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ROOFINGProject Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - Repairs Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $2.50 $106.30 Authorized Signature: owner / Applicant / Contractor / NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. Building Department Copy Monday, March 12, 2007 Address Issue Date: 3 /1212007 PermitNO. RF -3-07 -457 Pemrit Type: Roof 1No,k Classification: Roof - Repair Permit Status: APPROVED Expiration: 09/08/2007 Parcel Number 78 NE 101 Street Miami Shores Village, FL 1132060131330 Block: Lot: TELMA HOLMES 78 NE 101 ST MIAMI SHORE FL 33138 -2319 Contractor(s) Phone QUALITY ROOFING CONTRACTORS 11305-751-0382 Cell Phone Type of Work: Repairs Additional Info: color thru Classification: Residential Agent Phone Applicant Valuation: Total Sq Feet: $ 3,000.00 Available Inspections : Cell .5 Inspection Type: Final Roof Roof in Progress ' ° 15PAis In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that al he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futljijrmore, autho;i e the abov- named contractor to do the work stated. March 12, 2007 Date AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 1 Miami; Shores Village Building Department ' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIVED BUILDING MAR 0 7 2007 PERMIT APPLICATION FBC 2004 BY' Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofin Owner's Name (Fee Simple Titleholder) Jackie Holmes Phone # (305) 757 Owner's Address 78 N. E. 101 Street City Miami. State Florida Zip 33138 Tenant/Lessee Name Phone # Job Address (where the work is being done) 78 N.E. 1 01 Street City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11-3206-013-1330 Is Building Historically Designated YES NO X Contractor's CompanyNameQuality Roofing Contractors, ]I1rone.# Contractor's Address 13800 N. W. 1st Avenue City Miami State Florida Qualifier Name Carlos Arocho Phone# ( 305) 751 -0382 State Certificate or Registration No. RC 0 0 5 8 6 2 7 Certificate of Competency No. 000017889 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ $ 2, 300.00 Type of Work: ❑Addition ❑Alteration ❑New ® Repair/Replace ❑ Demolition Describe Work: Repair leak on front valley and at rear overhang. ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /OtQ bJ CCF $ O CO /CC Notary $ Training/Education Fee $ � Technology Fee $ (3 Scanning $ 3-00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Zip 33168 Total Fee Now Due $ d31126t;"- Permit No. (IF 1 - Zip 33138 (305) 751 -0382 Square / Linear Footage Of Work: 1/2 sq . Repairs See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I .certify that.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve and a reinspection fee will be charged. , Signature El/ .0- _ _ _ /Ow -r or Agent gyp' The foregoin instrument was acknowledged befor me this �'" day of r , 20 O? y1J Aka. J , fires , who is personally known to me or who has produced � — L. I L, . , _ alimoripemi � P MY COMMISSION It DD 606194 NOTARY ' UBLIC• Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) • As identification and who did take an oath. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Signature Contractor The foregoing instrument was acknowledged before me this 0 day of r�}j , 20 Q?, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: V LOU " 1 / / • cs oMMISS •• 1; * : 4 o \ober t • f A. y Commission Expires: o � o � 0 .N s * * * * * * * * * * * * * * * * * * * * * * * * * * * *, No t ** *t** *` I2 : i � : y ? � l yA A (� • Plart'y • °P\ o\\`\ ///1111111110 Engineer Sign: nt: 7 Zoning 1 of 2 • • ••• • • • • •• .. . • • • .. .. • • • • • • • • • • • • ••• • • • •_ • • • • • • • • • • • • - • -• -• • • - • - -•_• High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC ARP font • • • • • • • •• • • • • • • • • • • • • • • Section A (General htforhiatiori) • 1 BAR 0 8 2007 ❑ Low Slope .Sketch Roof i drains. Includ i location of pa Perimeter W Low slope ro Master Permit No. ntractor's Name: uality Roofing Contractors, Inc. Roof Category ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel /Shingles ❑ Prescriptive BUR -RAS 150 MI Other:( Repairs Roof Type ❑ New Roof ❑ Re- Roofing ❑ Recovering Are there Gas Vent Stacks located on the roof? 111 Yes Process No. I •• • • • • • Job Act'1ress: • • 78 101 Street Roof System Information http : / /www. m i am i dade . gov/bu i l d i ng/roofing_perm iting/perm it_app_se... • •• .• ❑ Mortar / dh-sive e Tile ❑ Wood Shingles /Shakes Repair ❑ Maintenance No If yes, what type? ❑ Natural ❑ LPGX of area (ft.2) IN /A ■.a�rrra_ _.9 i■ %MI` ■ ■���U ��;Tisrfaii���IA ■iii�i��:.� 6 1111111mmulessimme = _t 4 -- rrlrlllllli11r1/li NE M • � ____ / ■,I��rrY YiiYir �Hl l ilili�tar�lla. !� )►`.I1►.[dI1• .1JV Plan: Illustrate all levels and sections,.roo e dimensions of sections and levels, clear) rapets. idth (a'): I II 1 � BIM 1 � � II� Corner Size (a' x Steep SIo Section -B 2 N/A Total (ft. Repair PERMIT # 'IyF f 45' oofP an • • - I CU Miami Shores Village err overflow scupper: and overflow i i ns of eluted pry surer and 2/28/2007 9:36 AM 7r744 la/ . • ••. • • • ••• • •• • • • • • •. • • • . • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRE ERSNOTThICAT'TIIN IOR ROOFING CONSIDER4T=ON$ • • ••• • • • • • • • • • • • • • 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 sectjpp.. Tte provisions of Chapter 15 of the Florida Building Code, Building govern the minimum regalern:Os:a/c] Standards' of the industry for roofing system installations. Additionally, the following items should be edjirtsgeQ a 'paCt of the agreement between the owner and the contractor. The owner's initial in the adjacent bvx indcates•that tRe ifemlias been explained. "_1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) ar 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. 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). __3. Common Roofs: Common roofs are those which have no visible delineation between neighboring un "s (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 vi ed 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 •f maintaining this appearance. __5. Ponding Water: The current roof system and /or deck of the building may not drain well and may c. se 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 ovfrloaded 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 interior of t f 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. Rev:1 120 /2005,Computer Services, Building Department • ___/ _23—/ 2 Date Property Address Permit Number Contractor's Signature REPAIR LEAK ON FRONT VALLEY OVERHANG AND I/ AT REAR • APR 1 1 2001 L Passed q Inspector Comments I Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -42476 Permit Number: RF -3- 07-457 Inspection Date: 04110/2007 Inspector: Grande, Claudio Owner: HOLMES, TELMA Job Address: 78 101 Street NE Project: <NONE> Miami Shores Village, FL Contractor: QUALITY ROOFING CONTRACTORS INC Building Department Comments Monday, April 9, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - Repair Phone Number (305)757 -1047 Parcel Number 1132060131330 Lot: Phone: 305 -751 -0382 Page 2 of 2 Legal Description Square Ft. 4 5eA, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 7 / /? Or Tax Folio Historically Designated: Yes 4 106 9 Owner's Address 7f ,4' /o/7 l tJ A• J Phone 7$7 -,'017 Contracting Co. ' /2<O 'd 7 Address /WA 5 71e), ,4164 �� Qualifier Y- ` " LC / 4rpe ss# // Phone / 97‘ / Ste e' o er Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC 414.417e �j ����` WORK DESCRIPTION "`/ea0 i�� / 3 00 �� � `� p4 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 regulatin construction and zonin: Furthermore, I authorize the above -nam- • . - • ctor to do the work s dia Notary as e,Q :OR p 6 S 11/21 ' 6 ate M y Commi � �, • ' es: Commission #CC 327872 FEES: PERMIT APPROVED: Zoning Mechanical RADON Building Plumbing Engineering Competency # Address Address Estimated Cost (value) ignature of Contra rat:. a� . �► ' AL . A4:11: lc Notary as tb .! meter or C*1101 My Commissibn Eitlires: a c) C.C.F. 1. NOTARY Master Permit # Ins. Co. Electrical VING FENCE SIGN 327872 No TOTAL DUE ate 30©. 00 ac) 3b l -dc7 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Contractor's Name: Yrkea I f Job Address: 78 /I 0 e /o,' 5 T IV ,_� 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 E 'Re roofing ❑ Recovering ❑ Repair ❑ Maintenance Flat Roof Area (ft 'rim Sloped Roof Area (ft Total (ft Master Permit No. Exposure category (per ASCE 7 -88): Building Classification category (per ASCE 7 -88 table 1): Fastener Type: /7/ `yl/ 4 0I0 1 / 4 ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) Deck type: / I_(9 TI�;� * ATTACHMENT SPACING Field: / t Perimeter: DETAIL 1 & 2 Corner: aG " ROOF PLAN 129.01.78 9/96 Page - Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. Ridge Ventilation? MEAN HEIGHT Deck type: Underlayment: Insulation: 12" ROOF 3LOPL D E T A I L 3 SLOPED SYSTEM DESCRIPTION Fastener type & spacing: Cap Sheet: Roof s Drip edge: ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Dade County Product Control Notice of Acceptance - Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations .d) Applicable Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals (Pmaxl: X X (Aerodynamic Multiplier): ) - M (Pmax?: x a, (Aerodynamic Multiplier): ) - M (Pmax3: x ? (Aerodynamic Multiplier): ) - M TILE CALCULATIONS = M = M PCA: PCA: = M PCA: Page -2 BUBEROID® Specifications N- 1 -1 -MG, and N -1 -1 -MSC Substrate —' /: inch minimum plywood, gypsum, structural wood fiber, lightweight insulating concrete. See "Lightweight Insulating Concrete Decks," page 9. Slope —Up to 1 inch per foot for lightweight insulating concrete; up to 3 inches per foot for other decks. Materials '� Approximate. Weight Per Square GAF Steep. Roofing Asphalt ASTM D -312 Type -III or i■Vt. GAFGLAS 075 Base GAF RUBEROID MOP (Smooth. or Granule Surfaced Surfacing (Required for 1 -1 -MSC) f�L Guarantees Available Specification RUBEROIO Liberty RUBEROID N -1 -1 -MSC 12,10 12,10 N- 1 -1 -MG 12,10 12,10 Is� GAF BUILDING Y:TERI/1 S CORPORATION General Recommendations presented on pages 17 -22 shall apply in addition to the following application recommendations. Application Recommendations 1. Lay one ply of GAFGLAS #75 Base Sheet (or in the case of a fresh lightweight insulating concrete or gypsum deck where GAFGLAS STRATAVENT' (Vent Ply) for Nailable Decks is required), with a minimum 2 inch side lap and not less than 6 inch end laps. Nail along side lap of the base ply at intervals not to exceed 9 inches and stagger -nail down the center of sheet in two rows with nails spaced at 18 inch intervals in each row. 2. Starting at the low point of the roof, fully embed one ply of RUBEROID MOP (Smooth or Gravel) in a nominal 25 pounds per 100 square feet (plus or minus 20 %) continuous coat of GAF Steep Roofing Asphalt ASTM 0 -312 Type III or IV. The RUBEROIO membrane must be positioned to provide 4 inch side laps and 6 inch end laps. 3. For specification N -1 -1 -MSC, a coating is required. Apply GAF WEATHER COAT' Emulsion at a rate of 2 -3 gallons per 100 square feet or GAF Fibered Aluminum Roof Coating at a rate of 1' /2-2 gallons per 100 square feet. Apply this coating between 1 and 4 weeks after installing the RUBEROIO membrane. The protective coating must be maintained during the life of the roof. Reapplication of surfacing should be employed as part of a periodic main- tenance program. The frequency may vary depending on climatic conditions. The RUBEROID MB Membrane Moo Aoolied surface must be clean. dry. and free of all loose dust and dirt at the time of coatinq. Note: Over structural wood fiber decks, 400 pounds of gravel or 300 pounds of slag per 100 square feet installed in a 60 pound per square (plus or minus 20 a/o) flood coat of GAF Roofing Asphalt is required. RUBEROID UL Classifications UL Class Surfacing Substrate Slope Specification K97:. C None: =< NC • N -1 -1 -MSC • • N- 1 -1 -MG For more extensive UL classifications. see page 6. UL Chart Key 1. Surfacing K97 = Kamak #97 Fibrated Aluminum Asphalt Roof Coating 2. Substrate C = Combustible and Noncombustible Combustible = Wood planks, boards, etc., plywood (min. ' inch thickness), oriented strand board (min.'/: inch thickness). NC = Noncombustible only Noncombustible = Steel, poured or precast structural concrete, lightweight insulating concrete, gypsum, structural wood fiberboard, etc. 3. Slope Maximum slope allowed, in inches per foot. 49 I'RODU GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Your application for Product Approval of GAF Materials + rpt rain d;r�•d Bitumen Rnof !Systems under Chapter 8 of the Metropulita +t Dade County Code govctning the calculations rs to Nl f eria s and +s types of usc of Cnstruction, and completely described in the plans, specifications and Research Laboratory, Inc., Factory Mutual Research Corporation, South Florida Test Service, Underwriters Code Laboratories, Inc. and Dvnatech I;ngineerittgou tc. habctunJcrltt[Ittc[specili for anrl I + n� t sct !orth Compliance Department to be used in Dade C y. Florida herein. The approval shall be valid for a period of three years he or tr Co plann yu p a r meet reserves e the right to secure a product or Material at any time for a ) product or material fail to perform in the approved mariner, the l � r in!, t C ` u�lc Co Departmen Department reserves or suspend the use of such product or material immediately. the ri,ht to require testing of this product or material should any amendments to the South Florida Building Code be enacted affecting this product or material. The expense of such testing will be incurred by the Manufacturer. PRODUCT NO.: _--- -- ACCEPTANCE NO.: tt(2 E\PIItES: NO 1(397 ME rIlol'OLI rAN DADE COUNTY. FLORIDA M111110-DADE FLAGI_ER UUILDINO UUILUItIU CODE COMPLIANCE UEI'AIlt MEN t SUItI 1603 MEMO-DADE TLAULEI1 UUILU)I1IU 140 WEST FLA0LEf SrnEEr MIAMI. FLOt1IUA 11110.1501 (305) 315.2001 r FAX (305) JIG -7.000 ( NTR S L N( T1 E O1 ' ACCT1'1 A`CG /2 ( 7 1 taut Rodriguez Product Control Division Supervisor - PLEASE NOTE- THIS IS TILE COVERSIIEE:T. SEE ADDITIONAL I' ON AGES FOR SPECIFIC AND GENERAL BUILDING CODE COMMITTEE ng Code This application for Product Approval has been rcvicwcd by the Code Committee NIctropolitan sed in Cou �1 lur u der Compliance Department and approved by the Building / 7 J the conditions set forth a bove. MY 0 4 1995 �� - -�— - APPROVED: _ — -r , v C arks Dangcr, P.E., Director !Sodding Code Compliance I)CpaiUnent Metropolitan Dade County Auo_ r , Iicant: GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470 Catc�orv_ Sub _Catctio SuI Tyn SYSTEMS PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL Membrane Roofing System Built -up Roofing Modified Bitumen SBS, APP Product Control No.: _117_03 0.06 Approval Date: MAY 0 4 19 95 Expiration Date: NOV 1 0 97 Sysicm Dcscrip ion GAF Materials Corporation has been manufacturing commercial roofing products for more than 100 years. GAF produces a wide range of roof products for ' built-up an roofing and Fire rated The modified ad uiu n, produ include both APP and SBS products in sn , GAF offers two ply modified systems to meet the specification requirements for multilaycr SBS modified specifications. GAF products are distributed through a wide network of roofing wholesale distributors throughout the products Florida arca. ch GAP P rovides warranted systems over various insulated and non - itns udiG d d s Bitumen trat , copies ton hi ch can be obtained from GAF and can be found in the Ru c Specification manual published annually. GAF roof system assemblies have been extensively tested at Factory u un R ste ar h c rp o att Underwriters Laboratories. GAF modified bitumen membranes d ASTM L) 5147 test requirements. Contact: William J. Woodring Director of Technical Services (201) 628 -3000 2 Raul Rodriguez Product Control No.: 95- 0330.06 Insulation vpc . Fibrous glass Pcrlitc Fiberboard Polyisocyanuratc Expanded polystyrene (EPS) Polyisocyanurate Composite Board Maximum Dcsiti n Press Material Design Pressure Wood -60 psf Steel -75 psf Concrete -248 psf Lightweight Concrete -45 psf Poured Gypsum -45 psf Maximum Fire Classification Material Classification Wood Class A Steel Class A Concrete Class A Lightweight Concrete Class A Poured Gypsum Class A Note: Fire classifications and maximum design pressures do not reference all assemblies over deck types. Review system listings for design pressures and the Underwriters Laboratories Roofing Materials Directory or other approved testing agency listing directory for Fire Classifications. 3 Raul Rodriguez Product Control No.: 95- 0330.116 �1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test l'roduct Dimensions Sy�cification Dcscri lion Product Rubcroid® Torch I sq. roll ASTM D 5147 Ilcavy duty, polyester reinforced, Smooth 87 lbs. asphalt modified bitumen membrane. Rubcroid® Torch V. sq. roll ASTM D 5147 Heavy duty, polyester reinforced, Plus (Granule) 93 Ib. roll asphalt modified bitumen membrane. Rubcroid® Torch 1 sq. roll ASTM D 5147 Asphalt impregnated, coated felt, Granule 102 Ib. roll surfaced with mineral granules. Rubcroid® Torch FR 3/4 sq. roll ASTM D 5147 Non -woven polyester mat coated with 90 lbs. fire retardant polymer modified asphalt surfaced with mineral !granules. Rubcroid® Mop Plus (Granule) Rubcroid® Mop 1 sq. roll ASTM D 5147 Non -woven polyester that coated with 103 lbs. polymer modified asphalt and surfaced Granule with mineral granules. Rubcroid® Mop FR Rubcroid® 20 1.5 sq. roll Rubcroid® 30 Ruberoid® 30 FR 1 sq. roll 102 lbs. 1 sq. roll 105 lbs. 1 sq. roll 92 lbs. 1 sq. roll 92 lbs. Rubcroid® Mop 170 FR 1 sq. roll 103 lbs. Product Control No.: 95 0330.06 ASTM D 5147 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Non -woven polyester that coated with fire-retardant, polymer modified asphalt surfaced with inineral granules. ASTM D 5147 SBS modified asphalt base sheet reinforce with a glass fiber mat. . ASTM D 5147 Non woven fiberglass mat coated with polymer „codified asphalt and surfaced with mineral granules. ASTM D 5147 Non woven fiberglass mat coated with fire retardant, polymer modified asphalt surfaced and surfaced with mineral granules. ASTM 1) 5147 Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with mine gr jnu t7 4 Raul Rodriguez _ Product GAFGLAS® Stratavcnt® (Vent Ply) for Nailablc Decks. GAFGLAS® Mineral Surfaced Cap Sheet GAF Materials Corporation Asphalt Concrete Primer GAF Materials Corporation Fibcred Aluminum GAF Materials Corporation WeatherCoat®t Emulsion GAF Materials Corporation Jctblak All Weather Plastic Cement Uimcnsions 3'x36" 69 ib. roll GAFGLAS® 3' x 36" Stratavcnt® (Vent Ply) 69 Ib. roll Perforated 3' x 180' 45 Ib. roll GAFGLAS PIy 6® GAFGLAS Ply 4 GAFGLAS 11750 3' x 108' 75 Ib. roll 3' x 180' 40 lb. roll 3'x36' 76 Ib. roll 5, 55 gallons ASTM D41 1, 5 gallons 5 gallons I, 5 gallons Test Sncci troU �.— (tca ASTM D 4897 D 3672 ASTM D 4897 Fiber glass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. ASTM D 2178 Type VI asphalt impregnated glass felt with asphalt coating. ASTM D2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 4601 Asphalt impregnated and coated glass mat bast sheet. ASTM D 3909 Asphalt coated, glass fiber neat cap sheet surfaced with mineral granules. ASTM D 2824 Fibcred aluminum coating. ASTM 1227 Surface coating for smooth surfaced roofs. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. 5 Raul Rodriguez_ Product Control Nu.: 95-0330.06 Product Dc eri lion Fiber glass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Asphalt concrete printer used to promote adhesion of asphalt in built -up roofing. Product GAF Materials Corporation Jctblak F:lashtite® Cement GAF Materials Corporation Plastic Cement GAF Materials Corporation Mineral Shield® Granules GAFTEM Isotherm R GAI TE?1P ' Composite GAFTENIP® Permalite various GAFTEMP® Fiberboard various GAFTEi 1M. Fligh Dcnsity Fiberboard GAFTITE® g l 2 Standard Roofing Fastener GA FT! 'I E® 414 1 leavy Duty Roofing Fastener '41 B Fasteners GAFTITE® Base Sheet Fastener and Plate Cialvalume Plates Polypropylene Plates Dimcn ions I, 5, 53 gallons "I cst Product �pcci. fic?tt�tt DcscriWion ASTN1 D 4586 Asphalt flashing cement. I, 5, 53 gallons AST NI D 4586 Trowel grade, asphalt plastic cement. various variouS various 3" and 3 V. 3" and 3 1/2" PA 110 l'A 110 l'olyisocyanurate foam insulation with high density fiberboard or lei perlitc insulation. perlitc insulation board. PA 110 PA 110 PA 110 PA 114 PA 1 1 4 PA 114 6 Granules for surfacing of exposed asphalt, cold process or emulsion. l'olyisocyanuratc foam insulation. Fiberboard insulation. Product Contrul t•1o.: 95 0330.06 High density ‘vood fiberboard insulation. Insulation fastener for steel and plywood decks. Insulation fastener for steel, wood and concrete decks. Fastener for use in gypsum, tectunt and lightweight insulating concrete decks. Base sheet fastening assembly. Ruuud t;alvalu stress plates. Round polypropylene stress plates. Raul Rodriguez _ Product Fly Therm AI' Pyrox Whitc Linc ACFoam 1 ACFoam 11 l Iv -Tcc 1- Iv -Tec 2 l Iv- Thernt AP various Encrgy LOk Thertnax TRI -STAR TRADE NAMES OF .PRODUCTS MANUFACTURED ill' OTHERS Test Product Dimensions Sueci,_fcatlon Descri �t� ion various PA 110 various various various various PA 110 various PA 110 ACFoam Composite various PA 110 PA 110 various PA 110 PA 110 PA 110 PA 110 I- Iv- Therm White various PA 110 Line Hy -Therm Pyrox various PA 110 various PA 110 various PA 110 Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation 7 Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Polyisocyanurate foam insulation Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Polyisocyanuratc loans insulation Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Raul Rodriguez Product Control No.: 95- 0330.06 (`Manufacturer Apache Products Co. Apache Products Co. Apache Products Co. Atlas Energy Products • Atlas Energy Products Atlas Energy Products Celotex Corp. Celotex Corp. Celotex Corp. Celotex Corp Celotcx Corp. Cclotex Corp. Cclotex Corp. Product Dckfast Fasteners 1/15 Dckfast Fasteners /112 TPR Test 12i ns S�ccification PA 114 Dckfast Fasteners /114 Dckfast Ilex Plate 2 " / /S" x PA 114 3 1/4" Dckfast Lock Plate 3" x 3 1/4" PA 114 PA 114 PA 114 ISO 95-F GW various PA 110 ISO 95+ GL various PA 110 ISO 95+ Composite PA 110 ISO 95+ PA 110 Asphalt I -Iigh Density Wood various Fiberboard PA 114 Insulation fastener for steel Construction and wood decks. Fasteners, Inc. PA 110 Pcrlitc Insulation various PA 110 Product Dc cri lion Insulation fastener for steel Construction and concrete decks Fasteners, Inc. Galvalutne hex stress plate. Construction Fasteners, Inc. Polypropylene locking Construction plate. Fasteners, Inc. Insulation fasteners for Construction Fasteners, Inc. concrete decks 8 Aluminum fastener for lightweight, gypsum and tectutn decks Polyisocyanuratc foam insulation Polyisocyanuratc foam insulation Polyisocyanurate / perlite ridged insulation Polyisocyanuratc foam insulation ASTM D 312 Type 111 or IV hot asphalt bitumen adhesive Wood fiber insulation board Pcrlite insulation board Raul Itodriguc. Product Control No.: 95-0330.06 Manufacturer Creative Construction Components Firestone Firestone Firestone Firestone generic generic generic Product Red Rosin Roofing Nails Tin Caps Type X Gypsum Sturdi -Top al MB aluminum roof coating Grundy Industrial Emulsion g14 Roofgrip Test Product Dirac_ nsions �pccifi _cation Dc criptiort lanufacturcr various Rosin paper for barrier generic laver on wood decks Minimum # PA 114 Corrosion resistant annular generic 12 ring shank nails Min. 32 ga. x Corrosion resistant circular generic 1 5 /8 ,. discs. various various Gripdck Fastener PA 114 PA 121 Nroduct Control No.: 95- 0330.06 Fire resistant rated gypsum generic PA 110 \Vood fiberboard Georgia - Pacific Aluminum roof coating Grundy Industries PA 121 Asphalt emulsion Grundy Industries PA 114 Insulation fastener steel, ITW Buildex wood or concrete decks Insulation fastener 1 I W Buildex Premium Metal 3" square PA 114 3" square galvalunte AZ55 1TW Buildex stress plate Plate Standard Plastic 3" round PA 114 Polyolcfin plastic plate IT\V Buildex Plate Karnak No. 169 AST1 D 2824 Aluminum roof coating Karnak Corp. Karnak 97 PA 121 Roof coating Ka►uak Barrier Board Plus various PA 110 Polyisocyanurate foam / NRG Barriers, Inc. wood fiber insulation 9 Raul Rodriguez_ Product E'NRG'Y PSI -25 various various PA 110 Polyisocyanuratc foam E'NRG'Y I insulation E'NRG'Y-2 Plus various PA 110 Polyisocyanuratc foam insulation E'NRG'Y 1 Plus various PA 110 Polyisocyanuratc foam insulation E'NRG'Y -2 various Con - "Idle (Fluted Nail) Olympic Standard 3" round Tcst Product Dimensions S_pccifi�n Dcscri tion PA 110 Polyisocyanuratc foam insulation PA 110 Polyisocyanuratc foam insulation PA 114 Concrete deck insulation fastener PA 114 3" round galvalumc AZ55 steel plate 3.5" round galvalunlc AZ55 Olympic Olympic G2 Plate 3.5" round PA 114 steel plate. Manufacturing Group, Inc. Olympic Olympic 3.25" round PA 114 Polypropylene Manufacturing plastic plate Polypropylene Group, Inc. PA 114 insulation fastener Olympic Olympic Fastener NIantlfacturing Group, Inc. PA 114 Base sheet fastener and Olympic Olympic C -R plate. Manufacturing Base Sheet Group, Inc. Fastener and Plate Fiberglas various PA 110 10 Fiber glass roof insulation Raul Rodriguez Product Control No.: 95- 0330.06 Manufacttlrcr NRG 13arricrs, Inc. NRG Barriers, Inc. NRG Barriers, Inc. NRG Barriers, Inc. NRG Barriers, Inc. Olympic Manufacturing (Group, Inc. Olympic Manufacturing Group, Inc. Owens- Corning Fiberglas Cut p. Product Foanlglas Board Multi -Max Tllcrrnaroof Composite Fes -Core Fesco Foam UltraGard Gold [{D Insul -Fixx Fastener Insul-Fixx Fastener lnsul-Fixx S Insul -Fixx P Rawl Drive Rawl Fasteners I2 Rawl Fasteners 1114 DlrTlc a:19-1ls various various PA 110 various PA 110 various PA 110 various 3" square 3" round Tcst • Product �[)ccil-rcation Dc criution PA 110 Polyisocyanuratc foam / Rlnax, Inc. perlite composite insulation PA 110 various PA 110 PA 114 PA 114 PA 114 PA 114 • PA 114 Expanded glass insulation board. Polyisocyanuratc foals insulation Polyisocyanuratc foam / fescoboard insulation Polyisocyanuratc foam / fcscoboard insulation Polyisocyanuratc foam insulation Product Control No.: 95 0330.06 Manu _facture[ Pittsburgh Corning Rlllax, Inc. Schuller International Inc. Schuller International Inc. Schuller International Inc. Insulation fastener for use SFS/Stadlcr in steel and concrete decks Insulation fastcncr for steel SFS /Stadler and wood decks 3" square galvalunle AZ55 SFS /Stadler stress plate 3" round plastic stress plate SFS /Stadler Insulation fastcncr and steel The Rawlplug and plastic stress plate for Company Inc. concrete deck PA 114 insulation fastcncr for steel The Rawlplug and wood decks Company Inc. PA 114 11 Insulation fastcncr for use in steel, wood or concrete Raul Rodriguez The Rawlplug Company Inc. Product Rawl 3" Plate Rawl Spike Rawiite Rawlite 3" Plate Test Product Dimensions Speci_alio n Dcscripti n Ntanu(actttrcr 3" round PA 114 3" round galvalume AZ55 The Rawlplug Company Inc. 3" round PA 1 14 steel plate PA 114 Insulation fastener and steel The Rawlplug and plastic stress plate for Company Inc. concrete deck PA 114 Insulation fastener for ccmcntitious and gypsum decks 3" round galvalume AZ55 steel plate for use with Rawiite fasteners 12 Raul Rodriguez Product Control No.: 95 0330.06 The Rawlplug Company Inc. The Rawlplug Company Inc. Test Test Aaencv Construction Research Laboratory, Inc. Factory Mutual Research Corporation South Florida Test Service Underwriters Laboratories, Inc. Dynatcch Engineering, Inc. Test Identifier 114818 J.I. OT4A 1.AM J.l. l V7AO.AM J.I. I V8A4.AM J.I. 1R1A6.AM J.I. 0T2Q4.AM J.I. 0Q6A6.AM J.I. 2M0A4.AM J.I. 3X3A2.AM J.I. 0Y9Q5.AM J.I. 3X3A2.AM GAF -53 -X -9 R1306 3600.02.95 Test Reports Test Name/Report Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift Wind Uplift \Vind Uplift Wind Uplift Wind Uplift Wind Uplift Physical Properties Fire Classification Wind Uplift, Small Scale 13 Paul Rodriguez Product Control No.: 95 -0330.06 Date 07/10/87 08/26/92 07/16/92 06/28/93 11/15/91 10/17/91 07/16/91 03/21/87 08/02/94 07/29/94 08/02/94 03/08/91 08/01/94 02/02/95 f 1embran hype: SBS Deck Type 1: Wood, Non - insulated Deck Description: 19 / 72 " or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations apply. One ply of GAFGLAS® Ply 4, GAFGLAS® Ply 6®, GAFGLAS® 1175 or GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks mechanically fastened as described below: Base sheet shall be lapped 4" and fastened with approved roofing nails and tint caps 9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c.. Ply 4 and Ply 6® applications require sheathing paper over the wood deck before application of base sheet. (Optional) One, two or three plies of GAFGLAS® Ply 4, GAFGLASO Ply Guy or a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25 Ib. /scl. ± 15 %. One ply of Rubcroid® Mop Granule, a Boat ®nMo of s Granule i o 15 R u bcroid4! Mop FR in type Ill or [V asphalt at l l (Optional) Install one of the following: 1. GAFGLAS® Mineral Surface Cap Sheet in type III or IV asphalt at an application rate of 25 Ib. /sq. ± 15 %. Base Sheet: Fastening: Note: Ply Sheet:. Membrane: Surfacing.: Maximum Design Pressure: Maximum Fire Classification: Maximum Slope: Specification No.: -60 psf. Class 'A'; sec General Limitation 112. 3:12; see General Limitation 113. N- 1 -I -MG, N- 1- 1-MGFR, N- 1- 1 -MG FR, N -1 -2- 20/30, N- 1-2-20/301'R, N- 1 -1 -MG 41 Product Control 95- 11330.06 Wood Deck System Limitations: 42 1. A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to wood plank deck. A red rosin sheet may also be installed on plywood decks as an option. A red rosin sheet is required on all applications where Ply 4® or Ply 6® is used as an anchor sheet. 2. Pre-assembled 'Cap Nail' shall not be used for base sheet attachment. 3. Fasten anchor sheet 9" at the lap and 18" in two staggered rows centered on the sheet. Approved to -45 psf. 4. Sec PA 117 for extrapolation of data for higher design pressures. Kaul Rodriguez Product Control Nu.: 95- 0330.06 I'toduCt Control Ego.: 95- O330.06 General Limitations: All asphalt shall comply with ASTM D 312 type Ill or type IV regtvirenrcnts. All proposed asphalt producers must bc approved by the applicant. 2 Fire ratings are determined by a combination of slope, deck type and assembly. Refer to current Underwriters Laboratories Rooting Materials Directory or other fire testing data listed by an approved listing laboratory agency. Fire ratings shall bc in compliance with Sections 3401.5 and 3401.6 of the South Florida Building Code. 3 ivlaximum slope range shall vary for each system; consult current Underwriters Laboratories Roofing Materials Directory and manufacturer's specifications for compliance with design criteria for each project. 4. An overlay /recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully stopped. 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 or spot mopped 8" ribbons in three rows, one at each sidclap and one down the center of the sheet allowing, a continuous arca of ventilation. Encircling of the strips is not acceptable. A 6" break shall be ion of placed every 12' in each ribbon to allow cote cross l2 ventilation. N�n either system shall be at a minim pressure restrictions on spot attached systems. 5 Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. 6. All work shall be performed by a Contractor licensed to do roofing work in Dade County. Contractor shall bc familiar with the details and specifications published by the manufacturer. 7. In re- roofing applications, moisture content in an existing built -up goof must be in compliance with Section 34019(e) of the South Florida Building Code:. 8. Prior to application, all existing roof surfaces used as a bonding substrate shall be tested for uplift resistance in compliance with Dadc County Protocol PA 124 to the calculated design pressure of the roof deck. 9. If required, any Factory Mutual Approved vapor barrier in conjunction with proprietary or approved adhesives may be used prior to the application of the insulation layer. 10, Perimeter and corner areas shall have increase in fastener Protocol ity l I It insulation and base sheet in compliance South Florida Building Code. 11. All attachment and sizing of perimeter Hailers and tuctal profile designs shall conform with Dade County Protocol PA 111 of the South Florida B ui i ig C de. 168 Raul Rodriguez Product Control i'lu.: 95- 0330.U6 12. Flashings shall be installed according to the manufacturers standard details, and may bc applied in cold application adhesive, approved asphalt or may be applied in conjunction with an approved torch applied modified bitumen membrane. Specific details, approved by the manufacturer, shall be submitted with the Section 11 I'crtttit Application. 13. Roll good materials shall be stored in strict compliance with GAF tvlatcrials Corporation requirements. 14. Consult current Underwriters Laboratories Directory for the appropriate coating for each roofing assembly to obtain the required fire rating. The assembly shall be installed in strict compliance with Chapter 3401.5 and 3401.6 of the South Florida Building Codc for maximum firc classification. 15. Asphalt ntoppings shall be with applied with asphalt approved by the applicant and shall be approved in compliance with equiviscous temperature (LVT) methods of asphalt application. Asphalt containers or bulk tickcts shall indicate an EVT, finished blowing temperature (FBT) and flash point. Asphalt types and temperature ranges shall be in compliance with Subsection 3403.4(a)(3) of the South Florida Building Code. 16. Insulation may be installed in multiple layers. "Ilse first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt at an application rate of 25 Iles /sq. t 15 %, or mechanically attached or using the fastening Waterproofing layer. Refer fur manufacturer's literature correct application procedures of insulation panels in approved asphalt or adhesive. I7. Pre - assembled cap nails may only bc used for termination of fully bonded surfaces such as mechanical termination at wood blocking, head and side laps, and base flashing terminations. Cap nails shall not bc used for the mechanical attachment of a base sheet. Tin caps arc required by the South Florida Building Codc. 18. The submission of system specifications and details shall accompany the Section 11 Building Code Permit. This information is available in the publications listed in the 'System Description of this Product Control Approval. The submission of these documents, as well as the proper application and installation of all materials shall be the sole responsibility of the contractor. 19. All standard panel sizes are acceptable 4' x 4' maximum. attachment. When applied in approved asphalt, panel size shall 20. Fastener spacing for base sheet attachment is based on a minimum withdrawal resistance value of 250 lbf as tested in 250 lbf a rufc.Contal}cnginccr Protocol rnay 105. If the fastener values as tested arc submit a revised fastener spacing utilizing the withdrawal resistance value taken from Dade County Protocol PA 105. Calculations shall be based on a rupture value (the fastener stress plate pulling over the base ply) of 2)4 morc thail 90 (b> ;,, „../f , Raul Rodriguez/ 169 c 21 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') of 300 Ibf. as tested in compliance with PA 105. If F' as field tested, is below 300 Ibf. insulation attachment shall not be acceptable. 22. GAF dots not allow application of ooff oa iCer than a pour coat of asphalt and gravel, over its granule surfaced R products. 23. In addition to the requirements of this Product Control Approval and the South Florida Building Code, applicator shall follow the manufacturer's specifications. 170 Raul Rodriguez I'rod.Jct Control Nu.: 95- 0330.U( HO (11 - 1`.)UG 12: 041'1•1 F1i1111 GAF Materials Corporation 1361 Alps Road Wayne, NJ 07470- 181 .1.0 i2i162U.i:i361dU4(1 Product Control No.: 95- 0330.06 ACCEPTANCE NO.: 95- 0330.06 APPROVED EXPIRES NOTICE OF ACCEPTANCE STANDAIiI) CONDITIONS 1. Renewal of this Acceptance (approved) shall be considered after a renewal application has been filed and the original submitted documentations including test supporting data, engineering documents, arc no older than eight (8) years. 2. Any and all approved products shall bepermanently labeled with the manufacturer's name, city, state, and the following statement "Dade County Product Control Approved', or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida ,lluilding Code affecting the evaluation of this product and the product it not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all thus requirements of this acceptance, including the correct installation of the product; d) The engineer who origin¢lly prepared signed and sealed the required documentation initially submitted , is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as art endorsemetu of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Dade County, Florida, and followed by the expiration date may be displayed in mlvertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applie=s, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8. Failure to comply with any section oft his Acceptance shall be cause for termination and removal of Acceptance. 9. This Acceptance contains pages 1, plough 180 and this last page 181. END OF TIIISACCEPTANCE Raul Rodriguez 3o6, 13 /33a7— M BUILDING S O S VILLAGE DEPARTMENT M 3 t -- k) 3� J APPLICATION FOR BUILDING PERMIT 7 - Application is hereby erode for the npproyal of the detailed statement or tile plans and specifications herewith submitted for the build • ine 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 iuilding 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. 83 . I Omer 's Name and Address r/ e•Lcne Wohnea _ r 7 � ...- .._._.__._� N. -- 61 s . 4Q Registered Architect and /or Engineer .......... Name and address of licensed contractor 06enoevt %boo Location and legal description of lot to be built on: Lot Block State wpr and New Building To be constructed of Estimated Total cost of STATE OF FLORIDA, COUNTY OF DADE. ss. improvements S Date l� Building Inspector 78 Co. 7357 N. lU Octo6en 3/ 2,:, ..• ,..,, ,. <, ..,.,.,,. ....... Street and Number where work is to be done _ _... _.... __ ......._ ... to bedg a � nd ose o bui�din b f loors . • .tile. Apo/V on moped aec�.%on � w p�6 b u a4p/ta. and 9icaveL on section. - ...._.._.._ -- — and for no other purpose. Remodeling Addition Repairs X No. of Stories Kind of foundation Roof Covering 2 0 . . 6,560.00 U _.. Zone cubage required Distance .to next nearest building Dat Amount of Permit S plan Cubage 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, Permam•nt Sup rlenrent, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors ' mployed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor /.uch public notice or notices as are required by the Act. The undersigned agrees to employ only • • dors, op work :1'd . ormed under this pennit, as are licensed by Miami Shores Village. Remarks (Signe Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared -• — •-- and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No -.7S (/ Disapproved (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires to me well known, 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 hero obtained from the Planting 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. BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is madc in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contactor f a Location and legal description of lot to be built on: Lot 2 Block / .t� STATE OF FLORIDA, COUNTY OF DADE. j ss MIAMI SHORES VILLAGE Building Inspector a., 2. Date..._..._..._.... �_..._._._........ ,19. No ............._.... Street_.... LPL I i Subdivision /14- SAlls, -_ jit /-4 4 Street and Number where work is to be done �- J- • - - -• - f - - Stat •ork to be done and pure a of bulky b flo s) /Y2V4it . �... y .._... !i W-- a -.. .... L?'7!1.. • �� /% , p� _ d for no o f urpose. New Bui!.! ng Remodeling... f Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering / t:® Estimated Total cost of improvements $ 1$ i\mount of Permit $. Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be perforrred under this ....6 permit, as are licensed by Miami Shores Village. n Remarks.._ (Signed) {a Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him state are Permit No.._.._! .> � Date — Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) My Commission Expires to me well known, 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 at faulty materials and /or workmanship. JOB: )1(_((-. t t, / ADD: 71 BUILDING ELECTRICAL WORK PLUMBIND DONE BY:. The following is ready for inspection:- Inspector Ts Report:- REQUESTED • . WILL BE READY : . / 0 --,, ,- C 4, • • JOB: J �� BUILDING ELECTRICAL PLUMBING Inspector's Report : - • • • • • • • • The following is ready for Inspection: - AD: WORK DONE • :REQUESTED • • • • 9 71- ive: /r) : WILL BE READY