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ROOFING
BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) �rY\ €5t £{' 1 I S Phone # Owner's ^ Address 263 /t/' 6 4-A5 + City I v�.i �k S State PL.. Zip 3/ Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO___C,... -- Contractor's Company me c '-\ et< POO h Phone # 3 o5 / S 4-01q/ �/ Contractor's Address a D 0 Y 53 o 1 City , ,.. 1 AZ Fi- Zip 3 3 ) S� Qualifier . A . , LA, a w & Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State Zip $ Value of Work For this Permit 4'OO Number of: Bays Stories Type of Work: DAddition Describe Work: 'e Q e W P /G to e c- 5 Alteration YS Minus Plans Check Fee $ Miami Shores Village Building Department Alf UrCtiof75 0 4 2004 vvy Families :New Phone # Square Footage Of Work: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P Dq T -7 76 ' Master Permit No. 1 400 Baths Bedrooms \"Repair/Re . lace ❑ Demolition .. e /ac-e k ct \IL `` * * * * * * * ** * *1* *c"4f O * * * * ** *Fee Calculation -Misc Permits * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * County Escrow Fee $ clip' 6 Permit Fee $ S 0 ' Notary $ Education/Training Fee $ ' 6 0 Tech $ t Scanning $ ‘. ) U Radon $ Code Enforcement $ Bond $ Fee Totals $ ) l . b-- . (Continued on opposite side) 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 gent The foregoing instrument was acknowledged before me thi 00" day of ,200 ,bye av &i C- !lR.Tt , who is penso y knnwn tom Qr As identification and who did take an oath. NOTARU Sign: Q,l'? L, . , , ' / Print: P4 C ET /? /� , to (Q l My Commission Expires: J44/. 2{, 2-WC g ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: chc6/17/03 Signature V gn e 1 The foregoin day of who NOTARY PUBLIC: Palcta M. W Ell Commission #DD2 '4 . M1 � : Expires: Jan 04, 2008 n n ' '` Bonded Vtnr My Commission E. Atlantic Bondin8 Co., Inc. ********************************************** * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** * *4 (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. Contractor instrument was acknowledged before me this , 20 by l taw /( e or who has produced as id tification and who did take an oath. ' MA CARSON .r_ MY COMMISSION # DD 241500 • EXPIRES: August 26, 2007 * **'atitt";kII"Ir* * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ;* * * * * * * ** Zoning Type Insp'n Permit No. Name Inspection Date 7 Approved Correction Re- Insp' Fee - �Fillin.. and Id (If a SYste SAF • • • . . NOA : — oyo� 09 • Noy o� • ••• • Win Desig d Preessures, From RAS 128 or Ca_lc Pma�i1: 5 ‘ �j1 r3 Pmax3: t 31 i Max Design PressFr� the Specific NOA System: i� � e, l HORES VILLAGE / VII BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Data 25 05 - 11(:, Address Z‘=,-G NE- q(7 ST Company Val W / 2 C , Cfr---1 fV'y Phone # C305Y7 10 - 7 s3 . I(5 I 71- 411' d5 e Mc Roof Assembly '�. lY Comei Manufacturer is not used, iden Pd - E.)C fen ,s or, Pc c • 41) 250. 1/ as ic.s A(-cr tz= 00 , Ccj11, • cing,forAnchor/Base Sheet k Her . • • • - 4c :. P #Rows Q j C�� • oc @ �A # Rows Comer. t ' oc @ Lap, # Rows ,1 (@ `'1 ' oc • Number of Fasteners Per Insulation . Board Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodbloddng, 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 pacing or Submit Manufacturers Details- that Comply with RAS 111 and Chapter 16. / base b era I cSS p 5 hem GhP1'vli \1 c-4'-P5 ee -0galy drip �--� ty- F;ber3i x'15 bc+SCSke x-b V -Soy r t_ FT. cGs et FT. v Parapet Height `D Mean Roof Height 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. (� ( 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 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). Y 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. 7 . 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. 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. _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 roof. Owner's /Agent's Signature C:'oOCC31 E- 1kmp\LOCALS- 11TtmOSECTION 13:4.doc / `3/ o Date Contractor's Signature MIA M IDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, Ni 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 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. 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. LNSPECTION: 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- 0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 1 of 21 Product GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable . RUBEROID® SBS Heat - We1dTM Smooth RUBERO1D® SBS Heat - WeIdTM Granule RUBEROID® SBS Heat - WeldT°s 170 FR RUBEROID® SBS Heat - WeldT" s PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID® SBS Heat - WeldT`i 25 RUBEROID Modified Base Sheet Ruberoid® 20 Ruberoid® Mop Granule Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide • Various 39.37" (1 meter) ASTM D 4897 wide D 3672 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 39.37" (1 meter) wide 39.37" (1 meter) wide Test Specification ASTM D 2178 ASTM D 3909 ASTM D 4897 D 3672 ASTM D-6164 ASTM D -6164 ASTM D-6164 ASTM D -6164 ASTM 0-6164 ASTM D -6164 ASTM D4601, Type II, UL Type G2 BUR ASTM D 6163 ASTM D 5147 39.37" (I meter) ASTM D 6222 wide ASTM D 5147 Product Description Type IV asphalt impregnated glass felt with 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 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. 