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BP-05-1536
Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11 /3/2005 Applicant: SHORES PLAZA EAST Owner: CONDO JOB ADDRESS: 726 N. E. 92 Contractor KAWALEK ROOFING, INC Local Phone: 786 - 277 -9540 Parcel # 1132060440001 Fees: FEE2005 -14086 FEE2005 -14087 FEE2005 -14088 FEE2005 -14089 FEE2005 -14090 FEE2005 -14091 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $275.00 $4.80 $5.00 $1.60 $6.90 $6.00 $299.30 Total Fees: $299.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/1/2006 Construction Value: $275.00 Work: TEAR OFF AND INSTALL A NEW FLAT ROOF SYSTEM ON A PORTION OF THE FLAT ROOF Signed: Legal Description: (INSPECTOR) Building Permit Permit Number: BP2005 -1536 CONDO SHORES PLAZA EAST ST. Contractor's Address: P.O. BOX 531051 Page 1 of 1 NOV 04 G -�# 222 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: t 247 NOV o MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Buil s ing nspection Request Date C G Type Insp' n Permit No. 6 e o t� 3 G l Name S 0v12 P e s 1" tQ2A- �C�7 Address 1.)49 / Es a t Z1 V4— � S Company ' S&t-e -e k Phone # Approved Correction Re- Insp'n Fee Inspection Date 1•41 003 PAGE 2 ow Slope Roof Area (SF) ik Hunieens Zcr LOO m Permit ram. Contractor's Name / �y Job Address . . I t b i v `7 . "/"1" ROOF CATEGORY ®Low Slope CJ Mechanically Fastened Tile 0 Asphaltic Shingles 0 Mortar /Adhesive O Metal Panel/Shingles 0 Wood Shingles/8 Are there 0 Prescriptive BUR RAS 150 Gas Vent Stacks Yes : ROOF TYPE Type: Nat Rs- Roofing Q RecaverMa 0 Rspatr ROOF SYSTEM. INFOTION Steep Sloped Roof Area (SF) Total (5 0 Section B (Roof Mani Sketch Roof Plan: illustrate all levels and sections, roof drain, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and binds, dearly identify dimensions of sbvatsd pressure zones and location of parapets, l.a.uamuuM.0 u• .rs•mam...lm■ err.....■..■■. m■■ ■.m sms.ra.mmar.m..rrms..a...a.■ Mwommus a.. mmum m0.. m■ OMm. s.... m. m... r■ sa.... ■s.a0smm....mm...M.s.mmaM.a..am I.■ rmaa. m■0440000014■a. ■a.■■ m.■mmsm.s■m 0004044..m..M..am..s000a40.am...sm.ram Mmmrm.O..Nam■m...m..s.s.rrMm ■000...0■ ■•■ ■■ •••mems..aararr.r.mw.wsraawmr.m Iss■ 0410. 000011 ■0msm.r.ma...■m0.000000000 10 0mm aa.ms...mr.mmr0rm.m0mm...0rrw.. 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MmM. lo. . o�1. <w.m.0m....■ltlm.rs m....u.a1■ a ■ lM. .a..M G�l..rA mmirom 0r osa.so ■r ■.lrmn..m•rN••a•m*Nmemie Nm.sm.mmroarwa�t.M.a l.mo...a� . " rrwr_•*10■0000000m. ■.amsOA.•00.M0.mr0� 000110 000010004 &A pr w r r 0 Nm rr a r a mrr.:� rr m rr rrr rr %h n r liam r ? yi0111 012040. ■11004 04 00 mo : 1:11 " 0 " 114111111 " . " 1 " 4 " %rra.MMlraftMmOosti.1 1.. .o■ . 00.1 KM111.n1■ ..sO lr... ■ ■■ M s "0"1 po6- ia310 1 I Florida Building Code Edition 2002 High Velocity HurviaaneZone Uniform Peru lit Application Form. Fill In Specific Roof Assembly Components and Identity Manufacturer (If a component is not used, identify as "NA') System Manufacturer. C A F NOA No.: 02-050 1 0 OS Design Wind Pressures, From RAS 128 orCalculadons: Prnax17 Pmax3: I D - 1 Max. Design Pressure Froze Specific NOA System: !� . t"a Dedc Type: WOO Gauge/Thickness: 5 / S 11 Slope: Anchor/Base Sheet & No. of Piy(s): M c Insulation Base Layer. Base Insulation Size and Thlclmess: Base insulation Fastener/Bonding Material: Section C (Low Sloped Roof System) Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s):ca l y f I be COS Base Sheet Fastener/Bonding Material: Pty Sheets) & No. of Ply(s):o��131\1"'F ber91ass PI h F e 5 h p ner//�oc,ndin Mq�E aterial: 0 To P. GA `n 1 Top � M r �l C .ap s Topily Herr a8tenery Borng M �rial: Surfacing: Fastener Sparing for Anchor/Base Sheet Attachment Field: i2 oc @ Lap, # Rows a_ _92 oc Perimeter. 1' oc @ Lap, # Rows .402.k..00 Comer , g ' oc Lap, # Rows @" oc Number of Fasteners Per Insulation Board Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodbloddng, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Ship, Base Flashing, Counter- Flashing, Coping, Etc. indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thlclatess, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. cap 3x3 gale chip 11 51-rip -- itn5 bode. Sit 11 Wood. FT. Ft. Parapet Height I0 ' Mean Roof Height 123_01-48 5/03 PAGE 3 Aeithetics-Worlananship: .11*-witlnahip provisions of Chapter IS (High Velocity Hurricane be addressed • Zone).ete for the purpose of providing that the roofing.systern meets the wind resistance and water intrusion •UtaAe (ance) issues are not a consideration With respect lo:.wornanshig • • provititat-Aettbistieisisies- sich as color or aichiteCiuis shouid drii; sithedes amusis l appearance perfOrminc* thatare not past of itottiniCaile . es part of the agreement between the-owner and the contractor.; HIGH vzwarr 11URRICANE.ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIO SECTION 1524 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. ' • , . .. - . Retailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be retailed in acconiance with the current provisions of ClutPter 16 ()ligh Velocity 11111TiC5ng Zones) of the Florida Building Code. (The roof ckck is usually concealed prior to removing the existing roof system). ......__3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (Le. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or ovmer should notify the occupants of adjacent units of rooting work to be performed. .... 4. Exposed Ceillnp: Exposed, open beam ceilings are where the underside of the roof decicing can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail g ... penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option ofmaintaining this appearance: D2c,.. Ponding Water: The current roof system and/or deck of the building may not dada well and may cause water to pond (aciusnulate) in low-lying areas of the roof Pandit* can be an indication of structural distress and may require the review of a professional structural engineer. Pending may shorten the life expettancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing systemis removed. Ponding conditions should be corrected. Z___. 6. Overflow scuppers (wall oudets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeterledge walk or other roof extensions may block this discharge if ova-flow scuppers (wall oudets) are not provided. It may be necessary to install overflow scuppers in Vendbtlon: 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 soot accordance with the Florida Building Code, Plumbing. Owner's/Agent's Signature JatAAY Contractor's Signature MIAMDA[JE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAT Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules 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 areas where allowed by the Authority Having Jurisdiction (AI•IJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product C..ontro! Division (la Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to, have this product or material tested for quality assurance purposes. If this:duct Or material fails to perform in the ac , manner, the manufacturer will incur the expense of such testing and the AM may immediately.. revoke, , or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke ticceptance, if it is determined by Miami -Dade County Product Control Division that this product or material failsto 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: (AV Conventional Built -Up Roof System for Wood Deck. MIAMI- DADECOUNTY, 1 METRO -DADE FLAMER DULDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 331304563 (305) 375 -2901 FAX (305) 375 -2908 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 L of this NOA shall be considered after a renewal application has been filed and there has been no change iu the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after 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 ntunber 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 N OA 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. This NOA renews NOA 002- 0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 03-0503 .05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 1 0.1 21 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 (Matrix " 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrix rm Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GATT Jetblack All Weather Plastic Cement (MatiixTM Standard Wet/Dry Roof Cement 204) RUBEROID® Modified Bitumen Flashing Cement Jetbtack Premium Flashing Cement G AFGLAS® #'75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Flex PlyTrs 6 Roofing BUR Wood -75 psf See General Limitation #1 Dimensions 5, 55 gallons 60 lb. bags 5 gallons 1, 5 gallons 5 gallons 5 gallons 39.37' (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Test Specification ASTMD41 ASTM D 1863 ASTM 1227 Product Description Asphalt concrete printer 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. 1, 5 gallons ASTM D 2824 Fibered aluminum coating. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM 13 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement ASTM D 4601 ASTM D4601 ASTM D 2178 Asphalt impregnated and coated glass mitt base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. NOA No: U3- 0503.05 Expiration Date: 11/04108 Approval Date:10 /23/03 Page 2 o=f 21 Product GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT P.lirniaator Perforated Nailable RUBEROIDO SBS Heat - WeIdTM Smooth RUBEROID® SBS Heat - WeIdTM Granule RUBEROID® SBS Heat - WeIdTM 170 FR RUBEROID® SBS Heat - WeIdTM PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID® S13S Heat- Weldm 25 RUBEROID Modified Base Sheet Ruberaid® 20 Ruberoid® Mop Granule Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 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 1 meter (39.37 ") wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (I meter) wide Test S ecification ASTM D 2178 ASTM D 3909 ASTM D 4897 D 3672 ASTM D 4897 D 3672 ASTM D -6164 ASTM D-6164 ASTM D-6164 ASTM D -6164 ASTM D-6164 ASTM D -6164 ASTM D4601, Type II, UL Type G2 BUIt ASTM D 6163 ASTM D 5147 ASTM D 6222 ASTM D 5147 Product Description Type 1V asphalt impregnated glass felt with asphalt coating. Asphaltt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet impregnated and 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. Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Premium glass fiber reinforce,d SBS - modified base sheet SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. NOA Nu: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:1O /23/03 Page 3 of 21 ' .Product Ruberoid® Mop Plus (Granule) RUBEROID MOP Smooth RUBEROID® MOP 170FR RUBEROID® MOP Pit RUBEROID® TORCH Smooth RUBEROID o TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 170FR TORCH RUBEROID® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS RUBEROID® Dual FR 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 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.3T' ( meter) Wide Test Specification ASTM D 6222 ASTM D 5147 ASTM D 6164 ASTM D 5147 AS'1M D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 5147 Product Description Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer - modified asphalt and smooth • surfaced. Non -Woven polyester rnat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fine retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen Membrane, smooth surface. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granule. ASTM D 6222 Heavy duty, polyester reinforced, asphalt ASTM D 514'7 modified bitumen membrane, granule surface ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 6163 Non -woven fiberglass mat coated with ASTM D 5147 polymer modified asphalt and surfaced with rnineral granules. ASTM D 6163 Non -woven fiberglass mat coated with fire ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6298 Woven fiberglass mat coated with Polymer ASTM D 5147 modified asphalt and surfaced with aluminum, copper or stainless steel foil. ASTM D 6164 Non -woven polyester and fiberglass mat ASTM D 5147 coated with file retardant, polymer modified asphalt and surfaced with mineral granules. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Dale:10/23103 Page 4 o421 Product Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix® System I'ro Aluminum Roof Coating Ftbered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet Tile -Mate Cap Sheet Matrix 101 System Pro S.13S Adhesive (Ruberuid®MB) Matrix 201 System Pro Sl3S Flashing (RuberoidOO MB) Matrix 102 Select SBS Adhesive Test Dimensions Specification PA 100(A) ASTM D 1929 ASTM D 635 5 gallons None 5 gallons ASTM D2824, Type I 100 lb. cartons, bulk 601b. kegs Shingle- Mate T A S 4 sq. roll Underlayment 30 lbs. TopCoat® Surface Seal 5 gallons SB (Matrix 602 SB Coating) GAF WeatherCote® 5 gallons MB+(Matrix 715 MB Coating) TopCoat M13+(Matrix 5 gallons 715 MB Coating) WeatherCoter'M (Matrix 5 gallons 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC 39.37" (1 meter) ASTM D4601 wide 39.37" (1 meter) ASTM D 3909 wide 5 gallons 5 gallons ASTM D3019 5 gallons ASTM 03019 5 gallons ASTM D3019 Product Description 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 aluminun pigmented, asphalt roof coating ASTM D312, Interply mopping and surfacing asphalt Types I, II, III and IV SEBS modified asphalt Asphalt impregnated and coated, fiberglass base sheet Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass reinforced shingle 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. NOA No 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 5 of 21 Product (Ruberoid ©MI3) Matrix 202 Select SBS Flashing Matrix 203 Standard i'Iastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select` Fibered Altuninum 1V1atrix 304 Select Non - Fiiberod RUBEROID a Modified Bit umen Adhesive APPROVED INSULATIONS: Product Name (JAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAV 12MPO.0 Composite A & N Dime nsions 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons (1BMCA)G:AFI'I:MP Fiberboard GAC'I'E.MM Permalite GAF TEMP GAPCANTr`'t F'I'LMP Permalite Recover Board G AFTEMP GATEDCiErm Tapered Edge Strip (1:IMCA) GAFI'EMPO High Density Fiberboard BMCA Energy G u a rd, RA I.3MCA Composite EnergyCuard, RA PYROX 'White Line Test Specifi ASTM 1)4586 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- tibered aluminum pigmented, asphalt roof coating. Fiber reinforced, ntbberized Adhesive ASTM D4586 ASTM D4586 ASTM I)3019 ASTM D 2824 ASTM 1)2824, Type 1 ASTM D 3019 Type TI1 TADLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Pennalite perlite insulation. . Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocymtrate /wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Product Description 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 TIMCA Apache Products Co. Apache Products Co. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:1O /23/03 Page 6 u f 21 APPROVED INSULATIONS: Product Name ACFoam 1,11 & Composite ISO 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck E'NRG'Y - 2 & E'NRGY - 2 PLUS, UltraGard Gold FiberGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number 1. 3. 4. 5. 6. Product Name GAFTITE® (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener GAFTITE® (Drill -Tec ®) ASAP GAFTITE® (Drill -Tec ®) Base Sheet Fastener and Plate Galvalume. Plates (Drill - Tec® Metal) Polypropylene Plates (Drill-Tec® Plastic) Dekfast Fasteners #12, #14 & #15 TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate loam insulation Polyisocyanurate /perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Insulation fastener for . steel, wood & concrete decks. Pre- assembled GAFTITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Manufacturer (With Current NOA) Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. generic generic generic G -P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3'/" GAF Materials Corp. 3" and 3' /z" GAF Materials Corp. Construction Fasteners Inc. NOA No: 03.0501.05 Expiration Date: 11 /04/08 Approval Date:10/23 /03 Page 7 of 21 APPROVED FASTENERS: Fastener Number Product Name 7. Dekfast .Ilex Plate 8. Dekfast Lock Plate 9. #12 Roofgrip Fasteners 10. Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener 13. Olympic Fastener #12 & #14 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G -2 17. Olympic Standard 18. Insul -Fixx Fastener 19. Insul -Fixx S Plate 20. Insul -Fixx P Plate 21. Tru -Fast 22. Tru -Fast Plates 23. Tru -Fast Plates t TABLE 3 Product Description Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalutne stress plate. Polypropylene round plate Insulation fastener assembly with recessed plastic plate Insulation fastener Pre - assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round galvalume AZ50 steel plate Insulation fastener for steel and wood decks 3" round g ivalume AZ50 steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate Dimensions 2 7/8" x 3 /a 3" x 3'A" 3" round 3" square 3.2" 3.25" round 3.5" round 3" round 3" round 3" round 3" round 3" round Manufacturer (With Current NOA) Construction Fasteners [tic. Construction Fasteners Inc. ITW Buildex Corp. ITW Buildex Corp. ITW Buildex Corp. Johns Manville Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. SFS /Stadler SFS /Stadler SFS /Stadler The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 8 of 21 EVIDENCE SUBMITTED: pest Agency Factory Mutual Research Corp. Factory Mutual Research Corp. Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. IRT of S. FL IRT of S. Fl. 4 Test Identifier FMRC 1996 J.L 2B8A4.AM J.I. 3B9Q1.AM J.I. ODOA8.AM J.I. OD1A8.AM J.L 0Y9Q5.AM GAF - 012 -02-02 GAF - 020-02 -01 02 -005 02-014 Description Current Insulation Attachment Requirements Wind Uplift FMRC 44704 Wind Uplift FMRC 4470 - PA 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 Date 01.01.96 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 11.06.01 02.01.02 01.18.02 03.22.02 NOA No: 03- 0501.05 Expiration Date: 11 /(14/08 Approval Date:10/23 /03 Page 9 of 21 Deck Type 1: Wood, Non - insulated Deck Description: 19 / 32 " or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- Weld Smooth or RUBEROIDD SBS Heat -Weld 25 base street mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure - 45 psf, See General Limitation #7) GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure - 45 psf, See General Limitation #7) GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure - 52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure - 60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTPTE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maxirnum Design Pressure - 60psf, See General Limitation #7) . GAFGLAS #75 Base Sheet or any of abovh Base sheets attached to.deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure - 75 psf, See General Limitation #7) One or more plies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6® ply sheet, #80 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs./sq. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23/03 Page 18 of 21 Surfacing: Maximum Design Pressure: (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 gal /sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 galJsq.; or GAF Premium Fibercd Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal//sq. 2. Asphalt flood coat at an application rate of 60 Ibs.sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 Ibs./sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. See Fastening Above • NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date :10/23/03 Page 19 of 21 WOOD DECK SYSTEM LIMITA 1 A slip sheet is required with Ply 4 anchor sheet. 