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240 NE 99 StMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildi g inspection Request Date 1/ 1? Time Type Insp'n co Permit No" T _ O t g Name ?Z3- £ — Address 0 ( le AfF b .5t- Company ryvm.“... . Phone # & & CX 0c ' C 3 g `t . For Inspector: 1 J ) 9 Name & Date Approved Correction Re -Insp' n Fee c•I•v•I•t E•N•G•I•N•E•E•R Mr. Manuel Joya. 5841 Southwest 51st Street Miami, Florida 33155 Project: Dear Sirs; LG ENGINEERING SERVICES, INC. Consulting Engineers 2020 Northwest 7th Street Miami, Florida 33125 Tel: (305) 649 -6454 Fax: (305) 541 -3298 TILE UPLIET TEST Gonzalez Residence 240 Northeast 99 Street Miami , Florida Information provided by client: Permit Number: 49909 Date Completion: November 8, 2001 Roofing Contractor: Mr. Manuel Joya LG Engineering Services, Inc. Project Number: LG01 -2097 (Testing Laboratory Certificate #00- 0224.07) November 15, 2001 In accordance with your request and authorization, a representative of LG Engineering Services, Inc. completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard RAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 5000 square feet, and the mean height of the roof is less than 30 feet above ground surface. The type of tile used for this project was reported to be Spanish "S" Roof Tile. This tile was reported to have been foamed in place. At the time of this testing, one test for every corner, one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were tested. Initially the entire area of the roof was examine for loose tile. More than 10 % of the roof tile located in the field area and more than 20 % of the roof tile at the roof perimeter and corner were physically examined. Based on our test results we conclude that the installation of the.root tile at the: above; referenced project meets, the test requirement; outlined in the above mentioned protocol Attached please' find a copy of our test report for your review LG Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; LG Engineering Services, Inc. o r amad Sonny Salleh,. P.E. Project Manager TII E_UPLIELTEST Gonzalez Residence 240 Northeast 99 Street Miami , Florida Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Report of TILE UPLIFT TEST for Gonzalez Residence 240 Northeast 99 Street Miami , Florida Project Number: LG01 -2097 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG01 -2097, Page 1 Test Number Test Load (Ibf) Test Status 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG01 -2097, Page 2 Test Number Test Load (lbf) Test Status 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 LG Engineering Services, Inc. -- Tile Uplift Test Result -- Project Number: LG01 -2097, Page 3 APPROAMAS f 5f lA A11ON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9 .VS-0 ( Job Address VA() N Ck . Tax Folio a(") { Q 13 1 4 3 D Legal Description k.6\ / 4 C.% .1)9, .Pt \C'T9 listorically Designated: Yes No O w n e r / L e s s e e / Tenant ?calor , k Z Master Permit 2 4 ( 7 i k O . ckQ 7 \ • Phone Owner's Address Contracting Co. c\ L ) A 4;*, f • Address qua ,] 1 1 1 / 4 1 IS,v . Qualifier y\. 1\ \Acativ(' • SS# Phone 30,5• €627n4 State # g CCC 05955 (Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /1/1 4:0161) Signature of owner and/or Condo President Notary as to Owner and/or Condo President Date My Commission Expires: 41/ 77 (2s S'a ©/o � /C 2 // si Oti 7 Square Ft. son Estimated Cost (value) E' . 0 c ) 0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS TO YOUR PROPERTY OF 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 con . ctor to do the work stat My Co / - 0 a FEES: PERMIT / / • ( RADON C.C.F. NOTARY BOND APPROVED: 1 209 ( Zoning Building 1 I 1 Electrical or • r - i ilA UCHO :MY CWMIONeleilb 043362 EXPIRES: August 10, 2005 Bonded Thru Notary Public Underwriters TOTAL DUE Date °W Date Mechanical Plumbing Structural Engineer A Cent-€/4 3�aa— • • .�.: ,.1.. • .L'..J .a.... v�.d.. ...1..11att ar!,J.+a.:. .. 1Jl: Jfl�l. �! _il•......et�A.:...— �'.Y }.�'a. •.1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Rid e Vent talon? MEAN HEIGHT Deck type: 1 3' SLOPED SYSTEM DESCRIPTION ?\%-Hoszi. • X30 Rc)\`‘. Underlayment: Insulation: Q \ Fastener type & spacing: � 1 (1CLaQ $ \ V ( •J c • \ Cap Sheet: ' T t ctoi.16t �(`f \ * tr y n Roof Covering: 12" ROOF SLOPE D E T A I L 3 \c\ viz.rwvocc. Rolk1. C.0 3X 3 , 26 G�v Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS (Pmaxl: 1 16.1 X ?1, (Aerodynamic Multiplier) O.) 09 - M M , .__1W (Pmax2: ¶G, S x ? (Aerod Multiplier)Q ' q) - M G -3 = M r2 : ' ,% PCA: 6 (Pmax3: ¶Sx (Aerodynamic Multiplier): Vr 2 p - M OD= M PCA:. (34 b Page -2 MIAMI -DADE 1,wrns •t PRODUCT CONTROL NOTICE OF ACCEPTANCE Monier Lifctilc LLC 135 NW 20 St. Boca Raton The expense of such testing will be incurred by the manufacturer. Acceptance No.:99- 1012.02 (Revises No.: 97- 1124.16) Expires:12 /16/2002 Approved: 12/30/1999 ,IIAMII -DADE COUNTY, FLORIDA METRO -DADE FLAGLER, BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 XIIA`I1. FLORIDA 33130.1563 (305) 375-2901 FAX (305) 375 -2905 CONTRACTOR LICENSING SECTION (305) 375-2527 FAX (305) 375 -255s FL 33 331 CONTRACTOR ENFORCE:MIF.NT SECTION (305) 375 - 2966 FAX (305) 375 -2905 PRODUCT CONTR:OE. DIVISION Your application for Product Approval of: (305) 375-2902 FAX (305) 372.6339 Villa & Roll Capri Low Profile Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. -BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements ofthe South Florida Building Code. A (91 Raul Rodriguez Chief Product Control Division TEIIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL • CONDITIONS BUILDING CODE & PRODUCT REVIEW COM:MIITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisc:o J. Quintana, K.A. Director 1 of 9 Miami -Dade Coun:v Building Code Comoli;inc:: OCL Internet mail address: postmastcr6 huildinGcndeoniline.cnm r ) Flnnicpa�e: http://• •��'.huililint ;rnrlaniline.cum MONIER LIFETILE LLC 1. SCOPE This revises a roofing system using Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: Low Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Monier Lifetile LLC Villa R. Roll Monier Lifeitile LLC Capri Tile Trim Pieces NOTICE OF ACCEPTANCE: 'STANDARD CONDITIONS 1= l 6'/ " = 13" 'W' thick L= 17" W= 12 V /1" '/" thick ( = varies w = varies varying thickness APPROVED :December 30, 1999 EXPIRES :December 16, 2002 PA 112 ACCEPTANCE No.: 99- 1012.02 Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. i PA 112 Low profile, interlocking, high pressure extruded concrete roof tile equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Frank Zuloaga, RRC Rooting Product Control Examiner MONIER LIFETILE LLC Product Rainproof 11 Ice and Water Shield Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "Quikrete® Roof Tile Mortar g1140") 2.1 Components or products manufactured by others Roof Tile Mortar ( "TileTiteT"") NOTICE OF ACCEPTANCE: - STANDARD CONDITIONS • Dimensions 30" x 75'. roll 36 "x75'roll or 60" x75' roll 36" x75' roll Vertical Min. 1 "x 4" Horizontal Min. 1 "x 4" for use with vertical battens or . Min. 1 "x 2" for use alone Min. 10dx 3" R8x 2 %" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A Tes t Specifications Wood Preservers Institute LP — 2 PA 123 3 ACCEPTANCE No. : 99- 1012.07 APPROVED :December 30, 1999 EXPIRES •-- :December 16, 2002 Product Description Salt pressure , treated or decay\ resistant lumber battens 1 PA 114 Appendix E Corrosion resistant screw or smooth shank nails PA 114 Appendix E Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. 1MIanufacturer PA 104 Single ply, nail -on Protect -O -Wrap, underlavment with Inc. 2" self - adhering top (with current NOA) edge. PA 103 Self - adhering W.R. Grace Co. underlavment (with current NOA) generic generic generic Bermuda Roof Company, Inc. with current PCA PA 123 Prepared mortar Quikrcte mix designed for Construction mortar set roof tile Products with applications. Current I'CA rant: Zuloaga, RRC Roofing Product Control Examiner MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.02 3. LIMITATIONS APPROVED :December 30, 1999 EXPIRES -_.:December 16, 2002 NOTICE OF ACCEPTANCE: - STANDARD CONDITIONS Test Product Product Dimensions Specifications Description 1' lanufacturer Roof Tile Mortar N/A PA 123 Prepared mortar W. R. Bonsai Co. ( "BONSAL® mix designed for with current PCA Roof Tile Mortar mortar set roof tile Mix") applications. Roof Tile N/A See PCA• Two component Polyfoam Products, Adhesive polyurethane Inc. ( "Polypro® adhesive designed AH l60 ") for adhesive set roof tile applications. Roof Tile Factory premixed See PCA Single component Flexible Products Adhesive canisters polyurethane (with current TileBond foam roof tile NOA) adhesive Hurricane Clip & . Clips PA 114 Appendix E Corrosion resistant Generic Fasteners Min.' /_" width clips with corrosion Min. 0.060" thick resistant nails. Clip Fasteners Min. Sd x 1' /�" 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix 'A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Rooting Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. be in compliance with chapter 29 of the C 3.6 This acceptance is for wood deck applications. Nil : --- ants shall �� ,■ 4 ran - Zuloaga, RRC Roofing Product Contra Examiner Table 3: Attachment Resistance Expressed as a Moment - M (ft-Ibf) for Nail -On Systems , Tile Profile Fastener Type Direct Deck (min 15132" plywood) Direct Deck (min. 19/32" plywood) . Battens Monier Lifetile Villa, Roll, and Capri Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24.3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 1 43.0 I 5u. Installation with a 4" tile headlap and fasterners are located a min. of 2'/ r m nead of ti - Table 2: Restoring Moments due to Gravity - M (ft -Ibf) Tile Profile 3 ":12" 1 4 ":12" - I 5 ":12" 6 ":12" 7 ":12" or greater Monier Lifetile Villa, Roll, and Capri Tile Battens Direct Deck Battens Direct Deck Battens- -Dice` Deck Battens Direct ', I Deck Battens Direct Deck 5.57 1 6.30 1 5.48 6.18 1 5.37 6-05 -- f' 5.24 1 5.90 5.09 1 5.73 Table 1: Aerodynamic Multipliers - X (ft') Tile a. (ft Z(ft Profile Batten Application Direct Dec Ap plication Monier Lifetile Villa, Roll and Capri Tile 0.267 0 . 289 MONIER LIFETILE LLC ACCEPTANCE No.: 99- 1012.07 NOTICE OF ACCEPTANCE: . STANDARD CONDITIONS 4. INSTALLATION 4.1 Monier Lifetile Villa, Roll, and Capri Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations APPROVED :December 30, 1999 EXPIRES __:December 16, 2002 .r..r ^. ..:"'.:`:'"'rY'!�i'r, - , •. =i ' .>:' •..1 rr: �::..(?"^.° Frank Zuloaga, RRC Roofing Product Control Examiner Table 4: Attachment Resistance Expressed as a Moment M, (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Villa, Roll, and Capri Tile Adhesive 26.1' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - M, (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment t e Monier Lifetile Villa, Roll, and Capri Tile . Polyfoam PolyPro 86.61' Polyfoam PolyProTM 45.5' 4 Large paddy placement of 54grams of PclyProTM 5 Medium paddy placement of 24 rams of Pol Pro'' Table 4B: Attachment Resistance Expressed as a Moment - M;(ft -Ibf) for Mortar Set Systems Tile Profi.le Tile Application Attachment Resistance Monier Lifetile Villa. Roll, and Capri Tile Mortar Set' 20.60 MONIER LIFETILE LLC 6 ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES - : 16, 2002 NOTICE OF ACCEPTANCE: - STANDARD CONDITIONS 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Luloaga, RRC Roofing Product Control Examiner i•IONIER LLC ACCEPTANCE No.: 99- 1012.02 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWINGS 7 IVIONIER LIFETILE VILLA CONCRETE ROOF TILE 13" MONIER LIFETILE ROLL CONCRETE ROOF TILE Frank Zuloaga, RRC Roofing Product Control Examiner NIONIER LIFETILE LLC NOTICE OF ACCEPTANCE: STANDARD CONDITIONS . • APPROVED :December 30, 1999 • . "EXPIRES December 16, 2002 S MO,NIER LIFETILE CAPRI CONCRETE ROo Ta E - -.. J� -- ---- • ACCEPTANCE No.: 99- 1012.02 u oaga, RRC Roofing Product Control Examiner 4 4110 A DE. Al'I'I2OVED: 1 15/10/2001 PRODUCT CONTROL NOTICE OF ACCEPTANCE I'olyIoam Products, Inc. 2400 Spring- Stucbncr Road Spring ,TX 77383-11.32 The . expense O; such testing be incurred by the manufacturer. ACCEPTANCE NO.: 0I -040-1.11 EXPIRES: 02/04/ :(103 . .::.,. d..... - . ......_.:�,� MIAMI -OADE COUNTY, FLORIDA M1;TRO.1'ADE FL Al3LErt BUILUINC; )I)ILOItNC CODE C')tMPLLANCE OFFICE •\II II ) - OApt. I LA(;I.I;I) nun.nlN( I.lu wI :ST I' .AflI.Eit 1 l Rr'.I:I. SIKH: tan) nnA`n. I i.tlltll)A 13110 -156; (1U5) 175-2W I FAX (305) 37.i - CON'!" (.■(-run 1.1(•r:NSIN(: SI1(.rnn' 0 375.2527 I', \x (105) )/3.23:3 r•t), rlt. “:101t F: ?;1 On( 1:�lt:.Yr 1,1, J- O ( ) )75• 'IGa I , \x MS) )75.2.ms I'uOn1t) l Co:\ I uo1. 1)I\•1uIr1.\ ( I05) )75.25)02 I ,t :( (.105) )72.(,))9) Your application for Notice of Acceptance (NOA) of: Two Component I'olyurcthcne Foam Tile Adhesive under Chapter 8 of the Code of' Miami-Dude County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended la - acceptor ce by the Miami -Dade County Building Code Compliance Office (L3CCO) under the conditions s)ccilied herein. This NOA shall not be . valid after the expiration date stated below. BCC() reserve:. the right to secure this product or material at any time from a jobsitc or manufacturer's plant for qualify control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or mate - i:.tl immediately. BCCO reserves the right to revok: this approval, if it is determined by BCCO that this product or material fails to meet the r_tluiretnents of the South Florida fluilding Code. /j Raul Rodri_uez (thief Prod Ict Comm! Division THIS 15 TIIE COVERSIIEET,SF.F. ADDITIONAL PAGES FOR SPECIFIC AND C1 N I. :I2AI, CONDITIONS 13UILI)ING CODE & PRODUCT REVIEW COMMITTEE, This application for Product Approval has been reviewed by the 13000 at;d approved i) the f3uildin_ Code and Product Review Co nntittce to be used in tMlianti• Dade County : lorida til.der the conditions set forth above. t., F :ineiseU .1. Otlinlana. I)irecttrr V ;anti- I)aett• CUUnly 3.Iiltline Cuae Cornpli:tncc 01 lice �t,0a ;8001 oc 2000 \ \trnq xceprvu e cover page.dot Internet mail atldrrss: poster: tstcr (5)1)niltdingcoticnnlinc.cn IlOntelta�c: Itnlr: J„ww.builJinl;c0tic0nline.entrt • •. P'olvfoam Products, Inc.. ROOFING ASSEMBLY APPROVAL Ca te» »nrv_ hoofing Sub- Ca(cnorv. Roof Adhesive rylalerialt•: I'olyurclltane I. SCOPE This approves Pol) p ro® A111611 as manutacturrd by I'olvfoam Product;, Inc. as described in Section 2 0C this Notice of Acceptance. For the lor:ations where the dcsir_n pressure rcquirernclts, as determined by applicable building cede, does net exceed the design pressure valu::s obtained by calculations in compliance .vith Roolir g Application Standard RAS 127, (or use with approved tlat, low, arid high profile roof t les system using Polypro® AI-I 160. \'there the attachment calculations are done rs a moment based system for s:nglc patty plac.roment, and as an uplift based system for dou e patty systcrns 2. PRODUCT DESCRIPTION Manufactured by Test Applicant • Dimensions St )ccifrcatinns Pnlyprc® A11160 N/A - PA 101 Ioamprors� RTF 1000 I'roPackC0 30 R 100 2.1 Componcr.t.c or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof' Tile Ass.:mbly Navin_ a current NOA whi.,;It list uplift resistance values with the use of Polvpro AI1161) rui t•lile adhc::ive. 2.2 Typical Protlerty Density Compressive Strca,th l'cn::ilc Stren_•tlr Wat:r Absorption Moi;turc Vapor Transmission Dint:nsional lab:lily N/A Physical Properties: Test ASTM f) 1622 ASTM D 1621 N/A l)ispert:ing Equipment ASTN1 D 1623 ASTivI D 2127 ASTiv1 E 06 ASTM I) 2126 1 ACCEPTANCE Nt.: 01 -0404 nl Approval Da1c: i! 1:ty 10 2(10 fixpi..ation Date: Fehru:Iry 04. 2003 1.6 lbs. /ft.' 18 PSI Parallel to rise 12 PSI Perpendicular t ) rise 23 PSI Parallel to rise 0.03 Lbs. /FI 3.1 Perm / Inch +0.07 %, Volume Clran:.e iiir -40 F.. „ecks +6.0% Volume Change 4 L- Ilf};%r -- I lumitlity, 2 t,eeks ' Product DeseriiL]tion Two component pc lyurethane Dispcn >ing Equipment l rar:k /_uloaga. Iti�l fret uet Control Es;rrniner • Polyfoarn Products, In•_. ACCEPTANCE N).: 01-0404.01 Note: Tlic physical properties listed above are presented as typical ay.:rage valu:s as determined by ar:cepted ASTM test methods and are subject to nn rnanwacturing variation-. -- 3. L I NI ITA'I'I O NS 3.1 Fire class:f :cation is not part of this acceptance. Refc :o the Pre)ared Roof Tile Assembly for fire rating. 3.2 Polypro® AII160 shall solely be used with flat, low, .Sc high tile )tofiles. .-_+ .lea ^ Appi cation i�il ire, ..:0 \3 I .:.U. 3.4 Roof Tile manufactures acquiring acceptance for the age of Poly pro® A[-f160 roof tile adhesive with their tile assemblies shall test in accordance wi: h PA. 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placeinent with the use of Polypro® AI1160 Idol tile adhesive with their - de. assemblies shall test in accordance PA 101 and with section 10.4 as mollified herein. (2/ - w _ 3 MS 4. INSTALLATION( 4.1 Polypro® AH 160 may be uscd with any roof tile assembly having a c_irrent NOA that lists uplift resistance values with the use of Polypro® AN; (.0. 4.2 Polypro® AH 1 shall be applied in compliance with the Component Application section and the r. :orresponding Placement Details noted herein. The roof tilt: assembly's adhe.;ive attachment with the use of Polypro® A.H 160 shall provide sufficient attac.iinen( resistance, expressed as an uplifl based system, to meet or exceed the uplifl resistance determined in compliance with Miami -Dade Cour ty Roofing Application Stitndards RAS 127. The adhesive attachment data is noted in the rocf tile assembly NOA 4.3 Polypro® AH 160 roof tile adhesive and its components shall be instal:ed in accordance with Roofing Application Standard RAS 120, and Polyfo2 m Products, Inc. Polypro® AHI60 Operating Instruction and Maintenance 3Doklet. 4.4 Installation must be by a Factory Trained 'Qualified Applic.uor' appro"•ed and licen::e'i by Polyfoam Products, Inc. Potyfoam Products Inc. shall supply a list )f approved applicators to tie. authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is requ r..d before application of my adhesive. The mix ratio between the "A" component a i l the "13" :ompcnent shall :)c maintained between 1.0 -1.15 (A) : 1.0 (13). The dispense tinier sha 1 be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings :;hall be approved. 4.6 Polypro® Alt160 shall be applied with Foampro RTF1000 or ProPack® 30 100 dispensing equipment only. 4.7 Polypro® AH I ( shall not be exposed permanently to swill —� Frani< Zuloaga. RRC Product Contro Examiner . . •Palyfo!n Products, Inc. ACCEPTANCE No. 0.1 • 01 4 .8 Tiles must b adhered in freshly applied adhesive. Tilt must be set 111 thin .2 to 3 minutes after Polypro® AH 160 has been dispensed. 4.9 Polypro® AH160 placement and rninirnum.patty weight shall be in ;accordance with the'Placerne:i1 Details' herein. Each generic tile profile r_,luires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic l ile Profile TileProfile Placement Single Paddy Weight Two Paddy Weight Detail tvlin. (grans) per paddy Min. Flat, Low, High Profiles #t High Profile (2 Piece Barrel) #1 Flat, Low, High Profiles Flat, Low, High Profl T #3 4 35 1 7 /side on cap anc 34 /pan 24 5. LABELING All Polypro® AI-1160 containers shall comply with the Standz rd Conditions listed herein. 6. BUILDING PERIII1T REQUIREMENTS 6.1 As required by the Building Official or applicable 13itilding Cade in order to propealy evaluate the installation oFthis system rnm_ <) N/A _ N /A N/A 8 Franc Zuloaga, RRC Prcduct Contro. Exatrincr ' `Q • Poivfpa m Products, Ir..c. E... Cwt• Liao C4t0n Paddy IN ru.N 1i.t P aedy Bane a ln r. / fn• C'a.ur a �� taxla Ott clung Only: Ke.4 •pptot. 4 in. up hom wee haat 10 In. Ent count only: Kelp nlhetl.0 repot. 41n. up Iron waepltole c 11 Place enough tdhetive 10 achieve 17 l017 aguut Indus lo contxt trllh IM Pan 11 21 Turn mews upttde down. Place 10heclrt IQ li. 70 1 In. From outride adga al cover III. Ih.n 0.1a111hi t1.. Undtdtymanl Opliwl7,4 t x� sleep pitch a •p;luljoro Nrl Ntough plastic carnet Ea.. Coon. Na.l Wong 1 peattic cement W it Uttough pbi4IC a tenant 101n. Ent Cogn. away Areo t'utir• approe 410. up I/7m wttandti ADHESIVE PLACEMENT DETAIL ] SINGLE PATTY R.mov lop puron of0.. nn Cant Cate, U 44410 tacond coon• of pan Otea Ena.n em end d pan and c ern r eke art !Nth al tare lice. Elf. e'otun 1rnout thoun7 5 ACCEPTANCE No. : 01- 0404.01 \ N'n phol. LUCIA 1'411, i Prddr (0.nonh 1141 ,rank zuloaga, RRC: Product Contrcl Examiner Op r an,l Poi:tvp ltcert en lnngrtudeui 0;4141 1,4 ShraltIN ^rl • Pcrlyfonnt Products Inc.. tlall through plas:Ic cement Paddy (Beneath TlIel aii through plastic cement Fascia WtephoN Eire closure Drip eclgt • • • • ADHESIVE PLACEMENT DETAIL 2 SINGLE PATtY 11 Nall through plastic cement / 6 ACCEPTANCE N.: 1 2 1 -0 4 04.0t Zuloaga RR(: Product ContrY.1 Examincr ••• V r. 1•V. JV. V•. 1 1•.• VV1 11VIVVV V e 4 ,Tolvrfo Products, Ir. c. 1111J1 NV110 1 J01 1 Loh, ADHESIVE PLACEMENT DETAIL :i DOUBLE PATTY ACCEPTANCE IN o.:.01- 0404.01 ._. Nail Through plastic cement 5ingk paddy \\ T 2 In. under tile ra ` Single paddy on 2 in. 1 lA . under• laymen(/ � Single paddy' on top of lice Nail through plastic cement }�3in. : 31n. Single / paddy an underlayment Single paddy on top of tllo Era Course Eare course 2 in. X 7 in. medium size paddy eave ��. Fascia course only Y Nail through plasti.: r ement ,- Single paddy undor tile Undertaymcnt \ ■ Single paddy berme en tale Ill1 0 2in.s 7in.riv.I:um \; \ slue paddy era � \ \ course only ..' r 0 , 7ln.s.111. Single 41 s. paddy on under. laymen( Single paddy under tile Sing epaddy Fascia on tap of tile Erie We•.;hore Course E1re closure Drip edce Single paddl between ttt., Eare Closur. I In. z 7!n. medium size p.idily tare course a ily Fascia Frzn.c ?_u!casa, PAC • Predict Control Examiner V V I • tb Polyfoam Products In. :. •-••• • ••••• • VV• t L♦ 1. Renewal of this Acceptance (approval) shall bc considered after a rr:ncwa! application has been filed and thc original submitted docurncnts, including test - supporting d:ta, cnginccr ng documents, are no olricr than eight (8) years. 2. Any and all appravcd products shall bc permanently labeled with thc manufacturer's name, city, state, and the following statement: "Miami -Dade County Pruc.uct Contr I Approval ", or as specifically stated ii the specific conditions of this Acccptancc. 3. Renewals of Acccp:ancc will not be considered if: a. There has be :n a change in the South Florida Building Cocc affecting he evaluation of this product and t3c: product is not in compliance with the code chtrrges. b. Thc product is no longcr thc same product (identical) as thc one originally approved. c. If thc Acceptance holder has not complied with all the requircmcnts of this acceptance, including the :arrect installation of the product. d. Thc engineer who originally prcparcd, signed and scaled thc required dccumcntation initially submitted, is no longer practicing the cnginccring profcssion. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall. automatically be cause for tcrmination of this Acceptance, unless prior writtei approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the followine shall also be grounds for rcmoval of this Acccptancc: a. Unsatisfactory performance of this product or process. b. Misusc of thi:; Acccptancc as an endorsement of any produ :t, for sales. advertising or any othcr purpose. G. The Noticc of Acccptancc number preceded by the words Miami-Dade County, Florida, and followcd by thc expiration date may be displavcd in advcrtising literature. 1: any portion of the Not:ce of Acccptancc is displayed, then it shall bc done in its entirety. 7. A copy of this Acccitancc as %vcll as approved drawings and other documents, where it applies, shall bc provided to the user by thc manufacturer or its distributors and sha..I bc available for inspection at the job sitc at all time:. The cnginccr nccd not reseal thc copies. 8. Failure tq, comply with any scction of this Acccptancc shall bc cause for tcrmination and rcmoval of Acccptancc. 9. This Noticc of Acccptancc consists of pages I through 8. END OF THIS ACCEPTANCE 8 Frank Zuloagr RRC • • A rrEI -ANcE Yo. 0 1 - 0 404.01 . r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date c‘... 5 -0 t Job Address 140 N F cIS S Tax Folio Legal Description L6\ xVk cx) 6. 4\ .32 PQ ko Historically Designated: Yes No Owner/Lessee / Tenant p�5 t e n ?Cl\ C. S . Master Permit # \ j 5'l c\ G � 1 /9g3 Owner's Address 740 N E RR Phone ` Contracting Co. \ �r 3 �O Address Qualifier ,p y t\c•cl ss# - Phone 305-6 6 2 2 3 $ y . State # C'CCC)5 '\SS \ . Municipal # Competency # Address Address OWNER'S construction fy nin e. urth owner an or Condo President Date Ak \� — n No : a)o Owner and/o My Co sion Expires: ink RA, r ,. FEES: PERMIT 49 v RADON ,1 .IC Y CI SSION # DD 043362 EXPIRES: August 10, 2005 Bonded Thru Notary Public Underwriters C.C.F. My Co sion Expires NOTARY st (value) 1!A00 Contractor o —Q— Electrical BOND Ins. Co. Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): B ELECTRICAL PLIJMfirg - -MECC ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1 V'; 00\ 7 � \ C CC \p \ c \\wA 004 Square Ft. (> � 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. at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ore, I authorize the above -named contractor to do the work stated. — .,y. ^ • N CAMACHO j=1., :+ MY COMMISSION # DD 043362 EXPIRES: August 10 2005 g Banded Thru Notary Pubic Underw hers APPROVED: TOTAL DUE Date Date Zoning Building Mechanical Plumbing Structural Engineer PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE " PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to coaipllancs with eft Federal, State. Coctttity,Ydtaga rules and regulations. Village assume no responsibility for accuracy offor results tram these plans. 2. This copy of plans mat be available on bufding cite or no inspection waif be conducted. CRITIQUE SHEET JOB ADDRESS APPLICANT PHONE # APPLICATION # SHEET OF MISCELLANEOUS DATE COMMENTS INITIALS Contractor's Name: I-A' - \ N C , Job Address: �9a oJ 49 St ROOF CATEGORY ❑ (Low Slope Application) ❑ (Nail -On Tile) - Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE L2'New Roof ❑ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft Q0 Total (ft CUL) Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. V Ft. A A V Deck type: Field: I1 ROOr SLOPE ATTACHMENT Fastener Type: SPACING Perimeter: Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) r ' A.r.AE GAS VENT STACKS? YES ❑ NO ❑ TYPE-NETU ❑ �EGZ ❑ ROOF PLAN 123.01 -78 5/00 . Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 RI a Ventil lion? Deck type: MEAN HEIGHT \ S Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. SLOPED SYSTEM DESCRIPTION zUnderlayntent: Insulation: 12" ROOF SLOPE D E T A I L 3 Fastener type & spacing: V i c" \ ‘1•C(‘ Cap Sheet: 41/4 — \ O Roof Covering: Page -2 is \10.415 Sho. . Drip edge: SA \ ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS (Pmaxl: LI6. ‘ X (Aerodynamic Multiplier): 4 J. ) - M �D = M 5 O6. PCA: r k‘ 6 . (Pmax2: q6•s X (Aerodynamic Multiplier): . 24 ) - M 6.0 = M __ 16 PCA: , • \ (Pmax3: 1 65 x (Aerodynamic Multiplier): . /1 y ) - M 6 = M PCA: % . \ ` `r • \ . APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. : Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of prdviding that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Rerrailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The•roof deck is usually concealed prior to removing the exi roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing co and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 5104 APPENDIX "F" 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o ` oaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the in for of the structural assembly (the building itself). The existing amount of attic ventilation shall not be re • u . . y be : - neficial to consider additional venting which can result in extending the service life s Age nature s ignature Contractor's Signature M �- AIIAMII -DARE COUNTY. FLORI METRO -DADE FLAGLER BUILD! BUILDING CODE COMPLIANCE OFFI PRODUCT CONTROL NOTICE OF �rETRO -D.,DE FL.RcETEET, . BUr SUITE 1E E 16 ACCEPTANCE NrIANII, FLORIDA 33130-15 NO WEST FLAGLER STR Monier Lifetile LLC (305) 37 5-2901 FAX (305) 375 -79, 135 NW 20 St. CONTRACTOR LICENSING SECTIO FL 33431 Boca Raton (305) 37 5 -2527 FAX (305) 375-25= _ CONTRACTOR ENFORCEMENT SECTIO: Your application for Product Approval (305) 375.2966 FAX (305) 375 290 Atla/ttis Shake and Slate Flat Profile Tile PRODUCT CONTROL) 372 3', under Chapter S of the Code of Miami-Dade County �, (305) 37 s -2902 FAX (305) 37� 633 . Construction, and completely described herein, has t b C 'overnin � the use for acceptance Materials and Types .: County. Building been recommended for acceptance by the Miami-Dad: Code Compliance Office (BCCO) under the conditions specified P d herein. This a �.a. approval shall not be valid after the expiration date stated below. BCCO product or material at anytime from a �obsite or manufacturer's plant for quality control stings to secure ti ' If this product or material fails to perform in the approved mane the use of such product or material immediately. BCCO reserves manner, BCCO m material fails to meet mad coke this modify, 1, suspend e the right to revoke this approval, if it is Code. determined BCCO that this product et the requirements of the South Florida Buildin: The expense of such testing will be incurred by the manufacturer. Acceptance No.: 99- 1012.07 (Revises No.: 98-0604.01) E xpires:12 /16/2002 Raul Rodriguez THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES F Chief Product Control Divisic OR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUC'T REVIEW COMMITTEE This application for Product Approval has been reviewed b y •the BC CO and approved Code and Product Review Committee to be used in Dade County, Florida under the conditions y the Building ndd itions set forth above. Approved: 12/30/1999 I of iLl[kk ranclsco , Quintana, R.A. Director Miami -Dade County Buildin, Code Compliance Or.: MONIER LIFETILE LLC ACCEPTANCE No. : 99.1012.07 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. SCOPE This revises a roofing system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC described in Section 2 of this Notice of Acceptance, designed to comply. with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: Flat Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions Monier Lifetile 1= 15" Atlantis Shake and w = 10 3/8" Slate Tile 1 '/" thick Trim Pieces Product Rainproof 11 Ice and Water Shield I = varies w = varies varying thickness Test Specifications 2.1 Components or products manufactured by others Test Dimensions Specifications 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll PA 103 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 Product Description PA 112 Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product Description PA 104 Single ply, nail -on Protect- O- Wrap, underlayment with 2" Inc. self - adhering top (with current NOA) edge. Self-adhering unde Frank Zuloaga, Manufacturer W.R. Grace Co. wit cu NOA) MONIER LIFETILE LLC Product Wood Battens Tile Nails Tile Screws Roof Tile Mortar ( "Ti leTiteT" ") Roof Tile Mortar ( "Quikrete® Roof Tile Mortar g1140") Roof Tile Mortar ("BONSA L® Roof Tile Mortar Nlix ") Roof Tile Adhesive ( "Polypro® AH 160 ") APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Dimensions Specifications Vertical Min. 1'x 4" Horizontal Min. 1 "x 4" for use with vertical battens or Min. 1 "x 2" for use alone Min. 10dx 3" #8x 2 %" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A N/A N/A . Wood Preservers Salt pressure treated Institute LP — 2 or decay resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 123 PA 123 PA 123 See PCA ACCEPTANCE No. : 99 1012.07 Product Description Corrosion resistant screw or smooth shank nails Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Manufacturer generic generic generic Bermuda Roof Company, Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsal Co. with current PCA Two component Polvfoam Products, polyurethane Inc. adhesive designed for adhesive set roof tile applications. Frank Zuloaga, RRC MONIER LIFETILE LLC Product Roof Tile Adhesive TileBond Hurricane Clip & Fasteners 3. LIMITATIONS ACCEPTANCE No.: 99- 1012.07 APPROVED :December 30, 1999 EXPIRES :December I6, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions Factory premixed canisters Clips Min. 4" ■vidth Min. 0.060" thick Clip Fasteners Min. 8d x 1 %" Tile Profile Monier Lifetile Atlantis Shake & Slate Tile Test S ecifications See PCA PA 114 Appendix E Product Description Single component polyurethane foam roof tile adhesive Corrosion resistant clips with corrosion resistant nails. 3 .1 Fire classification is not part of this acceptance. 3 .2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3 . 3 Applicant shall retain the sen•ices of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3 .4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3 .5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published Iiterature. 3 .6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with chapter 29 of the SFBC. 3 . 7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS l 19, and RAS 120. 4 .2 Data For Attachment Calculations 2` Table 1: Aerodynamic Multipliers - a. (ft') . 0 1 (ft') Direct Deck Application rnnk ninon♦ D Manufacturer Flexible Products (with current NOA) Generic MONIER LIFETILE LLC Tile Profile NOTICE OF ACCEPTANCE: Table 2• Monier Lifetile 2 -10d Ring Shank Nails I 30.9 Atlantis Shake & 1 -10d Smooth or Screw 7.3 Slate Tile Shank Nail 2 -10d Smooth or Screw I 14.0 Shank Nails 1 #8 Screw J 30.8 2 #8 Screw 51.7 1 -10d Smooth or Screw 24.3 Shank Nail (Field Clip) 1 -10d Smooth or Screw 19 Shank Nail (Eave Clip) 2 -10d Smooth or Screw 35.5 Shank Nails (Field Clip) 2 -10d Smooth or Screw 31.9 Shank Nails (Eave Clip) ACCEPTANCE No. : 9 9- 1012.07 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 STANDARD CONDITIONS Tile Profile Monier Lifetile Atlantis Shake & Slate Tile 5 ":12" Direct Deck Direct Deck Direct Deck 6.0 I 5.9 5.8 toring Moments due to Gravity - M (ft-Ibf) 3 ":12" 4 ":12" 6 ":12" 7 or greater Direct Deck I DirectDeck 5.6 ! 5.5 Table 3: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Nail -On Systems Fastener Type Direct Deck Direct Deck Battens (min 15/32" (min. 19/32" plywood) plywood) 38.1 17.2 9.8 4.9 18.8 I 7.4 30 18.2 51.7 24.4 24.3 24.2 19.0 I 22.1 1 35.5 I 34.8 31.9 32.2 2 -10d Ring Shank Nails' I 50.3 65.5 48.3 1 Installation with a 4" tile headlap and fasterners are located a min. of 2'h" from head of We. Table 4: Attachment Resistance Expressed as a Moment M (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Adhesive 31.3' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company Tile6ond Average weight per patty 13.9 grams. Polyfoam Product. Inc. Average weight per patty 8 grams. rrarik [.uloaea. RRC MONIER LIFETILE LLC ACCEPTANCE No. : 9 9- 1012.07 APPROVED :December30, 1999 EXPIRES :December 16, 2002 NCITICE OF ACCEPTANCE: STANDARD CONDITIONS Table 4A: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Monier Lifetile Atlantis Shake & Slate Tile TM Res Po � 1 PolyPro TM 1 40.45 4 Large paddy placement of 45 grams of PolyProTM. 5 Medium paddy placement of 24 grams of PolyProTM Table 4B: Attachment Resistance Expressed as a Moment - M (ft -Ibf) for Mortar or Adhesive Set Systems Tile I Tile Profile Application Monier Lifetile Atlantis Shake & Slate Tile 1 Mortar Set Attachment Resistance 39.0 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following.: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Frank Zuloae.a. RRC MONIER LIFETILE LLC ACCEPTANCE No. 99 APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITION'S PROFILE DRAWLNGS OVERLAY WARLOCK OVERLAY Ito ...••• •••.;: „... 1 6 1 / 8 .., • .. .. .... ••• ............., '.... ... ... -.. .% .. .../ .:> '.....;.... *---.... .;'...";; Frank Zuioaaa. RRC MONIER LIFETILE ATLANTIS SIIAKE & SLATE CONCRETE ROOF TILE MONIER LIFETILE LLC APPROVED :December 30, 1999 EXPIRES :December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) avid granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages I through 7 and this last page 8. END OF THIS ACCEPTAN ACCEPTANCE No. : 99- 1012.07 FrankZuloaea. RRC '• ( MIAMI.OACE PRODUCT CONTROL, NOTICE OF ACCEPTANCE Poly foam Products, loc. 24110 Spring- Stucbncr Roo:1 Spring ,TX 77383 -1 132 Your application for Notice or Acceptance (NOA) or: Two Component Polyurethcne Foam Tile Adhesive under Chapter 8 of the Code •)1 Miami-Dade County governing the use of Alternate Materials and Type o f Construction. and completely described herein, has been recommended la acceptarcc by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions s.recilied herein. This NOA shall not be valid )fter the expiration date stated below. BCCO reserve:. the Y control testtin � right product or material at any time from a jobsitc or manufacturer's plant cur quality . 1 this � If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the Ilse: of such product or mare - ial immediately. BCCO reserves the right to rcvok: this approval, if it is determined by BCCO that till.; product or material fails to meet the r_Iluircrnenls of the Sou(I) Florida Building Code. The expense o;•such testing \gill be incurred by the manufacturer. ACCEPTANCE, NO.: 01-0-104.01 EXPIRES: 02/0.!/: 1103 IVIIANII -OADE COUNTY, FLORIDA METRO-C'ADE FLAGL.ER BUILDING 3UILDING CODE CI)MIPIJ,■NCE OFFICE; \•II`.'rltO- 1), \rII PI \(i) ?It I)Iill.f)IN(: 140 ■VI:S'I I' ACilr l( r r.l: l'. surly, 16113 Alliltll, (1.O10I),\ 33130-156.1 (305) 375 - (A)I VAN (305) 37.i- 29n;t CON•r t.\C1 I.I('I•:\SIVC SECTION (A PAN (305) 375.2753 (•oNIn. \CI on E:P ;I'01t1'I:�IIi\'rDI'•N)O.v ( 105) 375.2')66 1',\.\ (3051 375. I' ItO0I ICT CO :\' 1 )101. DIVISION ( 105) 375.2902 I'& (305) 372 -6337 Raul Rodri:ucz Chia Prod )c( Control D; vision TIIIS 15 THE COVER ;;IIEET, SE..F. ADDITIONAL, I'AGI?S FOR SPECIFIC A NI) ( ; F?NERA1, CONDITIONS I3UFI,DFNG CODE, & PRODUCT R1• :VII:\V COiNI IITTEE This application Ior Product Approval has been reviewed by the 13000 zinc! approved b the Building Code told Product Review Co nmittce to be used in Dade County .:Iorida under the conditions set forth abov APPROVED: II:3/10/2001 ancisco .1. Q(Iint :Ina, R.A. Director \:ianti- I)attc County ilildin� Cn :1c Compliance OI lice l\t0.lsnool \oc 20001 \remplaretlnonce accepr. nt c cow•.r page.dot Internet mail ;"lido : :ss: poslmasternbuildiugcn (Icnnline.ctt ( Ilomc(:i »e: IIItI):,/ I�ww .InliIJi11(,e0ticnnlinc.cnnl holvfoam Products, Inc.. ROOFING ASSEMBLY APPROVAL Catc^nrv. Roofing Seth- Cotrnorv• rNlatcri : : 2 . PRODUCT DESCRIPTION Manufactured by Test Ap plicant Dimensions Specifications Polyprc® A11160 N/A - PA 101 FoamprorsD RTF 1 000 N/A ProP;lckCD 30 & 100 2.2 Typical Physical Properties: Property Test ASTM D 1622 ASTM D 1621 Density Compressive Slrc :wtlt Tcn::ilc Strencth \Vat -r Absorption Nloi :;tore Vapor Transmission Dinr.nsionaf Srnhrfity Roof Tile Adhesive Polyurethane ASTM U 1623 ASTM D 2127 ASTM E 96 ASflrv11)2)26 1 ACCEPTANCE tNc.: Ot- 0404.n1 1. SCOPE This approves l'ol) r ro®t All 16() as manufactured by Polyfoam Product;, Inc. as ucscribcd in Section 2 of this Notice of Acceptance. For the locations ‘vhcre the desirin pres : ;ure rcquiremcats, as determined by applicable building cede. does net exceed the design pressure valu : :s obtained by calculations in compliance .vith Roolir g Application Standard RAS 127, Inr use with approved flat, low, and high profile roots les system using Polypro® Ali 160. Where the attachment calculations arc done is a moment based system for single patty placement, and as an uplift based system for douOlc patty systems N/A I)ispcn ;ing Equipment 7 . 1 Componcr.t.c or products manufactured hti' others: Any Miami-Dade County Product Control Accepted Root Vile Ass. :mbly havin: a current NOA whi._h list uplift tcsislanee values with the use of Polypro AI1160 rucrtile adhe: ;ivc. Rest lis 1.6 Ibs. /ft.' 18 PSI Parallel to rise 12 PSI Perpendicular t, rise 23 PSI Parallel to rise 0.03 Lbs. /Ft 3.1 Perot / Inch Approval Date: il Inv 10 2001 Expi.•ation Date: Febrn:try 0-1. 2003 Product Descriation Two component pc Iyurethanc Dispen ;ink Equipment +0.07"/ Volume Chou_..: ii,l -l0° F.. %%ticks +6.0'% Volume Champ ri)y; t2Ji r (lOV, - - 1lttnticlity, 2 weeks C-. Ira: :k Zuloaga, It RC Prot nut Control Examiner L4. ' 111,4„: Polyfoarn Products, In._ ACCEPTANCE No. : OT- 0404.01 Note: The physical properties listed above arc presented as typical average values as determined by accepted ASTM lest methods and are subject to nn.rrnal mane acturing variation-.. -- 3. LIMITATIONS 3 . I Fire class: f :cation is not part of this acceptance. Refe :o the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® AI1160 shall solely be used with flat, low, .4c high tile profiles. G cc .ti:....,. :n :'.pplication :.zan:Iarc ..:(A3 r.20. 3.4 Roof Tile manufactures acquiring acceptance for the a ::e of Poly )ro® AI -1160 roof tile adhesive with their tile assemblies shall test in accordance wi: h PA. 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AII160 roof tilt adhesive with their ile assemblies sha.11 test in accordance with PA 101 and with section 10.4 as mortified herein. 4 . INSTALLATION 4.1 Polypro® Al may be used with any roof tile assembly having a cJrrent NOA that lists uplift resistance values with thc use of Polypro® AN; E0. 4.2 Polypro® AH 1 shall be applied in compliance with the Component Application section and thc corresponding Placement Details noted he: The roof tile: assembly's adhesive attachment with the use of Polypro® A.H 160 shall provide sufficient attacirnent resistance, expressed as an uplifl based system, lo meet or exceed the uplifl resistance determined in compliance with Miami-Dade Cour ty Roofing Application Standards RAS 127. The adhesive attactimeni data is noled in the rocf tile assembly NOA 4.3 Polypro® AH I60 roof tile adhesive and its components shall be instal:ed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance s looklet. 4.4 Installation must be by a Factory Trained 'Qualified Applic.ttor' approved anti licen -..ed by Polyfoam Products, Inc. Polyfoarn Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4 .5 Calibration oldie Foampro® dispensing equipment is requ r_d before application of :any adhesive. The mix ratio between the "A" component airl the "B" :ompcncnt shall oe maintained be!ween 1.0 (A) : 1.0 (B). The dispense timer sha I be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. Nt other settings :,hall be approved. 4.6 Polypro® Al 116( shall be applied with Foampro RTF1000 or I'roPack 30 100 dispensing equipment only. 4.7 Polypro® AI shall not be exposed permanently to sunliJ� 3 _ 'z / - w F= MS Fran:: Zuloaga, RRC Product Contro Examiner 'Po10.0a91 Products. inc., ACCEPTANCE No.: Ot - 4 .8 Tiles must bi! adhered in freshly applied adhesive. Tile must be sct .Z to 3 minutes after Polypro® AH 160 has been dispensed. 4.9 Polypro® A1.H160 placement and rninimum.patty weight shall be in ;►ccordarice with the 'Placerne;it. Details' herein. Each generic tile profile r_quires the specific placement noted herein. Tabic I: Adhesive Placement For Each Generic Tile Profile TileProfile. Placement j Single Paddy Weight Two I'addy Weight Detail I �1'Iin. (grants) per paddy Min. Flat, Low, High Profiles High Profile (2 Piece Barrel d1 41 4 35 rams) N/A — N /A 17 /side on cap anc 34/pan Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profit)* 43 _ S 5. LABELING All Polypro® AH 1 G0 containers shall comply with the Stands rd Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.I As required by the Building Official or applicable Building Cade in order to propeily evaluate the installation of this system. Fran< Zt:loaga, RRC Product Contro: Examiner 4 t Polvfoa m Products, Ir..c. Undenayment Env Won. Had Hu oupt plastic cement UrGMpmenl Had (tough ptaule cement 10 1n En, court. ante it ..p .dh.,n• swot C in. up Erdm wtephdes ADHESIVE PLACEMENT DETAIL ). SINGLE PATTY Ears Court. 6n Crcaun 11. In. P.ddy(R.n..1h 1i.) PsedJ Iii) . e. Courts ante: k..p adhesive .Dane. 11n. up hom weephd.t Eris C'c .. I ucla Nail Itunugh plastic cement 10 In. Eaa Course only: Keep adhesive apceot. I In. up hom wt.phoI,, 11 Place enough adhesive lo achieve 1 71)12 4quare Inches to cont :X wllh IM no ti 1) Turn severs up,ld. Ao.n Plan Rhos/ . 14 N` to 1 In. From outside .dge al cover 11t. 4 Eton In.WI the Optimal 2.4 1 — at,.p pitch 2 ■pllugon. Nall through p4,le et;n.nl Remo. lop porron d Dt. ma Cant Ca•e+ tr. A&4 to uco+d (DUn1 al pan 01.. Ero. i ears end 01 pan and covet eke trt flush 11 uv. l'rt.. E.+. c:osu,, )mortar shown) 5 ACCEPTANCE No. : O I- 0404.01 \ A Ylmphol. fuel, 1'41,1 Paddy (B.n..14 041 Frtrk Zuloaga, RRC: Product Contrcl Examiner oeronal Poitt.y Haut 0n 10ngrtvd:,J1 raper of hte She JINN; Polyfoaitt Products Inc. Nail through plastic cement Paddy (Beneath Mel Uods rlayment rase Course ADHESIVE PLACEMENT DETAIL 2 SINGLE PAT'T'Y Ene Ccurse 7 In. : E.ave Ctosura 2 In. 7 in. fatcla �` x!111 \_ • / Fascia Mephole Eve closure Drip edge h ail through plastic cement 7 In 6 Nall through plastic cement -- ACCEPTANCE No.. C1- 0404.01 Fascia ' r Eare Course Paddy (Beneath la Ea, Ck t1 \ Paddy (eanenh rne( I Fr:u7k Zuloaga RRC: Prcicltct Contrr.I Examine.: • %I .e".••• AS/ • .11••• II. %I Ve.”.0 • Polvfoom Products Jr c. • Nail through plastic cement fl n. x .3m Single paddy on under- layment Single paddy on top ol lilt Singk paddy under the ay. ADHESIVE PLACEMENT DETAIL, .]; DOUBLE PATTY Nail through plastic cement 3 in. e 31n. Single paddy on undettayment Single paddy on lop ol Ilia Faye Course 1 ACCEPTANCE Ivo. :.01-0404.0I Erie COWS, in. X 7 in. medium size paddy QJV. fascia course only x .111. 4 11. Single paddy on . under. layment Single paddy under Nail through plasti.: emenl Underlayment Sing e paddy on OF of tile Erie Course aseu lile!chote Erie closure Drip edge Single padd) between III Era Ciotti( • 2 In. i flr. medium site p,idily cave course c sly FJSCi4 Frnn.c Zulona, P.H.0 Prcd lc( Control Exarr incr au VW 1 Single paddy under lite Single paddy between the 2 in. r in. mrthum piddy erne course only • Polyfon.rn Products, Inc. Renewal of this Acccptancc (approval) shall be considered after a rcaccval application has bccn filed and the original submitted documents, including tcst - supporting d: ta, cnginccr ng docurncnts, arc no older than eight (8) years. 2. Any and all approved products shall bc permanently labeled evith the manufacturer's name, city, state, and the following statement: "Miami -Dade County Procuct Contra) Approval ", or as specifically stated ii the specific conditions of this Acceptance. 3. Renewals of Acccp.ancc will not be considered if: a. Thcrc has bc :ir a change in the South Florida Building Cocc affecting he evaluation of this product and tic: product is not in compliance with thc code chinges. b. Thc product is no longer thc same product (identical) as the once originally approved. c. If thc Acceptance holder has not complied with all the requirements of this acceptance, including the :orrect installation of thc product. • d, Thc cnginccr who originally prcparcd, signed and scaled the required dccumcntation initially submitted, is no longer practicing the engineering profcssion. 4. Any revision or change in the materials, use, and/or manufacture of thc procuct or proccss shall automatically be cause for termination of this Acceptance, unless prior ‘vrincl approval has been requested (through the filing of a revision application with appreiI:riatc fee) and granted by this office. 5. Any of the following shall also be grounds for rcmoval of this Acceptance: a. Unsatisfactory perfomrancc of this product or process. b. Misuse of thi:; Acceptance as an endorsement of any produ :t, for sales. advertising or any othcr purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displavcd in advcrtising literature. 1:' any portion of the Notice of Acceptance is displayed, then it shall be donc in its entirety. 7. A copy of this Acccl:tancc as %vcll as approved drawings and other dx:umcnts, where it applics, shall bc provided to the user by thc manufacturer or its distributors and sha.l bc available for inspection a! the job site at all time:. The cnginccr nccd not reseal thc copies. 8. Failure is comply with any section of this Acceptance shall be cause lire tcrmina:ion and removal of Acceptancc. 9 This Notice of Acccptencc consists of pages f through M. END OF THIS ACCEPTANCE 8 •....i• v.i••Va JV•• la a e rrE. TANCE Yo. . 01- 0404.01. - • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ago ►u� 9 q sc"At n-e,s Date 27-9" J Job Address Tax Folio Legal Description Owner / Lessee / Tenant le) !Oa_ Owner's Address ay0 CE Y`7 �7 Contracting Co. P 1 � Address 301 , &w 3() X547 Qualifier \/ ,'NOn i'Co II SSItz Phone 63q - (1,vL(S' State 1t ote. 6c44:Wt (Municipal # Competency # Ins.Co. Architect /Engineer Address /6 Bonding Company 1?) Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING FENCE SIGN WORK DESCRIPTION l ) (ZthiNt exJl44-in ;. V'60-4 Z) .fin. lcl/ 75 j S'nar, 3) .2't / t/l / O -: y2 // `.) - :: 4 / 1 56 l7 / ",Q /a/ S ° cc ,aLge.7 S) AmVa oCA 6. Square Ft. Gnn Estimated Cost(value) /3 3 4 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 tor to do the work stated. Signature of ow(r`and/or Condo President Signature of Contractor or Owner -: lder Date: Date: c � Notary as to Owner and /or Condo President My Commission Expires: EDIE CARBONELL Notary Public, State of nodes 7 -5- 9s My Comm. expires Aug. 4,19Q' * * * No. ** * * * Master Permit # 3 gu cpS Phone Notary as to Contractor or Owner- Builder My Commission Expires: EDIE CARBONELL Notary Public, State of Florida 7 •._ n- My Comm. expires Aug 4, 1098 * * * * * * * No. CC3 *7471 ** FEES: PERMIT PO RADON C.C.F. TOTAL DUE 4 /A APPROVED: Fire Other 7 7 !S Zoning Buildi Electrical Mechanical Plumbin: Engineering Job Address: S11) g9 S3' Contractor at-e eocAfi Process No. APPENDIX 'E' GENERAL: I I Type of Roof System Assembly to be Applied: ji ) ( I T ' u f Manufacturer of Roof System Assembly: G C Product Control Approval Number: g :1116_. 01 System Number from Product Control Approval: (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: Fasteners: METRO -DADE UNIFORM BUILDING PERMIT SECTION II BUILT -UP APPLICATIONS AND MODIFIED BITUMEN SYSTEMS Ply Sheet(s): Cap Sheet: Asphalt: 1 ( 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 Job Address:„W Q 13& ¥ t ° ¥.5 Contractor 3 Re ^ Process No. ( Check *one of the following) Recover Re-roof: New Construction If a recover, is the existing Roof System Assembly - to be used as a bonding substrate ?: If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate ?: (If 'yes', attach ASTM E907 test report. ) Proposed Fastener: (Attach withdrawal resistance test report. ) Has the deck been examined for moisture ?: (Provide data confirming compliance with Section 3401.9(c) . ) THE SYSTEM: Deck: (Briefly describe) Insulation: In (Type, size and method of attachment, if applicable ) Base Sheet or Ply: (Type and method of attachment ) Page -2 N Y 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: 17� - ( (OO b �s b65 shoo Ca -r- na L Ply Sheet(s): \ (4'2 ( s s 0( t 1- ( Type and method of attachment ) Built -Up Applications and Modified Bitumen S M yste Job Address: -{4 ° 6 ' Si Contractor ��6 Top Ply: ( Type and method of attachment ) Surfacing: (Type, if applicable ) Flashing Materials: (Type and method of attachment ) Page -3 Process No. 1 VI k tva.� ✓ ,c(P, 4't Q mof ;i \Ao Built -Up Applications and Modified Bitumen Systems Job Address: LRgb Contractor `T1- ° 2 n6 Process No. 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: ( a gplic describe, V !C/ nvru� __.._.._........_.� M....._........_ op Ply. 1 liFirWATM • Bonding Material: M Pl Sheet((): ( II 11 Bonding Malarial: k al: -t '' M - O P Fastener: (Ubaneduuwr r ch }., atwrA 1 ea) I-j Base Sheer ;t 7 < ioas e S Bonding MatetialricVl Ca-1 . ( i(bare.rheet bonded) (Q. Fastener Of top rnodanon /a-er week attached) Top Insulation Layer. (UoPV ) Bonding Material: ( :sprite/sled) on d ) Fastener a ime btlon weds attached) Insulation: i Bonding Material: ((( Waukee bonded) 4foRdbxible Primer. (u,r •+c bw DECK: Type: 16' 4 ( ) m() a Gage or Thickness: '7Lt Density, if concrete deck Built -Up Applications and Modified Bitumen Systems Page-4 Job Address:at Coping Cap Gagc Fastener . Spacing: _ o.c. CIiP Type: Clip Gage: Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Parapet Walls. Lsat leaders indicating Roofing Component names, dimensions, thicknesses, etc Include fastener type and spacing used for wood- blocking attach • Contractor' PERIMETER DETAIL #1: Parapet Wall Detail Process No. Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter As to be Flashed. Insert leaders indicating Roofing Component names, dimensions, thidmessa, etc. Include fattener type and spacing used for wood- blocking attacnnent. PERIMETER DETAIL #2: Flashing Detail Built -Up Applications and Modified Bitumen Systems Page -5 Job Address: 2 Contractor TA-P P- r y Process No. PERIMETER DETAIL #3: Gravel Stop or Drip Edge Sketch Roofing Components whim make up Roof System Assembly at Painter Edge with Gravel Stop a Drip Edge. Insert leaders indicating Roofing Components names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blodcing attachment. Gravel Stop/Drip Edge Gage: Fastener Spacing o.c Clip Type: Clip Gage: Deck Type: Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gutters. Inset 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: all° 1■1 ¥t 5 Contractor PERIMETER DETAIL #5: 'Other Detail Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may eidsit. Insert leaders indicating Roofmg Component names, dimensions, thidcesses, etc. Include fastener type and spacing used for wood- blocking attachment. feki ..?(L 711 ‘ge Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may exisit. Insert leaden indicating Roofing Component names, dimensions, thidcesses, 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 Process No. Job Address: ...• Wk, Contractor1 QOOc1/1 Process No. Insect Building and Parapet Heights. (If no Parapet exists, Insert W /A ") Also insert applicable information pertaining to the building below. (See ASCE 7-88 Fact Sheet Anac�red ) Exposure Category Iii Classification Category: At Hurricane Ocanline ?: Y N Basic Wind Speed at Building Location: 110 mph Building Condition based on % of Openings: GROUND LEVEL fat ID feet BUILDING INFORMATION #1 Built -Up Applications and Modified Bitumen Systems Page -8 Job Address: qq ,51' Contractor Tt_Q (2o0Atn73 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 748 Fact Sheet Attached ) BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Built -Up Applications and Modified Bitumen Systems Page -9 Job Address: 40 q Contractor3 - 'P Peog-7 Process No. Roof System Assembly Product Control Approved: Y N If NO, note any deficiencies: Design Pressure Requirements: Field: psf Perimeter Areas: psf Corner Areas: psf Note any limitations: Reviewed Details ?: Y N Notes: — FOR PLAN EXAMINER USE ONLY — Built -Up Applications and Modified Bitumen Systems Page -l0 Job Address: Contractor Process No. Reviewed Field Test Data ?: Y N Notes: Additional Notes: Built -Up Applications and Modified Bitumen Systems Page -11 Plop Examiner METRO DADE GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 APPROVED NO 1 0 1994 PRODUCT CONTROL NOTICE OF ACCEPTANCE The expense of such testing will be incurred by the Manufacturer. I'ItWDUCI' NO. : 7 ACCEPTANCE NO.: 94 -1014 4.j EXPIRES: NOV 1 01997 METROPOLI ri. N DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-2908 Your application for Product Approval of GAF Conventional Iluill -UIr Roofrrg Systems 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 Factory Mutual Research Cor poration and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dadc 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 jobsitc or manufacturer plant for quality control testing. If product or material fail to perform in IIio approved manner, the Code Compliance Department may revoke, modify or suspend the use of such product or material immediately. llic Building Codc Compliance Department reserves the right to require testing of this product or material should any amendments to the South Florida Building Code bc enacted affecting this product or material. ( ' 7 ') . ' ' � Gvibiarnond, P.E. Product Coittrul Division Supervisor - PLEASE NOTE - TIIIS IS TIIE COVERSIIEET. 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 Codc Compliance DcparUncnt and approved by the Building Code Committee to bc used in Dade County, Florida undcr the conditions set forth above. Charles Danger, I'.E., Dirccto Building Codc Compliance Department Metropolitan Dadc County Applicant: GAF Materials Corporation 1361 Ajps Road Wayne 07470 Category: Sub - Category: Type: . SuEType: Membrane Roofing System Built -Up Roofing Conventional Fiberglass Product Control Notice of Acceptance Roofing System Approval Product Control No.: 94- .1Ol4.01 Approval Date: Nov 1 0 1994 Expiration Date'. ��iJ I '1 i7 GAF Materials Corporation, a manufacturer of commercial roofing products for more than 100 years, produces a wide range of roof products for built -up and modified bitumen roofing systems. In addition GAF offers two ply modified systems to meet the demands for multi -ply SBS modified specifications. William J. Woodring Director of Technical Services 1361 Alps Road Wayne NJ 07470 (201) 628 -3000 litl , iamond, j/ GAF provides warranted systems over various insulated and non - insulated substrates, copies of which can be obtained from GAF and can be found in the "GAFGLAS Built -Up Roofing Application and Specifications" manual published annually. The GAF Roof System Assemblies have been extensively tested at Factory Mutual Research Corporation and Underwriters Laboratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. GAF Materials Corporation products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. For more information on specific roof system constructions, contact the Technical Service Office, located in Wayne, New Jersey, at I -800- ROOF -411. product Ruberoid® Torch Smooth Dimensions .q. roll 87 lbs. Ruberoid® Torch 1/4 sq. roll Plus (Granule) 93 lb. roll Ruberoid® Torch 1 sq. roll Granule 102 lb. roll Ruberoid® Torch FR 3/4 sq. roll 90 lbs. Ruberoid® Mop Plus (Granule) Ruberoid® Mop FR Rubcruidt 20 Ruberoidk .3 1 sq. roll 102 lbs. Rubcroide Mop 1 sq. roll Granule 103 lbs. 1 sq. roll 105 lbs 1.5 sq. roll 1 sq. roll 92 lbs. Ruberoidt 30 FR I sq. roll 92 lbs. Ruberoid® Mop ! 70 FR 1 sq. roll 103 lbs. TRADE NA.,IES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Product Control Na.: 95- 0330.06 Test Product R ifiis�t[iS:la Description ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. ASTM D 5147 Heavy duty, polyester reinforced, aspha oditied bitumen membrane. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granules. ASTM D 5147 Non -woven polyester mat coated with tire 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 SBS modified asphalt base sheet reinforce with a glass fiber mat. 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 rnat coated with fire retardant polymer modified asphalt surfaced with mineral gr nu 4 Raul Rodriguez 4Z si JUN -30 -95 09 :52 FROM GAF MC-- TECH.SERV. Product Dimensions GAFGLAS® Y x 36" Stratavent® (Vent Ply) 69 lb. roll for Nailable Decks. GAFGLAS40 3' x 36" Stratavent® (Vent Ply) 69 lb. roll Perforated 3' x 180' 45 Ib. roll GAFGLAS PIy 6® GAFGLAS Ply 4 GAFGLAS #7510 3' x 108' 75 lb. roll GAFGLAS® Mineral Surfaced Cap Sheet GAF Materials Corporation Asphalt Concrete Primer GAF Materials Corporation Fibered Aluminum GAF Materials Corporation WeatherCoate Emulsion GAF Materials Corporation Jctblak All Weather Plastic Cement 3' x 180' 40 Ib. roll 3'x36' 76 Ib. roll 5, 55 gallons 1, 5 gallons 5 gallons 1, 5 gallons Test Specification ASTM D 2821 Fibered aluminum coating. 5 Raul Rodriguez ID: 201 629 3356 PAGE 6 Product Control No.: 95.0130.06 Product Description 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 4897 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with rnineral granules embedded in asphaltic coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 4601 Asphalt impregnated and coated glass mat base sheet. 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. 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. JUN-30-95 06.52 FROM GAF MC-- TECH.SERV. Product GAF Materials Corporation Jetblak Flashtitc® Cement GAF Materials Corporation Plastic Cement GAF Materials Corporation Mineral Shields® Granules GAFTEMP® Isotherm R GAFTEMP® Composite various GAFTEMP® Permalite various GAFTEMP® fiberboard various GAFTEMP High Density Fiberboard GAFTITE®® #12 Standard Roofing Fastener GAFTITE® #14 Heavy Duty Roofing Fastcncr NTB Fasteners GAFTITE® Base Sheet PA 114 Fastener and Plate Galvalume Plates 3" and 3 '/z" PA 114 Polypropylene Plates 3" and 3 '''A" PA 114 Test Dimensions Specification ID. 201 626 3356 Product Description 1, 5, 53 gallons ASTM D 4586 Asphalt flashing cement. 1, 5, 53 gallons various various ASTM D 4586 Trowel grade, asphalt plastic cement. PA 110 Polyisocyanurate foam insulation. PA 110 Polyisocyanurate foam insulation with high density fiberboard or Pcrmalitc perlite insulation. PA 110 Perlite insulation hoard. PA 110 Fiberboard insulation. PA 110 High density wood fiberboard insulation. PA 114 Insulation fastener for steel and plywood decks. PA 114 Insulation fastener for steel, wood and concrete decks. PA 114 Fastener for use in gypsum, tectum and lightweight insulating concrete decks. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. 6 Granules for surfacing of exposed asphalt, cold process or emulsion. Raul Rodriguez Product Control No.: 95- 0330.06 PACE 6 JUN -30 -95 09 =53 FROM GAF MC-- TECH.SERV. ID 201 628 3356 PAGE 7 Product Control No.: 9S- 0330.06 TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Product Dimensions Specification Desc iotion Manufacturer Ily Therm AP various PA 1 10 Polyisocyanurate foam Apache Products Co. insulation Pyrox various PA 110 Polyisocyanurate Loam Apache Products Co. insulation White Line various PA 110 Polyisocyanurate tram Apache Products Co. insulation ACFoam Composite various PA 110 Polyisocyanuratc foam Atlas Energy insulation Products ACFoam 1 various PA 110 Polyisocyanurate foam Atlas Energy insulation Products ACFoam 11 various PA 1 10 Polyisocyanurate foam Atlas Energy insulation Products Hy -Tec various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Tec 2 various PA 110 Polyisocyanurate Loam Celotex Corp. insulation Hy-Therm AP various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy -Therm White various PA 110 Polyisocyanuratc tram Celotex Curp. Line insulation Hy -Therm Pyrox various PA 110 Polyisocyanurate foam Celotex Corp. insulation Energy LOk various PA 110 Polyisocyanuratc foam Celotex Corp. insulation t'hermax various PA 110 Polyisocyanurate foam Celotex Corp, TRl -STAR insulation 7 Raul Rodriguez Test Product Product Dimensions S.pecihcatipq Description Manufacturer Dekfast Fasteners PA 114 Insulation fastener for steel Construction #14 \1 and concrete decks Fasteners, Inc, Dekfast flex Plate 2 7/8" x PA 114 Galvalume hex stress plate. Construction 3 1/4" Fasteners, Inc. Dekfast Lock Plate 3" x 3 1/4" PA 114 Dekfast Fasteners #15 Dekfast Fasteners #12 TPR ISO 9S+ OW various ISO 95+ GL various ISO 95+ Composite ISO 95+ Asphalt High Density Wood various Fiberboard PA 114 Insulation fasteners for Construction concrete decks Fasteners, Inc. PA 114 Insulation fastener for steel Construction and wood decks, Fasteners, Inc. PA 114 Perlite Insulation variuus PA 110 PA 110 Polyisocyanurate foam Firestone insulation PA 110 Polypropylene locking Construction plate. Fasteners, Inc. Aluminum fastener for Creative lightweight, gypsum and Construction tectum decks Components Polyisocyanurate foam Firestone insulation PA 110 Polyisocyanurate / perlite Firestone ridged insulation PA 110 NA 1 1 U 8 Polyisocyanurate foam Firestone insulation ASTM D 312 Type III or IV hot asphalt generic bitumen adhesive Wood fiber insulation generic board Perlite insulation board generic Raul Rodrigue Product Control No 95- 0330.06 JUN -30-95 09:64 FROM: GAF MC-- TECH.SERV. Product Red Rosin various Roofing Nails Minimum # PA 114 Tin Caps Type X Gypsum various Sturdi -Top various PA 110 al MB aluminum roof coating Grundy Industrial Emulsion #I4 Roofgrip Gripdek Fastener Premium Metal Plate Standard Plastic Plate Karnak No. 169 Karnak 97 Dimensions 12 • Min. 32 ga. x 1V,," Barrier Board Plus various Test Product Specification Description PA 121 PA 121 PA 114 PA 114 3" square 3" round PA 114 PA 121 Rosin paper for barrier layer on wood decks ID: 20 1 62B 33bb` rpm.