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ROOFING
IAMI SHORES VILLAGE b � 12' gUILDING DEPARTMENT \b 305- 795 -2204 Bui s ing Inspection Requ Type In Date Permit No. O US • P05 _ 411 Name . Address \ iG3 NE., \e' SA Company UJIMCA Phone # Inspe Date "4 2_G cigc Correction Re- Insp'n Fee Q 41('' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dated5 r Type Insp'n Final Roof- F0-1- Permit No. SOS '[ 1 Name d/o u LS Address 11(3 NE (01,54- Company 5( LA (- LI • Phone # Inspection Date 5/IC) -6 ( Correction Re- Insp'n Fee ❑ opu-P needed a Ro t la- � Type Insp'n Permit No. Name Address Company Phone # Approved MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui)Lins. Inspection Request Date ) 05 Re- Insp'n Fee Inspection Date OS ate r0 CJ e „t-c) F '-t z 1".4 Etc- , pfe C a l( 6q-/r ,i.1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/8/2005 Applicant: MARK DAVIS Owner: DAVIS MARK JOB ADDRESS: 1163 NE 101 ST Contractor LILLY SEAN ROOFING CO. Local Phone: 305 - 264 - 4449 Parcel # 1132050190220 Building Permit Permit Number: BP2005 -471 Contractor's Address: 890 S. W. 69 AVE. Legal Description: MIAMI SHORES SEC 8 REV PB 43-67 LOT 12 BLK 176 LOT SIZE Fees: Description Amount FEE2005 -4677 Building Fee $250.00 FEE2005 -4678 CCF $6.00 FEE2005 -4679 Scanning Fee $15.00 FEE2005 -4680 Training and Education Fee $2.00 FEE2005 -4682 Technology Fee $6.25 Total Fees: $279.25 Total Fees: $279.25 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/28/2005 Construction Value: $9,550.00 Work: RE -ROOF FLAT Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Page 1 of 1 STATE OF FLORIDA: • • • COUNTY OF MIAMI -DADE: THE UNDERSIGNE hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement. 1. Legal descrip n of ro �, perty and s eet /address: 2. • D.esc iption of improvement: 3. Owner(s) name apd address: Interest in property. Name and of fee simple titleholder: 4. Contractor's name and address: Amount of bond $ • 6. Lender'$'name and address: Signature of Owner Milt Owners Name: hro ;; d sub bed fore Iota Pub o: 'tint Notays Name: 4y Commission Epires: • dl° t 2c&WS • day of I I 11 IC SOnded Tin„ Budget Wart Selvices II 20 3 nl •.E 1111111 III 11 I 1 1111111111111111111111111111 , • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION C F 2 0 0 a C1 3 6`b� 4- a� 3 • OR Bk. 23261 Ps 3557; Ups) PERMIT NO RECORDED 04/12/2005 12:02:59 • TAX FOLIO NO. HARVEY RUVIN; CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE S. Surety. (Payment bond'required by owner from contrac �t MU"(CW DADS •" "-� Name'and address: TIFYIharthrsis : awyofthe • 7. Persons within the State of Florida designated provided by section ?13.13(1)(a)7., Florida Statutes. Owner upon Name and address: 8. In addition 2 to �s�' Owner designates the following person(s) t� receive a copy of the Llenor's Notice as ()(b) Florida Statutes. p vided in Name and address; • 9. Expiration date of this Notice of Commencement: (the expiration elate is 1 year from the date of recording different d specified) 033a BUILDING PERMIT APP FBC 2001 Permit Type (c rcle . Building Electrical Owner's Name (Fee Titl IlPit Qt/ 1, Phone # Owner's Address 1 (b 3 (J( City IV• Mt�h1 Tenant/Lessee Name Job Address (where the work is being done) t O , 3 WE i o ( S'' City Is Building Historically Designated YES ' Company Seam Lplty ¢ `rip/9( Contractor's Com an Name sco Sw ��kltle Contractor's Address City 1'V Qualifier Miami Shores Village Architect /Engineer's Name (if applicable) Submittal Fee Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ 15— (Continued on opposite side) IC) 1 State Training /Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /' 1 Permit No. PPM -// star Permit No. F L Zip State County -6� (- Structural Plan Rev' fv $ Miami -Dade Phone # Phone # State Certificate or Registration No. Certificate of Competency No. Phone # Mechanical Zip 3 C?‘ Technology Fee $ 0 Zip 3 3( Lt y. $ Value of Work For this Permit qi Square Footage Of Work: 750 Type of Work: ['Addition ❑Alteration ❑New /Re air /Re lace p p El Demolition Describe Work: n * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** S% /Permit Fee $ CCF $ �,7 CO /CC ' Radon $ Zoning • — Bond $ r . Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Sig Owner or Agent r/ Contractor The foregoing instrument was .ckn oregoing instrument was acknowledged before me this day of ,20 .y ,j r day of ,20,by who is personally known r who has prod d i who is personally known to me or who has produced NOTARY PUBLIC: Sign: Print: My Commission Expires: chc 05/13/03 identification and w an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ***************************************************************************** * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: �p D APPLICATION APPROVED BY: % ^''A 4 2 - ' Plans Examiner Engineer Zoning s PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address Tax Folio Legal Description ' 14 3 N - `01 ST Historically Designated: Yes No Owner/Lessee / Tenant IJ`e Tv Master Permit # Owner's ,Address k l 3 N ' 101 (yr Phone �,(� . U , Contracting Co. � i f Address S C T`� 6 J Qtudifier Sei" 1' L 4 i SS# State # C CC 0 5 6 Municipal # Architect/Engineer Bonding Company Mortgagor Address Square Ft 1 WORK DESCRIPTION ge- ■rtoF Competency # Ins. Co. Address Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA ' OOFING PAVING FENCE SIGN Estimated Cost (value) WARNING TO OWNER: XOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING'FWICE 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 al 'work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named con .. ' orere o the work stated. ..4141r10. :fi t 116 � o l -�. 3 (22 or Signature of owner and/or Condo President Datd t e 4 c ,,. w ner .:Y � + .e ��sij t Date ssion Expire %o Budget Notary Services • Notary My Co actor or Owne - Builder Notary My Co FEES: PERMIT RADON C.C.F. NOTARY -7 ntr eth o i! i i 03967 r ExpES: July 28, 2005 Bonded Thru Budget Notary Services qs<so . Do TOTAL DUE 3 -as Date (13 Date APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering Nv 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Master Permit NQ. r Contractor's Name: Low Slope Mechanically Fastened Tile Q Mortar/Adhesive Set Tile Asphaltic Shingles a Metal Panel/Shingles Q Wood Shingles/Shakes New Roof Prescriptive BUR -RAS 150 al Other. Section A (General Information) Process No. II Job Address: . • tiEI ►o/t" Roof Category Roof Type Re- Roofing Recovering U Repair. a Maintenance Are there Gas Vent Stacks located on.the roof? Roof System Information Section B (Roof Plan If yes, what type? Natural 1 LPGX T Low slope roof area (fL � 50 , Steep Sloped area (ft.=) 1 Total (ft.=) r 1 . 75 d Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. r Perimeter Width (a'): ` ;Comer Size (a' x 111111111 l111111111111111111111111111l1111l111111111111 11!.!!!!!!!11!!!!!!. / •11111111• ■11!!!l11.11 1111 1111111111111111111111111l11111111111111111111l1111!!1111 1111! ■11!111111 momS1,1111111111111011w1111111111 ■!/111111 111111 111 11\! �/ 11� 1•lt�O!!11!!.�i.1111111!ll1111w111.!■ !!!!11!!!!111111 1111 11 !! 11 ! ! 1111111 11111111111111111111111111111111111111111111! ■►ilsssi.uw.�o,osdlEll 1111!!!!111111111111.!• ■ 1111l1111rarar1111l1 vim iniunn arunni um is um nomireautm au !l111111i1111 111 11111 Ilia 1111111111111111111111111111111 11.1111!11111111 ii�l11111111111a�;tl 11111 ■111111111111111111; ■111 I11/ 1111111111l11l1111l111111111 11111111 1111 1 111 11�:�Illw/%!11i•!!�II■1111111111111111111! ■ 14111111111111111111111111111111111111111111111111111111 ■ 111111 11111 111111 t1Cis11\':!� %111111111111e11l1.�`Trw� • Gv1w ■111111111/11101111111/ 1111111111!!!!!/ /1111//!r %11 ■11!!•.11, 1■ 11/4• dIIOW 111111!1111111111..1111111111 11111111111111111111 ■!!11!!11\ /� ommlin 1111 ■min ' d . ■ 11IN 111111111!!11 !1111! 1111111111g1111■111111ENNIC 011111111111111 111111111111�i/11111i ■1■!11111;■111111111111111 ..111111 ■ 111 11111111111111111D1Ill11ii111111111111111111!! ■ �1111�11111111111I ■ln •n! ■1111111111111111111111111 / 1 11111111111u111111111VITER1l111111%!11lIn umnp a >1111iiL•!!l11111111l1111wl11111111 ■!11!!!!11 •!!fi/AIM. 1111l r /!/ :%111M /N ii`ii111111l111111b11 1111111111111111111111111 1111!1111!11!11111111111111 / 11►11 %5N111 1111! 11111�11111111111111/�11 1111l111111N111111l11111111 �..a.� umumma1111ammure1111 mummun ssmumm !1111!111111111111! 111111111111111iii:���s� - - ■111111l111111 m mini■ 11l mainl1111111...... •mirwa ■momma mini 1111 11!!!11!11!1111 MISS ■ 11.A.R. 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Wi�11 !11!11/ ■ 11 m mmiu 11!1111! riss11iR'�'t 11 _ 1111' sion 1111 11►i1/11►�11111 •11111111111111111111111111 11111111�l1111111aminl ; 111111lwl .l11lM1111i�11II�11►:�!l11111w11111w11111 111111111111w11111111111111111111111111iw 1101111!!!llits���,... iaTii1iww11w!!11!!11w 1111111111!11!1111111! 11111■ 111111111 11 l 11 / 1111 l 11 /1111111111w111111111111w1111111111111111 IIMI .!1111111111 11! wl111111 11!11 ! 11 11.11 !/C� 111 ■ ! 1111! !l1 111�1111111111 IIMINI1111 !11 1111 11 ! 1111 lw 111111111111 N111111111111111111111111•11M11IMPWIRRI 1 /11111w1111!lwlw1111 Eniumanumuu aniaii roil m �( ilt icamir immummw � 11 mm 1111 1111111 1111 !11!1111111111!11111111111111111111111111111[11111i�� �11l ■w`��11111111111111w11111111111111 bill .11117 111111 " I http:// www. miamidade .gov/bldg/roofing _permitin_ .ernlit_app_section_a.HTML 9/29/2004 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 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: C).V CO- NOA No.: 03 - OSC11 • _Design Wind Pressures, From RAS 128 or Calculations: Pmax1: 4f-f- G Pmax2: 13.� Pmax3:" .124 1 Max. Design Pressure, From the Specific NOA System: -- S2 • S Deck: Type: V1 Gauge/Thickness: 3/6 Slope: 7� Anchor /Base Sheet & No. of Ply(s):Ga G/XN.ST 13ASE Anc or /Base Sheet Fastener /Bonding Material: �4 1 J� uiJA► AIM 1 Lf S/$ 17 ,3 Cafs A) / Insulation Base Layer: Base Insulation Size and Thickness: N/A Base Insulation Fastener /Bonding Material: f/A Top Insulation Layer: N/A Top Insulation Size and Thickness: !v f A Top Insulation Fastener /Bonding Material: Base Sheet(s) & No. of PIy(s): N /A Base Sheet Fastener /Bonding Material: PIy Sheet(s) & o. of P y (s): cy � TfASS• Ply Sheet Fastener/Bopding MateriAL. t _ To p Ply: : GAS A Top PIy Fastener/ Bonding terial: /psi►:.. &Sp h s0A Surfacing: ► J /N Fastener Spacing for Anchor /Base Sheet Attachment Field: 9 " oc @ Lap, # Rows Z @ / " oc Perimeter: " oc @ Lap, # Rows+ © " oc Corner: ''r" / " oc @ Lap, # Rows 6 @ oc Number of Fasteners Per Insulation Board Field PIA 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. (o it s S FT. ,N4d i yFT. • Parapet Height Mean Roof Height 188 ROOF. COVERING:. MATERIALS (TEVT) Roofing Systems (TGFU) Continued Insulation - (Optional): One or more :layers perlite, wood' fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite / urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in. max. Ply Sheet Two or more layers Type G1 "GAFGLAS Ply 4" or "GAF - GLAS Ply 6 ", Cap Sheet One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet'." _ `;.. . 4. Deck: NC • - Iincline; 1/2 : Insulation: One or two layers "Isotherm R ", 4 in: max, hot Mopped. Ply Sheet: 'Any UL Classified' gravel surfaced Class A asphalt glass fiber :rte-• - Incline: 1 p heet.(Optional): Red rosin p ed,t Base S)ieet: One. layer Type G2 AF • G LAS #75 BaseSheer may be nailed). GAFGLAS a eck. N Incline: Base Sheet One layer Type G2 "GAFGLAS #75 Base ::. Ply Sheep One or more layers Type. G1 " GAFGLAS ply Or "GAF - GLAS Ply 6 ". •:.:: Cap • Sheet:: One layer Type G -3 •"GAFGLAS Mineral.: Surfaced :Cap Sheet". _ 7.. Deck: C -15/32 • Incline: 2 . Insulation One or more layers perlite; glass fiber, isocyanurate, ure- ' thane, perlite / isocyanurate composite, perlite/urethane composite; phe- nolic, 1.0 M. min (offset from plywood joints 6 in :). Base. Sheet: One or more layers: Type G1; G2 or G3. Membrane: One or more layers "Ruberoid Torch" (Smooth- or,Granule), "Ruberoid.TorchPlus". (granule), "Ruberoid 'Mop " (Smooth or.Granule) or " Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot)mopped` 8. • Deck: C45/32 ' • Incline: 2 - Insulation (Optional): One or more •layers perlite wood:.fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite; perlite/ urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Base Sheet Two or more. layers Type G2 or G3. • Ply Sheet (Optional): `One or more layers Type Gl: :..:, • Membrane One or more layers 'Ruberoid Torch" (Smooth or Granule); " Ruberoid:Torch Plus" (granule), ' Ruberoid Mop" (Smooth `or Granule) or ' Rubberoid Mop Plus" (granule). • Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped.. Class B 1. Deck: C-15/32 • . • Incline: 3-1/2 ... • . Insulation (Optional): One or more layers• perlite, wood fiber. glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, . perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. . Ply Sheet Two or more layers Type G1 "GAFGLAS Ply 4 ". or "GAF - GLAS Ply 6': Cap Sheet: Type G3 . "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. 2. Deck: C -15/32 Incline: 3-1/2 Insulation (Optional): . One or more layers perlite, • wood .fiber; glass fiber, isocyanurate, urethane, perlite/isocyanurate. composite, perlite/ urethane composite, fiber /isocyanurate composite, phenolic, any - thickness. :... .. . Base Sheet. Two or more layers Type Gl, G2 or G3. Membrane: One or more layers "Ruberoid.Torch" (Smooth or Granule), "Ruberoid Torch Plus" (granule), " Ruberoid Plop" (Smooth or Granule) or "Ruberoid Mop Plus" (granule). Cap Sheet . "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class C 1. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, . perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness.: Ply Sheet Three or more layers Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". 2003 ROOFING MATERIALS AND SYSTEMS. DIRECTORY LOOK FOR THE UL MARK ON PRODUCT ROOF COVERING.MATERIALS (TEVT) Roofing Systems - (TGF.U) Continued • Surfacing:. "Special Roofing Bitumen" 201bs /sq. COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A - . 1: Deck: C -15/32 • •• • Incline: 1/2 - Insulation (Optional): One or more layers perlite, wood fiber, gl 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 ", hot mopped with coal tar bitumen*. • Surfacing: Gravel. • • • COMBINATION HOT AND COLD SYSTEMS Class A 1: Deck: NC • Incliner 2 Insulation (Optional): One or more layers perlite, wood fiberor glass • •fiber, 2 iii. Max. Ply Sheet: Three or more layers Type Gl " GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". •.- ' Surfacing: " Grundy Industries "al' MB Aluminum Roof Coating" at 1 -1/2 gal /sq. • .. 2. Deck: NC Incline: 1 Insulation (Optional): One or more :layers .perlite, wood filier, glass fiber, isocyanurate, urethane, perlite /isocyaiiurate composite; perlite/ • , urethane composite, wood fiber / isocyanurate composite;`phenolic, any thickness. Ply Sheet: Three or more layers Type G1 . "GAFGLAS . Ply` 4" ar "GAFGLAS Ply 6 • • • Surfacing: • "Weather Coat Enitilsfoir" at 3 . gal /sq. • • 3. Deck: NC hicline: 1/2 • • • Insulation: One or two layers "Lsotherm'R' ; :4 in., hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt g1asS fiber mat system. 4: Deck: NC • • • Incline: 2 - • Insulation (Optional): Isocyanurate perfite, isocyanurate /composite, wood fiber and glass fiber,•any thickness, ineclianically-fastened: - Base Sheet One ply Type GI or;G2,.mechanically. fastened or hot •, • mopped • 'Ply Sheet: One or more plies Type 61 or•G2;'adhered:With hot roofing • ., asphalts Surfacing: "GAF • Prernium • Fibered Aluminum Roof Coating'; 1 -1/2 gal /sq or "GAF Weather Coat Emulsion ", 3 gal /sq. • 5. Deck: NC Incline:'l Insulation (Optional): Perlite,glass'fiber,'polyisocyanurate, wood fiber, mechanically fastened, any thickness: • Base/Ply Sheet: • One or m ire.plies Type•Gt or'type G2, hot mopped in • place. -• Coating:. " Fibered Aluminui n Roof Coating ". • 6. Deck: NC'' ` • Incline: 1 • Insulation (Optional): Fertile, glass fiber, polyisocyanurate, wood fiber, mechanically fastened, any thickness. • • Base/Ply Sheet One'or more plies Type G1 or Type G2, fully adhered with either "Ruberoid Modified Bitumen Adhesive" or'RuberoidModi fied Bitumen flashing Cement ": Coating. "Fibered Aluminum Roof Coating", 1 -1/2 gal /sq: 7. Deck: C 15/32 • • Incline: 1 • Base Sheet One or more plies Type G fastened . Ply Sheet: Three or more plies Type G1; fi ot mopped in place Coatings: " Fibered Aluminum Roof Coating'.'; 1=1/2 gal /sq: Class B 1. Deleted • 2. Deck: C -15/32 Incline::2 Insulation (Optional): One- or more layers'perlit .wood fiber, glass f isocyanurate, urethane perlite / isocyanurate composite; per'lite urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. - Ply Sheet: Three or more layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 ", hot mopped. •.. 1 1/2 'Surfacing Grundy Industries "al MB Aluminum Roof Coating'', gal/sq. 3. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite,.•wood:. fiber, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite, per urethane composite, wood fiber /isocyanurate composite phenolic, ?r!Y thickness. • • s;�g_4 -MIP6 and. N-W' GAF�IJ�S ®S . �1o;1s1 Sou;tt. amj &cies te inches Per canasta decics vrhich are Suited d foe poured trlion tontelettg 'mutating 5peciiialions General detailed on pages 17-20 shall-apply in add APF�°n ing rec mMenda and specifications. to the lapwing n�°� Membrane each paper where app�le Lap ppplleaUaa of Roofing GTin Wi each eet2 Inches • leY Nail sufficiently to hold 2. t o Sheet at the to point of the roof, lay preceding one ply fG F L C 2_ l ea sheet plya In edges and not less not to 9Indus and•sta09� do al lapping 0l bay p % at Intervals at 19 Inch intervals or Nail 210110 UP ro d sheet In Int rows headsat �t 1 n row. Use fasteners recommended l by GAF CocP� k square (See okst of sm�-� mOP two plies s adly r ove betowl 3 hlO I at 19 Inches over the a the a *rtk'° rod unwed base 5h to Pte ping to the ha and anal A501311 RegJkramerr co m°PPk� d Rooatel Asphalt �� square foal d god IOC tha to t or mb us. The aPPTOP`tab' a slopes Involved must be used. On slopes up 1o.% kid' per f T I may be used HorWa,7exes: Now Maxie' Type . C"h with the application Stufacod tl�ie taps of the Of st'ae Instructions on page 2J3. so that the taps am decks on pa 9- for 1 . seer c 0 mmen to use over gypsum d on pa Base 1. See rs 0256 Sheets decks. GAFELA5 175 da l and Z i le ' for freshlY DTI wood decks For &des. when 6P,RitAS ply PLY 6' 4 GAFGLAS PLY 6 Is used aS s base -, wood fiber a iallInNa Sheet' NQ! 18. 1ot� be bacK�� 4 10 is muffed. 1; : • a For rod d 11ndt period armors. on Steep Roof page d Ito t -See .L;:::: =Ikailan I Ill Citatt ?e WOO • - ..1. Ind Nonaimbi> e o lm '�` ' � .WoodP� � oriented strand board (min 'h Inch thickness Noncombustible or p "'wml concrete. ieghterett N concr ete. gyps' um. structural wood fiber. etc. 2 S1 t� slope allowed. in inches per loot FDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI - DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 - 2901 FAX (305) 375 - 2908 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 Conventional Built -Up Roof System for Wood Deck. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there 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 renews NOA #02- 0408.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 1 of 21 Deck Type 1: Deck Description: System Type E (1): Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: Fastening Options: Ply Sheet: Cap Sheet: Wood, Non - insulated 19/ or greater plywood or wood plank decks GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base 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) GAFGLAS® Ply 4 ®, GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base Sheet or any of above Base 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 PlyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" Lt:: red and in two rows 9" o.c. in the field. (Maximum Design Pressur —52.5 ps , ee General Limitation #7) GAFGLAS #75 Base Sheet or any . ... ase 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 47) Any of above Base 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 Base 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) One or more plies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6® ply sheet, #80 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs. /sq. (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 18 of 21 Surfacing: Maximum Design Pressure: See Fastening Above (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 gal. /sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal. /sq.; or GAF Premium.Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal. /sq. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs. /sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 19 of 21 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 1 /a" Dens Deck or Yz 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 bbase sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 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 117. requirements of these 7. Perimeter and comer areas shall comply with the enhanced uplift pressure 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.) All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for . enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 END O T H e IS ACCEPTANCE NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 21 of 21 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR•ROOI~ING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to.explain to the owner the content of this section.. The provisions of Chapter 15 of the Fldrlda 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- Workmanshlp:. 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. S'; ' 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. . gQI 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 o£ 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 sb that the roof is not overloaded from a build up of water. Perimeter/edge walls or other roof extensions y block this discharge.if overflow s.cuppers (wall outlets) are not provided. It may be necessary to 1 overflow scuppers in accordance with the Florida Building Code, Plumbing. --s9 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. ' • • • CAD OCIAI C.IkwpLLOCALS- 1\TtnpISCCTIOY ISSI.d.c Owner's/Agent's Signature Date • g, . "Conti Signature PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address / . / 2 / 0,e, - ' /6/ $77 Tax Folio/ -5 .VP3 / 9 9 1W0Z Legal Description Jo. J 7 27 7 4..i 4./r Master Permit # i YD / Owner / Lessee / Tenant tJte e y 8F4 e F .t 6 0 Owner's Address /l& 2 Aj,t" . / 0 / s 7 phone 7S6 - is /C Contracting Co. U 4 /v,E /2 Address 7/' 3 /t/- . /a / _ Qualifier SS# - - phone State # Competency # Ins. Co. Jo k) Ne_ZE via $.. A- ggod,orr Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one) BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION e ? /l' M RD° / Square Ft. PERMIT FEE: 3 G 6 \iP11, / YV, ) 1A0 Estimated Cost 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. 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. Sigure o Owner a44d /or Condo President . Signature of Contractor or Owner - Builder Date: Date: Not y as to Owner and /or Co do President Notary as to Contractor or Owner - Builder My ommission Expires ://6 , My Commission Expires: APPROVED: Fire Other Zoning Building "/ %) Electrical Plumbing Engineering Date - a--9 ' Job Address //6 A!c. Tax Folio PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Legal Description „���� Historically Designated: Yes �No Owner/Lessee / Tenant T 2 t - 6 n--- a / q ./ Master Permit # 9 % ° 97 Owner's Address _/.b- /� Phone 7 51( - / 3 9 2 - /V Contracting Co. �/Q.t -i v .) ""c- ' Address 1F7.-33 f (.✓ A.7--9 7 .. _. Qualifier Q ' / : t 4.-v ” e G i ✓ y ` ,v..-+ SS# , 6 . 31-Phone ?-S1 --) Z y State # Municipal # Competency # a/ 33 Ins. Co. b ii ,/ 4 'C. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one) BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION / �Gv✓v�^- --�r- (J • -- Square Ft. /SO ,L. /= e ARC Estimated Cost (value) 4 /7 Y 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. Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing RADON C.C.F. ° NOTARY (l - TOTAL DUE 61 �X! O �g 9( Signature of ontractor or Owner : uilder ate 614-14,a No as to Contractor or Owner- Builder Date My Co I IiH33i xpi e OFFICIAL NOTARY SEAL <. SANDRA Pa MONTIEL • COMMISSION FiuMISER �, • CC41II269 4, Q ? aw cOC"!:7izaION .EXP. OF r\P Lv UA . ' 938 Electrical Engineering Sign Date: Notary as to /Owner and FEES: PERMIT ,2 -9 APPROVED: Zonin PERMIT APPLICATION FOR MIAMI SHORES VILLAGE - Date AUG. 4, 1992 Job Address 1163 N.E. 101 Street Tax Folio // ‘3,,105" /9 0 .Z Legal Description ;L©/ 12 B1.k. / 76 Nil4<•Y," S1i1res Sec 8 Re J Owner / Lessee / Tenant Jerry Bergeron Owner's Address 1163 N.E. 101 Street Contracting Co. Quality Roofing Contractor, Inc. Address Qualifier Carlos Arocho SS# State #k- OO5 Municipal #�07g,2,9 Competency # 19$89 Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): UUILDINe ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION - 1 - ;,-) Cap 3011 P I f , op Dr1 90 /6 fir it L.D I ) , I s- /-c.c_p A-sphal f- and iyys1.411 mefa 1 .ac d ,2 arour, A <2.dsc. of- Goo an d- r r►s. - / Scan; c h s e (' la Square Ft. 33 Estimated Cost(value) $ 5,200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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. ure o {owner and /or Condo President IL J . /.. =_'/ /L ✓�_ %s My Commission Expires: ' r ' �'`'% RYLOU HERNANDEZ Y ' ` a � ; = MY COMMISSION ! AA 714214 r;,.: =_ : j EXPIRES: October 10;1993 1,0,1% Seeded 11uu Notary PubUG Underwriters ** * * * * ,►- - -- -� _ _ * RADON C.C.F. 6 Mechanical Plumbing_ Notary as to My Commission NOTARY Phone Fire CBuildin 57-6 -1Z C 4 Master Permit # Phone 756 -1316 251 N.W. 99th Street 751 -0382 Signature of Contractor or Owner- Builder Date: y, ( -2 ontra t orOwner- Builder .., EXPIRES October 10, 199$ B�od Thor Noy Pib1ic UndSnAvi[ars Expir „1� ,y MARYLOU HE ',EZ Ri +� ' ;, MY COMMISSION N AA 714214 na.r TOTAL DUE < 4 0 Other Electrical Engineering PERMIT APPLICATION ( FO MUNICIPALITIES OF DADE COUNTY OWNER TO RETAIN COPY ) Date 9 -3 - 9 1 Legal Descriptiong Owner / Owner's Contracting Co. NUAl , Zonc..Y 00,11 (fort � �r .. Address Qualifier Q - C A . C I pS i N Cc ci 0 State # Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION T .eo,r, c - c I Ftj 4-in C.& pJ 7 pc per , r - o p nh l Ac,1 G \k, sr; S e I c,( Square Ft. I3 Estimated Cost , (p 1 500.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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. Signat Date: Notary as i:1 Commissi PERMIT FEE: Job Address \\(n3 n1. E_ I ST. /7‘ 7// ed. Lessee / Tenant - 6 - P6( L i e CU,2( Address IR„; t ', Phone 1 1.5(0`" \3tto )2 c. ons a_ ) Competency # or Condo President o Owner and /or Condo Pre ident on Ex m PUDLlM MIT OF FtiORIDA. 7C NNISSION EXRIFES: OCT. j�. 1999: * • BONDED s APPROVED: Fire Zoning Mechanical Master Permit SS# Phone Building Plumbing ) r 4/t Address Tax Folio / .ig/c/.9 efox # 3/6If c -a AJ.(A)• 9c sfi, Ins. Co. Address Address ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN or Owner - Builder Signature of Contractor Datee : �� /J 9-,� -9 Notary as Contractor or :3wner= ;Buz'].4F My Commission TEffliatittEDLIC, STATE OF FLORIDA. * * m y OMMISS,{[JN EXPIR •CT. 10.9 e �LA DEDTHRY'N PUB ` •ERW Electrical Engineering '751 -o32! •r • 'ERNIT #� ta State of Florida 2ounty of Dade 5. Surety: a. Name and Address b. Amount of bond 6. Lender: (name and address) r /19 /) rotary PuO is f•TATE OF FLORIDA COUNTY OF DADE I HEREBY CERTIFY that this Is a true cop origin filet in this office on / Z A✓t , A. D. '1 WITNESS my hand and Official Seal. Clerk Circuit Court By //. Ceee i v D.C. 2. General description of improvement: 717r-cin Y1<< ;worn to and ubscr ibed before me this —? day of , � 9 1R320% 1 1991 SEF' 12 11 :28 Tax 'Folio No. // � � / X 2 - . 2 9 • - . 2 , - 7 . • b s & (Kai, H (i,oP rC c- lie - 17 . NOTICE OF 'COMMENCEMENT Pic “y )51 /),f) FIdricI.' 33 > U rHE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available) '111c'3 fJ, IC, 1 D \ y , / / uZ � 1�/ i t; t icor, 3. Owner information: _ a. Name and Address: I) E- f c'( ; (' (C. P r C ( 1I 63 ►\L.E' . \of, . b. Interest in property: c. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address)OUCJ, t` Rr;Ca ` ■• 1.6 0 r I 'I 11.! / 1 7 5 ).�I N L& 1`l , 1'�I;arr,� ,r - % cr • " < /cr0 7. Persons with the State of Florida designated. by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: (name and address) 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) natu ZoZr , 1991. NOTA PUBLIC, ST FLORIDA: My Comrnissior, Ex P IhriEtthIMISSION EXPIRES 1493 BONDED THRU NOTARY PUBLIC UNDERWRITERS. Application is hereby made for the approval of the detailed statement or we plans and specifications herewith submitted for the build ing or other structure -herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and nll provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT / mss /�� APPLICATION FOR BUILDING PERMIT Date........... 2..: i . s .__.__._..._.__..._... ,19.9 Owner's Name and Address `,ef ry C f5� . o 110'r - . 3 lug 10.x...7 L •No..._ . .. ..... Street_...... Registered Architect and /or Engineer `" i .. , r� Name and address of licensed contactor / 41141 ..... .. 3 �Q Ave ... _ „ .� �.e �5 C XJ � ) 'M Location and legal description of lot to be built op: Lot 1 Block / 76 Subdivision 71) g ; J 1. . C...._ rZ .2 .19 s0,• Street and Number where work is to be done 4045/ _. . 3 .. _ _ _ j. State work work to be done and urposc f b (by floors)...... C "' ( n _ � ``� ! c .., r e , -K _. _ New Building Remodeling To be constructed of Estimate Total cost of improvements $ STATE OF FLORIDA, COUNTY OF DADE. ss' Disapproved (� f Date.. (Signed) Building Inspector Kind of foundation ea/ $p0. 012 _..._........ for no other purpose. Addition Repairs No. of Stories n Roof Covering Amount of Permit $.....�1�. /2 Zone cubage required 2.5 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.. ) 312 .. .`. ft/Ai LO 14V2 0 ice/v.4 ° 3 � 1 / The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, 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 oldie work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks. ... (Signed Before me, the undersigned authority, a notary public, duly authorizcd 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 statet are true. Permit No Date V( I Read, Sworn to and scribed before me. r _ ,- w ,r 4,11Ir� `arc My Commission Expires PLANNING BOARD DATE ic, State of Florida /3 B6� Ivv to me well known, NOTARY RtdRLIC. STATS MV'C°OI MISSION EXPLRRS: Aug. 13, 1994. ININI et>L;cttttu $winery PesILrc uno4RWRnERS. Chairman Mcmbcr 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 PI.rnnit.:; 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. COPIES BATE NO. DESCRIPTION y � ePtatil J010 DATC ��/ i AT T C P Q.� k /� /o nr //_ 3 AI Difl/A / A(go.) $. More 5 Ale,.. . y � TO EAST CONTRACT SUPPLY, INC. General Contractor CG C048605 1717 N. Bayshore Drive x•1040 MIAMI, FLORIDA 33132 37 - 9 1 (305) 372=1565 4 4 /V /a'r WE ARE SENDING YOU OJ"ttached ❑ Under separate cover via 1 H1SE ARE — TRANSMITTED as chocked below: " For approval G Approved as submitted l� For your use U Approved as noted ❑ As requested 0 Returned for corrections gir review and comment 0 ❑ FOR BIDS DUE REMARKS ❑ Shop drawings U Copy of letter O Prints • Change order COPY TO Ra LJ zm @IF U UUWUVSUVUUITIT(rtl, the following Items: Plans u Samples ❑ Specifications SIGNED: nntl }r u• At OAR•. 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