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482 NE 93 St (3)MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date � 2 Time Type Insp'n /. Permit No. ��0 �V Name Oezrd Address 4 A/- 9 g Company jp d4i /9L &V'E --- —" Phone # 7(6 - - v - 5`C' For Inspector: Name & Date Approved Correction Re- Insp'n Fee 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..._ / a — ,10.. . .__.._._......._.�_......_.� . 7 w O nei s Name and Address ... a CAA) C ....._. No J a A 6 Street...2 .._ R egistered Architect and /or Engineer ,,. ,.,..,:r -: ,-- <:,,- •:- .,:,,,,,-- , Name and address of licensed contractor.. . � ... oo -✓ 6 - 6 C ¢ 1 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done i4eP.A_ Q 6 State work to be done and purpose of building (by floors) 4-F- kea Q 0C eaa, --ar 1, STATE OF FLORIDA, COUNTY OF DADE. j ss. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering 7% L. e...$ ............. D Estimated Total cost of improvements $.. 00 c of Permit $. j Z - ry 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 subcontractg s . ,t. k to be performed under this pennit, 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 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 Permit No..__..._ / 6 0 V Date ` � � c ! _. Read, Sworn to and Subscribed before me. Disapproved Date. Notary Public, State of Florida (Signed) Buil In pcctor y Commission Expires to me well known, PL4CNNINC BOARD DATE Chairman Member \Scriber 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 fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING MECH ❑ Owner of Building Architect - j� y k c) I I i ,Q) , 1 90 Permu Contractor /� A(1( ,,/ � � VV lvl l t� c/ CCF Subdi- I —5 S ��rT T vision L�_ N otary: ��•�. Legal _ �l,o{� y- 1 Description / C1 °1 / ( °2 �� 11 Bl. 6 Sq. Ft.: Bond: - 9' Radon: Permit: i / ST167 Value of Amount of -Y L Address of 'e/ 1 ( e . ( � P $ y 0 _ � 1 , Building A ( / ` 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 applic tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with a plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may bq revok at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which tl permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances al regulations pertaining to the work covered hereby whether � aFur n on the plans or drawings or in the statements or specifications and that he assumes respo sibility for work done by his agents, servants or mplo Signed / . //� (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulatio pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responsibility for all work done by either, myself, my agent, servant or employee. l i CONTRACTOR or BUILDER 9TC (-10 1! %C -G� MIAMI SHORES VILLAGE, FLORIDA ll Date id f 3 PERMIT PERMIT CARD MUST BE AVAILABLE FOR ALL INSPECTIONS---- - Work to be performed under this Permit 5t E0 . E: EL92:1 S 110 / %�/ o0 901608026E OL9Z /E11 -E9 ✓aru�yn� 305,795-2204 95 -2204 N2 50433 BY AUTHORITY wwaS wwa,vrJ 1110 pr SSO£E li '�weryr 000L O09 0003ntl 41/9 'MN SLS91 1st i ■alu20 IelauewJ gn13 knuno3Aumitl VA 'Well tenuln w0lui I OM 'env' t0!t11ijSe/ut OSOZ O££ ld 'II Vlw EZPS 6Z9 - S0£ 'HO 1NOW)IVO N S9CL osoauvo 'W Solna C2.0 QS $ ate^ - Contractor's License No. - 20 U - 6 MIAMI -GAGE • • ••• . •• • • •• • • • • • • PRODUCT CONTROL NOTICE ,CC4PTAN G.A.F. Materials Corporation 1361 Alps Road Wayne -• Expires:11 /06/2003 Approved: 07 /06/2000 N.1 07470 Internet mail address: postmaster ©buildingcodeonline.com �• •� • :• • �• •� • MIIAMI -DADS COUNTY. FLORIDA • • . . • . . • . . • • • ••• • • • METRO -DADE FLAGLER BUILDING • • • • • • • • • • ••• • • • •• • • • •• ••• •• • • • •• • • • • •. • • • • • ••• •• The expense of such testing will be incurred by the manufacturer. Acceptance No.:00- 0331.08 • •• BUILDING CODF. COJIPLIANCF OFFICE METRO -DADE FLAGLER BUILDING .;IdO WEST FLAGLER STREET. SUITE 1603 • • MIAMI. FLORIDA 33130.1563 •;� (305) 375.2901 FAX (305) 375.2908 CONTRACTOR LICENSING SECTION (305) 375-2527 FAX (305)375.2553 CONTRACTOR ENFORCEMENT SECTION (305) 375.2966 FAX (305) 375.2905 PRODUCT CONTROL DIVISION (305) 375.2902 FAX (305) 372.6339 Your application for Product Approval of: GAF Ruberoid Modified Bitumen Roof Systems For 1J'ood Deck. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCC() reserves the right to secure this product or material at anytime from ajobsite 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. R aul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW CO)`INIITTEE 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. �rancisco . Quintana. R.A. Director I of 55 Miami -Dade County I3uilding Code Compliance Office Homepage: http : / /www.buildingcodeonline.com • GAV:NIAT'ERIALS CORPORATION Cate■torv: Sub - Category: Deck Tyne:, Maximum Design Pressure Fire Classification: 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® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Ply 6® GAFGLAS Flex PI 6 5 gallons I, 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 • • • • • •• •• • • • • • • • • • ••• • • • • • • • • • • • • •• • • • • • • • • • • ••• ROOFING SYSTEM API'ROVAL • • • •••• • • •• • • • •• • • • •• Roofing . • • ; •• • • • .• Approval Date: July 6, 2000 SI3S /API', 14Klitied Biltptnen•• .•. •■• Expiration Date: November 06, 2003 Wood •75 psf See General La itttiOn Wh1 • •••• • • • Test Dimensions S )eciftcation 5, 55 gallons ASTM D 41 ASTM D 3019 ASTM D 3409 2 of 55 • •• ••• •• • • • • . • • ••• •• Acceptance No: 00- 0331.03 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 60 Ib. bags ASTM D 1863 Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. 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. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt: impregnated glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. Frank Zuloaga, RRC Rooting Product Control Examiner GAF' MATERIALS CORPORATION Prod GAFGLAS Ply 4.1D GAFGLAS® Mineral Surfaced Cap Sheet RUBEROID® Modified Bitumen Adhesive GAFGLAS® STRATA V ENTtD Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Nailablc RUBEROID Modified Base Sheet GAFTEMP® Isotherm R Tapered GAFTEMP® Isotherm R GAFTEMP Isotherm RA Tapered GAFTEMP Isotherm RA GAFTEMP Isotherm RN 1)1inensions 5 sq. roll .. . . . .. ... .. 76 Ib. roll AST vEp:3Z 0V • 4sRUalt't;lued, glass fiber mat cap sleet . • • tirlaced % ith mineral granules. •• • • • • • ••• •• 5 gallons 60 Ib. roll various 69 Ib. roll 3 sq. roll 67 lbs. various various various various various • • ••• •• •• • • • • • • • • • • • • • ••• Test Specification •.• • • •• • • .• • • • •• • • • • • • • • • • .AS1I D 21'8 • type impregnated glass felt ••• ••• ••• • • ••• with asphalt coating. ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III ASTM D 4897 D 3672 ASTM D 489 D 3673 PA 110 3 of 55 • • • • • ••• • • • • • ••• • •• • • • • • • • • • ••• Acceptance Nu: 00- 11331.0 Product 1)eseription Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiber glass base sheet impregnated and coated on both sides with asphalt•. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D4601, Premium glass fiber reinforced SBS- Type II, UL Type modified base sheet G2 BUR PA 110 Polyisocyanurate foam insulation. PA 110 Tapered Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Tapered Polyisocyanurate foam insulation Polyisocyanuratc foam instil: Frank Zuloaga, RRC Rooting Product Control Examiner ' . CAFlMIATFI,tIALS CORPORATION Product GAFTITE® "12 Standard Roofing Fastener • • • • • • ••• •• •• • • •• • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• Test GAFTEMP® various PA 110 Perlite insulation board. Permalite GAFTEMP Recover 1/2" thick PA 110 Perlite recover board Board Acceptance Nu: O0- n331.08 Product Description Dimensions Specification • • • ••• • •• • • • •• • • • •• Tapered GAFTEMP various PIA 110 • Tapeie4 Polyisocyanurate foam Isotherm RN ••• ••• ••• •• •. ••• insulation GAFTEMP® various • 11O•• : Puf isoey inuratc roam insulation with Composite •lji411 density fiberboard or Permalite per�litc insulation. Tapered GAFTEMPD various I'A 110 Tapered Polyisocyanurate foam Composite insulation %vith high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Polyisocyanurate foam insulation with Composite A high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam Composite A insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® - various PA 110 Polyisocyanurate foam insulation with Composite N high density tibcrboard or Permalite perlite insulation. Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam Composite N insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Fiberboard insulation. Fiberboard GAFTEMP® various PA 110 Hight density wood fiberboard High Density insulation. Fiberboard PA 1 Insulation fastener for steel and plywood decks. 4 of 55 Frank Zuloaga. ItRC Rooting Product Control Examiner 1ATr,RL \LS CORPORATION Acceptance \u: Utt- ps}I Product ' GAFTITE®1fl4 Heavy Duty Roofing, Fastener GAFTITE ASAP GAFTITEG Base Sheet Fastener and Plate Galvalume Plates NTB Fasteners Polypropylene Plates 3" and 3 'h" Ruberoid® 20 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROID MOP I70FR RUBEROID MOP FR 1)imcnsions Specification 3" and 3 '/ 1 sq. roll 103 lbs. 1 sq. roll 87 lbs. 1 sq. roll 102 lbs. 1 sq. roll 103 lbs. I sq. roll 105 lbs. •• •• • • PAIT4 ••• • • ••• • • •• •• It • • •• • • • • • • • • • • • • ••• • • • • • • • • T • • • ••• ••• 1.5 sq. roll ASTM D 5147 ••• • • • • ••• ••• • • • • • • • • • • Instil :ttiott f jstener for steel. wood and toncrct' dt!Rs. Product DeNcrintion •• • • • •• ••• •• • • 1;A : t t 4 ; ; : f i e : assen• l led GAFTITE Fasteners and • • • • • • nietItIluitrplastie plates. PA 114 Base shot fastening assembly. PA 114 Round galvalunie stress plates. PA 1 14 Fastener for use in gypsum. tectum and lightweight insulating concrete decks. PA 114 Round polypropylene stress plates. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 5147 5 of 55 SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated %with polymer modified asphalt and smooth surfaced. Non -woven polyster mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester neat coated with tire retardant polymer modified asphalt and surfaced with mineral granules. Frank Zuloaga. RRC Rooting Product Control Examiner CrkF MATERIALS CORPORATION Acceptance No: 1111 0331.03 P RUI3EROID TORCH Smooth RUBEROID ToRCI•i Granule RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 30 RUBEROID 30 FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion RUBEROID ULTRACLAD SI3S GAF Aluminum Roof Paint GAF Built -Up Roofing Asphalt Dimensions 1 sq. roll 87 lbs. I sq. roll 102 lbs. %+ sq. roll 93 lbs. 3 /4 sq. roll 90 lbs. 1 sq. roll 92 lbs. I sq. roll 92 lbs. 5 gallons 109. Roll 101 lbs. 5 gallons 100 Ib. cartons, bulk • ••• • • • ••• •• • • • • •• •• • • • • • • • • • • • • ••• • • • • • • • • • • • . • • • ••• fi Product Specilication Descril',tion • ••• • •• • • •• • . • • • AS I D i I47 • 11eivx du3y, polyester reinforced. • . • . � ••• ••• ••• • asph`ilt Vol.fified bitumen membrane. smooth surface. •• • • • •• ••• •• • •• I avy dpty, polyester reinforced, •• • • • • • a§ l3IlaltIttodifled bitumen membrane. granule surface. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. granule surface ASTM D 5147 ASTM D 5147 ASTM D 5147 PA I00(A) ASTM D 1929 ASTM D 635 6 of55 Heavy duty, polyester reinforced. coated with tire retardant asphalt modified bitumen membrane, granule surface. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated %vith fire retardant polymer modified asphalt and surfaced with mineral granules. Onc way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. None Nlineral colloidal bituminous emulsion with reflective aluminum flakes ASTM D 5147 Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. ASTM D2824, Non- fibered. aluminum pigmented, Type I asphalt roof coating ASTM D312, Intcrply mopping and surfacing asphalt Types I, II, Ill and IV Frank Zuloaga. RRC Roolinu; Product Control Examiner GAF NIATERIALS CORPORATION Ater l :met `u: 00 - • ••• • • • ••• I ' ••11 • • •••••• • • • • • • • • • • •• • • • • • • • • • ••• • • • • •+,. • • • • • • • lest • • • • ••• ProdluCt RUI3EROID MOD Asphalt RUI3EROID MOD Asphalt L RUBEROID MOD Asphalt P GAFTEMP Tapered Isotherm R GAFTEMP Tapered Isotherm RA GAFTEMP Tapered Isotherm RN GAFTEMP GAFCANTT`I GAFTEMP GAFEDGET`I Tapered Edge Strip GAFTEMP PERMALITE® Tapered Roof Insulation Shingle- MateT'I Underlayment GAFTITE® ASAI' RU I3 E RO I DO Modified Bitumen Adhesive Dimensions 60 Ib. kegs 60 Ib. keg,s 60 Ib. kegs Various Various Various Various Various Various GAFTEMP Recover 1/2" thick, Board Various sizes 4 sq. roll 30 Ibs. 500 per box 5 gallons Stlecif Ic'atioll • •• • • • • • • • • • • ••• ••• • •• • • • •• .r •• • • St Svodified asphalt • • • •• • • • • • ••• •• SE13S modified asphalt PA 110 Tapered polyisocyanurate foam PA 110 Tapered polyisocyanurate foam PA 110 Tapered perlite board PA 110 Perlite board PA 114 Pre - assembled fastener and metal and plastic plates ASTM D 3019 Fiber reinforced, rubberized Adhesive Type I I I 7 of 55 Product I)cscrir)tion ••• • • • • • • •• • • • • • • SERS:Inoililicd asphalt Tapered polyisocyanurate foam Cut perlite board Tapered perlite board Fiberglass reinforced shingle underlayment •an Zuloaga. RRC Rooting Product Control Examiner CAr MATERIALS CORPORATION Acceptance Nu: 00- 033I.08 • •• • . • . • ... . • • • • • •• •• • • •.• • . • • • TRAI)ENAtrIEs OF PRODUCTS VIANUFACTURI 13Y OTHERS: Pyrux Product ACruam 1 ACFuam 11 Hy -Therm Nail -line various Hy -Therm SP various Hy -Therm AP various Hy -Therm Stable R various Hy -Therm White various Line Anchorbond Fastener Deklast Fasteners #I4 Dekfast Hex Plate 1)imcnsioats various various various 2 7/3" x 3 1/4" Dcklast Lock Plate 3" x 3 1/4" • • ••• • • Teat • • . . •P � •o:ltta:t': • Sl�ecitiv ttttttj . :. •j)escriptitvtc. PA I IQ. . J'04'isgc yatitJ4tte,tp:un :.$ncukttluti •• '. PA I10 PA I10 •• • • • • • ••• •• Polyisocyanurate loam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation. PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 114 Insulation fastening assembly PA 114 PA 114 PA 114 8 of 55 Polyisocyanurate foam insulation Insulation fastener for steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. t`lanufacturcr Apache Products Cu. (with current PCA) Atlas Energy Products (with current PCA) Atlas Energy Products (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. Frank Zuloaga, RRC Rooting Product Control Examiner CAF MATCRIALS CORPORATION Test Product Dimensions Snecilication •• . -. Deklast Fasteners PA al -I • • • • ... ••• #15 Deklast Fasteners #12 ISO 95+ Composite Asphalt Asphalt Primer EPS Pclitc /Urethane Composite Pcrlite Insulation Polyethylene • Red Rosin Roofing Nails • Tin Caps MB aluminum roof coating various High Density Wood various Fiberboard various various 4 mil min. various Minimum # 12 Min. 32 ga. x • • • .. • • • • • ..• • • • • • .•. .• • • • • • • • • • ••• • • • • • • • • • •.. • • • • • Product . I9vscrittt ion •. • • • • • • • • • • • Insl,liltioilast;ii rs.1,hr concrete decks .• • • • .. ••• .• • • • • . PA 1 I.4 • • Gistalltien:faswnoc• Tor steel PA 110 PA 110 PA 110 PA 110 PA 110 PA 114 PA 121 and wood decks. ASTM D 41 Asphalt Primer • • ASTNI D 3 1 2 Type 1 1 1 or I V I-lot aspli fat bitumin adhesive Extruded polystyrene insulation Wood fiber insulation board Pcrlite / urethane composite board insulation Acceptance . No: 110 - 033 I .W ilanu I':% c1urer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Polyisocyanurate / perl1te Firestone ridged insulation (with current PCA) generic generic generic generic generic Pcrlite insulation board Vapor barrier / Air barrier Rosin paper for barrier layer on wood decks Corrosion resistant annular generic ring shank nails Corrosion resistant circular generic discs. Aluminum roof coating Grundy Industries with current PC \ t'cncric generic generic -ran . Zuloaga. RRC Rooting Product Control Examiner • GAF i%1ATEIZIALS CORPORATION Product • Dimensions Dens -Deck various #I2 Roofgrip #I4 Roofgrip Gripdek Fastener Hexed Fastener Hcxtra Standard Plastic Plate. ISO 95+ E'N RG'Y -2 ISORoc Olympic Standard 3" round Olympic Fastener #14 3" round various various various • •• • • • • Test' $ rccitication PA 114 PA 114 10of55 ••• • • • • ••• • • • • •• • • • • • ••• • ••• • • Prod • • • ••• • • • • • • • tct• Description PA 114 Insulation fastener PA 1 14 Insulation fastener PA 114 3" round galvalume AZ55 steel plate PA 114 Insulation fastener •• • • •• • • • •• PA Ia 0 • • • Gyplun. t itsu ' la ti o p [ ••• ••• ••• • • ,.•• Insulation fastener for steel wood:dt:c :s' • • • " ••• • • • • •• • • • • • • • • ••• •• Insulation fastener steel, wood or concrete decks PA 114 Insulation fastener and metal or plastic plate PA 114 Polyoletin plastic plate I'A 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam / rockwool composite insulation Acceptance Nu: 00- t1331.11N Ma Georgia Pacific (with current PCA) 1TW Buildex (with current PC, \) ITW Buildex (with current PCA) ITW Buildex (with current PCA) IT\V Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) International Permalite (with current PCA) • NRG Barriers. Inc. (with current PCA) NRG I3arriers..Inc. (with current PCA) Olympic Manufacturing Group. Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Frank Zuloaga, RRC Rooting Product Control Examiner CAW :MATERIALS CORPORATION Acceptance No: 00- 033I.08 Product Olympic Polypropylene Olympic Fastener #12 Olympic Fastener ASAP Olympic CR Base Felt Fastener and Base Sheet Disc GlasFast Fastener Paroc Base Board Paroc Cap Board UltraGnrd Insul -Fixx Fastener Insul -Fixx P • • •• ••• • • • • • • • Test ' • ••• Dimensions SLcilication 3.25" round various various various 3" round PA 11.:4 • •'Polynropyl ;ne ••• •••plastit"plitle • ••• PA114 PA 114 Pre- assembled Insulation fastener and plate PA 114 PA 114 PA 110 PA 110 PA 110 • • ••• • • • 11 • • • • • • • 0 • • • • • • 0 • ••• • • • • 0 • • • • • 0 ' 11 ttc t' °' 1)cs • • • ••• • • • • • • • • • • • • • •• • • • •• ••• •• • 0 . • • • • • • • • ••• • • Insulation fastener Insulation fastener assembly for Base Sheet fastening only Insulation fastener assembly with recessed plastic plate Rockwool insulation Rockwool insulation • Polyisocyanurate foam insulation PA 114 Insulation fastener for steel and wood decks PA 114 3" round polyethylene stress plate 11 of55 Manufacturer Olympic Manufacturing Group, Inc. (with current PCA) Olympic Nlanutacturing Group, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Owens- Corning Fiberglas Corp. (with current PCA) Partek, Inc. (with current PCA) Partek. Inc. (with current PC, \) Schuller International Inc. (with current PCA) SFS /Stadler (with current PCA) SFS /Stadler (with current PCA) rank Zuloaga, RRC Rooting Product Control Examiner • GAF. MIATERI:ALS CORPORATION Tru -Fast MP-3 Tru -Fast HD • ••• • • • • •• • •• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • Test • ••• • • t'ro tw!t' I'ro(Irlct • Dimensions S ecitication Description Rawl Fasteners #12 Rawl Fasteners /1I4 Rawl 2" Plate Rawl 3" Plate Rawlite 3" Plate 202 HS Super Prep 11 Tru -Fast DL Tru -Fast Plastic Plate 2" round 3" round 3" round 3.04" round PA 114 3.23" round PA 114 PA 114 • • • • • • •• • • • •• • •• • • • • ••• • • • • • • • • • PA 114 - • Insttlatipn,tastcqr fir steel ••• ••• •• ••• and 'Vow, decks ■►• • • • •• ••• •• • to • PA 114 • I�lsell ttign * Sngr use in steel, wood or concrete PA 114 "'" round galvalume AZ55 membrane plate PA 114 3" round galvalume AZ55 steel plate PA 114 12 of 55 3" round galvalume AZ55 steel plate for use with Rawlite fasteners PA 121 Roof coating PA 121 Roof coating PA 114 Insulation fastener for steel, or wood 3.04" round polyethylene plastic plate 3.23" round galvalume AZ50 steel plate Insulation fastener for use in wood, steel or concrete decks Acccptanec `u: 00-033 LOS - tUianufacture• The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) "fhe Rawlplug Company Inc. (with current PCA) The Rawlplug, Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) Thermo- Materials, Inc. (with current PCA) Thermo- Materials, Inc. (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Frank Zuluaga. RRC Rooting Product Control Examiner CAF MATERIALS CORPORATION Product Dimensions Tru -Fast Ultra Tru -Fast DP Tru -Fast TP Structodeck EVIDENCE SUBMITTED: Test Auencv Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation various Test Product St�critic;�ioy'. .: PleStrinU?jI.: • PA 114 PA 110 Test Identifier Current Insulation Attachment Requirements Wind Uplift FMRC 4470 - PA 1 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 • • •• •• • • • • • • • • • ••• • • • • • • • •• •• • • • • • • • ••• • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • PA 11 '••Staitlltts Steel fastener for use in steel, wood and .