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441 NE 101 St (12)Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) Test Location Uplift Pull Test (P or F) 1 -p 26 51 '�A_S5 �. p 76 2 T A,44Q 27 pa 52 77 3 28 53 78 4 29 54 79 5 30 55 80 6 31 56 81 7 32 57 82 8 33 58 R3 9 34 59 84 10 35 60 85 11 36 61 86 12 37 62 87 13 38 63 88 14 39 64 89 15 40 65 90 16 41 66 91 17 42 67 92 18 43 68 93 19 44 69 94 20 45 70 95 21 46 71 96 22 47 72 97 23 48 73 98 24 49 74 99 25 50 75 100 Owner's Name: " 1 • Permit #- 4 1 1 m 3 Job Address 44 t fr 1 0 l ST. ‘ N✓. )A C-4.1 tic-f) fl- Es 1 F (. Roofing Contractor: 62 04. 11, - Ni "Roo c- t (..) Type of Tile a 'L"I�� C .it 'ET Approximate Roof HeightI feet Type of Access to Roof: Scaffolds V Ladder Other Approximate Square Footage of Roof: "306)0 ft' Required Testing Force: 35 lbs. Testing Equipment: Chatillion 100 Date Tested: ( i 0 ' S ' m° IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT QUALITY CONTROL TEST. THIS REPORT SUBMITTED BY: Civil Engineer: Lab Certification # 98- 0608.04 P.E. State of FL Certificate Authorization # 4100 U.S. SOUTH Engineering & Testing Lab., Inc. 6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015 Telephone: (305) 558 -2588 • Fax: (305) 362 -4669 ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPLIANCE PROTOCOL PA 106 SITE SPECIFIC INFORMATION TEST RESULTS P = PASS, F = FAIL Date Installed 1 • \ • °o Roof Pitch 2 - t b - ' ( Project lN9 000307 KETCH OF ROOF It' I111111F1!['' MEIMIMMINIMMIPPME 7 r: 111KNI.IN::::�I,Mrr! II 11 I NEW 1 RE i or ce t, ail L INN oI • - 2'1 NOTES' JOB 44 lye t 0 ■ 9 SHEET NO CONTRACTOR CHECKED BY DATE SCALE �y Z OF Z PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date,-5--19-=01) Job Address 441 N . E . 101 S t r ep t Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Pau 1 Barker Master Permit # Owner's Address 441 N.E. 1 01 Street ContractingCo. Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Qualifier Carlos Arocho TO Phone 751-0382 State # RC 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off old roof to wood deck, tin cap 301b. ASTM felt as per code, install galvanized eave drip and valley metals where required, mop on with t •e III as halt one 1 • u - . _ •, • A. colorthru tile with polyfoam adhesive setting. Square Ft. 30 G q Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR 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. Signature of o ,1 . W OFFI ARY ' , GLADYS J VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1 • Notary as to O ' er and/ My Commission Expires FEES: PERMIT 3r(ti1yao a do President Da .g9-�� -03/-0 � d 6 RADON ^ C.C.F. ) APPROVED: Zoning Mechanical Plumbing Building (ifivq°' Phone 754 -4996 Signature of Contractor or Owner-Builder Date Notary as to Contr ... or or Owner - Builder My Commission Expires: NOTARY ji Electrical 11,gnn no 6 -0o 'ViVi' °i%'•: MARYLOU HERNANDEZ = MY COMMISSION # CC 680474 :,, - , �; EXPIRES: October 10, 2001 °'' Bonded Thru Notary Public Underwriters J rve BOND 3O TOTAL DUE Engineering NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11- 320 G -0/9 - D G c a STATE OF FLORIDA: COUNTY OF 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 of property and street address: 4 41 N.E. 1 01 Street 2. Description of improvement: Reroof to a new Tile Roof. 3. Owner(s) name and address: Paul Barker Interest in property: Owner Name and address of fee simple titleholder: N/A 4. Contractor's name and address: Quality Roofing Contractor, Inc. 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: N/A Amount of bond $ 0 0 6. Lender's name and address: N/A 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: N/A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: N /A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) y B6. 6X4 '.z- 3/- sipnaturs of owner Print Owners Name / /) 8/92/1 Sworn to and subscribed fore me this .3/ day of )i -'tr7 ,OOa Notary Public Print Notary's Name -My Commission-Expires: Miami Shores, Florida 33138 441 N.E. 101 Street Miami,Shores, Florida 33138 13800 N.W. 1st Avenue UJ; HA By _ Ff1 i nv t VII .LAR NOTARY PUBLIC STATE of FLORIDA MY COMMISSION F.XP. MAR. 1 002 STATE TF c FLORfDA, COUNTY OF OA OE HE : 5Y CERITF that this rs a tru( COpy of the ofIgir al /, - a' r (hiS 07hc on O! Mlami, Florida 33168 A D 20 hand and Official Seal. CL o' Ciro it and Co my Courts D.C. 00R262072 2000 JUN 01 10:44 Prepared by: Carlos Arocho Quality Roofing Contractor, Address: 13800 N.W. 1st Avenue Miami, Florida 33168 123.01-62 lalas eqj frimi Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name 4 P(\3 C.Ji 'cTfC- -'ro .b Address: ICE. 10) ROOF CATEGORY �/ ❑ (Low Slope Application) ❑ (Nail -On Tile) 21 (orta r e ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) iRe-roofing ROOF TYPE ❑ New Roof ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft Sloped Roof Area (ft2) 3 S9 Total (ft 0 Master Permit No. Exposure category (per ASCE 7 -88): - Building Classification category (per AS E 7 -88 table 1): •r Ft. Ft. Deck type: Fastener Type: Field: ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) ATTAC•MENT SPACING Perimeter: Corner. DETAIL 1 & 2 ROOF PLAN 123.01-78 4/99 Page -1 (Pmaxl: .3 X X (Aerodynamic Multiplier) „,[,O 2, () - Appendix "E” UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Rldge ntiletion 7 MEAN HEIGHT 3 ' Deck type: Insulation: 12" ROOF SLOP[ D E T A I L 3 SLOPED SYSTEM DESCRIPTION Lao Underlayment: 3 Pv5Ti� to pr Fastener type & spacing: // r n l y Sflan /c I7adJ Cap Sheet: 90 J ,b _ S 7 tk Roof Covering: Drip edge: h2 ` 'o•e. 9 "0.c /ate 6 i O.C_ . C c7/n el- *re <•, -' I/ i? ofi c, /I) j / £ % Y02-% ett'v9 . 5L /Van Ace- , ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific Systcm Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS phoil M =M 13,94 PCA: �foC01 ic" (Pmax2: 1037 x ? (Aerodynamic Multiplier):, ) - M = M PCA: g(p f (Pmax3:103 ,f) X /t, (Aerodynamic Multiplier): 191,,0 ` I) - M -3 0 = M 2- PCA: gla -b 1 Page -2 APPENDIX "F" REQUIRED O11'N'ERS NOTIFICATION FOR ROOFING CONSIDERATIONS -As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner \viih this appendix and to explain to the owner the content of this form. The provisions of Chapter 34 of the South Florida Building Code (SFBC) govern all the minin :m requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in' the adjacent box indicates that the item has been explained. 