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1179 NE 98 St2-ci) MIAMI SHORES v ILLAGE �s BUILDING DEPARTMENT fgg 305- 795 -2204 Building Inspection Request Date 9 -- Type Insp'n � ) e ^ 1 r° 5 r e T Permit No. � � 2 ' ' - 7 �. Name I`G 4 ' (f4 L.4 1 v o G Lot_t Address ( 7 9 F ' 3 s Company ' n � G \�6 %,11 Phone # ° Inspection Date Correction Re- Insp'n Fee 1st i MIAMI SHORES VILLAGE (../;› • gUILDING DEPARTMENT 305- 795 -2204 Buildin • Inspe ion Request Date Type Insp'n • t`/ eo p 1 s G Permit No. — ° o� Name /( Or- 4 1 et t v O G L o C Address . l / 7 V Company 1;7 tt-• l S S�y �c c T • Phone # Inspection Date pproved Correction Re- Insp'n Fee 3Zt VD *5 G�� y 3361 MIAMI SHORES VILLAGE + BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date U —!o ° `� Type Insp'n �!�-2 ca. C P Permit No. $ i- 00 - 6 7 Name / <4. e'<1.--( Cc_ CJ V Address / / 7 /� ` Company : U 84,4 ft-4 Phone # Inspection Date Appro d —� Correction ❑ Re- Insp'n Fee ❑ CL <... LG ENGINEERING SERVICES, IN C , i .. v I.1 Consulting Engineers EN•G•I•N•EER John Busta Roofing 300 Northeast 91 Street Miami Shores, Florida Project: Dear Sirs; 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 Fax: (305) 541 -3298 TILE UPLIFT TEST Residential Home 1179 Northeast 98 Street Miami, Florida Information provided by client: Peuuit Number: BP05676 Date Completion: May 27, 2005 Roofing Contractor: John Busta Roofing LG Engineering Services, Inc. Project Number: LG05-1485 (Testing Laboratory Certificate #00- 0224.07) June 6, 2005 In accordance with your request and authorization, a representative ofLG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Santa Fe Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were co... Initially the entire area of the roof was examine for loose tile. More than 10% of the roo • in the field area and more than 20% of the roof tile at the roof perimeter and corn- e I•�• examined. Based on our test results, we conclude that the installation of the roof til a t above referenced project meets the test requirement outlined : in the :above mentioned prot.:01. Attached please find a copy of our test report for your review LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. TILE UPLIFT TEST Residential Horne 1179 Northeast 98 Street Miami, Florida l%1oh'amad Sonny Salleh, P.E. Proj ect Manager Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 .35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 24 35 Pass Report of TILE UPLIFT TEST for Residential Home 1179 Northeast 98 Street Miami, Florida Project Number: LG05 -1485 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGO5- 1485, Page 1 Test Number W , Test Load (lbf) Test Status 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 53 35 Pass 54 35 Pass LG Engineering Services, Inc. — Tile Uplift Test Result -- Project Number: LG05 -1485, Page 2 T est Number ; Test Load (lb = Test Status 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass One broken tile was noted at the time of our inspection. LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LGO5 Page 3 NOM ++ ++ + + + + ++ + + + + ++ + + ++ + . + + + + ++ ++ + + + + APPROX. ROOF 1f51 LOCATIONS ANt7 t7IMEN51ON5 Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -676 Printed: 5/24/2005 Applicant: ALEX KARAMANOGLOU Owner: KARAMANOGLOU ALEX JOB ADDRESS: 1179 NE 98 ST Contractor JOHN BUSTA Local Phone: 305 - 219 -9699 Parcel # 1132050180290 Contractor's Address: 300 NE 91 ST Legal Description: REV PL MIAMI SHORES SEC 8 Fees: Description Amount FEE2005 -6489 Building Fee $300.00 FEE2005 -6490 CCF $9.00 FEE2005 -6493 Training and Education Fee $3.00 FEE2005 -6496 Technology Fee $7.50 FEE2005 -6503 Scanning Fee $6.00 FEE2005 -6504 Submittal Fee ($50.00) Total Fees: $275.50 Total Fees: $275.50 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/2/2005 Construction Value: $14,800.00 Work: RE -ROOF SLOPPED AND FLAT ROOF AREAS Page 1 of 1 PB 43-69 LOT 20 JUL 11 PAID cric 44- ?p85 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 179 LOT 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. s P3 PC5 -676 PERMIT APPLICATION FBC 2001 City Al/A/14/ State Tenant/Lessee Name Job Address (where the work is being done) 1/79 A/,/__ City Miami Shores Village County Miami-Dade Is Building Historically Designated YES NO Contractor's Company Name QNA / C s /A �;� �Jl�, Phone # 6�5 �% 9— 99,9j /9 Contractor's Address �3a6 /t ' 9/ u7. City A/77; State /7, Zip /3 P Qualifier 3 0/1/2i/ $ Value of Work For this Permi /A k(17). Type of Work: ['Addition ❑Alteration ['New ❑ Repair/Replace Describe Work: - )Of /A, SZ.0,, 0 %jCZA 7 Rc9a/` Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ p' / 75 (Continued on opposite side) 5V Miami Shores Village Building Department Master Permit No. Zip 33/3 Phone # /✓� Zip Square Footage Of Work: R 70 ❑ Demolition Permit Type (circle): Building Electrical Atefi7/9-5- Plumbing Mechanical f Roofing Owner's Name (Fee Simple Titleholder) ' Phone # Owner's Address // 79 AiE q Y ..5 —'7 State Certificate or Registration No. t! C L 2 S D ` i Certificate of Competency No. Architect/Engineer's Name (if applicable),/ Phone # /C%iel * * * * * * * * * * * * * * * * ** 44* * * ** F ** * * * * * * * * * * * * * * * * * * * * * * * ** Ci Submittal F $ 'CO Permit Fee $ J C O CCF $ CO /CC ' Notary $ Training/Education Fee $ Technology Fee $ 9. S tJ Scanning $ Radon $ Zoning Bond $ 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 pennit 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 pennit 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 fir 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 h approv d and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of A. 20‘)S wh personally known tome or who has produced NOTARY PUBLIC: Sign: _ Print: LCARLIVI rN 0 ' ( L Q My Commission Expires: (1-0,a, ( I Qt ir As identification and who did take an oath. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Chc 05/13/03 Signature Contractor The foregoing instni rent was acknowledged before me this day of 20 by w1 is personally l ij wn to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: LOR Notary Pu otl • = My Commission t,oes Mr Commistiti EdifinINTSA ,gr ;ptv' Bonded By National Notary Assn. * * * * * * * * * * * * * * * * * * * ** 3 f4- I\ 1C e < 1.0V rpires:a t tCv OC' 6 * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *** ********** ******** * ********* 4 *** * ***** **** *.*** ********************* * *** * * * * *** ** * ** *** *** * * * ** **** APPLICATION APPROVED BY: "-` •1 r -/Z- Engineer Zoning Plans Examiner NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB MEAT TIME OF FIRST INSPECTION PERMIT NO. - 47b TAX FOLIO NO. 3 Z& ©l - �' 29 e 2 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: • 4. Contractor's name and address: 3ov 9/ J' A /,3 e and street/address: 4 7 /AR; tr'S�o�.S 1. Legal description of property 'TB 413 - '9 Lr1T,20 81 /79 / /79 Ain: 98 sr r /1 /QNic o, A.5 /38-7.5,7/ 2. Description of improvement: t -/e `/Ag • 3. 3. Owner(s) name and address: kr ///10 nub c , �� //79 /1/25:9g ,7R" /�ti Interest in property: Name and address of fee simple titleholder. 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond S N 6. Lender's name and address: M dltfere • at fle• fo Signature of Owner �i Print Owner's Name 1/ Sworn to and subscribed before me this day of Notary Public Print Notary's Name My commission expires: 127.01-02 MO[ 4 111112 1111111 11111 1111111111 11111 11111111111111 mi C:FNI 20 0 5R. r51. r_r 178 OR Bk 23388 P4 2984; (1P9) RECORDED 05119/2005 09:21:52 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE • . 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)(8)7. Florlda Statutes; Name and address: 8._In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.16(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1•year from the date of recording unless a Prepared by V A-1 , 20C2.3 Address:. 61 ATE OF FLORIDA, COUNTY OF DADE HEREAY CERTIFY that this m a fru orsginal filed ' is office on J I /. Notary Public - State of Florida MyComm IsskrEc esMr18,2008 Commission 1 0D 109725 „1 . Bonded By National Notary Assn: .q @':i27i2003 12:57 hED 1 TERRPNE1 N ROOF T l LE 9 3E157572728 Euill.D1J NC CODE CO l IPtL1 kiCa MIMICS (1sCCO) ilA ODUC T CONTROL DIViS.1Or NOTIB ACCEPTANCE Nan A. Allsatcttr' (ThA), Arts. 61303 ?4W 79 Aveusae Wii le FL 331166 D4 4i3t•DADE COUNTY, FLORIDA METRO- DADE.Ft1iOLEE. ®UILDINO ta0 WPi:t3ir $LJ GLER STREET, SUITE 103 1v11AM1, FLORIDA 33130 -1463 (305) 375 -28111 FAX (305) 375.29 NO.163 0002 nip NOA is being issued under the applicable rules and reulaaiona govesmuung the use of coeetnactior► materials, The documented= submitted has been reviewed by Miami -Dade Comity Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other area where allowed by the Authority Having Jurisdiction This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Diviaion (Hn Miami Dada County) and/or the Ali) (in yeas other than Miami Dade County) reserve fight to have this product or material tested for quality assurance putposee. 'If this product or materiel fails to perform in the accepted (manner, the manufacturer will incur the expense of such toting seel the AM may immediately revoke, modify, or suspend the use of each product or material within their Jurisdiction: BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or mete rial fails to meet the requirement$ of the applicable buildings code. This product is approved as described herein, and has been designed to comply wdthihe High velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Alr se A Clay Reef 'll'lila II. rA.RYEY'.L3.NG: Each unit shall beta a permanent label with the t/facturar's same or logo, city, state and followisag statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of tide NOA shall be considered after a renewal application has been filed and there has been no cheese ir1 the applicable building code negatively affecting the performance of this produce. TERMINATION of this NOA will occur ego the expiration date or if there hes been a revision or change in the ntaterielo, use, and(ot manufacture ate product or process. Misuse of this NOA es an endorsement of any • product, for sales, advertising or any other purposes ehall automatically terminate thin NOA; Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. A v N .`;{' EMEN : The NOA number preceded by the words Miami -Dade County. Florida, and followed by the expianatioe date may be displayed in advertising literature. if any portion of the NOA is displayed, then it shall be done in its Entirety. . RNSPEC3'IION A copy of thin sa=tire NOA shall be provided to the neer by the Esnutlicturer or its distributors and shall be available for inapt- hon'mt the job site at the request of the Building Official. • This NOA consists of pies 1 through 7. The submitted documentation was reviewed by Fro& Zuloaga, R11C kl0A ie.1 2. fl3G.O3 E pimal= Boma/NM App?e el baba la/aa Pace 11 weint:G 7,(1117. 'fll'100 e2/27/2003 12:57 MEDITERRANEAN ROOF TILE i 3057572728 1 oo R ?O i, Sa i LLY APPROVAL Category: l uofmg Barb- Category: SCOPE . — '0 .: This renews roofing system wing AIM& One Piece S' Clay Roof Tides, as manufactured by Ail er (USA), Iinuc.. and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by op ; ' cable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. OIL 2. }PRODUCT DE CRIP lltie N kastelgargik Alum One Piece 'S' The Trial Pieces Clip Clip 2.1 SW The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center fot Applied Engineering, Inc. The Center for Applied Engineering, Inc. Celotet: Corporation Testing IPRI AspheltTeohnology. Inc ledland Technologies Roofing Files Clay Test Product flDicaa nfti S ee�e • pgse TAS 112 W ' 10.5' W' thick nominal 3.25" high Leh: varies Width; varies varying thickness L 6" T3= 0.12S" L �lIm 2" r ® te 0.05" thick II MITT ED EVIDENCE: teSt 'Foot identifier High profile clay roof tile. For direct deck or batten nail -on, mortar set or adhesive set a;. plications• TAS 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. PA 114 Tile clip M 114 L Shaped tile clip 94.083 94-084 25-7200-1 Peojeat No. 307025 Test d)C -78 MTS 520649 CLF- 003.02.01 7161 -03; AppendiA 11Y Test Ntuneatetnat►rg Static Uplift Testing PA.101(Adhesive Set) Static Uplift Testing PA 101 (Mortar Set) Stade Uplift Testing PA 102 (Qcjck-11hlve Screws, Softens) Wind Driven Rein PA 100 PA 102(A) PA 102 PA 102 Egg April 1994 Moy 1994 Feb. 199S Oct. 1994 May 2000 Ooteber 2001 Deo. 1993 140A P1e.: 02- 1)119.03 Expiration Dam 112i16i07 Approval Dater 12112/02 Page 2 oft? NO.163 P003 N wx11:c znfiz •RI'JeC 0•'_/27/2003 12:57 MEDITERRANEAN ROOF TILE 4 3057572728 Redland Technologies l eci lland Technologies 11er: and Technologies RedIran i Technologies Walker Engineering, Inc. Walker Engineering, Inc. Walk alker Engineering, Inc. Walker Engineering, Xme. Welker Engineering, Inc. 30 L MIITATIION S 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set Rile applications, a static field uplift test shall be perforn ed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certifi :,,; Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. testing shall be submitted to the Building Code Compliaatee Office for review. Applications 3.4 Minimum underlaymem shell be in compliance with the applicable Roofing App Standards listed section 4.1 herein. 3.3 30!90 hot mopped underlaymemt applications may be installed perpendioulsr to the roof elope unless stated otherwise by the randtelayment material manufacturers published literature. • 3.6 This acceptance is for wood deck applications, Minimum deck requirements shall be bit compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater. 4, INSTALLATION 4.1 A,1maY `Altusa One) Piece S' Application Sttu►dapd F¢AS 118, R 119, �nd Itt+►e$ 20ed in strict compliance with Roofing App 42 Data For Attachment Calculations To 8o 9: Mena ;, sight (lit!) sand ® e$1 1 ®nt®. (1 ri ear ) T110 Prefie Ooo Aieoa 'S' Tile, IgitikROIAM 7161433 Appendix I% Letter Dated Aug. 1, 1944 ?0631 -01 PO402,, Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Wel ht-W (Obi) 8,0 Wind 11:panel Testing PA 108 (Nail-On) Wind Tunnel Testing PA 108 (Flail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Reei©taaoe Testing of BCreVU ve. smooth shank nails Aerodynamic Multiplier 25.7183 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 1.52 ":".111 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 " March 1995 February 1996 April 1996 December 1996 Lang%1%4 (ft) W1d1b'w (f ) 0.876 NOA No.: 02- 1115.03 i spirat1on Dunn 12/107 Approval Da x:12/12(02 Page 3of7 N0.163 P004 w,101 : Q ZflflZ ' l l' °e4 01/27/2003 12:57 MEDITERRANEAN ROOF TILE -p 3057572720 Peak)) lOnet Piece 'S' Tile Tob0 3: RostorCna resinon dna to Or _ofl8,., - %:' ,:01-1b9 T00e 3 ":12 °° 4 "x:12" QPCOSfdOe OF 088 Ono Piece 'S' L One P et* '0' Tits Dlrent Pea 5.38 `8'®b 2: j or'odl Battelle Direct sok 8 ": 12" ir or eo Beam 4; Direct B Deck Banana 4.40 Direct ck 27 rasa 110 O'>4100 .;.IOC; - A , f rt I_p�l a lc< , ®6Pect Beck AppOlcatd0w ' - 253 0274 i - - Table 4 Attachment Ret$lstenoe Expressed/ as a RAoaeten% - Mr Q bf) or PlIal1O8 sterna File Foot ner Type a t51OC Direct i plywood) i= 8tt®ott3 f�aflle plood) plywood) 4.31 moth 1 -1'd oth or Screw Shenk Net 2 -10d Smooth or Screw Shank Nails 9 .S Screw 2 8 Sore 1.10d Smooth or Screw Shank Nee ... field Clip) 1 "10d Smooth or Screw Shank Nail dS8ve Clip) 2 - 10d Smooth or tcrew Shenk Nails Field Cli 2.10d Smooth or Screw Shank Nlai' , ave Oh 1 Screw withAltue® 28.8 5.1 6.9 28.7 58.2 23.1 38.1 5", 12 One Place "0" 1 Screw with clip (at the Tile' heed 01 610 One Piece "s 1 screw with clip (at the - ru o 1 water course of iii® '1 screw must be In < = led to ttte Inside nail hel located nearest to the nu CIO 967. 35.2 6.16 ea el 4.20 8.03 49.2 8.8 i 2.8 29,7 - ? hl /A -. 58 2 : , 23.1 38.1 &Mlle 187.1 a9 the tile. 0.2 7.3 29.3 29.3 I 24.0 27.8 - 27.6 38.0 41.8 T00® Preilto A•heeare One Piece 'S' Tile 2 'See menutlscture® component opprovet far Metafiction requirements. 3 Flexible Products Company 1' eB nd Average weight per petty 90.7 grams. Pot . ; m Product Inc. Aver®. a we ,; - _r t ®, rams. or . , p padNe hr To Application i101iistur 'm Attachment Reels .;,.nee 9.3 4efirl® St Attachment Resistance Expressed as a Moment IMr (41-000) Q terns Battens Dist Deck 4,08 4.80 9 ,4 10.0 NIA NIA J NOA NO.: 02- 11115.03 Etptaetion Da : 12ilI6167 Approval 111)03: 17.42/02 Pegs 4 of 7 NO.163 D005 N,ill:O ZOO/ '8i- °90 12/27/20003 12:57 MEDITERRANEAN ROOF TILE -> 3057572728 TElbao 5A: Malcom vat l esletence Eatpros sect as a G>llaastont a M (Mb) for Sin le Pe Adhesive Set B, a ;u:ma The Application Tile Profile Pot mini Pot Prom Pot, oars Pol Prom Prom. Illltalmtem Attachment Resistance Oflo Plane 'S' Tlla� Lao ■ add 6 Medium ®ddh I One Place 'S' Tile ecement a T9l® Profile moment of 2A,reme of Poi Prom'. Table S®: Attachment Resistants Expressed as s ,ornent • iti17(ft4Ibf) for ' `.ortar Set B t'.tetit8 Tile - Attachment A 0n Resistance 24.50 Mortar Set PROFILE DRAWINGS U+AVFL l `S CLAY ROOF ME 88.3 88.7 S. LA All tiles shall bear the imprint or identifiable marking of the manufactures aaame or logo, er following etatemem: "Miami - Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6,11 Application for building permit shall be accompanied by copies of the following: 6.1.9. This Notice of Acceptance. 6.1,2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation adds system. [VOA ?dn.: 8242n &5.03 )tl eplretion Date: 121116/07 Approval Date:120 /82 Pa at 7 NO.163 0006 lNrlll'4 l. O tl l. 'AI'aa0 ,2/27/2003 12:57 MEDITERRANEAN R00F TILE 4 3057572728 NO.163 6 Cups MTh ON (1) SCAM ATTACK= TO DECK `SPAP91U 8 ME BY ALTWEA (NP.) CLOP DETAILS 2.912° OVERLAP (Cav N e(91a Ks ) — SCRIM tt4 NE IMO@ ttOL NEAKt'0? TO TFriE KUPAP OF WE TILE CLIP ECK NOA No.: 02- 1115. 03 EupiratUott Daft: 12/16/07 Approval Date: 12112812 ?age 6 (4'7 WAII:C znnz, •111.3an 7/2003 12:57 MEDITERRANEAN ROOF TILE 4 3057572728 . SCAM (013011 CJP OWTO NCR) ft; /41 81➢.® ®Y ALT1) LA (YVP4 CLiP PLAClo/1CAit @ma CL D1ET.;,IIL.S'(CON'T) It yr OVO2 (COVEN P)D3 NOLO. END OF TIUS ACCEPTANCE CROWN TM 1@1318@ NAM MOO WARM TO Tk8 'Harp of VIM 910 DECK 116• 121e we MA N ®: WI 11E103 EapIra* $ Dots: 121(16(07 A,ppaeeral Data: 12112/02 Peas 7oi7 NO.163 P008 w�ii:c znnz ;R1.30n Florida Building Code Edition 2002 H h V Hurricane Zone Uniform Permit • lication Form. Section A (General information) NhisterFomMtlft. Process No. Contradoestikune At Job Address IR Low Slope 0 Asphaltic Shingles ROOF CATEGORY O Mechanically Fastened Tile O Metal Panel/Shingles Mortar/Adhesive Set Tile 0 Wood Shingles/Shakes Are there 0 Prescriptive BUR 150 Gas Vent Stacks? Yes CI No is ROOF TYPE Type: Natural 0 LPGX o New Roof II Re-Roofing 0 Recovering 0 Repair 0 Maintenance ROOF SYSTEM INFORMATION LowSlopeRbeArea(SF) SteepSlopedRootArea(SF) Total (SF) g0.0 Z/Od fr/C 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. mommsmompummmommommommommmimmummommimmimmimummummmismummmormimmommums nomminiummammilemmumwmumminummommummummommommximmummormimmemmummomumwom issommmommommmummplmm•rmommummmimmemommilmmismimmumunimmummimmomimmin mummummmonsimpommimplummummommosimmplummummismumummomommummommpormommi simommommommummumumumnrimmiummilummimminammorimmummommomimmummumm I ournimummummismommismommummommummommemmunimmil marimmumm• mums pr ommimmirmulimumummumismommimmommummmummim NIMEMMIEMMWMMM IMMIMMIX1 ME mommumplim-husswilmmEglimmummilmormlimmumm maimmommommmummmummimm MN inimmilmmoimmommumwmomENUNRIONIMMIONNEMEMMMOOMISMEMM XERNMONMEMINUMEMMEMMEMO immunpummundlormimmammumemmomminswommummummemommumommommimmommommummor monsmommummosummumpimmeminimmommummimmummompossimmumimmormiummmummum pormsmimmossimmepoRimmummmommimmormirmummwmpummummomms MEMMNIMMINEMMIEN EmplimmanrommulAmmismormommummispimmommomminsimmommilm miummummommomm mimmuipsomummwa limigi mp milamm ilmammimmimmimonimm mommormilmmommommimmemismin sr WNOMUMMEMMEMMIm IMMSMIIIMEMMIMOMMMIMXIMMUMMINMMMLIMMMMEMMEMINIMMMUMMMUS Mi MX plimmumnu pmmunimmimmummumminimmommummummumummomminsmEmpummin • mmilmommummummisimmimmommummismommummummummummommammimpommilmommommisp • ppsnmmmnmrmmm•mmimmmmmmmmmmmmsmmmmmwmmmmummmsrmmnimmmmmmmmmmmmpmmmmmm milmonsommumummummimmummomminlmmomposimmommaimmimmommummommummium milsommommwommommorimmumwommummam....mmsurrimmummimmommummummimmummis i mmimummimmoimmimpommuipmpommommuimmummr - Ammummommommummummummanimppomm mirmaimmommimmommummimmerummumplimmirommiumummumpranimmumurnmamm swum Nmomummummtmummimemmummimmemonampommumummummommorimmomplows la mom ihmumummimmummormsommmommommommonammovrommornmwommomormwmummummomms mmumm• mammumilmisimagamismilmormmomm.dipmmult5rnalipprommipmmammummom Emmumw pammorammnEmilm•mmimommAmorimmEiommimmmagmwmmilimmpummorsmirmspirm wynkimmummulmicwriernmemoslomminsmommommumwommummilmnsimm. moms mm0 mamomplummuno mum immummilmoimm mismainsimmumminummumpapplim mormi mom MMIXIMMAMMEMIMMMI • Nsimm OMMEMEMMEM•MM MENNWOXISMIMMAIMMIMMINMEWERMUMN mill MI momprommummum sommummormsomminowunummoommomummummismommonwsrpm mu Immo . .11. . 1 mai mommomploplum wormimpimmpammui mosion'ammummassimummummommumgmommiii • •monommunumemems wournimmeammompsmimmimmammmummxmsommummommumme • •murimmuminummlummimmimpamprAmummomminsommummomp i inpnommmummommis mini painimmulommimprimmin wrAmmammisupwamprommummomm smiripmprommummil MEN. EMEIMMONMEAMMN U IMmmill w ximumonimponshommmummouromplimmilimmumm wmplowsm I il gilliliiiiiiii 1: MVO 1 11 11 1 111111 11114 9th l 1 111111111 Lill 11111111111 mon 1immimmumma mmilm:11:11 darnaldiegaffillanninal 123_01-48 5/03 PAGE 2 i Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, Identify as 'NA') System Manufacturer: AF NOA No.: 03. 