360 NE 97 St (4)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement us toe plans and specifications herewith submitted for the build
in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Addres.s. ° 00.. . Street—
Registered Architect and/or Engineer
0,2;1 Ilt• tttt If.
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision"
#5I75 fi
Street and Number where work is to be done D 1%.' - C
State work to be done and purpose of building (by floors)
Disapproved
(Signed)
Date
tlr)
Sworn to a me.
otary Public, S a
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
..... FacLAA.01.a.
To be constructed of Kind of foundation Roof
Estimated Total cost of improvements $ y t) 0 Amount of Permit $.
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Perinan•nt Stumlement,
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 tinder this permit; and will post or cause to be posted for inspection on the site the wor such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such sucOhbactors, o wor be prEbrmed under this
permit. as are licensed by Miami Shores Village.
Remarks ( Signed
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that h e.
of the above described construction, that he has carefully read the foregoi ication, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Z3 Date .4/
Bui ding Inspector My Commission Expires ...
PLANNING BOARD ",i.PkYFE 2
Chairman Member r —
Member Member
Me mber Member MO NM CM .. •••••
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmtn
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection oe faulty
materials and/or worktnanship.
•,,. a- aaZIDA
411 3 Ya 4,
n- S
43 3
y3 6 ,6
Sc c
BUILDING INSPECTION DEPARTMENT
APPLICATIQIN FOR BUILDING PERMIT
Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build -
:ng or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address /
Registered Architect and /or Engineer
Name and address of licensed contractor / =
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State workto be -done and purpose of building (by floors)
New Building Remodeling Addition
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ !✓
Amount of Permit $
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed render this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated axe true.
Date Read, Sworn to and Subscribed before me.
Permit No
Disapproved ../•.4„._ ? Date
( Signed) \
Building Inspector
MIAMI SHORES VILLAGE
Date ✓ , 19
No '
Street'''
and for no other purpose.
Repairs No. of Stories 1
Notary Public, State of Florida
• My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Local Phone:
Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305 - 795 -2204
Printed: 1 /17/2002
Applicant: JAMES
Owner: FURR
Contractor OBENOUR ROOFING SHEET METPAci$IfSat�IRPIZS5Z JW MIAMI CT
Parcel # 1132060135840 Legal Description: 1 53 41 - 53 42
Job Address: 360 NE 97 ST
Fees:
FEE2002 -331
FEE2002 -332
FEE2002 -333
Permit Status: Approved Permit Expiration: 7/14/2002 Construction Value: $21,250.00
Work: REROOF -MAIN TWO STORY WITH MONIER TERRACOTTA CEMENT BARREL COLORTHRU ONE COLOR
If there is no permit package accessible on the job -site for inspectors to verify, there will be no insnectinns., Ra.innnantinn > ___
fee is $50.00, which must b.
This Permit is granted to the contr
ordinances pertaining thereto and wi
1 and approved by the proper municip:
I authorization. A further condition upi
ordinances and regulations pertainin
by his agents, servants or employee;
Signed:
In consideration of the issuance to
with the plans, drawings, statements
myself, my agent, servants or emplo;
Signed:
Description
CCF
Buildier's Bond
Building Fee
Total Fees:
Building Permit
Permit Number: BP2002 -90
Cellular:
FURR
JAMES
Amount
$13.50
$300.00
$150.00
$463.50
THIS CHECK IS DELIVERED FOR PAYMENT ON THE FOLLOWING ACCOUNTS
DATE AMOUNT
TOTAL
LESS ' DISCOUNT
LESS FREIGHT
LESS
TOTAL DEDUCTIONS
AMOUNT OF CHECK
PB 10 -70 MIAMI SHORES SEC 1 AMD LOTS 5 & 6 & E2OFT OF
Srcuriry enhonced do curnen 1 See back f or delaiis.f
OBENOUR ROOFING SHEET METAL
& SUPPLY CO.
9301 N.E. 6TH AVE., STE. A -101 305- 757 -2612
MIAMI SHORES, FL 33138
0 EAGLE NATIONAL BANK
Avent B ranc h
2999 NE 191st Street
Aventura. Florida 33180
PAY )
O DER i ^�
ORDER OF
11'0 2073311' 1:066006349
Total Fees: $463.50
Total Receipts: $0.00
DATE
1-41-64 -e ,f- ��silOLLARS
617011'
Page 1 of 1
I$
20733
83-034/860
24
vo
■,;Contractor's Name:
11-
ROOF CATEGORY
i1J (Low Slope App lirnt inn) Li (Nail Tile) ( Set 'Tile)
0 (Asphalt/Fiberglass Shingles) . 0 ( Metal Roofs\ Wood Shingles & Shakes) E] (Other)
ROOF 'I yPE
New Roof Re 0 Recovering 0 Repair 0 Maintenance
Flat Roof Area (If) Sloped Roof Area 'ft') 6 6 Total (11') 1 ° NI:aster Permit No
Exposur einegor, (per ASC.'E 7-S8): 6-- Building Classiaatiun atwy (pr.% ASCE 7 rabic
ROOF HEIGHT AND .. .3.YSTEN.1 DETAILS TiaERE
(Dcw details as needed) GAS V e
I7 L Nt" ---
TYPE-N.43L fl LT 0
Fr.
12:;.01-78
_ Job Address: /co
1 atelier i
Field; Perimeter;
TAIL 1 &
ATTACHMENT
NFAC IN C.
Cornta-7,
Page-1
PIKC_ICE ;, _
ROOF PLAN
r
Rid
/ Dock typUt
enttintiw17
mksAN i 6.
, 4
DETAIL 3
""thiderlayallellt:
•
A,ppei "E"
UNIFORM ROOFING I' ERIVIIT APPLICATION
PROCESS No
SLOPED SYSTEM DESCRIPTION
4 14-
As! iftl itt 2 2 6. wil,;1
IIIStIbti011t:
Falliencr typc & if d 0 I
c.,I,51":L4ril Pj )_9 -4ce7,0 1 a ete ,p',
I e i
.....&•••,•P••••••■•- i )
/ 01 1 1 r..' IC (4S S fj)t 'et: 3 •C'ii-7/ / -. '":7
Ro 0 - CCP,' ern g I di
ii6OP QLODY
TILE CALCULATIONS
Drip dge:
4-
(PMc7X.1: 1 114,3k X;( 'Azrodynarnic, Multiplipr); ' ) - me: P 7 = M /o„d/PcA.! / .1.3
(Prnez),:2; 4 <A, (Aeriadyirathie. Multiplier): • 3/ ) M • .P7 26 78 . . • /' 3 c/
) -- 6 . - -= M • PC-A; 0 . • •
(Prnax...le'l g 2 , (Aeroc1);narnip Multiplior): - r 30 ) - m „Pi= m .16 ' i 3.3
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) .Miami-Dade County Product Control
Notice of Acceptance-Cover Sheet
a) Specific System Description
h) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
o r
09/06/2001 10:36 MEDITERRANEHN ROOF TILE -* 3057588484
!ti 33S 539
01/11/00 TUE 15:40 FAX 581 138 5301 MONJER LIFETILE
PRODUCT CONTROL NOTICE OF ,ACCEPTANCE
Monier Lifetile LLC
135 NW 20 St.
Boca Raton
FL 33431
Your application for Product Approval of:
hrwir Profile flle.
under Chapter 8 of the Code ol County governing the usc: orAiternat:: ./13.rerials and - rypes of
Construction, and completely described herein, has been recommended for acceptance by the Miami-Dade
County Building Code Compliance Office ( under the conditions specified herein..
This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at a.nytirne from a jobsitc or manufacturer's pia.,nt for quality control testing.
If this product or material fails to perform in the approved manz::::, BCCO z modify, or suspcnd
CrIc use of s'uch product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined BCCO that this product or material fails to meet the requirements of ih Sout, Florida BuiLdin
The eNoe.nse of such testing. wtll be incurred by the manutacturer.
Acceptance No.: 99-101206 (Revises No-: 96-0523.05)
Expircs:12/16/2002
MEDITERRANEAN
N0.941 1; 1 001
e001
D E COUNTY. 1-7L.cRiD
mc - tgoDA.)e. FLAGLER BV[LDINCI
BciLDINC, COI)E OFFIC):.
.N.IETRO-.DA DE FL.P
I -0 \E!F.7 PL :,C LER 5 1 .:1 - 1:?.. 1603
NI[.4,■11.
v.:35) .375•;!9°I Ax ..5(27 I 375-290$
CONTR.4C LICENSINC. SCTQ N
k305i 375-2:5n FAX 37f
CONTRACTOR ENFoRC:ENIENT SECTION
(30f) 275-2966 FAX :305) )75-G$
Ft(Or. CCT CONTROL f.
(;05; 275-290: FAN 005; 37 - . 1 - 6.:k39
/7
/ /
,/ • 4 h /
//
Raul ftodrit
Cruel Product Cr Division
THIS IS THE COVERSHEET, SEE ADDITIONAL PACES FOR spEoFic AND GENERAL
CONDITIONS
• BUILDING CODE & PRODUCT REVIEW COMMITTEE
.. , .
This application for Product Approval has been reviewed by the BCCO and approved by the Building. Codc
d Product Reviei.v Committee to be used in Dade County, Florida under the condition s. set forth above.
Apr) toved : 12/30/199
r
ted
- Trancisco - • Quinzaria, R.A.
DirecT,01.
1 of 6
Building Code Con-ipliaricc
• 09/06/2001 10:36 MEDITERRANEAN ROOF TILE 4 3057588484
t•10.941 D002
01,'11/00 TUE 15:40 FAX 581 338 5391 MO IER LIFETILE i-+ 1MEDITERRANFAN a 2
r1u`
,IO IER LIEETITaE l< iC ACCEPTANCE \o.: 99- 1012.06
APPROVED : December 30, 1999
EXPIRjE,S _Deo:ernher 16, 7002
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
SCOPE
This revises a roofine system using Monier Lifetile Mission Barrel Conc rete Roof Tile, as
manufactured by Monier Lifetile LLC described in Section 2 of this Notice of Acceptance.
designed to comply with the South Florida Building Code, 1994 Edition for Miami-Dade
County. For the locations where the pressure requirements, as dete::;mined by SFBC
Chapter 23. do not exceed the design pressure values obtain by calculati•3ns in compliance
with RAS 127 using the values listed in section 4 herein. The attachment calculations shall
be done as a moment based system.
Category:
Sub Cate.ory:
2. PRODUCT DESCRIPTION
Manufactured by Zest Product
a pplicant Dimensions Specifications Description
•Monier Lifetile
Mission Barrel Tile
Trim Pieces
Product
4 '
Prepared Roofing
High Profile Tile
w Varies
Vartiing thickness
2.1 Components or products manufactured by others
ASTM C 1 167 High profile. two- piece. ext uded concrete roof
rile. For mortar set or adhe:.tve sett
applications.
1= varies ASTM C 1 167 ,accessory trim, concrete roof pieces for use at
W varies hips. rakes. ridges and valley terminations.
vary inc thickness Manufactured for each tile profile.
Test Product
Dimensions Specifications Dc5Cription
Ma
T3 Felt N/A ASTM 0 226 Saturated organic felt to generic
type 11 be used as a nailed
anchor sheet_ •
T43 Coated Base N/A ASTM D 2626 Saturated and coated
Sheet organic base sheet for
single or double ply
underlavment_
generic
- -�_
Frank Zuloaga,C
09/06/2001 10:36 MEDITERRANEAN ROOF TILE 4 3057588484
01/11/00 TUE 15:41 FAX 561 338 5301
MONIER LTFETILE LLC
Product
Mineral Surface
Cap Sheet
Rainproof II
1cc And Water
Shield
Roof Tile
Adhesive
(•'Polypro '
.k1-1160")
Roof Tile
Adhesive
Tile8ond
NOTICE OF ACCEPT.a5fCE:
N/A
30" x 75' roll
36" x 75 roll
60" x 75' roll
36" x 75' roll
N/A See PCA
Factory premixed
canisters
MONIER LIFETILE
Test
Dimensions Specifications
ASTM D 249 Mineral surfaced asphalt
roll roofing for use as a
top ply in a double ply
underlayment System.
PA 104
PA 105 Self- adhering
underlayment for use as
a top ply in a two ply
underlayment system
with Approved 30 or
43 as the base laver.
See PCB,
3. LIMITATIONS
3.1• Fire classification is not part of this acceptance.
3.2 For mortar or adhesive set tile applications, a static field uplift test shall be
performed in accordance with RAS 106.
3 .3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory
to perform quarterly test in accordance with PA 112, appendix #'. Such testing
shall he submitted to the Building Code Compliance Office for review,
• • 3 -4 Minimum underlayments shall be in compliance with the app..icable Roofing
Applications Standards listed section 4A herein.
3.5 30/90 hot mopped underlaymcnt applications may be installed perpendicular to
the roof slope unless stated otherwise by the u . terial-trraot cturers
published literature_
ACCEPTANCE No. 99 1� 06
APPROVED : De.:ember 30, 1999
EXPIRES :December 16, 2002
STANDARD CONDITIO \ S
Product
Description
Single ply, nail -on
underlayment with 2"
Self-adhering top ed^e.
Two component
polyurethane adhesive
designed for adhesive set
roof tile applications-
Single component
polyurethane foam roof
tilt adhesive
n
.•., MEDITERRANEAN [i51003
Manufacturer
generic
Protect -O- Wrap.
Inc_
with current NO. -t
W.R. Grace Co
with current NOA
Polyfoarn
Products, Inc.
Flexible Products
(with current
NOA)
NO.941 P003
09/06/2001
131/11/00 TDE 15:41 FAX 561 338 53111 MUNIER LIFETILE
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
3.6 This acceptance is for wood deck applications. Minimum deck reuirernents shall
be iit compliance with chapter 29 of the SEBC.
4. INSTALLATION'
4.1 Monier Lifetile Mission Barrel Concrete Roof Tile and its components shall be
installed in strict compliance with Miami Dade County Roofing Application Standard
RAS 121).
10:36 MEDITERRANEAN ROOF TILE 7 3057588484
MONIE R LIFETIME LLC ACC PTANCE No. : 99- 1012.05
APPROVED : Decernber 30, 1999
EXPIRES :December 16, 2002
4;2 Data For ArtacEurlent Calculations
;Monier Lifetile Mission barrel Tile
Tile
Profile
Table 1: Aerodynamic Multipliers - X (fe)
Tile ,, ( 3)
Profile Direct Deck Application
0.31
Table 2: Restoring Moments due to Gravity - M (ft - lbf)
Monier Lifetile S_47
M ission Barrel Tile
3 ":12" 4•':12" 5 ":12" 6":12"
5.39
Table 3: Attachment Resistance.Expressed as a Moment - Mr (ft
for Single Patty Adhesive Set Systems
Tile Tile Application
Profile
Monier Lifetile Mission
Barrel Tile
5 Place 23 rams per an and 23 rams per Cap o{ PolyPrp"',
Place 11.8 grams per pan and 11.6 .rams per cap of TileBond.
Polyfoam PolyProv"
Flexible TileBond
Table 3A: Attachment Resistance Expressed as a Moment - M -ibf)
for Mortar Set Systems
Tile Tile
Profile Application
Monier Lifetile Mission Barrel Tile j Mortar Set'
5.27
4-+4 MEDITERRANEAN laoo4
5,14
Attachment
Resistance
24.5
Frank Zuloata. RRC'
NO.941 0004
7 ":12" or
greater
5.00
Minimum Attachment
Resistance
133 (Concrete tile)
84 (Concrete tile)
LABELING
All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo,
or following statement: "Miami -bade County Product Control Approved ".
E19 /E15i 12OO1 10:36 MEDITERRANEAN ROOF TILE - 3057588484
01/11/00 TUE 15.43 FA.. 561 338 5391 MONIER LIFETILE 4 MEDITERRANEAN X005
MONIER >!,rFUZLE LLr
ACCEPTANCE No. 99 I(1r?,06
APPROVED : December 30, 1999
EXPIRES _December 16, 2042
NOTICE C E ACCEPTANCE: STANDARD CONDITJO S
6. BUILDING PER.t1vIIT RFQariIRENIEjNTS
6.1 Application for building permit shall be accompanied by copies of th : fo(lowin„
6.1.1 This Notice of Acceptance.
6.1.2 Any other documents required by the Building Official or the South Florida
Building Code (SFBC) in order to properly evaluate the installation of ti ?is syste.n.
PROFILE DRAWINGS
MONIER LIF'ETILE MISSION BARREL CONCRETE ROOF TILE
Frank Zuloaga RRC
NO.941 D085
0g/0,6/2001
20101
10:36 MED I TERRANERN ROOF TILE 3057588484
01 /11 /00 TUE 15:42 FAX 561 338 5391
MONIER I,IFETILE
tMON ER JFETII,F JAC ACCEPTANCE N .:!99 I012.06
NO.941 DO016
444 MEDITERRANEAN l0oR
APPROVED : D&ernber 30, 1999
EXPIRES : Der. tuber 16, 2002
NOTICE OF ACCPTANCE: STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been
filed and the original submitted documents, including test - supporting data, engineering documents.
are no older than eight (8) •cars.
?_ Any and all approved products shall be permanently labeled with the ntanufac;:urcr's name, city,
state, and the following statement_ "Miami -Dade County Product Control Approval ", or as
specifically stared in the specific conditions of this Acceptance.
Renewals of Acceptance will not be considered if:
a. There has been a change in the South Florida Building Code affecting the evaluation of this
product and the product is not in compliance with the code changes.
b. The product is no longer the same product (identical) as the one originally approved.
c. If the Acceptance holder has not complied with all the requirements of this acceptance,
including the correct installation of the product,
d. The engineer who originally prepared, signed and sealed the required docur:tentation initially
submitted. is no longer practicing the engineering profession.
4- Any revision or change in the materials, use, and /or manufacture or the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has been
requested (through the filing of a revision application with appropriate fee) and granted by this
o Mee.
Any of the following shall also be grounds for removal of this Acceptance:
a. Unsatisfactory performance of this product or process_
b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any
other purposes.
6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida. anti
followed by the expiration date may be displayed in advertising literature. If any portion of the
No of Acceptance is displayed, then it shall be done in its entirety.
7_ - . A copy of this Acceptance as well as approved drawings and other documents, where it applies.
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection at the job site at all time. The engineer need not reseal the'copics.
8, Failure to comply with any section of this Acceptance shall be cause for termination and removal
of Acceptance.
9. This Notice of Acceptance consists of pages 1 through S and this last page 6.
END OF THIS ACCEPTAN
F ran - Zuloaga, RAC
APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFLNG CONSIDERATIONS
As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner
with the required roofing permit, to provide the owner with this appendix and to explain to the owner the
content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
6 L The owner's initial in the adjacent box indicates that the item has been explained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
ing that the roofing system meets the wind resistance and water intrusion performance standards.
etics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
ues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part . f the agreement between the owner and the contractor.
ii I
2. Rerrailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be
\' t ed in accordance with the current provisions of Chapter 29 of the SFBC. (The•roof deck is usually
• cealed prior to removing the existing roof system)
3. Common Roofs: Common roofs are those which have no visible delineation between
boring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
`` and/or owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
viewed from below. The owner may wish to maintain the architectural appearance, therefore,
ng nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
ause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
ctural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until th original roofing system is removed. Ponding conditions should be corrected.
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
aded from a build up of water. Perimeter /edge walls or other roof extensions may block this
arge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppe s in accordance with Chapter 23 of the SFBC.
wne
ignat
's /Ag
re
is Signature
5104 APPENDIX "F"
A p�
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
'. the.structutal assembly (the building itself). The existing amount of attic ventilation shall not
duced. It may be beneficial to consider additional venting which can result in extending the service
of the roof. . •
ontractor's
Signature
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
028036153 9009 JAN 1812:21
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address:
2. Description of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address:
Name and address:
Amount of bond $
6. Lender's name and address:
8. In addition to himself, Owner designate
Section 713.13(1)(b), Florida Statutes.
Name and address:
• • • < 4 4 4
s
P 'nt Ow ers N -me
Sworn to and subscribed before me this
Notary Public 11st
Print Notary's Name C,I'ld.lr A
My Commission Expires:
369 NE 97 La& / ,dif, fG
A•
LA4ehl
691-x-rwev) At/4
S
5. Surety:(Payment bond required by owner from contractor, f
r H TAT E OF FLORIDA, COUNTY OF DADE
rillfLI y CERTIFY that this is a trt ypy of the
original tiled in this office on ! /+
360 NE Q7 f;
tYrtanu. 4 o FG 33! 3 B
eft , A
WTTNESS7nyMand and Official Seal.
HARVEY RUVIN, - ' K • +rcwt an County Courts
Sy /Il D.C.
7, Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: _r
the following person(s) to receive a copy of the Lienor's Notice as provided in
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
jar' , )0_4222.
, ;S
aY� arnra D. Hart
'' - Commission �E D0014372
.
E, l ins April 2 2 993
'�, ° D ttQjsD# S +f lhr4
33/ .30
Prepared by:
Address: [/l209 /yrle�„ _J
F , x ( 3 30 . 2 /
.b�
12901.52 2/93
CONTRACTOR
New Construction
Name amot X it ` i
Enclosure
License No. Cops 3010 £ stooge to 45 T
31 8
313 3
Address 9 3D/ N E. to -t4) Qty Sh 8
e A_ /0/
h2c i it91O FL 3,
�i
Repair
Telephone3_ 1a Fax 3� 8 , 758- 0
( n
84
Qualifier Name
w-. - _ D .0
Demolish
PROPERTY OWNER
New Construction
Name L i a F
... t ax .
r
Enclosure
,y
Address3 WE
. ,Q
l�?.tQin�Lt; L �,�, F(. , 3
31 8
313 3
Home Telephone /
/ L � 15 1 — & ^ 3
` ✓
Repair
Business Telephone
Alteration Interior
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the hliarni Shores Village:
Step 1.
Job Address:
Tenant Information
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
36,0 n/F 91,
Address 613 �i Apt. C'
Folio Number )6 c P v 13 .0 �O Description of Work
Lot Block Zoning
Subdivision _ PB PG g
n
Current Use of Property PYJ1L G0 Square Feet 1 ? (pp Units Floors 2
Value of Work a1 o Z fi 0- °a Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Proposed Use of Property RO.W/0 --nLGO
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
1,)
IA
Telephone
Fax
Master Permit No.
Subsidiary Permit No. l P • OO a
"Mrni. "MO , FL 33/ 38
City State Zip
PERMIT APPLICATION
Maw) ,, - 2 2t,a S c 927 d / I
/ 1 / • , — 071Q
Li ear Feet
ENGINEER
Name
License No.
Address
N l
/A
Telephone
Fax
Page 2
IMPORTANT NOTICES
1.
2.
3.
4.
5.
6.
7.
8.
9.
DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
PORTABLE TOILETS for a construction site require a separate permit.
DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the, property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, O$NTY OF MIAMI -DADE
S i
wner
j Ames ru.r
Print
Sworn to and subscribed before me this I LI day of ^
J aji ,
e � �
Signature of Notary Public 6,� D l art
Commission # DD 014872
SEAL: ?E Sires April 2,200$
Toolg4 111n#
., .. � �, , i;?.re: IF.'r, lFi9.•: T�•
P
Personally. known OR, Produced Identification
Type of Identification Produced:
STA • . ORIDA, Cq'CI1�i,T
a/itaI //�% //
ure of Contractor / Qualifier
7Qmcs D. tbenloul
Print Name
Sworn to and subscribed before me this 1" day of
Type of Identification Produced:
PERMIT APPLICATION
A l/ I DADE
S ignature of Notary Public - State of Florida
�~srnry'r B
SEAL: , *;1pYP/j9 0
0 Sandra D.
c - %
8 1 -* == Expires >Apnl 2, 2005
, "� ` Bonded Thru
•� • ' ` :., ••' 11ondiag Co., Inc..
Personally known OR, Produced Identification •
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPI'.
Outlet, Appliance
QTY.
TYI'P.
Service Repair
TY.
A/C Central 1 -3 Ton
Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
Paint Booth
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
- Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Pressure Vessel
Fixture Light
Parking Lot Lights
Spas/Hot 'nibs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
QTY. TYPE.
Refrigeration, Tons
QTY.
A/C Central, Tons
QTY.
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
- Process/Pressure Piping
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Gas - Appliance
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
TYPE:
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi- family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$ 15o,00
3000
$
$
$ (¢.01 /sq.ft.)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY:
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
(sq.ft. = x/1000
x 0.60)
(¢.005 /sq.ft.)
PERMIT APPLICATION
O CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ �,
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Date e 9/7/ 170 Job Address 30 T ! 5/ Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant \J PS f iJ,- / Master Permit # Y79 l c
Owner's Address % 0 / OE 97 Sr Phone 7S7 G .a' 3 /
Contractin Co. D iL ) A 4 tG�9 Address 930/ Ale G o laic- /1 l f
/' 33/ 1
Qualifier -ftd-W S' • 10 . 46 GA.14c)/<— Phone 7J" / —') ( --
State # a G b Ili 30 (* Municipal # Competency # On00 L, '(„ S' Ins. Co. kr
Architect/Engineer �/ f� - Address
Bonding Company �l / Address
Mortgagor i) Address
Permit Type (circle on ): BUILDING ELECTRICAL PLUMBING MECHANICA ROOFING ' AVING FENCE SIGN
WORK DESCRIPTION Tf4L op, FAST /crafty "f_ 0 f "L,¢r Io olAy. /i.4.C,1fi HO Alf
F F6 + kW l awaltf coca vgagot tom. 7 [- met¢ 26 mop ! - gabezei
Square Ft. 11 Estimated Cost (value) /. 0 70 .
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 Co
My Commission Expires:
0
FEES: PERMIT 7 RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
C.C.F.
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
o �
ature of Contractor or Owner -B
Notary as to Contractor or Owner -Bu e / Date
My Commission Expires:
Nay, • BOND 5 e./' 6
TOTAL DUE
Electrical
Notary Public
• NOTICE OF COMMENCEMENT
A RECOtWDED CC' : MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. 4 4Zgif TAX FOLIO NO.
STATE OF FLCRIDA:
COUNTY OF DADE: 008439740 2000 SEP 12 10:50
THE UNDERSIGNED here': gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Flcrida Statut. , the following information is provided in this Notice of Commencement.
1. Legal description of prop. i ty and street. address: 3 un �� cri Lot-
rn t th
■AA Ofte4r—•
3. Owner(s) narre and adds .:.s: fI JUt-
S .e° R,
Interest in property:
Name and address of fee si.:1ple titleholder:
2. Description of improvem ?nt:
4. Contractor's name and a. Tress: ►;>(/X, LL
4 301 OE tD o 10 Su i L A - cetibo C. 1
5. Surety:(Paym ant bond rt .,aired by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's nam 3 and addr.. s:
7. Persons within the State , 1 Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., I: )rida Statutes,
Name and addre ss:
u
Q. In addition to himself, 0.: 2r designates the following pe on(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Floric . Statutes.
Name and address:
different date is specified) s p ire of •
or
Prin •wne s Name fY1CS r' I A V V
Print Notary's Mime ,SAN iY't ' e
My Commissior. Expires:
NAR
lay
ft
9. Expiration data of !his Nc.:;e of Commencement: (the expiration date is 1 year from the date of recording unless a
Sworn to and su'ncribed br: . re me this I ( day of Stpl ,
STATE • F FLORIDA, COUNTY OF DADE •
1 HER Y CERTIFY that this is a tr ^^ r the
on91 filed in •Mar -n day
Prepared by:
Address: AlI00_5__Iy1AZZc001_y'
LP
v
1: 1.01 -:2 1 C,,:;1
123.01-12 PAGE 2 7/99
r V •
APPENDIX "F"
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F', it is the responsibility of the roofing contractor to provide the owner with the required
roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions
of Chapter 34 of the South Florida Building Code (SFBC) govern all the minimum requirements and standards of the indus-
try for roofing system installations. Additionally, the following items should be addressed as part of the agreement between
the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained.
. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof-
ing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are
not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance,
that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor.
2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance
with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the
existing roof system.)
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town-
houses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the
occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from
below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the under-
side of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance.
. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond
(accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the
review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roof-
ing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions
should be corrected.
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build
up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets)
are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur-
al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to
consider venting which can result in extending the service life for the roof.
8. The owner may contact the Miami -Dade County Consumer Services Department for further information regarding
the above.
/Agent's Signa re
9/7D 0 /CeZe(-4'-`
Date Contractor's Signature
t ME - TRO-�ADE
PRODUCT CONTROL NOTICE OF ACCEPTANC
Monier Lifctile LLC
135 N.W. 20 St,
Boca Raton, FL 33431
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1553
(305) 375.2901
FAX (305) 375-2908
E
PRODUCT CONTROL DIVISION
(305) 375.2302
FAX (305) 372 -6339
Your application for Product Approval of:
Mission Barrel Tile
under Chapter 8 of the Miami Dade County Code governing the use of Alternate Materials and Types
of Construction, and completely described in the plans, specifications and calculations as submitted by:
Redland Technologies, The Center for Applied Engineering, Inc. and Professional Service
Industries, Inc..
has been recommended for acceptance by the Building Code Compliance Office to be used in Miami -
Dade County, Florida under the specific conditions set forth on pages 2 -8 and the standard conditions
on page .9.
This approval shall not be valid after the expiration date stated below, The Building Code Compliance
Office reserves the right to secure this product or material at any time from a jobsite or manufacturer's
plant for quality control testing, If this product or material fails to perform in the approved manner, the
Building Code Compliance Office may revoke, modify, or suspend the use of such product or material
immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is
determined by the Building Code Compliance Office that this product or material fails to meet the
requirements of the South Florida Building Code.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 97- 1124.12 Revises No.: 96- 0528.05
EXPIRES: 06/25/01 aul Rodriguez
Product Control Supervisor
THIS IS THE COVERSFIEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Miami Dade County Building Code
Compliance Office and approved by the Building Code Committee to be used in Miami- Dad County,
Florida under the conditions set forth above.
APPROVED: 06125/98
Internet mall address: postmaster @bulldIngcodeonline.com
harles Danger, P.
Director
Building Code Compliance Dept.
Ivtiarni Dade County
Homepage:' http : / /www.bulidingcodeonllne.com
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Rid • e Ve tilation?
A-
Deck type:
MEAN HEIGHT (6,6
Underlaylnent:
Insulation:
12^
ROOF SLOPE
D E T A I L 3
SLOPED SYSTEM DESCRIPTION
A+sW/4 D zZe. x'36
Fastener type & spacing:
t:1s412-. 4. /4 44,40, d Lq 07,E ad 1
/2 /c
gg �
Roo n /
t
Roof overing:Rnitix. /!/ m a . C%Glo� - iCOU,4 Awe ra/ 5
�I ' !
Cap Sheet: /1 7Ae 1 9 ( 9 )
Drip edge: fl0. Q4tfd,
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) Miami -Dade County Product Control
Notice of Acceptance -Cover Sheet
a) Specific System 'Description
b) Specific System Limitation
c) General Limitations
d) Applicable Detail Drawings
3) Municipal Permit Application
4) Other Component Approvals
(Pmaxl: 1 14, 1 x
(Pmax2: 16•S x
(Pmax3: ?4. x
? (Aerodynamic Multiplier):
X (Aerodynamic Multiplier):
(Aerodynamic Multiplier):
TILE CALCULATIONS
.3( )'- M .S ' M ?. o) PCA:
3 ) - M :S.a M �o
• 3 ( ) - M S• = M PCA: 66:
•
12 .01-713 4m-, 3e • • 7 q.0 ./.7
.,
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Contractor's Name: 0 AS EN edit orrAd Job Address: 36o iJ E Ci
ROOF CATEGORY
2 Slope Application) 0 (Nail-On Tile)
0 (Asphalt/Fiberglass Shingles) ( Metal Roofs\Wood Shingl & Shakes) 0 (Other)
ROOF*
0 New Roof /Re - km - Recovering 0 Repair 0 Maintenance
2r(Mortar-Adhesive Set Tile)
Flat Roof Area (ft) / 34 Slope(' Roof Area,(ft 98I Total (ft') // .. 2- Master Permit No.
Exposure category (per ASCE 7-88): 4 - Btiilding Classification category (per 7 table 1):
6r4. foie. e Clef, /6 gmt.dowle fc 4 1 4
ROOF HEIGHT AND SYSTEM DETAILS
:•crAtemee (wilco,- #. ap • Acme e (Draw details as needed)
•Jr/Zp•ro,14,41tvg
Ft.
Ft.
f4114', ter,441144 -?
FCMIK0Afe
oir Ake., ed Ir. ,-,,e Aiwa MAO
a AA
it—LeArdro,4e.t.•
.4 20 'eV
eAr it'e•or.e.te 17*
1:641.c", 40,51160104014T/N
"to "
Deck type: ttifirck /6/44-
.g0='30(
% i4 v81
ATTACHMENT
%rote • 7
a
Fastener Type: itie frishmai u- (. Cuel
SPACING
Field:7 '#/s Perimeter: 4 + `' Corner: e''-‘
r o
S .5 ill .45 .fi
a •
DETAIL 1 & 2
y/ F
4 iwacar f
(f. "0/e
3
"It
ROOF PLAN
r
11
/I
7 . 77 o C
Page-1
a
MONIER LIFETYLE LLC Product Control No.: 97-1124.12
Product
Rainproof 11
ice and Water
Shield
Wood Battens
Product
Monier LifeTile
LLC Mission Barrel
Tile
Trim Pieces
TRADE NAMES OF PRODUCTS MANUFACTURED oR
LABELED BY APPLICANT
Test
Dimensions Specifications
1= 18"
w = varies
varying
thickness
I= varies
w = varies
varying
thickness
Dimensions
30" x 75' roll
36" x 75' roll
or
60" x 75' roll
36" x 75' roll
Vertical
Min. 1 "x 4"
Horizontal
Min. 1 "x 4" for use
with vertical
battens or
Min. I "x 2" for use
alone
PA 112
PA 112
TRADE NAMES OF PRODUCTS MANUFACTURED OTHERS
Test
Specifications
PA 104
Wood Preservers
Institute LP — 2
Page 2 of 9
High profile, two- piece, extruded
concrete roof tile. For mortar set or
adhesive set applications.
Accessory trim, concrete roof
pieces for use at hips, rakes, ridges
and valley terminations.
Manufactured for each tile profile.
Product
Description Manufacturer
Single ply, nail -on
underlayment with
2" self - adhering top
edge.
PA 103 Self - adhering
underlayment for
use as a top ply ina
two ply
underlayment
system with
approved #30 or
443 as the base
layer.
Salt pressure
treated or decay
resistant lumber
vattens
Product
Description
Protect -O -Wrap,
Inc.
