ROOFesf),30 1
Dat
Legal Description 4r %l9F /7 4 )6 /,' 33 Historically Designated: Yes
/ Tenant CAR M e /l 7 iLL 3 EL ik- Master Permit # L /
Owner's Address .2- f Y E 9 S Phone (-3 7 5 V '1 G 123
Contracting Co. Ka GL/ ot I Q k goo-Pl. I/13 Address L II S `V 92o .4 S +`
Qualifier PCl. vd R <J& (e` SS# 066 - 70 -2'95 Phone (3o)'7s d f 9/
State # Municipal # Competency # q3B560 ` V;ins. Co. /.--ael er
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION r e - St MO r 1 rP ekz, kA(iN (A-rI P.to
bi H --vp ro P s yac C, motvci ( \,e 64
5
Square Ft. '��. n O or tJ
'
ignature of owner an r C�efido President
aVi
Notary as to Owner and/or Condo resi
My Commission Expires: o �y p �� arF C
q z r0
*
�'l �• ��
J C ft°
FEES: PERMIT
APPROVED:
Zoning
Mechanical
PERMIT ( APPLICATION 5-1" FOR MIAMI SHORES VILLAGE
Job Address 15 `" E 91* Tax Folio 7/ — 37206 6/3-
RADON
Building
Plumbing
Date
6 /ae
Estimated Cost (value)
'rotary as t r ontracto
My Commission Expire
ft
Electrical
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
tore of Contractor or
er -Build
Date
BARi3i R a N
COMMISSION NUMBER
CC723468
Mtl
CCPII 3,:CION EXPIRES
• '1 20,2001
C.C.F. NOTARY$..- 0 BOND .,0o
., ,� , N:r .
RV PU ANCEL N
•
ear
OF F. 0
TOTAL DUE
No ✓
Dat
Structural Engineer
Contractor's Name:
PLAj KO,t,,odeK,
Job Address: ' 9 " 1-. 1 5 1"\/
i
ROOF CATEGORY
(Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
ROOF TYPE
❑ New Roof Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance
1!
Flat Roof Area (ft 50 Sloped Roof Area (ft 0 Total (ft Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Bo3 z � E Corbcr YI ❑ NO
AA-
Ft.
A
V
Fasten
Field:
12°
ROOF 7LOFZ
2 -PCyfi'bersl�
C%5e 51)
Ft. ATTACHMENT
er Type:
SPACING
) Perimeter: b Corner: q
DETAIL 1 & 2
ROOF PLAN
123.01-78 5/00 .
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Page -1
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
MEAN HEIGHT
Deck type:
Underlayment:
Insulation:
Ridge Ventilation?
Fastener type & spacing:
Cap Sheet:
D E T A I L 3
12'
ROOF SLOPE
Ni k
SLOPED SYSTEM DESCRIPTION
Roof Covering:
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: x ? (Aerodynamic Multiplier): ) - M = M PCA:
(Pmax2: x a, (Aerodynamic Multiplier): ) - M = M PCA:
(Pmax3: x ? (Aerodynamic Multiplier): ) - M = M PCA:
Page -2
5104 APPENDIX "F"
APPENDIX "F "REQU] ED 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
1. Aesthetics Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as
part of the agreement between the owner and the contractor.
2. Renailing 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 existing roof system)
C 3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
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 provii es the
option of maintaining this appearance.
CE 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.
E 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this
discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow
scuppers in accordance with Chapter 23 of the SFBC.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of the roof.
Owner's /Agent's Signature
Signature
St/
Date
Contractor's
Signature
I
MIAMI -DA\DE COUNTY. FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE.
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET. SUITE 1603
MIAMI. FLORIDA 33130 :1563
(305) 375 -3901 FAX (305) 355.290
CONTRACTOR UCE..S1.WC SECTION
(305) 375 -255.7 FAX (305137$.2SUU
CONTRACTOR E.\FO1tCIDMTSECTIO
(305) 375.:966 FAX (305) 375.2903
PRODUCT CONTROL DIVISION
Your application for Product Approval or: (303) 373.2902 FAX (305) 372.6339
CAI' Rnberoid Modified Bitri,,,e,) Ruuf Sysie,)rs For {lour! Deck.
under Chapter 8 of the Code or 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 -Dad
County Building Code Compliance Office (BCCO) under the conditions specitied herein.
This approval shall not be valid after the expiration date stated below. BCCO reserves the ri�_ht 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, 1 11 is
determined BCCO that this product or material fails to meet the requirements of the South Florida Buildin,
Code.
The expense of such testing will be incurred by the manufacturer.
Acceptance No.:00- 0331.03
.
PRODUCT CONTROL NOTICE OF ACCEPTANCE
G. sN1,>atcrials Corporation
A 13 6 s Road
Wayne NJ 07470
Expires:11 /06/2003
A pproved :07/06/2000
Internet mail address: postmaster ®bulldinScodeonline.com
Raul Rodriguez
Chief Product Control Division
TIIIS IS THE COVERSIIEET, SEE ADDITION.-\L PACES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
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.
.rancisco . Quintana. It.A.
Director
I of 55 Miami -Dade County
I3uilding Code Compliance Office
Homepage: http : / /www.buildinacodeonline.com
CAF MATERIALS CORPORATION
•
Caret orv:
Sub- Catet;orv:
Deck Tvpe:
Maximum Desist n Pressure
Fire Classification:
ROOFING SYSTEM APPROVAL
Rooting
SDS /APP, Modified Bitumen
Wood
-75 psf
See General Limitation #I
Acceptance No: Maui
O8
Approval Date: July G?
Expiration Date: Nevcmbcr 06. 2003
TRADE NAMES OF PRODUCTS M.. NurAcTuRED OR LAUEL1.D BY APPLICANT:
Product
GAF Asphalt
Concrete Primer
GAF Mineral Shield®
Granules
GAF WeatherCoat®
Emulsion
GAF Premium
Fibcred Aluminum
Roof Coating
GAF J'tblak All
GAF �S
GAFGLAS g30
UltimaTm Base Sheet
GAFGLAS Ply G®
GAFGLAS Flex
PIyTm 6
Test
Dimensions S rccification
5, 55 gallons ASTM D 41
60 Ib. bags ASTM D 1363
5 gallons ASTM 1227
1, 5 gallons
1. 5 Gallons
3 sq. roll '
75 Ib. roll
2 Sq. Roll
70 lbs. /roll
5 sq. roll
45 Ib. roll
5 sq. roll
45 Ib. roll
ASTM D 2824 Fibcred aluminum coating.
`ST,`I D 3019
.\S7 .`I
ASTNI D 4 601 Asphalt il!ipreena,ed and coated Is
mat base sheet.
ASTM D-4601
ASTM D 2178
ASTM D 2 173
2 of 55
Product
Description
Asphalt concrete primer used to
promote adhesion ofasphalt in built -up
roofing.
Granules for surfacing of exposed
asphalt, cold process cement or
emulsion. GAF ,Mineral Shield®
Granules shall be used for flashing
applications only.
Surface coating for smooth surfaced
root's.
Refilled asphalt ;th a mineral
ilbe: P_:'lill;j ndi:,:sion
tJ .•et ;i d Ci' surta.:cs.
Asphalt impregnated and coated,
fiberglass base sheet
Typc VI asphalt impregnated glass felt
with asphalt coating.