•••••• •• • . • • • • •• • 1•••••• Insulation fastener for use in steel or wood decks PA 1 14 Insulation fastener for use in steel or wood decks 13 of 55 High density wood fiber Dcscrintion FMRC 1996 J.I. OT4A I .AM J.I. 1 V3A4.AM J.I. IRIA6.AM J.I. 0T2Q4.AM J.I. 0Q6A6.AM J.I. 3X3A2.AM • Acceptance Nu: 00- 0331.05 Manufacturer Tru -Fist (with current PCA) Tru -Fast (with current PCi \) Tru -Fast (with current PC.\) Wood Fiber Industries (with current PCA) Date 01.01.96 03.26.92 06.28.93 11.15.91 10.17.91 07.16.91 08.02.94 Frank Zuloaga. RRC Routing Product Control Examiner , GAF NIATERIALS CORPORATION Test Auency Factory Mutual Research Corporation Factory Mutual Research Wind Uplift, FMRC.•• • .. J.I.;hf39>'1' ter Corp, 4470 - PA 114 Factory Mutual Research Corp. Trinity Engineering Underwriters Laboratories, Inc. Dynatech Engineering Corporation Dynatech Engineering Corporation Test Identifier •• • • Wind Up •• FMRC 4470 - Pt'ti l •• Wind Uplift, FMRC 4470 - 1'A 114 Wind Uplift PA 114 Fire Resistance Classification • UL 790 - PA 114 Wind Uplift PA 114 Wind Uplift PA 114 • • •• •• • • • • • • • • • ••• • • • ••• • • • •• •• • • • • • • • • • ••• • • • • • • • • • ••• • • • • ••• Descrintiun • • • ••• • •• • • • • • :11. QY9 ;.A • • • ••• • • • • •• • • • • • •• • • • • • ••• •• 14 0155 J.I. 3D4Q2.AM 4483.04 97 -1 R1306, 87NKI 1819 #3600.02.95 -1 #4482.02.95 -1 • Acceptance No: 1111- 11331.113 Date 07.29.94 09.04.97 04.3 0.97 06.06.97 01.01.93 02.02.95 02.02.95 Frank Zuloaga, RRC Rooting Product Control Examiner GAF NIATERIALS CORPORATION Membrane Type: APP • • 6100 • • • .•• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •. • • • • • .• • • • ••• • • • Dccl: Type I: Wood, Non- insulatccCNec>,C5ns$uctitu drItSrouT • • • • • • • • ••. ... ••• • • • • ••- Decl: Description: / or greater plywood or wood plank decks •• • • • .. .•. .. • System Type A(2): Base sheet mechanical) �f:t • • s� 1 • + OOO .i i.• i• •.• • • • ..• . • r .. All General and System Limitations shall apply. Base Sheet: PIy Sheet: Membrane: Surfacing: Maximum Design Pressure: -45 psf (See General Limitation #7) Maximum Fire Classification: See General Limitation #1. Maximum Slope: See General Limitation #1. Specification No.: 200(55 Acceptance No: 00- 0331.0 GAFGLAS®#75. GAI'GLAS 1#30 Ultima "' Base Sheet. GAFGLASTO PLY 40D. GAFGLASctc1 PLY 60, GAFGLAS FlexPIy"' Base Sheet,GAFGLASos STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBE•ROID?i:• 20 applied to the deck with approved annular ring shank nails and minimum I tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered along the center line of the sheet in the field. (Optional, required when using RUBEROID 20) one, two, or three plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 601) 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 -40 lbs. /sq.. One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, Ruberoid® Torch Plus Granule or Ruberoid® Torch FR torch applied according; to manufacturer's application instructions. (Optional) Install one of the following: I. 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. GAF Premium Fibered Aluminum Roof Coating„ at 1.5 gal. /sq. or GAF WeatherCoat® Emulsion at 3 gal. /sq. (Torch Smooth applications only) uloaga, RRC Rooting Product Control Examiner " • • • •• • • • ••• •. •• • • • •• •• • • • • • • • • • • • • • • • • • • • • GENEAL tThil TitilbNS: • : • Product Control No: 97 -0804.20 1 All asphalt shall comply with ASTM•D 31/; type #II og'type;ty requirements, and approved by applicant. • • • • • • • • • ••• • • • ••• • • • ••• 2 Fire ratings are determined by a combination of slope, deck t 'pe and assembly. Refer to current Underwriters Roofing Materials Directoryy ot;Our 54 ttsppg data listed in the testing file. Fire ratings shall be in strict compliance will[ Section's 3'441:5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24 "o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap 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 lbslsq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf except where GAFGLAS® STRATAVENT® Perforated is used, the maximum design pressure is limited to —60psf.. 5 All work shall be performed by a contractor licrnsed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer, and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section 11 Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as calculated in compliance with Metro -Dade County Roofing Application Standard PA 117. (When this limitation is specifically referred within this NOA, General Limitation #20 wil,not be applicable.) 8 All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform with Metro -Dade County Roofing Application Standard PA 1 1 1 and the wind load requirements of Chapter 23 of the South Florida Building Code. Page 47 of 50 "Fra i Zuloaga, Roofing Product Control Examiner Product Control No: 97-0804.20 . . ... • . . ... 9 Flashings thhll be installed according tope e: an fa • s .. lost details, and may be applied g � m K 4�� .Y PP lied in cold application adhesive, approved asphalt dr un4 se ap1liedintonjunction with a.n approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit:App1icatior!. AUdetqc hall comply with the provision of the South Florida Building Code. • • • • • • • • • • • • • • • • • ••• ••• ••• • • ••• 10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force (F') value as tested in compliance with Metro-Dade Oor:nty Prot000t pA•10S . If the fastener values as tested are below those listed in the Systent 1.ihibatiotts;airDfessibthal engineer may submit a revised fastener spacing utilizing the withdia:vaa resistance value taken from a Metro-Dade County Protocol PA 105 test report and calculations that comply with the wind Toad requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 117. 11 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 Ibf., as tested in compliance with PA 105. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 13 Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 Ibs.sq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with provision of Roofing Application Standard PA 117. 14 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro-Dade County Protocol PA 124 for uplift resistance. Test pressures shall be calculated in compliance with the wind Toad requirements of Chapter 23 of the South Florida Building Code to 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(m), (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 insulat;ion layer_. Page 48 of 50 Frank Zuloaga, Roofing Product Control Examiner i' 1 9 Consult current Underwriters Laboratot�e,� biregtory rilie app topriate coating for each roofing assembly to obtain the required fire ratiQg. The'ass✓intbl>y shall &.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 limitafioin•{istedilaali be app i abia to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced press re Fore (i.e2 perimetvoss extended corners and corners). (When this limitation is specifically retort til tlan,Nfis,NOA;General Limitation #7 will not be applicable.) • • • • • • • • • • • • • • • • • • • • • • • • Page 49 of 50 Product Control No: 97 -0804.20 ran Zuloaga, Roofing Product Control Examiner Product Control No: 97 -0804.20 • • ••• • • • ••• V. t• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • GAF Materials Corporation • • :• :: :ACCEPTANCE NO.: 97- 0804.20 1361 Alps Road APPROVED : November 6, 1997 Wayne, NJ 07470 •: •: • • XPJRRS: : November 6, 2000 • • • • • • • • • • • • • • • • • • • • • • • • 1 NOTICE OF ACCEIll AIlL`t S1'd&DARD CONdttIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including telt"st � data, eitneetfhg 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: "Metro-Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Accept;nce'shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 50 END OF THIS ACCEPTANCE Page 50 of 50 Frank Zuloaga, Roofing Product Control Examiner . ROOF COVERING MATERIALS (iEYi) .MS (TGFII)— Continued • ROOFING SYST lase T e o tal): One or mare lay? rs YP G1, G2 or G3. • �'�tp1d „ Sheet ( �e or more layers of "Ruberoid d Torch (smug, or gra • id Mo " (g or " Ruberotd membrane: Torch Plus" (granule), Rubero P 04p Plus (granule). Karnak No. 97, 1 - 3 gal/sq. Incline: 1/2 • . ° 9 9/32 lass fiber, isocyanurate, urethane, • t e,iSo One or more layers pert /urethane composite, phenolij, ,Mitein ° min thickness (offset from plywood joints 6 in.). i se Sheet One or more layers of Type G2 or G3. 61. membrane lase he ) One or more layers of m Sheet (Optional): Oe or more layers of "Ruberoid Torc (smooth or granule • (granule), "Ruberoid Mop" (smooth or granule) . l Torch Plus" li D evoid Mop Plus" (granulle - 3 gal/sq. NC g; Karnak No. 97 • Incline: 1/2 ease One or more layers of Type 61, G2 or G3. Membrane brane: O ne or more Sheet (Optional): Layers of "Ruberoid Torch" (smooth or granule), Mem " mie)• " S ! f a ring To Plus C9 ra wrfadn9 (Optional): tional): Karnak "No. 97 " " or 169 at 1 -3 gal/sq or Grundy Ind 20 F mulsion" at 3 gal/sq. Iodine: 1/2 15 32 layers s fiber, 3/4 perlite, glass in. min, • k: C- / One or more iaY, P erlite urethane Insulation: etlite /isocyanurate composite p / ,iocyanurate, urethane p composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more laye rs of T yP e 61, G2 or G3. "Ruberoid Mop" (smooth or granule) or Membrane: One or more layers "Ruberoid Torch" (smooth or granule , •Ruberoid Torch Plus" ( •Ruberoid MGrp Plus" Surfad Incline: 1/2 Insulation (p Deck: C - 15/32 (Optional): One or more layers perlite, wood fiber, glass rtite iso anurate composite, perlite/ urethan fiber. urethane composite, urethane, te. wood fiber i asocyyypp nurate composite, phenolic. sir or more laers of Base Sheet w Two One or more layers of Type 61. M e Sheet an : One )� layers of "Ruberoid Torch" (smooth or granule), 'Ruberoid Torch Plus" (granule), embr or mo( „ Ruberoid Mop" (smooth or granule) or d T 'Ruberoid Mop Pius (granule). s gravel Surfacing: Karnak No. 97, 1 -1/2 - 3 g a led n ur e: g i Deck: NC /2 perlite, lass fiber, 3/4 in. min, ,. ln-• e, urethane, p One or mpeHi e/ /isocynurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Sale 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. at 1 -2 gal/sq. Surfacing: 'Al. MB Aluminum Roof Coating" i Deck: C -15/32 Incline: 1/2 3/4 to Insulation (Optional): One or more layers perlite, glass fiber, 3 /4ite/ min, isocyanurate, urethane, perlite /isocyanurate composite P methane composite, phenolic. 1 -1/2 in. min. Base Sheet One or more layers of Type G2 " GAFGLAS #75 Base Sheet", not mopped or mechanically fastened in place. 4 hot mopped Ply Sheet One or more layers of Type 61 "GAFGLAS Ply m place. Membrane: "Ruberoid Mop FR" (granule). Surfadng (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gaVsq or GAF Weather Coat Emulsion at 3 gal/sq. 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. G2 mm. #75 Base Sheet", Base Sheet: One or more layers of Type not mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type 61 GAFGLAS Ply 4 ", or " GAFGLAS Ply 6' hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gaVsq or GAF Weather Coat Emulsion at 3 gal/sq. Deck C -15/32 Incline: 1/2 Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber, annyy thickness, hot mopped or mechanically fastened in place. Joints .ifset 6 in. Type G2 " GAFGLAS #75 Base Sheet", Base Sheet One or more layers of -at mopped or mechanically astened 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 FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/ 2 gaVsq or SAF Weather Coat Emulsion at 3 gaVsq. .• ROOF COVERING MATERIALS (TEVi) ROOFING SYSTEMS (TGFU)— Continued Incline: 1/2 . i Dtk:C153 . •. + thickness, • • k: 11 • • • ptia:Isocyanurate, perlite or glass fiber, any - • or mechanically fastened in place. Joints offset 6 in. Base Sheet: One tr Ihiht layers of Type G2 ' GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. • Pl pne or more layers of Type GI " GAFGLAS Ply 4" or "Ply • ed tn•place.. • • ; ^ • • p 1oich FR (granule). at 1-1/2 gal/sq or • Saf citig l "pttb�� F ibered Aluminum Coating .. y��cl*yy tOptioealt GA)` GAF Weather Coat ¶mulBio' at 3 gal/sq. dine: 1/2 arty, trocicfles�, perlite, glass 13. Deck: NC • • fiber, a 0 onal): Isocyanurete, wood fiber board, Pe • • Ifiiulu (Pti • Mot mopped or mechanically fastened in place. • • • 3oi is et•E•in. • layers of Type G2 " GAFGLAS #75 Base Sheet', • • : B�� t;�ne or ripe Y • hot mtpi dIR'laee� Ply Sheet (Optional: One or more layers of Type G1 " GAFGLAS Ply 4 or "Ply 6" hot mopped in p ^ at 1 -1/2 gaVsq Surfacing : (Optional): R Torch bered Aluminum Coating or or GAF Weather Coat Emulsion at 3 gal/sq. �cine: 1/2 erlite, glass 14. Deck Insulation O clonal : Isocyanurate, wood fiber board, P lace fiber, any thickness ) hot mopped or mechanically fastened in p 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. (granule). Membrane: "Ruberoid Torch h F a Weather Coat )mullion applied at 3 gal/sq or GAF Fiber (Optional): at 1 -1/2 gal/sq. GAF Fibered Aluminum Coating Incline: 1/2 15. Deck: C -15/32 anurate, urethane, perlite/ Insulation (Optional: Perlite, fiber glass, isocy isocyanurate composite or phenolic. Base Sheet One or more layers Type G2 or G3 base sheet, hot mopped pl or mechanically fastened. Ply Sheet (Optional): One or more layers Type 63, hot mopped in in pL ace I Membrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). Incline: 1/2 16. Deck: C -15/32 Insulation (Optional): perlite, fiber g offset fi n n from jot m ane, perlite/ • ••• • • • LOOK FOR MARK ON PRODUCT isocyanurate composite or phenolic, Base ale 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• lay of "Ruberoid Torch" or "Ruberoid Mop" (smooth). Membrane: One i er of "Ruberoid Torch FR" or "Ruberoid Mop FR Membrane: One lay (granule) Incline: 1 17. Deck: NC wood Insulation (Optional): fl.t/isocanuerate composite glass, or phenolic. isocyanurate urethane, p Base Sheet One or more lay ers 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). Incline: 1/2 ,mess. 18. Deck: NC Insulation (Optional): perlite, fiber glass, wood fiber, isocyant.. One or more layers of Type G -2 or G -3 base perlite/isocyanurate composite or phenolic. Base Sheet ( urethane P (Optional): pti fastened. mopped in sheet, hot mopped or mechanically Ply Sheet (Optional): One or more layers of Type G -1, hot place. Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop" (smooth). layer of "Ruberoid Torch FR ", " Ruberoid Mop FR or Membrane: One Ruberoid Mop 170 FR" (g ranule). Incline: 1/2 Insulation (Optional): Deck: NC One or more layers of perlite, glass fiber, Ins 'socyanurate, urethane, perlite /isocyanurate composite or phenols, any 'ckness. Karnak Chemical Co. "No. 81" or Gibson -Homan lies Gl or G2, hot mopped or adhered with Base Sheet One or more P lied "No. 6160" cold 1 70 adhesive at 1 -1/2 gal/sq• Fr or "Ruberoid Mop Membrane: One layer of Ruberoid op Karnak Chemical Co. "No• 81" or (granule), hot mopped or adhered Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gaVsq. Incline: 1/4 20. Deck: atl e: OT%2 any thickness. Base Sheet s P OGAAFGLLAS # 5' (Type G2), mechanically attached. B S • • •.• • . .• • lip UNIFORM RC1Q � / Contractor's Name: A • • • g( (Low Slope Application) ❑ (Asphalt/Fiberglass Shingles) Flat Roof Area (ft') S 3 Sloped Roof Area (ft Ft. Ft. 123.01 -78 500 New Roof ❑ Re- roofing ate t . uvn la' Fastener Type: Deck type: / /1Veoo 1 12 11007 SLOPE • . : 1ID0 CA�LEGOR1c MARCH SHOCUS V E LA$ Metal Flashing at all change of PI0 ATTACHMENT X SPACING 1 , /�, Field: c 7 Perimeter: 6 Corner: h DETAIL 1 & 2 • • • ••• :PtRI IJ APPLICATION PROCESS No. •• • • •• • • • • • • • • • • • • • • • • • • • • • • Jvb• AdtJress:.:. V80 A) 93 • s •• • • • •• ••• •• • • I‘12i1 On Tile; • • • • • ❑ ( Metal Roofs \Wood Shingles & Shakes) ROOF TYPE ❑ Recovering ❑ Repair ❑ Maintenance Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): - 9 F HEIGHT AND SYSTEM DETAILS (Draw details as needed C, a , , 10 p • Total (ft -'- £S Master Permit No. wawa Or s MldQm ROOF PLAN �x5 Metal Flashing; at ail eha L f1 � 05- - -�-Z -p Page -1 • ❑ (Mortar- Adhesive Set Tile) ❑ (Other) ARE THERE GAS VENT STAC YES ❑ NO TYPE - NATURAL, ❑ LPGX D • Ow er's /Age Si nature • • •u• • • • ••• •• •• u • • •• •• • • • • • • • • • • • • • u ••• • • • • • 0 • • • • • • • ••• • • • • ••• • 104 .APPENDIX "F" • •• • • • • • • • •• APPENDIX "F" REQUIRED OVCNF,JtS NOT1FIeijTIOrI FOB ROOFING CONSIDERATIONS ••• ••• ••• • • ••• As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with lads appendix and to explain to the owner the content of this form. The provisions of Chile - 3,1 of t r S oiuth F'l•.ida Building Code (SFBC) govern the minimum requirements and standards .t ie in3tt t for ro system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The wner's i 'tial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of hat the roofing system meets the wind resistance and water intrusion performance standards. ics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually d prior to removing the existing roof system). Common Roofs: Common roofs are those which have no visible delineation between g units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing or and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking I ewed from below. The owner may wish to maintain the architectural appearance, therefore, nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the orprifn of maintaining this appearance. . Ponding Water: The current roof system and/or deck of the building may not drain well and e water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of al distress and may require the review of a professional structural engineer. Ponding may shorten ife expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not d from a build up of water. Perimeter /edge walls or other roof extensions may block this if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow n accordance with Chapter 23 of the SFBC. Ventilation: Most roof structures should have some ability to vent natural airflow through the in the structural assembly (the building itself). The existing amount of attic ventilation shall not be re. d. It may be beneficial to consider additional venting which can result in extending the service life of the roof. ate tractor's Signature 0 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY 'TYPE Outlet, Appliance QTY. 'nil: Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) Cap - Water A/C Central 16-20 Ton Gas - Appliance Fixture Light Pump, Domestic Parking Lot Lights Supply, AC Well Spas/Hot 'Pubs Cap - Sewer A/C Central 20+ Ton Gas - Natural Flood Lights Pump, Fire Stand Plugmold/Strip Temporary Toilet Subfeeds, No. of Amps Catch Basin A/C Window Gas - Propane FPL - Load Central Pump, Re- circulate Posts Temporary Water Closet Swim Pool, Commercial Clothes Washer Air Conditioners Gas Piping Garbage Disposal Pump, Replace - Pool Range/Range Top Urinal Swim Pool, Residential Dental Chair Chiller Grease Trap Ice Maker Indirect Wastes Generators, etc. Pump, Sprinkler Pump, Sump Relay Repair Receptacles Utility - Sewer Utility - Water Vacuum Pump Switchboards Discharge Well Clear Violations Disposal Heat Recovery Interceptor Refrigerator, Comm. (p/PH) Roof Inlet Temp Serv., Construction Water Closet Compactor Domestic Well Low -volt, Burglar Laundry Tray Refrigerator, Domestic Septic Connection Temp for Test - 30 days Water Heater Deep Freezer Drainfield, 4" Tile/Res. Low -volt, Fire Lavatory Renew - Temp Service Septic Tank Water Heater New Demolition Drains, Area Low -volt, Intercom/Teleph. Meter Set (Gas) Repair Circuits Sewer Connection Water Re -pipe Dishwasher Drains, Floor Low -volt, Television Minimum Fee Service, Number of Amps Shower Water Service MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain ( TY. TYPE Generator QTY. 'TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Cap - Water Barbecue Gas - Appliance Fire Sprinkler System Pump, Domestic Process/Pressure Piping Supply, AC Well Cap - Sewer Bath Fan - Vented, # Gas - Natural Fireplaces, Number of Pump, Fire Stand Pressure Vessel Temporary Toilet Catch Basin PLUMBING TYPE A/C Condensate QTY. 'TYPE Drains, Roof Q'I'Y. 'TYPE. Miscellaneous Fixture (11'Y. TYI'lr Soakage Pit Ty Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Ice Maker Indirect Wastes Pump, Sprinkler Pump, Sump Relay Repair Utility - Sewer Utility - Water Vacuum Pump Discharge Well Dishwasher Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $ REVIEWED AND PREPARED BY: SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE 7/42- (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION • ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 - 2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Page 2 IMPORTANT NO'l - ICES PERMIT APPLICATION 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.rn., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. TOIL 'nt Name z•' ;l e: O r TY 0 Swo i. to and subscribed before _. atur day of Signa AM& f Notary pt.s' I =,n • � zr• C DAD G PINO • • ;1. ': LIC STATE OF FLORIDA COMMISSION NO. CC897164 MY COMMISSION EXP. DEC. 20,20 / � Personally known OR, Produced Identification Type of Identification Produced: awl 1/1(1A/ - L.4 SEAL: d G.o •-c-i MIAMI -DADE Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosi Co ST _.. OF FLORIDA, COUNTY OF MIAMI -DADE tTd7l 6 Print Name Swo.. to and subscribed before Si e of ontractor / Qualifier SEAL: NOT �' ' %� ' - T • FLORIDA COMMISSION NO. CC897164 MY COMMISSION EXP. DEC. 20 Personally known /1 c--& 0 day of OR, Produced Identification i Type of Identification Produced: Val 1/044. CONTRACTOR Name .TGi' O/A (TO A C.,61,0906 ca ws ro+.vvria� License No. 94. e aac / ) Address C1,A (�veotr I / IiG. 3 3 c, Te lephont0 0 ‘ � iY , 07 07 Fax Qualifier Name T692 /A6 4 C6t v61)90 PROPERTY OWNER New Construction Name i f j G dh-r C.A J4 14 )14 24 4 / "�-, ,1 NameA�v pdYt.bZ t L N 70 h -60 64n.c iA Address 4- z. iv-er . 93 S7' P.-114 ; r)J a r- e'5 -1 -' . '37 / 3 J Home Telephoneo d S) -7 j ) --' ‘S Business Telephone Fax Demolish Fax Shell Only ENGINEER • New Construction Name i f j G dh-r C.A J4 14 )14 24 4 / "�-, License No. 0 r 07 pZ. Alteration Exterior Address 9 3 5L..../ ,S L1/ 6rhL.4 i '( / t'h 1 , c :_ 3 3 1 o-• Repair Telephone 1 _ C3C -2—? ^ 3e? J Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other Step 1. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION • P >/1ryt an-e3 Address Apt. City Job Address: �X 2► /t- �T • q 3 ST Folio Number // — 3 2.0 C _a /# • — 01 ,0 �scriptiot\of Work Lot ) ez. er %3 Block ...6 t , '.i -im i S ND?va'i Subdivision c��.o.,, z. PB JO PG 3 Zoning Linear Feet Current Use of Property v — / Square Feet Units Floors Proposed Use of Property f2 v — / Value of Work 2 ' FOO Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax ) 'Dl Master Permit No. 6 -00 7 ---6 Subsidiary Permit No. JGL State PERMIT APPLICATION 3 / 3 ? Zip cry P. "4 -) c),„.„.t J rNA.,)\-u-- AA-Auto- ,/, 6 h// -J10lp BUILDING ( ai l ELECTRICAL PLUMBING (Q —ROOFING MECH Owner of Budding o J' A C. 577‘,6 Address of Q { , Building AA C CONTRACTOR or BUILDER re) ye AJo i 2 i d ) , 2 , •'u- T.CI ( 9 " 5 - 7 - 3 0 - 7 J ' G ct Architect `� - },, �-+ (��' �y orstractor p L V 1 J - �`c-L+-pi --t' -' � f' ugid or C Btuld � � Description 1 Q"' ° 1 / � 3 � � Bl. . ) { 1 MIAMI SHORES VILLAGE, FLORIDA PERMIT N_ 50020 Work to be perforated under this Permit BY Date Contractor's License No. 113 ot MD Su vision vision � L ' � Sq. Ft.:_ / 1 Value of Project $ 4Lc p Permit: CCF: - �� -- -J Notary: T_ 0 0 J Bond: 3 0 o_, 0 t) Radon: Amount of Permit: 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 applies. Lion berefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with an. plans, drawings statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revolted at any time if the work is not done io compliance with such ordinances or if the plane are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder n d above assumes the responsibility for a thorough knowledge of the ordinances and • regulations pertaining to the work covered hereby wbetbe silo (plans or drawings or in the statements or specifications and that he assumes respon sibility for wort done by his ageota, servants or rte` A Signed• • SPECTOR) BY Io consideration of the issuance to me of this permit 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village In accepting this permit 1 assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY BUILD OWNERS NAME LATITUDE/LONGITUDE (OPTIONAL) ( ;4' - am -;#4.» or =. : ) 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER 85. SUFFIX • B4. MAP AND PANEL NUMBER • ADDRESS SIGNATURE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the Instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING ST cET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 49 z N•u. CITY h6 STATE ZIP CODE PROP TY DES RIPTION (Lot and Block umbeerrs, Tax Parcel umbe L ascription, etc.) _ /d /r7' 37 C. v7 3 / F Z Csr 'L L.o T.3 Zg e c- X. , � f /Orti, J AIO)1 ri TB�. BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) if /t'e - d / 6 HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):, ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. COUNTY NAME B6. FIRM INDEX B7. FIRM PANEL DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe): 811. Indicate the elevation datum used for the BFE in 89: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building 1s complete. C2. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones A1 AE, AH, A (with BFE), VE, V1 - V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 AR/AH, AR/AO Complete Items C3a - below according to the building diagram specified in Item C2. State the datum used. If the datum is different fror the datum used for the BFE in Section B, convert the daturn to that used for the BFE. Show field measurernents and datum conversior calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum convey: Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No O a) Top of bottom floor (including basement or enclosure) 12. L.ft.(m) m O b) Top of next higher floor _ft.(m) h O c) Bottom of lowest horizontal structural member (V zones only) _ft.(m) S o O d) Attached garage (top of slab) _ft.(m) i g UJ 0 3 O e) Lowest elevation of machinery and/or equipment servicing the building _ft.(m) O f) Lowest adjacent grade (LAG) . __ft.(m) O g) Highest adjacent grade (HAG) ___E ft.(m) O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade O 1) Total area of all permanent openings (flood vents) in C3h _sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information In Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that ay false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Roca CND✓ i# LICENSE NUMBER o5r i1 TITLE Pt a6L Of 6/ � COMPANY NAME i 4111 4 74 CITY /M DATE s. ® ,-01 11 z O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: Polity Number Company NAIC Number B3. STATE rs 89. BASE FLOOD ELEVATION( (Zone AO, use depth of fioodin4 STATE ft ZIP COPE )3t TELEPHONE far -L21 BUILtING OWNER'S NAME FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION BUILL DING ST EET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 4 O 7. q CITY STATE ZIP CODE PROP DESCRIPTION (Lot and Block Numbers, Tax Parcel umber, Legal escription, etc.) _ P .6 / -" 3 2 (--e TS / {' ? r e /� (,07 .,F di c-.t. .5 Z 4. "i C Ahmiu c ti z . BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) 6.:5 /eF}wr /A V LATITUDE /LONGITUDE (OPTIONAL) HORIZONTAL DATUM: (' ° - ' - ##., #"' or #.L' :.:: :: , =°) ❑ NAD 1927 ❑ NAD 1983 84. MAP AND PANEL NUMBER 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER f B2. COUNTY NAME B5. SUFFIX SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bo. FIRM INDEX B7. FIRM PANEL DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: Policy Number Company NAIC Number SOURCE: 0 GPS (Type): ❑ USGS Quad Map ❑ Other: B3. STATE B9. BASE FLOOD ELEVATION(S (Zone AO, use depth of flooding) 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe): 611. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section 6, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversit Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No O a) Top of bottom floor (including basement or enclosure) / . ft.(m) ❑ b) Top of next higher floor _ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) —ft.(m) o O d) Attached garage (top of slab) —ft.(m) W co O e) Lowest elevation of machinery and /or equipment m m servicing the building —ft.(m) ❑ f) Lowest adjacent grade (LAG) • —ft-(m) N ❑ g) Highest adjacent grade (HAG) �.- ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade Sc O i) Total area of all permanent openings (flood vents) in C3h _—_sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. LICENSE NUMBER CERTIFIER'S NAME /` /I� oca G' ✓ �� OS07 TITLE �` COMPANY NAME , iepice. P'�'' CITY � � STATE ZIP CODE �3l ADDRESS 6 0 d I f , __„ Alliii--'W TELEPHONE pc :..- L21 :► i i DATE ,. cf ^�„® 4f SECTION D - ZIP CODE Company NAIL Number Copy both sides of this Elevation Ce - - for (OR, m ENGINEER, OR ARCHITECT CERTIFICATION (CONTINU COMMENTS ty official, ED) (2) insurance agent/company, and (3) building owner. ELEVATION SECTION E - BUILDING G LEVATION INFORMATION (SURVEY NOT REQUIRED) For form Zone T A a nd LOMA Zone A (without EL or LO BFE), complete Items E1 through E4. If the Elevation C e O Ratte is iAe d ND ZONe as attachments A =1. Building Diagram Number ' Section C must be completed. F Zo (WITHOUT BFE) _(Select the building diagram most similar to the building for which this certificate ed for use s oup is being completed – see dg 0 here if attach Pages 6 and 7. If no diagram accurately represents the buildin 9, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the buildin ' the highest adjacent grade. E3. For Building Diagrams 6 -8 with openings (see page 7 , g Is _ ft.(m) —in'(cm) ❑ above or ❑below (check one) P 9 )the next higher floor or elevated floor (elevation b) of the building is ft.(m) _ i (cm above the highest adjacent s grade. .4. For Zone AO only: If no flood depth number is available, is the top of the boom floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official m certify this info mation i S community's SECTION F - PROPERTY OWNER O -he property owner or owner's authorized representative who completes Sections CERTIFICATION n Section G. ommunity•issued BFE) or Zone AO must sign here. ns A, B, and E for Zone A (without aFEMA- issued ROPERTY OWNER'S OR OWNER'S AUTHORIZED REP RESENTATIVE'S NAME or DDRESS GNATURE CITY STATE ZIP CODE ) MMENTS "MPORTANT: In these o c spaces, BUILDING STREET ADDRESS copy the correspondin g information from Section A. (Including Apt., Unit, Suite, and /or Bldg. No,) .) OR OR P.O. ROUTE AND BOX NO. CITY STATE SECTION G - COMMUNITY INFORMATION (OPTIONAL) ❑Check here if attachments local official who is authorized by law or ordinance to administer the community's 'ons A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) The information in Section C was taken from other documentation that ty beeen n signed s floodplain management ordinance can complete has sign below. s and embossed by a licensed surveyor, elevation data in the Comments area below.) engineer, or architect who C is authorized state or local law a certify t elevation information. (Indicate the source and date of the A community official completed Section E for a building located in Zone A e Zone AO. The following information (Items G4 -G9) is provided for community without a FEMq. Issued or community-issued BFE) or 'ERMIT NUMBER floodplain management purposes. G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY its permit has been issued for: ISSUED scation of as- F ❑ New Construction ❑ Substantial Improvement built lowest floor (including basement) of the building is: 'E or (in Zone AO) depth of flooding at the building site is: L OFFICIAL'S NAME !UNITY NAME TURE ENTS dm 81-31, AUG 99 DATE TITLE TELEPHONE DATE • _ft.(m) . • ft.(m) TELEPHONE For Insurance Company Use Policy Number Datum: Datum: ❑ Check here if attachments REPLAVES ALL PREVIOUS EDITIONS PRINT TIME 09/28 '01 09:27 ID:MIAMI_SHORES_VIU_AGE____ FAX:3057568972 TIMER=--:-- FILE START MODE No. TIME 520 09/28 09:25 TX ERROR PAGE= INSTRUCTIONS i The Following steps must he taken to oh ain a permit From the Miami Shores Village' Step I. Complete the attached permit application which mutt be sispcsihy thr r nropertv owner and print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must he submitted • along with this permit application. Step 2. SSIbIDI[ the com I t d li I� _a[tp with all necessary documents to the Building. Planning and Zoning Deparunent for processing. During the processing of your application, you may be asked to submit additional information. A PPL1 CATION Job Address: Address Apt. City Folio Number //— J 2 – V /(L-- c.,/ 7e) Lot / 2 EnsTyL Bl p' ock So Subdivision S & aN E'S PB /0 PGa_ Current [Jsc of Property g L7 – I Proposed Use of Property _ � U Tenant Information PERMIT TYPE ( ✓) r w mg B ild' Electrical Mechanical Plumbing LPGX Roofing Fence Other LOCATION 93052624469 _PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER Nafn UC.Ec, E� �_k.�e rrcrc Address vg 2 tV, E, 9 3 sX /Warn/ Siitaet / 3 3/3 Home Telephone Business Telephone °51s 2-2- efis F * ** TRANSMISSION REPORT Master Permit No. Subsidiary Permit No. Peti e - zip Desc rip[ion of Work i (_. 1 € 4 " 1 Zonin Linear Feet Square Fee[ J Units Value of Work /4 0 oJ, Tax Assessed/Appraised Value Flood Zone Base Floor Elcv. TYPE OF MANAGEMENT New Construction Alteration Exterior Relocation of Structure Alteration Interior Foundation Only Other y Other ENGINEER Telephone (-3 05) a 29 - 3 ?? Fax CONTRACTOR U * * * * *2AN 181 L STORE TX /RX TOTAL CODE PAGE PAGE TIME 2 2/ 0 01'26" OK mil✓ State PERMIT APPLICATION Floors Bldg Value ) Enclosure Repair Demolish Shell OW Add'I Attachment Add'I Detachment Name e^ Verrrl P e- . License No.0.5 D 7 / 2 - Address 93 4,7 S cti c7 TA/ G ANC' /Li /A.yt1 / L / 3 3 i 7y/ Name � 4 Nq ER. C t License No. 6 o f 9 Address 5.9 sw 41"/ S 7244 5.7-la Fey A-h .�, F/ 3 3/V c./ Telepbonpl ;S 20,2 _v Fax Qualifier Narne °sa2 2 — 5,/(4/ `d7` _ _ CEL --- ZU: D :NG AND onr_:. DES =— L0l: - , 0 N. 7. __ A'•i_�. (3C5 -22„4 F?_C: (23 - __ -._-- ter[, Il�G _ ': /O CI'CRS R4risid .TICN C ST Copy of STATE CF FLORIDA Cz: - ' IC2TION (DER) = STATE REGISTRATION !hD DADE COUNTY COMP=CY I..IC Sc Cony of current CCCURATIONAL LICENSE from count: c n_ci _ ai it - , where cosines is located. c_fi ate of Insurance for T.TARrr,TTY (addre=_e_ tc Miami Shores - -iage) Certificate of Insurance for WORKER'S COMP (addressed to Miami ShoresVillage) or if exempt State of Florida LES For BOX-204, Construction I: dos ry Notice of Election to be Exert. PLEASE SUBMIT EVE Rffltt iG C -ZOD OFF Permit Application (signed by person performing the work, licensed contractor and the property owner, both signetur3s notarized) . TWio sets of plans /drawings sicced and sealed by registered architect or engineer. Occupancies by Classification must be on plans and cult application. All plans Est include folio number and property address.. Amended plans, in addition to the above, must also include the t nnrr+r. Structural Calculations signed and sealed by c L tec or engineer when acolicable. C-rent surrey of the property. Certificate of Elevation signed and sealed by sarJeyor. Substantial Tmprovements Checklist ( contractor or owner). Four sets of energy calculations, signed and sealed Tw sets of signed & sealed 'Truss Plans (Engineer). DADE County or State of Florida Products Approvals for roof materials, sheds, windows, exterior /gars =ge doors, alumina= carports, screen enclosures, shutters awnings, skylights, french doors and etc. Approvals f:cm HRS, DADE County Impact Fee Section, Fire Department Health Department (when applicable) . DER!! Warranty Deed or Other Proof of Ownership if necessary. StruLtuiAl Review fee CAL 7".3//7 41 ' : C7 C) Flood Elevation Notice of Commencement NIE c(3A PERMIT APPLICATION FOR MIAMI SHORES VILL d L C t U V E ID 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fa 305i 20. Dat7 /.J %2 Job Address egk. i") f 9t E e— Tax Folio Legal Description Owner /Lessee/Tenet 722 Q2 81 Qualifier l f;3 z� State # £ � )(717 / ° Municipal # Owner's Address Contracting Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Perm' Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL .., ��C rc, ON � _ al. � � i % P o Square Ft. 4g6 6 , Estimated Cost (value) 4/ ad 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construc and zoning. Furthermore, I authorize the above named contractor to do the work stated. 10 .11rie Notary as t My Commission Expires Historically Designated: APPROVED: Zoning Building Mechanical Plumbing Date Signature of Contractor or Owner Build FEES: PERMIT I RADON C.C.F 7t4/6t4 1 3_ bp, ; / Phone � � NOTARY No BOND ltd TOTAL DUE-5 / 1) 6 Date Date JUL 1 7 M ectrical SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS �QU3,� /I G 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been exp • d. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane L s are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be •_essed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be re ailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Buil ing Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or ould notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be vi• d from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. yam/ 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may use water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural .tstress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 41 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not •v- oaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if to- overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accor•_„ ce with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the Interior the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. C? DOCOI C- 14mp`LOULS- IsTenlp\SECTIOS 15:lAuc Master Permit No. High Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Process No. Contractor's Name Job Address '�' kEs ?3 ROOF CATEGORY ❑ Low Slope ❑ Asphaltic Shingles ❑ Mechanically Fastened Tile El Metal Panel/Shingles I Section B (Roof Blan) tJ Mortar /Adf� ❑ Wood Shine es hakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) ,S2 60o ..)-l&e Sketch Roof Plan: Illustrate. all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. ..L _i_J* _1;_ ' 1 _ ' �L -�L_ 1._ "'L1- = —�!_ : .� ; F.i.L.; I Roof System Manufacturer: _i,>2.4. '' rg 776 Notice of Acceptance Number: G —/' ` Z - o 6 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: 7 " V P2: 2/ 7y P3: -2 l` 7 < Maximum Design Pressure (From the NOA Specific System):_ 6 / .q Method of tile attachment: " it-‘ 5/ Y� S ( Roof Slope: 3 : 12 Steep Sloped Roof System Description Section D (Steep Sloped Roof System) Deck Type: Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. ype Underlayment: Insulation: Ridge Ventilation? Mean Roof Height: / r, Cam. I ✓ 4' kit Fire Barrier: l Fastener Type & Spacing: Adhesive Type: ype Cap Sheet: Roof Covering: / 2 c x. 1 R-s 1 2'x. f0l( Pre i,9H l i (( i / z e _e( 9 0 z .j,Qu � r Type & Size Drip ‘ dge: 3rC3ri 2. 6�!