321 NE 100 St (6)Date
Type Insp'n
Permit No.
Name
Address
Company
Phone #
For Inspector:
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
o
Re- Insp'n Fee ❑
Time
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n
Permit No.
Name
Address
Company i< _-'
Phone #
For Inspector: 0; Name &
Correction
Re- Insp'n Fee
L
pproved
o
o
0 3�
I./
Dat
Approved
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Insp'n
Permit No.
Name
Address 3 1 Cr ` C. / D
P
Company
Phone # O S � 'S '` 0\\ D—Th
For Inspector:) 1 L ° flame & Date
Re- Insp'ri Fee ❑
k
C6 t L 7/2c v r-
/ Al -e- "
Tie Ta
S
4 r.s' Pr. 61
Dat
Type Insp'
Permit N
Name
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Re- Insp'n Fee ❑
Address 3 ;
Company,_
Phone # 3 oS- ( V
For Inspectoa P4
7
Appro
Name ate
j' 7 � C
c, 1 •• - •••■•
or
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date11 / /Y)0 )-Time
;;/
1 iDOJAN'
J \
Phone # 3 QS - 'b ? (I ■ � a
For Inspector: ) I ` C Name Date
Type Insp'n
Permi
Name "
Address ` ,
Company
Approved
Correction
Re- Insp'n Fee
Phone #
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Type Insp'n
Permit No. \1-31
Name �jrk .tt
Address 3 I .� )12 j2k____
Compad �t/t� O I �
3cS— Ln-v�jS
For Inspector:` t i 1 Y (t &jame
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n LLD l
Permit No. 7 D
Name /Y1A ,ctk
Address T c . E I D h
r
Company -u
Phone 7 O ( 10�
For Inspector: 1/ /1/ 1) Name : to
Approved
Correction
Re- Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Permit No. f /36Z- 3
Name
Address / LO L
Company /
Phone # )
) Name
Correction
For Inspector:
ApproveQ' ct
Re- Insp'n Fee ❑
—° Company
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
. 35- 795 -2204
Building Inspection Request
Date Time
Type Insp'n iC.Q/ �a�j 1.44
Permit No. ) (9O " • 3
Name
Address ; 3 f ' Y : /0064:
&oat
(g5 ' 9
2 02_,Name &
Sri
CONTRACTOR
Name A11 } r N < , y p, f omQ_1
License No. V - 00 Pit t`c,
s
t �UO ‘.)u..) CoC -IC
t..),rosr.nn► c1
Telephone (`\ (off 04(Z Way _C {S so
t �
?)) DOLE
f Qualifier Name F ) .--5113,120:J
PROPERTY OWNER .
Name 0,
1..k(5 y.410
Address
'?c 1 K. 1°354--
Home Telephone •`
Business Telephone
Fax
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
Page 4
OFFICE USE ONLY
CIIECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ FIRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
I 1 1 ')2-'
(Xq..ftt. = x/1000
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
PERMIT APPLICATION
O CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2 AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step I.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: 3D 1 4 E.. 00 &r
Address
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Apt.
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No. 69- COD.: 23
Subsidiary Permit No.
1-1\ rni 7hOeP3 F)
City State
PERMIT APPLICATION
Zip
Folio Number II 320E3 0 l S?15O Description Q. of Work Q Foot exists ( C4 ROb
Lot Block C adds t �n
Subdivision ``�� PB PG Zoning Linear Feet
Current Use of Property 095kaD o\-i it Square Feet 2)1 ,_itiklif Units Floors
Proposed Use of Property _ ____ 0}\ C_1 Value of Wor41 01 1500 .0 Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address •
Telephone
Fax
ELECTRICAL
"FvI'P.
Minimum Fee
()Ty.
Tll'I.
Dryer
()"1'1•.
TYPE
Outlet, Appliance
Q Y.
"1
Service Repair
QTY.
A/C Central 1 -3 Ton
Cooling Tower
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Paint Booth
Fire Pump
Ventilation, Cost
Outlet, Switch
Air Handler, Tons
Signs
Ductwork, Cost of
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
Process/Pressure Piping
A/C Central 16-20 Ton
Fixture Light
Bath Fan - Vented, #
Parking Lot Lights
Fireplaces, Number of
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
IIECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
QTY.
Tll'E
Refrigeration, Tons
QTY.
A/C Central, Tons
Bath Tub
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Filter Replace
Ventilation, Cost
Pool Piping
Air Handler, Tons
Sprinkler Repair
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Cap - Water
Gas - Appliance
Bath Fan - Vented, #
Pump, Domestic
Fireplaces, Number of
Pressure Vessel
Cap - Sewer
PLUMBING
.11. Pt,
A/C Condensate
QTY
7
Drains, Roof
()Ty
T1.1,1•'
Miscellaneous Fixture
QTY
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 2
PERMIT APPLICATION
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FL • RIDA, COUNTY OF MIAMI -DADE
Print Name
Sworn to and subscribed bd'"'%e9Ntna Hue day of
• * * My Commission CC896557
%..0' fires Ceoe r 19, 2003
Signature of Notary Public - State of Florida
SEAL:
STATE OF FLO
Signature of Contractor
Print Name Cry
Sworn to and subscribe** '
14.,,,e Expires Decembw, 19, ZXKI
Signature of Notary Public - State of Florida
SEAL:
Personally known OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
APPENDIX "F"
REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS
As it pertains to this Appendix "F it is the responsibilhy u t n dix rooting [, this roofing permit, to provide the owner with this pp and to explai n govern to the owner the the cotttett content of of tutu
•
form. The provisions of Chapter industry `h South
roofinol Building ( \ddi the following hems
requirements and standards of the for o
should be addressed ns part of the agreement between the owner and the contractor. The owner's initial in the
adjacent box indicates that the item has been explained.
. Aesthetics- Workmanship :. The workmanship prosions,o�c Chapter 34 performance for tpurpose
rd of
pro
p roviding that the roofing system meets
v � the wind resistance c issues
Aesthetics (appearance) issues are not a consideration that are not
" part o
ts a zoning code, slto ► u P d p be�nddr addressed s►s part of the stsuch as color or architectural appearance. P rt
agr , rtcnt between the owner and the contractor. iled
. Renailing Wood Decks When replacing roofing. the existing wood roof
k deck
ma co a rena to
- in accordance w cordance with the current provisions of Chapter 29 of the SFBC.
em •,vi the existing roof system)
� I Common !toots: Common roods are those which have v cn n between
units .�i.e. townhouses, condominiums, eta.). In buildings with
with
sl oul • notify the occupants of adjacent units of roofing work to be performed.
4. Exposed ceilings: Exposed, open beam cci11instheare
ar architectural appearance. therefore, c roJfing t, natl
Viewed from below. The owner may wish to maul provides the option of maintaining of the underside of the decking ma) not be acceptable. The SFBC p
this a ran , e.
ay
PJndino Water: The current roof system and/or n
strucell .and
cause water to pond (accumulate) in low areas of the distress and may require the review of a p' ,
tofesSional structural engineer. Ponding may shorten the life
• and erformance of the new roofing system. Ponding conditions may not be evident until the origiti;�
expectancy P
roofi�tt; stet i is removed. Ponding conditions should be corrected.
.
, Overflow (wall outlets): It is regiiired that rainwater flow~' cuff so that the roof is not
overloaded from i P p p
o�rl� [loin ld u
t a build u of f
if
water. Perimeter/edge walls or other roof e thtlsovcrflo�ti sc ions may n
overflow scuppers (wall outlets) are not provided. It may be tnecessary tot s a
with C er 23 of the SFBC.
' ation: Nlost roof structures should have some ability to vent natural a it shall of gh thtduc interior r attic oft
...Ventilation:
of the structural assembly (the builuiI;`ittin 'Iticlt .exisiing
trot of
d' �: the service life of the roof.
gay be �ct� ial to consider additional S
he hliami•Dadc County Consumer Services Dcpartnv:nt for further
, The o �� owner ma • ) contact the
information regarding the above. •
Ar
t):i tc
tr
R •-of System
Required Sections of the
Permit Application Form
°,ttachments Required
See List Below
Low Slope Application
A,B,C
1,2,3,4,5,6,7 •
Prescriptive UR- • \ S 150
• A,B,C
4,5,6,7
sphaltic Shingles
A,B,D
1,2,4,5,6,7
Concrete or Clay Tile
A,IB,D,E
1.2.3.4.5,6,7
Metal Roofs
A,B,D
1,2,3,4,5,6,7
Wood Shingles and
Shakes
A „D
1,2,4,5,6,7
Other
As Applicable
1,2,3,4,5,6,7
1.
