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398 NE 100 St (4)
BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building /1; �= Architect Contractor or Builder Legal Lot Description Address of Building /. * e �' + ! CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. PERMIT N? 4668 Bl. FLORIDA Work to be performed under this Permit Subdi- vision Value of Amount of Project $ Permit $ DATR Contractor's License No. This permit is granted to the contractor or builder named above to construc 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. ` r Signed. .► BY` INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered/hereunder in compliance 'with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY a Owner's Name and Address /1R$ C a L `; N 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 if' Z Z Date !P`P" 2 3 g 19 S No S 7 r treet /OD Registered Architect and /or Engineer , Name and address of licensed contractor ' i/L) 1° f � — Pri �Yj , ,re ` x5 Location and legal description of lot to be built on: Lot Block Subdivision.. 0e C.-r. Street and Number where work is to be done State work to be done and purpose of building (by floors) 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 $ 1 1 9 C • C Amount of Permit $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ¢ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) 2 /J�. - -I /_ Building Inspector% PLAANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public, State of Florida My Commission Expires BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building 6 Architect Contractor or Builder Legal Description Address of Building *� MIAMI SHORES VILLAGE. FLORIDA 4 Lot CONTRACTOR OR BUILDER PERMIT N° 7070 ti ti " a: Bl Work to be performed under this Permit r `e?1 Signed• Subdi- vision Value of - - Project $ INSPECTOR • DATE Contractor's License No. e �r Amount of 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 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 thetements or specifications and that he assumes responsibility for work done by his agents, servants or employees. 1 -N, In consideration of the issuance to me of this permit I agree to perform the work covered h r under in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications subftted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servariit or employee. BY AUTHORITY 195 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...._ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date N 7 34c p a� {.._V Street-__ -1.. .1‘10 A and for no other purpose. New Building Remodeling Addition Repairs 1/2__io. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � Remarks (Signed) __ , •. - 1 : a STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ? V ? Date , ° Read, Sworn to and Subscribed before me. Disapproved Date__ / , Notary :tate of Florida (Signed) -C� Ah— V" � Commiion Expies NNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building (Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date.. Nov 19 ,19.76 Owner's Name and Addresc H.....W.arrian _ No.. X18 .. streetNE...10.0...str.e.e.t. Registered Architect and /or Engineer Name and address of licensed contrgctor R.e.el.e Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done 398 State work to be done and purpose of building (by fl .and .. - around- ..chimnw --- area .1.885 _.N]at...��....st.Mi�ami Subdivision ... _100__Str a at oors). Res idenc . Make••-re ptt72'3""02I"87fiZ: st211'g"r0of-- and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 630.00 Amount of Permit $. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to Peele Roofing, Co Inc„ 1885 NW 21 St., Miami, Fla 331142 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 Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such Pul'l• notice or notices as are required by the Act. The undersigned agrees to employ only such su ntracto on . to be j der this pennit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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„....- q / Permit No.__._. �. Q-_l3 C st Date ! ' � _3 Y Read, Sworn to and Subscribed before me. Disapproved pp __.._...__..._... Date. (Signed) VV� Building Insp., tor My Commission Expires l LANNING BOARD DATE Notary Public, State of Florida Chairman Member Member Member Member Member Council Approved Date. Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection as faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statcruenr ur 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 i.fuilding 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 progre $s of the work. \-- (A 2 0.1(fra t Owner's Name and Address Registered Architect and /or Engineer 77 $ A Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block b o Street and Number where work is to be done .. F . . 2fe'! // State work to be doe and purpose f Idin by floors) id? Building Inspector No ..._ . Street —..G _ 0 ., nr•••r rr••r ntr <rwr•:•. r qtr vne: rr My Commission Expires and for no other purpose. New Building Remodeling Addition Repairs.. No�f tortes / A To be constructed of Kind /on •.� Estimated Total cost of improvements $ .i � r Amount of Permit ..•�.� I til Zone cubage required _Plan Cubage Distance .to next nearest building Size of Building Lot _ ........... _ ... ......................_.._...._ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such uhlic notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performe under this permit, as are licensed by Miami Shores Village. Remarks _ .._.._ (Signed) �"�k.l STATE OF FLORIDA, COUNTY OF DADE. ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. Permit No.. .2_3.3....L.5 p Date °2 /4J,4 . Read, Sworn to and Subscribed before me. Disapproved sL , D Notary Public, State of Florida (Signed) PLANNING BOARD DATE Chairman Member Member Member Member .. ... _ ....._......_..._._ ...._ Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Plarinir.g 11o.rrd. A re- inspection fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection at faulty materials and/or workmanship. Owner's Name and Address Registered Architect and /or Engineer.. • •.•..• Name and address of licensed contactor. / Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done to • k done and urp 32.-06 /3 J is (� MIAMI SHORES VILLAGE 5 t BUILDING INSPECTION DEPARTMENT j / APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement us Inc 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 Atiaml 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 durinjarpgress of the work. f g (by floors) A Subdivision g 4,0e) ,7k‘ • ......and for no other purpo New Building Remodeling Addition Repairs No. f Stork .. To be constructed of Kind of fo ndatiomJ. Roof Covering. � l7 /v Estimated Total cost of improvements $ -- .. - 0,v Amount of Permit Zone cubage required Plan Cubage Distance to next nearest building.. Size of Building Lot Maximums 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 pcnnit 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 hips 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 noticcs as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss .Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are 7 / true. / / Permit No. da ( S! j Date Yo a Read, Sworn to and Subscribed before me. A Notary Public, State of Florida Disapproved _ Date. My Commission Expires _.. Building Inspector to me well known, PLANNING BOARD DATE Chainnan Member Member Member Member .. ... Member _.._..... Council Approved Date Disapproved Date NOTE: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained from the 1'L l:o.ird. A re.in.pr•ction 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. MIAMI SHORES VILLAGE - 75 - /- -7 5 -- fl‘ 'WILDING INSPECTION -DEPARTMENT APPLICATION FOR BUILDING PERMIT • herehy arte for the approval of the detailed statt.iscru a roc plans .ad specifications herewith submitted fop-the Wit! fog or either structure herein dm-fibril This application is made tn compliance and conformity with, the Building (ordinance of Miami Vitkige, mid all provi,;ons of the Laws of the State of flurids, all ordinances of Miami Shores Village and all rules and regulations otjh jiilJ,n Divi of Miami Shores Village shall be complied with. whether herein specified est. A Dopy of approved plans and specifications must be kept at budding during progress of the work. Data giu,61 di? ' a ' 6 Owner's Name and Address ilegheri 1thaeed 14.3fff Registered Architect and/or Engineer Name and address of licensed. contractor eidili • ji C4 _tile- 3Q/ ni i „ v la cf i 19-, ................. /...