294 NE 97 St (6)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal Lat
Description
Address of
Building
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 9906
Work to be performed under this Permit
Date
Contractor's
License No.
Subdi-
vision
Sq. Ft.
Value of j 1 Amount of
Project $ II Permit $
BY AUTHORITY
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
(INSPECTOR) BY__
In consideration of the issuance to Me of this permit : I agree to perform the work covered hereunder in compliance with all ordinances and regulation,
pertaining thereto and in strict conformity with the plans, 4'rawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
0
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 3689
DATF 195
Contractor's
License No.
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project
Amount of
Permit $ . =
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all done by either, myself, my agent, servant or employee.
It • :
CONTRACTOR OR BUILDER BY AUTHORITY u
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
i c � � 9 7 r7 x
Job Address 0 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant ./6)s..0 e- 0 ��� Master Permit # 3 Fr 6 C)
Owner's Address .c/'. Ale Q 7 /7f c J Phone 3()S-- 7 — G9 3 . 3
Contracting Co. 6ce)A/F I . Address
Qualifier SS# - Phone
State # Municipal # Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company
Mortgagor Address
Square Ft.
c/3o
Signature of owner and/or Condo President
FEES: PERMIT i1 O. RADON
07/00S
Date
C.C.F.
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MEC CAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 06/ / J /.D (r 77 // - (. % 7,) /
77 vj h ���' %'' lam (17 7
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Notary as to Owner and/or Condo President Date
My Commission Expires: My Commission Expires:
Estimated Cost (value),$ /000.
Signature 9f Contractor or Owner- Builder Date
Notary as to Contractor or Owner - Builder Date
S D ``
NOTARY t-• TOTAL DUE `t S
APPROVED:
7 7 cl
Zoning Buil Electrical
Mechanical Plumbing Engineering
7
44 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 5 - 1 q- 4 Slob Address 2 9 ik- 9 7 51 Tax Folio
Legal Description Historically Designated: Yes No V
Owner/Lessee / Tenant Z. Q 'S Q r x(.1 e. ✓ c Q r Gt , Master Permit # a� "
Owner's Address 2 ( •1 $ 'r" Phone
Contracting Co. (`. 1 t - R. ob 4- t A--t., 1 f n-) L Address I ( he 0 O SW 'ham. 74 f '_
Qualifier Le. r , 1( u. e," SS# - Phone 7 _ 6 1 — 7
State # r , Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION QE Pao ` \ A' — ` � 2 ' — v� lc c S is
co 0-P
Gv a_C kr. w I j> n 4. &ed r142/ R, f ��yN4� 5l s
Square Ft Q 00 Estimated Cost (value) 1
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with al applicable
laws regulating construction and zoning. Furthermore, I authorize the above -n ed contractor to do the work stated.
Signature of owner and/or Condo President
1 414i C
Date
Notary as to Owner and/or Condo President ;Date • •• '• . za
My Commission Expires: u f /
r Z- I . s I.-. L? v
. BS c
El; ti !r sLrJ o . .:a
FEES: PERMIT 3c RADON C.C.F. / NOTARY
Notary as to Contrac
My Commissipir) ENRY W. MACK
COMMISSION A CC 400243
` • - EXPIRES: November 25.1
, .. Bonded Thru No Public Undeivrrttats
TOTAL DUE ,..
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering
"e mac.
Job Address: 'a.9 4 toe- 9 l v- Contractor Process No.
123.01 -166 9/94
Base Sheet: 1.) / A
Fasteners: wit
Ply Sheet(s): iv�
Cap Sheet: N Q
Asphalt: / A
APPENDIX 'E°
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
BUILT -UP APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
GENERAL:
Type of Roof System Assembly to be Applied:
Manufacturer of Roof System Assembly:
Product Control Approval Number:
System Number from Product Control Approval:
Complete the following for all Roof System Assemblies:
Built -Up Applications and Modified Bitumen Systems
Page -1
Cho 44. - re 4-69%
GAF
0- o ot
q`-t : _.
1L) �_ \ - VS
(Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System
Guide Specification. )
( Note: If a minimum roof system is to be applied, describe all
components within the system and list the manufacturer of
each component. DO NOT complete this section if system is
Product Control Approved. )
( Note: No insulation system is acceptable under the minimum
roof category. )
Job Address:
Contractor
PERIMETER DETAIL #3: Gravel Stop or Drip Edge
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gravel
Stop or Drip Edge.
Insert leaders indicating Roofing Components names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gravel Stop/Drip Edge
Gage: -
Fastener
Spacing: o.c.
Clip Type:
Clip Gage:
117
Deck Type: 1,Ay 6 714 _ el 41/' l., rD D
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gutters.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gutter Type:
Gutter Gage:
Fastener
Spacing:
Deck Type:
PERIMETER DETAIL #4: Gutter Detail
Built -Up Applications and Modified Bitumen Systems
Page -6
Process No.
lop
A..
Job Address:
Contractor
PERIMETER DETAIL #5: 'Other' Detail
Process No.
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may eicisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
3x3
tMestft.1ehtt
vAr - rbve.c W
-15 71055 base
b
F4 �9 .e
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may exisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
PERIMETER DETAIL, #6: 'Other' Detail
Built -Up Applications and Modified Bitumen Systems
Page -7
Job Address:
Contractor Process No.
Insert Building and Parapet Heights.
(If no Parapet exists, insert "N /A ")
Also insert applicable information pertaining
to the building below.
(See ASCE 7 -88 Fact Sheet Attached)
Exposure Category:
Classification Category:
At Hurricane Oceanline ?: Y N
Basic Wind Speed at
Building Location: 110 mph
Building Condition based on
% of Openings:
GROUND LEVEL
T t
0 feet
feet
BUILDING INFORMATION #1
Built -Up Applications and Modified Bitumen Systems
Page -8
P*
Job Address:
Contractor
PERIMETER DETAIL #1: Parapet Wall Detail
Process No.
Coping Cap
Gage:
Fastener
Spacing: _ o.c.
Clip Type:
Clip Gage:
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Parapet Walls.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Areas to be Flashed.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
PERIMETER DETAIL. #2: Flashing Detail
Built -Up Applications and Modified Bitumen Systems
Page -5
Job Address: Contractor Process No.
inches
inches
inches
4
FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE
UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND
INSULATION LAYER(S). (Where Roofing Component not used in
Roof System Assembly, fill in with "N /A ".)
Surfacing:
( briefly describe,
Top Ply: QrA.F. 8'dL -4.64
Bonding Material:
Ply Sheet(s):
Bonding Material:
Fastener: 1 S L c 4 .--
(lfbare sheet met attached)
Base Sheet: 41, - 7 5
Bonding Material:
(if base it bonded)
Fastener: '�A► f1A9l�P R I�—
(if top insulat a aye
mech. attached)
Top Insulation Layer:
((/applicable)
.•.. Bondp rning Material:
(i /to
layer bonded ) on
Fastener:
(if innlaton
mech. attached)
Insulation:
Bonding Material:
(d insulation bonded)
de ____...■Vapor Retarder
(ifapplicable)
Primer.
(1 /applicable)
Built -Up Applications and Modified Bitumen Systems
Page-4
DECK:
Type: 6 7 In T w A A. l l
Gage or Thickness: JJ
Density. if concrete deck:
Job Address:
Reviewed Details ?:
Notes:
Contractor Process No.
— FOR PLAN EXAMINER USE ONLY —
Roof System Assembly Product Control Approved:
If NO, note any deficiencies:
Design Pressure Requirements:
Field: psf
Perimeter Areas: psf
Corner Areas: psf
Note any limitations:
Y N
Y N
•
Job Address:
Top Ply: C % - r Oi c M►
(Type and method oj attachment )
Surfacing:
(Type, if applicable )
Flashing Materials:
( Type and method of attachment )
Contractor Process No.
Built -Up Applications and Modified Bitumen Systems
Page -10 Built -Up Applications and Modified Bitumen Systems
Page -3
Job Address:
( Check* one of the following )
Recover
If a recover, is the existing Roof System Assembly
to be used as a bonding substrate ?:
If YES, has an ASTM E907 test been carried out
to confirm adhesion of the existing membrane to
the substrate ?: Y N
(If 'yes', attach ASTM E907 test report. )
Proposed Fastener:
(Attach withdrawal resistance test report. )
Has the deck been examined for moisture ?: Y N
(Provide data confirming compliance with
Section 3401.9(c) . )
THE SYSTEM:
All Roof System Assemblies in the Product Approval have a variety of options. Briefly
describe the Roofing Components to be used in the Roof System Assembly and attach a copy of
the manufacturer's published specification:
Deck:
( Briefly describe )
Insulation:
( Type, size and method of attachment,
if applicable )
( Type and method of attachment )
Contractor Process No.
Re -roof: New Construction
Y N
1 b7 L `fun. rot.,/
Base Sheet or Ply: -!* 1 (4-100 1pep�
Ply Sheet(s):
( Type and method of attachment )
Built -Up Applications and Modified Bitumen Systems
Page -2
r
Job Address:
Reviewed Field Test Data ?:
Notes:
Additional Notes:
Contractor Process No.
Built -Up Applications and Modified Bitumen Systems
Page-11
Y N
Plan Examiner
s
co I - c r 1- oo fir. r..1 Cs c. ,
Job Address: ' i Rs R. - g ) SJ - Contractor Process No.
123.01.166 9/94
Base Sheet: 1J ! p
Fasteners: iv? A
Ply Sheet(s): 10) l:1
Cap Sheet: P3/ a
Asphalt: iv/ A
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
BUILT -UP APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
GENERAL:
Type of Roof System Assembly to be Applied: '\ d 4. ∎ €.eJ. 70 t-L
Manufacturer of Roof System Assembly: IvACr
03 3o O b
Product Control Approval Number: q
System Number from Product Control Approval: YV .-\ ,\ - 1 1"'S
(Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System
Guide Specification. )
( Note: If a minimum roof system is to be applied, describe all
components within the system and list the manufacturer of
each component. DO NOT complete this section if system is
Product Control Approved. )
( Note: No insulation system is acceptable under the minimum
roof category. )
Complete the following for all Roof System Assemblies:
Built -Up Applications and Modified Bitumen Systems
Page -1
1
Materials
.Cualantees Available
S eclficatlan RUBEROID Llbe + % , w .
N-1,1-MG �=--- . RUBEROtp
12,
.fi
9 2.10
GAF Materials Corporation Stoop Roofing Asphalt A$) D- 312,r 1 11c )tr
GAFGLAS 475 Base Sheet
RUBEROID MOP (Granule Surfaced) r <;
Approximat3.Wolght Per Square; . Total 14 -155 lbs.
RU3EROSD® Specificati
n 6H -M
Substrcto- -y, inch niinimum plywood, gypsum structural wood fiber,
lightweight insulating concrete. See "Lightweigh Insulating Concrete Decks,"
page 10.
Slopes —Up to 1 inch per foot for lightweight ins lating concrete; up to
3 inches per foot for other decks.
ilAnmema
CORPORAnad
General
Recommendations presented on pages 17 -22 shall apply In addition to the
following application recommondations.
Application Recommendations
1. Lay ono ply of GAFGLAP d75 Base Shoot (or In the case of a fresh lightweight
insulating concrete or gypsum deck whore STRATAVENTb (Vont Ply) for Nailablo
Decks Is required), with a minimum 2 Inch We lap and not toss than 6 inch end
Zaps. Nall along side lap of the base ply at Intervals not to exceed 9 lnchcs and
stagger -nail down the centor of shat In two rows with nails sp °cod et 10 lneh
Intervals In call row.
2. Starting at tho tow point of tho roof, fully onbed ono ply of RU®ERUIf MOP
(Granule) In a nominal 25 pounds por 100 squaro feat (plus or minus 20 %)
continuous cost of Steep Roofing Asphalt ASTM D -312 Type III or IV. The
RUBEROID membrane must be positioned to provide 4 Inch side laps and 6 inch
end laps.
IL
rq
GAF Materials Corpora ion
1361 Alps Road
Wayne, NJ 07470
Your application for Prod
Chapter 8 of the Metro
Construction, and comple
Research Laboratory, lug
Laboratories, Inc. and D
Compliance Department t
herein.
The approval shall be val
right to secure a product
product or material fail to
or suspend the use of suc
the right to require testing
enacted affecting this prod
The expense of such testin
PRODUCT NO. :
ACCEPTANCE NO.:
EXPIRES:
APPROVED: `A . ® 05
kg
ct Approval of GAF MMnterlr,Es Corporation Msgdlfied K?itumen Roof Systems under
olitan Dade County Code governing the use of Alternate Materials and types of
ely described in the plans, specifications and calculations as submitted by Construction
., Factory Mutual eseareh Corporation, South Florida Test Service, Underwriters
nntech Engineering, Inc. has been recommended for acceptance by the Building Code
be used in Dade County, Florida under the specific and standard conditions set forth
d for a period of three years. The Building Code Compliance Department reserves the
r material at any time for a jobsite or manufacturer plant for quality control testing. If
erform in the approved manner, the Code Compliance Department may revoke, modify
product or material immediately. The Building Code Compliance Department reserves
f this product or material should any amendments to the South Florida Building Cede be
c, or material.
will be incurred by the Manufacturer.
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLI_R BUILDING
WILDING CODE COMPLIANCE DE ^ADTMENT
SUITE 1003
MET O-DADE FLAMER BUILDING
140 WEST FLAOLER. STREET
MIAMI, FLORIDA 03130
• (365) 370.2001
FAX (3U 3a5.2110-0
ul Rodrlg. z
Product Control Division
Supervisor
- PLEASE NOTE -
THIS IS THE CO ERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS.
BUILDING CODE COMMITTEE
This application for Prod ct Approval has been reviewed by the Metropolitan Dade County Building Code
Compliance Department an approved by the Building Code Committee to be used in Co A lorida under
the conditions set forth aboVe.
arles Danger, P.E., Director
Building Code Compliance Department
Metropolitan Dade County
Applicant:
GAF Materials Corpo
1361 Alps Road
Wayne, NJ 07470
Category:
Sub - Category;
Type:
Sub -Type:
GAF Materials Corporat
years.
•
GAF .produces a wide
products include both
GAF offers two ply m
modified specifications.
GAF products are distrib
South Florida area.
GAF provides warranted
can be obtained from
Specification manual pub
GAF roof system assemb
Underwriters Laboratorie
ASTM D 5147 test requ
SYSTEMS
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
tion
embrane Roofing System
uilt -up Roofing
odified Bitumen
BS, APP
Slataraihargristinn
Product Control No.: _ 95aQ310.06
Approval Date: MAY 0 4 1995
Expiration Date: lg jiagri
on has been manufacturing commercial roofing products for more than 100
ge of roof products for built -up roofing systems. The modified bitumen
P and SBS products in smooth, granule and fire rated versions. In addition,
d ified systems to meet the specification requirements for multilayer S
ted through a wide network of roofing wholesale distributors throughout the
systems over various insulated and non - insulated substrates,
and can be found in the Ruberoid Modified Bitumen
fished annually.
ies have been extensively tested at Factory Mutual Research
GAF modified bitumen membranes have been tested in
ments.
copies of which
Application and
Corporation and
compliance with
Contact:
William J. Woodring 1
Director of Technical Services
(201) 628 -3000
2
Raul Rodriguez
Product Control No.: 95-0330.06
MateriRl
Fibrous gl : ss
Perlite
Fiberboard
Polyisocy: urate
Expanded Nolystyrene (EPS)
Polyisocya urate Composite Board
Wood -60 psf
Steel -75 psf
Concrete -248 psf
Lightweight Concre e -45 psf
Poured Gypsum -45 psf
Cl, nifcation
Wood Class A
Steel Class A
Concrete Class A
Lightweight Concre e Class A
Poured Gypsum Class A
Note: Fire classi cations aid ,,; aximum design pressures do not refe'e®ce all assemblies over
deck types. Review system listings for design twessures and the Underwriters Laboratories
Roofing terials Directory or other approved testing agency listing directory for Fire
Classiflcati ns.
3
Raul Rodriguez
Product Control No.: 9S-0330.06
Product
Ruberoid
Smooth
Ruberoid® Torch
Plus (Granule)
Ruberoid® Torch
Granule
Ruberoid® Torch F
Ruberoid® Mop
Plus (Granule)
Ruberoid
i4
Torch
30 FR
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Test Product
Dimension DimensionA Specification Description
1 sq. roll ASTM D 5147 Heavy duty, polyester reinforced,
87 lbs. asphalt modified bitumen membrane.
% sq. roll
93 Ib. roll
1 sq. roll
102 lb. roll
3/4 sq. roll
90 lbs.
1 sq. roll
102 lbs.
1 sq. roll
103 lbs.
Ruberoid® 30 1 sq. roll
92 lbs.
1 sq. roll
92 lbs.
Ruberoid® Mop 170 FR 1 sq. roll
103 lbs.
Product Control No.: 95 0330.06
ASTM D 5147 Heavy duty, polyester reinforced,
asphalt modified bitumen membrane.
ASTM D 5147 Asphalt impregnated, coated felt,
surfaced with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
fire retardant polymer modified asphalt
surfaced with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Ruberoid® Mop FR 1 sq. roll
105 lbs.
Ruberoido 20 1.5 sq. roll ASTM D 5147 SBS modified asphalt base sheet
reinforce with a glass fiber mat.
ASTM D 5147 Non -woven polyester mat coated with
fire- retardant, polymer modified asphalt
surfaced with mineral granules.
ASTM D 5147 Non woven fiberglass mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non woven fiberglass mat coated with
fire retardant, polymer modified asphalt
surfaced and surfaced with mineral
granules.
ASTM D 5147 Non -woven polyester mat coated with
fire retardant polymer modified asphalt
surfaced with min al g
4
Raul Rodriguez
Product Aimen 'anc
GAFGLAS® 3' x 36"
Stratavent® (Vent "'ly) 69 Ib. roll
for Nailable Decks.
GAFGLAS® 3' x 36"
Stratavent® (Vent '' ly) 69 lb. roll
Perforated
GAFGLAS Ply 6
GAFGLAS Ply 4
AlI<cr'l.A: 3° x 108'
75 lb. roll
GAF Materials
Corporation Asphal
Concrete Primer
3'x 180'
45 lb. roll
3'x 180'
40 Ib. roll
GAFGLAS® 3' x 36'
Mineral Surfaced 76 Ib. roll
Cap Sheet
5, 55 gallons
GAF Materials 1, 5 gallons
Corporation Fibered
Aluminum
GAF Materials
Corporation
WeatherCoat®
Emulsion
GAF Materials 1, 5 gallons
Corporation Jetblak • 11
Weather Plastic Ce ent
5 gallons
Test
.Specification
ASTM D 4897
D 3672
ASTM D 2824 Fibered aluminum coating.
5
Raul Rodriguez
Product Control No.: 95- 0330.06
Product
Description,
Fiber glass base sheet impregnated and
coated on both sides with asphalt.
Surfaced on the bottom side with
mineral granules embedded in asphaltic
coating.
ASTM D 4897 Fiber glass base sheet impregnated and
D 3672 coated on both sides with asphalt.
Surfaced on the bottom side with
mineral granules embedded in asphaltic
coating.
ASTM D 2178 Type VI asphalt impregnated glass felt
with asphalt coating.
ASTM D 2178 Type 1V asphalt impregnated glass felt
with asphalt coating.
ASTM D 4601 Asphalt impregnated and coated glass
mat base sheet.
ASTM D 3909 Asphalt coated, glass fiber mat cap sheet
surfaced with mineral granules.
ASTM D 41 Asphalt concrete primer used to
promote adhesion of asphalt in built -up
roofing.
ASTM 1227 Surface coating for smooth surfaced
roofs.
ASTM D 3019 Refined asphalt blended with a mineral
ASTM D 3409 stabilizer and fibers. Permits adhesion
to wet and dry surfaces.
Product
Red Rosin
Mu Ts
Type X Gypsum
Sturdi-Top
al MB aluminum
roof coating
Grundy .
Industrial
Emulsion
#14 Roofgrip
Gripdek Fastener
Premium Metal
Plate .
Standard Plastic
Plate
Karnak No. 169
Karnak 97
Barrier Board Plus
Test
Dinicirions Spacificatipn
various
Minimum # PA 114
12
Min. 32 ga. x
various
various PA 110
PA 121
3" squam
3" round
PA 121
PA 114
various PA 110
Product
Description
Rosin paper for barrier generic
layer on wood decks
Corrosion resistant annular generic
ring shank nails
Corrosion resistant circular generic
discs.
Fire resistant rated gypsum generic
Wood fiberboard
Asphalt emulsion.
• •.•.• • . • • •• '
Insulation fastener
Product Control No.: 95-0330.06
Mantlfacturcr
Georgia-Pacific
Aluminum roof coatin Grundy Industries
„Grundy,Industries
PA 114 Insulation fastener steel, 1TW Buildex
wood or concrete decks
ITW Buildex
PA 114 3" square galvalurne AZ55 ITV Buildex
stress plate
PA 114 Polyolefin plastic plate ITW Builciex
ASTM D 2824 Aluminum roof coating Karnak Corp.
PA 121 Roof coating Karnak
9
Polyisocyanurate foam / NRG arriers, Inc.
wood fiber insulation
Raul Rodriguez
T"ctAP n
Construction Rese
Laboratory, Inc.
Factory Mutual
Research Corporatio
South Florida
Test Service
Underwriters
Laboratories, Inc.
Dynatech Engineerin
Inc
Test Identifier
#4818
J.I. OT4A 1.AM
J.I. 1 V7AO.AM
J.I.
1V8A4.AM
J.I. 1R1A6.AM
J.Y. OT2Q4.AM
J.Y. 0Q6A6.AM
J.I.2M0A4.AM
J.I.3X3A2.AM
J.I. 0Y9QS.AM
J.I. 3X3A2.AM
GAF -53 -X -915
R1306.
, 3600.02.95
Test Reports
13
Test Name/Report
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Physical Properties
Fire Classification
Raul Rodriguez
Product Control No.: 95- 0330.06
Date
07/10/87
08/26/92
07/16/92
06/28/93
11/15/91
10/17/91
07/16/91
03/21 /87
08/02/94
07/29/94
08/02/94
03/08/91
08/01/94
Wind Uplift, Small 02/02/95
Scala
0
Membrane Typ
Deck Type 1:
Deck Descriptio
System Type E:
All General End
Base Sheet:
Fastening:
Note:
Ply Sheet:
Membrane:
Surfacing:
Maximum Design
Pressure:
Maximum Fire
Classification:
Maximum Slope:
Specification No.:
SBS
Wood, Non - insulated
19 42 " or greater plywood or wood plank decks
Base sheet mechanically fastened.
ystem Limitations apply.
One ply of GAFGLAS® Ply 4, GAFGLASn PIy 64D, GAFGLAS® #75 or
GAFGLAS Stratavent', (Vent Ply) for Nailable Decks mechanically fastened as
described below:
Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps
9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c..
Ply 4 and Ply 6® applicntio require sheathing paper over tle wood deck
before application of base sheet.
(Optional) One, two or three plies of GAFGLAS Ply 4, GAFGLAS® Ply 60 or
a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25
Ibisq. ± 15 %.
-60 psf.
41
Raul Rodriguez
Product Control No.: 95 0330.06
One ply of Ruberoid? Mop Granule,'Ruberoide? Mop Plus Granule or Ruberoid®
Mop FR in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %.
(Optional) Install one of the following:
I. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an
application rate of 25 lb. /sq. ± 15 %.
Class 'A'; see General Limitation #2.
3:12; see General Limitation #3.
N- 1 -1 -MG, N -1 -1 -MGFR, N -1 -1 -MGFR, N -1 -2- 20/30, N- 1- 2- 20/30FR,
N- 1 -1 -MGP
Wood Deck
System Limitations:
1. A red rosin sheet shall be installed on all wood plank decks to eliminate
asphalt seepage and bonding of base sheet to wood plank deck. A red rosin
sheet may also ue installed on plywood decks as an option. A red rosin sheet
is required on all applications where Ply 4 or Ply 6' is used as an anchor
sheet.
42
Raul Rodriguez
Product Control No.: 9S- 0330.06
2. Pre - assembled 'Cap Nail' shall not be used for base sheet attachment.
3. Fasten anchor sheet 9" at the lap and 18" in two staggered rows centered on
the sheet. Approved to -45 pot.
4. See PA 117 for extrapolation of data for higher design pressures.
0
General Linaitatio
so
Product Control No.: 95- 0330.06
1. !A11 asphalt shall comply with ASTM D 312 type III or type IV requirements. All
roposed asphalt producers must be approved by the applicant.
2. Ire ratings are determined by a combination of slope, deck type and assembly.
efer to current Underwriters Laboratories Roofing Materials Directory or other fire
esting data listed by an approved listing laboratory agency. Fire ratings shall be in
ompliance with Sections 3401.5 and 3401.6 of the South Florida Building Code.
3. Maximum slope range shall vary for each system; consult current Underwriters
aboratories Roofing Materials Directory and manufacturer's specifications for
ompliance with design criteria for each project.
4. n overlay /recovery board insulation panel is required on all applications over
!wed cell foam insulations when the base sheet is fully mopped. If no recovery
and is used the base sheet may be applied using spot mopping with approved
phalt, 12" diameter circles, 24" o.c.; or strip or spot mopped 8" ribbons in three
ws, one at each sidelap and one down the center of the sheet allowing a continuous
e a of ventilation. Encircling of the strips is not acceptable. A 6" break shall be
laced every 12' in each ribbon to allow cross ventilation. Asphalt application of
ether system shall be at a minimum rate of 12 lbs. /sq.. Note maximum design
p ssure restrictions on spot attached systems.
5. Aln amendments to these provisions shall be in compliance with Sections 203 and
2 1 4 of the South Florida Building Code.
6. 11 work shall be performed by a Contractor licensed to do roofing work in Dade
aunty. Contractor shall be familiar with the details and specifications published by
e manufacturer.
7. 1 re-roofing applications, moisture content in an existing built -up roof must be in
compliance with Section 3401.9(c) of the South Florida Building Code.
8. Prior to application, all existing roof surfaces used as a bonding substrate shall be
tested for uplift resistance in compliance with Dade County Protocol PA 124 to the
c: design pressure of the roof deck.
9. If required, any Factory Mutual Approved vapor barrier in conjunction with
p • prietary or approved adhesives may be used prior to the application of the
insulation layer.
10. P rimetee and corner areas shall have an increase in fastener density for both
insulation and base sheet in compliance with Dade County Protocol PA 117 of the
S . uth Florida Building Code.
11. AJ1 attachment and sizing of perimeter nailers and metal profile designs shall
co form with Dade County Protocol PA 111 of the South Florida Buil g Cede.
168
Raul Rodriguez
12.
13.
14.
Product Control No.: 95- 0330.06
Flashings shall be installed according to the manufacturers standard details, and may
be applied in cold application adhesive, approved asphalt or may be applied in
conjunction with an approved torch applied modified bitumen membrane. Specific
details, approved by the manufacturer, shall be submitted with the Section 11 Permit
Appl ication.
Roll good materials shall be stored in strict compliance with GAF Materials
orporation requirements.
onsult current Underwriters Laboratories Directory for the appropriate coating for
ach roofing assembly to obtain the required fire rating. The assembly shall be
nstalled in strict compliance with Chapter 3401.5 and 3401.6 of the South Florida
uilding Code for maximum fire classification.
15. sphalt moppings shall be with applied with asphalt approved by the applicant and
hall be approved in compliance with equiviscous temperature (EVT) methods of
+sphalt application. Asphalt containers or bulk tickets shall indicate an EVT,
finished blowing temperature (FBT) and flash point. Asphalt types and temperature
nges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida
uilding Code.
16. nsulatlon may be installed in multiple layers. The first layer shall be attached in
ompliance.with Product Control Approval guidelines. All other layers shall be
+dhered in a full mopping of approved asphalt at an application rate of 25 Ibs/sq. t
5 %, or mechanically attached using the fastening pattern of the top layer. Refer to
anufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for
orrect application procedures of insulation panels in approved asphalt or adhesive.
17. r re- assembled cap nails may only be used for termination of fully bonded surfaces
uch as mechanical termination at wood blocking, head and side laps, and base
ashing terminations. Cap nails shall not be used for the mechanical attachment of a
ase sheet. Tin caps are required by the South Florida Building Code.
18. e submission of system specifications and details shall accompany the Section 11
: uilding Code Permit. This information is available in the publications listed in the
° . ystem Description' of this Product Control Approval. The submission of these
ocuments, as well as the proper application and installation of all materials shall be
t e sole responsibility of the contractor.
19. 11 standard panel sizes are acceptable for mechanical attachment. When applied in
proved asphalt, panel size shall be 4' x 4' maximum.
20. astener spacing for base sheet attachment is based on a minimum withdrawal
sistance value of 250 Ibf as tested in compliance with Dade County Protocol PA
105. If the fastener values as tested are below 250 Ibf a professional engineer may
submit a revised fastener spacing utilizing the withdrawal resistance value taken
���- -- m Dade County Protocol PA 105. Calculations shall be based on a rupture value
(Qhe fastener stress plate pulling over the base ply) of not od: than 90 VA..
/ 1 1 /
Raul Rodriguez �`'� i t�,•
169
Product Control No.: 95- 0330.06
21. astener spacing for insulation attachment is based on a Minimum Characteristic
once (F) of 300 lbf as tested in compliance with PA 105. If F' as field tested, is
•elow 300 Ibf insulation attachment shall not be acceptable.
22. AF does not allow application of roof coatigs, other than a pour coat of asphalt and
vel, over its granule surfaced Ruberoid® products.
23. n addition to the requirements of this Product Control Approval and the South
lorida Building Code, applicator shall follow the manufacturer's specifications.
170
Raul Rodriguez
ii.,)
Application is hereby made for tl
ing or other structure herein describ
Shores Village, Florida, and all provi
regulations of the Building Division
plans and specifications must be kept
Owner's Name and Address.__;!
Registered Architect and /or Engineer
Name and address of licensed contra
Location and legal description of lot t
Lot Block
Street and Number where work is to t he done
State work to be done and purpose I' building (by
//
_.
New Building Rem
To be constructed of
Estimated Total cost of improvement
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by e. ch floor
The undersigned applicant for th
of labor under the Florida Workmen
and has complied with the provisions
in the work to be performed under t
or notices as are required by the Act.
permit, as are licensed by Miami Sh.
Remarks
and who, being by me first duly swo
of the above described construction,
therein by him stated are true
Permit No Date
Disapproved _____________
(Signed)
Chairman
Member
Member .
Council Approved
IAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
pat
Building Inspq}ctor
e approval of the detailed statement of the plans and specifications herewith submitted for the build-
'. This application is made in compliance and conformity with the Building Ordinance of Miami
ions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
` Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
at building during progress of the work.
1 Subdivision
vG!i
tor _!/,‘
be built on:
floors)
Date___, /l.( «
Street /Lf
_ ,r
Read, Sworn to and Subscribed before me.
2
- r > )� /) n ) ( '
c.
U � ✓ � L. , a f or no o t h er purpose.
deling Addition Repairs � No. of Stories
Kind of foundation._ ___ Roof Covering k // ' '
$ z� ? • ✓ Amount of Permit $
_Plan Cubage
Size of Building Lot
I hereby submit all the plans an specifications for said building. All notices with reference to the building and its construction may
be sent to
s building permit does hereby certify that he understands and accepts his obligations as an employer
s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
thereof, and will require similar compliance from all contractors or sub - contractors employed by him
is permit; and will post or cause to be posted for inspection on the site of the work such public notice
The undersigned agrees to employ only such subcontractors, on work to be performed under this
)
res Village.
(Signed) - % -
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned auth.rity, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
n, upon oath deposes and says that he is the
hat he has carefully read the foregoing application, and that he did sign the same, and that all facts
Notary Public, State of Florida
My Commission Expires
LANNING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Date
Legal Description
(31 'essee / Tenant
Owner's Address
Contracting Co.
Qualifier
Square Ft
WARNING TO OWNER: YOU
RESULT IN YOUR PAYING TWI
CONSULT WITH YOUR LENDE
Application is hereby made to obta
certify that all work will be perfo
p ermits are required for ELECTRIC
OWNER'S AFFIDAVIT: I certify
laws regulating construction and zo
Signature of owner and/or Condo Pr
APPROVED:
Zoning
Mechanical
FEES: PERMIT , '7 ON
PERMI; APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
State # C .. 6.//2 Municipal #
Architect/Engineer
Bonding Company
Mortgagor
O . VP" t/ JOSE ANTONI
2 if n COMMISSION
t q �, - Q CC55
- Fr a4-?:" j MY COMMIES
OF F O JUNE
Notary as to Owner and/or Condo Pr
My Commission E fires:
y P OFFICIAL NOTARY SEAL
Tax Folio
Address
Historically Designated: Yes No ,
SS# -
Competency #
Address
Address
Address
ti 13 3?
A Master Permit # c;-
Phone
Ins. Co.
Permit Type (circle one): BUILD G ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE
WORK DESCRIPTION C� �� t - 7 -Ce
Estimated Cost (value) _ rC
Phone (if 2/
SIGN
sident
Signature of Contractor or 0 er -B
UST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
E FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
d to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
at all the foregoing information is accurate and that all work will be done in compliance with all applicable
g. Furthermore, I authorize the above -named contractor to do the work stated.
J LOPEZ
NUMBER
631
2Cci ,
Buildin
Date
My Commission Expires:
l`LAi /%
No as to Contractor o • ' er- Builder
Date
Date
0 ‘P s ly p"
G T6'�i ' � OSEAN O O
2 `� i �t n COMMISSION NUMBER
a /kg` PP•s •r CC558631
4,14- e� MY COMMISSION EXPIRES
OF FA JUNE 2,2000 D 73
C.C.F. a 9t, NOTARY BOM5
TOTAL DUE *" 1 •
f lectrical
.astral �
Plumbing Engineering
Contractor's Name:
0 (Low Slap Application)
0 (Aspin It/Fiberglass Shingles)
Ft.
0 New Roof
Appendix ”E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
11.QQFSAI'EGORY
0 (Nail-On Tile) (Mortar
O ( Metal Roofs1Wood Shingles & Shakes)
)itOOP TYPE
Re 0 Recovering 0 Repair 0 Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft') Total (ft') Master Permit No.
Exposure category (per ASCE 7-88) _C. Building Classification category (per ASCE 7-88 table 1)
Deck type:_
Fastener Type:
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
JITACHMENT
■••=11.1.,
Job Address:
r
0 (Other)
ROOF PLAN
esive Set Tile)
Deck type:
rik
/'t/
?,4Q. RSA/
144.
3 3' /C. /
Ridge Ventilation?
MEAN HEIGHT Ait
z Under laymenr
Insulation:
D E T A I L 3
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
12"
ROOF SLOPE
SLOPED S YSTEM DESCRIPTION
Fastener type & spacing:
Cap Sheet:
Roof Covering:
Page -2
Drip edge:
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Dade County Product Control
Notice of Acceptance - Cover Sheet
a) Specific System Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
TILE CALCULATIONS
(Pmaxl: ni 3 x X (Aerodynamic Multiplier): t ' ) - M . 0 0 J = M J4. ' PCA: 8' 61
(Pmax2: f' (Aerodynamic Multiplier): O/ ) - M t , S ^ = M ZZS ?PCA: ,964/
(Pmax3: /04fx X (Aerodynamic Multiplier): �/ ) - M 6,4T = M ? !3 PCA: ff1 /
rarIN
.d p /c!& '° pee `/)ez y ) /60 '°
06/16.'98 TtE 10:4 7 FAX 5 » 1 338 5391
METRO naoi:
June 11. 1998
Mr. Reese H. Moody
Technical Services Manag: r
135 NW 20 Street
Boca Raton, Fl 33431
R 97- 1124.16 Monier Lifetile LLC villa, Capri, & Roll Tiles
Sincerely,
Raul Rodriguez
• Product Control Supervisor
cc C. Danger PE, Direct .r
MONIER LIFETILE 44-> COMA CAST LJ U01
METROPOLITAN DADE COUNTY, Y, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER DLILDTNG
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 - 1563
(305) 375 -2901
FAX (305) 375 - 2903
PRODUCT CONTROL DIVISION
(305)375.2902
FAX (305) 372-6339
Dear Mr. Moody:
This is to inform you that a Notice of Proposed Action referenced above for the renewal of NOA 95-
0316.04 has been issued d sent to the Building Code and Product Review Committee for their final
review on June 5, 1998. a expect that their review will be completed within 20 days, at which time
the Notice of Acceptance OA) will be issued.
By means of this letter we are extending the expiration of the above listed NOA's from the original
expiration date of June 1 ,1998 to July 31, 1998 to cover the committees final review time. Please
attach a copy of this letter to the existing NOA's at time of pennitting.
This letter expires July 31, 1998.
We hope this addresses y• ur concerns, should you require any further information on this matter please
feel free to contact this o ' ce.
F: TRODCNfL\PCLCTTERIRESPO ' SLIINDUSTRY1 98MonierLifedic06.doc
Internet mail address: pos astera@buildingcodeonliue.com • Homepage: http :I /www.buildingtodeanline,com
1' •
1
PRODUCT CONTROL
Lifetile Corporation
200 Story Road
Lake Wales FL
Your application for Product
Nail On Mortar or Adhesive
under Chapter 8 of the Metro
Types of Construction, and co
Redland Technologies, The
Engineering
has been recommended for ac
County, Florida under the spe
on page 3.
This application for Product
Code Compliance Departme
County, Florida under the c
Approvcd:06/14 /95
NOTICE OF ACCEPTANCE
33859 -0632
Acceptance No.:95- 0316.04
Expires:06 /14/98 _
pproval of:
apri Tile
olitan Dade County Code governing the use of Alternate Materials and
pletely described in the plans, specifications and calculations as submitted by
enter for Applied Engineering, Inc., and Atlanta Testing &
eptance by the Building Code Compliance office to be used in Dade
ific conditions set forth on pages 2 et. seq. and the Standard Conditions
,
This approval shall not be val d after the expiration date stated below. The Office of Code Compliance
reserves the right to secure th' product or material at anytime from a jobsite or manufacturer's plant for
quality control testing. If this product or material fails to perform in the approved manner, the Code
Compliance Office may revo e, modify, or suspend the use of such product or material immediately. The
applicant shall evaluate thi product or material should any ammendments to the South Florida Building
Code be enacted affecting thi product or material. The Building Code Compliance Office reserves the
the right to revoke this approval, if it is determined by the Building Code Compliance Office that this
product or material fails to met the requirements of the South Florida Building Code. The expense of
such testing will be incurred y the manufacturer.
(Revises No.: 94- 0914.23)
METROPOLITAN DADE COUNTY. FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
SUITE 1603
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130 -1563
• (305) 375 -2901
FAX (305) 375 -2908
PRODUCT CONTROL SECTION
(305) 375 -2902
FAX (305) 372 -6339
Raul Rodr
Product Control Supervisor
THIS IS THE COVER HEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL.
CONDITIONS
BUILDING CODE COMMITTEE
Approval has been reviewed by the Metropolitan Dade County Building
t and approved by the Building Code Committee to be used in Dade
nditions set forth above.
s anger, ' .
Director
Building Code Compliance Dt
Metropolitan Dade County
Applicant:
Lifctile
200 Story Road
Lake Wales, FL 33859
Cate orv:
Su b - Category:
IXD.C:
Sub - Type::
PRODU
Prepared R
Tile
Nail -on/M
Concrete
Lifetile is a member of
California, Texas and Florida.
adhesive set applications. All til
tile surface finished with a cem
'cured' prior to shipping to ach
Lifetile's "Capri
profiles. •
Lifetile sells tile systems
pieces used for rake hip, ridge hi
systems. flashing systems and
profiles and form a part of this P
Lifetile's "Capri*' Tile"
Code requirements for concrete
rouf slope for :.ifetile's "Capri
"Profile Drawing" section in thi
Tile" tile profile has been test
any consideration for installati
calculations is noted in Tables 1
CONTROL•NOTICE OF ACCEPTANCE
OOFING SYSTEM APPROVAL
ofing
rtar Set/Adhesive Set
System Description
Contact:
Dave Faulkner
Technical Services Manager
200 Story Road
P.O. Box 632
Lake Wales, FL 33859-632
(813) 676 - 9405
Product Control No.:
Approval Date:
Expiration Date:
9i- 0316.04
JUN 1 4 1995
JUN 1 4 1998
e Boral Group and is a national producer of extruded concrete tile in
ifetile manufacturers concrete roof tile for nail -on, mortar set and
is extruded under high pressure in individual molds with the exposed
ntitious material colored with synthetic oxide additives. All tile is
eve maximum strength. This Product Control Approval relates to
Refer to apnropriate Product Control Approvals for other the
through local, wholesale distribution. All profiles have matching trim
p, and valley terminations. Tile system accessories such as ventilation
b'rdstops are also available. These accessories arc manufactured for all
duct Control Approval.
roof tile has been tested in compliance with the South Florida Building
nail - on, mortar set and adhesive set tilt applications. The minimum
Tile" nail -on, mortar set or adhesive set tiles shall be 2 ":12 ". See the
approval for the "Capri' Tile" profile drawing. The Lifctile "Capri"
for both wind characteristics and static uplift performance. therefore.
n shall be done as a 'Moment Based System'. Data for attachment
through 4 of this approval.
Product
Capri" Tile
Trim Pieces
T DE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
v
1= 17"
w = 13'!
'' " thick
1= varies
w = varies
rying thickness
Product Control No.: os -d ; 1 6.
Test Product
$pecifcationt Description
PA 113 Low profile. interlocking. high
pressure extruded concrete roof tile
equipped with two nail holes and
double roller ribs. For direct deck or
battened nail -on. mortar or adhesive set
applications.
PA 112 Accessory trim. concrete roof pieces
for use at hips, rakes. ridges and valley
terminations. Manufactured for each
tile profile.
1
3
Produst
#30 Felt
#43 Coated Base N/
Sheet
R.ineral Surface Cap
Sheet
Lenzingtex -ZB 140
Underiayment
Rainproof 11
Ice and Water Shield
t1 lopping Asphalt
Flashing Cement
TRADE NA
N/
ES OF PRODUCTS MANUFACTURED OTHERS
Test
Specifications
ASTM D 2 26
type 11
ASTM D 2626
N ASTM D 249
59" x 64' roll
22 l shall
30" x 75' roll
36" 75' roll
60" 75' roll
36" 75' roll
N/A
N/A
PA 104
PA 104
PA 103
ASTM D 312
type 111 or IV
ASTM D 4586
Product Control No.: 9s-0116.04
Product
Deserintion
Saturated organic felt
to be used as a nailed
anchor sheet.
Saturated and coated
organic base sheet for
single or double ply
underlayment.
Mineral surfaced
asphalt roll roofing
for use as a top ply in
a double ply
underlayment system.
Single ply. nail -on
underlayment.
Single ply. nail -on
underlayment with 2"
self - adhering top
edge.
Self - adhering
underlayment for use
as a top ply in a two
ply underlayment
system with approved
#30 or #43 as the base
laver.
Asphalt for bonding a
mineral surface cap to
a mech. attached base
sheet in a double ply
undcrlavmcnt system.
Cut back. asphalt
based. asbestos free.
fiber reinforced.
trowel :trade cement
for repair and flashing
applications.
- Manufacturer
generic
generic
generic
Lenzing
Performance. lnc.
PCA #94- 0527.05
Protect -O -Wrap. Inc.
PCA #94- 0714.01
W.R. Grace Co.
PCA #92-1116.01
zencric
_•cncric
Product
Asphalt Primer
Roofing Nails min.
3
Tin Caps
Wood I3attcns
Tile Nails
Tile Screws
Roof Tile Monar
• ("TileTiteT " ")
,- Roof Tile Mortar
' ( "Quikrctc® Roof
Tile Mortar #1140")
i
m� t. 32 ga.
mi 1'!," o.d.
m x. 2" o.d.
min.
with
min.
Wood Preservers Salt pressure treated
m n. 1" x 4" institute LP - 2 or decay resistant
lumber battens
Via. with
" head
" x 4" for use
ertical battens
or
1 " x 2" for use
alone
N/A
PA 114
Appendix E
PA 114
Appendix E
•
PA 123
Product Control No.: 9s -0 ; 16 n4
• Test Product
5neciftcations Dcscrintion Manufa cturer
ASTM D 41 Cut back, asphalt generic
based coating used to
facilitate bonding of
dissimilar materials.
Annular ring shank,
hot dipped. electro or
mechanically e.aly.
roofing nails for use
in underlayment
attachment.
Corrosion resistant
circular disc for use in
underlayment
attachment
Generic
mi . 3d x 2'4" or PA 114 Corrosion resistant. �_encric
in. 10d x 3" Appendix E screw or smooth
shank nails.
x 2' /_" long PA 114 Corrosion resistant. gcncric
O. 35" head dia. Appendix E coated. v.uarc drive,
0.131" shank dia. galvanized. coarse
0.115" screw thread_ thread wood screws
diameter
N/A PA 123 Prepared mortar mix Bermuda Roof
designed for mortar Company. Inc.
set roof tilt PCA #94- 0614.01
applications.
Prepared mortar mix Quikrctc Constructio
dcsiencd for mortar Products
sct roof tile PCA #94- 080S.0I
applications.
generic
generic
Product
Roof Tile Mortar
( "BONSAL® Roof
Tile Mortar Mix ")
Valley Flashing
Drip Edge
N/A
Roof Tile Adhesive
( "Polypro® AH 160 ")
Hurricrne Clip & PA 114 Corrosion resistant
Fasteners min. h width Appendix E bronze, aluminum,
min. 0.0.0" thick stainless steel,
galvanized steel or
plastic attachment
min. 8 •! x 1V." clips for supplemental
tile attachment. Clips
are installed with
corrosion resistant
roofing nails
compatible with the
clip.
min.26 ga.
min. 16" width
min 26 ga.
min. 2" ace flange
min. 2" eck flange
• Test
Snecipcations
PA 123
Product
Descrintion
Prepared mortar mix
designed 'for mortar
set roof tile
applications.
See PCA Two component Polyfoam Products.
polyurethane adhesive Inc.
designed for adhesive PCA #94- 0401.01
set roof tile
applications.
ASTM A 525
Galvanized steel
valley flashing
PA 111 Galvanized steel drip
edge
Product Control No.: 95-0116 04
Manufacturer
W.R. Bonsai Co.
PCA #94- 0623.03
generic
2encric
_Zcncric
Test A'enc\
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, inc.
The Center for Applied
Enigneering, Inc.
The Center for Applie
En_ineering, Inc.
The Center for Applie
Engineering, Inc.
The Center for Appli d
Engineering. Inc.
The Center for Appi ed
En_ ineering. Inc.
The Center for App led
En_inecring. Inc.
The Center for Ap
Enszineering. Inc.
lied
TEST REPORTS
Test Identifier
7161 -03
Appendix Ill
7161 -03
Appendix 111
94 -084
94-060B
25- 7094 -1
25- 7094 -7
25- 7094 -4
25-71S3-1
25- 7153 -2
25- 7214 -2
Test Name /Renart
Static Uplift Testing
PA 102
Static Uplift Testing
PA 102(A)
Static Uplift Testing
PA 101
(Mortar Set)
Static Uplift Testing
PA 101
(Adhesive Set)
Static Uplift Testing
PA 102
(4" Headlap, Nails. Direct
Deck. 5/8" plywood)
Static Uplift Testing
PA 102
• (4" Headlap, Nails, Battens)
Static Uplift Testing
PA 102
(4" Hcadlap. Nails. Dircct
Deck, 15/32" plywood)
Static Uplift Testing
PA 102
(2 Quik-Drivc Screws. Direct
Dcck)
Static Uplift Testing
PA 102
(2 Quik - Drive Screws,
Battens)
Static Uplift Testing
PA 102
(1 Quik -Drive Screw. Direct
Deck)
Product Control No.: nc -n 16 (14
Date
Dec. 1991
Dec. 1991
May 1994
March. 1994
Oct. 1994
Oct. 1994
Oct. 1994
Feb. 1995
Feb. 1995
March. 1995
Test A.7encv
The Center for Applied
Engineering, Inc.
Redland Technologies
Redland Technologies
Redland Technologies
Redland Technologies
The Center for Applied
Engineering, Inc.
Atlanta Testing &
Engineering
Test identifier
25 -7214-6
7161 -03
Appendix II
Letter Dated Aug. 1, 1994
P0631 -01
PO402
Project No. 307025
Test #MDC -76
RI.894
R2.894
R3.894
Product Control No.: c)8 - 16 ns
Test Name/Report Aare
Static Uplift Testing March, 1995
PA 102
(1 Quik -Drive Screw,
Barrens)
Wind Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA 108
(Nail -On)
Wind Tunnel Testing
PA 108
(Mortar Set)
Withdrawal Resistance
Testing of smooth vs. screw
shank nails
Wind Driven Rain
PA 100
Physical Propcnics
PA 112
Dec. 1991
Aug. 1994
July 1994
Sept. 1993
Oct. 1994
Aug. 1994
Deck Type: Vood, Non - insulated
Deck Description: ew Construction
9 / 3 ," or greater plywood or wood plank.
SYSTEM A:
Slope Range:
Underlayment:
Vertical Battens:
Horizontal Battens:
Roofing Tilc:
Comments:
Counter -Batten Application
SYSTEMS
Product Control No.:
ns_r-1 n.t
2 ":1 to 7 ":12"
Note: Counter- Battens, as noted below, are required for scope ranee
2 ":12" to less than 4 ":12" and are optional for slopes of 4 ":12" to
7 ":12 ". For slopes exceeding 7 " :12 ", refer to System C.
Install underlayment system in compliance with Dade County Application
Standard PA 118.
Install vertical battens in compliance with Dade County Application Standard
PA 118
Install horizontal battens in compliance with 'Dade County Application
Standard PA 118.
Install tile in compliance witli Dade County Application Standard PA I 18.
(See "Data for Attachment Calculations" included in this Approval.)
1. For rc -roof applications, " /, :" plywood is an acceptable substrate.
9
SYSTEMS
(CONTINUED)
Deck Type: Woo', Non- insulated
Deck Description: New construction 1° / or greater plywood or wood plant:.
SYSTEM B: Dire, t Deck Application
Product Control No.: Q. n.t
Slope Range: 4 "::2" to 7 ":I2"
Not : System B is only acceptable in this slope range. For slopes less than
4":12", refer to System A. For slopes in excess of 7 ":I2 ", refer to
System C.
Underlayment:
Roofing Tile:
Comments:
Ins 11 underlayment system in compliance with Dade County Application
Stagy dard PA 118.
Ins 11 tile in compliance with Dade County Application Standard PA 118.
(S "Data for Attachment Calculations" included in this Approval.)
1.
For re -roof applications, " /, :" plywood is an acceptable substrate.
10
SYSTEMS
(CONTINUED)
Product Control No.:
Deck Type: W,.od, Non - insulated
Deck Description: N construction ' /, : " or greater plywood or wood plank.
SYSTEM C: Horizontal Batten Application
Slope Range: 4' :12" or greater
Note: Horizontal battens, as noted below, arc required for slopes in excess
of 7 ":12" and are optional for slopes of 4":12" to 7 For slopes
less than 4 ":12 ", refer to System A.
Underlayment: I stall underlayment system in compliance with Dade County Application
tandard PA 119.
Horizontal Battens: Install horizontal battens in compliance with Dade County Application
tandard PA 119.
Roofing Tile: nstall tile in compliance with Dade County Application Standard PA 119.
See "Data for Attachment Calculations" included id-this Approval.)
Comments:
1. For re -roof applications. " /,:" plywood is an acceptable substrate.
11 7
��/ v
Deck Type:
Deck Description:
SYSTEM D:
Slope Range:
linderlayment:
Roofing Tile:
Comments:
2 ":12"
Note:
SYSTEMS
(CONTINUED)
Wood, Non - insulated
New c nstruction 1° / 32 " or greater plywood or wood plank.
Morta or Adhesive Set Application
Product Control No.: 9s-n1 A n4
to 7 " :12"
System D is only acceptable in this slope range. For slopes in excess
of7 ":12 ", refer to System C.
Instal underlayment system in compliance with Dade County Application
Stan PA 120. (See System Limitation #5.)
Insta I tile in compliance with Dade County Application Standard PA 120.
(See Data for Attachment Calculations" included in this Approval.)
1. F r re -roof applications, t ' /„" plywood is an acceptable substrate.
1: The standard minimum of pitch for Lifetile's "Capri'"' Tile ", low profile tile shall comply with
Dade County Applicati n Standards PA 118, PA 119 or PA 120, depending on the method of
installation.
SYSTEM LIMITATIONS
Product Control No.: QS -n' 16 n1
For nail-on applicatio , fasteners for mechanical attachment of tiles shall have a head diameter
larger than that of the p formed holes in the tile.
3. System installation sha
Control Approval. The
expressed as a mome
compliance with Dade
has been tested for bo
calculations for install
Based System'.
I be in compliance with the system specifications outlined in this Product
;method of attachment utilized shall provide sufficient attachment resistance
t to meet or exceed the required moment of resistance determined in
ounty Protocol PA 115 or PA 127. The Lifetile "CapriT"' Tile" tile profile
wind characteristics and static uplift performance, therefore. attachment
tion in compliance with PA 115 or PA 127 shall be done as a 'Moment
4. For mortar or adhes e set tile applications, a field static uplift test by a Dade County accredited
testing agency, in com . fiance with Dade County Protocol PA 106, shall be performed.
