The URL can be used to link to this page

515 NE 101 St (4)Date( ,3/'O Legal Description Historically Desi uated. yes No Owner /Lessee/Tenet /= i /FaCvA■504.5 Owner's Address S -/' /1/ /L Q Contracting Co. - ///(��rec -SM∎ iVPAt -, State # ea%'tl 4 � IF THERE IS NO PERMIT PACKAGE ACCESSIBLE THERE WILL BE NO INSPECTION. RE- INSPECTIi BEFORE CALLING FOR Permit Type (circle one): BUILDING ELECTRICA WORK DESCRIPTION: � 4 ' //. ANL-Ai/ LISA Square Ft. /600 PERMIT APPLICATION FOR MIA 10050 N.E.'2nd Avenue • Miami Shores, Florida 33138 • Ph Job Address /O/ Tax Folio Municipal # WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COM YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR Application is hereby made to obtain a permit to do work and installation as in all work will be performed to meet the standards of all laws regulating construc for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurat regulating construction and zoning. Furthermore, I authorize the above named c Notary as to Owner an My Commission Expire upocip FEES: PERMIT 1 Plumbing Esti o KELLER Da Notary Public - State of Florida N, • _ My Commissbn Expires Apr 16.2005 I L ,A Commission t DO 109725 — ..` °Fa'te Bonded By National Notary Assn, • APPROVED: Zoning Building Mechanical RADON C.C.F r i. 2 cco Competency # Master Permit # 13 P 02003-x. S' Phone 3 a-- 5— ' 7s9 - 7 75 Ins. Co. Address 3 , VZ--• 94 Q ualifier 7 0M A 8aszTTA SS# a99 TS O97/ Phone5 /9' I l r S VILLAGE ue5 MI�MISHORE BUILDING DEPART 305- 795 -22 Building Inspection Reque _ a3 Date " -_ Type MW Permit No. Name Address Company Phone # For Inspector: Correction Re -Insp' n Fee PusTh Hof sr Florida Building Code Edition 2002 Wn Form. High V�cscl ►•htrtirar� Zone Uniform Pent* Application Section A► (General infort"nation Master Pam* No. �._..___�_ _ -. - - - - -- Process No. Contractor's Na02/At.. Job Address ROOF CATEGORY 0 Low Slope o ' t Tile �I Mechanically f=astened Tice � � , ❑ Asphaltic 3 C ° eslS "� Isms 0 Metal pan shingles � _ �.�: � ,��, Shingles ❑ Prescriptive BUR4 AS 150 ROOF TYPE 0 New Roof * Re- Rooting ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Secti�,n (Roof Pla Sketch Roof Plate illustrate ad Levels and sections roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels dearly Identify dimensions of elevated pressure yes and �� of pa s a. � Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Fonn. Fill in Specific Roof Assembly Components and identify t�lanufaaturer (tf a component Ls not used, identify as "NA') System Manufacturer l G P Design Wind Pressures, From RAS 128 or Calculations: Prnax1:_g3 Z Pmax2: / Pmax3: /3/ if Max. Desntre, Fran the Specific NOA SYstellt ,�_____- Deck: ype 42a /� / / Gauge/1 Wclrreess: / Ls 7 � %�i / s 1 �` Slow " Anchor/Sase Sheet & No. of Pty(s) 74 Insulation Base Layers �P f . Base Insulation Size and Thickness A 1 67 1 .1 Vg=At z Top Insulation Layer. 0 Top insulation Size and Thickness; 4 Top Ation Fastener/Bonding Material: Base Sheets) & No. of Phis) i Sheet F i w g Ply St eet(s) & No. of Ply(s) ( x9__ 1 4 2P • ► heat Paste .} . a� 7 Section C (Low Sloped Roof System) Top Pty Y /Z MOPt / asterre surfa:44/4_. Fastener Spacing for AnchorBase Sheet Attachment Field: ° / oc (§) Lap, # Rows ® ' oc Perimeter.6_ "oc `r Lap. it Rows9 p • ' oc Comer. ° oc Oa Lap, # Rows. C 7 " ac Number of Fasteners Per Insulation Board Fieldr0 PerimeterComer . illustrate Components Noted and Details as Applicable: Woodbtocking, Gutter. Edge Termination, Stripping. Flashing, Continuous.. Cleat. Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers DeWitt that Comply with RAS 111 and Chapter 16. Q f7 P 3 �,. el !06 V vr FT. FT. 20 Parapet Height t 8> Mean Roof . Height Florida Building Code Edition 2002 Hgh V . Hurricane Zone Unt!onn P+ ttit Apptleation Form. Section D (Stee S lo eed R ° °f System) Roof System Manufacturer : g-A/ Notice of Acceptance Number. _ Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): • Maximum Design Pressure L� (Pram the NOA Specific System): Roof Slope: 12 Method of tile attachment =1P Steep Sloped Roof System Description 0,, e „.0' /A .r1 AC srir A sAT... - � x,14,, • Florida Building Code Edition 2002 HO Velocity HUntCm o Zone Un orm Pen * Application Fenn. Section E (Tile CaIculationsi For Moment bra tae systems, chose either Method 1 or 2. Compared the values for M the values hem M F if the M values am pester than or equal to the Mr values, for each area of the roof, then the file attachment method is acceptable. Method 1 "Moment Based Tile Caknlations =: /QO. 6 Method 2 "Simplified The Cakubdion Per Table Maw" Rewired Moment of Resistance (Mr) From Table Below 32> / NOA 0# =.0411—MB: = - Per RAS 127" NOA NOA Mr NOA Maly /62. Where to Obtain Information S mbol Where to ilnd *Must be used la coujaastioa with a Ebit of etente it based We systems endorsed by the Rr ward Camay Board of Roles sad Appeab. Par trpfR_barrsed Me systems wse Method 3. Compared the values for F' with the values for F III the F' values are greater than or equal to the F, values, for each area of the roof, then the tie attachment n *hod Is actable: Method 3'Uplaif lased Tile Calculations Per RAS 127" F rs: NOA r z t: � a w : = �_? - w: _.___ >r Cos 0: ` NOA F' fry ' = F p 1 t: _____ s x sr; " _. a _ W: rs tuts ®: , f > =� � � _ x w-'°___ D —W :cesa?l: F,? NOAF' (g � 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 fLhrent between the owner and the contractor. The owner's initial in the adjacent box indicat . s t • t l a it_ h `sheen 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 Zone) are for the purpose of providing that the roofing system meets the wind resi performance standards. Aesthetics (appearance) issues are not a consideration wit provisions. Aesthetic issues such as color or architectural appearance, that are not pa 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 . ena � i 1 d in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring -nits (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the option of maintaining this appearance. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may -c use water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not o verloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the nterior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. ,may vner • gen gnature CAD000 SIC- NmpkLOCALS- I%Temp■SECTION IS:4.dx 3 / /o3 Date Contractor's Signature M I A M I•DADE BUILDING CODE COMIPLiANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Zion Tile Corporation 13450 SW 126 Street Miami, Florida 33186 This consists of pages 1 through 3. The submitted documentation was reviewed by Frank Zuloaga, RRC MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGL t STREET, SUITE 1603 i, FLORIDA 33130 -1563 1 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and /or the AFIJ (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 AI -iJ 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 thc applicable building code. This product is approved as described herein, and has been designed to comply the High Velocity Ilurricane Zone of the Florida Building Code. DESCRIPTION: Alhambra Handmade Clay Tile , LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless othenvisc noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in thc applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and /or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. if any portion of thc NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall bc provided to the user by the manufacturer or its distributors and shall bc available for inspection at the job sitc at the request of the Building Official. NOA No.: 02- 0603.04. Expiration Date :07/05/07 Approval Date: 07/05/02 I'agc 1 of 3 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: Material: Manufactured by Applicant "Alhambra Tile" Trim Pieces Product Roof Tile Adhesive ( "Polypro® AH 160 ") Roofing Tiles Clay 1. SCOPE This roofing system using "Two Piece Barrel Alhambra ", as manufactured by Zion Tile Corporation described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as an uplift based system. 2. PRODUCT DESCRIPTION Test Dimensions Specifications 1= 18" w= 8'/ : "to7' /2" taper '/2" thick 1= varies w = varies varying thickness 2.1 Components or products manufactured by others Test Specifications See NOA Dimensions N/A Product Dcscriptiort ASTM C 1167 High profile, two- piece, clay roof tile. For direct deck adhesive set applications only. ASTM C 1167 Accessory trim, concrete roof pieces for use at hips, rakes, ridges and valley terminations. Manufactured for each tile profile. Product Description Two componcnt polyurethane adhesive designed for adhesive set roof tile applications. 11 Polyfoam Products, Inc. with current NOA 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplie test shall be performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to thc Building Code Compliance Office for review. 3.4 Minimum underlayments shall bc in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped undcrlaymcnt applications may bc installed perpendicular to thc roof slope unless stated otherwise by the undcrlaymcnt material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall bc in compliance with applicable Building Code. NOA No.: 02- 0603.04 Expiration Date: 07/05/07 Approval Date: 07/05/02 Page 2 of 3 Table 2: Minimum Characteristic Resistance Load - F' (Ibf) Tile Profile Tile Application Attachment Resistance Two Piece Barrel Alhambra Tile Adhesive Set 217.20 Mortar Set 38.80 Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight -W (Ibf) Length - I (feet) Width - w (feet) Two Piece Barrel Alhambra Tile 6.90 1.50 0.67 avg. 4. INSTALLATION 4.1.1 "Alhambra Tile" and its components shall be installed in strict compliance with Roofing Application Standard RAS 120. 4.2 Data For Attachment Calculations 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official c. applicable Building Code in order to properly evaluate the installation of this system. PROFILE DRAWING "ALHAMBRA TILE" END OF THIS ACCEPTANCE NOA No.: 02- 0603.04 Expiration Date: 07/05/07 Approval Date: 07/05/02 Page 3 of 3 A. TESTS: Test Agency The Center for Applied Engineering, Inc. Testwell Craig Laboratories Lab #: AV -19 Physiccal Properties 09/95 & Consultants ASTM C 1167 Testwell Craig Laboratories Lab #: AV -20 Static Uplift Testing 02/96 & Consultants PA 101 (Mortar Set) B. OTHER Notice of Acceptance number 02- 0603.04 Test Identifier 940150 -2 eA° E -1 Test Name/Report Date Static Uplift Testing 08/94 PA 10 (Adhesive Sc.!) FROP'1 : Z1 ON TILE DATA FOR ATTACHMENT CALCULATIONS MOMENT BASED SYSTEM Table 1: Aerodynamic Multi liep_l_•-Lan. - Tile Profile MortaporfAdhesive Set Zion Alhambra 0.22 Note: Multiplier data based on the equation: A = Cma x b x 12 Where: Cma z--coefficient of moment = 0.144 ft b = the width 1 = the length =1.500 ft Table 2: Restoring Moment Due To Gravi - M ft-I Tile Profile 2:12 _ 3:12 4:12 5:12 6:12 7:12 Zion Alhambra L 4.96 J 4.66 4.77 J 4.64 4.5 4,34 Tile Profile Zion Alhambra FRX NO. :305 252 9116 May. 27 2003 09:34RM P1 ZION TILE CORP Table 3: Attachment Resistance Expressed as a Monment- Mf (ft-Ibf) Mortar Set 1 Adhesive Set 58.8 182.1 +3057518579 ABC SUPPLY BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE OA GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations gov The documentation submitted has been reviewed by the BCCO and acce Review Committee to be used in Miami Dade County and other areas wh Jurisdiction (AHJ). 