Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
680 NE 97 St (11)
APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed state:,.went ur ine plans and specifications herewith submitted for the build • in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at budding during progreu of the work. Owner s Name and Address z),7 Registered Architect and /or Engineer Name and address of licensed contactor Location and legal description of lot to be built on: Lot Hat Block ® Subdivision. S Street and Number where work is to be done.. /lie. _. State work to be done and purpose of building (by floors) New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance .to next nearest building. Maxirnum live load to be borne by each floor be sent to.. STATE OF FLORIDA, 1 COUNTY OF DADE. j ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT ». No... ttSf Str`eeL� _- •'�� ' R .. . 2 . ,....,t,.. .,..•l..t.1l.•.,,,. . • li and for no other purpose. Repairs r .... No.- of_Stories.. f C¢vering Amount of Permit plan Cubage Size of Building Lot I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may The undersigned applicant for this building permit does hereby crrtify 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 kith 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 hy•the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under th' permit, as are licensed by Miami Shores Village. Remarks (Signe 5' 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 caref Ily read the foregoing application, and that he did sign the same, and that all facts therein by him scat d e e.. Permit No. . , Date t Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member ... _ ....._......_..._.�...._....... Council Approved Date Disapproved Member Member Member NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has the PLinnir.g Board. A re-inspection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for nratcrials and /or workmanship. to me well known, Date been obtained fmtn inspection or faulty Owner's Name and Address ., ... Registered Architect and /or Engineer sss. .:. Name and address of licensed contractor .. . �._ )7 Location and legal description of lot to be built on: Lot . Block Ott � Subdivision.i ?' Street and Number where work is to be done State work to be done and purpose of building (by floors) r .. LA.. Disapproved (Signed) Permit No._ " " r 7 Date MIAMI S H O R E S VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT 4' 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida IPV 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. 7 7 y _sa No...4o.. 0 . street_ 7 S 7 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ........... --- Estimated Total cost of improvements $ s 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 pennit, as are licensed by Miami Shores Village. C252444- Remarks (Signed)...._. STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated e. Building I • ctor y Commission Expires PLANNING t OARD _.._ DATE Chairinan Member Member Member Member sass.. ...__....._..._._ ._.._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection of faulty materials and /or workmanship. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 1 A.t Registered Architect and /or Engineer....._ Name and address of licensed contractor Location an le al description of lot to be built on: Lot " Block 16 Street and Number where work is to be done State wor)f to bejdone and purpose of building (by floors) Z 9 lz . STATE OF FLORIDA, COUNTY OF DADE. ss. Permit No Disapproved Date (Signed) - - Buil. ing Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT permit, as are licensed by Miami Shores Village. Subdivision sitbt Remarks (Signed) Chairman Member Member Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. Date Date 1' - 7 'gr 7"7 No Street Addition Repairs No. o i and for no other purpose. New Building Remodeling To be constructed of Kind of ndation Roof Covering Estimated Total cost of improvements $ R 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 su. .,tractors, on work to :: performed under this ,1 4 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared PLA INC BOARD DATE to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described onstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated true. D. to � 4„, Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty Owner's Name and Address Registered Architect and /or Engine Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot t a. Block__ e 6 Street and Number where work is to be done State work to be done and purpose of building (by floors ) ____ Date IAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores 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. Subdivision eo Date_ New Building Remodeling Addition 4 — To be constructed of Kind of foundaii43 Estimated Total cost of improvements $ ° f 6 No. T Street --G .7 - Repairs No. of Stories Roof Covering Notary Public, State of Florida and for no other purpose. ,x.ef 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcgntractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) __ STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No -CP ___Qi Date 3 - j`G J Read, Sworn to and Subscribed before me. Disapproved (Signed) Buil in. nspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member - Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. RMIT APPLICATION FOR MUNICIPAL OF DADE COUNT (OWNER TO RETAIN COPY) Date Architect /Engineer Bonding Company Mortgagor Signature Da cr Job Address Legal Description c /- lDQ Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier James T. Laing PERMIT FEE: APPROVED: Zoning Mechanical PLe /s, /9 cQ, 680 N.E. 97th Street George B. Knight 680 N.E. 97th Street State# RC 0021338 Competency # 396 4/6- do President Plumbing Address Address Address Tax Folio 11 3206 - 017 - 1610 T. Master Permit. # Phone 757 -7391 BISCAYNE ROOFING CO. Address 5180•E. 11 Ave. Hialeah, FL 33013 SS# 264 - 36 - 4704 Phone 688 -4668 Ins. Co. GRANADA Permit Type (circle one) :6 ELECTRICAL PLUMBING MECHANICAL PAVING FENCE WORK DESCRIPTION Re -Roof: Garage & Flat Roofs. Install white, flat tile on Garage. Apply single.ply FLINTLASTIC roofing system on Flat roof. Square Ft. 1,800 Estimated • Cost 4,000.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF 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, on the attached addendum (if applicable). I certify that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that sepal permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that the foregoing information is accurate and that all a will be done in compliance with all applicable laws regulating construction and zoni Furthermore, I authorize the above -named contractor to do the work stated. tor or Owner- Builder Notary as to Owner d /or ndo President Notary as to Contractor or Owngm My Commission Expires: Ao"tary Pemic M Commission Expires:: stateofF • * * e of Florida at urge y p fM p Comm 1k M mission E es: * * * * * ' October 4,1992 Fire Building Other Electrical Engineering James T. Laing Older at Large Ayres. 5.01MIYs# Tax Folio No. A/° 32-0 '0/7 state of Florida .ounty of Dade HE UNDERSIGNED hereby gives notice that improvement will be made to certain real ;roperty, and in accordance with Chapter 713, Florida Statutes, the following .reformation is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if 680 N.E. 97th Street Miami Shores, FL 33138 available) 2. General description of improvement: 3. Owner information: a. Name and. Address: b. Interest in property: OWNER c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) BISCAYNE ROOFING CO. 5180 E. 11 Ave. Hialeah, FL 33013 5. Surety: a. Name and Address b. Amount of bond$ 6. Lender: (name and address) 7. Persons with the State of Florida designated by Owner upon . whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: (name and address) B. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is pecified) iiiii 111 4,„ , Ows 'worn.t -o and . subeccr - Are me this O 15 day of f 9TAfY PU $ f �' M PY NMI ON EM e) lrS. C� RONI) D TFll ,0L� . Jtary Public ,.. , � L I t; NOTICE OF COMMENCEMENT a: 1 5557 63367 (J2f, 2ZM Sl l3 1992 IN 18 12:12 Rnnfing• (tarag & Flat rnnf �f2P�ca - ,e0 FY Cc o S ul 2(Sfiw 4-180 ( f (,enrge B. Knit Chi() NINT_F_ 97 St Miami Shores, FT, 11138 t?OrrIRDEff IN OFF ICMAL RECORDS ®OOI OF DADE COUNTY, FLOR IDA. RECORD VERIF;ED Clerk of Circuit & County Courts My Co mission E Signature o Owner '1:..' BO E 11th Avenue G 5 Phone (305) 688 -4668 ti _ ' t == -- o ,� — _ - ._. desk FL 33013 Fax (305) 688 -8 %2 REROOFING _ . _ _ I AVENUE, HIALEAH, FL 33013 o BONDED PHONE (305) 688 -4668 REPAIRS RESIDENTIAL ° COMMERCIAL o INDUSTRIAL TO: MR. & MRS. KNIGHT PHONE: 757 -7391 DATE: 4 -10 -92 STREET: 680 N.E. 97 STREET JOB NAME: SAME CITY, STATE, ZIP: MIAMI SHORES, FLORIDA 33138 JOB LOCATION: SAME WE HEREBY SUBMIT SPECIFICATIONS & ESTIMATES FOR: Furnish labor and materials for a new roof on the flat section of main house and rear car garage as follows: 1.Remove the existing roof system down to the wood or smooth workable surface. 2.Replace all rotted wood extra to contract, except for a $100.00_allowance. 3.GARAGE ROOF: I -Tin cap 1 -ply 30 -1b Base Sheet. II- Install new 26 gauge galvanized metal at the open eaves. III -Mop solid with hot asphalt 1 -ply 90 -1b mineral slate, back nailed. IV- Install new White Painted Flat Cement Tiles, as per South Florida Building Code. 4.FLAT ROOF (Main house): I.Tin cap 1 -ply 43 -1b Base Sheet. II -Mop solid with hot asphalt 1 -ply Glass Ply -IV. III -Mop solid with hot asphalt 1 -ply Modified Bitumen Cap Sheet. IV -Flash roof tie -in with tile roof as required. 5.Clean and haul away all roof debris. 6.A1l necessary license, insurance, taxes, and permit fees are included. 7.Owner will be provided with the necessary release of liens. 8.Tile roof carries a 10 -year labor and material written guarantee. (1 2_ 9.Flat roof carries a 12 -year Manufacturer's warranty & 5 -year labor arantee. c , Qs/-Vo 47.1,6,-;) - ---- e c il- Z.3 - -1 1._ I" WE PROPOSE TO FURNISH LABOR & MATERIAL COMPLETE IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS FOR THE SUM OF: FOUR THOUSAND THREE HUNDRED 00 /100 DOLLARS($ 4,300.00) , = AYt.N"O BE MADE AS FOL04VS: % when contract is signed, 25% when work is started, A 7 °! 25% �� } . -. - .. ,,... -. .. - - ' +4zo TERMS: BIS VIN ROOFING CO., INC. NET CASH - NO DISCOUNT ,,Z INVOICES ARE DUE WHEN RENDERED BY: g l L r } GENERAL TERMS AND CONDITIONS ON REVERSE 7..&;+ ) _c THIS BID MAY BE WITHDRAWN IF NOT AC TE D WITHIN 30 D Y : When this bid is accepted please sign and return yellow copy which will be our order to proceed with work and when approved by our credit department constitutes the ment of the parties. Attention is directed to the General Terms and Conditions set forth elsewhere in this contract, which are incorporated herein by reference and made A'l work to be done or guaranteed shall be set forth in specifications, no promises verbal or otherwise will be valid. The uncersigned accepts the above job at the price quoted and agrees to pay for said work promptly upon completior1of same as herein specified. If any sums are due suit or demand of an attorney or collection agency then the undersigned agrees to pay all cost, including reasonable' ttorney's fees for colle • n. s. \ fATF• /2 '� /q: rr(`p r, .4. 2 AGTr\,. . I1 I 1; _.,-., , colle �,,. "7" entire agree- a part hereof. collected by • 51 is a,�y e ;f' oofing Co. SA_ ° co Conimr ?cial • Industrial • Residential BISCA YNE L, ROOFING CO. IGNACIO BEGUIRISTAIN A T PAGE NO. ALL TYPES OF PAGES nrrl r iax Polio No 1, 1' tate of Florida Runty of Dade available) General description of improvement: . Surety: a. Name and Address b. Amount of bond$ Lender: (name and address) !orn to and cr fire me this ROTARY PU IC Sf{IT(£ y A u g F1Y COF iIS OP! EX R d 3,1 1 Rn 4 r vi Dist u' / t tary Public I NOTICE OF COMMENCEMENT 'EC. 1 5557 7 ? 3367 928233 178 1992 JUN 18 12:12 -E UNDERSIGNED hereby gives notice that improvement will be made to certain real operty, and in accordance with Chapter 713, Florida Statutes, the following ,formation is provided in this Notice of Commencement. Description of property: (legal description of the property, and street address if 680 N.E. 97th Street Miami Shores, FL 33138 Roofing. (rag & Flat rnnf 1 i4 1 ' E e6( . _(._;A) A (2c S �cL Owner information: a. Name and Address: G nrge R_ Knight 680 MN_ E. 97 St Mi ami ShnrPs, FT, 13118 b. Interest in property: OWNER c. Name and address of fee simple titleholder(if other than owner): . Contractor: (name and address) BISCAYNE ROOFING CO. 5180 E. 11 Ave. Hialeah, FL 3301 RFrnRDED IN Off /CIA RECORDS DOOb OF DADE COUNTY, fLORtDA. RECORD VERtf;ED Clerk 01 Circuit & County Courts Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: (name and address) In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) day of Signature o`P Owner My Co mission Ex AVAir , 1992, Date APPLICATION FOR MUNICIPALITIES OF DADS COUNT .'o (OWNER TO RETAIN COPY) /// Ar, chitect /Eng ine e r Bonding Company Mortgagor Signature of Da /9 Job Address PERMIT FEE: APPROVED: .1,0,0C Zoning ;Z,6 Mechanical 680 N.E. 97th Street Legal Description c/- Owner / Lessee / Tenant Owner's Address Contracting Co. BISCAYNE ROOFING CO. Qualifier James T. Laing George B. Knight 680 N.E. 97th Street d /or C•.do President R. Votary as to Owner d /or ndo President ly Commission Expires: Notary Public e of fmorida Urge E M �mmission Er es: It October 4, 1992 Tax Folio 11- 3206 - 017 -1610 `1' Master Permit. # Phone 757 -7391 Address 5180'E. 11 Ave. Hialeah, FL 33013 SS1fr 264 - 36 - 4704 Phone 688 -4668 State{,_ RC 0021338 Competency O 396 1,06 Ins.Co. GRANADA Address Address Address Permit Type (circle one): (UILDpi) ELECTRICAL PLUMBING MECHANICAL PAVING FENCE WORK DESCRIPTION Re -Roof: Garage & Flat Roofs. Install white, flat tile on Garage. A sin •le.1 FLINTLASTIC roofing system on Flat roof. Square Ft. 1,800 Estimated Cost 4,000.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF 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, on the attached addendum (if applicable). I certify that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that sepal permits are required for fiLECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that the foregoing information is accurate and that all a eill be done in compliance with all applicable laws regulating construction and zoni Furthermore, I authorize the above -named contractor to do the work stated. Fire Building Plumbing James T. Laing gnature of Cont or Owner - Builder Date Notary as to Contractor or O lder ry ' My Commission Expires: Stateotf at[arge B� 55t M Commn Fires 1 Other /'4/. Electrical Engineering Date Legal Description essee/Tenet Owner's Address PERMIT APPLICATION FOR MIAMI SHORES VILLAG 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: p 305- 795 -2204 • Fax: 30 - 756 -8972 Job Address (go q 7 S ( Tax Folio Historically Designated: Yes No Contracting C l� � � Ro Qualifier State # Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ss# Phone Ab5 75q"O) I Competency # a 7 1✓ C0/3 6 s. Co. 6 etA(! - etc i s`��n9 � J I� ro _ rep face w knew Savd-a re SpaiAiS,{ -S r,nul`I -color clay -1-`i WORK DESCRIPTION: - a 8 Square Ft. S Estimated Cost (value ) 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY 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 all disciplines. OWNERS AFFIDAVIT: l 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. t 3 't cjier and:" • &n0 ident I. My COMMISSION # 1D 069926 •.,���; EXP RES: November 5, 2005 "M`,. f fp' fio1doa?hru Notary Public Underwrtters Notary as to Owner and/or Condo President My Commission Expires FEES: PERMIT Icy S 0 RADON APPROVED: �a D Date X � Q �au ua 81181x3 Sirna re of Contractor or Owner Builder Date to Contractor or Own: Builder mission Expires Com V r ,41- vP i abel gas •y ssio D23I984 9 ..: Expires: Jul 13, 2007 g • r tBOND C.C.F ■ a D NOTA'R ar a nt.c Bending Co.. Inc. TOTAL DUE 1 I a Master Permit # Phone Address .( W■.,S N (:) 1 l" Vum; } r`. 33�S3 EtTEWE Q�J si o 2E' you - 6 Date Zoning Building Electrical Mechanical Plumbing Structural Engineer 4 &0 .00 x0 a t Gig-0 NOTICE' OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1. - at. 6 t - 1( ib STATE OF FLORIDA: COUNTY OF MIAMI -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. LQg des non, opgerty and street/address: 2. Description of improvement 1 1 e- roe) nr(s) nap) and dress: Q S,1orPS 3] Interest in property: 0 w i4 -e r Name and address of fee simple titleholder hmunimmg, i • A i.',:w,r rector's 7e an • , ddress• ,t\o COUfyfy CLEorr 4. C 6. Lender's name and address: Signs ure of 0 Print Owner's Name Sworn to and subscribed bef Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 41 &02 5. Surety: (Payment bond required by owner from contractor, if any) STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a true coy of the Name and address: ono! lo/ hlP0 w t office on � � day of YYth A D 20 a fV rb; WIT _,S my hand and Official Seal. , 4 4 inn f. ••, r�fi �i!_ ::I , ?S AE rN3f D.C. \ :Gf roV 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: Amount of bond $ 8. In addition to himself, Owners 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 • Is Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ed) bitVGN wAIWN MY COMMISSION # CC 912767 �.� r EXPIRES: February 21, 2004 ;Ilf,piT Bonded Thru Notary Public Underwriters Rv 1 11 1111 1 1111 11111 11111 11111 11111 11111 1 111 11 CFIN 2O03RC I5. - v$9 11_B OR 81< 21546 P9 0120; Ups) RECORDED 08/18/2003 15 :06 :05 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE Prepared by PacJ', Iiiq 1 7.3: P3o10g E' JOS ' alnni ..� � � ? 1 53 0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. �/ Process No. Contractor's Name 1' �� T� CU X41, I O Job Address b UV JV,Eo r ROOF CATEGORY ❑ Low Slop e ❑ Mechanical lY Fastened Tile Mortar /Ad iv hese Set Tile ❑ Asphaltic ❑ Metal Panet/Shingles ❑ Wood Shingles /Shakes Shingles ARE THERE El Prescriptive BUR -RAS 150 GAS VENT STAC ? ROOF TYPE YES ❑ NO 1!4 . . TYPE - NATURAL ❑ LPGX ❑ ❑ New Roof tit Re-Roofing ❑ Recovering ❑ Repair ❑ Maintenance . ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) d 9.6 01) ,260o Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and location of parapets. ■ ■MM ■■■ r■MMM..■a ■ ■ ■ o mmomni mo M■ nnum.■ ■M■■■M■M ■ ■nmm�on11■■ ■■a ■M■ ■ imm ■ ..p' :■ ■MC■ ■ n ■ ■rnaa i .MMM11 ■■■a■■ : ■ a■ ■■nano■■■ aM ■11 . ■n■:11 pmEno■CC■ : ■■aM■anMEa:■ S11 Mna.M ■ill ■■■a• C n ■ : M n11aaa■M■ ■ 11 ■ ■ :■C.a ono 11a • " C :::Cn m iu • ::C s nE :E:E : : o f r ■ ■ C �rC 1111sr M■ :E ■ ■ ■ Ai nim o r m noo - 14 r■ ' ■ ■ :: ■ ■ ■■ r.I.....ia■ a 1111 1111 ■ ■■ ■ ■■ IPMAMPAPILAM 1111■■■•■ M. n : C E MMMMEnE:' = C onninn ::CE°CC:ECC •i : 1■ ■■ ■ ■ .M■ p : : � • : E : :ECnCC : :'y iva a m :•,.. :CE :'. E : E :E C :o.. Ma u11 E ■a■ ■■M.an l..itr ■■r■■ ■al■ ■ a11■ ■■1111■ •1111■ Mall■ 1111■ ■ - .1111■■ .. ■au nM■ .. ■iraa11a�■.Mi11Ma■■ ■I is it G .■I.EM ■. . an ■ aM■ o r Ma:C■M■ummon C.m■ ■ ■anmsmA■■ ■..■■■.. :.MiCM m a 1111■■ama •R... C M .1 . .■M11 MiE� o naMa C:'• M.MnnEnE ''nnn ■Maan l ■ iEEEEEEC nn .■ mug ■ �. :. M u■ ■EM■ ■■.M. ■smmisl u.M■ 1.11 n n • n • : ' m nm: an of ■ 1111 e ■■ M a �■ ■ ■a1 .•M■ ■ ■■M11ala 1lim a :m:'::n:CO ag. n'�1 r:11:in 'C an . s iiu ■ ■ ■ ■ .. 11 11 ■ ■ a a i l i nuir mPlik m tre n C o n ECC� 0' nn. ■ E C.0 M• u .MM i ■M1�M■ . ■ M U 11 ::•:E : aUn. •I: i rill::: CE: iEC ECCEG■ n :CC: ■ ■ E: • inM:EECM. n : ■CCMr � ir2 i :1 ra■.Gun aulrr.lnlM�'M■ nna.■ M CEME ■�i■ M■ ■ : E "CCCc. -_- - -- " . . ■ r■ C ■: ': :i m g1' ■: ri GG a nn : C M E.E : ■ C : A C " C: ■ri•■ ■E■ i :NI iC E C ' C : " s:: C ' U mE Il an! ■ � o �I all III C 'E• : C n■ ■ u.0 "P C P E:n= m 1 E 161 mmu In u ' C L' n11C rM ■M ' �i nppC :: M3�1iMM.n■11 ■ ■■■ a.ia .114.11.0.1111111 iM : C C 1 • .'. u n • • C ' CE ' E u G ono ■a..■a•E■n. ■rinl ■. C 1 6EE r■ M 1■ ■ .11a ■ ■ .a s 1111 1111 1111■■■ ■ 11.:11 IM■ 1111.a ■41,V' M ■ r■ ■a IMM■ tea■ ■ MM■ ■.M 1111■.■ ■Cons■■■■ YI \� li■ . ' ■11■ gcAn 1 ■ .■ M i " ■ n r i i m mmws C� �n om • ::: : �n •.0 i•C ' u u' C • =EC hns am m.n�:C : ::• gm E■mormin ■M.Cu•um :M ■■ My ■.a.•M ■■ E ■amaa ■Ml ■ ■■ mall ■aM . . n ar..:.� 1111_._ `111.1■ ■11 ■ ■'�■ Apgar ■ ..M mmummi ran ■ ■ simpigR1■,r1 Ain Am mon ■ inn ill s in 'r " '•ans p nonprom mo ii a �:. npmpum r" lninn Mil: as ■ira■� ■M■ 11r�a�..Ma ■.■ MM■■...■ ■MMU■ m p ■111M ■a► =1111Aa r ■ l■aUa ■ 1111 ■M.■ ■ .aM a■ ■aM■ M11MM ■a ■ ■MM4. ■A■a T�IrMMM« a�■ ■ IN ■ E 1111Ma uo or, m m■ ■.r■ ■ ■a ■mmi...■ M■■■.■ . M■11 n E ■.�ii�a mill tl.1 ■ X91 ■■ ' I: ::im: 1 =C ia p '' CCC:al l0 u ::�: ::::C E:s :E Cg :Aggp,J, M US' :on 111111111 a■ Ir�■mgelim. ■■■■ialalla■ ■MM ■a ■ ■M■ M■ Ma■ ■M■ . 1560.1 ill ■11 a.M ■ ■G r■■a■ ■ M■ M■■■ 11■ m . C ■■■■■■ as sa p CCCC C m i nn..... CEEE m :� :ig i v w.. m , orh 1 v o n nu ma ' nimn omnpu ' ■ °C ECEE nnp u mn rnmon ns o nC: r i ' p in nan : ■ommt■ ' � ` 1a■■ 1110. M�a.■ I 11a■ mC M M■■ r,■ a a■■ M. MMM■ a■■ MM ■nMaM■■■MM■■l.l\e :11e�MIIMVI_F� . �■ : ►: . --1357 Roof System . Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 1. Fire Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Re- Roofing Only) 7. Any Required Roof Testing/Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: Roof System Manufacturer: .5a!efo Fe Notice. of Acceptance Number: OO I, 0 1 ob Minimum Design Wind ressures, If Applicable (From RAS 127 or Calculations): P1: 4'1 %b P2: 1 00i b P3: 10 Oct) Maximum Design Pressure �j (From the NOA Specific System): ' D Method of tile attachment: VO y F O aoy► .,. e d ve Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section D (Steep Sloped Roof System) Roof Slope: :12 Deck Type: Ridge Ventilation? v .d Steep Sloped Roof System Description ype Underlayment: nsulatlon: / Fire Barrier. Mean Roof Height: 11,b U - -nit astener Type & Spacing: dhesive Type: ype Cap Sheet: oof Covering: lk,sa wa I3si Type & Size Drip dge: -)Q t ag Per Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, Identify as "NA") System Manufacturer. NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: Pmax2: Pmax3: Max Design Pressure, From the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor/Base Sheet & No. of Piy(s): Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer. Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer. Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of PIy(s): Base Sheet Fastener/Bonding Material: Ply Sheet(s) .& No. of Ply(s): Ply Sheet Fastener/Bonding Material: Top Ply. Top Ply Fastener/ Bonding Material: Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment Field: ° oc Q Lap, # Rows © " oc Perimeter. " oc © Lap, # Rows _ © " oc Comer. " oc (a3 Lap, # Rows (a3 " oc Number of Fasteners Per Insulation Board Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. NIA FT. FT. Parapet Height Mean Roof Height Where to Obtain Information . Description Symbol Where to find Design Pressure Pi or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE based on ASCE 7 Mean Roof Height H Job Site Roof Slope 9 Job Site Aerodynamic Multiplier a, NOA Restoring Moment due to Gravity M, NOA Attachment Resistance Mr NOA Required Moment Resistance M, Calculated Nfinimum Attachment Resistance F NOA Required Uplift Resistance F. Calculated Ave Tile W t W NOA Tile Dimeons 1= length w= width NOA All calculations must be submitted to the Building Official at the time of permit application. M Required Moment Resistance* Mean Root Height — Root Slope 15' 20' 25' 30' 40' 1 2:2 34.4 36.5 382 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30A 32.2 33.8 35.1 37.3 5:12 28A 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24A 25.9 27.1 28.2 30.0 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. For Moment based tile systems, choose either Method 1 or 2. Compared the values for M the values from M f . If the M values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. (P1: (P3: UV 'r 117 �1V Meth Za. Z A x Section E (Tile Calculations) 1 " o nt e, !` Mg: Bas — I1 _ M Mg: ile Cale t} Per RAS 127" Mr' % c _ py NOA M ' o NOA 111( Mr <� a NOA I Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA M *Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based the systems use Method 3. Compared the values for F' with the values for F, If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (Pt : Z 1: a w: _ ) — W Z' cos 9: = F NOA (P1 lc 1: = Z w: = —W: cos 0: = Fn: NOA F' (P3: Z 1: = x w: = ) — W: Z cos 9: = F NOA F' d .. . _ ... ,. ... , .... •� ::...: W,,..,:?.. a .:... .. ....,...:.:� �iva4. °. ,; "u..:u:!';�`., i. ,..r..:f,:5e......,.i..= 'N�,., 1sF`y3..1_ SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR RO OFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. • 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and .water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). c kf 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. R F 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 cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's/Agent's Signature CADOCI•JI C- Pc.ny'LOCALS- I%Temp'3 CTION 1S:U.0.4 / 1.5 / ouuraeX Date Contractor's Signature MIA M[DADE PRODUCT CONTROI. NOTICE OF ACCEPTANCE Santa Fe Tile Corporation 10302 NM. South River Drive, l3av 1116 Medley ,FL 33178 The expense of such testing will bc incurred by the manufacturer. APPROVED: 02/01f2001 113045000 1 1pc200011temp lateslnot:ce aeeepanec cover pap.e.doc 111lcrncl mail :addreNs: p nNlma titcr(ultluildingeodeOnrinc.cOtn I'd OSOO88BSOE MIAMI -DADE COUNTY, FLORIDA METRO - DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE: OFFICE METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 • MiAMI. 1't.ORI 33130.156: (305) 375 -2901 FAX (305) 375 -290S CONTRACTOR I.ICI:NSINC Si :CT1o\ (305) 375 -25 FAX (305)375-255x CUN I :xFoucL. JENT DIVINIO\ (305) 375.2966 rAX (305) 375 - 290s I'RODUCr CONTROL DIVISION (305) 375 - 2902 FAX (305) 372 -6339 Your application for Noticc of Acceptance (NOA) of: Spanish "S" Clay Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction,.;tnd 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 bc 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. I3CCO 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 South Honda Building Code. ACCEPTANCE NO.: 00- 1212.06 EXPIRES: 02/01/2006 i:aul Rodriguez Chief Product Control Division THIS IS THE COVF.RSI .(FFF.T, SKI:, ADDITIONAL PAGES FOR SPECIFIC AND (:F,N(:RA1. CON1)iTIONS Iili1 LDINC 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 bc used in Miami -Dade County, Florida under the conditions set. lorth above. Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office e Iiontcpagc: http : / /.vww,huildinucodconlinc.com uo t .4e.rod Jo0 a i t l a4e.aueg dLZ : EO EO uciu 171 Table 2: Restoring Moments due to Gravity - M (ft -lbf) Table 4: Attachment Resistance Expressed as a Moment - M (ft-lbf) for Mortar or Adhesive Set Systems 3 ":12" Tile Profile 5 ":12" Tile Application Attachment Resistance Santafe 'S' Direct Deck Battens Mortar Sct 23.6 Adhesive Sct 61.9 Table 2: Restoring Moments due to Gravity - M (ft -lbf) Tile Profile - 2 ":12" 3 ":12" 4 ":12" 5 ":12" 6":12" 7 ":12" or greater Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32 5.29 5.03 N/A Table 1: Aerodynamic Multiplycrs— a.(ft Tile Profile 1 (ft Batten AQplication 0.274 1 (ft Direct Deck 0.297 Santafe 'S' For Nail -On System Tile Profile Tile Application Two Nails Onc Screw Two Screws Onc Screw vw/ Clip Two Screws w/ Clip Santafe S Direct Deck 21.8 29.16' 38.28' 57.31 . 57.60 Battens 61.77' 1. Approved screws as noted 'Product manufactured by others' SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 3.5 30/90 hot mopped undcrlaymcnt applications may bc installed perpendicular to the roof slope unless stated otherwise by the underlaymcnt material manufacturers published literature. 3.6 This acccptztncc is for wood dcck applications. Minimum deck requirements shall bc in compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its componcnts shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119. and RAS 120. 4.1.2 Data For Attachment Calculations Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -lb 3 Frank Zuloaga, RRC Roofing Product Control Examiner SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 5. LABELING 5.1 All tiles shall bear thc imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dadc County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copics of thc following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable Building Codc in order to properly evaluate thc installation of this system. PROFILE DRAWING SANTAFE "SANTAFE S" CLAY ROOF TILE Frank Zuloaga, RRC Roofing Product Control Examiner • b SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 • NOTICE OF ACCEPTANCE. STANDARD CONDITIONS 1 Rencwal of this Acccptancc (approval) shall bc considcrcd after a renewal application has bccn filed and the original submitted documentation, including test supporting data, engineering documents, are no older than cil;ht (8) years. 2 Any and all approved products shall bc permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically statcd in the specific conditions of this Acccptancc. 3 Rcncwals of Acccptancc will not bc considcrcd if: a) Thcrc has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with thc codc changes; b) Thc product is no longer the same product (identical) as thc one originally approved: c) If the Acccptancc holdcr has not complicd with all thc rcquircinents of this acceptance, including the correct installation of thc product; d) Thc cnf;inccr who originally prepared, signed and scaled thc required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in thc materials, usc, and/or rnanufacturc of the product or proccss shall automatically bc cause for tcrminauon of this Acceptance, unlcss prior wriucn approval has bccn rcqucstcd (through the filing of a revision application with appropriate fee) and grantcd by this office. 5 Any of the following shall also bc grounds for removal of this Acccptancc: a) Unsatisfactory performance of this product or proccss: b) Misusc of this Acccptancc as an endorsement of any product, for sales, advertising or any other purposcs. 6 The Noticc of Acccptancc numbcr prcccdcd by thc words Miami -Dadc County, Florida. and followed by the expiration date may bc displayed in advcrusing literature. If any portion of the Noticc of Acccptancc is displayed, then it shall be done in its entirety. 7 A copy of this Acccptancc as well as approvcd drawings and other documents, wlhcrc it applies, shall bc provided to the user by thc manufacturer or its distributors and shall bc available for inspection at the job site 3t alt tintcs. Thc topics need not bc resealed by thc engineer. 8 Failure to comply with any scction of this Acceptance shall bc cause for termination and removal of Acccptancc. 9 This Acccptancc contains pages 1 through 5 END OF THIS ACCEPTANCE Frank Zuloaga, RRC Roofing Product Control Examiner win SSG CAE COMPLIANCE OFFICE PROM CT aNTROL DIVISION (BCCO) NO i ICI OF ACCEPTANCE OA GAFNIataral Corporation 1361. Alps Hord Wa ,. V r4 470 SCOPE This vC is :e :ng issued under the applicable rules and regulations governing The :.= ;.- re+; - =;:on submitted has been reviewed by the BCCO and accepted The _one: - to be used has Miami Dade Coun the use Building odetan Products. Rev The (.- J), County and other areas where allowed y the Authority vingct Haaving This •,'•, s-" not be valid after the expiration date stated below. The Divi:. =- In - Dade County) iami -Dade County Product Control have ty) and/or the AM (in areas other than Miami Dade County) �:o�:: or material tested for quality assurance purposes. If this product or material fails to the �= •= =:ed ' ginner, the manufacturer will incur the expense of such testing reserve the right to revoke modir ' �. ,r suspend the use of such product or material within their ur' perform in sting c the ORA reserves im t h e r ight to re.. :his acceptance, if it is determined b mate.: -ya: =i; by Miami -Dade County Product Control Division that this product t s - -�eet the re of the applicable building code. P t or This -- - =1:c; :cpro��ed as described herein, and has been designed to comply Zone D:' e 1 Building Code. l with the High Veloci P Y g ty Hurricane DESG. : GAF Ruberoid® Modified Bitumen Roof System Y m for Wood Decks. L ''��NG- =ach unit shall bear a e g o ' re!low;— = t�te�e P rmanent label with the manufactu name or logo, state and nt: "Miami - Dade County Product Control A pproved ", unless otherwise noted herein. R.EYirv.�L c= ''is NOA shall be considered after a renewal application ha s een c aange = :icable building code negatively affecting the performance of this product. TER1',1T'.-‘ TICN of this NOA will occur after the expiration date mmate ateri:�;.:;;, _..r..: . or manufacture of the product or process. Misuse or if there has been a revision or change in the � =- =� . advertising or any other purposes shall automatically of this NOA as an endorsement of any with acti - ==;:o' this NOA shall be cause for termination and removal of this NOA. Failure to comply 1 of NOA. ADVERTISEMENT: The NOA number preceded by the word the exp t- -; �z may T displayed in advertising literature. If words Miami -Dade County, Florida be done r : r any portion of the NO is displayed, then it s hall sour etv. INSPECTION .A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors This affable for inspection at the job site at the request of the Building Official. The si-a.; NC.:, The n3 of pages 1 through 33. ciocumentation was reviewed by Frank Zuloaga, RRC. ■ o MIAMI-0ADE COUNTY. 140 WEST /UGLIER TpY, F.R SUITE I t3 STREET, SUITE > (305) MIAMI, 1 FLORIDA 33138..1563 FAX (305) 375-2908 NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 1 of 33 0 ROOFING SYSTEM APPROVAL Cat -- oi'!'� Roofing Sub- Cateporv: SBS /APP, Modified Bitumen Deck Type: Wood Maximum Design Pressure -75 psf Fire Classification: See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Dimensions GAF Asphalt Concrete 5, 55 gallons Primer (MatrixTM 307 Primer) GAF Mineral Shield® 60 Ib. Bags Granules 100 lb. bags GAF WeatherCoat® Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather. Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4® GAFGLAS ®Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated 5 gallons 1, 5 gallons ASTM D 2824 Fibered aluminum coating. 1, 5 gallons 39.37" (1 meter) ASTM D 4601 Wide 39.37" (1 meter) ASTM D4601 Wide 39.37" (1 meter) ASTM D 2178 Wide 39.37" (1 meter) ASTM D 2178 Wide 39.37" (1 meter) ASTM D 3909 Wide 39.37" (1 meter) Wide Test Specification ASTM D 41 Product Descrip Asphalt concrete primer used to promote adhesion of asphet in built -up roofing. ASTM D 1863 Granules for surfacing of exposed asphalt, cold prxes cement or emulsion. GAF Mineral Shield® Granules shall be :wed for flashins applications only. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 3019 Refined asphalt bended.wzth a mineral ASTM D 3409 stabilizer and fibers. Pe.:tits adhesion to wet and dry ASTM D3672 ASTM D 4897 Asphalt impreQ -a:_d a;_: :Dated _ :a.ss mat base sheet. ` Asphalt imprerad ar.: :sated. fiberglass base sheet Type VI asphal:: -pre .a :ed glass f_ it with asphalt coat;-z. Type IV asphal: i -dreg; aced glass =:t with asphalt coat rig. _ Asphalt coated, alas fiber mat ca: =-:eet surfaced with mineral gran_ies. Fiberglass base sheet cca on bctr sides with asphalt Surface;: on the bottom side with r..:neral ranules embedded in aspha:Ttic ccat:ng with factory perforations. NOA No: 02-0408.10 Expiration Date: 11/06/03 Approval Date: 05,'' Page 2 of 33 Product GAFGLAS® Flashing GAFGLAS® STRATAVENT® Eliminator Perforated Nailable RUBEROID® SBS Heat - WeIdTM Smooth RUBEROID® SBS Heat - WeIdTM Granule RUBEROID® SBS Heat - WeIdTM 170 FR RUBEROID® SBS Heat - WeIdTM PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID Modified Base 39 Sheet RUBEROID® Modified Bitumen Adhesive RUBEROID® SBS Heat - WeIdTM 25 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROID MOP 170FR RUBEROID MOP FR RUBEROID TORCH Smooth Dimensions various 39.37" (1 meter) Wide 1 meter (39.37 ") A wide 1 meter (39.37 ") wide 1 meter (39.37 ") A wide 1 meter (39.37 ") A wide 1 meter (39.37 ") A wide .37" (1 meter) Wide 5 gallons 1 meter (39.37 ") AS wide 39.37" (I meter) AS Wide AS 1 sq. roll 87 lbs. 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37 "(1 meter) Wide 39.37" (I meter) Wide Test S necificallon ASTM D3 ASTM D 4 STM D -6 ASTM D -6164 STM D -6 STM D -6 STM D -61 ASTM D4601, Type II, UL Type G2 BU ASTM D 30 Type III TM D - 6164 TM D 622 TM D 514 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6222 ASTM D 5147 Product Description Asphalt coated glass fiber mat flashing sheet available in three sizes. 672 Fiberglass base sheet coated on both 897 sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. 164 Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non - Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. 164 Non -Woven Polyester mat coated with fire retardant olvmer modified asphalt and surfaced with mineral granules. 164 Non -Woven Polyester mat coated with polymer mod.,.ed asphalt and surfaced with mineral mules. 64 Non -Woven Polyester mat coated with fire retardant x1 mer modified asphalt and surfaced with mineral granules. Premium glass fiber reinforced SBS - modified base sheet R 19 Fiber reinforced_ rubberized Adhesive Non -Woven Polyester mat coated with polymer- mothr7ed asphalt and smooth surfaced. 2 Non -wove pc : ester mat coated with 7 polymer modif _d asphalt and surfaced with mineral Non -wog en pc :-. ester mat coated with polymer -moth= .t asphalt and smooth surfaced. Non - woven pc ester mat coated with polymer r oodi= ed asphalt and surfaced with mine -al -ules. Non- W0% en x :1 ester mat coated with fire retardant pcl<mer modified asphalt and surfaced wth mineral granules. Non - Woven pci ester mat coated with fire retardant pohmer modified asphalt and surfaced wi;. mineral granules. Heavy duty. pc:: ester reinforced, asphalt modified bite^-:- membrane, smooth surface. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 3 0133 ' Product RUBEROID TORCH Granule RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 170FR TORCH Ruberoid® 20 Ruberoid® 30 Ruberoid® 30 FR RUBEROID® ULTRACLAD® SBS RUBEROID® Dual FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (MatrixTM System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Shingle-Mate"' Underlayment Tile -Mate Modified Base Sheet Test Product Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 5 gallons 5 gallons 60 Ib. kegs 4 sq. roll 30 lbs. 1.5 sq. roll Specification ASTM D 622 ASTM D 514 ASTM D 622 ASTM D 514 ASTM D 622 ASTM D 514 ASTM D 6222 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6164 ASTM D 5147 PA 100(A) ASTM D 1929 ASTM D 635 ASTM D2824, Type I 100 Ib. cartons, ASTM D312, 1 bulk Types I, II, 111 and IV ASTM D 5147 None Desc-- ton 2 Heavy duty, polyester reinforced, asphalt modified bitumen membrane, phalt surface. ' granule 2 Heavy duty, polyester reinforced, asphalt 7 modified bitumen membrane, granule surface 2 Heavy duty, polyester reinforced, coated 7 with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. SBS modified asphalt base sheet reinforce with a glass fiber mat. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non wo%en fiberglass mat coated with fire retardant, polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer - modified asphalt and surfaced with mineral granules. One-wa valve vent used to relieve built - up pressure within the roof system. GAF Ve-: Stacks are available in metal or plastic Mineral :c::oidal bituminous emulsion with reflec ::ve aluminum flakes Non- fibere:2. Aluminum pigmented, asphalt coating nterply ,:.::Dino and surfacing asphalt SEBS mcd:= ed asphalt Fiberglass reinforced shingle underlavment SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat tile underlayment. `OA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 4 of 33 TopCoat® Surface Seal SB Matrix 602 SB Coating) GAF WeatherCote$l \ 715 MB :oating) -opCoat MB 715 MB Coating) •A•eatherCotel -M (Matrix `= 1 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS 4dhesive Ruberoid®MB) Matrix 201 System Pro SBS =:asking Ruberoid ®MB) Matrix :02 Select SBS Adhesive Ruberoid ®MB) Matrix 202 Select SBS Flashing .1a :rix 203 Standard Plastic - = 'rent •4a :rix 213 Gun Grade Cement •Iazrix 103 Cold Adhesive •Ltrix 303 Select Fibered - -._ ninum • a :rix 304 Select Non - . Tered BEROID® Modified is rnen Adhesive Product Tile -Mate Mode Cap Tile -Mate Modified Cap ?lus Dimensions 1 sq. roll 103 lbs. 1 sq. roll 102 lbs. 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons Test � ec � c'shon ASTM D 5147 ASTM D 5147 ASTM D3019 ASTM D3019 C A ASTM D3019 C A ASTM D4586 Co Ad ASTM D4586 Sta Ce ASTM D4586 Sta Ce ASTM D30I9 Col ASTM D 2824 Fib ASTM D2824, Non T ype I asph ASTM D 3019 Fibe Type III Product Non-woven polyester mat coated with Polymer modified asphalt and surfaced with mineral granule- tile underla Non -woven polyester ant polymer modified mat coated with with mineral asphalt and surfaces granules tile underlayrnent. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesiv e old Applied Modified SEBS Asphalt dhesive — Flashing Grade. old Applied Modified SEBS Asphalt dhesive. Id Applied Modified SEBS Asphalt hesive — Flashing Grade. ndard Plastic Asphalt Roofini: ment ndard Plastic Asphalt RoofinE ment Caulk Grade. ` d Applied Asphalt Adhesive . ered aluminum coating. - fibered. Aluminum pigmente alt roof coating. r reinforced, rubberized Adhesive NOA No: 02- 0408.10 Expiration Date:• 1146/03 Approval Date: 05/�3J02 Page 5 of 33 • APPROVED INSULATIONS: Product Name GAFTEMP Isotherm R RA, RN Composite, EnergyGu R GAFTEMP® Composite A & N (BMCA)GAF T1p ®. Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANT M GAFTEMP Pe►malite Recover Board GAFTEMP GAFEDGETM Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboa BMCA Ener Guard, RA BMCA Composite EnergQuard, RA PYROX White Line ACFoam I, II & Composite ISO 95+ ISO 95+ Composite EPS Wood Fiber High Density Wood Fiberboard Pelite'Urethane Composite Perlite Insulation Dens Deck E'NRG'Y -2 & ENRG'Y -2 PL UltraGard Gold TABLE 2 Product Description & Po lyisocyanurate foam insulation P olyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. P olyisocynurate foam insulation Polyisocynurate /wood fiberboard composite Po lyisocyanurate foam insulation Po lyisocyanurate foam insulation Polyisocyanurate foam insulation Pol yisocyanurate foam insulation Polyisocyanurate /perlite ridged insulation Extruded polystyrene insulation Wood fiber insulation board Wood fiber insulation board Perlite / urethane composite board insulation Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Manufacturer (Witt, Current NOA) G AF Materials C orp. GAF Materials Corp, GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. Apache Products Cc. Atlas Energy Prroducs Firestone Buildir. . Products, Inc. Firestone Building. Products, Inc. Generic Generic • Generic Generic generic G Gypsum Corp. Johns Manville NOA No: 0 2-0468.10 Expiration Date: .11/06/03 Approval Date: O5/23/n2 P age 6 of 33 APPROVED INSULATIONS: Prainct Name FiberGlass R®ef Insulatoc ISORoc Structodek Multi -Max & F A Paroc Base Bcard Paroc Cap Boa APPROVED FASTENERS: : Fastener Number 4. 2. Product Name C = -'iTEZ Jr i1 -Tec ®) I :- standard. =i4 Heavy s Dui Roofing Fastener d G.a SITE ®i J r 1 -Tec ®) P A.542 P B as 3 . GAFTITE® (Dr.11 -Tec ®) Base Sheet Farmer and Plan~ Gain fume Plus (Drill - R Ter.-.X. Metal) p1 5. ?oir:repylene rates - R Dri :: -Tec® P -z c) str 6. Dew;, Fastene - =12, #I4 In wo 7. De. .t Hex P 8. Deis Lock 9. =12 1 ofgrip Fawners 10. Mem ?late 11. Cear:cx Plastic Pate 12. G1asi st Fastener TABLE 2 Product Description Glass fiber/Mineral fiber insulation Polyisocyanurate foam / rockwool composite insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description nsulation fastener for teel, wood & concrete ecks. re- assembled GAFTITE asteners and metal and lastic plates. ase sheet fastening sembly. ound galvalume stress ates. ound polypropylene ess plates. sulation fastener for od, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. P olypropylene round plate Insulation fastener assembly with recessed plastic plate Dimensions 2 7/8" x 3 3"x3 Vs" 3" round 3" square 3.2" Manufacturer With Current NOA) Johns Manville Johns Manville Mason ite. RMax, Inc. Partek, Inc. Manufacturer tiVith Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3 '/ 3AF Materials Corp. 3" and 3 %" =AF Materials Corp. C)nstruction Fastene -s Inc ='nstruction Fasteners Inc. :instruction Fasteners Inc. :TW Buildex Corp. 1 W Buildex Corp. ITW Buildex Corp. Johns Manville NOA No: 02 -0408.10 Expiration Date: 11/06103 Approval Date: 05/23/02 Page 7 of 33 APPROVED FASTENERS: Fastener Number 13. Olympic Fastener 412 & #14 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G -2 17. Olympic Standard 18. Insul -Fixx Fastener 19. Insul-Fixx S Plate 20. Insul -Fixx P Plate 21. Tru -Fast 22. Tru -Fast Plates 23. Tru -Fast Plates EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corporation Factory Mutual Research Corp. Trinity Engineering Dynatech Engineering Corporation PRI Asphalt Technologies, Inc. IRT of S. Fl. IRT of S. Fl. Product Name Test Identifier Current Insulation Attachment Requirements Wind Uplift, FMRC 4470 - PA 114 Wind Uplift PA 114 Wind Uplift PA 114 GAF - 020 -02 -01 02 -005 02 -014 TABLE 3 Product Description Insulation fastener Pre - assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round galvalume AZ50 steel plate Insulation fastener for steel and wood decks 3" round galvalume AZ50 steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate Description FMRC 1996 J.I. 1 B9A8.AM J.I. 3D4Q2.AM 4483.04 97 -1 #3600.02.95 -1 #4482.02.95 -1 ASTM D 4977 TAS 114 TAS 114 Manufacturer Dimensions (Witt Current NOA) Olympic Manufacturing Group. inc. Olympic Manufacturing Group. inc. 3.25" round Olympic Maiurfacturing Group. inc. 3.5" round Olympic Manufacturing Group. inc. 3" round Olympic Mann- maturing Group. in:. SF S'Stadiw- 3" round 3" round 3" round 3" round SFS. Stacie- S F SSta;: w- The T-u -Fas- Corp. The Tru -Fay. Corp. The T: -Fas. C orp. Date 0:.•_,.55 09.C-1.9 04.3 ).9 06.0 '5.9 02.0 =_9: 02.C' : .02 01.18.02 03.22.02 NOA No: 03- 0408.10 Expiration Date: 1 1106103 Approval Date: 05M/02 Page 8 of 33 Membrane Type: APP /SBS Heat Weld Deck Type 1: Wood, Non - insulated New ' Construction or Reroof 19 Deck Description: / or greater plywood or wood plank decks System Type E (I): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforate: Nailable, RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RLBEROID® 20, RUBEROID SBS Heat- WeldTM Smooth or RUBEROID S2S Heat -Weld 25 base sheet mechanically fastened to deck as described below. Fastening Options: GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet c- an y of above Base sheets attached to deck with approved annular ring shank nails rid tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 1 o.c. in the field. (Maximum Design Pressure - 45 psf, See General Limitation #7) GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS 475 Base Sheet Z any of above Base sheets attached to deck with Drill -Tec (GAFTITE) #12 or =14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheep (Maximum Design Pressure — 45 psi; See General Limitation #7) GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base Sts attached to deck with approved annular ring shank nails and tin caps at a fast; spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure — 52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck wit__ Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. r row is in the 2" side lap. The other rows are equally spaced approximatel■ 9 o.c. in the field of the sheet. (Maximum Design Pressure — 60 psf, See General Limitation #7) Am of above Base sheets attached to deck approved annular ring shank nails 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacin of S at the 4" lap staggered in two rows 9" in the field. g (Maximum Design Pressure — 60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Dri II -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9' o.c. in the field of the sheet. (Maximum Design Pressure — 75 psf, See General Limitation #7) Ply Sheet: (Optional except over RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld) One or more plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6® Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-=•: lbs. /sq. or Ruberoid Torch Smooth torch applied according to manufacturer's application instructions. NOA No: 02- 0408.10 Expiration Date: 11/%%3 Approval Date: 05/23t in Page 29 of ? = • 'pie abrane: Surfacing: Maximum Design Pressure: See Fastening Above One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, Ruberoid® Torch Plus Granule or Ruberoid® Torch FR torch applied according to Man ufacturer's application instructions. Or One or more plies of RUBEROID® SBS Heat-Weldn4 PLUS, KUBEROID® SBS Heat- WeldT*w PLUS FR, RUBEROID® SBS Heat- WeldTM 170 FR., RUBEROID® SBS Heat- We1dTa, RUBEROID® SBS Heat- Weldm Smooth. RUBEROID® UltraCladm SBS and RUBEROID® SBS Heat- Weldm4 25 applied according to manufacturer's application instructions. (Optional) Install one of the following: 1. Gravel or slag applied at 400 lb. /sq. and 300 lblsq. respectively in a floor coat of approved asphalt at 60 lb./sq. 2. GAF Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. or GAF WeatherCoat Emulsion at 3 gal. /sq. (Torch Smooth applications only) 3. GAF Weathercote® MB+(Matrix 715 MB Coating), Applied at 1 to 1.5 gal. /sq. 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.: gal. /sq. NOA No: 02- 0405.10 Expiration Date: 11/mQ63 Approval Date: 05/23/02 Page 30 of 33 Membrane Type; SBS Deck Type 1: Wood, Non - insulated Deck Description: 19 or greater plywood or wood ply System Type E-2: RUBERO ID® Tile Underlayment, Base Sheet mechanically attached. All General and System Limitations shall apply. Anchor sheet: GA.FGLgS® #80 UltimaTM Modified Base Sheet applied with Sheet, RUBEROID® 20 base sheet or Tile -Mate minimum 2" side lap and a minimum 6 "end lap. Base sheet ma y be applied at a right angle (90 °) to the slope of the deck with approved annular ring shank nails 2" and of the d tin caps at a fastener spacing of 6" o.c. at the Ply Sheet: side lap, and two 12" o.c. staggered rows along the center sheet. One, or more plies GAFGLAS PLY 4® Pl sheet, GAFGLAS #80 Uhlman' Y, GAFGLAS F1exP1yTM 6 adhered in a full mopping � RUBEROID MOP Smooth or RUBEROID® 20 a rate of 20 -40 lbs. /s9p g of approved asphalt applied within the EVT range and at Membrane; One ply RUBEROID® MOP, RUB Heat- We1dTM Granule, RUBEROID® MOP PLUS, RUBEROID® SBS Modified Cap or Tile- Mate Ca SBS l�sa a eldT*+ PLUS, Tap -Mete right angle (90 °) to the slo membrane may be applied at a asphalt applied within the EVT range and at rate of 20 u11 mo shall be backnailed to deck with a pp'ng of Typ IV - 4 01bs. /s . Membrane accordance to applicable Building Code. No nails or ring ca nails and tin sed in caps shall be exposed Membrane may also be installed If membrane is strapped, then parallel to and e slope of the roof (i.e, strapping). Maximum Design ply sheet must also be strapped. g) Pressure: Refer to tile manufacturer's NOA Maximum Slope: Must Comply with Roofing application St andard RAS and applicable Building 1 l g� Ras 119 , RAS 120 g Code. NOA No: 0 2- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 31 01'33 ;4:100D DECK $y 1 A slip sheet is STEM LIMITATIONS; STEM with Ply 4 and Flex Ply TM+ 6 when used as a met anchor sheet. 2. Minimum :» Dens Deck or % gyp Type X mechanically fastened base or od deck. G � sum board is acceptable to be irs�a, :, vii °d directly over the RAL LuvIITATIONS: 1 • - lire classification is not Directory for fire ratin pan of this a cceptance, refer to a current PP 2• Insulation 1� of this product. q may be installed in multipl la ''ved Roofin g Product Control be layers. Materials approved Approval guidelines. The first layer shall be attar oduct Control applied All other layers shall be adhered in a = '1 me attached using the fastening within the EVT in compliance with astenin T range and at a rate of 20-40 lbs is. PPing of 3. All standard g Pattern of the top layer Panel sizes are acceptable q or m echanically panel size shall be 4' x 4 for mechanical attachment. 4. An overla }� and'or r � maximum. �'he- applied in approved foam insulation k- recovery board insulation approved shall be a when the base sheet is panel is required on all a applied using spot fully mopped. If no recovery PP i s ons over closed cell mopped a" plied U in pot moppin with approved ry board s a continuous area of ventilation. °s one at each sidelap and one down PpfOVed asphalt, 12" diameter ci-- o used the base sheet - oft 24" placed even 1. area a in of ibbon allow cross of th n the center bl °.k.' a l strip be at a Encircling of the strips is not the sheet allowing minimum rate each i 2 ventilation. acceptable A j break shall shall design pressure of - 45 lbs. /sq Note: Spot attached s Asphalt applicatior. _ 5. Fastener spacing for i psf. P systems shall be limited system shall acing insulation attachment is � to a 275 Fastener as tested in insul tion with Testing maximum as field- tested; are based on a Minimum below 2 1bf. insulation attachment shall Chaeptable. 6. Fastener spacing Force g APPltcation Standard TAS 105. (F') value of g for mechanical attachment of anchor/base sheet or I fastener value, on a minimum fastener resistance value in conjunction Il not be acceptable. a on a min system. Sher Should the fastener membrane astener resistance be'les than that re a _ 3 "meat is based Building maximum design: -.•2;�e listed H ithin g Official, a revised fastener spacing, Buil Architect, Official, a revised Rea Roof Consultant may be submitted. required, as der. shall d utilize the withdrawal resistanc v Pfepared, signed and sealed by a Fl�;y'?�ned b� the Ica R: calculations utilize the withd anca with resistance value taken from Testing Said revis:a fastener a 7. Par and corner g APPlication a spacing areas shall comply Application Standard Staac� �; T_�S 105 and areas. Fastener comer shall be increased for both RAS 117 compliance with Roofing Application P y with the enhanced •uplift pressure rec_: referred within this � PPlication Standard oth insulation and - •'�` of these OA, General RAS 117. base saes_ as calculated in 8. All attachment and siting °; perimeter Limitation #9 When this a pplicable.) shall conform will not be n is specifically rm with Roofing -A ,metal profile, and/or pp flashing terra r•_ =;�., �:si 9. The maximum designed Application Standard field, ax imu m r d , and pressure limitation listed shall be a and ab t al wind 1 _ gns enhanced meters Corners ). Neither rational anal sis nor extra o� Witted for applicable to all roof press _ire zees (i.e. (When th f limitation enhanced pressure zones (i.e. y potation shall be p:-- •;Witted for hob is specifically r eferred (e Perimeters, extended comers - ( applicable.) y within this N an` c omers). #7 will OA, General Limitatic.n #7 will not END OF THIS ACCEPTANCE NOA Via: 02- 0408.10 Expiration Date: 11/06✓03 Approval Date: 0$/23/02 Page 33 of 33 . :rn : ' ,ct' Chap tec - - ...,... ..,: -- �•�wncc_(�Q 8 l _ �r eot C onstruction. an o � tams-t,a Cot:raY GGir z ode Compliance described herein. j Office h This :�Oq CompNance � (BCC() shall no: be valid ; � :o `'' t � ct or :ertcl of an after the expiration di ; :r ro' 1 'tct or mate- Y tinie from a : of t or material Mils to perform �obsi ov determined t product cr material to the approve robe BCCO that this p oduc •ridiatcly. BCC t or material eXa ;nsc ot'st,�clt l.:slin6 will ht: recurred by :he ,- • • .tCCt:! TANCr NO.:--01-0s21.02 XI'!!t L111lrT11F. CovrttSttr. SF 1 r7ltc.li . for 7t do 1r.d Prod: ct R cv1kW lrcd� :t �lpprovtllitt�� �i Ili s b A nGI 2g `'t- 4 f400trot acesumuce a «Yonte ea... Mtkdot :erntt nruil"� pottMs(rer@pulIdrneeoJeonlia the use overlong the of Alttrnat c en recommended for acceptant:. sand TY txs o der f the conditions sp cit_ed e �' Miam �s :atecf below. e c r hct'ein: �': �w. ' s tated elo s pl BCC f or O reserve , tg ` ant tl:t to sec!rr , • : :rit fa cr, 6C quality cont{o; estin c this reserve= CO ma y revok y E if this the right to rev , , modify r sus fails to meet the re o "e this :. Pend 012 uireme provzl� if is q nls or 6'e-south Florida r rturacturcr. j AI •Y,\t. c1 - qu2 CT REV Coa to be used i cell reVicwcd by : ,t Miami-D ii c 3CCO and • Count approved by the Building Y, F•orida under the conditions sit Itemcpasc • P �� t ��HRo�ifaoelitie coM ; : M, Raul Rodriguez Chief product Control L) :risi FOR Sl'FCtF Y ) YI ;1tA� ! 'micisco J. Quintans. Director R.A. '∎1 anti -pale County nodding Clad': Compliance U,Ti« A — id^s rte..• alb +.Y N f i :i 5ifi'b dcscr� to i1 ruS AttGb PtC.5sur ill 4 ' 2 o�'th ott t:t b . q teats is Notice urrd Y ! fu dCtl • u�� . 1s f �' Itil t' b� txurc y d r t ern ti nt d P rp t .. dII ' S tands . Values obtained by i' iicable building loratton h Ai. u Va es y ca c',i,., `• ns in compliance b with d t.. '; ' - ;6 n use w 1 ' 0 Poly pro . 'pat 160. or us the l t a prov , I, i; . t. low. and hih with !m -a. ` • the E '` y placement. end d high h,n�t cut�t S r roof • C . . Proti.t: •� tion �s an uplil� , t, s t e no r � arc d ons y a moment � thin � - • 2. PRODUCT DESCRIPTION • cd system for doubts patty ystc , , � y � Manufactured by Polyproe H 160 1'aantproe R rrt000 i', :f'aclR 3C .5: :Co P roduct' A ux i iitiox Two component Dispensing p e ns `n8 equipment 2.1 Cunt i) ?� ltnnc pe asi,� r All is tor K .Qt:ipmc�t Mi.0 p0 n t f or p ntanut t� list u�li� I rpClrrc+ Control CIUrccj 1) )' c r t r;s�s�i; troy Accepted tc Z ` : un ucs with the use of P Roof 'fits A ss►:; -1 , t>> Y )ric:tl'1')t of »ro /1(II6O Y ;t, s :uri Ysteal Properties: r��tf t'I' 3d ,� nt r \p,� r^ crl 3d4-sire. D ensity c � Corttltr«,ie /1ST'N10I62 Stre•,g'11 AST'�,1 n 1621 1 •G IVs /ft.' M eet : 8 P ' 3;'c S!rc,4;ctt PSI �arailrl V',.c• 0 12 PS1 Perpendicular rise nl:s r . AST. , (�� x.08 l St endicular to r'se 1.!o,s�c.rc Vapor 8 P Par �.l for O _r:7 �Itori c T'r••• A.S'�.�1 7 _S /rt? _ r� ^rt !7int� 1.1 1 'crrt /1 a0h Stabilit AST 02'26 L \/A `/n Test tc ciricutl^ ns PA 101 tvcc ss Volttnte Clt;trt�c IA .ICc '" V►��tin nri Ch,n.v t ty. 3 wcel',: 'ar" 31 A - ddr Fmak Product Control Eminer. • C3 • • SY RR Ai • 3.3 I4Un er r� :f :v t 'i I'. ^."- ay ,. F }� Y , 3.4 � o ay, . arurlCl,. - (l^S t 20. ! r _ t.A adhesive ... _ . 3.5 , Roof Tile ma nufacture s accordance or" ' i 16Q ; sequin with PA 101 and roof tilt wit �F,� 4 4. I.'tS TA L L ATton 4yd 3 ac ccptanc • std with compliance w , th thc.K o � .Pro t cceptance for the use °f pory tea shall t • i est IA accordance cccptance for two with P with their tile assemblies F the cction 10 ' t. �er�, _� •Y ive wi 60 roof hts Paddy plat c 10.4 as modined h shal ut in ' 14. Fr3,y, z utck'sC 4.1 Polyp; S AN; oats uplift res,st;. � be used with an y roof • 4.2 Polynroe AN 1 c vat the values with t! assembly se�tio,� 6 '� s. :all � is use ofpol Y 1,av?.g a assembly's and t►•c for -� all be a pplied in corn llattce wi! AHIGC. current BOA that bty's adl, dir�c�, Placement p wiI s e • ccor sp ndi r, ent petails h the herein. Th ro A the a , : n ' a.:a:.l:m:;i: resistance, t w ith the use noted licr�i ppCcation P •R tea; ; c detcr expressed s o�t'olyproe A11 160 ye t' °pftite S dry A�p:ica:,on Standards determined in co,n an u I:(+ shall provide file asse��5 ;v Pitar, t P • Miami-Dade s)•sCo -1.3 nor >Pro�s` ` nd d` RAS 127. The adltesiv Dad soured in t : cr exceed a ccordanc e r w cor talc adhesive and a is tot ;n t:;c roof Po,yprc� t,� R,;ot�n8 A d ��s corn AI-1:60 � Application Stan porcn;s sha;• 'nstalled to instal ;alio must Pcra:irt Instruction Standard into 120 n , rust , and p Sy Pc'yfoa "� Pror± L c � s a Fac tory Tra; e � Maintenance Dxic c,Yfca,:l P f aaa icator , Inc. Poi Qualified A ,ar:. 4.5 Ci:i!,•, - a.i :o the a:,t s f n ► ytbam Preduet r PPucator' approved having jurisdiction. trd :icerLSed cs:vC ,.. er . Y a ::;t o ` app ' cved 0 �c rt•t ;r• ca ..:c r:,r ratio :.• disp sr g t•quiPn'cr� !' �:: a Fi r I ti { 5 cn the ' . component ,s - sta n d : t : c. I " I ' C .. �) I pence e l be s et ' or delve A' �, � •5 :c s :a :: be aoarcvcd �Ct..:ds Per life ,. )' The di component 4.6 Ji `$ r�I•t ■ CJ sir:,:{ b � , s dccr,�:ncd a t dispense ter shall be su of shall ,t - t , ol 'S cq:. , :•c.•,: on �►�r:cd wit,5 f op O other settirr YJroA ,� f i IOC s!,z:l not (;: exposed .n,� tt r r I co C ,. p; oPac1► ®30 8 �d ,rcrrttc,ncrrll � 100 y to suni Gd - -. C3M ,.n-on_ . T , ■ , ') • - 1 :L■rY e , • I. S. LADELING All Polypro® Alf 160 containers shall C jj 6. VILDINC PERMIT REQUIREMENTS 6. 1 As required by the Stii!e. /lei& Pro pery eve t390SES:9S 'ON XVI • uate the installatiOn or this syste, . or applicable Buildinu Code in order to 4 7aCM 11 A7dOS Cei Ud 91:et C31!ECAn70.14m X ply with the Standard Conditioni t listed herein. Frank laiek, RAC Product Control Exzmincr • !hail'. manic towns 4420•11 ".01111/ 1' 1 ' :•,se 11 1 Do stots 446: to • t 41 ■14.• %we I. 1 1 km we • 1..990S3S:9S CM XVI — ° INS Mikes 16, fw, Corot ,mhd,ovoirichnhiesAashs is Valve 17 412 lie glow sel Po pas is ro et inIsIdeasgsa km set .._.; NS kaUSCieet,*1"1"..'461.4 7 1‘ . lo 4 1111111111? t -Aillill -.1- A\Lt:- 41446444 ili Illk :":1:41 S is s ft. hi • (NM Gillain mom • ••■•• 1 1 CP. P • A ..".:CCS FTaruc Ziticzr„, ARC Prohuct Czzt-al Evanhaw. • : ■ 30 AVIS 1 3:1P‘4CIS gs . uti Avd 1 6 . . A .CarC • get - so • 4 ",V • ■ • Rc�r , �� of this Acccytapc• original �� l� o ►ia• subn�dtt, � � � P U { V ofd►r than eight g)) cars' do r i . a.. , 1 4, ,1, i t 2 �� ink test's t , s r boat �. Any a :, all approved r , ucts : tctt .ari it t� tov d Prt,�. k ts. .�, and the following - shal •. labeled it sot:Cif:rally stated in the specific coriditicMS or this Acceptance. ltertenals ofAcceptance w:11 not be considered it There has been 3 .•" product an t� .� °`' in the south Florida Ruildin Code s - • -_,. t: The d he prcdJet is not In a ,.., c product is no ember the same !Phan(i with dtc code clt1,t_� � `` !he evaluation of .1:4 Acceptance is no h product (identical) as the or: o If : older has not `complied with I 8 the Corr: -1 ■nstallatio,l a f the a ap rcv CJ engineer cria t , i u Product. 3 or this scrupt who rn , ,. t of t t�rcparcd, signed and sealed th Serb ;tti :red, is no here e gcr practicing the to tCC_. doCUntcn• lice initi d' til;. revision g s :'I)• or change i:: t1' on. r : ). r e v call b c materials, use )' CataC 20: tcrrni ;tntion Of and/or manufacture e' :..i. r ^S�es ;ed (t b C the ;;n this Acceptance. unless prl,. n-men conduct or priori s = S :trice. 8 of a rrvrsron apple ;ton with :pprcp..:_ •= and approval be t 1r or the ,`cllo�� ; . t, a sr•'�ted b� :t:s s :.tcs: 6 s•ti z:so be grounds for rrmo�• a. L,r al of this A ,- r)' :r : of this product cr CCep., -,� �liscsc th.s Ac :cpa•tCC as an endorsement p�octss• u of an _ .: ti The proJu: • �_ T't- `cl.cc cf Acc:Ftz. r. advertising or i �• !• ^c_ "wabcr `' �`� t t; c r f Ac : p i a r� �. b4: preceded by lie words M :� Crs .s i -Dzt s Cis cd in advert Florida, o Acc:pti „c: p ayee, L:::. s :tzl r i r literature. '' and r c 7. A �.. ^ :• � Ors A __ .. 5C done ;It Its entirety - . - i0n or the No of `� C.e b.: r: c ::dca to tae- pea :I _ u we:: as approved dr .v :I •a ;o :a :: Z ti .: , the "tans :faerurer is distributed other hz. dc:-.,:_77-...1, -.rc it as lies, s • a , site . ,-. or r "'it P S r : enb,nccr tuc�d r.c: reseal sand say. :..--:able - z.. :� :c copies. ``=' til i- spectio- c :o comply ,�, ;!; Acczwan;` =-Y Scc :iar. ci'this Acceptance shall - r :s �,c. :` be eau:. _ =- 1, �l :cn and rcmc,:; ; r of A:cc,,!;,,_ :Desists crpngcs 1 :!boos :t 8. END Or THIS ACCEPTANCE 8 .:1:2•10ya. RRC t-- ea..= Casual Ewminur Test Location Uplift Pull Test(P or F) Test Location 26 27 Uplift Pull Test(P or F) FN"t �i p --- Test Location 51 52 Uplift Pull Test(P or F) Test Location 76 77 Uplift Pull Test(p or F) 1 1���1 2 3 28 I 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 .—a.----"' 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 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68. 93 19 44 :l 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 y ' - 49 74 99 25 _e '50 75 100 U.S. SOUTH . 1. Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION Owner's Name: R ®b ir R1 -Me Job Address ' ; 0 ( Roofing Contractor: K u-= to. k. IA— W o V t a.-3. 4 Type of Tile: . 1,! .% t.,. et- is t--- F AM 4 . — ,T - Approximate Roof Height:--12 Type of Access to Roof: Scaffolds Approximate Square Footage of Roof ` -- ft Required Testing Force: 35 lbs. Testing Equipment Chatillion100 Date Tested LO - lie '03 N rmit# i C> - /3S`? Ladder TEST RESULTS P = PASS, F = FAIL Date Installed: (V oC Roof Pitch: "« Other IN ACCORDANCE Vilt■-(THE CROF?I A O PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT Sk1BMITTED 3 Civil Engineer: Lab Certification # 98- 0608.04 State of FL Certificate Authorization # 4100 F.E. feit 2 (a 3 4612 1 • 5KETCH OF ROOF NOTES: 6 ", 4"5"rAre.) 01 JOB SHEET NO CONTRACTOR CHECKED BY SCALE 6c .- 91 64-6F-z5 DATE co' 1 ) 6 BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor or Builder Legal Lot Description II B1 Address of Building N° 6229 Work to be performed under this Permit_— Subdi- vision Value of Project $ DATE. Contractor's License No. 19 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• INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordin regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao ceptinq this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY ABBOT