5. For mortar set tile a plications, 30/90 hot mopped underlayment applications may be installed
perpendicular to the ro • f pitch unless stated otherwise by the underlayment material manufacturer's
published literature.
6 All tiles shall bear e imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
7. Applications for roo
Pcrmit, a copy of L
Approval and a cop
proposed tile applicat
S. The applicant shall
quality control in co
taken shall be in com
9. Any amendments to
Florida Building Co
ng *permits shall include a completed Section 11 of the Uniform Building
fetile's current specifications and details, a copy of this Product Control
of the Product Control Approval of any Roofing Component used in the
on. Reference shall be made to appropriate data for the required fire rating.
twin the services of a Dade County certified testing laboratory to maintain
pliance with the South Florida Building Code and related protocols. Samples
fiance with Dade County Protocol PA 112. Appendix 'A'.
hese provisions shall be in compliance with Sections 203 and 204 of the South
e.
13
1�
Table 3: dttachment Resistance Expressed as a Moment - M, (ft -Ibf)
from PA 102 and PA 102(A) Testing'
Tile
Profile
Tile .
Application
Approved
Nails
Approved
Screws
2 s crews
Approved
Field Clip With:
Approved
Eave Clip With:
1 nail
2 nails
1 screw
1 nail
2 nails
1 nail 2 nails
Capri" Tile
Batten
4.10
7.10
22.90
49.10
24.20
34.80
22.10 32.20
Direct Deck
11.80
21.90
25.80
47.10
24.30
35.50
19.00 I 31.90
Tabl 2: Restoring Moments due to Gravity - M (ft-lbf)
from PA 102 Testing
Tile
Profile
3 ":12"
4 ":12"
5 ":12"
6 ":12"
7 ":12" or
greater
Battens
Dir ct
D ck
Battens
Direct
Deck
Battens
Direct
Deck
Battens
Direct
Deck
Battens (
Direct
I Deck
Capri Tile
5.92
6. 0
5.82
6.69
5.70
6.55
5.56
6.39
5.41 N/A
Data noted in Table 3 is
for installation wifh a 3" tile headlap.
2 Approved screws are s noted in the Trade Names of Products Manufactured By Others' and 'Profile
Drawings' sections of is Approval. Clips on eave tile are not required for this attachment configuration
unless the Required Mo ent of Resistance exceeds the values noted above.
DATA FOR ATTACHMENT
CALCULATIONS
14
Product Control No.: 9: - 0. 16.04
Table 1: Aerodynamic Multipliers - k (ft')
from PA 108 Testing
Tile
Profile
1. (ft')
Batten Application
X (ft
Direct Deck Application
Capri" Tile
0.27
0.29
Data noted in Table 3 is
for installation wifh a 3" tile headlap.
2 Approved screws are s noted in the Trade Names of Products Manufactured By Others' and 'Profile
Drawings' sections of is Approval. Clips on eave tile are not required for this attachment configuration
unless the Required Mo ent of Resistance exceeds the values noted above.
DATA FOR ATTACHMENT
CALCULATIONS
14
Product Control No.: 9: - 0. 16.04
Table 3 -A:
R ttachment Resistance Expressed as a Moment - M, (ft-lbf)
from PA 102 Testing
Tile
Profile
Tile
Application
Two (2) 10d x 3" long nails'
Capri' Tile
Direct Deck
New Construction
(min. "4 2 ' plywood)
67.50
Direct Deck
Recover/Reroof
(min. " !u plywood)
43.00
Battens
New Construction
50.90
DATA FOR ATTACHMENT
CALCULATIONS (CONTINUED)
Product Control No.: Q-(6 (11
Tile instaltatibn with a 4' headlap using two (2) Approved 10d x 3 tong polymer coated.
corrosion re istant, ring shank nails installed in manufactured holes located 2W from
the head of he tile. Clips on eave tile are not required for this attachment configuration
unless the equired Moment of Resistance exceeds the values noted above.
Attachment Resistance Expressed as a Moment - M, (ft-Ibf)
from PA 101 Testing
Tile
Application
Mortar Set 20.60
Adhesive Set
Attachment
Resistance
86.61
Capri Tile
Table 4:
Tile
Profile
t;
UNIVERSAL TRIM
Product Control No.:
...go .4-0 07
31' 0 15"
0.11' -•
0 1r
PROFII.E. DRAWINGS
(CONTINUED)
... 45•
I 70
0 131
Proauct Control No.:
......;\„--!‘ A'%--;% %.--/\/N..""'■ /■_,.
. , -, \,..\ ... \\‘ \\\ \.
, .. \ \ , \ \., -----(,
, , \ \I ,, \,, ....--..., .7,
v v v k. v t.
APPROVED SCREW FOR SCREW DATA IN TABLE 3
17
; _n (1.1.
)VOTI
1. Extensions of Acceptatce may be considered after a new application has been filed and the supporting
data, test reports no ol4r than ten (10) years, have been re- evaluated.
All reports of re- testin shall bear the scal, signature and date of an engineer registered in the State of
Florida.
2. Any revision or chat'g in the materials, use, or manufacture of the product or process shall automatically
be cause for terminatio , unless prior approval is granted for revisions or change.
3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds
for re- evaluation.
4. This acceptance shall of be used as an endorsement of any product for sales or advertising purposes.
5. The Notice of Accep nce number preceded by the words Dade County, Florida, and followed by the
expiration date may e displayed in advertising literature. If any portion of the Notice of Acceptance is
displayed, then it shall be done in its entirety.
6. Product approval dra vings, where required for permit applications, shall be provided to the applicant by
the manufacturer or is distributors unless otherwise noted in the Notice of Acceptance. The prints need
not be re- sealed by a engineer.
7. Failure to comply wit the Standard Conditions shall be cause for termination of the Approval.
This approval supersedes al
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1603
METRO-DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130 -1563
E OF ACCEPTANCE: STANDARD CONDITIONS (305) 375 -2901
FAX (305) 376-2908
previous approvals.
18
Raul Rodriguez
Product Control Supervisor
METROPOLITAN DADE COUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
.71t),/
1
1.
16
V
31
V.
46
2
17
32
47
3
18
33
48
4
19
34
49
5
20
35
50
6
21
36
51
7
22
37
52
8
23
38
53
9
24
39
54
10
25
40
55
11
26
41
56
12
27
42
57
13
28
43
58
14
29
44
59
15
f
30
/
45
/
60
P.A. PEDRO A. HERNANDZ P.E. P p .o. box 650127. miomu. Hondo 33165 / 13216 s.w. 46 lone
CONSULTING ENGIN RS
Client: K
Permit #
Roof area (appro
Roof Max. Heigh
Date Tested:
,. LOCATIONS/ RESULTS
P=Pas F =Fail
Pedro A. H andez, P.E.
' ..,TE OF
FIELD STATIC UPLIFT TEST
FOR MORTAR SET TILE SYSTEMS
Date:
Job Address:, 27 ;JZ ?7 - ; ,
Type of Tile:7v34_5 7 - 5 CLf-y,
Roof Pitch: ,Q a /z
Date of Tile Installation:
Uplift pull: 35 lbs.
L fop )
�
Roof tiles installation comply with South Florida Building Code 3401.11
(b)(1)(ee) and Cade County Protocol PA 106
HEIR/
Lab Certificate No. 94- 0909.01
/3
COMP. BY:
( f U
/ CHK. BY:
PROJECT: ( /l) 9 7 s7 -/ A al . DATE: 4�r 17 88
LL_t SHEET NO: 0 A./.
Tfs !L 5
m►cE-2:). 'T'
\L otz
�1. (I6
IF / •
0
•
B' P.R. PEDRO A. HERNR DEZ, P.E., PR p.o. box 650127, miomi, florido 33165 / 13216 s.w. 46 lone
CONSULTING EN INEERS
30 II
37
s-. " as
38' -"
12 ws
GI
Permit __
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performer —No.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL 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 0,42 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 work.
No._
No .Street,
Block
State work to be performed and purpose of building (By Floors)
New Building — Remodeling Addition. Repairs —___ No. of St^_-ies.
Service Overhead Size Feeders Conduit__________ — Main Sw.___________ __ Amps. __ Main Fuses__
Underground
Type of Installation— Conduit Tubing __ B.X.L Metal Moulding __________________ ____ — —
(Signed)
(Signed)
Date
Street --^-- __-- ___ _______--- - - - - -.
Subdivision ______________— _______ —___
Amps.
Electrical Inspector.
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 con
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work tr
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 a
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is tbe_ �_____�_�,
of the above described construction, that be has carefully read the foregoing application. and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
Master Elcctrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HATER
STRIP Y
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
- -Y
TOTAL
CONTR.
LIST
CHECK
Permit __
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performer —No.
Amount of Permit $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL 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 0,42 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 work.
No._
No .Street,
Block
State work to be performed and purpose of building (By Floors)
New Building — Remodeling Addition. Repairs —___ No. of St^_-ies.
Service Overhead Size Feeders Conduit__________ — Main Sw.___________ __ Amps. __ Main Fuses__
Underground
Type of Installation— Conduit Tubing __ B.X.L Metal Moulding __________________ ____ — —
(Signed)
(Signed)
Date
Street --^-- __-- ___ _______--- - - - - -.
Subdivision ______________— _______ —___
Amps.
Electrical Inspector.
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 con
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work tr
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 a
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is tbe_ �_____�_�,
of the above described construction, that be has carefully read the foregoing application. and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public. State of Florida
Master Elcctrican.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No _-_, 2_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date__..
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 Divisicn
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 work.
Owner's Name and Address
Registered Architect and /or Engineer _
Employing Electrician's Name
Location and Legal Description Lot_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Block
No._________ Street___
No. – – – – – Street
Street
New Building Remodeling Addition. Repairs
No. of. Stories
Service Overhead Size Feeders.____ Conduit._________ Main Sw.
Underground
Type of Installation— Conduit_____. Tubing B.X.L Metal Moulding
Amount of Permit $
(Signed)
(Signed)
Amps.
Main
My Commission Expires Notary Public. State of Florida
Electrical Inspector.
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 com-
plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
ss
COUNTY OF DADE.'
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'8
FIXTURES
NO.LAM PS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
TER
EATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEA'iER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No _-_, 2_
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date__..
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 Divisicn
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 work.
Owner's Name and Address
Registered Architect and /or Engineer _
Employing Electrician's Name
Location and Legal Description Lot_
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
Block
No._________ Street___
No. – – – – – Street
Street
New Building Remodeling Addition. Repairs
No. of. Stories
Service Overhead Size Feeders.____ Conduit._________ Main Sw.
Underground
Type of Installation— Conduit_____. Tubing B.X.L Metal Moulding
Amount of Permit $
(Signed)
(Signed)
Amps.
Main
My Commission Expires Notary Public. State of Florida
Electrical Inspector.
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 com-
plied 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 under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Master Electrican.
STATE OF FLORIDA,
ss
COUNTY OF DADE.'
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
Permit No.____— _______- ________ Date_- - - -_ ( r
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 previsions cf the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shor_:: Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building durizg _.rogreu of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name .t_
Location and ' ega1 Description Lot
Street and Number wh rz wcrl: is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building.. _______. Remodeling Addition Repairs —___ No. of Stories
APPLICATION FOR ELECTRICAL PERMIT
Scrvi:e Overhead Size Feeders Conduit.__________ Main Sw. Amps. Main Fuses____________ _ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding _________ _______
�__— ___— ___— ______— __________
Amount of Permit $___
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Ea:pires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street____
1
No l
Block
(Signed)
(Signed) ______
Notary Public. State of Florida
Street
Subdivision_______________
Street
' Master Electrican.
IC _ .
Electrical Inspector,
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 com-
plied 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
LLquire.d by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the_ __________
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee or "1.00 will be made when such re- inspection is made nccessary by improper notice for inspection, or f'
materials end /or workmanship. a.
CWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT. DIST.
SW. C.B.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
O -T HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIE
CHECK
Permit No.____— _______- ________ Date_- - - -_ ( r
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 previsions cf the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shor_:: Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building durizg _.rogreu of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name .t_
Location and ' ega1 Description Lot
Street and Number wh rz wcrl: is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building.. _______. Remodeling Addition Repairs —___ No. of Stories
APPLICATION FOR ELECTRICAL PERMIT
Scrvi:e Overhead Size Feeders Conduit.__________ Main Sw. Amps. Main Fuses____________ _ Amps.
Underground
Type of Installation— Conduit Tubing B.X.L Metal Moulding _________ _______
�__— ___— ___— ______— __________
Amount of Permit $___
STATE OF FLORIDA,
COUNTY OF DADE. ss.
My Commission Ea:pires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
Street____
1
No l
Block
(Signed)
(Signed) ______
Notary Public. State of Florida
Street
Subdivision_______________
Street
' Master Electrican.
IC _ .
Electrical Inspector,
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 com-
plied 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
LLquire.d by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared — — -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that be is the_ __________
of the above described construction, that be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee or "1.00 will be made when such re- inspection is made nccessary by improper notice for inspection, or f'
materials end /or workmanship. a.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
CONTRACTOR OR RU DER
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N9 2971
Contractor's
License No.
Work to be performed under this Permit
Subdi-
vision
Value of
Project
Legal Lot ii Bl.
Description
Address of
Building
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described
application herefor in strict compliance with ali ordinances pertaining thereto and with the understanding that the work will be performed in con
with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Perr
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 co
upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowl
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specificatic
that he assumes responsibility for work done by his agents, servants or employees.
Signed. By V
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
Lions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
Amt. of
Permit
BY AUTHORITY
NO.
Motors
Receptacles
Generators
STREET
PART OF LOT
LOT
BL'K
Other Apparatus
SUBDIVISION
. 7 9 ‘ t
- i 1
' '
"
1 4.-
;10
:di
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
it ?S "...
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
li ractor or Electricia
iami =Di ores 9l lage
Miami Shores Village, Fla ,
F L 0 A D A
OFFICE OF ELECTRICAL DEPARTMENT
i
DESCRIPTION OF WORK
NUMBER OF
LO CATI 0 N
19
N9 805
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon . y ange ' the plans and specifications unauthorized by
th' Department. / r
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
Dated [� - -____ , 19_
, Electrical Inspector.
(Seal)
NO.
STREET
mr,
PART OF LOT
LO
BUR
SUBDIVISION
Signs
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
.„a,.rf
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
ELECTRICAL PERMIT
actor or Electrician
Dated
tiset
, 194
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , r 19
s `'� y' r .0 CATI O N
dd M iami cJhoresllage
F L O R ID A
DESCRIPTION OF WORK
NUMBER OF
N° 705
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
epartment.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
Shores Village.
(Seal)
r i
MIA • ' ES VIL..AGE, FLA. NO 5964'
JOB _ ✓_ �� ���� ���
ADDRESS
INSPECTION .r / F ' / °$ff
TIME READY � - A
REMARKS •
1 �•
__aim. 7 , of EE. S.JG
Phone ,l4. P' ' ' e-- 7
-
C.o.
INSPECTOR 1,31'e G - /8 -4
DATE
Registered Architect and/or_ or _ Aineer
Employing Electrician's Name..2 - .
Service Overhead
Underground
Type of Installati�o
jj G
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
A
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
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 work.
Owner's Name and Address. No h.... Street
y ; G, A i %
ti
•
-N
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Feeders Conduit Main Sw Amps Main Fuses Amps
nduit ,. Tubing - B.X.E ' Metal Moulding
�. (� /
e
7r� ..:..... • I 1 ;
(Signed)
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Street
Notary Public, State of Florida
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
ACE
H ATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
`i
MOTORS
0.1 HP
MOTORS
1.8 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
�/
St
CHECK
Registered Architect and/or_ or _ Aineer
Employing Electrician's Name..2 - .
Service Overhead
Underground
Type of Installati�o
jj G
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
A
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Permit No Date
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 work.
Owner's Name and Address. No h.... Street
y ; G, A i %
ti
•
-N
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Size Feeders Conduit Main Sw Amps Main Fuses Amps
nduit ,. Tubing - B.X.E ' Metal Moulding
�. (� /
e
7r� ..:..... • I 1 ;
(Signed)
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli ations 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 sub-contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Street
Notary Public, State of Florida
(Signed)
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re•inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
P RMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address
/-3 D(3 -39d
9 ( i t 7! E• sq`1 ., Tax Folio
Date
Legal Description
Owner / Lessee ! rr Tenant f(ia�i r� Master Permit q Owner's Address �C Q L 4. E. / % / Phone ' 751 — Q2,
e7.54/5 4924dcd-litx-e
Contracting Co
?hone 5
Stace = 9I0O .unicipa: :r
Architect /Engineer
Bonding Company Address
Mortgagor Address
Permit Type(circie one) BUILDING( ELECiRICA MECHANICAL ROOFING PAVING FENCE SIG -
WORK DESCRIPTION •
/— �-� ' //
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TC
SO MAY RESULT IN YOUR ?AY:NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEN:
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU:
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, an
on the attached addendum (if applicable). I certify that all work will be performed to meet t-
standards of all laws regulating construction in this jurisdiction. I understand that separat
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing informat
be done in compliance with all applicable laws regulating c
authorize the above -named contractor to do the work state
Signature of oT r and /or Condo President
Date:
Notary a
My Commi
** *
APPROVED:
1
i 12 al .. ` ' N
�° �« •4-a• :_ i resCC714091
- 4. �51/ COMMISSION EXPIRES
e O1'
- ,..._ MAR. 1,2002
* *
Zoning
* *
resident
*
FEES: PERMIT '4 ✓ e2 RADON C.C.F.
Fire
Building
*
*
Mechanical
Address
Competency f
Address
Si
Da
Notary
My Co'
Las.Co.
on is accurate and that all work wil
truction and zoning. Furthermore,
ature of Contractor or Owner - Builder
ean ° &HtRISCPw
OOMPASON NUMBER
.
O F Mb COMMISSION EXP}kS
MAR. 12002
NOTARY TOTAL DUE
Electrical
_r-Builder
* x
Other
Plumbing Engineering