025 P01/13 MAR 07 '03 18:03 MIAMIE COUNTY, FLORIDA METRO -DICE PLAOLER BUILDING 140 WEST FLAGLRR STREET, SUITE 1403 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 ion materials. and Product ity Having This NOA shall not be valid after the expiration date stated below. The Miami -Dade Crjunty 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. BOR.A reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and jhere has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami - Dade County, Flo4jda, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 33. The submitted documentation was reviewed by Frank Zuloaga, RRC. NO • No: 02440110 Expirati Date: 11/06/03 Approv*I Date: 05/23/02 Page 1 1)1'33 +3057518579 ABC SUPPLY 025 P02/13 MAR 07 '03 18:03 ROOFING SYSTEM APPROVAL C :team Roofing Sulhastgara SBS /APP. Modified Bitumen Dce1 Tvne: Wood Nia TIMM Demon P -75 psf Fire Classlflcatiogk See General Limitation 111 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (Matrix" 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrixm Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (Matrix" System Pro Aluminum Roof Coating Fibered 301) GAF )etblack All Weather Plastic Cement (Matrix" Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaT" Base Sheet GAFGLAS Flex PIyTM 6 GAFGLAS Ply 4® GAFGLAS ®Mineral Surfaced Cap Sheet GAFGLAS® • • STRATAVENT® Eliminator Perforated pimenaions 5, 55 gallons 60 Ib. Bags 100 lb. bap 5 gallons 1, 5 gallons Teat SDedflcation ASTM D41 ASTM.D 1863 ASTM 1227 ASTM D 2824 1, 5 gallons ASTM D 3019 ASTM D 3409 39.37" (1 meter) Wide 39.37" (I meter) Wide 39.37" (1 meter) Wide 3937" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (I meter) Wide ASTM D 4601 ASTM D4601 ASTM D 2178 ASTM D 2178 ASTM D 3909 ASTM D3672 ASTM D 4897 Produat Desc Asphalt concrete primet used to promote adhesion of asphalt in bi:ilt -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Refined asphalt blend with a mineral stabilizer and fibers. Remits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet egted on both sides with asphalt. Sured on the bottom side with mine granules embedded in asphaltic egpating with factory perforations. NOA No: 02-0488.10 Expirsti(in Date: 11/06/03 Approve! Date: 05/33/02 Page 2of33 Dzikett GAFGLAS® Flashing GAFGLAS® STRATAVENTO Eliminator Perforated Naifable RUBEROID® SBS Heat - Weld m Smooth RUBEROIDda SBS Heat - WeldTM Granule RUBEROID® SBS Heat - We1dnf 170 FR RUBEROEM SAS Heat - Weldnf PLUS RUBEROID® SBS Heat - Weld PLUS FR RUBEROID Modified Base Sheet RUBEROIDS Modified Bitumen Adhesive RUBEROID® SBS Heat Weldnf 25 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP FR RUBEROID TORCH Smooth +3057518579 ABC SUPPLY Mangina various • 39.37" (I meter) Wide 1 meter (39.37") wide 1 meter (3937") wide 1 meter (39.37 ") wide Test amithatte ASTM D3672 ASTM D 4897 ASTM D-6164 ASTM D -6164 1 meter (39.37") ASTM D -6164 wide 1 meter (39.37") wide 39.37" (1 meter) Wide 5 gallons ASTM D-6164 ASTM D4601, Type f,UL Type 02 BUR ASTM D 3019 Type III 1 meter (39.37") ASTM D -6164 wide 39.37" (1 meter) ASTM D 6222 Wide ASTM D 5147 1 sq. roll ASTM 1) 6298 87 lbs. ASTM D 5147 RUBEROID MOP PLUS 39.37" (1 meter) ASTM D 6164 Wide ASTM 1) 5147 RUBEROID MOP 170FR 39.37" (I meter) ASTM D 4164 Wide ASTM D 5147 39.37" (I meter) Wide 39.37" (1 meter) Wide 025 P03/13 MAR 07 '03 18:04 Product Asphalt coated glass s fibet mat flashing sheet available in three es. Fiberglass base sheet coiled on both sides with asphalt. Surfed on the bottom side with minerali embedded in asphaltic coating. ASTM D-6164 Non -Woven Polyester mat coated with polymer- modified asphalt and smooth surfaced. Non -Woven Polyester met coated with polymer modified asph4 and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer modified asphalt andsurfaced with mineral granules. Non -Woven Polyester Mot coated with fire retardant polymer r ixlified asphalt and surfaced with minerrll granules. Premium glass fiber reinforced SBS - modified base sheet Fiber reinforced, rubberized Adhesive Non -Woven Polyester that coated with polymer- modified asphzilt and smooth surfaced. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -woven polyester Met coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat cued with fire retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -Woven polyester tt)at coated with ASTM D 5147 fire retardant polymer podified asphalt and surfaced with min lai granules. ASTM D 6222 Heavy duty, polyester filinforced, asphalt ASTM 1) 5147 modified bitumen men rane, smooth surface. .4 NC* No: 02- 0408.10 ExplrajOn Date: 11106103 Appval Date: t Page 3 of 33 , tl Mast Tile -Mate Modified Cap Tile -Mate Modified Cap Plus +3057518579 ABC SUPPLY 025 PO4/13 MAR 07 '03 18:04 TopCoat® Surface Seal SB (Matrix 602 SB Coating) GAF WeatherCotedit MB+(Matrix 715 MB Coating) TopCoat MB+(Matrix 715 MB Coating) WeatherCoter'"' (Matrix 531 WeatherCote® Elastomeric Flashing Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid ®MB) Matrix 201 System Pro SBS Flashing (Ruberoid ®MB) Matrix 102 Select SBS Adhesive (Ruberoid ®MB), Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213" Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Aluminum Matrix 304 Select Non - Fibered RUBEROID® Modified Bitumen Adhesive 1 sq. roll 103 Ibs. 1 sq. roll 102 lbs. 5 gallons 5 gallons 5 gallons 5 gallons • 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons Test antancatka ASTM D 5147 ASTM D 5147 ASTM D3019 ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D4586 ASTM D3019 ASTM D 2824 ASTM D2824, Type 1 ASTM D 3019 Type 1II Produ Non -woven polyester t coated with polymer modified :. , t and surfaced with mineral granules tai : undcrlayment. Non -woven polyester injit coated with polymer modified aspWt and surfaced with mineral granules tilt underlayment. Surface coating for smopth surfaced and mineral surfaced roofs, Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smith surfaced and mineral surfaced roofs Cold Applied ModifiedxSEBS Asphalt Adhesive Cold Applied Modified`SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified] SEBS Asphalt Adhesive — Flashing Chitide. Standard Plastic Asphalt Roofing Cement Standard Plastic Asphalt Roofing Cement Caulk Grade. . Cold Applied Asphalt.4dhesive. Fibered aluminum coatJig. Non-fibered. Aluminuti$ pigmented, asphalt roof coating. Fiber reinforced, rubberized Adhesive A No: O2- 0408.10 Ezpi n Date: 11/06/03 App , t 1Dete: 05/23/02 Pege5of33 I ^'k ( APPROVED INSULATIONS: GAFTEMP Isotherm R, RA, RN & Composite, EnergyGuard RA GAFTEMP® Composite A &N (BMCA)GAFTEMP® Fiberboard GAFTEMP® Permalite GAFTEMP GAFCANTT"r GAFTEMP Permalite Recover Board GAFTEMP GAFEDGETM Tapered Edge Strip (BMCA) GAFTEMP® High Density Fiberboard BMCA EnergyGuard, RA BMCA Composite EnergyGuard, RA PYROX White Line ACFoam I, II & Composite ISO 95+ ISO 95+ Composite +3057518579 ABC SUPPLY Product Name EPS Wood Fiber High Density Wood Fiberboard Pelite/Urethane Composite Perlite Insulation Dens Deck E'NRG'Y -2 & E NRG'Y -2 PLUS, UltraGard Gold TABLE 2 Product Deactiption Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board High density wood fiberboard insulation. Polyisocynurate foam insulation Poiyisocynurate/wood fiberboard composite Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanuratc/perlite ridged insulation Extruded polystyrene insulation Wood fiber insulation board Wood fiber insulationboard Perlite / urethane composite board insulation Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation 025 P05/13 MAR 07 '03 18:05 Maaftfaeturer (With Cjlrrent NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. lYi Esplra App IIMCA f MCA ApacheeProducts Co. Apache Products Co. Atlas Energy Products Firestone Building Products, Inc. Fire Building P ucts, Inc. ieneric Generic ttieneric @eneric ¢eneric G-P tpsum Corp. Johns Manville .4 No: 03.0408.10 a Date: 11/06/03 a l Date 05113/02 Page 6 of 33 Product Name FiberGlass Roof Insulation ISORoc Structodek Multi -Max & FA Paroc Base Board Faroe Cap Board +3057518579 ABC SUPPLY APPROVED INSULATIONS: APPROVED FASTENERS: Fastener Number 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Product Name GAFTITE® (Drill -Tec®) #I2 Standard & #14 Heavy Duty Roofing Fastener GAFTITE® (Drill -Tec®) ASAP GAFTITE® (Drill -Tec®) Base Sheet Fastener and Plate Galvalume Plates (Drill - Tea Metal) Polypropylene Plates (Drill -Tec® Plastic) Dekfast Fasteners #12, #I4 & #15 Dekfast Hex Plate • Dekfast Lock Plate #12 Roofgrip Fasteners Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener TABLE 2 Product Description Glass fiber/Mineral fiber insulation Polyisocyanurate foam / rockwool composite insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation TABLE 3 Product Description Dimensions Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFTITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. 2 7/8" x 3 1 /." 3" x 3'/" 3" round 3" square Polypropylene round plate 3.2" Insulation fastener assembly with recessed plastic plate 025 P06/13 MAR 07 '03 18:05 Matalfacturer (With Carrent NOA) JohnsrManville Johns:Manville M4onite. Rlt ax,Inc. Par$ek, Inc. Manufacturer (With current NOA) GAF Materials Corp. GAF Materials Corp. GAF *aterials Corp. 3" and 3 ''A" GAF Materials Corp. 3" and 3 '/" GAF Materials Corp. Constsrtion Fasteners Inc Construction Fasteners Inc. Construction Fasteners Inc. ITW Sulkies Corp. 1TW 3uildex Corp. 1TW $uildex Corp. Johns Manville NO o: 02. 0408.10 Explrat ' Date: 11/06103 Appro Date: 05/23/02 Page 7 of 33 •1 .4 +3057518579 ABC SUPPLY APPROVED FASTENERS: Fastener Product Number Name I3. Olympic Fastener #12 dt #14 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G -2 17. Olympic Standard I8. Insul-Pixx Fastener 19. Insul -Fixx S Plate 20. Insul-Fixx P Plate 21. Tru -Fast 22. Tru -Fast Plates 23. Tru -Fast Plates EVIDENCE SUBMFrrED: T t do Factory Mutual Research Corporation Factory Mutual Research Corp. Trinity Engineering Dynatech Engineering Corporation PRI Asphalt Technologies, Inc. IRT of S. F1. IRT of S. FI. Tpt,1de tifier Description Current Insulation Attachment Requirements Wind Uplift, FMRC 4470 - PA 114 Wind Uplift PA 114 Wind Uplift PA 114 GAF - 020 -02 -01 02 -005 02 -014 TABLE 3 Product Description Insulation fastener Pre-assembled Insulation fastener and plate Polypropylene plastic plate 3.5" round galvalume AZ55 steel plate 3" round galvalume AZSO steel plate Insulation fastener for steel and wood decks 3" round galvalume AZSO steel plate 3" round polyethylene stress plate Insulation fastener for steel and wood decks 3" round galvalume AZ55 steel plate Polyethylene plastic plate FMRC 1996 3.I. I B9A8.AM 3.1. 3D4Q2.AM 4483.04 97 -1 # -1 #4482.02.95 -1 ASTM D 4977 TAS 114 TAS 114 Manufacturer Dimensions (With Current NOA) Olympic Manufacturing Group, Inc. ()Simple Manufacturing Group, Inc. 3.25" round O131mpic Manufacturing Group, Inc. 3.5" round Olympic Manufacturing Group, Inc. 3" round Olympic Manufacturing Group, Inc. SFS /Stadler 3" round 3" round 3" round 3" round 025 P07/13 MAR 07 '03 18:05 SFS /Stadler SFS/Stadler The Tru -Fast Corp. The Tru -Fast Corp. Tht Tru -Fast Corp. 02.01.02 01.18.02 011.22.02 N0410: 02-0408.10 Expira • . Date: 1116 /03 Appro Date: 05/23/02 t Page 8 of 33 ; r� 01.01,96 99.04.97 04.30.97 06.06.97 0 . 02.95 +3057518579 ABC SUPPLY APPROVED ASSEMBLIES 025 P08'13 MAR 07 '03 18:05 Membrane Type: SRS Deck Type 11: Wood, Insulate, Now Construction or Remof Deck Description: ' / or mater plywood or wood plank System Type A (1): Anchor sheet mechanically fastened, all layers of insulation adhereri.with approved asphalt. AU General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener (Table 3) 1:tensity /ft 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, GAF1V.MP Composite N, ISORoc, BMCA EnergyGuard, BMCA FnergyGuard Composite, EnetrgyGard ISO, EnergyGuard RA Composite, EnergyGuard RA N/A N/A Minimum 1" thick Wood Fiber, GAFTEMP® Fiberboard, BCMA High Density Wood Fiber. C.AFTF.MP00 High Density Wood Fiber, GAFTEMP Recover Board Minimum W" thick N/A N/A Paroe, Perlite, GAFTEMP® Perinalite N/A Minimum * /4" thick N/A Fiberglas Minimum "',, 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 Ibs /100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base btyer only shall be used only as base layers with a second layer of approved top layer insulating 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 t;AFGLAS STRATAVENT® Eliminator Perforated laid dry or a layer of GAFTEMP® PERMAI ITE or wood fiber overlay hoard on all isocyanurale applications. Anchor sheet: CiAFCiLAS #80 Ult Base Sheet, STRATAVFNTc1C Eliminatn,i Perforated Nailahle, RUBEROID Modified Base Sheet, R11BFR()IFxt 20, RIIRF.ROID SBS Heat- We1dTM Smooth or RUBF.ROID SBS Heat -Weld 25 base shoes mechanically fastened to deck as described below; (;APCid.AS® Ply 4®®, C,AF(il.AS Flex PIyTM 6, CiAF(ir.AS 075 Rase Sheet or any of above Anchor sheets attached to deck with approved annular ring thank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered &mcl 141 two rows 12" o.c. in the field. (Maximum Design Pressure - -45 pcf, See General /.imitation #y) Fastening Options: N(3A Pro: 02- 0411}1.14) E spiratknrt• Datc: 11/06/03 Approval Date: 05/23/o2 Pngc 12 eaf:ttt Base Sheet: Ply Sheet: Membrane: Surfacing: 0 +3057518579 ABC SUPPLY 025 P09/13 MAR 07 '03 18:06 GAFGLASCit Ply 4®, GAFt iI.AS Flex P1yTM 6, CiAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -Tee (GAFTITfi) #2 or #I4 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows arc equally spaced approximately 12" o.c. in the field of the sheet, (Maximum Davign Pressure —41 pvf, See General Limitation #7) GAFGLAS Flex PIyTM 6, CiAFGLAS #7S Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at ii fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o,c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet car any of shove Anchor Sheets attached to i deck with Drill -Yee (GAFTITF) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 tows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" u-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 -Tex (GAFTJTE) 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, Sea General Limitation #7) UAFGLAS #75 Base Shcct or any of above Anchor sheets attached to deck with Drill -Tee (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row i5 in the 2" side lap. The other rows arc equally spaced approximately 9" o.v. in the field of the sheet. (Maxlumum Design Pressure —75 pcf, See General Limitation #7) (Optional) Install one ply of GAFC ilLAS® #75, GAFCiLAS #80 111.T1MATM Ruse Shoot, (.AFGGLAS® PLY 40c, GAFGI.AS Flex PIyTM 6, CIAFCiI.AS STRATAVENT "• Eliminator Perforated (laid dry), RUBERUID Mcxlified Base Sheet, RLJBEROID MOP Smooth. RLJBEROID(1 20, RIJBEROID M,f3S Hcat- We1dTM Smooth or RUJREROID SRS Heat Wcld 25 directly over the tap layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a nets of 20-40 Ins. /sq (sce Gene J Limitation 44). (Optional) One or more plies (iAFG1,AS PLY 40r, CiAFGLAS Flex Ply 6 sheet, GAFGLAS #80, RUBEROID MOP Smooth, RtJRF..Rt')IDat 20 adhered in $ fidl mopping of approved asphalt applied within the IWT range and tot :t rifts of 20 -40 lbs. /sq. One or more plies of RUBF.RO1D® 20, RLJRFROII) 30, RIJBEROIY) 10 FR RUBEROID MOP Smooth, RubcroidOC Mop 170 FR, Ruheroidci; Mop Citannlc. RUBERO1O MOP PLUS, RLJBEROID MOP FR, RLJF3fROIU ULTRAC1.ADQ , or RLJBEROID Dual FR fully adhered in an appnmm.ed asphalt ;tt an application tats of 25 lb. /sq. t. 15 %. (Optional, required if ftUBEROID MOP Smooth or RUBEROU) 20 is top membrane) Install one- ot' following: 1. Cirnvcl or slag applied at 400 lb. /$q. and 300 lb. /sq. respectively in•u flood coat of approved asphalt at 60 lb. /sq. Z. GAFGLAS Mineral Surfaced Cap Shoot in an approved asphalt tot an application rate of 25 lb. /sq. ± 15 %. NOA 1lio: 02-04014.50 1Cxplratiu0Datc; 11/06/03 Approv 4 Date: 05/23102 Prue I3 °fall +3057518579 ABC SUPPLY Memb19t(e T ype SBS/SBS Cold Applied Deck Type 1: WOod, Non-insulated New Construction or Reroof Deck Description: 19 / 32 " or greater plywood or wood plank decks S ean hype E (1): Base sheet mechanically fastened to roof deck. 025 P10/13 MAR 07 '03 18:06 AI i General and System Limitation shall a Base sheet: GA PPIY. GAFGLAS 180 UltimaTv Base Shoe Nilable, RUBEROID t► STRATAVEN'I'�► Eliminator Perforated N aa �- bje RUE Modified Base Sheet, RUBEROID® 20, RUBEROID SBS fastened to deck as below; or UBEILGID SBS heat -Weld 25 bade sheet mechanically Fastening GAPGLASO Ply G above y 4 GAFGLAS Flex PIyTh 6, GAFGLAS #75 Base sheets attached to deck with approved annular ring Sheet or any tin caps at a fastener spacing of 9" 0.0. at the la sta g shank nails and o.c. in the field. A ggered and two rows 12" (Maximum Design Presxare --45 psj; See General Li #7) GAFGLASO Ply 440, GAFGLAS Flex P TM of above Base sheets Ply T" GAFG LAS goes Sheet or any of and Base to deck with Drill -Tec (G Plates, 12" o.c. in 3 rows. One row is in the �) # I 2 . The other # 14 rows are equally f f ids lap. (Maximum Design spaced approximately 12" o.c. in the field of tits sheet. GAFGLAS Flex Ply GAFGLAS See General Limitation &� attached to deck with a LAS #75 Base Sheet or any ofabove B spacing of 9" deck at the pr ved annular ring shank nails and tin caps at a fastt (Af nunt Design ?ensure — 52.5 staggered and in two rows 9" o.¢: in the field. Af See General LinritQtfa�, # GAFGLAS 175 Base Sheet or any (G y of above Base sheets attae/n to deck with row is in theA`4FTITE rows are equally spaced a ) #12 or 814 Screws and 3" Plates, 12" o.c side lap. The other , on rows. One in the of the sheet (M „ Ln he fi #fj imam Design Pressure —60 ,proxi mately 4 o.c. Any of above Base sheets a �l See General Any y above Base b a as s (GAF attached to deck approved annular ring shank nails and 3" at the invert lap eta TITE) insulation plates at a f Bgered in two ro 9" in the field. asener sacing s e 60 psi, See Generat 17) (axtmerrn 1Dijslgd Pressure GAFGLAS 1175 Base Sheet or an y of above Base sheets Drill -Tee GA ( FTITE) #12 or /114 Screws and 3" Pla attached to deck with row in the side lap. The other rows � � o.c. in r t t of the sheet, ( approximately rows. One ow is he 2 in the ier field #7J 'ms Design Pressure 75 p ene 9" o.c. Ply Sheet: PFf See - General (Optional) One or more plies GAFGLAS PLY GAFGLAS #80, RUBEROID 46, GAFGLAS Flcx;.Pty 6, 40 lbs./sq. mopping of approved MOP Smooth or RUBEROID 20 she adhered in a full mopping as applied within the EVT range and OR a rate of 20- NOA Expiration AFprovat : 024408,10 11/06!03 te: 0d 'a ge 27 0133 4 Surfacing: +3057518579 ABC SUPPLY Membrane: Maximum Design Pressure: See Fastening above 025 P11/13 MAR 07 '03 18:07 One or more Ruberoide plies of RUBEROID MOP Smooth, Ruberoi4 Mop 170 FR, Rtrberoid ®30 a Ra6ei+pid�► 30 R � R Mop Plus �� nberoid ®20, UItnlCladn+ ggg in adhered in a mopping in Mop FA RUBERQID the �T range and at a rate of 20 -401bs sq, g of appr ova asphalt applied within Or, One or plies of RUBSmooth, EROID MOP RUHERQ�D® M Granule, > Mop 170 FR, RUBERO a op op RUBEROIDO� 30, RUBEROID® 30 FR or RUBEROID® Mop FR or U 20, UltraC1ad*u SBS in RUBEROID Modified Bitumen Adhesive at an application 7 rate of l -2 galfsq. (Optional, required if RUBEROID MOP Smooth or RUBIOID 20 is top membrane) Install one of the following; 1. Gravel or slag applied at 400 lbisq. and 300 lb /sq. respectively in a flood coat of approved asphalt at 601b /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 1b./sq. + 1 S%. 3. GAF Weathercote® MB+(Matrix 715 MB Coating), Appilied at 1 to 1.5 gal /sq. 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), ` gal./sq. Sa, l:tiled at 1 to 1.5 NCINII No: 02-0408.10 Explra r Rate: 11/06/03 Appl Dates 00/23/02 Page 28 0133 T�� a-3057518579 ABC SUPPLY rsvLe KING I 'ERIAi = ;'IV - • Roofing Systems (TGFUI— Continued Surfacing: Gravel, 4001bs /sq. loose laid or applied in a flood coat of hot roofing asphalt 2. Deck NC Incline: 1/2 Base Sheet (Optional): One or more layers Type C3, G2 or G3. Membrane: One or more layers " Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule). " Ruberoid Mop" (smooth or granule) or " Ruberoid Mop Plus" (granule). Coating Karnak No. 97, 1 -1 /2 - 3 gai /sq, 3. Deck: NC Incline: 1/4 Insulation (Optional): One or more layers perlite, wood fiber, fiber, any thickness. Base Sheet (Optional): One or more layers Type Cl, G2 or G3. Membrane: One or more layers of " Ruberoid Torch" (smoo granule). " Ruberoid Torch Plus" (granule), "Ruhemid Mop" (granul "Ruberoid Mop Plus" (granule). Coating Karnak No. 97, 1-1/2 - 3 gal /sq. 4. Deck: C -I5/32 Incline: 1/2 Insulation; One or more layers perlite, glass fiber, isucyanurare, thane, perlite /isocyanurate composite, perlite /urethane composite, nolir, 1 -1/2 tit, min thickness (offset from plywood joints 6 in.). Base Sheet One or more layers of Type G2 or G3. Ply Sheet (Optional): One or more lavers of Type G1, Membrane: One or more layers of " Ruberoid Torch" (smooth granule), "Rubemid Torch Plus" (granule), " Ruberoid Mop" (smooth granule) or " Ruberoid Mop Plus" (granule), Surfacing: Karnak No. 97, 1-1/2 - 3 ;Gal /sq. 5. Deck NC • Incline: 1/2 Base Sheet (Optional): One or more layers of Type GI. G2 or G3. Membrane: One or more layers of " Ruberoid Torch" (smooth granule), " Ruberoid Torch Plus" (granule). Surfacing (Optional): Karnak "No. 97' or "169" at 1-3 gal /sq Gr ind. "20 F Emulsion" at 3 gal /sq. 6. Deck: C -15/32 Incline: 1/2 lnsnlatiote One ur more layers perlite, glass fiber, 3/4 in. min, isocy nurate, urethane, perlite/isocyanurate composite, periite /urethane c posite, phenolic, 1-1/2 in. min. Base Sheet (Optional): One or more layers of Type G], G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth granule). "Ruberoid Torch Plus" (granule), " Ruberoid Mop" (smooth granule) or "Ruberoid Mop Plus" (granule). Surfacing: Gravel. 7. Deck C -15/32 incline: 1/2 Insulation (Optional): One 07 more layers perlite, wood fiber, gla Abet isocyanurate, urethane, perlite/isocyanurate composite, perlite urethane composite, wood fiber /lsoeyanurate composite. phenolic. Base Sheet Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Cl. Membrane: One or more layers of " Ruberoid Torch" (smooth granule), " Ruberoid Torch Plus" (granule), " Ruberoid Mop" (smooth o granule) or " Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1 /2 - 3 gal /sq or gravel. 8. Deck: NC Incline 1/2 Insulation: urethane, One or mom layers perlite, glass fiber, 3/4 in. min, isocya perlite/isocyanurate composite, periite /urethane corn polite, phenolic 1-1/2 in min. Base Sheet (Optional): One or more layers of Type GI, G2 or G3. Membrane: One or more layers of " Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), " Ruberoid Mop" (smooth or granule) or " Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1-2 gal /sq. ► •C15/32 1ncllnerl /2 Insulation (Optional} One or more layers perlite, glass fiber, 3/9 in. min, isocyanerate, urethane, perlite/isocyanurate composite, perlite/ . urethane Base Sheet composite, phenolic, ore layers of Type G2 GAFGLAS #75 Base Sheet ", Trot mopped or mechanically fastened in place. Ply Sheen One or more layers of Type GI "GAFGLAS Ply 4 ", hot mopped in place Membrane Ruberoid Mop FR" (granule). Surfacing (Optional): GAF Inhered Aluminum Coating at 1-1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. - 10. Deck C-15/32 Incline 1/2 170FR" (granule). Surfacing (Optional): GAF ibered Aluminumn Coating at 1-1/2 gal e glass or GAF Weather Coat Emulsion at 3 gal /sq. Deck C -15/32 Incline: 1/2 Insulation: lsocyanurate, 2 in. min.. wood fiber, pertly or glass fib th or I any thickne hot mopped: or mechanically fastened in place. foil e) or offset 6 in, Base Sheet One or more layilrs of Type G2 "GAFGLAS 475 Base Sheet hot mopped or mechanic allylfastened in place. Ply Sheet (Optional): One p?}more layers of Type GI "CAFGLAS 19y, are or "Ply 6" hot mopped in place. Phe Membrane: " Ruberoid Toni) 170FR" (granule). Surfacing (Optional): GAF Jlibered Aluminum Coating at 1 -1/2 gal /i or GAF Weather Coat Emulsion at 3 gal/sq. Deck: C -15/32 incline: 1 /2 or Insulation (Optional): iso'1'anurate, perlite ur glass fiber any thict or ness, hot mopped or mednard ally fastened in place. Joinm offset 6 in. Base Sheet One or more layer of Type C2 "GAFGLAS 475 Base Sheet' hot mopped or mechanically fastened in place. Ply Sheet One or more layonj of Type CI "GAFGLAS Ply 4" or "Ply 6' hot mopped in place. or Membrane: "Ruberoid To rc ' (granule). Surfacing (Optional): GAF F Bred Aluminum Coating at 1-1/2 gal /ei Emu's* or ur GAF Weather Coat Emu's at 3 gal /sq. 13. Deck NC Incline 1/2 insulation (Optional): Isocygnurate, wood fiber board, perlite; gtasi a - fiber, any thickness, hot mopprff or mechanically fastened in place. Joint: o m _ offset 6 in. Base Sheet One or more layer!) of Type G2 "GAFGLAS #75 Base Sheer' hot mopped in place. Or Ply Sheet (Optional): One or 'ore layers of Type 01 "GAFGLAS Ply 4'• or or "Ply 6" hot mopped in sot Membrane ' Ruberoid Turtle �j�7OPR" (granule). Surfacing (Optional): "GAP' +ibered Aluminum Coating" at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq, 14. Deck NC Incline: l /2 ss 1 Insulation (Optional): Isocyaaurate, wood fiber board, perlite, glass offset 6 In. Base Sheet One or more layers of "GAFGLAS 475 Base Sheet". hot o Plmopped ee ( place. (Optional): One or P more layers of "GAP GLAS ply d" or "Ply r 6" hot mopped in place. Membrane: ' Ruberoid Torch I00P (granule). Surfacing (Optional): GAP Wither Coat Emulsion applied at 3 gal /sq or GAP Fibered Aluminum CueOng at 1-1/2 gal /sq. nurate, 15. Deck: C -13/32 Incline: 1/2 Insulation (Optional): Perlite,i fiber glass lsocyanurate, urethane, perlite/isocyanurate composite ro phenolic. Base Sheet One or more layers'fype G2 or G3 base sheet. hot mopped or mechanically fastened. PIy Sheet (Optional): One or more layers Type Gl, hot mopped in 11. 12_ 025 P13/13 MAR 07 '03 18:07 R(JUr UNITING MATERIALS (TEVY) Roofing Systdnns (TGFU)— Continued Insulation (Optional): (Thee or more layers perlite, glass fiber, 3!4 mint, isocyanurate. urethane, perlite /ISocyanurate composite, perli urethane composite, phenO , 1 -1/2 in. min. Base Sheet One or more of Type 02 "GAFGLAS 575 Base She hot mopped or mechani ' fastened in place. Ply Sheet One or more ayers of Type Cl "GAFGLAS PIy 4 "GAFGLAS PIy 6" hot mq,ed in place. Membrane: " Ruberoid Ti fiber, an t hickness / 1 any hot mopped or mechanically fastened in place. Joints place, Membrane: " Ruberoid Mop Fi2`i or " Ruberoid Mop 170 FR" (granule). 16, Deck C -15/32 incline: 1/2 insulation (Optional): Pe ' fiber glass, isoeyanurate, urethane, perlite/isocyanurate composit 1f, phenolic, offset 6 in. from joints. Bate Sheet One or mom la t of Type G -2 or G-3 base sheet;,. hot mopped or mechanically fastened: Pty Sheet (Optianaq; One or rep to layers of Type C-1, hot mopped in place. Membrane One layer of "Ruberoid Torch" or " Ruberoid • Mop" (smooth). Membrane: One layer of "RubarOid Teach 170PR" or " Ruberoid Mop 17, Deck NC a Incline 1 LOOK FOR 111E UL MARK ON PRODUCT FR" (granule) ,• • MIAMI2 PRODUCT CONTROL NOTICE OF ACCEPTANCE Polyfoam Products, Inc. 2400 Spring - Stucbner Road Spring ,TX 773834132 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 11I- 0521.02 EXPIRES: Q5/I0 /2006 APPROVED: Q6/14 /200 MIAMI -U 4 ;.0 M -L r BUAL i G C ' E Mr , 'O NCE OFFICE n t = +':It BUN. DING I40 �a, r - C' ^ ' t R �rtir JITE 1603 Y. FLORIDA BUILDING 3130.1563 375 -71wa tCFNSI c SECTION 7 FAx 51375.255a COt'(I RACIVR ENFON(:F:NI UIvINION (305) 375 -2966 I :Ax (305) 375.290 PROUvcr CoNTlt01. OIVt510N (305) 375 - 29113 IrAx (305) 372.673' Your application for Notice of Acceptance (NOA) of: Two Component Polyurcthcnc Foam Adhesive under Chapter 8 of the Codc of Miami -Dade County governing the use of Alternate Materials and Types of Constnlction, 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 not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsitc 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 thc 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 Building Code. Raul Rodriguez Chief Product Control Division THIS 1S THE COV4125I1E17, SEE AnDITIONAL ('AGES FOR SPECIFIC AND GENERAI, CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE. This application for Product Approval has beat rcvicwed by thc BCCO and approved by the Building Code and Product Review Committee to be used in Mialni -Dade County, Florida under the conditions set forth above. rrancisco J. Quintana. R.A. Diructor Miami -Dade County Building Cudc Compliance Office nt01S000I1pc200O (ce mplxmLwdea acceptance cow page.0a Internet mail address: postmaster ©buiidiugeodeaniine.com • Homepagc: htlp • / /www.buildingeudeonilne -com' Polyfoam Products, Inc. ACCEPTANCE No.: 01- 0521.02 ROOFING ASSEMBLY APPROVAL Cutcenry Roofing Approval Date: June 14. 2001 Sub- Categorv: Roof Tile Adhesive Expiration Date: May 10,..2006 lvintcriakt: Polyurethane I. SCOPE This approves Polypro® AI {160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved tint, low, and high profile roof tiles system using Polypro® Al-! 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system 113r double patty systems 2. PRODUCT DESCRIPTION Manufactured by Apnlie:tnt Polypro® AH 160 Foampro® RTf 1000 N/A ProPack® 30 & 100 Dimensions N/A N/A Dispensing Equipment 2.l Components or products manufactured by others: Any Miami -Dade County Product Control Accepted Roof — file Nsentbly having a current NOA which list uplift resistance values with the use orPolypro Al 1160 Tool tile adhesive. 2.2 Typical Physical Properties: Test ASTM D 1622 ASTM D 1621 Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 Test Sneeificntionii PA 101 RcaullIs 1.6 Ibs./R.' 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07 "% Volume Change © -40 F.. 2 ; weeks +6.0"/6 Volume Chan c :Humidity. 2 weeks Product Description Two component polyurethane Dispensing Equipment Fronk Zuloaga, RRC Product Control Examiner Polvfonm Products, Inc, ACCEPTANCE No.: 01 0521.02 Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance, Refer to the Prepared Roof Tile Assembly for tire rating. 3.2 Polypro® AH 160 shall solely be uscd with flat, low, & high tile profiles. 3.3 Minimum underiayments shall bc in compliance with the Rooting Application Standard RAS 120. • 3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AF! 160 roof . tile adhesive with their tile assemblies shall test in accordance with PA 101. 3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the use of Polypro® AI -1160 roof tile adhesive with their tile assemblies shall test in accordance with PA 101 and with section 10.4' as modified herein. F— MS 4. INSTALLATION 4.1 Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH 160. 4.2 Polypro® AH 160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tilt assembly's adhesive attachment with the use of Polypro® A11160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed •the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 4.3 Polypro® AH 160 roof tilt adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AHI60 Operating instruction and Maintenance Booklet. 4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 4.5 Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "13" component shall bc maintained between 1.0 -1.15 (A) : 1.0 (13). The dispense tinier shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 4.6 Polypro® Al -1160 shall be applied with Foampro RTFI000 or ProPack® 30 & 100 dispensing equipment only. 4.7 Polypro® Alt 160 shall not be exposed permanently to sunli Frank Zuloaga, RRC Product Control Examiner Table 1: Adhesive Placement For Ench Generic 'file Profile • Tilcl'rofile Placement Detail - Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grunts) Flat, Low, High Profiles 41 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 g Polyfonm Products, Inc ACCEPTANCE No. : 01-0521.02 4.8 Tiles must be adhered in freshly a plicd adhesive. Tile must be set within 2 to 3 minutes atter Polypro® AH 160 his been dispensed. 4.9 Polypro® AHI60 placcmcnt and rninimutn patty weight shall be in accordance with thc'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. 5. • LABELING All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. 6. BUILDING PERMIT REQUIREMENTS 6.1 As required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. 4 Frank Zuloaga,, RRC Product Control Examiner _. .. . __ ..... ..... .- ■••■ . w- .0? .Wn P01 Projticts, Inc. Hall Olivia *As gamma neledarw Go Colo le In Em itii anti: 144 • .1914the ipp/ot ta twOolis he, (Iowa Nal /nth ton Dann ACCEPTANCE No. : 01-0521.02 • • • . Abi IESIVE PLACEMENT DETAIL. SINGLE PATTY es maw oalF Kop adattle awes. la. paha, wilakalas 1) Net trough Maul.* la achlar. 111* maim loose la wad IQ laa Is. tie I) caws etuada awl. Plan 14101.1112 fa 1 In No owlets Hp II cow M. Rao WWI ek MOW, log aottio el lag opt . mne teVef 'Abe to mond Ourell pin WIC Emu'. Iwo 44 al am and taw ales ire LIM Al selp (mix shown) 5 boirsul lar ow plea apluNoos Frank Zuloaga, RRC Product Control Examincr 144 Otts.aa plat* antral PolYroagt Products, Inc. ADHESIVE PLACEYII NT DETAIL 2 SING,t.E PATTY Nail through plmUc cancel :6 ACCEPTANCE No. : 01- 0521.02 Frank Zuloaga, RRC Product Control Examiner Po lyroant Products, Inc. ADI•IESIVE PLACEMENT DETAIL 3 • DOUBLE PATTY Nall through plastic cement r ;In. it Single paddy on under. layman Single paddy on top of tile Pad* under Ole Paddy (between We) Paddy . (under Olt) Eon course 2 In. X 7 lr. nediwn she paddy an hada course only Nall through plastic cement 3 in.1 3 In. SIngle paddy on underlayment Single paddy on lop of the Earl Cowse 7 ACCEPTANCE Nu. : 01-0521.02 Nail through plastic cement Undarlayment 1 c Simile paddy under tile Singh paddy on top of Ill. Eava Courts Single paddy between VII Ere Closuri 2 In. z7 In. medium site paddy WI count only Fascia Pr;u1k Zuloaga, kRC Product Control Examiner hada Wenn* Ern closure Drip edge Single paddy under the Single paddy between Me In.. 7 Inattedium att. paddy obi course only Potyfonni Products, Inc. ACCEPTANCE No. : 01- 0521.02 Renewal of this Acceptance (approval) shall be considered alter a renewal application has been filed and the original submitted documents, including test- supporting data, engineering documents. an no older than eight (8) years. 2. Any and all approved products shall be perrnanentty labeled with the manufacturer's none, city, state, and the following statement: "Miami-Dade County Product Control Approval ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer thc same product (identical) as the one originally approval. 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 scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4. My revision or change in the materials, use, and/or manufacture of the product or process shall automatically bc 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 thc 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 Acceptancc as N%.eIl as approved drawings and other documents. where it applies, shall bc provided to the user by tltc manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1 through 8. END OF TI•IIS ACCEPTANCE : >! Frank Zuloaga, RRC Product Control Examiner •► M Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/29/2003 Applicant: BARRY Owner: ASMUS JOB ADDRESS: 515 NE 101 Contractor JOHN BUSTA Local Phone: 305 - 219 -9699 Parcel # 1132060171100 ' PAY. •'_ TO THE ' '� • ORDER OF j�iv` � I� Bank of America ecurlty'. enhanced JOHN BUSTA ROOFING INC. . 305-757-2728 ! 300 N.E. 91 STREET MIAMI SHORES, FL 33138 FOR 6 1V,PY, S 4't ez" . $ /s/J /o /J7 ACH R/r 0831002 document Building Permit Permit Number: BP2003 -865 Legal Description: MIAMI SHORES SEC 4 AMD PB 15 -14 LOT 16 BLK 94 LOT SIZE 50.000 X Contractor's Address: 300 NE 91 ST Fees: Description Amount FEE2003 -3223 Builders Bond $300.00 FEE2003 -3224 CCF $7.80 FEE2003 -3225 Building Fee $120.00 FEE2003 -3227 Inpector State Educational Fund $8.00 $435.80 Total Fees: Total Fees: $435.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/25/2003 Construction Value: $12,750.00 Work: RE ROOF FLAYT AND SLOPE AREAS TILE IS COLOR THRU S e e b a c f ASMUS BARRY ST r detatl s.1`] DATE CP6 03. 11 26?3u■ •I :063 L00 2 ?71: 003730 23 '280 2116 2073 63- 27/631 FL 988 - 1 $ 3.j ; DOLLARS 8 Page 1 of 1 is pertaining thereto and in strict I assume responisibility for all work NOTICE OF COMMENCEMENT A RECORDED COPY MUST BEPOSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 31 TAX FOLIO NO. / 3 .206 0/7 //0/2 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following inforrnation is provided in this Notice of Commencement. 1. Legal description of property and street/address :O L AW ;EC" P, LoT /, e 95� 5/6 iv/F. /v/ J7. /17,5z07 /7z .3373 2 s 2. Description of improvement: 0,//G6. 3. Owner(s) name and address: /3i9, - - .!"l►`SA(GC.S S /s" /a/ .r-7 /,�j), . 33/38'- -2 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address 5. Surety: (Payment bond required by owner from contractor,. if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: ti 8. 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. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differs t d. ` / pecified) Signat Print r, wner's Name&5/� /. Sworn to and subscribed before me this 3( day of 1 —, 20Q3. s 00. WITNES HARV By Notary Public OP .� Print Notary's Name . rtta.l__.1 My commission expires: iLi_ ZUO� STATE OF FLQlt?A. COf1tdr OF DADE sl!y;fhat t his ,s a true copy of the ;HEREBY CER "L_ da of original filectal i ffice on I ,SA 20 nd 0 ficial Seal. Courts rcw�. nd County D.C. Prepared by %l £ / _ Address: 3 _ / JT - 4 e LEi{ _,.LQ.R.BAI'E KELLER Notary Public - State of Florida ' • Upires Apr 18, 2008 Commissions DD 109725 . , ;;; e Bonded By National Notary Assn. 1111111111111111111111111111111111111111111111111111111 CFP4 2003R03372!4 OR Bk 21280 Pg 3730; (fps) RECORDED 05/27/2003 15:24:43 HARVEY RUVIN? CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE PERMIT APPLICATION FOR MIAMI SHORES VILLAGE DateaS /,23/0 Job Address ✓ /S/t/E /O/cS%P. T Tax Folio Legal Description /� /� Historically Designated: Yes No Owner/Lessee / Tenant 8A,e,�/ k. ASM (,t'.s Master Permit # 1 7 4 9/ 3 0 Owner's Address C7s 'VE /0/ d EE7 Phone 30S 7S - . p Contracting Co. JGf7JV & 7R G /6 1/1t Qualifier NI oii,c/,e9AEcrbl,GSTA State # (5' a Municipal # Competency # Ins. Co. Architect/Engineer AM Address Bonding Company A/A Address Mortgagor /t//4 Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAICROOFIN9D PAVING FENCE SIGN WORK DESCRIPTION Icy ` ka9F f-LAT 451b1S A/(//) cg -OPA,O /4L/-MOge- 9 ti4/,A4 19A4437 /"ZAV7 Square Ft. /600 Estimated Cost (value) / /04O 7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction . d zoning., Fj ermore, I authorize the above -named contractor to do the work stated. . ,/! / !C . Signs e o ��! er an o� ondo President Date CS:Pi ANflb\-0■ a_- .3i I Notary as to Owner and/or Condo President ate My C APPROVED: Zoning Mechanical 1 NO`fARY SEAL SANDRA A BUSTA NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC775257 MY COMMISSION EXP. S■:PT 142v02 FEES: PERMIT / �,'U RADON C.C.F. Building ..c!g ss# (' Phone 2l9 99 el* — 4"' 3 a 7 0/ Date 8/ca Date Signature of Contractor or Owner - Builder cv,,,,,)u,o, - lawdot ,a-51 Addres L x/EQ/ cf7 T Notary as to Contractor or Owner- Builder My Commission Ex, fires: la OFFICIAL NOTARY SEAL SANDRA A BUSTA NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. ;'Y" '75257 MY COMMISSION EXP. ;=E:' NOTARY 0 BOND Electrical TOTAL DUE (i:2 G Plumbing Structural Engineer . NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO TAX FOLIO NO. //3,2•a6 0/ 71/8 STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 5/5 /07 SST. Gim: ea* /39c • / /fI /�4ti // etf a. s, 33/.38 40.1 I/ s %' _ r 4 4/ ♦ 2. Description of improvement: ie.H - gvV - //t/(' 3.Owner(s) name and address: BA,e�Y k . A_s /1411_sS 575 l0/ .ST. /WAR/ . 33/3 g Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address:�O#if/&67A Z✓(,� . 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: 1/9 Amount of bond $ 6. Lender's name and address: KIM 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: /VA 8. In addition to- himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: WA 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different dat = s specifi (S Signature Print Own of er Name 1A R. K. A.../%441.3 Sworn to and subscribed before me this S day of WITNESS' my hand an HARVEY RUVIN, ®y • 3o0 VE 9/ sr Ls�E =r /1/4 J,-/n s -z . 33/3 ' My Commission Expires '52 f& ' t y A0 , A D 20 HAY Notary Public CQn� ' Cl. ��i(1 l( Print Notary's Name `at'�d� CBus La STATE OF FLORIDA, COUNTY OF DADE l HEREBY CERTIFY that this is a trjstcc y of the crgrnal filed it this office on c5!/ , d y of fiche! Seal, rcuit and County Cowls D.C. OFFICIAL NOTARY KCAL SANDRAA BUSTA NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC775257 MY COMMISSION EXP. SEPT 142002 • ,20 018277805 2001 MAY 30 Prepared by70,sa/ Busr9 Address:5 90G /1444i/ 174 33/3 Contractor's Name: A/ pGLS77) l /ilA, ", Job Address: 675 / /E /O /�S'7"•�j, T 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 ar)Re- roofing ❑ Recovering ❑ Repair El Maintenance Flat Roof Area (ft') (2200 Sloped Roof Area (ft 1 /00 Total (ft') /680 Master Permit No. Exposure category (per ASCE 7 -88): e, Building Classification category (per ASCE 7 -88 table 1): / Ft. Ft. Deck type: /®,P TOIi/Ga -- f ATTACHMENT S/ Fastener TypeJ4 AI CAPSW / / SPACING Field: a ti Perimeter: (o DETAIL 1 & 2 ROOF HEIGHT AND SYSTEM DETAILS (Draw details a needed) Corner: r r r ROOF PLAN 7 123.01-78 4199 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Page -1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? N/A MEAN HEIGHTZ2 Deck type: /06 TGN C-2mvE zUnderlaytnent O nif •2 � Insulation: ,/ 12 ROOF SLOP[ D E T A I L 3 SLOPED SYSTEM DESCRIPTION Ago Fastener type & spacing /4 Wimps- � OG 104 " , »i Cap Sheet: A9OA5N Roof Covering: lEiztorfho wag' Drip edge: ATTACHMENTS REQUIRED I) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals L 6 ('l 7 TILE CALCULATIONS (PmaxI: /6. /,c X (Aerodynamic Multiplier)10.263) - M 9S M 1 : 7 0 PCA: iV7 (Pmax2: g 6 . s X a, (Aerodynamic Multiplier)0 ,2 ' ) - M 6 95 M 2 % CA.Z'?• ZQ (Pmax3:9(.5 X a (Aerodynamic Multiplier)O 2&3) - M //4-9.5 M / PCA:' 2 Page -2 APPENDIX "F "REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, to provide the owner 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 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. d 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 34 are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues.such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. -- ,54:_ 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 SFBC. (The roof deck is usually concealed prior to removing the existing roof system) 3. Common Roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The SFBC provides the optiioon of maintaining this appearance. 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 5104 APPENDIX "F" 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with Chapter 23 of the SFBC. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. j / 3/ o / . ate Contractor's Signature FROM MIAMI dflANW -PAI)E. LA/UN t I. ' .t./n.1,1 MEIRO•t3nut RUU.OtNG . % it)tt:Titc :Cutlturuliaat_ 9113S Sunset Drii - C - PRODUC l.' CONTROL NOTICE OF ACC CUNTRACT(R F.NFOItCEMENT SECTION (3034 373-2966 FAX (303) 37$•2908 PRODUCT CONTROL DIVISION Yttur app)ic:ttiun for t'rutluct of: cm) 3.74•2902 rAx 1103) 372.6339 4lhainlira ElaodnasuleIfrtmr! Clay rile - Iuactcr C:lk-iptcr Y ttf the Ctti)e orkiimiti- t)catk County die - rtketna1e. Materials and Types t Construction, and (;oluiitctcl-s•'described ]recent, has been tcconinenticd for acceptance by the Miami -Dath . Cat► nty- lluihling- C't)tk Compliance Office (13CCOJ under the conditions specified herein. 'this approval shall nut bc valid rifler the expiration date stated befncv. IJCCC reserves the right to secure 1 product or material at anytime from a jobsite Or Inanirfacturcr's plant for quality control testing. if this prrxluct or- material tails.to perfurin in thc_approved manner, ICCO may revoke, modify, or suspcm • the use of Such product !natal af it)ttnetli.ti( iy. I3CCO rescrvcsi!)e_right_tu revoke this approval, if it is (leterni ned 13•CC:t} that this product or material - 4o meet -the:requirements of.t)tc_Sottth Florida t3uitdin Code.- - The expense of such - testing will incurred by the- tttanufacturer. AcceptancC Nu: :9`t_k52-5:U8 Ott 96 97122/20)2 - 1'`C :t3173 11EIS-IS TUE C:i)VERS1IEE1 SEE ,U)t)t't'IONrtL PAGESF()IrSI`EC)FLC AND GENERAL CONf)-111ONS 11IJILiING "COLIC & PRODUCT ttEvmw COMMITTEE This application) for Product Approval. has been- revie.ivett the UCCO and a proved by the Building Co and -Produet- Review Cumiitittes:_tt be_u_sed in Dade County, Florida untk -r the conditions set forth above. ApprOved:07/22 /1 1 of 5 Internet mnii a ddress: positnaalt :r®ituiidingcndenatine.coiti (WED) 5 30 2001 15:06/ST. 15:-05/NO: 5112431724 P 1 kte BUILDING CODE CUMt'I.1.1NCF OFFICE. METRO•DAVI; FLACLGR BUILDING t.10 - riEST fl;M GR STREET. SUITE. 1603 I th 1 ►1. FLOR11)A 33130 -1563 (NOS) 373.!901 FAX (30S) 375.2908 CONTRACTOR LICENSING SECTION (303)-31 2527 FAX (305) 375.2338 )Raul Rodriguez Chief Product Control Divisi 10, ranerseo . Quintana. Director Miami-Dade County Building Code Compliance llontepURe: hitpa lwww.huildingendtontiMe.cont FROM Ztt)I�t'I'tL cORi O ll,i't'LQN • • Pruttuct Knot Tile Adhesive ( "PolypruM ALI.160") (WED) 5 30 2001 15:06/ST. 15:05/NO. 5112431724 P 2 APPROVED EXPIRES NOTICE 1'ICE (IF ACCCPTA CL�S'CANDARD- CO D1 -1'-1 -N I. SCOPE 'his new tooling system -using " Piece Darrel Alhambra ", as manufactured by Zion Tile Corporation described in Section 2 of this Notice of Acceptance.. designed to comply with the South Flotilla l_iuilttiu.. Code: 1994 Edition for Miami -Dade County. For the locations where tltc pressure requirements, as determined by SF'DC Chapter 23, do not exceed the design pressure % obtain lyy calculations in compliance with PA 115 or ttAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as an ultlitl based system. Category: Prepared Roofing Sub Category: kfiglt Profile Tile- 2. PRODUCT 1)I SCIti1' 1 t0N 'Test Product. Manufactured bt' Desc i rt1 icn np icssttt Dimensions, S cificatiuns "AlhatnbI4l Tits L - I - g" AST'M C -I 167 nigh profile, two- piece, clay roof tile. For direct deck adhesive-set - applications only. taper '4," thick Trim Pieces 1 varies AS'IM C= L1G1 Accessory trial, concrete rout pieces for w = varies use at hips, rakes. ridges and valley varying terminations. Manufactured for each tilt: thickness profile. 2.1. Components or products manufactured others: Test Product- ncif It_iuns Ucscri lttuio N /A Sce NOA Two component polyurethane udhcsive designed for adhesive set roof the applications. 2 frank 7utoaga, RRC Roofing Product Control Examiner JUL 2 2 1999 JUL 2 Z 2002 Manufacturer I'olyfoaat Products. Inc. • wait current NOA FROM LIUN - ILL CO1t1'U1(A 1 tut/ 3. LIMrI ATIONS 3:1 Fire classification isnot part of this acccptatue. 12 For or adhesive set- tits applications.. a static. Geld uplift test shall be pert muted! in accordance with RA - 106: 1.3 Applicant shall cumin the services ofa Minnti -Dade Count} Certified Laboratory to pectin - in quarterly lest in accordance with 1 A I.12.. app€nctix 'A'. Such testing shall be submitted' to the Building Code Comp-6anm Office for review. 3.'1 Minimum .widerlaymenls shall be in compliance with the applicable hooting A1a(nticatiosts- Stttttdard - s listed section :4:1 herein. 30/90 - hut niggled- underlayment- applical ions_ nay be installed perpendicular to the roof slope unless stntedl hcr%vrstbY the ut d rlay'ueu1 tuaterial manufacturers published 3.6 This acceptance is for wood deck applications. - Minimum deck requirements shall be iu cotirptialxee :wittR chapter 29 of the SF13C. 4. INSTALLATION' 4.1.1 • "Alhambra Tile" and its contponcnts shalt. be. instailu-itt strict compliance with Miami- Dade. County Roofing Application Standard -RAS 118, RAS 119, and RAS 120. r 4.2 Data For Attachment Calculations • Tlti!rotite Two piece-tlarrel Alharnora_Tite RD NU`I`ICE OF A CCI'TAN E. STAND Table 1: Average Weight (W) and Dintenlronsji x w) - Weight -W (tbt Lemtth -1(Yee Width - w (feet 6.90 1.50 0.67 avg. (WED) 5 30..2001 15:06 /ST. 15:05/145112431724 P 3 JUL 1 2 1999 Characteristic Resistance toad F. (tbT Tile Attachment Alrpticatior* Resistance Adhesive Set - 217.20 Mut tar Set r 38 0 r-- 3 APPROVED EXPIRES ON 111 Frank Zuloagr!, RRC It tang Prodluct Control Exotuiner • JUL 2 2 2002 FROM LION TILL E. OKI t c■c• 04ED) 5 30 2.0.01 15:07 /ST. 15:05//.0.5112431724 P 4 N UE'ICE OF ACCEV'1 ANCE: STANDARD CONUWTIOln 5. LABELING Ate• film shalt bear the imprint oridentifiablc marking of the manufacturer's name or logo, or following statement: "Mltttti -Dude Cotmty Prodtict Control_Approve 6. • BUILDING RMIrtt 6.I Application for building permit shall be ncentnpanied by copies :of the:following: 6.1.1 This Notice of Acceptance. 6.1.2_ Any other documents required by the Building Of[ic:ial,or the South Florida [ lEtiug -t uc}c (Si l3(;j:in_arekr to.}troperiy evaluate the installation of this system. PROFILE DRAWING "ALUTAMIIRA TILE" APPROVED : JUL < z t4y1 EXPIRES. Frank Zulpaga, RRC Roofing Product Control Examiner 4 JUL 2 2 2002 FROM . Z' LAN 1 ALL t.,ttita' I *kJ' (ED) 5 30_ 2001 15 • 07 /t?. 15:o5LNo, 5112431724 P 5 APPROVED JUL 2 2 1999 EXPIRES JUL 2 2 2602 r.tt) Or r1CCEL9 ANCE: STANDARD CONDITIONS 1. Renewal of -this Act tattce- (appros•ai) shall be considered after a renewal application has been filed the original submitted documents; including- test -suppor'tingcIats,.engineering documents. arc no eight (8) years. T Any and: all npprovcd-pruducts -- lie - perms te*ttly- 1.abeled with. the ngttfacturer's name, city. state, arn& the fol wmg statement: "ivlianri•Dirdc County Product C Approval ", or as specifically staiedrin the 'specific conditions oftf►is Acceptance. 3. Renewals of Acceptance will not be considered:if:" a. 'There ltas bcca change in the-Si lliflorida- i3 Code_affectingthe evaluation of this product and the product is not in: compliance with the.code changes. b__ The- inaduc:t is ne fulonger the saate.product ( identical )- as-lhe.otworiginadly approved. c, if_ the_ Acceptance holder has not complied With all the- requirements of this acceptance, inclnci'irag- the - correct- trtststl holm t}f IIE 1uoducl . cl. The_ engineer -whu- oeiginaliy preparetl,_signed and seated du reyuircd documentation initially submitted, is- uoJonger practiciag:tlte_engineering profession. Any revision or change - in the materials, use. antiiur manufacture of the product or process shall automatically be• cause forterrttittation of this Acceptance, urtless_prior.written approval has been requested "(through the- ftting o.f revision - application- wiiti,altitropristc.f•cc and granted by this office. 5; Any-of the- following -shall. also be grounds for removafof this Acceptance: a: €fnsatisfaetoryperfcrmet of_thisproductorprvicess. b; ktisuse Ibis Acceptance as cut- endorsement _of any product. for sates, advertising or any _ other purposes. 6. The Notice of Acceptance number Ineccded by the - words -- Miami =t _.Cuttnly, Florida. and fottu►vcd by the expir:rticiri date may be. displayed: in-advertising iilerature_ if any portion of the Notice of Acceptance isdtspktye*, Welt it shaltbc done in its entirety. 7. A copy of _this Acceptance as well as approved drasvings and other docunreuts. where it applies. shall -be pruvided_to .the user by the tuanaacturcr or its distributors and be available fur inspection at- theiub_site at all time. The engineer reseal the copies. $: rtrihtre to comply w Haply- section of this Acceptance shalt be cause for termination and removal of Acceptance. 9. 7ltit Not of Accelttance-coirsisis'ofrages- t - through 4 antd_this last page 5. END OUI H IS ACCEPTANCE frank C Stooling Product Control Examiner .. MIAM n MIAMI -DADS COUNTY. FLORIDA AIETRO•DADE FLAGLER BUILDING BUILDING CODE. COMPLIANCE OFFICE METRO•DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1613 PRODUCT CONTROL NOTICE OF ACCEPTANCE MIAMI. FLORIDA 33130 =1563 (3031375.2901 FAX (303) 373•:906 C. Materials Corporation CONTRACTOR UCwcLNG SECTION 136T . Ips Roud (303137S•2327 FAX 130S/ 3 Wayne `'.1 07.170 CONTRACTOR ENFORCEMENT SECTION (303) 371.2966 FAX (303) 373.E PRODCCT CONTROL DIVIS1oN Your application for Product Approval of: (305) 373•:902 FAX (303) 372.6319 G t F Ruberuirl Modified Bitumen Ruuf Systems For Wow! Deck. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and "Types of Construction, and completely described herein, has been recommended for acceptance by the ltvliami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant For quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, it is determined BCCO that this product or material fails to meet the requirements of the South Florida Building, Code. The expense of such testing will be incurred by the manufacturer. Acceptance No.: 00- 0331.08 Expires:11 /06/2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PACES FOR SPECIFIC :GNU GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW CO�t�,t)TTr:f� aii7ll�...:i.,. iC" i�lOUlt�t f��` ,i)1 !� H '? ! "� I } ; t:.. < < _gee, '; c.� b`. t!�:: BCCO .? �.. approved by We Buildin`, Code and Product Review Committee to be used in Dade County, Florida under the conditions set t`orth above. Approved:07 /06/2000 Internet mail address: postmaster ebuildingcodeonline.cam .rancisco . Quintana. R.A. Director I of >j Miami -Dade County 13uilding Code Compliance Office Homepage: http : / /www.buildin &codeonline.com Catetaorv: Sub - Category: Product GAF Asphalt Concrete Primer GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion GAF Premium Fibered .Aluminum RoofCcatii;g GAF Jetbl: : \., '•'•• _,:!�... ;'1515....: GAI'CLAS GAFGLAS 030 UIthnaTM Base Sheet GAFGLAS Ply 6® GAFGLAS Flex Plyra' 6 ...1571...,._ 5, 55 gallons 5 gallons I, 5 eallons 3 s.. roll 75 Ib. roll 2 Sq. Roll 70 lbs. /roll 5 sq. roll 45 Ib. roll 5 sq. roll 45 Ib. roll ROOFING SYSTEM APPROVAL Rooting SBS /APP, Modified Bitumen Deck Type: Wood Maximum Desien Pressure -75 psf Fire Classification: See General Limitation #1 TRADE NAMIES OF PRODUCTS M ANUf ACTURF,) OR L.-13ELl.D BY APPLICANT: Dimensions Test Specification ASTM D 41 60 Ib. bags ASTNI D 1363 AST\1 1227 Approval Date: July G 2000 Expiration Date: November 06, 2003 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 2324 Fibered aluminum coating. \ST\I D 30:9 >, .. :-::719 A S `1 D -4601 Asphalt intpre.gnatcd and coat glass neat base sheet. AST41 D4601 Asphalt impregnated and coated, fiberglass base sheet ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D 2173 Type VI asphalt impregnated glass felt with asphalt coating. ot'55 Acceptance No: QQ!O33 Frank Zuloaga, RRC Rooting Product Control Examiner c C 4AF MATERIALS CORPORATION Acceptance Nu: 1111 - 0331.05 Product GAIrGLAS Ply 4 i GAFGLAS® Mineral Surfaced Cap Sheet RUDEROID® Modified Bitumen Adhesive GAFGLAS�< STRATAVENTis Perforated GAFGLAS® Flashing various GAFGLAS® 69 Ib. roll STRATAVENT Nail;tblc RUBEROID Modified Base She Isotherm I. Tapered GAFTE\IP., Isotherm R GAFTE ;v1P Isotherm RA Tapered GAFTEv1P Isotherm RA GAFTEMP Isotherm RN I)intensions 5 sq. roll ASTM D 2173 Type IV asphalt impregnated glass felt with asphalt coating. 76 Ib. roll ASTM D 3909 Asphalt coated. glass Tiber mat cap sheet surfaced with mineral granules. 5 gallons 60 Ib. roll 3 sq. roll 67 lbs. various various various various Test Product Specification Description ASTM D 3019 Fiber reinfbrced, rubberized Adhesive Type 111 ASTiN1 D 4397 D 3672 ASTNI D 439 D 3672 Fiber glass base sheet impregnated and • coated on both sides with asphalt. Surfaced on the bottom side w ith mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coatinu. AST'11 D4601, Premium `,lass fiber reinforced SBS- Type II, UL Tvpc ;modified base she G2 BUR PA 110 PA 1 I0 Polyisocyanuratc foam insulation PA 110 PA 110 Polyisocyanuratc foam insula 3of>j Tapered Polyisocyanuratc foam insulation Tapered Polyisocyanurate foam insulation Frank Zuluaga, RltC Rooting Product Control Examiner GA FTEMP® Hieh Density Fiberboard Product Tapered GAFTEtMIP Isotherm RN GAFTEMP® Composite Tapered GAFTEMPrs Composite GAFTEMPID Composite A Tapered GAFTEMIP'® Composite A GAFTEMP® • Composite N Tapered GAFTEMIP® Composite N GAFTEIMMP s Fiberboard GAFTEtMIP Recover Board GAFTITE® H12 Standard Roofing Fastener Dime various various various various various various various various 1/2" thick various Test Specification PA 110 Polyisocyanurate loam insulation with high density fiberboard or Permalite perlite insulation. PA 1 10 Tapered Polyisocyanurate Iocun insulation %with high density fiberboard or Permalite perlite insulation. PA 110 PA 110 Tapered Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. PA 110 PA 1 10 Tapered Polyisocyanurate foam insulation •o.ith hiuh density fiberboard or Per nalite perlite insulation. � 1 ,`` 0 Fiv litjili.11� PA 110 Perlite recover board PA I I0 High density wood fiberboard insulation. PA 114 Insulation fastener for steel and plywood decks. 4 of 55 iwceprancr No: _U)-t_ 1,2,E Product Description PA 1 10 Tapered Polyisocyanurate loam insulation • Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Polyisocyanurate foam insulation with high density fiberboard or I'ernta1ite perlite insulation. Frank Zuloa,a. RRC Rooting Product Control Examiner %.•Ar A Lirr.LCA)I(PO Product GAFTITE® #14 Heavy Duty Rooting Fastener GAFTITE ASAP GAFTITE® Base Sheet Fastener and Plate Galvalume Plates NTB Fasteners Polypropylene Plates 3" and 3 '/" Ruberoid'k) 20 Ruberoide Niop Granule RUBEROID NlOP Smooth RUBEROID MOP 170FR RUBEROID MIOP FR Dimensions 3" and 3 '" 1.5 sq. roll 1 sq. roll 103 lbs. 1 sq. roll 87 Ibs. 0] . :2s. 1 sq. roll 103 lbs. I sq. roll 105 lbs. Test S PA 114 Insulation fastener fur steel. %vo d and concrete decks. PA 114 Pre - assembled GAFTITE Fasteners and metal and plastic plate;. PA 114 Base sheet fastenim; assembly. PA 1 14 Round galvalume stress plates. PA 114 Fastener t'or use in _>psuin. tee(u!n anti light vei�,ht insulating_ cuner_te PA 114 Round polypropylene stress plates. AST!\l D 5147 SBS nloditied asphalt base sheet and interply sheet reinforce with a ,lass fiber mat. ASTN1 D 5147 AST:`1 D 51.17 501 : \eCept.u1Cc \.o. MI- 1)33t.1IM Product I)escri )(ion Non - woven polyester mat coated with polymer modified asphalt and surfaced with mineral ,ranules. Non -woven pOl\ osier !flat coated \\ ith polymer nloditied asphalt and smooth 5(11-Faced. i :ol�n is IllOd::i :d ;1Sphali ;sill sli'i;I eCl \.∎ ith mineral granules. ASTv1 D 5147 Non -Woven polyester neat coated with tire retardant polymer modified asphalt and surfaced with mineral granules. ASTN1 D 5 147 Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Frank Zuloaga. RRC Rooting Product Control Examiner Pry RUI3EROID TORCi•I Smooth RUBEROID TORCI I Granule RUW2ROiD TORCH PLUS RUBEROID TORCH FR RUBEROID 30 RUBEROiD 30 FR Vent Stacks (met :tl and plastic) ULTRACLAD SBS GAF Aluminum Roof Paint GAF Built -Up Roofing Asphalt Dimensions 1 sq. roll 87 lbs. 1 sq. roll 102 lbs. ' / ., sq. r o l l 93 lbs. '/4 sq. roll 90 lbs. I sq. roll 92 lbs. I sq. roll 92 lbs. 5 ;a!'�::; 109. Roil 101 lbs. 5 gallons 100 Ib. cartons. bulk Test Suecitication ASTNI D 5147 r INU: Uq�1_ / 1 y Product Description Heavy duty, polyester reinlimeed, asphalt modified bit<<tiien membrane, smooth surface. • ASTIMI D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface. r1S I ;\I D 5 147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface ASTtMI D 5147 ASTNI D 5147 ASTM D 5147 1'A 100(A) AST4I D 1929 AST,\I D 635 G of55 Heavy duty, polyester reinforced, coated with tire retardant asphak modified bitumen membrane, granule surface. Non woven fiberglass neat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated with tire retardant polymer modified asphalt and surfaced ∎. ith mineral ,ranules. Onc way valve vent used to relieve built -up pressure within the roofs■•stent. GAF Vent Sacks are available H metal \S TN! D 5;47 Wo� en fiber lass ntat coated \\ itit Polymer modified asphalt surfaced with aluminum, copper or stainless steel toil. ASTvI D2324, Non- fibcred. aluminum pigmented. Type 1 asphalt routcuating ASTti\1 D312, Intcrply mopping and surfacing asphalt Types I, iI, I11 and IV Fr :tttk Lutoi,a. RRC Routing Product Control E� ;t,ttiner C GAF MIATERIALS CORPORATION Product RUBEROID MOD Asphalt RUBEROID MOD Asphalt L RUBEROID MOD Asphalt P GAFTEMP Tapered Isotherm R GAFTEMP Tapered Isotherm RA GAFTEMP Papered Isotherm RN GAFTEMP GAFCANTT" • GAFTEMP GAFEDGET" 'rapered Ede Strip GAFTEMP I'ER`IALITE® Tapered Roof ti!sulition Board Shingle- Mater" Underlayment GAFTITEZ ASAP RUBEROID® Modified Bitumen Adhesive er Dimensions 60 Ib. kegs 60 Ib. kegs 60 Ib. kegs Various Various Various Various Various Various V ;nrious sizes 4 sq. roll 30 lbs. 500 per box 5 gallons Tes t Sn ccification PA 110 Tapered polyisocyanurate foam PA 110 Tapered polyisocyanurate foam PA 110 Tapered perlite board i .\ 0 7 of 55 SEBS modified asphalt SEBS modified asphalt SEBS ntodilied asphalt Tapered polyisocyanurate foam Cut perlite board Tapered perlite board Acc4:1 %mcc Nu: Ut1- 11331 Product I)escrintion Fiberglass reinforced shingle underlavment PA 1 1 4 Pre - assembled fastener and metal and plastic plates ASTM D 3019 Fiber reinforced, rubberized Adhesi■ e Type III ran • Zuloaga. RRC Rooting Product Control Examiner s rcr 1 'lb srsv3 I A 1 iu TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS: Pyrox Test Product Product Dimensions Snecilicatiolt Description ACFoam 1 various various PA 110 Polyisocyanurate foam Apache Products Cu. insulation (with current PCA) PA 110 Polyisocyanurate train Atlas Energy - insulation Products (with current PCA) ACI'oam 11 various PA I I U Polyisocyanurate foam Alas linere.v insulation Products (with current PCA) Hy -Therm Nail -line various PA 110 Polyisocyanurate Barn Celotex Corp. insulation (with current PCA) Hy -Therm SP various PA 110 Polyisocyanurate loam Celotex Corp. insulation. (with current PCA) Hy- Therm AP various PA 110 Polyisocyanurate foam Celotex Corp. insulation (with current I'C, \) Hy-Therm Stable R various PA 110 Polyisocyanurate foam Celotex Corp. insulation Hy-Therm various P,\ 110 Pol;.koc■ art rt: ;, DekIast Fasteners 414 Dektast Hex Plate 2 7/3" x 3 1/4" Dekfast Lock Plate 3" x 3 1/4" PA 114 Insulation fastener for steel Construction Fasteners Inc. (with current PCA) PA 1 14 Galvalume hex stress plate. Construction Fasteners Inc. (with current PCA) PA 114 Polypropylene locking plate. S oi55 and concrete decks Acceptance Nu: 0 -U .11 tNianufaeturut. (with current PCA) Celotex Corp. PCA \) PCA) Construction Fasteners Inc. Frank Zuloaga. RRC Rooting Product Control Examiner CAF MATERIALS CORPORATION Prod Deklast Fasteners #15 concrete decks Dek fast Fasteners #12 PA 114 Insulation fastener fur steel Construction and wood decks. fasteners Inc. (with current PCA) ISO 93+ Composite PA 110 Polyisocyanurare / perlite firestone ridded insulation (with current PCA) Asphalt ASTMI D 312 Type 111 or IV Hot asphlat generic bitulnin adhesive Asphalt Primer AST\-I D 41 Asphalt Primer 'iencric EPS various PA 110 Extruded polystyrene 'generic insulation High Density Wood various PA 110 Wood fiber insulation board generic Fiberboard Pcl ite /Urethane Composite Peri tc Insulation various Red Rosin various Tin Caps Min. 32 ga. x 1 % / ., Test Product Dimensions Shecilic,ttion Description I'A 1 14 Insulation fasteners for various PA 1 10 Perlite / urethane composite generic board insulation P.\ 1 1 0 Perlite insulation bear,', Rosin paper for barrier layer on wood decks Acceptance No: 0-033 I.OY Mont rac Construction •I asteners Inc. (with current I'CA) _eneri: 'generic Rootinu, Nails Itilinimum 4 PA 114 Corrosion resistant annular centric 12 rin', shank nails Corrosion resistant circular eetter►e discs. MB aluminum roof PA 121 Aluminum roofeoating Grundy Industries coating with current PC 9 of 55 ran Zuloa,a, RRC Rooting Product Control Examiner E'NRG'Y -3 Test Product Product Dimensions Specification Descriution - -- Manufacturer (Jens -Deck various PA 110 Gypsum insulation board. Georgia Pacific (w;ith current PCA) #12 Roofgrip 1'r\ 1 14 Insulation fastener fur steel • 1TW 13uildex or wood decks (with current PC1 \) # 14 Roof�,rip Gripdek Fastener Hexcel Fastener I Olympic Standard 3" round Olympic Fastener #14 PA 114 PA 114 PA 114 PA 114 various P;\ 110 10 o(55 Insulation fastener steel, ITW I3uildex wood or concrete decks (with current I'CA) Insulation fastener Insulation fastener Insulation fastener and metal or plastic plate .%ccep - Gnic u: - 1nr - - 1.08 ♦ . J .. ITW Ouildex (with current PCA) IT\\' f3uildex ith current I'C.A ITW (3uildex (with current PCA) Standard Plastic 3" round PA 114 Polyoletin plastic plate ITW Buildex Plate (with current PCA) ISO 95+ various PA 110 Polyisocyanurate foam International insulation Perntalitc (with current PCA) Polvlsocvannratc foal! "4RG Barriers, Inc. insulation (with current PCA) PA 114 3" round ealvaluinc Olympic AZ5S steel plate `Ianut'acturin' , Group, Inc. (with current PCA) PA 114 Insulation fastener Olympic Manufacturing Group, Inc. (with current PCA) Frank Zuloa a. RRC Rooting Product Control Examiner c:.AF %IATGRIALS CORPORATION Acceptance No: O0-0331.03 Product Olympic Polypropylene Olympic Fastener � 1? Olympic Fastener ASAP Olympic CR Base Felt Fastener and Base Sheet Disc GlasFast Fastener Paroc Base Board Paroc Can Bon. U1:raG led Insul-Fixx Fastener Insul -Fi.xx P Test Dimensions Sneeilicatiun 3.23" round PA 114 Polypropylene plastic plate various various carious 3" round PA 1 14 Insulation fastener PA 114 Pre - assembled Insulation fastener and plate PA 114 PA 114 Product I)escrit)tion Insulation fastener assembly for Base Sheet fastening only Insulation fastener assembly with recessed plastic plate P:\ 1 10 Rock wool insulation P A ! 0 R, c',Aooi ,:s. ...._ PA 1 1 0 Polyisocyanurate foam insulation PA 114 Insulation fastener for steel and wood decks PA 114 3" round polyethylene stress plate I 015 tjlanufacturcr Olympic Manufacturing Group. Inc. (with current I'CA) Olympic Manufacturing Group. Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Olympic iylanutacturin, Group, Inc. (with current PCA) Owens - Corning Fiberglas Corp. (with current PCi \) Partek. Inc. (with current PCA) Partek, Inc. Schuller International Inc. (with current PCA) SFS /Stadler (with current PCA) SFS /Stadler (with current PC: \) rank Zuloaga. RRC • Roofing Product Control Examiner Tru -Fast P'astic Plate Tru -Fast MP -3 Tru -Fast HD Product Rawl Fasteners #I? Rawl Fasteners # 14 Rawl ?" Plate Rawl 3" Plate Rawlite 3" Plate 202 HS Super Prep II Test Product Dimensions $ )ecilicatiu Description PA 1 14 2" round 3" round 3" round 3.04" round 3.23" round Insulation fastener tbr steel and %vood decks PA 114 Insulation fastener tbr use in steel, wood or concrete PA 114 2" round galvalume AZ55 membrane plate PA 114 3" round galvalume AZ55 steel ,Mate PA 114 PA 121 Roorcoating PA 121 Roof coating PA 114 PA 114 PA 114 I2 of55 3" round galvalume AZ55 steel plate for use with Rawlite fasteners 3.04" round polyethylene plastic plate 3.23" round galvalume AZ5O steel plate Insulation fastener for use in wood, steel or concrete decks :acceptance Nu: UU u- Manufacturer The Rawlplug Company Inc. (with current I'CA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current I'CA) The Rawlplug, Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) Thermo - Materials, Inc. (with current PCA) . 111crino- :Nlatcritr1 . Inc. ctirrent PC. \) Trtr -Fast ith current PCA) Tru -Fast (with current I'Ci \) Tru -Fast (with current PCA) Frank Zuluaga, RltC Rooting Product Control Extiniincr C GAF MATERIALS CORPORATION Acceptance No: 00- 0331.03 Product Dimensions Tru -Fast Ultra Tru -Fast DP Tru -Fast TP Structodeck EVIDENCE SUl3`IITTED: Test Aacncv Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Tcs t (ideation PA 114 I'A 114 I'A 114 various PA 110 Test Identifier Current Insulation Attachment Requirements Wind Uplill 1 `.I RC 4 -170 - PA 114 Wind Uplill F'IRC 4470 - PA 114 Wind Uplift FMIRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplill FM RC 4470 - PA 114 13ot55 Product Deseritltion Stainless Steel t for use in steel. wood and concrete decks Insulation fastener for use in steel or wood (leeks insulation fastener for use in steel or wood decks High density. wood Fiber Description F'1RC 1996 J.I. 01"4\ J l 1 V S r\ 4 •1 J.I. IRIA6.A,\1 J.I. 0T2Q4.AM J.I. 0Q6A6.AM J.I. 3X3A3.AM Manufacturer Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fast ((pith current PCA ) Wood Fiber Industries (with current PCA) Date 01.01.96 08.26.92 2S.93 1 1.15.91 10.17.91 07.16.91 03.02.94 Frank Zuloaga. ItRC Routing Product Control Examiner GA NtATERIALrS CORPORATION Test Aeencv Factory Mutual Research Corporation Test Identifier Wind Uplift FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift, FMRC Corp. 4470 - PA 1 14 Factory Mutual Research Wind Uplift. FMRC Corp. 4470 - PA 114 Trinity Engineering Underwriters Laboratories, Inc. Dynatech Engineering Corporation Dynatech Engineering Corporation Wind Uplift PA 114 Fire Resistance Classification • UL 790 - PA 114 `VIIICI Uplift PA 1 1 4 wind Uplift PA 114 1.1 of 55 Description J.I. 0Y9Q5.ANl J.I. 1139AS.ANI J.I. 3 D4Q3.AN1 4483.04 97 -1 R1306, 87NK11819 x:3600.02.95 -1 4483.02.95 -1 Acceptance No: t►t►-o t.t►8 Date 07.29.94 09.04.97 04.30.97 06.06.97 01.01.93 02.02.95 02.02.95 FrankLuloaga. RRC Routing Product Control Ex.in,iti:r CAF MATERIALS CORPORATION Acce Nu: 00- 11331.13 SYSTEMS: Membrane Type: Deck Type 11: Dcck Description: System Type A(I ): SI3S Approved T\ pe(s): Paroc `linintunt: ','." ..\ 4 ' x 4' N/A \Vood, Insulated, New Construction or Rerool' / " or greater plywood or wood plank Anchor sheet mechanically fastened. all lavers of insulation adhered with approved asphalt. All General and System Limitations shall apply. Insulation Fastener Fasteniii Fasteners Fastener Laver Tune Detail No. Per Board Density (see RAS 1 17) One or more layers of any of the following insulations. Approved Type(s): ACFoam -1, E'NRG'Y 2, CAFTENIn Isotherm R, E'NRG'Y 2 Plus, GAFTEMP Isotherm RA, GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEI`IP Composite A, GAFTEMP Composite N Minimum: I" x 3' x 4' N/A N/A Approved Type(s): ISORoc, GAFTEtIVIPO Tapered Minimum: I" x 4' x 4' N/A N/A Approved Type(s): High Density Wood Fiber, GAFTEMP® High Density Wood Fiber, G: \FTE\ii' RecoverBoard Minimum: '/" x 4' x 4' N/A N/A Approved Type(s): Wood Fiber, GAFTEtNIP O Fiberboard Minimum: '/" 2' x 4' N/A N/A 15 1155 Approved Type(s): Pcrlitc, G.AFTE:\IP® Permalitc iNlinimunt: 3/4" x 2' x 4' N/A N/A Approved Type(s): Fiberglas ivlininium: 15 /16" x 4' x 4' N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Approved Type(s): Tapercd Isotherm R, Tapered Isotherm RA, Tapercd isothcrmRN, GAFTEMP Composite Tapercd, GA FTEMP Composite A Tapered, GAFTEMP Composite N Tapercd Minimum: 'h" x 4' x 4' N/A N/A N/A N/A Approved Type(s): Pcrmalite Tapercd Roof insulation, GAFTEMP® isotherm Tapered Minimum: '/A x 2' x 4' N/A N/A N/A FrankLuloaga, RRC Rooting Product Control Examiner N';:\ N/A N/A N/A '., PVT rile%I C. MIA wrzrl7KATION NoteWAll i ulatiun shall be adhered to the anchor sheet in full nwppings of approved hot asphalt within the EVT range ant at a rate (420 40 Ibs. Please refer to i iami- at e aunty Roo in;; Application tandard RAS 117 for insulation attachment. Insulations 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 :t toli laser placed tvith the polyisocyanuratc side facing down. CAF requires either a ply of GAFGLAS STRATAVENT® perforaded laid dry or a layer of GAFTEMP© I'ER,MALITE or wood fiber overlay board on all isoc anurate :rt)t)Iications. Anchor sheet: GAFGLASg Ply 4ls�, ('Iy 6®, GAFGLAS Flex Ply " GAFGLAS #30 Ultimar" Base Sheet. STRATAVENT1s• i at a e, EROID Nlodilied Base Sheet or RUBEROID® 20 base sheet applied to the deck with approved annular ring shank nails and tin caps at a tastcuer spacing of 9" o.c. at the lap staggered in two rows 12" in the field. Base sheet shall serve as anchor • sheet for attachment of insulation Base Sheet: (Optional) Install one ply of #75, GAFGLAS #80 ULTIMA'" Base Sheet, GAFGLAS® PLY 4®, GAFGLAS® PLY 6®, GAFGLAS Flex Ply"" 6, GAFGLAS® STRATAVENT® Perforated(laid dry), RUBEROID Mloditied Base Sheet or RUBEROID® 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate ot'20- 40 Ibs. /sq; (see General Limitation #4). Ply Sheet: • (Optional) One, two. or three plies GAFGLAS PLY 4as, GAFGLAS® PLY 611.) Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 Ibs. /sq.. Nlembranc: One or more plies of RUBEROID® 20 , RUBEROID 30, RUBEROID 30 FR RUBEROID MOP Smooth, Ruberoid® Mop 170 FR. Ruberoid® Mop Granule. RUBEROID MOP PLUS, RUBEROID MOP FR. RUBEROID ULTRACLAD.i. fully adhered in an approved asphalt at an application rate of 25 lb./sq. ± 15 %. Sur. ,t�in_: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the follo\■in,: : ?ppli :'d it 400 !b.f.s,I, and 304 L 'sa.. _sp,_Ct3 e v a tii; C! .:o,!: or approved asphalt at 60 lb./sq.. NIaxintuni Desi,n Pressure: -45 pst' (See General Limitation #7) Maximum Fire Classification: Sec General Limitation #I. Maximum Slope: Sec General Limitation #1. Specification No.: IG ul Acceptance Nu: 00 • 2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an application rate of 25 lb./sq. ± 15 %. Frank Zuloaga. RRC Rooting Product Control Examiner CAI: MATERIALS CORPORATION WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required %with Ply 4'K', Flex I'lyr" 6 and 1'Iy G!i %%hen used as a mechanicalk listened base or anchor sheet. 2. V: Type X gypsum board is acceptable to be installed directly over the stood deck. GENERAL LItNIITATIONS: ,:ceptance No: On-0331.0S Fire classification is not part of this acceptance, refer to a current Approved Rooting , '\Iaterial; Directory for tiro ratings of this product. Insulation may be applied in multiple layers. The first laver shall be attached in compliance ttith Product Control Approval guidelines. All other layers shall be adhered in a full mopping ol' approved asphalt applied within the LET range and at a rate; of 20 -40 lbs. /sq., or mech :wicalk 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 andior 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 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 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 or 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 ,Mlininluln Characteristic Force (F•) value of 275 Ibf., as tested in compliance with TAS 105. If the fastener value, as lield- tested, is below 275 Ibt: 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 1?laximum design talus listed within t`:e specific system. Should the fastener resistance be less than that r;:gtiired. as determined by the duildin_ Official, a revised fastener space i�`. '�,�_:+ C 'ire:r ,,; ;',r;;I? sed f;,s ;�_ prepared, si ,_:'. mid s•_;:Icd h. a (-1ori�' ;1 .� itect ma`, b'.: subllltlell. ' lt - Said I'C`'IS:'�1 i•1�:'I ?• paCi1?1 I,:j::;taili:c volt! Liken Cron) i\•lianii-Dade Protocol - F AS i 05 wItI calculations in connpliancc 1`Iianli -Dade Rooting Application Standard RAS I 1 7. 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 Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Itliami -Dade Roofing Application Standard TAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 3 All attachment and sizing of perimeter Hailers, metal profile, and /or flashing termination designs shall conform with Miami -Dade County Roofing Application Standard TAS I 1 1 and the wind Toad requirements of Chapter 23 of the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. I field, perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners, and corners). limitation is specifically referred within this NOA, General Limi applicable.) 54 ot'55 Frank Zuloaga, RRC Routing Product Control Examiner • •• " ' e% L LUI(I TIO\ NOTICE OF A CE['TANCE STANDARD CONDII IONS Renewal of this Acceptance (approval) shall be considered after a renewal appliu►ttiun has been tiled and the original submitted documentation, including test supporting, data,.engincering documents, are no older than eight (8) years, 2 Any and all approved products shall be permanently labeled with the maim name, city, state, and the IbIlowing statement: "Nlianli -Dade County Product Control Approved ", or as specifically stated in the specific conditions or this Acceptance. 3 Renewals of \cceptance 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 kvith the code changes: b) The product is no longer the same product (identical) as the one oricinally approved: c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation ol'the product: d) The engineer who originally prepared, signed and sealed the required docUI11CI t :ltion initially submitted, is no loner practicing, the engineering procession. 4 Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination or this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this orrice. 5 Any of the Following shall also be grounds for removal or this Acceptance: a) Unsatisfactory performance otthis product or process: b) ,disuse of this Acceptance as an endorsement or any product. for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words .\!;a,;:;.r follow d by We e H :piration date may be displayed `. ;�I, County. Cr;da, and Notice ,:eotance Is displayed, then It shall dr) . I, ll il'' %i !Ill of this Acceptance as well as approved i ra..6.,s a;ld Jiii;:' GGC;II;1C11IS \\1 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 encincer. 3 Failure to comply with any section ot Acceptance shall be cause For termination and reino\aI or Acceptance. 9 This Acceptance contains pages 1 through 55. END OF THIS ACCEPTANCE 55 of 55 : \ccept,ul:e Nu: (111-0131.01 Frank Zuloa,a, RRC Routing Product Cuntrol Cx:ultin�r • NAAR' -GINE-RING MATERIALS (TEVT) Roofir..,.: Sysferns kTGFL.1-Continucti Insulation: 7.107l' lavers 1 glass fiber, 3i4 in. min, isocya- nurare. uret per:::e tsocvar.urate composite, perlite/urethane com- posite. phenol::: :-: Base Sheet (Optional): t_Nne or 7.107c.` ers of Type GI, G2 or G3. Membrane: 1/4:e 07 more lavers of 'Ruberoid Torch" (smooth or granule). "Rtfnero:d Torcit 7:us ,granuie), "Ruberoid Mop" (smooth or granule) or "Ru:sero:d Mop Plus' ranu le ). Surfacing: .AL MB Roo: Coating" at 1-2 gal/sq. / 9. Deck: C-15 3: . Incline: 1. 2 Insulation (Optional): 07.0 07 7.107e lavers perlite, glass fiber, 3: 4 in, isocyamdra:e :socyanurate composite. perlite • urethane c.`7...7..'S::C 2 :7. 7,::11. Base Sheet: _ : o- 77:7c • G.AFGLAS. r-75 Base Sheet hot mopped 7. 17. Ply Sheet: - GAFGLAS Ply 4". hot Membrane: Surfacing C•7::.• or . GAF : : Deck: C.: T. Insulation 107:.. Base Shee P1%. Sheet: _ ••. 4 • • .• Membrane: 7 Surfacing :: Deck: C•::: :2 Inculation: • Base Sheet: . : Ply Sheet 1 (.);:ic.rta;.. •, Nlembrane: ....... Surfacing , -. 7 :2 Deck: 32 Insulation (Op:::.2.: Base Sheet: .... mop Pk Sheet: Ntembra:•.e: Surfacing 7- nc:Ine: : 2 : 2 H =75 B.:,•Sh,e: C.-kFCLAS Ply 4' • at -i 2 dal Deck: C Insulation (Or::-: : . • offset 6 "7 Base Sheet: 7, 7- p- r 3 CL . A5 Base Sheet '. ho: mopped :7. Ply Sheet (Optional. : - - r :: (3: "GAFGLAS Ply 4 or "Ply 6 hot Membrane: ' 7:7 zt 7 . Surfacing (Optionai': 3.7f,d Coaring" at 1-1. 2 gal; sq or G.AF a: 3 gai 4. Deck: NC Lncline: 1 2 Insulation (Optional): fiber board, perlite, glass offset 6 in. fiber, any thickness :7 fastened in place. Joints Base Sheet One 07 la% F75 Base Sheet", hot mopped in place. Ply Sheet (Optional): :: GAF GLAS Ply 4" or ''Ply 6" hot mopped m. Membrane: —FS' granu:e,. Surfacing rOprio:-..L. Emulsion applied at 3 gal sc or GAF Fi be red C. : ; 2 g al sq. 5. Deck: C-I5 3: Incline: 2 D .2t D 21. De In a B PI Ni De In fi B or P1 m 11 LOOK FOR THE UL MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) Roofing Systems (TGFLr) Insulation (Optional): Perlite, fiber glass. perlite:isocyanurate composite or phenolic. Base Sheet: One or more layers Type G2 or C3 _ or mechanically fastened. Ply Sheet (Optional): One or more layers Type c: place. Membrane: "Ruberoid •Icip FR" or "Ruberoui N1o7 16. Deck: C-15/ 32 Incline: 1 2 Insulation (Optional): Perhte, fiber glass. ist,:yar.,;-.- perlite 'isocyanurate composite or phenolic. ofise: - .7 Base Sheet: One or more layers of Type G-2 ,.- mopped or mechanically fastened. Ply Sheet (Optional): One or rnore layers of place. Membrane: On.,. ia■er Ru'peroid S77101.:H.. Membrane: On, Torc'n. Deck: \C Incline: Insulation (Optional): Ras Sh e ee •• '. , . • • . : . (Optional': , ...• •:• mt.:\ NIembrane: •• • : Deck: \C In •'ine: : Insulation (Optional': l'erlite urethane. 'oeriite corn Base Sheet (Optional): One or in.•re ot : sheet. hot mopped or mechanicall■ Ply Sheet (Optional): Or,. or :::o: 0: Tt Nlembrane: ia‘eroi •'Ru'oero I Torch .-rno. • Membrane: One layer oi 'Ruberoi,: Torch Cr "Riaberold \lop 17( FR" , ..aranule . eck: Incline: 1 2 Insulation (Optional): One or .7:7 • Base Sheet: Oh: G: C.: : 7 , C. s: or GU-soh-H. p lembrane: • lo H. • eck: 3: Incline: ; 4 nsulation: thickne:!s. ase Sheet: • CAFCLAS 'rlype G2), mechanic: .t lembrane: One or more plies of 7 Rubberoid Tr' -- lembrane: "Rt:beroid Torch 1TUFR" (granule). ck: C-15 32 Incline: 1 2 sulation (Optional): Polyisocyanurate, wood fiber ny thickness, hot mopped or mechanically fastened. _ ase Sheet: One or more plies of Type G2 "GA: Ruberoid 20 FR" base sheets, hot mopped or mechari:a. '- embrane: One or more plies of - Ruberoid 30 FR no; 7. ace. ck: C-13/32 Incline: i sulation (Optional): Polyisocyanurate, wood fiber. per... ber any thickness, hot mopped or mechanically fastened. ase Sheet: One or more plies of Type G2 "GAFGLAS mechanically fastened. y Sheet One or more plies of "Ruberoid 20" or "Ruberoi. - opped in place. . • p M ia e c ni e brane: One or more plies of "Ruberoid 30 FR 'no: 23. Deck: C-15132 Incline: 1 2 Insulation (Optional): Fiber glass or perlite, mechanically Base Sheet: One or more lavers Type G2, hot mopped fastened. Test Date: December 16 th , 2003 Project: 515 North East 100 Street, Miami , Fl. Contractor: John Busta Roofing Permit #: BP200 3 -3,22,3 Roof Pitch: 4 : 12 Tile Installation Date: December 12 ' 2003 Attachment Method: Polyprofoam Tile Type: Clay Barrel TEST RESULTS: PASSED A . Tomassi Roof Testing, Inc. 1557 North Dixie Highway Pompano Beach, Florida 33060 TAS — 106 -95 Tel. 954 — 788 — 3944 Fax. 954 — 784 — 0325 Roof Tile Uplift Test Report All testing is in strict accordance with the 2001 Florida Building Code, High Velocity Hurricane Zone Testing Application Standard (TAS) 106 Each Test location was pulled using a Chatillon Force Gauge to a minimum of 35 lbs. TEST SUMMARY: Roof Area Total # of Tests See Attached Sketch For Further Details: Report Reviewed by: # of Tests Passed % Passed Field & Ridge 5 5 100% Corner 6 6 100% Perimeter 5 5 100% Dominick Scarfo, AR001 '0248 Dade County Certified Testing Agency #03- 0317.03 Revises: 02- 0814.10 Testing * Design Specifications * Management * Quality Assurance T = Tested Tile and Passed F = Tested Tile and Failed M = Missing Tile B = Broken Tile TAS —106 Test Locations 10' Main House Flat Roof T T T T T T T T T T T T T T T T 8 ---- -- 1St Floor Roof 10' 1-- 2nd Story Roof 20' N i Project: 515 North East 101 Street Miami, Florida TEST POINT (lbf) ACTUAL (lbf) 11) 110.0 110.0 12) 0.0 0.0 13) -110.0 -110.0 14) 15) 16) 17) 18) 19) 20) ..) A .i TEST POINT (lbf) ACTUAL (lbf) 1) 110.0 110.0 2) 0.0 0.0 3) -110.0 -110.0 4) 5) 6) 7) 8) 9) 10) t CALL Date: Model Number: Capacity: Accuracy: Resolution: Serial Number: it TION CERTIFICATE September 30, 2003 DPS -110 CONDITIONS 110.2 lbf Temperature: 64° F 0.2% F.S. ±1LSD Humidity: 33 %RH 0.1 lbf 141770E This document certifies that the above instrurnent has been calibrated and tested in accordance with factory calibration procedures conducted under the conditions noted using standards which are traceable to the National Institute of Standards and Technology (NIST). This document not to be reproduced without written authorization from IMADA INC. Report#093003- 141770 TEST RESULTS Signed by: QMF11 IMADA, INC. •3100 Dundee Rd., Suite 707 •Northbrook,`Illinois 60062 http: / /www.imada.com E -Mail: imada @imada.com 1- 800 -373 -9989 /./q• 1 1 1 1 1 N./VVV V`I MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement or trte plans and specifications herewith submitted 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. 11A2 Owner's Name and Address Mr. Asmus _ No ... 5 .. l . � ..._..__. Street—N. E ......1A..t.st�_. Registered Architect and /or Engineer t,.t. .T.•••...•.,"Mt ! !M•• !• Name and address of licensed contractor Gambill Roofing RepairQ ., „�,,,,�i�_ „zm�],. . Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 5. 15... 1.1...— E.. ...111.1.5.L..Str.e.e.t. State work to be done and purpose of building (by floora) .. .ReEair existing flashing_on front and rear lower levels of rgof ReR, .a,ce .,al 7 b rsken... til .e.ss...an._vggar. • and for no other purpose. New Bui!ding Remodeling Addition Repairs Y.e•s No. of Stories To be constructed of Kind of foundation Roof Covering... Qravel Estimate Total cost of improvements $ 1 r 6 X 0.00 ^mount of Permit S. 201 QO tile. Zone cubage required .Plan Cubage Distance .to next nearest building.. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of Labor under the Florida XVorkrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sopplentent, and has complied with the ptrovisions 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 -t ork such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su •ntractors, on work t• be performed under this permit, as are licensed by Miami Shores Village. Rern,uks __._.__ (Signer STATE OF FLORIDA, 1 . COUNTY OF DADE. j ss. Building Inspector 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 fads therein by him stated are true.. • Permit No 3�� Date 7/r )/ /'') Read, Sworn to and Subscribed before me. Disapproved 1: Date Notary Public, State of Florida (Signed) :• My Commission Expires _...._.._._.__. _.— PLANNING BOARD DATE Chairman Member Mferr.ber Member Member ..... .._ Member ...._ — Council Approved Date Disapproved Date NOTE: A Th.trgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained 1min the Pl.innir.:4 Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials and /or worksnanship. 1 Q 1- rn s 9 Li Location and legal description of lot to be built on: Lot Block 97 Disapproved 1 �, (Signed) rVv c l Building Inspector MIAMI SH1O E$ VILLAGE BUILDING INS'EG DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. / Date. __._..O,l 7 ! ,19 Owner's Name and Address ,f✓ j � $040 S No .. Street N F / p ( S {` Registered Architect and /or Engineer Name and address of Licensed contractor 11 ' et), oevPt€ 7 V/ 4.bEj€ , lam 2. Subdivision Street and Number where work is to be done _ 5 �, £ , ' c State work to be done and u ose of building (by floors 6/6 f 9 O P 5 ss /� S' - - - P rP g ( Y � � `C c AZ 111.tP _ T�'s'iS..• ��i�S &_ _/.?d1 , EL & 4 cck S7 � /rte . €_A�_��'F�t��.taF�?Yr=t�. /S%ren& 4DSE /�.t°oOurDavc.y oFCAztbk-1-2`�pCzossrl2ao,Es . r V0vve- .-1_ s•_• P.,.91/e 6 and for no other purpose. p New Building Remodeling.__ S Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering ....... Estimated Total cost of improvements $ / 1 - 565© Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest 'building Size of Building Lot Maximum live load to be borne by each floor I hereby subs.:: 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 cinder 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 subcontrf ors, on work to be perfprp ed under this permit, as are licensed by Miami Shores Village. Remarks Date (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated e e. r7 / Permit No ' Date ® Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNI; G BOARD DATE Chairman Member Member Member Member _ Member Counc:1 Approved Date Disapproved NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval 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. Date has been obtained from 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 ._.... //0" Registered Architect and /or Engineer e Name and address of licensed contractor__- - /C j,.4 Location and legal description of lot to be built on: Disapproved , Date (Signed) MIAMI SHORES VILLAGE Date- r Lot Block Subdivision Street and Number where work is to be done 29 __ . - • 1 _- State work to be purpose of building (by floors) ..4- '' Ley 7a��'` ,.„., New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering -. e- 0 ' ¥ 9° s' Z a Estimated Total cost of improvements $ ' Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent SuPplement, and has complied with the rovisions 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 s contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed)e- No. _- 2 Notary Public, State of Florida ,19 Street- - • and for no other purpose. 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 r 3 Date Read, Sworn to and Subscribed before me. Building Inspect My Commission Expires NNING BOARD DATE Chairman Member Member Member Member .. _._.__. Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address.- Registered Architect and /or Engineer - - - C Q Name and address of licensed contractor �LI , / G Location and legal description of lot to be built on: Lot Block be sent to Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Street and Number where work is to be done State i w to be done and purpose f b lding (by � fl rs Date -.._. No S Street Notary Public, State of Florida 196 I and for no other purpose. New Building Remodeling Addition Repairs No. off Stories. ..., To be constructed of Kind of foundatisir Roof CQyering !mil V 4' Estimated Total cost of improvements $ o Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby su it all the p ns an pecificat'•ns for said building. All notices with reference to the b (sing and its construction may ll ..- - 7,5s'i LA 6 - V . The undersigned applicant for this buildin peen' does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, 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, j 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 onstruction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated ar true. f Permit No.._... �.i.I..., 1sate _ Z' 7 ` ,. Read, Sworn to and Subscribed before me. Buildi 7 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty_ materials and /or workmanship.