= Product Control No.: 95- 0330.06 Muiufacturer generic Corrosion resistant annular generic ring shank nails Corrosion resistant circular generic discs. Fire resistant rated gypsum generic Wood fiberboard Aluminum roof coating Asphalt emulsion Insulation fastener steel, wood or concrete decks Insulation fastener PA 114 3" square galvalume AZ55 ITW Buildex stress plate Polyoletin plastic plate ASTM D 2824 Aluminum roof coating Roof coating PA 110 Polyisocyanurate foam / wood fiber insulation 9 Raul Rodriguez Georgia- Pacific Grundy industries Grundy Industries 1TW Builder ITW Buildex ITW Buildex Karnak Corp. Karnak NRG Barriers, Inc. Olympic C -R Base Sheet Fastener and Plate •JUN - 3'0-95 09 =55 FROM= GAF MC-- TECH.SERV. Con -Cite (Fluted Nail) Fiberglas Test PA 110 Pry Dimemsisata C; NRG'Y PSI -25 various E'NRG'Y -1 various PA 110 E'NRG'Y -2 Plus various PA 110 E'NRG'Y l Plus various PA 110 E'NRC.','Y -2 various PA 110 PA 114 Olympic Standard 3" round PA 114 PA 114 various PA 110 Product UeSc_ riot Polyisocyanurate foam insulation Polyisocyanurate foam insulation ID' 201 628 3366 Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Concrete deck insulation fastener 3" round galvalumc AZ55 steel plate Polypropylene plastic plate Insulation fastener Base sheet fastener and plate. 10 R aul Rntrignei Product Control No.: 95- 0330.06 Manufacturer NRG Barriers, Inc. NRG Barriers, Inc. NRG Barriers, Inc. NRG Barriers, Inc. NRG Barriers, Inc. Olympic Manufacturing Group, inc. Olympic Manufacturing, Group, Inc. 3.5" round galvalume AZ55 Manufacturing Olympic G2 Plate 3.5" round PA 1 l4 steel plate. pic Group, Inc. Olympic Olympic 3 25" round PA 11 M Polypropylene Group, Inc. Olympic Fastener PA 114 Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. i; iber glass roof insulation F be Sias Corp. 1,'i JUN -30 -95 09 =55 FROM= GAF MC-- TECH.SERV. Product Foamglas Board various Multi -Max Thcrmaroof Composite Fes -Core Fesco Foam UltraGard Gold HD Insul-Fixx Fastener lnsul -Fixx Fastener lnsul-Fixx S Insul -Fixx P Rawl Drive Rawl Fasteners #12 Rawl Fasteners tt 14 DimensiortS various various various various various 3" square 3" round Test ,Specitjcjtipn Product Description ID= 201 628 3356 PAGE 11 Product Control No,: 95- 0330.06 Manufacturer PA 110 Expanded glass insulation Pittsburgh Corning board. PA 110 Polyisocyanurate foam Rmax, Inc. insulation PA 110 Polyisocyanurate foam / [Wax, 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 AZ5S 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 11 Insulation fastener for use in steel, wood ur concrete Raul Rodriguez The Rawlplug C:urttpany Inc. JUN -30 - 9S 09 =56 FROM= GAF MC-- TECH.SERV. Product Rawl 3" Plate Rawl Spike Rawlite Dimensions 3" round Rawlite 3" Plate 3" round Test Product Specification Description PA 114 PA 114 Insulation fastener for cementitious and gypsum decks 12 ID: 201 628 :iLisb 3" round galvalume AZ55 steel plate for use with Rawlite fasteners Ruul Rodriguez Product Control No.; 95- 0330.06 Manufacturer PA 114 3" round galvalume AZ55 The Rawlplug steel plate Company Inc. PA 114 Insulation fastener and steel The Rawlplug and plastic stress plate for Company Inc. concrete deck The Rawlplug Company Inc. The Rawlplug Company Inc. renY am. MC - - TECH . SERV . LW:A=1U Construction Research Laboratory, inc. Factory Mutual Research Corporation South Florida Test Service Underwriters Laboratories, Inc. Dynatech Engineering, Inc. Test Identifier 1/4818 J.I. OT4A I .AM J.I. I V7AO.A,M J.I. 1V8A4.AM J.I. IRIA6.AM J.I. OT2Q4.AM J.I. 0Q6A6.AM J.1.2M0A4.AM J.I. 3X3A2.AM J.1. 0Y9Q5.AM J.I.3X3A2.AM GAF- 53 -X -9 15 RI306 3600.02.95 Test Reports 13 Tcst Name /Reogn 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 ID: 201 628 3356 PAGE 13 Product Control No.: 95- 0330.06 Didg 07/10/87 08/26/92 07/16/92 06/28/93 11/15/91 10/17/91 07/16/91 03/21/87 08/02/94 07/29/94 08/02/94 03/08/9 I 08/01/94 02/02/95 Deck Type 1: Wood, Non - insulated Deck Description: 19 / )Z " or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Base Sheet: Ply Sheet: Cap Sheet: Surfacing: Maximum Design Pressure: -55 psf. Product Control No.: 94- 1014.01 GAFGLAS® #75, GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6 ®, GAFGLAS® STRATAVENT® or RUBERO[D® 20 applied to the deck with approved annular ring shank nails and minimum 1 ' /," 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. Two or three plies of GAFGLAS® PLY 4® or GAFGLAS® PLY 6® ply sheet adhered in a full mopping of approved asphalt at an application rate of 25 lbs. /sq. ± 15 %. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt at an application rate of 25 lbs. /sq. ± 15 %. (Required if no cap sheet is used) Install one of the following: 1. Grundy AL MB aluminum Roof Coating with an application rate of 1.5 gal. /sq.; or GAF WEATHER COAT® Emulsion with an application rate of 3 gal. /sq.; or GAF Fibercd Aluminum Coating with an application rate of 1.5 gal. /sq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. Maximum Fire Classification: 'A'. See General Limitation #2. Maximum Slope: 3 ":12 "; See General Limitation #3. Specification No.: Gil Diamond, P.E. • 21 /r Wood Deck System Limitations: 1. A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of bast sheet to plank and deck. Red rosin sheet may also be installed on plywood decks as an option. 2. A slip sheet is required with PLY 4® and PLY 6® when used as a mechanically fastened base or anchor sheet. 3. Pre - assembled' cap nails may only be used for termination 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. Pre - assembled 'Cap Nail' shall not be used for base sheet attachment Gil Diamond, P.G. 22 Product Control No.: 94- 1014.01 • // / ,, • / General Limitations: Gil Diamond. P. 74 Product Control No.: 94- 1014.01 1. All asphalt shall comply with ASTM D 312 type Ill 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 Roofing Materials Directory or other fire testing data listed in the testing file. 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 GAF 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 lbs. /sq.. 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 Contractor licensed to do roofing work in Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer. 7. In re- roofing ii‘p.plications, 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 perimeter and nailer metal profile design shall conform with Dade County Protocol PA 111 of the South Florida Building Code. 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, shall4be submitted with the Section 11 Permit Application. 13. GAF roll good materials shall be stored on end and on a clean, flat and dry surface. 14. Consult current Underwriters Laboratories Directory for the required coating for each roofing assembly. 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. IS Asphalt moppings shall be with asphalt approved by the applicant and shall be approved in compliance with equiviscious temperature (EVT) Methods of asphalt determination. Asphalt containers or bulk tickets shall indicate a 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 25 lbs/sq. f 1 S% or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and /or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in hot asphalt or adhesive. 17. Pre - assembled cap nails may only be used for termination 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 required by the South Florida Building Code. • 18. The.submission of system specifications and details shall accompany the Section 11 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. All standard panel sizes are acceptable for mechanical attachment. When applied in liot asphalt, panel sizc shall be 4' x 4' maximum. Gil Diamond, P.E. 75 Product Control No.: 94 1014.01 t/ • NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Extensions of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (f0) years, have been re- evaluated. All reports of re- testing shall bear the seal, signature and date of an engineer registered in the State of Florida. 2. Airy revision or change in the materialLuse, or manufacture of the product or process shall automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re- evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. This approval super all previous approvals. Gil - • . Product Control Division Supervisor w COMPINIMMIN Materials 28 Approa ate Weight per Square Yee- NellatU Out 000 SOO QAFeLA$ th_s_s wet 4) GAFGLAS PIy GAFGLAS® Specifications I- B- 4 -M /P6, I- B -4 -M, and NN -B -4 -M 2' Side up 1 M in n eral M l Mineral 1S' Cap Sheel North, South & West Zones Non- nailable decks or insulated decks up to 6 inches per foot slope. Poured concrete, precast concrete, acceptable roof insulation. GAF Materials Corporation Asphalt/Concrete Primer (when applicable) GAFGLAS Base Sheet GAFGLAS Ply (2 plies) • GAF Materials Corporation Roofing Asphalt Interplies Cap Sheet GAFGLAS Mineral Surfaced Cap Sheet (1 ply) 180 -290 lbs. Specifications General Application recommendations detailed on pages 17 -20 shall apply in addition to the following recommendations and specifications. Application of Rooting Membrane 1. Starting at the low point of the roof, mop one ply of GAFGLAS Base Sheet, lapping each sheet into place providing for 2 inch side laps and 6 inch end Zaps. (See "Special Instructions' below.) 2. Starting at the low point of the roof, mop two plies of GAFGLAS PIy shingle fashion; lapping each sheet 19 inches over the preceding sheet; solidly mopped to the underlying base sheet to provide three plies over the entire roof area. Asphalt Requirements Base sheet and interply moppings of Roofing Asphalt must be applied in a continuous film and shall consist of approximately 25 pounds per 100 square teet of roof area with a tolerance not to exceed 20% plus or minus. The appropriate asphalt for the slopes involved must be used. Slope per foot Up to 3' 3'- 6' Asphalt Type Steep ASTM Type 111 HT - Steep ASTM Type IV On slopes up to '/z inch per foot, Flat ASTM Type II may be used except in Florida, Texas, New Mexico, Arizona, and California. Surfacing Apply GAFGLAS Mineral Surfaced Cap Sheet in accordance with the application instructions on page 20, so that the laps are offset from the laps of the ply sheets. Special Instructions 1. For roof slopes 011 inch per foot or more, all plies must be back nailed 4 inches into wood nailers. See "Installation on Steep Roofs,' page 10. 2. Acceptable GAFGLAS Base Sheets include: GAFGLAS STRATAVENT• (Vent PIy) Perforated (which is laid dry, i.e., it is not mopped in, see 'Venting Systems," beginning on page 53), GAFGLAS #75 Base Sheet, GAFGLAS PLY 6°, and GAFGLAS Ply 4.1=or insulated decks there are restrictions. See 'Roof Insulation," pages 10 3. For decks insulated with GAFTEMP° Isotherm R, GAFGLAS STRATAVENT (Vent PIy) Perforated must be used as the base - sheet. See "Roof Insulation, pages 10 -11. UL Classification UL Class A B Substrate C C Slope lasilltl{I=a 2' 3 3A aA UL Chart Key 1. Substrate C = Combustible and Noncombustible Combustible = Wood planks, boards, etc., plywood (min. 1 ' /v inch thickness), oriented strand board (min. '/2 inch thickness). NC = Noncombustible only Noncombustible = Steel, poured or precast structural concrete, lightweight insulating concrete, gypsum, structural wood fiberboard, etc. 2. Slope Maximum slope allowed, in inches per loot. 3. Insulation 3A = Optional, GAFTEMP Perlite, Isotherm R and Composite Insulations. Guarantees Available Specification Liberty Guarantees I- B- 4 -M/P6 20,15 yr. I -B -4-M and NN -B -4 -M 2 +10,10, 5 +5, 5 yr. 224 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued 44. Deck NC Incline: 2 Foam: "PolyIso' or "Poly -Ise Special" with "Polyfoam 261" or "Polyfoem 303 "S 1 in. mm. Base Coat: "Gaco Sil S-1000" applied at 1 ( Surfacing: "Gacoflex S 1000" applied at 1 gal/sq ( dry mils). * GAF BUILDING MATERIALS CORP, WAYNE NJ 07470 R1308 (N) ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet ") is a suitable alternate for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 8 ") in the Class A. 8 or C roof systems indicated below. The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAFGLAS tre- tavern (Vent -Ply) perforated" or "GAFGLAS Stratavent (Vent -Ply) for nailable decks ". Perforated to be mopped and neileble to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Bese Sheet' or "GAFGLAS Stratavent (Vent -Ply) for neileble decks ") may be subsituted for G1 asphalt glass fiber ply sheet ("GAFGLAS 4" or Bottom ply Ply or base sheet G may be d l h systems. sott mopped ormechan mechanically tautened. Unless otherwise indicated, all insulations may be hot mopped or mechanically fastened. "GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C aye When "perlite" is referenced, this includes "GAFTEMP Perlite" or any other UL Classified p listed below. dite Crushed stone or slag are suitable alternates for gravel in any of the Class A, B or C systems list- insulation. ed. Structural cement fiber building units are considered suitable to be included as a deck in the o lowing Class A, B or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of 1/2 in. min gypsum board is an acceptable alternate for insulation over The use of polystyrene insulation board between min 3/4 in. perlite board and deck with rosin pa- decks. per (perlite /rosin paper /polystyrene /perlite) is a suitable alternate for isocyanurate board in the fol. lowing Class A, 8 or C systems. Isotherm R may be substituted for any isocyanurate insulation in any of the following Classi ica- tions. CLASS A, B and C. Hot roofing asphalt, for use with organic and felts or modified bitumen membranes. Class A Incline: 3 1. Deck: C-15/32 Insulation ion (Optional): One or more layers perlite, wood fiber, glees fiber, isocyanurate, ure- thane, partite /isocyanurate composite, perlite /urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. PIy Sheet: Three or more layers Type G 1 "GAFGLAS Ply 4" or "GAFGLAS Ply 8 ", hot mopped. Surfacing: Gravel. Incline: 2 2. Deck: C -15/32 • Insulation (Optional). One or more layers perlite, wood fiber, glass fiber/ isocyanurate, tore thane, perlite /isocyanurate composite, perlite /urethane composite, wood' fiber/isocyanurate composite, phenolic, any thickness. Ply Shut: Three or more layers Type G 1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Shut: One layer Type G3 "GAFGLAS Mineral Su fscede: Cap Deck: NC Insulation (Optional): One or more layers perlite, wood fiber, g lass fiber, isocyanurate, tore• thane, perlite /isocyanurate composite, perlite /urethane composite, wood fiber /tsocyenurets composite, phenolic, 2 in. max. Ply Shut: Two or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 8 ". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced cde: tp2 Sheet". Deck: NC Insulation: One or two layers "Isotherm R ". 4 in. max, hot mopped. Ply Shut: Any UL Classified gravel surfaced Class A asphalt glass fiber met system. Deck: C -15/32 Slip Sheet (Optional): Red rosin paper, nailed to deck, Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: Sheet One more Type G1 "GAFGLAS Mineral Ply 4" 6 or GAFGLAS Ply urfac d Cap S ee: , Cep Incline: 3 6. Deck: NC Base Sheet: One layer of Type G2 "GAFGLAS #76 Base Sheet'. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G -3 "GAFGLAS MineralSurfaced Cap Sheet ". 7. Deck: C-15/32 Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane, perlite /isocyanurete composite, perlite /urethane composite, phenolic, 1.0 in. min (off -set from plywood joints 6 in.) ease Sheet: One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or gran ( " lee id Torch Plus" (granule) "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet", hot nop2 d . Deck: C.15/32 Insulation (Optional): One or more layers perlite. wood fiber, glass fiber. isocyanurate, tore thane, perlite/isocyanurate composite. perlite /urethane composite, wood fiber /tsocyanursts composite. phenolic, any thickness. Bee Sheet: Two or more layers of Type G2 or G3. Ply Shut (Optional): One or more layers of Type G 1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). 8. LOOK FOR MARK ON PRODUCT ROOF COVERING 1. 2. 1. 1. ROOFING SYSTEM Cap Sheet "GAFGLAS Mineral Surfaced C Cl. Deck: C -16/32 Insulation Options* One or more layer: thane, perlite/isocyanutste composite, pe composite, phenolic, any thicknga. Ply Sheet Two or more layers of Type G1 Cap Sheet Type G3 "GAFGLAS Mineral S. Deck: C -15/32 Insulation (Options* One or more layers thane. perlite /isocyanurete composite. pe composite, phenolic, any thickness. Bees Sheet Two or more layers of Type G Membrane, One or more layers of "Rub. Plus" (granule), "Ruberold Mop" (smooth o. Cap Sheet "GAFGLAS Mineral Surfaced C CI, Deck: C -16/32 Insulation (Optionaib One or more layers thane, perflte/Isocyanurate composite, pe composite, phenolic, any thickness. Ply Sheet Three or more layers of Type G Surfacing: "Special Roofing Bitumen" 20 1 COAL TAR FELT SYSTEMS V ' Cli Deck: C.15/32 Insulation (Optional): One or more layers thane, perlke/isoeyanurete composite, pe composite, phenolic. any thickness. Ply Sheet Three or more layers of Type mopped with coal tar bitumen. Surfacing: Gravel. COMBINATION NOT • Ch 1. Deck: NC Insulation (Options¢ One or more layers F PIy Sheet Three or more layers of Type G Surfacing: Grundy Industries "al MB Alumi 2 . Deck: NC ' Insulation (Options*: One or more layers thane, perlite /Isocysnurats composite, pe composite, phenolic, tiny thickness. Ply Sheet Three or more layers of Type G Surfacing: "Weether Cost Emulsion" at 3 t ! . Deck: NC Q . Insulation: One or two layers 'isotherm R" Ply Sheet Any UL Classified gravel eurfac. CI, 1. Deleted. 2. Deck: C -16/32 , Insulation (Options* One or more layers thane, perlite /Isocyenurete composite, pe composite, phenolic. any thickness. Ply Sheet Three or more layers of Type mopped. Surfacing: Grundy Industries "al M6 Alumi 3 . Deck: NC Insulation (Options* One or more layers thane, perlite /isocyanurate composite, pe composite. phenolic, any thickness. Ply Sheet Three or more layers of Type G Surfacing: "Weather Coat Emulsion AF" at Cl, . Deck: C -15/32 Insulation (Options* One or more layers t Ply Bisset Three or more layers of Type G Surfacing: Grundy Industries "al MB Alun Coat Emulsion" at 3 gal /sq. ! . Deck: C -15/32 Insulation (Optional) One or more layers thane, perlite /isocyanurate composite. pe composite, phenolic, any thickness. 1 "' Pty Sheet Three or more layers of Type G Surfacing: Grundy Industries "el MB Alumi Deck: C•16/32 Insulation (Options* One or more layers thane, perlite /isocyanurate composite, pe composite, phenolic, any thickness. Ply Sheet Three or more layers of Type G h Surfacing: "Weather Cut Emulsion" at 3 r SINGLE PLY MEMBRI Unless otherwlae Indicated phenolic Insulation less otherwise Indicated any bf the following of Ruberoid Membrane. LOOK FOR MAI 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 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. t-1 t Date.. — .l .._..� u� Owner's Namc and Address 1 e e .(� �Z .6 �' _ No.2. o .[1t..�T Stree /.... _. R egistered Architect and /or Engineer s . v . .... ............ ..........:,..,, . ....... Namc and address of licensed contractor. a I 'i E F I S ,1 e..¢..... / t » G • Location �y and lcgal cscri Lion of lot to be built on: Lot i C. i....: � Z Block S v Street and Number where work is to be done. State work to be done and urpose of (by floors) Permit No.._. Disapproved (Signed) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of j Kind of oun ati n Roof Covein .3.(� ...... f'�i...4n1 Estimated Total cost of improvements $ / 1 J Subdivision ill S x. C Amount of Permit S. 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 pIrovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this pennit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks... Chairman Member Member Council Approved NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of 31.00 will be charged materials and /or workmanship. Member Member Member Date Disapproved INC BOARD ..........DATE E . 5 d e_�I c- _.._ � (Signed) ! �'_? � _. ! E z1 j Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires or changes to this application after approval STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persortally 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. - 2_ c, -2_ — ` r Date (�' Date. Bui din nspcctor PLA Date has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty