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726 NE 92 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address ?2 G �/� �-,>� �-' 4!fax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant t q4& GIdit i1 4 4-- Master Permit # L, / / 9 ? Owner's Address 79:5 Phone 73 YY' y Contracting Co. .1 g il 1 ge a t a i tt„q d � - s ' 4 �dT C i s Address k y ./.5- �J W o � o 4 . 4 //M'2 r i 2- - Qualifier / SS# Phone .- v 61 /1 State # Municipal # Competency # Ins. Co. Architect/Engineer �/�' Address Bonding Company 4✓ //C Address Mortgagor �v� Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 724A,. y JL i t/94L / € Y +2, #7S f4 rercce ` a r /'1; Square Ft. J, Estimated Cost (value) ‘, . 0 reel WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that aJ ork 'e done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -n '7 igna of o - r and/or Condo Pr r • ent Date APPROVED: Zoning Mechanical , e-, „2? j , j6 Y`-- otary as to Owner and/or Condo President Date My Commission Expires: t19-7.6 FEES: PERMIT 60 RADON Building C.C.F. le 4Z Si e ll() V Notary as to Contractor or Owner- Builder ate My Commission Expires: * L. Y 1 TC d E rs NOTARY n or 1 wner -Bui Electrical the work stated. Date 1 otz) 0 () C 6 • • TOTAL DUE - Plumbing Engineering I 0 IRUBEROID® Specification N- 1 -1 -MG and N -1 -1 -MGFR Y Min. Side,Lap 4 .. Minimum Side Lai_ 9� I GAFGLAS 075 Max. Base Sheet RUBEROID MEMBRANE 16 /32 Min. Mailable Deck Steep Asphalt ASTM Type III or IV Substrate —''/3: inch minimum plywood. gypsum. structural wood fiber. lightweight insulating concrete. See "Lightweight Insulating Concrete Decks." page 10. Slope —Up to 1 inch per foot for lightweight insulating concrete: up to 3 inches per foot for other decks. Materials GAF Materials Corporation Steep Roofing Asphalt ASTM D -312 Type III or IV GAFGLAS #75 Base Sheet RUBEROID MOP or MOP 170 FR Approximate Weight Per Square Total 145 -155 lbs. These specifications can be applied using RUBEROID Modified Bitumen Adhesive. References to cold applied installations require the specification designation to be followed by a "(CA)" to indicate that it is to be cold applied. UL Approvals for cold applied constructions are pending. Contact GAF MC Technical Services for current status. Guarantees Available Specification RUBEROID Liberty N- 1 -1 -MG 12.10 N -1 -1 -MGFR 12.10 RUBEROID 12. 10 12. 10 OAF "INTERIMS CORPORATION General Recommendations presented on pages 17 -22 shall apply in addition to the following application recommendations. Application Recommendations 1. Lay one ply of GAFGLAS''' #75 Base Sheet (or one ply of STRATAVENT' (Vent Ply) as required for nailable decks in the case of a fresh lightweight insulating concrete or gypsum deck), with a minimum 2 inch side lap and not less than 6 inch end laps. Nail along side lap of the base ply at intervals not to exceed 9 inches and stagger -nail down the center of sheet in two rows with nails spaced at 18 inch intervals in each row. 2. Starting at the low point of the roof, fully embed one ply of RUBEROID Membrane (Granule) in a nominal 25 pounds per 100 square feet (plus or minus 20 %) continuous coat of Steep Roofing Asphalt ASTM D -312 Type III or IV. The RUBEROID membrane must be positioned to provide 4 inch side laps and 6 inch end laps. RUBEROID FR UL Classification UL Class A A Substrate C NC Slope I/ 1" Specification N -1 -1 -MGFR N -1 -1 -MGFR For more extensive classifications, see page 6. UL Chart Key 1. Substrate C = Combustible and Noncombustible Combustible = Wood planks. boards. etc., plywood (min. 'she inch thickness), oriented strand board (min. '/: inch thickness). NC = Noncombustible only Noncombustible = Steel, poured or precast structural concrete, lightweight insulating concrete. gypsum. structural wood fiberboard, etc. 2. Slope Maximum slope allowed. in inches per foot. 51 Contractor's Name: �i �Acat V=.00ctt Job address: r lc� (, N� �, Z.- 7/4 ROOF CATEGORY (Low Slope Application) ❑ (Nail -On Tile) E (Mortar - Adhesive Set Tile) ❑ (Asphalt/Fibe:glass Shinnies) ❑ ( Metal RoofslWood Shingles & Shakes) E (Other) ROOF TYPE ❑ New Roof ET Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') • { 0 Sloped Roof Area (ft') Total (ft') - 90 Master Permit No. Exposure category (per ASCE 7 -8S): Building Classification category (per ASCE 7 -83 table 1): Ft. Appendix "E" UNLFOR ROOFING PERMIT APPLIC_aTION PROCESS V0. Ga„bbubiA (lb t t DETAIL 1 .S1 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as eeded) (1\ GAf � tl� qotSwii 1 (kr Mtirbl o , Dec:. type: 1°l ' ' ' , , 3"x3" a ?6 / � , (, 6Rlvintzec.'- G- 21115 ATTACHMENT ; 0- 1 Fastener Type: !0 7 i o I ; 1 1 , 4"L-4P P ." Field: Perimeter: Corner: Cal4� ' ' , ' SPACING P 1r r r , r r , r r • bvt.a N Ridge ventilation? MEAN HEIGBr Deck type: Underiayment • Appendix "E" UNIFORti1 ROOFING PERMIT APPLICATION PROCESS No. Insulation: 12 ROOF 3L0Y2 D E T A I L 3 SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cap Sheet: Roof CCovering: Drip edge: TILE CALCULATIONS (Pmax1: x ;1. (Aerodynamic Multiplier): ) - M = M PCA: (Pmax2: X X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax?: X A. (Aerodynamic Multiplier): ) - M = M PCA: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals DO NOT REMOVE FROM PER2vi T PACKAGE DISPOSITION I APP RFJ N/A ❑ ❑ ❑ Posting of Permit ❑ ❑ ❑ System Documents ❑ ❑ ❑ Notice of Commencement ❑ ❑ ❑ Deck Priming ❑ ❑ ❑ Roof Pitch ❑ ❑ ❑ Fire Rating ❑ ❑ ❑ Venting ❑ ❑ ❑ Moisture / Up -Lift Test ❑ ❑ ❑ Insulation ❑ ❑ ❑ Base / Anchor Sheet ❑ ❑ ❑ Fastener Penetration ❑ ❑ ❑ Fastener Spacing ❑ ❑ ❑ . Edge Metal Size / Type ❑ ❑ ❑ Edge Metal Installation ❑ ❑ ❑ Edge Metal Lap ❑ ❑ ❑ Metal Priming ❑ ❑ ❑ Perimeter Blocking ❑ ❑ ❑ Cant Strip • ❑ ❑ ❑ Counter Flashing ❑ ❑ . ❑ Mechanical Equipment ❑ ❑ ❑ Other Comments: ROOFING CHECKLIST CATEGORY 92 (Low Slope Applications) (059) Before Anchor Sheet Is Covered Please check appropriate box: 2 approved 2 rejected CZ N/A (These are not necessarily all the items to be inspected) CODE SECTION 304.1(a) 3401.11(d) State Law - 3403.4(c)(1)(aa) 3403.2 3401.5 3401.10(w)(bb) 3401.10(ii)(m) 3407 3401.4(b) 3401.4(d) 3403.4((b)(1)(cc) 3408.3(a) 3408.3 3408.3(e) 3408.2(e) PA 111 3403.3 (a)(4) 3408 3409.1(a)(1) Table 34D • DISPOSITION APP REJ N/A ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ' ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Comments: DO NOT REMOVE FROM PERMIT PACKAGE ROOFING CHECKLIST CATEGORY 92 ( Low Slope Applications) (001) Final Inspection Please check appropriate box: 2 approved 2 rejected 2 N/A (These are not necessarily all the items to be inspected) ITEM Posting of Permit System Documents Posting of Permit Fishmouths, Buckles Roof Penetrations Surfacing Insulation Venting Mechanical Equipment Workmanship Gutter Other CODE SECTION 304.1 3401.11(d) 304.1 PA 120 3408.7 3403.4(h)(3)(6) 3401.4(c) 3409.1(a)(1) Table 34D 3401.4(c) PA 111 Membrane Type: SBS Deck Type 1: Deck Description: System Type E: All General and System Limitations apply. Base Sheet: One ply of GAFGLAS® Pty 4, GAFGLAS® Ply 6 ®, GAFGLAS® 475 or GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks mechanically fastened as described below: Fastening: Note: Ply Sheet: Membrane: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: Wood, Non - insulated 19 / or greater plywood or wood plank decks Base sheet mechanically fastened. Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c.. Ply 4 and Ply 6® applications require sheathing paper over the wood deck before application of base sheet. (Optional) One, two or three plies of GAFGLAS® Ply 4, GAFGLAS® Ply 6® or a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %. One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule or Ruberoid® Mop FR in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %. (Optional) Install one of the following: 1. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %. -60 psf. Class 'A'; see General Limitation #2. 3:12; see General Limitation #3. N- 1 -1 -MG, N -1 -1 -MGFR, N -1 -1 -MGFR, N -1 -2- 20/30, N- 1- 2- 20/30FR, N- 1 -1 -MGP 41 Raul Rodriguez Product Control No.: 95- 0330.06 Product Control No.: 95- 0330.06 Wood Deck System Limitations: 1. A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to wood plank deck. A red rosin sheet may also be installed on plywood decks as an option. A red rosin sheet is required on all applications where Ply 4® or Ply 6® is used as an anchor sheet. 2. Pre - assembled 'Cap Nail' shall not be used for base sheet attachment. 3. Fasten anchor sheet 9" at the lap and 18" in two staggered rows centered on the sheet. Approved to -45 psf. 4. See PA 117 for extrapolation of data for higher design pressures. 42 Raul Rodriguez SYSTEMS PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Applicant: GAF Materials Corporation Product Control No.: 95- 0330.06 1361 Alps Road Wayne, NJ 07470 Approval Date: MAY 0 4 14 v Expiration Date: NOV 1 0 1997 Category_ Membrane Roofing System Sub - Category: Built -up Roofing Type: Modified Bitumen Sub -Type: SBS, APP System Description GAF Materials Corporation has been manufacturing commercial roofing products for more than 100 years. GAF produces a wide range of roof products for built -up roofing systems. The modified bitumen products include both APP and SBS products in smooth. granule and fire rated versions. In addition, GAF offers two ply modified systems to meet the specification requirements for multilayer SBS modified specifications. GAF products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the Ruberoid Modified Bitumen Application and Specification manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories. GAF modified bitumen membranes have been tested in compliance with ASTM D 5147 test requirements. Contact: William J. Woodring Director of Technical Services (201) 628-3000 Product Control No.: 95- 0330.06 Insulation Types: Fibrous glass Perlite F iberboard Polyisocyanurate Expanded polystyrene (EPS) Polyisocyanurate Composite Board Maximum Design Pressures Material Design Pressure Wood -60 psf Steel -75 psf Concrete -248 psf Lightweight Concrete -45 psf Poured Gypsum -45 psf Maximum Fire Classification Material Classification Product Control No 95 0330.06 Wood Class A Steel Class A Concrete Class A Lightweight Concrete Class A Poured Gypsum Class A Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. 3 product Ruberoid® Torch Smooth Ruberoid® Torch Plus (Granule) Ruberoid® Torch Granule Ruberoid® Torch FR 3/4 sq. roll 90 lbs. Ruberoid® Mop Plus (Granule) Ruberoid® Mop Granule Ruberoid® Mop FR Ruberoid® 20 Ruberoid® 30 Ruberoid® 30 FR Dimensions 1 sq. roll 87 lbs. 3 /4 sq. roll 93 lb. roll 1 sq. roll 102 lb. roll 1 sq. roll 102 lbs. 1 sq. roll 103 lbs. 1 sq. roll 105 lbs. 1.5 sq. roll 1 sq. roll 92 lbs. 1 sq. roll 92 lbs. Ruberoid® Mop 170 FR 1 sq. roll 103 lbs. TRADE NAMES OF PRODUCTS MMANtiFACTURED OR LABELED BY APPLICANT Test Specification Product Control No.. 95 0330.06 Product Description ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Heavy duty, polyester reinforced. asphalt modified bitumen membrane. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire- retardant, polymer modified asphalt surfaced with mineral granules. ASTM D 5147 SBS modified asphalt base sheet reinforce with a glass fiber mat. ASTM D 5147 Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with fire retardant, polymer modified asphalt surfaced and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with min ,. 1 gr u 4 Raul Rodriguez Product GAFGLAS® Stratavent® (Vent Ply) for Mailable Decks. GAFGLAS® 3' x 36" Stratavent® (Vent Ply) 69 lb. roll Perforated GAFGLAS Ply 6® GAFGLAS Ply 4 GAFGLAS #75® GAFGLAS® Mineral Surfaced Cap Sheet GAF Materials Corporation Asphalt Concrete Primer GAF Materials Corporation Fibered Aluminum Dimensions 3' x 36" 69 Ib. roll 3' x 180' 45 Ib. roll 3' x 180' 40 lb. roll 3' x 108' 75 lb. roll 3'x36' 76 Ib. roll GAF Materials 5 gallons Corporation WeatherCoat® Emulsion GAF Materials 1, 5 gallons Corporation Jetblak All Weather Plastic Cement Test Specification ASTM D 4897 D 3672 5, 55 gallons ASTM D 41 Product Control No.: 95 0330.06 Product Description 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 D 4897 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 1, 5 gallons ASTM D 2824 Fibered aluminum coating. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. 5 Raul Rodriguez Product Dimensions GAF Materials 1. 5. 53 gallons Corporation Jetblak Flashtite® Cement GAF Materials Corporation Plastic Cement GAF Materials Corporation Mineral Shield® Granules GAFTEMP® various Isotherm R GAFTEMP® Composite various GAFTEMP® Permalite various GAFTEMP® Fiberboard various GAFTEMP® High Density F iberboard GAFTITE® 12 Standard Roofing Fastener GAFTITE® #14 Heavy Duty Roofing Fastener NTB Fasteners GAFTITE® Base Sheet Fastener and Plate Galvalume Plates Polypropylene Plates Test Product Specification Description ASTM D 4586 Asphalt flashing cement. Product Control No 95 0330.06 1, 5, 53 gallons ASTM D 4586 Trowel grade. asphalt plastic cement. various PA 110 PA 114 3" and 3 '/z" PA 114 3" and 3 '' /z" PA 114 Granules for surfacing of exposed asphalt, cold process or emulsion. Polyisocyanurate foam insulation. PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Perlite insulation board. PA 110 Fiberboard insulation. PA 110 PA 114 6 High density wood fiberboard insulation. Insulation fastener for steel and plywood decks. PA 114 Insulation fastener for steel, wood and concrete decks. PA 114 Fastener for use in gypsum, tectum and lightweight insulating concrete decks. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Raul Rodriguez TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Product Dimensions Specification Description ,Manufacturer Hy Therm AP various PA 110 Polyisocyanurate foam Apache Products Co. insulation Pyrox various PA 110 Polyisocyanurate foam Apache Products Co. insulation White Line various PA 110 Polyisocyanurate foam Apache Products Co. insulation ACFoam Composite various PA 110 Polyisocyanurate foam insulation Product Control No 95 0330.06 Atlas Energy Products ACFoam 1 various PA 110 Polyisocyanurate foam Atlas Energy insulation Products ACFoam 11 various PA 110 Polyisocyanurate foam Atlas Energy insulation Products Hy -Tec various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Tec 2 various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Therm AP various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Therm White various PA 110 Polyisocyanurate foam Celotex Corp. Line insulation Hy -Therm Pyrox various PA 110 Polyisocyanurate foam Celotex Corp. insulation Energy LOk various PA 110 Polyisocyanurate foam Celotex Corp. insulation Thermax various PA 110 Polyisocyanurate foam Celotex Corp. TRI -STAR insulation 7 Raul Rodriguez Product Dekfast Fasteners PA 114 #14 Dekfast Hex Plate 2 7/8" x PA 114 3 1/4" Dekfast Lock Plate 3" x 3 1/4" PA 114 Dekfast Fasteners #15 Dekfast Fasteners #12 TPR ISO 95+ GW various [SO 95+ GL various ISO 95+ Composite ISO 95+ Asphalt High Density Wood various Fiberboard Test Dimensions Specification PA 114 PA 114 PA 114 PA 110 PA 110 Perlite Insulation various PA 110 Product Description Insulation fastener for steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fasteners for concrete decks Insulation fastener for steel and wood decks. Aluminum fastener for lightweight, gypsum and tectum decks Polyisocyanurate foam insulation 3 Raul Rodrigue Product Control No 95- 0330.06 Manufacturer Construction Fasteners, Inc. Construction Fasteners. Inc. Construction Fasteners, Inc. Construction Fasteners, Inc. Construction Fasteners, Inc. Creative Construction Components Firestone PA 110 Polyisocyanurate foam Firestone insulation PA 110 Polyisocyanurate / perlite Firestone ridged insulation PA 110 Polyisocyanurate foam Firestone insulation ASTM D 312 Type III or IV hot asphalt generic bitumen adhesive Wood fiber insulation generic board Perlite insulation board generic al MB aluminum roof coating Grundy Industrial Emulsion #14 Roofgrip Gripdek Fastener Premium Metal Plate Dimensions. Product Red Rosin various Roofing Nails Tin Caps Type X Gypsum various Sturdi -Top Min. 32 ga. x 1 Standard Plastic Plate Karnak No. 169 Karnak 97 Barrier Board Plus various Test Specification Minimum # PA 114 12 • various PA 110 PA 121 PA 114 3" square 3" round PA 114 Product Description Rosin paper for barrier layer on wood decks Wood fiberboard Asphalt emulsion Insulation fastener 9 Raul Rodriguez Product Control No.: 95- 0330.06 Manufacturer generic Corrosion resistant annular generic ring shank nails Corrosion resistant circular generic discs. Fire resistant rated gypsum generic Georgia - Pacific PA 121 Aluminum roof coating Grundy Industries Grundy Industries PA 114 Insulation fastener steel, ITW Buildex wood or concrete decks ITW Buildex PA 114 3" square galvalume AZ55 ITW Buildex stress plate Polyolefin plastic plate ITW Buildex ASTM D 2824 Aluminum roof coating Karnak Corp. PA 121 Roof coating Karnak PA 110 Polyisocyanurate foam / NRG Barriers, Inc. wood fiber insulation Test Product Dimensions Specification E'NRG'Y PSI -25 various PA 110 E'NRG'Y -1 various PA 110 E'NRG'Y -2 Plus various PA 110 E'NRG'Y- l Plus various PA 110 E'NRG'Y -2 various PA 110 Con -Tite (Fluted Nail) PA 114 Olympic Standard 3" round PA 114 Olympic G2 Plate 3.5" round PA 114 Olympic Polypropylene Olympic Fastener Olympic C -R Base Sheet Fastener and Plate Fiberglas 3.25" round PA 114 PA 114 PA 114 various PA 110 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Concrete deck insulation fastener 3" round galvalume AZ55 steel plate 3.5" round galvalume AZ55 steel plate. Polypropylene plastic plate Insulation fastener 10 Base sheet fastener and plate. Raul Rodriguez Product Control No.: 95 0330.06 Manufacturer NRG Barriers. Inc. NRG Barriers. Inc. NRG Barriers, Inc. NRG Barriers, Inc. NRG Barriers, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Fiber glass roof insulation Owens- Corning Fiberglas Corp. Product Foamglas Board Multi -Max Thermaroof Composite Fes -Core Fesco Foam UltraGard Gold • HD Insul -Fixx Fastener Insul -Fixx Fastener Insul -Fixx S Insul -Fixx P Rawl Drive Rawl Fasteners #l2 Rawl Fasteners #14 Dimensions various various PA 110 various various PA 110 various PA 110 various PA 110 PA 114 PA 114 3" square 3" round PA 114 Test Product Specification Description PA 110 Expanded glass insulation Pittsburgh Corning board. Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam / Rmax. Inc. perlite composite insulation Polyisocyanurate foam / Schuller fescoboard insulation International Inc. Polyisocyanurate foam / Schuller fescoboard insulation International Inc. Polyisocyanurate foam insulation Product Control No.: 95- 0330.06 Manufacturer Rmax, Inc. Schuller International Inc. Insulation fastener for use SFS /Stadler in steel and concrete decks Insulation fastener for steel SFS /Stadler and wood decks PA 114 3" square galvalume AZ55 SFS /Stadler stress plate PA 114 PA 114 PA 114 3" round plastic stress plate Insulation fastener and steel and plastic stress plate for concrete deck I1 Insulation fastener for steel and wood decks Insulation fastener for use in steel, wood or concrete Raul Rodriguez SFS /Stadler The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. Product Rawl 3" Plate Rawl Spike Rawlite Rawlite 3" Plate Test Dimensions Specification 3" round PA 114 PA 114 PA 114 3" round PA 114 Product Description 3" round galvalume AZ55 steel plate Insulation fastener and steel and plastic stress plate for concrete deck Insulation fastener for cementitious and gypsum decks 12 3" round galvalume AZ55 steel plate for use with Rawlite fasteners Product Control No.: 95 0330.06 Manufacturer The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. Test .Agency Construction Research Laboratory, Inc. Factory Mutual Research Corporation South Florida Test Service Underwriters Laboratories, Inc. Dynatech Engineering, Inc. Test Identifier #4818 J.I. OT4A1.AM J.I. 1 V7AO.AM J.I. 1 V 8A4.AM J.I. 1 R 1 A6.AM J.I. 0T2Q4.AM J.I. 0Q6A6.AM J.I. 2M0A4.AM J.I. 3 X3 A2.AM J.I. 0Y9Q5.AM J.I.3X3A2.AM GAF -53 -X -915 81306 3600.02.95 Test Reports Test Name /Report Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Physical Properties Fire Classification Wind Uplift, Small Scale 13 Raul Rodriguez Product Control No.: 95- 0330.06 Date 07/10/87 08/26/92 07/16/92 06/28/93 11/15/91 10/17/91 07/16/91 03/21/87 08/02/94 07/29/94 08/02/94 03/08/91 08/01/94 02/02/95 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued socyanurate composite, perlite /urethane composite, wood fiber /isocyanurate ee or more layers of Type G1 "GAFGLAS PIy nolic. any thickness. 4" or " GAFGLAS Ply 6 hot ndy Industries "al MB Aluminum Roof Coatii e: 2 1-1/2 gal/sq. tionell: One or more layers perlite. wood fiber, glass fiber, isocyanurate ure. 'isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate ee Of :nolic, any thickness. eat her more Emulsion Type y' G1 1-G 2FGLAS Ply 4" or "GAFGLAS Ply . Class C t Incline: Unlimited .tional): One or more layers perlite, wood fiber or glass fiber, 2 in. max. ree or more layers of Type G1 " GAFGLAS Ply 4" or "GAFGLAS Ply 6". undy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq or "Weather ," at 3 gal /sq. Incline: 2 2 glass fiber, isocyanurate. ure- ptional): One or more layers perlite, wood fiber, g . /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate ,enolic. any thickness. ,ree or more layers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". rundy Industries "al MB Aluminum Roof Coating" 0 1 1 - 1 / 2 al /sq. 32 lass fiber, isocyanurate, ure- iptional): One or more layers perlite, wood fiber, g e /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate ,henolic. any thickness. hree or more layers of Type G1 "GAFGLAS Ply 4 "' or "GAFGLAS Ply 6 ". Weather Coat Emulsion" at 3 gal /sq. SINGLE PLY MEMBRANE ROOFING SYSTEMS z. indicated phenolic insulation may be used in any of the following systems. e indicated any of the following Single Ply Membrane Systems may utilize multiple; Membrane. Class A— Ballasted Incline: 2 One or two layers "Isotherm R ", any thickness, loose laid or mechanically fastened. Any UL River Bottom St membrane d one. 3 /4to 1 1/2 in. d a.. 1000 Ibs /sq. Class A —Fully Adhered Incline: 1/2 (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate ure- lite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate phenolic. any thickness. t (Optional): One or more layers Type G1, G2 or G3. Ruberoid Torch One or more layers of "Ruberoid Torch" (smooth or efa I ' 1 'We), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (9 Gravel, 400 lbs /sq, loose laid or applied in ;oat of hot roofing asphalt. zt (Optional): One or more layers of Type G1, G2 or G3. "Ruberoid Torch e: One or more layers of "Ruberoid Torch" (smooth or granule). ) nule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule :arnak No. 97, 1 -1/2 - 3 gal /sq. Incline: 1/4 i (Optional): One or more layers perlite, wood fiber, glass fiber, any thickness. et (Optional): One or more layers of Type G 1, G2 or G3. One or more layers of "Ruberoid oi To Mop (smooth or gra lul.)' Ruberoid Torch ,nule), "Ruberoid Mop'" (granule) • No. 97, 1 -1/2 - 3 gal /sq. Incline: 1/2 15/32 e, p e /urethane composite, t e, phenol c, 1-1/2 Y in. min thick ne (off- s plywood n.). eet: One or more layers of Type G2 or G3. =t (Optional): One or more layers of Type G1. Torch ne: One or more layers of "Ruberoid Torch" (smooth or granule), anule), "Ruberoid Mop'" (granule) or "Ruberoid Mop Plus" (granule). • Karnak No. 97, 1-1/2 - 3 gal /sq. Incline: 1/2 C +eet (Optional): ne more layers Type (s or G3. "Ruberoid Torch =ne: One or r more more layy ers of "Ruberoid id Torchch" (smooth or granule), ranule). ng (Optional): Karnak "No. 97" or ••169" at 1 -3 gal /sq or Grundy Ind. "20 F Emulsion •11 Incline: 1/2 ion: One or more layers perlite, glass lass fiber, 3/4 in. min, isocyanurate, urethane, perlite/ urate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. heat (Optional): One or more layers of Type GI, G2 or G3. one: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch . ranule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). ing: Gravel. C -15/32 Incline: 1/2 tion (Optional): One or more layers perlite, wood fiber, g lass fiber, isocyanurate, ure perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurat site, phenolic. LOOK FOR MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) LOOK FOR MARK ON PRODUCT 217 ROOFING SYSTEMS (TGFU)— Continued Base Sheet: Two or more layers of Type G2 or G3. PIy Sheet (Optional): One or more layers of Type G 1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel. Incline: 1/2 8 Deck: NC 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" (granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1.2 gal/sq. Incline: 1/2 9, Deck: C -15/32 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, ure- thane, perlite /isocyanurate composite. perlite /urethane composite, phenolic, 1-1/2 in. min. Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheet', hot mopped or me- chanically 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. Incline: 1/2 10, Deck: C -15/32 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, ure- thane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1.1/2 in. min. Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheet ", hot mopped or me- chanically fastened in place. Ply Sheet One or more layers of Type G 1 "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 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 11. Deck C -15/32 Incline: 1/2 Insulation: lscyanurate, 2 in. min., wood fiber, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off -set 6 in. Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheet ", hot mopped or me- chanically fastened in place. PIy 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 gal /so or GAF Weather Coat Emulsion at 3 gal /sq. 12. Deck: C -15/32 Incline: 1/2 Insulation (Optional): (socyanurate, perlite or glass fiber, any thickness, hot mopped or me- chanically fastened in place. Joints off -set 6 in Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet', hot mopped or me- chanically fastened in place. PIy Sheet: 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 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 13. Deck: NC Incline: 2 Insulation (Optional): (socyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off -set 6 in, hol mopped in Base Sheet: One or more layers of Type G2 "GAFGLAS # Base Sheet', 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 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 1>A. Deck: NC Incline: 1 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off-set 6 in. Base Sheet: One or more layers of "GAFGLAS # 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. It Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq or GAF Fibered Alum. - 15. nu Deck: m CoC -1ating 5/32 at 1.1/2 gal /sq. Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite /isocyanurate compos- ite or phenolic. Base tened. Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fas- PIy Sheet (Optional): One or more layers Type G 1, hot mopped in place. Membrane: '•Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 16. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite /isocyanurate compos- ite or phenolic, off -set 6 in. from joints. Base Sheet: One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" (smooth). Membrane: One layer of "Ruberoid Torch FR" or "Ruberoid Mop FR" (granule) LG ENGINEERING SERVICES, INC. 7370 Northwest 36 Street Suite 100 -C Miami, Florida 33166 Tel.: (305) 994 -8128 • (305) 842 -9014 Brady Roofing. and Sheet Metal' 8490 Northwest, 64 Street Miami, Florida RE: Dear Sirs: Limited Asbestos Roof Inspection Existing Building - Rear Storage 726 Northeast 92 Street Miami, Florida. Project Number: LG97- 0185.ASB March 4, 1997. On March 3, • 1997, a representative of LG Engineering Services, Inc. performed a limited asbestos survey on the roof of the above referenced project. The survey entailed sampling the roof membrane material in the field area of the roof, the material along the perimeter of the roof, roof opening and roofing cement. • The client is made aware that although the areas from which the samples were .obtained were patched with, a, temporary patch only, there is always a chance that the roof may leak. LG Engineering Services, Inc. assumes no responsibility for any leaks as a result . of this survey. A total of. four (4) samples were collected from the referenced structure. The estimated area of the roof . is approximately 100 square feet. The following materials were sampled from the roof and analyzed for the presence of asbestos: 1) • . Membrane in the field area of the'roof. 2) 'Material along the roof perimeter. Results of Laboratory Analysis The roofing material mentioned below which was obtained from the roof at 726 Northeast 92 Street, Miami, Florida on March 3, 1997 was found to be asbestos- containing by laboratory analysis: era; Qualifications erimeter is is a category .I. non - friable material. It is black and. bituminous. The roximate quantity of this material is 20 square feet and it is in fair condition,. lease to samples # 3 and 4 in the Laboratory Results " ection, photo # 4 and :5 in the Photographs Section, and the 'drawing in this report.). The analysis of bituminous roofing material by Polarized Light Microscopy (PLM) in conjunction with Dispersion Staining is accurate only on a qualitative basis and only when the laboratory reports that asbestos was detected in the samples analyzed. A laboratory analysis report which states that no asbestos was detected in the sample does not necessarily exclude the possibility that asbestos may be present in the homogeneous area represented by the sample analyzed. Furthermore, a quantitative appraisal of asbestos content in a bituminous roofing sample is extremely subjective and a high interlaboratory standard deviation of analysis results on side -by- side samples is common. It is the material composition and production processes used in the manufacture of some bituminous roofing material which create problems for analysis using Polarized Light Microscopy for asbestos identification and quantification. The results and conclusions contained in this report pertain to conditions which were observed at the time of the survey. No representations or assumptions are made as to the nature of past conditions or future occurrences from this report. The survey was designed to assist the roofing contractor and his representatives in locating asbestos- containing materials (ACM). Under no circumstances is this survey and the quantities found in the survey to be used for bid purposes. We have endeavored to observe the existing conditions within the area surveyed using generally accepted procedures. Regardless of the thoroughness of a survey, there is always the possibility that some areas containing asbestos were overlooked, inaccessible, or different from those at specific sample locations. Therefore, conditions at every location may not be as anticipated and as summarized in the report. In addition, renovation or demolition may uncover altered or differing conditions. We recommend that you notify us if any changed conditions are encountered so that we can assess the situation and its impact on the original recommendations. LG Engineering Services, Inc. — Limited Asbestos Survey Result — Project Number LG97- 0185.ASB, Page 2 This report is intended for the exclusive use of Brady Roofing and Sheet Metal. Use of this report or reliance upon information contained in this report by any other party acts as an agreement by that party to the same terms and conditions under which our services were provided. Furthermore, any use of this report by a party for purposes beyond those intended by ourselves and Brady Roofing and Sheet Metal will be at the risk of that party. Bulk Sampling Procedures The bulk sampling procedures used for the collection of suspect materials first required the establishment of homogeneous sampling areas, which are defined as areas of materials of the same type and applied during the same general time period. The homogeneous sampling areas were then examined and representative samples of materials were obtained. The U.S. Environmental Protection Agency (EPA) has published guidelines and recommendations for obtaining samples of asbestos - containing materials. These guidelines were followed during our survey, where appropriate. Additionally, samples of these materials are obtained at our discretion based on past experience. 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; LG Engineering Services, Inc. <:4 42 Oldie * Leo i a, P.E. Asbestos Consultant Project M na er (411— p l$S. A RE: Limited Asbestos Roof lnsoectiog Existing Building - Rear Storage 726 Northeast 92 Street Miami, Florida. Project Number: LG97 -0185.ASB LG Engineering Services, Inc. — Limited Asbestos Survey Result — Project Number LG97- 0185.ASB, Page 3 LG Engineering Services, Inc. — Limited Asbestos Survey Result — Project Number LG97- 0185.ASB, Page 4 ' SAMPLE LOCATION, LABORATORY TEST RESULTS AND PHOTOGRAPHIC DOCUMENTATION 15 14 ® As te. - Co WTAI I-J, p 9 • P1 LocAi c -. . 5' k LG Engineering Services, Inc. — Limited Asbestos Survey Result — Project Number LG97- 0185.ASB, Page S Project Roof Field Membrane Lt; Engineering Services, Inc. -- Limited Asbestos Survey Result -- Project Number LG97-0185.ASB, Page 6 '! !r'w+ i:V_:f: -~ ' ti]f•a •VtIYIS•►irwnrar :•• _�•a.s �ai•r.. ..w.u....�� • • •�"�A e' 0.! „,, • * • j ... �� ill. f , � ..� ,t' '5.14 5' i 1, .-• Roof Field Membrane Roof Perimeter Flashing 3 LG Engineering Services, Inc. — Limited Asbestos Survey Result -- Project Number LG97- 0I85.;%SB, Page 7 Roof Perimeter Flashing LG Engineering Services, Inc. -- Limited Asbestos Survey Result -- Project Number LG97-0185.ASB, Page 8 SAMPLE I.D. # 970185-01 970185-02 970185-03 ADDITIONAL I.D. DATA Field Field Perimeter BULK SAMPLE APPEARANCE Roof Material Roof Material Roof Material SAMPLE COLOR Black Black Black IS MAT'L HOMOGENEOUS No No No IS SAMPLE LAYERED Yes Yes Yes IS SAMPLE FRIABLE No No No IS SAMPLE FIBROUS Yes Yes Yes IS ASBESTOS PRESENT None Detected None Detected • Yes CHRYSOTILE % 35 -45 35 -45 5 -10 AMOSITE % CHROCIDOLITE % OTHER - SPECIFY % FIBROUS GLASS % 25 -35 25 -35 Binders Not Analyzed CELLULOSE % 35 -45 35 -45 35 -45 SYNTHETICS % OTHER - SPECIFY % MAJOR COMPONENT MAT'L Binders Not Analyzed Binders Not Analyzed Binders Not Analyzed % OF TOTAL SAMPLE REMARKS: RSENIROMENTAL, I NC. Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality • Laboratory Services • Air Monitoring & Analysis REPORT OF BULK SAMPLE ANALYSIS FOR ASBESTOS DATE: March 3, 1997 CLIENT NAME: L.G. ENGINEERING SERVICES, INC. CLIENT SUBMITTED SAMPLES PROJECT NAME: LG97 -0185 The sample components are identified by polarized light microscopy coupled with dispersion staining methods. Percentages are estimated by visual means. Analyzed by: Alexander Front, I.H. ASBESTOS CONTENT OTHER FIBROUS MATERIAL PRESENT OTHER NON - FIBROUS MATERIALS PRESENT Environmental Consulting Services PROJECT NUMBER: 97- 077BLK 16604 NORTHEAST 3"° AVEVUE • NORTH MIAMI BEACH, FLORIDA 33162 • PHONE: (305) 940 -1045 • FAX: (305) 940 -0747 RSEN!RONMENTA L INC. Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality • Laboratory Services • Air Monitoring & Analysis REPORT OF BULK SAMPLE ANALYSIS FOR ASBESTOS DATE: CLIENT NAME: PROJECT NAME: March 3, 1997 L.G. ENGINEERING SERVICES, INC. LG97 -0185 ASBESTOS CONTENT OTHER FIBROUS MATERIAL PRESENT OTHER NON - FIBROUS MATERIALS PRESENT Environmental Consulting Services CLIENT SUBMITTED SAMPLES PROJECT NUMBER: 97- 077BLK IS ASBESTOS PRESENT CHRYSOTILE % AMOSITE % CHROCIDOLITE % OTHER - SPECIFY % Yes 5 -10 FIBROUS GLASS % CELLULOSE % SYNTHETICS % OTHER - SPECIFY % 35 -45 MAJOR COMPONENT MAT'L % OF TOTAL SAMPLE REMARKS: Binders Not Analyzed The sample components are identified by polarized light microscopy coupled with dispersion staining methods. Percentages are estimated by visual means. AnAl / A ex fad yz y: root, I.H. 16604 NORTHEAST 3'a AVENUE • NORTH MIAMI BEACH, FLORIDA 33162 • PHONE: (305) 940 -1045 • FAX: (305) 940 -0747 SAMPLE I.D. # 970185-04 ADDITIONAL I.D. DATA Perimeter BULK SAMPLE APPEARANCE Roof Material SAMPLE COLOR Black IS MAT'L HOMOGENEOUS No IS SAMPLE LAYERED Yes IS SAMPLE FRIABLE No IS SAMPLE FIBROUS Yes RSEN!RONMENTA L INC. Asbestos Consulting • Radon Measurements • Lead Assessments • Indoor Air Quality • Laboratory Services • Air Monitoring & Analysis REPORT OF BULK SAMPLE ANALYSIS FOR ASBESTOS DATE: CLIENT NAME: PROJECT NAME: March 3, 1997 L.G. ENGINEERING SERVICES, INC. LG97 -0185 ASBESTOS CONTENT OTHER FIBROUS MATERIAL PRESENT OTHER NON - FIBROUS MATERIALS PRESENT Environmental Consulting Services CLIENT SUBMITTED SAMPLES PROJECT NUMBER: 97- 077BLK IS ASBESTOS PRESENT CHRYSOTILE % AMOSITE % CHROCIDOLITE % OTHER - SPECIFY % Yes 5 -10 FIBROUS GLASS % CELLULOSE % SYNTHETICS % OTHER - SPECIFY % 35 -45 MAJOR COMPONENT MAT'L % OF TOTAL SAMPLE REMARKS: Binders Not Analyzed The sample components are identified by polarized light microscopy coupled with dispersion staining methods. Percentages are estimated by visual means. AnAl / A ex fad yz y: root, I.H. 16604 NORTHEAST 3'a AVENUE • NORTH MIAMI BEACH, FLORIDA 33162 • PHONE: (305) 940 -1045 • FAX: (305) 940 -0747 (Square Feet) # of Floors 1 II. Fee Receipt Will Be Sent to Address in Block Below: (Print or Type) III. Facility Owner `%klu 2 e. EA.84 deA r o �� ' t / s C. Phone ( 36$ ) 7,5-21_ 9' C 7 Address 7 15- N.E. 91 13 & City it4' 4 / K % State F .Fold line - IV. NOTICE OF ASBESTOS REMOVAL PROJECT Type of Notice: X Original ❑ Revised ❑ Cancelled I. Facility Name 511.4%) (- Pl! A 2,o- 0A-54- �" ,(,� d 4 . } .;4 owl ._ ¶- Address 1;2 - /u. E. 9 2., s Sr. Crty Ia,i s w.. :. State Site Building Size 90 OWNER PROJECT NUMBER Fee Check Number Other Contractors Name Address: City: Phone ( V. Demolition 0 ORIGINAL TO: Florida Department of Environmental Protection State Asbestos Coordinator 2600 Blair Stone Road Tallahassee, Florida 32399 -2400 Removal Vl. REMOVAUDEMOUTION PROCEDURES TO BE USED SOUTIHLAND BUSINESS FORMS (305) 8882906 Demolition with no ACM 0 F( Zip Surveyed by Age in Years /5 REROOF Zip State . ( Zip: 33 l6‘ Florida License No.: CCC.. t(1 2 g 8 Emergency ❑ Annual ❑ Demolition: Start Date SEND YELLOW COPY T( Metro -Dade DERM Air Facilities Section 33 S.W. 2nd Avenue, Suite 9 Miami, Florida 33130 -1540 Prior Use VA Removal: Start Date 0/ 7 Finish Date 1/7 Finish Date VII. Waste Disposal Site Name Address VIII. Fee Calculation & Type of RACM in Renovations or ACM in Demolitions RACM? (circle Yes or No) Square Feet Surfacing Material ....._...._.._.. Yes ....__..._.No .._. Linear Feet Pipe _.... ......Yes _.No.._.. Square Feet Cementitious Material Yes... No Square Feet Resilient Flooring Yes_ .... No.__ Square Feet Asphah Roofing Yes. ..... _..._.No _� ZO Total RACM (square + linear feet) $ — Enclosed (See Fee Schedule) ❑ Check if Demolition Only I certify that the above information is correct. (Signature of Owner /Operator) Class Crty State Name Phone ( IX Asbbestos W. ste Transporter CO IJT T ogfe A4 X. Procedures for Unexpected RACM trip & Removal Glove Bag Bulldozer Wrecking Ball Wet Method *D Method Ex.lode Bum Down . r..- -_ -. `MUST ORTAIN PRInR tlFP. e000r..,.. 0 I-1.. , 11_...- ,_ .. (Square Feet) # of Floors 1 II. Fee Receipt Will Be Sent to Address in Block Below: (Print or Type) III. Facility Owner `%klu 2 e. EA.84 deA r o �� ' t / s C. Phone ( 36$ ) 7,5-21_ 9' C 7 Address 7 15- N.E. 91 13 & City it4' 4 / K % State F .Fold line - IV. NOTICE OF ASBESTOS REMOVAL PROJECT Type of Notice: X Original ❑ Revised ❑ Cancelled I. Facility Name 511.4%) (- Pl! A 2,o- 0A-54- �" ,(,� d 4 . } .;4 owl ._ ¶- Address 1;2 - /u. E. 9 2., s Sr. Crty Ia,i s w.. :. State Site Building Size 90 OWNER PROJECT NUMBER Fee Check Number Other Contractors Name Address: City: Phone ( V. Demolition 0 ORIGINAL TO: Florida Department of Environmental Protection State Asbestos Coordinator 2600 Blair Stone Road Tallahassee, Florida 32399 -2400 Removal Vl. REMOVAUDEMOUTION PROCEDURES TO BE USED SOUTIHLAND BUSINESS FORMS (305) 8882906 Demolition with no ACM 0 F( Zip Surveyed by Age in Years /5 REROOF Zip State . ( Zip: 33 l6‘ Florida License No.: CCC.. t(1 2 g 8 Emergency ❑ Annual ❑ Demolition: Start Date SEND YELLOW COPY T( Metro -Dade DERM Air Facilities Section 33 S.W. 2nd Avenue, Suite 9 Miami, Florida 33130 -1540 Prior Use VA Removal: Start Date 0/ 7 Finish Date 1/7 Finish Date VII. Waste Disposal Site Name Address VIII. Fee Calculation & Type of RACM in Renovations or ACM in Demolitions RACM? (circle Yes or No) Square Feet Surfacing Material ....._...._.._.. Yes ....__..._.No .._. Linear Feet Pipe _.... ......Yes _.No.._.. Square Feet Cementitious Material Yes... No Square Feet Resilient Flooring Yes_ .... No.__ Square Feet Asphah Roofing Yes. ..... _..._.No _� ZO Total RACM (square + linear feet) $ — Enclosed (See Fee Schedule) ❑ Check if Demolition Only I certify that the above information is correct. (Signature of Owner /Operator) Class Crty State Name Phone ( IX Asbbestos W. ste Transporter CO IJT T ogfe A4 X. Procedures for Unexpected RACM DERM PLAN REVIEW SECTION AIR REVIEW This is to certify that the required noti cateon(s) regarding asbestos have been submitted in compliance with applicable regulations Reviewed By: cTU,q —,y yi C � Date: Signature : ■ i MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. DatetS O . -- Owner's Name and Address .d.. 'd .11.... azdv- ._ No 72-4 Registered Architect and /or Engineer ®9 y- 5?z, iv l am df Name and a dress of licensed contractor..0481 Tv' Location,and legal description of`Tot to be built on Loti*P 1 Block Subdivision 72 .. .) >E Street and Number where work is to be done �y State work to be done and purpose of (by floors) 70 ; ..3_ _ ...__..._........_._ ...._.._..___ 1 a `?.� w y�.l f�f o� '. i ,�� ° y � C 1 is : gef2,5 .. k. ��:.Ga.G�::.�1�.�........ ....:. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering f :. f.P . . (f? Estimated Total cost of improvements $ q 2 . ... O. ...__ Amount of Permit Zone cubage required _.._._. 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks _._.___._ (Signed STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigne peared 1 Permit No.._. Disapproved ... (Signed) authority, a notary public, duly authorized to administer 1 _I IOU' (2-4 (J and who, being by me first duly sworn, upon oath deposes and says that he is the .. of the above described construct' n, at 3e has carefull read the foregoing application, therein by him stated are.true. ' " � / p ate* o Date / Rtsid, ,Sworn to and Date. Building Inspector q 2. -4E44 oaths and take acknowledgments, personally ap- to me well known, and that he did sign the same, and that all facts ubscribed fore me. CA-t- s t C . k Ell c_ N otary Public, Ste o4lorida My Commission Expires Street__ NOTARY PUBLIC &TATE OF FLORIDA NY CONNISSIOtt EXP SEPT f7,T4Ir — BONDED THRU GENERAL IUS. UtiD. PLANNING BOARD DATE Chairman Member Member Member Member ...... _....._......_..._. .. _ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspectiom or faulty materials and /or workmanship. Registered Architect and /or Engineer Name and address of licensed contractor... Location and legal description of lot to be built on: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode 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. . Xeik:.� / t4. � ! S cell Q Zeivie.1D No al'1�.. .Street r._� Owner's Name and Address . ? ... . - - Lot Block Subdivision .F.C PVC e,f9s 73-JJ' // m Street and Number where work is to be done State work to be done and urpose of building (by floors )....... 4rr .,Z0e. 3 5 �t •� `- -- ?.G2 and for no other purpose. New Building Remodeling Addition.. Repairs No. of Stories To be constructed of Kind of foundation Roof Coveeing.., 24 .. Estimated Total cost of improvements $ Amount of Permit $....IS Q 0 Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 cr cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontr ors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks - -. —. —_ (Sign peared ............... STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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..___ (? C �' Date / l v � ?5 Read, Sworn to and Subscribed before me. Dis::d ove 4 _ . '.._....... Dat , ro.._ a ) !/ ;`��_�- �� �'. Building Inspe or ! My Commission Expires PLANNING BOARD DATE Chairman Mfcrnbcr Member .. ... Council Approved Date Notary Public, State of Florida Member Member Member Dimpproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of 31.00 will be charged when such re- inspection is rnado FIZZemary by improper notice: materials and /or workmanship. has been obtained from for inspection et faulty BUILDING ❑ DateDEC 8, 1986 19 PLUMBING ELECTRICAL PL ❑ PERMIT ° 21 °1 Contractor's 443 License No. ROOFING Owner of MIAMI SHORES CONDO Building Architect Contractor or Builder BRADY ROOFING Legal Lot Description BI Address of 726 N.. E . 92nd ST . Building CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit RE ROOF 70 SQUARES — GRAVEL Subdi- vision Sq Ft Value of Project $ 9,850.00 11 Amount of Permit $ 70.00 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. 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 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. BY AUTHORITY