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1040 NE 96 St (4)Type Insp Permit No. Name � Address l otto f q( 54, , . Company /4 4 X.�/f Phone #r For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request ❑ MIAMI SHORES VILLAGE BUILDING tFPARTMENT 305 - 79504 Building Inspection Request Date Type Insp'n a f JJ � `r Permit No. O 5 4� 7 Name cs- o Address n "∎ 3 U" C, Company !co t� Phone # Inspection Date n d )r Approved Correction Re-Insp'n Fee 4533 -45 3 j MIAMI SIFOI S VILLAGE BUILDIN6,15E'P kTMENT 305-70 Bu}1diyg Inspection Request Date '• } C Type Insp'n g I t C i (■(0 Permit No. i �`'i • "— Name I CC IC + r r . � Address f () 1 G � - ; J , 'r Company ; I , ( _ : C� Phone # Inspection Date I l <j Approved Correction Re- Insp'n Fee Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name City Kra. a 1 s F/..— Qualifier CA / I vva t e $ Value of Work For this Permit 46,40o Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ , 3. (Continued on opposite side) Miami Shores Village Job Address (where the work is being done) /O' /O fve f''Jf City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Nagle ';'<00A';'<00A-- �. (deg ) c c� 1 Contractor's Address V t 0 t BOX . 31 C 1 Architect/Engineer's Name (if applicable) Phone # Permit No. &C4 -° I ster Permit No. Permit Type (circle): Building Electrical Plumb in Mechanical Owner's Name (Fee Simple Titleholder)) P'5 : L - Dave A D(e �K Phone # 3 01 7 C7 - d VOF Owner's Address `U - ,f o NE 96 AO City l (Gt r4 / f v el State FL iv/4 Zip 3 3 13? Phone # State Certificate or Registration No. Certificate of Competency No. Zip 3?/ 3 �' Phone# 3 I15L/ Zip 33/ 3 e Square Footage Of Work: Type of Work: ['Addition Alteration a ❑New� KRe ❑ Demolition Describe Work: e k r 0 - F - � e_)(1 5 4- 1 to C T' d ` ck+ {�' o o T rep l ec c e wfh �c .ek/ 6A Md ivls i L tec- -e roc S ei Y Roofing S _S 00936 S 0 CJ ,,��,,*1 * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** Submittal Fee $ � Permit Fee $ CCF $ 4/ Ro CO/C Notary $ 5 Training/Education Fee $ 1 / Technology Fee $ 671 Scanning $ , Radon $ ems Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State .. Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection w be ap oved an, a reinspection fee will be charged. Signature Owner or Agent The fore� g instrumee was acknowledged efore me this 1 4 day of` 2(�i > by auk Ul 3 > who is person nown to me or who has produced a-0 NOT Sign: Print: My Commission Expir * * * * * * * * * * * * * * * * * * ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 As identification and who did take an oath. NOTARY P as Sign: Print: signature 40.14c94kLia25 Contractor dgel before me this The fore oin strument was ac day of , 21) by who is personally known to me or wh onded Thru My Commission Expires: as identificatio and ' ho d take an oath. is Bonding Co., Inc. ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** . -- - * * * ** OCT 18 2004 produced *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Printed: 10/18/2004 Applicant: DIANE Owner: DURBAN JOB ADDRESS: 1040 NE 96 Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060143540 Signed: (INSPECTOR) Building Permit Phone: 305- 795 -2204 Permit Number: BP2004 -1365 DURBAN DIANE ST Contractor's Address: P.O. BOX 531051 Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 11 & 12 BLK 81 LOT SIZE Fees: Description Amount FEE2004 -10237 Building Fee $275.00 FEE2004 -10238 CCF $4.20 FEE2004 -10239 Notary Fee $5.00 FEE2004 -10240 Technology Fee $6.88 FEE2004 -10241 Training and Education Fee $1.40 FEE2004 -10242 Scanning Fee $21.00 Total Fees: $313.48 Total Fees: $313.48 Total Receipts: $0.00 4 5a Permit Status: APPROVED Permit Expiration: 4/13/2005 Construction Value: $6,400.00 Work: TEAR OFF EXISTING FLAT ROOF AND REPLACE WITH A NEW GAF MODIFIED INSULATED ROOF SYSTEM. 2 5 PAI 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. Signed: (Contractor or Builder) BY: Florida Building Code Edition 2002 High Vel . Hurricane Zone Uniform Permit . • . Iicatlon Form. Master Permit No. Contractor's Name Job Address Section A General Information Procesr No. aLu a,1 ROOF CATEGORY ® Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile 0 Metal Panel/Shingles 0 Wood Shingles/Shakes.. Prescriptive BUR-RAS 150 • ARE THERE GAS VENT STACKS? YES ❑ NO ❑ 4lb. [� ❑ New Roof Re- Roofing ❑ Recovering 0 Repair ❑ Maintenance TYPE - NATURAL ❑ LPG! . ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) '4S0 So VLow Slope P ❑ Asphaltic Shingles 0 • ROOF TYPE Section Roof Plan: illustrate all Roof Plan levels Ba 1 sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and location of parapets. ■ ■ rimmummminimmopprue ■ C ■ lummommpummomm imumnimmimmemp r r r 11111 mmummeppeam r r r r r 1111 Emmuimpormommummrpimmilmimpriummmommopimppmm r r imps' imillini 'WNW p p Mmillimilmarnm11411 plummummummommuc_mmumminemmorppps Mop spasm mmmomplimill ITIMMEMPUM.I.:1011WWWISEMMMOINIPMMMEIMMIIMMIIMMINIEM r iii :I litralinlialin::::::::::::in:::::::::111:11 i 1mi impompsumilim p ippmm.„--„_,..ammlimmrsimporupip ,Ipmppipp 11 11 M mom MUM immm i i i i i I I or mrissimmumplImMuMmiummummwsimmilp I I lib 5 )b /130-kwy,, 5 frc tA- iti 5ap 5 x - 7 Vra;r) H P( uct( • ' • Florida Building Code Edition 2002 High Velocity Hurricane Zone Wilton Permit Appiloslon Form. Insulation Base Layer; FIII In Specific Roof Assembly.Components and Identify Manufacturer . ( K a component Is not used, / TT System Manufacturer; • l7 / 1 1 NO,A N,3. :. . 03 b5©1 , as Design Wind Pressures, From RAS 128 or Calculation: • Pmerr171 0 ' t , ' m a x 2 : • ' ) I L / Mat setgri Pik,. tom fhe Spe C NOA Type • \iD" • Gauge/Thic ess; 5 /4; .1 I; slope; ®• Anchor/Base Sheet & No. or Ply(s); Base'Inauladon Size and Thickness; Baselnsulatlon Faslaner/Bonding Material: . Top insulation Layer: I --r 1p loh Top insulation Size and Thldctesw.2 Top F Intl Material: Base,Sheet(e) & •No. of Piy(s); I p / f S 4 - 11/4.1 Base Sheet FaetenedBonding Material: t Ply Sheet(s) .8 No. of py Ply ,ei ti ronding Material: Top Ply; F FR MO d 141 e!' p314totvten Tope pkt i Qonding Material Surfadrig; • eet • Fastener Spacing for Archon lBase Sheet Attachment • • fieid:A:oc LaP.# ROvis • ® 6.00 • Number of Fastener* Per Insulation 'Board k Field . Perimeter _ Corner • • • Illustrate Components Noted and Details as Applicable: Stripping, bh utter, Edge .Termination,. Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Perimeter. ' oo ® Lap, 8 Rows .Corner ' oo o Lap, B Rows bask: Mean Roof Height, Parapet Height, Height of Base Fleshing, Component Material, Material Thickness, Fastener .Type, • Fastener.. Spacing or Submit Manufacturers 'Oetaiis that Comply with S 111 and Chapter 18: • c9AF Modi•fte Bi+tt.rnen aiv dri —4-1 < 1)etal base 5� ,qll Roe SO y - w ok eei404 t`e p • .�� $ ••d.�, �' Al S-fr al -oweAt base eel • 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. W 1 4 1. 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 Zones) 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. D513 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. L J VJ 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. '/J �7 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 interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the Owner's' gent's Signature / /) / ()/ C:D atumeou sod Senlogr\ hammaM.oea1 Swlogt\Temp\Temporary Ioteroet FDa \CooteoLIFS\OKLBAFITISECTION I324tIJ.doc J Date Contractor's Signature a/tAieti, MI A M MADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA #02 -0408.10 and consists of pages 1 through 31. The submitted documentation was reviewed by Frank Zuloaga, RRC. NOA No: 03. 0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 1 of 32 ROOFING SYSTEM APPROVAL Category: Roofing Sub - Category: SBS /APP, Modified Bitumen Deck Type: Wood Maximum Design Pressure -75 psf Fire Classification: See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrix TM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Flex PlyTM 6 GAFGLAS Ply 4® GAFGLAS ®Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated Test Product Dimensions Specification Description 5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 60 lb. Bags ASTM D 1863 Granules for surfacing of exposed 100 lb. bags asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. 5 gallons ASTM 1227 Surface coating for smooth surfaced roofs. 1, 5 gallons ASTM D 2824 Fibered aluminum coating. 1, 5 gallons ASTM D 3019 ASTM D 3409 39.37" (1 meter) ASTM D 4601 Wide 39.37' (1 meter) ASTM D4601 Wide 39.37" (1 meter) ASTM D 2178 Wide 39.37' (1 meter) ASTM D 2178 Wide 39.37' (1 meter) ASTM D 3909 Wide 39.37" (1 meter) ASTM D3672 Wide ASTM D 4897 Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. NOA No: 03- 050102 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 2 of 32 Product GAFGLAS® flashing GAFGLAS® STRATAVENT® Eliminator Perforated Nailable RUBEROID® SBS Heat - We1dTM Smooth RUBEROID® SBS Heat - We1dTM Granule RUBEROID® SBS Heat - We1dTM 170 FR RUBEROID® SBS Heat - We1dTM PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID Modified Base Sheet RUBEROID® Modified Bitumen Adhesive RUBEROID® SBS Heat - WeldTM 25 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROID MOP 170FR RUBEROID MOP FR RUBEROID TORCH Smooth Dimensions various 39.37" (1 meter) Wide 1 meter (39.37") ASTM D -6164 wide 1 meter (39.37") ASTM D -6164 wide 1 meter (39.37") ASTM D-6164 wide 1 meter (39.37") ASTM D-6164 wide 1 meter (39.37") ASTM D-6164 wide 39.37" (1 meter) Wide 5 gallons 1 meter (39.37 ") wide 39.37' (1 meter) Wide 1 sq. roll 87 lbs. 39.37' (1 meter) Wide 39.37' (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide Test Product Specification Description Asphalt coated glass fiber mat flashing sheet available in three sizes. ASTM D3672 Fiberglass base sheet coated on both ASTM D 4897 sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D4601, Premium glass fiber reinforced SBS - Type II, UL modified base sheet Type G2 BUR ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III ASTM D -6164 Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. ASTM D 6222 Non -woven polyester mat coated with ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. ASTM D 6298 Non -woven polyester mat coated with ASTM D 5147 polymer- modified asphalt and smooth surfaced. ASTM D 6164 Non -woven polyester mat coated with ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -Woven polyester mat coated with ASTM D 5147 fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -Woven polyester mat coated with ASTM D 5147 fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6222 Heavy duty, polyester reinforced, asphalt ASTM D 5147 modified bitumen membrane, smooth surface. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 3 of 32 Product RUBEROID TORCH 3 Granule RUBEROID TORCH PLUS 3 RUBEROID TORCH FR 3 RUBEROID 170FR 39 TORCH Ruberoid® 20 39 Ruberoid® 30 39 Ruberoid® 30 FR 39 RUBEROID® 39. ULTRACLAD® SBS RUBEROID® Dual FR 39.3 Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (MatrixTM System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Shingle- MateTM Underlayment Tile -Mate Modified Base Sheet Dim - e nsions 9.37" (1 mete Wide 9.37" (1 mete 9.37" (1 meter .37" (1 meter Wide .37" (1 meter) Wide .37" (1 meter) Wide 37" (1 meter) Wide 37" (1 meter) Wide 7" (1 meter) Wide 5 gallons 5 gallons 100 lb. cartons, bulk 60 lb. kegs 4 sq. roll 30 lbs. 1.5 sq. roll S neclfllca r) ASTM D ASTM D er) ASTM D 6 ASTM D 5 r) ASTM D 6 ASTM D 5 ASTM D 6 ASTM D 5 ASTM D 61 ASTM D 51 ASTM D 61 ASTM D 51 ASTM D 62 ASTM D 51 ASTM D616 ASTM D514 ASTM D 61 ASTM D 514 PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D2824, Type I ASTM D312, Types I, II, III and IV ASTM D 5147 Test Product Lion Description 6222 Heavy duty, polyester reinforced, asphalt 5147 modified bitumen membrane, granule surface. 222 Heavy duty, polyester reinforced, asphalt 147 modified bitumen membrane, granule surface 222 Heavy duty, polyester reinforced, coated 147 with fire retardant asphalt modified bitumen membrane, granule surface. 222 Heavy duty, polyester reinforced, coated 147 with fire retardant asphalt modified bitumen membrane, granule. surface. 63 SBS modified asphalt base sheet 47 reinforce with a glass fiber mat. 63 Non woven fiberglass mat coated with 47 polymer modified asphalt and surfaced with mineral granules. 98 Non woven fiberglass mat coated with 47 fire retardant, polymer modified asphalt and surfaced with mineral granules." 3 Woven fiberglass mat coated with 7 Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. 64 Non -woven polyester and fiberglass mat 7 coated with file retardant, polymer_ modified asphalt and surfaced with mineral granules. One -way valve vent used to relieve built - up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Non- fibered. Aluminum pigmented, asphalt roof coating Interply mopping and surfacing asphalt SEES modified asphalt Fiberglass reinforced shingle underlayment SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat tile underlayment. NOA No: 03. 0501.02 Expiradon Date: 11/06/08 Approval Date:10/23 /03 Page 4 of 32 Product Tile -Mate Modified Cap Tile -Mate Modified Cap Plus TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCote® MB +(Matrix 715 MB Coating) TopCoat MB +(Matrix 715 MB Coating) WeatherCoteTM (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid ®MB) Matrix 201 System Pro SBS Flashing (Ruberoid ®MB) Matrix 102 Select SBS Adhesive (Ruberoid ®MB) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Aluminum Matrix 304 Select Non - Fibered RUBEROID® Modified Bitumen Adhesive Test Dimensions Specification 1 sq. roll ASTM D 5147 103 lbs. 1 sq. roll ASTM D 5147 102 lbs. 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons ASTM D3019 ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D4586 ASTM D3019 ASTM 'D 2824 ASTM D2824, Type I ASTM D 3019 Type III Product Description Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules tile underlayment. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules tile underlayment. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement Standard Plastic Asphalt Roofing Cement Caulk Grade. Cold Applied Asphalt Adhesive. Fibered aluminum coating. Non - fibered. Aluminum pigmented, asphalt roof coating. Fiber reinforced, rubberized Adhesive NOA No: 03-0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 5 of 32 APPROVED INSULATIONS: Product Name GAF 1'EMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N (BMCA)GAF1'EMP® Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANTTM GAF 1'EMP Permalite Recover Board GAFTEMP GAFEDGETM Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA BMCA Composite EnergyGuard, RA PYROX White Line ACFoam I, II & Composite ISO 95+ ISO 95+ Composite EPS Wood Fiber High Density Wood Fiberboard Pelite/Urethane Composite Perlite Insulation Dens Deck E'NRG'Y -2 & E'NRG'Y-2 PLUS, UltraGard Gold TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocynurate /wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate / perlite ridged insulation Extruded polystyrene insulation Wood fiber insulation board Wood fiber insulation board Perlite / urethane composite board insulation Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. Apache Products Co. Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. Generic Generic Generic Generic generic G -P Gypsum Corp. Johns Manville NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 6 of 32 APPROVED INSULATIONS: Product Name FiberGlass Roof Insulation ISORoc Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Product Name GAP 1'TTE® (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener GAFTITE® (Drill -Tec ®) ASAP GAFTITE® (Drill -Tec ®) Base Sheet Fastener and Plate Galvalume Plates (Drill - Tee® Metal) Polypropylene Plates (Drill -Tec® Plastic) Dekfast Fasteners #12, #14 & #15 Dekfast Hex Plate Dekfast Lock Plate #12 Roofgrip Fasteners Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener TABLE 2 Product Description Glass fiber/Mineral fiber insulation Polyisocyanurate foam / rockwool composite insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Insulation fastener for steel, wood & concrete decks. Pre- assembled GAFTTTE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. Polypropylene round plate Insulation fastener assembly with recessed plastic plate Dimensions 2 7/8" x 3 1/ " 3 "x3' /4" 3" round 3" square 3.2" Manufacturer (With Current NOA) Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3' /z" GAF Materials Corp. 3" and 3 '/x" GAF Materials Corp. Construction Fasteners Inc Construction Fasteners Inc. Construction Fasteners Inc. ITW Buildex Corp. ITW Buildex Corp. ITW Buildex Corp. Johns Manville NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 7 of 32 APPROVED FASTENERS: Fastener Number Product Name 13. Olympic Fastener #12 & #14 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G -2 17. Olympic Standard 18. Insul -Fixx Fastener 19. Insul-Fixx S Plate 20. Insul -Fixx P Plate 21. Tru -Fast 22. Tru -Fast Plates 23. Tru -Fast Plates EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corp. Factory Mutual Research Corp. Trinity Engineering PRI Asphalt Technologies, Inc. IRT of S. Fl. IRT of S. Fl. TABLE 3 Product Description Insulation fastener Pre - assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round galvalume AZ50 steel plate Insulation fastener for steel and wood decks 3" round galvalume AZ50 steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate Test Identifier Current Insulation Attachment Requirements FMRC 4470 - PA 114 Wind Uplift PA 114 GAF -020 -02 -01 02-005 02 -014 Manufacturer Dimensions (With Current NOA) Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. 3.25" round Olympic Manufacturing Group, Inc. 3.5" round Olympic Manufacturing Group, Inc. 3" round Olympic Manufacturing Group, Inc. SFS /Stadler 3" round 3" round 3" round 3" round SFS /Stadler SFS /Stadler The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. Description Date FMRC 1996 01.01.96 J.I. 1B9A8.AM 09.04.97 J.I. 3D4Q2.AM 04.30.97 4483.04 97 -1 06.06.97 ASTM D 4977 02.01.02 TAS 114 01.18.02 TAS 114 03.22.02 NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 8 of 32 APPROVED ASSEMBLIES Membrane Type: Deck Type 1I: Deck Description: System Type A (1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener (Table 3) Density /ft ACFoam -I, ENRGY 2, GAFTEMP® Isotherm R, ENRGY 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N, ISORoc, BMCA EnergyGuard, BMCA EnergyGuard Composite, EnergyGard ISO, EnergyGuard RA Composite, EnergyGuard RA Minimum 1" thick N/A N/A Wood Fiber, GAFTEMP® Fiberboard, BCMA High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMP Recover Board Minimum '/2" thick N/A N/A Paroc, Perlite, GAFTEMP® Permalite Minimum 3/4" thick Fiberglas Minimum 15 /16" thick Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20 -40 Ibs/100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator Perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: Fastening Options: SBS Wood, Insulated 19 / 32 " or greater plywood or wood plank N/A N/A N/A N/A GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable Base Sheet, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; GAFGLAS® Ply 4®, GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tee (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf, See General Limitation #7) NOA No: 03-0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 9 of 32 GAFGLAS Flex Ply'm 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —Se General limitation #7) aAFC__ JLAAa #25 BILS eh et -or any of above Anchor sheets attached to deck with Drill -Tec (GA}' 1TT1 E) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General limitation #7) Base Sheet: (Optional) Install one ply of J. 1 GLAS® #75, GAFGLAS #80 ULTIMATM Base Sheet, GAFGLAS® PLY 4 ®, GAFGLAS Flex P1yT i 6, GAFGLAS STRATAVENT Eliminator Perforated (laid dry), RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat - WeIdTM Smooth or RUBEROID SBS Heat -Weld 25 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 lbs. /sq (see General Limitation #4). Ply Sheet: (Optional) One or more plies GAFGLASPLY 4 ®, GAFGLAS Flex Ply 6 sheet, GAFGLAS #80, RUBEROID MOP Smooth, RUBEROID® 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. Membrane: One or more plies of RUBEROID® 20, RUBEROID 30, RUBEROID 30 FR RUBEROID MOP Smooth, Ruberoid® 170 FR, Ruberoid® Mop Granule, RUBEROID MOP PLUS, RUBEROID MOP FR, RUBEROID ULTRACLAD ®, or RUBEROID Dual FR fully adhered in an approved asphalt at an application rate of 25 lb. /sq. ± 15 %. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lb. /sq. and 300 lb. /sq. respectively in a flood coat of approved asphalt at 60 lb. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 lb. /sq. ± 15%. 3. GAF Weathercote® MB +(Matrix 715 MB Coating), Applied at 1 to 1.5 gal. /sq. 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 gal. /sq. Maximum Design Pressure: See Fastening above. e`P NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23/03 Page 10 of 32 Membrane Type: Deck Type 1I: Deck Description: System Type A (1): Anchor sheet: Fastening Options: Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener (Table 3) Density /ft ACFoam -I, ENRGY 2, GAFTEMP® Isotherm R, ENRGY 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N, ISORoc, GAFTEMP® Tapered, BMCA EnergyGuard, BMCA EnergyGuard Composite, EnergyGuard RA, EnergyGuard RA Composite Minimum 1" thick N/A N/A Wood Fiber, GAFTEMP® Fiberboard, High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMP RecoverBoard Minimum 1/2" thick APP /SBS Heat Weld Wood, Insulated 19 or greater plywood or wood plank N/A Paroc, Perlite, GAFTEMP® Permalite Minimum 3/4" thick N/A Fiberglas Minimum 15 / 16 " thick N/A NIA N/A N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20 -40 lbs /100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf, See General Limitation #7) NOA No: 03-0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 11 of 32 Base Sheet: Ply Sheet: Membrane: Surfacing: GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAF ITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec ( GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) Install one ply of GAFGLAS® #75, GAFGLAS #80 ULTIMATM Base Sheet, GAFGLAS® PLY 4 ®, GAFGLAS Flex PlyTM 6, GAFGLAS STRATAVENT Eliminator Perforated (laid dry), RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID SBS Heat -Weld 25 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 lbs. /sq (see General Limitation #4). (Optional except over RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID SBS Heat -Weld) One or more plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6® Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. or Ruberoid Torch Smooth torch applied according to manufacturer's application instructions. One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, Ruberoid® Torch Plus Granule or Ruberoid® Torch FR torch applied according to manufacturer's application instructions. Or One or more plies of RUBEROID® SBS Heat- WeldTM PLUS, RUBEROID® SBS Heat- WeidTM PLUS FR, RUBEROID® SBS Heat- WeldTM 170 FR, RUBEROID® SBS Heat- WeldTM, RUBEROID® SBS Heat- WeldTM Smooth, RUBEROID® UltraCladTM SBS and RUBEROID® SBS Heat- We1dTM 25 applied according to manufacturer's application instructions. (Optional) Install one of the following: 1. Gravel or slag applied at 400 lb. /sq. and 300 lb. /sq. respectively in a flood c oat of approved asphalt at 60 lb. /sq. 2. GAF Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. or GAF WeatherCoat Emulsion at 3 gal. /sq. (Torch Smooth applications only) 3. GAF Weathercote® MB +(Matrix 715 MB Coating), Applied at 1 to 1.5 gal. /sq. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23/03 Page 12 of 32 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 gal. /sq. Maximum Design Pressure: See Fastening Above NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 13 of 32 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply TM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1/4" Dens Deck or 1 Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. 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 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03 0501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 32 of 32 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued Base Sheet (Optional): One or more layers Type 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq. 4. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min thickness (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type 61. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq. 5. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers of Type 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule). Surfacing (Optional): Karnak "No. 97" or "169" at 1 -3 gal /sq or Grundy Ind. "20 F Emulsion" at 3 gal /sq. 6. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Gravel. 7. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type 61. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel. 8. Deck: NC Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq. 9.' Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, phenolic, 1 -1/2 in. min. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", hot mopped in place. Membrane: "Ruberoid Mop FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 10. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, phenolic, 1 -1/2 in. min. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4 ", or "GAFGLAS Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 11. Deck C -15/32 Incline: 1/2 Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. Base Sheet ", ROOF COVERING MATERIALS (TEVT) 135 ROOFING SYSTEMS (TGFU)— Continued 12. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Isocyanurate, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4" or "Ply 6 ", hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 13. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped in place. Ply Sheet (Optional): One or more layers of Type 61 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gat /sq. 14. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of "GAFGLAS #75 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of "GAF GLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq or AF Fibered Aluminum Coating at 1 -1/2 gal /sq. / eck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ ocyanurate composite or 7ienolic. ase Sheet: One or more layers Type G2 or G3 base sheet, hot mopped mechanically fastened. Sheet (Optional): One or more layers Type 61, hot mopped in place. embrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). • . Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate composite or phenolic, offset 6 in. from joints. Base Sheet: One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" (smooth). Membrane: One layer of "Ruberoid Torch FR" or "Ruberoid Mop FR" (granule) 17. Deck: NC Incline: 1 - Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type 61, hot mopped in place. Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 18. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet (Optional): One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop" (smooth). Membrane: One layer of "Ruberoid Torch FR ", "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 19. Deck: NC Incline: 1/2 Insulation (Optional): One or more layers of perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic, any thickness. Base Sheet: One or more plies 61 or G2, hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq. Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule), hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq. 20. Deck: C -15/32 Incline: 1/4 Insulation: Polyisocyanurate, any thickness. Base Sheet: "GAFGLAS #75" (Type G2), mechanically attached. NOTICE OF COMMENCEMENT 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 MIAMI -DADE: 1. Lega description of property and street/address: orer, i FL- 2 13 2. Description of improvement:_ 4. Contractor's name and address: C). --',k- 9. Ex. i��ratio. • cliff:. - :to i :. Signature o Owner Print Owner's Name_ Sworn to and subscrib Notary Public Print Notary's Na My commission e pires: 123.01 -52 PAGE 4 8/02 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 1 1111111 1 C :FN 20_00_0401936 1 55 OR Bk 22760 Ps €289; (fps) RECORDED 10 /25/2004 09:47:II HARVEY RUV'IN? CLERK OF COURT MIAllI--DADE COUNTY? FLORIDA LAST PAGE c K 1 040 iv6 C f } +h 5- f-, rut ► 3. Owner(s) name and address: prt' l d 8 I Skore I F-- 33 3� Interest in property: 0 Lvd1 €'r Name and address of fee simple titleholder: C_ 'IA./ a 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners 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: :;PATE OF FOI�IDA, COUNTY OF DADE D/ o moo Ph— HEREBY O I FY h this is a tr ,, •h,- or the lor • ,2007 ru on mgCo Address: .4 A . - L- '• ate of this Notice of Commencement: (the ex cified) I n. ear tromot, v17dESSm }End �ndOi al Srtl. _ ',t,pp*,.i.: •rl l i ! F -, ' 6 y .. .4141, /i� Ira repotting ;unreSs a C y U � , �� t-_, O FD D.C. \ EC6 • 1' 1 GL rin ! i dam! r, 1 . , r'i ec4C V ��J• Ta\c!c C Prepared by ore me this a'l day of C"X' T , 20 CA PIP x Owner's Name and Address .__ __ ' h-e-o--& Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Street and Number where work is to be done Chairman Member . .. _ Member Council Approved MIAMI S H U- ES V LLAG E Date BUILDING INSPECTION DEPARTMENT APPLICATION FOR UILLOI' G PERMIT Application is hereby Ap:de 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. Lot Block Subdivision State to be done and purpose of building (by floors)__ - r - - 0 . and for no other purpose. New Building _ ___ _ Remodeling Addition Repairs > No. of Stories s .._t To be constructed of _. Kind of foundation Roof Covering _._ -- � -e 7" tab Estimated Total cost of improvements $ .DO ' l Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot toyer /c)z 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) STATE OF FLORIDA, p COUNTY OF DADE. ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ — ------- .. _ --- - - - - -- -- to me well known, Date Building Inspector My Commission Expires Date / / 4 , 19 No.fd / o Street 71 ` PLANN BOARD DATE Member Member Member 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 pr trC Permit No Permit No Disapproved (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida • 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 impn,•rr ,r ' for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA ❑ DATE ir a l o PERMIT N9 7846 contractas No License No. 4 ❑ Work to be performed under this Permit Owner of 1 { Building Architect Contractor or Builder '--- Legal Lot Description IIB1 Subdi- vision Address of Value of l 11 Amount of Building /' ' ' Project $ II 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. ▪ 11tfC,PECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and re g ons pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In 'do cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY .aeo. m4'12a. BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING ❑ PERMIT N? 9079 ROOFING Owner of Building I' Architect Contractor or Builder Legal Lox Description 1 1 1 1 131 Address of Building CONTRACTOR or BUILDER Work to be performed under this Permit Date_____ 19_ _ Contractor's License No. Subdi- vision Sq. Ft. Value of Amount of Project $ I 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• - (INSPECTOR) BY `'k In consideration of the issuance to rile of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation 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. Y' BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING PERMIT N? 5612 ❑ Owner of Building c ° v �n r Architect Contractor or Builder Legal Lot Description — Bl Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA Value of Project $ DATE Contractor's License No. Work to be performed under this Permit Subdi- vision Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings 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 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. RY AUTHORITY 195 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 he 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- - - -2 - , 19:( Owner's Name and Address _ Raymond Cooper ' r �� Registered Architect and /or Engineer Name and address of licensed contractor __ Al___ _ pringer Location and legal description of lot to Lot Block. Street and Number where work is to b o — �� •• 0 H of o 9 6t _ h St re e t State work to be done and purpose of building (by flog ��= 'r =";' - _`c`• New Building Remodeling Addition a_ To be constructed of Kind of foundation Estimated Total cost of improvements $_..28Q Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved Date_.' ( Signed) Building Inspe oet r Roofing Co.. Inc _8 0 S..W.o.. __6.9th..Avenlue .host . mo-p... 1S# -- felts t s -pha lfr Bc g; ago 1, 3" g-a lv a €tea -v-e1 step, serape gravel for t!L lac, l re_sident ) and for no other purpose. Amount No.549 K. Street 3.1S.t._.S. treat _.. Hlale h ._ _ _roof .9 t_in. - -eap Repairs No. of Stories .. Roof Covering fcc ?av �1 of Permit $..5.QQ Plan Cubage Size of Building Lot I hereby submit all the plans and specifications for said building. All notices with reference to the building and its be sent to..A1 Sp_i inger' Roof ing; - - -0 o..,--- __Ylt% $ - 2 Q - -- a -nTor .. _ 69t�_._ .ve.nue 33 - 144 � The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatio of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled G neral Laws of Florida, Pen, and has complied with the provisions thereof, and will require similar compliance from 'ontractors or sue - •ntract. in the work to be performed under this permit; and will post or cause to be posted for ' ctio r the s' e o e wo sta or notices as are required by the Act. The undersigned agrees to employ only such k . P ermit, as are licensed by Miami Shores Village. A rf a g � g e. d / r;i!,: � � � Cry. <g' 1-[ ` f° =rg1 �� � . Remarks (Signed). -_ �// construction may as an employer ent Supplement, employed by him p ublic notice wader this 0 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, th he has carefully rea�the foregoing application, and that he did sign the same, and that all facts therein by him stated are trye. , 9 / f 1 f Permit No.__` .9223' ? Date_ . Read, Sworn to and Subscribed before me. 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 hecn 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. MIAMI r'pES VILLAGE, FLA. N° 6111 JOB « ^ e,1 ADDRESS '� INSPECTION 71 13 TIME READY A 1 - 411 REMARKS: (47 �� �d DATE C I� ��� MIAMI SHORES VILA.. GE 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. Owner's Name and Address .7 Registered Architect and /or Engineer Name and address of licensed contractor it a 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) Date.. —( ,19.�� No - �. ... Street �d ' � j ubdivision..... and for no other purpose. New Building Remodeling Addition Repairs ' No. of Stories To be constructed of Kind of foun Roof Crering ' Estimated Total cost of improvements $...7 O' U Amount of Permit Si_ ...7 .c 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 :is an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup dement, 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 ublic notice or notices as arc required by the Act. The undersigned agrees to employ only such subntractors, on work to be performe� under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed).. STATE OF FLORIDA. COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.. ' P Date Read, Sworn to and Subscribed before me. Disapproved ... (Signed) Building Inspector Date 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 P1,utnir.;; hoard. A re 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. BUILDING ELECTRICAL PLUMBING ROOFING ❑ CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA PERMIT N? 6400 Owner of Building Architect Contractor or Builder Legal Lot Description — Bl Address of Building Signed. Work to be performed under this Permit Subdi- vision Value of Project $ F ' INSPECTOR !' O DATE 195 Contractor's License No. Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. BY: 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY MIA I SHORES V I LLA G E BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the 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. . - -• -- , �' • J Dace... �..� 197 7 Owner's Name and Address - (�� { /,. 4.- " ; .. ' ._ �'� _ No 5C (:?/) _. Street�� - d � ._ —� Registered Architect and /or Engineer , Name and address of licensed contractor..J.6.da..TON !.L(.0:117.1• / 2,.1....4r LA. ...? :... // e Location and legal description of lot to be built on: �l Lot Block Subdivision c % Street and Number where work is to be done 1..e. . . �_`'L f.S.T State work to be done and purpose of building (by floors) Z- / /La c' .._......_.._ _ New Building Remodeling To be constructed of 7;..:1Z kind Estimated Total cost of improvements $ Addition Zone cubage required Distance to next ne.rest building 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 su actors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks.ki `1� $p f 1 ( " � ��'� ( Signed ). STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. -_`9/ 7 Date -� / � 7 Read, Sworn to and Subscribed before me. Disapproved (Signed) .....r Date._ Building Insp or PLANNING f foundation L e and for no other purpose. Repairs. ...._— No. o f Stories / Roof Covering / 4 . ' , 1 .s c ,2 Amount of Permit $ plan Cubage Size of Building Lot to me well known, Notary Public, State of Florida My Commission Expires 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 fmm 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. Application is hereby made for the approval of the detailed statement ur uie 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. S ,19 O.vncr's Name and Address Dj • ( • c • llreaL _ No / 0 4 0 Street A' _9 Si. Registered Architect and /or Engineer .,,.. .. ........................... a „, •,. Name and address of licensed contractorO 'ooiin.9, Co. 7357 IV. V. Aiami 0. Miami, 31a. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1040 A_. f . ?COI. State work to be done and purpose of building (by floors)i2 atclave...toe. _ Lc .errtt�vtt ..anCL_ne.��ttGt..ty � 4 p4..ci-pA . . d cAp v C and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories _ hind To be constructed of 5�9tion Roof Covering. 10 our 32. U(J g. ..(�' . ..�/ .............. - -- Estimated Total cost of improvements $ Amount of Permit S. 2190 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 Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Perrn:rm•nt Supplement, and has complied ..ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor uch public notice or notices as are required by the Act. The undersigned agrees to employ only s ctors, on work ormed under this permit, as are licensed by Miami Shores Village. Remaks.... (Sign de�.... •.� �E�_�.�..