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ROOFING
4, Passed 1(iji/6 )i. I nspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -15772 AUG 0 2 REVD Permit Number: RF -4 -06 -1059 Inspection Date: 08102/2006 Inspector: Grande, Claudio Owner: ABERNATHY, CARL Job Address: 1140 98 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: KAWALEK ROOFING, INC Buildin4 Department Comments Tuesday, August 1, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 c.L Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number (305)469 -6874 Parcel Number 1132050180380 Lot: Phone: 786 - 277 -9540 Page 2 of 2 Inspection Date: 05109/2006 Inspector: Grande, Claudio Owner: ABERNATHY, CARL Job Address: 1140 98 Street NE Project: <NONE> Contractor: KAWALEK ROOFING, INC Building Department Comments Monday, May 8, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 05)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)469 -6874 Parcel Number 1132050180380 Lot: Phone: 786- 277 -9540 Page 1 of 2 Infractio Passed Comments TIN CAP SPACEING True P ass ed Inspector Comments i 71 / _ CA—p ��✓Sc/ 14 ?�� i 'r . f C-c,O )--// isS // k.#.e S r . 0 f ft i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 05109/2006 Inspector: Grande, Claudio Owner: ABERNATHY, CARL Job Address: 1140 98 Street NE Project: <NONE> Contractor: KAWALEK ROOFING, INC Building Department Comments Monday, May 8, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 05)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)469 -6874 Parcel Number 1132050180380 Lot: Phone: 786- 277 -9540 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone. 05)795 -2204 Fax: (305)756 -8972 nspectiori Inspection Date: 05/08/2006 Inspector: Grande, Claudio Owner: ABERNATHY, CARL Job Address: 1140 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: KAWALEK ROOFING, INC Building Department Commen Friday, May 5, 2006 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)469 -6874 Parcel Number 1132050180380 Lot: Phone: 786- 277 -9540 Page 1 of 2 Infractio Passed Comments TIN CAP SPACEING eue- l j //6 P asse Passed Inspector Comments 0d G,d) CA-ST C-(4 '7 (1frr , >. Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone. 05)795 -2204 Fax: (305)756 -8972 nspectiori Inspection Date: 05/08/2006 Inspector: Grande, Claudio Owner: ABERNATHY, CARL Job Address: 1140 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: KAWALEK ROOFING, INC Building Department Commen Friday, May 5, 2006 Block: Permit Type: Roof Inspection Type: Tin Cap Work Classification: Roof - New Phone Number (305)469 -6874 Parcel Number 1132050180380 Lot: Phone: 786- 277 -9540 Page 1 of 2 Permit Number: RF -4 -06 -1059 Invoice Number: RF -4 -06 -24630 Applicant: CARL ABERNATHY Company Name: Date 05/03/2006 Permit Receipt Payment Type CheckNum Check 6616 Amount $329.50 Total Payment: $329.50 Wednesday, May 3, 2006 Page 1 of 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: tf St� Fl-el- 2. Description of improvement: /KA K Xf S 77 , 6 d LCD Ne c P el ND So L- 7 6 01 (JP lac & f Ir o f // N w /Tf•f 1 /F O /v roe Sal 3. Owner(s) name and address: i o A/C err"/r=1 Al 14-Pr 5iVoRV S' Interest in property: n Name and address of fee simple titleholder: 4. Contractor's name and address: P° & X 3 5. Surety: (Payment bond required Name and address: Amount of bond $ 6. Lender's name and address: Signature of Owner Print Owner's Name eAr ( 4&P *!11 Sworn to and subscribed before me this Notary Public ` � A 0∎6 � ` y� Print Notary's Name I`11 / l'1 / C, Wke. My commission expires: NOTARY F:: 3LIC-STAT E OF FLORIDA Michelle Moore Commission #DD457493 Pvniroc• ATU' nn nnn., 123.01 -52 PAGE 4 8/02 111111111111111111111111111111111111111111 CFil l 200 R047i!-'tlFf-0 1�' DR E.k 24.453 Ps 4951; (i r s ) RECORDED 05/03/2006 11:39:23 HARVEY RUVIWr CLERIC OF COURT MIAMI -DADE COUI4TYr FLORIDA LAST PAGE 11 11 momii f; u RooF /A,G- /y� 33/5 by owner from contractor, rf ak1j p 33118 py`ftj 7. Persons within the state of Florida designated by Owner up hom 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, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date i6` year from the date of recording unless a difff rent date is specified Prepared by (WC- t -A W E 1 ,20d. Address: RD. 00x 53 (051 m16rrl (tea , ( 3315-3 Issue Date: 4/27/2006 Owner's Name: CARL ABERNATHY Permit Type: Roof Work Classification: Roof - New Job Address: 1140 98 Street NE Contractor(s) KAWALEK ROOFING, INC Phone 786 - 277 -9540 Primary Contractor Yes Comments: REPLACE EXISTING ROOF, INSTALL A NEW INSULATED BUITUP ROOF SYSTEM Additional Information Miami Shores Village, FL 33138- Type of Work: Re -Roof Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. Expires: 10/22/2006 OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $12.00 $4.00 $300.00 $6.00 $7.50 $329.50 Invoice Number RF - 4 - 06 - 24630 Total: uC* p pAl� &i Amt Due $329.50 Amt Paid Building Department File Copy A plicant ' ignature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: RF -4 -06 -1059 Phone: (305)469 -6874 1132050180380 Lot: PB: Total Square Feet: 2500 Total Valuation: $ 20,000.00 Required Inspections Tin Cap Hot Mop Tile In Progress Up Lift Report Final Roof NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 1 APR2528O6 NJ BY: BUILDING PERMIT APPLICATION FBC 2004 Owner's Address I 1 14 0 N F q City M r,(l t \ Sh r1' &S State FL Miami.Shores Village Building Department 10050 N.B.2nd Avenue, lvfiami Shores, Florida 33138 Tel: (395) 795.2204 Fax: (305) 756.8972 p iG' ^di7a .i Permit No. Miff' lasq . Master Permit No. Permit Type (circle): Building (,,� �+ Electrical Plumbing Mechanical / Owner's Name (Fee Simple Titleholder) A � j A ,g �V Phone # 30s 46 9 6 Zip 3 3 /3 i Tenant/Lessee Name Phone # 1 2 - c'z 'tom Job Address (where the work is being done) I) 4 © /V a: �1 City Miami Shores Village County Miami -Dade Zip .3 3/3 FOLIO / PARCEL # Is Building Historically Designated YES NO (f Contractor's Company Name 1. � A f.. gK ROOF f Aar Contractor's Address �•O • o x S3 / os f f.31 City ti. 