1208 NE 98 St (6)Issue Date: 9/12/2006
Owner's Name: THEODORE DONAHUE
Permit Type: Roof
Work Classification: Roof - New
Job Address: 1208 98 Street NE
Additional Information
Miami Shores Village, FL 33138-
Comments:
RE -ROOF FLAT ROOF AND TILE REPAIR
Fees Due
CCF
Education Surcharge
Permit Fee - New Roof
Scanning Fee
Technology Fee
Total:
Amount
$3.00
$1.00
$250.00
$6.00
$6.25
$266.25
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 03/11/2007
Contractor(s)
DALEY ROOFING INC
Phone
(305)754 -9892
Primary Contractor
Yes
Type of Work: Re -Roof Additional Info:
Classification: Residential
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Invoice Number
RF - 9 - 06 - 26136
Total:
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: RF - - - 2281
Total Square Feet: 360
Total Valuation: $ 4,500.00
Re • uired Ins • ections
Tin Cap
Hot Mop
Tile In Progress
Up Lift Report
Final Roof
Amt Due
$266.25
c0-1"
2 8 PH
Phone:
1132050090360
Lot:
PB:
Amt Paid
1
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
r
Passed 06 co
5 1 2
Inspector Comments
�V
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -26107
0 6 ZS
Permit Number: RF -9 -06 -2281
Inspection Date: 10/05/2006
Inspector: Grande, Claudio
Owner: DONAHUE, THEODORE
Job Address: 1208 98 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: DALEY ROOFING INC
Building Department Comments
Wednesday, October 4, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Roof - New
Phone Number
Parcel Number 1132050090360
Lot:
Phone: (305)754 -9892
Page 1 of 2
Is
Inspection Date: 10/02/2006
Inspector: Grande, Claudio
Owner: DONAHUE, THEODORE
Job Address: 1208 98 Street NE
Project: <NONE>
Contractor: DALEY ROOFING INC
Building Department Comments
Friday, September 29, 2006
Miami Shores Village, FL 33138-
Inspectlon Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
OCT 0 3 2006
Block:
Permit Type: Roof
Inspection Type: Tin Cap
Work Classification: Roof - New
Phone Number
Parcel Number 1132050090360
Lot:
Phone: (305)754 -9892
Page 2 of 2
Infraction Passed Comments
TIN CAP SPACEING True
C d
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
($
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Is
Inspection Date: 10/02/2006
Inspector: Grande, Claudio
Owner: DONAHUE, THEODORE
Job Address: 1208 98 Street NE
Project: <NONE>
Contractor: DALEY ROOFING INC
Building Department Comments
Friday, September 29, 2006
Miami Shores Village, FL 33138-
Inspectlon Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
OCT 0 3 2006
Block:
Permit Type: Roof
Inspection Type: Tin Cap
Work Classification: Roof - New
Phone Number
Parcel Number 1132050090360
Lot:
Phone: (305)754 -9892
Page 2 of 2
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: RF -9 -06 -2281
Invoice Number: RF -9 -06 -26136
Applicant: THEODORE DONAHUE
Company Name:
Owner Address:
1208 NE 98 ST
MIAMI SHORES, FL 33138-
Job Address:
1208 98 Street NE
Miami Shores Village, FL 33138-
Date
Friday, September 29, 2006
09/29/2006 Check
Payment Type Check Number
6466
Amount
$266.25
Change
$0.00
Total Payment: $266.25
Page 1 of 1
3057549852
09/29/2006 08:56 3057549852 DALEYROOFING
)' ONJ NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
TAX FOLIO NO.
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 provideci in this Notice of Commencement.
1. Legal description of property and street/address:
2. Description of Improvement:
.eaCaF P,4-i ti
3. Owner(s) name and address: O /�D.t• �. S
1 8 ,>J q8 5i-, /t4 , Farr , ,
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: --
73 k /J1-3 f 0 ST t:) /Jerry' r(.-• 3 3 /CaX
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
In Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a
d ifferen date Is specifle
gnature of Owner
Print Owner's Name
Sworn to and subscribed before me this ! to
Notary Public
Print Notary's Name
My commission expires
1;1 PAGE 4 9/02
•
.■
• •■ IT.
* CATHERINE A. DUFFIN
CON MISSION* D0403798
SIRES: MAR. 07, 2009
Sodded nuns w4angRARRJ.inS.ca,.tar ___ ..__..____,._.__._ -.. -• -- -- - --. °..
nog tu,c, 9 k s
ti.lit9r77! ...c. s T �� 33/3g
( te r rJ . t i ‘ )
01
II11111111 VIII VIII IIIll VIII IIIt1IIII flit
G F - I4 2l'91+31da.hCI 9E VS4-I_
OR Bit 24907 Ps 33281 (1P5 )
RECORDED 09/14/2006 09:29:58
HARVEY RUVIN. CLERK OF COURT
MIAMI-DADE COUNTY. FLORIDA
LAST PAGE
Prepared by --1 51 Q i
2044 ac./ 4919fi•
Address: 73/ NGt/ /C'7 51
it.bam-/, m' . 33 /log
•
Owner's Address
C ity / J, m'n 1 Sko 2 S
Tenant/Lessee Name
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
091/2,6.
kOn
BUILDING @ M ESE 1p Permit No. C-FCG ' 22 &1
PERMIT APPLICATION Et SEF ['' ster Permit No.
FBC 2004
BY: gy
Permit Type (circle): Building Electrical ,✓ Plumbing Mechanical
Owner's Name (Fee Simple Titleholder) , � e C , /20 c. Phone # 36S 79,2 4
State 'rt.
Job Address (where the work is being done) /?Og i(1 - 9&' ST
Contractor's Company Name bAttey // /fti JN'L
Contractor's Address 'its ) A) 10 ° S y
Submittal Fee $ Permit Fee $ J •
Notary $ Training/Education Fee $ , 1 •
Zip 33 /3S
Phone #
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES NO t�
Architect/Engineer's Name (if applicable) Phone #
Bond $ Code Enforcement $ Double Fee $
Zip 33/3
Phone # 9 72
City /„ //97P) / State ki Zip 33/42
Qualifier Name .vt ULL Phone # c of °75`f h ' /?-
State Certificate or Registration No. ei59/90 Certificate of Competency No.
Value of Work For this Permit $ 4500 Square / Linear Footage Of Work: 360.SF
Type of Work: ['Addition ['Alteration ['New (eQpair/Replace ['Demolition
Describe Work: a -ICOc* f— c,p, - r f
egl - Y1C -f.®1) J 0 COI moc )S:K . P ) 4- '2 c ? (�
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ ( /�)
CO /CC
Technology Fee $ 6.2S
Scanning $ ,& / Radon $ DPBR $ Zoning $
Structural Review. $ Total Fee Now Due $ 2G6 . 25
See Reverse side -1.0
cJK ('
Bonding Company's Name (if applicable)
l3onding Company's Address
City _ _ State � Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature _ _
Owner or Agent Contractor
.')
The fore ing instrument was acknowledged before me this 4, foregoing instrument was acknowledged before me this
day of % , 20 0 by fi e' d c'e /�- [J Oht4h day of , 2 �/ , by. r r , �f%
who is personally known to me or who has produced -- Pl^rl/' who is personally known to me or who has produced
/`fe—_• As � eent fic t i a q l who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
APPLICATION APPROVED BY:
(Revised 02 /08/06)
Signature
Sign:
Print:
Print: CA « "i'_
My Commission Expires: y',4 '
D1)e0273:3
*x*** * **, *** * * * ** * * * * ** *, vet: + * # *** **ttt *Imtt x ** * * * * * * * * * * * * * * * * * * * * * ** * * * ** * ** * * * * * * * * * * * * * * * * * * * *** * **
My Commission Expires:
Oso
Plans Examiner
Engineer
Zoning
SECTION 15124 • • • ' ''
HIGH VELOCITY HURRICANE ZONES REQIAR.CC IsiOTIPIC'4'CaN ROOFING
CONSIDtFzATrdNS • • • • ' • • • •
• •
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the
required roofing permit, and to explain to the owner the colater of this sgetlort'TheVrovisions of Chapter 15 of
the Florida Building Code, Building govem the minimum requi efts :aNst$r1dardt.of the industry for roofing
system installations. Additionally, the following items should be.aadres se: park of the agreement between the
owp� and the contractor. The owner's initial in the adjacent indicates that the item has been explained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone)
for the purpose of providing that the roofing system meets the wind resistance and water intrusion
erformance 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
b�� dressed as part of the agreement between the owner and the contractor.
�l1 _2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed
a ordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building
• (The roof deck is usually concealed prior to removing the existing roof system).
` , 'I
3. Common Roofs: Common roofs are those which have no visible delineation between neighboring
s (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner
sho . d 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
ewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
opt'•n of maintaining this appearance.
.111111w �
5. Ponding Water: The current roof system and /or deck of the building may not drain well and may
cau e water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original
ng system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance
wit he Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of
the ructural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be
bene cial to consider additional venting which can result in extending the service life of the roof.
Owner's /Agent's Signature 1
q0 N -q'f .
Property Address
Rev:1120/2005,Computer Services, Building Department
Date Contractor's Signature
pro -228
Permit Number
. ..• • • • ...
• • • • •
• • • • • •
• • • • • •• • • • •
• • • • • • • • • .•.
• • • ••. • • • • •
islagsrv
a 0 6 NM 101
BAQ.CQ.-17-.E21
1
• ..•...
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
Master Permit No.
1 V4, -22e
agrAtiaresa . . • . •
I D uw o Jiic 1 1 Z-' g: :.ii s • :
. . • • • • • ••
Contractors Name:
Roof Category
Low Slope r Mechanically Fastened Tile
I Asphaltic Shingles r Metal Panel/Shingles
✓ PresaQbve BUR -RAS 150
r Other:I
Roof Type
New Roof (Re-Flooring r Recovering r y,
Repair r Maintenance
Slacks Are there Gas Vera located on the room r Yes 1�{No �tf yes, what type? r Natural r LPGX
Roof System Information
`3 Steep slope roof area MI 40 Sloped area (10)11 `` `O Total (L 3 (0o
Section B (Roof Plan)
Stetdr Roof Plan: lyustate at levels and sermons, roof drains, scuppers, overflow scuppers and overflow drains. irdude d pensions
of sedions and levels, dearly idenhiy d" pensions of elevated pressure cones and locale') of parapets.
Perimeter Wider (a'X 1 Caner Size (a' ' a').
file: / /C: \My %20Documents \appendix %20e.htm
•
• • • • • • • • • • .. • • • ••
Section A (Genera In •
PA ' ' • ' • •Proediss No. ' • •
Page 2
• • ... • • • •••
• •• • • . .. •• • •
• • •
• • • ••• •
• .. ••. •.
1
E Mortar /Adhesive Set Tile
(— Wood Shingles /Shakes
Page 1 of 1
8/3/2006
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
• • • • • • • • • •
• • • • • • • • • • •
Section C (Low Sloped Roof System)
Fill in the specific roof assembly components. If a component is not required, • insert not applicable (N /A)
in the teat Dolt. • • • • • • • • •
• •
• • •
•
•• • • • • • ••• ••
RoofSystem Manufacturer. Base Sheet(s) & No. of Piy(s):
OLy 44 7
NOA No: 03i DSO 10- System Type: ten
Wind Uplift Pressures, From RAS 128 or Sealed Calculations: Ply Sheet(s) & No. of Ply(s):
(P1) Field: 6 psf (P2) Perimeters: 8 / 3 psf
(P3) Comers: 11 psf
Maximum Design Pressure, From the Specific
NOA System: ' J psf
Deck type: 5/8" Plywood
• These decks require a fastener pull teat by
an approved teat laboratory
Other Deck Type:
Deck Support Spacing:
Slope: Yl fVf :12
Are or Vapor Berrien
Anchor/Base Sheet & No. of Py(s):
Anchor/Base Sheet Fastener/Bo ing Material:
Insulation Base Layer Siz Thickness:
Insulation Base Laye astener/Bonding Material:
Insulation Top . yer Size & Thickness:
Insulation op Layer Fastener/Bonding Material:
ailer:
Wood Nailer Fastener Type and Spacing:
• • •• • • • •••
•• •• • • • • • • •
• • •
• • • ••• •
• • • •
Base Sheet Fastener/Bonding Material:
� � Y•S. rda1 n (Ws, ) 6 /g - bi , t i ps
Top Ply:
kl
Ply Sheet Fastener/Bonding Material:
Moo, rW ctif l 170 rx
Top Ply Fastening /Bonding Material:
Surfacing:
Single Ply membrane:
Single Ply Sheet Width: 1/2 sheet width:
No. of Single Ply 1/2 sheets:
Single Ply Membrane Fastening/Bonding Material:
Drip/GS Edge Metal Size & Gauge or weight: 3X3 c r , (r!\
Drip /GS Material Type: (fL--
Drip /GS Hook Strip /Cleat Metal gauge or weight: N/A
Parapet Coping Metal Size & Gauge or weight: N/A
Coping Material Type: N/A
Parapet Hook Strip /Cleat Metal gauge or weight: N/A
FASTENER SPACING FOR BASESHEET ATTACHMENT
1. Field:
2. Perimeter:
3. Comers:
Field:
Fastener Type :
N/A
Alternate Fastener:
g " o% @ taps &
" o/c @ laps &
" o/c @ laps &
n rows @ ? "
7 rows @ °
7 rows @ "
NUMBER OF FASTENERS PER INSULATION BOARD
Perimeter: Comer:
Page 1 of 2
http: / /www.miamidade.gov/ building /roofing_permiting/section c_4 %202.htm 8/21/2006
• • 0041 • • • •
• • 0 • • • • 00 •
• • • • •
• • 000 • • •
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPUICATION
•••• • •• •
. • • •••• ••••
• • •• • • • •
Illustrate Components Noted and Details as Applicable:
Woodblocking, Gutter, Edge Terminations /Stripping /Flashing, Continuous Cleat Cant Strip, Base
Flashing,Counterflashing, Coping, Etc. ." L • •
• •
• • •
Indicate: Mean Roof Height, Parapet Height, Height of Bae Plathirfg, Component Material
Thickness, Fastener Type, Fastener Spacing
Or: Submit Manufacturers Details that Comply with RAS -111 and Chapter 16.
3x3
uur
Page 3a
Parapet Wall Height Ft.
MeanRoafHeight / Ft.
Page 1 of 1
http:// www. miamidade. gov/ building /roofing permiting/section c 4 2.htm1 8/21/2006
MIA M MADE
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
GAF Material Corporation
1361 Alps Road
Wayne, NJ 07470
• • •• • • • • •
. . • • • • • • • • •
•
• • • •
• 0 • ••• • • •
• • • • • • • • • • •• • • • • .
MIAMI-DADE COUNTY, FLORIDA
. • ,, MVIROAADL ER BUILDING
• ▪ • • • • •
340 MAE& PLi6L_ STREET, SUITE 1603
• • • • • • • _
: : : : •Vi, FLORIDA 33130 -1563
• • (385) 375 -2901 FAX (305) 375 -2908
. • . - - - - -- .•
•
• •
• • •
•
• • • • • • • • • • • •
SCOPE:
This NOA is bang issued under the applicable rues and regulations governing the use of construction materials.
The documonatkon submitted has been reviewed by the BCCO and aged by the Building Code and Product
Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having
Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Nrumi Dade County) and/or the AHJ (m 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 fads to perform in
the accepted un mrr, the manufacturer will incur the expense of such testing and the AEU may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Mami Dade County Product Carol Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. ;
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA #02-0408.10 and consists of pages 1 through 31.
The submitted documentation was reviewed by Frank Zuloaga, RRC.
NOM N.c 113491L112
Bzpiralion Dui lUM, I
Approval Datc10/23113
Page 1 432
Membrane Type:
Deck Type 1:
Deck Description:
System Type E (1):
APP /SBS Heat Weld
Wood, Non - insulated
"1 or greater plywood or wood plank decks
Base sheet mechanically fastened.
All General and System Limitations shall apply. • •
Base sheet:
Fastening Options:
Ply Sheet:
• • ••• • • •
• • • • • • • • • •
• • • • • • • • •
• • • • • • • •
• • • • • • •
• • • • • • • • •
• • • ••
••.• •••
• • • • • • • •
•. • .••.
• . •
•••
•
•
•
•
•••
• • •
• • •.
• • • 410
••••
••.•
• •
• . • • • .• ... ..
• •
•
• •
• • ••• • •
GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated
Nailable, RUBEROID Modified Base Sheet, RUBEROID MOP Smooth,
RUBEROID® 20, RUBEROID SBS Heat We1dTM Smooth or RUBEROID SBS
Heat -Weld 25 base sheet mechanically fastened to deck as described below;
GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyT'" 6, GAFGLAS #75 Base Sheet or any
of above Base sheets attached to deck with approved annular ring shank trails and
tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12"
o.c. in the field.
(Maximum Design Pressure —45 psf, See General Limitation #7)
GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or
any of above Base sheets attached to deck with Drill-Tec (GAFTITE) #12 or #14
Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The
other rows are equally spaced approximately 12" o.c. in the field of the sheet.
(Maximum Design Pressure =45 psf, See General Limitation #7)
GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets
attached to deck with approved annular ring shank nails and tin caps at a fastener
spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field.
(Maximum Design Pressure —52.5 psf, See General Limitation #7)
GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with
Drill-Tec (GAFTTTE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One
row is in the 2" side lap. The other rows are equally spaced approximately 9"
o.c. in the field of the sheet.
(Maximum Design Pressure —60 psf, See General limitation #7)
Any of above Base sheets attached to deck approved annular ring shank nails and
3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c.
at the 4" lap staggered in two rows 9" in the field.
(Maximum Design Pressure —60 psf, See General Limitation #7)
GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with
Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One
row is in the 2" side lap. The other rows are equally spaced approximately 9"
o.c. in the field of the sheet.
(Maximum Design Pressure —75 psf, See General Limitation #7)
(Optional except over RUBEROID Modified Base Sheet, RUBEROID MOP
Smooth, RUBEROID® 20, RUBEROID SBS Heat-Welem Smooth or
RUBEROID SBS Heat -Weld) One or more plies GAFGLAS PLY 4®,
GAFGLAS® PLY 6® Ply or GAFGLAS Flex Ply 6 sheet adhered in a full
mopping of approved asphalt applied within the EVT range and at a rate of 20-40
lbsJsq. or Ruberoid Torch Smooth torch applied according to manufacturer's
application instructions.
NOA Aloe O34
1afiaa Dab= L1AfA8
Appromi Date 16123103
rage 28
Membrane:
Surfacing: (Optional) Install one of the following:
1. Gravel or slag applied at 4.00 lb. /sq. and 300 lb. /sq. respectively in a flood coat
of approved asphalt at 60 lb. /sq.
2. GAF Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. or GAF
WeatherCoat Emulsion at 3 galJsq. (Torch Smooth applications only)
3. GAF Weathercote® MB +(Matrix 715 MB Coating), Applied at 1 to 1.5
gal. /sq.
4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5
galJsq.
Maximum Design
Pressure: See Fastening Above
•
• ••. • • • .•
.. . • • • • .• • • •
• • • • • • • • • • • •
•
• • • .•• • • • •
• • • • • • • • • •
• • .•. • • • • .
One ply of Ruberoid® Torch Smooth, Ruberoid® Torch Granule, Ruberoid®
Torch Plus Granule or Ruberoid® Torch Fit torn$ applied according to
manufacturer's application i.4st4ictio : : :• • : :•
•. .• • • •. • . • •.
Or
• • • • • . . • . . . . •
One or more plies of RUBERCIDV SBS Heat- Weldrm PLUS, RUBEROID®
SBS Heat We1dTM PLUS FR, RUBEROID® SBS Heat- WeldTm 170 FR,
RUBEROID® SBS Heat Weldr,RtTI EYQl1 SIi,S Meat We1dTM Smooth,
RUBEROID® UltraCladTM SBS BS Hegt- WeIdTM 25 applied
according to manufacturer's application instrucdohs.• • • • •
140A No 034151111.02
Rai Mint Daac 11A1608
Approval Date-1203 D
Pa 2 of 32
WOOD DECK SYSTEM LIMITATIONS:
1 A slip sheet is required with Ply 4 and Flex Ply to 6 n n s t a ts
anchor sheet.
• • •• •
•. • ••••
2. Minimum 1/4" Dens Deck or Vi Type X gypsum bdardrii acceptable fo
wood deck.
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials
Directory for fire ratings of this product.
2. Insulation may be installed in multiple layers.. The first layer shall be attached in compliance with
PEudact Control Approval guidelines. All other layers shall be adhered in a full mopping of
approved asphalt applied within the EV'T range and at a rate of 20-4016s/sq., or mechanically
attached using the fastening pattenn of the top layer
3. All standard panel sines are acceptable far mocbanical attachment. When applied in approved
asphalt, panel size shall be 4' a 4'
4. An overlay and/or recavay board insulation panel is required on all apples over closed cell
foam insulations when the base sheet is fully mopped- If no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" ac.; or strip
mopped 8" ribbons in time rows, one at each sidelap and one down the center of the sheet allowing
a continuous area of ventilation. Enchclmg of the strips is not acceptable,. A 6° break shall be
placed every 12' in each n"bbon to allow cross ventilation. Asphalt application, of either system shall
be at a mioinmm rate of 12 lbsisq. Nate: Spot attached systems shall be limited to a maid eras
design pressure of -45psf.
5. Fastener spacing for insulation attachment is based an a Mnnimom Chmacteristic Face (F) value of
275 IbL, as tested in compliance with Testing Application Standard TAS 105. If the fastener valve,
as field-tested, are below 275 lbL insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical ate of anchoribase sheet or mem):wane attachment is based
on a minimum fastener resistance value in conjunction with the maximum design value listed within
a specific system Should the fastener resistmoe be less than that required, as determined by the
Barging Official, a revised fastener spacing, prepay, signed and sealed by a Florida Registered
Engineer, Architect, or Registered Roof Consultant may be subtoi ic& Said revised fastener spacing
shall uterine the withdrawal resistance value takes from Testing Application Slandands TAS 105 and
calculations in compliance with Roofing Application Standard RAS 117.
7 Perimeter and corner areas shall comply with the enhanced uplift pressure rem of these
am Fastener densities shall be increased for both insulation and base sheet as calculated in
camnpliance with Roofing Application Standard RAS 117. (When lids station is specificaly
refired within this NOA, General Limon IR will not be applicable.)
8. Ali attachment and sizing of perimeter milers, metal profile, and/or flashing termination designs
shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (Le
field, perimeters, and corneas). Neither rational analysis, nor extrapolation shall be pemnim:d far
enhanced fastening at enhanced pressure zones (ie. perimeters, ended comers and comes).
(Wks this limitation its spedfeaaj referred within this NOA, General Lrmitstion f7 will not
he applicable.)
10. All products listed herein shall have a quality assurance audit in accordance with the Florida
Building Code and Rule 9B-72 of the Florida Administrative Code.
END OF THIS ACCEPTANCE
• • ••• • • • •••
•• •• • • • •• •• •
• • • • • • • • • •
. • • ••• • • • • • • • • •
• • ••• • • • • •••
•• • • •
• •
••
• ch4 fastened base or
••••
be installed directly over the
••• ••
•
• •
• • •
•
NOA No: O3-050L02
Edna Daft 11/416098
Approval Dete:1A
Page 32 0132
Q-"-031 02 SED 14 :52 FAX 9736233451
6 Undenwiters
June 20, 2002
Mr Michael J. Gada
GAF Materials Corporation
1 361 Alps Road
Wayne, NJ 07470 -3689
Douglas C Miller
Engineering Group leader
Fire Protection Division
•
•
•
• taco.
. ••
•
•
i f any questions arise on the above, please contact the writer.
Vet y truly yours,
Our Reference: R1306
Drat Mt. Gads:
This is in response to our conversation on June 20, 2002.
•
.. . .. ...
• •
•
•
• • • . • • ..
•
. . i. •
•
..
•.• .ice - s 611162-2096
Iteti olndoallamokyCalc(1)
. laacIC. (1117)9119 dies
topdhnsectiLoceo
•
As discussed, the following nut o: s , :eui aieeV Cia -s A cc :teria per
ANSUL'L790 based on existing fire test data -
Deck. C -15/32 Incline 1/2
Insulation (Optional): One or more layers perbte, glass fiber,
isocyarnuate, perfitermoccsmuate composite parte/urethane composite.
wood fiberfisocyanurate cow any combination. any thickness..
Ilase Sheer One or more layers Type G2, Ruberoid 20 or Ruberoid SBS Heat
Wdd Smooth_
Ply Sheet_ (Optional). One or more layers Type G1 or (2
Membrane "Ruberoid SBS Heat Weld 170 FR ", "Ruberoid SBS Heat Weld FR' or
°Rube: oid SAS Heat Weld Phis"
A iot•tor prrttt oroannior
dedicated to outdic safety u'
omitted to quality 1P.rvicv
/0
Passed
Inspector Comments
.
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -29446
Inspection Date: 10/11/2006
Inspector: Grande, Claudio
Owner: NALABOFF, PHIL
Job Address: 1298 104 Street NE
Project: <NONE>
Contractor:
Building Deaartment Comments
Tuesday, October 10, 2006
Miami Shores Village, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
OM 1 2 OE
Block:
Permit Number: RC -10-06 -2536
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1122320300100
Lot:
Page 2 of 2
Rev. 10/02/03)
RE- OCCUPANC
APPLICATION
Date air k), t (0BY:
Contact Name L064/Yr , XLL / ( - (4) °4. Phone # 3a S 6 5 Y S 3 S
Buyer Seller Realtor Company Name Kethl2 nil lf m�
Property Address /2, 9 o Vb — lo L{ &t
City Miami Shores State Fl Zip 3313.6
I hereby certify that I understand that the zoning of the property is for single- family residential use and
that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re-
Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is
being used for single - family purposes and that such Certificate does not constitute any representation,
warranty or certification as to the condition of the dwelling or other structures on the property.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant N me /t.J�
Signature
The foregoing instrument was acknowledged before me this I 0 day of Cd— , 20 ,
by e(D r fr X hk1kQ , who is personally known to me or who has
produced
Miami Shores Village
Building Department
OCT ' � o coos !'J
Sign:
Print:
My Com 's on Expires:
TARY PUBLIC:
Building Officials Approval:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. —23 ((
Loc ID
as identification and who did take an oath.
Mabel
C on lrr� : 23I9J i
Expires :Jul 13,20'07
dC Bonded Thru
1" fIlilnticRimdine('o In
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total
o ctzpvia)C- 2,19c(
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /0 7 Job Address / o3 biE ,q aft 4 Tax Folio
Legal Description � I.") q$ t � 1 (`/
0 Lessee / Tenant Lc-c.P _) Master Permit #3A9
Owner's Address I a O a N 9 6 ST. Phone
Contracting Co. wl d 1—,l.3-- Sy 6 -7 -�,. q . Address 1 1 l � ? U' Ok.eecL 0 , °G ded.
Qualifier -1-4-! CI FO�J, '``\ 1 SS# Phone 3ca a 3c) 1 v
State # F(' ) c 1
Municipal 4 � t 1'4 ' ompetency # C c4:41153 g 2 /1 Ins .Co . Li "reaCT Xs- Co
Architect /Engineer 04 Address N 4
Bonding Company &14 Address i11
Mortgagor 'Url Address
Signature of owner and /or
Date:
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL 'OOFIN' PAVING PENCE SIGN
WORK DESCRIPTION Qc ol cA t�w fe. a.s ( '`��` ' t9
'11 f )rtl 1 l FI4t( ,
Square Ft. d� D T � e 3 s �q- Estimated Cost(value e ( g
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Notary as to Owner aid /or Condo President
My Commission Expires:
** * * * * * * * *
Zoning Buildin
Signature of Contrac to xt ? yOwner-Builder
Date:
Notary x to Contractor or Owner- Builder
My Co ssion Expires:
**
FEES: PERMIT ® RADON C.C.F. 1 6 NOTARY TOTAL DUE "
APPROVED: Fire , Other
Electrical
Mechanical Plumbing Engineering
Legal Description
Owner's Address /o2e9$ Al& 98 5 rip _T
Qualifier ic=49/4)4.EAL-
State # r Municipal 0
Architect /Engineer
Bonding Company
Mortgagor.
Permit Type(circle
mire of owner and /or Condo President
Date:
Notary as to
My Comission
** * *
APPROVED:
I
/ Lessee / Tenant
er and /or Gond President
Ex p ires:A/ 9f / OLIVER J. BROWNING
� f'f' Notary Public, State of Florida
My Comm. expires June 2, 1998
* • * "', 7
Z 1 _ 0 ERMIT APPLICATION FOR MIAMI SHORES VILLAGE
LUalAVJ
Date/D -ate 9w Job Address /PO f(/YE 9fl Foli
Master Permit #
Phone 73f 7901 8'
Contracting Co. v A)s-y S}/STCN7 -TA/C Address //// ? k)• ae_e& 6.81
SS# /crPhone 3(voZ — 3O /a
/ CC O3( ( j Ins .Co. VI //VS c�
Address
Address
Address
one): BUILDING ELECTRICAL PLUMBING MECHANICAL / ROOFING) PAVING FENCE SIGN
WORK DESCRIPTION A- 4,0E/A6 7'445 • # 4 r ,d -
Square Pt. 721-1- 7A ° - 0 �4 7 3 / f Estimated Coat ( value )TLO \\ ,( ,*.eir /OS
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 COMMENC NT).
Application i hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoni Furthermore, i
author' e the above -named contractor to do the work stated.
PEES: PERMIT RADON C.C.P.
Fire
Zoning Building
Mechanical Plumbing
Signature of Contracto or Owner - Builder
Date:
oz-Pate %i
•
Notary as to Contractor //fi�r Owner- Builder
_
My Commission Expires: OUVER J BROWNING
4/2/1W Notary PubSi , Stag: of Florida
My Comm. expires June 2, 1998
* * * * * * N4 CC378043 is
NOTARY TOTAL DUE
Other
Electrical
Engineering
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: /c O s1 .4/ E 9 8' *5/ 5 7 g &rr
111 » n9 S}�ai2�S �G.¢- .
2. Description of improvement:
3. Owner(s) name and address: AC/ . A1' 5 — 7",ei 0 2>O4b PDX/4 04
98' S7
Interest in property: O WA/W
Name and address of fee simple titleholder:
4. Contractor's name and address: l L ! STriyS._Z
d w 0- fr c.S I3 AF •S /.tz� �.�.cL Fes. D �S , 3 30/b'
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
1//A'•
948495429 1994 OCT 24 11:53
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address: /V /,4_.
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is specified)
s
Print Owners Name 779 k722> OA ,5O.Cli9 xiUe
Sworn to and subscribed before me this 2-1 day of 007.01019 91-7
Notary Public d/)
Print Notary's Name Ohn/P -R_ S 3EOZO(//7tl� My Comm. expires June
My Commission Expires: ; 'ZI& 2.1 /??.
STATE OF FLORIDA, COUNTY OF DADE
KEREBV CERTIFY fiia: this is a fruo op of tho
®rLa q d in is office on
r day of
ff J) L,A •
, A. D. 19
W MESS my hond and Officio Seat.
HARD Y IUVI
ay
and , unty,Courfa
OLIVER J. BROWN
No. CC378013
Prepared by: Z-}/1. 16 &1
Address: 6W P � S �
ING L - � -
ida
2, 1998
123.01.52 2/93
1305935b3dd
03/31/1994 12:33 13059356388
3100 S.E. County Road 484
P.O. Box 190
Belleview, Florida 32620
nder
l i m 9 ROOF TILE IND., INC.
Robert F. DelPino
SOUTHEAST FLORIDA TERRITORY
Office: (305)935 -9117 Fax: (305)935 -6388
Pager: (305)8894399 Cellular: (305)775 -2103
DADE COUNTY PRODUCT CONTROL APPROVAL
MORTAR -SET SYSTEM
Acceptance No.: 94 -0324.01
For: Palema (Double -roll) profile
BENDER TILES MIAMI PAGE 01
(904) 245-7074
Fax (904) 245 -1873
1- 800 - 888 -7074
.03/31/1994 12:33 13059356388
METROOADE
PR
Bender Industries, Inc.
3100 Southeast County Road 484
Post Office Box 190
Belleview, FL 32620
Your application for Product Approval ofthe Palema (Double Roll) tile profile under Chapter 8 of the Metropolitan
Dade County Code governing use of Alternate Materials and types of Construction, and completely described in the
plans, specifications and calculations as submitted has been recommended for acceptance by the Building Code
Compliance Department to be used in Dade County, Florida under the Standard Conditions attached provided the tile
systems are approved in strict compliance with Protocols PA 118, 119, 120.
This approval supersedes all sections of previous tile approvals which reference Chapter 34, Appendix X, Systems
1 -3. Appendix X has been redesignated PA 118, 119 and 120of the South Florida Building Code. This approval
shall remain valid until implementation of the 1994 revision of the South Florida Building Code.
The Building Code Compliance Department reserves the right to secure a product or material at any time from a job
site or manufacturing plant for quality control testing. 1f product or material fail to perform in the approved manner,
the Code Compliance Department may revoke, modify, or suspend the use of such product or material immediately.
The Building Code Compliance Department reserves the right to require retesting of this product should any
amendments to the South Florida Building Code be enacted affecting this product.
The expense of such testing shall be incurred by the manufacturer.
Product No.:
Acceptance No.: 94- 0324.01
Approved r ;q 2 5 19 g 4
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1803
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 3310.1563
(305) 376-2901
OL N CCEPTANCE FAX ( 05) 375 -2908
- PLEASE NOTE-
CONDITIONS,
BUILDING CODE COMMITTEE
BENDER TILES MIAMI PAGE 02
METROPOLITAN DADE COUNTY. FLORIDA
METRO -DADE FLAGLER BUILDING
Gil Diamond, P.E. •
Product Control Division
Supervisor
u.
11• T.••: •
• ;•v: •. •
.• eI
This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code
Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under
the conditions set forth above.
Charles Danger, P.E., Dire&ior
Building Code Compliance Department
Metropolitan Dade County
;03/31/1994 12:33 13059356388
Construction Research
Laboratory, Inc.
Universal Engineering #2748
Sciences
1.)U.D7J00J00
Test Agency Test Identifier
Test Reports
BENDER TILES MIAMI PAGE 03
Product Control No • 94'0324.01
Test Name/Report Date
#5750 Wind Driven Rain 02/26/93
Infiltration Resistance
#5749 Wind Driven Rain 0225/93
Infiltration Resistance
#5244 Wind Driven Rain 12/05/89
Infiltration Resistance
#5244 Uplift Approvals; (Static 12/07/89
Pressure Uplift Resistance
Test)
#5613 Infiltration Resistance 04/01/92
Material Properties Test 04/15/92
(Water Absorption and
Breaking Strength)
#2749 Material Properties Test 02/15/92
(Water Absorption and
Breaking Strength)
#7857 Material Properties Test 10/09/91
(Water Absorption and
Breaking Strength)
Note: Test #5613 is applicable to all National Tile Roofing Manufacturer's Association
members. Please see Borst Concrete Products letter dated March 18, 1994.
Gil Diamond. P.E.
.03/31/1994 12:33 13059356388
Product Detail
BENDER TILES MIAMI PAGE 04
Product Control No.: 94- 0324.01
• Job Address: /020 /(Xe-E
1.
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION
MORTAR OR ADHESIVE SET TILE SYSTEMS
General
2. Documentation
Contractor:
The information provided in this Section is required to confirm
Product Control Approval of the proposed tile system assembly;
confirm compliance with the wind load requirements of Chapter 23
of the South Florida Building Code (SFBC); and confirm compliance
with Sections 3403.5 and 3404 of the South Florida Building Code.
The following documents are required for submission with the
Uniform Building Permit application:
► Two (2) copies of the proposed tile system assembly's and
associated roofing component's Product Control
Approval(s).
► One (1) copy of the tile system assembly and/or roofing
component(s) manufacturer's published application
instructions and literature.
► All documents attached herein, filled out and completed in
full.
3. Project Information
Check one of the following:
• ❑ New Construction
EY -Roof
Note: Mortar or adhesive set tile
applications.
systems are not acceptable as recover
Mortar or Adhesive Set Tile Systems
Page -1
D„ i ekal ,`N5165' Process No.
Is the deck solid seed? (circle 'yes' or 'no')
yes no
Deck Type (check one of the following):
• ❑ Nominal '' /a" Plywood (for re -roof only)
C - Nominal s / 8 " Plywood
O Wood Plank "
❑ Other ( f i l l in) 11'4" 7OM& 4 64'W (/E
Roof Pitch (fill in):
": 12"
Note: Mortar or adhesive set tile systems shall not be installed at a pitch
greater than 7%a ":12 ". Mortar or adhesive set tile applied at a
pitch greater than 5 ":12" and less than or equal to 7 " :12" shall
have the first thr courses of tile nailed with not Icss than one
nail per tile. As an lternate, the first three-courses of tile may be
applied in morta' over a single layer of minimum 12 ga. wire
mesh with squa a openings of not less than 3 4" which is
mechanically attached to the sheathing with not less than one nail
per 2 ft'.
Circle'ves' or 'no' for each of the following:
Have you attached two copies of the tile system manufacturer's
Product Control Aroyal for the proposed tile system?
no
Have you attached a copy of the tile system assembly and/or
roofing component(s) manufacturer's published, application
instructions and other literature
no
Is the proposed underlayment approved for use with this tile
system assembl
no
Job Address: /01D? 2 .&. 9 '! i Contractor:
Project Information (continued):
If the proposed underlayment is self - adhered, have you complied
with the venting requirements of Section 2913.3 (b), (c) and (d) of
the South Florida Building Code?
yes no
Are all related accessories approved for use with this tile system
assembly?
Are the proposed edge metal attachment fasteners in compliance
with the requirements of the South Florida Building Code (minimum
12 ga. annular rim shank, corrossion reisistant nails)?
no
4. The Tile System Assembly:
The following information is required to confirm compliance with
Subsections 3403.5(a) and (c) and Section 3404 of the South Florida
Building Code.
Tile:
Tile Name:
Manufacturer:
Tile Material:
❑ Clay
117•Concrete
❑ Other:
Product Control Approval Number: 94 — 0 3 c9- 44 'of
Mortar or Adhesive:
no
�� M4 (7)00b16:--411)40
Check one of the following which apply to the proposed tile
securement for use with the proposed tile system assembly:
Mortar or Adhesive Set Tile Systems
Page - 2
.rte... _
0 Manufacturer:
Mixing Ratio:
❑ Adhesive: Type:
Manufacturer:
rocess No.
0'
7i ee 7/T
Tile Fasteners (for first three courses if roof pitch exceeds 5 ":12"
and is less than or equal to 7 ":12 "):
Check one of the following which apply to the proposed tile
fasteners (for the first three courses) for use with the proposed tile
system assembly:
❑ Minimum 12 ga. galvanized roofing nail:
❑ Other: Type:
Length:
D N/A
Underlayment:
Length:
All tiles shall be installed in compliance with the provisions set
forth in the tile system assembly manufacturer's Product Control
Approval and the minimum requirements set forth in Subsections
3403.5(c) and 3404.2 of the South Florida Building Code. Tile
fasteners in the first three courses (if applicible) shall be of
sufficient length to penetrate the sheathing a minimum of 1" or
through the sheathing thickness a minimum of / ", whichever is
less.
The following information is required to confirm compliance with
Section 3403.5(b) of the South Florida Building Code.
Job Address: !ADS Ng
Underlayment (continued):
Check all of the following which apply to the proposed underlayment
for use with the proposed tile system assembly:
IV ASTM #30 asphalt saturated felt with:
Manufacturer:
❑ ASTM #15 asphalt saturated felt with:
Manufacturer:
❑ Mineral Surfaced Roll Roofing with:
Manufacturer:
❑ Other:
Type:
Manufacturer:
Underlayment Fasteners (if applicablel:
❑ Other:
Type:
Length:
Manufacturer:
n
❑ 19" overlap
O 6" overlap
'4" overlap
❑ 19" overlap
❑ 6" overlap
O 4" overlap
O 19" overlap
O 6" overlap
❑ 4" overlap
Check one of the following which apply to the proposed
underlayment attachment:
❑ Minimum 12 ga. electro- galvanized roofing nail with
minimum 32 ga. x 1'/," tin cap: t �
Length: 1 V
Manufacturer: SIACLLV e0 /,)b - $T
Contractor: fad& M4 !Sc/S/ S -7-,/}C Process No.
Mortar or Adhesive Set Tile Systems
Page -3
Spacing (per tile system assembly Product Control Approval):
Field: l Z " o.c.
Laps: 4' " o.c.
5. Related Accessories:
Edge Metal (refer to Section 3408.2 of the South Florida Building
Code):
Type:
Dimensions:
Ito; o
C®
1)
3 ' L 3 //
Gauge or Thickness:
Finish: 614a 2
4- S ze
Note: All edge metal shall be nailed on the flange and nailed or clipped
at the face in compliance with the provisions set forth in Dade
County Protocol PA 111, marked Appendix 'U' in the South
Florida Building Code.
Adhesives (check one of the following):
❑ Cold Adhesive:
Type:
Manufacturer:
EVIlashing Cement:
Type:
AND X88
Manufacturer: etl(t_
Job Address: /OOYNEq 8 Contractor: 'L24 fi? ti/ T ,y5.yeprocess No.
Adhesives (continued: Additional Notes:
Note: Application of adhesives shall be in compliance with the Roofing
Component Product Control Approval and the minimum
requirements set forth in Subsection 3403.5(e)(4)(cc) of the South
Florida Building Code.
Ventilation System (check one or more of the followingl:
The following information is required to confirm compliance with
Subsection 3401.4(e) of the South Florida Building Code.
O Ridge: Type Size
Co.trni/vovSs
[V Soffit: Type see &E J.?'Ib Size �O -1S
Note: If underlayment is comprised of a self - adhered membrane, both soffit
and ridge ventilation systems are required, unless a base sheet is
applied as an anchor sheet below the self - adhered underlayment.
Note: The Tile System Assembly shall be installed in strict compliance
with the application instructions enumerated in the Product
Control Approval. A permit shall be issued for application of the
specified Tile System Assembly only. Any change to the specified
Tile System Assembly shall require submission of a revised
SECTION II with a copy of SECTION I, noting the permit
number issued.
Mortar or Adhesive Set Tile Systems
Page - 4
Job Address:
Contractor:
Lt
Ridge Venting: N // 7 '
((l•,Ilabr)
Ike
Type:
Thlebtees:
Underlayment:
AtO/V ra 1 -'6 05 Z
Underlayment
Fastener: ,1I! 1 1 e
.x 1'I441,0
5 "
12"
DETAIL #1
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page - 5
5,5r
Process No.
FILL IN APPLICABLE ROOFING COMPONENTS WIIICII MAKE UP
TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS
INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN
ON THIS PAGE. ( Where Roofing Componcnt not uscd in Tile Systcm
Assembly, fill in with "N /A ". )
Head Lap Dimension: "
(minimum 1' unless otherwise specified
in the tile system assembly Product Control
Mpro•a0
Mortar /Adhesive: 7/ '/7E
C a 104_ 'tk
Tile: eqi..
Tile Fastener:
( eiviskide
scVS re ,y .
Edge Meta! ^r OW" 40%Rig(
/ltd S
Bird Stop:. R( A8'-
(((applicable)
Edge Metal 1 �2 c
or Gutter:
Existing or Proposed
JJJ
Soffit Venting: �( ,0 'Rjce(J/'!4!fr
Job Address: /r�lD AJ.E 98
Contractor: p'40.i /bi i No.
Rid Height: Eave �;Ieight: Roof
`j , feet /Z feet
an Height
feet
Insert Building Ridge Height, Eave Height and Roof Mean Height.
Also insert applicable information pertaining to the building below.
( See ASCE 7-88 Fact Sheet Attache
Exposure Category:
Classification Category:
At Ilurricancc Occanlinc ?: Y
Basic Wind Speed at
Building Location• 110 mph
Building Condition based on
% of openings:
(See Table 9 ofASCE 7-88)
Ground Level
hie'
BUILDING INFORMATION #1
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page -6
Job Address:
/W eve 98 57_
Contractor: F, _
11 .0
11
FIA-T
•
Sketch Roof Plan, indicating all dimensions, slopes and any rooftop equipment.
Also insert variable labeled "a" which represents perimeter and comer dimensions
per Chapter 23 of the South Florida Building Code.
(See ASCE 7 -88 Fact Sheet Attached )
1/44
o
BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page - 7
ocess No.
Job Address: / ?17 /(„/E `9e 1 V$7' --- Contractor:
The undersigned certifies that the Mortar or Adhesive Set Tile System
Assembly is in compliance with the plans, specifications, and details
submitted by the architect.
STATE OF FLORIDA - COUNTY OF DADE
Before me this day personally appeared '7'& p4)/J
who, being first duly sworn, deposes and says that all information submitted
herein is true and correct.
9
Sworn to and subscribed before me this 2 / th day of 0 Gip
My commission expires: 3ONt Z /91
OLIVER J. BROWNING
Notary Public, State of Florida
My Comm. expires June 2, 1998
No. CC378013
sed Contractor is wner
Signature
No ary Public
State of Florida
Mortar or Adhesive Set Tile Systems
Page - 8
./ 01l )L /Wee4Y Process No.
,STe
GAF Building Materials Corporation (MB)
1361 Alps Road
Wayne, NJ 07470
ACCEPTANCE No: 93- 1130.04
EXPIRES: DEC 1 3 1996
4
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC
AND GENERAL CONDITIONS.
APPROVED: .DEC 1 3 1993
' / %i/ ����✓
PCB
* *PLEASE NOTE **
(
'V 7
PRODUCT CONTROL NOTICE OF ACCEPTANCE
METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1603
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901
FAX (305) 375 -2908
Your application for Product Approval of GAF Ruberoid Roofing Systems under Chapter 8 of
Metropolitan Dade County Code governing the use of Alternate Materials and Types of Construction,
and completely described in the plans, specifications and calculations as submitted by GAF Building
Materials Corporation, Factory Mutual Research Corporation, Underwriters Laboratories, South
Florida Test Sevice, and Construction Research Laboratories has been recommended for acceptance by
the Building Code Compliance Office to be used in Dade County, Florida under the Specific
Conditions set forth in pages 2 et seq. and in the Standard Conditions detailed on page 3.
The approval shall be valid for a period of three years. The Office of Code Compliance reserves the
right to require retesting of this system within the first two years of the approval should any
amendments to the South Florida Building Code be enacted affecting th . o .o ent o roof system.
1 Diamond, P.E.
roduct'Control Division
Supervisor
This application for Product Approval has been reviewed by the Metropolitan Dade County Building
Code Compliance Department and approved by the Building Code Committee to be used in Dade
County, Florida under the conditions set forth above.
Charles Danger U
Building Code Compliance Department
Metropolitan Dade County
•
Manufacturer:
Product Control No.: 93- 1130.04
• ' System:
Subsystem:
Type:
Roofing System Type: APP, SBS
Contact:
Trade Names of Products
Manufactured by Applicant:
Ruberoid® Torch Plus
— Ruberoid® Torch FR
METRO -DADE BUILDING CODE COMPLIANCE
PRODUCT APPROVAL SECTION
ROOF SYSTEM APPROVAL
GAF Building Materials Corporation (MB)
1361 Alps Road
Wayne, NJ 07470
Membrane Roofing System
BUR
Modified Bitumen
William J. Woodring
Director of Technical Services
(201) 628 -3000
Acceptance Number: 93- 1130.04
' Approved: DEC 1 3 1993
Expires: DEC 1 3 1996
Ruberoid® Torch Plus is a modified
bitumen membrane with a polymer
asphalt coated polyester mat.
Ruberoid® Torch Plus is surfaced with
granules and applied by torch. Roll
weight: 93 lbs.; Roll Size: 75 ft.
Dimensions: 39.4" x 22.8'.
Ruberoid Torch FR is a fire retarding
modified bitumen membrane with a
polymer asphalt coated polyester mat.
Ruberoid Torch FR is surfaced with
mineral granules and applied by torch.
Roll weight: 90 1bs ; Roll Size: 75 ft.
Acceptance Number: 93 1130.04
.. i
Trade Names of Products
Manufactured by Applicant:
Ruberoid® Torch Smooth
• Ruberoid® Mop Plus
Ruberoid® Mop FR
Ruberoid® Mop Smooth
Ruberoid® 20 (FR)
3
Approved: DEC 1 3 1993
Expires: . CEC 1 3 1996
Dimensions: 39.4" x 22.8'.
Ruberoid® Torch Smooth is a modified
bitumen membrane with a polymer
asphalt coated polyester mat.
Ruberoid® Torch Smooth is smooth
surfaced and applied by torch. Roll
weight: 87 lbs.; Roll size: 100 ft.
Dimensions: 39.4" x 30.5'.
Ruberoid® Mop Plus is a 'Heavy Duty' •
modified bitumen membrane with a
polymer asphalt coated polyester mat.
Ruberoid® Mop Plus is surfaced with
granules and applied in hot asphalt.
Roll weight: 98 lbs.; 1 o11 Size: 75 ft.
Dimensions: 39.4" x 22.8'.
Ruberoid® Mop FR is a fire retarding
modified bitumen membrane with a
polymer asphalt coated polyester mat.
Ruberoid® Mop FR is surfaced with
mineral granules and applied in hot
asphalt. Roll weight: 110 lbs.; Roll
Size: 75 ft.'; Dimensions: 39.4" x
22.8'.
Ruberoid® Mop Smooth is a modified
bitumen membrane with .a polymer
asphalt coated polyester mat.
Ruberoid® Mop Smooth is smooth
surfaced and applied in hot asphalt.
Roll weight: 88 lbs.; Roll size: 100 ft.
Dimensions: 39.4" x 30.5'.
Ruberoid® 20 (FR) is the bottom ply of
a two ply system als9 consisting of
Ruberoid® 30 (FR) the top ply.
Trade Names'of Products
Manufactured by Applicant:
Gafglas® Ply 6®
. Gafglas® Ply 4
Gafglas® Stratavcnt® Gafglas® Stratavent® Perforated is an
Perforated asphalt coated base sheet with a glass
fiber mat. The bottom side of Gaflas®
Stratavent® Perforated is surfaced with
Gafglas® #75
,granules. Gafglas® Stratavent®
Perforated has 5/8" diameter
perforations cut 3" o.c. and is for use
over nailable decks. Roll weight: 60
lbs.; Dimensions: 3' x 36'.
Ruberoid® Torch Granule
Acceptance Number: 93- 1130.04
Approved: [.(C 1 3 1993
Expires:. DEC 1 3 1996
Ruberoid® 20 FR is a fire retardant
polymer SBS modified bitumen. Roll
weight: 95 lbs.; Dimensions: 39.4 x
45.5'; Roll size: 150 ft.'.
Gafglas® Ply 6® is an asphalt coated
roofing felt with a glass fiber mat. Roll
weight: 441bs.; Roll size: 500 ft.
Dimensions: 3' x 166 ".
Gafglas® Ply 4 is an asphalt coated
roofing felt with a glass fiber mat. Roll
weight: 40 lbs.; Roll size: 500 ft.
Dimensions: 3' x 166'.
Gafglas® #75 is an asphalt coated base
sheet with a glass fiber mat. Roll
weight: 75 lbs.; Dimensions: 3' x 108'.
Ruberoid® Torch Granule is a
modified bitumen membrane with a
polymer asphalt coated polyester mat.
Ruberoid® Torch Granule is surfaced
with mineral granules and applied by
torch. Roll weight: 102 lbs.; Roll size:
100 ft. Dimensions: 39.4" x 30.5'.
tit
Trade Namds of Products
Manufactured by Applicant:
Ruberoid® Mop Granule
. Ruberoid® 30 (FR)
Gafglas® Stratavent®
.0
GAF Weather Coat® GAF Weather Coat® Emulsion is a
Emulsion surface coating for smooth - suraced
roofs. Coverage: 2 :5 gallons/square.;
Packing: 5 gallon pails.
GAF Fibered Aluminum
Coating
GAF Jetblakm Flashtite®
• Cement
Acceptance Number: 93- 1130.04
Approved: DEC 1 3 1993
Expires: 1 - 1 3 1996
Ruberoid® Mop Granule is a modified
bitumen membrane with a polymer •
asphalt coated polyester mat.
Ruberoid® Mop Granule is surfaced
with mineral granules and applied in
hot asphalt. Roll weight: 103 lbs.;
Roll size: 100 ft.'; Dimensions: 39.4" x
30.5'.
Ruberoid® 30 (FR) is the top ply of a
two ply system also consisting of
Ruberoid® 20 (FR) as the bottom ply.
Ruberoid® 30 (FR) is a fire retardant
polymer SBS modified bitumen and
surfaced with granules. Roll weight:
92 lbs.; Dimensions: 39.4" x 30.5';
Roll size: 100 1t.
Gafglas® Stratavent® is an asphalt
coated base sheet with a glass fiber mat. a
The bottom side of Gaflas®
Stratavent® is surfaced with granules.
Roll weight: 69 lbs.; Dimensions: 3' x
36'.
GAF Fibered Aluminum Coating is
used to protect smooth - surfaced
composition roofs,metal, and masonry.
Coverage: 2 gallons/square; Packing:
1 and 5 gallon pails.
GAF JetblakT'" Flashtite® Cement is
uscd for flashing and cave construction.
i1 Diamond, P.E.
Trade Names, of Products
Manufactured by Others:
Company /Applicant
GAF Building Materials
Corporation (MB)
-
Product Name
Insulfixx Fastening Systems Steel & Concrete Insulation
Fastening Assembly
Dekfast Fastening
Assemblies
PRODUCT APPROVAL SECTION
Roofgrip, Gripdek
Olympic, .Contite
Rawl Spike®
New Striker, Tapcon
Pneutek CDIF
ASTM.D -41 Primer
ASTM D -312 roofing
asphalt
Rawl Deck Screw
Rawl Loop Toggle
Rawl Rawlite®
Acceptance Number: 93- 1130.04
Approved: _ DEC 3 1993
DEC 1 3 1996
Expires:
Product Description
Steel & Concrete Insulation
Fastening Assembly
Steel & Concrete Insulation
Fastening Assembly
Steel & Concrete Insulation
Fastening Assembly
Concrete Insulation
Fastening Assembly
Insulation Fastening
Assembly �y
Dekfast 414 & #15 Insulation Fastening
Assembly
Insulation Fastening
Assembly
Asphalt Primer
Bonding Asphalt
Steel & Concrete Insulation
Fastening Assembly
Lightweight Concrete
Insulation Fastening
Assembly
Lightweight Concrete
Insulation Fastening
Assembly
(See FM listings for approved insulation fasteners with specific insulation panels.)
Gil Diamond, P.E.
Manufacturer
SFS/Fabco
Construction
Fasteners, Inc.
ITW/Buildex
Olympic
The Rawlplug
Company
ITWBuildex
ITWBuildex
Pneutek
Generic
Generic
The Rawlplug
Company
The Rawlplug
Company
The Rawlplug
Company
•
Trade Names of Products
Manufactured by Others:
Company /Applicant
Product Name Product Description
Es Products FM -90, FM -60, Base Ply Fasteners
FM-45, FM =30
Karnak No. 97 & No. 169
AL MB Aluminum Roof
Coating
Karnak No. 81
Gibson -Homan No. 6160
Grundy 20 F Emulsion
Nails
Tin Caps
CR -Base Sheet Plate
Nail -Tite® Type R
Approved: ,DEC 1 3 1993
Expires: 1 3 1996
Roof Coating
Roof Coating
Cold Applied Adhesive
Cold Applied Adhesive
Roof Coating
Min. diameter #12 corrosion
resistant annular ring shank
nails, FF -N- 105 -B, Type 2
Min. 32 ga. x 1 5/8"
corrosion resistant circular
discs
2.75" galvalume steel stress
plate
CR -Base Sheet Fastener CR -10 coated galvanized
' steel fastener. Head size:
1.125" x 1 "; Length: 1.2"
CR -1.2 Base Sheet Fastener CR -10 coated galvanized
steel fastener. Head size:
1.125" x 1 "; Length: 1.2"
Nail -Tite® Type A
Galvanized steel Base Ply
Fastener (Lightweight
Insulating Concrete only)
Galvanized steel Base Ply
Fastener (Lightweight
Insulating Concrete only).
(See FM listings for approved insulation fasteners with specific insulation panels.)
Gil Diamond, P.
Manufacturer
ES Products
Karnak Chemical
Corporation
Grundy Industries
Karnak Chemical
Corporation
Gibson -Homan
Grundy Industries
Generic
Generic
Olympic
Manufacturing
Group, Inc.
Olympic
Manufacturing
Group, Inc.
Olympic
Manufacturing
Group, Inc.
ES Products, Inc.
ES Products, Inc.
Trade Names of Products
Manufactured by Others:
Company /Applicant
Approved: L---
1 3 1993
Expires: DEC 1 3 1996
Product Name Product Description
FM -30 Disc
Disc for ES Products FM-45
and FM -60 Base Ply
Fasteners
Red Rosin Rosin paper for barrier layer Generic
on wood decks
(See FM listings for approved insulation fasteners with specific insulation panels.)
Gil Diamond, P.E.
Manufacturer
ES Products, Inc.
System Description:
GAF Btililding Materials Corporation has been manufacturing commercial roofing products for more than
100 years.
GAF produces a wide range of roof products for built -up and modified bitumen roofing systems. The
modified bitumen products include both APP (Atactic Polypropylene) and SBS (Styrene Butadien Styrene)
products in smooth, granule and fire rated versions. In addition GAF offers two ply modified systems to••
meet the specifications requirements for multilayer SBS modified specificatons.
GAF products are distributed through a wide network of roofing wholesale distributors thoughout the
South Florida area.
The Technical Service Office is located in Wayne, New Jersey and can be contacted at 1- 800 -ROOF -411. •
GAF provides warranted sytstems over various insulated and non - insulated substrates, copies of which can
be obtained from GAF and can be found in the Ruberoid Modified Bitumen Application and Specification
manual published annually. • • •
The GAF Roof System Assemblies gave been extensively tested at Factory Mutual Research Corporation •
and Undrewriters Laboratories. Five classifications for assemblies are listed in the current U.L. Roofing
Material Directory and the current Factory Mutual Approval Guide. 0.
GAF Modified Bitumen membranes have been tested in with ASTM D -5147 test requirment.
Test data is on file.
The following, documents were submitted with the application:
1993 Sweets Catalog
Introducing Ruberoid 20/30 FR
Information. Sheets and Brochures:
GAFGLAS® Built -Up Roofing Applications and Specifications, 1993
GAFGLAS® Ruberoid Modified Bitumen Roofing Application and Specifications, 1993
Commercial Roofing Systems and Products, 1993
GAFGLAS® Stratavent Base Sheets GC10043 (5/92)
GAFGLAS Mineral Surfaced Cap Sheet GC10042 (5/92)
GAFGLAS Flashing GC10044 (5/92)
GAFGLAS #75 Base Sheet Gc10041 (5/92)
GAFGLAS Ply 4 GC10040 (5/92)
GAFGLAS Ply 6 GC10039 (5/92)
RUBEROID® Torch Plus GC10040 (5/92)
RUBEROID Torch FR GC10039 (5/92)
RUBEROID Torch GC10122 (5/92)
RUBEROID Mop GC10113 (5/92)
RUBEROID Mop Plus GC10116 (5/92)
RUBEROID Mop FR GC1011'9 (5/92)
Introducing RUBEROID, 20/30 FR GC10137 (1/92 -1)
RUBEROID 20/30 FR GC10134 (5/92)
l0
Acceptance Number: 93- 1130.04
Approved: ;DEC 1 3 1993
Exp DEC 1 3 1996
Gil Diamond P.
• +Y
Cements and Coatings 2223-308R3
GAF Vent Stacks (1990)
Acceptance Number: 93- 1130.04
Approved: g DEC 1 3 1993
Expires: L EC . 1 3 1996
Gil Diamond, P.
4
•
Company /Applicant
GAF Building Materials
Corporation (MB)
Construction Research
Laboratories
TESTING
Company Performing Test
Canadian General Standards
Board
South Florida Test Service •
Factory Mutual Research
Corporation
12
Acceptance Number: 93- 1130.04
Approved: DEC 1 3 1993
Expires: TEC 1 3 1996
Test Namc/Rcport
# 4818
37- GP -56M
GAF -53 -X -915
J.I. 0Q6A6.AM
J.I. 0T2Q4. AM
J.I. OT4A1.AM
J.I. 1R1A6.AM
J.I.
1V7AO.AM
J.I. 1 V8A4.AM
J.I. 2M0A4.AM
• Date
07/10/87
01/07/80
03/08/91
07/16/91
10/17/91
•
08/26/92.;
11/15/91
07/16/92
06/28/93
03/21/87
Company /Applicant Company Performing Test Test Name/Report Date
Underwriters Laboratories, Inc. X21306, see current directory 01/01/93
TESTING
/3
Acceptance Number: 93- 1130.04
Approved: DEC j 3 1993
Expires: DEC j 3 1996
R1306/87NK11819, 87NK496 12/07/87
Gil Diamond
f'
•
System Number
Deck
Deck description
Vapor Retarder (Optional)
Insulation
Basesheet
Acceptance Number: 93- 1130.04
Approved: AEC 1 3 1993
Expires: DEC 1 3 1996
3 (SBS)
Lightweight Concrete
Lightweight concrete, poured gypsum or gypsum plank roof decks.
New construction and reroofing.
Note: Aggregate based lightweight insulation concrete roof decks are .
only approved for application if bottom -side venting is provided such
as slotted galvanized decking. Cellular concrete decks are acceptable
without venting. 1.2" base ply fasteners shall be used in cellular
concrete or those specific lightweight systems specifically tested with
1.2" fasteners. Top venting shall also be required at a rate of one vent
every 10 squares.
N/A
N /A'
' Insulation may be mechanically attached to poured gypsum or
gypsum planking with a Factory Mutual approved fastening assembly
approved with the insulation panel at a density of 1:2 ft.' or bonded to
a mechanically attached base sheet attached as noted below. See
current Factory Mutual3kpproval Guide for appropriate fasteners and
density. (Insulated deck specifications shall be followed.)
Opti6ft #1: New Lightweight Concrete: (Cellular Lightweight
Concrete - See Comments and Limitations #9)
Install one ply of Gafglas #75, ; Gafglas Stratavent (non perforated),
Gafgas Ply 4, Gafglas Ply 6, Ruberoid 20 or Ruberoid 20 FR
mechanically attached to the deck with approved nails and 2'/." stress
plates at a fastener spacing of 7.5" o.c. at the laps or 4" o.c. at the lap
without fastener plate and 7.5" o.c. along the centerline of the sheet.
(See Comments and Limitations #6)
Option #2: Existing Lightweight Concrete:
Install one ply of Gafglas Perforated Stratavent or one ply of Gafglas
#75 when the moisture content of the deck is less than 20% by weight.
2 /7
Gil Diamond, P.E
•
Plysheet
Membrane
a Surfacing
(See Comments and Limitations 119)
(Optional)
Mop one or two plys of Gafglas Ply 4, Gafglas Ply 6, or Ruberoid Mop
in GAF Steep Asphalt ASTM D -312 type III or IV at a rate of 25
pounds per square ± 20 %.
Mop one of the following membranes in a solid mopping of GAF
' Steep Asphalt ASTM D -312 type III or IV asphalt at a rate of 25
pounds per square ± 20 %:
Ruberoid Mop
Rubcroid Mop Plus
Ruberoid Mop FR
Ruberoid 30
Ruberoid 30 FR
The base sheet and the cap sheet shall maintain a minimum stagger of
12 inches for all laps. (See GAF application instructions)
Option #1: Apply not less than 400 pounds, per square of ASTM
D -1863 aggregate or 300 per square of slag in a pour coat of an ASTM
D -312 type III or typeiV asphalt. Comply with GAF slope
requirements for slope and type of asphalt. Gravel surfacing shall be
completed as soon as practical but the membrane shall not remain
exposed for more than 30 days.
Option #2: Apply one of the following roof coatings at the specified
rate:
Acceptance Number: 93- 1130.04
Approved: DEC 1 3 1993
Expires: CtC 1 3 1996
roof coating rate
GAF WEATHER COAT Emulsion
GAF Grundy Fibered Aluminum Coating
Karnak No. 97
Karnak No. 169
Grundy Industries 20 F Emulsion
Grundy AL MB Aluminum Roof Coating
Gil Diamond, P.E
3 gals. /sq.
11/2 gals. /sq.
1A-3 gals. /sq.
11/2-3 gals. /sq.
3 gals. /sq.
1 -2 gals: /sq.
• r:,
Note slope limitations and membrane aging requirements published by
GAF.
Flashings Refer to GAF application instructions for flashing specifications.
Fastening Install all plies of Gafglas Felts used in conjunction with all Ruberoid
membranes vertically on slopes of 1 inch per foot or more and
backnail them into wood nailers or nailable decks approximately 4
inches from the back edge of the sheet. All end laps must be at wood
nailers, and the top edge must nailed into the wood nailer on 6"
centers. Use approved roofing nails and tin caps.
Comment and Limitations . . 1. Maximum slope shall be 1 ":12 ".
Acceptance Number: 93- 1130.04
Approved: DEC 1 3 1993
Expires: DEC 1 3 1996
See Approved Insulation and Fastening Pattern list attached.
2. An overlay insulation panel is required on all applications over
closed cell insulations (See Insulation List).
3. All perimeter nailer and metal profile design shall conform with
Factory Mutual Loss Prevention Data Sheet 1-49.
4. All-asphalt shall comply with ASTM D -312 requirements.
5. Bondindto dissimilar surfaces (other than insulation facers and
asphalt saturated membranes) should be preceded by an application of
ASTM D-41 primer for asphalt applications and allowed to fully dry.
6. This roof system assembly, when applied over a new lightweight
concrete deck with the base sheet mechanically attached at 7.5" o.c. at
the lap and 7.5" o.c. down the centerline of the sheet has been
approved for use to a maximum field design velocity pressure of -45
psf. Design velocity pressures shall be calculated for re- roofing
projects based on the field fastener withdrawal resistance testing.
7. This roof system assembly, when attached to a new cellular
lighweight concrete deck with approved base ply fasteners shall be
approved for use to a maximum field design velocity pressure of -55
psf.
8. This roof system assembly, when attached to an existing
lightweight concrete or gypsum roof deck with approved base ply
fasteners shall be aproved for use to a maximum field design velocity
pressure of -40 psf. Field fastener testing and/or a more dense
1�3
Gil Diamond, P.E
•
•
Z7 L(
fastening pattern may be submitted with the pull over value of the.
fastener and base sheet for consideration for use at a greater design
velocity pressure.
Acceptance Number: 93- 1130.04
Approved: DEC 1 3 1993
Expires:
1 3 1996
9. Perimeter and corner areas shall have an increase in fastener
density for both insulation base sheet in compliance with the
Factory Mutual Loss Prevention Data sheets 1 -28 and 1 -28S.
10. The chosen assembly must comply with the fire resistance
requirements of Sections 3401.5 and 3401.6 of the South Florida
Building Code. Refer to fire 'classification ratings' in the Underwriters
Laboratories Current Directory.
11. Any amendments to these provisions shall be in compliance with
Section 203 and 204 of the South Florida Building Code.
12. Refer to GAF specifications for appropriate flashing materials.
13. Refer to one of the following GAF specifications for this
application: I- 1 -1 -MG, I -1 -1 -MSC, I -2 -1 -MGP, I- 2- 1- MGPFR,
I -3 -1 -MGP, I- 3- 1- MGPFR, I -0 -2 -MGP, I -0- 2- MGPFR, I -1 -2 -MGP,
.I- 1- 2 -MGPFR, 1 -0-2- 20/30, I-0-2-20/30FR, 1-1-2-20/30;
I- 1- 2- 20 /30FR, I- 1- 2- 20/MG, I- 1- 2- 20/MGP, I- 1- 2- 20/MGPFR,
N- 1 -1 -MG, N -1 -1 -MSC, N -2 -1 -MGP, N -2 -1- MGPFR, N -3 -1 -MGP;
N -3 -1: MGPFR, N -1 -2 -MGP, N- 1- 2- MGPFR, N- 1- 2- 20/MG,
N- 1- 2- 20/MGP, and N- 1- 2- 20/MGPFR
14. A withdrawal resistance test shall be carried out on all reroof and
recover projects.to confirm deck integrity.
15. This roof assembly, when applied over a perforated Stratavent
base sheet in an intermittent mopping of asphalt is approved for use
over a non nailable or insulated substrate to a maximum design
velocity pressure of -30 psf.
16. Walkways may be fabricated from one ply of Ruberoid Mop Plus
or Torch Plus (Granule) fully bonded to the top membrane ply.
Gil Diamond, P.E.
I •
4 --
38
GAF DUMPING
MATERIAL!
CORPORATION
General
Recommendations presented on pages 17 -22 shall apply in addition to the
following application recommendations.
Application Recommendations
1. On structural concrete decks, insulation may be secured with GAF Steep
Roofing Asphalt ASTM D -312 Type III or IV or the GAFTITE" Fastening System.
If GAF Steep Roofing Asphalt is to be used, the concrete deck must be primed
with GAF Asphalt/Concrete Primer at a rate of 1 -2 gallons per 100 square feet
and allowed to dry.
2. For steel decks, insulation must be mechanically attached throughout the
entire roof area. See 'Suggested Insulation Fastener Patterns' page 13 or the
current GAFTEMP" Catalog and factory Mutual Loss Prevention Data Sheet 1•
28 for attachment patterns.
3. Install one ply of GAFGLAS° 175 Base Sheet over the GAFTEMP Perlite,
Fiberboard, High Density Fiberboard, or Composite Insulation in a solid
mopping of GAF Steep Rooting Asphalt ASTM Type III. The side laps must be
a minimum o12 inches. The end laps must be a minimum of 6 inches.
Over GAFTEMP Isotherm R, a venting base sheet such as GAFGLAS
STRATAVENT° (Vent Ply) Perforated or an overlay of GAFTEMP Perlite,
Fiberboard, High Density Fiberboard. or Composite Insulation is required.
GAFGLAS STRATAVENT (Vent Ply) Perforated is loosely laid over the GAFTEMP
Isotherm R and positioned with 2 inch side laps and 6 inch end laps. Also, a
GAFGLAS 175 Base Sheet may be spot or strip attached. achieving a 50 % -70%
attachment, to the insulation with GAF Steep Roofing Asphalt ASTM D -312
Type III or IV.
4. Starting at the low point of the roof, fully embed one ply of RUBEROID MOP
(Smooth or Granule) in a nominal 25 pounds per 100 square feet (plus or
minus 20%) continuous coat of GAF Steep Rooting Asphalt ASTM D -312 Type
III or IV. The RUBEROID membrane must be positioned to provide 4 inch side
laps and 6 inch end laps.
5. For specification I -1 -1 -MSC, a coating is required. Apply GAF WEATHER
COAT° Emulsion at a rate of approximately 2 -3 gallons per 100 square feet;
GAF Fibered Aluminum Roof Coating at a rate of approximately 1 172-2 gallons
per 100 square feet; or other GAF approved coating: see "UL Systems' Ratings
Chart," page 6. Apply thf* coating between 1 and 4 weeks alter installing the'
RUBEROID membrane.
6. The protective coating must be maintained during the file of the root.
Reapplication of surfacing must be employed as part of a periodic maintenance
program. The frequency may vary depending on climatic conditions.
Note: The GAF Steep Roofing Asphalt should be mopped at a minimum
temperature of 400' F (with a target temperature of 425' F) or 20' F above the
EVT, whichever is higher. Walking or pressing the seam and providing for a
'/I inch to' 1, inch asphalt flow out should be done to assure sound laps.
RUBEROID UL Classifications
UL Class Surfacing Substrate Slope Insulation Specification
A K97
C K97.:
C 'A" E I -1 -1 -MSC
C 2" A I -1 -1 -MSC '
For more extensive UL classifications, see page 6.
UL Chart Key
1. Surfacing
K97 = Karnak 197 Fibrated Aluminum Asphalt Roof Coating
2. Substrate
C = Combustible and Noncombustible
Combustible = Wood planks, boards, etc., plywood (min. 'V)? inch thickness),
oriented strand board (min. 'A inch thickness).
Noncombustible = Steel, poured or precast structural concrete. lightweight
insulating concrete, gypsum, structural wood fiberboard, etc.
3. Slope
Maximum slope allowed, in inches per foot.
4. Insulation
E = GAFTEMP Isotherm R or Pertite, minimum 1'/:' thickness. •
A = GAFTEMP Isotherm R, Perlite, Regular and High Density Wood
Fiberboard, any thickness.
RUBEROID® Specifications I- 1 -1 -MG and I -1 -1 -MSC
GAFTEMP
Insulalio
2 Minimum
Side 1.29._
GAFGLAS Base Sheet
RUBER010 MOP
GAF
Steep Asphalt
ASTM Type III
or IV
Substrate— Insulated decks, GAFTEMP Perlite, Fiberboard, High Density
Fiberboard or Isotherm R. (See "Application Recommendation 131
Slope —Up to 3 inches per foot.
Materials Approximate Weight Per Square
GAF Asphalt/Concrete . Primer P 0-10 lbs.
GAF Steep Roofing Asphalt ASTM D -312 Type III or IV 50 lbs.
' GAFGLAS Base Sheet 25 -60 lbs.
GAFTEMP Insulation varies
GAFTITE Insulation Fastening System (when applicable) —
GAF RUBEROID MOP
(Smooth or Granule Surfaced)
Surfacing (Required for I -1 -1 -MSC)
i •
90- 105'Ibs. •
• j
Total 165 -225 lbs.
Guarantees Available
Specification RUBEROID 4iber�yt RUBEROID '
I -1 -1 -MSC 12, 10, 5 12, 10
I- 1 -1 -MG 12, 10, 5 12,10
Job Address:
Contractor
PERIMETER DETAIL 113: Gravel Stop or Drip Edge
Process No.
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gravel
Stop or Drip Edge.
Insert leaders indicating Roofing Components names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gravel S o %)ri Edge
Gage:
Fastener
Spacing: M' o.c.
o.c.
Clip Type: Ai 4e
Clip Gage: L4 1 4,
Deck Type: V T 6 PM '&-
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Edge with Gutters.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Gutter Type:
Gutter Gage: I -
Fastener //��
Spacing: A/het/
Deck Type: {'k gcrb PJij,
PERIMETER DETAIL #4: Gutter Detail
Built -Up Applications and Modified Bitumen Systems
Page -6
S
Job Address:
Contractor Process No.
PERIMETER DETAIL #5: 'Other' Detail
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may eitisit
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
/V
Sketch Roofing Components which make up Roof
System Assembly at any 'other' Perimeter Condition
which may exisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
x/7A-
PERIMETER DETAIL #6: 'Other' Detail
Built -Up Applications and Modified Bitumen Systems
Page -7
Job Address:
Contractor Process No.
Insert Building and Parapet Heights.
(If no Parapet exists, insert "N/A")
Also insert applicable information pertaining
to the building below.
( See ASCE 7 -88 Fact Sheet Attached
Exposure Category
Classification Category:
At Hurricane Oceanline ?:
Basic Wind Speed at
Building Location: 110 mph
Building Condition based on
of Openings:
GROUND LEVEL
/QV feet
feet
BUILDING INFORMATION #1
Built -Up Applications and Modified Bitumen Systems
Page-8
• • •
Job Address:
Contractor
PERIMETER DETAIL #I: Parapet Wall Detail
Coping Cap
Gage: NI
Fastener ti
Spacing: o.c.
Clip Type: N IA
Clip Gage: A/ A,
► y KW R. T?
I ?
EA sT 14% e_
Deck Type: he $ 74- Pi-Ave
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Parapet Walls.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment
Deck Type:
Sketch Roofing Components which make up Roof
System Assembly at Perimeter Areas to be Flashed.
Insert leaders indicating Roofing Component names,
dimensions, thicknesses, etc
Include fastener type and spacing used for wood -
blocking attachment
PERIMETER DETAIL #2: Flashing Detail
Built -Up Applications and Modified Bitumen Systems
Page -5
Process No.
Job Address:
Contractor
Process No.
T
I _ inches
1
inches
1
inches
T op P iQvberwa›me/o
Bonding Material: 4/17rp4QL7'
Base Sheet: 7 9'G$6o9�lIA$�
FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE
UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND
INSULATION LAYER(S). (Where Roofing Component not used in
Roof System Assembly, fill in with "N /A ".)
Surfacing: % QLB" / i -
/ (brieplyduceibe. .-ThGAp
(C / (J applicable )
77:77 .540
Ply Sh eet(s): ��' Es4F
Bonding Material: iibriBP,41
Fastener: �
(if base that mech. atta ed,
Bonding Material:
Masse sheet bonded)
Fastener.
(if top insulation layer
mech. attached)
Top Insulation Layer P /50 a,,n
if applicable )
Bonding Material:
(8 top ovulation
layer bonded )
h+or
414
Fastener:
if insulation
mech. attached)
< Insulation: r 5O /,/QIY/[b
Bonding Material: h kttupA. 1..�
( ( Insulation bonded)
Vapor Retarder. 4/4—
(ifapptieable)
Pruner.
if applicable)
DECK: I �/ J s 7 f , A
Type: !l FX Ht�
Gage or Thickness: I
Density, if concrete deck:
Built -Up Applications and Modified Bitumen Systems
Page -4
A
•
0
z
U
0
4.
1.•
0
U
CO
4.
C
0
U
-a a u u d
V E $
Y
V) g > ' v U
Job Address:
— FOR PLAN EXAMINER USE ONLY —
Roof System Assembly Product Control Approved:
If NO, note any deficiencies:
Design Pressure Requirements:
Field: psf
Perimeter Areas: psf
Corner Areas: psf
Note any limitation
Reviewed Details ?:
Notes:
Contractor Process No.
Y N
Y N
Job Address:
Top Ply:
(Type and method oj attachment )
Surfacing:
(Type, if applicable )
Flashing Materials:
(Type and method oj attachment )
Contractor Process No.
aR G
1s -
34.- 3 l ed/b&
. OA /ittav 24 Al.
Built -Up Applications and Modified Bitumen Systems
Page -10 Built -Up Applications and Modified Bitumen Systems
Page -3
Job Address: Contractor Process No. Job Address: Contractor Process No.
( Check one of the following)
Recover Re -roof: New Construction
If a recover, is the existing Roof System Assembly
to be used as a bonding substrate ?:
If YES, has an ASTM E907 test been carried out
to confirm adhesion of the existing membrane to
the substrate ?: Y N
(If 'yes', attach ASTM E907 test report. )
Proposed Fastener:
(Attach withdrawal resistance test report.) Additional Notes:
Has the deck been examined for moisture ?: Y N
(Provide data confirming compliance with
Section 3401.9(c) . )
THE SYSTEM:
All Roof System Assemblies in the Product Approval have a variety of options. Briefly
describe the Roofing Components to be used in the Roof System Assembly and attach a copy of
the manufacturer's published specification:
Deck:
(Briefly describe )
Insulation:
( Type, size and method of attachment,
if applicable )
Base Sheet or Ply:
( Type and method (it )
1)( S 76- 1
Y N
l ��z5o
40,9-RD
/ 440. 0 o1/R)2- .30 1.13 Y2 c
1 PAY 6- - ,4 -1/9SS 4 75 995E
1707 oV �
Ply Sheet(s):
( Type and method of attachment )
Built -Up Applications and Modified Bitumen Systems
Page -2
Reviewed Field Test Data ?:
Notes:
Built -Up Applications and Modified Bitumen Systems
Page -11
Y N
Plan Examiner
. VP • •
Job Address: Contractor Process No.
\ Asphalt:
123.01-166 9/94
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
BUILT -UP APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
GENERAL:
Type of Roof System Assembly to be Applied:
Manufacturer of Roof System Assembly:
Product Control Approval Number:
System Number from Product Control Approval:
N/4- -
Complete the following for all Roof System Assemblies:
Built -Up Applications and Modified Bitumen Systems
Page -1
Allefotobl> 11/1
gh■C ,gaic2si.446 -4f4,7 Co,QP.
q3-- : / /3o -
51 - 33
(Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System
Guide Specification. )
( Note: If a minimum roof system is to be applied, describe all
components within the system and list the manufacturer of
each component. DO NOT complete this section if system is
Product Control Approved. )
Base Sheet: • /t/ /4--
Fasteners: ,(/_,Q
Ply Sheet(s): gei-
Cap Sheet:
( Note: No insulation system is acceptable under the minimum
roof category. )
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde for the approval of the detailed statement or ere 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... 4 t 614 v
Omer s Name and Address ... 77eadeee No...1: 0 Street.
Registered Architect and /or Engineer
..:.. . ....... V ,,,,,,,,,...,., •,,,,,,,,
Name and address of licensed contractor t.GeJ..dl /..E . ...
Location and Legal description of lot to be built on:
Lot Block Subdivision ._
Street and Number where work is to be done /v2. ?.. Nom _ 5
State work t be done and purpose of budding (by floors) _. 4 e4- if-e" ri _. ':
/ 2- 0 -0-3- et 3 ' 12-.,x- ..�-
Read, Sworn to and Subscribed before me.
Disapproved . Date
(Signed) `1.. vVV�'
Budding Inspector My Commission Expires
Notary Public, State of Florida
and for nd other purpose.
New Budding Remodeling Addition Repairs
To be constructed of Kind w{off�/foundation Roof Covering
Estimated Total cost of improvements $ 1.00 Amount of Permit s.... ( OQ
No. of Stories
Zone cubage required .Plan Cubage
Distance to next nearest budding. 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.. ..... % - F�.....1�C1.!k.f3.EF:f -<. L 2rj &' 9.t� .2 (i'c1 1 S 4 0 1 2 e s.... 3..3.1..3.
The undersigned applicant for this building pernit dots hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5066, Compiled General Laws of Florida, Permanent Supplement,
and has complied .•ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or noticcs as are required by the Act. The undersigned agrees to employ only such subcontr actors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
/ 111 / 41 "
.
Permit No..
PLANNING BOARD DATE
Chairman Mcmhcr
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 hero obtained from
lice P11nnir.;; Board.
A re-inspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.