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825 NE 92 St (13)MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT STATE OF FLORIDA iss. COUNTY OF DADE. f Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared _ E James D. Obenour Permit Na � _. Date__ J/S Lf # Read Sw Disapproved (Signed) Chairman Member Date ng Inspector PLANNING BOARD Member Member _ Member nd Subscribed before Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions'of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at (?gilding during progress of the work. Date Cec 6, . 19 89 Father McLaughlin - St.: Marthas 8 5 N.E. 91u STreet Owner's Name and Address_ _ _ . - Registered Architect andlor Engineer Obenour Roofing Co. 7357 N . W . M i•a m i Ct. Miami , .._ F L_ _ _ 3 315 0 Name and address of licensed contractor LOP e 9/1 Block / Location and legal description of lot to be built ors; / ,/J ��' ®,!• � e Subdivisio Reroof rear flat roof and install new gravel roofing. Street and Number where work is to be done State work to be done and purpose of building (by floors). state exterior colors (submit samples) 825 N.E. 92rrrd Street 14 sqs. and for no other purpose. New Building______— ____ -- Remodeling___________ — Addition ____ _________ Repairs r e r 0 0 f i n g\o. of Stories . —__ . _ _ 1-30, 3 -glass plys wood Roof Covering gravel To be constructed of Kind of foundation 3,200.00 Estimated Total cost of improvements s Amount of Permit $ 30.00 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot _ Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may he sent to 7357 N.W, Miami Ct. Miami, FL 33150 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied wit he 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: a 'ill post or cause ...•e posted f. f section on the site of the work such public notice or notices as are required by the Act. The undersigned agrees r` =. .i -!� such subcont cto formed under under this permit. as are licensed by Miami Shores Village. Remarks (Signed) and who. being by me first duly sworn upon oath deposes and says that he is the contractor of the above described construction, that he has carefully read the foregoing application, and that he di :',_n jhe same. and that all acts therein by him stated are true. e Notar ° ublic. State of Fl6rid Ekty Peery State of Florida My Commission Expires I` , C O til$$t6if --E 11res-FeII-18, 1995 DATE to me well known. Member Council Approved _____ _ _ — --- • Date Disapproved .._ —_ ___- -- .. - - - --- . -- - - - . I)at- NOTE: A charge of $25.00 will be made for snaking corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship STATE OF FLORIDA, t COUNTY OF DADE. j ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division .of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. �� 2/ 2 Owner's Name and Address c o, Date , 19 Nod �� " Street � A Name and address of licensed contractor. .,-._,._ Registered Architect and /or Engineer L % C ., Location and legal description of lot to be built on:' Lot Block Subdivision_ /) , Street and Number where work is to be done_ of c.,) (/ 4 ..__,� a _ t i State work to be done and purpose of building (by floor) , z - and for no other purpose. New Building U . Remodeling Addition Repairs No. of Stories To be constructed of Kind of oundation Roof Covering Estimated Total cost of improvements $ _J Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building __- Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of Iabor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. - _ ' } !(' 'f Rem ( Signed) ' ('%- - /. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state are true. _ �� P � Permit No Date / Read, Sworn to and Subscribed before me. Disapproved Date %,___�., o Notary Public, State of Florida ter,A �� � (Signed) ,� '� � , Building Inspect D My Commission Expires PLANNING BOARD DATE Chainnan 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 Boar A re -ins lion fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials /or workmanship. BUILDING INSPECTION DEPAf iTMENT APPLICATION FOR L3LJ10Lco0Na FERMOT Application is hereby made for the approval of the detailed statement of the plans std specifications herewith submitted for the budd- 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 spy of approved plans and specifications must be kept at building during pnagress of the work. Owner's Name and Address / f Registered Architect and /or Engineer..... Name and address of licensed contractor s/ Location and legal description of lot to be built on: Lot Block Stgbdiv'si n Street and Number where work is to be done...' c State worn be done and p of building (by floors) _ ...............��..� :_� � � .t �...... :._.. New Building To be constructed of Estimated Total cost of Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor improvements $ STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a peared Disapproved (Signed) G 1�" 2 Building M AM8 SHORES V L E Date. nspcct Mato... `e �.. No S3Ec2.3— Chairman Member Member ...... -- Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. PLANNING (BOARD DATE TI. ”1”'”!TIT.,” . . .T.TTT:t ^'T Amount of Permit . _Plan Cubage Size of Building Lot Remodeling Addition.. Repairs No. of, Stories Kind of feu dation�.� IRcof Covering I hereby submit all the plans and specifications for said building. All notices with reference to the budding 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 SuAplement, 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 evork such public notice or notices as are required by the Act. The undersigned agrees to employ only such au n4rnctors, osu ru to rfozmed Under 3� a pennit, as are licensed by Miami Shores Village. Remarks (Signed )...._ _ - _• _t .. Notary Public, State of IFiorida and far no other leurzeose. notary public, duly authorized to administer oaths and take acknowledgments, personally ap- to rate 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 rite, and than all far-^s therein by him stated are true. Permit No - 2 Date l { Read, Sworn to and Subscribed before me. ._r.__• � My Commissioan IEttpires Member Member Member Date Disnpprovved Date • making corrections or changes to this application after agrproa•a] hes hQ.sn :sbte to i Tar= when such re- inspcctican is made neesecentry by faanpaw *r nelico for inspeztiat rr Jetznb State work to be done and purpose of building (by floors) __ —____k MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. copy of approved plans and specifications must be kept at building during progress of the work. Date Owner's Name and Address_ ^______ . ° �� No d� Registered Architect and /or Engineer Name and address of licensed contractor 1-M 11_ Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done -� _— °__4.�___ --------------------- - - - - -- and for no other purpose. New Building_ Remodeling Addition Repairs ` � No. of Stories 1 To be constructed of Kind of foundation__ Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building 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 contra ors 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 . the site f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc subcontractors, on work o be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) \r :i .__ tip ti Roof Covering - -_— Amount of Permit $ I__L_1__% _ _Plan Cubage Size of Building Lot Street__ _L C.?? 12 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- peared _____ _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated L_/1 n ‘=" are true. Permit No 7 7 Date /0 /77 Read, Sworn to and Subscribed before me. Disapproved Dat 7 EZ Notary Public, State of Florida ( Signed) ��- - Building In ctor — My Commission Expires PLANNING BOARD DATE Chairman Member Member _ Member Member —_ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. (Signed) MIAMI SHORES VBLLAGE LAUDING BIl9SPECTION PLANNING IDOAR AP"'UCATiON FD UILD N ' 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. lEIPARTMfERIT Owners Name and Address t �a... ° ?3o........ ...... (i / seo Registered Architect and/or Engineer .11 Name and address of licensed contr ctorae:.1.�..T.Z .L.� . ' - -- / u:. \�. Location and legal description of lot to be built on. Lot Block Subdivision ., .. p Street and Number where work is to be done... 4_, ,.?--- , :..7e, , .. - ;rt.'-, :_ -... State-work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition IV Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements v e.. :. r CC Amount of Permit $. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, I'ermans.nt 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, oa work to be performed und3r this pennit, as are licensed by Miami Shores Village. h Remarks..._ _ _ .__ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notaey public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ -- _ — — to rate well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construc¢i n,,1�E m e;has carefully read the foregoing application, and that he did sign the sae, and that all facts therein by him stated are true. d '7 , m:-.. = Permit No .y. - Date ' Read, Sworn to and Subscribed before one. Disapproved _.- Date....... r...__........_ e l Notary Public, State of Florida Building Inspector My ,remission Expires ATE Chairman l Member MIcrnbcr Member Member .... Member .- --_ _.- -•- -- Council Approved ' Date Disapprove l Date NOTE: A charge of $1.00 will be made for onahing cesiectians or changes to this application after approval has been obtained from the Planning hoard. A re fee of $1.00 will be charged when much ee- inspection is .do aeeensary by improper eotte 6ea in tertian es faulty materials anu /or workmanship. MIAMI: S44 -4754 RROWARD: 927.5222 ::fev Jbe r 120,973 eborroo a o�1a Ge t2,o :Drub CCom�lcto Resident el 47emodclinc SSO N. W. ANSIN BLVD.FiALLANDA r 000UT ,AC; a jpozz it S os' the rood' w ©r on the addition at 025 No a e 92 Streeto 71(2=ia will be reaLlensib .o 'o the above otato t ego r as jpo r oode e imo o r obj youro fl 4 i CJ e Vie ib€ on Vico 12ToDio Drat "FLORIDA'S QUALITY REMODELING AND ADDITION S ?EC :ALIS?S" FI � rJ AL No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1 -5 Passed 21 -25 Passed 46-53 71 -75 91 -95 6-10 Passed 26-30 Passed 54 -58 76 -79 96-103 11 -15 Passed 31 -38 Passed 59-64 80 -85 104 -132 16-20 Passed 39-45 Passed 65 -70 86 -90 133 -200 FLJIJ�A Lab Report No. E04 020049 tfng • . y�li111TIlg , narzaing, PROPERTY ADDRESS: 825 NE 92 ST. OWNER: ST Marthas Church. CONTRACTOR: Obenour Roofing. ROOFING SQUARES: 24.42 sq. TILE TYPE: Vanga Roll. SET TILE SYSTEMS. Adhesive. Testing Equipment: Digital Chatillon DFIS 200 THIS ROOF HAS PASSED: 43 Voice: (305) 216 -0705 Fsi 43 42 39 33 29 26 44 FAILED D THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY TAS -106. "ROOF SKETCH" 1 11 2 4 Building Solutions For The Construction Industry P. O. Box 770694, Miami, FL 33177 Certificate No.32- C5Ci.C5 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO -DADE COUNTY PROTOCOL TAS -106 9 24 6 40 45 38 7 37 1 12 Test Tabulation 12 36 34 31 41 30 35 32 27 15 19 24 22 17 10 14 20 16 18 21 44 PERMIT No: BP2004181. PCA No: ROOF PITCH :: 3/12. INSPECTION DATE: 02/23/04. TEST DATE: 02/27/04. JOB NUMBER: 28 Required Testing Force: 35 lb 25 23 33 www.FloridaTEC.net Fax: 305 -485 -3199 Type Insp' Permit No. Name Address Company C( R( MIAMI SHORES VILLAGE `J BUILDING DEPARTMENT 305- 795 -2204 Buildin Phvng®S�l�$ 6 l c� Inspection Date Z / Z 3) 0 App XI n N o � n 3 co CD ❑ ❑ Dat Type Insp'n Permit No. Name Address MIAMI SHORES VILLAGE 0 BUILDING DEPARTMENT • 305- 795 -2204 Building Inspection Request sa Company 0)1`a Phone v Inspection Date 3 IC / Approved O co z 2 co 3 z O CD CD 0 0 0 cn 0 cn cn Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 1 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) - 4 Owner's Address a , City1- ,, r State --- Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Address / 1 City Qualifier S Value of Work For this Permit • • Miami Shores Village - State Master Permit No. r ' • — • r / ; Phone # Zip ; .; Tenant/Lessee Name Phone 1 7 County Miami-Dade NO 7i , Contractor's Company Name kil> , , . Phone # , t Zip Architect/Engineer's Name (if applicable) Phone # /9 Code Enforcement $ Structural Plan Review. $ -- Total Fee Now Due $, (Continued on opposite side) Permit No. lum Mechanical Roofing Zip 7 Square Footage Of Work: Type of Work: EAddition DAlteration IDNew Repair/Replace fl Demolition <- - 46.11711' Describe Work: ii e '," -; ,..; :1 '," ,1% :, ( M.i.L , // i I'l . / i , " i' t.' ( 1 - 4-' 7, ( -- i /‘ ,J o f Submittal Fee $ ''(.. t:.. L, Permit Fee $ 2 CCF $ et; CO/CC Notary S Training/Education Fee $ ;), 0 Technology Fee $ : i — , 0 ° * -9. - . Scanning $ Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City Mol Mor City App com con; WE: OW appl "W. PA1 CO: CO: Non pro, who NOTAI'TBLIC: Sign: Gr' r.-e-i--e Print: 4 ' kJ .e My Commission Expires: APPLICATION APPROVED BY: Chc 12/15/03 inspection will not be approved and a reinspection fee will be charged. * * * * * * * * * * * * * * * * * * * * * * ** P =. n > 0 '0 o co 8 n o - co 0- l) 0 b 0 n 0 2 0 State Certificate or Registration No. Certificate of Competency No. 00 CD 0 CD CD cn l� 4 z H Owner or Ag- t / / Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this /r- day of ri „P' , 20 df by ", ' l it t i etifit ft. ; day of ) ( `'' who is personally kno. .t ame or who has produced As identification and who did take an oath. , 2 by v£'�.i who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: �,- It f.e..e —fj., Print: I �� �j r k Ai �. i rn. Y f �'�Y� l ^. 9 � + 1 P rrys Ot My Commission= y : r„;,, , _ ▪ , J li . • (Certificate of Competency Holder) ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fr3 1.12Q Plans Examiner Engineer Zoning .. c $1524.1 seeps. 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 ir_etallations. Additionally, the following items Should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aestheticsi- Workmanship: The workmanship provisions of C hapeer 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not par; of a zoning code, should be addressed as part of the agreement between the owner and the contractor. c — 2. Renasiliag Wood Decks: When replacing roofing, the existing wood roof deck may have to be rerailed in accordance with the current provieione of Chapter 16 (High Velocity Hurricane Zones) of the. (The roof deck is usually concealed prior to removing the existing roof system) . E/GR VELOCITY HURRICANE ZONES - REWIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed, e. Exposed ceiliage3 Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The provides the option of maintaining this appearance. 5. Dossding Water; The Current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low - lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system ie removed. Ponding conditions should be corrected. 6. Overflow Scuppers (tall outlets) : It is required that rainwater glow off so that the roof is not overloaded from a buildup of water. Perimeter /edge wails or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided: It may be necessary to install overflew scuppers in accordance with the requirements of; 7. ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life f tr. roof. 90 3etid Owne " 's /Agent's raialing L ;- actor's Signature z�} ', \, 9 y1 LL9b99ibSE L' :c'.T EOU,'LO /3T. Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Re- Roofing Only) 7. Any Required Roof Testing /Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Apolication Form INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUI Contractor's Name: Job Address: Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Section A (General Information) Permit No. o Ao 19 N.E. q nd 5fre' ROOF CATEGORY Low Slope [I Mechanically Fastened Tile Ej Asphaltic El Metal Panel /Shingles Shingles Prescriptive BUR -RAS 150 Mortar /Adhesive Set Tile [] Wood Shingles /Shakes ROOF TYPE New Roof ["Re- Roofing J Recovering Repair El Maintenance Total (SF) iiito ROOF SYSTEM INFORMATION Low Slope of R Area (SF) Steep Sloped Roof Area (SF) � � a4/1 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. illammuniMMinarl NMI Is MINIM Ilmomml_1 osil_■!imemmiiwe._ _ rl�r •II _u �MINIM ill ®...t ice s e inac ' • Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form System Manufacturer: NOA No.: Deck: Type: Wll Gauge /Thickness: �0 Slope: � pr // Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Top Ply: I -GA Caf Shed Top Ply Fastener/ Bonding Material: rnoppert -f n Thn.L,-E- Surfaping: 5ranjoja, —87 8 7.S Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") Gar 0-0001•0.5 Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax2: Pmax3: �� Max. Design Pressure, From the Specific NOA System: — 50?. 5 Anchor /Base Sheet & No. of Ply(s): Anchor /Base Sheet Fastener /Bonding Material:1J Ba a Sheet Fastener /Bonding Material: I Nei ni ofr.b INer.. ears Ply Sheet(s) & No. of Ply(s): 02 - G R F D L Ply Sheet Fastener /Bonding Material: ( mnippPei +f � ash fr A Base Sheet(s) & No. of Ply(s): t - &RF 76 Fastener Spacing for Anchor /Base Sheet Attachment Field: 1 " oc @ Lap, m Rows 2- @ ( oc pp Perineter: G " oc @ Lap, : Rows 3' © S� " oc Corner: " oc @ Lap, # Rows ' oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. t shwz- `("le 24p, 14(0.- (aC ` / 6(2 //7_,494-14 .147 r FT. 6117 Parapet Heiaht Mean Roof Height Roof System Manufacturer: 41v Notice of Acceptance Number: ® — 01(6 e 11 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: 6o 95 P2: A7 P3: 22 7 Maximum Design Pressure (From the NOA Specific System): �� Method of tile attachment: i Roof Slope: 12 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section D (Steep Sloped Roof System) 23_01 -48 5/03 PAGE 4 Ridge Ventilation? W Steep Sloped Roof System Description Deck Type: ype Underlayment: nsulation: Fire Barrier: Mean Roof Height: /P 45T 2-2-e 3 astener Type & Spacing: dhesive Type: 4/, 6 ype Cap Sheet: oof Covering: Type & S'ze Drip/C/ 41 Edge: Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table I or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope B Job Site Aerodynamic Multiplier 3. NOA Restoring Moment due to Gravity M, NOA Attachment Resistance M NOA Required Moment Resistance M, Calculated Minimum Attachment Resistance F' NOA Required Uplift Resistance F, Calculated Average Tile Weight W NOA Tile Dimensions . I= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. M Required Moment Resistance* Mean Roof Height -► Roof Slope ,. 15' 20' 25' 30' 40' 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 Section E (Tile Calculations2 For Moment based tile systems, choose either Method I or 2. Compared the values for M with the values from 1M . If the MI values are greater than or equal to the :M values, for each area of the root, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" (P / x a D = j3 - Mg: 1.6C = `'Irt e.fr NOA 15:5 (P �I x = -too t7 ) - Mg: ‘ =Mr 22.27 NOA M 4 (P,: � r x o� g: _�l> ) - Mg: lri� _ �I NOA M Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA Mt *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P : x I: = x w: = ) - W: x cos B.• = F (P x h = x w: = ) - W: x cos 9 = F (P3: x l' = x w: _ ) - W: x COS 9 = Fr3: NOA F' NOA F' NOA F' 0•d MIA M!0AIDE BUILDING CODE COMiPL1ANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Hanson Roof Tile d.b.a. Pioneer Concrete Roof Tile 1340 SW 34t Ave Deerfield Beach, FL 33442 df0N d30 01 S I SCt' MIAMI-DARE COUNTY, FLORIDA ME T RO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code DESCRIPTION: Palema Double Roll and Hacienda Double Roll Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement_ "Iviiami -Dade County Product Control Approved ", unless otherwise noted herein RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION' of this NOA will occur 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 :.ause for terrnination and removal of NOA. ADVERTISEMENT: The ;\iOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If portion of the NOA is displayed. then it shall be done in its entirety. INSPECTION; A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through G. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02-0916.11 Expiration Date: 12/16/07 Approval .Oaea: Page 1 of 6 dLI1D 91I1 ODQtid3 t!d 9S: vI C002 CI PING . ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: Roofing Roofing Tile Concrete 1. SCOPE This renews a roo,ftpg system using Hanson ' Palema Double Roll and Daciend.a\Roof Tile, as manufactured Hanson Roof Tile d.b.a. Pioneer Concrete Tile described in Section 2 of this Notice of acceptance. For the locations where the pressure requirements, do not exceed the values listed in section 4 herein. The attachment calculations shall be done as a rnoment based system. 2. PRODUCT DESCRIPTION Manufactured by A eulicant Hanson Palema Double Roll Tile Hanson "Hacienda" Trim Pieces 2.1 COMPONENTS OR PRODUCTS MANUFACTURED BY OTIIERS Tile Nails Product Wood Battens CO' d dnoN3t30 01 1)i�ensions Length: 1E'/" Width: 13" %" thick Length: 171/4" Width: 13" ' /s" thick Length: varies Width; varies Varying thickness Dimensions Vertical Min. 1 "x 4" Horizontal Min. 1"x 4" for use with vertical battens or Min. 1"x 2" for use alone Min. 14dx 3" Test Specifications SI ;Cr TAS 112 TAS l 12 TAS 112 Test pecifications Wood ?reservers Institute LP — 2 TAS114 Appendix E Product Description Low profile, interlocking, extruded concrete roof tile equipped with two nail holes. For direct deck or battened nail -on, mortar or adhesive set applications. Low profile, interlocking, extruded concrete roof tile equipped with two nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product DeScriptiora Manufacturer Salt pressure treated Generic or decay resistant lumber battens (With current NOA) Corrosion resistant screw or smooth Generic shank nails (With current NOA) NO No.: 02- 0916.11 Expiration Date: 12/16/07 Approval Date: page 2 of 6 61N3 1 I 1 O:7QHdS dd y S : p I C00,7 C I NHC Table t: Aerodynamic Multi. Piers - X ft ' Tile X (ft X (ft ) Profile Batten Application Direct Deck A Iication Hanson Palema Double Roll and 0.267 0:289 Hacienda Tile D3'd Test Product Product Dimensions Specifications Description Manufacturer #$x 2 % : " long Corrosion resistant, Tile Screws 0.335" head dia. TA.S 114 coated, square drive, Generic 0.131" shank dia. Appendix E galvanized, coarse (With current NOA) 0.175" screw thread thread wood screws dia. Clips Corrosion resistant Hurricane Clip & Min. %z'vidth TAS 114 clips with corrosion Generic Fasteners Min. 0.060" thick Appendix E resistant nails. (With current NOA) Clip Fasteners Min. 8d x 1 1 /4" 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with RAS 106 maybe required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Hanson `Palema Double Roll and Hacienda' Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard R.AS 118, 119, & 120. 4.2 Data For Attachment Calculations ell10N3H0 01 NOA No.: 02- 0916.11 Expiration Date: 12;16/07 Approval Date: Page 3 of 6 SISt:t 81N3 31I1 OJQHd3 dd LS:t'1 4003 CI HUE Table 3: Attacftrnent Resistance Expressed For Nail -On Systems as a Moment - M, (ft-Ibf) Direct Deck (Min. 19132" plywood) Battens Tile Profile Fastener Type Direct Deck (Min 15/32" plywood) Hanson Palema Double Roil and Hacienda Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1_ 24.2 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank, Nails (Field Clip) 35.5 35.5 34.8 32.2 2 -10d Smooth or Screw Shank Nails j ave Clip) 31.9 31.9 2 -10d Ring Shank Nails' 43.0 67.5 50.9 I Installation with a 4" tile headiaE and fasteners are located a min, of 2 %2" from head of tile, 1 Table 2: Restorin 3 ": 12" Moments 4 ": 12" due to Gravity 5 ": 12" - M -Ibf) 6 ": 12" 7 ": 12" or greater Tile Profile Hanson Paiema Double Roll and Hacienda Tile Battens Direct Deck Battens _ Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 5.92 6.80 i , 5.82 8.69 5.70 6.55 5.56 8.39 5.41 5.22 S0'd NOA No.: 02- 0916.11 Expiration Date: 12/16/07 Approval Date: Fagg 4 of 6 81I0N330 01 SISCt% d1ND 3111 opaHaa ad , S :aT C002 CI NJt Table 4A: Attachment Resistance Expressed as a Moment - M (ft -Ibf) F' Sin le Pa Adhesive Set 5 stems Resistance Expressed as a Moment . Mi For Mortar Set S stems Tile Profile Tile Application Minimum Attachment Resistance i Hanson Palema Double Roll and Hacienda Tile Hanson Palema Double Roll and Hacienda Tile Polyfoarn Po " 121_2 86.61 "` for installation requirements. Polyfcam Poi 45,5 4 Large paddy placement of ,Prorm 54grams of PofvPro TM . of 24crams of PolyrPro r5 Medium add lacement Table 4B: Attachment Resistance Expressed as a Moment . Mi For Mortar Set S stems Tile Profile M, (ft - Ibf) Tile Application Attachment Resistance Hanson Palema Double Roll a Hacienda Tile Hanson Palema Double Roll and Hacienda Tile Mortar Set 20.60 Table 4: Attachment For Resistance Expressed as a Moment Two Patty Adhesive Set Systems Tile Application M, (ft - Ibf) r • Tile Profile Minimum Attachment Resistance 26.1 ' Hanson Palema Double Roll and Hacienda Tile . roval Adhesive ? See manufactures corm one for installation requirements. Flexible Product Company Yi,eBond Average weight per patty 11.4 grams. POI Darn Product, Inc. Average weight per patty 8 prams. 90'd 8f1UN3g0 0.1 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement) "Miami -Dade County Product Control Approved ". 6. BUILDING PERS1IT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance, 6.1.2 Any other documents required by the Building Official or applicabl building code in order to properly evaluate the installation of this System. r OA No.: 0 09t6.11 Expiration Date; 12/16/07 Approval Date: Page 5of6 GISCP d1NU 31I1 CUQybS ad 9S :t'I 0003 CI HUJI" PI'A,MIOAM PRODUCT CONTR Pnlyfoam Products, Inc. 2.100 Spring- Stucbner Road Spring ,TX 77383 -U32 ... r VV J. J .I, V• 1 6 NOTICE OF ACCEI TANCr l'hc expense of such testing will be in¢urrcd by tits m.inul cturer. ..lCCF,P ry A N C1: NO 1, - 0521.02 EXPIRES: C15/10/2006 rvi.t r u.tA t'1'1uLLL.c.. MIAMI -OADE COIJN T Y, FLORion METRO -DAI)E FLAGLE'R OUILDING f)tllt.ntivG Cor1C COMPLIANCE OFIrICF r D,1DI; Pt. ACI,rR DUILDIN0 1•IQ wl;sT FLAGLER STREET. s(;r:TE 1603 MIAMI. FLORIDA 3)1)0- ISO I3:1S'l 375 -2'Jo; VAN ()05) 375 -290,M c:operizActUtt I.1(1:NSING Slil.`nory 00513 FAX 0051 )1-$ ,Y COP(' Il•l(7)'t 1.1•:NI QILCl:NIIGN'I' II YvI\toN 130 ?) 115-Pied, VAX 005) 375-2909 )'It)ULICY CONTROL DIYLStCN (3u5)115 - 2')02 IAN. 005) 177.6);:1 Your application for Notice ot'Acceptance (NOA) of Two C:ompancnt Polyurethcnc Foam Adhesive under Chapter 8 of the Code or Minn l i -Dadk County governing the use of Alternate Maieritt!s and T Construction. and completely describ d herein, has been recommended for acceptance by the Miant - County Buildin6 Code Compiiance Office (13CCO) under the conditions specified herein. This NOA shall not be valid after the expiration date slated below. BCCO reserves the right to secure this product or material at any time front a jobsite or manufacturer's plant for quality Control testing. It` this produ;:t or material fails to perrorm in the approved manner, SCCO may revoke, modify, or suspend the use of such product Or material imrrzdlately. 3CC:O reserves die right to revoke this approval, if it is Jete.rrnined by 13C00 that this product or material fails to meet the requirements of the South Florida 13uildin6 Code, / Rawl Rpdri uuc:: Chief Prod Cortrl)I Division T1i15 T5 Ti 1r COvERslTEET, SEE ADDITIONAL PACES roll SPECIFIC AND C: tNr.RAL CON n ETTONS tnit_DING CODT' & PRODU T REVIEW COMMITTEE This application for Product ApprovII has been reviewed by the BCCO and approved by the Building. Code and Product Review Committee to ';,1c used in Miami -Dade County, Florida under the conditions set Forth above. APPROVED: (16,14/2601 'i \pc100011tempIt k I etivj I«cFun<c co pa c eat fnteriet Innil at)JresY: pnstmnster ®buildinsclncicunlinc .cum I g' d t 01 'LCC969S ©C L I nncisco J, Quinl�na. R.n. Director tilianti -bade County liuilllin Cgcic Compliance 011icc 10002 19wncpabc: 11tIp: N.,�rw.IwlIJingcnllconlinc.con► 0 1 Jd9 ad 7S:91 0002! 20 ddtJ V rr 1 N. 'IJ L4LI' 1 Lt4. •J•4 4 1r, {rr'L • 20'd Pglyfn:trn Prod»ets, La M-sterials: Polyureth 2. PRODUCT DESCRIPTION' !Via nu facto red by A.o2licapt Polypro® AH160 Po:tnZproQs� RTI' 1000 Prof ackt1D 30 5t 100 nc 2,2 Typical Physical P opertics: Prperry Test Density ASTM D 1622 Compressive ASTM D 162.1 Strength Tensile Strength ASTNI D 1623 Water Absorption ASTM D 2 127 Moisture Vapor ASIIM 1396 Trtnstn issinn Dimensional ASTM D 2126 Stability t8 '88SLSOC 01 1LCC969SOC A••• I. I. V.L:t 1lLrJt'l'L.1•:,A ACCEI'TANCC No- . ROoItaNG ASSEMULY APPROVAL C :,tmory: Roofing Approval Date: June 14 Sun - tee_nry_ Root Ti1c Adhc;ivt E:cpirali,tn Date.: May 10 7,006 1. SCOPE This approves T'olyprutD AI It6O as mnnuEtctured by Poly fu:rm Products, inc. as :lescribed in Section 2 of thi Notice of Acceptance. For the Iaections where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flirt. low. and high profile root system using PolyproOD Al-1 160. Where tb attachment calculations are done as a moment based system for single patty placement, ald as an uplift based system for double patty systems Tc3t Snceifientirms PA 101 2.1 Components or products manufactured by others: Any Miami -Dade County Pr duct Control Accepted Roo 1 r A�,entbiy having a current NOA which list uplift resistance vucs with the use of Polvpro A11160 roof tilt adhesive. Results 1.6 IbsJft' 1$ PSI Parallel to rise 12 PST Perpendicular to rise 28 PSI Parallel lo ria� 0.08 Lbs./Fc 3.: Perm / loch +0.07% Volttn e Carnet cT? -40 r.. 2 weeks Volume Change !tumidity, 2 Weeks Product Description Two component polyurethane Dispensing Equipment f)iapcnsin6 Equipment S Drank Zuloas❑. RRC Product Control Examiner opaude C003 20 ddb anal .1:u5 C'.1,` :JJ•t Jrq to ,1 rtivuI.I,1:,1,\L, rslyfo:tm Products Inc. Note: The physical properties ! l isted above me presented n5 tytticlrl nvr.nr ;c rattles ns determined by nccepted ASTN1 test rnetl►o :Ind ore subject to norm:,1 omit ufnctu ring vlriauon. 3. LIMITATIONS 3.1 Fire classification is not part or :his acceptance R.cler to the Prepared Roof Tint: Assembly for tiro rating 3.2 Polypro® Af-l16 shall Solely be used with flat, low, Lk high We profiles, 3.3 Minimum underl vmcnts sholi be in cornpliancc with the 'tooling Application Standard RAS I $0. 3.4 Roof Tiie manuf' ctures acquiring acceptance fur the use of Polyproc Al-il roof tile adhesive wit! their tile assemblies shall rest in accordance with PA 101. 3.5 Roof Tile manuf,ctures acquiring acceptance for two paddy placement with the use of Polyprotltn AH 160 roof tile adhesive with their tilt assemblies shall lest in accordance with A 101 and with section :0,4 as modified herein. 4. INSTALLATION 4.1 Polyprot n AI-1160 m, y be used with any roc f talc assembly having a current NOA that lists uplift resistance alucs with the use of Polyproe Al-! 100. 4.2 Polypror A1.1160 shall be applied in compl aver with the Component Application section and the corregpondinb Placement Details noted herein The roof tile assembly's adhesive attachment with the use of t'olypror AI-1160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standard RAS 127, The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Poiyproe AI-1160 roof tile adhesive and its components shall be installed in accordance with Roo rat Application Standard RAS 120, and Polyfoam Produces, Inc. Polyprom AFI IGi) Op rating Instruction and Maintenance Booklet, 4.4 Installation must be b a Factory Trained 'Qualified Applicator' approved arid licensed by Polyfoam Products, Inc. Polyfoam Products Inc, shall supply a list of approved applicators to the autl ority having jurisdiction. 4.5 Calibration of the For, - nproc dispensing equipment is required before application or any adhesive. The mil( ratio between the ''A'' component and the "B" component Shall bc maintained between 1.0 -1.15 (A) : 1.0 (0). The disperse tinier shall be set to deliver 0.0175 to 0.15 pounds per tile as determined ;.t calibration., No other settings shall be approved. 4.6 Polypro Z Al-I160 shat be applied with Foarnpro RTr 1 x)00 Or Proltacke 30 & 100 dispensing equipment nly, 4.7 Polyproi A1.1160 shal not bc exposed pernnanintly to ;unit CO' d 78t78SS ,LSOC 01 ty.CC9E9SOC f �1 I 1 _ lV \ MS z !4S ACCEPTANCE No.: 01- 0521.02 Crank !MC Product Control Examiner 00adda dd SS :9I COO2 20 ddI r • .L • 1 ILL J. 1 • 1':1.1 .' •J'1 •J 1 1) PuIyfoant Products, Inc. ACCEPTANCE No, : 01- 0521.02 4.8 Tiles most be adhcrifd in freshly applied adheStve Tile must be set within 2 to 2 minutes after PolyptIo0 Al-I I GO has been dispensed 4.9 Polyproe AH I GO p acemert and minimum patty \vcight stall be in accordance with the 'Placement Dela Is herein, Caen generic tile profile requires the specific placement noted herein. TilcProrile Flat, Low, I•'fi'h Profiles Flat, Low High Profiles "IL r +'L.1f11;:!I rl,1lll+l 1. 7.11 'fable t: Achcsivc 1'I,tccltrcn1 For L icI) Generic file Profile Yl:teelnent Single: Pnthly Vt /Li 61it I f wo Y'nddy Weigh Detail N9in. (grants) . per pndtJy Min. ---. ( grams 35 d . - N/A 17 /sick on cap and ; N/A 311 /pan F!:)t. Low, Flit;h Profiles 111 High Profile (2 Piece Barrel) 1 v0' 9 t'8P 88SL OC 01 ILSC969500 S. LABELING All Polypro® AH I 60 containers shall comply wish the Standard Conditions listed herein. 6. BUILDING PERMIT R.1 QUtREMENTS 6.1 As required 4 the Building Of}icial or applicable Building Code in order to properly eval�,l ate the installation of ;his system :a N/A $ � rank Luloaga, RRC Product Control Examiner V... all;) ODCOdE SS : 9l 00023 E0 d'ati ** 80•39Ud 14101 ** • Polvfgnnt, Products. Inc. 80'd t8098SLSOS 01 1?1C8959SOC ;END OF THIS ACCEPTANCE ACCEPTANCE Na. : 01 -0 52 1.02 1. Renewal O this Accepting: ( approval) shall be cony ;idcrcd alter e renewal application has beer; lil:d and the original submitted IdvGUlllrnts inCludiet : supporti ng data, cngineer:ny documents, arc no older than cibh: (8) years, 2. Any and all approved proCucts shall be per!tt :viently labJcc +‘ all the inrinutc,cturcr's name, city, state, and the following st :;tcrnen :: ''Miami -Dade County Product Coutroi Approval ". or as specifically stated in the spa cilic conditions of this Acceptance:, 3 Renewals of Acceptance tvill not be considered if: a, There has been a change in the South Florida 13uilding Code aft'ecting the evaluation of this product and the product is not in compliance w.th the codc change,. b The ',rockier is no loftier the same product (identical) as the one originally approved. c, tf the Acceptance, holder has not complied k vith all talc requirements of this acceptance, including the correct installation of he product. d. The enyincer who originally prepared, signed and sealed the reciirired documentation initially submitted, is no lonscir practicing the cngineerinte profession 4. Any revision or change Sn dte ma:crials, use, andior minuiacturc of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been r,qucstcd (through the filing of a revision application with appropriat,: fee) and gra.ated by this office, a. Any of the following shall be grounds for removal of this Acceptance: a. Unsatisfactory perjorTancc of this product or process. b Misuse of this Acct ;p ante as an endorsement of any product. for sales, a:Ivcrtisinb or any other purposes 1-he Nonce of Acecpt: nt by the Cxp; ration Cate flay Acceptance is displayed, Um mber preceded by the words Mianu•Uade County Florida, and foLot\'cd be desplayi:d in advertising literature. If any portion of the Nonce of it shall he Celle in as entirety. 7 A cope of this Acceptance al \veil as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributor; ;ene shall be available for inspection at tit: job sit: at all tame, The engineer need tent reseal the copies, 8. Failure to compi■ with any S of tais Acceptance shall be cause for termination and removal of Accept:we. 9. This Notice oFAcceptance consist, of pages I through S. l ra,tk Zulo,ga, RItC Product Control ENarniner 0JQU63 Lid 1S : 91 0003 20 adU MIA M IDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF 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 (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miaami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this }product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their Ijurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Deck. This NOA renews NOA #02- 0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur 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 INOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terrninate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user byl the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 1 of 21 e I ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer ( MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion ( Matrix Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating ( MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® #75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Flex PlyTM 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 ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 4601 ASTM D4601 ASTM D 2178 Product Description Asphalt cdncrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold proc6s cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing aiiplications only. Surface co for smooth surfaced roofs. 1, 5 gallons ASTM D 2824 Fibered aliminum coating. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dt' surfaces. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement Asphalt inpregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet) Type VI asphalt impregnated glass felt with asphalt coating. NOA No: 03-0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 2of21 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: Fastening Options: Ply Sheet: Cap Sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described beh: w; GAFGLAS® Ply 4 ®, GAFGLAS Flex P1y 6,1 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.ct 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 brill -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 PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular iing shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap stagger &l l and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, ee 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 I" 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 apptbved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in he field. (Maximum Design Pressure —60 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, 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 Gene 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 withiti 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 18of21 Surfacing: Maximum Design Pressure: See Fastening Above (Required if no cap sheet is used) Install one of he following: 1. GAF Special Roofing Bitumen with an application rate of 201bs. /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 gal. /sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an applicatibn rate of 1.5 gal. /sq. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs./sq. iik. 300 lbs./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. NOA No: 03 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 19 of 21 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a Mechanically fastened base or anchor sheet. 2. Minimum 1 /a" Dens Deck or V2 Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhefed in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-46 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt 1pplication of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems) shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum dharacteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard; $TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or,Membrane attachment is based on a minimum fastener resistance value in conjunction with the ma imum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RASI 117. 7. Perimeter and comer areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accbrdance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10 /23/03 Page 21 of 21 TGFU.R1306 - Roofing Systems Page Bottom TGFU.R1306 Roofing Systems Questions? Page 1 of 36 Guide Information GAF MATERIALS CORP 1361 ALPS RD WAYNE, NJ 07470 USA Roofing Systems Unless otherwise indicated, the roof insulation is mechanically fastened, adhered with hot mopping asphalt or urethane insulation adhesive. R1306 "Ruberoid 20" or "Ruberoid Modified Base Sheet" may be utilized as an alternate to Type Gr2 base sheets in any of the following Classifications. 1/2 in. thick (min) gypsum board or 1/4 in. thick (min) G -P Gypsum Dens - Deck® may be used in any existing noncombustible deck Classification. When this is done, the resulting roofing system is acc °ptable for use over combustible (15/32 in. min) roof decks. The joints in the gypsum board and overlayment board are offset 6 in. with the joints in the deck. If polystyrene is part of the roof system, it must be placed below the overlayment board. Also, multiple plies of "GAFGLAS Ply 4" or "Ply 6" may be adhered to G -P Gypsum Dens- Deck® in hot asphalt. "GAF Stratavent Eliminator Venting Base Sheet (Nailable)" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof systems. GAFGLAS Perlite Insulation may be utilized as a cover board over "EVERGUARD" insulation in any of the following systems. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt,glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "GAFGLAS #80 ULTIMA" ) is a suitable alternate for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GA.FGLAS Ply ") in the Class A, B or C roof systems indicated below. http : / /database.ul.com /cgi- hin/XYV /template /I,ISEXT /1 FRAME /showpage.html ?name =TG... 10/23/02 TGFU.R1306 - Roofing Systems Page 2 of 36 The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAF Stratavent Eliminator Venting Base Sheet (Perforated)" or "GAF Stratavent Eliminator Venting Base Sheet (Mailable)" . Perforated to be mopped and nailable to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet ", "GAFGLAS #80 ULTIMA" or "GAF Stratavent Eliminator Venting Base Sheet (Nailable)" may be substituted for G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ") as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, all insulations may be hot mopped or mechanically fastened. "GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C systems listed below. When "perlite" is referenced, this includes "GAFTEMP PERMALITE ®" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, B or C systems listed. Structural cement fiber building units are considered suitable to be included as a deck in the following Class A, B or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of 1/2 in. min gypsum board is an acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board between min 3/4 in. perlite board and deck with rosin paper (perlite /rosin paper /polystyrene /perlite) is a suitable alternate for isocyanurate board in the following Class A, B or C systems. "BMCA EnergyGuard RA ", "BMCA Tapered EnergyGuard RA" and "BMCA EnergyGuard RA" may be substituted for any Atlas polyisocyanurate insulation in any of the following Classifications. Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt ". GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. "GAFGLAS Flex Ply 6" is a suitable alternate to "GAFGLAS Ply 6 ". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membrane may be used in lieu of "Ruberoid Mop" SBS products in http : / /database.ul.com /cgi- bin /XYV /template /I,ISEXT /1 FR AMF /showpage.html ?name =TG... 10/23/02 TGFU.R1306 - Roofing Systems Page 3 of 36 a • any applicable Classification. 1. Deck: C -15/32 Incline: 3 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: — Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped. Surfacing: — Gravel. 2. Deck: C -15/32 Incline: 2 Class A Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: — Three or more layers Type G1 "GAFGLAS Ply'4" or "GAFGLAS Ply 6 ". Cap Sheet: — One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". • 3. Deck: NC Incline: 2 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in. max. Ply Sheet: — Two or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: — One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: — One or two layers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet: — Any UL Classified gravel sirfaced Class A asphalt glass fiber mat system. 5. Deck: C -15/32 Incline: 1 v Slip Sheet (Optional): — Red rosin paper, nailed to deck. Base Sheet: — One layer Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: — One or more layers Type G1 "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: — One layer Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 6. Deck: NC Incline: 3 Base'Sheet: — One layer Type G2 "GAF,GLAS #75 Base Sheet ". Ply Sheet: — One or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". . Cap Sheet: — One layer Type G -3 " GAFGLAS Mineral Surfaced Cap Sheet ". • 7. Deck: C - 15/32 Incline: 2 http: / /database.ul.com /cgi- bin /XYV /template /LTSEX'T /1 FRAMF /showpage.html ?name =TG... 10/23/02 NOTICE. OF COMMENCEM PERMIT NO. STATE OF FLORIDA: TAX FOUO NO. COUNTY OF DADE; .THE UNDERSIGNED hereby gives notice that Improvements will be made to canain real prop a • Chapter 713, Florida Statutes, the following Information Is provided In this Notice of Commenceme and In accordance with 1. Legal deseriptidn of property and street address: cfi2 /// t. s bu rr 32/ 3 2. Description of Improvement. 3 .Owner(s) name and address: Interest In property: Name and address of fee simple titleholder: S. Surety:(Payment bond required by owner irom.contractor, If any) Name and address: Amount of bond $ 6. Lender's name and address: Notary Public .Print Not �Ys STATE OF FLORIDA, COUNT OF DADE 1 HEREBY CERTIFY that this is a true co y of the ortg,nal filed in this office 00 day of fki A 20 WITNESS my ha and Official Seal, HARVEY RU LERK, of Circuit and County Courts By D.C. , Ic - flt; Co, r_nis:iou 4 D!) 006254 Expires Ntiisch 4, 2005 Bo: ded 'fhrv Ath uUc rindin ; Co., 4( 111111111111111111111111111111111111111111119 C F III 2 R CI 9' 592?'.,'y OR Bk 22037 P9 3203; (fps) RECORDED 02/11/2004 13 :07:32 HARVEY RUVINp CLERK OF COURT MIAMI -DADE COUNTYp FLORIDA LAST PAGE 7, Persons within the Stale of Florida desf by Section 713 . 1 3(1)(a)7., Florida Statutes, Haled b 9 by Owner upon whom notices or other documents may be served as provided Name and address: 8. In addition to himself, Owner designates the followln Section 713 13 1 g person(s) to receive a copy of the Uenor's Notice as provided In Name and addrasR: 9, Expiration otthis lrstfon Notice of Commencement: (the expirati a.,,.. dlfierpnt dale is specified) Skinasuo 01 Owner Print Owners Name Sworn to and subs Prepared y: 4 Address: �i �O / - � - • ?j" o r 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/12/2004 Applicant: ST MARTHA'S Owner: CATHOLIC CHURCH JOB ADDRESS: 825 NE Fees: FEE2004 -1431 FEE2004 -1432 FEE2004 -1433 FEE2004 -1434 FEE2004 -1435 92 Contractor OBENOUR ROOFING Contractor's Address: 9301 NE 6 AVE SUITE A -101 Local Phone: 305 - 757 -2612 Parcel # 1132060050052 Legal Description: GOLDEN GATE PARK ADDN PB 6 - 130 E19.395FT M/L OF LOT 10 & ALL LOT 9 & Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Permit Status: APPROVED Permit Expiration: 8/9/2004 Construction Value: $14,000.00 Work: RE -ROOF WITH HACIEENDA COLORTHRU TILE Signed: (INSPECTOR) ST 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) Buliding Permit Permit Number: BP2004 -181 CATHOLIC CHURCH ST MARTHA'S Amount $325.00 $8.40 $2.80 $8.13 $9.00 $353.33 BY: Page 1 of 1 Total Fees: $353.33 Total Receipts: V0.80 ?? esc_z2 `480