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893 NE 96 st (7)l''`ERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3/c) 1 / 0 1 Job Address 89 3 N6 9& St - (fl ' 5 . Tax Folio Legal Description 09 3 ry c— q t h Owner/Lessee / Tenant Lv► Sev9en I. lo h r S o el Owner's Address e79 3 N E 910 sr R Ta re Contracting Co. , S I Qualifier 6s State # L �I- O y2-0 f 5" Municipal # Competency # Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA OOFING�PAVING FENCE SIGN WORK DESCRIPTION � E'� Ulif �� / � CS /mo d S 'fi �• Colcw? jJ ICI WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all wor construction and zoning. urth- ore, I authorize the above -named contractor t �i • • : • - Signa of own r and/o ondo Preside Date S work stated. /.� er- udder Notary as to Owner and/or Condo President Da My Commission Expires: FEES: PERMIT APPROVED: Zoning Buildin 031 os f L VANESSA B. RIOS ............ •rARY o. MY Comm Exp. 1/13/04 UB LIC No. CC 901929 I rsrnalty Known 11 Other I.D. Historically Designated: Yes No Master Permit # 2,,ofy Phone (3 OS-) 1 5 t— s z 3 Address / 3 Wes f• 2-2 t, 1:) P3305 SS# Phone . —71 -1 c 7 Electrical Notary as to Contractor or Owner - Builder Date My Commission Expires: Ins. Co. OTAP,Y Exp. 1/13/04 PUBLIC.: CC 901929 Y Known I I (MK I.D. RADON C ' . . / t . W ® NOTARY Q BOND 300 -� liance with all applicable laws regulating Mechanical Plumbing / Structural Engineer F NOTICE OF COMMENCEMENT MT 'A RECORDED COPY MUST BE POSTED ON THE JOB SITE . AT T TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY.OF DADS THE UNDERSIGNED hereby gives notice that improvements Will be made to certain real property, and in accordance ■wiU j ' Chapter 713, Florida Statutes, the following information is provide d io this Notice of C ommencenient- - S � 3 2. Description of improvement: Re -roof h awes Baru 0.4 3313 TAX FOLIO N 3. Owner(s) name and address: )•- v is e. LJ 9e.nl k n Sun Sq 3 ly e 9(0 Sh -eel - it-4 t •Zr t. i 31-40n Aon.iI b. .2)t,39) Interest in property: b wrverL Name and address of fee simple titleholder: Lu■seuo (AN r%Scrn $°t3 we 9(o 5A-► -ed- 1-t iak.-A . 4. Contractor's name and address: S &J ROOFING CONTRACT INC. • 173 W 22ST Hialeah. FL 33010 5. Surety:(Payment bond required by owner from contractor, if any) 0\0, c' Name and address: N /A- cr,F is 4 ,,i = " Amount of bond $ s�lt GE.: � i 6. Lender's name and address: N / A ° V 7. Persons within the State of Florida designated by Owner upojsr;w m notice Jr other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N /A 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: N /A 9. Expiration date of !. •s Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different • - •- is • - j -/ i . // Sign ure of Own: Pr t Owner's Name\ L evc.r1 I c- Sworn to and subscribed before me this • 3 Notary Public e � Print Notary's Name My Commission Expires Jahri SOY) day of f /ZCI' VANESSA B. RICS qtr No. CC 901929 Personally Known 11lther , 20 O . Address: 173 W 22ST Prepared by J c A.. Perpz Contractor's Name: S & J ROOFING CONTRACT I) yAddress: eoz NE- 91, ROOF CATEGORY (Low Slope Application) (Nail -On Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') Sloped Roof Area (ft') c2Sc2 C7Total (ft) . amt Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): — 4iu - J ire 61/4. ROOF HEIGHT AND SYSTEM DETAILS ve r✓r Sri (Draw details as needed) yes • 'YPP • -04 -v r-P6 X 1 1"R /S Nail Corrotion One( Cap Sheet Hot opped GAF Resistan TWO(2)Glass Ply IV GAF HOT Mopped GAF 75 Base GAF NAILED 6 "0.0 Laps.12 "Field 3X3D /EGALV' 26GA' ROOF PLAN 6"Perimeter Ft. Appendix "Et' JNIPQRM ROOTING PERMIT APPLICAT -ION - - Deck type: Plywood 5/8 ATTACHMENT FastencrTypc: 1 RR /S Corrotion Resistant SPACING Field: 6 "0 . C P a rameter: 6 Corner: 6 6 "O.CField DETAIL 1 & 2 • - , n PROCESS No. • tinier 'Lyfetile .45anish "S" Appendix "E" UNIFORM ROOFING PERMIT APPLICATION N PROCESS No. Ridge Ventilation? 1 N/A MEAN HEIGHT Deck type: deblekhdi SOG= 300 5/8" PLYWOOD Underlayment: Insulation: #30 Feld 12" ROOF SLOPE Saree,m5 3 "X 2 Y 1/ x42-SP °-,S • zs is a x PL2S 3 (Pmax2: 9 65 02 X (Aerodynamic Multiplier): 2 S 9 (Pmax39 6.5 02 X. (Aerodynamic Multiplier): 2 , 9 SLOPED SYSTEM DESCRIPTION N/ A Fastener type &spacing: CORROTION 1' -- "R /S Cap Sheet: #9O..Felt _HOT Moppe. Back Nailed 12 "O.C. Roof Covering: Spansh' S "Concrete by MONIER TILE CALCULATIONS Drip edge:( 3X3 'Daly (Pmaxl: 4 6.1 CO X (Aerodynamic Multiplier);. 9 ) - M 7 = M .6 6 ?CA5 6 . 54 ) - M8 .2 7 = M 6 .72 PCA.5 6 . 54 ) - . 2 7 = M h_ 7 2 . PCA: 5 6 _ 5 4 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 ADDRESS APPENDIX "F"REQUIREIO OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS_ • As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor toprovide: 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 BuildirigCodc:(SFBC):govem 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_ i 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of r iding that the roofing system meets the wind resistance and water intrusion performance standards. r thetics (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 gf the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofng,.the existing wood roof deck may have to be r ailed in accordance with the current provisions of Chapter 29 of the SFBC. (The deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between boring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing tor and/or owner should notify the occupants of adjacent units of roofing work to be performed. �J 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking n • e viewed from below. The owner may wish to maintain the architectural appearance, therefore, r••fing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5104 APPENDIX "F" PERMIT # fir 5. Ponding Water: The current roof system and/or deck of the building may not drain well and y 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 e 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 o crloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this ischarge if overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scupp• in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures shoulo have sonic ability to vent natural airflow through thc u crior of the structural assembly (thc building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can resuli in extending the service lift of the oof. • • • • NIL. ?II - DA DE COUNTY. FLORIDA r��p�Ml NIETRO•DADG FL.AGLER aUtLD(; \G 8U1LDI :�G COOS C 0 ' 1Pt.IA CE OFEtcF. I ET R0-DAD E FL kCLER BUIL01SG l�0 wt;�T FL.. GLC STREET. SUITE 1603 ?tl AMI. FLORIDA 33130.1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) rs•:`)ul FAN (305) 375-290s CONTRACTOR LICENSING SECTION (O de LLC . (305) 375 -2527 FAX (303) 373.2551 135 NW 20 St. FL 33431 CONTRACTOR ENFORCEMENT SECTION IIocli Raton (305) 375•.986 FAX (305) 375.2901 PRODCCT CONTROL DIVISION Your application for Product Approval of: 0051 375.2902 FAX (305) 372-039 Monier Spanish "S" high Profile. under Chapter 3 of the Code of Miami -Dade County Governing the use of AI'ternate Nlaterials and Types of onstruction, and completely described herein, has been recommended for acceptance by the Nliami -Dade County Building Code Compliance Office (I3CCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at 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 product or material immediately. BCCO reserves the right to revoke t his 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 such testing be incurred by the manufacturer. Acceptance No.:99- 10 12 . 0-4 TIIIS IS THE COVERSIIELT, SEE ADDITIO \AL PAGES FOR SPECIFIC AND Cl : \ERAL CONDITIONS BUILDING CODE..` PRODUCT REVIEW`' COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code end Product Review Committee to be used in Dade County, Florida under the conditions sat forth above. Approved: 12/30/1999 Expires:12 /16/2002 (Revises No.: 97- 112.1.13) G Zaul Rodriguez Chic* Product Control Division ff "0,0 , 4- 14. Vt 'raticlsco . `Wntal. �•A. Director 1 of 7 i\fiami -Dade County Building Code Compliance OIfiC _ ..���• �. :,.a�h���tA :��nrnifcnnlint :rnm ` }Inn a� :4r: help ;l.ww.,.huildinedulcnnlinc.cun► - • ert* • • • • • MONIER LIFE TILE E LLC ACCEPTANCE No. : 99-LULU 1. SCOPE This revises a roofing system using Monier Lifetile Spanish `S' Concrete Roof Tile, as manufactured 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 RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: High Profile Tile 2. PRODUCT DESCRIPTION Ianttfactured bk. Monier Lifetile ' Spanish 'S' Tile Trim Pieces Product Rainproof II Ice and Water Shield Tile Nails NOTICE OF ACCEPTANCE: STAND, - '.RD CONDITIONS Test Dimensions Specifications 1 = 18" = 10 3 /s" tmin.'A" thick 1= Varies variCs varying thickness 2.1 Components or products manufactured by others Dimensions 30" x 75' roll 3G " or . 60" x 75' roll 36" x 75' roll Min. 10dx )" Tcs t Specifications P:\ 104 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Pr\ 112 Accessory trine. concrctc roof pieces for use at hips, rakes. ridges and galley terminations. Manufactured for each tilt profile. PA 112 High profile. interlocking. one.- piece, 'S' shaped, high - pressure estrcded concrete roof tile equipped with n'c naii holes. For direct deck nail -on, mortar sct or adhesive sct applications. Product Description Singh ply. nail -on underlayrncnt with 2" self- adhering top edge. Product Dcscri Ilion Manufacturer Pro :cct -O- \1'rap. Inc. frith current >OA) PA 103. Self-adhering undcrlaynicnt W.R. Grace Co. (with current BOA) PA 11.4 Corrosion resistant screw o _, • uric Appendix E - srtiooth sha • -� uloaga. RRC Roofing Product Control Examiner — - MOi1IER I.IFF.TILE_LLC Tile Screws Roof Tile Mortar ("Ti leTiteT`' ") Roof Tile Mortar ("Quikrecee Roof Tile Mortar i 1140 ") product ' Roof Tile Mortar • ("BONSAI-0D Roof ' Tile Mortar N' Roof Tile Adhesive TileBond I turricanc Clip & Fasteners 3. LIMITATIONS 3.1 - 37 - Dintcnsions tSx2'h " long 0.335" head dia. 0.131" shank dia. 0.175" screw tltread dia. N/A NIA N/A Factory premixed canisters _ Clips Alin. Y•" width Min. 0.060" thick Clip Fasteners Min. Sd x 1 '/4 NOTICE OF ACCEPTANCE: STANDARD CON D [TIOM • Test Specifications PA 114 Corrosion resistant. coated, Appendix E square drive, galvanized. coarse thread wood screws PA 123 PA 133 PA 123 Sec PCA Two component polyurethane adhesive . designed for adhesive set roof the applications. PA 114 Appendix E fire classification is not part of this acceptance. For mortar or adhesive : set tik applications, performed in accordance with RAS 106. ACCEPTANCE 1\'o.: 9210 i?•U I APPROVED :Dcccmbcr 30, 1999 EXPIRES :December 16, 2002 Product Description Prepared mortar mix designed for mortar set roof the applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Corrosion resistant clips with corrosion resistant nails. Manuficturcr generic Bermuda Roof Company. Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsai Co. with Current PCA Polyfoant Products. Inc. See PCA Single component Flexible Products polyurethane foam roof tile (with current OA) adhesive Generic Fii tic.Zoliiaga, R Rooting_Produci Control E.ea�ttner; • • • • tall be. - Table 2: Restoring moments clue w ViGrI \7 - ∎.1 1, . 6 ":12" Ba::ensJDirect �_•, l Deck 7 ":12" or greater at:ens Direct ( Deck ; Tile Profile 3 ":12" 4 ":12" 5 ":12" Monier Lifetile � I e Spanish 'S' Tile Battens Direct Battens Direct Deck Battens - • Dec N /A. 1 8.51 - NIA _ 8.44 N/A 8.2 N/A 1 8.07 NIA 7.87 I MONIER LEFETILE LLC ACCEPTANCE No:: 99- 1012.04 API'ROV,ED :December 30, 1999 EXPIRES • :December 16, 2002 • • • ,NOTICE OF ACCEPTANCE: STANDARD CQ,,ND1TIQM 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 ‘ ith 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 underlaymcnt 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. 4. INSTALLATION 4.1 Monier Lifetile Spanish `S' Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations Table 1: Aerodynamic Multipliers - ). ('`i') Tile Profile Monier Lifetile Spanish 'S' Tile Direct a Pk. Application 0.259 Frank Zutoaga. RRC . Roofing Product Control Examiner l ION1E12 LIPETILE LLC Tile Profile Table 3: Attachment Resistance Expressed as a Moment - M (ft -Ibf) • for Nail -On Systems Fastener Type Direct Deck (min 15/32" plywood) Monier Lifetile Spanish 'S' Tile NOTICE OF ACCEPTANCE: STANDARD CONDITION$ Tile Profile Monier Lifetile Spanish 'S' Tile 2 -10d Ring Shank Nails 1.10d Smooth or Screw Shank Nail 2.10d Smooth or Screw Shank Nails 1 . #8 Screw 2 .#8 Screws 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 (Eave Clip) 2 -10d Ring Shank Nails Installation with a 4 tilg headlap and Easterners are located a min. of 2W from head of tile. Tile Profile Monier Lifetile Spanish Tile - _ 4 Large paddy_ placement of 63grems of PolyPro/". 5 Medium paddy Dement of 24grams of PolyProt ". Table 4: Attachment Resistance Expressed as a Moment M, (ft -Ibf) for Two Patty Adhesive Set Systems Tile Application Adhesive 3 See manufactures component approval for installation requirements. 3 Flexible Products Company Tile8ond Avetage weight per pany 10.7 grams. Potyfoam Product. Inc. Average weight per patty 8 grams. Polytoam PolyPro Polytoam PolyPro '" ACCEPTANCE \o. : 99- 1012.04 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Direct - Deck. (min. 19/32" plywood) 28.6 -- - 41.2 5.1 6.8 6.9 29.3 27.6 20.7 20.7 43.2 43.2 23.1 23.1 33.1 9.2 29.3 38.1 j 38.1 27.6 48.1 I Minimum Attachment Resistance 29.3 Table 4A: Attachment Resistance Expressed as a Moment. - M.(ft-Ibf) for Single Patty Adhesive Set Systems -- Tile Application I Minimum • I Re . Frank Zuloaga. RRC - Rooting Product Control Examiner L ONIER LIFETILE LLC PROFILE DRAWINGS MIO'IER L!FETILE SPAMSII `S' CONCRETE ROOF TILE ACCEPTANCE No.: 99-1.012.04 APPROVED :December 30, 1999 E• XPERLS :December 16, 2003 , • NOTICE OF ACCE-PTAi\CE: STANDARD CO DI:TIO1S Table 48: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Mortar Set Systems Tile Tile 1 Attachment Profile Application I Resistance Monier Lifetile Spanish 'S' Tile Mortar Set 24 5. LABELING • All tiles shall bear the imprint or identifiable marking of the manufacturer's name or or fo11o«•ing statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PCR.\IIT 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 Officio :. or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. frank Zcloabz. RRC Rooting Produci:Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99-1012.04 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Renewal of this acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents. including test - supporting data, engineering documents, arc no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, and the following statement: "Miami•Dade County Product Control Approval ", or as specifically stated in the speciticconditions 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 tvith the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. a. 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 tiling of a revision application with appropriate lie) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acccpiance: 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 thc w ords 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. 7. A copy of this Acceptance as wdl as approved drawings and other documents, v it applies. shall be provided w thc 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. S. 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 I through 6 and this last page 7.. - END OF THIS ACCEPTAS APPROVED EXPIRES :December 30, 1999 :December 16, 2002 Frank 2utooga, RRC- Rooting Product Control Examiner • _00(TUE) 09:33 BRADCO SUPPLY PRODUCT CQNTROJ N • TTc E OF ACCEPTANCE Po)yfoatn Products, Inc 2400 Spring- Stucbncr Road Spring, TX. 77383 Your application Product OYal o Polvfoa Prod ucts `�Ptt lrn Appr � A�•1 Roof Tile Adhesive under Chapter d o fthe Mi ni -Dade County Code toverning the use of Alternate Materials and Types of Construction, and completely described in the plans, spec fuations 2nd calculations as submitted by The Center for Apps Engineering, Inc- and Wiles Laboratories Polymers Division has been recommended for acceptance by the Building Code Compliance Office to be used in Dude County. Florida under the specific conditions set forth on pages 2.14 and the standard conditions on page IS. • This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the riht to secure this product or material at any. time Prom a jobsite or manufacn,ra'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 itis'determined by the•Budding Code Compliance Office that this produet ormaterial fails to meet the rcquirernents.of the South Florida Building Code. The expense of such testing will be incurred by the manufacnurs • ACCEPTANCE NO.: 984303.02 EXPIRES: 04/16/0j. • 96- 0402.02 TEL: 13058362152 1 Rodriguri : Product Condos Supervisor . THIS IS THE COVERST, SEE ADDITIONAL PAGES FOR CONbITif BUILDING CODE. COMMITTEE • . • 1 NIEEROPaUTAN DADE COUNTY,. FLORIDA .- ai?RO -DARE FLAGLEA BUILDING BUILDING CODE COMPLIANCE OFFICE METRO-0413E FLAGLER BUILDING 140 WEST F AGt.ER STREET, SU Ti= tt , - MIF(ICit, FLORIDA 33130- 1563=- :. (305) 37529o�" FAX (305) 33S4400: PRODUCT CONTROL DIVISION. - (305) 375 -2902' FAX (305) 372.6339 SPECIFIC•AIL GENERNL Ilil; appl'lauon for_ Pro duct Approval has been reviewed by the Miami -Dade .County BuilduiS Code Compliance r...0fliCeindii Code Committee to be used in Dade County, Florida undcr'the condations set Coil abOYC_ ; , - `- ~-'y.^ - � P. 001. Y C2tzrlcs Dsn,+cr Building Code C:oaipliancc.Depi Miami -Dade Ca FEB. -22' 00 (TUE1093.3:;:;: SUPPLY'_;. POLYFOAM PRODUCTS, INC_ Atiolimit: =.: _ Polyfo im Products, Inc- 2400 Spring Stvcbncr Road Spring: Texas 77383 -1132 Cat Sub=Care>rorv. TYpe: Sub -Tvpe_ PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING COMPONENT APPROVAL Roofing Component Fasteaingf Adhcsive Roof Tile Adhesive Two Component Polyurethane System Description r progiarr:,_PPc°'ra ;,_ r r. ..y . ....:sue =�;r s �•w:;:11q'"� {:i- ?: {. r,`. ',..-,-41-.--1, -, 2' s % (s ..aa,,.` _ - • - Pat Murray ,e .tom -tae. ` 4 P O 1 i32 �l `- � •.� . -- ... i t-W 7 .:� .. n ...7.r. wig' s.'.evlb��•**� � 'Eti'1�058362152 • •••• " r .. .. ... Ci �a - ......+. -... • • • o rs 'r. r?f:cx - '.u._ _ �..a .:-_• _„a - ^-- - - zr ._. -...G .rss i•+�7L"Y(T"..�."' _ s _S - _ .. ^YU• . <....- ..- .�_.rv�F���� '.' - -.... 3"..(l'.� r.: ".C'����'T•'��r' -. u ;+:control No.:_ 9B -0303.02 Product Control No.: 98- 0303.02 Approval Date: Alin 16, 1998 • - Expiration Date: April 16, 2001 Polyfoain Products, Inc., produces two - component expanding polyurethane adhesive for the attachment of clay and concrete roof tile. Polyproe' AH160 is specially :designed for application= of concrete and clay ro a of tile over variety of roof deck substrates and underlayraent materials. Polypio® adhesive is applied with proprietary Foaznpro® RTFI000 dispensmg equipment:: Approval o this:prodcict is: specific to _the two cortiponcnt mix arid Foaxnpro® ^ RTF1000 dispensing equip Alternative methods of dispensing will require a revision to this approval. ` : Polypto®: shall b�Pr�. 1 ed only t y'Qu ed Applidator� licensed by Po[yfosrn Fro ° ducts; Inc. :. • i �- n i u completion Of a. -,= a rcauon� Cc mficatc caro easds arc ssued to aPP ' _ P a>i ; i dc rit r , ..1 t e I f e� - � 1 of ihis'adbesrve system is con trn ge n t upon pp. � Q 3Iif,,d CatUT.. °s;»s= �. 3: -: +� ^' �?= :;i -:::�; "?hf. .. eaa y � Y r . ` (a .a' c> �e ••6 5 .. ' . " M + a` s1"a+ •. '" d ` �F � i w. .,..• '' W ..l � "s e F.... Y ;• �'�- 8-6450 p. 002 a . S�- ..,..- . pri Te 7383 [ T r'` • ..e.; , - fib G 7133 88 • r � •ah . kite �.K� -3,sw -� 1�� -Si #r* ��r,:i . �' tv'� Y Y ►�. - ,;' � .rte vl, '^'.' Yom � a r • , ..tY4 ,.. -{ i ._ <:1 '1[.f L�•3°•' J:.'i e •-R.�; - y . .S. Y _ - p . ( ..._T -, F Y - - -_ .. -1 , T F r t • - x�.� . ••.,.•,. yet i.=i. F.EB. =22 00 ITUE) - 0434 BRADC0:3UPPLY - poiyioAM PRODUCTS,1Nc. Polypro® ARI60 y-.W h �.W' w T'fV��S r / w.rh R1 M.f{ M � f 77 an - y � ,� ].' .1 .. .. • -T'Eb 13058362152 = TRADE NAMES OF PRODII,CIS MANUFACTURED OR LABELED BliA iiACnriT Wi Dj1Aensons Specifications N/A f. 11.7PA:I01 Foampro® RTFI000 NIA See Detail Attached • P. 003 ontrol No.: 98- 0303.02 Product Description Twc component polyurethane Dispensing Equipment POL-XFOAM PRODucrs, INC. =' Underlaymerit Test Criteria RoofTlle PA I0l '..'TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Product • PA 120 All Dade Courlpr Component Approved products as detiilcd in Dade County Application Standard PA:120 All Approved roof tile systems having tested in compliance with Dade County Protocol PA 101, as detailed in the systems section of this Component Approval Mtnufacturer Ali Dade County Approved :Products All Dade County Approved Products • DC st.d06 - FEBF.2 • -.Tes AEenev r — iCrn tetfozApplied -• 4:Engineering mkt. X: - =.. Sonthwest Institute. • ; Center for Applied Center for Applied ginecring ..Center for Applied Engineering Center for Applied •Ccriter for Applied Engineering Miles Laboratories Polymers Division Ran:me h Laboratori es. Inc. Southwest Research Institute • -1 Trinity Eng ineeriii— < - ii 47050 02 9 •4 ? 060 - - - r 257818 -IPA 25- 7438 -3 25-7438-4 25- 7438.7. • 25.7492 MB- 589 -631 963 -92 . 01- 6743 -011 ,73 9-0 �a ti.t. '1 "` "iii "S ,�jF��' i ".+• o f • PA 01 ;., ...... Miami Dade Protocol -- PA-101 • •''SSTD 11 -93 • SSTD .11 -93 SSTD I1 -93 SSTD 11 -93 ASTM D 1623 ASTM E 108 ASTM E 108 ASTM 84 PA 114 P. max• "'_��� - � ... r.rr..- 12/16/96 10/25/95 10/25/95 11/02/95 12/12/95 02/01/94 04/30/93 1 i/..1 - FEB. -22' OO ITUEF :.pg 34 E POLYFOAMPROD INC. JPronerty - Density--- - Compressive Strensth Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content DCO'SUPPLY • • . l TYPICAL PHYSICAL PROPERTIES TES ASTM D 1622 1.6 lb5Jfr? ASTM D 1621 18 1,51 Parallel to rise 12 PSI Perpendicular to rise ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D2126 ASTM D 2856 • .: .- • Control No.: 98 0303.02 28 PSI Parallel to rise 0.08 Lbs1Ft 3.1 Perm t Inch +0.07% Volume Change © -40 F., 2 weeks +6.0% Volume Change @158 100% Humidity, 2 weeks 86% Results • Note: - The physical properties listed above nit presented as typical avcr2f,te s as determined • by siccepted ASTM test methods and are subject to normal :Manufacturinj; variation. T e x - • • • FEB. -22' 00 (TU =09.34 -:9RADC0 SUPPLY • POLYFOAM-PRODUCTS, INC DeckTyp. Deck Description: SYS iJM A: SlopeRange: r Underllayment: Roofing TB= Comments_ 2 ": I2" to 7":12" • • • •o • o o • 1 n SYSTEMS Wood, Non - insulated, New Constr uTtion/Reroof 15/ or greater, plywood or wood plank - Adhesive Set AppliCuion • • • •. • • ..• ° • ?raduit Control No.: 98- 0303.02 • • ••• • ..• Shall comply with Miami -Dade Roofing Application Standard PA 120 Any roof tile assembly having a current shall be applied in compliance with the Component Application section and the corresponding Placement Details of this Notice of Acceptance.. The adhesive attachment shall provide sufficient amtel ment resistance =pressed as a moment to meet or exceed the required moment of resistance determined in compliance with Miami -Dade County. Roofing Application Standards PA 115 or PA 127. The adhesive ,attachment data is noted in the roof tile assembly NOA. 1_ All 'System Limitations' noted in the tile Roof System Assembly Product Control Approval shall apply. • - P. 007 • F tiN4 FEB. • -22' 00 BRA DCO : `SUPPLY YOLYFOAM PRODUCTS, INC- Deck Type: Deck Description: SYSTEM B: Slope Ram Underlaymcat / Waterproofing: Underlaynient Roo Eng Tle;_ - Comments t -s Concrete, New Construction/Reroof • • • • • • • SYSTEMS (CONTINUED) • • • • • • . 0 ,' • - fa' • • •.• P,ro 1uct Cgnfiol No.: 9B- 030] -02 Ncw construction Adhesive Set Application 2":12" to 7 ":12" Install Approved underlayment system of one of the following: (30/90 Hot Mop) fury adhered in a full mopping of ASTM D 312 type IV asphalt applied within the EVT range. Back nailing and laps shall be in compliance with Roof Application Standard PA 120. • - -Any liquid applied roofing system having a current NOA for its use as a tile • undcrlayment system. Anyroof tile assembly having a current shall be applied in compliance with the • Component Application section and the correspozdine.Placement of ..i Notice of Acceptance. The adhesive attachment "shall pro y suffcicnr . attaclriiterit resistance expressed as a moment to meekot`exceed thin required resistance determined in compliance wttb;'.Mta i Dac!e<Conisty • :4 Roofiag p phi:anon Standards PA 115 or. PA 127. T he' adhatve attachtiuni; r. UUO Page 8•:of • T IC'S•.- •wri'�.:._. - �._ I - �r�- 1 .rr•;.• . .. ;, x i ztiis nicteil in the roo f tilt assembly NOA.. - _ - ;:':, �- •.. " p12' 5ystem Limitations' noted in the tile Roof S ys etigrAssetiibl Prod uer,;, : ' roofing componeat��'Roofin Com Hatt C ontroLAppsoinl or:. waierp i 1 2O_ ' '" y Prodi ct Gonttol Approval 5 apply, a • a _ . "der.' m._, _ ii,t /I:i : t �: is...'> v {. R .�iiY1 �„•�• Table 1: AdhesiVe Placement Each Generic.Tile Pro •-• :.- .•: \-: •••• • iirnfile*:::. I' • : . Platenie:itt . _ .. 7— DPt:! 11 . _ Two-Piect gaire 1`-kf:':,--';:-.` 'Ss, Shape417:-.7::.:.:;-;•::.;..:.:::' ... ::::-.; : • ..., •. .- . • . - ..1i1:1 - -. - .' • . _#2 _ : ;.:;:!:-.:, ':,:. --- - # - - , i: ,•.;-_,,•. . .•_::•:, -?_,.; ‘,-,---•:.`• ._ ... :-... -.-.:.-=... #4 -•••••••■■•■■■ YOLYFOAMI"RODUCTS. • ConeoNErg AATLIC.I . • • 11111” L l'OlyPrOgD AH160 tile adhesive shall only be applied Overaanikleilayment installed in compliance with_application instructions in itiNOA::Undeilaiditiiiiiiny be any nniterlayrnents or underlayrnent systems listed Miami-Dade County Roormg Aplgication PA 120. 2. Adhesive application shall be in accyrdance with the InttrtictiOns provided herein. 'Tule . • manUfacture,trnay provide additional instructions subsequent to this approval date which may • preVtil. Instillation must be by a Faaary Trained 'Qualified Applicator' approved and licensed by • Polyfoain Products, Inc. 3. Calibration oft= foarnpro0 dispensing equipment is required before application_of any adhesive. The Mix ratio between the "A" component and the .".13" component shall bc maintained between • 1:1,(A) : 1.0 (B). The dispense timer shall be set to deliver 0.08 to 0.15 pounds pin-tile as • determined at calibration_ No other setting shall be approved without revision ofNOA. 4. Adhesive shall be dispensed in a 17 ire to 23 in pad at time of application. The cured pad shall be appro:umately 5" x 12*. Foam placement shall be in,aecordance with thc 'Placement Details' herein.. Each generic tile profile requires a specific placement; as noted in Table 1, below.. . 5. Adhere the directly in freshly applied adhesive. Tile must he set within 2 to 3 minutes after foarn has been dispensed. 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C‘• 7 •• 1 :-•-r - • . . . .• -g•-•••-•-:-`ur• • • . - • - • •- •.•• ••• ri...itie•wd. • • " '..4.4.4..;■;4Z 7 .4 • - • - itra.fEar'',:•41.:•-••• 1 7 '.•...Z :- '• c`. •Fj • ' ort! -7 4 ,1 7 gA . . &FIT •-• , • -mr• • FEB. -22 00 (TUE) - 09:35 BRADCO SUPPLY POLYFOkMPRODUCTS, • . • *••••,-. ••• • • , . - .7;'41;;;,..0:-,:. - ;• • •• • • . • "7---tfr.v.415-•;:(,‘.4 - •- ..-...;-....-.f7.-;',ig•L'•:--?:•:.,--2:7:1'.::::t4'-'.... - :- ......';.77 .•:F.5-;•••••■,_,.._....,,,t.k.r.4. :,,. • .i .: ,_. • * :: . : :. :L ' ,.: "1- . " .. .. i.. "1—' . : :,2 ,„ ... ,.. :. ': : .. , : ,: ; ;L ".2 1,__ '.27: :: : ..... . .....:;.::.:•.:: : ... .. .; . .....1H•;::::'-'.:4-1' *77—•-- - — . . " • ' ' ri.:•"::....,:!._:?.:...:.. i' ... • .:. ...-• .., • .. . .....: , .... ••• —7 :.:. '..:—..:_•-;. 7:77 . 7.:": • ' : :,.......... :..... . ... SYSTEM LIMITATIONS • • • • • • • • • rs • Page 10 of 15 • • • • • • • • • • • • . • • . • • • : • Ptilduck Control No. i 98-0303.02 • • • • • • • • • • • • • 2 Polypro0 AH160 adhesive shall be installed only by 'Qualified Applicators' approved and licensed by Polyfoam Products, Inc. 3. For adhesive set tile applications, a field:static uplift Cst by n Miami-Dade County accredited testing agency, in compliance with Miami-Dade County Roofing Application Standard PA 06. shall be regained not less than 72 hours afi=r application to confirm the adhesion. 4. Refcr to application drawings published by the National Tile Manufacturers Assoeration for penetrations and terminations, as well as thc 'Placement Details' included with NOA. 5. Refer to tile Roof Tile Assembly Product Control NOA for system acceptance with this Component. 6. Refer to the Prepared Roof Tile Assembly for fire rating. 7. Polypro® AH160 shall nor be exposed permanently to sunlight_ 8. Polypro0 AH160 shall be applied with Foampro RTF1000 dispensing equipment only. 9. .POlyfoam Inc. shall supply Building Official with a list of 'Qualified Applicators' approved and Iieensed by Polyfoam Products, Inc. . • • ^ •• - • . •••• • • • ▪ -.•-•"; • • . • ". • • •••• • : • 1. * ••: ••••-. — •: . . .,••• " 4. :Zi`5 • • . . , ..- • . • : : • • . • - • :. . • . • ..• : • ▪ • . • •• • • •• • 7 :" ••• • 1 �1 FEB. -22'00 (TUE POLYFO " PRODUCTS,1INC. • plse cmcnt - Depi l • • • .s.i y • Y, - soorma i•x js`: • • . • • •• • •7 P D (CON INUm *oP►e112OE 15. y4� ,i�ky^�tt�.,yvrhr�•.r~e�•�,.. ?'1. `s :. s „ M4.. it��71 SfT^C '.: ,c t. •;� •.--,r + . ^ CS • � , '.. w ,?' ' 43 � • • . .�iM..•,d._�y�1 JlA1 i{.T S. , r: • 0 ,9�3:5,� BRADCOISUPPEY- ► = TEL- I30836Z1$2a' ` . • • • ^ F�rc�c►C�onuoLN yr .. 7yr i....�`r•,.A 4 • • MAIwe 1t 10 13 •••r• ilk► • • n �1 ''�.a'-Titi•v�I/!JZi'..v • . 4Y :..FSti.'pI:/.:•F..M`Y„�__.. ..... reia _t- 0303.02 •t '! • aped Tile Perofire 2L: 4 3.'r t �-- },� k - f ,•. '` _t-: y _ f -- v. - _ -r.•{ ::t � + r —h. ..n• ^ _ Mti.•. .� - '.. ... _. ._ .. -1 '''.::f.'-'12:;".41:1.-E.4.4..4'.4.' .. ,C , c- - .y . r iri . 6` '� �` ' f'^c.� s r ' .._,y t t �4� ..LN. • ••• • FA '✓ • • • • • - • •• --•• c arc. - • , • • • c, • .••• ••• uCControt No.: 9g-0303.02 $ .1.1114Nolo ;Aa44.18 ammdmiL lediorb srequirmi b • • 4 q .. , - ; • :;•-• • • • .•••• • 4 • A (igt4 .4!.'•T:rf'"4 1 ort,• cement Cult ou e • " a • • • :21 • 2t elehe,',)* Sates Representative B Oil Company 1 0302 N Medley, . W. Fie 3 0• Rive Drive 3 166 Andy Mazurek 305 / 8 85-0798 • PLAcEmtrrr DE - rArts (CorrrniuED) •• • • . . • • . • • • • . • A • _ • • • ARO? •momook •• • apch••■• rt.= wm" losea. smosita 11•••• iaia, • " . r. ui * . . • • • 747,11 • •••". ,/ r • • • i• — • • „ • • ,3-••■•• •—• • " ' • • ,•••••- ...:' • ••' - . — Xr• e * "tr e. 000- POLYFOAM PRODUCTS, INC. (�...,. -+ w. 06441 Y.: "•- = 1 =sue • . • .. •• • • • Drodu Control No._ 98- 4343.Q2 • • PLACEMENT DETAILS (CorrTINUED) orrom. may. x.•■ Oman Inwrihnlo• P1zcemcat Detail ##4_ Flat Profile Page 14 of IS ..al. -. nm.r. Loon. M e..tma.atA 11.• Ma. lord. P. 014 " »�►: ST 3Jtici FEB. -22' 001TUE) 09 :36 " BRAVO SUPPLY • POI-WO PRODIICTS, INC. Polyfaam Products, Inc. 2400 Spring- Sinebncr Road Sprint, TX 77383 A CE putp osts- CE OF Renewal of this Acceptance (approval) shall be considered atter a renewal application has been filed and the ori =billiard documentation, including test supporting data, engineering documents, are no older than sight (8) years - 2 Any and all approved pfoducts shall be permanently labeled with the manufacturers mane, city, state, and the followingtrsnent: 1.fr -Dade County Product Control Approved ", or as specifically stared in the specific conditions of this Acceptance_ 3 Renewals of Acceptor= will not be considered if: a ) There has been a change in the South Flotilla Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the Same product (identical) as the one originally approved; c) If the Acceptance hold= has not complied with all the requirements of this acceptance, including the correct i of the product; d) The atgineerwho originally prepared, sinned and sealed the required documentation initially submitted. is no longer practicing the engineering profession. 4 Any revision or change in the ta=rials, use, and/or rnanufactttrc of the product or proms ,shall autonptically o f this Aece lance, unless prior written approval hell been requested (through the .__. be cause lot tmnmatiots P fee) and granted by this office. • filing of a revision application with appropriau 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 Aeaptana as an endorsement of any product, forsalcs, advertising or any other 6 The Nodce of Acceptance: number preceded by the words Miarni -Dade County. Florida. and followed by the . m advertising literature. If any portion or•thc Notice of Acceptance is • cxpiritloa dart may be _displayed displayed, t it shall be done is its. entirety. 7 A copy of this Acceptance u well as approved drawings and other documents, where it ap� ?tics_ shall be . provided io.the iizc by. themanufsetttter or its distributors and shall be available for inspcutiotiat•thc job site at 511 t me . -The co ee • pies peed not be resealed by the engineer. • 8 Failure to cotiiply.wid anY Section ofthis Acceptance S}e11 be cause for termination and ri:tnoval of'P • • Accepraa : -= 9 This Acceptance Wars 1 Through 1S- END OFTHIS ACCEPTANCE • • • • • • • • • • •. • ; - . • • • • • • TEL:13058562152 • • • •• •• •• • • • • • . • • • • • • • • • • • • • • • • praduet'Control No.: 98-03 3-02 ACCEPTANCE NO: 98 -0303. 2 APPROVED ", April 16, 1998 EXPIRES :Aril 16 001 • ARD OND I OKS P: 015 NII :\III -D:\DE COUNTY, FLORIDA METRO -D: \DE FLAGLER BUILDING �.. BUILDING CODE COMPLIANCE OFF(CF, METRO -DADE FLAGLER BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE 1 FLAGLER STRE 1 ��IIA�II, FLORIDA 140 313 30 =15656 3 (sos) 375-2901 FAx t305l 375•2vus C.A.F. Materials Corporation 1361 Alps Roac! CONTRACT LICE,atvG SECTION ( FAX (303)375,_553 Wayne N.I 07470 CONTRACTOR ENFORCE.s(ENTSECTION (305) 375.2966 FAx (305) 375•N os ur :application tog_�oduct- Apprav�'ll -o l': PRODCCTCONTROLD372 -63 (305) J75..902 FAX (305) J72 -6JJV GAF F Rnberoid Modified Bitumen Roof Systems For Wood ud D c tt- Clla pter--8- er-the Eode- o-f-44iami Dude Cow ity-gow-I.-rof Alternate Construction, and completely described herein, has been recommended for acceptance byrthe M Types of County Building Code Compliance Office (BCCO) under the conditions specified herein. Mind Dade This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant For quality control testing. If this product or material Fails to perform in the approved manner, 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 BCCO that this product or material fails to meet the requirements of the South Florida Buildin Code. g, The expense of such testing will be incurred by the manufacturer. Acceptance No.:00- 0331.08 Expires:11 /06/2003 /— Raul Rodriguez Chief Product Control Division THIS IS THE COVERSI SEE ADDITIONAL PACES FOR SPECIFIC AND GENERAL - CONDITIONS BUILDING CODE & PRODUCT REVIEW COMNIITTEE 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. A pproved:07 /06 /2000 Internet mail address: postmaster @buildingcodeonline.com .rancisco Quintana. R.A. Director 1 oF 55 Miami -Dade County Building Code Compliance Office an Homepage: http : / /www.buildingcodeonline.com L GAF `IATERIALS CORPORATION Acceptance No: 00- 0331.03 C rv: Rooting Approval Date: July C ,,`0011 Sub ub- Catet;orv: 0[51 APl Modified Bitumen Expiration Date: November 06, 2003 • Deck Type: Wood Maximum Desitm Pressure -75 psf Fire Classification: See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product GAF Asphalt Concrete Primer GAF Premium Fibcred Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement GAFGLAS #80 2 Sq. Roll UttimaTM Base Sheet 70 lbs. /roll GAFGLAS Ply 6® 5 sq. roll 45 Ib. roll GAFGLAS Flex 5 sq. roll PIyTM 6 45 Ib. roll ROOFING SYSTEM AP1'ROVAL Test Product Dimensions Specification 1)cscrintion 5, 55 gallons ASTM D 41 GAF Mineral Shield® 60 Ib. bags ASTM D 1863 Granules for surfacing of exposed Granules asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. GAF WeatherCoat® 5 gallons ASTM 1227 Surface coating for smooth surfaced Emulsion roofs. I, 5 gallons ASTM D 2824 Fibered aluminum coating. I, 5 (zallons 3 sq. roll 75 Ib. roll Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. ASTM D 3019 Relined asphalt blended with a mineral ASTM D 3-109 stabilizer and libers. Permits adhesion to wet and dry surfaces. ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. ASTM D460I Asphalt impregnated and coated, Fiberglass base sheet ASTM D 2178 Type VI asphalt in' pregnatcd glass felt with asphalt coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. 2 of 55 Frank Zuloaga, RRC Rooting Product Control Examiner CA \F iM.- T[:RIALS CORPORATION Prod GAFGLASQD Mineral Surfaced Cap Sheet RUBEROID4 Modified Bitumen Adhesive GA FG LAS4 STRATAVENTQD Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Nailablc RUBEROID Modified Base Sheet GAFTEMP© Isotherm R Tapered GAFTEMP4 Isotherm R GAFTEtN1P Isotherm RA Tapered GAFTEMP Isotherm RA GAFTEuM1P Isotherm RN Dimensions 5 sq. roll 76 Ib. roll ASTM D 3909 Asphalt coated. glass fiber mat cap sheet surfaced with mineral granules. 5 gallons 60 Ib. roll various 69 Ib. roll 3 sq. roll 67 lbs. various various various various various Test Specification AST'I D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 3019 Fiber reinforced, rubberized Adhesive Type 111 ASTM D 4897 D 3672 ASTM D 489 D 3672 3 of 55 Acceptance Nu: 00-0331.08 Product I)escriItiun Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the '.wttont side kvith mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiber glass base ;heel impregnated and coated on both sidcs with asphalt.. Surfaced on the bottom side with mineral granules embedded in asphaltic coating,. ASTM D4601, Premium glass fiber reinforced SBS- Type II, UL Type modified base sheet G2 BUR PA 110 PA 110 Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation. PA 110 Polyisocyanuratc loans insulation PA 110 Tapered Polyisocyanurate foam insulation PA 110 Polyisocyanuratc foam insular Frank Luloaga, RRC Rooting Product Control Examiner CAF MATERIALS CORPORATIoN Acceptance Nu: 00-0.33 LOS Product Tapered GAFTEMP Isotherm RN GAFTErMPO Composite GAFTITE ®u12 Standard Rooting Fastener Test Product Dimensions Specification I)escrit)tinn various various Tapered GAFTE`'IPO various Composite '—� 4of55 PA 110 Tapered Polyisocyanurate lo.i insulation PA 110 Polyisocyanurate Irani insulation with high density fiberboard or Permalite perlite insulation. PA 110 Tapered Polyisocyanurate loam insulation ‘vith higl, density liberboarcf or Permalite perlite insulation. GAFTEfv1P® various PA 110 Polyisocyanurate foam insulation with Composite A high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate Foam Composite A insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP ®' various PA 110 Polyisocyanurate foam insulation with Composite N high density fiberboard or Permalite perlite insulation. Tapered GAFTEtMMP® various PA 110 Tapered Polyisocyanaratc foam Composite N insulation with hi�,h density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Fiberboard insulation. Fiberboard GAFTEMP® various PA 110 Perlite insulation board. Permalite GAFTEMP Recover 1/2" thick PA 110 Perlite recover board Board GAFTEMP® various PA 110 l-ligh density wood fiberboard 1-1igh Density insulation. Fiberboard PA 114 Insulation fastener for steel and plywood decks. Frank Zuloaga. RRC Roofing Product Control Examiner Cm:* \I.ATFRI:\LS CORPORATION Product GAFTITE© I;14 Heavy Duty Rooting, Fastener GAFTITE ASAP GAFTITE© Base Sheet Fastener and Plate Galvalume Plates 3" and 3 �' /•" NTB Fasteners Polypropylene Plates 3" and 3 '''A" Ruberoid® 20 1.5 sq. roll Rubcroid® Mop Granule RUBEROID MOP PLUS RUBEROID MOP FR Test Prod uet Dimensions Specification Description 1 sq. roll 103 lbs. I sq. roll 87 lbs. I sq. roll 102 lbs. 1 sq. roll 103 lbs. 1 sq. roll 105 lbs. : \CCc1 tauce \u: 1111 0331.ns PA 114 Insulation fastener for steel, wood and concrete decks. PA 114 Pre - assembled GAFTITE Fasteners and metal and plastic plates. PA 114 Base sheet fastcnin4 assembly. PA 114 Round �,alvalunic stress plate. PA 1 14 Fastener for use in ttvpsum. tectum and lightweight insulating concrete decks. PA 114 Round polypropylene stress plates. ASTM D 5147 SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral izranules. ASTM D 5147 Non -woven polyester mat coated ‘vith polymer modified asphalt and smooth surfaced. ASTM D 5147 Non -woven polystcr mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 51.47 Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral Granules. ASTM D 5147 5 of 55 Non -Woven polyester mat coated with Lire retardant po:ynter modified asphalt and surfaced with mineral granule. Frank Zuloa,a, RRC Rooting Product Control Examiner • CAF MATERIALS CORPORATION Product RUI3EROID TORCH Smooth RUBEROID TORCI I Granule RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 30 RUBEROID 30 FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion RUBEROID ULTRACLAD SBS GAF Aluminum Roof Paint GAF Built -Up Roofing Asphalt Dimensions 1 sq. roll 87 lbs. I sq. roll 102 lbs. 3 /4 sq. roll 93 lbs. ) / 4 sq. r o l l 90 lbs. I sq. roll 92 lbs. 1 sq. roll 92 lbs. 5 gallons 109. Roll 101 lbs. 5 gallons 100 Ib. cartons. bulk Test Specification ASTtvI D 5147 Acceptance NO: 1111 -1)33 1.113 Product Dcscrintion Heavy duty, polyester reinforced. asphalt modified bitumen membrane, smooth surface. ASTM D 5147 Heavy duty, polyester reinforced. asphalt modified bitumen membrane, granule surface. ASTl'vl D 5 147 Heavy duty. polyester reinforced, asphalt modified bitumen membrane. granule surface ASTM D 5147 ASTM D 5147 ASTM D 5147 PA 100(A) ASTM D 1929 ASTM D 635 ASTM D 5147 ASTM D312, Types I. II, III ancl IV 6of 55 Heavy duty, polyester reinforced, coated with tire retardant .asphalt modified bitumen membrane, granule surface. Non woven fiberglass neat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass neat coated with tire retardant polymer modified asphalt and surfaced with mineral Ltranulcs. Onc way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. None Mineral colloidal bituminous emulsion with reflective aluminum flakes Woven fiberglass neat coated with Polymer modified asphalt surfaced %with aluminum, copper or stainless steel toil. ASTNI D2324, Non-fiber aluminum piumented. Type 1 asphalt roofcoating Intcrply mopping and surfacing asphalt Frank Zuloa ga. RRC Rooting Product Control Eeantincr G-(t- :"IA1'E IU.ALS CORPORATION Acceptance `u: (J(I- 033I.03 Prod (Ct RUBEROID t`IOD 60 Ib. keus SEBS modified asphalt Asphalt RUBEROID MOD 60 Ib. keus SEBS modified asphalt Asphalt L RUBEROID MOD 60 Ib. kegs SEBS modified asphalt Asphalt P GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam Isotherm R GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam Isotherm RA GAFTEMP Tapered Various Tapered polyisocyanurate foam Isothern RN GAFTEMP Various Cut perlite board GAFCANTTm • GAFTEMP Various Tapered perlitc board GAFEDGET" Tapered Edge Strip GAFTEMP PERMALITE© Tapered Roof Insulation Various GAFTEMP Recover I/2 ' thick, Board Various sizes Shingle- MateT" 4 sq. roll Underlayment 30 lbs. GAFTITEUS® ASAP 500 per box 7 of55 Test Product Dimensions Specification I)e cription PA 110 Tapered perlite board PA 110 Perlite board Fiberglass reinforced shimzlc underlayment PA 1 14 Pre - assembled fastener and metal and plastic plates RUBEROIDO 5 gallons ASTM D 3019 Fiber reinforced, rubberized i \dheske Mollified Bitumen Type 111 Adhesive -ran Zulaaga, RRC Roofing Product Control Examiner GAF MATERIALS CORPORATION TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS: Pyrox ACFoain 1 ACFoant 11 Anchorbond Fastener Test Product Product Dimensions Specification Description Deklast Fasteners #14 Deklast Hex Plate 2 7/3" x 3 1/4" Deklast Lock Plate 3" x 3 1/4" various PA 110 various PA 1 10 , Polyisocyanurate loam insulation various Polyisocyanurate foam Apache Products Co. insulation (with current PCA) PA 110 Polyisocyanurate foam insulation PA 114 Polypropylene locking plate. 3 o155 Acceptance Not 0t)- 0331.08 Manufacturer Atlas Energy Products (with current PC1 \) Atlas Energy Products (with current I'C. \) Hy -Therm Nail -line various PA 110 Polyisocyanurate foam Cclotex Corp. insulation (with current PCA) Hy -Therm SP various PA 110 Polyisocyanurate foam Cclotex Corp. insulation. (with current PCA) Hy -Therm AP various PA 110 Polyisocyanurate foam Celotcx Corp. insulation (with current PCA) Hy -Therm Stable R various PA 1 10 Polyisocyanurate foam Celotcx Corp. insulation (with current PCA) Hy -Therm White various PA 110 Polyisocyanurate foam Cclotex Corp. Line insulation (with current PCA) PA 1 14 Insulation fastening Cclotex Corp. assembly (with current PCA) PA 114 Insulation fastener for steel Construction and concrete decks Fasteners Inc. (with current PCA) PA 1 14 Galvalume hex stress plate. Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. Frank Zuloaga. RRC Rooting Product Control Examiner CAF i\IATbRIALS CORPORATION EPS Product Dcklast Fasteners #15 Dektast Fasteners #I2 ISO 95+ Composite fv113 aluminum roof coating Test Dimensions Specification 9 0155 Product 1)cse:lotion ASTM D 312 Type III or IV Hot asphlat bitumin adhesive ASTM D 41 Asphalt Primer Acceptance No: 00- 0331.03 with cu Manufacturer PA 1 14 Insulation fasteners for Construction concrete decks Fasteners Inc. (with current PCA) PA 114 Insulation fastener for steel Construction and %good decks. Fasteners Inc. (with current I'C, \) PA 1 10 Polyisocyanurate / perlite Firestone ridged insulation (with current PCA) generic generic various PA 110 Extruded polystyrene generic insulation High Density Wood various PA 110 Wood fiber insulation board generic Fiberboard Pelite /Urethane various PA 1 10 Perlite / urethane composite generic Composite board insulation Perlite Insulation various PA 110 Perlite insulation board gencric Polyethylene 4 mil min. Vapor barrier / Air barrier generic Red Rosin various Rosin paper for barrier generic layer on wood decks Roofing Nails Minimum # PA 114 Corrosion resistant annular generic 12 ring, shank nails Min. 32 x Corrosion resistant circular 1!.encric I ` . discs. PA 121 Aluminum roof coating Grundy Industries Zuloaga, RRC Rocting Product Control Examiner G.1,1 MATERIALS CORPORATION Acceptanc No 011- 11331.0 Product Dens -Deck 1112 Roofgrip 1114 Roofgrip Gripdek Fastener Hexcel Fastener (-(extra Standard Plastic Plate ISO 95+ E'NRG'Y -2 ISORoc Olympic Fastener 11 I4 • Dimensions Various 3" round various various various Olympic Standard 3" round Test Specification Product Description PA 110 Gypsum insulation board. PA 114 Insulation fastener for steel or wood decks PA 114 Insulation fastener steel, hood or concrete decks PA 114 Insulation fastener l'A 1 14 Insulation fastener PA 114 Insulation fastener and metal or plastic plate PA 114 Polyoletin plastic plate PA 110 Polyisocyanuratc foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam / rockwool composite insulation PA 114 3" round galvalume AZ55 steel plate PA 1 14 Insulation fastener 100155 t`I:an ufacturer Georuia Pacific (with current PCA) ITW 13uilde\ (with current I'Cr \) ITW Buildex ;‘vitl1 current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) International Permal itc (with current PCA) • NRG Barriers, Inc. (with current PCA) NRG Barriers. Inc. (with current PCA) Olympic Manutacturin_g Group. Inc. (with current l'CA) Olympic vlanulacturin4 Group, Inc. (with current PCA) Frank Zuloaga, RRC Rooting Product Control Examiner * GA F,\I.- TERIALS CORPORATION Product Olympic Polypropylene Olympic Fastener g 12 Olympic Fastener ASAP Olympic CR Base Felt Fastener and Base Sheet Disc GlasFast Fastener Paroc Base Board Paroc Cap Board UltraGard Instil-Fixx Fastener Instil -Fixx P Test Dimensions Specification 3.25" round various various various 3" round PA 114 Polypropylene plastic plate PA 114 Insulation fastener PA 114 Pre- assembled Insulation fastener and plate PA 114 PA 114 PA 110 PA 110 PA 110 Product Description Insulation fastener assembly for Base Sheet fastening only Insulation fastener assembly with recessed plastic plate Rockwool insulation Rockwool insulation Polyisocyanurate foam insulation PA 114 Insulation fastener for steel and wood decks PA 114 3" round polyethylene stress plate I 1 of 55 Acceptance No: 011 0331.115 NIanul r er Olympic Nlanutacturintt Group, Inc. (with current PCA) Olympic Nlanutacturing Group, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Owens- Cornittt; Fiberglas Corp. (with current PCA) Partek, Inc. (with current PCA) Partek, Inc. (with current PCA) Schuller International Inc. (with current PCA) SFS /Stadler (with current PCA) SFS /Stadler (with current PCA) rank Zuloaga. RRC Rooting Product Control Examiner • GAF MATERIALS CORPORATION • Acceptance \o: un - 0331.08 Product Rawl Fasteners #12 Rawl Fasteners /114 Rawl 2" Plate Rawl 3" Plate Rawlite 3" Plate 202 HS Super Prep 11 Tru -Fast DL Tru -Fast Plastic Plate Tru -Fast MP -3 Tru -Fast 11D Test Dimensions S )ecitication 2" round 3" round 3" round 3.04" round 3.23" round PA 114 Insulation fastener for stcc' and wood decks PA 114 Insulation fastener for use in steel, wood or concrete PA 114 2 " round �t alvalttme AZ55 membrane plate PA 114 3" round galvalunte AZ55 steel plate PA 114 PA 121 Root' coating PA 121 Roof coating Prod Desc 3" round galvalume AZ55 steel plate for use with Rawlite fasteners PA 114 Insulation fastener for steel, or Nvood PA 114 3.04" round polyethylene plastic plate PA 114 3.23" round galvalutnc AZ50 steel plate PA 114 12 of 55 Insulation fastener for use in wood, steel or concrete decks Manufacturer The Rawlplug. Company Inc. (with current PCA) The Rawlpltin Company Inc. (with current PCA) The R:twIplug Company Inc. (with current PCA) The Rawlplug, Company Inc. (with current PCi \) The Rawlplug Company Inc. (with current PCA) Thermo-Materials, Inc. (with current PCA) Thermo- Materials, Inc. (with current PCA) Tat-Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fait (with current PCA) Tru -Fast (with current PCA) Frank Zuloat a. RRC Rooting Product Control Examiner . GAF MATERIALS CORPORATION Product Tru -Fast Ultra Tru -Fast DP "frtt -Fast lP Structodeck Factory Mutual Research Corporation Factory Mutual Research Corporation Factot'y Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Test Dimensions Specification various I'A114 PA 114 PA 114 PA 110 EVIDENCE SUU BUTTED: Test A oencv Test Identifier Factory Mutual Research Current Insulation Corporation Attachment Requirements Wind Uplift FMRC 4470 - PA 1 \Vind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 13ot55 Product Description Stainless Steel lastener for use in steel, wood and concrete decks Insulation fastener for use ' in steel or wood decks Insulation fastener for use in steel or wood decks High density wood fiber Description FMRC 1996 1.1. OT4A I .AM J.I. 1 V3A4.AM J.I. I R I AG.AtivI J.1. OT2Q4.AM J.I. OQ6A6.AM J.I.3X3A2.AM Acceptance No: 00 0331.01 1'ru- Fast (with current PCA) 'I ru -Fast (with current PCA) Tru -Fast (■ith current PC.= \) Wood Fiber Industries (with current PCA) Manufacturer D 01.01.96 03.26.92 OG.2S.93 11.15.91 10.17.91 07.16.91 03.02.94 Frank Zuloaga, RRC Routing Product Control Examiner • GAF MATERIALS CORPORATION Test A cncv Factory Mutual Research Corporation Factory Mutual Research Wind Uplift, FMRC Corp. 4470 - PA 114 Factory Mutual Research Wind Uplift, FMRC Corp. 4470 - PA 114 Trinity Engineering Underwriters Laboratories, Inc. Dynatech Engineering Corporation Dynatech Engineering Corporation Test Identifier Wind Uplift FMRC 4470 - PA 114 Wind Uplift PA 114 Fire Resistance Classification • UL 790 - PA 114 Wind Uplift PA 114 Wind Uplift PA 114 14ol Description J.I. OY9Q5.ANI J.I. 1 B9AS.ANI J.I. 3 D4Q2.A NI 4483.04 97 -1 R1306, 87NK 1 1819 13600.02.93- I /4482.02.95- I Acceptance Nu: 00 - 0 331.113 Date 07.29.94 09.04.97 04.30.97 06.06.97 01.01.93 02.02.95 02.02.95 Frank Zuloaga. RRC Rooting Product Control Examiner GAF MATERIALS CORPORATION Membrane Type: Deck Type I : . Deck Description: "/ " or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Base Sheet: GAFGLAS® N7S,,GAFGLAS 430 Ultimar" Base Sheet, GAFGLAS® PLY 4.D. GAFGLAS® PLY 6 ®, GAFGLAS FlexPly "' Base Sheet,GAFGLAS:0 STRATAVENT® Nailable, RUBEROID iMloditied Base Sheet or RUBEROID`�s� 20 applied to the deck with approved annular ring shank nails and minimum 1 '1 s tin cap at a fastener spacing of 9" o.c. at the lap, 12" o.c. in :wo rows staugered along the center line of the sheet in the field. Ply Sheet: (Optional) On two or three p es GAFGLAS PLY 40D AFGLAS'!s: PLY 6 Ply or GAFGLA Flex Ply 6 sheet adhered in a u mopping, of approved asphalt applied within the EVT range and at a rate of 20 -40 lb • s Membrane: Surfacing: Maximum Desittn Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: more plies of RUBEROID MOP Smoot' Ruberoidc!) Mop 170 Ruberoid® Mop Granule, Ruberoid;Pi Mop Plus Granule, Rubcroi 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladT" SBS in adhered in a bill mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule. RUBEROID® Mop 170 FR, RUBEROID Mop Plus Granule, RUBEROID® 30. RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladT" SOS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lb./sq. and 300 lb. /sq. respec:tivcly in a flood coat of asphalt at 60 lb./sq.. 2. GAFGLAS Mineral Surfaced Cap Sheet •in an approved asphalt at an application rate of 25 lb. /sq. ± 15 %. -45 psf (See Gcncral Limitation tt7) Sec General Limitation Ail. See General Limitation # 1. New Construction or Reroot 19 of 55 Acceptance No: 110 11331.nti Fran Zuloa;a, RRC Rooting Product Control Examiner WOOD DECK SYSTEiw LIMITATIONS: Carl: MATERIALS CORPORATION ACCeptanee No: 111)-(1331.0s 1 A slip sheet is required \with PIy. 4® flex I'ly 6 and Ply 6 '\ hen used as a nlechanicalk fastened base or anchor sheet. 2. 'Y Type X gypsum board is acceptable to be installed directly over the \%ood deck. GENERAL LIMITATIONS: I Fire classification is not part of this acceptance, refer to a current Approved Rootin_, ,Vlatcrials Directory for lire ratings or this product. Insulation may be applied in multiple layers. The first layer shall be attached in compliance w ith Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 Ibs. /sq., or mechanically attached using the fastening pattern of the top layer. 3 All standard panel sizes are acceptable for mechanical attachment. When applied in approv asphalt, panel size shall be 4' x 4' maximum, 4 An overlay and /or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing, a continuous 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. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5 Fastener spacing for insulation attachment is based on a vlininlum Characteristic Force (F') value of 275 Ibf.. as tested in compliance with TAS 105. If the fastener value, as lield- tested, is below 275 IV., insulation attachment shall not be acceptable. 6 Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within the specific system. Should the fastener resistance be less than that required. as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize the withdrawal resistance value taken from Miami -Dade Protocol TAS 105 and calculations in compliance with Miami -Dade Roofing Application Standard RAS 117. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas. as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Miami -Dade Roofing Application Standard TAS 1 17. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 3 All attachment and sizing of perimeter Hailers, metal profile, and /or flashing termination desi,ns shall conform with Miami -Dade County Roofing Application Standard TAS I I I and the wind load requirements of Chapter 23 or the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. lield, perimeters, corners). No rational analysis. nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters. extended corners, and corners). • is limitation is specifically referred within this NOA, General Linai 1 H n it be applicable.) • 54 of 55 Frank Zuloat a, [MC Roofing Product Control Examiner • I.-1 CORPORATION NOTICE OF ACCEPTANCE STANDARD CONDITIONS 9 This Acceptance contains pages I through 55. END OF THIS ACCEPTANCE 55 of 55 Acceptance No, 00 - 1 )331.111 I Renewal of this Acceptance (approval) shall be considered after a renewal application has been Tiled and the uri`,inal submitted documentation, including test supporting data, en�ineerin! documents, are no older than eiuht (8) years. • Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved", or as specifically stated in the specific conditions of (his Acceptance. 3 Renewals of Acceptance will not be considered it a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; * b) The product is no longer the same product (identical) as the one originally approved: c) lithe Acceptance holder has not complied with all the requirements of this acceptance, including_ the correct installation of the product; d) The en�,ineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering procession. 4 Any revision or change in the materials, use, and /or manufacture of the prodt.et or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing ()fa 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 ofany 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. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 3 Failure to comply with any section of this Acceptance shall be cause for termi.iation and removal of Acceptance. Frank Zuloaga, RRC Rooting Product Control G..amincr 216 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)- Continued 2. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers partite, wood fiber, glass fiber, isocyanurate, ure- thane. perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type G 1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: Grundy Industries "el MB Aluminum Roof Coating" at 1.1/2 gal /sq. 3. Deck: C.15/32 Incline: Unlimited Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurat.', ure- thane, perlite/isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type G 1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6". Surfacing: "Weather Coat Emulsion" at 3 gal /sq. SINGLE PLY MEMBRANE ROOFING SYSTEMS Unless otherwise indicated phenolic Insulation may be used in any of the following systems Unless otherwise indicated any of the following Single Ply Membrane Systems may utilize multiple layers of Ruberoid Membrane. Class A- Ballasted 1. Deck: NC Incline: 2 Insulation: One or two layers "Isotherm R ", arty thickness, loose laid or mechanically fastened. Membrane: Any UL Classified membrane used in a ballasted system. Surfacing: River Bottom Stone, 3/4 to 1-1/2 in. dia., 1000 Ibs /sq. Class A -Fully Adhered 1. Deck: NC Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate., ure- thane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyaturate composite, phenolic, any thickness. Base Sheet (Optional): One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus " (granule). Surfacing: Gravel, 400 lbs/sq, loose laid or applied in a flood coat of hot roofing asphalt. 2. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers of Type 61, G2 or G3. Membrane: One or more layers, of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus " (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1-1/2 - 3 gal /sq. 3. Deck: NC Incline: 1/4 Insulation (Optional): One or more Tayers perlite, wood fiber, glass fiber, any thickness. Base Sheet (Optional): One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1.1/2 -.3 gal /sq. 4.. Deck: C.15/32 incline: 1/2 Insulation: One or more layers perlite, glass fiber, lsocyanutate, urethane, perlite /Isocyanurate composite, perlite /urethane composite, phenolic, 1.1/2 in. min thickness (off -set from plywood joints 6 in.). Base Sheet: One or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type G 1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1-1/2 - 3 gal /sq. 5. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers of Type G 1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus " (granule). Surfacing (Optional): Karnak "No. 97" or "169" at 1 -3 gal /sq or Grundy Ind. "20 F Emulsion" at 3 gal /sq. 6. Deck: C -15/32 Incline: 1/2 insulation: One or more layers partite, glass fiber, 3/4 in. min, isocyanurate, urethane, p.:rlite/ isocyanurate composite, perlite /urethane composite, phenolic, 1.1/2 in. min. Base Sheet (Optional): One or more layers cif Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule). "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Surfacing: Gravel. 7. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurat'.. ure- thane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /isocyanurate composite, phenolic. Base Sheet: Two or more layers of Type G2 or G3. Pty Sheet (Optional): One or more layers of Type G1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Pius" (granule). Surfacing: Karnak No. 97, 1-1/2 - 3 gal /sq or gravel. 8. Deck: NC Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite/ isocyanurate composite, perlite /urethane composite, phenolic, 1.1/2 in. min. Base Sheet (Optional): One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus " (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq. • 9. Deck: C -15/32 Incline: 1/2 insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate. ure- thane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1-1/2 in. min. Base Sheet: One or more lavers of Type G2 "GAFGLAS #75 Rase Sheet" hnt monnrd • m r. ROOF COVERING MATERIALS (TEVT) 217 ROOFING SYSTEMS (TGFU)- Continued Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4", hot mopped In place. Membrane: " "Ruberoid Mop FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. ..t. t. 10. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One 1r ,Wore layers perlite, glass fiber, 3/4 in. min, isocyanurate, ure- thane, perlite/isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in..min. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or me- chanically fastened in place. Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4", or "GAFGLAS Ply 6 "" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). .. Surfacing (Optional): GAF Fibered Aluminum Coating at 1-1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 1 1. Deck C -15/32 Incline: 1/2 Insulation: Iscyanurate, 2 in. min., wood fiber, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off -set 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or me- chanically fastened in place. - Ply Sheet (Optional): Ora or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 8"" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GA' i hared Aluminum Coating at 1.1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Isocyanurate, perlite or glass fiber, any thickness, hot mopped or me- chanically fastened in place. Joints off -set 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or me- chanically fastened in place. Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4" or '"Ply 6 ", hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1-1/2 gal/sq or GAF Weather Coat Emulsion at 3 gal /sq. 13. Deck: NC incline: 2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off -set 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped in place. • Ply Sheet (Optional): One or more layers of Type 61 "GAFGLAS Ply .4" or "PIy 6" hot mopped in place. Membrane: "Ruberoid Torch FR " (granule). Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1.1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 14. Deck: NC Incline: 1 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints off -set 6 in. Base Sheet: One or more layers of "GAFGLAS #75 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of "GAF GLAS Ply 4" or "Ply 8" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule Surfacing (Optional): GAF Weather Coat num Coating at 1-1/2 gal /sq. 15. Deck: C -15/32 Insulation (Optional): Partite, fiber glass, ite or phenolic. Base Sheet: One or more layers of Type fastened. Ply Sheet (Optional): One or more layers Membrane: "Ruberoid Mop FR" (granule). 16. Deck: C -15/32 Insulation (Optional): Perlite, fiber glass, ite or phenolic, off -set 6 in. from joints. Base Sheet: One or more ;avers of Type fastened. Ply Sheet (Optional): One or more layers Membrane: One layer of "Rut +void Torch Membrane: One layer of "Ruberoid Torch 17. Deck: NC insulation (Optional): Partite, fiber glass, rate composite or phenolic. Base Sheet: One or more layers of Type fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. ' Membrane: One layer of "Ruberoid Mop FR" (granule). ' 18. Deck: NC Incline:. 1/2 Insulation (Optional): Partite, fiber glass, wood fiber, isocyanurate,.urethane, periitersocyanu- rate composite or phenolic. Base Sheet (Optional): One or more layers of Type 6-2 or G -3 base sheet, hot mopped or me- chanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" (smooth). Emulsion applied at 3 gal /sq or GAF Fibered Alumi- Incline: 1/2 isocyanurate, urethane, perlite /isocyanurate compos- G-2 or 6-3 base sheet, hot mopped or mechanically of Type G -1, hot mopped in place. Incline: 1/2 isocyanurate, urethane, perlite /isocyanurate compos- G-2 or 6-3 base sheet, hot mopped or mechanically of Type G -1, hot mopped in place. " (smooth). FR" (granule) Incline: 1 wood fiber, isocyanurate, urethane, perlite/Isocyanu- 6.2 or 63 base'sheet, hot mopped or mechanically Test Location Uplift Pull , Test P or ) Test Location Uplift Pull Test (P or F) Test Location Jst(PorF Uplift Pull 1 26 51 2 27 52 3 28 53 4 29 54 5 30 55 6 31 56 7 32 57 8 33 58 9 34 59 10 35 60 11 36 ' 61 12 37 62 13 38 63 14 39 64 15 40 65 16 i 41 1 66 17 42 67 18 43 68 19 44 69 20 45 i 70 21 46 71 22 47 ! 72 23 48 73 24 4 49 74 25 50 iI 75 Q THIS 7 Du Quesne & Associates, Inc. Consulting Engineers Environmental • Civil • Structural Testin I.-alrorator Buildin Inspection Services ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE: PROTOCOL PA 106 Owner's Name: Job Address Roofing Contractor Type of Tile: BMITD orge Du Quesne, P. ivil Engineer .E. #24513 Du Quesne & As: = es, Inc. E.B. License #0005245 Lab Certification #94- 0318.01 SITE SPECIFIC INFORMATION W te,Ali-?Ai '93 J/c % 97 v Date Installed Approximate Roof Height feet Roof Pitch Type of Access to Roof: Scaffolds; PL Ladder Other Approximate Square Footage of Roof - '✓6 ft 2 Required Testing Force: 35 lbs. Testing Equipment: Chatillion DFIS 100 Date Tested. -' 2-1— TEST RESULTS P = PASS, F = FAIL SKETCH OF ROOF IN BACK " A- Permit #• UTR 17930 THIS PA 106 TEST HAS BEEN PERFORMED IN FULL ACCORDANCE TO THE I REQUIREMENTS OF DADE COUNTY, WITH NO DEVIATIONS. 7815 S.W. 24th Street • Suite 109 • Miami, Florida 33155 • Telephone (305) 264 -1425 • Fax (305) 264 -1426 r IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. Please Note: This forn is not valid unless Company logo appears color (burgundy) KETCH OF ROOF JOB SHEET NO OF CALCULATED BY DATE CHECKED BY DATE SCALE NOTES. KETCH OF ROOF JOB ie /V, Cr si A4m-A4/ SHEET NO. 2 OF �- 2- CALCULATED BY / t- b DATE t7 .'� / ' CHECKED BY DATE SCALE It lit 110361171 -Ai mammoommom iiiiiiiiii ommmilmni_rammr nommommummmomv EdOMMOINIMMEMMEMI 1111OMEO EMME_IM - -�!, Or - -- � usimmk MEMNIMMEMOMMEMMk 4 " ■WOMESI.iW? k ■i. MO. • mdkommouni 7, 1 S 7 NOTES. STATE OF FLORIDA •• DEPARTMENT OF STATE Division oI Archives, History and Records Management OS.HSP -3AAA Rev. 3.79 Site No. Site Name 830= = Survey Date 8506 820= = Address of Site: R9Z NF. 96 St , Miami Shores, FL 905= = Instruction for locating on NW corner of NE 96th St. $ Biscayne Boulevard 813= = Location Miami Shores Sec. 3 74 4 868= = subdivision name block no. lot no. County: Dade 808 = = Owner of Site: Name: Lipstick, David M. Address: 893 NE 96 St. Miami Shores FL 902 = = Type of Ownershipprivate - 84�= = Recording Date 832= = Recorder: Name & Title: Rodriguez, Vivian F, Newton, Mare (Chair) Address MSHPB ❑ Other (See Remarks Below): Areas of Significance S. FLORIDA MASTER SITE FILE Site Inventory Form FCAHRM 802= = 1009= = Architecture 818= = Original Use .model home -838= = Condition of Site: Integrity of Site: Check One Check One or More ❑ Excellent 863= = ❑ Altered M Good 863= = rig Unaltered 858= = Culture /Phase American 840 = = 863= = [1() Original Site 858= = Period 20th Century 845= = ❑ Fair ❑ Deteriorated 863 = = ❑ Restored( ) (Date: )( )858= = ❑ Moved( )(Date: )( )858= = NR Classification Category Building g16= = Threats to Site: None Check One or More ❑ Zoning( )( )( )878= = ❑ Transportation ( )( )( )878= = ❑ Development( )( )( )878= = ❑ Fill( )( )( )878= = ❑ Deterioration( )( )( )878= _ ❑ Dredge( )( )( )878= = ❑ Borrowing( )( )( )878= = Present Use private residence850= = 858= = • Dates: Beginning +1933 844 = = 878= = 910= = Significance: Structure is Masonry Vernacular residence showing the evolution from the Mediterranean Revival theme of 1920s Miami Shores to the Art Deco influences of the 1930s. The architect, Robert Law Weed, was one of the architects who helped influence the architectural theme of Miami Shores. Noteworthy features include a 2nd story balcony with stepped base and brackets and high masonry wall on S & E with Art Deco detailing. Structure was built by New Miami Shores Company which was responsible for the second phase of development of the community. Significant landscaping includes two extremely large Royal Poinciana trees on the 911 == ARCHITECT _ Weed„__Robert Law (Miami,_ FLZ BUILDER -- STYLE AND /OR PERIOD Masonry Vernacular PLAN TYPE L- shape/irregular EXTERIOR FABRIC(S) textured stucco STRUCTURAL SYSTEM(S) concrete block PORCHES S: 2nd story balcony, access N FOUNDATION: concrete block ROOF TYPE: hip SECONDARY ROOF STRUCTURE(S): shed over balcony CHIMNEY LOCATION: Offset, ridge WINDOW TYPE: steel casement CHIMNEY: CBS ROOF SURFACING: barrel tile ORNAMENT EXTERIOR: wrought iron, wood, stucco NO. OF CHIMNEYS one 952 = = NO. OF STORIES two NO. OF DORMERS none Map Reference (incl. scale & date) Miami Shores Village Plat 1980 Latitude and Longitude: Site Size (Approx. Acreage of Property): LT 1 • os l$ Sl• 1>P1"1;;1 N. Z sera mpi c l e ms f mmmmdmm di Akir 97 TJ1. 5i g T. z LOCATION SKETCH OR MAP N 2 NT ><c 9(o 51 Contact Print N.E . v ° 11 Township 53S UTM Coordinates: — one Easing - rlfiinp Range Section 42E T5nte 9 G5i Photographic Records Numbers 85N1071IG15 /85N107HG16/85N107HG16 860 = = 6 872 = - 874 = = 964 = = 966 = = 854 = = 856 = = 942 = 942 = = 942 = = 942 = = 942 = = 942 = = 882 = = 882 = = 882 = •_ 950 = = 954 = = 809 = = 800 = = 833 = = 812= = 890 = = SfAIE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management DS F.SP•3E 9 -74 Original owner J.W. Quigley Site No. si te Name 893 NE 96 St. Miami Shores, FL MSHPB USE'ONLY CONTINUATION SHEET Physical Description: Structure is a two -story residence with significant Art: Deco influence. A high masonry wall surrounds the property on S $ E. Art Deco influence entrance gate on S. .2nd story of E wing is fronted by balcony with stepped base and stepped brackets, wrought iron balustrade. 2nd story facade of W wing has masonry balcony, French doors. Entry is on E side of W wing, inset in enriched arch. Open terrace deck from entry area across E wing. r • TO 31 (MORt. 3 Got, 1 304.1123 CLOD 0 33 4.9/9 tifirogill Oil fella aft 4 jtj NE 98'" sr t 7 iii ElladIMP -9 P 1111 !.11111, gaff • • C. 41 2 63 ••■ uJ 4. Co N E. 93 ▪ N E. 92 51. put 1G/ Pg0A /3.47 0404 I AtAI " 51 1.1 Af. 4 8 / Apo ANNUNII ,•■•o, 4 if NE 94' dira 41, anindult AIL L 1 • ID 0 MUM 111111V111 telogroat Mry' ARNIM air 15 N. N. E. 3 TQAc..T- 2 glenullint gidgling 97414. 2 •LP 11E11M- 'go 1101iEtt' NA E 3 N. qg liFF415" 95T" LS wmeepa ay Naineocconew t-, 0 011111t1_111t.t, • 6 ONEINIII40 b ' 47 4 IMMO AMON 43; ellOril e•IIPT1 / S " ARIA21111 MEN . 99 even16,0E (44-5)) 41 0 ,,, 9 N E. • .0, , 4 +IP 100". 0 1 67 3 •,:f IP e 6 2 .51. • ; OHS •1• stin 7I • 102•9- T. 3-7J Ar92W rga 11111111111MONIEVS tf tr C5 fp 7 WIER INNEN IlinifilillIMME1111=1 rqe 5T. 91 TER in IMAM zing PRIONINEMPIIIIMINICE 9 ■•• re•raa. MOM agoinalaustamEre: conisonsur es e..91 I 0 4. • je ll! li r o bi ' 1111111111111111111:11111111111111114er = ° anneerlionoomicreo Atil 1113 11311011134A.$1, °Alba ( z mmisalogno 2 AMES WPM 2 Al MIN= geNNPINNIM INNEIMil &NM I " 1. 4 a a t , a MIN 55 5 t 9.1 41 11.3. le 5T. 0I NW "MINN. 0 AZ AA 7,../ .s '4 0.2 JU 1/4 IQ ACT "A' 59o925 (33002 sy TAAc T , 1 Tr2 ACT- 1 r ma III in gm rim Et Eal • MI WE I 114 1121111111111111$ O • TReCT ei = n.9.... sue le JO 3 m Pm .5 FL CI ' ••• • X 4. app mom ei a dok 4 1 ‘ - O vIP MIAMI 5t1022E3 VILLAGE L1m115 0 rurn16 (5.4)\- CANA. L Owner's Name and Address STATE OF FLORIDA, COUNTY OF DADE. ss. (Signed) Rernarks 2 APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement or roe 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 tic Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding 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. Registered Architect and /or Engineer .....» _ .. _ No...._.� .. Street - 2 - . 44 - , c f' i C 4. 1/4/0 4.4.0 , l� Name and address of licensed contractor.. "fc Location and legal description of lot to be built o : l Lot 3 " q Block 7 q Subdivision Iv� M 9- fe2�r2 .. »__... »» Street and Number where work is to be done 5 93 N.c. a _..._._. __ - State work to be done and purpose of building (by floors) Rif _ -.gRY 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 $ Zone cubage required Distance .to next nearest building 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. Amount of Permit S. Plan Cubage Size of Building Lot 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, anti has complied s ith 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 • ,• . tr _ woeirr to be performed under this pcnnit, as are licensed by Miami Shores Village. ` � (Signed) Disapproved Date.. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member \1crr.bcr Member Member .. .. Member ...._ ................__.._. Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the PI.rnnir.:4 Board. A re- inspection fce of 51.00 will be charged when such re- inspection is made necessary by improper notice materials anti /or workmanship. t C. '1353'x. Date..._..._......._..._»_. _r�. �._._ ._... 19 3 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 fads therein by him stated are true.. Permit No.._. / ,... ,. Date Read, Sworn to and Subscribed before me. Date has been obtained from for inspection or faulty