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ROOFING
Date 0 2 4 Job Address 17 0- / 8? 0 , €IC 9 19 9 Tax Folio /1 320 ` es/i 2 2 7 a Legal Description Ger- / 6/.e /'7 Historically Designated: Yes No Owner/Lessee / Tenant / 06 v0//•C't 6/.0 .e/t % / CS 1;u- c- Master Permit # L iO3 - 6 / T Owner's Address SOD p t '- lm t'776 Alt d(i7 4,C vik Phone 3 - - 3 AA, Address lU IF 6 T , OcaP P �= l Contracting Co. kt tiro t✓ Km o 4i J StiG. � lia I 3 3 7 Qualifier '3 A) Oko irrb n/ State # CC CO 1 D /3 Municipal # Competency # Ins. Co. Architect/Engineer 0 Address___— Bonding Company /1/ ' / Address Mortgagor _— Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION R e Lo oar To R v ■ I c v P M't od i Cie, AP o-t- Square Ft. 2 00 0 £' ' 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 cws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signa e of own ndo Pres dent Date No as to Owner and/or Condo President My Commission Expires: to** 0 00,100041W My Conn •4p:.1 7 Boiatldd•By' Service as N0. CC574340 t 1 iirwruwr Known 11 Ohor FEES: PERMIT /( • RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / %v/ Date 6 C.C.F. SS# Phone 77/- 9(2. L Estimated Cost (value) , / 10, DO 0, ignature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder My Commissi. ' _. 111 %4 My , 1W2TO Bonded By Sanicq,Ina CC574340 Known III D /o i o • /o,/h /)6 Dae NOTARY BOND 3 0 TOTAL DUE 3 g -( APPROVED: (� Zonin g Building Buildin v , J 1 Electrical Mechanical Plumbing Engineering P t r ni; t # Tax Folio # // .3x06 0/3 z 2-3 CIA ,tv By r O i iCE OF COMMENCEMENT Stet a of Florida, County of Droward 1. Description of Property: Legal Description: Lot / Block / 7 Subdivision Other 5. Surety Name and Address: 6. Lender Name and Address: Street Address: 170 - 1'o Mc. 99th S0 L4-,7 ; 8. In addition to himself, Owner designates Scc3 ,41i/ Aae/. /1r /r' /[E/ of • LINDA C h My Germ Boll By o. CC 74 Printed Name: (seal) IS A 011 FLORIDA, COUNTY OF DADE 1 ►!a:: (ItvfwFv Met this 6 o he• cgplof the i din raj d+tc. en 6 ' A... 1!t Si e : 091 ri -I t -r, Tr! 1 r. F ', I .f..rl ,e4Covn•rc0ih:11 D.C. _54 eW /r .5n=,- i C. Contractor Name and Address: 1• bt>2- F /^i,I , 4491 N. E. 4 7i see. oakL.n,,,v Peek ) FL. 3 3 33 �f to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Signature of Owner: Printed Name: KOn OV tate_ Signature of Owner: Printed Name: i`i TO AND SUBSCRIBED before me this t� loam Signature of Notory Public I.-( ti h A C FiCi 1 c)--, My Commission Expires: i' C (a-1 (0-6 96R46 19 2 3 1996 OCT (19 11:33 Amount of Bond 8 2. General Description of Improvement: / /1-O E j ; ,L 1 Roof , ,-, f h f /v.-LA.) l SPACE WITHIN ABOVE BOX RESERVED FOR RECORDrn The undersigned hereby gives notice t improvement will be made to certain reel property, and In accordance with Section 713.13 of th. Florida Statutes, the following Information is provided in this Notice of Commencement. 3. Owner Information: Full Nome: kr)NOVgK t2 �,? Ti vs :Nom, � � Phone (3oS S39 • MailingAddress: 7cop 1A/. PAIL r'ytG4-40 Re L J, A BOCA N A Fl_ 3343 3 Interest in Property: ( )foe simple ( ) Name and Address of fee simple titleholder (if other than owner): 7. Persons within the State of Florida (Names and Addresses) designated by Owner upon whom notices or other documents may bo served es provided by Section 713.13(1)(0) 7., Florida Statutes: Expiration date of Notice of Commencement: ( the expiration date is one year from date of recording unless a different date is sprctfiod 1 0 day 1926. Morton Roofing, Inc. METRO -DADE UNIFORM BUILDING PERMIT SECTION II BUILT -UP APPLICATIONS AND MODIFIED BITUMEN SYSTEMS GENERAL: Type of Roof System Assembly to be Applied: MODIFIED BUILT UP OVER INSULATION Manufacturer of Roof System Assembly: GAF Product Control Approval Number: 95- 0330106 System Number from Product Control Approval: 1- 2 -1 -MG (Attach a copy of the Roof System Assembly Product Control Approval and the Manufacturer's System Guide Specification) (Note: If a minimum roof system is to be applied, describe all components within the system and list the manufacturer of each component DO NOT complete this section if system is Product Control Approved.) Base Sheet: GAF GLASS BASE Fasteners: 1 1/4" RING SHANK NAILS Ply Sheet(s): GAF GLASS PLY IV (2) LAYERS Cap Sheet: GAF MB GRANULAR MOP Asphalt: TYPE III STEEP ASPHALT (Note: No insulation system is acceptable under the minimum roof category) Built -Up Applications and Modified Bitumen Systems Page -1 Morton Roofing, Inc. Complete the following for all Roof System Assemblies: (Check one of the following) Recover ❑ Re -roof ® New Construction ❑ If a recover, is the existing Roof System Assembly to be used as a bonding substrate? If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate? (!f yes; attach ASTM E907 test report.) Proposed Fastener: NAILS AND TIN CAPS Has the deck been examined for moisture? (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, stns and method of attachment, tfapplicable) Base Sheet or Ply: (Type and method of attachment) ❑ Yes ® No ❑ Yes (RI No ❑ Yes pn No WOOD 1.5 ISO WITH 1 /2" OVERLAY OF PERLITE GLASS BASE Built-Up Applications and Modified Bitumen Systems Page - 2 Morton Roofing, Inc. Ply Sheet(s): (Type and method of attachment) Top Ply: (Type and method of attachment) Surfacing: (Type, if applicable) Flashing Materials: (Type and method of attachment) GAF PLY IV FIBERGLASS GAF MB MOP GRANULAR NONE GAF MB GRANULAR Built -Up Applications and Modified Bitumen Systems Page - 3 Morton Roofing, Inc. 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 ".) • Surfacing: NONE (briefly describe, if applicable) Top Ply: GAF MB GRANULAR MOP Bonding Material: ASPHALT Ply Sheet(s): GAF PLY IV FIBERGLASS Bonding Material: HOT ASPHALT Fastener. NAILS & CAPS al base sheet mech.attached) r Base Sheet: GAF GLASS BASE Bonding Material: NAILS & CAPS (if base sheet bonded) Fastener: ASPHALT Of top insulation layer mech. attached) Top Insulation Layer: applicable) PERLITE 1/2" Bonding Material: ASPHALT Of top insulation layer bonded) Fastener: HOT ASPHALT afinsulation mech. attached) Insulation: 1.5 ISO WITH 1/2" OVERLAY OF Bonding Material: ,HOT ASPHALT of insulation bonded) v r� Vapor Retarder: NONE Of applicable) NONE (zfapplicable) DECK: Type: WOOD Gauge or Thickness: WOOD Density, ifconcrete deck: NONE Built -Up Applications and Modified Bitumen Systems Page -4 Morton Rooting, Inc. Coping Cap Gauge: Fastener Spacing: Clip Type: Clip Gauge: NONE NONE NONE NONE i Deck Type: WOOD 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. PERIMETER DETAIL #1: Parapet Wall Detail Deck Type: WOOD AN I � 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 PERIMETER DETAIL #2: Flashing Detail Built -Up Applications and Modified Bitumen Systems Page - 5 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 Gauge: 26 GAUGE I r Fastener Spacing: 'NON8.4 o.c. Clip Type: NONE Clip Gauge: NONE Deck Type: WOOD PERIMETER DETAIL. #3: Gravel Stop or Drip Edge Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Components names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. Gutter Type: NONE Gutter Gauge: NONE Fastener Spacing: NONE PERIMETER DETAIL #4: Gutter Detail Built-Up Applications and Modified Bitumen Systems Page - 6 Morton Roofing, Inc. Sketch Roofing Components which make up Roof System Assembly at any other' Perimeter condition which may exist insert leaders indicating Roofing Component names, dimensions, thiclmesses, etc. Include fastener type and spacing used for wood - blocking attachment. PERIMETER DETAIL #5: 'Other' Detail Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may exist. Insert leaders indicating Roofing Component names, dimensions, thicknesses, 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 Morton Roofing, Inc. 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: D Classification Category: ok M Hurricane Oceanline7 Y Basic Wind Speed at Building Location: 110 mph Building Condition based on % of Openings: standard No N GROUND LEVEL � . ra t 12.. eat BUILDING INFORMATION # 1 Built-Up Applications and Modified Bitumen Systems Page - 8 Morton Rooting, Inc. Sketch Roof Plan indicating all dimensions, any slopes, roof drains, crickets, or rooftop equipment. Also insert variable labeled "a" which indicates perimeter and comer dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached) f0 A VI BUILDING INFORMATION #2: Roof Plan with Perimeter and Comer Dimensions BuiikUp Applications and Modified Bitumen Systems Page - 9 Morton Roofing, Inc. Job Address: 170 -180 N.E. 99TH STREET Contractor. MORTON ROOFING INC. The undersigned certifies that the Roof 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. Licensed Contractor /Owner Signature Swom to and subscribed before me this 7 th day of a-- CA 19 .16 My commission expires %1.7/0 0 Notary Public State of Florida . a>f 574340 Kama OOP. 0 Built -Up Applications and Modified Bitumen Systems Page- 10 Job File 96- F1639, OFFICE BLDG. 170 -180 N.E. 99th STREET N.M.B. GAF SPEC. Record 1 - AREA MAIN ROOF Total Length 684.79 LF 9 9 9 A A ONE PI ECE REGLET 3 " 9 REAR FLAT EAVE DRI P T NfiI 1I REMOVE VENTS GAF Materials Corporation 1361 Alps Road Wa yne , NJ 07470 Your application for Product Approval of Chapter 8 of the Cou olit Metropan Dade n u Construction, and completely ly an Dade in the nty plans, govern ng the use of go u ' , Research Laborato P Alternate Materials and under ry, Inc., Facto specifications calculations as submitted by types of Laboratories, Inc. Factory Mutu Research Corporation, South Florida Test Se, + nd Dynatech Engineering, Construction Compliance Inc. and to a used ' g Inc. has been recommended for acceptance the Underwriters Building e Com p. m Dade County, Florida under the s Ptance by the tioildin pacific and standard conditions set fetch The approval shall valid for a l be vid The to r ecurs a 11 be v t id or rriaterial at an f three years. The Building product secure or use a p l fail to y time for a jobsite or manuf cue Compliance De Perform in the approved manner, the Code Compliance D pray revoke, reserves us curer plant for quality control��estin , the the use of such product or material • g if the usp the testing t uc o this product m t o mate dial should an amendments Department Compliance may revoke enacted haed t to h ui affecting this product or material. t y The Building Code Sout Florida De ,modify or suspend ndments to the South F Building reserves The expense of such testing g Code be P g will be incurred by the Manufacturer. PRODUCT NO. ACCEPTANCE NO.: 9.1-D3 t) 06 EXPIRES: NO/ �I 19 9T THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR -PLEASE NOTE- CONDITIONS. SPECIFIC AND GENERAL BUILDING CODE COMMITTEE a This pplication for Product Approval has been reviewed by the pproved by the Building y Metropolitan Dade County Buildin g Code the conditions set forth above. g Code Committee to be used in Dade Cou APPROVED: MAY 0 4. 199 Lerida under METROPOLITAN DADf: MGrnO.pnOE rCOUNTY, FLOnIOA lnol_En IIUILDINO BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 MEinO.DADE FLAMER BUILDING 110 WEST FLAMER STREET MIAMI. FLORIDA 03130.1503 FAX 306) 37'6'2001 (305) 376.2000 u1 Rodrig ez Product Control Division Supervisor arlea Danger, P.E., Director Building Code Compliance Deponent Metropolitan Dado County Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Category: Membrane Roofing System Sub - Category: Built -up Roofing Type: Modified Bitumen Sub -Type; SBS, APP System Description SYSTEMS PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Product Control No.: 95- 0330.06 Approval Date: MAY 0 4 1995 Expiration Date: NW 1 0 19 97 GAF Materials Corporation has been manufacturing commercial roofing products for more than 100 years. GAF produces a wide range of roof products for built -up roofing systems. The modified bitumen products include both APP and SBS products in smooth, granule and fire rated versions. In addition, GAF offers two ply modified systems to meet the specification requirements for multilayer modified specifications. GAF products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the Ruberoid Modified Bitumen Application and .Specification manual published. annually. GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories. GAF modified bitumen . membranes have been tested in compliance with ASTM D 5147 test requirements. Insulation Type$: Material Fibrous glass Perlite Fiberboard Polyisocyanurate Expanded polystyrene (EPS) Polyisocyanurate Composite Board Maximum Design Pressures Material Design Pressure Wood -60 psf Steel -75 psf Concrete -248 psf Lightweight Concrete -45 psf Poured Gypsum -45 psf Maximum Fire Classification Classification Wood Class A Steel Class A Concrete Class A Lightweight Concrete Class A Poured Gypsum Class A 3: • Note: Fire classifications and maximum design pressures do not ireference: all assemblies .over. deck types. Review system listiings for design pressures and the. Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. t 1 • Contact: William J. Woodring Director of Technical Services (201) 628-3000 - • • .; ;.•11.1 • • 2 •• 15. :,• • - Imaispo44; Product Control No.: 95-0330.06 .• • ' : i,•;11:„•' - Product Ruberoid® Torch Smooth Ruberoid® Torch • '/s sq. roll Plus (Granule) 93 Ib. roll Ruberoid® Torch Granule Ruberoid® Torch FR 3/4 sq. roll 90 lbs. Ruberoid® Mop Plus (Granule) Ruberoid® Mop Granule Ruberoid® Mop FR " 1 sq. roll 105 lbs. Ruberoid® 20 Ruberoid® 30 1 sq. roll • 92 lbs. Ruberoid® 30 FR 1 sq. roll 92 lbs. Ruberoid® Mop 170 FR 1 sq. roll • 103 lbs. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Dimensions 1 sq. roll 87 lbs. 1 sq. roll 102 lb. roll 1 sq. roll 102 lbs. 1 sq. roll 103 lbs. 1.5 sq. roll ASTM D 5147 SBS modified asphalt base sheet reinforce with a glass fiber mat. Test Specification ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granules. RAW Rodriguez 4' Product Description Product Control No.: 954330.0 ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Non -woven polyester mat coated with `fire retardant polymer modified asphalt surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated'with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire- retardant, polymer modified asphalt surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with fire retardant, polymer modified asphalt surfaced and surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with mineral gr u 1 Product GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks. GAFGLAS® . 3' x 36" Stratavent® (Vent Ply) 69 Ib. roll Perforated GAFGLAS Ply 6® GAFGLAS Ply 4 GAFGLAS #75® GAFGLAS® Mineral Surfaced Cap Sheet GAF Materials Corporation Asphalt Concrete Primer GAF Materials Corporation Fibered Aluminum GAF Materials Corporation WeatherCoat® Emulsion GAF Materials Corporation Jetblak All Weather Plastic Cement Dimensions 3'x36" 69 Ib. roll 3' x 180' 45 lb. roll 3'x36' 76 lb. roll • 5, 55 gallons 5 gallons 1, 5 gallons Test Specificatioq ASTM D 4897 D 3672 Product Control No.: 95 0330.06 Product Qescription Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 4897 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. :4i Witlf; 4: 3' x 180' ASTM D 2178 Type IV asphalt impregnated glass felt �,' •. 40 Ib. roll with asphalt coating. 73f�i`ti ", ` ,`- , 1u: 'I`«t t ;: 3' x 108' .ASTM D 4601 Asphalt impregnated and coated glass 751b. roll 'b ANA : mat base sheet. 1 :,.e ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. 1, 5 gallons ASTM D2824 Fibered aluminum coating. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. 5. Raul Rodriguez Product Dimensions GAF Materials 1, 5, 53 gallons Corporation Jetblak Flashtite® Cement GAF Materials 1, 5, 53 gallons Corporation Plastic Cement GAF Materials Corporation Mineral Shield® Granules GAFTEMP® various Isotherm R GAFTEMP® Composite various GAFTEMP® Pet alite, .. .various . PA 110 GAFTEMP® Fiberboard various PA 110 GAFTEMP® various • PA 110 High Density Fiberboard GAFTITE® #12 Standard Roofing Fastener GAFTITE® #14 Heavy Duty Roofing Fastener NTB Fasteners GAFTITE® Base Sheet Fastener and Plate Galvalume Plates 3" and 3' 'A" Polypropylene Plates 3 " and 3''A" .PA114 Test Product Specification Description ASTM D 4586 Asphalt flashing cement. ASTM D 4586 Trowel grade, asphalt plastic cement. PA 110 Polyisocyanurate foam insulation. PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Perlite insulation board. ! Y.` • PA114 PA 114 PA 114 PA 114 PA 114 6 Granules for surfacing of exposed asphalt, cold process or emulsion. Fiberboard insulation. � A High density wood fiberboard insulation. Insulation fastener for steel and ..' plywood decks. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Raul Rodriguez i Insulation fastener for steel, wood and concrete decks. Fastener for use in gypsum, tectum and •lightweight insulating concrete decks. f i . ACFoam Composite various ACFoam II Hy -Tec Hy -Tec 2 • various PA 110 ,■rif0 j�:.; ... Pr Control No.: 95 • TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Product Dimensions Specification Description Manufacturer Hy Therm AP various PA 110 Polyisocyanurate foam Apache Products Co. insulation Pyrox various PA 110 Polyisocyanurate foam Apache Products Co. insulation White Line various PA 110 Polyisocyanurate foam Apache Products Co. insulation PA 110 Polyisocyanurate foam Atlas Energy insulation Products ACFoam I various TA 110 :t l; f. Polyisocyanurate foam i,i• ..:Atlas Energy hi zap ,°;';. ,4 ./ insulation Products • Polyisocyanurate foam Atlas Energy insulation ,.Products various PA 110 Polyisocyanurate foam Celotex Corp. ' insulation various PA 110 . ' Polyisocyanurate foam; ;..; . Celotex Corp. insulation - Hy -Therm AP various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Therm White . various PA 110 Polyisocyanurate foam Celotex Corp. Line insulation Hy -Therm Pyrox various PA 110 • Polyisocyanurate foam Celotex Corp. 'insulation Energy LOk various PA 110 Polyisocyanurate foam Celotex Corp. insulation ,ts . . Thermax various .PA 110 Polyisocyanurate foam Celotex Corp. TRI -STAR insulation 1 3• I , i 1phf� Raul Rodriguez • !�r.c ,., • r` Test . • • ' .` Product Dimensions Specification Dekfast Fasteners PA 114 #14 Dekfast Hex Plate 2 7/8" x PA 114 3 1/4" Dekfast Lock Plate 3" x 3 1/4" PA 114 Dekfast Fasteners #15 Dekfast Fasteners • #12 TPR ISO 95+ GW various ISO 95+ GL various ISO 95+ Composite ISO 95+ Asphalt High Density Wood various Fiberboard Perlite Insulation various. PA 110 • Product Description Insulation fastener for steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. PA 114 Insulation fasteners for concrete decks PA 110 - -= ': Polyisocyanurate foam (04,3! .. �; : insulation PA 110 Polyisocyanurate / perlite ridged insulation PA 110 ASTM D 312 PA 110 131.1U�i • 8 Product Control No.: 95. 0330.0 Construction Fasteners, Inc. Construction Fasteners, Inc. Construction Fasteners, Inc. Construction Fasteners, Inc. PA 114 Insulation fastener for steel Construction and wood decks. Fasteners, Inc. ^ Firestone Firestone Polyisocyanurate foam Firestone insulation Type III or IV hot asphalt generic bitumen adhesive Wood fiber insulation generic board Perlite insulation board generic r. '' PA 1'14 .` x L s;. Aluminum fastener for ,;,:, ,:Creative . ,I iu ; :' lightweight, gypsum and Construction tectum decks Components PA 110 Polyisocyanurate foam Firestone insulation 1 • • ot1 1 0.0V11n'.1 b4 Test Product Product Dimensions Specification Description Red Rosin various Rosin paper for barrier generic layer on wood decks Roofing Nails Minimum # PA 114 Corrosion resistant annular generic 12 • ring shank nails Tin Caps Min. 32 ga. x Corrosion resistant circular generic 1' / discs. Type X Gypsum various Fire resistant rated gypsum generic Sturdi -Top various PA 110 Wood fiberboard . • Georgia - Pacific 'al MB aluminum. PA •121 • . •...,> • Aluminum roof coating • . - ;::Grundy Industries .;'A•: roof coating Grundy • PA 121 .. Asphalt emulsion Industrial Emulsion #14 Roofgrip • Gripdek Fastener Product Control No 95-93 Q. • '41 Manufacturer Grundy Industries;;,;iit;.j; PA 114 Insulation fastener steel, ITW Buildex wood or concrete decks Barrier Board Plus various PA 110 Polyisocyanurate foam / NRG Barriers, Inc. wood fiber insulation , 91 :r• •;,t; l Raul Rodriguez 9 A 114 Insulation fastener � ITW Buildex Premium Metal 3" square PA 114 3" square galvalume AZ55 ITW Buildex - Plate stress plate Standard Plastic 3" round PA 114 Polyolefin plastic plate .. .ITW Buildex Plate Karnak No. 169 ASTM D 2824 Aluminum roof coating Karnak Corp. Karnak 97 PA 121 Roof coating Karnak • Product E'NRG'Y -2 Con -Tite (Fluted Nail) • '1.77' 1 , ' Product Control No.: 95- 033 0.06 '• Test ` Product 'Dimensions Specification Description .', Manufacturer E'NRG'Y PSI -25 various PA 110 various 10 Polyisocyanurate foam NRG Barriers, Inc. insulation E'NRG'Y -1 various PA 110 Polyisocyanurate foam NRG Barriers, Inc. insulation E'NRG'Y -2 Plus various PA 110 Polyisocyanurate foam .. NRG Barriers, Inc. insulation E'NRG'Y- I Plus various PA 110 Polyisocyanurate foam NRG Barriers, Inc. insulation PA 110 Polyisocyanurate foam i 1 :J1.i insulation NRG Barriers, Inc. PA 114 Concrete deck insulation - Olympic fastener Manufacturing y }rr Group, Inc. �. . Olympic Standard 3" round PA 114 3" round galvalume Olympic AZ55 steel plate Manufacturing Group, Inc. Olympic G2 Plate' 3.5" round PA 114 •: 3.5" round galvalume AZ55 Olympic steel plate. Manufacturing Group, Inc. Olympic LA 3.25" round PA 114 Polypropylene • . . •f Olympic Polypropylene plastic plate Manufacturing Group, Inc. Olympic Fastener PA 114 .Insulation fastener Olympic Raul Rodriguez Manufacturing Group, Inc. Olympic C -R PA 114 Base sheet fastener and Olympic Base Sheet plate. Manufacturing Fastener and Plate Group, Inc. Fiberglas various PA 110 Fiber glass roof insulation Owens- Corning Fiberglas Corp. Product Foamglas Board various Multi -Max Thermaroof Composite Fes -Core various Fesco Foam various UltraGard Gold . various HD Insul-Fixx Fastener Insul -Fixx Fastener Insul -Fixx S Insul-Fixx P Rawl Drive C. Rawl Fasteners #12 Rawl Fasteners #I4 Test Dimensions Specification various various 3" square 3" round ,1 '.1 PA110 PA 110 Product Description Manufacturer Expanded glass insulation Pittsburgh Corning board. Polyisocyanurate foam Rmax, Inc. insulation PA 110 Polyisocyanurate foam / Rmax, Inc. perlite composite insulation PA 110 Polyisocyanurate foam / Schuller fescoboard insulation International Inc. PA 110 Polyisocyanurate foam / Schuller fescoboard insulation International Inc. PA 110 Polyisocyanurate foam Schuller insulation International Inc. PA 114 Insulation fastener for use SFS /Stadler in steel and concrete decks PA 114 Insulation fastener for steel SFS /Stadler and wood decks PA 114 3" square galvalume AZ55 SFS /Stadler stress plate PA 114 3" round plastic stress plate SFS /Stadler PA 114 Insulation fastener and steel The Rawlplug .. and plastic stress plate for. Company Inc. concrete deck PA 114 Insulation fastener for steel The Rawlplug and wood decks Company Inc. PA 114 Insulation fastener for use The Rawlplug in steel, wood or concrete Company Inc. Raul Rodriguez 11 r ' .r 4 ••' • •iy:e•..,4:41?;-v • • Ettl,att•It:!;4!k:1` • Test • Product • t: product i '' 'Dimensions Specification Description Rawl 3" Plate Rawl Spike Rawlite Rawlite 3" Plate 3" round ( r • 3" round PA 114 • . • \,.■ '*.J• s " PA 114 PA 114 PA 114 3" round galvalume AZ55 .„ .steel plate for use with Rawlite fasteners 2 • - . • !.:.;,; • • .! 12 ni&InS • ' '.' ...' I + i ,,. tr,• .e.,,tf wi. t ..t . .....,,...,,,, .,., , , • . ' - ,• .). ,.. ., . Produei Control No 95-0 0.1 . ", ., MI, 3" round galvalume AZ55 steel plate Insulation fastener and steel and plastic stress plate for concrete deck Insulation fastener for cementitious and gypsum decks Manufacturer The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. -:; • • Test Agency Construction Research Laboratory, Inc. Factory Mutual Research Corporation. South Florida Test Service Underwriters Laboratories, Inc. Dynatech Engineering, Inc. Test Identifier #4818 J.I. OT4A 1.AM J.I. l V7AO.AM J.I. 1V8A4.AM J.I. 1 R1 A6.AM J.I. 0T2Q4.AM J.I. 0Q6A6.AM J.I. 2M0A4.AM J.I. 3X3A2.AM J.I. 0Y9Q5.AM J.I. 3X3A2.AM GAF -53 -X -915 81306 3600.02.95 Test Reports Test Name/Report Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Physical Properties Fire Classification Wind Uplift; Small Scale Raul Rodriguez 13 3 ,. r . Date 07/10/87 08/26/92 07/16/92 06/28/93 11/15/91 10/17/91 07/16/91 03/21/87 08/01/94 . Afiy • 02/02/95 ; 08/02/94 srstinr; . 07/29/94 08/02/94 • ' =t " : - 171 i 6 - . • ; 03/08/91 •r. r J Membrane Type: Deck Type 11: Deck Description: System Type B: Wood, Insulated, New Construction 19 /, 2 " or greater plywood or wood plank Base layer of insulation mechanically attached, optional top layer adhered with approved asphalt. All General and System Limitations apply. Insulation Base or Top Laver ACFoam -I Minimum: 1.2" x 3' x 4' Minimum: 1.2" x 3' x 4' Minimum: 1.2" x 3' x 4' Minimum: 1.2" x 3' x 4' Minimum: 1.2" x 3' x 4' Minimum: 1.2" x 3' x 4' ACFoam -II Minimum: 1%" x 4' x 4' Minimum: 1'/." x 4' x 4' Minimum: 1%" x 4' x 4' Minimum: 1%" x 4' x 4' Minimum: 13/4" x 4' x 4' Minimum: 1%" X 4' x 4' ACFoam Composite Minimum: 1'/2" x 4' 4' Minimum: 1'/2" x 4' x 4' Minimum: Ph" x 4' x 4' Minimum: 1'/:" x 3' x 4' Minimum: 1'/2" x 3' x 4' Minimum: l' /2" x 3' x 4' Minimum: l' / :" x 3' x 4' E'NRG'Y -2, PSI -25 SBS Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Fastener type Insulfixx S/P Dekfast S Roofgrip S/P Gripdek S/P Olympic S GAFTITE® S Insulfixx S/P Dekfast S/P Roofgrip S/P Gripdek S/P Olympic S GAFTITE® S Insulfixx S/P Roofgrip S/P Gripdek S/P Insulfixx S/P Dekfast S/P Roofgrip S/P Gripdek S/P Insulfixx S/P Dekfast S Fastening Detail No, [ [ [ [ [ [ [3] [3] [3] Barrier Board Plus, E'NRG'Y -1 Plus, E'NRG'Y -2 Plus [ [ [ [ , [3] [3] "'4`5i well Raul Rodriguez 25 Fasteners Per Board 8 8 8 8 8' 8 8 8 8 6 6 6 6 • Fastener Density 1:2 ft. ., ..1:2 ft. 1:2 ft. 1:2 ft? ,;� K� . 1 '2 ft.2. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. -1:2 ft.2,•,c:., 1:2 ft. 1:2 ft. :; 1:2 ft.2 1 1 Insulation Base or Top Layer Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 2" x 3' x 4' Minimum: 2" x 3' x 4' Minimum: 2" x 3' x 4' • Minimum: 2" x 3' x 4' Minimum: 2" x 3' x 4' Minimum: 2" x 3' x 4' Fiberglas Minimum: 15/16" x 4' x 4' Olympic S/P Minimum: 15/16" x 4' x 4' GAFTITE® S/P GAFTEMP® Isotherm R Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' Minimum: 1.8" x 4' x 4' Gypsum Board Minimum: ' /2" x 4' x 8' Insulfixx S Minimum: '/2" x 4' x 8' Dekfast S Minimum: ' /2" x 4' x 8' Roofgrip S Minimum: '/2" x 4' x 8' Gripdek S Minimum: '/2" x 4' x 8' Olympic S Minimum: '/2" x 4' x 8' GAFTITE® S Hy -Therm AP, Pyrox, White Line Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' Minimum: 1.3" x 4' x 4' GAFTEMP® Composite 5 Fastener pe Roofgrip S/P Gripdek S/P Olympic S/P GAFTITE® S/P Insulfixx S/P Dekfast S Roofgrip S/P Gripdek S/P Olympic S/P GAFTITE® S/P Insulfixx S/P Dekfast S/P Roofgrip S/P Gripdek S/P GAFTITE® S/P Insulfixx S/P Dekfast S/P Roofgrip S/P Gripdek S/P Olympic S/P GAFTITE® S/P Minimum: 1.5" x 4' x 4' GAFTITE S/P . s Fastening' 'w`.'; "'' Fasteners Detail No, . ' Per Board [3] •"rri:).wcw .', • . 6 [ 6 [3] 6 [3] 6 [3] 3 [3] 3 [3] 3 [3] 3 [3] 3 [3] 3 [ [3] [4] [ [4] [4] [4] [4] [3] [3] [3] [ [3] [ [ 6 6 e �. 8 8 8 8 4 8 8 8 8 8 8 4 4 95 o330.06 i M1r+ h 7044. Fastener Density 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:4 ft. 1:4 ft. 1:4 ft. 1:4 ft. 1:4 ft. 1:4 ft. 1:2.67 ft. 1:2.67 ft.2 ;?:.•, x A ' �;� a x 'r trti4 x 1:2 ft. 1:2 ft.2• %. 1:4 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. 1:4 ft. 4551 smv`; Raul Rodriguez 26 a • Insulation Base or Top Layer ISO-95, Composite Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' ISO-95 GL, GW Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' Minimum: 1.4" x 3' x 4' • Isotherm R Minimum: 1.3" x 3' x 4' Minimum: 1.3" x 3' x 4' Minimum: 1.3" x 3' x 4' Minimum: 1.3" x 3' x 4' Minimum: 1.3" x 3' x 4' Minimum: 1.3" x 3' x 4' Minimum: 1.8" x 3' x 4' Minimum: 1.8" x 3' x 4' Ultra Gard Gold Minimum: Minimum: Minimum: Minimum: Minimum: Minimum: 1.3"x 4'x 4' 1.3" x 4' x 4' 1.3"x 4'x 4' 1.3"x4'x4' 1.3"x4'x 4' 1.3" x4' x4' 1 Minimum: %" x 4' x 8' Minimum: 1/4" x 4' x 8' . Minimum: Y." x 4' x 8' Minimum: 1/4" x 4' x 8' fia) Fastener type Insulfixx S/P Dekfast S/P Roofgrip S/P Gripdek S/P Insulfixx S/P (2] Dekfast S [2] Roofgrip S/P (2] Gripdek S/P [2] Olympic S/P (2] 'GAFTITE® S/P [2] ' Itrg:e 4 13: Insulfixx S/P Dekfast S/P Roofgrip S/P Gripdek S/P Olympic S/P GAFTITE® S/P Olympic S/P GAFTITE® S/P Insulfixx S/P Dekfast S/P Roofgrip S/P Gripdek S/P Olympic S GAFTITE® S GAFTEMP® High Density Fiberboard Insulfixx S Dekfast S Olympic S GAFTITE® S A k i r k rO'r d Detail No; Fastening ;: [2] (2] [2] [2] [2] • 4:(2] [2] [2] [2] [2] [2] . . [2] [ [ [3] [ [ [ .14 , , - 11: - .:::;..4:>.1' , .- 6 . ; Att' ;,..,..;„•,,, 1:2 ft. ..,: -, 0 ,... , „1 1 .•.. ),.$I Tv c: -...... - ti l? brstIki) lif. • • al.i t1'1 . M.O'Irar s. - *. ,;1.4 • . :.(a`.1.- ,, ,v$4434.161 fi i. t, • - A 6 . . • 1:2 ft. . :. 6 6 1:2 ft. : r 6 1:2 ft. 6 1:2 ft. 6 1:2 ft. 1:2 ft. 3 3.. ., 1:4 ft. 1:4 ft. :31 ti 6 6 6 6 6 6 6 6 6 • ..:.: 8 1:2 ft. 8 :l:2 ft. 8 1:2 ft. 8 1:2 ft. , • • 8 1:2 ft. 8 .:•; 1:2 ft. 12 12 12 12 / .. , a ,r ' , 95-0330.06 r ' ,i: ,.t Fastener : !1 ,1 ' : u 'i' e . til • ;.;,,,, • c "': t,Density ..„. . S r . • 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. r . • 1:2 ft. 1:2 ft. 1:2 ft. 1:2 ft. • 1:2 ft. . . 1:2.67 ft. 1:2.67 ft. 1:2.67 ft. 1:2.67 ft. Insulation Base or Top Layer GAFTEMP® Fiberboard Minimum: I" x 2' x 4' 'Minimum: l" x 2' x 4' Minimum: I" x 2' x 4' Minimum: 1" x 2' x 4' Minimum: 1" x 2' x 4'' Minimum: 1" x 2' x 4' GAFTEMP® Permalite Insulfixx S/P Dekfast S Roofgrip S/P Gripdek S/P Olympic S/P GAFTITE® S/P Fastener Fastening Fasteners Fastener tat Detail No, per Board pensity Minimum: '" x 2' x 4' GAFTITE® S 3'/2" [1] 4 1:2 ft. Minimum: ' /." x 2' x 4' Olympic G2 [11 4 1:2 ft. Note: Base layer shall be mechanically attached with fasteners and density described above. Insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners per board shall be increased maintaining the same fastener density (See Metro -Dade Protocol PA 117 for fastener details). Insulation Top Layer Fastener Fastening • Fasteners tat Detail No Per Board Approved Type(s): Any of the insulations listed for Base Layer, above. Approved Type(s): GAFTEMP® High Density Fiberboard Minimum: %2" x 4' x 8' N/A GAFTEMP® Permalite Minimum: '/2" x 2' x 4' N/A Base Sheet: N/A N/A Product Control No.: 95- 0330.06 . 4 1:2 ft.' 4 1:2 ft.' 4 1:2 ft.' 4 1:2 ft.' 4 1:2 ft. 4 1:2 ft! • Fastener Density N/A N/A N/A N/A Note: Optional top layer of insulation shall be bonded in a hot mopping of approved asphalt at an application rate of 25 lbsJsq. ± 15 %. See Metro-Dade Protocol PA 117 for insulation attachment requirements. GAFTEMP® Permalite or wood fiber overlay board is required over all isocyanurate applications. One ply of GAFGLAS® Ply 4, GAFGLAS® Ply 6 ®, GAFGLAS® Stratavent® (Vent Ply) Perforated GAFGLAS® #75 or Ruberoid® 20 adhered to the insulation in a full mopping of type 1II or IV asphalt at an application rate of 25 lbs. /sq. ± 1 5% or adhered in a strip or spot mopping of type III or IV asphalt; see General Limitation #4. 28 Raul Rodriguez Ply Sheet: Membrane: Surfacing: (Optional) Install one of the following: Maximum Design Pressure: • 16, 0 r,; irt�a -45 psf Maximum Fire Classification: Class 'A'; see General Limitation #2. Maximum Slope: ;' 3:12; see General Limitation #3. 29 (Optional) One, two or three plies of GAFGLAS® Ply 4, GAFGLAS® Ply 6® or a single ply of Ruberoid® 20 adhered with type III or IV asphalt at an''application' rate of 25 lb./sq. ± 15 %. • One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® Mop FR, Ruberoid® 30 or Ruberoid® 30 FR in type III or IV asphalt at an application rate of 25 lb. /sq. ± 15 %. 1. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an application rate of 25 Ibisq. ± 15 %. Specification No.: I- 1 -1 -MG, I -1 -1 -MGP, , . I -1 -1- MGPFR, :I- 1 -20/MG I- 1- 2- 20/MGP, I- 1- 2- 20/MGPFR, 1 -1 -2- 20/30, I- 1- 2- 20/30FR, 1- 2 -1 -MG, I- 2- 1- MGPFR, I -3 -1 -MGP, I -3 -1 -MGPFR Raul Rodriguez Wkr •iz, Il9 30 3.06 `' .x► . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed state,,,ent or me plans and specifications herewith submitted for the build • in 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 1uilding 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. D ate..._..._ Y �° .._._ ...._�.. _......... ,19. Y Owner's Name and Address ..... f v� P ._. No.y� ... — Street.Cht`f•C.FttIX 44 . 3 • STATE OF FLORIDA, 1 . COUNTY OF DADE. J ss' Registered Architect and /or &ngineer 42-.1721... t,t . ttt...t„ , .t.. • ,t,t,,.t,. . melt. Name and address of licensed contrgctor.. -4t -' i1.2 ©.f? .rti`� S ! ! c? L�.�S..�C.c»�:.... HEY .fi, -? Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 12p. n' V _.. ..__ — -- State work to be done and purpose of building (by floors) £- ! - . . 1. �SrS . ?txLL..._.1V,~r.�.._TAxst:.� ru �4�• 12- (.2 0. 1 ..........._..._,�7� _._ - and for no other purpose. New Building Remodeling Addition Repairs )( No. of Stories.... To be constructed of Kind of foundation Roof oof vering...6.n.,�l..- .j2 ...L?vri..t% a/, 3, Estimated Total cost of improvements $ ••••Z• Amount of Permit r Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot .Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building 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 w ith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on wprk.to be performed under this pcnnit, as are licensed by Miami Shores Village. Remuks... (Signed )/' ,2.c. O044.?76 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.. 7S ti Date 11 lC ( � Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Mtcmbcr .. .. _.. - ....._..._.— ...._.. _ 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 Huard. A rc•in fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection ow faulty materials anti /or workmanship. to me well known, 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 Building Division of Miami Shores Village shall be complied with, whcther herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. _. No . Street —... _...._ .i2tP 4t4,0 Name and address of licensed contractor Owner's Name and Address Registered Architect and /or Engineer Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done.. / State work to be done and purpose of building (by floors) t --, - � �j °' / and for no other purpose. New Building rode1ing Addition Repairs � ` No. of Stori �: � To be constructed of Kind of foun ®apon Roof Covering.,......... �... % _ �4 Estim i . ated Total cost of improvements 6,040 w 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 uhlic n • ice pennit, as are licensed by Miami Shores Village. 1 or notices as arc required by the Act. The undersigned agrees to employ only suc subco1'• actor on , ark to be perf and / , T+ Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 slat a true.