490 NE 96 St (4)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE. FLORIDA
❑ DATF 195
❑ PERMIT N° 2570 Contractor's
License No.
❑ Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description 11 Bl
Address of
Building
This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed. BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
Subdi-
vision
Value of Amount of
Project $ ., Permit $
BY AUTHORITY
P4IAMI SHORES VILLAGE. FLORIDA
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
PERMIT N? 11863
II
II
ROOFING SZ Work to be performed under this Permi
Owner of
Building
time if the work is not done in compliance with such ordinances or if the pla
granted is the understanding that the contractor or builder named above ass
pertaining to the work covered hereby whether the'phiris-er-dzi
done by his agents, servants or employees.
CONTRACTOR OR BUILDER
Signed
Value of
Project $
BY
DATE
Contractor's
License No
1954._
This permit is granted to the contractor or b der named above to onstruct the building or to install the equipment or device described in the ap tion
herefor in strict compliance with all ordinances pe ing thereto and th the understa ing that the work will be performed in compliance with any p
drawings, statements or specifications that may have been submitted to and approved byy£e proper municipal authorities. This Permit may be revoked at any
out authorization. A further condition upon which this permit is
6 ility for a thorough knowledge of the ordinances and regulations
men or specifications and that he ass onsibility for work
4
INSPECTOR
In consideration of the issuan e to me of this permit I agreelwterform the work covered hereunder in comphan wt all ordinan• s and regulations
pertaining thereto and in strict confo statements or specifications submitted to the proper authorities of Mi i Shores Village.
In accepting this permit I assume responsi ity work done by either, myself, my agent, servant or employee Y %
AUTHORITY
Test Location
Uplift Pull
Tes or F)
Test Location
Uplift Pull
Test (P or F)
Test Location
Uplift Pull
. Test (P or F)
1
26
51
2
27
�'
52
3
28
53
4
29
54
5
30
55
6
31
56
7
32
57
8
33
58
9
34
59
10
35
60
11
36
61
12
37
62
13
38
63
14
39
64
15
40
65
16
41
66
17
42
67
18
43
68
19
44
69
20
45
/
70
21
46
71
22
47
72
23
48
73
24
49
74
25
50
75
1
THIS REP ED
Du Quesne & Associates, Inc.
Consulting Engineers
Testing Laboratory
Owner's Name: Tz�1 C Permit #
Job Address'
Roofing Contractor IM. 1l-L-C—e.._ • 1.6 – 11.)C .
Type of Tile: MA D — 01—flt ( 1 Date Installed:
� �E
Approximate Roof Height: � feet AA- � Roof Pitch
✓ Ladder Other
Type of Access to Roof: Scaffol s
Approximate Square Footage of Roof v ft 2
Required Testing F e: 3 lb .4 Testini Equipment:
Date Tested'. /•/ ti
Ut ,1�k
Du Que e481Ama: ,
E.B. License #0005245,,•x"
Lab Certificatiori`i9 0318.01
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE
IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE
PROTOCOL PA 106
SITE SPECIFIC INFORMATION
TEST RESULTS
P = PASS, F = FAIL
Chatillion DFIS 100
SKETCH OF ROOF IN BACK
Environmental a Civil a Structural
Building Inspection Services
o-t--/WA-N
IN ACCORDANCE-MAN YIIE'CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CON rROL- TES r ' 1
/
1 � .a g C S.1 ti,
7 i
Pi /,
7821 S.W. 24th Street • Suite 104 • Miami, Florida 33155 • Telephone (305) 264 - 1425 • Fax (305) 264 -1426
UTR N9 11011
$KETCH OF ROOF
JOB
SHEET NO OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE
NOTES
lt
1`1 ri — �5 1
SLOP. — IZ
7
f*
to ers
SHEET NO
Qs_ TESTS CALCULATED BY
GM PL1
cos 41 o !JE ' 10 $
O Iv�.
OF
DATE
CHECKED BY DATE
SCALE
Akr
•
46. '(e
5
4
:.. ............:..
z
Zb 1
? Z e
J1
1
Name and address:
Amount of bond $
6. Lender's name and address:
different date is specified)
;Ignature of Owner
'rint Owners Name
Sworn to and subscribed before me . / day of
Jotary Public
lv Commission Expires: _ *: !." *a
'rint Notary's Name
A
I.
A44/
NOTICE OF COMMENCEMENT
PERMIT NO.
STATE OF FLORIDA: 3070 1996 MAY 15 13:16
COUNTY OF DADE:
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 iss rifovi�deeed in this Notice of Commenceeme t.
1. Legal description of property and street address: 10/''• F 9 57 /40#/
/
i ,-/.407
2. Description of improvement: /4
3. Owner(s) name address:
/ �;
Interest in property: �/�fQle
Name and address of fee simple titleholder:
TAX FOLIO NO.
