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ROOFINGMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / - 0 2 0-1.2 Type Insp'n -- -i,e Permit No. T nO.3 3i Name 1/644, U EaE.i�,ij� Address / ,Z,S i 2 /e/ 5f Company —L414 Phone Phone # 36f 7J ' 03 g Inspection Date /- / - 6 y Approved Correction Re- Insp'n Fee ❑ Date Type Insp'n Permit No. Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request dI , Izo(p? Time - 7) 1-e 1 icv PYOw__ z) AL6 10 t • L For Inspector: Is p 1440 3 Name & Date Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 1).. 305- 795 -2204 Building Inspection Request Date l0 'g -�3 Type Insp'n I 1 h Va P Permit No. b P D Name Y Time 12 SO P •'m - ) 1 Address 12 2 S ME 10 t 3 -7— • Company Phone # .� O 7 S — 0 3 g 9 - For Inspector: i2 P 1 o h lo Name & Date Approved Correction Re-Insp'n Fee PERMIT APPLICATION FOR MIAMI SHORES VILLA r, D 09/03/2003 1225 N.E. 101 Street 11- 3205 - 025 -0060 SP 2 2 20U3 r Dat Job Address Tax Folio Legal Description Historically Designated: Yes owner/Lessee/ Tenant John Van Beekum Master Permit # 46, f03 /6 °wile sAddress . 1225 N.E. 101 Street Phone (305) 754 -7861 Quality Roofing Contractor, Inc. 13800 N.W. 1st Ave. g Qualifier Carlos Arocho Phone (305) 751 -0382 state# RC0058627 Municipal # Competency # 000017889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, tin cap 30Ib. ASTM felt, install eave drip & valley metals, mop one layer of modified felt, install colorthru ties with polyfoam adhesive setting. Flat Modifi. Square Ft. 40sq. Tile 4sq. Flat Estimated Cost (value) $21,000.00 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. ISi kt 9 /4k Signature of Contractor or Owner -B Date . :.ii MARYLOUHERNANDEZ MY COMMISSION # DD 060579 EXPIRES: October 10, 2005 Bonded Thru Notary Public Underwriters aoll at e of owner and/or C . , . . President Date Notary as to • er and/or Condo Presr My Commission Expires: FEES: PERMIT : MJ • ) RADON C.C.F. WOO NOTARY APPROVED: Zoning Building SEP 2 3 2003 Electrical Mechanical Plumbing Structural Engineer No ••.V1 °;1'• MARYLOUHERNANDEZ _.: '4 ':._ MY COMMISSION # DD 060579 EXPIRES: October 10, 2005 " , ,y,P' Bonded Thru Notary Public Underwriters Notary as to Contractor or Owner - Builder My Commission Expires: q BOND TOTAL DUE d e,\c- 1 1 , o They OCT 0 1 PAID Owner's Notification for Roofing Permits issued under the Florida Building Code ( 11 1414J-DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPUCA Section 1524 - High Velocity Hurricane Zones Required Owners Notification for Roofing 9 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 Florida Building Code, Building govem 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 owners initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 Hi h Velocity Hu Zo ) are for the purpose of providing that the roofing system meets the wind resistance ce and water rricane intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic Issues such as color or architectural a zoning code, should be addressed es pact of the agreement behueen the op ne a the contra c of a T/IE 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to renai(ed 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 (Le. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing work to be performed. .�4. Ex posed Callings: Exposed, open beam ceilings ace 4thete the underside of the roof dec4ring 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 PP 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 ause water to pond (accumulate) In low -lying areas of the roof. Ponding can be an indication of structural distress and may require the reviewof a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident unlit the original roofing system is removed. Ponding car dttsons should be corrected. ,T. 2 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. T NZ 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 benet'tctat to cons43ec addttionat venting vihtch can testa in extending the seriire rite of the roof. Date C ontr nrt p://www.co.rniami-dade.fl.usibldg/roofing_permitinglowner_noti fication.htrn 9/26/2002 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. Perimeter Width (a'): Comer Size (a' x a'): _ .4 _ - ,�.�_ 7._� _ _.1 i� ■ ■ ■• •11•■ •■•1 .. ■1 ■■ •••••••••• _. _J :I _ I ) -mil _ , ---� � t ,l,_, ._. ,__ . ■ ■■ ■• ■. ■ ■� ■■■ ■ 1 nA . ■ •■ ■ ■ ■ ••■ ■ ■ ■■ ■•� • ■ ■■ � .........•••••••••............. • ■� ■ ■ ■ ■ ■ ■•• _ _r _7 � i 111 41 1 8••••••••••1••••••••••••••••••••••••• II ■IIII•II■ ■ ■ ■ ■■ ■■ ■■ 4 _, ` I~� I_I 1 MUM . O MA /� ■ ` •11••••••••••••• ■■ ■ ■ ■ ■ ■ ••■ ■ ■ ■•• ••■■■■ ■ ■■ ■-•� ■■ . . _ ■ ••••11111,4••111••••••••••••• � ■■■••u ••� ■■ . 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' ; 1 1 I i t 1 �■ ■ 1 � i � • r ■ ■i■■ E. su _ -m •■ • I - - 1 �--- ■Iri - • • ■ �■ - I - ■ 1 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Master Permit No. Contractor's Name: Quality Roofing Contractor, Inc. 1225 N.E. 101 Street Roof Category Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 ❑ Other: Roof Type ❑ New Roof MI Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance Section A (General Information) Process No. Job Address: Are there Gas Vent Stacks located on the roof? ❑ Yes MI No If yes, what type? ❑ Natural ❑ LPGX Roof System Information Low slope roof area (ft. 400sq. Steep Sloped area (ft. 4000sq. Section B (Roof Plan Page 2 Mortar /Adhesive Set Tile ❑ Wood Shingles/Shakes Total (ft. 44sq. Page 1 of 1 http: / /www.co.miami- dade.fl.us/ bldg / roofing_ permiting /permit_app_section_a.HTML 9/10/2003 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping /Flashing, Continuous Cleat, Cant Strip, Base Flashing,Counterflashing, 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. r (1/ tA Q ti\ 3 1/4 Sr '1-e/ Page 3a Ptuvei Hai* AkFi. MaanRofHsigit, // ,Ft. Page 1 of 1 http: / /www.co. miami- dade.fl.us/bldg/roofing permiting/section c 4_2.html 8/26/2003 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION System Manufacturer: GAF Material Corporation NOA No: 02- 0408.10 Section C (Low Sloped Roof System) Fill in the Specific Roof Assembly components and Identify Manufacturer (If a component is not used, identify as "NA ") Design Wind Pressures, From RAS 128 or Calculations: Pmaxt: -52 Pmax 2: -87.3 Pmax3: -131.4 Maximum Design Pressure, From the Specific NOA System: -52.5 Deck type: 1" x 6" T & G * These decks require a fastener pull test by an approved test labratory Other Deck Type: n/a Joist Spacing: n/a Slope: 1/2" Anchor/Base Sheet & No. of Ply(s): n/a Anchor /Base Sheet Fastener /Bonding Material: n/a Insulation Base Layer /Size & Thickness: n/a Base Insulation Fastener /Bonding Material: n/a Top Insulation Fastener /Bonding Material: n/a Insulation Top Layer /Size & Thickness: n/a Page 3 Wood Nailer: 8 Penny Nails Base Sheet(s) & No. of Ply(s): (1) Glass base sheet Base Sheet Fastener /Bonding Material: 1 1/4" R/S Nails Ply Sheet(s) & No. of Ply(s): (1) Ply 4 Ply Sheet Fastener /Bonding Material: Type III mopping asphalt Drip Edge Size & Gauge: 3" face 26 ga. Top Ply Fastening /Bonding Material: Type III mopping asphalt Surfacing: n/a 1 1 /" R.S. Nails Drip Edge Material Type: Galvinized Metal Hook Strip /Cleat gauge or weight: N/A Coping Metal: n/a Top Ply: Ruberoid Mop 170 FR FASTENER SPACING FOR BASESHEET ATTACHMENT Fastener Type: Page 1 of 1 Altemate Fasteners: n/a 1. Field: 9 " o/ @ laps & 2 row @ 9 " o/c 2. Perimeter: 6 " o/c @ laps & 4 rows @ 6 , " o/c 3. Comers: 6 " o/c @ laps & 4 rows @ 6 " o% NUMBER OF FASTENERS PER INSULATION BOARD Field:, n/a Perimeter: n/a Comer: n/a 1 http: / /www.co. miami - dade. fl. us / bldg /roofing_permiting /section_c 4.html 3/21/2003 Roof System Manufacturer: MonierLifetile, LLC Notice of Acceptance Number: 02-1211.08 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1: -45 P 2: -95.1 P 3: -95.1 Maximum Design Wind Pressures, (From the PCA Specific system): 118.9 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Perimeter Width: n/a Section D (Steep Sloped Roof System) Roof Slope: 21/2 "/12" Roof Mean Height 13' Ridge Ventilation: n/a Method of Tile Attachment: Adhesive, Large Paddy Polyfoam Polypro Altemate Tile Attachment Method: n/a Clip Spacing for Metal Roof Panels Field: n/a Perimeters: n/a Comers: n/a Sloped System Description Deck Type: 1" X 6" T & Page 4 Alternate Deck Type: n/a Underlayment type: Gafglas #80 Ultima Insulation /Fire Barrier Board: n/a Optional Nailable Substrate: n/a Fasteners: 1 1/4" R/S nails Cap Sheet Type /Adhesive Type: One ply Ruberoid Roof Covering: Atlantis Fiat White Colorhtru Tile Roof Covering Attachment Method: Polyfoam adhesive products Drip Edge Size & Gauge: 3" face 26 ga. Drip Edge Material Type: Galvinized Metal Drip Edge Fastener Type: 1 1/4" R/S nails Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 http: / /www.co. miami - dade. fl. us / bldg / roofing _permiting /section d_3.html 9/18/2003 M1AM IDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Monier Lifetile, LLC 135 NW 20 Street Boca Raton, FL 33431 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 Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) 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: Atlantis Shake & Slate Concrete Roof Tile 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 6. The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub - Category: Material: Roofing Flat Profile Roofing Tiles Concrete 1. SCOPE This renews a system using Monier Lifetile Atlantis Shake & Slate Concrete Roof Tile, as manufactured Monier Lifetile LLC and described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Applicant Dimensions Specifications Monier Lifetile 1 = 15" PA 112 Atlantis Shake and w = 10 3 / Slate Tile 1 '/." thick Trim Pieces 2.1 SUBMITTED EVIDENCE: Test At encv Redland Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. 1= varies w = varies varying thickness PA 112 Test Identifier 7161 -03 Appendix III 94 -060A 94 -084 25- 7094 -2 25- 7094 -8 25- 7094 -5 Product Description Flat, interlocking, high pressure extruded concrete shake and slate roof tile equipped with two nail holes. For direct deck, mortar or adhesive set applications. Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Name/Report Static Uplift Testing PA 102 & PA 102(A) Static Uplift Testing PA 101 (Mortar Set) (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Date Dec. 1991 March, 1994 May 1994 Oct. 1994 Oct. 1994 Oct. 1994 NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 2 of 6 Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Celotex Corporation Testing Service Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Walker Engineering, Inc. Test Identifier 25- 7183 -6 25- 7183 -5 25- 7214 -1 25- 7214 -5 7161 -03 Appendix lI Letter Dated Aug. 1, 1994 P0631 -01 PO402 Project No. 307025 Test #MDC -77 224 -47099 520109 -1 520111 -4 520191 -1 Calculations Calculations Calculations Calculations Calculations Calculations Calculations Calculations Test Name/Report Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Static Uplift Testing PA 101 Aerodynamic Multiplier Moment of Gravity 25 -7094 25 -7496 25 -7584 25- 7804b -8 25- 7804 -4 & 5 25- 7848 -6 25 -7183 Aerodynamic Multipliers Two Patty Adhesive Set System Date Feb. 1995 Feb. 1995 March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 1994 Sept. 1994 Dec. 1998 March 1999 March 1999 Sept. 1999 February 1996 April 1996 December 1996 March 1995 April 1999 April 1999 NOA No.: 02- 1211.08 Expiration Date: 12 /16/07 Approval Date: 01/09/03 Page 3 of 6 Table 1: Average Weight (W) and Dimensions (I x w ) Tile Profile Weight -W (lbf) Length -I (ft) Width -w (ft) Monier Lifetile Atlantis Shake & Slate Tile 8.5 1.25 0.865 Table 3: Restoring Moments due to Gravity - M (ft-Ibf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater DirectDeck Monier Lifetile Atlantis Shake & Slate Tile Direct Deck Direct Deck Direct Deck Direct Deck 6.0 5.9 5.8 5.6 5.5 Table 2: Aerodynamic Multipliers - X (ft Tile Profile X (ft Direct Deck Application Monier Lifetile Atlantis Shake & Slate Tile 0.24 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 3.7 May be installed on slopes 7:12 and greater with a minimum of two screws. 4. INSTALLATION 4.1 Monier Lifetile Atlantis Shake and Slate Concrete Roof Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 4 of 6 Table 5B: Attachment Resistance Expressed as a Moment - Mt (ft-Ibf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Attachment Resistance Monier Lifetile Atlantis Shake & Slate Tile Mortar Set 39.0 Table 4: Attachment Resistance Expressed as for Nail -On Systems a Moment - Mr (ft -Ibf) Tile Profile Monier Lifetile Atlantis Shake & Slate Tile Fastener Type 2 -10d Ring Shank Nails 1 -10d Smooth or Screw Shank Nail 2 -10d Smooth or Screw Shank Nails 1 #8 Screw 2 #8 Screw 1 -10d Smooth or Screw Shank Nail (Field Clip) 1 -10d Smooth or Screw Shank Nail (Eave Clip) 2 -10d Smooth or Screw Shank Nails (Field Clip) 2 -10d Smooth or Screw Shank Nails (Eave Clip) Direct Deck (min 15/32" plywood) 30.9 7.3 14.0 30.8 51.7 24.3 19.0 35.5 31.9 Direct Deck (min. 19/32" plywood) 38.1 9.8 18.8 30.8 51.7 24.3 19.0 35.5 31.9 65.5 Installation with a 4" tile headlap and fasterners are located a min. of 2'/2" from head of tile. Battens 17.2 4.9 7.4 18.2 24.4 24.2 22.1 34.8 32.2 2 -10d Ring Shank Nails' 50.3 48.3 Table 5: Attachment Resistance Expressed as a Moment Mr (ft -Ibf) for Two Patty Adhesive Set Systems Tile Application Tile Profile Monier Lifetile Atlantis Shake & Slate Tile Adhesive 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 13.9 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Minimum Attachment Resistance 31.3' Table 5A: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Single Patty Adhesive Set Systems Tile Application Tile Profile Monier Lifetile Atlantis Shake & Slate Tile 4 Large paddy placement of 45 grams of PolyProT'". 5 Medium paddy placement of 24 grams of PoIyPro ". PolyPromi PolyProT' Minimum Attachment Resistance 118.9 40.4' NOA No.: 02 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 5 of 6 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. OVERLAY PROFILE DRAWINGS WATERLOCK g . �-:� - " ".,' \. 16Ue"••.. ::, - .,.., -. ..z::,-.., --, ...- ,.......,,,,,,,-.... ...... • ._ -/ MONIER LIFETILE ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE END OF THIS ACCEPTANCE NOA No.: 02- 1211.08 Expiration Date: 12/16/07 Approval Date: 01/09/03 Page 6 of 6 NIA • BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION • NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations goveming 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. 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 NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 1 of 38 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 2 of 38 Membrane Type: Deck Type 1: Deck Description: System Type E -2: All General and Sys Anchor sheet: Ply Sheet: Membrane: SBS Wood, Non - insulated 19/ or greater plywood or wood plank RUBEROID® Tile Underlayment, Base Sheet mechanically attached. tem Limitations shall apply. GAFGLAS® #80 UltimaTM Base Sheet, RUBEROID® 20 base sheet or Tile -Mate Modified Base Sheet applied with a minimum 2" side lap and a minimum 6 "end lap. Base sheet may be applied at a right angle (90 °) to the slope of the deck with approved annular ring shank nails and tin caps at a fastener spacing of 6" o.c. at the 2" side lap, and two 12" o.c. staggered rows along the center of the sheet. (Optional) One, or more plies GAFGLAS PLY 4® Ply, GAFGLAS F1exP1yTM 6 sheet, GAFGLAS #80 UltimaTM, 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. One ply RUBEROID® MOP, RUBEROID® MOP PLUS, RUBEROID® SBS Heat- We1dTM Granule, RUBEROID® SBS Heat We1dTM PLUS, Tile -Mate Modified Cap or Tile -Mate Modified Cap Plus, membrane may be applied at a right angle (90°) to the slope of the deck* adhered in a full mopping of Type IV asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Membrane shall be backnailed to deck with approved annular ring shank nails and tin caps in accordance to applicable Building Code. No nails or tin caps shall be exposed * Membrane may also be installed parallel to the slope of the roof (i.e. strapping). If membrane is strapped, then anchor sheet and ply sheet must also be strapped. Maximum Design Pressure: Refer to tile manufacturer's NOA. Maximum Slope: Must Comply with Roofing Application Standard RAS 118, RAS 119, RAS 120 and applicable Building Code. NOA No: 02 -0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 36 of 38 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply anchor sheet. 2. Minimum 'A" Dens Deck or ' Type X gypsum wood deck. 6 when used as a mechanically fastened base or board is acceptable to be installed directly over the 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 117. 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 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 comers). 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 38 of 38 • MIA MI•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 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. 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 NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 1 of 33 ROOFING SYSTEM APPROVAL Category Sub - Category: Deck Type: Maximum Design Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (MatrixTM 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixTM Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4® GAFGLAS ®Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® Eliminator Perforated Roofing SBS /APP, Modified Bitumen Wood -75 psf See General Limitation #1 Dimensions 5, 55 gallons 60 lb. Bags 100 lb. bags 5 gallons 1, 5 gallons 1, 5 gallons 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide Test Specification ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 2824 ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D4601 ASTM D 2178 ASTM D 2178 ASTM D 3909 ASTM D3672 ASTM D 4897 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 2 of 33 Membrane Type: Deck Type 1: SBS /SBS Cold Applied Wood, Non - insulated New Construction or Reroof Deck Description:' 19 / 32 " or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened to roof deck. All General and System Limitations shall apply. Base 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 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 PIyTM 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" 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 Base 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 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) Ply Sheet: (Optional) One or more plies GAFGLAS PLY 4 ®, GAFGLAS Flex Ply 6, GAFGLAS #80, RUBEROID MOP Smooth or RUBEROID 20 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: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 27 of 33 Membrane: Surfacing: Maximum Design Pressure: See Fastening above One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 20, Ruberoid® 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladTM SBS in adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, Ruberoid® 20, RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladTM SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. (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 %. 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. NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 28 of 33 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 And Flex Ply TM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 'A" Dens Deck or 'A Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -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 117. 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 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No: 02- 0408.10 Expiration Date: 11/06/03 Approval Date: 05/23/02 Page 33 of 33 ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) Continued Surfacing: Gravel, 400 Ibs/sq, loose laid or applied in a flood coat of hot roofing asphalt. 2. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers Type Gl, G2 or G3. Membrane: One or more layers "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), " Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq. 3. Deck: NC Incline: 1/4 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, any thickness. Base Sheet (Optional): One or more layers Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus ". (granule). ' Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq. 4. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perlite, glass fiber, isocyanurate, ure- thane, perlite/isocyanurate composite, perlite/ urethane composite, phe- nolic, 1 -1/2 in. min thickness (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type G1. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq. 3. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule). Surfacing (Optional): Karnak "No. 97" or "169" at 1 -3 gal /sq or Grundy Ind. "20 F Emulsion" at 3 gal /sq. Deck: C -15/32 Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocya- nurate, urethane, perlite/ isocyanurate composite, perlite/ urethane com- posite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Gravel. 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. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel. Deck: NC Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocya- nurate, urethane, perlite /isocyanurate composite, perlite /urethane com- posite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type Gl, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), " Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq. 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 of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type GI " GAFGLAS Ply 4 ", hot mopped in place. Membrane: "Ruberoid Mop FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. Deck: C -15/32 Incline: 1/2 2002 ROOFING MATERIALS AND SYSTEMS DIRECTORY ROOF COVERING MATERIALS (TEVT) 175 Roofing Systems (TGFU) 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 of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", or "GAFGLAS Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 11. Deck: C -15/32 Incline: 1/2 Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber, ' any thickness,. hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 12. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Isocyanurate, perlite or glass fiber, any thick- ness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6 ", hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 13. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of Type 01 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1-1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 14. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet: One or more layers of "GAFGLAS #75 Base Sheet ", hot mopped in place. Ply Sheet (Optional): One or more layers of "GAF GLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq � or GAF Fibered Aluminum Coating at 1 -1/2 gal /sq. eeck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate composite or phenolic. 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 FR" or "Ruberoid Mop 170 FR" (granule). 16. Deck: C -15/32 Incline: 1/2 Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate composite or phenolic, offset 6 in. from joints. Base Sheet: One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" -'I (smooth). Membrane: One layer of "Ruberoid Torch 170FR" or "Ruberoid Mop FR" (granule) 17. Deck: NC Incline: 1 LOOK FOR THE UL MARK ON PRODUCT Jy MM IVAOE IOU NT . N Po!Alarm Products, Inc. 2400 Spring- Stuebner Road Spring ,TX 77383 -1132 F N r MIAMI -DADE COUNTY. FLORIDA METRO -DADS FLAGLER t3UILDING Your Application for Notice of Acceptance (NOA), of: Two Component Polyurcthcne Foam Adhesive under Chapter 8 of the Code of Miami -Dade County governing the LISA of Alternate Materials and T Construction, and completely described herein, has been recommended for acceptance by the Mialni -Dude County Building Code Compliance Office (BCC()) under the conditions specified herein. Types of t This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from ajobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke use of suck product or material immediately. BCCO reserves the ri ,modify, or suspend the � determined by BCCO that this product or material fails to meet the requiremc requirements of the South Florida it- it is Building Code, The expens of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: Ill • FX1'IRES: n5/10/2101 • BUILnINC CODE COMPLIANCE OFFICE METRO-DADC rLAOLt`:R 11UtI,DINQ +dn wEST RADLER STItI r, SUITS I GO MIAM1. FLf7Hll)A 33130.1363 ()OS) )75.2901 VAN (ins) 373.2'XIx r :ONTILACc.()K 1.1(7.1ViNC, I;Itrr•rt7N 00S)37S :2527 FAX 13051 275.23511 Cc)NI'ltAr'rtlti } NI:O +IVY' n ivanoN ( -2tca I'AX MS) 37 $•2YUtl 1 ' ROt1UCr CONTROL U11'I9t (3us) )7S -2902 FAX (10I)17347.19 Rau Rodrigttcr, Chief Product Control Division S IST flf? COVI?12 ET `1r AI) t OVAL t CI . S FOR SPECIFIC 1) I'_NI'ItnL Ian 1Tms Ut uic CAAG & P RODUCT RF,vTF,W C I i 1 This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used iii Miami -Dade County, Florida under the conditions set I brth above. APPROVED: 06/14/201 80it0'd • 1.IY '4.rAARA01 .vei l in/\ 1 £££££S6S0£ 01. 1 S0£ Froocisco), Ouint:Ina. R.A. Director Miami -Dade County Building Code Comptiancc OIIlct No 450001 1ps2000tt astrinenc set/puma w.vpatdaag Intorno( moil atlUress: p ater(q)buildineeoueontlne.eo I ) Henterat;c: blip:Jlwww.bullJln6eeGCOnlinc. cent n n r7<t ThfIT A.w LA, Mil A^. IT ♦ \I • ww .Iw • .. S3I "1ddf1S 000d8 ad 8T:60 £00z L0 6t7W *X Pal. ntn redacts, [nG. r n nrd, RQO.FUq ASSEMI3LYAPPROVAL cas n Roofing Root file Adhesive M1 ► ►Is: Polyurethane 1 . SCOPE This approves Polypro® AI.1160 as manufactured by I'olyfunm Products, Inc. to described in Section 2 of this Notice of Acceptance. For the locations when: the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roadies system using Polypro® A[ 160. Where the attachment calculations are done as a moment based system for single patty placement, and os an uplift based system for double patty systems 2 . PRODUCT DESCRIPTION Manufactured by AI rticunt Polypro® A1.1160 I'onntprot0 RTF1000 N/A ProPnck® 30 & 100 N/A 2.i Components or products manufactured by others: Any Miami -Dade County Product Control Accepted RoorTile Assembly having a current NOA which I ist uplift resistance values with the use of Polypro Al I ( GO roof tile adhesive, 2 . 2 Typical Physical Properties: Prnncrty Igt Density ASTM 0 1622 Compressive ASTTvI 0 1621 Strength Tensile Strength ASTM D I 623 Water Absorption ASTM D 2127 Moisture Vapor ASTM E 96 Transmission Dimensional ASTM 0 2126 Stability 80r80 larisza NIA • ''I1•T'ff^rn/rfW , town r £££££S6SO£ 01 t'8PEL6S S0£ ACCEPTANCE No.: 9J-0521 Test Specific - tInris PA 101 esuity 1.6 Ibsff .' 18 PSI Parallel to rise 12 PSI Perpendicular to rise . 2E PST Parallel to rise 0.08 Lbs./rt 3.1 Perm /Inch Approval Date: June 14, 2001 Es.piration Dntc: Mny 10, 7pOg 4.0,07% Volume Change a .400 R. weeks +(.0% Volume Change r) I tumidity, 2 weeks Product Desrfintion Two component polyurethane Dispensing Equipment Dispensing Equipment Frank Zuloaga. ItRC Product Control Cxarniner S3176:1119 0J41Jee 21 d iE : 60 LO eiCW Polyfoam Procluqs, Inc. .. ACCEPTANCE No.: 0t- 0521,02 Note: • The physical properties listed above are presented as typical nvernge value as dctermined by accepted ASTM test methods mid arc subject to normal manufacturing variation. .3. LIMITATIONS 3.1 girt classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 3.2 Polypro® A1d160 shall solely be used with flat, low, R high tilt profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AI root' tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AH160 rooftile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4 as modified herein. F z w 4, INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® A(' 160, 4.2 Polypro® AN 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein, The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide suflicicnt attachment resistance, expressed as an uplift based system, to nicet or exceed the uplift resistance determined in compliance with Miami-Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tilt assembly NOA 4 . 3 Polypro® A1-1160 rooftile adhesive and its components shrill be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Enc. Polyprom AH160 Operating instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction, 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component' shall be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to deliver 0.0175 tc 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® AN! 60 shall be applied with 1'oampro ItTF 1000 or ProPack® 30 & 100 dispensing equipment only, 4.7 PolyprotO AF•[IGO shall not be exposed permanently to sunit 80/60'd 3 • 1.rr • ' 1 .lnrtnv r rove. r r-1 n 1 ££2£S6S0£ 01 b6b62,6S SOE MS Frank Zuloaga, R.RC Product Control Cxaminer MLA} w. w a ..., w„ • w.. r .... .4 S3I7ddflS OD:Ride lid T2:60 £00ir 60 ddW c rt r� P1h Pol o, t Produ is r„ . 4:8 Tiles must be adhered in freshly applied adhesive. ,Tile must Oe set within 2 to 3 minutes after Pplyproe AH I60 has been dispensed. 4.9 Polyproe A}-1 i GO placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tiic prcf le requires the specific placement noted herein. Table I: Adhesive flocculent For Each Generic Tile Profile "I'il�l'coGlc Flat. Low, I(i •h Profiles (High Profile (2 Piece Barrel) Mat. Low, High Profiles 1 Flat, Low, KO Profiles J 5. LABELING Placement Single faddy Wright Detail Min. (grams) #I tl 1 All Polyproe AH 160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERtNttT REQUIREMENTS 6.1 As required by :he Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 •■%I•r e•••••■••• • ••••■• •,.-• £££££S6S0£ 01 bBPSL6S SOF. ACCEPTANCE No.: 01- 0521.02 35 17 /side on cap and 34 /pan 24 Two Paddy WciO t per paddy Mist. l (grams) N/A N/A N/A 8 Frank Zuloag:t, RRC Product Control Examiner S3I'ddfS 000'83 ad Sir : 60 £602 60 deA vnn fh 101Yfsbu1 PrnrfllCfS, ( t 1n II kit *mu, rill Puri lin Claire Filth an COWII in Nis? MM►b Urn I. I h 11an rap•l.i N1 llf1'OU1h /I1 /Ut camel Il�dalt�cm 11 )n. EA./ taint enr: "9 "'Uhl WM. i �l. Yp 11ih wasOic hi hoot mrs TitI • kNN4 E JNI •G.nt \ Y 1 In ♦ v Ike r/.Yh 44 di. I) Vl+ti Inluih eetih/ to ukh .1T to U tram 1nRtih Omar vieA.pnik II TWA tb.n UMW d, ?tau , Olub, 1t11n To 1 Is. Fain vI11G td11 d covv UM, Ton Irma / 6.116, aAl I1I DOtllil11y11. IfdI /111k11a1c 1 0110 :11 ; I: tit pallsn rho MI MUM 11 Md tall.,. at 110144. \ Nun v 16. i O 11t tetf dlL �VCAM YI IH., Cm claw' **OW* hick h Otuwl Oink, Ilo n/r trvislul Kip' dub :Jot Chem GM Clew' Gg crow Daly: \ \ len110Yti, , Ion 1ttthiln dMn d k y 80 /S0'd ACCEPTANCE No.: 01-0521.02 AD1•ll;;SIVE PLACEMENT DCT41L 1 SINGLE PATTY Ftddr O1�YIIh TCy 5 Prank Zuloabn, RAC Product Control Examiner £££££S6S0£ 01 b8P52,6S S0£ S3I 1ddf1S 0x1888 lid OE : 60 £002 L0 1ld14 nn re. P ronm Prod►cts Iuc. rttdt Wwhdt hvt doiuit Wiptgo 8O /PO'6 ACCEPTANCE NO.: 01- 0521.0z ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 6 •1N►'C111efAVJ vvn.Jt.mr £££££S6S0£ Ol b8b6LGS S0£ Frank Zuloaga, RRC Product Coucrul IX1inij r M.A. n.w •,m 0.10• mw... .... .. S3I lddf1S OD068 ? d 0E:60 £O0Z L0 atW MR 0'7 230 09119 FR BRPDCO SUPPLIES .■ ..“11. d.r. ...I VS. .V,. gp VC unroll IM3 nulturx3 lo.rnto0 Iznpo.) 1111 'onz Apo oiJno: sAto Apped • uslaAPQ APPed sibus suisigiststsvn umpew .us *in HIV% ippril sieuis town qtrt411i0i mioywmb........IOM.mmm,■•■..wr••Ir••■•■•M.w.MIOY.omr...••■•■.■••■■••••■••■••••••.••• z7 •ofr4 3DNIV.I.d3DON 305 5979484 TO 305953M AvA,ItvAa 4 0.03/08 apu Apptd o15114 R1J102 lArj WOO kir/ A.1.1,Vd 3111(100 E (1 .I.NOIA133Y1 d A IS311(1 iip.o■Ovrt IPPtd ntei 12 denim Appel Om wow in 3p5Cid liDA00 'Jill ill 1 WM57 { eon hi PoNfQathh Products, Inc. ACCEPTANCE No.: 01- 0521.02 I Renewal of the Acceptance (approval) shall be considered after a renewal application has liven tiled and the original submitted documents, including to t- supporting data, engineering documents. are IIQ older than eight (li) years, 2 . Any and all approved products shall be permanently labeled with the rnnnulict:rrcr's shame, LA.• state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of-this Acceptance. 2. Renewals of Acceptance will not bc considered if: a. There has bt.wn a change in the South Florida Building Code alTecting the evaluation of this product and the product is not in compiiance with the code changes. b. The product is no longer the sante product (identical) as the ono orisinally approved. c. If the Acceptance holder has not contphe w it h a the rcquirenicnts of this accCp;ancc. including the correct installation of die product. d. The engineer tvho originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession, 4. Any revision or change in the materials, use, and/or manufacture or th;; product or process shall automatically bc cause For termination of this Acceptance, unless prior written approval hos been rtxluested (through the Filing of a revision application with appropriate fee) and granted by this office. 5. Any oldie following shall also be grounds for ren1ovai of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement or any product, for safes, advertising or any other purposes. ri. The Notice: of number preceded by litt: words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature, if any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, Inhere it applies, shall bc prnvldL to the user by the manufacturer or its distributors and shall be available for inspection at t job site at all time. The engineer need not reseal the copies d, Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists oFpagz 1 through S. END Of THIS ACCEPTANCE 8020 ' d '1AIT'OVVIRAVJ 41TY.1J7'7A1 £££££SES0£ 01 t'8PEL6S S0£ Prank Zuloaga, RI4C Product Control Examiner n.n onn •.•., nn... .... .. S3I nddr1S OOQtj 8 dd GT : 60 MOE L0 8tiW Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) Test Location Uplift Pull Test(P or F) 1 I • . Po 26 p a, • 51 r ■ �, _ 76 2 27 52 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 83 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 - 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 �, 50 75 100 U.S. SOUTH Engineering & 'Testing Lab., Inc. 60167th Street, Suite B -23 • Miami Lakes, Florida 3301565 N.W. Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE PROTOCOL TAS 106 Project No 4830 SITE SPECIFIC INFORMATION Owner's Name: Jam =.- ki V EK tJ - Permit # i 2oo1S -- 1531 Job Address: Roofing Contrac or: Type of Tile: FIAT l t-r -7 ' 5 er Date Installed: 1 -03 3 Approximate Roof Height: 13 feet Roof Pitch: % l;,L Type of Access to Roof: Scaffolds Other Approximate Square Footage of Roof: i0e2 ft ✓ Ladder Required Testin Force: 35 lbs. Testing Equipment: Chatillion100 Date Tested - 2 6 TEST RESULTS P = PASS, F = FAIL IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REP / UBMITTED BY Civil Engineer: Lab Certification # 98- 0608.04 State of FL Certificate Authorization # 4100 P.E 4(q s /Z -z9 -p3 PRINTED BY: UNIQUE GRAPHICS: 954-484-9923 FAX: 954-484-9967 NOTES' SKETCH OF ROOF JOB -! 4X44OP4 SHEET NO. - L/OF /� 2 CONTRACTOR 06 l ` v ( DATE CHECKED BY SCALE 1 18 111111011111EPEDMOVIIIIINIIIIIIIINNEEN 10 m _ \`w omma a d m "dig ` em 1■ li11\61111'1 Erb! INMEN HAM 1 1101111111/17/11111111111ERMIEMINEEMEN 1111111111111110111111iiiiiiMANEW ‘ immuranireammumairmmuma■ 1 111/.7 i�r�r �►lr�r7i��'' PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 9 -17 -01 Job Address 1225 N.E. 101 Street Tax Folio! ) 305 D aC10 Legal Description all ('e--1=r7 e SPA AIL o wner /L essee /T enant John V -an Beekum Owner's Address 1225 N. E. 101 Street Phone 754-7861 Contracting Co. Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Qualifier Carlos Arocho Phone 751-0382 State# RC 0 0 5 8 6 2 7 Municipal# Competency # 1 7 8 8 9 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off small ,section of flat roof, tin cap base sheet felt install glavanized eave drip and mop on ruberoid bitumen. Square FL WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOt. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENIN 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 we will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICP 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 regulat: construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. )( Si a of owner and/or Condo President Date 1l / to FEES: PERMIT repair Notary as to Owner and/or Condo President My Commission Expires: RADON Historically Designated: Yes No MARYLOU HERNANDEZ MY COMMISSION it CC 680474 EXPIRES: October 10, 2001 Bonded Thru Notary Public Undeiwdters Master Permit # L( Estimated Cost (value) $ 1 , 2 0 0.0 0 ffi Signature of Contractor or Owner- Builder Date 0f/0/ Date Notary as to C6fitractor or Owner - Builder My Commission Expires: C.C.F. t� 0 NOTARY V - BOND MARYLOU HERNANDEZ MY COMMISSION # CC 680474 EXPIRES: October 10, 2001 Bonded Thru Notary Public Undenerltere APPROVED: Zoning Buil Mechanical Plumbing Structural Engineer Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name:QU.G, , �� 1<f�C�r�c� e D�1 } Job Address: l aaJ 1V ,. E- 0 50 e cJ ❑ (Low Slope Application) ROOF CATEGORY ❑ (Nail -On Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ' ❑ (Other) ROOF TYPE �� ❑ New Roof ❑ Re roofing ❑ Recovering M" Repair ❑ Maintenance ❑ (Mortar- Adhesive Set Tile) Flat Roof Area (ft Sloped Roof Area (ft') Total (ft a: r Master Permit No. Exposure category (per ASCE 7 -88): a Building Classification category (per ASCE 7 -88 table 1): Ft. D k type: Fastener T e: SPA F Id: Perimeter: Corner: DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as nee d) ARE THERE GAS VENT STACKS? YES ❑ NO ps TYPE- NATURAL ❑ LPGX ❑ ACHMENT 123.01 -78 4/99 Page -1 e Ventilation MEAN HEIGHT Deck type: z Underlayment: • Ins Talton: Fastener type & spacing: Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. 12" ROOF SLOPC (Pmaxl: X X (Aerodynamic Multiplier): ) - M (Pmax2: X X (Aerodynamic Multiplier (Pmax3: SA (Aerodynamic Multiplier): ) - M: SLOPED SYSTEM DESCRIPTION Cap Sheet: Roof Covering: TILE CALCULA N r = M M Drip edge: PCA: PCA: PCA: ATTACHMENTS REQUIRED I) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3 Municipal Permit Application 4) her Component Approvals APPENDIX "F" REQUIRED O\VNERS NOTIFICATION FOR ROOFIt \C CONSIDERATIONS r�s it pertains to Appendix "F" it is the responsibility of the roofing contractor to provide the owner �. itli tlt_ required roofing permit, to provide the owner with this appendix and to explain to the owner the content of titis form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) requirements and standards of the industry for roofing system installations. Additionally, the n I fol l lowin l g tl ite ms sho.tld be addressed as part of the agreement between the owner and the contractor. The owner's initial in here adjacent box indicates that the item has been explained. ,,T4) 1 . Aesthetics - Workmanship: The workmanship provisioits of Chapter 3; are for the p.irpose or providing that the roofing system meets the wind resistance and water intrusion performance standards Acs :ncttcs (appearance) issues are not n consideration with respect to workmati provisions. Aesthetic issues such ns color or architectural appearance, that are not part of n zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing \Yootl Decks: \Vlten replacing roofing, the existing wood roof deck may have to be renai'ed in nccordance with the current provisions of Chapter 29 of the SFBC. (The roof deck is usually conccalcd pr io: to removing the existing roof system) 3. Common Roofs.: Common roofs are those which have no visible delineation between ncighbori:tct units (i.c. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor end /or owner should notify the occupants of adjacent units of roofing work to be perforated. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof ,. 3 . viewed front p below. The owner may wish to maintain the architectural therefore, roo can b penetrations of the underside of the decking tray not be acceptable. The SFBC provides the theoption of maintaining il this appearance. S. Ponding \l The current roof system and /or deck of the building mar t cause water to pond (accumulate) in low-lying •�+ .. not dram well and may of the roof. Ponding can be an indication of structural distress and may require the review of n professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the o i;i;t:1! roo fin.4 system is removed. Ponding conditions should be corrected. G. Overflow Scuppers (wall outlets): It is required that rainwater now off so that the roof is overloaded front n build up of water. Perimeter /edge wnlls or other roof extensions may block this dis:har2.c if overflow scuppers (wall outlets) arc not provided. It may be necessary to install overflow scuppers in a :codan.e with Chapter 23 of the SFBC. 7. Ventilation: fvlost roof structures should have some ability to vent natural airflo'.'. through of the structural assembly (the building itself). The existing amount of attic ventilation shall not be redu:ced. I. may be beneficial to consider additional venting which can result in extending the service life of the root. 6"\I S. The owner may contact the Mianti•Dade County Consumer Services Department for info regnrding the above. 9 11W(30 Signature Contractor's Sii.;naturc MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed stale:.nent ur sue plans and specifications herewith submitted for the build ine or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores �'►Il.►gt , Florida, a►ul all provisions of the Laws n( the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the iuilding Divisinn of Mian►i 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. 82 none,/ Wald. 5n den D .a...- ..__... ..,_.„. „...__ Owner's Name and Address ..,..�,. „...._ _. No. .. ._ • _.. Street Registered Architect and /or Engineer Name and address of licensed contractor Obenouii ?vo�en� Location and legal description of lot to be built on: Lot mock l22 N. i �� Ion r0141 Si. _ Street and Number where work is to be done _ _... .. _. _ .. State work to be done and purpose of builds g (by floors) �/ 30 Zb. �e .f�, 1 -��tb. 4 e� gaty � .._.._._ glanit rtgA 'and wlt fe 9,Ze tit`e w „..•._.. „_.. _..._.. and for no ether purpose. New Building Remodeling Addition X Repairs No. fi Stories To be constructed of Kind of foundation R f Covering P F4 414.. Estimated Total cost of improvements $ /300 00 Amount of Permit $. 20, �� Zone cubage required Plan Cubage Distance .to next ne.uest building.. Size of Building Lot Maximum hve load to be borne by each floor 1 hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may • be sent to.. Disapproved Date. (Signed) Building Inspector nett m••• 7357 N. W. 33150 Notary Public. State of Florida My Commission Expires PLANNING BOARD DATE The undersigned applicant for this building permit does hereby certify. that he underyands and accepts his obligations as an employee of l.►hur under the Honda %Vork►nen's Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement, and h.ts complied ssith the provision% thereof , ►n , and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned urea to employ only such subcontractors, on work to be performed under this permit, as ue licensed by Miami Shores Village. Rem.trks (Signed)_.... ........ STATE OF FLORIDA, COUNTY OF DADE. I 11. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perweally 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..-C1.3-.Z--S o..J 3 .Z Date Y �- Read, Sworn to and Subscribed before me. Chairman Member Micrr.ber Member Member Member ...._ Council Approved Date Disapproved Date NOTE: A eh.irge of $1.00 will be mode for making correcilons or changes to this application after approval has hero obtained tram the I'L.rrnir.g Board. • A re.m fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty materials anu /or workmanship. /a J S7 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 8 — 6 — 9 8 Job Address 1225 N . E . 101 Street Tax Folio `1 ✓ g-6 5 • $ 2.5 - D��Q 1 bLi Legal Description `7 tbs. 45 K1$ S Historically Designated: Yes No Owner/Lessee / Tenant John VanbeejC Master Permit # 4 33 / Owner's Address 1225 N.E. 101 Street Miami Shores, Phone 754 -7861 Contracting Co. Quality Roofing Contractor, Inc. Address 13800 N.W. 1 Avenue Qualifier Carlos Arocho SS# Phone 751-0382 State# R C 0 0 5 8 6 2 7 Municipal # Competency # 1 7 8 8 9Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING. FENCE SIGN WORK DESCRIPTION Repair two (2) leaks on roof one on tile roof and 2nd on flat roof. Paint tlat root with a uniform coating of aluminum roof paint. Square Ft. Reapirs Estimated Cost (value) $ 750.00 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. P,,_...., %..e.,.._. tary a er .; ,, �`� � r};tt sent Date , y Corm ' � � SIC .S'TATTOF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR 1 FEES: PERMIT RADON )(Building Sign Mot w I to lab 0 owner sal and/or l � reside� 6 at 3 e V � , � r / / , 1 �i . . ►, m -1 r Owner- Builder 04l1'�'t4,-. MARYLOU HERNANDEZ� r,•r M? '. i;r. „ ^..;.r v CC RRC1?r. y , � i i T3 Cf.Pth::: rt ��•Y, „m \Y�`` OorAlcL 7rOU i,Jtary Public UndoI+ft gB 9/419/ Signature of Contractor or Owner - Builder ate C.C.F. 610 NOTARY APPROVED: Zoning Mechanical Plumbing Date TOTAL DUE 60 iltftrical Engineering Permit No. Disapproved (Signed) STATE OF FLORIDA COUNTY OF DADE. J SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Mrs. Snyder No. 12 2 5 N . E Street 0 1 street Registered Architect and /or Engineer Name and address of licensed contractor O b e n OUT Roofing , S h e e.. t Metal & Supply Co. 7357 N.W. Miami Ct. Miami, FL 33150 Location es / and legal description of lot to be built on: �g Lot 7 T fI I V Block f'� Subdivision, 20 g 1 / / LicA t f °f ' v P I , Street and Number where work is to be done 1225 N / . E st Street State work to be done and purpose of building (by floors). state exterior colors (submit samples) Reroof entire tile roofing only anti install new white tile roofing. 40 sqs. and for no other purpose. New Building Remodeling Addition Repairs r e r O 0 f No. of Stories 1 & 2 To be constructed of 1-30,1-90 Kind of foundation w O 0 d : Roof Covering Estimated Total cost of improvements S 12, 600.00 Amount of Permit $ 40.00 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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to 7357 N.W. Miami Miami, FL 33150 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this . 't: 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 ees to•oy only such • t . contractors wor to be performed under this permit. as are licensed by Miami Shores Village. Remarks (Signed) Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared James D. Ohennur and who, being by me first duly sworn. upon oath deposes and says that he is the C n n t r a f'_ t n r of the above described construction, that he has carefully read the foregojng application, and that he ji4 sign the same. and that all therein by him stated are true. Building Inspector Date Read, Sw and Subscribed _before m PLANNING BOARD Date September 6, 1 989 t1±e to me well known. Date Notary Priblic. State of Flor4da My Commission Expires Notary Public State of Florida Ittpinmission Expires Feb. 18, 1993 Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building - y- Architect Contractor or Builder Legal Description. Lot PERMIT IT? 13378 n • Work to be performed under this Permit Address o f Value of Amt. of Building / ;../:' Project $ e i f. , -•` Permit $ 7 ; • � .., 'This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application 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 responsibility for work done by his agents, servants or employees. k. r J�.. .� . 1r BY vr.J .0 -'� INSPECTOR In consideration of the issuance to me of this permit I agree to perfbrm 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 responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER B1. Signed: Subdi- vision DATE 195 Contractor's License No Permit No Disapproved ( Signed) l ' A ( L MIAMI SHORES VI .LAG E 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 !7 _ <____U. r re) No l7 P 6 0 street._ _N d. r. Registered Architect and /or Engineer J Name and address of licensed contractor _ oci . . 1 3 77/e4 4 /t/ d" Co. r/ nw. w. 2,4 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1 . 5 /Nt t • .10/4a Si. State work to be done and purpose of building (by floors) 77/c„ /cr 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 $ //‘ A ' Amount of Permit $ 7. 00 Zone cubage required Flan 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 inspec ion on the site of the w such public notice or notices as are required by the Act. The undersigned agrees to employ only such s . on , a for on work to be 1 •,erformed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. v 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 fact therein by him stated are true. Buildin ns ector < My Commission Exr Date_ BUILDING INSPECTION DEPARTMENT E n Read, Sworn to and Subscribed } -fore me. e of Florida .............. Notary Public, S'• (Signed) PLANNING BOARD Date L c# �x -BATE 19 Chairman MemMember `-----------•-------------------•-•-•---•-•-------•---•------•- Chairman ber - - - - - -- - -- --- - - - -- ...... Member Memb - •--------• -•••• - Coun.' Approved Date Di � - - -------- • - __ - __. - Dat e ages to this application after approval has been obtained from t e Planning Board. NOTE: A charge of $1.00 will be made for making corrections o is made necessary by improper notice for inspection or faulty A re- inspection fee of $1.00 will be charged when such re -i materials and /or workmanship. e MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date_.._ ., 19 Owner's Name and Address Pale Killer No 1225..11.4- _.FStreet 1O3.et St. Registered Architect and /or Engineer Name and address of licensed contractorRra.Cly..__RQOfi ng__ &_.fheetJ7e_ta1 Inc_. -295 Location and legal description of lot to be built on: Lot _ Block Subdivision Street and Number where work is to be done 1225.11_._.E_.._iQ1st___Street State work to be done and purpose of building (by floors) Reroofing and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering.__ 30,90-shingle Tile Estimated Total cost of improvements $..2750_6_0_0 Amount of Permit $...9..00 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 th site of the work such public tice or notices as are required by the Act. The undersigned agrees to employ only such subcontractor , on wo . be performed .,• r this permit, as are licensed by Miami Shores Village. Remarks_ -- -• -- — — - (Signed) Member ._ Council Approved Disapproved Dat (Signed) Building Inspect Member Date Disapproved Notary Public, State of Florida My Commission Expires__ PL 'NNING BOARD ___. DATE Chainnan _- _ _ Member Member Member 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 _s sltated are true. Permit No.___.L_(" 3 Date . (C4-6 Read, Sworn to and Subscribed before me. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.