�. - 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..__..._) Date....2 -'- / - 7. J....._._._ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector 4 a'�4 /4 Date..._..._. w, My Commiuion Expires _ PLANNING BOARD DATE Chairman Member Member Member Member Member Notary Public, State of Florida 8 to me well known, Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fm in the Planning Board. A rc•in'pection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLBCATB®N FOR BUILDING PERMIT Application is hereby usndc for the approval of the detailed statement of me plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores \'rung(, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding Division of Miami Shores Village shall be complied with, wh her herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Disapproved -. Date (Signed) Building Inspector Owner's Name and Address . .. Registered Architect and /or Engineer . ................... Name and address of licensed contractor Location and legal description of lot to be i)t on: /./ 34 / Lot ./ /.4-. /.A . Street and Number where work is to be done -. - -G /6 •.O Block ubdivision. x f b tldi by floors 1 k.._ 'i/e":"T:21jFer• W if Date.. _ and for no other purpose. Ncw Building Remodeling Addition... Repairs.... .: :... -.. No. of Stories ( _ To be constructed of Kind of foundation Roof Covering Estimate Total cost of improvements sat), Notary Public, State of Florida My Commission Expires lo A mount of Permit 3..- .- ...._.. 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 undersier,cd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5066, Compiled General Laws of Florida, Permanent Snppleurent, and has complied ss ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perfod under this pcnnit, as are licensed by Miami Shores Village. Rem.uks (Signed )_..._l! - (�` STATE OF FLORIDA, COUNTY OF DADE. SS ' Bcfore 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..__. -- L Date 1410 Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Chairman Member \fcrr,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 1'I. nnir,, ilo.rrd. A re inspection fce of SEGO will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT // 3' 3.5-'403 APP?LICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement or me plans and specifications herewith submitted for the build • ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progress of the work. Owner's Name and Address E0 Go Neal Registered Architect and /or Engineer ..:.. ,..•• ,t,t„t.tt....t•..t,t.,, Name and address of licensed contractor Cldth_RQA .._QStA.n...Y16A 3Q.1 ...Z�..�.a..;.o...Z''�.�..33Q__ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done g040 NE 96 Sn_ State work to be done and purpose of building (by floors)..._ °r00[ flat roofs °NZ 17_1g11axes and for no other purpose. New Building Remodeling Addition Repairs* XX No. of Stories 1 _ To be constructed of Kind of foundation Roof Covering gravel Estimate Total cost of improvements $ 2 80 5, 00 Amount of Permit $. 2 . QA .R9 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, anti 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 pe eed under this permit, as are licensed by Miami Shores Village. n Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated true. 4-1 Permit No.._...._._........_ Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Date Building Inspector d.... _ ._ No.. i.0:0 Streeter to me well known, 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 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. 'AMI SHORES VILLAGE, FLA. ve JOB ADDRESS / 1> J N9 6918 INSPECTION < %?j� i n TIME READY 7 REMARKS. INSPECTOR 1A.1 DATE feta SHORES VILLAGE, FLA. JOB j 4 ADDRESS / ¢( INSPECTION 9 i� ,A) TIME READY Asp a, 9e, c) N? 7035 REMARKS: o cZ INSPECTOR DATE 6/- 1,7")-7 MIAMI SHORES VILLAGE, FLA. N° 6204 JOB il 4c ADDRESS Z ® ° ' (� S INSPECTION TIME READY '�%1 REMARKS: n n Q� ✓ INSPECTOR DATE MIAMI SHORES VILLAGE, FLA. JOB‘ ADDRESS N? 6170 II! •-,--) INSPECTION 1LL TIME READY 4 :/ 2 REMARKS: INSPECTOR DATE 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. Owner's Name and Address ....\ `. No Registered Architect and /or Engineer.. __ Name and address of licensed contracto c., Location and legal description of lot to be built o Lot Block ` /�Subbdiivissiiony Street and Number where work is to be done.. / i --- ___l2 o � ° State work to be done and purpose of building (by floor and for no other purpose. New Building Remodeling Addition Repairs No. o To be constructed of Kind of foundation 'of Covering.. Estimated Total cost of improvements $ / , 1 9-4 � Amount of Permit $ s k_ d?O 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, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors e ployed by hint in the work to be performed under this permit; and will post or cause to be posted for i specti on the site of the work . h public notice or notices as are required by the Act. The undersigned agrees to employ only such s . ontra' irs, ., work to be performed under this permit, as are licensed by Miami Shores Village. / J Remarks (Signed)._ D 61/ Date Street _ nrr.? 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 43'F Date Ii_ - Disapproved (Signed) uilding Inspfe or Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires „22ia. PLANNING BOARD DATE Chainnan 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. • 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor f 1' New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ Date , 19 'l No... �. Street. / e 6 - (le) Location and legal description of lot to be built on Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors), 7"; and for no other purpose. Repairs No. of Stories Roof Covering , ' ✓ a 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 inspectiotuon the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such° "su ntract i s, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has ct�refully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved (Signed) Date Date. Building Tlnspector PLANNI C 6 Chairman Member Member Council Approved Date G / l l ead, Sworn to and Subscribed before me. Notary Public, State of Florida y Commission Expires OARD DATE Member Member Member Disapproved NOTE: A charge of $1.00 will be made for making the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. corrections or changes to this application after approval Date has been obtained from for inspection or faulty ' 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 December 20 , ls.57 Owner's Name and Address.. C lifford i✓ 4 Bratthat�er No 1040 Street N o 0 96th S Registered Architect and /or Engineer Name and address of licensed contractor Qa tler.? ':n 7.n0, hth..:.'•:t,Z'f' 9 ._.'':1? .Rli Location and legal description of lot to be built on Lot Block Subdivision Street and Number where work is to be done 1040 N. Eta 96th Street State work to be done and purpose of building (by floors) Apply Insul — Mastic coating to Florida Room addition to b1dr;. .exterior wa110.... Al .ma l. "tnuchnunte ranair.s.__tn..Qld Insul - Mastic coe.t nU_ rrall D:s....112„se.o and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 1 Amount of Permit $ J...o.00 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 sutractors, on work to erformed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)_ Ruth L. Scott Secretary, STATE OF FLORIDA, COUNTY OF DADE. Ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 a Date 6 2.-1? Read, Sworn to and Subscribed before me. Disapproved _ D•te (Signed) ¢. °_ Building I F:ector Chairman Member Member PLANNING BOARD DATE to me well known, Notary Public, State of Florida My Commission 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. Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 j 26 51 76 2 27 52 _ _ 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 -- 75 100 THIS REPORT SUB Civil Engineer: Lab Certification # 98- 0608.04 D BY: State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION Owner's Name: g C.Q;'T r % b L > Permit #• 50 Job Address tO4o 0 q ,, �' P ' 517 �.dA. Not( , Ft Roofing Contractor: B° C - 1?-190-F f 6 Type of Tile: 414,0,..)-t 5 ti t ° fe,A, Date Installed II 121 O 1 Approximate Roof Height:feet Roof Pitch 4..12. Type of Access to Roof: Scaffolds ✓ Ladder Other Approximate Square Footage of Roof 2A 00 ft' Required Testing F rc : 35 lbs. Testing Equipment: Chatillion 100 Date Tested: 3 F ®L IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. P.E. 416 TEST RESULTS P = PASS, F = FAIL Project 1° 2082 SKETCH OF IROOF k, C17 ►fil JOB SHEET NO ®o OF A CONTRACTOR l ( lc;;16 CI 0 4 CHECKED BY SCALE DATE c `� P AI 1111rl\r7ri11r7IIr1IP111111 ruommea 11111111641171111111011111111 iIiR _IEiiI I ipi l ei iUjhiIIiiIII1jII lusamordimi lI 11' U• IhAidita NOTES �I� ' . . , e 1 , f • Date Type Insp Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address [O n q62 5-6- Company A ta-0 .ie Phone #� For Inspector: ./ N Approved Correction Re- Insp'n Fee Name : ate �� fr 2Z PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date !d 3 0 1 Job Address 1 y O N C � ( 6 S r Tax Folio 1 I V 3 ,0 ( O ✓ / Li -3 5 0 Seca, ? 1£1.27 3Lr� S/ Legal Description e G i' /3 G. 3 t D - 7 L° i V r r 4 t z- Historically Designated: Yes No Owner/Lessee / Tenant S e- o� i J A nr Owner's Address 1 Q 1- t c" E s- S t R- ( C T Phone Contracting Co. A W '4 L lL �ov F- , N Qualifier 1cu#&J Y4 . I ek SS# Phone 2 05 'is + q 1 State # Municipal # Competency # - 13$S 3n s. Co. 1--Ja1 er Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN % PAVING FENCE SIGN WORK DESCRIPTION Cr P N to o v F- +ems' c e- 6 � r +) e roe P rcp lev c t,4l k 6k Kw a, H-&s& co I or--t'hr®m I-- 1-H16-14,e .s l y+' l er a 2 Square Ft. -2-14 0b © r � ` I Estimated Cost (value) 10 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 constructio d zoning. Furthermore, I authorize the above -named contractor to do the work stated. r er ano •, go do `'gsid flt - ' `'" • a II My Commission Expires: il' �� r '} o "1-IL • II y Q E733097 sz n • ,�:, . -,v s. U✓Z 3� Master Permit # FEES: PERMIT ) RADON C.C.F. - NOTARY -Si.- 0 0 BoNg 0 ®"�► TOTAL DUE t I I APPROVED: Zoning Building ll Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder Date My Commission Expires: Mechanical Plumbing Structural Engineer Address 1 - 1 S S " c 2 17z- Electrical 123.01 -78 5/00 Appendix "E" UNIFORM 'POOPING PERMIT APPLICATION PROCESS No. Contractor's Name: vi6dea., Job Address: lb/40 T✓ 9 6`x' St ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) (Mortar- Adhesive Set Til ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) WRe ROOF TYPE ❑ New Roof ❑ ecovering ❑ Repair ❑ Maintenance Flat Roof Area (ft 0 Sloped Roof Area (ft ���° Total (ft2) X1420 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. A v Ft. A V Deck type: Fastener Type: Field: ROOM SLOPE ATTACHMENT SPACING Perimeter: Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) GAO 'VIEW S'II'ACZO MO ❑ HO TTPR---MA7IIILIAIL 0 uz Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge VVntj)ati ? Deck type: Underlayment: •3o FeI+ MEAN HEIGHT i,/ Insulation: 12" ROOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION Nth Fastener type & spacing: Cap Sheet: Roo 1 /4 11 iRillo) 6)1411 4® 5 ke f Covering: Drip edge: bt L 11 OY\ sek 5 PAh 2) copper ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmax1: t X n, (Aerodynamic Multiplier): 1,4 i (Pmax2: i -fix (Aerodynamic Multiplier): 2 YY , (Pmax3: y I - A, (Aerodynamic Multiplier): ( TILE CALCULATIONS PO y Foevh 51 M : q' SPCA: b f .5 )- M g : ))= M r2' l l i J17 PCA: 1.65 - M .� 1.�/= M � ►�/ PCA: Page -2 APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 5104 APPENDIX "F" As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 6D 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. _6 1) 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system). G 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. 5D 4 . Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5 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. SD Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. SD D 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the inter'or 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. 1\11 Inapp_ 'PaAdck'cuodi,k Owner's /Agent's Signature Date Contractor's Signature Signature 0 • MIAM I.QA . �■ Almar (USA), Inc. 66.15 NW 77 Ave. Miami PRODUCT CONTROL NOTICE OF ACCEPTANCE The expense of such testing will be incurred by the manufacturer. Acceptance No.:99- 1102.04 (Revises No.: 97- 0918.02) Expires:12 /16/2002 Approved:12 /16/1999 FL 33166 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIA`II. FLORIDA 33130 -1563 (3059 375 -2901 FAX (305) 375-2905 CONTRACTOR LICENSING SE (305) 375-2527 FAX (305) 375 -2553 CONTRACTOR ENFORCEMENT SECTION (305) 375.2966 FAX (305) 375.2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Product Approval of: Altusa "S" Tile. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from 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 BCCO that this product or material fails to meet the requirements of the South Florida Building Code. k Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisco Quintana, R.A. Director 1 of 8 Miami -Dade County Building Code Compliance OM Table 2: Restoring Moments due to Gravity - M (ft -Ibf Tile Profile 3 ":12" or less 4":12" 5 ":12" 6 " :12" 7 ":12" or greater One Piece 'S' Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck , 4.47 5.35 4.40 I 5.27 4.31 5.16 4.20 5.03 4.08 4.89 Table 1: Aerodynamic Multipliers - X (ft') - Tile _ Profile J. (ft') Batten Application l X (ft') I Direct Deck Application One Piece `S' Tile 0.253 I 0.274 Table 3: Attachment Resistance Expressed as a Moment - M, (ft-lbf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens . One Piece 'S' Tile 2 -10d Ring Shank Nails 28.6 41.2 19.4 1 -10d Smooth or Screw Shank Nail 5.1 6.8 2.8 2 -10d Smooth or Screw Shank Nails 6.9 9.2 7.3 1 . #8 Screw 28.7 28.7 N/A 2 . #8 Screws 58.2 58.2 26.8 1 -10d Smooth or Screw Shank Nail (Field Clip) 23.1 23.1 19.0 1 -10d Smooth or Screw Shank Nail (Eave Clip) 29.3 29.3 24.0 2 -10d Smooth or Screw Shank Nails (Field Clip) 27.6 27.5 38.6 2 -10d Smooth or Screw Shank Nails (Eave Clip) 38.1 38.1 1 41.8 2 -10d Ring Shank Nails' 33.1 48.1 45.2 I Installation with a 4" tile headlap and fasterners are located a min. of 2W from head of tile. . ALNIAR (USA), INC. 4.2 Data For Attachment Calculations ACCEPTANCE No. : 99- 2, 1 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Frank Zuloaca. RRC Table 4: Attachment Resistance Expressed as a Moment M, (ft -Ibf) . for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance One Piece 'S' Tile Adhesive 29.3 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 10.7 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance One Piece 'S' Tile Polyfoam PolyPro 66.5° Polyfoam PolyPro 38.75 k ' 4 Large paddy placement of 63grams of PolyPro'". 5 Medium paddy placement of 24grams of PoIyProTM. ' ALM.AR (USA), INC. One Piece 'S' Tile Mortar Set' ACCEPTANCE No. : 9_ 02, 4 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Table 48: Attachment Resistance Expressed as a Moment - M,(ft -lbf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance 24.50 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Appro'ed ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by.copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. ALMAR (USA), INC. PROFILE DRAWINGS ACCEPTANCE No. :_12 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 10-1/ 2' ONE PIECE `S' CLAY ROOF TILE 1 Frank Zuloaga RRC 7 •s ALMAR (USA), INC. 1. SCOPE This revises a roofing system using Almar `One Piece S' Clay Roof Tile, as manufactured Almar (USA), Inc. described in Section 2 of this Notice of Acceptance, designed to comply with the. South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Applicant One Piece `S' Tile Trim Pieces g30 Felt 2. Product 4'43 Coated Base Sheet NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions 1= IS''A" w= 10" ''Y" thick nominal 1 = varies w = varies varying thickness Components or products manufactured by others Dimensions N/A N/A Test Specifications PA 112 Test Specifications ACCEPTANCE No. :_29410,9_4 APPROVED EXPIRES Product Description Product Description ASTM D 226 Saturated organic felt to type II be used as a nailed anchor sheet. DDr' :December 16, 1999 :December 16, 2002 k PA 112 High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Manufacturer ASTM D 2626 Saturated and coated organic base sheet for single or double ply underlay y,„„ generic generic r . ALMAR (USA), INC. • ACCEPTANCE No. : 9110 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 7 and this last page 8. END OF THIS ACCEPTANC Cr", 7..Inw.... DD 1 r ALMAR (USA), INC. Mineral Surface Cap Sheet Rainproof II Ice and Water Shield Wood Barrens Tile Nails Tile Screws Product Roof Tile Mortar ( "Ti leTi teT" ") ACCEPTANCE No. : 99- 1102.04 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions 30 "x75'roll 36" x 75' roll or 60" x 75' roll vertical min. 1" x 4" horizontal min. l" x 4" for use with vertical battens or min. l" x 2" for use alone Min. 1Od x 3" 4 8x2Y: " long 0.335" head dia. O.131" shank dia. 0.175" sctrew thread diameter N/A Test Specifications N/A ASTM D 249 Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. PA 104 36" x 75' roll PA 103 Wood Preservers Salt pressure treated or Institute LP - 2 decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 123 Product Description 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 g30 or 7443 as the base layer. Corrosion resistant, smooth, screw or annular ring shark nail. Corrosion resistand coated square drive, galvanized, coarse thread wood screw Prepared mortar mix designed for mortar set roof tile applications. Manufacturer generic Protect -O -Wrap, Inc. with current NOA W.R. Grace Co. with current NOA generic ger,er ;c generic Bermuda Roof Company, Inc. (with current NOA) rant' 7nlnen, DDr` • ALMAR (USA), INC. Product Roof Tile Adhesive ( "Polypro® AH 160 ") Tile -Bond 3. LIMITATIONS 3.1 3.2 3.4 3.5 3.6 3.7 NOTICE OF ACCEPTANCE: Test Dimensions Specifications Quickcrete Roof N/A PA 123 Tile Mortar N/A See PCA Factory premixed canisters See PCA ACCEPTANCE No. ::99-1 102 APPROVED :December 16, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Product Description Prepared mortar mix designed for mortar set roof tile applications. Two component polyurethane adhesive designed for adhesive set roof tile applications. Single component polyurethane foam roof tile adhesive 1 Frank Zuloaaa. RRC Manufacturer Quickrete Mortar (with current NOA) Polyfoam Products, Inc. (with current NOA) Flexible Products (with current NOA) f Fire classification is not part of this acceptance. For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. Applicant shall retain the services of a Miami -Dade County Certified La'poratory to perform quarterly test in accordance with PA 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 Almar `One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. L PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305- 754 -0191 MIAMI SHORES, FL 33138 -2566 Date \I ,2001 order of j � �' 1 a c ( `� ,� aY r ,i g \o I e� $ Lq ��9 -4b r Kati Airedi e-4 f --ptt e- D ollars e Bank of America. —' Pere i ACH R/T 0631 ! h 1. For 1 � 1D Iv,E4 1:06 3 100 2 7 71: 003660601,9 L411' 2394 2394 63-27/631 FL 810 NP c i•v•i•1 C John Busta Roofing 300 Northeast 91 Street Miami Shores, Florida Project: c) \J Dear Sirs; examined. LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 ENGINEER Tel: (305) 649-6454 Fax: (305) 541 -3298 TILE UPLIFT TEST Residential Hoare 1070 Northeast 96 Street Miami Shores, Florida 61( Thibrtnaliora provided by client: Permit Number: Not Available Date Completion: November 27, 2004 Roofing Contractor: John Busta Roofing LG Engineering Services, Inc. Project Number: LGO4 -3111 (Testing Laboratory Certificate #00- 0224.07) In accordance with your request and authorization, a representative ofLG Engineering Services, Inc. completed the Roof Tile Uplift Test for the addition at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Monier Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. initially the entire area of the roof was examine for loose tile. More than 10% of the roof tile ale in the field area and more than 20% of the roof tile at the roof perimeter and corner we -� l y j '8aseinstallation of the' oof t.le at os •e iefci'enced projecl`,neets- the'test requi rement outlined in,thezabove mentioned protocol ' A 1. €w ol`° the tcsted roofing t Iles moved up vard'at the time of loadifrg but ■ere'able to resist the a±?piied load ".Attached please find;a; copy of our test ; report ,fokyour reviews LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you t ave any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. TILE UPLIFT TEST Residential Home 1070 Northeast 96 Street Miami Shores, Florida i Moly(mad Sonny Salleh, P.E. Project Manager Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass Report of TILE UPLIFT TEST for Residential Home 1070 Northeast 96 Street Miami Shores , Florida Project Number: LG04 -3111 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGO4 -3111, Page I • 0 \OI\ ' 90' + + + + + + + + + + + + 15' APPI:OX. I OO1' Th5T LOCA110N5 AN17 17IM5ION5 B4. MAP AND PANEL 87. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5 SUFFIX 86. FIRM INDEX DATE EFFECTIVE/REVISED DATE :. FLOOD ZONE(S) (Zara AO, use nth of 'loafing) 120250009260 J 17 July 19 2 March 94 X /0 ‘ BUILD OWNER'S NAME Michael J. Maxwell BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1070 NE 96"' Street CITY Miami Shores PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desaiption, etc.) LOT 8 AND THE EAST 1/2 OF LOT 9 BLOCK 81 PLAT OF "MIAMI SHORES SECTION 3" PLAT BOOK 10 PAGE 37 FOLIO 11-3206-014-3510 BUILDING USE (e.g., Resirlertlial, Non- residential, Addition, Accessory, eta Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) ( #11 - #1R - ##.##' or ##.#1 ADDRESS 11501 SW 57^ Terrace SIGNATURE FEMA Form 81- anu • 1 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Im nt: Read the instructions on es 1.7. SECTION A - PROPERTY OWNER INFORMATION HORIZONTAL DATUM: 0 NAD1927 0 NAD1983 STATE ZIP CODE Fl 33138 -2552 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Tf LEProfessional Laid Surveyor COMPANY NAME Beadman & assoc., Inc h) No. of penis nest openings (flood vents) within 1 ft above adacerrt grade N/A ) Total aea of all permanent openings (flood vents) in C3h WA sq. in. (sq. an) 1310. Irate the scurce of the Base Flood Bevaticn (BFE) data a base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Desaibe): _ B11. Indicate the elevation datum used fa the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812. Is the • • located in a Coastal Barrier Resources S • > CBRS area a Otherwise Protected Area OPA)? ❑ Yes ❑ No O.M.B. No. 3067 J077 Expires December 31, 2005 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. 81. NFIP COMMUNITY NAME & COARdUNFTY NUMBER MIAMI SHORES 120652 B2. COUNTY NAME A?emi-Dade Candy B3. STATE Fbrfda SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Janes E. Beadman UCENSE NUMBER 2997 Fa thsreanoa Conpany Use: Policy Number Company NAIC Number SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bulking elevations are based on: ❑ Cautrudion Drawings' ❑ Building Under Constructive ® Finished Construction 'A new Bevation Certificate will be required when construdian of the bufidug is cariplete. C2 Building Diagram Number 1(Select the bulling dagam most suitor to the building fa which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the bulidmg, provide a sketch a photogaph.) C3. Bevati nns — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO Complete Items C3. -a-i b e l o w acoordng t o the bung d e g am specified in Item C L S t a t e the d a t u m used. If the datr m is different from the datum used for the BFE in Section B, convert the datum to that used fa the BFE Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D a Seddon G, as appropriate, to doamerd the datum conversion. Datum NGVD Caiversicnkanments N/A Elevation reference mark used B82 Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No a) Top of bottom floor (including basement a enclosure) 11. 94 ft(m) b) Tcp of next higher floor N/A . _ft(m) c c) Bottom of to st horizontal str utu al member (V acres only) WA . _ft(m) d) Attached garage (top of slab) 9. 78 ft(m) $ e) Lowest elevaiice of machinery and/or equipment w servicing the building (gibe in a Comments area) N/A .1 ft(m) S Q f) Lowest agave nt (finished) grade (LAG) 9.3 ft(m) z N g) Highest adaoent (finished) grade (HAG) 9. 5 it(m) CITY STATE ZIP CODE Miani FL 33173 DATE TaEPHONE 7 DEC 03 305252-0741 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (I nd irg Apt, Untt, Sub, ardor Bldg. Na) OR P.O. ROUTE AND BOX NO. CITY SECTION- - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) irsura to agent/company, and (3) bung owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) Fa Zone AO and Zane A (without BFE), complete Items El through E4. If the Elevation Certificate is Intended fa use as supporting 6rfu rrotion fa a LOMA or LOMR-F, Section C must Ire completed. El. Building Diagram Number _(Setect the buicingolagram most simla to the building for which this certificate is being =peed — see pages 6 and 7. If no dagarn accurately rests the bulking, provide a sketch a photograph.) E2. The top cf the bottom fba (inducing basernenta enclosure) of the building is _ ft(m) _in.(an) ❑ above a ❑ below (check ore) the highest adjacent grade. (Use natural grade, if available). B. For Building Diagrams 68 with openings (see page 7), the next higher a elevated floor (elevation b) of the bulking is _ 1t(m) _in.(an) above tine highest adjacent trade Complete items C3h and Pi on toad fo rn. E4. The top of the platform of maclwsry andfor equrment servicing the hiking is _ it(m) _in.(an) ❑ above a ❑ below (check one) the milted adjacent grade. (Use natural grade, if available). B. For Zone AO a ly: If no flood depth number is available, is the top of the bottom floc elevated in accordance wlh the corrrrKa itys floodplain managarrent ordinate? ❑ Yes ❑ No ❑ Ullman n. The local affiaal must certify this information in Section G. SECTION].F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner a owner's authatzed repo ha ive who completes Sectias A, B, C (Items C3h and C3I any), and E !crane A (without a FETMssued a community- issued BFE) a Zone AO must sign here The sidemen's in Sedans A, gGendEwe attract toThe best ofmyfvawledge PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS SIGNATURE COMMENTS G7. This permit has been issued for: ❑ New CasUudiai ❑ Substantial Improvement G8. Elevation ci as -built bast floc (inducing basement) of the binding is G9. BFE or fm Zone AO) depth of floodrg at the bul ing site is LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 -31, January 2003 r Erortit ramos:,cmparyuse Purq Number Company NAIC Number STATE ZIP CODE CITY DATE TELEPHONE SECTION G - COMMUNITY INFORMATION (OPTIONAL) The lo c a l o t f i a a i who is authorized b y law a adina to adrrrnister the co nwirtj/s flooglplain management a inanoe pn cordate Sections A, B, C (a E), and G of this Elevation Cam Complete the app6abie item(s) and si jrn below. G1. ❑ The tnfomnation in Section C was taken from dher dooumentaton that has been signed and embossed by a 6oensed surveys, engineer, a =Meet who is authored by state a local law to cer6Ty eleva tai informaTan. (Indnate the source and date cf the elevation data in the Comments area below.) G2. ❑ A camwnity official completed Section E'fa a building located in Zane A (without a FEMA sued a community-issued BFE) or Zone AO. G3. ❑ The following II gun r (Items G4 G9) is provided fa camrairty floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERK ISSUED G6. DATE CERTIFICATE OF ANCY ISSUED TITLE TELEPHONE DATE it•(m) — —Vin) STATE ZIP CODE ❑ Check here if attachments Datum ❑ Chad( here if attachments Replaces all previous editions B4. MAP AND PANEL B7. FIRM PANEL . BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX 86. FIRM INDEX DATE EFFECTIVEftEVISED DATE 88. FLOOD ZONE(S) (IareAO, use capful of flooding) 12025C009260 J 17.14(19 2 Mardi 94 X WA BUILD . 4GOWNEITSRWNE= °_ = —� Michael J. Maxwell BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1070 NE 96" Street CITY Miami Shores FEDERAL EMERGENCY MANAGEMENT AGENCY 10) NATIONAL FLOOD INSURANCE PROGRAM �rr ELEVATION CERTIFICATE ' " VI�� Important Read the instructions on pages 1.7. BUILDING USE (e.g., Residential, Nonresidential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATI TUDE/LONGITUDE (OPTIONAL) ( #fr -#1r - ##.#!l' or ##.) SECTION A - PROPERTY OWNER INFORMATION HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 STATE ZIP CODE Fl 33138 -2552 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 306f -00;7 Expires December 31, 2005 Fartrsurame Company Use: Po6cy Number Company NAIC Number PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Pare Number, Legal Description, eta) LOT 8 AND THE EAST 12 OF LOT 9 BLOCK 81 PLAT OF "MIAMI SHORES SECTION 3" PLAT BOOK 10 PAGE 37 FOLIO 11-3206-014-3510 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. Bt. NF1P COM UNITY NAfvE &COMMUNITY NUMBER MIAMI SHORES 120651 82. COUNTY NAIVE MartiDade County 83. STATE Flake B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® ARM ❑ Community Determined ❑ Other (Describe): 811. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Desolbe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area a Othawise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRE)) C1. Building elevations are based an: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construdion of the bung is complete. C2. B & n k l i g Diagram Number 1(Seled the bufldhng diagram most sim ila to the bulling for which this certificate is being completed - see pans 6 and 7. If no diagram acairately represents the barking, provide a sketch a photograph.) C3. Elevations – Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3. -a-i below according to the buhidrg divan sped in ttem CZ State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used fa the BFE Show field measurements and datum conversion calculation. Use the some provided a the Comments area of Section D a Section G, as appropriate, to document the datum canon. Datum NGVD WA Elevation reference mark used &62 Does the elevation reference mark used appear on the FIRM? ❑ Yes Z1 No a) Top of bottom too (including basement a enclosure) 11. 94 &(m) • b) Top of next higher film N/A . _ft(m) c) Bottom of lowest horizontal structural member (V sores only) N/A . _ft.(m) S o d) Attached garage (top of sue) 9. 78 .(m) E e) Lewaest elevation of machinery arclo equipment servicing the bulling (Describe in a Comments area) WA .1 ft(m) § 2 f) Lowest adjacent (finished) grade (LAG) 9.3 t(m) z g) Highest adjacent (finished) grade (HAG) 9. 5 ft(m) h) No. of permanent openings (food vents) within 1 ft above adjacent grade WA ) Tel area et ai permanent openings (flood vents) in C3.h WA sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Janes E Beadman UCENSE NUMBER 2997 TITLEPniessional Land Surveyor COMPANY NAME Beadman & assoa, Inc ADDRESS 11501 SW 57^ Terrace SIGNATURE FEMA Form 81- +iranu CITY STATE ZIP CODE Miami FL 33173 DATE TELEPHONE 7 DEC 03 305252-0741 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (Including Apt, Lint Sub, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Cetifite for (1) community o4fidal, (2) insurance agent/company, and (3) building owner. COMMENTS SECTION E • BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BEE) For Zone AO and Zane A (without BFE), complete Items El through E4. If the Elevation Certificate is intended fa use as supporting erfom>a ion fa a LOMA a LOMR-F, Section C must be completed. El. Building Dugan N urnber_(Seled the tucking divan rnost similar to the building fa which this certificate is being completed — see pages 6 and 7. f no diagram aoarrately represents the belting, provide a sketch a photograph.) E2. The top d the boom floc (inducing basement a endosure) of the building is _ ft(m) _in.(an) ❑ above a ❑ below (check one) the highest acfiaoent grade. (Use natural grade, if amiable). E3. For Building Diagranns 6.8 with cpernings (see page 7), the ned higher floor or elevated tloa (elevation b) of the hiding is _ ft(m) _in.(an) above the highest adhaoent grade. Complete its C3h and C3.i on front of form. E4. The tap d the platform of machinery and /or equipment servidng the building is _ ft.(m) _in.(an) ❑ above a ❑ below (check ale) the highest argent t grade. (Use nratwai grade, if avalable). E5. Fa Zane AO ally: t no flood depth number is amiable, is the top of the bottom floor elevated in accordance wth the community's fbodphaeh management ordinance? ❑ Yes ❑ No ❑ Unknown. The local Gedal must Certify this inffomnation In Section G. SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The p r o p e r l y owner a owner's autha¢ed r e p r e s e n t a t i v e who completes Sections A, B, C (Items CD and C3.i only), & i d E f a Zone A (without a FEMA-issued a community- issued BEE) a Zane AO must sign here T h e s t a t e m e n t s in Sections A, a and Eare caned to the best of my kinviledga PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS SIGNATURE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The bold aria who is aulhamed by law a arcnanoe to administer the corm unitys fbocWn management akinanoe can Complete Sectors A, B, C (a E), and G c this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The infor mation in Section C was taken from other doaunentalbn that has been t red and embossed by a fcensed surveyor, engineer, a whited who is authormed by state a local law to certify elevation intonation. (Indite the scum aid date c the elevation daFa in the Comments area below.) G2. ❑ A com unity official completed Section E for a bulking located in Zane A (without a FEMA issued a carmur>ily ued BFE) a Zane AO. G3. ❑ The fobbing intonation (Items G4-G9) is provided for community floodplain management puposes. G4. PERMT NUM3ER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF CONPLIANCEOCCUPANCY ISSUED G7. This permit has been issuedfor: ❑ New Casb uction ❑ Subshantial Improvement G6. Elevation d as-built lowest floor (inducing Pawned) d the bulling is: G9. BFE a (n Zone AO) depth d ttoodnrg at the bulking site is LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 -31, January 2003 STATE ZIP CODE CfTY DATE TELEPHONE TITLE TELEPHONE DATE — • -ft(m) — • -ft(m) Insurance CarparryUse Poky Number Company NAIL Number ❑ Check here if attachments STATE ZIP CODE Minx ❑ Check here if attachments Replaces all previous editions a Type Insp'n Permit No. Inspection Date Approved Connection Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request B P 0; 1391 Address 1 , 6 )LA' Company Phone # S �S � �� � — \PO MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date') Type Insp'n r-A � ^ disj+'11, ,, , Narrfe Permit No. Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee Date Type Insp'n Permit No. Company Phone # Inspection Date Correction Re- lnsp'n Fee MIAMI SHORES VILLAG BUILDING DEPARTME 305- 795 -2204 Building Inspection Request _s 3`C 0 c.")( Date Type Insp'n Permit No. Name/ / "e Address 10 2 0 I/ 1 l iE Inspection Date ( Approved Correction 1 IAMI SHORES VILLAG BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Company Phone # S : / , J - Re- Insp'n Fee ❑ 7- ---#-==gTA MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Type Insp'n Permit No. 17 0.3- ts is Name Address 1 Company Phone # X 1, / 6' CI Inspection Date ,__S 7 2/0 ' Approved Correction Re- Insp'n Fee 2 MIAMI SHORES VILLAGE BUILDING 1. AI TMENT 305-76- Building Inspecti n Request Date s/ 7 / ) TypeInsp'n�' -aV �'�t_��t f� I i Permit No. ) 1 O - l_ Name ./ ,)A /1 r-•(dr 0 r -a Address 1 » l/ C-) ' j ' (' ( � ) Company J"" & d , 4kA t '; i -i Phone # i k 1 Inspection Date C Approved Correction Re- Insp'n Fee O MIAMI SHORES VILLAGE BUILDING D4PARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. /-O03 _ Name , `OK Address ` nO N qG 5 T Company ausiri 'OO 4 Phone # Inspection Date Approved ❑ Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date p �) Type Insp'n 1 0 0 0c /� Permit No. b F 2,003 " )53'S. i O qG CisiQ Name Address Company Phone # Inspection Date Z. Approved Correction Re- Insp'n Fee ❑ ♦ *, 2 MIAMI SHORES VILLAGE BUILDING DEPARTMENT (Jc S. 3 305- 795 -2204 Bu Inspection Request Date Type Ins Permit No. Nai Address Company Phone # Inspection Date Correction ❑ Re- Insp'n Fee ❑ 4 /_ r (c .4 0 D 9 0 .2 '30 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) Phone # Owner's Address / ©7® / l 5mc&ir City ri /i47q f � ie State Ft. Tenant/Lessee Name City $ Value of Work For this Permit 8O7- Nf74 Education/Training Fee $ Tech $ Code Enforcement $ Bond $ Minus Plans Check Fee $ Zip 313r5 Phone # 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 f. 2,1,C3-15-75- Permit No. Master Permit No. /3,2e1 —/3 ? 71/ Roofing 3a� Job Address (where the work is being done) S-4-7 (i5 City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name —ley-17Y & As RC 'f'i A(C-- Phone # l 9/ Contractor's Address J Gn AXT 9/ - d City ] , ' �p ©,� ' �� State T2 Zip 33/0 ? Qualifier .J why SGC,cST/t4 Architect/Engineer's Name (if applicable) AI/� - Phone # Architect/Engineer's Address State Zip Square Footage Of Work: Number of: Bays / Stories / Families / Bedrooms 3 Baths Type of Work: WAddition DAlteration :New ❑ Repair/Replace ❑ Demolition Describe Work: 4PP 2" 46 71 P Id wLff #1,e4m/4 AreA4 / 4J9/ 571577 W/y- * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * *� * * * ** * ** * * ** County Escrow Fee $ \ . Permit Fee $ - �O ` Notary $ Total Fee Now Due $ (Continued on opposite side) Scanning $ Radon $ Struct. $ /"l d 30.0 tli G7-4 Bonding Company's Name (if applicable) '(/�i� Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will of be ap j. ved , d y reinspection fee will be charged. Signature Chc7/7 /03 er or Agent The foregoing instrument was acknowledged before me this day of who is Contractor The foregoing instrument was acknowledged before me this 29-7/9 20(93 , by , day of f, , 200_7, by d who iersonally know to me or who has produced As identification and who did take an oath. LIC: My Commission Expires V( ; t z: ******* * ** * * * * * * * * * * * * * * * * * * * * * * * *** ** e or who has produced PUBLIC: Sign: ': Notary Public - Stately;Cbmmiasion Expires: • = My Commission Exiirss Emirs Apr 1 ` 2C35 as identification and who did take an oath. trV' l *i „ L O ft R A I N E K E L L t R * *t~i!7li1h#ri'dfdrt *bt*#ly$7r* 4***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ateg teikP det9 State Certificate or Registration No. � ( 093 O IA3 Certificate of Competency No. ,q (L9 38/3 APPLICATION APPROVED BY: SEP 3 0 2003 Plans Examiner Engineer Zoning SECTION 1524 HIGH VELOCITY ' RICANE ZONES REQUIRED OWNERS NOTI tCATION FOR ROOFING CONSIDERATIONS 1524.1 As it perjainst the required roofing 15 of ie Florida Buil roofing system install between the owner an explained. . Aesthetics - are for the pu Peitee standard provisions. Aesthetic i be addressed as part o 2. Reuniting re4naa1'ed in accordance Building Code. (The r 3. Common it ' (i.e. townhouses owner should notify th - awe-from below. 4. Exposed C penetrations of the un option of maintaining Ponding se ater to pond distress and may req expectancy and perfo original roofing syste 6. Overflow ed from a bui overflow scuppers ( accordance with the Fl 7. Veutilatio of the strut reduced. It may be b roof. CiD001M1.-Am LOCH S- tlTaylS6 this section, it is the responsibility of the roofing contractor to provide the owner with it, and to explain to the owner the content of this seclon.. The provisions of Chapter ng Cede, Building govern the minimum requirements and stan of the industry for ons. Additionally, the following items should be addredied as t of the agreemgtt the contractor. The owvner's initial in the adjacent box indicates that thee itacat,1 1 , orknnanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane of providing that the roofing system meets the wind resistance and water intrusion Aesthetics (appearance) issues are not a consideration with respect to workmanship ues such as color or architectural appearance, that are not part of a zoning code, shout e agreement between the owner and the contractor. ood Decks: When replacing roofing, the existing wood roof deck may have to be - th the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida f deck is usually concealed prior to removing the existing roof system). oots: Common roofs are those which have no visible bei ittrbotweenmaig*w g condominiums;. etc.). in buildings with common roofs„ the dpilifixoxontnitottiofinkKr occupants of adjacent units of roofing work to be performed . r• a, Rings: Exposed, open beam ceilings are where the underside of the roof decking can be owner may wish to maintain the architectural appearance, therefore, roofing nail erside of the decking may not be acceptable. The Florida Building Code provides the is appearance. ater: The current roof system and/or deck of the building may not drain well and may ccumulate) in low -lying areas of the roof. Ponding can be an indication of structural ire the review of a professional structural engineer. Ponding may shorten the life nee of the new roofing system. Ponding conditions may not be evident until the removed. Ponding conditions should be corrected. IS H 1,11 suppers (wall outlets): If is required that rainwater flow off so that the roof is not up of water. Perimeter /edge walts or other roof extensions may block this discharge if 11 outlets) are not provided. It may be necessary to install overflow scuppers in rida Building Code, Plumbing. : Most roof structures should have some ability to vent natural airflow through the I assembly (the building itself). The existing amount of attic ventilation shall not be ficial to consider additional venting which can result in extending the service life of the i/I Ii» , t4_/29_,9 Owner s/ ge s S Lure t are Contractor's Signature 5 o' 03-i 3'17 Sketch Ro dimension Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include of sections and levels; clearly identify dimensions of elevated pressure zones and location of parapets. 1 1 1111 it aster Permit No. ontractor's Name b Address /070 A/E 94 . $Z€EEr Roof Category Mechanically Fastened Tile Mortar /Adhesive Set Tile. ^_ Metal Panel /Shingles Wood Shingles/Shakes Prescriptive BUR -RAS I50 Roof Type New Roof Re- roofing Recovering Repair Maintenance AQAr7/o4/ Low slope Asphaltic Shingles Low Slop ; Roof Area (SF) Florida Building Code Edition 2002 eaU.H VELOCITY HURRICANE ZONE UNIFORM ROOFING PERMIT APPLICATION Section A (General Information) Process No. Roof System Information Steep Sloped Roof Area (SF) Total (SF)) 1 7 1 50 ` Section B (Root' Plan) L Fill in the,pecific Roof Assembly Components and Ident;fy Manufacturer ( :f a component is not used, identify as "NA ") System Manufacturer: NOA No: Design Wipd Pressures, From RAS 128 or Calculation Pmax Pmax 2: Pmax 3: Maximum Design Pressure, From the Specific NOA System: Deck: Typq Gauttie/Thichness: Slop■ : Anchor /Baile Sheet & No. o Anchor /Base Sheet Fastene Insulation Base Insul ase Layer: ion Size and Thi Base [nsulalion Fastener /Bo Top Insulat on Layer: Top fnsulat Size and Thickness: Base Sheet(i) & No. o y(s): Florida Building Code Edition 2002 HIGH VELOCITY HURRICANE ZONE UNIFORM ROOFING PERMIT APPLICATION Top insulation Fastener/Bondin + • erial: Base Sheet Fastener /Bonding Material: Pty Sheet(s; & No. of Ply(s): Ply Sheet F stener/Bonding Material: Top Ply: Top Ply F Surfacing: tener /Bonding Material: Section C (Low Sloped Roof System) Field: "o /c @ laps & rows @ "o /c Perimeter: "o /c © laps &__rows @ "o /c Corner: "o /c @ laps & rows @ "o /c Number of Fasteners Per Insulation Board Field Perimeter Fastener Spacing for Anchor /Base Sheet Attachment Illustrate Components Noted and Details s Applicable: oodblocking, Gutter, Edge Terminations, pping, , Flashing, Continuous Cleat, Cant , Base Flashing, Counter - flashing„ Coping, e: Mean Roof Height, Parapet Height, Height lashing, Component Material, , Material ickn . Fastener Type, Fastener Spacing Or: Su it Manufacturers Details that Comply with RAS-II and Chapter 16 Corner Parepet Will Height Ft MeanfloofHeig t_Ft Roof S Ridg Mea / oof System Manufacturer: O/I/ otice of Acceptance Number: 0 /2//, E inimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): aximum Design Wind Pressure rom the NOA Specific System): //?,9 ethod of tile attachment: P004Yic0 pe 12 Florida Building Code Edition 2002 HIGH VELOCITY HURRICANE ZONE UNIFORM ROOFING PERMIT APPLICATION P 1: 1 /✓ Ventilation? Roof Height: Section D (Steep Sloped Roof System) Steep Sloped Roof System Description d Deck Type: 7 6,6X 3 Ply P440146 Underlayment Type a7 As-ne - / Lnsulation: /✓/ Fire Barrier: if//4 Ln, 2 P2: - • 9s./ P3: 9s./ /7 ,esNA/4S u// f 7 /i✓ 4Qi Fastener Type &'' // Spacing:f2 /I OC, F /EIJ6 - 6 " &l as- AdhesiveType:V N E4q,(/ /4sPv,ga- 6/ Type Cap Sheet (2l457 / • /ice 4 ► Roof Coverin eXA2. D5ip Edge:2 0Z 1 /0-Jo a1 -.V X767 .Descript _ ['Design Pressure For moment based tile systems, chase either Method 1 or 2. Compare the values for M,. with th values from M If the Mr values are greater than or equal to the M values, for each area of the roof, then the tile ttachment method Is acceptable. P,: 4 ,_ P::_-9S_L x A 1'3:_ Mean Roof Height Roof Slope - -- - -- 2:12 3:12 4:12 6:12 Mean Root'! eight .- -- Rcw Aerodynamic u pimplier Restoring Moment due to Gravity Antic hrrtethl esislance Requiiro Moment Resi Minirmm� Attac7nrient Resistance equtrr Up�itf(tesistance Average 1 e eight Tile Ni mensions Florida Building Code Edition 2002 HIGH VELOCITY BIURRICANE ZONE UNIFORM ROOFING PERMIT APPLICA ION SECTION E (Tile Calculations) Method 1 "Moment Based 'file Calculations Per RAS 127" .2 -Mg: -Mg: ) -Mg: _ 15' 34.4 32.2 30.4 Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below: ,2, M Required Moment Resistance* 28.4 - 3fl;1 — 31.17 32.8 26.4 _ 28.0 29.4 30.5 24.4 25 9 27.1 28.2 *This table must be used in conjunction with a list of moment based tile systems endorsed by th Board of Rules and Appeals. For uplift based tile systems use Method 3. Compare the values for F' with the values for F If tl a F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method It acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" xw: - w � ) x 1: = 0 — ._.___ x cos '- x w:� - vv: x cos e: N; 31 cos 0: Where to Obtain Information �vhrre to Find RAS ! 2) fa�le 1 ur by aii nipjn ntog ana teased on ASCE 7 NOA N(iq Calculated NOA alculated 20' M = Mr,: 25' F E'r2 - = Fri 1 length NOA cales—arthWts must be sati;iatied to the lioilding at the lime of permit application. w width 30' 36.5 38.2 39.7 34.4 36.4 37.4 32:2 33.8 35.1 NO NO NO e13 NOA M //g. NOA M NOA M NOA Mt: //, 9 40' 42.2 37.3 34.9 32.4 30.0 roward County F +. Prepatcd M I A M t•DAOE BUILDING CODE COMPLIANCE OFFICE (ICCO) PRODUCT CONTROL DIVISION N'a;TTCE OF ACCEPTANCE ; , OA onier Lifelik LILC 135 NW ZIP Sec Raton, FL 334311 09:31 MEDITERRANEAN ROOF TILE - 3057572728 NO.031 [7001 iatiAtm0 - 111ADE COUNTY, FLORIDA METROODADE FLAGLER BUILDING B40IVZST F AGt.ER STREET, SUITE WU MIAMI, FLORIDA 3313O -1563 (303) 375 -2901 FAX (305) 375 -2905 SCOPE: This NOA is being issued under the applicable rule$ and regulations ;.,verning the use of construction raraterials. The docurnentntion submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid alter the expiration date stated below. The Miami -Dade County Product Control Division (in Miami !Dade County) and/or the AHJ in r: eas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the Aid! may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the tight to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. !; ESSCRIPTION: Atlantis SFaal a 8s Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. • RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any pr .uct, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County. Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. KNSPEC'i1ON: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The submitted documentation was reviewed) by Frank Zutoaga. RRC 1IOA Ido.: 08 12111.08 lExp:ratien Date: 12116/07 Approval Date: 01/09/03 Pogo 1 of 6 09/30/2003 11. Catcg ®try: Material: 2. PRODUCT Trim Pieces 08:31 MEDITERRANEAN ROOF TILE - > 3057572728 OIFINC ASSEMBLY APPROVAL Cats horse SC *PE This renews a system using Monier Lifgtilc Atlantis Shake & Slate Concrete Roof Tile, as manufactured Moeiier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure ri.ytairemcnts, as determined by applicable Building Code does not exceed the design pressure.values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies The Center for Applied Engineering, inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofing Plat rrolile Roofing Tiles Concrete ESCI{&D PTION Manufactured by Applicant Dimensions P tonier Lifetile 1= IS" Atlantis Shake and w a 10' / Slate Tile 1 '/ thick =varies z varies varying thiclenCSs Test Sa➢ec t �aati ®a PA 112 PA 112 ?rodluct Description Flat, interlocking. high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck. mortar or adhesive set applications. Accessory trim. concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test tideiititser Test Nanue/fteportt 7161 -03 Appendix i1I 94 -060A 94 -084 25- 7094 -2 25- 7094 -8 25 7094 - 5 Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Upli It Testing • PA 102 (4" Elcadlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" 11eadlap, Nails, Battens) Static Uplift Testing PA 102 (4" Elcadlap, Nails, Direct Deck, R €cover/Rcroof) Date Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA Ho.: 02- 1211.O8 Expiration Date: 12/16/01 Approval Date: 01/09/03 Page 2 mt 6 NO.031 D002 8 09/30/2003 08:31 MEDITERRANEAN ROOF TILE -> 3057572728 lest Anon The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, kw. The Center fon Applied Engineering, lsuc. Redland Technologies Redland Technologies Red land Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Enginccringg. Inc. Walker Engineering, Inc. . 'II 1I I n iQler 25- 7183 -6 25- 7183 -5 • 25- 7214 -1 25- 7214 -5 7161-03 ppendix It Letter Dated Aug. 1, 1994 00631 -01 PO402 Project No. 307025 Test SM DC -77 224-47099 520109 -1 520111-4 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations 4r¢$22 ilelritgRe2414 Static Uplift Testing PA 102 (2 Quilt -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) S tic Uplift Testing PA 102 (1 Quik -Daive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik-Drive Screw Battens) Wind Tunnel Testing PA 103 (Nail -On) Wind Tunnel Testing FA 103 (Nail-On) Wind Tunnel Testing PA 1 OS (Mortar Set) Withdrav+al Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 1100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier Moment of Gravity 25-7 r'''D4 25 -7496 25 -7534 25- 7SO4b -8 25- 7504 -4 Lk 5 25- 7343 -6 25 -7183 Date Feb. 1995 Feb. 0995 Mph, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 Sept. 1999 February 1996 April 1996 December 1996 March 1995 Aerodynamic Multipliers April 1999 Two Patty Adhesive Sct System. • April .1999 NOA Ne.e 02 -1211. Expiration Dale: Approval Doge: 01/09/03 Page 3 of 6 NO.031 12003 Table 1: Avery Weight (VII) and Dimensions (1 x w ) Tile Profile Weight.W (ibf) Length -I (ft) idth -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.25 - 0.865 Table 3: Restoring Moments due to Gravity - M (ft -Ilbf Tile Profile 3 ":12'° 4 ":12" 5 ":12" 6 ":12" 7' °:12" or greater Monier U eide Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck DirectOeck 6.0 5.9 r 5.8 5.6 5.5 Table 2: Herod anamic Multi liers X (f Tile Profile A (ft Direct Deck Application Monier Lifetile Atlantis Shake & Slate Tile D.24 09/30/2003 08:31 MEDITERRANERN ROOF TILE -0 3057572728 1< ILI I ATI1O1 S 3.1 Fire classsiftcatioe is not part of this aeceptaince. 3.2 For mortar or adhesive see file applications, a static field uplift test shall be pa iet ceordance with RAS 106. 3.3 Applicant shall Main the services of Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 11 appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum undedayrmxnt shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30t90 hot mopped underlayr¢nent applications relay be installed perpendicular to the roof slate unless stated otherwise by.thae undergarment unaterial manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATIlON 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118. RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1211.08 Miplration Date: 1 Approval Dade: O1/09/03 Page 4 or6 NO.031 r004 Table 4: Attachment 5Zosistance Expressed as a Moment m M (ffttibf) • for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetite Atlantis Shake a Slate Tile 2 -10d Rote Shenk Nails ' 30.9 • 38.9 172 J 1 -10d Smooth a Screw Shank Nail 7.3 9.8 4.9 2 -9Od Smooth or Screw Shank Nails 14. 18.8 7.4 1 #8 Scrr, , 30.8 30.8 18.2 2 #8 Screw 59.7 51.7 24.4 1 -10d Smooth Or Screw Shank Nail Fie Cli 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails1Field Clip) 35.5 35.5 34.8 • 2 -10d Smooth or Screw Shank Nails (Ea,e Clip) 39.9 31.9 32.2 2 -10d Ring Shank Nails 50.3 65.5 48.3 Installation with a 4° tile headlap and Pastemers are located a min. of 2W from head of tile. Table 5A: Attachment (Resistance for Sinqe Patty Expressed as a Moment Adhesive Set Systems - Ma (ft-Ib Minimum Attachment Resistance Tile Profile Tie Application Monier Lifettle Atlantis Shake & Slate Tits PolyPro'' 118.9 PolyPro r' 40.4 4 Large paddy placement of 45 grams oP PoiyPro'°'. . _ 5 Medium paddy placement of 24 grams of PolyPro Table 5: Attachment (Resistance Expressed as a Moment Mr (ft - Ibt) for Two Pa Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive • 31.3' 2 See manufactures component approver Per installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Potarfoam Product. Inc. Average weight per patty 8 grams. Table 5B: Attachment Resistance Expressed as a Moment - Mg (ft -lbf) for Mortar or Adhesive Set S stems Tile . Profile Tile Are r•-lication Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tote Mortar Set 39.0 e 09/30/2003 08:31 MEDITERRANEAN ROOF TILE -0 3057572728 • ['MA Nc.: 02- 1211.98 Escpi'atiore Date: 12/16/07 Approval Data: 01/09/03 Page 5 of 6 N0.031 0005 09/30/2003 08:31 MEDITERRANEAN ROOF TILE 4 3057572728 e � 5. ILA %WANG . All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following s tement: °Mliami -Dade County Product Control Approved'. 6. MIXING PERMIT REQUEREMENTS 6.11 A ;: lication for building permit shell be accompanied by copies of the following: 6.11J 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. aattav \, • 1" < g181Lati • PROFILE DRAWINGS 8 " 191'2" • MOWER ILIFETILE ATLANTIS SHAKE Ss SI.ATIE CONCRETE END OF Tg-llIS ACCEPTANCE. o Tits. ,(OA P1c.: 82- 1211.00 Esparaelcn Date: 12/16/07 Appe ovd Nee: 01/09/03 Fare 6of NO.031 D006 I'B�OUDii CT CONTR NO'i IIII Off' ACCE DT NN Polyfoaarn Products, Hall. 2400 Spring- Sttaebner Road Spring ,TX 77383 4132 Your application for Notice of Acceptance (NOA) of: Ttiio tornpontrit.P_oatItienciFaa an Adhesive under Chapter 8 of the Code o3"Miimi :D&de governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami-Dude County Building Code Compliance Office (I3CCO) 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. The expense ofsuch'testing will be incurred by the manufacturer. ACCEPTANCE 40.: (I1- 052E.te2 EXPSlitS05/-Fanutlt 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 a bove. A,PPi OVER): 06/14/211 k ■150- 4 50001kpe200011templaces1nodes accept-nose cover page.dot Internet mud address: pnsfcrlsssfer @taaeil dingeodeoacline.ct7tas IFII E5 TE•t8; cin_IVLsIllEF,T,51SE AUM ) TIONAL PAGES FOR SPECIFIC AM) G¢ ?NF,RAE, Q OPMITJONS BUILDING CBDiI�(F d� j'R47l7QJCT 1tE V¢�ry C ®Iti$�E18T � ' I ' S1DaGO&I PVO;l .lOd MIAMI -BADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE ML'TRQ -OADls PL.\GLfat BUILDING 140 WEST FLAGLER STRecr. SUITE 1603 MIAMI. FLORIDA 33131)-1563 (305) 375 -2901 FAN (305) 375.29101 COtvret.Cl'olt IICKIMNINC SECrl(DiN (305) 375.2527 FAX (705) 375•351R CON'1'ItACI'Ol1 ENFORCENII ENT nlvIsloN (305) 375 -2966 FAX (305) 375.290n PROD tier CO 4TKOL- DIf(s ON O0S1. 313 -291): FAX (305) 372.6339 Raul Rodrigues. Chief Product Control Division Francisco .1. Quintana. R.A. Director Miami -Dade County Building Code Compliance Office lSomeNtite: la(( p:// wave .tsuiltlittgctadeoceline_cnn c6OT QLS 6S6 XVd SO :LT • l ofyro:lm Products inc. ACCEPTANCE No.: 01- 9521.02 ROWING ASSEMBLY APPROVAL Coat a� Roofing Sub- Caotcgj RooFTilc Adhesive lyii ao _ t��B Bs: Polyurethane H. SCOPE This approves Polypro® Al•l160 as manufactured by Polyfoaagn Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where (he design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Rooting Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® Ali 160. Where the attachment'caalculaations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems 2. IPM I DUCT DESCRIPTION Maaniafiacttored by Test Applicant e xj ic>etbmns Polypro® AH 160 PA 101 f oatnpro;? RTF 1000 ProPacke 30 & 100 pimensions N/A N/A N/A 2.1 Components or products manufactured by others: Any Miami-Dade County Product Control Accepted RoofTile Apsembly having a current NOA which list uplift resistance values with the use of Polypro 1411160 roof the adhesive. 2.2 Typical Physical Properties: Property Test Density ASTM D 1622 Compressive ASTM D 1621 Strength Tensile Strength ASTM D 1623 Ater Absorption ASTM D 2 127 Moisture Vapor ASTM E 96 Transmission Dimensional ASTM D 2126 Stability 0.08 Lbs. /Pt 3.1 Perm / Inch Approval Date: .iaatax fl�&.,,a(Itifl Expiration Date: May 60. 40016 Banks 1.6 lbs.R. 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise : +0.07% Volume Change a -400 P.. 2 weeks +6.0% Volume Chan 'c (id :Humidity. 2 rveeks Produce Description Two component polyurethane Dispensing Equipment Dispensing Equipollent Frank Zuloagn. RRC Product Control Examiner COO CA DNY'S,LDt1Q011d liVOJA1Od Et'OT 5Le 653 XWd SOLI Ma CO /CT /7,0 t 0 0 I P'olyforarau Prodatels trae Note: The physical properties listed above are Presented as typical average values as determined by accepted ASTM test methods and arc sanbject to normal manufacturing variation. 3. LIMITATIONS 3. I1 Fire classification is not part of this acceptance, Refer to the Prepared Roof Tile Assembly for tire rating. 3.2 Polypro® AH160 shall solely be used with flat, low, & high tile profiles, 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120, 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® A1°I l60 roof tilt adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AI -1160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F ._ MS 4. 11NSTALLATIIa.N 4.11 Polypro® AH160 may be used with arty roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH I60. 4.2 Polypro® AH 160 shall be applied in compliance with the Cornponernt Application section and the corresponding Placement Details noted herein. The roof tilt assembly's adhesive attachment with the use of Polypro® AI shall provide sufficient attachment resistance, expressed as an uplift based systerh, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro': AH160 Operating.lnstwction arid Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "b" component shall be maintained between 1.0 -1.15 (A) : 1.0 (13). The dispense timer shall be set to deliver 0,0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® Al -1160 shall be applied with Foampro R,TF 1000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® All 160 shall not be exposed permanently to sunli ACCEPTANCE. No.: 01 0521.02 Frank Zulo:nga, RRC Product Control Examiner '0NI'S,LOi14OUd aVOJAlOd ZtOT 9/S t'28 Xvd 90:2,1 11H,I, CO /CT /80 00P1 1'olyi'ottm Prodtucts, Me Flat, Low Hi it Profiles #2 Flat, Low, Hi ! h Profiles #3 S. LABELING ' ANT ' S,LDt1i02id N OJA Od ACCEPTANCE No.: 01- 0521.02 4.8 Tiles must be adhered in freshly Applied adhesive. Tile must be set within 2 to 3 minutes aver Polypro® A1-1160 has been dispensed. 4.9 Polypro® At•1160 placement and rhinimutn patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. '('able Il: Adhesive linemen( For Fitch Generic Tile Profile '1'ilePraPale Placement Single Paddy Weight Two Pnddy Weight Detail • Min, (grams) per paddy Min. (grams) Flat, Low, Hi th Profiles _ # I 35 N/A High Profile (2 Piece Barrel) 01 17 /side 081 . cap and 34 /pan 24 N/A N/A 8 All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUQREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. Frank Zuloaga, RRC Product Control Examiner UOT 9LS tS6 rid 90: Li 11HL £0 /£T /80 900 ion Products Mc. AD1RESIVE PLACEMENT DETAIL I SIN4E PATTY 5 ACCEPTANCE No. : Oi521.02 Nell Ihnettoh plosde teteout Underlayrnent 1 10 In Ezra Cant fad coma oar Beep aftW00. 0 It from .aaphota Patty (Beneath MI I) Pate enthigh adhesive he ecNeve 17 le 2] Kuala Intheo le contact rata the on the 1) LIM mete upside death Plate edheolve ink re 1 tn. From outside edeo d Over let M00 Istiten Um Ns. D aln pr.114.00r-04 11.1 010 OW& Mega Ramo. too polo of too opt . come corer WC li0110 second tome at Me Wee. Eheuto we 554 01 ma end toot. the ate Chtett d eavo dee. Ewe CICSUra Prectil etatAl Wooettate heals Bo Drank Zuloasa, R.RC Product Control Examiner *DNI'siamoud NVOJAIOd ZtOI 9L3 'PSEi XVd 90:LI au co/ci/zo Poi 6 r t Products duc. ADHESIVE PLACENIENT DETAIL 2 SINGLE PfvrTv ACCEPTANCE No. : 08- 052I.Q2 Esn Gasrare Nail through plastic cement tti+dodaymit. Eva Course Paddy (Barisalh Tae) Nall through plastic cement UndoriaymaeI fave Como Eova Closure Paddy (Bernath That Fascia %spa Eaea dram Orip edge 6 Frank Zuloaga, RRC Product Control Examiner LOOZ D1I SJ.D11QOid htlYOiA'ZOd Zt®i scm css XVJ LO:LI MIL CO/CT/Z0 Po lyroam Prortc. Single paddy on top of tile Few Coarse 7 ADHESIVE PLACEMENT !DETAIL 3 Doull,LE PATTY 800TI DNISLD11UOd NVOIA10d ACCEPTANCE No. : 01-052 .02 Nall through plastic coolant Single paddy on top of tile Single paddy under tile ?fell through plastic content Nail through plastic ce Under layment Sing o paddy under tile %iota paddy on top of tile Eava Course Single paddy between ttle Eave Closure 2 In.: 7 in. medium sise paddy eve courso only Fascia 1 ZulOnga, !MC Product Control Examiner Singlo paddy undo; flirt Single paddy betweea fife 2 (n. 7 In.nieniurn etre paddy °aro course only ZtOI 8LS t XVd LOiLi an CO/CT/E0 Fasela Weephole Eve CIOSUfe Drip edge Poll/Foam Products, Inc. ACCEPTANCE No. : 01.052102 Renewal of this Acceptance (approval) shall bc considered Mier a renewal application has been tiled and the original submitted documents, 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 tuanufacturer's name, city, state, and the Following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3, Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code. changes. b. The product is no longer the same product (identical) as the one originally approved. c. (f the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause .for termination of this Acceptance, unless prior written approval has been requested (through thc tiling 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 sale, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by thc expiration date may be displayed in advertising literature. If any portion of thc Notice of Acceptance is displayed, then it shall be done in its entirety, 7, A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall bc provided to the user by the manufacturer or its distributors and shall bc available for inspection at the job Site at all time. The engineer need not reseal the copies. 3. Failure to comply with any section of this Acceptance shall be cause for temnination and removal of Acceptance, 9. This Notice of Acceptance consists of pages 1 through E. 93N® OF T1-11S ACCEPTANCE: it Frank Zuloaga, ItRC Product Control Examiner 60011 '0NI'S,L011Q02id 1603A10d Z60T 9L9 PS6 „Yd LO :LT 11HL CO/CT/g0 Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795 -2204 Printed: 10/1/2003 Applicant: JOAN Owner: MAXWELL JOB ADtRESS: 1070 NE 96 Contractor JOHN BUSTA Local Phone: 305 - 219 -9699 Parcel # 1132060143510 Signed: (INSPECTOR) Signed: Building Permit Permit Number: BP2003 -1575 MAXWELL JOAN ST Contractor's Address: 300 NE 91 ST Permit Status: APPROVED Permit Expiration: 3/28/2004 Construction Value: $1,200.00 Work: REPAIR Page 1 of 1 JARS 0 7 MID Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 8 & E1/2 OF LOT 9 BLK 81 LOT SIZE Fees: Description Amount FEE2003 -5877 Building Fee $60.00 FEE2003 -5878 CCF $1.20 Total Fees: $61.20 Total Fees: $61.20 P Total r eceipts: $; �.�u Q q 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. (Contractor or Builder) BY: id 91 6016.3 c_ ZZ