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ROOFING1 16 4 31 P 46 P 2 17 32 47 3 18 33 48 4 19 34 49 5 20 35 50 P 6 21 36 51 7 22 37 52 8 23 38 53 9 24 39 54 10 25 40 55 11 26 41 56 12 27 42 57 13 28 43 58 14 29 44 59 15 / 30 ( 45 / 60 4 PEDRO A. HERNANDEZ, P.E., P.A. p.o. box 650127, miomi, Hondo 33165 / 13216 s.w. 46 lone CONSULTING ENGINEERS P =Pass F =Fail • FIELD STATIC UPLIFT TEST FOR MORTAR SET TILE SYSTEMS LOCATIONS/ RESULTS Client: C Job Address: Permit # Type of Tile: Roof area (approx.): Roof Pitch: Roof Max. Height: 1 � / Date of Tile Inst 4y Date Tested: ,00/112 0 / S ; Z000 Uplift pull: 35 lb Date: /Ay /? Roof tiles installation comply with South Florida Building Code 3401.11 (b)(1)(ee) and Dade County Protocol PA 106 Lab Certificate No. 94- 0909.01 4 PEDRO A. HERNANDEZ, P.E., P.A. CONSULTING ENGINEERS PROJECT: /235, A)4 Srgc-6---7; "PAc.)z_ 2450 S.W. 137 avenue, suite 217, mloml, florldo 33175 p.o. box 650127, mloml, florldo 33165 COMP. BY: CHK. BY: DATE: .,,Illthm.)9/ 7 SHEET NO: 0,J4-. Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores•Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifi ations must be kept at building during progress of the work. �p w �3u,'?et;&5 lawn; ? - "j 90 6 / Date..._..._....._.... _.. _..._._ _........ Owner's Name and Address sass.. /.rcJ..C? f?.Q! ... ail/ C2.....» NO3 Street AE 7 e e. Registered Architect and /or Engineer.. 'f' Name and address of licensed contrictor. L s 61..t..4e.. Location and legal description of lot to be built on: Lot Block r Subdivision 1 Street and Number where work is to be done - -3J • '( s State work to be done and purpose of budding (by flloors)..el._..�' _ ' 30# .,? L.,40 .F.?? 2 1 4... 1r..t`.G. 4 New Building C- Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $. .yaP4 P 4 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 theFlorida Workmen's Compensation Act, being Section 5066, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such s bcontr ctors,,on word to be performed under this pennit, 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.. a2 (5.774...' Date 3' Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT .. t" de,*, :1 and for no other purpose. Addition Repairs No. of Stories Roof Covering.iV. ,:1. / 72 07 h 4, 7 te. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member \lcmber 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 hoard. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and /or workmanship. Square Ft. Owner's Address Contracting Co. Qualifier Architect/Engineer Bonding Company Mortgagor PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address R3 5 IVE ?," Si Tax Folio 11; Z 0 ( 0 ((4 c1 Date Legal Description \ 1 Historically Designated: Yes No h Ownerfbessoe-/ Tenant �v \ f O \ e i 2 Master Permit # ` 7 /7 12 3 taLS . vif 6dafrt State # ?c Q 6 21 7 - 7 ( Municipal # Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA WORK DESCRIPTION -e ' 7-040g ;,4,4(1 1 f13 (4. , s� s6.�.> 90 /` s�4 t� I I s Ia (/ 4 h ``s ' -4'14. c i el/ s; .1.1.5 ) 64 E/ ft eAj 311 )14 5b ©5" &f) stimated Cost (valu �/> � / 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 e 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 an d t all work will be done in compliance with all applicable f laws regulating construction and zoning. Furthermore, I authorize the above -n d sa is • • wor. stated. SignaTure of owner and/or Condo President Date Notary as to Owner and/or Condo Pres My Commission Expires: OFFICIAL NOTARY SEAL MARK DIAZ NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC857108 MY COMMISSION EXP. JULY 22,2003 FEES: PERMIT b ' RADON 7 Date C.C.F. S )s ,- Phone Address Z-a 2 ( (,,,,„ 4_ - $ p SS# Phone q54" C o m p e t e n c y # / 6 0 'd Ins. Co. Address Address Address /1 l-Q Owner-Builc NOTARY 0 VING FENCE SIGN ada„. L.4 ; A r•� ac. r/ z /f Notary as to Contractor or Owner - Builder Date My Commission Expires: OFFICIAL NOTARY SEAL MARK DIAZ NOTARY PUBLIC STATE OF FLORIDA COMMESION NO. CC857108 MY COMMISSION EXP. JULY 22,2003 BOND 7 O O APPROVED: Zoning Building Mechanical Plumbing Engineering ms' C/ I r Electrical PERMIT NUMBER: TAX FOLIO NUMBER: l 1 ZO(, 0. 1 L[ . 3 1 STATE OF FLORIDA COUNTY OF DADE 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 in provided in this Notice of Commencement. Legal description of property and street affi ress: Description of improvement: Owner(s) name and address: ( d- o 1 F 1,1 Interest in property: I'Z 35 NC 5‘5 Name and address of fee simple titleholder. Ne4 Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ Lender's name and address: REV 1/97 SIGNATURE OF OWNER - PO( J-+ -i rt I /print Owner's Name: F IC Sworn to and subscribed before me on this 5 day of ov• , 19 ff Personally Known, or Produced ID Oath taken, / Oath not taken NOTICE OF COMMENCEMENT tZ 35 N% c P. A. O. 19 W TNESS my hcncl cnd Official S.S. • HMUEY R U E3 K, By S St• 3 I3& Contractor's name and address: \J. o L QQ r co. 7�O u2 iftc,��. s IL 11 y STATE OF'FLORIDA, COUNTY OF DADE (:EDY CERTIFY that this is a tr c opy of the 0 19i At filed I n this offiya) on day of t and County Cooren D.C. 1 , A 3 - 3A I=(. 3 - 3 0 7 . . . . c) Persons within the state of Florida designed 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: IJ f1 In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes, Name and address: !■ 14 Expiration date of this Notice of Commencement: (the expiration date is one (1) year from the date of recording unless a different date is specified) orflclAL NOTARY SEAL MARK DIAZ NOTARY PUBUC STATE OF FLORIDA COMMISSION ND. L'CR5m MY COM/4E0 N E IP ULY2=03 Prepared by: fit/ / "; Address: ZV Co C<. 3 6 __ Notary Public: .— Print Notary's Name: Commission Expiration Page 11 of 12 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 the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 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) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 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) I11. -A- 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. fr 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. C 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. N fr 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. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in exten. ng the service life of the roof. gqkoei 1(1,119 rALZ/A.: ( OA, ' g Owner's/ • Sr nature Date • C. ' eto s Signature Signa ure Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: �n �J Job Address: /Z 3 S NC q6" Sr_ ROOF CATEGORY [O (Low Slope Application) El (Nail -On Tile) (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) Cl ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE Ltd' roofing El Recovering El Repair ❑ Maintenance ❑ New Roof Flat Roof Area (ft Z5 Sloped Roof Area (ft 46 3 6 '... Total (ft 5DSC Master Permit No. Exposure category (per ASCE-7 -88): C- Building Classification category (per ASCE 7 -88 table 1): / Ft. A V Ft. A Deck type: (.}...)0O �• ATTACHMENT (Ai( it Fastener Type: 1 ii 1-4 V� SPACING 11� 1l 1 FF (5 it.. ' Field: y tic Perimeter: 9 dc: Corner: Zrvws -2 5ivcrs• -9oc 3 roo.s Qflrc DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) G if►s Zffce (VISA ,, ac..ye cirie /G i/ re 23 r ROOF PLAN r 123.01 -78 4199 Page -1 Ridge Ventilation? N (A Deck type: / MEAN HEIGHT / Cameo A. Underlayntent: Insulation: 12" ROOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION 14 43 /i. bc.se 54w A 1 Fastener type & spacing: Cap Sheet: / 'OG I l/ " ka ; ( 1 z't a c. Roof Covering: 16 lG Lel s 0.0'10 1 5 1( 4 . ;& Drip edge: 44/ #1. al r,P. ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -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 TILE CALCULATIONS (Pmax1: 77'3 x a, (Aerodynamic Multiplier): • 3! ) - M - 7,' - M ! 5".4I l PCA: 66- 6" (Pmax2: 109• I X a• (Aerodynamic Multiplier): i 3 l ) - M 7 . ' ' = M PCA: (ado. i i (Pmax3: 10q, f X X (Aerodynamic Multiplier): 3l ) - M Mr3: � 1 , ,P PCA: Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -2 • ' . ME 1:lame METROPOLITAN DADE COUNTY, FLORIDA SIP PRODUCT CONTROL NOTICE OF ACCEPTANCE Metro Roof Tile, Inc. 11501 Northwest 117th Way Medley, FL 33178 Your application for Product Approval of: Metro Roof Tile, Nail -On, Mortar Set, or Adhesive Set "Spanish S" Rooting Tile under Chapter 8 of the Miami -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: Redland Technologies, The Center for .Applied Engineering, Inc. and Testwell Craig Laboratories & Consultants, 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 -11 and the standard conditions on page 12. 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 Compliance 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 South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 98- 0423.10 Renews: 94- 1017.01 EXPIRES: 06/04/01 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 Miami -Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County Florida under the conditions set forth above. APPROVED: 06/04/98 Internet mall address: postmaster@bulldIngcodeonlIne.com METRO- DADE 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 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 aul Rodri ez Product Control Supervisor 7-tJ Charles Danger, P.E. Director Building Code Compliance Dept. Miami -Dade County Homepage:' http : / /www.bulldingcodeonlIne.com 1 METRO ROOF TILE INC. Spanish `S' Concrete Roof Tile Trim Pieces Product Lenzingtex -ZB 140 Underlayment Rainproof 11 Product Ice and Water Shield TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions Specifications 1 =•18" w = 10 '''A" ' /A" thick I = varies w = varies varying thickness TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS Test Dimensions Specifications 59" x 164' roll 22 Ibs /roll 30 "x75'roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll PA 103. Self- adhering W.R. Grace Co. underlayment for with current PCA use as a top plyina two ply underlayment system with Approved #30 or #43 as the base layer. PA112 • PA 112 Product Control No.: 98- 0423.10 Product Description High profile, interlocking, one - piece, `S' shaped, concrete roof tile 'equipped with two nail holes. , For nail -on, mortar or adhesive set applications.' Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product Description Manufacturer PA 104 Single ply, nail -on Lenzing underlayment. Performance, Inc. with current PCA PA 104 Page 2 of 12 Single ply, nail -on underlayment with 2" self - adhering top edge. Protect -O -Wrap, Inc. with current PCA Frank Zuloaga, RRC Roofing Product Control Examiner" METRO ROOF TILE INC. Product Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "TileTiteTM ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar ") Roof Tile Mortar ( "BONSAL® Roof Tile Mortar Mix ") Dimensions vertical min. 1" x 4" horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alone min. 8d x 2'/A" or min. 10d x 3" 118 x 2' /s" long 0.335" head dia. 0.131" shank dia. 0.175 " screw thread diameter N/A N/A N/A Roof Tile Adhesive N/A (Polypro® AH 160) Test Specifications Wood Preservers Institute LP :- 2 PA 114 Appendix E PA 114 E , PAl23 • PA 123 PA 123 PA 110 Page 3 of Product Control No.: 98- 0423.10 Product Description Salt pressure treated or decay resistant lumber battens Corrosion resistant, screw or smooth shank nails. Corrosion resistant, coated, square drive, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Adhesive designed for use in roof tile applications. Manufacturer generic generic generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Prod}icts with cuz+ent PCA W.R. Bonsai Co. with current PCA Polyfoam Products, Inc. with current PCA Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Product Dimensions Hurricane Clip & Clips Fasteners min. V:" width min. 0.060" thick Clip Fasteners min. 8d x I '/4" Test Specifications PA.! 14 Appendix E Page 4 of 12 Product Control No.: 98 Product Description Corrosion resistant bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. Manufacturer generic Frank Zuloaga, RRC Roofing Product Control Examiner METRO ROOF TILE INC. Test Agency Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Testwell Craig Laboratories & Consultants, Inc. EVIDENCE SUBMITTED Test Identifier 7161 -03 Appendix III 7161 -03 Appendix III 25- 7200 -1 94 -084 Static Uplift Testing May 1994 PA 101 94-083 Static Uplift Testing April, 1994 PA 101 (Adhesive Set) 7161 -03 Appendix II Report Dated Aug. 1, 1994 P0647 -01 PO402 Project No. 307024 Wind Driven Rain • Test #MDC -73 Lab #:EA 22 Tech: G. Suarez Page 5of12 Product Control.No.: 98 0423.10 Test Name/Report Static Uplift Testing PA 102 Static Uplift Testing PA 102(A) Static Uplift Testing PA 102 (Quik -Drive Screws, Battens) Window Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA -108 (Nail -On) Wind Tunnel Testing PA -108 (Mortar Set) Withdraw Resistance Testing of smooth vs. screw shank nails PA 100 Physical Properties PA l 12 Date Dec. 1991 Dec. 1991 Feb. 1995 Dec. 1991 Aug. 1994 Aug. 1994 Sept. 1993 Oct. 1994 Sept. 1994 Frank