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 with mineral granules. NOA No: 03 0501.05 Expiration Date: 11/04/08 Approval Date:10123 /03 Page 3 of 21 ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (MatrixTlf 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrix m Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating. (Matrixm System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (M.atrixTm Standard Wet/Dry Roof Cement 204) RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® #75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Flex P1yTm 6 Roofing BUR Wood -75 psf See General Limitation #1 Dimensions 5, 55 gallons 601b. bags 5 gallons 1, 5 gallons 1, 5 gallons 5 gallons 5 gallons 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Test Specification ASTM D 41 ASTM D 1863 ASTM 1227 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement ASTM D 4601 ASTM 04601 ASTM D 2178 Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 2 of 21 Product Ruberoid® Mop Plus (Granule) RUBEROID MOP Smooth RUBEROID® MOP 170FR RUBEROID® MOP FR RUBEROID® TORCH Smooth RUBEROID® TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 170FR TORCH RUBEROIDD® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS RUBEROID® Dual FR 39.37" (1 meter) Wide Dimensions Test Specification 39.37" (1 meter) ASTM D 6222 wide ASTM D 5147 39.37" (1 meter) ASTM D 6164 wide ASTM D 5147 39.37" (1 meter) ASTM D 6164 wide ASTM D 5147 39.37" (1 meter) ASTM D 6164 wide ASTM D 5147 39.37" (1 meter) ASTM D 5147 wide 39.37" (1 meter) ASTM D 5147 wide 39.3T' (1 meter) ASTM D 6222 w ide ASTM D 5147 39.37" (1 meter) ASTM D 622 wide ASTM D 51 39.37" (1 meter) ASTM D 622 Wide ASTM D 51 39.37" (1 meter) ASTM D 616 wide ASTM D 514 39.37" (1 meter) ASTM D 616 wide ASTM D 514 39.37" (1 meter) ASTM D 629 • wide ASTM D 514 ASTM D 61 ASTM D 51 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 rembrane, smooth surface. Asphalt impregnated, coated felt, surfaced with mineral granule. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface 2 Heavy duty, polyester reinforced, coated 47 with fire retardant asphalt modified bitumen membrane, granule surface. 2 Heavy duty, polyester reinforced, coated 47 with fire retardant asphalt modified bitumen membrane, granule surface. 3 Non -woven fiberglass mat coated with 7 polymer modified asphalt and surfaced with mineral granules. 3 Non -woven fiberglass mat coated with fire 7 retardant polymer modified asphalt and surfaced with mineral granules. 8 Woven fiberglass mat coated with Polymer 7 modified asphalt and surfaced with aluminum, copper or stainless steel foil. 64 Non -woven polyester and fiberglass mat 47 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 /0 Page 4 of 21 Product Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix® System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet Tile -Mate Cap Sheet Shingle- MateTM Underlayment 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 Test Dimensions Specification 5 gallons 5 gallons 100 Ib. cartons, bulk 60 lb. kegs PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D2824, Type I 39.37' (1 meter) ASTM D4601 wide 39.37" (1 meter) ASTM D 3909 wide 4 sq. roll 30 lbs. 5 gallons ASTM D312, Interply mopping and surfacing asphalt Types I, II, III and IV 5 gallons 5 gallons 5 gallons 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 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. NUA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10 /23/03 Page 5 of 21 (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 APPROVED INSULATIONS: GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N (BMCA)GAIi1EMP® Fiberboard GAFTEMP® Pennalite GAFTEMP GAFCANTTM GAF~ TEMP Permalite Recover Board GAF I'EMP GAFEDGETM Tapered Edge Strip (B MCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA BMCA Composite EnergyGuard, RA PYROX White Line Product Product Nanie Test Product Dimensions Spceification Description 5 gallons ASTM D4586 Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement Caulk Grade. 5 gallons ASTM D3019 Cold Applied Asphalt Adhesive. 5 gallons ASTM D 2824 Fibered aluminum coating. 5 gallons ASTM D2824, Non-fibered aluminum pigmented, asphalt Type I roof coating. 5 gallons ASTM D 3019 Fiber reinforced, rubberized Adhesive Type Ill TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlitc insulation board. Cut perlite board Perlite recover board Tapered perlite board I-ligh density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocynurate/wood fiberboard composite Polyisocyanurate foam insulation 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. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 6 of 21 APPROVED INSULATIONS: Product Name ACFoam 1, II & Composite ISO 95+ ISO 95+ Composite Wood Fiber J-Iigh Density Wood Fiberboard Perlite Insulation Dens Deck ENRG'Y -2 & ETIRG'Y -2 PLUS, UltraGard Gold FiberGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number 1. 2. 3. 4. 5. 6. Product Name GAFTITE® (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener GAFTITE® (Drill -Tec ®) ASAP GAFTi'1E® (Drill -Tec ®) Base Sheet Fastener and Plate Galvalume Plates (Drill - Tee® 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 Dimensions Insulation fastener for steel, wood & concrete decks. Pre- assembled GAFTITE 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 3" and 3'/s" 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 (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3'h" GAF Materials Corp. Construction Fasteners Inc. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 7 of 21 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 1715 Owner, Agent or Tenant of Building 3A', SC1 11,, Approved use by occupancy 3 TR, 2 ;lath ales. Lot 18 & E- 19 Block 30 Subdivision :Iianti Shores Sect. Street Address 2 5 E_ 96th St_ Miami Shores Village, Florida, 9 - Remarks 87 This Certificate of Occupancy is issued to the above named (1iit+3� 'Ii for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. P1ah Cube 22,9531.15 BUILDING DIVISION �9 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -776 Printed: 7/25/2005 Applicant: ERNEST CURTIS Owner: CURTIS ERNEST JOB ADDRESS: 265 NE 96 ST Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060134100 Building Permit Contractor's Address: P.O. BOX 531051 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 18 & W1/2 OF LOT 19 BLK 30 LOT SIZE Fees: Description Amount FEE2004 -5924 Building Fee $250.00 FEE2004 -5925 CCF $1.80 FEE2004 -5926 Training and Education Fee $0.60 FEE2004 -5927 Technology Fee $6.25 FEE2004 -5928 Scanning Fee $6.00 FEE2005 -10137 Renewal /Extension Fee $250.00 Total Fees: $514.65 Total Fees: $514.65 Total Receipts: $264.65 Permit Status: APPROVED Permit Expiration: 1/26/2006 Construction Value: $2,400.00 Work: RE -ROOF FLAT ROOF Signed: (INSPECTOR) Page 1 of 1 `JUL 2 5 PAID 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 Velocity Hurricane Zone Uniform Permit Application Form. Master Permit No. Contractor's Name Job Address oo Section A (General Information) p ROOF CATEGORY Low Slope ❑ Mechanically Fastened Tile ❑ ort Aesi Set Tile ❑ Asphaltic ❑ Metal Panel /Shingles ❑ h ii' les'` hakes Shingles ❑ Prescriptive BUR -RAS 150 �,/ ROOF TYPE ❑ New Roof 6 ❑ Recovering ❑ Repair ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 0 Process No. OD Maintenance Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and 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. APPROVED FASTENERS: Fastener Number 7. Dekfast Hex Plate 8. Dekfast 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. Insul -Fixx Fastener 19. Insul -Fixx S Plate 20. Insul -Fixx P Plate 21. Tru -Fast 22. Tru -Fast Plates 23. Tru -Fast Plates Product Name 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 3" round ITW Buildex Corp. 3" square 3.2" 1TW Buildex Corp. Johns Manville 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. 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: 11104/08 Approval Date:10/23 /03 ' Page 8 of 21 EVIDENCE SUBMITTED: Test Agencv Factory Mutual Research Corp. Factory Mutual Research Corp. Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. IRTofS.Fl. 1RT of S. Fl. Test Identifier FMRC 1996 J.I.2B 8A4.AM J.I.3B9Q1.AM J.I.ODOA8.AM J.I.OD 1A8.AM 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: Wood, Non - insulated Deck Description: 19 / 32 ' or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: Fastening Options: Ply Sheet: Cap Sheet: GAFGLAS #80 Ultirna Base Sheet, STRATAVENT® Eliminator Perforated Naitable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- Weld Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; GAFGLAS® Ply 4®, GA. - Flex Pty 6, GAFGLAS 475 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'' { 6, GAFGLAS #75 Base Sheet or any of above Base 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) 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 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 Base sheets attached to deck with Drill-Tee (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 —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tec (GAFTJTE) #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. (MaYinzi m Design Pressure —75 psf, See General Limitation #7) One or more plies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6® ply sheet, #80 Ultizna, 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 Ibs. /sq. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 18 of 21 • Surfacing: Maximum Design Pressure: Scc Fastening Above (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofitng 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 Prcrnium.Fibered 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. & 300 lbs. /sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 M13 Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal /sq. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10 /23/03 Page 19 of 21 4 r . WOOD DECK SYSTEM LIMITATIONS:. • 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 'A" Dens Deck or V2 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 BV'C 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 rnininnun 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 he 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 hailers, metal profile, and /or flashing tennination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The ma.xunum 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 913 -72 of the Florida Administrative Code. END OF TIM ACCEPTANCE NOA No: 03.0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 21 of 21 GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. ":5;4.=glas Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ". "OAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in of the following NC Classifications. • Class A, B and C Hot roofing 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 I. Deck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped. Surfacing: Gravel. 2. Deck: C -15/32 Incline: 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, any thickness. Ply Sheet: Three or more layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 3. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, ..•ood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more layers Type Gl "GAFGLAS Ply 4" or "GAF- GLAS PIy 6". Cap Sheet: One layer Tvpe G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: One or two lavers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. eck: C -15/32 Incline: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: One or more layers of Tvpe G1 "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 6. Deck: NC Incline: 3 Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet ". Ply Sheet: One or more layers of Type GI "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 7. Deck: C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, ure- thane, perliteiisocyanurate composite, perlite /urethane composite, phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. 8. Deck C -15/32 Incline: 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, any thickness. Base Sheet: Two or mor• layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. • 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). 1 LOOK FOR THE UL MARK ON °•0 ...7......t., trvrv)' (J ttqued Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Class B 1. Deck: C -15/32 Incline: 3-1/2 Insulation (Optional): One or more 'ayers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / iscyanurate composite, perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Ply Sheet Two or more layers of Type G.1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6" - Cap Sheet: Type G3 "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. 2. Deck C -15/32 Incline: 3-1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type Gl, 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). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. Class C 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Tvpe G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 lbs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isotyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite. phenolic, any thickness. Ply Sheet Three or more layers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped with coal, tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A 1. Deck: NC Incline: 2 Insulation (Optional): One or more layer - perlite, wood fiber or glass fiber, 2 in. max. Ply Sheet: Three or more layers of Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: Grundy Industries "al MB Aluminum Roof Coating" at 1-1/2 gal /sq. 2. Deck: NC Incline: I Insulation (Optional): One or more layers I,■•rlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Type G1 "GAFGLAS PIy 4" or "GAFGLAS Ply 6 ". Surfacing: "Weather Coat Emulsion" at 3 gal /sq. • 3. Deck: NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in., hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class•A asphalt glass fiber mat system. 4. Deck: NC Incline: 2 Insulation (Optional): Isocyanurate, perlite, isocyanurate /composite, wood fiber and glass fiber, any thickness, mechanically fastened. Base Sheet One ply Type GI or G2, mechanically fastened or hot mopped. ply Sheet One or more plies Type G1 or G2, adhered with hot roofing asphalt. Su acing. "GAF Premium Fibered Aluminum Roof Coating ", 1 -1/2 gal sq or "GAF Weather Coat Emulsion ", 3 gal /sq. 5. Dec. • NC Incline: 1 Insulation (Optional): Perlite, glass polyisocyanurate, wood fiber, mechanically fastened, any thickness. RODUCT �It Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Permit Number: BP2004 -776 Printed: 6/10/2004 Applicant: ERNEST CURTIS Owner: CURTIS ERNEST JOB ADDRESS: 265 NE 96 ST Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060134100 Contractor's Address: P.O. BOX 531051 Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 18 & W1/2 OF LOT 19 BLK 30 LOT SIZE Fees: Description Amount FEE2004 -5924 Building Fee $250.00 FEE2004 -5925 CCF $1.80 FEE2004 -5926 Training and Education Fee $0.60 FEE2004 -5927 Technology Fee $6.25 FEE2004 -5928 Scanning Fee $6.00 Total Fees: $264.65 Total Fees: $264.6,5 Total Receipts: 10.00 4 4. v Permit Status: APPROVED Permit Expiration: 12/1/2004 Construction Value: $2,400.00 Work: RE -ROOF FLAT ROOF SUN 1 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ❑ PLUMBING o PERMIT N° 8816 ROOFING ❑ Work to be performed under this Permit Building A IA Owner of _ ,V+ 01' j2-410411:Ar- Architect Contractor or Builder . ' + L .+ - r Legal Lox Description I B1 Address of 2.0 / , a -) 76. `t Building J Subdi- vision Sq Ft Value of Project drift Date C." 1947 Contractor's Oro `l License No. 11 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 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 u s the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whet, -r shown on,the plans or rawitigs or in the statements or specifications and that he assumes respon- sibility for work done by his agents van employ s. 1 , Signe CONTRACTOR or BUILDER In consideration of the issuance to me of this permit I agree perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings : tements or specifications submitted to the proper authorities of.. Miami Shores Village. In accepting this permit I assume responsibility for all work done • either, myself, my agent, servant or employee. BY ECTOR) BY UTHORITY MIAMI SHORES VILLAGE Application is hereby made for the approyal 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 Chairman _. Member Member BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ©ie /oo Registered Architect and /or Engineer Name and address of licensed contractor CAlgieli / H Location and legal description of lot to be built on: Date , 19 ."/_ - No a/ -‘ Street ICE ! q 6 37 State work to be done and purpose of building (by floors)__ jf(N6 Co. /a-- 3o1 No' 7( T MI4M ( Lot Block Subdivision Street and Number where work is to be done a ?6 S7 NEW t 0aF and for no other purpose. New Building Remodeling Addition ✓ Repairs No. of Stories To be constructeg of Kind of foundation Roof Covering °fy l0 EL Estimated Total cost of improvements $ LYo o 00 Amount of Permit $ g• D 0 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be home 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) -- - - - - -- - -- - - 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. 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 Permit No Disapproved D e ( Signed) ( --e _ _ Building Ins, or ANNING BOARD DATE 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. o CI Date____ -__Le_ S ? Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires MIAMI SHORES VILLAGE, FLA. NI°_ 930 JOB ADDRESS INSPECTION TIME READY REMARKS /1& L . i ce f265 Ai 96 SY a /9395 v INSPECTOR DATF F 4, ix/ 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. Registered Architect and /or Engineer... _. Name and address of licensed contractor___ Location and legal desc 'ption of lot to be built on: Lo; c e , � Block._ Street and Number where work is to be done State work to be done and purpose of building cb New Building_ Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor Permit No 3 ( O rm Disapproved Date L g > / _ f (Si Signed Building Inspecto Chairman Member _. Member .. _.- Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date_ .... Z Addition Amount of Permit $ plan Cubage Size of Building Lot Date____. Owner's Name and Address._. _. _. _ . __... No. Subdivision_ Street and for no other purpose. No of Stories Roof Covering Repairs__ 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 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 employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site o - work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su _ ow. to . - performed under this permit, 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLAJ BOARD DATE Member Member Member _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. 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.. Regiftered Architect and /or Engineer._. _ Name and address of licensed contractor..._ Location and legal description of lot to be built on: Lot./ D P 9 _ % (7 Block - _ - - - -- Street and Number where work is to be done State work to be done and purpose of building (by floors)__ _ _ New Building To be constructed of Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building__ Maximum live load to be borne by each floor . I hereby submit all the plans and s , ifications fox said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit doe hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Section 5968, 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 employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the s : of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor v . o to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed)_ STATE OF FLORIDA, f COUNTY OF DADE. Permit No Disapprov (Signed) Chairman Member ____________ Member _ Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT ss. e . and for no other purpose. Remodeling Addition Repairs No. of Stories.... Roof Covering `TT .cam Kind of foundation NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. r("Pr'c2 ._Date Date No Amount of Permit $ Plan Cubage. Size of Building Lot 7- Subdivisio Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspecto My Commission Expires__ DATE Member Member Member Disapproved .._ ... Street 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 to are, to me well known, Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date g/16.9/ Job Address 2 (o N F 96 S°( Legal Description/4 4A4/1 �0 .9, */ / Master Permit # Y\eol,y1 Ca‘ 9' Contracting Co. Qualifier —�h 1Li r Qj p /I44 ss# < - „ 7,1 State# Competency# 0 /o 6 y6 Architect /Engineer Address Bonding Company Address Mortgagor Address Owner / Lessee / Tenant Owner's Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN q WORK DESCRIPTION Square Ft. PERMIT FEE: APPROVED: Zoning Mechanical Notary as to Owner and /or Condo President My Commission Expires: * * Fire Plumbing Address Signature of Own r a :/o Condo President Date: NOTARY PUBUC; STATE OF RORIDA AT LARGE MY COMMISSION EXPIRES MAY 25, 1993 BONDED THRU •'U "K EBE; c : . CIATSS Notary '7 7 2 / Vet. 76 /9u_ Estimated Cost Tax Folio /740i /f y/eoy Phone Ins. Co. WARNING TO OWNER: YOU MU 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 indi:.ted ::hove, and on t.Le 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 understaaa :,hr.` ceparate remits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL .work. OWN P'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wili*b.z done in compliance with all applicable laws regulating construction and zoning. Furthermor:, I authorize the above -named contractor to do ei wo stated. (../ ature of Contractor or Owner -B lder 1L�i/ /L 1QL pie Nen�or PUR �c• STATE of FLORIDA A LAR as to Contractor *C� 91liEd 25, 1993 My Commission Expires: BONDED THRU HUCKLEBERRY & ASSOCIATES * * * * * * * * Other Building d sic! q / Electrical Engineering gig - 36s 5 State of Florida County of Dade 3. Owner information: a. Name and. Address: b. Interest OF FLORIDA : UNTY OF DADE Clerk Circuit Court By 4. Contractor: (name and address) 5. Surety: a. Name and Address b. Amount of bond$ 6. Lender: (name and address) a c.L.Lca.t, Notary Public / .1'•Cirt, ': . S ' c� °<e' ry1 Yy! : J �� HEREBY CERTIFY that this is a F:T ° s. of thieZ) '1 ie r,. dad! c WITNESS my h nd and Official Seal. \'''\!,. .3 K >: r te , w in property: 13 aver D.C. PERMIT #.5b6 - 7.1 Tax Folio No. //;c74‘ yk /D" q NOTICE OF COMMENCEMENT 91R.2869105 1991 AUG 16 12:14 THE UNDERSIGNED hereby gives notice that improvement 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. Description of property: (legal description of the property, and street address if available) 9 b S N (%1 2. General description of improvement: kerrO 0 M or) wA i aore--c co_, I e.1\ii) (Is 026:, O m) A.1e 7. Persons with 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) the date of recording unless a different date is,i specified) c. Name and address of fee simple titleholder(if other than owner): A..( 77z lq(A_c 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(1;),• Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 yea' from ¶rQMv e k b)C '77 a `f AA) 7 G � -e & f 1 edheir fitt • / �4 / ; r u f 1991. u Sworn o an subscrib d fore me this G � J , day of ignature of wner • NOTARY PUBLIC StAtE OF FLORIDA AT LARC MY COMMISSION EXPIRES MAY 25, 1993 My Commission Expires : BONDED THRU HUCKLEBERRY b ASSOCIATES