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ROOFINGBUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA ❑ DATE. 19 '-j -e ❑ N? 3 7 8 5 Contractors ,R.-- . . .� ❑ PERMIT License No. I 0 ❑ Work to be performed under this Permit CONTRACTOR OR BUILD BY Legal Lot Subdi- Description Bl. vision Address of Value of Amount of €." Building �` , t , Project $— �� Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if '.he plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he• assumes respon- sibility for work done by his agents, servants or employees. Signed. / ' ''INSPECTOR 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 as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. AUTHORITY, ABBOT PRINT BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. p PERMIT Bl N? 2694 FLORIDA Work to be performed under this Permit —__ Subdi- vision Value of :Project $ DATE ` ' ' ; 195 Contractor's License No. Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings_ or ir the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INEPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Date PERMIT APPLICATION FOR :MIAMI SHORES VILLAGE Job Address /02/i /1/6 9� f Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant (kA ke l Master Permit # $ g67/ Owner's Address 9/0 Alie. /r / c° .1 /0J &I VC- ink,„, Phone � -- 7-s 903 Contracting Co. 4I/t..( g00 T/ -, ,/^ . Address ....c.-J xs-' /go, /.j r2 / Qualifier Oe4 nir -t A .. SS# - -_ Phone .,q0-1"07 Z_Ioi State # CZ C.— c% ?7oF Municipal # Competency # Ins. Co. 'ieTCZ A Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION p ,_ Square Ft. IS WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wiles done in compl' : ce with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work s 1) gnature of FEES: PERMIT r Condo President No . . s to Owner and/oi j N TAii My Commission Expires: 1 CYJDYS j "inLAR Nt:1' ARY a JS 1C TA .: ®F FLORIDA CC:MMISSION NO. CC714103 NI" COMMISSION EXP. MARL 1 7 APPROVED: Zoning Mechanical Plumbing 3D Estimated Cost (value) (t7 RADON C.C.F. 1 0 ` ' NOTARY Contractor or Owne Builder CiA7t�; `,r17 ,g gate ssion Expires: ,711.1 Y PUEUC S'1 ATE , Ci. x;,pR,�A L Ci'3 *I,m.4ISSION ? O. CC/l4 c3 itY COMMISSION EXP. MAR 1,2 BOND TOTAL DUE 40 7 /? 4' Building � I Electrical Structural Engineer MAR -23 -01 03:33 PM PERKINS ROOFING CORP. .I I I'1 (I') /117 /20II; Ilird Tart' Skylights. 2111 Longhorn Rd \1'u1•1(1 , rX 761179 305 681 5397 P.03 ,%11,011.1).4,11I, t (ll.'. 11. 1 I t)k111 \ \(lil l;t)•1): \O1 I.1 , \ :.l ISIt Itl ll,t)I %Ii 111 \(: t ('i).\1 t: I I('I; NI( 114().11 1111 I'I tttt,l I( 11('11 111 \t. In WI VI I I.. \(.1.I:It .1;1111,1, sl III, P»It' \11 1;.t1, 1 1.(11:11).1 111 1II.1lr.: (itljl 1 7f._gtll 1 1 ttltl 1't. : ('I)\ I'N.\('Illlt I;'!'(Ilt( 1: 11 1111 t111I\ 01141 31!.p1■11 IN t 11HI 17! •,'My\ Your application lilt Notice or Acceptance (NUA) u(: \luulinuul hruntc 1nl %rhonate Unmutt S1;)'ligbt 'Mier C'halner Y til'tilt: Cod: ol'Mi ;imi -D County t1w tist) ul'Alternale Mcnl:riuI. arttl Alitglrustiuit, and cutnatltaely deswl•il>Lti herein, Icl. Nen r:eotttmendod lur acceptance by the 1Mionti- 1)atic auny Building Code Cumpliunce Orrice (13CCO) under Ott: condition sheeilied herein. Mitt NOS\ shall nut he v;tlit! alter the expiration date al:,Itetl below, I1C(.'() reser\'us i(t riktht to it;rti e Ihi� rudut:I or material ;It any time grunt ;t jubsilt: or m: plant I1,11" ytlo i. control testing, II' this Induct or material IaiI, to hcrturlu In the approved manner. I3CCO may revoke. nu dIry, w• suspend Iht I:Ie of sticlt product or materi;ll immediately, 13CCO reserves the right to revoke this approval, il' it is elenttincd by 13000 that this product or material (Ms to ln'c( the requirements or the South Irloritla luilJiug Code, .11e expense of such testing will be incurred by the nt:uu.11'ueturer. AccllI rA11 c1 NO,: lln-(aia.t.o�, EXPIFi1W: 17111 /7111 1ZnuI Itttvri suer Chier I'rudl.lct Control Di\ isit u I'IIISJS COVKR.511I•:I:T.,ti ADDITIONAL VAC ES 1'ORS1'I ?CJF1C ANI) S ;IaVKRA copiorri 1'<U Lpt Corn: IROI)UC'r n alLunirE..; his application lot' Protluet Approval has been reviewed by the I3CCO and approved by the lloiltUn 1'de and l'rodtl(:t Rt;vicw ('mmntittee to be used in tvliani -Dada County. Florida under the conditions :wt I )rth altt)twe. t t \ I I I If s ICI: \SI M. %I.4 11(1% ( 111 ) :IIt1 17. :41< 1'11U1)1 ( 1't'ILYI't11r1.111\'1.'ItI\ (1l0 )17 5•,`,'N) ` I'A X 1 trl `r 17; a1,t to 1 t:U .1. t,)uiolatt:t, F)irt:elttr tt'liattti- l)a(Je County Budding Code Culnlltinuce ()like 5 ( 1 0 Ooluavinut \1•)Ikc .tcceptanceto -a pip 4gt 11 icrilei ll uddIvvit 111 111111 ll r I • I 11)1111.11,1V. 11I1:r fttt��. 1�lIIlJilat;t'utltlmlitlt.tr 1 MAR -23 -01 03:33 PM PERKINS ROOFING CORP. •I SCOPE This renews the Not Aluminum Curb Sky with the South Flori the pressure require Rating values indicat PRODUCT DCSCI The Dirdview Mum the following docun Birdvicw Skylights, Control Approval st County Product Con drawings. LIMITATIONS All permanent set c times. LABELiNG , Each unit shall ben following statement: according to the rcqu BUILDING PERM 6.1 Application 6.1.1 This 6.1.2 Dupli Acce instali 6.1.3 Any Code 305 681 5397 ACCI:P l'ANCX NO. tit -t)52a.tt2 . SE.P - 7 2000 APPROvb ;l} ItX1'IRi S NO'l n rLeil'l'ANCt S�'1'1- II1 0 ON 07/0212003__ P.04 cc of Acceptance No. 9G- 1210.03 that was issued on 07/02/97. it approves an iglu as described in Section 2 of this Notice of Acceitancc, designed to comply a Building Codc, 1994 Edition far Miami-Dade County. For the locations where icnts, as determined by SFfC Chapter 23, do not cxcecd the Design Pressure in the approved drawings. IPTION num Skylight and its components shall be constructed in strict compliance with ems: Drawing No. 013696, sheets t & I, model "6SI"D- DADC ". prepared by dated 07/26/00, with no revisions, it bcars the Miami -Dade County Product nip with the Notice of Acceptance number and approval date by the Miami-Dade rel Division. These documents shall hereinafter be referred to as the approved mponents must be protected against corrosion. contamination and damage at all INSTALLATION This Aluminum Cur Skylight must be installed in strict compliance with the approved drawings. a permanent label with the manufacturer's name or logo, city, stele and the "Miami -Dade County Prod Control Approved ". The plastic shall be marked rements of Notice of Acceptance f! 00-0718.02 T REQUIREMENTS MENTS tier building permit shall mice of Acceptance. ate copies of the approved drawings, as indicated in Section 2 of this Notice of tnncc, clearly marked to show the components selected for the proposed lion. ther documents required by the Building Official or the South Florida Building SPBC) in order to properly evaluate the installation of this system, be accompanied by copies of the followinZ: Candido 1 Font P.C. — Senior Product Contrtul Examiner Product Control Division 2 of :1 MAR-23-01 03:34 PM 4. I 2. +' ►i�r. ti�ligllt+� tar Renuw►ti of this Accehl► original submittal donut ( years. Any and all approved pr railowutg statement conditions of this /tcccp Renewals ofAcecptnnce a) There has been a eha product is not in com b) The product is no ton c) If the Acceptance ilol installation of the pro d) The engineer, who or no longer practising Any revision or clinnge in cause for termination orti n revision application will Any of the following shall a) Unsatisfactory perforn Is) Misuse of this Accept: MO Notice of Aee ptance data may be displayed in a shall bo done in its entire; A copy of this Acceptance provided to the user by the all time. The engineer nee Failure to comply with any This Acceptance consists u PERKINS ROOFING CORP. 305 681 5397 ACCEPTANCE NO: Ilt 5 n ,' l'l'UZC)VED ; SEP - 7 2000 l; J I N Eti _07102/200.3 C C' Pl'AbLE4_n NI)Ali:l> ay1) ' ' nee (approval) shalt he considered after a renewal ;application has been filed and Ih4 lentalion, including lcs: supporting data. engineurii►u documents. are no older than eight duets 3ho01 be permanently labeled with the manufacturer's name, city, state and the inmi - Lade County hrodliet Control Approved ', or as specifically stated in the specific nee. will not be consistcrc:d if: age in the South Florida Du NN; Code affecting the evaluation of this product and the iiianco with the code changes; !er the same product (identical) us the one originally approved; cr has nut eontpfied with all the requirements *roils acceptnncu, htcludinl; Ihu correct lust; gitlalty prepared, signed and scaled the required documentation initially submitted, is c engineering profession. the materials, use, and/or manufacture of'ilia product or process shall automatically be is Acceptance, unless prior written approval has been requested (through the filing or appropriate fee) and granted by this office. also be grounds for removal orthis amncc of this product or proccsS; lice AR nit endorsement OI'nny product, for a:tie', advertising or ,any ot purpose. Lumber preceded by the words Dude County, Florida, and followed by the oxpirntiun !vertisiig literature, It any portion of the Notice or Acceptance is displayed, then it s well as approved drawings and other documents. where it applies, shall be mnnufnetureror its distributors and shall be available for inspection at tho job site nt s no; reseal the copies. scelioo of this Acceptance shall be cause for termination and removal of Acceptance. pages I.2, and this last page ). END oh'ri•lly ACCEPTAN Candid°. F. F0111. 1'13. - Senior Product Control l?xnniiner Product Control Division 3 or 3 P. 05 somranivogl I I (1•411.^1.01a fl 81111544111 6■1:11 (WPM ACQPIANCE MAME bEROVIEW SKYLIGHT THE CLEM CHOICE istp"e•G•imiro. trv. PO INFO CO 04•1) CARL T • Ott • - • • ay. *nu no I_W / norm CIENGM 111159141 Lame e • 3141111 i MEGLAIN • a; rit maCIII.1614.10/00.115611/101T pLq 141 .1, ALL MOON r•G °MU 114,41. CD•flAr %lift Margit So al IDit SliC orie4.104 Wawa Flan swab( III PO EDO% %AMC' tom Maus oolmOuor nesuumpogt. KIR woman:No JAZ tops 111S. MO Ali Tot Imteei ~DWI ..— • •• • law... gin.W11 lOook1411:44aDtti51551213 wink ll 4•660061 81001 OrtosevC OW Dip.* 411 14 .1e • 1610.161.• a4 tioute • 6519:1•1113■• i4li7l VW • 46•Dialri lEClIiC • 451.0ono• log 41 PAK Mr • ilit03•21 - 3• aroma - VTR Jr P lArNia• • pit 1.4 z• ale E. M4 111 MCI Al WC 691031•36 - niji - grit mi. uts am raw • Jo act No Mr 6811111306 30 lir I 14 Ur IU) Bir S oi Wei os MIN firliNCA Uload KUM . both: matt PelturAmowair lI4 afrAmoielop.00r is.Cc • Se 0:0.11 &MOM SIALS•30 roas ono rher160 NOM olocweOlog %O&M &WAIN:04 SACK Ma'am Aro. Ifir xoi Chr141 MOON Ausr uu.muurountAgIQHMAJ.19. [OW orilmoC tampgiCP4 a/MS I &dial I S COACIDISAUL GUINN ■11114 r u3I kOCAT10 WS cowrie ▪ y� I us*Iffel 1Ii tron.r..V. [mull) te0.1 Criv.i.* NO ' • ▪ WAS �N wale TM( ItA0110* SW tit oupomooNowo.Nis.ctos I I4I - Mi e+.1.1.04.64 TO Di (t) el bOV lour Ay f11227 Ann sof:WM n• C011,410 1/430I ROC AND %Woe ICITIC Iii O1)43.! • in WE St MOM I IMMO artims na saws us am Z 2 0 SIMS OR PAINIMPLII tura atcutaa r.g9-os74 liii IIlNI(U13I ICalw or Do COWIN. MASIMIL ON UN1 ER Bi IN.Vranav MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Owner's Name and Address_ _ _ - ' 4./ P t e i 7 ' S i.1_ !_ l 1 No.-Z 2 Street Registered Architect and /or Engineer and address of licensed contractor_�l�lf% �1 a7 1d L. %'l Location and legal description of lot to be built on: Lot___ Block Subdivision_ Street and Number where work is to be done l" /3 . ;_ J / � 4'; /- 0- 7Gk'.'i / � State wow to be done and purpose of building (by floors) � �frJ • / �'ur� ° ? = �rr c &e vec • •3 °.f'a"4' Disapproved (Signed) !► Building Inspe r BUILDING INSPECTION DEPARTMENT Date a/ 4 - - C- and for no other purpose. New Building Remodeling Addition Repairs No. of Stories.! `?` fr To be constructed of Kind of foundaion Roof Covering igi O / Estimated Total cost of improvements $ l d Amount of Permit $ Zone cubage required _ _Plan Cubage Distance to next nearest building _____Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the 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 ite of the work such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such s co�ty�Ictors, ory ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks____ (Signed STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -- - - - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._____ (7 ZZ Read, Sworn to and Subscribed before me. 9 Z. 1. 4 / Notary Public, State of Florida My Commission Expires ANNING 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. BUILDING PERMIT APPLICATION FBC 2001 Owner's Name (Fee Simple Titleholder) $ Value of Work For this Permit Type of Wprk: ; ❑ Addition Describe'Work: IRE Total Fee Now Due $ (Continued on opposite side) R,) h Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 6 9 ~ qc Master Permit No. Permit Type (circle): Building Electrical b' Mechanical UaGA cQw Owner's Address /2/ 3 /V6 9qI? 'f 7Z T City /4/Ail 1 SNO/les State P(021C.I./d Tenant/Lessee Name # Zip 33 / 3 g Phone # Job Address (where the work is being done) / 0/3 Ni-- 7 Ty STgce -T City Miami Shores Village County Miami - Dade Zip 3 3 / 3 g Is Building Historically Designated YES NO / I &WSi _ Contractor's Company Naam e X J eix A (. ) Contractor's Address /6 0 ) 761 Ave. "'km/ . 33 t/4 • City State Zip Qualifier Te bTh ! A 0:e I/EJ) Architect/Engineer's Name scab - Phone # New (Z C)f Square Footage Of Work: gOa RRair(Replace 5 6 Demolition 0 L. DAR * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ SO •C7 U Permit Fee $ t2 50 CCF $ `/ Q C CO /CC ..�� Notary $ Training/Education Fee $ (� Technology Fee $ 6 i Scanning $ �— Radon $ - Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good aith . copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property i ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first in . etio chic occurs, e,Yen (7) days 'afteti.'tb • building permit is'issued ,• 'in 'the. absence of such posted notice, the inspection l' t R appro ed and a reinspection fee will be charged. • + • As identification and who did take an oath. MY COMMISSION # DD 267430 EXPIRES: November 16, 2007 * * * ** * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 Signature * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Agent /,(4 umen acknowledged before me this �� The for g instrument was acknowledged before me this /, //// .../ , 20? , by , day of A-—, 20 y who is personally known to me or who has produced who is personally known tame or who has produced as identification and who •'d take an oath. NOTARY ' , NOTARY PUBLIC: Sign: ' — `t itL►. Sign: Print: „ • ; ON Print: My Cominissio E. ;_ My Commiss Contractor 0 :Rr s MY COMMISSION # DD 267430 • EXPIRES: November 16, 2007 *0113 tIrridrAcn * * * *golotts, toktodnk/krkdo crook Plans Examiner Engineer Zoning (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * ** * * * * * * * ** * * * * * * * * * * * * ** • o$/oriel 16:01 FAX 305 375 29 1 i Job Address (� New Roof DUX. CODE CONFLWIC ■ i I. H. C EO I � .■ ■ .. ■I IL. ••• MOEN Mar ■rrsn■ ■■ till • ewes i f ■ • • I3as. .I 7 • ma a ■ i■ u ■ i ■ ■ 1 IENNE I.UI /ui■f i I j a ■ IF1MX1 1 I ENE ��7 ■ i NMI #= BMA = ei-oer y4 ON High Vebclb Hurricane Zone LMlfom► Permit Appeca6on Form Section A (General Information) M Pert No -000 -- 1* - Process No..- - - -- — - a0g ooF tTGt Contactors Name M/ . f � t /2/3 s ROOF CATEGORY __ _ _ _ _ • 0 Mechanically Fastened Tile Q MortariAdhesive Set Tile [I As , ; c C] Metal Panel/Shingles ' 0 Wood ShingtesIbhakes Shingles • 0 Prescriptive BUR -RAS 150 ROOF TYPE Re- Rooting Recovering 'C7 Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slops Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) y lyTCl�, Section B (Roof Plant 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. i1. 1111 * 1 S 111111 :11: 111„ '•!III I•r -t Uilf' _I::IT':11.i e ®003/006 J 3 Fill in Specific Roof Assembly Components and Identify Manufacturer ( not used. identify as NA') System Manufachser: 2:iL- NOA No.: 03- 0 , 50( , Design Wnd Pressures. From RAS 128 or Calculations: prnax1z_431 pmaa_r_12.2.4max3:_:-/Iti3 Max. Design_ _Pressure. From the Spedfic NOA. SYsterr Dadc Type: 0/15 Gaugenhickness: S safer. Anchor/Base Sheet & No of AnchodBase Sheet Fastener/Bonding Materiat_ insulation Base Lar Base Insulation Size and 'Thickness: Base Insulation Fastener/Barka:1g Material. Top InsulaGon Layer: Top insulation Size and Thickness: Top Insulabon Fastener/Bonding Material: \ Base Sheet(s) & No. &PIM). Base Sheet astenenBonding Wade,: Pfy Shee4(s)& No. of Ply(s): Ply Sheet Fastener/Boncing Material: _ . • Top Ply:SX.c..b eAO'l 1, To c2:C-14. Top Ply Ply Fastener/ Bonding Material: .- rforck Surfacing: - 60F 7 .41vcat t Section C (Low . 4) 11, e 4 .) A 75 BA-Se Stteel L7.) ; • Slo ed Roof System amomumm Fastener Spacing for Anchor/Base Sheet-- Attachment sekt 1/2 oca Lap, oRows_g_ cc Perimeter 67 oc Lap, Rows 4 (1 oc Comer:le:0c Lap,' Rows 6 -ec Number of Fasteners Per Insulation Board Field Mustn't() ComponeniiNoted and Details as Applicable: Woodblocking, Gutter, Edge Terminti aon, Stripping, Flashing Continuoui Cleat. Cant Strip, Base FlasUng, Counter- Flashing, Coping, Etc.. bsiktatt: mean- Root Height Parapet Height Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply vifth RAS 111 and Chapter 16. < et (I P 4 Z t -9 II 4 .4 ,e sob * eIIa II' /V 14 --- 31+93" 24 41 I. Corner Work is to comply M1�FDiA� 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 covering the use The station submitted has been reviewed by the ECCO and Bu ld of construction an P rodu c t Miami Review Committee to be used in ami Dade County and other areas where allowed by he Authority Having Jurisdiction (ART). • Thin NOA shall not be valid after the expiration date stated below. The Miami Division (In Miami Dade County) and/or the AHJ (in areas other than Miami DadeD C o nty) ou County Produc Control have this product or material tested for quality assurance per product or material fails . If this ') reses to the fir in the manner, the will incur the expense of such may immediately to rm l ig revoke, '. n' suspend the use of such product within �r Jurisdi or material AHJ ma to revoke this aooeptance, if it is determined by Miami -Dade ction. BORA reserves the right Mi material fails to meet the requirements of the applicable building >'rodtut Control Division that this product or 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 Ruberold® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or log 0 following statement: "ATami Dade County Product Control Approved" '', state and RENEWAL of this NOA shall be considered after a renewal ' unless otherwise noted change in the applicable building code negatively affecting performance of this productt there has been no TERMINATION of this NOA will occur after the e materials, use, and/or manufacture of the expiration date or if there has been a revision or change in the Pmt or piss. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOG. A the DVERTISEMENT: The NOA number preceded b the words Miami-Dade County, Florida, and followed by be d expiration Y be displayed in advertising literature. If any portion of the NOA is displayed, then it shall INS ' CP ION: A copy of this entire NOA shall be provided co the user by the manufacturer and shall be available for inspection at the job site at the request of the B wil or its distributass l ding Official. This NOA renews NOA #02-0408.10 and consists of pages 1 through 31. The submitted documentation was reviewed by Frank Zuloaga, RRC. MIAMI DADE COUNTY, FLORIDA METRO -DADE FLAMER BUILDING 140 WEST FLAGLEIt STREET, SUITE 1603 MIAMJ FLORIDA 33130 - 1563 (337.5-2901 FAX (305) 375 - 2908 NOA No: 03-0501.02 Expiration Date: 11/06/08 Approval Date :10 /23/03 Page 1 of 32 Product GAF Asphalt Concrete Primer (Matrix zwc 307 Primer) GAF Mineral Shield® Granules GAF Weatherfoat® Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating libeled 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Flex PlyTM 6 GAFGLAS Ply 4® GAFGLAS ®Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated 1, 5 gallons ASTM I) 3019 ASTM 1) 3409 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide ASTM I) 4601 ASTM D4601 ASTM I) 2178 ASTM D2178 • ASTM D 3909 ASTM 1)3672 ASTM 1D 4897 ROOFING SYSTTM.APPROVAL Category: Roofing $ub- Category: SBS/APP, Modified Bitumen Deck Type _ __ — -- _ —Wood— Maximum Design Pressure -75 psf Fire Classification: See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TASKS 1 Twit Product Dimensions Specification Description 5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 60 lb. Bags ASTM D 1863 Granules for surfacing of exposed 100 lb. bags asphalt, 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. 1, 5 gallons ASTM ID 2824 Fibered aluminum coating. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type N asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23/03 Page 2 of 32 Membrane Type: APP /SBS Heat Weld a i Deck Type 1: Wood, Non - insulated - — - Deck Description:— - " /" or greater plywood- or wood plank decks - - — - - System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: GAFGLAS #80 Milian( Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat Weld ' Smooth or RUBEROID SBS Heat Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4®, GAFGLAS Flex PlyT' 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -45 p: :f, See General Limitation #7) GAFGLAS® Ply 4®, GAFGLAS Flex Ply'' 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill-Ter (GAFITTE) #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. GAFGLAS Flex Ply 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. Maximum De ',, ' A- : 1 r 2.: See General Limitation . GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill-Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -60 psi, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill-Ter (GAFTTTE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field (Maximum Design Pressure -60 oaf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill-Tec (GAFI TTE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -75 psf,, See General limitation #7) Ply Sheet: (Optional except over RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID SBS Heat Weld) One or more plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6® Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs.sq. or Ruberoid Torch Smooth torch applied according to manufacturer's application instructions. NOA No: 03-0501.02 Expiration Date: 11/06/i08 Approval Date:10/23/03 Page 28 of 32 Membrane: One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, Ruberoid® Torch Plus Granule or Ruberoid® Torch FR torch applied according to manufacturer's application instructions. Or _ _One or more plies of RUBEROID® Heat-Weldni PLUS, RUBEROID®-- -- SBS Heat We1dTM PLUS FR, RUBEROID® SBS Heat We1drm 170 FR, RUBEROID® SBS Heat WeldT', RUBEROID® SBS Heat- WeldT' Smooth, RUBEROID® UitraCladT' SBS and RUBEROID® SBS Heat WeldTU 25 applied according to manufacturer's application instructions. Surfacing: (Optional) Install one of the following: 1. Gravel or slag applied at 4001blsq. and 300 lbisq. respectively in a flood coat of approved asphalt at 60 lb./sq. 2. GAF Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. or GAF WeatherCoat Emulsion at 3 giLJsq. (Torch Smooth applications only) 3. GAF Weathercote®MB+(Matrix 715 MB Coating), Applied at 1 to 1.5 g&1• 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 galfsq. Maximum Design Pressure: See Fastening Above NOA No: 03- 0501.02 Expiration Date: 11/0608 Approval Date:10/23/03 Page 29of32 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply n4 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum y" D e n s Deck o r /Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fine classification is not part of this acceptance, safer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbssq., 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 application of either system shall be at a minimum rate of 12 Ibssq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 pt 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 Ib£, 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 maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TM 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter 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 comers). (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 accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03-0501.02 Expiration Date: 11/O6/08 Approval Date:10/23/03 Page 32 of 32 190 Insulation: One:ornithe layers perl0e, glass fiber, isocyanutate; urd • • .. :thane, perlite/isocyaninate-comitsite, perlite/urethine composite, phe- nolic, 1-1/2 in. min thickneis (offset from plywoodjoiritst 14' • -;• • .11aie-Sheeb :Ortetot morrhyers Tnie GVer • /-• ?Ply Sheet (Optima One intiorelayeth Type_Gti- — — NremitiCniTiOrtibr moue layers "Rubetdd Torch" (Sitiooth or Granule); "Ruberaid Torch Granule VIM" (Siooth &Granule) or "Ruben/id MapPhis Grainge!...: f. • Karnak NO. 97 310Ni, 5. Dec C NC 1/2:'•/••• Base Sheet (Optional);. ..One or more layers Type Gl, G2 or tia■•• .Aembrane...Oiseccreorelayers litilse7P4d Tr Pr Cr -411 ° 11 4 744b erPlif.Torft*.crallUdePbsr / . • • : • . • . . • St.lifachig:VP*410, . .PL.1:44r 4:11:/ or Grundy Ind. "20 F Emulsion" at 3 gel/sq. 6. DedC C-15/32 , / I Incline 1 / 2 c • • t ...,,,..10004am..,.01r.:94.- 'n4ura44etlialte r eilE kgr ur a#:,C9-0F°Eti4t1 3 ,04e7Wi64 c° Base Sbeet (Optlithai) ' (*or nn/re 1418.1)+0e:4 or One Ointote 14 ,4"Ilisbeitha Ta ider4Trainule, . . or "Ruben:dd MoP•Pltist6nule". ”Roberidd Torch CrantlerW;'14iliethid.140 -• ite6Vrart,e1/.114e• Grn& liiir(PitIC. • :104//iu.scft - L •,„ 323 r , . t,t.ret .errf MU, • (Opliotidk- Onebethine witditilbiii glass fibeAlr k&ailiPl ariamelyrdirP. . „ Peril*/ urethane composite, wood fiberisocyarturate contpuirte.Y Bali. Sheet Twoottribigi 4ip (4 o G3 - 111 sh toodo • oi t i* ififire , ira . leaGlikr • Membrane One or more Iayers oid Torch" (SmoothOCtinule), Ifilbemillotith'Ciatitild•Pfne, , • • ' or ' RuherolcIllop Plus Granule". • ' • 4 . 11 . 1 :ft:c" ' s Siirtunt* 'KitMak NO. 97,•#1/.2 ga.Vicint gravel. 'L1•' Insulation: Oie in More layers perlith, glass fiber, 3/4 in:464:-Nocye: nate; urethane Perliteli°ete cftsitel'eril4ttilitilanet,;+//,/ �m- po8ite, l-1/2 in min. , • Base SheetlOptiimalk ' TyPe• G1, '• • ''••• 'Nterne hOtte or Snare laybil"Rubistid Tara" (Sindotii*Gtanule), "Ruberoid Torch Granule' Plus", "Ruben/id MeV (Sticiolli'OeCtanule) or lthberold Moii Phi Granule". 9. Deck C-15/32 • • Stirfatthe Grundy 'At mffAhthglituni-iiteicoiiinedi-2*4 insulation toptioioh: • Oneh Wets pedite, glass 080/4 in . • neYartimste;' tirethane,"Peilitelikeyinthate urethane composite, phenolic, 1-1/2 in. min. • • • ••,• Base Sheet One or morelayetioType•MIGAFGLAS #75 Base Sheet", hot mopped &mechanically fastened in place. • )*:%1 t - • •:;:: Ply Sheet. One or morelayers,Type GIIGAFGW Ply-4, hatmopped • . Memlnand•. lluberoid Mop:170 FR": Surfacing (Optional): "GAF Filiered Aluminum Cciatine at 1-1/2 D lal e / t 2 or 'GAF Weather Cbat:Emulskse at 3 gal/sq.. -••• 2003 MATERIALS ANDFSYSTEMSDIRECTORY ROOF COVERING MATERIALS (TEVT) Roos (TCF13),-Conenued 12. Deleted la* - Deleted. i• • •••:/. • : • • ••. 14 Deleted - 15. Deck C-15/32 c. ; • Incline 1/2 immlafirm; I • Nate; Set:Oa:94i isowsnumteurethane • or 1 composite: , • •• • ' /:i • • Sheet- •Oneot cally faste inotelayers Type G2ur .C3 base itheeticitMopped or mechanined. • • ; ; • ft Ply 'Sheet (Optional): One tor ntore laYers.117Pe fu* mopped in ' 3,7 • • • Meinbrane ."Ruberoid Mop.170 ; .1 .• .: • • -? 16. Dedc C-15/32 Incline 1/2 /:,/ • Initiation (Optional. Perlite,• fiber glass;isocyariurstermethane or perlite/isocyanurte EomposItel offset.6 in from•joints.m: z Base Sheet. One OT more layers 'Iype C/2 or G-3 base sheetha mopped or mechanically fastened. Ply Sheet (Optional): :.Onnur. more layers Type C-1, hot:inopped in place. LOOK. FOG•THE 111 Roofing Systeins:(TGFU)tContinued /: • '. Meinlirane3,0:te layer Ii1Rithensid Torch Sntoothror."Rulier' old Snoods". '• : ' ••! ' . - • • .: : • • :: •: •:!• Membrane :..Che layer "Ruberind Map 178 • • .9.: .1 / : 1 7. De NC • _ -- .1 . _Indlne-1- --- - -- -- - - - - I nsuraikiii(Optionallp ..Perlite, fiber glass,. wood: fiber, / 1 # 0 grall . •::- - , • •. urethantor p erl W i socyanurate;Composite-,;;,:•.::::i,,;7) ; ',".:. A '. I ; e.ar Base Sheet One or more layers Type G2 or G3 base,sheet hot • • ::: -......::' •:: • - . ortitediarically:fatereit • • • .::: •./•/10 -,../,) :••: • - -i-/-: ::' ..:'1., ... • Ply Sheet (Opfional) One or mare takers 'We OF, hor • ' • - : • • pitoO,/ . 7n•i ' tt ;tt...nii :::;',' ': -,.. • (." ......,..i.,, t -tie,‘,.. .1• . ., Memlirane-Ortiiiyes ° Ruhr:raid Mop 170 Fe -,•,.-.... .:‘;-= la De* NC - ' ' '"7-•=01-,',' Inallis 1/2 '•' '' ' '•'';'" '•• .. , :•-, ' ' liiiiilailcinlOitlinialk-' Perlitep fib& '`-cl ' • ' ' wethn inegi A '..:i , • - - • I. ... T . . b i ii iii. iiiii4 . . $ . L...*gt , uitne " - ,.. . nor moecn y fastened. ''•'“ -A "c)•• - • : place- . . • • Ply S eer.OpEona0: One Or Viyezily.pe'd4, liot; moped 1 ied / :::: / •.,i••..ir ki.e7.• .. . ...megorane,..,..).,..k.Ariii ' o ne rn, irkIli vi • L I . „ Rubei i. lid . ' „1,441h • N.0 ..,, • ; 4.,.., .. • ›.. .., I.' 1 4 ,..'• ''''• C#9;: .•'' *.;. Mop S M°9W:::/ f.tr.;:i5o; ,'“A' • ' '' I '? r- , ... _ ,1401b0ng 91*.•IttYg 7ukel*Ir-MPIKRINK(679444:Lf /reit( ei.' 4* :Mw.i .:-.) •;.iiir t.foriv..k)4,,. : ■311.4,) ''.... 4 4A1P.V.3.;r1It'm.: 7313 ;:!. : • ,,, Thogivioil (o p licmaik;, .PnOpx.IntatilaYMPdtet.e4s1_,-fik : I •I 0 f nusate, urethane or perlite/ocyanurate congtosite, any uumness;...;:t to • Base One ot:inoretilieklypeGlerOphoetwppectaij.. with Karnak : Chemical "No. 81" or Gilman-Hun, "No.. 6160" applied adheiveit 1-1/2.01154mr. :::)!) %.,.! Membrane !Onerlarimiltitheold M or 11701 vadmopped or . -.,:.... with Karnak : e ,..!.. ..., - -I'M°. , 81T or Ms :in-Homan "No: 6160e1 • :-- applied adhoorv 14/2ga/4 •,::,..i.,./oni//birto•P‘ 20. •Depor I /?•Y.i.' :;','.;').•>"..:Cf;f 1 itTA.40.'4,.. 1 1 . 4 . 1)1 3,7 )telie 21. 'D ei1'5/32...xi v8,1; r '1.,<:', ..,.i.V. rifilt . .3•1, • , !i•.: - ..311. ,., Er . 4 01/2416114M, ..,g91XiS9qila.n.. KS:1500$0;: ...".. iiiiWthidil*-40#1400:54?-i . ..- - hni Balt... in ,..... e sk*, ii ,Pne,q.24me. * ......ir Un,ZriW5.!:F.S ,. :..:. - --rr-. - . • - .-vl-rrl'r ..- t:.■ , ••• .11 ..,.r .. *, , c Igu.befti;l& 40 : 22 : lie= td •ri V. • • , /b%,: - ...$ : Iiiainfi , 31111.,,d, v •• '.:,f.. hisidattoir (Optional): ...Ponnsoeyanuratho worckfiber, :- 7 .• : ,„ -, ix.: fiherany ithidnesal hat Mopped or meithanicallyliateited. •‚ • • 'r:t Base Sheet One or more plies Type G2 "GAPOTAS*73" hot. •• •,,,f; . ;;;:..../ dritteihitnieek s:/•%.• 7 '.. 7 :)‘/I:i I trill. ' ... • ,,, ,-. ,;•;.. X 4 ' '1: iikehlit One or, more pliesi"Ruberoid 20", hut th ' . idoit pries "itiiherold 3011°;litit - ' , ir . i .. 0 ',- la , • 11 5. Haile. t eet ... . Op Or °143 1!!aire4 YYPP• .. tkftl PPPP4 . , 1 .., .•:: .iikibIliedil:/;:u: ::y• ' i• • ;1 I ovi... ; „ ,-f 1 , i •. , ,':; ...'. ". Ely Sheet ' Itvaor more layers • Type GI, hot mopped OE: :„..:•.-' ..,,.. itstena, ?(.6,„:,,,.. ,/i,,::. ': .:4/1i.-.: 1.•: •,;:1:- , t:Re.rmfn, Cf. i "' .. liffmkfaisfrnitabehild' 30" & "Rtieroid Iv/edified �p sheet 601'% :. , , . • .iitippeti J.,....,-. .- -. :,..,/,.: ::. i „ • : ; - -: :.-..: : . .: (nri:o ..:: ..',, Sufacini ICaraIeches 'ICE0iiil Nti: 97 Filial:VW ,,,,, : t; )4 i1 511 ., 1 4 .1 tOPfoalilig' s at "Icaroikhk.'97AaterSta , i frreelliiitintiM ../.. .0'*iirilr' a ,.' •,... • ' ,,-,., •• • . r 74::::;11, IF I ; ;Z:i4 . 7 . - fr 0137,10„,anurat, ... ,. : . p 44 4 ::!!, 1 04i . 4 ..i fiber -,A i fin. max. - •'. :.; .:, :: :•-/..-- !J;1: ,:•:iLY: ../..': .. , Rase: Sheet , lype:.:15iasphalt organic leltni-. fig tenecumadherechbithilotroofi zigasp h a k • • hiftiliiiiie; •"Rubenid Torch. Granule' 1 tittimist). Surfadnip Karnak Chemical -Kam* NO. 97 'Fibrited.) I ::. ‘: :" • 4 € 9 4 1 9 190 C-°° 1 4°C or al/d"1.9*.NlirAiji.jestelF.f,t tour ing:f di ' Nil 'gi ' :- ' ' • " 'ft " ." • ft) • ' • '' L"' •' 25. Deco p . ,.. ino.i4 ? ' 1 fli......"3 e ,:::!).;•,;,,.:.: • , ., s, ,-! I 7... Base his '• •TstcAlaXenr &in fiber (4 ,--0 r°740, . ,. . .....„_,... Thie .rnedlaiiiralrY 10 ':*eC.:°F; aIhd ::,. w , r9Pi%Pg.ts - nowt, ', I 'tr.!' • ' i•::‘ //./: : I .• ;1:54 - A:1 . ;;.1 b; .,:.! '• 1 40?iblinei - ,"Ituberoid Tords Granule 1"; (modified bitlingq)//t;i:. i fs •.- Surfacing Kama k Chemical "Kantak No. 97 Fibrated • • Asphalt Roof Coating° ittl-tol gal/sq/ -;fir. ,, ir - fP f II; ''' -,..:• 26. Deck: NC • • „ --, :ft.A ' i••••-I6e13;tah 1 '11,:i bivr/ducr Membrane: "Ituberokl/Tbrdir•Granulein::(modified bitumen). -::- MARK ON PRODUCT I - ... BUILDING PERMIT APPLICATION FBC 2001 Contractor's Address Qualifier A to ±O L Architect/Engineer's Name (if applicable) Describe Work: Total Fee Now Due $ /4' 85 (Continued on opposite side) ,c/ j— -7 7zoc f Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Far (305) 756.8972 City /tti e.4- .- cS (kC r es State I )Q Zip 33) Tenant/Lessee Name Phone # Job Address (where the work is being done) /2/ /jam l ST Is Building Historically Designated YES NO $ Value of Work For this Permit E t 6)o0 Cw Square Footage Of Work: Type of Work: EAddition ❑Alteration New Permit No. ea 0 .- 40 Master Permit No. 2C 3 1 Lf 5 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Uf tfil / IJA.N DMZ Phone # (3 C- 5 ) 75 Owner's Address / 'f 3 ,t/ qif STre eT 1 City Miami Shores Village County Mianu -Dade Zip 33 13R Contractor's Company Name S Cor--? C Phone # (JCS) � S3 — Q 4 - 7( P City State Zip fry S Phone # S'vo ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * ** * * * * * * ** F ees * * *k * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ (� 5� - CCF $ 0 CO /CC Notary $ Training/Education Fee $ a `t" Technology Fee $ Scanning $ ' Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. S - Bonding Company's Name (if applicable) 4 Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI Sign: Sign: Print: Print: My Commission Expires: APPLICATION APPROVED BY: chc 12/15/03 Con The foregoing instrument was acknowledged before me this 3\ day of St , 2001f , by 44),k...ca., (- �a•� e, who is personally known to me or who has produced as identification and who did take an oath. My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAR 3 1 2004 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/5/2004 Applicant: URQUIA Owner: HERNANDEZ JOB ADDRESS: 1213 NE 94 Contractor MIS CORPORATION Local Phone: 305 - 553 -9476 Parcel # 1132050100020 Fees: FEE2004 -3268 FEE2004 -3269 FEE2004 -3270 FEE2004 -3271 FEE2004 -3272 Contractor's Address: 2428 N. W. 28 St. Legal Description: MIAMI SHORES BAY VIEW PB 40 - 16 LOTS 2 & 3 LOT SIZE 150.00 X 125.00 OR Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Permit Status: APPROVED Permit Expiration: 9/20/2004 Construction Value: $1,600.00 Work: RE -ROOF FLAT ROOF Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -409 HERNANDEZ URQUIA ST Amount $250.00 $1.20 $0.40 $6.25 $9.00 $266.85 BY: Page 1 of 1 Total r___. nee oe P ) Total Fees. $266.v.r Total Receipts: - .00 , APR 1 3 PAID 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. /):-7) B1. NFIPCOMMUNITY NAME & COMMUNITY NUMBER VILLAGE OF MIAMI SHORES / 120552 B2. COUNTY NAME MIAMI -DADE B3. STATE FLORIDA B4. MAP AND PANEL NUMBER 0093 B5. SUFFIX J B6. FIRM INDEX DATE 3-2-94 B7. FIRM PANEL EFFECTIVE/REVISED DATE 7 -17 -95 B8. FLOOD ZONE(S) AE B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 8 FEET RULESS# FEDERAL EMERGENCY MANAGEMENT AGENCY 1 10# NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE C.O.R EL — Important Read the instructions on pages 1 - 7. BUILDIN OWNER'S NAME ORLANDO HERNANDEZ AND NRKIA HERNANDEZ SECTION A - PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1213 N.E. 94 STREET CITY STATE MIAM! SHORES Florida PRO RTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT' IAMI SHORES BAY VIEW' PLAT BOOK 40 AT PAGE 16 BIIILDI G USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) ( ##O - ##.##" or ##.# /e) HORIZONTAL DATUM: ❑NAD 1927 ❑ NAD 19EK3 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B 1 0. I ndicate th source of the Base Flood Elevation (BFE) data or base flood depth entered it B9. ❑ FIS Profile ❑ FIRM ❑ Cammunity Determined ❑ Other (Describe): B11. Inckate the elevation datun used for the BFE in B9: X NGVD 1929 ❑ NAVD 19:: ❑ Other (Describe): B12. Is the budding located in a Coastal Bailer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buikfing elevations are based on: ❑ Construction Drawings* ❑ Bulking Under Ccnstructon* X Finished Construction *A new Elevation Certificate wiI be required when construction of the budding is complete. C2. Building Diagram Number 1(Select the butlding day cur most simila to the budding for which this certificate is being competed - see pages 6 and 7. If no diagram accurately represents the bulking, provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AIR/AE, AR/A1 -A30, AR/AH, AR/AO Complete Items C3. -a-i below aocordng to the budding degree specified in Item C2. State the datun used. If the datt n is different from the datun used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and dattrn conversion calculation. Use the space provided or the Comments a of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD29 ConversioNCarments NONE Elevation reference mark used COUNTY -BM Does the elevation refer mark used apposr on the FIRM? ❑ Yes X No o a) Top of bottom floor (including basement or enclosure) ❑ b) Top of next higher floor ❑ c) Bottom of Nest horizontal structural member (V zones only) ❑ d) Attached garage (top of slab) ❑ e) Lowest elevation of machinery and/or equipment servicing the budding (Describe in a Garments am) ❑ f) Lowest adacent (finished) grade (LAG) ❑ g) Highest acljacent (finished) grade (HAG) ADQRESS 9245 S.W. 44TH STREET SIGNATURE ❑ h) No. of permanent openings (flood vents) within 1 ft. the acia ent grade NA O) Total area of al permanent openings (flood vents) in C3.h NA sq. in. (sq. an) 8 . 63 I'YA. _ N/A ._ 7 CITY' MIAMI DATE JULY 15TH, 2003 O.M.B. No. 3067 - 0077 Expires DECEMBER 31, 2005 ZIP CODE 33138 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map STATE FLORIDA TELEPHONE (305) 221 -3416 For Insurance Comparry Use: Policy Number Company NAIC Number CHARLES W. CARR JULY 15 2003 STATE OF FLORIDA PLS NO. 1060 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT'" RT1FICAT1ON This certification is to be signed and sealed by a land surveyor, engineer, or architect a.rthorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME CHARLES W. CARR LICENSE NUMBER PLS NO. 1060 ❑ Other: TITLE PRESIDENT COMPANY NAME CHARLES W. CARR LAND SURVEYOR ZIP CODE 33165 IMPORTANT: In these spaces, copy the corresponding information from Section A BUILDING STREET ADDRESS (Including Apt , Unit, Suite, and/or Bldg. No ) OR P O. ROUTE AND BOX NO 1213 N.E. 94TH STREET CITY MIAMI SHORES ADDRESS SIGNATURE COMMENTS G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G6. Elevation of as-but lowest floor (irxdudng basement) of the bulling is: G9. BFE or (in Zone A0) depth of flooring at the bilking site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS STATE ZIP CODE FLORIDA 33138 SECTION D.- SURVEyOR ENGINEER OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. TITLE TELEPHONE DATE _ff(m) — . (m) Policy Number CITY STATE ZIP CODE FLORIDA DATE TELEPHONE Datum: Datum: For Insurance Company Use: -- Company NAIC.NJumber 1' ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E l trough E4. If the Elevation Certificate is intended for use as supporting Information fora LOMA or LOMB -F, Section C must be completed. El . Building Diagram Number _(Select the buildng dfiagarm most sinia b the bulking ix which this certificate is being completed — see pages 6 and 7. If no dagram accurately represents the building, provide a sketch a photogaph.) E2. The top of the bottom floor (inducing basement or enclosure) of the buildng is _ ft(m) _in.(am) ❑ above a ❑ below (check one) the highest aciacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the buddng is _ ft.(m) _in.(c m) above the highest ac f anent grade. Complete items C3.h and C3.i on front of fonn. E4. For Zone AO only: If no flood depth nun ben is available, is the top of the bottom floor elevated in accordance with the community's fl000plain management ordnance? ❑ Yes ❑ No ❑ Unknown. The Iood official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who canpletes Sections A B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA - issued or community - issued BFE) or Zone A0 must sign here. The statements in Sections A B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodptain management ordnance can complete Sections A B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G 1. ❑ The information in Section 0 was taken from other doclmentation that has been signed and embossed by a icensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Cormrenfs area below.) G2. ❑ A community official completed Section E for a buldng boated in Zone A (without a FEMA - issued or carmur ty- issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED e ❑ Check here if attachments MIAMI SHORES VILLAGE BUILDING INSPECTICN 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 co.nplied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. TT Owner's Name and Address __-/ re ___a _14 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Date \k.9 1' d \ zj , 19 J Street- -- x -, Lot Block S�}livisipn Street and Number where work is to be done i ALE, cl. ..—. State work to be done and purpose of building (by floors) and for no other purpose. New Building I...-,.--- Remodeling Addition Repairs No. of Stories I Estimated Total cost of improvements $ i as:1 c'--" Amount of Permit $ , C ) ,- c.,...t.". . ,), To be constructed of Kind of foundation Roof Covering r!...,_, Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plpns specifications fei said,building._ All notices with reference to the building and its construction may The undersigned applicant for this buildi4 permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed unde . this permit, as are licensed by Miami Shores Village. Remarks___ I Signed Oilk\I %1 ` , .41 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authori:ed to administer oaths and take acknowledgments, personally ap- peared -- - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No `� Date Read, Sworn to and Subscribed before me. Disapproved -.. " Notary Public, State of Florida (Signed) Buildini.Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Appro ed Date :Disapproved Date NOT . A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Ph mg Board. re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty rn erials and /or workmanship. 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 conpliance 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.. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision v Street and Number where work is to be done /t 1 State work to be done and purpose of building (by floors) New Building Remodeling Addition To be constructed of STATE OF FLORIDA, COUNTY OF DADE. Ss. Disapproved (Signed) MIAMI SHORES VILLAGE e Date No. .c21 Street.. and for no other purpose. Repairs No. / of Stories Roof Covering__) Y Kind of foundation Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. Al]. notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certi• y that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc ubcontractors on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)._ 0� %) / , 1)1.4' , Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 7_ Date �— 3- Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida Building Inspe r My Commission Expires ANNING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.