ROOFINGDate ?3A//''�S' Job Address re G '"7 N4' q Zf Sr Tax Folio // 3 2 a S O
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant R /G7-7 ') G dtJ77� Master Permit # 3 g 3 j 7'
Owner's Address / Z G cl 1-1 ss 0 T Phone
Contracting Co. . Tis.W,1 Address /:O /3ost . / *G /4' /G
Qualifier /rnes>.■AZ. J poi our SS# - y
State # Municipal # G 3306 / q37‘ Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /tW - 7'>9z' or'; Dewy 7 6 irrioeP7P .
GL/• 40 /-> c 0.4.0X
r /�' zl,O 3 'A /W7 410 /77, ,t5/ f, 4. 7)? 7 /4. .
Square Ft. Z 3!'•
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.
x
Sign
owner and/or on • o President
Notary-41s to Owner and/or Condo resident Date
My Commissic n �x edL ,�� -,- -°
O 1, ' ILEANA M BARONIEL
r
* � ,. g * COMMISSION NUMBER
@ X 11i - Q CC314598
/ � .4 MY COMMISSION EXP.
I_ OF FV SEPT 12,1997
00
FEES: PERMIT 6 q RADON C.C.F.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date
APPROVED:
Zoning
Mechanical Plumbing
y/g/
zGCS
Estimated Cost (value) � GdD
frn Ne4eibic-
Signature of Contractor or Owner- Builder
Mow as to Contractor or Owner- Builder
My Commission
Tv
NOTARY
Date
/3/s
Dat
OlPRV P 0. 9 O FICIAL NOTARY SEA
. i r
t "}0 ho ILEANA M BARONIELL
:0 * COMMISSION NUMBER
CC
OF f1° MY COMMISSION EXP.
SEPT 121997
TOTAL DUE
Job Address:
Underlayment (continued):
Check all of the following which apply to the proposed underlayment
for use with the proposed tile system assembly:
ESTM #30 asphalt saturated felt with:
Manufacturer:
❑ ASTM #15 asphalt saturated felt with:
Manufacturer:
❑ Mineral Surfaced Roll Roofing with:
Manufacturer:
O Other:
Type:
Manufacturer:
Underlayment Fasteners (if applicable:
Check one of the following which apply to the proposed
underlayment attachment:
EKIcfinimum 12 ga. electro - galvanized roofing nail with
minimum 32 ga. x 1' / tin cap:
Length: /1 "
Manufacturer: P /epp-,-. T /,rte A
❑ Other:
Type:
Length:
Manufacturer:
Contractor:
Field: / Z " o.c.
Laps: G " o.c.
O 19" overlap
O 6" overlap 5. Related Accessories:
l —" overlap
O 19" overlap
O 6" overlap
O 4" overlap
O 19" overlap
O 6" overlap
O 4" overlap
Mortar or Adhesive Set Tile Systems
Page -3
❑ Cold Adhesive:
Type:
Manufacturer:
l_— i'lashing Cement:
Type:
Manufacturer:
Process No.
Spacing (per tilt system assembly Product Control Approval):
Edge Metal (refer to Section 3408.2 of the South Florida Building
Code):
Type:
Dimensions: 3
Gauge or Thickness: 2 G •v. .
Finish: C.L+.I. it,fo i aC�
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):
/Vo.►,/ –
kc+.Riy�4.�
Job Address: Contractor: Process 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 following):
The following information is required to confirm compliance with
Subsection 3401.4(e) of the South Florida Building Code.
® V Type rote, ,,C Size / in'
O
Soffit: Type Size
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:
Ridge Height: Eave Height: Roof Mean Height
/6 feet /) feet /3 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 Attached )
Exposure Category:
Classification Category:
At 1lurricancc Occanlinc?: — Y
Basic Wind Speed at
Building Location. 110 mph
Building Condition based on
% of openings:
(See Table 9 of ASCE 7-88)
Ground Level
BUILDING INFORMATION #1
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page - 6
Process No.
Job Address:
Contractor:
Roof Pitch
Ridge Venting:
01
Dcck:
T. Z.e.leire7
Thickness:
Underlayment: e,)
1/ — Underlayment
Fastener: dti.n/A.
12"
FILL IN APPLICABLE ROOFING COMPONENTS WIIICI I 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: 3 "
(minimum J unless otherwise specified
M the tile system artembhe Prochict Control
.
Mortar/Adhesive: c
Tile: 6 0;4 AP ,Ato
Towze,
Tile Fastener:
Existing or Proposed
Soffit Venting:
rif/9
Bird Stop:
( if applicable )
Edge Metal „ „
or Gutter: 3
,C;VZ
DETAIL #1
Job Site Identification:
Mortar or Adhesive Set Tile Systems
Page - 5
Process No.
Edge Metal or Gvter
Fastener: /,T
Job Address: / ZG`gi tit "IV Sr -
APPENDIX 'E'
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
MORTAR OR ADHESIVE SET TILE SYSTEMS
1. General
2. Documentation
123.01 -158
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
❑ Re -Roof
Noie: Mortar or adhesive set tile systems are not acceptable as recover
applications.
Mortar or Adhesive Set Tile Systems
Page -1
Process No.
Is the deck solid sheathed? (circle yes' or 'no')
yes no
Deck Type (check one of the following):
❑ �lominal W' Plywood (for re -roof only)
Nominal '1," Plywood
❑ Wood Plank "
❑ Other (fill in)
Roof Pitch (fill in):
": 12"
Note: Mortar or adhesive set tile systems shall not be installed at a pitch
greater than 7'/. ":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 three courses of tile nailed with not Tess than one
nail per tile. As an alternate, the first three courses of tile may be
applied in mortar over a single layer of minimum 12 ga. wire
mesh with square openings of not less than '/," which is
mechanically attached to the sheathing with not less than one nail
per 2 ft'.
Circle 'yes' or 'no' for each of the following:
Have you attached two copies of the tile system manufacturer's
Product Control Ap • royal 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 assembly?
no
Job Address: Contractor:
Project Information (continued):
If the proposed undcrlayment 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 ring shank, corrossion reisistant nails)?
no
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:
G .i 4--7 T
Tile Name: 7 /. y
Manufacturer: / e7./ -,./,&/Z
Tile Material:
❑ Cola'
E - Concrete
❑ Other:
Product Control Approval Number:
Mortar or Adhesive:
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
113 Mortar: Manufacturer: g 3
Mixing Ratio: .
❑ Adhesive: Type:
Manufacturer:
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:
O Other: Type:
Length:
�A
Length:
Process No.
11
Note: 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.
Underlavment:
The following information is required to confirm compliance with
Section 3403.5(b) of the South Florida Building Code.
Job Address: Contractor: Process No.
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
who, being first duly sworn, deposes and says that all information submitted
herein is true and correct.
Sworn to and subscribed before me this th day of
19
My commission expires:
Licensed Contractor / Owner
Signature
Notary Public
State of Florida
Mortar or Adhesive Set Tile Systems
Page -8
Job Address:
Contractor:
Process No.
c - ,Z)
Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment.
Also insert variable labeled "a" which represents perimeter and corner dimensions
per Chapter 23 of the South Florida Building Code.
(See ASCE 7 -88 Fact Sheet Attached )
BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions
Job Site Identification:
Mortar or Adhesive Sct Tile Systems
Page - 7
AUG 31 '95 13:52 FROM BRADCO MIAMI LATIN
METROPOLITAN (JADE COUNTY. FLORIDA
fAC� ME 1 THO.DAOE PI AMER BUILDING
BUIW,N'.
r.arre COMPUANCG br.PAI1TMENT
METRO WD L1Auk HAGLt R 0111LD043
NO WEST FLAMER STREET
MIAMI, FLORIDA 311304663
coo 37
. 1-AX. (JUN W1
Moniet Roof Tile
1900 Northwest 21st Avenue
Fort Lrurderdale, FL 3311.
j'diUDairr rntaROl N()1'll..`iE OF'A,CCEP'!lL''
• • r Or Adhgivo Sit ConeF515.�Flat
Your application for Product Approval of I�pnicr T)adc County (:ode governing the use of
d_Slatti 11nfa 'order ,pter 13 of the Metropo ' tslan e iCia is and
Ahenuhtc Matcnals and Types of (Instruction. and completely desi:a ed in the plans,
c �tudeiions as submitted by Redtand Technologies, The Center Cur Applied Engineering, Ia . and Prnflemiolal
Service Industri , Inc. has beenr, reArnmandcd for acceptance by the Building Code Compliance Departiurnt to be
1.1i 6 i Dade County, Florida uniier the specific and standard condilions set forth herein.
The approval shall be valid fora period of three years. The Buit3iug Code Compliance Deponent teservrs the mnnuf
right to acetic a product or material at any time to mnnner ( t he C cxlr. plant
Department may neyok
Fxiwi��c.t or material tail to perform in tie approved cnt , .fy
nr'uspcnd thc use of such product of material immediately. The Building Codc Compliance Deparm
liar., ;tilt to require testing o f this product or material should any amrndoents to thc South Florida Building Cult lx
Pmwteal affecting this product or main del.
The expanse of such testing will be iuc„rred)' thc Manufacturer.
PRODUCE NO. :
Raul Rodriguez NO.: 95 P d t. Control Division
EXPIRES:
DEC 1 3 1997 Supervisor
AUG 31 '95 13:53 FROM BRADCO MIAMI LATIN
TO 6330789
- PLEASE NOTE -
THIS IS THE COVERSHEE'T'. SEE ADDITIONAL PALS FOR SPECIFIC AND (ENERAL.
CONDITIONS.
BUILDING WOE. commirrEE
'This application tor Product Approval has been reviewed by the Metropolitan Dude County Building node
t Department and approved by thc 13uildint Code Committal: to be used in L)adc c • yaty, Florida under
'I,r. conditions set forth above.
TO 6330789
PRODUCT CONTROL NOTICE OF ACCEPTANCE
PAGE.001/015
PAGE.002/015
Applicant:
M.onicr Root Tile
1900 Northwest 21st Avenue
Fort Lauderdale, FL 33111
Category: Prepared Roofing
Sub- Categor!, Tile
Type: Nad- onlMortar Set/ Adhesive Set
,Suh.Ty�; C.nncrear.
Yro ilit jrti luny
Monier Flat Shake 1 -16W
and Slate Tile • w .•13"
5 / . thick
Wl.'.1 1.. V1' 1itil/L 1♦1.2
RWnINC SYSTEM APPROVAL.
Sysirm Descripiiug
Product Control No.: • 95:
Approval Date: ?JB 1 0 1995
Expiration Date: J 1X1 1 3 1991
Moelia Roof Tile is a metallic' of tlx. Rexlland Group, a world wide producer of primary bnllding
products .and roof tile. Monier manufacturers concrete roof tile for nail -on, mortar set or adhesive set
applications in plaints throughout the United States ranging from Washington State to Florida_ All tile is
manufactured from extncrled cnncxr.rs consisting of Poetlated CemeuL, plasticizer, iron and metallic
oxides, and blended aggregates. T7ti rr onrrol App roval relates tQ Mo nier's "Flat Shake and
Slate" tile profile. Refer to aooropriate Product Control Approvals for_othcr tilt profiles.
Monier sr..11¢ lilt.. syslnms through local distribution and directly to consumers. Alt profiles have
matrhinc Trim nit.ce5 ujeA for rake hin Mop bin iron • ; , nIIi _, trrrnirr.4ir.no ' ? "e! ;. t;!,atc. a
Monier's "Flat Shake and Slate" roof the has been tested in rnmplianc with tlx: Scutb Florida
Building ('.ode 1ex {elircenen +s rim Lunn rtr., nail -on, mortar set and adhesive set tile applications. The
minimum roof slope for Monier's "Flat Shake and Slate" nail -on, mortar sct or adhesive set tiles shall be
2 ":11". See the "Profile Drawing" section in this Approval for the "rim- ;hake and Slate" lily profile.
Moniees "plat Shake and Slate" tile profile: le s. bern ir for both wind characteristics and static uplift
peribrneancc, lice: ane, ally consideration for installation shall be done as a 'Moment 13ascd System'.
Data for attachment calculations is noted in 'Tables 1 through 4 of this Approval.
Crn�taGt.
Reese H. Moody
Teohnical Service Accessories Manager
190014W..1 st A vrnu e
Ft. Lauderdale, FL 33311
(800) 432.2715
1
AUG 31 '95 13:53 FROM BRADCO MIAMI LATIN
/
Raul Rodriguez
TRAM; NAMES OF PRODUCTS MANU)FM. FURED OR
LABELED BY APPLICANT
Teat
Speci ieieations
PA112
TO 6330789 PAGE.003i015
Product Control No.: g ii-nin t m
Product
tjQB•
Flnl,
interlocking, high pressure
extutted concrete shake and slate roof
tile eyniPperi with two nail holes. For
direct rie13< or battened nail-on, mortar
or adhesive. set applIcatiotts.
TRADE NA : S OF PRODUCTS MANUFACTURED OR
LABELED BY APPLI
'rest Product
Frodu t niBronvioRs Spectheationi 1Ltisriution.
Monier Flat Sbakc 1 -16'A" PA 112 Fiat, interlocking, high pressure
and Slate Tile w + 13" ex iinte .l concrete shake and elate roof
'l; thick tilt egnipprtt with two nail holes. For
direct &dr. or batteQed hail • on, mortar
or a&itdve set apptIatioas.
Trim Pieces
1 —varies
w vet le s
varying tlticknass
PA 112 Accaciury trim, concrete root pieces
ft/ Lex at hips, rakes, rimes and valley
terminations. Manufthctured for each
tik 'Irufte
Rauf Rodriguez
AUG 31 '95 13:54 FROM BRADCO MIAMI LATIN TO 6330789
TRADE NAMES OF PRODUCTS MANUFACTURAtu OTHERS
Product Control No.: 4 ;.O3
Product Control No.: _ 95 -030 M
Test • Product
Prodltct Dnugii= $p cltljtions P...eatItifiOn fdanufmaullt
#3u Felt NIA ASZ'M D 226 c u organic felt generic •
Wile 11 to be as a nailed
anchor slut.
PAGE.004 /015
Test Product
Prodstet DimtR oat Sm. Mentions 1;essiip4on Mannfat liij
#P30 rctt WA AS'IM D 226 Wax** or gorganic felt generic •
type f1 to be used as a nailed
anchor sheet
043 Coated Base
Sheet '
Rainproof II
Tcr`and Water Shield
r1.1. ding C anent
•
'NAVE NAMES OF PRODUCTS MANJIIACCURED OTHERS
N /A.
Mineral Surface Cap WA ASTM D 249 Miami surfaced
Shod
asphalt roll roofing
far usc as a tup ply in
a double ply
undtaiaymeut system.
t.crttingtcx -Z 140 59" x 164' roll PA 104
Undcrlayatcnt 22lbs/roll
Mopping Asphalt N/A
NM
ASTM T) 317
type TTl ur TV
AUG 31 '95 13:54 FROM BRADCO MIAMI LATIN
$Ingle ply, nail -un
undcrlaym
ASTM D 4.SR6 Cut back, asphalt
based, asbestos fret,
fiber reinforced,
t:uwet grade cement
for repair and flashing
applirrt ions.
•,••.• 4vuu V. .4v.. _
ASTM D 2626 Saturated and coated generic
organic base sheet f r
single a double ply
underlaymeat.
generic
30" x 7s.rolI PA 1 U4 Single' ply, nail -on ProtectsWrap, Inc.
36" x 75' tell underlayment with 2" PCA #94.0714.01
Of self - adhering top
60" x 75' roll ; ex 1
36" x 75' roll PA 107 Self- earring W.R. Grace Co.
underlaytne nt for use PCA 092 - 1116.01
as a tup ply in a two • .
ply underlayment
system with
Approved d30 or 043
as the base. layer.
Legg
Performance, Inc.
PCA 094- 0527.u5
Asphalt for bonding a gamic
mineral surface cap to
a mecb. attached base
cbeet In a double ply
underlayment system.
generic
Product Control No.: 9i-03111.02
Test Product
?r'o4p t Pjrilsnsions ApPetflearloni UmaWthm Maaufactut.t
A halt Primer N/A A STM D 41 Cut back, asphalt generic
based coati used to
facilitate bonding of
dissimilar materials.
TO 6330789 PAGE.005 /015
Test Product
DA= Dimensions Spetitlentions ANCLMWM manttfactuter
A'haIt Primer N/A • ASTM D 41 Cut back, asphalt generic
based coating used to
William bonding of
dissimilar raataiais. ,. .
Roofing Nails min. 12 ga. with
4 / head
Tin Caps
Wood Battens
Tile Nails
Tile Screws
Roof list. M'firt•
("TiicTite n ")
Roof Muri,r NIA PA 123
f, "Qui[u Roof
Tile Mort #1140 ")
win. 32 ex.
min. 1
wax. 2" mil.
veil loll Wood Preservers
min i I" r 4" institute LP - 2
}Indio dal
woe. I" x 4" for ny
with wen film( battens
tfr
,trill 1" ,e, 2" fur use
e )nnf..
min_ tad x 2W or
10d x 3"
min. >YE x 2r/," Or
min. el0,c2"
PA 114
Appendix P
PA 114
Appendc< E
PA 114
Appendix b;
N/A PA 123
Test
RDA= Dimension4 .$lnrttlrartont
Roof Tile Mortar WA PA 123
("BONSALd) Roof
PA 114 COtrOston resisted
Appendix E circular di..sc tor use in
underiayment
attachment
Raul Rodriguez
AUG 31 '95 13:55 FROM BRADCO MIAMI LATIN
Annan' ring stunk,.
hot dipped, eiealro or
mecb>mically fiats.
rooting nails for use
In underlayment
atNchment.
Salt pressure treated
or deoay Wit
lumber battens
Corrosion resistant,
screw or smooth
shank nails.
Corrosion resistant,
coated, coarse tlhreul
wood screws.
Piepaled mtrtar mix
designed fo, mortar
Set roof tilt
applicationc
Piepute d mortar mix
desigoeti ft mortar
set roof tile:
applieatinu . ,
Prnrleu t Control No.; 4t -03014j
Product Control No.: 95 -0301 02
generic
gene, u:
ge nitr is
generic
generic
Bermuda Roof
Company, Inc.
PCA #94- 0614.01
Quticrete Constructio
Products
PCA #940X08.01
TO 6330789 PAGE.O06 /015
Product
ikaetiption Ideumfirrige
Prepared mortar mix W.11 . Bonsai Co,
designed for mortar PCA 4E94- n621.03
Test
E12242s1 Dimensions Aprettlestiotit
Roof Tile Mortar WA PA 123
("13ONSALCID Root
Tile Mortar Mix")
Roof lite Adhesive
(PolyprolO AH 160)
N/A
HlnneClip& fallat
Paaeners min. 54" width
min. °A(4 thick
rup
Pisserter4
min. Sd x 1 V,"
Valley Flashing
Drip Edge
min
min. 16 width
min. 24 ga.
min r Nee fis
ill in. 2" deck flange
t • .
PA
• PA 111
Appendix h
ASTM A S25
AUG 31 '95 13:55 FROM BRADCO MIAMI LATIN
Proitild Omani No.: 9-03Q.1
Product
Ikon:Won Manniantgaz
Prepared mastic' mix W.R Bonsai Co,
designed tor mottar PCA 094 : 4 162g.03
set roof tile
applications.
Adhesive designed „ Pnlyruam Poducts,
for use m roof tilt Inc.
-applications. PCA4 94-0401 ,j
Cotrosion resistant
bronze, aluminum,
*Unica steel.
galvnnizod steel or
plastic atiachmem
clips for supplemeithd
talc attachment Clips
are installed with
corrosion resistant
roofing nails
compatible with the
clip. A hurricane clip
requir' cd on all
nail-on cave tiles.
Galvanized steel
valley flashing
PA 111 Galwinited . t . 1 drip
edge
generic
generic
generic
TO 6330789 PAGE.007/015
Product Control No.: 95 0301.112
'Me Carta Col Applied
Izgineering. Inc.
Thretnre firAiptM
P.nginerring, Tn<:
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
The Center for Applied
Engineering, Inc.
Redistrict Technologies
Redtand •techno log ies
Redtand Technologies
kedland Technologies
Test A:=^
The Center for Applieil
94-084
94.0(r0A
25- 7094 -2
25.7094.8
25- 7094 -5
Tei( Ideutificr
Projexi Ni; 3fh11?5
hzul 'guts
AUG 31 '95 13:55 FROM BRADCO MIAMI LATIN
Appendix 111 PA 102(A)
AUG 31 '95 13:56 FROM BRADCO MIAMI LATIN
Static Uplift Testing
PA 101
(Mortar Set)
Srntir. l IPl iB
Testing
PA 101
(Adltrsive Set)
Static Uplift Testing
PA 102
(4' I Ieadlap, Nails, Direct
Deck, New Coustrucdon)
Stale Uplift Testing
PA 102
(4^ Headtap, Nails, Battens)
Static Uplift Testing
PA 101
(4" Readlap, Nails, Direct
Deck, Recover/Reroof)
Raul Rodriguez
TO 6330789 PAGE.007 /015
Product Control No.: 95 UAW .02
May 1994
Mairle, 1994
Oct., 1994
Oct. 1994
Oct 1994
7I61 -03 Wind Tunnel Testing Dec. 19"I
Appendix II PA 108
(Nail -On)
Letter Dated Aug. I, 1994 Wind Tunnel Testing Aug. 1994
PA 108
(Nail-On)
P0631 -01 Wind'1'unnci Testing July 1994
PA 108
(Mortar Set)
PO402 Withdrawal Resistance Scpt 1993
Testing of screw vs. smooth
shank nails
TO 6330789 PAGE.008 /015
•product Control No.- 9500301 07.
Text Name/R*10ft ' nste
WI, RI TAivan Rain Oct 1994
Tht Agory Test identifier Test Nemr/Rryot t * Dak
The Center for Applies1 Projet.1 Nit 3071 t2i Thi vet, RAI() Oct_ 1994
Engineeriny,, Inc. Test MMDC-77 PA 100
Professional Service
Industhes, Inc
4
2
• •
. a
AUG 31 '95 13:56 FROM BRADCO MIAMI LATIN
SYMms
(CorwriNtrE0
Product Control No.: 9S-0101 CO.
Ph y5:16 Pl Ape:I-tics Rept, 1994 •
PA 112
Mut kodngut2
TO 6330789 PAGE.009/015
hoduct ("Antral No.; 95-0301.02_
SYs-rv.ms
(Coivrtbruku)
Deck Type: Wood, Non - insulated
Doric Description: New construction ` or grt:atet plywood or wood plank.
SYSTEM 1): Mortar or Adhesive Srf Application •
Slope Range: 2".17." to 7 ":12"
Note: System 1) is only acceptable in this slope range. For slopes in eYrxxs
Of 7 " :12 ", refer to System C.
Undcrlayii nt: Install choice of Approved underlaymcnt system, noted on Page 1 of Dade
County Protocol PA 120, in cnmpliance with Section 3.02 of PA 120. See
System Limitation #7.
Roofing Tile: Install till in cotnpliance with PA 120 using an Approved molter or ttdhesirrc.
Mortar or adhesive shall be applied in compliance with the mortar
manufacturci'.s Rooting CmmTnnPnf
-- •••r•••«.... nom rn t , or CR 177. 1}lc mtrfat and adhesive attachmeiii data
is noted in TaWc 4, attached.
Co M ITI cnts:
1, For rc -roof applications, " / „° plywood is an acceptable substrate;.
2. For mortar set applications, the first three courses altar. shall be nailed with
not Tess than one nail per tile. A3 an alternate, the first three coursrs of the
shall be applied in mortar over a .single layer of minimum 12 ga. wire mesa
wits, square openings ofnot{ess ihan which is m cha„ically attached to the
deck with not less than one roofing nail every 1 fi'. For root pitches f,o
6 ":12" to 7 ":12 ", every third tile of every Olt course, beginning at the eighth
course, shall be nailed wiii not le. s than one nail per tilc.
AUG 31 '95 13:56 FROM BRADCO MIAMI LATIN
11
Raul Rodrirucz
SYSTEM LIMITATIONS
TO 6330789
Product Control No.: 95-030101.
1. The standard minimum roof pitch for Monier "Flat Shake And Slate ", itatIlo n, mortar or adhesive
set tilt applications is 2" rim-. in 12" run (2 " :I2 "). The maximum roof pitch for mortar or adhotive
set Iile applications is 7" rise in 12" run (7 " :1,2 "1. - ,.
2. All g4il -on the applications having a roofliitch•less than 4 ":12" shall be installed over both vcitlatl
and but iii)tilal ( "Counter-Battens "), as noted in System A. All nail -nn till applications
PAGE.010 /015
LIMITATIONS
•
The standard , for Monier "Firs Shake And Slate", iattIon, mortar or adhesive
act tik applid4dinr 7 rise ni 12" run (2 ":12'). The maximum roof pitch for mortar or arlhiarive
set tile applications lS 7" rise in 12" run (7":1;21. ' y
•
2. All nail -on tilc applications having a roof Inv than 4 ":12" 0211 be installed over both vertical
and ho,i)jinat1 'matins ( "Counter - Battens "), as noted in System A. All.pail - nn tile. applications
Ir.e. in a .-oo` pitch in excess of 7 ":12' shall bcinstalled over hot;mttutat battens as noted in System
C.
1 Ft), uxi1 -&m applications, brass or stainless steel screws ter mechanical auaahment of tiles shall
have a head diameter larger than that of the preformed hok iu the tile,
4 '>y1tcu, uutalhUW, shall be in compliance with the syslc,m spectttcatiuu. n in this Product
Control Approval, Nail on tile shall be attached using cute of the methods of attachment noted in
Table 3 of this Approval. Mortar nr s set tile shall be attached ttng an Approved mortar
or Affhrsivc tlte. data of which is noted in Table 4 of this Approval. The method of attachment
utilized shall provide sufficient attachment resistance expmcs..d ns a moment to meet or exceed the
required moment of resistance determined in compliance with Dade County Prot000l PA 115 or PA
127.
5. For nall-on tile applications, an cave clip is required ,n, all rave tile. For mortar set applications,
the first the c courses of tile shall he „ailed with not less than one nail per tile. As an aitentate, the
first thtce uwrrrs of tile shall be applied in mortar over a single layer of minim 12 ga. wire mesh
with square openings of not less than' /," which is mechanically anached to the deck with not less
than one roofing nail evcry 1 fr for roof pitches from 6":12" to 7 " :12', every third tile of every
fifth course, beg .iI Ihr, eighth course, shall be nailed with not less than nnr. nail pet tile.
6. For mortar or adhesive set tile applirAtki,n, a field static uplift test by a Dadc County accredited
testing agency, in crnultlis,ut:r. with nade. County Protocol PA 106, shall be required not ]ass than 30
rf.vs after mortar set applications and not less than 72 hews ,rfr..r adhesive set applications to
confirm tile adhesion. The results of this testing shall be reported to the Building Official and the •
installer staang that the applirarrion has !gassed or failed PA I0( testing. If the , 11 :� fails PA
106 testing, the report shall state which portion of the test was failed; Category I (examination for
loose tile) or Category 2 (uplift testing of tile) Subsequent to testing, the installer may repair not
more than >° %o of field area tiles and 10% of perimeter area (he. ridge/rake) tilc with Approver] tile.
adhesive. The in.sralleA shall place an identifiable marking on each repaired tile flir Allure reference.
Any PA 106 re -test shall not include any marked tile.
7. For mortar or adhesive act tile. applications, 30/90 hot mopp.ed undcrlaynicnt applications may be
installed I, ipe.mlic..ular to the roof pitch prior to June I , 1995 unl st„ trr.1 otherwise by the material
,ttauufac,urer. Thereafter, .30/90 undcrlayment system. shall be installed parallel to the roof pitch in
compliance with Appendix 'A' of Dade County Protocol PA 120.
12
Raul Rodriguez
AUG 31 '95 13:57 FROM BRADCO MIAMI LATIN
TO 6330789 PAGE.011 /015
Product (`.nntrnl Nu • 9S -0301 02
SYSTEM LIMITATIONS
(Comniv Tgn)
8. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for
identification in the Geld.
•
IU3 31 '95 13:57 FROM BRADCO MIAMI LATIN
SYSTEM LIMITATIONS
07.WMDME19
8. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo flu
identification in the field.
9. The Monier "flat Shake And Slate" tiic profile has been tested for both wind characteristics and
static. uplift pr..rfnrn,Aner., th`rcfzrt, attacJmrcnt calculations for installation in conaplucner with
Dade County Protocol PA 115 or PA 127 shall be done as a 'Moment Based System'
10. Applications for mofrng permits shall include a completed Se tirm rt of the T.Inifonn Building
Permit, a copy of Monier Roof Tile's current specifications and details, a copy of this Product
Control Approval and a copy of the Product Control Approval of any Roofing Component used to
the pmposcd tilt application. Reference shall be made to appropriate data for the rrrini,cd the
rating.
11. 'Ihc applicant shall retain the services of a Dade County certified testing laboratory to maintain
rlrnalily txrral in cunnpliarrcr wills 1hr, G ar rib Florida Building CA mkt and slated protocols. Samples
taken shall be in compliance with Dade County Protocol PA 112, Appendix 'N.
12. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South
Flwida Building Code.
AUG 31 '95 13:57 FROM BRADCO MIAMI LATIN
DATA FOR ATTAt:H1TE.1 fir
r' a•h∎TT sYT
13 � •
Raul Rndrtuez ti
TO 6330789 PAGE . 0 1 1 /E11 5
Prodnr t Control xn.: 95 -0301 {1'1
TO 6330789 PAGE.012 /015
Product Control No.: _-03 (Y)
}
rite
Profile '
Monier Flat Shake & slate Tile
Tile
Profile
Monier Fist
3•tlaice & Slate
Tile
Profile
Monier FIa1
Slwke & Slate
1 ile
Profits
Monier Hat
Snake & Slate
Battens
6,57
ruble 2: Restoring Moments due to Gravity - M, (ft
from PA 102 Testing
3 ":12" 4 ":12" 5 ":12" 6 ":12"
Direct
wit
7.52
Tile
Application
Battens
Utrect Deck
DATA FORATI'Ac'Hacprr
Coat:MJLATIONS
Table 1: Aerodynamic Multipliers • X (ft'')
from PA 108 Testing
Batten Application
0.27
Battens Direct Battens
WOK
6.4
4.90
9.110
Ratter's
New Construction
n -33
Table A3: tt a' cttactlrent Res lance Expressed as a Mnrnent - M {ft -lbfl
from PA 102 and PA 102(A) Testing
Approved Approved Approved
Nails Screws Field Clip With:
1 nett 2 milts t sccoW
7.40 6.40
18.80 1b,30
Direct 1)oca,
New Constertiat
(mot " !u pIYwOOd)
Direct Deck
Recover/Ramer
(min. d i m plywood)
Direct Battens meet
Deck Deck
7.27 6,17 7.09
2 etxews
9.10
41 30
1
Product Control No._ 91- 0701.02
Direct Dock Application
0.29
1 rts;II 2 nails
74 -20 34.60
24.30 34.b0
).(ft)
Table 3.A: AttaciunenE Resistance Expressed as a Mordent - M, (ft -tbf)
from PA 102 Testing
65.50
50.30
7":12" nr
greater
Battens fltrect
Ded4c
0.00
Tile Two (2) 104 x 3" tong nalls'
Application
Approved
Eavc Gltp With:
1 naa 1 2 nals
Tile install tli > with a 4" hcodlap using two (2) AP1xuvee 10d x 3 polyp ro
w,rusivn resistant, reng shank nails IrrstaDed in munutoctwoq holes tornterl 2A" from
the head of thP. tile. Clips on cave Ole are not it-flaked for this attachment
cont
14
AUG 31 '95 13:58 FROM BRADCO MIAMI LATIN
Raul Rodrigne7
DATA FOR ACTACTIM NT
CALC I LATIONS (CONTI:WF.D
TO 6330789
Product Conrnlllo -: _.21.2101 ()2
NIA
42.10 32.20
12.00 5190
•
PAGE.013/015
•1
Mk
Profile
Monier Plat Rhakc & slate
Table 4: Attachment Distance Ex 3Cd as a Moment -
trom PA 101 Testing
nm
Application
AAa �
M 'hestvc
.r.
DATA FOR ATTACK/KENT
CALCI nXI1O s (Com1Nt:RD)
I SlrAKE I SLS TILE
VOMGM CMS C UaOnd •
iy .
Raul Rtkh guaz
PROFILE DRAWINGS
,rws ,1'1?
M, me)
Attachment
RCSIetance
38.00
GO
11810
AUG 31 '95 13:58 FROM BRADCO MIAMI LATIN TO 6330789
Product Control No.: 95 -0301.02
PAGE.014/015.
Al'1G 31 '95 13:58 FROM BRADCO MIAMI LATIN
•
MET nMOADE
SIrAKE & 5LAIE TILE
too vow at zu Coveuglon or oafs.*
old lololocilnaginl.
)one FhY157 o1ao+rna 0'' $du •
Salk (Lope rM sare.310000,0 41 b
.p�lpp� N I1049 MPS 1/Y ANIValMR 411,41.
Pgtwii.E DRAWINGS
m
GRa!
MOO WINO ikkollsIrc harke•Pkillik
SHAKE & SLATE TILES ACCESSORIES
svr
mmilROW
Fatik aft kV* WI remit
Ira coffin; t'Arlwein Oda .1110r
welurdiOla
.`r1;4
sr, ' r
• may .
A OM 1111
F
r lie be noted
=ixngiwawM
•
•
10
SAM
Ril• Muria
Hp NM GI "'velar
MONIF.R FLA.T SNAKE & SLATE Tait
Raul 1kodntucz
TO 6330789 PAGE . U 1 4/0 1 5
}product Control No.: 95 -0301.42
.ww. i'LV . ..
w4"
METROPOLfl UAQE COUNTY. FLORIDA
Mk I 1- 1O•OAOE FI_AC I FR BUILDING
• MET 1100ACE
oz?
1. Extension of Acceptance may be considered after a new application has been filed and the supporting
data, test reports no older dm; len (10) years, have been re-evaluated.
All reports of re-wring shalt tzar the seal, signature and date o f an engiu1af registered in the Stare of
Florida
7.. Any revision or change in the materials. use, or manufacture of the pinchtut or proceas shall automatically
be cause for termi nation, a l,lccc prior approval is granted for revisinns ur change.
3. Any unmtirttictory perfurimince of this product or process Of a change ire Coda provisions shall be grounds
for re-evaluation.
4. This acceptance shall not be used as an endorsement of any prtxdoet far mica or advertising purposes.
5. The Notice of Acceptance number preceded by the words Dadra (Aunty, Florida, and followed by the
expiration date may be rliclytayed in advertising literature. If any Itttrliuu of the Notice of Acceptance is
displayed, then it shall he du,tc in its entirety.
6. Product approval drawints, where required for permit applications, chali he provided to the applicant by
the manufacturer or his t.1iv, hitors unless otherwise noted In the Notice of Acceptance. 'the prints need
not be re- sealed by an rngineei.
7. Failure to comply with the Standard Conditions shall be cause for ievit illation of the Approval.
This approval supersedes fill previous approvals.
No. 94- 1017.11
rflH I PMAT i f1N PFPf1PT
112X10E OP ACCEEEANCE: STAd1AARD CANDn 'TONS
METROPOUTAN LJADE COUNTY. FLORIDA
Mb 1 HO.OAOE Ft. A(.;1 FR BUILDING
duu.utt1G Gon4 GOtaTLSANCE Ucr nTTUlNtT
S1ifF taro
MCT110 -DADE FlJN31.E1+ klUiU7tN0
140 WEST nAGLen GTTIEET
umbra. FLO[iDA 3300-1503
(X5) 96.2901
. FAX (3061 97649119 •
Raul Roiltigur.r.
Prodars ("Artiftvl Division
Supervisor
•
•
** TOTAL PAGE .015 **
Date
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
Architect/Engineer
Bonding Company
Mortgagor
Square Ft.
Job Address
Qualifier f /7ej/7 D (..FJ/
State # CC ("3/ Municipal #
d f A
AA4
Permit Type (circle one): BUILDING ELECTRICAL PLU BING MECHANICA ROOFING PAVING FENCE SIGN
WORK DESCRIPTION t ee /3 OCi
" 52 F-7.
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 state
t4A 'e-`<
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
Pd
FEES: PERMIT / D RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
/ 0 ) . 9 //Es
1 J 1Tax Fo lio
(a• kW"
#), & i 9g
.e/1
APPROVED:
Zoning Building
Mechanical
Date
C.C.F.
Historically Designated: Yes No
to fig (11
Master Permit # 37 If- g
Phone 5 / 6
Address f /7? Gc.J D �� L C � O g
- one 3 3 0 / d
Competency 6�d ► Ins. Co.
Address
Address
Address
Estimated Cost (value)
1.
Signature of • ontractor or Owner -B ' der
Notary as to Contractor or Owner- Builder
My Commission Expires:
p e
� Y Pt./ 61 OFFICIAL NOTARY SEAL
0 , ' SCOTT W DAVIS
r .
* l.� i * COMMISSION NUMBER
'III' Q CC255237
7,, " � MY COMMISSION EXP.
OF ft° _ ',IAN. 26 1997
Electrical
Date
Date
Plumbing Engineering
Date/P /g /q3
Legal Description
Owner / Lessee / Tenant /e/C..#,41? JJ JM
Owner 6 Address /0,_(.,0 9 / v& ---
Contracting Co. p GC/LEiQi- /U,/47 SS572Y Address 11//74, OgE'�A
Qualif ly Z 4/ TZ ��II) ie- Phone p /0 r
GGIi /� �,
State # O Coq 't "l Municipal f� ' Competency # VA (Q �1 C6 Ins .Co .
Architect /Engineer
Bonding Company
Mortgagor
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL
WORK DESCRIPTION
Square Pt. . :/9
Signature /
Date: lPl
My Commission Expires:
** *
PEES: PERMIT RADON
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
`. : 4°
owner and /or
Notary as 4 Owner and /or Condo
Job Address /46 A/4 ! $7 57'P 7 Tax Folio
C— /� A2 r ,&
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS. POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoni g. Furtherstop , I
authorize the ;bone -nay% contractor to do the work state
ndo President
resident
OLIVER J. BROWNING
Notary Public, State of Florida
My Comm. expires June 2, 1998
No. CC318013
Address
Address
Address
Estimated Cost(value)
3ignaLure of Contraeto
C.C.P. NOTARY
Master Permit #
Phone93 — � ' �a 7
PAVING PENCE SIGN
Q �
or Owner- Builder
Date:
I. A -4
Notary as 0 , 47 Contractor ob0
My Commission Expires: Notary Pu lic, State of Florida
My Comm. CC3711013 2, 1998
* e *
* * * * * * * * • s * *s
TOTAL DUE .
Fire Other
Zoning Building Electrical
Mechanical Plumbing Engineering
lAE�D
Schuller International, Inc.
Roofing Systems Division
717 17th Street
P.O. Box 5108
Denver, CO S0217-5108
APPROVED MAYO 9 199$
PR • DU T . • . TROL
METROPOLITAN DADE COUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANct DEPARTMENT
SUITE Ia03
METRO FLAGLER BUILDING
140 WEST FLAGLER STREET
tAMI, FLORIDA 33170 -1563
(305) 375.2901
FAX (305) 375.1909
PTAN
Your application for Product Approval of Schuller. Built: J _ Riofin' Products under Chapter 8 of the
Metropolitan Dade County Code governing the use of Alternate Materials and types of Construction, and completely
described in the plans, specifications and calculations as submitted by Underwriters Laboratories, Inc. and
Factory Mutual Research Corporation has been recommended for acceptance by the Building Code Compliance
Department to be used in Dade County, Florida under the specific and standard conditions set forth herein.
The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the
right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If
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 testing of this product or material should any amendments to the South Florida Building Code be
enacted affecting this product or material.
The expense of such testine will be incurred by the Manufacturer.
PRODUCT NO. : ///
ACCEPTANCE NO.: 940211.03 it Diamond, P.E.
Product Control Division
EXPIRES: MAY 0 9 1997 Supervisor
- PLEASE NOTE-
THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS.
BUILDING CODE COMMITTEE
This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code
Compliance 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.; Direct: r
Building Code Compliance Department
Metropolitan Dade County
Applicant:
Schuller International, Inc.
Roofing Systems Division
717 17th Street
P.O. Box 5108
Denver, CO 80217 -5108
Category: Membrane Roofing System
Sub - Category: Built Up Roofing
: Conventional
Sub -Type: Fiberglass
Product Control Notice of Acceptance
Roofing System Approval
Product Control No.: 11.03
Approval Date:
Expiration Date:
r 91994'
Vim 9 1997
The Roofing Systems Division of Schuller International, Inc. (a division of Manville Corp.) a fiber glass based
building material company, manufactures and markets nationally a complete line of commercial BUR and modified
bitumen roofing products. The product offering includes a full line of accessory products including expansion joint
covers, moisture relief vents, metal fascia systems and several insulation products. Schuller markets these products
through local distribution In the South Florida jurisdiction.
The diversity and extent of product offering is the result of years of manufacturing experience and product
development by all of the Schuller building products subsidiaries including the newest acquisition, Owens Corning.
Schuller offers a variety of approved insulated and non - insulated built -up roofing systems. For detailed system
constructions, refer to the following publication: "Schuller Product and Specification Manual" for Built -Up Roofing
Systems.
Schuller roofing products and systems have been tested in compliance with all provisions of the South Florida
Building Code as well as Underwriters Laboratories, Inc., and Factory Mutual Research Corporation for fire and
wind uplift resistance.
Schuller provides technical assistance through local representatives. For more detailed information, please contact
the Product Information Center ac(800)654 -3103.
Larry Glass
Technical Service Specialist
9755 Dogwood Road
Suite 250
Roswell, GA 30075
404 587 -6345
Deck Type 1: Wood, Non - insulated
Deck Description: 19 / 32 " or greater plywood or wood plank decks
System Type A(1): Base sheet mechanically fastened.
All General a d System limitations apply.
Insulation: None
Base Sheet:
Product Control No.: 94- 0211.03
Schuller GlasBasc, GlasBase Plus, PermaPly No. 28 or Ventsulation applied to the
deck with approved annular ring shank nails and tin caps at a fastener spacing of
9" o.c. at the lap, 12 "o.c. in two rows staggered along the center line of the of the
sheet in the field.
Ply Sheet: ) Two, three or four plies of Schuller GlasPly IV, GlasPly Premier or PertnaPly -R
ply sheet adhered in a full mopping of approved asphalt at an application rate of 25
lbs. /sq, 15%
Surfacing:
Maximum Design
Pressure: -60 psf.
(Optional) One ply of Schuller GlasKap adhered in a full mopping approved
asphalt at an application rate of 25 lbs. /sq. 15%
(Required if no cap sheet is used) Install one of the following:
Maximum Fire
Classification: 'A'. See General Limitation #2.
Maximum Slope: 3 ":12 "; See General Limitation #3.
1. 2 - 3 gallons TopGard B emulsion/sq. or 2 gallons aluminum
coating/sq.. Coatings shall be applied according to the manufacturers'
recommendations regarding specific application rates and weathering.
2. Flood coat and gravel /slag with an application rate of 60 lbs. /sq. &
400 lbsisq., respectively.
Specification No.:. 5GNS, 4GNS, 3 GNS, SCGNG, 4GNG, 3GNG, 5GNC, 4GNC, 3GNC, 4GNP,
3GNP.
4GNG -CT, 3GNG -CT, 4GNP -CT, 3GNP -CT (see System Limitation #2).
21
General Limitations:
Product Control Nb.: 94- 0211.03
1. All asphalt shall comply with ASTIyt D 312 type III or type IV requirements. All
proposed asphalt producers must be approved by the applicant.
2. Fire ratings are determined by a combination of slope, deck type and assembly.
Refer to current Underwriters Laboratories Roofing Materials Directory or other fire
testing data listed by an approved listing laboratory agency. Fire ratings shall be in
compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code.
3. Maximum slope range shall vary for each system; consult current Underwriters
Laboratories Roofing Materials Directory and Schuller specifications for compliance
with design criteria for each project. Refer to the coal tar pitch manufacturers
Product Control Approval for slope limitations on these systems.
4. An overlay /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 may be applied using spot mopping with approved
asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one
at each sidelap and one down the center of the sheet allowing a continuous area of
ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed
every 12' in each ribbon to allow cross ventilation. Asphalt application of either
system shall be at a minimum rate of 12 Ibs./sq.. Note maximum design velocity
pressure restrictions on spot attached systems.
5. Any amendments to these provisions shall be in compliance with Sections 203 and
204 of the South Florida Building Code.
6. All work shall be performed by a Dade County licensed roofing contractor.
Contractor shall be familiar with the details and specifications published by the
manufacturer.
7. In re- roofing applications, moisture content in an existing built -up roof must be in
compliance with Section 3401.9(c) of the South Florida Building Code.
8. Prior to application, all existing roof surfaces used as a bonding substrate shall be
tested for uplift resistance in compliance with Dade County Protocol PA 124 to the
calculated design pressure of the roof deck.
9. If required, any Factory Mutual Approved vapor barrier in conjunction with
proprietary or approved adhesives may be used prior to the application of the
insulation layer.
10. Perimeter and corner areas shall have an increase in fastener density for both
insulation and base sheet in compliance with PA 117 of the South Florida Building
Code.
11. All attachment and sizing of perimeter nailers and metal profile designs shall
conform with Dade County Protocol PA 111 of the So lor'•a B ing Code.
Gil Diamond, P.E. 4 -
66
04/10/96 14 : 0y el 305 825 9899 GULFS I DE M 1 AM I Z006
Product Control No.: 94- 0211.03
12. Flashings shall be installed according to the manufacturers standard details, and may
be applied in cold application adhesive, hot asphalt or may be an approved torch
applied modified bitumen membrane. Specific details, approved by the
manufacturer, shall be submirted with the Section II Permit Application.
13. Schuller roll good materials shall be stored on end and on a clean, flat and dry
surface.
14. Consult current Underwriters Laboratories Directory for the appropriate coating for
each roofing assembly to obtain the required fire rating. The assembly shall be
installed in strict compliance with Chapter 3401.5 and 3401.6 of the South Florida
Building Code for maximum fire classification.
15. Asphalt moppings shall be with asphalt approved by the applicant and shall be
approved in compliance with cquiviscous temperature (EVT) methods of asphalt
determination: Asphalt containers or bulk tickets shall indicate an EVT, finished
blowing temperature (FBT) and flash point. Asphalt types and temperature ranges
shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building
Code.
16. Insulation may be installed in multiple layers. 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 at an application rate of 25lbs /sq. f
15% or mechanically attached using the fastening pattern of the top layer. Refer to
manufacturer's literature and /or the NRC:A Roofing and Waterproofing Manual for
correct application procedures of insulation panels in hot asphalt or adhesive.
17. Pre asseinblctl cap nails inay unly be uaC! fur terminution of fully bonded surfaces
such as mechanical termination at wood blocking, head and side laps, and base
flashing terminations. Cap nails shall not be used for the mechanical attachment of a
base sheet. Tin caps are required by the South Florida Building Code.
18. ..he submission of system specifications and details shall accompany the Section 1I
Building Code Permit. This information is available in the publications listed in the
'System Description' of this Product Control Approval. The submission of these
documents, as well as the proper application and installation of all materials shall be
the sole responsibility of the contractor.
19. Substitute coal tar pitch for mopping asphalt in these specifications. All coatings
and cements shall be compatible with coal tar pitch. Slope limitations for coal tar
pitch shall vary; see General Limitation # 3.
20. All standard panel sizes are acceptable for mechanical attachment. When applied in
hot asphalt panel size shall be 4' x 4' maximum.
67
Gil Diamond, P.E.
Job Address: /a qN= 7 0 5r. Contractor, G 4? Process No.
APPENDIX 'E' s
GENERAL:
Type of Roof System Assembly to be Applied:
Manufacturer of Roof System Assembly:
Product Control Approval Number:
System Number from Product Control Approval:
(Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System
Guide Specification. )
123.01.166 9/94
( 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. ) iliefr
Base Sheet: eMS �
Fasteners:
Ply Sheet(s):
Cap Sheet:
Asphalt:
METRO -DADE UNIFORM BUILDING PERMIT
SECTION II
BUILT -UP APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
Ale sfiAy)X
ASPfjAa�'
Dou E ) C1-74s447°
AST/n D 34- Tt/Pk1l�
( Note: No insulation system is acceptable under the minimum
roof category. )
Complete the following for all Roof System Assemblies:
Built -Up Applications and Modified Bitumen Systems
Page -1
co sN�'.�Jr�u Ali .
ScitdtLeR �
46), Mefr,b3
qie- 04/.0
(f)
$ vt � r
Job Address: 194A 4� vl Contract f ro ess No.
( Check one of the following)
Recover Re -roof:
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 ASIME907 test report. )
Proposed Fastener:
(A ttach withdrawal resistance test report. )
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 of attachment)
New Construction
`cii 6/46 8)40
I1l1/ 6,9-7
Ply Sheet(s):
( Type and method of attachment )
Built -Up Applications and Modified Bitumen Systems
Page -2
Y N
Job Address: Contractor Process No.
Reviewed Field Test Data ?: Y N
Notes:
Additional Notes:
Built -Up Applications and Modified Bitumen Systems
Page -11
Plan Examiner
Surfacing:
(Type, if applicable )
Contractor 6NY- ° 14/ 5/ /'/ Process No.
/2 - )6W/
1-1
Top Ply: Pi V J`411 -ii A�
(Type and method 0! attachment) /47/9,9,44igc).s
45,1-//9-/-
Job Address: i H 11' / 1
Flashing Materials:
( Type and method of attachment )
3sL-3 2* gkk
Built -Up Applications and Modified Bitumen Systems
Page -3
Job Address:X:26P, S)- Contractor Process No.
T
1
inches
inches
inches
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 ".)
Ply Sheet(s): 4 5-0/51
Bonding Material:
r Surfacing:
/ ( b r i e fl y ppl cab
a e)
Top Ply: �7: _
Bonding Material:
Fastener: ,luaR)
(iJbarrJhee met attic r J
—��- Base Sheet: 75 'I east SAl ge`
Bonding Material: MP'
(ifbasta te:bonded )
Fastener:
(Mop itu,danon layer
mech. attached)
Top Insulation Layer:
(i /applicable)
Bonding Material:
(t /top uwlanon
layer bonded )
Bonding Material:
(t f tnndation bonded)
Primer. ,I/9-
(ifapphcab1)
Built -Up Applications and Modified Bitumen Systems
Page -4
NAY
Fastener: NAY
(ijint"lation
mech. attached)
Insulation: M9Pr
Vapor Retarder, /Wk.
il applicablt )
DECK: / !i. i)
Type: /�t/%�YLai
p/i
Gage or Thickness: A
Density, if concrete deck:
Job Address:
Contractor
PERIMETER DETAIL #1: Parapet Wall Detail
Coping Cap
Gage:
Fastener
Spacing: o.c.
Clip Type:
Clip Gage:
rw/0,,
Deck Type:
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
PERIMETER DETAIL #3: 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 Stop/Drip Edge
Gage:
Fastener
Spacing: o.c.
Clip Type:
Clip Gage:
\ ff\f
Deck Type:
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:
Fastener
Spacing:
Deck Type:
PERIMETER DETAIL #4: Gutter Detail
Built -Up Applications and Modified Bitumen Systems
Page -6
Job Address: Contractor Process No.
Notes:
— 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 limitations:
Reviewed Details ?:
Built -Up Applications and Modified Bitumen Systems
Page -10
Y N
Y N
Job Address:
Contractor
Process No.
Sketch Roof Plan indicating all dimensions, any slopes,
roof drains, crickets, or roof top equipment. Also insert
variable labeled "a" which indicates perimeter and corner
dimensions per Chapter 23 of the South Florida Building
Code.
( See ASCE 7 -88 Fact Sheet Attached)
BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions
Built -Up Applications and Modified Bitumen Systems
Page -9
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 ?: Y N
Basic Wind Speed at
Building Location: 110 mph
Building Condition based on
% of Openings:
GROUND LEVEL
T
feet
feet
BUILDING INFORMATION #1
Built -Up Applications and Modified Bitumen Systems
Page -8
Job Address:
Contractor
PERIMETER DETAIL #5: 'Other' Detail
Process No.
Sketch Roofing Components which make up Roof
System Assembly at any 'other Perimeter Condition
which may eicisit.
Insert leaders indicating Roofing Component names,
dimensions, thickesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
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.
PERIMETER DETAIL #6: 'Other' Detail
Built -Up Applications and Modified Bitumen Systems
Page -7
Miami Shores Village, Fla.
OWNER
ADDRESS
INSPECTION
TIME READY
PERMIT NO.
—F - r
37/3 F
CONTRACTOR r?-c---
TELEPHONE NO. 3 6 ' 30/e
INSPECTOR
7C6 6 f /ate e )
3 -
DATE
DATE
Date
Legal Description
Owner/Lessee / Tenant
Owner's Address
Contracting Co.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
` 9# 5T ax F o li o Address / d11 . � 9 � �
Historically Designated: Yes No
37 9'38
Qualifier C ` //eA/7 cif
state # 03 6.q c f
A
4/0
Architect/Engineer
Square Ft.
P 7 4ijtiW o a�D�t
6V5 9g r
Municipal #
Bonding Company
Mortgagor �/( f�-
Permit Type (circle one): BUILDING ELECTRICAL
WORK DESCRIPTION pp Re.
J
Master Permit #
Phone 5 ;
Address ) //77 &) o/<,e4 cA6 /3
3 3
PLUMBING
,/ MECHANIC
'7T - 7 - -- AD
Estimated Cost (value)
Competency 6,57) t Ins. Co.
Address
Address
Address
PAVING FENCE SIGN
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 stat
Zv ix_ (
Signature of owfier and/or Condo President
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT / V RADON
APPROVED:
Zoning Building
Mechanical
Signature of infractor or Owner -B d er Date
Notary as to Contractor or Owner - Builder
My Commission Expires:
s p.�Y p(i OFFICIAL NOTARY SEAL
O e∎ SCOTT W DAVIS
z
2 �► 'i * COMMISSION NUMBER
9 .„;'IV CC255237
MY COMMISSION EXP.
OF P■. AN. 26 1997
C.C.F. 1. NOTARY
Electrical
Date
Plumbing Engineering
Ovmer s Name and Address // ri
Registered Architect and /or Engineer
Name and address of licensed contractor
Disapproved � _.._._. - _.----
(Signed) '-"'-- l
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iuilding 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.
Location and legal description of lot to be built on:
Lot Block / Subdivision.
Street and Number where work is to be done L ,6 C N 1c
Date.
Building Inspccto
Chairinan
Member
Member
Council Approved
Date_ _ __:il C ,
No...124 .3 1111... Street 9�,
Mlevoi . oploc_ c o ; /M , — 3a./ _. A w 7l ?T tf(4n((
New Building Remodeling
To be constructed of Kind of foundation
:q.'5, 00
Amount
PLAR4NINC BOARD
rIN rM /Ns,? , PM
Notary Public, State of Florida
My Commission Expires ...
DATE
nn ..__._.....__.._
State work to be done and purpose of building (by floors)...__ ko/F 1 l✓ GI /IVEL ,L.af C1 _71i:E
a(Ji gc l _`134 - ?O C -nMVEL — TICE = 1:N3 ?, 1-9 /... WOE $ffA1E rn
and for no other purpose.
Addition Repairs 1 No. of Stories I
Roof Covering AvFC d 711-.E
of Permit 00
Estimated Total cost of improvements $
Zone cubage required _.._...plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed und this
permit, as are licensed by Miami Shores Village.
Remarks..._
STATE OF FLORIDA,
COUNTY OF DADE. s$
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are
Permit No.._ ` ` Date 7.,• Z- 1, ?_ Read, Sworn to and Subscribed before me.
Member
Member---_.._ .........__...._...._._......._ ..._..._.. 1.11.1_._---- ......._._....__._
Member
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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
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 prpgreu of the work.
Date...r..._....�...... _A pril 9 ..._._._..._... 19..7 4
Owner's Name and Address mr • (hiller — N 1269 S N . E . 98th St.
Registered Architect and /or Engineer
Name and address of licensed contractor
Roofing Co. 7357 N. M. Miami Ct.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 1269 N. E.9 8 t h St
State work to be done and purpose of building (by floors) Install 4 ply built u p asphalt and gravel
roofing on addition.
Disapproved
(Signed) ...
Building Inspector
Chairman
Member _
Member ......
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re inspection fee of 51.00 will be charged
materials and /or workmanship.
- S!S••!!Se •!TT•- S ^•!!T.
and for no other purpose.
New Building Remodeling. Addition X Repairs No. of Stories
To be constructed of . Kind of foundation Roof Covering
Estimated Total cost of improvements $ 250.00 Amount of Permit $,. 5, 00
Zone cubage required .Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup ) Went,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ern loye y him
in the work to be performed under this permit; and will post or cause to be pos d for inspec on the site of the • . y + c notice
or notices as arc required by the Act. The undersigned agrees to employ only sT� s ors on rk to nder this
P by Village.
enmt, as are licensed b Miami Shores n
Ir
Remarks (Sim) A
2i" sqs.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. '/ 71 Permit No......_ /..f(�_ 3 Date .0 d - 7 l Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
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 - 0 r , 19./ -
e ( ti ns 0 I
Owner's Name an Address ((fez No.1 -6 .( q Street.. Z- 7e 7
Registered Architect and /or Engineer
Name and address of licensed contractor ..-- - - - -.
Location andjgal description of lot to be built on:
Lot LS Block
State work to be done and purpose of building (by floors)
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Chairman
Member
Member
Subdivision . C" . " 9 / P - 1 t ( K 5 /Z
Street and Number where work is to be done K.E._ 9 F 5T -
o oc= f D J CO rV --
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundi@st p�f Covering- . . T�rl X 22 ►� I
Estimated Total cost of improvements $ Amount of Permit $.
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sub tractors, on work perfo '. -d under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him Permit state
Peit No // Tern/ Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
PLANNIN OARD DATE
Member
Member
Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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.
Owner's Name and Address ......4._:. :...__ -.'
Registered Architect and /or Engineer .... f
Name and address of licensed contractor.F '
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be
Building Insp or
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling. Addition Repairs No. ,{ Storic3 f
To be constructed of Kind ofndation Roof Covering..t : -
Estimated Total cost of improvements $ . ^ •' r ' Amount of Permit $.
Zone cubage required Plan Cubage
Distance to next nearest building_.... Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Sup ement,
and has complied with the provisions thereof, and will require similar compliance from all contract. s or sub - contractors employe by him
in the work to be performed under this permit; and will post or cause to be posted for inspection . the si e of the work such ul c notice
or notices as are required by the Act. The undersigned agrees to employ only such s contractor.. .n to be perform. der this
permit, as are licensed by Miami Shores Village. l .
Remarks (Sign
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 facts
therein by him stated ale true.
Permit No 77 0 Date
Disapproved / Date.,.
PLANNING BOARD
Date
No
t
.
��- a.. ;19
C Street t-
4
•
/
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA V
DATF sa' L Z' 3 19 5 9
Contractors Z 3 ,
License No.
i
❑ PERMIT N9 7104
C t x•43 4 $ ' I
In consideration of the issuance to me of this permit tagree to perform the word- co
pertaining thereto and in strict conformity with the plans, draw1igs, statements or a 'f}atio
cepting this permit I assume responsibility for all work done by ei :. ,, myself, cent,
CONTRACTOR OR BUILDER
Work to be performed under this Permit
O
Architect
Contractor '° i
or Builder v *-= " 1 Ft ,� / � ; aj �.�' . Ai 1 1 4 S /!%f r -
Legal Lot I Subdi-
Description [ Bl vision
Address of Value of > IF � ----
Building
174 ,t) i' / Project $
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in conipilanne with arty plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be awaked at any Wilk Thi b
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A fur er condition upon s permit
granted is the understanding that the contractor or builder named above assumes the respp sibility for a tho • qh kno ee of the ordinance . iegulalions
pertaining to the work covered hereby whether shown on the plans or drawly s or in t tatements or spe ' _ cations a f he assumes responsibfrlitp ier work
done by his agents, servants or employees.
cove hereunder in c
submitted to the prop
rvant or employee
nce with all ordinanc
uthorities of Miami Shore
Signed.
INSPECTO
AUTHORITY
d regulations
age. In ac
a