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102 NE 102 St (10)Date •' /// .5 Job Address /r, 2 / F t� 7 Tax Folio Legal Description Owner / Lessee / Tenant Owner's Address /I.:57_ Contracting Co. / 7Q0• Qualifier 1 /`/0l' et'7/ ' ss# State # 7/K,` /6 Architect /Engineer Address Bonding Company Address f Mortgagor Address Permit Type(circle one): BUILDING r • ost(value) C / St % Aide rreX Gotot T ENCEMENT AND YOUR FAILURE WORK DESCRIPTION SignatuL'"e of Date: ** * PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Municipal #fi'vc,,ys # Ins.Co. .f Irk/1k- Notary as to Owner and My Commission Expires: Act' #2, 6z,M fir .k /-� /e'? /v,' S 7 • ELECTRICAL PLUMBING MECHANICAL (f1) O /It LL! c Square Ft . )» �' ' f . 41.7, Z 37 i timated r : . ,2 a 3 cs F /' WARNING TO OWN . ,:'OU M ST RECO A NOTICE 0 er and /or Condo President P P T P RONELA MOLOOVAN 5851 2,1998 D THRU DING Co., INC. * * * Master Permit # - 3 Y0 Phone Address tR3 Z Ti-7' S ,G/ - - Phone ROOFING PAVING FENCE SIGN 0 /,i 5 /4 SO MAY RESULT IN YOUR PIKYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above-named contractor to do the work stated. Signature f Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commissi +t `4� E .WMO�C00NW9C' ��l COMMISSION # CC 475851 lud EXPIRES DEC 12,1998 BONDED THRU • 4 ATLANWC BONDING CO., IN*. FEES: PERMIT 45 RADON C.C.F. 5r NOTARY TOTAL DUE 5 APPROVED: Fire Zoning Buildin Mechanical Plumbing Engineering * * Wie DO Other Electrical IVV 1 1VC V V VIVIIVIC11L.C1v1CIV 1 PEaUT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: 95R103933 1995 MAR 16 14:1 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: /� 7"7 / _ ti's r 2. Description of improvement:— �.q�,� �r • 3. Owner(s) • ame and address: / -/ co c9 Interest in property: Name and address of fee simple titleholder: 6. Lender's name and address: 4. Contractor's name and address: %g l? ec^9 iv, ,77'j') c i)?3? 7 c /-i A 5' S T ' / 1 y t ., AA 7/ 1 rn 'c' 5. Surery:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond S 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., Fiorida Statutes. Name and address: / 0/4 f-./ AtI0 c� 9?, ? T/fc' c g4 /9 S � �7` �`' :i r - -•_3 3 .Z• �1 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: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) © 44-kod, Signature of Owner . Print Owners Na e /C ?Va9 Sworn to and subscribed before me this r ' day of /�, ,G9‘v ?a RONELA MOLDOVAN ja > COMMISSION i/ ` C .25851 Notary Public �.►.:�,,•; EXPI:... Print Notary's Name Pr,11 • - l ` TIANTI i9�1r My Commission Expires: ..A,1c' /2_ /9 ' .19 y 5 . STATE 0u Ftc tl ".�., CCU 11'Y o•: onirr: 1 0 1 ,e7 L LC/ _ • f • . ? ) _ • • Oi Prepared by: N A"7 / /!_ Address: I 1 � ) Ly �X��sr..� // Job Address: leg- /yE / c Z S T Contractor: APPENDIX 'E' METRO -DADE UNIFORM BUILDING PERMIT SECTION II MORTAR OR ADHESIVE SET TILE SYSTEMS 1. General The information provided in this Section is required to confirm Product Control Approval of the proposed tile system assembly; confirm compliance with the wind load requirements of Chapter 23 of the South Florida Building Code (SFBC); and confirm compliance with Sections 3403.5 and 3404 of the South Florida Building Code. 2. Documentation The following documents are required for submission with the Uniform Building Permit application: Two (2) copies of the proposed tile system assembly's and associated roofing component's Product Control Approval(s). ► One (1) copy of the tile system assembly and/or roofing component(s) manufacturer's published application instructions and literature. ► All documents attached herein, filled out and completed in full. 3. Project Information Check one of the following: ❑ New Construction Re -Roof Note: Mortar or adhesive set tile systems are not acceptable as recover applications. Mortar or Adhesive Set Tile Systems Page - 1 /918 gbc981 Process No. UV Is the deck solid sheathed? (circle 'yes' or 'no') no Roof Pitch (fill in): Deck Type (check one of the following): X Nominal '/2" Plywood (for re -roof only) ❑ Nominal' / Plywood ❑ Wood Plank " ❑ Other (fill in) J ":12" Note: Mortar or adhesive set tile systems shall not be installed at a pitch greater than 7'/2 ":12 ". Mortar or adhesive set tile applied at a pitch greater than 5 ":12" and less than or equal to 7 ":12" shall have the first thrcc courses of tile nailed with not less than one nail per tile. As an alternate, the first three courses of tile may be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3 / 8 " which is mechanically attached to the sheathing with not less than one nail per 2 ft Circle 'yes' or 'no' for each of the following: Have you attached two copies of the tile system manufacturer's Product Control Approval for the proposed tile system? 69 no Have you attached a copy of the tile system assembly and/or roofing component(s) manufacturer's published, application instructions and other literature no Is the proposed underlayment approved for use with this tile system assembly? no Job Address: /O 2.. He /t 2 S T Contractor: Project Information (continued): If the proposed underlayment is self - adhcred, have you complied with the venting requirements of Section 2913.3 (b), (c) and (d) of the South Florida Building Code? yes no N/A Are all related accessories approved for use with this tile system assembly? Ofi no Are the proposed edge metal attachment fasteners in compliance with the requirements of the South Florida Building Code (minimum 12 ga. annular ring shank, corrossion reisistant nails)? es no 4. The Tile System Assembly: The following information is required to confirm compliance with Subsections 3403.5(a) and (c) and Section 3404 of the South Florida Building Code. Tile: Tile Name: Manufacturer: Tile Material: ❑ Clay J ' Concrete ❑ Other: MAY../I6 Z 1/ )0'(f.9 —l(t rZ • Product Control Approval Number: Mortar or Adhesive: Check one of the following which apply to the proposed tile securement for use with the proposed tile system assembly: Mortar or Adhesive Set Tile Systems Page - 2 14141 PCO8;riej Process No. X I ' Mortar: Manufacturer: Mixing Ratio: ❑ Adhesive: Type: Manufacturer: Tile Fasteners (for first three courses and is less than or equal to 7 ":12 "): Check one of the following which fasteners (for the first three courses) system assembly: izr Minimum 12 ga. galvanized ❑ Other: Type: • Length: ❑ N/A Note: All tiles shall be installed in compliance with the provisions set forth in the tile system assembly manufacturer's Product Control Approval and the minimum requirements set forth in Subsections 3403.5(c) and 3404.2 of the South Florida Building Code. Tile fasteners in the first three courses (if applicible) shall be of ffi sucient length to penetrate the sheathing a minimum of 1" or through the sheathing thickness a minimum of / ", whichever is less. Underlayment: Length: 9 if roof pitch exceeds 5 " :12" apply to the proposed tile for use with the proposed tile roofing nail: 11 The following information is required to confirm compliance with Section 3403.5(b) of the South Florida Building Code. Job Address: (02 t/& / O " I Underlayment (continued): Check all of the following which apply to the proposed underlayment for use with the proposed tile system assembly: ❑ ASTM #30 asphalt saturated felt with: Manufacturer: ❑ ASTM #15 asphalt saturated felt with: Manufacturer: ❑ Mineral Surfaced Roll Roofing with: Manufacturer: ❑ Other: Type: Manufacturer: Underlayment Fasteners (if applicable): ❑ 19" overlap ❑ 6" overlap ❑ 4" overlap ❑ 19" overlap ❑ 6" overlap ❑ 4" overlap Check one of the following which apply to the proposed underlayment attachment: ❑ Minimum 12 ga. electro - galvanized roofing nail with minimum 32 ga. x 1 tin cap: Length: Manufacturer: Contractor: L�cx�� , ,� Process No. Spacing (per tile system assembly Product Control Approval): Field: " o.c. Laps: " o.c. ❑ 19" overlap ❑ 6" overlap 5. Related Accessories: ,Ef 4" overlap Mortar or Adhesive Set Tile Systems Page - 3 Edge Metal (refer to Section 3408.2 of the South Florida Building Code): Type: Dimensions: Gauge or Thickness: Finish: Note: All edge metal shall be nailed on the flange and nailed or clipped at the face in compliance with the provisions set forth in Dade County Protocol PA 111, marked Appendix 'U' in the South Florida Building Code. Adhesives (check one of the following): ❑ Cold Adhesive: Type: Manufacturer: ❑ Flashing Cement: Type: ❑ Other: Manufacturer: Type: Length: Manufacturer: Job Address: I 2 - /Y& /O 2 sr Contractor: /9$A tee 3,,1 Process No. Adhesives (continued): Additional Notes: Note: Application of adhesives shall be in compliance with the Roofing Component Product Control Approval and the minimum requirements set forth in Subsection 3403.5(e)(4)(cc) of the South Florida Building Code. Ventilation System (check one or more of the following): The following information is required to confirm compliance with Subsection 3401.4(e) of the South Florida Building Code. Ridge: Type ifoi - • Size /Z, in ❑ Soffit: Type Size in Note: If underlayment is comprised of a self - adhered membrane, both soffit and ridge ventilation systems are required, unless a base sheet is applied as an anchor sheet below the self - adhered underlayment. Note: The Tile System Assembly shall be installed in strict compliance with the application instructions enumerated in the Product Control Approval. A permit shall be issued for application of the specified Tile System Assembly on Any change to the specified Tile System Assembly shall require submission of a revised SECTION II with a copy of SECTION I, noting the permit number issued. Mortar or Adhesive Sct Tile Systems Page - 4 Job Address: 10? /V& /o as r Contractor: 19-14 A r Process No. Roof Pitch Ridge Venting: ((foppeeable) Dcck: 75741 sr: 4Crenn Underlayment: Underlaymcnt /— Fastener NeS 12" FILL IN APPLICABLE ROOFING COMPONENTS WIIICII MAKE UP TILE SYSTEM ASSEMBLY. INSERT ANY ADDITIONAL LEADERS INDICATING ADDITIONAL ROOFING COMPONENTS NOT SHOWN ON TIIIS PAGE. (Where Roofing Componcnt not uscd in Tile System Assembly, fill in with "N/A". ) Hcad Lap Dimension: A - (minimum 2' unless otherwise specified in the tile system assembly Product Control Approra0 Mortar/Adhesive: $2 Tile: Al C_91 Yebk Tile Fastener: ,z,..<V■\ Edge Metal or Gutter Fastener. Existing or Proposed t z Soffit Venting: (2:77 Bird Stop: C t""- • ( if applicable ) Edge Metal „, or Gutter: DETAIL #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 5 Job Address: 1e,2._ tVC= 1O Z S Contractor:'( Ridge Height: Eave Height: Roof Mean Height 1 feet ? feet (O feet BUILDING INFORMATION #1 Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 6 Q-1 Ground Level Process No. Insert Building Ridge Height, Eave Height and Roof Mean Height. Also insert applicable information pertaining to the building below. (See ASCE 7 -88 Fact Sheet Attached ) Exposure Category: /O Classification Category: t`C At Hurricane Occanline ?: Y X N Basic Wind Speed at Building Location 110 mph Building Condition based on % of openings: F��O (See Table 9 of ASCE 7 -88) Job Address: /ft)? Ic/ t"- (c 2 S t Contractor: BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Job Site Identification: Mortar or Adhesive Set Tile Systems Page - 7 /4f'/.& r�c�cb��► rn� Process No. Sketch Roof Plan, indicating all dimensions, slopes and any roof top equipment. Also insert variable labeled "a" which represents perimeter and corner dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached) Job Address: /OZ._ /h/6 10 7. Sr Contractor: /9f73 ec J ; -t Process No. CJ The undersigned certifies that the Mortar or Adhesive Set Tile System Assembly is in compliance with the plans, specifications, and details submitted by the architect. STATE OF FLORIDA - COUNTY OF DADE Before me this day personally appeared /97uk c /`rT /e who, being first duly sworn, deposes and says that all information submitted herein is true and correct. 19. My commission expires: Sworn to and subscribed before me this 03 th day of /7 Licens Contractor / Owner Signature 1p pc, RONELA MOLDOVAN c � COMMISSION # CC 425851 2,1998 � BONDED THRU OF FL ATLANTIC � BONDING CO., INC. ,(/ Notary Public State of Florida Mortar or Adhesive Set Tile Systems Page - 8 MEJno DAVE Monier Roof Tile • 1900 Northwest 2! st Avenue Fort Lauderdale, FL 33111 EXPIRES: APPROVED: PRODUCT CONTROL NOTICE OF ACCEPTANCE METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING DUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI. FLORIDA 90100.1500 (305) 975.2901 FAX (305) 375.2900 Your application for l'roduct Approval of Monier Roof Tile Nail -On. Mortar or Adhesive Set Concrete "Roll" Rooting Tile undcr Chapter 8 of the Metropolitan Dadc County Code governing thc use of Alternate Materials and Types of Construction, and completely described in the plans, specifications and calculations as submitted by Rcdland Technologies, The Center for Applied Engineering, Inc. and Professional Service Industries, Inc. has been recommended for acceptance by the Building Codc Compliance Department to be used in Dade County, Florida undcr the specific and standard conditions set forth herein. I he approval shall bc valid for a period of three years. The Building Codc Compliance Department reserves thc right to secure a product or material at any time for a jobsitc or manufacturer plant for quality control testing. If product or material fail to perform in the approved manner, the Codc Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Codc Compliance Department reserves thc right 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 bc incurred by the Manufacturer. PRODUCT NO. : ACCEPTANCE NO.: 95- 0301.01 DEC 1 3 19 9 7 • 7 11./( Raul Rodriguez Product Control Division Supervisor - PLEASE NOTE - TI IS TILE COVERSIIEET. SEE ADDITIONAL PACES FOR SPECIFIC AND GENERAL CONDITIONS. BUILDING CODE COMMITTEE This application for l'roduct Approval has been reviewed by the Metropolitan Dadc County Building Codc Compliance Department and approved by the Building Codc Committee to be used in Dade Cot , Florida under � J the conditions set forth above. hi AB 1 O 1995 • iarles banger, P.C.. Director Building Code Compliance Department Metropolitan Dade County ROOFING SYSTEM APPROVAL ( C. Applicant: Monier Roof Tile 1900 Northwest 21st Avenue Fort Lauderdale, FL 33111 PRODUCT CONTROL NOTICE OF ACCEPTANCE Category: Prepared Roofing Sub- Category: Tile Type: Nail - on/Mortar Set/Adhesive Sct Sub - Type: 'Concrete Product Control No.: 95- 0301.01 MAR 1 0 . 1 . 995 Approval Date: Expiration Date: - OEC 1 3 -1-9 System Descriptions Monier Roof Tile is a member of the Rcdland Group, a world wide producer of primary building products and roof tile. Monier manufacturers concrete roof tile for nail -on, mortar sct or adhesive sct applications in plants throughout the United States ranging from Washington State to Florida. All tile is manufactured from extruded concrctc consisting of Portland Cement, plasticizer, iron and metallic oxides, and blended aggregates. This Product Control Approval relates to Monier's "Roll" tile profile. Refer to appropriate Prod ct Control Approvals for other tile profiles. Monier sells tile systems through local distribution and directly to consumers. All profiles have matching trim pieces used for rake hip, ridge hip, and valley terminations. Tile system accessories such as undcrlayment, ventilation systems and flashing systems arc also available. 'These acccssorics arc manufactured for all profiles and form a part of this Product Control Approval. Monier's "Roll" roof tile has been tested in compliance with the South Florida Building Code requirements for concrete, nail -on, mortar set and adhesive set tile applications. The minimum roof slope for Monier's "Roll" nail -on, mortar sct or adhesive set tiles shall be 2 ":12 ". Scc the "Profile Drawing" section in this Approval for the "Roll" profile drawing. The Monier "Roll" tilt profile has been tested for both wind characteristics and static uplift performance, therefore, any consideration for installation shall be donC as a 'Moment Based System'. Data for attachment calculations is noted in Tables through 4 of this Approval. Contact: Reese 1-1. Moody Technical Service Accessories Manager 1900 NW. 21st Avenue Ft. Lauderdale, FL 33311 (800) 432-2715 Raul Rodriguez Trim Picccs TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Product Dimensions Specifications Description Monier Roll Tile I = 161/2" PA 112 Low profile, interlocking, high w = 13" pressure cxtrudcd concrete roof tile '/" thick equipped with two nail holes and double roll ribs. 'For direct deck or battened nail -on, mortar or adhesive set applications. I = varies w = varies varying thickness PA 112 Raul Rodriguez Product Control No.: 95- 0301.01 Accessory trim, concrete roof pieces for use at hips, rakes, ridgcs and valley terminations. Manufactured for each tile profile. Test Product Product Dimensions Specifications Description Manufacturer Asphalt Primer N/A ASTM D 41 Cut back, asphalt generic based coating used to facilitate bonding of dissimilar materials. Roofing Nails ' .' . min. 12 ga. with ' / hcad Tin Caps Wood I3attcns Tilc Nails Tilc Screws Roof Tilc Mortar ( "T ilcTitcTM ") Roof Tile Mortar ( "Quikrctc® Roof Tilc Mortar 111140 ") min. 32 ga. min. 1'4" o.d. max. 2" o.d. horizontal min. 1" x 4" for use with vertical battens or min. 1" x 2" for use alonc min. 8d x 2'!A" or min. 10d x 3" min. 118 x 2'/ :" or min. 1110x2" N/A N/A PA 114 Appcndix 13 PA 114 Appcndix E Annular ring shank, hot dipped, cleft or mechanically ga(v. roofing nails for use in underlaymcnt attachment. Corrosion resistant circular disc for use in underlayment attachment vertical Wood Preservers Salt pressure treated min. 1" x 4" Institute LP - 2 or dccay resistant lumber battens PA 114 Corrosion resistant, Appendix G screw or smooth shank nails. PA 114 Corrosion resistant, Appendix C coated, coarse thread wood screws. PA 123 Prepared mortar mix designed for mortar set roof tile applications. . Product Control No.: 95-0301.01 _ PA 123 Prepared mortar mix Quikrcte Constructio designed for mortar Products . sct roof tilt PCA 1194- 0808.01 applications. 4 / Raul Rodriguez gcncric generic generic generic generic Bermuda Roof Company, Inc. PCA 1194 - 0614.01 Valley Flashing Drip Edge Test Product product Dimensions Specifications Description, Manufacturer Roof Tilc Mortar N/A PA 123 Prepared mortar mix W.R. Bonsai Co. ( "BONSAL® Roof designed for mortar PCA 1194- 0628.03 Tile Mortar Mix ") set roof tilt applications. Roof Tile Adhesive N/A Scc PCA Two component Polyfoam Products, ( "Polypro® AH 160 ") polyurethane adhesive Inc. dcsigned for adhesive PCA 1194- 0401.01 set roof tile applications. Hurricane Clip & Clips PA 114 Corrosion resistant Fastcners min.' / :" width Appendix E bronze, aluminum, min. 0.060" thick stainless steel, galvanized steel or Clip Fasteners plastic attachment min. 8d x 11/4" clips for supplemental tile attachment. Clips are installed with corrosion resistant roofing nails compatible with the clip. A hurricane clip is required on all nail -on cave tilcs. min. 26 ga. min. 16" width min. 26 ga. .min. 2" facc flange min. 2" deck flange ASTM A 525 PA 111 Product Control No.: 95- 0301.01 Galvanized stccl valley flashing Galvanized stcel.drip cdgc 57' //z Raul Rodriguez generic generic generic Test Agency Rcdland Technologies Rcdland Tcchnologics The Center for Applied Engineering, Inc. The Center for Applied Enigncering, Inc. The Centcr for Applied Engineering, Inc. The Center for Applied Engineering, Inc. 'the Centcr for Applied Engineering, Inc. Rcdland Tcchnologics Rcdland Tcchnologics Rcdland Technologies Rcdland Tcchnologics TEST REPORTS Test Identifier 7161 -03 Appendix 111 7161 -03 Appendix 111 94 -084 94 -060B 25- 7094 -1 25- 7094 -7 25- 7094 -4 7161 -03 Appendix 11 Letter Dated Aug. 1, 1994 P0631 -01 PO402 Product Control No.: 95- 0301.01 Test Nanic/Report Mae Static Uplift Testing Dec. 1991 PA 102 Static Uplift Testing PA 102(A) . • Static Uplift Tcsitng PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" 1 Icadlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover /Rcroof) Raul Rodriguez Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of scrcw vs: smooth shank nails Dcc. 1991 May 1994 March, 1994 Oct. 1994 Oct. 1994 Oct. 1994 Dcc. 1991 Aug. 1994 July 1994 Sept. 1993 Test Agency The Center for Applied Engineering, Inc. Professional Scrvicc Industries, Inc. Test Identifier Test Name/Report Dak Project No. 307025 Wind Driven Rain Oct. 1994 Test 11MDC -76 PA 100 224 -47099 Physical Properties Sept. 1994 PA 112. Product Control No.: 95-0301.01 • Raul Rodriguez Deck Type: Deck Description: SYSTEM A: Slope Range: Undcrlayment: Vertical Battens: Horizontal Battens: Roofing Tile: Comments: Wood, Non - insulated New Construction 19 4 2 " or grcatcr plywood or wood plank. • Counter - Batten Application SYSTEMS Product Control No.: 95- 0301.01 2 ":12" to 7 ":12" Note: Counter- Battens, as noted below, are required for slope range 2 ":12" to less than 4 ":12" and are optional for slopes of 4 ":12" to 7 ":12 ". For slopes exceeding 7 ":12 ", refer to System C. Install choice of Approved underlayment system, noted on Page 1 or 2 of Dade County, Protocol PA 118, in compliance with Section 3.02 of PA 118. Install vertical battens of pressure treated or decay resistant lumber having minimum dimensions of nominal 1" x 2 ". Vertical Battens shall be set in a continuous bed of flashing cement ' /," thick and secured not grcatcr than 24" o.c. into the sheathing with Approved, corrosion resistant fasteners. Vertical battens shall be positioned over the top chord of the roof trusses. (See Section 2.10 and 3.09 of PA 118.) Install horizontal battens of pressure treated or decay resistant lumber having minimum dimensions of nominal 1" x 4 ". Horizontal battens shall be installed over vertical battens at a spacing to provide a tile overlap not Icss than 3" and secured through the vertical batten and sheathing with Approved, corrosion resistant fasteners. (Scc Sections 2.10 and 3.09 of PA 118.) Install tile in compliance with PA 118 using one of the Approved methods of attachment for batten applications noted in Table 3, attached. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. 1. For re-roof applications,' plywood is an acceptable substrate. 2. Clips are required on all cave tile. Raul Rodriguez • SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction "/,_" or greater plywood or wood plank. SYSTEM B: Direct Deck Application • Slope Range: 4 ":12" to 7 ":12" Note: System B is only acccptablc in this slope range. For slopes less than 4 ":12 ", refer to System A. For slopes in excess of 7 ":12 ", refer to System C. Underlayment: Install choice of Approved underlayment system, noted on Page 1 or 2 of Dade County Protocol PA 118, in compliance with Section 3.02 of PA 118. Roofing Tile: Install tile in compliance with PA 118 using one of the Approved methods of attachment for direct deck applications noted in Table 3, attached. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. Raul Rodriguez Product Control No.: 95- 0301.01 Comments: 1. For re -roof applications, " / ",_" plywood is an acceptable substrate. 2. Clips arc required on all cavc tile. ty21 c Dccic Type: Deck Description: SYSTEM C: Slope Range: Undcrlaymcnt: Ilorizontal Battens: Roofing Tile: Comments: SYSTEMS (CONTINUED) Wood, Non - insulated New construction "/ or greater plywood or wood plank. Horizontal Batten Application Raul Rodriguez Product Control No.: 95- 0301.01 4 ":12" or greater Note: Horizontal battens, as noted below, are required for slopes in excess of 7 ":12" and are optional for slopes of 4 ":12" to 7 ":12 ". For slopes less than 4 ":12 ", refer to System A. install choice of Approved underlayment system, noted on Pagc 1 or 2 of Dade County Protocol PA 119, in compliance with Section 3.02 of PA 119. Install horizontal battcns of pressure treated or decay resistant lumber having minimum dimensions of nominal 1" x 2" x 4 feet long allowing for a minimum �' /A" gap between each 4 foot length. Horizontal battcns shall be installed over the underlayment system spaced to provide a tile overlap not less than 3" and secured through the sheathing not greater than 24" o.c. with Approved, corrosion resistant fasteners. (Sec Sections 2.10 and 3.11 of PA 119.) Install tilt in compliance with PA 119 using one of the Approved methods of attachment for batten applications noted in Table 3, attached. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. 1. For re -roof applications, "/„" plywood is an acceptable substrate. 2. Clips are required for all cave tile. Dccic Type: Deck Description: SYSTEM D: Slope Range: Undcrlayment: Roofing Tile: Comments: SYSTEMS (CONTINUED) Wood, Non - insulated New construction 19 42' or greater plywood or wood plank. Mortar or Adhesive Set Application Product Control No.: 95- 0301.01 ..r 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Install choice of Approved undcrlayment system, noted on Page 1 of Dade County Protocol PA 120, in compliance with Section 3.02 of PA 120. Sce Systcm Limitation 117. Install tile in compliance with PA 120 using an Approved mortar or adhesive. Mortar or adhesive shall be applied in compliance with the mortar or adhesive manufacturer's Roofing Component Product Control Approval. The mortar or adhesive attachment shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with PA 115 or PA 127. The mortar and adhesive attachment data is noted in Table 4, attached. 1. For re -roof applications, "/ plywood is an acceptable substrate. 2. For mortar set applications, the first three courses of tile shall be nailed with not less than one nail per tile. As an alternate, the first three courses of tile shall be applied in mortar over a single layer of minimum 12 ga. wire mesh with square openings of not less than 3 4" which is mechanically attached to the deck with not less than one roofing nail every I 11 For roof pitches from 6 ":12" to 7 ":12 ", every third tile of every fifth course, beginning at the eighth course, shall be nailed with not less than one nail per tile. 11 Raul Rodriguez C. SYSTEM LIMITATIONS Product Control No.: 95- 0301.01 Monier "Roll ", nail -on, mortar or adhcsivc set tilt 1. The standard minimum roof pitch for applications is 2" rise in 12" run (2 ":12 "). The maximum roof pitch for mortar or adhcsivc set tilt applications is 7" rise in 12" run (7 ":12 "). 2. All nail -on tilt applications having a roof pitch and horizontal battens ( "Counter- Battens "), as having a roof pitch in excess of 7 ":12" shall be less than 4 ":12" shall be installed over both vertical noted in Systcm A. Aft ,nail-on tile applications installed over horizontal battens as noted in System 3. For nail -on applications, brass or stainless steel screws for mechanical attachment of tiles shall . have a head diamt:ter larger than that of the preformed holes in the tile. 4. System installation shall be in compliance with the system specifications outlined in this Product Control Approval. Nail -on tilt shall be attached using one of the methods of attachment noted in Table 3 of this Approval. Mortar or adhcsivc set tile shall bc attached using an Approved mortar or adhcsivc, the data of which is noted in Table 4 of this Approval. The method of attachment utilized shall provide sufficient attachment resistance expressed as a moment to meet or exceed the required moment of resistance determined in compliance with Dade County Protocol PA 115 or PA 127. 5. For nail -on tile applications, an cave clip is required on all eavc tile. For mortar set applications, the first three courses of tile shall bc nailed with not Icss than one nail per tile. As an alternate, the first three courses of tilt shall be applied in mortar over a single layer of minimum 12 ga. wirc mesh with square openings of not less than' /," which is mechanically attached to the deck with not less than one roofing nail every 1 ft For roof pitches from 6 ":12" to 7 ":12 ", every third tilt of every fifth course, beginning at the eighth course, shall be nailed with not less than one nail per tile. • 6. For mortar or adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall bc required not less than 30 clays after mortar set applications and not Tess then 72 hours after adhesive set applications to confirm tile adhesion. The results of this testing shall be reported to the Building Official and the installer stating that the application has passed or failed PA 106 testing. if the application fails PA 106 testing, the report shall state which portion of the test was failed; Category 1 (examination for loose tile) or Category 2 (uplift testing of tilt). Subsequent to testing, the installer may repair not more than 5% of field area tiles and 10% of perimeter arca (i.c. ridge /rake) tilt with Approved tilt adhcsivc. The installer shall place an identifiable marking on each repaired tilt for future reference. Any PA 106 re-test shall not include any marked tile. 7. For mortar or adhesive set tilt applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch prior to June 1, 1995 unless stated otherwise by the material manufacturer. Thereafter, 30/90 underlayment systems shall be installed parallel to the roof pitch in compliance with Appendix 'A' of Dade County Protocol PA 120. I .Q) Raul Rodriguez Product Control No.: 95- 0301.01 SYSTEM LIMITATIONS (CONTINUED) 8. All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. 9. The Monier "Roll" tile profile has been tested for both wind characteristics and static uplift performance, therefore, attachment calculations for installation in compliance with Dade County Protocol PA 115 or PA 127 shall be done as a'Moment Based System' 10. Applications for roofing permits shall include a completed Section II of the Uniform Building . Permit, a copy of Monier Roof Tile's current specifications and details, a copy of this Product Control Approval-and a copy of the Product Control Approval of any Roofing Component used in the proposed tilt application. Reference shall be made to appropriate data for the required fire rating. 11. The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'A'. 12. Any amendments to these provisions shall be in compliance with Sections 203 and 204 of the South Florida Building Code. Raul Rodriguez DATA FOR ATTACHMENT CALCULATIONS Table 1: Aerodynamic Multipliers - ? (ft') from PA 108 Testing Tile Profile i (ft') Batten Application (ft') Direct Deck Application Monier Roll Tile 0.27 - 0.29 • Product Control No.: 95 0301.01 Table 2: Restoring Moments due to Gravity - M (ft -Ibf) from PA 102 Testing Tile Profile Monier Roll Tile 3 ":12" Battens 5.92 Direct Deck 6.80 4 ":12" Battens 5.82 Direct Deck 6.69 5 ":12" Battens 5.70 Direct Deck 6.55 6 ":12" Battens 5.56 Direct Deck 5.39 7 ":12" or greater Battens 5.41 Direct Deck 6.22 Table 3: Attachment Resistance Expressed as a Moment - M, (ft-lbf) from PA 102 and PA 102(A) Testing Tile Profile Monier Roll Tile Application Battens Approved Nails 1 nail 2 nails 4.10 7.10 Approved Screws 1 screw 2 screws 5.20 10.30 40.50 Approved Eave Clip With: 1 nail 2 nails Approved Field Clip With: 1 nail 2 nails 24.20 34.80 24.30 35.50 22.10 32.20 Tile Direct Deck 11.80 21.90 17.70 Table 3 - A: Attachment Resistance Expressed as a Moment - M, (ft-lbf) from PA 102 Testing Tile Profile Monier Roll Tile Tile Application Direct Deck New Construction (min. 19 4 2 " plywood) Direct Deck Recover /Reroof (min. "/ plywood) Battens New Construction Two (2) 10d x 3" long nails' 67.50 43.00 50.90 Tile installation with a 4" headlap using Iwo (2) Approved 10d x 3" long polymer coated, corrosion resistant, ring shank nails installed in manufactured holes located 2W from the head of the tile. Clips on eave tile are not required for this attachment configuration. Raul Rodriguez 19.00 31.90 DATA FOR ATTACHMENT CALCULATIONS (CONTINUED) Table 4: Attachment Resistance Expressed as a Moment - M (ft -Ibf) from PA 101 Testing Tile Profile Monier Roll Tile Tile Application Mortar Set Adhesive Set Attachment • Resistance 20.60 86.61 Product Control No.: 95- 0301.01 Raul Rodriguez PROFILE DRAWINGS MONIER ROLL TILE 16 Raul Rodriguez Product Control No.: 95- 0301.01 MONIER ROOF TILE u11oCntoCk MAO or 1110 ovEnock OUIt 010 noSC Or MC 15.53' c •- s . METNO DADE ►• a ► a.61+t1 •■, •► 1, Extensions of Acceptance may be considered .after a new application has been filed and the supporting data, test reports no older than ten (10) years, have bcen re- evaluated. All reports of rc,-tcsting shall bear the seal, signature and date of an engineer. registered in the Statc of Florida. 2. Any revision or change in the materials, use, or manufacture of the product or process shall automatically be causc for termination, unless prior approval is granted for revisions or change. 3. Any unsatisfactory performance of this product or process or a change in Code provisions shall be grounds for re-evaluation. 4. This acceptance shall not be used as an endorsement of any product for sales or advertising purposes. e 5. The Notice of Acceptance number preceded Dade County, Florida, and portion of the Notice of ceptance is expiration date may be displayed in advertising displayed, then it shall be done in its entirety. 6. Product approval drawings, where required for permit applications, shall be provided to the applicant by the manufacturer or his distributors unless otherwise noted in the Notice of Acceptance. The prints need not be rc- sealed by an engineer. 7. Failure to comply with the Standard Conditions shall be cause for termination of the Approval. This approval supersedes all previous approvals. No. 94- 1017.1 METROPOLITAN DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DE P A ITE ENT METRO•DADE Ft/GLEN BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 00190.1569 (305) 076.2901 FAX (305) 076.2900 • Raul Rodriguez Product Control Division Supervisor • ' Job Address: /['►2 /se ET, , S7 Contractor/ p r 8 i , APPENDIX 'E' U Base Sheet: Fasteners: METRO -DADE UNIFORM BUILDING PERMIT SECTION II BUILT -UP APPLICATIONS AND MODIFIED BITUMEN SYSTEMS Process No. - • °• GENERAL: Type of Roof System Assembly to be Applied: F , /Y. j3. i 7 c . ' r . Manufacturer of Roof System Assembly: l' / , P. (; Product Control Approval Number: 9 y :0 - z k . ©4' System Number from Product Control Approval: Av /.5 / ?gel 'ND COPIES (Attach f.top.of the Roof System Assembly Product Control Approval and the Manufacturer's System Guide Specification. ) ( Note: If a minimum roof system is to be applied, describe all components within the system and list the manufacturer of each component. DO NOT complete this section if system is Product Control Approved. ) Ply Sheet(s): Cap Sheet: Asphalt: ( Note: No insulation system is acceptable under the minimum roof category. ) Complete the following for all Roof System Assemblies: Built -Up Applications and Modified Bitumen Systems • Page -1 ' Job Address: /02 Nt_' =fb 2 S Contractor F f ,,,, Process No.. Recover If a recover, is the existing Roof System Assembly to be used as a bonding substrate ?: Y N If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate ?: Y N (If yes, attach ASTM E907 test report. ) Proposed Fastener: (Attach withdrawal resistance test report. ) Has the deck been examined for moisture ?: (Provide data confirming compliance with Section 3401.9(c) . ) THE SYSTEM: ( Check one of the following) Re -roof: X New Construction Y N All Roof System Assemblies in the Product Approval have a variety of options. Briefly describe the Roofing Components to be used in the Roof System Assembly and attach a copy of the manufacturer's published specification: Deck: (Briefly describe ) Insulation: (Type, size and method of attachment, if applicable ) Base Sheet or Ply: ( Type and method of attachment ) i p7" P 7 2 joz /f--/ 7/2_ Ply Sheet(s): ( Type and method of attachment ) Built -Up Applications and Modified Bitumen Systems Page -2 Job Address: - " contractorM13 ' Process NO'. Recover If a recover, is the existing Roof System Assembly to be used as a bonding substrate ?: Y ,'-' N If YES, has an ASTM E907 test been carried out to confirm adhesion of the existing membrane to the substrate ?: Y N (If yes, attach ASTM E907 test report. ) Proposed Fastener: (Attach withdrawal resistance test report. ) Has the deck been examined for moisture ?: Y >C (Provide data confirming compliance with Section 3401.9(c) . ) THE SYSTEM: (Check one of the following) Deck: (Briefly describe ) Insulation: ( Type, size and method of attachment, if applicable ) Base Sheet or Ply: ( Type and method of attachment ) Re -roof: x New Construction All Roof System Assemblies in the Product Approval have a variety of options. Briefly describe the Roofing Components to be used in the Roof System Assembly and attach a copy of the manufacturer's published specification: p7'fr 2)CC)C Ply Sheet(s): (Type and method of attachment) Built -Up Applications and Modified Bitumen Systems Page -2 Job Address: I'2 N �/c 4 Contractor /Q � � Process No. Top Ply: ( Type and method of attachment ) Surfacing: ( Type, if applicable ) Flashing Materials: ( Type and method of attachment ) • Page -3 Built -Up Applications and Modified Bitumen Systems Job Address: r inches T inches T inches FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE UP ROOF SYSTEM ASSEMBLY AND THICKNESS OF DECK AND INSULATION LAYER(S). (Where Roofing Component not used in Roof System Assembly, fill in with "N /A ".) / Surfacing: (((applicable a yc ) , (C f cing: Top Pl Ply Sheet(s): /(=:) Bonding Material: Bonding Material: Fastener: `(� 5 ( ((bare sheet mech. attached Base Sheet: / Sf7rt -r-$ , Bonding Material: (if'base cheer bonded ) Fastener. (ii/top insulation layer mech. a ached Top Insulation Layer (ifapplieable Bonding Material: l top Osculation Fastener. (iif insulation mech. attached) Insulation: Bonding Material: 7- 6) (1/ insulation bonded ) Vap Rade etrr: a pp or licable) Primer. (✓applicable) DECK: �/QQ Type: (rte v� Gage or hick ess: Density, if concrete deck: Contractor Built -Up Applications and Modified Bitumen Systems Page -4 Process No. ' Job Address: 4 b2. /lc l= /aL Sr" Contractor /44 Pc*, Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gravel Stop or Drip Edge. Insert leaders indicating Roofing Components names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attachment. Gravel Stop/Drip Edge Gage: Fastener Spacing: o.c. Clip Type: Clip Gage: Deck Type: 74 Sketch Roofing Components which make up Roof System Assembly at Perimeter Edge with Gutters. Insert leaders indicating Roofing Component names, dimensions, thicknesses, etc. Include fastener type and spacing used for wood - blocking attaclunent Gutter Type: Gutter Gage: Fastener Spacing: ( Deck Type: PERIMETER DETAIL #3: Gravel Stop or Drip Edge PERIMETER DETAIL #4: Gutter Detail Built -Up Applications and Modified Bitumen Systems Page -6 Process No.. Job Address: - p1 , -i e,p Sti Contractor A. (-g 2 ` Process No. . PERIMETER DETAIL #5: 'Other' Detail Sketch Roofing Components which make' up Roof Systan Assembly at any 'other' Perimeter Condition which may exisit. Insert leaders indicating Roofing Component names„ dimensions, thickesses, etc. Include fastener type and spacing used for wood - blocking attachment. Sketch Roofing Components which make up Roof System Assembly at any 'other' Perimeter Condition which may exisit. Insert leaden indicating Roofing Component names, dimensions, thickesses, eta Include fastener type and spacing used for wood - blocking attachment. r/(/' PERIMETER DETAIL #6: 'Other' Detail Built -Up Applications and Modified Bitumen Systems Page -7 Job Address: Contractor Process No.. Insert Building and Parapet Heights. (/fno Parapet exists. Insert N /A') Also insert applicable information pertaining to the building below. ( See ASCE 7 -88 Fact Sheet Attached ) Exposure Category: Classification Category: At Hurricane Oceanline?: • Y _ N feet Basic Wind Speed at Building Location: . 110 mph Building d Condition based on feet Oparings: GROUND LEVEL BUILDING INFORMATION #1 Built -Up Applications and Modified Bitumen Systems Page -8 Job Address: fit z trt ,o 2 84-- Contractor ifeb Sketch Roof Plan indicating all dimensions, any slopes, roof drains, rockets, or roof top equipment. Also insert variable labeled "a" which indicates perimeter and comer dimensions per Chapter 23 of the South Florida Building Code. (See ASCE 7 -88 Fact Sheet Attached ) BUILDING INFORMATION #2: Roof Plan with Perimeter and Corner Dimensions Built -Up Applications and Modified Bitumen Systems Page -9 Process No. Job Address: Contractor Process No.. Roof System Assembly Product Control Approved: If NO, note any deficiencies: Design Pressure Requirements: Field: psf Perimeter Areas: psf Corner Areas: psf Note any limitations: Reviewed Details ?: Notes: -- FOR PLAN EXAMINER USE ONLY -- Y N Built -Up Applications and Modified Bitumen Systems Page -10 Y N Job Address: Contractor Process No Reviewed Field Test Data ?: y N Notes: Additional Notes: Built -Up Applications and Modified Bitumen Systems • Page -11 Plan Examiner 7T110 DADE Firestone Building Products Company 525 Congressional Boulevard Carmel, 'IN 46032 APPROVED: AUG 1 5 1994 METROPOLITAN DADE COUNTY, FLORIDA METRO DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE DEPARTMENT SUITE 1603 METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET MIAMI, FLORIDA 33130-1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE FAX (305) 375.2908 Your application for Product Approval of Firestone Modified Bitumen Roofing Systems under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and types of Construction, and completely described in the plans, specifications and calculations as submitted by Factory Mutual Research Corporation, South Florida Testing Service and Underwriters Laboratories, Inc. has been recommended for acceptance by the Building Code Compliance Department to be used in Dade County, Florida under the specific and standard conditions set forth herein. The approval shall be valid for a period of three years. The Building Code Compliance Department reserves the right to secure a product or material at any time for a jobsite or manufacturer plant for quality control testing. If product or material fail to perform in the approved manner, the Code Compliance Department may revoke, modify or suspend the use of such product or material immediately. The Building Code Compliance Department reserves the right 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. 9a- o7zs.o9 ACCEPTANCE NO.: EXPIRES: AUG 1 5 1997 � / // i t % , A L L✓ ; Gil Diamond, P.E. Product Control Division Supervisor - PLEASE NOTE - THIS IS THE COVERSHEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS. BUILDING CODE COMMITTEE This application for Product Approval has been reviewed by the Metropolitan Dade County Building Code Compliance Department and approved by the Building Code Committee to be used in Dade County, Florida under the conditions set forth above. Charles Danger, P.E., Director Building Code Compliance Department Metropolitan Dade County C4L Applicant: Firestone Building Products Company 525 Congressional Boulevard Carmel, IN 46032 Category: Membrane Roofing Systems Sub - Category: Built -up Roofing Type; Modified Bitumen Sub-Type: APP /SBS PRODUCT CONTROL NOTICE OF ACCEPTANCE ROOFING SYSTEM APPROVAL System Description Acceptance Number: 94- 0728.09 Approved: AUG 1 b u Expires: 5 1997 Firestone Building Products Co.; is a producer of asphaltic and synthetic roof membranes and insulation products marketed nationally. Firestone produces a wide range of roof products for build -up and modified bitumen roofing systems. The modified bitumen products include both APP and SBS products in smooth, granule, and fire rated versions. Firestone Building Products Co., products are distributed through a network of roofing wholesale distributors throughout the South Florida area. Firestone modified bitumen membranes have been tested in compliance with ASTM D 5147 and with ASTM E 108 test requirements. Contact: Greg Brandt Manager, Codes Dept. (317) 575 -7000 ext. 7199 Insulation Types: Fibrous glass Perlite Fiberboard Rockwool Polyisocyanurate Expanded polystyrene (EPS) Polyisocyanurate Composite Board Extruded Polystyrene (REPS) Maximum Design Velocity Pressures Material Design Velocity Pressure Wood Steel Concrete Lightweight Concrete Poured Gypsum Material Wood Steel • Concrete Lightweight Concrete Poured Gypsum Maximum Fire Classification -45 psf -45 psf -45 psf -45 psf -45 psf Classification Class A Class A Class A 'Class A Class A Note: Fire classifications and maximum design deck types. Review system listings for Laboratories Roofing Materials Direct directory for Fire Classifications. • Product Control No.: 94 0728.09 pressures do not reference all assemblies over design velocity pressures and the Underwriters ory or other approved testing agency listing Gil Diamond, P.E:` SBS • SBS . PR Test Product Product Dimensions Specification Description APP 180 39.4" x 32'10" ASTM 5147 Polyester reinforced modified bitumen; granule surfaced membrane. Torch • applied. - APP 170 APP 160 MB Base Sheet SBS Premium FR SBS Base Sheet SBS Smooth SBS Premium Product Control No.: 94- 0728.09 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT 39.4" x 33'6" ASTM 5147 Polyester reinforced modified bitumen membrane. Torch applied. 39.4" x 32'10" ASTM 5147 Polyester reinforced modified bitumen membrane. Torch applied. 36" x 108' ASTM 5147 Fiberglass reinforced base sheet, asphalt coated on both sides. Applied in hot asphalt or mechanically attached. 39.4" x 33'10" ASTM 5147 Granule surfaced, modified bitumen membrane reinforced with non -woven polyester mat. 39.4" x 33'10" AST1vl 5147 Ceramic granule surface, modified bitumen membrane reinforced with non -woven polyester mat. 39.4" x 33'10" ASTM 5147 Ceramic granule surface, fire rated, modified bitumen membrane reinforced with non -woven polyester mat. 39.4" x 50' ASTM 5147 Fiberglass reinforced SBS base sheet. Applied in hot asphalt or mechanically attached. 39.4" x 33'10" ASTM 5147 Smooth surfaced, modified bitumen membrane reinforced with non -woven polyester mat. Applied in hot asphalt. 39.4" .33'10" ASTM 5147 Granule surfaced, modified bitumen membrane reinforced with polyester mat. Applied in hot asphalt. Gil Diamond, P.6 3 Product Control No.: 94- 0728.09 Test Product Product Dimensions Specification Description SBS Glass 39.4" x 33'10" ASTM 5147 Fiberglass reinforced, granule surfaced, modified bitumen membrane. Applied in hot asphalt. SBS Glass FR 39.4" x 33'10" ASTM 5147 Granular surfaced, fiberglass reinforced, fire retardant, modified bitumen membrane. Applied in hot asphalt. fa) 95+ various PA 110 Polyisocyanurate foam insulation. ISO 95+ GL various PA 110 Polyisocyanurate foam insulation. . ISO 95+ GW various PA 110 Polyisocyanurate foam insulation. Rhoflex various PA 110 Polyisocyanurate foam insulation , Rhoflex GL various PA 110 Polyisocyanurate foam insulation. Rhoflex GW various PA 110 Polyisocyanurate foam insulation. FiberTop Wood Fiber various PA 110 High density wood fiber insulation. ISO 95+ Composite various PA 110 Polyisocyanurate foam / perlite insulation. Rhoflex Isocyanurate various PA 110 Polyisocyanurate foam / perlite Composite insulation. Polymer Fastener PA 114 Polymer Plate Firestone AP Fasteners Firestone HD Fasteners 4 11/16" diameter, glass reinforced nylon fastener for gypsum or cementitious wood fiber decks. PA 114. 3" square, galvalume plate for use with the Polymer Fastener. PA 114 #14 flourocarbon polymer treated, all purpose fastener. PA 114 #15-I3 flourocarbon polymer treated, heavy duty fastener. / :' i , , , Gil Diamond, P.E.' Product Control No.: 94- 0728.09 Test Product Product Dimensions, Specification Description Firestone Concrete PA 114 1/4" diameter concrete deck fastener. Drives Firestone Insulation 2 7/8" hex plate PA 114 Galvalume hex plate for insulation Plate attachment. Gil Diamond, P.E.' 5 Product Pyrox APOC 212 ACFoam I ACFoam II Hy -Tec Hy -Tec 2 • • Hy -Therm AP Hy -Therm White Line Dekfast Hex Plate Product Control No.: 94- 0728.09 • TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS Test Product Dimensions Specification Description Manufacturer various various PA 114 PA 121 PA 110 various PA 110 various PA 110 various PA 110 various PA 110 various PA 110 VaporBar GB 36" x 103' ASTM D 4601 Channel -Vent GB ASTM D 4601 Dekfast Fasteners PA 114 #14 Dekfast Fasteners PA 114 4'15 HD Polyisocyanurate foam Apache insulation Aluminum roof coating. APOC, Subsidiary of Gardner Polyisocyanurate foam Atlas Energy insulation Products Polyisocyanurate foam Atlas Energy insulation Products Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation G2 fiberglas base sheet Glass mat with mineral granules Insulation fastener Construction Fasteners Inc. Insulation fastener Celotex Corp. Celotex Corp. Celotex Corp. Celotex Corp. Celotex Corp. Celotex Corp. Construction Fasteners Inc. PA 114 Galvalume stress plate for Construction • use with Dekfast Fasteners Fasteners Inc. • f • Gil Diamond, P.E.` ';�•�r 6 .9 . Product TPR Fastener FM -45, FM -60, FM -90 Fasteners and FM -30 Disc F 900 ISO 95+ Composite various ISO 95+ GL various PA 110 ISO 95+ GW various PA 110 Rlioflex Composite Rhoflex dL GAF Stratavent GAFgIas #6192 -900 Test Dimensions Specification various various PA 114 PA 114 PA 121 PA 110 PA 110 Rhoflex G W various PA 110 PA 121 Product Description Lightweight insulating concrete deck fastener Base ply fastening systems for lightweight concrete . decks Roof emulsion Polyisocyanurate foam / perlite insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation GAFGLAS # 75 3' x 108'; Roll ASTM D 4601 G2 Fiberglass base sheet weight: 75 lbs. ASTM D 4601 Asphalt coated, granule surfaced, glass mat ASTM D 4601 Glass mat base sheet Roof coating Gil Diamond, P.E. 7 • Product Control No.: 94- 0728.09 Manufacturer Creative Construction • Components ES Products, Inc. Fields Firestone Firestone Firestone PA 110 Polyisocyanurate foam / ' Firestone perlite insulation Firestone Firestone GAF Materials Corporation GAF Materials Corporation GAF Materials Corporation Gibson - Homans • '7 Test Product Product Dimensions Specification Description Manufacturer Durakote #151 PA 121 Roof coating Gilsonite Asphalt Primer ASTM D 41 Asphalt Primer generic Asphalt ASTM D 312 Type III or IV Hot asphalt generic bitumen adhesive High Density Wood various Fiberboard • Perlite Insulation various PA 110 Perlite insulation board generic Red Rosin various Rosin paper for barrier generic layer on wood decks Roofing Nails. Tin Caps PA 110 Minimum # PA 114. Corrosion resistant annular generic 12 ring shank nails Min. 32 ga. x 3/ so Base Sheet ASTM D 4601 G2 Base sheet generic Type II Type X Gypsum various Fire resistant rated gypsum generic Henry 520 PA 121 Aluminum roof coating Henry Co. Iso-Lite E various PA 110 Polyisocyanurate foam International insulation Permalite Roofgrip Fastener PA 114 Insulation fastener ITW Buildex :l4 Flat Metal Plate 3" square PA 114 Galvalume plate for use IT \V Buildex with Buildex Roofgrip Karnak No. 169 ASTM D 2824 Aluminum roof coating Karnak Corp. • Wood fiber insulation generic board Corrosion resistant circular generic discs. Product Control No.: 94 0728.09 • Gil Diamond, P.E. • t 8 r Product Karnak 97 AF Karnak 97 Barrier Board Plus various E'NERG'Y PSI -25 various PA 110 ENRG'Y -2 Olympic Fastener #14 Olympic Metal Plate Olympic CR Fastener CR Base Sheet Disc Olympic Strap Toggle Fiberglas Dimensions Specification Description various PA 110 various PA 121 PA 121 PA 110 PA 114 PA 114 PA 114 PA 114 PA 114 Multi -Max FA various PA 110 Test Product Roof coating Roof coating Polyisocyanurate foam / NRG Barriers, Inc. wood fiber insulation . Polyisocyanurate foam insulation Polyisocyanurate foam insulation Insulation fastener Metal plate for use with Olympic fasteners Insulation fastener assembly for lightweight concrete Galvalume disc for use with Olympic CR Fastener Insulation fastener Product Control No.: 94- 0728.09 Manufacturer Karnak Karnak NRG Barriers, Inc. NRG Barriers, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. PA 110 Fiber glass roof insulation Owens- Corning Fiberglas Corp. Polyisocyanurate foam insulation Gil Diamond, P.E. 9 RMAX Product GlasBase GlasKap PermaPly 28 36" x 324 sq. ASTM D 4601 Glass fiber, asphalt ft. impregnated base sheet UltraGard Gold II various UltraGard II various Ventsulation Insul -Fixx Fastener Insul -Fixx S Vapor Chan Rawl Spike Rawl Fasteners #I4 Dimensions 36" x 108' 36" x 36" 36 "x36' 3" square Test Specification ASTM D 4601 ASTM D 3909 PA 110 PA 110 • ASTM D 3909 PA 114 ASTM D 4601 Glass mat coated with mineral granules PA 114 PA 114 Product Description Type II asphalt impregnated and coated glass fiber base sheet Asphalt impregnated and coated felt surfaced with mineral granules for use as top ply Polyisocyanurate foam insulation Polyisocyanurate foam insulation Asphalt coated, granule surfaced, glass mat with l." grid embossed waffle pattern for venting Insulation fastener • Insulation fastener and steel and plastic stress plate for concrete deck Insulation fasteners Gil Diamond, P.E. I0 Product Control No.: 94- 0728.09 Manufacturer Schuller International • Schuller International Schuller • International Inc. Schuller International Inc. Schuller International Inc. Schuller International SFS /Stadler PA 114 Galvalume stress plate for SFS /Stadler use with Insul -Fixx Fasteners Tamko The Rawlplug Company Inc. The Rawlplug Company Inc.- Product Rawl Fasteners #12 Rawl Metal Plate 3" round PA 1.14 Rawl Speed -Lock Toggle Bolt Rawl Drive Rawlite Tru -Fast CF Fasteners • Tru -Fast Fastener HD Test Product Dimensions Specification Description PA 114 PA 114 PA 114 PA 114 Rawlite Plate 3" round PA 114 PA 114 PA 114 Insulation fasteners Galvalume stress plate for Rawl #12 and #14 Fasteners Insulation fastener assembly Insulation fastener and steel and plastic stress plate for concrete deck Insulation fastener for cementitious and gypsum decks Plate for use with Rawlite fastener Insulation fastener with steel or plastic plate for concrete Insulation fastener with plastic or steel plate Gil Diamond, P.E.'• II Product Control No.: 94 0728.09 Manufacturer The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. The Rawlplug Company Inc. Tru -Fast Tru -Fast TEST REPORTS Product Control No.: 94- 0728.09 Test Agency Test Identifier Description fi Factory Mutual J.I 1N6A6.AM Standard 4470 01/10/89 Research Corporation Factory Mutual J.I. 1Q3A2.AM Standard 4470 10/08/90 Research Corporation Factory Mutual J.I IT8AI.AM Standard 4470 07/30/91 Research Corporation Factory Mutual J.I. 1T8A2.AM Standard 4470 . 07/23/91 Research Corporation Factory Mutual J.I. OW 1 A8.AM Standard 4470 12/07/92 Research Corporation Factory Mutual Letter Approval Extension 12/03/92 Research Corporation • Factory Mutual Letter Approval Extension 03/19/91 Research Corporation Factory Mutual Letter Name Change 06/15/90 Research Corporation South Florida FBPC -1 X -1185 ASTM G 26 -90 09/10/92 Test Service Underwriters R9516/88NK22583 Class A 1 1/30/83 Laboratories Underwriters R9516/88NK23925 Class A 03/29/89 Laboratories Underwriters R9516/89NK 18670 Class B 04/02/90 Laboratories Gil Diamond, P.E. J 12 -_/ Product Control No.: 94 - 0728.09 Test Agency . Test Identifier Description DAlt Underwriters R9899 Class B 05/12/88 Laboratories Underwriters R9899/86NK8498 Class A 08/14/86 Laboratories Underwriters R9899/87NK7630 Class A 11/03/87 Laboratories Underwriters R9899/88NK7005 Class B 03/29/88 Laboratories Underwriters R9899/81NK25749 Class C 08/26/82 • Laboratories Underwriters Letter Name Changes 02/08/90 Laboratories Gil Diamond, P.E ` 13 Membrane Typa: Deck Type 1; Deck Description: System Type E: All General and Systeru Limitations apply. Base Sheet: Fastening: Ply Sheet: Membrane: Surfacing: Maximum Design Pressure :• Maximum Fire Classification: Maximum Slope; Specification No.: Wood Deck System Limitations: SBS Wood, Nutt-insulated "/ „” or greater plywood or wood plank decks !lase sheet mechanically fastened. Product Control No.: 94 0728.09 One ply of Firestone IvfB, Firestone SDS Base Sheet, .Cclotex Vaporbar GB, Manville G1asBase, GAF GAFglas or Perma Ply . 28 with a 4" side lap mechanically fastened to the deck as' described below: • 13ase sheet shall be lapped 4" and fastened with approved roofing nails and tin traps 9" o.c. in the lap and two rows staggered in the center of the sheet 12" o.c.. (Optional) One of SBS Smooth or SBS Base sheet adhered in a full mopping of approved asphalt at an application rate of 25 lb, /sq. 15 %. One ply of Firestone SBS, SBS FR, SBS Smooth, SBS Premium, Premium FR, SBS Glass or SBS Glass FR adhered in a MI mopping of approved asphalt at an application rate of 25 lbs./sq. ± 15 %. (Optional) Install one of the following: I. Gravel or slag at 400 lb.and 300 lb., respectively, setin a pour coating of type I]I or IV asphalt at 60 lb. /.sq.. 2. Karnak No. 97, No. 97 AF at an application rate of I'y:r -45 psf 'A'; see General Limitation #2. 1:12; see General Limitation 43. I. • A red rosin sheet shall be installed on all wood plank decks to eliminate asphalt seepage and bonding of base sheet to wood plank deck. Red rosin sheet may also be installed on plywood decks as an option. 2. Pro-assembled 'Cap Nail' shall not be used for base sheet attachment. , Gil Diamond, P.E. 37 u / i � .y7 Insulation Base Luy4r Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Approved Type(s): ISO -Lite E Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' X 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Approved Type(s): Multi -Max Minimum: 3' x x 1.5" Minimum: 3' x: 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum; 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Approved Type(s): Rhollex Minimum: 3' x 4' x 1.2" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x I:3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3'' Minimum: 3' x 4' x 1.3 Approved Type(s): Rboflex Minimum: 3' x 4' x 1.4" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' A 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Minimum: 3' x 4' x 1.3" Fastener Tvpe Roofgrip 5 Insulfixx SP Olympic SP Tru -Fast SP Firestone SP Dekfast SP Gripdeck S Roofgrip S Insuifixx SP Olympic SP Tru -Fast SP Firestone SP Dekfast SP Gripdeck S Roofgrip S Insulfixx SP Olympic SP Tru -Fast SP Firestone SP Dekfast SP Oripdeck S Roofgrip S Insulfrxx SP Ol Sp Tni -Fast SP GT.. GW Firestone Si' Dekfast SP Gripdcck S Roofgrip S Insulfixz SP Olympic SP Tru•Fast SP Fastening 17ttail No [ (2) ( [2] [2) [ [ (2) ( ( [2] [ ( [ ( ( [ [2] 5 ( 5 ( 5 ( 5 ( 5 [2) 5 [ 5 i Gil Diamond, P.E. 39 (/ Product Control No.: 94- 0728.09 Fasteners Ptr Dg�rd 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 Fastener ncnsity 1:2.4 ft' 1:2.4_ ft' 1:2.4 Ft' 1:2.4 -f'-.• 1:2.4 ft' 1:2.4 ft 1:2.4 ft' 1:2.4 ft' . 1:2.4 ft' 1:2.4 ft' 1:2.4 fl' 1:2.4 ftl 1:2.4 ft' 1:2.4 ft' 1:2.4 ft' 1:2,4 ft' 1:2.4 ft= 1:2.4 ft= 1:2.4 ftl 1:2.4 ft' 1 :2.4 ft' 1:2.4 ft' 1:2.4 ft' 1:2.4 ft', 1:2.4 ft' 1:2.4 ft' 1:2.4 ft 1:2.4 ft' 1:2.4 ft' 1 :2.4 ft 1:2.4 ft' 1:2.4 W • Registered Architect and /or Engineer Disapproved Date (Signed) MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement se me 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. 9 � Date..—... �..L� � 9 �� _ (i�. c / / I ( _ No . Street._.Yr Owner's Name and Addres.. � t' _..__ ..1.�•� -••• � • Name and address of licensed contractor.... f.. 1. ....1. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State ork to `l b ` e done ��( and purposof building (by floors) 1 Building Inspector BUILDING INSPECTION DEPARTMENT /^ _..... _........and for no other purpose. New Building Remodeling Addition Repairs i No. of Stories To be constructed of Kind of f undation Roof Covering Estimate Total cost of improvements $ Amount of Permit $. Z0 t 00 Zone cubage required plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such s b�ontractors i n rk to b� performed under this permit, as are licensed by Miami Shores Village. ^ Remarks (Signed) :...__ _... STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.. Permit No.. Date 4'.�......_..._._._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires f_....... 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 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Richard Mc Kenna Remarks (Signe Disapproved (Signed) Date i " - r — c. No 102 N.E. Street Notary Public, State of Florida 102nd Street Registered Architect and /or Engineer Name and address of licensed contractor Brady __Roofing__ &__Shee.t...Metal - 29.r}>r ... 73.r'd Street Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 102 N. E t 102nd St. State work to be done and purpose of building (by floors) RerOQfing: 30 -90 -Tile and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 3Q-90-Tile Estimated Total cost of improvements $.1000,00 Amount of Permit $ 5,00 Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an emp of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup pl and has complied with the provisions thereof, and will require similar compliance from all contractor- or sub - contractors employed in the work to be performed under this permit; and will post or cause to be posted for • spectio on ,1 e sit f the work such publi or notices as are required.hy the Act. The undersigned agrees to employ only, such • ontrai ., o w. to be performed permit, as are licensed by Miami Shores Village. • .l r yer ent, him otice this 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 tru ` Permit No 7v Q Date_ __ /0-„z_-4',. b _ Read, Sworn to and Subscribed before me. Building Inspector - 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. MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ PERMIT N. o PLUMBING ❑ 9690 ROOFING Owner of Building Architect Contractor or Builder Legal Description Lot Address of Building 1 , - t CONTRACTOR OR BUILDER Bl. Work to be performed under this Permit t Subdi- vision Sq. Ft Value of Project $ 2 � . , . DATF . 4 ' Contractor's License No. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. �r Signed INSPECTOR Amt. of Permit $ BY AUTHORITY 19� In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 19 Owner's Name and Address. Richard McKenna N 102 N.E.Street 102nd St. Registered Architect and /or Engineer Name and address of licensed contractor_. rady Rogtfing CQ,_,.__29,55 N. W. 73rd St. Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 102 N. E. 102nd St . State work to be clone and purpose of building (by floors) Roof Addition: 4 ply builtup, asphalt & gravel and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories Tc b; constructed of Kind of foundation Roof Covering builtup Estimated Total cost of improvements $__.200.00 Amount of Permit $..__5 c00 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 7'y(. Cc° STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Disapproved (Signed) .. Zet Date is Dat ! Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. Read, Sworn to and Subscribed before me. Notary Public, State of Florida to me well known, Building Inspects My Commi . Expires NNING BOARD DATE Member Member Member Disapproved Date corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty