The URL can be used to link to this page

315 NE 98 St (3)CONTRACTOR Name �+ g c z G ( License No. c C" C.05-0C)-5-1 Address c p o i 3 4 e e s+ / -7 ) F/A 3 362,7 c9 Telephone9 p l - Fax q,- y 9025-so 45-- Qualifier Nam A+2— ` PROPERTY OWNER Na • •• • • • • • , lte No. • • Name f � A Toi o Al/ m ‘ 4 w Address '3 fs tv E' 9 • _ • Repair Home Telephone 3d S 2 S/ / �I/(p , 4/ Business Telephone Demolish Fax Relocation of Structure .•• • AM I ITEC'F • • Na • •• • • • • • , lte No. • • Address Telephone Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior • _ • Repair , Alteration Interior • • Demolish .. Relocation of Structure .•• Shell Only • •• Foundation Only Add'l Attachment Other Add'l Detachment Other PERMIT TYPE ( ✓ ) Building Electrical ••••••• , Ng4ianical • _ • Plumbing ..... • _ , f1GrX • • :tippling .. • .. • • • .•• •Olhor •• • • •• • • • • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Step 2. • Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the 'processing of your application, you may be asked to submit additional information. Folio Number 1 1 ^ p[ 0 -- 1.3 , t d escription of Work Z/7/5 L N Q I'p y T Lo Block w F. if T Q G C/ Subdivision , S . � PB / eG Zoning Linear Feet Current Use of Property °'� 'ci Square Feet 60 0 Units 1 Floors Proposed Use of Property r<41.5 Tenant Information • •• • • • • • • • • PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection 0 l Master Permit iVo. ` ®� l ( 7 Subsidiary Permit No. Value of Work p2 PD t!' Tax Assessed/Appraised Value Flood Zone Bldg Value PERMIT APPLICATION Base Floor Elev. ENGINEER Name License No. ' Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic' tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. •• •• WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may regdlt it you • • payin g twico for improvements to your property. If you are spending more than $2,500 or intend to obtain financing you may wisfl'tfl•Aonsult. wit : your attorney or lender before recording your Notice of Commencement. The Notice of CommIncamint must bYrecordetP ar: • 22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be J DIED AT THE JOB SITE it„ accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall Oil. ry�ttructi4>: •)! 1en Law 'Mr Choosing a Contractor. STATE OF FLORIDA, C�OF MIAMI -DADE S Print Name (, Sworn to and subscribed before me this I'1 day of _132.012 �LBZ . Signature of Notary Public - State of Florida NINA M. MCLEOD MY COMMISSION # DD 012023 EXPIRES: April 4, 2005 Bonded Thm Budget Notary Services oduced Identification Type of Identification Produced: • • • o••• •• • • ST OF FLORIDA, COU MIAMI•DADE :' ° °'; NY'X ..•. • •s tgnature of Contractor / Qualifier o • • •eoo•• Dan s r r n. Print Name Swor and subscribed before me this day of A 2 • Signature of Notary Public - State of Florida SEAL: Type o � da� PU o� PPaga1SSI.N # DD 0 1,15 1202 * d);/7- \l` Bonded ihrBudget Notary Services O F _ - -- PERMIT APPLICATION o••• • e • •• ELECTRICAL TYPE. Minimum Fee QTY. 'Fyn Dryer ()"1'1'. TYI'E Outlet, Appliance ()Ty. "I YI'1•: Service Repair ()Ty. A/C Central 1 -3 Ton • • • _ Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton ,: • • Fire Pump Outlet, Switch Signs A/C Central 8-15 Ton • • Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton • • Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Disposal Refrigerator, Domestic Interceptor Temp for Test - 30 days Roof Inlet Deep Freezer Low -volt, Fire Renew - Temp Service Water Heater Demolition Low -volt, Intercom/feleph. Repair Circuits Water Heater New Dishwasher Low -volt, Television Service, Number of Amps Water Re -pipe °i_ MBI • "': i . t Condegs•dte • • Q (1. mil.: •Drains, Roof QTY. TYPE Miscellaneous Fixture QTY 11 Soakage Pit Q"I'Y 1Iatj Fub • • • • • • _ Drinking Fountain Miscellaneous Repairs Solar Water Heater • Bidef • ,: • • • Filter Replace Pool Piping Sprinkler Repair 3 J Fixtuneu • • • i . • • Fountain Pump and Abandon Sprinkler System • Cap - Water ' • • :Gas - Appliance Pump, Domestic Supply, AC Well rap -Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Relay Repair Utility - Water Vacuum Pump Water Closet Dishwasher Indirect Wastes Disposal Interceptor Roof Inlet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply : • • Page 3 PERMIT APPLICATION [INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. 1's'II CHANICAL TvikE Minimum Fee A/C Central, Tons A/C Wall/Win. Tons Air Handler, Tons Barbecue • • • &at Fan- ented # Condensate Drain Cooling Tower Dryer Vents, Number of Ductwork, Cost of Fire Sprinkler System Fireplaces, Number of QTY. TYPI'. Generator Heating Strips, each Paint Booth Piping, Flammable Liquid Process/Pressure Piping Pressure Vessel QTY. TYPE Refrigeration, Tons Vent Hood, Cost Ventilation, Cost Periodic Inspections • • • •••• • • It RECEIVED AND REVIEWED BY: DATE: SECTION BY DATE Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official / . ,, --4 Page 4 OFFICE USE ONLY CHECKLIST m OWNER - BUILDER FORM (Attach) Ui FIRE DEPARTMENT APPROVAL (Commercial / multi - family) CONCURRENCY (New Construction) OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary • PROOF OF OWNERSHIP (Attach) ® HRS / DERM APPROVAL (Septic / Sewer) UJ IMPACT FEE (New Construction) UI OTHER (Specify & Attach) $ 0 $ 0 0 $ $ (Xq..ftt. = x/1000 (¢.005 /sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ® CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) ® CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL 0• • • • • • o o • • • • o••••• 0• •o ••••■• • • o••o •• •• • • • • • •••o • • •••• • •• • • • •• • • •o • • • • • • • • ••. • •, • •••••• •' • •• • • • ••••• • • • • • •• ••• • • • ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207 ° FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com n? Miami Shores Village 10050 NE 2nd Avenue Phone: 3054954204 Printed: 1 /27/2003 Applicant: JOHN Owner: MILLER JOB ADDRESS: 315 NE 98 Contractor J & K ROOFING INC Local Phone: 954 961 - 7663 Parcel # 1132060135620 Fees: FEE2003 -458 FEE2003 -484 FEE2003 -485 Description Buildier's Bond Building Permit Application Fee CCF Total Fees: Amount $300.00 $60.00 $1.80 $361.80 Total Fees: $361.80 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 7/23/2003 Construction Value: $2,380.00 Work: INSTALL NEW ROOF ON FLAT DECK If there is no permit package accessible_on_theiob- site_fnr insnecterc t.+ vorifv +>�- ..,�� ►.e - .--; -- fee is $50.00, which must be This Permit is granted to the contras ordinances pertaining thereto and with 1 and approved by the proper municipal a authorization. A further condition upon ordinances and regulatio. .ertaining ti by his agents, servan or %r oyees. Signed: ,r In consideration of the issuance to me with the plans, drawings, statements or myself, my agent, servants or employe; Signed: Legal Description: 1 53 41-6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 E1/2 OF LOT 14 & ALL LOT 15 SidV11Oa CO oL9/ 1 -C9 Permit Number: BP2003 -117 Building Permit MILLER JOHN ST Contractor's Address: 2013 LEE STREET 3IVd .1190690E 52, 54 :152 ,24 002`90: 1 .- ',. 000: 99ICE 9 1A 1w0M •N'anuanytat MN 064EI )INVB 1VNOLLVN 950££ 'V)1301 ddO 1S H16£1 MN l£61 ONIHOOU SJ■8808 11 1P C �O tl3Oli0 3H1 01 AVd 9 SECTION 1524 HIGH VF OCIT I HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 A i;t e rta i ns to this sect i t i s the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the.4iofida Building Code, Building govern the minimum requirements and standards of the industry for roofing s installations. Additionally, the following items should be addressed as part of the agreement between th wner and the contractor. The owner's initial in the adjacent box indicates that the item has been explai : 1 f , ' 1 0 Fl , Aesthetics-Workmanship: The workmanship provisions of Chapter 15 (High .Velocity Hurricane Zone) are fo 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. esthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addre ed s part of the agreement between the owner and the contractor. � ' ' ' deck may have to be 1 enatling Wood Decks: When replacing roofing, the existing wood roof k y renaile4ln accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building! Cpc e. (The roof deck is usually concealed prior to removing the existing roof system). ,,, I . I. I i A l • c ommon Roofs: Common roofs are those which have no visible delineation between neighboring units (i a townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owners 0ul notify the occupants of adjacent units of roofing work to be performed. ' , �4• posed . d 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 penetratjgns of the underside of the decking may not be acceptable. The Florida Building Code provides the option of'ma ntaining this appearance. 1 • i il 4 1 •• . 15. :F riding Water: The current roof system and/or deck of the building may not drain well and may ca u se v ater to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress ;!and may i require the review of a professional structural engineer. Ponding may shorten the life expectar y 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. 6.11 Qvernow scuppers (wall outlets): lit is required that rainwater flow, off so that the roof is not overload, d om a build up of water. Perimeter /edge walls or other roof extensions may block this if overflow So ippers (wall outlets) are not provided. It may be necessary to install over4flow scuppers in accordance n th the Florida Building Code, Plumbing. i � 1 :7 f t ventilation: Most roof structures should have some ability to vent natural airflow through the tntenor, structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced, t:nay be beneficial to consider additional venting which can result in extending the service life of the hoof. la / //4 / Date Contractor's Signature ■i `t . i f I il; 1 ' !!I i i SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1' As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required rjoofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building 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 wner and the contractor. The owner's initial in the adjacent box,indicates that the item has been explained.' W ADI DI 1i ! Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are foI 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 provislons.;Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed! s part of the agreement between the owner and the contractor. t a 2•.1R Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed'in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Co e. (The roof deck is usually concealed prior to removing the existing roof system). 3.1 Cotillion 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, shout notify the occupants of adjacent units of roofing work to be performed. 1 "1/A14. E?cposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed front below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations l the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. iii l 1 1' I5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cau a ater 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 verflow scuppers (wall outlets): It is required that rainwater flow off so 'ihat the roof is not v erloaded 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 1vith the Florida Building Code, Plumbing. j 11; yentilation: 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. If nay be beneficial to consider additional venting which can result in extending the service life of the roof. ; . f ! Owner's/ Iii ,{ f • gent's Signature /4/ Date ontractor's Signature Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1.2.3.4.5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 1. Fore Directory Listing Page 2. From Notice of Acceptance: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or If Applicable, RAS 127 or RAS 128 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Re- Roofing Only) 7. Any Required Roof Testing /Calculation Documentation Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW: ATTACHMENTS REQUIRED: 1 1 1 1 b 1_ _ 1_ .I .1_ _1 _ : 1 _ . _ .. _.k -. _, _ }_. .1- - _k_4 1 1 t f 1_I_ ; _,_ L_L_ _.1J_ _ _!_!,_ _i._ ,_Y.-1_._ -- 1_ _ __ J _. - . ! -1- _ .11.11_.!_ _ - .. 1 - _1_ I -1- _.;_. _ _.1_1 � __ _1 _ l - 1= _ _ 1 .!_1._1 _1_1_ ....1_1-._.-...1_1_,..1_,_ !1 _: 1_ 1._ J_1=L ...t._1_1_1_ _1_1_1_1_1_1_ _1 L '_. -!_I_ ...1 _1_ __ _1J !_1_1._ _LI_'_ 1111_ _1J._i_ 1_...... _1_1_ -1 + ._1-.1 1.- 1 - _!_!_1_1_ 1-- _ ,1_ _ _ _ __ l._ J_ _. - ._1_1!_1 . - 1 ' - � 1 __ , 1.1•_ - _ _ _ 1=1,1-1_. _. _ _ J_.r _1_1_ _ 11_1_1_ _i__ - 1._1 -- _-1=1._1_.1_1._. _1_ 1J_1_.,_1_1_1_J.1__ J_ _I_._ _.'-1_ _!_I_ 1 _1_! y _1_ _. 1_. .1_1 _1_1J_._.1_I.._I.1_.,_1_Ll_. _1_1_.1_1_ _1_1_1._1_.1 1_, .__,_;_1 _ _ _1_}...1...1..1_1__1... _ -- - 1._,_1 .} 1_ _ _ _' 1_1 _.1_! !J_. i _1 __ _ _.. _.1_1 1 l_ _1_11,_1= 11_1 _ 111._1_ _ _L 1 _ _1-1_ 1_1_ _ _1.1_,_ _ _ 1 ._ _1_!_l_ _ _. 11 _.1_1 i _ _ _ -_. 1 _ _ 1_ _1_ L -- _ L I_�_1- _ ._1_1_1_1_ + _ IJ_1_ _1_1_ 1_1_t_ _ 1 1 _ 1_l. _ __1_ - =1 -. _1_ _ _. I_ _�_I- '_ _ _ _.1_1_1_1_ _1_ _ i _i_i_. _ _ 1_1_1_ �=1 _.1_1_1_1 _1_ H 1 ,_ 1 _1 - 1=1= _ _= f _- _._ _ __I_.1_ -I - _- _LL _1._ _i__ !_J._ i - lT17 • J i - 1 ! i� — I i i fiJ i - 1 : 1 �i - i i l - iil - ' -1- '1"'17-'1 i I i 1 1 1 I 1 i - I . - -' ,- E t I r i i i• 1 T i 1! i' ii ! 1 t! L 11 U 11-'1 I I i! 1 1 1 1 t!, I 1 1 7 7171 t1 1 i! I i 1 1 I! Ii I I l 131 i _ t 71+H- 1 --1 -i ! 1 ' =O= _1_r �= - 1 _I = 1_`_1_. = 1_.1_1_ _1_14 !._ _ _1_1_f_ 1_ - 1 1_ 1_ ` 1 1_- I 1_ _1_1_1_ 1 1_ l_! _I_ - ! _ L1_l = 1_ _1 3- _ I_1_ :0_- I1_ _i_1_ _1_1_1_ 1_1_14. J_i -1 -■ - i - 1 - 1t I - - f1 - i 11!I!Ilii Il 11111 l!lll tt!1 tll '.•_1ii 1 l 11 i s C1 '_i 14 1 t i I _I i ! i! ' f �_ L _�f :1_i_ 1_1_ __I_ L i - _ !__ ` �_ _ _ _ _- _ -_L_ _ ! _ ]_ ._ _ . _ _ _.. _ _. _ _ =1_ J- ._. __ _ _ _:_!_ - 1_: L_ _ _ «1_1.1...1__ _ _1__1_1__1_ .1_!_ - • 1_ 1_1 = 1_ _ _ _ = , _. _1_1 1_1_ 1._•- _1_ 1__ _ 1_1 ' , _. _.1_1J__1_, _ _.-1_1_ _. I t i l i 1 j V ice_ ii i j i j J_ _ _ _ _i_ _ _ _i_ ._ __I_ 1_ .. _. _1_. !_ ._ _ .111. ... _. _ _.._I_. _ 1 -- __ _1_ _ _.. _!- __Fit__ _. __ _, { 1 - 1 ! h i f 1 1 !! -1 - ! T - 11 %1 ' 1 1 1 1 ! I - i � i i 1 f i! i i , 1hi 1. rh S T 1 - r y I 1 - =� =L_1_ I _-- !_ .,1.1._ !_'._ _I -! _ _1_ _1_ _ _L _1 _.!. _ 1 ;_ I 1__ 1 i - ! I , 1 1_. � - 1 i 1111 - - _ _ _ ... _. _ _. _ ._ J.__ _.__ _ _. - 1 _ _ _ ! _- _ _I -_ 11`1.1. _i _1_ _1_ __ _'_. ..I._ 1 _ I t!_I i s 1 I '2 H 1-1 1 - H - 1 2- V1 - 1±1,1 7 1 - 1 - -- _ _..I -- J _ 1 = .1_ ! _ J_ - -``- -' _1 1_1 !_1_,_._ _I_' _1_1_1_ -' f + 1_1__ __iQ !_,..._ I1JE _..i_I_l._LL_1-_l._ 1 _1_ _1_1!_1_1 _! ±ice_ -;. -i= ._,.- _ _ 1 i 111._1!_ _I_1_ JJ I ! I_ _1_1_1_1_1_ 1_1 _ 1_ - - -i -- - ' - -' -- _ _I_L.i_t- ! 1 1 _ . , -y 1 L. I 1 I _1_ l s i 1! 1 i I 1 R� -t ! 1 =1 : -1- 1 - ! 1 1_ ' ._1 _ _.,_1_._. .1_1_1_ _ -� 1_. � _1_ 1 111 __111 _ _ J e .1_1 1_ - r , MiNo - I ' t 1 - 11 - 1 I I -ii - i i i i 1`11 - i i t :iii_ ii -, 1 l ; t 1 1 1 1! t! i t -11 1 iC ltil ti itii it' 14-1-1- 1 I t i l! iJ' I i1 - 1 ,- 1_1 - 17i _ 1_ _..! __1_ _ 1i i i i l! i! i r i i i= iii_ri Ti 1 i i --r -- - 1. 1 _ _ 1_I_. _ .. ._L. ._ _. _ _ _ _,_ ( _ _. 1_!_ ..11_1_....1_1... .._I = i i ll,ill!iIC11 17 : 7 7_71:1_2=F-1:4_1_1_1_1:4_ - 11i, il,t i 777 • 11 1!^ 1! 1 1:1 _ i 1:11:1 i 1+ 1 11 111 iIA ! i_ _ _.1_1_ _. J_L_ 1_!_ -- 1 _ _;_ _ 1_ '_ _ _�i I I 1 1 ._.. )1 i 1 _1.1_1_1_! _ .1.1_1_1__ -1-1.!_1!-.1_ '_I_�._{ L_ _. -�-' I-- _1_:_f_ - .1 1 - 1 1_ ' J_.__:_1_ _i_ !_!_.!_!_ 1_,_ 1 1 !__..1_�__ _L1_. _.LIJJ 1_•_1_1_11_ _I_,...1!i �_.'_ J 1 ! ! .1__1_1_ _ I_I J - ! _ ` 1 1 ,_ _.._.1_._. }..11.1..1 1!11_ 1_. _1-!._t_ - - - _;_1,_1 -1_�_L ! I_1_ _.1 _1_1_ _J__._{__1_ _.1J_ 1_1_ t _I_!-_I_,_!_1 1 ! 1_i_ t ___i_!_!._'.. -1_S 1.11. Iltiliii _. _l__ _1_. { i_ _1_ . _._1=1_.._1._ _ _ 1_.1-_!_. 1.11_1_! _ 1 _!�_1_}_ _ _ _!_t_. 1 __ J �-i_1J_L .....1_1_.1-_ 1 1 _ _ } - 1 1 ._ _1_._J -_._ _ -,_ _,_ _ L i_l_l_ =!_ 1 _ i_ _....1._ _!_1_ 1 1 _1_ _._!_, 1_1_1_ + _ 1 _.11_11 _ _ - 11.1_1 -�_ _L_1 _!_._ _ 1 11! 1 1 i�i T i 7 t i l i f 1 1 1 I i i T11_i i 1 i i i I 1_ i!1 f i i ! 1 i! ' i l l !!_i! 1 11! I t iiii1- iM- 1-1lih _1_I_i_iT_ {�__ _ _ _ - 1...1._ - 1...1._ 1 " . .,�_1_�1 _!_1_. _1_ _ _ 1- 1_ :TL ._ _ . _. _ _- _-1_. J_L _ _ J 1 E...11.1_<: _1_1_1_1_ J i_ _1_l. _ i ;� . I_.1_.LI_LL _ ..4_. + 11_!_ _ -- AA_1_ _11,J .�..1_1_.L.1.,1_L1.,.L.. _1_1_1_1_1_1_1_ _L. _ _ _.-L!__ L ...L...1_1_1_ _. _1_1_1.1_ _ =__ -.1_ 1 _ _ _..1±L1._L-11_1...d_ _ `, _ _ _1_ !1111_._ _ L 1 1 1J_. 1._1_.1..1 _. _.1_1 ._ _ _!_t _i_. 1_ Florida Building Code Edition High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Mast er Permit No. Process Contractor's Name Job Address j / S ROOF CATEGORY �S pe ❑ Mechanically Fastened Tile El Mortar/Adhesive Set Tile El Asphaltic ❑ Metal Panel /Shin, d Shingles /Shakes Shingles ❑ Prescriptive BUR-RAS 150 ,., ROOF TYPE ❑ New Roof L�J'Re- Roofin g Recovering P ❑ Recoverin ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) d Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Pmax1: Deck: Type: Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, i entity as "NA ") System Manufacturer. 4 P NOA No.: � ' O Q U t ? Design Wind Pressures, From RAS 128 or Calculations: Pmax2: Pmax3: Max. Design Pressure, From the S cific NOA System: RS02 . Field Perimeter ____ Corner y csi et Gauge/Thickness: Slope: 4r Ow. / Anchor /Base Sheet & No. of Ply(s): Anchor /Base Sheet Fastener /Bonding Material: Insulation Base Layer: Base Insulation Size and Thickness: Base Insulation Fastener/Bonding Material: Top Insulation Layer: Top Insulation Size and Thickness: Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of Ply(s): 5 # er4 - & Bas heet Fastener /Bo dipg Material: c / -c 11 ; Ply Sheet(s) .& No. of Ply(s): c2 P �7 7 Ply Sheet Fastener /Bonding Material: T "I /� 44 l Top Ply: 4 � 04� s 4 ^v 07 Top Ply Fastener/ Bonding Mateti I: ,4 S 7" Pm 3 J "� Surfacing: ' %' P 4.j di A �-$ Fastener Spacing for Anchor /Base Sheet Attachment Field: '1 " oc @ Lap, # Rows @ ezt " oc /// Perimeter: b " oc @ Lap, # Rows 4 @ h. -oc Comer. it " oc @ Lap, # Rows _ @ 9 " oc Number of Fasteners Per Insulation Board Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. AO CV W p� 1 2 s4 lS9 FT. Fr. Parapet Height Mean Roof Height v � • MIAMI•DADE COUNTY. FIARIDA METRO•DADB FLAGL.ER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 315 -2901 FAX (305) 375-2908 $UuLDi CODE COMPLLMICE O?FICB (BCCO) PROD PRODUcT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA p 1 Mitt:dallCorporation ,14q 'lips Road fl P f rNJ 07498 PCT . This N9A is being issued under the applicable rules and regulations governing the use of construction materials. The doqurnentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product tteyiew1Committee to be used in Miami Dade County and other areas where allowed by the Authority Having 11 i. on (1M. This ; NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right have this product or material tested for quality assurance purposes. If this product or material fails to perform in the gcaeptod manner, the manufacturer will incur the expense of such testing and the AHJ may immediately t revoke,! modify, or suspend the use of such product or material within the r Codc) jurisdiction, BO A reserve this s s the righ to r this acceptance, if it is determined by Miami -Dade County Product pteriltl fails to trod the requirements of the applicable building code. •P PPS roduct is approved as described herein, and has been designed to comply with the High Velocity Hurricane ,7oiIe ort a Piorida Building Code. ' rRIP GAF Convectional Butlt-Up Roof System for Wood Deck 4Y.IING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and ((qwIng statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. 11 ;j WAL of this NOA shall be considered after a renewal application has been filed and there has been no in the applicable building code negatively affecting the performance of this product. i P R q. is NOA will occur after the expiration date or if there has been a revision or change in the i I I'E . ATION of this use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any -- ! produFta for sale3, advertising or any other purposes shall automatically terminate this NOA. Failure to comply i • ; with any section of this NOA shall be cause for termination and removal of NOA. ! ' I T7S Tt The NOA number preceded by the words Miami -Dade County, Florida, and followed by tlu,expi ' . ' ion data may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall . • ., o in its entirety. L` or TI PF,CTION: A copy of this entire NOA shall be provided to the seer by the manufacturer or its distributors ? . ' end shall be available for inspection at the jab site at the request of the Building Official. t i _;,: ,I I ' consists of ; :14 ; This NOA ootlg pages 1 through 21. ` The 4 u bmitted documentation was reviewed by Frank Zuloaga, RRC NOA Na : 02440809 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 1of21 • • .4 1 • . • f • '.1 I. R IO FIND SYSTEM APPROVAL r ,i Roofing Wang= BUR Wood ;�` iuy Preuur a -75 psf - -- • - See General Limitation #1 TRADE NAMES OF TS MANUFACTURED NUFACTURED OR LABELED BY APPLICANT: TABLE 1 rabLet OAP Asphalt Concrete Pricier (MatrixTM 307 Printer) k QAp Mineral Shield® es OAP WcatherCoem® Ea ulsion,(Matrix' Pillared 305 Emulsion) 9AF Premium Fibered 4J uninum Roof Coating System Pro M_ Roof Coating rr GAF Jexblack All Weather Plastic Cement (MatrixT!' Standard • jWiet/Dryi Roof Cement RVBBROID® Modified Bitumen, Flashing at • Jetblack Premium 1 a$1ng Cement A FOI;AS ® 75 1 Ultlma QAFGL�AS t180 Huse Sheet CA FGLAS Flex Ply" 6 pygpensions 5, 55 gallons 60 lb. bags S gallons 1, 5 gallons 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and tlbers. Permits adhesion to wet and dry surfaces: 5 gallons 5 gallons 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Teat 5necification ASTM D 41 ASTM D 1863 ASTM 1227 Product ' do Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 ASTM D 4601 ASTM D4601 ASTM D 2178 Asphalt flashing Cement Asphalt Impregnated and ooated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. NOA Not 024408.09 Expiration Date: 11/01103 Approval Date: 06/23(02 Psge 2 of 21 t • • I. • • • ;• • • r 1 ®AFGLAS Ply 4® I QAF9LAS® Minereal I Sar soed Cap Sheet 1i 'GAFOLAS® • :STRATAVENTS r Perforated • LAS Flashing II ai ;,0AFOLAS® STR►TAVENT j�Fl�oyinator perforated 11Nallpble ,1 1;Rtl1 E'ROID® SBS Heat - Ier Smooth �: I II RU1 O1D® SBS Heat - I'We Granule ..j'' • ,. .1 t1�' � t CID® SBS Heat R1.f�lgR �� ! TM ei� l70 FR .i it SPHEROID. SBS Heat- W�e PLUS RUHEROI' SBS Heat- rfold, PLUS FR RUItEROID® SBS Heat- j fl *r 25 I� dt ' RUSEROID Modified { II f j l3 Sheet ti 1 L plmerisions 39.37" (1 meter) wide 39.37" (I meter) wide 39.37" (l meter) wide Various 39.37" (1 meter) wide 1 meter (39.37 ") wide 1 meter (39.37") wide 1 meter (39.37") wide 1 meter (39.37 ") wide 1 meter (39.37 ") wide 1 meter (39,37") wide 39.37" (1 meter) wide id. 20 39.37" (1 meter) wide mold. Mop Granule 39.37" (1 meter) wide Test Specification Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet impregnated and coated on both sides with asphalt Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D -6164 Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. ASTM D -6164 Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D -6164 Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D -6164 Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D-6164 Non -Woven Polyester mat ooated with fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D-6164 Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. ASTIvI D4601, Premium glass fiber reinforced SBS - Type 11,17L modified base sheet Type G2 BUR ASTM D 6163 SHS modified asphalt base sheet and ASTM D 5147 interply sheet reinforce with a glass fiber M41. ASTM D 6222 Non -woven polyester mat coated with ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. ASTM D 2178 ASTM D 3909 ASTM D 4897 D 3672 ASTM D 4897 D 3672 Product jpescri NOA No; 02- 0408.09 Expiration Data: 11/04/03 Approval Date: 0Sl'23102 Page 3 of 21 Ruberoid® Mop Plus (Gr�rt • a RU EROID MOP • I CI ` ' ? RUBEROID® MOP • .17 FR ; , I .i . • IL BEROID® MOP FR `. r • • 1 rjaa Rt1BEROID TORCH S ooth RyBERQID® TORCH ulo 1U 1BEROID® TORCH PUS (Orartule) 11 11 EROID® TORCH R4JBEROID 170FR RCH i BEROID® 30 EROID® 30 FR I BUBEROID TRACLAD® SBS UBEROID® Dual FR Test im ns beclflcation; 39.37" (1 meter) ASTM D 6222 wide ASTM D $147 A wide A 39.37" (1 meter) 39.37" (1 meter) A wide A 3937" (1 meter) wide 39.37" (1 meter) wide 39.37' (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) Wide • 3937" (1 meter) wide 39.37" (1 meter) wide 39.37" (l meter) wide 39.37" (1 meter) Wide Product pe Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. STM D 6164 Non -woven polyester mat coated with STM D 5147 polymer - modified asphalt and smooth surfaced. STM D 6164 Non -Woven polyester mat coated with fire STM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -Woven polyester mat coated with fire ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane, smooth surface. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granule. ASTM D 6222 Heavy duty, polyester reinforced, asphalt ASTM D 5147 modified bitumen membrane, granule surface ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surfaace. ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 6163 Non -woven fiberglass mat coated with ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. ASTM D 6163 Non -woven fiberglass mat coated with fire ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6298 Woven fiberglass mat coated with Polymer ASTM D 5147 modified asphalt and surfaced with aluminum, copper or stainless steel foil. ASTM D 6164 Non-woven polyester and fiberglass mat ASTM D 5147 coated with file retardant, polymer modified asphalt and surfaced with mineral granules. NOA No: 02.0408.09 Expiration Date: 11/04/03 Approval Date; 05/23/02 Page 4of21 9r � ' . i • • !I I I 4 &Agit ,Vent Starke (metal and plastig) . ; I I Aluminum ion GAF Aluminum Roof Paint (Matroc® System p O #4uaunum Roof coatipg Fibered 302) ' 9A guilt -Up Roofing ;r RUB '.ROID MOD `A,sphplt, Asphalt L & p k f h P I 'TileMate Base Sheet it Tile; Cap Sheet Dimenba@ • 5 gallons 5 gallons ASTM D2824, Type 1 100 Ib. cartons, bulk 601b. kegs 39,3r (1 meter) wide 3917" (1 meter) wide Shingle- MateTM 4 sq. roll !{ VOfelaymeat 30 lbs. Topcoat') Surflice Seal 5 gallons SS iris 602 SB �� t 5 gallons 4 A WeadieiCotm® ga � � {M ¢ atrtXh15MB To MB +(Matrix 5 gallons 715 MB Coating) W therCote�' (Matrix 5 gallons 5311 WealhctCote® . I i . Ela�oaneric Flashing Mme, �x Low VOC 5 gallons Matrix 101 System Pro 5 gallons SB Adhesive (Ryberoid®MB) Matrix 5 gallons 20i System Pro SBS tl' i F'u hlag (RoberoMB) M 5 gallons 102 Select SBS iavo Test SD citacat1Qn PA 100(A) ASTM D 1929 ASTM D 635 one ASTM D312, Types 1, II, III and IV AS'TM D4601 ASTM D 3909 Product Deacriotjpn One way valve vent used to relieve built-up pressure within the roof system. GAP Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Non fibeted aluminum pigmented, asphalt roof coating lnterply mopping and surfacing asphalt SEBS modified asphalt Asphalt impregnated and coated, fiberglass base sheet Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass reinforced shingle underlayment Surtbce coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for sinooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surface urfaced and mineral surfaced root. ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive ASTM D3019 Cold Applied Modified SEES Asphalt Adhesive — Flashing Grade. ASTM D3019 Cold Applied Modified SEES Asphalt Adhesive. NOA No: 02-- 0408.09 Expiration Date: U104/03 Approval Date: 05/23/02 Page 5of21 • • i i (Rubetoid®tv18) Matrix 1'2O2 felect SBS Flashing Matrpc 203 Standard p1ast}c,Cement ivintrix 213.0un Grade flirtle Cement 103 Cold q¢pe{sivo Matrix 303 Select Flbeled Aluminum Matrix 304 Select Non - Fibered . • RURBRDID® Modified Adhesive �1 I fI ROVED INSULATIONS: `Product Name O , Composite, E aergyGuard RA Composite A & N phn.nsioos 5 gallons 5 gallons . 5 gallons $ gallons 5 gallons 5 gallons 5 gallons (Bhf CA)GAFTBMP® Fiberboard GArTEMPO Permalite 9A1~'iIEMP GAFCANTrli ,e,F Mp Permalite Recover Board gAF"(EMP GAFEDGGETM Tapered I�dg° Strt� (BMCA) QAFTEMP® High Density High density wood fiberboard insulation. 'F(�. 11 BMCA EnergyOuard, RA i t !YR0X' Witte Line B CA ite EnergyGuard, RA Polyisocynurate/wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Test §ciflatiog ASTM 04586 ASTM D4586 ASTM D4586 ASTM D3019 ASTM D 2824 ASTM D2824, Typo 1 ASTM D 3019 Type 111 TABLE 2 Product Description & Polyisocyanurate foam Insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlitc insulation. Fiberboard insulation. Perlite insulation board. Cut periite board Perlite r000ver board Tapered periite board Polyisocynurate foam insulation Product Descrii tioq Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofing Cement Standard Plastic Asphalt Roofing Cement Caulk Grade. Cold Applied Asphalt Adhesive. Fibered aluminum coating. Non- fibered aluminum pigmented, asphalt roof coating. Fiber reinforced, rubberized Adhesive Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA Apache Products Co: Apache Products Co. NOA No 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 6of21 • .. • . ; • • • I ;l I �: I APPROVED INSULATIONS: AC 'opm I, II & Composite II i5Q 9 + . • .j ISO 9 + Composite I1 Wool Fiber Migh r.ko, sity Wood Fiberboard 11 rarlitp Insulation )?ens Deok Rp Y -2 & E'NRG'Y -2 PLUS, Ulp'a�ar'd Cold I FigerGlass Roof Insulation I Ispuctpdek , I,Mµlt -Max & FA P.arof Base Board Perot C.ap Board- t.; OVIED FASTENERS: it it Fatter Product N9mber Name ' �' • Product Name 'TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate/perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Porlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurato roof insulation R,ockwooi insulation TAB1LL 3 Product Descriptions 1. GAFTITE® (Dr -Tec®) Insulation fastener for #12 Standard & #14 Heavy steel, wood & concrete Duty Roofing Fastener decks. . ' E OAFTTTE,® (Drill -Tea) Pre - assembled GAF FITE ASAP Fasteners and metal and plastic plates. 3. GAPTITES (Drill -Terms) Base sheet fastening Base Sheet Fastener and assembly. f i Plate 4. ' Ga1valume Plates (Drill- Round Fplvalume stress Tec® Metal) plates. 5. ; Polypropylene Plates Round polypropylene (Drill -Teo® Plastic) stress plates. 6. Delcfast Fasteners #12, #14 Insulation iat & #1S steel and concrete decks 3" and 3 '14" 3" and 3 %1" Manufacturer (With Current NOA) Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. generic generic generic O -P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer Dimensions (With Current NOA) -GAF Materials Corp. . GAF Materials Corp. GAF Materials Corp GAF Materials Corp. GAF Materials Corp. Construction Fasteners Inc. NOA No: 02- 0408.09 Expiration Date; 11/04/03 Approval Date 05/23/02 Page 7 of 21 i ! ROM FASTENERS: Dckfsst Lock Plate #12 Roofgrip Fasteners 10. Metal Plan . . Gearlok Plastic Plate 12. Glasfast Fastener 13.' I Olympic Fastener #12 & 011 14.1 Olympic Fastener ASAP 15.: Olympic Polypropylene 16.1 Olympic 0-2 1.7. Olympic Standard 8. f Insul Fine Fastener 19. i' Insul -Fitt S Plate : Instil -Fitt P Plate 1; Product Name Dekfast Hex Platte Tru -Feat • Tru -Fast Plates Tru -Fast Plates TABLE 3 Product Description Oalvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Qalvalume stress plate. Polypropylene round plate Insulation fastener assembly with recossod plastic plate Insulation fastener Pro - assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round galvalume AZ50 steel plate Insulation fastener for steel and wood decks 3" round galvalumo AZSO steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZSS stool plate Polyethylene plastic plate Dimensions 2 7/8" x 3, i." 3" x3t /." Manufacturer (With Current NOA) Construction Fasteners Inc. Construction Fasteners Inc. ITW Buildex Corp. 3" round ITW Buildex Corp. 3" square 3.2" ITW Build= Corp. Johns Manville 3.25" round 3.5" round 3" round 3" round 3" round 3" round 3" round Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. SFS/Stadler SFS /Stadler SFS/Stadler The Tru -Fast Corp. The Tru -Fast Corp. The Tru -Fast Corp. NOA No: 014408.09 Expiradoo Date: 11/04/03 Approval Date: 05/23/02 Page 8of21 ¶ DENcSUB'flTTEDt IntAeenev Ferry Mutual Research • ap rporation tory Mutual Research C rp eation Factory Mutual Research Forporation i Factory Mutual Research CO: potation Factory. Mutual Research Corporation Dynatoc¢ Engineering Cfuporapon Dynatoch Engineering on Ptl Asphalt Technologies, Inc. PRj Asphalt Technologies, Ina. I1Oof T ofS.Fl. T 1entlfler , FMRC 1996 3.1. 2B8A4.AM 1.1. 3B9Q1,AM J.I. ODOA8.AM J.1.OD1A8.AM 3.1. 0Y9Q5.AM 3.I.3X3A2.AM J.I. 0Y9Q5.AM #3600.02.954 #4482.02.95 -1 OAF- 012 -02.02 OAF -020 -02.01 02 -005 02 -014 pescriptioq Current Insulation Attachment Requirements Wind Uplift FMRC 44704 • Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift PA 114 Wind Uplift PA 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 01.01.96 07.02.97 01.08.98 07.09.99 0729.94 04.01.98 08.02.94 07.29.94 02.02.95 02.02.95 11.06.01 02.01.02 01.18.02 03.22.02 NOA No: 02-0408.09 Expiration Data 11/04/03 Approval Data: 05/23!02 Page 9of21 General and Systens Llmitadons shall apply. GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Meat.We1dTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; teeing Opdooeo GAFGLAS® Ply 40, GAFOLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -4S pj See General Limitation #7) GA FGLAS® Ply 40, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deok with Drill -Tee (GAFI 1TE) 012 or #14 Screws and 3" Plates, 12" o.o. in 3 rows. One row is in the 2" side lap. The other rows aro equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf, see General Limitation #7) GAFGLAS Flex PLYTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.0. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —S2.3 psf, See General Limitation tl7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -Tee (QAF ITE) #12 or 814 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.o. in the field of the sheet. See General Limitation #7) (Maximum Design Pressure —80 psf, Any of above Base sheets attached to deck approved annular ring shank nails . and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —80 psf See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drlll•Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet See General Limlturtion N7) (Marimwn Design Pressure —7S psf or more plies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 60 ply sheet, 1180 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs.sq. (Optional) One ply of OAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbslsq. Wood, Non - Insulated New Construction or Reroof 19 or greater plywood or wood plank decks Base sheet mechanically fastened. NOA No: 02. 0408.09 Expiration Date: 11 /04/03 Approval Date: 05(23/02 Page 18 of 21 iwciogi ' (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 galJsq.; or GAF WEATHER COATS Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) 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., respect y. 3. Top Coat Surface Seal SB (Matrix 602 SE Coating), Top Coat MB Plus (Matrix 715 MB Coating), OAF WeatherCote or WeatherCote LOWVOC applied at rate of 1 -1.5 gal/sq. See Fastening Above NOA No, 02 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 19 021 ** • 4' :1,. ti • H 2. WOOD DECK SYSTEM LIMITATIONS: 4 slip sheet is requited with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or f anchor sheet. , sum board is acct table to be installed directly over the "2. Minimum /. Dens Deck or h Typo X gyp p y °d deck. GE I . LIMITATIONS: !I I classification is not part of this acceptance, refer to a current Approved Roofing Materials p ity for fire ratings of this product. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 Ibs./sq., or mechanically ;attached using the fastening pattern of the top layer All standard panel slzes are acceptable for mechanical attachment. When applied in approved phalt, panel sine shall'be 4' x 4' maximum. An overlay and /or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully lly mopped, If no , 1 recovery board r used th e � shall be applied using spot mopping mopped 8" ribbons in three rows, one at each sidelap and one nn the ente A 6" sh ee t M owing a continuous area of ventilation. Encircling of the strips is not ep pled every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Notre Spot attached systems shall be limited to a maximum ' 11 design p waters of -45 psf: , I acin for insulation attachment is based on a Minimum Characteristic Force (F') value of • S Fastener sp Ii Application Standard d TAS 105. If the fastener value, � as field-tested, are below 275 IV. insulation attachment shall not be accep table. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as Florid gf determined the Re stared Building Official, a revised fastener spacing, prepared, signed and sealed by Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. Perimeter and corner areas shall comply with the enhanced uplift pressure. requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in • compliance with Roofing Application Standard R W not (When this limitation is specifically referred within thin NOA, Gen eral 8. • All attachment and siting of perimeter milers, metal profile, and/or flashi wind food requirement s . shall conform with Roofing Application Standard RAS 111 and applicab ?. The gnaximu m designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. �' field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i,e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation */ will not be applicable.) END OF THIS ACCEPTANCE 'Id1 ** NOA No; 02. 040109 Expiration Date: 11/04/03 Approval Date: 0543/02 Page 21 of 21 ••• t • • ,9110 ti'GF*Continmot . .)- • • . .- • ea. 4‘. 4 or lipplant is a flaked mai of hot • •:,•!...-to • " ; . . • Iseitan 1/2 4401101.49atorkatore lora TYpe Cl, C2 or ;10milmes • One Ott.ipialayirs littimead Tor* iumoth or Polutle). 000 lardillectiMataie0iehargid Mop" (smooth or sr ask) adapflaa' (pandle) a. 140,1 Olt 1 • 3 PUol • I;v" • ••, • • Wins 114 :4.4°44 • .O1411? One QC moo bye* pulite, wood Ram OM IthiCkati IONS 10000 One or more Iowa lYpe al, G1 . .Orm or atom .layera• lAborMt Toork,4innooth or rlholoisold Swat Ayr (Farads), Ilubroid Mop". (6tarmle) or kW y • 0141P; We* • Mato 111 ,..Oni Or mare layeaillairlite, plam aim impala:am tire. peatjAkaaeyanurasa composim perate/inethano camped% pht. 4104/1 in.aata thickm• (Mist at plywood itgars isul• • ONO Or Mao 16yom orlypo G1 or Q. 1Optiarmili One ar mom larm orlype,G1: • • : • opts Coe or mom Imes 1 "gatberoid Time iititooth or 'oliaberald Stroh Ma" franalo), "Liberaid Mar (anieth or ltninuoM Mop Plus" iparnik). Ampiall NO.. 97, 0/2 • 3 •• f • 1aelink1/2 - 1.a.b� Qilin Ons or nwro Wool al Typs CI, C2 r G. Meirtituras Coo or more lavas of ltaboroid Torch" (woo* or liaimmild Tomb fins" Ispornilo3 dockneVpdodh Wag "Na. oe 'ter u 14 p1/63•41 C0610414 IR 1 limialMod" et 3 salt* . inc liasi 1/2 117 ‘alkei ON or taco loam puha& slam bet 3/4 lo. rah 'Orathenr, patilleiaoryamtrate camPogle, pea el =toe sow 1 In. min. • •• • 40Ptinalk Ow of awl Iv= of VO Gl. GI of G3. 00o tor r ImI altamid 'Rade (smooch or 1 74alaVilaboald Torch Floe (granalel, "labothid tamed% of t 1/4401144 Mop Mil! (ipanolo • perirjare: 3t119 ,11.k. Malian 1/2 • 1 1 1"3111 loogisipo 4014460 Ono or atom layors pull^ wood Atom siale ' WA 4.10q4mitrata madame, perl/ieccyamorm =wadi*, pawn/ galthant *ppm* wood ithedimeyamiram comporito, phooU UT 110611:1 ow mom Woo orType G2 ow Ga. ., 0212114ronolh . Ow or as lore of Type G1 , "13i16 of mom lama of "Itsthanael Torch' (smooth or litho:aid Toni Pr Mop' (smooth ot ittibmulet Idas . ). , . • Onir ce maw layers pulita yilawilae4i/At min, logo. palivilsommorats mromkIto/Wm mar 1.1/2 1n. min. ., •• :.:`, • _,,, • '' - • Mao& Ow es mare tof »SG01G 1 •Ora. or mare layers nal niibmW Tonle (ainnoti or lobiorit Zoe* nor fgranala1 Moir (smooth or nublimid Mop Ile (ysinakth : , 414 NA &mum &xi Gagne ati4 gal/ sq. ; '. tOpilawilli urn Or MO byes paths. litom Om 3/4 In. An. 100Warnitalln troditan‘ peal/110474nm* mirapasim, pulite/ tiriolvoo omposift phoebe. id /2 in. AU SWAM* Ono or more byes of Vii G2 "GA3GLiti *75 MI Arr. Mt rooppoil co oiodnifticoUpi balno IR place. • 'Poll VAN Os AM NOS et imp G "COMAS TV ro hot in OM& - • 4:4 Pbterald hew FT Wantile). (Optionato Gaillthmi‘Alasainum Coating at 14/2gaiim God Tiamilion at 1 plioll. pisj32. . .. liato 1/2 • Indio J •;14 1Priak NO. I'll: • Salis4 or rOLtfOk. Roofins System (TGFU)-1Confirmed • . bola** fOptioaalis One or inta hana pot* slam Almo 3/4 in. atio. larquinrate, =than& psdits/ancystoure ampaim. mad nrethas compost% phenolic, 14/2 im min. BUG Shut One or mom Loyola of Typo •cCLi91S Due Snot", hot mop* or machanically himm4 k plem. Ply Shut • Orat or m�i s lame of Type GI "GAPGLA6 Ply 4 or •GAPGIAI) Ply 6' hot mopped In plow. meribmon llubetoid Ton* 170li" Oiromule). iiitiadsts (Optioa4 GAP Mend Aluminum Coating at 1412 61 • ot GAP Weather Coat intookion at .11 plisq. 11.. 'Vick C Jading 1/2 lamdathint • leogeourate, 2 min, wood Ono paths or glom liloK any thicknem„.,4 moppod trwehealcolly fawned In piaan Joints *bet 6 In. • • Base Shoe 1S ormom Inyeno of Type Q "CAIGLAS 675 Ineo Sheer, hot mopped or machaniatily *timid in plico. Ply 6hoei lOptionalh Ogli or Miro Imes of Type GI "COMAS Pty 4" or °Ply r hot moppol'in ' • Munbraas "Rubsrold 'Ruch mpg" (granniel. Sartadna 40pnorial): GAP Pei d Aluminum Coating at 1.1/2 c,41/4q • or GAF Woodier Oar lirmilion at 1 pi/sq. lZQicki C43/$2 Incline 1/2 4Option4 Imaginal**, pule or slam MAK nay Maw • nun be mopped or mechomically ientoned in plam. hliats age 6 in Ow Shwa One or more layers of We G2 "GAKIAS 175 Bose Shut". hot mapped or mechanically &n rd pm Ply Sham One ar more !ayes of iype GI "WOWS fly s" or lily 6". hot mopped in plow. Mombasa "*d Tbreh l70Fir opraulod. Waning (Optional); CAP Posted AhlialiAlial C� se 14/2 gall .4 ot CAP Weather Coat imolai* al 3 AWN: 13. Dodo NC .• ••••• • f. • ladMe ig images topo Nocyanarate, wood Moir board. peak Om Abet any shicimme, hut mopped ot nocktnicaly lanwrond in plom. Joints Act m. Um Shah 0111 01 more layers of Type C2 HCAFCLAS 175 km Shier, hot mapped in plain. Ply Sheet tOpdonal): One or mom layers el Type Gi "GAFGLAS Ply 1' or 'arty 6' 'hot mopped in plam aleadiroas "Ittibleraid To 17R' IgranuM. flogiacini lOptioale "GAF Fitwood Aluminum Coming" ot 1.1/2 p1/ .q or GAP Walther Coat Emulaion at 3 sal/ni. 14. Palo NC Wins 1/2 • • insulation lOpdonall: lean/maw wood Iher boarrL wine, ilass Elba any thleknem, hot mapptd or mechanically harmed in plea. Join* • othet 6 in. • boo Shoo Ono or mom Wynn of "GAIGLAS 975 5w Sheet". hot mopped on Me. Ply Sheet tOptionalh• Ono or mono layme of "GA? CLAS Ply 4" or"Ply 4" hot monad in " •ierabrumo "Rolbosold Much mar (grata). (Option GAF Wontiwor Cut inuoltion applied at 3 saIN it 14/ 2 or 15. Dock C• 132 1/2 Laudation' tOpdosalls MUM, ear pia* isorienurato ;OWN. perdu/ Wixom:am campmate or phenolic frhait; One or mom layers Q ot G3 ban slam, hot mopped or mechanically farienini. ' 4 Ply Shot tOpNeadh Cef IWO Ism Type GI, hoe mopped in "Ilitheroid Mop Fr or "Rubwold Mop 170 FR". (grenul.). c, Inaba= (Oplisaallt Parktk.fibet gins, hocmotate. urethan% PAM/ thxYanonno compoalin 6r phenolic. Mkt 6 in. how joinm • lois Shook CV* or mole laws orilops•G4 co Cr) bus shoo, hoi • mopped or medmnically humid. rf, Shod Wiplinnain • Ow or atom Won Germ CA, hot mopped in A P .. ' Mooinano Ono law of "Itoberoid Todo" or "Roahrioid . Mop" • • Marahrsam Coe lam of "Libuoid Ihich 172111" or "Ambeatid Mop (ucoil0 • IX Dodo NC Wyss 1 .'" •• ''' r 1.0011410111NIANOMAP.4 ON maw BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE. FLORIDA o PERMIT N? 5005 ❑ Work to be performed under this Permit Owner of ; 1 Building Architect Contractor or Builder Legal Lot Description Bl Address of Building CONTRACTOR OR BUILDER Signed a DATE c +� 195 Contractor's License No. 1 Subdi- vision Value of ia Project $ This permit is grcmted 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 or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees.' f 4 6 I NSPECTOR r In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- =epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Amount of -- Permit $ BY AUTHORITY 6 1 4• BUILDING ELECTRICAL PLUMBING ROOFING Owner of r� Building Architect Contractor or Builder MIAMI SHORES VILLAGE, FLORIDA ❑ DATE 19 ❑ PERMIT N? 3 915 Contractor's License No. 0 ❑ Work to be performed under this Permi Legal Lot Description CONTRACTOR OR BUILDER B1 Subdi- vision Address of Value of 1 Amount of Building % ' Project $ 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ABBOT PRINT • BUILDING ELECTRICAL PLUMBING ROOFING PERMIT Owner of Building � . c Architect Contractor or Builder Legal Lot Description CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE I it a1 Work to be performed under this Permit N9 7137 Contractor's .: License No. 1s 19 le) .y- F ri 7 Subdi- vision Address of r"' ,A - F� ?1- Value of kw, z Amount of /3 ' Building • < < y ; 4 ` Project II 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed «� " k _ y ,. r / INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper, authorities of Miami Shores Village. In ao cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 111507 Owner's Name and Address A. Gustafson — (CI Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. j ss Building Inspector 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 February 5th ,19 57 NoP ° 0. 21 Street Little River Station Lang `oofing & Tile Co., Inc. P 430 N. W. 79th St., Miami Fla. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 315 N.E. 98th St., Miami Shores, Fla. State work to be done and purpose of building (by floors) and for no other purpose. New Building Addition Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering_3O# felt 2 -15 gravel Estimated Total cost of improvements $ X 1 25 .00 Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building____. Size of Building Lot . Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only a such , u _on work. to be performed under this permit, as are licensed by Miami Shores Village. g ri g & ile o ° , , Remarks (Signed) atne 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. Read, Sworn to and Subscribed before me. Permit No Date '" - y Disapproved ..... _ _. Date Notary Public, State of Florida (Signed) 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Requ Date 17 �f I V5 Time Type Insp'n Permit No. Name Address Company Phone # For InspectorL3 Name & Date Approved Correction Re- Insp'n Fee /142 o 0A (AO 102 L-1-5 Owner's Name and Address l j \ (Al J�11 Registered Architect andlor Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot�� Block 6 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and 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. Qpc L c / (7, , 3S a Subdivision t R12<° 1 / ,9 Street and Number where work is to be done (J State work to be done and purpose of building (by floors), state exterior colors (submit samples) L 0 i 2 e`;` r and for no other purpose. New Building Remodeling Addition Repairs No. of Stories / To be constructed of Kind of foundation Roof Covering SC. �'(Th Estimated Total cost of improvements c � t ' p��'t� Amount of Permit $ Remarks (Signed) c Date » ' 7 19 Si) ! Na Street) . J /t' 1~ . 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 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA COUNTY OF DADE. } ss. /� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared A. L3 . to me well kncwn. 0 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. and who, being by me first duly sworn. upon oath deposes and says that he is the 4 �/o6 Permit No. Disapproved '• t Date Date /� /c /gq Read, S ubscr'bed be Not Pu. Staf.f Florida (Signed) Building Inspector My Commission Expires J 9cZ . PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or wor" M0AMO SH !aRES VILLAGE BUILDING INSPECTION DEPARTMENT. APPL CATION F•R BUILDING PERMIT Application is hereby wade for the approyal 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.. t 1 30 _ 80 C Smith «Ap _ Street_._ � "�8h1`: Owner's Name and Address _ R egistered Architect and /or Engineer 1 .... ..1....,r...1.11......._ ,,..<,it Name and address of licensed contractor OberfowL Roo v ; .. Co. 2357 N r ,l ✓�,_m etc . Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 3/5 No L. 986t St State wo )C t be don and purpose of building (by floors) ve f{te iteu/t �Jtave�itvv unr w< rt 4 i� cap and for no other purpose. New Building Remodeling Addition Repairs X '' No. of Stories To be constructed of Kind of foundation Roof Covering 4 11.17 A so Estimated Total cost of improvements $ 800 00 Amount of Permit $L 15° 00 Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors em toyed 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 w. k • s public notice or notices as are required by the Act. The undersigned agrees to employ only s uch subcontractors, on work ` ' ed under this permit, as are licensed by Miami Shores Village. Remarks (Sighed).... ',•%:' ./� STATE OF FLORIDA, COUNTY OF I)ADE. 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 e true . Permit No. ._... * f/ Date 45 ).1 L/ Read, Sworn to and Subscribed before me. Disapproved t Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires to me well known, 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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 March 18, ,1963 Owner's Name and Address.. E. L. Clinch No 315 N a E, 98 Street Registered Architect and /or Engineer Name and address of licensed contractor J Oh I C Location and legal description of lot to be built on: • ..300 Lot Block Su Street and Number where work is to be done 315-_-1. State work to be done and purpose of building (by floors) take up two solar heaters; tin lay back red cement tile. Re -u MIAMI SHORES VILLAGE Andrews Roofing &Tile Co, Ea llth Avenue, Hialeah New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ 200 c 00 bdivision -._E-. 98- .Sti e_at Repair roof above garage (front only); cap 30 #; mop 90 #; Replace one solar heater; se copper drip. and for no other purpose. Repairs X No. of Stories 1 Roof Covering T 1. 1 e 5.00 Amount of Permit $ Zone cubage required -Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for insp ction on the site of the ,rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco> ractor on worlyto b; perfor d under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires Notary Public, State of Florida 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 AP - 'LIGATION 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.Te_reSa I4 Kadd les Registered Architect and /or Engineer Arch___ in _._ charge - Walter Baggensen Name and address of licensed contractor Brady Roofing _ &Sheet Metal, 2955 N.W. 73rd St., Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 315__ 11.E._.98th Street State work to be done and purpose of building (by floors)_ Reroofing_ } __re tov ._existtthg tile roof and replace ._.with 30... 1b .__felt..and__.9Q__ and white cement flat tile. and for no other purpose. Addition Repairs No. of Stories Roof covering_white cemtnt the Amount of Permit $.5• 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 ender this permit; and will post or cause to be posted for i • ection on the site of the work such pblic notice or notices as are required by the Act. The undersigned agrees to employ only such su' tracts s on . k to be perfo ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $.. 900.e.00 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. ' Permit No Date ic .-e25 Read, Sworn to and Subscribed before me. Disapproved _ _ Date (Signed) Building Inspector - ' Commission Expires Notary Public, State of Florida PLAN►! G BOARD DATE Chainnan Member Member Date AUgUst 28 , 19 No. 3 Street N.E. 98th Miami to me well known, Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Lot STATE OF FLORIDA, COUNTY OF DADE. ss. MAflII SHORE APPLIC r ViLLAGE BUILDING INSPECTION DEPARTMENT TORN FOR zUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing o, other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores F orida, 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 Miam Shores Village sh. 11 be conplied with whether her in specified cr not. A copy of approv- d plans and specifications must be kept at bililding during progress of the work. Date , 19 Owner s Name and Address . R. Radd if! No._ _315_ 11.E *Street__ _ 98th_ S_treet. Registered Architect and/or Engineer Name and address of licensed contractor _Ita.dy Roofing_ec Sheet Metal - 2955 Die W073rd_ Street. . Location and legal description of lot to be built on: Block Subdivision Street and Number where work is to be done 315 1\10 E. 98th Street State work to be done and purpose of building ( by floors) iieroofinggravel___roof_in rear. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 4-p2ar itatup & gravel Estimated Total cost of improvements $ 200 0 00 Amount of Permit $ 5.00 Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor._ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws • Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractor • r sub- . tractors employed by in the work to be performed under this permit; and will post or cause to be posted for ins -ction on site • e work such publiilte or notices as are required by the Act. The undersigned agrees to employ only such su • tractors, or be performed u . is permit, as are licensed by Miami Shores Village. ./ / Remarks__ ( Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _ . and who, being by me first duly SWOTII, 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. ___ 3:7 Date "" CP Read, Sworn to and Subscribed before me. to me well known, Disapproved _ 411( D 4 , Building Insptor My Commission Expires ANNING BOARD DATE Notary Public, State of Florida Chairman _ _ Member __ Member Member Member Member Council Approved _ DaLe 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-impection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.