4. Contractor's name and address'
5. Surety:(Payment bond required by owner from contractor, if any)
'OFFICIAL SEAL"
hannort irl Ut
n Ex.fres 11
111 11
Address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
Prepay by:
Owner's Name and Address
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
(Signed)
BUILDING INSPECTION DEPARTMENT
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 TO GO
State work ti be done and purpose of building (by floors)
pp' Date
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
No Street
11 4 (
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ C _Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building _____________Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for 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 subcontra ors, on work tgg performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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 m first duly sworn, upon oat deposes and says that he is the
of the above describ construction, that he h}s c refully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated d ate tru
Permit No d_ 1 (, Dat / j Read, Sworn to and Subscribed before me.
Disapproved
Notary Public, State of Florida
,19
ctor My Commission Expires
PLA G 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / Job Address 4 7 1 90 /U6 96 Tax Folio //-,3B /) ?6
Legal Description /n s6 te.a 2 /43 /0 Historically Designated: Yes No
Owner/Lessee / Tenant iPoi R77,Pgre/e,,,
Owner's Address V90 /te 1 /lv , -67 4. Phone Jar - 206 /
Contracting Co. DA n. / � 7 £ / 4}c / "J C Address 9t /4
Qualifier DN /E/_ L4-(7 SS# ( 30$ 2Jy 9f9Z
State # a a coS/2 / q 27 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
a q,'<
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL( ROOFING PAVING FENCE SIGN
WORK DESCRIPTION EESEP-C, Walt, (1_,ASH7 A)C? EVE WEST /06 £o m rn i /AhoozD
0 1 ' WAIL to:P K 4)&) 106 C "e r' -140o X /5 - ale ® k p N & vo 1'iooc - /S Fc'elj
Square Ft. Estimated Cost (value) (e
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.
OWNERS 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. Furthennor ;. authorize the above -named contractor to do the work stated.
v - r
Signature of owner an
/4!
• o •_ esident Date
My
Notary
o as
mmissionn • 1w1 °COMMISSION CC734942
�1111
't EXPIRES JUN 16. 2002
� ^ � BONDED THROUGH
t% ADVANTAGE NOTARY OF FLORIDA
FEES: PERMIT 10 V RADON
APPROVED:
Zoning Building
Mechanical Plumbing
Date Signature o ontractor o 7 Owner- Builder's
C.C.F. l to 0 NOTARY ) J BOND
Master Permit # 1 294
No . as to Contractor Date
My Commission Expires GLADYS j VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR. 1 2
Electrical
Structural Engineer
TOTAL DUE
9t)
Date
Contractor's Name:
❑ (Low Slope Appiion)
❑ (As phalt/Fbcxglass Shingles)
Ft.
Ft
Field:
°indade' Mortar and Adhcrive Set 'rue
Append "E"
UNIFORM ROOFING PERMIT APPLICATION :
PROCESS No..
1 />7//(4 //KC Job Address: Y /1/6 9,,6 _5-74
R20F CATEGORY
❑ (Nail-On Tac)
❑ ( Metal Roofs\Wood Shingles & Shakes)
ROOF TYPR
❑ New Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft') Sloped Roof Area (ft) Total (ft) Master Permit No.
Emposurc category (per ASCE 7 -88): Building CJamrication Category (pa' ASCE 748 table 1):
ROOF HEIGHT AND SYSTEM DETAILS (Draw debuts as needed)
■
Deck type:
ATTACHMENT
Fasten Typ
SP kfING
Perimeter: _ Corner.
DETAIL 1 Sc 2
Page -1
❑ (Mortar-Set Tae) *
❑ (Other)
ROOF PLAN
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
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
The owner's initial in the adjacent box indicates that the item has been explained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
p art of the agreement between the owner and the contractor.
7 ✓ 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
c oncealed prior to removing the existing roof system)
1. ,1 0 3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
j ) 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with Chapter 23 of the SFBC.
5104 APPENDIX "F"
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of the roof.
Owner's /Agent's Si.. ture
Signature
10
Date Contractor's
Signature
f
i pa,e, ►, s
Application is hereby erode for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
v . f (! /1�1 � .... _ Date..._.
Owner's Name and Address ............. _ - No.
Registered Architect and /or Engineer
Name and address of licensed contactor
Location and legal description of lot to be built on:
Lot Block
p Subdivision
Street and Number where work is to be done ' / Q Z,.Ft ....f_� / �
State work to be done and purpose of building (by floors).
_..__ and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories. l
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ a .47c
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 s
be sent t
The undersigned applicant or th' building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen s Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
1 - .
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared _..
._.__. - to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefull read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No.. __N ( 2 Date Read, Sworn to and Subscribed before me.
Disapproved -� �... Date .___.