� i For Moment bnscd the systems, choose either Method 1 or 2. Compared the values for M with the values from M If the M values arc greater than or equal to the Mr values, for cnch arca of Mc roof, then thc tile attachntent method n acceptable. Method 1 "Moment 13tt:ccd Tile Calculations Per RAS 127" (P1: &xl:2 = / 96 - Mg: 5 Z =M,, 7 'Y NOA Mr_ d 7L L (P /ca, G x X _ ?75/ = 77 - mg: ,fry 2 M,, NOA M, 6,1-9 (P x a . r2 7y = 2], J- c) –Mg: J2 =M 21 - 7Y NOA M 44 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From ' Table Below NOA M, Moan Roof Height -* Root Slope Y I 2:12 3:12 4:12 5:12 5:12 7:12 Description Design Pressure Meats Root ltciglit Root Slope Aerodynamic Multiplier Restoring Moment ue to witty Attachment Resistance Required Moment Resistance Mininmant Attachment Resistance Require. Until t.cststancc Awerage Tile Weight t'•gh Velocity Hurricane Tone Uniform Pe'm.: Applie:Ittoit F urn _I Section E (Tile Calculations) M, Required Moment Resistance' Symbol P I or P2 or P3 N 0 M, Mr 1• w 15' 30.7 28 7 26 6 24.5 22.5 20.8 lob Site Job Site N A NOA NOn Calculated NUA Calculated NUA 20' 33.4 31 29.9 26.7 Where to Obtain Inforntation Til Dimensions cngth NUA ttmi width All calculations must be sunmitted 10 the lluilcinE Ullteii7ai Il a time 0! Peanut app ealtan 25' 35 7 33.4 30.9 28 5 30' 4C' 377 40% 35 2 32.8 300 *Must be used in conjunction with n fist of moment based tilt systems endorsed by the l3rownrd County Board of Rules a nd Appeals. For Uplift based tilt systems use Method 3. Compared thc values for F' with the vnlucs for F,. If the F' values arc greater than or equal to thc F, values, for cacti area of tilt roof, then thc Tile attachment method is acceptable. Mcthod 3 "Uplift Based Tile Calculations Pcr ;RAS 127" x I: = x w: _ ) •- W: x cos 0 NOA F' (P : x I: = x w:=_ )–W: x cos 0: F' _ (P, x I: = z w: = ) - W: z cos O. = Fri: NOA 38 1 35.2 • 32 5 24.5 25.2 27 — 2 - 918 29.8 • 22 6 241 � - - - 25.4 r 27 5 - LL RAS 12/ Toblc I or Fay an cngrnccn •t b ng annlyiis prrplucd by Iaits un ASLt. I 7 Whcrc to find Sante e TOO Co 10302 s - Aifilfitry 3317 Your rapp!ioat►en Par Spunsliala g Cstay unArr ChaD>ter 0 if t Commission, ttrh°] xo Cowry lo)uii8i4Q C This %OA sha.1 ptociust or rflnteridl woc. set swatazial usa of such product detertnirgas by ACC Building Cede The expense of cic* t ACCErTANCa NO -his atica:iotl for Code tnd Product Re.. fcrh ox Ye. APrnOv ED: ally; . 1 Interne/ mall aQdhfat: pis fP Drive, Boy 016 DIME Qlstualt mist: of Ac:a ctaartce asiOA) ot: C or 1iort:i -®tide Count governing easly dleseribme herein, has been racorti Ca€ lin Offtet (BCCO) under the 'Paid die( esspitar.on date stated be any time from a jobsige or rtuasueectlr Is to perform Iri the approved IMAt+er. wr Mortal itttana@sateiD BCCO nasery that Mks ;rodt.ct or metm.12t Pst►is �tirtt tvi It he int VER91j([T. E A Dnazaticnsailpfa 5FEClilt ...k∎afir CONDITIONS Disc d i% t► %fM oduct Approvol has been -r•iettred tta► tie BCCO and approved b the SU tidine iew Committee to be o e 1 Ln Miami-Dade County. Florrdi iw$tr the cendit:ons it i - +• I OWN 0l /e�Md W in grodeaw 1 ie s. corn e by the :1+241ufactur$7 • ¢u: ( 373: 1 ma (303) )73-' 004rivorr001 attar/tame ea.C►,oN e ) 373-ass PAtt (smi Ill E3 pRtct) C DIK t)e'•12:)<AN. Pais Jib'n 9 FAX ()es) )>') �.""'a WB use ofAieer ale Materials and T, Dos of ertficrJ for ecce ace b law `.Minrr)i -Dt3de nditl3rs sprcifi }ter2i I. v. OCCO re •r rte, the rig#,t to secure this n /Anne IV? s3drstit. rontrel tesur. 1r this CCO may rev medify, or 4,a ?nd rr►e the rich, to Ece tAis aFroms1. if it is tet t`4, rquirerrt u of the South Florida I laaalt Il_ � v,S.c3a Chaf r Aver Colttrel Dir w.••••t riAln.un a. SP} , )111.• tr Ateig it =Mgt. r)MWO% PhD VI V32 ?AA t ii1 s9: -0s?ti r3:1 J. Quinu�.a. R.A Director; Misfi County Quild Cock Coi+►plu.ncc OT:c 1 q t � MO wt pact: hitp:Nu■•••.4a1Nd.wSt6dNots ■ - cNw 2 Amy enc, Me fel specter t • -14 les irmorriNt. -.4 i/4.11.es1:,1 a/r1/.10. ,V)41% ( 7. t VIACCEIMUICE ZIT A Nit) ots rh 1 Psi re XII tr_ ) arti7r01 of Ou a..... • •• Opettrdil) viall be ceOsil ilt: icsirrixo cfsteiisasiVi hal taw! fiL72 cci iDs - imir • ; Sziag:910) - 'vied eierairtmeactice. aided/ma tax sabirnze4b0c1 fops GI) ) peollyers er511 t IcJ stiotazam. "Mani-Okla Cams, Pfostcsi C tax dais Acotionato. ; itenea4c:o el win ost cialtained if: •) Them h 0 k etimiCil jt tka kaidi nencla Boil:lino C4 nazatio Wit (tilt is bstt i 'Val= tomb der cod3 0) Tho S 173 e.ta ne loops Site $ mtsz Negate t V; igaft=f) 4 0 cwao eiQiicoft? halite bag set izsztv4issi tt dslaut2pc4 9CVa(iiilf3 og tat =MO Ur gt3 pclEga: 3 Th3 T;;A:3) elegungly clepFcg. 6gosx1 rJ me2=1 t - e - t4ouca. 'AVON/ is go !tasty pstc.beie8 tizzr cr.Gietsanc3 Wz4. 4 Asap raqvC3Q tP1121813 i41 012 ift*mats. tax, WWYEZ Crilt2 C7 arteinig9 cotai for wczliataw d Ass:emilafa. ti-Ue-od pow twitszzia 1 ,7Ar GAO aka Alirea Ee KAISS)411SCAstatiesi laith cite leer cote=1 b 3 Ao% etf:2101Wialko st'soli eke be rota* for rowovoi et Ow Alcw413Eles: l'etet Wormy Feelbrvosn.15 of this ;masa b*Frbbeso: b) Moots a this MCCWISSIC1 SR latblentrisi army meta. re selt tpla man S Ths Noilte of A;capostoe esseriou ors:elai by d +woos Misani)Dizate Coaraiy, orpers:43n Lott may k desployod E sewn:sing rite:mum If s prIKKeil este dispiaooke. dors ie I1 be dors ic its miser!. 7 A asp of Ills uarfAlbee as set as apitroweal *wins sot ocIto &Imam a. it typlbet, sitoviad to ussv by the nisovisceorwr or dg distribmors ood dun seittab=4 ins:mien ve %MOS silie So s:1 tar . not ropes bral sie ssossiod by Se aigible; S ?Visit to co.T.O. *WI en!' Sez1110/1 of Cos Aorepeooce soon be cg bso for Strittliti011 "MA wars! of Acorpostio 1 Ths Assoper# ma 1 tbrousb 3 asp or 'tens Acctrmice CCAZI :..GEWASU Appromer. on 4..v aiv /I ree. row. 9 sts:=11 la On ef et& ftlei cthiciij tha too taco rifi itUzo. a Yip Mgt Sad Micmac:11 :1■41 of Ar.osplurec is 6. . uartzuvc SA AD ts2av 1 boor th3 :ftwau Ltz226.Da Aterazozz 1 Coway IT MEQUILIEMENTS ife? bunIthag itzreviak $hrill In Jease odrAtozplintes doevrowas oequirul by papilfy reahoas3 the otralotisto Paoirms VIN geLnarE 4 1 TL? S CLAY 4 4 :ALAI.' Canna A pprawear. eft3 of the fmnoftaeillvotgo Ti E SCR: 4 '5' ToDeo 7/319k: AevoigionaRez Out10 Alocaoatly gw) 9114 DeCt32 .?A■ Ciaegl I 00Z 5.132 5.73 ' cramp 0 2: Ati1asrt??wri 144613istsoice 12.xprotla 00610"Q° 7 0e ka411-0,1 Sy 1 " 1 "' Nails One 5fsrcvs T -0 Sums 0 DI1g.cilon ID=4 • .0 i :veBeieforaitcd 0011410' ^ • OKRk 5 6 3.33 9 9 Smtiga • •■•■••■•••■•Wimetlyi Samara 5 Ya 3 Zvlosio. ots herho 34MC It02 rftoutp202 mioriarates iln6c6gicato b ngtoA erte.r Rae inasimara. Mop MICSIs awed clite.-‘zrum sf1a tce3ti wttele moseriz.1 trs pottileacct This tizet2pZette irsz watri thech opipcolic 1 44 Minimum Cattr mama cemplitacg twit% aMtlicabla cett3 6. MST LArION 1.1 Sounfik I mid its 4nroapzrizzls shah c;nale411 mitt cotNottoto Cowan/ tligsft Aplication Staizard GIAS 110 RAS 11P. amg 4.1.2 r"ien F Aruntsuitm Colaulatioag 4 4 ri I In eileflsiaart 44 an 3.03 fiV4 11119.9.M.C11.=■... Two Scismz Atitozets09 RoaliStanco E.sprazoo co a C.14a1% em fel kagnar Of M$ 7O rOlegt$ Take dIPRID Appll@ation 4 °jangle fra : • _ -11111.11 8-) A:, Ito .Iu + .2tICTil G AUtiAnt APPROv42, _ QecEaotrr- 021:0 Rcafteg Tike atkEt Rtott■:,a iSCOPE TA io eewe•vo n gosifi &Elinor* Tifr C vcr39p0y e5;e0s Ofd S le3ati9oet p totO Agqao Alva sae twins 1:1 DY1t0. 2. PRODUCT Da,s PQ '3• Clop Roe Tii Tricz Pie:3g f Tik Se 3. LTaQQ44Y[OWS 3.1 1 2 1® W V n• b 00 st Y ->ti• 0.13' 0 s 7th fiueo Per mem, e 3 3 p1:¢eas a:Li:anima l ;®tts sM*9 ks$i9t3 & D ro ja eztoriQied in$oviI I -lp►40 ®uatin Ceee, 1�9d ort F (NsivitamGots. na if`r' weavvet baluou oklia l3q ., M 1i3rQitt. QitO czkEt Win ► s ricrss stop Yeti PA (1: ?A 1 1 PAOOR;C,B MtaikeCt7AC4 irpQ tit15, 4110 rAi S Pitt 114 dim. Apiteniirt .1. RW if{ OW paR ehi` imespaDrise. ¢bin 6Qt 8ikt IINi.itaiOKIII, a trii RAS 1 ,taiQ -free pomace. or at Minot tesst iA 2. dare With PA 1 vikl Cade Comp:once O 2 r 11 ACCSIPTA,OtC (� • tbg resP,ni3 mica of .4ccts, Gas iCse f . ;Doti -DE4o elOA by fop i¢�lo u.40gN6 to templinaz3 a+rD A11 Ss ohn2 as o C 1 puss, Ngit proflkk c14 ell 4' pith tGD RO keba. ail ullitesivta > is fe16 uplift test Dt411 Dada Casatedr Grained Rite /snake, conted • ^j�' m• r4ory �...sR. »,... Tito Wry le 1 Ix rtattmetetet I' ODUCT CO T' OL NOTIC • Polyfti:lm Products, Inc. 2400 Spring- Stucbncr Road Spring ,TX 7 7383 -1132 Your application for Notice of Acceptance (NOA) of: Two Component Polyurethcnc Foam Adhesive under Chapter 8 of the Code of Miami -Dads: County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions spt:cU ed herein. Tltis NOA shall not be valid after the expiration date stated below. BCCO reserves thc 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. DCCO may revoke, modify, or suspend thc use of such product or material immediately. BCCO rescrvef the ri b determined by BCCO that this product or material fails to rest therequiiremc is o the approval, South Florida Building Code. The expense of such testing will be incurred by the' mantllacttfrcr. ACCEPTANCE, NO_: 01-052 tin EXPIRES: 05110/2004 TUTS IS THE COVERSr1EET Srr ADD 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 Miami -Dade County, Florida under the conditions set Ibrth above. - � r'I'ROvED: t11/14,200 .1 Raul Rodriguez Clad - Product Control Division DNA (, PACES FOR SPECIFIC ANI) GET/rank or R Lt7rNG COR .Cl PR DU REVIE COMM ITTEE 1' CON T(O, S 1110150001 1pe200011tanplites1notiee ICCcSitance en.er paga.dot 1 n tcrllet main address: oostmastc huitdingt:odeaiilnc.cmn 411 Home t h: t,c. htlp : / /www- buitdinbcodCOnline.eosn • 1-11 •r r nnn r ray• rr•fn • CEPTANCE MIAMI - DADE COUNTY. FLORIDA METRO -DADS FLAGLER (IUILO NG RUILDING CODE COW Or FICE M -DADS r•LACII7R BUILDING hill WEST rLAGLER S.r.RJC. SUIT(; 1603 MIAMI. FLORIDA 33130.150 (305) 3 -2401 )' \X (305)375-290S CONTRACTOR (.l( 5EC lioN 005) 3 FAX (3051375.255N CONTRACTOR E:NI•'ORC►,Nt ENT DI Visa ON (3 D5) 375 -296e FAX (305) 375.291 n pitoDUC I' CONTROL DevISION MS) 31S -27o2 PAX m5)372-6)39 Francisco J. Quintana, R.A. Director M i :mn i_D:,dc Count. Building Code Compliance. OI'lice • LAT nP tnr ,•a•• •5 • .T • \•r .-,n rang 1).01. sm Produ r c , RC/GOING ASSEMBLY APPROVAL Roofing Roof Tile Adhesive Mat mss Polyurethane 1. SCOPE This approves Polypru® Al1160 as manufactured by Polyfoitm Products, Inc as described in Section 2 of this Notice ofAcceptance. I`or the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved tlat, low, and high profile roof tiles system using Polypro® Ali 160. Where the attachmene caalculations rue done as a moment based syste for single patty placement, and as an uplift based system for double patty systems 2. PRO DUCT DESCRIPTION Manufactured b A ticunt t)imcnsi ns Tcst Polypro® AI -1160 NIA Strecir ; c=oampro® RTF1000 N/ ProrackaID 30 & 100 N/A 2 .1 Components or products manufactured by others: Any Mirrn i -Dade County Product Control Accepted RoorTifc Apscmbly having, a current NOA which list uplift resistance values with the use of Polypro Al 1 160 roortilc adhesive. 2.2 Typical Physical Properties_ Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM G 9G ASTM D 2126 "1 \ TT . C T1HRnV r WV" TT■Tn PA 101 R snlle 1.6 IbsJft.' l8 PSI Parallel to risc 12 PSI Perpendicular to rise 28 PST Pantile) to rise 0.08 Lbs./Ft2 3.1 Perm / Inch ACCEPTANCE No. _ 01 _0 Approval Date_ - tu ne 4 UQ1 Expiration Date IVI tt UUG 4 4.07% Volume Change rat -400 F.. 2 weeks +6.0% Volume Cltautle (r7 tliernidity. ekg Product Deseri am Two component • polyurethane: Dispensing, equipment Dispensing equipment f=rank Zutoaga. RRC Product Control Examiner ',Ana fol Ica Products, inc. ACCEPTANCE No. 01-- 0S21_02 Note: The physical properties listed above are presented as typical Average values ns determined accepted ASTI*, test methods lad are subject to normal manufacturing vnrintior► b Y 3. LIMITATIONS 3. t Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for lire rating 3.2 3.3 Polypro® Al•[160 shall solely be used with flat, low, & high tile profiles. Minimum underlayments shall be in compliance with the [tooting Application Standard RAS 120. 3 . 4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH 1 60 roof 3.5 file adhesive with their tile assemblies shall test in accordance with PA 101. Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. -_1 W 3 •'4k T • Ar1flnnv t ' •7^rn T MS 4 . INSTALLATION 4 .1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® A1-1160. 4.2 Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof file assembly's adhesive attachment with the use of Polypro® AI•I 160 shall provide sufficient attachment resistance, expressed as an upliftl based system, CO meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® At-I160 roof the adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4 .4 Installation must be by a Factory Trained 'Qualified by Polyfoam Products, Inc. Polyfoam Products Inc. s! all i supply a list of a pp ro l v rensed applicators to the authority having jurisdiction. PP ed 4 .5 Calibration of the Foantpro® dispensing equipment is required before application of any adhesive. The mix ratio between th "A" component and the "B" component shall be maintained between 1.0 -1.15 (A) : 1.0 (13). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved 4.6 Polypro® AE-1160 shall be applied with Foatnpro (ZTI'1000 or ProPack® 30 & 100 dispensing equipment only. 4,7 Polypro® A14160 shall not be exposed permanently to sunli Frank Zuloa RRC Product Control Examiner ♦an• "•w an.. mow.. .,,• •a •...• •• cnn IT . Pol. foam Products Int. • ACCEPTANCE No.: 01- 0521.02 . Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polypro® AH160 has been dispensed_ 4.9 Polypro® A1-1160 placement and minimum patty weight shall be in accordance: with the 'Placement Details' herein. Each generic cite profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile — Single I'nJdy Weight Min. (grains) Two faddy Weight per paddy Min. 5. LABELING All Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. 6. B UILDING PERMIT REQUIREMENTS 6.1 As requircd by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 • •,■er • e• • - nnn,. • n.v• .. • f'rank Luloaga, RRC Product Control Examiner o nn hthkaaLt • • • ACCEPTANCE No- : Of-0521.02 ADI-ICSIYE PLACEMENT DETML 1 SINGLE PATTY awing too Palm al the care mat cm. W. Abu'. Mcord gaim own Wu. Ettatv ob. old of Om old Ow sm AusA nos Boo. Em doom Prot. thowl 5 • •••■■•1 • n • ••••■ ••■••••■• • ...sr" • • WM looks lo contOtt *It rt. po )1 TWe twat 4 dGr,. PIM Oetestoo la T. 11n, Flom outith obit of co. « th. Then Inaltil Rio Ok. VirePhele hock Bo 1) Piot. I Alai adticsi.0 to addeog 17 to 1.1 veto p Otit andfoodajto 11 110410 Pink WWII Frank Zuloaga, ItRC Product Control Examiner Pelia.up 1 44as kingimana vtites of IS Anna Pol'foam_ Products, inc. ACCEPTANCE No. : 0 I- 0521.o2 ADHESIVE P1,ACEMI NT DETAIL 2 SINGLE; PATTY 6 "117 . C7'1f1/►AVI TAVA.r7"'.n Frank Zuloaga, ItRC Product Control Examiner it On IA . P fo. at rrodUC(S. Iltor, ACCEPTANCE No.: 01- 0521,0 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Single paddy under the P,edy (between IIIej Paddy )under trio) Nall through plastic ecmel Errs course te�q uuough plastic cenKnl Underlay/nenl Single paddy on top of the Ewa Cams 7 - 1►TT'CT •1Artnnj LTVnl7 Frank Zuloaga, RRC Product Control Examiner meant ... an. -.... .. ..... Singr, paddy under tile Single paddy between the 21n. e 7 la medium Alto paddy elro mane Only Fascia Wuplule Ease closure Orip Mgt eau 80 ' 30ed 11101 *c 600 1731 Polvroasu P rod it ct • I. Renewal of this Acceptance (approval) shall be considered after a rcne.ral application has been tiled - and the original submitted documents, including test - supporting data, engineering documents. are no older than eight (3) years. 2. Any and alt approved products shall be permanently labeled with tltc ut iTulacturcr's name. city, state, and the following statement: "Miami-Dade County Product Control Approval", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be coluidcrcd if: a. Then has been a change in the South Florida Building Code allccting 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) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and scaled thc required documentation imti,lly submitted, is no longer practicing the engineering profession. 4. Any revision or clhanbe in thc materials, use. and/or manufacture of the product or process shall automatically bc cause for termination of this Acceptance, unless prior hvritten approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Arty 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 sale, advertising or arty other purposes. 6. The Notice; of Acceptance number preceded by the words Nli:uni -Dade County, Florida, and followed by thc 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 %ye,'ll as approved drawings and other documents, where it app shall bc provided to thc user by the manufacturer or its distributors and shall be available For inspection at the job site at all tune. The engineer need not reseal thc copies. S. Failure to comply with any section of this Acceptance shall be cause For termination and removal of Acceptanco. 9. This Notice of Acceptance consists oFpagcs 1 through 3. END OF Tl115 ACCEPTANCE "WT •C T.IMRAYJ TdVnJT1n ) ACCEPTANCE No.: 01- 0521.02 Frank Zuloaga, RitC Product Control Examiner PERMIT NO. TAX FOUO NO. , STATE OF FLORIDA: COUNTY OF DADE: 2. Description of im 3. Owner(s) name Interest In property: Name and address of fee simple titleholder: 4. Contractor's name and address: S. Lender's name and address: d • ers 3 , otn to and sub STATE OF FLORIDA, COUNTY OF DADE I HERECY CERTIFY Shat this 's a original / " ^ rl $ of j ce on 1 WIT SS my hand riff Othci HA VEY * UVIN, CL t;.<, r BY NOTICE: OF COMMENCEMENT • • .THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in a Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. cxoniance with 1. Legal descriptl n of • roperty and street : • . ress: • ar /(J& CV' vement: 5. Surety:(Payment bond required by owner f contractor, if any) Name and address: Amount of bond $ 11111111111111111111111111111111111111111111111111111 GFN 200380511494 OR Bk 21458 P9 3152; (1P9) ' RECORDED 07/25/2003 11:15:18 HARVEY RUVIN, CLERK OF COURT MIAMI —DADE COUNTY► FLORIDA LAST PAGE 7 . Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided 3y Section 71 3.13(1)(a)7., Florida Statutes, Name and address: B. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 71 3.13(1)(b), Florida Statutes. Name and address: 3. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of t/n ess a ilffere 9 recordin Prepared by: ��- ev,Z &' . -Z /dc Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Phone # For Inspector: Approved Correction Re- Insp'n Fee Date Time r\ Type Insp'n t CO CO `1.1 1 Permit No. 1 CTS -/LJZD — 1 \ Name e NE q3 Company kS L-lJ G+ t l MAP ra. Name & Date 4-5 0 Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7\ 4\03 Time Name [ ��/tt''i f� • Address 7. P �6� V3 57' Company 1 /tl L? 3 C Phone # For Inspector: 7\ Approved Correction Re- Insp'n Fee -D Type Insp'n Permit No. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date ?\ q Time Approved Correction Re- Insp'n Fee d \T'e P 0-1176" Name AA � Address / MA ,1/r 73 Yr Company Phone # For Inspector: ,- .3 L�rp MEM 1 1 c•1•V•1• E•N••I•N•E•E•R Mike Wilson Roofing 870 Northeast 122 Street Miami, Florida 33161 Project: Dear Sirs; LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 Fax: (305) 541 -3298 TILE UPLIFT TEST Residential Home 482 Northeast 93 Street Miami Shores, Florida InJbrination provided by client: Permit Number: BP 2003-1176 Date Completion: August 24, 2003 Roofing Contractor: M.1.S. Corporation LG Engineering Services, Inc. Project Number: LG03 -1300 (Testing Laboratory Certificate #00- 0224.07) August 28, 2003 In accordance with your request and authorization, a representative ofLG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above refc, enced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification ofthe bonding ofmortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total ofthe tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The: type oftile used for this project was reported to be Santa Fe Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roofti le in the perimeter area and one test for every 200 square feet ofroof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10% ofthe roof tile located in the field area and more than 20% of the roof tile at the roof perimeter and corner were physically examined. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined in the above mentioned protocol. Attached please find a copy of our test report for your review. 1 LG Engineering Services, Inc. LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; M am ad Sonny Salleh, P.E. Project Manager TILE UPLIFT TEST Residential Home 482 Northeast 93 Street Miami Shores, Florida 315 1 MIAMI 'SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n 1` hC t 001 Permit No. EP I rI (Q Name ( c O c21 . 4g /Jf135t Address Company t"S, 1,5 p• Phone # For Inspector: c2t I Q.. Name & Date Approved Correction Re- Insp'n Fee ❑ Address For Inspector: c , Approved Correction Re -Insp' n Fee 3 MIAMI RES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date t Time Type Insp'n % 1 ■CDC..4 Permit No. 3Pc -GOB,- I 11 r Name DO IC f e1 . 492 pa ?3 5t 1 i►7■Liam. ` • 7 Company 1 `[ t `) 0.01 p. Phone # UO Name & Date