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375 NE 99 St (7)Type Insp'n ...MIAMI SHORES VILLAGE ( V BUILDING DEPARTMENT 305- 795 -2204 Budding Inspection Request Approved Correction Re- Insp'n Fee Date n Permit No. Name PV ' e k Address 3 . 9S 1\V_ 9°1 Company ' CLUSt, ' Phone # For Inspector: or 7 Time 0-Ct 1, Name & Date Date V Z ime Type Insp'n Permit No. Name Address Company Phone # � b — (13 1 For Inspector: 1, l G Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 3t495q PERMIT APPLICATION FOR MIAMI SHORES 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 Date 1) I b1 0 jJob Address 37 , E q - Tax Folio Legal Description Historically Designated: Yes — No Master Permit # e P2 + \ ( \ • Owner /Lessee/Tenet T h Capri Owner's Address . r1,5 1 " E q h Sr Phone 9,59 Contracting Co. 4k.k) J C Roo-c'iv,5 US M q Qualifier Pcu,Ak I 4UJ&dk ss# t5Phone so ✓ 54- "(431 State # Municipal # Competency # 63 36 Ins. Co. Le i - 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): BUILDING ELECTRICAL PLUMBING MECHANICAL I~ CX74 n gcu e roo'`F j e¢ I � WORK DESCRIPTION: o q Tray tn -e " fit. i Sys- e rv� Square Ft. b00 Estimated Cost (value) ) 00 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). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all- applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signa ffe of owner and/or ` ondo President Date Sig �- Ci.d o- Li Notary : ` • 1 ' r r n .) or o ' • ident My Co :� ..sj�lntzP� eission on DD1 5004 s8 o• n Ex p res November 15, 2006 FEES: PERMIT APPROVED: Zoning Mechanical Building 7—/Z Do AwkW4A0 4 ‘3. 0 C.C.F re of Contractor • • ner Bxit der Date i• ..� My Commission Expir as to ontracto o Q ne Bu' er Date ' a M Becker it'll • MY Commission D0150048 n Expires November is, 2006 NOTARY BOND 3 t✓ TOTAL DUE '? JUL 1 6 2003 Electrical Plumbing Structural Engineer vala w ( 00 e Ia cd C 1 1 High Velocity Hurricane Zone Uniform Roofing Permit Application MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Master Permit No. Contractor's Name: Job Address: Q A r ,wcte Section A (General Information) Process No. Roof Category . _ L Slope Ei Mechanically Fastened Tile 0 Asphaltic Shingles ❑ Metal Panel/Shingles Prescriptive BUR -RAS 150 ❑ Other: Are there Gas Vent Stacks located on the roof? ❑ Yes Low slope roof area (ft. 1 b Section B (Roof Plan Page 2 ,1,. Roof Type ri New Roof I_7 Re- Roofing n Recovering ❑ Repair Maintena If yes, what type? 0 Roof System Information Steep Sloped area (ft. 0 1 Total (ft. Page 1 of 1 Mortar /Adhesive Set Tile Wood Shi s/Shakes tirr 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. Comer Size (a' x a'): I J Perimeter Width (a'): i 79 1 F1 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, A identify as "NA ") System Manufacturer. (, v t E NOA No.: Design Wind Pressures, From RAS 128 or Calculations: Pmax1: S ‘ max2: J t Pmax3: l Max Design Press 1re the Specific NOA System: l2 Deck: Type: Gauge/Thickness: Section C (Low Sloped Roof System) 02.--0110. 07 I &b tiv' s1' Slope: Anchor /Base Sheet & No. of PIy(s): ply baste A h B..e ahee F.ste r /Bondi tut 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): Base Sheet Fastener /Bonding Material: Ply Sheet(s) & No. of PIy(s): P I y I h erg 1 CtSS Ply ie� F-a>gte� r(Bpndin Material: Top Ply: 61A F r&( Cup Sheri- Top g yFateneerr/, f�op'''�� ging Material: Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment Field: t " @ Lap, # Rows cz 1 " oc Perimeter. b -0c Lap, # Rows . @ " oc Comer: 1 " oc @ Lap, # Rows 9 @ ..c Number of Fasteners Per Insulation Board Field Perimeter Corner 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 pacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. GhF Mt ers• I ( L $ kee -- a < sir\ P 21 \/ 4 ;her V -15 bc`Se,SI \ b V -Toys FT. D Parapet Height ID Mean Roof Height 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 roofmg contractor to provide the owner with the required roofmg 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 roofmg system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Z e) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring uu its(i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofmg contractor and/or owner should notify the occupants of adjacent units of roofmg work to be performed. ,, _ 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be v wed from below. The owner may wish to maintain the architectural appearance, therefore, roofmg nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cater 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 roofmg system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o rloaded 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. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the in erior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. r i- ° -3 U P er's /Agent's Si a Date Contractor's Signature CADo.uamb sod SedWtskkammeALool SeIW{ATenptTenponry [Memel FIIeACo.b.LIFS OKLBAP PSECTION 1524111.doe • /IMAMS BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: MIAMI -DARE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SLATE 1603 MIAMI, FLORIDA 130 -1563 (305) 375 -2901 FAX (305) 75 -2908 This NOA is being issued under the applicable rules and The documentation submitted has been reviewed by the BCCO and acc�� by the ted by Building construction Product Review Committee to be used in Miami Dade County ding � Code Code ode and d P Produt Jurisdiction (AHJ). �' and °�� areas where allowed by the Authority Having This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Con Division (In Miami Dade County) and/or the AHJ trol rn have this product or material tested for quality ( areas other than Miami Dade County) reserve the right to acce ted l ty assurance Purposes. If this product or material ails to P manner, the manufacturer will in the perform in the ay immediately revoke, erves the right to revoke t this product or material modify, or suspend the use of such product or material within their testing and the RA �' this acceptance, if it is determined by Miami-Dade County Product Bs j fails to meet the requirements of the applicable buildi Control Division building code. This product is approved as described herein, and has been designed to comply with the _ Ve • city Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Deck. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. .RENEWAL of this NOA shall be considered after a renewal application has been filed and there h change in the applicable building code negatively affectin g the performance of this product. as been no P TERMINATION of this NOA will occur after the expiration date or if there has been a revision or materials, use, and/or manufacture of the product or change in the product, for sales, advertising or any other Process. Misuse of this NOA as an endorsement of any any section of this NOA shall be cause for termination and removal of NOA. ate NOA. Failure to comply with ADVERTISEMENT: The NOA number the expiration date may be displayed in advertising fife afore words f � Miami-Dade County, Florida, and followed by be done in its entirety. Y Y portion of the NOA is displayed, sP Yom, then it shall INSPECTION: A copy of this entire NOA shall be and shall be available for . provided to the user by the manufacturer or its distributors inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 21. NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 1 of26 The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 2 of 26 ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® #75 GAFGLAS #80 Ultima Base Sheet Roofing BUR Wood -75 psf See General Limitation #1 Dimensions 5, 55 gallons 60 1b. bags 5 gallons 1, 5 gallons 1, 5 gallons 5 gallons 5 gallons 39.37" (I meter) wide 39.37" (1 meter) wide Test Specification ASTMD4I ASTM D 1863 ASTM 1227 ASTM D 2824 Product Description 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 Shied® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. ASTM D 4586 Fiber reinforced, polymer modified Flashing cement ASTM D 4586 ASTM D4601 ASTM D4601 Asphalt flashing Cement Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 3 of 26 Product GAFGLAS Flex P1yTM 6 GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable RUBEROID® SBS Heat- WeldTM Smooth RUBEROID® SBS Heat- We1dTM Granule RUBEROID® SBS Heat- We1dTM 170 FR RUBEROID® SBS Heat- We1dTM PLUS RUBEROID® SBS Heat -Weld PLUS FR RUBEROID® SBS Heat- We1dTM 25 RUBEROID Modified Base Sheet Ruberoid® 20 Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Various 39.37" (1 meter 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 39.37" (I meter) wide Test Speciflcatiion ASTM D 2178 ASTM D 2178 ASTM D 3909 ASTM D 4897 D 3672 er) ASTM D 4897 D3672 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D4601, Type II, UL Type G2 BUR Type VI asphalt impregnated glass felt with asphalt coating. 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. Non-Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Premium glass fiber reinforced SBS - modified base sheet ASTM D 6163 SBS modified asphalt base sheet and interply ASTM D 5147 sheet reinforce with a glass fiber mat. NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 4 of 26 Product Ruberoid® Mop Granule Ruberoid® Mop Phis (Granule) RUBEROID MOP Smooth RUBEROID® MOP 170FR RUBEROID® MOP FR RUBEROID® TORCH 3 Smooth RUBEROID® TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 170FR TORCH RUBEROID® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD®SBS Test Dimensions S aes on 39.37" (1 meter) ASTM D 6222 wide ASTM D 5147 39.37" (1 meter) ASTM D 6222 wide ASTM D 5147 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 9.37' (1 meter) wide 39.37" (1 meter) wide ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granule. 39.37" (1 meter) ASTM D 6222 H wide ASTM D 5147 mo 39.37" (1 meter) ASTM D 6222 He ASTM D 5147 wi m 39.37" (1 meter) ASTM D 6222 He Wide ASTM D 5147 wi mem 39.37" (1 meter) ASTM D 6163 Non wide ASTM D 5147 pol eral 39.37" (1 meter) wide 39.37" (1 meter) wide Product De scrin Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -woven polyester mat coated with ASTM D 5147 polymer- modified asphalt and smooth surfaced. ASTM D 6164 Non -Woven polyester mat coated with fire ASTM 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. eavy duty, polyester reinforced, asphalt dified bitumen membrane, granule surface eavy duty, polyester reinforced, coated th fire retardant asphalt modified bitumen embrane, granule surface. avy duty, polyester reinforced, coated th fire retardant asphalt modified bitumen brane, granule surface. -woven fiberglass mat coated with ymer modified asphalt and surfaced with min 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 ahiminum, copper or stainless steel foil. NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 5 of 26 Product RUBEROID® Dual FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix® System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet Tile -Mate Cap Sheet Shingle- MateTM Underlayment TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCote® MB+(Matrix 715 MB Coating) TopCoat MB+(Matrix 715 MB Coating) WeatherCoteTM (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive Dimensions 39.37" (1 meter) Wide 5 gallons 5 gallons Test Specification ASTM D 6164 ASTMD5147 PA 100(A) ASTM D 1929 ASTM D 635 None ASTM D2824, Type I Product Description Non -woven polyester and fiberglass mat coated with file retardant, polymer modified asphalt and surfaced with mineral granules. One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Mineral colloidal bituminous emulsion with reflective aluminum flakes Non - fibered aluminum pigmented, asphalt roof coating 100 Ib. cartons, ASTM D312, Interply mopping and surfacing asphalt bulk Types I, II, III and IV 601b. kegs 39.37" (1 meter) ASTM D4601 wide 39.37" (1 meter) ASTM D 3909 wide 4 sq. roll 30 lbs. 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 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 Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. ASTM D3019 Cold Applied Modified SEBS Asphalt Adhesive NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 6 of 26 Product (Ruberoid ®MB) Matrix 201 System Pro SBS Flashing (Ruberoid ®MB) Matrix 102 Select SBS Adhesive (Ruberoid ®MB) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Aluminum Matrix 304 Select Non - Fibered RUBEROID® Modified Bitumen Adhesive APPROVED INSULATIONS: GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A & N (BMCA)GAFTEMP® Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANTTM GAFTEMP Permalite Recover Board GAFTEMP GAFEDGETM Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA Product Name Dimensions 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons Test Specification ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D4586 ASTM D3019 ASTM D 2824 ASTM D2824, Type I ASTM D 3019 Type lII TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Product Desc Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. 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 NOA No: 02-0408.09 Expiration Date: 11 /04/03 Approval Date: 05/23/02 Page7of26 APPROVED INSULATIONS: Product Name BMCA Composite EnergyGuard, RA PYROX White Line ACFoam I II & Composite ISO 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck ENRG'Y -2 & E'NRG'Y -2 PLUS, UltraGard Gold FiberGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Product Number Name 1. GA1 (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener 2. GAFIil'E® (Drill -Tec ®) ASAP TABLE 2 Product Description Polyisocynurate/wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate/perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Dimensions Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFTTTE Fasteners and metal and plastic plates. Manufacturer (With Current NOA) BMCA Apache Products Co. Apache Products Co. Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. generic generic generic G -P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 8 of 26 APPROVED FASTENERS: Fastener Number Product Name 3. GAF i (Drill-Tec®) Base Sheet Fastener and Plate 4. Galvalume Plates (Drill- Tec® Metal) 5. Polypropylene Plates (Drill- Tec® Plastic) 6. Dekfast Fasteners #12, #14 & #15 7. Dekfast Hex Plate 8. Dekfast Lock Plate 9. #12 Roofgrip Fasteners 10. Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener 13. Olympic Fastener #12 & #14 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G-2 17. Olympic Standard 18. Insul -Fixx Fastener 19. Insul -Fixx S Plate 20. Insul -Fixx P Plate 21. Tru -Fast 22. Tru -Fast Plates TABLE 3 Product Description Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. Polypropylene round plate Insulation fastener assembly with recessed plastic plate Insulation fastener Pre - 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 galvalume AZ50 steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Manufacturer Dimensions (With Current NOA) GAF Materials Corp. 3" and 3 '/z' GAF Materials Corp. 3" and 3 'A" GAF Materials Corp. Construction Fasteners Inc. 2 7/8" x Construction Fasteners 3 ''A" Inc. 3" x 3 'A" Construction Fasteners Inc. ITW Buildex Corp. 3" round ITW Buildex Corp. 3" square 3.2" ITW Buildex Corp. Johns Manville 3.25" round 3.5" 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 3" round SFS/Stadler 3" round SFS/Stadler The Tru -Fast Corp. 3" round The Tru -Fast Corp. NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 9 of 26 .APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 23. Tru -Fast Plates Polyethylene plastic plate 3" round The Tru -Fast Corp. NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 10 of 26 t VIDENCE SUBMITTED: Test Agency Test Identifier Desen °don Date Factory Mutual FMRC 1996 Research Corporation Cturent Insulation 01.01.96 Factory Mutual ttach ment Requirements J.I. JI2B8A4.AM Wind Uplift Research Corporation J.I. 3B9Q 1.AM FMRC 44704 01 01.08.98 J.I. OD0A8.AM .08.98 Factory Mutual J.I. OD 1A8 AM 07.09.99 Corporation Wind U 07.29.94 Research Co rp J.I. 0Y9Q5.AM FMRC 4470 - PA 114 Factory Mutual J.I.3X3A2.AM Wind Uplift 004.01.98 8.02.94 Research Corporation FMRC 4470 - PA 114 Factory Mutual J.I. 0Y9Q5.AM Wind Uplift 07.29.94 Research Corporation FMRC 4470 - PA 114 Dynatech Engineering #3600.02.95 -1 Wind Uplift Corporation 02.02.95 Dynatech Engineering #4482.02.95 -1 Win 114 Corporation d Uplift 02.02.95 PRI Asphalt GA PA 114 F -012 -02 -02 Physical Pro Technologies, Inc. Properties 11.06.01 PRI Asphalt GAF - 020 -02 -01 Technologies, Inc. ASTM D 4977 02.01.02 IRT of S. F1. 02 -005 IRT of S. Fl. TAS 114 01.18.02 02 -014 TAS 114 03.22.02 NOA No: 02 -0408.09 Expiration Date: 11 /04/03 Approval Date: 05/23/02 Page 11 of 26 d. APPROVED ASSEMBLIES Deck Type 1I: Wood, Insulated, New Construction or Reroof Deck Description: 19 / 32 " or greater plywood or wood plank yu�pr..l System Type A (1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer (Table 2) Insulation Fasteners Fastene r (When applicable: Steel plate only =S, platic plate only Table 3 ( ) Density /ft 2 =P) ACFoam -I, E'NRG'Y 2, GAFTEMP® Isotherm R, E'NRG'Y 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N, BMCA EnergyGuard, BIVICA EnergyGuard Composite, EverGuard ISO, ISORoc, EnergyGuard RA, EnergyGuard RA Composite Minimum 1" thick N/A N/A BMCA High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMP RecoverBoard, Wood Fiber, GAFTEMP® Fiberboard Minimum '/2" thick N/A N/A Perlite, GAFTEMP® Permalite ®, Permalite Tapered, Paroc Minimum 3 /4" thick N/A N/A Fiberglas (Min. ' /,,," thick) N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20 -40 lbs /100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator Perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat-Weld 25 base sheet mechanically fastened as described below; Fastening Options: GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Anchor 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. ("rimum Design Pressure —45 psf, See General Limitation #7) NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 12 of 26 GAFGLAS® Ply 4 ®, GAFGLAS Flex Ply 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAF ITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf, See General Limitation #7) GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill-Tec (GAE #12 or #14 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.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Anchor 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 —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill-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. Base Sheet: (Maximum Design Pressure —75 psf, See General Limitation #7) (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 UltimaT' Ultra Base Sheet, GAFGLAS STRATAVENT® Modified Base Sheet, RUBEROID Mop Eliminator Perforated, RUBEROID op Smooth, RUBEROID® 20 RUBEROID SBS Heat-Weld Smooth or RUBEROID SBS Heat-Weld directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the Ply Sheet: EVT range and at a rate of 20-40 lbs.sq; (see General Limitation #4). One or more plies GAFGLAS PLY 4®, GAFGLAS Flex Ply 6 sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of Cap Sheet: approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. Surfacing: (Required if no cap sheet is used) P )Install one of the following: I. GAF Special Roofing Bitumen with an application rate of 20 lbs./sq with an application rate of 1.5 gal.sq.; or GAF WEATHER COAT® 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 galJsq. 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 IbsJsq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. NOA No: 02 -0408.09 Expiration Date: 11 /04/03 Approval Date: 05/23/02 Page 13 of 26 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '''A" Dens Deck or ''A Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing 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- 401bsJsq., 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 lbsJsq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf, as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum 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 from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and comer 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 Hailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum 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 #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No: 02 -0408.09 Expiration Date: 11/04/03 Approval Date: 05123/02 Page 26 of 26 1 ROOF COVERING MATERIALS (TENT) Roofing Systems (TGFU) Continued GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. "GAFglas Flex Ply 6" is a suitable alternate to "GAFglas Ply 6 ". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membraner may be used in lieu of "Ruberoid Mop" SBS products in any applicable Classification. Class A 1. Deck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped. Surfacing: Gravel. 2. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 3. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic, 2 in. max. Ply Sheet Two or more layers Type Gl "GAFGLAS Ply 4" or "GAF- GLAS Ply 6 ". Cap Sheet: One layer Tvpe G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: One or two lavers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet: Any l."L Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck: C -15/32 Incline: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet One or more layers of Type G1 "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet: One layer of Type G-3 "GAFGLAS Mineral Surfaced Cap Sheet ". 6. Deck: NC Incline: 3 Base Sheet One layer of Tvpe G2 "GAFGLAS #75 Base Sheet". Ply Sheet: One or more layers of Type GI "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". Cap Sheet One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". 7. Deck: C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, ure- thane, perlite /isocyanurate composite, perlite /urethane composite, phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. 8. Deck: C -15/32 Incline: 2 Insulation (Optional): U..0 or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. • Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). w, • irsl G r n= % *y ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) Continued Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class B 1. Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /lscyanurate composite, perlite / urethane composite, wood fiber/isocyanurate composite, phenolic, any thickness. Ply Sheet: Two or more layers of Type Gl "GAFGLAS Ply 4" or "GAFGLAS Ply 6" Cap Sheet: Tvpe G3 "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. 2. Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class C 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more lavers of Tvpe G1 "GAFGLAS Ply 4•' or "GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 Ibs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isotyanurate composite, perlitei urethane composite, wood fiber /isocyanyrate composite, phenolic, any thickness. 173 Ply Sheet Three or more layers of Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped with coal, tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A 1. Deck: NC Incline: 2 Insulation (Optional): One or more layer wood fiber or gl:.'s fiber, 2 in. max. Ply Sheet: Three or more layers of Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". , Surfacing: Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. 2. Deck: NC Incline: 1 Insulation (Optional): One or more layers pt.rlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Surfacing: "Weather Coat Emulsion" at 3 gal /sq. • 3. Deck NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in., hot mopped. Ply Sheet Any UL Classified gravel surfaced Class :A asphalt glass fiber mat system. 4. Deck NC Incline: 2 Insulation (Optional): Isocyanurate, perlite, isocyanurate /composite, wood fiber and glass fiber, any thickness, mechanically fastened • Base Sheet One ply Type G1 or G2, mechanically fastened or hot mopped. Ply Sheet One or more plies Type Gl or G2, adhered with hot roofing asphalt. Su>facing: "GAF Premium Fibered Aluminum Roof Coating ", 1 -1/2 gal sq or "GAF Weather Coat Emulsion ", 3 gaj /sq. 5. Dec. • NC Incli 1 Insulation (Optional): Perlite, glass 'fiber, polyisocyanurate, wood fiber, mechanically fastened, any thickness. LOOK FOR THE-UL MARK ON ' RODUCT Dat- Ld D Time Type Insp'n Permit No. N Address Compan Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request For Inspector:` /) D ame Correction Re- Insp'n Fee 5Ki MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request 24 D. Time Dat- Type Insp'n Permit No. Name0 Address �S ( A r, 675 pQ7 Compan AP Phone # Correction Re- Insp'n Fee • Alum — 9S For Inspector: 1) U ame o o MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date, Time Type Insp'n j A CL/Jj) Permit No. P o C - 3/2) Name �G/ifl Address Company Phone # 305 7.SY f q Z For Inspector: 3_� 0 Name & Date 3_452 Approved Re- Insp'n Fee ❑ )7( its C, mac% <t a46_ • Date J 9- 0 Z Job Address 3 75- WE 99 4r Legal Description Owner /Lessee/Tenet Owner's Address Contracting Co. Go r a 3, (2. j -61- 1 ,1) CA 375 WE 99 St • 341E/ 64 FitiF 2n,vc Qualifier 17Ct-Ptid 41 `'`' / State # d_Kio 7/9 Municipal # WORK DESCRIPTION: 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): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFINN ; X12 Le311e, it5FP ,r oP Square Ft. tu % Estimated Cost (value) 77 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). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. S ature of owner and/ C; ndo Pres ent Date Signature o ontractor or Owner ilder FISCHER Dat MY COMMISSION # 00 076092 as EXPIRES: December 3, 2005 '\ Bonded Thru Notary PtbNc Underwrfters latAt /J. • ary as to 'r wner Commission Expires OFFICIAL NOTARY SEAL ? P0.9e ANGELA M BECKER = .' b cOMMISSION NUMBER yll, w Q CC786697 FEES: PERMIT O APPROVED: SSION EXPIRES Zoning Building Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Da Tax Folio / -3 ...o - 8/ 3_ ,53'3 Historically Designated: Yes No t/ Master Permit # `•►L / � 3 le)? 3d - 76 - . 2 - S C.C.F v 0 Phone Address 7 1/1)E /0 6 . n'lZS•nu fi F4,3313 SS# 3C6 7 Y g49 Competency # Ins. Co. otary as to P. actor or Own My Comm sion pires Date NOTARY'1 V t) BOND TOTAL DUE cS f f Electrical Structural Engineer O+4(.I'a /r\gent's SignaInce till.nnlure 4 :i ll% l r\ 1' I'I,:I`I1)Ix "1'" �1 1)IX "I "Ill:(1llllll:I) O \Vr`II;I(S I`IO'I'I FICA'I'I01'1 Ir011 I10 01.I1•1(: (2OI‘I';II)1:I1/v 01— 4Q— OY Conti nclur's r its it pr.Ilnins lu phi; / \ pp n :ndix "I " it is Ills responsibility of Ihc. roofing cunlr;lclui In provide Ill( Owner will) Ihc 10111 10011111 1100111. Ip provide Ihc n +vier will) Illis appendix and lu explli11 to Ihc owner IItc. cwmll:nl iii Ibis trim the pruvisiOns of Cllniticr'31 of the South I loridn Iluilding Code. (SI'IIC) govern plc minimum rc.riuirctnr:nls find standards of Ilse industry for roofing systems itwslalb,li fns. A IJiliunnlly, Ihc following items should be addressed ns pnrl of Ihc agreement between Ihc uvntci and the cuntrnctul. I he uwn(t's inilinl in the ntljnccnl Lox indicates Ihnl the item has Leen exl+lninctl. \csll,clit s• \Yet Itnt :tnsltip: The arorlunnnslip provisions of Chapter 3 urc fur Ile purpose of 1,1 tvi,linl; Ihnl the. looting system meets the wind Icsislntwce and svule; iullusinll Ircrfulntnnce slnndruds. Aesthetics (nppcatancc) issues rare not a cunsidtI■Iion respect 10 wuikt plovisiotws. Arslh(lic issues such ns colt), ill nlcititct.lurul nppcarntCC, III I rare 1101 Marl u[ n runin code, should Lc indticsscd ns tool ill Iltc nl ,cenu:nl bclvrecn the owner 11101 111c eurllrnClur. 1. flenultin1; Wood 1)celts: When Icplacing roofer(;, the existing wood roof duck inn have 10 be IYnnilcd 111 nt.CwldnmC1 with Ihc culruel 1110Y1S10n!, of Chalk( 19 oftiic `;I I1C. (The tool deck is uswnlly cumcrule.d pliur to rceloving the existing; roof system) r Cuntwton I(uuls: common l oofs ntc prose svl clI Illtve I visible delineation bet+ ec.1l 111.11 ;1ILurinli, wills (i.e. Iotvtwlnunscs, condonliniuuIS, cic.). In buildings with common loots, Ihc. ruol tilt ncluf nndlul uwn(I should notify the occupnnls of ndjaccnl units of ruofwtg +` to lie lies folioed. _ I. Er posed ceilings: L•xposcd, open benll% ceill%gs me',here Ilnc undclsidc 0 roof decking; c n be viewed [loin bctow. The. owner nifty' wlslr to nlnininiu plc nrcIrilcclulnl nppenrnnce,.11tcrcforc, toollnng twilit p(Ic.11ati0Is of tic'unrlcrsidc of Ihc decking may 1101 be ncecplubtc. The SI:11C provides d option of nr6101611ing this appeal mice. _ S. I'nn,ling \Yates: The current roof system deck of Ihc building n nul dlnin well nnrl n cnnlsc walcr lu pnntl (nccun011111) it) low•lying nrCas of Ihc loot. I'onding rut be nn it liunlinn of sinter gal disllcss and unay ierpii1c the leyiew Of II 111 SIIIICIIII;II c )I Beet, I'otwtlii1; ulny slotted • Ills Ilk expectancy anti pclfolulancc of the new 1OO101g system. I'onding conditions may lull lie evident until the. uril;innl rooting system% is 'moved. funding conditions should be collected. G. Oven Rory Scupjlcl, (tynll oullcls): II is required Ilnal (tiuwnler (low off so Ilnt Ihc. loot iI not uviiloaded (ion% it build up ui sviIcr. I'crintcicrlcdgc wills or ntl cl fool cxlt :nsiults nrny block this discharge if uvclllow SC 11)11crs ( will outlets) nrC 11101 provided. II may be necessary in inslttll uvcllluw ) C111lpcls Ill IIC(:tlrtllnllcc +YIIII (.111111ICI 1.1 Ills: SHIC. ). Venlilnllon: Ivlusl loaf structures should hnvc sums nbi!ily to veil nniurn1 airflow through Ihc tenni of die slrtrciornl assembly (Ihc building 'Melt). The existing amount of niiic venlilnliun sbnll not be reduced. It Inay he bcneficinl 10 consider nddiiionnl venting which can result in extending Ilse service life of the roof. I .� * -Z."fJ I r r ' ( �icc �.' R' L c . . (fr. : c CL I ) 0. (pc -'1� '� T �^ ^1 �:Cr 1.�.� 7-72 �:c • Sicct -tic cL) FL it F, I 0 N 79 Roof Q Re--r rain Deck type Finer Field_ =c_des Yforr 2 d Ad5cire $c: ire - . e4N) l' .100 1 `d �: � /tE (7,1 •r-' n v l✓ � `� tic) — _�.,1== -_c ::c) ri ( j +2'�' -' ZCaL� N GCC Ct�t �,,- r te) . ERe v2r_II� °��ir i ii--- z.. -,rl ROOF =GET L D S I L1 D Err 7 S (Drsn A - - 1 C M (T y? a (TN ROOF 22.1,1..N is : DETAIL 1 .Sc 3 - - -- -- - - - - -- - -------- - - - - -- ' Pag' -i 4. Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Phone: 305 - 795 -2204 Printed: 2/13 /2002 Applicant: JOHN Owner: CAPRI Contractor DALEY ROOFING INC Address: 78 NE 106 ST Local Phone: Parcel # 1132060135530 Job Address: 375 NE 99 ST Fees: FEE2002 -907 FEE2002 -908 FEE2002 -909 Permit Status: Work: REPAIR LEAK ON P If there is no permit packa fee is $50.00, which must be This Permit is granted to the contra ordinances pertaining thereto and wi and approved by the proper municip authorization. A further condition uF ordinances and regulations pertainir o by his agents, servants or employe( Signed: In consideration of the issuance with the plans, drawings, stateme myself, my agent, servants or err Signed: CCF Notary Fee Total Fees: Buildin g Permit Permit Number: BP2002 -312 CAPRI JOHN Page 1 of 1 Cellular: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 22 & W1/2 LOT 23 BLK 40 LOT SIZE Description Amount Building Permit Application Fe60.00 $0.60 $5.00 $65.60 8/12/2002 Construction Value: $740.00 e Look for blue background on the front of this check, and the IntageSafeU logo on back. If not Present do nos cash. a. h. _. — ter ; IFi / / f � Iii • LV _ 1 • 06 00 38 2 FOR PAY TO THE ORDER OF Bankofil merica ACH Fla 063100277 DALEY ROOFING, INC. 78 N.E. 106TH STREET MIAMI SHORES, FL 33138 305 - 7 549892 Total Fees: $65.60 Total Receipts: $0.00 • _ DATE u6 :06 300004 7 00 L59 62 1 950311 (Contractor or Builder) BY: -- DOLLARS B 3822 63 - 4/630 FL 1035 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date 7- /2_ 3'7 ob Address 3 / 5 2)e 996 7-- / --- /f,� �D Tax Legal Description„,,,,? 1 ,4/4 14 5 di/ �� J � Master Owner / Lessee / Tenant -- (-4"9 Owner's Address Contracting Co. Qualifier 'i'1 J /UJ /yG State # Architect /Engineer Bonding Company Mortgagor 4t-t-raio kornoC-r co 11 Address ((( .ciki -3v-57 Cc! fe -oUZ- C2 / /s"6Li 263-gs)g Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIG1 WORK DESCRIPTION ( 20-144 o F it 3 773 .si ('t: .-. ht),:i : A -ra - j pit-VA) 7 41-1 7.41‘.; 12 - s N6 W f c o y / - - - - 0 _ 1 v S 0 / y 7 (4: _ iJ °. Ti.✓V > N 90 Ti fit, t Square Ft .'f l? S — /'1.417 lily)! Estimated Cost ' : WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TC DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOC INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done ,fin compliance with all applicable laws regulating construction and zoning. Furthermore,,l'authorizethe above -named contractor to do the work stated. PERMIT FEE: APPROVED: Zoning Mechanical of Owner and /or ondo President X23 - 2 Notary as tdl Owner WIRY? 'Al iT My Commission Exp JAI PMMISSIONEXPIRES * . * * BOWED BY M*TSONS Competency # itilatQA MAR.15,1993 Fire ss# C6 c% C) ('YE v Address Address Address Ch C Signature of KContractor or Owner - Builder Date: Folio )/ 3.?6 / . sTh / Permit # 3 �9 Phone 2 , 9—C Ins. Co. Notary as NOT Ti ST C Builder My CommisslibBO ; •, . 1PtRES . 15, 19 9 �k * BOND61 BY MIO h R NS INS. Other Building 7,i 2 /J Electrical Plumbing Engineering Permit No • Tax Folio Legal description of property (include Street Address, if available) THIS SPACE FOR RECORDER'S USE ONLY 17/!e1/4 -/ e12 01_ ,goo/- or? 3 hl (4 et. 331 FORM AB -278 New 2/91 NOTICE OF COMMENCEMENT State of Florida County of Broward NO ' The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance 0 with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. L•1 3 /.( c ., 99;'(e — 41,0 ( N IX �l'1 c � � .7.-° ..t . � g General description of improvements v / to - -, . \`, i Owner ° y �J : Q R/ /, t " ; i` "� ` $ \ c- _ 9 9 . -- r .1 , ; t Address .�_✓Y ' sy `, S' T7' LE Owner's interest in site of the improvement Fee Simple Title holder (if other than owner) Name Address Contractor Address Surety Address A nt of bond 8 Any person making a loan for the construction of the improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes Name Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified). /// f) 3r'," i J Signature of Owner fit/' c - rW Printed Signature of Owner Sworn to and subscribed before me this of 19 f �— 23 day My Commission expires �,' 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. Owner's Name and Address Registered Architect and /or Engi Name and address of licensed contractor Location and legal description of lot to be built on: Lot Street and Number where work is to be done (9,,t, /0 1 .51 No J75 Street 4/4 / C} / 9 sAL Date Block Subdivision State work to be done and purpose of building (by floors), state exterior colors (submit samples) Remodeling Addition td-1/1 ACIU-74 No. of Stories Repairs and for no other purpose. New Building To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ /5-0 1 f� Zone cubage required Distance to next nearest building 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. 0 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 appeared 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. Amount of Permit $ Plan Cubage Size of Building Lot Permit No. ' / t / Date Read, Sworn to and Subscribed before me. Disapproved (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved 1 ate 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 workmanship. Notary Public, State of Florida MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement u, one 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 nll 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. 12 - 30 - 88 86 Date..._..._.. _.. .�_......_�..._.__...... ,19.._._ Owner's Name and Address D3ith — Marie Appleton _._._ — 375 _ _. Street___ St/ N? .E? Registered Architect and /or Engineer ,,:, ,... .< ................ „ .„.,t,.,.,, . Name and address of licensed contractor Location and legg1�1 description of lot to be bujlt on: Lot v�� 1 , P3 Block Subdivision L .e4 I .& ..._ � � 5.2. / '` l Street and Number where work is to be done 3.7.5_N..E.....99th.Strzet__. S w be doe and par ose f building (by floors) and for no other purpose. Remodeling Addition Repairs No. of Stories Kind of foundation Roof Covering.Grave1...14.. Estimated Total cost of improvements $ 3,000.00 New Building To be constructed of Amount of Permit S. Zone cubage required .Plan Cubage Distance .to next nearest building Size of Building Lot _ ................ .._........_ Mfaxirnum 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 Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint 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 sy? contractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks ..._ (Signed) Disapproved .... (Signed) /�w” But ding Inspector RerQof f],gt..roofs (gay at_zgaiz.st shingle tile roof. 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 e . / / / Permit No.._.. fj Date ,A2.-,/ 'i._._ Read, Sworn to and Subscribed before me. Notary Public. State of Florida My Commission Expires to me well known. PLANNING BOARD DATE Coalman 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 L— Owner's Name and Address . Disapproved !. Date (Signed) Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement or ine plans and specifications herewith submitted for the build • inc 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 iiuiiding Division of Miami Shores Village shall be complied with, whether herein s ied or not. A copy of approved plans and specifications n1usS be kept at building during progress of the work. d e Date..—... C.. �� ...... ,19.. ._ No... _.. Registered Architect and /or Engineer Namc and address of licensed contractor....j`I' er.2:i Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _J7.5 _.. fica. _._�GQ e "/ /de' - A-- Estimated Total cost of improvements $ Zone cubage required Distance .to next nearest building Maximum live load to be borne by each floor State work to be done and purpose of build' 2 by floors) .._....._ and for no other purpose. New Bui!ding Remodeling Addition Repairs No. of Stories _ To be constructed of Kind of foundation Roof Covering XO C� Amount of Permit S. .Plan Cubage Size of Building Lot 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 5906, 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 f• inspe ion on the site of the w. k s public notice or noticcs as arc required by the Act. The undersigned agrees to employ only suc subco . actors, on work to rS�ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j Ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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..Q Date...., .d ides...._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commiuion 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 Plarinii.g 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 anti /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. DateOctober 9, 1972 ,19 Owner's Name and Address....Robert...K.....Hitke No 375 Street.PE 99th St. Registered Architect and /or Engineer Name and address of licensed contractor Bohnert Roofing & Su_p_ply Co. ,710 NW 41st. St. Miami 33142 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done_ 37 5.- ..NE._- 99th...St...,_- _.M1.ami ShnY:G&., State work to be done and purpose of building (by f loors).._..emrauf..sesi.d.enhe. .Flat - 1443 blase 2-00 fsYlts____and___gx ve.1. Ti��e - 1-_#43 base, 1 - #15 as _phalt felt & 1 - #90 slate and cement shingle tile. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering _.Tile. &_.�ui,,t —up__ Estimated Total cost of improvements $__,1 Amount of Permit $.7..00 29 squares 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__„t -N`�...41s t = - - -,5 - •-- }--- Mia.ltti 4 -- ..,Fl&i.,. -- -33142 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 ubcontr for , o work t be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed).. STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 state ar e. Permit No.__ 'd Date �� {Z — 7 Z Read, Sworn to and Subscribed before me. Disapproved (Signed) D Building Inspec Notary Public, State of Florida My Commission Expires NING 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. Name and address of licensed contractor APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Robert Hitke No 375 Registered Architect and /or Engineer Supply Co. Inc., 3710 NW 41st. St. Bohnert Roofing & Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 3 ?5 NE 99th St. State work to be done and purpose of building (by floors) Re — roof garage only. One (1) 43# base Two (2) 30# double coated felts and gravel. 6 squares and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories 1 To be constructed of Kind of foundation Blt up Estimated Total cost of improvements $__ 400.0 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. be sent to__32i- ___ ___ __ :_____ __iami ; 'l a, 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 trhl co ,trac ors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - ---- ------------- - - - - -- - -- - - - - -- 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 1 ? Date ' 2 - ( - f Disapproved ate ( Signed) uilding In ector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT (Signed) Date January 25, 1971 , 19 Street NE 99th St. , Miami Shores, Fla. Roof Covering 5.00 All notices with reference to the building and its construction may Read, Sworn to and Subscribed before me. sheet, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION 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 44.49 ,19 =5 Owner's Name and Address . rig( A 7 // .2' A ( 1 ./ `.; Street 4/ 2' ?' Registered Architect and/or Engineer Name and address of licensed contractor ( ( A/0 eiR Location and legal description of lot to be built on: C( ( Lot Y 1 ' -' f:t Block Subdivision /t/ 5. /" 1 - Street and Number where work is to be done .,f ""..) A State work to be done and purpose of building (by floors) 1 Disapproved Date (Signed) and for no other purpose. New Building Remodeling Addition 1 Repairs No. of Stories To be constructed of Kind of foundation Roof Covering. )' Estimated Total cost of improvements $ 2 2 0 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed).(' "/ I 2/// L - 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. " Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. ftidracks Builder Steed: In consideration of the i$ssaace to me of this permit I agree to perform the work cov pertaining thereto and in strict conformity with the plans, drawings, statements or specifications b accepting this permit I assume responsibility for all work done by either, myself, my a ../ CONTRACTOR OR BUILDER A MORE. VILLASIC. FLORID $4. Ft Value of eat $'Z.:: 1 Neer feellegeiterer bolder nom& above to onestenet the Way or no instal the with aN ._� �. placably thotrao and with the wading that the work hate submitted to and by the ocoPer boeniciPal each ocriinancee or if the plans are changed *Mem lathe"- A or Wilder named above assume the teepoilethiliny*On own op the plans ° thowinver la the ammonite in compliance with all ordinances and regulations ed to the proper authorities of Miami Shorts Village. or employee. BUILDING 0 ELECTRICAL ❑ PLUMBING ❑ OOFING uild of r i v L 1... '3 ..4 r� �uflding 'architect on Builder a v ► nJ C o _egal Lot Description 11 Bl address of �? )( 1 / ` 9 c.1-' S' wilding Iw CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE "' t L L L" 195 7 PERMIT N? 5404 Signed. & l• 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 ierefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in cc fnpliance with any plans swings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revolted at any Iae 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 «anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations , ertaining to the work covered hereby whether shown on the plans or drawings or in the statements or peci , and that he assumes responsibility for work %one by his agents, servants, or employees. INSPECTOR SZo.•n Contractor's iffy 2 - License No. BY Amount of Permit $ BY AUTHORITY In consideration of the issuance to me of this permit I agree to perform the work co ed hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper au. _ 'ties, •f Miami Shores Village. In ac. opting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. MIAMI 1HORES VILLAGE, FLA. JOB P4 v L (47- .v ADDRESS 474 A c • `T j INSPECTION ?■ TIME READY Q 4'1 r. S 7 N? 6078 REMARKS: Jf At / 4 r/1 47 sre ■-t"...-- ee /6 INSPECTOR l t l ,� DATE J7 MIAIiI SHORES VILLAGE, FLA. JOB ADDRESS 37.r INSPECTION 7e- TIME READY - /- v..r7 REMARKS: INSPECTOR DATE 4 - fl N? 5987 Disapproved Da ( Signed) _. __61.) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made 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 ^ y , 19 5 Owner's Name and Address...... ( i` d ui- No Street__! ' - --ew.- Registered Architect and /or Engineer Name and address of licensed contractor �GF'i t2 117:_ Location and legal description of lot to be bu It on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stones To be constructed of Kind of foundation Roof Covering esso Estimated Total cost of improvements $ o - 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from 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 subcc Mractors, n work to perfor ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) �y 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 4-4 ¢ Date C 191 Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Insg ctor 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.