 4 round `galvalume AZ55 The Rawlplug membrane plate Company Inc. (with current PCA) Rawl 3" Plate .." round PA 114 3" round gale ' .-. '. Z55 The Rawlplug ._eel plate Company Inc. (with current PCA) Rawlite 3" Plate 3" round PA 114 3" round galvalume AZ» The Rawlplug steel plate for use with Company Inc. Rawlite fasteners (with current PCA) 2 !_IS PA 121 Roo coating ing Thermo - Materials. 202 Inc. (with current PCA) lu,rcr I're;1 I; PA 121 Roof coatintt Thermo- Nlatc:rials. In (with current PCA) Pa,e 14 of 61 Product Control No: 97- 0804:1 Manufacturer SFS /Stadler - (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) - Fru -Fast [?!. PA 1 1 : Insulation fastener for steel, Tat-Fast or wood currcn, -A Frank 7_uloa_a, - -_ Roofin_ Product Cuntrn! Fixamin.2c c., Tru -Fast TP Structodeck Test Product Dimensions Specification Tru -Fast Plastic Plate Tru -Fast MP-3 Tru -Fast HD Tru -Fast Ultra Tru -Fast DP 3.04" round 3.23" round PA 114 3.23" round Salvalumc AZ5O steel plate various Product Description PA 114 3.04" round polyethylene plastic plate PA 114 Insulation fastener for use in wood, steel or concrete decks PA 114 Stainless Steel fastener for use in steel, wood and concrete decks PA 114 Insulation fastener for use in steel or wood decks PA 114 Insulation fastener for use in steel or wood decks PA 110 14i`'h density wood fiber Product Control No:: 97- 0804.14 Manufacturer Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) - Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Wood Fiber Industries vitI$ '!!r' PCA) }': • ; uCl CO:t;r, t:a:... Test Name Agency /Identifier Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Wind Uplift Corporation FMRC 4470 - PA 114 Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Coyoration -, Trinity Engineering Underwriters Laboratories, Inc. Current Insulation Attachment Requirements \Vind Uplift FMRC4470 -PA 114 \Vind Uplift FMRC 4470 -PA 114 Wind Uplift FMRC 4470 -PA 114 \Vind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 :ift . F ;M:'.:.:.. •'A 114 Factory Mutual Research \Vind Uplift, 1 ,ti1RC Corp. 4470 - PA 114 Factory Mutual Research \Vind Uplift, FMRC Corp. 4470 - PA 114 \Vind Uplift PA 114 Fire Resistance Classification UL 790 - P: 1 114 Dvnatech Enijnccring \Vind Uplift Corporation P:\ 114 TEST REPORTS .► Page 16 of 61 Report FMRC 1996 J.1. OT4A LAM J.I. l V8A4.A,M J.I. I R I A6.AM J.1. 0T2Q4.AM J.I. 0Q6A6.AM J.1. 3X3A2.AM J.I. 0Y9Q5.AM - B9AS.AM J.I. 3D4Q2.AM 4483.04 97 -1 R1306, S7,N1:11819 43600.02.95 -1 Product Control No: 97- 0804.14 Date 01.01.96 08.26.92 06.28.93 11.15.91 10.1 7.91 07.16.91 08.02.94 07.29.94 09.04.97 04.30.97 06.0697 01 .01 . 02.02.95 } rank Zuloa■,a, Roofing Product Control ; .:mui Test Name Report Date Agency/Identifier Dynatech Engineering Corporation Wind Uplift PA 114 114482.02.95-1 02.02.95 r Product Control Examiner Wood Deck System Limitations: Product Control No: 97- 0804.14 1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F') of 95 Ibf or greater as tested in compliance with Merto -Dade County Protocol PA 105. If F' as tested is below 95 Ibf, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from Merto -Dade County Protocol PA 105 and calculations in compliance with Metro -Dade Roofing Application Stanadrd PA 117. 2 All standard insulation panel sizes are acceptable for mechanical attachment. When panels are applied in hot asphalt, maximum panel size shall be 4' x 4'. a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of 275 Ibf. as tested in compliance with Merto -Dade County Protocol PA 105 & Roofing Application Standard PA 117. If the fastener value, as field tested, are below 275-lbf. insulation attachment shall not be acceptable. 3 A slip sheet is required with GAFGLAS FIexPIy 4® and Ply 6® when used as a mechanically fastened base or anchor sheet. 4. '/2 Type X gypsum board is acceptable to be installed directly over the wood deck.. Page 57 of 61 Frank Zuloaga, Roofing Product Control Examiner Base sheet: Ply Sheet: Membrane: Maximum Fire Classification:- Membrane Type: : SBS Deck Type 1: Wood, Non- Insulated, New, Construction, Reroof • Deckescription.. t / � " or greater. plywood..or_wo.od_plank System Type A(3): Base sheet mechanically fastened. All General and System Limitations shall apply. GAFGLAS® #75 Base Sheet, GAFGLAS #80 UltimaT' Base Sheet, GAFGLAS STRATAVENT® Nailable, or RUBEROID® 20 base sheet is applied to the deck with 2" side laps with GAFTITE 1112 or #14 Screws and 3" Plates 12" on center, in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" OC in the field of the sheet. (Optional) One, two, or three plies GAFGLAS PLY 4® GAFGLAS FIexPIyT " or GAFGLAS® PLY 6® Ply or GAFGLAS FlexPly 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. One or more plies of RUBEROID , RI It3EROID 30, RUBEROID 30 FR RUBEROID MOP Smooth. 'O• 170 FR, P n Granule. RUBEROID MOP PLUS, .);' FR, RUL "°^ ACLAD ®. fully adhered in an approved asphalt at an application rate of 25 lb./sq. ± 15 %. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UItraCIadTM SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lb. /sq. and 300 lb. /sq. respectively in a flood coat of approved asphalt at 60 lb. /sq.. 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 lb./sq. + 15 %. Maximum Design Pressure: -45 psf (See General Limitation 117) 'A'. See General Limitation #2. Maximum Slope: 2 ":12 "; See General Limitation #3. Specification No.: Page 24 of 61 Product1Control No: 97- 0804.14 Frank Zuloaea, Roofing Product Control Examiner 1 All asphalt shall comply with ASTM D 312 type III or type IV requirements, and approved by applicant. 2 Fire ratings arc determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. Lino recovery board is used, install one layer of GAFGLASS STRATAVENT Perforated, laid dry.A 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 of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shalt be limited to a maximum design pressure of -45 psf. Where STRATAVENT Perforated is used over approved isocyanurate foam insulation, the may . sign pressure is limited to — 60psf. GENERAL LIMITATIONS Product Control No: 97- 0804:14;0 5 All work shall be performed by a contractor licensed to do rooting work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer. and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section II Building Code Permit. This infomiation is available in the publications listed in the 'System Description' of this Product .Control Approval. The submission of these documents, as we11 as the proper application and installation of all materials shall be the sole resnonsi hi!it'• of the contractor. Page 58 of 61 Fran: Zuloa,a, Roofing Product Control Examiner 0 . Product Control No: 97- 0804:14 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Metro - Dade County Roofing Application Standard PA 117. (When this limitation is specifically referred within this NOA, General Limitation #20 will not be applicable.) 8 All attachment and sizing of perimeter nailcrs, metal profile, and/or flashing termination designs shall confomi with Metro -Dade County Roofing Application Standard PA 1 1 1 and the wind load requirements of Chapter 23 of thc Florida Building Codc. 9 Flashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section I1 Permit Application. All details shall comply with the provision of the South Florida Building Codc. 10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force (F') value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener values as tested are below those listed in the System Limitations, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value tal :cn from a Metro - Dade County Protocol PA 105 test report and calculations that comply with the wind load requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 117. 11 Fastener spacing for insulation attachment is lv- - td on a Minimum Cl (F') value of 275 lbf., as tested i complia A 105. If the fasten l are below 275 lbf. insulation attachment shall ,,ul r,,. acceptable. Force d tested. 12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and Ii islr point. Asphalt types and temperature ranges shall be in compliance with Subsection 3 :03.4(.1)(3) of the South Florida Building Codc. 13 Insulation may be installed in multiple layers. The 11 lave: ‹hall h attached in conioi ance with Product Control Approval ouldchi:.; All la`'_. !1:.'il t ?. adhered in :u!l mclpnin�� of approved asphalt applied within the I:' rate 20-4i lbs.'so., or mechanically attached using the fastenln , to! P.efcr to manufacturer's literature and/or the NRCA Roc.olln'_ \` ::Cn noott : :' Jarlual for corrcc: application procedures of insulation panels in app ro': J asp,:a!: o- adhesive, %vhich shall comply with provision of Roofing Application Standa-.i PA I <<__ 'r'ag..: 59 n; zuL I': :uct C :ontrui ,.x rli :';:. Product Control No: 97- 0804.14 • 14 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA 124 for uplift resistance. Tcst pressures shall be calculated in compliance with the wind load requirements of Chapter 23 of the South Florida Building Code to the design pressure of the roof. 16 In re-roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(nm), (n) of the South Florida Building Code. 17 Roll good materials shall be stored on end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 19 Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with sections 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 20 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) t Pale 60 of 61 Frank Zuloaga, Roofing Product Control Examiner • C GAF Materials Corporation ACCEPTANCE NO.: 97 0814.14 1361 Alps Road APPROVED: November 6, 1997 Wayne, NJ 07470 EXPIRES: November 6, 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, arc 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 chancre 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; h) Misuse ^`' this Acr• , • : -rrsement of any pm''ra for sales, advertising or any other -i 6 The Notice of Acceptance number preceded by the words Metro - Dade County. Florida. and followed by the expiration date may be displayed in advertising literature. If any portion of :he 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 neat not be resealed by the engineer. 8 Failure to comply , ,th ..n' ,; _th. i 1 sect of l Acceptance C?.,.e for ie771l,,..i10n <., ",_ removal of . \cceptance 9 This Ace,%):...,.._ (hrou 61 E.N1) OF THIS ACCEPTANCE Page 61 of 61 Product Control No:..97 0804.14 Fran; Zuiaa- . ::,wring Product Control Examiner • II "i fri tRUBEROID® Specification N- 1 -1 -MG and N -1 -1 -MGFR 2' Min. Side,Lap 36 Substrate — "/32 inch minimum plywood, gypsum. structural wood fiber. lightweight insulating concrete. See "Lightweight Insulating Concrete Decks," page 10. Slope —Up to 1 inch per foot for lightweight insulating concrete: up to 3 inches per foot for other decks. Materials 9 GAFGLAS 075 Max• Base Sheet RUBER0I0 MEMBRANE -"hz Mln. Reliable Deck Sleep Asphalt ASTM Type In or IV GAF Materials Corporation Steep Roofing Asphalt ASTM D -312 Type 111 or IV GAFGLAS #75 Base Sheet RUBER010 MOP or MOP 170 FR 1 Approximate Weight Per Square Total 145 -155 lbs. • Th' cpecifirations can be applied using RUBEROID Modified Bit,. 1d:.. .,.,ferences to cold applied installations - require the specification dc:.,.jnation to be followed by a "(CA)" to indicate that it is to be cold applied. UL Approvals for cold aoohed constructions are pending. Contact GAF MC Technical Services for current status. Specification N- 1 -1 -MG 1- 1 -MGFR Guarantees Available RUBER010 Liberty 12. 1 2.10 RUBEROID 12.13 12. 10 General Recommendations presented on pages 17 -22 shall apply in addition 10 the following application recommendations. AnMicaiiim Recommendations 1. Lay one ply of GAFGLAS' #75 Base Sheet (or one ply of STRATAVENT (Vent Ply) as required for nailable decks in the case of a fresh lightweight insulating concrete or gypsum deck). with a minimum 2 inch side lap and not less than 6 inch end laps. Nail along side lap of the base ply at intervals not to exceed 9 inches and stagger -nail down the center of sheet in two rows with nails spaced al 18 inch intervals in each r0w. 2. Starting at the low point of the roof. fully embed one ply of RUBEROID Membrane (Granule) in a nominal 25 pounds per 100 square feet (plus or minus 20%) Continuous coat of Sleep Roofing Asphalt ASTM D -312 Type III or IV. The RUBEROl0 membrane must be positioned to provide 4 incii side laps and 6 inch end laps. RUBEFI010 F R UL Ciassiiicatian UL Class A A Substrate Slope Specification C NC 1" N -1 -1 -MGFR N -1 -1 -MGFR For more extensive classifications. son page 6. UL Chart Key 1. Substrate C = Combustible and Noncombustible Combustible = Wood planks. boards. etc., plywood (min. " /,; inch thickness). oriented strand board (min. '/, inch thickness). NC = Noncombustible only Noncombustible = Steel. poured or precast structural concrete. lightweight insulating concrete. gypsum. structural wood fiberboard, etc. 2. Slope Maximum slope allowed. in inches per toot. GAF Yurcm415 conoonAnO" A F.=, r ROOF COVERING MATERIALS (TEVT) • ., ROOFING SYSTEMS (TGFU)— Continued Base Sheet (Optional): One or more layers Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perlite, glass fiber, isotyanurate, urethane, perlite /isotyanurate composite, pertite /urethane composite, phenolic. 1 -1/2 in. min thickness (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type 62 or G3. Ply Sheet (Optional): One or more layers of Type 61. 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: Karnak No. 97, 1 -1/2 - 3 gal /sq. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers of Type 61. G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule.), "Ruberoid Torch Plus" (granule). Surfacing (Optional): Karnak "No. 97" or "169" at 1 -3 gal /sq or Grundy Ind. "20 F Emulsion" at 3 gal /sq. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isotyanurate, urethane, perlite /isotyanurate composite, pertite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Gravel. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isotyanurate, urethane. perlite/isocyanurate composite, perlite urethane composite, wood fiber /isotyanurate composite, phenolic. / Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type 61. 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: Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel. leek: NC Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isotyanurate, urethane, perlite /isotyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruh rch" (imonth or granule), "Ruberoid Torch Plus" (granule), "Rube•, ., (smooth or granule) or 'Ruberoid Mop Plus" (granule). surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq. ack: C. :5/3.2 Incline: 1/2 : nsulation (Optional): One or more layers perlite, glass fiber, 3/4 in. oln. isotyanurate. urethan ?• perlite ;'isotyanurate composite, perlite : rethane composite, phenolic. 1-1/2 in. min. / lase Sheet: One or more layers of Type G2 "GAFGLAS 1175 Base Sheet ", •ot mopped or mechanically fastened in place. 'ty Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", hot mopped iembrane: "Ruberoid Mop FR" nrti�••osli.' G; phenolic (granule)- urfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or 13. Dec �F ins We3th ?r Coat EmuLsion at 3 gal /so. :k: C -15/32 k I :cola rion 1 (Optional). )n? o; rnOr? I ;c - ;: o?rlit glass fiber, 3j4 in. Incline: 1/2 Bas i ;o a?r , u' t' ur etndn" pert] !i:0.. tirwrate cons posit con ; -, Y0P ph. 1- P e, perlite/ P .r;_ Sheet: •) or more la ?r: f m? i 'GAFf S Ply ;.�_ -. , ,LA_ CIS Base Sheet", ' -t' :n- ,' . n .., . I" , lac P She et: or me ;n 'Ayer; of f A- - GLAS Ply 4 or - GAFGLAS (5n, Mem 7; r ) p( ?mbran?: ';': ?roI Torch r "R" (gr L) Mem y ,,011::0 n i,L GAF Fibered Aluminum Coatis I ek 're :roe; 9 at 1-1/2 gal /sq or 19. Deck: t Er:u :non a: 1 gat /;q :k C :5/32 Insul Incline: 1/2 isot Isolation: 1sa.:yanurat. ?, 2 in. ruin., . -rood fiber, perlite or glass fiber, thickness, but ,rop:ted or mechanical( fi- - thick ;e: 5 in. / ten ?d ui place. Joint, Ise Sheet: On :2 t e or more layers of Type moo=• d or ech GAFGLAS 75 Base Sheet", Sheet � in an '.ally fastene ,r, place. (Optional): One or more t:.: ?rs or T G1 "GAFGLAS Pl 4•' Or ^o: r.,') ; ,•t ,: place ' . 1 0 leibr3n 3:,: L)rhi P' (..v.w :del. ' • - Dy i ng (Op: . GAF Fibe ;e.a Atc;ni•;;m. . . r. . Ernul,:on a: 3 qal;' 3 lGat a[ Base Karma adhes Memb (gran Gibsor 20. Deck: C 1 -1/2 gal /sq or 1 lnsula Base LOOK FOR MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) 135 ROOFING SYSTEMS (TGFU)— Continued 12. Deck: C -15/32 Insulation (Optional); Isocyanurate, 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 1175 Base Sheet ", hot mopped or mechanically fastened in place Ply Sheet: One or more layers of Type G I "GAFGLAS Ply 4" or "Ply 6 ", hot mopped in place. Membrane: "Ruberoid Torch FR" (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 pr more layers of Type G2 "GAFGLAS 1175 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of Type G 1 "GAFGLAS Ply 4" or "Ply 6" hot mopped to place. Membrane: "Ruberoid Torch FR" (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 1175 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 FR" (granule). Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq or GAF Fibered Aluminum Coating at 1 -1/2 gal /sq. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isotyanurate 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 G1, 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/ isotyanurate composite or phenolic. offset 6 in. from joints. Base Shoe!: 0nr .•r more layers of lyp :• (.:2 or G -3 base sheet, hot (TIP fastened. -:. hot mopped in Meuihr,.,,, . 'Ruberoid 1u. „ or ''Ituberoid Mop" (smooth). Membrane: (granule) One !aye, of "Ruberoid lorri, FR" or "Ruberoid Mop FR" Deck: NC Incline: 1 Insulation (Optional): Perlite• fiber glass, wood fiber, isotyanurate, urethane, perlite /isotyanurate 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 G 1. hot mopped in place. Membrane: One layer of "Ruberoid Moo FR." or "Ruberoid Mop 170 FR" (granule). •NC Incline: 1/2 ulation (Optional): Perlite. (15 (15.2r qla;;, wood fiber, i t t : han? . Perlite /isOC!:.:nurai? c. SOCVanur3 . e Sheet (Optional): One or more ta.--; s of Type G -2 or 6 -3 base t, hot mopped or niechanicr.11,; fisten-;7. Sheet (Optional): t3: or rno;_• layers )r type G -1, hot mopped in e. bra lay- 2r line taye; ■ ' fair -n' smooth). 'Ruberoid ? m brave: One o' "h.ubero;4 Torch FR Ruberoid Mop FR" or eroid `lop 170 F2" (: ;rmul ?). NC Incline: 1/2 atian (Optional): Jr; or :more lay ?r, of perlite, anurate. P t glass fiber, Y0,s urethane, perlite /isucy.:nu ;ate composite or phenolic, any Sheet: One or rnor? nl G I or 67, hot mopped or adhere with k Chemical Co. "No. 31" or Gibson -Homa0 "No. 6160" cold applied ive at 1 -1/2 gal /sq. cane One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" ule). hot mopped or adhere:] with Karma:: Chemical Co. "No. 31" or i -Homan "No. 6150• cold applied adhesive at 1-1/2 gal /sq. -15/32 Incline: 1/4 tion: Po1yisoc.tar:ur,14t any thickness. Sheet: "GAFGLAS ;75' (Type 62), mesh.,mi sal!; attached. New Building 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 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 regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date _ICl/ CY E1 k_a_ Le , Owner's Name and Address__ _ —_ F_Entw - s r" €_ No._, � Street 4 J 1 '°T Registered Architect and /or Engineer Name and address of licensed contractor I Location and legal description of lot to be built on: Lot _________________ Block_____—_____ Subdivision Street and Number where work is to be done J. j _h T e "N S tR jer s f; f State work to be done and purpose of building (by floors) i L� +"" l + i Remodeling________ —__ Addition__ ____�__�__� Repairs ► No. of Stories To be constructed of____ ____ ___ - - Kind of foundation_ Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building —__ ____ — __ _Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to_____— _______ Roof Covering__ __—_and for no other purpose. 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 perfor d under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. Building Inspector My Commission Expires (over) 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 application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida PLANNING BOARD DATE Chairman Member Member Member Member _ Member Council Approved_ Date Disapproved ___mate 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. LIST OF CONTRACTORS, SUB - CONTRACTORS, ETC. REQUIRING OCCUPATIONAL LICENSES MIAMI SHORES VILLAGE 1. General Building Contractor. 2. Plumbing, Heating, Ventilating, Air Conditioning and Gas Fitting. 3. Electrical. 4. Architects, Engineer, Surveyors, Landscape Architects and Interior Decorators. 5. Excavating, grading, filling and Landscaping. 6. Moving or wrecking. 7. Septic Tank and Drain Field. 8. Brick, Stone, Tile, Cement Block, Concrete and Gypsum. 9. Carpentry, Millwork, Awning and Shutters. 10. Cement, Lime, Plastering, Stucco, Lathing and Cast Stone. 11. Decorating (interior and exterior) , Painting, Waterproofing, Damp- Proofing and Paper- hanging. 12. Flooring, sanding or finishing; wood, rubber, composition, linoleum and other flooring not otherwise specified. 13. Ornamental Iron, Bronze and Steel, Steel Sash, Over -head Doors. 14. Roofing, Sheetmetal and Skylights. 15. Solar Water Systems. 16. Well drillers. 17. Sprinkler Systems of all kinds, including those for Buildings, Lawns, etc. 18. Structural and Reinforcing Iron and Steel. 19. Tile, Terrazzo, Marble, Granite and Cut Stone. 20. Electric Fixtures. 21. Illuminated Signs. 22. Bridge, Bulk- heading, Drainage Sewer, Water and Gas excavation and Construction, Dredging, Irriga- tion System, Pile Driving, Sea Wall, Paving, Sidewalks, Curb and Gutter or similar work. 23. Every person, firm, co- partnership, Corporation, Association or other organization engaged in the bus- iness of supplying, furnishing or delivering building materials for any construction project within the Village Limits and not having a regularly established and licensed place of business in the Village. Disapproved ( Signed) Building Insp:;tor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date April 2 7-1 1966 , 19 Owner's Name and Address M`.__Ja]B S Dalton No.__ 4.61 Street____ E. 93 Registered Architect and /or Engineer Name and address of licensed contractor__ V. R. Robbins a n d So n 7.01- . _I._20___S-treet Location and legal description of lot to be built on: Lot____ Block Subdivision Street and Number where work is to be done h61__"jfj�__ .__93 State work to be done and purpose of building (by floors) " Tear off o1d__roo f end apply 1/30 and_ - 1/9"0__ wi. th__hot._asphalt. and for no other purpose. New Building Remodeling Addition Repairs' X. No. of Stories To be constructed of Kind of foundation Roof Covering" .atQ Estimated Total cost of improvements $___2SO.QO Amount of Permit $._ 5.0° 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 Ur R. Robbing and Son 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 rovisions thereof, and will require similar compliance from all contractors or sub - contractors employ •d 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 .. lic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be rform:,% under this permit, as are licensed by Miami Shores Village. Remarks (Signed) My Commission Expires • STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - -- — 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. r Permit No �.L� °?.� Date 3 �`' Read, Sworn to and Subscribed before me. Notary Public, State of Florida ANNING 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. Owner's Name and Address J1'' �i1___(' Registered Architect and /or Engineer Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot Block Subd Street and Number where work is to be done Sta work to be done and urpose of build' (by floors)._ l"q ' c��i4fiEG STATE OF FLORIDA, COUNTY OF DADE. ss 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. J e-17 /`‘ C1/44 d V C v New Building Remodeling Addition Date. _ N Street id" and for no other purpose. Repairs No. of Stories To be constructed of Kind h latipp Roof Covering Estimated Total cost of improvements 1 L� a P $ - - - - - -- r _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 le of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such 'bc act . ��.; to b perfo dander this permit, as are licensed by Miami Shores Village. �� ✓ - GQ Remarks-- - -- — — — — / . fij �fil — -- — -- -- -- ( Signed) / ` T Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ________ and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. /7—./a / Permit No (1____ __ 1�___ Date `.z 4 Read, Sworn to and Subscribed before me. Disapproved ' o __ Date_— ( Signed) L6�1/ .�G , ' . - / '`. Buildi Inspector to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ____________ Member Council Approved_________ Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.