- • Location anci legal description of lot to be built oni,„ Lot it 4 Block 61. Subdivision.tbei 1 A'A40 P .,.,2./‘ f3V ..,f:Y/O‘ Street and Number where work is to be done............. — State work ,€o be done a /Id purpose of building (W flows) :A AT .... _1_74/d116- 1 4 1790 - 49y OektentF6/Vfl - ru) 74, __and for oo other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of kind of fNndation Roof Covering Estimated Total cost of improvements $ 79 Amount of Perrnit $1131)401)._ Zone cubage required _Plan Cubage Distance to next nearest •building Siza of Building Lot Maaisnum live 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. The limirr,icr.cil arpliumt for this'building permit does hereby certify that he understands and accepts his obligation% as an emplo of l.ibur undir the Florida %Vorkmens Compensation Act, bvin Section 5966, Compiled General Laws of Florida, Yerimin•nt Slipplenient, and has cnmplicd v, it it the provision% thereof, and will require similar compliance from all contractors or sub-contractors employed by him n c;:i: wo,k to bc performed under this permit; and will post or cause to be posted for inspection on the site of the work :Z notice or notices as are required by the Act. The undersigned agrees to employ only such subcon to tractors, on work be peri under this pcnnit, as are licensed by Miami Shores Village. ReM.uks (Signed) STATE OF FLOTADA, COUNT y OF DADE. Before me, the undersigned authority, a notary public, duly authorised to administer oaths and take acknowledgmtrits, personally ap- peared • and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described ec that he has carefully read the foregoing application, and that he did sip the same, and that all facts therein by him stated are true. Permit Date 2// Read, Sworn to and Subscribed before enc. Disapproved —. (Sigoed) Building Inipector Notary Public, State of Florida My Commission Expires to me well Imam PLANNING BOARD DATE Chairman Member .—..--...— Member Member Member Council Approved Date Disapproved • • ..... Date NOTE. A eilarge of 11.00 will be node for making corrections or changes to this applicati or. abet approval has Own obtained from Sloe nuar cJ A it '1" "W" let of 11 :00 will be charged when such se-iespection is mode twernaary by hosisroper Notice for inspection or faulty suateriali ansPor workmanship. • 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. /� Date p 19 Owner's Name and Address M r S Ak k C re n No. .'39 C� Street ALE. E Registered Architect and/or Engineer /� i / t� Name and address of licensed contractor ear Q S NCO ell 1 O ! /2S � 1 ` t , " 1 C ST. `` ` C` ' n cl t 1, CL QcAal;' Reoc- c1\'raLC {-or ,��nC) Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 9 R 10 . E c ) r) 0 CT, ` State work to be done 11 and purpose of building (by floors). state exterior colors (submit samples) - 2aC 1 ( 4l/� 1-P,% T - d la tro 1 t 4 - 1 n eCke '� ° tin ` . t-e( -' �ape6'1 W !: t 1 rYN ^t�� -i'1 C�)t E" hr ra 1+ S� n f 90/b. - viG' �nCl- .� . I Ct i I 1 F 10.+ 1--e \ t (e - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories a To be constructed of Kind of foundation Roof -- r: f Covering t le Estimated Total cost of improvements $ 2,500. 00 Amount of Permit S %`' Zone cubage required 10 s.,cpst fx - nom A Plan Cubage Distance to next nearest building Size of Building Lot Maximum live Toad 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 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 permit: and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA COUNTY OF DADE. Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared 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 foregoin: application. and that he did sign the same. and that all facts therein by him stated are true. Permit No. Disapproved (Signed) ) SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspector Date -3 34/ Date Yv Read. Sworn to and Subscribed before me. Notary Public. State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials ant :tor workmanship. Surfacing: MAaltamt Design Presua+e: 5/2)/2002 2150 rot ®0x: rat TO: )056685161 01441: 019 09 021 5/23/1002 0!49 IN FROM: Fax T0: 3056685161 PME: 019 OF 021 5/21/2002 9 :70 PM MOM: Fax Tat: 30D00891d1. TAM: O1, or 021 5/29/2002 8:27 PM fhOM: fax T0: 3056695161 PAZ9: 019 or 021 6/22/9002 9,1G Ott vnolt. rag TO, 2096865161 9ACQ: 010 09 021 (Roquieod if no cap shoot is used) Install one of the following: 1. GAF Special Roofing 13ltuatten with an appiicailan rate of 20 IhaJsq with an application raft of 1.5 pl./eq.; or GAF WEATHER COATI) Emulsion (Matrix 305 Fibcrai Emulsion) with an application Talc of 3 gai.laq,; or GAF Premium Fibered Mycelium' Roof Coating (Matrix Sysrem Pro Mittelman Roof Coating Fibered 301) with an application rate of 1.5 gzVsq• 2. Asphalt flood coat at an application rate of 60 lbs./sq. * 20%; plus gravel or slag with an application sate of 4001bs,Jsq, & 300 lba. /aq., respectively. 3. Top. Coat Settsce Seal S$ (Matrix 602 SB Coat 3), Top Out MB Plug (Matrix 715 MB Costing), GAF WathaCate or WeatherCote LOW-VOC applied at rate of 1 -1.5 gal/an. Sao Fastening Above 110A No 07,04011.09 Expiration Date: 11/01$03 Approval Dale 03r23/03 Page 19 of 21 9 d 1 7591 77119 'ON /SO:9l 'iS1f :91 EO07 fl 7 3fli) WUJ - BDkiF amen eucrocusS own seigniG SYSI ( - o vetiareest beard are offset 6 io. with the johns in Nu Is gut of the roof Olsten, k Bad be placed below tke glies ertAffilAS , J 4 or ma 1* id b ti �•r. - deb and a our erisdp9 Iv a « • . r Tor owl be merged as a ever hoard ova "EYERGLIARD' • gear te tha Warns" ROOFD16 ASPHALT • Oar mat base f S PS Bare Sheet' or SAftaAS Om Steen t is a enemata ter Type 61 asphalt 9isa MAMAS Pty 4' neth1fGlAS Ply b') in the Class A, d or C roof gek y catered with perforate Typo Fit Strained _ �' mopped and oaitabbt to be Perfaratud to milbilsbr • g RdJ15 p75 Base l Neriu■ B Sh Swbreet (Vent-f10 ` &eh.) rmorke_sersOlnied lot 61 aiplalt 9tw, fiber -shent- Pty f) as the maw hoe ply in the mewl log peer bum sheet pray be tad mapped, hut mopped or machamcatlt V ow bewared. 'Waxbi may be hot flopped or orscho dralfy yogis War< Dili: a Wring may he used for hin9 to any of the Clara nlre dell is tom• rids 'Wades `VTIl►.P PeRMAl ' 01 MN suite& atarmates for grunt in any of the Class A. at liaised com wag ants are considered usable to be inehnded a deo to ell lotrowere Class A,8otC trews . r A. i3/2 or HL ro .is et gypsum, mad umfm et of toting The uSa Of t,: Th. dm syment brad is . •es net entessev tam the a'Mstrvta dot in:Mahon a -rx C -15/32 d1/4 in. peclita board 4 a of ;� (p ea bawd hash p /po low/P- 'A;te) is a We of in the fofs*1n9 ant A. a et C TACIIMP Isolhef>t• BY, "CAMP; papered Icothe RA' and '6A:T=MP eppagitar may De hrted far any isocvarwwate insulation in any of the biota Owen Classifications. Verna Morf may be utilized sib any of the following 'Asphalt Fat shoat nth aloe itoeflag Asphair. illPRA f so vicemltmn base Sheet' may be used to any of the fotiawiag i =posit!, Class i e t unpile tt s� glass felts or modified Mumma P ik babe asphalt, for are with tunpile •L• Insulation (Optional): One or gime layers WNW, wood Ober. • •• wood liberfreocyanorde composite, P1> {c. any Swett Three or more layers Type 61 "NrUS Ply 4' or'GAf6LAS fly r: hot mopped. r!. C-15/52 Iodine (p s One nr more b R� wood ffer, D ewe vim! agate composite, wood fiberrommurate aorpo phaaork. arty Street= Three or more layers Type 61'FAKLA P 4- or'CA1 LAS Pty • r one bym Type 63 "CAMAS Komi 5wf Sheen Cap St Tiber, toeyammate. urethane. pertitaturnevairmate W ' ltc, t", mWgg9! Wood ftbltsocyano ate corepadlt4 Steno Zia friary Sheet Iwo of more layers Type 61 %ARRAS Ply 4" or °CAPGL/S Ply Gp Street One bye Type G3 'G,AIGIAS Mineral Surfaced tap Sheet'. lerHne 1/i d tSM17311S 'CN /80: SI '1S /SO: S l SOUL 11 3 (301) Roof C'OWKDi6 miniuM 193 ROOFIIi .SYSTENks (1GiTl)---co" Ply Stoat Any IR Classtfled pared mat • 1t. - Siip nailed to dedr. Base ( l Red 2 %I LAS !1s Sue Sheet° (oE Base Sheep One 1� amp rtY Sheet One or monk byes of lype 61 Y tAFGUS•PIY 4" or GAFGIAS P1Y 6. Orm T 'CAMAS Mineral Seafood Use 51reeb One l of Type 62'6AF6WJLS 175 Sze Sheen 6416116 6416116 Plv Sheet One or Mora layers of'bPn 61'•GAF6tAS Pb � at Cap Shoat Onn layer of Type 6-3 'CAMAS tenerat Surfaced Cap Sleet'. indium 2 Odle Itintitlo s Out or more 1aYen mi . gloss fiber. toola ani be. urethane. a 0 ia� vow P� W of Type GS, 2 ar 63. o ) Sheet One et mots M Of* Of byes ot'Quberaid Tafd1' (smooth 9m itubetoid Torch Plash" (ganule),'tuba/aid Mod (smooth .or granule) or 'R,tbereid gra nule). Cap kO Pbd• ( 1,AS Mineral Surfaced Cap She01'. hot mopped. Dim t.15/31 One et more IaO layers s � r, ,. - p p m Pe pt, etbn any, Obit isocyanurate. methane. urethane composite. wood fiber/isocyanurata Rowe Sheet Two or orlon layers Of Type 62 or 63. . 0 t One ar mete Wets of Type Gt. granule). Membrane One or metre t�R of lWbetdrd To dr' (Smoot or - (granule). 'Sobered we (tmoaeth ra 9ran01e1 cc 'B Tomb IF I'I tgramhle). • Cap "GAFGLAS Mineral Surfaced Cap Shear. hat nor . • Clans is lodfeet 34/2• L oe ttou. anal One or mote layers perlite. tkood in her, Tracy ( urethane, peditaftso am compostro any h a ood •fleer/trossa urele Pogue• fit . �p "CAFGIU Paned Surfaced O lot n1O PT (�!'Pe v3 Ihr� Hoo o,ass fiber. Pty Sheets Two cr more :ayes of Type 61 "6AF6iJl5 Ply 4'.er' � 2• InaamtIot (Optional): One or mom logo's to , w o w >d� te/ ureethane m a. Mood m comPostts, Plow and 'Wm Sass Sheet Trio or atone Imes of V 6atOf . 62 of � s m vath )� • Ne berol er One M _one byes of T ' (saeoth ar 4' ) or . lap his' (suet )• S1wiC hot PPS Cap Sb •6AftiLAS 9 Class C filet is ott (Optioned); aomlpOSOI, mpos wood /l unimPOs11% only thickness. T.AF Pb or "CAWS Pts Sheer Three or fore l et type S f 'Special Woofing Sitcoms' 20 ibt m. - COAL TAIL WI SYMMS MTe NOT ROOTING COAL TAR incline 1/2 . L Dean lion Optional): One or mom layers pistil, wood bet glass urethane composite, wood fibilwecyanwate.composit. 4' of "GAFGtI►S Ply SW" Timm or more %ayes ef Y 01 '&AFGLAS Pb Ply sp hot with coal tau Grant CONtd1NATI0H SOT ARO COLD 5 OM Pe 1. btdlna 2 of oITOULItfon Optima): One of mere togas pet6te. weed f� glass . Pty Street Three or more byes of Type G1'VAL'S Ply 4' ar'fi I6LAS Ply 6 ` al M8 AW term Roof Coaling' at 1-1/ Swfatin3t Grundy industries • Si IAN 5/23/2001 9:50 IM 5/23/2002 8:49 Rt 803/2002 0:28 en 5/23/2002 8:27 PM 5/22/2002 6:16 PM BUILDING CODE t7OrdrLIA 4CtB MICR (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE ANC! (NOA) GAF Material Corporation - 1361 Alps Road Wayne, NJ 07410 SCOTit: . • PROM: FAU TO! 3056685161 PAGE: 001 0! 021 Mum: Par 7o: 3036685161 PAGE: 001 or 021 /1 : fax T0. 5056685161 ma: 001 or 021 PROM: fax T0: 3056685161 BAGS: 001 08 021 Pair: Fax T0: 3056685161 PAGE: 001 04 021 MIAMI -DADS COUNTY. FLORIDA 1ETfflOAADF FLAG.RR BUILDING 249 WFIT FLAOLER MAIM, SUITE 203 HMO, FLORIDA 53134.1313 (306) 37i.2901 FAX 005)37549W • This NOA is being issued under the applicable rules and regulations governing the use af'construction materials. T ha documentation submitted has been reviewed by the BCCO and accepted by the Building Cede and Product Review Committee to be used in Minn Dade County and other areaa wham allowed by the Authority Having Jurisdiction (AIiJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (Ian Mani Dade County) And/or the AEI (in arms other than Miami Dade County) reserve the right to have this product or material tested for quality aswraaa proposes. If this product or materiel fails to perform in the accepted rummer, the manufacturer will incur the expense of such tasting and the AHJ may immediately Lemke, modify, or suspend the use of ssah product or material within their jurisdiction BORAreserves the right to revoke this saeptauce, if it is determined by Miami -Doric County Product Cenhol Division that this product or taataial fails to meet the resluir mess of the applicable building code. This product is approved es described herein, and has beset designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Coteventiomal Bni t-Up Roof System for Wood Deck. LABELING: Earl► mlit shall ben a permancat label with the manufacturer's name or logo, city: state and following statement: " Miami -Dade Comity Product Control Approved ", soles: otherwise noted herein. _ RENEWAL of this NOA shall be tausidered ater a renewal application has been filed and these has been no change in the applicable building code negatively affecting the petfamance of this pcodact. TIERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materiels, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsesmeat deny product, for salsas, advertising or any other purposes shall mimetically teammate this NOA. Failure to comply w ith any 1eetiaa of this NOA shall be cauam for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dodo County, Florida, sad followed by the expiration date may be displayed in advettisiug literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy oldie entire NOA shall be provided to the user by the surundsetsuer or its distributors and shall be available for inspection at the jab site at the request of the Building OffeciaL This NOA, consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zdeaga, RRC NOA No: IMOSOa.09 Expiration Date: 11/04/03 Approrrd D : OSIl3/O2 Page l d 21 £ d bS9l£J� I IS TN /80 :54 '1.e /0 : I. CON l l (3ni) NObd • clAreus• Specifications H-11-4-WP6 and H-B-4-M 4(37E1, SOUth. anti MOM& sleds vet to 6 Wens per tonna MOM wntlt 1 1111 1 a 1101 1011104 Itihrad mom promo dads For Ogenwatotd Insoldop comma ....„ .. , ...„ 7 1 , ,...• .. • . '''.• - id't... :-.1-1::j. ; '''' 4 '"."-'''' agca:illtri?. .',..ii..".;1.1:.;;. ...i 9 ,-• ,^,re. - .`,.,;.,,V i l:" cri '.: '.: -':-.: ' c.: .' ....‘..: 7, ) . .. -. .. kcibz • ...• .i ' -.-- . • .... ,--,•,(,' -1 .. .:',...., -'... '• d'Y -.. ; - . - •:- '?.• L " 1 ' ..., ;-•.- '. ; • - k ' ;A i s'" d 17S,91817?,1. 800Z Z SpeelikatiOnS Apcdcedon rencanmendollons deeded en pars 17-20 shli-apply In Weir henoral so dm tabooing recomnonded0 and gPeranallons• ApplIcsfion ot Roofing Montesano . I. Over are sotto. Iay ono pty ot paper whom spidelble, Lao lacts nee.% 2 Intents OM Inceng shad Rd WM** 1 0 hold in Pboa. 2. Martino al the km pont CI los root lay one ply ot GratIM Item Shme, tapping each Oast 2 Moles at Wins and nct toss th an 6 Inds st bils- Me Mang Mosso * ed lotsreas not tu mood SI irelles stooper-ned &on coder al sheet in two Tows with nano sOnnet at lb bch frdermb nth row, LIS0120111WS IA) Integral metal heeds at loot 1 Oen In ciluntstsr soon Int in recommended Of GAF maosiats Comorabon �t Om at* menotacturer. (Soo Vadat trestineekne 3. Starting st bue p0111 01 the mot Mop too - of GAFOLAS Me statute hatimittpOlne embibeet 19 Anita odiriblificsam shot ' 441 m PIIM tots uoderlyIng base Oast to prodde three pOes porieSendre rom ans. Asohaft Reqnteri= Io* InOPPIRM of Woe MOM moSt be WOO in a mum= fan ard shah Wald of SOPUdintsti 26 POWS Per 100 Sq." 1. " rad ?nay° to18110X Dot 10 mod 2016 pets of minus. The acloninInle Mb* hs the Woos Involved frost be uoto. E'dJ • on owes spin Is lath wino% Rat AS1111Vill rinri be won =pal MOO, Taos. Vert Waco, MM. and Ceelontla. • Imply UMW ~a! aurlocad Cap Mei In accords= OM tes nooto0on : Instrucdono on pupa uo tbat dudes ons onset from lho kpo 01 Me ply ahools. 1,1betal .:147orMona 1, So notOnlondadons Jar use eat gypsum decice on paps 9. Z. Aoosplitsle 6AF9LP5 Baso Sheets Inclualc 610TAVEMM (Verd Pip) for NO Dods Wiled for best* poured gypsum decke,64/GLAS BM Shed. aFaLAST PITO*. and GAMMAS Pt/ 4. For wood decks end laldtifil od fiber dela, who GOMM V. 4 og 6AVGLAS PLY 8 b used as abase stmt. a sneaky: peor b modem& 1 3. See lalle1(1 of isso Shim: Ms 'ft 4. For roof demo( 1 Kt pat* or mom must to bocireallm1 ' Incers In nom die beam* of die IdL Seelretetbduo en Soma Rods: MP* 4:au:dent:an i Mod KM 1. 5110111 I C Combustible od ticetatistible ! Whoa* Wood plonts,bontis, ele..*olood (mht am inch einirati oneetod eland board (An. II kat thldosees). NC Nonmenbusebto only Notzonibtediele Wet Poe* or most ottuctursi comets, solitaliP soloing =cm; 9Ytistim Metal *cod litor 2. Moe • Modrourn slope Maces% tn Was per tact Ply Sheet: Cap Sheet: Deck Type 1. Dock Description: System Typo E (1): AB Central and System Base sheet: Fastening Options: 5/23/2002 9:50 Pa fA0x: fax TO; 3054685161 Pena: 018 OP 0 2 1 5/23/2002 8 :49 P!! PBDQtr Fax TDi 3056115161 PAGE: 018 Of 021 5/23/2002 8:38 PM FROM: fax TO: 3056685161 PMB8: 018 Of 021 5/23/2002 8:21 PM ROM: Fax T0: 3056685161 PAGE: 018 Of 021 5/23/2002 8:16 fat FROM: fax TO: 3056685161 PAR: 018 of 021 Wood, Non - insulated New Construction of Rsavof 19 / 31 " or greater plywood or wood plank decks Bane sheet mechanically fastened. t' d bS9lEtilllS'ONi80 :91'13/01:9, 20N 1! % (311) Limitations shall apply - GAFGLAS #110 Ultiman& Base Sheet, STRATAV[3NTO Eliminator Perlbraled Nailable, RUBEROID Modified Bate Sheet, RUBEROID 20, RUBEROID SBS Heat- We1d Smooth ar,RUBEROID SBS Hcat -Woad 25 base sheet mechanically fastened to deck as described below; GAFGLAS Ply 40, GAFGLAS Flex Plynf 6, GAFGLAS #75 Base Sheet or any of above !Base sheets attached to deck with approved armnlar ring shank nails and tin cap at a fastener spacing o(9" o.c. at the asp staggered and in two rows 12" o.c. in tiro fic4d. ote*n mr Dsatgn Pressure - 45 psf, See Gessesos Limitation 119 GAFGLAS® Ply 4®, GAFGLAS Flex Plynd 6, GAFGLAS *75 Base Sheet or any of above Base sheets attached to deck with bill -Tee (GAFITT1i) #12 or 1114 Screws and 3" Plates, 12" o.o. 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 pe,, See Cassel Limitation 117) GAFGLAS Flex Ply*' 6, GAFGLAS 875 Base Sheet or my of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a Es/toner spacing of 9P o.o. at the 4" lap staggered and in two rows 9" o.c. in the Sid. (Afazirsa<sn Design Rrsorwre— S1.Sptf, See General Linut*tioas #7) GAFGLAS #75 Base Sheet or any ad above Base sheets attached to dock with Deihl -Teo (GAFTITE) st 12 or 1114 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other taws are equally spaced approximately 9" o.e. in the 6ehd of the sheet. (Maximum Fromm pg Set General Limitation 01) Any of above Base sheets attached to deck approved annular ring shanic nails and 3" inserted Drill -Tee (GAFPTTE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. allictiNAVIN Daigo Pfessssre - 60 p See Goad Limitor0ion 117) GAFGLAS #75 Base Shoat or any of above Baao sheets attached to dock with Drill -Cec (GAF 1T E) #12 or #14 Screwve mud 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side Iap. The other rows are equally spaced appteximat ely 9" o.c. in the field of the sheet. (Maximum Design Presasare — 75 pe,, See Geme►d Limitation 117) One or more plies of GAFGLAS® PLY 40, GAFGLAS® PLY 60 ply sheet, 1480 Ultima, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mapping of approved asphalt applied within the EVT range and a18 rate of 20- 40 Ibsi, /sq. (Optic nit) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20.40 lbs. /sq. NOA No: 02- 0408.09 Expiration Date: 11/04103 Appreval Date; 0533/02 Page 18 at 21 1J0Hd 5/23/2002 9:50 BR rROR: Pax T0: 3056685161 PAGE: 021 01 021 5/23/2002 8:19 PH 88,011: Fax 70: 3056685161 PA08; 021 OF 021 5/23/2002 8:38 PH rum: Yai 10; 3056665161 PAGE: 021 Or 021 5:23/2002 1 :27 PH MN: fax To: 3056685161 PMGSt 021 OF 021 5/23/2002 I:16 FR mac rag T0: 3056665161 vmv: 021 OV 021 WOOD DECK SYSTEM LIMTFATIONS: 1 A slip abut i6 required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base err =char sheet. 2. Armin-net 1 Dena Deck or 14 Type X gypsum board is Acceptable to be installed directly over the wood deck GENERAL LIMITATIONS: 1. Fire clean icatialt is not pact of this acceptance, refer to a =m it Approved Roofing Materials Directory for fire ratings of thin product 2. Insuletiom may be installed in mokiple layers. The first layer ahall be attached in compliance with Product Control Approval guidelines. AU other layers shall be adhered in a full 'nappies of approved aapbalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached wing the fastening pattern of the top layer 3. All standard panel sins 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 clocni cell foam iasalstions when the base shoat is fully mopped. If no reoovety board is used the base al eet shall be applied tneing spot mopping with approved asphalt, 12" diameter circles, 24' o.c.; or strip 'Hopped 8" ribbons in throe rows, ono et each sidelap and one down the "'enter of the shoat allowing o continoo:a saw of vordilation. Encircling of the strips is not acceptable. A b" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall bo at a minimum. mite of 12 lbafaq. Note: Spot attacked systems shell be limited to a maxiana.ai design pressure of pal 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 275 Ibf., as tested in compliance with Testing Application Standard TAS 105, lithe fastener value, as field-tested, are below 275 Ibf insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet oe membrane attaohowat is based on a minimums f 'nekton= value in conjunction with the maximum design value listed within a specific system Should the fattener resistance be leas than that required, ed, w determined by the' Building Official, a revisal fastener spacing prepared, signed and sealed by a Florida Registered Engines', Architect, or Registered Roof Consultant may be submitted. Said revised festene r 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 bass sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation 09 will not be applicable.) 8. All attachment and sizing of perimeter nailer', metal profile. and/or fleabag ag teamsnation designs shall cods= with Roofing Application Standard RAS 111 amok applicable wind load requirements, 9. The maximum deaigned pry limitation listed shall be applicable to all roof pressure tones field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers and COMM). (When this limitation is specifically referred within this NOA, General ('.,imitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No; 02- 0408.04 Expiration Data: 11/04/03 Approval Date: 05f23/02 Page 21 of 21 a 1799lWill9 OiN/E1O:2 'la,'ll:9! sOCG kl Z (3n1) NOU3 Florida Buildnog Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information Master Permit No. Process No. 1 - //S G Contractor's Name R o \Ns Krrnes Q0 Q0 Job Address 3Q.1% 3 1Ocz � S M5 _ ` L ROOF CATEGORY ® Low Slope ❑ Mechanically Fastened Tile 0 Mortar /Adhesive Set Tile ❑ Asphaltic ❑ Metal Panel/Shingles 0 Wood Shingles /Shakes Shingles ARE THERE ❑ Prescriptive BUR -RAS 150 GAS VENT STAC ? ROOF TYPE YES NO ID ' TYPE-- NATURAL ❑ LIGX ❑ New Roof Re- Roofing ❑ Recovering ❑ Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) goo s0 3f. Section B (Roof Plan Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. r 1 IIIII It -- P' r Am 11111 aa zamauraivornmaa ; �� trve3 Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. FiII In Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NK) System Manufacturer. GAF NOA No.: 0 Z_ 0 4O P— t c i Design Wind Pressures, From RAS 128 or Calculations: Pmax1: - 52 • Pmax2:'• - 8l• 3 Pmax3: — I 3 I. Max Design Pressure, From the Specific NOA System: -- SZ. S" Deck Type: IA/ nn D GaugelThickness: 1X Slope: 0 ✓ I Z CC Anchor/Base Sheet & No. of Ply(s): *4V Pf AnchorBase Shee F ste er /Bonding Mate ial FIi Tn To 1'Ia -I i Shan Q; Insulation Base Layer. I\L f Q Base Insulation Size and Thickness: I \liA Base Insulation Fastener onding Material: KLI Top Insulation Layer. tL fQ Top Insulation Size and Thickness: I\I Top Insulation FastenerBording Base Sheet(s) & No. of Ply(s): ! A Section C (Low Sloped Roof System) Base Sheet Fastener/Bonding Material: K1 A Ply Sheet(s) & No. of Ply(s): QI . ��L.. 2. Q\ i L. Ply Sheet Fastener/Bonding Material: At'.?