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ROOFING• • . • • • ... .. • . • • • .. .. . • • . • • • • • • • • • • • • A/ • .. • • • • Date O Job Address L c-7 // / Jt C 7 • ••• Tax Folio I / 3 Otc01701n0 0 Legal Description / q0a 0 E. VLQ L i. • . • • • Lessee / Tenant ) tEV EIV Owner's Address LL / / NE 10/ d facEi Qualifier Signature of Da Notary as t My Commissi EARL W. JOHNSTON Square Ft. ai00 (pleh)) aoo ( APPROVED: PERMIT APPLICATION FOR MIAM1- SHORES VILLAGE e s acc • E all apg i. =ble laws regulating construction and zoning. Furthermore, I authorize the iv tQa••r do the work stated. Contractor or Owner- Builder 8Affikor My nrr, No. CC 947; I I Personally (ilium ( I Other I.D. TOTAL DU 4 er- Builder ** Other ( , El ctrical Plumbing, Engineering Miami Shores Village 10050 NE 2nd Avenue Printed: 1 /27/2003 Applicant: STEVEN Owner: SHULMAN JOB ADDRESS: 471 NE 101 Contractor EARL JOHNSTON Local Phone: 305 - 757 -1234 Parcel # 1132060170680 Permit Status: APPROVED Permit Expiration: Work: RESIDENTIAL R" If there is no permit pat fee is $50.00, which must This Permit is granted to the co ordinances pertaining thereto and and approved by the proper munic authorization. A further condition ordinances and regulations pertair by his agents, se a or employ( Signed: In consideration of the issuance with the plans, drawings, statemei myself,.my agent, servants or eml Signed: Building Permit Phone: 305 - 795 -2204 Permit Number: BP2003 -124 SHULMAN STEVEN ST Contractor's Address: 5721 DEWAY ST Legal Description: AMD PL OF MIAMI SHORES SEC 4 LOT 22 & E1/2 LOT 21 & W1/4 OF LOT 23 BLK 91 Fees: FEE2003 -481 FEE2003 -482 FEE2003 -483 Description Building Fee CCF Builder's Bond Total Fees: Amount $217.50 $8.40 $300.00 $525.90 Total Fees: $525.90 Total Receipts: $0.00 7/26/2003 Construction Value: Page 1 of 1 11' 00384811' x:044000804': 04 L L6 L884 L3611' a 0 NOTICE OF COMMENCEMENT A RECORDED COPY WAIST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 11 anoi Kul l STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED heleoy 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: fl f nd PL oP Shcw ES $Ec! t4 Lot a l - h Lc & I .4- L)i q oP D3 g1 K q I P6 I5 - N 2. Description of improvement: f S1$ Qrn a , I it 3. Owner(s) name and address 1)Q JY) F L -I-`71 Na 101 St � r 1 a�� Sh.cn_Qb, L. 33138 Interest in property: Fee Simple Name and address of fee simple titleholder: 4. Contractor's name and address: Earl W. Johnston Roofing, Inc. 5721 Dewey Street, Hollywood, FL 33023 5. Surety: (Payment bond required by owner from contractor, iLaia FLORIDA, COUNTY OF DADE Name and address: 1 HEREBY CERTIFY that th 1s a vela Fo7 f the Amount of bond $ ?rrcinal filed in fins of,ico on d of 6. Lender's name and address: , - my hand :mr: ��, AMP RUVIiu, C.L? . \ rrcurr and County Courts • a I_11i 00. 7. Persons within the state of Florida designated by Owner upon w om notices or •� er do cuments may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: o. in addition to himself, Owners 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: 9. Expir"ttton date of th N•Jcepf Commencement: (the expiration date is 1 year from the date of recording unless a different datd is s_pgcif �� Signature of Owner Print O�vner's Name A Sworn to and subscribed before me this Ito day of Notary Public Print Notary's Name My commission expires: 123 01-52 PAGE 4 8102 , 20 MEG A ROMEO Comm Exp, C'22/04 038042540 2003 JAN 21 09:02 r Prepared by Earl W. Johnston Roofing, Inc. Address: 5721 Dewey Street Hollywood, FL 33023 MIA M MADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify. or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: - GAF Conventional Built -Up Roof System for Wood Deck. LABELING: Each unit shall bear a pernlanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA Nvi11 occur after the expiration date or if there has been a revision or change in the materials. use. and /or manufacture of the product or process. Misuse of this NOA as an endorsement of any product. for sales. advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida. and followed by the expiration date may be displa ved in advertising literature. If any portion of the NOA is displayed. then it shall be done in its entirety. INSPECTION : . -\ copy of this entire NO:- shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages I through 21. NOA No: 02-0408.09 Expiration Date:, 11704/03_ Approval Dale: 05/23/02 Page I of 26 The submitted documentation was reviewed by Frank Zuloaga, RRC NOA No: (12-0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 2 of 26 APPROVED ASSEMBLIES Deck Type 1I: Wood, Insulated, New Construction or Reroof Deck Description: 19 / 32 " or greater plywood or wood plank System Type A (1): Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer (Table 2) Insulation Fasteners Fastene r (When applicable: Steel plate only =S, platic plate only (Table 3) Density /ft =P) ACFoam -I, E'NRG'Y 2, GAFTEMP® Isotherm R, E'NRG'Y 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAFTEMP Composite N, BMCA EnergyGuard, BMCA EnergyGuard Composite, EverGuard ISO, ISORoc, EnergyGuard RA, EnergyGuard RA Composite Minimum I" thick N/A N/A BMCA High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, GAFTEMP RecoverBoard, Wood Fiber, GAFTEMP® Fiberboard Minimum %2" thick N/A N/A Perlite, GAFTEMP® Permalite ®, Permalite Tapered, Paroc Minimum 'A" thick N/A N/A Fiberglas (Min. 1 ` /, thick) N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 20 -40 lbs/100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator Perforated laid dry or a layer of GAFTEMP® PERMALITE or wood fiber overlay board on all isocyanurate applications. Anchor sheet: GAFGLAS #80 UltimaT "' Base Sheet, STRATAVENT® Eliminator Perforated Nailable. RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- WeldT"' Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened as described below; Fastening Options: GAFGLAS® Ply 4®, GAFGLAS Flex Ply"' 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf; See General Limitation #7) VOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05 /23/02 Page 12 of 26 GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum gn Waszrre,..4.i psf, See General- Liinitationk7) GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin- eapsat a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the `N field. (Maximiun .Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchorshee"ts attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 UltimaTM Ultra Base Sheet, GAFGLAS STRATAVENr Eliminator Perforated, RUBEROID Modified Base Sheet, RUBEROID Mop Smooth, RUBEROID® 20 RUBEROID SBS Heat -Weld Smooth or RUBEROID SBS Heat -Weld directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range_.and at a rate of 20 -40 lbs. /sq; (see General Limitation #4). Ply Sheet: One or more -plies GAFGLAS PLY 4®, GAFGLAS Flex Ply 6 sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Surfacing: (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 gal. /sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal. /sq.; or GAF Premium Fibered Altuninum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal. /sq. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20% plus gravel or slag with an application rate of400 lbs. /sq. & 300 lbs. /sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coatin(2). Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal /sq. NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 13 of 26 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum ''A" Dens Deck or ''A Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) END OF THIS ACCEPTANCE NOA No: 02- 0408.09 Expiration Date: 11/04/03 Approval Date: 05/23/02 Page 26 of 26 • ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) Continued d deck with rosin paper (perlite/ rosin paper/ polystyrene / perlite) is a 'table alternate for isocyanurate board in the following Class A, B or C jyste 1, "GAFTEMP Isotherm RA ", "GAFTEMP Tapered Isotherm RA" and •GAFfEMP Composite A" may be substituted for any isocvanurate insulation in a ny of the following Classifications. Tbull "Perma Mop" may be utilized with any of the following "Asphalt . felt Systems with Hot Roofing Asphalt ". GAFGLAS #80 Premium Base Sheet may be used in any of the following . systems. yi. "GAFglas Flex Ply 6" is a suitable alternate to "GAFglas Plv 6 ". "GAFTENIP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membraner may be used in lieu of uberoid Mop" SBS products in any applicable Classification. Class A n eck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocvanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers Type GI "GAFGLAS Plv 4" or "GAFGLAS Plv hot opped. Surfacing: Gravel. 2. Deck: Q- & Incline: 2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocvanurate, urethane, perlite/ isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers Tvpe G1 "GAFGLAS Plv 4" or "GAFGLAS Plv 6 ". Cap Sheet: One laver Tvpe G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 3. Deck: NC Incline: 2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocvanurate, urethane, perlite /isocvanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more lavers Tvpe G1 "GAFGLAS Plv 4" or "GAF - GLAS Plv 6 ". Cap Sheet: One laver Tvpe G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: ) '2 Insulation: One or two layers "Isotherm R ", 4 in. max, hot mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. Incline: 1 5. Deck: C -15/32 Slip Sheet (Optional): Red rosin paper. nailed to deck. Base Sheet: One laver of Type G_ ''GAFGLAS #73 Base Sheet'" (may be 'led na ). Plv Sheet: One GAFGLAS Plv ti ". Cap Sheet: One Sheet". 6. Deck: NC Base Sheet: One Ply Sheet: One GAFGLAS Plv b" Cap Sheet: One Sheet ". 7 . Deck: C -15/ 32 Incline: 2 Insulation: One or more layers perlite, glass fiber. isocvanurate, ure- thane, perlite /isocvanurate composite, perlite / urethane composite. phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Tvpe G1, G2 or G3. Membrane: One or more lavers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus' (granule). Can Sheet: "GAFGLAS Nlineral Surfaced Cap Sheet ", hot mopped. or more layers of Tvpe G1 "GAFGLAS Plv 4" or laver of Tvpe G -3 "GAFGLAS \lineral Surfaced Cap Incline: 3 laver of Type G2 "GAFGLAS #75 Base Sheet ". or more layers of Tvpe G1 "GAFGLAS Ply 4" or laver of Type G -3 "GAFGLAS Mineral Surfaced Cap Deck: C- l5/3" Incline: _ 2001 ROOFING MATERIALS & SYSTEMS DIRECTORY 1. ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFU) Continued Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Base Sheet Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. Membrane: One or more layers of "Ruberoid Torch" ' (smooth ( mooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid P granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class B Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocvanurate, urethane, perlite / isocyanurate composite, perlite / urethane composite, wood fiber / isocyanurate composite, phenolic, any thickness. Ply Sheet: Two or more layers of Type G1 "GAFGLAS Ply 4" or "GAFGLAS Ply 6" Cap Sheet: Type G3 "GAFGLAS Mineral mopped. 2. Deck: C -15/32 Incline: 3 -1/2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocvanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite. phenolic, any thickness. Base Sheet: Two or more lavers of Type Gl, G2 or G3. or Membrane: One or more layers ' R beroid o (s coot o granule), "Ruberoid Torch Plus" (granule), granule) or "Ruberoid Mop Plus" (granule). Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet ", hot mopped. Class C 1. Deck: C -15/32 Incline: 1//2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocvanurate composite, perlite/ any urethane composite, wood fiber/ isocyanurate composite, phenolic, thickness. Ply Sheet: Three or "GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 lbs /sq. COAL TAR FELT SYSTEMS WiTH HOT ROOFING COAL TAR Class A 1. Deck: C -15/32 Incline: 1 Insulation (Optional): One or more lavers perlite. wood fiber, glass fiber, isocvanurate, urethane, perlite; isocyanurate composite, perlite/ urethane composite, wood fiber/ isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers of Tvpe GI "GAFGLAS Ply 4" or "GAFGLAS Plv 6 hot mopped with coal tar bitumen. Surfacing: Gravel. COMBINATION HOT AND COLD SYSTEMS Class A Incline: 2 One or more lavers perlite, wood fiber or glass 1. 2. 3. 4. LOOK FOR THE UL MARK ON PRODUCT 173 Surfaced Cap Sheet ", hot more lavers of Tvpe G1 "GAFGLAS Plv 4" or Deck: NC Insulation (Optional): fiber, 2 in. max. Ply Sheet: Three or more layers of Type G1 "GAFGLAS Plv 4" or "GAFGLAS Plv 6". Surfacing: Grundy Industries "al MB .Aluminum Root Coating" at 1-1/2 gal / sq. Deck: NC Incline: 1 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocvanurate composite, perlite / urethane composite, wood fiber /isocyanurate composite. phenolic, any thickness. Ply Sheet: Three or more lavers of Tvpe GI "GAFGLAS Ply 4" or "GAFGLAS Plv 6". Surfacing: "Weather Coat Emulsion" at 3 gal / sq. Deck: NC Incline: 1/ 2 Insulation: One or two layers "Isotherm R ". 4 in., but mopped. Ply Sheet: Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. Deck: NC Incline: 2 Insulation (Optional): Isocvanurate, perlite, isocvanurate/ composite, wood fiber and glass fiber, any thickness, mechanically fastened. • . 1 FILE No.201. 04/12 '02 09:20 ID: MIA M I.OP.DE PRODUCT CONTROL NOTICE OF ACCEPTANCE Santa Fe Tile Corporation 10302 N.W. South River Drive, l3ay #16 Medley ,FL 33178 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO 00- 1212.06 EXPIRES: 02101 '2'006 This application for Product . Approval has Code and Product Review Committee to be fo-th ab 'v . APPROVED: 02/01/2001 FAX: PAGE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADC FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 , :MILAMII. FLORIDA 33130-1563 (305) 375-2901 FAX (305) 375-290S CONTRACI LICENSING SECTION (305) 375 - 2527 FAX (305)375-255s CON•I RACIOR ENFORCP,NIEN'I• DIVISION (305) 375 -2966 FAX (305) 375.290$ PRODUCT CONTROL DIVISION (305) 375 -2902 PAX (305) 372.6339 Your application for Not of Acceptance (NOA) of: Spanish "S" Clay Tile Tinder Chapter 8 of the Code of Mia i rr -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 NOA shall no: be valid after the expiration date stated below. BCCO reserves the right to secure this product or rnaterial at any time 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 by BCCO that this product or material fails to meet the requirements of the South Florida 3uildin, Code. Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEfT. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE S: PRODUCT REVIEW COMMITTEE been reviewed by the 3CCO and approved by the Building. used in Miami -Dade County, Florida under the conditions set Francisco J. Quintana. R.A. Director Mimi -Dade County Building Code Compliance Canoe FILE No .201_04/12 '02 09:21 ID: FAX: PAGE 2 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 ROOFING ASSEMBLY APPROVAL Cateoorv: Roofing Approval Date: February_ 1. 2001 Sub Catcaorv: 07320 Rooting Tiles Expiration Date: February 1, 2006 Materials Clay Roof Tiles Deck T� net Wood 1. SCOPE This renews a rocf:ng system using, Santa Fe "Solvate 'S" clay roofing tile, manufactured by S_ntafe Tile Corporstion described in Section 2 of this Notice of Acceptance. desiened to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For locations where the design pressure requirements, as determined by applicable building, code, des not exceed the design pressure values obtain by calculations in compliance w.vith RAS 12.' using the values listed in Herein. 'The attachment calculations shall be done as a moment based :�5I_fll. 2. PRODUCT DESCRIPTION Manufactured by 'Pest Product .Applicant Dimensions Specifications Description Santtaf S' Clay 1= 18" P.A :1 One piece high profit ;.1ay roof t:lc Roof Tile `.v = II . equipped with two rail holes. For nail -on, :hick mortar set and adhesive set applications. rim Piccc; : = varies PA 1 12 Accessory ::'Im, i:..'.' roof pieces for use at = varies hips, r^.kcs, rid tcs and valley term inatio:;s. varyiet; �9ar.ufacturcd for each tile profile. thickness 2.1 CO:v1PONENTS OR PRODUCTS Z1A`'L :FACTURED 13`r' OTHERS Test Product Product Dimensions ecification5 Description 7v1anufacturer Tile Scree_ =3 x 2 -1:" on PA 114 Stainless Steel 0.eneric 0. !30" shank c;a. Appendix E 0.1 - F. ;lute d;:. L.i\1I2 -,T!O \S Fire cl,s5i;i ti,:r is r.ot part o; this cceotanc . Cr morccr or adi"e5i';c 5Ct ti!c 7i i :CCtiOn .: Styli fcic uplift 'CSI Shall be perforrrc: is c^ leant hc!l retain the sC 'iCC1 of a i1m: -Dade Counts 'Certified Laboratory to acccrdancc , :2, .;i�nlitt °_c1 to the U'.... ino Code C''embli,'.nct: Procuc: Con:ro Exammt.r FILE No.201..04-12 '02 09:22 ID: FAX: PAGE 3 SANTAFE TILE CORPORATION ACCEPTANCE No. 00- 1212.06 3,5 30/90 hot mopped underiaymcnt applications may be installed perpendicular to the roof slope unless sta:ed otherwise by the undcrla }^.'rent material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. LNS SALLATION 4.1.1 Santee 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.1.2 Data For Attachment Calculations 1 ,Santafe 'S' Tile Profile Table 1: Aerodynamic Multipiyers— Mft') (ft Batten AaJcation 0.274 (ft Direct Deck 0.297 Table 2: Restoring Moments due to Gravity - M (ft-!bf) f Tile 2 ":12" 3 ":12" 1 4" :12" 5 ":12" 6 ":12" _ 7 " :12" or Profile ; ■ i _greater I Se tens Direc: i Battens; Direct i Satt Direct Battens Direct Battens I Direct leavens J Direct I Deck 1 I Deck ! ; Deck Deck I Deck I Deck 5 9 5.90 i 5.85 ' 5.82 5.73 1 5.69 5.56 5.53 5.32 ! 