Re-roof 1999PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date e 5' Job Address $3 3 /U E 7 S/ • Tax Folio
��ous e-
� L
/ Tenant (e v =s0. t,,.yc rZ a do 01_ k eti Master Permit # os°3
J
Owners Address S 3 3 /V E 7 57 •
Legal Description
Contracting Co. _p, 4 W A 1 t( )Q Oo P...L i i (--- Address ( 3 117 , F ^ *.
Qualifier P&d '{a tAJ � i - e k ss# ti "JPhone6 D 5 75i1-0/q/
C/
Pal ?)Pi3 C fC ompetency# f,001-kmi *iYt(-ti • "
State # Municipal # � �j Q� ns . Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Fla ( WORK DESCRIPTION T� /a e r a o o yj C v FL o yt l J `6-
Square Ft. a t S 0 Set, Estimated Cost (value) b 06162° 0
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
APPROVED:
Zoning
Mechanical
Notary as to Owner
My Commission Expires: ✓ca j v n couus$ON mein
Tr= R.% Q� 4c7 2�a I
4 ° PAY COMMISSION •
F Ft° DEC. 17,2002
FEES: PERMIT lP RADON
Condo President Date
2/}
C.C.F.•
Building
Historically Designated: Yes No aj
0-0 Q C&WVJQg_
- Signature of ntractor . • er -B '1 Date
Notary to on : c dill.zv
Phone 3 0S - 7 5 ? - 3 47'2
My Commiss .n ExpiresGLADYS J VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EXP. MAR.12002
Date
NOTARY i 7 BOND 3 t/ /
TOTAL DUE 317
Electrical
Plumbing Structural Engineer
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
the minimum requirements and standards of the industry for roofing system installations. Additionally,
the following items should be addressed as part of the agreement between the owner and the contractor.
The owner's initial in the adjacent box indicates that the item has been explained.
1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of
providing that the roofing system meets the wind resistance and water intrusion performance standards.
Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic
issues such as color or architectural appearance, that are not part of a zoning code, should_ be addressed as
p art 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'roofdeck is usually
concealed prior to removing the existing roof system)
3. Common Roofs: Common roofs are those which have no visible delineation between
neighboring units (Le. townhouses, condominiums, etc.). In buildings with common roofs, the roofing
contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed.
J 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking
can be viewed from below. The owner may wish to maintain the architectural appearance, therefore,
roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the
option of maintaining this appearance.
E - 5. Ponding Water. The current roof system and/or deck of the building may not drain well and
may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of
structural distress and may require the review of a professional structural engineer. Ponding may shorten
the life expectancy and performance of the new roofing system. Ponding conditions may not be evident
until the original roofing system is removed. Ponding conditions should be corrected.
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.
J 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not
be reduced. It may be beneficial to consider additional venting which can result in extending the service
life of the roof.
Owner's /Agent's n . ture
Signature
5104 APPENDIX "F"
116199 4wA(Wcuuck-u-
Contractor's
Signature
Contractor's Name: Pa_ R. 1 w a. 1 Job Address: V 3 ME g c T h s
ROOF CATEGORY
U (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile)
❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other)
yy // ROOF TYPE
❑ New Roof a Re roofing ❑ Recovering ❑ Repair ❑ Maintenance
Flat Roof Area (ft 5 0 5 S loped Roof Area (ft 0 Total (ft') <2 i 5 0 51 -Master Permit No.
Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1):
Ft.
A
v
Ft.
A
v
(�i h eraf CApC Rck.b eroc
a-- Ptybrolc.ss
.Acr15 boxse skct y.
1 1 . I vk s cA.l 4 i o vx ---
Deck type: 1 Yg hoar
Fastener Type:
Field:
ATTACHMENT
SPACING
Perimeter: Corner:
0
DETAIL 1 & 2
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
ROOF HEIGHT AND SYSTEM DETAILS
(Draw details as needed)
Page -1
X3 ci,(v dr i p utilh pr�ii f'
ROOF PLAN
Appendix "E"
UNIFORM ROOFING PERMIT APPLICATION
PROCESS No.
Deck type:
z Underiayment:
Insulation:
Ridge Ventilation?
Fastener type & spacing:
Cap Sheet:
PAEAN HEICHT
12
ROOF SLOPE
D E T A I L 3
V /
SLOPED SYSTEM DESCRIPTION
Roof
Covering:
z o r , Drip edge:
J
ATTACHMENTS REQUIRED
1) Fire Directory Listing Page
2) 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
TIELE CALCULATIONS
(Pmaxl: x X (Aerodynamic Multiplier): ) - M = M PCA:
(Pmax2: x X (Aerodynamic Multiplier): ) - M = M PCA:
(Pmax3: X X (Aerodynamic Multiplier): ) - M = M PCA:
Page -2
e
PRODUCT CONTROL NOTICE OF ACCEPTANCE
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470 •
Your application for Product Approval of:
GAF Ruberoid® Modifed Bitumen Roof Systems for Wood Decks
under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and Types of
Construction, and completely described in 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 -60 and the standard conditions on page 61.
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.
The expense of such testing will be incurred by the manufacturer.
Acceptance No.: 97- 0804.14 Revises No.: 95- 1003.03
Expires: 11/06/00
Approved: 11/06/97
i ' .
� L '
Raul 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 BuiJdine, Code
Compliance Office and approved by the Building Code Committee to be used,.jn Dade County, Florida under the
�7
conditions set forth above. 1
'
Charles Danger, P.E.
Director
Building Code Compliance Dept.
Metropolitan Dade County
9
Applicant:
GAF Materials Corporation
1361 Alps Road
Wayne, NJ 07470
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Category: Membrane Roofing System
Sub - Category: Built -up Roofing
Type: Modified Bitumen
Sub -Type: APP and SBS
System Description
GAF Materials Corporation has been manufacturing commercial roofing products for more than 100
years.
GAF produces a wide range of roof products for built -up roofing systems. The modified bitumen
products include both APP and SBS products in smooth, granule and fire rated versions. In addition.
GAF offers two ply modified systems to meet the specification requirements for multilayer SBS modified
specifications.
GAF products are distributed through a wide network of roofing wholesale distributors throughout the
South Florida area.
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 Ruberoid Modified Bitumen Application and
Specification manual published annually.
GAF roof system assemblies have been extensively tested at Factory Mutual Research Corporation and
Underwriters Laboratories. GAF modified bitumen membranes have been tested in compliance with
ASTM D 5147 test requirements.
Contact:
William J. Woodring
Director of Technical Services
(973) 628- 4134
Page 2 of 61
Product Control No: 97- 0804.14
Product Control No.: 97- 0804.14
Approval Date: November 6, 1997
Expiration Date: November 6, 2000
Frank Zuloaga,
Roofing Product Control Examiner
w ['
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'
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 61
Product Control No: 97 0804.14
Frank Zuloaga.
Roofing Product Control Examiner
Product
GAF Asphalt
Concrete Primer
GAF Mineral Shield®
Granules
GAF WeatherCoat®
Emulsion
GAF Premium
Fibered Aluminum
Roof Coating
GAF Jetblak All
Weather Plastic
Cement
GAFGLAS #75®
GAFGLAS #80
UltimaTM Base Sheet
GAFGLAS Ply 6®
GAFGLAS Flex
PIyTM 6
GAFGLAS Ply 4®
GAFGLAS®
Mineral Surfaced
Cap Sheet
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY APPLICANT
Test
Dimensions Specification
5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote
adhesion of asphalt in built -up roofing.
60 Ib. bags ASTM D 1863 Granules for surfacing of exposed
asphalt, cold process cement or
emulsion. GAF Mineral Shield®
Granules shall be used for flashing
applications only.
5 gallons ASTM 1227 Surface coating for smooth surfaced
roofs.
1, 5 gallons ASTM D 2824 Fibered aluminum coating.
1, 5 gallons
3 sq. roll
75 Ib. roll
2 Sq. Roll
70 lbs. /roll
5 sq. roll
45 Ib. roll
5 sq. roll
45 Ib. roll
5 sq. roll
76 Ib. roll
ASTM D 3019
ASTM D 3409
Product Control No: 97 0804.14
Product
Description
Refined asphalt blended with a mineral
stabilizer and fibers. Permits adhesion
to wet and dry surfaces.
ASTM D 4601 Asphalt impregnated and coated glass
mat base sheet.
ASTM D4601 Asphalt impregnated and coated,
fiberglass base sheet
ASTM D 2178 Type VI asphalt impregnated glass felt
with asphalt coating.
ASTM D 2178 Type VI asphalt impregnated glass felt
with asphalt coating.
ASTM D 2178 Type IV asphalt impregnated glass felt
with asphalt coating.
ASTM D 3909 Asphalt coated, glass fiber mat cap sheet
surfaced with mineral granules.
Page 4 of 61
Frank Zuloaga,
Roofing Product Control Examiner
RUBEROID®
Modified Bitumen
Adhesive
GAFGLAS®
STRATA V ENT®
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
Product
Test
Dimensions Specification
5 gallons
60 Ib. roll
various
69 Ib. roll
various
various
various
various
various
various
various
ASTM D 3019
Type 111
ASTM D 4897
D 3672
ASTM D 489
D 3672
PA 110
PA 110
PA 110
PA 110
PA 110
PA 110
Page 5 of 61
Product Control No: 97- 0804.14
Product
Description
Fiber reinforced, rubberized Adhesive
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 D4601, Premium glass fiber reinforced SBS-
Type 11, 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
PA 110 Polyisocyanurate foam insulation with
high dens ikerb9ard:or --...„
perlite insu
Zuloaga,
Roofing Product Control Examiner
Product
Tapered GAFTEMP®
Composite
GAFTEMP®
Composite A
Tapered GAFTEMP®
Composite A
GAFTEMP®
Composite N
Tapered GAFTEMP®
Composite N
GAFTEMP®
Fiberboard
GAFTEMP®
Permalite
GAFTEMP Recover
Board
GAFTEMP®
High Density
Fiberboard
GAFTITE ®# 12
Standard
Roofing Fastener
GAFTITE® #14
Heavy Duty
Roofing Fastener
GAFTITE ASAP
Test
Dimensions , Specification
various
various
various
various
various
various
various
1/2" thick
various
PA 110
PA 110
Product Control No: 97 0804.14
Product
Description
Tapered Polyisocyanurate foam
insulation with high density fiberboard
or Permalite perlite insulation.
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
PA 110
PA 110
PA 110
Fiberboard insulation.
Perlite insulation board.
Perlite recover board
High density wood fiberboard
insulation.
PA 114 Insulation fastener for steel and plywood
decks.
PA 114 Insulation fastener for steel, wood and
concrete decks.
PA 114 Pre - assembled GAFTITE Fasteners and
metal and esti -T
Page 6 of 61
r�
r c uloaga,� — Roofing Product Control Examiner
Product
GAFTITE® Base
Sheet
Fastener and Plate
Galvalume Plates
NTB Fasteners
Polypropylene Plates
Ruberoid® 20
Ruberoid® Mop
Granule
RUBEROID MOP
Smooth
RUBEROID MOP
PLUS
RUBEROID MOP
170FR
RUBEROID MOP FR
RUBEROID TORCH
Smooth
RUBEROID TORCH
Granule
Test
Dimensions . Specification
3" and 3 %A"
PA 114
PA 114
1.5 sq. roll ASTM D 5147
3" and 3 %"
1 sq. roll
103 lbs.
I sq. roll
87 lbs.
I sq. roll
102 lbs.
1 sq. roll
103 lbs.
1 sq. roll
105 lbs.
1 sq. roll
87 lbs.
1 sq. roll
102 lbs.
Product Control No: 97- 0804.14
Product
Description
PA 114 Base sheet fastening assembly.
PA 114 Round galvalume stress plates.
ASTM D 5147
Page 7 of 61
Fastener for use in gypsum, tectum and
lightweight insulating concrete decks.
Round polypropylene stress plates.
SBS modified asphalt base sheet and
interply sheet reinforce with a glass fiber
mat.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -woven polyester mat coated with
polymer modified asphalt and smooth
surfaced.
ASTM D 5147 Non -woven polyster mat coated with
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.
ASTM D 5147 Non -Woven polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
ASTM D 5147 Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
smooth surface.
Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
granule surface.
Frank Zuloaga.
Roofing Product Control Examiner
Product
RUBEROID TORCH
PLUS
RUBEROID TORCH
FR
RUBEROID 30
RUBEROID 30 FR
Vent Stacks (metal
and plastic)
GAF Aluminum
Emulsion
RUBEROID® 109. Roll
ULTRACLAD ®SBS 101 lbs.
GAF Built -Up
Roofing Asphalt
Test
Dimensions Specification
3 /. sq. roll
93 lbs.
Y. sq. roll
90 lbs.
1 sq. roll
92 lbs.
1 sq. roll
92 lbs.
5 gallons
GAF Aluminum Roof 5 gallons
Paint
100 Ib. cartons.
bulk
RUBEROID MOD 60 Ib. kegs
Asphalt
RUBEROID MOD 60 Ib. kegs
Asphalt L
RUBEROID MOD 60 Ib. kegs
Asphalt P
ASTM D 5147 Heavy duty, polyester reinforced,
asphalt modified bitumen membrane,
granule surface
ASTM D 5147
ASTM D 5147 Non woven fiberglass mat coated with
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non woven fiberglass mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
PA 100(A)
ASTM D 1929
ASTM D 635
None Mineral colloidal bituminous emulsion
with reflective aluminum flakes
ASTM D 5147
ASTM D2824,
Type I
Product Control No: 97 - 0804.14
Product
Description
Heavy duty, polyester reinforced, coated
with fire retardant asphalt modified
bitumen membrane, granule surface.
One way valve vent used to relieve
built -up pressure within the roof system.
GAF Vent Stacks are available in metal
or plastic.
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, lnterply mopping and surfacing asphalt
Types I, 11, 1I1 and
IV
Page 8 of 61
SEBS modified asphalt
SEBS modified asphalt
SEBS modified asphalt
Frank Zuloaga,
Roofing Product Control Examiner
Product
GAFTEMP Tapered
Isotherm R
GAFTEMP Tapered
isotherm RA
GAFTEMP Tapered
Isotherm RN
GAFTEMP
GA FCANTTM
GAFTEMP
GAFEDGETM
Tapered Edge Strip
GAFTEMP
PERMALITE®
Tapered Roof
Insulation
GAFTEMP Recover
Board
Shingle•MateTM
Underlayment
GAFTITE® ASAP
RUBEROID®
Modified Bitumen
Adhesive
Various
Various
Various
Various
Various
Various
1/2 thick,
Various sizes
4 sq. roll
30 lbs.
Test
Dimensions , Specification
500 per box
5 gallons
PA 110
PA 110
PA 110 Perlite board
Page 9 of 61
Product Control No: 97- 0804.14
Product
Description
Tapered polyisocyanurate foam
Tapered polyisocyanurate foam
Tapered polyisocyanurate foam
Cut perlite board
Tapered perlite board
PA 110 Tapered perlite board
Fiberglass reinforced shingle
underlayment
PA 114 Pre - assembled fastener and metal and
plastic plates
ASTM D 3019 Fiber reinforced, rubberized Adhesive
Type 111
/ j
L /FranlsZulosga - - - - -- —
Ming Product Control Examiner
•
Pyrox
Test Product
Product Dimensions Specification Description
Product Control No: 97 0804.14
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS
Manufacturer
various PA 110 Polyisocyanurate foam Apache Products Co.
insulation (with current PCA)
ACFoam I various PA 110 Polyisocyanurate foam Atlas Energy
insulation Products
(with current PCA)
ACFoam 11 various PA 110 Polyisocyanurate foam Atlas Energy
insulation Products
(with current PCA)
Hy -Therm Nail -line various PA 110 Polyisocyanurate foam Celotex Corp.
insulation (with current PCA)
Hy -Therm SP various PA 110 Polyisocyanurate foam Celotex Corp.
insulation. (with current PCA)
Hy -Therm AP various PA 110 Polyisocyanurate foam Celotex Corp.
insulation (with current PCA)
Hy -Therm Stable R various PA 110 Polyisocyanurate foam Celotex Corp.
insulation (with current PCA)
Hy -Therm White various PA 110 Polyisocyanurate foam Celotex Corp.
Line insulation (with current PCA)
Anchorbond
Fastener
Dekfast Fasteners
414
Dekfast Hex Plate
PA 114 Insulation fastening Celotex Corp.
assembly (with current PCA)
PA 114 Insulation fastener for steel Construction
and concrete decks Fasteners Inc.
(with current PCA)
2 7/8" x PA 114 Galvalume hex stress plate. Construction
Fasteners Inc.
(with current PCA)
3 1/4"
Page 10 of 61
•
}rank Zuloaga,
Roofing Product Control Examiner
Test Product
Product Dimensions Specification Description
Dekfast Lock Plate 3" x 3 1/4" PA 114 Polypropylene locking Construction
plate. Fasteners Inc.
(with current PCA)
Dekfast Fasteners
#15
Dekfast Fasteners
#12
High Density Wood various
Fiberboard
Pei ite /Urethane
Composite
various
Product Control No: 97- 0804.14
Manufacturer
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 111 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 Rosin paper for barrier generic
layer on wood decks
Roofing Nails Minimum # PA 114 Corrosion resistant annular generic
12 ring shank nails
Page 11 of 61
uloaga,
Roofing Product Control Examiner
Tin Caps
Test Product
Product Dimensions Specification Description
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
Min. 32 ga. x
various
3" round
various
various
various
PA 114
PA 114
PA 114
PA 114
PA 110
Corrosion resistant circular
discs.
PA 121 Aluminum roof coating
PA 110 . Gypsum insulation board.
Insulation fastener for steel
or wood decks
PA 114 insulation fastener steel,
wood or concrete decks
PA 114 Insulation fastener
Insulation fastener
Insulation fastener and
metal or plastic plate
Polyolefin plastic plate
PA 110 Polyisocyanurate foam
insulation
PA 1 I0 Polyisocyanurate foam
insulation
Polyisocyanurate foam /
rockwool composite
insulation
Pacze 12 of 61
Product Control No: 97- 0804.14
Manufacturer
generic
Grundy Industries
(with current PCA)
Georgia Pacific
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
ITW Buildex
(with current PCA)
International
Permalite
(with current PCA)
NRG Barriers. Inc.
(with current PCA)
NRG Barriers. Inc.
(with current PCA)
Frank Zuloaga,
Roofing Product Control Examiner
Test
Product Dimensions Specification
Olympic Standard 3" round PA 114
Olympic Fastener
#14
Olympic
Polypropylene
Olympic Fastener
#12
Olympic Fastener
ASAP
Olympic CR Base
Felt Fastener and
Base Sheet Disc
GlasFast Fastener
Paroc Base Board
Paroc Cap Board
3.25" round
various
various
PA 114
PA 114
PA 114
PA 114
PA 114
PA 114
Product
Description
3" round galvalume
AZS5 steel plate
Insulation fastener
Polypropylene
plastic plate
Insulation fastener
Pre - assembled Insulation
fastener and plate
Insulation fastener
assembly for Base Sheet
fastening only
Insulation fastener
assembly with recessed
plastic plate
PA 110 Rockwool insulation
PA 110 Rockwool insulation
Page 13 of 61
Product Control No: 97 0804.14
Manufacturer
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Olympic
Manufacturing
Group, Inc.
(with current PCA)
Owens- Corning
Fiberglas Corp.
(with current PCA)
Partek, Inc.
(with current PCA)
Partek, Inc.
(with current PCA)
u oaoa _
Roofing Product Control Examiner
Test Product
Product Dimensions Specification Description
UltraGard various PA 1 10 Polyisocyanurate foam Schuller
insulation International Inc.
(with current PCA)
Insul -Fixx Fastener
Insul -Fixx P
Rawl Fasteners
#12
Rawl Fasteners
#14
Rawlite 3" Plate 3" round PA 114
202 HS
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)
_ PA 114 Insulation fastener for steel
and wood decks
PA 114 Insulation fastener for.use
in steel, wood or concrete
Rawl 2" Plate 2" round PA 114 2" round galvalume AZ55
membrane plate
Rawl 3" Plate 3" round PA 114 3" round galvalume AZ55
steel plate
3" round galvalume AZ55
steel plate for use with
Rawlite fasteners
PA 121 Roof coating Thermo- Materials.
Inc.
(with current PCA)
PA 121 Roof coating Thermo- Materials.
Inc.
(with current PCA)
PA 114 Insulation fastener for steel, Tru -Fast
or wood
Page 14 of 61
Product Control No: 97- 0804.14
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)
Frank Zuloaga,
Roofing Product Control Examiner
Test Product
Product Dimensions Specification Description
Tru -Fast Plastic 3.04" round PA 114 3.04" round polyethylene
Plate
Tru - Fast MP - 3.23" round PA 114 3.23" round galvalume
AZ50 steel plate
Tru -Fast HD
Tru -Fast Ultra
Tru -Fast DP
Tru -Fast TP
Structodeck
various
PA 114 Insulation fastener for use
in wood, steel or concrete
decks
PA 114
plastic plate
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 15 of 61
Product Control No: 97 0804.14
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)
Tru -Fast
(with current PCA)
Wood Fiber
Industries
(with current PCA)
-- Frank Zuloaga.
Roofing Product Control Examiner
Test
Agency/Identifier
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corporation
Factory Mutual Research
Corp.
Factory Mutual Research
Corp.
Trinity Engineering
Underwriters
Laboratories, Inc.
Dynatech Engineering
Corporation
Name
Current Insulation
Attachment
Requirements
Wind Uplift
FMRC 4470 -PA 114
Wind Uplift
FMRC 4470 -PA 114
Wind Uplift
FMRC 4470 -PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift
FMRC 4470 - PA 114
Wind Uplift, FMRC
4470 - PA 114
Wind Uplift, FMRC
4470 - PA 114
Wind Uplift PA 114
Fire Resistance
Classification
UL 790 - PA 114
Wind Uplift
PA 114
TEST REPORTS
Report
FMRC 1996
J.I. OT4A 1.AM
J.I. 1V8A4.AM
J.1. 1 R 1 A6.AM
J.I. 0T2Q4.AM
J.I. 0Q6A6.AM
J.I. 3X3A2.AM
J.I. 0Y9Q5.AM
J.I. 1B9A8.AM
J.1. 3D4Q2.AM
4483.04 97 -1
R1306, 87NK11819
#3600.02.95 -1
Page 16 of 61
Product Control No: 97- 0804.14
Date
01.01.96
08.26.92
06.28.93
11.15.91
10.17.91
07.16.91
08.02.94
07.29.94
09.04.97
04.30.97
06.06.97
01.01.93
02.02.95
rank Zuloaga,
Roofing Product Control Examiner
Test
Agency/Identifier
Dynatech Engineering
Corporation
Product Control No: 97- 0804.14
Name Report Date
Wind Uplift #4482.02.95 -1 02.02.95
PA 114
Page 17 of 61
ran Zuloaga,
Roofing Product Control Examiner
SYSTEMS
Product Control No: 97-0804.14
Membrane Type: SBS
Deck Type 1I: Wood, insulated, New Construction or Reroof
Deck Description: 1 "/ " or greater plywood or wood plank
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 1 17)
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: l" 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
RecovcrBoard
Minimum: '/" x 4' x 4' N/A N/A N/A N/A
Approved Type(s): Wood Fiber, GAFTEMP® Fiberboard
Minimum: %" x 2' x 4' N/A N/A N/A N/A
Approved Type(s): Paroc
Minimum: '/." x 4' x 4' N/A N/A N/A N/A
Approved Type(s): Pcrlite, GAFTEMP® Permalite
Minimum: 3 /." x 2' x 4' N/A N/A N/A N/A
Approved Type(s): Fiberglas
Minimum: 1 x /16" x 4' x 4' N/A N/A N/A N/A
Approved Type(s): Permalite Tapered Roof Insulation, GAFTEMP® Isotherm Tapered
Minimum: Y. " x 2' x 4' N/A N/A N/A N/A
Approved Type(s): Tapered Isotherm R, Tapered Isotherm RA, Tapered IsothermRN, GAFTEMP
Composite Tapered, GAFTEMP Composite A Tapered, GAFTEMP Composite N Tapered
Minimum: 'A" x 4' x 4' N/A N/A N1A
Page 18 of 61
Frank Zuloasa.
Roofins Product Control Examiner
Note: All insulation shall be adhered to the anchor sheet in full moppings of approved hot asphalt
within the EVT range and at a rate of 20-40 IbsJs Please refer to Metro -Dade County Roofing
Application Standard PA 117 for insulation attachment. Insulations 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®
perforaded laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all
isocyanurate applications.
Anchor sheet:
Base Sheet:
Ply Sheet:
Membrane:
Surfacing:
Maximum Design
Pressure:
Maximum Fire
Classification:
Maximum Slope:
Specification No.:
GAFGLAS® Ply 4 ®, Ply 60, GAFGLAS Flex Ply" 6, #75 Base Sheet,
GAFGLAS #80 Ultima' Base Sheet, STRATAVENT® Nailable, RUBEROID
Modified Base Sheet or RUBEROID® 20 base sheet applied to the deck with
approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at
the lap staggered in two rows 12" in the field. Base sheet shall serve as anchor
sheet for attachment of insulation
(Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 ULTIMATM' Base
Sheet. GAFGLAS® PLY 4 ®, GAFGLAS® PLY 60, GAFGLAS Flex PIyT' 6,
GAFGLAS® STRATAVENT® Perforated(laid dry), RUBEROID Modified Base
Sheet or RUBEROID® 20 directly over the top layer of insulation. Adhere with
any approved mopping asphalt applied within the EVT range and at a rate of 20-
40 lbs. /sq; (see General Limitation #4).
(Optional) One. two, or three plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6®
Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt
applied within the EVT range and at a rate of 20 -40 lbs. /sq..
One or more plies of RUBEROID® 20 , RUBEROID 30, RUBEROID 30 FR
RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule.
RUBEROID MOP PLUS, RUBEROID MOP FR, RUBEROID ULTRACLAD®,
fully adhered in an approved asphalt at an application rate of 25 lb. /sq. ± 15 %.
(Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top
membrane) Install one of the following:
1. Gravel or slag applied at 400 lb. /sq. and 300 lb. /sq. respectively in a flood coat
of approved asphalt at 60 lb. /sq..
2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an
application rate of 25 Ib. /sq. + 15 %.
- 45 psf (See General Limitation #7)
'A'. See General Limitation #2.
2 ":12 ": See General Limitation #3.
Page 19 of 61
Product Control No: 97- 0804.14
Frank Zuloaga,
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 117.
2 All 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 GAFGLAS FlexPly 4® 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..
Page 57 of 61
Product Control No: 97 -0804.14
Frank Zuloaga,
Roofing Product Control Examiner
GENERAL LIMITATIONS
1 All asphalt shall comply with ASTM D 312 type III 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 isocyanurate 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 58 of 61
Product Control No: 97 0804.14
ran Zuloaga,
Roofing Product Control Examiner
Product Control No: 97- 0804.14
7 Perimeter and corner 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 base 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 105 test report and calculations that comply with the wind load
requirements of Chapter 23 of the South Florida Building Code and Roofing Application Standard
PA 117.
11 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 adhesive, which shall
comply with provision of Roofing Application Standard PA 117
Page 59 of 61
rank Zuloaga,
Roofing Product Control Examiner
14 All standard panel sizes are acceptable for mechanical attachment. When applied in
approved asphalt, panel size shall be 4' x 4' maximum.
15 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 60 of 61
Product Control No: 97 -0804.14
Frank Zuloaga, ~ --_ _ _
Roofing Product Control Examiner
GAF Materials Corporation ACCEPTANCE NO.: 97 -0814.14
1361 Alps Road APPROVED: November 6, 1997
Wayne, NJ 07470 EXPIRES: November 6, 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.
1
2 Any and all approved products shall be permanent!): 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 or process;
b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other
purposes.
6 The Notice of Acceptance number preceded by the words 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 this 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 61
END OF THIS ACCEPTANCE
Page 61 of 61
Product Control No: 97- 0804.14
Frank Zuloaga,
Roofing Product Control Examiner
OWNER'S NAME
7/4 .».¢ -3 E. /J'I'o - y 4 L 4
PRESENT ADDRESS
e33 r !'9 T S"
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
ef 3.3 /4 S� Sf
LOT
/2 z e /L
BLOCK
/ 4 S
SUBDIVISION
/fl. Ra.r, �is�ba F3 � c� r lid
GENERAL CONTRACTOR
01 !f-6 a
. .
/ ADDRESS
47 /0 ,/GJ. 2 di9 ��
PHONE NO.
LICENSE NO.
243'7
BUILDING PERMIT NO. 77 Or
�/
DATE F' Z /--J
PERMIT FEE $ /
BUILDER'S BOND
NO. 23 CS DATE a' fir
,410.0,7, •
ZONE REQUIREMENTS CU. FT.
_74-s ✓ 4'- ' . d i t b'o. 33
PLAN CUBE Z•(. 0 • 6.2 CU. FT.
e o
EST. COST $ /Zoo
�y�
DRAW NGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: • f ' /l7i�R
G DAT=
O' Lo �J d'
NEW CONSTRUCTION
TYPE
'a
1 STORIES
ON E
ROOF CONSTRUCTION
Z ✓' Z. 7
INTERIOR CONSTRUCTION
I , � eDOAf 6,440.
REPAIRS
DESCRIPTION
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. I�
kW
I ISSUED
V��Cl/
BY BY
7� 077 O ` 4
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
SPECIAL PERMITS
ROOF
SEPTIC TANK
FEE
BEAMS & LINTELS
IS
POOL
$
H. W. HEATER CONN.
FRAMING
SOLAR HEATER
$
AIR COND.
IS
GAS
FINAL
MOTORS
$
CLEAN UP
S
FIXTURES
SLAB
INSPECTIONS
DATE
BY
RE- INSPECT
BY
SLAB
BY
ROUGHING
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
REPAIRS
SPECIAL PERMITS
$
SEPTIC TANK
FEE
TEMPORARY SERVICE
IS
SEWER
$
H. W. HEATER CONN.
$
SOLAR HEATER
$
RANGE CONN.
IS
GAS
$
MOTORS
$
S
FIXTURES
5
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
$
MOTORS
S
FIXTURES
5
5
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
t&bf i�cwn E
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
DATE
1 ALTERATION ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
LDING INSPECTIONS 777
PHONE
FEE $
REPAIRS
BY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N9 811
Miami Shores Village, Florida, 11 -20 -58
Owner, Agent or Tenant of Building THMTA,S F+' _ ATOTT_RI,A
Lot 17 & Vs 16 Block 169 Subdivision Mi Sharps SPa c 8
Street Address .631 LE. 99th St. `'
Approved use by occupancy Florida Room Addition
Remarks.
This Certificate of Occupancy is issued to the above named Owner
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
Plan Cube 2560
Tax Value 1280
BUILDING DIVISION