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230 NE 94 St (8)e 1 Notary Public Print Notary's Name My Commission Expires: E OF FLORIDA, c bNTY OF DADE 0 HEREBY CERTIFY Ma, Phis is is Pruo cony . C:0 original fil od in Phis offico on 1 , , A.0. 19 C /Ili §( Jy n1N OfICCIcI ySoaI, NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERM NO. TAX FOLIO NO. 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 is provided in this Notice of Commencement. 1. Legal description of property and street address: 2. 3 nres ( 33 j �?? 2. Description of improvement: 3. Owner(s) name and address: W'--( AWI g0 (LT ` � In I T 1 C c. S• . Yt11�►n t SHO € �� 33I3? (merest in property: i c7p % Name and address of fee simple titleholder: 4. Contractor's name and address: G 4 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond 6. Lender's name and address: - • 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, • Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of !his Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different datejs specified) Signttura of Owns' i C � , � , Print Owners Name //G- -✓' � #&,€T � �"' /7 i Sworn to and subscribed ., _ - e - this 2 - _ day of / "\4 T . 19 k dir Q OFFI IAL NOTAR • S NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC374357 MY COMMISSION EXP. MAY 22,1998 96R221390 1996 NO 22 13:24 by: Prepared b / r J r ■`3-, p Y Address: s �S I ��W 1 t L e l N' JrL FI J 123.01-52 2413 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date S' l G �I S Job Address 2 3 r 7 N , Tax Folio X .15 5' 4 & tL "� ia�'" l) t4' Legal Description X( +RM / 04-10, 5 Si l_ i I f.S ,O /7Q XHistorically Designated: p er /Lessee / Tenant Ui 1C.(, I AlVi 0..(7 i1T m r i +4 ). . *Owner's Address Z 3 c'7 {J FG( c Contracting Co. Qualifier State # 646 2 2'70 Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION Square Ft. - .3 Signa e of owner and/or Condo President Dat FEES: PERMIT ' c . oo RADON APPROVED: �"oning Mechanical T// 127 ce1 U f 'Usk T 1 ) con,i? Address c14 s �, P°? A Li ; %? (44 , U 3o3- 4 6 o USA) r4 , , J/! � PLUMBING MECHANI AL OOFING PAVING FENCE SIGN . seq./ � .� ex:� 4i ���� ��, i (are o e 7S Ocess ��� 4 1„0�+ +�� [ () Estimated Cost (value) 4 "7 (� . d e, Building 9 S l G -9 and/or Condo President Date My Commission Expir c10 p� �tDtEL BARRIOS c • % COMMISSION t CC 544572 $ � ► n EXPIRES APR 01, 2000 �` • EONGEL; THRU 4 00 R' ATLANTIC BONDING CO.. INC. Competency # Ins. Co. Address Address Address /f .3,10- 0/ 3 3 30 Yes No Master Permit # 3'' 7 2/ Phone Electrical ?8J ✓533 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 the work stated. of Contractor or 0 er- Builder a ! ' :e — actor or Owner- Builder My Commission Expires: ARDIEL BARRIOS � 01r'041 G COMMISSION 0 CC 544572 r�► n EXPIr -S APR 01, 2000 n ^` ° i.:...ev •MAU '�OM. ATLANTIC BONGING CO.. INC. Date S - Date C.C.F. �3 (..5 NOTARY TOTAL DUE F, 7, c5 Plumbing Engineering Job Address: 2-Z IQE Contractor v, (»- i Process No. 123 01.166 9/94 Base Sheet: Fasteners: Ply Sheet(s): Cap Sheet: Asphalt: APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION 11 BUILT -UP APPLICATIONS AND MODLF ED BITUMEN SYSTEMS GENERAL: (� Type of Roof System Assembly to be Applied: L� -1 rfl �• YP Y Y PP Manufacturer of Roof System Assembly: G /17 Product Control Approval Number: `i S : `���3 3a • a 4. System Number from Product Control Approval: G� (Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System Guide Specification. ) ( Note: If a minimum roof system is to be applied, describe all components within the system and list the manufacturer of each component. DO NOT complete this section if system is Product Control Approved. ) ( Note: No insulation .system is acceptable under the minimum roof category. ) Complete the following for all Roof System Assemblies: Built -Up Applications and Modified Bitumen Systems Page -1 Job Address: ( Check one of the following) Recover If a recover, is the existing Roof System Assembly to be used as a bonding substrate ?: Y G' / N If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate ?: (If yes', attach ASTM E907 test report. ) Proposed Fastener: (Attach withdrawal resistance test report. ) Has the deck been examined for moisture ?: (Provide data confirming compliance with Section 3401.9(c) . ) THE SYSTEM: All Roof System Assemblies in the Product Approval have a variety of options. Briefly describe the Roofing Components to be used in the Roof System Assembly and attach a copy of the manufacturer's published specification: Deck: (Briefly describe ) Insulation: ( Type, size and method of attachment, if applicable ) Base Sheet or Ply: ( Type and method of attachment ) Ply Sheet(s): (Type and method of attachment ) Contractor Process No. Re -roof: v New Construction Y ✓ N (x6 6- N ? s -t Cq } n ec rt. b ...� )(._ ( ,,r L' ems, ,.,ne,Ye4s 3 v.). ,\ f , -.) ._ ce ca /-16 ■r‘ Q, __)\\' \Az4 Built -Up Applications and Modified Bitumen Systems Page -2 `• J Job Address: Contractor Process No. Top Ply: ( Type and method of attachment ) Surfacing: (Type, if applicable ) Flashing Materials: ( Type and method of attachment ) NCInZ V. f's ) (4 b e y ` S( • wi E Built -Up Applications and Modified Bitumen Systems Page-3 Job Address: Contractor Process No. H inches i nches , (, inches FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND INSULATION LAYER(S). (Where Roofing Component not used in Roof System Assembly, fill in with "N /A ".) Surfacing: (briefly descnbr tf appbcab4 ) Top Pl R K . �r i): 1rt �(� 1� 0 �l Ply Sheet(s): q sr S5 Fastener: l 2 t� �u y (if • sheet meek o he Base Sheet: tt 9 5 Fastener: N / 4 (iftop ineulanon layer f :..:. :......� Bonding Material: mnelatton layer bonded ) Insulation: Bonding Material: N(4 (if bate sneer bonded ) meth. onached) Top Insulation Layer: (t)(4 (lf opplicablc) Fastener: (i/inndanon meth. anoched) Bonding Material: (lf inndation bonded) � Vapor Retarder. (i /applheable ) Primer: (if oppheab7e) DEC}: ' ! I Type: Gage or Thickness: it s .t Denstry, ijconcrete deck: / Built -Up Applications and Modified Bitumen Systems Page -4 N/4 Bonding Material: A -1\4,\1- 4 Bonding Material: A 4 , Ay N (4 N (4 N ( 4 Job Address: Contractor Process No. Coping Cap Gage: Fastener Spacing: _ o.c. Clip Type: Clip Gage: PERIMETER DETAIL #1: Parapet Wall Detail Deck Type: PERIMETER DETAIL #2: Flashing Detail Built -Up Applications and Modified Bitumen Systems Page -5 Sketch Roofing Components which make up Roof System Assembly at Perimeter Parapet Walls. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Sketch Roofing Components which make up Roof System Assembly at Perimeter Areas to be Flashed. Insert leaders indicating Roofing Component names. dimensions, thicknesses, etc Include fastener type and spacing used for wood - blocking attachment Job Address: Contractor Process No. Sketch Roofing Components which make up Roof System / sembly at Perimeter Edge with Gravel Stop or Dnp Zdge. Insert leaders indicating Roofing Components names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Gravel Stop/Drip Edge Gage: Fastener Spacing: o.c. Clip Type: Clip Gage: Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment Gutter Type: Gutter Gage: Fastener Spacing: PERIMETER DETAIL #3: Gravel Stop or Drip Edge Dec :' Type: PERIMETER DETAIL #4: Gutter Detail Built -Up Applications and Modified Bitumen Systems Page -6 . Job Address: Contractor Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may eicisit Insert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment PERIMETER DETAIL #5: 'Other' Detail ecd Sketch Roofing Components which make up Roof System Assembly at any 'other Perimeter Condition which may exisit Insert leaders indicating Roofing Component names, dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment L' r 1- T_) PERIMETER DETAIL, #6: 'Other' Detail Built -Up Applications and Modified Bitumen Systems Page -7 Process No. Job Address: Contractor Process No. Insert Building and Parapet Heights. (If no Parapet exists, insert "N /A ") Also insert applicable information pertaining to the building below. (See ASCE 7 - 88 Fact Sheet Attached ) Exposure Category: 6 Classification Category: —L At Hurricane Oceanline ?: YK N Basic Wind Speed at Building Location: 110 mph Building Condition based on % of Openings: fi GROUND LEVEL k.) A feet feet BUILDING INFORMATION #1 Built -Up Applications and Modified Bitumen Systems Page -8 Job Address: Contractor Skctch Roof Plan indicating all dimensions, any slopes, roof drains, crickets, or roof top equipment. Also insert variable labeled "a" which indicates perimeter and comer dimensions per Chapter 23 of the South Florida Building Codc. (See ASCE 7.88 Foct Sheet Attached) v‘CreuSe 6,1 J ct - t ( �Q y 4 ' �e /3' 37 BUILDING INFORMATION t12: Roof Plan with Perimeter and Corner Dimensions Built -Up Applications and Modified Bitumen Systems Page -9 Process No. Jnlimited glass fiber, 2 in. max. or " GAFGLAS Ply 6 ". " at 1 -1/2 gaVsq or 'liyeathe . glass fiber, isocyanurate, a► osite, wood fiber/rsocyamaa* or " GAFGLAS Ply 6 ". rt 1 -1/2 gaVsq. Jnlimited glass fiber, isocyanurate, •► •osite, wood fiber/tapeyenrsaa or " GAFGLAS Ply 8 ". TEMS of the following systems. ne Systems may utilize mufti* VT) 7tinued osite, wood fiber/awcya 4" or " GAFGLAS Pty 8-, 4 1 -1/2 gsVsq. . glass fiber. isocyanurate, ets osite, wood fibsr/isocyam mi or " GAFGLAS Ply 8 ". e laid or mechanically fastened 'stem. 'sq. 1/2 glass fiber, isocyanurate. es osite, wood fiber/isocysnuran 1 or granule), "Ruberold Tad .s " (granule). :oat of hot roofing asphalt 1/2 33. or granule). "Ruberoid Tad .s" (granule). 1/4 lass fiber, any thickness. _ 33. n or granule), " Ruberold Tad .s" (granule). 1/2 1, urethane, perlfe/isoeyafU thickness (off -set from Peimeo or granule), "Ruberoid Tad s" (granule). 1/2 33. 1 or granule), "Ruberoid Tan' or Grundy Ind. "20 F Emul e f • 1/2 isocyanurate, urethane. Pet" ! 1 -1/2 in. min. G3. h or granule), "Ruberoid Tad is" (granule). 1/2 glass fiber, isocyanurate. asite, wood fiber/Isoeys° UCT ROOF COVERING MATERIALS (TEVT) 217 ROOFING SYSTEMS (TGFU)— Continued Bass Sheet Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type G1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule). "Ruberoid Torch pl (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97. 1 -1/2 - 3 gaVsq or gravel. peck: NC Incline: 1/2 tnsulsNo :: One or more layers perlite, glass fiber. 3/4 in. min. isocyanurate, urethane. partite/ ,socyanurate composite, perlite /urethane composite, phenolic. 1 -1/2 in. min. dese Sheet (Optional): One or more layers of Type 61. G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1.2 gaVsq. a Deck: G15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite. glass fiber, 3/4 in. min. isocyanurate, ure- thane. perlite /isocyanurate composite, perlite /urethane composite, phenolic. 1 -1/2 in. min. Base Sheet One or more layers of Type G2 " GAFGLAS #75 Base Sheet", hot mopped or me- chanically fastened in place. Ply Sheet One or more layers of Type 61 " GAFGLAS Ply 4 ". hot mopped in place. Membrane: "Ruberoid Mop FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1-1/2 gaVsq or GAF Weather Coat Emulsion at 3 gaVsq. 10 Deck: G15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min. isocyanurate, ure- thane, perlite/isocyanurate composite. perlite /urethane composite. phenolic, 1.1/2 in. min. SAM Sheet One or more layers of Type G2 " GAFGLAS #75 Base Sheet", hot mopped or me- chanically fastened in place. Ply Sheet One or more layers of Type G1 " GAFGLAS Ply 4 ", or " GAFGLAS Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1.1/2 gaVsq or GAF Weather Coat Emulsion at 3 gaVsq. it Dock C -15/32 Incline: 1/2 Insulation: lscyanurate, 2 in. min., wood fiber, partite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off-set 6 in. Base Sheet One or more layers of Type G2 " GAFGLAS #76 Base Sheet ", hot mopped or me- chanically fastened in place. Ply Sheet (Options* One or more layers of Type G1 " GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gaVsq: 11 Deck: C -15/32 Incline: 1/2 !mutation (Optional): Isocyanurate. perlite or glass fiber, any thickness. hot mopped or me- chanically fastened In place. Joints off-set 6 in. Base Sheet One or more layers of Type G2 " GAFGLAS #75 Base Sheet", hot mopped or me- chanically fastened in place. Ply Sheet One or more layers of Type G1 " GAFGLAS Ply 4" or "Ply 6 ", hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1.1/2 gal /sq or GAF Weather Coat Emulsion st 3 gaVsq. 13 Deck: NC Incline: 2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off-set 6 In. Bass Sheet One or more layers of Type G2 " GAFGLAS #75 Base Sheet hot mopped in Place. PIy mopped Sheet (Optionelk One or more layers of Type 61 "GAFGLAS Ply 4" or "Ply 6" hot in place. Membrane: "Ruberoid Torch FR" (granule). Su sion at 3 (OptgaloVsq. nalk "GAF Fibered Aluminum Coating "' at 1 -1/2 gaVsq or GAF Weather Coat t o Dock NC Incline: 1 Insulation (Optional) Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot 4 mopped or mechanically fastened In place. Joints off-set 6 in. Base Sheet One or more layers of "GAFGLAS #75 Base Sheet ", hot mopped in place. Oly Sheet (Optional): One or more layers of "GAF GLAS Ply 4" or "Ply 6" hot mopped in Place. Membrane: "Ruberoid Torch FR" (granule). SuASNng (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq or GAF Fibered Alumi- c ) lnum Coating at 1 -1/2 gaVsq. Deck: C -15/32 lie or phenolic. Incline: 1/2 Insulation (Optional): Partite, fiber glass, isocyanurate, urethane, perlite/isocyanurate compos- S i.. Sheet One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fas- tened. Ply Sheet (Optional): One or more layers Type G1, hot mopped in place. ` Membrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). t Deck: G15/32 Mauls Incline: 1/2 (Optional): Partite. fiber glass, isocyanurate, urethane, perlite /isocyanurate compos- he er Phenolic, off-set 6 in. from joints. • •S • S One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically tion Ply Sh eet (Optional): One or more layers of Type G-1, hot mopped in place. M embrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" (smooth). M embrane: One layer of "Ruberoid Torch'FR" or "Ruberold Mop FR" (granule) • LOOK FOR MARK ON PRODUCT jf v e: • • METROPOLITAN DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING UUILOINO CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130 -1583 (305) 376 -2901 PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX (305) 376.2008 GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of GAF Materials Corporation Modified Bitumen Roof Systems 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 Construction Research Laboratory, Inc., Factory Mutual Research Corporation, South Florida Test Service, Underwriters Laboratories, Inc. and Dynatech Engineering, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth herein. The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Code Compliance Department reserves the right to require testing of this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The expense of such testing will be incurred by the Manufacturer. PRODUCT NO.: ACCEPTANCE NO.: 95- 0330.011 ul Rodriguez Product Control Division EXPIRES: Nov 1 n 1997 Supervisor - PLEASE NOTE - THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade Co lorida under the conditions set forth above. APPROVED: MAY 0 4 1995 .ov arles Danger, P.E., Director Building Code Compliance Department Metropolitan Dade County Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 SYSTEMS PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category. Membrane Roofing System Sub - Category: Built -up Roofing Type: Modified Bitumen Sub -Type: SBS, APP Product Control No.: Approval Date: Expiration Date: 95- 0330.06 MAYO4 1^ M NOV 1 0 1997 System Description GAF Materials Corporation has been manufacturing commercial roofing products for more than 100 years. GAF produces a wide range of roof products for built -up roofing systems. The modified bitumen products include both APP and SBS products in smooth, granule and fire rated versions. In addition, GAF offers two ply modified systems to meet the specification requirements for multilayer SBS modified specifications. GAF products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the Ruberoid Modified Bitumen Application and Specification manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories. GAF modified bitumen membranes have been tested in compliance with ASTM D 5147 test requirements. • • Insulation Types: Fibrous glass Perlite Fiberboard Polyisocyanurate Expanded polystyrene (EPS) Polyisocyanurate Composite Board Maximum Design Pressures Material Design Pressure Wood -60 psf Steel -75 psf Concrete -248 psf Lightweight Concrete -45 psf Poured Gypsum -45 psf Product Control No.: 95- 0330.06 Maximum Fire Classification Material Classification Wood Class A Steel Class A Concrete Class A Lightweight Concrete Class A Poured Gypsum Class A 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 product nl^^ensions Ruberoid® Torch 1 sq. roll Smooth 87 lbs. Ruberoid® Torch Plus (Granule) Ruberoid® Torch Granule Ruberoid® Torch FR Ruberoid® Mop Plus (Granule) Ruberoid® Mop Granule Ruberoid® Mop FR Ruberoid® 20 Ruberoid® 30 Ruberoid® 30 FR Ruberoid® Mop 170 FR TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT 3 /. sq. roll 93 Ib. roll 1 sq. roll 102 Ib. roll 3/4 sq. roll 90 lbs. 1 sq. roll 102 lbs. 1 sq. roll 103 lbs. 1 sq. roll 105 lbs. 1.5 sq. roll 1 sq. roll 92 lbs. 1 sq. roll 92 lbs. Product Control No.: 95- 0330.06 , Test Product Specification D s. ri otion ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire- retardant, polymer modified asphalt surfaced with mineral granules. ASTM D 5147 SBS modified asphalt base sheet reinforce with a glass fiber mat. ASTM D 5147 Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with asphalt fire retardant, polymer surfaced and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with min u 4 Raul Rodriguez • • Product GAFGLAS® Stratavent® (Vent Ply) for Naitable Decks. GAFGLAS® 3' x 36" Stratavent® (Vent Ply) 69 Ib. roll Perforated GAFGLAS Ply 6® 3' x 180' 45 lb. roll (GAFGLAS Ply 4 GAFGLAS #75® ) GAFGLAS® 3' x 36' Mineral Surfaced 76 lb. roll Cap Sheet GAF Materials Corporation Asphalt Concrete Primer GAF Materials Corporation Fibered Aluminum GAF Materials Corporation WeatherCoat® Emulsion GAF Materials Corporation Jetblak All Weather Plastic Cement Dimensions 3'x36" 69 lb. roll 3' x 180' 40 lb. roll 3' x 108' 75 lb. roll 5, 55 gallons ASTM D 41 1, 5 gallons ASTM D 2824 Fibered aluminum coating. 5 gallons 1, 5 gallons Test Specification ASTM D 4897 D 3672 Product Control No.: 95- 0330.06 Product Description Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 4897 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. 5 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. Raul Rodriguez Product GAF Materials Corporation Jetblak Flashtite® Cement GAF Materials Corporation Plastic Cement GAF Materials Corporation Mineral Shield® Granules GAFTEMP® various Isotherm R GAFTEMP® Composite various GAFTEMP® Permalite various GAFTEMP® Fiberboard various GAFTEMP® High Density Fiberboard GAFTITE® #12 Standard Roofing Fastener GAFTITE® #14 Heavy Duty Roofing Fastener NTB Fasteners Test Product Dimensions Specification Description 1, 5, 53 gallons ASTM D 4586 Asphalt flashing cement. 1, 5, 53 gallons ASTM D 4586 Trowel grade, asphalt plastic cement. various GAFTITE® Base Sheet PA 114 Fastener and Plate Galvalume Plates 3" and 3 '/2" PA 114 Polypropylene Plates 3" and 3 /2" PA 114 Product Control No.: 95- 0330.06 Granules for surfacing of exposed asphalt, cold process or emulsion. PA 110 Polyisocyanurate foam insulation. PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Perlite insulation board. PA 110 Fiberboard insulation. PA 110 High density wood fiberboard insulation. PA 114 Insulation fastener for steel and plywood decks. PA 114 Insulation fastener for steel, wood and concrete decks. PA 114 Fastener for use in gypsum, tectum and lightweight insulating concrete decks. Base sheet fastening assembly. Round gaivalume stress plates. Round polypropylene stress plates. 6 Raul Rodriguez Product Control No.: 95- 0330.06 TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Product Dimensions Specification Description Manufacturer Hy Therm AP various PA 110 Polyisocyanurate foam Apache Products Co. insulation Pyrox various PA 110 Polyisocyanurate foam Apache Products Co. insulation White Line various PA 110 Polyisocyanurate foam Apache Products Co. insulation ACFoam Composite various PA 110 Polyisocyanurate foam Atlas Energy . insulation Products ACFoam I various PA 110 Polyisocyanurate foam Atlas Energy insulation Products • ACFoam II various PA 110 Polyisocyanurate foam insulation Atlas Energy Products Hy -Tec various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Tec 2 various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Therm AP various PA 110 Polyisocyanurate foam Celotex Corp. insulation • Hy -Therm White various PA 110 Polyisocyanurate foam Celotex Corp. Line insulation Hy -Therm Pyrox various PA 110 Polyisocyanurate foam Celotex Corp. insulation Energy LOk various PA 110 Polyisocyanurate foam Celotex Corp. insulation Thermax various PA 110 Polyisocyanurate foam TRI -STAR insulation 7 Raul Rodriguez Celotex Corp. Product Dekfast Fasteners #14 Dekfast Hex Plate 2 7/8" x 3 1/4" Dekfast Lock Plate 3" x 3 1/4" PA 114 Dekfast Fasteners #l5 Dekfast Fasteners #12 TPR ISO 95+ GW various ISO 95+ GL various ISO 95+ Composite ISO 95+ High Density Wood various Fiberboard Test Dimensions Specification PA 114 PA 114 PA 114 PA 114 PA 114 PA 110 PA 110 PA 110 PA 110 ASTM D 312 PA 110 Perlite Insulation various PA 110 8 Product Description Insulation fastener for steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fasteners for concrete decks Insulation fastener for steel and wood decks. Aluminum fastener for lightweight, gypsum and tectum decks Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate / perlite ridged insulation Polyisocyanurate foam insulation Type III or IV hot asphalt bitumen adhesive Wood fiber insulation board Perlite insulation board Product Control No.: 95- 0330.06 Manufacturer Construction Fasteners, Inc. Construction Fasteners, Inc. Construction Fasteners, Inc. Construction Fasteners, Inc. Construction Fasteners, Inc. Creative Construction Components Firestone Firestone Firestone Firestone generic generic generic • • • Product Red Rosin various Roofing Nails Type X Gypsum various Fire resistant rated gypsum generic Sturdi -Top various PA 110 Wood fiberboard Georgia- Pacific al MB aluminum roof coating Grundy Industrial Emulsion #14 Roofgrip Test Product Dimensions Specification Description Manufacturer Min. 32 ga. x 1 Gripdek Fastener PA 114 Rosin paper for barrier generic layer on wood decks Product Control No.: 95- 0330.06 Minimum # PA 114 Corrosion resistant annular generic 12 ring shank nails Corrosion resistant circular generic discs. PA 121 Aluminum roof coating Grundy Industries PA 121 Asphalt emulsion Grundy Industries PA 114 Insulation fastener steel, ITW Buildex wood or concrete decks Insulation fastener ITW Buildex Premium Metal 3" square PA 114 3" square galvalume AZ55 ITW Buildex Plate stress plate Standard Plastic 3" round PA 114 Polyolefin plastic plate ITW Buildex Plate Karnak No. 169 ASTM D 2824 Aluminum roof coating Karnak Corp. Karnak 97 PA 121 Roof coating Karnak Barrier Board Plus various PA 110 Polyisocyanurate foam / NRG Barriers, Inc. wood fiber insulation 9 Raul Rodriguez Product E'NRG'Y PSI -25 various PA 110 E'NRG'Y -1 various PA 110 E'NRG'Y -2 Plus various PA 110 E'NRG'Y -1 Plus various PA 110 E'NRG'Y -2 various PA 110 Con -Tite (Fluted Nail) Test Product Dimensions Specification Description PA 114 Olympic Standard 3" round PA 114 Olympic C -R Base Sheet Fastener and Plate Fiberglas PA 114 various PA 110 10 Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Concrete deck insulation fastener 3" round galvalume AZ55 steel plate Olympic G2 Plate 3.5" round PA 114 3.5" round galvalume AZ55 Olympic steel plate. Manufacturing Group, Inc. Olympic 3.25" round PA 114 Olympic Polypropylene Manufacturing Group, Inc. Olympic Fastener PA 114 Polypropylene plastic plate Insulation fastener Base sheet fastener and plate. Raul Rodriguez Product Control No.: 95- 0330.06 Manufacturer NRG Barriers, Inc. NRG Barriers. Inc. NRG Barriers, Inc. NRG Barriers, Inc. NRG Barriers, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Fiber glass roof insulation Owens- Corning Fiberglas Corp. product Multi -Max Thermaroof Composite • HD Insul -Fixx Fastener • Insul -Fixx Fastener Insul-Fixx S Insul -Fixx P Rawl Drive Rawl Fasteners #12 Rawl Fasteners #14 Test Product Dimensions 5sIggiraatipn pescript Foamglas Board various PA 110 various PA 110 various Fes -Core various PA 110 Fesco Foam various PA 110 UltraGard Gold various PA 110 3" square PA 114 3" round PA 114 PA 114 PA 110 Polyisocyanurate foam / Rmax, Inc. perlite composite insulation PA 114 Insulation fastener for use SFS /Stadler in steel and concrete decks PA 114 Insulation fastener for steel SFS /Stadler and wood decks PA 114 PA 114 Expanded glass insulation board. Polyisocyanurate foam insulation Polyisocyanurate foam / fescoboard insulation Polyisocyanurate foam / fescoboard insulation Polyisocyanurate foam insulation 3" square galvalume AZ55 stress plate 3" round plastic stress plate Insulation fastener and steel and plastic stress plate for concrete deck 11 Insulation fastener for steel and wood decks Insulation fastener for use in steel, wood or concrete Raul Rodriguez Product Control No.: 95- 0330.06 Manufacturer Pittsburgh Corning Rmax, Inc. Schuller International Inc. Schuller International Inc. Schuller International Inc. SFS /Stadler SFS /Stadler The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. Product Rawl 3" Plate Rawl Spike Rawlite Rawlite 3" Plate Test Dimensions 5 Cation 3" round PA 114 PA 114 PA 114 3" round PA 114 Product Description 3" round galvalume AZ55 steel plate Insulation fastener and steel and plastic stress plate for concrete deck Insulation fastener for cementitious and gypsum decks 3" round galvalume AZ55 steel plate for use with Rawlite fasteners 12 Product Control No.: 95- 0330.06 Manufacturer The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. • • Test Agency Construction Research Laboratory, Inc. Factory Mutual Research Corporation South Florida Test Service Underwriters Laboratories, Inc. Dynatech Engineering, Inc. Test Identifier #4818 J.I. OT4A 1.AM J. [. 1 V 7AO.AM J.I. 1V8A4.AM J.I. 1 R 1 A6.AM J.I. 0T2Q4.AM J.I. 0Q6A6.AM J.I. 2M0A4.AM J.I. 3 X3A2.AM J.I. 0Y9Q5.AM J.I. 3X3A2.AM GAF -53 -X -915 R1306 3600.02.95 Test Reports Test Name/Report Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Physical Properties Fire Classification Wind Uplift, Small Scale 13 Raul Rodriguez Product Control No.: 95- 0330.06 Date 07/10/87 08/26/92 07/16/92 06/28/93 11/15/91 10/17/91 07/16/91 03/21/87 08/02/94 07/29/94 08/02/94 03/08/91 08/01/94 02/02/95 • • • Membrane Type: SBS Deck Type 1: Deck Description: System Type E: All General and System Limitations apply. Base Sheet: Fastening: Note: PIy Sheet:. Membrane: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: Wood, Non - insulated 19 / 12 " or greater plywood or wood plank decks Base sheet mechanically fastened. Product Control No.: 95- 0330.06 One ply of GAFGLAS® Ply 4, GAFGLAS® Ply 6 ®, GAFGLAS® #75 or GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks mechanically fastened as described below: Base 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.. PIy 4 and Ply 6') applications require sheathing paper over the wood deck before application of base sheet. (Optional) One, two or three plies of GAFGLAS® Ply 4, GAFGLAS® Ply 6® or a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %. One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule or Ruberoid® Mop FR in type 1II or IV asphalt at an application rate of 25 lb./sq. ± 15 %. (Optional) Install one of the following: 1. GAFGLAS® Mineral Surface Cap Sheet in type I1I or IV asphalt at an application rate of 25 lb. /sq. ± 15 %. -60 psf. Class 'A'; see General Limitation #2. 3:12; see General Limitation #3. N- 1 -1 -MG, N- 1- 1 -MGFR, N -1 -1 -MGFR, N -1 -2- 20/30, N- 1- 2- 20 /30FR, N- 1 -1 -MGP 41 Product Control No.: 95- 0330.06 Wood Deck decks to eliminate Limitations: 1. A red rosin sheet shall be installed on all wood plank ate plank deck. A red ir ate asphalt seepage and bonding of base oos� de to wood an option. A red rosin sheet sheet may also be installed on plyw is required on all applications where Ply 4® or Ply 6® is used as an anchor sheet. 2. Pre - assembled 'Cap Nail' shall not be used for base sheet attachment. 3. Fasten anchor sheet 9" at the lap and 18" in two staggered rows centered on the sheet. Approved to -45 psf. 4. See PA 117 for extrapolation of data for higher design pressures. 42 Raul Rodriguez • General Limitations: 1. All asphalt shall comply with ASTM D 312 type III or type IV requirements. All proposed asphalt producers must be approved by the applicant. 2. Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Laboratories Roofing Materials Directory or other fire testing data listed by an approved listing laboratory agency. Fire ratings shall be in compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3. Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4. An overlay /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 may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip or spot 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 lbsJsq.. Note maximum design pressure restrictions on spot attached systems. 5. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 6. All work shall be performed by a Contractor licensed to do roofing work in Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer. 7. In re- roofing applications, moisture content in an existing built -up roof must be in compliance with Section 3401.9(c) of the South Florida Building Code. 8. Prior to application, all existing roof surfaces used as a bonding substrate shall be tested for uplift resistance in compliance with Dade County Protocol PA 124 to the calculated design pressure of the roof deck. 9. 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. 10. Perimeter and corner areas shall have an increase in fastener density for both insulation and base sheet in compliance with Dade County Protocol PA 117 of the South Florida Building Code. 11. All attachment and sizing of perimeter nailers and metal profile designs shall conform with Dade County Protocol PA 111 of the South Florida Buil; • g C • • e. AL I A/ 168 Raul Rodriguez Product Control No.: 95- 0330.06 Product Control No.: 95- 0330.06 12. Flashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. 13. Roll good materials shall be stored in strict compliance with GAF Materials Corporation requirements. 14. 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 Chapter 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 15. Asphalt moppings shall be with applied with asphalt approved by the applicant and shall be approved in compliance with equiviscous temperature (EVT) methods of asphalt application. 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(aX3) of the South Florida Building Code. 16. 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 at an application rate of 25 lbs/sq. t 15 %, 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. 17. Pre - assembled cap nails may only be used for termination of fully bonded surfaces such as mechanical termination at wood blocking, head and side laps, and base flashing terminations. Cap nails shall not be used for the mechanical attachment of a base sheet. Tin caps are required by the South Florida Building Code. 18. 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. 19. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 20. Fastener spacing for base sheet attachment is based on a minimum withdrawal resistance value of 250 lbf as tested in compliance with Dade County Protocol PA 105. If the fastener values as tested are below 250 lbf a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from Dade County Protocol PA 105. Calculations shall be based on a rupture value (the fastener stress plate pulling over the base ply) of n moog th U 90 ' j, . , b� /, .. I Raul Rodriguez 169 170 Raul Rodriguez Product Control No.: 95- 0330.06 21. Fastener spacing for insulation attachment is based on a Minimum Characteristic -Force (F) of 300 lbf. as tested in compliance with PA 105. If F' as field tested, is below 300 lbf. insulation attachment shall not be acceptable. 22. GAF does not allow application of roof coatigs, other than a pour coat of asphalt and gravel, over its granule surfaced Ruberoid® products. 23. In addition to the requirements of this Product Control Approval and the South Florida Building Code, applicator shall follow the manufacturer's specifications. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building i Architect Contractor or Builder Legal Lot Description Address of ' Building z. n (V Work to be performed under this 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 in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 11751 f Bl. Subdi- vision Value of Project $ BY DATE Contractor's License No Amt. of Permit $ AUTHORITY 195 Name and addicts of licensed. contractor CARRUTH Locaticp arid legal description of lot to be b yrs: Lot,(ei Block Street and Number where work is to be ... State work t',o be done and purpose of building (by two layers of 15# felt and gravel New Bui!ding MIAMI SHORES VILLAGE Subdivision 22.48 Reinarls (Signed) SUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the ainworal of the detailed statement us one parts sod opecifiestioos herewith ssibrnitted Isp-the build i at oas structure herein detscribcd. This application ts made i compliance and conformity inth the Building tirdinanet of Miarni Shores vtliter. FloridA. anti oll provisions nf the Laws n( the State of Firmida, all ordinances of Miami Shores Village and all rules and regul O ations of w dulkling Divc,sna of Miami Shores Village shall be complied with, whether herein specified ee sot. A Dopy of appro./Id plans and specification angst be kept at building during peggreas ol the work. February 20, 87 Date , la._ N 230 NE 94 s ...1••••••■••■••••...11”.,-T• Owner's Name and Address ..Ms..... Taal ,Se•&t.$)u. - Restricted Architect and/or Engineer . . . . ROOFING CO., INC. —301 NW 71st Street, Miatni,Fla.33150 //MW 11 J,IaL4L2O." 3 NE 94th Street nooro_ge,maof_ga_back with one lus_t_D# base sheet . THE WHOLE ROOF IS FLAT WITH GRAVEL. • and for to other purpose. Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation .,....s quares R c on d os Re—roof ii Estimated Total cost of improvements 4,950.00 ents $ Amount of Permit' L. Zone cubage required .... _Plan Cubage Distance to next nearest building Siza of Building Lot Maaimum 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 %Md.( 1,1C r.td 3rpl,c. for this'hiiilding per:nit does hereby certify that he understands and accepts his obligations 3% ir cmployer of labor under the Flor Workmen's Corensatio» Act. being Section 59(,6, C.ompiled General Laws of Florida, )ermant-nt Sopplyment, 3n ti hs complird ...ilk the rrovision. thereof, and will requ m ire similar compliance from all contractors or sulx-cew..cractors ear,:!( yt.e, to bc pt.rformyn uncicr um permit, and will post or cauce to be posted for inspection on the site of the work =Willi. notice or notices as are regwred by the A . The undersigned agrees to employ only such subcontractors, on work to be per( under this permit, as are licensed by Miami Shores Village. STATE OF FLOTADA, COUNTY OF DADE. IS ' Bcforerne, 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 tl.e ahoi.e described et.nstruction, that he has carefu ly read the foregoing application, and that he did sign the same, and that all facu therein by him stated are true. 109 Pent No. .& Date Disapproved ..... Date. ; • I (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires......._ PLANNING ...... -.--..----DATE . .... Member ....... . Member Member Council Approved Dale Disapproved to me well known, Date NO A charge of 11.00 will be made for snaking corrections se changes to this application &Ns approval hat here obtained bean she 11'1.mr,11...! A 'Km fee of al..00 will be charged when oath os-itaepectien h made eiecesaary by Improper seek, ke Wpm:ties% se fruity oisteral, anciior workmanship. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING Owner of Building Architect Contractor or Builder Legal Lox 11 Description 11 B1 Address of >'i 's yi Building 3o '� CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Np 8776 Work to be performed under this Permit ,47" - 2/ # Date Contractor's License No. BY AUTHORITY _19_4/ I Subdi- vision Sq. Ft. Value of C 11 Amount of Project $ 1 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 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 in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed (INSPECTOR) BY In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulation, pertaining thereto and in strict conformity with the plans, ings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself,pty agent, servant or employee. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date. Owner's Name and Address . - N rs . I. Sexton No 2 N. E' 9treet St. Registered Architect and /or Engineer Name and address of licensed contractor.('ri. f e-T2....ThdUSt.r.l T.nC..F Q - BQ.X... Tam i am i St a . Ni am i . Fla. 33 144 Location and legal description of lot to be built on: Lot Block. Subdivision Street and Number where work is to be done 23Q...N.....E. State work to be done and purpose of building (by floors) Remove roof over Living Room Only, Apply . -- /4Q --. and-..- 2/ 45 #- ..A-sphal-t...Fe .Capp.er Flashing and for no other purpose. New Building Remodeling. Addition To be constructed of Kind of foundation Remarks (Signed) 5 -22 , 19 67 Repairs X No. of Stories Roof Covering Gravel 5 -_ 9 Qa Sqs Estimated Total cost of improvements $ 750.-00 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 R Y fir- -13ex- 565, dam -a am- S x i -an, Miami, Fla- 33144 The undersigned applicant for this building pennit 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 such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on worlr°ttt'b rformed under this permit, as are licensed by Miami Shores Village. it ; ,x .1 DUSTR % S. INC. L. R. N; rt fg. Dept. STATE OF FLORIDA, j COUNTY OF DADE. 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. _ __- . 7S?__ Date S 3 Read, Sworn to and Subscribed before me. Disapproved ' ate (Signed) Buil•v Inspector Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.