Fire Directory Listing Page
2.
From Notice off Acceptance:
Front Page
Specific System Description
Specific System Limitations
General Limitations
Applicable Detail Drawings
3.
Design Calculations per Chapter 16, or If Applicable, .' . 127 or
RAS 128
4.
Other Component Notice of Acceptances
5.
Municipal Permit - ' >pplication
6.
•wners Notification for Roofing Considerations (Re-Roofing Only)
7.
ar; ny Required Roof Testing/Calculation Documentation
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
INSTRUCT
C• PLETE THE HECESSA Y SECTD S 1 F
THE UMFOR li ROOF MG G PER T
PPM M FIRM AND ATTACH THE
REQU RED IOCLfEHTS AS M'ITEED ESEELO
ATT
PA G7
CHME TS REQUIRED:
Sketch Roof Plan: Illustrate ail evels and sections. root drains- scuppers, overflc • scups is and overflow drains, include iirnersons
of sections levels, dearly id, =ratify dimensions of elevated pressure zones. arM location of parapets.
Perimeter Width (a'):
I Corner Size (a' x al_I
( '
I
--
• ' 1 . I .
1 ( 40 o ' 1 -; i I ■
1 - 41P27B1a l 1 • i .,
4,
: . 1 Mbx. WNW',
_. I
1 i t � l•I .
i
NM
:
—
r. NI
, j
_1__L . I
n 1
r 1
• 1 •�
1_. • i' i�_
_ . - - 7 — • I I
r—'
—
I 1 ' 1
,
I 1 1. I �
L
,t _
f 'TM
• -'•1'
, 1
.. i ,
.1
.
_ . tam!
I
' 1 6-V
1 I I
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MWM1 - 3AOE COUNTY BUILDING D=PARTk1ENT ELECTRONIC APPLICATION
Master Permit No
16 R. 2002 - \32.3
Contractors Nam:
Section A (General Information)
Process No.
Job Address:
1 9/2 ‘%i-2, r c I -n *-- 1•*_. 005 I-
r� Roof Category
1 Low Slope
Mechanically Fasa:ned Tint Mortar /AdteSive Sx Tie
I Asphaltic Shingles I Metal PaneUShur,Ees 1 Mood Sturgles/S1 s
r
E Prescriptive BUR -RAS 15:i (- Other
tR oof Type
g New Root 1Re- Reo(ng E Recovering P Repair 17 Maintenance
Are there Gas Vent Stacks located on the root? Yes ( Na Of yes, west type? Natural tJ SX
Roof System Information
Low slope-roof area (tt 71 1 1 3(p Steep Sloped. area (tt') I. ■s6 4
Section B (Roof Plan)
Page- 2
Total (tt'), (000
Fill in Specific Roof Assembly Components
and Identify Ulanufacturer
t'f a con is not used, Identify as 'NA')
System ..Manufacturer GAF Ma Y a- i a' q r'n r p
NOAtvo: 02 - 0408.09
Cesign',Vir.d Pressures, From RAS ;s? or Calculations:
Pmax 1' - 5 2 Prnax2: - 8 7. 3 P -ax3: -131 .4
Max. Design Pressure, From the Spec fic NCA
System: - 5 2 . 5
Deck
Type. Wood
GaugeTThicicness: 3 rr
Scce: ''a . 12
Anchor Ease Sheet & No. of Ply(s):
Florida Building Code Edition 2002
Nl h Velccry Urrlorm Pern4 aoGlrcatten Form
Section C l Low Sio •ed Roof S , stem
Face 26 ga
Anchcr :Ease Sheet Fastener /Bonding Matenal:
!r.suiatxr, Base Layer:
Ease ;rs..;al :cn Size and Thickness.
Ease Ir.s : :cn Fastener/Bonding Ma erial:
Top Insulation Layer..
Top Insulation Size and Thickness
Tcp Insulation Fastener/Bonding Matee^al:
Ease Sheets) & No. of Ply(s):y �� - -1 a s
75 Base Sheet
Ease Sheet Fas:ener;5ondirg Maier a
11/2 " Rinq Shank Nails
Corrotion resistant
=:y Sh.ee :,s:..3 No of Ply(s): 2 P l ;, e s = f g &
Ply IV
P'y Sheer =as :ever ;Ecndirg Mater•a.
Hot '•`.cooed
Tap Py Gafglas Mineral Surface
Cap Sheet
Top P:y Fastener! Bending Mater :ai
. u
Surfacing
Fastener Spacing for Anchor /Base Sheet
Attachment
Field: 9 ° oc @ Lap, a Rows 2 @ 9 ,° oc
Penmese.r. • oc Lap. t7 Rows` @ 6 -
Corner 6 ° oc @ Lap. i Rows 4 @ 6 - oc
Number of Fasten -r- Per Insulation
Board
Field
Perimeter Ccr'.e
Illustrate Components lltoted and
Details as Applicable:
Wooclacking, Gutter, Edge Termination,
Stripping, Flashing, Continuous Cleat, Cant
Strip, Base Flashing, Counter- Flashing,
Coping, Etc.
Indicate: Mean Roof Height, Parapet Height,
Heist''. of Base Flashing, Component Mater'.at,
Materal Thickness, Fastener Type, Fastener
Spac.g or Submit Manufacturers Ceails t ^�
Carnp/ with RAS 111 and Chapter 16.
Ono Pty Mineral Surtaco Cap Stt•ot '
ltiot Cloppod
2 Piles GAF
S Per rtr tioz
:One Ply GAFGLY.S a 75
Base ShootFaaLoocd
Flashing
'1, a ocl
/
v
;2 Plies Strips 9 "x72"
on top on Drip
W obd Jl
'3x3 0,E 2E ga
r Cant Strip
has nog: C
Roof Slope: 1 "/12"
Roof Mean Height: I
Ridge Ventilation: IN /A
Method of Tile Attachment:
Adhesive, Large Paddy Polyfoam Po
Alternate Tile Attachment Method:
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
D
Clip Spacing for Metal Roof Panels
Field: 1 -- Perimeters: r Corners:
Perimeter Width: 1
Section D (Steep Sloped Roof System)
Sloped System Description
Deck Type: 1 5/8" Plywood -1
Alternate -Deck Type:
(
Page 4
Underlayment type:
IASTM D 226 Type II #30
Insulation /Fire Barrier Board:
1N /A
Optional Nailable Substrate:
1N /A
Fasteners:
1 1 1/4" Corrotin Resistant
Cap Sheet Type /Adhesive Type:
ASTM D
Roof Covering:
1Altusa "S" Tile
Roof Covering Attachment Method:
IPolyfoam
Drip Edge Size
ace 26 ga.
Drip Edge Material Type: 1Galvinized Metal J
Drip Edge Fastener Type:
13 "x3" D/E 26 ga
Hook Strip /Cleat ga. or weight
N/A
Pauc I of I
http: / /www.co. miami - dade. fl. us /bldg/roofing_permiting/section d 3.htm1 3/28/2002
Roof System Manufacturer: IALMAR (USA)
Notice of Acceptance Number: 1 99.1 102.04
Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations):
Pmax 1 :1 Pmax 2:1 Pmax 3:122.21
Maximum Design Wind Pressures, (From the PCA Specific system): 166.5
Roof Slope: 1 "/12"
Roof Mean Height: I
Ridge Ventilation: IN /A
Method of Tile Attachment:
Adhesive, Large Paddy Polyfoam Po
Alternate Tile Attachment Method:
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
D
Clip Spacing for Metal Roof Panels
Field: 1 -- Perimeters: r Corners:
Perimeter Width: 1
Section D (Steep Sloped Roof System)
Sloped System Description
Deck Type: 1 5/8" Plywood -1
Alternate -Deck Type:
(
Page 4
Underlayment type:
IASTM D 226 Type II #30
Insulation /Fire Barrier Board:
1N /A
Optional Nailable Substrate:
1N /A
Fasteners:
1 1 1/4" Corrotin Resistant
Cap Sheet Type /Adhesive Type:
ASTM D
Roof Covering:
1Altusa "S" Tile
Roof Covering Attachment Method:
IPolyfoam
Drip Edge Size
ace 26 ga.