� / Permit No..__� � ° Date 22' ..7 Read, Sworn to and Subscribed before me. Disapproved . D Notary Public, State of Florida (Signed) ding ins My Commission Expires _. PLANNING BOARD ..... .DATE Chairman Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials and /or workmanship. to me well known, 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 budding during progress of the work. fit v. a 49.=Prs. Date... .. – – _.» . _....__ ...... Owner's Name and Address ..I) V K N,4.N <► -1 1'1 T i ?L ?II-14 E s r- - No . Street----5 E :....._.... 7 L Registered Arc hitect and /or Engineer * "MM_"... Name and address of licensed contractor G 9 N E a :._ "DA Y L 0. S O 0- Location and legal description of lot to be built on: Lot Block Subdivision _...._ _.._ Street and Number where work is to be done 1 l ....E; , ¶ £1._..- .._..._— State work to be done and purpose of building (by floors) - 1 2 " e - ( 2 - 0 0. r ; . . y . , . . 1 . . . & T4 L. _..._ q av 4. rT ._ V t _...Tot A- ...- - -_... tl4'.LI. 4 11...44..4. E..4. -._.. la OQF 2 4 O O S's? • FT.., _..__ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind o foundatnv Roofring Estimated Total cost of improvements $ Amount of Permit S 7 -- -... -- 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 II contract. s •r sub - -- ctors employed by him in the work to be performed under this permit; and will post or cause to be posted for i pection • th. it r such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su tractor oa o ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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.._ �fl Date Read, Sworn to and Subscribed before me. Disapproved „ 9 Date (Signed) \� i �� Building Inspecto MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Chairman Member Member ...... P ANNINC BOARD _.._ DATE Member Member Member to me well known, Notary Public, State of Florida My Commission Expires 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 hecn obtained fmtrt 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 DEPARTMEN" 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 ocher structure heroin 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 Stato of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Divi:iou of Miami Shores 1 iilage sh '1 be coy iplied with, whether herein specified or not. A copy of approved plans and specifications must be kepi at building during progress of the work. Date Owner's Name and Address �.79 -10 Street. "71 J lL.._.. Registered Architect and /or Engineer and address of licensed contractor Location and legal description of lot to b? built on: Lot. 1 Block._ __f . 7 ._- Subdivision Street and Number where work is to be done / _/_� � -r State work to be done and purpose of building (by floors) Disapproved _ ( Signed) Chainnan Member ___. Member _ Council Approved I57 permit as are licensed by M ami Shores Village. Remarks. (Signed) and for no other purpose. New Building. .... _ _ Remodeling__ Addition__ _ _ __ ___ _____ __. _ Repairs. _ . _ . _ No. o Storie,s To be constructed of - - - - - - - - - - -K i n d of ou a io n __ Roof Covering__ Estimated " ,tal cost of improvements $._. . . -[� - ° Amount of Permit $ ^ubage required ... -- - - - -- - - - -•- - -Plan Cubage - Distance to next nearest building__ _ _ __Size of Building Lot Maximum live load to be borne by each floor _ hereby submit all the plans and specifications for said building. All notices with reference • -t-o the building and its construction may be sent to The uncle signed applicant for this building permit does hereby certify (hat he understands and accepts his obligations as an employer of 1 bor under 'he Florida Workmen's Compensation Act, boing Section 5966, Compiled Gen: ral Laws of Florida, Permanent Snpplc rent, and h s complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wo•k to be p rf -med under this permit: and will post or cause to be posted for inspection on the site of the work such public notice or •otices as are requir d by the Act. The ux dtr.igucd agrees to employ only such s .con . n ork t l e perform "rder this STATE OF FLORIDA, ss. COUNTY OF DADE. J Before me, the undersigned authority, a notary public, duly authorized to administer oaths wnd take acknowledgments, personally p- peared to me well known, and who, being by me first d sworn, upon oath deposes and says that he is the --------------------------------- of th abov. de.t. ibed oistruction- ti,.t 11 has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. a Permit No._ ..__ __ - -__ Date__ ____ f Read, Sworn to and Subscribed before me. Notary Public. State of Florida My Com:nission Expires_ PLANNING BOARD DATE Member Member •- Member .Date Disapproved Date NOTE: A charge of $1.00 ill be made for making corrections or changes to this application after approval has het n obtained from the Planr'ng Board. A re- inspection fee o ' 1.00 will be charged when such re- inspection is ma:-it?, necessary by improper notice for inspetNon or fanny materials and /or workm.•'ship.