0 ®2, Design Wind Pressures, From RAS 128 or Calculations: Pmax1: S2 Pmax2:$/ Pmax3: / Max Design Prativure,From the Specific NOA System: bA • . Deck Type: wOclt) Gauge/Thickness: � V / ,!dy' PYGIdoD y „ Slope: 2 1 Anchor/Base Sheet & No. of Ply( 14:2T 0 4 Do siz T w eeetpzr/13 dl7 Material: Insulation Base Layer. /VA Base Insulation Size and Thickness:/f4 Base Insulation Fas er/BondIng Material: Top Insulation Layer. IVA Top Insulation Size and Thickness: N� Top I ulation Fastener/Bonding Material: Base Sheet(s) & No. of Ply(s):i►'egge Bye_ t r� Ply Sheet(s)8 No. of Py(s)0Afra -•` p</ l rite MQc, Top Ply: a7C/ O ° D �� /00 " /7a F.t/2-. Of. _ y Fe er/ BgZ9, fir. Surfacing: /VA Fastener Spacing for Anchor/Base Sheet Attachment l� Field: / // '0c a Lap, # Rows a- -@ / • oc Perimeter ' oc @ Lap, # Rows Y(§6 ' oc Comer. 'oc @ Lap, #Rowe @ - 'oc Number of Fasteners Per Insulation Board Field /17 Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. aromayo 4-73 /MPAP z- .s/J,er (0' /z' PLY 1)/z/ 2 ) 303 tetf.acelA 2644 A c*P4, /s/ /1,7 / 0AV FT. FT. Parapet Height ti V , 7;#v'e r, "'(?,6)(itvatvva /0 Mean Roof Height 123_01 -48 5/03 PAGE 3 Roof System Manufacturer: A — Wile_ Notice of Acceptance Number: X02 - /// ,5 • 03 Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: y76 P2: (CO, 4' P3: /a 6 Maximum Design Pressure (From the NOA Specific System): 6‘ _ J Method of tile attachment: VOLV�i4/uyE�/ 123_01-48 5/03 PAGE 4 1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. i Section D (Steep Sloped Roof System) Roof Slope: :12 Steep Sloped Roof System Description Deck Type: I 0. V - %lj ype Underlayment: nsulation: Ridge Ventilation? Mean Roof Height: �.3aA .rrat- ,o2z6 re Barrel f✓/ stenerType & Spacing: dhesive Type: ype Cap Sheet: ai RsA/Aiz s /,`r/ //i4P� 2RO�r/S /2 Oc - i/o 9077 14 4WAY/ oof Covering: I COLOR- H 1,0070 Avr 1 S Type & Size Drip dge: Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an aging analysis peptized by PB based on ASCB 7 . Mean Roof Height H Job Site Roof Slope g Job Site Aerodynamic Multiplier 1 NOA Restoring Moment due to Gravity ma NOA Attachment Resistance Mr NOA Required Moment Resistance M, Calculated Attachment Resistance F NOA Required Uplift Resistance Fr Calculated Average W W NOA T e 1>im ohs Tile 1= NOA wm width All calculations must be submitted to the Building Official at the time of permit applioatiea. M Required Moment Resistance* Mean Roof Height 15' 20' 25' 30' 40' — Roof Slope EA IIIIEMIEtmwzu .1111111.1VIMIIIIIIMall. 5: 2 =IQ= 30. 38.0 MUM" Mall 7 •I: 8:12 284 28.0 29.4 30.8 32.4 7:12 24.4 25.9 27.1 28.2 30.0 23_01 -48 5/03 PAGE 5 Florida Building Code Edition 2002 High Velocity Huricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for Mrwith the values from M f . If the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment BasedTile Calculations Per RAS 127" s (P 4l' z ? , 2 i • P O.S) Mg: g 27 .. r l*i - NOA (P G z A.. va -s?) - Mg: 7-7 = = 0 NOA (P3/Q z A, is .72/7) - Mg: S - NOA Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M,) From Table Below2 ' NOA m MS 'Must be used in conjunction with a list of moment based tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for F. If the F' values are greater than or equal to the F values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P : z 1: = z w: _ ) - W z' cos 8: = F NOA F (P zl: = z w: ) -W: cos 8: = F NOA (P3 : z l: = z w: _ ) - W: z ctis 8: = F NOA F' 03/07/2005 07:16 3057518579 MIOA BUiLDING CODE COMPLIANCE CFI•'10E (HCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPT *_ ►' ' OA. G ACCEPT GAF Material Corp-oration �fs 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being ed aab c es a " gulutions.governing the se of constr lion materia The, documentation sub+ntttcd has been reviewed by the RC:CO:and accepted by the Building Coe and Pnodu nev.ew Contnirrei• to be axed iu ?,fig. ^, :i 13a :k Cuenty 'Aber :u,-a.c where aiic►wrtt by thr. Authority.' Lavin J tu'isdICtioti (AI11), ABC SUPPLY CO PAGE 01/14 MIANR•DADE COUNTY. I IA)f{IDA ML+TRO -DADA FT.AGLER BUILDING 140 %VES)' ELAGLER STREET, StIirt 1603 MIAMI, FLORIDA 331304563 (305) 375 -2901 FAX (305) 373.2903 This NOA shall not be valid after the expiration date stated below. The Miami -laade County Pmtlttct Control Division (In Miami Dade County) and/or the AT-f1 (in areas other than Miami Dadc 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 41.1k,rmiy tkrutiectaulty revoke, modify, or suspend the use of such product or material within their jurisdiction. DORA re-tet:ts:ltcii c to revoke this acceptance, if it is determined by Miami -Dade County Product Control DivisimiliaR4 pgiditat EAr !?' material fails to meet the requirements of the applicable building code. 3 cU c 7. (Ci i1 N , cn C7 y This product is nppmved as described herein, and has been designed to comply with the Iligh V locity lntt'ican a Zono of the Florida Building Code. `° 3 o C. DESCRIPTION: GAF Ruberoirl� Modified 13itntalcu Roof System for Wand Desks. co N co cc y ;v • ' _ r w c m m w LABELING: Each unit shall bear aperntnnrut label with the manufacturer's name or logo; t:itr, sjatertot : , following statement: '.Miami -Dade County Product Control Approved', unless otherwise noted here i.N (" - co y � c„ RENi?'WYAi. of this NOA shall be considcred•aftcr a renewal nppiication has been filed and be4 h beekruca change in the applicable building code negatively affecting the performance of this product. a- ° p 1g c - � � � ° TERMINATL N of this NOA will occur after the expiration dnt. or if there has been a rc alt It T vr<�ltang mttetinls, use, and/or manufuctute of the product or process. Misuse of this NOA as an endolgartitn4f ant a product, for sales. advertising or any other purposes shall automatically terminate this NOA, ntigreu rN lg p 3 with a scta(on of this NOA shall because for termination and removal of NOA. ° O any m _ m m c .. w P. Al)VERTISEMXNT: The NOA number prcccdvtd by the words Miami-Dade County. Floridaatn t'nllo`Rvdbg the expiration date may be displayed in advertising literature. If any portion of the NOA is displ'a, theti=t due g be dote in its entirriy. Q tv cP N a g �p INSPECTION: A copy of this emirs NOA shall be provided tp the user by the mtsnufat:lstrer or its distributors and shall be available for inspection at the job site at the request of the Building Official. Tltis NOrt tc :news NOA 0/02-0408.1n Lind conr,ishi of pages 1 through 31. T'hc submitted dc+ctimentation was reviewed l;y Frank Zuttarsi, RRC', NOA No: 03 -050t .0i Expiration Date: 11/n6 /Ot Approval Uatc:10R3 /03 Pogo 1 of 32 •03/07/2005 07:16 3057518579 ABC SUPPLY CO ROOFING SYSTEM APPROVAL alma; Roofing Sub - Cal &orv: SBS /APP, Mmlified Bitumen Deck Type• Wood Maximum Design Pressure -75 psf lire Classificsttion, See Geoeial Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LAfELED BY APPLICANT: TABLE 1 groduct Dittuuslons GAr Asphalt Co:u:rcte 5, 55 gallons Primer (Matrix 307 Primer) GAP Mineral Shicldlq 60 Ib. Bags Granules 1001b. bags GAF WeatherCoat® Emulsion (Mattixft Ftibered 305 Emulsion) GAF Premium Filleted Aluminum Roof Coating (Matrix "A System I'ro Aluminum Roof Coating Fibcrcd 301) OAP 7ctblack M1 Weather Plastic Cement (Matrix" Standard Wct/Dry Roof Cement 204) GAI'ULAS #750 GAFG1.AS #80 Uhlman' Base Shout OM CIT -AS Flea T'lyrn 6 (,iAPC.f.AS Ply GAFGLAS®DMincal Surfaced Cap Shcct GAIIGLASG9 STRA'TAVFNT® Eliminator Perforated 5 gallons 1,5 gallons 1, 5 gallons 393T' (1 meter) Wide 3917" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 (iteter) Wide 39.37" (1 teeter) Wide 39.37" (1 meter) Wide: • '.lest S ou • ASTM U 41 ASTM b 1863 ASTM 1227 ASTM I) 3019 ASTM D 3409 ASTM D 4601 ASTM D4601 A$ M 1)2173 ASTty! D 2178 ASTM 1i 3909 ASTM D3672 AS 1'M 1) 4897 Proct D escr du iption r \4phull corLCIIIC printer used to prwnute adhesion of asphalt in built -up roofing. Granules for surfacing of exposed 'asphalt, cold process cement or emulsion. OAF Mineral Granules shall be used for flashing applications only. Surface coating for smooth surfaced ronfs. A5'1'M .I) 2824 Fibered aluminum coating. Refined asphalt blended with a mineral stabilizer and fibers. PerotitL adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Asphalt ianpregnated and coated, fiberglass base sheet Type V1 asphalt impregnated glass felt with asphalt coating. Type N asphalt hnprrgn:+ted Is 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 granulcn embedded in asphaltic coating with factory perforations. NOA No: 03- 0501.D. Expiration Date: 11 /06/03 A pprnral Dntc:10 113/03 Poge 2 of 32 PAGE 02/14 03/07/2005 07;16 Product GAFC1i.AS® Flashing G ArGLAso STRATAVENT® Eliminator Perforated Nailablc RUBEROID® SOS Heat - WcIdm Smooth RUBBROID® SBS Heat - We1dtN Granule RUBBROID® SIIS Heitt- Weld'r*o 170 FR 3057518579 RUBEROIM SBS Heat- Weld"' PLUS RUBEROID® SI3S Heat- Weld PLUS 1-R RUB1'ROtD Modified Base Sheet RUBEROID® Modified Bitumen Adhesive RUBER011)0 SBS 11cat- WcldTar 25 Ruberoid® Mop Granule RUBEROB) MOP Smooth RUBEROIU MOP PLUS RUBI3ROiI) MOP 1701 R RUl3EROlD MOP FR RUB f i(OIL) TORCH Smooth I)imensiotts Vati000S 39.31" (1 meter) Wide 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39.3T') wide 39.37" (1 meter) Wide 5 gellons 1 meter (39.37 ") wide 39.37" (I meter) Wide 1 sq. roll 87 Ibs. 39.3T' (1 mew) ) Wide 39.3T' (1 meter) Wide 39.37" (1 nutter) Wido 39.37" (1 u►elc:r) Wide Test Specification ASTM 03672 ASTM 04897 ASTM D -6164 ASTM D -6164 AST'hi 0.6164 . p ASTM 0 -6164 ASTM 0.6164 ASTM 1)4601. 'type Il. Ul. Type 02 BUR ASTM D 3019 Type III ASTM D -6164 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. Nen-•woven polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -woven polyester rant coated with polymer modified asphalt nod surfaced with mineral granules. ASTM D 6164 Non -Woven polyester mat ct.itcd with ASTM 1) 5147 (Ire retardant polymer modified asphalt and surfaccd with mineral & utules. Nutt -Woven polyester mat coated with fire retardant polymer tnodifled asphalt and surfaced with mineral grauulc,l. Heavy duty. polyester reinforced. asphalt modified bitumen membrane, smooth sti dace. ASTM 1) 6222 ASTM D5147 ASTM 1) 6298 ASTM D 5147 ASTM 1) 6164 ASTM 1) 5147 ASTM D6164 ASTM D 5147 ABC SUPPLY CO PAGE 03/14 As-iv D 6222 ASl'M 1) 51.41 Product De.riptlun Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non-Woven Polyester mat coated with polymer modified asphalt and surfaced with winerni ^ Non -Woven Polyester mat coated with fire retardant polytner modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester nut coated with fire retardant polymer modified asphalt and surfaced with n►ineral granules. FM01111m glass fiber reinforced SUS - rncxlified base sheet Fiber reinforced, rubberized Adhesive NOA No: 03- 05(11.02 Expiration flare: 11 /WON A pp ravel O nte:10/2.1/4)3 Page 3 of 32 03/07/2005 07:16 Erssiligi RORER= TORCH Granule 3057518579 RUUEROID TORCH PLUS RUBEROID TORCH PR RUBERO1D 170I-R TORCH R ubcroid® 20 Rttbcruict® 30 Rubcroide 30 FR RUUEROI'D® VI-TRAM/0® S11S RUDERO10® Dual lit Vent Stacks (metal and Plastic) GAF Aluminum E• mulsitin OAF Aluminum Roof Paint (MatrL ' System Ptih Alutrtirtum Roof Coating Fibered 302) OAF 1lailt -Up Rooting Asphalt RU11.ROIDMOD Asphalt. Asphalt T.. Re Asphalt 1? Shingle-Mate Underlayment Tito -Mate Modified linse Sheet Dimensions 3937" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 mctct) Wide 3').37" (1 meter) Wide 39.37" (1 motet) Wide 39.37" (1 meter) Wide 3937" (1 mater) Wide 39.37 (1 meter) Wide 5 gallons 5 gallons 100 Ib. cartons, bulk 60 Ib. kegs 4 sq. roll 30lbs. 1.5 sq. roll Test Specification ASTM D 6222 AsTm 1) 5147 ASTM D 6222 ASTM D5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM 45147 ASTM D 6163 ASTM D 5147 ASTM'D 6163 ASTM D 5147 ABC SUPPLY CO ASTM D 6298 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D6164 ASTM 1) 5147 PA 100(A) ASTM D 1929 ASTM D 635 None. ASTM 1)2824. Type 1 ASTTM D 12, Types 1, 1.1, lit and TV ASTT.4D5147 Product Descrintlon Heavy duty, polyester reinforced, asphalt modified bitaun.0 nit gh pranc. gi.+ surface. Heavy dirty, polyester reinforced, asphalt modified bitumen membrane, granule.. surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated With ftrg, retardant asphalt modified bitumen membrane. I;rnnul^. surfitc:.. SDS modified asphalt base shat reinforce with a glass fiber tat. 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 graoutes.i 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, polytner- modified asphalt and surfaced with mineral granules. One -way valve vent used to relieve built - up pressure within the roof system. OAP Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective alurnintnn flakes Non- fibcred. Aluminum pigmented, asphalt roof coating Interply mopping and surfacing asphalt SECS modified asphalt Fillet reinforced shingle underlayment Sk1S modified asphalt base sheet and iutCtply sheet reinforce with a glass fiber mat tile underlay meta. NQA Nn: 03.05f1.02 Fspirptinn 1/n t : 11 /06 /O8 Awn/yid Aute:10123 /0 Page. 4 or 32 PAGE 04/14 :03/07/2Q05 07:16 3057518579 Product Tile -Mate Modified Cap Tile.Mate Modified Cap • Plus TopCoat® Surface Scal 513 (Matrix 602 SB Crating) GAF WeathcrC ota® M13 +(Matrix715 MB Coating) TopCoat 1v111 +(Matrix 715 MB Coating) \VcatherCotcTM (Matrix 531 WcathetCnte® Elastomcric Flashing Grade) Matrix Low VOC Matrix 101 System Fro SUS Adhesive (Ruberoid ®119.B) Matrix 201 System Pry SUS Flashing (RubemidOMD) Matrix 102 Select $13S Adhesive (Rubcroid®M . $) Matrix 202 Select SBS Plashing Matrix 203 Standard Plastic Cement Matrix 213 Goa Grade , Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibeted Aluminum Matrix 304 Soicet iicr►- Fibetted RUBER01DO Modified Bitumen Adhesive Djgtensioas 1 sq. roll 103 Ibs. Test Specification ASTIVI I) 5147 1 sq. roll ASTM D 5147 102 lbs. 5 gallons 5 gallons 5 gallon 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons ABC SUPPLY CO PAGE 05/14 Surface coating for smooth surfaced Arid mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive Cold Applied Modified SEI3S Asphalt Adhesive — flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic: Asphalt Routing Cement Standard Plastic Asphalt Roofing Cement Caulk Cirade. ASTM 1)3019 Cold Applied Asphalt Adhesive. ASTM 1) 2424 Fiberod aluminum coating. ASTM D2824, Non- fibcttid. Aluminium pigmented, Type t asphalt roof coating. ASTM D 3019 Fiber reinforced, ntbburtzed Adhesive Type, 111 ASTM 1)3019 ASTM 1)3019 ASTM D3019 ASTM 1)4586 ASTM D4586 ASTM 1:)45336 Product De. sc • Non -woven polyester mat coated with polymer modified asphalt ad surfaced with mineral granules tile uadcrlayencrt. Non -woven polyester mat coaled with polymer modified asphalt and surfaced with mineral granules tile undcrlayment. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and :mineral surfaced roofs. Surface mating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. NOA No: 03.0501.0 Expiration Date: 11n0dI0S Approval Date:1 tilt 3/113 Page 3 of 32 03/07/2005 07:16 3057518579 APPROVED INSULATIONS: Product Name GAFfEMP Isotherm R, RA. RN & Composite. EnergyGuard RA GAITEMPA Composite A & N •(BMCA)GAFTEMP ®fiiberboard GAITEMPO I'ennall OAFT'EMP GAFCANT'''t (rAIT.MP Permalito Recover Board GAF1EMP GAFEDGErm Tapered Edge .Strip (BMC :A) GAFCEMP■ High Density Fiberboard 11 MCA Energy Guard, RA BMCA Composite EnergyGuard, RA PY'RC►"i White .Line AC.'Puan,1. II & Composite ISO 954 1S0 9 5+ Composite LPs Word Fiber High 1',,,nsity Wood Fiberboard Pcliteillrethane Composite Perlin: Insulation Dens Peck t :TiRQ'Y -2 & E'NRCi'1' -2 PLUS, UltraGard (iuld TABU. 2 Product Description Polyisocyanuratc foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalitc perlite insulation. Fiberboard insulation. Pe.rlite insulation heard.' Cut perlite Ward Periite recover buai d Tapered perlite board ABC SUPPLY CO Fllgh density wood fiberboard insulation. Polyisoeyr`urate foam insulation Polyisocynurate /wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanuratc foam insulation 1'olyisocyanu :rte foam insulation Folyisocyanurate foam insulation Polyisocyarturatdperlite ridged insulation Extruded puly,:tyrrnc insulation Wood fiber insulation board Wood fiber insulation board Perlitc / urethane composite board insulation Pcrlite insulation board Water resistant gypsum hoard PeAyisocyanurate forme imulatirm Manufacturer (With Currant NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. OAF Materials Carp GAF Materials Corp. GAF Materials Corp. GM' Materials Corp. OAF Materials Corp. TIMCA IIMCA 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: b3- OSUL.O t s Date: 11106/OR Approval Dote::10/23 /03 rose 6of 12 PAGE 06/14 :03/07/2005 07;16 3057518579 APPROVED INSULATIONS: Fi bcrGIass Roof Insulation 1SORoe Structodek Multi -Max & PA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number Product Name Product Nome 1. GAFTITE® (Drill -Tee®) *12 Standard & #14 Heavy Duty Roofing Fastener 2. GAFTITE® (Drill -Tcc®) ASAP 3. CAPT1TE® (Drill -Tcc ®) Base Sheet Fastener and Plate 4. Galvalume Plstrs (Drill - l'ec® Metal) 5. Polypropylene Plates (Drill Tec® Plastic) 6. It)ekfnst Fa.: encrs !112. its #15 7. Dekfast Hex Plate 8. Dekfast Lack Plate 9. #12 Roofgrip Fasteners 10. Metal Plate 12. °infest Fawner ABC SUPPLY CO TABLE 2 Product Description Glass fiber/Mineral fiber insulation Polyisocyauurate foam / rockwool composite insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation `I'ABLB 1 , Prodt ct Description Dimensions Insulation fattener for steel. wood & concrete decks. Pro - assembled GATfITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round gatvalume stress plates. Round polypropylene stress plate. Insulation fastener for wood, steel and concrete decks Caalva!aune hex stress pt:atc. Polypropylene locking plate. insulation fastener for wood andsteel. Cralvalume stress ?law. 11. Gearlok Plastic Plate Polypropylene wand plate Insulation fastener assembly with rr..a;cssed plastic plate 3" and 3 tea" 3" and 3 1/2" 2 7!R" x 3 V." 3 3" round 3" square 32" Manufacturer (With Current NOM Johns Manville Johns Manville Masonite. RMax, The. Partek. Inc. Manufacturer (With Current NOA) GAF Materials Corp. GAP Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. Cunstruct i an .Fasteners Gac Construction Fasteners inc. Construction Fasteners inc.. ITW Buildex Corp. 1TW 13aildes Corp. I'C li3uildex Corp. Joints Manville NOA No: 03- 0301.02 Expiration Date: 11/116/08 Approval Dhate:M3/ Pugs. 7 :sr 32 PAGE 07/14 .'03/07/20.05 07:16 3057518579 . APPROVED FASTENERS: Fastener Product Humber IVarne 13. Olympic Fastener #12 & 1114 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G -2 17. Olympic 5tandart1 18. Insul -Fixx Fastener l9. Insul -Fixx S Plate 20. Insul -Fixx P Plate Z1. Tru -Fast 22. Tru -Fast Plates 23. Tru -Fast Plates EVIDENCE SUBMITTED: yes 911LY Factory Mutual Rencarch Corp. Factory Mutual Research Corp. Trinity lsngloecring PRI Asphalt Technologies, Inc. I1tT of S. FI. IR'r of S. F1. TABLE 3 Product Description Insulation fastener Pre-assembled Insulation fastener and plate Polyprupykne plastic plate 3.5" round galvalume AZ55 steel plate• , 3" ruuad galvalurne AZ;O steel plate Insulation fastener for steel and wood deck!' 3" round galvalume AZ.SO steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate Test Iden it s Current Insulation Attachment Requirements »fRC 4470 : PA 114 Wind Uplift 1'A 114 GAF - 02002.01 024'105 02-0 t4 ABC SUPPLY CO ..Manurncturer Dimeostions (With Current NOA.) Olympic Manufacturing Group. Inc. Olympic Manufacturing Group, Inc. 3.25" round Olympic Manufacturing Group, Inc. 3.5" round Olympic Manufacturing Group. Inc. 3"; ound Olytnpic Maqudaeturing Group, Inc. SFS/Stadler 3" round 3" round 3" round 3" round SPSIS tad Ito STS /Stadler The Tru-Fast Corp. The Ttu -Fast Corp. The Tru -Past Corp. Descrintlnn Pak FMRC 1996 01.01.96 J.I. 1B9A8.AM 1.1.3D4Q2.AM 4483.04 97 -1 ASTM D 4977 TAS 114 TAS 114 (19.04.97 04.30.97 06.06.97 02.01.02 01.18.02 03.22.02 NM. No: 03.0501.0 Expiration bate: 11/6640% Approval Dntc:l0/2V03 Page Eore32 PAGE 08/14 ,'03/07/2005 07;16 3057518579 Membrane Type: Sr1S /SITS Cold Applied Deck Type 1: Wood. Non - insulated • Deck Description: 101 or greater plywood or wood plank decks Syytcm Type E (1): Rase shoct mechanically fastened to roof deck. All General and System Limitations shall apply. ABC SUPPLY CO PAGE 09/14 Base sheet: GAFGLAS #S1) Mimes' Base Sheet, STRATAVF1YI'r( Eliminator Perforated lYailahle, RI.IBEROID Modified Base Sheet. RUDEROrin 20, RUBEROI0 SOS FTcat- Wc1d'''*' Smooth or RIJDEROD) PS Heat -Weld 25 base sheet mechanically fastened 10 deck as described- bc1nw; • " • • • y Fastening OAFOLAS® Ply 4C.), GAFGLAS Flea Ply "" 6, GAPULAS 11'15 Base Shte:t an any Options: of above Rase: sheets attached to deck with approved annular ring shank nails and tin caps at a fastct!er spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -BLS psf, See General Limitation #7) CIAFOT.AS® Ply 4C), GAFGLAS Flex L)1yTM 6, GAFGI..AS 075 Base Sheet or any of above Base sheets attached to deck with Drill -Toe (G FT1TL) 4112 or #14 Screws and 3" Plates. 12" o.c. in 3 rows. One ern, is in the 2" side bp. The other rows are equally spaced approximately 12" o.c. in the field or the sheet. • (Maximum Design Pressure -45 psf; Sce General Limitation d'7) CIAPOLAS Ilex rlyT" 6, (IA.FOL,AS 1175 llaec Sheet Or Noy or above Bose sheets attached to deck with approved aw ul.ar ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (114n.rinrum Design Pressure 42.5 psf, See General Limitation #7) GAFGLAS Gs Base Sheet or any of above Base sheets attached to deck with 1)rill -Tec (GATTITP-) #12 or 1014 Screws and 3" PI21c34, IX' o.e. in 4 rows. One tow is in the 2" side Iap. The other rows are equally spaced approximately 7' o.c. in the fi'1d of the: sheet. (Maximum Design Pressure -.GU psf, See General Llarit'nlion #7) Any cf above Base sheets attached to deck approved similar ring shanknaila ttnd 3" inverted Drill -1%w. (GAITITE) insulation plates at a i'xxtcncr :spacing of 9" o.c. at th 4" lap .taggcmd in two rows 9" in the field. (Jdu rimuar Design Pressure - 60 psf. Sce General Limitation #7) UAFGLAS 075 Base Sheet or any of above flasc e;hect.. a!tecItcel rc' deck with Tlri II - Tec (UATTTCE) 012 or 014 Screws and 3" Plates, S'' o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" 0.0. in the field of the sleet. (Marbrirut Design PressM/11 - .75 psf. Site General Limitation #7) Pty Sheet: (Optional) One nr more plies oAr•GLAS P1.Y 40, GAFGLAS Ilex Ply 6, GA1 GLAS 180, RU13EROI0 MOP Sarnxtdt or RUBEROlq 20 sheet adhered in n full mopping of approved asphalt applied within the EY't' rang', and ut a rate of 2(J- 1Q Ib' Jsq. NOA No: 91.1150). INpiru:ion We: L 1/04!118 Approval l)ate:tAll Vt13 page. 26 co r 32 03/07/21305 07:16 3057518579 ABC SUPPLY CO . Membrane: One or more plies of RUB13ROIU MOP Smooth, Rubemid0 Mop 170 FR, Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 20, Ruberoid® 30 or Ruberod® 30 FR or Ruberoid® Mop Flt or RUBEROIU U1traCladT" SBS in adhered in a full mopping of approved asphalt applied within the EVT range and at 4 rate of 20- 40lbs. /sq. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule. RUBEROID® Mop 170 FR, RUBEROU)® Mop Plus Granule, Ruberoid® 20, RUBBROID® 30, RUBEROID® 30 FR or RUBERO D® Mop FR or RUBER0I1.) UltraCladn' SBS in RURER01D Modified Bitumen Adhesive at an application rate of 1 -2 gal:/sq. Surfacing: (Optional, roquircd if RVBEROIU MOP Srnootb or RUBTIRnin 20 is top membrane) Install one of rho following: 1. Gavel or slag applied at 400 Ibfsq. and 300 lb. /sq. respectively in a flood coat of approved asphalt at 60 lb./sq. 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 lb. /sq. t 15%. :t. GAF Weathercota® Mfl +(Matrix 715 MB Coating), Applied at 1 to 1.5 gal./sq. 4. Top Coat® Surface Seal SB(Mntiix 602 SB Coating), Applied at 1 to 1.5 gal./sq. Maximum Design P re; Sce Fastening above NOA No: o3.0" rmplratims node: 11/06/11S Approval Date:10/23/ Pnle17 of 32 PAGE 10/14 03/07/2005 07;16 3057518579 WOOD DECK SYSTEM LIMUATIONS: ABC SUPPLY CO PAGE 13/14 1 . A slip sheet is required with Ply 4 and Ilex Ply 11±1 6 when used as a mechanically fastened base ar anchor sheet. 2. Minimum ale" Duns Deck or V2 Type X gypsum hoard is acceptable to be installed directly over the wood deck. GENERAL. LIMITATIONS: 1. Fire classification is not pan of this acceptance, refer to a currnt Approved Roofing Materials Directory for fire ratings oftbis product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at : a rate of 20.40 lbs.sq.. or mechanically attached using the fastening pattern of the top L•tvcr' 3. All standard panel sizes are acceptable for mechanical nttaclunent. When applied in approved asphalt. Wei 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. d. If no recovery board is used the base sheet shall Ise applied using spot mopping with approved asphalt, 12" diameter circlet, 24" o.c.; or strip mopped S" ribbons i.n three rows, one at each sidclap 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' iu each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Notes Spot attached aystetus shell be limited to a ntiuximutn design pressure of -45 ps(. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 2 "/ Ibt.. as tested in compliance with Testing Application Standard TAS 105. If the fastener value. as Feld rested, are bclnw 275119f. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attacluuent 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 resistancc be less than that required, as determined by the Building Official, a revised fastener spacing. prepared, signed and waled by a Honda Registered engineer, Architect, or Registered Roof Consultant may be submiucd. Said revised fastener spacing shall utilize the withdrawal resistance valve takers from Testing Application Standards TAS 105 and cslcnlations 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 imaoased Ira both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limilatiuo is specifically refereed within this NOA, General Limitation 09 will not be rrpplicnble.) 8. All attachment and sizing of perimeter Hailers, meant profile, and /or flashing terminatlon designs shall conform with Roofing Application Stantlant RAS 111 and applicable wind luad requirements. 9. The maximum designed pressure limitation limed shall be applicable to all roof pressure zones (i.e. field, perimeters. and corners). Neither rational analysis, nor eat rapolat inn shall he permitted for enhanced fastening at enhanced pressure zones (i.c. perimeters, extended comers and corners). (When this lintltattun is specifically referred within this NOA, Cenernl Limitation 07 will not ha applicable.) 10. All products listed herein shall have a quality assurance audit its accordance with the Florida Ituilding Code and pails 9)) -72 of the Florida Administrative G.$)r.. l ?N1) 01? 'f ACCEPTANCE NOA No 03- 01D1.02 Expiration Date: 11 /IWt1A A p p r n v sa l Ida tc : l tl/r 3/03 Page 3201 32 ' '03/07/2005 07:16 3057518579 F.• kkOOP COVERING MATERIALS (TEVT ROOFING SYSTEMS (TGFII)- Continued Base Sheet (Optional): One or more layers Type G1. 62 or G3. Membrane: One or merit layers of "Kubarold Torch" (smooth or granule), "Ruboroid Torch Plus" (eremite), "Ruberoid Mop" ( granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq. 4. Decks C -11/32 incline: 1/2 Insulation: One or more layers pr,tite, glas> F+bec isncy,riHiuite, urethane. • perlite /i,ury,,nurit composite, perlite /urethane composite. phermlic. 1 -i /2 fn, min Ii'ickrtess (offset Iron) plywood joints 6 in,). Base Sheet: One at more layers of typo G2 or 113. Ply Sheet (Optional): One or mare layers of I .e G1. Membrane: O,:o or more layers of "Ruberoid Torch" (minnth or granule), "Ruberoid Torch Plus" (granule), 'Ruberoid Mop' (smooth or granule) or "Ruberoid Mop plus' (elanule). Surfacing: Karnak No. 97, 1.1/2 - 3 gal /sq• 5. Oeck: NC incline: 1/2 - Bate Sheet (Optional): One or pure layer of Type 61, G2 or t,3. Membranes One or more layers of "Ruberoid furrh' (ainnuth or granule), "Ruberoid Torch Pins" (granule). Surfacing Optional): Karnak "Na. O7" ur "U at :•3 gal /se or f;rundy ind. "ZO F Emulsiu at 3 gal /sq. 6. Deck: C -15/32 Meitner 1/2 lnsutotion: One or more layers perlite, glass fiber. 3/4 in. mini, isocyarrurate, urethane, perlite /Isocyantirate composite. perlite /urethane composite, phenolic, 1.1/2 in. min. Base Sheet (Optional): One or morn layers of Type G1. G2 or G3. Membrane: Ono or more layers of " Rubernid Torch" (;niiioth or granule), "Ruberoid Torch Plus" (granule), Ruberoid Mop' (smooth ur granule) or 'Ruberoid Mop Plus' (granule). Surfacing: Gravel. 7. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One nr mare layers perlite, wend fiber, glass fiber. icnry urethane, perlite/ isocyarrurate cnr.po its, potutc/ urethane cnntpusite, wood fiber / isoeyanurate composite. phenolic. Base Sheet: Twa or more layers of Type G2 or 63. Pty Sheet (Optional): Orre or more layers of Type 61. Membrane: Ome or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Mrs" Granule), "Rul,croid Map' (smooth or granule) or "Ruberoid Mnp Plus" (granule). Surfacing: Karnak No. 97. 1.1/2 - 3 gal/s4 or gravel. !: 8. Deck: NC tndine: 1/2 Insulation: One or mcre layers perlite, close fiber, 3/4 in. min, isocyarrurate. urethane, perlite / isoeyenurate composite, perllte / urethane composite, phenolic. 1 -1/2 in. min. ' Base Sheet (Optional): Ono or more layers of Type ,1, G2 or 63. Membrane: One or more layers of'Ruberonl Torch' (:mouth or granule). ••- . "Ruberoid Torch Plus" (granule), "Ruboroid Mnp' (smooth or granule) or • • "Ruberoid Mop Plus" (granule). Susfadngg: "AL MO Aluminum Roof Cnating ' at 1.2 gal/sq. t Deck: C•15/32 Inciter 1/2 Mutation (Optional): Oise or more layers perlite, glass fiber, 3/4 in. min, Isocyauurate, urethane. perlite /isocyarrurate composite, partite/ urethane composite. phenolic. 1 -1/2 in. min. ' One Sheet: One or inure layers of Type G2 " GAFGLAS VS Base Sheet", hot mopped or ntwchaniatly fastened in place. PIy Sheet' Une or more layms of Type 61 "GAFGLAS Ply 4 ". hot stopped ti in place. Membrane: "Ruberold Mop FR" (granule). ' . Surfacing (Optional): GAF Fihnred Aliinetnurn Coating at 1 -1/2 gal /sq or GAF Weather teat Emulsion at 3 gaViq• 10. Oeck: 0.31/32 Incline: •1/1 insulation (Optional): One or more layers perlite. glass fiber, 3/4 in. min, isoeyanurate, urethane. polite / isoeyanurate composite, perlite/ • 4i urethane composite, Typo 1 -1/2 in. min. ;- . Dose Sheet: Om or more Layers of T o 62 "GAFGLAS 1175 Base Sheet ", ".. hot mo S�,J mopped or mechanically fastened in plan. .iv , • Ply S One or more layers of Type G1 "GAFGLAS Pty 4 ", or "GAFGLAS t ,1 Ply 6" hot mopped in place. •, , .:: • Membrane: "Ruberoid Torch FR" (granule). 3.41- Surfacing (Optioned): GAF Fibered Aluminum Coating et 1-1/2 gal/s4 or z { ;;.a GAF Weather Coat Emulsion at 3 gal /sq. •. 1- beck C -15/32 Inclines 1/2 Al Insulation: lsucyanurate. Z in. ruin.. ia•cod fiber. perlite of glass fiber. •..A4 ° offs et thick in. ness, hot mopped or rn,:charriratly fastened in place. Joints . 40 Rap Sheet: One er more layers of Type G2 "GAFGLAS 475 Dasc Sheet ", •'„. • hot mopped or rnethanirnl(y fastened in place. IR gT. My Sheet (Optional): One or more layers of Type G1 'GAFGLAS Ply 4" or Phu 6" hot mopped in place. , • • Membranes 'Ruberoid Torch FR" (granule). i I • . ' Surfacing (Optlortal): GAF Flhered Aluminum Coating at 1 -1/2 ga(/sq or AF Weather Coat Emulsion at 3 gal /sq. LOOK FOR MAR ABC SUPPLY CO PAGE 14/14 ROOF COVERING MATERIALS (TEVI) ROOFING SYSTEMS (TGFU) -- "Continued 135 12. Deck: C -15/32 Incline: 1/2 insulation (Optional): fst+cy.nurale, Partite or glass Fiber, any thicknes, hot mapped or rnechanicelly fastened in place. Joints Offset 6 in. Base Sheet: One or more layers et type G2 "GAFIIAS :$/5 Base Slieu►'. het mopped or mechanically fastened in place. Ply Sheet: One or more 1.syess of Type 61 "CAMAS Ply r" or "ply 6 ". liot mopped in plate. Membrane: "Ruberoid Torch Fi1" (granule). •• Surfacing (Optional): GAF f iberrd Aluminum Coning at 1.1/2 pal /.q or •• GAF Weather Coat Emahian 1 3 dal/s14. 13. Oeck: NC (ratline: 1/2 Insulation (Optional): t:ccy,+nnrale, NnsoA ►ibrr board, perlite. p!.s fiber. any thickrosi. het :Pureed nr mechanically fastened in pia +e, Joints offset 6 in. Base Street: ilnc of orore layers of Type 62 "GAF( 5 1175 Base Sheer ". hot mopped in place, Ply Sheet (Optional): One or mnrc layers of type 6 1 "GAFGI AS Pty 4' or 'My 6" hut mapper' m plane. Membrane: "kuhernkt Tmrls 4R° (granule), Surfacing (Optfenal): 'GAF Meted aluminum Coiling" at 1 -1/2 gat /ca or GAF Weather Carr Emulsion at 3 gal/sq. 14. Deck: NC Incline: 1/2 Insulation (Optional): 3'pcyanurate, wood fiber board, perlite. glass fiber. any thickre -,s, hot stropped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of "GAFGLAS 1179 Base Sheet ", hot mopped In place. PIy Sheet (Optional): One or mare layers of "..AF GIAS Ply 4" Or "Ply 6" hot mopped in place. Membrane: "R,rbernid Touch FR" (granule). Surfacing (Optional); GAF Weather Coat Emulsion aiiplled at 3 gal /sq nr GAF Fibered Aluminum Crating at 1.1/2 gal /sq. 15. (Wks 6.15/32 tndina; 1/2 rr Insulation (Optional): Radice„ fiber glass, isoeyanurate. methane.. perlite/ isoeyanurate composite or phenolic. Base Street: One or more layers Type 67 or 63 Ipso street, hut mopped or mechanically fastened. Pty Sheet (Optional): One or snnre layers Type 61, hat mopped in place. • Membrane: "Ruhernid Mnp FR" or "Ruberoid Mop 170 FR" (granule). Deck: ( -13/32 Incline: 1/2 ' Insulation (Optional): Perlitc, fiber glass, isocyarrurate, urethane. perllte/ isocyanurate composite or phenolic. offset 6 in. from joints. Rase Sheet: One or inure leyen of Type 6.2 or G -3 base sheet, hot mopped or mechanically fattened. Pty Sheet (Optional): One or nsoro layers of fame 6-1, hot mopped in place. Membrane: One layer of "Rubernb Torch" or " Ruberoid Mop' (smooth), Membrane: One layer of "Ruberold Torch rR" or °Ruberoid Mop FR' (g 11. Deck: NC Incline: 1 Insulation (Optional): Partite., fiber glass, wood fiber, isocyar :urete, urethane, perlite/isdcyarnrrate composite or phenolic. Base Sheet: One or more layers Type 62 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): Ono or more layers Type. Gl. hot nrappnd in place. Membrane: One layer of "Ruberoiri Map FR" or "Ruboroid Mop 170 FR" (granule). 16. Reeks NC Meitner 1/2 Insulation (Optional): Partite, fiber glass. wood fiber. isoeyarturate, urethane, pertite/isocyt tirate composite or phenolic. Rase Sheet (Optiustal): Una or mom layers or 'type 1:-2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layer; of Type 6 -1. hot mopped in place. Membranes One layer of "Ruberoid Torch" (smooth), "Ruboroid Mup" (smooth). emeroibrane: d Mop On 170 e layer 1•R" of (9 'ranuleRuberoid ). R", Torch F "Rubernim Mop FR" ur ' 19. Deck: NC • Incline; 1/2 Insulation (Optional): Ono or more layvri of perlit., glass Fiber, isocyantirate, urethane. pertite/isr►:yanorate emnpns(to or phenolic. any thickness. Base Sheetr (Inc or more pike 61 or G':, hot :nrappnd or adhered with Kitrmtk Chene' al CO. "NO. PI' ni :ribson -Homan 'No. 6160' cold applied antic "rive at 1-1/2 gal /sq. membrane: Ono layer of 'Ruberoid flop 19' nr "Ruberoid Mop 170 FR' (gronula), hot mopped ur adhered wlrh IoKdine: ar'bl ( eniicat Co. "No. R1" or Gibtun -Homan "No. 6160' cold applied adhesive at 1 -1 /2 gal/sq. 20. Deck: C•15/32 insulations Polyisoryanurete, any thickness, Base Sheet: "GAFGLAS 175" (Type 62), mechanically attached. K ON PRODUCT 01'/27/2003 12:57 MEDITERRANEAN ROOF TILE 4 305757272B I7U11LDI1' G CODE CQmm.ANCa emu (JCCO) 1' ODUC a CONTROL 1311 / lON • ACCEPTANCE NOA Mawr MA), HIM. MI T191/ re Avenue Maud, FL 33166 Scot ~ : 1 irin NOA is being issued Lander the plieatble rules and regulations governing the use of cooeTu6tiar► materials, The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appesis (BORA) to be used in Miami Dade County and other arena where allowed by the Authority Having. lutisdictaott (AM). This NOA shall not be valid after the expirtatioa date stated below. The Miami-Dade County Product Control IDivision (in Miami Dade County) and/or the AID (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 expellee of snob testing ends the AM may immediately revoke, modify, or auspe d the use of ouch product or material within their jurisdiction: BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that tbie product or materiel fails to meat the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply withibe High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: PTION: Altvaee A Clay Rod The MIAMI-DADE COUNTY, FLORIDA MET1tO- DADO.FLAOLOR BUILD! NO 140 WEST $I.AOI ER 2110E7, SUITE 1603 iv11AMI, FLORIDA 33130 -1563 (303) 373 -2901 FAX (305) 375.2902 14OA 1Vo,t 02.itit3.e3 I g a p & E m d e n J e ; WWWWW7 Approval Data: )1x/3V 2 Pace it el NO.163 0002 L Liam( G: each unit shall bear a pernument label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unreal; o' ervrise noted herein. RIENTWAL elide NOA shall be considered after a renewal application bas been filed and there has been no change in the applicable building code negatively affecting the performance of alma product TERMINATION of this NOA will occur after the expiration date or if there ha been a revieion or change in the materials, use, end /ot mienufacwre oftbe product or process. Misuse of this NOA as en endorsement of any • product, for sales, advertising or any other purposes shall automatically terminate this NOA: Failure to comply with any section of thio NOA shall be cause for termination and removal of NOA. ADVERT;:,EMENTT The NOA number preceded by the words Miami -Dade County. Florida, and followed by • the expiration date May be displayed in advertising literature. If many portion of the NOA, is displayed, then it shall be done in its entirety. . INSPECTION: A copy of Ibis csinre NOA obeli be provided to the user by the rasrsafacturmr or its distributors and shall be available for is apectfon•nt the job site at the request of the Building Official. This NOA consists of pages 1 through 7. The submitted documentation was reviewed by The Zuloaga, RRC w�nt: 7n07 Ill'000 • fe?27/2003 12:57 MEDITERRANEAN ROOF TILE -> 3057572728 NO.163 P003 HBOoIa'1 vG A.ssalVOTILY APPROVAL OVAL Category: ltoofmg L SCOPE 2. PRODUCT DESCRIPTION Alton Otte Piece •S' Tile Clip Clip tftagagpirgin A 1asjiar Din_lopkgg S esfre Trim Pieces 2 .11U This renews roofing system Using Altus& Olte Piece S' C1say Roof Tiles, as manufactured by Aimaa (USA), line,. and described in Section 2. of this Nonce of Acceptance. For locations where the pressure requirernents, ae determined by applicable Building Code does not exceed the daoign psessuro values obtained by calculations hi compliant® with RAS 127 using the values listed in section 4 herein. The attachment calculations e',•.11 be done as a moment based system Roofing Tiles any L 1810„ W = 10.5' W' thick nominal 3.25" high Lam, varies Width: varies varying thickness I =6" = 0.12S" I. 2" w „ 0.05" thick MATTED EVIDENCE: CE: IMAM= = roe Center for Applied Engineering, Inc. The Center fur Applied Engineering, Inc. The Cerbtgr for Applied Engineering, Inc. The Center for Applied Enginoring, Irac. Cetote: Cospormtitvn Testing PA1 Aspho-altTeohnology. lac. tftedland Technologies Teat PA 1114 L Shaped tile clip Too Identifier 94.083 94-084 25- 7200 -1 Ptoject No. 307025 TestdDC -78 Burrs 320649 CLF-003-02-01 7161 -03; Appendix 111 Product Doesti titg TAS 112 Illigh profile clay roof tile. For direct deck OT batten nail -on, mortar set or adhesive set spplications. TAS 112 Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. PA 114 Tile clip Test Nemeillenettl Static Uplift Testing PA 101 (Adhesive Set) Statio Uplift Testing PA 101 (Motto: Set) Static Uplift Testing PA 102 (Quick-Drive Screvve, Battens) Wind Driven Rein PA 100 PA 102(A) PA 102 PA 102 211W April 1994 May 1994 Feb. 1995 Oct. 1994 May 2000 O000bet 2001 Dec. 1991 NOA Pio.: 02- 119114.03 iSsptradea Date: 112/116/07 Approval Dote: 1219310E Page 2 of win i : c u(17 . R l • Jet1 e.:? 27/2003 12 :57 MEEDIYERRRNEAN ROOF TILE 9 7 3057572728 RAAtea Redlnnd Technologies Ira 11t ad Technologies 1.edland Technologies Mislaid Technologies 11►ltallEer Engineering, Inc. Walker Engineering, Irtc. Walker Engineering, Inc. Wrier Engineering, Inc. Walker Engineering, Inc. Leas tdrntltt 716103 Appendin III Letter Dated us. 1, 1994 P0631 - 01 PO402,. Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations Evaluation Calculations 3. L f " 1 1tTATII6)NS 3.1 Fire e1assiftcatiou is riot port of this acceptance, 3.2 For mortar or adhesive set the applications, a• static iie1d ap1if test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of r Miami-Dade County Certifi . Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. testing shall be submitted to the Building Code Compliance Office for review. Roo Applications 3.4 Minttcautn underlayment shall be in compliance with the applicable �S pp Standards listed section 4.1 herein. perpendicular to the roof slope 30/90 hot caopped uttderlaytttent applications may be installed unless stated otherwise by the underlaymont material manufacturers published literature, • 3.6 Ilia acceptance is for wood deck applications. Minimum deck requirements Bha11 be in compliance with applicable building code. 3•,7 May be installed on slopes 7:12 and greater. 4. INSTALLATION 4.1 A1mei 'Altura One Piece S' Clay Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 42 Data For Attachment Calculations One Piens'S' TiI Tllo Preaflle 'mbli 10 Average eight (tiV) end ®Itmerinie is (0 n ) Weight-1N (Ilaf) 8,0 t I�ltaaaa1281= Wind Tutmel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -00) Wind Tunnel Testing PA 10B (Mortar Set) Withdrawal Reeiotanee Testing of saw vs. smooth shank nails Aerodynamic Multiplier 25-7183 25.7094 25 -7496 25.758 25.7804b -0 25-7804 -4 & 5 25- 7848 -6 Lengt 4 (ft) 1.52 DOA Dec. 1991 Aug. 1994 July 1994 Sept. 1993 March 1999 " March 1995 February 1996 April 1996 December 1996 lftltdJ%h w► (ft) 0.876 NO ids.: M- 111115.03 &Orat10 t Date: 12 /16/07 Appremal Dom 12/12/0Y2 Tose3 ®e7 N0.163 17004 Wral l : Q ?.flOZ 111'080 ' er;zi27i2003 12:57 ono Place The I 000reoe Tile Tile IPffof% MEDITERRANEAN ROOF TILE 3057572728 The Progno Ono o Pie 'S' TIle _ Batten° Tile 3 ":12°° Profile ®a essQ 5 ": 12.E 1 " ; or raster Direct Dace` Tell® 3: R ®fltrarl Direct Deck Tebb 2: Aer®et r ' ralQrn lc i leAlQl „ll 217» - A '.� Gotten A Welton I Direct it Application 0.253 i 0.27�d 4°a. 12" ®bent Bottom Direct Dock Deck 5.35 4.40 821 4.31 Tal9e 42 AttillcPhnsamt Resistance Expressed se a aliment - Me 0.9bfl) for ball -On i. , Sterne _. FaMensr Typo Direct eloca i Wad Deck Battens (filet 15132" (PJ M 19/32" plywood) plytaroed) 2.904 Shank t 1 (Th 111 a @.® 1 - 10d m th or SCr�v .1 Shank Nell 2 -10d Smooth or Screw 8.9 Shank Nails 1 .*8 Screw 2 Screws 1.10d Smooth or Screw Shank N®II jFletd Clip) 1.10d Smooth or Screw Shank Nail (Eave Chip) 2 -lad Smooth or Scrota Shunt P leile Field Clip) 2 -10d h or Screw Shank Na Ewe 0 28.7 58.2 23.1 29.3 27.8 38.1 t per patty 10.7 grams. rams. 0.2 23.1 29.3 - 27.6 35.1 One Piece "S" One Piece "S° 1 Screw with clip (at the 35.2 Ttle' water course 01 tile) 1. Scrota must Oa Installed In the Insi4& nail hole located rioareat tD the hump of Ma eta. 6.18 4,20 5.03 4.08 ®.t3 r 2.8 18.0 2 0 38.0 41.8 any ra 2 ' Aee 3 Flexible Product Company TilaBond Average twig Poe . - tit Product Inc, Averse r i 4 tt 0 COM aliment Resisten(0o Expressed os o rte ; ,intt Mr 0-9faP) or Pe Adhesly_ est tams ._ Tile Application Mini UM Attachonent Reels ;' nos 29.3 �fpesi Proftte One Piece 'S' Tile onanl Adhesive s vel tor tnatelettan ulretnoote. P1OA No.: 034.1115.03 aptness Ds : 1130/07 Appsovel Dare: 12/12/03 Ira ,i 4 087 NO.163 P005 N,dI L:q /00Z '81'090 22/27/2003 12:57 MEDITERRANEAN ROOF TILE -► 3057572728 gelbt® SA: Attachment b esieteraaro Expressed es ®' a °am®rit a (ftpibq for Sin rl ®P Adhesive Set 8 stems TO Application Tile Profile O is New 'S''TM 4 L®fgp_ml ill Oi ,A.Seleflt O L PAO yPoar+1 PoOyPron Polyioern PolyPro'm t Po I Prom. — 6 Medium eddy 1acemen t t 424 mineclft ' m Table ®: ;h,ttach4ment RentstQnes Exiarsirse 1 as >� for Mortar SeQ X011 t a �J9® One Piece 'S' Tile �. Mortar Set rtlm am Attachment Resistance 416.5 S - Attachment Resistance Tile Applicatlo _ ©merit • illl7ift•1hfr . . 24.50 �i. LA`„ELINfa All tiles shell bear the imprint or identifiable marking of the manufactures name or logo, or following matement: "Miami -Dade County Product Control Approved ". 6. U1LDIING PERMIT REQUIREMENTS 6.A Application for building permit shall be accompanied by copies of the following: 6.0 This Notice of Acceptance. 6.1,2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS ONE 1Pir Cif `3 CLAY ROOF TILE hTOA RTo.: 62- 11115.03 Rapiraeton Date: 121 Appr TM I Data 12, 2Im Pages el 7 NO.163 IP006 WrI I I : e. 7OL 7.. 11.080 2/27/2003 12:57 MEDITERRANEAN ROOF TILE 4 3057572728 NO.163 9007 "OPAP W 4 Ci' ME BY A9311U1A (MP.) CUP D T US cup MTN ONE (1) SOWN ATTACK= TO PECK 2.913' overauPP (come iNt7 o1cIA) SCION IN nIZ @IS1% NQEP CIEANEOT TOME MAP OP TMl TILE CLIP ECK ti NOA NO« e2- 1,115. 03 lEap(eati oon Date: 12/16/07 Approval Data: 12/12/02 hip 6 en r II:C 711112, •al.aan 7/2003 12:57 MEDITERRANEAN ROOF TILE -v 3057572728 . EMMA, MUNI 6UP ONTO MV4 r � I • J 7 407•n1I limmatur umm AimUAA CLIP PLACIVENT METAL CLIP D1ETAIIFI.S•(CON'rD 2 Vr OYQRLAP (COVERS PIN NOW END OF THIS ACCEPTANCE SCREW t!V THERM= NAL NOLO NI N 23T TO Tie HUMP OP Tae hL DOCK r tta° t V4 we NOA,No.:02.11AALO3 Expiry yon Dam U(607 App¢o 12i1212 ?Age 7 of 7 NO.163 DOOB znflz •R1•00n SECTION 1524 HIGH VELOCITV HURRICANE ICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 A.s it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building' govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. A. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (iIigh Velocity 1 Zeus) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part: of the agreement between the owner and the contractor. ,0" ,f. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be r Oiled in accordance with the current provisions of Chapter 16 (1-iigh Velocity Hurricane Zones) of the Florida i►ildj� Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring nits (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner., Could notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be ow ed from below. The owner may wish to maintain the architectural appearance, therefore, rooting nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and rnay require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. . Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if 4 'overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the r i'ixfterior of the structural assembly (the building itself). The existing amount: of attic ventilation shall not he Vreduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner's /Agent's Signature Date Contractor's Signature C:Nrocumrnn end S. rringr4Kernm eN.awl \Y'emp\2'empmerr lnrrrn.r 1tk,(,,rsnl.lk_R(IK LOA I•'I'I\S crIuN I521111.4. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address // 7g /t, 'g 5fTax Folio Legal Description Historically Designated: Yes No Owner/ Lessee / Tenant . .4°h'h =7_Q Master Permit # 4 T Co Owner's Address // 7 L% ' j Phone Contracting 77. Address PG-e ' /g rao /,-"' / 3 /©i Qualifier 4.7//!"1... /'40174 c ii SS# Phone - 7 - 4 'e /S' State # G'� ©S Municipal # 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 � _ �� j�� /_ - / Square Ft. � �� Estimated Cost (value) 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 •nstruction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. 127ae, 11 Signature of Contractor or Owner - Builder Date • "LI; aa. ,v • and/or Condo President Notary as to 0 My Commissi 44. OF no FEES: PERMIT er and/or Condo President n Expires: ISABEL BEEVERS My Commission CC480995 ' Expires May. O8, 1999 Bondedby NFNU 800,224.6388 Date RADON C.C.F. �� \ _.2.&_e-e'er 4f 7 Notary as to Con ctor or Owner - Builder Date My Commissio Expires: 1i 1 p +� 4�, ISABEL BEEVER3 MY C .� �JJ cc4eo9st .. Bonded by �6 ExIres May. 0a, 1999 ' 80( u of fl.V NOTARY BOND TOTAL DUE APPROVED: Zoning Building � l Electrical Mechanical Plumbing Engineering Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Job Address: //7 '7 .-v T ROOF CATEGORY E (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof e- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft') �� Sloped Roof Area (ft) Total (ft) �e9 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Ft. F v A A V 1- gafglas mineral surface 7 2- gafglas ply 4 with hot 1- gafglas 75# base tin capped Deck e: 5/8" cdx & wood plank it s. „ - , x- ••• .-- v �.,26.,:C ATTACHMENT 1 5/8" tin cap Fastener Type: with 1 1/4" rs nail SPACING 9" laps Field: 12" Perimeter: 6" Corner: 6" Cil DETAIL 1 & 2 cap sheet with hot asphalt asphalt ROOF PLAN r r r r t PRODUCT CONTROL NOTICE OF ACCEPTANCE GAF Materiab Corporation 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of: GAF Conventional Bulk-Up Roof Systems for Wood Decks under Chapter 8 of the 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: Dynatech Engineering, Inc, Factory Mutual Research Corporation. and Underwriter Laboratories, Inc has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2-40 and the standard conditions on page 41. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time from . a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify, or 'suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval. if it is determined by the Building Code Compliance Office that this product or Material fails to meet the requirements of the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 97 -0 804.21 Revises No.: 95- 1003.03 Expires: 11/04/00 aul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Flori• under the conditions set forth above. , �I Approved: 11/04197 Turret mail address: postmasterebuildingeodeonlin e.com • auti.oiNG Coo+E cOMPLUANCEOI ICE METRO.OADE FLAMER _ NG 140 WEST FLAGLER STREET, brief o3 MIAMI; FLORIDA 33130=1543 . (3043t'54901 FAX (305).375.2905 S PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372 -6339 Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Homapaga: httpl/www.buildingcotboN[nI.com PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Membrane Roofing System Sub - Category: Built -up Roofing Type: Conventional Sub -Type: Fiberglass Contact: William J. Woodring Director of Technical Services (973) 628 - 4134 Par 2of41 Product Control No: 97-0804.21 .�: bte irflt Applicant: GAF Materials Corporation Product Control No.: 97 -0804.21 1361 Alps Road Wayne, NJ 07470 Approval Date: November 4, 1997 Expiration Date: November 4, 2000 System Description GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produces a wide range of roof products for built -up and modified bitumen roofing systems. In addition, GAF offers two ply modified systems to meet the demands for multi -ply SBS modified specifications. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the °GAFGLAS Built -Up Roofing Application and Specifications" manual published annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. GAF Materials Corporation products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. For more information on specific roof system constructions, contact the Technical Service Office, located in Wayne, New Jersey, at 1- 800 -ROOF -411. Zuloaga, Roofing Product Control Examiner Insulation Types: Maximum Design Pressure Material Design Pressure Wood -75psf Maximum Fire Classification Material Classification Wood Class'A' Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. Basalt Wool Perlite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool • a 2 1AD Roofing Product Control Examiner i, 1+1ZC ( Deck Type 1: Deck Description: "1 or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Base Sheet: Ply Sheet: Cap Sheet: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: Wood, Non - insulated New Construction or Reroof GAFGLAS #80 UItima Base Sheet, GAFGLAS® PLY 40, I GAFGLASO PLY 6®, GAFGLAS FIexPly, GAFGLAS STRATAVENT4D Nailable, RUBEROID Modified Base Sheet or RUB£ROID® 20 applied to the deck with approved annular ring shank nails and minimum 1 s / tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered along the center line of the sheet in the field. wo r three pli i •!0.3 of GAF • PL , GAFGLAS Flex.Ply 6 or A GLAS® PLY . 1 ? p ' ee a ' ered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq.. (Optional) One ply of mopping of approved alpha lbsJsq.. Prodt<crControl No: 97410421• AFGLAS® Mineral Surfaced Cap Sheet a Ayr r Ana .i a:5:1. m9!aYG dinafull nge and at a rate of 20-40 (Required if no cap sheet is used) Install one of the following: 1.GAF WEATHER COAT® Emulsion with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 gal./sq.. 2. Asphalt flood coat at an application rate of 60 lbsJsq. ± 20%; plus gravel or slag with an application rate of 400 lbs./sq. & 300 lbsJsq., respectively. -45 psf. (See General Limitation R7) 'A'. See General Limitation #2. 6 ":12 "; See General Limitation #3. N- B-3-G, N -B-3-C, N- B-3 -M, N- B-4 -G, N- B- 4 -G/P6, N -B-4-M, N- B- 4 -M/P6, N- B.4-C, N- B- 4 -CIP6, N- B -5-C, N- 13- 5 -C/PC, N- B-5-G, N- B- 5 -G/P6, N- B-5 -M, N- B- S -M/P6 . -•17} _ ProductCoatrot No: 97-0821 Wood Deck System Limitations: 1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F') of 95 lbf or greater as tested in compliance with Merto-Dade County Protocol PA' 105: :If F as tested is below 951bf, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from Merto-Dade County Protocol PA 105 and calculations in compliance with Metro -Dade Roofing Application Stanadrd PA 1 17. 2 All standard insulation panel sizes are acceptable for mechanical attachment. When panels are appiied in hot asphalt, maximum panel size shall be 4' x 4'. a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of 275 lbf. as tested in compliance with Merto-Dade County Protocol PA 105 '& Roofing Application Standard PA 117. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 3 A slip sheet is required with Ply 4® Flex Ply' 6 and Ply 6® when used as a mechanically fastened base or anchor sheet. 4. 'A Type X gypsum board is acceptable to be installed directly over the wood deck.. Roofing Product Control Examiner GENERAL LIMITATIONS All asphalt shall comply with ASTM D 312 type III or type IV requirements, and approved by applicant. 2 Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 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, install one layer of GAFGLASS STRATAVENT Perforated, laid dry.A base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous 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 pst. Where STRATAVENT Perforated is used over approved isocyanurate foam insulation, the maximum design pressure is limited to - 6opsf. 5 All work shall be performed by a contractor licensed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer, and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section I1 Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. Page 3Sof41 uloaga, Roofing Product Control Examiner Product Control No: 97 -08O42t Perimeter and cbrner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with MetrorDade County Roofing Application Standard PA 117. (When this limitation is specifically referred within this NOA, General Limitation #20 will not be applicable.) 8 All attachment and sizing of perimeter milers, metal profile, and/or flashing termination designs shall conform with Metro -Dade County Roofing Application Standard PA 111 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturers standard details, and may he applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provision of the South Florida Building Code. 10 Fastener spacing for base sheet attachment is based on a Minimum Characteristic Force (F') value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener values as tested are below those listed in the System Limitations, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from a Metro - Dade County Protocol PA 105 test report and calculations that comply with the wind load requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard PA 117. 11 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with PA 105. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 12 Asphalt mappings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 13 Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct:, application procedures of insulation panels in approved asphalt or bdhesive, which shalt _ _ comply with provision of Roofing Application Standard PA 117. Roof= Product Control Product Control No: 97- 0804t2t • 14 All standard panel sizes are acceptable for mechanical attachment. When applied us: approved asphalt, panel size shall be4' x 4' maximum. •. mil{ k'�{�.r..�. 15 In re- covery/re- roofing applications, prior to the application, all existing roof surface usedliass .., bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA. •12 r uplift resistance. Test pressures shall be calculated in compliance with the requirements of Chapter 23 of the South Florida Building Code to the design pressure of the loaf. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(m), (n) of the South Florida Building Code. 17 Roll good materials shall be stored on end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 19 Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with sections 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 20 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, corners). No 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.) Page 40 of 4 R u aaga. Roofing Product Control Examiner; STATE OF FLORIDA, 1 . COUNTY OF DADE. J $ Permit No (!/ Disapproved (Signed) Chairman ,Member Member .. .. ......... Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged materials anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby matte for the approval of the detailed statement us ine plans and specifications herewith submitted for the build • inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's lame and Address . /.1T • C' He ifil-- . -- ....._ No.../...L.Z/ »...._... Street n.6....g&.._. . :..._. Registered Architect and /or Engineer Name and address of licensed contractor P/0 A /Fee S'.s / A/ ,P7 C,_ .(1A/7"' ./ • «.y,.w . 4=.:w Location and legal description of lot to be built on: PLRi &.'O. ./3 .- Lot (.220 Bock i 1 Subdivision. t!2' 0•.m•'r i,A e. -,/.L•..1•es , e ' fe Street and 'Number where work is to be done //7 A-/ &'--- c1-.d»• "5T .—.._ — State work to be done and purpose of building (by floors )...RE.R v -,' 60 / T N C e T T -/L fiN. .5PH4 L2 - -t` 626"6 (iE- e-rity .0 . 2 S$' _--- •- •.------ .... ........ ...._. ».......__.___ and for no other purpose. Ncw Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering t i Estimated Total cost of improvements s..4. f .6U 7 0 U Amount of Permit 1... ` 19r 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 Ltbor under the Florida Workmen's Compensation Act, being Section 5)G6. Compiied General Law .f Florida. Permanent Supplement, anti has complied with the provisions thereof, and will require similar compliance from all atractor • sub- cnntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for in tion on ite of t work su uhlic notice or notices as arc required by the Act. The undersigned agrees to employ only such su• •actors, o• •r 't /• p rfo under this pcnnit, as are licensed by Miami Shores Village. Remarks Before me, the undersigned authority. a notary public, duly peared N F/1 A/1) Date /4/618/ ..... Date.._.. Building Inspector (Sign Rea PLANNING BOARD ft,. ,t •••f, ffft171f'fft • Sworn to and Subscri Me mber __....__.. » .» Member ......._.... »... — Member Date Disapproved ......_...._........ making corrections or changes to this application after approval when such re- inspection is made necessary by Improper notice \ir 43° authorized to administer oaths and take acknowledgments. personally ap- - to me well known, and who. being by me first duly sworn, upon oath deposes and says that he is the. Re.47)EAri of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, said that all facts therein by him stated are true. be fore c • . Z_. otary Public, State of Florida My Commission Expires Nay Poblk Slab 01.E » =-- Csmaki p i Non. 2$ 1992 _._._.DATE esadld Tin USF & G CP Date has been obtained from for inspection oe faulty Application is hereby upnde for the approyal of the detailed statc,,lent or we plans and specifications herewith submitted for the build inc 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 Minrni Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during prpgreu of the work. Owner's Name and Address Registered Architect and /or Engineer ` I - tt...t,,•}T1tflTTtfnt.!• „T!It. ......... Name and address of licensed contractor ' ' �lYl i . \ ` It C�t�,....._.. 31920 N1-\11.t — Location and legal description of lot to be bail on: f� iF.� °' «n �1�1! /1 � Oaf% �/ Lot ' Block / 2 1 � gq Subd'vision... ,t.1.. 1 J -/f k / D Street and Number where work is to be done ....... / t�l. `t..... .. r ..._.. _ State work to be done and u ose of building (by floors "'r " tY " g D m B ( Y ) pennit, as are licensed by Miami Shores Village. Remarks pealed Member . Disapproved (Signed) BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT p� a 1►0. y 'k6.�1� nl .)s 1119 dat .4.. Date. Building Inspector MIAMI SHORES VILLAGE (Signed) \fcrr,ber Member Member Council Approved Date Disapproved and for no other purpose. Repairs / No. o Stories...... / ...... ... New Building Remodeling Addition To be constructed of Kind of foundation Roof Covering ctO Estimate Total cost of improvements $ l' r ( Amount of Permit & aO c Zone cubage required Plan Cubage Distance .to next ne.vest building.. Size of Building Lot llaxirnum 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 obligation% as an employer of labor under the Florida Workmen's Compensation Act, being Section 5e066, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only suc subcontractors, on work to be performed under this STATE OF FLORIDA, COUNTY OF DADE. J SS. Before me, the and signed authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap. INA N 12� S' b4 o-1 Subscribed before me 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. ._ t. Date 7 i Nl ?IL do tary Public, State of F+16rida ir NOTAAY PU"Uc S S�Q C; FLORIDA AT !ARP ommission Ex p giyet} IQ F t o tifl•RYr7e ' PLANNING BOARD DATE Chairman Member NOTE: A charge of $1.00 will be made for making corrections or changes to this application offer approval the Plannit.g Huard. A re - m.txc lion fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice materials and /or workmanship. Date has been obtained from for inspeaiion or faulty STATE OF FLORIDA, COUNTY OF DADE. ss Disapproved �.. (Signed) Building Inspector 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 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...`. r2e._ ,19.._._ Owner's Name and Address .. 1 ''` ✓ k _ 'el/ ..k!/ — No. .. /1.. :7.x..__. Street—.92. .. s ass.. Registered Architect and /or Engineer ..i.. HY. !eIk/S., n ...,.. . ........... ....................... -TT .... Name and address of licensed contractor..HV. .r . 1 — Allis Pr Q ..GGt J u t ':.3. 6."1?. ,4 21 .. Location and legal description of lot to be built on: PP �+ Lot (i Block 1 7 f Subdivision.. lee 4)6 a!_^ 2. s c. ` 'v ...._ / 73 -- S Street and Number where work is to be done / 1 72 NE , Y?S t ► , , State work to be done and purpose of building (by floors) 0 Q 4./N.......` . , -LC ........_..� .rye c ,,. S..X !` 1,1114.. _... a_02 _ y and for no other purpose. New Building Remodeling Addition Repairs No. of Stories. To be constructed of Kind�gf foundation nddat Roo Covering l// :._..� Estimated Total cost of improvements $ 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 The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su ntractors, on wsprk be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed ate. 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. � t Permit No 1 / 0 Date $./N "( / - .f-� Read, Sworn to and Subscribed before me. to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Mcmbcr Member Member sass.. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the P1.inning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. RN y4 £?,2" ,, 9iv, C3 5-.09®r° Owner's Name and Address._ Registered Architect and /or Engineer Street and Number where work is to be done Disapproved , Date (Signed) ai�wr� oar% 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 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. ,2u i/ /, J 4 / Name and address of licensed contractor (_' 4 Location and legal description of lot to be built on: Lot Block Subdivision 1/'`/ / /� f . 1' State work to be done and purpose of building (by - } ... —� -, - /- l } -' and for no other purpose. New Building Remodeling Addition Repairs •-.' No. of Stories. ./ > To be constructed of Kind of foundation Roof Covering » -- :" - 4 Estimated Total cost of improvements $ ,..4 Amount of Permit $ Building Ins • ec . r - rte. . .�' - Zone cubage required Plan Cubage Distance to next nearest building. Size of Building Lot Date..._ ° 19 f No /1 '. -- ... Street.l Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub�� tractors, on work to be performed under this permit, as are licensed by Miami Shores Village. t -/ - - Remarks (Signed) tit A 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 caref ead the foregoing application, and that he did sign the same, and that all facts therein by him stated are Permit No ® 3.- Date, ! ' s r. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.