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ROOFINGDate PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florid1 33138 • Phone: 305 - 795 -2204 • Fax: 305 - 756 -8972 .. ob Address a b 1 1 V E cict lc3 /ax Folio Legal Description Historically Designated: Yes No (� Owner /Lessee /Tenet �� C1 Master Permit # . D3 ` � � r Owner's Address Li b q WE 904151-4 Phone Contracting Co. +<aw a I Lg Roo(\flfj Address 5 /v•5 ` o S4' Qualifier P1d J< cow & I e-K Phone State # Municipal # Competency # Co. g3p59O I_CP1/4A Square Ft. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION: 1Lox ' exi rig r ear—no:A too- P ; rep la ago 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: 1 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. Estimated Cost (value) ,OO 00 Date Signature of Contractor or Owner Builder cudcWeutAzde 5 W103 Date Date Notary / to Own an.r.I Coq ate Notary as to Contractor or Owner Builder My Co ission Expife4 • My Commission 00150048 My Commission Expires o ,,,d�`' ` Expires November 15, 2006 FEES: PERMIT C to1) RADON C.C.F ° (SO NOTARY L5 00 BOND APPROVED: TOTAL DUE Zoning Building N Electrical Mechanical Plumbing Structural Engineer 13 Low Slope ❑ Asphaltic Shingles ❑ New Roof r t Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORIVf'ATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total SF Sketch Roof Plan: Illustrate Sect B Roof Plan levels ion ( scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. leai 1 Master Permit No. Contractor's Name Job Address Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A General Information Process No. aGVa ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ Mortar /Adhesive Sot Tile ❑ Wood Shingles /Shakes_ 0 Prescriptive BUR -RAS 150 ROOF TYPE go 1 I Floc 1 10 R-eccr- 14-0tcse_ - Top Ply: To. PI F Section C Low Slo Fill In Specific Roof Assembly Components and Identify Manufacturer (If a co mponent Is not used ldenti as "NA) System Manufacturer: NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Frnax1: Pn.2• 1. t g 713 Prri,xlia /4Y Max. Design Syztem: "- Deck: Type: i•VO d- Slope: Ur Gau ge/Thickness : From the Specific NOA 5 Anchor/Base Sheet 8 No. of 9 a h ek,Fastene eLl Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness. Top Insulation Fastener/Bonding Material: Base Sheet(s) 8, No oi Base Sheet Fastener/Bonding Material: _ . P:yN. Ply heel Faste /Bonding Material: give ...”" • • • , • Q . c - Urri Cane Zon 6A rial: e Uniform P ermit scion 2002 • lication Form. ed Roof 8 stem Attachment Fastener Spacing for Anchor/9 Field: @Lap.# Rows , Pe rimeter: Corner: c @ Lap, # Rows giro _ oc Lap, # Row Board Number of Fasteners Per Insulation VA- Field Perimeter Corner Illustrate Components Noted and Details aS:Applicable: Woodblocking, Gutter, Edge Teri Stripping, Flashing, Continuous Etc. Cl -. Strip, Base Flashing, Counter Ca - Flashir. eight of Base CopiA Indic-ate• Mean Roof Height, Parapet Heigh. H Flashing, Component Materia . . MateriaLThickness, Fastener Type. Fastene Spacing or Subm Manufacturers Details tha Comply with RAS 111 and Chapter 16. G t\ F Mo d it e 'a • 6 f_t,A,Nen ---1------, I, i pcinera. .c3 XSsJvdrip ' p Pri rl 1Y-A let- ----ic44 :7Sha6e € A e 1%b FT .c? 1 Heich: Mean Height ., Roof Slope: Roof System Manufacturer: Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1: P2: - -- P3: : 12 Ridge Ventilation? Mean Roof Height: 'Florida Building Code Edition X002 Hi. h Veloci Hurricane Zone Uniform Permit A. Plicatiort Form. Section D Stee Maximum Design Pressure From the NOA S•ecific S stem : Method of tile attachment: Slo . ed Roof S stem Stee • Slo• ed Roof S stem Descri . tio Deck Type: ype Underlayment: Insulation: Fire Barrier: Fastener Type & Spacing: \AdhasivA ype Cap Sheet: Roof Covering: Type & Size Drip I dge: 4 .4 * Must be used in conjunction with a list of moment based tile systems endorsed by th e Broward County Board of Rules and Appeals. Florida Building High Veloci Hurricane Zon Un Uniform Permit A 2002 .1 pplicaGon Form. Section E Tile Calculations For Moment based tile systems, choose either Method 1 or 2. Compared for 11 with the values from M. If the M values are greater than or equal the Mr values, for each area of the roof, then the tile attachment method is the values d >fs accepa taabb le. Method 1 "Moment Based Tile Calculations Per (P,: z _ _� - I l : g _ RAS 127" xX _ n (p3 x — Mg: i1lr ; �� NOA M g: Mr3 NOA M Method 2 « - -- Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOA M For Uplift based tile systems use Method 3. Copared values for F If the F' values are greater than or equal to values,t fi fth the each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" x cos B: _ x cos t9: — — x „ := 1 �`�. - - - Fes• NOA _ x cos O. = . F o: NOA F' Where to Obtain Information S mbol x1: x1: Descri.tion n'S Erl Pressure PI or P2 or P3 Where to find RAS 1.11 Table 1 or by an engineering analysis prcpar:d by PE base e^ ! Mean Roof Hei¢ht H Job Site Roof Slope a _— _ — — — - Aerodynamic Multiplier © lob Site Re torin • Moment due to Gravi NOA Re • uired Moment Resistance Re•uired L/ lift Resistance ® NOA _ ® Calculated Tile Dimensions 1= l \O`, length NOA "idth All calculations must he submitted to the B " — uildin, Official at tlic titr ui •ermit a..lican n NOA NOA Calculated _ _ ` � .......- ..y... a.. ..mss. •.:v-.. 1s .n�_+•.k•�'.i:h:� 'c;a a'cw: -:fn,i �, :iy' /•"-T HIGH VELOCITY HURRICANE ZONES REQ I O% CONSIDERATIONS RS NOTIFICATION FOR ROOFING 1524.1 Ag•it pertains to this section, it is the responsibility of the roofing contractor to provide the owner of the a gTee ment the required roofing permit, and to explain to the owner the content of this section.. The provisions of Ch -with 15 of the Florida Building Code, Building govern the minimum requirements and standards of the indust apter roofing system installations. Additionally, the following items should be addressed as part for between the owner and the contractor. The owner's initi in been agree explained. n the adjaccnt:box indicates pat the item h l_ 1. Aesthetics - Workmanship: The workmanship provisions Zone) are for the purpose of providing that the roofing sys em meet s he wind resistance and wat r i ru p pe 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. 2. Rcn Wiling Wocci Decks: When replacing roofine renailed in accordance with the current provisions of Chapter 16 t existing wood roof deck may have to be Building Code. (The roof deck is usually concealed prior to removing the roof system)es) of the Florida 5 .- 3. Common Roofs: Common roofs are those which have no visible units (i.e. townhouses, condominiums, etc.). In buildings with common oofs, the contractor neighboring ctor owner should 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 viewed 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 option of maintaining this appearance. . - — 5. Poncling Water: The current roof system and/or deck of the cause water to pond (accumulate) in low -lying areas of the roof. Ponding � can b indi of distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. 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 with the Florida Building Code, Plumbing. �7. Ventilation: Most roof structures should have some ability o vent na tural airflow o ty through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. CAD OCCHC • I'T.—,k3ECTIOS 13:4.4.e Date Contractor's Signature 5 .a7 , C 3 cu.u-a-6 :� •C):ADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of constriction materials. The documentation submitted has been reviewed by the BCCO and accepted 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 Miami Dade County) and /or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in thc accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturers 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 thc manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages I through 33. MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 305) 375 -2901 FAX (305) 375 -2908 NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 1 of38 The submitted documentation was reviewed by Frank Zuloaga, RRC. .r• .v: m.ip Y - ;, • :• �r >es:s.1,pia' Air' -A i'Ata+i: :b3l t i�"f'� �'�s+1;:,%'A NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 2 of38 ROOFING SYSTEM APPROVAL Roofing SBS /APP, Modified Bitumen Wood -75 psf See General Limitation #1 Category: Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Alumimmi Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4® GAFGLAS®Mineral Surfaced Cap Sheet Dimensions 5, 55 gallons 60 lb. Bags 1001b. bags 5 gallons Tes t Specification ASTMD41 ASTM D 1863 ASTM 1227 1, 5 gallons ASTM D 2824 1, 5 gallons 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D4601 ASTM D 2178 ASTM D 2178 ASTM D 3909 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Slueld® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 3 of 38 Product GAFGLAS® STRATAVENT® Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT® Eliminator Perforated Nailable RUBEROID® SBS Heat - We1dTM Smooth RUBEROID® SBS Heat - WeIdTM Granule RUBEROID® SBS Heat- We1dTM 170 FR RUBEROID® SBS Heat - We1dTM PLUS RUBEROID® SBS Heat- Weld PLUS FR RUBEROID Modified Base Sheet RUBEROID® Modified Bitumen Adhesive RUBEROID® SBS Heat We1dTM 25 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS Dimensions 39.37" (1 meter) Wide various 39.37" (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 (39.37 ") wide 39.37" (1 meter) Wide 5 gallons 1 meter (39.37") wide 39.37" (1 meter) Wide 1 sq. roll 87 lbs. 39.37" (1 meter) Wide Test Specification ASTM D3672 ASTM D 4897 ASTM D3672 ASTM D 4897 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D4601, Type II, UL Type G2 BUR ASTM D 3019 Type III ASTM D -6164 ASTM D 6222 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 3tG ' " Product Description Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. 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 mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Premium glass fiber reinforced SBS - modified base sheet Fiber reinforced, rubberized Adhesive Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 4 of 38 Product RUBEROID MOP 170FR RUBEROID MOP FR RUBEROID TORCH Smooth RUBEROID TORCH Granule RUBEROID TORCH PLUS RUBEROID TORCH FR RUBEROID 170FR TORCH Ruberoid® 20 Ruberoid® 30 Ruberoid® 30 FR RUBEROID® ULTRACLAD® SBS RUBEROID® Dual FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion • Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37' (1 meter) Wide 39.37" (1 meter) ASTM D 6222 Wide ASTM D 5147 39.37" (1 meter) Wide 39.37" (1 meter) ASTM D 6222 Wide ASTM D 5147 39.37" (1 meter) ASTM D 6163 Wide ASTM D 5147 39.37' (1 meter) ASTM D 6163 Wide ASTM D 5147 39.37' (1 meter) ASTM D 6298 Wide ASTM D 5147 39.37" (1 meter) ASTM D 6163 Wide ASTM D 5147 39.37' (1 meter) ASTM D 6164 Wide ASTM D 5147 5 gallons Test Product Specification Description ASTM D 6164 Non -Woven polyester mat coated with ASTM D 5147 fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -Woven polyester mat coated with ASTM D 5147 fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6222 Heavy duty, polyester reinforced, asphalt ASTM D 5147 modified bitumen membrane, smooth surface. ASTM D 6222 Heavy duty, polyester reinforced, asphalt ASTM D 5147 modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. SBS modified asphalt base sheet reinforce with a glass fiber mat. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated with fire retardant, polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer - modified asphalt and surfaced with mineral granules. PA 100(A) One -way valve vent used to relieve built - ASTM D 1929 up pressure within the roof system. GAF ASTM D 635 Vent Stacks are available in metal or plastic. None Mineral colloidal bituminous emulsion with reflective aluminum flakes NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 5 of 38 Product GAF Aluminum Roof Paint (MatrixTM System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Shingle Mat Underlayment Tile -Mate Modified Base Sheet Tile -Mate Modified Cap Tile -Mate Modified Cap Plus TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCote® MB+(Matrix 715 MB Coating) TopCoat MB+(Matrix 715 MB Coating) WeatherCoteTM (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid®MB) Matrix 201 System Pro SBS Flashing (Ruberoid®MB) Matrix 102 Select SBS Adhesive (Ruberoid®MB) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Dimensions 5 gallons 1001b. cartons, ASTM D312, Interply mopping and surfacing asphalt bulk Types I, II, III and IV 601b. kegs 4 sq. mll 30 lbs. 1.5 sq. roll ASTM D 5147 1 sq. roll ASTM D 5147 103 lbs. 1 sq. roll ASTM D 5147 102 lbs. 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons Test Specification ASTM D2824, Type I ASTM D3019 ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D4586 ASTM D3019 Product Description Non- fibered. Aluminum pigmented, asphalt roof coating SEBS modified asphalt Fiberglass reinforced shingle underlayment SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat tile underlayment. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules tile underlayment. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules tile underlayment. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Cold Applied Modified SEBS Asphalt Adhesive Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement Standard Plastic Asphalt Roofing Cement Caulk Grade. Cold Applied Asphalt Adhesive. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 6 of 38 Product Matrix 303 Select Fibered Aluminum Matrix 304 Select Non- Fibered RUBEROID® Modified Bitumen Adhesive Test Dimensions Specification 5 gallons ASTM D 2824 5 gallons ASTM D2824, Type I 5 gallons ASTM D 3019 Type III • Product Description Fibered aluminum coating. Non-fibered. Aluminum pigmented, asphalt roof coating. Fiber reinforced, rubberized Adhesive NOA No: 02-0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 7 of 38 APPROVED INSULATIONS: Product Name GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N (BMCA)GAFTEMP® Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANTTM GAFTEMP Permalite Recover Board GAFTEMP GAFEDGETM Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA BMCA Composite EnergyGuard, RA PYROX White Line ACFoam I, II & Composite ISO 95+ ISO 95+ Composite EPS Wood Fiber High Density Wood Fiberboard Pelite/Urethane Composite Perlite Insulation Dens Deck TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocynurate /wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate /perlite ridged insulation Extruded polystyrene insulation Wood fiber insulation board Wood fiber insulation board Perlite / urethane composite board insulation Perlite insulation board Water resistant gypsum board Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co. Apache Products Co. Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. Generic Generic Generic Generic generic G -P Gypsum Corp. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 8 of38 APPROVED INSULATIONS: ENRG'Y -2 & ENRG'Y -2 PLUS, UltraGard Gold FiberGlass Roof Insulation ISORoc Structodek Product Name Multi-Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Product Number Name 1. GAFTITE® (Drill -Tec®) #12 Standard & #14 Heavy Duty Roofmg Fastener 2. GAFTITE® (Drill -Tec®) ASAP 3. GAFTITE® (Drill -Tec®) Base Sheet Fastener and Plate 4. Galvalume Plates (Drill - Tec® Metal) 5. Polypropylene Plates (Drill- Tec® Plastic) 6. Dekfast Fasteners #12, #14 & #15 7. Dekfast Hex Plate 8. Dekfast Lock Plate 9. #12 Roofgrip Fasteners 10. Metal Plate TABLE 2 Product Description Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Polyisocyanurate foam / rockwool composite insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFTITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. Manufacturer (With. Current NOA) Johns Manville Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. 3" and 3 ''/2" GAF Materials Corp. 3" and 3 ' /Z' GAF Materials Corp. Construction Fasteners 2 7/8" x 3 '/4" 3 "x3''/" 3" round 3" square Inc Construction Fasteners Inc. Construction Fasteners Inc. ITW Buildex Corp. ITW Buildex Corp. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 9 of38 Membrane Type: SBS /SBS Cold Applied Deck Type 1: Wood, Non - insulated New Construction or Reroof Deck Description: 19 / 32 " or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened to roof deck. All General and System Limitations shall apply. Base sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat-Weld 25 base sheet mechanically fastened to deck as described below; Fastening GAFGLAS® Ply 4®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any Options: 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 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 P1yTM 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 PIyTM 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 (GAFTITE) #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) Ply Sheet: (Optional) One or more plies GAFGLAS PLY 4 ®, GAFGLAS Flex Ply 6, GAFGLAS #80, RUBEROID MOP Smooth or RUBEROID 20 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs. /sq. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 32 of38 • Membrane: Surfacing: Maximum Design Pressure: See Fastening above One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 20, Ruberoid® 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladTM SBS m adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, Ruberoid® 20, RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladTM SBS m RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lb./sq. and 300 lb./sq. 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. + 15 %. 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 gal. /sq. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 33 of38 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply "`' 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum ''A" Dens Deck or 'A Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofmg 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 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 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofmg Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with R o o f m g Application Standard RAS 1 1 1 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 38 of 38 ee 2002 ROOFING MATERIALS A ROOF COVERING MATERIALS (TEVT) Reoofing Systems (TGFU)— Continued GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. " GAFglas Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membraner may be used in Lieu of "Ruberoid Mop" SBS products in any applicable Classification. • Class A 1. Deck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped. Surfacing: Gravel. 2. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 3. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more layers Type G1 "GAFGLAS Ply 4" or "GAF- GLAS PIy 6 ". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck: C -15/32 Incline: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: One or more layers of Type GI "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet". 6. Deck: NC Incline: 3 Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet ". Ply Sheet: One or more layers of Type GI "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 7. Deck: C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, ure- thane, perlite / isocyanurate composite, perlite/ urethane composite, phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. 8. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. • Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), '' Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). TEMS.DIRECTORY ROOF COVERING MATERIALS (TEVT) X 473 Roofing Systems (TGFU) — Continued Cap Sheet "GAFGLAS Mineral Surfaced Cap ".Sheet", hot mopped. Class B 1. Deck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanuratp, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Two or more layers of Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6" Cap Sheet Type G3 "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. , • 2. Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Base Sheet: Two or more layers of Type GL G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. ' • Class C • 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. • Ply Sheet: Three or more layers of Type G1 "GAFGLAS Ply 4" or ' "GAFGLAS PIy 6 ". Surfacing: "Special Roofing Bitumen" 20 lbs /sq. • COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A 1• Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped with coal, tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A Inclline: 2 s One or more layer perlite, wood fiber or gl sa(s • of Type GI "GAFGLAS PIy •4" or 1. Deck: NC Insulation (Optional): fiber, 2 in. max. Ply Sheet: Three or more layers "GAFGLAS Ply 6 ". Surfacing: Grundy Industries "al MB Aluminum Roof • Coating" iat 1 -1/2 gal /sq. 2. Deck: NC Incline: 1 Insulation (Optional): One or more layers p ;irlite, mood fiber, glas fiber, isocyanurate, urethane, perlite /isocvanulate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers of Type Gl "GAFGLAS Ply 4" of "GAFGLAS Ply 6 ". Surfacing: "Weather Coat Emulsion" at 3 gal /sq. • 3. Deck: NC Incline: 1 /2 Insulation: One or two layers "Isotherm R ", 4 in., hot mopped. Ply Sheet: Any UL Classified gravel surfaced ClassA asphalt glass fib mat system. • 4. Deck: NC Incline: 2 1 Insulation (Optional): Isocyanurate, perlite, isocyanurate /composite; wood fiber and glass fiber, any thickness, mechanically fastened. Base Sheet One ply Type GI or G2, mechanically fastened or hot mopped. Ply Sheet: One or more plies Type Gl or G2, adhered with hot roofing asphalt. S facing: "GAF Premium Fibered Alumin Roof Coating ", 1 -1/2 gal sq or "GAF Weather Coat Emulsion ", 3 g /sq. 5. Dec • NC Incline:' Ins ation (Optional): Perlite, glass fiber, polyf socyanurate, wood fiber, me anically fastened, any thickness. f T • Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/29/2003 Applicant: ANN MARIE Owner: INDORF \r JOB ADDRESS: 1269 NE 99 Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132050090110 Fees: FEE2003 -3210 FE E2003 -3211 FEE2003 -3213 Description Amount CCF $0.60 Notary Fee $5.00 Building Permit Application Fee $60.00 Total Fees: $65.60 Total Fees: $65.60 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 11/25/2003 Construction Value: Work: Tear off exisitng rear flat roof i y M Signed: Y l I I� 1 In consideration of the issuance to i conformity with the plans, drawings, s done by either myself, my agent, sere Signed: 8r HONVII9 OL9/EV9 - C9 69CL SBVnOO Building Permit Permit Number: BP2003 -861 £ 0 s 31V0 INDORF ANN MARIE ST Contractor's Address: 485 N. E. 90 Legal Description: EARLETON SHORES PB 43 -80 E1/2 LOT 14 & LOT 15 LESS E25FT $800.00 Page 1 of 1 9 r L91££ 1d 'nue% LOU -c nc 'JJa r inn.. • • t d0 'maw 01 G 1 3H1 Ol Mid • • • o • • • • • • • • • • •• •• • • • •• •• • PERMIT APPLICATION FOR I AMI $}ORES VILLAGE • • o • • • • • 10050 N.E. 2nd Avenue • Miami Shores' Florida X3138 • J ' Phone: l 795 -2204 • Fax: 305- 756 -8972 Date 0111, \1-0Q3 Job Address MAP 1 & r — 1 E ?-r rfTax:'Folio • • • • • • Legal Description : • • Histaraally lesignaied: • • Yes No c Owner /Lessee/Tenet J CO -V- NoVa.c • � M t Perri[ # Owner's Address I2-LP CI nQ j —1 - t j�• CA " �• i ° 131)4Khone 1 • 1 :4" . 1 07-0 •• • • • • • ••• •• p Address 4k S r 1� N� .517 Contracting Co.? • A,tAD LFK- 3} Sri , J1 Qualifier ?A L- Imo. t ) , ) Phone 3°5. 1 . 0 State # Municipal # Competency # Co. 43 +' 6 " 0 N 6 Ins. LeAder IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION: 1Ti kr OP ex s t -RI e roof) rep 16v, wi-} -h a h cw ria/Pc pahr -S t© [D I -K ti-OJ (+ I >✓-I -k 6 se.In 10e t c+ -4 — I - i l e roo' yS+ ivi Square Ft. .SQ. ` lzLt-1 '9);e44? ,* ► dr a %1� •'' 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 ANY 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). 1 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 all disciplines. 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. Furthermore, I authorize the above named contractor to do the work stated. L ature of owner and/or Condo Preside —Z3-03 Notary as to Owner and/ornd. •resident fr Date My Commission E Dell Marie Springer MY COMMISSION # DD129398 EXPIRES : z August 25, 2006 BONDED THRU TROY FAIN INSURANCE INC RADON FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing C.C.F • • • • • • • • • • • ••• • • • ROOFING cuckfat o3 of Contractor or 0 uild P if 0 otary as to Contractor . _ Owner Builder Becker My Commission Expires �d"W4, lommin p01601149 Expires Novernter 16, 2006 NOTARY r c . 0 C.) BON TOTAL DUE_S1/ S v Electrical Date Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/14/2003 Applicant: ANN MARIE INDORF Owner: INDORF ANN MARIE ?JOB ADDRESS: 1269 NE 99 ST p Contractor KAWALEK PAUL Contractor's Address: 485 N. E. 90 Local Phone: 786 - 277 -9540 g Parcel # 1132050090110 Legal Description: EARLETON SHORES PB 43 - 80 E1/2 LOT 14 & LOT 15 LESS E25FT Fees: Description Amount (2 FEE2003 -1003 Building Fee $277.50 FEE2003 -1004 Buildier's Bond $300.00 Total Fees: $591.50 FEE2003 -1005 CCF $9.00 Total Receipts: $0.00 FEE2003 -1006 Notary Fee $5.00 Total Fees: $591.50 Z Permit Status: APPROVED Permit Expiration: 8/13/2003 Construction Value: $14,900.00 LA Work: TEAR OFF EXISTING TILE ROOF; REPLACE WITH NEW SANTA FE SPANISH S COLOR THROUGH ALL TILE SAME COLOR If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305 - 754 -0191 MIAMI SHORES, FL 33138 -2566 Date0 1 11 n J Paytothe Mtami 1 � y- �t V! e ,� v ; 1 v�� 1 . / hu4r-e Uhvtety -0Ite. So • r�Follars BankofAmerica. ACH FVr 063100277 rS:kS±i For. tQj •:063 LOO 2 ? ?I: 00366060L9L Loo 3 L54 Building Permit Permit Number: BP2003 -256 3154 63-27/631 FL 810 Page 1 of 1 equipment or device described in the application herefor in strict compliance with all ith any plans, drawings, statements or specifications that may have been submitted to not done in compliance with such ordinances or if the plans are changed without or or builder named above assumes the responsibility for a thorough knowledge of the Is or in the statements or specifications and that he assumes responsibility for work done BY: compliance with all ordinances and regulations pertaining thereto and in strict conformity s Village. In accepting this permit I assume responisibility for all work done by either BY: • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POStEp;C Tfif ?QI SVE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. • • • • •. • • • • • • • • • • • • . • • COUNTY OF DADE: • • ••• ••• • 03R0 ; 3088 2003 JAN 24 11 :49 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following informattgn iCpCovjdedln jhi$ flottge of Commencement. 1. Legal description of property and street address: • • • kiSt; ::tIF1. 4 S t k> J Z tit /A3Mt 340 &r_5, FL-0 33152 STATE OF FLORIDA: 2. Description of improvement: J L t 0 3T ' [ o A ni r w Tt A F L 47 ZDOP 3. Owner(s) name and address: Se- At skitil M Ar t r )•J tZ 1P t / - 71-t S . N►I A'1 i S .1- loer - .3 , `� t RJ1 r 3313 j Interest in property: 0 W 4 L5 Name and address of fee simple titleholder: 4. Contractor's name and address: P• kA.) A L F 7001:j h l ?/.1 I 4.1T f 3 b 'A SS . R Sa- kok.iS, 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: /■1 ! Dc Amount of bond $ 00 6. Lender's name and address: N t 1 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: k1131 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: All 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) ■\ 1 Notary Public s ignature of Owner Print Owner's Name � C-07 4 ' ,- nA.F. Sworn to and subscribed before me this 23 day of JG Y L&Oi Print Notary's Name tie-i i Erie My Commission Expires St 2S 2- • • • •••• • • • • • • • • • • • • • • • • • ••••••• •••• e Address: Ivt, cl.t t4 S {t ov'PS ; , ;�'r'" Dell Marie Springe �L '� 31 ' 33 (. {L i �.'_ MY OMMISS1pN# DD129398 {XPIRE3 '; - Au 2 5, 2006 '$Eby BON DEDIH RI IT Rn Yeu11 NSU RANCEINC 1 Mr 6 / G' • ,.. 1 N aye Prepared by 4 ay h o3 . .4t IOW 4455 ,E go,Vtd Florida Building Code Editipn •2002 • •:• Hi • h Vebci Hurricane Zone Uniform P rrnQ A • lisabort • . • Master Permit No. Contractor's Name Job Address ❑ Low Slope ❑ Asphaltic Shingles ❑ New Roof Re- Roofing ❑ Recoverin g 0 Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 3g06 3Cgov Section B (Roof Plan Sketch Roof Plan: Illustrate all and sections, roof dra' : :ns, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location parapets. - caon of 0 Section General • • • • • • Infotrifafion • • (y` ••• ga•Vj CC) . 6K POcess NVo : • : • • •••• ••• • . - '••• • . • • ROOF CATIBGeli • :: • •• •• • ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles ❑ W far /�hesive Set Tile Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE • • • • • •.• Florida Building; Code Edi1iop 2012 • Hi. h Veloci Hurricane Zone" Unjforre nnit 0 • • • •�` ••• Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used Identify as "NA') System Manufacturer NOA No.: • •• • • • •• Design Wind Pressures, From RAS 128 or Calculations: o: Lap # Rows Prnaxl: Prr..y.?• Max. Design Pressure, From the Specific NOA System: Deck: Type: Gauge/Thickness: Slope: Anchor/Base Sheet & No. of Ply(s) Anchor/Base Sheet Fastener/Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheets; & No. of Ply(s): Base Sheet Fastener/Bonding Material: Ply Sheet Fastener/Bonding Material: Top Pty: Top Ply Fastener / Bonding Material: Surfacing: Section C (Low Slo • • • • ped' Rrir .' EasteheiS •Atfac6ment ••• ••• • • • ••• stem ••• p3 i fop s funchorlBase Sheet • • • • • • Field: ' oc # Rows oc • F r!n$ea L9p. # Rows _ ' oc 'oc Number of =Fsteners .Per Insulation Board Field Perimeter • Comer _ • Illustrate Components Noted ancl Details as'Applicable: Woodblocking. Gutter, Edge Termination. Stripping, Flaring, Continuous Cleat, Can: Strip, Base = lashing, Counter- Flashing. Coping, Etc. Indicate: Mee- Roof Height, Parapet Height, Height of Base F lashing, .Component Material, Material Thick ms s, Fastener Type. Fastener Spacing or Se -nit Manufacturers Details that Cornply with RAS 111 and Chapter 1E. • Parar e Heicn Mean Heigh: t Roof Slope: . 12 Florida Building Code Edition 2002 H . Veloci Hurricane Zone Uniform Permit z .. �F Section D Stee. Slo • ed `• mat • • • Method of tile attachment: ••• • fen Maximum Design Pressure From the VOA S • ecific S stem : a.nn 9 Jtes l v e Ridge Ventilation? Deck Type: ype Underlayment: Insulation: htb V — 3ni >1 Fire Barrier: r T'1 Stee • Slo • ed Roof S stem Descri . tion IA -I- 4vNa 8U Fastener Type & Spacing: \AdhasivP TNpz: L ype Cap Sheet: qo /a-Fe ;+e Roof Covering: S�C�Y1 jS s 15rxn�� r Type & Size Dri dge: id (Dior Florida Building Code EylitiAn 200a • • • 1•f' V .'' ' it e Zone Uniformwe. •-•a • • • • • .. For Moment based tine system, choose either Methbd:l .or. dqd glirc►values for M with the values from M. if the Mrvalues are a Bate; :ban oregiviii Ise Mr values, for each area of the rod, then the tile attachment method isaoeeptaile Method 2 "Simplified Tile Calculation Per Tab eBelow Required Moment of Resistance ('L) From Tale Below NOA M Descri • tion x x A x M Section E (Tile CaIc j1ation's 1 Mean Roo: Heteht 1 Roof Slope 1 Aerodynamic Multiplier 1 Restorin Momen: due to Gravi W 1 NOA Attachment Ressance I M. Re • uired Mommnt Resis�ce M Minimum Attachment Resistance 1 R • uired • 'ft Resistance 1 F. Av'eraee Tile Weight I a =ems x= a> All calculations mus: ie st:b- title: to he =_•..irr_ o%:icial at ale time u1 T:k Dimensions t Based Tile Cale d P ' , i ••• • • Ca -Mg: j U - s @r ► S t2 - Mg: 'f,7 =M fi Required Moment Resistance' *Must be used in conjunction « a list of moment based tile systems endorsed by the Broward Count} Board of Rules .me Appeals. For Uplift based tile systems Mt Method 3. Compared t values fur F'-with the values for F If the F' values are greater than or equal the F 1 ilea each area of the roof then the tile a a chment method is acceptle. Method 3 "L Based Tile Calculatio Per RAS 127'' (pt: xI: = z w:= ) -W: x cos 0. (p2 : x I • _ x cos 9: Fn: !OA F' x ": = ) -W: xcos NOA F' Where to Obtain Information I Symbol i Where to fine - 71 .-c• en .'r=sure ► • • . >o _ or P3 . RAS 127 Table 1 or by an engineering analysis pte by PE based on "Si.- ' 7 Job Site — E I Jab Site ! raoA AFOA Calculated NOA Calculated NOA NOA omit a • . licatiun • • • •• 1 7 OA 7 NOA 30' 40' o .. ..• ••• -•- • - • ••• o• •• • • • •• •• • o • • • • • • • • • • • • • • • • . • • • • • • • • • ••• • • • • ••• SECTION ,24 • : •' • • HIGH VELOCITY HURRICANE ZONES REQUIRED UWNEP:S ti'b ItIC/CTION FOR ROOFING CONSIDERAr'FIONS• • • • 1524.1 As it pertains to this section, it is the responsibility.of tke roofgtg cptrtratbr to provide the ownerwith the required roofing permit, and to explain to the owner thg WilteI lt:oetifisItctiert. The provisions of Chapter 15 of the Florida Building Code, Building govern the mynifidrrirequirenierits•artd 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. _ 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) 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. l 2. Renailing Wood Decks: When replacing roofing, the existing wood rcof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building 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 units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 5 ' 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail 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 may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. 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 with the Florida Building Code, Plumbing. .�L 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. � X 13 , 03 Date Contractor's Signature • • M ':G1 t-OADE • • ••• PRODUCT CONTROL NO -- OF • • ACCEPT Santa Fe Tile Corporation I0302 N.W. South River Drive, B.ty #16 Medley ,FL 33178 .. • • • You application for Notice of Ac;.eptanc; (NOA) of: Spanish "S" Clay Tile under Chapter 8 of the Code of Miarr.i -Dad_ County governing Construction, and completely described herein, has been recom County Building Code Compliance Office (I3CCO) under the c This NOA shat not be valid after the °xpirat:on date stated be w. BCCO reset /es the right to secure this product or material at any time from a jobsite or ma actur es plant :or u lrz product or material fails to perform in the a 4 — }• control testing. If this use of such product or material immediately. BCCO reserve C th O ght e to vi ke this modify, approval, o suspend the determi by BCC° that this product or material faiis to rileet the requirements if i Florida iBuilding Cade. r '*IS o the South a The expense of such testing will incurred S ll be lncurre4 b }• the ;ttanufactur#•. A CCEPTANCE NO; 00- 1212.06 E XP1RES - 0_1 1_0_ This aoclica :ion for Product Approval has been Code and Product Re•.• :ew Committee to be used forth aDcve. .APPROVED: O2 /0l :2001 :C4S000f'pc :CGOfirer+p' honk. accepw.c• CJrqr 1nternec mill aJJresS: postmaster@buifdir.q_oteonline .corn fe • • ••• •• •• • • • • • • • . • • • • •• • • • • •e• • • • • • • 1 r l i, f! i r r f� i r !! • • ••• • • • • • • • • • . • : rf'OAMI- DADB.CO(,NTY, FLORIDA • • • • • rgg?RO -BADE F[.AGLER BUILDING • • • BUILDI@gG CODE CON rLIA NCE OFF1C • O -BADE FLAGLER BUIL >E • • 140 Wz'S, rFLAGEER STREET. SUITE �C • • • • • • • MAW, FLORIDA .1.3130 • . • • (6S) 373.2% t FAX (2Q3) 37S - 290 •• • • • • •• coormACTOR SKc710N • • - • • • • (30$) 373.232? PAX (SOS) )9$•2539 • • • • COm•RACTOR ENFORCEMENT QIVISION • • • • • ( FAX 30' ))�i•29ot • • • ••• •• ( a PRODUCT CONTROL DIVISION 0051395.2902 FAX (305) 372.5339 he use of Aite.:.ate Materials and Types ended for acceptance by the Miami -Dade nditiors specified herein. Raul Rrn:rig is Chic' ? -cduc: Control Division THIS IS THE COVE.R.SHEFT.. EF. ADDITIONAL PAGf CONDITIONS •S FOR SPECIFIC AND CF.NF.i2A> i BUILD CODE . PRODUCT REVI IV COMMITTEE fI reviewed by ithc BCCO and -pr ; j by the Buildine in Miarni-Dadle County, Flor:ca t;; d_- the conditions set i/ Fran;i:cc J. Quintana, R.A. Dircc :or Miami -D=... County Cor-tplir.ncc I l t• HO : page: http: /,'Nww•�L;;dingcode0niine.cont Materials Deck v e. Santafe 'S' Clay Roo: Tire Trim Pieces AF O RPORATION ASSEMBLY APPROVAL Roofing 1 . SCOPE This renews a roofing system using San.a Fe' San Tile Corporation described in Se;r t `Softhis comply will•, the Sotith Florida Buildi 1 otlt;s locations where !he ng Cede, 1991 Edi he design pressurC r equirements, as de does not exceed the design pr essure values obtain by ca using the values listed in herein. The attachment ealcul system. 2. PRODUCT DESCRIPTION Manufactured by •A licant 3. L[.I1TATIOtiS Test S Dimensions cations 1= 18„ '/_" thick I = varies w = varies varying thickness 07320 Roofing Tiles Clay Roof Tiles Wood P.4 112 'A 112 • • • . • • • . 2.1 COMPONENTS OR PRODUCTS :MANUFACT RCD Product Test 131' OTHERS BY Specifications Product Tile Screws `8 x ., / .. 2 -' " long. PA 1 14 �_'nrArl PA 1 14 Manufacturer g nerj 0 1 30" shank dip. _ gainless Steel 0 178 flute dia. Appendix II generic fI ! 3.1 I1 Fire ctassi rcaron is not ' I 3 -' For mor-.ar or adhesive sct at;le �pp:ications, a sttl'�s acceptance. i� accordance with RAS 106. y ie field u lift test spa •I y 3 3 1 P performed in Applicant sh.:i! retain the t services of a Miam perform quarterly test in a.:ordancc with PA 1 stibmi:ted ro the Building Codc Compliance OM • • • . • . . . • • • • • .. • • 1 • Approvat,f • - . • • �M'uary X001 ••• fxPicitio Da te. • Februar y 1 2006 • • • .. 000 • • • ... .. • • "clay roofing tile, manufactured by once of Acceptance, designed to ion for Miami -Dade County. For mined by ripplicable building code. ulations in compliance with RAS 127 ions shall be done es 1 moment based C 1f Product it escri ;It ion fj Or piece high profile elan roof tile equ with two nail boles- For nail -on, molssory trim, cla set .. set and adhesive applications. Acc hiprakcs, ridges y r co"oieces for use at dges and val.cv terminations. Magufacturcd for each t:ic profile. Cadc County Certiflcc : 2 a . .sQOratory to • � J � hall be ufoage. RRC oofing Product Control Examiner . sit. A ■F, T CORPORATION 4. INSTALLATION 4. ).1 Santafe 'S' and its ccm • • • pon • shali.�e i11 ::rtct: eomprance with Miami Dad County Roofing Application Standard 4 . 1 .2 Data For Attachment Calculations • • • • 9 �'� ! 20. •• • Santafe 'S' Tile Profile Direct Deck 590 5.85 namic. Multi X (ft) I! Batten A licar on 0.274 Table 2: Restorin Moments due to 2 ":12" 3 ":12" 4 ":12" Battens Direct Bartels Direct 1 Ba Deck Deck I ers -Aft ":12" ins Direct Deck 5. 6 X(ft) CireCt Deck ort;ens i Direct Battens Deck 7":12" or reater N/A Tile Profile Battens ' Santafe 'S' 5,92 • •• •• •• • • • • • • • 3 3 30/90 hot mopped underlayrnent•applIctjon • slope unless stated otherwise by the under] literature. 3, 6 This acceptan is for wood deck apptiicatiot�s. compliance with applicable building oodt • • • Table 1: Aerod • • • •• • •• • • R AS:1 Z • R:4$ I� Table 3: Attachment Resistance Expresse as a Moment- Mf (ft-lbf) I Tile Profile ; Tile Two Nails Application ! 5antafe S Direct Deck i 21.8 29 1 6 j38 2t' Battens A e roved scree■ Table 4: Attachment Resistance Expresse as a Moment - M, (f_Ibf) for Mortar or Adhesive Sett- stems Tile Profile Mortar Set Adhesive Set Attachment Resistance 61.9 Santafe 'S' s as noted 'Product rnanufac:ured by others' 3 • a :E ;PTANCE No. :oo -t 2,_. • • • • • • .•• • y be installed perpendicular to the roof • • 'tncnt material :'t'a+w`- denials published •R1Snirnisir • deck requirar•.ent shall • be in One Screw w/ Cli 57.31 0.297 1' rank Zulaaga, RRC I Roofing Product Control Examiner Direct Deck f Two Screws • w/ CI; . ' 57.60 61 -- 7 -- S. LABELING • • 5 . 1 411 tiles shall hear the : • • • or or following statement: "M�J Dade bun. 6. BUILDING PERAIIT 6- l REQ IiIREMENTt• • • Application for building permit shall be accomp 6 . 1 . 1 This Notice of Acceptance 6.1.2 Any other documerres • • order to • �uired by °fie 1012d properly evaluate the instaljdti4 PROFILE DRA WIN SANTAF$ "SANTAFE S" CLAY; OOF TILE r te. 4 •••• • • • • • • • • • • if 1 • hied Sqpiks of the following: 8:Officia3 or • • is �¢licable Building Code in s'yslem • • pc'EFTANCE • • • yo.: 00-12 2 06 .. • • • • • • •• acing of the nfacturer's logo, 4 • �t•Conao: A . ro . name or • • r p • vcd . • • • • IIFrank Zuloaga, RRC L Rooling Product Control E.uuniner c r eight (8) }tars 2 Any and all approved • • • 40 ••• ••• the following statement: ' ' • • 6 . . • Y lat�*etld ivt f ' �. :' • th e f oll con g st :ts of gct;Cdratro A 11. nt or crc r tei f call; st state, ant P ?roved , of as sar stated in the 3 ti b) c) d) ANTAFE TILE CORPORA • • • • • • • • • • • • • • • • • ••• NOT / OF ACCEPTAN ` (approval) snail be � oR+rncntai:cn, including tests Products shall be peat. ent: 'Miami -Dade Cou P .id this Accepts,. • • e will not be considered if: change in the South Florida B not i coTpItaacc with the cod longer the sari Product (idc holder has not xmPlicd with of prod nginall}• prepared, signed and �r pracicing the engineering .n the rrtarer;2;;, use, and/or r r tcrrrUr;alion of>rtis Axeptyn revision application with appropriate also be grounds f or removal orrnance of this Product or pr prance as an c,1dorsemcnt of number prr_xcd by the words axed to ad• :ersing literature crcir. its en Kell as manufacturer to distributor need n ot be resealed by the cn section of this Acceptance shal END OF THIS ACC$ r a • • :A. a • • •. • • • • • �'A!11 No. :1 =�6 • •• • DIT Renewal of tl A° • • • • original submitted d idcrcjft uDDoning d2 E OI1'T • • • • • • • • renewal applicatilaa ?us yeCa Mad s tie engineering d - m Renewa:s of A�Ptanc a There h:z � a c and :he P pct Building C e aft at this The r affecting the evaluation P c�:� i s no c cha»g e����• Product !f the ^stance ntica]) as t) correct installation `r one originally app' . l.aso all the r;,,� rernents o! this ac^-- ,taa,�. including the en;;;w� Th submittal, :s ne len sealed Upe required d Profess;�}t ocumer..s: c'.i:211y Any revision or ;huge in 4 automatically r ca;rx for a,ufactu it automatically the filing a: o: a r °f the product or pry ! ce, u c and rante ap his e ban r feel and lrantcd by this - � rcc. requested 5 Any of the following stall a) linsatsfarory �� of this AceFtance: b) Misuse of tru • q;, a ocess; Purpos any Pr uct, for sales, advents . - �) iz or :rrs crier 5 The Novice of A:-- � be displayed Miamif � padc County, displayed, then it s.�!! b d . !f ant ty. Florid c, ark :e b}• the Portion of the Notice ; : :, 7 A copy of this .�c - �2ru as ;j ii A cop - to the user;,} ��c and oth� documents, pro i ed times. s ere copies s and shall be a`a a or i s ?_Ion stall bc available for ins•_._ — �. ; at _ e� 8 ., $ i ncerp : allrllC to comply µ -Lf� any $- �t .Acceptance l bc cause for f termination an; _;,�,. This Ac c jJtance con�;rts pages �I PTA I r I :1 it 'l Frank Zuloaga, RRC 5 .Roofing Product Control Eder PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 130 ) OD Job Address V12.14.9 NE St Tax Folio Legal Description Historically Designated: Yes No X Owner/Lessee / Tenant 1 ID () R 1 Master Permit # q‘,5-3/ Owner's Address m r-. 1Y1 r s. & V ..I„ Phone 30.1 7 (o a - 6 - ) l`l , Lt.), /-7 9 a Contracting Co. t (Lt " cP Address Qualifier 3o i} r v L E F R S Phone 3 DS- (. 1 State # Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC RO 1 FING PAVING FENCE SIGN (7 9p %t► 90 e-' LFA IC. Ia51_ 1 Tt ooC WORK DESCRIPTION Square Ft. Competency # Address Address Address / 9 9 V Ins. Co. r 8u r L I N In eo Estimated Cost (value) 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 OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEIMER 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). j certify that at4 work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required fol 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 regubtlifig construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. APPROVED: Zoning Mechanical 0�. Signature of o and/or Condo President Date a.an a17tp taindL Signature o ctor or Owner - Builder Notary as to Own_ Condo Pre_i4 L Date Notary as o Contra � r o .ric i Norari"vsraL My Conunission s ires: G � OTARYS.AL t, i e a ' s: J - 5 , 3 P!UI RGARIT PAONTIEL y L i ` ' t> Q fma '� '� ( -- d NOTARY PUBLIC STATE QF FLORIDA q * s hi v ag s& ..Z F MY COMMISSION E P. MAR 1 002 My Co s 4• Q � rAY CO,AIJl13ulON PIR OF C P DEC. 17,2002 FEES: PERMIT ' D RADON C.C.F. 6 0 NOTARY Electrical Plumbing Structural Engineer 513o - 3 BOND / / 0 TOTAL DUE cra -� 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 / __... ., 19..7 / Owner's Name and Address...... /......... . .. _... No Street, Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be bu Lot Block Subdivision _ Street and Number where work is to be done f .._ State work to be do rand purpose of bu floors). _.__: Disapproved (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss te_ Building Inspector and for no other purpose. New Building Remodeling Addition Repairs No. of Stories... To be constructed of Kind founda 'on Roof Covering � m Estimated Total cost of improvements $ rQ ��� Amount of Permit Zone cubage required f .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks..-_ (Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. / Permit No./ 6 �'� Date 7 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNIN /s'OARD DATE to me well known, Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building ❑• Architect Contractor or Builder Legal Lot Description Address of Building PERMIT 'N? 12565 El di Work to be performed under this Permit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE J +�• " ) '"' 195 BL C , C,� i Subdi- vision Value of Project $ ti Contractor's License No Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to instal he equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: A f, i w i �� BY 4 _.«..... INSPECTOR In consideration of the issuance to me of this permit I agree-tip 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, servant or employee. BY AUTHORITY 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 building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions 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. -, 19 Ownei s Name and Address Joh .F... - Ritter No 12 0 NF Street-97 . . Registered Architect and /or Engineer Name and address of licensed contractor_Cliffef_ Tndu$trio a! Inc.. ,P. O. Box 6331, Coral able a Location and legal description of lot to be built on: Lot Block_ _ __ Subdivision Street and Number where work is to be done .126.9 N� E.- -th St._ jig Shores---- State work to be done and purpose of building (by floors) RCiOf .Yl� -1 —$to . P tt•Ched Roof., —Apply L "Butt_whit Cement Sh ingle _Tile m.ar 1- /30// As phsn7 t F & 7 /90# 87 Fite. and for no other purpose. New Building_ X_ _______ Remodeling__________ ___ Addition_ Repairs No: of Stories_ __1 To be constructed of_______________ Kind of foundation Roof Covering__ Estimated Total cost of improvements $__ 996 ___ ___,Amount of Permit $ Zone cubage required____ Plan Cubage _ Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to Giffelz Industrie s,. Inc. P.O. Box 6331, Coral Gables, Fla. The undersigned applicant for this building permit does hereby certify that be 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 are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. GI ES, INC Size of Building Lot Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. R. K. Thompson, S : o 'y. & Treas. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared PLANNING BOARD DATE Chairman Member Member Member Member Member — Council Approved _ Disapproved 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 0 -- S " Date 7 ° ; . L- -- Read, Sworn to and Subscribed before me. Disapproved _______. _____ Date Notary Public, State of Florida (Signed) .__ . ' `\ ?. — Building Inspector My Commission Expires Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. r 1