Zuloaga, RRC Roofing Product Control Examiner METRO. ROOF TILE INC. SYSTEMS (CONTINUED) SYSTEM D: Mortar or Adhesive Set Application Deck Type: Wood, Non - insulated Deck Description: New construction 19/32" or greater plywood or wood plank. Underlayment: Roofing Tile: Product Control No.: 98 0423.10 Slope Range: 2 ":12" to 7":12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Install underlayment system in compliance with Miami -Dade County Roofing Application Standard PA 120. (See System Limitation #5.) Install tile in compliance with Miami -Dade County Roofing Application Standard PA 120. (See "Data for Attachment Calculations" .included in this Approval.) Comments: 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. Page 8of12 Frank Zuloaga, RRC Roofing Product Control Examiner ' METRO ROOF TILE INC. Product Control No.: 98- 0423.10 SYSTEM LIMITATIONS 1. The standard minimum roof pitch for Metro Roof Tile's "Spanish S ", flat profile tile shall comply with Miami -Dade County Roofing Application Standards PA 118 or PA 120, depending on the method of installation. 2. For nail -on applications, fasteners for mechanical: attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 3. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County Protocol PA .115 or PA 127. The Metro Roof Tile "Spanish S" tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with PA 115 or PA 127 shall be done as a 'Moment Based- System'. 4. For mortar or adhesive set tile applications, a field static uplift test by a Miami -Dade County accredited testing agency, in compliance -with Mianii Dade County Protocol PA 106, shall be performed. 5. For mortar set tile applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 7. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of Metro Roof Tile's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 8. The applicant shall retain the services of a Miami -Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Miami -Dade County Protocol PA 112, Appendix 'A'. 4 Page 9 of 12 Frank Zuloaga, RRC Roofing Product Control Examiner' Table 3: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Nail= OnSystems Tile Profile Tile Application Approved Nails ..Approved Screws Approved Field Clip With: Approved Eave Clip With: 1 nail 2 nails 1 screw 2 screws 1 nail 2 nails 1 nail 2 nails Metro Roof Tile Concrete Battens N/A N/A ' - N/A 26.80 N/A N/A N/A N/A Direct Deck 6.20 8.40 28:70 31.80 21.20 25.30 26.90 34.90 ie : Tlr Atcmn rfl Apiain eitne cr of Tl occc Mra e 2.0 deie St 6.0 ie f'' h (t) Poie atn Apiain iet Dc plcto Ro ie Saih '' Tl ' 03 Tbe 2 etrn oet u o Gaiy - M f-b) ie 3:2 "1" 5 :2 "1" 7 :2 r Poie getr Bte iet Bte iet Bte iet Bte iet Bte iet — s ek s ek Dc Dc Dc Ro .0 71 .0 70 .6 68 .0 66 .8 NA Tl occc M D d Table 4: Attachment Resistance Expressed as a Moment — M, (ft -Ibf) y Page..l0,of 12 17..,..1.7,.1...,,.. nor` METRO ROOF TILE INC. 1 1/2' L 3/ 4' —I PROFILE DRAWINGS 10-1/4' • . . ••• • . . . . , • Pitgc 11 of 12 Product Control No.: 98-0423.10 ••••••••!':1;', METRO_ROOF TILE INC. Metro Roof Tile, Inc. 11501 N.W. 117 Way Medley, FL. 33178 NOTICE OF ACCEPTANCE STANDARD CONDITIONS Product Control No.: 98- 0423.10 ACCEPTANCE NO 98- 0423.09 APPROVED : June 4, 1998 EXPIRES : June 4, 2001 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. 2 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 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 witli 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 filing of a revision application with appropriate fee) and granted by this office. 5 Any 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 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 times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 12. END OF THIS ACCEPTANCE Page of 12 u oaga, RRC Roofing Product Control Examiner 162 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)- Continued 8. Deck: NC Incline: 1 Insulation (Optional): See note above. Base Sheet Type G2, mechanically fastened or hot mopped. Membrane: Celotex Corp. "Celopal 2" (modified bitumen), heat fused or hot mopped to base sheet. Surfacing: at MB AF Aluminum Roof Coating ", at 1 -2 gal /sq. 9. Deck: NC Incline: 1/2 Insulation: (Optional) See Note Above. Base Sheet: Type G2, mechanically fastened or hot mopped. Membrane: Bitec "APS -4T ", "APM- 4.5T ", "APM -4T ", "SPM 4.5T ", "SPM 3.5H" or "SPS -3H ", heat fused or hot mopped in place. Surfacing: "al MB AF Aluminum Coating ", applied at 1 -2 gal /sq. 10. Deck: NC Incline: 1/2 Insulation (Optional): See Note Above. Base Sheet: Type G2, mechanically fastened or hot mopped. Membrane: Nord Bitumi "Nord Poly NP -4B 8 56 ", "Nord 200 ", EM4000 ", heat fused or hot mopped in placed. Surfacing: at MB AF Aluminum Roof Coating ", at 1 -2 gal /sq., No. "20F AF" at 3 gal /sq or "Aluminum Emulsion ", at 1 -1/2 gal /sq. 11. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, glass fiber, wood fiber, isocyanurate, urethane or composite, any thickness. Base Sheet: Type 61, Type G2 or Type G3. Membrane: Firestone "APP -160, 170 or 180 ", (modified bitumen), heat fused. - Surfacing: at MB AF Aluminum Roof Coating ", at 1 -2 gal /sq. or "No. 20 F -AF ", at 3 gal /sq. 12. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers of Type G1, Type G2 or Type - G3 Membrane: One or more layers GAF Corp. "Ruberoid MB Plus Membrane Smooth Surfaced Torch Applied ", "Ruberoid MB Plus Membrane Granule Surfaced Torch Applied", "Ruberoid MB Membrane Smooth Surfaced Torch Applied", "Ruberoid MB Membrane Granule Surfaced Torch Applied ". Surfacing (Optional): "20 F Emulsion ", at 3 gal /sq. 13. Deck: NC Incline: 1/4 " Insulation (Optional): Glass fiber, Atlas Energy Products' "AC Foam or wood fiber, 1 -1/2 in. max, mechanically fastened or adhered with hot roofing asphalt or any cold application adhesive Classified under Roof Deck Construction Materials. Base Sheet (Optional): Owens- Corning Fiberglas "Perma Ply ", "Base Ply' or Type 15 asphalt organic felt, mechanically fastened or adhered with hot roofing asphalt. Membrane: Performance Roof Systems, Inc. "Derbigum" (modified bitumen), heat fused. Surfacing: "20F AF Asphalt Emulsion ", at 2 gal /sq, or "al MB AF Aluminum Roof Coating ", at 1 -1/2 gal /sq. The surface is allowed to weather for 30 -60 days before emulsion application. 14. Deck: NC Incline: 1/2 Insulation: (Optional). See note above. Base Sheet: Type G2, mechanically fastened or hot mopped. Membrane: Performance Roof Systems, Inc. "Permax A- Economy", "Permax A- Special ", "Permax A- Special Mineral ", "Permax A -Xtra" or "Permax A -Xtra Mineral ", heat fused. Surfacing: at MB AF Aluminum Roof Coating ", at 1 -2 gal /sq. Class C - Fully Adhered 1. Deck: 15/32 Incline: 2 Base Sheet: One or more layers of Type G2 or Type G3. Ply Sheet (Optional): One or more layers of Type 61. Membrane: One or more layers GAF Corp. "Ruberoid MB .Plus Membrane Smooth Surfaced Torch Applied ", "Ruberoid MB Plus Membrane Granule Surfaced Torch Applied ", "Ruberoid MB Plus Membrane Granule Surfaced Mop Applied ", "Ruberoid MB Membrane Smooth Surfaced Torch Applied ", "Ruberoid MB Membrane Granule Surfaced Torch Applied ", "Ruberoid MB Membrane Granule Surfaced Mop Applied ", "Ruberoid MB Membrane Smooth Surfaced Mop Applied ". Surfacing: "20F -AF" or "20 NF ", at 3 gal /sq. 2. Deck: NC Incline: 1/2 Insulation: One or more layers perlite, glass fiber or wood fiber, any thickness. Base Sheet (Optional): One or more layers of Type G1, Type G2 or Tye G3. Membrane: One or more layers GAF Corp. "Ruberoid MB Plus Membrane Smooth Surfaced Torch Applied ", "Ruberoid. MB Plus Membrane Granule Surfaced Torch Applied ", "Ruberoid MB Membrane Smooth Surfaced Torch Applied ", "Ruberoid MB Membrane Granule Surfaced Torch Applied ". Surfacing (Optional): "20F AF Emulsion" or "20 NF Emulsion ", at 3 gal /sq. 3. Deck: 15/32 Incline: 1 Insulation: One of more layers perlite, wood fiber, glass fiber, - isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)- Continued composite, wood fiber /isocyanurate composite, phenolic, 6.5 in. maximum. Base Sheet: One or more layers of Type G2 or Type G3. Ply Sheet (Optional): One or more layers of Type GI. Membrane: One or more layers GAF Corp. "Ruberoid MB Plus Membrane Smooth Surfaced Torch Applied ", "Ruberoid MB Plus Membrane Granule Surfaced Torch Applied ", "Ruberoid MB Plus Membrane Granule Surfaced Mop Applied ", "Ruberoid MB Membrane Smooth Surfaced Torch Applied ", "Ruberoid MB Membrane Granule Surfaced Torch Applied ", "Ruberoid MB Membrane Granule Surfaced Mop Applied ", "Ruberoid MB Membrane Smooth Surfaced Mop Applied ". Surfacing: "20E-AF Emulsion" or "20 NF ", at 3 gal /sq. CS- ROOFING- PRQDUCIS_C0_TNC R11656 (N) SUITE 900 5525 MACARTHUR BLVD, IRVING TX 75038 2. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT GS Roofing Mineral Wool Felt, is a suitable alternate for perforated Type 15 asphalt organic felt in the Class A, B or C roof constructions indicated below. GS Roofing Type G1 Flintglas Ply Sheet or Flintglas Premium Ply Sheet are., suitable alternates for Type 15 organic felt; Type G2 Glasbase Base Sheet is a. 1. suitable alternate for Type 15 and Type 30 base sheets; Type G3 Flintglas Mineral Surface Cap Sheet is a suitable alternate for Type 30 Cap Sheets. Flex- I -Glas, Premium Flex -I -Glas or Flex -I -Glas FR Base Sheet is a suitable alternate for the G -2 glass base and the Type 15 All - Weather /Empire base sheet. Unless otherwise indicated, base sheets are mechanically fastened or spot mopped in place; ply and cap sheets are hot mopped in place. Black Diamond base sheet is limited to noncombustible decks and combustible decks requiring insulation. Two plies Type 61 may be utilized in place of one ply Type G2. EPS insulation followed by 1/2 in. cover board may be utilized in any of the following systems. The 'YOSEMITE" may be used in any of . the following noncombustible roof systems. Class A 1. Deck: NC Incline: 3 Base Sheet: Type G2 Glasbase. Ply Sheet: Type G1 Flintglas or Type G2 Glasbase. Surfacing: Gravel or slag. 2. Deck: C- 15/16' Incline: 1/2 *All joints blocked. . Base.Sheet: Two ( ayers of Type'G -2 "Glasbase" base sheet or Type G -1 "Flintglas Ply Sheet". Surfacing: Type G3 "Flintglas Mineral Surfaced ". 3. Deck: NC Incline: 3 Base Sheet: Two layers Type 15 All Weather /Empire. Surfacing: Gravel or slag. 4. Deck: NC Incline: 3 Insulation: "Ultragard Premier' or polyisocyanurate, mechanically fastened or hot mopped, any thickness. Base Sheet: Two to five plies Type 15 asphalt organic or Type G2 asphalt glass hot mopped. Surfacing: Gravel. 5. Deck: C 15/32 Incline: 3 Insulation: "Ultragard Premier", polyisocyanurate 1 in. min., mechanically fastened or hot mopped. Base Sheet: Three plies Type 15 asphalt saturated organic felt (perforated) hot mopped with hot roofing asphalt. Surfacing: Gravel. 6. Deck: C -15/32 Incline: 3 Vapor Retarder (Optional): Type G2 "Glasbase" or UL Classified retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard Premier', polyisocyanurate, perlite, glass fiber or wood fiber, any thickness. Base Sheet: Type G2 "Glasbase" base sheet. Ply Sheets: Two to three layers of Type G1 "Flintglas" ply sheet or Type G -2 "Glasbase" base sheet. Surfacing: Gravel or slag. 7. Deck: C -15/32 Incline: 3 Vapor Retarder (Optional): Type G2 "Glasbase" or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard Premier, polyisocyanurate, perlite, glass fiber or wood fiber, any thickness. Membrane: Three or four layers of Type 61 "Flintglas" ply sheet. Surfacing:- Gravel or slag. Cl£ Dedc:_C15/32 r." Incline: 1. .._. ._.,....._ por Retarder (Optional) '.l�-a Type G2 "Glasbase " - or - UL - Classified - vap o S e�tardpr. LOOK FOR MARK ON PRODUCT 1. vapor Ins foil woc Bas Ply Cap Deck Bas Sur Deck Vac ret: Ins foil wo. Bar Ply Cac Deco. Bas Ply -Sur 2. Dec. Ba: Ply Su: 3. Dec. Ba Ca , COAL 1. Dect In fas Ph of ta: Su 2. Dec Va ret In fo:. WC Me Su Base s • Base, noncom' Any o systems 2. Dec Pr fit gi Dec Vt Ct Ir fc w B: Pi "C Pi 5 Maxirr coatinc 3. De V C. I_. 2 Mutation (Optional) One -or -more layers - or - combination .of following:: "Ultragard. Premier, polyisocyanurate, perlite,' glass fiber of wood fibeL Base-Sheet: One layer of Type G2 "Glasbase" base shett. tc,;nL Ply-Sheets: Two layers of Type Gi "Flintglas" ply sheet. Cap Sheet: One layer of Type G3 "Flintglas "_cap_sheet._ Class B Deck: C 15/32 Incline: 1/2 Base Sheet: Two layers of Type 15 All Weather /Empire. Surfacing: Type G3 "Flintglas Mineral Surfaced ". Deck: C -15/32 Incline: 3/4 Vapor Retarder (Optional): Type G2 "Glasbase" or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard Premier", polyisocyanurate, 'perlite, glass fiber or wood fiber. Base Sheet: One layer of Type G2 "Glasbase" base sheet. Ply Sheets: One layer of Type G1 "Flintglas" ply sheet. Cap Sheet: One layer of Type G3 "Flintglas" cap sheet. Class C Deck: C 15/32 Incline: 1 Base Sheet: Type G2 Glasbase. Pty Sheet: Two layers Type G1 "Flintglas ". Surfacing: Hot roofing asphalt, 20 lb /sq. 2. Deck: C -15/32 Incline: 1 Base Sheet: Type G2 "Glasbase ". Ply Sheet: Two layers Type G1 "Flintglas" or Type G2 "Glasbase ". Surfacing: Hot roofing asphalt, 20 lbs /sq. - ' 3. Deck: NC Incline: 3 Base Sheet: Type G2 "Glasbase ". Cap Sheet: Type G3 "Flintglas Mineral Surfaced ". _ ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU) Continued . COAL TAR PITCH FELT SYSTEMS WITH HOT ROOFING COAL TAR PITCH Class A Deck: C 15/32 Incline: 3 Insulation: "Ultragard Premier", polyisocyanurate, 1 min. mechanically fastened or hot mopped. Ply Sheet: Four to five plies coal tar saturated organic felt or three plies of Type G -1 "Flintglas" ply sheet hot mopped with coat tar pitch or coal tar bitumen. Surfacing: Gravel. Deck: C -15/32 Incline: 1/2 Vapor Retarder (Optional): Type G2 "Glasbase" or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard Premier ", polyisocyanurate, perlite, glass fiber or wood fiber. Membrane: Three or four layers of Type GI "Flintglas" ply sheet. Surfacing: Gravel or slag. COLD APPLICATION SYSTEMS Base sheets are mechanically fastened to combustible decks. Base, ply and cap sheets are set in Fibrex Cement at 1 -1/2 gal /sq. to noncombustible decks and between plies. Any one of the following Reflective Top Coatings may be applied to the systems indicate below in the quantities, per square listed for each coating. a.) "Sta -Kool" Aluminum nonfibered -1 gal /sq b.) "Sta -Koot" Aluminum fibered -1 -1/2 gal /sq c.)APOC "No. 212 Fibered Aluminum " -1 -1/2 gal /sq Class A Deck: NC Incline: 2 Protective Coating: "Monoform Compound" 10 gal /sq. with 3.3 lbs. glass fiber or 8 gal /sq with 2.6 lbs. glass fiber. "Monoform Compound" and glass fiber are sprayed simultaneously from a special "Monoform" gun. 2. Deck: C -15/32 Incline: 1 Vapor Retarder (Optional): Type G2 "Glasbase" glass base or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard Premier', polyisocyanurate, perlite, glass fiber or wood fiber. Base Sheet: One layer of Type G2 "Glasbase" base sheet or Type G3 "Flintglas Mineral Surface" cap sheet inverted. Ply Sheets: Three layers of Type G1 "Flintglas" ply sheet or Type G2 "Glasbase" base sheet. Protective Coating: Min. 3 gal /sq of "Static Asphalt Fibrated ". Surfacing: Any "Reflective Top Coating" as listed above. Maximum slope reduced to 1/2 in. in 12 in. when nonfibered aluminum coating is utilized. 3. Deck: NC Incline: 1 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the LOOK FOR MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) 163 ROOFING SYSTEMS (TGFU) Continued following: "Ultragard Premier", polyisocyanurate, perlite, glass fiber or wood fiber. Base Sheet: One layer of Type G2 "Glasbase" base sheet or Type G3 "Flintglas Mineral Surface" cap sheet inverted. Ply Sheets: Three layers of Type G1 "Flintglas" ply sheet or Type G2 "Glasbase" base sheet. Protective Coating: Min. 3 gal /sq "Static Asphalt Fibrated ". Surfacing: Any "Reflective Top Coating" as listed above. (Maximum slope reduced to 1/2 in. in 12 in. when nonfibered aluminum coating is utilized.) 4. Deck: C -15/32 Incline: 1 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard , Premier", .polyisocyanurate, perlite, glass fiber or wood fiber. Base Sheet: One layer of Type G2• "Glasbase" base sheet. Ply Sheets: Two layers of Type .G1 "Flintglas ". ply sheet or Type G2 "Glasbase" base sheet. Protective Coating:. Min. 9 gal /sq.of Monoform Compound and 3 lbs.vf Monoform glass fiber reinforcement sq. Surfacing: Any "Reflective Top Coating" as listed above. 5. Deck: NC Incline: 2 Protective Coating: "Monoform Compound" 10 gal/sq. with 3.3 lbs. glass fiber or 8 gat /sq with 2.6 lbs. glass fiber. "Monoform Compound" and glass fiber are sprayed simultaneously from a special "Monoform" gun. 6. Deck: NC Incline: 2 Protective Coating: "Monoform Compound ": -10 gat /sq: with 3.3 lbs. glass fiber or 8 gat /sq with 2.6 lbs. glass fiber. "Monoform Compound" and glass fiber are sprayed simultaneously from •a:special "Monoform" gun. Surfacing: Any "Reflective Top Coating" as listed above. Class B 1. Deck: C -15/32 Incline: 1 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or . more layers or combination of the following: "Ultragard Premier, polyisocyanurate, perlite, glass fiber or wood fiber. Base Sheet: One layer of Type G2 "Glasbase" base sheet. Ply Sheets: One or Two layers of Type G1 "Flintglas" ply sheet. Cap Sheet: One layer of Type G3 "Flintglas Mineral Surface" cap sheet. 2. Deck: NC Incline: 1 -1/2 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard Premier ", polyisocyanurate, perlite, glass fiber or wood fiber. Base Sheet: One layer of Type G2 "Glasbase" base sheet. Ply Sheets: Two layers of Type G1 "Flintglas" ply sheet or Type G2 "Glasbase" base sheet. Protective Coating: Min. 3 gal /sq of "Static Asphalt Fibrated ". 3. Deck: C -15/32 Incline: 1 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One or more layers or combination of the following: "Ultragard Premier ", polyisocyanurate, perlite, glass fiber or wood fiber. Base Sheet: One layer of Type G2 "Glasbase" base sheet. Ply Sheets: Two layers of Type G1 "Flintglas" ply sheet or Type G2 "Glasbase" base sheet. Protective Coating: Min. 9 gal/sq of "Monoform Compound" and 3 lbs /sq of "Monoform" glass fiber reinforcement. Surfacing: Any "Reflective Top Coating" as listed above. COMBINATION HOT AND COLD SYSTEMS Any one of the following Reflective top Coatings may be applied to the systems indicate below in the quantities, per square listed for each coating. a.) "Sta -Kool" Aluminum nonfibered -1 gal /sq b.) "Sta -Kool "Aluminum fibered -1 -1/2 gal /sq c.)APOC "No. 212 Fibered Aluminum " -1 -1/2 gal /sq Class A 1. Deck: C- 15/32` Incline: 1 `All joints blocked with 2 x 4's. Base Sheet: One layer Type G2 "Glasbase" base sheet. Ply Sheet: Two layers of Type GI "Flintglas" ply sheet, or Type G2 "Glasbase" base sheet. Protective Coating: 6 gals. per 100 sq /ft. of "Static Asphalt Fibrated ". Surfacing: Any "Reflective Top Coating" as listed above. 2. Deck: C -15/32 Incline: 1 Vapor Retarder .(Optional): Type G2 "Glasbase "_base sheet or UL _ Classified vapor retarder. Insulation (Optional): One or more layers or combination of the METRO -I]4DE PRODUCT CONTROL NOTICE OF ACCEPTANC GS Roofing Products Company, Inc. 5525 MacAuthur Boulevard, Suite 900 Irving, Texas 75038 Your application for Product Approval of: Conventional BUR_Roofing Systenu_Over —Woos! D eck s 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: Factory Mutual Research Corporation and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specific conditions set forth on pages 2 through 24 and the standard conditions set forth on page 25. The 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 for 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 Compliance Office may revoke, modify or suspend the use of such product or material immediately. The applicant shall re- evaluate this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. 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 South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 97- 0520.07 Revises No. 94- 0323.43 Expires: 06/19/00 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS Approved: 06/19/97 Internet mail address: postmaster ©buildingcodeonline.com BUILDING CODE COMMITTEE METROPOLITAN 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 E PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Raul •ari • Product C uez .ntrol Sup isor This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. arses Danger, P.E. irector Building Code Compliance Dept. Metropolitan Dade County Homepage: http : / /www.buildingcodeonline.com Applicant: GS Roofing Products Company, Inc. 5525 MacArthur Blvd. Suite 900 Irving, TX 75038 Category: Membrane Roofing System Sub - Category: Built -up Roofing Tvpe: Conventional Sub - Type: Fiberglass /Asphalt Deck Type: Wood ROOFING SYSTEM APPROVAL System Description Contact: Pat Neuhaus Commercial District Manager 2900 Bird St. Charleston Heights, SC 29405 (803) 744-7451 Product Control No.: 97- 0520.07 Product Control No.: 97- 0520.07 Approval Date: June 19. 1997 Expiration Date: June 19, 2000 GS Roofing Products Company, Inc. manufactures and markets nationally a complete line of residential and commercial BUR and modified bitumen products. GS Roofing Products Company, Inc. markets these products through local distribution in the South Florida jurisdiction. GS Roofing products and systems are the result of years of manufacturing experience and product development and have been proven by years of experience in the construction field. GS offers a variety of approved insulated and non - insulated roofing systems. For detailed system constructions, refer to the following publications: "Commercial Roof System Specification Manual ". GS products and systems have been tested in compliance with all provisions of the South Florida Building Code as well as Underwriters Laboratories, Inc., and Factory Mutual Research Corporation for fire and wind uplift resistance. GS provides technical service and warranty information through regional offices. For the South Florida Metro -Dade area, call 1- 800 - 777 -2563. Frank Zuloaga, Plans Ex amine , ct Control Dept. Insulation Types Fibrous glass Perlite Fiberboard Rockwool Polyisocyanurate Polyisocyanurate Composite Board Maximum Design Pressures Material Design Pressure Wood -45.0 psf Maximum Fire Classification Material Classification Wood Class A Product Control No.: 97- 0520.07 Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. 3 Frank Zuloaga, Plans Examiner�'rdQbct Control Dept. Product All Weather /Empire Base Sheet Flintglas® Mineral Surfaced Cap Sheet Flintglas® Ply Sheet Type IV or VI Flex -I -Glas or Flex- I -Glas FR Base Sheet GlasBaseTM Base Sheet No. 15 Perforated Felt Yosemite® Mineral Surfaced Cap Sheet TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Dimensions 36" x 72'; Roll weight: 86 lbs. (2 squares) 36" X 36'; Roll Weight: 78 lbs. (l square) 36" x 180'; Roll weight: 40/55 lbs. (5 squares) 36" x 108 "; Roll weight: 90 lbs. (3 squares) 36" x 108'; Roll weight: 69 lbs. (3 squares) 36" x 144', Roll weight: 90 lbs. (4 square) 36" x 36'; Roll weight: 90 lbs. (1 square) Test Specification ASTM D 2626 Asphalt coated, organic base sheet. UL Type 15 ASTM D 3909 Asphalt impregnated and coated inorganic glass fiber surfaced with mineral granules used as the top ply in conventional built -up roof membranes. ASTM D 2178 Fiberglass, asphalt impregnated ply sheet. Type IV or VI UL Type G I ASTM D 5147 Modified bitumen, fiberglass reinforced base sheet. ASTM D 4601 UL Type G2 ASTM D 226 Organic asphalt saturated felt. Product Control No.: 97- 0520.07 Product Description Asphalt coated, fiberglass base sheet. ASTM D 249 Mineral Surfaced organic cap and buffer UL Type 30 sheet. oaga, Plans ct Control Dept. Product ACFoam 11 E'NRG'Y -2 or PSI -25 ISORoc E'NRG'Y -2 Plus Multi -Max Hy -Therm AP UltraGard Gold Pyrox ISO 95+ High Density Fiberboard High Density Wood Fiberboard Fiberglas Paroc Cap Board Perlite Insulation Dens Deck Anchorbond Fastener Dekfast Fasteners #I4 Dekfast Hex Plate Dekfast Lock Plate Dekfast Fasteners #12 TRADE NAtN1ES OF PRODUCTS MANUFACTURED BY OTIIERS Test Dimensions Specification various PA 110 various PA 110 various PA 110 various PA 110 various various various various various various various various various various PA 110 Polyisocyanurate foam insulation. PA 110 Polyisocyanurate foam insulation PA110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 100 Wood fiber insulation PA 110 Wood fiber insulation board PA 110 PA 110 various PA 110 various PA 114 (E) PA 117 various PA I I4(E) PA 117 2 7/8" x PA 114(E) 3 1/4" PA 117 3" x 3 1/4" PA 114(E) PA 117 various PA 114(E) PA I I7 and Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam and rockwool composite insulation Polyisocyanurate foam / wood fiberboard composite insulation Fiber glass roof insulation Rockwool insulation PA 110 Perlite insulation board Gypsum core / fiberglass faced coverboard Insulation fastener and metal or plastic plate Insulation fastener for steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for steel Aga, Product Control No.: 97- 0520.07 Manufacturer Atlas Energy Products (with current PCA) NRG Barriers, Inc. (with current PCA) NRG Barriers, Inc. (with current PCA) NRG Barriers, Inc. (with current PCA) RMAX (with current PCA) Celotex Corp. (with current PCA) Johns Manville (with current PCA) Apache (with current PCA) Firestone (with current PCA) Celotex Corp. (with current PCA) generic Johns Manville (with current PCA) Partek, Inc. (with current PCA) generic Georgia Pacific (with current PCA) Celotex Corp. (with current PCA) Construction Fasteners (with current PCA) Construction Fasteners (with current PCA) Construction Fasteners (with current PCA) Construction Fasteners h current PCA) Product Control Dept. Product Gripdek Fastener Hextra Fastener Roofgrip Fastener Olympic Fastener #12or #l4 Olympic Polypropylene Olympic Standard ESI Fastening Systems Insulfixx or HD Insulfixx Fasteners Tru -Fast Fastener Roofing Nails Tin Caps Red Rosin Asphalt Emulsion Gardner Cold Process Roof Cement Asphalt Asphalt Primer Chopped fiberglass emulsion Fiberglas Test Dimensions Specification various PA 114(E) PA 117 various PA 1 l4(E) PA 117 various PA 114(E) PA 117 various PA 114(E) PA 117 3.25" round PA 114(E) PA 117 3" round PA 114(E) PA 117 various PA 1 - 14(E) PA 117 various various Minimum # 12 Min. 32 ga. x I s / various PA 1 14(E) PA 117 PA 114(E) PA 117 PA 114 PA 121 1, 5, 55 gallons ASTM D 3019 Type III ASTM D 312 ASTM D 41 ASTM D 1227 PA 110 Product Description Insulation fastening assembly with plastic and steel stress plate. Insulation fastening assembly with plastic and steel stress plate. Insulation fastening assembly with plastic and steel stress plate. Insulation fastener Polypropylene plastic plate 3" round galvalume AZ55 steel plate Insulation fastening assembly with plastic and steel stress plate. Insulation fastening assembly with plastic and steel stress plate. Insulation fastening assembly with plastic and steel stress plate. Corrosion resistant annular ring shank nails Corrosion resistant circular discs. Rosin paper for barrier layer on wood decks Asphalt emulsion Fibered asphaltic general purpose lap and ply cement. Type III or IV hot asphalt bitumen adhesive Asphalt Primer Roof Coating Fiber glass roof insulation Product Control No.: 97- 0520.07 Manufacturer ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) Olympic (with current PCA) Olympic (with current PCA) Olympic (with current PCA) SFS Stadler Inc. (with current PCA) SFS Stadler Inc. (with current PCA) Tru -Fast Corp. (with current PCA) generic generic generic Gardner (with current PCA) Gardner (with current PCA) generic generic generic generic Frank Zuloaga, Plans Examiner, ProTuct Control Dept. _ Flashing Cement ASTM D 4586 A trowel - grade, cutback generic or bitumen cement mixture ASTM D 2822 including inorganic fibers and mineral stabilizers. Test Product Product Dimensions Specification Description Manufacturer Modified Cold ASTM D 3019 Adhesive generic Process Cement Type 111 Modified Plastic Roof ASTM D4586 Flashing Cement generic Cement Type 1 Non Fibered ASTM D 2824 Roof Coating generic Aluminum Coating Static Asphalt Fibered ASTM D 1227 Roof Coating generic Emulsion al MB aluminum roof PA 121 Aluminum roof coating Grundy Industries coating (with current PCA) Karnak 97, 97AF or PA 121 Roof coating Karnak 169 (with current PCA) Prograde Fibered PA 121 Fibrated aluminum roof Monsey Products Co. Aluminum coating. (with current PCA) # 2100 - Modified 1, 5, 55 ASTM D 3019 Rubberized all- weather Tropical Asphalt All Weather gallons, or 10.5 (Type 111) and D flashing cement, trowel grade, Products Corporation Flashing Cement ounce tubes. 3409 modified adhesive. (with current PCA), Aluma-Brite No. 120 PA 121 Fibrated aluminum roof Tropical Asphalt coating. Products Corp. (with current PCA) APOC 212 PA 121 Aluminum roof coating. APOC, Subsidiary of Gardner (with current PCA) Sunbright 400 PA 121 Roof coating APOC, Subsidiary of Gardner (with current PCA) MBA ASTM 3019 Asphalt based cold applied APOC, Subsidiary of Type 111 adhesive. Gardner (with current PCA) 7 Product Control No.: 97- 0520.07 Frank Zuloaga, Plans Examiner, Pro3uct Control Dept. Test Agency /Identifier Applied Research Laboratories Factory Mutual Research Corporation Factory Mutual Research Corporation Underwriters Laboratories, Inc. United States Testing Company, Inc. United States Testing Company Name Physical Properties Current Insulation Fastening Requirements PA 114 (FMRC 4470) Fire Classification Compliance ASTM D 5147 ASTM D 5147_ TEST REPORTS Report 28013 FMRC 1996 J.I. 3Y8A 1.AM R11656 97457 -4 97 -457 -2R oaga, Plans Examinc , Product Control No.: 97- 0520.07 Date 06/02/87 01/01/96 03/23/96 07/13/87 06/03/88 12/02/87 ct Control Dept. Membrane Type: BUR Deck Type 1: Wood, Non - insulated Deck Description: 1 9 / or greater plywood or wood plank decks System Type E: Base sheet mechanically attached. All General Limitations shall apply. Rae Fastening: CP_ty _Sheet: Maximum Design Pressure: -45 psf Maximum Fire Classification: Maximum Slope: Specification No.: Product Control No.: 97- 0520.07 All Weather/Empire, Flex -I -Glas, Flex -1 -Glas FR orC - base sheet mechanically attached as detailed below. Anchor sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c. Two,cthree or four p1ies_of Sheer(Ty_pe - I - V\) or Flintglas Premium Ply Sheet (Type VI) or #15 Asphalt Perforated Felt ply sheet adhered in a full mopping of approved asphalt at an application rate of 25 lbs. /sq. ± 15 %. C�'ap Sheet: (Optional) One ply- of- FlintGlas Mineral Surface cap sheegadhered in a full mopping of approved asphalt at an ap lication rate of 25 lbs. /sq. ± 15 %. Surfacing: (Required if no cap sheet is used) Install one of the following: 1. A two part coating consisting of a base coat of Static Asphalt Fibered Emulsion at rate of 3 gal. /sq. or Monoform compound; surfaced with 1 gal. /sq. Sta -Kool non - fibered aluminum coating or fibered APOC No. 212.. 2. Flood coat of approved Type III asphalt with an application rate of 60 lbs. /sq.; plus gravel or slag at an application rate of 400 lbs. /sq. or 300 lbs. /sq. respectively. 'A'. See General Limitation # 2. 3 ":12 "; See General Limitation # 3. AAA -2 -3, AAA -4 -3, AAA -8 -3, A- 2 -M -3, A- 4 -M -3, A- 6 -M -3, EMS -2 -W, EMS -4 -W 20 FrankZuloaga, Plans Exam iner, ct Control Dept. Wood Deck System Limitations: 1 A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to wood plank deck. Red rosin sheet may also be installed on plywood decks as an option. 2 Pre - assembled 'Cap Nail' shall not be used for base sheet attachment. 3 When All Weather Empire base sheet is installed as the base sheet, a ply sheet of ASTM D 4601 type 11 (type G2) must be applied in approved mopping asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq prior to installation of membrane. 22 Product Control No.: 97- 0520.07 Frank Zuloaga, Plans Examin r t Co ntrol Dept. GENERAL LIMITATIONS Product Control No.: 97- 0520.07 1 All asphalt shall comply with ASTM D 312, type III or IV requirements and approved by applicant. 2 Fire ratings are determined by a combination of slope, deck type and assembly. Refer to the current Underwriters Laboratories 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 varies for each system. Consult the 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 is required on all applications over closed cell foam insulations when the base sheet is fully mopped in hot asphalt. 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 South Florida Building Code. 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. 7 Perimeter and corner areas shall comply with the elevated design pressures of these roof areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Anchor or base sheet fastening patterns and/or insulation attachment densities shall be increased in compliance with the provisions set forth in Metro -Dade County Roofing Application Standard PA 117 to meet these elevated design pressures. 8 All attachment and sizing of perimeter nailers, metal profile and/or flashing termination designs shall conform to Metro -Dade County Roofing Application Standard PA 1 1 1 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturer's 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 provisions of the South Florida Building Code. 10 Fastener spacing for anchor or base sheet attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105 or PA I05(A). If F', as tested, is Tess than that listed in the System Limitations, a professional engineer may submit revised fastener spacings utilizing F', taken from a Metro -Dade County Protocol PA 105 or PA I05(A) test report, and the provisions set forth in Metro -Dade County Roofing Application Standard PA 117. 11 Fastener density for insulation attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105. If F', as tested, is less than 275 lbf., insulation attachment shall not be acceptable. 12 Asphalt moppings shall be applied with approved asphalt and shall be in compliance with the 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 applied in multiple layers. The first layer shall be attached in compliance with the 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 the provisions of ' • • - • 'cation Standard PA 117. /� -••■ 410 111116 ° -4 •;dry! a 23 duct Control Dept. 24 Product Control No.: 97- 0520.07 14 All standard insulation panels sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re -covery 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 for the roof in question. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Subsection 3401.10(m), (n) of the South Florida Building Code. 17 Roof goods 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 Subsection 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. Frank Zuloaga, Plans Examiner, Product Control Dept. 1 GS Roofing Products Company, Inc. 5525 MacArthur Blvd., Suite 900 Irving, Texas .75038 9 This Acceptance contains pages I through 25. END OF THIS ACCEPTANCE 25 Product Control No.: 97- 0520.07 ACCEPTANCE NO.: 97- 0520.07 APPROVED: June 19, 1997 EXPIRES: June 19 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. 2 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. 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 filing of a revision application with appropriate fee) and granted by this office. 5 Any 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 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 times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. Frank Zuloaga, ' ans xaminer, Pro PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY ( OWNER TO RETAIN COPY) yy Date Job Address id)--- 6 I\ q ✓5W Tax Folio /� .1o /V 7 Legal Description ►,Z7,k0 / O # ` 7 7 7 Permit # .3/ #3 7 Owner / Lessee / Tenant HP_ (� b e 1,1°6 r v` 4' J Owner's Address G375 l— zsT 1 nSic Phone Contracting nn lil i Q\. _ ( nl. 257 i ) h�i /��l}I �l Address O }0 n 0 _ r lA►a�l� 31 Qualifier I P, YV\P * b, r)br-li,nL.e___ Phone - 7 S —0 ID State ft eve 31 tL, j( C om petency# (0 /(o Ins. Co.FC41' C A v C, �.Cp Architect /Engineer Address Bonding Company Mortgagor Permit Type (circle on WORK DESCRIPTION 3 1 /7 Square Ft. 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 will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do th work stated. Sign Date: ti Notary as to Owner and /or My Commission Expires: * . * * * of Owner and /or Condo President C nd liotary1 ) ubli d c p State of Florid Commissiv Expires F. 18, Address Address LECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN oc.. F A-(2-10 (),_1-e n A I-) 9 rA(>e Estimated Cost )00n- Plumbing PERMIT FEE: APPROVED: Zoning Building `1 Mechanical Fire Other 1-1=i) Electrical Engineering c/N - 05 3 5 — ignature f Contractor pr Owner - Builder ate: Notary as to Contractor or Own or::B lder 1 99Ky Commission Expir ty Public State Feb 1 993 y Coma lssion ExP PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ate q - 2A-9 3 Job Address � � .� �� � , _et s ST t/ 5f1 � ' , Tax Polio /1 � % �• (� egal Descriptioq(7`, // 7/731:9,a,a er Lessee / Tsnant n M c e'mi" k saw 's Address 1 Pa - 4 5_ E. c ST. ontracting Co. 01A / Ra eftU lAdiiq„,, retie_ ualifier CA ritiS Arildit) ss# " Phone ?6/ 3k • 17 PR 9 Ins.Co. • rchitect /Engineer Address onding Company • Address ortgagor Address (bruit Type(oircle one): BUILDING ELECTRICAL PLUMBING MECHANICAL • PAVING PENCE SIM ORIC DESCRIPTION r ?-,p Ne rc c. rv. e_ PQ V'e. `-e ckV,S O. n k S o rvi. e 0 V �G c�ti - guars Pt. 2 Cc • CA. c,4 ARNING TO OWNER: YOU MUST RECORD • A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO Dc O MAY RESULT IN YOUR PAYING TWICE N FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN1 O OBTAIN F YOUR LENDER OR AN ATTORNEY BEFORE RECORDING FINANCING, CONSULT IT YOUI OTICE OF COMMENCEMENT) . pplication is hereby made to obtain a per.it to do work and installation as indicated above, an n the attached addendum (if applicable). I certify that all work will be performed to meet th tandards of all laws regulating construction in jurisdiction. ING and MECHANICAL separat CAL MORK• emits are required for ELECTRICAL, WNER'S APPIDAVIT: I certify that all the foregoing information is accurate and that all work wil e dons in compliance with all applicable laws regulating construction and zoning. Furthermore, uthorize the above -naasd contractor to do the work stated. ignature of owner and /or Condo President Signature of Contractor or Owner-Builder ate: q -o2..2 -9 Date: 9 - -9 " Notary as to ' •ntractor •* My Commission Ex otary as t Owner a y Commission Expires PPROVED: * * * * EES: PERMIT AD142 RADON C.C.P. ' - -d9 NOTARY TOTAL Fire Other Electrical Estimated Cost(value) 1 ,t) no • QO MAR 0 HERNAND MY COMMISSION 9 T Q. t983 i ', EXPIRES: Octobe e Bonded Tt NntaN Public Under en; Zoni Mechanical Plumbing Engineering c 5 e d