/14 14 STM n 312 Top Ply: Vh;n -era\ S.rctr,e Cxy Shc k Top Ply Faste er/ Bonding Material: PrSphall 1-MD ?,I N IfA, Surfacing: Fastener Spacing for Anchor /Base Sheet Attachment 1 Field: Q - t ' oc @ Lap, # Rows 2 @ 9 -oc Perimeter. 6 ' oc @ Lap, # Rows @ ' oc Comer. (O ' oc @ Lap, # Rows 4— @ (O ' oc Number of Fasteners Per Insulation Board Field Perimeter Comer Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, ' Cant Strip, Base Flashing, Counter - Flashing, Coping, Etc. )ndicate: 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. FT. FT. i A Parapet Height Mean Roof Height i SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner 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 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. -1. Aesthetics - Workmanship: The workm nship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. AO x 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. IL 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low - lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the Life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. !r'•V x7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. X Owne Agent's Signature C:\Documenls and Sedingskhommaa\Lees! Seldng.\remp \Temporary Intern. 4'lle. \Conlen1.1E511)K LNA1 ION I52 I I I.due lO // Date Contractor's Signature • PERMIT APPLICATION FOR MIAMI SHORES VI LA. RECEOVED Date O O`3 15 ,03 Job Address 39% k1 St ,, Tax Folio Legal Description 3 9% NC, 100& 4 . Historically Designated: Yes Owner/Lessee / Tenant `l' IC c Master Permit # i Owner's Address 3j NE 100 5‘... iftvace. enies, "ft, Phone (ac 8) Contracting Co. C,Z.Q. OSn VA.3 Address 3SS5 Mu) 14 -42 51, o Qualifier Rock. N , ' N1m es SS# alb a - a% - 0212 Phone (3o5) 496 - 6'7 (07 State # C C U 5`j t y 3 Municipal # 1 .1 l -4 - 1 Competency # Ins. Co. Architect/Engineer 14 14 Address —� Bonding Company t4 1 & Address Mortgagor Nk lk Permit Type (circle one): BUILDING ELECTRICAL \\ PLUMBING MECHANIICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION �@ — Cot' o �N C 3 cP �1 t Se Qt OS S e S{' 2/e,_; Square Ft. 2o© 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT APPROVED: Zoning Mechanical 7✓�— G /.9�o3 Signa of owner and/or Condo President \ \ \\1111111111i/ i4e M �� • . iti ' . LA G Notary as to Owner and/or Condo President : o A ° 9 • . Os My Commission Expires: l t E Tr a ; #DD099506 �� '• T O � IIIIIIII RADON C.C.F. o�� O NOTARY Address Estimated Cost (value) $ 3, C10Q . 00 Signa of Contractor or Owner - Builder Date \ 001#111111#00, � / �ma • h. Notary as to Contractor or Own Builder My Commission Expires: 4 41 I (0010 t JUL 15 2003 Electrical Plumbing tructural Engineer auk. 1 ) 1)41 . *_ #DD099506 : Q' i 9 •• • T ended d� � O ^l ��Nlllllllllll \ \ \ \\ BOND Ov TOTAL DUE51:4), \./ D NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description f property and street/address: 3 9e " E /00 L/ ( ail UI 33 2. Description of improvement: P -Y`D 3. Owner(s) name and address: Ma. O r) e i A vA; ores , J 313 Interest in property: 0 V✓ e Name and address of fee simple titleholder: 4. Contractor's name and address: Y & V. J ` \ a \A.) Type Insp'n T1 n Cop. MiXV J ( FL 'q 3) �3 5. Surety: (Payment bond required by owner from I HER e Y CERT/F Name and address: Amount of bond $ 6. Lender's name and address: ey 7. Persons within the state of Florida designated by O w provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: n VITNESS my I HARVEY UV AEA 8. In addition to himself, Owners designates the following persor in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expirat ent date is specif ignature Owner Print d'ner's Nam- scrib • Comm e res: d before me this scion #DD231 S 9 d7 Sworn to and su Notary Public Print Notary's N My commission e 123.01 -52 PAGE 4 8/02 d) f? Ie 2 L f Bonded Thru Atlan Bonding Co., Inc day of 305- 795 -2204 1111111111111111111111 I11111111111I1111111111 CF G}@ ?004R0 _L 701 47 OR Bk 22118 Ps 1119; (Iasi RECORDED 03/12/2004 15:22:46 HARVEY RLIVI N r CLERK OF COURT MIAr1I -DACE COMM FLORIDA LAST PAGE MIAMI SHORES VILLAGE BUILDING DEPARTMENT Building Inspection Request Date Time Permit No. WOK() �r -20 3' 1 1 S� . Name Address r 59t 0E_ nos+ Company Fo Phone # 3(S 6/9% For Inspector: 'V') 125 Name & Date Approved Correction Re- Insp'n Fee Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/12/2004 Applicant: MARJORIE Owner: WARREN JOB ADDRESS: 398 NE 100 Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060135410 Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -329 WARREN MARJORIE ST Contractor's Address: P.O. BOX 531051 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & 2 Fees: FEE2004 -2648 FEE2004 -2649 FEE2004 -2650 FEE2004 -2651 FEE2004 -2652 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $275.00 $6.60 $5.00 $2.20 $6.88 $295.68 Permit Status: APPROVED Permit Expiration: 9/6/2004 Construction Value: $10,200.00 Work: RE -ROOF COLOR THRU TILE MONIER BY: Page 1 of 1 Total Fees: $9 Total Receipts: $0.00 LI 1 ,i? Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BLK 40 LOT (P2 : (p,: i used *��iust be u n con' B 1lust be used !unction with Board list of momen otRules and Appeals. For Uplift based values for F,. the systems use ti area of the ,. f the F' values are i Ithod 3. Co then the tile attachment t method, Method « x 1: _ x w: "Uplift Based Tile Cal - --- x %r; C fit•. _ � — _ � t `} . es �ion L .ns �nito Pe..,•,vn.2002 It,4 ....r _- add Po Secti E For Moment used tide systems, V tlp�� for ?11 With e v choose either. ltileh 1 or values, for each values from bI •' he b area of th r r It the Mt Y a 11 u are a 2 ' Paced / Jn oof, then the etfeC thu 1 values (p,: I . b l et d 1 " I en t Bas td cc Pta�le• �� � d (P= •-- 1 Y �e Calcgj� Per (Pj' 112 X —Dig: �Iti1 I2 � .. �' —Dig • ��= �t t NOA bI , /7 Method ..1v; t� 1 . . , , IrOA DI ►� / 1 O 1‘.1:_411.141 Below' 2 t�Simplified Required Moment of Resistanc �. Tile Calculation (t 1,) From Table Below NOA Ni. t based tie systems endorsed b, the mp quad the values for Ft ` ' the o re the F 1tL s acceptable. 'values, l� each color ons Per RAS 127" •t Co 6 cos 0: t cos 8.• S Where to Obtain Informatio ru slEn Pressure p or P n 3 F F : o: Mean Roof Woof 127 Table 1 or b Where to find Aerodynamic Slope b ite Site nR analysis pre �.� �. base ►�.' Restorfn ynarr C S Attachment to Cnvi — — — . _ h1 NOA- ' Re uired Moment Resist a nce NOA 'lirtirtturn Resisance NI, NOA f R .lured U �imnce I Calculated IiR Resistanc NOA Average Tile Weittht ® Calculated O 'nsiuns I I= length BOA aleulatinns must be t NUA submits wa ttidth et to the RWfJj Y ( )facial at chi: tuft kW omit sooJir_t w i i • i SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner 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 govern the minimum requirements and standards of the industry for roofing, system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. MW 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. d 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). d 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. ti\NQ 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. kW 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. ,YV 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. `\ I 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Owner Agent s Signature Cd00CUS1E- IkmoLLOCALS -1Mm ASECT10:71S21.da o �f a� Date Contractor's Signature /28/2003 11:20 9544914489 MIAMI•DAOE BUILDING CODE COMPLIANCE OFFICE (BCCO) PROEM CT CONTROL DIVISi ON NOTICE OF ACCEPTANCE (NOA) Monica Lifctilc LLC 135 NW 20 Street Boca Faton, FL334:31 ABC 11130 -TILE PAGE ftl NI I A ) METRO- D».LW. FLAGLFI: BUILDING 140 WEST FLAGLER STREET. SUfTE 1603 Mt�1.t1, FLCRiD/ 33130 1563 (305)3 75-2901 F -.X (315.) 37S•29CS Scoff This N.)A•is being issued under the applicable rules and regulations governing thc use of = o- s:ruct cn rLztcr.als. The do• :umentation submitted has been reviewed by Miami-Dade County Product Como: ::?:visicr. and Icceptcd by the ;loard of Rules and Appeals (BORA) to be used in Miami Dade County and other and wft allowed ty the Authority Having Jurisdiction (AHJ). This N. )A shall not be valid after the expiration date stated below. Thc Miami Dade Cour.ry Prod.:(: C c- rol Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dadc Counrv) reserve tie :fight to have th s product or material tested for quality assurance purposes. If this product or mazer::: fails to perform in thc accepted manner, :he rrienufacturer will incur the expense of such testing and the AHJ rr y imreedia'ely revoke, modify, or suspend the use of such product or material within their jurisdiction. BO ?.A reserves the right to revo:.e this acceptance, if it is determined by Miami -Dade County Product Control D:v s. :m th„: • his , o.'.cc : r matcr'ia fails to meet ..he requirements of the applicable building code. This pr iduct is approved as described herein. and has been designed to comply with the 1::g= Vc!rt ::, ! Lrr i• :a.ric Zone •ot the Florida Building Codc. DESCRIPTION: Atlantis Shake & Slate Concrete Roof Tile LABE 1NC:.Each unit shall bear a permanent label with thc manufacturer's name or :oes. :ity, followi statement: "Miami -Dade County Product Control Approved"; unless otherwise RENEWAL of this NOA shall bc considered after a renewal application has been filed and : here h:.s be :n no change n the applicable bui :ding code negatively affecting the performance of this procu: TERMINATION of :his PJDA will occur after the expiration date or if theic has been a 7: c materia s, use, and/or manufacture of the product or process. Misuse of this NOA as an c-:'; -sr- t: product for sales, advertising or any other purposes shall automatically terminate this NOA. = ar :u -e :o :,i.irlpiy with any sectionof this NOA shall bc cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded .by thc words Miami -Dadc County: - r :-r-,3;, and folowed by the expiration date maybe displayed in advertising literature. if any portion of the,NOA :c c•sp twice. to Y :t sha:i be done in its entirety. )NSPE'` ION: A cony of this entirc NOA shall be provided to thc user by the manuract•..rc• c: I:_ and sha. I be available ;:or inspection at the job site at the request of the Building Official. This NC•A consists of ?ages 1 through 6. . The sub ritted documentation was reviewed by Frank Ziiloaga, RRC NOA No.: 02- 12 : :•08 Expiration Da-e 121: Approval Dare 01/( 9103 P age 1of6 1 /28/2003 11:20 Q. .r . R')OFINC .+SSEMBLY APPROVAL Category: Su b- Category: M ttcrial: 1_ SCOPE This renews a system using Monicr Lifelike Atlantis Shake & Slate Co7::77 r :e Roc' T: c. as manufactured Monier Lifctilc LLC and described in Section 2 of this Notice o` Accen : :::c. For locations where he pressure requirements, as determined by applicable B4: :&.rg Coe: do, s not exceed the design pressure values obtained by calculations in compliance with RAS 12" a:: g the values listed in section 4 herein. The attachment calculations shall be done :s a rrcr:.nt )ascd system. 2. PRODUCT DESCRIPTION : anufactured tly Test Product Applicant Dimensions Specifications Description Mo tier Lifetilc I = 15" Atlantis Shake and w = 10' / Slat: Tile 1 '/." thick Triri Pieces 1 = varies - w = varies varying thickness 2.1 SUBMITTED EVIDENCE: Red1 :•nd Tcchnolog :cs The ( enter for Applied Engircering, Inc. The ( enter for Applied 25- 7094 -2 Engtrccting, Inc. The ( enter for Applied Engir::cring, Inc. The ( enter for Applied Engir. =ring, Inc. 9544914489 Roofing Flat Frofile Roofing Tiles Concrete Test Aecnr.v Test Identifier 7161.03 Appendix III 94 -060A 94 -084 25- 7094 -S 25- 7094 -5 • ABC W130 -TILE PA 112 Flat, interlocking. high pis ;ure concrete shake and slate toolti :c with two nail holes. For :-ect dezk O ta: or adhesive set application. PA 112 Accessory trim, concrete roof piece for :se at hips, rakes, ridges anc •z :ley tor7.:r.a: cr. ;. Manufactured for each, t :.c orofilc Test NnmciRcEnrt Du :0 T Static PA 102 .% PA 102(.; • Static Uplift Tcst:n PA 101 (Mortar Set' (Adhesive Set) Static Uplift Tcst :nz PA :02 (4" Hcadlap, Vas:•, Diree::"\-r , Ncw Construction'. Static Up! Testing PA 102 (4" llradlap, Na;!s, Static Lip' fit Test:^ PA !02 (4" Hcadlap, Na'is, Direct Dock, Rccover/Rcroo f) 1394 %. ay .. '144 'OA \'o.: 111Z -12' :.GS Expiration Dace 12': emir Approval Dam O1/( 9/C3 Pace : of 6 te cosy Walk :r Engineering, Inc Walk• :r Enginccr'r.g, Inc. Walk :r Engineering, Inc. Test Identifier Test Namc /Report D I-e The Ccntcr for Applied 25- 7183 -6 Static Uplift Testing Fry :995 Eng .neering, Inc. PA 102 (2 Quik -Drive Screws. Direct Deck) The Center for Applied 25- 7183 -5 Static Uplift Testing : : 5 1 905 Eng nccring, Inc. PA 102 (2 Quik -Drive Screws, Ban ens) The Ccntcr for Applied 25- 7214 -1 Static Uplift Testing . Y..-..r.:.- :995 Eng neering, Inc. PA :02 (1 Quik -Drive Screw, D irt The Center for Applied Deck) Pl 25-7214 -5 Static Uplift Testing M.1 1995 Engineering, Inc. PA 102 (1 Quik -Drive Screw, B;;. - RedlInd Technologies 7161 -03 Wind Tunnel Tes:ing I; Y c:. • Appendix II PA 10S(Nail -Ong Redl Ind Technologies Letter Dated Aug. 1, 1994 Wind Tunnel Testing /,_ )'4.-. PA 108.(Nail -On,) RcdI.Ind Technologies P0631 -01 Wind Tunnel Test ^g' 1� :; 99.1 PA 108 (Mortar Set) Redl.ind Technologies PO402 Withdrawal Resistance T^c: :::g S::.: 7 ,‘..1 of screw vs. smooth sham i---Ii;s The ':enter for Applied Project No. 307025 Wind Driven Rain; (k :_ r.94 Engi:tecring,.Inc,, Test #MDC -77 PA 100 Professional Service 224 -47099 Physical Piopertics Sr:::. 994 Indu: tries, Inc. PA 112 Cclo cx Corporatiol Testing 520109 -1 Static L :r.,f: Test:n Lr_. , .93 Scrv::c 520111-4 PA :01 M :909 • 520191 -1 .Wall' cr Engineering, Inc. Calculations Acrodynam,c N1u!::p:.c- 1999 WaIIcr Engineering, Inc. Calculations ,Moment of G :avit. • S.:::. )99 Walker Engineering, Inc. Calculations 25 -7094 Fri-: - :` 3 .6 Walk zr Enginccnng, Inc. • Calculations 25 -7496 A :7: X96 Walk :r Engineering:, Inc. Calculations 25 -7534 . 25- 7804b -S . ` - 25 5 25- 7S4S -6 Calculations 25-'183 !it:.r 199S Calculations Aerodynamic Mu :t:pl:crs A.-7.: : `.T Calculations Two Patty Adhesive Sc: Sys A - • (93 . \OA No.: 02 - 12 :.118 Exptrat3oa Date:: /o'; Appra.il Date: 31'19103 P :,I6 / 28/2003 t i : tt7 3. LIMITATIOVS Tile Profile Mon er Lifetile Atlantis " Shat e & Slate Tile • ` 044144tri 3.1 Fire 4:lassification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications. a static field uplift test shall be V ;,-- c accordance with RAS 106. 3.3 Appl..cant shall retain the services of a Miami - Dade County Certified Labora:o quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall bc suor-_: to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall bc in compliance with the applicable Roofir.r Standards Ested section 4.1 herein. 3.5 30/90 hot mopped undcrlayment applications may be installed perpendicular tc ^^ 7;:c p: unless: stated otherwise by the underlaymcnt material manufacturers published 3.6 .This acceptance is for wood deck applications. Minimum deck requiremer._ s .c :r- comp!iancr_ 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 Lifctile Atlantis Shake and Slate Concrete Roof Tile and its comps ,t..-. : installed in strict compliance with Roofing Application Standard RAS 118. F. -- RAS .20. 4.2 Data For At :achment Calculations Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (Ibf) Mc•nier Lifetile Atlantis Shake & 8 Sl: :te Tile AtR; ft] 30 -TILE T Length-1(ft) .1.25 Table 2: Aerodynamic Multipliers - X. (ft ) Tile X (n) Profile Direct Deck Applicatior .. Aitc •Hier Lifetile Atlantis Shake & Slate Tile _ 0.24 Table 3: Restoring Moments due to Gravity - M (ft -Ibf) 4" :12" T 5 ":12" I 6 " : 12" : _ r 3 ":12" Direct Deck Direct Deck Direct Deck i Direct Deck 6.0 5 9 L 5.8 — 5.6 . 1_71 Width -++• 't f-=►�z c�. NOA No-. 02- :2111,1 Expiration Darr: :17t4 i Approval bast: C: T4'113 P.+e - ci 6 LO/ LGUJ L . L 11 . LU Tile Profile M. mier Lifetile At antis Shake 8. SI. rte Tile Ja4 471 Qgtr3 Fastener Type 2 -10d Ring Shank n N -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 19.0 Shank Nail (Eave Clip) 2 -10d Smooth or Screw 35 5 Shank Nails (Field Clip) y 2 -10d Smooth or Screw 31.9 Shank Nails (Eave Clip) 2 -10d Rrng_Shank Nails T 1 50.3 4 Large paddy pl :wemeit of 45 grams of PolyPro ". 5 Medium paddy placement of 24 grams of PolyPro TM Tile Profile Mc nier Lifetile Atlantis Shake 8 Slate Tile ABC $$130 -TIL.E sse as a Moment - M, (u -Ibf, for Nail -On Systems Direct Deck Direct Deck (min 15/32" (min. 19/32" plywood) plywood) 30.9 7.3 14.0 30.8 51.7 24.3 _. r Mc *tier Lifetile Atlantis Shake & Slate Tile Adhesive 2 See manufactures component approval for installation requirements. 3 Flexible Produc:ts Company TileBond Average weight per patty 13 9 grams Polyfoam Product, Inc. Average weight per patty 8 grams. 38.1 9.8 18.8 30.5 _._. 51 7 24.3 19 3 355 31 - 65.5 1 Installation with a 4' tale headlap and fasterners are located a min. of 21/2 from head o'. Table 5: Attachment Resistance Expressed as a Mc for Two Patty Adhesive Set Systems Tile Profile Tile Application Batt?ns 172 4.:1 48 1 Minimum Attachment 1 Resistance .. -- 31.3' Table .5A: Attachment Resistance Expressed as a Moment - M. (ft -Ibf) for Single Patt Adhesive Set Systems 1 "ile Profile Tile Application 1 Minimum Attachment t. . _ _ Resistance Mo tier Lifetile Atlantis Shake & State Tile PolyPro 1 1 j8 PolyPro'" I 40.3 Table 55: Attachment Resistance Expressed as a Moment - ki (ft -Ibf) for Mortar or Adhesive Set Systems Tile A lication Mortar Set" Attachment Resistance 39.0 PAGE 7.•1 — . 18.2 24.c 24.2 22.1 34 1 NOA 1✓o.: 02-12 ::.m Expiration Date: 121 .61U7 Approval Date: 01P19103 Page f.: or 6 • All tiles shall bear thc imprint or identifiable marking of the manufacturer's name 1)1 to : ;0. or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 A.pplication for building permit shall be accompanied by copes of thc follow:ng 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by thc Building Official or applicable bt.. i:dir lr code in order to properly evaluate the installation of this system JJYY :7 1'4407 PROFILE DRAWINGS 1" ABC 14130 -TILE MO`IER LI•E71LE :ATLANTIS SHAKE & SLATE CONCRETE ROOF TILE: END OF THIS ACCEPTANCE • t' /e' I 4 r NOA No.: 0:- 1211.08 Expiration Date: 1241 5107 Approval Date: 01 /0 )/03 Page 6 of 6 PAGE Of. r " � ►n:�c Chapter 8 ; > . Y, .. , • . '' �, p Constn,c ,t �:r.. e .o .. ;. c rant- t►p t.• , . n. ond:completeiy described herein f County Guildi Code Compliance Office (13C • C ∎ n1 412 n ot e °venting the use of /Alternate Allcftt,llc ,.I. en recomtttcnded for ecc der the conditions specified lte c stared below. 8 CC0 material ton to � a i :o sire or sY perform a nufacturer reserves t;tc pro n the , .s This S 'BOA shall not be valid :ui;u.t of rra:er,sl DI an after the expiration ra:t�ict or mat y time from � di d e of s:lc: I job site b t Cr m aterial , Ppr °VCd m a nner, 6t: plant for quality Y OCCO that n ' nydiat v 4 CO Y Oink �:: '�!; this CO may revoke, ^'�' Code. product or material fails to reserves the , moiii ere i rev meet life rc owe tf I•.;, �`t�cnsc QUircmcnt e. of Shelf t.:stinb will he incurred by the man •'.ecru► ?•,ty manufacturer. L Tllr: C:nM /Stir:PT SF nr V.11, t c. S FOR SPF.CIF rlt,rr ornc- ) ---- `- .,.L � NS V pp rift CT tt F ` ,. c1 Ion t ,, � t �pprovzf COMM! ..I•dc and Product rc..::_ has been m eet Rcvicw Co at,ttitt;` to b� is reviewed t); ed in Miami-Dad e OC C P • Count approved by the Building da Y Pori under the coedit ?ons sit 1 SCoo 11oc20001tts trivet emit rJdre»: pottnl,K ~ ~~� te r@puUdtn e ea dtonlint. eom '. i:i; ;�C . =C ni Ihtncpr�r. Attp � aNll�l • r'• Raul Rodriguez Chief Prcduct Central D :vi t'rancisc0 1 Quiet Director �• R A• \Cann -DaJ County tluiiJing Code Compliance orT,« ?e; South Florida ienit IK'.togt and r 's' Ypcs to secure tnis esting. )f this r suspend the ?royal, if it is This ipnro +vs P t.YQ u DA1 i Sctiod 2 f t GU c pressur taxi; en' :of Notice uesign tl)ellts, as determined b ure values obtained b POlypro0 At/ S 127. for y cote'', with approve 160. Where the at,ach,nent (vat), plrcement. and JS in uplilj '2. PRO.DUCT ESCRIPTIO\ Pfc.l'ac1.4.30 :CO 1 tit ry at ,IFr L =ESI9S n N/ right `/A ( urea by I'olyroun t►r i.f. ept�ce. 1•or the Iocaiion licablc building code. ,`h . '' Ons in con, does got l compliance With Roo fin • 1, ow. and high profile g cufatioru are do ne. rOpr til t �i `� s.tiscd s s a momenl. i ;. y tern for double patty system Veit It: ci(ic,lftnnn PA 101 2.1 Components ,tr Aft). M;:'It,i ()ask products manufactured Cacnty 1'rodlle:, Control by either.; ``''rich list u�li!t resi �. , trC, Act:c ptcd Root-Tile �.d1 with i r o Ay•. use o r('cl ..,l,ly It,.:, 2.2 �rru A11IGO. , d c:,rrrnt \Q,1 Typical Tltysica� T l Pro u� f'tl!r sd!. P n crf �CrfitS; �'sib=. Density c� Co misr<<�i ti e ASTM 0 1622 Beet It Stre”gtl �I n 16� i 1•G Ibs /rt.' r eltsi,c S:reltstl, 18 PSI franilel to rise AST Fite: A • . il�clr AST O 1623 12 PSI PCrpendicular. I.snr f0 r' �eistt.rc V. AST.H O'1?7 -8 PS1 1'ara'I to rise se Tr; ipnr n.08 153/n2 ►ts rtlsslrlt. 1.1 I' As II 96 Dintc I rrl / 1:rt:h Stability AST'j 1) :' 26 •:).07% Vsliltnfe t.C1k Ch al�e ..1''c - V Y f.l)i �tlillllt` .v n ' Chan Ilatuitlity. 2 wcelr, ,LdC? 11 A _dd; -,7 rroiuct Two eot p°lyurethan Dap =nscn11 CSttipment !):,pcj,sieg Cquipme•tt ;nrtk 2uloa R Product Control Examiner . tgn the lion usin ystent 4. 3.2 3.3 Mrlrm f •4'1 t e �d r ;;x d 3.4 n AS e�d1 oidhesif Tilemiinurietwes - Rte ti'/eve with their tile s ass 3.5 Roof Tile rnanofa :ire of Polypro2 ccures acquit' �f 16C roof tit y' .W4 101 and w ii is acceplanc'c d S t feria SC Wlt�l 17.,, • } : con tpliancc with" ahc j Oo; i"g •, �E`f`''es shall for the use of p ..: test id accordance olyrrp _ : a 6O cccptancc for two with , roof �hcsive Pa cy Plac d e me sec With their tilt et `' ,, rion 10. as modified mbliess �;' the t .��.� i _ herein n � W M.s 7 de. l Frani 2ute sue: Control Examiner' on 1.'S TALLATION 4.1 Po1yp: o , AR; v0 r 'aYbe us e d lists uplift resist,: with any 4.2 l' is pr0� Al-(150 ' all values with OTC t:sc of Pol assembly sectio�t and r. s.: YP ►o® y 111v • • t. c cores be applied in corn :. AHIGC e a current BOA that lists � ?o u di,t j. I'lacentent D etail c wilt the ein. s�11;c:cn; •► a....c.l�ert with the etails noted herein. Appl :catio a. adh e adhesive r t .lstan a use of P the Will res =starc cc. expressed Olypro� A/1160 ye rooftile App;icaaort Standards determined in' c o , "Pi:arcc N.: UP1it bascC shall Provide file assemb:v � OA d RAS I -- adhesive � t Mltrri_D .r; exceed r• The a:+ • to nlet: cr 4.3 �cl>.Pro�` At - e at..�cl�rttcrtt c+a; c Court:), RocnS. accordance with Rooting adhesive and '. a is toted in t:: p R�or�n d ��s corn c roof 'yprc� A :60 !; A pplication $. porcn,s sha :' Se ;r,stallcd in lnstal:atior r otin n landard ZAS 1.20 • and 0 Ytca ruse be by S Instruction en by Pc :yfoa ^t Pr r,, Y a Factory Tra: d M aintenanc e , .t Products. c s. l D x l s. t, aap�icator :o , t (no. Poi red Qua:ifi A K•el. the a:lt!,crir 1 Poly/ban! Prcducts !nc pp „car approved !:st o {' S Cl i.;or; y •tavi a,�y .�dl: of ! a ro arnpro � 3 lurisdicti on. shall supc'Y a !i; �,. and :icer>Sed ^ cs:vr. ; ..c r•.t, c ratio , dispensing equi t °' apP:cved be n ;t :..ta: ~e0 :w .:etu,�cn • pn c,> l is rep , c: before del, Yc. , cc:t I ti 1 S the A” component a pplication of ' 0.Q' . 5 : e G 1 S (A) : 1 0 (A Fonc,tt and :t e • h ' st:a :: be approved. oc,. pe tile , ) The dispense colnpore 4.6 I is de :ermined it cali(; Qt shall other set to t shed y�ro$ , 1l•I i CO �11:,lI d spcosi,:5 c ::i ,.•., oc 'spa icd with P o other settings �. ; Poly ud "(160 `,: l oa :np o R• F ICCO o " P r r si tZ : Lc c.N •. op ack ®30 k 100 Vuscd r: C,nl:,nrntl Y to suni d . . _trru►� Fir, �n •;.;,. . Lo�� Mi;`' .Preintos High Po',c' Nee 13 Flit LOX Hi h Profiles 5. LA it ELI.YC C. taLDING All Polyp; o® /l7' f :. e. r' containers omit crpiy 6.1 As PERMIT REQUIRf,11 w; the Standard Condition required � .Y g io s � ' -, orop.. by she Building . _ c herein. or applicable Building Code Oder to evaluate the instal/alien or this system. 6'90 %S:9S r44 Xd4 Frank ki 8a , ARC Product Cer ra Eumblcr • dcm 17 i4iddns c ud 9c it!1►+n bqro r elbow 4M�+n 17 O a .10 lave foust Ars ?ink 16.4616 NO � �I�atwy CSSOS99:9S vN � • W A7ithlS F 'a^R 2 u1 RJ C I ' r °iJuct C w: �. •-��? -Fill LS: ON Ai 6 ...i.Luct■ )17 : • ; vsES ON Xtid 7 Ii.L.:CH! •• Frank Zukaga, /QC Product Control Eximinet • d .E: ACCEPT original t ti.ai of this .0 Itcl:c and s Ace:.yare: (d r , the O Y r' ` ' older shall subni1ttcd do&uhi ?1t. hall be consldutal ` `: d.r ,an t c i after.* ^ )'Cars: . Udilrg ttaf-itl or• e :.� r f , Pj� tint,,• „I., 1a1, t'>ti- ; . ,Y by bt7pt li :. • Any and all a products ' f . • fi .. '� , '•" z ._. s, A: .art :� Z:.:, d the ssl nan ,.: .:n following i . , Prrmtncntl labs l;''•'"'. sDc:iGtiily b sta:rnxnc Y labeled with stated in i the _ = fat ` Specific conditions 'v h i s Ac�t: to nc County Nock:. �: . ' ; ' , city � ' lta;ct ►zls o I io of this Acceptance. pp • va ; ,.r Is f Acceptance w:ii no i d !scrc has b t be considered . T o:.n a cltsr,gc in t,, • cd if. r roG'uct and Isle' r South Florida Building l -r o product is prcdJ`t is not In COjtPl,anc with Code a';_ � ', r cv • cnot r tltc sa,tie pr �' t : a' d code cha,t�� ' aluatiori of .I.1:13g c I' duct i Acceptance holder h. oduct (identical) as the olte o •:.. _ r. ^ ; !II.: g the corr: a not 'complied with all he r • d, rt,: �,t -1 ;nstallatiot t � r approved. engineer who Cri • , :,, ' ' ache product. s this s h engin a no !cr: us rig ally prcparad. signed and sr atropta,:;c• b.r practicing the in ecrin sled the to,,. documcn�tien miry: '1)- d' till revision or � S profession. change i:l tl•o i materials , us J :Cr ::�;ieally be cat:se for t: ' ( Cft11r;1al:Ott Of , and/or manufacture C t•. r . Jtai n ed (t b c thc ; , t Acceptance. unless r", —duet or process b :!t office 8 of a rev,s,on appl;cac,on with P ` t*' a d approval nt has btu S 'PPrcp..._ ,�� and granted Ary or the following t, by :his g hail a:so be grounds for r p a. L'r:s:.t's:actor)• erfotlla , -- removal of Illy � I: of drys ta•scc erfo cr this product Cr f s Accsrp!�,� is an D�ocesS. ti other purposes. `� endorsement of any NroJur . ''t; Net ice cf Ac t- 'r. advertising or tv tilt: tic r :iron Cat: ry e •umber preceded by the words a. �..c :J= .ltIC : :S di )' � C,sD�a)•ot1 m as Miank -DaC: `_• :�..• �p•a)' t.': : :1 all bed t i t s c s , rsg literature. _ Florida, and rcilo• :c� .. S:1 011 l'. 7 ', ,....3,,, vrllr C ,u its llttlrt t�' ` = '•ion of the Notic �� :s Accep � a` :rC •idea , o ,t :a::;_ we:: as approved d :I�: i 4 ` `' ``• !he manufacturer r�wzogs and other .ou .,:e c : l all fir: s ', y acturef or r distributers �" do =:r: _� on nc s Ind s in s _ �' "here it applies, s . d t'fC ;o comply wit r b' Cf uc d rc: racal :ire ccpleS. - �•` !Cr i ;Spt:clio- A cccwanc� C � I )' SCC:iOn Cf this cc c 1CC AC . s,rall be cause 9. ;- �- ,, gut: cn and rrnlot;,; cr consists cf pa 1 :hr oug,t 8. END OF -MIS ACCEPTANCE 1 Kiri • • ,1 •�'� Corurol E amith:r . • • ^�• Roof Slope 3 12 Ridge Ventila Dr Calculations): Wind um Design pressUr S• es. i / � n •�1tgpAl ro fc ` ` Maximum p1: i_ fl P ab (F 1 From 9n p 2: loo lb "' R�4S 27 afl ons): m the Design Pressure p3' i DO(r NOA S • ecific S stem �ethn.� : � r) tion Stee. Slog ed Roof S stem e Deck Type: De Deck ype UnderlaYment• D kft In sulatio n; Fire Barrier. Fa stener Type 8 Sp acing; \Adhasi r : r Ype C Sh e oof Coverin Type & Size Drip g e: r •v. v v ne Zone Unit rm .Edit ph , rotO Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. 1 Section A (General Information) Master Permit No. Proces No. Contractor's Name tk (i 4'471 2f I vV E. ) 0 Job Address ROOF CATEGORY �,,� ❑ Low Slope ❑ Mechanically Fastened Tile L� Mortar /Adhesive Set t le- ❑ Asphaltic ❑ Metal PaneUShingles ❑ Wood Shingles /Shakes Shingles ARE THERE ❑ Prescriptive BUR -RAS 150 GAS VENT STA ROOF TYPE YES ❑ NO . TYPE- NATURAL ❑ LPGX D ❑ New Roof 6/Re-Roofing ❑ Recovering Repair ❑ al 9 P Maintenance . ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) d i p00 19 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers. and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and location of parapets. II■■■M E■ ME■M EEM■■ EEEMM.E ■■e ■EaEM■■MOMMMEME.EMEEMMEMEEE■ ■ ■ MMES■■.. ■M ■MIIIIMM■ ISM■SaE ■MESE■■■■MSM■ ■EM. MME■■ mmomm eEaE■■ EE■ E■ ■■E■EE■E Immommm ummli EMEEMI/ MEESM■■ MS■ MN■ ns M■■■ SEa■ .mmommmMMEE.EE ■SEM ■EM ■E■ ■MM ■a■■ IEMM E ■MuuM■MOMMES1iMMMEEMEaMM■rl /M T■■■■ M■ MEM■ Aa) f'EE ■ ■ ■ ■■ ■EE■ ■ ■ESEEM ■aMEE ■E ■EE■ IEMMMMM ■EMMENCIMMM.aM■ SEEM ■MEISr AIP ISE ■ESEMMEELLMMESE ■M A E ■MEN ■EaESMEE ■EM ■■ EMETE 1M■■MMMEMMME ; ga r,■ M1■■- •.■I■�r� misl� MErMMOIM ■ •II M 1M■ IM. 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EMU. v ui. ■ ■u11M ■kE MMSM■ MM■SMEEUE.MaMMSMMMM■■SM ■ MMa■ MEMM. ma IM EmMimmilmmmE INMUMMC:::: lIMMIM a a MO :::::::::::C:MINM ' EM :000:C:::::C: ::: E IML^ ME muMmi llap IMMM.■ M■a Ma MEIE Ea..IEMa.MEEEMMIMMpMrlmmilim amIE.E.MMMEMCMMM� mono i Lm Q`:m" e®Ci r :: MMM Il::::::: I� Mmmmiu::::C::C:CE:IE::::I:II::: memmmC�:::li::C .® 1 I 19 a ■tlEItummEcAmmuSEEamEMMEE ■ ■EEE mmimme■■aMEaMMommilm EEMEaE■aEMMESaaa■ ■.■ . i 1 1 - 3Aq Bonding Company's Name (if applicable) Bonding Company's Address • City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this - The foregoing instrument was ackno led red before me this day of ' I t'v4h201/41,`, by NOTARY Sign: Print: My Commission Expires: Cho 12/15/03 onal known to me or who produced who - s per As identification and who did take an oath. a ails State Certificate or Registration No. Certificate of Competency No. ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: oRui(P4iurafi_a Oy day of „ O ( c ( , 20UN,by U rnLUCA 1 t_ who is personally known to me or who has produced (Certificate of Competency Holder) as identification and who did take an oath. NOTARY PUB Sign: . j ; � �...: A ��d A 411:- Print: My Commission Expi g Co., Mc. Engineer Zoning * * * * * * * * * * * * ** * ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** MAR 1 -1 2004 Plans Examiner Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ©um - , ° BUILDING PERMIT APPLICATION Nat MAN/aster Permit No. FBC 2001 C1,7 ea c.pa Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Title r O r (� I i e wa r renone # 2,05 ' 0- . 9 3 Owner's Address ! V V v t 3 �� l � Cit Maim; 5 0 r es State ( L Zip j 3 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 1 v I v )00± City Miami Shores Village County Miami -Dade Zip 3 2 1 3 Is Building Historically Designated YES NO Contractor's Company N me � K � 00 C I Y1 4 � Phone # 305 '154 C I 1 Contractor's Address NA me , A 0 X 53) 05 f `1 City t State - /--- Zip J) �� Qualifier a.. [ , a . j 0 I Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 3 1 b l 200 Type of Work: ❑Addition ❑Alteration ❑New �Re air/RepJ ❑ Demolitio Describe Work: ''rear o-f - ! 7 �( S I ��� ` VV � '�I 1 e rD c�- ' rep 1 ace i� h c in-ew 1/1oni -er � {Ic�j_ co or� h ail 1-11es *he Same_ Mor - i le roP s s ewi► (Color M Total Fee Now Due $ \ tk (Continued on opposite side) C r- ek 1 301 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 50 • C.r..) Permit Fee $ /...) Notary $ g '- 0( Fee $ a (./ Scanning $ 9 Radon $ Code Enforcement $ Structural Plan Review. $ "- -"' Zoning Permit No. 61 q - 3.29 Phone # Square Footage Of Work: 19 CCF$ Technology Fee $ Bond $ 0/CC Roofing