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826 NE 92 St (9)Date,, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE - -1 G 0 C' Job Addres$ 80V e 9r)- S 1 Tax Folio l i 3'21. 010 00c 01 7 Legal Description Historically Designated: Yes No Owner/Lessee / Tenanl. k I gpe4 4 0 Owner's Address c ��4-1U Contracting Co. A 1,13 Qualifier A \ L Phone State # 4 k Munici I . # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle e orue): BUILDING ELECTRICAL WORK DESCRIPTION � ' 3 e r c (> Square Ft. 3 CO WARNING TO p't: Y U MUST RECORD A NOTICE 07 COMMENCEMENT AND YOUR FAILURE TO D. S* MAY • SULT IN YOUR PAYING TWICE F R IMPROVEMENTS TO YOUR PROPS' ": 4 ' YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYuEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed o meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SI NS, POOLS, ROOFING and MECHANICAL WORK. OWNERS • p tiAVIT: I truction signature No M that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating d zoning. F. ° ermore, I authorize the above -named contractor to do the work stated. f owner and/or Condo Prudent tt- -) as to der alidieT Cameo * dent ommission Expires: Pa „i LIAN. Ors - : 637215 2001 • .... _ ): rtt3 CO., INC. FEES: PERMIT a RADON APPROVED: Zoning Building sRR/o I0a< to 49 lob t C.C.F. 7.8'D NOTARY S7 Competency # Address Address Master Permit # Phone a Address 3 i o Ins. Co. InUMBING MECHANIC ROOFING ' AVING FENCE SIB'' u is) H es) W I Estimated Cost (valuj Signature of Contractor or Owner -Buil a No , as to Contractor or Owner- Builder My ' ommission Expires: .. Y JO! LIAN ,bV I Is3T 1AN r i L_OMMIss u . !:. C 637215 E}r •ca. °.NK -), 2001 • b[G MRU �OF F\ v „v• NNt3 CO., INC. Electrical S/9 Date S/ / Date BOND 3 ®® � TOTAL DUE_ 5r, Mechanical Plumbing Structural ]engineer PERMIT n STATE OF FLORIDA: COUNTY OF DADE: NOTICE OF COMMENCEMENT TAX FOLIO # f '• , 90 0') 0 / 7 0 :JAIL THIS DOCUMENT TO: DAD COUNTY RECORDER 44 West Flagler ST 8th FL MIAMI, FL 33130 phone # (305)372 -7777 00R225150 2000 MAY 10 11:59 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice. 1. Legal description of property and street address: &A S) q-a 5T . NI, o.m l 5H ores 2. Description of improvement: 3. Owner (s) name and address: M A IC_7 P A }fie n.a nd e z 8 +3t, q2 31- Miami , Vic. 33'S Interest in property: S IC_' 0 Name and address of fee simple titleholder: 4. Contractor's name and address: A� b� L . (o0 5 `a2go L3 T -e_'ra Karol C 33i 5 S 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name and address: 8. In addition to himself. Owner designates the following person(s) to receive a copy of the Lienor's No ice as provided in Section 713.13(1)(b),Florida Statutes. Name and address: 9. Expiration date f recording unless a d; Siena Sworn to and Notary Public My Commission I.D. e of Owner �e K•, mai) + no el 2 is Notice of Commencement: (the expiration date is 1 year from the date of erent date is specified) •.cribed before me this I .. •1. • Ex'ires: 4 /20 n � WITNESS rny V ° ry O JILLIAM 1, •41 T IE$7EBAN com, ry _C 637215 EXPIRES APR 1, 2001 RG .O D iMRU i1r.1KItW ...... . INc. Prepared by: day of 1 4 2 --°° 0 Y�f 0� DADS 5`f OF FLORIDA. C ©UN o of th� I HEREBY CE,f Y ' Y Olaf Ons is a fr e� dG original fig A D 20 Official Seal. 1ZS�. of Grcu:? and County Courts D.C. Address: u_ C '-. R ayr 334-1 `� 5104 APPENDIX "F" APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner th content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and e addressed as part of the agreement between the owner erand thec Additionally, the following items should be p The owner's initial in the adjacent box indicates that the item has been explained. i0Y(' 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) color or architectural issues h ectu al a pearan e, that are not part of to zoning code,s provisions. houldbe add essed as issues such as color or arch PP part of the agreement between the owner and the contractor. _C' 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. N C' 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can rbe oofing nail penetrations of the below. e undersi r000finde of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. P j -' 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6 C- 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. L 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. t may be beneficial to consider additional venting which can result in extending the service life of the r,• of. Owne /Agent's S' nature Signature qC Date Contractor's Signature Contractor's Name: ROOF CATEGORY (4 1 (Low Slope Application) ❑ (Nail -On Tile) (M ortar- ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) ROOF TYPE New Roof e- roofing ❑ Recovering ❑ Repair ❑ Maintenance i 0 F Ft. 123.01 -78 9195 0‘00-140L s(7Up - r.) .- S fr' -- 3Z3" 6 5 - 1 ) e e4L Q fie, (3 LP S � p PLC —15 6.4-scr Deck type: LA) bail Field: I1" 11001 SLOPY Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ATTACHMENT Fastener Type: i' SPACING _ Perimeter: (p o L DETAIL 1 & 2 3 pzee >11 c. es Job Address: Page - 1 Flat Roof Area (ft') 2v 0 Sloped Roof Area (ft') 32 0 Total (ft') 39 0 0 Master Permit No. Exposure category (per ASCE 7 - 38): _ Building Classification category (per ASCE 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (D raw details as needed) ROOF PLAN 41.44 1rIw3 W Ridge Ventliet n7 Deck type: Mme., } IGHT 1 O I - Underiayment :* '3 E-t1 A St'9 D Insulation: 11" ROOF SLOP/ D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION Ok A Fastener type Si spacing: (Pnraxl: 72.3 ?. (Aerodynamic iiu!tip!ier)Q 2 7 ) - (Pmax?:/ r Z ° •7i7 X X (Aerodynamic Multiplier): ) (Pmax3: O� /_�x ?.. (Aerodynamic 2■tuttiptier): • ) Cop Sheet: Roof �d-fo if/Li- /245 r)$i(,SS 6'1 Covering: 4 !Tt s4 'S TtP' Drip edge: & 4JaS OY' TILE CALCULATIO ° NS M OS= M /° f PCA: 4r?' M :M„:2 = rs' 1 -� PCA: fob a z PCA: rj i ( M M 1 G s c� t J ' ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals � 0Lf _Pi° S ROOF COVERING MATERIALS (TEVT) =.. ROOFING SYSTEMS (TGFU)— Continued bflarti and overlayment board are offset 6 in. with the joints in the ne is part of the roof system, it must be placed below the board• ple plies of " GAFGLAS Ply 4" or "Ply 6" may be adhered to -in.-hot asphalt. Stratavent Nailable Base Sheet" may be mechanically attached or •'','over noncombustible decks and as a recover over existing roof + p: °''•;: Perlite Insulation may be utilized as a cover board over "EVERGUARD" ckF �. any of the following systems. ,, M,Ti • .t ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT G2 asphalt glass mat base sheet ( "GAFGLAS 4'75 Base Sheet" or "GAFGLAS ' , Pn niimum Base Sheet") is a suitable alternate for Type G1 asphalt glass 1 ►. P n hated below Ply 4" or "GAFGLAS Ply 6 ") in the Class A, B or C roof '{ ;roof deck may first be covered with a Type G2 asphalt glass mat base VGAFGLAS Stratavent (Vent -Ply) perforated" or "GAFGLAS Stratavent Lplyj for naitable decks ". Perforated to be mopped and nailable to be pechanic?Uy attached granule side down. m??fan`option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base , >i t ' ; . "GAFGLAS #80 Premium Base Sheet" or "GAFGLAS Stratavent (Vent -Ply) '•;'- .-(mailable decks ") may be substituted for G1 asphalt glass fiber ply sheet . fGAFGLAS Ply 4" or "GAFGLAS Ply 6 ") as the nailed base ply in the following Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, at', insulations may be hot mopped or mechanically ' fastened. ' GAFGLAS gashing" or "Ruberoid' may be used for flashing in any of the Class = • ,ti, B or C systems listed below. When "perlite" is referenced, this includes 'GAFTEM.P PERMALITEI" or any :they UL Classified perlite ins:'.a: on. Crushed stone or siao are suaaa :e altan:ates for gravel in any of the Class A, or C systems listed. ' twcturai cement fiber building units are considered suitable to be included a deck in the foliowi -); Class A, 3 or systems listed- over C -15/32 or NC. •* use of gypsum ooa _crier ?ry of the following '_pass A, 3 or C systems , es not adversely efie` -: the ra:inoo. The use of 1,2 ir. min gypsum board is • 'I: acceptable alternate . . lesson o •e- C-15/32 decks. • ;he use of polystyrene insulation board between min 4 in. .perlite board • and deck with rosin. paper (periite/rosin oaper /po!vsyrene /periite) is a li,'i :Able alternate for isocyanurate board in the follovr.,ng Mass A, B or C • . ':items. <GAFTEMP Isotherm RA", "GAr = ?'.P Tapered Isothe_ , RA" and "GAFTE ?• P . C_mpasite A" may be substituted for any 50 ' anurate insulation in any of the failov,:ng Cass; ;cations. Trumbull "Forma Mop" may be utilized with any of the foitoving "Asphalt Felt . Systems with Hot Roofing Asphalt'. GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. Class A, B and C. Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. Class A • -! 1. Deck: C -13/32 Incline: 3 „ Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, periite / 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 Pty 6 ", hot mopped. Surfacing: Gravel. 2 , Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, class fiber, isocyanurate, urethane, pertite /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". 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 Pty 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. ROOF COVERING MATERIALS (TEVT) 133 ROOFING SYSTEMS (TGFU) — Continued Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck: C -15/32 Incline: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet One layer of Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet'. 6. Deck: NC Incline: 3 Base Sheet One layer of Type G2 "GAFGLAS #75 Base Sheet". Ply Sheet: One or more layers of Type G1 " GAFGLAS Pty 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck: C -15/32 Incline: 2 Insulation: One or more Layers perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type 51, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: " GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. 8. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wocd fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type 51. Membrane: One or more layers of "Ruberoid Torch" (smooth or Granule). "Ruberoid Torch Plus" (granule). "Ruberoid Mop" (smooth c- granule) cr "Ruberoid Map Plus" tcranule). Cap Sheet: GAFG1JS Mineral Surfaced Cap Sheet', hot mooped. Class B -. Deck: C -15/32 Incline: 3 -1/2 Insutation (Optional): One or more layers periite, wood fiber, c fiber, isocyanurate, urethane, Deertite /isocyanurate composite. per urethane corriposite, wood fiber/isocyanurate composite. phereMe, any thickness. Ply Sheet: Two cr more layers of Type 51 " GAFGLAS Ply 4" or "GAFiaAS Ply 6" Cap Sheet: Type 53 " GAFGLAS Mineral Surfaced Cap Sheet ", hot mopr.ed. 2. Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or mere layers perlite, wood fiber, class fiber, isocyanurate, urethane, perlite/isocyanurate composite, pertit..e/ urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layer: of Type GI, G2 or G3. Membrane: One or more Layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or • "Ruberoid Mop Plus" (Granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet', hot mopped. Class C 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type G1 "GAFGLAS Pty 4" or " GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 lbs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A 1. Deck: C -15/32 - Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Type G1 " GAFGLAS Ply 4" or " GAFGLAS Pty 6 ", hot mopped with coat tar bitumen. Surfacing: Gravel. ' COMBINATION HOT AND COLD SYSTEMS Class A 1. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber or glass fiber, 2 in. max. Ply Sheet: Three or more layers of Type G1 " GAFGLAS Ply 4" or ". GAFGLAS Ply 6 ". Surfacing: Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. LOOK FOR MARK ON PRODUCT GAFGLAS® Specifications N -3-4- i /P6 and N- B -4 -M . Specifications General Application recommendations detailed on pages 17-20 shall -apply in addition to the following recommendations and specifications. Application of Roofing Membrane 1. Over entire surface, lay one ply of sheathing paper where applicable. Lap each sheet 2 inches over preceding sheet. Nail sufficiently to hold in place. 2. Starting at the low point of the roof, lay one ply of GAFGLAS Base Sheet, lapping each sheet 2 inches at edges and not less than 6 inches at end laps. Nail along lap of base ply at intervals not to exceed 9 inches and stagger -nail down center of sheet in two rows with nails spaced at 18 inch intervals in each row. Use fasteners with integral metal heads at least 1 inch in diameter or square that are recommended by GAF Materials Corporation or the deck manufacturer. (See 'Special Instructions' below.) 3. Starting at the low point of the roof, mop Iwo plies of GAFGLAS Ply shingle fashion; lapping each sheet 19 inches over the preceding sheet; solidly mopping to the underlying base sheet to provide three plies over the entire roof area. Asphalt Requirements lnterply moppings of Roofing Asphalt must be applied in a continuous film and shall consist of approximately 25 pounds per 100 square feet of roof area with a tolerance not to exceed 20% plus or minus. The appropriate aspnalt for the slopes involved must be used. Slope per foot Up to 3'- 6' On slopes up to'/. inch per loot, Flat ASTh1 Type II may be useJ except in Florida, Texas, New Mexico Arizona, and Surfacing Apply GAFGLAS Mineral Surfaced Cap Sheet in accordance with the application instructions on page 20, so that the laps are offset from the taps of the ply sheets. Special Instructions 1. See recommendations for use over gypsum decks on page 9. 2. Acceptable GAFGLAS Base Sheets include: STRATAVENP (Vent Ply) for Nailable Decks required for freshly poured gypsum decks, GAFGLAS 175 Base Sheet, GAFGLAS' PLY 6`, and GAFGLAS Ply 4. For wood decks and structural wood fiber decks, when GAFGLAS Ply 4 or GAFGLAS PLY 6 is used as a base sheet, a sheathing paper is required. 3. See 'Nailing of Base Sheet,' pages 18 -19. 4. For roof slopes of 1 inch per foot or more, all ply fetts must be back - nailed 4 inch- es in from the back edge of the felt. See 'Installation on Steep Roofs,' page 10. UL Classification UL Class Substrate Slope A C A NC B c Asphalt Type Steep ASTM I HT -Steep ASTM Type IV 2° 3° 3'/. UL Chart Key 1. Substrate C ..Combustible and Noncombustible Combustible = Wood planks, boards, etc., plywood (min. '° /:, inch thickness), oriented strand board (min. '/, inch thickness). NC m NoncombusUble only Noncombustible = Steel, poured or precast structural concrete, lightweight insulating concrete, gypsum, structural wood fiber, etc. 2. Slope Maximum slope allowed, in inches per foot. North, South, and West Zones Nailaole decks up to 6 inches per foot slope, except for lightweight insulating concrete decks which are limited to a maximum slope of 1" per foot. Wood, plywood, poured gypsum,. precast gypsum planks, other acceptable nailable decks. For lightweight insulating concrete decks, see page 9. Materials Sheathing paper (1 ply, if required) GAFGLAS Base Sheet GAFGLAS Pty (2 plies) GAF Materials Corporation Roofing Asphalt Interplies Cap Sheet GAFGLAS Mineral Surfaced Cap Sheet (1 ply) Approslmate Weight par Square Guarantees Aaallablo Sp eclllcatlon _ Liberty Gus raAlrtlti N- B- 4 -M/P6 15 yr. West Z !' W N- B- 4 -M/P6 15 yr. 00d Lightweipht N B 4 (See page 9. = s ' -; • M 2+10,10.5+5.5 yr. - - . • Deck Type 1: Deck Description: 19 / ): " or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Base Sheet: Ply Sheet: Cap Sheet: Surfacing.: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: Wood, Non - insulated New Construction or Reroof . GAFGLAS® 475, GAFGLAS 480 Ultima Base Sheet, GAFGLAS® PLY 4 ®, GAFGLAS® PLY-60, GAFGLAS FIexPly; GAFGLAS® STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROID® 20 applied to the deck with approved annular ring shank nails and minimum 1 tin caps at a fastener spacing of 9" o.c. at the lap, 12 ";6.c. in two rows staggered along the center line of the sheet in the field. Two or three plies of GAFGLAS® PLY 4 ®, GAFGLAS FlexPly 6 or GAFGLAS® PLY 6® ply sheet 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. %sc.. (Required if no cap sheet is used) Install one of the following: 1.GAF «'FATHER COAT® Emulsion with an application rate of 3 gal. /sq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 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. & 300 Ibs..'sq.. respectively. -45 psf. (See General Limitation 47) 'A'. See General Limitation Q. 6 ":12 "; See General Limitation #3. N- B -3 -G, N- B -3 -C, N- B -3 -M, N- B-4 -G, N- B- 4 -G/P6, N-B-4-M, N -B- 4 -M/P6, N- B-4 -C, N- B- : -C/P6, N- B- 6 -GPC, N -B -6 ,G, N B- 3 -G/P6, N-B-5-M, N- B- 6 -M/P6 Page 21 of 41 Product Control No: 97 ga, l .00fing Product Control Examiner , METRO -DADE .=:b; METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, Ni 07470 Your application for Product Approval of: GAF Conventional Built -Up Roof Systems for Wood Decks under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Dynatech Engineering, Inc., Factory Mutual Research Corporation, and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2-40 and the standard conditions on page 41. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compiiance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the Building Code Compliance Office that this product cr material fails to meet the requirements of the South Florida Building Code. The exaer.se of such testing will be incurred by the manufacturer. Acceptance No.: 97- 0804.21 Revises No.: 95- 1003.03 Expires: 11/04/00 BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 aul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL • CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Flori) under the conditions set forth above. .� Approved: 11/04/97 Internet mail address: postmaster @buildingcodeoniine.com Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Homepage: http : / /www.buildingcodeonline.com Applicant: GAF Materials Corporation - 1361 Alps Road - Wayne, NJ 07470 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Membrane Roofing System Sub - Category: Built -up Roofing T Conventional Sub -Type: Fiberglass Product Control No.: 97 0804.21 ApprovalDate: November 4, 1997 Expiration Date: November 4, 2000 System Description Contact: William J. Woodring Director of Technical Services (973) 628 - 4134 Page 2 of 41 Product Cona No: 97-0804.21 GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produces a wide range of roof products for built -up and modified bitumen roofing systems. In addition, GAF offers two ply modified systems to meet the demands for multi -ply SBS modified specifications. GAF provides warranted systems over various insulated and non - insulated substrates. copies of which can be obtained from GAF and can be found in the "GAFGLAS Built -Up Roofing Application and Specifications" manual published annually. GAF roof system assemblies 'nave been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. GAF Materials Corporation products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. For more information on specific roof system constructions, contact the Technical Service Office, located in Wayne, New Jersey, at 1.800- ROOF - 41'1. ran Zuloaga, Roofing Product Control Examiner Insulation Types: Material Wood Material Wood Basalt Wool Perlite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Design Pressure Design Pressure -75psf Maximum Fire Classification Classification Class 'A' Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. Page 3 of 41 Product Lontrol No: Y /- L2SU4.z `h Roofing Product Control Examiner Product GAF Asphalt Concrete Primer GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion GAF Premium Fibered Aluminum Roof Coating. GAF Jetb!ak All Weather Plastic Cement RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® X75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Ply 6® GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4® TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions Specification 5,55 gallons. ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 60 Ib. bags ASTM D 1863 Granules for surfacing of exposed , esphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. 5 gallons ASTM 1227 Surface coating for smooth surfaced roofs. .. 5 gallons gallons 5 Gallons 3 sq. roll 75 Ib. roll 2 Sq. Roll 70 lbs. /roll 5 sq. roll 45 Ib. roll 5 sq. roll 45 lb. roll 5 sq. roll ASTM D 3019 ASTM D 3409 Page 4 of 41 Product Control No: 97- 0804.21 Product Description 1, 5 gallons ASTM D 2824 Fibered aluminum coating. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to we and dry surfaces. ASTM D 4586 Fiber reinforced. polymer modified Flashiru. cement ASTM D 4586 Asphalt flashinu Cement ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt wigh asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt oiling, oonng Product Contro Product G.AFGLAS® Mineral Surfaced Cap Sheet GA =GLAS® STR.A.TA\'EN.T® Perform-6 :..:i:.._ 53...1: GAF 7E.)1F lsoth:,rm RA Tail ° i t' G A t' T �. I•'i D Iscitnerrr. RA GAFTEMP isotherm RN Tapered GAFTEMP Isotherm RN G .A r TEM P® Composite Test Dimensions Specification 76 lb. roll ASTMD3909 50 Ib. roll ".G rats • various various various various AS T M D 4397 D36 2 A 367: P A 'Ili) P.-. 110 PA 110 PA 110 PA 110 PA 110 Pan 5of4I . rodu:. Contr :i Ncr. 97-03C4.2; 04.2 Product Description_ Asphalt coated, glass fiber mat cap she -et s'urfacc with mineral gran'±les. Fiber 4iass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side; with • mineral Rranuies embedded in asphaltic coating with factor; perforations. ni2S lib mat fias tiny si:.,et available in tire.: _ :ZeS. Fi'oer base.. sh et imprea - n - ,ed and :jidJ r, V -• :li. as?rittL. SL'r'aZe' rto side ., _ Cr. cr the �•_ . r„ ice_ w_;a mineral rrr_: erne cec is •_ •ar.arate foam inst :•_.i•on. a "c Pr' ;'cvar.urate foam insulation ?ol•.'isc :evar.urate fca r: insulation Tapered Polvisoc an.u foam insulation a iv e foam insulation o. .s.._��nsr..t.. ohm i. �_lano n Tapered Poiyi_ocyanurate foam insulation PA 1 1 0 Poi:yisocyanurate foam insulation with high density fiberboard or Permalite periite insui Reofing Product Control Product Dekfast Fasteners #14 Dekfast Fasteners #12 ISO 95+ Composite Asphalt Asphalt Primer EPS High Density Wood various Fiberboard Pelite /Urethane Composite Perlite Insulation various Polyethylene 4 mil min. Red Rosin various Roofing Nails Test Dimensions Specification • Dekfast Lock Plate . 3" x 3 1/4 "_ . . PA 114 Polypropylene locking plate. various Minimum # 12 PA 114 Insulation fasteners concrete decks PA 114 Insulation fastener for steel and wood decks. PA 110 Polyisocyanurate / perlite ridged insulation ASTM D 312 Type III or IV Hot asphlat bitumin adhesive ASTM D 41 Asphalt Primer various PA 110 Extruded polystyrene insulation PA 110 Wood fiber insulation board PA 110 Perlite / urethane composite board insulation PA 110 Perlite insulation board Vapor barrier / Air barrier PA 114 Corrosion resistant annular ring shank nails Product Description Rosin paper for barrier layer on wood decks Page 12 of 41. Product Control No: 97- 0804.21 Manufacturer Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Firestone (with current PCA) generic generic generic generic generic generic generic generic generic aga, Roofing Product Control Examiner Tin Caps Test Product Dimensions Specification MB aluminum roof coating Dens -Deck #12 Roofgrip g14 Roofgrip Gripdek Fastener Hexcel Fastener Hextra Standard Plastic Plate ISO 95± E'NRG'Y -2 ISORoc Olympic Standard Min. 32 ga. x 1 s I " various 3" round various various various 3" round PA 121 Aluminum roof coating PA 110 Gypsum insulation board. PA 114 Insulation fastener for steel or wood decks PA 114 Insulation fastener steel, wood or concrete decks PA 114 Insulation fastener PA 1 1 ; Insulation fastener PA 114 PA 114 Polyolefin plastic plate PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Product Description Corrosion resistant circular discs. Insulation fastener and metal or plastic plate Polyisocyanurate foam / tockwool composite insulation PA 114 3" round galvalume AZ55 steel plate Page 13 of 41 Product Control No: 97-0804.21 Manufacturer generic Grundy Industries (with current PCA) Georgia Pacific (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) Firestone (with current PCA) NRG Barriers, Inc. (with current PCA) NRG Barriers, Inc. (with current PCA) Olympic Manufacturing Group, Inc. with current PCA) Roofing Product Control Examiner 4 Test Name Report Date Agency /Identifier Factory Mutual Research Corporation Current Insulation Attachment Requirements FMRC 1996 01.01.96 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. OT4AI.AM 08.26.92 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 1 V8A4.AM 06 28.93 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 1R1A6.AM 11.15.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 0T2Q4.AM 10.17.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 0Q6A6.AM 07.16.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 3X3A2.AM I 08.02.94 Factor■' Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 0Y9Q5.AM I 07.29.94 Factor Mutual Research Corp. Wind Uplift, FMRC 4470 - PA. 1 14 J.1. 1B9A8.AM UndervTiters Laboratories, Inc. Fire Resistance Classification UL 790 - PA 114 R1306, 87NK11819 01.01.93 Dynatech Engineering Corporation , Wind 1 Lift PA 114 , x3600.02.96 -1 02.02.96 Dynatech Engineering Corporation :Wind Uplift PA 114 #.4482.02.95 -1 02.02.95 TEST REPORTS Page 17 of 41 Product Control No: 97-0804.21 Roofing Product Control Examiner Wood Deck System Limitations: 1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F') of 95 Ibf or greater as tested in compliance with Merto -Dade County Protocol PA 105. If F' as tested is below 95 lbf, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from Merto -Dade County Protocol PA 105 and calculations in compliance with Metro -Dade Roofing Application Stanadrd PA 117. 2 All standard insulation panel size§ are acceptable for mechanical attachment. When panels are applied in hot asphalt, maximum panel size shall be 4' x 4'. a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of 275 lbf. as tested in compliance with Merto-Dade County Protocol PA 105 & Roofing Application Standard PA 117. If the fastener value, as field tested, are below 275 Ibf. insulation attachment shall not be acceptable. 3 A slip sheet is required with Ply 4® Flex Ply' 6 and Ply 6® when used as a mechanically fastened base or anchor sheet. 4. Y2 Type X gypsum board is acceptable to be installed directly over the wood deck.. Page 37 of 4 l Product Control No: 97- 0804.21 Roofing Product Control Examiner GENERAL, LIMITATIONS Product Control No: 47- 0804.21 1 All asphalt shall comply with ASTM D 312 type III or type IV requirements, and approved by applicant. Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and . • manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used, install one layer of GAFGLASS S T RATAVENT Perforated. laid drv.A base sheet rrav be applied using soot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation.. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. Where STRATAVENT Perforated is used over approved isocyanurate foam insulation, the maximum design pressure is Iimited to — 60psf. 5 All work shall be performed by a contractor licensed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer, and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section II Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. Page 38 of 41 rank Zuloaga, Roofing Product Control Examiner 14 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA 124 for uplift resistance. Test pressures shall be calculated in compliance with the wind load requirements of Chapter 23 of the South Florida Building Code to the design pressure of the roof. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(m), (n) of the South Florida Building Code. 17 Roll good materials shall be stored on end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 19 Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with sections 3401.5 and 3401.6 of the South Florida Building. Code for maximum fire classification. 20 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, corners). No 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.) Page 40 of 41 Product Control No: 97-0804.21 Roofing Product Control Examiner GAF Materials Corporation ACCEPTANCE NO.: 97- 0804.21 1361 Alps Road APPROVED : November 4, 1997 Wayne, NJ 07470 EXPIRES : November 4, 2000 1 NOTICE OF ACCEPTANCE STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. • Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Metro -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. • Any revision or change in the materials, use, andior manufacture of the produc: or process shall automatically be cause for termination. of this Acceptance, unless prior written approval has been requested ( throwgh the iiiing of a revision application with appropriate fee) and granted by this office. ▪ An y of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro -Dade County, Florida, and followed by the expiration date may be displayed in literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its 'entirety. 7 A copy of thiss Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. Tne copies need not be resealed by the engineer. 8 Failure to comply with aria' section of this'Acceptance'shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 41 - END OF THIS ACCEPTANCE Page 41 of 41 Product Control No: 97-0304.21 7' Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Metro -Dade County Roofing Application Standard PA 117. (When this Iimitation is specifically referred within this NOA, General Limitation 420 will not be applicable.) 8 All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Metro -Dade County Roofing Application Standard PA 111 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provision of the South Florida Building Code. 10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force (F') value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener values as tested are below those listed in the System Limitations, a professional engineer may submit a revised fastener spacing. utilizing the withdrawal resistance value taken from a Metro - Dade County Protocol PA 105 test report and calculations that comply with the wind load requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 1 1 7. 11 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 1bf., as tested in compliance with PA 105. lithe fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 12 Asphalt moppings shall be *ith applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 13 Insulation may be installed in me4tiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq., or mechanically_attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with provision of Roofing Application Standard PA 1 17. Page 39 of 41 Roofing Product Control xarn MIAMI -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE The expense of such testing. will be incurred by the manufacturer. Acceptance No.:99- 1102.04 (Revises No.: 97- 0918.02) Expires:12 /16/2002 Approved: 12/16/1999 FL 33166 MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375.2558 Almar (USA), Inc. 6645 dW 77 Ave. Miami CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375 -2908 Your appllcail0n for Product Approval of: PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372 -6339 Altusa "S" Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from ajobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved rna: -ier, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisco . Quintana, R.A. Director 1 of 8 Miami -Dade County Building Code Compliance Ofti. ALM1AR (USA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 1. SCOPE This revises a roofing system using Almar `One Piece S' Clay Roof Tile, as manufactured Almar (USA), Inc. described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing' Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Applicant One Piece `S' Tile Trim Pieces #30 Felt 2.1 Product #43 Coated Base Sheet NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Dimensions Specifications I =18W' w = 10" '/_" thick nominal = varies w = varies varying thickness Components or products manufactured by others Dimensions N/A N/A Test Product Specifications Description Product Description PA 112 High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications. PA 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Manufacturer ASTM D 226 Saturated organic felt to generic type 11 be used as a nailed anchor sheet. ASTM D 2626 Saturated and coated organic base sheet for single or double ply underlay_ . generic Frank Zuloaga, RRC Roofing Product Control Examiner ALMAR (USA), INC. Product Mineral Surface Cap Sheet Rainproof II . Ice and Water Shield Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteT'" ") NOTICE OF ACCEPTANCE: Test Dimensions Specifications N/A 30" x 75' roll 36" x 75' roll or 60 "x75'roll 36" x 75' roll vertical min. 1" x 4" horizontal min. 1" x 4" for use with vertical batters or min. 1" x 2" for use alone Min. 10d x 3" �8x2'A "long 0.335" headdia. 0.131" shank dia. 0.175" sctrew thread diameter N/A ASTM D 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. PA 104 Single ply, nail -on Protect -O -Wrap, underlayment with 2" Inc. self - adhering top edge. - with current NOA: PA 103 Wood Preservers Salt pressure treated or Institute LP - 2 decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E -PA 123 ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product • Description • Self - adhering underlayment for use as a top ply in a two ply underlayment system with Approved R30 or 43 as the base layer. Corrosion resistant, smooth, screw or annular ring shank nail. Corrosion resistand coated, square drive, galvanized, coarse thread wood screw Prepared mortar mix designed for mortar set roof tile applications. Manufacturer generic W.R. Grace Co. with current NOA generic generic generic Bermuda Roof Company, Inc. (with current NOA) Frank Zuloaga, RRC Roofing Product Control Examiner ALMAR (OSA), INC. Product Quickcrete Roof N/A PA 123 Tile Mortar Roof Tile Adhesive ( "Polypro® AH 160 ") Tile -Bond 3. LIMITATIONS NOTICE OF ACCEPTANCE: Test Dimensions Specifications N/A See PCA Factory premixed canisters See PCA ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product Description Prepared mortar mix designed for mortar set roof the applications. Two component polyurethane adhesive designed for adhesive set roof tile applications. - Single component polyurethane foam roof tile adhesive Manufacturer Quickrete Mortar (with current NOA) Polyfoam Products, Inc. (with current - NOA) Flexible Products (with current NOA) 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments 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 chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. Frank Zuloaga, RRC Roofing Product Control Examiner ALNI AR (t'SA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers - X (ft') Tile Profile X(ft') Batten Application X (ft') Direct Deck Application 0.253 0.274 One Piece 'S' Tile Tile . Profile -- One Piece 'S' Tile Table 2: Restoring Moments due to Gravity - M (ft-Ibf 3 ":12" 4 ":12" 5 ":12" 6 ":12" or Tess Battens Direct Battens Direct Battens Direct Battens Deck Deck 1 Deck 4.47 I 5.35 i 4.40 I 5.27 1 4.31' 1 5.15 1 4.20 7 ":12" or greater Direct- Battens Direct Deck I Deck 5.03 1 4.08 1 4.89 Table 3: Attachment Resistance Expressed as a Moment - M (ft-lbf) for Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Battens Profile (min 15/32" (min. 19/32" plywood) plywood) One Pie: 'S' ' 2 -10d Rinc Shank Nails 'Tile 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails 1 . #3 Screw 2 . #8 Screws 1 -10d Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) 28.5 41.2 19.4 5.1 6 2.8 6.9 28.7 58.2 23.1 29.3 27.6 38.1 2 -10d Ring Shank Nails' 33.1 9.2 7.3 28.7 58.2 23.1 29.3 27.6 38.1 1 Installation vith a•4" tile headlap and fasterners are located a min. of 2W from head of tile. Frank Zuloaga, RRC Roofing Product Control Examiner N/A 26.8 19.0.. 24.0 38.6 41.8 48.1. 45.2 1 able 4B: Attachment Resistance Expressed as a Moment - NA! (ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance One Piece 'S' Tile Mortar Set' • 24.50 ALMAR (tSA), INC. One Piece 'S' Tile One Piece 'S' Tile ACCEPTANCE No.: 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Table 4: Attachment Resistance Expressed as a Moment M1 (ft-lbf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Adhesive 2 See manufactures component approval for installation requirements. 3 Flexible Products Company Tile2ond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. 29.3' Table 4A: Attachment Resistance Expressed as a Moment - Mf (ft-lbf) for Single Patty Adhesive Set Systems Tile Tile Application Minimum Attachment Profile Polyfoam Poly?ro'"" Polyfoam ?oly?roTM 4 Large paddy placement of 63grams of Poly?ro'". 5 Medium paddy placement of 24grams of PolyPro"°. Resistance 55.5 38.7' S. 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 PERMIT 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 the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Roofing Product Control Examiner • d ALMAR (I €A), INC. ACCEPTANCE No.: 99- 1102.04 10-1/ 2" PROFILE DRAWLNGS ONE PIECE `S' CLAY ROOF TILE APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Frank Zuloaga, RRC Roofing Product Control Examiner . A ALM'IAR (ESA), INC. ACCEPTANCE No.: 99- 1102.04 APPROVED -:December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. test: supporting Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renev of Acceptance will not be considered if: a. There has been a change in the Sout)i Florida Building Code affecting. the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including. the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the ding of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be ; rounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance,as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. - Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 7 and this last page 8. END OF THIS ACCEPTANC Fran Zuloaga, R.RC Roofing Product Control Examiner Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 ,� 5`i^�17 26 p- A,Ss>�1� 51 >- 2 27 1 52 3 I 28 53 4 29 - 54 5 30 55 6 31 56 7 32 '7A:''' 57 8 33 58 9 34 59 10 35 60 11 36 61 12 37 62 13 38 63 14 39 64 15 40 65 16 41 66 17 42 67 18 43 68 19 44 69 20 45 70 21 46 71 22 47 72 23 48 73 24 49 74 25 50 75 Du Quesne L Assoc iees _sc Consulting Engine Ting Letscretoq Owner's Name: ITT `A g't A. • A - Pk_c 7 -- Permit #. 4 197 2. Job Address z (0 N . - . o� t t A,. f-1 ‘ t-c o - 1. Roofing Contractor A k 1:3 �'r' L. • -R t e i ts... S Type of Tile: .4..k T O 5■ ' S 1 — C - 041.4 , ."'r Date Installed 4. .00 Approximate Roof Height: 14 feet Roof Pitch 3: lZ Type of Access to Roof: Scaffolds ' Ladder Other Approximate Square Footage of Roof 330p ft 2 Required Testing Force: 35 lbs. Testing Equipment: Chatillion DRS 100 Date Tested to '13 •Qo IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS t -"+' - BMIT .:Y: L r' Ilk • e Du Quesne, Ci Engineer P.E. #24513 Du Quesne & Associates, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 OlMOTC COMC( C.7T'i; TE oD UPUI -if I000D 4ES40ME Op nOOF '1d2 OM QCCOG3DAECC GZNM ZEV20- QD DIJ'udM7G CODri CO 1pLOQk7CC p3O'0001 pQ 9Co SOTii: SPECIFIC INFORMATION TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 - 1425 • Fax (305) 264 - 1426 um L721 Environmental o Civil o Structural � geese: ction Services [ TO- S PA 906 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO 7:-hE REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. Please Note: This form is not valid unless Company logo appears i 1 color (burgundy) FOB SHEET KO OF CALCULATED BY CHECKED BY DATE SCALE DATE INIMMINIMMEIMMEIMEM 11111===== ... IN ■BI II 111 1111111 MIIM MMINIMMIMMEEM ... ............ HhIIuuIuIIuI i:ui iinuii MINELIEsibliiiiiiiiii iii iiiiiiiiiiiiiiiiiiiiiiiiiii NOTES' SKETCH OF ROOF JOB 46 "lam 4 1 Z 14 ( 1FF -t3S SHEET NO -4 ' OF CALCULATED BY DATE CHECKED BY DATE SCALE g 0 ) ' t. L idli •uats t ru[ mimmu muiuuu■I•iim■ INIMMEMMEMMEMMEMMOMMFMMSEMMOMEM INIMMEMMINIMMEMIMMEMMEMMNIMMEMMINI NOTES' • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 Job Address ftao _ ` � 5 Tax Folio Pe'' f � Legal Description r--4 E� H ��W 1 (�i' (✓� J -` 7,u' Owner)/ Lessee / Tenant Master Permit 4t Owner's Address 5 6 N ' q v TY Phone ) - 'T62c3 ' Contracting Co. ' � W fG Y'd ' *d Address i J N)LO 20 37 all/01V Qualifier � ' - -3 ione Ins.Co State # Municipal # Competency # Architect /Engineer Address Bonding Company i % Address Mortgagor /" Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION ** * Note y's ? ( �wt 1 ;'€��n o President My o ff n * * * * * * * * APPROVED: Fire Zoning �Buildin Mechanical Plumbin Notary My Comm F avr a / N ' 4 1 , t " - 4 Cam./' Square Ft. WOOD Estimated Cost(value) Z7' 4 I7 WARNING TO OWN RU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I author e abov name ontr ctor, o do - the work stated. Signature of owner and/or Condo President Signature of Contract or Owner - Build Date' / - _~ - Date/ � _' , " ^ :P a / FEES: PERMIT C C ° RADON C.C.F. /001 NOTARY TOTAL DUES ** Other Electrical Engineering • Attn Name Job Address Home Address. -(.' Home Phone;, Remarks Called Back:_ v T Type Root Diagram Sham -Or •SI 0 1 1 1 1 81)-(. M) c. i7d Business Phone' Repairs - New Roof - Inspection - Beeper # Results: 170 ESTIMATOR BELOW THIS LINE a• Job Information STACK F ASHI GS 1.1/2" _ 2" _ 3" — 4- No of Sas 07 5 1 Amt per Sq. S No. of Sas ' • 0 0 1 Amt per Sq. $ Refe•red By �.r 9, c; r ; -S'4 o a -e y 112 SE No Stones Job Access Date Estimator's Name Present Tv Roof 5 3 /✓ 0 r4 tie o.a e d a mount will he $2.50 per boards exceeding the allowe Rafter ends at $4.50 per Ln. ft. Stories 4. . •j . r 114.SE 1.6.S E 118•S E 1110•S E 1 Sheathing 118 214 216 218 2110 TOTAL Ln Ft and Sizes - of - Wood Needed Special 1 43 er i 9 s /3 636 Ln. ft. Fascia boar( We agree to perform and complete the work in a workmanlike manner ONE THOUSAND SEVEN HUNDRED FIFTY eeiLcah mi All work In he dor 7 i To Job Location 1 Reroof C.E. ShEppARd RooliNq ixc. MR. NICHOLAS 0/ 576 -8184 story gravel roof: 4 • 41 N.W. 20 STREET MIAMI, FLORIDA 33127 Date 7/27/93 576 -3618 685 -6969 Licensed & Insured Certificate of Competency No. 12115 Cont # Starting Date 5: - . ...WORKING DAYS 826 N.E. 92ND STREET of Work REROOF Owner's Address .SAME AS ABOVE Cit MIAMI, FLORIDA • Phone Number 7 5 1-4829 Terms We are pleased to submit the following Estimate and Contract. SPECIFICAT 1/3 On Execution of Contract, 1/3 On Tear Off /Dry -In 1/3 On Completion ,50;tg roof story tile roof: Remove old roofing down to smooth surfQ and haul away debris. Tin cap one 30# felt to smooth roof surface, r� install 2" galvanized eaves drip outside edges, mop one 90# slate to 30# felt with hot asphalt. Install lead stack flashings and galvanized valley metal, where necessary. Lay ❑ Guaranteed against faulty materials and workmanship for a period of years. Remove old roofing down to smooth surface and haul away debris. Tin cap one 30# felt to smooth roof surface, mop two 15# felts, to 30# felt, hot moppecj between each layer, install 3" galvanized gravel stop metal on all eaves and strip, install new lead stack flashing's: Cover roof with p rock in flood coat of hot as .,'a Guaranteed against faulty materials and workmanship for a period of years. Reroof story # fiberglass shingles. Remove old roofing down to smooth roof surface and haul away debris. Tin cap one 30# felt to smooth roof surface, install 2" galvanized eaves drip outside edges. Install lead stack (lashings and galvanized valley metal, where necessary. Lay # fiberglass shingles as per S. Fla. Building Code. years. _.. . • . ...I . • • . . .. • Date MIAMI SHORES VILLAGE 60 -b , Odd E /24 APPLIBATIO Building Inspector BUILDING ONSPECTION DEPARTMENT Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by flow) felt, mop 1 - 90* $,1 Ate. Ins.tall . Estimated Total cost of improvements $ 5,750.00 FOR BUILDING PERMIT l° L v Application is hereby uindc for the approval of the detailed stmt.:m nc ur roe plans and specifications herewith submitted for the build in 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. 83 Owner's Name and Address N. K. Nicholas _ .. No. 8 . ..6 _.._ S _NE 92 St. Registered Architect and /or Engineer .,:,, .,.•• .,„rr<rae•:•,,,„,t, Name and address of licensed contractor Biscayne Roofing Co. 5130,, E. 11 Ave. Hialeah, S ubdivision ....._.__...__ 826 N. E. 92nd Street Re -Roof. Remove existing. roof. Tin cap 1 - 30# while, flat cement ._ .a.12 5 S q . _ ......_ Apply 511Raatla....sul f a.ce....r.fac/f. .QVP..T_'.... front .....i�S2Dx. -.� a... &CQ,. and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories 1 To be constructed of Kind of foundation Roof Covering Tile & Smooth_ Amount of Permit $,. ZQ: :. QQ _ Surface 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.. Bisc .a.yne...Ro.ofing....Co.... 5.1.8.Q...E......1.1...Ave.. Hialeah., .F1.. 3.3013... ... 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 scith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed tinder this permit; and will post or cause to be posted for inspection on the site of the work ch public notice or notices as are required by the Act. The undersigned agrees to employ only subcontractors, on work to be pe5ormed under this pcnnit, as are licensed by Miami Shores Village. Remarks v (Signed PLANNING BOARD Notary Public, State of Florida My Commission Expires DATE STATE OF FLORIDA, COUNTY OF DADE. d ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared James T. Laing _ to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. ROQ.f.J..lg ontraQtor of the above described construction, that J e hag carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stat ar true. . ( 1 2't .' Read, Sworn to and Subscribed before me. Disapproved (Signed) Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making caarections or changes to this application after approval has been obtained from the Plannir.;; Board. A rc•in.pection fee of $1.00 will be charged when aereh re- Inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Disapproved , y (Signed) (((/ i PPL1CATI N Fit P '= UPI-DING 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. Owner's Name and Address _ ::'..a.___L_2 0 - • Z No 826 Registered Architect and /or Engineer Name and address of licensed contractor__,Iv:.a IV 2.7 .��' -�aa__a_a.�,' �` � ,ti<1:,__ 4 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done IAM Sa "ORES VILLAGE 8UILDBNG INSPECTION DEPARTMENT to State work to be done and purpose of building (by floors)_, Date Oc Street.Z� ,19` lj- - uW. _. f ..r .i '. C, C7 r, {.` � C, L L W�J,. �. i ( •r and for no other purpose. New Building Remodeling Addition Repairs.. X. No. of Stories To be constructed of Kind of foundation Roof Covering... g - -- • Estimated Total cost of improvements $__.22C_ Amount of Permit $.5... Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be poste 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 subcont ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. - i Remarks (Signed)__ _ - > • J 4 1 t . ( -* . t. ...4' STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer peared oaths and take acknowledgments, personally ap- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. q Permit No A- 3_ . Date Ge ( Read, Sworn to and Subscribed before me. Notary Public, State of Florida ing Inspector 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. Remodeling Kind of foundation Estimated Total cost of improvements $..i .f..a;'D. ' • 0( Zone cubage required Distance .to next ne.uest building Maximum live load to be borne by each floor New Building To be constructed of Permit No.. Disapproved (Signed) MIAMI S ORES VILLAGE APPLI CATI Date.. Building Inspector NOTE: A c•h.irgc of $1.00 will be made for the Planning Board. A rc•in'pection fee of 51.00 will be charged materials and /or workmanship. BUILDING INSPECTION DEPARTMENT N FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement or me plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address . - �� t.rAl?�....... Registered Architect and /or Engineer Name and address of licensed contractor...C.B. L S — 10.4.1,)4 11 d Location and legal description of lot to be built on: Lot Block Subdivision ...... ..__ Street and Number where work is to be done 2 _ `a/ ,'E....._ . a_ r ..... i �% Date '1 ° 0. State work to be done and purpose of building (by Moss) . J '° " Daeo..._... . =u..�. Qk a ,19. FL.. — No... . Street _...._. and for no other purpose. Addition Repairs No. of Stories t _ Amount of Permit S Flan Cubage Size of Building Lot I hereby submit all t and specifications for said building. All notices with reference to the building and its construction may be sent to.. c=. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Leber under theFlorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe 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 pcnnit, as are licensed by Miami Shores Village. Remarks. Cnair:nan Member Member .. _....._......_..._._ ...._....... Council Approved Date (Signed).- .( STATE OF FLORIDA, COUNTY OF DADE. ss. Bcfore 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 ell facts therein by him stated are tnie .t. ttt to .ennst.sws.e•»s to and Subscri J fore m Otiry u lie, St e of Flo My Commission Expires: PLANNING BOAR DATE Roo Covering 1 WV Q Member Member Member ...._ Disapproved Date malting corrections or changes to this application after approval has hecn obtained frmn when such re- inspection is made necessary by dmproper notice for inspection or faulty