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434 NE 95 St (2)Permit No ELECTRICAL INSPECTION DEPARTMENT • MIAMI SHORES VILLAGE • APPLICATION FOR ELECTRICAL PERMIT � / 1 c 4. D ate Application is hereby made for the approval of the detailed statement of _the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address r�:. ^.k_.k : �� l t Registered Architect and /or Engineer 1 . Employing Electrician's Name ,.t..�:;� p % ��: ' ' ' � � No Location and Legal Description Lot Block Subdivision �..,... , .. � pp � Street and Number where work is to be performed —No , , ..J Street. .fERC. r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ K (Signed) ss. i.4. 'f J No •,_; L Street Repairs No. of Stories Street v, i Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this, permit, as are licensed by Miami Shores Village. 1.2 r', (Signed). ' F a, i t f s A . aster Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. a My Commission Expires ' Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST .2... /1 L.� �;� 4 �f - LL B- -r 4 � t CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No ELECTRICAL INSPECTION DEPARTMENT • MIAMI SHORES VILLAGE • APPLICATION FOR ELECTRICAL PERMIT � / 1 c 4. D ate Application is hereby made for the approval of the detailed statement of _the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address r�:. ^.k_.k : �� l t Registered Architect and /or Engineer 1 . Employing Electrician's Name ,.t..�:;� p % ��: ' ' ' � � No Location and Legal Description Lot Block Subdivision �..,... , .. � pp � Street and Number where work is to be performed —No , , ..J Street. .fERC. r State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ K (Signed) ss. i.4. 'f J No •,_; L Street Repairs No. of Stories Street v, i Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this, permit, as are licensed by Miami Shores Village. 1.2 r', (Signed). ' F a, i t f s A . aster Electrician. STATE OF FLORIDA, l COUNTY OF DADE. I Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. a My Commission Expires ' Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. 11 '9E, 1r :74 PHI711 H." -• OT;Rm'a !4/ 1 .-- 0 7 44; qt.tfia. 6o 49_2, / '9 gq- g Apthicw.. , Boling Motsgz, Pc 7Nypo (rv:;- ' SquEsp Avylion hemby nd? • :.. 7e6v.k to do ociligy Mat ke 'MOO the parEni(w arc sot 1 3'.',; IPPSO: PERMIT 777 VI7 APPTICh` .0. *- O i0 4.-Al Job Aci..d.(x) Fs' 6 NOM7 I.,. a.116,:iV) Co::;11)Pfkmtur; Dato My CgaLic)3!,15111:ttpirei R 'JON C C • BinIding wnin dh/U Date 1 Fan M1.IAME 2INCDRES WU-AGE Tex 72..eLc- Os 60 ice TJ:::„n 07,ff' "44Ple Eea _ Alej rz-e_e_e_eo VOWS Saari .1- / Ate MostOoallyDa3ipirapa' Va9 No 14 tp ie(2 eA9ter(Sfeb r/0/14 Mo g Permit MO Rate (3 'DO r °Aras 4()1(2 #;42. e mici,;,_oeV. -5 1 $1 ccis 5 °DI 01fita co TUMG WEICDMgCAll. £© PAWIFIV: Q13 ir.chca :40 atove, cnd ailcAtg;:, rYtr° ccautrudbri E:41 &it! priodicimn ° onpc,16',G WY( .14NEC4ANICAL WURY.C. )"/Jj. `TO . i'41C111 A RTMCIF (i0 V1', Z,Va i_f©Um ijw \ynT • nA)MEMTVV TcV) Woh unopman'm akTiplp CONPUI? WrrlIg (BtL • Alk2 Arra _ mareaxm 'yam wyncs (cDP' ownws AHDV. that U t foregoing infornation i irt cidolphatie viral a?. :wilsat5 Inv) l'Ici3idi:166 iL`,2i1Mt3F13, I CA01120 aig 61b0wqt.v.1,.., 0:14C qt.cA4 Slarinkrz CuLtrector or OViiter-Buildoi Dote Nom ay IQ C(1,11M123 CAIVT°0111MW My romminot:: 17Tp:7,t 1 __Enanncirinct svo TAL H0.715 PCO2 1 [ 3 "_ 130112 NO. STREET PART OF LOT LOT BL'K SUBDIVISION Signs 4/ g (;,,r-i, , , Other Apparatus z I e ,5-2, , Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electrician 1,7 OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , aiami cSlzores9llage F L O It I D A NUMBER OF LO CATI 0 N DESCRIPTION OF WORK N° 378 L This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon anychange the plans and specifications unauthorized by this Department. , � - i r In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules • d regul tion s Of the Electrical Department of Miami Shores Village. 9 G' , , r ' i et Dated , 19 f �: l° (Seal) f � , Electrical Inspector. Permit No Owner's Name and Address 1 STATE OF FLORIDA, 1 COUNTY OF DADE. I 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date it3 /° Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 4/3V 7 Street 9 5 1 . ' " Registered Architect and /or Engineer r Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No?i./U / :....Street. (Signed) No. of Stories ervice Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG ReCE'P'T's FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK CONTR. IST LIST L ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL 9• ® C CHECK Permit No Owner's Name and Address 1 STATE OF FLORIDA, 1 COUNTY OF DADE. I 55. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date it3 /° Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. No 4/3V 7 Street 9 5 1 . ' " Registered Architect and /or Engineer r Employing Electrician's Name Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No?i./U / :....Street. (Signed) No. of Stories ervice Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. aster Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. INOU'n3r) GC 90 THIS IS TO CEA"_ IN�IC AYr!), fti. a CERTIPICATk WV' y� 7z10LLS!` NS APoJ I OTNE I'M OPIGDURA2 6!ADILIYTI AUVOM001:.0 y. ANY AVIV " ALL 6aim1 D . .. JHIPEO AUTOS � � 'GARAGE ALTOS f GARAGE LIA®ILITY f attesse bIASIL ".4Y L__ }Uf OREL1A P'^ ' 1 jOYMPIi YHA _.. vonaeR'0 COCJP3NDAYIM AND EMPLOVQRO' 6IA0ILiv7 r, HIA,AH FLA. ' ?. 1EEN TCJ )-,• Al0r. i;v °� PEPIO© • U�r, ° N,'e ��:a 'aG1� AFf i �.. EY no' ;�L'LiCIE L; 0 1'x14': ti id( _tiJ'eU v�dY ^.JP Fir,P•. RGJ JCFP n POLICY F1UClDEFI WC 9827167 OBOORJPYION OP OPORAYIUFIO /LOCAYICJM8'vERIMEO/OPEC181. 'xe� :00U DAYU IMMID9IVY) 1010(00C A>� A t�ATYQR O P INPOG1F` ATOGN ONLY AND d�t��JO RHO R!0: UPON Tb2 CERVINCATe MOLDER. T 1IU DENTOPIOI TE NOT AI'JEry E]YTEND OR ALTER VIE COVERAOQ AEFEORIDWO ITV THE "f?h,«AES ®lgvz P 1. °'TP.F I Pr.4 — rc' v!. U CARICVLLATIORI AU4Nb I>:aO Rep ©v4 pammS A (POQ©?NU COVERAGE I'C010Y EFFeGYIYD POLICY EN:; A W)4 rA „o ""Tr" OAT !MM • 0.112 174/ J &4/l7/96 744/ f +, J/ S :,t. MQ N°E ) 2 6AM T 000_'x; Po BODILY IN,., (Po( accl6o PAOPERTf JAMACIE EACH 3C0OFIREI4CE Au ZN EU ATE Poi 5 4 SYATuY AV EACH Aee16Qib'? o 100 F'/((8/96 C12/08/97 ®13 @ABEmPO' ICY LlM° 3_; Di0 ABF — EACH EV' LOYE0 fl ? . n S 4OULO ANY 1)r' THE ABOVP DESORIECD POLICIES CANDC LLC:s BEPORE THE EIIPIRATION DATE THEREOF, fir ISSUING COMPANY WILL ENDEAVOR TO MAIL _aft. DAYS wAi'EN NOT)GC YO THE DEHTIPICATE HOLDER NAMED' ul' >x 'i • ;; Q Rt OdN» XyO ,iz z CWIn<g ctf_gC5=7 7 • IItdT (3t =ViFi.,ig:aV. 1i> OrSC .'dti cn)1 I(<3 z 6 6 IX a, G c). �� a MIAMI SHORES �� MI HORCS \/ILLAGE P0oX J BUILDING INSPECTION DEPARTMENT m .FL_. 33/1/2- G - 7 4 r . APPLICATION FOR BUILDING PERMIT Applieationi hereby made for the approval of the detailed statement w me 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 d}lring progress of the work. . 19.. 393 Owner's Name and Address NoA 3 X.__..... Street..4 9-S _. S'r Registered Architect and /or Engineer Name and address of licensed contractor 02LY.�t..__ -&w A V( ,fi ? / ,� -*z. j Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _..._._.. __...._.._ State work to be done and purpose of building by floors) Ncw Building Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements $ / r Amount of Permit Zone cubage required Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied w ith the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subc9tractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remaks (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 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 ...2„Lit Disapproved (Signed) Date Building Inspector 0 Date.. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ..... and for no other purpose. _. to me well known, PLANNING BOARD DATE . Chairman Member \fcrr,bcr Member Member .. .. _---- .-- ....._..._. ....._....... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or chnnges to this application after approval has been obtained from the Plannir.. Board. A rc•inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. 1 Date /l Job Address 1' ° 9.-5 • Tax Folio " //- 3.9e 4 i 4:.? of e° O /cc .4? •L�jRCft.ttii �■7Oc2n� .0'49e-f / aoj ,vee.' c ar7lso ^ Legal DescriptionA ?/47' ski E7•! Or &J 'p4,p2aoi,ad Historically Designated: Yes No ..7 4) A /4 &vat' /", P9j -e'2 ry , /� /.tc £ec ® ,ea )' T) of Moil ! � '/a4 64. Owner/Lessee / Tenant 'r e4 o) ) '1 6 a k Master Permit # y, C-4 �� co ,,. m ; ,S *--ed. Phone.'a.5 Z —, • ,2S,7-. Owner's Address •#,-3 4 Gv Address 4-9 ycS 4 ',) I/1 Qualifier G) d4 I- e 4 . SS# - Phone g<3 4 55 f State #36P g Municipal # ; 3j f/ 8 9 Competency # q- ,/3S o. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING //�� MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION fee,..//ige /e Y! ,eo 4CrJ-A-+ Contracting Co. Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VIL1 4o10:t4L 4ii7) 2 G /' , erY 4)4 // Estimated Cost (value) # /5- 4 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 w• will be done in compli ce with all applicable laws regulatin;j .nstruction and zoning. Furthermore, I authorize the above -named contr Signa own and/or Condo President Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT `IV RADON APPROVED: Zoning Building Mechanical Plumbing -!1 v I 3), Electrical ('J* Notary as to Contractor or Owner- Builder My Commit � ' T Rcs. o 74f C.C.F. L NOTARY ( TOTAL DUE Date 4/4 Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ' Date /1 Job Address j 1'7 /l/ ° ,, „`., '7 • Tax Folio //— 3c-9 d� k - ®/ e./.._ 6 6 0 o7' 4 / 7 .4 .a/ td--e; �/4 -- ee .3 c-7 o 4 42 Qc®.0 ka 4, Legal Description 4u / 0 /47' A ET! or 'J /' 4 o2do,Ol Historically Designated: Yes No -7•c 1°/q / & / P '7 1 / %'I /, Le no g- yIi4d t i e 2 27` caw ,c,'a4 Owner/Lessee / Tenant • TG /4 A , ..S • ok Master Permit # q, S' 7 Owner's Address 1 el "— . g-- 7,0 i 2 5Ag . Phone.�OS Z 9 • .2�.„7- Contracting Co. 49 0.i 4 - ZPA e" 1 07 / .17 Address ,.. (5" ,C" ',,e.) /Al (� SS# , - Phone d .0 .6 ...' 5 5 f Qualifier 7 kLo e7 4• State #361/ gc • Municipal # ga - 57J 84i6Competenc # Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ieee. Ud2 C )7 /€O e Square Ft. err i/ ',)d 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 w. will be done in compli . ce with all applicable laws regulatin .nstruction and zoning. Furthermore, I authorize the above -named contr or . do the wo ,stated. Signa APPROVED: Zoning Mechanical own-r and/or Condo President Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT L lD RADON Building Date w.i/ ? (j ; Estimated Cost (value) �'�� 4 g Notary as to Contractor or Owner- Builder My Commipiliorr \P ta , o � CS • Electrical r• ' ee C.C.F. / NOTARY U TOTAL DUE Date Plumbing Engineering BUILDING ELECTRICAL PLUMBING n PERMIT IT? 11833 II II ROOFING ( Owner of Building Architect Contractor or Builder Legal Description. Address of i . ' Building a 4 Lot i CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE Contractor's License No % 7.. Amt. of Permit $ 195 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 tlf p the work covered hereunder in compliance with all ordinances and reguons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores age. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Table 4B: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) - for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Spanish 'S' Tile Mortar Set I 24.5 IONIER LIFETILE LLC 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "!Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. NOTICE OF ACCEPTANCE: STANDARD CONDITIONS NAIL HOLES PROFILE DRAWINGS !\1ONIER LIFETILE SPANISH 'S' CONCRETE ROOF TILE 6 ACCEPTANCE No. : 99- 1012.04 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Frank Zuloaga, RRC Roofing Product Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.04 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS I Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (S) 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 Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. Any revision or change in the materials, use, 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 or 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, ror sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words ;`lianli -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. ;\ copy or this Acceptance as well as approved drawings and other documents, where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. S. Failure to comply with any section of this Acceptance shall be cause for termination and remova of.\cceptance. 9. This Notice of Acceptance consists of pages I through 6 and this last page 7. END OF THIS ACCEPTAN 7 Frank Zuloaga, RRC Rooting Product Control Examiner PRODUCT CONTROL, NOTICE OF ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 • Your application for Product Approval of: GAF Ruberoid® A1od fed Bitumen Roof Systems for Wood Decks under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by: Dt•narech Engineering, Inc., Factory Mutual Research Corporation, and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -60 and the standard conditions on page 6]. 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 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- 0804.14 Revises No.: 95- 1003.03 Expires: 11/06/00 Approved: 11/06:9" f� / . 7 Raul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COSTMMITTEE This application for Product Approval has been revie% %ed by the Metropolitan Dade County Buildinc Cod: Compliance Office and approved b\ the Buildin_ Code Committee to be used n Dade County. Fio under the conditions set forth above. /; / , Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Insulation Types: Material Wood Basalt Wool Perlite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Design Pressure Material Design Pressure Wood -75psf Maximum Fire Classification Classification Class 'A' Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Mat:irials Directory for Fire Classifications. ` Pace 3 of 61 Product Control No: 97 0804.14 Frank Zuloaca. Roofing Product Control Examin;r Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Membrane Roofing System Sub - Category: Built -up Roofing Type: Modified Bitumen Sub -Type: APP and SBS 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 ha\ e been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories. GAF modified bitumen membranes have been tested in compliance %with ASTM1 D 5147 test requirements. Contact: William J. «Voodri n g Director of Technical Services (973) 628- 4134 Page 2 of 61 Product Control No: 97- 0804.14 Product Control No.: 97- 0804.14 Approval Date: November 6, 1997 Expiration Date: November 6, 2000 Frank Zuloaaa. Roofing Product Control E\aminer Product GAF Asphalt Concrete Primer GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion GAF Premium Fibered Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement GAFGLAS g75® GAFGLAS =80 UltimaT" Base Sheet GAFGLAS Ply 6 GAFGLAS Flex P1■T`+ 6 G.AFGLAS Ply 4b, GAFGLAS Mineral Surfaced Cap Sheet TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions pecification 5, 55 gallons ASTM D 41 60 Ib. bags ASTM D 1863 5 gallons 1. 5 gallons 1. 5 gallons 3 sq. roll 75 Ib. roll 2 Sq. Roll 70 lbs. /roll 5 sq. roll 45 Ib. roll 5 sq. roll 45 Ib. roll 5 sq. roll 76 Ib. roll ASTM 1227 ASTM D 2824 Fibered aluminum coating. ASTM D 3019 ASTM D 3409 Page of61 Product Control No: 97- 0804.14 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Refined asphalt blended with a mineral stabilizer and fibers. Pennits adhesion to wet and dry surfaces. ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2 178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 3909 Asphalt coated, glass fiber mat cap slice.: surfaced with mineral granules. }rank Zuloaga, Roofing Product Control Examine- RUBEROID® Modified Bitumen Adhesive GAFGLAS® STRATA VENT® Perforated GAFGLAS® Flashino, GAFGLAS® STRATAVENT Nailable RUBEROID Modified 3 sq. roll Base Sheet 67 lbs. GAFTEMP® Isotherm R Product Tapered GAFTEMP® Isotherm R GAFTEMP Isotherm RA Tapered GAFTENIP Isotherm RA GAFTENIP Isotherm RN Tapered GAFTENIP isotherm RN GAFTEN1PE Composite Test Dimensions Specification 5 gallons 60 Ib. roll various 69 Ib. roll various various various PA 110 Polvisocvanurate foam insulation various various arious various Product Description Product Control No: 97 0804.14 ASTM D 3019 Fiber reinforced, rubberized Adhesive Type!!! ASTM D 4897 D 3672 ASTM D 489 D 3672 Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTN1 D4601, Premium glass fiber reinforced SBS- T■pe 11, UL Type modified base sheet G2 BUR PA 110 Polvisocvanurate foam insulation. PA 110 Tapered Polvisocvanurate foam insulation P.A i i 0 Tapered Polvisocvanurate foam insulation PA 110 Polvisocvanurate foam insulation PA 110 Tapered Polvisocvanurate foam insulation PA HO Paz.... 5 of 61 Polvisocvanurate foam insulation with high density lberbosrc&or- Permain.t perlite insu — Fra g a. Roofing Product Control Examiner Product Tapered GAFTEMP® Composite GAFTEMP® Composite A Tapered GAFTEMP® Composite A GAFTEMP® Composite N Tapered GAFTEMP® Composite N GAFTEMP® Fiberboard GAFTEMP® Permalite GAFTEMP Recover Board GAFTEMP® High Density Fiberboard GAFTITE®�l� Standard Roofing Fastener GAFTITE®.= l4 • Heavy Duty Roofing Fastener GAFTITE ASAP Test Dimensions Specification various various various various various various various 1,'2 thick various PA 114 PA 110 PA 110 PA 110 PA 110 Pace 6 of 6l Product Control No: 97- 0804.14 Product Description Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Fiberboard insulation. PA 110 Perlite insulation board. PA 110 Perlite recover board 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. Pre - assembled GAFTITE Fasteners and metal and Pas piates7� 'F Tank Luloaga, Roofing Product Control E\3mine- Product GAFTITE® Base Sheet Fastener and Plate Galvalume Plates NTB Fasteners Polypropylene Plates 3" and 3 %" Ruberoid® 20 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROID `IOP 170FR RLBEROID MOP FR RUBEROID TORCH Smooth RUBEROID TORCH Granule Test Dimensions S 3 "and3 %2" 1.5 sq. roll 1 sq. roll 103 lbs. 1 sq. roll 87 lbs. 1 sq. roll 102 lbs. 1 sq. roll 103 lbs. 1 sq. roll 105 lbs. 1 sq. roll 87 lbs. 1 sq. roll 102 lbs. Product Control No: 97 - 0804.14 Product Description PA 114 Base sheet fastening assembly. PA 114 Round galvalume stress plates. PA 114 Fastener for use in gypsum, tectum and • lightweight insulating concrete decks. PA 114 Round polypropylene stress plates. ASTM D 5147 SBS modified asphalt base sheet and interply sheet reinforce xvith a glass fiber mat. 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 smooth surfaced. ASTM D 5147 Non -woven polyster mat coated with polymer modified asphalt and surfaced with mineral granules. AST11 D 5147 Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral eranules. ASTN1 D 5147 Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral eranules. ASTM D 5147 Heavy duty, polyester reinforced. asphalt modified bitumen membrane. smooth surface. ASTM D 5147 Page 7of61 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. granule surface. Frank Zuloaea. Roofing Product Control Exar^iner Product RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 30 RUBEROID 30 FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion RUBEROIDg 109. Roll ULTR4CLADZ SBS 101 lbs. GAF Aluminum Roof 5 gallons Paint GAF Built -Up Roofing Asphalt Test Dimensions pecificatiion 3 /4 sq. roll ASTM D 5147 Heavy duty, polyester reinforced, 93 lbs. asphalt modified bitumen membrane, granule surface % sq. roll 90 lbs. 1 sq. roll 92 lbs. 1 sq. roll 92 lbs. 5 `allons i 00 lb. cartons. bulk RUBEROID MOD 60 Ib. kegs Asphalt RUBEROID MOD 60 lb. kegs Asphalt L RUBEROID MOD 60 Ib. kegs Asphalt P ASTM D 5147 PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D 5147 ASTM D2824, Type I Page 8 of 61 Product Control No: 97- 0804.14 Product Description Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. 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 fire retardant polymer modified asphalt and surfaced with mineral granules. One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non- fibered. aluminum pigmented. asphalt roof coating ASTM D312, Interply mopping and surfacing asphalt Types 1. 11. III and IV SEBS modified asphalt SEBS modified asphalt SEBS modified asphalt Frank Zuloaga, Roofing Product Control Examiner Product GAFTEMP Tapered Isotherm R GAFTEMP Tapered Isotherm RA GAFTEMP Tapered Isotherm RN GAFTEMP GAFCANTTM GAFTEMP GAFEDGET ^ Tapered Edge Strip GAFTEMP PERMALITEg Tapered Roof Insulation GAFTEMP Recover 1. thick. Board Various sizes Shingle- MateTM Underlavment GAFTITEE ASAP 500 per box RUBEROID Modified Bitumen Adhesive 4 sq. roll 30 lbs. Test Dimensions Specification Various Various Various Various Various Various gallons PA 110 Tapered polyisocyanurate foam PA 110 Tapered polyisocyanurate foam PA 110 Perlite board Product Control No: 97- 0804.14 Product Description Tapered polyisocyanurate foam Cut perlite board Tapered perlite board PA 110 Tapered perlite board Fiberglass reinforced shingle underlavment PA 114 Pre - assembled fastener and metal and plastic plates ASTM D 3019 Fiber reinforced. rubberized Adhesive Type 111 Page 9 of 61 7 - -- - - Roofing Product Control ExamH:- Pyrox ACFoam 1 ACFoam 11 Anchorbond Fastener Product TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Dimensions Specification various various various Hy -Therm Nail -line various Hy -Therm SP various Hy-Therm AP various Hy-Therm Stable R various Hy -Therm White various Line Dekfast Fasteners Dekfast Hex Plate 2 7/8" x 1/4" PA 110 Polyisocyanurate foam insulation PA 110 Product Description Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation. PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 114 Insulation fastening assembly PA 114 Insulation fastener for steel and concrete decks PA 114 Galvalume hex stress plate. Page 10 of 61 Product Control No: 97- 0804.14 Manufacturer Apache Products Co. (with current PCA) Atlas Energy Products (with current PCA) Atlas Energy Products (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. ith current PCA 1 Construction Fasteners Inc. (with current PCA ) Construction Fasteners Inc. (with current PC A • F rank Zuloaza. Roofing Product Control Examiner Tin Caps Product MB aluminum roof coating Dens -Deck #12 Roofgrip #14 Roofgrip Gripdek Fastener Hexcel Fastener Hextra Standard Plastic Plate ISO 95— E'NRG'V -2 ISORoc Test Dimensions Specification Min. 32 ga. x I V, " various 3" round V 3rl 0us �anous Vario Corrosion resistant circular discs. PA 121 Aluminum roof coating PA 110 Gypsum insulation board. PA 114 Insulation fastener for steel or wood decks PA 114 Insulation fastener steel, wood or concrete decks PA 114 Insulation fastener PA 114 Insulation fastener PA 114 Insulation fastener and metal or plastic plate PA 114 Polvolefin plastic plate PA 110 Polvisocyanurate foam insulation PA ' 10 Pol■ isocvanurate foam insulation PA I) 0 Polvisocvanurate foam / rockwool composite insulation Page 12 of 61 Product Description Product Control No: 97 0804.14 Manufacturer generic Grundy Industries (with current PCA) Georgia Pacific (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ' 1TW Buildex (with current PCA) ITW Buildex (with current PCA) 1TW Buildex (with current PCA) ITW Buildex (with current PCA) International Permalite (with current PCA NRG Barriers. Inc. (with current PCA) NRG Barriers. Inc. (with current PCA') Frank Zuloaoa. Roofins Product Control Examiner Pelite /Urethane Composite Test Product Product Dimensions Specification Description various Page i 1 of 61 Product Control No: 97- 0804.14 Manufacturer Dekfast Lock Plate 3" x 3 1/4" PA 114 Polypropylene locking Construction plate. Fasteners Inc. (with current PCA) Dekfast Fasteners PA 114 Insulation fasteners for Construction #15 concrete decks Fasteners Inc. (with current PCA) Dekfast Fasteners PA 1 14 Insulation fastener for steel Construction #12 and wood decks. Fasteners Inc. (with current PCA) ISO 95+ Composite PA 110 Polyisocyanurate / perlite Firestone ridged insulation (with current PCA) Asphalt ASTM D 312 Type III or IV Hot asphlat generic bitumin adhesive Asphalt Primer ASTM D 41 Asphalt Primer generic EPS various PA 110 Extruded polystyrene generic insulation High Density Wood various PA 110 Wood fiber insulation board generic Fiberboard PA 110 Perlite / urethane composite generic board insulation Perlite Insulation ■arious PA 110 Perlite insulation board generic Poly ethylene 4 mil min. Vapor barrier / Air barrier - generic Red Rosin various Rosin paper for barrier generic laver on wood decks Roofing Nails Minimum = PA 114 Corrosion resistant annular eeneric 12 rine shank nails 'r'a1�Luloa�a •�.� . _ Roofing Product Control Examiner • Test Product Product Dimensions Specification Description Manufacturer Olympic Standard 3" round PA 114 3" round galvalume Olympic AZ55 steel plate Manufacturing Group, Inc. (with current PCA) Olympic Fastener PA 114 Insulation fastener Olympic #14 Manufacturing Group, Inc. (with current PCA) Olympic 3.25" round PA 114 Polypropylene Olympic Polypropylene plastic plate Manufacturing - Group. Inc. (with current PCA) ' Olympic Fastener #12 Olympic Fastener ASAP Olympic CR Base Felt Fastener and Base Sheet Disc GlasFast Fastener Paroc Base Board various Paroc Cap Board various PA 114 Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) PA 114 Pre - assembled Insulation Olympic fastener and plate Manufacturing Group, Inc. (with current PCA) PA 114 Insulation fastener Olympic assembly for Base Sheet Manufacturing fastening only Group. Inc. (with current PCA) PA 114 Insulation fastener Owens - Corning assembly with recessed Fiberglas Corp. plastic plate (with current PCA) PA 110 PA 110 Rockwool insulation Partek, Inc. (with current PCA) Rockwool insulation Partek, Inc. (with current PCA) Page 13 of 61 Product Control No: 97 0804.14 n r$nkZU1oa�a:� Roofing Product Control Exam m2- UltraGard Product Insul -Fixx Fastener lnsul -Fixx P Rawl Fasteners #12 Rawl Fasteners #14 Rawl 2" Plate Rawl 3" Plate Raw lite 3" Plate 202 HS Super Prep 11 Tru -Fast DL Test Dimensions Specification various 3" round 2" round 3" round 3" round PA 114 PA 114 _ PA 114 Insulation fastener for steel and wood decks PA 114 Insulation fastener for use in steel, wood or concrete PA 114 2" round galvalume AZ55 membrane plate PA 114 3" round galvalume AZ55 steel plate PA 114 PA 121 Roof coating PA 121 Roof coating PA 114 Paze 14 of6l Product Description PA 110 Polyisocyanurate foam insulation Insulation fastener for steel and wood decks 3" round polyethylene stress plate 3" round galvalume AZ55 steel plate for use with Raw lite fasteners Product Control No: 97- 0804.14 Manufacturer Schuller International Inc. (with current PCA) SFS /Stadler (with current PCA) SFS /Stadler (with current PCA) The Rawlplug Company Inc. (with current PCA) • The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) Thermo - Materials. Inc. (with current PCA Thermo - Materials. Inc. (with current PCA) Insulation fastener for steel, Tru -Fast or wood r \( �:h ctarrenr -1. Frank Zuloaea, Roofing Product Conrro! Examiner Test Product Dimensions Specification Product Description Tru -Fast Plastic 3.04" round PA 114 3.04" round polyethylene Plate plastic plate Tru -Fast MP -3 3.23" round PA 114 3.23" round calvalume AZ50 steel plate Tru -Fast HD Tru -Fast Ultra Tru -Fast DP Tru -Fast TP Structodeck various PA 114 PA 114 Insulation fastener for use in wood, steel or concrete decks Stainless Steel fastener for use in steel, wood and concrete decks PA 114 Insulation fastener for use in steel or wood decks PA 114 Insulation fastener for use in steel or wood decks PA 110 High density wood fiber Pacte 15 of 61 Product Control No: 97- 0804.14 Manufacturer Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) - Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Wood Fiber Industries (with current PCA) Frank Zuloa2a, Roofing Product Control Examine: Test Agency/Identifier Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research 1■ Corp. 44 Factory Mutual Research \\ Corp. 44 Trinity Eneineerin2 1t' Underwriters Laboratories. Inc. Dynatech Engineerinn Corporation Name Current Insulation Attachment Requirements Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FM RC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 . ind Uplift. FMRC 70 -PA 114 . ind Uplift. F\IRC 70 -P.A 114 ind Uplift P.4. 114 Fire Resistance Classification LL790 -PA 114 Wind Uplift P.-. 114 TEST REPORTS Report FMRC 1996 J.I. OT4A 1.AM J.I. 1V8A4.AM J.I. 1 R l A6.AM J.I. 0T2Q4.AM J.1. 0Q6A6.AM J.1. 3X3A2.AM J.I. 0Y9Q5.AM J.I. 1 B9A8.AM J.1. 3D4Q2.ANI 4483.04 97 -1 R Page 16 of 61 4 '3600.02.95 -1 Product Control No: 97- 0804.14 Date 01.01.96 08.26.92 06.28.93 11.15.91 10.17.91 07.16.91 08.02.94 07.29.94 09.04.97 04.30.97 06.06.97 01.01.93 02.02.95 rank Zuloaca. Roofing Product Control Exam ner Test Agency/Identifier Dynatech Engineering Corporation Product Control No: 97- 0804.14 Name Report Date Wind Uplift #4482.02.95 -1 02.02.95 PA 114 Page 17 of 61 ran Zuloaea. Roofing Product Control -Examiner SYSTEMS Membrane Type: SBS Deck Type 1I: Wood, Insulated, New Construction or Reroof Deck Description: / " or treater plywood or wood plank Paze 18 of 6l Product Control No: 97- 0804.14 System Type A(1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply.' Insulation Fastener Fastening Fasteners Fastener Laver Type Detail No. Per Board Density (see PA 117) - One or more layers of any of the followinct insulations. Approved Type(s): ACFoam -I. E'NRG'Y 2, GAFTEMP® Isotherm R, E'NRG'Y 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N Minimum: l" x 3' x 4' N/A N/A N/A N/A Approved Type(s): ISORoc. GAFTEMP® Tapered Minimum: 1" x 4' x 4' N/A N/A N/A N/A Approved Type(s): High Density' Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMP RecoverBoa rd Minimum: '/" x 4' x 4' N/A N/A N/A N/A Approved Tvpe(s): Wood Fiber. GAFTE`IP® Fiberboard Minimum: %" x 2' .x 4' N/A N/A N/A N/A Approved Type(s): Paroc Minimum: 3 /4" x 4' x 4' N.'A N/A N'A N/A .Approved Type(s). Perlite. GAFTEMP'E Permalite Minimum: 'J. x x - `A N A N/A N.A :Approved T■pe(s): Fiberglas Minimum: 1,116' x 4' x 4' N':1 N.'A N/A N..A .Approved Tvpe(s): Permalite Tapercd Roof Insulation. GAFTEMP® Isotherm Tapered Minimum: 'V. " x x 4' N/A N/A N/A N tA .Approved Tvpe(s): Tapercd Isotherm R, Tapered Isotherm R4, Tapered IsothermRN, GAFTEMP Composite Tapered, GAFTEMIP Composite A Tapered, GAFTEMP Composite N Tapercd Minimum: '/1" x 4' x 4' N/A N/A Frank Zuloaaa. Roofing Product Con :ro: Exami::er Note: All insulation shall be adhered to the anchor sheet in full moppings of approved hot asphalt within the EVT range and at a rate of 20-40 IbsJs Please refer to Metro -Dade County Roofing Application Standard PA 117 for insulation attachment. Insulations listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® perforaded laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: Base Sheet: Ply Sheet: Membrane: Surfacing: `laximum Design Pressure: Maximum Fire Classification: `taxitnum Slope: Specification No.: Product Control No: 97- 0804.14 GAFGLAS® Ply 4 ®, Ply 6 ®, GAFGLAS Flex Ply' 6, #75 Base Sheet, GAFGLAS #80 Ultima' Base Sheet, STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROID® 20 base sheet applied to the deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered in two rows 12" in the field. Base sheet shall serve as anchor sheet for attachment of insulation (Optional) Install one ply of GAFGLAS® g75, GAFGLAS 480 ULTI;MMAT" Base Sheet. GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6 ®, GAFGLAS Flex PIvTM 6, GAFGLAS® STRATAVENT® Perforated(laid dry), RUBEROID Modified Base Sheet or RUBEROID® 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20- 40 Ibs.sq: (see General Limitation 44). (Optional) One. two, or three plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6® Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt applied within the EVT ranee and at a rate of 20 -40 lbs. /sq.. One or more plies of RUBEROID® 20 , RUBEROID 30, RUBEROID 30 FR RUBEROID MOP Smooth. Ruberoid® Mop 170 FR, Ruberoid® Mop Granule. RUBEROID MOP PLUS, RUBEROID MOP FR, RUBEROID ULTRACLAD ®. fully adhered in an approved asphalt at an application rate of 25 lb. /sq. ± 15 %. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: Gra∎el or slag applied at 400 lb./sq. and 300 lb./sq. respectively in a flood coat (It asphalt at 60 Ib.'sq.. 2. G:\FGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 lb./sq. — 15%. -45 psf (See General Limitation =7) 'A'. See General Limitation 4'2. 2": 2": See General Limitation Page 19 of 61 Frank Zuioasa, Roofing Product Control Examine- Wood Deck System Limitations: 1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F') of 95 Ibf or greater as tested in compliance with Merto -Dade County Protocol PA 105. If F' as tested is below 95 Ibf, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from Merto -Dade County Protocol PA 105 and calculations in compliance with Metro -Dade Roofing Application Stanadrd PA 1 17. 2 A11 standard insulation panel sizes are acceptable for mechanical attachment. When panels are applied in hot asphalt, maximum panel size shall be 4' x 4'. a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of 275 Ibf. as tested in compliance with Merto -Dade County Protocol PA 105 & Roofino Application Standard PA 117. If the fastener value, as field tested, are below 275-lbf. insulation' attachment shall not be acceptable. 3 A slip sheet is required with GAFGLAS FlexPly 4® and Ply 60 when used as a mechanically fastened base or anchor sheet. 4. '/- Type X gypsum board is acceptable to be installed directly over the wood deck.. Page 57 of 61 Product Control No: 97 0804.14 Frank Zuloaga. Roofing Product Control Examiner GENERAL LIMITATIONS Product Control No: 97 0804.14 1 All asphalt shall comply with ASTM D 312 type III or type IV requirements, and approved by applicant. 2 Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. • 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used, install one layer of GAFGLASS STRATAVENT Perforated, laid dry.A base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles. 24" o.c.: or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. Where STRATAVENT Perforated is used over approved isocyanurate foam insulation, the maximum design pressure is limited to — 60psf. All work shall be performed by a contractor licensed to do roofing work in Metro - Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer. and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section II Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. Page 58 of 61 Frank Zuloasa, Roofing Product Control Examiner Pacz 59 of 6 l Product Control No: 97- 0804,14 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Metro - Dade County Roofing Application Standard PA 117. (When this specifically referred within this NOA, General Limitation #20 will not be able') 8 All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Metro -Dade County Roofing Application Standard PA 111 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved . by the manufacturer, shall be submitted with the Section II Permit Application. All details, shall comply with the provision of the South Florida Building Code. 10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force (F') value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener values as tested are below those listed in the System Limitations, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from a Metro - Dade County Protocol PA 105 test report and calculations that comply with the wind Toad requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 117. 1 1 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 Ibf.. as tested in compliance with PA 105. If the fastener value, as field tested. are below 275 lbf. insulation attachment shall not be acceptable. 12 Asphalt mappings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blow ing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 13 Insulation may be installed in multiple layers. The first laver shall be attached in compliance with Product Control Approval Guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with provision of Roofing Application Standard PA 1 17 Frank Zuloaga, Roofing Product Control Examiner • Product Control No: 97- 0804.j4 14 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA 124 for uplift resistance. Test pressures shall be calculated in compliance with the wind load requirements of Chapter 23 of the South Florida Building Code to the design pressure of the roof. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(m), (n) of the South Florida Building Code. 17 Roll good materials shall be stored on end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with "proprietary or approved adhesives may be used prior to the application of the insulation layer. 19 Consult current UnderIATiters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with sections 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 70 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) Page 60 of 61 Frank Zuloaoa, Roofing Product Control Exarniner Table 4: Attachment Resistance Expressed as a Moment M. (ft -Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance I Monier Lifetile Spanish 'S' Tile Adhesive 29.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. MIONIER LIFETILE LLC Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Monier Lifetile Spanish 'S' 2 -10d Ring Shank Nails Tile 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails Tile Profile NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1 . #8 Screw 20.7 20.7 2 . #8 Screws 1 -10d Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) Monier Lifetile Spanish 'S' I Polyfoam PolyPro " Tile Polyfoam PolyPro " 4 Large paddy placement of 63grams of PolyPro'"'. 5 Medium paddy placement of 24grams of PolyPro ". 5 ACCEPTANCE No. : 99- 1012.01 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 28.6 5.1 6.9 43.2 23.1 29.3 27.6 2-10d Ring Shank Nails' 33.1 I Installation with a 4" tile headlap and fasterners are located a min, of 2'/:" from head of tile. 41.2 6.8 9.2 43.2 23.1 29.3 27.6 38.1 33.1 43.1 Table 4A: Attachment Resistance Expressed as a Moment - M. (ft-Ibf) for Single Patty Adhesive Set Systems Tile Application Minimum Attachment Resistance ..n i4 33.7 Frank Zuloaga, RRC Roofing Product Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.04 1. SCOPE This revises a roofing system using Monier Lifetile Spanish 'S' Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Monier Lifetile Spanish 'S' Tile Trim Pieces Product Rainproof 11 Ice and Water Shield Tile Nails Category: Sub Category: NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Prepared Roofing High Profile Tile Test Product Dimensions Specifications Description I = IS" = 10 3 /S., min. ;''thick I = varies w = varies •,ar.ine thickness 2.1 Components or products manufactured by others PA 112 High profile, interlocking, one-piece, 'S' shaped, high- pressure extruded concrete roof tile equipped with two nail holes. For direct deck nail -or, mortar set or adhesive set applications. P•-\ 112 Accessory trim, concrete root pieces for use at hips, rakes, rides and valley terminations. Manufactured for each tile profile. Test Product Dimensions Specifications Description 30" 75' roll 36 "x75'roll or 60" x 75' roll 36" x 75' roll N1in. 10dx 3" P:\ 104 Sincle ply, nail -on Protect -O- \Wrap, underla•vment with 2" self- Inc. adhering top edge. (with current NOA) PA 103 PA 114 .Appendix E APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Self - adhering. underlayment Corrosion resistant screw or smooth sha uloaga, RRC Manufacturer W.R. Grace Co. (with current NO.A) Rooting Product Control Examiner MONIER LIFETILE LLC ACCEPTANCE No. : 99- 1012.03 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Product Product Dimensions Specifications Description Manufacturer Tile Screws #Sx 2 '' /-_" long PA 114 Corrosion resistant, coated, generic 0.335" head Appendix E square drive, galvanized, dia. coarse thread wood screws 0.131" shank dia. 0.175" screw thread dia. Roof Tile Mortar N/A PA 123 Prepared mortar mix Bermuda Roof. ( "TileTiteT" ") designed for mortar set roof Company, Inc. with tile applications. current PCA Roof Tile Mortar N/A PA 123 Prepared mortar mix Quikrete ("Quikrete® Roof designed for mortar set roof Construction Tile Mortar #1140") tle applications. Products with Current PCA Roof Tile Mortar N/A PA 123 Prepared mortar mix W. R. Bonsal Co. ( "BONSAL® Roof designed for mortar set roof with current PCA Tile :Mortar Mix ") tile applications. Roof Tile Adhesive ( "Polypro® AH 160 ") Roof Tile Adhesive Factory TileBond premixed canisters N/ A See PCA Two component Polvfoam Products. polyurethane adhesive Inc. designed for adhesive set roof tile applications. See PCA Hurricane Clip Clips PA 114 Corrosion resistant clips Fasteners i✓1in.' /_" width Appendix E with corrosion resistant Min. 0.060" nails. thick Clip Fasteners Min. Sdx I'A" 3. LI`IITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, performed in accordance with R:AS 106. 3 Single component Flexible Products polyurethane foam root (with current NO:\) adhesive Generic Thal! be Fran - a, RR Roofing Product Control Examiner `'IONIER LIFETILE LLC ACCEPTANCE No. : 99- 1012.04 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Nfinimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for \\pod deck applications. `Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Monier Lifetile Spanish 'S' Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 11S, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Tile Profile Monier Lifetile Spanish 'S' Tile NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Tile Profile Monier Lifetile Spanish 'S' Tile 0.259 Table 2: Restoring Moments due to Gravity - M (ft -Ibf) Battens Table 1: Aerodynamic Multipliers - ?. (ft') 3 ":12" 4 ":12" 5 ":12" 6 ":12" Direct Deck Battens Direct Deck Battens APPROVED :December 30, 1999 EXPIRES :December 16, 2002 }. (ft') Direct Deck Application Direct Deck Battens Direct Deck Frank Zuloaga, RRC Roofing Product Control Examiner 7 ":12" or greater Battens Direc: ; Deck I N/A I 8.51 N/A 8.44 I N/A I 8.27 1 N/A I 8.07 I N/A I 7.87 4 _ MIAMI -OADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 NW 20 St. Boca Raton Expires:12 /16/2002 FL 33431 The expense of such testing will be incurred by the manufacturer. Acceptance No.:99- 1012.04 (Revises No.: 97-1124.1S) Ap[rovcd: 12/30/1999 MIIAMI -DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -D.ADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 331:0.1563 (305) 375 FAX (305) 375 -290 CONTRACTOR LICENSING SECTION (305) 375-2527 FAX (305) 3 CONTRACTOR ENFORCE.\IENT SECTION (305) 375 - 2 966 FAX (305) 375.2903 PRODUCT CONTROL DIvISION Your application for Product Approval of: (305) 375-2002 FAX (305) 372-6339 :Monier Spanish "S" High Profile. under Chapter S of the Code of Miami -Dade County governing the use of Alternate Materials and Types o :' Construction, and completely described herein, has been recommended for acceptance by the \Ii, -Dade County Building, Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from ajobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke. modify, or susoend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. Raul Rodriguez J Product Control Divi Chief P s:o. THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product :Approval has been reviewed by the BCCO and abDroved by the Building Code and Product Review Committee to be•used in Dade County, Florida under the conditions set forth above. U ra ilc15c0 J. Quintana. t..A. Director 1 of 7 Miami -Dade County Building Code Com:;li 7.c_ Interne: mail address: on; tm:i ;teri7)huildin2cndeonline.com = tilt Homeou,•t: httu:r ...huiidin c d online.ennt Ridge VentWn? MEAN HEIGHT Deck type: Insulation: D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION v Underlayment: 11 O Qger ROOF SLOPZ Fastener type & spacing: V 'At 11 i skAno11a,d Von 1 Cap Sheet: V pc Mc 1 d A(t'D A M I tb er& cap Mohicr Coc\crde_S--`1 i Io Drip edge: 3)(3 t Roof Covering: TILE CALCULATIONS (Pmaxl: x X (Aerodynamic Multiplier): ) - M = M PCA: (Pm ax?: x % (Aerodynamic Multiplier): ) - M = M • PCA: (Pmax3: x XX. (Aerodynamic Multiplier): ) - M = M PCA: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals PotPcxM Scf-d 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 all the minimum requirements and standards of the indus- try 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. 5 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof- ing 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. 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.) '6 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town- houses, 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. 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 under- side of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. _ 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 roof- ing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. . 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 structur- al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider venting which can r milt in extending the service life for the roof. 8. The owner may contact the Miami -Dade County Consumer Services Department for further information regarding the above. Owner's /Agent's Signature Date 123.01 -12 PAGE 2 7/99 9ivvikeian I o v . 4cuitp?6,kuo,M, Contractor's Signature . NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 008337365 2000 JUL 13 15:10 PERMIT 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 Commenc ment 1. Legal description of property and treat S address: 5,r, R, 143' f N sc "5 i r M tl,�, . r\ r-es, - 331 2. Description of improvement: 3. Owner(s) name and address: hr, Pefe f-6ey) A4 E, qS 5j (4tgt 4 6 h re ? T S3/3 3 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: Pct4_K& (•ti wL< 4S5 At -0 9r 6 Mt,aw-Ii 6h.ut - FL 33138 5. Surety:(Payment bond required by owner from contractor, if an$)TATE Name and address: ' HERE: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices by Section 713.13(1)(a)7., Florida Statutes, . Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) 1 .1 Signature of Owner I / Print Owners Name I .' ( 37f P Sr11✓` Sworn to and subscrib -d before me this 67 day of Notary Public Print Notary's Nam My Commission Expires: NOTAav pylDUC-- JESSICA ORIDP A COMMISSION r . BONDED TH S A moan NOTARv. nrlginal OF FLORIDA, COUNTY OF DADE Y CERTIFY that this is a f(U?¢opv of OP d n thi office on 1 }> day of , A D 20 CJ� icial Seal. y hand and UVIN K N of ircuit and County Courts ther documents may be served as provided 0 °�4' IN GOD WQf Rtrn • T Prepared by: PaU1 i ettoLX4,w^ Address: (O5 N.E•a qOvhd) M 6I-e6 3313 123.01 -5 10 123.01 -78 9/96 DETAIL 1 & 2 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: V(Low Slop e Application) Pcuxik ek Job Address: ROOF CATEGORY ❑ (Nail -On Tile) 95 ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof � R e - roofin ❑ Recovering ❑ Repair ❑ Maintenance g (Mortar- Adhesive Set Tile) d"- Slo ed Roof Area ft SD 2 Total ft OCR Master Permit No. Flat Roof Area (ft2) t p ( ) `� ( ) � Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): (6K M c i d- ( i p. b er4k6.S - `15 13G5e shed SPACING Field: IX Perimeter: Corner: ROOF HEIGHT AND SYSTEM DETAIL (Draw details as needed) Ft. Ft. A V Deck type: 1 12" ROOF SLOPE ATTACHMENT 1'��'` �1r ��C V� 1 Fastener Type: ercd Page -1 ' "6+6 P Ncsoeviv WIh prim ROOF PLAN GI % 41114S PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 1 0.11) Job Address 1 43'1 1 p "Ed 96±h6 Tax Folio Legal Description Historically Designated: Yes No t0 Owner/Lessee / Tenant B y COMB— j On Master Permit # 447///7 Owner's Address N,et M55 AO Phone (.305) ' S J — 9 013 Contractin Co. \ "6),11,t k a cacti Y1 co-P -i Address W6.5 ME VA cL S Jte J /15 331 )el Qualifier [ ) 0 1 ...1)3 k&AJ& SS# Phone .08 175,-/—b jQ State # Municipal # Competency # C 13.95 )1 /3 6 Ins. Co. j— e . 'I S Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ' fear - Cif X S Square Ft. Mo ve ■ jer C.ovvr 3-- f ii I e . to 1 . - • A. f' ro o J replace tui h & hat/ t--- -Ld o u€ ' via G u i I`f --t4 roo sy S A o Estima - : ost (value) 3 °D WARNING TO OWNER: YOU IVIUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY OF 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. to Owner and/or Condo President Date mmission Expires: NOTARY PUBLIC • STATE OF FLORID4. JESSICA A. ORTEQ'. COMMISSION N CC873023 EXPIRES 8/18/2001 BONDED THRU ASA 1. 888 -N T ' FEES: PERMIT tizol 0 RADON Notary as to C My Commissi C.C.F.- /' — NOTARY 4 cu-t1.4.cuLictie_ck Signature of Contractor or Owner - Builder 1; klikjaMIBER . CC7972 C.9Y CO'21'.ISSIOR 002 ES OF F DEC. Date Date BOND b / TOTAL DUFS3 ' a Building 7 ECectrical APPROVED: Zoning Mechanical Plumbing Structural Engineer •b NOTES KETCH OF ROOF JOB 4-"A ' `,I A I S C�`f �3s SHEET NO CONTRACTOR CHECKED BY SCALE DATE ''sJ■ ■■r: ■IA■■■ ■■lu■■■ nimmioallimmmurammm newrammommoriammis A 7rME/ %r■ ■■■`i■■■■IIM 111111 o wdlliwitreigimmoms...w '■■ . ■ ■Vi.EPrgro l gam MINNI2I2 111111111•11 ,111110- 1■ 7 ■■ ■r■, `. INEMP,ILA+ /■■■ ri r ■ \11■■■It /L■■ ■■■IL:i ■■r7 ■n1r ■:�%■■ ■■ I . PAIRMIUM I FE1IMINI M■I mirca w. D gla mutli■■■■ ■sam ■ 1 1111111 11011111111111111 ■■■ ■'■,■■■'■■■, 1111 1 � 1 (2 Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 -p 26 17,A44 51 k1t -� 76 2 1 27 52 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 3r 71 96 22 47 rit.. p 72 97 23 48 1 73 98 24 49 74 99 25 50 75 100 a U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 - SITE SPECIFIC INFORMATION • Project Owner's Name: --rik Q i Permit #. 4 71 4 Job Address 4 34 E. 6k1 _ 4/T-. t - \ 1 1 t� DES ` Roofing Contractor: K C9 \.E1 k_ se- 42F• 1.`r -%.Lt Type of Tile ' ''V'4 - 314 (4 ‘ C 140-t. -c....- Date Installed 1 . ( C ' .0 Approximate Roof Height•i_ feet Roof Pitch 2 /L • I 2 Type of Access to Roof: Scaffolds ✓ Ladder Other Approximate Square Footage of Roof: 7.4 ab ft' Required Testing Force: 35 lbs. Testing Equipment: Chatillion 100 Date Tested: 1.2,5.00 TEST RESULTS P = PASS, F = FAIL IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUB ED BY: Civil Engineer: / Lab Certification # 98- 0608.04 P.E. State of FL Certificate Authorization # 4100 N9. 3003 FRONT DEPTH HEIGHT STORIES TYPE OF CONS ' CTION • BUILDING TO BE USED FOR ROOF COST OF BUILIILNG PERMIT FEE t 1 .5 • Frame, ile oncrete, Stucco Resi ence, Apts., Stores, Hotel BUILDING PERMIT Owner j ami S res Village, Florida,? — 7 Z , 193.... of Building N't. 4 Architect. .6 741410= Contractor or Builder. NO. This permit is hereby issued to the building above described, as per application, Plans and cifica'o} heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and h t the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Vi,Hage. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules and regulations, o �ptf any change in tlt plans and specifications *authorized by the building inspector. ^T /P Dated ` 1930 PROPOSED LOCATION PART OF LOT LOT BLOCK DESCRIPTION OF BUILDING o; Led on Tax Roll MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR SUBDIVISION N? _ 235 To In consideration of the issuance to me of this . building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. A t6.. ° ::t BUILDING INSPECTOR EAL) Application is hereby sonde 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. Owners Name and Address .. • Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: a 70 peared BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE Subdivision Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors).___ and for no other purpose. New Building Remodeling Addition Repairs ✓ No. of Stories To be constructed of Kind of foundation Roof Covering ao Estimated Total cost of improvements $ 1� Amount of Permit Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work be performed under this pennit, as are licensed by Miami Shores Village. ), ! l _ "At g.-1 Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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.- ...__1 -.t Date ,C'� 'ead, Sworn to and Subscribed before me. Chairman Member Member ...... -- .--- _._._. __._._.__.... Disapproved — _ - � (13 a .__..---.---------L-•- Notary Public, State of Florida (Signed) .. .......... .. .. . - Building Ii'rs• ctor My Commission Expires Date..._ _ No PLANNING t OARD _.__ DATE Member Member Member . 1 1. - WW1 f to me well known, 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 31.00 will be charged when such re- inspection is mode necessary by improper notice for insertion oe faulty materials ants /or workmanship. Application is hereby mode for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the i3uilding 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. Owners Name and Address Dr. Claude Mentzer Registered Architect and /or Engineer �. Name and address of licensed contractor. 4 'Y Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 434 N.E. 95th St. Reroof Rear Wood Roof Deck State work to be done and purpose of building (by floors) New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ 785,00 Amount of Permit $. Zone cubage required plan Cubage Distance to net 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 MAYO ROOFING COMPANY — P.O. Box 520911 Miami, Fla. 33152 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspect' n on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr rs, ;n work to be pe; ormed 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 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. r /7 Permit No.__.__ _ Date Read, Sworn to and Subscribed before me. Disapproved �/p Date _ (Signed) L��'' ` Chairman Mcmbcr Member ...... ,.._._....._- - - -._ .-- •- -._.._ Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re fee of $1.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Dste...�...� April 19, .._.... ,19 _ .» No 434 ...._.. Street*: NE. 95th St. fl4 I 3 3 t 5 squares and for no other purpose. Addition Repairs No. of Stories Roof Covering Notary Public, State of Florida ng Inspec r My Commission Expires to me well known, PLANNING BOARD DATE Member Member Member ..--- .- -........._. _.._ _..__. Disapproved Date making corrections or changes to this application offer approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Street and Number where work is to be done MIAMI SHORES VILLAGE EIUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed sta►cna nt it we plans and specification; herewith submitted for the build • inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of tare 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 July 6 83 — Owner's Name and Address Dr. Mentzer No 434 Street N.E. 95th St. — Registered Architect and /or Engineer Name and address of licensed contractor Ma Roofing Company Location and legal description of let to bo built on: Lot Block Subdivision _....._ _ .._.._....._ .............._., 434 N.E. 95th St. State work to be done and purpose of building (by floors) roofing U. �. 7Ar4. and for no other purpose. Ncw Building Remodeling Addition Repairs Np. of Stories To be constructed of Kind of foundation Roof Covering...., Estimated Total cost of improvements $ 1,500.00 , Amount of Permit $ Xpt t Zone cubage required , Plan Cubage , Distance to next nearest building Size of Building Lot \faxirnum 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 itp construction may be sent to. The un.lr rsigr,cd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perrnanent Sip leinent, 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 subco actors, on work to he performed under this permit, as are licensed by Miami Shores Village. ^ , Rearks (Signed).... 1-3.1 STATE OF FLOI;IDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment$, personally ap- pealed Charles Williamson and who, being by me first duly sworn, upon oath deposes and says that he is the. Vice President of the above described construction, that he has care ully read the foregoing application, and that he did sign the same, seta that all facts therein by him stated are true. Permit No `� O Date 1.. -_._ Read, 'r. a ;. before to me well known, Disapproved P\1�...�..... Notary Pub tate of F -rids Building Inspector My (Signed) Commission Expires NOTARY P..M DATE BONDED THRU GENERAL INSURANCE UNDI MY COMMISSION EXPIRES JULY 14 1986 PLANNING BOARD Chairman Member , , Mcrr,bcr Member Slembcr .. .. , _. .. Member •,. Council Approved Date Disapproved Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained from the YI.rnnir.;; l:u,rrd. A rc•rnspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for insprstinn pr faulty materials and /or workmanship. • PERMIT APPLICATION FOR MUNICIPALITIES (OWNER TO RETAIN COPY) Date _ 1? L Job Address 4 84 \\\LAl Legal Description 1 7 f J Owner / Lessee / Tenant 1 1 1 elf} -QN( Owner's Address Contracting Co. P . \ I �/1,� lCs,A r1 Qualifier in. oX \ - State (��la‘\90 Municipal # Architect /Engineer Bonding Company Address Mortgagor Address Permit Type(circle on : BUILDIN ELECTRICAL PL ING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION I / + S r c 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 to do the work authorize the above -named contractor K Airy A 1 Signature of owner and /or Condi President Date: A Notary as to r an My Commission Expires ** * * * FEES: PERMIT APPROVED: Notary as t• Contracto \ or Owner- Builder My Commission E f pires. _ OFFICIAL NOTARY SEAL G JUDY CATALFINO NOTARY PUBLIC STATE OF FLORIDA' * * * CO d14diISSION *TO. CC19 5vv7 ! ** 2/N COMMISSION Kd� RADON C.C.F. t * NOTARY TOTAL DUE , 5V/5 6 Zoning a � / JUDY CATALFINO NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC195587 * MY COMM4 StON XP. APR. 2,1996 * ssitg Competency # / LIN. Ins . Co . Address Fire , 9( -- -1- 71 :6 2 Building stated. Signature Date: ax Folio Mechanical Plumbing OF DADE COUNTY it 30g,e/ yo5'i,e9 Master Permit #fi6 Phone 2c, d cJ r Address 0� t\\ 1.L. J 1". - Phone T tl) 10 Estimated Cost(value) 00,00L of Contractor or Owner- Builder Other !b P 9 V Electrical Engineering APPLICATION FOR BUILDING P RMIT Application is hereby made for thlal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein describe 'This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of, t..fe Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Mianii 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Registered Architect and /or Engineer Name and address of licensed contractor_ State work to be done and purpose of building (by floors)._ „ New Building Remodeling Addition To be constructed of Kind of foundations Date___ • 99 19_ Owner's Name and Address • �� <'�'�' e ' �.__l Street_ 2 � Location and legal escription of lot to be built on: d E:e Lot v Block 4 S n A Street and Number where work is to be done 1� '1° ' • ° E. 1 `�`� and for no other purpose. Repairs No. of Stories ! Roof overing Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cul?age 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 be sent to its construction may The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 1 7 44 - • 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 stat d et tiue. Permit No. f __ Date_____ Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved _'___ Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this appli a n 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.