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ROOFINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Requ Date j'.��O-3 Time Type Insp'n �'4' Permit No. p �o, v a 7 Name 7// C Vl m1a4✓1i Address / D 7 / Y JQOS I Company adef/M -4Jt/ Jy Phone # (3 7S � 7- 2 1 For Ins ector: 6 -O3 Name & D to Approve CI X Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date i 0 Time Type Insp'n }}�� q Permit No. t'2�a 7 � 2 / Name D Address Company Phone # For Inspector:` I ` 1 03 Name & Dt to Approved fr A \ Correction ❑ Re- Insp'n Fee ❑ 9 IPA 61\(L 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2002 -2229 Printed: 1 /2/2003 Applicant: ERIC Owner: PITCHMAN JOB ADDRESS: 104 NE 100 Contractor OBENOUR ROOFING Local Phone: 305 - 757 -2612 Parcel # 1132060132170 Building Permit PITCHMAN ERIC ST Page 1 of 1 Contractor's Address: 9301 NE 6 AVE SUITE A -101 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 13 & 14 Fees: Description Amount FEE2003 -3 Building Permit Application Fee $60.00 FEE2003 -4 CCF $1.80 FEE2003 -5 Buildier's Bond $300.00 Total Fees: $361.80 Total Fees: $361.80 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 6/28/2003 Construction Value: $2,100.00 Work: RE ROOF FLAT AREA ONLY If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. _Re- insoection fee is $50.00, which must be paid in advance before -- " °__ ___.�__ .___ _ _ . or This Permit is granted to the contr, ordinances pertaining thereto and wit and approved by the proper municips authorization. A further condition upc ordinances and regulations pertaininc by his agents, se or employees Signed' In consideration of the issuance to r with the plans, drawings, statements c o myself, my agent, servants or mployt i Signed: A THIS CHECK IS DELIVERED FOR PAYMENT ON THE FOLLOWING ACCOUNTS TOTAL LESS % DISCOUNT LESS FREIGHT LESS TOTAL DEDUCTIONS AMOUNT OF CHECK rk S r c u r i I y r n h a n c r d d o c u m r n 1 . S e e b a c k f o r d r t a i t a. ttl OBENOUR ROOFING SHEET METAL & SUPPLY CO. 9301 N.E. 6TH AVE., STE. A -101 305 - 757 -2612 MIAMI SHORES, FL 33138 PAY TO THE ORDER OF N14A4- ) j 4 4ad Iia EAGLE NATIONAL BANK 2999 NE 191st Street Aventure, Florida 33180 n.,. .•nr' r• nnr 1.I_ar•n■ 3, 1 C,A DATE 4.0/ 60, l IS 361. �d C /VWt i • / S 0 -..- DOL ARS 7 n lt. BLK 16 21769 63- 634/660 24 Date Square Ft. Signat owner and/or Condo President Not as to Owner andt My Commission Expires :7' FEES: PERMIT 0 r RADON APPROVED: Zoning Building Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 1 04 /U• /00 sr Tax Folio Legal Description (( (, }� Historically Designated: Yes No Owner /Lessee/Tenet f C K. ? -I--c rr,-, qq A Master Permit # 3i2- n, _ I f ij N � Owner's Address / D 1 i loo O 0 J-t- Phone Contracting Co. Oo (N O V I e004-141 Address q3d/ Fi (.D SS Phone 757 oC Competency # Ins. Coui(J A .Th S IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Qualifier Ank es D 01 ` it) 0 0 V State # W 1 tP Municipal # (0 V Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL WORK DESCRIPTION: e YOQ - 7(a- )4-1‹. . r d fesil b �/, / A, 'Du l `Li / YiTc-g i:'i ';��, <��.� A 1 ,111.1i /1442___ f‘/d Date C.C.F Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: 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. Date Sig 40,/ /ab d of Contractor or Owner Builder Date Notary as to Contractor oPPAO.p. v . v a it;; D% 005254 Date My Commission Expires 1400a 4,20 , 11111���a m () NOTARY BOND V Q ti TOTAL DUES b i i 0 0 '4Iectrical Plumbing Structural Engineer SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner wit1i the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. _ 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may 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 the Florida Building Code, Plumbing. Z - � - 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. Ow s /Agent's Signature C: ‘DOCCNIE- I4meLOCALS- Memp■SECTIO\ 1321.d c // / / /d Date j'ontractor's Signature r9 Low Slope ❑ Asphaltic Shingles 4 3 l High Velocity Hurricane Zone Uniform Permit Application Form Section A (General Information) Master Permit No. Process No. Contractor's Name J e &' r X Job Address i tit h16: Gov sT ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Mortar /Adhesive Set Tile ❑ Metal Panel /Shingles ❑ Wood Shingles /Shakes ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof � Re-Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 2— Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevat-d pressure zones and location of parapets. • i - I-- i r s 1 i_1_ • i _ I - 1 ! I I ! I l - • I ..I_' ! _i_ - 'r - '. - r - i - " � .1- i , l f f _ L _ f- 3 .- 1 1.I 1 1 . I _ w i I ; i J 4 • 1 - j _I i _; .i. • .:. ' 1 , _ ........ I .; .1 -� -'' t .. • - .l I ... 1 1 , _ i : - 1 I l ; ._. • i . • l (• i•_ il . I l:Y ! _ 1 . i ; ... • t_ - I . : . -` =• i - r f�•I - I i 1 ;- '• ; 1 1 ! ;_ I l_E.. : ... .:._ _ .. • -� I f , _ . -r-•: ' = j f Y - -j l • I 1 ' • I 1 ( i 1 1 _ I. - C - ' ... _.�..I_ • f •f. -i _._.:_ _ r_ •_ • i.' l i .�. . ; - • l i- -i -i .. 1 i • i ; 1 i I :'i f . _ • : 1 i 4. • _ • _ 1 1 , , 1 1 , y __• _1_• !_:. '_i-i 1 -.. - ' _. -. i - I �. _ .. -r -- -- p r• f, -� f '_. i •1 . , . , I - CL' • ! -_ 1 _ ` L •I i.- - -; -l- - l _ _i _ . - � .._. i_�. - t - 1 I ! _i r . • 1 ! I - � I I � � I = - - - - - I = - :..! I - 1 I • 1 1 ' ........._1...t..1_1___;_•,..._ i . r � . ' - -: _ l� _:-' ..L. •,-. - - -- • . - , - _I_ 1 , 1 , , 1 1 � _ - ' Li L ' 1I -1 1 L -L -L- . - (' - - I - �_L -"- — r-I ...__.l_! _! _..:. 1 • . :_. 1. _ . -:_. __ - ---- ' --- �.___-._.. - . 1 _ - .1 Deck: Type: u/t Gauge/Thickness: 3/7 High Velocity Hurricane Zone Uniform Permit Application Form Ease She qt Fastener /Boning Material: Fooz,e /,44 • Ply Sheet(s) & No. of Ply(s): Ply Sheet Fastener /Bondi Material: Top Ply: ,/Ytk ' ((J (j° 4- Top Ply Fasteneri�B3 Surfacing: lI--II ✓ /`i' Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as 'NA') System Manufacturer: NOA No.: f32 Design Wind Pressures, From RAS 128 or Calculations: Q � `^ Pmax1 J Pmax2: 5 7r / Pmax3: /3/ Max. Design Pressure From the Specific NOA System: 7 r Slope: FGA Anchor /Base Sheet & No. of PIy(s): GAicG&4 -S 7J� Anchor /Base Sh.eet Fastener /Boning Material: �ie//4ctSNU -IC . /9t j r'es¢Q Insulation Base Layer: / S /5 Base Insulation Size and Thickness: �, 5 ¥K Base Insulation Fastener /Bonding Material: Tye- A/ Top Insulation Layer: /r/I Top Insulation Size and Thickness: Top Insulation Fastengr Bonding Material: Base Sheet(s) & No. of Ply(s): G4F qq.,4 -1 "J'i t'l /0/4 Zc Fastener Spacing for Anchor /Base Sheet Attachment Field: R , oc @ Lap, # Rows ' - @ 9 - oc Perimeter: • oc Ca Lap, # Rows _ @ oc Corner: ' oc © Lap, # Rows @ ' oc Number of Fasteners Per Insulation Board Field W 6-0-4 rAmilEve— S efi- -f4) Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. /•S / /■ 4, e SiN ♦FT. FT. Parapet Heiaht Mean • Roof Height 6-2.c ,.66 „ i( (5/ 4 GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MI�DADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (NOA) SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and /or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and /or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 33. The submitted documentation was reviewed by Frank Zuloaga, RRC. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 1 of 33 APPROVED ASSEMBLIES Membrane Type: SBS Deck Type II: Wood, Insulated, New Construction or Reroof Deck Description: 19 / 32 " 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. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener (Table 3) Density/ft 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, ISORoc, BMCA EnergyGuard, BMCA EnergyGuard Composite, EnergyGard ISO, EnergyGuard RA Composite, EnergyGuard RA Minimum 1" thick N/A N/A Wood Fiber, GAFTEMP® Fiberboard, BCMA High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMP Recover Board Minimum 'A" thick N/A N/A Paroc, Perlite, GAFTEMP® Permalite Minimum 3 /4" thick Fiberglas Minimum 15 /16 " thick Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20 -40 lbs /100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator Perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- WeIdTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; Fastening GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any Options: of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) N/A N/A N/A N/A NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 9 of 33 Base Sheet: Ply Sheet: Membrane: Surfacing: GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure — 45 psf, See General Limitation #7) GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure — 52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure — 60 psf, See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure — 60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure — 75 psf, See General Limitation #7) (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 ULTIMATM Base Sheet, GAFGLAS® PLY 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS STRATAVENT Eliminator Perforated (laid dry), RUBEROID Modified Base Sheet, RUBEROID MOP Smooth, RUBEROID® 20, RUBEROID SBS Heat - WeIdTM Smooth or RUBEROID SBS Heat -Weld 25 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 or more plies GAFGLAS PLY 4 ®, GAFGLAS Flex Ply 6 sheet, GAFGLAS #80, RUBEROID MOP Smooth, RUBEROID® 20 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 ®, or RUBEROID Dual FR 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 lb./sq. + 15 %. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 10 of 33 3. GAF Weathercote® MB +(Matrix 715 MB Coating), Applied at 1 to 1.5 gal. /sq. 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 gal. /sq. Maximum Design Pressure: See Fastening above. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 11 of 33 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex pIyTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum Vs" Dens Deck or 1/2 Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and /or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field- tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 1 17. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall•.conform with Roofing Application Standard RAS 1 11 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 33 of 33 TGFU.R1306 - Roofing Systems Page Bottom Guide Information GAF MATERIALS CORP 1361 ALPS RD WAYNE, NJ 07470 USA Online Certifications Directory TGFU.R1306 Roofing Systems Questions? Roofing Systems Page 1 of 36 "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) G -P Gypsum Dens -Deck® 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 overlayment 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 overlayment board. Also, multiple plies of "GAFGLAS Ply 4" or "Ply 6" may be adhered to G -P Gypsum Dens -Deck® in hot asphalt. "GAF Stratavent Eliminator Venting Base Sheet (Nailable)" may be mechanically attached or hot mopped over noncombustible decks and as a recover over existing roof systems. GAFGLAS Perlite Insulation may be utilized as a cover board over "EVERGUARD" insulation in any of the following systems. Unless otherwise indicated, the roof insulation is mechanically fastened, adhered with hot mopping asphalt or urethane insulation adhesive. R1306 ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "GAFGLAS #80 ULTIMA" ) is a suitable alternate for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "GAFGLAS "Ply 6" ) in the Class A, B or C roof systems indicated below. http : / /database.ul.com /cgi- bin/XYV /template /LISEXT/ 1 FRAME /showpage.html ?name =TG... 10/23/02 TGFU.R1306 - Roofing Systems Page 2 of 36 The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAF Stratavent Eliminator Venting Base Sheet (Perforated)" or "GAF Stratavent Eliminator Venting Base Sheet (Nailable)" . Perforated to be mopped and nailable to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet ", "GAFGLAS #80 ULTIMA" or "GAF Stratavent Eliminator Venting Base Sheet ( Nailable)" 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, B 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, B or C systems listed. Structural cement fiber building units are considered suitable to be included as 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. "BMCA EnergyGuard RA ", "BMCA Tapered EnergyGuard RA" and "BMCA EnergyGuard RA" may be substituted for any Atlas polyisocyanurate insulation in any of the following Classifications. Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt ". GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. "GAFGLAS Flex Ply 6" is a suitable alternate to "GAFGLAS Ply 6 ". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membrane may be used in lieu of "Ruberoid Mop" SBS products in http : / /database.ul.com /cgi- bin/XYV /template /LISEXT /1 FRAME /showpage.html ?name =TG... 10/23/02 TGFU.R1306 - Roofing Systems Page 7 of 36 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 ". Surfacing: — Grundy Industries "al MB Aluminum Roof Coating" at 1 -1/2 gal /sq. 3. Deck: C -15/32 Incline: Unlimited 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 ". Surfacing: — "Weather Coat Emulsion" at 3 gal /sq. FLUID APPLIED COATING SYSTEM 1. Deck: NC Incline: Unlimited Surfacing: — " Weathercote Low VOC" or "Weathercote" - 2 gal /sq. SINGLE PLY MEMBRANE ROOFING SYSTEMS Unless otherwise indicated phenolic insulation may be used in any of the following systems. Unless otherwise indicated any of the following Single Ply Membrane Systems may utilize multiple layers of Ruberoid Membrane. "GAF Premium Aluminum Roof Coating" may be used on any of the following Classifications not exceeding 1/2 in. "GAF Weater Coat Emulsion" may be used on any of the following noncombustible Classifications not exceeding 1/2 in. Ruberoid® Modified Bitumen Adhesive, Monsey Corp. "MBA Gold" and Karnak "No. 81" adhesives may be used in any of the following noncombustible deck Classifications. Tropical Asphalt "No. 711 AF" adhesive may be used in any of the following Classifications. GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. Unless otherwise indicated, "EverGuard SR" membranes used in systems are mechanically fastened with large head metal or plastic fasteners spaced 18 in. OC and max 2 in. from membrane's edge. Adjacent sheets are lapped 4 in., covering fasteners. Laps are then heat sealed. The "EverGuard FB" membranes are hot mopped in place. (Optional) Noncombustible deck classifications are applicable for use over combustible (15/32 in.. min plywood) decks when 1/2 in. (min) gypsum board or 1/4 in. (min) G -P Gypsum Dens - Deck® are used directly over the deck with all joints staggered 6 in. (min) from plywood joints. http : / /database.ul.com /cgi- bin/XYV /template /LISEXT /l FRAME /showpage.html ?name =TG... 10/23/02 TGFU.R1306 - Roofing Systems Page 9 of 36 4. Deck: C -15/32 Incline: 1/4 Insulation (Optional): — Perlite, glass fiber or wood fiber, any thickness. Membrane: — "Ruberoid Torch Granule 1" (modified bitumen). Slip Sheet: — 0.004 in. polyethylene (not UL Classified). Surfacing: — 3/4 in. thick concrete with one layer of No. 10 Summerville Quarry tile (or equivalent) grouted in place. 5. Deck: NC Insulation (Optional): — Perlite, glass fiber or wood fiber, any thickness. Membrane: — "Ruberoid Torch Granule 1" (modified bitumen). Surfacing: — 3/4 to 1 -1/2 in. diam river bottom stone at 1000 lb /sq or concrete pavers weighing not less than 10 lb /sq ft and spaced not more than 1/8 in. 6. Deck: NC Insulation: Membrane: Surfacing: — 7. Deck: C -15/32 Slip Sheet: — Membrane: Surfacing: — 8. Deck: C -15/32 Base Sheet: fastened. Membrane: Surfacing: — 1. Deck: NC Incline: 2 Incline: 3 — a)Polystyrene, 2 in. max, b)Isocyanurate, any thickness, laid loosely. — "EverGuard SR" or "EverGuard FB ", 40 -100 mil (TPA), laid loosely. River bottom stone (3/4 - 1 -1/2 in. diam) at 1000 lb /sq or concrete roof pavers. Incline: 1/2 One or more layers Atlas Roofing "FR50 ", mechanically fastened. — "EverGuard TPO Plus" , 45 mil. River bottom stone, (3/4 to 1 -1/2 in. diam) at 1000 lbs /sq or concrete roof pavers. Incline: 1/2 — Two or more layers Type G2, "GAFGLAS Basesheet #75", mechanically — "EverGuard TPO Plus ", 45 mil. River bottom stone, (3/4 to 1-1/2 in. diam) at 1000 lbs /sq or concrete roof pavers. Class A - Fully Adhered Incline: 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 (Optional): — One or more layers Type 01, G2 or G3. Membrane: — One or more layers "Ruberoid Torch" (Smooth or Granule), "Ruberoid Torch Granule Plus ", "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus Granule" (granule). Surfacing: — Gravel, 400 lbs /sq, loose laid or applied in a flood coat of hot roofing asphalt. 2. Deck: NC Incline: 1/2 http://database.ul.com/cgi-bin/XYV/template/LISEXT/1FR A ME/showpage. html ?name=TG ... 10/23/02 TGFU.R1306 - Roofing Systems Page 11 of 36 Granule Plus ", "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus Granule ". Surfacing: — Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel. 8. Deck: NC Incline: 1/2 Insulation: — One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, 1-1/2 in. min. Base Sheet (Optional): — One or more layers Type G1, G2 or G3. Membrane: — One or more layers "Ruberoid Torch" (Smooth or Granule), "Ruberoid Torch Granule Plus ", "Ruberoid Mop" (Smooth or Granule) or "Ruberoid Mop Plus Granule ". Surfacing: — Grundy "AL MB Aluminum Roof Coating" at 1 -2 gal/sq. 9. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 in. min. Base Sheet: — One or more layers Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: — One or more layers Type 01 "GAFGLAS Ply 4 ", hot mopped in place. Membrane: — "Ruberoid Mop 170 FR ". Surfacing — (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gal /sq or "GAF Weather Coat Emulsion" at 3 gal /sq. 10. Deleted. 11. Deleted. 12. Deleted. 13. Deleted. 14. Deleted. 15. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Perlite, fiber glass, isocyanurate, urethane or perlite /isocyanurate composite. Base Sheet: — One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): — One or more layers Type G1, hot mopped in place. Membrane: — "Ruberoid Mop 170 FR ". 16. Deck: C -15/32 Incline: 1/2 Insulation (Optional): — Perlite, fiber glass, isocyanurate, urethane or perlite /isocyanurate composite, offset 6 in. from joints. Base Sheet: — One or more layers Type G -2 or G -3 base sheet, hot mopped or mechanically http : / /database.ul.com /cgi- bin/XYV /template /I:TSF,XT /1 FR /showpage.html ?name =TG... 10/23/02 �e Job Address IOt N 1 IOLJ1 7t Tax Folio l 1 3204/(413 4) Legal Description / -H� !a 3 ` tl s s�j /o45 Owner / Lessee / Tenant •IrZNrr,AIJ Owner's Address Contracting Co imp) goop e Qualifier) ATZA 1I.(04kIlt, SS4fr _ - Phone D•o State 42.4914 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL AVIN ,�- I,� - r A 4 G FENCE SIGN WORK I PT I ON 1 J fug 1, 1 6- by /117/) �(Q rJ 3U L "IQ ) i t Ii° J h �. I1 IJni 13no.�-T 'i� �luo oli nrrucirioJ Vzoickg - of . •are Ft. 1 Estimated Cost(value) 100(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. 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 aboy . am -= ontractor to do the work state Signatur, Date: caner and /or Condo President -e Notary as to Owner and /or My Commission Expires: z -, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10 N•C IOoTN sr Comm* (38'5/(3 Con OFIE1M. d Y SEAL -q 4 MARCELLA E LOEHRER NOTARY PUBLIC STATE OF FLU UD A COMMISSION NO. CC085109 MY COMMISSION EXP. FEB. 16,19c- ** * * * * * * * * • * Phone Address, NL 12/ 416 MA it r[. Signature Contractor or Owner- Builder Date: 4 Notary as to Contract My Commission Expires * * Master Permit * 3% A I / damn/ AL 69 5 / 0 9 L Z -/ • FELLA E LOEHRER NOTARY PUBLIC STATE OF FLORID/ COMMISSION NO. CC085109 MY CO • MISSIO . EXP. FEB ,1995 41IkS: PERMIT 50h RADON C.C.F. ° p NOTARY TOTAL DUE 5 41r APPROVED: Fire Zoning Buildin>x�/ I " I 1 I' Electrical Mechanical Plumbing Engineering Other Coma Cast Corporation 4383 Southwest 70th Court Miami, FL 33156 Your application for Product Approval of Coma Cast Corporation roofing tile under Chapter 8 of 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 Task • Laboratories, Inc. and Vipin Tolat, P.E., has been recommended for acceptance by the Building Code Compliance Office to be used in Dade County, Florida under the Specific Conditions set forth in pages 2 et seq. and in the Standard Conditions detailed on page 3. The approval shall be valid for a period of three years. The Office of Code Compliance reserves the right to require retesting of this system within the first two years of the approval ould any amendments to the South Florida Building Code be enacted affectin 's o,j! r roof system. ACCEPTANCE No: 94 -0106.25 EXPIRES: FEB 1 4 1 37. PRODUCT CONTROL NOTICE OF ACCEPTANCE THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. This application for Product Approval has been reviewed by the Metropolitan Dade County Building Codc Compliance Department and approved by the Building Code • mittee to be used Dade County, Florida under the conditions set forth above. APPROVED: FEB 1 4 1994 THIS PRODUCT CONTROL APPROVAL SUPERSEDES PRODUCT CONTROL APPROVAL # 89- 0526.08 * *PLEASE NOTE ** Gil Diamond, P.E. Product Control Divis • n Supervisor METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX 375 -2908 Building Code Compliance t'eputent Metropolitan Dade County Product Control Notice of Acceptance • Roofing System Approval • • Applicant: Coma Cast Corporation 4385 Southwest 70 th Street Miami, Florida 33156 Category: Sub - Category: Type: Sub -Type Prepared Roofing Tile Mortar -Set Concrete System Description Coma Cast Corporation, located in Miami. Florida, is a manufacturer of cement roof tile systems for maortar -set application. The Tile is manufactured in Florida. Coma Cast Corporation produces two tile profiles for use in the South Florida jurisdiction: Flat Concrete and Barrel Concrete. The product offering includes whole and half starter, whole and half finisher, ridge tile and other accessories. these accessories. these accessories form an integral part of this product approval. Minimum slope for Coma Cast cement tile is 2 1/2 ":12" Coma Cast cement tile has been tested in compliance with the South Florida Building Code requirements for mortar set tile application. Distributer /Contact: Mike Arronte 4385 Southwest 70th Street Miami, Florida 33156 305 -665 -3664 Product Control No: -0106 5 1994 Approval Date: Expiration Date: F E8 : 1 4 19 Q 7 000002 Gil Diamond, P.E. Maximum Design Velocity Pressure Material Design Velocity Pressure Wood, Non - insulated psf (See Comments and Limitations) Material Flat Cement Roof Tile Wood, Nail -on System Trade Names Maximum Fire Classification Classification Class A 000003 Product Control No.: 94 -0106.25 • Product Flat Cement [3arrel concrete tile (pan) Barrel concrete tile (cover) 18 "x 9" Trade Names of Products Manufactured or Labeled by Applicant Dimensions Test Specifications Product Description 16 "x 9 7/8" PA 112 Min. thickness: 3/8" 18 "x 8 1/2" PA 112 PA 112 Extruded concrete roof tile 000004 Product Control No: 940106.25 Flat Shingle Cement Roof Tile is an interlocking, high pressure tile. • Trade Names of Products Manufactured by Others Product Dimensions Test Specifications dashing Cembm tTM D 4586 Tile Adhesive ASTM D 3498 Adhesive/Sealant ASTM D 3019, type II r_ LLr] n _n_r- Product Description #30 Felt ASTM D 226, Saturated organic felt to be generic type II used as a nailed anchor sheet. #43 Base Sheet ASTM D 2626 Saturated and coated generic . organic base sheet for single ply underlayment. Mineral Surface Cap ASTM D 249 Mineral surfaced asphalt generic Sheet roll roofing. Roofing nails Min. 12 ga. x 1" ASTM A 641 Corrosion resistant roofing generic nails Tin Caps Min. 32 ga. x 1 Corrosion resistant circular generic 5/8" disc Valley Flashing 16" x .019" (26 ASTM A 525 Galvanized steel valley generic ga.) flashing Drip Edge 2 min. 2" x 2" x ASTM A 525 Galvanized steel drip edge generic .021" Tile Nails Min. 11 ga. ASTM A 641 Corrosion resistant nails. generic Nail heads shall exceed the size of the nail hole. Aber grade cement for flashing and repair applications. Tile -to -tile adhesive Cold process modified bitumen adhesive Product Control No.: 94 -0106.25 generic generic generic Manufacturer • Adhesive/Sealant ASTM C 557 Structural bonding generic adhesive Asphalt ASTM D 312 Asphalt for bonding generic mineral surface cap sheet to anchor sheet. Copper , Stainless Steel Nails or Galvanized Steel PA 114 000006 Product Control No: 94 -0106.25 Nails for installation of rake ridge and gable when exposed generic Mortar ASTM C 91 Approved mixTatio, 2 1/2:1 generic Gil Diamond. P.E. Test Reports Test Agency Test Identifier Task Laboratories, Inc. 798.02 ( #367) 798.02 ( #383 and Material Properties Test 09/03/93 #381) 798.02 798.02 ( #357) 798.02 ( #354) 798.02 ( #355) - -O 0007 Test Name/Report Date Material Properties Test 04/22/93 Water Absorption and Breaking Strength Water Absorption and Breaking Strength Vipin N. Tolat #9302 Uplift Approval Concentrated Load Uplift Resistance Product Control No.: 94 -0106.25 Material Properties Test 04/02/93 Water Absorption and Breaking Strength Material Properties Test 10/09/92 Water Absorption and Breaking Strength Material Properties Test 09/04/92 Water Absorption and Breaking Strength Material Properties Test 09/03/94 Water Absorptiouldhl Breaking SLrPnoth Gil Diamond, P . 09/14/93 • Product Control No.: 94- 0106.25 Deck Type 2: Wood, non insulated, mortar set Deck Description: New construction, 19/32" or greater plywood plank Slope Range: 2:1/2 ":12 to 7 ": 12" System A. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2" side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" o.c. at the laps. Membrane: Any approved mineral surfaced rolled roofing applied in hot asphalt or cold process cement (see Model Tile Specifications). Head lap shall minimum 2" and side lap shall be minimum 6 ". Vertical Battens: None Horizontal Battens: None Mortar /Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Model Mortar -Set Tile Specifications. Mortar shall be Type "M" mixed in ratio set forth in the 'Products by Others'. Any adhesive application shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with /system #3 of the Dade County Model Tile Specification. Roofing Tile: Maximum Design Velocity Pressure: Comments: Install one of the following profiles: Concrete Barrel, Spanish "S ", or 9" Flat Concrete. The tile system shall be installed in compliance with the Metro Dade County Model Mortar /Adhesive -set Tile Specification (Appendix 'X' of the South Florida Building Code), utilizing the components listed in the Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. See Limitation No. 6. For re -roof applications. 1 5/32" plywood is an acceptable substrate. On slopes 4 ":12" to 6 ":12 ", the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3/3" %vhich is mechanically attached to the deck with not less than one roofing nail per every 2 ft For pitches from 6 ":12 to 7 ":12, every third tile of every fifth course,beginning with the eight course, shall be nailed. On slopes >7 ":12" all provisions of 'System 1' of the Dade County Model Horizontal Batten Nail -on Tile SpecTicattons shall apply. • /i 000008 Gil Diamond, P.E. • • Deck Type 2: - Wood, non insulated, mortar set Deck Description: New construction, 19/32" or greater plywood plank Slope Range: 2 1/2:12 to 7 ": 12 System B. Underlayment: Any approved No. 30 or No. 43 organic anchor sheet. Head laps shall be minimum 2" side laps shall be minimum 6 ". Fastening: Nails and tin caps, two (2) rows staggered 12" grid, 6" Membrane: Any mineral surfaced, self - adhered single-ply unde la the yme nt appp rooveved by the Chief Product Control Compliance Officer, installed in strict compliance with the Product Control Approval. Vertical Battens: None Horizontal Battens: None Mortar /Adhesive Approved mortar shall be used. All tile shall be set in a mortar patty as set forth in the Model Mortar -Set Tile Specifications. Mortar shall be Type "M" mixed in ratio set forth in the 'Products by Others'. Any adhesive application shall be applied as set forth in the adhesive Product Control Approval. All tile and accessories shall be installed in compliance with /system #3 of the Dade County Model Tile Specification. Roofing Tile: Maximum Design Velocity Pressure: Comments: Product Control_No.: 94- 0106.25 Install one of the following profiles: Concrete Barrel, or Flat Concrete. The tile system shall be installed in compliance with the Metro Dade County Model Mortar /Adhesive -set Tile Specification (Appendix 'X' of the South Florida Building Code), utilizin_ the components listed in the 'Products Listings' set forth in this Product Control Approval. Applications, as detailed in the test reports, are consistent with the application methods stated in the execution section of said model specification. See Limitation No. 6. For re -roof applications, 15/32" plywood is an acceptable stfosi c. On slopes 4 ":12" to 6 ":12 ", the first three courses of tile shall be nailer:7Afla not less than one nail per tile. As an alternate, the first three courses shall be applied in mortar over a sin�_le laver of minimum 12 ga. wire mesh with square openings of not less than 3/3" which is mechanically attached ID the deck with not less than one roofing nail per every 2 ft For pitches from 6':12 to 7 ":12, every third tile of every fifth course, {.),,' ..; with the-.; ,C urse, shall be nailed. On slopes >7 ":12" all provisions of 'System 1' of the Dade County Model Horizontal Batten Nail -on Tile 31,".;:,.,... ;.,.., ;l- a .,,;y, Gil Diamond, P.E. • • Acceptance Number: 94- 0106.25 Approved: Expires: FEB 1 4 1994 'FEB 1 4 1997 Limitations: 1. This roof system assembly may be applied to roof slopes of 2 1/2 " :12" to 7 ":12 ". 2. Nails for attachment of tile shall have heads larger than the pre - formed nail holes in the tile. 3. All nails shall be corrosion resistant. Exposed nails shall be hot dipped galvanized, stainless steel, or copper only. 4. All tiles shall bear the imprint of the manufacturer's name or logo, as noted attached, to permit identification in the field. 5. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 6. Allowable height above ground shall not exceed a maximum height of 45' for non - coastal, 30' in Coastal Area 1 and 2, and only by job approval from the Chief Product Control Compliance Officer in Coastal Area 3. 411 7. The manufacturer shall retain the services of an independent testing laboratory to maintain quality control. Testing shall be performed on a minimum of five (5) tiles every three (3) months, for strength according to Section 3404 of the South Florida Building Code, and for moisture absorption according to ASTM C 1167. Test samples shall be selected by a laboratory according to ASTM D 3665. Results shall be forwarded to Dade County Product Control Section. Test reports shall bear a description of the tile by material and color, i.e. cement, grey. 8. All domestic distributors and private labelers of foreign manufactured tile shall have a completed distribution agreement filed with the Metro Dade County Office of Code Compliance confirming the distributor's agreement to adhere to the conditions of this report. 9. Coma Cast Corporation tile shall be installed in strict compliance with the application instructions noted herein as well as the manufacturer's and Metro -Dade County,rnpr,fc -rin and applications. The Metro Dade County Model Tile Specification shall take precedence. 10. The use of all pre - formed trim and specialty tile tested is required as it forms an integral part of these Product Control Approval tests.. 11. Applications for roofing permits must be accompanied by Section II of the Uniform Permit, clearly indicating the extent of the work to be performed, along with cmartztt manufacturer's specifications and details. In addition, a copy of this approval shall be attached to the permit application. Reference shall be made to all appropriate data for the required fire rating. 12. The following documents were submitted with the application: Product Literature: Flat Shingle Tile and Barrel Cement Tile Application Instructions:. Flat Shingle Tile and Barrel Cement Tile. QOOOiO • - 000011 Acceptance Number: 94 -0106.25 h. Approved: Expires: Profile Drawings: Flat Shingle Tile and Barrel Tile it Diamond P.E. etropolitan Dade Office of Code Compliance 0 r 1 r P FEB 1 4 1997 • • COM ATI LE 090012 FLA CO NCRETE 11 1LE BROOMSWEPT SPECIFICATIONS Minimum measurements hj *' // I /my >> ' - i // - X1 1 7/8" • • COMATI L_E Minimum measurements 1= 1—AT GONG F2ETE T1 LE TECHNICAL DATA • M Weight per Y�NM. NMM. MN.. Y. NNMM. NMNN...... M. N .N....N.NN..NNNNNNM.NNN.M..I�iM Pieces per square NM••• OveraO sire.... M. NMMMM. MMMMN... M. NMNMMMN..M.MNNMN.MN.NNMM ••M.N.M. Exposed seNN.. MMMMM. NNNMM.. NM. MN.N NMN Ni.NMMMNNI.MNNNNN.N...M..MMN. Tile thickness..M_.N NNNMN. Breaking stren*{ggtth NNM......... NNNMMMNMMMNNMNNMMNNN .N..M...MN...NNN...N Water absorp ion.YMMN..MMNMMNNMNM N.NMNNN. Average data. Slight variation may occur 7 3/4 Lbs. 120 16x97/8" 14 x 8 7/8" 3/8" 250 Lbs. 8.84% The purpose of recommending the foilcildng procedures is to ensure h9h govillty workmanship when inataifingtmeentriLE. However, code regoitements, weather conditions, and IfitlikilOnalwiedge specific to a particular area must be taken into mount, and may have to take precedence over COMATILE's recommendations. Comacast Corporation, manufacturer of COMATILE, explicit or implicit, does not and cannot warranty any method of installation of Its tiies. CO nos AC AST CO RPOR A - T1 0N 4383 S.W. 70th Court, Miami, Florida 33155, USA Joll Free 1- 800 -273 -1034 Fax (305) 667 -0592 In Dade County (305) 665 -3665 I N S T A L L A T I O N G U I D E MORTAR SET SYSTEM 7/8" • Mortar BROOMSWEPT /0/7/ 4/77 /// / / 1 / / // / / TILE AND MORTAR PLACEMINT • COMATI IL_ Eo. GOGui4 • Mortar contact is made with 3 Tiles FLAT TILE - O Head OMAi -- INSTALLATION GUIDE BARREL CONCRETE T ILE TECHNICAL DATA MORTAR SET SYSTEM COVER PAN Overall Length 18" 18" Crown Height Top 2" 1 3/4" Crown Height Bottom 2 3/4" 1 3/4" Tile Thickness 5/8" 5/8" Maximum Width 9" 8 1/2" Minimum Width 7 1 8 1/2" Taper 1 3R 0" Pieces per Square gp 70 Weight per Square 11M Lbs 1125.Lbs Water Absorption S.66% 10.56% Breaking Load 572 Lbs 336 Lbs Average data. Slight variation may occur The purpose of recommending the following procedures is to ensure high quality workmanship when installing L'OMAT1LE. However, code requirements, weather conditions, and roofing knowledge specific to a particular area must be taken into account, and may have to take precedence over COMAT1LE's recommendations. Comacast Corporation, manufacturer of COMATILE, explicit or implicit, does not and cannot warranty any method of installation of its tiles. C OMAC AST C ORPORATION 4383 S.W. 70th Court, Miami, Florida 33155, USA Toll Free 1- 800 -273 -1034 Fax (305) 667 -0592 In Dade County (305) 665 -3665 COMATILE MORTAR SPECIFICATION This specification covers our Concrete Barrel Roof Tile using a 2 1/2" headlap on a minimum 112" solid decking properly installed and covered to meet the local building code. NOTE: The following specification was developed for use within the Sielesnormally covered by the Southern Standard Building Code. Different or additional standards may be required in these and other States and should be investigated accordingly. These recommendations are neither warranties, explicit or implicit, nor representative of the only method by which a mortar set the system should be installed. Rather, they try to mmarize for the designer, applicator or veloper good roofing practice and some of the industry standards for installation of mortar -set tiles which have been developed over a period of time from actual trade practice and requirements of various building code agencies. CO MA - I - 1 BARREL EXPOSURE G 0 0 I G COVER TILE RUN PAN TILE CENTER TO CENTER ct`' DISTANCE O JQ T ERMINOLOG Y SAVE Cr V M A ® etUirit;A I IUM BARREL CONCRE TILE 5/8" Thickness Crown Height Bottom A 2 3/4" V Width 9" END VIEW A 2 3/4" V V Crown Height Top CONCRETE BARREL TILE COVER TOP VIEW Width A 18" Overall Length i 18" Overall Length Width - Width E-- 8„ Crown Height Bottom V 1 3/4" A CONCRETE BARREL TILE PAN GGGG 1 7 Crow+ Height Top 5 3T • EAVE SECTION -\‘‘\" C CDOMAT 1 L� o G000 8 BROOMSWE Owner / Lessee / ena Date / Job Address 1 /0e /S -Tax Folio // f f 0' /✓ 9'61‘ (O Legal Description Permit # ` Phone - 75 - X'VZ ,j/ Contract in dress____023 T i /0rJ . Qualifier SS � ��/ .r. c.�r.� i� _ - � - �� s�Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Owner's Addres WORK DESCRIPTION APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Square Pt. Estimated Cost(value) Master 25-23 - --- 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 cons, ction and zoning. Furthermore, I authorize the above -named contractor to do the work stated ** * * * * * * * * * * * * Zonin Buildi Signature of owner and /or Condo President 1/4%.1 Contractor or Owner- Builder Date: Date: Notary as to Owner and /or Condo President ota y as to Co My Commission Expires: My Commission E FEES: PERMI77 / J -12 RADON C.C.F. r ✓� NOTARY S: e TOTAL DUE 'y ,g' M ** Fire Other Electrical Mechanical Plumbing Engineering 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor .. Location and legal description of lot to be b on: Lot Block Subdivision Street and Number when: work is to be done State work to be done and purpose of building (by floors) Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Permit No.. Disapproved (Signed) Build n Date Chairman Member Member ...... Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re-inspection fce of 51.00 will be charged materials and/or workmanship. MIAMI SHORES VILLAGE Date..._.... / .. _ .. _..._._ .... , 19 Z / _ No < ... Street�„lr. - / b ,mount of Permit $. _Plan Cubage Size of Building Lot Date Insppector PLA f NG BOARD DATE ,.. , ,, ,,,,‘„„i • and for no other purpose. New Building Remodeling Additio I� Repairs No. of St rtes 6 `"L., To be constructed of Kind of foundation GL.f"Q"�`" Roof Covering 4.....-0e___ _ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pernit, as are licensed by Miami Shores Village. Remarks._._ (Signed STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 himitdrLtn}e Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member Member Member ...._ _ - _ - .- Disapproved Date to me well known, making corrections or changes to this application after approval has hecn obtained from when such re- inspection is made necessary by improper notice for inspection or faulty 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. - #;c / , 7�U Owner's Name and Address Registered Architect and /or Engineer nn Name and address of licensed contractor �= ) Location and legal description of lot to be b ton: Lot Block Subdiv'sion Street and Number where work is to be done I Q __ AZ, • ' MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT A(e„--„"- State w.rk to be done and purpose of u' ing ,(by floors) Date________L / ___+±--_ ,19 b No.. / - -_ Street A/ - ' Q.Q. 70 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 improvements $ 0-4-- Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor_ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work , p be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No __ Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member __ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address ._.... Kra.. Lin VQy e No 104 No E treet 100 Street Registered Architect and /or Engineer Name and address of licensed contractor__ jo hn___C.o.___Antews____Roofing & Tile Go, 4300 East llth Avenue, Hialeh Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done __._ 104 AL Ea 100 Street State work to be done and purpose of building (by floors) rQof repair scrape 13" wide approximately 17° long bull strip of asbestos & paint aluminum and for no other purpose. New Building Remodeling Addition Repairs at No. of Stories ono To be constructed of Kind of foundation Roof Covering gavel Estimated Total cost of improvements $ 70 Amount of Permit $._5.000 Zone cubage required Plan Cubage Distance to next nearest building..._ Size of Building Lot Maximum live load to be -borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to one square 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, 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 site of the w.. such ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcoptractor on work b under this permit, as are licensed by Miami Shores Village. Remarks (Signed) _ STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 31 __ T Date " Read, Sworn to and Subscribed before me. Disapprovede (Signed) MIAMI SHORES VILLAGE Building In ctor Date ... January 21 , 15 to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL ❑ PLUMBING ❑ ROOFING ❑ 0 Owner of Building - Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT NC 3742 Work to be performed under this Permit B1 Value of Project $ DATE. Contractor's License No. BY AUTHORITY Subdi- vision Amount of Permit $ This permit is granted to the contractor or builder named above to construct the building or t install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and ) that he assumes respon- sibility for work done by his agents, servants or employees. Signed 41./ ' INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, . myself, my agent, servant or employee. r ABBOT PRINT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. ,19 Owner's Name and Address___ • Nr. No/i2 6 ° AI- _ S Registered Architect and/or Engineer Name and address of licensed contractor T�� � � ' ?'. �. 1 - ) ) \1 Location and legal description of lot to be built on: Lot Block Subd'visi Street and Number where work is to be done � Li Y\� tO State work to be done and purpose of building (by floors) Disapproved _ (Signed) Date Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of $1.00 will be charged n materials and /or workmanship. vV Date and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering : 1 `8 Estimated Total cost of improvements $ 7_4 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 subm ? -a the pia and s e ificat o s for sai b ' ing. ,411 notices with referen a tq the building and its construction may be sent to I T- �V_ '! The undersigned applicant for this building Sermit . ies 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. `- � /`+^l � G �� Remarks (Signed ___ __ _ __ STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared — — — to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.______._ .._ Date 7 ° Read, Sworn to and Subscribed before me. Building Insl3ector My Commission Expires Notary Public, State of Florida PLANNING BOARD DATE Member Member Member Disapproved Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty