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665 NE 97 St (14)MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 12240 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building I1 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II Bi. Description Address of Building Subdi- vision This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY Value of Project $ DATE Contractor's License No Amt. of Permit $ ,r f : C AUTHORITY 195 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE, FLORIDA ❑ DATE PERMIT 300 Contractor's License No. - 0 ❑ Work to be performed under this Permit CONTRACTOR OR BUILDER B1 Value of Project $ 19 Subdi- vision BY AUTHORITY Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 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. ABBOT PRINT NI Miami Shores Village BUILDING City 1,6K° `e-3' State P1— Tenant/Lessee Name Job Address (where the work is being done) $ Value of Work For this Permit Code Enforcement $ Total Fee Now Due $ Training/Education Fee $ (Continued on opposite side) $ Building Department 1005,9 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel ( ' 220LF.ax;. X3.05) 756.8972 Ej Permit Fee $ PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) Q 1�1� G h Phone # 3O5'7 g Q 375 Owner's Address b5 Zip 3 313 g City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO wzu kW 0-P 3 Contractor's Company N me Contractor's Address ljt 0 l City If NAl State fL Zip 3 3) 53 Qualifier vcuu..J L <'& w Ala State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ❑Alteration ❑New It( Repair/Replace ❑ Demolition Describe Work: — reAtr I n O ( X I ` 4-1 le root l y-e l�.ce h� -e f�,oni e r it 4 co or- �-o �1 �i 4i leS 1-lie ea.rtile co [o ar - J-i e ro Sys * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 7 Submittal Fee $ Notary $ Scanning $ Radon $ 6 y q'7 fh S-f Zoning Structural Plan Review. $ Permit No. 1( Master Permit No. Phone # Square Footage Of Work: V O0 Phone # G � I q3 CCF $ CO /CC Technology Fee $ 4l)) e e Bond $ a-, Bonding Company's Name (if applicable) Bonding Company's Address City State Signature Chc 05/13/03 Owner or Agent The foregoing instrument was acknowledged before me this 1 day of nn 20&:c , by My Commission Expires: ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: MAR 2125 8 Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature '1/4 Contractor The foregoing instrument was acknowledged before me this , day of , 20 , by who is personally known to me or who has produced i —`;P— who is personally known to me or who has produced L,1...e r+ w As identification and who did take an oath. as identification and who did take an oath. NOTAR „ NOTARY PUBLIC: --� •' �� Dennis H.=Rleinman Sign: #DD270120 Sign: Expires: Nor. 25, 2007 Print: ��;;'`��:�� Print: My Commission Expires: * **** ********** **************** ******* **** *** ** *** *** *** *** **** *** **** ** ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning a Florida Building Code Edition 2002 High Velocity Hun cane Zone Uniform Permit Application Form. Section A (General Information) Pa Aid IA clA ROOF CATEGORY Cl Low Slope ❑ Me chanically Fastened Tile Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal PaneUShingies ❑ Wood Shingles /Shakes Shingles Are there ❑ Prescriptive BUR -RAS 150 Gas Vent Stacks? Yes No ROOF TYPE Type: Natural 0 LPGX ❑ ❑ New Roof iRe-Rooflng ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) lb00 l boo Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and Iocatio u parapets. • 11:1 P ii muwar __��.>, _ �aa■: CGG: CGCC�G■. CCC.. =C- .��E:eSeetet"aee_e_,.�� _ e ��__�es~,�■a�■:G■ 123_01 -48 5/03 PAGE 2 Roof Slope: 12 7 •.• ••i! 1 I Section D Mee ' S�Il.ln •v £ltlon 2002 - don Form. Roof System Manufacturer: . to ed Roof S stem Notice.of Acceptance Number: o � 111 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P!: Il6 P2: 1 P3: (0Obt Maximum Design Pressure From the NOA S • eciflc S stem : Method of tile attachment: PJdga Ventilatio ? IV . fk- SteeD Sloped Roof System Description Deck Type: I � Xb v'Toih+ ype Underlayment• Ire Barrier: f I Mean Roof Height: I Po I :; wL cuLkte l u� G� I o8 ) tf stonar Typa E Spacing: dhestve Type oof Covering: I 'li4 ( i •EI Iva 1 ype Cap Sheet: Type & dge: Section .• ,ra.l: action E .... ile:Cala • r- . • . . • p L, �1oment based file • t10�7� for Mr With the values from choose either. od 1 Values, for each area of the r. IttheM v lath - Mt aIUe! are or tflaj ;d values °� egep then the tile,aG_ac6rpeAttmethodts acce >b the Mr Ln-xx het d I �� I ent$a d le p k- q ( p = • '' ^^^^ .. ��,, ' � = 1 i t„ — kg: b t , 40 Calcp� t�� Far a- �, a•_utht z 1 —1110• , , I7L 12 j" r�t -t11 a?�1::: C9 -NI :s �� NOa 1<I. 1 ttiletbod 2 "Simplified NO ■,� Required 1 plified Tile Cal 3 1,_er t loment ofResistanc e (NI,.) From Table Below Calculation Per Table Below` NOA NI. 'Iust be X9.4 used 3 -= Bro.r•ard County tB Ord of Rules conjunction with a list of moment ment based t� For Uplift based ; an Appeals. systems F endorsed b:. Values for file systems the or Fr• If the ms use ttiletbod 3. Compared area s the roof, t F • Values are hen the the attachment than the values for Ft: ti• . the meat method a equal to the t �tL Itiletbod 3 «U Based pcable. P, = F ' ~'slues, col each P x l _ "Uplift :: z x ,r: _ d Tile Calculations I: _ _ W: ati Per 127" '3: x : _ - - s w: ti'• � Y cos O. F 5 127 — �.; _ ) `) — � x cos B.• _ F es ' gip_ — -- IV: C S lion Where to cos B = F,. 0_ S mbol Obtain Information �asur ,1t can r t Roof rmsu r PI or P2 _ 3 127 Table I or by an en W here to find fSlo Multiplier er 3torin Moment due to Gra , t t Resistanc Re u {fed Moment Resistance mum A rt t Resistance R tared U lift Resistance Average Tile Weieht I Tile Dimensio I lob Site NOA M ht Calculated NOA W Ca lculated in length X0:1 'ufatirtna rt ust he S SA suhrtitt `" lin ,t ct to the 8'i(JInc Official t •tmc ur based t-• .L -- crmtt aoo:Ic:: • i SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane one) 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 aremot 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 rofr ailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring ufiits (i.e. townhouses, condominiums, etc.). In buildings with con roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. L 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining' this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may ca se 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. 7 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not olerloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. c 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. DI o5 4) Ov�/iier's/AgeSignature Date Contractor's Signature 61 a" -1A M IA M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20 Street Boca Raton, FL 33431 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1211.08 Expiration Date: 12 /16/07 Approval Date: 01/09/03 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: 1. SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance: For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Monier Lifeti le 1= 15" PA 112 Atlantis Shake and w = 10 3 / Slate Tile 1 '/." thick Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Roofing Flat Profile Roofing Tiles Concrete 1= varies w = varies varying thickness Test Identifier 7161 -03 Appendix III 94 -060A 94 -084 25- 7094 -2 25- 7094 -8 25- 7094 -5 PA 112 Product Description Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Date Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 2 of 6 Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Test Identifier Test Name/Report 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix II Letter Dated Aug. 1, 1994 P0631 -01 PO402 Project No. 307025 Test #MDC -77 224 -47099 520109 -1 520111 -4 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier Moment of Gravity 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System NOA N Expiration Approval Date Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 Sept. 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 o.: 02- 1211.08 Date: 12/16/07 Date: 01/09/03 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (Ibf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.25 • 0.865 Table 3: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater DirectDeck Monier Lifetile Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck 6.0 5.9 5.8 5.6 5.5 Table 2: Aerodynamic Multipliers - x (ft') Tile Profile X (ft Direct Deck Application Monier Lifetile Atlantis Shake & Slate Tile 0.24 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 TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approve_ Date: 0: /C9 /C3 Page 4 of 6 Table 4: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Monier Lifetile Atlantis Shake & Slate Tile 2 -10d Ring Shank Nails 30.9 38.1 17.2 1 -10d Smooth or Screw Shank Nail 7.3 9.8 4.9 2 -10d Smooth or Screw Shank Nails 14.0 18.8 7.4 1 #8 Screw 30.8 30.8 18.2 2 #8 Screw 51.7 51.7 24.4 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2- S"so th c. Scrow Shank Nails (Field Clip) -. 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 50.3 . 65.5 48.3 1 Installation with a 4" tile headlap and fastemers are located a min. of 2W from head of tile. Table 5: Attachment Resistance Expressed as a Moment Mr (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 5A: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile PolyPro 118.9' PolyProT"" 40.4 4 Large paddy placement of 45 grams of PolyProT"'. 5 Medium paddy placement of 24 grams of PolyProT"". Table 5B: Attachment Resistance Expressed as a Moment - Mr (ft-Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Mortar Set 39.0 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 5 of 6 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. OVERLAY PROFILE DRAWINGS gm END OF THIS ACCEPTANCE MONIER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 6 of 6 MAR - 1 16:24 FROM -ABC SUPPLY 048 d7/23/01 MON 13:08 FAX 954 578 1042 PRO ON NOTICC A PTA E, 1'olyfo:lm Products, Inc. 2 400 Spring- Stucbncr Road Spring .TX .77383 -1132 561 585 4657 7-779 P.001 /008 F -260 POLYFOAM PRODUCTS, INC. f 002 NI IAMI.DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODC COMPLIANCE t7FFICE MLTRO•DADE FLAGLI;I( BUILDING Loo wus TPLAGLts'R STRecr. .SUITE 16113 MIAMI, FLORIDA 33130 -I5i3 (305) 373.290I FAX (305)PS-29011 CONTHACTOR 1.1CKNSIPIc t;F:Cr1ON (305) 375 -2527 FAX (305) 375 -215T CONTRACTOR [.NFORCr:w u'rr DIVISION (305) 375.2944 FAX (3 PRODUCT corrr tol. DIVISION (305) )75-2002 FAX 005) 372 4))9 Your application for Notiee 01' Accaptance (NOA) of: Two Component Polyurcthene Foam Adhesive under Chapter 8 ache Code of Miami-Dade County governing the use of Alternate Materials and Types of Construction. and completely described herein, has been recommended for acceptance by the Miami - Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO 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, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of' the Saudi Florida Building Codc. The expense ofsuch testing will be incurred by the manufacturer. ACCt:PTANCC. 1- OS2t.n2 EXPIRES: OS/10/200d 111 A P P ROY1: D: OW N/21101 S TII%: cOVFUSIIET:T S • nl • Al. PACES FOR SPF 1 CONDITIONS RUTT.AINC CODE ,cc PROQUCT REV(F\V COMMITTEI Raul Rodriguez Chief Product Control Division 1. NI:RA This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami-Dade County, Florida under the conditions set forth above. rrancisco J. Quintnna. R.A. Director Miami-Dade County Tluiltling Code Compliance Office \ t c0 -1500011pc2000Ntomplatealnouce icc•panca roar por.,doc Interact mull udarc,s: pattmnstcr @abulldlnicodconlinc.cotn' ID Ilootcpatt: hltpa /www.bulldinRcodoonllnceont MAR- '16:24 FROM-ABC SUPPLY 048 04/23/01 HON 13 :08 FAX 954 578 1042 Pn�yjQnm Products, 1:ni± ROOFING ASSEMBLY APPROVAL C:ticrarv: Roofing Sub- Category: RaoITile Adhesive Materials: 2.2 Typical Physical Properties: I'rnprzty Tem Density ASTM D 1 622 Compressive ASTM D 1621 Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimcnsiona1 Stability Polyurethane 2. PRODUCT DESCRIPTION Manufactured by Applicant PolyproaD AN 160 Foaniprott RTFI000 ProP1cke 30 & I00 Dimensions N/A N/A N/A ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 561 585 4657 7-779 P.002/008 F -260 003 POL7iF0AM PRODUCTS. INC. Approval Date: June 14.20111 Expiration Drat:: May Lf1„.14106 ACCEPTANCE No.: 0I- 0521,02 I. SCOPE This approves I'ulypru© A11160 as manufactured by Poly foam Products, Inc. as described in Section 2 ot'this Notice ol For the locations where the design pressure requirements. as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AN 1 60. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system Ibr double patty systems Test Spccinentinn3t PA 101 2.1 Components or products manufactured by others: Any Mianti -Dude County Product Control Accepted Roof Tile Assembly having a current NOA which list uplift resistance values wish the use of I'olypro A1116 0 roof tilt adhesive. Results 1.6 IbsJR' 18 PSI Parallel to risc 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbsirt 3.1 feral / Inch +0,07% Volume Changc © -40 F., 2 weeks T6.U% Volume Chan •u 1l iay, 2 weeks Product Donsetwinf Two component polyurethane Dispensing Equipment Dispensing Equipment 1 =rank Zuloagn, ItRC Product Control Examiner MAR-11 72004 1B:25 FROM -ABC SUPPLY 048 07/23/01 MON 13:09 FAX 954 578 1042 561585 465T T -TT9 P.003/008 F -260 POLFFOAM PRODUCTS, INC. 1 FdUu4 Polvfoam Products, Tnc. ACCEPTANCE No. : 01 0521.02 Note: The physical proper liste above me presented us typical average values as determined by nccepted ASTM test methods and arc subject to normal manufacturing ynriation. 3. LIMITATIONS 3.1 Fire classification is not part or this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® Ali 160 shall solely be uscd with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® Ali 160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® A1-1160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein, -) w F— MS 4. INSTALLATION 4.1 Polypro® AH 160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro'°' ' 4.2 Polypro® AH 160 shall be applied in compliant' section and the corresponding Placement Day' assembly's adhesive attachment with the use sufficient attachment resistance, expressed the uplift resistance determined in comp': Application Standards RAS 127. The tile assembly NOA 4.3 Polypro® AH160 roof tile adhesiv accordance with Roofing Applic Polypro® AH160 Operating I' 4,4 Installation must be by a Far by Polyfoam Products,lnr applicators to the author 4.5 Calibration of the For any adhesive. The rr be maintained bets deliver 0.0175 to shall be approved. 4.6 Polypro® AH 160 dispensing cc uipm 4.7 Polyproe A11160 _ _ _ - _. - -._ -- - Table 1: Adhesive Placement For Each Generic Tile Profile '1'iIcTrefilc Pluccmcnt Detail Single Paddy Weight Min. (1;rums) Two Paddy Weight per paddy Min. Krems) Plat. Low, Hi.h Profiles #1 3 5 N/A High Profile (2 Piece Barrel) #1 17/side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 MAR -11 -2004, 16:25 FROM-ABC SUPPLY 048 07/23/01 HON 13:09 FAX 954 578 1042 Polyfo:tni Products, Inc. 4 561 585 4657 T-779 P.004/008 F-260 NULktUAM rxuiUl.la. ink.. ACCEPTANCE No.: 0 t - o521.0Z 4.8 Tiles must be adhered in Freshly applied adhesive. Tile must be set within Z to 3 minutes after Polypro® AHIG0 has bccn dispensed. 4.9 Polypro® AH 160 placement and minimum patty weight shall be in accordance with the 'Placement Dctails' herein. Each generic tile profile requires the spccilic placement noted herein, 5. LABELING • A11 Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. (;rant: Zuloaga, IURC 'Product Control Examiner MAR-11 -20114 16:25 FROM -ABC SUPPLY 048 07/.23/01 NON 13:09 FAX 954 570 1042 Polv(o' nt Products Inc. Nall Newell pUnit rnm.nl ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY VUL 1 •UAe rKUUU�ra, 561 585 4657 T -779 P.005/008 F -260 ACCEPTANCE No.: 01- 0521.02 1) PIan .nwyn 111.Iba to arhk.e 111e n you. t.cMl Ml 44.144:1 W 11. Oa Ti Tom cows Walk Mon. km 4QrcpM 112 In. II 1 In. hot wrW..tip. al c..er Its T n NIIM IM IM. W.sphei. F a 1da 1llonaf 1 10 or *MO oddief/IkaYee1 M.JIM.Pt11 *rot gem Ofeenln F... font IY1 • • Mn e1IIh 3 Frank Zuloaga, R.RC Product Control Examiner IAAR— U-2004' 76:25 FROM —ABC SUPPLY 048 561 585 4657 T -779 P.006/008 F -260 07%23/01 MON 13:10 FAX 954 578 1042 POLYFOAM PRODUCTS,INC. 461 uvc Polyrnnm Products, Inc. ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY MtU tnrouph plastic cement Piddr LBcnctlh Tic) Mel Waugh plunk wntent !vs COM. Mall llvough pUsUc cemtnl Uadtrttrfm*i n Cans P.ddr 'Swath TUei hula Elrl CMem 6 ACCEPTANCE No.: o1- o;21.02 Frank Zutoaga, R12C Product Control Examiner „ . 1A4R-11-20r14 1B:25 FROM-ABC SUPPLY 048 561 585 4657 T.-779 P0071008 F-260 07/23/01 MON 1:10 FAX 954 578 1042 PO LYFOAX PRODUCTS , INC . 102j ut, Polvfolni Products Inc. ADHESIVE PLACEMENT DETAIL 3 DOUULE PATTY Nall through plants cement /7 `r 3 In, i3 In. Single paddy on under. laymen ;Ingle paddy on top of the SInglo paddy undor Ills Pid4 (tattoo:4n 111) paddy (undor tII era court. 2 in. Xi in. median 31111pliddy Fuck courts only NMI through plastic c.ement Single paddy on top al the Kra Coon 5Ingle P1 glY under tile tan Mosta, 7 ..■•■•■• ACCEPTANCE No. : 01-05214 NaJ through plastic gement tIndortaymeol 31n331n. 4 In. ■ SInglo P d laymont Single paddy on top of tile ern Como rrank Zulonga. Product Comte! Examiner SInpla paddy undor the Sinai. paddy batman MN 2 la.27In. Miura $lupaddy touts(' only Faith Walphals Ira abate Drip edge MAR - 11•-20 4 '16:23 FROM-ABC SUPPLY 048 561 585 4657 rui.irvna CAUUUa.tr,, a,.� O' /23 /01 Motu 13 :10 MI 854 arty .U4Z END OF - MIS ACCEPTANCE 8 T -7T9 P.008/008 F-260 Polyfoitu Products, Inc. ACCEPTANCE No. : 01- 05/1.02 1. Renewal of this Acceptance (approval) shall bc considcrcd alter a renewal application has been filed and the original submitted documents, including test- supporting data, engineering documents, are no older th:ut eight (3) years. 2. Any and all approved products shall be permanently labeled with the manuf'acturer's name, city, state, and the following statement: "Miami -Dade County Product Cuntrol Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: Then: has been a change in the South Florida Building Code affecting tho evaluation of this product and the product is not in compliance with thc code changes. b. The product is no longer the same product (identical) as thc one originally approved, c. ff 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 scaled the required documentation initially submitted, is no longer practicing die engineering profession. 4. My 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 die filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for n:moval 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 purposcS, 6. Tile Notice of Acceptance number preceded by the .vords Miami -Dade County. Florida, and followed by the expiration date may be displayed in advertising literature. If any ponion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acccptancc as well ys approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall bc available for inspection at the job site at all time. The engineer need not reseal thc topics. 11. 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 8, Frank Zuloaga, RRC Product Control examiner 404' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date PC1 in 4- Permit No. 5? 0 5 -C,Oi Name t / _ . ��, r) ' -7 Address 6 05 I\ T r 3 Company D v Phone # Type Insp'n Inspection Date Approved Correction ❑ Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/25/2005 Applicant: PAUL KERSCH Owner: KERSCH PAUL JOB ADDRESS: 665 NE 97 ST Contractor Local Phone: Parcel # 1132060171910 Building Permit Permit Number: BP2005 -607 Contractor's Address: Permit Status: APPROVED Permit Expiration: 10/23/2005 Construction Value: $300.00 Work: PAINT HOUSE EXTERIOR Page 1 of 1 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 20 & E1/2 OF LOT 19 BLK Fees: Description Amount FEE2005 -6670 Building Painting Fee $60.00 FEE2005 -6671 CCF $0.60 FEE2005 -6672 Notary Fee $5.00 FEE2005 -6673 Training and Education Fee $0.20 FEE2005 -6674 Technology Fee $1.50 Total Fees: $67.30 Total Fees: $67.30 Total Receipts: $67.30 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: b ?i OCT 0 6 2003 9 ,MIA ORES VILLAGE . ,i1 UILDING DEPARTMENT 305- 795 -2204 ' Buils'ng Inspection Request Date 0 Type Insp'n f r 'lam 1 ea) F Permit No. v J ` JJ I Name tcxc . Address 0 G5 NE q75+ Company lac let Phone # Inspection Date t 0 Approved Correction Re- Insp'n Fee Test Location Uplift Pull Test(P j!' l 1 or F) Test Location 26 27 Uplift Pull Test(P f � • or F) •-n. Test Location 51 52 Uplift Pull Test(P or F) Test Location 76 77 Uplift Pull Test(P or F) 1 _— 2 3 28 53 78 4 29 54 79 5 30 31 / 55 56 80 81 6 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 _ 6 89 15 s 40 65 90 16 41 66 9 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 1 SITE SPECIFIC INFORMATION Owner's Name S 4 Permit # E3 IS'- 05 - 3 5-1 Job Address (o 6 NI V-- 9 T", 0,A 1 . U.�;lt 49 tfO , Roofing Contract9r: K A u9 f> f NJ 6. — PE" ? ( o ff Type of Tile: �I 71 Fe- Z FDA-44 T -Date Installed: Approximate Roof Height: feet Roof Pitch: Type of Access to Roof: Scaffolds ✓ Ladder Other Approximate Square Footage of Roof. 2, 0 0 ©. ft Required Testing Force: 35 lbs. Testing Equipment: Chatillion 100 Date Tested L'Z `f -or IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REP T_. BMITTED B Civil Engineer: Lab Certification # 98 0608.04 State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami Lakes, 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 COMPILANCE PROTOCOL TAS 106 P.E. TEST RESULTS P = PASS, F = FAIL Project I`o 6 3 ( 2 t Sketch of Roof MIEN �K. \ 1 P P Notes: V. P 05- 33 5,4 `i . Job 4b5 f J 9,1 9 t JO-0(2.63 t n. Sheet Number of Contractor Checked By Scale 4 , PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9 1 y n Job Address 6 6 ST Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant P"/ N C EL V /' v c c c o Master Permit # Owner's Address 6,65 p }7 ST Phone Contracting Co. / 5 CCJ 7. o •J Qualifier j Tett o Z , -/a, '-c State # 6-c 0 0 Y 7s Municipal # (74 Square Ft. 6 (./4 �r 9 /zdr 9 Signature o caner and/or C6ndo President Date Notary as to Owner and/or do Press , , ,. :My-Commission E,�ires: • r._ a Q c J Q : " ' ` �- aLiali MAW IA STEXIE 01.E Miliar aleariald Na Ma= FEES: PERMIT j /.0 RADON C.C.F APPROVED: Zoning Buildin Mechanical Plumbing No 411M Address /0 2 2( � S W i s ( r SS# � Phone .5�� - 2 r7 Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING WORK DESCRIPTION ELECTRICAL PLUMBING MECHANICAI( ROOFING PAVING FENCE SIGN 'lam F • • G� r �-�-�- Estimated Cost (value) - 0 d 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner -B rider 9 4.-51L7 Date NOTARY TOTAL DUE ary as to Contractor or Owner udder Date Commission Expires: _ � - g • • PalUARY F° tnv Eirkt2 & ,S1C4 . CalailECRON Non 0 4 .! , _ Electrical Engineering 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: 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: G G L /IC ?7 57).-e6 ,(9/4"4/ `ups -r , 2. Description of improvement: /CO, P ri 7`" /a 3. Owner(s) name and address: /7~'v G E 1 0 pCl c c / Interest in property: Name and address of fee simple titleholder: /4 /"6- 44-77 e‘i za/ 5 /6 5 / ! 5. Surety:(Payment bond required by owner from contractor, if any) t}y0,TE 0 aoG7 0P(o ua p to ® ° ' ° � ° ®�eo 0 oo� tco m� Name and address: 4. Contractor's name and address: Amount of bond $ 6. Lender's name and address: ,� $ 0;21: CJ >f • ° 7. Persons within the State of Florida designated by Owner upon whom notices or other documents 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: 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) Notary Public Signature of Owne J ru Print Owners Name ' (1 G e - / Sworn to and subscribed before me this Print Notary's Name AIR ►� ( F My Commission Expires: 97R•437054 1997 SEP 25 12:34 �'` /mil ( / ,S12 c 0 THE5S ,) � ;"01 , %VIid CLEOa, G : 49 C e'servedaas provided Prepared by: .7/A/74/11G l • Address: / 2 2 / SW `Cs r /f/ 3.3/6 ✓ 12301.52 2/93 Contractor's Name: 45 C erPe / Job Address: ROOF CATEGORY ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof ❑ Re roofing ❑ Recovering ❑ Repair ❑ Maintenance ,(Low Slope Application) AL F707 Flat Roof Area (ft J, 0 Sloped Roof Area (ft Total (ft 1, d SZ' Master Permit No. Exposure category (per ASCE 7 -88): L Building Classification category (per ASCE 7 -88 table 1): -I q ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) DETAIL 1 & 2 0 Ft. A i Ft. V Deck type: Fastener Type: ATTACHMENT SPACING / C rl 6 Field: / Perimeter: Corner: 7. v-G a-F 5-0-4A-c-Q- � fV 4' « S 1-72( T 4-( ROOF PLAN d! �?_ - c1 123.01 -78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: Underlayntent: It 12" ROOF SLOPE D E T A I L 3 SLOPED SYSTEM DESCRIPTION Insulation: Fastener type & spacing: Cap Sheet: Roof_ overing: i Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals • TILE CALCULATIONS (Pmaxl: x X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax2: X X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax3: X X (Aerodynamic Multiplier): ) - M = M PCA: Page -2 METRO -OADE BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130- t 563 (305) 375 -2901 FAX (305) 37 5 -2903 INTERNET: mdccOl ©shadow_net PRODUCT CONTROL SECTION (305) 3 -2902 FAX (305) 372-6339 under Chapter S of the :Metropolitan Dade County Code governing the use or Alternate Materials and Types o[ Construction, and completely described in the plans, specifications and calculations as submitted by: Dynatech Engineering, Enc., 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 -98 and the standard conditions on page 99. PRODUCT CONTROL NOTrCE OF AC CEPTAN F GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval or: GAF Conventional Built -Up Roof Svstetr s 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 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.: 95- 1003.03 Revises No.: 94-1014.01 EXPIRES: 11/10/97 APPROVED: Q3/14/96 44 METROPOLITAN DADE COUNTY, FLORID METRO -OADE FLAGLER BUILDING kalif Rodriguez Product Control Division Supervisor THIS IS THE CQVERS[iEET S.EE ADD[T[ONA[, PAC=ES FOR SPECIFIC AND GENERAL CONDITIONS I't,DI : CODE, COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in D County,. Florida under the conditions set forth above. arles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County A GAF Ala tcrials Cui•Itoratiurt 1361 Alp7. 1W:u1 V.r.t..rlc:, f + f 07.; 7U CalCL'QC L: t'tcinbranc Roofing Systcm 5 i t aLcLPa,: (Built -Up Roofing LIE,: Convcntional S If1- Fiberglass Z A I'ItoDUr'r Colr-rttot. Nortct: or Acct:rr Door• ZNC S \'srErM Arrito\'AL Dircetor of Technical Services (201) 625 -113 C�✓ Product Control No.: 95- 1003.0) Product Control (i.5- Li_u 4,() A pprov.11 1 ):tic-: Narch_11._122_6 ;":(2......1),,_t 9.97 S�(- t)cscril2.IiStt! GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produccs a wide range of roof product; for built -up a�l,ds for i( multi-ply SBS and AI'I' nto GAF offers two ply modified systems to meet the dcm specifications. GAF provides warranted s}'stcrns over various insu'at "GAFGLASr1BuiltcUpul1ou(ir16 Application which anei can bc obtained from GAF and can bc found in t Specifications" manual published annually. GAF roof system assemblies have bccn e �tensively tcstcd at requtrerlents ofttlleoSoutli •Flrorida Unticr,vritcrs Laboratories and ii4�'c bccn (..sled in ca p lianCC Building Code. Specific classifications for assemblies are listed in the currcnt U.L. Roofing Material Directory and the currcnt Facto-' Mutual Approval Guide. GAF M Corporation atcrials Co oration products are distributed through a wide network of roofing wholcsalc distributors throughout tilt South Florida arca. For more information on si>^_cific roof systcrn' I . COnstCJCtions, contact the Technical Scrvicc Officc, e • located in Wayne, I�C'.vJ =rS -f. a t S00-ROOt r- r Frank Zuloaga Plans L;;anlincr,•'ru(Jtic Co Division 1ttsuL!1i:'n_l \ u'; I'ul•. i:;ocvatturatc 50.11(1 •( �„`. 1ti11111L�S::+ D is 5,i cL1fS. S t 1LC /9, Product Control No.: 95-1003.03 L11Lcti -60 psf Wood -75 psf Slccl Concrctc -192 psf psf Liglttw -45 9 ciglit Concrete -45 psf Ccrncntitious \Vood Fiber -45 psf poured Gypsum Concrctc az `:iillllill r- c_Ciassific_atiu Lt 1 Lial Cla.15.ialfiau Class 'A' Wood Class 'A' Stccl Class 'F•' Concrctc Class 'A' Liblitw'ciglit Concrete Class ' Ccrncntitious Wood Fiber Class Cl 'A' ' Poured Gypsum Con rctc Note: Fire classifications and rna.Yimum design pressures do,not cfc C li e a a s s c m ll r es orics a ll( de tyhc Review system listings for design pressures al Materials Directory for Firc Classifications. Frank Zuluaga !'laps I xa:nit:c' i:;.,t:u'_ utttrul D Deck 'hype 1: Wood, Non - insulated Deck Description: "/ or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. All General and System Limitations shall apply. GAFGLAStgo 1175. GAFGLASO I'LY 64:1. GAFGLAS4y STRATAVEN Nt for Nailablc deck::, or RU13EROIO :r 20 applied to the deck with approved annular - ring shank nails and minimum 1 '% tint caps at a f.r.tener spacing of 9" U.C. at the lap, 12" o.c. in two rows staggered along the center Tine of the of the sheet in the field. Base She_.. Ply Sheet: Cap Sheet: Surfacing: iNfaxirnum Design Pressure: i\laximum Fire Classification: ;..fa ximam Slope: peeiica :ioa No.: Two or three plies of GAFGLAS® PLY 4 or GAFGLAS® PLY 60.E ply sheet adhered in a full mopping of approved asphalt applied within tic EVT range and at a rate of 20 -40 Ibs.sq.. (Optional) One ply of GAFGLASrD Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a ratc of 20 -40 lbs. /sq.. (Required if no cap sheet is used) Install one of the following: 1. Grundy AL MB aluminum Roof Coating with ari application rate of 1.5 gal. /sq.; or GAF WEATHER COAT Eniulsion with an application rate of 3 gal. /sq.; or GAF Fibcred Aluminum Coating with an application rate of 1.5 gal./sq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. -55 psf. 'A'. Scc Gcncral Limitation //2. Product Control No.: 95- 1003.03 3 ":1 "; Sec General Limitation 1/3. N- f3 -3 -C, N- 13 -3 -G, NF L3 - -M, N- f3- 4M /r'G, N- B -4 -C, N -B -4 -C /1'6, N-B-4-G/PG, N- B -5 -C, N- U- 5- C /1'G, N-B-5-C, N- 0- 5- C /1'G, N- U -5 -G, N - E - 5 - /P6, N- B -5 -M, N- B- 5 -MIPG 4j f _ Frank Zu!oaga Plans E:xataincr, ti r eCa Luntrul Divislur: .7, 1�I111CLS1ou Materials 5, 55 gallon-. Corporation Asphalt i „!JII�r::1C Prinicr GAF Mineral Shie 60 Ib. bags Granules GAF lvfatcrials Corporation letblak All Weather Plastic Cement GAF Materials Corporation Plastic Cement . GAF Materials Corporation \VcatlicrCoate Emulsion GAF Materials Corporation Fibcrcd Aluminum Coating GAF (Materials Corporation letblak All Weather Plastic Ccrncnt GAAFGLAS '1750 E32sc Sheet GAFGLAS Ply 6® GAFGLAS Ply 363 Graaulcs exposed asphalt, cold process cement or emulsion. GAF Mineral Shield 1 Granules shall be used for flashing applications only. 1, 5 gallons ASTivf D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to vet aid _dry surfaces. 1, 5, 53 gallons 5 gallons 1, 5 gallons 1, 5 gallons 3'x IOS' 75 1b. roll 3' x 180' 45 Ib. roll 3' x 180' 40 Ib. roll TRADE ; NA,M11•:S Or PRODUCT S IVrANUFACrUItI• :1) Olt LAItl•:LE1) Itl' A1'I'LICAN Tcst ;VC_QIfLCilt1 A S T M !) Product Control Nu.: 95- 1003.03 Product LN:55 ip.liotll Asphalt concrctc primer used lo promote atlhc : :itin ofacl,h :ill in lmil•t -up roof ASTM D 4536 Trowel grade, asphalt plastic cement. ASTM 1227 Surface coating for sntootlt surfaced roofs. ASTt 1 D 2824 Fibcrcd aluminum coating. ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D 217g ASTM D 2175 Reined asphalt blended with a runicral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated aria coaled glass ,,.1i base sheet. Type VI asphalt impregnated glass felt with asphalt coating. ff Type IV asphalt impregnated glass felt with asphalt coatis . _r a Frani: Zuluaga !'! Exi•fnirtc, ttru '1.iorr t ;Al i.1incrtl :;ul laced Cap Silcc( F G (. / \:;∎Iv `:r:1;avent'l (\ ctl. I'ly) for u aiiai'lc decks GA FTL'M P� Jso111crltt It GAFTWAPO Cuntllositc i%,FT 13Nt I'tul Uibcrboard G AF 1 [ tvI1'e l cnnalitctl➢ GAF Iliglt Density Fiberboard GAF111'GtL'! /112 Standard Roofing Fastener GAF - 111130 L 1114 I Icavy Duty Roofing Fastener GAFTITE(19 uasc Sheet Fastener and Plate L)IIIIC.l!�it.'!I; )'x36' 76 lll. roll 3' x 16- ( 111. 1011 GAFGLAS'is' Flashing various GAFGLASO J'xJG" Scratavcnt.f0 (Vent 60 lb. roll Ply) Perforated various various various Various various Test ; •1!csliGcittiun ASI M D 3909 1) .1Y Proprietary ASTM D 4897 D 3672 I'A 110 I'A 110 Poiyisocyanuratc foam insulation with high density fib or Pcrniafite Itcrlitc insulation. Fiberboard insulation. PA 110 PA 110 1 110 PA 114 !'A 1I4 1'A 11 Product Control No.: 95- 1003.03 I't uduct L)c;CI ivtittitt Asphalt coated, Glass Fiber mat cap slice( :ul (acrd �ril nlinct:ll grannlcs. r:i(, glass base sheet impregnated ant( on troth sides :. itl' asphalt. 011 the hollow side r. ith cml!' ailed III a s;rlla!:1„ Asphalt coated glass fiber neat flashing sheet available in three sizes. Fiber glass base sheet intht•cgnatct1 and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. I'olyisocyatturatc foam insulation. I'crlitc insulations board. • High density wood fiberboard insulation. Insulation fastener for steel and plywood decks. Illst:!:Itiutt flstegser (jr steel, ‘'.00d and concrete decks. Base sheet fastening assembly. i ran l: Zuluag 1 Plan; FxamiucC U Eli. otC617tru! UI�i�tUtt I,�tzilttc( 12iutcusiuns Asphalt I ligh Dcnsity \Vood various Fiberboard Oriented Strand various Board Pclitc /Urethane various Composite Pcrlitc Insulation Polyethylene Rcd Rosin Roofing Nails Tin Caps Dens -Deck various 4 rail min. various Minimum ;, PA.I 14 12 Min. 32 ga. x Type X Gypsum various Typc X Gypsum various al MU aluminum roof coatingg PA 110 PA 110 i'A 121 various PA 110 ®, Test Product g'cc.itic.a(iun I2cscriul►uu EIanufac.tuccr A ; 1) 312 D 41 Asphalt ('rimer l'A 110 I'A 110 "type 111 or 1V I lot asphalt bitumen adhesive ,.ulC;! �rtg; �arrcn .: st:la :i(tt. Wood fiber' insulation board Oriented strand board Pcrlitc insulation board generic: gcncric gcncric Pcrlitc / urethane composite gcncric board insulation gcncric Vapor barricr / Air barricr gcncric Rosin paper for barricr gcncric layer on wood decks Corrosion resistant annular gcncric ring shank nails Corrosion resistant circular gcncr lc dis s. Fire resistant rated gypsum gcncric Firc resistant ratc'J gypsum, gcncric Alumin rcwi coating, Product Control No.: 95- 1003.03 gcncric Grundy lndustrics (with current I'CA) Gypsum insulation board. Georgia Pacific Frank Zuloaga !'tins E.xantincr, Prod taro! Utvtsibn :C� sl_�� t:cnc�•1ltic(Iti(ict flame Rictory \luu(al Research I i \1RC 1994 ( v ( 1wr;t(iuli IJp(Icru•ritcrs 1.,11ioratorIC I11c. J)y 1!I11JInacrl !(n:. 1 101 . 4A 1.I.1/0"F2Q J.I. / /0Q6A6A(\ J.I. / /]XJAl2./ \ J.I. u0Y9Q5.AN1 1(1306, 57141(1 I819 3600.02.0 4482.02.95 a 'Ics( 1Cc1►urls 1 UUQL1 Cm( cot Insulation I as(cnin ►; ltc(Iuirentcn(s Ip!ifl Approval .1'luvval 1i1( Approval Uplift Approval ! Il,lifl Approval UI11i11 Approval UItIi(1 Approval Class A Firc ClaSslrscn111 ',Vint) Up1I(t. Small Scale Wind Uplift Product Control No.: 95- 1003.03 Uatt: 01 .0 1.94 011. 26.9 2 1.i:.'21 11 %.t 07.1( 0,4.02.9 07.29.9'1 (11.01.93 02.02.95 02.02.95 I rank 7_uleaga _( ('laws Exa(nincrl'lrot ttc;.6oit((ui Utv(suul 1.; Product Control No.: 95- 1003.03 General Limitations: 1 . All asphalt shall comply with AS TM D 3 1 2 type [ I 1 or type I V requirements. All proposed asphalt producers must be approved by the applicant. 2 Fire ratings 'are determined by a combination of slope. deck type and assembly. Refer h) current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in stt:i.': compliance with Sections 3401.5 an :! 3401.6 of the South Florida Building Codc. var' ore s 'stc.n; curre :I:;ult nt U ldcrwritci ran`;e Shalt _r' f aC1 1 �• ' c i Laour :l;orl la)Jitlll, Materials I)IrC:aUr }` alld i:::till,:.i.:llrfi ' i'_ Spel:tll : : :IllUll :: for compliance 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 fuIly slopped. If no recovery board is used the bast sheet may be applied using spot stopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip slopped S" ribbons in three rows, one at each sidclap and one down the center of the sheet allowing a continuous arca 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.. Not nraxirnunl design pressure restrictions on spot attached systems. 5. All work shall be performed by a contractor licensed to do rooting work in Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer. 6. In re- roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(m), (n) of the South Florida Building Codc. 7. Prior to application, all existing roof surfaces used as 2 L substrate shall be tested for uplift resistance in compliance wilt' Dade Coun :y Protocol I'A 124 to the calculated design pressure of the roof deck. S. If required, any Factory Mutual Approved vapor ban :cr in conjunction with proprietary or approved adhesives may be used prior :o the application of the insulation layer. 9. Perimeter and corner areas shall have an increase in f2stener density. for both insulation and base sheet et in compliance with Dade Coon,. Protocol PA 117 of the South Florida J.1!! :a Codc. O ' 'lC neriinc II. i!l:(S and !I._.'. ilrUt dcsi.•ns Shall :ill attaci;i :;:. t ; . Zing o : • � 'u conform with Davie County Protocol PA I !I oldie South F :_ ida Building Codc. I. t: lashings shall be installed according to the rnanuracturers s :andard details, and pray be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen n'entbr;un.. Specific details, approved by tftc manufacturer, .shall be sub' i u; the S� trorr it PEirnc' Application. Frank Zuloa a a r ° X ' • Pi ans 1.xarninc' a ',trc.)l1)i:-=r‘);I Product Control No.: 95- 100103 12. Dull good materials shall be stored on end and on a clean, flat and dry surface. 13. 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 %vitt! Chapter 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. I•;. Asphalt mappings- shall be with applied with asphalt approved by the applicant and shall be approval in compliance with cqui■iscous temperature (EVT) :nctlwd s of asphalt determination. Asphalt containers or bulk tickets shall indicate an finished blowing temperature (FIST) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Codc. 15. 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 propping 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 NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive. 16. Pre-assembled cap nails may only be used for termination of fully bonded surfaces such as mechanical termination at wood blocking. Ircad and side laps, and base flashing terminations. Cap nails shall not be used for the mechanical attachment ofa base sheet. Tin caps are required by the South Florida Building Codc. 17. The submission of system specifications and details shall accompany' the Section If Building Codc 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. I S. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 19. Fastener spacing for insulation attachment is based on a minimum witiulra'val resistance value of 275 lbf. as tested is compliance with PA 105. If the fastener value, as field testa:, arc below 275 Ibf. insulation a :taclinie :,t shall not be acceptable. ) ) M Fr211k Zudoaga T` '0A (Tana. Examiner, cl'ruc.ue^{,u ul U i:iun - --_ 0 Renewals of Acceptance will not bc 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 wills the code changes; b) The product is no longer the saute 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 oldie product; d) The engineer who originally prepared, signed and scaled the required documentation initially submitted , is no longer practicing the engineering profession. Any revision or change in the materials, use, and/or manufacture of the product or process shalt 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 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 Dade County. Florida, and followed by the expiration date may be displayed in advertising literature. If arty 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 bc 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. S. Fa lure to concpiy with any section of Acceptance sl:all be muse for termination and removal or Acceptance. 9. This Acceptance contains pages 1 through 99 . END OF TI(IS ACCEPTANCE GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 4. NOTICE OE ACCEPTANCE STANDARD CONDrr1ONs Renewal of tlris Acceptance (approval) shall he considered after a renewal application Iran been fled and the original submitted documentation, including test supporting data, engineering documents, are no older clean ci!;ftt (S) years. .Any and all approved products shall lie permanently labeled with the manufacturer's nacre. city. state. and the following statement: "Dade County Product Control Approved", or as specifically stated in the specific conditions of this Acceptance. �+s Frank Zuloaga Plans Examincr-I� ,Je1et- ntroTDl isi•rr: %) Product Control No.: 95- 1003.03 ACCEPTANCE NO.: 25- 100310 APPROVED : Match 1 199( EXPIRES : Nov I(1, 1'197 GAFGLilS ® N- B- 4 -M /P6 and N -B -4 -M !IS V.' * Cif GI AS 6feneral Sud.ced Cat Sheet N.il.bI. n•tr _ S h• Ibing Papal pr t•eptio.d1 II - Sid. t / l J �1 / • — 'r— 4 ./ eat. Shit! (t.. b.lo.+) CAIGL AS Ply �cilicatiniiS :rat jn and Applicalinn Considerations detailed in this Manual shall apply in an to the following recorn:nenrlations and specifications. .cation of Hoofing Membrane er entire surface. by one ply of sheathing paper where applicable. Lap sheet 2 inches nvcr preceding sheet. flail sufficiently to hold in place. :ling at the, lo::' point 0: the roof, lay one ply of Rase Shec1. lapping each 2;penes al edges a n d no: lass Ilan 6 inches at end laps. flail along lap •e ply al Irldef:'a!'i n1i 1n 9 Io;:hes and stagger-nail l :own center 0! :0 t:vo ri '.s v : :fll Wait; spaced „! f' inch infervals in each row. Use las- wittl inicglal r; clef heads al leas: 1 inch in diameter or square flat are mended by GAF t.laleri;itS Corporation or the deck manufacturer. (See 11 Inslrurlinns• heto:v.) ;Mg at the low point of the; roof, ,poll I'.vn plies of GAFGLAS Ply shingle 1; lapping each sheet 20'1. inclieS over the preceding ;heed; solidly fg to the underlying hest Shcc( to provide three plies over lilt entire aa. ilegnirenlents • mappings 01 (tooling Asphalt roust be applied in a continuous film and 'nsist rf approxirnale;ly 25 pounds per 1(10 square feet of roof area with :rte 1105 In Cxcceel 20 plus or nliun;. The apprnpriale asphalt for the ncnIV1OI m:rs( !u: o':cd. Hooting A.ph.11 r Sld. r .p lnrill, Soulit, and UUest Zones 31lahte decks up to 6 inches per foot slope. except for lightweight insulating lncrele decks which arc 11)1 11011 10 a nraxinuun slope of i' per root. Wood, /:word, poured gypsum. precast gypsum planks. other acceptable nailable cks. for liOhtwright insulating concrete decks, see page 9. I6'Y• Materials Sheathing paper (1 ply. it required) 3ase Sheet ;AFGIAS Ply (2 plies) 3AF Materials Corporation Rooting Asphalt Interplics Can Sheet ;AFGLAS Mineral Surfaced Cap Sheet (1 ply) ppraxlmate Weigle per Square 175-250 lbs.. Slope per loot Asphalt Type lip 1n 3' Sleep ASTM Type III 6' iIT -Sleep ASTM Type N On slopes up to '/, Inch per fool, flat AS I M Type 11 may he used except in flnrida, Texas, New Mexico. Minna. and California. Surfacing Aptly CAFGIAS Mineral Surfaced Cap Sheet In accordance wilt, the application Instructions on page 20. so that the laps are nifscl Iron the laps of the ply sheets. Special instructions I. Sce 100ununcndar{ons for use over gypsum necks on page 9. 2. Acceptable Base Shecls ant :huL :; 5ii1:t!AVEIJf'tJailable required for hcshly poured gypsum decks. GAFG411 :; i :5 !Iasi Sherd, 111.18E11010' Modified (lase Siieel, GAI G1 AS' i'LY G'. and G :1f( ;LAS i'fy 4. for wood decks and structural wooed fiber decks. when GAFGLA S ply 4 or GAFGLAS PLY 6 is used as a base sheet. a sheathing paper is required. 3. See "flailing of ease Sheet.' page 19. 4. For roof slopes of 1 Inch per toot or more. all ply kits must be back - nailed 4 buttes in from the back edge of the kit. Sce 'instalLVinn on Steep Roofs,' page 10. UL Classification UL Class A A 0 f Substrate c NC c Slope 2' 3" 3 '/; UL Chard Key 1. Substrate C = Combustible and Noncombustible Combustible = Wood planks. boards. etc.. plywood (min. " /,t inch thickness). oriented strand board (min. '1, inch thickness). NC = Noncombustible only - Noncombustible = Steel. poured or precast structural concrete. lightweight insulating concrete, gypsum. structural wood fiber. etc. 2. Slope Maximum slope allowed, in inches per loot. Guarantee: Available _Specification Llberty Guarantees tl- 6- 4 -MVP6 15 yr. West Zone only. Wood Occks. f1- R- 4 -M /PG 15 yr. Lightweight Insulating Concrcic. (See page 9.) N- i1•4-M 12, i0. 5 yr. 41 i • 3: racing: =_ ' =� _ S , r , s - 7its'' -_ .:3. ^„_, _ -.JS:. 3:- -_ yak, ii. , _ Scec : ine•.: :se Coat. "•:3: S "" azolfeo acing: .,ac :. S 1000 ". apolied E : gai /sv' (10 or •iits , am: 'Polyfoam 251' or 'Pol ("dine: 1 ;rfacing: 'Gacor1ex Ure- Shield 7007', 40 dry mil dry NC C Incline: 2 -1/2 sam: 'Polyfoam 275', any thickness. ase Coat 'Gacoftex A- 6211', 1 -1/2 gal/sq (14 dry mils). 3rfacing: 'Gacoftex A -6200' series (various colors), 1 -1/2 gat/sq (14 y mils). ATERIALS CORP R1306 (N) 1. ALPS RD, WAYNE NJ 07470 ROID 20' or 'RUBEROID Modified Base Sheet" may be utilized as an e to Type G2 base sheets in any of the following Ciassifications. thick (min) gypsum board or 1/4 in. thick (min) Georgia - Facific overtayment board may be used in any existing noncombustible assification. When this is done, the resulting roofing system is )le for use over combustible (15/32 in. min) roof dedcs. The joints in um board and overiayment board are offset 6 in. with the joints in the polystyrene is part of the roof system, it must be placed below the ent board. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT 2 asphalt glass mat base sheet CGAFGLAS 175 Base Sheet') is a alternate for Type 61 asphalt glass fiber ply sheet ('GAFGLAS Pty 4' or Pty 6') in the Class A, 8 or C roof systems indicated below. F deck may first be covered with a Type G2 asphalt glass mat base aFGLAS Stratavent (Vent - Ply) perforated' or 'GAFGLAS Stratavent for nailable decks'. Perforated to be mopped and mailable to be ally attached granule side down. :lion Type G2 asphalt glass mat base sheet ('GAFGLAS 175 Base Sheer AS Stratavent (Vent -Pty) for naitable decks') may be substituted for t glass fiber ply sheet ('GAFGLAS Pty 4' or 'GAFGLAS Pt 6') as the •e ply in the following systems. • Sly or base sheet may be solid mopped, spot mopped or mechanically herwise indicated, all insulations may be hot mopped or mechanically S Flashing' or 'Ruberoid' may be used for flashing in any of the Class systems listed belowt ertite' is referenced, this includes "GAR DIP PERMALITEr or any lassified pertite insulation. .one or slag are suitable alternates for gravel in any of the Class A, :ems listed. cement fiber building unit are considered suitable to be included ' the f ollowing Class A. 8 or C sy toted over C-15#12 or NC gypsum board u ri 'er any or thie lv1towrng C1iss A. ti or C systems 'tersely effect the rating. The use of 1/2 in. min gypsum board is le alternate for insulation over C -15/32 decks. f polystyrene insulation board between min 3/4 in. nertite boa-d 'fth rosin paper (pertite /rosin paper, rig Class M A. 'mate for isocyanurate board in the :W awl tip) o a r B or C isotherm RA'. 'GAFTEMP Tapered Lsrtherm RA' and 'GAFTEMP may be substituted for any isocyanwrate insulation in any of the unifications. Class A. 11 and C a\r use with organic and glass felts or modified bitumen 15/32 yon (0 Class A 2. urethane. rab tb fibac I , . neck . Insu LOCK FCR MARK AN Pt(t1O jCT G3 Sheet: ;:r. - - w . :n (sits" su Vr (Optional ^ ; ?'. iS •3 °.,3:_. .r_ ^dr - ...' 5:.-i ?-:r3:_, :m ^os : :•?. Ply Sheet: i n'C :r 'cr? ..3•:er, - y: GAF :L.AS Pty ' ' - 1" or 'GAF Cap Sheet One Layer Type G3 'GAFGLAS Mineral Surfaced Cap She 4•k' NC Incline: I/2 ef Insulation: One or two layers 'Isotherm R. 4 in. max, hot mopped Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass Ste• 5. Deck system. /32 Slip Sheet 0 e �" 1 Base Sheet One layer of Type G2 'G FGLAS 175 Base Sheer (may be nailed). 6'. Sheet Sheet One or more layers of Type GI 'GAFGLAS Ply 4' or GAFGLAS Ply 6. Ca S One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheer. Sheet One layer of Type G2 'GA GLAS 175 Base Sheer. Ply Sheet One or more layers of Type G1 "GAFGLAS Ply 4' or GAFGLAS Ply Cap Sheet One layer of Type G-3 'GAFGLAS Mineral Surfaced Cap Sheer. Deck C -15/32 Incline: 2 Insulation: One or more Layers pertite, glass fiber, isocyanurate, urethane. pert itelsoeyanuiate composite, pertite /urethane composite, phenolic. 1.0 in. min (offset from plywood joints 6 in.). • Base Sheet 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), 'Ruberoid Mop' (smooth or granule) or 'Ruberoid Mop Plus" (granule). Cap Sheet 'GAFGLAS Mineral Surfaced Cap Sheer, hot mopped. 8. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers pertite, wood fiber, glass fiber, isocyanurate, urethane, pertite/isocyanurate composite, pertite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type G2 or G3. Pty 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). • Cap Sheet 'GAFGLAS Mineral Surfaced Cap Sheer, hot mopped. 1 . Della C -15/32 CIaKS 8 Insulation (Optional): One or more 3-1/2 (ore layers pertite, wood fiber, glass fiber, isocyanurate, urethane, pertite/socyanurate composite. pertite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Pty Sheet Two or rnore layers of Type GI "GAFGLAS Pty 4' or'GAFGLAZ Ply 6' Cap Sheet Type G3 'GAFGLAS Mineral Surfaced Cap Sheer, hot mopped. Della C -15/32 • Inctfain 3-1/2 In.uL tfon (Optie One' er. more layer pertite. wood fiber, glass fiber, isccy; nura' , Lretane, pert;teyisocyimuate composite,. pertite/ urethane- co.nposire, wy+d fi'borrisoc .,rtur.Cr composite. phenolic. any thickness. Base Sheet Two or more layers of Type G1, G2 or G3. Membrane: One or more layers of 'Ruberoid Torch' (smooth or granule), 'Ruberoid TorcS" Plus° (granule), 'Ruberoid Mop' (smooth or granule) or 'Ruberaid Mop rUrz' (granule). Cap ` heeet 'GAFCLAS Mineral Surfaced Cap Sheet", hot mopped. Class C -15/32 > 1/2 tation (Ontfoaal;): Ore or moo- lr,cn aerate, wood fiber, glass bK i ecy: moat., t.rethana, pertte /isocintra'.e composite, pertite/ I, APPLICATION FOR CERTIFICATE OF RE OCCUPANCY to re- occupy the single family residence known as : (address) 6175- A / g. q 7 5 Mani Shores, Florida. Legal Description: Lot: Block f 40/ PB & PG: J – f 7 4) ko o/4. 5/0 I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such roperty. Applicant '-(21 k-- Date Print Name �{ 5e- $?Cfr) * * * * * * * * * * * * * * * * * * * * *s * * ** * * * * *s*** '**** s**** * * * * * * * * * * * *s * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Inspected by: Comments: Buyer Seller Realtor /' Application Fee ($50) paid: Cash oc2ric1/ a Check No. Approved ) Denied PAGE 1 OF 2 hereby apply for a certificate Telephone. 0 ?, �'� – 6 '2c Date 1rJ: J g CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single- family residential purposes. PAGE 2 OF 2 MIAMI HORES VILLAGE, FLORIDA By: Date of Certification: THIS CER'I'1NCATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPEC'T'ED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER. STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. Po to 2 I RECEIPT RECEIVED FROM ADDRESS 4 r N E FOR /Le ` 6 id/6 14-- J DATE JJ 1r 01 Cs X 99) NO.3459 DOLLARS $ ACCOUNT ACCO AMT. PAID BALANCE DUE f.• in HOW PAID CHECK MONEY ORDER BY "�"� • . . , ..ly i V+�Ne.yrr +N ■. �!.�SM,.^}+w .. ... O ( MIAMI SHOR VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Approved Correction Re- Insp'n Fee Date k-o. I T e Ins 'n 1 V��- 1��/��i Type P Permit No. G 3- 3 ) t Name Address — 143 MOD — 2— 6 Company ,C 0 GUCt Phone # Inspection Date ‘4 [ 2� k0 414,- d MIAMI SHORES VILLAGE 'BUILDING= DEPARTMENT 305- 795 -2204 # '" Building Inspection Request Date Type Ins 'n \ t, • \ l ho 0_cor, YP P Permit No. Name (C)+ Address q437 }J(KJ C+ Company IC C UJO ' `-e Phone # A PC `c Inspection Date Approved Correction Re- Insp'n Fee /1c-o l611,,,„ 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 STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapproved (Signed) APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE Registered Architect and /or Engineer Name and address of licensed contractor T Location and legal description of lot to be built on: Lot t v c ® Block / / Subdivision__ I/ ' Street and Number where work is to be done BUILDING INSPECTION DEPARTMENT State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foppp Roof Covering G co e Estimated Total cost of improvements $ 2 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. /� -f Remarks (Signed) ____ V' u 4 . Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Date Date Buildinglnspector My Commission Expires -!_ r e'er 41;,, n Date No -) Street__. / n; 1, ? -4 Read, Sworn to and Subscribed before me. Notary Public, State of Florida 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 this application after approval has been obtained from the Planning Board. o A re- inspect* e of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and workmanship. CONTRACTOR Name A .2...m. O License No. .. Cc- Cad 'I t S 7 Address ate G ® s _A.s-D • Sc, d o,„, e. . Tele o01 2- —7G-13. S Fax �s Qualifier Name to9' A S4sI PROPERTY OWNER ' Name :11.x...4 �!✓ f. &` f l-S rn ML Address 406, S r 4 , 6 CAM-44 5T H I A ( Sl4t°Qas , F• 'S3 8 Home Telephone 305 -'3 - Business Telephone C/54 I ' _ �30 - / 6 ( '"1 y0 Fax ARCHITECT New Construction Name yi iCe44,) dii /C5 , ! 1 Enclosure Licenk l�jo () 57( Alteration Exterior Co sue, 7G f,1L Ad ess 6f/15 0/ M /I4,10/ PL • y� / ` /l` �L� Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Add'I Attachment Foundation Only Other Add'I Detachment Other Step 1. Job Address: (e(0 ° l 7.1 5 T Address Apt. City PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT APPLICATION Master Permit N 1 2Z. Subsidiary Permit N. A / ' cam) a. • 5) 0 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: 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 infomiation. APPLICATION State Zip Folio Number Description of Work . 0 �� -�0 i2- ., !� i G�� l � Lot Zo /rt 0 101 0-6\ or ' Y`61_ ki + ( e, 4-- Subdivision 6 5 PG lr. Zoning Linear Fee 4-. Current Use of Property 2lue uare Feet 4 /0 0 Units y 5G2 _ Floors Proposed Use of Property of Work Bldg Value Tenant Information Tax Assessed/Appraised Value 2100 v " Flood Zone 'd�l�Sfi� - COL-7 Base Floor Elev. ENGINEER Name License No. Address Telephone Fax �7v -Z�7Z_ Page 2 U 1PORTANT NOTICES 1. 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. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. 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. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. 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 FLORA, COUNTY OF MIAMI -DADE SEAL: Personally known 6 � ature of Owner i A- Print Name Sworn to and subscribed before me this ! g day of ../Ati , Signature of Ni!t' Public - State or orida • Ap o Enrique Chou • My Commission DD083871 Ap o# Nor pi Expires January 18, 2008 OR, Produced Identification Personally known Type of Identification Produced: 5 PERMIT APPLICATION Sa.l Print Name Sworn to and subscribed before me this tr/ day of Signa SEAL: ORIDA, CO r Y OF MIAMI -DADE actor 1 ualifier • to of Florida Enrique Chau -` My Commission D0083871 of Expires January 18, 2008 5'/3 OR, Produced Identification Type of Identification Produced: SECTION BY DAT Zoning �/ �� g ald Electrical tJ Mechanical Plumbing Fire Public Works Structural Building Official %s 7 Page 4 OFFICE USE ONLY CHECKLIST O OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) O OTHER (Specify & Attach) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (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 $ zro,no $ yra.,trA ISSUING OFFICIAL REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x ¢.60) (¢.005 /sq.ft.) (0.01/sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL $ t DATE: CONDITION OF APPROVAL it o(PC p col of ' PQA Revised July 2001 10050 N.E. 2" AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTV. TIFF. Outlet, Appliance QTY. TaPi Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8-15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs 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, lntercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL ,:TYPE y QTY. Minimum Fee 'TYPE Condensate Drain QTY. 'TYPE Generator QTY. 'TYPE Q F I Refrigeration, Tons A/C Central, Tons 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 Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING `f PE , QTY. A/C Condensate 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: Contractor's Name: A i Ft. Ft /az R13;0'4416 *Includes Mortar and Adhesive Set Tile Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Deck type: OlPc Fastener Type: SPACING Field: Perimeter: DETAIL 1 & 2 ROOF CATEGORY J ❑ (Low Slope Application) ❑ (Nail -On Tile) 1/1 Tile) * ❑ (Asphalt/Fiberglass shingles) ❑ ( Metal Roofs\Wood Shingles & Shakes) ❑ (Other) / BOOF TYP ® I New Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft) /V n Sloped Roof Area (fl?) 9U6 Total (f) L Master Permit No. Exposure category CE 7 -88): Building Classification category (per ASCE 7-88 table 1): g ry (per • ROOF HEIGHT AND SYSTEM DETAIIS (Draw details as needed) A v ATTACHMENT - Job Address: 6 65 NE 9 7 57 Corner. Page -1 ROOF PLAN • 4. Ridge Vesta a6 n? f i ) M A _ _ _ Appendix. "E" UNIFORM ROOFING PERMQT APPLICATION PROCESS No. A .3- DETAIL 3- tr � Roorstcrx - SLOPED SYSTEMD, SCRTP77ON a /v /A- Fastener type & spacing= 4 7Z/64 S /��G /2" D • G��O D .c. Cap Sheet 4 / �/ Roof Covering: 0/W 6 044 % Drip edge: 3 K g ATTACEM NrS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) A ppLicbie Detail Drawings 3) Municipal Permit Aopiicticn' 4) Other Component Approvals TILE CALCULATTO VL.� (pmaxl • 72. a. (Aerodynamic Multipliaa• Z ( ) - M: !D , D = M I 3 CA• / /O• 'f , (pntar?•101.2. X a. (Aerodynamic Muitiplia):® �) - M; 6• D = Mrs: 0 I PCA: L .51 ( P mixt3:/ O /'2A ? ( Aerodynamic Multiplicr):0,2Y ) - M.: l(J . 0 = M g ' PCA: O ' / APPENDIX "F "REQU RED 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. ill 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. 5 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) <w 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. _ 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The 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. .\.J 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner s /Agent's Signature Signature 5104 APPENDIX "F" - 3_18 Date Signature 31/31/2001 A• Tnnri3l • MIAMI -DADE 14:55 MEDITERRANEAN ROOF TILE 4 3056685161 MIAMI -OADE COUNTY, FLORIDA METRO -DADE FL€\GLER BUILDING 'WILDING CODE COMPLIANCE OFFICE NIEtRO.t ADE FLACLER BUILDING 140 WEST FLAGLER STREET. 5u1YE 1603 MIAMI, FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375-2908 CONTRACTOR LICENSING SECTION (305) 375 -352 FAX (305) 375.2$S& CONTRACTOR ENFOItCEh1ENT SECTION (305) 375 -2966 'FAX (305) 375 -29013 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375-2901 FAX (30s) 372 -63=9 Atlantis Shake and Slate Flat Profile Tile under Chapter 8 of the Code-of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the :Miami - Dade County Building Code Compliance Office (BCCO) 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 mater.al at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such p oduct 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 the South Florida Building Code. The expense of _;uch testing will be incurred by the manufacturer, Acceptance No.:99- 1012.0 (Revises No.: 98- 0604.01) Expirc: :;:12/16/2002 KIM PRODUCT C:O1TROL NOTICE OF ACCEPTANCE Monier Lifetile LLC 135 NW 20 St. Boca. Raton THIS IS TEE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building' Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Approved_ 12/c011999 H oinc u http://www.bui1dIn%tcudeolitint.coo Intcrnrc mail ,C13: po5lmaster (�buitdiegeudrOntinl.tonl P C, P A(VUWflI t.T. T (TRW FL 33431 TTT.T2,4r1 1121aoi NO.416 D0 @1 Raul Rodriguez Chief Product Control Division Lz. rancisco Quintana, R.A. Director 1 of 8 M.iarni -Dade County Building Code Compliance Dale TBCS 8CC T rid 9T:S1 3f1L 00 /T1 /10 01/31/2001 14:55 MEDITERRANEAN ROOF TILE -> 3056685161 MONIER LIFETILE LLC 1_ SCOPE This revises a roofing system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as rnanufactured 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 determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with R,AS 127 using the values listed in section 4 herein. The attachment calculat .ons shall be done as a moment based system. Category: Prepared Roofing Sub C ategory: Flat Profile Tile 7_ PR,ODYJCT DESCRIPTION M:nufactured by A m licant onier Lifet.Ie Atlantis Shake and Slate Tile Trim Pieces Rainproof 11 2 - Components or products manufactured by others Product Dimensions ice and Watt r Shield NOT Q CCEP STANDARD » CONDITIONS Test Dimensions Specifications 1 = 15" PA 112 Flat, interlocking, high pressure extruded = 10 3/8" concrete shake and slate roof tile equipped V." thick with two nail holes. For direct deck, mortar or adhesive set applications. 1 l = varies w = varies varying thickness 30" x 75' roll 36" x 75' roll or 60" x 75' roll PA 112 Test Sp£ciltCiltiouts 36 "x75' roll PA 103 z ACCEPTANCE No. : 994012.07 APPROVED EXPIRES Product Description Seif- adhering unde :December 30, 1999 :December 16, 2002 Product Description NU.41b WU.1 Accessory trim, concrete roof pieces For usc at hips, rakes. ridges and valley terrninations. Manufactured for tachi tilt profile. Manuffcturer PA 104 Single ply, nail - on Protect - O - Wrap. underlayment with 2" Inc. self - adhering top (with current NOA) edge W.R. Grace Co. wi cu OA) Frank Zuloaga, RRC Roofing Product Control Examiner 01:'31/2001 14:55 MEDITERRANEAN ROOF TILE - 3056685161 MONIER I,I ETI U-E LLC Product Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "Quikretee Roof Tile Mortar 41140") Roof Tile M. rtar ( "BONSAL® Roof Tile Mortar MMi�_ Roof Tile Adhesive ( "Polypro® AH 160 NOTICE QACCEPTANCIE: TA.N l� COND T IoYS_ Dimensions Vertical Min. 1 "x 4" Horizontal Min. 1 "x 4" for use with vertical battens Of Min. 1 "x 2" for use alone Min. 10dx 3" #8x 2 V;" long 0.335" head dia_ 0A31" shank dia. 0.175" screw thread dia. Roof Tile Mortar N/A (''TileTite ) N/A N/A N/A Test Specifications Wood Preservers Institute LP — 2 PA 114 Appendix E PA 114 Appendix E PA 123 PA 123 PA 123 See PCA 3 ACCEPTANCE No.: 99- 101 APPROVED :December 30, 1999 EXPIRES : December 16, 2002 Product Description Salt pressure treated or decay resistant lumber battens Corrosion resistant screw or smooth shank nails Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws 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 cite applications. Two component polyurethane adhesive designed for adhesive set roof the applications. Manufacturer generic generic ;eneric Bermuda Roof Company, Inc. with current PCA Quikrcrc Construction Products with Current PCA W. R. Bonsai Co. with current PCA. Polyfoam Products, 1nc. Frank Zuloaga, RRC Roofing Product Control Examiner NO.416 P007. 01131/2001 /2001 14:55 MEDITERRANEAN ROOF TILE 4 3056685161 MONIER LI XI EJLC Product Roof Tile Adhesive TiteBond Hurricane Clip & Fasteners 3. LIMITATIONS NOTICE OF ACCEPTANCE: STAN DARD CONDITIONS Test Dimensions Specifications Factory premixed canisters Clips PA 114 Min.' `h" width Appendix E Min. 0.060" thick Clip Fasteners Min. 8d x 1 `h" See PCA Single component polyurethane foam roof tiles adhesive 3.1 Fire classification is not part of this acceptance. 3.? For mortar or adhesive set tile applications, a static field uplift test shall be i 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 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing1 Applications Standards listed section 4.1 herein_ 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers; published literature. 3.6 .This acceptance is for wood deck applications. Minimum deck requirements shall) be in compliance with chapter 29 of the SFBC. 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 , Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile and its components' shall be installed in strict compliance with, Miami Dade County Roofcni Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Tile Profile Monier Lifetile Atlantis Snake & Slate Tile Table 1: Aerodynamic Multipliers - X (ft') A (if) Direct Deck Application 4 ACCEPTANCE No.: 99-1012.07 APPROVED EXPIRES Product Description Corrosion resistant clips with corrosion resistant nails. ,December 30, 1999 :December 16, 2002 Manufacturer Flexible Products (with current NO A) Generic ran . utoasa, R.R • Rooting Product Control Examiner NO.416 P004 01/31!2001 14:55 MEDITERRANEAN ROOF TILE 4 3056685161 ONIER LIFETILE ACCEPTANCE No- : 99- 1012.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Tilt Profile I Monier Litetiie Atlantis Shake & Slate Tile Monier Lifetile Atlantis Shake & Slate Tile NOTICE OP ACCEP TANCE: ,S.LIANDARPLItNDITIONS Table 2: Restoring Moments due to Gravity - M (ft -Ibf) 4 ":12" 5 ":12" 6 " :12" 3"_12 Dir- ' bec 2 -10d Ring Shank Nails 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails Direct Deck 5.9 1 #.8 Screw 2 #8 Screw 1 - 10d Smooth or Screw Shank Nail (Field Clip) 1 - 10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Save Clip) Tile Profile 5 Direct Deck 30.9 7.3 14.0 30.8 51.7 24.3 19.0 35.5 31.9 Monier Lifetile Atlantis Shake & Slate Tile Adhesive 2 See manufactures component approval for installation re uirements, 3 Flexiole Products Company TileBond Average weight per patty 13.9 grams. Polyfoar:� Product. Inc. Avera• weight . er patt 8 •rams: Direct Deck 5.8 L 5.6 'fable 3: Attachment Resistance Expressed as a Moment - M (ft for Nail -On Systems Tile Fastener Type Direct Deck Direct Deck Profile (min 15/32" (min. 19/32" plywood) plywood) - 38.1 9.8 18.5 30.8 51.7 24.3 19.0 35.5 31.9 7 ":1 or greater DirectDeck 5.5 NO.416 D005 17.2 3 1.3 3 Battens 4.9 7.4 18.2 24.4 24.2 22.1 34.8 32.2 2 -10d Ring Shank Nails' 50.3 65.5 43.3 1 installation with a 4" the headlap and fasterners are located a min. of 2%s from head of ti #e, I Table 4: Attachment Resistance Expressed as a Moment M, (ft -Ibf) for Two Patty Adhesive Set Systems Tile Application Minimum Attachment Resistance ran u loaga. SAC Roofing Product Convol Examiner 01/31/20A1 14:55 MEDITERRANEAN ROOF TILE -> 3056685161 MON11ER LIFETILE LLC Monier Litettl•_ Atlantis Shake & Slate Tile 5 Large paddy placement of 4S_,grarns of PolyPro? ". Medium Faddy placement of 24 grams of PoryPro 6 ACCEPTANCE No. :9 -101.2.07 APPROVED EXPIRES NOTICE OF ACCEPT A.NCE: STANDARD CQNDYTION :December 30, 1999 :December 16, 2002 Table 4A: Attachment Resistance Expressed as a Moment - M, (ft-Ibf) for Single Patt Adhesive Set Systems Tile Profile Tile Application Poly Pro TM Pot Pro"' Minimum Attachment Resistance 118.9 4G.4 able 48: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Mortar or Adhesive Set Systems Tile Tile Profile Application Monier Lifetiie Atlantis Shake & Slate - Tile Mortar Set N0.416 P005 Attachment Resistance 39.0 3. LA.BE :LING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami - Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6-1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. ci.1.2 Any other documents required by the Building Official or the South Florida Building Code (SF'BC) in order to properly evaluate the installation of this system_ frank Zu)oaga, RRC Roofing Product Control Examiner 01=1'20A1 14:55 MEDITERRANEAN ROOF TILE =, 3056685161 MONIER LIFETTI______25_UL ACCEPTANCE No.. :99:11.312.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OE ACCEPTANCE: STANDARD CONDITIONS PaonLE DRAWINGS OVERLAY "•- (I ■ WATERLOCK. g■• MONIER LIFETILE ATLANTIS Stf AKE & SLATE CONCRETE ROOF TILE Frank Zutoaga, RRC Roofing Product Control Examiner NO.416 P007 G_i1 14:55 MEDITERRANEAN ROOF TILE 4 3056685161 MONIER LIFETILE LLC OT CE OF A PT. CE: TANDARD 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 order 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 Approval ", 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 the code changes. b. 1 he product is no longer the same product (identical) as the one originally approved. c,. I 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 document8tion 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 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, 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. ?. 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 copies. 8. Failun: to comply with any section of this Acceptance shall be cause for termination and removal of Acc:eptance. 9. This Notice of Acceptance consists of pages 1 through 7 and this last page 8. END OF THIS ACCEPTANC 8 • ACCEPTANCE No.: 99- 1012.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NO.416 P008 Frank Zuloaga, RRC Roofing Product Control Examiner Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/13/2002 Applicant: SHELLEY Owner: WITIAK Contractor ARI ROOFING Local Phone: 305 - 252 -7635 Parcel # 1132060171910 Job Address: 665 NE 97 ST Permit Status: Work: Approved Permit Expiration: New roof for add If there is no permit pa fee is 50.00 which fe $ c must This Permit is granted to the c ordinances pertaining thereto any M and approved by the proper mun ' 1 authorization. A further conditioi ordinances and regulations pert; \ by his agents. servants or emplr Signed: In consideration of the issuar with the plans, drawings, state myself, my agent, servants or Signed: Fees: FEE2002 -1467 PAY TO THE ORDER OF MEMO Building Permit Permit Number: BP2002 -510 WITIAK SHELLEY Address: 16060 SW 86 AVE Cellular: Legal Description: MIAMI SHORES SEC 4 AMD PB 15 - 14 LOT 20 & E1/2 OF LOT 19 Description Amount Building Permit Application Fe$60.00 Total Fees: $60.00 9/8/2002 Construction Value: COLTRAIN CONSTRUCTION CO. P.O. BOX 190701 MIAMI BEACH, FL 33139 ( 534 -7991 $2,100.00 Page 1 of 1 Total Fees: $60.00 Total Receipts: $0.00 BANK OF AMERICA, NA MIAMI BEACH, FL 33139 63. 27/631 11 '003 735 x :063 L 2771: 4SO 1003 5lszeiyC 3735 --� $ 6a BLK DOLLARS 15 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby erode for the approval of the detailed statement or toe 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 thc Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of thc iuilding Divisinn 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 progreu of the work. qq,,�� ,,//�� , 19.c Owner's Name and Address Y.► 1l�,..1 Q _ No,......S. _... Street C.. 5; Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision cc Street and Number where work is to be done � - _1.._. .. ".c. Zone cubage required Distance .to next nearest building State work to be done and purpose of building (by floors) New Building Remodeling Addition To be constructed of Kind of foundation grCD Estimated Total cost of improvements $ 67) .u. nr• nnww erwr•e o-e .:..._.. ... ....i. Res 5o pn to to-a• ' 1 `tt :a ':str >Roter o7.s and for no other purpose. Repairs No. of Stories / _ Roof Covering C _ err 11 1... d:_• Amount of Permit $,.. Ot) Plan Cubage 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 7 MD 5 -L.L3 U The undersigned applicant for this building perinit 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, anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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, o ork to bepeyformed and pennit, 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 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. , ;2-- - 6 - 2/ Date / Y t / 9 �� Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector ate to me well known, Notary Public, State of Florida MyCommission Expires _..... _...._..._ _ . �. PLANNING BOARD DATE Chairman Member Member Member Member ..... Member Council Approved Date Disapproved Date NOTE: A Th.irge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plannir.;.: Board. A re-rose ttion 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. 1/ °6' 17 /6f-7n 117) s Ce_rj ((frhl, poi MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Reque Date D Time Type Insp'n Permit No. Name e -9" "l Address 1 5 4 ) C. 1 . ./1 Compan Phone # For Inspecto 7 / o/ b -- EN a . : Date Approved l V Correction ❑ Re- Insp'n Fee ❑ - (ID- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Build g Inspection Request Date Inspection Date Approved Correction Re- Insp'n Fee a s Type Insp'n I Cr' PCO Permit No. SP. 0 Name 2kQk Address %'�= &SS it.,c71 34- Company Ca U0 Il • Phone # 0:0-- 0 ivo MIAMI SHORES ,VILLAGE " BUILDING DEPARTMENT 305- 795 -2204 Build r g Inspection Request D ate C Type Iri'sp' n : Permit No. Approved Correction Re- Insp'n Fee P. oLI =o (-6 73 �CCCr() Name l i . Addres ` ` 47; / D q Company IL CL U' Le (C . Phone #. Inspection Date la MIAMI SHORES VILLAGE BUILDING DEPARTMENT L.5 -- 305- 795 -2204 L a Building Inspection Request Date-3 f I 2- Time Type Insp'n Permit No. �,�/ ; ifilir Name vN / !/G Address 0 /VG 97 Sr B P) 2 -62 Company CO- ! 3'P72 , W6g Phone # , ?® F7 0 v 7 2_ For In ctor: 3>2 D -D2- Name i Date Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 3.', 7 -Da) Time Type Insp'n Approved Correction Re- Insp'n Fee ,s 7' p.DD -p 3 Sr Permit No. Name Address Company Phone # 3 ac ,37Y - i vis >lciL_ i„ For Inspector: j , Name to MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ime Type Insp'n Permit No. Name dE e Address / J Company Phone # For Inspector: / ^r _/ O 1_. Approved Correction ❑ Re-Insp'n Fee ❑ Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date i 0 1 Time / Approved Correction Re- Insp'n Fee For Inspector: 9 It_ O 2. SP20 - ft0 j i9Rf le-v*1 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n Pe2_cu_v1 Permit No. --� �� 0 Name 7r i Address l_Il CO 3 1t ( Compan}AJ �" Phone # For Inspector: ( b l , Name I ate Approved Correction Re- Insp'n Fee ❑