'I State FL, Zip Qualifier Name P. t4 04 L %K l : , Phone # 3 OS- 7 St O / 9 / State Certificate or Registration No. Certificate o f Competency q 6 Registration f o p y N o j Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 2© *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Phone # l,g 7 57 / ©r ? i Square / Linear Footage Of Werlr 2• O .a. Type of Work: °Addition ]Alteration DNew a epair/Replace 0 Demolition Describe Work: : . AQptkC L fc15l7AI6- Roof , ,f 14 - n / fw //V sck rEt �r ► f t? F' );:)v• S'I c73 M ,e� *Fees * * * * * * * * * *' Submittal Fee $ Permit Fee $ 300 CCF $ i2...-00. CO /CC Notary $ Training/Education Fee $ 4 , W . Technology F '$ 7 ED . Scanning $ `o .- CO . Radon '$ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fe Structural Review. $ Total Fee Now Due 2- at.aw , Bee Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this 0 dayof G,20 / by (�, A (f7f ri who is personally known to me or who has produced r/tn As identification and who did take an oath. NOTARY PUBLIC: Sign: kill Print: M / I My Commission Expires: (Revised 02/08/06) fi e / e poote Commission # DD457493 Expires: AUG. 02, 2009 APPLICATION APPROVEIAMd Thru Atlantic Bonding Co., The foreg s ing day o is personally NOTARY Sign' Print: My Commission Exp Noatly i ?.:;,tC S :• T,. OF FLORIDA 6 Contractor e "" "•'y, J. VAZQUEZ Bonded x Tnru R No ary April Public ' Underwriters nderrwriters Plans Examiner Engineer Zoning i trument was acknowledged before me this Li , 20 Ctffrby f U V C . . , own to me or who has produced as identification and who did take an oath. LIC: Contractor's Name 1 Low Slope ❑ Asphaltic Shingles Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Section A (General Information) Master Permit No. 1Q— OCo- t059 Process No. Kc&wieJ< k 0 i n Job Address 1)'jO 4.e ^ ROOF CATEGORY f • yr- M 1 Ite "1 .. • • ❑ Mechanically Fastened Tile ❑ Mortar /Adheoivg let Tile • • • ❑ Metal Panel/Shingles ❑ Wood Shingles /Sliakes • •: •. • • •. ••. • • • • •••• • • • .... .. • • • • • • • • .. .... • • • • • •... .. • • • ❑ Prescriptive BUR -RAS 150 RmizrzEwma ROOF TYPE hi APR 2 5 2006 BY: 4 r06 - 10 ❑ New Roof Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) aZ 0 goo SECTION B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. • • .• • $ 1 • t 1 Florida Building Code Edition 2002 High Velocity Hurrioans Zone Uniform Permit ApplioatIon Form. -. • A • • •••1 • • • .89ctlon C (Low Sloped Roof System) e° :••• • : •••• Flii In tipecIfic Roof Assambly.Componants Fastener Spacing for Anchod Shat. and Identif Manulaoturer . Attachment • • . : • .. • Of a component is not used, System Manufacturer, bhr NOA NO.: 03 • Design Wind Pressunis, From RAS 128 or Calculations: • • PrI;ex17$ 5Apmact • Sr lf 3 Pmack 1211q Max. DesigriP the Sped& NOA . -Deck M: • WP • T • • • GaugerThickness; 5 i& \ • • Sloper • 0 • AnchonSase Sheet & No. of may ;I tif r ti3 thar Insulation Baia Layer BaseinsulatIon Size and Thickness • Baseinsidadon Fastener/Bonding Materiel: - • • Mean Roof • Height . Top Insulation Layer: ick.4 . Top hisulation Size and Thickness;2 1 Tcp re Material: Bess Sheet(e) & No. of Ply(s): I p I v Base Sheet Fastener/BondIng Material: Ply Shest(s) No. of P • Ply - F k asta pro ndIng Material: •' Top Ply0 F FR MO CI ed ictmen T P i SpcirTonding Material: Surfacing: • . • • Frekti.#00.Lap.#Raii•E_' .• n ea . ,• :•; .; Perimeter: 12 oo rat Lap, ow; b .Comer:j.: oo 4)) lap, fifty/. M2oo. • .0" •••• • • • • .• • • Number of Fasteners Per Insulation • • Pik 'Board Field Perimeter _Comer • Illustrate CoMponants Noted and • Details as Applicable: • Woodblocking, Gutter, Edge •Temtination,• • Stripping, Flashing, Continuous Cleat, . Cant Strip, Base Flashing, Cotinter!• Flashing, e Coping, Eta. Wiest.: Mean Roof Height, Parapet Height, eel, Height of Base Flashing, Component Material, Material Thickness, Fastener •Thie,• Fastener- ' 'Spacing or Subflgt. Manufacturers . 00b3118 that Comply vital RAS 111 and Chapter 16. 1 • • F FP modiPe ea+.k afr beta itis13 a • Bo dS "'Peel no c v 1 (4)4, P * 7 4it (4/ / IP Pi dztv, -44Y 41 5±ra+Ckil e b cL 4eels SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing systerp instillations,... • Additionally, the following items should be addressed as part of the agreement between tR% p vrtx ant the • • • contractor. The owner's initial in the designated space indicates that the item has been explaJntid •••• • 1. t Aesthetics Workmanship: the workmanship provisions ollection R4' 2 are for the purpose of providing that the roof system meets the wind resistati ee and waf .r: • instruction performance standards. Aesthetics (appearance) 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 pars. bf the aifedinent between the owner and the contractor. • • • • 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. , - 7" Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. LJ t Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. The provides the option of maintaining the appearance. 5. (,(1 Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. L.. it Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. i1F� 7. I'� Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in the service life of the roo Owner /Agent's Signat e Date Contractor Signature M I A M I•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION ikixiber �n S NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 Rr-- oc9-tosq MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLEtt STREET, S1ATE MIANR, f ARIDA 33 ib 1 63 (305) 375 -29Q1 • J( (3o5)7:8 • • • •••• • • •• •• • •• • • • • • • .• • ••• • • • •• • INSPECTION: A copy of this entire NOA shall be provided tatlte user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA #02 -0408.10 and consists of pages 1 through 31. The submitted documentation was reviewed by Frank Zuloaga, RRC. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 1 of 32 • • • • • SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of cq�struttion materials. • The documentation submitted has been reviewed by the BCCO and accepted by the Building tode and Predtet • Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Halitig Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the uSe of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it i's determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Tug.; Maximum Design Pressure Fire Classification: • TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APBLICANT: Product GAF Asphalt Concrete Primer (Matrix"" 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrix"" Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (Matrix"" System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaT" Base Sheet GAFGLAS Flex PIyT" 6 GAFGLAS Ply 4® GAFGLAS ®Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated Roofing SBS /APP, Modified Bitumen Wood -75 psf See General Limitation #1 Dimensions 5, 55 gallons 60 lb. Bags 100 lb. bags 5 gallons 1, 5 gallons 1, 5 gallons 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide TABLE 1 Test Specification ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 2824 ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D4601 ASTM D 2178 ASTM D 2178 ASTM D 3909 ASTM D3672 ASTM D 4897 Fibered aluminum coating. • • • • • •• • • •.•• • • • . • • Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. • ... • • •... • ... • •••• • • • • • • • • .• • • .••. • • Product • • • •••• •. • • .•.• Description • • • • • Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 2 of 32 Product GAFGLAS® Flashing �.r yrx rnfiTe STRATAVENT® Eliminator Perforated Nailable RUBEROID® SBS Heat - WeIdTM Smooth RUBEROID® SBS Heat - We1dTM Granule RUBEROID® SBS Heat - WeIdTM 170 FR RUBEROID® SBS Heat - We1dTM PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID Modified Base 39.37" (1 meter) Sheet RUBEROID® Modified Bitumen Adhesive RUBEROID® SBS Heat - WeIdTM 25 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROID MOP 170FR RUBEROID MOP FR RUBEROID TORCH Smooth Dimensions various 39 37" (1 me ter) Wide 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide Wide 5 gallons 1 meter (39.37 ") wide 39.37" (1 meter) Wide 1 sq. roll 87 lbs. 39.37' (1 meter) Wide 39.37' (1 meter) Wide 39.37' (1 meter) Wide 39.37" (1 meter) Wide Test Specification ASTM D3672 ASTM D 4897 ASTM D -6164 ASTM D -6164 ASTM D-6164 ASTM D-6164 ASTM D-6164 ASTM D4601, Type II, UL Type G2 BUR ASTM D 3019 Type III ASTM D -6164 ASTM D 6222 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6222 ASTM D 5147 Product Descr iption Asphalt coated glass fiber mat,flashing • • • • • sheet available in three sizes . .... Fiberglass base sheet coated jtlboth ••• • sides with asphalt. Surfaeentt the • bottom side with mineral•p rannles : • • • • • • embedded in asphaltic coat . • • Non -Woven Polyester pat Epatt;d with • polymer- modified asphalt •andesmooth • surfaced. • • ••••• Non -Woven Polyester ntat cpltt d witlr • • • polymer modified asphalt'and gurfaced • ; • • with mineral granules. • • • Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Premium glass fiber reinforced SBS - modified base sheet Fiber reinforced, rubberized Adhesive Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer- modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, smooth surface. NOA No: 03 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 3 of 32 • • • • • • • • • • . • • • • • Product RUBEROID TORCH Granule RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 170FR TORCH Ruberoid® 20 Ruberoid® 30 Ruberoid® 30 FR RUBEROID® ULTRACLAD® SBS RUBEROID® Dual FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion RUBEROID MOD Asphalt, Asphalt L & Asphalt P Shingle - MateTM Underlayment Tile -Mate Modified Base Sheet Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 5 gallons 5 gallons GAF Aluminum Roof Paint (MatrixTM System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing 1001b. cartons, Asphalt bulk 601b. kegs 4 sq. roll 30 lbs. 1.5 sq. roll Test Specification ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6164 ASTM D 5147 PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D2824, Type I Product Description Heavy duty, polyester reinforced, asphalt, modified bitumen memliiar, g'fanule . surface. - - - - Heavy duty, polyester reinforced, asphalt modified bitumen membr5ile,'granuld' U A n n r surface Heavy duty, polyester re coated_' with fire retardant asph2Jt mgdifted bitumen membrane, granule surface. , Heavy duty, polyester rt coated- - with fire retardant asphalt modified - - bitumen membrane, granule surface. _ SBS modified asphalt base sheet reinforce with a glass fiber mat. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated with fire retardant, polymer modified asphalt and surfaced with mineral granules.' Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer - modified asphalt and surfaced with mineral granules. One -way valve vent used to relieve built - up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Non- fibered. Aluminum pigmented, asphalt roof coating ASTM D312, Interply mopping and surfacing asphalt Types I, II, III and IV SEBS modified asphalt Fiberglass reinforced shingle underlayment ASTM D 5147 SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat tile underlayment. NOA No: 03 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 4 of 32 APPROVED INSULATIONS: GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N (BMCA)GAFTEMP® Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANTTM GAFTEMP Permalite Recover Board GAFTEMP GAFEDGETTh' Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA BMCA Composite EnergyGuard, RA PYROX White Line ACFoam I, lI & Composite ISO 95+ ISO 95+ Composite EPS Wood Fiber High Density Wood Fiberboard Pelite/Urethane Composite Perlite Insulation Dens Deck E'NRG'Y -2 & E'NRG'Y-2 PLUS, UltraGard Gold Pr 1►,T�...., L TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocynurate /wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /perlite ridged insulation Extruded polystyrene insulation Wood fiber insulation board Wood fiber insulation board Perlite / urethane composite board insulation Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation 110.. • • • • • • 00 • 110.0 • Marfd1 urer •••• (With L NOA) GAF 1!'grjals Corp • • • GAF Malesia1s Cofp.• • • • • • 11.11. • . GAF Mateiials Cori' • • 1111 • 1111•• GAF Materials Corp, • GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. Apache Products Co. Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. Generic Generic Generic Generic generic G -P Gypsum Corp. Johns Manville • • • NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 6 of 32 APPROVED INSULATIONS: Product Name FiberGlass Roof Insulation ISORoc Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Product Number Name 1. GAFTITE® (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener 2. GAFTITE® (Drill -Tec ®) ASAP 3. GAFT1TE® (Drill -Tec ®) Base Sheet Fastener and Plate 4. Galvalume Plates (Drill - Tec® Metal) 5. Polypropylene Plates (Drill -Tec® Plastic) 6. Dekfast Fasteners #12, #14 & #15 7. Dekfast Hex Plate 8. Dekfast Lock Plate 9. #12 Roofgrip Fasteners 10. Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener TABLE 2 Product Description Glass fiber/Mineral fiber insulation Polyisocyanurate foam / rockwool composite insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Insulation fastener for steel, wood & concrete decks. Pre- assembled GAFTITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. Polypropylene round plate Insulation fastener assembly with recessed plastic plate Dimensions 3" and 3 /" GAF Materials Corp. 3" and 3 1/2" GAF Materials Corp. Construction Fasteners 2 7/8" x 3'/ 3 x 3 1 /a" 3" round 3" square 3.2" • • .... Manbiadturer (With Curaant.NOAl. :. Johr.:! Manville • .. • Johns Manville Ma'sotlite. 00004. • • • RMax, SC - Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. Inc • ... • • • .. • 0000 ...• ■ Construction Fasteners Inc. Construction Fasteners Inc. ITW Buildex Corp. ITW Buildex Corp. ITW Buildex Corp. Johns Manville NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 7of32 • • • • • • • • • •. GAFGLAS Flex PlyT t 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows $" o.c in the •••••• field. (Maximum Design Pressure —52.5 psf, See General Limitation #1) •••• GAFGLAS #75 Base Sheet or any of above Anchor sheets attachec}tvdeak with.:. Drill -Tec ( GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. inter Tows. One • row is in the 2" side lap. The other rows are equally spaced approxi !Ly 9" c:e.. • • in the field of the sheet. • (Maximum Design Pressure —60 psf, See General Limitation #7) • • • • • • • • • • • • Any of above Anchor sheets attached to deck approved annular ring •shmk nails • and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9:... • o.c. at the 4" lap staggered in two rows 9" in the field. • • •••••• • • • • (Maximum Design Pressure —60 psf, See General Limitation #7) • • • • • • • • • GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with' • • Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) Base Sheet: Install one ply of GAFGLAS® #75, GAFGLAS #80 ULTIMATM Base Sheet, GAFGLAS® PLY 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS STRATAVENT Eliminator Perforated (laid dry), RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld 25 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq (see General Limitation #4). Ply Sheet: (Optional except over RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld) One or more plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6® Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. or Ruberoid Torch Smooth torch applied according to manufacturer's application instructions. Membrane: One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, Ruberoid® Torch Plus Granule or Ruberoid® Torch FR torch applied according to manufacturer's application instructions. Or One or more plies of RUBEROID® SBS Heat- We1dTM PLUS, RUBEROID® SBS Heat- We1dTM PLUS FR, RUBEROID® SBS Heat- We1dTM 170 FR, RUBEROID® SBS Heat- We1dTM, RUBEROID® SBS Heat- WeldTM Smooth, RUBEROID® U1traCladTM SBS and RUBEROID® SBS Heat- WeldTM 25 applied according to manufacturer's application instructions. Surfacing: (Optional) Install one of the following: 1. Gravel or slag applied at 400 lb. /sq. and 300 lb./sq. respectively in a flood c oat of approved asphalt at 60 lb./sq. 2. GAF Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. or GAF WeatherCoat Emulsion at 3 gal. /sq. (Torch Smooth applications only) 3. GAF Weathercote® MB +(Matrix 715 MB Coating), Applied at 1 to 1.5 gal. /sq. NOA No: 03- 0501.02 Expiration Date: 11/04/08 Approval Date:10 /23/03 Page 12 of 32 Maximum Design Pressure: See Fastening Above • • • . • •• • •••• o •••• 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 gal. /sq. • • • • • • • • • • • • •• • • • • • • • •• •• •• • • . • • • • • • • •••• • • • • • • • • • • • • •••• • • • • • NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 13 of 32 • ▪ • WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. •••• 2. Minimum 1 ,4" Dens Deck or Y2 Type X gypsum board is acceptable to be installed oveil tk • wood deck. GENERAL LIMITATIONS: •. • •••• • . • .. .. • • • .• • • • 1. Fire classification is not part of this acceptance, refer to a current Approved, liQQing M to o als . • Directory for fire ratings of this product. • • 2. Insulation may be installed in multiple layers. The first layer shall be attached ir:eoiiance with Product Control Approval guidelines. All other layers shall be adhered in a full rnoppiftg of , • • • • • • • approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or e�elianically.... ' attached using the fastening pattern of the top layer •..• • 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved 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 shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of. ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 lbf. 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 a 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, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10 /23/03 Page 32 of 32 • • 1 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU) Continued Base Sheet (Optional): One or more layers 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 ... i ". 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, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min thickness (offset 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 61. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). 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 61, 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 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 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Gravel. 7. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type 61. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). 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 61, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). 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, urethane, 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 mechanically fastened in place. 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. 10. Deck: C -15/32 Incline: 1/2 Insulation (Optional): 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: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically 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. 11. Deck C -15/32 Incline: 1/2 Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet (Optional): One or more layers of Type G1 "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 nal /sq. ROOF COVERING MATERIALS (TEVT) 135 ROOFING SYSTEMS (TGFU)— Conhiawed 12. Deck: C -15/32 : , • , lncline:•172 0 • Insulation (Optional): Isocyar!iiate,perlite or girt:s fiber, any this lness, hot mopped or mechanically tdwilfid in placc„:cynts offset 6 i[1 hot mopped or mechanically f in place. • •Pt,t'',•i Ply Sheet: One or more layerSef G1 "GA=QLoSf i 4" or' y of mopped in place. •••• • • • Membrane: "Ruberoid Torch iP',(mule). • ••• •• • Surfacing (Optional): GAF Fiber* Aleminum.Coateng.at 1 -1/? g�a�/Zq or GAF Weather Coat Emulsion at /a1 /sq. • • • 13. Deck: NC • • Incline: 1// • • Insulation (Optional): Isocyanurata, wood fitypjpoard, pefyt /Lass fiber, any thickness, hot mi pped mecherically•fastened in 'Race. Joints offset 6 in. • • • .., Base Sheet: One or more layeeof Type G2 • "(WIFIL.S #75 Be se �heet ", hot mopped in place. Ply Sheet (Optional): 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. 14. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 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 6" hot mopped in place. Membrane: "Ruberoid Torch FR" (granule). Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq or AF Fibered Aluminum Coating at 1 -1/2 gal /sq. eck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ ocyanurate composite orT eenolic. ase Sheet: One or more layers Type G2 or G3 base sheet, hot mopped mechanically fastened. y Sheet (Optional): One or more layers Type 61, hot mopped in place. embrane: "Ruberoid Mop FR" or "Ruberoid Mop_170 FR" (granule). Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate composite or phenolic, offset 6 in. from joints. Base Sheet: One or more layers of Type G -2 or G -3 base mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot place. Membrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" (smooth). Membrane: One layer of "Ruberoid Torch FR" or "Ruberoid Mop FR" (granule) 17. Deck: NC Incline: 1 - • Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type 61, hot mopped in place. Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 18. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, fiber glass, wood fiber, urethane, perlite /isocyanurate composite or phenolic. Base Sheet (Optional): One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop" (smooth). Membrane: .One layer of "Ruberoid Torch FR ", "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). 19. Deck: NC Incline: 1/2 Insulation (Optional): One or more layers of perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic, any thickness. Base Sheet: One or more plies 61 or G2, hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq. Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule), hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq. 20. Deck: C - 15/32 Incline: 1/4 Insulation: Polyisocyanurate, any thickness. Base Sheet: "GAFGLAS #75" (Type G2), mechanically attached. sheet, hot mopped in isocyanurate, e sal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ate 7-15 -93 Job Address 1140 N.E. 98 StrPPt. Tax Polio l a`� D_ve sae1 «so N1) S, Mir / / I. ut Manuel Romero wner's Address 46 Cove Drive Manhasset, NY 11010 ontracting Co. a A I ? f 'a d - 44 ( 'i , ji . =A/e, Address ualifier (ArleA Q(ot /,O sup , Phony - 26/ - 43k tate •001hSf6.27 Municipal # ,Oe1 L4 Coepet•ncy # ii FRQ Ins.Co. rchitect /Engineer Address I oading CompatU! • Address ortsasor Address -- • emit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PBNCB SIG! RK DESC:IPTION �JI Tear off flat roof to wood deck, tin cab 30 ATM, Mop nn with hot asph 2 ply of fiberglass, install metal eave drip and paint roof with a uniform coati • • • • guars Pt. 3 0 Estimated Cost(value) 5 , 500.00 MINING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO Dc O MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENT O OBTAIN FINANCING, CONSULT HITE YOUc LENDER OR AN ATTORNEY BEFORE RECORDING YOUI OWICE OF COMMENCEMENT). pplication is hereby made to obtain a permit to do work and installation as indicated above, an n the attached addendum (if applicable). I certify that all work will be performed to meet th tandards of all laws regulating construction in jurisdiction. FING and understand WORK. separat emits are required for ELECTRICAL. WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work Mil e done in compliance with all applicable laws regulating construction and zoning. Furthermore, uthorize the above -named contractor to do the work .stated. EES: PERMI ?PROVED: so -o 'gnatur" of owner sew: k 2.AJvNau notary as to Owner and /or fg y Commission Ezpires:N 116 No. 4417044 posoio.+on os AWN 18 . 19,. -•V * * * * * * * C.C.P. .3 NOTARY TOTAL DUE.1g Zoning Mechanical Plumbing Master Permit 4,1 sc c� (0z1-a9 Phone 1- ;5 I 4 ° 5 Signature of Contractor or Owner-Builder Date: / i r_ - -4 i` � NANDEZ ;.. • ,,, MY QOMMl3$I0N A AA 714214 h. .� vt, exPit & DOWN 10, 1993 R,,,T Bonded Thru Noway PubND Underwriters Notary as to Ply Commission Ex Other Electrical Engineering Manville Built -Up • Roofing Systems • Prior to application, cut the cap sheet into manageable lengths (12' - 18') and allow to flatten. When nailers are required, cut the cap sheet into lengths which conform to the nailer spacing. Using Manville GlasKap and starting at the low edge of the roof, apply the cap sheet, being sure to maintain 2" side laps and 6" end laps over the preceding sheets. Position the cap sheet upside-down over the preceding coarse. Apply a full width mopping of asphalt to the substrate (30 - 40 lbs. per square) and flop the cap sheet into it. The temperature of the asphalt when applied must be such that, when the cap sheet is set into it, its temperature is approximately 20 °F above the EVT. This will assure proper fluxing of the back coating on the cap sheet and result in maximum bonding. The cap sheet must be firmly and uni- formly set into the hot asphalt with all edges well sealed. Built -Up Roofing Over Nailable Decks: These specifications are for use over any type of structural deck (without insulation) which can receive and adequately retain nails or other types of mechanical fasteners recommended by the deck manufacturer. Examples of such decks are wood and plywood. Select specifications are eligible for use over lightweight insulating concrete decks or over fill made of lightweight insulating concrete. Contact the Manville Roofing Systems District Technical Services Specialist for approval of the lightweight fill to be used. Over wood decks one ply of sheathing paper must be used under the base felt next to the deck. The specifications in this section require the use of a nailable base felt. Use nails or fasteners appropriate to the type of deck. Smooth and Gravel - Surfaced Systems, Four -Ply Roof Membranes: Using Manville GlasBase or Ventsulation and starting at the low edge of the roof, start with an 18" width. The following felts are to be applied full width, lapping each felt 2" over the preceding one. Nail the laps 9" o.c. and, down the longitudinal BUR Membrane Specifications 07500 /MAN BuyLine 5318 center of each felt, place two rows of nails with the rows spaced approximately 11" apart and the nails, staggered with those in the adjacent row, on approximately 18" centers. Over the in -place base felt, using Manville GlasPly Premier or GlasPly IV and starting at the low edge of the roof, apply one 12" wide sheet, then over that, one 24" wide sheet, then over both, a full 36" wide sheet. The following felts are to be applied full width, overlapping the preceding felt by 24 so that at least 3 plies of felt cover the base felt at all locations. Three -Ply Roof Membranes: Using Manville GlasBase or Ventsulation and starting at the low edge of the roof, start with a 12" width. The following felts are to be applied full width, lapping each felt 2" over the preceding one. Nail the laps at 9" centers and down the longitudinal center of each felt, place 2 rows of nails with the rows spaced approximately 11" apart and the nails, staggered with those in the adjacent row, on approximately 18" centers. Over the in -place base felt, using Manville GlasPly Premier or GlasPly IV and starting at the low edge of the roof, apply one 18" wide sheet, then over that, a full 36" wide sheet. The following felts are to be applied full width, overlapping the preceding felt by 19" so that at least 2 plies of felt cover the base felt at all locations. Install each ply felt so that it will be firmly and uniformly set, without voids, into the hot asphalt, within 25 °F of the asphalt's EVT, applied just before the felt at a nominal uniform rate of 23 lbs. per square over the entire surface. Finish the entire surface with a uniform coating of the selected surfacing or flood the surface with the appropriate asphalt, at an approximate rate of 60 lbs. per square, and while it is still hot embed therein an acceptable gravel at the rate of approximately 400 lbs. per square or an acceptable slag at a rate of 300 lbs. per square. Mineral - Surfaced Cap Sheet Systems Four -Ply Roof Membranes: Using Manville GlasBase or Ventsula- tion and starting at the low edge of the roof, start with a 12" width. The following felts are to be applied full width, lapping each felt 2" over the preceding one. Nail the laps 9" o.c., and down the longi- tudinal center of each felt place two rows of nails with the rows spaced approximately 11" apart and the nails staggered with those in the adjacent row, on approximately 18" centers. Over the in place base felt, using Manville GlasPly Premier or GlasPly IV and starting at the low edge of the roof, apply one 18" wide sheet, then over that, a full 36" wide sheet. The following felts are to be applied full width, overlapping the preceding felt by 19" so that at least 2 plies of felt cover the base felt at all locations. Finish the surface with GlasKap fiber glass mineral surfaced cap sheet. Three -Ply Roof Membranes: Using Manville GlasBase or Ventsulation and starting at the low edge of the roof, start with a 24" width. The following felts are to be applied full width, lapping each felt 2" over the preceding one. Nail the laps 9" o.c. and down the longitudinal center of each felt place two rows of nails with the rows spaced approximately 11" apart and the nails staggered with those in the adjacent row, on approximately 18" centers. Over the in -place base felt, using Manville GlasPly Premier or GlasPly IV and starting at the low edge of the roof, apply one 18" wide sheet, then a full 36" wide sheet, overlapping the preceding felt by 2 ". All following felts are to be applied full width overlapping the 13 Asphalt For Built -Up Roofing Features EVT shown on each carton All products meet ASTM D312 Printed cartons Specificatio Mid States built :uproo exceeds ASTM State does not s the of as .... particula r: typ asph icaI Requirements —ASTM D312 Benefits The best temperature and viscosity at point of application to assure the proper adhesion, waterproofing and application rate Assurance each shipment meets or exceeds the physical requirements of the specified roofing grade asphalt Clearly identifies manufacturer, type, flash point, EVT, Cartons are color coded for easy distinction between types Description Asphalt us ed in baitt classified in fou types Type I - Dead L evel Type 11 Fl Type` II ! Steep Type IV Special Step The product is availa cartons or bulk. All fo their specific re quirerr D312 Asphalts shall be homogenous and free of water and shall conform to these physical properties. i sphalt containers (fiber steel drums) from prolonged irect;sunlight. vide sufficient ventilation to avoid cesslve heat build -up in closed storage haft' containers must be stored y asphalt containers that tip over Isis : true of Type IV as well as hotter the weather, the halt wiil flow. rums may be double are used to separate the Type I Min. Max. Type II Min. Max. Type 111 Min. Max Type IV Min. Max. Test Methods Softening Point ( °F) 135 151 158 176 185 205 210 225 ASTM D36 Flash Point (°F) 475 — 475 — 475 — 475 — ASTM D92 Penetration, Units: ASTM D5 at 32°F 3 — 6 — 6 — 6 — at 77°F 18 60 18 40 15 35 12 25 at 115°F 90 180 — 100 — 90 — 75 Ductility at 77 °F, cm 10.0 — • 3.0 — 2.5 — 1.5 — ASTM D113 Solubility in Trichloroethylene, % 99 — 99 — 99 — 99 — ASTM D2042 Asphalt For Built -Up Roofing Features EVT shown on each carton All products meet ASTM D312 Printed cartons Specificatio Mid States built :uproo exceeds ASTM State does not s the of as .... particula r: typ asph icaI Requirements —ASTM D312 Benefits The best temperature and viscosity at point of application to assure the proper adhesion, waterproofing and application rate Assurance each shipment meets or exceeds the physical requirements of the specified roofing grade asphalt Clearly identifies manufacturer, type, flash point, EVT, Cartons are color coded for easy distinction between types Description Asphalt us ed in baitt classified in fou types Type I - Dead L evel Type 11 Fl Type` II ! Steep Type IV Special Step The product is availa cartons or bulk. All fo their specific re quirerr D312 Asphalts shall be homogenous and free of water and shall conform to these physical properties. i sphalt containers (fiber steel drums) from prolonged irect;sunlight. vide sufficient ventilation to avoid cesslve heat build -up in closed storage haft' containers must be stored y asphalt containers that tip over Isis : true of Type IV as well as hotter the weather, the halt wiil flow. rums may be double are used to separate the Thj s Js Ito SYSTEMS can numbers on rcoo .rj ng ms GLASSpLy IV GLASSBASE' GL ASSMAP VENT SULATION S INCERELY , .1\ ASPHALT ROOFING MANUFACTURERS ASSOCIATION M ANV I L L E ROOFZ'NGr SY STEMS DIVISION P.O. B ox 5208 Denver, co. .90227-510.9 cer Je y that' MANVILLE R �t'hej r the �oZ Z owj n OOFZ bujZ L -up ana corrrnaercjsZ ASTM #D-L227,9 ASTM ##D -46 01 ASTM ##D -3909 ASTM #D -4897 sr vg- " mr sr st sr at sr sr sr st at sr sr sr sr st sr sr st at sr sr sr apt at st sr sr at st at s r sr A st CERTIF ICATION ORDER 5..�,ZPPED TONyBE PROVIDED om OU IF R$QUI RE D _ Sr TE O. 0OU "T' 0= DADE f the � �" uad COP: ty L �9J! D.C. o.c of PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property. and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of properly and street address: 1140 N. E. 98 Street 2. Description of improvement: Install new flat fiberglass roof . 3.(wner(s) name and address: Manuel Romero Interest in property: iD uUti'1 E r Name and address of fee simple titleholder: K) 1 R 4. Contractor's name and address: C A r ins A to C'_hn - Q, n o.+ l Ron F? (-\ oft Cc) rri ..r. NOTICE OF COMMENCEMENT Miami Shores, 33138 46 Cove Drive Manhasset, NY 11030 Lk) CO N Oa ce 3T. TE o �:.(;lii =. '.',01i 0' DADE n y7 f the L of t / .;,Td Co ty Coo, fs D.C. aa. PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real properly, 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: 1140 N. E. 98 Street 2. Description of improvement: Install new flat fiberglass roof. 3.Owner(s) name and address: Manuel Romero NOTICE OF COMMENCEMENT Interest in property: , OL JC' Er Name and address of fee simple titleholder: k) 1 A 4. Contractor's name and address: C A r 1 C) A r o r_hn - Q.i Qt'?.+ 'l o� F? J to _ 5. Surety:(Payment bond required by owner from contractor, If any) Name and address: IQ/ A Amount of bond $ 6. Lender's name and address: t■l /A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Flori ^ Statutes, A Name and address: ttVV A 46 Cove Drive Manhasset, NY 11030 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 Statyt�. Name and address: 11 1 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) 0, t� . „to f / q 93 nauxx w Print Owners Name /)7//v,, . z ,4 rz7 .'- P Prepared by: Carlos A r o c h o Sworn to and subscribed before me this / ( 7 day of 19 9 3 Quality Roofing Contractor , Inc. Notary Public Q Ar.r� A. - � t) "- =riot Notary's Name rly Commission Expires: WSW si of WHIPS No. 4070441 COMmisolai Awe 13, ClusSes0 ki Suffolk Ono, ti Miami Shores, Florida 33138 Address: 251 N.W. 99th Street Miami, FLorida 33150 I h 0 0 W M a I% BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 0 o D P N9 761 . Architect Contractor ,' ' or Builder / <J - � A-- . d:,-rl,' ,,2_, A ...1-.6" Legal Lot Description II Bl, MIAMI SHORES VI FLORIDA kfi DATE 6 - JCS 19 Work to be performed under fhis This permit is granted to the contractor or builder named above construct the bttildieg et tion herefor in strict co npliartce with all ordinances pertaining and with the understandin plans, drawings, statements or specifications that may have boon 'at iteed to and appa4Vad by at any time if the work is not done in compliance with such or .: - ti $ ryr if the plats are change permit is granted is the understanding that the contractor etr Wilder named above assets ate regulations pertaining to the work covered hereby whether shown en the plans or drawn o sibility for work done by his agents, servants of employees, Contweiots Mouse No. B - b Building if/ U/1 ... / -41,t4 �. Prolect : t Amount tom $ ,_ Address of Value of Permit 41 most or ervite perfumed audit:eau. this ferthet lwk dose d� signed: in consideration of the issuance to me of this permit i agree to perform the work covered hereunder id comolfance wi pertaining thereto and in strict conformity with the plans, drawings, statements or spec :Meadow submitted to the proper authorities a l ctt cepting this permit I assume responsibility for ell work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY 91.7 orlOothrthe tad staimee reopen- APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address__ to_ Otto Nelson Registered Architect and /or Engineer Name and address of licensed contractor W. R• Robbt.nh and Son Roofing Co.. ] N. W. 20 Street Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1114,0 Nt State work to be dope and purpose of building (by floors)__ Residence MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT E_ -- 98 - Street TO apply Date June 6 3 No 11140 7 PLANNING BOARD DATE Chairman Member Member Member Member _ Member Council Approved Date Disapproved gra Notary Public, State of Florida NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. Street N. E. 98 nio 7 , 19 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 $ 9 Amount of Permit $. 500 Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wo k such •ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontraptgrs, on worker be "erfo under his permit, as are licensed by Miami Shores Village. Remarks ( Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ---------------------------- - - - - -- to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No 71P_/.6 __ Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires Date has been obtained from for inspection or faulty • . A it 1 ;x -:, MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building rdinance 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 AO Registered Architect and /or Engineer ,� Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done___,,, State work to be done and purpose of building (by floors) _ New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor f `�' Date ,1•Al_ ,_ 1 20__!_112i, No.__/, / 2 Street44 • Subdivisio /C 4. _Q_., Addition Repairs No. of Stories Roof Covering Amount of Permit $ Flan Cubage _Size of Building Lot I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to r . „—„ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an ernployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed: by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice or notices as are required by the Act. The undersigned agrees,to employ only such sub�eontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described constvuction, that he has carefully read the foregoing application, and that he did sign . the same, and that all facts therein by him stated are true. Permit No._/,/__.� -� Date �Q ' � Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida and for no other purpos Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member „ „... Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.