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1249 NE 97 StOwner's Name and Address STATE OF FLORIDA COUNTY OF DADE. } SS. 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ("apt's ; Permit No. ' 1' Date Read. Sworn to and Subscribed before me. Date 7 l - C/ 19 ` 9 No. 42 -`, 9 Street ef✓ 5- 9 7sir- Registered Architect and/or Engineer r Name and address of licensed contractor W 4/ QV "` -� AIC-k n Location and legal flescription of lot to be built on: Lot (.6 ' Block �! Subdivision dG 1 /1 I ge— 1 #110 1 Street and Number where work is to be done 1° ‘ f I " `� /` 97 S State work to be done and purpose f building Iby ors). state exterior colors (submit samples) XA New Building Remodeling Addition Repairs lb be constructed of Kind of foundation Roof Covering 2 q� Estimated Total cost of improvements 5 _?7p0 d Amount of Permit S 7 9 `� 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 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 1-- ` / -6 4•0-g/t..6 1 0 �k s No. of Stories Before me. the undersigned authority, a otary public, d aut ized to administer oaths and take acknowledgments, personally appeared X LI /R. 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. Disapproved Date Notary Public State of Florida (Signed) 'oAg+ y.. Building Inspector PLANNING BOARD My Commission Expi W t` w DATE and for no other purpose Chairman Member Member Member - Member Member -Incil Approved Date Disapproved Date A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. -tion fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship. 12301 -48 5/03 PAGE 2 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Perm* No. 612 05 Process No. Contractor's Name p.,, ,\ kawodeg Job Address l ' l\ J r$''R ot IRE Eg cu . ROOF CATEGORY P NO 's Low Slope .❑ Mechanically Fastened Tile ❑ Mo r /Adhes e ❑ Asphaltic ❑ Metal PaneUShingles ❑ W Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE WZADt 1556 Are there Gas Vent Stacks/ Yes ❑ No Type: Natural ❑ LPGX ❑ ❑ New Roof 'Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) • Total (SF) 0 ,aia. t Soo Sketch Roof Plan: Illustrate all levels and sections, roof drag s„ Bc pp o rs overflow scuppers and overflow drains. Include dimensions of sections and li b1 - cteatly Identify dime slons of elevated pressure zones and location of parapets. ■. ■ ■. uu. fl: :e CCCC CC ' CC C CCC ' CCCCCCCCCCC. " CCCC ' C " CCCC '.■.■ ■ ■ ■ .. ■.r ■ ■ � ' CC CCCCCC ■ ■ ■ ■..... . C ■..■■■■.■■ ■. .Ci C ■C■ ' i.... C.C.C■:C auuuuuCCCCC.►rc/E■■CCC.C.CC ..'1'� ■ .C.C...C......CECC. . C ...■ pp ' "' 'C . i. . uu s CCCC C • C'C is C C'.pC CCCC pp C E C .■... ■ . 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C ..■ ■./.■ ■.u■■■■■ ■ /... ■ ■..■■........■■.■ .. ■..r/........t!■ ■..■ ..r.■■.■■UI ■.■ ■■ ■. ■..■...■ ./...■ /..■ onsimmum moiiu: r■■ C..■■■nr. ■■■....■■n...■■C.r■.■.■■C.■■■.■ ■■■■...C■.■ ...I mmmmmmm ■■■■.■■■■ ■■ ■■■■■■■■■■■.■■■■■■■■ ■■■■■■■■■■■■■■■■ ■ n.■.■ n► I..■ C■■ l.........■s.■..■......■■■ ■ ■.■■■...■■.■.. ■■■../■.■n.■.■■.■ ■....rI fa■...■ ................s.......■.■■■■. ■./.■....................■....■ 0 `7. r 1248 KE 9'(it •5• t555 WittR.ic,pN$ 9.4#4s4a 11 NE u o5•Ms5 1249 91 sr os-im � lvslieg+.cA144. tztpstirt► ikutacret44. 0442.44 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/4/2005 Applicant: STEPHEN Owner: MARINO JOB ADDRESS: 1249 NE 97 Contractor KAWALEK ROOFING, INC Local Phone: 786- 277 -9540 Parcel # 1132050090410 Fees: FEE2005 -14138 FEE2005 -14139 FEE2005 -14140 FEE2005 -14141 FEE2005 -14142 FEE2005 -14143 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $350.00 $13.20 $5.00 $4.40 $8.75 $6.00 $387.35 Total Fees: $387.35 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/3/2006 Construction Value: $22,000.00 Work: TEAR OFF EXISTING FLAT ROOF; REPACE W A NEW FLAT ROOF SYSTEM ONE PART IS IN A EMERGENCY TO ROOF IT (18 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: [: P2005-1555 MARINO STEPHEN ST Contractor's Address: P.O. BOX 531051 BY: Page 1 of 1 Legal Description: EARLETON SHORES PB 43 -80 LOT 15 & W1/2 LOT 16 BLK 3 LOT SIZE NOV 0 4 PAID GK toZ2 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. 465 MIAMI, S O' BUILDING D :►' RTMENT 305 -795 : 04N®" 1 6 2005 B Id I Inspection Date 1 I l �° c,5 Approved Correction C3 Re- Insp'n Fee ❑ ui ing nspec � , Date 1 l 1 1 S O�00000000000 000000000 Type Insp'l 1 1 -- � Permit No. tap- 1� r 5 5 Name 1.1 1P-12.1 A h. 0 Address 1 2-4c1 \We c7 5T Company Ac W ALE. K. la / �lU Phone # ( 2-777 qs 40 Date l 7 )°S Type Insp' n I I N C A3' Permit No.`'' 1 SSS S r�v��► . .4 / /.►o Address 24-41 Company 4 <44 W A L b( ! Phone # (18 &/ a 7 -i — QS 40 Name +55q NOV 082005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Inspection Date 1 I ` 3 I Approved Correction Re- Insp'n Fee 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section C (Low Sloped Roof System) Fill In Specific Roof Assembly Components and identify Manufacturer (If a component is not used, identify as 'NA") System Manufacturer. 6 Ik E NOA No.: 02 Og 0 1.4 05 Design Wind Pressures, From RAS 128 or Calculations: Pmax1 5Pmax2: u r 1 .3 pmax3 J3 I Max. Design Pressure, Frotulhe Specific NOA System: Deck , - I Type: 1A 0O 5� gII Gaugeflhicimess: Slope: Anchor/Base Sheet & No. of PIy(s): rig insulation Base Layer. Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Py(s):A y -Fibe rghX Base Sheet Fastener/Bonding Material: Ply Sheet(s) .& No. of Ply(s):4Q"p) y"'Fj aer9iass Ply Sheet F$stz er/ ndding4 / aterial: Top PIT Kher-A,' Cap sheet TopPJ, apten�'} 1��1 " t� r /� n M�arial: Surfacing: " Fastener Spacing for Anchor/Base Sheet Attachment Field: q ' // oc @ Lap, # Rows a_ Q 9 • oc Perimeterr. q ' oc (� Lap, # Rows �' @ 6 ' oc Comer. "7 ' oc @ Lap, # Rows 4' b 0c Number of Fasteners Per Insulation Board Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Sparing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. GAF Mineral- 4 Cap Sheer 3X3 galy IrrP � — q ilk. f& ,a-pl l berg — itn5 bo 5'/g 11 wo od. FT. FT. 0 Parapet Height I 0 i Mean Roof Height 123_01-48 5/03 PAGE 3 452.2. NOV o 72005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n 1L ( Permit No. O5—t5'7,5 Name Address t zAc ICE 91 5 Company QA L Phone # Inspection Date Approved Correction Re- Insp'n Fee 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. Q ) 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. _ 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. _ (96. 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 in 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. It / / DS 46. Vetwafise Date Contractor's Signature Owner's/Agent's Signature Si v\ CADOCtfl1 E- ikmpLLOCALS- MtmOSECTION 151l.dO D ADE MIAMI BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI- I)AI)T COUNTY, FLORIDA M rRO -DADE FLAGLER BODING 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 (AI.1J). 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 AH.1 (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. if this.prbduct or material fails to perform in the accey;' manner, the manufacturer will incur the expense of. such testing and the MU may immediately revoke, ril • c y, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke thilcceptance, 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: CAP Conventional Built -Up Roof System for Wood Deck. 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. TERMINA'T'ION 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 cornply • 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, there it shall be done in its entirety. INSPECTION: A copy cif 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 002- 0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA Nu: 03-0501 .05 Expiration Date: 11 /04/08 Approval Date:10/23 /03 Page 1ciit21 ROOFING SYSTEM APPROVAL Category: .Sub - Category: 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 (Matrix " 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat ,a Emulsion (Matrie" Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (Matrixes System Pro Al wninum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (Matiix Standard Wet/Dry Roof Cement 204) RUBEROID© Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAPGLAS® #'15 GAFGLAS #80 Ultima 13ase Sheet GAFGLAS Flex P1yTM 6 Roofing BUR Dimensions 5, 55 gallons 60 lb. bags 5 gallons Test Specification Product Description ASTM D 41 Asphalt concrete printer used to promote adhesionrof asphalt in built -up roofing. ASTM D 1863 Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield& Granules shall be used for flashing applications only. ASTM 1227 Surface coating for smooth surfaced roofs. 1, 5 gallons ASTM D 2824 Fibered aluminum coating. 1, 5 gallons 5 gallons 5 gallons 39.37" (I meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM 1) 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement ASTM D 4601 Asphalt impregnated and coated glass mast base sheet. ASTM D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coaling. NOA No: 03- 0507 -05 Expiration Date: 11/04/08 Approval Date:10 /23/03 Page 2 cs t 21 •' i Product GAFGLAS Ply 4v GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENTO Eliminator Perforated GAFGLAS ® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable RUBEROID© SBS Heat- We1dTM Smooth RUBERO1D® SBS Heat - Weld''M Granule RUBEROI)® SBS Heat - WeldR M 170 FR RUBERO1Dti SI3S Heat - We1dTM PLUS RUBEROID® SI3S Heat - Weld PLUS FR RUBEROID® SI3S Heat - Weldmi 25 RUBEROID Modified Base Sheet Ruberoid® 20 Ruberoid® Mop Granule 'Pest Dimensions Specification 39.37" (1 meter) ASTM D 2178 wide 39.37" (1 meter) ASTM D 3909 wide 39.37" (1 meter) ASTM D 4897 wide D 3672 Various 39.37" (1 meter) ASTM D 4897 wide D 3672 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 rneter (39.37 ") ASTM 0 -6164 wide 1 meter (39.37 ") ASTM D -6164 wide 1 meter (39.37 ") ASTM D -6164 wide 39.37" (1 meter) wide ASTM D4601, Type II, UL Type G2 BUR 39.37" (1 meter) ASTM D 6163 wide ASTM D 5147 39.37" (I meter) ASTM D 6222 wide ASTM D 5147 Product Description Type IV asphalt impregnated glass felt wills asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet impregnated and coated on both 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 nitueral 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. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Premium glass fiber reinforced SBS - modified base sheet SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated with polymer modified asphalt and surfaced w ith mineral granules. NOA Nu: 03- 051)1.05 Expiration Date: 11 /04/08 Approval Date:10/23N3 Page 3 of 21 ' Product Ruberoid® Mop Plus (Granule) RUBEROID MOP . Smooth RUBEROID® MOP 170PR RUBEROID® MOP FR RUBEROID® TORCH Smooth RUDEROID e TORCH Granule RUI3EROIDU 'TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 170FR TORCH RUI3EROID® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS RUBEROID® Dual FIR Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (I meter) wide 39.37" (1 meter) Wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) Wide Test Specification ASTM D 6222 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTMD 5147 ASTM D 5147 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTMD 5147 ASTM D 622.2. ASTM D 514.7 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 Product Description Non - woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer- modified asphalt and smooth • surfaced. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen Membrane, smooth surface. Asphalt impregnated, coated felt, surfaced with mineral granule. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non -woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt and surfaced with alutninum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer modified asphalt and surfaced with mineral granules. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 4 cot 21 Product Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix ® System I'ro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RIJBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet Tile -Mate Cap Sheet Shingle- MateTMM Underlayment TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAP WeatherCote® MB-1-(Matrix 715 MB Coating) TopCoat M13+(Matrix 715 MB Coating) WeatherCote'�' (Matrix 531 WeatherCote® • Elastorneric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SI3S Adhesive (Ruberoid®MB) Matrix 201 System Pro SI3S Flashing (RuberoidOMB) Matrix 102 Select SBS Adhesive Test Dimensions Specification 5 gallons 5 gallons 1001b. cartons, bulk 60 Ib. kegs 39.37" (1 meter) ASTM D4601 wide 39.37" (1 meter) ASTM D 3909 wide • 4 sq. roll 30 lbs. 5 gallons 5 gallons 5 gallons 5 gallons PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D2824, Type 1 5 gallons 5 gallons ASTM D3019 5 gallons ASTM D3019 5 gallons ASTM D3019 Product Description 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 ASTM D312, Interply mopping and surfacing asphalt Types 1, II, III and IV SEBS modified asphalt Asphalt impregnated and coated, fiberglass base sheet Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass reinforced shingle 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. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 5 of 21 Product (R.uberoidOM13) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement M.airix 103 Cold Adhesive Matrix 303 Select Fibered Alurninum :Matrix 304 Select Non- Fibered RUfEROID® Modified Bitumen Adhesive APPROVED INSULATIONS: Product Name GAP TEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFI'EMP® Composite A & N Dimensions 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons (1BMCA)GAPI'EMPO Fiberboard GAMEMPW Perrualite GA.}TTEMP GAPCANT'M GAI'I'LM1' Pcruaalite Recover Board G AI TEMP GAI:r LK ;E' M Tapered Edge Strip (11MCA) GAF1'EM1'(i) High Density Fiberboard liMCA EnergyGuard, RA ItMCA. Composite flnergyGuard, RA 1'YROX \lrltitc Lice 1'est Specification ASTM 1)4586 ASTM D4586 ASTM D4586 ASTM I)3019 ASTM D 2524 ASTM 1)2824, Type 1 ASTM D 3019 Type 111: TAME 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or l'rrmalite perlitc insulation. . Fiberboard insulation. Perlite insulation hoard. Cut perlite hoard Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurale foam insulation Poiyisocynurat.r. /wood Fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam iasulation Product Description 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- tibercd aluminum pigmented, asphalt roof coating. Fiber reinforced, rubberized Adhesive Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials C.'orp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. Apache Products Co. NOA Ni; 03- 0501.05 Expiration Date: 11/04/08 Approval1)ate:10 /23/03 t'age6of~ 21 APPROVED INSULATIONS: Product Name ACFoam I, II & Composite ISO 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck E'NRG'Y -2 & E'NRG'Y -2 PLUS, UltraGard Gold FibeiGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number 1. 3. 4. 5. 6. Product Name GAFTI1'E® (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener GAFTITE® (Drill -Tec®) ASAP GAFTITEO (Drill -Tec ®) Base Sheet Fastener and Plate Galvahunc Plates (Drill - TectJ Metal) Polypropylene Plates (Drill -Tec ® Plastic) Dekfast Fasteners #12, #14 & #15 TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFIITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalturte stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks 3" and 3' " Manufacturer (With Current NOA) Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. generic generic generic G -P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3' " GAF Materials Corp. Construction Fasteners Inc. NOA No: 03.0501.05 Expiration Date: 11 /04/08 Approval Date:10/23 /03 I'age 7 of 21 APPROVED FASTENERS: Fastener Number Product Nance 7. Dekfast .FTex Plate 8. Delcfast Lock Plate 9. #12 Roofgrip Fasteners 10. Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener 13. Olympic Fastener #12 & #14 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G -2 17. Olympic Standard 18. Iusul -Fixx Fastener 19. btsul -Fixx S Plate 20. Iusul -Fixx P Plate 21. Tru -Fast 22. Tru- Fast 1'lates 23. Tru -Fast Plates TABLE 3 Product Description 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 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 Dimensions 2 7/8" x 3 3" x 3 '/a" 3 " round 3" square 3.2" 3.25" round 3.5" round 3" round 3" round 3" round 3" round 3" round Manufacturer (With Current NOA) Construction Fasteners Inc. Construction Fasteners Inc. ITW Buildex Corp. ITW I3uildex Corp. ITW Buildex Corp. Johns Manville Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. SFS /Stadler SFS /Stadler SFS /Stadler The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. NOA No: 03- 0501.05 Expiration Date: 11 /04/08 Approval Date:10/23 /03 Page 80.21 EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corp. Factory Mutual Research Corp. Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. 1RT of S. F1. IRT of S. Fl. Test Identifier FMRC 1996 J.I.2B 8A4.AM J.I. 3B9Q1.AM J.I. OD0A8.AM J.I. 0D1A8.A,M J.I. 0Y9Q5.AM GAF - 012 -02 -02 GAF- 020 -02 -01 02 -005 02 -014 Description Current Insulation Attachment Requirements Wind Uplift FMRC 44704 Wind Uplift FMRC 4470 - PA 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 Date 01.01.96 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 11.06.01 02.01.02 01.18.02 03.22.02 NOA No: 03- 0501.05 Expiration Date: 11 /04/08 Approval Date:10 /23/03 Page 9 of 21 Deck Type 1: Deck Description: System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: 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; Fastening Options: .'GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base 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 Ply"EM 6, GAFGLAS #75 Base Sheet or any of above Base 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 Lintjtation #7) GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a y fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in t e field. (Maximum Design Pressure —52.5 psf, Sig General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #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 Base 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 — 60psf, See General Limitation #7) . GAFGLAS #75 Base Sheet or any of above Base 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) One or more n]ies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6® ply sheet, #80 Ul'ima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs./sq. (Optional) One 1 of GAFGLAS® Mineral Surface d Cap Sheet adhered in a full mopping of approved asphalt app ie within t e range and at a rate of 20 -40 lbs. /sq. Wood, Non- insulated 19 or greater plywood or wood plank decks NOA No: 03 0501.05 Expiration Date: 11/04/08 Approval Date:10 /23/03 I'age 18 01'21 Surfacing: Maximum Design Pressure: (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 gal./sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal. /sq.; or GAF Premium Fibercd Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal. /sq. 2. Asphalt flood coat at an application rate of 60 lbs.sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 3001bs. /sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. See Fastening Above NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 19 of 21 • •, r , WOOD DECK SYSTEM I • 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mecl;anicall anchor sheet. y 2. Minintuni r/" Dens Deck or Yz Type X gypsum board is acceptable to be i wood deck. installed G ENTERAL LIMITATIONS': 1. Fire classification is not part of this acceptance, refer to a current Approved Directory for fire ratings of this product. 2. Insulation znay be installed in multiple layers. The first layer shall be attached ofing Materials Control Approval guidelines. All other layers shall be adhered in a full mopping the toer approved asphalt applied within the C;VT rangy 1tP.d err compliance with attached using the fastcnin L e and at a rate of 20-40 lbs. /scJ., or r,, r: of 3. All standard panel sizes a clxable for mechanical atlnchnrFrtt• c;dly asphalt, panel sire shall be 4'x 4' maxim m. Wltr n a 4. An overlay applied in approved and /or recovery (ward insulation panel is required on all applications over closed cell foam insulations when the hays sheet is full mopped. ..d. shall be applied using, y 1 P° If no recovery board is used the base �.hcrt „ spot mopping wish approved asphalt, 12" A 6" break shall owing he diarrn_ ter circles mopped K" ribbons in three rows, one at each sidclap and one down the center of the sher all a continuous area oC v • � 24' a. c.; ur ;Trip i ntilation• l?ncircling of the strips is not acceptable. t i.ilation. Asphalt application of eitl t 1 >e at a minimum rate: of 12 Ibs. /s 1 l system sh placed every 12' in each ribbon to allow cross vent e Cosign pressure of -45 psf. `�' Note: Spot ath,chcd systems shall be limited to a maximu m 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic 275 lbf., as tested in compliance with Testing Application Standard TAS 105 L r.. If the • s as field - tested, are below 275 Force (1�� value of G. Fastener spacing for mechanical 1�� insulation afr cnc sheet acceptable. li,ner value, on a minimum fastener resistance value in conjunction with the maximum design, value listed a specific system. Should the fastener resistance be less than that required, as determined by or membrane attachment is based Building Official, a revised fastener spacing, prepared, tiigned and sealed by s the within l t1ginc -er, Architect, or 1 Zegietcrcd Roof Consultant may be submitted. Said revises) shall utilize the withdrawal resistance value taken from Testing Application y a Florida 1'I f,c,grterc:d calculations in compliance with Roofing Application Standard RAS 117. fastener spacing Perimeter and comer arras ;;hall comply with the enhanced uplift Standards'lAS 105 and areas. Fastener densities shall he increased for both insulation and base sheet as calculated compliance with Roofing Application Standard RAS l l7• P pressure requirements of these this frog flc in 8. n f [ cri n tcrJnailc•�sron will not he applicable.) All atlacluneitt and sizing nfitation it sped Cicully .. mpli referred c w t shall conform with Roofing Application Standard RAS 1 1 and applicable load requirements. The ntaxintunl designed g termination designs ned pressure limitation listed shall be �npplicable to all roof pressure zones (i.e. field, perimeters, and corners ). Neither rational analysis, nor extrapolation stall bepetmrtted for - enhanced fastening at enhanced pressure zones (i.e. perimeters, extends (When this limitation is specifically referred within this NOA d corners and corners). Wi l. be applicable.) 10. All products listed herein shall have a quality assurance audit � C�c•rternl Limitation If7 wll 1101 t Building Code and Ru lc 913 -77 of the Florida AdministrativeCode ` ord.ntce with the Florida END OF THIS ACCEP'i'ANCE? fastened base or directly over the NOA No: 03- 0501.05 Expiration Date :11 /04/03 Approval Date :10/23/03 Page 21 of 2 I Roofing Systems (TGFU)— Continued GAFGLAS #80 Premium Base Sheet may be used in any of the follossing systems. "GAi'glas Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ". GAFTEMP Permalitr Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Hot rno Class A, B and C fing asphalt. for use with organic and glass felts or modified bitumen membranes. " Ruberoid Heat Weld" SBS roofing membraner may be used in lieu of " Ruberoid Mop" SBS products in any applicable Classification. Class A 1 . Deck: C-15/32 Incline: Insulation (Optional): O or more layers ao rlite, wood fiber, glass fiber. isocyanurate• urethane. perlite! isocyanurate composite, perlite, urethane composite. wood fiber /isocyanurate composite, phenolc, perlite! y thickness. Ply Sheet: Three or more layers Type G1 •• CAFGLAS Ply 4" or 0 2. "GAFGLAS Ply 6", hot mopped' Surfacing: Gravel. Deck: C -15/32 Insulation (Optional): One or more layers fiber• isocyanurate, urethane, perlite /isocyanu a composite, perg je s urethane composite, wood fiber /isocvanurate composite, phenolic, any thickness. PIy Sheet: Three or more layers Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: One layer Type C3 "GAFGLAS !vlineral Surfaced Cap Sheet". 3. Deck 1C Incline: 2 Insulation fiber, isocya u aten uret pe lie /isoc arttet composite, perlite/ urethane composite, wood fiber /ism ..anurate composite, phenolic, 2 in. max. Ply Sheet: Two or more lavers Type GI "GAFGLAS Ply 4" or "GAF- • GLAS Ply 6 ". • Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck NC Ince: Insulation: One or two lavers "Isothenn E R R , 4 in. max, hot mopped. Ply Sheet: An LL Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck: C•15/32 Slip Sheet (Optional): Red rosin a Incline: e' 1 Base Sheet: One layer of Type C2 " GAFC L AS d #75 Base Sheet" (may be nailed). Ply Sheet: One or more layers of Ty GI GA.FCLAS Ply 6". P G1 "GAFGLAS Ply 4" or Cap Sheet One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 6 . Deck: NC Base She One layer of 'Type G2 Incline: 3 Ply Sheet lavers of Type G1 P GAFGLAS #75 Base Sheet", One or more "GAFGLAS Ply 4" or GAFGLAS Ply 6' Cap Sheet: One laver of Type C -3 •'GAFGLAS Mineral Surfaced Cap Sheet ". 7 . Deck C -15/32 Insulation On or more layers perbte, glass fiber, isocyanurate, u. thane, perlite /isocyanuratecomposite, perlite /urethane composite, phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G1, C2 or G3. or e Mmbrane: One Membrane: e: One Torch a avers of " Ruberoid Torch" s granule) or "Rube (granule), " Ruberoid Mo (month or Cap Sheet: • GAFGLAS op Plus" (granule). p„ (smooth or 8. Deck: C-15/32 Mineral Surfaced Cap Sheer', hot mopped. Insulation ( Op tional): One Incline :2 ne ur more layers perlite, wood fiber, glass fiber, rsocyanurate, urethane, urethane c omposite, wood fiberr/isocy nurate rate composite, lie, perlite/ thidcness. 'anurate composite, phenolic any Ply SS Sheet Two or more layers of Type G2 or C3. yrrtb (Optional): One or more layers of Type Cl. cane: One or more layers of "Ruberoid Torch" ( granule) o R d Torch Plus " ( g ranule), " Ruberoid Mop" smooth or road Mop Plus. (granule). smooth or 1 De In (i th PI Su C Dec Ins fib ore this Ply "GA Sur I. Deck Ins fibe r Ply "GA Surf 1 -1/ 2. Deck Insul fiber, ureth thic kn Ply S "G Surfa 3. Deck: Tnsula Ply Sh mat 4. Deck Insula wood Base mop pe PIy Sh asphal S a gal 5. Dec • Ines tiat5 meCha LOOK FOR THE UL MARK ON 1. ROOF COVERING MATEAIAL.S REVD R oofing Systems (TGFU)— Continued Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped 1. Deck: C -15/32 Class B t i Insulaton (Optional): tional): Incline: 3-112 fib , Insulation or mor: 'avers perlite, wood fiber gl cyanurate, urethane, perlite /trcz•a1urate composite pe :It urethane composite, wood fiber thickness. / isoc� ant:rate composite, phenolic a Ply Sheet: Twit or more lavers or Type G1 "GAFGLAS Ph .t•• "CAFGLAS Ply 6" Cap Sheet: Type G3 "GAFGLAS Mineral Surfaced Cap Sh 1 mopped. 2. Deck C•15/32 Insulation (Optional) One or Incline: 3-1. 2 ocyantrra fiber, is more layers perlite, wood fiber. :la te• urethane. perlitertsocvanurate composite. perlttt Methane composite, wood fiber; isocvanurate:ompos.te. phenolic a: thickness. Base Sheet Two or more layers of Type G1, G2 or G3. Membrane: One or more avers of " Ruberoid Torch' (smooth t granule), "Ruberoid Torch Plus" (granule), "Ruberoid \fc�p' r smooth t granule) or " Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", ho: in.-'F'ed ck C-15/32 Class C sulation ( Optional): One or enure layerc w ocd fib g a, ber. isocranurate, urethane, perlite /isocyanurate compost :e, pe.lrte, r ethane composite, wood fiber/ composite, phenolic am ickness. Tv y Sheet: Three or more lave of F ; GAFGLAS Ph. 6", Pe G. "GA. (. 1.:15 Ply of rfacing: "Special Roofing Bitumen" 20 Ibs!sq. OAL TAR FELT SYSTENIS WITH HOT ROOFING COAL TAR k: C -15/32 P Class A ulation (Optional): Incline: ) ers p erli I!2 One or more late. wood fiber, glass rr, isocyanurate, urethane, perlite, isotyanurate composite, perlite/ bane composite, wood fiber /isocyandrate composite phenolic, any :ness. Sheet Three or more layers of Tvjte GI "GAFGLAS Ply 4" or FGI.AS 1 AS Ply 6", hot mopped with coo tar bitumen. facing: Gravel. COMBINATION HOT AND COLD SYSTEMS NC Class A ". ulation (Optional): One or more lay)er to . perlite, wood fiber or gI .ss • , 2 in. max. Sheet Three or more lavers of Type GI " or FGLAS Ply 6" (3 :FGLAS I'Iv 4" acing: Grundy Industries "al MB Akrgii_num Roof Coatinu ". ae. 2 gal /sq. .. • _ NC ation (Optional): One or more layers e perlite, wood fiber, l ass cy isocyanurate, urethane, perlite /isoa:.urate composite, er1ltl / ane composite, wood fi ber /isocyanurate composite, phenolic a ess. beet Three or more layers of Type G1 "GAFGLAS Ply 4" or "GAF Ply 6". NC g: "Weather Coat Emulsion" at 3 gal /sq. • lion: One or two la Incline: 1/2 Any A layers "Isotherm R ", 4 in., hot mopped. s stem. y Ul. Classified grave surface Class A asphal glas fiber c anomieIncline: 2 NC lion (Optional): Iso fiber and glass fiber, , perlite, iso /composite Sheet and One 1 any thickness, mechanically fastened. d ply Type C1 or G2 mechanically fastened or hot t et One or more plies Type Cl or G2, adhered with hot roofing NC& GAF Premium Fibered Aluminum Roof Coating ", 1-1/2 Coat Emulsion", 3 gal/544 on (Optional): Perlite, Incline. 1 y any thickness. nicall fastened, ite, glass' polyisoeyanurate, wood fiber, RODUCT BUILDING PERMIT APPLICATION FBC 2001 Owners Address la Hq N � Ci 1 �� City MICkiMI .51\0 re, State Fl— Job Address (where the work is being done) a Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition ['Alteration Total Fee Now Due $ 381 • (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. / 1 5 Fzco 5-1555 Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical • //�� Owner's Name (Fee Simple Titleholder) S e� Mari Y C Phone # .305 $ J )_ Obaq ooa H`!ti q'7fh, 1 ['New Zip 33) 3 Tenant/Lessee Name Phone # City Miami Shores Villa :e County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name yocutiadieM Ryon {1G� Phone # 3 05 i75 a,q / Contractor's Address P►o, Box 53 i 05 City M cknil State F L Zip 3 3��$ Qualifier PCUIU Ko ale-K State Certificate or Registration No. Certificate of Competency No. 613 13 6 00 )43 b Phone # NOV 2005 _ � i' f Square Footage Of Work: L I l w E Repair/Replace ❑ Demolition Describe Work: ear _ ro s yS+e O n e ° p i jh �c e uw er g eat L�! It( rn 14' tares) * * * * * * * * * * * * * * * * * * * * * * * * * * ** S * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 550 CCF $ 1 3 • c)0 CO /CC Notary $ Training/Education Fee $ 4 . 4CD Technology Fee $ 8 . "75 Scanning $ ( . � Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Etk ortoci *M aw', elXMVtth• • 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 will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing in trument was acknowledged before me this day of �'!/�t71/1 20 OS ° , by Piti H. / /,,Agi%N1. who is personally known to me or who has produced As identification and who did take an oath. NOTARY PU Sign: Print: 4' /424 /te My Commission 00314804 My Commission Expires\ Or Expires May 17 2008 Signature ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 NOTARY PUB Sign: Print: My o ission ExpW. Contractor The foregoing instrument was acknowledged before me this 4— day of � D , 2( byPAU— /P!C �,�✓�� who is personally known to me or who has produced as identificatio . d who did take an oath. * * * * * * * * * ** ** * *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner v Engineer Zoning J d Thru Atianoc bonting Co., Inc. ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **