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ROOFING
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE A Datr.7 - fG/ Job Address/f N t 9'5; '`/ Tax Folio 3 © /R. ,c, Legal Description -/ ( Owner / Lessee / Tenant /G / / . ','/ 5 Master Permit # 3 Owner's Address // GP 2 /-/ 99 S7' Phone C igq - /QO62¢. Contracting Co.Gltic a /1 Co f1" 9 ' a Address 7(00 / 0 Qualifier; �� /�J 4°S 62/4 o SS# - - Phone State # Municipal #7/4/9 Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION b a tfe s F Square Ft. -?goVete, eeA 9 "j a 1 40/zzAste a4. A> ( Ae/t WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named cont actor to do the work stated. Signature of owner and Condo President Date: Notary as to er and /or Condo President My Commission xpires: Mechanical APPROVED: Fire Zoning Buildin My Comm ssion Expires: Plumbing Estimated Cost(value);T. g7.10.1to 61L. ature of Contr or Owner- Builder � 1 Notary "s to Contractor or Owner- Builder ** * * * * * * * * * * * * * * * ** FEES: PERMIT RADON C.C.F. 3 /4 NOTARY TOTAL DUE IV / Other Electrical Engineering Datg. ^ I '`9VJob Address //9' /`-If 99 " Tax Folio 2:6S Legal Description,f( / Lessee / Tenant` i ✓ Hei 7e L . /it/e Owner's Address / /G /Y Tb ;99.: Phone 757 e3 Z Contracting Co /!`l 6 ,G 7 d; 440;. Address State # Municipal t,7/ 4'9 Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION A r 4Q!M mj;, / "/ `.�. %� G GI c o� -P ..s= KJICc /S t C e / Square Ft . .1 ( Z / �� SO q Estimated Cost value ..� Qualifier,1Ql*ie5 4,4,, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signa ure of owner and /or Condo President Date: . - � / ,&fit Notary as to Owner and /or Condo President My Commission Expires: ** * * ,� * ,^ FEES: PERMIT "t APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE i�N'•. EMMA M. GRANT u. s = MY COMMISSION N CC 231686 EXPIRES: September 27, 1996 Vol Thm Nowy Public lk $ Mechanical Plumbing Master Permit # 36 N9q — /Q Phone • ature of Contractor or Owner- Builder te: 9y et �� / 9 9/ S zi72/2-7-)ev 729 A11/2442/ — . h "Y fr, Notary as to C My Commission * * RADON C.C.F. � NOTARY TOTAL DUE : MY COMMISSION / CC 291688 EXPIRES: September 27, 1998 ?OA. Bolded mm Notary public under' ** Other Electrical Engineering • STATE OF FLORIDA, COUNTY OF DADE 1 ,•f`;77S1' CSR *:FY t'. a' I'hfs IS ❑ fru of fhe e'ig:na!fjled i /this/o`fice on By W:7NESS n 'n a' c Cf' is flA;i'V CLFkK, , A O 1 JO. u .- ndCt,infyCnU Ir D.C. PERMIT NO. TAX FOLIO NO. ('/, 3 D S O / O / S O STATE OF FLORIDA: COUNTY OF DADE: 948346263 1994 JUL 19 11:12 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: �c67 2. Description of improvement: � , -a 3. Owner(s) name and address: /' ///97 F L /s<efri-/S //o, f' /r- •9 9c= Cli. Interest in property: Name and address of fee simple titleholder: 4, Contractor's name and address: J,2 Sri ,os Cl /r.. o 6. Lender's name and address: 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of tflis Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature = Owner Print Owners Name f//2 / Aw/es Sworn to and subscribed before me this /? day of Notary Public Print Notary's Name My Commission Expires: --� can SCA r / -fiR,e /0 U 9V6 NOTICE OF COMMENCEMENT ,19 r pY PU OFFICIAL NOTARY SEAL • e G CRESENT MARRIOTT k COMMISSION NUMBER CC2021 EXP. UFO.. JUNE 26 1996 Prepared by: -JGt f' eS 6/1 c 0 Address: /4r6 r-/ Cdel [Aga, 114 t • • F14: - METR : : DADS link Pioneer Concrete Tile 1340 SW 34th Avenue Deerfield Beach, FL 33442 ACCEPTANCE No: 94- 0309.04 EXPIRES: PM. 1 4 1997 APPROVED: MAR 1 4 1994 PRODUCT CONTROL NOTICE OF ACCEPTANCE THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT _ _ CONTROL APPROVAL 90- 0711.02R, #9.0- 0711.01, #90- 0711.03 & 92- 1114.01, #94- 0106.11 - * *PLEASE NOTE ** • 000001. METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 Your application for Product Approval of Pioneer Concrete under Chapter 8 of Metropolitan Dade County Code governing the use of Alternate materials and Types of-Construction, and completely described in the plans, • specifications and calculations as submitted by Construction Research Laboratory, Inc. and Professional Service Industries, Inc., has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the Specific Conditions set forth in pages 2 et seq. and in the Standard Conditions detailed on page 3. The Approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to require retesting of this system within the first two years the approval should any amendnye1tts to the S • uth Florida Building code be enacted affecting this component or roof system. it Diamond, P:E. oduct Control Division Supervisor This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charles Danger Building Code Compliance Department Metropolitan Dade County �l� • r1: . METRO - DADE Applicant. Pioneer Concrete Tile 1340 SW 34 Avenue Deerfield Beach, F133442 Category; Sub- Category; . Type: Sub -Type Product Control Notice of Acceptance Roofing System Approval Prepared Roofing Tile Nail- on/Mortar -Set Concrete System Description METROPOLITAN DADE COUNTY. FLORIDA _ METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 Product Control No: 4- 9 4 Approval Date: Expiration Date: milli 1 4 1 9 9 7 Pioneer Concrete Tile is a domestic manufacturer of extruded concrete roof tile with manufacturing plants stretching from theWest Coast to the Southeast. Products are fabricated from Portland Cement, placticizer, iron and chrome oxides, and blended aggregates. Tiles are available in two profiles, and seven varietys for nail -on systems including 'Hacienda', 'Rustic Shake', 'Spanish S', 'Shake', 'Slate', Regal and '9" Flat. Tiles are also available in three varietys for mortar -set application. All profiles are available in a variety of colors, out of which are shown in sales brochures. Pioneer tile is fabricated with a wide ridged and grooved sidelap providing a water channel at veritical joints. The ridged sidelaps provide a self aligning function, creating a uniformity in appearance. Matching trim pieces are manufactured for all profiles and form a part of -all Product Control Approvals. Pioneer markets a full tile system including all accessories required to construct a tile system. Pioneer Concrete Tile produces concrete tile for both nail-on and mortar -set applications. The minimum roof slope for all Pioneer Roof Tile slope is 2" : 12 ". Pioneer Concrete roof tiles have been tested in compliance with all South Florida Building Code requirements for nail -on concrete tile applications. THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT CONTROL APPROV #90- 0711.02R, #90- 0711.01, #90- 0711.03, #92- 1114.01, #94- 0106.11 Contact Dave Snyder, Gary Reed 1340 SW 34 Avenue Deerfield Beach, Fl 33442 (800) 624-4152 000002 - - . Gil iamond, P.E. Material Wood, Nail -on System Trade Names NAIL -ON - MORTAR -SET Hacienda 2 Peice Barrel Shake Spanish 'S' Slate 9" Flat Rustic Shake Spanish "S" Regal 9" Flat Maximum Design Velocity Pressure Material Desigt Velocity Pressure Wood, Non - insulated psf (See Comments and Limitations) Maximum Fire Classification Classification Class A Product Control No.: 94- 0309.04 Product Dimensions . Shake or Slate 17W x 13" Hacienda Rustic Shakes Spanish "S" Trade Names of Products Manufactured or Labeled by Applicant 17Y4" x 13" 17 -1/2" x 13" 17 -1/2" x 13" _00.0004. . Test Specifications Product Control No Product Description PA 112 Interlocking, high pressure, flat, extruded concrete tile with a wide ridged and grooved sidelap; has two cast -in nail holes. PA 112 PA 112 Interlocking, flat with scored surface, high pressure extruded concrete tile with a wide ridged and gooved sidelap; has two cast -in nail holes. PA 112 Interlocking, Mission S- shaped, high pressure extruded concrete tile with a wide ridged and gooved sidelap; has two cast -in nail holes. Interlocking, double roll, high pressure extruded concrete tile with two cast -in nail holes; has a wide ridged and grooved side lap. Product #30 Felt #43 Base Sheet Mineral Surface Cap Sheet Asphalt Primer Mopping Asphalt Flashing Cement Valley Flashing Drip Edge Wood Battens _ Roofing Nails Trade Names of Products Manufactured by Others • - Dimensions Min. 26 ga: x 16" ASTM A 525 Min. 1" x 2" for horizontal, 1" x 4" for vertical Min. 12 ga. x 1" Test Specifications ASTM D 226, type II ASTM D 2626 ASTM D 249 ASTM D 41 I_P -2 ASTM A 641 ..00 - Product - Description Product Control No :. Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single ply underlayment. Mineral surfaced asphalt roll roofing. . Cut back, asphalt based coating used to facilitate adhesion of dissimilar materials. ASTM D 312, Asphalt for bonding the type III or type mineral surface cap sheet IV to the base sheet. ASTM D 4586 Cut bick, asphalt based, fiber - reinforced trowel grade cement for flashing and repair applications. Galvanized steel valley flashing. Pressure treated wood battens. Corrosion re is . • roofing nails. Manufacturer generic generic generic generic generic generic generic Min. 26 ga., 2" x ASTM A 525 Galvanized steel drip edge. generic 2" . generic • Tin Caps Tile Nails Hurricane Clip Fasteners Tile Adhesive • Min. 32 ga: x. Corrosion resistant circular generic 1 -5/8 ". - discs. - . Min. 11 ga. ASTMA641 _ Hurricane Clip PA 114 ;78 x 2" PA 114 ASTM D 3498 Structural bonding Ohio Sealants, Inc. adhesive for roof tile. Galvanized , bronze, aluminum, plastic, or stainless steel attachment clip for high windareas. - 0.0 0 o.6 6 :'Gil Diamond, P. ' Corrosion resistant nails. generic Nail heads shall exceed the size of nail holes in tile. Compatible fastener for generic . clip generic Construction Research 45750 • .- • Test Reports Product Control No.: Test Agency • Test Identifier Laboratory, Inc. Infiltration Resistance 45749 Wind Driven Rain 02/25/93 Infiltration Resistance 45613 Wind Driven Rain 04/01/93 Infiltration Resistance 45613 Uplift Approvals; Static 04/02/93 Pressure Structural Uplift Resistance Professional Service 4395 -00074 Material Properties Test - 10/16/91 Industries, Inc. (Water Absorption and Breaking Strength) :000007 • Test Name/Report Wind Driven Rain 41 Date 02/26/93 • U3 /1 / a4 03-15 -1994 09.20A1 U9:14 YY:fub :fib ZWOM Systems Deck Type 1: Wood, non- insulated Deck Description: New construction, 19/32" or greater plywood or wood plank Slope Range: 2 ":12" to -c4 ":12" System A • Underlayment Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Fa Nails and tin caps, two (2) rows staggered 12" grid. 6" o.c. at the laps. Membrane: Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Vertical Bau ns: Vertical battens shall be 'installed on roof slopes of 2':12" to <4 ":12 ". Min. 1' x 4" pressure treated lumber. Battens shall be set in a max. 1/8" thick continuous bed of compatible flashing cement and secured through the sheathing into the top cord of the truss with approved fasteners. - Horimntal. Battens: Horizontal battens shall be installed on roof slopes of 2":12" tb <4 ":12". Horizontal battens shall be installed over the vertical battens. Battens shall be spaced to allow for a 3" minimum head bp, unless an approved headlap configuration which has been tested for water infiltration is used. Batten size shall be nominal 2' x 2" or 1" x 4 ". All battens shall be pressure treated or decay resistant lumber and shall be installed in strict compliance with the mamifacturer s application instructions and the Metro -Dade Model Nail -en Tile specification. R000.ng Tile: The tile system' shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Control ApprovaL Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. Maximum • To be Completed by May 30, 1994. Refer to Limitation No. 6. Aerodynamic Overtuning Moment Comments: For re -roof applications, 15/32' plywood is an acceptable substrate. -00008. . 305 375 2908 Cuter. CUMrLiANUG Product Control No 10002 P. 02 Deck Type • Deck Description: Slope Range: • System B. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comments: - Wood, non - insulated • New construction, 19/32" or greater plywood or wood plank. 2 ":12" to <4":12" side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6 "o.c. at laps. Any self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens shall be installed on roof slopes of 2 ":12" to <4 ":12 ". Min. 1" x 4" pressure treated lumber. Battens shall be set in a max. 1 /8" thick continuous bed of compatible flashing cement and secured through the sheathing into the top cord of the truss with approved fasteners. Horizontal battens shall be installed on roof slopes of 2 ":12" to <4 ":12 ". Horizontal battens shall be installed over the vertical battens. Battens shall be spaced to allow for a 3" minimum head lap, unless an approved headlap configuration which has been tested for water infiltration is used. Batten size shall be nominal 2" x 2" or 1" x 4 ". All battens shall be pressure treated or decay resistant lumber and shall be installed in • strict compliance with the manufacturer's application instructions and the Metro -Dade Model Nail -on Tile specification. The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'W' of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. • To be completed by May 30, 1994. Refer to Limitation No. 6. Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2", For re -roof applications, 15/32" plywood is an acceptable substrate: 000009- Deck Type IA: Deck Description: Slope Range: System A. Underlayment: Fastening: 'Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comments: Deck Type 1A: Deck Description: Slope Range: System B. Underlayment: Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maximum Aerodynamic Overtuning Moment: Comments: Wood, non - insulated New construction, 19132" or greater plywood or wood plank. 4 ":12" to 7 ":12 ". Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). • Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Vertical battens are optional for roof slopes of 4 ":12" to 7 ":12" Horizontal battens are optional for roof slopes of 4 ":12" to 7 ":12" The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'X of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6. For re-roof applications, 15/32" plywood is an acceptable substrate. Wood, non - insulated New construction, 19/32" or greater plywood or wood plank. 4 ":12" to 7 ":12" Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6 "o.c. at laps. Any self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens are optional for roof slopes of 4 ":12" to 7 " :12" - Horizontal battens are optional for roof slopes of 4 ":12" to 7 " :12" The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'W' of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate. - 000•010 ..Gil Diamond, P. • Fastening: Membrane: Roofing Tile: _ Deck 1B: Deck Description: Slope Range: System A. Underlayment: Vertical Battens: ' Horizontal Battens: Maximum Aerodynamic Overtuning Moment: . Comments: - • New construction, 19/32" or greater plywood or wood >7 ":12" Wood, non - insulated Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (See Model Tile Specifications). Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Vertical battens are optional for roof slopes >7 ":12 ". Horizontal battens shall be installed on roof slopes >7 " :12 ". . Horizontal battens shall be minimum 1" x 2" treated lumber shall be installed directly to the deck in a maximum 1/8" thick bed of flashing cement and secue;i through the sheathing into the top truss cord with approved fasteners at a maximum rate of 24" o.c.. Spacing shall be in compliance with the Metro-Dade County Model Nail -on Tile Specifications and the manufacturer's recommendations. The Metro-Dade Specification shall take precedence. The tile system shall be installed in compliance with the Metro Dade County Model - Nail -on Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application ru«nods stated in the execution section of said model specification. To be completed by May 30, 1994. Refer to Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate: . Gil Diamond, P.E. • _.Deck Type 1B: . Deck Description: Slope Range: _ _ System B. Underlay Fastening: Membrane: Vertical Battens: Horizontal Battens: Roofing Tile: Maxitnum Aerodynamic Overturning Moment: Comments: Wood, non - insulated - , NCV/ construction, 19/32" or greater plywood or wood plank. s7 " :12" Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ", side laps shall be minimum 6 ". Nails and tin caps, two (2) rows staggered 12" grid, 6 "o.c. at laps. - Any self - adhered single -ply underlayrnent approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical battens are optional for roof slopes >7" :12 ". Horizontal battens shall be installed on roof slopes >7 ":12". Horizontal battens shall be minimum 1' x 2" created lumber shall be installed directly to the deck in a maximum 1/3" thick bed of flashing cement and secured through the sheathing into the top truss cord with approved fasteners at a maximum rate of 24" o.c.. Spacing shall be in compliance with the Metro -Dade County Model Nail -on Tile Specifications and the manufacturer's recommendations. The Metro -Dade Specification shall take precedence. The tile system shall be installed in compliance with the Metro Dade County Model Nail -on Tile Specification (Appendix 'W' of the South Florida Building Code), utilizing the components listed in the 'Products Listings' set forth in this Product Control ApprovaL Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification_ To be completed by May 30, 1994. Refer to Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate. -. G0.0012 . _ • Deck Type 2: Wood, non insulated, mortar set Product Control No.: 94- 0309.04 Deck Description: New construction, 19/32" or greater plywood plank Slope Range: 2 ":12 to 7 ": 12 System A. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2 ",side laps shall be minimum 6" Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. . Membrane: Any approved mineral surfaced rolled roofmg appliied in hot ashpalt or cold process cement (see Model Tile Specifications): Head lap shall be minimum 2" and side lap shall be minimum 6 ". Vertical Battens: None Horizontal Battens: None Mortar/Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Model Mortar-Set Tile Specifications. Mortar shall be Type "M" mixed in ratio set forth in the 'Products by Others'. Any adhesive application shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with /system #3 of the Dade County Model Tile Specification. Roofing Tile: Maximum Design Velocity Pressure: Comments: Install one of the following profiles: Concrete Barrel, Spanish "S ", or 9" Flat Concrete. The tile system shall be installed in compliance with the Metro Dade County Model Mortar/Adhesive -set Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. See Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate. On slopes 5 ":12" to 6 ":12 ", the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail per every 2 ft . For pitches from 6 ":12 to 7 ":12, every third tile of every fifth course, beginning with the eight course, shall be nailed. On slopes>7 ":12" all provisions of 'System 1' of the Dade County Model Horizontal Batten Nail -on Tile Specifications shall apply. - 000013 Gil Di. ' ond, P.E. Roofing Tile: Maximum Design Velocity Pressure: Comments: Deck Type 2: Wood, non insulated, mortar set Product Control No.: 94- 0309.04 Deck Description: New construction, 19/32 or greater plywood plank Slope Range: 2 " :12 to.7 ": 12 System B. - Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2" side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Membrane: Any mineral surfaced, self - adhered single -ply underlayment approved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical Battens: None Horizontal Battens: None Mortar /Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Model Mortar -Set Tile Specifications. Mortar shall be Type "M" mixed in ratio set forth in the 'Products by Others'. Any adhesive application 'shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with /system #3 of the Dade County Model Tile Specification. Install one of the following profiles: Concrete Barrel, Spanish "S ", or 9" Flat Concrete. The tile system shall be installed in compliance with the Metro Dade County Model Mortar /Adhesive -set Tile Specification (Appendix 'X of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailtd in the test reports, are consistent with the application methods stated in the execution section of said model specification. See Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable substrate. On slopes 5 ":12" to 6 ":12 ", the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3/8" which is mechanically attached to the deck with not less than one roofing nail per every 2 f . For pitches from 6 " :12 to 7 ":12, every third tile of every fifth course, beginning with the eight course, shall be nailed. On slopes>7 ":12" all provisions of'System 1' of the Dade County Model Horizontal Batten Nail -on Tile Specifications shall apply. Limitations: 1. This system assembly may be applied to roof slopes of 2 ":12" and greater. 2. Vertical and horizontal battens shall be used on all tile applications on slopes of 2 ":12" to 4 ":12 ". 3. Horizontal battens shall be used on all tile applications on slopes of >7 ":12 ". 4. Nails for attachment of tile shall have heads larger than the pre - formed nail holes in the tile. 5. All nails shall be corrosion resistant. Exposed nails shall be hot dipped galvanized, stainless steel, or copper only. 6. Allowable height above ground shall not exceed a maximum height of 45' for non - coastal, 30' in Coastal Area 1 and 2, and only by job approval from the Chief Product Control Compliance Officer in Coastal Area 3. 7. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 8. All tiles shall bear the imprint of the manufacturer's name or logo, as noted attached, to permit identification in the field. 9. The manufacturer shall retain the services of an independent testing laboratory to maintain quality control. Testing shall be performed on a .minimum of five (5) tiles every three (3) months, for strength according to Section 3404 of the South Florida Building Code, and for moisture absorption according to PA 112. Test samples shall be selected by a laboratory according to ASTM D 3665. Results shall be forwarded to Dade County Product Control Section. Test reports shall bear a description of the tile by material and color, i.e. cement, grey. 10. All domestic distributors of foreign manufactured tile shall have a completed distribution agreement filed with the Metro Dade County Office of Code Compliance confirming the distributor's agreement to adhere to the conditions of this report. 11. Pioneer Concrete Tile shall be installed in strict compliance with the application instructions noted herein as well as the manufacturer's and Metro -Dade County specifications and application instructions. The Metro Dade County Model Tile Specification shall take precedence. 12. The use of all pre- formed and specialty tile tested is required as it forms an intricate part of these Product Control Approval tests. 13. Applications for roofing permits must be accompanied by Section II of the Uniform Building Permit, clearly indicating the extent of thelwork to be performed, along with current manufacturer's specifications and details. In . addition, a copy of this approval shall be attached to the permit application. Reference shall be made to all appropriate data for the required fire rating. -- 000015 Approved: Expires: • • 14. The following documents were submitted with the application: Product literature on the following profiles: Hacienda Rustic Shake Spanish 'S' Shake Slate 9" Flat • 2 Peice Barrel Spanish 'S' Product profile drawings Application Instructions it Diamond P.E. Metropolitan Dade County Office of Code Compliance for re-evaluation. • NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Extension of Acceptance may be considered afler a new application has been filed and the supporting data, • test reports no older than ten (10) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds 4. This acceptance shall not be used as an endorsement of any product for sales or advertising puiposes. • 5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 6. Product approval drawings, where required for.permit applications, shall be provided to the applicant by the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need-not be re- scaled by an engineer. - 7. An annual certificate confirming listing with Factory Mutual Research and Underwriters Laboratories or • such other listing agency approved by the Office of Code Compliance shall be submitted on or around the first of April annually. 3. Failure to comply with Standard Conditions shall be cause for termination of Approval. • GOGO17 • METRO:DADE ELAGLER BUILDING - BUILDING CODE COMPLIANCE DEPARTMENT .SUITE 1603 . 'METRO -DADE FLAGLER BUILDING • 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 ' (305) 375 -2901 • _ FAX (305) 375 -2908 Diamond, P.E. , roduct Control Division Supervisor • Tect Data . 95" 75" 95W - ■ 1 Rustic:Shake an.d Slate • 000022 N 1375'. Specitications General Application recommendations detailed on pages 23 -26 shall apply in addition to the following recommendations and specifications. Application of Roofing Membrane 1. Over entire surface, lay one ply of sheathing paper where applicable. Lap each sheet 2 inches over preceding sheet. Nail sufficiently to hold in place. 2. Starting at the low point of the roof, lay one ply of GAFGLAS Base Sheet, lapping each sheet 2 inches at edges and not less than 6 inches at end laps. Nail along lap of base ply at intervals not to exceed 9 inches and stagger -nail down center of sheet in two rows with nails spaced at 18 inch intervals in each row. Use fasteners with integral metal heads at least 1 inch in diameter or square that are recommended by GAF or the deck manufacturer. See "Special Instructions" below. 3. Starting at the low point of the roof, mop two plies of GAFGLAS Ply shingle fashion; lapping each sheet 19 inches over the preceding sheet; solidly mopping to the underlying base sheet to provide three plies over the entire roof area. Asphalt Requirements Interply moppings of GAF Roofing Asphalt must be applied in a continuous film and shall consist of approximately 25 pounds per 100 square feet of roof area with a tolerance not to exceed 20% plus or minus. The appropriate asphalt for the slopes involved must be used. Slope per foot Asphalt Type Up to 3" Steep ASTM Type I I I 3 "— 6" HT -Steep ASTM Type IV On slopes up to 1 /2 inch per foot, Flat ASTM Type II may be used except in Florida, Texas, New Mexico, Arizona, and California. Surfacing Over the entire surface, apply a uniform coating. GAF Grundy Fibered Aluminum Coating, GAF WEATHER COAT® Emulsion, or GAF Special Roofing Bitumen may be used for surfacing. See "Coatings for Smooth Surfaced Roof Systems," page 26. Special Instructions 1. See recommendations for use over gypsum decks on page 8. 2. Acceptable GAFGLAS Base Sheets include: GAFGLAS STRATAVENT® (Vent Ply) for Nailable Decks (required for freshly poured gypsum decks), GAFGLAS 175 Base Sheet, GAFGLAS® PLY 6 ®, and GAFGLAS Ply 4. For wood decks, and structural woodfiber decks if GAFGLAS Ply 4 or GAFGLAS PLY 6 is used as a base sheet, sheathing paper is required. 3. See "Nailing of Base Sheet," page 24. 4. For roof slopes exceeding 1 inch per foot, all plies must be back - nailed 4 inches in from the felt edge. (See "Installation on Steep Roofs," page 10.) UL Classification UL Class Surfacing Substrate Slope A A B C GFAC GWCE GWCE GSRB NC NC C C 3" 1/ 1/ UL Chart Key 1. Surfacing GWCE = GAF WEATHER COAT Emulsion GFAC = Grundy Fibered Aluminum Coating or al MB Aluminum Roof Coating GSRB = GAF Special Roofing Bitumen 2. Substrate C = Combustible and Noncombustible Combustible = Wood planks, boards, etc., plywood (min. 15 /32 inch thickness), oriented strand board (min. V2 inch thickness). NC = Noncombustible only Noncombustible = Steel, poured or precast structural concrete, lightweight insulating concrete, gypsum, structural wood fiberboard, etc. 3. Slope Maximum slope allowed, in inches per foot. GAFGLAS® Specification N -B -3 -C bailable G ck Sheathing Paper (If required) 2" SI up GAFGLAS GAFGLAS Ply S.0 Shill .(u. below) GAF BUILDING A17JIIALII COMPONA110111 GAF Roofing *WIN Surface Coding South and West Zones Only Nailable decks up to 6 inches per foot slope. Wood, poured gypsum, precast gypsum planks, other acceptable precast nailable decks (not including lightweight insulating concrete). Materials Approximate Weight Per Square Sheathing paper (1 ply, if required) GAFGLAS Base Sheet GAFGLAS Ply (2 plies) GAF Roofing Asphalt Surface Coating GAF Special Roofing Bitumen GAF Grundy Fibered Aluminum Coating GAF WEATHER COAT Emulsion 11-69 lbs. 22 lbs. 50 lbs. 20 lbs. 12 lbs. 21 lbs. Total 136 -194 lbs. Guarantees Available Specification Liberty Guarantees N -B -3 -C 10,5+5,5 yr. 53 ;TRO•DADE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING GAF Building Products Corporation (BUR) 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of GAF Built -Up Roofing Systems under Chapter 8 of Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by GAF Building Materials Corporation, Factory Mutual Reasearch Corporation, and Underwriters Laboratories, Inc., has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the Specific Conditions set forth in pages 2 et . and in the Standard Conditions detailed on page 3. ACCEPTANCE No= 93 - 1 130.05 EXP IRES: :DEC 1 3 1996 THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. • This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. APPROVED: DEC 1 3 1993 PRODUCT CONTROL NOTICE OF ACCEPTANCE * *PLEASE NOTE ** BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 Gil Diamond, P.E. Product Control Division Supervisor Charles Danger Building Code Compliance Department Metropolitan Dade County Manufacturer: METRO -DADE BUILDING CODE COMPLIANCE PRODUCT APPROVAL SECTION GAF Building Materials Corporation (BUR) 1361 Alps Road Wayne, NJ 07470 Product Control No.: System: Membrane Roofing System Subsystem: BUR Type: Built up Roofing System Roofing System Type: Asphalt Contact: Trade Names of Products Manufactured by Applicant Gafglas® Ply 6 Gafglas® Ply 4 Gafglas Stratavent® ROOF SYSTEM APPROVAL William J. Woodring Director of Technical Services (201) 628 -3000 Acceptance Number: 93 —1130 . 0 5 Approved: o DCC 1 3 1993 Expires: i 3 1996 Gafglas® Ply 6® is an asphalt coated roofing felt with a glass fiber mat. Roll weight: 52 lbs.; Dimensions: 3' x 180' Gafglas® Ply 4 is an asphalt coated roofing felt with a glass fiber mat. Roll weight: 44 lbs.; Dimensions: 3' x 180'. Gafglas Stratavent® is an asphalt coated base sheet with a glass fiber mat. The bottom side of Gallas Stratavent is surfaced with granules. Roll weight: 69 lbs.; Dimensions: 3' x 36'. Trade Names of Products Manufactured by Applicant: Gafglas® #75 Gafglas® Mineral Surfaced Cap Sheet Ruberoid® Torch Plus Ruberoid® Torch FR 5 Acceptance Number: 93 - 1130.05 Approved- EC 11, 3 1 1g 9 6 g 3 Expires: Gafglas® #75 is an asphalt coated base sheet with a glass fiber mat. Roll weight: 75 lbs.; Dimensions: 3' x 108'. Gafglas® Mineral Surfaced Cap Sheet is an asphalt coated glass fiber mat cap sheet surfaced with mineral granules that is in compliance with ASTM D -249. Roll weight: 76 lbs.; Dimensions: 3' x 108'. Gafglas® Flashing Gafglas® Flashing is an asphalt coated glass fiber mat flashing sheet available in three sizes. Roll weight: 25 lbs., 38 lbs., 76 lbs.; Dimensions: 1' x 72', 1W x 72', 3' x 72'. Ruberoid® Torch Plus is a modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Torch Plus is surfaced with granules and applied by torch. Ruberoid® Torch Plus shall be used for flashing applications only. Roll Weight 93 lbs.; Dimensions: 39.4" x 22.7'; Roll Siie: 75 ft.'. Ruberoid® Torch FR is a fire retarding modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Torch FR is surfaced with mineral granules and applied by torch. Ruberoid® Torch FR shall be used for flashing applications only. Roll weight: 90 lbs.; Dimensions: 39.4" x 22.8'; Roll Size: 75 ft. Ruberoid® Torch Smooth Ruberoid® Torch Smooth is a modified Trade Names of Products Manufactured by Applicant: Ruberoid® Mop Plus Ruberoid® Mop FR Ruberoid® Mop Smooth z/f Acceptance Number: 93- 1130.05 Approved: DEC 1 3 -1993 Expires: DEC 1 3 1996 bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Torch Smooth is smooth surfaced and applied by torch. Ruberoid® Torch Smooth shall be used for flashing applications only. Roll weight: 87 lbs.; Dimensions: 39.4" x 30.5'; Roll size: 100 ft. Ruberoid® Mop Plus is a 'Heavy Duty' modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Mop Plus is surfaced with granules and applied in hot asphalt Ruberoid® Mop Plus shall be used for flashing applications only. Roll weight: 98 lbs.; Dimensions: 39.4" x 30.5'; Roll Size: 75 ft- Ruberoid® Mop FR is a fire retarding modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Mop FR is surfaced with mineral granules and applied in hot asphalt. Ruberoid® Mop FR shall be used for flashing applications only. Roll weight: 110 lbs.; Dimensions: 39.4" x 22.8'; Roll Size: 75 11. Ruberoid® Mop Smooth is a modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Mop Smooth is smooth surfaced and applied in hot asphalt Ruberoid® Mop Smooth shall be used for flashing applications only. Roll weight: 88 lbs.; Dimensions: 39.4" x 30.5'; Roll size: 100 ft.2. Trade Names of Products Manufactured by Applicant: Ruberoid® 20 (FR) Ruberoid® 30 (FR) Ruberoid® Torch Granule Ruberoid® Mop Granule Acceptance Number: 93- 1130.05 Approved: DEC 1 3 1993 Expires: L� 1 3 1996 Ruberoid® 20 (FR) is the bottom ply of a two ply system also consisting of Ruberoid® 30 (FR) as the top ply. Ruberoid® 20 FR is a fire retardant polymer SBS modified bitumen. Ruberoid® 20 (FR) shall be used for flashing applications only.Roll weight: 95 lbs.; Dimensions: 39.4" x 45.5'; Roll size: 150 ft. Ruberoid® 30 (FR) is the top ply of a two ply system also consisting of Ruberoid® 20 (FR) as the bottom ply. Ruberoid® 30 (FR) is a fire retardant polymer SBS modified bitumen and surfaced with granules. Ruberoid® 30 (FR) shall be used for flashing applications only. Roll weight: 92 lbs.; Dimensions: 39.4" x 30.5'; Roll size: 100 ft. Ruberoid® Torch Granule is a modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Torch Granule is surfaced with mineral granules and applied by torch. Ruberoid® Torch Granule shall be used for flashing applications only. Roll weight: 102 lbs.; Dimensions: 39.4" x 30.5'; Roll size: 100 R Ruberoid® Mop Granule is a modified bitumen membrane with a polymer asphalt coated polyester mat. Ruberoid® Mop Granule is surfaced with mineral granules and applied in hot asphalt. Ruberoid® Mop Granule shall be used for flashing applications only. Roll weight: 103 lbs.; RUBEROID Mop FR GC10119 (5/92) Introducing RUBEROID 20/30 FR GC10137 (1/92 -1) RUBEROID 20/30 FR GC10134 (5/92) l Acceptance Number: 93- 1130 .05 Approved: DEC 1 3 1993 Expires: !DEC 3 1995 Gil Diamond, P.E. Acceptance Number: 9 3 — 1130.0 5 field design velocity pressure of -45 psf. Approved: .DEC 1 3 1993 Expires: DEC 1 3 1996 7. This roof system assembly, when bonded to an insulation substrate has been approved for use to a maximum field design velocity pressure of -45 psf. 8. Perimeter and corner areas shall have an increase in fastener density for both insulation and base sheet in compliance with the Factory Mutual Loss Prevention Data sheets 1 -28 and 1 -28S. 9. The chosen assembly must comply with the fire resistance requirements of Sections 3401.5 and 3401.6 of the South Florida Building Code. Refer to fire 'classification ratings' in the Underwriters Laboratories Current Directory. 10. Any amendments to these provisions shall be in compliance with Section 203 and 204 of the South Florida Building Code. 11. Refer to GAF specifications for appropriate flashing materials and their application. 12. Refer to one of the following GAF specifications for this application: I- B -5 -M, I- B- 5 -M/P6, I -0-4 -G, I -0- 4- G -/P6, I -0-4-C, I -0- 4 -C/P6, I -0-4 -M, I-0 -M/P6, I- B-4 -G, I- B- 4 -G/P6, I- B-4-C, I- B- 4 -C/P6, I -B-4M, I -B4 M/P6, I -03-G, I -03 -C, I -03 -M, I- B -3 -G, I B - N-B-5-G, N- B- 5 -G/P6, N B -5-C, N- B -5 -M, N- B- 5 -M/P6, N-B-4-G, N- B- 4- G(CT), N- B-4-G, N- B-4 -M, N- B -3 -G, N- B- 3- G(CT), N-B-3-C, and N-B-3-M. 13. A withdrawal resistance test shall be carried out on all reroof and recover projects to confirm deck integrity. 14. System may be applied to Loadmaster deck system providing the metal deck is not less than 25 ga.. The roof system shall be bonded to a suitable insulation substrate. 15. This roof assembly, when applied over a perforated Stratavent base sheet in an intermittent mopping of asphalt is approved for use over a non nailable or insulated substrate to a maximum design velocity pressure of -30 psf. 16. Walkways may be fabricated from one ply of Ruberoid Mop Plus or Torch Plus (Granule) fully bonded to the top membrane ply. 1 � Gil Diamond, P.E. Acceptance Number: 93- 1130.05 Approved: DEC 1 3 1993 Expires: 'DEC 1 3 1996 Company /Applicant GAF Building Materials Corporation (BUR) TESTING Company Performing Test Factory Mutual Research Corporation /3 Test Name/Report J.I. 0Q6A6.AM J.I. OT2Q4.AM J.I. OT4A1.AM J.I. 1R1A6.AM J.I. 1 V 8A4.AM Date 07/16/91 10/17/91 08/26/92 11/15/91 06/28/93 System Description: Acceptance Number: 93- 1130.05 Approved: DEC 1 3 1993- Expires: 10EC 1 3 1996 GAF Bulilding Materials Corporation has been manufacturing commercial roofing products for more than 100 years. GAF produces a wide range of roof products for built -up and modified bitumen roofing systems. The modified bitumen products include both APP (Atactic Polypropylene) and SBS (Styrene Butadien Styrene) products in smooth, granule and fire rated versions. In addition GAF offers two ply modified systems to meet the demands for multilayer SBS modified specificatons. GAF products are distributed through a wide network of roofing wholesale distributors thoughout the South Florida area. The Technical Service Office is located in Wayne, New Jersey and can be contacted at 1- 800 - ROOF -411. GAF provides warranted sytstems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the Ruberoid Modified Bitumen Application and Specification manual published annually. The GAF Roof System Assemblies gave been extensively tested at Factory Mutual Research Corporation and Undrewriters Laboratories. Five classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. GAF Modified Bitumen membranes have been tested in compliance with ASTM D -5147 test requirment. Test data is on file. The following documents were submitted with the application: 1993 Sweets Catalog Intrducing Ruberoid 20/30 FR Information Sheets: GAFGLAS® Stratavent Base Sheets GC10043 (5/92) GAFGLAS Mineral Surfaced Cap Sheet GC10042 (5/92) GAFGLAS Flashing GC10044 (5/92) GAFGLAS #75 Base Sheet Gc10041 (5/92) GAFGLAS Ply 4 GC10040 (5/92) GAFGLAS Ply 6 GC10039 (5/92) Cements and Coatings 2223 -308R3 GAF Vent Stacks (1990) Built -Up Roofing Asphalt 2223 (1986) GAFGLAS® Built -Up Roofing Applications and Specifications, 1993 GAFGLAS® Ruberoid Modified Bitumen Roofing Application and Specifications, 1993 Commercial Roofing Systems and Products, 1993 RUBEROID® Torch Plus GC10040 (5/92) RUBEROID Torch FR GC10039 (5/92) RUBEROID Torch GC10122 (5/92) RUBEROID Mop GC10113 (5/92) RUBEROID Mop Plus GC10I 16 (5/92) /1 Trade Names of Products Manufactured by Others: Company /Applicant Product Name FM -30, FM-45, FM -60, FM -90® Fasteners AL MB Aluminum Roof Coating Nails Tin Caps CR -Base Sheet Plate CR -Base Sheet Fastener CR -1.2 Base Sheet Fastener Nail -Tite® Type A Tin Caps Red Rosin FM -30 Disc Nail -Tite® Type R 1D Approved: UN, 1 d l 993 Expires: DEC_- 1 3 1996 Product Description Base Ply Fasteners (Lightweight Insulating Concrete only) Roof Coating Min. #12 corrosion resistant annular ring shank nails, FF- N- 105 -B, Type 2 Min. 32 ga. x 1 5/8" corrosion resistant circular discs 2.75" galvalume steel stress plate CR 10 coated galvanized steel fastener. Head size: 1.125" x 1"; Length: 1.2" CR -10 coated galvanized steel fastener. Head size: 1.125" x 1"; Length: 1.2" Galvanized steel Base Ply Fastener (Lightweight Insulating Concrete only) Min. .010" (32 ga.) x 1" corrosion resistant disc Rosin paper for barrier layer on wood decks Disc for ES Products FM-45 and FM-60 Base Ply Fasteners Galvanized steel Base Ply Fastener (Lightweight Insulating Concrete only) (See FM listings for approved insulation fasteners with specific insulation panels.) Manufacturer ES Products, Inc. Grundy Industries Generic Generic Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. ES Products Generic Generic ES Products, Inc. ES Products, Inc. Trade Names of Products Manufactured by Others: Company /Applicant GAF Building Materials Corporation (BUR) Product Name Insulfixx Fastening Systems Steel & Concrete Insulation Fastening Assembly Dekfast Fastening Assemblies Roofgrip, Gripdek Olympic, Contite Rawl Spike® New Straker, Tapcon Dekfast #14 & #15 Pneutek CDIF ASTM D-41 Primer ASTM D -312 roofing asphalt Rawl Deck Screw Rawl Loop Toggle Rawl Rawlite® Acceptance Number: 93-1130.05 DEC 131993 DEC 1 3 1996 Approved: Expires: Product Description Steel & Concrete Insulation Fastening Assembly Steel & Concrete Insulation Fastening Assembly Steel & Concrete Insulation Fastening Assembly Concrete Insulation Fastening Assembly Insulation Fastening Assembly Insulation Fastening Assembly Insulation Fastening Assembly Asphalt Primer • Bonding Asphalt Steel & Concrete Insulation Fastening Assembly Lightweight Concrete Insulation Fastening Assembly Lightweight Concrete Insulation Fastening Assembly (See FM listings for approved insulation fasteners with specific insulation panels.) Manufacturer • SFS/Fabco Construction Fasteners, Inc. ITWBuildex Olympic The Rawlplug Company ITWBuildex ITWBuildex Pneutek Generic Generic The Rawlplug Company The Rawlplug Company The Rawlplug Company Trade Names of Products Manufactured by Applicant: plastic) Acceptance Number: 93- 1130.05 Approved: i OEC 1 3 1993 Expires: [DEC 1 3 1996 systems used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. GAF Vent Stacks shall be used for flashing applications only. Trade Names of Products Manufactured by Applicant: GAF Plastic Cement GAF JetblakTM All- Weather Plastic Cement GAF Asphalt/Concrete Primer GAF Mineral Shield® Granules GAF Gaftite Roof Insulation Fasteners 7 Acceptance Number: 93- 1130.05 Approved: [DEC 1 3 1993 Expires: tOEC 1 3 1996 GAF Plastic Cement is used for installing flashing material. Coverage: 75 lbs. /square; Packing: 1 and 5 gallon pails, 53 gallon drums. GAF Plastic Cement shall be used for flashing applications only. GAF JetblakTM All- Weather Plastic Cement is used to install flashing and may be applied on wet surfaces. Coverage: 1 gallon/14 11. Packing: 1 and 5 gallon pails. GAF JetblakTm All- Weather Plastic Cement shall be used for flashing applications only. GAF Asphalt/Concrete Primer used to promote adhesion of asphalt in built -up roofing. Coverage: 1 -2 gallons/square; Packing: 5 gallon pails, 53 gallon drums. GAF Asphalt/Concrete Primer shall be used for flashing applications only. Granules for surfacing of exposed asphalt, cold process or emulsion. Packing: 601b. bags. GAF Mineral Shield® Granules shall be used for flashing applications only. Various fasteners for use over steel, heavy steel, plywood, structural concrete, cementitious wood fiber, gypsum, and lightweight concrete decks. GAF Gaftite Roof Insulation Fasteners shall be used for flashing applications only. Vent Stacks (metal and GAF Vent Stacks are one way valve Acceptance Number: 93-1130 . 05 Approved: DEC 1 3 1993 Expires: !DEC 1 3 1995 with Section 3401.9(c) of the South Florida Building Code. Prior to application, all existing roof surfaces used as a bonding substrate shall be tested for uplift resistance in compliance with ASTM E -907 to the calculated design velocity pressure of the roof deck. Existing roof surfaces and dissimilar materials must be fully primed with ASTM D-41 primer and allowed to dry. If insulation board is bonded to the existing roof or to a base sheet no one dimension should be greater than 4 ft. If more than one insulation layer is applied, the top layer may be mechanically attached or bonded in a full mopping of ASTM D -312 type III or type IV asphalt. Note: No insulation panels shall be bonded to an existing built up roof with a gravel surface without full removal of the loose gravel, priming of the surface with ASTM D-41 primer, and a flood coat of asphalt, prior to mopping of the insulation with bonding asphalt Refer to GAF published application considerations for insulation application and to attachment requirements published in the current Factory Mutual Approval Guide. Basesheet Option #1: One ply of Gafglas #75, Gafglas Stratavent (non perforated), Gafgas Ply 4, or Gafglas Ply 6 mechanically attached to the wood deck with approved nails and tin caps 9" o.c. at the laps and 18" o.c. staggered in two rows in the field, or over an insulation substate with insulation fastener and plate assemblies 18" o.c. at the laps and 36" o.c. staggered in two rows in the field. Option #2: IS , One ply of Gafglas #75, Gafglas Ply 4, Gafglas Ply 6, Gafglas non - perforated Stratavent, Ruberoid 20 or Ruberoid 20 FR bonded to an insulated substrate attached with Factory Mutual approved fastening assemblies in compliance with FM class 1 -90 windstorm classification requirements, in a solid mopping or mopped in ribbons Gil Diamond, P.E. System Number Deck Deck description METRO -DADE OFFICE OF CODE COMPLIANCE PRODUCT APPROVAL SECTION Acceptance Number: 93- 1130.05 Approved: LIE 1 3 1 9 9 3 Expires:: DEC 1 3 i g g S 1 (BUR) ' �1 ( St ood ■ steel deck, wood plank or min. 5/8" plywood. New construction and reroofing. For steel decks less than 22 ga. but not less than 26 ga. TPR fastener and Olympic 3" round or SFS type 'S' stress plate may be utilized at a density of 1:2 R'. Field fastener testing is required on all re -roof projects to confirm a minimum withdrawal resistance of 400 lbs.. Systems installed over steel deck less than 22 ga. require written approval from GAF Technical Department Vapor Retarder (Optional) (Optional) (Steel decks only) Any Factory Mutual approved vapor retarder with proprietary or approved adhesive or such other vapor retarder system designed by the architect or design engineer. The vapor retarder forms part of the roof assembly for fire classification. See Factory Mutual Approval Guide for listings. First ply shall not be bonded to wood decks. A red rosin sheet may be applied below the base sheet over wood and plywood decks. Insulation (Optional for wood decks only) Wood fiber, fiberglass; perlite; polyisocyanurate; perlite/isocyanurate composite; basalt rockwool, or gypsum board: Insulation shall be either bonded to a nailed base sheet (see base sheet nailing pattern) in a full mopping of ASTM D -312 type III or type IV hot asphalt or mechanically attached with a Factory Mutual approved fastening assembly listed with the insulation panel. (See Approved Insulations and Fastening Patterns List). (Recover) Moisture content in an existing built -up roof must be in compliance I Gil Diamond, P.E. maintaining 50% adhesion, using type III or type IV hot asphalt at a rate of 25 lbs. per square ±20% or Gafglas perforated Stratavent applied dry to the insulated substrate and mopped over with a full mopping of type III or type IV asphalt over which an interply of Ply 4 or Ply 6 shall be applied. Flysheet Starting at the low point of the roof, apply one, two, or three plys of Gafglas® Ply 4 or Gafglas Ply 6 applied in an ASTM D -312 type III asphalt at a rate of 25 pounds per square ± 20 %, in shingle fashion. Install plysheets in compliance with GAF application published application considerations. Membrane (Optional) Surfacing Starting at the low point of the roof mop one ply of Gafglas® Mineral Surfaced Cap Sheet applied in an ASTM D -312 type III or type IV asphalt at a rate of 25 pounds per square ± 20 %. Cap sheet shall be applied in strict compliance with the application considerations published by GAF. Option #1: Apply not less than 400 pounds per square of ASTM D -1863 aggregate or 300 per square of slag in a 60 1bsJsq. ± 20% pour coat of an ASTM D -312 type III or type IV asphalt Comply with GAF slope requirements for slope and type of asphalt. Gravel surfacing shall be completed as soon as practical but the membrane shall not remain exposed for more than 30 days. Option #2: Apply one of the following roof coatings at the specified rate: GAF Special Roofing Bitumen Grundy AL MB Aluminum Roof Coating GAF WEATHER COAT Emulsion GAF WEATHER COAT Emulsion AF Note slope limitations and membrane aging requirements published by GAF. Fastening Install all plies of Gafglas Felts used in conjunction with all Ruberoid Acceptance Number: 93 - 1130 Approved: LUEC 1 3 1993 Expires: : DEC 1 3 1996 Roof coating Rate 3 gal. /sq. PA gal./sq. 3 gal./sq. 1 %s gal./sq. 7 Acceptance Number: _ 93- 1130.05 • Comment and Limitations Approved: DEC 1 3 19 9 3 Expires: IDEC 1 3 1996 membranes vertically on slopes of 1 inch per foot or more and backnail them into wood nailers or nailable decks approximately 4 inches from the back edge of the sheet. All end laps must be at wood nailers, and the top edge must nailed into the wood nailer on 6" centers. Use approved roofing nails and tin caps. The Ruberoid membranes shall be terminated at nailers as dictated above. For non - insulated wood decks, terminate and nail the end of Ruberoid membrane on the same nailer spacings indicated above. The membrane must then be nailed off on 6" centers, 2" from the top of the membrane, into the nailer or wood deck using nails with integral metal heads at least 1" round or square. The overlapping membrane must extend at least 6" past the center line of these nails. See Approved Insulation and Fastening Pattern list attached. Refer to GAF requirements for application of steep roofs. 1. Maximum slope shall be 6 ":12" unless specifically approved by GAF Technical Department (Any application over 1 ":12 ", shall require backnailing of all pies 4" in from the back edge of the felt into wood Hailers.) On slopes greater than 1 ":12" all plies shall be installed parallel to the slope. Nailing shall be through tin caps 6" o.c.. All overlapping shall overlap the tin caps a minimum of 6 ". Refer to GAF requirements for installation of steep roofs. Note slope limitations on gravel surface specifications to a maximum of 3 ":12 ". 2, An overlay insulation panel is required on all applications over closed cell insulations (See Insulation List). 3. All perimeter nailer and metal profile design shall conform with Factory Mutual Loss Prevention Data Sheet 1-49. 4. All asphalt shall comply with ASTM D -312 requirements. 5. Bonding and dissimilar surfaces (other than insulation facers and asphalt saturated membranes) should be fully primed with ASTM D-41 primer for asphalt applications and allowed to fully dry. 6. This roof system assembly, when applied over a wood plank deck with an ASTM D -2626 or D-4601 base sheet mechanically attached at 9" in the lap and two rows at 18" in the field with min. 12 ga. annular ring shank nails and tin caps has been approved for use to a maximum 7 Gil Diamond, P.E 'BUILDING ❑ PLUMBING ELECTRICAL ° o PERMIT ROOFING ,or Architect Contractor 6 or Builder Legal Description ❑ Work to be performed under this Permit Owner of Building Lot 6 Address of //0." ( /L g ' S ' Building /l CONTRACTOR or BUILDER MIAMI SHORES VILLAGE, FLORIDA /C--- Date 19 //1 N° 36461 BY Sq Ft. Value of Project Contractor's License No. 02 4-0 // 3,2 O /g G}'Sr, Su vision vi / h$ si �/ AUTHORITY U_ $ v 1111 Permit $ f /.,_b 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 skown on tt(15tans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employe Signed • (INSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responsibility for all work done by either, myself, my agent, servant or employee. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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. Date JAN, 3 0 19 90 Owner's Name and Address MRS • KERN'S No./ AO/ Stree4 ' 5 Registered Architect and /or Engineer Name and address of licensed contractor C. E• S H F P P A R D ROOFING; INC. Location and legal description of lot to be built on: 1100 N 9 rH STRRy T Lot �l Block /7f Subdivision ' // 7 J��7.E& V // J.Z/ /(r 1100 N. F. 99TH STREET Street and, Number where work is to be done State work to be done and purpose of building (by floors), state exterior Colors (submit samples) REROOF 4 SQS. OF FLAT GRAVEL ROOF New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation_ Roof Covering GRAVEL Estimated Total cost of improvements $ 1 ,300,00 Amount of Permit $ s5 f/ i f'0 Zone cnbage required Distance to next nearest building Size of Building I.ot Maximum live load to be borne by each floor 1 hereby submit all 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 obligatons 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 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 ag y employ only such s • contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared W 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. (Signed) } SS. MIAMI SHORES VILLAGF BUILDING INSPECTION DEPART,. APPLICATION FOR BUILDING PERMIT kzt)(;() zY . a . Date Disapproved Date Building Inspector Plan Cubage Read, Sworn to and Subscribed before me. PLANNING BOARD DATE n or no other purpose. ONE Notary Public. State of Florida My Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and,or workmanship. Permit No .._... Disapproved (Signed) APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or one plans and specifications herewith submitted for the build ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations el the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must bc kept at building during progress of the work. _ p Date.. .. ,,�� //��._ ,1> 5 Ov.ncr's Name and Address . #4:2,4 1 lr .L�. .tKS — No.LL ..d...__. Street[1,c.E... ,,V.7 . Registered Architect and /or Engineer ... —7"--/ "ii? sE,,.5 .a.a.2 Name and address of licensed contrpctorT:QD.4S._sTr�� A/C 6 .X� 44E_c..l -5.l ..$. ,,fit ./!¢ f Location and legal description of lot to be built on: Lot Block i 7 7 Subdivision.. .?..Z. .K.-1/6.1 Street and Number where work is to be done .I. /0 ..c.. 9 S- . ___ .._ __ _ State work to be done and purpose of building (by floors)S.4.1--- .:.4!?Q�- •. e - •-- _ Amount of Permit S. Zone cubage required .Plan Cubage Distance .to next nearest building. Size of Building Lot Date Building Inspector NOTE: A ch.irgc of $1.00 will be made for the Planning hoard. A rc•in.prction fee of 31.00 will be charged materials anti /or workmanship. Chairman Member Member .. .. _..... .._._..._._ ...._....... Council Approved Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT .•t.:., . ,.•- ., ... .,..n,.,r.,....,,.,,,n e,. .... and for no other purpose. New Building Remodeling Addition 11 Repairs No. of Sto es To be constructed of Kind of foundation Roof Covering 7 j Estimated Total cost of improvements $. D 3' j r Sfaxirnum live load to be borne by each floor Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE 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 i.thur under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied %cith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to bc 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 k to be perfo under this pcnnit, as are licensed by Miami Shores Village. Remuks (Sign 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 truue. hh Date .... t.l.� r Member Member Member _..._ — Disapproved Date making corrections or changes to this application after approval has been obtained lanes when such re- inspection is made necessary by improper notice for inspection or faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ut ine 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 cupy of approved plans and specifications must be kept at building during progress of the work. at/ / g' _.._�..._._�....... , 19.�� Owners Name and Address ...! : 1 ... T.. 1� i�.. _ No...._ � . " _ ' . Street.2/00/06 Registered Architect and /or Engineer ,,,,, ,..•• ....• ,.1•1,11,,•.,.,••• „.,,,,,l<,••t.. Name and address of licensed contractor Az.Z ... Location and legal description of lot to be built on: Lot a Block /!/... Subdivisio Street and Number where work is to be done / Ulf A T_. . .s,___sizy_f .� r- / /J' d /S0 7 State work to be done a .... purpose of building (by floors)...... eeko � __._ ~ p...o' Lie?. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories / _ To be constructed of Kind of foundation Roof vering 7 /.. ............. Estimated Total cost of improvements $ 2'5 . rU Amount of Permit $.. r 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.. 1111. 1111. ......... 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 Sap cleent, 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 pcnnit, as are licensed by Miami Shores Village. Remuks (Signed).. STATE OF FLORIDA, 1 /f 0-511' COUNTY OF DADE. i 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 e.. Permit No.. ^ ' Date. ...1 )9 ...... Read, Sworn to and Subscribed before me. Disapproved .. x . Date. (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member \iember Member _ ..._ .............__ Member 11 11 _....._......_..._._ ...._....... 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 Pl Board. A re fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineei CA/eCi7l L/0FIN6- 6, /iiv • Name and address of licensed contactor Location and legal description of lot to be built on: Lot Block Subdivision pp Street and Number where work is to be done /�GU NE 1 State work to be done and purpose of building (by floors) !1 -��UF 6 CJ 1,1 L3 I-YJr...H.S/I... -Par- ): rre . /f/H€ t1(i and for no othe purpose. New Building Remodeling Addition Repairs V No. of Stories To be constructed of Kind of foundation Roof Covering colvec s� - 711-E Estimated Total cost of improvements $ a P o . 00 Amount of Permit S. 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 e, r o 'eel 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 •r such pu is notice or notices as arc required by the Act. The undersigned agrees to employ only such sul ?ntractor n to be pe f ed der this perrnit, as are licensed by Miami Shores Village. Reinarks.--.. (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 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 Disapproved (Signed) ... -- MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date .19! P tN4 WA No / 100 ....__. str eet ._. NE 99 ST ..._. Da'te 7 3 Read, Sworn to and Subscribed before me. Date.._..... Chairman Member Member ...... Building Inspector My Commission Expires PLA '' INC BOARD DATE Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty materials and /or workmanship. /- 6ta_l � P oo Notary Public, State of Florida to me well known,