Drip Edge Material Type: 1Galvinized Metal J
Drip Edge Fastener Type:
13 "x3" D/E 26 ga
Hook Strip /Cleat ga. or weight
N/A
Pauc I of I
http: / /www.co. miami - dade. fl. us /bldg/roofing_permiting/section d 3.htm1 3/28/2002
Mean Roof Height
in Feet
15'
20'
25'
30'
40'
Roof Slope
1
- 1
1
1
. 1 1
2:12
30.7
33.4
. 35.7
37.7
40.7 1
3:12
28.7
31.3
33.4
35.2
38.1 I
4:12
26.6
28.9
30.9
32.6
35.2
5:12
24.5
26.7
28.5
30.0
32.5
6:12
22.5
24.5
26.2
27.6
29.8
7:12
20.8
22.6
25.4
25.4
27.5
High Velocity Hurricane Zone Uniform Roofing Permit Application Form
MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION
Section E (Tile Calculations)
For Moment based tile systems, chose either Method 1 or 2. Compare the values
for Mr with the values from Mf. If the Mf values are greater than or equal to the
Mr values, for each aea of the roof, then the tile attachment method is
acceptable.
Method 1 "Moment Based Tile Calculations Per RAS 127"
P 1:147.6 x A 0.274 _ M 5.35 = Mn: 1 7.69
P 2:1100.6 x A 10.274 - M 5.35 = Mn: 1 22.21
P 3: 1(50.6 x A 0.274 - M 15.35 = Mn: 1 122.21
NOA Mf: 66.5
NOA Mf: 66.5
NOA Mf: 166.5
Method 2 "Simplified Tile Calculation Per Table Below"
Required Moment of Resistance (Mr) From the Table Below: I NOA Mr: 1
Mr Required Moment Resistance*
*This Table must be used in conjunction with a list of moment based tile
systems endorsed by the Broward county Board of Rules and Appeals.
Page 5
littp://www.co.miami-dade.flusibldg/roofing_permiting/section _e_3.htm .q/n).5
I'a�e l or I
3/28/2002
= bFAz
MII
OUILDL,C CODE COMPLIANCE Os'fCk (t3CCO)
PRODUCT CONTROL Dtdtejo
NOTICE OF ACCEPTANCE NOA
GAF Material Corporntiooa
1161 Alps Road
Wayne, NJ 07470
SCOPE:
This NOA 1a being lamed older the amble rules and regulations governing the use eagatztr.ct, atagauis.
The documentation submitted has been reviewed by the l3CCO and accepted by the 8
Revie't�r Coantstittee to be wed in Miami Dade County and other areas where allowed by Ante y and
Jurisdiction (Al -U).
This NOA shall nut be valid after the epiration date Mated below. Miami -Dade Coy Produst Control
Division (In Miami Dade County) and at the A)-IJ (in areas other than Nfiasnt Dade Comity) reserve the ri{:ht to
have this product or material tested for alu'ality Ica; ptposes. If this product or
the accepted manner, the rxanufacttliea will incur the material A.1 Pails i ly
revoke modify, rtaz of such testier a the q�yJ z):57 i1�ediatglq
ify, or sesp the use of such product or material within their jurisdiction. BORA r vca the rim
to revoke this acceptance, Li' it 13 det mined by Miami -Dada County Product Control ll?aeisico that this product
or material fails to meet the reluiientenis of tin applicable building code.
This product is approe-e4 as described hem and has been designed
Zone of the ]Florida Building Code. comply anti the ]Dpi �'eloc Hurricane
C TION: GAF Ccieveztioaral i) -tip Roof Systc f Wood Deck
LABELING: Each unit alai] bear a permanent label with the manufacturer's name a or loc3o, city, taste and
ioilowtng statement: "Miami -Dade Count) Product Cmataol Approved ". unless other d ha eal
RENEWAL of this NOA shall be considered after a renewal application has been filed as:.l th has bee no
change in the applicable builetiatg code negatively erecting the performance of this produc
TERMINATION of this NOA will occur after the expiration date or if there Has been a vision or change in the
m.tenals, Lase, and/or manufacture o f the uct or
� process. Min= of this NOA as an ender-semi= e any
product, foe sales, advertising or any other purposes shall automatically terminate this NOA Failure to comply
with any section of this NOA shall ba cause for termination and removal of NOA
ADV RTISEMENT. The NOA number preceded by the wosdss lviiarni -Dade County,
the expiration date may be displayed in 1& icrtising literature. If any portion of NOA is d� yed
shall be done in its entirety. - , then ii
LL'SECTlON: A copy of this entire NOA s! all be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the jsb site at the request of the Building Official.
This NOA consists of pages 1 through 21.
The submitted docurne- station was reviewed by Frank Zuloaga. RRC
r +Y 23 2002 22:45
:
�91A.CTl.nA.o£
COUNTY. FLORIDA
METRJ -C.ADA FLAG:-E13 gt..11..CNO
la0 WEST FLAG:LER STF.EEY, I60J
4a9L
FLOD1 DA 3J1J -1353
(3051 I-5 FAX 1305) 3
NOA No: 62 -O.O9
Ea pi ratio:1 Dare: 11,C34,113
Appro l Dote: OJ13JQ2
PageIe12
Fa are= n .
oo2
ROOFING SYSTEM APPROVAL
Cilegory
Sub Category:
Deck Tvpe.
�lraxiFZSdm D��ra re
Fir Classification:
TRADE NAMES OF
Product
(.iAFF Asphalt Core (.g
!'times (MatrizTh 307
Plum)
GAF Mineral ShleldFv
Granules
GAF WeatherCoatQ
Emulsion (MatrixTM
Fibered 30S Emulsion)
GAF Premium Fibered
Aluminum Roof Coating
(Matri.T 4 System Pro
Aluminum Roof Coating
Fibered 301)
GAF Jetb1 ck All
Weather Plastic Cement
( latnxTM Standard
Wet,Dry Roof Cement
204)
RUBERGEM Modified
Bitumen Flashing
Cement
Jet black Prsmiurn
Flashing Cement
GAFGLASID 4 75
GAFGLAS 7430 Ultima
Base Sheet
GAFGLAS Flux Ply' 6
23 2022 22:43
::5
R =Eng
13UR
Wood
See General Limitation d I
PRODUCTS MANUFACTURED OR LABELED BY APP'L1C,Nr:
TALE I
5, 55 gales ASTM D 41
601b. bags AS77 D 1863
5 gallops ASTM 1227
1. 5 galiam
39.37"(1 )
wide
39.37 "(1 rnrZQ)
wide
39.37"(1 riser
wide
Ttzfft
59 _-
- = d.:: 9.?9
Pinadttrt
Asphalt concrete Fin= to Porto
ad.heaion of asphalt in built-9 roofing.
Granules for sic. iztg of exposed asphalL
cold process =anent or emulsion. GAF
Mineral Shield® Granules tall be treed for
flashing appliratios:s only.
Surface coating for 211oo1h aziaced roafi.
I, S gaflov ASTM D 2824 Fibered alums ;Gating.
ASTM D 3019 Refined asphalt blended eritb a taainearal
ASTM D 3409 stabilizer and fibers, Permits adheslort to
z t and dry aurfa:,es.
5 gallons ASTM D 4586 Ault Dishing Cep
P.3t 12
5 gailons AST/kelp 4514 ga reinforced. ?alp= so e4 FlAshing
dent
AST7v1 D 4601 Asphalt arlprcgnated and crate_ glass mat
base shoes.
ASTM D4601 As -.halt impregnated and coated, fibeaglass
base sheet
ASTM D 2178 Type VI asphalt impregnated glass felt with
asphalt coating.
• OA No: 92- O400.09
Exparatiea D : 11/3441:1
Approval : 05l23/o2
Pxge2c( 1
Far
Deck Type I Wood, Non-insulated NV Canarruction w Rereo(
Deck Description: ' ; ur greater piy,auod cat cPcio4 plank dc-du
System Type E (I): Base sheet atechamea!ly fatnerted.
All General and System Limitations e.ball apply.
!IQ- 23 222 22: S6
Base sheet: GAFGLAS 420 L'liti€;sarm lase Sheet, STRATAVENTO El to Pttarnted
�lnilable, RUBEROID Ma ed Basle Sh, RLBEROM 20, RUBEIOID
SBS Heat-Wet:Pm Styli er RCfE$O SBS Heat-Wahl 23 Darts e 1
mechanically fattened to 41=k rna deccaeal b ,
Fastening Options: GAFGLASO Ply 40, GAFGLAS Flex Myra 6, GAFGLAS d75 Base SIlt or
any of above Base silets nt ct ed to deck critb n ntfkir ring tC
mils z tin ens : + at a fad 9acing of 9° o.c. ffi the lap tlaggered and is two
eoe>a 12° o.c in the tad.
afax.iia=2 D¢saga -4?S ppf, Sae Gerd t 02)
GAFGLASO Ply 43. GAFGLAS Flex Ply 6, GAFGLAS C75 Base SLreieit or
any of above Bate s ate to deck with Drill-Tec (GAFTTTT) tJ 12 cc
414 Screws and 3" Platen, 12" o.s. is 3 rota. O, a row is in the 2" side ..•,'.
The other rouin are ecrinnly spatod approximately 12" o.c. tlz Said of t1
2beet. (Mazis a D a use -45 pi, See t;r acad L1r
GAFGLAS Flex P1pr= 6, GAS 175 Ban SIzet or arty of nI
ras attached to ds°ck t7iett approved a iinbr ring stunk rails and tin cif at a
fastener spacing of 9" tke 4" lap stawkod and ist t •o 9° o.c- t>te
field. (kf xin a is Pivzsare -12ip f, See CrterreFoiLirthatiem 0
GAFGLAS 3 7 5 Bags Sleet any of above Base recta attached to deck ai th
Dri l I - Tec (GAP t 11 rt 12 as g 14 Screws and 3" Plates, 12" o.c, in 4 rola:a_
One row is in the 2" aide lap. TIN other rows are equally traced approximately
ely
9" o.c. in the field of the s
(Marie new -p f , See Geaalai Li.ecititpa d 7)
Any of above Base eats nriacictd to deck approved annular ring shank as ila
and 3" inverts Dill -Tcvs (GAFFE) m motes at a faslerser spa :u of
9" o.c. at the 4" lap claagercd in two rows 9° in tin field.
(M Dexigo Fxsscr - Sea Gazard [ V?)
GAFGLAS d75 Bash Slmet err ay of above Base disets attached to deck c
Drill-Tee (GAF TNE) 012 tar d14 Screcra and 3" Pkteri, r o:s ea 4 ro t
roe/ is is the 2" tide 1api The eller rows are erilialty weed aisTaviziamtely St°'
o.n. is the field of the s
azi. ~ Va Dr sva -75 , sf, Sae Gzaarcl Lai o C 17
Ply Sheet: One ca tea Film of GAFGr' p PLY 4 0, GAP ASO PLY 60 ply sheet,
AISO L�ttiarsa, RUBEROD MOP Smolt or RLBERO D 20 adhered in a full
moppmg of approved aphaft applied within t EV range and at a rate of ?0-
40 lbsL:s43.
Cap Sheet: (9 fin -1 One ply of Mineral a Surfaced C
� ) p y r p Sleet adhered in a
full mopping of approved asi2zNalt applied within the EVT range and at a rate of
20- 4011a.rsq.
OA So: o2- 04B£109
ptrztlea Date: I 110414 3,3
Approval Date: 0512-342
Pot.o 13 oK21
• .. ._z: 20U.. 1 , - -
_r
Surfacing:
Maximum Design
Presstare:
(Required itno cap sheet is wrs¢) Install cos of thz 5Cc— .
1 GAF Special Roofing Bitarnert t th ran applicatizn rme. of 20 Ibs rva with an
application rate of 1.5 gal./t`q.; or GAF &EATS COATS) Emulsion
(Matrix 305 Fibered Emulsion) with as appli ram of gnl.irq.; or
GAF Premium Fibercd Ahnsairuatt Roof Coates Nateme System Pro
Alit: mom Roof Coating FO=erl 301) cnth ar appticaion rate of 1.5
gal I.
2. Asphalt flood coat r3 an application rats of 60 Rez.isq, : 217%; plus gravel ca
slag with an application rate of 4. 1h. cq. Q 300 , respectively.
3. Top Coat Stzdace Seal SB aviatrix 6=02 SD Cit. }, Top Coat Phri
(Matrix 713 '..f; Ceatitisl, GAF it aat:Co Q r W L. -VCC
app]i ,: at raka of 1 - 1.3 ON.
See Fanteair'ig Above
roar 23 20&3 22' 57 e._
OA ,4o: 132.040g.09
F stio Date: 11J3310.3
Al,.rovrl Dzie: 1 :6123162
Pngi 19 d 21
WOOD DECK SYSTEM LLMITAT1O? S.
I A slip sheet is required with Ply 4 and Flex Ply 6 wive wed as a mechanically Lamed base ar
artchor sheet.
2. Minimum ' /." Dens Deck or '/, Type X gypsum board is acceptable to be installed directly over the
wood dads.
GENERAL LIMITATIONS:
I. Fire classification is not past of tills acceptance, refer tom ranee Approved Roofing Materials
Directay far figs ratite of this product.
2. Insulation may bb i called rte lames. The farut layer shall > attached i compliance rritla
Product Cool Approval g idoli cs. All other layers gala be a&ered in a full rizspiin3 of
approved asphalt applied the Ems' range and at n.rate of 20-40 It a.h�. o erschartically
attached u the fastening pattoin of the top lay r •
3. All standard parcel sizCs me acceptable foe saschanical att.ichrneaat When applied in approved
asphalt, panel size tall b41' tt 4'
4. An overlay and/or recovery board insulation pastel is required on all applicaatiozip owr clog:.: a fl
foam insulations when the bare sheet is Bally mopped. If no recovery board is ired the base Arai
shall be applied using spot Mopping with apps aspliAt, l2° diameter circle 24° o.c.; or strip
mopped H° ribbons in three rowa, one at each sidelap and one down the =ales' of ths sheet allover
a continuous area of ventilation. Encircling of the grips is not acceptable. A 6° break dull be
placed every 12' in each ribbon to allow cram w 2ilatto . Asphalt applicaa&icra ondthr ayrotal a thatl
rata minimum rate of 121 e. /cq melee: Spars attached systems shril b Irk/ -® ton i t
dcei pressure of -45 psi.
5. Fastener spacing for insulation attachment is based en a Minimum (Scam Farce (F) vain of
275 llf , as tested in compliance with Testing Application Standard TAS 105. If the fastener value,
as Geld - tested, an below 275 IV. insulation attachment chall not be aceepZZ,b s.
6. Fastener spacing for m at ameliarsem of azxhor/base sheet ar n embrane attachin is based
on a minimum fastener resistance value in conjunction with the maximum deiaip valrk Listed within
a specific system. Should the fnsteasr resistance be !cm than that required, as deteruaitrzd by the
Building Official, a revised fastener spacing, lid, sages and sealed by a Florida Registerad
Engineer, Architect, ar Registered Roof Consultant may be submitted. Said revised fastener spacing
shall utilize the withdrawal resistance valve talto frem Testing Application Standards TABS 105 and
calculations in compliance with Roofing Applic4on Standard RAS 117.
7. Perimeter and come areas shall comply with he enhanced rr pie requirements- of the
areas- Fence= densities gill be increased fo7 both insulation and base zraet as calculated in
c a Nance cash Reofing Applicataasa Standard RAS 117. (When this lirnitatio2, is splesigktdly
referred withist this NOA, General Nina r99 will Ems Li applaseba)
H. All attachartmt and BiabIG of perimeter n ailen, 1 prole, filer flashing tesminaatioa mix
shall conform with Reefing Application Standard RAS 111 and applicable eaind load its.
9. T he maximum d e s i g n e d p r e s s u r e 'Mutation listed a all by applicable to all roof zones
mod.
perimeters, and conies). Neither rational analysis, nor extrapolation shall be Remitted for
enhanced fastening at enhanced press =ICS (i.e. perimeters, extended corners and corners).
(When this limitation is specifically referred within this NOA, General Limitation t#7 will mot be
applicable.)
rtY 23 26122 22: 58
END OF THIS ACCEPTANCE
NOA No: 02- 0403.09
E arpira tiara Date: 11/0&113
Approval Doter. 092,3fa2
Page 21 of 81
*n TOTPL PRGE.12 e*
H
RO1F COVERING MATERIALS (i1VT)
ROOFING SYSTTMS (TGFU)— Continued
the 4'9 ... surn by,J end oeerte bu.eid d ue off-.et 6 in. ratth the joints rn t he
a It puryslierte rs p.ut of the nuI system. it roust be placed base` i the
aveti-r rnent Coa.r“.l
mulrapte plies of °t:AFGLAS Ply 4° or 'Ply 6' may be adhered to
'Verb O 'J in hat aspna1L
°CAFGLAS Strauvent Mailable Base Sheer may be mechanically attached or
Rvt pped over noncombustible deck and as a recover over existing oaf
C.AFCLAS Pertite Insulation may be utilized as a cover board over °EVEH£A/ASD°
insulation in any of the following systems
ASPHALT FELT SYSTEMS mm HOT 11130f1HG ASPiiAJJ
Ty; G2 asphalt glass mat Darr sheet (°GAFGLAS 075 Base S znzt ar'AFGLAs
l Pre-...cam Base Sheer) is a eatable alternate far Type 61 asiptit glass
fiber y std ( " C A E G L A S P l y 4° or °GAFGLAS P l y 6°) in the C l a s s A 8 ar C ace
sys y _deczted harm_
Th roof dial may first be covered with a Type G2 asph.e glass cat base
s it "GAFGLAS Stratevent (Vent-Ply) perforates" ca °GAFGLAS Straus/eat
lbent -PIV) fur riailable .d ks... Perforated to be mopped rod aailabin to be
a enicaily attached gransite side doom
As an notion Type G2 asphalt glass mat base sheet ('GAFGLAS B ?S Base
°GAFGLAS aSO Premium Base Sheer or °GAFGLAS Stratevent (Watt-Pip)
fur r>_.tiabLe dects') may be substituted for G1 asphalt glass fiber pip sheet
i ' s ;LA5 ? , r "GAiGLAS Piy 6') as the nailed base ply in the fanDteins
sys2. s.
dertom ply o: ease sheer may be solid mopped. spot mopped cr mecit,ni sy
taster
Unless otherwise indicated- all insulations may be hot mopped or mechassizak
fastened_
"C-AFGIAS Flashing' or'Rraberoid may be used for flashing ill any of the Class
A. 3ceCsy;aetbs tested
t h ^r °polite is refereed. this irtchrdes 'GAFTEt4P PE ALiTF° rr
other UL aassified partite insulation.
Crosibli same as slag zee suitable alternates for gravel in acy of the Class A.
d or C nesters listed
Strust A n2 fiber bring units are considered suites le to be iedrrded
za a d in the following Class A. B or C systems listed met C-15f32 ar IJ_
Pee use ofi yyptsual board under any of the following Class A. B or C syeteos
soiz not adversely effect t e rating. The use of 1/2 in_ min gypsum board n
an rwsptablee alternate for isulatan aver C-15/32 decks
T e Ld,e of polystyrene insulation board between min 3/4 se. penile board
arta ckck r li rosin paper (periite /rosin paper /polystyrene /partite) is a
skrtaltd alternate for isocyanurate board in the to/lowing Class A. B or C
'G.AYT E.AP Isuthesm RA'. "CAF TE14P Tapered Isotherm RA° zed 'E .FTEJ 1?
Co®3csttz A" clay be substtuted for any isocyanurate insulation in any of the
[CLewing Classifications.
Trumbull Tema Pop' may b utilized with any of the following 'AsphelI Felt
S mitii riac mooring Aspn. is .- — - -. - - GAFGLAS 080 Premium Base Sheet may be used in any of the ftseawing
Class A,3 and C.
for use rrith organic and glass fells or codified bid
Class A
L etauc C -15/32 badirs 3
Insulation (Optional): One or more layers partite, toad fiber, glass
fiber, isocyanurate. urethane, perlitefisocyanurate composite, partite,'
urethan composite. wood fiberfrsacyanurate composite. phenolic any
tricivsas.
Ply Sheet Three or more layers Type G1 °GAFGLAS Ply 4' or °GAFGLAS Ply
o'. hot moppet
Surfacing: Gravel_
Eck: C -]5/32 Incline: 2 - - -
Insialation (Optional): One or more layers partite. toad fiber. Sass
freer, isocyanurate_ "rvthan pr'rliteltsocyanurate mitt, oe;trte
� composite. wood fiber/lsocyanurate composite, phenol e- •3 rry
Ply Sheet Three or mere layers Type G] "GAFGLAS Ply 4' car 'GAFGLAS Ply
0
caP Sheet One layer Type G3 'GAFGLAS Mineral Surfaced Cap Sheer.
- 0 v.k Indices 2
Insulation (Optional): One or more Layers partite. iiostid fiber, sass - -
nbzr, isacyarsurate, urethane, pertitefisocyanurate composite, partite/
.aretharw composrte, ,m od fiberj4socyanurate composite. Phenolics. 2 in.
Pill Seat Two or more Layers Type 61 "GAFGIAS Ply 4' t- ° EAFGIPS Fly - -
C- Sheet One layer Type 63 'GAFGLAS Hineral Surfaces C5 See'- - -
rc 1rrrtic7 1/2
losulatson: One or two layers 'Isotherm R". 4 in. man. beet mopped-
- ^r co; sa.tvr ^r, nrr)ntHr
ROat COVE/LING etATTRIAlS (TFVT)
133
ROOFIttG SYSTEMS (TGFU)— Continued
,Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber
'mat sys:em.
5. Isrct : C- i '3 troth
' Sl net (Optional): Red rosin paper, nailed to cect
.I3a.se Sher One Layer of Type G2 'GAFGLAS 075 Base Sheer ([say
nailed)
Ply Sheet One or more Layers of Type G1 "(AFC: AS Piy 4' or GAFGLAS Ply
j6 -
Sheet One of T . pe G-3 °GAFGLAS funeral Surfaced (ap Sheer.,
Be
Da a Sheet One layer of Type G2 °GAFGLAS VS Bose Sheet°.
iq
Sheet One or scsse layers of Type GI °frAfG.LAS Rtj 6° as GAFGLAS p
zet One layer of Type G-3 °GAFGLAS Cliff Sheet'.
7. Elnctu C -15/32 flee 2
floss/lotion: One or care layers partite. glass fiber. iso yansuata, ore—thane.
Perlitefmsocyenureta composite., p'zrtite /u - ,e2fs e• cseparite, phenotic.
1.0 in. our (offset boxes plywood joints 6 tut).
Rase Sheet One of case lama el Type G1. Cat as 63.
tleasbrene One or cart layers of °tluberoid Tortft° (smooth at granule),
[ °aid Torch Plus° (granule). °l�rberoid Cam° (yam orgrarnrie) ar
flop Ply L9).
Cap Sheet °GAFGIAS Mineral Surfaced Cap Shaer, lot ropp zi.
CL 9secfw C -15/32 Iri^ 2
insulation (Optirrnrl)- One or more layers pert de, woad fiber, glass
rrber, isocyanwate, urethane, p enile/ ncyan arete composite. partite/
raetha composite, mood fiberfisocyarturate composite, phertetic, any
fps
( Sheet Two or care Layers of Type 62 or 63.
Ply Sheet (Optional): One or more layers of Type GI.
itaecabstitt One or tore lam of Ilubenu:ld Torch° (snootla or preside),
intgbieawcd Torch bus° ( ) ° @ubrnid Gap° (sue, or grey od e) or
'Ruheroid Mop Plu ° (granule). rp Sheet °GAFGLAS Flint-rat Surfaced Cap Sheet°, bot mopped
Class a
• @erase C-15/32 India= 3-1/2
Insulation (Optional): One or more layers partite, wood fiber, glass
fiber, isocyanurate, methane, pertitensocyantaate composite, partite/
urethane cmopnsiie, =cud fiber issue caeim:site. pltensia znq
thickness_
Fly Sheet Too or care Layers of Type 61 'GAFiAS Ply 4° or ° GAIGdAS
kilf
Cap Sheet Type G3 'GAFGLAS Mineral Surfaced Cap Sheer, hot capped.
L Deck C -15/32 litictim= 3-1/2
la ss (Optiau af): One or mare Layers petite. wood fibia, glass
fiber, isacyanerate, urethane, pertiteftsocyanusate rn prxito iterate/
urethane composite. scrod fiherfisocyarurrate composite, phenolic, any
thickness.
Base x w i wo or core layers of Type G i, G.2 os
*embranc One or more layers of °Rubeued Torch° (scaath ar gracile),
itlIttrfOid Torch Ptr,r (grarwte),'aberoid Fop° (ma:m. r or granule) or
°Rarhera=id Hop Pius° (grant).
Cap ST "GAFGLAS Mineral Surfaced Cap Steer, Lot -
Class C
•
L C -15/32 lam 1/2
Iieselatiee (Optioc ): One or CaO/ layers pafite. wood fiber glass
fiber, i acyanurate- ire, perlitefisacyeanasate compositz partite/
urethane composite woos fiberfttsocyanurate composite, phenolic, any
thickness.
Ply Sheet Three or more layers of Type G1 "GAFGLAS Fly 4' or 'GAFGIAS
Pt' 6°.
Surfedng 'Special Roofing Bitumen' 20 lbs,/sq.
1 COAL TA R FEU SYSTEMS MTH HOT L30.OFIMG COAL TAA
- - - - - - :.idea .
Deck C-15/32 : - - -'astute 1/Z
- Iresr°da (•rptora4)= Cone o." ire layers penile, woad fiber, glass
- fiber i.ocyanu.s e, • urethane: T- rtitsfocyarwrate composite partite/
urethane composite, wood fiber /isocyanurate composite, phenolic, any
r,1rircnts .
- -Ply Shret Three or moie (a■ms of Type G1 ° GAFGLAS Ply 4° or "GAFG{AS
_ Piy 6, hat moped D caa_ tar bitumen.
S ' ca3 GriveL - - -
- - - COI4BIMAtWH t•COF AND COLD SYSTEMS
Class A
L ce coroner Z
- - Insulation (Optional): One pr moo, lags aertite, woad fiber or glass
filar, 2 in. coax.- -
Ptl?r Sheet L`v e, ar wore term of ripe G1 °GA; GLAS Ply 4' or "GAFGLAS
-6° - - -
[,randy Irtd strirs as. R-d Roof Caadng" at I -1/2
4A/s41.
PRODUCT CONTROL tiOTICE OF ICCEPT \CE
.klrnar (LS D.), I
6645 \V• 77 Avc..
N(!nmi
FT 33166
Your aoolic' ion for Pro�uct Aperc':al of:
`i c _ -
-
•' A '.1 I ' _'J' '7 l •� :c
: 9 0 1 F x,
CO` 'AC -OR LICE'SI'C )ECT :•••
:3051 ...
E"FO'kCE
;•S•:Yt.o F.,x CiCS) 3
RODU'CT COnTkOt_ Di%
;35) 375 - :9u' FAX ;:•05)
tinier Chapter : of the Code of Mia. u -Dade Count: tats usz of ..;::mate Materials a_'1d T
Construction, and cornoletely described he-ein, has bee:-! :_ :or - mended for az:cotance t he
County Building Cc'c!e Complia;,ce Office (3CCO) onc conditi3•r.s spe-_ =;ed herein.
Tris aDoroval shall hot be valid after the expiration date _:a:ed below. 3CCO :eseries the right to sec's:-
product or material at anvzime from a jobsite or manufac:- ::_r's plant for goal:-• cor rol testing.
If this product or material Fails to perform in the approved r:a_ine;, BCCO m_.• revoke, modify, or sus_er,:
t_tie use of such product or material immediately. BCCO reserves the right to re''oke this approval, if i ::s
dc.-:mined BCCO that this product or material fails to ,me_: tae requi,e -lent; : the South Florida Bu::c!-_
Code.
The expense of such testing wilt oe incurred by the nanc_a~turer.
-- acceptance i`(o.:99- 1102.04 (Rcvises ti'o.: 97- 09Is.0 -■
a xpires:12 /16:2002
Appr3••cd :12 i6/1999
CONDITIONS
BUILDING CODE & PRODUCT R= 1•I \ti• CO\1:\1:
I _ •
1 �
P ;oc.uc: _or•:.ol
THIS IS THE COVERSHEET, SEE .ADDITIONAL ?xGE.S FOR SF=CIFIC.AND GEN ER_;
This application for P;cc:._t A.pbroval has been BCCO "_CO'�_� 3 ! -!i=
and Product Review Coram.inee to re use^ in Da L'_ -.. .L.nde, set t
p
I.
- . :tor
AL\I.-kR (l SAL 1\C. ;r PT CE
I. SCOPE
This revises a :: ,iinti system us.7.7 .'nom- ` P c _
. ,I. gar (1.S.A), d:s:,;bed :n Sec :::n 2 _. '_ Lo:.__
° of .- .c_c_r esi_ ne,. to
with the Sou ^, Honda Build: -_ C—ce E t:sn for :`'!iieni -Dade Coun v For :nc
locations where the pressure requtrertae_:s, s dete,;,,ined by SFBC Chapter 23. do -.oi
exceed the des; ?n pressure values c5tain by calculations in compliance u tLn RA.S :27
using the values listed in sectior. ; herein. e atuc`,n -nt calculations s ^211 be done :s a
momni based sti - stem.
Cstegor::
Sub Categoy:
2. PRODUCT DESCRIPTION
`tanufactured bv Test Product
. Dimensions 5nec:-ca tic n,s Description
One Piece 'S'
Trim Pieces
-� Coa :__ as
Sheet
NOTICE OF ACCEP- -\SCE
Preprred RootThg
High Prof ti_ Tile
1= l3' /"
w = 10'
thick nominal
I = vanes
w = varies
' L inz thickness
2.1 Components or products manufactured bv others
Product Dimensions
PA II
Test
5r,ecirc2tinn.5
_,?PRC\ ED :De : °mbe- t
De:en 16,
` A\DARD CO\DIT1O\S
r:c:f tile. F:r
. anen ca.. -on mc'"ir set or arThes, ti _ se.
a :ions.
-. 1 '. - A:._ess,a7 ,.:.m, :av roar X 71 _es S 3:
Takes, r:C ;es any aH y terTil:',Jtl
,y ia��u la�iUf ,ter __c: tile Y r_„Ic
Product
Desc. ;�n
Sit
D
it `e Lsec as a n.a.._.,
anchor sheet.
` -3 .-.__. a--
K
:13 ._"actur.
Frank Z i.i tea g a.. RR C
?.ocr.r
P
_ Q
0 •
.�= (us A). r-•
:•lin::z: Su.-;ace
Cao
lc: and \Vat:r
Shield
Wood °_ a: s
Tile Scrf•.vs
Root Tile ".:•rar
( "Tile T i;: - "'•'
\OTIr:": OF ACCEPT - 0CE:
P'oduct limens.ons
:0 "x :s' roll
.o "x- 5'roll
o;
x- 5'roll
• cr•. -:1
- n. I "S�
X - for '.; S C
tvltt: �-1C31 7anf :13 or
x = for uSe
3lOr.e
` .A - . ST`1D _•
:5" x 75' roll PA 103
z2'A "long
0.3:5" hc3d did.
ia.
0.I s�Jc thrc2d
Test
Snccificotions
PA 104
. ppcndlx E
PA 114
E
.ACCEPT -\SCE ":
APPRO\ _D De ...,_. 1999
EXPIRES .Dccc -15c- iE 2902
.TA\DA CO\DIT[Q\;
P rod u:
Descr ot:: n
roonns for as 3
too ply in a dou: c ply
und:rlavment s • s::m.
J
Sin21: olv, nzii -cn = .t:_: -D- •`•'rte.
undcrlavment .v::.� 2
s:11 too :de:. _n c - -n; NOA
Self- adherine
und:rlayment for . ..;se as
a too ply in a two ply
uncerlavment sys:::-1
ft;I ApproY:d =: _ or
as the base i2 .
cai ;.ressur_
sr.)O(tl, scr:w or
slam; nail.
C:, — �sion resin .a d c :a:cd,
s.: - drive,
:__ ._ dre -x
r• R. C ac: Co.
cu-:nt NO.A
N/A PA 123 P- cared mcr,zr _ ,_.i
cdFor --
Frank Zuloaga_ P RC
Roofins Prof =onvol
\LaR
Tilt Nicrt]r
Roof Tile
Adhesi' e
( Polv'pro
.AHI$O')
Tile -Bond
3. LIMITATIONS
..I
J.5
•
_OTICF_ ;iF A CCEPT -A•CE• ST A \ ,
Product .- mens;ons
Tcs:
Sre :'rc]: ons
NIA
Fact: -. premixed
:_sisters
PC .-.
See PCA
des : - nc _
-
dcs,_ set
roof t;.:
Two c:-.00
polyu- :thane.
desi¢re:' fo: idh: :.-.: sec
root ti:e az :aci :-s.
Sine!:
oolvure :a, : :Oa r. - oof
tilt ad .es:ve
L:iurer
\1J:.3r
th = _rr :1t
tit -.)
F!c.. -_ :51c
:_.rent
Fire class :: :...ion is not par
For mop :� _. adhesive set .;ie a_ - iica; _ ; -
ors. be
pertormec .-. _cc d Wince '.vii' P„_
�.
L ^ ;2 se: c:: a - --
io per(or :_V .erly :est In ac:or::._`.ce a- t n A Eu ,
estt��
shall be s .- ., .tec to the SUi!_in, Coco C
��tinimurn _ ,_eriayn,cn s sha , oe
ADDIIcatic Szrdards listed sec :;c - 4.1 he:_. -..
30 :90 ho:. - ..__pet :�} .._-:c __ :_ _ = -
the root .:niess stated oi: ov
cublished are
This accep is for wood deck a�^r.icaticns. `'ia.� ,.. :_c': ,_cui-_.mer. s shall
be in come'..a .ce \kith chapter 29 of
MaY be slopes is 1 =
4. INSTALLATION
4.1 .].Imar 'One Pie :_ S' Clay Roof Tie z=._ its : :;� : '
r t _ s`._. be Insia::cd � -. sirict
compliance µ �;Gl i C'ide Co'_. :r� - �' _ l 1 _ `.
f rar..c :ulc�e. rZ
R ? -_ ::'. -, al
j
cr. . aCCE? T :-.•CE o.: =.• --
•
ti
IOne ?;ece S Tile
i Tile
Profile
One Piece 'S'
Tile
Tile
Profile
NOTICE OF - ACCEPT A"CE•
D3(3 'Jr C_icu :attor,s
3":12"
or less
Battens; Oue_t
1 Oec.
4 47 I 5 35
Fastener Type
2-1Od Smooth or Sc-. 22 5.
Shank Nails (Field Clio)
2 Sr1 cct 1 or Screw 38 ;
Shank Nails
•
2 ;1c P.:nc Shank N2uS'
STa`D•>RD CONDITIONS
Table 1: Aerodynamic f
Table 2: Restoring Moments due to Gravit - y - M. (f -Ibf
4":12"
3at,er.s I Ouec
0�
I „ 0 I 527
5 ":12"
Barrens Cm ea
peck
I 4.31 I 5.16 I
Direct Deck
(min 15;32'
plywood)
rep' Deck
19/32'
p1 00d)
lnS:o «,ih a'a .`as ._"` -"S are IOU :e ; :I the
Decem -
Decern'ce' :- -••-
Tile j . (f'') I / i. (f;
Profile Batten Application /' =irect Deck A:oli:.a::on
I o 2:; 0.2:- /
I , c-eate•
32 :e11s Direct I aane's
Deck 2p�
20 503 1 4 c !
Table 3: Attachment Resistance Expressed as a Moment - M, (ft -Ibf)
for Nail -On Systems
One Pie_e'5• 2 -10c . =Inc Shank Nai!s 25 5
The 1 -10d Smcc h Sew
3 ^.k Nail
2• d Smco(7 or S w• 5.5
Shank Nails
1 .:8 Screw — 25 7 _: % `.
' 2 � 8 Screws __ 58 2 5= 25 =
1-10d 3 r. ico rn : i .,...- e w C .: 1 I -
Shank ,Nal! ;Field C:iC) l
1 -10d Smooth or Sc:ew 25 1 I �_ 3 i
�
S . Iic ark Nail i �a�•?
- -5 35
E:ar,k Z_ a;3_. RRC
R�otic� r Con-; 31
AL\I �R tb'SA), IBC. .\CCE ?T \o.
Tile
Profile
NOTICE OF ACCEPT -OCE S T A."DARD CO E iTIO'\S
Table 4: Artaz.nnent Resistance Expresses as a Varier,: M. ;bf)
for Two Pat Adhesive S_: Slster.s
Tile Application
One Piece •S• Adhesive
Tile
1 See man. iaaules oomponen; for it s :atlabon reou r_ e's
3 Fleuole Products Company Ti e3ond Average weight per par.'s ' _ ' ;rams
Polyfoam Product. Inc. Average weigh: Der Darr 8 grams.
14 (_arse oaooy ;lacernent of S3c:ar-u of ?olyPr•o".
Polyfoa.m Poly ?ro '
Tile I Tile
Profile Applicaticn
I One P.e:e 'S' Tile j !Mortar Ste:
6
ne...-ter tE
\°lR 5 :De :e :nber to.
Attachme:
= esis:ance
29 3
Table 4A: Attachment Resistance Expresset as a Momen: - M. (ft -Ibf)
for Single Patty Adhesive Se: Systems
Tile Tile Application Minimum Attachment
Profile F, stan_c
One Piece'S' Tde Pcly`oam PoyPron'
t. 5 Rtecium Daddy placement of 2 - ;:ams
Table 48: A: achment 'ests:.a: ce Exp -esse: as a Yore.
for Mcr•ar Set cvs:e -.s
Ara -hment
Resszance
S. LABELING
All tiles shall bear the imprint or idenuttabie nz..° or logic.
or following statement: "Ntia,rni -Dad_ County °roc__: Con.; ol - .pp-cv eci".
6. BUILDING PERMIT REQUIREM1E`tTS
6.1 J', �l ..C: :e.: ,:t s;'.a.ii be
6.1.1 This Notice of .7CC_�i'c Ice.
6.1.2 An'i required by the or Sou �, CIOr :O?
Cos- 573C) in orr!.f.i7 to
Frank .lc.asa, R.AaC
Rootir, ? o uc :
\OTICE ACCEPT 1, ST s.D-\ RD CONDITV:
PsoLE DR.k\k
ONE PLECE 'S' CLAY ROC:: MLE
ACCEP1m,.NCE
C 7 .
AL\I i C.
NOTICE OF a CCEPT =.%C�
1 R :n :,,al o!" (h.; .:scpt3nce (ar: - :•i.) s'a.1 be cc -.s __ __ 3. a ._. _- a. aop
riled and ('.0 or z.nal suomlrt -d
are no older (ha- :loht (3) years
?. ..ny and all approved products s`.a ne :er-nancntly !abe cd :;n the ma_hu(ac ;l.•er s cir•.
Sl ate, and the :ollowing 5:_'t:m:-- Th`..am,•Vade T - _• u:: Control or as
spe_Iflcally stated in the specific cc •:i:icr.s of this
3. Renewals of Acceptance will no 5: nsic °.:d if
a. There has been a change in t . 7.: South Florida -.z Ccc: ai :_sting (lie _ _ t .:'i 0[ this
produce and the product is not .::orr.Plianc: win cod: dances.
b. The product k no loneer the s —.e p .duct (idcnrical as ti,_ one originally
c. If the Aczeptance holder has not complied w h the ,equir:ments of -.ls a : : :pt3nce.
including the correct installatic= of C e product.
d. The engineer who originally • °;arec signed and seT.ed p,irGd docum: :a:.- ir,tial!:
suomined, is no ionizer praciici.rg the engineering prz +on.
Any rev:sicn or :`.3, ^.s: ;n L'�_ _�5 _s : a.^... - ;3- _'3C._"_ Cr _ _ oduc;
aut :matic3!!v b° cause for t'_ or _.:S .y_- — ',. :i; ._ a : " ": _ _. becn
(throu_h Line :'fin^ c( 3 _ 's :C^ ,....i ;_3:..... 'A — r
5. Any the folio ins shall 3150 5e _'=_'ds :]r removal of ; "S
a. L nsa isfac:cr• pe: rain -n3r: _ c:
Misuse or his .Ac__ot_n :_ as frhz..rse..._... " .Cr Sa:cS, 3 :r an:
o :urp:ses.
6. The Nonce of Acc' ^:ancC nL. .c_. by ;. 7: ••+•'•_
i0il_'.cd oy the z:(plraiion da :G may :e disoia; G'C.•• in a _ _:5• -.4 :iiG ^: ._. if an
4otl :e of .Acceptance is displa:'cd. ^ it s`311 be dent :n
C;, - v of this .-:::a e as as a;:'. a't.-_s 3 ___...en:5, : ?_ , :S.
shall be provided to use Tian: :ac :Urer or its ='s:r :.rs ar..d a_ _ icr
3: i~e '`o St:: 3: all . -._ crz.r.ce . .._. .CS.
to' :Cm�, : :• '.�.. :�'. a s : ^_ .. ... s r.__ :a c sr..a.
Th.s \•'_TIC_ or
EID OF THIS AC L.
\
CC_PTA'CE `0 '•
.
ece--. -cr
° =S .Decor. :.. .�,
RT A\ a.RD CO\DITION:
sa ;es 7 2. _s:
- - and
:or. sr. ar ch.G:
•
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11 /12/2002
Applicant: JAMES KNUTT
Owner: KNUTT JAMES
JOB ADDRESS: 321 NE 100 ST
Contractor ALL IN ONE PROPERTY SERVICES INC
Local Phone: 305 - 688 -9550
Parcel # 1132060135350
Signed:
`d
£J Co
L`
- r1-417.-
Building Permit
Permit Number: BP2002 -1934
Permit Status: APPROVED Permit Expiration: 5/11/2003 Construction Value: $10,800.00
Work: REROOF EXISITING ROOF ENCLOSURE ROOF ADDITION
MIAMI SHORES VILLAGE
Metal Flashing at all change of Plane
(Contractor or Builder) BY:
Page 1 of 1
MIAMI SHORES VILLAGE
NOTICE
Owner is Responsible for Maintenance of
Contractor's Address: 14040 NW 6 CT All Village Sidewalks as per Village of Miami
Shores Code of Ordinances, Including Driveways,
4 i \ .Caused By Current Construction Activities.
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 15 & 16 BLK 39 LOT SIZE
Fees: Description Amount
FEE2002 - 6376 Building Fee $202.50
Total Fees: $202.50
Total Fees: $202.50
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
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.
(INSPECTOR) BY:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
REG G01 111302 1245 lfCu01 002729 CHARGE $202.50
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
✓ f ✓
Date / h/30i Oo Job Address 302 I N - E / &D s Tax Folio
Legal Description Historically Designated: Yes No * )C
46wner/Lessee / Tenant ni r. •a- yYt tr s . 1C N (-) rr Master Permit # s/ 7 7 02
1dvner's Address 321 NI - . /Do s ` Phone 3e> - ( '7 r - E33 9
C,Eontracting Co. e)1-1 rJ L 1 F� n p rr •4..n Add ress �3 t Ili . Lt,) • 1
LQualifier SS# Phone 3c53 ( Y - ( 0
State # Municipal # Competency # / 1 99 f! Ins. Co. l2 rr EA)1 ILEF'
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
PO
Permit Type (circle one): B IL ELECTRICAL PLUMBING MECHANICA ROOFING PAVING FENCE SIGN
WORK DESCRIPTION F_Q�4 t r r R eo 1C 1. EA1(49E. /LJ 7 L E ►Coo
Square Ft.
Estimated Cost (value) 4' 4 6s-
ea
s
era
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.
.t
0
ssion E
r' 10 3 /
.r C : do President ate
Naf KY SEA
)4 Signature 0
rot_
Notary as
My Co
FEES: PERMIT
/la dr 7
�i - e+* "�r r ��
. • .or Co .. s ae
et Y P i l I to OF FLORID
COMMISSION NO. CC714I03
My COMMISSION EXP. MAR.1 002_
RADON
APPROVED:
Zoning Building
Mechanical Plumbing
vt fro
Signature
Notary : to Contra
My ssion Ex
CIAL NOT RY
M W J L L A R
I411. Os FLORIDA
Tres: COMMISSION NO. CC7t4M3
Y CO IMISSION EXI'. r.9Em13.12302
C.C.F. • 6 A NOTARY BOND
TOTAL DUE
/ /30 /OQ
Date
Date
Electrical
Structural Engineer
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date ] D (O J 9 7 Job Address :31:31'a � 1 N . � f l) Tax Fo
Legal Description Historically Designated: Yes No X
Owner/Lessee / Tenant
Mr. k N oTT
3 I
Owner's Address
Contracting Co.
Qualifier "n1) N IJ ti) E.t 2 SS# Phone y'- 1770
State # Municipal # Competency # ) 11997 Ins. Co.7 $ r ► L_ I AS - re ,a
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICA R S S FING ' AVING FENCE SIGN
WORK DESCRIPTION J'1 i ' p q % r• LEA. 1C t r 1 � .E 1 -�
41, , _ •0
Square Ft. 9 7 ? Estimated Cost (value) ' 7.
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.
igna
r Condo President
Notary as to Owner and/or Condo President
My Co
1PRY PU OFFICIAL NOTARY •
2 e.., SANDRA M MONTIEL
x COMMISSION NUMBER
< CC401261
7 / � c p MY COMMISSION EXP.
OF FSP AUG. 17 1096
APPROVED:
Zoning Building
Mechanical
it) Es Lit Ri , a i w j Address .t'� , c c� . I �1 =
/0
Date
FEES: PERMIT 6 0 1 RADON C.C.F.
qg
Phone J S s 9
Master Permit #
l 1 4 19 7
Signatuck of Contractor or Owner - Builder Date
Electrical
t A . It,. 0.4-
_
Notary as to Contractor or Owner - Builder /d / I��te
Commission Ex ire y
RY PU PPICIAL NOTARY SEAL
.. B l,. , SANDRA M MONTIEL
n 6OMMISSION NUMBER
kt CC401261
O *Y COMIII•BION UP.
� p AUG 17 196
NOTARY ,5. BOND
TOTAL DUE 6,5
Plumbing Engineering
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the 'building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
..._ .�.._. ,19
Owners Name and Address f Fe EP G a E rs c tL I vj .,., No 3e Street._.N / ST'
Registered Architect and /or Engineer . _,.... .....• ...... .........„ .....- ......
Name and address of licensed contractor C}12O/T I jm- t 0 lNC, — 301NW 7/ $r ell #n / 35(3'0
Location and legal description of lot to be built on:
Lot Block Subdivision
3 NE /00 ST
Street and Number where work is to be done
State work to be done and se of building (by floors l` (2 ,5 � "�!! � -I l .f_Q�., WN Tice,
Purpo g ( Y ) ....... RE - Ro � _ .. .. � ..
... 1: _ 11 7 a t.i. apeAvEL — _.._ a9gx
V and for no other / purpose.
New Building Remodeling Addition Repairs I/ No. of Stories t�
To be constructed of Kind of ..1
ff ou daation Roof .T/LE � d Cie Avg_
Estimated Total cost of improvements $ ,? cal • P° Amount of Permit 5�........_..o/ , 3G
Zone cubage required plan Cubage
Distance to next ne.uest 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 pennit 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 Sup element,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such ublic notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on wo to be pe• . ..•. d this
pcnnit, as are licensed by Miami Shores Village. (7 r
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. S
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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 ,arre true. 1 I Permit No.._X. Date l .. Read, Sworn to and Subscribed before me.
Disapproved _{h_ Date
(Signed) \' \• •
Bui • i ng Inspector My Commission Expires
Notary Public, State of Florida
to me well known,
PLANNING BOARD DATE
Chairman Member
.fcmber Member
Member ...... Member .._.....
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection Ice of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
CONTRACTOR OR BUILDER
Legal Lot
Description II Bl
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 5679
Owner of
Building - f
Architect
Contractor
or Builder _ s
Work to be performed under this Permit
DATE
Contractor's
License No.
Subdi-
vision
Address of Value of I Amount of
Building - < >~ i i a i - i ' Project $— 1 Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed ft. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan'tes -t ei.regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
ABBOT R