The URL can be used to link to this page

544 NE 93 St (6)J ti .1 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 1 Slope ❑ Asphaltic Shingles Section A (General Information) Master Permit No. Contractor's Name f&ldU1 c. f 1< Job Address S NE q 3 ( mac S SA Process No. ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes ❑ Prescriptive BUR -RAS 150 ARE THERE GAS VENT STAC ? ROOF TYPE YES El NO TYPE NATURAL ❑ LP(iX ❑ New Roof I Re.Rooflng ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 5ev 0 g00 Section B (Roof Plan) 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. iMMM. MMMMMMMMMMMMMMMMM. MMMPM MIIM■■MM MMIIMMMMMMMMMMMMMMMMM *MMMMMMMMMMMMMM IMMMMMMMMMM ■MM *M MMMMMMMMMMrI 1MY.MIMMIM MMMMMM ■ ■.MMM*MMMMMMMMMMMMMMMMMMMMMM■ ■MMM MMMM* MMMMMM *M*■ MMMMMM ' ■,!MIIMII rGiu\ 'M /MMMMMMMMMMM *MMMMMMMMM■ ■MMM** *MMM *MMM■ IMM MM* MEMMEMEE ■MMMMMMMMMILINSIYMMrMMI MME. EMEEMEEEEMMEMMMMEMEEEEMMEMEE IEEEEMMMM MMMMMM ..EEEMMMMEMMEMMMEMMMEMEMEMMMM MICIMOMMMMEMEMMEMEEEMEEMMEEMEME IEEEMEM: 11111111 :EEMMEEEEEMEMMEMMMEMMEMEMEM�' I *L :;M MMEEEMEMMEEEMMMEMMEEMMM 1■■MM.■MM MMMMMMMMMMMM .MM*MM.MMMMM*M ■MMMMMMMMMMMMMMMMMMMMMMMMMM IMMMMMMMMMM*.■ ■MMMM*MP IMMM. *.MMM MMMMMM*MMMMMMMM.MMMMMMMMM■ IMMM MMM MMMM ■MMMIIM.M *M 1. *MMM RNMIMMMMN\ �MMUMMMMMMMM■ ■MMMMMMMMMMMMM■ MMMMMMMMMEMM■ MMMMIMMMMMMMMMMMMM/ ■11P MMMMMMMM EIIM MMMMMMMMMEI ♦.MMMMMMMMMMMMM IEEMMIMIEMEEMMEMEEMIMMMEIMMMMMMMM MMMEM MMM EIEMMM EME MiMM' MMME ME MMMMMMMMEMMMMEMONM ■ ■ M I■ MMMMMMMMMMMMMMMMMrMMMMMMMMM■ M■M ■■ MMM■ MMMMMI�MMMMMMMMMMMMMMMMMMMMMMMMM■ IMl *MMMIIMEMMEMMEMEMM EEC EEMEMMMMMM.. MEEM MEMMM :MMEEEMMMMMMMMMMMEMMMMMMMM: MMMMMM■■M■■M■MOMM■■M*MI ' MMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM M■ IM *M *M. *MMMMM.MM *M■ M * MM ■ ■IMMMMMMM *MM MMMMM MMMMMMMMM.MMMMMMMMMMMMMMMM.MMMM IMMM*M.MM *MM* MMMM*. MM MI MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM •MMMMMMMMM *MM *MMM ■M IMMMMMMMM *MMMMM.M.MMMMIiMMMMMM*MMM MMMMMM *.MMMMMMMMM■■MI.MMM* IMMMMMMMMMMMM IMMM. MMMM.. MMMMMM* M* MMMMMMMMM *M *MMM*MMMMM*MM.MM*MMEMOIO NIMMM*MMMMMM.MMM.MMM■ IMMMMMMMMMMMMMMM *MMMMMII.MMMMMMMMMINI MMMMMMMMMMMMM .IMMMMMMMMMMMMMMMMMMM■ IMMMMMMMMMMMMMMMMMMMMMIIMMMMMMMMMMMMMMMMMMMMMMMMMMM ■►; /tl / MMMMMMMMMMMMMMMMMMM■ IMMEMMMMMEMMEMEMEMMMMM: IMM: MEEMMEMMEM MMMMMMMMEMMMEM :MEMMMMMEMMMMMMMMMMMM ■MME; IMMMMMMMMMMMM MMMMMMMMM /MMMMMMMMMMMM MMMM MMMMMMMMMMMMMMMMMMMMMMMMMMM IMMM.* M* MM■ MMMMMMM.IMMMIMMMMMMMMMMMMMMMMMM .MMM \iMMMMMMMMMMMMMMMMM■ MM MMMMMM■ IMMEMEEMM iiMEMMMMMMMMMMM�EMEMMMMRME IMMMMMMMMMMMMMMMMMMMMMIIMMMMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM ■ IMMMMMMMMMM MMMMMMMMMMMMMMMMMMMMMMMMMMMM MMM■ ■ EMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM IMMEEMMMMMMMMMMMMMMMMi•..wWWW iiWWWWIWWWWOMMIIMONMENEMMIMEMiMiiiiEMEMMMOMMUMM 1* *MMMMMMMMMMMMM *MrMMMMMuM *M M 'r1*MMMMMMMC1MMOMMMMMM■ \MMM■ IMMM. ■.MMMMMM* MMM* MMMM* M M MM MMMMMMMM 'MMMMMMMMM. *MM *M ■Mnt'I'MHM*1 *M9 alii It ll*■ IMMMMEMMMMMMMMEMMMMMMMMMMMMMMMMMMMM ► INUMMMMMMMMMMMMMMMIND }'■ * rI" 4AIMP q IRVO' <'MM■ IMM .MMMMMMMMMMMMMMMMMMMMMMMMMMMM MMMM"4L::MMMMMMMMMMMMMMMMMOJ II.Ok.- 11161AMMI OWIN IMUMMAIMMINIMMONOMOMMINIMMIIMMMMINOINMMIIMMUMMXIMMOIMMOMMMUMW. '' , MMMIwlMr • 'YMMM t MMMM IM MMMM *MMMMMMMMMMMMM MMMMMMMMMMMMM■ .MMMMMMMMMMMMMMMMMMMMMMIi +M "71: a.mitta1M*Mrmlii IMMMGoOMRMIM MMM\ MMMMMMMMM\M► :.MMMMMMMMMMMMMMMMMMMMMMMMMMMMN M SI MMI , AMMMp4.MM IMM.11MVUNI II ■Ii *r/OIAMM MMO MMIP M :MMMMMMMMMMMMMMMMMMMMMMMMMMMM M.`:: *MI .;i. IMMMIII lM iIMMM 1iM IiJrMM R' AaK11 CiMMMMMM MMMMMMM. MMMMMMMMMMMMMMMM :MM M Y�MM.MMMMMMM■ IMMMMMMMM■MMMMO %■MMMM.*MI INIMMMMMMMMMMMMMMMMMMM■ MMMMMMMMM ►4OINOT" MMIaVW411X1MIRi IMM MMMM ■MMMMMMMMMMMM *MMM MMMMMM■ MMMM.. MMMMMMMMM.MMMMMM.MMreo-;;;;,,1MW OMM1.+111!ILv Mr !' NIAI 1 *MMMM* MMM.. MMMM■ MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM =11 11 '; 'llMMIV01MIiui•; =I.'1■ IMMMMMMMMMM... *MM. MMMM. MMMM MM*MMMMMM*M■MMMM.MMMM*MMMMMMM.; IV.M : rrpaMlt -1? r -1111 , . i■ IMMMMMMMMMMMMMMMMMMMMMMM MMMMMMMM MMMMM.MMMMMMMMMMMMMMMMMM ... 1M1111mMEMMMI , - 0MM: ( '111 /4 23_01 -48 5/03 PAGE 3 Insulation Base Layer Florida Building Code Edition 2002 V :, .. Hurricane Zone Uniform Permit ,. .. . Fonn. Section C (Low Sloped Roof System) FUI M Specific Roof Assembly Components and Identify Manufacturer • . (If a component le not used, % , � •NA") System Manufacturer b I 1 NOANO. : ..03 - o50 I i as Design Wind Pressures, From RAS 128 or Calculations: Pmarcl • r s a Pmau2: • 9 1 1 3 P m e x 3: i 3 l i - / J Design Prime, r m the 8pedflo NOA .Deck W O CI Gauge/Thickness: Sit Slope; 0 Jl nchodBase Sheet & No. of Ply(s) Fastener Spacing for Anchor/Base Sheet Attachment • ' . Field: J Lap, # Rows � eloc • Perimeter: b • oc Q Lap, # Rows !1' & • oc Comer: L oo re Lap, # F l o w s ' firl Number of Fasteners Per Insulation Board Field Perimeter Comer Illustrate Components. Noted and Details as Applicable: • Woodbiodking, Gutter, Edge . Termination, . Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, i 1 , erg, Etc. Mak: Mean Roof Height, Parapet Height, eel Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spadng or Submit Manufacturers Details that ZAP Comply with RAS 111 and Chapter 16: , Ci Base•Insulation Size and Thickness: " / /Z ' ` Pe r 1 i 104 A A F F M D d. p2r2C� r>sui lion FaetenedBonding Material: r " T i � k rN a ►'1 , ,. ,�—f Base I Top Insulation Layer Top Insulation Size and Thickness; Top insulation FastenebBonding Material: Base Sheet(s) &tlo. of Ply(s): Base Sheet FastenedBonding Material: Pty Sheet(s) A No. of Ply(s): 1 Plykhee stetr ponding Material: Top Pty: f 6AF FR mo Surfacing: 1 V -3a i ink' 3_ j &Ivdr1 p� �„.I b — 4- 1 base a "Ia E - 40, �i s � ' erP O n� P3iffk Men tii Wo ToplWe /bonding Material: SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). y - 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. {� 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. ov Y 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not erloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Own r /1� ent's Signature g gn cmocusit -lkm LLOCALS- IITemOSECTION 142J.Aa ,23 /__14 q°0_AAI Date Contractor's Signature `MI�DADE BUILDING CODE COMPLIANCE OFFICE (IICCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 This NOA renews NOA #02 -0408.10 and consists of pages 1 through 31. The submitted documentation was reviewed by Frank 7uloaga, RRC. ti tl MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable ntles and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County' and other aims where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AT-EJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHI may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid0 Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur alter the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. NOA No: 03- 0501.02 Expiration Date: 11 /06/08 Approval Date:10 /23/03 Page 1 of 32 ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrixim Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (Matrix' M System Pro Aluminum Roof Coating Fibcrcd 301) GAF 7etblack All Weather Plastic Cement (MatrixTm Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Flex Ply' 6 GAFGLAS Ply 4® GAFGLAS®Mincral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eli rninator Perforated Roofing SBS /APP, Modified Bitumen Wood -75 psf See General Limitation #1 Dimensions 5, 55 gallons 60 Ib. Bags 100 ib. bags 5 gallons 1, 5 gallons AS'I'M D 2824 Fibered aluminum coating. 1, 5 gallons 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide Test Sp cif ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D4601 ASTM D2178 ASTM D 2178 ASTM D 3909 ASTM D3672 ASTM 1) 4897 Product Descri ption Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral. Shield() Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 2 of 32 Product GA1=GLAS® Flashing GAFGLAS® STRATAVENT® Eliminator Perforated Nailable RUBEROID® SBS Heat - Weld''M Smooth RUBEROID® SBS Heat - WeIdTM Granule RUBEROID® SBS Heat - We1drM 170 FR RUBEROID® SBS Heat - We1dTM PLUS RUBERO1D® SBS Heat - Weld PLUS FR RUBEROTD Modified Base Sheet RUBEROID® Modified Bitumen Adhesive RUBEROID® SBS Heat - We1dTM 25 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROTD MOP 170FR RUBERO1D MOP FR RUBEROTD TORCH Smooth Dimensions various 39.37" (1 meter) Wide 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 39.37' (1 meter) Wide 5 gallons 1 meter (39.37 ") wide 39.37' (1 meter) Wide 1 sq. roll 87 lbs. 39.37' (1 meter) Wide 39.37" (1 meter) Wide 39.37' (1 inter) Wide 39.37' (1 meter) Wide Test Specification ASTM D3672 ASTM D 4897 ASTM D -6164 ASTM D -6164 ASTM D-6164 ASTM D -6164 ASTM D-6164 ASTM D4601, Type 11, UL Type G2 BUR ASTM D 3019 Type III ASTMD -6164 ASTM D 6222 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6222 ASTM D 5147 Product Description Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -Woven Polyester 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 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. Premium glass fiber reinforced SBS - modified base sheet Fiber reinforced, rubberized Adhesive Non - Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer Modified asphalt and surfaced with mineral granules. Non-woven polyester mat coated with polymer- rnodifial asphalt and smooth surfaced. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardaut polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, smooth surface. NOA No: 03- 0501.02 Fxpiration Date: 11/06!08 Approval Date:10/23 /03 Page 3 of 32 Product. RUBEROID TORCH Gran tile RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 170FR TORCH R.uberoide 20 Ruberoid® 30 Ruberoid® 30 FR RUI3 EROIDC ULTRACLADO SAS RUI3EROID®.Dual FR. Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix." System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Shingle-Mate TM Underlayment Tile -Mate Modified Base Sheet Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide . 5 gallons 5 gallons 100 ]b. cartons, bulk 601b. kegs 4 sq. roll 30 lbs. 1.5 sq. roll Test Specification ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6164 ASTMD5147 PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D2824, Type I ASTM 1312, Types 1, 11,11 and TV ASTMD5147 Product Description Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. SBS modified asphalt base sheet reinforce with a glass fiber mat. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated with fire retardant, polymer modified asphalt and surfaced with mineral granules.t Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer- modified asphalt and surfaced with mineral granules. One -way valve vent used to relieve built - up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Non- fibered. Alumini pigmented, asphalt roof coating Interply mopping and surfacing asphalt SEAS modified asphalt Fiberglass reinforced shingle underlayment SBS modified asphalt base sheet and inteiply sheet reinforce with a glass fiber mat tile underlayment. NOA No: 03- 0501.02 Expiration Dale: 11 /06/08 Approval Date :10/23/03 Page 4 of 32 Product Tile -Mate Modified Cap Tile -Mate Modified Cap Plus TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCote® MB +(Matrix 715 MB Coating) TopCoat Mi3 +(Matrix 715 MB Coating) WeatherCoteT" (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid®M13) Matrix 201 System Pro S13S Flashing (Ruberoid®M13) Matrix 102 Select SBS Adhesive (Ruberoid ®` 13) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Aluminum Matrix 304 Select Pdon- Fibered RUBEROID® Modified Bitumen Adhesive Dimensions 1 sq. roll 103 lbs. 1 sq. roll 102 lbs. 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons Test Specification ASTM D 5147 ASTM D 5147 5 gallons 5 gallons ASTM 1)3019 5 gallons ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D4586 ASTM D3019 ASTM D 2824 ASTM D2824, Type I ASTM D 3019 Type 111 Product Description Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules tile underlayment. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules tile underlayment. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement Standard Plastic Asphalt Roofing Cement Caulk Grade. Cold Applied Asphalt Adhesive. Fibered aluminum coating. Non-fibered. Aluminum pigmented, asphalt roof coating. Fiber reinforced, rubberized Adhesive NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23!03 Page 5 of 32 APPROVED INSULATIONS: Product Name GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N •(BMCA)GAFTEMP® Fiberboard GAF I EMP® Permalite GAFTEMP GAFCANTT`r GAF .I PAW Permalite Recover Board GAFTEMP GAFEDGET`r Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA BMCA Composite EnergyGuard, RA PYROX White Line ACFoain I, II & Composite ISO 9.5+ ISO 95+ Composite EPS Wood Fiber High Density Wood Fiberboard Pelite/IJrethane Composite Perlite Insulation Dens Deck E'NRG'Y -2 & E'NRG'Y -2 PLUS, UltraUard Gold TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlitc insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocynurate/wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate/perlite ridged insulation Extruded polystyrene insulation Wood fiber insulation board Wood fiber insulation board Perlite / urethane composite board insulation Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. Apache Products Co. Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. Generic Generic Generic Generic generic G -P Gypsum Corp. Johns Manville NOA No: 03.0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 6 of 32 APPROVED INSULATIONS: Product Name FibcrGlass Roof Insulation ISORoc Structodek Multi -Max & FA Polyisocyanurate roof insulation Paroc Base Board Rockwool insulation Paroc Cap Board APPROVED FASTENERS: Fastener Number Product Name 1. GAFTITE® (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener 2. GAFTITE® (Drill -Tec ®) ASAP 3. GAFTITE® (Drill -Tec®) Base Sheet Fastener and Plate 4. Galvalume Plates (Drill - Tec® Metal) 5. Polypropylene Plates (Drill -Tec® Plastic) 6. Dekfast Fasteners #12, #14 & #15 7. Dekfast Hex Plate 8. Dekfast Lock Plate 9. if12 Roofd ip Fasteners 10. Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener . TABLE 2 Product Description Glass fiber/Mineral fiber insulation Polyisocyanurate foam / rockwool composite insulation Wood fiber insulation board TABLE 3 Product Description Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFTI l'E Fasteners and metal and plastic plates. Base sheet fastening assembly. Round gaivalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. • Galvalume stress plate. Polypropylene round plate Insulation fastener assembly with recessed plastic plate Dimensions Manufacturer (With Current NOA) Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3 1 /2" GAF Materials Corp. 3" and 3 1/2" GAF Materials Corp. Construction Fasteners 2 7/8" x 3 1 " 3" x 3 ' /a" 3 " round 3" square 3.2" Inc Construction Fasteners Inc. Construction Fasteners Inc. ITW Buildex Corp. ITW Buildex Corp. ITW Buildex Corp. Johns Manville NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 7 of 32 APPROVED FASTENERS: Fastener Number 13. 14. 15. 16. 17. 18. 19. 22. Tru -Fast Plates 23. Tru -Fast Plates EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corp. Factory Mutual Research Corp. Trinity Engineering Olympic Fastener #12 & #14 Olympic Fastener ASAP Olympic Polypropylene Olympic G -2 Olympic Standard Insul -Fixx Fastener Insul -Fixx S Plate 20. Insul -Fixx P Plate 21. Tru -Fast Product Name PRI Asphalt Technologies, Inc. IRT of S. FI. IRT of S. Fl. TABLE 3 Product Description Insulation fastener Pre - assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round galvalume AZSO steel plate Insulation fastener for steel and wood decks 3" round galvalume AZ50 steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate Test Identifier Current Insulation Attachment Requirements FMRC 4470 - PA 114 Wind Uplift PA 114 GAF - 020 -02 -01 02-005 02 -014 Manufacturer Dimensions (With Current NOA) Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. 3.25" round Olympic Manufacturing Group, Inc. 3.5" round Olympic Manufacturing Group, Inc. 3" round Olympic Tvlanufacturing Group, Inc. SFS /Stadler 3" round 3" round 3" round 3" round SFS /Stadler SFS /Stadler The Tru -Fast Corp. The Tru -Fast Corp. The Tru-Fast Corp. Description pate FMRC 1996 01.01.96 J.I. 1B9A8.AM 09.04.97 J.I.3D4Q2.AM 04.30.97 4483.04 97 -1 06.06.97 ASTM D 4977 02.01.02 TAS 114 01.18.02 TAS 114 03.22.02 NOA No: 03-0501.02 Expiration Date: 11 /06 /OS Approval Date:10/23 /03 Page 8 of 32 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply Im 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1 /4" Dens Deck or' Type X gypsum hoard is acceptable to be installed directly over the wood dcck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer 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 2040 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attaclmient. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attacluuent of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter Hailers, metal profile, and /or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this linritation is specifically referred within this NOA, General Limitation #7 will not he applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 913 -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03 0501.02 Expiration Date: 11/06/08 Approval Dale:10 /23/03 Page 32 of 32 8. ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU) — Continued Base Sheet (Optional): One or more layers Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq. 4. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers partite, glass fiber, isocyanurate, urethane, perlite /isucyanurat.e composite, perlite/urethane composite, phenolic, 1 -1/2 in. niin thickness (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G2 or G3. Ply Sheet (Optional): One or inure layers of Type G1. Membrane: Ouc or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1-1/2 - 3 gal /sq. 5. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule). Surfacing (Optional): Karnak "No. 97" or "169" at 1 -3 gal /sq or Grundy Ind. "20 F Emulsion" at 3 gal /sq. 6. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, pertite / isocyandrate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Gravel. 7. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type 61. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel. Deck: NC Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). . Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq. 9.• Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, phenotic, 1 -1/2 in. min. Base Sheet: One or more layers of Type G2 "GAFGLAS 475 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", hot mopped in place. Membrane: "Ruberoid Mop FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 10. Deck: C -15/32 lrrrlir +e: 1/? Insulation (Optional): One or more layers perlite, glass tiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ <s urethane composite, phenolic, 1 -1/2 in. niin. Base Sheet: One or more layers of Type G2 "GAFGLAS 1175 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", or "GAFGLAS Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibeted Aluminum Coating at 1 -1/2 gal /sq 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, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS 475 Base Sheet ", hot mopped or inechanirally fastened in place. Ply Sheet (Optional): One or more layers of Type GI "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or '.GAF Weather Coat Emulsion at 3 gal /sq. LOOK FOR MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) 135 ROOFING SYSTEMS (TGFU) — Continued 12. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Isocyanurate, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS 475 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6 ", hut mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 13. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One o,r more layers of Type 62 "GAFGLAS 1175 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of Type G1 "GAFGI AS Pty 4" or "Ply 6" hot propped in place. Membrane: "Ruberoid Torch PR" (granule). Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gat /sq. 14. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood tiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of "GAFGLAS 1175 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of "GAF GLAS Pty 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq nr GAF Fibered Aluminum Coating at 1 -1/2 gal /sq. 15. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type G1, hot mopped in place. •' Membrane: "Ruberoid Mop FR' or "Ruberoid Mop 170 FR" (granule). . Deck: C -15/32 Incline: 1/2 ' Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate composite or phenolic, offset 6 in. from joints. Base Sheet: One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of T',ipe G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" or " Ruuberoid Mop" (smooth). Membrane: One Layer of "Ruberoid Torch FR" or ''Ruberoid Mop FR" (granule) 17. Deck: NC Incline: 1 • Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type GI, hot mopped in place. Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 18. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet (Optional): One or more layers of lype 6-2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop" (smooth). Membrane: One layer of "Ruberoid Torch FR ", "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 19. Deck: NC incline: 1/2 Insulation (Optional): One or more layers of perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate coin posite or phenolic, any thickness. Rase Sheet: One or more plies G'1 or 62, hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied arlha>,ive at 1 -1/2 gal /sq. t Ond layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule), hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq. 20. Deck: C -15/32 Incline: 1/4 Insulation: Polyisocyanurate, any thickness. Base Sheet: "GAFGLAS 1115" (Type G2), mechanically attached. Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -402 Printed: 3/26/2004 Applicant: GREGORY RUDNICK Owner: RUDNICK GREGORY JOB ADDRESS: 544 NE 93 ST Contractor KAWALEK, PAUL RICHARD Local Phone: 786 - 277 - 9540 Parcel # 1132060141070 Signed: (INSPECTOR) Building Permit Contractor's Address: P.O. BOX 531051 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 4 & 5 & W2OFT LOT 3 BLK 57 Fees: Description Amount FEE2004 -3251 Building Fee $250.00 FEE2004 -3252 CCF $1.80 FEE2004 -3253 Training and Education Fee $0.60 FEE2004 -3254 Technology Fee $6.25 FEE2004 -3255 Scanning Fee $9.00 Total Fees: $267.65 Total Fees: $2k7.6 Total Receipts: $0.00 4iG3 Permit Status: APPROVED Permit Expiration: 9/19/2004 Construction Value: $2,400.00 Work: TEAR OF EXISTING REAR GARAGE FLAT ROOF ONLY; REPLACE WITH A NEW FLAT ROOF SYSTEM PAW In consideration of the issuance to me of this permit, I 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 I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Parcel # 1132060141070 Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: BP2004 -682 Printed: 5/26/2004 Applicant: GREGORY RUDNICK Owner: RUDNICK GREGORY JOB ADDRESS: 544 NE 93 ST Contractor YAMILL GLASS & WINDOW INC Contractor's Address: 480 W. 84 St. #107 Local Phone: (305) 826 -2121 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 4 & 5 & W2OFT LOT 3 Fees: Description Amount FEE2004 -5313 Building Fee $220.00 FEE2004 -5314 CCF $4.20 FEE2004 -5315 Training and Education Fee $1.40 FEE2004 -5316 Technology Fee $5.50 FEE2004 -5317 Scanning Fee $15.00 Total Fees: $246.10 Total Fees: $246.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/17/2004 Construction Value: $7,000.00 Work: REPLACE IMPACT GLASS 29 WINDOWS C -AY 2 7 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I 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 I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 57 MIAMI SHORES VILLAGE BUILDING DEPARTMENT l✓U 305- 795 -2204 Building Inspection Request \t Date 2 b Type Ins Permit No. Name Address 5 ( . 9 3 Company J. �cX0 J . Phone # U ~ - 7-gs 1 /7) Inspection Date [3 o pprove Correction ❑ Re- Insp'n Fee ❑ �l� MIAMI SHORES VILLAGE BUILDING DEPARTMENT ( n 305- 795 -2204 Building Inspection Request Date 30 Type Insp'n I t 0 , Cot `O) Permit No. t3 n04 4cr°._ Name fl` C IL C Address 5 l4 N °►3ccl_ Company 1Qu..x e Phone # Inspection Date 3 Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request n Date -1 ') SO Type Insp'n ! fl (c ` --� , lv Permit No. T3P (j 4 4 CQ ,. Name 06 n C 'c Address 544 1v E 6 )13S1 Company \CO. wr\ Phone # I Inspection Date Approved Correction Re-Insp'n Fee rin • BUILDING ELECTRICAL PLUMBING ROOFING Owner of S Building ❑ . z CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA _ DATE 4" 19ig'L PERMIT Architect Contractor r or Builder t... t Legal Lot Description II Bl Work to be performed under this Permit Address of S {� ' Value of `a H Amount of - Building `" N. Project $ o `� 11 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. N° 7574 Contractors C, License No. Subdi- vision Signed. 4 ` • � � � �""' �1'' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wi all ordinances gulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authori of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY AI 110T BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building • ° ' ■ MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 7136 DATE Contractor's License No. Work to be performed under this Permit % •- .ti -, -, LQ"- 1 94c , Architect Contractor or Builder �'• ',L.-, 'Z d, % 1 ski j s) r Legal Lot Subdi_ Description BI vision Address of 4! . - i C - Value of Amount of Building ] / Project $ °`" f II 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked 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 this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. f Signed- -. ' / t � .'.. -- y f - INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complian with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper ail rities of Miami Shores Village. In as cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. '` CONTRACTOR OR BUILDER BY AUTHORITY ♦NIOt Name and address of licensed contractor Location and legal description of lot to be built on: Lot__ Street and Number where work is to be done State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE 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 " 2. 7 Owner's Name and Address � + +-� _ p? �- No `� • `f Street • Registered Architect and /or Engineer Block Subdivision and for no other purpose. New Building ,___ Remodeling Addition Repairs No. of Stories To be constructed of Kind of four cation Roof Covering ---vz.o Estimated Total cost of improvements $ ° .. - Amount of Permit $ -- Zone cubage required_ _____ ___Plan Cubage Distance to next nearest building _____ _ —_Size of Building Lot Maximum live load to be borne by each floor ____ , _ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to —__ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ) Remarks----- ------- - - - - -- (Signed) F c: `-�� F ' ^ 2 STATE OF FLORIDA, COUNTY OF DADE. J 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 tru e. Permit No. _ 7 q ` / ____, Date 4.-- 7 - C' Cz Read, Sworn to and Subscribed before me. Disapproved (Signed) Chairman Member Member Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. BUILDING INSPECTION DEPARTMENT S J. 12o-4) FA ,1/4.5 e 7...=)( 1 (O. Q.2 Member Member Member Date Disapproved to me well known, Notary Public, State of Florida Building Insp ) ; or My Commission Expires PLANNING BOARD DATE making corrections or changes to this application after approval when such re- inspection is made necessary by improper notice 19 C' Date has been obtained from for inspection or faulty PHONE 691 -1301 ■ Amount of repair — $400.00 P ee/e R00/in 2011 N. W. 98TH STREET MIAMI, FLORIDA 33147 "Roofing Repairs Of All Kinds Since 1947" DATE May 26, 1966 Miami Shores Village, 10050 N. E. 2nd Avenue Permit for Roofing repair work to be done at rohn A. Wall 544 N. E. 93rd Street 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. MIAMI SHORES VILLAGE Owner's Name and Address Registered Architect and /or gineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision 4 C� t Date No SW 44 Street.._ 6 , . 7 Street and Number where work is to be done ` ' ,� __ ,/ State work to be done and purpo of building (by floors) / Cam— 6".t) / rim and for no other purpose. New Building Remodeling Addition Repairs No. of Stories. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be formed under this pern.it, as are licensed by Miami Shores Village. y - per _ / Remarks (Signe'ld V 7-6/-2-;,, L.' / To 73e constructed of Kind �?,�. / foundation Roof Covering / Estimated Total cost of improvements $ ‘ Amount of Permit �-- Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to STATE OF FLORIDA, COUNTY OF DADE. ss. 3efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 7 Permit No 3 _ Date 1 -1 )4-Cp Read, Sworn to and Subscribed before me. Disapproved (Signed) i sy Building Ins j ctor My Commission Expires LANNING BOARD DATE Chairman Member Member Member Member .. Member Council Approved Date Disapproved _.._ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public, State of Florida MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby utnde 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. Owner's Name and Address John A. U J a 11 _ No, 44 .. _ . ... _ . . s t r e e t _ _ N . E . 9 3rd St. Registered Architect and /or Engineer ...... Nine and address of licensed contractor Obenour Roofing Co. 7357 N. W. Miami Ct. Location and legal description of lot to be built on: Lot Block Subdivision. Street and Number where, work is to be done 544 N. E, 93rd St. State work to be done and purpose of building (by floors) Remove the existing roof and replace with 1 -30 lb, felt,..galy. fleshings and asphalt shingles, and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering 14 sqs. Estimated Total cost of improvements $ 2300,00 Amount of Permit $ 5.00 Zor 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 pennit does hereby certify that he understands and accepts his obligations as an employer of l abur under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup lenient, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ by him in the work to be performed under this permit; and will post or cause to be posted for inspects on the site of the w • .. ilk notice or notices as are required by the Act. The undersigned agrees to employ only su .. .. - . • • ctors, on w9rk to under this pennit, as are licensed by Miami Shores Village. Remarks (Sign r) ,ii„.„..., STATE OF FLORIDA, COUNTY OF DADE. ss. ^ S 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 Ile has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._ Date.._. ":. Read, Sworn to and Subscribed before me. Disapproved - (Signed) BUILDING INSPECTION DEPARTMENT. Notary Public, State of Florida March 25 ,e 75 to me well known, ild►a� Inspector/ My Commission Expires PNING BOARD _.._ DATE Chairman Member .1cmbcr _ Member Member ..... Member ...._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty mate -ials and/or workmanship. APPLICATION FOR BUILDING PERMIT .Application is hereby wade for the npproyal of the detailed statement of tiie plans and specifications herewith submitted for the build inc 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 n( the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iiui1.1ing Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Namc and Address lh�u. 2ohn Wall Registered Architect and /or Engineer ....... 06enottA Roo ut9. Co. 7357 N. "*","33150 Name and address of licensed contractor Location and legal description of lot to be built on: Lot mock 54 5 ` 1, iy µ �9 3 , cZ 5:t. _ ..... Street and Number where work is to be done _ • . • _... , . ._, _ Remove aoo tog on gcce. �howte. ne ana .aitaze aid State work to be and se ( building floors) .. ._... _ new acP W /—jt� u y .. ezt, 2 —r5 ih. 4etti aaptt t and c/taveL. ; , . r and for no ether purpose. Ncw Building Remodeling. Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering 7 '... :.... Estimate Total cost of improvements $ 1, 050.00 Amount of Permit & 20.00 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 1 82 _ No...._ • ..... Stre t._.et Zone cubage required Plan Cubage Distance .to next nearest building. Size of Building Lot Maaiununt live load to be borne by each floor I hereby submit all the plans and specifications for said budding. All notices with reference to the building and its construction may be sent to.. . .. The undersigned applicant for this huilding permit does hereby certify that he underyands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5066, Compiled General Laws of Florida, Permanent Supplement, and h.is complied s•itl► the provisions thereof, and will require similar compliance from e!! contractors or >:ub- contractor employed by him in the work el be performed under this permit; and will post or cause to be posted for ins • lion on the site of the wo public notice or notices as are required by the Act. The undersigned agrees to employ onl ; uc ntrectors, on wor donned under this pcnnit, as are licensed by Miami Shores Village. Remarks (Si STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorize • to administer oaths and take acknowledgments, personally ap- p eared . _.. _.. ...... .............. --- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. // Permit No._ . 5. S`- Date 5 7 7..,1.j > Read, Sworn to and Subscribed before me. Disapproved .. .. Date. (SiToed ) But ding Inspector My Commiuion Expires Notary Public, State of Florida PLANNING BOARD DATE 7 -0 - 6' Chairman Member Member Member Member Member ...._ _.._..... Counci, Approved Date Disapproved ... Date NOTE: A charge of 51.00 will be made for making corrections or changes to this application after approval has been obtained from the f'L,nnii.;; Ilu.ud. A re.in-i •c tiutt fce of 11.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date AVAGC 3 Job Address c `i !V 1 7 � . Tax Foli4 Sale / ij /07a Legal Description "T `� v J 1 Owner / Lessee / Tenant V A A)% .lam Master Permit it, i': / 7/C Owner's Address Cont Co. Qual:.fier �ok CCCO S c( o State # 5a%; c06 Joy K. 14ncke \oN • • y Ac. .1 SS4� Phone cli\g> /41% 0 Estimated Cost(value) Z 000 °P- 4- is ccura ct on and ntract Signatur o Date: Z� L r j1y Notary as My Commission EXIppir - - . 'YGCK. S'Y!NE civime woos) �rtw4 s Ins.Co. r- Builder er- Builder ** Other Electrical Engineering Architect /Engineer Bonding Company Mortgagor Square Ft. tar; as to Owner y Commission Expi APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date \fiV.13 Job Address 1 :1 as WE 1� \ • Tax Folio/ s0./e4 /`f /6'7o S� Legal Description /YT Owner / Lessee / Tenant 30 \3 \ Owner's Address y y ` ;. �A/1 J‘itt')?( Phone p 1 Contracting Co. � 1., 1A/acK�\ v�S \leue \t3 oAddress �` � �a \2 A (Okv Qualifier \ es LAc. Q SS# Phone 1 Z4r t°iQ State OCCCo6faloCA Municipal # Competency # Ins.Co. N\A- "� JOSEPHINE doom . .• t<. 411 r Al ,, f '• Public Solt d 1111111. • -s 7 �rr r • r• ' Signatue f owner and /or Condo President Date: // /� 9�3 FEES: PERMIT° 24 RADON Fire Zoning ui 1di Address Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING ( MECHAANICAL ROOFING WORK DESCRIPTION 2 - �ooT �` x►S \ \n�� Stn �NS1e ��td� 00 Estimated Cost(value) `S:\ WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, OFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing informati s accur be done in compliance with all applicable laws regulating const tion an authorize the above -named contractor to do the work stated. Signature Date: / /J2 7 1, / ota a to Co My Commission E `741 Master Permit # j3V7f" ntracto- or C.C.F. I- d 6 NOTARY PAVING FENCE SIGN nd that all work will ni g. Furthermore, I JOSEPHINE CHURCH Pu r Builder TOTAL DUE C. ® ** Other Electrical Mechanical Plumbing Engineering 1. Present Zoning . )1'1 Area of Present Building Area with Proposed Addition Setbacks Provided Council Action Required Vit9 1iami Jbioreslllage F L OR ID A PLANNING BOARD AGENDA OF 5S 194 ITEM NO. 1 + 15 lit Name of Owner /Appl i cantateat.' ) ON MK/ Phone No. l itq'" . 7 ' Address of Property, and /or Legal Description f** 1■ Q 3 Stf Nature of Request X14 N ' s1 4 2 6011 1 4M t viovim,A 41.}L Roof. Parking Spaces Provided Parking Spaces Required with Addition Setbacks as per Code Vari antes/ MOO - - CQ1 3 K - 04 1 4g ROar otmo l g ikt W•00 %A ttat s. lux* p ROVS 3 IN Ictlft Date of Applicant Notification Planning Board Action ?WM. 91741 Council Action AM/ )11/(0 Director of Building and Zoning September 21, 1989 Gregory Rudnick 544 N.E. 93rd St Miami Shores, Fl. 33138 Dear Mr. Rudnick: Re: roof framing of "In -Law" house behind residence at 544 N.E. 93rd St., Miami Shores, FL Per your request, I have provided an inspection this evening of the above structure to determine if the roof can withstand the additional loads of a tile roof. The roof presently has wood shingles. Per my visual inspection and subsequent calculations this evening, I have determined that this roof can not withstand the loads from a tile roof. Neither the rafters or the ties have been sized, braced or spaced for this load. Considerable modifications to the roof structure to change from wood shingles to flat or barrel tile would be required to meet the requirements of the South Florida Building Code, Dade County edition, latest edition. Please do not hesitate to contact me if you have any questions regarding this matter. Thank you for the opportunity to be of service to you. Very truly yours, ot,a/La.,)14-6)L,2_ P/Le,,v-cie Laura Moore, President lm Laura Moore Engineering, Inc. Structural Consulting Engineer, P.E. 765 N.E. 77th Terrace - Miami, Florida 33138 (305) 759 -5454 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ✓Owner's Name and Address 1./Name and address of licensed contractor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ( a Date ///f 19 No. - I Street // t 9fl Registered Architect and/or Engineer Location and legal description of lot to be built on: �f L� ( 7 6 ee_AA // 3�* 7,1 /� 70 5 Lot a t �lr "Block Subdivision npn Street and Number where work is to be done ¶ VA A M ate work to be done and purpose of building (by floors), state exterior colors (submit samples) cP. VD 1 Q i -LP O and for no other purpose. N'tw Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S \---\ 0 0∎ 0 0 Amount of Permit S Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida 11'orkmen'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 su ontractRrs, on work to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. }SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared to me well known. and who. being by me first duly sworn. upon oath deposes and says that he is the of tha above described construction, that he has carefully read the foregoing application, and that he did sign the same. and that all facts therein by him stated are true. Permit No. 19 f Date ` Read, Sworn to and Subscribed before me. Disapproved A /,�/ Date (Signed) QC \ �1 J ` I n �l�V n CNV Notary Public. State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.