5.29 , 5.03 I N/A � Sa 'S ' I Tile Profile Santafe S Appawed sercNN's as noted 'Product rnnanuiacturcd ov others', Santafe 'S' Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -lbf) For Nail -On System Tile I Two Nails i One Screw i Two Screws I One Screw Application I w/ Clip Direr Deck 21 S 29 16 35.28 i 57.3 Battens Table 4; Attachment Resistance Expressed as a Moment - M (ft -lbf) for Mortar or Adhesive Set Systems Tile Profile Tile Application Mortar Set Adhesive Set Attachment _Resistance 23,6 61.9 Two Screws w/ 57.60' I 61.77' I F tk Zuto3g3, RRC Roofing Product_ COcLO1 Examiner FILE No.201,04 12 '02 09:22 ID: FAX: PAGE = SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 5. LABELING 5.1 All tiles shall bear the imprint or identifiable -narking of the manufacturer's name or logo, or following statement: "Miami - Dade County Product Control Approved". 6. BUILDENG PERMIT REQUIREMENTS 6,1 Application for building perrnit shall bt accompanied by copies of the following: 5.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by tine Budding Official or applicable Building Code in order to properly evaluate the ir.stallation of this system. PROFILE DRAWING SANTAFE "SA:\TAFE S" CLAY ROOF TILE . 4 „ Fran. ?ulo�ga, RPC 2..•_ -.,,- - •ii_ (-1-Orril C.• _" ,r�: FILE No.201 04/12 '02 09 :23 ID: SANTAFE TILE CORPORATION NOTICE OFACCEPTANCE STANDARD CONDITIONS 1 Renewal of this Acceptance (approval) shall be considered after a renewal application has been files and thc original submitted documentation, including test supponing data, engineering documents, are no older than eight (S) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name, ciry, slate, and the following statement: "Miami -Dade County Product Control Approved ", 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; :) Lf 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 rcquc5ted (through the tiling of a revision application with appropriate fee) and granted by this office. 5 Anv 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 Acccptancc numbcr preceded by the words Miami -Dade County, Florida. and followed by the expiration date may be displayed in advertising literature. If any pertion of the Notice of Acceptance is displayed, thcn it shall be done in its entirety. A copy of this Acceptance as well as approved drawings and other documents, +vhcre it applies, shall be provided to thc user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be re5ta1ed by the engineer. S Failure to comply +kith any section of this Acceptance shall be cause for termination and removal of Acceptance. This .acceptance contains pages 1 through 5 END OF THIS ACCEPTANCE FAX: PAGE 5 ACCEPTANCE No.: 00-1212.06 Fr: nl: Zuloaga. P.RC R nnFnp Pm-1u= Control 1- li ner t . 09/19/01 !ED 10:55 FAX 954 578 1042 • _..__ �r _. :ch . �st : � l ' by the . ^ianuracturo.. . \l-CE!'T:\NC1'_ [Xf ;RCS: 05110.2006 ,. 1 MIA M I•DAOE nitl At4. 1 6,C? POLLFOAM PRODUCTS, INC. PRODUCT CONTROL ;NOTICE Or .ACCEPTANCE I'alyfo :tm Products, Inc. 2411(1 Spring- Stucbner Road Spring ,TX 77383 -1132 MIAMI - DADE COUNTY, METRO -DADE FLAGLER 8 BUILDING CODE ComPLIANC: • M TRO -D.. DE_ FLAGLER [ I•ut w1;ST FLAGLER STREET. S' NflIAMI, FLORIDA 3 (305) 375 -2901 FAX (305: c :orr' liA C7014 LICENSING 00) 375-2527 r,1x (30: CONTRACTOR 1'• :NVORCENI EN : (305) 375.3966 VAX (30: 1'IcOOLCr CONTROL I (305);7' -29a: FAX (005' Your aociicalior. for Notice. of :• ce,.tance (NOA) of: h►�(r Cotnponcitt Polyurerhene Fo:un Adhesive Linder L la,L'ter S of the CJC.Ie of `iinn;i -!)c Clc Cout?ty governing :lie use o Alternate Materials and Ty Construe :ic;,. and completely desc :;bc.! !ierein, has been recotlltrcnde COu1�: 3u :luin� Cod:.o d for acceptance by the !�iiaittl- t C tnc :l Off :cc (DC_'CO) under the conditions specified herein. t ,:is NOA =liar: not be valid ex belo\� reserves , ' -�• ^1ranOn Date stated BCCO `se;•\�e,, he ricLt :o sear: product . rna :_.tai at Inv t:.;;; :icat ocsite or manufacturer's s , !ant for quality control testing i7� li::t .r ii',aiCr.z1 i� :l ilS ^�- �• - ., '. . ^! " - o • , in the :approved manner, BC00 rnav .4\ .,.. � 1 c�c. modify, or susoer im a :atcly. BCCO rescr,ts the riuht ^ i ��r�l� th:.. this :o "e`.,,�e :his '!�pCOVaI, i Jr 1•- :CCU =•c. or n.3tcrial I;1i1S :o meet dhL rc:quircn1cnts Or :;ie South r , , R..ul R�dri C1tic; Pr7-1'Ic; c ►Ili H r'!(F t n�'t : : :�i11 T �% \nl)1T1(�N : \l, ! ' FOR SPECIE AND (;17x \1. CONDITIONS f1I TL:)IN(-, pRODU(,T RF1'1F.N ■-0.11111TTFr. by :iic ;3CC0 n .lppr,:,Ye:_; H'. it :c D: IIC • - -e lip 1 :Il ��Illt'll I�a�C ll ;Gr :tea lln . •r7Gt�- .l�l..; � j. t :ii :link L o :1e Pollvfoam Products. loc. ROOFING ASSEMBLY APPROVAL Catcjnrv: Roofing ,Sulu- Catcgnrv: Roof Tile Adhesive Materials: Polyurethane SCOPE This approves Polypru J AIFI16O as manufactured by Polyfoam • Products. Inc. as described in Section 2 of this i'Iotice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure vai obtained by calculations in compliance with Rooting Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polyproc1D AH 160. `:Iv:1 a the attachment calculations are done as a moment based syste :n For single: patty pia:on -lent, and as an uplift based system far double patty systems 2. PRODUCT DESCRIPTION Manufactured by Anplic:tnt 1)intensions Polyproe Al - 1160 NIA FoaniproOD RTF1000 N A Proi' ackJD 30 Sc 100 V% 2.1 Cntttprlr; ^t r products manufactured by others: Any \1i:,rlli D::c._ i'rccuct Control Accepted Rool'Tile Assembly having a current NO \ cilic:l list upiiit : __:_::. :,:c v„fucs with the use of Poiypro Al 1160 root adllc;:vc. Typical it,1vsical Properties: Test ASTV1 D :622 -\ST\I D 1621 Prnperry Density Compressive Strength T :asi1c Strcnt, : Water • \bscrcc...• Moisture Vai7Ci T r.ltlStn1S51,:r1 Dimensional 1 Stabiin \S T \1 D :623 ST\1 D 1 1 7 7 AS7.1 E d(1 ACCEPTANCE No. : 0521, 02 Test Snecircatintts PA 101 1.6 lbs.'ft.' 18 PSI Parallel to risc 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs. /f t'- 3.1 Perm / Inch Approval Date: June t4, 2001 Expiration Date: May 10, 2006 Results Product Description Two component polyurethane Dispensing Equipment Dispc :lsing Equipment 10.07% Volume C11anec ;(71 -40(' F . weeks +6.0% Vc,lurnc Change %,� 1 '' in ni Humidity. 2 weeks Frank t::loaca, RRC Product Cintroi L\atn _ .. .. ti .434wa Polyfonm Products, Tnc. ACCEPTANCE No. : 01-0521.02 Note: The physical properties listed above are presented us typical average values as'detcrmincd t accepted ASTM test methods and arc subject to normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. Refer t� the Prepared Roof Tile Assembly for tire rating. • - 3.2 Pelypro0 .AH 160 shall solely be uscd with flat, low, & high tile profiles. 3.3 Minimum underlayments shall be in compliance with the Roofing Application Standard RAS 120. 3.4 Roof Tiie manufactures acquiring acceptance for the use of Polyproe AI-1160 roo: ti1e adhesive w.vith their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Poivpr•oaD AH 160 roof tile adhesive with their tile assemblies shail test in accordance with PA 101 and with section 10.4 as modified herein. rl - F' - , a MS 4. 1N'STALLATIO,' 4.1 Polyprc ®.-;l :' may Je used with any roof tile assembly having a current VOA that lists ueii: res :s;,-,:,ce values with the use ofPolypro.$ A1 4.2 Polvpro. .AH o:; shall be applied in compliance with the Component Application section ar..d :;:c ocrTrIspondinu Placement Details noted herein. The root tiic assembly's ,:c;,,;i. attaci:ment with the use of Poly ro® A1-1160 p , ` p shall r rovld� sufficient ,i ;t �;;.:,ert resistance, expressed as an uplif based system. 10 meet or exceed the uplift :o_:s::,cc de :err ined in compliance with Miami -Dade County Roof Applicar3n _ t : RAS :7 The adhesive attachment c 1 �tmc:u dat�1 is note in the .,,o, the s .0A 4 .' Pol;,'pro ' ` • -= roof the adhesive and its components shall be installed ... accor;'anc:. Rcor: : :c :Application Standard RAS '.20, and Polyfoam Produc ts, Inc. PolvprcZ' CCerat.nc Instruction and Maintenance Booklet. insta i;a �. t b ti ' :::;� by roc :ory Trained Qualified Applicator' P o v:_ � • 1 p . approved approved an:. :IC -eased by c' • ccu_:s, ire Poiytoam Products Inc. shall supply a list of approved iiaving urisdiction• 4.5 C.:iabr: t;; ...:.:: : dispensing equipment is required before appiicat :o :t of any .1d:es:. r;:x ratio betwce :l the " A" component and the ''13 component shall ��ii�'cr ,: ` c C-1 :5 (A) : 1.0 (B). The disperse timer shai! be se: :c 15 cc:,.Hs pc: He is deterr„Incd at c:niiLration. No otl:cr ;c :. :i c : :c . :.��;Ilcd ,� ith Foairpr o RTI• :300 or I'rclack® 3 C :0C : (2 :.`'; o c i ccrr :)ai!cl:t \ :0 Frank Luloa i;a, RRC ProaUc: Ccncra1 Lxal: :lay: I'olvfpam Products, Inc. ACCEPTANCE No. : 01- 0521.07 4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after PolyproOD AH 160 has been dispensed. 4.9 Polypro® .mil -I 160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placcmer . noted herein. Table 1: Adhesive Placement Por Each Generic Tile Profile Tiieirofiie Placement I Single Paddy Weight Two Paddy Weight Detail Min. (grams) l per paddy Min. (grams) F I it. Low, (-lien P: c:: I # I 35 N/A 1 � I 7 ' Pro ;2 Pi 3 :,- -;;: d1 l 17 /side on cap and N/A 34 /pan 'Fiat. Low, 1 Prc:i :,a 1 _ /r? f 24 NiA IFiat. Low. I-lieh P• ;i: 1 in T i LABELING All PolyprocE• A.1--. cor.:aiaers shall comply with the Standard Conditions listed herein. 6. BUILDING PE7C,1i: REQL'IRE:ItENTS 6.1 .A :::.:_..: by the Building Oflicial or applicable Buildini: Code in order :o .:. • _ :ua,:: the installation of this system. I'' �I Ccn:rci f oIYfoam Products, Inc. Nall Ihrougn plaiac cement :1: H.II Itvougn Witt cement Coupe rile 1.14141e 0 :n: tan r'e :ATM rent t0 :n. oh •e 4c:•:>. l . ... 01 11 73CCr {eer 3I t ntel ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY !re CCI :r aril: •Keep JCl' 3pp:Ct. l in. J Iram ree0110iee EPIC CN . oair Keep ;anew. e;woz. / I. Up (tern wuphplei 11 Pfice enough iareine to uhlere 1I Ia 23 IrC? ee m eon act •ieh the pin ale 11 Turn Caren uvulae dorm. Pl1ee iahur, II M. fat tn. From o ath. cope of coral tae. Than ow the Cue. Cicencyrenl Eire CJ:ae aIr cv .og pert'Jn or IN 404 :cu,r eau u:e Abut :c IICJna 1Ctr4 e %•Huu. Cal Yrt IM.t' Ct can .1 IC eCrer Gies ere Z tJl.n II tare uu c.awe Aeepno a Facie Bair . 11 own ACCEPTANCE No. : 01-0521.02 Frank ulJ :Iz1, RRC I 'rOCII:CC Ci:It :)i L.\.:1111111:2. Facia Wwprar Ern cumure Crfp edge Opium& 1114 for Creep path cop.Ieicons haJ Ihrcugn place cement i C;1.:7131 �Orttup Marur an 4AV 1CIny taco. 011,4 • -' .441L4 09/19/Q1 WEI? 11:01 FAX 954 378 1042 POLYFOAII PRODUCTS./NC. Polyloam Products, Inc. Nail through plastic Cement Ln derbymeni Ezq Ccuae hay (Routh Me} NJII through pink ce Me thwearnem Fascia :aye Course Padcri !Beneath rfiel t:':osure ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY • ACCEPTANCE No. : 01-0521.02 T:7;07'4: itlip7i, lt4 •4 74420"71. 4.4 .4 . • . • • • Polvroatn Products, Tnc Nail through plastic cement (2 Single paddy N` 3 ln. undor the r 3 in. Singia paddy on lay ment Single ciao on top of tile /MO ADHESIVE PLACEMENT DETAIL 3 • DOUBLE PATTY. I - / -I- S!! caaoy cnt.ndenppr.ent / I. i 5;.n.;.e cao:IN I on too of the / Paddy (betweon tile) / Paddy (under We) 2 in. X 7 in. medium sin paddy save Fascfa curs o only Sail through plastic cement •:‘ 3 in. 3 In. Eire C.ILIf St CCErrANCE No. • .....k4m-~ • • Fail course Nail through plastic cement Underlayment Single paddy on under. layment Single pdclay under lila f 3 In. 4 in. Single par* an top of tflo Eave Course Single paddy between ti:o 41 11:60% -4■ 41Ipp. 2 In. 7 In. moolum site paddy trie CMS on.'y F ascia bre C.:csure Single paddy undoi Single pad Frank Zuloaua, RRC Product Control Examiner • • 1. .. "Rcxtct 1 of din A (npproi►al) . .. and the riginal submitted documents, tncludin older than eight (8) years. 2. Any and all approved products shall be. permanently labelel with the manufacturer's name, city, state, and the following statement: "Mianii-Dadii County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. . 9. This Notice of Acceptance consists of pages I through R. END OF TILIS ACCEPTANCE arenet applicatinn burar the pportt cmguiect documents, ire M 3. Renewals of Acceptance will nor be considered if a. There has been a change in the South Florida Building Code affecting cite 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 Acccptancc 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 scaled the required documentation initially submitted; is no longer practicing the engineering profession. 4. Any revision or change in the materials, use; and/or 'manufacture of the product or process shall automatically be cause for termination of this Acccptancc, unless prior ivriacn approval has been requested (through the filing of a revision application with appropriate fit;) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acccptancc: 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: 0/Acceptance number preceded by the words Miami - Dade County, Florida, and followed by the expiration date may be displayed in advcnising literature. If any portion of die 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 bc 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. S. Faiiurc to comply with any section of this Acccptancc shall bc cause for termination and removal of Acccptancc. Frank Zuloaga, RRC Product Control Examiner • ti 1.. 1 Owner's Notification for Roofing Permits issued under the Florida Building Code MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPUCATION 1 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 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Z' 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 wor manship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zo - code, should be addressed as part of the agreement between the owner and the contractor. .• 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be re al -, in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Flo �,i 3uilding Code. (The roof deck is usually concealed prior to removing the existing roof system). fij 3. Common Roofs: Common roofs are those which have no visible delineation between ne i�' �► ►•ring units (i.e. townhouses. condominiums, etc.). In buildings with common roofs, the roofing tor and /or owner should notify the occupants of adjacent units of roofing work to be performed. co 4. Exposed Ceilings: Exposed. open beam ceilings are where the underside of the roof decking c -( be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail •enetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the "ill of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may ca se water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distre s and may require the review of a professional structural engineer. Ponding may shorten the life ex •,- . cy and performance of the new roofing system. Ponding conditions may not be evident until the ori• �� oofing 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 ov: rloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if ov- ow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in ac ;•] •atice with the Florida Building Code. Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the int of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It ay be be fici1 to onsider additional venting which can result in extending the service life of the �'f. , 11 A Ow er' /Agent's Si' n.ture Date Contrac or's : Ignature S , o3 Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 Inspections Address: 471 101 ST NE Applicant: STEVEN M SHULMAN Pr y Page 1 of 1 Printed: 11/18/2003 Permit Number: BP2003 -124 Inspection Date: 2/10/2003 Inspector: George De Sharnis Inspection Number: INSP2003 -619 Status: APPROVED Inspection Type: Roofing Passed? Q Required Steps: Comments: RENAIL SHEATING AND PARTIAL TIN CAP Inspection Date: 2/11/2003 Inspector: George De Sharnis Inspection Number: INSP2003 -631 Status: Approved Inspection Type: Roofing Passed? 2 Required Steps: Comments: THIS IS FINAL TIN CAP AND HOT MOP Inspection Date: 2/21/2003 Inspector: George De Sharnis Inspection Number: INSP2003 -769 Status: APPROVED Inspection Type: Roofing Passed? [?J Required Steps: Comments: Inspection Date: 2/26/2003 Inspector: Curtis Craig Inspection Number: INSP2003 -849 Status: Denied Inspection Type: Roofing Passed? 11 Required Steps: Comments: TILES ARE LOOSE - PROVIDE AN UPLIFT TEST Inspection Date: 8/22/2003 Inspector: George De Sharnis Inspection Number: INSP2003 -3472 Status: Denied Inspection Type: Roofing Passed? ❑ Required Steps: Comments: NEED UPLIFT TEST 1 ant re the ov if ov ac Ow er' /Agent's Si 1 Owner's Notification for Roofing Permits issued under the Florida Building Code I MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPUCATION 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 owners initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Z 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 wor manship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zo A code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be re a: -, in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Flo ..4.1 uiiding Code. (The roof deck is usually concealed prior to removing the existing roof system). J 3. Common Roofs: Common roofs are those which have no visible delineation between n a d/or owner should notify the occupants of adjacent units of roofing work to be performed. nei j .ring units (i.e. townhouses. condominiums, etc.). In buildings with common roofs. the roofing co 4. Exposed Ceilings: Exposed. open beam ceilings are where the underside of the roof decking c be viewed from below. The owner may wish to maintain the architectural appearance. therefore. roofing nail •enetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the in of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may . ca se water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distre s and may require the review of a professional structural engineer. Ponding may shorten the life ex .,•= . t. ncy and performance of the new roofing system. Ponding conditions may not be evident until the ori• a oofing 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 rioaaed from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge ow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in ance with the Florida Building Code. Plumbing. 7 Ventilation: Most roof structures should have some ability to vent natural airflow through the of the structural assembly (the building itself). The existing amount of attic ventilation shall not be uced. It may be be fici to onsider additional venting which can result in extending the service life of 1M / / o3 Date Contractor's ignature Master Permit No. Contractor's Name: 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Section A (General Information) Process No. Job Address: 1 &1 1 4 ' ' . ZIAIS[01J LO A/ I y 7/ NE /01 _311Et `Roof Category V Low Slope Mechanically Fastened Tile MortarFITRSet Tile Asphaltic Shingles I Metal Panel /Shingles I Wood Shingles /Shakes Prescriptive BUR -RAS 150 Low slope roof area (ft.') F Other: 1 Roof Type V • New Roof Re- Roofing I Recovering Steep Sloped area (ft.') r.2 /0 0 Section B (Roof Plan) Page 2 hU 1 \ , . ntianti - Ia ic.tLus hltl_ roofing hermitin !_'licrinit_ap11_section_a.1 f1'i\91. r Repair n Maintenance Are there Gas Vent Stacks located on the roof? Yes Iv No If yes. what type? I Natural • LPGX Roof System Information 1 Total (ft.')1 C2 0 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 ano location of parapets. Perimeter Width (a'): I Corner Size (a' • a'): Page 1 of 1 1..'902 System Manufacturer Wood Nader I fir NOA No 1 - " t/t) 09 Design Wind Pressures From RAS 128 or Calculations Pman1 I Pmax 2 �,1r - 1;11 Pmax3 Maximum Desicn. Pressure From me Specific NOA System Deck type :� - 'lr ' These necks require a fastener pull test by an approved test labratory Omer Deck Tvoe 1 Nip Jost Soaamc 1 / A Slope 1 ,- / ct.1:'" Ancnor Base Sheet & No o' Ptvtsl 17 g / \T AncncrBase Sheet FastenerBonoina Material 11 i�L, , I 1 . . InSUIatiCn Base LaverrS•ze & Thickness * 1 - ' 1 J 9 J f t v� y • Base Inswaucn Fastene Matena: i oD insv FastPneoBcra'nc Ltatenal ^si.i.if i s^ " ^.: Kress High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section C (Low Sloped Roof System) Fill in the Specific Roof Assembly components and Identify Manufacturer (If a component is not used, identify as "NA ") I I Lipt7 i V h C f. hal+ Surfaar 1 Fi hc-(( Cj 10 SS llt.t Ni i `3U n FASTENER SPACING FOR BASESHEET ATTACHMENT Fastener Tvpe Atlernate Fasteners I ' Hein L) o/c ` laps 8 1 ; rows ` tv ._ ?enmete' ore Ccp, laos B rows ff I ,,._ .. Garners t _! ore Qn IaDS 8 rows ` ,,, ,. NUMBER OF FASTENERS PER INSULATION BOARD F eic Pace B as �e S No of Plylst I ase heet Fastener/Bonarno Material I 1 oli y k: bC; — ayhQ,l1 Ply SIieelrs No of Plvtsi i ypc i V hi * u-K`°' Plv S heet FastenerrBonainp Matendl I s2 � CL DDrip S c9( p Edge Size o Gauge , J Drip Edge Matena+ Type I JJJ l h 1 van 1 Z CCL N/A Hook Strip/Cleat caupe or wetgnt Cooing Metal I 1 1 ' ' TOD Ply f Too Plv Fasterino.Boncira Material Perimeter I I? Corner IV I 1 7 1 \ /{cr ; �:.'�:;I i Page I of 1 • n i `Z Cit `r11c-..Q. High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping /Flashing, Continuous Cleat, Cant Strip, Base Flashing,Counterflashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing,.Component Material, Material Thickness, Fastener Type, Fastener Spacing omply with RAS-111 and Chapter 16. Or: Submit Manufacturer a_ 2 . iZt ct �� g Hl1��`'r' I tV AS r �h�:� Phi v Nal k I Lip 7 #R SD"d Page 3a Parapet Wall Height Ft. Mean Roof Hei ht q Ft. Page 1 of Roof Slope: I r� "l12" ,. t Roof Mean Height: I ,� '� Ridge Ventilation a 1� � Method of Tile Attachment: High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Pc )L; 4 p larYl Alternate Tile Attachment Method: 1 ti ) A Clip Spacing for Metal Roof Panels i' > n Field I l�) Perimeters: 1` -I - f Corners ti)17 Perimeter Width 1�J1 I'1 Section D (Steep Sloped Roof System) Sloped System Description Page 4 http: kv%v.co.miami- dadc.l1_us bldg rooting _permitingiscction_d_3.1un1 Deck Type: 1 ' Alternate Deck Type: 30# /i517)2 Underlay/nent type: I NIA Insulati /Fire Barrier Board: O Option Na ble Substrate: Il'hicaihts I 15JY h- /A/u,kf.5 Fasteners: 1 9081 %�fc �r `x;f�3 ca4- Cap Sheet Type /Adhesive pe: I Clay j /E Roof Cover I /yD r( IiobR: hct F Roo overing Attachment Method: Drip Edge Size & Gauge: It" face 26 ga. tGalvinized Metal 1 Drip Edge Material Type: Drip Edge Fastener Type: Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 5/21/02 1. ) 2t 2 Roof System Manufacturer -+CC" x - ................ ......... . Notice of Acceptance Number: 1 lala. OW Minimum Design Wind Pressures, Applicable (from RAS 127 or Calculations): �/I,,,, P 1: a 1 7 VJ P 2: IO0 1 A 7 P 3: /DO• () Maximum Design Wind Pressures, (From the PCA Specific system): 1 ") 9 Roof Slope: I r� "l12" ,. t Roof Mean Height: I ,� '� Ridge Ventilation a 1� � Method of Tile Attachment: High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 1 Pc )L; 4 p larYl Alternate Tile Attachment Method: 1 ti ) A Clip Spacing for Metal Roof Panels i' > n Field I l�) Perimeters: 1` -I - f Corners ti)17 Perimeter Width 1�J1 I'1 Section D (Steep Sloped Roof System) Sloped System Description Page 4 http: kv%v.co.miami- dadc.l1_us bldg rooting _permitingiscction_d_3.1un1 Deck Type: 1 ' Alternate Deck Type: 30# /i517)2 Underlay/nent type: I NIA Insulati /Fire Barrier Board: O Option Na ble Substrate: Il'hicaihts I 15JY h- /A/u,kf.5 Fasteners: 1 9081 %�fc �r `x;f�3 ca4- Cap Sheet Type /Adhesive pe: I Clay j /E Roof Cover I /yD r( IiobR: hct F Roo overing Attachment Method: Drip Edge Size & Gauge: It" face 26 ga. tGalvinized Metal 1 Drip Edge Material Type: Drip Edge Fastener Type: Hook Strip /Cleat ga. or weight: N/A Page 1 of 1 5/21/02 Mean Roof Height in Feet 15' 20' 25' 30' 40' Roof Slope ? ? ? ? ? 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 • 1 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI - DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section E (Tile Calculations) For Moment based tile systems, chose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1: �11 /. �L% x A 77 - Mg: IF T = Mr1: T3 . NOA Mf: II y P 2: IICO.C.) x A ::J 4 - Mg: Fi = Mr1: dE 7Q... NOA Mf: h 477 P 3: 1 CO. x A y 37 ?7 - Mg: ✓ $ o� = Mr1: Oi �� V Il2_. NOA Mf: LL l .Q Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: NOA Mf: Mr Required Moment Resistance* *This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 http: ,\ \v v.co.miami- dadc.l1.us bldg/ routing _permitine /scction_c_3.htm Page 1 of 1 1/15/03 MIAMI -DADE COUNTY BUILDING CODE COMPLIANCE OFFICE 140 W. FLAGLER STREET, SUITE 1603 (305) 375-2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 To: Building Department 10050 NE 2 Avenue Miami Shores, FL 33138 Attn: Charles Esher, Building Official We are sending you the following items: Quantity 1 Remarks: Transmittal.doc For approval For your use As requested X These item(s) are transmitted as checked below: For your review and comment Sent by: Dale Bowlin Attached Letter Plans Shop drawings Description of Item(s) Approved as submitted Approved as noted Returned for corrections Under separate cover via Mailed Samples Other Complaint No. A2002001161 — Steven Shulman, 471 NE 101 Street, Miami, FL 33138 Received by: Date: Letter of Transmittal Date: January 7, 2002 Reference: Complaint Case Specifications Resubmit copies for approval Submit copies for distribution Return corrected prints Prints returned after loan to us Copy to: Herminio F. Gonzalez, P.E. Page: 1 Document Name: untitled ACONCOMP COMPLAINT NO. A2002001161 COMPLAINT DATE 01/07/2002 SECTION CNTR COMPLAINANT NAME STEVEN SHULMAN ADDRESS 471 NE 101 ST CITY MIAMI STATE FL ZIP 33138 PHONE 305 7571234 JOB ADDRESS 471 NE 101 ST # FOLIO 11- 3206 - 017 -0680 PERMIT NUMBER - CC NO. 98BS00089 LICENSE TYPE D DADE PROBABLE CAUSE (Y /N) N CONTRACTOR NAME ROOFS BY CHERRY INC QUALIFIER /VIOLATOR NAME CHERRY IRIS SS NO. 264922958 TRADECLASS BLDG CAT 0036 0044 COMPLAINT TYPE 24 COMMENT INSPECTOR ASSIGNED DPBJR DEPARTMENT OF PLANNING, DEVELOPMENT AND REGULATION BNZM3100 ADD CONTRACTOR /CONSTRUCTION COMPLAINT PF1 = UPDATE PF2 = NEXT QUALIFR PF3 = NEXT CLASS PF4 = NEXT CATEGRY PF5 = CONTR INQ PF6 = PRINT COMPLT PF9 = TRADESM INQ PF10= FINISH NEXT SCREEN NEXT KEY DEST BZSP COMPLAINT ADDED SUCCESSFULY ... PRESS PF2 TO SEE QUALIFIER(S) Date: 1/7/ 2 Time: 09:21:04 AM DALE BOWLIN DATE 01/07/2002 MIAMI -DADE COUNTY BUILDING CODE COMPLIANCE OFFICE (Please Type or Print) This complaint becomes a matter of public record at the time it is filed and is available for review and copying by the subject of the complaint and the general public. Your Name: Address: Telephone: (3 OS Beeper: ( ) Business (3 D( 6 -- �Z Residence Name: Address: License No.: 97 -CC -34 S - -EVEN CI) of m At) 471 NE 6ti S-4- k Avwl S boo re &s FL 3313r Person and /or ompany 1 3901 DA.) 4D itoz 140 tly (4oa t 3 3 0 �3 Telephone: (3 G 53_ 8SN 2— [If Known] 1 COMPLAINT FORM CONTRACTOR LICENSING & CODE COMPLIANCE DIVISION 140 West Flagler Street, Suite 1603, Miami, Florida 33130 Tel: (305) 375 -2966 Fax: (305) 375 -2558 Beeper: ( ) If the contractor involved is state licensed, you need to also file a complaint with the State of Florida Department of Business and Professional Regulation (DBPR). For information on the filing of complaints with DBPR, please call 377- 7115. I am complaining in my capacity as: C\Homeowner ❑ Contractor r ❑ Subcontractor ❑ Supplier ❑ Building Official p ❑ Owner of Commercial Structure Other Il tS it E Nct COMPLAINT FORM 1. Was contract in writing? Yes ❑ No If yes, enclose copy 2. Contract Price: $ 3900 Date on contract 3. Job address: 4 ' 7 i 11/41E W L $ - m 4. Contractor employees you had contact with. Name: KtA Ai (� C '1C t ty Sd{bL€s c— 3313 g' TAN Cke <<1/41 Name: Name: PAGE 2 OF 5 5. Was the contract signed in your presence? IAYes ❑ No By whom: eiA 7 c y 6. At the time you entered into the contract, did you believe the pers n company was a contractor licensed or certified by the State of Florida and /or Miami -Dade County? J Yes ❑ No 7. Was there any discussion as to whether the perso ompany was affiliated with another person/ company that was licensed or certified? ❑ Yes No If so, what was said, when and by whom? 8. What work was supposed to be done under the t rms of the contract? epLr . lON n S41111. ht `P1. A R ,C 9. Why are you dissatisfied? } � i + A s W G bA t A A , It- 1 & E J W trL'r le A cause_ o -C hC.w to D 10. If additional contracts /agreements were signed with the same or related contractors, please explain the circumstances? COMPLAINT FORM PAGE 3 OF 5 11. Was there any discussion as to whether building permits would be obtained? ❑ Yes No If so, please relate what if anything was said, by whom and when the statement was made. 12. Was work begun by your contractor? Yes ❑ No If so, what date? Describe the extent of work actually done by the contractor and the value of work done, if you know? `Ta o-' 8 z-b ADD-F pl- Ace-6 w tick /i6tA) 13. When was the last time the contract r performed work on the job? Ap p N VI lAk (9U+ 1 1 i j 4200/ 14. Have you had discussion with him or his representative since then? )f Yes ❑ No If so, what was said? 15. Did he work steadily from the date he started work until the last day he worked? ❑ Yes X No If so, please relate what happened between these dates. f\e.N rvvC wAS eaAitj14 A P 11 ppdl in M. GvMt;( np NdI4� C S A u p A aOv4 ) I 1 L— i ►M.ow s l A ,f. COAL. 00 i 2 3 44 "ts 40 1 pKrCk it bQ- ti Visit - CI 16. Has an architect or engineer employed by you or the contractor inspected the work? ❑ Yes No If so, please provide name, address and telephone number and a copy of the report: 17. Has the contractor offered or made attempts to make repairs? Yes ❑ No I s MAAe_ Pe -pAi2s OA Ole roaE. 97 -CC -34 A 4 re pai, D N.Aies �DAe- hS E 400SE COMPLAINT FORM 18. Have you fired the contractor? ❑ Yes No How was the contractor terminated? Soh WAS Co vw T L(P)& Lt too{ ,44-01441,0 PAGE 4 OF 5 19. Would the contractor be allowed to return to finish work or do repairs? Yes ❑ No If so, what type of work remains to be done? 20. Has the job now been completed by you or another contractor? ❑ Yes 21. Total paid to contractor: $ 3400 ' If you made payments, please list the dates and payments that were made, the amount paid and the form of the payments (check or cash). If checks were given, who were they made payable to? (Please provide copies front and back of all checks.) If cash was given, provide copies of all receipts. 22. What is the actual or estimated cost to finish the job if you hire another contractor? $ I °O ° r Attach copies of estimate(s) from licensed contractor(s). 23. Have you had to pay subcontractors or suppliers directly? ❑ Yes why? 24. Are ther row unpaid bills owed to subcontractors or suppliers whom the contractor should have paid? ❑ Yes No If so, how much is owed? 25. Did contractor sign any statements to the effect that all bills have been paid? tx, Yes ❑ No If so, please provide a copy. No If yes, how much and 'COMPLAINT FORM PAGE 5 OF 5 26. Did you obtain a partial or full release of lien from your contractor? L ids (If you have said documents, please attach a copy.) Who provided you with this release? (no fr/ Po 1 '4 9 When? . 7 — 2 - " 01 Were any payments made based upon your reliance on said release? 27. Have any suppliers, material person, subcontractors or anyone else advised you or actually placed liens on your property? D If so, please list the name, address and telephone number of the person /entity, the amount of the lien, and an explanation of what work /services /materials were supplied that gave rise to the claim or lien. (Please attach copies of all notices /claims of lien filed on your property.) Florida Statutes 837.06, False Official Statements: Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of this official duty shall be guilty of a misdemeanor of the second degree. 97 -CC -34 Signature 4EuE M. Sht MA) Print Name STATE OF FLORIDA, COUNTY OF MIAMI -DADE: o nn t to and subscribed before me this .11 day of , 20 0 , by 1 `'12r4 on. SZb►e.�ti.f Personally known Produced Identification Type: (9- G OFFICIAL-NOTARY sEAL ARTHUR H STONELAKE JR 41 C.OMMISSICN NUMBER DD004689 9r M ~ 4 MY cCMMISSION EXPIRES ' OF FAO MAR.21 2005 _ / Date \-\ Notary Public, State of Florida Down Payment Tile Stack Dry In Shingles Stack Mop In Balance Upon Completion TOTAL: 3, yOO NAME STREET CITY STATE Y N Y Y "N FLAT DECKS: BUILT -UP ROOFS Mop a year guarantee ROOFS BY CHERRY, INC Re- Roofing • Roof Repairs 5050 S.W. 188 Avenue Fort Lauderdale, FL 33332 We are pleased to submit the following Estimate and Contract. S7 - n r) Pitch Pi-/4T DATE STREET !, -7 /p/ 4 4/7/ AE S1 ]] ST AT m /c�r7 r*', s L. CITY Slope Roofs Shingle Install fiberglass shingles, color to be selected by owner. Type of shingle Color of shingle Tile Mop on one layer of 90 Ib. slate. Install in a rich bed of mortar. In accordance with S.F.B.C. Gray Y N Color Y N, Type of galvanized metal to be installed 3 e.Aue Ae.le ' Dade: (305) 652 -3313 Hollywood: (954) 963 -2741 Ft. Lauderdale: (954) 434 -0015 Fax: (954) 963 -4353 Plg7 - /a3 JOB NAME S i e. S o l t vL m "ti This bid will automatically be withdrawn H not accepted within 30 days. Remove all /2 ,qr f�' oop A/4.to f} /G DvC l✓O, Roofing to a smooth workable surface. Nail and tin cap one layer 751b Remove all debris from premises. Replace all bad sheathing and facia boards up to _ (Any wood over this amount to be charged on a time and material basis.) Install new lead stack flashin where necessary. Mop a standard 4 ply built -up roof in accordance with the Florida Building Code. Flood coat with hot asphalt and embed pea rock. ply smooth surface built -up roof in accordance with the Florida Building Code. Install mOOr F with hot asphalt. ❑ Special Instructions: W-rhOti e, NC- DOC C W OttAA- • 2w...-sc,'�AL 0 N Gee O X (004- emu-. -R F,?o►). - rte s . f Rept4,Vir TI-■e-'61 OF TIN "6 Re c ainst leaks caused by defects in material or labor. I tL e o eAwQx_ .1 tCltilree-- Customer Is responsible for raising and or replacing A.C. units and solar units on roof. Note: Owner Is responsible to protect Interior and exterior furnishings from any dust and debris during roofing process. ROOFS BY CHERRY, INC.. HAS THE RIGHT TO HIRE SUB - CONTRACTORS TO DO THE ABOVE SAID WORK. PA YMENT SCHEDUt E Amount e6e, / D U.S fl AAO fOo_, 14) - tce O Autho ffr d Signature No carpentry work,woodwork, or painting Is included in this contract unless mentioned In specifications. Roofs by Chary, Inc. shall not be responsible for damages whether before commencement of or,during the said work, or alter said work, caused by strews. war, acts of God. sudden rehs.storms,whd storms, material shortage, or any event beyond our control. An work to be done or quarente d shall be set forth h specifications. No promises. verbal or otherness. will be valid. In the event payment is not made as stated In specification. all lees incurred in collection, such u attorney lees, court cost, coaectlons agencies. are to be paid by signer or owner. Any h the work agreed upon in this contras Wadi is rat the huh of a Roots lost. Work done. or ad by Cherry, r Pa or any Our the control o he e a r. Shou ld ho Dded y leak occur, w to and a material amped to be on this root by enters than Roofs by Cherry, Ina.. or their agents. relieves the warrantor Pam ny fuller obligation obligation MnnWr. kl any leak aank the period of ow guarantee, due to detective materials or workmanship supplied and furnished by us. we hereby agree to repair came without Marge, upon receipt of proper notice in writing. by certified mall, providing that the lab complained of has been promptly paid • in NI. This guarantee shall apply to tabor erg materials ony and does not twver damage to personal property which occurs as a resdll of leakage after said roof Is Installed. We do not guarantee agahat leakage due to: footwear, improper building or roof deck construction, Ike. hail. tempest or hurricanes not to punctures made by fastening or wire fixtures. nor the erection of any hatchway, penthouse, flagpole. pipe or other structure, support Or brace, subsequent to completion of our work on your properly. We cannot be responsible for sidewalks, lawns, awnings and fences for access to the building. We cannot be responsible for caging damage during the process of roofing. condition of solace. gutters. end motor matching with the colored till. This contract covers only Nat work which is specifically designated herein and does not cover any additional repairs which are found necessary after commencement al work. This guarantee is not transferable unless mentioned in above specifications. Not responsible for screen enclosures. BUYERS RIGHT TO CANCEL You may cancel this agreement by mailing a notice to Roofs by Cherry, Inc. This notice must be postmarked baton mfdni on Me thud butiuu da u this agreement. II Char Inc., may k ign p you cancel this agreement Roofs by Cherry, Y cep all a pan o1 any cash down paymsn4 not to exceed the Nssa of 25 (Twenty live) percent of the total contact. ate / Of .r nce Make All Checks Payable To Roofs By Cherry Inc. dollars; 3j r O" er Signature M Prepared By: pvndes C, he Company, rv. Inc, Address: DS Sw4QAvc Hollywood. Fl 33023 Know all Mctn by these presents That the under ' ncd, for and in consideration of the payment of the stun of 4>i oylooDullars {$ /b. c ) paid by S rVl'ii'1 . J j (Owner) acknowledged, hereby releases and quit claims to the said Sk.trol ZIVILAI we) (Owner) successors and assigns, and Ch rv, jug., the owner all liens. Lien rights claims or (Contractor) demands of any kind whatsover, Which the undersign now has or might have against the butldi g on premises legally described as '.> • follows : ; L4 1 N it t 1 0 1 _ :. ■ ∎ Ala�11_ :e4Norc . .� S_ on account o labor and performed and /or material furnished for the construction of any imptovemcn4s thereon, that all labor and materials used by the undersign in the erection of said • improvements have been fully paid for. i In witness whereof, I have hereunto set my hand and seal the c) day of 2001 • State of I' lorrda County of l3roward "Acknowledged, sworn to and subscribed before me this a_ of() t 200 By John Chqrry who Is personally known to me or who has produced as tdentificatiol and 'who did take an oath. ", t c State Of Florida • rv� "J.JJ Commission Exprics: Page: 1 Document Name: untitled ICONTRAC BUILDING CODE COMPLIANCE OFFICE BNZM2101 01/07/2002 INQ CONTRACTOR DPBJR 09:13:30 CCN NO. 98BS00089 ISSUE DATE 03/06/1998 TEMPORARY LICENSE (Y /N) N EXAM OR BOARD APPROVAL DATE 02/12/1998 COMPANY NAME ROOFS BY CHERRY INC D /B /A NAME INSURANCE EXPIRATION DATE 05/01/2002 STATUS A LAST RENEWAL 07/30/2001 CONTRACTOR TYPE D DADE BUSINESS TYPE C CORPORATION ADDRESS 3901 SW 40 AVE CITY HOLLYWOOD STATE FL CLASS EXP DATE 09/30/2002 ZIP 33023 PHONE 954 981 -6177 WORK COMP DATE 09/01/2002 WORK COMP EXEMPT (Y /N) N - -- Q U A L I F I E R - -- SKILL CAT ST REG NUMBER SSN 264922958 CLASS BLDG LEVEL E 0036 RC0050819 NAME CHERRY IRIS 0044 RC0050819 CLASS STATUS A EXP DATE 09/30/2002 PF2 = INQ ALL QUAL PF7 = NEXT QUALIF PF8 = NEXT TRDCLS PF9 = NEXT CAT NEXT SCREEN NEXT KEY NO MORE QUALIFIERS, NO MORE TRADE CLASS, NO MORE CATEGORIES Date: 1/7/ 2 Time: 09:07:47 AM Page: 1 Document Name: untitled EXAM OR BOARD APPROVAL DATE TRADESMAN NAME CHERRY IRIS ADDRESS 5050 SW 188 AVE CITY FT LAUDERDALE STATE FL ZIPCODE 333320000 MAINTENANCE PERSONNEL ONLY: EMPLOYER NAME TRADE SKILL CLASS LEVEL BLDG E Date: 1/7/ 2 Time: 09:12:42 AM BUILDING CODE COMPLIANCE OFFICE INQ TRADESMAN CATEGORIES 0036 0044 ISSUE DATE S /S /N D /O /B PHONE LAST RENEWAL PF8 = MORE TRDCLS NEXT SCREEN NEXT KEY INQUIRE COMPLETE - NO MORE TRADE CLASSES REMAIN FOR NEXT PAGE 264 -92 -2958 02/09/1947 305 4340015 07/30/2001 BNZM2105 EXPIRATION QUALIFIES DATE STATUS 98BS00089 9/30/2002 A December 31, 2001 Mr. Kevin F.Carrier Code Compliance Investigator Contractor Enforcement Section Miami Dade County Building Code - Compliance Office 140 W. Flagler Street Suite 1603 Miami, Florida 33130 Steven M. Shulman Re: Roofs By Cherry Dear Kevin: Thank you with assistance in the paperwork that I have enclosed to you. Just a brief note regarding this complaint The repair estimates that I have gotten are by local handyman/carpenters, and also the painters who did the interior of my house. The price of $1000.00 was the least expensive quote of the three I had gotten. After the flat roof was installed and completed, I had painters and carpenters come in and plaster, and then repaint with a faux finish effect. Everything was in perfect order until the roof started leaking water. The damage started showing up in the living room first, at the exact same spot that was pointed out to the roofer before signing the contract. Then the damage spread to the kitchen, living room, and dining room. They had come out over a period of 4 -5 months to repair and tear up more roof, until (I hope) the leak is fixed. Now I want to be compensated for the repairs that need to be done. My house is a beautiful place to live, and these damages are spoiling the enjoyment of my home. Please contact me at 3054757-1234. .Happy new year to you and thank you Yvi. 471 N. E. 101 STREET • MIAMI SHORES, FLORIDA 33138 • (305) 757 -1234 '.04/05/2002 11:16 9549E69131 „INSPECTION v ESTTMATE : KELLER INSPECTIONS CO. DBA ANDERSON ROOFING (954)963.7470 & 1- 800.745 -9579 FAX (954) 966 -9131 CCCsas1e ADDR138_ ... z cas:E cny BUYER I.S'RO! PRONE M SCOPE OF INSPB,CrION; ROOF TO BL INSPECTED TO DETERMINE IP LEAK FREE AND/OR WATER TIGHT. IF nor, Is IT REPAIaABLE. KELLER INSPECTIONS CO. l8 NOT RESPONSIBLE FOX ANY ATTArNMENTS TO MAIN ROOF INCLUDING BUT NOT LIMITED TO METAL ROOF, POOLBAAKNO, CUTTERS. SUN DECKS, SOLAR UNITS. WINDOWS, at uNITS AND LEAN AND DUCT WORK, teTAL OR WOOD SIDING. SATELLITES, SKYLIGHT'S. FANS. TRUKIE9 OR BEAMS. THIS IS A NONINVASIVE VISU 5 ZCTION ONLY. THIS INSPECTION IS LIMITED TO ATTIC ACCES8tBILMY AND 1.11 SOLELY .BASED ON THE INSPECTORS OPINION AT TILE TIME OF INSPECTION ONLY. THIS I8 NOT A GUARANTEE, DECEPTIVE COATINGS LE. SEALER, PANT, SIDINo, OR OCHER ICDOEN DE',?ECTS ARE NOT THE RESPONSIBILITY OF KELLER INSPECTIONS CO WORK MUCH AS FRFBS[IRE CLEANING, PAINTING, AND REROOFING VOIDS INSPECTION AND /OR WARRANTY. vMIT OF LIABILITY 18 NOT TO EXCEED coST OF ROOF INSPECTION ONLY, KELLER INSPECI TONS Cp. IS NOT RESPONSIBLE FOR TERMED AND OR DAMAGED WOOD UNLESS IDENTIFIED ON OUR REPORT, ANY CHANGES MADE WILL SE ADJUSTED ACCORDINGLY. kELLER INSPECTIONS CO, SHALL NOT BE RESPONSIBLE FOR DAMAGES OR DELAYS, EITHER SEPORE COMMENCEMENT OR DURp40 SAID WORK DESCRIBED KEREIN ON ACCOI. NIT OF TRANSPORTATION, PRmORITds, ACCIDENTS, WARS, ACTS OF 00D I. E. FIRE, SUDDEN RAW STORMS, WINDSTORMS, HURRICANES TROPICAL STORMS OR OTHER CAUSES BEYOND QUIR CONTROL KELLER IS RELIEVED FROM ALL WARRANTY DUE TO ACTS OF 00D. TROPICAL OTORMS. HURRICANES AND TORNADOES, FIRE MOTHER CAUSES BEYOND OUR CoNTP.OL. =LEER INSPECTIONS 00. DOES NDT WARRANT PRE woos REPAIRS Don BY OTHERS. WORK DONE OR ATTEMPTED BY OTHERS RELIEVES KELLER INSPECTIONS CO. OF ALL WARRANTIES, KELLER ersraCTIONS CO. DOES NOT WARRANT WORK DONE BY OTHERS OR ISSUE CLEAR ROOF REPORTS ON ANY REPAIRS OTHER THAN KELLER INSPECTIONS CO. REPA AS. WERE SHALL HE NO CONSEQUENTIAL DAMAGE CLAIMS AGAINST KELLER INSPECTIONS CO. OR THE INSPECTORS. THERE WILL 8E NO CLAIMS OR DAMAGES OP ANY MD ASSESSED TO KELLER FOR WALLS, CEILINGS, CARPET, FIXTURES, DECORATIONS, STOCK, ELECTRONIC EQUIPMENT. FURNMIRE, A/C LINES OR ELECTRIC, ETC. DUE TO LEAK.AOE OR OTHERWISE. PAYMENT 18 DUE UPON COMPLETION VNLESS OTHERWISE NOTED GUARANTEE WILL BECOME NI.ILL AND VOID IF PAYMENT IS NOT MADE wrap.: 30 DAYS OF BILLWNO DATE AND WILL BE REINSTATED UPON PAYMENT PROM ORIQINAL BILLING DATE, A 543.00 SERVICE CHARGE WII,.L, t3! BILLED TO OWNER IN THE EVENT THE VISIT IS NOT COVERED UNDER THE TERMS OF GUARANTEE. THE GUARANTEE WILL BECOME VOID IP PAYMENT FOR SERVICE CHARGE IS NOT RECEIVED WITHIN 15 DAYS OF VISIT. ACCESS TO UTILITIES AND BUILDING: MUST' BE GRANTED IN ORDIIR FOR KELLER INSPECTIONS CO. TO DO ANY REPAIRS. GUARANTEE FOR REPAIRS COMPLETED BY KELLER INSPECTIONS CO. IS 6 MONTHS UNLESS OTHERWISE NOTRD. MAIN: ,TRAM FLAT: KELLER INSPECTIONS CO. PRICE FOR REPAIR AND CLEAR REPORT: S Adt 7 44S't10..44-77cuce ' 64(.4 F. )4 O lfrte< A amgAL Aievicyci 4*i. fr7 , ( e P ! rc .•14f', eilior4440 rituit,Notrittr "IA of A 45 , 4214tooe, Soma Oc.ca -,io5 04 4041 54,4'441- /tear tp TD • 2/ 4 4.4.. caoch. 4o ,Ador t44c4 s," nerd (puny evuort•orife.ve41, / $ Ale P r rl.4dJ i ter FIAT Tb /.414-/N 5O(,uT, DESCRIPTION OF REPAIRS NEEDED: KELLER INSPECTIONS CO. 4 /,i INSPECT PAGE 01 DATE f.>!2. - Valid for 0 ys only da 93 ot r(-4-` INSPECTOR ...: a e t--- AUTHORIZED BY; DATE 'PLEASE READ 9 NDERSTAND ENTIRE CONTRACT BEFORE SIGNING. THE ABOVE SIGNED ACCEPTS THE JOB AT THE PRICE QUOTED ANp AGREES TO Y FOR SAID WOICM. PROMPTLY UPON CONA'LETIONoF THE SAME. IF ANY SUMS ARE COLLECTED BY SUIT' OR DEMAND OF AN ATTORNEY, THE ABOVE SIGNED AGREES TO PAY FOR ALL COST INCLUDING REASONASI E ATTORNEY FEES AND INTEREST OF 13% PER MONTH UNTIL BILL IS PAID IN PULL. =KITES WILL HE RESOLVED THROUGH LEGAL ARBORTRATION. KELLER INSPECTIONS CO. DOES NOT WARRANT OR ISSUE CLEAR ROOF REPOR'T'S ON WORK DONE ay ANY OTRER THAN KELLER INSPECTIONS CO. January 30, 2002 Gentlemen: Charles B. Esher Building Official Roofs by Cherry, Inc. 3901 S. W. 40 Ave. Hollywood, Fl. 33023 RE: Shulman 471 N. E. 101 St. Miami Shores, Fl, 1. Failure to follow up on first year warranty as specified in the South Florida Building Code. 2. Due to extensive delay in responding to stop a number of leaks in this roof, considerable damage has been caused. GOVERN YOURSELF ACCORDINGLY. cc: Steven M.Shulman BUILDING DEPARTMENT 10050'N.E.'SECONO AVENUE • MIAMI SHORES, FLORIOA 33138-2382 TELEPHONE (305) 795.2204 FAX (305) 756-8972 NOTICE OF VIOLATION CERTIFIED MAIL - RETURN RECEIPT REOUESTED m m m f'U 1. Article Addressed to: U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mail Only; No Insurance Coverage Provided] .1 $ Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees See Reverse for Instructions SENDER: COMPLETE THIS SECTION • Complete items 1, 2, ar;d3 Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 00 -is b aerr) anc- otL1Jod F). 33o3 col S,A4,.. ( -10 OVe. • Article Number (Cop from service label) i_ on) SIn 0001 (Lt 335_3 PS Form 3811, uly 1999 Domestic Return Receipt I ice Type rtified Mail 0 Registered 0 Insured Meil Postmark Here 4. Restricted DElivery? (Extra Fee) rom item 1? 0 Yes ddress below: 0 No 0 Agent 0 Addressee 0 Express Mail 0 Return Receipt for Merchandise 0 C.O.D. 0 Yes .102595-00-M-0952 IN THE COUNTY COURT IN AND FOR DADE COUNTY, FLORIDA DIVISION ❑ CIVIL ❑ OTHER SUMMONS /NOTICE TO APPEAR FOR PRETRIAL CONFERENCE DISTRICT COURT (File in Quadruplicate) CASE NUMBER �� 002 ������ • PLAINTIFFS) S 1 N N1, SLLH4,0 VS. DEFENDANT(S) . Ko•of K1 C6ir. • CLOCK IN DEFENDANT(S) TO BE SERVED AT: - D \--) r, c ( . t I �C r is rr t N�� ( 1,4 I , 140'1, woo. Pei - 330 a3 STATE OF FLORIDA NOTICE TO PLAINTIFF(S) AND DEFENDANT(S) YOU ARE HEREBY NOTIFIED to appear in person or by attorney at the location indicated below: ❑ DADE COUNTY COURTHOUSE kNORTH DADE JUSTICE CENTER ❑ CORAL GABLES DISTRICT . ❑ JOSEPH CALEB CENTER ❑ MIAMI BEACH DISTRICT ❑ SOUTH DADE JUSTICE CENTER . EB 2 2 2002 ( Addresses for court locations are printed on the back of this form ) on 20 , ?".°0# .M., in courtroom a---7 before a Judge of this Court. THE CASE WILL NOT BE TRIED AT THAT TIME/DO NOT BRING WITNESS APPEAR IN PERSON OR BY ATTORNEY The purpose of the pretrial conference is to record your appearance, to enable the court to determine the nature of the case. and to set the case for trial if the case cannot be resolved at the pretrial conference. FILED BY : j"F 2J e h. "A - ►r)J L- 4/141,) COPY: ❑ MAILED }HAND- DELIVERED ADDRESS : 4i t I V ` r‘:-..1 S TO: PLAINTIFF 0 ATTORNEY 1/4 I i4►V't I ' (4 tc., f .` -S C " 33 1 3g SERVED BY: ❑ MAIL ❑ SHERIFF ❑ PROCESS SERVER PHONE: 3 0 S 7 1 -/ Z 3'I HARVEY RUVIN CLERK OF COURTS Iregl Met* 1463 BY: 6 l DATE JAN 2 2 2002 DEPUTY CLERK CLK/CT 423 REV. 9/00 IMPORTANT - SEE REVERSE FOR DISTRICT COURT USE ONLY Clerk's web address: www.miami- dadecIerk.com 1 IN THE COUNTY COURT IN AND FOR DADE COUNTY, FLORIDA,. DIVISION C3 CIVIL 0 OTHER STATEMENT OF CLAIM (File in Duplicate Pius One For Each Defendant) CASE NUMBER e /W5 P -,. SECTION NO. , .3 . PLAINTIFF I VS. DEFENDANT(S) I 5il i IA- S h vi-mm) - ; - R c.s Y CLerE&c - j PHONE NUMBER 3 6S3- gSLo- 0 r 0 0 Z The Plaintiff sues .t Vie Defendant for money owed Plaintiff by Defendant; and which is due and unpaid; for (As marked (y:) below): ❑ Good , wares and merchandise 11 4Work done and materials furnished 0 Money lent by plaintiff to defendant ❑ Money due to piainlff upon 0 On a written instrument, copy 0 Rent for certain premises in Other (Explain) N' Any additional facts in connection , Address 3 q p i t wo 4 V A ) G past I A Of 1,11‘00001. � 3302-3 sold by plaintiff, to defendant; by piaintiff, to defendant; which is due and payable: accounts stated and agreed to between them; of which is attached hereto; Dada County, Florida, Viz;. with any of the above: ( 30e_ ATc4C. (USE ADDITIONAL SHEET IF NECESSARY) 1 14 17 0 1-Atl t co ett. A:diCC.rX w :A. tit be -C c .A &0 wC 4A0C �`E, (-,w it4e with court says the A N e.mJ .C1-14- i etisUy) p S/t a-te costs and any further costs foregoing is a just and true has no lawful defenses ko 04 O ft vose., i Ect P4hA S 812Akf2 e— ou+ to / house ANa Where Plaintiff demands judgment in the which the Court may assess. The Plaintiff, ST't ofN sum of $ 14 13. 0 0 together Pi • S iJ L. /+-f Ali) statement of the amount owed by defendant to plaintiff, exclusive of all lawful setoffs, and that defendant which would preclude the collection of said amount. Affiant states that the defendant(s) isiare not in the ilit ry sery of of th - Unit • d States. Attorney /Plaintiff Y ' )cM M. v �VL Ai Signatu f / iv( ;., Attorney's Bar No. Address of Attorney /Plaintiff ti t ) j i U z- j. 0 I c I. A v . S G �, ) /2. t. , n...31/3 Telephone No. ? 0 .� -- .) J 7 - 1 L _{ 7 The foregoing instrument was acknowledged who before me this c9o day of SGYyt� , 200 '-- by is personally known to me or who has produced • oath_ _P ,i ' , 'N , • ay 01 2 /Fl as identification and did / SWORN TO AND SUBSCRIBED did not 0 _ B '1/4� _1/ 2 2001 20 HARVEY RUVIN • '\ :o.5. / •_� OF COURTS �• - ' � g . i C erk NOTARY State ate of My Commission PUBLIC, Florida Expires: �.LNI. 333 REV ORTANT: SEE REVERSE Clerk's web address: www.miami- dadecierk.com ccRVICE OF PROCESS ❑ PROCESS SERVER ❑ SHERIFF ❑ MAIL FILING FEE AMOUNT RECEIPT NUMBER NOTE: If the claim is based upon a written document, a copy, or the material part thereof, shall be attached to the statement of claim. INSTRUCTION SHEET IMPORTANT YOU MUST advise the Clerk, in writing , of any change in your mailing address. If you are a DEFENDANT and fail to appear on the designated date, in person or by an attorney, a judgment may be entered against you. Plaintiff(s) will not be entitled to a default or judgment in the absence of an affidavit regarding the defendant's military status in compliance with applicable law. This form, if sworn to, will meet the above requirements. If you are a PLAINTIFF and fail to appear on the designated date, in person or by an attorney. this case may be dismissed for Want of Prosecution. Any claim of the Defendant against the Plaintiff, arising out of the same transaction or occurrence which is the subject matter of plaintiffs claim, shall be filed riot Tess than 5 days prior to the appearance date, or within such time as the Court designates. When a counterclaim or set -off exceeds the jurisdiction of the Court, it shall be filed in writing before or at the pre -trial hearing, and the action shall then be transferred to the Court having jurisdiction thereof. As evidence of good faith, the counter - claimant shall deposit a sum sufficient to pay the filing fee in the Court to which the case is to be transferred with his counterclaim. FAILURE TO MAKE THE DEPOSIT WAIVES THE RIGHT TO TRANSFER. TRIAL BY JURY may be had upon written demand by Plaintiff made at the commencement of the action or by any defendant within 5 days after service of the notice to appear or at the Pretrial Conference. If the demand is not made, the right to trial by jury is waived. If at any time in the proceedings a settlement is reached between the parties, this office should be notified in writing by the Plaintiff. If you have any questions regarding procedures, this office will assist you. This office cannot furnish legal advice to you. Please consult your attorney for legal advice. CAUTION A copy of any paper that you file at any time with the Clerk or Judge MUST be sent by you to each attorney appearing in the case, if any, or to all parties not represented by an attorney. You must set forth the date and to whom you sent the copy (or copies) of the paper filed, which would be followed by your signature. AMERICANS WITH DISABILITIES ACT OF 1990 IF YOU ARE A PERSON WITH A DISABILITY WHO NEEDS ANY ACCOMMODATION TO PARTICIPATE IN THIS PROCEEDING, YOU ARE ENTITLED, AT NO COST TO YOU, TO THE PROVISION OF CERTAIN ASSISTANCE. PLEASE CONTACT THE DADE COUNTY COURT'S ADA COORDINATOR AT 73 WEST FLAGLER STREET, ROOM 1600, MIAMI, FLORIDA, 33130, TELEPHONE NUMBERS (305) 375 -2006 FOR VOICE, (305) 375 -2007 FOR TDD AND (305) 350 -6205 FOR FAX, WITHIN TWO (2) WORKING DAYS OF YOUR RECEIPT OF THIS DOCUMENT. TDD USERS MAY ALSO CALL 1- 800 - 955 -8771, FOR THE FLORIDA RELAY SERVICE. CLK/CT 333 REV. 2/01 IMPORTANT: SEE REVERSE Name & Address Title CHERRY, JOHN 3901 SW 40TH AVE HOLLYWOOD FL 33023 D CHERRY, IRIS J 5050 SW 188 AVE FT. LAUDERDALE FL 33332 D Division of Corporations Document Number P98000006642 Last Event REINSTATEMENT Attal Florida Profit ROOFS BY CHERRY, INC. SS 3901 SW 40TH AVE HOLLYWOOD FL 33023 MAILING ADDRESS 3901 SW 40TH AVE HOLLYWOOD FL 33023 FEI Number Date Filed 650810468 01/21/1998 State Status Effective Date FL ACTIVE NONE Event Date Filed 10/30/2000 Re &istered Agent Name & Address- CHERRY, JOHN 3901 SW 40TH AVE HOLLYWOOD FL 33023 Officer/Director Detail u{'X �. fir'.; 4k Lw.d 9 Event Effective Date NONE Page 1 of 2 http: / /ccfcorp.dos.state. fl.us/scripts/cordet.exe ?a 1= DETFIL &n 1= P98000006642 &n2= NAMF'... 1/17/02 Division of Corporations Page 2 of 2 Annual Reports -Previous Piling etum to List View Events No Name History Information View Document Image(s) Next Piling THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT 4' ., ..:!,--, r. ,;...1,;„ -..' : 141: •,'-..., f 0 . ti. ,, ,i.. „ + ,.,,,..,... http://ccfcorp.dos.state.thus/scripts/cordetexe?a1=DETFIL&n1=P98000006642&n2=NAMFI... 1/17/02 Report Year I Filed Date ll Intangible Tax I 1999 08/30/1999 1 I 2000 10/30/2000 I I 2001 II 02/27/2001 11 I Division of Corporations Page 2 of 2 Annual Reports -Previous Piling etum to List View Events No Name History Information View Document Image(s) Next Piling THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT 4' ., ..:!,--, r. ,;...1,;„ -..' : 141: •,'-..., f 0 . ti. ,, ,i.. „ + ,.,,,..,... http://ccfcorp.dos.state.thus/scripts/cordetexe?a1=DETFIL&n1=P98000006642&n2=NAMFI... 1/17/02 Attention: Miami -Dade County Court Explanation Of Damages. Steven M. Shulman I, Steven Shulman, contracted with Roofs By Cherry to replace my flat roof on the house I own at 471 NE 101 St Miami Shores Fl. Kenny Cherry, (brother of owner John Cherry), and an employee of Roofs By Cherry, came out to_my house and saw the damage that I was experiencing in my home due to a leaking flat roof. He (Kenny Cherry) went up on the roof and determined what needed to be done to correct the problem. He then gave me a proposal for the cost to replace the roof. I agreed to accept the contract, and then signed it and then work commenced. The contract was signed on January 29, 2001, and the work was completed on March 29, 2001. After the work was completed I contracted with a painter to repair the damaged plaster and then repaint the living room and the kitchen. Now everything seemed to be in order and the roof wasn't leaking. Less than two months later I started to notice paint and plaster flaking and peeling at the exact same area in my living room that I pointed out to Kenny Cherry at the very beginning. He came out to my house and agreed that there was a "leak ", and called up the company to report what the problem was. Next time I heard from Roofs by Cherry was that they were sending over "Bobby" to " repair" or "fix" the leaks. When I went up on the roof with Bobby and his assistance he looked around and determined where the problem came from. He stated quite clearly and blatantly that "Yarbrough" the crew chief on the job had " f- upped ". He explained that he did not follow the directions that Kenny Cherry had told him where the problem was coming from. So, Bobby began tearing up tile to try and find the source of the leak. Within the following 2 -3 months the damages from the spring rains has caused water damage in my kitchen as well as into my dining room, since all three rooms meet at a certain point emanating from the roof. 471 N. E. 101 STREET • MIAMI SHORES, FLORIDA 33138 • (305) 757 -1234 Steven M. Shulman Bobby had come out to repair and stop the leaking a total of 4 times, until we hopefully think the leaking has been stopped. On his last visit in December, 2001, he admitted again to me that this whole problem was caused by the carelessness of "Yarbrough" not following directions. Prior to Bobby coming out and replacing the tiles that were destroyed in the process of fording the leaks, I had sent a certified letter to John Cherry, Roofs By Cherry, stating that I would like for John to send out Bobby to replace the broken tiles, and also asked when I could expect payment to repair the damages caused by his crews negligence. The letter was delivered and refused on three separate occasions. Since Bobby has finished replacing the tiles, (and hopefully no new leaks), I have called Roofs By Cherry on three separate occasions, leaving a message with Cynde Cherry, for John to call me. He has never returned my call. I assume buy his refusal to call me back that he has no intentions of paying for the damages. Prior to having my roof replaced, I had never had any leaks in my kitchen or dining area in the ten years that I have owned and lived in the house. 471 N. E. 101 STREET • MIAMI SHORES, FLORIDA 33138 • (305) 757 -1234 Miami Shores Village, Fla. DATE ADDRESS ?/ A / INSPECTION TIME READY ie &- PERMIT NO. 9g 147,6 al/A4r CONTRACTOR ZY Pi OWNER 3_(70._e/ OWNER ADDRESS INSPECTION �-\) TIME READY PERMIT NO. CONTRACTOR TELEPHONE NO.; Miami Shores Village, Fla. INSPECTO DATE =- - PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date .. r) O Job Address 77/ 4/ /O / st- Tax Folio 1/ 3 29C ) /76 G &b Legal Description L 0 ,6/K f/ "4141 „ i f 5/o/i Historically Designated: Yes No Owner/Lessee / Tenant J / 1thg k1/ /AZW ¢. Master Permit # 4),g3 01/ Owner's Address 97/ ,oL l0/ s f Phone 3.9 75 7? 123 y Contracting Co. / � eme,e,” Address ,3g 2/ $ l:..J VO dc) hie iYl v7 Qualifier X /5 7 (View" Phone Z6rZs3 ts State # /t Municipal # Competency #YI i000 8/ Ins. Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION /VE /CGO/ 7 /«b/' G — Square Ft. , S i d "+ P CYNTHEA BLOCH .: - MY COMMISSION # CC 843823 • EXPIRES: June 6, 2003 ,.�... Banded ThN Notary Public Underwriters Signatur er and/. ` ondo ' y � F n Date Notary as to • er and/or Condo President My Commission Expir FEES: PERMIT APPROVED: Zoning Mechanical RADON Building bove -named contractor to do the work stated. C.C.F. 4rgh,,,ot Address Address Address Electrical PLUMBING MECHANICAL OOFING .PAVING FENCE SIGN Estimated Cost (value) 3 YOC) 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 ormation is accurate and that all work will be done in compliance with all applicable laws regulating constructio d • ning. Furthermore, I Notary as to Con . : tor or Owner- Builder My Commission Expires: CYNTHEA BLOCH :._ MY COMMISSION t CC 843823 • o/ EXPIRES: June 6, 2003 Bonded Thw Notary Public Undew,c• • = 1100117 3 7 1?" .. 1 0 BOND Date Plumbing Structural Engineer A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1/ :3�ZO6 a / 76 G 1v STATE OF FLORIDA: •s COUNTY OF DADE: .4 THE UNDERSIGNED'treretiy gives notice that Improvements will be made to certain teal properly. and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Loyal description of properly and street address: `17/ '%J /6/ 45'y -C A ' ' ' 1v. • / t 2. Description of improvement: /? / 2rae, I� 3. Owner(s) name and address: 57t) ,(LL Sit l i't 4 L) 7/..A)6 6 /a /st 4-1, ,a,f saw Ls �f Interest In property: • Name and address of lee simple titleholder: 4. Contractor's name and address: AO /S 6 di leg/ 390 / s w ( /o / iywa?�✓ ,_/ . 330 z3 5, Surely :(Payment bond required by owner from conUastorT�1 a yiLORIDA, COUNTY OF DAD>_ Name and address: • • I HERF_ B Cd rEn RTIFY o/Jice that This on is a true co y of the �,lyrndr t Amount of bond $ i day p/ , A020 WITNESS my hand and Official Seal. 6. Lender's name and address: 1 -(ARVF K, ,C 1 and ounl S A d y Courts X� \ 1y^ f► �'� Y J �` Sign r of Owner �y- Print Owner's Narn& S I PV Et.] Sworn to and subscribQd before Me Notary Public PrIn' Namo My Commission Expires By 7. Persons within the Slate of Florida designated by Owner upon whore notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 0. In addition 10 himself, Owner designalos tho following person(s) to receive a copy of t Llonor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address; • . 9. Expiration dale of this Noticef Commencement: (the expiration date Is 1 year from the dale of recording unless a differ d Is specified) • 0 1R05555 1 2001 FEB 05 12%3F roparod by ,; /6:70/ eo4 ,weft' ' Nddross: / Sw y6 Ai/ /j' /1 / 334 R• Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: :0 4 / ehra1 Job Address: ROOF CATEGORY (Low Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal: Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof i x Re-roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft G co . Sloped Roof Area (ft') 7 Total (ft C 5 Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Ft. Ft. ROOF HEIGHT AND SYSTEM DETAILS 4of /I4CJ ouwl4MC re�O (Draw details as needed) edesaiekt 6,4044' 7.S6�ES� 4 i&o Piy Ay Deck type: / v1 (a 1F-6- ATTACHMENT u 11 _9 Fastener Type:/, ///d `I 0/. /e SPACING DETAIL 1 & 2 9374 ael r Sl /C Field: got 12 Perimeter: go 6 Corner: r 123.01-78 a. Page -1 vulo a.F±A�s :.r. ( Ridge Ventilation? MEAN I16ICift Deck type: Undcrlayment: Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Insulation: ROO < LOPL D E T A I L 3 N SLOPED SYSTEM DESCRIPTION J s Fastener type & spacing:th Cap Sheet: Roof Cove ug: 4- Dilp edge: TILE CALCULATIONS Page -2 • 04, EOM (Pmaxl: X X (Aerodynamic Multiplier): ) - M B : = M PCA: (P,nnx2: X X (Aerodynamic Multiplier): ) - M B' ' = Ma: PCA: (Pmox3: X X (Aerodynamic) Multiplier): ) - M = M PCA: ° ow LAPS' a. *AO ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description h) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals . °' . REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS i As.is pertains to this Appendix "P, it is the responsibility of the roofing contractor to provide the owner • with the required roofing permit, to provide the owner with 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 tlie. minimum requirements and standards of the industry for rooting 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. I. Aesthetics — Workmanship: The workmanship provisions ofChaptcr 34 are for the purpose of "pro ding that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed .in accordance with the current provisions of Chapter 29 of the SFI3C. (The roof deck is usually concealed prior to removing the existing roof system). 3. Cammou 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 coctor 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 front below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations dale underside of the decking may not be acceptable. The SFI3C provides the opt' agi of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and shay 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 he 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 no 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 sc s in accordance with Chapter 23 of the SFI3C. 7. Ventilation: Most roof structures should 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 Iifc of the roof. The owner may contact the Miami -Dade County Consumer Services Department for further information regard'ng the above Owne Signature Date: / APPENDIX "I' Contractor Sign W ire RON COVERING MATERIALS (IEYI) 1100FI11G SYSTEMS (11I11)— Continual Foam: "Poly -1so" or "Poly -Iso Special" wish "Pnlybtatn 251" nr ,'D Uelliatrl� Paso Coats 303 ", 1 in. min. a 1 died' 1 1 50", applied a Coats One or two applications "Gacollex Illl•70 , 1 al /sq/il1pllcalton or three applications, I I ,lied 1 gal /sq (12 16 - illy mils). r" Scrles' various colors), apt urlacrn9 :'Gacollex lIA-6a dry mils). ' Inclines 1/2 10 peck: NC " of Ira Special" with "I'olyfnaut 151" of "Polyfoant • foam, "Pulylsn or P Y' " a 1 died at 1 • Bas Coat: so a o r two applications "Gacollex II8.1OSO ' 1 al /sq /al'pllcalion or three applications, applied 1 - 1/4 gal/so/application pplied t 16.31 ry mils). ,died 1 gal /sq (1 'Waring; "(Iacono( 11A -60" teiies (various. colors), applied dry rolls). In dhte : 2 31. Decks i s I I " r •Palylsa Special" with "I'olytoarrl 251" or "Poiy(nant foant:'Po y so 0 303' 1 In ndn lied at 1 gal sr (10 dry roils). 1000 aitltllc Pase CoaIl "f CoSll'S IOp0 " app el,l at 1 aa� /s�l (10 dry rolls). Surfacing: "Garotte% �s Wine: g 1 37. Decks tlC " "� thickness. Surfacing; 251 or lotyy(n 303 " any Surfacing; "Gacollex Me-Shield 7007", 40 2-1/2 11, Docks IIC "' thic kness , • foam: a l "fia 275 ,and 2 r al s 14 dry mils). gal /sq (14 Sure Coat; "Gacollex A•62114, series J /'1 Surfacing: "Gacollex A•62o1► series (various colors), 'dry mils). GAF I11306 (11) 1361 ALPS RD, WAY1IE 313 0747 . 1361 ALPS RD, y`� 'pURER0I0 20" G2 "baseEsheets In lie following C� as sificati a•Pacl(lc Illtutate la Type )sum board or 1/4 10. thl k (min Georgia,Palific, ten In, kw ck (min). en be used in any J system Is 'Dens peck ov end boar) may tile resulting roofing Y • OA Classification. ble f r use When this Is dun e, roof decks, The Joints 10 1c gypsum for use over d overlayment ho /ard In. In. wills I l I t In the the lib gy no hoard do I deck. ( polystyrene Is part al the roof system, Il o I a va ASPHALT MX SYSTEMS W1111'll fAl`f0lAS11115 IIas0lSttcet ") Is a Type 62 asphalt glass mat base sheet (" 1l sheet ( i l ase Sh e I t") Is a suitable alternate for Type 61 asphalt glass fiber ply systems Indicated below, ,c G2 n diic a glass mat' base Ilarltoo sy • 'GAfGIoo Ida deck In •fi [lass A, ha g l a SUat b i roof deck Stratasl be covered wills boated" or (be 'COWS 1 Saeatavent ', Perforated 1'' (Vent-Ply) for nallable decks', I'erlosated to. be mopped and uailaldc• to he "C I AS 111 Oaic Sheet" mechanically ii option Ty 6 2 a spha l t side mat b' AFG . M an option Type 62 asphalt glass mat base sheet 'CAMAS (or nailahte d/ ck1 ") �naybe s �u'1 stit 101 as ersph Slsalave ply sheet I ly ," r' y I LI asphalt glass (ibex ply sheet l( � atlled base ply In the following systems. 3011010 ply or base sheet may be solid m opped, spot moppe of mechanlca y intend, otherwise Indicated, all Insulations may be hot tpe o r me 1 listened. 1, Id" may he Bird for flashing o laymen; board. 'CAMAS flasidr or "Rt' ern w at any k, 0 or C systems t below. Ibis Includes 'WIMP PERMALIT Y to " align. --• • lh� Class A , Illrtr ass p tar pro suitable er of 1 yg 'penile Is referenced, UL Classified Of ettee insulation. (rus stone or J alternates for gravel In any of i or C sysleml; listed. Structural cement fiber building colts are considered suitable to be Included , • t► a deck e hollowing Class A. 0 or C systems listed over 0-15/3 or leer usa gypsum board is', Burn board under any of the following class A. It or t erns r {ors not ot o of adversely elect the rating. rho use P( 1 /z•In, min gypsum in acceptable alternate for Insulation over C•15/32 decks. sl e Insulation board between min 3/4 tn. penile board . •tde use o(p of Y y ren rr.tlite rosin paper /lutlystyrepo /pedlte)l Is r a ird deck with e osin paper tl rale bowl / IulUble alternate for Isocyanuar) In Ilse (olluwiuul class A, G. ;systems. "6ACiEl4P Tapered. lsollterm RA" and "GAfff.l41' !... asps to Isotherm may be RA". anurale ere Ili any of the. j (0nposlte K may be substituted for any sncy IuUowing flasstfica)losrs. Class A, 0 and 'C. , i, Rat rooting asphalt, 101 use wit 1 lass teli. qr modified hlUuucn'• Wenner, ;a Class A h organic arc g r incline; 3 ' and (fiber, r lass G O nss141ton Optional); One of m ore layers perllte, w . plc Insulallon (p Iso am tale composite, p / „ `i fiber, I)ocyanurale, urethane 1't / cY I COOK 1'0R MA ROW Luvs.nun �" , n 4.i I 4S (T Ile, phenolic. any .14,11'foi ell►ane composite,, wood Irber /Isocyan rte, ph nolic. any '''•!'•.•(hlckoess• a 61 `GA(GLAS Ply I =ply Sllectf hose or more l ayers Type ' ' ' ' 6 ", hot propped. .1,'' Sur1acln! : G1avet. tncllnn 2 last 2 : !: tucks C -15'32 O tlonal): One or more layers perllte, wood fiber ;edit ,,' ;(nsu,a (I erlite lsoc anurale composite, / i.:: :lilies, Isocyanwate, methane. p / phenolic. any ':',• urethane composite, wood libel /isocyamilale composite, p Geni . Ply • ',•t; -Ihickncss• Type GI GAfG1AS Ply 4 : : ply Sheet: Three or more layers Typ ;). • 6 • Type 63 " GAfGtAS Mineral Surfaced Cap Sheer. ' •. dap Sheet: One layer Typ Inclines 2 Oats ;pecks IIC erllle, wool (ilex; erllle /Isocyanurale composite, penile/ ' Insulallon (Optional): (Inc or more l ayers P phenolic, 2 In. urethane filler, Isocyanurale, methane, p • ;' urcUtana c0nytnstle, wood Ifiber /isncyanurate composite,) :...• max. a 61 "GAfGIAS Ply 4' or 'CAWS Ply ' ;,ply Sheet: Two at more layers Typ eel'. -' ` Conlinuerl :nV1:• t •: ROOTING SYSTEMS • male co10pos 6 "• to 63 'GAFG 5 Mineral Surfaced Cap Slr ; .••• Cali Sheet: (Inc layer 1Y1 Incline: 1/1 ' 4; ; pecks IIC . 1 . • '.. ,. ... Insulation: (Inc or two layers isotherm It', 4 in, max, hot mopped. • l Sheet: Any 111. Classified gravel surfaced Class A asphalt glass libel °tai sySIC1 Incline; 1 r a er a led to deck. me Sheet One l; Shce � i 1 ' , r 1 e G2 " A a � IAS• 75 ass Stet" ma i PI 4' of GAfGIAS PI na1 '1 a Sur( re ' • to G•3' "GAF6tAS Mlne Ca Sheet: (Inc la Inclines 3 6; ...Dec r to 62 "GAfGIAS 1175 ease Sheet'. 1. • • l'Iy S b Seept: (Inc e layer la e t Gt 'GAMGIAS I'ly 4" or GAfGIAS My Ply Seh Ono or more layers of 1 YP • G e G 3'GAIGIAS I4lneral Surfaced Cap Slteet'. r;,• Cap Sheet: One layer of Typ Inclines 2 • , ( anurale urethane; 1;;;.peckt 0.15/32 phenolic, " Insulation; (Inc or more layers it e e perlileJurellianescornposite, ( (offset from 1 Y G7 3011110 /isocyanurat0 composite, Joints 6 In.). Oast; In. min (o a 61, 62 or 63. granule), '�' 'Bohemia smooth of g ) of Membrane; Sheet: tto 1 more d yers of Type rg ran e )r ubeid T One or oo( 'Bieroid Mop " or g ) •• "Quherol,( Torch Plus" (granule), ' tai mopped. • " hrberu 1403 fa Sheet", I C 5/32 • Inaba; e• I erllle wool s l''' 'CAfC1AS Mineral Surfaced p 2 (,b Call IC nc . fiber, Iasi pecks -1 g Insulation (Optional): (Inc or • (1)010 Ayers p orbs, ppedits/ , ire. pet any 1. .'', uiMarne c mposite, ss wood slil ,er /Isocyanuratoucomposl e, • ':! thickness. ,n G2 or G3. (lasts Street; Two or more layers of Tyl e of Type G1, 1 Ply Sheet (Optional): Ono or more lay ranule , i. r ranule , "Rubelold Mop" (smooth or granule) or . Membrane: One or mole layers of "Ibrberohl Torch (smooth or g "Ituherolll Torch Pius" ( ranule ) • "ibd,erold 14031 Plus (J ). Cap Sheet: "GA I'Id.AS 14lneral Surfaced Cap Sheet', hot mopped, S " r; • • Class Inclines 3.1/2\ lass 1 p ecks Insulation O lllonal):' Olte or more layers penile, wood fiber,eglass 1: p Insulallon (I mite isocyanusate con► oste. pe any libel, Isocyanurale, urethane, p / urethane composite, wood libel /Isocyanurale ton�osile,. phenolic, " • GIAS thickness• Type fl • r ;: ;:• 'fAfflAS Ply 4 or •GAf layers of , Sheet: Two or urore lay y Ply tee : '1 6" Type 63 GAfGLAS Mineral Surfaced Cap Sheet', hot mapped. 'Cap Sheet: Tyl ' glass pucks C- OM ( itl0n3l One: or more layers perllte, wood Ober, htw,a'lo OI )'' erlite com any libel, snc anurale, urethane, Isocyanurate r / urethane composite, wood (ibex /tsoiyanusale composite, phenolic, 1 :�• thickness a 61, 62 or G3• granule), ease Sheet: Two or more layers of TyP Men►brar'eyu rb I'hi s"o(gramde Torch" of ilubetoid ), Ruberold M p'(s (smooth 0011101 granule) or Ill i "Ihnc�rni,l Mop Plus' (granule). Cap Street; "GAf6LAS I4ineral as C Surfaces! Cap Sheet', hot mopped. i .1 •. Inclines 1/2 0 tlonal One or more layers perllte, wood Tiber, glass " pecks G15/32 2 et ire fiber, (p )' erlite isoc anurale composite, p / hoer, Isocyanurale, urethane, p / v 1;: • r, rero 1 be psi t e U ." PRODUCT • I�K•`P , • 'l.' • GAFGLAV ,citicatiat)s N-B-4 - M /L 6 and N- 1sy _ I11'rl� aA1GI NInu1I &ulbcld C1 Stull 11'11141ot elw Sitel • ( p•1I1111 Out T SIMthin f hp( 111110 1 J) aAraIAS rir Iloalla f 2' Sir (1p 1 ' 76VA North, South, and West Zones c oncrete deckslw p to IIch are Ill nllod to a maximum slope 01 1011 1))1 WW Tanks, other plywood, poured gypsum, precast gypsum her accoplablo nallabl0 p a • flecks, For lightweight Insulating collude decks, seepage 0. Materials Sheathing paper (1 ply, 11 roqulred) DM Sheet • GAFGI.AS Ply (2 piles) • GAF Maletlals Corporation Rooting Asphalt Inlerplies Cap Sheet GAFGIAS Mineral Surlaced Cap Shoel (1 ply) Approalmati Wolghl par Square ...... 114- ? Specifications • General • Design and Application Cnnsldorations tlolalind 111 Ills Manual shall npply In addhlon to Iho'allowing recnnuncndatInns and spcclllc111nn5. Applleetl)Il al Pooling Monthra11e a , for "!lore a111111Gallln. 1 aI►' 1. Over olio strlace, lay ono ply of sheathing (I Baca. each shoot 2 Inches over preceding sheet. Nall stlilIt:icflll y In 110111 III i ,Ig each d 2. Stalling al the IoW poly!! of the root lay ono ply of Ilaso 511001, • sheet 2 Inches al edges and not loss Than 6 Inches al !apt Hall along lap sf base two rows with Halls spacedlat ()Inches and inch Into staunor-nall down each IOW GO cantor las! Sheol In sr taro Thal are IeiIari will! Integral metal Roads at Toad 1 Inch In tllamctor or 1 recommended by GAF Maledats Corporallon qr t1►o deck manulactumr. (Seo 'Special Inslrllcilons' below.) 1 Slatting at Iho low point 01 Iho tool, mop Iwo plies nl GAFGI.AS Ply shln010 • lashlon; lapping each Sheol 20 Inches nyer the preceding shad; solidly mopping to the underlying base shoot to prnvldo !thee pllos Rol (110 Dolly) tool area. Asphalt Iloqulromenls Inlolply mappings )Ikooting Asphalt must on squire co nl rpol area with shalt conslsl of approximately 25 p p er 100 a 1oletance not to exceed 20%1 plus or minus. Tho appmpdal0 asphalt Int 1110 slopes Involved must he used. • ' ' Asphalt Type 1 ,4)0)►o pot loot � ",•_.__ ._"._____ ^ - -- • ■cru' ?MI Sulishalo Slope 11(0FaTI toy .1 1 . .1 101111111s111110 P Woolf planks, hoards, etc., plywood (min. "A, Inch thickness). . . i 1 ....; dented oliond Ward (dn. 'h Inc4 thickness). : 1 1 . 1j11111,c011111114111d0'‘Steel, poured or precast struclutal concrele,110hlwelgid ;1..1'00114 cgncrelo; gypstun, structural wood fiber, ele. 1 ; 4I411111111 slops allowed, In inches per tool. 11 i ;rut ..'.. .. 1 1T-Steep AS1M-Type IV . . siii'lli'lif.1115j))iiii.11;giCi.::iii.FVOTHHocli per lout, f tat ASIM Type II may he Inc( exce111 1 1 1:11 4 11 1 1 1 ( , I l i c i, 1 :1 11 0 1. x . a .. s : I:10w MOXIC.O. Af1/0113. and Caillornla.. 111)01,01A1(11 AS MInetal Sur laced Cap Shed In accordance will) Ille application ',11111,1(11c.1106 on rap 20, so lhal illo laps are of Ise! Itorn lho laps of the ply sheels.. I I I lr\Ifillegliilloir..II1111:101:elliititibitillons for use over eypstun decks on pawl 9. 111111 decks, GAIGLAS /75 Dose Sheel, 0011E001D' Modified Dose . 1 t S 01, GArGI.AS l'IY V, and GAME AS Ply 4. For wood decks and Madura' :1 . toof slops ol t inch per fool or more, all ply lolls must ha back•naIled 4 . .11.I311.1? ;11031010 paper Is ICQUIfell. 1,101ilt0 '411101) pl Das° Shed; pane 19. I 14154 III frOpi Illo back Hp of Ilia fell. Sea 'InslallallAn on Slap Gaols:page 10. l':',;;;0. - f :1 1r7& it I' "••"•rr. 0 .. n .._.._... ..... .. IIbelly ouaranlooi,",..___... si ii 119.cullcal ,...,.__.........__ -•• - -- only. Wood pecks. I " 15 yr, West Tone y, .1 )� , 11 1 ;1 15 yr.' 1 )l r � , ' I I.10I11woi0111 insulating Concrele. :1 `V y ' 1 ' 1 1 (' (See papa9.) I: ' 12,10,5yr. i t :Vat,... 1 .. 1 . . 11 • MI� !;t•; � 1 .1; . PRODUCT CONTROL NOTICE OF ACCEPTANCE C :.A.C. Materials Corporation ^ 1361 Alps fload Wayne 'NJ 07470 Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.:00.033 1.15 Expires:11 /04/2003 Approved:06/29 /2000 Intrr�i.i mail eddreas:. poslnte iter .fi11+u11(1lnitcotleonlirte.tom .j;*.1 MIAMI -DADE COUNTY. P ., METRO•DADE FLAGLER 8LSIL • FI q. .w yt .. BUILDING CODE COMPLIANCE I Lbi METRO -DARE FLAOLER BUILDING 1.0 WEST FLAGLER STREET, SUITE 1603 MIAMI. FLORIDA 33130.1363 (703) 375.2901 FAX (305) 373.2901 CONTRACTOR LIC1!NSINa SI:CTI0N 1303137S•2327 FAX (303)315..531 CONTRACTOR L' NYORCDIFNT3ECTlON (303) 3734966 FAX (3051 373440$ Your application for Product Approval of. GAF Conventional Bails -Up Roof Systems for Wood .Deck. under Chapter 3 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 =D:lde County Building Code Compliance Office (BCCO) under the conditions specified herein: h `•, ' This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing!. It'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, il' it is determined BCCO that this product or material fails t� meet the requirements of the South Florida Building PRODCCT CONTROL DIVISION (3031373•:901 FA.' (303) 172.6333 Raul Rodriguez Chief Product Control Division THIS IS TILE COVERSIIEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REV!E\\' CO\I\11•rTEE '1':u, for Product Approval has been revtc.■ed by the I3CCO and approved by the. (Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Lrim .ranetst;o •utlllana. R..1. Director 1 oi'32 sliami•Dade County l3uilding Code Compliance: Ofl, e I( nnl #prger ntinr'AT GAF MIATERTALS CORPORATION Deck Type 1: Wood, Non - insulated New Construction or Reroof Deck Description!! r• / or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened, All General and System Limitations shall apply. Base Sheet: GAFGLAS ®1175, GAFGLAS 1/80 Ultima Base Sheet, GAFGLAS(11) PLY 4®, GAFGLAS® PLY 60, GAFGLAS F1exPly, GAFGLAS® STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROINO 20 applied to the deck with approved annular ring shank nails and minimum 1 /'" tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two rows staggered along the center line of the sheet in the field. Ply Sheet: " Two or three plies of GAFGLASrA PLY 4®, GAFGLAS F1exPly 6 or OAFGLASt PLY 64) ply sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20.40 lbs. /sq.. Surfacing: (Required if no cap sheet is used) Install one of the following: 1.GAF WEATHER COAT® Emulsion with an application rate of 3 gal. /sq.; or GAF Premium Fibered Aluminum Roof Coating with an application rate of 1.5 gal. /sq.. 2. Asphalt flood coat at an application rate of 60 lbs. /sq. ± 20 %; plus gravel or slag with an application rate of 400 lbs. /sq. & 300 lbs./sq., respectively. Maximum Design Pressure: -45 psf. (See General Limitation IV1) Ntaximum Fire Classification: See General Limitation 01, Maximum Slope: Sce General Limitation If 1. Specification No.: N- B•3 - N- B - -C, N- B- 4-GIP6, N -B -4 -tit, N•B- 4 -MIP6, N- B -4 -C, N- B•4•C /P6, N- B -5•C, N- B- 5•C /PC, N- B -5.0, N -B.5 -GIP6, N- B -5 -M, N•B•5 -M /P6 16 of 32 , Y Acceptance No: 00. 033 1.13 ' i Frank Zuloaga, RRC Roofing Product Control Examiner • G AF MATERIALS CORPORATION Acceptance No: QQ_Q,1aL 9 GENERAL LIMITATIONS: Fire classificnrion Is not part of this acceptance, refer to a current Approved Roofing Materials Directory for rice ratings of this product. 2 insulation may be applied in multiple layers, The first layer shall be attached in compliance with Product Control Approval guidelines. Ali other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of tltc top layer. 3 All standard panel siies are acceptable for mechanical attachment. When applied in approved , asphalt, panel size shall be 4' x 4' maximum. . 4 An overlay and /or recovery board insulation panel is required on all applications over closed cell toast insulations when the 'base sheet is fully mopped. If no recovery board is used the base sheet may be applied using spot mopping with approved asphalt, 12" diameter circles. 24" o.c.: or strip mopped 8" ribbons in three rows, one at each sidclap and one down the center of the sheet allowing a. continuous area of ventilation. Vneircling of die strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either' system shall be at a minimum rate of 12 lbs. /sq. Note: Spot attached systems shall be limited'' to a maximum design pressure of -45 psf. 5 Fastener spacing for insulation attachment is based on a tMlinin Characteristic Force (F') value of 275 Ibf., as tested in compliance with TAS 105. If the fastener value. as field- tested, is below 275 lbf„ insulation attachment shall not be acceptable. 6 Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment Is based on a minimum fastener resistance value in conjunction %v'ith the maximum design value listed within the specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize the withdrawal resistance value taken from Miami -Dade Protocol TAS 105 and calculations in compliance with Miami -Dade Roofing Application Standard RAS 1 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas, as calculated in compliance with Chapter 23 of the South Florida 13uifdiq Code. Fastener densities sh ail be increase for both insulation and base sheet as needed calkulateJ in .umplianne ith liai ti•Dade Roofing Application Standard TAS 1 1 7, (When this limitation is specifically referral t'itltin this NOA, General Limitation #9 will not be npplicahte,)' All attachment and sizing of perimeter sailers, metal profile. ,and!or Il,►;I►ut,.: termination design: shall conform Mimi County hoofing Application Standard 1 AS 1 1 1 and the ‘%tnd Ina,' requirements of Chapter 23 of the South Florida Building Code. The maximum designed pressure limitation listed shall be applicable to all root' pressure zones (ix. field, perimeters, corners). No rational analysis. nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers, and corners). (When this limitation is specifically referred within this NOA, General Lima:ttion 117 will not be applicable.) • Frank Zuloaga, RRC Rooting Product Control Examiner •• C F 31A)rERIALS CORPORATION Wood Deck Syst4m Limitation A slip sheet is required with Ply ale Flux Ply"' 6 and Ply 6 when used as a mechanically lastened base or anchor sheet. 2. 'A Type X gypsum board is acceptable to be installed directly ova the wood deck.. • 300f32 • Acceptance Nu: 00.0331.13 • Frank Zuloaga, RRC Rooting Product Control Es:trainer • CAF MATERIALS CORPORATION : TKC>F.LQ.F.L 'LTVK AT3Np RD CONnuj- Renewal'of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, 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 Approved ", 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 arid 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 ache 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 times. The copies need not be resealed by the engineer. 3 Failure to comply with any section adds Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages I through 32. END OF TI #IS ACCEPTANCE 32. of 32 Acceptance No: 00.0331.1.3 Frank Zuloaga, RRC Roofing Product Contrnl Examiner ...._.rr. r,e— %ri.ka'..l` O. Cte..d'ea.ensA&. r'i..ba++c.pw . Miami Shores Village, Fla. t u-t4-nl i z2 OWNER ADDRESS INSPECTION TIME READY PERMIT NO. CONTRACTOR TELEPHON y830 DATE 2/ INSPECTOR DATE 1(2-32 , /Pr C1144fia44 A,w h4eA_&wP� d spa h„rht )g 3of 73 /a3Y Miami Shores Village, Fla. OWNER ADDRESS INSPECTION TIME READY PERMIT NO. CONTRACTOR TELEPHON OWNER INSPECTION TIME READY PERMIT NO. CONTRACTOR TELEPHONE NO.. 4,‘-tetni4 DATE � 7 / /V � ' la / " 4.4' 9e3DV 1 a/my )6 3 3 3 -ai -9/ Miami Shores Village, Fla. INSPECTO 2 rU DATE - - PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / 1/4 Job Address /71 / 0 / Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant Si ,,EV CA) S A v4. fNb A Al Master Permit # L t y / Owner's Address Li-7i /l E Jog Contracting Co / 4' '6 Zi J (, $ /e nn Ar . Qualifier £44- 4'! - » ( /r. '71r) c'.‹ -Q-a2 WORK DESCRIPTION Square Ft. k 0 61, ■ „.,.a. p .G FEES: PERMIT RADON Notary as to 0 ; , �!�� resi. .wig mate My Commissir4iskeltiosi N�ww039k aoalo v •V VNIN I Air Phone Address / 2 2, G`G 41s- Pr ) 0 1 k A Phone 9fif 7 7 b1 S 7" State # (7 s 6' 3$ 6 Municipal # Competency # 01 7 ?g" d Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Estimated Cost (value) 3 et" 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 6i 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: the foregoing information is accurate and that all work will be done in compliance with all applicable laws ; gula g construct . an• . urthermore, I authorize the above -named contractor to do the work stated. Signature of Contractor or Owner-Builder Q.7 ! Notary as to Contra , ��" ' C. , I. My Commission Exiggeb C.C.F. '' (o a NOTARY — BOND Date APPROVED: s G� Zoning Building 1 Electrical Mechanical 'Plumbing Engineering 123.01 -78 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: I' O b D y S I(O 0 c . / , Job Address: [ E 0 < 1 ROOF CATEGORY (1_,ow Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) ROOF TYPE ❑ New Roof ❑ Re roofing El Recovering C9"Repair ❑ Maintenance Flat Roof Area (ft F# Sloped Roof Area (ft Total (ft Master Permit No. Exposure category (per A CE 7 -88):e Building Classification category (per ASCE 7 -88 table 1): A Ft. Ft. Y A Ran,A'.L M4TA p1 RooF, 6 u 9 t w1 hn. brA n/..cx. Deck type:bN/ Q CC) PL A FVk Fiel ATTACHMENT Fastener Type: < </ irViN ' , � SPACING 1, Perimeter: CC Corner! DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) 1 S d j- ROOF PLAN Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: / Underlayntent: D E T A I L 3 Insulation: Fastener type & spacing: Cap Sheet: 12" ROOF SLOPE SLOPED SYSTEM DESCRIPTION Roof_ overing: s Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Cbntrol Notice of Acceptance -Cover Sheet a) Specific System Description: b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals TILE CALCULATIONS (Pmaxl: X X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax2: X X (Aerodynamic Multiplier): ) - M = M PCA: (Pmax3: x ? (Aerodynamic Multiplier): ) - M = M PCA: Page -2 Date ?Signs, 2 -13 -98 Square Ft. 3 31 . of owner .and/o 1 / /. ,__.�. Notary as to • : er and/or Condo Presid My Commission Expires: APPROVED: Zoning Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 4'71 N , E . 101 Street Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee /Tenant Steven Shullman Master Permit# L/2 Owner's Address 471 N.E. 101 Street Miami Shores ContractingCo.Quality Roofing Contractor, Inc. Address 13800 N.W. 1st Avenue Que Carlos Arocho SS# 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 Condo President Date Building Plumbing Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Tear off rear garage flat roof to wood deck, tin cap base sheet fel as per county code, install eave drip galvanized metals, mop on with type III asphalt one layer of modified bitumen. 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 cert that : the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatipg construction g. j urthermore, I authorize the above -named contractor to do the work stated. t Date FEES: PERMIT 1 D RADON C.C.F. t , 8 0 NOTARY BOND 3 Dom. Phone 757 -2020 Estimated Cost (value) $ 2 , 200 . 0 0 Signature of Contractor or Owner - Builder , Date Notary as to Con - actor or Owner - Builder My Commission Expires: a f�r -- ef-- - / 7 - 9 e -1 - l p' Date TOTAL DUE 3 6 (. Electrical Engineering 123.0148 9/96 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION • PROCESS No. Contractor's Name: QL4A 1 1 /19 l Dil1 i ad Address: I/9/ N. e. / D I 57 c ri7 / ROOF CATEGORY N (ow Slope Application) ❑ (Nail -On Tile) ❑ (Mortar- Adhesive Set Tile). ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) — ROOF TYPE ❑ New Roof 2 ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft 3 s , Sloped Roof Area (ft Total (ft 3 Master Permit No. Exposure category (per ASE 7 -88): c.. Building Classification category (per AS 7 -88 table 1): z' Ft. Ft. � I � Deck type: li r - 1 YIP ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed of r JA." ct 4- 140 91% (3a 10 116 ' 54 5 ATTACHMENT DETAIL 1 & 2 Fastener Type: 1 1 /Q r;n5 51,ank nay ?S SPACING Field: ht D .c • Perimeter: 9 n . c . Corner: w a -c' r r r r r r ROOF PLAN r , �ttrl -' Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: Insulation: SLOPED SYSTEM DESCRIPTION 12" ROOF 8LOPZ Fastener type & spacing: Cap Sheet: Roof overing: Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application • •4) Other Component Approvals TILE CALCULATIONS (Pmaxl: X X (Aerodynamic Multiplier): ) - M ' = M PCA: (Pmax2: x X (Aerodynamic Multiplier): ) - M B' = M PCA: ' (Pmax3: x X, (Aerodynamic Multiplier): ) - M = M PCA: Page -2 h.iETi;+0•DAtr• PRODUCT CONTROL NOTICE OF ACCEPT.A. 5 Rooting Products Company, Inc. 55=5 rMacAuthur Boulevard, Suite 900 n in +_, Texas 75038 . tAETROPOLITAN DADE CDUNTYuFLORIIDA -:1: r•.lETno -DA!Y . '.AGLER, <.E311iLDING.:.: i'.VILUING CODE r: OMPLIANCE'OFFICE,'• r.lE1 RO.L ) . LAGLER 6UILDING? s! FLAG:. Er: MEET. SUIT E. 1603 ,.ORIDA 33130-1505 ( FAX (305) 375.2906 PRODUCT CONTROL DIVISION �u . (305) 375-2902:;:;; FAX (305) 372.6339 : application (br Product Approval of: GS Roufrn,' Products Modified Sirunren RoofSystenus Over Wood Decks ,:rider Chapter 8 of the Metropolitan Dade County Code governing the us ( A.iternate :Materials and Types of ,:onstruct,on, and completely described in the plans, specifications and culcu:.!.. ms as submitted by: r ccreo. alunral Research Corporation and Underwriters Laboratories, Inc. :,as been recommended for acceptance by the Building Code Cornpliance Department w be used in Dade County, Florida under the specific conditions set forth on pages 2 through 31 and the standard conditions set forth on page 32. The approval shall not be valid after the expiration. date stated below. The Building Code Compliance Office reserves the right to secure this product or material at any time for a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, the Building Code Compliance Office may revoke, modify or suspend the use of such product or material immediately. The applicant shall re-evaluate this product or material should any amendments to the South Florida Building Code be enacted affecting :his product or raterial. The Building Code Compliance Office reserves the right to revoke this approval, if it is determined by the Building Code Compliance Office that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred h' ib man ac Zr .Acceptance No.: 97- 0520.01 Revises No. 95- 0502.04 �f Raul Rodr uez Expires: 06/19/00 r :'roduct Control Supervisor THIS IS THE COVERSHEET, SEE ADDITIONAL PACES FOR S; :•:C iFIC AND GENERAL CONDITIONS BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under ..,e conditions set forth above. Approved: 06/19/97 6 rnt:! mai! aedress: postmasters @.buildingcodeonline.com • ,,ur et s Uanger, P.F. .::rector wilding Code Compliance Dept. - .:etropolitan Dade County •Hornepa,;,: ;. ttp:/ /•,rww.buitdingcodeonline:.cora Applicant: CS Roofing Products Company, inc. (MB) 525 MacArthur Blvd. Suite 900 Irvin,. TX 7503S C::te =orv Membrane Roofing System Sub- Cateoorv: Built -up Roofing Tvoe: Modified Bitumen. Sub-Type: SBS /APP ROOFING SYSTEM APPROVAL. Contact: Pat Neuhaus Commercial District Manager 2900 Bird St. Charleston Heights, SC 29405 (803) 744 -7451 Product Control No.:. 97- 0520.01 Product Control No.: 97- 0520.01 Approval Date: June 19, 1997 Expiration Date: June 19, 2000 System Description GS Roofing Products Company, Inc. manufactures 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 Manual ". GS products and systems have been tested in compliance with all 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. ran uloaga -Plans Examine �1'tvduct Control Div. Insulation Tvpes i .. ..S .� h . • n' .. ::Material Fibrous glass Perlite Fiberboard Rockwool ` Polyisocyanurate , Polyisocyan'urate Composite Board" Maximum Design Pressures Maximum Fire Classification ;Material Classification Wood Class A Design Pressure -45.0 psf % r +01:ri:.1. ran Product Control No.:• '7- 0520.01 Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. uloaga -Plans Exami ct Control Div. Wood Deck System Limitations: Product Control lo.: 97-0520.01 A red rosin sheet shall -be installed on all wood plank decks to. eliminate. asphalt seepage and bonding of base sheet to wood plank deck.. Red rosin sheet may also' be: installed on plyvood decks as an option. 2 Pre - assembled 'Cap Nail' shall not be used for base sheet attachment. 3 When All Weather Empire base sheet is installed as the base sheet, a ply sheet of ASTM D 4601 type 11 (type G2) must be applied in approved mopping asphalt applied %vithin the EVT range and at a rate of 20 -40 lbs. /sq prior to installation of membrane. 29 uloaga -Plans Examen ' ••uct Control Div. GENERAL LIMITATIONS All asphalt shall comply with ASTM D 312, type 111 or IV requirements and approved by applicant. Fire ratings are determined by a combination of slope, deck type and assembly. Refer to the current Underwriters Laboratories Roofing Materials Directory or other fire testing data listed in the testing file. Fire ratings shall be in strict compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 Maximum slope range varies for each. system. Consult the current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4 An overlay and/or recovery board is required on all applications over closed cell foam insulations when the base sheet is fully mopped in hot asphalt. 5 All work shall be performed by a contractor licensed to do roofing work in Metro -Dade County. Contractor shall be familiar with the details and specifications published by the manufacturer and the requirements of the South Florida Building Code. 6 The submission of system specifications and details shall accompany the Section 11 Building Code Permit. This information is available in the publications listed in the `System Description' of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 7 Perimeter and corner areas shall comply with the elevated design pressures of these roof areas, as calculated in compliance with Chapter 23 of the South Florida Building Code. Anchor or base sheet fastening patterns and/or insulation attachment densities shall be increased in compliance with the provisions set forth in Metro -Dade County Roofing Application Standard PA 117 to meet these elevated design pressures. 8 All attachment and sizing of perimeter nailers, metal profile and/or flashing termination designs shall conform to Metro -Dade County Roofing Application Standard PA III and the wind load requirements of Chapter 23 of the South Florida Building Code. 9 Flashings shall be installed according to the manufacturer's standard details and may be applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section II Permit Application. All details shall comply with the provisions of the South Florida Building Code. 10 Fastener spacing for anchor or base sheet attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105 or PA 105(A). If F', as tested, is less than that listed in the System Limitations, a professional engineer may 'submit revised fastener spacings utilizing F', taken from a Metro -Dade County Protocol PA 105 or PA 105(A) test report, and the provisions set forth in Metro -Dade County Roofing Application Standard PA 117. I I Fastener density for insulation attachment is based on a Minimum Characteristic Resistance Force (F') as determined through field testing in compliance with Metro -Dade County Protocol PA 105. If:F', as tested, is less than 275 lbf., insulation attachment shall not be acceptable. 13 Asphalt moppings shall be applied with approved asphalt and shall be in compliance with the equiviscous temperature (EVT) methods of asphalt determination. Asphalt containers or bulk tickets shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(A)(3) of the South Florida Building Code. 13 Insulation may be applied in multiple layers. The first layer shall be attached in compliance with the Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsisq., or mechanically attached using the fastening pattern of the top layer. Refer to manufacturer's literature and/or the NRCA Roofing and Waterproofing Manual for correct application procedures of insulation panels in approved asphalt or adhesive, which shall comply with the provisions of M y ;..• • ' • • r, Applktion Standard PA 117. 30 Product Control No.: 97-0520.01 oaga -Plans uct Control Div. 31 Product Control No.: 97- 0530.01 I4 All standard insulation panels sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 15 In re- covert' applications, prior to.the application, all existing roof surfaces used as a bonding substrate shall be tested in compliance with Metro -Dade County Protocol PA • 124 for uplift resistance. Test pressures shall be calculated in.compliance with the wind load requirements of Chapter 23 of the South Florida Building Code'for the roof in question. 16 In re- roofing applications, moisture content in an existing roof must be in compliance with Subsection 3401.10(m), (n) of the South Florida Building Code. 17 Roof goods shall be stored.on.end and on a clean, flat and dry surface. 18 If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 19 Consult current Underwriters Laboratories" Directory for the appropriate coating rot roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with Subsection 3401.5 and 3401.6 of the South Florida Building Code for maximum tire classification. uloaga -Plans xam uct Control Div. Product Control No.: 97- 0520.01 CS Roofing Products Company, Inc. 5525 MacArthur Blvd., Suite 900 Irving, Texas 75038 ACCEPTANCE NO.: 97- 0520.01 APPROVED: June 19. 1997 EXPIRES: June 19, 2000 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 documentation, 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: "Metro -Dade County Product Control Approved ", 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 d( any product, for sales, advertising or any other purposes. The Notice of Acceptance number preceded by the words Metro -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 times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of • • Acceptance. 9 This Acceptance contains pages 1 through 32. END OF THIS ACCE 32 Product Control Div. Membrane Type: Deck Type I: Deck Description: System Type E: All General and System Limitations apply. Base Sheet: Fastening: Ply Sheet: Membrane: Surfacing: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: SBS MODIFIED Wood, Non - insulated 19 /, : " or greater plywood or wood plank decks Base sheet mechanically fastened. One ply of GS Glas Base, GS Flex -1 Glas Base, Flex -1 Glas FR Base or GS Poly SMS base mechanically fastened asdetailed below. 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. (Optional) One ply of GS Glas Base, GS Flex -I -Glas Base, Flex- l -Glas FR Base, .GS PoIySMS or one or more plies of Flintglas Ply Sheet (Type IV) or Flintglas Premium Ply Sheet (Type 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 lbsisq.. • One ply of Flintlastic GMS, Flintlastic Premium GMS, Flintlastic FR -P, Flintlastic Premium FR -P, Flintlastic FR -PG or Flintlastic FR Cap adhered to base or ply slieet with approved mopping asphalt applied within the EVT range and at a rate of 20 to 40 lbsisq. or Flintlastic GTS torch adhered to base or ply sheet (Optional) Install one of the following: 1. 400 Iblsq. gravel or 300 lb./sq. slag in a flood coat of approved mopping asphalt at an application rate of 60 Ibfsq.. 2. Karnak 97 or APOC 212 Fibrated Aluminum at an application rate of 1 %s -45 psf Class 'A'; see General Limitation #2. 1:12; see General Limitation #3. GMS 2 -3, FRP 2 -3, GTS 2 -3, FRBC 2 -3 27 rank Zulodga -Plans Exarniner, Pro.uct Control Div. 164'" ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU) — Continued Membrane: One layer "Flintlastic GTA ( -3/4 sq or - -1 sq), GTS" (modified bitumen), heat fused or "Flintlastic GMS", hot mopped. Surfadng: APOC "No. 212 Fibrated Aluminum ", at 1 -1/2 gaL 100 sq/ft. 2. Deck: NC Indine: 3/4 Vapor Retarder (Optional): Type G2 "Glasbase" base sheet or UL Classified vapor retarder. Insulation (Optional): One : or more Layers or combination .of the following: Uitragard Premier, polyisocyanurate, perlite, 'glass 'fiber or wood fiber insulation. . • • , Base Sheet One layer of Type G2 "Glasbase" base sheet ' Membrane: One layer of "Fbntlastic STA'(modified bitumen), heat fused. Surfadng: Karnak "No. 97 Fibrated Aluminum ", at 1 -1/2 gaL per 100 3. Deck: C- 2 "thickoess,'„o _ Indine: 1/2 . &Irsul 15 /3 ( Optional): Schuller InTpmationah: ".UltraGard•:= Premier , polyisocjiaglsrate, wood fiberboard, perlieibyrglass isocyanurate, any � • . :.:. Base Sheet One or more piles of " Glasbase", hot mopped or mechanically o fastened," ,. •. ..�•,::;:, r Membrane. One ply of_flintlastic FR".,(rnodified hot mopped in P 15/3 lace. 4. Deck NL Indine: 1/2 : Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, hot mopped r.; or mechanically fastened, any thickness. • Base Sheet Type G2, mechanically fastened or hot mopped. Membrane: "Flintlastic GTA or. STA , heat fused. Surfadng: Henry Co. "Henry 520 Aluminum ", applied at 1 -1/2 gal/sq. 5. Deck: NC Incline: 1/4 +_•; Insulation (Optional): Glass fiber, perlite or wood fiber board. Ply Sheet Type G2, mechanically fastened. Membrane: "Flintlastic STA ", "GTA ", "GTA Black Diamond" or "GTA White Diamond ", heat fused. '• ' • • Surfadng: Karnak Chemical Corp. " Kamak No. 97 ", 1 gat/sq. 6. Deck: NC Indine: 1 Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, mechanically fastened or adhered with hot roofing asphalt, any thickness:' Base Sheet Type G2, mechanically fastened or adhered with hot roofing asphalt Membrane: "Flintlastic GMS ", "GMS Premium ", adhered with hot roofing asphalt Surfadng: Karnak Chemical Corp. "Karnak No. 97 Fibrated 'Aluminum Asphalt Roof Coating ", 2 -1/2 gal/sq. • 7.' Deck: C- 15/32" Indine: 1 *All joints blocked with 2x4's. Insulation: Glass fiber, perlite, 3/4 in. min, oints in insulation must be offset 6 in. from joints in deck, mechanically fastened. Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt • . • • . Membrane: "Flintlastic GMS ", adhered with hot roofing asphalt Surfadng: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating ", 2 -1/2 gal/sq. • 8. Deck: NC Incline: 1/2 Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, mechanically fastened or adhered with hot roofing asphalt, any thickness. ' Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt • • Membrane: "Flintlastic STA ", "GTA ", "GTA Black Diamond" or "GTA White Diamond ", heat fused in place. . - Surfadng: Karnak Chemical Corp. "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating", 3 gal/sq. 9. Deck: NC Indine: 1 Insulation (Optional): Perlite, glass fiber, polyurethane, isocyanurate, phenolic combination isocyanurate /perlite, polyurethane /perlite or wood fiber, any thickness, hot mopped or nailed. • Membrane: "Flintlastic STA ", "GTA ", "GTA Black Diamond ", "Flintlastic GTA White Diamond ", "GMS ", "GMS -5M ", "GMS Double Coverage" or "GMS Premium ", heat fused or hot mopped in place. Surfadng: Grundy Industries, Inc. "al MB Aluminum Roof Coating" at 1 -2 10. Deck: C -15/32 Incline: 1/4 " ' Insulation (Optional): Any thickness polyisocyanurate, glass fiber or perlite, mechanically fastened, joints in insulation must be offset .6 in. from joints in deck. Base Sheet Type G2 base /ply sheet, mechanically fastened'' Or hot mopped.,, _:,.s. /; .:a,.: 4 = : : • Ply Sheet Type G2 base /ply . sheet, mechanically fastened ..or hot mopped. r: :. * ra`' ••c' • Membrane: "Flintlastic STA ", "GTA White Diamond" or "GTA Black Diamond ". - • Surfadng: Grundy's "al MB Aluminum 'Roof. Coating"' at 1 .2•gal/sq. 11. Deck: NC • • r ; ...•..: , .... ,i r ' Indine: '1/2 ,-: Insulation (Optional): Polyisocyanurate, glass fiber, perlite; wood fiber, any combination, any thickness, mechanically fastened. . LOOK FOR MARK'ON. PRODUCT ROOF ROOFING Base Sheet Tyne G2, • 1., r.nr:. fastened or adhered bk Membrane: "Fg "Fli ntlasti c- FR /PG" ?r asphalt ••. 12. Deck: C- 15/32* zins:; "AU joints in deck Insulation (Option combination, any thi � L: Base Sheet Type G.2 ',ic.: asphalt. • miry Membrane: • "Flintlast FR /PG ", adhered with hot • Deck: 4: ; .. :Insulation NC (op tio . nal) pt perlite or wood fiber, Base Sheet Type G2, asphalt Membrane: "Flinttastic fl -err. FR /PG ",.adhered with h 14. Deck: NC Insulatio Polyisocyt'�s ".'. combination, any thickness Base Sheet: Type G2 or Ply Sheet "Poly SMS Bak Membrane: "GMS ", adhere( Surfadng: Karnak Cheeky 'Asphalt Roof Coating', at 2 15. Deck: NC Insulation (Optional): any , combination, any ill hot roofing asphalt ^,q lug: Base Sheet: Type G2 or with hot roofing asphalt - ,ar, Ply Sheet (Optional): Type adhered with hot roofing Membrane: "Flintlastic G asphalt.: • a;n Surfadng: Asphalt Produce 16. Deck: C- 15/32 :> Insulation: Glass fiber, pe offset 6 in. from joints in Base Sheet Type G2 or with hot roofing asphalt x ;x Ply Sheet (Optional): Type R adhered with hot roofing Membrane :' "FiintlasticG asphalt .'wv Surfadng: Asphalt Products Cl 17. Deck: NC rn Insulation (Optional): fiber, any thickness, mecha Base Sheet: One or more lara fastened_or hot mopped in plat Ply Sheet (Optional): One a 'mechanically_fastened or hat *Membrane: "Flintlastic GTA', . or "STA ", heat fused. ' • �' 18Surfadng: NC Karnak . Chemical „ !-. . Dec J . "F: • Insulation (Optional): Perth mopped in place, 2 in. mar Base Sheet One or more fastened or hot mopped in Ply Sheet (Optional): One or "Poly SMS Base Sheet", Membrane: "GTA "; "GTA Blarf heat fused. '.ear, :, Surfadng: APOC No. 212 19. Deck: C -15/32 Insulation: Glass fiber or p or hot mopped in place. ` Base Sheet Type G2, "Fl?r'I �-- . fastened or hot mopped in PO Membrane: "Flintlastic ", mopped in 20. Deck: FR /PG NC�i j• yrirt:;;;,, Insulation (Optional): Peril% • phenolic, combination uocya fiber, any thickness, median Base Sheet "Flex- I -Glas FR fastened or hot mopped in Owner's Address WORK DESCRIPTION (X3 Date: FEES: PERMIT ,P 94042 RADON APPROVED: Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 1 -95 -99 Job Axidr ss 471 NE 101 STREET Tax Folioll 50206 17 G64aN Legal Description w A`i // iI /IL itpn Master Permit # ■. ;M5W Owner / Lessee / Tenant STEVEN SHULMAN 471 NE 101 STREET MIAMI, FLORIDA Phone 757 -1234 Contracting Co. ALL PRO ROOFING CO., INC. Address 4165 NW 135TH STREET A3 Qualifier RAYMOND ROWAN Phone 681 -1564 State # CGC 006860 Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN REROOF TILE TO TILE f/`Lm° '9 Square Ft. 24 Estimated Cost(value) 11,200.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I author the above -name actor to do the work stated. Sign Lure of owner a or Condo President Sigr'ture of Contra or or Owner- Builder Date: \k,,La_,,,A- Notary as to Owner and /or Condo President Notary as `to Co actor or Owner- Builder My Commission Expire s� ; ARITZP. YF ° ?� , N' ^� U�LIC My Commission E NOTARY PUBLIC 5 i� ST'TF OF FLORIDA . :Y CO IS fl ON EXPIRES 9/25/94 'iY CO:- :.ISSION EXPIRES 9/25/x'4 ** * * * * * * * * * * * * * * * ** C.C.F. 6 b0° Building NOTARY TOTAL DUE " 0 Fire Other V15" 1 / Electrical Mechanical Plumbing Engineering STATE OF FLORIDA, COUNTY OF DADE . NOTICE OF COMMENCEMENT 93804 -2655 1993 JAN 27 13:25 This Instrument Prepared By: tA/ 6Th q/ /4/ (Ai (3 , o s / 4 - 7 1 / 4 3 THE UNDERSIGNED hereby informs all concerned that improvements will be made to certain property, and in accordance with Chapter 713, Part I, Florida Statutes, the following information is stated in this Notice of Commencement: Description of Property: (insert street address if av,ajlable, or location, and legal description of the property) 471 N.E. 101 STREET MIAMI, FLORIDA 757 - 1234 General Description of Improvements: RE. TILE TO TILE Owner: (name and address) STEVEN SHULMAN R T A T wners 1li�tere�tlin site o1 i p 1'O efie iTORI Fee simple title holder if other than owner: (name and address) Contractor: (name and address) ALL PRO ROOFING CO., INC. 4165 NW 135TH STREET A3A OPA LOCKA, FLORIDA 33054 Lender: (name and address) Surety (if any): (name and address) Amount of Payment (Surety) Bond: Person within the state of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(F), Florida Statutes: (narne and address) ' In addition to himself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(G), Florida • Statutes. This Space for Clerk's Use Only STATE OF FLORIDA, COUNTY OF DADE 1 H Y CERTIFY Mai this is o tr of the E o '� 1 ea in this !iceeoo d pi s 19 E L S � e Vi;V ►�ri�' , r i d Count Cour y � �_ /./'' elY (signatur of owner) Sworn to and subscribed before this 21 day of JANUARY me ,19 93 NOTARY PUBLIC My Commission Expires: MARITZA YEBRA, NOTARY PUBLIC T A T E CT L% CO ;,.'! -a10N LXPlr(c $ 9/25/94 • v�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Street and Number where work is to be done APPLICATION FOR BUILDING PERMIT 1Nlh Site work to be done and pur eo ur r f b 'ld'n (-9E A 'OOF y MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Registered Architect and/or Engineer Name and address of licensed contractor �� irs∎ / /�l /frA6B AM FC/111 =ir IL'�'M / ' � 1201l1�1/ Location and legal descriptkorl of Jojo be " l I • W 11 !'Nll /� b .33/57) Loo7x` .a•4,2, /- B1o 1/ 3�0‘ /9 o6�a S 9/ e0 & '1.16 Q. --arc - 30/ k • .. OP ■ ► lk / r it submit 10 L ■�� • �i // �I Subdivision Y l� S y floors), state rior colors sub pies) ex c 1 New Building Remodeling Addition Repairs No. o tomes To be constructed of Kind of foundation Roof Covering -e" 100 Estimated Total cost of improvements 5 I 6_10 Amount of Permit $4 00 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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. } ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared Permit No. Disapproved (Signed) Building Inspector Date PLANNING BOARD DATE Notary Public, State of Florida and for no other purpose. 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. Date 1 \ 1 Read. Sworn to and Subscribed before me. My Commission Expires Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. MIAMI SHORES VILLAGE l (1: `//'' ` BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT d 6 Application is hereby wade for thc approval of the detailed statement of ore plans and specifications herewith submit for the build • inc 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 Julien B, Frix ,Deceased) Registered Architect and /or Engineer Name and address of licensed contactor Gambill Roofing Repair, • 9430 N„ W., 2nd P1, Shores Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 471 N. E. 101St Street State work to be done and purpose of building (by floors) £Le..l_acc.e...red ..baxx.e _ ...tile...i _ t o...; l.1 y..�.._._ and repair flashing on garage and barbecue. . r _..__ and for no other purpose. Ncw Building Remodeling Addition Repairs YeS No. of Stories 1 To be constructed of Kind of foundation Roof Covering Tile & Gravel Estimate Total cost of improvements $ 495.00 Amount of Permit S. 20.00 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 unele•rsigr,cd applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under thc Florida Workmen's Compensation Act, being Section 59GG, Compiled General Laws of Florida, Permanent Sop ilement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him !: in d work to be performed under this permit; and will post or cause to be posted for inspection oorDthe site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontract son work to=me performed under this pennit, as are licensed by Miami Shores Village. Remarks RC 0021339 (Signed) y�T .,._,....z..-..„.. . )� Permit Date Disapproved Date (Signed) Buil•ing Inspector March 16th I9 _ 83 — No. ...4 street 101 s t n. .. n.:rrrnnrrae•:•ntttttt r.n Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires _ STATE OF FLORIDA, COUNTY OF DADE. ss. Before mc, 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.. PLANNING BOARD DATE Citair:nan Member Mcrr,ber 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 niter approval has been obtained from the 1'Lennir,;; l:o.erd. A rc•,n fce of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. 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 building4uring 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 7'' 7/ .Iv _...11t1..1...._�.?. . - . State work to be done and purpose of building (by floors )...... 't L- / 45 .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 $ 3 ,(F5- t 0 Amount of Permit ' f' 0 Zone cubage required _.._... 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 su . ntractors, on work to be performed u der this permit, as are licensed by Miami Shores Village. Remarks (Signed) 6 ��� f 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 - -- 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.._ ' ' Q Date , ./7/ -- 7 6 Read, Sworn to and Subscribed before me. Disapproved Date Building I spcctor MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 $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 oe faulty materials and /or workmanship. Date..._..._......._...! .._. .. .�....... No1.....'treet_./ 1 .._...�.1.7 L /s / c fo.�ir - to me well known, 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....._JUliUs._FrjX Registered Architect and /or Engineer.. _ Name and address of licensed contractor Brady Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done Building Ins. or MIAMI SHORES VILLAGE No 4 71 N.E. street101st St. Roofing & Sheet Metal - 2955 N. W.73rd St. Subdivision 4.71 N. E. 101st Street State work to be done and purpose of building (by floors)____RQQX_. 30 -90 -Tile and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories To be constructed of Kind of foundation Roof Covering. _34 -90 —T Estimated Total cost of improvements $__.200..QO Amount of Permit $_._5. 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 em Moyer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup , lent, and has complied with the provisions thereof, and will require similar compliance from all contract s or sub- contractors employ-] .y him in the work to be performed under this permit; and will post or cause to be posted for inspectio the le of the work such p� ]�'c notice or notices as are required by the Act. The undersigned agrees to employ only such s . contrac, on fork to be perfo ed u this permit, as are licensed by Miami Shores Village. -.. , / d Remarks (Sig .) I -- / � r 0% Date , 19 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'C •5 Date ' — t°7....--- Read, Sworn to and Subscribed before me. Disapproved ___ ( Signed) Notary Public, State of Florida My Commission Expires NING 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 clt urges 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. `Owner of f Building Architect Contractor or Builder Legal Description Address of Building Lot 4 it CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE II 195 PLUMBING ❑ P E Pi M I T N? 9557 Contractor's ROOFING E - License No - 1 � t ❑ Work to be performed under this Permit o Bl. r d i Subdi- vision Sq. Ft Value of Project $ Amt. of Permit BY AUTHORITY ?►s J*s J3 This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. , J / f / +s 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. 7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 19 Owner's Name and Address ._..J,. _.B...__Fr3lX No 4 71 N•E• Street 101st St. Registered Architect and /or Engineer Name and address of licensed contractor.B1 dy__. Raafitzlg _.Tiie.5__.Mfg_._. — 2955 N. W. 734d St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _101st__St. Reroof: 30 - 90 - Tile 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 $._.95(1.00 Amount of Permit $ .._. e 40 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 el plover of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup . e inent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors emp oyej.y him in the work to be performed under this permit; and will post or cause to be posted for i spectio . o the site of the work sucl .u notice or notices as are required by the Act. The undersigned agrees to employ only ,such tb ontract ., ,n w,. k to be p rfor : _ der this permit, as are licensed by Miami Shores Village. Remarks (Signed).. .r_ STATE OF FLORIDA, COUNTY OF DADE. J ss. APPLICATION FOR BUILDING PERMIT 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 VI Date I I-- ` 2. 'Si Read, Sworn to and Subscribed before me. Disapproved (Signed) .... MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Notary Public, State of Florida Building nspector 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 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. BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building Legal Description. Address of Building Lot ❑ PERMIT N? 15711 Ke Work to be performed under this Permit Architect Contractor or Builder _ _',,•4; L i i 1 py Value of fj �`I Amt. of ,f ) ! C.) 1 A Project $ .�+"' Permit $ This permit is I granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application . herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • 1,,..y� ti w► . ,. F . BY ?:. 4.•�tl im A........ i INSPECTOR In consideration of the issuance to me of this permit I agree to p 'dsfo.rtd the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in st ict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In acce tin his p assume re ' insibility or all work done by either, myself, my agent, servant or employee. CONTRA TOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA -f. Subdi- vision BY ,. • ,.... DATE 195 Contractor's License No AUTHORITY MIAMI SHORES VILLAGE BUILDIN' INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for 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 rilicatic is made in compliance and con•o•m ty w.th the Building Ordinance of Mia ii Shores Village, ' .or da, and all pro• isions of the Laws cf the State of 1-krid. all o d nances .,f Mi .m Shores Village- and all rules and regu`ation., of the Building Div.. i of .lam• Sho. illage b 1 1 e ro. ipl.ed with, whether herein specified or not. A copy of approved plans and specificati •nr must be key.• at building durin progress of tl.e work. Owner' Name and Address__ Registered Architect and /or Eng' eer___ N R__ ame .nd address of licensed contractor. PI. .t Location and legal description of lot to be built on: Lot - Block.__ Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. ilding Inspector Subdivision Date No 71 ,/--/-- 4 Street_. ,19 State work to be done and purypse of building (by floors) and for no other purpose. New Building_ Rernodeling__ __._ _ __. Addition____ ____ ___ _____ __ _ Repairs_ _ _ _ No. of Stories. To be constructed of Kind of foq.ndation Roof Cov sin _ Estimated ^. ,tal cost of improvements $__. l _ (9O Amount o` Permit $__. l -w Zone -ubage required_ ___ __Plan Cuba e_____ 8 Distance to next nearest building__ _ _ _ Size of Building Lot -- Maximum live load to be borne by each f l o o r 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 unde signed appli .ant for this building permit does hereby certify t'iat he understands and accepts his .bligations as an employer of 1: bor under he Florida Workmen's Compensation Act being S• "tion 5966 Coi p led Gen al Laws of Florida P r anen. Siipple vent, and h compl ed w;th the prov'aons thereof, and will require similar compliance from all contractors or sub - contractors emplo•'ed by him in the wok to be p rf rmed under th's permit. and 'ill post or cause to be posted for inspection on the site of the work su :h public notr 'e or •otices as are requir d by the Act. The u.,d•, r ign..d agrees to employ only such ubcontr. ctors, wo ' • ' be perform d _ der this permit as are licensed by M.ami Shores N i1 : ge. Remarks_- • (Signed).- Before me, the undersigned authority, a notary public, duly authorized to administer oaths .nd take acknowledgments, personally p- peared _. v - - -- -. .to me well known, and who, being by me first d. ly sworn, upon oath deposes and says that he is the of th abov. described . istruction t: 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 157/ ( ___ .__ Date _ -mil ~_ __._.____ Read, Sworn to and Subscribed before me. Disapproved (Signed) - -- - -- - - -- PLANNING BOARD DATE Chairman Member Member ____ Member Member _ Member Council Approved. Date Disapproved Notary Public State of Florida My Com:nission Expires_ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application ifte r approval his been obtained from the Platyng Board. re- inspection fee of $1.00 will be charged when such re- inspection is ma.ie necessary by improper notice for inspe:•t•on or fa. ity ma rials and /or workmanship.