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405 NE 99 St (6)Date g a Legal Description Owner/Lessee / Tenant WORK DESCRIPTION 0 cons Signs 4ii/ otary as to Owner an. or Condo President My Commission Expires: • N, Michelle Gibson .k u •� *My Commission CC853288 • ° '+., / Expires August 13, 2003 FEES: PERMIT 3 U V / RADON PERMIT APPLICATION FOR MIAMI SHORES VILLAGE VD-5 � $, 2e 1 Job Address ! 9 Tax Folio Historically Designated: Yes Owner's Address Flo 5 N ` � � S � u r Contracting Co. Tit 5 P F6- a 1C s. F � Qualifier ! 4 ' 1' L f E L 7 J C of owner and/or Condo President 4/f1/44 SS# No Master Permit # 7 2 1,3 7 Phone (3 °) 75.0- 17 35 Address r/ 3 YPhone pts) 9 7 51--2V47 State # C 00 7 (3 Municipal # /6 332 Competency # /633- Ins. Co. Address Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN R .„„,w 6-/IA N A cl Square Ft. � is Estimated Cost (value) /a ()DO, O O S j2..e r WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. AVTT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating n and zoning. F • 4.11i ore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder My Commission Expires: 0 .1ii % Michelle Gibson * i!.J *My Commission CC853288 %„„ Expires August 13, 2003 C.C.F. 7. 9 0 NOTARY — O BOND 3 c' O — APPROVED: Zoning Building Mechanical Plumbing Structural Engineer Electrical TOTAL DUE Contractor's Name: I 64 RfL- OF 5. t ( ,.17 )C- Job Address: U / , - F • 9 9 -7 s l Qe � ROOF CATEGORY Ei (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof NJ Re- roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft S Sloped Roof Area (ft Total (ft s° A Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): F Ft. ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) � b I lA-0) 3 x 3 � � lod., o� �� 1 L/ - c 1 o r) 7'4Q (9 At IM,toita/ 5,5014(e LA 9 5 -z Deck type: k: I APD - r cd f (- 14- r &kF 7S -efts, 1.4„ vva,2 � _ /M «5 F 1 .1 ���Sti 5 Fastener Type: ATTACHMENT / LJ / 5 SPACING / Dr 9 -(0L ' s 6..ifo - a A ir � f Field: Perimeter: 01 Corner: 2 2,0 i 2,'N<< 3 20J.�, y Qom da DETAIL 1 & 2 F %A. , 0 _,,, , - , , b /W ROOF PLAN 123.01 -78 4199 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 Appendix "E" UNIFORM[ ROOFING PERMIT APPILICATION PROCESS No. Ventilation MEAN HEIGHT Deck type: Underlayruent: ° Insulation: Fastener type & spacing: 12" ROOF SLOPF D E T A I L 3 SLOPED SYSTEM DESCRIPTION Cap Sheet: Roof Covering: Drip edge: ATTACHMENTS REQUIRED I) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CAILCUILATIONS (PmaXI: X X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax2: X X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax3: X X (Aerodynamic Multiplier): ) - M = M PCA: APPENDIX "F" REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F', it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner with this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the minimum requirements and standards of the indus- try for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics- Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roof- ing 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, e \j-vc that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually concealed prior to removing the existing roof system.) yr 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. town- houses, 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. V II 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 under- , side of the decking may not be acceptable. The SFBC provides the option of maintaining this appearance. 3 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 roof- ing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 1 ./— 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structur- al assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider venting which can result in extending the service life for the roof. 8. The owner may contact the Miami -Dade County Consumer Services Department for further information regarding the above. wner's /Agent's Signature 123.01 -12 PAGE 2 7/99 Date Contractor's Signature �r+ � rk � A'1__.EYS -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Approved: 11/04/97 The expense of such testing will be incurred by the manufacturer. Acceptance No.: 97- 0804.21 Revises No.: 95- 1003.03 Expires: 11/04/00 Internet mail address: postmaster @buildingcodeonline.com 1 •.. .% w IP METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375-2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375-2902 FAX (305) 372 -6339 GAF Materials Corporation 1361 Alps Road Wayne, NJ 0.747 r application for Product Approval of: GAF Conventional Built - Up Roof Systems for Wood Decks u •er Chapter 8 of the Metropolitan Dadety_ •.- governing the use of Alternate Materials and Types of Cons . - . : --pletely- describedin the plans, specifications and calculations as submitted by: Dynatech Engineering, Inc., Factory Mutual Research Corporation, and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the specific conditions set forth on pages 2 -40 and the standard conditions on page 41. This approval shall not be valid after the expiration date stated below. The Building Code Compliance Office 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, the Building Code Compliance Office may revoke, modify, or suspend the use of such product or material immediately. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. aul Rodriguez Product Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Office and approved by the Building Code Committee to be used in Dade County, Flori under the conditions set forth above. Charles Danger, P.E. Director Building Code Compliance Dept. Metropolitan Dade County Homepage: http : / /www.buildingcodeonline.com Applicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 • 'a PRODUCTtONTROL NOT ICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Category: Membrati System Sub - Category: Built -up Roofing Type: Conventional Sub -Type: Fiberglass ' ' '' Product Control No: 97- 0804.21 Product Control No.: 97- 0804.21 Approval Date: November 4, 1997 Expiration Date: November 4, 2000 , ; , , • , System Description GAF Materials Corporation, a manufacturer of commercial'' roofing products for more than 100 years, produces a wide range of roof , products„ for built up, and - Modified bitumen roofing system's. In addition, GAF offers two ply modified systems tii meet the demands for•multi -ply SBS modified specifications. GAF provides warranted systems over various insulated :and non - insulated substrates, - copies of which can be obtained from GAF and can .be found in the "GAFGLAS Built -Up Roofing Application and Specifications" manual published GAF roof system assemblies have; been extensively tested' at Factory Mutual Research Corporation and Underwriters Laboratories and have been tested in compliance with all requirements of the South Florida Building Code. Specific classifications for assemblies are listed in the current U.L. Roofing Material Directory and the current Factory Mutual Approval Guide. i ' GAF Materials Corporation products are distributed through a wide network of roofing wholesale distributors throughout the South Florida area. For more information on specific roof system constructions, contact the Technical Service Office, located in Wayne, New Jersey, at 1- 800- ROOF -41 i. —' • ' Contact: :William J. Woodring Director of Technical Services ; (973) 628- 4134 • Page 2 of 41 rank Zuloaga, Roofing Product Control Examiner Insulation Types: Material Wood Material Wood Basalt Wool Perlite Polyisocyanurate Composite Board Wood Fiberboard High Density Wood Fiberboard Rockwool Maximum Design Pressure Design Pressure -75psf Maximum Fire Classification Classification Class 'A' A Product Control No: 97 0804.21 Note: Fire classifications and maximum design pressures do not reference all assemblies over all deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory for Fire Classifications. Page 3 of 41 Roofing Product Control Examiner Product GAF Asphalt Concrete Primer GAF Mineral Shield® 60 Ib. bags ASTM D 1863 Granules GAF WeatherCoat® Emulsion GAF Premium Fibered Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement RUBEROID® Modified Bitumen Flashing Cement Jetblack Premium Flashing Cement GAFGLAS® #75 GAFGLAS #80 Ultima Base Sheet GAFGLAS Ply 6® GAFGLAS Flex piyTM 6 GAFGLAS Ply 4® r. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Dimensions Specification 5, 55 gallons ASTM D 41 1, 5 gallons ASTM D 2824 1, 5 gallons 5 gallons ASTM 1227 5 gallons 5 gallons 3 sq. roll 75 lb. roll 2 Sq. Roll 70 lbs. /rol I 5 sq. roll 45 Ib. roll 5 sq. roll 45 Ib. roll ASTM D 3019 ASTM D 3409• . ASTM D 4586 ASTM D 4586 Asphalt flashing Cement ASTM D 4601 ASTM D4601 ASTM D 2178 ASTM D 2178 5 sq. roll ASTM D 2178 Page 4 of 41 Flashing cement Product Control No: 97 0804.21 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 Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Refined asphalt blended with a mineral !; stabilizer .and -f bees. Permits adhesion ;, to„ : wet and dry surfaces. Fiber reinforced, polymer modified Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphal o r oo mg Product Contro &. . Product GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Nailable RUBEROID Modified 3 sq. roll Base Sheet 67 lbs. GAFTEMP® Isotherm R Tapered GAFTEMP® Isotherm R GAFTEMP Isotherm RA Tapered GAFTEMP Isotherm RA GAFTEMP Isotherm RN Tapered GAFTEMP Isotherm RN GAFTEMP® Composite Test Dimensions Specification 76 Ib. roll ASTM D 3909 60 Ib. roll various 69 Ib. roll various various various various various various various ASTM D 4897 D 3672 ASTM D 489 D 3672 PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 Page 5 of 41 Product Control No: 97- 0804.21 Product Description Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiber glass 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. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D460I, Premium glass fiber reinforced SBS- Type II, UL Type modified base sheet G2 BUR Polyisocyanurate foam insulation. Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation Tapered Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insul ia Rooting Product Control xam Product Tapered GAFTEMP® Composite GAFTEMP® Composite A Tapered GAFTEMP® • Composite A GAFTEMP® Composite N GAFTITE® #12 Standard Roofing Fastener GAFTITE® #14 Heavy Duty Roofing Fastener GAFTITE ASAP • ; r . Test Dimensions Specification various various various various Tapered GAFTEMP® ' • various Composite N GAFTEMP® 'ai' . various Fiberboard GAFTEMP® • , various Permalite® GAFTEMP Recover : thick Board GAFTEMP® various High Density Fiberboard PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite ; perlite insulation. PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 Fiberboard insulation. PA 110 Perlite insulation board. PA 110 PA 110 Page 6 of 41 Product Control No: 97- 0804.21 Product Description ,• Perlite recover board High density wood fiberboard insulation. oo mg Product Contro PA 114 Insulation fastener for steel, wood and concrete decks. PA 114 Insulation fastener for steel and plywood decks. PA 114 Pre - assembled GAFTITE Fasteners and metal and plastic plates. Test Product Product Dimensions Specification Description GAFTITE® Base PA 114 Base sheet fastening assembly. Sheet Fastener and Plate Galvalume Plates 3" and 3 Y2" PA 114 Round galvalume stress plates. NTB Fasteners PA 114 Fastener for use in gypsum, tectum and lightweight insulating concrete decks. Polypropylene Plates 3" and 3 %2" Ruberoid® 20 1.5 sq. roll 95 lbs. RUBEROID® MOP 1 sq. roll 170FR 103 lbs. PA 114 Round polypropylene stress plates. ASTM D 5147 Page 7 of 41 Product Control No: 97- 0804.21 SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Ruberoid® Mop 1 sq. roll ASTM D 5147 Non -woven polyester mat coated with Granule 103 lbs. polymer modified asphalt and surfaced with mineral granules. RUBEROID MOP 1 sq. roll ASTM D 5147 Non -woven polyester mat coated with Smooth 87 lbs. polymer modified asphalt and smooth surfaced. RUBEROID® MOP 1 sq. roll ASTM D 5147 Non -woven polyster mat coated with PLUS 102 lbs. polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID® MOP 1 sq. roll ASTM D 5147 Non -Woven polyester mat coated with FR 105 lbs. fire retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID® 1 sq. roll ASTM D 5147 Heavy duty, polyester reinforced, TORCH Smooth 87 lbs. asphalt modified bitumen membrane, smooth surface. RUBEROID® 1 sq. roll ASTM D 5147 Heavy duty, polyester reinforced, TORCH Granule 102 lbs. asphalt modified bitumen membrane, granule surface. 0o ing Product Control Examiner Y Product RUBEROID® TORCH PLUS RUBEROID® TORCH FR RUBEROID® 30 RUBEROID® 30 FR RUBEROID. ‘; ULTRACLAD® SBS Vent Stacks (metal and plastic) GAF Aluminum Emulsion RUBEROID® :. r 109. Roll ULTRACLAD® SBS 101 lbs. GAF Built -Up Roofing Asphalt GAF Aluminum Roof 5 gallons Paint RUBEROID MOD 60 Ib. kegs Asphalt Test Dimensions Specification % sq. roll 93 lbs. ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 5147 lsq. roll ASTM D 5147 101 lbs. % sq. roll 90 lbs. 1 sq. roll 92 lbs. 1 sq. roll 92 lbs. 5 gallons 100 Ib. cartons, bulk PA 100(A) ASTM D 1929 .ASTM D 635 None ASTM D 5147 ASTM D2824, Type I Product Control No: 97 0804.21 Product Description Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with . Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. 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 Woven fiberglass mat coated with Polymer modified asphalt surfaced with aluminum, copper or stainless steel foil. Non - fibered. aluminum pigmented, asphalt roof coating ASTM D312, Interply mopping and surfacing asphalt Types I, II, III and 1V Page 8 of 41 SEBS modified asphalt Roofing Product Control Examiner Product RUBEROID MOD Asphalt L RUBEROID MOD Asphalt P GAFTEMP Composite A GAFTEMP Tapered Composite A GAFTEMP Composite N GAFTEMP Tapered Composite N GAFTEMP Tapered Isotherm R GAFTEMP Tapered Isotherm RA GAFTEMP Tapered Isotherm RN GAFTEMP GAFCANTTM GAFTEMP GAFEDGETM Tapered Edge Strip GAFTEMP PERMALITE® Tapered Roof Insulation GAFTEMP Recover Board Shingle- MateTM Underlayment Test Dimensions Specification 60 Ib. kegs 60 Ib. kegs Various Various Various Various Various Various Various Various Various Various 1/2" thick, Various sizes 4 sq. roll 30 lbs. PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 PA 110 Perlite board Page 9 of 41 Product Control No: 97- 0804.21 Product Description SEBS modified asphalt SEBS modified asphalt Polyisocyanurate /wood fiberboard composite Tapered Polyisocyanurate /wood fiberboard composite Polyisocyanurate /wood fiberboard composite Tapered Polyisocyanurate /wood fiberboard composite Tapered polyisocyanurate foam Tapered polyisocyanurate foam Tapered polyisocyanurate foam Cut perlite board Tapered perlite board PA 110 Tapered perlite board Fiberglass reinforced shingle underlayment Fr Roofing Product Control Examiner Test Product Product Dimensions Specification Description GAFTITE® ASAP 500 per box PA 114 Pre - assembled fastener and metal and plastic plates t , Ac Page 10 of 41 Product Control No: 97- 0804.21 aga, Roofing Product Control Examiner C Pyrox Product ACFoam I ACFoam 11 Hy -Therm Nail -line Hy -Therm SP Hy -Therm AP Hy -Therm Stable R Hy -Therm White Line Anchorbond Fastener Dekfast Fasteners #14 Dekfast Hex Plate TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Dimensions Specification various various various various PA 110 various PA 110 various PA 110 various PA 110 various PA 110 PA 114 PA 114 PA 114 2 7/8" x 3 1/4" Product Description PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation. Polyisocyanurate foam insulation Polyisocyanurate foam - insulation Polyisocyanurate foam insulation Insulation fastening assembly Insulation fastener for steel and concrete decks Galvalume hex stress plate. Page 11 of 41 Product Control No: 97- 0804.21 Manufacturer Apache Products Co. (with current PCA) Atlas Energy Products (with current PCA) Atlas Energy Products (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) oaga, Roofing Product Control Examiner 4- • Product Control No: 97- 0804.21 Test Product Product Dimensions Specification Description Manufacturer Dekfast Lock Plate 3" x 3 1/4" PA 114 Polypropylene locking Construction plate. Fasteners Inc. (with current PCA) Dekfast Fasteners #14 Dekfast Fasteners #12 High Density Wood various Fiberboard Pel ite /Urethane Composite various PA 114 Insulation fasteners for Construction concrete decks Fasteners Inc. (with current PCA) PA 114 Insulation fastener for steel Construction and wood decks. Fasteners Inc. (with current PCA) ISO 95+ Composite PA 110 Polyisocyanurate / perlite Firestone ridged insulation (with current PCA) Asphalt ASTM D 312 Type I11 or IV Hot asphlat generic bitumin adhesive Asphalt Primer ASTM D 41 Asphalt Primer generic EPS various PA 110 Extruded polystyrene generic insulation PA 110 - Wood fiber insulation board generic PA 110 Perlite / urethane composite generic board insulation Perlite Insulation various PA 110 Perlite insulation board generic Polyethylene 4 mil min. Vapor barrier / Air barrier generic Red Rosin various kosin paper for barrier generic layer on wood decks Roofing Nails Minimum # PA 114 Corrosion resistant annular generic 12 ring shank nails Page 12 of 41 aga, Roofing Product Control Examiner Tin Caps Product MB aluminum roof coating Dens -Deck #12 Roofgrip #14 Roofgrip Gripdek Fastener Hexcel Fastener Hextra Standard Plastic Plate ISO 95+ E'NRG'Y -2 ISORoc Test Dimensions Specification Min. 32 ga. x 1sI various 3" round various various various Product Description Corrosion resistant circular discs. PA 121 Aluminum roof coating PA 110 Gypsum insulation board. PA 114 Insulation fastener for steel or wood decks PA 1 14 Insulation fastener steel, wood or concrete decks PA 114 Insulation fastener PA 114 Insulation fastener PA 114 Insulation fastener and metal or plastic plate PA 1 14 Polyolefin plastic plate PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam / tockwool composite insulation Olympic Standard 3" round PA 114 3" round galvalume AZ55 steel plate Page 13 of 41 Product Control No: 97- 0804.21 Manufacturer generic Grundy Industries (with current PCA) Georgia Pacific (with current PCA) ITW Buildex (with current PCA) ITW Buildex (with current PCA) 1TW Buildex (with current PCA) ITW Buildex (with current PCA) 1TW Buildex (with current PCA) ITW Buildex (with current PCA) Firestone (with current PCA) NRG Barriers, Inc. (with current PCA) NRG Barriers, Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Roofing Product Control Examiner Test Product Product Dimensions Specification Description Manufacturer Olympic Fastener PA 114 Insulation fastener Olympic #14 Manufacturing Group, Inc. (with current PCA) Olympic 3.25" round PA 114 Polypropylene Olympic Polypropylene plastic plate Manufacturing Group, Inc. (with current PCA) Olympic Fastener #12 Olympic Fastener ASAP GlasFast Fastener Product Control No: 97- 0804.21 PA 114 Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) PA 114 Pre - assembled Insulation Olympic fastener and plate Manufacturing Group, Inc. (with current PCA) Olympic CR Base PA 114 Insulation fastener Olympic Felt Fastener and assembly for Base Sheet Manufacturing Base Sheet Disc fastening only Group, Inc. (with current PCA) PA 114 Insulation fastener Owens - Corning assembly with recessed Fiberglas Corp. plastic plate (with current PCA) Paroc Base Board various PA 110 Rockwool insulation Partek, Inc. (with current PCA) Paroc Cap Board various PA 110 Rockwool insulation Partek, Inc. (with current PCA) Multi -Max various PA 110 Polyisocyanurate foam Rmax, Inc. insulation (with current PCA) Multi -Max FA various PA 110 Polyisocyanurate foam insulation Page 14 of 41 Rmax, Inc. (with current PCA) Roofing Product Control Examiner Test Product Product Dimensions Specification Description UltraGard various PA 110 Polyisocyanurate foam Schuller insulation International Inc. (ww ith current PCA) Insul -Fixx Fastener Insul -Fixx P Rawl Fasteners #12 Rawl Fasteners #14 Rawl 2" Plate Rawl 3" Plate Rawlite 3" Plate Super Prep 11 • Tru -Fast DL PA 114 Insulation fastener for steel SFS /Stadler and wood decks (with current PCA) 3" round PA 114 3" round polyethylene SFS /Stadler stress plate (with current PCA) 2" round 3" round 3" round PA 114 PA 114 Insulation fastener for steel and wood decks PA 114 Insulation fastener for use in steel, wood or concrete PA 114 2" round galvalume AZ55 membrane plate PA 114 3" round galvalume AZ55 steel plate 3" round galvalume AZ55 steel plate for use with Rawlite fasteners Product Control No: 97- 0804.21 Manufacturer The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) PA 121 Roof coating Thermo- Materials, Inc. (with current PCA) PA 114 Insulation fastener for steel, Tru -Fast or wood (with current PCA) Tru -Fast Plastic 3.04" round PA 114 3.04" round polyethylene Tru -Fast Plate plastic plate (with current PCA) Page 15 of 41 oaga, Roofing Product Control Examiner Product Tru -Fast MP -3 3.23" round Tru -Fast HD Tru -Fast Ultra Tru -Fast DP Tru -Fast TP Structodeck Test Dimensions Specification various Product Description PA 114 3.23" round galvalume AZ5O steel plate PA 114 PA 114 Insulation fastener for use in wood, steel or concrete decks Stainless Steel fastener for use in steel, wood and concrete decks PA 114 Insulation fastener for use in steel or wood decks PA 114 Insulation fastener for use in steel or wood decks PA 110 High density wood fiber Page 16 of 41 Product Control No: 97- 0804.21 Manufacturer Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Wood Fiber Industries (with current PCA) Roofing Product Control Examiner Test Name Report Date Agency /Identifier Factory Mutual Research Corporation Current Insulation Attachment Requirements FMRC 1996 01.01.96 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. OT4A1.AM 08.26.92 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 1 V8A4.AM 06.28.93 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 1RIA6.AM 11.15.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 0T2Q4.AM 10.17.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 0Q6A6.AM 07.16.91 Factory Mutual Research Corporation Wind Uplift FMRC 4470 - PA 114 J.I. 3X3A2.AM 08.02.94 Factory Mutual Research Corporation Wind Uplift - FMRC 4470 - PA 114 J.I. 0Y9Q5.AM 07.29.94 Factory Mutual Research Corp. Wind Uplift, FMRC 4470 - PA 114 J.I. 1B9A8.AM Underwriters Laboratories, Inc. Fire Resistance Classification UL 790 - PA 114 R1306, 87NK11819 01.01.93 Dynatech Engineering Corporation Wind Uplift PA 114 , #3600.02.95 -1 02.02.95 Dynatech Engineering Corporation Wind Uplift PA 114 #4482.02.95 -1 02.02.95 TEST REPORTS Page 17 of 41 Product Control No: 97- 0804.21 1 « ga. Roofin Product Control Examiner . Product Control No: 97- 0804.21 Systems Deck Type 1I: Wood, Insulated, New Construction or Reroof Deck Description: or " or greater plywood or wood plank 32 System Type A(1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. Insulation Fastener Fastening Fasteners Fastener Layer Type Detail No. Per Board Density (see PA 117) One or more layers of any of the following insulations. Approved Type(s): 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 Minimum: 1" x 3' x 4' N/A N/A N/A N/A Approved Type(s): ISORoc, GAFTEMP® Tapered Minimum: 1" x 4' x 4' N/A N/A N/A N/A Approved Type(s): High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMP RecoverBoard Minimum: 'A" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Wood Fiber, GAFTEMP® Fiberboard Minimum: 'A" x 2' x 4' N/A N/A N/A N/A Approved Type(s): Paroc Minimum: '/4" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Perlite, GAFTEMP® Permalite®, Permalite Tapered Minimum: 3/4" x 2' x 4' N/A N/A N/A N/A Minimum (for Tapered)''' /' x 2' x4' N/A N/A N/A N/A Approved Type(s): Fiberglas Minimum: 15 /16" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Permalite Tapered Roof Insulation Minimum: '/4 " x 2' x 4' N/A N/A N/A N/A Approved Type(s): Tapered Isotherm R, Tapered Isotherm RA, Tapered IsothcrmRN, GAFTEMP Composite Tapered, GAFTEMP Composite A Tapered, GAFTEMP Composite N Tapercd Minimum: 'A" x 4' x 4' N/A N/A N/A N/A Page 18 of 41 Roofing Product Control Examiner Deck Type 1_ ___ n eck Description: Wood, Non - insulated New Construction or_Reroof /" or greater plywood or wood plank decks 'System Type A(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Base Sheet: Ply Sheet Cap Sheet: Surfacing: • Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: rGAFGLAS ® #75, AFGLAS #80 Ultima Base Sheet, GAFGLAS® PLY 4 ®, GAFGLAS® PLY GAFGLAS FlexPly, GAFGLAS® STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROID® 20 applied to the deck with approved annular ring shank nails and minimum 1 / " tin caps at a 1 -------------- fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered along the J 1 center line of the sheet in the field. Product Control No: 97 0804.21 Two orjhree plies of GAFGLAS® PLY 4 ®1 GAFGLAS_Flexl?Iy6 or GAFGLAS® PLY 6® ply_ sheet'adhered in a full mopping of a_ pproved asphalt La within the EVT range and at a rate of 20 -40 lbs. /sq../ (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered - in a full 7 I mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 (Required if no cap sheet is used) Install one of the following: 1.GAF WEATHER COAT® Emulsion with an application rate of 3 gal. /sq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 gal. /sq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. -45 psf. (See General Limitation #7) 'A'. See General Limitation #2. 6 ":12 "; See General Limitation #3. N - B - - N - B - - N - B - - N- B -4 -G, N- B- 4 -G /P6, N- B -4 -M, N7B- 4 -M /P6, N- B -4 -C, N- B- 4 -C/P6, N- B -5 -C, N- B- 5 -C /PC, N- B -5 -G, N- B- 5 =G7PG, N= B =5 -M, N- B- 5 -M/P6 Page 21 of 41 Roofing Product Control Examiner Wood Deck System Limitations: 1. Fastener spacing for anchor sheet attachment is based on a Minimum Characteristic Force (F') of 95 Ibf or greater as tested in compliance with Merto -Dade County Protocol PA 105. If F' as tested is below 95 Ibf, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from Merto -Dade County Protocol PA 105 and calculations in compliance with Metro -Dade Roofing Application Stanadrd PA 1 17. 2 Al! standard insulation panel sizes are acceptable for mechanical attachment. When panels are applied in hot asphalt, maximum panel size shall be 4' x 4'. a. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of 275 Ibf. as tested in compliance with Merto -Dade County Protocol PA 105 & Roofing Application Standard PA 117. If the fastener value, as field tested, are below 275 Ibf. insulation attachment shall not be acceptable. 3 A slip sheet is required with Ply 4® Flex Ply ' 6 and Ply 6® when used as a mechanically fastened base or anchor sheet. 4. ''A Type X gypsum board is acceptable to be installed directly over the wood deck.. f._ • Page 37 of 41 Product Control No: 97 0804.21 oaga, Roofing Product Control Examiner GENERAL LIMITATIONS I All asphalt shall comply with ASTM D 312 type 1II or type IV requirements, and approved by applicant. 2 Fire ratings . are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 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, install one layer of GAFGLASS STRATAVENT Perforated, laid dry.A base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. Where STRATAVENT Perforated is used over approved isocyanuratc foam insulation, the maximum design pressure is limited to — 60psf. 5 All work shall be performed by a contractor licensed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer, and the requirements of the SFBC. 6 The submission of system specifications and details shall accompany the Section II Building Code Permit. This information is available in the publications listed in the 'System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. Page 38 of 41 Product Control No: 97- 0804.21 Zuloaga, Roofing Product Control Examiner L PA 117. Page 39 of 4 l Product Control No: 97- 0804.21 7 Perimeter and comer' areas 'shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Metro -Dade County Roofing Application Standard PA 117. (When this limitation is specifically referred within this NOA, General Limitation #20 will not be applicable.) 8 All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Metro -Dade County Roofing Application Standard PA 111 and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturers standard details, and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved . by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provision of the South Florida Building Code. 10 Fastener spacing for b ase sheet attachment is based on a Minimum Characteristic'Force (F') value as tested in compliance with Metro -Dade County Protocol PA 105. If the fastener values as tested are below those listed in the System Limitations, a professional engineer may submit a revised fastener spacing utilizing the withdrawal resistance value taken from a Metro - Dade County Protocol, PA test report and calculations that comply with the wind load requirements of Chapter 23 the South Florida Building Code and Roofing Application Standard I 1 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with PA 105. If the fastener value, as field tested, are below 275 lbf. insulation attachment shall not be acceptable. 12 Asphalt moppings shall be with applied with approved asphalt and shall be in compliance with equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 13 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. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or hdhesive, which shall comply with provision of Roofing Application Standard PA 117. Roofing Product Control • ► Product Control No: 97- 0804.21 14 All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. I5 In re- covery/re- roofing applications, prior to the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA 124 for uplift resistance. Test pressures shall be calculated in compliance with the wind load requirements of Chapter 23 of the South Florida Building Code to the design pressure of the roof. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Section 3401.10(m), (n) of the South Florida Building Code. 17 Roll good materials shall be stored on end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 19 Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with sections 3401.5 and 3401.6 of the South Florida Building Code for maximum fire classification. 20 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) Page 40 of 41 u oaga, Roofing Product Control Examiner GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 1 Product Control No: 97- 0804.21 ACCEPTANCE NO.: 97- 0804.21 APPROVED : November 4, 1997 EXPIRES : November 4, 2000 NOTICE OF ACCEPTANCE STANDARD CONDITIONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Metro -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; • c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) 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 Qr process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Metro -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 thiss Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all 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 Acceptance contains pages I through 41 END OF THIS ACCEPTANCE Page 41 of 41 oaga, Roofing Product Control Examiner IF 1 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued Foam: "Poly -Iso" or "Poly -Iso Special" with "Polyfoam 251" or "Polyfoam 303 ", 1 in. min. Base Coat: One or two applications "Gacoflex UB- 7050 ", applied at 1 al/sq/application or three applications, applied 1 -1/4 gal /sq /application (16 -32 dry mils). Surfacing: "Gacoflex UA -65" Series (various colors), applied 1 gal /sq (12 dry mils). 30, Deck: NC Incline: 1/2 Foam: "Poly -Iso" or 'Poly -Iso Special" with "Polyfoam 251" or "Polyfoam 303 ", 1 in. min. Base Coat One or two applications "Gacoflex UB- 7050 ", applied at 1 ggal/sq/application or three applications, applied 1 -1/4 gal /sq /application (16 -32 dry mils). urfacing: "Gacoflex UA -60" Series (various colors), applied 1 gal /sq (15 dry mils). 3i. Deck: NC Incline: 2 Foam: ' Poly -Iso' or ' Poly -Iso Special" with "Polyfoam 251" or "Polyfoam 303 ", 1 in. min. Base Coat: "GacoSil 5- 1000 ", applied at 1 gal /sq (10 dry mils). Surfacing: "Gacoflex 5- 1000 ", applied at 1 gal /sq (10 dry mils). 32. Deck: NC Incline: 1 Foam: "Polyfoam 251" or "Polyfoam 303 ", any thickness. Surfacing: "Gacoflex Ure- Shield 7007 ", 40 dry mils. 33. Deck: NC Incline: 2 -1/2 Foam: "Polyfoam 275 ", any thickness. Base Coat: "Gacoflex A- 6211 ", 1 -1/2 gal /sq (14 dry mils). Surfacing: "Gacoflex A- 6200" series (various colors), 1 -1/2 gal /sq (14 dry mils). GAF MATERIALS CORP R1306 (N) 1361 ALPS RD, WAYNE NJ 07470 *RUBEROID 20" or "RUBEROID Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. 1/2 in. thick (min) gypsum board or 1/4 in. thick (min) Georgia - Pacific "Dens - Deck®" overlayment board may be used in any existing noncombustible deck Classification. When this is done, the resulting roofing system is acceptable for use over combustible (15/32 in. min) roof decks. The joints in the gypsum board and overtayment board are offset 6 in. with the joints in the deck. If polystyrene is part of the roof system, it must be placed below the overtayment board. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet ") is a suitable alternate for Type 61 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ") in the Class A, B or C roof systems indicated below. The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAFGLAS Stratavent (Vent -Ply) perforated" or "GAFGLAS Stratavent (Vent -Ply) for nailable decks ". Perforated to be mopped and nailable to be mechanically attached granule side down. M an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet' or 'GAFGLAS Stratavent (Vent -Ply) for nailable decks ") may be substituted for G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ") as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, all insulations may be hot mopped or mechanically fastened. "GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A. 8 or C systems listed below. When "perlite" is referenced, this includes "GAFTEMP PERMALITE ®" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, 8 or C systems listed. Structural cement fiber building units are considered suitable to be included is a deck in the following Class A, B or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of 1/2 in. min gypsum board is an acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board between min 3/4 in. perlite board and deck with rosin paper (perlite /rosin paper /polystyrene /perlite) is a suitable alternate for isocyanurate board in the following Class A, B or C systems. " GAFTEMP Isotherm RA ", " GAFTEMP Tapered Isotherm RA" and "GAFTEMP CO 1 nposite A" may be substituted for any isocyanurate insulation in any of the O wing Classifications. • Cass A, Not b roofing ranes. asphalt, for use with n th o ganic and and glass em glass felts or modified bitumen 1. Deck: C -15/32 Class A Iodine: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate urethane, perlite /isocyanurate composite, 'perlite/ [ 5. LOOK FOR MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) 135 ROOFING SYSTEMS (TGFU) Continued urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type G1 "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 61 "GAFGLAS Ply 4" or "GAFGLAS Ply 6" Cap Sheet: One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet". 4. Deck: NC - Incline: 1/2 Insulation: One or two layers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. - - - -- 7y Deck: C -15/32 l_— ----- 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 61 "GAFGLAS Ply 4" or GAFGLAS Ply 6 ". r Cap Sheet: One layer of Type G -3 "GAFGLAS Mineral Surfaced Cap Sheet ". f 6. LDeck: -NC -- -- — — Incline: -3 -. ____ _ - -- - - - Base Sheet: One layer of Type G2 "GAFGLAS #75 Base Sheet ". Ply Sheet: One or more layers of Type 61 "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, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G1, 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): 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 G2 or G3. Ply Sheet (Optional): One or more layers of Type 61. 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 B 1. 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. Ply Sheet: Two or more layers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6" Cap Sheet: Type 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 61, 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 layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ l PERMIT NUMBER: TAX FOLIO NUMBER: STATE OF FLORIDA COUNTY OF 00R4 18404 2000 AUG 29 10:31 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information in provided in this Notice of Commencement. i/o5 A/I 9y srX« Legal description of property and street address: 7 ,'9w 5Llle3 Description of improvement: (Kt toy/ Owner(s) na d address. Si 2 � , /4 f AJ• . S Interest in property:: 1 ./ 05 /y 7'S $7 - r �c , -r • Name and address of fee simple titleholder. Contractor's name and address: 4 " / 4 ' - /" (7.‘ S, ' '' Y�J( . Surety (Payment bond required by owner from contractor, if any) Name and address: r Amount of bond: $ Lender's name and address: Persons within the state of Florida designed by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statute Name and address: Expiratioh date of this Notice of Commencement: (the expiration date is one (1) year from the date of recording unless a diffe ent'date is speci REV 1/97 NOTICE OF COMMENCEMENT � e c fi NB y �h m an �. 6 WITNES NAt;V By * SIGNATURE OF OWNER t Owner's Name' Sworn to / acid subscribed before me on this e D- ° f day of ,.t,.54- p c� Personally Known, or Produced ID Oath taken, _ Michelle Gibson * ': a My onmissloii CC853269 14 STATE OF FLORIDA, COUNTY OF DADE 1 HER • RTIFY that this is a true orl a ,Ile. in this ofhte'on F/ 33f36 ,° &,1 " �I ; (7 - 0 N.. Michelle Gibson '' =I *My Commission CC853288 , Expires August 13, 2003 S / v(Js F( 3 Prepared by :: /� G H4 ii... l'l JC // c r2 Address: .2 l / 3 L ,:ve c /-/ Si 2(4'T" /.--A,/ -,, c, C,c o r / 3 — c., v Notary Public: //44 )✓ Print Notary's Name: 44? ‘,k4. Commission Expiration ' 4 (A -e d :' NOTICE OF COMMENCEMENT PERMIT NUMBER: TAX FOLIO NUM BER: STATE OF FLORIDA COUNTY OF _. 008418404 2000 AUG 29 10:31 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information in provided in this Notice of Commencement. Legal description of property and street address: /111/7". ; ,5La f Description of improvement: Pe 2 O S e c 1N1 Owner(s) namg and address: S1 I.1 4 ,4 / Interest in property: %s ,&/ r Name and address of fee simple titleholder. Contractor's name and addr 4 / /17 As iO l,G / 5 /lo //•3 L..•tiec r " /[ytiev,r7 F/ 3.3 °a° Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: S Lender's name and address: \ �\ Persons within the state of Florida designed by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: • �� — In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statute aj Name and address: REV 1/97 WITNES HARV By 6 Expiratigh date of this Notice of Commencement: (the expiration date is one (1) year from the date of recording unless a diffe ent`i is spertred)--, ' SIGNATURE OF OWNER P rot Owner's Name: Q\ L S Swom to �� aQQd subscribed before me on this day of !� (dlrw�� 210 O IJ Personally Known, or Produced ID Oath taken, /" �+� Michelle Gibson O * MY =minion CC853288 2033 STATE OF FLORIDA, COUNTY OF DADE 1 HER • r RTIFY that this is a true U/, a to in th15 office on I /05 97 F/ 3 3135' Ste Cam/ S *Zee r /ova Michelle Gibson * ' *MY Comminim CC853288 Expires August 13.2003 3?/ 3s Prepared by: / /.etcI /cr2 Address: / / 3 4,;‘ c // Si 2r •CT / Notary Public: /// J / /, Print Notary's Name: /T `r f,,./,e Commission Expiration „q G � 1d d, � . Miami Shores Village, Fla. OWNER P G2'l J DATE la /-3 _0 ADDRESS Or / C q s INSPECTION PERMIT NO. CONTRACTOR L is-,' 7 3 TELEPHONE NO. , INSPECTOR j! � DATE Miami Shores Village, Fla. WNER .4f DATE ADDRESS 1 / 0 c /1/ ff s� INSPECTION I_,adlI / ij %��; r / / TIME READY r ihtl t? T>ti_i toi PERMIT NO. 97 / 7 CONTRACTOR (11/1X V.1 s y 74,9?14/ TELEPHONE NO. 3° s 9 9 2}/ 0 INSPECTOR 9 -;11 D° DATE 9/A/./ Miami Shores Village, Fla. OWNER " \"-n ADDRESS 905 N INSPECTION »e ('J TIME READY PERMIT NO. CONTRACTO L t 3 ( TELEPHONE ND . c &\3 ^ ci ci 9 V INSPECTOR DAT DATE Miami Shores Village, Fla. OWNER DATE ADDRESS OS /V E SL' INSPECTION TIME READY /TrLi PERMIT NO. G 1 4 '7 CONTRACTOR TELEPHONE NO. 3O r 9 7 6 7 INSPECTOR � DATE BUILDING ❑ MIAMI SHORES VILLAGE FLORIDA 1'` �` , t Date 4, I 19 ELECTRICAL ❑ � PLUMBING ❑ PERMIT Contractors ROOFING : f License No. � ❑ Work to be performed under this Permit i - V <: 1 tie %61 k Owner of Building Architect Contractor or Builder Legal Description 0� Ot /i, t - ti) � -. r? BI. Buildress of,. dos Ab 99 5 • e • ff IV xes Sub on f " "I / - 3 ( ' ' • Sq. Ft.: Value of Project $ J 1� fY/pi Permit: 4 'CCF: .:� cr `' v otary: Bond: . Radon: Amount of Permit: (o This permit is granted• to the contractor or builder named above to construct the building or to install the equipment or, device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and . with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A..further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and • regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- {'....-- sibility for work done by his agents, servants or employees. it s • s Signed • j�'��?� (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 1 assume responsibility for all work done by either, myself, my agent, servant or employee. �'- i n,1 CONTRACIPOR or BUILDER BY 1631A200 O ✓/(7/74(F it ,x n nc) AUTHORITY ° v Registered Architect and /or Engineer Name and address of licensed contractor Location and legal desgription of lot to be built on:_ Lot /0 /3 4' ,' /lock 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 Afe-e-,1 020 r� U r r/ Date arks (Signed) A M .D /1/11.&Gq O Read, Sworn to and Subscribed before me. Date ,06 023 19 Fe No. / d 5 StreEt' Ate 6/ 7 60 3 7e 7 Subdivision A , , f Street and Number where work is to be done 1 /6 S /t/ g / q S ) State work to bed a and purpose building Ib fl /. state terior colors (submit / mit samples) A e cD r.) 1 .- 0 CO u4 / 6 e S / • and for no other purpose. New Building Remodeling Addition Repairs No. of Stories / To be constructed of Kind of foundation Roof Covering 6- ra v4 1 /1 Estimated Total cost of improvements $ V • O V Amount of Permit $ —3 '?` 0/0 Zone cubage required 3 S Sf Plan Cubage 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 Size of Building Lot 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 t 's . ermi ; and will post t c se to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned ape. -mplo only ch su r ctors, on work to be performed under this permit, as are licensed by Miami Shores Village. ��,// STATE OF FLORIDA COUNTY OF DADE. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared: 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. Disapproved Date (Signed) \�"v Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or 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 or toe plans and specifications herewith submitted for the build • ins 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. t tos' N 99 S'' f n / Date &Owner's Name and Address . / © L 2S rY — No Street Registered Architect and /or Engineer „.7 , 11,11.,, ................ Name and address of licensed contractor Qi ,Lit f Location and legal description of lot to be built on: Lot Block Subdivision `Street and Number where. work is to be done '�' Q g 9 q..s 1 7777. ........._ �Stato work to be done and purpose of building (by floors) R CZ0 ..f3..Pl...tsV.�. FAT. % ' 1 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvementf'( Ste? .r Amount of Permit S. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Jfaxunum 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 unrl<vsisred 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 N( 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 _.. Disapproved (Signed) 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. 7 truue. Permit No .X.11!3 Date 4 Read, Sworn to and Subscribed before me. Date to me well known, Notary Public, State of Florida uilding 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 niter approval has been obtained from the Pl.rnnir,;; Board. A re.ir,'prt tion i ce of $1.00 will be charged when such re inspection is made necessary by improper notice for insertion oc faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade 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. 9 squares Owner's Name and AddressMrSi Betty Zorovich _ ._. No.4Q.5 . S .r..F-t.,,. St, Registered Architect and/or Engineer . . Name and address of licensed contrpctorLang Roofing ,& Tile Co., . Inc., Mia. a Fla. 33150 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 4 N,Es 99th Street - (Tear - QH . ) ..__ _._.....__ State work to be done and purpose of building (by floors)...Partial...ReroO.f.: tin....cap...1.-,30.# _felt ta.._.._ sheathingboards mop 2-15# felts with hot asphalt, cover with a layer of . pea. ..gravel_.embedded...into...too ....peg -d...- asphalt.+ .and for no other purpose. New Building Remodeling Addition Repairs.. .Raro.o.f... No. of Stories 1 — To be constructed of Kind of foundation Roof Covering .. .ply ... gravel Estimated Total cost of improvements $..140.0..,00 Amount of Permit 3 Zone cubage required plan Cubage Distance to next newest 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 su ntractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe• ion on the s f the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco rs, on or o be ne rfo �m ed un this pennit, as are licensed by Miami Shores Village. Remarks (Signe 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 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 truuy. - Permit No. .__..._._ 1 - ` - . . Date i'- - 7,1 Read, Sworn to and Subscribed before me. Disapproved .... ...... (Signed) Chainnan Member Member ...... Buildin: spector J My Commission Expires Council Approved PL INC BOARD DATE Member Member Member Disapproved Date Date Date ..._. Notary Public, State of Florida S tem r._a..Lth.... ,19.2.5. to me well known, 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. 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 __. MI' B. Betty Zorvieh Registered Architect and /or E n g i n e e r . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date March 18 I9 69 No 4 N•E •Street__ 99th St • Name and address of licensed contractor_PALMER ROOFING CO., INC., 1729 No. Miami Avenue Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done 405 N. E. 99th Street - - State work to be done and purpose of building (by floors)__ Re-Roofing 4 -Ply asphalt and gravel 39 squares. and for no other purpose. New Building Remodeling ___ Addition Repairs_ .... No of Stories To be constructed of Kind of 1 , 62 � fou . 00 dation___ Roof Coverin g - - -Ply asp & gr - - -. _.... Estimated Total cost of improvements $ 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 PALMER'S ROOFING CO., INC., 1729 No. Miami Avenue . be sent to_ __._ The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Sec:ion 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si . the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcy acto pn ork o, performed under this permit, as are licensed by Miami Shores Village. Remarks__ ( Signed) _. STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, '.he undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first (duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved )>, (Signed) C-�! Building Ins _/ctor Date - = /.... to me well known, ' Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires__ PLANNING BOARD __ . DATE Chair' man __ 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 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. has been obtained from 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. Owner's Name and Address.. aire, 64- Registered Architect and/or Engineer Name and address of licensed contractor ._ ,Fb /96 0 / 'J c2 / Location and legal description of lot to be built on: Lot Block Subdivision 0 Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT State ork to be 7onfl an4 purpose of building (by floors) - t •-•"- New Building Remodeling Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ 0 ' Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size ot Building Lot Maximum live load to be borne by each floor 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, an d will req 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 he 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 subcotractors, on wor to be pe formed undej this permit, as are licensed by Miami Shores Village. ewt.,„ _ Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared SS. MIAMI SHORES VILLAGE 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 Disapproved (Signed) Date Date Bui ding Inspector PLA BUILDING INSPECTION DEPARTMENT (r- Council Approved Date. ......Y /5- 1 / . 19 C.1 No stra rr o)4 Roof Covering Date G BOARD DATE S Read, Sworn to and Subscribed before me. and for no other purpose. Repairs No. of Stories / 3 45/ ` 1 er-- GC if 4 . • aiez to me well known, Notary Public, State of Florida hly Commission Expires Chairman Member Member Member Member Member 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.