2. Minimum V4" )ens Deck or''Yz Typc. wood deck TIONS: nd Flex Ply 6 when used as a mechanically fastened base or • X gypsum board is acceptabl . c to be installed directly over the C F NERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current A )rov Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shat} be , pl ed Boating of Materials Control Approval guidelines. All other layers shall be adhered in a full mopping' approved asphalt applied within the F;VT ringe and at a rate of 2 attached in compliance with layer attached using the fastening pattern 40 lbs. /sq., orm c} R anic Ily d. All standard panel sizes areae cl table fo mechanical attachment. asphalt, pa sire: shall be 4'x 4' maximum. 4. An overlay When applied in approved y and /or recovery board insulation panel is required on all applications over closed cell foam insuialions when the base shut is fully mopped. shall be applied using y If no recovery board is used the base sheet h ce a g spot mopping with approved asphalt, 12" diameter circles 24" Ph ribbons in three rows, one at each sidclap and one down the center of the sheet allowing a COntll)t1ol1S area of V • ' o.c.; or 511'11) c ntilation. l:ncir•cling of the strips is not acceptable. placed every 12' in each ribbon to allow cross ventilation. Asphalt application feiitt' h r sys shall shall he at a minimum rate of 12 lbs. /sq. Nate: Spot attached systems shall be limited to a maximum C esff;n pressure of -45 psp, either tcnt shall Fastener ner spacing for insulation attachment is based on a Minimum Characteristi c Force (F) value of 275 lbf., as tested iu compliance with Testing Application Standard TAS 105. if the • s . as field - tested, are below 275 G. Fastener spacing feet mechanical n ttu of anchor/base shee be acceptance. lt..tuter value, on a minimum fastener resistance value in conjunction with the maximum design value listed a specific system. Should the fastener resistance be less than that required, as determined by the or membrane attachment is based � within Building Official, a revised fastener spacing, prepared, signed and sealed by c > Engineer, Architect, or Re p is b tcrcd Loof Consultant may be submitted. Said revised fasten fastener shall utilize the withdrawal resistance value taken from Testing Application Standarcfs 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements areas. Fastener densities shall he increased for both insulation and base sheet as ca eulated in compliance with Bootie pp A Ircation Standard RAS 117. of these referred compliance with this NO A, 1 , ly 8. All attachment :tad sizing of perimeter n11c -rs on e ; will not he aphliruble!)nuttiflon it• specifically shall conform with Roofing Application Standard RAS 1 ancic;applicable wind load r' 9. The nta.Yinnuni designed pressure limitation listed shall be applicable to all flashing termination designs field, perimeters, um d arid corners). �qur (i e. Neither rat analysis, nor extrapolation stall pressure permitted for enhanced fastening at enhanced pressure zones (i.c. perimeters, extended corners and comers). (When this limitation limitation is specifically referred within this NOA, General Lirnitrtt' be applicable.) 10. • All products listed herein shall have a quality as i assurance audit in accordance tort ff1 wilt lint Building Code and Rule 913 -72 of the Florida Administrative Code. wth the Florida END OF TIIIS ACCEPTANCE NOA No: 03- 0501.05 Expirutlon Date: 11/04/08 Approval Date :10/23/03 Page 21 at 21 Roofing Svstetns (TGFU)— Continued GAFGLAS #80 Premium Base Sheet e et may be u sod in any of the following "GA:=glass Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ". • insulation in any of t following NCrClassificatio used in lieu of any perlite Hot roofirt ac Class A, B and C membranes.g Phut for use with organic and glass felts or modified bitumen "" Heat Weld" SBS roofing membraner mar be used in lieu of Mop" SBS products in any applicable Classification. 1. Deck C -15/32 Class A Lncline: 3 Insulation (Optional): fiber. isoct'anurate• urethane pe lite /isoyanu to composite, fiber, glass phe perlite/ , urethane composite, wood fiber /isocyanurate composite, any thickness. PI }' Sheet: Three or more layers T GI "GAFGLAS Ply 4" or "GAFGLAS Pk 6", but mopped. Surfacing: Gravel. 2. Deck: C -15/32 (Optional): Insulation (O Incline' 2 nu 'c P One or more lavers perlite, wood fiber, glass t oc\ anurate, urethane, perlite /isocyanurate composite, perlite ! urethane composite, wood fiber /isocvanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers Type GI "GAFGLAS Ply 4" or . 'GAFGLAS Ply 6 ". Sh Cap Sheet: one laver Type C3 "GAFGLAS Mineral Surfaced Cap eet ". 3. Deck NC Insulation Incline: 2 (Optional): One or more lavers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, urethane composite, wood finer /ist�cvanurate composite, hen 2 perlite maz. P phenolic 2 in. Ply Sheet: Two or more layers Type GI "GAFGLAS Ply 4" or "GAF- GLAS Ply 6". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck NC Insulation: One or h,o lavers • Isotherm Classified gnu 1i2 Ply Sheet Any L'L g 4 in. max, hot mopped. mat system, ravel surfaced Class A asphalt glass fiber 5. Deck: C -15/32 Slip Sheet (Optional): Red rosin er of T a Incline: 1 Base Sheet One lay P Per nailed to deck. nailed). Type "GAFGLAS #75 Base Sheet" (may be Ply Sheet: One or more lavers of Type GAFGLAS Ply 6". G1 "GAFGLAS Ply 4" or Cap Sheet One layer of Type G -3 •'GAFGLAS Mineral Surfaced Cap Sheet ". 6. Deck: NC Base Sheet: One layer of Type G2 GAFGne: 3 Ply, Sheet One or more layers of Type #75 Base Sheet ". GAFGLAS Ply 6", Ype Cl "GAFGLAS Ply 4" or Cap Sheet One laver of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck C -15/32 Insulation: One or more layers P erlitencline: 2 thane, perlite7isocyanuratecom glass fiber, a cya , - he nolic, 1.0 in. min (offset from composite, joints 6 in eth an , composi p- Base Sheet: One or more layers plywood Type 6 2 or Membrane: One or more layers ofe "Ruberoid Torch" (smooth or granule), "Ruberoid id Torch Plus" (granule), "Ruberoid Mop" (smooth or p Sheer "Ruberoid Mop Plus" (granule). 8 . Deck; C -15/32 "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. (Optional): Peed. ptional): the or more layers perlite, wood fiber glass fr I • � rsocyanurate, urethane, perlite/isocyanurate - � composite, wood fiber /isocy composite, perlite/ Base She P� phenolie, any Ply Sheet (Optio or mor; layers of Type G2 or G3. Membrane: O One or more layers of 'Dope Gl. granule), "Rubermd Tore layers of "Ruberoid Torch" (�noolh or granule) or "Rubetald M P Plus" (granule). Plus (granule), "Ruberoid Mop" (smooth or x•-•k.•:..,eb HOOF COVERING MATERIALS (TENT) Roofing Systems (I'GFU ) tin ued Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped tl. Deck: C•13/32 Class B ion (Optional): Insulat Incline. 3 -1; 2 fiber, o Insulation t One or more: 'avers perlite. wood fiber gi cvanurate, urethane, perlite /tcczanurate composite pe:Ii urethane composite, wood fiber /ison composite, phenolic a thickness. Ply Sheet: Twu or more lavers or Type GI "GAFGLAS Ph 4•• "GAFGLAS Ph• 6" Cap Sheet Type G3 -GAFGLAS Mineral Surfaced Cap ch I. mopped. 2. Deck C- 15/32 Insulation (Optional): One or ethane urethane Incline: 3-1:2 fiber, isn•anurate, r• more lavers perlite, wo f:lx;, ;la cite fiber, is composite. r perlite /ison'anurate composite, perlite thickness. p wood fi ber 's�'anurate:ampos :te. phenolic. ar Base Sheet: Two or more lavers of Type GI, G2 or GS. Membrane: One or more lavers of "Ruberoid Torch" t_rnooth t granule), "Ruberoid Torch Plus" (granule), "Ruberoid \fop' tmmooth e granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", ha: m. prod 1. Deck C -15/32 Class C • Insulation One or ; (O tional) Incline: 1/2 P more lavers perlite, wood fiber. glas fiber, isocyanurate, urethane, perlite /isocyanurate composite, pevltte, urethane composite, wood fiber /isocvanurate composite, phenolic am thickness. Ply Sheet: Three or more lavers of Type GI "GAFGLAS Plc of "GAFGLAS Pk 6 ". Surfacing: "Special Roofing Bitumen" 20 lbs!sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR I. Deck: C -13/32 Class A na O Insulation One Incline: 1/2 fiber, isocyanurat (Optional): urethane, or more layers perlite. wood Fiber, glass perlite, isotvanurate composite. perlirei urethane composite wood fiber /isocyanyrate composite; phenolic. any thickness. Ply Sheet Three or more layers of Tope GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped with coat tar bitumen. Surfacing: Gravel. COMBINATION i(OT AND COLD SYSTEMS 1. Deck NC Class A Insulation (Optional): On or more lan} . er lrn i erlite, wood fiber or glass 2 fiber, 2 in. max. Ply Sheet Three or snore layers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". y I Ir2 gng:cgGrundy Industries "al MB Aluminum Rouf Coating at. 2. Tfecii. NC Insulation (Optional): One or Incline: I fiber, tion poste, urethane, more layers ; erlite, wood fiber, glass urethane composite, wood tie, perlite /tsocyanurate composite, perlite/ thickness. /yanurate composite, phenolic, any PIy Sheet Three or more layers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6". 3. Deck NC Surfacing: "Weather Coat Emulsion" at 3 al/ g ul Insulation: One or two " layers Incline. I/ 2 Ply Sheet: Are Classified Isotherm R ", 4 in, hot mopped. mat s stem. y fied gravel surfaced Class A asphalt glass fiber 4. Deck: NC Insulation (Optional , incline: 2 wood fiber and glass Lsoc yanurate, perlite, isoeyanurate /composite, Base Sheet g ass fiber any thickness mechanically fastened. mopped. " O1e PIy Type Cl or C2, mechanFeally fastened or hot asphalt et One or more plies Type GI or G2, adhered with hot roofing 5. Dec NC S a g "GAF C ea Coat Emulsion", Premium Fibered Aluminum Roof Coating", 1.1/2 al or Incline: ) 1 polyisocya wood fiber, LOOK FOR THE UL MARK ON mechanically fastened, ` entre, glass I any thickness RODUCT BUILDING PERMIT APPLICATIO FBC 2001 Miami Shores Village Building Department / 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te 0 7952204 Fax: (305) 756.8972 &IVIED 2005 Permit Type (circle): Building Electrical Plumbing .piag Owner's Name (Fee Simple Titleholder H ® s {'Low Owner's Address 1 4S City A , i _ h State FL Tenant/Lessee Name 9)%b WE gandst, City Miami Shores Village County Miami-Dade Zip 33 3 Job Address (where the work is being done) Is Building Historically Designated YES NO Contractor's Company Name e1.4 R®o r, j Contractor's Address Pit) , ox 531 D5 City M I 1 State FL Qualifier PAUL] k tkw &I e1 $ Value of Work For this Permit (Continued on opposite side) $) 000 Permit No. &PC5 " 15 Master Permit No. Mechanical S Phone # 3 05 r5q°' goo Zip Phone # Phone # 305 I5L - Qi q / Zip 33134 State Certificate or Registration No. Certificate of Competency No. q 3 J ` 0017 3 Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: Type of Work: (]Addition DAlteration ['New [rRe / airRe lace p p ❑ Demolition Describe Work: Gtl- i. @lvt I h 1 t t?. k/ l `° o r\ ctpod-ibr 0 " +he, lcci ro® rheancy Submittal Fee $ Permit Fee $ 2.1 C� - CCF $ 4 . $0 CO /CC Notary $ Jr . 00 Training/Education Fee $ 1 • (v O Technology Fee $ Co . 90 Scanning $ G. (C Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 2- 9 3 0 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AI+'I ll)AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature \c' ...k k - ,0:,.-b_sz Z Q.�,� � Signature Owner or Agent S�'e \ p A The foregoing instrument was acknowledged before me this Z The foregoing instrument was ackn ged before me this 2 Jt'V day of , 200 no Y lY -' - 1 rT1 e1 4.Say of / , J_ by teleV-- ' who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification an o did take an oath. * ** NOTARY PUBLIC: Sign: Print: My Co fission Exp * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 NOTARY PUBLIC•STATE op , PUBL y Hernandez Sign: 455 Print: ding Co., Inc. *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * ** **************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Co C: //A Wuutge-Z Contractor •YPUBIiC -S : r . ded Thm 1 * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning OF FLORIDA andez 76455 , 2009 Co., Inc.