ROOFINGMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n f' ;/ /ifiCa
Permit No.�
Name
Address C/ f \-1: F -
Company
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee ❑
Dat 2 Time
Type Insp'n
Permit No.
Name r,� /�
Address to l 1 c( 2- -
Company M ,,� � _ � !
Phone # ? oS - (S 6— �s
For Inspector:( )27 u� ..11)4ame & Dat
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
o0I,").)?
State # \S
WORK DESCRIPTION:
Square Ft.
Signatur of gxGytrr and/or Con
FEES: PE
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
10050 N.E. 2nd � Avenue • Miami Shores, Florida 33138 •305- 795 -2204
Job Address _.�] I U i LL / 1 irzi.1 Tax Folio
Date
Legal Descrip ion
Owner /Lessee/Tenet
Owner's Address
Contracting Co.
Qualifier ( .6 .
\\ctls
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): n BUILDI)S,G
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 ANY 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). 1 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 all disciplines.
OWNERS AFFIDAVIT: 1 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.
President
hotary as to O'w�ter and/or Condo ' • sident
My Comn4g
FFICIALNOTARYSEAL
JUDY CATALFINO
..TARY PUBLIC STATE OF FLORIDA
OMMIS.SION NO. CC924307
ION EXP.
APPROVED:
Zoning Building
Mechanical Plumbing
Date
C.C.F
Historically Designated:
Estimated Cost (value)
otary as to
My Commiss
U ( >
NOTARY
Yes
Master Permit #' -�t
Phone 2 P1 7 - lain( t7
Address 3LL•' U `.u1- v
ss# Phone3) c- 5 J ,gg' '
Municipal # Competency J / W L 1 Ins. Co.
E\7TRICALq PLUMBING MECHANICAL
3 .1 p i). L)t)
Date ure of Contractor or wner Builder
tra tbrbr t eyyr ;'ARyS
Expire 'D12 TJLI1NO
2 t.: .3''4,t'S FLORIDA
.'a 4..tt4E51ON NO. CCA24307
1.'Y Csiomf.ssioN EXP. APR. n2004
No
,j342
Date
)a )2I-:
Date
BOND - 3 f o
TOTAL DUE C= A
I Electrical
Structural Engineer
r
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Master Permit No.
Contractor's Name
Job Address
7D
Section A (General Information)
Process No.
A.R. Martin Roofing, Tnc.
3i b ME. 99
ROOF CATEGORY
❑ Low Slope ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile
❑ Asphaltic ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes
Shingles
❑ Prescriptive BUR -RAS 150
ROOF TYPE
❑ New Roof 13 Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
7c6
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.
High Velocity Hurricane Zone Uniform Permit Application Form
Fill in Specific Roof Assembly Components Fastener Spacing for Anchor /Base Sheet
and Identify Manufacturer Attachment
(If a component is not used, identify as "NA ")
System Manufacturer: Tamko
NOA No.: -01- 0508.01
Design Wind Pressures, From RAS 128 or Calculations:
Pmax1: -52 Pmax2: —87.3 Pmax3:
Max. Design Pressure, From the Specific NOA
System: — 52 Field Perimete Cc
Deck: Illustrate Components Noted and
Type: Wood Details as Applicable:
Gauge/Thickness: 5/8" Woodblocking, Gutter, Edge Termination,
Stripping, Flashing, Continuous Cleat, Cant
Slope: - Strip, Base Flashing, Counter- Flashing,
Coping, Etc.
Anchor/6ase Sheet & No. of Ply's):1 Ply Glass Baselndicate: Mean Roof Height, Parape: Height,
Height of Base Flashing,'Compone -: Material,
Anchor,'Base Sheet Fastener /Bonding Material: Material Thickness, Fastener Type. Fastener
1 1/4" R.S. Nails & 1 5/8" Tin Caps Spacing or Submit Manufacturers De :ails that
Insulation Base Layer:
Comply with RAS 111 and Chapter '5.
Base Insulation Size and Thickness:
Base Insulation F astener /Bonding Material:
Top Insulation Layer:
Top Insulation Size and Thickness:
Top Insulation Fastener /Bonding Material:
Base Sheet(s) & No. of Ply(s):
Base Sheet Fastener /Bonding Material:
Ply Sheet(s) & ..o. of Ply(s):
Ply Sheet Fastener /Bonding Material:
Top Ply: Awaplan F.R. 170
Top Ply Fasterer' Bonding Matenal:
Asphalt
Surfacing:
Section C (Low Sloped Roof System)
Field: 4 " oc @ Lap, # Rows 2 @ 9 " oc
Perimeter: 6 " oc @ Lap, # Rows _ @ 6 "oc
Corner: 6 " oc @ Lap, # Rows
Number of Fasteners Per Insulation
Board
Awaplan F.R. 170
3x3 Eave Drip
9" Strip l/
Glass Rase
4 @ 6 °oc
=T.
Parapet
Heioht
14
Mean
Roof
Heigh:
Owner's Notification for Roofing Permits issued under the Florida Building Code
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
Section 1524 - High Velocity Hurricane Zones Required Owners Notification for Roofing
Considerations
Page 1 of 1
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner
with the required rooting 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 owner and the contractor. The owners initial in the adjacent box indicates that
the item has been explained.
. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) 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.
(Q,(.) 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 16 (High Velocity Hurricane Zones) of the
Fiorida Building Code. (The roof deck is usually concealed prior to removing the existing roof system).
O LLI) 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.
a t.42 . 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 Florida Building
C ode provides the option of maintaining this appearance.
( ',,(,C.4 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 rernoved. Ponding conditions should be corrected.
e tk,06. 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 the Florida Building Code, Plumbing.
0 j/) 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 consi er additional venting which can result in extending the service life of
the roof.
Owner' /Agent's Signature
0"
Date Contractor's Signature
RECEIVED
MIAMI DADS SEP 0 4 2001 MIAMI -DADS COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Tamko Roofing Products, Inc.
220 West Fourth Street
.Joplin ,MO 64804
Your application for Notice of Acceptance (NOA) of:
( Tamko BUR Roof System over Wood Deck
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate '.vfaterials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein,
This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this
product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the
use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined by BCCO that this product or material fails to meet the requirements of the South Florida
Building Code.
-The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 01- 0508.01
EXPIRES: - 08/23/2006 _'~�
BUILDING CODE COMPLIANCE OFFICE
METRO -DADS FLAGLER BUILDING
140 WEST FLAGLER s r. SUFFE 1603
MIAMI. FLORIDA 33130 -150
(305) 375.2901 FAX (305)375-290S
CoNr'ILACI'o12 LICENSING SKCI'ION
(305) 375 -2527 FAX (305) 375 -2558
CONrRACI'olt F,Nr:014CI Ir.NT DIVISION
(305) 375.2966 FAX (305) 375 - 2908
rl;OnucT CONTROI. DIVISION
(305) 375 -2002 PAX (305) 372 -6330
Raul Rodriguez
Chief Product Control Division
THIS IS TITE COVERST3EF,T, SEE ADDITIONAL PAGES 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 Miami -Dade County, Florida under the conditions set
forth above.
APPROVED; 08/23/2001
11 s04S0001 \pc20001Vemplztcslnodce acceptance cover page.dot
'd ETTO E88 SOE
d,.00 pueTTuuns
Francisco J. Quintana. R.A.
Director
Miami -bade County
I3uilding Code Compliance Office
dt2 tO 20 92 Inc.
TANIKO ROOFING PRODUCTS, INC. Acceptance No:01- 050S.01
ROOFING ASSEMBLY APPROVAL
Catcgorv:
Sub - Category:
Deck Tyr c:
Maximum Dcsien Pressure
Fire Classification:
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED 13Y APPLICANT:
Product
Awaplan 170 FR
Awaplan I7OTM
Awaplan Heat
WeldingTM
Awaplan Premium
FRTm
Awaflex
Awaflcx FR
Roofing Approval Date: August 23, 2001
Built -up Roofing
Expiration Date: August 23, 2006
Wood
-60 psi
See General Limitation #1
Test Product
Dimensions Specification Description
Roll weight: 98 lbs.; ASTM D 6164 A 180 g/m polyester reinforced SBS
33' 11" x 39 3 /8" Type I modified bitumen membrane surfaced
with granules and treated for additional
fire resistance. Applied in hot asphalt or
cold adhesive.
Roll weight: 98 lbs.; ASTM D 6164 A 180 g /m polyester reinforced SBS
33' 11 "x 39 Type 1 modified bitumen membrane surfaced
Roll weight: 96 lbs.;
25' 5" x 39
Roll weight: 101
lbs.; 33' 11" x 39
3 4"
Awaplan Prcmium'rM Roll weight: 101
lbs.; 33' I 1 " x 30,"
Roll weight: 76 Ibs;
33' x 39 -3/8"
Roll weight: 76 lbs;
33' x 39 -3/8"
Z'd CI1O E88 SOE
ASTM D 6164
Type 11
ASTM D 6164
'I'ypc II
ASTM D 6164
Type!!
ASTM D 5147
ASTM D 5147
Page 2
with granules. Applied in hot asphalt or
cold adhesive.
A 250 g/m polyester reinforced SBS
modified bitumen membrane surfaced
with granules. Applied by torch and also
used as a walkway material.
A 250 On= polycstcr reinforced modified
bitumen membrane surfaced with
granules. Applied by hot asphalt and nlso
used as a walkway material.
A 250 On' polycstcr reinforced SI3S
modified bitumen membrane surfaced
with granules. Applied in hot asphalt or
cold adhesive, and also used as n walkway
material.
SBS modified cap sheet constructed with a
155gm /m' non- woven polycstcr mat
saturated with asphalt, coated on both
sides with SBS robber modified asphalt
and surfaced with ceramic granules for
UV protection.
SBS FR modified cap sheet constructed
with a 155gm /m= non- woven polycstcr
mat saturated with asphalt, coated on both
sides with SI3S rubber modified asphalt,
FR treated, and surfaced with ceramic
granules for UV protection,
Frank Zuloaga, RRC
n .r,. ,. n. a.,.. r- ...,_. r.._... •
d�oo pueltuuns d1 :1:0 ZO 92 inr
TAMKO ROOFING PRODUCTS, INC.
Product
AwapIan Vcrsa-
Smooth
Dimensions
Roll weight: 100
lbs. 33' 11" x 39' 4"
Awaplan Versa -Flex Roll weight: 76 lbs; ASTM D 6164
33' 11" x 39 -3/8" Type!!
Base -N -Ply®
Glass- BaseT"
Tam CapT "t
Tart - Ply IV''"'
Vapor
Versa - Base IRTM
Versa-BascTM
Versa -Cap FRTM
Tam -Pro Fibered
Emulsion
Tarn-Pro Primer
Roll weight: 72 lbs.; ASTM D 4601
108'x36"
Roll weight: 72 lbs.; AST'vt D 4601
97.5' x 39 -3/8"
Roll weight: 83 lbs.; ASTM D 3909
32' 1 I" x 39 -3/8"
Tarn - Glass PremiumT" Roll weight: 53 Ibs.;
161' 9" x 39 -3/8"
Roll tivcight: 44 lbs.;
161' 9" x 39 -3/8"
Type 43 Base Sheet Roll weight: 85 Ibs.;
72' x 36"
Roll weight: 86 lbs.;
32' 11" x 39 -318"
Roll weight: 60 Ibs.;
48' 2" x 39 -3/8"
Roll weight: 94 lbs.:
48' 2" x 39 -3/8 ""
Roll weight: 87 lbs.;
33' x 39 -3/8"
5 gallon
5 gallon
' EtTO EBB SCE
Test-
Specification
ASTM D 6164
Type 1
ASTM D 2178
Type VI
ASTM D 2178
Type I V
ASTM D 2626
ASTM p 4897
-Type 11
ASTM D 5147
ASTM D 6163
Type I
ASTM D 5147
AST .M D 1227,
typal!
ASTM D 41
Page 3
Frank Zuloaga, RRC
d�oo puet Tuuns
Acceptance No:01- 0508.01
Product
Description
A 180 OW polyester reinforced SI3S
modified bitumen membrane. Applied in
hot asphalt, by torch. or mechanically
fastened, as a base ply in 2 ply modified
systems.
A 190 Sim' nonwoven polyester
reinforced SI3S modified bitumen
membrane. Applied in hot asphalt, as a
base ply in 2 ply modified systems.
Type!! asphalt impregnated and coated
glass fiber base sheet for use in
conventional and modified bitumen built -
up roofing.
Type 11 asphalt impregnated and coated
glass fiber base sheet for use in
conventional and modified bitumen built -
up roofing.
Asphalt impregnated and coated felt
surfaced with mineral granules used as the
top ply in conventional built -up roof
membranes.
Type VI asphalt impregnated glass felt for
use in conventional and modified bitumen
built - up roofing.
Type IV asphalt impregnated glass felt for
use in conventional and modified bitumen
built -up roofing.
An organic felt reinforced asphalt base
sheet. Applied in hot asphalt or
mechanically fastened.
Heavy duty fiber glass base sheet
impregnated and coated on both sides with
asphalt with or without a fine mineral
stabilizer. Surfaced on the bottom side
with coarse mineral granules embedded in
hot asphaltic coating.
Asphalt impregnated and coated glass
fiber base sheet for use in conventional
and modified bitumen built -up roofing.
Asphalt impregnated and coated glass
fiber base slice( for 1ISC in conventiona
and modified bitumen built -up roofing.
A fiberglass reinforced, mineral surfaced.
SUS modified bitumen top membrane.
Protective coating.
dTZ:TO 20 92 Lnr
TAhMKO ROOFING PRODUCTS, INC.
Product Dimensions
Tam -Pro Fire Rated 5 gallon
Aluminum Roof
Conting
EVI DENCE SUBMITTED:
Test Agency /identifier
Factory Mutual Research
Corporation
Underwriters Laboratories,
Inc.
Dynatcch Engineering
Corporation
Exterior Research & Design,
LLC.
17' 6110 E88 SOE
Test
Specification
AMA D 2824,
type 111
Nnntc
Comparative Rupture Testing
Class I Fire
Class 1 Fire; 1 -90 Windstorm
Classircntion
Class 1 Fire; 1 -90 Windstorm
Classification
Fire Classification -- see
current directory
Wind Uplift Resistance
Wind Uplift Testing
Wind Uplift Testing
Wind Uplift Testing
Page 4
Frank Zuloaga, RRC
duos puetiuuns
Acceptance No:0 1- 0508.01
Product
Description
A flame retardant protective coating that
[arms n highly reflective surface.
Report Date
J.1.4D0A7.AM 10.21.9S
J.1. 0Z4A3.AM 08.27.97
J.I. 1 D4A7.AM 10.20.97
J.J.3B5A9.AM 08.27.97
R3225 Published
Annually
83225 -1 through 13 02.17.94
4440.05.95 -2 05.01.95
4440.05.95.1 05.01.95
4444,06.98 -1 06.15.98
d12: t0 20 92 V IC
TAMKO ROOFING PRODUCTS. INC. Acceptance No:01- 0503.01
Dcck Type 1: Wood. Non - insulated
Dcck Description: '''/,_" or greater plywood o\ wood plank decks
System Type E: Base Sheet mechanically attached.
AN Gencrnl and System Limitations apply.
Base Sheet: One ply of Tamko Glass -Base, Vapor -Chan or Base -N -Ply fastened to the deck as
described below:
Fastening:
( Option #1) Attach base sheet using 11 ga. annular ring shank nails and
diameter tin caps spaced 9" o.c, in a 4" lap and 9" O.C. in two staggered rows in the
center of the sheet. (Meets —52.5 psf, See General Limitation #7.)
(Option 0) Attach base sheet using CF Dekfast or #14 Dekfast Fasteners with CF
He Plates, SFS #12 or HD Insulfixx S, or Buildex Accutrac Fasteners and 3"
Square Plates spaced 12" o.c. in a 4" lap and 12" o.c. in two staggered rows in the
center of the sheet. (Meets -60.0 psf, See General L!»ritarfon #7.)
Ply Sheet: Two or more plies of Tam -Glass Premium® or Tani Ply iV ply sheet adhered in a
full mopping of approved asphalt applied within the EVT range and at a rate of 20-
40 Ibs. /sq.
Cap Sheet: (Optional) Onc ply of Tam -Cap® adhered in a full mopping of approved asphalt
applied within the ENT range and at a rate of 20 -40 Ibs./sq.. (See Tnmko
application instructions for approved method of installation).
Surfacing: (Required if no cap sheet is used) install one of the following:
I. 1 -1'/_ gallons fibcred aluminum coating per square (Tropical Asphalt
Products Alinnal3ritc 120, Tam -Pro FR Aluminum Roof Coating), 3 gallons
emulsion roof coating per square, or asphalt surface nt an application rate of
20 -25 lbs. /sq.. Coatings shall be applied according to the manufacturers'
recommendations regarding specific application rates and weathering.
2. Flood coat with an application rate of G0 lbs. /sq.; plus gravel or slag %vital an
application rate of 400 or 300 lbsisq. respectively.
Maximum Design
Pressure: See Base Sheet Fastening Options above
S'd ET TO EBB S0E
Page 17
Frank Zuloaga, RRC
dJoo pueltuuns dEE:i0 z0 sz inc
TAMKO ROOFING PRODUCTS, INC. Acceptance No:01- 0505.01
WOOD DECK SYSTEM L1MITATIONS:,
1 A stip sheet is required with PIy 4 and PIy 6 when used as a mechanically fastened base or anchor
sheet.
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance, refer to a current Approved Rooting Materials
Directory for fire ratings of this product.
2. 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 lbs. /sq., or mechanically attached using
the fastening pattern of the top layer
3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved
asphalt, panel size shall be 4' x 4' maximum.
4. An overlay and /or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip
mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a
continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed
every 12' in each ribbon to allow cross ventilation, Asphalt application of either system shall be at a
minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design
pressure of psf.
5. Fastener spacing, for insulation attachment is based on a Minimum Characteristic Force (F') value of
275 Ibf., as tested in compliance with Testing Application Standard TAS 105. if'the fastener value,
as field tested, are below 275 ibf. insulation attachment shall not he acceptable.
6. Fastener spacing for mechanical attachment of anchor /base sleet or membrane attachment is based
on a minimum fastcncr resistance value in conjunction with the maximum design value listed within
a specific system. Should the fastener resistance be less than that required, as determined by the
Building Official, a revised fastener spacing, prepared. signed and sealed by a Florida Registered
Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing
shall utilize the withdrawal resistance value taken front Testing Application Standards TAS 105 and
calculations in compliance with Roofing Application Standard RAS 117.
7. 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 RAS 117. (When this limitation is specifically
referred within this NOA, General Limitation #9 will not be applicable.)
8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall
conform with Roofing Application Standard RAS 1 1 1 anti applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.c.
field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for
enhanced fastening at enhanced pressure zones (i.c. perimeters. extended corners and comers).
(When this limitation is specifically referred within this NOA, General Limitation #7 will not be
applicable.)
9' CUD 988 SOe
Page 18
Frank Zuloaga, RRC
elJoo puejiuuns
d22 :TO ac 9Z Inc
TAMKO ROOFING PRODUCTS, INC.
Acceptance No:01- 0503.01
NOTICE OF ACCEPTANCE STANDARD CONDITIONS
1 Renewal of this Acceptance (approval) shall be consiticrcd a renewal application has been
filed and the original submitted documentation, including test supporting data, engineering
documents, arc 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 following statement: " Miami -Dade County Product Control Approved ", or ae
specifically stated in the specific conditions of this Acceptance.
3 Renewals of Acceptance will not be considered if:
a) There has bccn a change in the South Florida Building Cede affecting the evaluation of this
product and the product is not hi compliance with the code changes.
b) The product is no longer the same product (identical) as the one originally approved:
c) I f the Acceptance holder has not complied with all the requirements of this acceptance,
including the correct installation of the product;
d) The engineer who originally prepared, signed and sealed the required documentation initially
submitted, is no longer practicing the engineering profession.
4 Any revision or change in the materials, use, and /or manufacture of the product or process shall
automatically be cause for termination of this Acceptance, unless prior written approval has bccn
requested (through the filing of a 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 proccss:
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any
other purposes.
6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the
Notice of Acceptance is displayed, then it shall be done in its entirety.
7 A copy of this Acceptance as well as npproved drawings and other documents, where it applies,
shall be provided to the user by the manufacturer or its distributors and shall be available for
inspection at the job site at all times. The copies need not be resealed by the engineer.
8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of
Acceptance.
9 This Acccptancc contains pages 1 through 19.
END OF THIS ACCEPTANCE
G'd CUD E88 SCE
Page 19
Frank Zuloaga, RRC
d.ioo pueiTuuns de2:TO 20 92 TIC
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•
ROOF COVERING MATERIALS (TENT)
Roofing Systems (TGFU)— Continued
Surfacing: Gravel, crushed stone or slag in n,flood coat of hot roofing
asphalt id laid loosely.
2. Deck: NC incline: 1
Base Sheet (Optional): Type G2 "Vent- Ply ", Type GI "Tam -Glass
I'rnri ire' ur "'faun I'ly 1V ", hot mopped. •
Membrane: "Awaplan Versa- Smooth ", (modified bitumen), hot
I or n :un: layers Typu C1 ply sheet '"tam -Class Premium"
r "lain Ply i\'" hot 'napped.
Surfacing: g ravel in flood coat of hot roofing asphalt fit 60 lb /sq.
3. Deck: C- 15/32 (with joints blocked) Incline: 1/4
Bays Sheet: Typ,: 15 asphalt organic felt "43e Baee Sheet", nailed.
Insulation: i - 1 / 2 10 2 1 /2 in. perlite, wood fiber, fiberglass or Apache/
Ccl,:tc:, isucyariumlo,
Base Sheet One or more of the follo}vin :. .• er •
"\•ant -Ply": Type GI "Tam -Glass Premium ",.'Tam Ply )ViGor." Vapor-
Chan'', spot attached. ,
Membrane: "Awaplan Premium ", "Awaplan 176", "Awaplan Versa -
Smooth ", hot mopped or "Awaplan Heat Weld ", torch applied,,
surfacing: "'lam -Cap" gravel or crushed stone at 5001b /sq or crushed
stag at 375 Ih /sq in a flood coat of hot roofing asphalt or laid loosely,.
4. Deck: NC Incline: 1 .:, , .
Base Sheet: Type C2 "Vent-Ply", "Class- Base ",;'Vapi - Chan ",'type GI
"Tam -Glass Premium" or "Tam -Ply IV", hot mopped. ,;; ;
Ply Sheets: One or more Type C1 'Tam -Clew Premium" or .",Tarn-Ply
IV ", hot mopped.
Membrane: "Awaplan Premium" (modified bitumen), hot mopped,
Surfacing: Gravel.
5. Deck: 3/4
incline: 1/4
Base Sheet: ,Type 01 "Tam -Glass Premium", Type G2 "Class 1 Base";
"4311 Case Sheet" or "vent- Ply, ", nailed or sprinkle mopped,
Membrane: "A e.tplan Premium ", granule surface hot mopped in place.
" Awaplan Versa - Smooth", "Awaplan Heat Weld' or "Awaplan Versa -
Flea", (modified bitumen), hot mopped or torch applied.
Surfacing: Gravel.
Class A - Fully•Adhered
I. Deck: NC incline: 1/4
Ilse Sheet: Joe or more layers of the following Type G} "Tam -Ply IV ";
i)•pe C,: "Glas,•ilase ", "Vent- Ply" or Type G1 'Tim -Glass premium ", hot
nt•grped, fir Type C2 "Vapor- Chan" venting base.sheet, spot attached.
Base Sheet (Optional): Type .15 asphalt organic felt or "43r1 Base Sheet ",
Ise mopped.
Membrane: "Awaplan Premium" (modified bitumen), hot mopped or
"Atv.rpl.rn out :Vold ", heat welded (modified bitumen),
Surfacing: kl,msey "Asbestos Flbered Asphalt Emulsion" at 3 gal /sq.
Opt ienally. No. I I roofing granules at 25 lb /sq may be embedded in wet
coaling, "l:ur•ko libered Aluminum Roof Coating" at 1-1/2 gal /sq,
Karnak Chemical 'No. 97A1" at 1 -1/2 gal /aq, "Tam-Prit FR Aluminum
Rae( C:ir.tl,ng- Asbestos Free ", 1 -2 gallsq or gravel.
2. Deck: C-15/32 (with joints blocked) Incline; 1/4 ,
Base Sheet •I 15 asphalt organic felt "434 Best Sheet ", nailed,
Insulation: 1 -1 /7 to 2.1/2 in. periite, wood fiber, fiberglass or Apache/
Celulex ia„ryanurele. •
Nase Sheet: Tees. C2 "Class- Base" "Vent -Ply" or "Vapor- Chan" vent-
. .. • .
ieg• base alien, Mule attached,
Membrane: "Aw.,plan Premium ", "Awaplan 170 ",''Awaplan Versa-
Sneed', •. hot mopped or "Awaplan Prat Weld ".
Surfacing: 'lypr (..3 cap sheet "Tam- Cap ", hot mopped or Grundy's
Fiber. d Aeph,ll Emulsion" at 3 gal /sq or Karnak Chemical Corp. "No.
tree e" alt 1.1 /2 gal /y,1.
3. Ueck: NC'
incline: 3/4
Insulation (Optional!: Perlite, glass fiber, lvnod fiber, phenolic, isocya-
:wrah:, methane, l''yseyrene, any combination, any thickness mopped` -
in flan•.
Base Sheet: One or more layers of the following base sheets: 'Tame
Sheet ", "Vt- Ply", I
('ly' ", "Awap V
lanPren Premium Smooth FR" or "Versa Base" ho
moptn,l ill place.
Membrane: "Awaplan Premium FR ", " Aweplan 170 FR ", "Awaflex FR"
or "V. csa.Cap FR ", but mopped in place.
4. Deck NC incline: 1 . .
insulation (Optional): Partite, glass' fiber, wood fiber, isncyanurate,
urethane, polystyrene, any combination, any thickness, mopped in place.
ETTO CBS SOE
2001 ROOFING MATERIALS & SYSTEMS DIRECTORY
Roofing Systems (TGFU)— Cont holed
. Baee Sheet: Two or more layers of the following base sheets: "Vent -PIy ',
. "Tani -Glass Premium ", "Tam -ply" " Vapor - Chan ", "Glass-Base", "4311
Base Sheet", "Versa- Base", hot plopped in place.
Cap Sheet: "Versa -Cap FR", hot mopped in place.
5. Deck; NC incline: 2
Insulation (Optional): Perlite, glass fiber, wood fiber, phenolic, isvcye•
nurate, urethane polystyrene, any combination, any thickness, m:rpp,,,
. In place.
Base Sheet: Ode or more layers "Versa- Base ", hot mopped in place.
. Cap Sheet:. "Varna -Cap FR ", hot mopped in place.
6.' , Deck: NC incline: 1
... Insulation: Perlite, glass Aber, wood fiber, phenolic, isocyanurat,e
urethane, polystyrene, any combination, any Thickness, mopped in purr,..
Baae•Sheei• One or more layers "Versa- Base" or "Versa- Flex ", hoi
mopped in place.
Ply Sheet (Optional): One or more layers "Tam -Glass Premium" or
"Tam -Ply P/ ", hot mopped in place.
t Membrane: "'Awaplan Premium FR ", "Awaplan 170 FR ", "Awafle
'FR". "Versa -Cap FR ", hot mopped in place.
7.' Deck: NC • Incline: 1/4
r . Insulation: Perlite, wood fiber, glass fiber, polyurethane, isocyanurat
combination isocyanurate /perlite or polyurethane / perlite any thick-
ness, hot mopped in place.
Base Sheeb, One or more of the following: "Tarn-Glass Premium" or
"Tam -Ply IV ", hot mopped in place.
Membrane; "Awaplan Premium ", "Awaplan 170 ", "Awaflex" or
"Versa - Flex ", hot mopped in place or "Awaplan -Heat Welding" heat
n;•, - fused or '•Awaplan Versa - Smooth ", hot mopped or heat fused.
Surfacing: Grundy "Fibered Aluminum Roof Coating" applied at 1-1/2
gal /sq, Pure Asphalt "Flbered Asphalt Emulsion Roof Coating" applied
at 3.gal /sq, "Tam -Pro FR Aluminum Roof Coating - Asbestos Free ", 1-2
: gat /sq or Karnak Chemical "No. 97AF" at 1-1/2 gal /sq.
8„ . Deck: C -15/32 incline: 1;4
Insulation: Perlite, wood fiber, glass fiber min. 1 in. thick, hot mopped
: in place..
, , Base Sheet (Optional): One or more layers "Class- Base ", hot mopped
in place. .
Base Sheet: One or more layers "Versa Base FR ", hot mopped in place.
i..: Membrane:, "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflee FR'
or "Versa Cap FR ", hot mopped in place.
9. e Deck; 15/32 Incline: 1/9
Insulation (Optional): Fibelass, foam glass, any thickness.
Base Sheet: "Versa -Rase FR ", hot mopped in place,
Base Sheet "Tam-Glass Premium ", hot mopped in place.
Membrane: "Awaplan Premium FR ", "Awaplan 170 FR ", "Awaflex FR`
. or "Versa -Cap FR ", hot mopped in place,
10, Deck 15132 Incliner 1/4
insulation: Perlite, wood fiber, min 1 in thick, hot mopped in place.
Bue Sheeb "Versa -Base FR ", hot mopped in place.
>, r Base Sheet: "Tam -Glass Premium ". hot mopped in place.
Membrane: ."Awaplan Premium FR ", "Awaplan 1711 FR ", "Awaflex FR"
or "Versa -Cep FR ", hot mopped in place.
11. Deck: 15 Incline: 1/4
insulation (Optional): Perlite, fiber glass, foam glass, any Ihickneae.
Base Sheet, "Versa -Base FR ", hot mopped in place.
Base Sheet: "lam -Glass Premium ", hot mopped in place.
Membrane: "Versa -Cap FR ", hot mopped in place.
12.. Deck: 15/32 Incline: 1/4
Insulation: Perlite, wood fiber min 1 in. shirk, hot mopped in place
: Base Sheet: "Versa -Base FR ", hot mopped in place,
e , Base Sheet: "Tam -Glass Premium", hot mopped in place.
-e Membrane:_.,:Gersa-Cap FR "; hot mopped in place..... -..
13; D eck :15/32 Incline: 1/4 "
Insulation (Optional): Perlite, glass fiber, wood fiber, hot mopped in
place.•
Base Sheet: Twp oe more layers of the following base sheets: "Ta
c: Glass ", "Tam -Ply IV ", "Vapor-Char.", "Glass- Base ", "Versa- Base" or
"Versa -Base PR ", hut mopped or mechanically fastened in place
Membrane: "Awaplan Premium FR" or "Awaplan_17D.4R ", ' Awaflcx
..
`` h2t moppetiin- place
14., Deck NC incline: 1 -112
Insulation: Polyisncyanurete, glass fiber, perlite wood fiben hot
mopped or mechanically fastened, any thickness.
LOOK FOR THE UL MARK ON PRODUCT
, ROOF COVERING MATERIALS (TEVT)
d„loo pue T t uuns 6S t 90 CO LT Jdli
413
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Printed: 12 /9/2002
Parcel #
Signed:
1132060135580
Nc Signed: •�1, - ,14 d
1
Building Permit
Permit Number: BP2002 -2118
-7 " - Page 1 of 1
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 6/7/2003 Construction Value: $3,100.00
Work: RE ROOF USING RUBEROID MATERIAL
Applicant: ALECIA WALTERS
Owner: WALTERS ALECIA
Ln JOB ADDRESS: 310 NE 99 ST
Contractor A B MARTIN ROOFING
Local Phone: 305 - 836 - 2851
�' Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 7 & 8 BLK 41 LOT SIZE 100.000
�J
Fees: Description Amount
FEE2002 -7023 Building Permit Application Fee $60.00
FEE2002 -7024 CCF $2.40
FEE2002 -7025 Buildier's Bond $300.00
Total Fees: $362.40
Total Fees: $362.40
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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 or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
(INSPECTOR) BY:
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 accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
(Contractor or Builder) BY:
a
0
0
0
PAY
TO THE
ORDER OF
FOR
Miami Shores Village
Sixty Thin nn11 arc & 40/100
ElBankUnited
16800 NW 67th Ave. • Miami, Florida 33015
310 N.E. 99 Street
S e c u r i t y e n h a n c e d d o c u m e n t . 5 , . b a r k f o r d e t a i l e.
AB MARTIN ROOFING, INC.
3680 N.W. 135TH ST.
OPA LOCKA, FL 33054
DATE
11 4 2670905944 0 4 2 9 98 900811
5633
• 63- 9059/2670
12/10/2002
42
$ 62.40
DOLLARS 01
PAY
TO THE
ORDER OF
ilBankUnited
16800 NW 67th Ave. • Miami, Florida 33015
ft75ecurit enhanced document. See back or details.f - »
AB MARTIN ROOFING, INC.
3680 N.W. 135TH ST.
OPA LOCKA, FL 33054
Miami Shores Villaee
Three Hundred Dollars & No Cents
FOR Bond 310 N.E. 99 Street
11 56 3 2" 1: 26 7090 5941:
DATE 12/10/2002
1 $ 300.00
5632
63-9059/2670
42
DOLLARS .8 m
OM
MIAMI SHORES VILLAGE 76
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the arlweval of the detailed statement w me pans and specifications herewith submitted foe-the build
init or other structure herein described. This application is made in consplsanne and conformity with the Building Ordinance of Murni
Shores Village. I lnrid.s. asul all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all treks and
regulations of the Building Dwisinn of Miami Shores Villaie shall be complied with, whether herein spatffiad se not. A espy of approved
plans and specifications oust be kept at building during progress of the work.
Owner's Name and Address . . [- I L1 1±0 ► v
Registered Architect and /or Engineer .
Name and address of licensed contra
Location and legal ileseription of lot to be built on:
Lot 7°1 f Block gAl _.
•
Disapproved .
(Signed) ` v
Chair:r,an
Member
Member
s f i.
Rem.uks... _. (Signed)
Date.
4/474 Ij9/ � 7) f / __•
Subdivision �� / r AP / IA /J
Street and Number where work is to be done
State work to be one and urpose of building (by flon)...E 71 r - y 24 -1 6 --4: i ._±" � 2 ,
f...6 4 . 1 i. 3.. # ._... 1 Is _ 1 � . . ._ L -4 .1 a _. . J �
_... and for no other purpose.
New Building Remodeling Addition Repairs .... No. of Stories _ _
• To be constructed of hind of foundatio n p� Roof �overing
Estimated Total cost of improvements $....1O.1.S T 00 Amount of Permit s` -3d' 0
Zone cubage required _._.___... Cubage
Distance •to next nearest building __. .Sise 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 un arphc.-,nt for this'hoilding permit does hereby certify that he understands and accepts his obligation. a. an employer
of Libor under the Florida %VorI inen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Prrmanent SupJsleusent,
and h.ss co n, hid uiti, the provision. thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in 0:1: work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village. I
STATE OF FLOrIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgmenu. personally ap-
pealed •
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 7 stated
are true. rr ff
Permit No..2 N __._..... Date Read, Sworn to and Subscribed before use.
Notary Public, State of Florida
Building Inspector My Commission Empires
_ .1Q.—
to me weU known,
PLANNING BOARD..._. ._ ....................._.__.__. DATE
— .... Member ._.._._....._... �.. —_.. �_...__ _. _...._..
_....._._..____..._.. Member _�._...__....._..._.... _._
Council Approved __._Date Disapproved .._.._.._..___. _....._ Date
NOTE: A ch.srge of $1.00 will be made for snaking corrections we changes to this application after approval has hers obtained bass
the Pl.snntr.;t )tu.srd
A rc.srr.t>.•stsun fee of $1:00 will be charged when such no-Inspection is swede oateesary by tramper setae for inspection or faulty
nsatcr►ab anu /or workmanship.
•
BUILDING ❑
ELECTRICAL ❑
PLUMBING 0 PERMIT N°
ROOFING
Owner of
Building
Legal
Description
Address of
Building
Contractor +"
or Builder ., /
Lot
Architect
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
II Bl
',o a,6
Signed
Date`
8345
Contractor's . License No. r .
Work to be performed under this Permit
Subdi-
vision
Sq. Ft.
Value of II Amount of
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 ma 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.
(INSPECTOR) BY ' 4.,4k 'c
In consideration of the issuance to me of this permit agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, d wings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
i"
Owner's Name and Addres
Registered Architect and /or Engineer
Name and address of licensed contractoS
Location and legal description of lot to be built on:
Chairman
Member _. -
MIAMI SH RES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOI 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 - 3 2/' ? , 19 ......
••- ---- _ No. /. -D Street- /r/- Z
Lot • Block Subdivision
Street and Number where work is to be done ..4.42
State work to be done and purpose of building (by floors) / 3 Q
v4 0
and for no other purpose.
New Building Remodeling Addition Repairs ✓ No. of Stories
To be constructed of Kind of foundation Roof Covering 1
Estimated Total cost of improvements $ a_ 7 -_ CJ Amount of Permit $
Zone cubage required _Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontract s, on wgrk to be performed 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 $ Vs-C
_ - -- Date.... / 3 d - `� 7 Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) ._.1
Build' � 1 nspector / My Commission Expires
Notary Public, State of Florida
_ y o 3 L 1 0
PLANNING BOARD DATE
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.
PLUMBING ❑
ROOFING
Owner of '}•
Building
Architect
Contractor
or Builder
Legal Lot 11 M. t'+
Description.
Address of
Building a, t
• '
cL
NTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
BUILDING ❑
ELECTRICAL ❑ PERMIT N? 15034
Work to be performed under this Permit
Subdi-
vision
Value of
Project $
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 or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed: BY
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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY
DATE
Contractor's
License No
Amt. of
Permit
195:—
AUTHORITY
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDIN INSPECTION DEPARTMEN
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the deviled statemen• of the plans and specifica herewith submitted for the build-
ing or o h -ructure her i described This i licatic is made in compliance and con•o'm ty w,th the Building Ordinance of Mia ii
Shores Village, or da, and all pro isions of the Laws e f the State cf 1• lurid. all o d nances ,,f Mi m Shores Village and all rules and
regu a ion, of the Building Div.. i of .lam Sho. illage l '1 e o ipl.ed with, whether herein specified or not. A copy of approved
plans and specificati a must be key at bur;ding durin,. progress of tl.e wcrk.
Owner' Name and Address .__._._
Registered Architect and /or Engineer._ � ... . . ..
Name nd address of licensed contractor. it --------
Location and legal description of lot to be built on:
Lot __. _______.__...___ . Block. _._. Subdivisi n
Street and Number where work is to be done_ __3__./___0
State work to be done and purpose of building (by floors)
rf—zeD
Date „/ �
•
Inspector
Date
6 ,19
A
G- 9
and for no other purpose.
New Building_ _ Remodeling._ ____ _ __. Addition____ ____ ___ _ ____ __ _ Repairs. _ _ No. of Stoorries
To be constructed of_ _ _ Kind of fourdlation Roof Cov ® /P _
Estimated " •,tal cost of improvements $__ ®r0 °'
Zone ^ubage required_ __.
Distance to next nearest building__ _ -
Maximum live load to be borne by each floor _ . _____
hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may
be sent to
The unde signed appli ant for th's budding permit does hereby certify tat he understands and accepts his .•bligations as an employer
of 1• bor under he Florida Workmen's Compensation Act being S• , tion 5966 Coy p led Gen al Laws of Florida P r anon. &mph: cent,
and h s compl ed w'th he prov'aons thereof, and will require s•milar come lance from all contractors or subcontractors cmplo •ed by him
in the wo k to be p rt med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public notr c
or •otices as are requir d by the Act. The u. d.r ign .d agrees to employ only such abcontr. ctors, on work to be perform d . der this
permit as are licensed by M am. Shores N il!: ge.
Remarks__ (Signed )
Amount o` Permit $__
Flan Cubage__
Size of Building Lot
Read, Sworn to and Subscribed before me.
Notary Public State of Florida
1
Before me, the undersigned authority, a notary public, duly authorized to administer oaths “nd take acknowledgments, personally op-
neared
.to me well known,
and who, being by me first d. ly sworn, upon oath depo?es and says that he is the
of th abov de ,c ibed •,struction t. h has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are tr re.
Permit No / ✓v 3 / _ Date_
Disapproved
(Signed) - - - - -- - - - -- - -
My Com:nission 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 lfter approval Iris been obtained from
the Planr ng Board
A re -ins ection fee of $1.00 will be charged when such re- inspection is mute necessary by improper notice for inspe :•t': r or fa. Ity
materials and /or workmanship.