Type VI asphalt impregnated glass felt
with asphalt coating.
Frank Zuloaga. RRC
Rooting Product Control Examiner
• GAF MATERIALS CORPORATION
Product
GAIrGLAS Ply 4
GAFGLAS®
Mineral Surfaced
Cap Sheet
RUBEROID®
Modified Bitumen
Adhesive
GAFGLAS<
STRATA VENT
Perforated
GAFGLAS® Flashing
GAFGLAS®
STRATAVENT
Nailablc
RUBEROID Modified
Base Sheet
GAFTENIPs
Isotherm R
Tapered GAFTE:MIP s
Isotherm R
GAFTEtMIP Isotherm
RA
Tapered GAFTEN1P
Isotherm RA
GAFTEMP Isotherm
RN
Dimensions
$ sq. roll
5 gallons
60 Ib. roll
various
69 Ib. roll
3 sq. roll
67 lbs.
various
various
various
various
various
Test
S )ecilleation
ASTM D 2173
76 Ib. roll ASTM D 3909
ASI;`I D 4307
D 3672
ASTM D 489
D 3672
PA 110
PA 110
PA 110
PA 110
PA 110
3 of 55
Acceptance Nu: 00 - 033 LOS
Product
I)escrintion
Type IV asphalt impregnated glass felt
with asphalt coating.
Asphalt coated, glass libcr mat cap sheet
surfaced with mineral granules.
ASTNI D 3019 Fiber reinforced. rubberized Adhesive
Type III
Fiber `class base sheet impregnated and
coated on both sides with asphalt.
Surfaced on the bottom side \%ith
mineral granules embedded in asphaltic
coating \vith factory' perforations.
Asphalt coated glass fiber mat flashing
sheet available in three sizes.
Fiber glass base sheet impregnated and
coated on both sides with asphalt.
Surfaced on the bottom side \vith
mineral granules embedded in asphaltic
coating.
ASTM D4601, Premium glass fiber reinforced SBS-
Type II, UL Type modified base sheet
G2 BUR
Poly isocvanurnte loam insulation.
Tapered Polyisocyanuratc foam
insulation
Polyisocyanuratc foam insulation
Tapered Polyisocyanuratc foam
insulation
Polyisocyanuratc foam insul
Prank Luloaga, RItC
Rooting Product Control Examiner
GAF r%I:\TFRIALS CORI'ORATI()N
Product
Tapered GAFTEMP
Isotherm RN
GAFTEMPO
Composite
Tapered GAFTEMP
Composite
GAFTEMP®
Composite A
Tapered GAFTENIP®
Composite A
GAFTEMPoD •
Composite N
Tapered GAFTEMP(
Composite N
G.AFTE1M1P1s
Fiberboard
G. \ FTE`.iP
P eriiialite
GAFTEMP Recover
Board
GAFTEMP®
Higli Density
Fiberboard
GAFTiTEO #12
Standard
Roofing Fastener
D i m ens i ons
various
various
various
various
various
various PA 110 Polyisocyanurate loans insulation with
pith density fiberboard or Permalite
perlite insulation.
various
various
various
I!2" thick
various
Tcs t
Snccificatinn
Acceptance vu: 011-0331.08
Product
I)eserintinn
PA 110 Tapered Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate loam insulation with
high density fiberboard or Permalite
perlitc insulation.
PA 110 Tapered Polyisocyanurate loans
insulation with high density fiberboard
or Permalite perlite insulation.
PA 1 10 Polyisocyanurate foam insulation with
high density fiberboard or Permalite
perlite insulation.
PA 110 Tapered Polyisocyanurate foam
insulation with high density fiberboard
or Permalite perlite insulation.
P;\ 110 Tapered Polyisocyanurate foam
insulation with hi.;lt density fiberboard
or Permalite perlite insulation.
PA 110 Fiberboard inst,!a' ion.
PA 110 Perlite recover board
PA 110 i-Iigh density wood fiberboard
insulation.
PA 114 Insulation fastener for steel and
plywood decks.
4of55
Frank Zuloaga. RRC
Rooting Product Control Examiner
GAF MATERIALS CORPORATION
Product
GAFTITE ® !!I4
Heavy Duty
Rooting fastener
GAFTITE ASAP
GA FTITE® Base
Sheet
Fastener and Plate
Galvalume Plates
NTB Fasteners
Polypropylene Plates 3" and 3 'V"
Ruberoid® 20
Ruberoid® Mop
Granule
RUBEROID MOP
Smooth
RLBERO1D MOP
PLUS
Dimensions
3" and 3 '/"
1.5 sq. roll
I sq. roll
103 lbs.
1 sq. roll
87 lbs.
I sq. roll
102 lbs. ,
RUBEROID MOP 1 sq. roll
170FR 103 lbs.
RUBEROID MOP FR
1 sq. roll
105 lbs.
Test
S p ecification
Acccpt.:ncc No nu- 0331.n�t
Product
Descri
I'A 114 Insulation fastener for steel. wood and
concrete decks.
PA 114 Pre- assembled GAFTITE Fasteners and
metal and plastic plates.
PA 114 I3:se sheet t;lstenin:, assembly.
PA 114 Round ga1valulne stress plates.
PA 11:1 Fastener for use in ":ypsum. tectunl and
lightweight insula :inU concrete deck,.
PA 114 Round polypropylene stress plates.
AST1"1 D 5147 SBS modified asphalt base sheet and
interply sheet reinforce with a glass
fiber that.
ASTM D 5147
ASTM D 5147
ASTM D 5147
ASTM D 5147
ASTM D 5147
5 of55
Non -woven polyester mat coated with
polymer modified asphalt and surtaccd
with mineral granules.
Non -woven polyester neat coated y' ith
polymer modified asphalt and smooth
surfaced.
Non -woven poly stcr mat coated ■vith
polymer modified asphalt and surfaced
%vitll mineral granules.
Non -Woven polyester mat coated with
fire retardant polymer modified asphalt
and surtaccd with mineral granules.
Non -Woven polyester mat coated %vith
tire retardant polymer modified asphalt
and surfaced with mineral granules.
Frank Zuloaga. RRC
Rooting Product Control Examiner
cAt• CIA t t.RI. LS CORPORATION
•
Produc
Dimensions
RUBEROID TORCH 1 sq. roll
Smooth 87 lbs.
RUBEROID TORCH
Granule
RUI3I:ROID TORCH
PLUS
RUBEROID TORCH
FR
RUBEROID 30
RUBEROID 30 FR
Vent Stacks (metal
and plastic)
G AF •\',.,.,w
•
L,nuls:
RUBEROID
ULTRACLAD SBS
GAF Aluminum Roof'
Paint
GAF Built -Up
Roofing Asphalt
1 sq. roll
102 lbs.
' / V sq. r o l l
93 lbs.
V. sq roII
90 lbs.
I sq. roll
92 lbs.
1 sq. roll
92 lbs.
, !alions
ASTM D 5147
ASTM D 5147
ASTM D 3147
ASTM D 5147
PA 100(A)
ASTM D 1929
AST,`I D 635
109. Roll • AST..I D 5147
101 lbs.
5 gallons
100 Ib. cartons.
bulk
Test Product
PectIiratiott Description.
ASTM D 5147 Heavy duty, polyester reinlureed,
asphalt modified bitupten membrane,
smooth surface.
ASTM D 5147 1-leavy duty, polyester reintorced,
asphalt modified bitumen membrane.
granule surface.
AST,VI D2324,
Type I
ASTM D312,
Types 1, 11, iII and
IV
6or55
Acceptance No: ituja
Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
granule surface
Heavy duty, polyester reinforced. coated
%vitlt tire retardant asphalt modified
bitumen membrane, granule surface.
Non woven fiberglass mat coated with
polymer ntoditied asphalt and surfaced
with mineral granules.
Non woven fiberglass mat coated with
tire retardant polymer modified asphalt
and surfaced with mineral granules.
One wav valve vent used to relieve
built -up pressure within he roof system.
GAF Vent Stacks are available in metal
or plastic.
Nl neral eol o Hum:nous emulsion
`Wo fiber�,lass iiat coated with
Polymer modified asphalt surfaced with
aluminum, copper or stainless steel foil.
Non- fibered. aluminum pigmented.
asphalt rootcoating
Intcrply mopping and surfacing asphalt
Frank Zuloaga. RRC
Routing Product Control Examiner
GAF NIATERI:\LS CO121'OitATION
Test Product
Product Dimensions S 1)escritjtinn
RUBEROID MOD 60 Ib. kegs SGI3S modified asphalt
Asphalt
RUDEROID MOD 60 Ib. kegs
Asphalt L
RUBEROID MOD 60 Ib. kegs
Asphalt P
GAFTEMP Tapered Various
Isotherm R
GAFTEMP Tapered Various
Isotherm RA
GA FTENIP Tapered Various
Isotherm RN
GAFTEMP Various
GAFCANTT`
GAFTEMP Various
GAFEDGET't
Tapered Edge Strip
GAFTEMP
I'ERMALiTE0
Tapered Roof
Insulation
GAFTE;`iP Reco %er
Board
Various
1/2 thick.
Various sizes,
Shingle- Mater" 4 sq. roll
Underlayment 30 lbs.
GAFTITEZ ASAP 500 per box
SEi3S modified asphalt
SEf3S modified asphalt
PA 110 Tapered polyisocyanurate foam
PA 110 Tapered polyisocyanurate foam
Tapered poly isocyanurate toast
Cut perlite board
Tapered perlite board
PA 110 Tapered perlite board
PA 110 Perlite board
Fiberglass reinforced shint.lc
underlav1 ent
Acceptance Nu: UU- 11331.113
PA 1 1.4 Pre - assembled fastener and metal and
plastic plates
RUBEROID® 5 gallons ASTM D 3019 Fiber reinforced, rubberized Adhesk c
Modified Bitumen Type 111
Adhesive
7 of55
ran • Zuloaya. RRC
Rooting Product Control Examiner
CAF ,MATERIALS CORPORATION
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS:
Pyrex
ACFuant 1
Product
ACFuant II
Hy-Therm Nail -line
Hy -Therm SP
Hy- Therm AP
Hy-Therm Stable R
Hy-Therm White
Line
AIiciiorbor.d
Faste,ler
Deklast Fasteners
'414
Test
Dimensions S pecilicatinn
various
various
various
various
various
various
various
various
Dekfast Hex Plate 2 7/3" x
3 1/4"
Deklast Lock Plate 3" x 3 1 /4"
Product
I)cscritttion
PA 110 Polyisocyanurate foam
insulation
PA 110 Polyisocyanurate roam
insulation
PA 110 Polyisoc■anurate loam
II1sul ;tt1011
PA 110 Polyisocyanurate loam
insulation
PA 110 Polyisocyanurate foam
insulation.
PA 110 Polyisocyanurate foam
insulation
PA 1 10 Polyisocyanurate foam
insulation
PA 1 10 Pol■ anurate tJ;tn
i;lsukition
3 o155
Hstil;ition l,astCnin
assembly
PA 1 14 Insulation fastener for steel
and concrete decks
PA 1 14 Galvalume hex stress plate.
I'A 114 Polypropylene locking
plate.
Acceptance Nu: 00-0331.08
i Ianufacturer
Apache Products Co.
(with current PCA)
Atlas Encr_i.y
Products
(with current PCA)
Atlas (
Products
(%%itl) current I'(... \)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current PCA)
Celotex Corp.
(with current 1'C - \)
CClotex Corp.
(with current PC - \)
Celote\ Corp.
itli current PC - \)
Construction
Fasteners Inc.
(with current PCA)
Construction
Fastcncrs Inc.
(with current PCA)
Construction
Fasteners Inc.
Frank Zuloaga. RRC
Rooting Product Control Examiner
. CAF MATERIALS CORPORATION
Deklast Fasteners
#15
Dektast Fasteners
#12
ISO 93+ Composite
Asphalt
Asphalt Primer
EPS
Product
High Density Wood
Fiberboard
Pelite /Urethane
Composite
Perlite Insulation
Polyethylene
Red Rosin
Rootin, Nails
Tin Caps
MB aluminum roof'
coating
Test
Dimensions Snccilication
various PA 110
various PA 110
various PA 110
PA 110
various
4 mil min.
various
itilinimum #
12
Min. 32 ga. x
AST\v1 D -11 Asphalt Primer
9 of 55
Product
Dcscri
1'A 114 Insulation fasteners for
concrete decks
l'A 114 • Insulation fastener for steel Construction
and %wood decks. Fasteners Inc.
(with current PCi \)
PA 110 Polyisocyanurate / perlite Firestone
ridged insulation (with current PCA)
AST;N1 D 312 Type 111 or 1V Hot asphlat
bitumin adhesive
Extruded polystyrene
insulation
Wood fiber insulation board
Perlite / urethane composite
board insulation
Perlite insulation board
Vapor barrier / Air barrier
Rosin paper for barrier
layer on wood decks
PA I 14 Corrosion resistant annular
ring shank nails
Corrosion resistant circular
discs.
PA 121 Aluminum roof coating
Acceptance No: 00 0331.03
Manufacture
Construction
'Fasteners Inc.
(with current PCA)
generic
generic
enerie
generic
14eneric
_encric
eeticric
generic
generic
generic
Grundy Industries
ran Zuloaga, RRC
Rooting Product Control Examiner
loe% gift: \ LS CORPORATION
Product
Deets -Deck
1112 Roofgrip
#I4 Rootgrip
Gripdek Fastener
Hexed Fastener
I
Standard Plastic
Plate
ISO 95+
F'NRG'Y -2
ISORLc
OI Standard
Olympic Fastener
#14
Test
Dimensions S weiftcation
various
3" round
various
various
3" round
PA 110 Gypsum insulation hoard.
P.\ 114 Insulation fastener fur steel
or wood decks
I'A 114 Insulation fastener steel,
‘vood or concrete decks
PA 114
PA 114
10 of 55
Product
Deserit►tiott
Insulation fastener
Insulation fastener
Insulation fastener and
metal or plastic plate
PA 114
PA 114 Polyoletin plastic plate
PA 110 Polyisocyanuratc foam
insulation
PA 110 Polvisocvanuratc foam
insulation
PSI; isoc� aruratc (
roc \•.col cor;tpos
insulation
P'-\ 114 3" round ialvaluntc
AZ55 steel plate
PA 114 Insulation Fastener
Acceptance No: OU-Q I,qg
Manufacturer
Georgia Pat: ilic
(Alai current PCA)
• ITW 13uilde\
(with current PC, \)
I1'1V Buildex
(with current PCA)
ITW Buildex
(with current PCA)
Buildex
( �' ith current PC..\ )
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
International
Perntalite
(will) current PCA)
NRG Barriers, Inc.
(with current PCA)
NrTG Ba rricrs. Inc
(v. ith currcrt PC-1
Olympic
`Ianntacturin:4
Group, Inc.
(with current PCA)
Olympic
tNlanulacturine
Group, Inc.
(with current I'CA)
Frank Zuloaga. RRC
Rooting Product Control Examiner
C:\1' MATERIALS CORPORATION
Product
Olympic
Polypropylene
Olympic Fastener
W 13
Olympic Fastener
ASAP
Olympic CR Base
Felt Fastener and
Base Sheet Disc
Glasfast Fastener
Paroc Base Board
Paroc Cap Board
UltraGnrd
Instil -FINN, Fastener
Instil -FINN P
Test
Dimensions S
3.25" rot
various
various
various
3" round
PA 114 Polypropylene
plastic plate
PA 1 14 Insulation fastener
PA 1 14 Pre- assembled Insulation
fastener and plate
PA 114
PA 114
PA 110
PA 110
PA 110
11 ot55
P
Descritttinn
Insulation fastener
assembly for Base Sheet
fastening only
Insulation fastener
assembly with recessed
plastic plate
Rockwool insulation
Rock \\ool insulation
Polyisocyanurate foam
insulation
PA 114 Insulation fastener for steel
and wood decks
PA 114 3" round polyethylene
stress plate
Acccptancc `o: 00 -Ur
tNlanufacturcr
Olympic
Ivlanutacturinz
Group. Inc.
(with current PCA)
Olympic
Nlanutitcturing
Group. Inc.
(with current PCA )
Olympic
Manufacturing,
Group, Inc.
(with current PCA)
Olympic
Manufacturing,
Group, Inc.
(with current PCA)
Owens - Corning
Fiberglas Corp.
(with current PCA)
Partck. Inc.
(with current PCA)
Partck. Inc.
ith current PCA)
Schuller
International Inc.
(with current PCA)
SFS /Stadler
(with current PCA)
SFS /Stadler
(with current PC:\)
rank Zuloaga. RRC
Roofing Product Control Examiner
c•A• psi. 1 t•-I{IALs CORPORATION
Product
Rawl Fasteners
#12
Rawl Fasteners
N14
Rawl 2" Plate
Rawl 3" Plate
Rawlite 3" Plate
202 HS
Super Prep II
Tru -Fast
Tru -Fast Plastic
Plate
Tru -Fast MP-3
Tru -Fast HD
Test Product
Dimensions $ wcilication I)cscrintion
I'A 114 Insulation tastener for steel
and %vood decks
2" round
3" round
3" round
3.04" round
3.23" round
PA 114 Insulation listener for use
in steel, wood or concrete
PA 114 2" round galvalunie AZ55
membrane plate
PA 114 3" round galvalunie AZ55
steel plate
PA 114
PA 121 Roof coating
PA 121 Root coating
P:; 114
PA 114 3.04" round polyethylene
plastic plate
PA 114 3.23" round galvalunte
AZ50 steel plate
PA 114
12 of 55
.3 round galvalume AZ55
steel plate for use with
Rawlite fasteners
Insulation fastener (or
or wood (� i
Insulation fastener for use
in wood, steel or concrete
decks
Acceptance Nu: 11 - 11 31.01{
tNlanufactur
The Rawlplug
Company Inc.
(with current PCA)
The Rawlplug
Company Inc.
(With current PCA)
The Rawlplug
Company Inc.
(with current PCA)
'flie Rawlplug
Company Inc.
(With current I'C, \)
The Rawlplug
Company Inc.
(with current PC# \)
Thermo -Materials.
Inc.
(with currcn: PC, \)
Tlierino- Materials.
Inc.
current PCA)
i -Fast
di current PC,\
Tru -Fast
(with current PCA)
Tru -Fast
(with current 1'CA)
Tru- Fast
itlt current PCA)
Frank Zuloaga. RItC
Rooting Product Control Examiner
GAF MIATERI ALS CORPORATION Acceptance Nu: 00- 0331.05
Product
Tru -Fast DP
- Fru -Fast 1•P
Structodeck
EVIDENCE SUl3`1ITTED:
Test Aucnev
Factory Mutual Research
Corporation
Test
Dimensions Specil cation
Tru -fast Ultra PA 114
PA 114
PA 114
various PA 110
Test Identifier
Current Insulation
Attachment
Requirements
Factory Mutual Research Wind Uplift
Corporation FMRC 4470 - I',1 114
Factory Nlutua! Research \Vied Uplift
Corporation FMRC 4470 - PA 1 I;
Factory Mutual Research Wind Uplift
Corporation FMRC 4470 - PA 114
Factory Mutual Research Wind Uplift
Corporation FMRC 4470 - PA 114
Factory Mutual Research Wind Uplift
Corporation FMRC 4470 - PA 1
Factory Mutual Research Wind Uplift
Corporation FMRC 4470 - PA 114
13 of 55
Product
Descrintton
Stainless Steel fastener for
use in steel, wood and
concrete decks
Insulation fastener for use
in steel or wood decks
Insulation fastener for use
in steel or wood ducks
density wood tiber
I)escrintion
FMRC 1996
J.1. 0T4A l .ANI
J !. I VS: \1.ANl
J.I.IRIA6.AN1
J.I. 0T2Q4.AM
J.I. OQGA6.AM
J.I. 3X3A2.AM
Nlanufucturer
Tru -Fast
(with current PCA)
i ru -Fast
(with current PCA)
lru•Fast
(w id) current PCA 1
Wood Fiber
Industries
(with current PCA)
Date
01.01.96
08.26.92
06.28.93
1 1.1 5.91
10.17.91
07.1 6.91
08.02.94
Frank Zuloaga. RRC
Routing Product Control Examiner
CAF MATERIALS CORPORATION
Test Aucner
Factory Mutual Research
Corporation
Factory Mutual Research
Corp.
Factory Mutual Research
Corp.
Trinity Engineering
Underwriters
Laboratories, Inc.
Dynatech Engineering
Corporation
Dynatech Engineering
Corporation
Test Identifier
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift, FMRC
4470 - PA 114
Wind Uplift. FNIRC
4470 PA I14
Wind Uplift PA 114
Fire Resistance
Classification
U L 790 - PA 1 1 4
Wind Uplift
PA 114
Wind Uplift
PA 114
14 u1
Deseritntion
J.I. 0Y9Q5.ANI
J.I. 1 B9AS.AN1
J.I. 3D4Q2.A,NI
4483.04 97 -1
R1306, 87NK 1 1819
%3600.02.95 -1
4 ' 4 482.02.95 -1
Acceptance No: 1111 - 0}JI O
Date
07.29.94
09.04.97
04.30.97
06.06.97
01.01.93
02.02.95
02.02.95
Prank Zuloaga, RRC
Routing Product Control E.x;unin4:r
4'
GAF NIATERIALS CORPORATION
Membrane Type:
Deck Type 1: .
Deck Description:
System Type A(2):
All General and System Limitations shall apply.
Base Sheet:
Ply Sheet:
tvlembrane:
S
Design
Pressure:
Maximum Fire
Classification:
Maximum Slope:
Specification No.:
SDS
1Vood, Non - insulated New Construction or Reroof
," or greater plywood or wood plank decks
Base sheet mechanically fastened.
GAFGLAS® #75, GAFGLAS tt30 Ultima' Base Sheet, GAFGLAS'g PLY 4 i .
GAFGLAS® PLY 6 ®, GAFGLAS FlexPlyr" Base Sheet,GAFGLASts�
STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROID g.)
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 ot'the sheet in the field.
(Optional) One, two, or three plies GAFGLAS PLY - II. G. \f GLASi, PLY 6
Ply or GAFGLAS Flex Ply 6 sheet adhered in a fill stopping of approved
applied within the EVT range and at a rate of 20 -40 lbs. /sq..
One or more plies of RUBEROiD MOP Smooth, Ruberoid'g Mop 170 FR.
Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid ® 30 or
Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladT" SBS in
adhered in a full mopping of approved asphalt applied within the EVT range and
at a rate of 20 -40 lbs. /sq..
Or,
One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule.
RUBEROiD® Mop 170 FR, RUBEROID Mop Plus Granule. RUBEROID 30
RUBEROiD® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladT" SB
in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq.
(Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top
membrane) Install one of the following:
1. Gravel or slag applied at 400 Ib. /sq. and 300 Ib.:'sq respectively in a flood coat
of approved asphalt at 60 lb. /sq..
2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an
application rate of 25 lb. /sq. ± 15 %.
-45 psf (See General Limitation #7)
Sec General Limitation #1.
Sce General Limitation #1.
19 of55
Acceptance \o: 00 LOS
Fran Zuloaga, RRC
Rooting Product Control Examiner
•
S
CAI: MATERIALS LS CORI'Oti:\'f 1oN
•
WOOD DECK SYSTEM LIMITATIONS:
I A slip sheet is required %vith Ply 4'Ki Flex Ply'" 6 and
fastened base or anchor sheet.
2. '' Type X gypsum board is acceptable to be installed directly over the wood deck.
GENERAL LIMITATIONS:
1 Fire classification is not part of this acceptance, rcler to a current Approved Rooting, , `Iaterials
Directory for lire ratings ot'this product.
2 Insulation may be applied in multiple lavers. The first laver shall be attached in compliance %'' I
Product Control Approval guidelines. All other layers shall be adhered in. a I mopping or
approved asphalt applied within the EVT ranee and at a rate of 20 -40 lbs. /sq., or mech ;uric :tfk
attached using the fastening pattern of Ilse top laver.
3 All standard panel sizes are acceptable for mechanical attachment. When applied in a > pro% . I
asphalt, panel size shall be 4' x 4' maximum. 1 ! <<
4 An overlay and or recovery board insulation panel is required on all applications over closed cell
toast 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 clown the center of the sheet
allowinu a continuous area of ventilation. Encircling
shall be placed every 12' in each ribbon to allow cross ventilatio i. Is Asphalt c appliication of either reak
system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited
to a maximum design pressure of -45 psf.
5 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F•) value.
of 275 !bl•., as tested in compliance with TAS 105. I!' the fastener value, as field- tested, is belkm
275 Ibf., insulation attachment shall not be acceptable.
6 Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based
on a minimum fastener resistance value in conjunction with the maximum desi`,n value listed
within the specific system. Should the fastener resistance be less tha;; that required, as determined
by the Building Official, a revised fastener spacin;:, prepared, siened and scaled by a Florida
Re stored Ca2ineer or Architect may be submitted. Said revised fasteners aci:
utilize
withdrrw.a! resistance value taken front ��lianti -Dade Protocol TAS 105 and calculatios calculations compliance t�ith Miami Dade
in
7 Rootin,!Application Standard RAS 117.
Perimeter and corner areas shall comply with the enhanced uplift pressure of these area
calculated in compliance with Chapter 23 of the South Florida Building s, es
shall be increase for both insulation and base sheet as needed calculated in Code. ompliance ∎ d I
IMliami -Dade Roofing Application Standard TAS 117. (When this limitation is specifically
referred within this NOA, General Limitation N9 will not be applicable.)
3 All attachment and sizing of perimeter Hailers, metal profile, and /or flashing termination designs
shall conform with Miami -Dade County Roofing Application Standard TAS 1 I I and the wind load
`1
requirements of Chapter 23 of the South Florida Building Cod
The maximum designed pressure limitation listed shall be applicable to all roof pressure zones i.e.
field, perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced
fastening at enhanced pressure zones (i.e. perimeters. extended corners. and corners).
limitation is specifically referred within this NOA, General Linli
applicable.) .
54 or'ss
A
, :ceptanee No: 00 -11331 11s
pl 6 t.. w hen used as a nleehanicall%
Frank Zuloaga, RRC
Rooting Product Control Examiner
GAF MATERIALS CORPORATION
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
.• :celil,ttt:e No 1111 11331.t1s
1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been
Tiled and the original submitted documentation. including test supporting data, eh`,ineering
documents. are no older than eight (8) years.
2 Any and all approved products shall be permanently labeled with the manufacturer's name. city
state, and the ollowing statement: "Miami -Dade County Product Control Approved ", or as
specifically stated in the specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered it:
a) There has been a change in the South Florida Building
product and the product is not in compliance with Code affecting g the evaluation of this The product is no longer p �th the code chan�,es:
p per the same product (identical) as the one uri_inally approved:
c) IC the Acceptance holder has not complied with all the requirements °Rills acceptance.
including the correct installation of the product:
d) The eneineer who originall prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engtneern�_ profession.
4 .\ny 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 ofa revision application with appropriate fee) and _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 `lia :11: -D,:d0 County. Florida. and
followed by the expiration date may be displayed in advertisirn` ! : :crat:rc. If any portion of the
Notice ofAcceo;ance is displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as�tpproved drawin
sh be provided to the user by the manufacturer or its distriiibutlors aroidtrshalltbe`available orics,
inspection at the job site at all times. The copies need not be resealed by the engineer.
3 Failure to comply with any section ot'this Acceptance shall be cause for termination and removal
of Acceptance.
9 This Acceptance contains pages I through 55.
END OF THIS ACCEPTANCE
55 of 55
Frank Zuloaga, RRC
Rooting Product Control Examiner
172
ROOF COVERING 'MATERIALS (TEVT)
Roofing Systems (TGFU) Continued
Insulation: ' One or more layers perlite; glass'fiber, 3/4 in. ;min, isocya-
nurate, e, pezlite%isocyanurate composi.tQ,,perlite /urethane com-
Poo �•: • }' c, 14f itt,•mm.
QINE or more yens of Type G1, G2 or.G3:
.. Torcl#'H ( smooth or
')Nth Plus ".(anule), "Ruberoid Mop'.' (smooth or
Ofe igranal4p . '
MB Alur n Roof Coating" at 1-2 gal/Sq.:. .i
,D000.0. +/'' C' 1`!° . Insline:1 / es^
v�Insulatibtt �u • tiona0: One or more.layers perlite ; glass -fiber, 3/4 in.
min, isocyanurate, u are,, perlite/)socyanurate' composite, perlite/
urethane composite, phenolic, 1-1/2 m. min.
Base Sheet One or more Sayers of Type G2 "GAFGLAS #75 Base Sheet",
hot atdpped or mechanically fastened in place. •
Ply Sheet :One or more layers of Type G1 "GAFGLAS Ply 4 ", hot
mopped in place.
Membrane: "Ruberoid Mop FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq
or GAF Weather Coat Emulsion at 3 gal /sq.
10. Deck: C-15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in.
min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, phenolic, 1 -1/2 in. min.
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place.
Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", or
"GAFGLAS Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal/ sq
or GAF Weather Coat Emulsion at 3 gal /sq.
11. Deck: C -15/32 Incline: 1/2
Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber,
any thickness, hot mopped or mechanically fastened in place. Joints
offset 6 in.
Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot mopped or mechanically fastened in place.
Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4"
or "Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1-1/2 gal / sq
or GAF Weather Coat Emulsion at 3 gal /sq.
12. Deck: C -15/32 Incline: 1/2
Insulation (Optional): Isocyanurate, perlite or glass fiber, any thick-
ness, hot mopped or mechanically fastened in place. Joints offset 6 in.
Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place.
Ply Sheet One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6 ",
hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq
or GAF Weather Coat Emulsion at 3 gal / sq.
13. Deck: NC Incline: 1/2
Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass
. fiber, any thickness, hot mopped or mechanically fastened in place. Joints
offset 6 in.
Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot mopped in place.
Ply Sheet (Optional): One or more layers of Type Gl " GAFGLAS Ply 4"
or "Ply 6" hot mopped in place.
• Membrane "Ruberoid Torch 170FR" (granule):
1 , Surfadng (Optional):. "GAF Fibered Aluminum Coating" at 1 -1/2
gal /sq or GAF Weathe>_Coat Emulsion at 3 gal/sq. s' ,.: .
14. N C ' Incline: 1/21 c'r
on (Q4)ttonaJ)4 Isbcyanurate, wood fiber board, perllte,tglass
4„4, fibet)any thidpeips hot mopped ormedpamcallyfastened m'p Joints
,0 •`•q.: ! i.'.. ib• .. , " "• - -1 . u: ai:i': 7!F:L :F :7: ? :
morerlwers •ofi4GAFGLAS # Z5,Base Sl tet hot
.j ° fT'Irt 8 r1l2 t. +bit :I9: s(; .' (•
Oa* i ayesstif "fitbitgjLA'S "Ply
2000 ROOFING MATERIALS & SYSTEMS DIRECTORY
ROOF COVERING 'MATERIALS (TEVT)
Roofing Systems (TGFU) Continued
Insulation (Optional): Perlite, fiber glass, ; isocyanurate
perlite/isocyanurate composite orlphenolic.• .i '
Base Sheet One ;Or more layers Type G2 or G3 base'sheet,
• or mechapical(y,'stened: • , .
.Ply Sheet (Optional): .One. or more layers Type G1, hot
placet y .
Membrane: "Ruberoid Mop PR" or "Ruberoid Mop 170 FR"
16. Deck: C -15/32 ` , Incline: 1/2
Insulation ;(Optional): Perlite, fiber glass, -isocyant rate,
perlite/isocyanurate.composite or phenolic,. offset 6 in. from •
Base Sheet One or more layers of Type G-2 or G-3 base
mopped or mechanically fastened.
Ply Sheet (Optional): One or more layers of Type G-1, hot m
place.
Membrane: One layer of "Ruberoid Torch" or "Ruberoid _
(smooth).
•
Membrane: One layer of "Ruberoid Torch 170FR" or "Ruberoid
FR" (granule)
>17. Deck: NC
Incline: 1
Insulation (Optional): Perlite, fiber glass, wood fiber, isocvan
urethane, perlite /isocyanurate composite or phenolic.
Base Sheet: One or more layers Type G2 or G3 base sheet, hot m
or mechanically fastened.
Ply Sheet (Optional): One or more layers Type Gl, hot mopp
place.
Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 17
FR" (granule).
18. Deck: NC Incline: 1/2
Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanur
urethane, perlite / isocyanurate composite or phenolic.
Base Sheet (Optional): One or more layers of Type G-2 or G -3
sheet, hot mopped or mechanically fastened.
Ply Sheet (Optional): One or more layers of Type G-1, hot mopped
place.
Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid M
(smooth).
Membrane: One layer of "Ruberoid Torch 170FR ", "Ruberoid Mop FR'
or "Ruberoid Mop 170 FR" (granule).
19. Deck NC Incline: 1/2
Insulation (Optional): One or more layers of perlite, glass fife
isocyanurate, urethane, perlite /isocyanurate composite or phenolic, an
thickness.
Base Sheet: One or more plies G1 or G2, hot mopped or adhered vvitt
Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" col(
applied adhesive at 1 -1/2 gal /sq.
Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 11!
FR" (granule), hot mopped or adhered with Karnak Chemical Co. No
81" or Gibson -Homan "No. 6160" cold applied adhesive at 1-1/2 galls4
20. Deck: C-15/32 Incline: 1/4
Insulation: Polyisocyanurate, any thickness.
Base Sheet "GAFGLAS #75" (Type G2), mechanically attached.
Membrane: One or more plies of "Rubberoid Torch (smooth).
Membrane: "Ruberoid Torch 170FR" (granule).
21. Deck: C -15/32 Incline: 1/2
Insulation (Optional): Polyisocyanurate, wood fiber perlite, glass fibr.
any thickness, hot mopped or mechanically fastened. • • ���
Base Sheet.) One or more plies of Type G2 "AFGLAS #75" o _
"Ruberoid 20 FR" base sheets, hot mopped or mechanically fastened. INF
Membrane: One or more plies of !"Ruberoid 30 hot m opped 0
place. - ./. 7;1
22. Deckc.C- 15/:321ii i. -. •. . 1 8> • ... incline : Tait" )1 ^.':)3• "r
—
In'sulation .(Optional): Polyisocyanurate, woodifi " perlite,, or gla
fiber any thielmess,;hot• mopped)oimechanically fastened. cI m.
of 'type G2 "GAFGLA9 #75fc hot mopp
�' l,t'I'r iv:
of:Y ubanaid2O'. on ' LL d2QFR" Ill.
id 30 FR ",:lhotl ►.,•
F , fit J>ii' - k`r '
R.
IF
C
She
to
to
er
NC
tio;
e
She
ra.
c Ro.
sq. .
NC
ulatio
fib
Sh.
bra.
d. -
Ctr
7 5
C-1
,.
11 ^
•
Room COVERING MATERIALS (tlEVr)
Roofing Systems (1'GFU)— Continued
InsuIalio m sDne mina. layers pedite; glassift'be 3/4 in min, isocya-
I: • ." If title • 41 %I.
2000 ROOFING MATERIALS & SYS MSDIRECTQRY
eon ry /u
i perlite rethane com-
,, �
GI, 02.eti3,
Asuittgth or
V.FamcOth or
y 'Mgr of 1-2 gal /sq., •
One or more. layers perlit glass fiber, 3/4 in.
min, isocyanuratat thane, perlite/isoq(anurate composite, perlite/
urethane composite, phenolic, 1 -1/2 in min.
Base Sheet: 011ie or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot •mopped or mechanically fastened in place.
Ply Sheet One or more layers of Type G1 "GAFGLAS Ply 4 ", hot
mopped in place.
Membrane: "Ruberoid Mop FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1-1/2 gal /sq
or GAF Weather Coat Emulsion at 3 gal /sq.
10. Deck C -15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in.
min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, phenolic, 1 -1/2 in. min.
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place.
Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", or
"GAFGLAS Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq
or GAF Weather Coat Emulsion at 3 gal /sq.
11. Deck: C -15/32 Incline: 1/2
Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber,
any thickness, hot mopped or mechanically fastened in place. Joints
offset 6 in.
Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place.
Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4"
or "Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq
or GAF Weather Coat Emulsion at 3 gal /sq.
12. Deck: C -15/32 Incline: 1/2
Insulation (Optional): Isocyanurate, perlite or glass fiber, any thick-
ness, hot mopped or mechanically fastened in place. Joints offset 6 in.
Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot plopped or mechanically fastened in place.
Ply Sheet One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6 ",
hot mopped in place. •
Membrane: "Ruberoid Torch 170FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq
or GAF Weather Coat Emulsion at 3 gal /sq.
13. Deck: NC Incline: 1/2
Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass
fiber, any thickness, hot mopped or mechanically fastened in place. Joints
offset 6 in.
Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot mopped in place.
Ply Sheet (Optional): One or more layers of Type Gl " GAFGLAS Ply 4"
or "Ply 6" hot mopped in place.
Membran "Ruberoid Torch 170FR" (granule). •
• Stu (Opt9.onal):. "GAF Fibered Aluminum Coating: at 1 -1/2
gel /sq or GAF Weather. Coat Emulsion,at3 gal /eq:' 's+ly1
14. ttcic NC + Incline: 1/2.1. ,,c, atr: •
sisu)?Otion (0 opals ?, Is yanur te, wc)od f(sar, b63r*�,:p J t ic lasg
kibcptty dal 5,rhot itu ppr oa.ai tgclifMictilt fattiliedbi
vol `1 . , .NrA't a r • { } .s`S*
yetC 03li ' + 1 , hqt
p /bocia ;ciap0sitcor pbt -
Base• Sheet 'Otte;or more layers of 'Type G-2 or%-3
mopped or mechanically fastened.
Ply Sheet (Option$):_ One or.more layers of 2lypel41, hot
place.
Membrane: One layer of "Ruberoid Torch" or "Ruberoid
(smooth).
Membrane: One layer of "Ruberoid Torch 170FR" or "Ruberoki
FR" (granule)
17. Deck: NC Incline: 1
Insulations (Optional): Perlite, fiber glass, wood fiber, isocya
urethane, perlite /isocyanurate composite or phenolic.
Base Sheet: One or more layers Type G2 or G3 base sheet, hot m
or mechanically fastened.
Ply Sheet (Optional): One or more layers Type Gl, hot moppe
place.
Membrane: One laver of "Ruberoid Mop FR" or "Ruberoid Mar ;3
- FR" (granule).
18. Deck: NC Incline: 1 /2
Insulation (Optional): Perlite, fiber glass, wood fiber, isoc
urethane, perlite/ isocyanurate composite or phenolic.
Base Sheet (Optional): One or more Layers of Type G-2 or G-3
sheet, hot mopped or mechanically fastened.
Ply Sheet (Optional): One or more layers of Type G-1, hot mopped
place.
Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid M
(smooth).
Membrane: One layer of "Ruberoid Torch 170FR ", "Ruberoid Mop FT
or "Ruberoid Mop 170 FR" (granule).
19. Deck: NC Incline: 1/2
Insulation (Optional): One or more layers of perlite, glass fine
isocyanurate, urethane, perlite / isocyanurate composite or phenolic, am
thickness.
Base Sheet One or more plies GI or G2, hot mopped or adhered Mia
Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" col(
applied adhesive at 1 -1/2 gal /sq.
Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop IT
FR" (granule), hot mopped or adhered with Karnak Chemical Co. "'y
81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1 /2 gal/ sh)
20. Deck: C-15/32 Incline: 1/4
Insulation: Polyisocyanurate, any thickness.
Base Sheet "GAFGLAS #75" (Type G2), mechanically attached.
Membrane: One or more plies of "Rubberoid Torch (smooth).
Membrane: "Ruberoid Torch 170FR" (granule).
21• Deck C -15/32 Incline: 1/2
Insulation (Optional): Polyisocyanurate, wood fibe perlite, glass
any thickness, hot mopped or mechanically fastened. •
Base Sheet One or more •plies of Type G2 " GAFGLAS #75"
"Ruberoid 20 FR" base Sheets,.hot moppgti Or meclt-nically:fastened
Membrane: One or morn• plies of In1ubeo:d 30 (FR" hot plopped i F
pleas : 3h Jl� . i 4'
ed,` x•15/3 rr )1/ } 3 t r ,,f ry r
D t r a J, :', t r J •:• xhG�P•E' � ij � (.)1 tl' 'l @
l tiy°t 400,"M Pc;;'*.c ainu,ate, t od r., ,^rs e _
fjb t tikty Flillrv+it,"v 'hol t is• x►bd: Y:
sehlie .O o. „txce pop 'uiC', hani r• �, + � fir .
F
f ����� t..' r�•: ��t. .X 1. •. . ,atlr��t�F :.`.ai%ri.a.t,..f,
22.
eft
via
16. D
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 8/17/92 Job Addres 245 N 99TH STREET Tax Folio // 10146 /5 �J53 '
Legal Description / 29 # . 3 3 ` & 5 " , / ✓
Owner / Lessee / Tenant MR. MANLY BAKER Master Permit t1.�✓ !/ 6
Owner's Address 245 N.E 99TH STREET Phone 754 -0390
Contracting Co. C.E.SHEPPARD ROOFING INC Address 41 N.W. 20TH STREET
Qualifier CAROL E. SHEPPARD ss41 Phone 685 -6969
State # Municipal tl' Competency 1>` 12115 At ns.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION REROOF 1850 SQ.FT. OF SPANISH
OF 90# SLATE MOPPED WITH HOT AND INSTALL NEW CLAY TILES
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAX 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 complianceith all • cable laws regulating construction and zoning. Furthermore, I
uthor a e above -n: me • . %ontractor o do the work stat••'
- .
Sign ature of own
Date:
Notary as to
1850'
My Commission Expires:
Riafk1y PuBuc, stair of
t: _ Expires July 9,
** * E ..,. Za■k:.1 t Brown. thC.
FEES: PERMITS
APPROVED:
d /or Condo President
C�; ?niJSeii. , e ` (',t:Ci4119
e. dint/ yr c.v&
UBLIC, State o
,f
MYCn W.32,10NEVIIES
Fire
Zoning .uilding
'IS"
Estimated Cost(value)
Signature o
Da . •
Notary as
atg Commi s s
4
..C1
Mechanical ' lambing
CLAY TILES - (1- 30# TIN CAP, ONE LAVER
$ 6,165.00
4461 Ali J 1. a
nt
actor o
4, /, ,/
or Owne
iP Pua.Jc, MWM aF ROM
CRA E fODtR(EZ
OSSIONNO CCe04110
*' I3 Ot 'rME'S
MAY 27, 1680
NOTARY TOTAL D
Owner- Builder
- Builder
**
J AG
Other
Electrical
Engineering
PEP
State of Florida
County of Dade
2. General description of improvement:
3. Owner information:
a. Name and Address:
b. Interest in property:
Notary R'ublic
TAX FOLIO NO.
NOTICE OF COMMENCEMENT
92833 1275,.1992 SEP 02,14:14
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. Description of property:(legal description of the property, and street
address if available) 245 N.E. 99TH STREET
REROOF 18 SQS. OF SPANISH "S" CLAY TILES
MANLY BAKER III
OWNER
c. Name and address of fee simple titleholder (If other than owner):
MANLY BAKER
4. Contractor: (narfe and address) C.E.SHEPPARD ROOFING, INC
5. Surety:
a. Name and Address
b. Amount of bond $
6. Lender:(Name and address)
Sw rn to and b befo
/
41 N.W. 20TH STREET
STATE OF Ft.ORIDA
MIAMI F LOR IDA COUNT$OP°ADE
HEREBY CERTIFY that
Original filed I /' Is
MANLY BAKER III 245 N.E. 99TH STREET
, A.D.
WITNESS my hand and Official Seal.
; 4 ' 0%.=.1 ': fa/it "
Y��sa.« •osa
EgK:
7. Persons with the State of Florida designated by Owner upon whom notices
or other documents may be served as provided by Section 713.13(1)(a)7.,
Florida Statutes:(Name and address)
8. In addition to himself, Owner designates
to receive a copy of the Lienor's Notice as
provided In Section 7.13.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date Is 1
year from the date of recording unless a different da ! i. s•e ified)
AP )1111
' g tur -,:'r 01-
a of
DA
L n I S
NOT
CM E. RO^R IEZ
• hi ILS: .0 monks S I
MAY
Expires
of
6 //i/ 19/J
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the bu,
in or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Mia
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules al
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approve
plans and specifications must be kept at building during progress of the work.
4 I-M eg
Owner's Name and Address / C 74' ,2 - 'I
Registered Architect and/or Engineer 112,•”1","!:12..”1,1•21!”1112,1
Z.- TC,i L. A/
Name and address 12 - . ess of licensed contractor
Disapproved 1■•M
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Building Inspector
BUILDING INSPECTION DEPARTMENT
Date.. p c ,
NOTE: A charge of $1.00 will be made for making
the Planning Board.
A re-inspection fce of $1.00 will be charged
materials and/or workmanship.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 2 . q 4 Ai-a '
State work to be do e and purpose of building (by floors) N e765) r '.6/ '71'
7
PLANNING BOARD
BOARD
Chairman
Member
Member
Council Approved
Date..L -14 . 19..2.$
'1 Qt° 7 8 t ra- No ? =" 44' . t Stree
— 77
New Building Remodeling Addition Repairs' No. of Stories
To be constructed of Kind of foundation Roof Covering
et'
Z
Estimated Total cost of improvements $ Amount of Permit $. 0
Zone cubage required Tian Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection. cm the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only sue suc1sIcontractrVon work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 63 ary 9- `
Permit No. Date Read, Sworn to and Subscribed before me.
DATE
Member
Member
Member
Date Disapproved
T
Notary Public, State of Florida
My Commission Expires
corrections or changes to this application after approval h
F6 e-
and for no other purpose.
to me well known,
Date
as been obtained fmin
when such re-inspection is made necessary by improper notice for inspection at faulty
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement ui rrre plans and specifications herewith submitted for the build •
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved
plans and specifications must be kept at budding during progress of the work.
Owner's Name and Address . t.7S,.1.:. "F �... 1' - No. .... .._.,_.. Street_...
Registered Architect and /or Engineer ... =,... ._ / - k... • , r.
Name and address of licensed contr,ictorA --L .L..Cr111.1
Location and leg lescription of lot to be built on:
Lot ..l.9 .. 131ock... !!// Subdivis j ion .�s
ol Street and Number where work is to be done C7 L. / . 6 -
State work to be done and purposc of building (by floors)
/.-. .. -.. /6 �. 7- /5 - /%_.. -e. :e �.
_ 40/0e
New Building Remodeling
STATE OF FLORIDA,
COUNTY OF DADE. SS '
Disapproved
(Signed)
MIAMI SHORES VILLAGE
Date
iife-e.. for no other purpose.
A dition Repairs No. of Stories /6
Roof Covering
Estimated Total cost of improvements $.. • < Q
Zone cubage required
To be constructed of Kind of foundation
6 - 1. __ . ..49g3 0 7? 5
., 1.5
q
Amount of Permit S.
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 arbor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied witlr the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sutttractors, on work to be performed ,under this
pennit, as are licensed by Miami Shores Village.
Remarks... (Signed
Notary Public, State of Florida
Building Inspector My Commission Expires
/S U
Before me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all fads
therein by him stated are true.
Permit No.._. 4... 0 �. Date Read, Sworn to and Subscribed before me.
A �1
PLANNING BOARD DATE
Chairnan Member
Mcrr1bcr Member
Member .. .. _......_..._._...._....._ Member ...._
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained froin
the Planning Hoard.
A re—inspection fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
matcriala anti /or workmanship.
MIAMI SHORES VILLAGE, FLA.
N9 6723
JOB g . J�'G 8 0 A
ADDRESS Z el � -
INSPECTION 7/ ed
TIME READY / 11/L i — /0— 3 -
REMARKS
INSPECTOR DATE °
Owner's Name and Address N, 0 o I:Jor e
Registered Architect and /or Engineer
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date r),Aikr55 , 19
No 2t5 Street NE 99th S a
Name and address of licensed contractor
1..$7.2g.-- RDOa_,,n� u;,i3 Tile e o o a Inc., 430 N.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done ile�l__'h
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs X No. of Stories
To be constructed of Kind of foundation Roof Covering built up
Estimated Total cost of improvements $ 175.QD Amount of Permit $ 5.Q0
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors on work to 1 perfprmed der this
permit, as are licensed by Miami Shores Village. Lag Rooting and 1 1 e :o o y inc.
Remarks (Signed)
STATE OF FLORIDA, j
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. f'
N r
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) .,�._..+
Bolding Inspector
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member ....... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address..... /e .. No StreetlLe.
Registered Architect and /or Engineer
Name and address of licensed contracto
Location and legal description of lot to be built on:
Lot Block
,k} Subdivision
Street and Number where work is to be done _2
State work to be done and purpose of building (by floors).
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Date
`sr'
,19
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering...gsGP
Estimated Total cost of improvements $.. �n2i "`� Amount of Permit $ ' 67-S4
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 5968, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
— - to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of 81.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
Lot
PERMIT N? 6121
Bl.
Work to be performed under this Permi
DATE
195,="
Contractor's
License No.
Subdi-
vision
Value of
Project $
1 Amount of
1 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the statements or specifications qnd that he assumes responsibility for work
done by his agents, servants or employees.
Signed.
INSPECTOR r�
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder iii compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements specifications submitted to proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by eit er, my a my agent /seevant o4., r o ee.
l • v
CO CTOR OR BUILDER tiY - AUTHORITY
6