PCA #94- 0714.01
W.R. Grace Co.
PCA #92 -1 1 16.01
generic
Frank Zuloaga, RRC
Rooting Product Cnntrnl F,Yam
MOM:ER LIFETILE LLC Product Control No.: 97
Tile Nails
Product
Roof Tile Mortar
( "TileTiteTM")
Roof Tile Mortar
( "Quickcrete Roof
Tile Mortar
1 140 ")
Roof Tile Mortar
( "BONSAL Roof
Tile Mortar Mix ")
Roof Tile Adhesive
( "Polypro®
AH 160")
Hurricane Clip &
Fasteners
Test
Dimensions Specifications
min. 8d x 21/2" or
min. 10d x 3"
N/A
N/A
N/A
N/A
Clips
Min. V" width
ivtin. 0.060" thick
Clip fasteners
Min. 8d x
PA 114
Appendix E
PA 123
PA 123
PA 123
Page 3 of 9
Product
Description
Corrosion resistant,
screw or smooth
shank nails for
additional tile
attachment at eave
tile courses.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
Prepared mortar
mix designed for
mortar set roof tile
applications.
See PCA Two component
polyurethane
adhesive designed
for adhesive set
roof tile
applications.
PA 114 Appendix E Corrosion resistant
clips with corrosion
resistant nails.
Frank Zuloaga, RRC
L ., ,.
Manufacturer
generic
Bermuda Roof
Company, Inc.
PCA #94- 0614.01
Qu ickrete
Construction
Products with
current PCA
W.R. Bonsai Co.
with current PCA
Polyfoam Products,
.Inc.
PCA #94- 0401.01
Generic
MONIER LEFETILE LLC Product Control No.: 97-1124.12
SYSTEMS
Deck Type: Wood, Non - insulated
Deck Description: New construction 14 / 32 " or greater plywood or wood plank.
SYSTEM D: Mortar or Adhesive Set Application
Slope Range: 2 " :12" to 7 ":12"
Note: System D is only acceptable in this slope range.
Underlayment: Install underlayment system in compliance with Miami -Dade County
Application Standard PA 120, (See System Limitation #4.)
Roofing Tile: Install tile in compliance with Miami -Dade County Application Standard PA
I20: (See "Data for Attachment Calculations" included in this Approval.)
Comments: 1. For re -roof applications, 15 / 32 " plywood is an acceptable substrate.
1
Page 5 of 9
Frank Zuloaga, RRC
Roofing Product C'nntrnl 1 vA�
MONIER LTFETILE LLC Product Control No.: 97- 1124.12
SYSTEM LIMITATIONS
1. The standard minimum roof pitch for the Monier Lifetile LLC Mission Barrel high profile tile shall
comply with Dade County Application Standards PA 120.
2, System installation shall be in compliance with the system specifications outlined in this Product
Control Approval. The method of attachment utilized shall provide sufficient attachment resistance
expressed as a moment to meet or exceed the required moment of resistance determined in
compliance with Dade County Protocol PA 115 or PA 127. The tile profile listed herein has been
tested for both wind characteristics and static uplift performance , therefore, attachment calculations
for installation in compliance with PA 115 or PA 127 shall be done as an 'Moment Based System'
3. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited
testing agency, in compliance with Dade County Protocol PA 106, shall be performed.
For tile applications, 30/90 hot mopped underlayrnent applications may be installed perpendicular
to the roof pitch unless stated otherwise by the underlayrnent material manufacturer's published
l iterature.
5. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the field.
6. Applications for roofing permits shall include a completed Section I1 of the Uniform Building
Permit, a copy of manufacturer's current specifications and details, a copy of this Product Control
Approval and a copy of the Product Control Approval of any Roofing Component used in the
proposed tile application. Reference shall be made to appropriate data for the required fire rating.
7. The applicant shall retain the services of a Dade County certified testing laboratory to maintain
quaiity control in compliance with the South Florida Building Code and related protocols.
8. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South
Florida Building Code.
9. Fire classifiation is not part of this acceptance.
Page 6 of 9
Frank Zuloaga, RRC
Roofing Product Control Examiner
'MONTER LLFETIME LLC Product Control No.: 97
Monier Lifetile LLC Mission
!Barrel Tile
L
Tile
Profile
Monier Lifetile
LLC Mission
Barrel Tile
Tile
Profile
5.47
Tile
Profile
Monier Lifetile LLC Mission
Barre! Tile
DATA FOR ATTACHMENT
CALCULATIONS
Table 1: Aerodynamic Multipliers -2%. (ft')
from PA 108 Testing
X (ft')
Batten Application
Table 2: Restoring Moments due to Gravity - M (ft -Ibf)
from PA 101 Testing
3 ":12" 4 ":12" 5 ":12" 6 ":12"
5.39
N/A
Table 3: Attachment Resistance Expressed as a Moment - M (ft -Ibf)
from PA 101 Testing
Tile
Application
Mortar Set
Adhesive Set
Page 7 of 9
5.27
(ft')
Direct Deck Application
0.31
7 " :12" or
greater
5.14 N/A
Attachment
Resistance
Frank Zuloaga, RRC
Ro Product Control rvarr;r1 r
MONIER LIFETELE LLC
PROFILE DRAWINGS
MONIER LIFETILE LLC MISSION BARREL TILE
Page 8 of 9
ProdtIct Control No.: 97-1124.12
Frank Zuloaga, RRC
Roofing Product Control Examiner
L
C,
MONIER LTFETELE LLC Product Control No.: 97-1124 12
Monier Lifetife LLC ACCEPTANCE NO.: 97- 1124
:35 N.W. 20th St. APPROVED : June 25, I998
R:1,:a Raton, FL. 33431 EXPIRES
June 25 2001
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
Rcne.,taI of this Acceptance (approval) shall be considered after a renewal application has been
riled and the original submitted documentation, including test supporting data, engineering
documents, are no older than eight (8) years.
Any and all approved products shall be permanently labeled with the manufacturer's name, city,
state, and the following statement: "Miami -Dade County Product Control Approved ", or as
specifically stated in the specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered if
a) There has been a change in the South Florida Building Code affecting the evaluation of this
product and the product is not in compliance with thy code changes;
b) The product is no longer the same product (identical) as the one originally approved;
c) If the Acceptance holder has not complied with all the requirements of this acceptance,
including the correct installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engineering profession.
cvision or change in the materials, use, and/or manufacture of the product or process shall
.clomatically be cause for termination of this Acceptance, unless prior written approval has been
requested (through the filing of a revision application with appropriate fee) and granted by this
of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this product or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any
other purposes.
The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and
fc' 10.E ed by the expiration date may be displayed in advertising literature. If any portion of the
«Mice of Acceptance is displayed, then it shall be done in its entirety.
copy' of this Acceptance as well as approved drawings and other documents, where it applies,
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection at the job site at all times, The copies need not be resealed by the engineer.
Failure to comply with any section of this Acceptance shall be cause for termination and remov:!;
C' Acceptance,
9 This Acceptance contains pages 1 through 9.
END OF THIS ACCEPTANCE
Page 9 of 9
Prank Zu!oaga. RRC
PRODUCT CONTROL NOTICE OF ACCEPTANCE
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
Your application for Product Approval of:
'GAFRuberoid® Modifed Bitumen Roof Systems for Wood Decks
un ' r Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of
Cortruction, and completely described in the plans, specifications and calculations as submitted by:
Dynatech Engineering, Inc., Factory Mutual Research Corporation, and Underwriters Laboratories, Inc.
has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida
under the specific conditions set forth on pages 2 -60 and the standard conditions on page 61.
This approval shall not be valid after the expiration date stated below.. The Building Code Compliance Office
reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality
control testing. if this product or material fails to perform in the approved manner, the Building Code Compliance
Office may revoke, modify, or suspend the use of`�such'produc.or material immediately. The Building Code
Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance
Office that this product or material fails to meet the' requirements of the Building Code Compliance Office that this
product or material fails to meet the requirements of the South Florida Building Code.
The expense of such testing be incurred by the manufacturer.
Revises No.: 95- 1003.03
Acceptance No.: 97- 0804.14
Expires: 11/06/00
Approved: 11/06/97
:I1t 1 +n
T! /2
Raul Rodriguez
Product Control Supervisor
THIS IS THE COVERSHEET SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
,, CONDITIONS 4'
BUILDING CODE COMMITTEE
This application for Product Approval has . been '{reviewed 'by :Ihe`Metropolitan Dade County Building Code.
Compliance Office and approved by the Building Code Committee to be used 1n ade County, Fl pi id under the
conditions set forth above. k /
Charles Danger, P.E.
Director
Building Code Compliance Dept.
Metropolitan Dade County
Applicant:
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
? ,
PRODUCT CONTROtNOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
, . ■ ...It:2 ',;, . ,., • t,,
' ,-tt 'skAlt`NtIate5 eiltr,t'Z'A ''' ' .
Category: Membrane Roofing SxSte gait
Sub-Category: Built Roofing meh 04iii 06
Type: Modified Bitumen
Sub-Type: , APP and SBS '' 2 -3!414 116
440itylat
System Descnp gAit:11.cl Lii,
- • L.... , ' , ..;', Ifil Ili 'ITTLI.1.7 t 1 1, ; ,..
tion
,43,1;
, .
GAF Materials Corporation has been manufasturingir percipl roofing products for more than 100
GAF produces a wide range of roof products for built-up roofing systems. The modified bitumen
products include both APP and SBS products in smooth, granule and fire rated versions. In addition,
GAF offers two ply modified systems to meet the specification requirements for multilayer SBS modified
specifications.
GAF products are distributed through a wide network of roofing wholesale distributors throughout the
• . ■ •
South Florida area.
GAF provides warranted systems over various in lAtectprid non-insulated substrates, copies of which
can be obtained from GAF and can be fonn(1161h * Bitumen Application and
Specification manual published annually:: ;,;4 49; =If
GAF roof system assemblies have been extensively tated at Factory Mutual Research Corporation and
Underwriters Laboratories. GAF modified bitumen Menibranes have been tested in compliance with
ASTM D 5147 test requirements. A=4
Product Control No.: 97-0804.14
40 Approval Date: November 6, 1997
Contact:
William J. Woodring
Director of Technical Services
(973) 628- 4134
Product Control No: 97-0804.14
Expiration Date: November 6, 2000
Frank Zuloaga,
Roofing Product Control Examiner
Product
GAFTITE® Base
Sheet
Fastener and Plate
Galvalume Plates
NTB Fasteners
Polypropylene' Plates
Ruberoid® 20
Ruberoid® Mop
Granule
RUBEROID MOP
Smooth
RUBEROID MOP
PLUS
RUBEROID MOP
170FR
RUBEROID MOP FR
RUBEROID TORCH
Smooth
RUBEROID TORCH
Granule
Test
Dimensions tSpecification
.= I Vi PA*114
3" and 3 '/2'
3" and 3 '/i'
1.5 sq. roll
PA 114
- .,:..
1 sq. roll - ASTM D 5147
103 lbs." ' t
ASTM D 5147
1 sq. roll
87 lbs.
1 sq. roll
102 Ibs.
I sq. roll
103 Ibs.
1 sq. roll
105 lbs.
r�14�tA' i
1 sq. roll - -' ASTM D 5147
87 Ibs.
1 sq. roll
102 lbs.
tPA'
it
PA 114
ASTM D 5147
ASTM D 5147
ASTM D 5147
1
ASTM D 5147
Product Control No: 97 0804.14
Product
Description
Base sheet fastening assembly.
Round galvalume stress plates.
Fastener for use in gypsum, tertum and
lightweight insulating concrete decks.
Round polypropylene stress plates.
SBS modified asphalt base sheet and
interply sheet reinforce with a glass fiber
mat.
Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non -woven polyester mat coated with
polymer modified asphalt and smooth
surfaced.
Non -woven polyster mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non -Woven polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
ASTM D 5147 - Non -Woven polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
smooth surface.
Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
granule surface.
Frank Zuloaga,
Roofing Product Control Examiner
Product
Dekfast Lock Plate
Dekfast Fasteners
#15
Dekfast Fasteners
#12 -
ISO 95+ Composite
Asphalt
Asphalt Primer
EPS
High Density Wood
Fiberboard
Pelite/Urethane
Composite
Perlite Insulation
Polyethylene
Red Rosin
Roofing Nails
Dimensions
3 "x31/4"
various
various
various
various
4 mil min.
various
Minimum #
12
Test
Specification
, 1
PA114
PAr1141arrl Insulation fastener for steel Construction
Fasteners Inc.
(with current PCA)
PA 110: <, Polyisocyanurate / perlite Firestone
ridged insulation (with current PCA)
4 Al
ASTM D 312 Type 11I or IV Hot asphlat generic
bitumin adhesive
ASTM D 41 Asphalt Primer generic
.PA1
r +r :c� t
PA 1101oS Wood fiber insulation board
PA 110, Perlite / urethane composite
r, n toctr board insulation
PA 110
;oil
PA 114
Product
) a Description
Polypropylene locking
i late.
Insulation fasteners for
concrete decks
.
a and wood decks.
Extruded
insulation
Perlite insulation board
f;
Vapor barrier / Air barrier
Rosin paper for barrier
layer on wood decks
Corrosion resistant annular
ring shank nails
Product Control No: 97 0804.14
Manufacturer
Construction
Fasteners Inc.
(with current PCA)
Construction
Fasteners Inc.
(with current PCA) .
generic
generic
generic
generic
generic
generic
generic
uloaga,
Roofing Product Control Examiner
Tin Caps
MB aluminum roof
coating
Dens -Deck
#12 Roofgrip
#14 Roofgrip
Gripdek Fastener
Hexcel Fastener
Hextra
Standard Plastic
Plate '
ISO 95+
ISORoc
Product
ETIRG'Y -2
• Test Product
Dimensions Specification = Description
Min. 32 ga. x
I s /"
s
various
3" round
various
various
various
PA 121 Aluminum roof coating
PA 110 Gypsum insulation board.
PA 114 Insulation fastener for steel
, yym or wood decks
PA 114
PA 114 Insulation fastener
PA 114 Insulation fastener
1.1 s ill 4f: �• ✓i ;v "i
PA 114 r <:: Insulation fastener and
r.. * w metal or plastic plate
PA 114 }`, Polyolefin plastic plate
:PA110
PA110
PA „I Polyisocyanurate foam /
(To 9:;nt rockwool composite
insulation
dik.,a kat4tti
Corrosion resistant circular
41ct discs.
Insulation fastener steel,
.' wood or concrete decks
1
Polyisocyanurate foam
insulation
Polyisocyanurate foam
insulation
Page 12 of 61
Product Control No: 97 0804.14
Manufacturer
generic
Grundy Industries
(with current PCA)
Georgia Pacific
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex •
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
International
Permalite
(with current PCA)
NRG Barriers, Inc.
(with current PCA)
NRG Barriers, Inc.
(with current PCA)
Frank Zuloaga,
Roofing Product Control Examiner
1
Membrane Type:
Deck Type 1:
Deck Description:
System Type A(2):
All General and Sy
Base Sheet:
Ply Sheet:
Membrane:
Surfacing:
Maximum Design
Pressure:
Maximum Fire
Classification:
Maximum Slope:
Specification No.:
SBS
ot-r-Oi
Wood, Non-insulated Nevi Construction or Reroof
" •
19 32 „ or greater plywood or woodplank decks
.1.1144 iik,
Base sheet mechanically fastehed.. ,
tt# t .11 .!
stem Limitations shall apply.
• GAFGLAS® #75, GAFGLAS U,ItimaTm Base Sheet, GAFGLAS® PLY 4®,
1AFGLAS® PLY*6(1V;GAF9LAS Base Sheet,GAFGLAS®
STRATAVENTONailablRUBEROID Modified Base Sheet or RUBEROID®
20 applied to the i
dec wi a oved anular ring shank nails and minimum 1 /
'v:1134'4 , pr At,
t' IW't1 "" rvr ze.orret imoom
tin caps at a fastener spacip gftsp fit the lap, 12" o.c. in two rows staggered
along the center line of the slieet in 'the field.
(Optional) One, two, or three plies GAFGLAS PLY 4®, GAFGLAS® PLY 6®
Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt
applied within the EVT range and at a rate of 20-40 lbs./sq..
One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR,
Ruberoide Mop Granule;Rilberoide Mop Plus Granule, Ruberoid® 30 or
idtIVIop FR or RUBEROID UltraCladTM SBS in
474,4; I •
p ypd,zisphalt applied within the EVT range and
Ruberoide 30,FR ot
adhered in a full iricmpl
at a rate of 20-40 1ps./iq„
'Or, • t
One or rriore plies of RUIIFROID MOP Smooth, RUBEROID® Mop Granule,
RUBEROID® Mop J FROIUBETIOIDO Mop Plus Granule, RUBEROID® 30,
RUBEROID® 30 FR. ormumpe Mop FR or RUBEROID U1traCadTM SBS
in RUBEROID Modified Bitumen Adipsive at an application rate of 1-2 gal./sq.
:pttiwo11-6' 3t1 O
(Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top
membrane) Install one cif the following:
1. Gravel or slag applied at 400 lb./sq. and 300 lb./sq. respectively in a flood coat
of approved asphalt at 60 lb./sq::e
• ..11 •
2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an
application rate of 25 lb./sq. + 15%.
MmiJ Ii-y.
-45 psf (See General Limitation #7)
11Q 1 I
'A'. See General Limitation #2.
.tOutooatitrit
2":12"; See General Limitation #3.
:4. 1
Page 22 of 61
Product Control No: 97-0804.14
Frank Zuloaga,
Roofing Product Control Examiner
Wood Deck System Limitations:
L Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F')
of 95 Ibf or greater as tested in compliance'with Metro -Dade County Protocol PA 105. If F' as
tested is below 95 lbf, a professional engineer may submit a revised fastener spacing utilizing
the withdrawal resistance value taken from Metro -Dade County Protocol PA 105 and
calculations in compliance with Metro -.Dad Roofing Application Stanadrd PA 117.
2 All standard insulation panel sizes, &IQ mechanical attachment. When panels are
applied in hot asphalt, maximum panel size a) x 4'.
be 4'.
a. Fastener spacing for insulation attachme is based on a Minimum Characteristic Force (F') of
275 Ibf. as tested in compliance ' with ` Metro -Dade' County Protocol PA 105 & Roofing
Application Standard PA"117: the fastene hare; afield tested, are below 275•1bf. insulation
attachment shall not be acceptable. .7 'i:tra=l ri
3 A slip sheet is required with GAFGLAS FIexPly 4® and Ply 6® when used as a mechanically
fastened base or anchor sheet.
4. 1/2 Type X gypsum board is acceptable to be installed directly over the wood deck..
VO
ti
agu-,Page 57 of 61
Product Control No: 97 0804.14
Frank Zuloaga,
Roofing Product Control Examiner
GENERAL LIMITATIONS
1 All asphalt shall comply with AST ID . 312 type III or type IV requirements, and
approved by applicant. ,, .144-, .
2 Fire ratings are determined by :a combination of. slope, deck type and assembly. Refer to
current Underwriters Roofing Materials_ rrectory or other fire testing data listed in the
testing file. Fire ratings shall be•in'strtct compliance with Sections 3401.5 and 3401.6 of
the South Florida Building Code. +' x 4 :1 :t !! :,
3 Maximum slope rang shall vary each consult current Underwriters
Laboratories Roofing Materials I re +, 0.90 ,; manufacturer's specifications for
compliance with design criteria for each project. ; n
4 An overlay and/or recovery board insulation panel is required on all applications over
closed cell foam insulations when the base sheet is fully mopped. If no recovery board is
used, install one layer of GAFGLASSSTRATAVENT Perforated, laid dry.A base sheet
may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.;
or strip mopped 8" ribbons in three rows, at each sidelap and one down the center of
the sheet allowing a continuous area of ventilation. Encircling of the strips is not
acceptable. A 6" break shall be placedevery 12' in each ribbon to allow cross ventilation.
Asphalt application of either system, ..x 1 be at a minimum rate of 12 lbs. /sq. Note:
Spot attached systems shall be limit 'to a maximum design pressure of -45 psi: Where
STRATAVENT Perforated is used ";over approved isocyanurate foam insulation, the
maximum design pressure is limited to r6Opsf.
5 All work shall be performed by a contractor licer}sed to do roofing work in Metro -Dade
County. Contractor shall be familiar with the details and specifications published by the
manufacturer, and the requirements of the SFBC.
6 The submission of system specifications and details shall accompany the Section II
Building Code Permit. This information is available in the publications listed in the
'System Description' of this Product Control Approval. The submission of these
documents, as well as the proper application and installation of all materials shall be the
sole responsibility of the contractor.
Product Control No: 97-0804.M
Zuloaga,
Roofing Product Control Examiner
7 Perimeter and corner areas shall comply.withTthel enhanced uplift pressure of these areas,
as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener
densities shall be increase for both insulation and base sheet as needed calculated in compliance
with Metro -Dade County Roofing Application Standard PA 117. (When this limitation is
specifically referred within this NOA; General Limitation #20 will not be applicable.)
f
.,i<;il��cog s :�
8 All attachment and sizing of perimeter sailers, metal profile, and/or flashing termination
designs shall conform with 'Metr`o= Dade'County`Roofing Application Standard PA 111
and the wind load requirements of• Ciiapter23 of the South Florida Building Code.
9 Flashings shall be installed according'to ;the inanufacturers standard details, and may be
applied in cold application adhesive, approved asphalt or may be applied in conjunction
with an approved torch appliedmodifiedt.bitumen membrane. Specific details, approved
by the manufacturer, shall be submitteli the section II Permit Application. All details
shall comply with the provision of the South Florida Building Code.
10 • Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force
(F') value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener
values as tested are below those listed in the System Limitations, a professional engineer may
submit a revised fastener spacing utilizing the withdrawal resistance value taken from a Metro -
Dade County Protocol PA 105 test repo 't:agd calculations that comply with the wind load
requirements of Chapter 23 of the Soutii,florida Building Code and Roofing Application Standard
PA 117. baaai ?
�:�i>E €sarat�t
11 Fastener spacing for insulation attachzNa based on , a Minimum Characteristic Force
e � .L�Qr t
(F') value of 275 Ibf., as tested in compliance with PA 105. If the fastener value, as field tested,
are below 275 Ibf. insulation attachment shall not be acceptable.
12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance
with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or
bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt
types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South
Florida Building Code.
13 Insulation may be installed in multiple layers. The first layer shall be attached in
compliance with Product Control Approval guidelines. All other layers shall be adhered
in a full mopping of approved asphalt: applied within the EVT range and at a rate of 20-40
lbs. /sq., or mechanically attached using the fastening pattern of the top layer. Refer to
manufacturer's literature and/or the NCA Roofing and Waterproofing Manual for correct
application procedures of insulation panels m approved asphalt or adhesive, which shall
comply with provision of Roofing Application Standard PA 117 '
I
.1 a,
Roofing Product Control Examiner
Page 59 of 61
Product Control No: 97- 0804.14
14 All standard panel sizes are facceptabl4afor:k le4hanical attachment. When applied in
approved asphalt, panel sizershall be.4 x 4' maximum.''
15 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a
bonding substrate shall be tested in compliance ° with Metro -Dade County Protocol PA 124 for
uplift resistance. Test pressures shall be calculated in compliance with the wind Toad
requirements of Chapter 23 of the South Florida Building Code to the design pressure of the roof.
t. -01i0 sail
16 In re- roofing applications, moisture,contept in an existing roof must be in compliance with
Section 3401.10(m), (n) of the South 1 pzidapuiiding Code.
17 _ Roll good materials shall be stored= 0114 and_9n.a flat and dry surface.
18 If required, any Factory Mutual Approved =vapor barrier in conjunction with proprietary or
approved adhesives may be'tised prio88r4a.the' aliplifation of the insulation layer.
19 Consult current Underwriters Laboratories Directory for the appropriate coating for each
'roofing assembly to obtain the required fire rating. The assembly shall be installed in
strict compliance with sections'340L5'and 3401.6 of the South Florida Building Code for
maximum fire classification. clad :mu t zsl1
Iiiwint41074 �t s
20 The maximum designed pressure linitation listed shall be applicable to all roof pressure
zones (i.e. field, perimeters, corners) T No rational analysis, nor extrapolation shall be
permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended
corners, and corners). (When this limitation is specifically referred within this NOA,
General Limitation #7 wilI not rer a lica r:
ct}i Al mp ::
N;nrn •.'7,.Sy "+1` a., :�F fib! .., -
bri t4.0tfts : ?t.
•
Frank Zuloaga,
Roofing Product Control Examiner
Page 60 of 61
Product Control No: 97- 0804.14
GAF Materials Corporation ? ACCEPTANCE NO.: 97- 0814.14
1361 Alps Road APPROVED: November 6, 1997
Wayne, NJ 07470 EXPIRES: November 6, 2000
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the
original submitted documentation, including test supporting data, engineering documents, are no older than
eight (8) years.
1
2 Any and all approved products shall be permanentl% labeled with the manufacturer's name, city, state, and the
following statement: "Metro-Dade County Product Control Approved ", or as specifically stated in the
specific conditions of this Acceptance. ;1
3 Renewals of Acceptance will not be considered if:
a) There has been a change in the South Florida Building Code affecting the evaluation of this product and
the product is not in compliance with the code changes;
b) The product is no longer the same product (identical) as he one originally approved;
c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the
correct installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation initially submitted,
is no longer practicing the engineering profession.
4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically
be cause for termination of this Acceptance, unless prior written approval has been requested (through the
filing of a revision application with appropriate fee) and granted by this office.
5 Any of the following shall also be grounds for removal of this Acceptance:
a) Unsatisfactory performance of this prodor process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or anx other
purposes.
9 This Acceptance contains pages 1 through 61
END OF
6 The Notice of Acceptance number preceded by the words Metro -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is
displayed, then it shall be done in its entirety
7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be
provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site
at all times. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
S ACCEPTANCE
age 61 of 61
Product Control No: 97- 0804.14
Frank Zuloaga, — tom
Roofing Product Control Examiner
it 1
1/4
Il/sq
,l/sq
1.2
1 (12
It 50
plied
5 dry
at 50
eries,
q (12
at 50
.eries,
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at 50
at 1.2
i at1
at 1.2
mils).
lyfoam
:olors ,
I 1-1/4
flied at
ils).
rlyfoam
gal /sq/
applied
ROOF COVERING MATERIALS (TEVT)
1999 Roofing. Mate
ROOFING SYSTEMS (TGFU)- Continued
29. Deck: NC . Incline: 1/4 '
Foam: "Poly -Iso" or "Poly -Iso Special" with " Polyfoam 251" " Polyfoam
303 ", 1 in. min. '
Base Coat: One or two applications "Gacoflex UB- 7050", applied at 1
:gal/sq/application or three applications, applied 1- 1 /4gal/sq/application
( -32 dry mils).
urfacing: "Gacoflex UA -65" Series (various colors), applied-1 gal /sq (12
dry mils).
30. Deck: NC Incline: 1/2
Foam: "Poly -Iso" or "Poly -Iso Special" with " Polyfoam 251" or " Polyfoam
303 ",. 1 in. min. it
Base Coat: One or two applications "Gacoflex UB- 7050 "; applied at 1
gal/sq/application or three applications, applied 1 -1/4 gal/sq/application
(16 -32 dry mils). r
Surfacing: "Gacoflex VA-60" Series (various colors), applied'I gal/sq (15
dry mils).
31. Deck: NC Incline: 2,
Foam: "Poly -Iso" or "Poly -Iso Special" with " Polyfoam, 251" s or " Polyfoam
303 ", 1 in. min. •
Base Coat: GacoSitS- 1000', applied at 'I gal /sq (10 y mils).
Surfacing: "Gacoflex 5- 1000", applied 'at 1 galfsq (10 (try mils): :
32. Deck: NC •• Incliner 1
Foam: " Polyfoam 251" or " Polyfoam 303 ", any.thicknesS
Surfacing: "Gacoflex Ure- Shield 7007 ", 40 dry mils.
33. Deck: NC Incline: 2 1 , r ,
Foam: " Polyfoam 275 ", any thickness.
' Base Coat: "Gacoflex A- 6211 ", 1-1/2 'gal/sq (14 dry mils).
Surfacing: "Gacoflex A- 6200" series (various colors); 1- 1 /2� hal f sq (14
dry mils).
34. 'Deck: NC Incline: 2 :: c s ,
Foam: Polyfoam 251, " Polyfoam 275" or " Polyfoam 303 ", any
Base Coat: One or two applications "Gacoflex UB- 7050"; 'applied at 1
gal /sq. /application (16 -32 dry mils).
Surfacing: One application of "Gacoflex A -55 Series" (various colors),
applied at 1 -1/2 gal /sq.. (15 dry mils). . . _
35. Deck: NC Incline: 1/4
Foam: "Polyfoam 251 ", " Polyfoam 275" or "Polyfoam 303 ",.any thickness.
Base Coat: "Gacoflex UB -64," applied at 1 -1/2 gal/sq. (18 dry mils).
Trowel Coat: 30/60 mesh crushed walnut shells mixed -at a .rate of 5
lb /gal with "Gacoflex UB -64," applied at 1 -1/2 gal/sq or "Gacoflex
UB -64 ", applied at 1 -1/2 gal /sq (18 dry mils) followed by the broadcast
application of 30/60 mesh crushed walnut shells applied at 7 -8 lb /sq.
Surfacing: "Gacoflex U -66 ", applied at 1/2 gal /sq.,_(6 dry mils).
GAF MATERIALS CORP .''.',` R1306
1361 ALPS RD, WAYNE NJ 07470
"RUBEROID 20" or "RUBEROID Modified Base Sheet" may be utilized as an
alternate to Type G2 base sheets in any of'the Classifications.
1/2 in. thick (min) gypsum board or 1/4 in. thick (min) Georgia,Pacific
"Dens - Deck®" overlayment board may be used in any existing noncombustible
deck Classification. When this is done, the resulting roofing .System is '
acceptable for use over combustible "(15/32 in. min) roof decks. The joints in
the gypsum board and overlayment board are offset 6 in: with the joints in the
deck. If polystyrene is part of the roof system, it must be placed below the
overlayment board.
Also, multiple plies of "GAFGLAS Ply 4" or "Ply 6" may be adhered to
"Dens -Deck' in hot asphalt. r
" GAFGLAS Stratavent Nailable Base Sheet" may bemechanically attached or
hot mopped over noncombustible decks and as a recover over existing, roof
systems. '
GAFGLAS Perlite Insulation may be utilized as a cover board over "EVERCrU /)RD"
insulation in any of the following systems. ,,. .;. s,. -. ,:•ti;.,
ASPHALT FELT SYSTEMS WITH HOT R00FING*ASPHALT'•n "
- Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 •Base•Sheet" or "GAFGLAS
#80 Premimum Base Sheet ") is a suitable alternate for Type •61 asphalt'glass
fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ")•in the Class A, B or C roof
systems indicated below. •" " .`•:s • . .:. "'
The roof deck may first be covered with a Type G2 asphalt' gigs mat base
sheet " GAFGLAS Stratavent (Vent -Ply) perforated" or "GAFGtASZtratavent
(Vent -Ply) for nailable decks ". Perforated to be mopped'and nailable,to• be
mechanically attached granule side down.
As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS ' #75` Base
Sheet ", "GAFGLAS #80 Premium Base Sheet" or "GAFGLAS Stratavent (Vent-Ply)
for nailable decks ") may be substituted:.for 61 asphalt glass fiber ply sheet
( "GAFGLAS Ply 4" or " GAFGLAS Ply 6 ") as the nailed' base plyiin th e following
systems. . . ,.•r:• •. . :.'
Bottom ply or base sheet may be solid mopped,. spot mopped ,or. mechanically
fastened. ,r,:)•:'; •, :■ ' n..
Unless otherwise indicated, all insulations may'bethot mopped or' mechanically
fastened. . .. .. , . - ,, \el) . ,,, ,r. ,,•. ,
d Systerris.Directory
LOOK FOR .THE .UL'MARK:ON 'PRODUCT
ROOF COVERING MATERIALS (TEVT) 141
ROOFING SYSTEMS'(TGFU) Continued
"GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class
A, B or C systems listed below.
, When "perlite is referenced, this includes " GAFTEMP PERMALITE®" or any
other UL. Classified perlite insulation.
Crushed stone or slag are suitable alternates for gravel in any of the Class A,
B or C systems listed.
Structural cement fiber building units are considered suitable to be_included
as a deck in the following Class A, B or C systems listed over C-15[32 or NC.
The use of gypsum board under any of the following Class A, B or C systems
does not adversely effect the rating. The use of 1/2 in. min gypsum board is
an acceptable alternate for insulation over C -15/32 decks.
The use of polystyrene insulation board between min 3/4 in. perlite board
and • deck with . rosin paper (perlite /rosin paper /polystyrene /perlite) is a
suitable alternate for isocyanurate board in the following Class A, B or C
systems.
"GAFTEMP Isotherm RA ", " GAFTEMP Tapered Isotherm RA" and "GAFTEMP
Composite A" may be substituted for any isocyanuratg insulation in any of the
following Classifications.
Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt
Systems with Hot Roofing Asphalt ".
GAFGLAS #80 Premium Base Sheet may be used in any of the following
systems, ,
Class.A, B and C.
Hot roofing asphalt, for use with organic end glass felts or modified bitumen
membranes.
Class A
1. Deck: C -15/32 Incline: 3
Insulation (Optional): One or more layers perlite, wood fiber, glass
fiber,;, isocyanurate?^uretriane` perlite/isocyanurate composite, perlite/
urethane composite, wood fiber/isocyanurate composite, phenolic, any
- thickness.' .-
. Ply Sheet: Three ors'more layers Type 61 "GAFGLAS Ply 4" or "GAFGLASPL
6 ", ho mopped.
Surfa Gravel.
2. Deck: C -15/32 Incline: 2
Insulation (Optional): One or' more layers perlite; wood fiber,, glass
fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/
urethane composite, wood fiber/isocyanurate composite, phenolic, any
thickness.
Ply Sheet: Three or more layers Type G1 " GAFGLAS Ply 4" or "GAFGLA. Ply
6 „
Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet".
Deck: NC ' - Incline: 2 • / •
Insulation (Optional): One or more layers perlite, wood fiber, glass
fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, wood fiber- /isotyanurate composite, phenolic, 2 in.
max.
Ply Sheet: Two or more layers Type 61 " GAFGLAS Ply 4" or " GAFGLAS Ply
6
Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet".
4. • Deck: NC Incline: 1/2 •
Insulation: One or two layers "Isotherm R ", 4 in. max, hot mopped.
Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber
mat system.
eck: C -15/32
Incline: 1
Slip•Sheet.(Optional): Red rosin paper, nailed to deck/ • .
• Base.Sheet: One layer of Type. G2 "GAFGLAS #75 Base Sl et" (may be
nailed). : . ,
Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4" or AFG ASPly
Cap Sheet: One layer of Type G -3 " GAFGLAS Mineral Surface Cap Sheet".
i Deck: NC - InclinO: 3 ,
/ Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet".
Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4" or GAFGLAS Ply
6 ". ,
Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Sheet"
7. Deck: C -15/32 Incline: 2 • •
• Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane
perlite/isocyanurate composite,. perlite /urethane composite, phenolic
1.0 in. min (offset from plywood joints 6 in.).
Base Sheet: One or more layers of Type 61, G2 or G3.
. i Membrane: One or more layers of "Ruberoid Torch" (smooth or granule)
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) o
" Ruberoid Mop Plus" (granule):• •
Cap Sheet: "GAFGLAS Mineral• Surfaced Cap Sheet", hot mopped.
8. Deck: C -15/32 Incline: 2
Insulation (Optional): One or more layers perlite, 'wood fiber, glas
fiber, isocyanurate, urethane; perlite/isocyanurate composite; perlite
urethane composite, wood fiber/isocyanurate composite, phenolic, an
thickness.
r glass
\FGLAS
1 -1/2
, glass
rerlite/
ic, any
\FGLAS
1 -1/2
glass
erlite/
ic, any
FGIAS
of the
/stems
lowing
ncom-
<amak
e deck
.owing
owing
ns are
18 in.
4 in.,
)canes
over
board
•
•
d fiber,
adhered
lodified
glass
)erlite/
ic, any
AFGLAS
1 -1/2
glass
)erlite/
ic, any
\FGLAS
ROOF COVERING MATERIALS-(TEVT)
ROOFING SYSTEMS (TGFU) — Continued
or 1/4 in. (min) Georgia - Pacific "Dens Deck® Overtayment". are used directly
over the deck with all joints staggered 6 in. (min) from plywood. joints.
A vapor barrior may be optionally installed under all systems utilizing
" EVERGUARD" insulation. " EVERGUARD" insulation is an acceptable alternate
in any polyisocyanurate insulation of the following , .systems.•.GAFGLAS
Perlite may be used as an option over EVERGUARD insulation. GAFGLAS
Stratavent Perforated Base Sheet may be utilized as an additional ply in
any of the following systems.
Class A - Ballasted
1..' Deck: NC Incline: 2
Insulation: One or two layers 'Isotherm R ", any thickness, loose laid or
mechanically fastened.
Membrane: Any UL Classified membrane used in a ballasted .system.
Surfacing: River bottom stone, 3/4 to 1 -1/2 in. diam, 1000 lbs /sq.
2. Deck: C -15/32 Incline: 1/4 (NC -2)
r, Insulation: Perlite, glass fiber or wood fiber, 3/4 to 1- 1 /2.in.
Membrane: "Ruberoid® Torch 1" (modified bitumen).
Surfacing: Gravel at 400 lbs /sq, loose laid or concrete blocks, .at 10
lbs /sq and spaced not more than 1/8 in. .
3. Deck: NC Incline : ' 3 , •-•
Insulation (Optional): Perlite, glass fiber or wood fiber, 3/4 to.1 -1/2 in.
Base Sheet (Optional): Type 15 asphalt organic felt or Type G2.
Membrane: "Ruberoid® Torch 1" (modified bitumen). • . •
Surfadng: Gravel.
4. Deck: C -15/32 Incline: 1/4
Insulation (Optional): Perlite, glass fiber or wood.fiber, any thickness.
Membrane: 'Ruberoid® Torch 1" (modified bitumen). .
Slip Sheet: 0.004 in. polyethylene (not UL Classified). r '1
Surfacing: 3/4 in. thick concrete with one layer of No. 10
Quarry tile (or equivalent) grouted in place. • •
5. Deck: NC Incline: 2 1 <
Insulation (Optional): Perlite, glass fiber or wood fiber, any thickness.
Membrane: Ruberroid® Torch 1" (modified bitumen).
Surfacing: 3/4 to 1 -1/2 in. river bottom. stone at: 1000 lb /sq or
concrete pavers weighing not less than 10 lb /sq•ft and spaced not more
than 1/8 in. •
6. Deck: NC Incline: 3.
Insulation: a)Polystyrene, 2 in. max, b)Isocyanurate, any thickness, laid
loosely.
Membrane: "EverGuard SR" or "EverGuard FB ", 40 -100 mil (TPA), laid
loosely.
Surfadng: River bottom stone (3/4 - 1 -1/2 in. diam) at 1000 lb /sq or
concrete roof pavers. • n
Class A - Fully Adhered
1. Deck: N1 Incline r1/2 • b •
Insulation (Optional): One or more layers perlite, wood fiber, glass
fiber, isocyanurate, urethane, pertite /isocyanurate composite, 'perlite/
urethane composite, wood fiber /isocyanurate composite, phenolic, any
thickness.
Base Sheet Optional): One or more layers Type G1,, G2• or G3.; '
Membrane: One or more layers "Ruberoid Torch" (smooth granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Plus" (granule). '
Surfacing: Gravel, 400 lbs /sq, loose laid or applied in a flood coat of hot
roofing asphalt. •
2. Deck: NC Incline:' 1/2 • •
Base Sheet (Optional): One or more layers Type G1, G3.
Membrane: One or more layers "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or- granule) or
"Ruberoid Mop Plus" (granule). '• '•'
Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq.
3. Deck: NC Incline: 1/4
Insulation (Optional): One or more dayers perlite, "wood • fiber, glass .
fiber, any thickness. •.-•
Base Sheet (Optional): One or more layers .Type G1, G2 or G3. .
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) 'or "Ruberoid
Mop Plus" (granule).
Coating: Karnak No. 97, 1 -1/2 3 gal/sq.• . `.:.•
4. Deck: C -15/32 Incline: 1/2
Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane,
perlite /isocyanurate composite, perlite /urethane composite,' phenolic,
1 -1/2 in. min thickness (offset from plywood joints6 in.)..
Base Sheet: One or more layers of Type G2 or G3..
Ply Sheet (Optional): One or more layers of Type 61. , "-
Membrane: One or more layers of " Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop "•'(smooth dr granule) or
"Ruberoid Mop Plus" (granule).
Surfacing: Karnak No. 97, 1 -1/2 - 3 gal/sq.
5. Deck: NC Incline :1/2 .
1999 Roofing Materials and Systems Directory
LOOK :FOR,THE ULMARK ON PRODUCT
ROOF COVERING MATERIALS (TEVT) 143
ROOFING SYSTEMS (TGFU)— Continued
'Base Sheet (Optional): One or more layers of Type G1, G2 or G3.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule).
Surfacing Optional): Karnak "No. 97" or "169" at 1 -3 gal /sq or Grundy
Ind. "20 F Emulsion" at 3 gal /sq.
6.' Deck: C -15/32 Incline: 1/2
Insulation: One or more layers perlite, glass fiber, 3/4 in. min,
isocyanurate, urethane, perlite /isocyanurate composite, pertite /urethane
:. composite, phenolic, 1 -1/2 in. min.
Base Sheet (Optional): One or more layers of Type 61, G2 or G3.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Plus" (granule).
.Surfacing: Gravel.
7. Deck: C -15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, wood fiber, glass
fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, wood fiber /isocyanurate composite, phenolic.
Base Sheet: Two or more layers of Type G2 or G3.
Ply Sheet (Optional): One or more layers of Type 61.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
. "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Plus" (granule).
Surfacing: Karnak No. 97, 1 -1/2 - 3 gat/sq or gravel.
8. .Qeck: NC Incline: 1/2
Insulation: One or more layers perlite, glass fiber, 3/4 in..,min,
isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane
composite, phenolic, 1 -1/2. in. min.
Base Sheet (Optional): One or more layers of Type 61, G2 or G3.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
I . "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Plus" (granule).
Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq.
9. Deck: C -15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in.
min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, phenolic, 1 -1/2 in. min.
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place. '
Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", hot mopped
in place.
Membrane: "Ruberoid Mop FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
GAF Weather Coat Emulsion at 3 gal /sq.
10. Deck: C -15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in.
min, isocyanurate, urethane, perlite /isocyanurate composite, pertite/
urethane composite, phenolic, 1- 1 /2.in. min.
Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place.
Ply Sheet: One or more layers of Type G1 " GAFGLAS Ply 4 ", or "GAFGLAS
Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
GAF Weather Coat Emulsion at 3 gal /sq.
11. Deck C -15/32 Incline: 1/2
Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber,
any thickness, hot mopped or mechanically fastened in place. Joints
offset 6 in.
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot mopped or mechanically fastened in place.
Ply Sheet (Optional): One or more layers of Type 61 " GAFGLAS Ply 4" or
"Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule). •
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal/sq or
GAF Weather Coat Emulsion at 3 gal /sq.
12. Deck:.0 -15/32 Incline: 1/2
Insulation (Optional): Isocyanurate, perlite or glass fiber, any thickness,
hot mopped or mechanically fastened in place. Joints offset 6 in. •
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot mopped or mechanically fastened in place.
Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4" or "Ply 6 ", hot
mopped in place. ,
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
GAF Weather Coat Emulsion at 3 gal /sq.
13. Deck: NC Incline: 1/2
Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass
fiber, any thickness, hot mopped or mechanically fastened in place.
Joints offset 6 in.
. •
• 144
ROOFING SYSTEMS (TGFU) — Continued
Base Sheet: One or more layers of Type G2 " GAFGLAS #75 Base Sheet",
hot mopped in place.
Ply Sheet (Optional): One or more layers of Type 61 "GAFGLAS'Ply 4" or
"Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule).. i•
Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1- 1 /2 .gat /sq
or GAF Weather Coat Emulsion at 3 gal /sq.
14. Deck: NC Incline: 1/2 c
Insulation (Optional): Isocyanurate, wood fiber •board, perlite; glass
fiber, any thickness, hot mopped or mechanically fastened in. place.
Joints offset 6 in.
Base Sheet: One or more layers of " GAFGLAS #75 Base Sheet", hot
mopped in place.
Ply Sheet (Optional): One or more layers of "GAF GLAS Ply 4" or "Ply 6"
hot mopped in place. • •
ROOF COVERING MATERIALS (TEVT)
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Weather Coat Emulsion applied 4 3 gaVsq or
GAF Fibered Aluminum Coating at 1 -1/2 gal /sq. •'•"•',
ck: C -15/32 Incline: 1/2 • ` '
nsulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/
isocyanurate composite or phenolic -
Base Sheet One or more layers Type G2 r e sheet, hot mopped
or mechanically fastened.
Ply Sheet (Optional): One or more layers Type Gl, hot ma,ped in place.
Membrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granulek . d
16. Deck: C -15/32 Incline: 1/2.
Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane,•perlite/
isocyanurate composite or phenolic, offset 6 in. from joints. .) •
Base Sheet. One or more layers of Type G -2 or G -3' base sheet, hot
• mopped or mechanically fastened. '
Ply Sheet (Optional): One or more layers of Type 6-1, hot mopped in
place. '
Membrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" (smooth). .
Membrane: One layer of "Ruberoid Torch 170FR" or "Ruberoid Mop FR"
(granule) • ,
17. Deck: NC Incline: 1
Insulation (Optional): Perlite, fiber glass, wood fiber,.' isocyanurate,
urethane, perlite /isocyanurate composite or phenolic.
Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped
or mechanically fastened.
Ply Sheet (Optional): One or more layers Type Gl, hot mopped,in place.
Membrane: One layer of "Ruberoid Mop FR" or ' "Ruberoid. Mop 170 FR"
(granule).
18. Deck: NC Incline: 1/2
Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate;
urethane, perlite /isocyanurate composite or phenolic. •
Base Sheet (Optional): One or more layers of Type 6-2 . or. G -3 base
sheet, hot mopped or mechanically fastened.
Ply Sheet (Optional): One or more layers of Type 6 -1, hot mopped in
place.
Membrane:'One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop"
(smooth).
Membrane: One layer of "Ruberoid Torch 170FR ", "Ruberoid Mop FR" or
"Ruberoid Mop 170 FR" (granule). 0
19. Deck: NC • Incline: 1/2
Insulation (Optional): One or more layers of perlite, glass fiber,
isocyanurate, urethane, perlite /isocyanurate composite or phenolic, any
thickness.
Base Sheet: One or more plies G1 or G2, hot mopped or adhered with
Karnak Chemical Co. "No. 81" or Gibson -Homan "(Jo. 6160" cold applied
adhesive at 1 -1/2 gal /sq.
Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR"
(granule), hot mopped or adhered with Karnak Chemical Co:. "No.'81" or
Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq.
20. Deck: C -15/32 Incline: 1/4 r
Insulation: Polyisocyanurate, any thickness. -.
Base Sheet: "GAFGLAS #75" (Type G2), mechanically attached.
Membrane: One or more plies of "Rubberoid Torch (smooth).
Membrane: "Ruberoid Torch 170FR" (granule). 7 '
21. Deck: C -15/32 Incline: 1/2. ...
Insulation (Optional): Polyisocyanurate, wood fiber, per' . fiber
any thickness, hot mopped or mechanically fastened: -
Base Sheet: One or more plies of Type G2 "GAFgt.AS #75 ".ot "Ruberoid 20
FR" base sheets, hot mopped or mechanically fastened...—
Membrane: One or more plies of "Ruberoid 30 FR ".hot•moppedin place.
22. Deck: C -15/32 Incline: 1 .' J
Insulation (Optional): Polyisocyanurate, wood`fiber, perlite,. or glass
fiber any thickness, hot mopped or mechanically fastened.
Base Sheet One or more plies of Type G2 " GAFGLAS #75" hot mopped or
mechanically fastened. •
1999 Roofing.. Materials and Systems Directory
ROOF COVERING MATERIALS (TEVT)
ROOFING SYSTEMS (TGFU)— Continued
Ply Sheet: One or more plies of "Ruberoid 20" or "Ruberoid 20 FR ", ho
mopped in place. ,
,Membrane: One or more plies of "Ruberoid 30 FR ", hot mopped in lilac
Deck: C -15/32 . • Incline: 1/2 •
A :Insulation (Optional): Fiber glass or perlite, mechanically- fastened.
• Base Sheet: One or more layers Type G2, hot mopped or mechanicall
It .fastened. t
Ply Sheet: Two or more layers Type 61, hot mopped or mechanicall
fastened.
Membrane: "Ruberoid 30" or "Ruberoid Modified Cap Sheet 601 ", ho
mopped in place. •
24. Deck: NC Incline: 1/4 0
Insulation (Optional): Polyisocyanurate, perlite, glass fiber or • woo
fiber, 2 in. max.
Base Sheet: Type 15 asphalt organic felt, Type G2 or "Flex Base 6
(modified bitumen), mechanically fastened or adhered with hot roofin
asphalt.
•. Membrane: "Ruberoid® Torch 1" (modified bitumen).
Surfacing: Karnak Chemical "Karnak No. 97 Fibrated Aluminum Aspha
Roof Coating" or "Karnak No. 97 Asbestos Free Aluminum Roof Coatin
at 1 to 2 gat/sq.
25. Deck:,C -15/32 Incline: 1/4 . '
Insulation: Two layers glass fiber (staggered joints), 1 in. each.
B Sheet: Type G2, mechanically fastened or adhered with hot roofin
a
. 'Membrane: "Ruberoid® Torch 1" (modified bitumen).
,Surfacing: Karnak Chemical "Karnak No. 97 Fibrated Aluminum'Aspha
Roof Coating" at 1 to 2 gal /sq.
26: Deck: NC • Incline: 1/4
Membrane: "Ruberoid® Torch 1" (modified bitumen).
Surfacing: Karnak Chemical "Karnak No. 97 Fibrated Aluminum Aspha
Roof Coating" at 1 to 2 gat /sq.
27. Deck: NC Incline: 1/2
`Insulation (Optional): Perlite, wood fiber or glass fiber, 1 in. ma
mechanically fastened or adhered with hot roofing asphalt.
Base Sheet: Type G2 or "Flex Base 60" (modified bitumen), mechanicall
fastened or adhered with hot roofing asphalt.
Membrane: "Ruberoid® Torch 1 ", heat fused. 0
Surfacing: Monsey Products "Endure Aluminum Roof Coating ", "Weath
Check" or "Pro -Grade Aluminum Roof Coating ", 1:5 gat /sq.
28. Deck: NC Incline: 1/2
Insulation (Optional): Perlite, wood fiber, glass fiber or isocyanurate
urethane board, 2 in. max, mechanically fastened. • •
Base Sheet Type G2 (modified bitumen), mechanically fastened o
adhered with hot roofing asphalt. •-
Membraneq "Ruberoid® Torch 1" (modified bitumen), heat fused.
Surfacing:: Monsey Products "Dura- White ", "Endure White Etastomeri
•Roof Coating" or "Pro -Grade White Elastomeric Roof.Coating ", 3 gat/sq
29. Deck: NC Incline: No limitation
Insulation,(Optionat): Polyisocyanurate, urethane, glass fiber, peril
i wood fiber, any combination in any thickness, mechanically fastened
adhered with hot roofing asphalt. .
Base Sheet: Type G2 (modified bitumen), mechanically fastened.
• Membrane: "Ruberoid® Torch 1 ", heat fused.
Surfacing: "Tuff-Corp" field mixed insulating coating composed of 6 -2/
cu ft of perlite, 7 lb of "TC -500 Masterbatch ", 94 lb Portland cement an
17 gal of water spray applied to min 1/2 in.
30. Deck: C -15/32 Incline: No limitation
. Insulation (Optional): Polyisocyanurate, urethane, glass fiber, perli
any combination in any thickness, mechanically fastened.
Base sheet: Type G2 (modified bitumen), mechanically fastened
adhered with hot roofing asphalt.
Membrane: "Ruberoid® Torch 1 ", heat fused.
Surfacng: Corp" field mixed insulating coating composed of 6 -2
cu ft of perlite, 7 lb of "TC -500 Masterbatch ", 94 lb Portland cement an
• 17 gal of water spray applied to min 1/2 in. .
31. Deck: NC • Incline: 1/2
Insulation (Optional): Glass fiber, perlite, wood fiber, 1 • in. m
mechanically fastened or.adhered with hot roofing asphalt.. •
Base Sheet Type G2, mechanically fastened or adhered with hot roofi
asphalt... .
Membrane: "Ruberoid® Torch .1" (modified bitumen), heat fused.
Surfacing: Henry "No. 229 Asphalt Emulsion" at .1- gat /sq or GEC
Industries "No. 929 Aluminum Emulsion" at 1 gal /sq. •
32. Deck: NC • , Incline: 1/2 .
,,Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, hot moppe
. -' or mechanically fastened any thickness.
Base Sheet: Type G2, mechanically fastened or hot mopped.
• . Membrane: "Ruberoid®. Torch 1 ", heat fused in place: •
Surfacing: Henry, "Henry 520 Aluminum ", applied at 1 -1/2 gal /sq.
LOOK.FOR THE UL MARK ,ON PRODUCT
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Upli Pull
Test or F)
1
26
_
v
51
•,_
r
76
2
27
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
8)
8
33
58
R3
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
R7
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
50
75
100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
SITE SPECIFIC INFORMATION
Owner's Name: �" = Permit #. 41 4 q 5
Job Address • 30 t4 E.- 4 11 c` 1 ! ‘. A 1 s tk-0 Q ,'i •
Roofing Contractor: 0 UJ 2— F L %J Gj
Type of Tile: hAp ii-!►tS- I 'lee – .P0,. �`r Date Installed -
Roof Pitch
Approximate Roof Height feet
Type of Access to Roof Scaffolds V Ladder Other
Approximate Square Footage of Roof: I SOD ft'
Required Testing Force: 35 lbs. Testing Equipment: Chatillion 100
Date Tested: %.2. • Il le> • 00
THIS REPORT SUBMITTED BY:
Civil Engineer:
Lab Certification # 98- 0608.04 •
State of FL Certificate Authorization # 4100
P.E. 411
TEST RESULTS
P = PASS, F = FAIL
Project
P •Ig •00
4'/.- ' •1`L
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
$KETCH OF ROOF
JOB
34, r4F qi ,M � e
SHEET NO 1.- OF
CONTRACTOR
CHECKED BY DATE
SCALE
WillEAMIL
arniii
MIME
mss' v' NNW
»ter
NOTES
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT
1 -5
Passed
21 -25
Passed
41-47
Passed
66-70
86 -90
6-10
Passed
26-30
Passed
48 -53
71 -75
91 -95
11 -15
Passed
31 -35
Passed
54-60
76-80
96 -100
16-20
Passed
36-40
Passed
61-65
81-85
101 -105
7LARA AND ASSOCIATES., INC-
Metro-Dade County
Approved Testing Laboratory
Lab. Certification # 98- 0116.01
CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE
TO COMPLY WITH METRO - DADE COUNTY PROTOCOL PA - 106
PROPERTY ADDRESS: 360 NE 97 ST
OWNER: Mr. Fun
CONTRACTOR: Obenour Roofmg
ROOFING SQUARES: 22 sq
TILE TYPE: Monier Barrel
CONTACT PERSON Yusi (305)205 -0327
TEST RESULT TABULATION
Testing Equipment: D pital Chatillon DFIS 200
THIS ROOF HAS PASSED: X FAILED THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI-DADE COUNTY PA106.
��--
F.F. Flaquer, P.E.
P.E. #23070
33
3
2 6
4
15 12
14 11
16 13 10
17 21
"ROOFING SKETCH"
61
23
18 22
19 20 24
47
25
26
44
45
28
43
29
Roofing Laboratory Testing & Research
Moisture, Up -lift, Fastener Testing
Complete Building & Roofing Inspections
Consulting Engineers
30
PERMIT No: BP2002 -90
PCA No:
ROOF PITCH: 3/12
INSPECTION DATE; 03/11/02
TEST DATE: 03/14/02
JOB NUMBER; 033002
40 38
46 42 36
31
41
32
33
37
34
OLD OLD
SECIIOWSECnON
Required Testing Force: 35 lbs.
47
2554 West 3 Ave. Hialeah, Florida 33010 (954) 433 -1484 Fax (954) 437 -2296
Type Insp'n
Permit No.
Name
Address
Company
Phone #
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date A21-4 Time
I
6 ft
ivy
34,e r7 s-
1 emu'
X672,
For Inspector: m� Name &
Approved �►�
Correction ❑
Re- Insp'n Fee ❑
Date
Time
c p
Permit No.
c - Q 9 0
Name
Address 3 Q b q 1 5
Type Insp'n
Company
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Phone # 13 0 ° / Z
For Inspector:) Y / t Name & R . to
J' 397,ngt-1
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date
Correction
Re- Insp'n Fee
ki4A
Time
Type Insp' nom) /X
Permit No.
Name
Address
Company
Phone #
For Inspector:
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date' Z°0 Time
Type Insp'n /1 ig!"-_yi/4
Permit No. 3p O 2-' 90
Name
/
Address D A/t4F97
Company 0 —aid
Ph e#`' 5'F2( /2
For spector: 3 7 0 , Name & Date
Approved
Correction
Re- Insp'n Fee
/ 1 /7 p /2_ vv--