1250 NE 102 St (3)Phone #
MIAMI SHORES VILLAGE , 0
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Z ' ti
Type lnsp'n t W c r / (c_D r-
Permit No. c
Named ---CM
Address 1VZ- -- 5+-
Company l \e
Inspection Date 145
Approved
Correction
Re- Insp'n Fee ❑
w .
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT 'S
305- 795 -2204
Budding Inspection Request
Date 4 13
Type Insp'n • Ct no { ' � gooC t i •
Permit No.? ZOV ` -r—' 1 13
Name 500 `�
Address 1 S C) OE fC. Z_ J
Compan IC-
Phone #
Inspection Date q I
Approved
Correction
Re- Insp'n Fee
0
5sI
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305 - 795 -2204
Building Inspection Request
Date 4
Type Insp'n T n ` nn Gc) �� T
Permit No. ZP ZOG4 ^ ■3 .
Name ^ I��U
Address (;L5 3 k C C °-
Company CO‘WCC \E
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
1
,A-•.°,�D
26
FA
51
76
2
t
27
1
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
70
95
21
46
71
96
22
47
72
97
23
48
/
73
98
24
49
74
99
25
�_J
50
75
100
Owner's Name. .
Job Address
Roofing Contras or:
Type of Tile: T - 151 1 -1A- T '#Date Installed: - ' 42 q
Approximate Roof Height: -1 =feet Roof Pitch: 3:12
Type of Access to Roof: Scaffolds Other
Approximate Square Footage of Roof 48620 ft ✓ Ladder
Required Testing. Force: 35 lbs. Testing Equipment: Chatillion 100
Date Tested. '1
Civil Engineer:
IN ACCORDANCE WITH THE CRITERIA OF PROTOCOL TAS 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL TEST.
THIS REPORT S ITTED BY:
Lab Certification # 98 0608.04
State of FL Certificate Authorization # 4100
U.S. SOUTH
Engineering & Testing Lab., Inc.
6065 N.W. 167th Street, Suite B -23 • Miami Lakes, Florida 33015
Telephone: (305) 558 -2588 • Fax': (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE
PROTOCOL TAS 106
SITE SPECIFIC INFORMATION
TEST RESULTS
P = PASS, F = FAIL
PRINTED BY UNIQUE GRAPHICS: 954. 484-9923 FAX: 954-484-9967
Project N 0
5145
_KETCH OF rOOF
NOTES: f T '"� t4 A0-(
JO:
iZio ,..FE- I o1 s - r.
5 CT NO r"
CC:NTRr.CTOP r' .J
C•__rCc'v
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1 1 ,1 1 1 1 1 1 1 1 1 1 1 1 1 1. H '1 1 1
I
� I I I ! i ! I I I I t I I I 1 1 1 1 1'I 1 1 1 1 1 11
11
1 1 1 1 1 1 1 1 1 1' 1 1 1 i
II
I
! i 1 I I 1
1 1 1 1 1 1 I
1 1 1 1 I I
,
1.1 1 1 1 1 !
1
[ 1 .1 1 1 1
1 1 1 1 1 1 1
11
1
1 1 1 1
1 1 1 1 1,
111
I I I! 111
11..'111
I 1 t
II
1
1 1 1 1
1 1
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I II
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1
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re 11
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NOTES: f T '"� t4 A0-(
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1 1 1 1
1 1 1
BUILDING
PERMIT APPLICATION
FBC 2001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No.
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical
Owner's Name (Fee Sim le Titleh jb Q n Q V Phone # 305 95
Owner's Address 107 SO f v [ O $+
City MI a inn\ or estate jL.__ Zip
3 313Y
Tenant/Lessee Name Phone #
Job Address (where the work is being done) I 5 0 Nom, /0 S ij
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO V
Contractor's Company N e ) \ V C C I. \ R a 0 -Ci h ) Phone # 306 G ✓ D ! q
Contractor's Address r % 0( V 0 X 5' f a wk i 1 FL- 3 3) 53
City J v M 11 lJ Stat 3 G
Q Zip 3
Qualifier v ok., l/� K c, i✓ ct i 1 e
Architect/Engineer's Name (if applicable) Phone #
i G� 000
$ Value of Work For this Permit I I
Type of Work: ['Addition ❑Alteration ON 9w k Repair/Re. lace ❑ Demolition
Describe ffork: e ear '1\ G C r WGO (fly, r ' e 641 n 7'/ /e
rro ota \. a ol. K s a ) h 0 Vt -Pk Ev\ r et c o mcl`6/e
l eS K e same co +,le and
� o � r hr v� hy l � �- � s � � r a
* * * * ** * * * * * * * * * * * * * * * * * ** * Fee e * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ / l D Permit Fee $ � (l CCF $ ! I / `V
Notary $ Training/Education Fee $ 3 � RC, Technology Fee $ 7 —
Scanning $ ‘—• Radon $ Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Square Footage Of Work:
;too
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 w ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not • ‘ = . y.•�� • � • a r pection fee will be charged.
% Signature N ` C
Owner or Agent Contractor
The foregoing instnunent was acknowledged before me this The fore oing instrument was acknowledged before me this PriPrit
day o i J 20 v by day of 0 2OU�, by TGpu,� ,
who OF. ersonall o or who has produced who is ersonally known)to me or who has produced
As iden
N
S
Print:
My Cemission Expires:
r
State Certificate or Registration No.
Chc 10/14/03
catio and who did take an oath.
MARIA A. MORALES
* �I *
@C'e¢cp
NOTARY PUBLIC•
Sign:
Print:
ency Holder)
as identification and who did take an oath.
„ a �,
My Commission Exp Es c " o 0D091094
'V' c.0 MY COMMiasION EXPIRES
* * * * * * * * * * * * * * * * * * ** ; ** *SA* * * * * * *iWl**ii9ii * * * * *, *
Certificate of Competency No.
****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: FEB _ 2 200k Plans Examiner
Engineer
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
1704,0/3 TAX FOLIO NO.
PEIiM;P NO.
4
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal
description r of p ro p ertya i � st�et/address:
2. Description of improvement:
Name and address:
Amount of bond $
6. Lender's name and address:
ur of Owner
Print Owner's Name ✓e'Je,
Sworn to and ubscribed before me this
123.01 -52 PAGE 4 8/02
4 , Air,L6
CF N 20O4R00697' 4e.6
OR Bk 22014 Ps 1395; (1as)
RECORDED 01/'30f2004 14 :46 :09
HARVEY RUVINP CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
4. Contractor's rtame and address: p&,1k I J< C1,I.V & I t : Q ► I o X 5 I oG
1�iC�rnn FL 3
5. Surety: (Payment bond required by owner from contraaTegBfQTh ORIDA. COUNTY OF DADE
I HEREBY CERTIFY that this rs a tru.Cpy of the
111111111111111111111111111111111111111111111
3. Qwner(s) name and address: ("/ e. 15 en ook 1 .Z '() V � , 1 k9ozV\ m i CCIM o
51\®red -''
Interest in property: O IA J Ir1 er
Name and address of fee simple titleholder: E B014- A-c _
Ulf 3 Gay of
, Ac 20 Di
WITNESS my" and and Ofhctal Seal.
-o C of r•nut
7. Persons within the state of Florida designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
diff
Prepared by I f 4 �' I
4
P Y P
ay of ' , 20054,
1 = P.c. � �� Address:
Notary Publi I �"`'t -� ► t OS I
Print Notary's Name ��=
_ _ _ y
My commission expires: 1 a ", ^' r" SMOM I 33 ►S 3
ay 2 2006
'Ap .... Bonded Thor Notary Public Underwriters
Low Slope
❑ Asphaltic
Shingles
❑ New Roof
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Section A (General Information)
Master Permit No. Process No.
Contractor's Name poui Lvodek
Job Address - 1-S 0 T� 1 D�.n > --
ROOF CATEGORY
❑ Mechanically Fastened Tile I1 Mortar/Adhesive Set Tile
❑ Metal PaneUShingles ❑ Wood Shingles /Shakes
ARE THERE
❑ Prescriptive BUR -RAS 150 GAS VENT STA ?
YES ❑ NO
ROOF TYPE
TYPE-NATURAL ❑ LPGX
1 Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance
ROOF SYSTEM INFORMATION
Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF)
boo 380c) y
13P ;cot( -14
Section B (Roof Plan)
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow
scuppers and overflow drains. Include dimensions of sections and levels, clearly
identlfy dimensions of elevated pressure zones and location of parapets.
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•
• , .
• ..1"..V
ny' "
Surfacing:
r e 11:7
cit
t q.
- .
, OAP
Systein Manufacturer:
NOA No.:
Design Wind Pressures. From RAS 128 or Calculations:
- t3/4.-N
Pmax1: ' ...).-4 Prris,-1: el 7 pir;:lx-3 W i I_Y
- --
Max. Design _
• System: "" From the Specific NOA
Deck:
• Type: iVO 0 Cl-
Gau gerrhickness:
Slope: 40
Anchor/Base Sheet & No. of Ply(s):
h e L ,F astene d iij • SA
rial:
4
Insulation Base Layer:
ease Insulation Size and Thickness:
Base Insulation Fastener/Bonding Material:
Top Insulation Layer:
Top Insulation Size and Thickness:
Top Insulation Fastener/Bonding Material:
Base Sheet(s) & No. of Ply(5)
Base Sheet Fastener/Bonding Material:
;;;• ---z.nerf(s)
Ply heet Faste /Bonding Material:
1
•••`•
s :••••••
Perimeter:
Comer: .
N . : 3 <:‘;(9-:?`"
umber ofFisteners
Board ' c
Field
Perimeter.
Illustrate Components No
•
Details as:Applicable:
Woodblocking. Gutter. Edge '• "1"‘ rolni
Stripping, Flashing, Continuous Cleat;
Copipg, Etc.
Strip, Base Flashing. Counter—rFlast
India-ate: Mean Roof Height. P.arapoi.irei
Height of Base Flashing, Component Mate
• .
Ma terialv.Thickness. Fastener Type. Paste
Spacing or Submit Manufacturers ()etas t
Comply with RAS 111 and Chapiter 16.
6H
Gt\F modifect. -ikmen
girerdi. cep
°cot / drip wih
Prini
Y 1 erg
h(x6e
V
• •••••....
- • - .
..r
Par
Heic
Mean
Height
Roof System Manufacturer: Lh
Notice of Acceptance Number: 0 0 ' 1 1 Ob ,o3
Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations):
P1: 4r1 ib P2: 100 lb P3: ( OO,b
Maximum Design Pressure a/� Q
(From the NOA Specific System): 1 1 D1 I
Method of tile attachment: Po I ) FoCtv'Y1
/ve S I ve
Roof Slope:
12
1
Florida Building Code. Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
1
Section D (Steep Sloped Roof System)
Steep Sloped Roof System Description
Deck Type:
1Yb
ype Underlayment:
nsulation:
Ridge Vend, tion?
N/I
Mean Roof Height:
gi)
Ire Barrier:
asten
ivi/A)
r Type & Spacing:
dhesive Type:
ype Cap Sheet:
I � /iIIQ ►S� Nlti L5
q snhcitf
oof Covering: Ey tJre
CV P
Type & Size Drip
dge:
C9W FMd-d
1 .3)1 6 0/0140:4
�.x�.galy
Where to Obtain Information .
Description
Symbol
Where to find
Design Pressure
Pl or P2 or P3
RAS 127 Table 1 or by an eng analysis prepared by PE based on ASCE
7 •
Mean Roof Height
H
Job Site
Roof Slope
0
Job Site
Aerodynamic Multiplier
x
NOA
Restoring Moment due to Gravity
M
NOA
Attachment Resistance
Mt
NOA
Required Moment Resistance
M,
Calculated
Minimum Attachment Resistance
F
NOA
Required Uplift Resistance
F.
Calculated
Avenge Tile Weight
W
NOA
Tile D
1= imgth
w= width
NOA
All calculations mast be submitted to the Building Official at the time ofpesmit application.
M Required Moment Resistance*
Mean Roof Height -
Roof Slope .
15'
20'
25'
30'
40'
2:1 2
34.4
36.5
38.2
39.7
42.2
391
&2
32.2
34.4
38.0
37.4
4:12
30.4
32.2
33.8
35.1
37.3
5:12
28.4
30.1
31.8
32.8
34.9
6:12
28.4
28.0
29.4
30.5
32.4
7:12
24.4
25.9
27.1
28.2
30.0
Florida Building Code Edition 2002
High Velocity Hurricane Zone Uniform Permit Application Form.
Mad, i, •
Za. l ,
(P2: [r et xx - %y
!1 x X z1;
(P3:
Section E (Tile Calculations)
For Moment based tile systems, choose either Method 1 or 2. Compared the values
for M the values from M If the Mr values are greater than or equal to the Mr
values, for each area of the roof, then the tile attachment method is acceptable.
1 "►J 1.1 i tBase# X'
,, 'I
M g' -
= IIR -Mg:
-_) - Mg:
Calcukti
� 111r 1 -
Method 2 "Simplified Tile Calculation Per Table Below" •
Required Moment of Resistance (M From Table Below
I
Per RAS 127"
NOAH r I `16 3
NOA Mr •
NOA Mr II
NOA M
*Must be used in conjunction with a list of moment based tile systems endorsed by the
Broward County Board of Rules and Appeals.
For Uplift tile systems use Method 3. Compared the values for F' with the
values for F If the F' values are greater than or equal to the F values, for each
area of the roof, then the the attachment method is acceptable.
Method 3 "Uplift Based Tile Calculations Per RAS 127"
(P1: z = w: = ) - W: z cos 9: = Fri: NOA F'
(P z1: = z w:= ) -W: z cos 9: = F NOA F'
(P 3( 1: = x w:_ ) -W: z cos 9: = Fr3: NOA F'
SECTION 1524
HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with
the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter
15 of the Florida Building Code, Building govern the minimum requirements and standards of the industry for
roofing system installations. Additionally, the following items should be addressed as part of the agreement
between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been
explained.
V 1. Aesthetics - Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane
Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion
performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship
provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should
be addressed as part of the agreement between the owner and the contractor.
` j 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
units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or
owner should notify the occupants of adjacent units of roofing work to be performed.
4. Exposed Ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be
viewed from below. The owner may wish to maintain the architectural appearance, therefore, roofing nail
penetrations of the underside of the decking may not be acceptable. The Florida Building Code provides the
option of maintaining this appearance.
5. Ponding Water: The current roof system and/or deck of the building may not drain well and may
cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural
distress and may require the review of a professional structural engineer. Ponding may shorten the life
expectancy and performance of the new roofing system. Ponding conditions may not be evident until the
original roofing system is removed. Ponding conditions should be corrected.
6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not
overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if
overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in
accordance with the Florida Building Code, Plumbing.
7. Ventilation: Most roof structures should have some ability to vent natural airflow through the
interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be
reduced. It may be beneficial to consider additional venting which can result in extending the service life of the
roof.
Owner's/Agent's Signature
d_/30/ D H kudAAAnua.
Date Contractor's Signature
01/3e/2004 10: q@ ?e58630079
Entegre Roof Tile Corporation
1201 N.W. 18 Street
Pompano Beach ,FL 33069
ERA MIAMI
PAGE 81
MIAMI -DADE COUNTY. FLORIDA
METRO -DADE FLAGLER BUILDING
swiLOING CODE COMPLIANCE OFnct
METRO -DADE 1 AGLE& BUILDING
40 WEST Ft AGLli<R STREET, SUITE 1605
MIAMI, FLORIDA 33130-1163
(305) 373 -2901 FAX (305) 37549011
DDNT ACY'017 UCENSOKG SECTIOArs
you 375-3527 VAX 105) 315.2156
CoeNAcroa ENFORCEMENT OIveSsIX4
(305) 373-2416 FAX (305) 375-790*
PRODUCT CONTROL DIVISION
(31513/5-2402 PAX (305) 312433!
Your application for Notice of Acceptance (NOA) of
Slandia Roane
under Chapter 8 of the Code of Miami - Dade County governing the use of Alternate Materials and Types of
Consuucdon, and completely described herein, has been recommended for acceptance by the Miami - Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This NOA shalt not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this
product or moverial fails to perform in the approved manner, BCCO may revoke. modify. or Suspend the
use of such product or material immediately. BCCO Deserves the right to revoke this approval, if it is
determined by BCCO that this product or material faits to meet the requirements of the South Florida
Building Code:.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE WO.: ital ai3
EXPIRES j3N7ne05
Raul Rodriguez
Chief Product Control Division
1 .
SE ' Al)
R P
TUTS IS ►: C �. " . 7P
IMNIEGIONS
BUILDING .'ODE & PRODUCT REVIEW__C ThtMl E
N
This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
A PPROV>CD: ./0712000
U $1745000fpc20000raaptnc■rinodte dacmpuri o con"- paseAlet
Internet mail address: postm &sec* ®buatdi;tgcodeonline.com
Francisco J. Quintana, R.A.
Director
Miami -Dade County
Building Code Compliance orrice
Momcpage: http : / /www.buitdingeodeonliae.com
01/30/2004 101 00
Skandin
Trim Plecea
Category:
Sub Category:
Materials:
3E 15I 6 =0079
Roofing
Flat Profile Tilt
Concrctc
2. PRODUCT DESCRIPTION
alt 12111th
Produc
Roof Tilt Adhesive
("polyprodl
AH Is0")
Roof Tile Mortar
("7 iteTiteT ")
1— *OW
w'13"
K" thick
la. varies
w.. varies
Digioniaas
WA
Roof Tile Adhesive Factory premixed
TileBond canisters
N/A
Toss
Inecifieatimis
PA 112
2
ERT MIAMI
ENTEGRA ROOF TILE CORPORATION
ACCEPTANCE No. J 0 -1 06.0
APPROVED: Rstellgaain
EXPIRES: R,wtabe,.1JQ '
1. SCOPE
This approves roofing system using Entcgm "Skandia" Concrete roof tile as manufactured
by Eategra Roof Tile Corporation, as described in Section 2 of this Notice of Atop
designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade:
requirements. as determined by applicable
Courtly. For the locations vibes! the pressure mss values obtain by maculation* in
Building Code, do not exceed the design pressure The
cotapiiance with RAS 127 trslrlg the values listed in section attachment calculations for a
calculations shall be done as a moment based sys�n-
two pasty system sbalf be done as an moment based system.
2.lContponents or products manufactured by others
!'redact
Fiat raft conet+c rear the fix direct deck
or battened naii•o n.
PA 112 Accessory trier, conch or clay roof pieces
for use at hips, tikes. ridges and valley
terminations.
Test Product
2210. ftiSfilitt2 MliguNcillni
See NOA Twtf component polyurethane Poyfoon Products,
adhesive designed fbr inc.
adhesive set nag(' tile
applications.
See NOA Singk component
polyurethane foam 'aortae
*adhesive
Flexible Products
(with current NOA)
PA 123 Prepared mortar mix designed Bermuda Roof
for mortar set t' , C. with
applicatl
current N
RAC
Roofing Product Control Examiner
PAGE 02
01/30/2004 10: r) *l
3058630079
ENTECRA ROOF TILE CORPORATION ACCEPTANCE No. : 00 :1 06.0
APPROVED: December 7. Mt
EXPIRES: Dcc mksaa,U
touicEsmacalusuizamasuatualoa
iaiin
Roof Tk Moth
(''Quikrete !foot
Tile Mortar 011401
RoaaTlle Mortar
('"SONSAt m Roar
Titc Mortar Mix")
Wood Ratreas
Tile *sib
Tile Saews
H naiatne Clip &.
Fasteners
3. LIMITATIONS
pAgr
NIA
x.IV3E1f
m1n 1" x 4"
min. 1 "x4" for use
with vertical town*
or
min. l" x 2" for use
alone
mitt. 1Odx3"
Mg x 2 K" long
0.335" had din.
0.131" stook dia.
0.17i ' sates thread
diaa ier
C. Ike
min. W width
rain. 0.062` trick
Test
PA 123
PA 123
Wood Preservers Salt pressure treated or decay
tnsdtnote LP - 2 resilient lumber battens
PA 114
Appendix E
PA 114
Appendix E
PA 114
Appendix E
3.: Fire classification is not part of this acceptance
3
ERT MIAMI
Product
ibischtftt
Prepared mortar mix designed
fOr mortar set toed*
applications.
Prepared mortar mix designed
lik mortar set tool' the
applications
Corrosion resistant, smooth.
straw er aratular ries shank
raaU _
Corrosion re:Ascend coated,
>Uro drive, galvanized,
coarse thread wood screw
Cerreeion resisasna bronze,
etundnern. stainless seeek
galvanized steal or plastic
attachment clips for
supplemental the attachment
Clips are installed with
eorruaios resistant roofing
nails compatible with the clip.
A bunion* clip is required
on ail nail -en cave tiles.
inuubspast
Quaker s
Cons1nactice
Reduces wit
Current NOA
W. R. 8w cal Co.
with current NOA
generic
greet,;
generic
loaga, RRC
Roofing Product Control Examiner
PAGE 03
Table 2: - • Moments due
to Gra
" T N-t
The
Prom.
3
4 ":IT
5 "n.2"
11":12"
Greater then
7":12"
Battens
tired
Deck
Battens
Okect
Deck
Pima
Deck
OatillMens •' nst2
Oedt
Battens
Direct
Deck
EMegri�
Vivaldi*
6.115 liiilliiiilliiilliiiilliiillIiiill
.az
9.20
_.
— -- - -
Table 1: Aerod namla MIEufttpllers . t, (ft )
Tats
Prone
x1
Batten !cation
ri )
Direct Dek l c plicatton
Saudis
0.2 7
0.289
e1/30/2E14 1[e: ea 3e586301379
ERT MIAMI
ENTEGRA ROOF TILE CORPORATION ACCEPTANCE No.: Jkllitim
APPROVED: December 7, 2000
EXPIRES: Dssmber 7. 2Q05
3.2 For mortar or adhesive set tile applications, a static field uplift test shall be
perfontted in accordance with RAS 106.
3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory
to perlbrm quarterly test In accordance with PA 112, appendix 'A'. Such tasting
shrill be submitted to the Building Code Compliance Office for review.
3.4 Minimum undo:de rents shall be in compliance with the applicable Roofing
Applications Standards listed section 4.1 herein.
3.5 30/90 hot mopped undeitayment applications may be installed perpendicular to
the roof slope unless stated otherwise by the underlayment material manufhcturers
published litcrsture.
3.6 This acceptance is for wood deck applications. Minimum deck requirements shall
be in compliance with applicable Building Code.
4. INSTALLATION
4.1.1 M Bntegs+s Roof Tile Corporation Skandia Flat ", . and its components shall be
installed in strict compliance with Roofing Application Standard RAS 118, RAS
119, and RAS 120.
4.2 13eta For Attschrn nt Cekulations
R
4
Frank Zutoass. RRC
Roofing Product Control Examiner
PAGE 04
01/30/2004 10: 00. 30'58630073
Skortos
Pastaeer Type
ERT AP1'r
EN i'EG A ROOF TILE CORPORATION ACCEPTANCE No. : 0()- IIUS.O3
APPROVED: OssmksLlake
EXPIRES: ?scsmbir 7, am
TJ E OF NCC ,tEPTAN LSFAtV I ► �;�
Prot!.
Direct Deck
(m111 13:3x'• plywood)
2- lad Shenk Nails -�_ 30.9
1-1041 Saeooth or Scent 7.3
Shank Hail
2 - d11a! SereootTirgeriew
Shank Nails
i 93 Strew 30.3 .
2
— ow S I .7
1-raWia7, Sow 24.3
Shank Ne11a6eid Ci
I -10d S awdo rarer► 19,0
Shank Nail ve Gat
2 -10d 'rTM► . or
Shank Nails (P1s1�A.Cllp
r .
! ` 2 -10d Smooth or 1.9
Shank Naias Moos . )
` i Is rt r 0
r note tore with a 1" lee - teas .es located a Hein. ot
Olrect Deck
(min.1 W32" plywood)
t 4.0 - 19.
30.1
ya.7
24.3
19.0
35 S .S 34.8
-
d .
17.2
4. 9
7.4
112
24.4
24,2
22.1
32.2
Table 3: Attachtnen R eni+�tancs Expressed as a li6oment • M, (R -M)
Pair Nait -Oei stem
21t" Sem head of
Tame 4: Attachment Re i stance Expressed es a Moment b4 (ft -400
for Tiro P Adtaessicre Sat Systems
Tile eAppilcattoue
Battens
Tile
Prone
Stk+rra�ar
t. see nminsf for t$.
3,
Flistihkr Products Company TO oral Average aright per patty 13.9 gran.
P r P ki I1 9 taNree.
tidnamum Attachment
Resistance
Table 4A: Attachment Resistance Expressed eta a Kilonter►c . M (ft—lb-11---
for SanQ1e Pgtty Adhe sive Sot SSyeterns
f" Tile __._ Tfle AApptilcetlora
Profit*
! $kaadia PQlyPrtjTM
1 Sk audio _._ PalyPcd►x __
OndtAt of 45�rtta of PalyPrn'+M
hAedivan plac ennenl m1 . 4 . art PolyPtca *M.
5
Minimetm Attachment
Resistance
0ruga. RRC
Roofing Product Control Fxaaniner
PAGE 05
131/ 33/ 2A:104 1 03: co
5;056 300179
ERT MIAMI
ENTEGRA ROOF TILE CORPORATION ACCEPTANCE No. : B- 0 /
APPROVED: a ear► r 7 Otis
EXPIRES: pcs,,sabalaill
N p PAIRD G'QNRI O
Tablet ii: Artachrnent Rasistaance reseed * a Moment - M (l1 Ibf)
9ai �Aot4a! 8� > ttea» tt
+
P rofit
Sew S sits naoctarm ' s ter, of ca-
S. LABELING
All tiles shall bear the impairs' or idejntiEsable ma+rki.ng of the manufactures name or logo.
of following statement: "Miami -Dade County Product Control Approved ".
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for buildLnis permit shall be accompanied by copies of the following:
6.1.1 This Notice of Acceptance.
6.1.2 Any other duct urtents required by the Building Official in order to properly
evaluate the instatlatdoa of this system
PROFILE DRAWING
SIKAr IA FLAT CONCRETE TILE
6
Faulk Zuleaga, RRC
Ro fan$ Product Control Examiner
F'AGE �tE
49i / 30/ 2004 10: 00 :3050690079
ERT MIAMI PAGE 07
ENTEGRA ROOF TILE CORPORATION ACCEPTANCE No. : OQ- 11 %.03
APPROVED: Des rebel• 7. TOQQ
EXPIRES: pmembsallib
NQIJCE OF AC� EI�'rAtsji -- i• aANDAIPt , QONIDtT ga
1.
Renewal of this Acceptance (approval) shalt be considered after a renewal application has been
filed and the original submitted documents, including test - supporting data, engineering documents.
are no older than right (8) years.
2. Any and all approved product's shall ba permanently labeled with the msnufacturt*'s name, city,
state, and the fbdowing statement: "Miami -Dade County Product Control Approval', or as
specifically stated in the specific conditions of this Acceptance.
3. Rencwicia of Acceptance will not be considereed id
a. There has been a change in the South Florida Building Code affecting the evaluation of this
product and dee product is not In compliance with the code changes.
b. The product is no iougrer the saute product (identical) as the one originally .pprmved.
c. if the Acceptance holder has not complied with all the requirement of this acceptance.
including the correct installation of the product.
d.
The intgiaseea who originally prepared, signed and sealed the required dot umcntation inkiaily
submitted, is no longer practicing the engineering profession.
k. Any revision or change in die materials, use, andAor manufacturer of the product or process shall
atttomaticefly be causes fbr to minaaun of this Aceeptenee, unless prior written *approval has been
requested (through the filing of a revision application with appropriate ke) and granted by this
office.
5. Any of the fallowing shall also be grounds for removal of this Acceptance:
a. Unsatisfactory performance of this product or process.
b. Misuse of this Acceptance as an endorsement of eny product, for sales, advertising or any
other purposes.
6. The Notice of Acceptance member preceded by the words Miami -Dade County, Florida, and
followed by the expiradote date may be displayed in advertising literature. if any portion of the
Notice of Acceptance is displayed, then it shall be done in its entirety.
7. A copy of this Acceptance as well es approved drawings and other documents, where it applies.
shall be provided to the user by the manufacturer or ittt distributors and shall be available for
inspection, at the job site at all time. The engineer need not reseal the copies.
8. Fnilure to comply with any section of this Acceptance shell be cause for termination and removal
of Acceptance.
9. This Notice of Acceptance consists of gages 1 through 7.
END OF THIS ACCErrAN
7
nt u oaga, RRC
Roofing Product Comm, Examiner
,. MIAMI•DADE
•
PRODUCT CONTROL NOTICE OF ACCEPTANCE
I'olyfoam Products, Inc.
2400 Spring- Stucbncr Road
Spring ,TX 77383 -1132
MIAMI - DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
CONTRACTOR LICENSING SECTION
(305) 375 -2527 FAX (305) 375 -2558
•
CONTRACTOR ENFORCEMENT DIVISION
(305) 375 -2966 FAX (305) 375 -2
PRODUCT CONTROL DIVISION
(305) 375 -2902 FAX (305) 372 -6339
Your application for Notice of Acceptance (NOA) of:
Two Component Polyurethcnc Foam Adhesive
under Chapter 8 of the Code of Miami -Dade County goveming the use of Alternate Materials and Types of
Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade
County Building Code Compliance Office (BCCO) under the conditions specified herein.
This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this
product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this
product or material fails to perform in the approved manner, BCCO may revoke, modify,. or suspend the
use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is
determined by BCCO that this product or material fails to meet the requirements of the South Florida
Building Code.
The expense of such testing will be incurred by the manufacturer.
ACCEPTANCE NO.: 01- 0521.02
EXPIRES: 05/10/2006 Raul Rodriguez
Chief Product Control Division
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved by the Building
Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set
forth above.
APPROVED: 06/14/2001
Francisco J. Quintana. R.A.
Director
Miami -Dade County
Building Code Compliance Office
1V015000I1pc200011templa [esUwdce acceptance cover page.dot
Internet mail address: postmaster @buildingcodeonlinc.com • Homepagc: http : / /www.buildingcodconline.com
Polvfonm Products, Inc. ACCEPTANCE No.: 01- 0521.02
ROOFING ASSEMBLY APPROVAL
Cate2orv: Roofing
Sub- CatciorY: Roof Tile Adhesive
Materials: Polyurethane
I. SCOPE
This approves Polypro® AI.1160 as manufactured by Polyfoam Products, Inc. as
described in Section 2 of this Notice of Acceptance. For the locations where the design
pressure requirements, as determined by applicable building code, does not exceed the
design pressure values obtained by calculations in compliance with Roofing Application
Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using
Polypro® AH 160. Where the attachment calculations are done as a moment based system
for single patty placement, and as an uplift based system for double patty systems
2. PRODUCT DESCRIPTION
Manufactured by
Applicant
Polypro® AH 160
Foampro® RTF 1000
ProPack ®30 & 100
Dimensions
N/A
N/A
N/A
2.1 Components or products manufactured by others:
Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA
which list uplift resistance values with the use of Polypro A1.1160 roof tile adhesive.
2.2 Typical Physical Properties:
Property Test
Density
Compressive
Strength
Tensile Strength
Water Absorption
Moisture Vapor
Transmission
Dimensional
Stability
ASTM D 1622
ASTM D 1621
ASTM D 1623
ASTM D 2127
ASTM E 96
ASTM D 2126
Test
Specifications
PA 101
Approval Date: June 14.2001
Expiration Date: May 10, 2006
Results
1.6 lbs./ft.'
18 PSI Parallel to rise
12 PSI Perpendicular to rise
28 PSI Parallel to rise
0.08 Lbs./Ft
3.1 Perm / Inch
Product
Description
Two component
polyurethane
Dispensing Equipment
Dispensing Equipment
+0.07% Volume Change @ -40 F., 2
weeks
+6.0% Volume Chan c
Humidity. 2 weeks _.
Frank Zuloaga, RRC
Product Control Examiner
Polyfoam Products, Inc. ACCEPTANCE No. : 01- 0521.02
Note: The physical properties listed above are presented as typical average values as determined by
accepted ASTM test methods and are subject to normal manufacturing variation.
3. LIMITATIONS
3.1 Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile
Assembly for fire rating.
3.2 Polypro® AH 160 shall solely be used with flat, low, & high tile profiles.
3.3 Minimum undcrlayments shall be in compliance with the Roofing Application
Standard RAS 120.
3.4 Roof Tile manufactures acquiring acceptance for the use of Polypro® AH 160 roof
tile adhesive with their tile assemblies shall test in accordance with PA 101.
3.5 Roof Tile manufactures acquiring acceptance for two paddy placement with the
use of Polypro® AH 160 roof tile adhesive with their tile assemblies shall test in
accordance with PA 101 and with section 10.4 as modified herein.
w
F-
;_ -
MS
4. INSTALLATION
4.1 Polypro® AH I60 may be used with any roof tile assembly having a current NOA that
lists uplift resistance values with the use of Polypro® AH 160.
4.2 Polypro® AH 160 shall be applied in compliance with the Component Application
section and the corresponding Placement Details noted herein. The roof tile
assembly's adhesive attachment with the use of Polypro® AI-1160 shall provide
sufficient attachment resistance, expressed as an uplift based system, to meet or exceed
the uplift resistance determined in compliance with Miami -Dade County Roofing
Application Standards RAS 127. The adhesive attachment data is noted in the roof
tile assembly NOA
4.3 Polypro® AH 160 roof tile adhesive and its components shall be installed in
accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc.
Polypro® AH160 Operating Instruction and Maintenance Booklet.
4.4 Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed
by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved
applicators to the authority having jurisdiction.
4.5 Calibration of the Foampro® dispensing equipment is required before application of
any adhesive. The mix ratio between the "A" component and the "B" component shall
be maintained between 1.0 -1.15 (A) : 1.0 (B). The dispense timer shall be set to
deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings
shall be approved.
4.6 Polypro® AH 160 shall be applied with Foampro RTF 1000 or ProPack® 30 & 100
dispensing equipment only.
4.7 Polypro® AH 160 shall not be exposed permanently to sunli
3
Frank Zuloaga, RRC
Product Control Examiner
Table 1: Adhesive Placement For Each Generic Tile Profile
TileProfile
Placement
Detail
Single Paddy Weight
Min. (grams)
Two Paddy Weight
per paddy Min.
(grams)
Flat, Low, High Profiles
ill
35
N/A
High Profile (2 Piece Barrel)
# 1
17 /side on cap and
34 /pan
N/A
Flat, Low, High Profiles
#2
24
N/A
Flat, Low, High Profiles
#3
8
• Polyfoam Products, Inc.
ACCEPTANCE No.: 01- 0521.02
4.8 Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3
minutes after Polypro® AH 160 has been dispenscd.
4.9 Polypro® AH 160 placement and minimum patty weight shall be in accordance with
the Placement Details' herein. Each generic tile profile requires the specific placement
noted herein.
5. LABELING
All Polypro® AHI60 containers shall comply with the Standard Conditions listed herein.
6. BUILDING PERMIT REQUIREMENTS
6.1 As required by the Building Official or applicable Building Code in order to
properly evaluate the installation of this system.
4
Frank Zuloaga, RAC
Product Control Examiner
4 .
c
Polyfoam Products, Inc.
ADHESIVE PLACEMENT DETAIL 1
SINGLE PATTY
5
ACCEPTANCE No. : 01-0521.02
Frank Zuloaga, RRC
Product Control Examiner
Polyfonm Products, Inc.
ADHESIVE PLACEMENT DETAIL 2
SINGLE PATTY
6
ACCEPTANCE No.: 01- 0521.02
Frank Zuloaga, RRC
Product Control Examiner
1 •
Poi foam Products Inc.
ADI-IESIVE PLACEMENT DETAIL 3
DOUBLE PATTY
Nall through piasdc cement
Paddy
(between tile)
Paddy
(under tile)
21n. X 7 la tnedium
sin paddy saw
Fascla course only
Nall through plastic cement
t elin.x 3 In.
Paddy
on underlaymenl
Single paddy
under the
Sin* PaddY
on lop of tile
Errs Coarse
7
ACCEPTANCE No. : 01-0521.02
Nail through plastic cement
Underlayment
1
•441n. x 3 in.
41n.
Si*
—on
under.
layment
Single PaddY
on top of the
Single paddy under the
Single paddy between tile
2in.x7 In. san medium
size paddy
course only
Fascia
%whets
Ern closure
DriP adile
Single.paddy
between the
Ewe Closure
2 b. x 7 In. medium
sin paddy eave course only
Fascia
Frank Zuloaga, RRC
Product Control Examiner
• ,.; Poiyfoann Products, Inc. ACCEPTANCE No. : 01- 0521.02
to
. l
C •
1. Renewal of this Acceptance (approval) shall bc considered atter a renewal application has been filed
and thc original submitted documents, including text- supporting data, engineering documents, are no
oldcr than cight (8) years.
2. Any and all approve products shall be permanently labeled with the manufacturer's name, city,
state, and the following statement: "Miami-Dade County Product Control Approval ", or as
specifically stated in the specific conditions of this Acceptance.
3. Renewals of Acceptance will not bc considered if:
a. There has been a change in the South Florida Building Code affecting the evaluation of this
product and thc product is not in compliance with the code changes.
b. The product is no longer thc same product (identical) as the one originally approvcd.
c. If the Acceptance holder has not complied with all the requirements of this acceptance,
including thc correct installation of thc product.
d. The engineer who originally prepared, signed and scaled the required documentation initially
submitted, is no longer practicing thc engineering profession.
4. Any revision or change in the materials, use, and/or manufacturc 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 bc grounds for removal of this Acceptance:
a. Unsatisfactory performancc of this product or process.
b. Misuse of this Acceptance as an endorsement of any product, for sales, advcrtising or any
other purposes.
6. The Notice of Acceptance numbcr prccee by thc words Miami -Dade County, Florida, and followed
by the expiration date may be displayed in advertising literature. If any portion of thc Noticc of
Acceptance is displayed, then it shall bc done in its entirety.
7. A copy of this Acceptance as well as approvcd drawings and other documents, whcrc it applies, shall
be provided to the user by thc manufacturer or its distributors and shall bc available for inspection at
the job sitc at all time. The engineer nccd not reseal thc topics.
8. Failurc to comply with any section of this Acccptancc shall bc cause for termination and removal of
Acccptancc.
9. This Notice of Acccptancc consists of pages 1 through 8.
END OF THIS ACCEPTANCE
8
Frank Zuloaga, RRC
Product Control Examiner
9
BUILDING CODE COMPLIANCE OFFICE (BCCO)
PRODUCT CONTROL DIVISION
NOTICE OF ACCEPTANCE (NOA)
GAF Material Corporation
1361 Alps Road
Wayne, NJ 07470
MIAMI -DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product
Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having
Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miarni-Dade County Product Control
Division In Miami Dade County) and /or the AHJ (in areas other than Miami Dadc County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miarni-Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks.
LABELING: Each unit shall beau a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
he done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA renews NOA #02 -0108.10 and consists of pages 1 through 31.
The submitted documentation was reviewed by Frank Zuloaga, RRC.
NOA No: 03- 050:(.02
Expiration Date: 11/06/08
Approval D ate :10/23/03
Page 1 of 32
ROOFING SYSTEM APPROVAL
Category:
Sub - Category:
Deck Type:
Maximum Design Pressure
Fire Classification:
TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT:
TABLE I.
Product
GAF Asphalt Concrete
Primer (MatrixTM 307
Primer)
GAF Mineral Shield®
Granules
GAF WeatherCoat®
Emulsion (MatrixTM
Fibered 305 Emulsion)
GAF Premium Fibered
Aluminum Roof Coating
(Matrix"' System Pro
Aluminum Roof Coating
Fibered 301)
GAF Jetblack All Weather
Plastic Cement (MatrixTM
Standard Wet/Dry Roof
Cement 204)
GAFGLAS #75®
GAFGLAS #80 UltimaTM
Base Sheet
GAFGLAS Flex P1y 6
GAFGLAS Ply 4®
GAFGLAS®Mincral
Surfaced Cap Sheet
GAFGLAS®
STRATAVENT®
Eliminator Perforated
Roofing
SBS /APP, Modified Bitumen
Wood
-75 psf
See General Limitation #1
Dimensions
5, 55 gallons
60 Ib. Bags
100 lb. hags
5 gallons
1, 5 gallons ASTM D 2824 Fibered aluminum coating.
1, 5 gallons
39.37" (1 meter)
Wide
39.37" (1 inete:r)
Wide
39.37" (1 meter)
Wide
39.37" (.1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
Test
Specification
ASTM D 41
ASTM D 1863
ASTM 1227
ASTM D 3019
ASTM D 3409
ASTM D 4601
ASTM D4601
ASTM D 2178
ASTM D 2178
ASTM D 3909
ASTM D3672
ASTM D 4897
Product
Description
Asphalt concrete primer used to promote
adhesion of asphalt in built -up roofing.
Granules for surfacing of exposed
asphalt, cold process cement or
emulsion. GAF Mineral Shield®
Granules shall be used for flashing
applications only.
Surface coating for smooth surfaced
roofs.
Refined asphalt blended with a mineral
stabilizer and fibers. Permits adhesion
to wet and dry surfaces.
Asphalt impregnated and coated glass
mat base sheet.
Asphalt impregnated and coated,
fiberglass base sheet
Type VI asphalt impregnated glass felt
with asphalt coating.
Type IV asphalt impregnated glass felt
with asphalt coating.
Asphalt coated, glass fiber neat cap sheet
surfaced with mineral granules.
Fiberglass base sheet coated on both
sides with asphalt. Surfaced on the
bottom side with mineral granules
embedded in asphaltic coating with
factory perforations.
NOA No: 03- 0501.02
Expiration Date: 11J06 /08
Approval Date:10 /23/03
Page 2 of 32
Product
GAFGLAS® Flashing
GAFGLAS®
STRATAVENT®
Eliminator Perforated
Nailable
RUBEROID® SBS Heat -
We1d ' Smooth
RUBEROID® SBS Heat -
We1dTM Granule
RUBEROID® SBS Heat -
WeldTm 170 FR
RUBEROID® SBS Heat.-
\VeLdTM 1 PLUS
RUBEROII)® SBS Heat -
Weld PLUS FR
RUBEROID Modified Base.
Sheet
RUBEROID® Modified
Bitumen Adhesive
RUBEROID® SRS FIeat-
WeldTM 25
Ruberoid® Mop
Granule
RUBEROID MOP Smooth
R.UBEROID MOP PLUS
RU }3EROID MOP 1701
RUBEROID MOP FR
RI.713BROD TORCH
Smooth
Dimensions
various
39.37" (1 meter)
Wide
1 meter (39.37 ")
wide
1 meter (39.37 ")
wide
1 meter (39.37 ")
wide
1 meter (39.37 ")
wide
1 meter (39.37 ")
wide
39.37" (1 meter)
Wide
5 gallons
1 meter (39.37 ")
wide
39.37" (1 meter)
Wide
1 sq. roll
87 lbs.
3937" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
Test
Specification
ASTM D3672
• ASTM D 4897
ASTM D -6164
ASTM D -6164
ASTM D -6164
ASTM D -6164
ASTM D-6164
ASTM D4601,
Type II, UL
Type G2 BUR
ASTM D 3019
Type III
ASTM D -6164
ASTM D 6222
ASTM D 5147
ASTM D 6298
ASTM D 5147
ASTM D 6164
ASTM D 5147
ASTM D 6164
ASTM D 5147
ASTM D 61.64
ASTM D 5147
ASTM D 6222
ASTM D 5147
Product
Description
Asphalt coated glass fiber mat flashing
sheet available in three sizes.
Fiberglass base sheet coated on both
sides with asphalt. Surfaced on the
bottom side with mineral granules
embedded in asphaltic coating.
Non -Woven Polyester mat coated with
polymer- modified asphalt and smooth
surfaced.
Non -Woven Polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non -Woven Polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
Non -Woven Polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non -Woven Polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
Premium glass fiber reinforced SI3S-
modified base sheet
Fiber reinforced, rubberized Adhesive
Non -Woven Polyester mat coated with
polymer- modified asphalt and smooth
surfaced.
Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non -woven polyester mat coated with
polymer- modified asphalt and smooth
surfaced.
Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non-Woven polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with mineral granules.
Non -Woven polyester mat coated with
fire retardant polymer modified asphalt
and surfaced with rnincral granules.
Heavy duty, polyester reinforced, asphalt
modified bitumen membrane, smooth
surface.
NOA No: 03- 0501.02
Expiration Date: 11/06/08
Approval Date:10/23 /03
Page 3 of 32
Product
RUBEROID TORCH
Granule
RUBEROID TORCH PLUS
RUIEROID TORCH FR
RUBEROID 170FR
TORCH
Ruberoid® 20
Ruberoid® 30
Ruberoid® 30 FR
RUTR EROID®
ULTRACLAD® SBS
RUBEROID® Dual FR
Vent Stacks (metal and
plastic)
GAF Aluminum Emulsion
CAF Aluminum Roof Paint
(Matriixmf System Pro
Aluminum Roof Coating
Fibered 302)
GAF Built -Up Roofing
Asphalt
RUBEROID MOD Asphalt,
Asphalt L & Asphalt P
Shingle- Matem'
Underlayment
Tile -Mate IvModified Base
Sheet
Dimensions
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide
39.37" (1 meter)
Wide .
5 gallons
5 gallons
100 lb. cartons,
bulk
601b. kegs
4 sq. roll
301bs.
1.5 sq. roll
Test
Specification
ASTM D 6222
ASTM D 5147
ASTM D 6222
ASTM D 5147
ASTM D 6222
ASTM D 5147
ASTM D 6222
ASTM D 5147
ASTM D 6163
ASTM D 5147
ASTM D 6163
ASTM D 5147
ASTM D 6298
ASTM D 5147
ASTM D 6163
ASTM D 5147
ASTMD6164
ASTM D 5147
PA 100(A)
ASTM D 1929
ASTM D 635
None
ASTM D2824,
Type I
. Product
• Description
Heavy duty, polyester reinforced, asphalt
modified bitumen membrane, granule
surface.
Heavy duty, polyester reinforced, asphalt
modified bitumen membrane, granule
surface
Heavy duty, polyester reinforced, coated ..
with fire retardant asphalt modified
bitumen membrane, granule surface.
Heavy duty, polyester reinforced, coated
with fire retardant asphalt modified
bitumen rnenibrane, granule.surface.
SBS modified asphalt base sheet
reinforce with a glass fiber mat.
Non woven fiberglass mat coated with
polymer modified asphalt and surfaced
with mineral granules.
Non woven fiberglass mat coated with
fire retardant, polymer modified asphalt
and surfaced with mineral granulesa
Woven fiberglass mat coated with
Polymer modified asphalt surfaced with
aluminum, copper or stainless steel foil.
Non -woven polyester and fiberglass mat
coated with file retardant, polymer -
modified asphalt and surfaced with
mineral granules.
One -way valve vent used to relieve built -
up pressure within the roof system.
GAF Vent Stacks are available in metal
or plastic.
Mineral colloidal bituminous emulsion
with reflective aluminum flakes
Non- fibered. Aluminum pigmented,
asphalt roof coating
ASTM D312, interply mopping and surfacing asphalt
Types I, TI, III
and TV
ASTM D 5147
SEBS modified asphalt
Fiberglass reinforced shingle
underlayment
SBS modified asphalt base sheet and
interply sheet reinforce with a glass fiber
mat tile underlayment.
NOA No: 03- 0501.02
Expiration Date: 11/06/08
Approval Date :10 /23/03
Page 4 of 32
Product
Tile Mate Modified Cap
Tile -Mate Modified Cap
Plus
TopCoat® Surface Seal SB
(Matrix 602 SB Coating)
GAF WeatherCote®
MB +(Matrix 715 MB
Coating)
TopCoat MB +(Matrix 715
MB Coating)
WeathcrCotcTM (Matrix
531 WeatherCote®
Elastomeric Flashing
Grade)
Matrix Low VOC
Matrix 101 System Pro SI3S
Adhesive
(Ruberoid®MB) Matrix
201 System Pro SBS
Flashing
(Ruberoid ®MB) Matrix
102 Select S.l3S Adhesive
(RuberoidOMB) Matrix
202 Select SBS Flashing
Matrix 203 Standard Plastic
Cement
Matrix 213 Gun Grade
Plastic Cement
Matrix 103 Cold Adhesive
Matrix 303 Select Fibered
Aluminum
Matrix 304 Select Non -
Fibered
RUBEROID® Modified
Bitumen Adhesive
Test
Dimensions Specification
1 sq. roll ASTM D 5147
1031bs.
1 sq. roll ASTM D 5147
1021bs.
5 gallons
5 gallons
5 gallons
5 gallons
5 gallons
5 gallons ASTM D3019
5 gallons ASTM D3019
5 gallons
5 gallons
5 gallons
5 gallons
5 gallons
5 gallons
5 gallons
5 gallons
ASTM D3019
ASTM D4586
ASTM D4586
ASTM D4586
AST iM D3019
ASTMD 2824
• ASTM D2824,
Type I a
ASTM D 3019 F
Type II1
Product
Description
Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules tile underlayanent.
Non -woven polyester mat coated with
polymer modified asphalt and surfaced
with mineral granules tile underlayinent.
Surface coating for smooth surfaced and
mineral surfaced roofs.
Surface coating for smooth surfaced and
mineral surfaced roofs.
Surface coating for smooth surfaced and
mineral surfaced roofs.
Surface coating for smooth surfaced and
mineral surfaced roofs.
Surface coating for smooth surfaced and
mineral surfaced roofs.
Cold Applied Modified SEBS Asphalt
Adhesive
Cold Applied Modified SEBS Asphalt
Adhesive — Flashing Grade.
Cold Applied Modified SEBS Asphalt
Adhesive.
Cold Applied Modified SEBS Asphalt
Adhesive — Flashing Grade.
Standard Plastic Asphalt Roofing
Cement
Standard Plastic Asphalt Roofing
Cement Caulk Grade.
Cold Applied Asphalt Adhesive.
Fibered aluminum coating.
Non- fibered. Aluminum pigmented,
sphalt roof coating.
iber reinforced, rubberized Adhesive
NOA No: 03-0501.02
Expiration Date: 11/06/08
Approval Date:10 /23/03
. Page 5 of 32
APPROVED INSULATIONS:
Product Name
GAFTEMP Isotherm R, RA, RN &
Composite, EnergyGuard RA
GAFTEMP® Composite A & N
• (BMCA)GAN'1EMP® Fiberboard
GAFTEMP® Pennalite
GAFTEMP GAFCANT
GAF FEMP Permalite Recover
Board
GAFTEMP GAFEDGETM Tapered
Edge Strip
(BMCA) GAFTEMP® High
Density Fiberboard
BMCA EnergyGuard, RA
BMCA Composite EnergyGuard,
RA
PYROX
White Line
ACFoatn I, II & Composite
ISO 95+
ISO 95+ Composite
EPS
Wood Fiber
High Density Wood Fiberboard
Pelite/Urcthane Composite
Perlite Insulation
Dens Deck
E'NRG'Y -2 & E iNRG'Y -2 PLUS,
UltraGard Gold
TABLE 2
Product Description
Polyisocyanurate foam insulation
Polyisocyanurate foam insulation with
high density fiberboard or Permalite
perlitc insulation.
Fiberboard insulation.
Perlite insulation board.
Cut perlite board
Perlite recover board
Tapered perlite board
High density wood fiberboard insulation
Polyisocynurate foam insulation
Polyisocynurate /wood fiberboard
composite
Polyisocyanurate foam insulation
Polyisocyanurate foam insulation
Polyisocyanurate foam insulation
Polyisocyanurate foam insulation
Polyisocyanurate/perlit ridged
insulation
Extruded polystyrene insulation
Wood fi.bcr insulation board
Wood fiber insulation board
Perlite / urethane composite board
insulation
Perlite insulation board
Water resistant gypsum board
Polyisocyanurate foa.m insulation
Manufacturer
(With Current NOA)
GAF Materials Corp.
GAF Materials Corp.
GAF Materials Corp.
GAF Materials Corp.
GAF Materials Corp.
GAF Materials Corp.
GAF Materials Corp.
. GAF Materials Corp.
BMCA
BMCA
Apache Products Co.
Apache Products Co.
Atlas Energy Products
Firestone Building
Products, Inc.
Firestone Building
Products, Inc.
Generic
Generic
Generic
Generic
generic
G -P Gypsum Corp.
Johns Manville
NOA No: 03-0501.02
Expiration Date: 11/06/08
Approval Date:10/23 /03
Page 6 of 32
APPROVED INSULATIONS:
Product Name
FiberGlass Roof Insulation
ISORoc
Structodek
Multi -Max & FA
Paroc Base Board
Paroc Cap Board
APPROVED FASTENERS:
Fastener
Number
Product
Name
1. GAFTITE® (Drill -Tec®)
#12 Standard & #14 Heavy
Duty Roofing Fastener
2. GAFTITE® (Drill -Tec®)
ASAP
3. GAFTITE® (Drill-Tea))
Base Sheet Fastener and
Plate
4. Galvalume Plates (Drill -
Tec® Metal)
5. Polypropylene Plates
(Drill -Tee® Plastic)
6. Dekfast Fasteners #12, 1#14
& #15
7. Dekfast Hex Plate
8. Dekfast Lock Plate
9. #12 Roofgrip Fasteners
10. Metal Plate
11. Gearlok. Plastic Plate
12. Glasfast Fastener
TABLE 2
Product Description
Glass fiber/Mineral fiber insulation
Polyisocyanurate foam / rockwool
composite insulation
Wood fiber insulation board
Polyisocyanurate roof insulation
Rockwool insulation
TABLE 3
Product
Description
Insulation fastener for
steel, wood & concrete
decks.
Pre-assembled GAFT11'E
Fasteners and metal and
plastic plates.
Base sheet fastening
assembly.
Round galvalume stress
plates.
Round polypropylene
stress plates.
Insulation fastener for
wood, steel and concrete
decks
Galvalume hex stress plate.
Polypropylene locking
plate.
Insulation fastener for
wood and steel.
Galvalume stress plate.
Polypropylene round plate
Insulation fastener
assembly with recessed
plastic plate
Dimensions
2 7/8" x
3 ,/"
3 "x3' /a"
3" round
3" square
3.2"
Manufacturer
(With Current NOA)
Johns Manville
Johns Manville
Masonite.
RMax, Inc.
Partek, Inc.
Manufacturer
(With Current NOA)
GAF Materials Corp.
GAF Materials Corp.
GAF Materials Corp.
3" and 3'/z" GAF Materials Corp.
3" and 3 /s" GAF Materials Corp.
Construction Fasteners
Inc
Construction Fasteners
inc.
Construction Fasteners
Inc..
ITW Buildex Corp.
ITW Buildcx Corp.
I'f W Buildex Corp.
johns Manville
NOA No: 03- 0501.02
Expiration Date: 11/06/08
Approval Date :10 /23/03
Page 7 of 32
APPROVED FASTENERS:
Fastener
Number
13. Olympic Fastener #12 &
#14
14. Olympic Fastener ASAP
15. Olympic Polypropylene
16. Olympic 0-2
17. Olympic Standard
18. Insul -Fixx Fastener
19. Insul -Fixx S Plate
20. Insul -Fixx P Plate
21.
22. Tru -Fast Plates
23. Tru -Fast Plates
EVIDENCE S€JBMITTED:
Test Agency
Factory Mutual Research Corp.
Factory Mutual Research Corp.
Trinity Engineering
PRI Asphalt Technologies, Inc.
IRT of S. FI.
IRT ofS.Fl.
Tru -Fast
Product
Name
TABLE 3
Product
Description
Insulation fastener
Pre - assembled Insulation
fastener and plate
Polypropylene plastic plate
3.5" round galvalume
AZ55 steel plate
3" round galvalume AZ50
steel plate
Insulation fastener for steel
and wood decks
3" round galvalume AZ50
steel plate
3" round polyethylene
stress plate
Insulation fastener for steel
and wood decks
3" round galvalume AZ55
steel plate
Polyethylene plastic plate
Test Identifier
Current Insulation
Attachment Requirements
FMRC 4470 -PA 114
Wind Uplift PA 114
GAF- 020 -02 -01
02-005
02 -014
Manufacturer
Dimensions (With Current NOA)
Olympic Manufacturing
Group, Inc.
Olympic Manufacturing
Group, Inc.
3.25" round Olympic Manufacturing
Group, Inc.
3.5" round Olympic Manufacturing
Group, Inc.
3" round Olympic Manufacturing
Group, Inc.
SFS /Stadler
3" round
3" round
3" round
3" round
Description
FMRC 1996
J.I. 1B9A8.AM
J.I. 3D4Q2.AM
4483.04 97 -1
ASTM D 4977
TAS 114
TAS 114
SFS /Stadler
SFS /Stadler
The Tru -Fast Corp.
The Tru -Fast Corp.
The Tru-Fast Corp.
Date
01.01.96
09.04.97
04.30.97
06.06.97
02.0] .02
01.18.02
03.22.02
NOA No: 03.0501.02
Expiration Date: 11/06/08
Approval Date:10/23 /03
Page 8 of 32
Membrane Type: SIIS /SBS Cold Applied
Deck Type 1: Wood, Non - insulated
Deck Description: 19 / 32 " or greater plywood or wood plank decks
System Type E (1): Base sheet mechanically fastened to roof deck.
All General and System Limitations shall apply.
Base sheet: GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated
Nailable, RUBEROID Modified Base Sheet, RUBP_ROID® 20, RUBEROID SBS
Heat- WeldTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically
fastened to deck as described below;
Fastening GAFGLAS® Ply 4 ®, GAFGLAS Flex PlyT"{ 6, GAFGLAS #75 Base Sheet or any
Options: of above Base sheets attached to deck with approved annular ring shank nails and
tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12"
o.c. in the field.
(Maximum Design Pressure —45 psf, See General Limitation #7)
GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any
of above Base sheets attached to deck with Drill -Tec (GAFT1TE) #12 or #14
Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other
rows are equally spaced approximately 12" o.c. in the field of the sheet.
• (Maximum Design Pressure —45124; See General Limitation #7)
GAFGLA.S Flex PIyTM 6, GAFGLAS #75 Ilase Sheet or any of above Base sheets
attached to deck with approved annular ring shank nails and tin caps at a fastener
spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field.
(Maximum Design Pressure —52.5 psf, See General Limitation #7)
GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with
Drill -Tee (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One
row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c.
in the field of the sheet. (Maximum Design Pressure —60 psf, See General
Limitation #7)
Any of above Base sheets attached to deck approved annular ring shank nails and
3" inverted Drill -Tee (GAFFTlE) insulation plates at a fastener spacing of 9" o.c.
at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —
60 psf, See General Limitation #7)
GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with
Drill 'Tec (GAP TYIE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One
row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c.
in the field of the sheet. (Maximum Design Pressure - -75 psf, See General
Limitation #7)
Ply Sheet: (Optional) One or more plies GAFGLAS PLY 4 ®, GAFGLAS Flex Ply 6,
GAFGLAS 1180, RUBEROID MOP Smooth or RUBEROID 20 sheet adhered in a
full mopping of approved asphalt applied within the EVT range and at a rate of 20-
40 lbs. /sq.
NOA No: 03- 0501.02
Expiration Date: 11/06/08
Approval Date:10/23 /03
Page 26 of 32
Membrane:.
Surfacing:
Maximuzu Design
Pressure: See Fastening above
One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR,
Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 20,
Ruberoid® 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID
UltraCladrm SBS in adhered in a full mopping of approved asphalt applied within
the EVT range and at a rate of 20-40 lbs. /sq.
Or,
One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule,
RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, Ruberoid® 20,
RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID
UltraCladrm SBS in RUBEROID Modified Bitumen Adhesive at au application
rate of 1 -2 gal./sq.
(Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top
membrane) Install one of the following:
1. Gravel or slag applied at 400 lb. /sq. and 300 lb. /sq. respectively in a flood coat
of approved asphalt at 60 lb./sq.
2. GAFGLAS Mineral Surfaced Cap Sheet in an approved asphalt at an
application rate of 25 lb./sq. ± 15 %.
3. GAF Weathercote® MB+(Matrix 715 MB Coating), Applied at 1 to 1.5
gal. /sq.
4. Top Coat® Surface Seal S13(Matrix 602 SB Coating), Applied at 1 to 1.5
gal. /sq.
NOA No: 03- 0501.02
Expiration Date: 11/06/03
Approval Date:10/23 /03
Page 27 of 32
• WOOD DECK SYSTEM LIMITATIONS:
• 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or
anchor sheet.
2. Minimum 1/4" Dens Deck or 1/2 Type X gypsum board is acceptable to be installed directly over the
wood deck.
GENERAL LIMITATIONS:
1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials
Directory for fire ratings of this product.
2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with
Product Control Approval guidelines. All other layers shall be adhered in a full mopping of
approved asphalt applied within the EVT range and at a rate of 20-40 ]bs. /sq., or mechanically
attached using the fastening pattern of the top layer
3. AJI standard panel sizes are acceptable for mechanical attachment. When applied in approved
asphalt, panel size shall be 4' x 4' maximum.
4. An overlay and /or recovery board insulation panel is required on all applications over closed cell
foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet
shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip
mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be
placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall
he at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum
design pressure of -45 psf.
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of
2751bf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value,
as field - tested, are below 275 lbf. insulation attachment shall not be acceptable.
6. Fastener spacing for mechanical att:acluuent of anchor/base sheet or membrane attachment is based
on a minimum fastener resistance value in conjunction with the maximum design value listed within
a specific system. Should the fastener resistance be less than that required, as determined by the
Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered
Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing
shalt utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and
calculations in compliance with Roofing Application Standard RAS 117.
7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these
areas. Fastener densities shall be increased for both insulation and base sheet as calculated in
compliance with Roofing Application Standard RAS 117. (When this limitation is specifically
referred within this NOA, General Limitation #9 will not be applicable.)
8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs
shall conform with Rooting Application Standard RAS 111 and applicable wind load requirements.
9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e.
field, perimeters, and corners). Neither rational analysis, nor extrapolation shall he permitted for
enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners).
(When this limitation is specifically referred within this NOA, General Limitation #'7 will not
he applicable.)
10. All products listed herein shall have a quality assurance audit in accordance with the Florida
Building Code and Rule 913-72 of the Florida Administrative Code.
END OF THIS ACCEPTANCE
NOA No: 03- 0501.02
Expiration Date: 11/06/08
Approval Date:10 /23/03
Page 32 of 32
i t
ROOF COVERING MATERIALS (TEVT)
ROOFING SYSTEMS (TGFU) — Continued
Base Sheet (Optional): One or more layers Type 61, G2 or G3..
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid
Mop Ptus" (granule).
Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq.
4. Deck: C -15/32 Incline: 1/2
Insulation: One or more layers perlite, glass fiber, isocyanurate, urethane,
perlite /isocyanurate composite, perlite /urethane composite, phenolic,
1-1/2 in. min thickness (offset from plywood joints 6 in.).
Base Sheet: One or more layers of lype G2 or G3.
Ply Sheet (Optional): One or more layers of Type 61.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Plus" (granule).
Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq.
5. Deck: NC Incline: 1/2
Base Sheet (Optional): One or more layers of Type 61, G2 or G3.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule).
Surfacing (Optional): Karnak "No. 97" or "169" at 1 -3 gat/sq or Grundy
Ind. "20 F Emulsion" at 3 gat /sq.
6. Deck: C -15/32 Incline: 1/2
Insulation: One or more layers perlite, glass fiber, 3/4 in. min,
isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane
composite, phenolic, 1 -1/2 in. min.
Base Sheet (Optional): One or more layers of Type 61, G2 or 63.
Membrane: One or more layers of "Ruberoid lorch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Plus" (granule).
Surfacing: Gravel.
7. Deck: C -15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, wood fiber, glass
fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, wood fiber /isocyanurate composite, phenolic.
Base Sheet: Two or more layers of Type G2 or G3.
Pty Sheet (Optional): One or more layers of Type 61.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or
"Ruberoid Mop Ptus" (granute).
Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq or gravel.
8. Deck: NC Incline: 1/2
Insulation: One or more layers perlite, glass fiber, 3/4 in. min,
isocyanurate, urethane, perlite /isocyanurate composite, perlite /urethane
composite, phenolic, 1 -1/2 in. min.
Base Sheet (Optional): One or more layers of Type 61, G2 or G3.
Membrane: One or more layers of "Ruberoid Torch" (smooth or granule),
"Ruberoid Torch Ptus" (granule), "Ruberoid Mop" (smooth or granule) or
• "Ruberoid Mop Plus" (granule).
Surfacing: "AL MB Aluminum Roof Coating" at 1 -2 gal /sq.
Deck: C -15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in.
min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, phenolic, 1 -1/2 in. niin.
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place.
Pty Sheet: One or more layers of Type 61 "GAFGLAS Ply 4 ", hot mopped
in place.
Membrane: "Ruberoid Mop FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
GAF Weather Coat Emulsion at 3 gal /sq.
10. Deck: C -15/32 Incline: 1/2
Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in.
min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/
urethane composite, phenolic, 1 -1/2 in. min.
.' Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped or mechanically fastened in place.
Ply Sheet: One or more layers of Type 61 "GAFGLAS Ply 4 ", or "GAFGLAS
• Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal /sq or
GAF Weather Coat Emulsion at 3 gal /sq.
11. Deck C-15/32
Incline: 1/2
Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber,
any thickness, hot mopped or mechanically fastened in place. Joints
. offset 6 in.
`.. Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot mopped or mechanically fastened in place. •
'Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or
"Ply 6" hot mopped in place.
Membrane: "Ruberoid Torch FR" (granule). •
Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gat/sq or
. ,.GAF Weather Coat Emulsion at 3 gal /sq.
LOOK FOR
ROOF COVERING MATERIALS (TEVT) 135
ROOFING SYSTEMS (TGFU) Continued
12. Deck: C -15/32 Incline: 1/2
Insulation (Optional): Isocyanurate, perlite or glass fiber, any thickness,
hot mopped or mechanically fastened in place. Joints offset 6 in.
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet",
hot mopped or mechanically fastened in place.
• Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6 ", hot
mopped in place.
Membrane: "Ruberoid Torch FR" (granule).
- Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gat /sq or
GAF Weather Coat Emulsion at 3 gal /sq.
13. Deck: NC Incline: 1/2
Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass
fiber, any thickness, hot mopped or mechanically fastened in place.
Joints offset 6 in.
Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ",
hot mopped in place.
Ply Sheet (Optional): One or more layers of Type 61 "GAFGLAS Ply 4" or
"Ply 6" hot propped in place.
Membrane: "Ruberoid Torch FR" (granule).
Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gal /sq
or GAF Weather Co-at Emulsion at 3 gal /sq.
14. Deck: NC Incline: 1/2
Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass
fiber, any thickness, hot mopped or mechanically fastened in place.
Joints offset 6 in.
Base Sheet: One or more layers of "GAFGLAS #75 Base Sheet ", hot
mopped in place. •
Ply Sheet (Optional): One or more tayers of "GAF GLAS Ply 4" or "Ply 6"
hot mopped in place.
Membrane: "Ruberoid Torch FR" (granule).
Surfacing (Optional): GAF Weather Coat Emulsion applied at 3 gal /sq or
GAF Fibered Aluminum Coating at 1 -1/2 gal /sq.
15. Deck: C -15/32 Incline: 1/2
Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/
isocyanurate composite or phenolic.
Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped
or mechanically fastened.
Ply Sheet (Optional): One or more layers Type 61, hot mopped in place.
Membrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule).
Deck: C -15/32 Incline: 1/2
Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/
isocyanurate composite or phenolic, offset 6 in. from joints.
Base Sheet: One or inore layers of Type G -2 or G -3 base sheet, hot
mopped or mechanically fastened.
Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in
place.
Membrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" (smooth).
Membrane: One layer of "Ruberoid Torch FR" or "Ruberoid Mop FR"
(granule)
17. Deck: NC Incline: 1
Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate,
urethane, perlite /isocyanurate composite or phenolic.
Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped
or mechanically fastened.
Ply Sheet (Optional): One or more layers Type GI, hot mopped in place.
Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR"
(granule).
18. Deck: NC Incline: 1/2
Insulation (Optional): Pertite, fiber glass, wood fiber, isocyanurate,
urethane, perlite /isocyanurate composite or phenolic.
Base Sheet (Optional): One or more layers of Type G -2 or G -3 base
sheet, hot mopped or mechanically fastened.
Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in
place.
Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop"
(smooth).
Membrane: One layer of "Ruberoid Torch FR ", "Ruberoid Mop FR" or
"Ruberoid Mop 170 FR" (granute).
19. Deck: NC Incline: 1/2
Insulation (Optional): One or mere layers of perlite, glass fiber,
isocyanurate, urethane, perlite /isocyanurate composite or phenolic, any
thickness.
Base Sheet: One or more plies 61 or G2, hot mopped or adhered with
Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied
adhesive at 1 -1/2 gal /sq.
Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR"
(granule), hot mopped or adhered with Karnak Chemical Co. "No. 81" or
Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gat /sq.
20. Deck: C -15/32 • Incline: 1/4
::. Insulation: Polyisocyanurate, any thickness.
Base Sheet: "GAFGLAS #75" (Type G2), mechanically attached.
MARK ON PRODUCT
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -113
Printed: 2/4/2004
Applicant: JOSE BONAU
Owner: BONAU JOSE
JOB ADDRESS: 1250 NE 102 ST
Contractor KAWALEK, PAUL RICHARD
Local Phone: 786 - 277 -9540
Parcel # 1132050250030
Legal Description:
Signed: (INSPECTOR)
Building Permit
Contractor's Address: P.O. BOX 531051
Permit Status: APPROVED Permit Expiration: 7/28/2004 Construction Value: $19,000.00
Work: RE- ROOFING INSTALLING NEW ENTERGA CONCRETE COLOR THROUGH ALL TILES SAME
Page 1 of 1
PB 42 -25 BAY BREEZE SEC MIAMI SHORES LOT 3 BLK 185
Fees: Description Amount
FEE2004 -1062 Building Fee $350.00
FEE2004 -1063 CCF $11.40
FEE2004 -1066 Notary Fee $5.00
FEE2004 -1071 Training and Education Fee $3.80
FEE2004 -1072 Technology Fee $7.00
FEE2004 -1073 Scanning Fee $3.00
Total Fees: $380.20
Total Fees: $320 e to
Total Receipts: Ma
3 5 C). O
FEB 04 RAID
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
OZZ
e_ 403 Z.
Date
Legal Description / f 14
Owner / Lessee / Tenant L *
Owner's Address IP,cO k... \'
Contracting Co. , fib . 11
Qualifier A % \c (k - 1 SS #
Phone a XS c j3
Estimated Cost(value) 1 , L o
Electrical
Signature 9f Contractor or Owner- Builder
Date: hi,
acdptlCDYt. W.Lde
i re s • JUDY CATALFINO
ARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC195587
MY COMM5SION EXP. APR. 22,1996
x x x *
TOTAL DUE 11 ff
Mechanical Plumbing Engineering
3 'VD S vs D .3 d li-
3 61- /t
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING P
Application is hereby made for the approval of the detailed statement ur ore plans and specifications herewith submitted (or the build
inc or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of hfi4rni
Shores Village, I'1nrid.t, ;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.
6/15/83
Date. 19.
Mr & Mr Farina 1250 W ~ �N.E.102 St.
Owner's Name and Address — No Street.... r
Registered Architect and /or Engineer ..... .......... ..... , _...
Name and address of licensed contactor Mayo Roofing Company 2140 . N.W. .W 18th Ave. ,ir.,
Miami, ami, Fla. 33142
Location and legal description of lqt to be built on:
Lot Block r Subdivision
Street and Number where work is to be done 1250 N.E. 102 St.
State work to be done and purpose of building (by floors) __.. ...._......_ ............._.._., ,..._.._ ._.
Reroof ft_Ar
,... — and for no other purpose.
New Building . Remodeling... Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering. Built Up /2" insulation
Estimated Total cost of improvements $ 1 ,800.00 Amount of Permit S.
Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot ,
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employe
of Lour 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 thesite of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontract rs, on wor to be performed under this
pennit, as are licensed by Miami Shores Village. ,n
Remarks (Signed)
Building Inspector
STATE OF FLOi;iDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
pealed Charles Williamson
_ r to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. Vice
President
of the above described construction, that he has carefully read the foregoing application, and that he did sign the•same, a 4 that all facts
therein by him stated are true.
Permit No ?-4'S" /�(° Date ..
al
Read, S rn L to nd Subscri• •before me.
Disapproved
(Signed) k �
ir
.. .. Date Notary Public, E -
A„ I PI "'tLIC STATE OF FLORIDA
My Commission Expires.. BONDED THRU. GENERAL INSURANCE UNOE
PLANNING BOARD DATE
Chairman Member , ,
M ember 7 _ Member ..._ .............__....,
Member .. .. T Member ...._ , �.._.....
Council Approved Date Disapproved Date
NOTE: A c•h,rrge cif $1,00 will be made for making corrections or changes to this application after approval has hecn obtained from
the I'I.innir,;; lto.ird.
A re.mspectiun fee of 51.00 will be charged when such re- inspection is made necessary by Improper notice for inspection pr faulty
materials and /or workmanship.
State work to be done and purpose of building (by floors)..
Disapproved
(Signed) .....C/12
Building Igaf dctor
Chairman
Member
Member ...... _....._..._._ ...__
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.
February 22, �8
Date.. — .._...._..._._.___....___.__ ._... ,1 . -
Owncr's Name and Address .Mr...Fa.1 5.......I...E a x].rie... » No...12 r a0 .. Street...N _E_...102.. S.t_....._.
Registered Architect and /or Engineet . _.. .... .
Fame and address of licensed contactor Mayo Roofing Company 2140 N.W. 18 Ave. Miami Fla. 33142
Location and legal description of lot to be built on:
Lot Block Subdivision .
Street and Number where work is to be done 1250 N.E. 102 St.
Tile Reroof 39 $A hags__ , E squares flat deck
Gravel.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering Flat Brown Tile
Estimated Total cost of improvements $ 7i453.00 Amount of Permit S.. 1.8x50
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 hire
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco tractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village. 4/ r
Remarks (Signed) - �/t1
Date._
Member
Member
Member
STATE OF FLORIDA,
COUNTY OF DADE. j Ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No.._? ? ' Date 2ce>1 Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
to me well known,
Notary Public, State of Florida
My Commission Expires
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 fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspectinn or faulty
materials and/or workmanship.
;UILDING ❑
LECTRICAL o PERMIT
'LUMBING
tiOOFING
)wner of
wilding` r�'r
Irchitect
: ontractor
4' Builder
.egal
)escription
address of
uilding
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Bl.
N° 9507
u,. L MFG ..�
Subdi-
vision
Sq. Ft
Value of
Project $
BY
DATE
Amt. of
Permit
i t , t 195+
Contractor's ..a
License No .0 1 G !
Work to be performed under this Permit
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me 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
ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
ertaining to the work covered hereby whether shown on the plans or drawings or in the st tements or pecifications and that he assumes responsibility for work
one by his agents, servants or employees.
Signed { ,.. �. /° ,.3.. -�- —' ►.- Z. r `BY
INSPECTOR //
In consideration of the issuance to me of this permit I agree to perform the work covered he�feunder in compliance with all ordinances and regulations
ertaining thereto and in strict conformity with the plans, drawings, statements or specifications su$ fitted to the proper authorities of Miami Shores Village.
i accepting this permit I assume responsibility for all work done by either, myself; my agent, seurvaq,t or employee.
AUTHORITY
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 ` — O - , 19
Owner's Name and Address .Dean .__ClaU8.sef No 9825 N.E. Street 4th Ave. Road
Registered Architect and /or Engineer
Name and address of licensed contractor Brady Roofing Tiles +ega... C..SL. — 2955 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
1250 N. E. 102nd St,
State work to be done and purpose of building (by floors) 30 - 9 - Tile
and for no other purpose.
New Building X Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering Tile
Estimated Total cost of improvements $ 1200,00 Amount of Permit $..
Zone cubage required _Plan Cubage
Distance to next nearest building. Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer'
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup plemen
and has complied with the provisions thereof, and will require similar compliance from all contractors r sub- contractors employed by h'
in the work to be performed under this permit; and will post or cause to be posted for i spection on.t1 site tlje work such public
or notices as are required by the Act. The undersigned agrees to employ only such s . ontractors/9n wo o be performed and
permit, as are licensed by Miami Shores Village.
Remarks (Signe, Ai► 1if/.
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
Disapproved
(Signed)
Building I
(1 - t - 3 Read, Sworn to and Subscribed before me.
ll
Notary Public, State of Florida
pector My Commission Expires
PLANNING BOARD DATE
Chairman - Member
Member Member
Member Member
Council Approved Date Disapproved Date
r
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 im notice for inspection or faulty
materials and /or workmanship.