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ROOFING/ PAINT• PERMIT Ai ICATION FOR MIAMI SHORES VILLAGE noso g.E. 2nd Ave►:ue iami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305-756-8972 Date (/ Job Address Legal Description Historically Designated: Yes No / A� `Owner /Lessee/Tenet / . L `47 S 0 6� ?G Master Permit # `\ Owner's Address /'®6" q ii r 7 S 7 - Pl e .5 3 Contracting Co. Address Qualifier SS# State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: Square Ft. timated Cost (value) X ( 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 WITII YOUR LENDER OR ANY 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 all disciplines. OWNERS 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, 1 authorize the above named contractor to do the work stated. APPROVED: Mechanical V- - Signature of owner and/or Condo President Date Signature of Contractor or Owner Builder Date Zoning ' ./ 2 '52.4 CJe Condo President n:res lavE:' l)er i 5, 'ZOOG h •1 / rn7 ,f / FEES: PERMIT 60 '0 RADON C.C.F Date Notary as to Contractor or Owner Builder W My Commis Expires 75 'lc , �. Building �� Tax Folio NOTARY Phone t o BOND TOTAL DUE c; Date Electrical Plumbing Structural Engineer 1•Z /L .Li• 1 . & .L i �►J • 1L1J1`1<J1J � �r Paint C Approval and Agreement DATE:` .. t 6' f (1 OWNER'S NAME PHONE: ADDRESS: N ***********************`********** * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the s'te must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip Edge Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular Stucco Banding Any other stucco features Accessory Other 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. I authorize the above -named contractor, if applicable, to do the work stated. Furthermore , the paint colors will be as per the attached sample ignature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Building Off W' La i f V // Date 0 0' . t. b tzi r H 1-3 tzi z z cn WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 l \ �_� ` /� ' -`' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/3/2003 Applicant: MARIE ROBSON Owner: ROBSON MARIE JOB ADDRESS: 1064 NE 97 ST Contractor Local Phone: Parcel # 1132050170200 Fees: Description Amount FEE2003 -1946 Building Permit Application Fee $60.00 FEE2003 -1947 CCF $0.60 FEE2003 -1948 Notary Fee $5.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 9/30/2003 Construction Value: Work: CLEAN & PAINT ROOF 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. ^nnlirntinn hornfnr in e trirt rmmnlianrn with all ordinances pertaining thereto and with the understanding that the work will be and approved by the proper municipal authorities. This Permit may be revokec authorization. A further condition upon which this permit is granted is the unde T. E. ROBSON ordinances and regulations pertaining to the work covered hereby whether sho• MARIE E. ROBSON by his agents, servants or employees. 1064 NE 97TH ST. PH. 305 - 754 -7413 MIAMI SHORES, FL 33138 Signed: i /L�� INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the with the plans, drawings, statements or specifications submitted to the proper ; myself, my agent, servants or employes. Signed: /�- Permit Number: BP2003 -523 Legal Description: REV PL MIAMI SHORES SEC 8 (Contract' Building Permit Contractor's Address: PAY TO THE /�7214.,e7216. G ORDE:.OF ID W NOTES • , shi on Mut Washington Mutual Bank, FA Miami Shores Financial Center 1722 9640 NE. 2nd Avenue Miami Shoma, Ft. 33, $500.00 Page 1 of 1 PB 43 -51 LOT 8 DATE 63- 8413/2670 3 3 2 4 8314626554 1 A 1 TeC4 D� BLK 181 LOT Cecrly rm- LrJ De. 1.01. WiatzLe,-_2614.- Date Job Address /6 69 Ale V Cr Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant / tJ �A S / 6s G tJ 9/ / 4--) Master Permit # 6 7 C Owner's Address / 0 1( NI 77 5 Contracting Co. /4 . C 'G & � a �� 7 es) Qualifier id iailati Square Ft. / 2 C 0 Estimated Cost (value) 3d G 0 o of own r and/or Condo President Date Signatuf o ary as o • er and/or 5 s o Presi'. ent Date My Commission Expires .; ;F . [;EiVt`MDEZ NEB 1 °0 1217 FEES: PERMIT ,, 0 RADON APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Mechanical Plumbing Building [1; Phone Address /o 2 o Co trac or or M Commission Expir Electrical SS# `? - Phone -S-‘ - P N State # r:‘,4= C co zi 6 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING - PAVING FENCE SIGN WORK DESCRIPTION p / C�(` — G� 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. Date wilder Date C.C.F. D 7�' NOTARY BOND TOTAL DUE 3(/, Engineering NOTICE OF COMMENCEMENT raiSICORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT 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 1 2. Description of improvement: Interest in property 4. Contractor's name and address Notary Public Print Notary's Na My Commission Expires: 12301412 7/94 PAGE 3 3. Owner(s) name and address —17 10 M AS' TAX FOLIO NO. Oh4 N r,- A M I o vi 1- goo c- `tS- I a7i 5. Surety: (Payment bond required by owner from contractor, if any) Name and address Amount of bond $ 6. Lender's name and address 1.,' / A Signature of Owner Print Owner's Name Sworn to and subscrib 414 L1Aii11- c iUU(t - f 13R• Name and address of fee simple titleholder tgASz.1) 22 213w Ot. AIL-n cl1\. 33QIN . 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as pro- vided in Section 713.13(1)(b), Florida Statutes. Name and address 11/4) / /\ 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date in specified) S7A ■7- OF FLORIDA, COUNTY 0 DADE . 4121317 cw`RJiry O.,of this is o arOo ygp�y of fho Er E,7ina1 ¢i P• 'c effico cw �� d ©¢- y hand and Official Soal. • of Circuit ©ndCoonfy Coori fly �% i/ / �� ✓ Prepared b& Address 1 'C e rA r� A l . 0 ' r (c r l . 123.01 -78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: 11 w Q f,4-77 0 Job Address: / 0 't ROOF CATEGORY ,(Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft A Z 0 a Sloped Roof Area (ft -- Total (ft 0 'Z 0 ° Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. Ft. Deck type: l ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) s (i416 03 „,, l� !/ 3i< / ✓o ROOF PLAN ATTACHMENT Fastener Type: 2 GA x i 114f it 72-5 SPACING �1 // Field: i 2 11 Perimeter: '7 Corner: b 1' DETAIL 1 & 2 ito r r Page -1 Ridge Ventilation? MEAN HEIGHT Deck type: z Underlayment: D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Insulation: I Ix,. ROOF SLOPE SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cap Sheet: Roof Covering: Page -2 Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals 4 at (Pmaxl: X X (Aerodynamic Multiplier): ) - M (Pmax2: X X (Aerodynamic Multiplier): ) - M (Pmax3: X X (Aerodynamic Multiplier): ) - M TILE CALCULATIONS = M PCA: = M = M PCA: PCA: METRO-DADE l am BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO DADE FLAGLER BUILDING; 140 WEST FLAGLEP STREW: MIAMI, FLORIDA 33130 1563 (305) 375 -2901 GAF Materials Corporation FAX (305) 375 -2908 1361 Alps Road INTERNET: md=01@shadow.net Wayne, NJ 07470 PRODUCT CONTROL SECTION Your application for Product Approval of• GAF Conventional Built -Up Roof Systems FAX (305 372 - 6339 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: Dynatech Engineering, Inc., Factory Mutual Research Corporation, and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -98 and the standard conditions on page 99. •11 •►WC• R D This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the Building Code Compliance Office that this product cr material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 95-1003.03/Revises No.: 94-1014.01 EXPIRES: 11/10197 APPROVED: 03/14/96 TI 1 F A METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING ul Rodriguez Product Control Division Supervisor ..1 • . : • • : . . COND ITIoNS BUILDING CODE COMMi7TFE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in D County, Florida under the conditions set forth above. arles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County • Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Category; Membrane Roofing System Sub- Catezoty; Built -Up Roofing T pg. Conventional Sub -Type; Fiberglass PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Contact: William J. Woodring Director of Technical Services (201) 628 -4134 Frank Zuloaga Plans Examiner, 2 Product Control No.: 95- 1003.03 ontrol Division Product Control No.: 95- 1003.03 Approval Date: March 14. 1996 Expiration Date: Nov. 10. 1997 System Description GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produces a wide range of roof products for built -up and modified bitumen roofing systems. In addition, GAF offers two ply modified systems to meet the demands for multi -ply SBS and APP modified specifications. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the "GAFGLAS Built -Up Roofing Application and Specifications" manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. GAF Materials Corporation products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area For more information on specific roof system constructions, contact the Technical Service Office, located in Wayne, New Jersey, at 1- 800 - ROOF -411. Product Control No.: 95- 1003.03 Insulation Types: Basalt Wool Perlite Polyisocvanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Design Pressure Material Design Pressure Wood -60 psf Steel -75 psf Concrete -192 psf Lighrweieht Concrete -45 psf Cementitious Wood Fiber -45 psf Poured Gypsum Concrete -45 psf Maximum Fire Classification Material Classification Wood Class 'A' Steel Class 'A' Concrete Class 'A' Light'veieht Concrete Class 'A' Cementitious Wood Fiber Class 'A' Poured Gypsum Concrete Class 'A' Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for design- pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. Frank Zuloaga Plans Examiner, 3 ontrol Division Product GAF Materials Corporation Asphalt Concrete Primer GAF Mineral Shield® 60 lb. bags Granules GAF Materials Corporation Jetblak All Weather Plastic Cement AF Materials Corporation Plastic Cem GAF Materials 5 gallons Corporation WeatherCoat® Emulsion GAF Materials Corporation Fibered Aluminum Coating GAF Materials Corporation Jetblak All Weather Plastic Cement GAFGLAS #75® GAFGLAS Ply 4 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Dimensions 5, 55 gallons 1, 5 gallons 1, 5, 53 gallons ASTM D 4586 Trowel grade, asphalt plastic cement. 1, 5 gallons 1, 5 gallons 3' x 108' 75 lb. roll GAFGLAS Ply 60 3' x 180' 45 Ib. roll 3' x 180' 40 Ib. roll Test Specification ASTM D 41 ASTM D 1863 Granules for surfacing of exposed - asphalt, cold process cement or emulsion. GAF Mineral Shield® . Granules shall be used for flashing applications only. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 3019 ASTM D 3409 ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D 2178 ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coatin A1C..._--.411i■ .�'� ntro • s Frank Zuloaga Plans Examine 4 Product Control No.: 95- 1003.03 IMO Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Type VI asphalt impregnated glass felt with asphalt coating. Product -- -- Dimensions GAFGLAS® \ 3° x 36' Mineral Surfaced / 76 Ib. roll Cap Sheet GAFGLAS® 3' x 36" Stratavent® (Vent 69 Ib. roll Ply) for nailable decks GAFGLAS® Flashing various GAFGLAS® 3' x 36" Stratavent® (Vent 60 Ib. roll Ply) Perforated GA FTEMP® Isotherm R GAFTEMP® Composite GAFTEMP® Fiberboard GAFTEMP® Permalite® GAFTEMP® High Density Fiberboard GAFTITE® 12 Standard Roofing Fastener GAFTITE® # 14 Heavy Duty Roofing Fastener GAFTITE® Base Sheet Fastener and Plate various various various various various PA 110 PA 110 PA 110 PA 114 PA 114 Test Specification ASTM D 3909 ASTM D 4897 D3672 Proprietary ASTM D 4897 D 3672 PA 110 PA 110 Frank Zuloaga Plans Examiner, 5 Product Control No.: 95- 1003.03 Product Description Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Polyisocyanurate foam insulation. Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Periite insulation board. High density wood fiberboard insulation. Insulation fastener for steel and plywood decks. PA 114 Insulation fastener for steel, wood and concrete decks. Base sheet fastening assembly. trol i IVI Test Product Product Dimensions Specification Description Galvalume Plates 3" and 3 4" PA 114 Round galvalume stress plates. NTB Fasteners PA 114 Fastener for use in gypsum, tectum and lightweight insulating concrete decks. Polypropylene Plates 3" and 3 %" PA 114 Round polypropylene stress plates. Ruberoid® 20 1.5 sq. roll ASTM D 5147 SBS modified asphalt base sheet reinforce with a glass fiber mat. Ruberoid® Mop 1 sq. roll ASTM D 5147 - Non -woven polyester mat coated with Granule 103 lbs. polymer modified asphalt and surfaced with mineral granules. Vent Stacks (metal and plastic) PA 100(A) ASTM D 1929 ASTM D 635 Frank Zuloaga Plans Examiner, 6 Product Control No.: 95- 1003.03 One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. ontrol Division Product Pyrox ACFoam I ACFoam II Celcore Hy -Therm Nail -line various PA 110 Hy-Therm SP various PA 110 Hy -Therm AP various PA 110 Hy -Therm Stable R various PA 110 Hy -Therm White various Line VaporBar GB Anchorbond Fastener Dekfast Fasteners 1114 TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Dimensions Specification Description various PA 110 various PA 110 various PA 110 PA 110 PA 110 - Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Frank Zuloaga Plans Examine 7 Product Control No.: 95- 1003.03 MD Manufacturer Apache Products Co. (with current PCA) Atlas