80 NE 94 St (16)11
11
1
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1
1
MIAMI SHORES
111 iiiiiiiiiiii ii II
MIAMI SHORS VILLAGE
BUILDING D,k ?ARTMENT
305- 795 -2204
Building Inspection Request \
c 3Cou 1
Permit No. V ( O(J L L Q
Name e)n-ei . ac,u
Date
Type Insp'n
Address
Company
Phone #
Inspection Date 011 ( 1 I
Q$
Re -Insp' n Fee ❑
Correction
eZ
Type Insp'n
Permit No.
Name
-_- Address
'Company
Phone
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
0G
Date
For Inspei or: 0 Name & to
Approved \\ ' 6 � 7— ` - q
Correction
Re- Insp'n Fee ❑
P
For Inspecto
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305.- 795 -2204
U� 5t Building Inspection Request
3'ime
Date
Type Insp'n
Permit No.
For Inspector:
Correction
Re- Insp'n Fee
p -^ Address
-A- Company
Phone #
Name & at
003 -b
�,°'� e_o-cc
Date
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name
Address 5 N 96/ S
Company Ai/ 1 (Z
Phone # • , x.35 .d•
For Inspector:
Approved
Correction
Re- Insp'n Fee
Date
Type Insp'n
Permit No.
Name
Company /
Phone #
For Inspector:
Appra4e /1
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
Address g 6
c- 5
")Name & Date
•
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2002 -1847
Printed: 10 /29/2002
Applicant: AUGUST
Owner: WOLFE
JOB ADDRESS: 80
Contractor MIS CORPORATION
Local Phone: 305 - 553 -9476
Parcel # 1132060130300
Fees: Description Amount
FEE2002 -6112 CCF $8.40
FEE2002 -6113 Building Fee $292.50
FEE2002 -6115 Buildier's Bond $300.00
Total Fees: $600.90
Total Fees: $600.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/27/2003 Construction Value: $14,000.00
Work: REROOF TILE TO SANTA FE TILE
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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, serva t or employees.
Signed:
Signed:
In consideration of the issuance to me of this permit. I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
NE 94
Legal Description:
Building Permit
Page 1 of 1
MIAMI SHORES VILLAGE
NOTICE
Owner is Responsible for Maintenance of
Contractor's Address: 10221 SW 16 Village Sidewalks as per Village of Miami
S ores Code of Ordinances, Including D. ivewcys,
Caused By Current Construction Acti,ties.
WOLFE
AUGUST
ST
MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 & E1/2 OF LOT 3 BLK 3 LOT
(INSPECTOR) BY:
(Contractor or Builder) BY:
REG 1201 103102 1047 MC401 002430 CASH $600.90
UN IHE JOB SITE E OF AlT FIRST INSPECTION
AJo ri Of C mME
'ERMIT NO. TAX FOLIO NO.
;TATE OF FLORIDA:
:OUNTY OF DADE:
02R6 2002 OCT 31 09:15
HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with
:hapter 713. Florida Statutes, the following information is provided in this Notice of Commencement.
. Legal description of property and street address:
. Description of improvement:
. Owner(s) name and address:
Iterest in property:
ame and address of fee simple titleholder:
. Contractor's name and address:
Lenders name and address:
•int Owners Name Al I
l
3tary Public
int Notary's Nam
y Commission E
lc�
2- 'I-
. Surety :(Payment bond required by owner from contracto', if any)
ame and address:
mount of bond S
� 1! x(s77
/9 US r T. tUc Lr(
0 ( it sr: /�Kj 5'G� T F4
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
/ Section 713.13(1)(a)7., Florida Statutes,
ame and address:
0 ,/€ 9 !f S?—
S LI 0.-es -- c 3 3 (3
fJ
/" a /19 ,.J
- 7 2 -v
— • / 5 T . , r ,�a. f Tc: 3 .316
_ r
In addition to himself, Owner designates the following g persons) to receive a copy of the Lienor's Notice as provided in
ection 713.13(1)(b), Florida Statutes
ame and address:
Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
tferent date is specified)
03o t
Norn to and subscribed be ore me this fY ' ofOar t , °Z
pires: -NU1 ARV IL notary Saivice & Bonding, Inc.
SPATE OF (FLORIDA, COUNTY
1 HEREBY CERTIFY that this is a
erigmal hied Jf • on
WITNESS my hand and Who,
HARVEY RUVI
011
OF DARE
opy of tho
day of
AD 20
SoaI.
tut and County Courts
D.C.
Prepared by: rC L c L •
I� �L
Address:
1 0-1. S w
3314i
12301.52 2:93
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it'pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for
roofing system installations. Additionally, the following items should be addressed as part of the agreement
between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been
explained.
Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should
be addressed as part of the agreement between the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zories) of the Florida
Building Code. (The roof deck is usually concealed prior to removing the existing roof system). .
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
units i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the
original roofing system is removed. Ponding conditions should be corrected.
Ct 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 the Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interi r of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
J
Owner's /Agent's Signature
CADOCC51 C 4%omp. LOCALS -1%T nv■SECTIO\ 15:$.d.m
/ / o 2_,
Date ntractor's Signature
2.
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
INSTRUCTION PAGE
COMPLETE THE NECESSARY SECTIONS OF
THE UNIFORM ROOF ING PERMIT
APPLICATION FORM AND ATTACH THE
REQUIRED DOCUMENTS AS NOTED BELOW
1 Roof System
Low Slope Application
Prescriptive BUR -RAS 150
Asphaltic Shingles
Concrete or Clay Tile
Metal Roofs
Requirsd Sections of the
Permit Application Form
A,B,C
A,B,C
A,B,D
A,B,D
Attachmants.
See List Below
1,2,3,4,5,6,7
4,5,6,7
1,2,4,5,6,7
1.2.3.4.5,6,7
1,2,3,4;5,6,7
Wood Shingles and I A,B,D
Shakes
Other ---- --
As Applicable
From Notice of Acceptance:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
1,2,4,5,6,7.
1,2,3,4,5,6,7
ATTACHMENTS REQUIRED:
Fire Directory Listing Page
3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or
RAS 128
4. Other Component Notice of Acceptances
5. Munici al Permit Application
6. Owners Notification for Roofing Considerations (Re- Roofing Only)
7. Any Required Roof Testing /Calculation Documentation
mon veto Hurricane Zone Uniform Permit Application Form.
Section A General Information
Master Permit No.
Process No.
Contractor's Name
Job Address
❑ Low Slope
❑ Asphaltic
Shingles
❑ New Roof )21 Re-Roofing ❑Recovering ❑Repair ❑'mintenance
ROOF SYSTEM INFORIV ATION
Steep Sloped Roof Area (SF) Total (SF)
c\D0
Low Slope Roof Area (SF)
Sketch Roof Plan: Illustrat S Section R Plan
B (
scuppers and overflow drains. Include dimensions ons of sections and, levels, cle sec
identify dimensions of elevated pressure zones and location of Peers, overflow
arly
parapets. ` ;�...� :;.:
•
ROOF CATEGORY
❑ Mechanically Fastened Tile ' Mortar/
❑ Metal Panel /Shingles Wood Shingles /Shakes.
❑ Prescriptive BUR -RAS 150
ROOF TYPE
Zoi
•
c
Roof Slope:
12
Ridge Ventilation?
riorid`a Building Code Edition 2002
High Veloci Hurricane Zone Uniform Permit Application Form.
Section D Stee • Slo• ed Roof S stem
Roof System Manufacturer: \
low
Notice of Acceptance Number: o o -- �'2 \ 2 ,— c
Maximum Design
From the NOA S
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculatio
ns):
P1: D P2: 24 .off P3: 2y Dzi
Method of tile atta
Pressure
ecific S stem :
4zA v� may - :.
chment:
o, .'\.1 Vow
Stee
Deck Type:
SIo• ed Roof S stem Descri . tion
ype Underlayment:
Insulation:
Fire Barrier:
Fastener Type & Spacing:
_ \Adhasi'IP
ype Cap Sheet:
N
Type & Size Drip
Edge:
Roof Covering:
I c Zva; 7 41 - `' ... r% \\ Lt. L'I-vt.vae
era' 1
1
o c-i
Ice -
25'
30'
40'
38.2
39.7
42.2
36.0
37.4
• 39.8
33.8
35.1
37.3
31.6
32.8 .
34:9
J . 29A
30.5
32.4
27.1
282
30.0
Florid4 Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section E (Tile Calculations)
For Moment based tile systems, choose either Method 1 or 2. Compared the values
for M with the values from M If the M values are greater than or equal to the Mr
values, for each area of the roof, then the tile attachment method is acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
(P1: (0.1-xX 294. = 13•0 ) -M =Mrs NOA
(P2:Io0. 6 xXZ., = 2°1. '83) Mg: ‘.8Z = Mr2 Z`l. 6
(P3 :I bo. (� , x X 3 = 2y g M 2 NOA Mr NOA M
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (M From Table Below NOA M
Mean Roof Height -O.
Roof Slope
2:12
3:12
4:12
5:12
6:12
7:12
M Required Moment Resist
15'
34.4
32.2
30.4
28.4
26.4
24.4
20'
36 : 5
34.4
32.2
30.1
28.0
25.9
Mean Roof Height H Job Site
a
*Must be used in conjunction with a list of moment based tile systems endorsed by the
Broward County Board of Rules and Appeals.
For Uplift based tile systems use Method 3. Compared the values for Fttwith the
values for F If the F' values are greater than or equal to the F values, for each
area of the roof, then the tile attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(Pi: xl: = x w:= _
- «: x cos B.• - F,: NOA F'
(P2 : x I: = x w: _ ) - W: x cos 8:• _
_ � - F R• NOA F'
x �r : - W: x cos O. -
(P3: x l: _ - Fri: NOA F'
Where to Obtain Information
Description S mbol Where to find
fl s'gn Pressure P I or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on. '1SC.:
Y ,
7
Roof Slope
Aerodynamic Multiplier
Restoring Moment due to Gravity
Attachment Resistance
Required Moment Resistance
Minimum Attachment Resistance
Required U lifl<R
M, Calculated
B Job Site
l N OA
NIA NOA
Mr NOA
F' NOA
p eststance F, Calculated
Average Tile Weight W
Tile Dimensions
1= length
w= nidth
NOA
N
All calculations must be submitted to the Building Official at the time of .ermit a..licatiun.
ca,Ws; g eu '
F
UK
C. j—J (:Ids x
To: --I> 2
From:
Fag: 3 ba - 3 3 6-
a ( Z
Nns■o:
vhono:
NOW:
E•MOII:
07/05/2001 14:37 3059080050
ACCEPTANCE NO.: 00- 1212.06
EXPIRES: 02/01 /2006
APPROVED: 02/01/2001
\ \ :04 SON 1\pc2000\ \cern pia'tez \Douce iccepunce cover page.
I n ternet mail address: p .com
SANTAFE TILE CORP
TM
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Santa Fe Tile Corporation
10302 N.V. South River Drive, Bay #16
Medley ,FL 33178
The expense of such testing will be incurred by the manufacturer.
r
PAGE 01
MIAMI -DADS COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
3UILDING CODE CO'MIPLIANCE OFFICE
N117120-DAD[; rt.AGLER nUILDING
1-In \\' ST r :L,\GLER s'rttt.'Er. St:1TE 1603
^.il ti`Il. FLORIDA 33130 -1563
(305) 375 -2901 FAX (303) 375.290
coNTRAcTOR LICENSING SECT1O
(305) 375.2527 VAX (305) 375. 2553
CONTRACTOR I.INFORCENIENT DIVISION
(305) 37:-2066 FAX (305)375-2:03
rROI UCV CONTROL UWVISt0:\
(305)3 fAX (305) 312 -6339
Your application for Notice of Acceptance (NORM of:
Spanish "S" Clay Tile
under Chapter $ of the Code of lvliami -Dade County governing the use of Alternate Materials and Types of
Construction, and completely described herein, has been recomrnended for acceptance by the i\'Iiami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This NOA shall not be valid after the expiration date stated below. BCCO 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, BCCO may revoke, modify, or suspend the
use of such product or material immediately. BCCO reserves the right to revoke this approval. if it is
determined by BCCO that this product or material fails to meet the requirements of the South Florida
Building Code.
/
Raul Rodriguez
Chief Product Control Division
THIS IS THE CO'ERSHEET, SF:F, ADDITIONAL PAGES FOR SPECIFIC AND CENERAL
CONDITIONS
BUILDING CODE S: PRODUCT REVIEW' COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above. •
Francisco J. Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance Office
Homepage: http : / /www.huildingcodeonlin(:.com
07/05/2001 14:37 3058880050
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06
ROOFING ASSEMBLY APPROVAL
Cateoorv: Roofing. Approval Date: February 1. 2001
Sub - Category: 07320 Roofing Tiles
NIaterials Clay Roof Tiles
Deck Type: Wood
1. SCOPE
This renews a roofing system using Santa Fe "Santafe 'S" clay rooting tile, manufactured by
Santafe Tile Corporation 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
locations where the design pressure requirements, as determined by applicable building code,
does not exceed the design pressure values obtain by calculations in compliance with RAS 127
using the values listed in herein. The attachment calculations shall be done as a moment based
system.
2. PRODUCT DESCRIPTION
Manufactured by
Applicant
Santafe 'S' Clay
Roof Tile
Trim Pieces
Test Product
Dimensions Specifications Description
{ =10"
w = 11.5"
1 4." th ick
1= varies
w = varies
vary ing
thickne55
PA 112 One piece high profile clay roof tile
equipped with two nail holes. For nail -on,
mortar set and adhesive set applications.
PA 1 1 2
2.1 COMPONENTS OR PRODUCTS MANUFACTURED BY OTHERS
Test Product
Product Dimensions Specifications Description Kant, facturer
Tile Screws Mg N 2 -'4" long PA 114 Stainless Steel generic
0.130" shank dia. Appendix E
0.178 flute dia.
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications. a static Field uplift test shall be performed in
accordance with RAS 106.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to
perform quarterly test in accordance with PA 112. ass...--L ' ... hall be
submitted to the Ouildinc Code Compliance Office 0
SANTAFE TILE CORP PAGE 02
Expiration Date: February 1. 2006
Accessory trim, clay roof pieces for use at
hips, rakes. ridges and valley terminations.
\-lanufacturcd for each tile profile.
`- RRC
Roofing Product Control Examiner
•
Table
2: Restorinayoments
3":12"
due
4":12"
to Gravity - M
5":12"
(ft -Ibf)
6":12"
7":12"
greater
Battens
or
Direct
Deck
Direct
Deck
Tile
Profile
2":12"
Battens
Battens
Direct
Deck
Battens
Direct
Deck
Battens i Direct
I Deck
Battens
Direct
Deck
Santafe 'S'
5.93
5.90
5.35
5.82
5.73
5.69
5.56 { 5.53
5.32
5.29
5.03
N/A
07/05/2001 14:37 3058880050
SANTAFE TELE CORPORATION ACCEPTANCE No_ : 00 1212.06
3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof
slope unless stated otherwise by the underlayment material manufacturers published
literature.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in
compliance with applicable building code.
4. INSTALLATION
4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade
County Roofing Application Standard RAS 118, RAS 119, and RAS 120.
4.1.2 Data For Attachment Calculations
Santafe 'S'
Tile Profile
Santafe S
Table 1: Aerodynamic Multiplyers— 1
Tile { 1 (fe)
Profile Batten Application
0.274
Table 3: Attachment Resistance Expressed as a Moment- Mf (ft-Ibf)
For Nail -On System
Two Nails One Screw Two Screws
Tile
Application
Direct Deck
Battens
21.8
29.16
Approved screws as noted 'Product manufactured by others'
Table 4: Attachment Resistance Expressed as a Moment - Mt (ft-Ibf)
for Mortar or Adhesive Set Systems
Santafe 'S'
Tile
Profile
Tile
Application
Mortar Set
Adhesive Set
Attachment
Resistance
23.6
61.9
3
SANTAFE TILE CORP PAGE 03
38.28
ft
a. (ft
Direct Deck
0.297
One Screw
w/ Clio
57.31
Two Screws
w/ CliF
57.60
61.77'
rank Zuloaga, RRC
Roofing Product Control Examiner
07/05/2001 14:37 3058990050
S. LARELLNG
5.1 A11 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. BULLRING PERMIT R QULREMENTS
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 applicable Building Code in
order to properly evaluate the installation of this system.
SANTAFE TILE CORP PAGE 04
SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06
PROFILE DRAWING
SANTAFE "SANTAFE S" CLAY ROOF TILE
4
Frank Zuloaga, RRC
Roofing Product Control Examiner
07/05/2001 14:37 3058980050
• 1
SANTAFE TILE CORPORATION
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
9 This Accept nce contains pages 1 through 5
END OF THIS ACCEPTANCE
5
SANTAFE TILE CORP PAGE 35
ACCEPTANCE No.: 00- 1212.06
1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the
original submitted documentation, including test supporting data, engineering documents, are no older than
eight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and
the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the
specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered if:
a) There hs 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 thc 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
subrnittcfd, is no longer practicing the engineering profession.
4 Any revision or change in the materials, use, and/or manufacture of the product or process shall
automatically bc cause for termination of this Acceptance, unless prior written approval has been requested
(through the;filing of a revision application with appropriate fee) and granted by this office.
5 Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other
purposes.
6 The Notice cif Acceptance number preceded by the words Miami -Dadc County, Florida, and followed by the
expiration d may bc displayed in advertising literature. If any portion of thc Notice of Acceptance is
displayed, thin it shall be done in its entirety.
7 A copy of lhls Acceptance as well as approved drawings and other documents, where It applies, shall bc
provided to the user by the manufacturer or its distributors and shall bc available for inspection at the job
site at all tinges. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
Frank Zuloaga, RRC
Roofing Product Conuol Examiner
CONTRACTOR
ff
Name AV J 5"t WO 1 F
Name /q _riss e-® -� U t7 A-)
Home Telephone ? 0 S - 7 b �l �
v i
License No. c.6 c c 7 S�
Fax
Address / 02 2/ ,..5z /6 Sr -
/4(-, #- J 3d6 r
Repair
Telephone 30S 9 Z 240
/e2 L
Qualifier Name / /iv/6' L t a z. ✓
/ re
PROPERTY OWNER
ff
Name AV J 5"t WO 1 F
Address s� 0 G ' 4 ' - t
rvL■ 'r S iris FF 33 1 30
Home Telephone ? 0 S - 7 b �l �
v i
Business Telephone v -) -) B _ 0 s
7
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
Step 1.
Job Address:
1
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Complete the attached permit application which must be signed .y the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
4 11 1 S MBA -MA
1 Address Apt. City
Folio Number t A 3.2 -013 0 30 0
description of Work
Lot 1/ 2 i &lY I/2 Block ,,,,-_- 7 . 7 e
Subdivision MC J(nilt $ 140If S PB PG Zoning Linear Feet
Current Use of Property 5F Square Feet 9 0 0 Units 1 Floors 4
Proposed Use of Property S T � L ' Value of Work �/ Bldg Value
Tenant Information Value
Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
,a®3 ?Y
Master Permit No.
Subsidiary Permit No.
PERMIT APPLICATION
State
/2 et-af 774, t4
33138
Zip
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
1i IPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read ca refully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, In Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
4 flt1 ! ,C
Sworn to and subscribed before me this 2 y , day of 0G7v �`"
2.00 'L-
Signature of Notary Public - State of Florida
SEAL:
9( ELIFA BONILLA
Personally , � ) MY COMMISSION # DO 011868
Y XAgEeraduced raliglticatio
Type of ldentificcGOttA Notary Sorvice & bonding, Inc.
STATE
PERMIT APPLICATION
, CO • I ; I -DADE
Si '!' !. of Contractor / Qualifier
/eLCo `, ._,i-r.a
Print Name
Swom to and subscribed before me this 24'4 day of O G
Signature of Notary
SEAL:
Personally ;knpta
blic - State of Florida
ELIFA BONILLA
MY COMMISSION # DD 011868
XPIRES: March 25, 2005
sn�aWegra O.fi
Lion
Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
()Ty.
TvPI:
Dryer
Q
.FI.PI:
Outlet, Appliance
Q . I _ \ .
. I . VI , I:
Service Repair
Q . Q . N .
A/C Central 1 -3 Ton
Dryer Vents, Number of
Fan
Ventilation, Cost
Outlet, Wall
Ductwork, Cost of
Service, Temporary
Periodic Inspections
A/C Central 4 -7 Ton
Fire Sprinkler System
Fire Pump
Outlet, Switch
Fireplaces, Number of
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE cm'.
Minimum Fee
'I'1'PE QTY.
Condensate Drain
T\"PI:
Generator
Q'fl'. 'I'VI'I{ Q'I1.
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
PLUMBING
TYPE
A/C Condensate
Q'I'y.
'FITE.
Drains, Roof
()Ty.
'I'vii•:
Miscellaneous Fixture
QTY.
'11 'pi.:
Soakage Pit
Q
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY
DATE
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
.-._
/G 3,0
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$ a� i s o
$ ;no
$
F, '1 0 ( s x/1000
x0.60)
(¢.005 / sq.ft.)
(0.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $ Oo
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
1
Notary as to 1 er and/or Co
My Commission Expires:
FEES: PERMIT RADON
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 — 18 - 96 Job Address 80 N. E. 94 Street Tax Folio
Legal Description Historically Designated: Yes y No
Owner/Lessee / Tenant Kathy B i r k o f f Master Permit # 5rj
Owner's Address 80 N.E. 94 Street Miami Shores
ContractingCo.Ouality Roofing Contractor, Tnr:_ Address
Qualifier Carlos Arocho SS#
State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Tear off old roof to wood deck, tin cap 301b. ASTM felt as per code,
mop on with hot asphalt 1 layer of 901b. ASTM felt, install metal eave drip
and valley metal where required, and install Spanish S Ti mortar set
approved. Flat roof with modified bitumen.
Square Ft. 39 sq. Tile 6 s q . Flat Estimated Cost (value) $ 14,500 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
-
Signa - of owner and/or Condo sident Date
RNANDEZ
MY COMMISSION # CC 324212
EXPIRES: October 10, 1997
p,F . °' Bonded Thru Notary Public Underwriters
Building
Plumbing
-� a
C.C.F.
Notary as to Cott actor or
My Commission Expires:
Phone
751 tvW
756 -5491
99th Street
Phone 751 -0382
•
Signature of Contractor or Owner- Builder
Electrical
...
MY COtes:, >'Ib'.; C ;:4212
EXP ;: t :::l .:r 10, 1997
Bonded l nn ,;, ,; :e' ;c Underwriters
Date
NOTARY TOTAL DUE 913(
(1)
Engineering
Date Time
Type Insp'n
Permit No.
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name
Address
Company
Phone # f�
For Inspector: z Name & Date
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 7-d4.3 Time
l Q
Type Insp'n f��''j A0.40.
Permit No. .,, J' f
B �
Name'
Address E 7I (5/
Compan ) o M��f'�
Phone #
For Inspector:
Approved ❑
Correction
Re- Insp'n Fee
to), ff)kp 4 -i9 -i
Name & Date
Type Insp'n
Date Time
Permit No.
Name
Address
Company
Phone #
For Inspector:
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
1
/."
/
Name & Date
Name
Address
Company
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date - 1 3 Time
Type Insp'n Q
Permit Nip e0 - Ir
Vb4
01,11 (4 !
1f , _
Phone # ,OLS" — 31g— /61 Qv'
For Inspector: 7 3 3 Name & Date
Zig —43
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date
Time
Type Insp'n
Permit No:=
Name
Address
Company
Phone #
Approved
Correction
Re-Insp'n Fee
,
For Inspector: /..
•
Name & Date
c '
METRDADE METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
Altusa Tile
Alfareria del Turbio, S.A.
Barquisimeto, Venezuela
PRODUCT CONTROL NOTICE OF ACCEPTANCE
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1603
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901
FAX (305) 375-2908
Your application for Product Approval of Altusa Tile Nall -On. Mortar or Adhesive Set Clay "Altusa S" Roofing
Tiles 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 Redland
Technologies, The Center for Applied Engineering, Inc., and Testwell Craig Laboratories & Consultants, Inc.
has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County,
Florida under the specific and standard conditions set forth herein.
The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the
right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If
product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify
or suspend the use of such product or material immediately. The Building Code Compliance Department reserves
the right to require testing of this product or material should any amendments to the South Florida Building Code be
enacted affecting this product or material.
The expense of such testing will be incurred by the Manufacturer.
PRODUCT NO. :
ACCEPTANCE NO.: 94- 0914.01
EXPIRES: FEB 1 4 1997
This application for Product Approval has
Compliance Department and approved by the
the conditions set forth above.
APPROVED:
FEB ? ? 1995
Raul Rodriguez
Product Control Division
Supervisor
- PLEASE NOTE -
THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS.
BUILDING CODE COMMITTEE
been reviewed by the Metropolitan Dade County Building Code
Building Code Committee to be used in Dade Court, Florida under
4
Charles Danger, P.E., Director
Building Code Compliance Department
Metropolitan Dade County
Applicant:
Altusa Tile
Alfareria del Turbio, S.A.
Barquisimeto, Venezuela
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Categop': Prepared Roofing
Sub - Category: Tile
Type: Nail- on/Mortar Set/Adhesive Set
Sub -Type: Clay
System Description,
Alfareria del Turbio, S.A. (Altusa), located in Barquisimeto, Venezuela, manufacturers clay roof
tile for nail -on, mortar set or adhesive set applications. All tile is manufactured from natural Venezuelan
clays. This Product Control Approval relates to Altusa's "Altusa S" tile profile. Refer to appropriate
Product Control Approvals for other tile profiles.
The "Altusa S" tile profile is available in a variety of natural clay colors and has matching trim
pieces used for rake hip, ridge hip, and valley terminations. These accessories are manufactured for all
profiles and form a part of this Product Control Approval. Optional rubber or clay eave closures are also
available.
Altusa roof tiles have been tested in compliance with the South Florida Building Code
requirements for clay, nail -on, mortar set or adhesive set tile applications. The minimum roof slope for
the "Altusa S" nail -on tiles shall be 2 ":12 ". See the "Profile Drawing" section in this approval for the
"Altusa S" profile drawing. The "Altusa S" profile has been tested for both wind characteristics and
static uplift performance, therefore, any consideration for installation shall be done as a 'Moment Based
System'. Data for attachment calculations is noted in Tables 1 through 4 of this Approval.
Almar (USA), Inc., located in Miami, Florida, is the sole approved importer under contract for
selling and distributing Altusa products in the South Florida jurisdiction.
Contact:
Carlos J. Fernandez
General Manager
Altusa Tile, Almar (USA), Inc.
6645 Northwest 77th Avenue
Miami, FL 33166
(305) 471 -5830
1
Raul Rodriguez
Product Control No.: 94- 0914.01
Approval Date:
Expiration Date:
FEB 2 2 19g5
FEB 1 4 1997
Test Product
Product Dimensions Specifications Description,
Altusa'S' Clay Roof I = 181/4" ASTM C 1167 High profile, interlocking, one - piece,
Tile w = 10" 'S' shaped, clay roof tile equipped with
'/2" thick two nail holes and a single roll. For
direct deck nail -on applications only.
Trim Pieces
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
I = varies
w = varies
varying thickness
ASTM C 1167
Raul Rodriguez
Product Control No.: 94- 0914.01
Accessory trim, clay roof pieces for
use at hips, rakes, ridges and valley
terminations. Manufactured for each
tile profile.
Product
#30 Felt
#43 Coated Base
Sheet
Mineral Surface Cap
Sheet
Rainproof II
Ice and Water Shield
Mopping Asphalt
Flashing Cement
TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS
Dimensions
N/A
N/A
N/A
Lenzingtex -ZB 140 59" x 164' roll
Underlayment 22 Ibs /roll
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
36" x 75' roll
N/A
N/A
Test
Specifications
ASTM D 226
type II
ASTM D 2626
ASTM D 249
PA 104
PA 104
PA 103
ASTM D 312
type III or IV
ASTM D 4586
Product Control No.: 94- 0914.01
Product
Description
Saturated organic felt
to be used as a nailed
anchor sheet.
Saturated and coated
organic base sheet for
single or double ply
underlayment.
Mineral surfaced
asphalt roll roofing
for use as a top ply in
a double ply
underlayment system.
Single ply, nail -or.
underlayment.
Single ply, nail -on
underlayment with 2"
self - adhering top
edge.
Self- adhering
underlayment for use
as a top ply in a two
ply underlayment
system with approved
#30 or #43 as the base
layer.
Asphalt for bonding a
mineral surface cap to
a mech. attached base
sheet in a double ply
underlayment system.
Cut back, asphalt
based, asbestos free,
fiber reinforced,
trowel grade cement
for repair and flashing
applications.
Raul Rodriguez
Manufacturer
generic
generic
generic
Lenzing
Performance, Inc.
PCA #94- 0527.05
Protect -O -Wrap, Inc.
PCA #94- 0714.01
W.R. Grace Co.
PCA 492 -1 1 16.01
generic
generic
•
•
Product
Asphalt Primer
Roofing Nails
Tin Caps
Wood Battens
Tile Nails
Tile Screws
Roof Tile Mortar
( "TileTiteTM ")
Roof Tile Adhesive
( "Polypro® AHI60 ")
Dimensions
N/A
min. 12 ga. with
3 /8" head
min. 32 ga.
min. 1 o.d.
max. 2" o.d.
vertical
min. 1 "x4"
horizontal
min. 1" x 4" for use
with vertical battens
or
min. 1" x 2" for use
alone
min. 8d x 2V2" or
inin. 10d x 3"
min. #8 x 2Y2" or
min. #10 x 2"
N/A
N/A
Test
Specifications
ASTM D 41
PA 114
Appendix E
PA 114
Appendix E
Wood Preservers Salt pressure treated
Institute LP - 2 or decay resistant
lumber battens
PA 114
Appendix E
PA 114
Appendix E
PA 123
See PCA
4
Raul Rodriguez
Product Control No.: 94- 0914.01
Product
Description
Cut back, asphalt
based coating used to
facilitate bonding of
dissimilar materials.
Annular ring shank,
hot dipped, electro or
mechanically galv.
roofing nails for use
in underlayment
attachment.
Corrosion resistant
circular disc for use in
underlayment
attachment
Corrosion resistant,
screw, smooth or
annular ring shank
nails.
Corrosion resistant,
coated, coarse thread
wood screws.
Prepared mortar mix
designed for mortar
set roof tile
applications.
Two component
polyurethane adhesive
designed for adhesive
set roof tile
applications.
.v J
• r"." �,
• -
Manufacturer
generic
generic
generic
generic
generic
generic
Bermuda Roof
Company, Inc.
PCA #94- 0614.01
Polyfoam Products,
Inc.
PCA #94- 0401.01
Product
Hurricane Clip &
Fasteners
Valley Flashing
Drip Edge
Dimensions
Clips
min. 'V2" width
min. 0.060" thick
Clip Fasteners
min. 8d x 11/4"
min. 26 ga.
min. 16" width
min. 26 ga.
min. 2" face flange
min. 2" deck flange
Test
Specifications
PA 114
Appendix E
ASTM A 525
PA 111
Product Control No.: 94- 0914.01
Product
Description Manufacturer
Corrosion resistant generic
bronze, aluminum,
stainless steel,
galvanized steel or
plastic attachment
clips for supplemental
tile attachment. Clips
are installed with
corrosion resistant
roofing nails
compatible with the
clip. A hurricane clip
is required on all eave
tiles.
Galvanized steel
valley flashing
Galvanized steel drip
edge
5
Raul Rodriguez
generic
generic
s. .
Test Agency
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
Testwell Craig Laboratories
& Consultants, Inc.
TEST REPORTS
Test Identifier
7161 -03
Appendix III
7161 -03
Appendix III
25- 7200 -1
94 -084
94 -083
7161 -03
Appendix II
Letter Dated Aug. 1, 1994
P0647 -01
PO402
Project No. 307025
Test #MDC -78
Lab #AAP -2
Tech: A. Porcello
Product Control No • 94- 0914.01
Test Name/Report Pate
Static Uplift Testing Dec. 1991
PA 102
Static Uplift Testing
PA 102(A)
Static Uplift Testing
PA 102
(Quik -Drive Screws, Battens)
Static Uplift Testing
PA 101
(Mortar Set)
Static Uplift Testing
PA 101
(Adhesive Set)
Wind Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA 108
(Mortar Set)
Withdrawal Resistance
Testing of screw vs. sr.c.-.:th
shank nails
Raul Rodriguez
Wind Driven Rain
PA 100
Physical Propertie.:
ASTM C 1167
Dec. 1991
Feb. 1995
May 1994
April 1994
Dec. 1991
Aug. 1994
Aug. 1994
Sept. 1993
Oct. 1994
Oct. 1994
Deck Type:
Deck Description:
SYSTEM D:
Slope Range:
Underlayment:
Roofing Tile:
Comments:
SYSTEMS
(CONTINUED)
Wood, Non - insulated
New construction 19 / 32 " or greater plywood or wood plank.
Mortar or Adhesive Set Application
2 ":12" to 7 ":12"
Note: System D is only acceptable in this slope range.
Product Control No.: 94- 0914.01
Install choice of approved underlayment system, noted on Page 1 of Dade
County Protocol PA 120, in compliance with Section 3.02 of PA 120. See
System Limitation #7.
Install tile in compliance with PA 120 using one of the approved mortars or
adhesives noted in this approval. Mortar or adhesive shall be applied in
compliance with the mortar or adhesive manufacturer's Roofing Component
Product Control Approval. The mortar or adhesive attachment shall provide
sufficient attachment resistance expressed as a moment to meet or exceed the
required moment of resistance determined in compliance with PA 115 or PA
127. The mortar and adhesive attachment data is noted in Table 4, attached.
1. For re -roof applications, 15 / 32 " plywood is an acceptable substrate.
2. For mortar set applications, the first three courses of tile shall be nailed with
not Tess than one nail per tile. As an alternate, the first three courses of tile
shall be applied in mortar over a single layer of minimum 12 ga. wire mesh
with square openings of not less than 3 / 8 " which is mechanically attached to the
deck with not less than one roofing nail every 1 ft For roof pitches from
6 ":12" to 7 ":12 ", every third tile of every fifth course, beginning at the eighth
course, shall be nailed with not less than one nail per tile.
10
Raul Rodriguez
C.
SYSTEM LIMITATIONS
Product Control No.: 94- 0914.01
1. The standard minimum roof pitch for "Altusa S ", nail - on, mortar or adhesive set tile applications
is 2" rise in 12" run (2 ":12 "). The maximum roof pitch for mortar or adhesive set tile applications
is 7" rise in 12" run (7 ":12 ").
2. All nail - on tile applications having a roof pitch less than 4 ":12" shall be installed over both vertical
and horizontal battens ( "Counter- Battens "), as noted in System A. All nail - on tile applications
having a roof pitch in excess of 7 ":12" shall be installed over horizontal battens as noted in System
3. For nail - on applications, brass or stainless steel screws for mechanical attachment of tiles shall
have a head diameter larger than that of the preformed holes in the tile.
4. System installation shall be in compliance with the system specifications outlined in this Product
Control Approval. Nail - on tile shall be attached using one of the methods of attachment noted in
Table 3 of this Approval. Mortar or adhesive set tile shall be attached using an approved mortar
or adhesive noted in this Approval, the data of which is noted in Table 4 of this Approval. The
method of attachment utilized shall provide sufficient attachment resistance expressed as a moment
to meet or exceed the required moment of resistance determined in compliance with Dade County
Protocol PA 115 or PA 127.
5. For nail - on tile applications, an eave clip is required on all eave tile. For mortar set applications,
the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the
first three courses of tile shall be applied in mortar over a single layer of minimum 12 ga. wire mesh
with square openings of not less than 3 /," which is mechanically attached to the deck with not less
than one roofing nail every 1 ft For roof pitches from 6 ":12" to 7 ":12 ", every third tile of every
fifth course, beginning at the eighth course, shall be nailed with not less than one nail per tile.
6. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited
testing agency, in compliance with Dade County Protocol PA 106, shall be required not less than 30
days after application to confirm tile adhesion. The results of this testing shall be reported to the
Building Official and the installer stating that the application has passed or failed PA 106 testing. If
the application fails PA 106 testing, the report shall state which portion of the test was failed;
Category I (examination for loose tile) or Category 2 (uplift testing of tile). Subsequent to testing,
the installer may repair not more than 5% of field area tiles and 10% of perimeter area (i.e.
_ridge /rake) tile with approved tile adhesive. The installer shall place an identifiable marking on
each repaired tile for future reference. Any PA 106 re -test shall not include any marked tile.
7. For mortar or adhesive set tile applications, 30/90 hot mopped underlayment applications may be
installed perpendicular to the roof pitch prior to June 1, 1995 unless stated otherwise by the material
manufacturer. Thereafter, 30/90 underlayment systems shall be installed parallel to the roof pitch in
compliance with Appendix 'A' of Dade County Protocol PA 120.
Raul Rodriguez
Raul Rodri
Product Control No.: 94- 0914.01
SYSTEM LIMITATIONS
(CONTINUED)
8. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
9. The Altusa "Altusa S" tile profile has been tested for both wind characteristics and static uplift
performance, therefore, attachment calculations for installation in compliance with Dade County
Protocol PA 115 or PA 127 shall be done as a 'Moment Based System'
10. Applications for roofing permits shall include a completed Section II of the Uniform Building
Permit, a copy of Altusa Tile's current specifications and details, a copy of this Product Control
Approval and a copy of the Product Control Approval of any Roofing Component used in the
proposed tile application. Reference shall be made to appropriate data for the required fire rating.
1 1 . The applicant shall retain the services of a Dade County certified testing laboratory to maintain
quality control in compliance with the South Florida Building Code and related protocols.
12. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South
Florida Building Code.
Table 3: Attachment Resistance Expressed as a Moment - M, (ft-Ibf)
from PA 102 and PA 102(A) Testing
Tile
TILE
APPROVED
APPROVED
APPROVED
APPROVED
Profile
APPLICATION
NAILS
SCREWS
FIELD CLIP
EAVES CLIP
Battens
Direct
Deck
Battens
Direct
Deck
WITH:
WITH:
5,35
4.40
1 nail
2 nails
1 screw
2 screws
1 nail
2 nails
1 nail 1
2 nails
Altusa 'S' Tile
Battens
N/A
N/A
N/A
26.80'
N/A
N/A
N/A
N/A
Direct Deck
6.20
8.40
28.70
31.80
21.20
25.30
26.90
34.90
Table 2: Restoring Moments due to Gravity - M (ft-Ibf)
from PA 102 Testing
Tile
Profile
" 3 ".12"
or less
4 ":12"
5 ":12"
6 ":12"
7 ":12" or
greater
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Altusa 'S' Tile
4.47
5,35
4.40
5.27
4.31
5.16
4.20
5.03
4.08
N/A
Table 4: Attachment Resistance Expressed as a Moment - M, (ft-Ibf)
. _ - from PA 101 Testing
4 .Tile
Profile
Tile
Application
Attachment
Resistance
Altusa 'S' Tile
Mortar Set
.. 24.50.
Adhesive Set
66.50
DATA FOR ATTACHMENT
CALCULATIONS
Product Control No.: 94- 0914.01
Screws for tile installation over battens shall be #8 x 21/2' long, corrosion resistant, Quik -Drive screws installed
in two manufactured holes located 1 and 1 from the head of the tile.
Raul Rodriguez
Tabla`i: Aerodynamic Multiplier - X (ft
from PA 108 Testing -
Tile
X (ft
X. (ft
Profile
Batten Application
Direct Deck Application
Altusa 'S' Tile
0.29
0.31
DATA FOR ATTACHMENT
CALCULATIONS
Product Control No.: 94- 0914.01
Screws for tile installation over battens shall be #8 x 21/2' long, corrosion resistant, Quik -Drive screws installed
in two manufactured holes located 1 and 1 from the head of the tile.
Raul Rodriguez
A 1; i'(iSA
. Clay Roof Tiles
DOVE TAIL LOCKS .
PROFILE DRAWING
ALTUSA'S' TILE
10"
Raul Rodriguez
Product Control No.: 94- 0914.01
1s"
-; —
ME ®DADS
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE DEPARTMENT
E
METRO-DADE FLAGLER BUILDING
140 WEST FIAGLER STREET
MIAMI, FLORIDA 33130.1563
(305) 375-2901
FAX (305) 375-2908
1. Extensions of Acceptance may be considered ft bean new
eap placation has been filed and the supporting
data, test reports no older than ten (10) years, have
All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of
Florida.
2. Any revision or change in the materials, use, or manufacture product or process shall automatically
be cause for termination, unless prior approval granted for revisions o
'3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds
for re- evaluation.
4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes.
e
5. The Notice of Acceptance number preceded bylit the
t �easlf any portion H of the a Notice of fo
Acceptance is
expiration date may be displayed in advertising era
displayed, then it shall be done in its entirety.
6. Product approval drawings, where required for permit applications, shall be provided to the applicant by
the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need
not be re- sealed by an engineer.
7. Failuretto comply with the Standard Conditions shall be cause for termination of the Approval.
r Y
r
Raul Rodriguez
Product Control Division
Supervisor
This approval supersedes all previous approvals.
Last Approval Number 94- 0106.18
Job Address:
�t) 1) , E. CN S reei-
Adhesives (continued):
Note: Application of adhesives shall be in compliance with the Roofing
Component Product Control Approval and the minimum
requirements set forth in Subsection 3403.5(e)(4)(cc) of the South
Florida Building Code.
Ventilation System (check one or more of the following:
Size in'
The following information is required to confirm compliance with
Subsection 3401.4(e) of the South Florida Building Code.
0 Ridge: Type
Contractor:
G1/ Soffit: Type I ` c1 t' Size
0 +.
Note: If underlayment is comprised of a self - adhered membrane, both soffit
and ridge ventilation systems are required, unless a base sheet is
applied as an anchor sheet below the self - adhered underlayment.
Note: The Tile System Assembly shall be installed in strict compliance
with the application instructions enumerated in the Product
Control Approval. A permit shall be issued for application of the
specified Tile System Assembly only. Any change to the specified
Tile System Assembly shall require submission of a revised
SECTION II with a copy of SECTION I noting the permit
number issued.
vet-
Job Address: . ST.
Mortar or Adhesive Set Tile Systems
Page - 4
Contractor:
Additional Notes:
Process No.
/ Process No.
Dcck:
Type: W tD O
Thickness: I ZClo
Underlayment: 3 0 I b . A51' pA
/ Underlayment t i t
Fastener: 1 / ` r,A 5 1u n1--
12"
DETAIL #1
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page - 5
FILL IN APPLICAI3LE ROOFING COMPONENTS WIIICII MAKE UP
TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS
INDICATING ADDITIONAL ROOFING COMPONENTS NOT SIIOWN
ON THIS PAGE. ( Where Roofing Component not uscd in Tile System
Assembly, fill in with "N /A ". )
Head Lap Dimension: rstVd
(minimum 2- unless otherwise verified
in the Approval)
tile system assembly Product Control
Appro•
Mortar /Adhesive: % . I c 1-1
' 1
Tile: SOrm. ist,‘ S t^Ia.l
114- tasc,. 'j: tL
Tile Fastener:
Ridge Venting: ` �1� / Edge Metal or utter
( IJandicabb I -1� Fastener: 1 � �2 (..5 5 kc....4.1 -
na.IS
Bird Stop: , ^ I Y
(tf appllcabk) N
Edge Metal 4
or Gutter: 0t t7� t Z t
2 .,
2.to 9c, .
or Proposed
enting: ( t 4/Y1) - a WO 46
3goo 3- /,r0 : 3e
Job Address: 0 A). E. 9 ti ,51 e-
Job Address: ( 4 . E. I S-17
Manufacturer:
0 ASTM # 15 asphalt saturated felt with:
Manufacturer:
G/Mineral Surfaced Roll Roofing with: 0 19" overlap
O 6" overlap
g overlap
Manufacturer:
0 Other:
Type:
Manufacturer:
Underlayment Fasteners (if applicable:
• 0 Other:
Type:
Length:
Manufacturer:
Contractor: at./4/, 4
Ride Height Eave Height: Roof Mean Height
12 feet /0 feet / feet
BUILDING INFORMATION #1
Job Site Identification:
Underlayment (continued):
Check all of the following which apply to the proposed underlayment
for use with the proposed tile system assembly:
(2 ASTM #30 asphalt saturated felt with: 0 19" overlap
O 6" overlap
ga overlap
Check one of the • following which apply to the proposed
underlayment attachment:
e 12 ga. electro-galvanized roofing nail with
minimum 32 ga. x 1 tin cap:
Length: 1
Manufacturer:
Mortar or Adhesive Set Tile Systems
Page - 6
Insert Building Ridge Height, Eave Height and Roof Mean Height.
Also insert applicable information pertaining to the building below.
( See ASCE 7-88 Fact Sheet Attached )
Exposure Catcgory:
Classification Category:
At I lurricance Occanlinc?: Y N
Basic Wind Specd at
Building Location: 110 mph
Building Condition based on
% of openings:
(See Table 9 of ASCE 7-88)
Ground Level
Contractor: 0 deProcess No.
O 19" overlap
O 6" overlap
O 4" overlap
Mortar or Adhesive Set Tile Systems
Page - 3
Field: I o.c.
Laps: _10_ " o.c.
5. Related Accessories:
Process No.
— —
Spacing (per tile system assembly Product Control Approval:
Edge Metal (refer to Section 3408.2 of the South Florida Building
Code):
Type: er air\
Dimensions: `1( ioL
Gauge or Thickness:
Finish:
Note: All edge metal shall be nailed on the flange and nailed or clipped
at the face in compliance with the provisions set forth in Dade
County Protocol PA 111, marked Appendix 'U' in the South
Florida Building Code.
Adhesives (check one of the following):
0 Cold Adhesive:
Type:
Manufacturer:
id Flashing Cement:
.•
ALP
CratOCA 2-
• Type: srvtA -I s
•Manufacturer: cr c-
Job Address: W :0, E . CN Sire 21"
Project Information (continued):
If the proposed undcrlayment is self- adhered, have you complied
with the venting requirements of Section 2913.3 (b), (c) and (d) of
the South Florida Building Code?
yes no
Are all related accessories approved for use with this tile system
assembly?
Are the proposed edge metal attachment fasteners in compliance
with the requirements of the South Florida Building Code (minimum
12 ga. annular ri s4nk, corrossion reisistant nails)?
no
4. The Tile System Assembly:
The following information is required to confirm compliance with
Subsections 3403.5(a) and (c) and Section 3404 of the South Florida
Building Code.
Tile:
Tile Name:
Manufacturer:
Tile Ma rial:
C1' Clay
D Concrete
O Other:
Product Control Approval Number:
Mortar or Adhesive:
Job Address: 0 , e. Cf tr sr. Contractor:
no
Pr1) --u.sc S c n `,s‘r■ S emc
°ly - oci1
Contractor:
Check one of the following which apply to the proposed tile
secure:ment for use with the proposed tile system assembly:
Mortar or Adhesive Set Tile Systems
Page - 2
Mortar or Adhesive Set Tile Systems
Page - 7
Underlayment:
2 Mortar: Manufacturer: e - ev r
❑ Adhesive: Type:
Manufacturer:
Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12"
and is less than or equal to 7 " :12 "):
Check one of the following which apply to the proposed tile
fasteners (for the first three courses) for use with the proposed tile
system assembly:
❑ Minimum 12 ga. galvanized roofing nail:
❑ Other: Type:
Length:
P
Length:
Note: All tiles shall be installed in compliance with the provisions set
forth in the tile system assembly manufacturer's Product Control
Approval and the minimum requirements set forth in Subsections
3403.5(c) and 3404.2 of the South Florida Building Code. Tile
fasteners in the first three courses (if applicible) shall be of
sufficient length to penetrate the sheathing a minimum of 1" or
through the sheathing thickness a minimum of / ", whichever is
Icss.
The following information is required to confirm compliance with
Section 3403.5(b) of the South Florida Building Code.
t tsty eon, L t(c ) No.
f Process No.
Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment.
Also insert variable labeled "a" which represents perimeter and corner dimensions
per Chapter 23 of the South Florida Building Code.
(See ASCE 7 -88 Fact Sheet Attached )
Mixing Ratio: 3'. I
BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions
Job Site Identification:
"
Few
Job Address: 67) J). E. 94 -T,
' The undersigned certifies that the Mortar or Adhesive Set Tile System
Assembly is in compliance with the plans, specifications, and details
submitted by the architect.
STATE OF FLORIDA - COUNTY OF DADE
Before me this day personally appeared ear I n,r
who, being first duly sworn, deposes and says that all information submitted
herein is true and correct.
My commission expires:
Job Address:
12ao1.158
APPENDIX 'E'
METRO-DADE UP3II1FORM BUILDING PERMIT
SECTION II
MORTAR OR ADHESIVE SET TILE SYSTEMS
1. General
2. Documentation
?O J•. E 9/s7 7
Licensed Contractor / Owner
Signature
No 1 t Public
State of Florida
The information provided in this Section is required to confirm
Product Control Approval of the proposed tile system assembly;
confirm compliance with the wind load requirements of Chapter 23
of the South Florida Building Code (SFBC); and confirm compliance
with Sections 3403.5 and 3404 of the South Florida Building Code.
The following documents are required for submission with the
Uniform Building Permit application:
Two (2) copies of the proposed tile system assembly's and
associated roofing component's Product Control
Approval(s).
r> One (1) copy of the tile system assembly and/or roofing
component(s) manufacturer's published application
instructions and literature.
All documents attached herein, filled out and completed in
full.
3. Project Information
Check one of the following:
O New Construction
tt Re -Roof
Noie: Mortar or adhesive set tile systems are not acceptable as recover
applications.
Contractor: lax, l ` T go0 / r
Y
Sworn to and subscribed
1991
befor .. _._
is-2
Mortar or Adhcsivc Set Tile Systems
Page - 8
Contractor: �Gld /4 1 ( 2,9 1 4 4
Mortar or Adhesive Set Tile Systems
Page -1
Process No.
Process No.
Is the deck solid sheathed? (circle 'yes' or 'no')
�'1�► no
Deck Type (check one of the following:
O Nominal '/2" Plywood (for re -roof only)
O Nominal '4" Plywood
10' Wood Plank w(o "
O Other (fill in)
Roof Pitch (fill in):
Z ":12"
Note: Mortar or adhesive set tile systems shall not be installed at a pitch
greater than 7W:12 ". Mortar or adhesive set tile applied at a
pitch greater than 5 ":12" and less than or equal to 7 ":12" shall
have the first three courses of tile nailed with not less than one
nail per tile. As an alternate, the first three courses of tile may be
applied in mortar over a single layer of minimum 12 ga. wire
mesh with square openings of not less than ' / which is
mechanically attached to the sheathing with not less than one nail
per 2 11
Circle 'yes' or 'no' for each of the following:
Have you attached two copies of the tile system manufacturer's
Product Control Ap ' royal for the proposed tile system?
no
Have you attached a copy of the tile system assembly and/or
roofing component(s) manufacturer's published, application
instructions and other literature
Is the proposed underlayment approved for use with this tile
system assembly ?
no
no
Job Address: 8() , 9 ST Contracto
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gutters.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gutter Type:
Gutter Gage:
Fastener
Spacing:
PERIMETER DETAIL #3: Gravel Stop or Drip Edge
Deck Type:
PERIMETER DETAIL #4: Gutter Detail
Built -Up Applications and Modified Bitumen Systems
Page -6
Process No.
Sketch Roofing Components which make up Roof
System As,sembly at Perimeter Edge with Gravel
Stop or Drip Edge.
Insert leaders indicating Roofing Components names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gravel Stop/Drip Edge
Gage: ,2 Co
Fastener
Spacing: 1 o.c.
Clip Type: it.)/0
Clip Gage:
Deck Type: f a'00c
\fff
A
Job Address: go (l�, E , cif ST, Contractor
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may exisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
t'
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may exisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
PERIMETER DETAIL #5: 'Other' Detail
PERIMETER DETAIL #6: 'Other' Detail
Built -Up Applications and Modified Bitumen Systems
Page -7
&01 Process No.
5 /-, G
,/ n& /S
4 C 1 &s
re Cod
r c
Job Address: 8D A), E. 99 sr Contractor Process No.
Insert Building and Parapet Heights.
(Ijno Parapet exists, insert "N /A ")
Also insert applicable information pertaining
to the building below.
(See ASCE 7 -88 Fact Sheet Attached )
Exposure Category:
Classification Category: Z
At Hurricane Oceanline ?: Y ✓N
Basic Wind Speed at
Building Location:
Building Condition based on
% of Openings:
110 mph
GROUND LEVEL
Mi r'c «t
lJ feet
BUILDING INFORMATION #1
Built -Up Applications and Modified Bitumen Systems
Page -8
Job Address: Dp q 4/ $T,
ContractorOtAcj: i Reef, Process No.
PERIMETER DETAIL #1: Parapet Wall Detail
Coping Cap
Gage:
Fastener
Spacing: _ o.c.
Clip Type:
Clip Gage:
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Parapet Walls.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
r
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Areas to be Flashed.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc
Include fastener type and spacing used for wood -
blocking attachment
PERIMETER DETAIL #2: Flashing Detail
Built -Up Applications and Modified Bitumen Systems
Page -5
Job Address: c?Q its. 67 91/ ST Contractor 1:4 col :), Process No.
r
inches
inches
T
inches
FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE
UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND
INSULATION LAYER(S). (Where Roofing Component not used in
Roof System Assembly, fill in with "N /A ".)
r Surfacing: P7 1
( d briefly be,
a ppficabi itabla)
Top Ply: n tti,Y: L F P ra kefO
k-c 12 n..., o , :-1 -
Bonding Material: I y ' (-J
Ply Sheet(s): p I m
Bonding Material: W ( kr
Fastener:
1 1, (
t-1 . "K., $ I1 a d41�
(1fbare shear mac attaNa `
< r ,$)tte tof } eK
ase S eet:
.L‘ a
Bonding Material:
(if bate sheet bonded )
Fastener. 10 1
(if top insulation layer
mech. attached)
Fastener: 01 I
(if inrulauon
mech. attached)
/ -Vapor Retarder. ) J 3
(ifapplicable)
Primer
( rfapplic
Top Insulation Layer: aj)
(if applicable )
Bonding Material: OP'
( if top rnru /anon
!Dyer bonded )
Insulation: /`) A-
Bonding Material: n
(1fi rdarionbonded)
Built -Up Applications and Modified Bitumen Systems
Page -4
DECK:
Type: LAD D O
Gage or Thickness: 1 )(CP
Density, if concrete deck:
or/lets u
r
Job Address:
— FOR PLAN EXAMINER USE ONLY —
Roof System Assembly Product Control Approved:
If NO, note any deficiencies:
Design Pressure Requirements:
Field: psf
Perimeter Areas: psf
Corner Areas: psf
Note any limitation
Reviewed Details ?:
Notes:
Contractor Process No.
Y N
Y N
i■
Job Address: gD A) , £t , q ST. ContractorQ 4 1. � n Process No.
Top Ply:
(Type and method oj attachment )
Surfacing:
(Type, if applicable )
(Type and method of attachment )
FJtso i. c F ad A Bred
bts-G w ar,ro()e
-7 45
Flashing Materials: fl S T !vt £7 C(S "
- Built -Up Applications and Modified Bitumen Systems
Page -10 Built -Up Applications and Modified Bitumen Systems
Page -3
Job Address: gO N , E . qt/ S? ; Contractor
( Check one of the following) /
Recover Re -roof vO New Construction
If a recover, is the existing Roof System Assembly
to be used as a bonding substrate ?:
If YES, has an ASTM E907 test been carried out
to confirm adhesion of the existing membrane to
the substrate ?:
(If yes, attach ASTME907 test report. )
Proposed Fastener:
(Attach withdrawal resistance test report. )
Has the deck been examined for moisture ?:
(Provide data confirming compliance with
Section 3401.9(c) . )
THE SYSTEM:
Insulation:
( Type, size and method of attachment,
if applicable )
Base Sheet or Ply:
( Type and method of attachment )
Process No.
N
Ply Sheet(s): -)1 Pr
( Type and method of attachment )
Built -Up Applications and Modified Bitumen Systems
Page -2
All Roof System Assemblies in the Product Approval have a variety of options. Briefly
describe the Roofing Components to be used in the Roof System Assembly and attach a copy of
the manufacturer's published specification: I
Deck: W ooc
( Briefly describe )
GI 04.14.5 Skeet• eci d l z " o e • 4
9 ,, s a,
0.c. Jc E9 S 5r'- !� Cori of s
per:4,e / ,
•
Job Address:
Reviewed Field Test Data ?:
Notes:
Additional Notes:
Contractor Process No.
Built -Up Applications and Modified Bitumen Systems
Page -11
Y N
Plan Examiner
•
Job Address: 8O AJ. F. 9
GENERAL:
Type of Roof System Assembly to be Applied:
Manufacturer of Roof System Assembly:
Product Control Approval Number:
System Number from Product Control Approval:
(Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System
Guide Specification. )
Complete the following for all Roof System Assemblies:
Built -Up Applications and Modified Bitumen Systems
Page -1
12aol.166 9194
Contractor (Qt,a , . l, Process No.
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
BUILT -UP APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
Fla +Mt
e-s Roeh icia 'eG
q : 050.2 .
FfL a 3
( Note: If a minimum roof system is to be applied, describe all
components within the system and list the manufacturer of
each component. DO NOT complete this section if system is
Product Control Approved. )
Base Sheet:
Fasteners:
Ply Sheet(s):
Cap Sheet:
Asphalt:
( Note: No insulation system is acceptable under the minimum
roof category. )
Amount of bond $ 00
Interest in property: nwnPr
6. Lender's name and address: N/A
W8R!ESS my h-n
HA1tVE
a
Notary Public
Print Notary's Name
My Commission Expires:
STATE OF FLORIDA, COUNTY 0 DADE
WG! 8t? CC1WPY Mal this is a Pruo y of fho
crigino. f:Ioi in Phis offi on y of
NOTICE OF COMM
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
•
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 Commencement.
1. Legal description of property and street address: 8 0 N.E. 94 Street
2. Description of improvement: Install new Tile and Flat roof.
3. Owner(s) name and addres Kathy Birkoff
Name and address of fee simple titleholder: N/A
4. Contractor's name and address: Quality Roofing Contractor Inc.
5. Surery:(Payment bond required by owner from contractor, if any)
Name and address: N/A
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: N/A
6. 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: N/A
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)
80 N.E. 94 Street Miami Shores, Florida 31138
251 N.W. 99th Street Miami, Florida 33150
Signatur ner ,/ l
Print Owners Name K RT �L1 61 kg of
Sworn to and subscribed before me this 29 day of F_o1(Y . , 19 ci .
MY COMMISSION k CC :
EXPIHhS: Wooer 10, 197
Bonded fins Notary Public Undenterttere
Miami Shores, Florida 33138
96R097122 1996 MAR 07 09:21
Prepared by: Carlos Arocho
Quality Roofing Contractor , Inc
Address: 251 N _ W 99 Street
Miami, Florida 33150
I2UW..2 2n93
.. E�TRO.OADE
dre•:lv't;l
PRODUCT NO.:
ACCEPTANCE NO.:
EXPIRES: 04/17/97
APPROVED- 06/13/95
The cxpen ;e of such testing will be incurred by thc Manufacturer.
Revises No.: 94-0531 0.11
METROPOLITAN DADE COUNTY. FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
SUITE 1603
METRO -OADE FLAGLER tUILDING
140 WEST FLAGLER STREET
MIAMI. FLORIDA 33130.1563
(305) 375.2901
FAX (305) 375.2900
PRODUCT CONTROL SECTION
(305) 375.2902
.PRODCJC1CONTROL NOTICE OF ACCEPTANCE FAX (305) 372.6339
CS Roofing Products Company, Inc.
5525 MacArthur Blvd., Suitc 900
Irving, TX 75038
Your application for Product Approval of CS Ronfinr Modified Bitumen Roof Sy tents under Chapter 8 of the
Metropolitan Dade County Code goveming.the use of Alternate Materials and types of Construction. and completely
described in the plans, specifications and calculations as submitted by Applied Research Laboratories, F:Ictory
Mutual Research Corporation, Underwriters Laboratories and United States Testing Company, Inc. has been
recommended .for acceptance by the Building Code Compliance Department to be used in Dade County, Florida
under the specific and standard conditions set forth herein.
The approval shall be valid for a period•of three years. The Building Code Compliance Department reserves the
right to secure a product or material,at any time for a jobsite or manufacturer plant for quality control testing. If
product or material fail to perform in thc approved manner, the Codc Compliance Department may revoke. modify
or suspend the use of such product or material immediately. The Building Codc Compliance Department reserves
the right to require testing of this'product or material should anyamendmcnts to the South Florida Building Codc be
enacted affecting this product or material.
Raul Rodriguez
Product Control Division
Supervisor
- PLEASE NOTE-
. THIS IS THE COY RSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
• - CONDITIONS.
BUILDING CODE COMMITTEE
This application for Product Approval •has been reviewed by. the Metropolitan Dade County Building Code
Compliance Department and approved by•thc Building Codc'Committcc to be u d in Dade Cot Florida under
thct,onditionssct forth above.
Charles Danger. P.E.• Director
Building Code Cornpliancc
Metropolitan Dade County
•
NQTICF,JF•8CS:FPJANCF.! STANQARrw )NDITtQ S
I. Extensions of Acceptance' may be considered after a new application has been filed and the supporting data,
tut reports no' older than ten (10) years, have been re-evaluated.
All reports of re- testing shall bear the scat, signature and date of an engineer registered in the State of
Florida.
2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be
cause for termination, unless prior approval is granted for revisions or change.
3. Any unsatisfactory performance of this product or process or a change in Code provisions shall bc grounds
for re- evaluation.
•
4. This acceptance shali•not be used as an endorsement of any product for sales or advertising purposcs.
•
5. The Notice of Acceptance number preceded by the words Dadc 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.
6. Product approval drawings, where required for permit applications. shall be provided to the applicant by the
manufacturer or his distributors unless otherwise noted in•the Notice of Acceptance. Thc prints need not bc
re-sealed by an engineer. ,
7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval.
This Product Control Approval supersedes No. 94- 0531.04
4, •
Raul Rodriguez .
. Product Control Division
Supervisof6,_
PRODUCT CONTROL NOTICE OI: ACCEPTANCE:
ROO FINC SYSTE APPROVAL
ip A! fr•a.Y t. .,,r•.,e• 1 rl i4 .
• . . p
A pplicant:
CS Rooting Products Company, Inc. (M13) Product Control t'io:: •9'S -0 O? Qil
5525 MacArthur Blvd.
Suite 900 Approval Date: JUN 34
Irving, TX 7503 8
Cntcyory. Membrane Roofing System
Sub - Cnt goty: Built - up Roofing
Type: Modified Bitumen
Sub -tvpe! SBS/APP
GS Roofing Products Company, Inc. manfuactures and markets nationally a complete line of residential
and commercial BUR and modified bitumen products. GS Roofing Products Company, Inc. markets
these products through local distribution in thc South Florida jurisdiction.
GS Roofing products and systems are the result of years of manufacturing experience and product
development and have been proven by years of experience in the construction field.
GS otters a variety of approved uuulated and non - insulated roofing systems. For detailed system
constructions, refer to the following publications: "Commercial Roof System Specification Matiul" and
" "Flintlastic RoofSystem Catalog."
GS' products and systems have been tested in compliance with alt provisions of the South Florida
Building Code as well as Underwriters Laboratorieef?.k., and Factory Mutual Research Corporatiol rri
lire and wind•uplift resistance. .,•,1,atr `
ru 1o1z Vie..
GS provides -technical service and warrantyinfoimation through regional offices. For thc South Florida
Metro -Dade area, call 1 -800- 777 -2563.
3
System Description.
':1 L
1
1
Contact n_
Pat Ncuhaus
Commercial District Manager
290'0'Bird St.
Charleston Heights, SC 29405
(803)744 -7451
Raul Rodriguez
Expiration Date: 09/17/97
J'mcltict
All Weather /Empire
Base Sheet •
Flcx_I.GlasTM Base
Sheet
Flex-l-Glafrm FR Basc
Sheet
Flintglas® Ply Sheet.
Type lV or VI
Flintlastic STA
Flintlastic GTA .
Flintlastic GTS
Flintlastic GMS /GMS
Premium
• Flintlastic FR/FR -P
Prcmiuni
i s•
T u ;1161ytES oF: PlzonuCTS,KANUFACTURED Olt
LABELED BY APPLICANT
•
nimensirms
36" x 72'; Roll
weight: 86 lbs.
(2 squares)
36 "'x 108'; Roll
weight 90 lbs.
(3 squares)
39 '4" x 50'; Roll
weight: 90 lbs.
(1.5 squares)
36" x 180'; Roll
weight: 40/55 lbs.
(S squares)
39 "x33'; Roll
weight 90 lbs.
(1 square) •.. ,
Test
,$pecilicatiot
UL Type G2
UL Type G2
ASTM D 2178
Type IV or VI
UL Type GI
ASTM D 5147
39 " x 33'3 ";
Roll weight: 105
lbs.
(I square)
39 x 34'9 ";
Roll weight: 92
lbs.
('/.square)
39 "x 34'2 ";
Roll .weight:
100/105 1bs.
(1 square)
39'4 "x34'2 ";
Roll weight: 105
lbs.
(l square)
I t
s
3
Product Control No.: 95-0502.04
Product
f)ecription
ASTM D 2626 Asphalt coated, organic base sheet.
UL Type 15
Modified Bitumen, coated fiberglass
base sheet.
Modified Bitumen, coated fiberglass
base sheet.
Fiberglass, asphalt impregnated ply
sheet.
Smooth surfaced, APP Modified
Bitumen membrane with non -woven
polycstcr mat reinforcement for torch
application.
ASTM 0 5147 Granule•surfaccd, APP Modified
Bitumen membrane with non -woven
polycstcr mat reinforcement for well
application.
ASTM D 5147 Granule surfaced. SOS Modified • •
Bitumen tnetiibranc with non -woven
polycstcr mat reinforcement for torch
application.
ASTM D 5147 Granule surfaced SOS Modified
Bitumen membrane with non -woven
polycstcr mat reinforcement for mop
application.
ASTM D 5147 Firc resistant, granule surfaced SOS
Modified Bitunicn Mcmbrtnc with
non -woven polyester mat reinforcement
for mop application.
Raul Rodriguez
Product
Flintlastic FR Cap
CI Base Sheet
Poly SMS Base Sheet
Yosemite Mineral
Surfaced Cap Sheet
Stor shield
•
•
Dimensions
39 ";
. Roll weight: 90
lbs.
(1 square)
36" x 108'; Roll
weight: 69 lbs.
(3 squares)
39 x 64' 4 ";
Roll weight: 90
lbs.
(2 squares)•
36" x 36'; Roll
weight: 90 lbs.
(1 square)
36" x 75'; Roll
weight 76 lbs.
(2 squares)
Test
4pecificatiort
ASTM D 5147 Firc resistant, granule surfaced SBS
Modified Bitumen membrane with
fiberglass mat reinforcement for mop
applications.
ASTM D 4601 Asphalt coated, fiberglass base sheet.
UL Type G2
ASTM D 5147 Modified Bitumen, coated polyester
base sheet.
ASTM D 249 Mineral Surfaced organic cap and buffer
UL Type 30 sheet.
PA 103s
4
Product Control No.: 95- 0502.01
Product
Descriptinrt
Slag surfaced SBS Modified. Bitumen
sheet with fiberglass reinforcement for
peel and stick application.
C
Raul Rodriguez il/4-1j
APOC 212
Sunbright 400
Ccicorc
• 1.
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS
Test
j)imensionv ; Specification
Product
Hy Therm • various
Pyrox various PA 110
t!
r
. IQ
.
PA 121
PA 121
MBA
ACFoam ll . various PA 110
PA110
Anchorbond PA 114
Fastener
Anchorbond LC`V"
lightweight
Concrete fasteners
High Density . .various ' PA 100
Fiberboard .
Dekfast Fasteners PA 114
014
Dekfast l•lcx Platt 2 7/8" x
3 1/4"
Dekfast Lock Platt 3" x 3 1/4" IPA 114
PA 114
Product
De criplion
5
Polyisocyanuratc foam
insulation
Polyisocyanuratc foam
insulation
Aluminum roof•coating.
Roof coating
ASTM . 3019 Asphalt based cold applicd
Type 111 adhesive.
. Polyisocyanuratc foam
• insulation
Cellular insulating concrctc
system
Insulation fastener and
metal or plastic plate
Base ply fastening systems
for lightweight concrctc
decks
'Wood fiber insulation
plate.
Raul Rodriguez
Product Control No.: 95- 0502.04
Mnnufacttircr
Apache Products Co.
Apache Products Co.
APOC, Subsidiary of
Gardner
APOC, Subsidiary of .
Gardner
APOC, Subsidiary of
Gardner
Atlas Encrgy
Products
Ccicorc, Inc.
Cclotcx Corp.. •
Cclotcx Corp.
Cclotcx Corp.
Insulation fastener for steel Construction
and concrctc decks Fastcncrs Ind.
PA 114: Galvalumc hex stress plate. Construction
. Fasteners Inc.
Polypropylene locking Construction
Fastcncrs Inc.
Product':
Dekfast Fasteners
X15
Dekfast Fasteners
1112
TPR
Elastizell
FM -30, FM-45,
FM -60, FM -90
Fasteners
Nail -Tits Type 'A'
Nail -Cite Type 'R'
GAFTITE
Asphalt Emulsion.
Asphalt Primer
•
High Density Wood various
Fiberboard
Tcst Product
J)imensiorU Specification J)escriptiori
various
r .
PA 114 Insulation fasteners for
concrctc decks
PA 1 14
. PA 114
PA 110 Cellular insulating concrete
system
PA 114. Base ply fastening systems
for lightweight concrete
decks .
PA 114 • Galvanized steel base ply
fastener for lightweight
concrctc decks
PA 114
PA 114
PA 121
.. 110
Insulation fastener for steel
and wood decks.
Aluminum fastener for
lightweight, gypsum and
rectum decks
Product Control No.: 95- 0502.04
Galvanized steel base RI). ES Products, Inc.
fastener for lightweight
concrete decks
Base shot fastening GAF
system.
Asphalt emulsion Gardner
Gardner Cold 1, 5, 55 ASTMD 3019 Fibcred asphaltic general . Gardner
Process gallons • Type 111 purpose bp and ply cement.
Roof ccmetit .
Asphalt
ASTM D 312 Typc 111 or IV hot asphalt generic
bitumen adhesive
ASTM D 41 Asphalt Primer generic
6
Wood fiber insulation generic
board
Raul Rodriguc'
Mann facturcr
Construction
Fasteners Inc.
Construction
Fasteners Inc.
Creative
Construction
Components
Elastizell Corp.
ES Products, Inc.
ES Products, Inc.
Product
l erlite Insulation various
Red Rosin
Roofing Nails
Tin Caps
al MB aluminum •
roof coating
Karnak S 1 AF
Modified Bitumen
Adhesive (Brush
Grade)
Karnak S I AF •
Modified Bitumen
Adhesive (Trowel
Grade)
Karnak 97 AF
Karnak 97
Test Product
Dimencinrts Specificntinrt l7cccriptinr1
Monscy MBA Gold 5. 55
Membrane gallons
Adhcsiyg.-
Prot radc Fibcrcd
Aluminum
E'NERG'Y PSI -25 various
E'NRG'Y -1 • various
PA 110 Pcrlite insulation board
PA 121 • Aluminum roof coating
PA 121 Roofcoating
PA 121 Roof coating
ASTM D 3019 Fibratcd, rubberized cement
type 111 for bonding modified
bitumcn'mcmbrancs.
PA 121 Fibratcd aluminum roof
coating.
PA 110 Polyisocyanuratc foam
insulation
••. �'A 1'10 Polyisocyanuratc foam
insulation
7
Raul Rodriguez
Product Control No.: 95- 0502.04
vinnufncttirer
generic
generic
various . Rosin paper for barrier
layer on wood decks
Minimum ff PA 114 Corrosion resistant annular generic
. 12 • • • • ring shank nails
• Min. 32 ga. x Corrosion resistant circular generic
1 discs.
5, 55 gallons ASTM D 3019 Cold applied SBS modified Karnak • •
type 1I1, ASTM adhesive for application of
• D 3409 SBS modified bitumen
systems.
•
5.55 gallons ASTM D 3019 Cold Applied SBS modified Karnak
type 111, ASTM adhesive for application of
'D 3409 ` • SBS modified bitumen •
systems.
Grundy Industries
Karnak
Karnak
Monscy Products
Co.
Monscy Products
Co.
NRG Barriers, Inc.
•
NRG Barriers, Inc.
/74-(72%-
Product •
E'NRG'Y -2 Plus
6'NRG'Y -2
N.T.B. Magnum
N.T.B. Spin
Weld Plate
2" round
N.T.B. Plastic Plate 3" round
• 4.T.B. Plate •
Olympic Fastener
• gI2
Olympic fastener
:14
Olympic CR Base
Felt Fastener and •
Base Sheet Disc
Olynt�ic Fastcncr
Test Product
Dimensions Spccificntion Description
various PAL 10
various PA 110
PA 114
:
•
PA 114 2" round amorphorus nylon
locking plate for use with
N.T.B. fasteners with 1"
head
PA 114 '3" round polypropylene
stress plate for use with
N.T.B. fasteners
PA114
PA 114 Insulation fastener
PA 114 Insulation fastener
PA 11'4
PA 114
Polyisocyanuratc foam
insulation
Polyisocyanuratc fo :ten
insulation
Glass reinforced nylon
fastener for use in gypsum
and ccmentitious wood
fiber decks.
Raul Rodriguez
3" round galvalumc AZ55
plate for use with N.T.13.
fasteners
Insulation fastener
assembly for Base Sheet
fastening only •
Insulation fastcncr
Product Control No.: 95 0502.04
lvt
NRG Barriers, Inc.
NRG Barriers, Inc.
Olympic
Manufacturing
Group, Inc.
Olympic
Ivlanufncturing
Group, Inc.
Olympic
lvlanufacturing
Group. Inc.
Olympic •
Manufacturing
Group, Inc.
Olympic
Manufacturing
Group, Inc.
Olympic
Ivlanufacturing
Group, Inc.
Olympic
Manufacturing
Group. Inc. •
Olympic
Manufacturing
Group, Inc.
duct
mpic
ipropylene
mpic Standard 3" round
_rg1as
oc Cap Board various
raGard Gold Various
vl 2" Plate
.v1 3" Plate.
.vlitc
100 ;N1oifified
Weather
shin; Cement
;:Test
SPecinclticm
3.25" round PA 114 • Polypropylene
plastic platc
various PA 110
. 2" round .
3" round
.vlitc 3" Plate 3 ".round
. 4t
Product
PA 1 14 3" round galvalumc
• AZ55 stccl plate
Fiber glass roof insulation
PA.1 !0 Rockwool insulation
PA 110 Polyisocyanuratc foam
insulation
PA 114
PA114
PA 114
2" round galvalumc AZ55
membrane plate
3" round galvalumc AZ55
stccl plate
Insulation fastener for
ccmcntitious and gypsum
decks
1, 5, 55 ASTM D 3019 Rubberized all - weather
gallons, also . (Type III) and . flashing cement, trowel
available in • D 3409 grade, modified adhesive.
10.5 ounce
caulking
tubes.
Product Control No.: 95- 0502.04
Jvlant'fncturcr,
Olympic
Manufacturing
Group, Inc.
Olympic
Manu facturing
Group, Inc.
Owens - Corning
Fiberglas Corp.
Partek, Inc.
Schuller
International Inc.
The Rawlplug
Company Inc.
The Rawlplug
Company Inc.
The Rawlplug
Company Inc,
PA 114 3" round galvalumc AZ55 The Rawlplug
steel platc for use with . Company Inc.
: Rawlitc fasteners
Tropical Asphalt
Products Corporation
Test Agency /Identifier J•nn Report 12
App lied Research Physical Properties 28013 06/02/87
Laboratories
Factory Mutual Research Current Insulation FMRC 1994 01/01/94
Corporation Fastening Requirements
Underwriters Fire Classification R1190 07/13/87
Laboratories Compliance
United States Testing ASTM D.5147 97457 =4 06/03/88
Company, Inc.
ASTM D 5147 97-457-2R. 12/02/87
•
Test Reports
I0
Raul Itodrigucx
Product Control No.: 95- 0502.04
Fibrous glass
.Perlitc
Fiberboard
Rockwodl
Polyisocyanurate
Polyisocyanuratc Composite Board
Mnximum Design Pressuret
Material • Design Prescttre
Wood -60 psf
Steel -60 psf
Concrete -135 psf
Lightweight Concrete -45 psf
Cementitious Wood Fiber -52 psf
Poured Gypsum -52 psf
Material
Maximum Fire Clalcificatioq
Clnttificntiort
•
\Vood Class A
Steel Class A
Concrete Class A
Lightweight Concrete Class A
Poured Gypsum Class A
Note: Fire classifications and maximum design pressures do not reference all assemblies over
fleck types. Review system IistIngs for design pressures and the Underwriters Laboratories
Roofing Materials Directory or other approved testing :agency listing directory for Fire
Classifications. '
a
c
11
Raul Rodriguez.
Product Control No.: 95- 0502.04
•
Mem b rune Type: SBS
Deck Type 1: Wood, Non - insulated
Deck Description: " / or greater plywood or wood plank decks
System Type E(1): Base sheet mechanically fastened.
All Ccncrnl and System Limitations apply. •
Base Sheet:
Fastening:
Ply Sheet:
Membrane:
' Surfacing: (Optional) Install one of the following:
1. 400 lb /sq. gravel or 300 lb./sq. slag in a flood coat. of approved mopping
asphalt at an application rate of 60 lb./sq..
Maximum Design
Pressure:
One or more plies of GS Glas Base, GS Flex-I Glas Base. Flex -1 Glas.FR Base or
GS Poly SMS base mechanically fastened to the deck as detailed below.
Base sheet shall be lapped 4" and fastcncd with approved roofing nails and tin caps
9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c..
(Optional) See products listed undcr'Base Sheet' above, or one or more plies of
GS Flintlastic Ply IV or Ply VI adhered to the base sheet in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20 -40 lbs./sq..
•
One ply of Flintlastic FR -P, Flintlastic FR Cap, Flintlastic GMS, Flintlastic
Premium GMS adhered to the base sheet with approved mopping asphalt applied
within' the EVT range and at a rate of 20 -40 lbsfsq.; or Flintlastic GTS Torch
adhered to the base sheet.
2. Karnak 97 or APOC 212 Fibratcd Aluminum at an application rate of I '/:
- - galisq..
-43 psf. .
tvlaxiniutuLre
Classification: Class W; see General Limitation V2.
tvlaximum Slope: 1 :12; see General Limitation 113.
Specification-No.: GMS 2 -3, FRP 2 -3. GTS 2 -3. FRBC 2 -3
35
Raul Rodriguez
Product Control No.: 95-0502.04
•f
Q
''SPEC: •N0. • L •
•• For.•use over.nalla .• ,.
•
t'•VglitM;. ';? 1gnilibSii4iiii :4.1;W alinl Ja 1144 t'l
i t: • �' . 'p� • w • • iri;
it 4
p l• c • \jam" 1... •el r,���"
tlyrer.wippitm
1,tZ 7;C�1t.y: i�
p 1 p` �f`
r 1 3 S •t< 11 )4, A
•GLASBASE 8 SE EE ,
,411.. ;X • e
•
•
•
•••• •
•
• v ��'1i�° t4(i
ri
La •� } Y <43 q ;o1j� / Pii. y . 1
• :r. P.. Va l'u ::.i' �C. . h • t . nm • c v.d . a1 tA1f. •A vl
. : l•s • •. r •• • • • • .1
.+ • •.• • • : f ?4 • ∎t•�. • • •. ;• ,• • • Membrane;• i• i ..Ni.... }
One)ly of GLASBASE base sheet and one
ply of FLINTLASTIC FR modified bitumen
roll roofing. •:. '
1••
Membrane: ''Flintlastic S fA
fused.
Surfacing: Gravel.
4. Deck: C- 15/32' Incline: 1
'All joints blocked with 2x4's.
Base Sheet: Type G2, nailed.
Membrane: "Flintlastic GMS ", "GMS Premium" or "GMS Black Diamond ", adher
roofing asphalt.
Surfacing: Gravel.
5 Deck: C -15/32 Incline: 1/2
Insulation: Celotex "Hy -Tec ", 2 in. min, joints in insulation must be offset 6 in. fro
deck, mechanically fastened.
Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt.
Membrane: "Flintlastic GMS ". "GMS Premium" or "GMS Black Diamond ", adhered•
roofing asphalt. r ,
Surfacing: Gravel.
6 Deck: C -15/32 Incline: 1/2 tot
Insulation: Celotex "Hy- Tec ", 2 in. min, joints in insulation must be offset 6 in. from
deck, mechanically fastened.
Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt.
Membrane: "Flintlastic A'. "GTA", "GTA Black Diamond or "GTA APP White D I
heat fused.
Surfacing: Gravel. ■•4
Class A - Fully Adhered •
1. Deck: NC Incline: 1
Vapor Retarder: (Optional) Type G2 "Glasbase" base sheet or UL Classified vapor rata
Insulation: (Optional) One or more layers or combination of the following: Ultragard
polyisocyanurate, perlite, glass fiber or wood fiber insulation.
Base Sheet: One layer of Type G2 "Glasbase" base sheet.
Membrane: One layer of "Flintlastic GTA ( -3/4 sq or -1 sq), GTS" (modified bitume
fused or "Flintlastic GMS" hot mopped.
Surfacing: APOC "No. 212 Fibrated Aluminum ", at 1 -1/2 gal. 100 sq /ft.
2. Deck: NC Incline: 3/4
Vapor Retarder: (Optional) Type G2 "Glasbase" base sheet or UL Classified vapor retard.,
Insulation: (Optional) One or more layers or combination of the following: Ultragard
polyisocyanurate, perlite, glass fiber or wood fiber insulation.
Base Sheet: One layer of Type G2 "Glasbase" base sheet.
Membrane: One layer of "Flintlastic STA (modified bitumen), heat fused.
Surfacing: Karnak "No. 97 Fibrated Aluminum ", at 1 -1/2 gal. per 100 sq /ft.
t3. Deck: C -15/32 Incline: 1/2
Insulation: (Optional) Manville "Ultra Gard Premier ", polyisocyanurate, wood fiberboard,
lite, fiberglass, isocyanurate, any thickness.
Base Sheet: One or more plies of "Glasbase ", hot mopped or mechanically fastened.
Membrane: One ply of "Flintlastic FR" (modified bitumen), hot mopped in place.
4. Deck: NC Incline: 1/2 •
Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, hot mopped or mechanically 11IP
tened, any thickness.
Base Sheet: Type G2, mechanically fastened or hot mopped.
Membrane: "Flintlastic GTA or STA", heat fused.
Surfacing: Henry Co. "Henry 520 Aluminum ", applied at 1 -1/2 gal /sq.
5. Deck: NC Incline: 1/4
Insulation: (Optional) Glass fiber, perlite or wood fiber board.
Ply Sheet: Type G2, mechanically fastened.
Membrane: "Flintlastic STA ", "GTA", "GTA Black Diamond" or "GTA White Diamond" hell
fused.
Surfacing: Karnak Chemical Corp. "Karnak No. 97 ", 1 gal /sq.
6. . Deck: NC Incline: 1
Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, mechanically fastened or adhet"
with hot roofing asphalt, any thickness.
Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt.
Membrane: "Flintlastic GMS ", "GMS Black Diamond" or "GMS Premium ", adhered with ha
roofing asphalt.
Surfacing: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating •
2-1/2 gal /sq.
7. Deck: C- 15/32' Incline: 1
'All joints blocked with 2x4's.
Insulation: Glass fiber, perlite, 3/4 in. min, joints in insulation must be offset 6 in. from joi
in deck, mechanically fastened.
Base Sheet: Type G2, mechanically fstened or adhered with hot roofing asphalt.
Membrane: "Flintlastic GMS ", adhered with hot roofing asphalt.
Surfacing: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating•
2 -1/2 gal /sq.
B. Deck: NC Incline: 1/2
Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, mechanically fastened or adhere
G fA "GTA Black Diamond or "GTA White Dia
bra . . r, lasti C W
b Flintlastic STA " , "' GTA , VIA " " black vial nrt,i�n,u� .,,.. ..,,.,, ....,...,,..d'.
M S••, "GMS -5M•, "GMS Double Coverage" or "GMS Premium ", heat fused or hot mopped
ace.
Priacing: Grundy Industries, Inc. "al MB Aluminum Roof Coating'" at 1.2 gal /sq.
C -15/32 Incline: 1/4
• Ietion: (Optional) Any thickness polyisocyanurate, glass fiber or perlite, mechanically fas-
d, joints in insulation must be offset 6 in. from joints in deck.
Sheet Type G2 base /ply sheet, mechanically fastened or hot mopped.
1 .'"r-Sheet: Type G2 base /ply sheet, mechanically fastened or hot mopped.
uambrane: Flintlastic STA ", "GTA White Diamond" or "GTA Black Diamond ".
w•ecing: Grundy's "al MB Aluminum Roof Coating" at 1 to 2 gal /sq.
Incline: 1/2
Cam; o (Optional) Polyisocyanurate. glass perlite, wood fiber, any combination, any
Insulation: (Op � ) y' ocyanurate, lass fiber,
llt mechanically fastened.
e j lckness, fe Sheet: Type G2, "Flex- i- glas "' or "Flintlastic FR Base ", mechanically fastened or adhered
`ylth o asphalt.
Membranehot ro: fing Flintlastic FR -P ", Flintlastic Premium FR -P ", "Flintlastic-FR/G" or "Flintlastic FR
C ", adhered with hot roofing asphalt.
k: C- 15/32' Incline: 1/2
i I joints in deck blocked with 2x4's.
Insulation: (Optional) Polyisocyanurate, glass fiber, perlite, any combination, any thickness,
mechanically e.
Base Sheet: Type fasten G-2,
Membrane: 'Flintlastic FR -P ", "Flintlastic Premium FR -P" or "Flintlastic-FR/G", adhered with
mechanically fastened or adhered with hot roofing asphalt.
hot roofing asphalt.
peck: NC Incline: 1/2
Insulation: (Optional)EPS, any thickness. covered with 1/2 in. min perlite or wood fiber, me-
ehanically fastened.
Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt.
Membrane: "Flintlastic FR -P ", "Flintlastic Premium FR -P" or "Flintlastic- FR /G ", adhered with
hot roofing asphalt.
Deck: NC Incline: 1/2
Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, any combination, any thickness,
mechanically fastened.
Base Sheet: Type G2 or "Flex- i- glas ", adhered with hot roofing asphalt.
PIy Sheet: "GS Polybase ", adhered with hot roofing asphalt.
t Membrane: "GMS ", adhered with hot roofing asphalt.
Surfacing: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating ",
at 2 -1/2 gal /sq.
Deck: NC Incline: 1/4
Insulation: (Optional) Polyisocyanurate, glass fiber, perlite, wood fiber, any combination, any
thickness, mechanically fastened or adhered with hot roofing asphalt.
Base Sheet: Type G2 or "'Flex- i- glas ", mechanically fastened or adhered with hot roofing as-
phalt.
Ply Sheet: (Optional) Type G2 or "Flex- i- glas ", mechanically fastened or adhered with hot roof-
ing asphalt.
' Membrane: "Flintlastic GMS", "GMS Premium ", "GMS Black Diamond " or "GMS White Dia-
mond", adhered with hot roofing asphalt.
Surfacing: Asphalt Products Oil Corp. "APOC -400 Sunbrite", 3 gal /sq.
Deck: C -15/32 Incline: 1/4
Insulation: Glass fiber, perlite, 1 in. min, joints in insulation must be offset 6 in. from joints in
deck, mechanically fastened.
Base Sheet: Type G2 or "Flex- i- glas ", mechanically fastened or adhered with hot roofing as-
phalt.
PIy Sheet: (Optional) Type G2 or "Flex- i- glas ", mechanically fastened or adhered with hot roof-
ing asphalt.
Membrane: "Flintlastic GMS", "GMS Premium ", "GMS SBS Black Diamond" or "GMS SBS
White Diamond ", adhered with hot roofing asphalt.
Surfacing: Asphalt Products Oil Corp. "APOC -400 Sunbrite ", 3 gal /sq.
Deck: NC Incline: 1/2
Insulation: (Optional) Polyisocyanurate perlite, glass fiber or wood fiber. any thickness, me-
chanically fastened or hot mopped in place.
Base Sheet: One or more layers of Type G2 or "Flex- i- glas ", mechanically fastened or hot
mopped in place.
Ply Sheet: (Optional) One or more layers or Types G 1, G2 or "Flex- i- glas ", mechanically fas-
tened or hot mopped in place.
Membrane: "Flintlastic GTA ", "GTA Black Diamond ", "GTA White Diamond" or "STA ", heat
fused.
Surfacing: Karnak Chemical Co. "No. 97 ", applied at 1 -1/2 gal /sq.
Deck: NC Incline: 1/4
Insulation: (Optional) Perlite, glass fiber, mechanically fastened or hot mopped in place, 2 in.
max thickness.
Base Sheet: One or more layers of Type G2 "Flex- i- glas ", mechanically fastened or hot
mopped in place.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
ontractor
or Builder
Legal Lot
Description.
Address of
Building
11
•
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT IN? 12317
n
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
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. f
r
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
195
DATE
Contractor's
License No
Amt. of
Permit
BY "° AUTHORITY
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept a' building during progress of the work.
Own 's Name and Address' ` "
Registered Architect and /or Engineer i r
Name and address of licensed contractor „>..^�.
MIAMI SHORES VILLAGE
Date..
No
Ce)
A
Street
,19
Location and legal description of lot to be built on: �' l�
Lot Block Subdivision
Street and Number where work is to be done �� ' °�
rr' ft f
State,work to be done and prpote of building, (by floors) i' ^r::__.. G 5 c' ° ti - c:, .
< L-.C. , o-� and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
o�
Estimated Total cost of improvements $ i 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 pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the 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)
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-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
,
Permit No. �� Date , ° G .,. Read, Sworn to and Subscribed before me.
Disapproved :.fate
e , Notary Public, State of Florida
(Signed) �,...., cti
.a . �- "
' Buildig'Inspector " My Commission Expires
PLANNING BOARD DATE
Chairman 1! Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
Villa f Miami Shores N° 3861
JOB
ADDRESSt f��' if
INSPECTION /1 .-
TIME READY
REMARKS
INSPECTOR
c
1L
DATE - . =�
Aid. WORK GUARANTEED
LANG ROOFING & TILE CO.. INC.
BARRETT APPROVED ROOFERS
Village of Miami Shores
10050 N. E. 2nd Ave
Miami Shores, Fla.
SHEET METAL
430 N. W. 79TH STREET
MIAMI 50, FLORIDA
Dec. 17, 1960
Re: Roofing permit
Owner: Margaret Loehr
Job Address: 80 N. E. 94th St., Miami Shores, Fla.
Estimated cost: $175.00
Type of roofing: 4 sq. white shingle tile addition to
residence, 1 sq. gravel re —roof.
LANG ROOFING & TILE COMPANY, INC.,
seph :. Martin, Vice President.
PHONES { PL 1.2878
PL 8 -1009
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during prpgress of the work.
Date.. — _ =sass _ _._sass , 19 ?'2_
Owner's Name and Address ......4 !:'. r " IQ.f' tG'_ . R. . .._... Streetg
sas ._ No. sass �..�.
Registered Architect and /or Engineer _ y
Name and address of licensed contra ctor. Jc h ,CL!le k^
Location and legal description of lot to be built on:
Lot Block Subdivision
Permit No..__.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
5
-t: ... !”,,,,,,,,,,11.1•12111111:7,1.....
Street and Number where work is to be done .a C ie ,
State work to be done and purpose of building (by floors��r'i"Gof.. Te /' RR.-v<-7 it / r.<.
/. -3m # Az2llir6, /- . o ! ief 6 4 r IQI1Y! 'a t — s`: � � .� ? 227 ._ f.r-2e-
0!1 fa.-4�r�1:d:�'al/ zISC .r.l�..yild �- %. i r.?C.C:Y.VC:.tr... �✓ ! y 'ra
New Building / Remodeling. � Addition Repairs
., .., i — 1Z,4a) 9 '
and for no other purpose.
No. of Stories /
o - -yy
To be constructed of Kind of foundation Roof Covering.//J ✓.i � �t'.�' ?v'
Estimated Total cost of improvements $..� 6.u. '., v--¢:' ,,mount 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 are required by the Act. The undersigned agrees to employ only such subcontractoys, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks __._..._ _ (Signed
STATE OF FLORIDA, 1
COUNTY OF DADE. j 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.
j9,42 r
Read, Sworn to and Subscribed before me.
Disapproved 4... !.... Date
(Signed) t�L' `: " sas s
Building Inspect &r My Commission Expires
Notary Public, State of Florida
to me well known,
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Dat Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmtn
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address r No. Street
Registered Architect and /or Engineer
Name and address of licensed contractor
STATE OF FLORIDA, 1
COUNTY OF DADE. j ss.
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Location and legal description of lot to be built on:
Lot Block Subdivision
Date , 19
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 Coveting
Estimated Total cost of improvements $ r 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 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)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No j Date r Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved _Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.