Notary Public, State of Florida
it all the
APPLICATION FOR BUILDING PERMIT
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
reference to the building and its construction may
ans d specifications for said building. A 1 notices wi
PLANNING BOARD DATE
Chairman Member
Member Member
Member ...... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from
the Planning hoard.
A re- inspection Ice of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.
(Signed)
a ?),-/ f7 2 -
_._ / . / �r
....__. Street4 ct. -c -
My Commission Expires
Owner's Name and Address
Application is hereby Inn& for the approyal of the detailed statement in we plans and specifications herewith submitted for the build •
inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores 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 i3uilding Division of Miami Shores Village shall be complied with, whcther herein specified or not. A cupy of approved
plans and specifications must be kept at building during progreu of the work.
STATE OF FLORIDA,
COUNTY OF DADE.
APPLICATION FOR BUILDING PERMIT
SS.
IA 1 48/ti, e
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
7 re
Streeter /
Registered Architect and/or Engineer
Name and address of licensed contractor/Il ' /‘°.f " nis..//./9.: 3 3 V?
Location and legal description of lot to be built on:
Lot Block Subdivision --
Street and Number where work is to be done i fr
State work to be done and purpose of building (by floors) rid r rail a r
t) kV , r7 - /Ye ke e riLI /A -
and for no other purpose.
New Building Remodeling Addition Repair
/ 612
To be constructed of Kind of foundation Roof Covert ..
Estimated Total cost of improvements $ 77 7 (5; 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 no tees with reference
nce to the bulding and its construction may
be sent to.. 4C41.eaa. Rtoi.,r/A .7 r c M
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub employed by !sins
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such ubcontractors, on work to b performed under this
permit, as are licensed by Miami Shores Village.
Rem.uks
(Signed)._ t ec
CC
3: 7t7 C 7 /7 ,rv,7 y
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
Permit No.. .
therein by him stated are true. LO'*)`Q L'\' Read, Sworn to and Subscribed before me.
D .
Disapproved A 0
(Signed)
Notary Public, State of Florida
Building Inspector My Commission Expires
to me well known,
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 thls application after approval has been obtained fmni
the Plannir. Board.
A re-in.pection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
Zone cubage required
STATE OF FLORIDA,
COUNTY OF DADE. ss.
peared
MI MI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag3, Florida, and all provisions of the Law of the State of Florda, 11 ordinances of Miami Shores Village •'nd all rules and
regulations of the Building Division of Miami Shores Village shall be co ^_iplied with whether herein specifier; not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address GC-1.---
Registered Architect and /or Engineer.__.__. Q�
Name and address of licensed contractor j 0!C eii,L .
Location and legal description of lot to be built on:
Lot Block ____. Subdivision
Street and Number where work is to be done
work to be done and purpose of building (by floors)
Disapproved _.__.___ _. date
( Signed)
Building Inspector
Dat: -_
and for no other purpose.
New Building Remodeling Addition �� . Repairs No. of Stories __. /
t -
To be constructed of Kind of foundation Roof Covering______' ___._ ---
�3 e=-0,
Estimated Total cost of improvements $ 3 Z Q Amount of Permit $
_Plan Cubage
Distance to next nearest building__ Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to__ _
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. / p
Remarks ( Signed) __t!V_ _P _l
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
My'Commission Expires --
7
19.
No. '/APde9 ___ Street__' 7‘
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
__ to me well known,
PLANNIN f OARD _. ._ ___ 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Q/
Date �� y Job Address 4 09, 1 5 %f! 5 7 Tax Folio // — c32- D — O — D 0'Zr
Legal Descriptions. Z L 74 -Z 'IC LC: 4/ ---- Historically Designated: Yes No
$ O
s ee / Tenant V / �' r
Master Permit # 3 ? g C Lf
Owners Address 4 /v 96 r / / /#�/��� # Phone 6357 i
Contracting Co. �' • Address 24('Ej
Quali i • , _ ' , r «� /�l/� SS# // /Phone 104.—/m
State #
010•17 Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): `
BUILDING ELECTRICAL PLUMBING MECHANICAL
' 1 OFIN . AVING FENCE SIGN
WORK DESCRIPTION Ai .— ' Ic / Ip / [ / /�'f9L/�i?/!� � v i/ :,419, 0
cre 7
Square Ft.
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 -n co trac 'sr to do the wor
resident
Signature of owner
Not. :s to Owner and/or Condo President
SE
My Co a ��� u : 't p xpir PShICi o Shannon :
z...4
My Commission Expires 11 f 2197
-._ 6:04.;%. Commission #CC 327872
FEES: PERMIT l 0 RADON
APPROVED:
Zoning
Mechanical
ate
C.C.F.
r NOTARY
Estimated Cost (value) /PDX'
gnature of Contract
Builder
%1 FAI PP1 7160
Notary as to Contractor or Owner -Bui
My Con ` xpires Ft O I L
0'j o
s *. IMa = My Commission Expires 1112197
Commission #CC 327872
4nai
TOTAL DUE a /_
ate
Plumbing Engineering
METROPOLITAN DADE COUNTY, FLOf1OA
METRO.DADE FLAGLE(1 BUILDING
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1603
METRO-DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI. FLORIDA 33130 -1583
(306) 376.2901
PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX (305) 376.2000
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
Your application for Product Approval of GAF Materials Corporation Modified Bitumen Roof Systems under
Chapter 8 of the Metropolitan 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 Construction
Research Laboratory, Inc., Factory Mutual Research Corporation, South Florida Test Service, Underwriters
Laboratories, Inc. and Dynatech Engineering, Inc. has been recommended for acceptance by the Building Code
Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth
herein.
The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the
right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If
product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify
or suspend the use of such product or material immediately. The Building Code Compliance Department reserves
the right to require testing of this product or material should any amendments to the South Florida Building Code be
enacted affecting this product or material.
The expense of such testing will be incurred by the Manufacturer.
PRODUCT NO. :
ACCEPTANCE NO.: 95- 0330.06
EXPIRES: NOV 1 0 1997
aul Rodriguez
Product Control Division
Supervisor
- PLEASE NOTE -
THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS.
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code
Compliance Department and approved by the Building Code Committee to be used in Dade Cou lorida under
the conditions set forth above.
APPROVED: MAY 0 4 1995
arles Danger, P.E., Director
Building Code Compliance Department
Metropolitan Dade County
Category;
Sub - Categoryy,
Type:
Sub -Type:
SYSTEMS
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Applicant:
GAF Materials Corporation Product Control No.: 95- 0330.06
1361 Alps Road
Wayne, NJ 07470 Approval Date: MAY 0 4 1995
Membrane Roofing System
Built -up Roofing
Modified Bitumen
SBS, APP
Syste Description
Expiration Date:
GAF provides warranted systems over various insulated and non - insulated substrates,
can be obtained from GAF and can be found in the Ruberoid Modified Bitumen
Specification manual published annually.
GAF roof system assemblies have been extensively tested at Factory Mutual Research
Underwriters Laboratories. GAF modified bitumen membranes have been tested in
ASTM D 5147 test requirements.
NOV 1 0 1097
GAF Materials Corporation has been manufacturing commercial roofing products for more than 100
years.
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.
copies of which
Application and
Corporation and
compliance with
Product
Ruberoid® Torch
Smooth
Ruberoid® Torch
Plus (Granule)
Ruberoid® Torch
Granule
Ruberoid® Torch FR
Ruberoid® Mop
Plus (Granule)
Ruberoid® Mop
Granule
Ruberoid® Mop FR
Ruberoid® 20
Ruberoid® 30
Ruberoid® 30 FR
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Test Product
Dimensions Specification Description
1 sq. roll ASTM D 5147 Heavy duty, polyester reinforced,
87 lbs. asphalt modified bitumen membrane.
3 /e sq. roll
93 Ib. roll
1 sq. roll
102 Ib. roll
3/4 sq. roll
90 lbs.
1 sq. roll
102 lbs.
1 sq. roll
103 lbs.
1 sq. roll
105 lbs.
1.5 sq. roll ASTM D 5147 SBS modified asphalt base sheet
reinforce with a glass fiber mat.
1 sq. roll
92 lbs.
1 sq. roll
92 lbs.
Ruberoid® Mop 170 FR 1 sq. roll
103 lbs.
Product Control No.: 95 0330.06
ASTM D 5147 Heavy duty, polyester reinforced,
asphalt modified bitumen membrane.
ASTM D 5147 Asphalt impregnated, coated felt,
surfaced with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
fire retardant polymer modified asphalt
surfaced with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
fire- retardant, polymer modified asphalt
surfaced with mineral granules.
ASTM D 5147 Non woven fiberglass mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non woven fiberglass mat coated with
fire retardant, polymer modified asphalt
surfaced and surfaced with mineral
granules.
ASTM D 5147 Non -woven polyester mat coated with
fire retardant polymer modified asphalt
surfaced with mineral gr
4
Raul Rodriguez
Test Agency
Construction Research
Laboratory, Inc.
Factory Mutual
Research Corporation
South Florida
Test Service
Underwriters
Laboratories, Inc.
Dynatech Engineering,
Inc.
Test Identifier
#4818
J.I. OT4A I.AM
J.I. I V7AO.AM
J.I. 1V8A4.AM
J.I. 1 RIA6.AM
J.I.0T2Q4.AM
J.I. 0Q6A6.AM
J.I. 2M0A4.AM
J.I. 3X3A2.AM
J.I. 0Y9Q5.AM
J.I. 3X3A2.AM
GAF -53 -X -915
R1306
3600.02.95
Test Reports
Test Name/Report
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Physical Properties
Fire Classification
Wind Uplift, Small
Scale
13
Raul Rodriguez
Product Control No.: 95 0330.06
Date
07/10/87
08/26/92
07/16/92
06/28/93
11/15/91
10/17/91
07/16/91
03/21/87
08/02/94
07/29/94
08/02/94
03/08/91
08/01/94
02/02/95
Membrane Type: SBS
Deck Type 1: Wood, Non - insulated
Deck Description: 19 /, 2 " or greater plywood or wood plank decks
System Type E: Base sheet mechanically fastened.
All General and System Limitations apply.
Base Sheet:
Fastening:
Note:
Ply Sheet:.
Maximum Design
Pressure: -60 psf.
Product Control No.: 95 0330.06
One ply of GAFGLAS® Ply 4, GAFGLAS® Ply 6 ®, GAFGLAS® #75 or
GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks mechanically fastened as
described below:
Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps
9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c..
Ply 4 and Ply 6® applications require sheathing paper over the wood deck
before application of base sheet.
(Optional) One, two or three plies of GAFGLAS0 Ply 4, GAFGLAS® Ply 6® or
a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25
lb. /sq. ± 15 %.
Membrane: One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule or Ruberoid®.
Mop FR in type [II or IV asphalt at an application rate of 25 lb. /sq. ± 15 %.
Surfacing: (Optional) Install one of the following:
1. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an
application rate of 25 lb. /sq. ± 15 %.
Maximum Fire
Classification: Class 'A'; see General Limitation #2.
Maximum Slope: 3:12; see General Limitation #3.
Specification No.: N- 1 -1 -MG, N -1 -1 -MGFR, N -1 -1 -MGFR, N -1 -2- 20/30, N- 1- 2- 20/30FR,
N- 1 -1 -MGP
41
t
• Product Control No.: 95- 0502.04
General Limitations:
1. All asphalt shall comply with ASTM D 312 type 111 or type IV requirements. All
proposed asphalt producers must be approved by the applicant.
Fire ratings are determined by a combination of slope, deck type and assembly.
Refer to current Underwriters Laboratories Roofing Materials Directory or other fire
testing data listed by an approved listing laboratory agency. Fire ratings shall be in
compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code.
3. Maximum slope range shall vary for each system; consult current Underwriters
Laboratories Roofing Materials Directory and manufacturer's specifications for
compliance with design criteria for each project.
4. An overlay /recovery board insulation panel is required on all applications over
closed cell foam insulations when the base sheet is fully mopped. If no recovery
board is used the base sheet may be applied using spot mopping with approved
asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one
at each sidelap and one down the center of the sheet allowing a continuous area of
ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed
every 12' in each ribbon to allow cross ventilation. Asphalt application of either
system shall be at a minimum rate of 12 lbs. /sq.. Note maximum design velocity
pressure restrictions on spot attached systems.
5. Any amendments to these provisions shall be in compliance with Sections 203 and
204 of theSouth Florida Building Code.
6. All work shall be performed by a Dade County licensed roofing contractor.
Contractor shall be familiar with the details and specifications published by the
manufacturer.
7. In re- roofing applications, moisture content in an existing built -up roof must be in
compliance with Section 3401.9(c) of the South Florida Building Code.
8. Prior to application, all existing roof surfaces used as a bonding substrate shall be
tested for uplift resistance in compliance with Dade County Protocol PA 124 to the
calculated design pressure of the roof deck.
9. If required, any Factory Mutual Approved vapor barrier in conjunction with
proprietary or approved adhesives may be used prior to the application of the
insulation layer.
10. Perimeter and corner areas shall have an increase in fastener density for both
insulation and base sheet in compliance with Dade County Protocol PA 117 of the
South Florida Building Code.
11. All attachment and sizing of perimeter nailers and metal profile designs shall
conform with Dade County Protocol PA III of the South • rid j: u'y' nu ode.
102
Raul Rodriguez
• Product Control No.: 95- 0502.04
12. Flashings shall be installed according to the manufacturers standard details, and may
be applied in cold application adhesive, approved asphalt or may be applied in
conjunction with an approved torch applied modified bitumen membrane. Specific
details, approved by the manufacturer, shall be submitted with the Section 11 Permit
Application.
13. Roll good materials shall be stored on end and on a clean, flat and dry surface.
14. 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 Chapter 3401.5 and 3401.6 of the South Florida
Building Code for maximum fire classification.
15. Asphalt moppings shall be with applied with asphalt approved by the applicant and
shall be approved 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.
16. 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 with approved mopping 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 NRCA Roofing and
Waterproofing Manual for correct application procedures of insulation panels in
approved asphalt or adhesive.
17. Pre - assembled cap nails may only be used for termination of fully bonded surfaces
such as mechanical termination at wood blocking, head and side laps, and base
Flashing terminations. Cap nails shall not be used for the mechanical attachment of a
base sheet. Tin caps are required by the South Florida Building Code.
18. The submission of system specifications and details shall accompany the Section 11
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.
19. All standard panel sizes are acceptable for mechanical attachment. When applied in
approved asphalt, panel size shall be 4' x 4' maximum.
20. Fastener spacing for base sheet attachment is based on a minimum withdrawal
resistance value of 250 lbf as tested in compliance with Dade County Protocol PA
105. If the fastener values as tested are below 250 lbf a professional engineer may
submit a revised fastener spacing utilizing the withdrawal resistance value taken
from Dade County Protocol PA 105. Calculations shall be based on a rupture value
(the fastener stress plate pulling over the base ply) of not more than 90 Ibf..
21. Fastener spacing for insulation attachment is based on a minimum withdrawal
resistance value of 300 lbf. as tested in compliance with PA 105. If the fastener
value, as field tested, are below 300 lbf. insulatior}/ ttacjn- sha not be
acceptable.
103
Raul Rodriguez
•
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
I. Extensions of Acceptance may be considered after a new application has been filed and the supporting data,
test reports no older than ten (10) years, have been re- evaluated.
All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of
Florida:
2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be
cause for termination, unless prior approval is granted for revisions or change.
3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds
for re- evaluation.
4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes.
5. The Notice of Acceptance number preceded by the words 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.
6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the
manufacturer or his, distributors unless otherwise noted in the Notice of Acceptance. The prints need not be
re- sealed by an engineer.
• 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval.
This Product Control Approval supersedes No. 94 0531.04
Raul Rodriguez
Product Control Division
Supervisor
Jqb Address'M ST - Contractor Process No.
t
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
BUILT -UP APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
GENERAL:
Type of Roof System Assembly to be Applied: 8
Manufacturer of Roof System Assembly: �^
Product Control Approval Number:
System Number from Product Control Approval:
(Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System
Guide Specification.
12101 -166 9/94
( Note: If a minimum roof system is to be applied, describe all
components within the system and list the manufacturer of
each component. DO NOT complete this section if system is
Product Control Approved. )
Base Sheet:
Fasteners:
Ply Sheet(s):
Cap Sheet:
Asphalt:
( Note: No insulation system is acceptable under the minimum
roof category. )
Complete the following for all Roof System Assemblies:
Built -Up Applications and Modified Bitumen Systems
Page -1
Job Address: ~ W.4, Contractor /f/4L° - Process No.
( Check one of the following)
Recover Re -roof: New Construction
If a recover, is the existing Roof System Assembly
to be used as a bonding substrate ?:
If YES, has an ASTM E907 test been carried out
to confirm adhesion of the existing membrane to
the substrate ?: Y N
(If yes', attach ASTM E907 test report. )
Proposed Fastener:
(Attach withdrawal resistance test report. )
Has the deck been examined for moisture ?: Y N
(Provide data confirming compliance with
Section 3401.9(c) . )
THE SYSTEM:
All Roof System Assemblies in the Product Approval have a variety of options. Briefly
describe the Roofing Components to be used in the Roof System Assembly and attach a copy of
the manufacturer's published specification:
Deck:
(Briefly describe)
Insulation:
( Type, size and method of attachment,
if applicable )
Base Sheet or Ply:
( Type and method of attachment )
Y N
P4�f/1rn/6
/ `/l/ /i4,4
"o1/4--
7,0,04
- -465azesger
/54iler
Ply Sheet(s):
( Type and method of attachment )
Built -Up Applications and Modified Bitumen Systems
Page -2
Job Address: 1 '/E 767 Contractor�i46 Process No.
Top Ply:
( Type and method of attachment )
Surfacing:
(Type, if applicable )
Flashing Materials:
( Type and method of attachment )
.K
oil
Built -Up Applications and Modified Bitumen Systcms
Page -3
Job Address: 5940/V fa 54Contractor,k /Ze7Q Process No.
T
T
1
inches
inches
inches
FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE
UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND
INSULATION LAYER(S). (Where Roofing Component not used in
Roof System Assembly, fill in with "N /A ".)
Ply Sheet(s):
Bonding Material:
. ................... ( r top "w anon
layer bonded )
Fastener: 7 - 6
((/bate theft osier attached A�
ttached)
!! Base Sheet:
Bonding Material:
( iJbase sneer bonded )
Surfacing:
Top Ply:
Bonding Material:
Bonding Material:
Fastener.
(i /top rnndanon layer
melt attached)
Top Insulation Layer.
(/appbcable )
Insulation:
Bonding Material:
((f.uWanon bonded)
Vapor Retarder.
(i/appitcable )
Primer.
(IJapphcable)
•
TDECKype: i , /
ijSI
4
Gage or Thickness: /V �T
Fastener: �� �
(iJausdanon
.Tech. attached)
Density, if concrete deck:
Built -Up Applications and Modified Bitumen Systems
Page -4
Job Address: 577 Contractor Process No.
PERIMETER DETAIL #1: Parapet Wall Detail
Coping Cap
Gage:
Fastener
Spacing: _ o.c.
Clip Type:
Clip Gage:
Ve",'"
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Parapet Walls.
Insert Ieadas indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Areas to be Flashed.
Insert leaden indicating Roofing Component names.
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
PERIMETER DETAIL #2: Flashing Detail
Built -Up Applications and Modified Bitumen Systems
Page -5
Job Address: 5;190,/e ,."j ContractorAXLi Process No.
PERIMETER DETAIL #3: Gravel Stop or Drip Edge
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gravel
Stop or Drip Edge.
Insert leaders indicating Roofing Components names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
Gravel Stop/Drip Edge
Gage:
Fastener
Spacing: o.c.
Clip Type:
Clip Gage:
\ fff
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gutters
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gutter Type:
Gutter Gage:
Fastener
Spacing:
\f\ff
Deck Type:
PERIMETER DETAIL #4: Gutter Detail
Built -Up Applications and Modified Bitumen Systems
Page -6
1
Job Address: Eefigovee NR: Contractor/ /Ace Process No.
PERIMETER DETAIL #5: 'Other' Detail
Sketch Roofing Components which make up Roof
System Assembly at any 'other Perimeter Condition
which may eitisit
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
4//4-
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may exisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
0
PERIMETER DETAIL #6: 'Other' Detail
Built -Up Applications and Modified Bitumen Systems
Page -7
Job Address: 04We E X Contractor 40�.�i Process No.
Insert Building and Parapet Heights.
(If no Parapet exists, insert "MA" )
Also insert applicable information pertaining
to the building below.
(See ASCE 7 -88 Fact Sheet Attached )
Exposure Category:
Classification Category:
At Hurricane Oceanline ?: Y N
Basic Wind Speed at
Building Location: 110 mph
Building Condition based on
% of Openings:
GROUND LEVEL
feet
P feet
BUILDING INFORMATION #1
Built -Up Applications and Modified Bitumen Systems
Page -8
Job Address: ®eve Cn Contractor
Sketch Roof Plan indicating all dimensions, any slopes,
roof drains, crickets, or roof top equipment. Also insert
variable labeled " which indicates perimeter and comer
dimensions per Chapter 23 of the South Florida Building
Code.
( See ASCE 7 -88 Foci Sheet Attached )
BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions
Built -Up Applications and Modified Bitumen Systems
Page -9
Process No.
Job Address: Contractor Process No.
— FOR PLAN EXAMINER USE ONLY —
Roof System Assembly Product Control Approved:
If NO, note any deficiencies:
Design Pressure Requirements:
Field: psf
Perimeter Areas: psf
Corner Areas: psf
Note any limitation
Y N
Reviewed Details ?: Y N
Notes:
Built -Up Applications and Modified Bitumen Systems
Page -10
. . * Job Address: Contractor Process No.
Reviewed Field Test Data ?:
Notes:
Additional Notes:
Built -Up Applications and Modified Bitumen Systems
Page -11
Y N
Plan Examiner
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date q 0 0 Job Address q/ 5-7 Tax Folio
Legal Description
Owner's Address IJ 90 ot,E Q eo 5
Contracting Co. ice/ - L 77 F t 71 A) (7 )w
Qualifier
1 0
Historically Designated: Yes No
Owner/Lessee / Tenant L/&. grEcoitE Th7z4 C k — Master Permit # % ge
SS#
Phone X3 7S -(p
Address 7 f - /LC /O 6
/`, - Phone 761 5 g1Z
State # a-O S ) 113 Municipal # / Competency # / Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ' OOFING PAVING FENCE SIGN
WORK DESCRIPTION (i ! ( q -A/q ,94/ i .Ct*47=
f Ai 0 dv ESQ S iv-E `,/, V--- 19 N - 7 (e le- 416-0 rC- - 7
Square Ft. /e Estimated Cost (value) / DO 0
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
Signature of owner an do President
As tb
or . • i do President
m..
construction and zo ' . urther--, I authorize the above -named contractor to do the work stated.
- thiffar
�
•
• A f
No : as to Owner
My Commission Expires:
MARIE B. REID
COMMISSION • CC734942
".' qt EXPIRES JUW16.
BONDED THROUGH
ADVANTAGE NOTARY OF FLOROA
FEES: PERMIT r RADON
(%
APPROVED:
Zoning B uul
Mechanical Plumbing
Date
b
Signa of Contractor or Owner Builder
Mary as to Contract. • �, SEAL
My Commissio Expires GI ADYS I VILLAR
NOTARY PU10..ICStAfEOF ORiIDA
COMMISSION NO.
MY COMMISSION EXP. MAR. 12002
NOTARY BOND
Electrical
C )8)0
Date
Date
Structural Engineer
Owner's /Agent' nature
Signature
5104 APPENDIX "F"
Date
APPENDIX "F "REQUIRED OWNERS NO ICATION 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
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
The owner's initial in the adjacent box indicates that the item has been explained.
( 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
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. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
5)2
4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
5 V 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.
l d . Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of the roof.
Contractor's
Signature
9w
Contractor's Name:
1
W
Ft.
Deck type
ATTACHMENT
Ft
Fastener Type:
SPkCING
Field:
DETAIL 1 & 2
°indudes Mortar and Adhesive Set Tile
Page- I
. Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION .
PROCESS No..
6 E-evAti /A/ Job Address: qO /CZ ( -1w
ROOF CATEGORY •
❑ (Low Slope Application) ❑ (Nail -On Tile) ❑ ( Mortar Tile) *
❑ (shalt erg Shingles) ❑ ( Metal RoofrkWood Shingles & Shakes) ❑ (Other)
RQOF TYPF,
❑ New Roof ❑ Re roofing ❑ Recovering pair ❑ Maintenance
Flat Roof Area (f] Sloped Roof Area (f) Total ($] Master Permit No
Exasaare category (per ASCE 7 -88): Biding rIa- ideation category (get ASCE 748 table I):
Perimeter: Corner
ROOF ECEIGHI AND SYSTEM DETAILS (Draw details as needed)
1
1 '
1 '
I '
1 '
1 '
1 '
1'
1 '
1 '
1 '
'
1 '
1 ' 1
1
1 / 1 1 , 1 �
1 1 , 1 1 !: 1 , 1 1 1 1 /� l • -
I 1 1 ' 1
t , 1 , 1 1
I ' 1 ' ' 1 ' ' 1 1 1 1 ' ' 1 ' 1• '
1' 1 1 • 1' 1', 1 1 1 • 1 1 •
1
I , 1 , 1 ,_ 1 , _I 1 1 ,
1 • 1 , L, -1 -, -1 , 1 , 1 ' 1 1 ' 1' 1
1 1 1 1 1
, , 1 1 • • 1 1 1 • 1 • •
1 1 1 1 I , i, 1 1 1, 1 1 1 1 1 1, 1
1 1 1 1 1 1 • 1; 1 1 1 , 1,:, 1 1
1
• 1 1 ' 1 ' ' 1
1 1 1' 1 ' 1 ; • -, 1 ' • / 1 1
, ;, 1 1 , 1 ' 1 , 1 1' 1
' f ' 1 I ' 1 ' ' . ' 1
1 •
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1
----------------
r
ROOF PLAN
' 1
1
I
II
II
I I
I
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address .
Registered Architect and /or Engineer Aitezi„
Name and address of licensed contractor.
Location and legal description of lot to be built on:
Lot Block Subdivis}pn
Street and Number where work is to be done q 7.e
New Building Remodeling Addition ReirSicreizIll i" . - 0o. of Stories
To be constructed of Kind of foundation Roo Covering
Estimated Total cost of improvements $ 3'360,0 , 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, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
t l 1
Remarks..._ (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. J ss.
Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
done and ppurpere of building (by floors
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. p
Permit No.._. 1.- 1J 7 7 Date. .. - - .//t 7 5 - ._ Read, Sworn to and Subscribed before me.
Disapproved a �D
Notary Public, State of Florida
(Signed)
BUILDING INSPECTION DEPARTMENT
APPLICAT1•'N 1 FOR BUILDING PE MOT
MIAMI SHORES VILLAGE
Date.. _ _ _ _ _ .. ...
... No. .. �.�.... 1.8.._... Street Z,l :.. C !_�� f
. aL.._... r 4
and for no other purpose.
to me well known,
Building Inspe or My Commission Expires
PLANNING BOARD DATE
Chairman Member
\fcrr,bcr 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 heen obtained from
the Planning hoard.
A re inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
be sent to
Remarks
Disapproved
(Signed) ....
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR ! UILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address � � f� No. .. ..f...d..__. Street 2/.) L.,� ✓
Registered Architect and /or Engineer
Name and address of licensed contractor.
Location and legal description of lot to be built on:
Lot Block Subdivi '
Street and Number where work is to be done...! 90 _. e r ��
State work to done and aurfe of building (by floors)..
(Signed)
f1✓
New Building Remodeling Addition Re .. . ' 'e :to. of Stories
To be constructed of Kind of foundation Roo Covering
Estimated Total cost of improvements $ a . Amount of Permit $.
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
J
C
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are ++true. / 7
Permit No. -_f `-Z.1_? Date .. - 1 q ✓ 1. -._ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
and for no other purpose.
Building Inspcc My Commission Expires
to me well known,
PLANNING BOARD DATE
Chairman Member
Nlcrnbcr Member
Member ...... _....._..._._..-- •- • - -.... Member .. -.-
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will he made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.