1. Aesthetics-Workmanship: The workmanship provisions of Chapter 34 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. 1 — t 2. Rcnailing Wood Decks: \Vhen replacing roofing. the existing wood roof deck may have to be rein in accordance with the current provisions of Chapter 29 of the SFBC. (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 U units (i.e. townhouses, condominiums, etc.). In buildings \vith 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 SFBC provides the option of maintaining �� this appearance. Pa �/} S. 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 n professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. P 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is no: overloaded from a build up of \voter. Perimeter /edge %valls or other roof extensions may block this discharge i` overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFEC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow.: tlhro:hh the i:htcrio- or the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. I: may be beneficial to consider additional venting which can result in extending, the service Iifc of the roar. 07 S. The owner may contact the Miami-Dade County Consumer Services Department for further information regarding the above. Owncr's /Agent's Signature • 3 / t2 G Ci Date Contractor's Signature MIAMI -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Oldcastic Westile, Inc. 1900 NW 21st Avenue Ft.Lauderdalc MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 130 WEST FLAGLER STREET. SUITE 1603 MIAMI, FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 FL 33311 CONTRACTOR ENFORCEMENT SECTION (305) 375-2966 FAX (305) 375-2908 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375 -2902 FAX (305) 372 -6339 Verona Low Profile Roof Tile under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:99- 1102.02 (Revises No.: 99- 0603.02) Expires:12 /16/2002 Approvcd: 12/16/1999 Internet mail address: postmaster ©buildingcodeonline.com A Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. rancisco Quintana, R.A. Director 1 of 8' Miami -Dade County Building Code Compliance Offic Homepage: http : //www.buildingcodeonline.com OLDCASTLE WESTILE, INC. 1. SCOPE This revises roofing system using "Oldcastle Westile Verona ", as manufactured Oldcastle Westile, Inc. Tile described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. Category: Prepared Roofing Sub Category: Low Profile Tile 2. PRODUCT DESCRIPTION Manufactured by Applicant Oldcastle Westile Verona Trim Pieces Product #30 Felt #43 Coated Base Sheet ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Dimensions Specifications Product Description 1= 16'/," PA 112 Low profile, interlocking, high pressure w = 13" extruded concrete roof tile equipped with two 'A" thick nail holes and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. I= varies w = varies varying thickness 2.1Components or products manufactured by others Dimensions N/A N/A PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Test Specifications ASTM D 226 type II ASTM D 2626 2 Product Description Saturated organic felt to be used as a nailed anchor sheet. Saturated and coated organic base sheet for single or double ply underlayment. Manufacturer generic generic Frank Zuloaga, RRC Roofing Product Control Examiner OLDCASTLE WESTILE, INC. Product Mineral Surface Cap Sheet Rainproof II Ice and Water Shield Wood Battens Tile Nails Tile Screws ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Dimensions N/A 30" x 75' roll 36" x 75' roll or 60" x 75' roll 36" x 75' roll vertical min. I "x4" horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alone Min. 10d x 3" #8 x 2 '/2" long 0.335" head dia. 0.131" shank dia. 0.175" sctrew thread diameter Hurricane Clip & Clips Fasteners min. 1 /2" width min. 0.060" thick Clip Fasteners min. 8d x 11/4" Test Specifications ASTM D 249 PA 104 PA 103 Wood Preservers Salt pressure treated or decay generic Institute LP - 2 resistant lumber battens PA 114 Appendix E PA 114 Appendix E PA 114 Appendix E 3 Product Description Mineral surfaced asphalt roll roofing for use as a top ply in a double ply underlayment system. Single ply, nail -on underlayment with 2" self - adhering top edge. Self- adhering underlayment for use as a top ply in a two ply underlayment system with Approved #30 or #43 as the base layer. Corrosion resistant bronze, aluminum, stainless steel, galvanized steel or plastic attachment clips for supplemental tile attachment. C'Iips are installed with corrosion resistant roofing nails compatible with the clip. A hurrican all nail -on • ;. Manufacturer generic Protect -O -Wrap, Inc. with current NOA W.R. Grace Co. with current NOA Corrosion resistant, screw or generic smooth shank nail Corrosion resistand coated, generic square drive, galvanized, coarse thread wood screw generic oaga, RRC Roofing Product Control Examiner OLDCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS Test Product Product Dimensions Specifications Description Manufacturer Roof Tile Mortar N/A PA 123 Prepared mortar mix designed Bermuda Roof ( "TileTiteTM ") for mortar set roof tile Company, Inc. applications. with current NOA Roof Tile Mortar ( "Quikrete® Roof Tile Mortar #1140") Tile -Bond 3. LIMITATIONS N/A PA 123 Prepared mortar mix designed Quikrete for mortar set roof tile Construction applications. Products with current NOA Roof Tile Mortar N/A PA 123 Prepared mortar mix designed W.R. Bonsal Co. ( "BONSAL® Roof for mortar set roof tile with current NOA Tile Mortar Mix ") applications. Factory premixed canisters See PCA Roof Tile Adhesive N/A See NOA Two component polyurethane Polyfoam Products, ( "Polypro® AHI60 ") adhesive designed for Inc. adhesive set roof tile with current NOA applications. 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with PA 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayments shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applicatiot s. Minimum deck requieements shall be in compliance with chapter 29 of the SFBC. 4 Single component polyurethane foam roof tile adhesive Flexible Products (with current NOA) Frank Zuloaga, RRC Roofing Product Control Examiner Table 3: Attachment Resistance Expressed as a Moment - Mr (ft -Ibf) for Nail -On Systems Tile Profile Fastener Type Direct Deck (min 15/32" plywood) Direct Deck (min. 19/32" plywood) Battens Verona Tile 2 -10d Ring Shank Nails 27.8 37.4 28.8 1 -10d Smooth or Screw Shank Nail 8.8 11.8 4.1 2 -10d Smooth or Screw Shank Nails 16.4 21.9 7.1 1 #8 Screw 25.8 25.8 22.9 2 #8 Screw 47.1 47.1 49.1 1 -10d Smooth or Screw Shank Nail (Field Clip) 24.3 24:3 24.2 1 -10d Smooth or Screw Shank Nail (Eave Clip) 19.0 19.0 22.1 2 -10d Smooth or Screw Shank Nails (Field Clip) 35.5 35.5 34.8 2 -10d Smooth or Screw Shank Nails (Eave Clip) 31.9 31.9 32.2 2 -10d Ring Shank Nails' 1 43.0 1 50�J� 1 Installation with a 4" tile headlap and fastemers are located a min. of 2' r head of t .. J Table 2: Restoring Moments due to Gravity - M (ft-lbf) Tile Profile 3 ":12" 4 ":12" 5 ":12" 6 ":12" 7 ":12" or greater Verona Tile Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck 5.57 6.30 5.48 6.18 5.37 6.05 5.24 5.90 5.09 5.73 OLDCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1.1 "Verona Tile" and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations 5 rank Zuloaga, RRC Roofing Product Control Examiner Table 1:. Aerodynamic Multiplyers- X(ft') Tile X (ft') X (ft') Profile Batten Application Direct Deck Application Verona Tile 0.267 0.289 OLDCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 4. INSTALLATION 4.1.1 "Verona Tile" and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations 5 rank Zuloaga, RRC Roofing Product Control Examiner Table 4: Attachment Resistance Expressed as a Moment Mf (ft-Ibf) for Two Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Verona Tile Adhesive 26.1' 2 See manufactures component approval for installation requirements. 3 Flexible Products Company TileBond Average weight per patty 11.4 grams. Polyfoam Product, Inc. Average weight per patty 8 grams. Table 4A: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Verona Tile Polyfoam PolyPro 86.61 Polyfoam PolyProTM 45.5 4 Large paddy placement of 54grams of PolyPro 5 Medium paddy placement of 24grams of PolyProTM. Table 4B: Attachment Resistance Expressed as a Moment - Mf (ft -Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Verona Tile Mortar Set 20.60 OLDCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. 6 Frank Zuloaga, RRC Roofing Product Control Examiner OLDCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: Deccmbcr 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS PROFILE DRAWING 1 -1/4" NAIL HOLES 11 3/ . 1 -1/2" 16 -1/2" WATERLOCK VERONA TILE 7 OVERLAY 13" WATER COURSE NOSE 2-1/8" Frank Zuloaga, RRC Roofing Product Control Examiner OLDCASTLE WESTILE, INC. ACCEPTANCE No.: 99- 1102.02 APPROVED: December 16, 1999 EXPIRES: December 16, 2002 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documents, including test - supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 7 and this last •age 8. 1 END OF THIS ACCEPTANCE 8 Frank Zuloaga, RRC Roofing Product Control Examiner PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1-31-97 Job Address 441 N . E . 101 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Mrs. Barker Master Permit # L / fV 3.1 Owner's Address 441 N. E. 101 Street Phone 754-4996 ContractingCcQuality Roofing Contractor, Inc. Address 251 N.W. 99th Street Qualifier Carlos Arocho SS# Phone 751-0382 State # R C: 0 0 5 8 6 2 7 Municipal # Competency # 17889 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor — . _ Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off flat roof to wood deck, tin cap base sheet felt as per building code, mop on with type III asphalt one layer of m dified bitumen and install eave drip metals. 4 . 1 6 p s — 16,4_t_ - ) I l - 4 rt ,{-70 ev d c r ol g Square Ft. 5 sq. Sign f owner :ft?' f o ' •ndo President Notary as to 0 er and/or My Commission Expires: FEES: PERMIT 6' U° RADON RYL4 NANOEZ MY COMMISSION d CC 324212 EXPIRES: October 10, 1997 Bonded Thnj Notary Public Underwriters APPROVED: Zoning Building Mechanical Plumbing C.C.F. Estimated Cost (value) 1, 800 .0 0 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 s : e • ing construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner- Builder •'�'1 MY OMMISSION # CC 32421 • EXPIRES: October EXPI a� Bid m � ctober 10, 1997 c— u Notary bloc Underwriters Notary as to Contr llctor or My Commission Expires: Date Date c NOTARY BOND 300 TOTAL DUE 3 f . " C7 Electrical Engineering Contractor's Name: 0,,.0,1,1-,( R l nvn17r,, o< Job Address: Lly/ it.). E. /0 / ROOF CATEGORY 2 Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) �/ ROOF TYPE ❑ New Roof lY Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft ,� sc Sloped Roof Area (ft Total (ft S s , Master Permit No. Exposure category (per ASE 7 -88): L Building Classification category (per AS'CE 7 -88 table 1): f Ft. A Ft. V A V Fastener Type: 1 e',/li net )s Deck type: Wood ))((o V j . ATTACHMENT SPACING / Field: )x'' 0.c. Perimeter: 9 ' '0. C • Corner: top. C 0 DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) 1- 0 '4 ,�1 2 J� 1,456- ROOF PLAN r 1 - 65 b r r r r � r 123.01 -78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 METRO.OADE GS Roofing Products Company, Inc. • 5525 MacArthur Blvd., Suitc 900 Irving, TX 75038 PRODUCT CONTROL SECTION (305) 375-2902 PRODUCT CONTROI, NOTICE OF ACCEPTANCr FAX (305) 372-6339 Your application for Product Approval of GS Roofin? Modified Bitumen Roof Systemt under Chapter 8 of the Metropolitan Dade County Codc governing the use of Alternate Materials and types of Construction, and completely described in the plans, specifications and calculations as submitted by . Applied Research Laboratories, Factory Mutual Research Corporation, Underwriters Laboratories and United States Testing Company, Inc. has been recommended for acceptance by the Building Codc Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth herein. The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the right to secure a product or material any time for a jobsite or manufacturer plant for quality control testing. If product or material fail to perform in the approved manner, the Codc Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Codc Compliance Department reserves the right to require testing of this product or material should anyamendmcnts to the South Florida Building Codc be enacted affecting this product or material. The expense of such testing will be incurred by the Manufacturer. PRODUCT NO. : ee ACCEPTANCE NO.: 95- 0502.04"(Rcviscs No.: 94- 0531.041 Raul Rodriguez Product Control Division EXPIRES: 04/12/97 Supervisor - PLEASE NOTE - THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. BUILDING CODE COMMITTEE This application for Product Approval has bccn reviewed by the Metropolitan Dadc County Building Codc Compliance Department and approved by•the Building Codc Committee to be u in Dadc Cot 1Q9 Florida under the conditions sct forth above. APPROVED: 06 /13/95 • • METROPOLITAN DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE SUITE 1603 METRO -OAOE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-2906 Charles Danger. P.E., Director Building Codc Compliance Department Metropolitan Dade County . Extensions of Acceptance may be considered after a new application has been filed and the supporting data, test reports no older than ten (10) years, have been re- evaluated. NOTICF,$)F ACLFPTANCF.: STALIDARE) CONC)ITIONS All reports of re-testing shall bear the seal, signature and date of an engineer registered in the State of Florida. Any revision or change in the materials, use, or manufacture of the product or process shalt automatically be cause for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance, of this product or process or a change in Code provisions shall be grounds for re-evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. 5. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 6. Product approval drawings, whcre required for permit applications, shall be provided to the applicant by the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need not be re- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. This Product Control Approval supersedes No. 94- 0531.04 Raul Rodriguez . Product Control Division Supervisor Applicant: GS Roofing Products Company, Inc. (MB) 5525 MacArthur Blvd. Suite 900 Irving, TX 75038 v• Membrane Roofing System Sub - Category: Built -up Roofing Tvpe: Modified Bitumen Sub-Type: SBS /APP PRODUCT CONTROL. NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL. System Description Contact Pat Neuhaus Commercial District Manager 2900 Bird St. Charleston Heights, SC 29405 (803) 744 -7451 Raul Rodriguez Product Control No.. 95- 0502.04 Approval Date: JUN i 3 Expiration Date: 09/12/97 GS Roofing Products Company, Inc. manfuactures and markets nationally a complete line of residential and commercial BUR and modified bitumen products. GS Roofing Products Company, Inc. markets these products through local distribution in the South Florida jurisdiction. GS Roofing products and systems are the result of years of manufacturing experience and product development and have been proven by years of experience in the construction field. GS offers a variety of approved insulated and non - insulated roofing systems. For detailed system . constructions, refer to the following publications: "Commercial Roof System Specification Manusl" and "Flintlastic Roof System Catalog." GS products and systems have been tested in compliance with an provisions of the South Florida Building Code as well as Underwriters Laboratories, Inc., and Factory Mutual Research Corporation for fire and wind uplift resistance. GS provides technical service and warranty information through regional offices. For the South Florida Metro -Dade area, call 1 -800- 777 -2563. Laths Al l Weather /Empire Base Sheet Flex- I- GIasT "M Base Sheet Flex- I- GlasT"t FR Base Sheet Flintglas® Ply Sheet Type IVorVI Flintlastic STA Flintlastic GTA Flintlastic GTS 39 = " x 2 4'9 "; Roll weight: 92 lbs. ( square) Flintlastic GMS /GMS 39'/," x 34' 2 "; Premium Roll weight: 100/105 lbs. (I square) Flintlastic FR/FR -P Premium TRADE NAMES OF PRODUCTS MANUFACTURED Olt LABELED BY APPLICANT Dimensions 36" x 72'; Roll weight: 86 lbs. (2 squares) 36" x 108'; Roll weight: 90 lbs. (3 squares) 39'/ x 50'; Roll weight: 90 lbs. (1.5 squares) 36" x 180'; Roll weight: 40/55 lbs. (5 squares) 39'/," x 33'; Roll weight: 90 lbs. (1 square) 39 V x 33' 3 "; Roll weight: 105 lbs. (1 square) 39 ' /_" x 34' 2"; Roll weight: 105 lbs. (1 square) Test Snccif icntion Product Control No.: 95 0502.04 Product Description ASTM D 2626 Asphalt coated, organic base sheet. UL Type 15 UL Type G2 UL Type G2 ASTM D 2178 Type IV or VI UL Type GI ASTM D 5147 3 Raul Rodriguez Modified Bitumen, coated fiberglass base sheet. Modified Bitumen, coated fiberglass base sheet. Fiberglass, asphalt impregnated ply sheet. Smooth surfaced, APP Modified Bitumen membrane with non -woven polyester mat reinforcement for torch application. ASTM D 5147 Granule surfaced, APP Modified Bitumen membrane with non -woven polycstcr mat reinforcement for toch application. ASTM D 5147 Granule surfaced. SBS Modified • • Bitumen membrane with non -woven polycstcr mat reinforcement for torch application. ASTfvl D 5147 Granule surfaced SBS Modified Bitumen membrane with non -woven polycstcr mat reinforcement for mop application. ASTM D 5147 Fire resistant, granule surfaced SBS Modified Bitumen Ivlcmbranc with non -woven polycstcr mat reinforcement for mop application. Product Control No.: 95- 0502.04 Test Product Product Dimensions Specification Description Flintlastic FR Cap 39'/ x 34' 2"; ASTM D 5147 Fire resistant, granule surfaced SBS Roll weight: 90 Modified Bitumen membrane with lbs. fiberglass mat reinforcement for mop (1 square) applications. G IasBaseTm Base Sheet 36" x 108'; Roll ASTM D 4601 Asphalt coated, fiberglass base sheet. weight: 69 lbs. UL Type G2 (3 squares) Poly SMS Base Sheet 39'4" x 64' 4 "; ASTM D 5147 Modified Bitumen, coated polyester Roll weight: 90 base sheet. lbs. (2 squares) Yosemite® Mineral 36" x 36'; Roll ASTM D 249 Mineral Surfaced organic cap and buffer Surfaced Cap Sheet weight: 90 lbs. UL Type 30 sheet. (1 square) Stormshield 36" x 75'; Roll PA 103s Slag surfaced SBS Modified Bitumen weight 76 lbs. sheet with fiberglass reinforcement for (2 squares) peel and stick application. 4 Raul Rodriguez ,,74)/7 Product Hy Thcrm Pyrox APOC 212 Sunbright 400 MBA ACFoarn 11 Ccicorc various Anchorbond Fastener Anchorbond LCW 1ightweight Concrete fastencrs High Density various Fiberboard Dckfast Fasteners 4'14 Dckfast 1 Plate 2 7/8" x 3 1/4" Dimension) various various Dckfast Lock Plato 3" x 3 1/4" TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Spgcification PA 110 PA 110 PA 121 PA 121 ASTM 3019 Asphalt based cold applied Type III adhesive. PA 110 PA 110 PA 114 PAII4 PA 100 PA 114 5 Product D escription Polyisocyanuratc foam insulation Polyisocyanurate foam insulation Aluminum roof coating. Roof coating Polyisocyanurate foam insulation Cellular insulating concrete system Insulation fastener and metal or plastic plate Base ply fastening systems for lightweight concrctc decks Wood fiber insulation Polypropylene locking plate. Raul Rodriguez Product Control No.: 95- 0502.04 Manufacturer Apache Products Co. Apache Products Co. APOC, Subsidiary of Gardner APOC, Subsidiary of Gardner APOC, Subsidiary of Gardner Atlas Energy Products Celcore, Inc. Cclotex Corp. • Cclotex Corp. Cclotex Corp. PA 114 insulation fastener for steel Construction and concrete decks Fasteners Ind. PA 114 Galvalumc hex stress plate. Construction Fasteners Inc. Construction Fastcncrs Inc. Product Dekfast Fasteners M 15 Dek fast Fasteners #12 TPR Elastizell FM -30, FM -45, FM -60, FM -90 Fasteners Nail -Tice Type 'A' Nail -Tice Type 'R' GAFTITE various Asphalt Emulsion Gardner Cold Process Roof Cement • Asphalt Asphalt Primer Hilt Density Wood various Fiberboard Test Product Dimensions ,Specification Description PA 114 PA 114 Insulation fastener for steel PA 114 PA 110 PA 114 PA114 • PA 114 PA 114 PA 121 1, 5, 55 ASTM •D 3019 Fibered asphaltic general Gardner gallons Type III purpose lap and ply cement. ASTM D 312 Typc III or IV hot asphalt generic bitumen adhesive ASTM D 41 Asphalt Primer generic PA 110 Wood fiber insulation generic 6 Insulation fasteners for concrctc decks and wood decks. Aluminum fastener for lightweight, gypsum and tectum decks Cellular insulating concrete system Base ply fastening systems for lightweight concrete decks Galvanized steel base ply ES Products, Inc. fastener for lightweight concrctc decks Galvanized steel base ply fastener for lightweight concrete decks Base sheet fastening system. Asphalt emulsion board Raul Rodriguez Product Control No.: 95- 0502.o'1 Manufacturer Construction Fasteners Inc. Construction Fasteners Inc. Creative Construction Components Elastizell Corp. ES Products, Inc. ES Products, Inc. GAF Gardner Test Product Product Dimensions Specification Description Manufacturer Perlite Insulation various PA 110 Perlite insulation board gcncric Red Rosin various Rosin paper for barrier generic layer on wood decks Roofing Nails Minimum # PA 114 Corrosion resistant annular gcncric 12 ring shank nails Tin Caps' gal MB aluminum roof coating f3' N RG' Y -1 Min. 32 ga. x PA 121 Aluminum roof coating Grundy industries Karnak 81 AF 5, 55 gallons ASTM D 3019 Cold applied SBS modified Karnak . • Modified Bitumen type 111, ASTM adhesive for application of Adhesive (Brush D 3409 SBS modified bitumen Grade) systems. Karnak S I AF 5, 55 gallons ASTM D 3019 Cold applied SBS modified Karnak iMlodificd Bitumen type 111, ASTM adhcsivc for application of Adhesive (Trowel D 3409 SBS modified bitumen • Grade) systems. Karnak 97 AF PA 121 Roofcoating Karnak Karnak 97 PA 121 ltoof coating Karnak Monscy MBA Gold 1, 5. 55 ASTM D 3019 Fibratcd, rubberized cement Monscy Products ivlembranc gallons type 111 for bonding modified Co. Adhesive _ •• bitumen membranes. Pro;;rade Fibcrcd PA 121 Fibratcd aluminum roof lvlonscy Products Aluminum coating. Co. E'NERG'Y PSI-25 various PA 110 Polyisocyanuratc foam NRG Barriers. Inc. insulation various PA 1 Polyisocyanuratc foam • NRG Barriers, Inc. insulation 7 Corrosion resistant circular generic discs. Product Control No.: 95 0502.04 Raul Rodriguez /411 Product E'NRG'Y -2 Plus E' N RG' Y -2 N.T.Q. Magnum N.T.Q. Spin Weld Plate Dimension) various various 2" round N.T.B. Plastic Plate 3" round . N.T.B. Plate Olympic Fastener #12 Olympic Fastener #14 Olympic CR Basc • Felt Fastener and Base Sheet Disc 01} i�ipic Fastener Tcst Product pecification Description PA 110 PA 110 PA 114 PA 114 PA 1,14 PA 114 • PA 11'4 8 • Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Glass reinforced nylon fastener for use in gypsum and cenientitious wood fiber decks. 2" round amorphorus nylon locking plate for use with N.T.B, fasteners with 1" head • 3" round polypropylene stress plate for use with N.T.B. fasteners 3" round galvalume AZ55 plate for use with N.T.13. fasteners PA 114 . Insulation fastener PA 114 Insulation fastener Insulation fastener assembly for Base Sheet fastening only PA 114 .Insulation fastener Raul Rodriguez Product Control No.: 95- 0502.04 Manufacturer NRG Barriers, Inc. NRG Barriers, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic . Manufacturing Group, Inc. Olympic • Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Product Olympic Polypropylene Olympic Standard 3" round PA 114 Fiberglas ' various Paroc Cap Board various UltraGard Gold various Rawl 2" Plate Rawl 3" Plate Rawlitc 2" round 3" round Rawlite 3" Plate 3" round Aluma- l3ritc No. 120 Test Product Dimensions ,Specification Description 3.35" round PA 114 Polypropylene plastic plate 3" round galvalumc AZ55 steel plate PA 110 Fiber glass roof insulation PA 110 Rockwool insulation PA 110 Polyisocyanurate foam insulation PA 114 2" round gatvalumc AZ55 membrane plate PA 114 3" round galvalumc AZ55 steel plate PA 114 Insulation fastener for ccmcntitious and gypsum decks R 2100 - Mpdi.fied • 1, 5, 55 ASTM D 3019 Rubberized al!- weather All Weather gallons, also (Type III) and flashing cement, trowel Flashing Cement available in D 3409 grade, modified adhesive. 10.5 ouncc caulking tubes. Product Control No.: 95- 0502.04 Jvinnufncturcc Olympic Manufacturing Group. Inc. Olympic Manufacturing Group. Inc. Owens- Corning Fiberglas Corp. Partek, Inc. Schuller International Inc. The Rawlplug Company Inc. • The Rawlplug Company Inc. The Rawlplug Company Inc. . PA 114 3" round galvalumc AZ55 The Rawlplug steel.plate for use with Company Inc. Rawlitc fasteners Tropical Asphalt Products Corporation PA 121 Fibratcd aluminum roof Tropical Asphalt coating. Products Corp. 9 Raul Rodriguez Test A;ency /Identifier J'Iame Report DalC Applied Research Physical Properties 28013 06/02/87 Laboratories Factory Mutual Research Current Insulation FMRC 1994 01/01/94 Corporation Fastening Requirements Underwriters Fire Classification RI190 07/13/87 Laboratories Compliance United States Testing ASTM D 5147 97457 -4 06/03/88 Company, Inc. ASTM D 5147 97- 457 -2R 12/02/87 Test Reports I0 Raul Rodriguez Product Control No.: 95- 0502.04 • Material Fibrous glass Periite Fiberboard Rockwool Polyisocyanurate Polyisocyanurate Composite Board Wood Steel Concrete Lightweight Concrete Cementitious Wood Fiber Poured Gypsum Material Wood Steel Concrete Lightweight Concrete Poured Gypsum Maximum Design Pressures Maximum Fire Classification • • • Design Pressure -60 psf -60 psf -135 psf -45 psf -52 psf -52 psf Classification Class A Class A Class A Class A Class A Note: Fire classifications and maximum design pressures clock types. Review system listings for design pressures Roofing Materials Dircctory or other approved testing Classifications. - I I Raul Rodriguez Product Control No.: 95 0502.04 do not reference all assemblies over and the Underwriters Laboratories agency listing directory for Fire Membrane Type: SBS Deck Type 1: Wood, Non - insulated Deck Description: '° /,_" or greater plywood or wood plank decks System Type E(1): Base sheet mechanically fastened. All Ccncral and System Limitations apply. • Base Sheet: One or more plies of GS Glas Base, GS Flex -I Glas Base, Flex -I Glas FR Base or GS Poly SMS base mechanically fastened to the deck as detailed below. Fastening: Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps 9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c.. Ply Sheet: (Optional) Sec products listed under 'Base Sheet' above, or one or more plies of GS Flintlastic Ply IV or Ply VI adhered to the base sheet in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 Ibs./sq.. lvlembrane: One ply of Flintlastic FR -P, Flintlastic FR Cap, Flintlastic GMS, Flintlastic Premium GMS adhered to the base sheet with approved mopping asphalt applied within the EVT range and at a rate of 20 -40 Ibsisq.; or Flintlastic GTS Torch adhered to the base sheet. Surl;acing: ( Optional) Install oneoftlmfollowing: 1. 400 lb/sq. gravel or 300 IbJsq. slag in a flood coat of approved mopping asphalt at an application rate of 60 IbJsq.. 1Vlaximunl Design Pressure: -45 psf. 2. Karnak 97 or APOC 212 Fibratcd Aluminum at an application rate of I galisq.. Maximum FUe Classification: ication: Class 'A'; see General Lititation #2. Maximum Slope: 1:12; sec General Limitation #3. Specification No.: GMS 2 -3, FRP 2 -3, GTS 2 -3, FR13C 2 -3 35 Raul Rodriguez Product Control No.: 95-0502.04 For use over nailabie decks....., PP ' 46. ,0:02k Vita/ • Pr '37•71aSi•to5V4•11441A•WA4tit....a.altaivf. itAtfra:SiAtitlk•atligtfr.70.4.44.1ibri:1) Membrane: • One ply of GLASBASE base sheet and one ply of FLINTLASTIC FR modified bitumen roll roofing. Summary.of Pery1_00 Square Feet , '.3._ASBASE Base Sheet (1ply) ... 23 lbs. T/ps III Asphalt Solid Moping .. 25 lbs. FLINT-ASTIC roll r�bfii 1 pl 100 lbs. - \pproximate Total Finished Weight 148 I ifithout optional:surfacing- . : • • . • ..• • bs, 266 ROOF COVERING 'MATERIALS (TEVT) "ROOFING SYSTEMS .(TGFU).:-:-Contiilueo' Membrane: "Flintlastic STA"; •"GTA", "GTA Black Diamond" or "GTA White Diamond", heat fused. • ••■■• • ' ' ' • SurfaoingtiGravel.: • . '••• • .0;. • ' • ' • • ." 3. Deck: C-15/32 • Incline: 1/4 Base SheetTypo G2, mechanically fastened: •, ••:- • .•.• • ". s:iti •Memtiranev"Flintrastio 'STA", "GTA;GTAI Black Diamond" or "GTA fused. Surfacing: Gravel. •• • 4. Deck: C-15/32* • •,:•• ' Incline: 1 "All Joints blocked witif2x4's. Base•Shoot Type G2, naller:K. • • •.'" Membrane: "FlintlastIc GMS", "GMS Premium" or . "01■4SBlack Diamond", roofing asphalt. . . Surfacing: Gravel.. • Deck: C-15/3211.' . • . • . • Incline: 1/2 Insulation: Celotex "Hy-Tec", Z In. min, Joints in Insulation must be offset 6 in. from joints deck, mechanically fastened. .. • • - ". • • • Base Sheet TVpe.G2,'rnachanically fastened or adhered with hot roofing asphalt. •• " •GMS"I"GMS Premium"' or "GMS Black Diamond", adhered with hot ropfing asphalt. • . • Surfacing: Gravel.' 6. Deck: C-16/32 InclInp: 1/2 Insulation: Colotex "Hy-Tec", 2 In. min, joints in Insulation must be offset'6 in. from joints to docicmechanically fastened: • Bus. Sheet Type 62. mechanIcally`fastanod or adhered with hot'roofing asphalt. . . Membrane:."Flintlastic STA",. "GTA"; "GTA Black•Diamond" or"GTA APP Whiiu Diamond', heat fused, '. "''" • Surfacing: Gravel. ...• • " . • , Class A - Fully Adhered Incline: 1 • • • . •• . ;<.. . • , . „ • • . . • White Diamond", heat . ..• adhorod with hot 1. Dock: NC Vapor, Reterderi (Optional) Type 62 "Glesbase" base shoat or lit. Classified vapor retarder. • . (OptiOrial) One or more layers or combination of the following: Ultragard Promfer, ...pbicrisciayenurate; partite, glass fiber or.wood fiber insulation.' • Base Sheet One layer of Type 62 "Glasbase" base sheet Membrane:•One layer of "Flintlastic GTA..(-3 sq or -1 sq), GTS" (modified bitumen), hell • ''' fusecro?"Flintlastlo'GMS" hot mopped. Surfacing: /41 212 Fibreted Alumlnurn;', at 1.1/2 gal..100sqlfi, • •"'.. • • 2. Decle.NC.. . . , • •••. . .. • Incline? 3/4 • • • Vapor Retardon.(Optional)T,ypie base shoot or U. Claseified.vapor retarder. ' )r)iiiietion:10019,nalr One or more !flyers or combination of the:following: Ultragard Premier, • ' • poheisecyanurate; partite, glass 'fiber or wood fiber insulation. Base .Shoot Ono layer of Type G2 ."Glasbase" base sheet. Membrane,: Ormlayer. of "Flintfastic STA (modified bitumen); heat fused. 0“ Surfacing: Karnak • "No. 97 Elbrated Aluminum",'81 1-1/2 gal. per 100 sq/ff. Decks ce15/32: 1/2.` Insulation: (OpUonal) "IlltriVard 'Prcirdir", pOlyliocyanurite, woad' fibertioard, , • fibarplufs 1,ssoysnurate;any,thicknessd..... .. .•• ,• . . 'Base Sheet One or rnbre plies orGlasbase hot mopped 'orpechanically;faitened. Membranc,Ans, ply .0f - FlIntlastic FR". (mod(fied hot moppid In .4. Dock; Ng, . . 1/2 •• .. • • " .• Insulation: Polyliocyanurate, glass fiber; perliti, wood fiber, hot mopped or mechanically itt. toned, any thickness. Base Shoet.Typo 62, mechanically fastened or hot mopped. . •Membrane:,7FIAntlastIc GTA•or STA", heat fused. • , Surfacing: Henry Co. "Henry 620 Aluminum", applied at 1.1/2 gal/sq.. 5. Deck: ticoo. ••• ••• ;. .; . . . .. • . • Insulasign; (Optional) Glass fiber, milt° or.wood fiber. board. •';', Ply Shoot Type 62, mechanically fastened. Membrane: "Flintiastic STA", "GTA", "GTA Black Diamond" or "GTA White .Diamond". Nei fused. . •• . Surfacingt•Karnak.Chemical Corp. "Karnak No. 97' 1 gal/sq 8. Deck: NC • Incline: 1, . InsulatIontPolyisocyanurata, glass fiber, perllte, wood fiber, mechanically fastened or adhered • with.hot roofing asphalt, any thickness.. Base Sheet: Type 02, mechanically fastened or adhered with hot roofing asphalt. Membrane: "Flintlastio GMS", •"GMS Black Diamond" or "GMS Premium", adhered with he . ...• r . Surfacing::Karnalc.ChemIcal Corp. "Karnak No.•-97 Fibrated'Aluminum Asphalt Roof Coating', 2-1/2 gaVsq. .. • 7. Deck: C-16/32' • • Incline: 1 • • . • 'All Joints blocked with 2x4'a. Insulation: GIsss fiber, partite, 3/4.1n.kmin, Joints•ininsulation must be offset 8 in. from joine In deck, mechanically fastened. ■Base Shoot Type 62, mechanically fstened or adhorod with hot roofing 'asphalt. Membrane: "Flintlastic GMS", adhered with hot roofing asphalt. SurfacingAarnak Chemical Corp.. "KarnaleNo. 97 Fibratod Aluminum •Asphalt Roof Coating', • •%:2-1/2 gaVsq.: 8. Decia•NC Incline: 1/2 Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, mechanically fastened'or adhered with hot roofing asphalt, any thickness. Base Shoat Type G2, mechanically fastened or adhered with hot roofing asphalt. Membrane: "Flintlastio STA", "GTA", "GTA Blabk Diamond" or "GTA White Diamond", hes fused in place.'.' h • • • • -■••• ' ••• • • " • . LOOK FOFOVARK ON PRODUCT Owner's Name and Addrcs Remarks_ STATE OF FLORIDA, 1 COUNTY OF DADE. J ss 1 Registered Architect and /or Engineer , Name and address of licensed contractor i-e /J /-11_ R Location and legal description of lot to be built on: Lot 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. A gef- -seelet4-44A I1 Date "eiv246 .L , 19 Block �/ Subdivision _ .. Street and Number where work is to be done 7..7./ _..4/4 ../..a74". _.. _ .....�. State work to be done and pu ose of building (by floors )._... /'t J. 7/ /L _ 2Y....t.1 6)ki - -._/_ .drdill !ll__t t ._ / " R&...52.le& do eJ \ \ (Signed) _ 16t. %YL Notary Public, State of Florida My Commission Expires ( ?1 r3 ..L2 dn�GN and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories......._.._ To be constructed of Kind of foundation �' Roof Covering -... P-1 ...e.(&T f' 6091,t" Estimated Total cost of improvements $ ., 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 hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco tractors, on work to be pe formed under this permit, as are licensed by Miami Shores Village. 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. t ` 4S _ - -___ Date- -.. __ Read, Sworn to and Subscribed before me. Disapproved Date. ( Signed) ? , �o.�� S..° Building Inspect Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, PLANNING BOARD.... .......... 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 nppmval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ° MIAMI SHORES VILLAGE .//fr 5 BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 49/ /7 c , ese// Registered Architect and /or Engineer Name and address of licensed contractor_ 15C,47_4(e__ Q13."71 / � C " o • S /f' A. // Z Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done Y V 7z: /e/ 5 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_ - JO ! -20 e . ��ss 1 CR'T %'i /e /_ Estimated Total cost of improvements $______ . d `S• 0 0 Amount o __ 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 ...ntractors or sub-co . actors employed by him in the work to be performed under this permit; and will post or cause to be posted for i -. - on on the site of ; %e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su • . • . actors, on work be performed under this permit, as are licensed by Miami Shores Village. Remarks (Sign Disapproved Date (Signed) Building Inspector Date_._____ C o ,� No T_ l-__.___._ Street .11 !/ 5 Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.__________ Date Read, Sworn to and Subscribed before me. My Commission Expires PLANNING BOARD -.._ DATE Chairman .__ Member _ Member Member ,—/--- — Member Member ,— Council Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval ha the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for materials and /or workmanship. 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 May 7th, 1963 , 19 Owner's Name and Address._ M rS. Anderson No 441 Street N. E. 101st St., Registered Architect and /or Engineer Name and address of licensed contractor Lang Roofing & Tile Company, Inc., 430 N. W. 79th St. Fla. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done_ - 441 N. E. 101st Street,. Miami Shores, Fla. State work to be done and purpose of building (by floors) Tear out valley on north side of building on N. E. corner of tile roof. replace new 26 guage galv. metal valley, replace white cement tile. and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering shingle tile Estimated Total cost of improvements $ 115 Amount of Permit $ 5.00 Zone cubage required Plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such bcontractors, work to be performed iynder this permit, as are licensed by Miami Shores Village. Remarks (Signed) Disapproved (Signed) Building Inspe J7.h A. i artin, Vice Pres. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him s ted are true. Permit No 407 c (� X Date Read, Sworn to and Subscribed before me. 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 Notary Public, State of Florida ANNING BOARD DATE My Commission Expires 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 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. �yj , � Date Owner's Name and Address � ►.__ No. 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 °l !_ t )01/Li State work to be done and purpose of building (by floors) B uilding_._ Remodeling Addition STATE OF FLORIDA, 1 COUNTY OF DADE. j ss Permit No Disapproved '� CA) (Signed) _. CA) Date_ 1 .. Street Date 0 ' —' Read, Sworn to and Subscribed before me. .arz'8 for no other purpose. New Repairs No. of Stories To be constructed of Kind of Ti oundation 11 Roof Covering Estimated Total cost of improvements $._.) _1 ' 0 Amount of Permit $...1 1 0 0 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 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 public notice or notices as are required by the Act. The undersigned agrees to employ o.ly such s bco tractor on work t be performed un is permit, as are licensed by Miami Shores Village. (, 4 Remarks (Signed) f k g 1 ' ) 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. 3 Notary Public, State of Florida Building Ins My Commission Expires LANNING BOARD DATE Chairnan 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 or faulty materials and /or workmanship. UILDING LECTRICAL LUMBING , OOFING )wner of uilding rchitect ontractor { Builder :sga1 Lot 'escription ddress of /' uilding MIAMI SHORES VILLAGE. FLORIDA ❑ PERMIT N° _ 5903 E CONTRACTOR OR BUILDER h'h Work to be performed under this Permit B1 r,r Subdi- vision Contractor's License No. BY AUTHORITY DATE 195 ' Value of I I Amount of Project $ 11 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 refor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans awings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any ,e 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 anted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations : rtaining 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 , ne by his agents, servants or employees. , i ,,,/ ` ., u Signed. B'? INSPECTOR �I In consideration of the issuance to me of this permit I agree to perform the work covered hergtinder in compliance with all ordinances and regulations ;rtaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- 4ting this permit I assume responsibility for all work done by either, myself, my agent, servant dr employee. BUILDING ELECTRICAL 0 PLUMBING 0 ROOFING Owner of Building Architect Contractor or Builder CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4093 Work to be performed under this Permit Contractor's License No. DATE 'rA ' 1 19 Legal Lot Subdi- Description Bl vision - fl'' i Address of k t , . ., . F- . , -A Value of I Amount of '''' 'C Building I ' . k- .i . ,- i Project $ 14- I 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. k -.-- , A .i NI. 4 ,.- - 4-,.. Signed. , „ s' -- - -'-• e, '7: zr - - - ' N.,... 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 propel' authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, my agent, servant or employee..: s ...s i ' ''' '''' BY AUTHORITY ABBOT 441Z2.' Registered Architect and /or Engineer Name and address of licensed contractor STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the 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 August 11, , 19 54 Owner's Name and Address Guernsey Construction Co. No 10231 Street N • E 13th Ave. Sheet Metal Specialty Co., 573 N. W. 71st St. Location and legal description of lot to be built on: Lot 9 Block 1 Subdivision Miami Shores Bay Park Estates Street and Number where work is to be done 1460 N, E. 101st Street State work to be done and purpose of building (by floors) Roofing on new residence ----- - - - - -- and for no other purpose. New Building x Remodeling Addition Repairs No. of Stories One To be constructed of Kind of foundation Roof Covering Shingle tile Estimated Total cost of improvements $ 1143.00 Amount of Permit $ 7.00 Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on 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) Sheet Metal Specialty Co. 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 41 3 Date 5° I a - Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) � . _c \ , Notary Public, State of Florida Building spector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Boar A re- inspe' ion fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials an . or workmanship. MIAMI SHORES VILLAGE BUILDIN INSPECTION DEPARTMEN‘ APPLICATION FOR BUILDING PERMIT Application is hereby made hi* the approval of the det, iled statemen of the plans and specifications herewith submitted for the build- ing or o h, :ructure her i described. This nlicatic is made in compliance and con.o w.th the Building Ordinance of Mia ii Shores Villave, .or.da, and all pro. isions of the Laws cf the State of Fkrid. all o d nances if Mi mi Shores Village and all rules and regu a ion. of the Building Div.. i of .iam Sho, illage 1 1 ,e o ipted with, whether herein specified or not. A copy ot approved plans :aid specificati must be key- at building durin, progress of tl.e wcrk. Date__ 21/5/53 ,19 Owner' Name and Address J. S. Carroll No. 3 Street.. NE 103rd St. Registered Architect and/or Engineer Name nd 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_ 441 N..__E—__101st Slioras Fla. State work to be done and purpose of building (by floors) and for no other purpose. New Building_ I Rernodeling Addition_ Repairs_ No. of Stories. __ To be constructed of_ _._ _ _ Kind of foundation Roof Cov Ting Tile Estimated 7 -,tal cost of improvements $__ 79$.. Amount of Permit $ 5,00 Zone 'ubage required_ __. __Plan Cubage Distance to next nearest building__ _ Size of Building Lot Maximum live load to be borne by each floor. _ . _____ hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may be sent to The unde signed appli ant for th s building pe does hereby certify Ciat he understands and accepts his ,..bligations as an employer of 1- bor under he Florida Workmen's Compensation Act being S. -tion 5966 Col p led Gen al Laws of Florida P r anen. Sipple nent, and h s compl ed w he prov' ■ions thereof, and will require s.milar comp lance from all contractors or sub-contractors emplo 'ed by him in the wo k to be p rt -med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public noti..e or .otiL es as are requir d by the Act. The u. d. r ign -d agrees to employ only such ubcontr. ctors, on work to be perform d . der this permit as are licensed by M am, Shores I. ih: ge. Lang Roofing and Tile Co -/-a4—vre...e._ • Remarks__ (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to adm.nister oaths ,.nd take acknowledgments, personally ap- peared _ - --- -- .to me well known, and who, being by me first d ly cworn, upon oath depores and says that he is the of th abov. de .c.ibed istruction h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No 393 _ Date__ff Read, Sworn to and Subscribed before me. Disapproved Date__ Notary Public State of Florida (Signed) , B lding Inspector My Com:nission Expires. PLANNING BOARD DATE Member Member Member _Date Disapproved Date NP E: A charge of $1.00 will be made for making corrections or Changes to this application !her approval h-is been obtained from the P nr ng Board A re-inspection fee of $1.00 will be charged when such re-inspection is ma :le necessary by improper notice for inspeytmr or fa. Ity aterials and/or workmanship. Chairman Member Member Council A oved.