Energy Products (with current PCA) Atlas Energy Products (with current PCA) Cellular insulating concrete Celcore, Inc. system (with current PCA) Polyisocyanurate foam Celotex Corp. insulation (with current PCA) Polyisocyanurate foam Celotex Corp. insulation. (with current PCA) Polyisocyanurate foam Celotex Corp. insulation Ovith current PCA) Polyisocyanurate foam Celotex Corp. insulation (with current PCA) Polyisocyanurate foam Celotex Corp. insulation (with current PCA) 36" x 108' ASTM D 4601 G2 Fiberglas base sheet Celotex Corp. (with current PCA) PA 114 Insulation fastening Celotex Corp. assembly (with current PCA) PA 114 Insulation fastener for steel Construction and concrete decks Fasteners Inc. Product Dekfast Hex Plate 2 7/8" x PA 114 Galvalume hex stress plate. Construction 3 1/4" Fasteners Inc. (with current PCA) Dekfast Lock Plate 3" x 3 1/4" PA 114 Dekfast Fasteners #15 Dekfast Fasteners #12 TPR PA 114 Aluminum fastener for Creative lightweight, gypsum and Construction tectum decks Components (with current PCA) Elastizell Nail -Tice Type 'A' Nail -Tice Type 'R' ISO 95+ Composite Product Control No.: 95- 1003.03 Test Product Dimensions Specification Description Manufacturer Polypropylene locking Construction plate. Fasteners Inc. (with current PCA) PA 114 Insulation fasteners for Construction concrete'decks Fasteners Inc. (with current PCA) PA 114 Insulation fastener for steel Construction and wood decks. Fasteners Inc. (with current PCA) PA 110 Cellular insulating concrete Elastizell Corp. system (with current PCA) FM -30, FM-45, PA 114 Base ply fastening systems ES Products, Inc. FM -60, FM -90 for lightweight concrete (with current PCA) Fasteners decks PA 114 Galvanized steel base ply ES Products, Inc. fastener for lightweight (with current PCA) concrete decks PA 114 Galvanized steel base ply fastener for lightweight concrete decks PA 110 Polyisocyanurate / perlite Firestone ridged insulation Frank Zuloaga Plans Examiner, 8 ES Products, Inc. (with current PCA) (with current PCA) ontrol Divrsio Test Product Product Dimensions Specification Description Manufacturer Asphalt ) ASTM D 312 Type III or IV Hot asphalt generic bitumen adhesive EPS C Tin ASTM D 41 Asphalt Primer generic various PA 110 Extruded polystyrene generic insulation High Density' Wood various PA 110 Wood fiber insulation generic Fiberboard board Oriented Strand various PA 110 Oriented strand board generic Board Pelite/Urethane various PA 1 10 Perlite / urethane composite generic Composite board insulation Perlite Insulation various PA 110 Perlite insulation board generic Polyethylene 4 mil min. Vapor barrier / Air barrier generic Red Rosin various Rosin paper for barrier generic layer on wood decks Roofing Nail Minimum # PA 114 Corrosion resistant annular generic 12 ring shank nails Min. 32 ga. x 1 Corrosion resistant circular generic discs. Type X Gypsum various Fire resistant rated gypsum generic Type X Gypsum various al MB aluminum PA 121 roof coating Fire resistant rated gypsum generic Product Control No.: 95- 1003.03 IMP Aluminum roof coating Grundy Industries (with current PCA) Dens -Deck various PA 110 Gypsum insulation board. Georgia Pacific Frank Zuloaga Plans Examiner, 9 ontrol Drvisi 0112 Roofgrip 114 Roofgrip Gripdek Fastener Hexcel Fastener Hextra Standard Plastic Plate ISO 95+ E'NRG'Y -2 ISORoc Product N.T.B. Magnum Test Product Dimensions Specification Description Manufacturer PA 114 Insulation fastener for steel ITW Buildex or wood decks (with current PCA) PA 114 Insulation fastener steel, ITW Buildex wood or concrete decks (with current PCA) PA 114 PA 114 PA 114 3" round PA 114 1 0 Insulation fastener Insulation fastener Insulation fastener and metal or plastic plate Polyolefin plastic plate Product Control No.: 95- 1003.03 ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) various PA 110 Polyisocyanurate foam International insulation Permalite (with current PCA) various PA 1 10 Polyisocyanurate foam NRG Barriers, Inc. insulation (with current PCA) various PA 110 Polyisocyanurate foam / NRG Barriers, Inc. rockwool composite (with current PCA) insulation Con -Tice PA 114 Concrete deck insulation Olympic fastener Manufacturing Group, Inc. (with current PCA) PA 114 Glass reinforced nylon Olympic fastener for use in gypsum Manufacturing and cementitious wood Group, Inc. fiber decks. (with current PCA) Frank Zuloaga _ Plans Examiner, '':!� ontrol Divisio Product Control No.: 95- 1003.03 Product N.T.B. Spin 2" round PA 114 2" round amorphorus nylon Olympic Weld Plate locking plate for use with Manufacturing N.T.B. fasteners with 1" Group, Inc. head (with current PCA) N.T.B. Plastic Plate 3" round PA 114 3" round polypropylene Olympic stress plate for use with Manufacturing N.T.B. fasteners Group, Inc. (with current PCA) N.T.B. Plate PA 114 3" round galvalume AZ55 Olympic plate for use with N.T.B. Manufacturing fasteners Group, Inc. (with current PCA) Olympic Standard 3" round PA 114 3" round galvalume Olympic AZ55 steel plate Manufacturing Group, Inc. (with current PCA) Olympic Fastener PA 114 #I4 Olympic 3.25" round PA 114 Polypropylene Olympic Fastener PA 114 #12 Olympic Fastener PA 114 Test Product im Specification Description Insulation fastener Polypropylene Olympic plastic plate Manufacturing Group, Inc. (with current PCA) Insulation fastener Insulation fastener Frank Zuloaga Plans Examiner, 11 MD Manufacturer Olympic Manufacturing Group, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) ontrol Division i Test Product Dimensions Specification Olympic CR Base PA 114 Felt Fastener and Base Sheet Disc GlasFast Fastener GlasFast /Striker Paroc Base Board various Paroc Cap Board various Multi -Max Multi -Max FA UltraGard Insul-Fixx Fastener Insul -Fixx P Rawl Drive various various various PA 114 3" round PA 114 PA 114 PA 114 PA 114 PA 110 PA 110 PA 110 PA 110 PA 110 Product Description Insulation fastener assembly for Base Sheet fastening only Insulation fastener assembly with recessed plastic plate Insulation fastener assembly and metal plate for use over concrete decks Rockwool insulation Rockwool insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Frank Zuloaga Plans Examiner, 12 Product Control No.: 95- 1003.03 ontrol Divisi MD Manufacturer Olympic Manufacturing Group, Inc. (with current PCA) Owens - Corning Fiberglas Corp. (with current PCA) Owens- Corning Fiberglas Corp. (with current PCA) Partek, Inc. (with current PCA) Partek, Inc. (with current PCA) Rmax, Inc. (with current PCA) Rmax, Inc. (with current PCA) Schuller International Inc. (with current PCA) Insulation fastener for steel SFS /Stadler and wood decks (with current PCA) 3" round polyethylene SFS /Stadler stress plate (with current PCA) Insulation fastener and steel The Rawlplug and plastic stress plate for Company Inc. concrete deck (with current PCA) Product Rawl Fasteners #12 Rawl Fasteners #14 Rawl 2" Plate 2" round Rawl 3" Plate 3" round PA 114 3" round galvalume AZ55 The Rawlplug steel plate Company Inc. (with current PCA) Rawl Spike Rawlite PA 114 Rawlite 3" Plate 3" round PA 114 202 HS PA 121 Super Prep II Tru -Fast DL Test Product Dimensions Specification Description PA 121 PA 114 Insulation fastener for steel The Rawlplug and wood decks PA 114 Insulation fastener for use in steel, wood or concrete PA 114 2" round galvalume AZ55 The Rawlplug membrane plate Company Inc. (with current PCA) PA 114 Insulation fastener and steel The Rawlplug and plastic stress plate for Company Inc. concrete deck (with current PCA) Insulation fastener for cementitious and gypsum decks 3" round galvalume AZ55 steel plate for use with Rawlite fasteners Roof coating Roof coating Frank Zuloaga Plans Examiner, 13 Product Control No.: 95- 1003.03 Manufacturer Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) Thermo - Materials, Inc. (with current PCA) Thermo- Materials, Inc. (with current PCA) PA 114 Insulation fastener for steel, Tru -Fast or wood (with current PCA) ontrol Division Product Tru -Fast HD Tru -Fast Ultra Tru -Fast TL Tru -Fast .DP Tru -Fast TP Tru -Fast CF Fasteners Insulcel Structodeck Test Product Dimensions Specification Description Tru -Fast Plastic 3.04" round PA 114 3.04" round polyethylene Plate plastic plate Tru -Fast MP -3 3.23" round PA 114 3.23" round galvalume AZ50 steel plate various PA 110 PA 114 Insulation fastener for use in wood, steel or concrete decks Product Control No.: 95- 1003.03 MID Manufacturer Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) PA 114 Stainless Steel fastener for Tru -Fast use in steel, wood and (with current PCA) concrete decks PA 114 Glass reinforced nylon Tru -Fast fastener for use in tectum or (with current PCA) gypsum decks PA 114 Insulation fastener for use Tru -Fast in steel or wood decks (with current PCA) PA 114 Insulation fastener for use Tru -Fast in steel or wood decks (with current PCA) PA 114 Insulation fastener for Tru -Fast concrete decks (with current PCA) PA 110 Cellular insulating concrete W.R. Grace system (with current PCA) High density wood fiber Wood Fiber Industries (with current PCA) Frank Zuloaga ;� Plans Examine 4'" ontrol Division 14 Test Agency/ldentifier Factory Mutual Research Corporation Underwriters Laboratories, Inc. Dynatech Engineering, Inc. 3600.02.95 4482.02.95 Name FMRC 1994 J.I. #0T4A I .AM J.1. # 1 VSA4.AM J.I. #1RIA6.AM J.I. #0T2Q4.AM J.I. #0Q6A6.AM J.I. #3X3A2.AM J.I. #0Y9Q5.AM R1306, 87NK 11819 Test Reports Rem Current Insulation Fastening Requirements Uplift Approval Uplift Approval Uplift Approval Uplift Approval Uplift Approval Uplift Approval Uplift Approval Class A Fire Classification Wind Uplift, Small Scale Wind Uplift Frank Zuloaga Plans Examiner /5 Product Control No.: 95- 1003.03 Date 01.01.94 08.26.92 06.28.93 11.15.91 10.17.91 07.16.91 08.02.94 07.29.94 01.01.93 02.02.95 02.02.95 SYSTEMS Deck Type II: Wood, Insulated, New Construction Deck Description: 19 4 2 " or greater plywood or wood plank System Type A: Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. Insulation Fastener Fastening Fasteners Fastener Layer Type Detail No, Per Board Density (see PA 117) One or more layers of any of the following insulations. Approved Type(s): ACFoam -I, E'NRG'Y 2, GAFTEMP® Isotherm R, E'NRG'Y 2 Plus Minimum: 1" x 3' x 4' N/A N/A N/A N/A Approved Type(s): ISORoc, GAFTEMP® Tapered Minimum: 1" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Multi -Max Minimum: l" x 4' x 8' N/A N/A N/A N/A Approved Type(s): High Density Wood Fiber, GAFTEMP® High Density Wood Fiber Minimum: '/" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Wood Fiber, GAFTEMP® Fiberboard Minimum: 1" x 2' x 4' N/A N/A N/A N/A Approved Type(s): Paroc Minimum: %" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Periite, GAFTEMP® Permalite Minimum: %" x 2' x 4' N/A N/A N/A N/A Approved Type(s): Fiberglas Minimum: "4 6 " x 4' x 4' N/A N/A N/A Note: All insulation shall be adhered to the anchor sheet in full moppings of hot asphalt applied within the EVT range and at a rate of 20-40 lbsJsq.. Please refer to Dade County Protocol PA 117 for insulation attachment requirements. Frank Zuloaga Plans Examine 16 Product Control No.: 95- 1003.03 NO N/A Anchor sheet: Base Sheet: Ply Sheet: Cap Sheet: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: GAFGLAS® Ply 60, #75 Base Sheet, STRATAVENT® (Vent Ply) for Nailable decks or RUBEROID® 20 base sheet applied to the deck with approved annular ring shank nails and tin caps at a fastener spacing of 12" o.c. at the lap staggered in two rows 12" in the field. Base sheet shall serve as anchor sheet for attachment of insulation. (Optional) Install one ply of GAFGLAS® #75 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 IbsJsq.. If base sheet is applied directly to polyisocyanurate insulation only a spot or strip mopped application as detailed in this approval is approved; see General Limitation #4. One, two, or three plies of GAFGLAS® PLY 4 or GAFGLAS® PLY 60 Ply sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 IbsJsq.. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq.. (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 IbJsq.; or Grundy AL MB aluminum Roof Coating with an application rate of 1.5 galJsq.; or GAF WEATHER COAT® Emulsion with an application rate of 3 gal./sq.; or GAF Fibered Aluminum Coating with an application rate of 1.5 gal. /sq.. 2. Asphalt flood coat at an application rate of 60 IbsJsq. ± 20 %; plus gravel or slag with an application rate of 400 IbsJsq. & 300 IbsJsq., respectively. -60 psf 'A'. See General Limitation #2. 3 ":12 "; See General Limitation #3. Frank Zuloaga Plans Examiner, 17 Product Control No.: 95- 1003.03 I -B -SM, I- B- 5 -M/P6, I- 0-4 -G, 1- 0- 4- G - /P6, 1- 0-4 -C, 1- 0- 4 -C /P6, 1- 0-4 -M, I- 0- 4 -M/P6, I- B-4 -G, I- B- 4 -G /P6, 1- B -4 -C, I- B- 4 -C /P6, I- B-4 -M, I- B- 4 -M/P6, I- 0 -3 -G, I- 0 -3 -M, I- B -3 -G, I- B -3 -C, E -0 -3 -C ontroi Divisio 12. Roll good materials shall be stored on end and on a clean, flat and dry surface. 13. Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with Chapter 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 14. Asphalt moppings shall be with applied with asphalt approved by the applicant and shall be approved in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 15. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 IbsJsq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive. 16. Pre - assembled cap nails may only be used for termination of fully bonded surfaces such as mechanical termination at wood blocking, head and side laps, and base flashing terminations. Cap nails shall not be used for the mechanical attachment ofa base sheet. Tin caps are required by the South Florida Building Code. 17. The submission of system specifications and details shall accompany the Section 11 Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 18. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 19. Fastener spacing for insulation attachment is based on a minimum withdrawal resistance value of 275 lbf. as tested in compliance with PA 105. If the fastener value, as field tested, are below 275 Ibf. insulation attachment shall not be acceptable. Frank Zuloaga Plans Examiner, 98 Product Control No.: 95- 100103 • r- trot • i • General Limitations: 1 Product Control No.: 95- 1003.03 1. All asphalt shall comply with ASTM D 3I2 type III or type IV requirements. AI! proposed asphalt producers must be approved by the applicant. Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3. Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4. An overlay /recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, I2" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq.. Note maximum design pressure restrictions on spot attached systems. 5. All work shall be performed by a contractor licensed to do roofing work in Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer. 6. In re- roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(m), (n) of the South Florida Building Code. 7. Prior to application, all existing roof surfaces used as a bonding substrate shall be tested for uplift resistance in compliance with Dade County Protocol PA 124 to the calculated design pressure of the roof deck. 8. If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 9. Perimeter and corner areas shall have an increase in fastener density for both insulation and base sheet in compliance with Dade County Protocol PA 117 of the South Florida Building Code. 10. All attachment and sizing of perimeter nailers and metal profile designs shall conform with Dade County Protocol PA 111 of the South Florida Building Code. 11. Fiashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be sub Application. Frank Zuloaga Plans Examine 97 1 .. CORPORATION North, South, and West Zones Nailable decks up to 6 inches per foot slope, except for lightweight insulating concrete decks which are limited to a maximum slope of 1" per foot. Wood, plywood, poured gypsum, precast gypsum planks, other acceptable nailable decks. For lightweight insulating concrete decks, see page 9. Materials Sheathing paper (1 ply, if required) GAFGLAS Base Sheet GAFGLAS Ply (2 plies) GAF Materials Corporation Roofing Asphalt Interplies Cap Sheet GAFGLAS Mineral Surfaced Cap Sheet (1 ply) Approximate WeIgM per Square 175 -250 lbs.. Guarantees Available Specification Liberty Guarantees N- B- 4 -M/P6 N- B- 4 -M/P6 N -B-4 -M 15 yr. West Zone only, Wood Decks. 15 yr. Lightweight Insulating Concrete. (See page 9.) 12, 10, 5 yr. 40 GAFGLAS® Specifications N- B- 4 -M/P6 and N -B -4 -M Specifications General Application recommendations detailed on pages 17 -20 shall -apply in adoition to the following recommendations and specifications. Application of Roofing Membrane 1. Over entire surface, lay one pry of sheathing paper where applicable. Lap each sheet 2 inches over preceding sheet. Nail sufficiently to hold in place. 2. Starting at the low point of the roof, lay one ply of GAFGLAS Base Sheet. lapping each sheet 2 inches at edges and not less than 6 inches at end laps. Nail along lap of base ply at intervals not to exceed 9 inches and stagger -nail down center of sheet in two rows with nails spaced at 18 inch intervals in each row. Use fasteners with integral metal heads at least 1 inch in diameter or square that are recommended by GAF Materials Corporation or the deck manufacturer. (See °Special Instructions' below.) 3. Starting at the low point of the roof, mop two plies of GAFGLAS Ply shingle fashion; lapping each sheet 19 inches over the preceding sheet; solidly mop- ping to the underlying base sheet to provide three plies over the entire roof area. Asphalt Requirements Interply moppings of Roofing Asphalt must be applied in a continuous film and shall consist of approximately 25 pounds per 100 square feet of roof area with a tolerance not to exceed 20% plus or minus. The appropriate asphalt for the slopes involved must be used. Slope per foot Asphalt Type Up to 3' Steep ASTM Type III 3 °- 6' HT -Steep ASTM Type IV On slopes up to '/: inch per foot, Flat ASTM Type II may be used except in Florida. Texas, New Mexico, Arizona, and California. Surfacing Apply GAFGLAS Mineral Surfaced Cap Sheet in accordance with the application instructions on page 20, so that the laps are offset from the laps of the ply sheets. Special Instructions 1. See recommendations for use over gypsum decks on page 9. 2. Acceptable GAFGLAS Base Sheets include: STRATAVENP (Vent Ply) for Nailable Decks required for freshly poured gypsum decks, GAFGLAS #75 Base Sheet, GAFGLAS® PLY 6 and GAFGLAS Ply 4. For wood decks and structural wood fiber decks, when GAFGLAS Ply 4 or GAFGLAS PLY 6 is used as a base sheet, a sheathing paper is required. 3. See °Nailing of Base Sheet,' page 19. 4. For roof slopes of 1 inch per foot or more, all ply felts must be back - nailed 4 inches in from the back edge of the felt. See installation on Steep Roofs.' page 10. UL Classification UL Class Substrate Slope A A B C NC C 2' 3' 3' /i UL Chart Key 1. Substrate C = Combustible and Noncombustible Combustible = Wood planks. boards. etc., plywood (min. 'I u inch thickness), oriented strand board (min. '/: inch thickness). NC = Noncombustible only Noncombustible = Steel, poured or precast structural concrete. lightweight insulating concrete, gypsum, structural wood fiber, etc. 2. Slope Maximum slope allowed, in inches per foot. ROOF COVERING MATERIALS (TEVT) 215 ROOFING SYSTEMS (TGFU)— Continued 3. Decd NC Incline: 2 thane.perlite/isocyanurate Insulation composite, perlite/urethane e/U ethe e composite, ite8wood fiber/isocyanurate composite, phenolic, 2 in. max. Ply Sheet Two or more layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ". Cap Sheet One layer Type G3 "GAFGLAS Mineral Su `acede p Sheet". 4. pack NC Insulation: One or two layers "Isotherm R. 4 In. max, hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber met system. /6. Dock: C -15/32 Slip Sheet (Optional). Red rosin paper. nailed to deck. Base Sheet One layer of Type G2 " GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet One or more layers of Type G1 " GAFGLAS Ply 4" or GAFGLAS Ply 8 ". Cap Sheet One layer of Type G-3 " GAFGLAS Mineral Surfaced Cap Sheet ". 8, Deck: NC • eet". Base Sheet One layer of Type G2 "GAFGLAS #75 Base h' or GAFGLAS Ply 6". Ply Sheet One or more layers of Type 01 "' GAFGLAS Ply 4" Cap Sheet One layer of Type G3 "GAFGLAS Mineral; face ZCap Sheet ". 7. Deck: C -15/32 Insulation: One or more layers partite. glass fiber, isocyanurate. urethane, perlite /isocyanurate composlte. partite/urethane composite, phenolic. 1.0 in. min (off-set from plywood joints 8 in.). Base Sheet One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Pius" (granule). "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. d 8. Deck: 416/32 Insulation (Optional): One or more layers perlite, wood fiber. glass fiber, isocyanurate, ure- thane. partite /isocyanurate composite. perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type G2 or G3. Pry Sheet (Optional): One or more layers of Type G 1. Membrane: One or more layers of "Rub or o d T "Ruberoid Mop Plus" or granule). ), tu Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. ' • Class B 1. Deck: C-18/32 Incline: 3.1/2 Insulation (Optional): One or more layers partite, wood fiber, glass fiber, isocyanurate, ure- thane. periite /isocyanurate composite, partite /urethane composite, wood fiber / isocyanurate composite. phenolic, any thickness. Ply Sheet Two or more layers of Type GI " GAFGLAS Ply 4" or " GAFGLAS Ply 6" Cap Sheet Type G3 " GAFGLAS Mineral Surfaced Cap Sheet", 3 hot mopped. 2. Deck: C-16/32 Insulation (Options* One or more layers partite, wood fiber, glass fiber, isocyanurate, ure- thane, perlite/isocyanurate composite, partite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. • Base Sheet Two or more layers of Type GI, G2 or G3. Mamboing•. One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Pius " (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus " (granule). Cap Sheet "GAFGLAS Mineral Surfaced C ap Sheet", hot mopped. I. Deck: 415/32 Incline: 1/2 Insulation (Optionalk One or more layers perlite, wood fiber, glees fiber, isocyanurate ure- thane, perlite/isocyanurate composite, partite /urethane composite, wood fiber /isocyanurate Composite, phenolic, any thickness. Ply Sheet Three or more layers of Type G1 " GAFGLAS Ply 4" or "GAFGLAS Ply 8". Surfacing: "Special Roofing Bitumen" 20 Ibs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A I. Deck: C-15/32 Incline: 1/2 Insulation (Optional): One or more layers partite, wood fiber, glass fiber, isocyanurate, ure- thane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite. phenolic, any thickness. Ply Sheet Three or more layers of Type 01 " GAFGLAS Ply 4 " or " GAFGLAS PIy 6", hot mopped with coal tar bitumen. Surfacing: Gravel. . COMBINATION HOT AND COLD SYSTEMS I• Deck: NC Incline: 2 Insulation (Optional) One or more layers partite, wood fiber or glass fiber, 2 in. max. Ply Sheet Three or more layers of Type G1 "GAFGLAS Ply 4" or " GAFGLAS PIy 8 ". Surfacing: Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. 2 • Deck: NC • Incline: 1 Insulation (Optionalk One or more layers partite, wood fiber, glass fiber, isocyanurate, ure- thane, perlite/isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Type 01 "GAFGLAS Ply 4" or "GAFGLAS Ply V. 8 3. urfecing "Weather Coat Emulsion" at 3 gel /sq. Incline: 1/2 eck NC Insulation: One% or two layers "Isotherm R ", 4 In., hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. Class 1. Deleted Indine:2 2. D eck: G15/32 insulation (Optionatk One or more layers partite, wood fiber, glass fiber, isocyanurate ure- LOOK FOR MARK ON PRODUCT PERiT APPLICATION FOR MIAMI SHORES VILLAGE - 97 Job Addr..6144 y 4/E /� �� Tax Folio Legal Descatptlon Historically Designated: Yes No Ownerif =see / Tenant /) Masta Permit II Owners Address /OZr 4/ Ail 97 4'6 '. Contracting Co. //P& AMA (). -1in/9 -6)9 7 Qualifier i jg L. A(J` /S State # a'/ Municipal # Ambit cUEngintt r Bonding Cornparn Mortgagor Permit Type (circle one): BUILDLNG ELECTRICAL PLUMBING -- - ECHANICAL ROOFING PAVING FENCE SIGN 4 l lye A / L �U/i 7.. e e6 � / 6/ . n WORK DESCRIPTION PANT � _ .� /g 7 /44///ice Square Ft WAKPtilVU tU UW Vtit: YOU MUST RECORD A NOTIC OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTALN 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 perlbrmcd to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL. PLUMHINCi, SKINS, POOLS, ROOFINO and MF.Cl IANIC:AI. WORK t;1;,n._ER l At'rii/A. V 1'1 : I certify that ati the Ioregoing information is ae wi a utiil tilt lii wctik ivii: tic d riic tri O:11 ; iiuiiLZ. : With LI: 4pplicable laws reguiating•constructnon and zoning. Furthermore. 1 autwvnze the aitcivc -n: neti iu twilit to tit, the nlatctl. . . as to Ow o nor ani'or Condo President . C.niintixsion Expires: 916. Condo Prest•cnt Date o,0pYP0 KIMBERLY S. BURNS s 1 j i 1, h COMMISSIONS # CC 483158 .4; L , .,.e EXPIRES MAY 11, 1999 OF tk- AT IC THR LANTIC BONDINti CO., INC. FEES: PERMIT 4 c • Er^ RADON APPROVED: Zoning Building Mechanical CCr. Phone 305 - 7,5/- W/. • Address 3 98' ,v) //g 14 ss# Phone .C 15` / 79 / 33 Estimatcxl Cost (value) . tgLIS iulttt l.'�llT CUllti u1:::7I :UI C V. IIe! - 134.1Cf Competence # Ins Co 1 , PI Address Address Addresz otarvatito Con r:a My Commission xpx cs: NOTARY 1:10etncal r- P.uitilci o .sPRY 1400 KIMBERLY S. BURNS $i n COMMISSION # CC 483158 I01 EXPIRES MAY 11, 1999 -' ^ `• BONDED THRU OF P ATLANTIC BONDING CO., INC. • TOTAL DLL Dote Date i3_ ) )1 1V7 Plumbing Engineering 1 37» A)) /6d /, Permit # Tax Folio # NOTI E OF COMMENCt~nnc a. State of Fiprida, County of Broward VACS %Nmeq AsOya 1101 RauuRv[O FOR RtCOROIR The undersigned hereby gives notice that improvement will be made to certain sal properly, and In accordance with Section 713.13 of the Florida Statutes, the following Information s provided in the Notice of Commencement. 1. Description of Property: Legal Description: Lot Other Street Address: a) Abe- 97 V1.2 s&. 2. General Description of bnproventent: 3. Owner Informadon: Full Name: / .013/) MsUingAddress: Interest in Property: West sImpfe 1 1 Name and Address of Ns simple titleholder (1f other than owner): /i oAc 0/1/77,9 - Cr 9 i . Zit, = 4. Contractor Name end Address: 379, N,,c) J eo fh 6 3A- 3/( 5. Surety Name and Address: 8. lender Name and Address: to receive a copy of the lienor'a Notice as provided in Section 713 .1 3 (111b), Florida Statutes. STA. cs 0: F :.OR {Dq, COU4ITY 0.= CADS }1 Cd:.n CSZ '�y ' J ihis is a Vraa rho ate A. C. TO d tap cal. o �aa' ''oo KIMBERLY S. BURNS a s a, o COMMISSION # CC 463158 ,T EXPIRES MAY 11, 1999 OF P ATIANTTC BONDING CO., INC. Block Subdivision • 97R074584 1997 FEB 20 10:45 P/9/ T �a% 4: 2 2 147, Phone (...305_)2,54-___72___A3 • Amount of Bond • 7. Persons within the State of Florida (Names and Addresses) designated by Owner upon whom notices or other documents may be served as provided by Section 713.1311114 7. Florida Statutes: 8. In addition to himself. Owner designates �) o •• f • is C Sid . Expiration due of Notice of Commencement: e 1 the expiretion date is one year from date of 'scot g u ass a lima date Is spedlled 1 otE; p›. `� f Owrar: S OW t Owner: ri iu d SWORN TO AND SUBSCRIBED before me this da 1 ,19n Signature of Notary Pt Printed Name: My Commission xplre )anal) �I �! � a1t . L: lc S6 , � - �"'a� •rr. =..sue OF �� elan;." , IHIRU _ - -- ATLARCT,C •!.10AlQING CO., INC. Disapproved (Signed) Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uinde for the approval of the detailed statt.,n•nt ui the plans and specifications herewith submitted for the build in 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. �,, Dat / . _. __._ Owner's Name and AddressC- ! .qi� ... i'd6 /a .._ ` .... No.l. .. . eet f Registered Architect and /or Engineer ....... Name and address of licensed contractor. / z ........ ..... G ._ ».. Location and legal description of lot to be built on: Lot Block / /� Subdivision. _..._..__.....__ .... Street and Number where work is to be done.. / d6T.. . r , 6. 7� St o work to be don � e it.) purpose of bull g (by (loots) ........ .... &..�� ._. __ . ...._. 002; 0 /NG �o G — A i 0 l //-74.--7- .... i & 21.0 A9 ... z ar � : ...._.._ .. and for no other purpose. New Building Remodeling Addition Repairs !! No. of Stories / To be constructed of Kind / of foun4�tion Roof Covering. .1.-- Estimate Total cost of improvements $.. f�U�' Amount of Permit S. Zone cubage required plan Cubage Distance .to next nearest building. Size of Building Lot _.. ........ _ ...... ................ .._.._...._ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of iabur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be pe{ under this permit, as are licensed by Miami Shores Village. S t Remarks (Signed)_. " r"k_..l.u""�1 � r� tC2 /)-6 STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. Permit No. ' r l _$ Date 1.9 11 V ..._._._ Read, Sworn to and Subscribed before me. C Date .._.. Notary Public, State of Florida MyCommission Expires .....» _ ».._... ».._.�. _ PLANNING BOARD DATE Chairman Member Mcrribcr 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 Plannir.g 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. To From MEMO Date / 61 7/ ° 000‘1 nge. 9'72 Pfa MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement us me plans and specifications herewith submitted for the build in 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 niust be kept at building during progress of the work. Date..._.. Aug 22 Owner's Name and Address Peach Victoria __ _. 1 0 6 4 Street_. ..N . r 9 7th St A._ No•. Registered Architect and /or Engineer „,,,,,,,,, „e Name and address of licensed contractor Raymond ' s ,Roofing 2 311 S . W . 58th eve H .. 1 . Fla 33023 Location and legal description of lot to be uilt on: / / Ai � .21_' 7 L/ c's' /7 add , V Lot Illock... Subdivision .. ..... Street and Number where work is to be done 1064 N .wE 97th S t _ii. i.... hQCe s ...a aL1 .FLA BUILDING INSPECTION DEPARTMENT State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation _ Roof Covering Estimated Total cost of improvements $ 8 , 500 . 0 0 Amount of Permit S. 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 - e s of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra oa to be performed under this pcnnit, as are licensed by Miami Shores Village. Resnaaks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorize • to administer oaths and take acknowledgments, personally ap- peared to me well losowsi, 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 applicati;j nd that he did sign the e, and that all facts therein by him stated are true. . Permit No.. . .1 Date ..._._._ Rea • S , to and Subscri Disapproved ` -�k .. Date �. d'&0 � . . . . . : . 2 �� .�. ary Public,• State�o lorida (Signed) ' ®TARN Fdatic STATE OP FLQIff `' Building Inspector My Co mission Expires DTTY LO/vT1vl'13S ION EXPIRES JAN 12 190 PLANNING BOARD DATE nom T RU MEAL INSURA$�J UKj Chairman Member — Otcrr,ber 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 PI.innir.g Board. A re.in.pection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description MIAMI SHORES VILLAGE, FLORIDA ,.-PERMIT N9 6656 1=J , ❑ Work to be performed under this Perini f 1 !lc OONTRACI'OR OR BUILDER B1 DATE._ Contractor's License No. Subdi- vision Address of Value of ...41. Amount of _ -- Building Project $ I! Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed y . 4,_ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinance gulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to tho proper authorities of 'Miami Shores Village. In ac• cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. BY AUTHORITY a¢aor '.= M1AM10 SHORES VILLAGE BUILDING INSPECTION DEPARTMENT A PLBCATB®N FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date November 30th ;me- E 1971 ( ei 3 Na to and Address I, ®sli® Peach m.1 1064 N. . 97 th Registered Architect and /or Engineer Name and address of licensed contractor Lang Roof -_. Tile Co. Inc. 5 73 N. IL 71st St., Miami 33150 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1064 E, 97th Street State work to be done and purpose of building (by floors gear off rear gravel seotio's tinca_p 1 -30# felt, mop 2 -15# felts with hot asphalt and cover with a layer of pea gravel embedded lint© ha _poured asphalt. Repair S.E.valley on the section, and for no other purpose. New Building Remodeling Addition Repairs Ys5 No. of Stories 1 To be constructed of Kind of foundation Roof Covering Tile & Gravel Estimated Total cost of improvements $_425. Amount of Permit s, 5.Q0 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 subcor actors, work to be performed under this permit, as are licensed by Miami Shores Village. Remarks a- — - (Si ne �__: — ....... STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._..__l_ Date ' 1 '` Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) ___.0 Notary Public, State of Florida Bui ing Inspector My Commission Expires to me well known, 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. STATE OF FLORIDA, COUNTY OF DADE. j ss (Signed) Chainnan Member Member APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address........ - elJ Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State work to be done and purpose of building (by floors) 'alt. .-_.and - oo;_ ®nom Onmert J) t to tile New Building Remodeling To be constructed of Estimated Total cost of improvements $ MIAMI SHtIRES VILLAGE BUILDING INSPECTION DEPARTMENT Date Ortobe» 23 No.. -064 Street ,19 5'7 Registered Architect and /or Engineer 0. :+.ff en Indus i x' es a Inn. P. C. 7451 Co:r'o'. %binsi Subdivision 1064 N E. 97th Street 1e °xQQt act, o.r buildxr.; 1.7 _ ^;ra v 1 - - -and - - clam. P126. PIpp r Addition Repairs... T No. of Stories Roof Covering 500 Kind of foundation _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 (v �_f , I ndl:.n `'-! Da .In-. 1305 ® 220E , H.B. 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) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and for no other purpose. 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. ' �, , •, e , Permit No '� ( � 4/ Date Disapproved _. , ' 3ate f `' Y Building Inspector PLANNING BARD DATE Read ,Sworn to and Subscribed before me. Nod y Public, State of Florida My, Co,jnmission Expires 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. Disapproved (Signed) Date.._ Building Inspector . IAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APr''LIEATI N FOR BUILDING PE IT 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. D ate July 1.7th 4 Owners Name and Address r & P ,S POAC.h_ , ..__ Registered Architect and /or Engineer n ... ,..:,,tv,t .... Name and address of licensed contractor Lan& Roofin&& Tile Coe er Inut 5 I'Tfl 11.0 „ °jU Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1064 N. E. 97th Street State work to be done and purpose of building (by floors).... gr1.4- e... , CQnditinnilg tenv of one .rorz.of tile for tie in, tear off eaeisting..gxav . A01,.--- tin..cap...Y 3. , ..2 .elt...to...sheai c_..2._.15 felts with hot asphalt &... car and for no other purpose. New Building Remodeling Addition Repairs Yea No. of Stories..........1 To be constructed of Kind of foundation Roof Covering Grave]. Estimated Total cost of improvements $ Amount of Permit $. 540 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 Supl)leuient, 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 "o? the work such ppu�blic notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on 4vork to bW p:rformeut% under this permit, as are licensed by Miami Shores Village. � ( � . � — / Remarks 3sgS. (Signed � STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared — and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully rj d foregoing application, and that he did sign the vane, and that all facts therein by him s tt d are e. Permit No Date ~_.�....1...� - 7c ._ Read, Sworn to and Subscribed before me. PLANNING BOAR DATE to me well known, Notary Public, State of Florida My Commission Expires Chairman Member Member Member Member _ -.-- .- ...-- ._..._._ .__._.._.._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections os changes to this application after approval has li n obtain .4 frmn tie Planning Board. A re- inspection fee of 51.00 will be charged when ouch oe- Inspection is roads neeaary by knpr+aper mattes for inspvtinn ear faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build ins 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 411 rules and regulations pf the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. / copy of approved plans and specifications must be kept at building during progress of the work. / ,. �� , / /L , Ie.:�22 Owner's Name and Address ..... .dt : tad 6 f lt� . L.rCX _ No/Q/ - Registered Architect and /or f, ngincer ... , Name and address of licensed conttactot..0.12 t�� /1� ......... 7 /'b Location and legal description of lot to be built on: Lot Block Subdivision Street and lumber where work is to be done ./ Date _.r:.. -q _. __....r State work to be done and purpose of building (by floors) . ..s91° L- ° New Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering q.. ...... . ... -.. —_ Estimated Total cost of improvements $ (0 Amount of Permit S. Zone cubage required ,...Flan Cubage Size of Building Lot Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notice; with reference to the building and be sent to.. The un,lersigncd 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 Snp lenient, and has complied with the pro v sions thereof, and will require similar compliance From all co,.ractors or sub - contr tors employ .y him in the work to be performed under this permit; and will post or cause to be posted fr --1. •n on the site •f t e wo such pPuI: notice or notices as are required by the Act. The undersigned agrees to employ only sue s * r ors, on t be formed j €der this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) ,.�G STATE OF FLORIDA, COUNTY OF DADE. ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Disapproved Date (Signed) _. and for no other purpose. T_ 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 spree, and that all facts therein by him stated are true. D Permit No . (4' Date ' fl Read, Sworn to and Subscribed before me. Notary Public, State of Florida No. of Stories Rs Building Inspector My Commission Expires construction may PLANNING BOARD DATE Chairman Member , ., Nfctr,bcr ... Mcmbcr ,..,..._ \temper „... -.— .. Member _.._..... Council Approved Date Disapproved Date NOTE: A c•)targc of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the Plannit.g Board. A re,impcetiun fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspetirm or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building MIAMI SHORES VILLAGE. PERMIT N? 6227 Archi iec i Contractor or Builder Legal Lot � ' Description 1 Bl CONTRACTCR OR BUILDER FLORIDA DATE Contractor's License No. 195 Work to be performed under this Permit Subdi- vision Address of Value of 11 Amount of Building Project $ ;1 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herofor in stict 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 cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. ' BY: INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered herdunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 6 .,. Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Registered Architect and /or Engineer Name and address of licensed contractor ��_�r� L Ott r_- �_ f' �f 7______ Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done /n_ ) it __!_____ ___i State work to be done and purpose of building (by floors)_ and for no other purpose. New Building Remodeling Addition Repairs t No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ � � G 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) -' 42> STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No L9 Date __ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector Commission Expires Notary Public, State of Florida r _ 7 f : AO . , 19_& No Street to me well known, 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.