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284 NE 102 St (17)"- Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Contractor's Company Name Contractor's Address City Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Fee $ Miami Shores Village Building Department Training/Education Fee $ BUILDING PERMIT APPLICATION JAN n5 2r,:ri FBC 2001 Owner's Address %0 /V& /02— /t42 d 1 City /-Ice State Zip 2 ) ` State Is Building Historically Designated YES NO State Certificate or Registration No. Certificate of Competency No. Type of Work: ['Addition Iteration [New Describe Work: f (-DU/= dA) ,� vI/T7 /yu p//z_7 Structural Plan Review. $ Permit No. t, Master Permit No. d- A LL) /GE( . Electrical Plumbing Mechanical Roofing ti CPhone # Phone # County Miami -Dade Zip Phone # Zip Phone # Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ❑ Repair/Replace ❑ Demolition CCF $ Technology Fee $ �E�'IS�UIM CO /CC Radon $ Zoning Bond $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by APPLICATION APPROVED BY: Chc 05/13/03 a (17( aitiva obV Contractor 0 The foregoing instrument was ackno edged before me this 0 . day of Jon- , 2 (JIU,by 0 U[ CCl d 0 T (C who is personally known to me or who has produced who is personally know . me or who has produced Z 1D As identification and who did take an oath. :side tificati . , . d who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: ' �1 My Commission Expires: My Comm .sion Expires: =� aFF `0e: Expir �' U ��D 2 31934 ******************,**************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 *?�� c : ondin kco.,.tnc Plans Examiner Engineer Zoning roof Passed Inspector Comments /, ge N F/06 Li °X - t Failed Correctio Needed 41 Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP. -1907 by Permit Number: BP2005 -1193 Inspection Date: 12/21/2005 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> VUKOVIC, VLADIMIR 284 102 Street NE Miami Shores Village, FL Contractor: KAWALEK ROOFING, INC Building Deaartment Comments Wednesday, December 21, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060134710 Lot: Phone: 786- 277 -9540 Page 2 of 2 Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date -III Ti e Type Insp'n Permit No'- -- 503 I L I Name N a Pr Address c U ILA f I b 5t Company ` i For Inspector: Approved 11 II Correction ❑ Re- Insp'n Fee ❑ 4 1 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Title lder) Job Address (where the work is being done) State Certificate or Registration No. $ Value of Work For this Permit Describe Work: e Scanning $ 3.00 Total Fee Now Due $ (Continued on opposite side) Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical Owner's Address , /� v� /, h„ lo /t/ City State / ` Zip Tenant/Lessee Name City Miami Shores Village County Miami -Dade 50500 f . 2ID Code Enforcement $ Structural Plan Review. $ Permit No. 12)Po Master Permit No. 7'‘ S Plumbing Mechanical V / phone # ✓ . i� 2 Phone # Certificate of Competency No. Zip Is Building Historically Designated YES NO X Contractor's Company Name wede ,P,00-11 nn Phone # 305 '751-1--0)q/ %4° `' Contractor's Address P o (7X 5310S/ 7 `L go-7 - - I� o City 1v 1 AIN1 State FL Zip S3/53 Qualifier Povi ,' K& 6 13860 0 g3b Architect /Engineer's Name (if applicable) Phone # Square Footage Of Work: 6 DO Type of Work: ['Alteration New ❑ Repair /Replace ❑ Demolition 76ddition 1c ro o v er e t, &ado ****************************F Submittal Submittal Fee $ Permit Fee $ (/ 'SD ` ' CCF $ 3 , bd CO /CC Notary $—�� Training /Education Fee $ Technology Fee $ C=:*- 7 c Zoning Bond $ Bonding. Company's Naine applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by , day of who is personally known to me or who has produced who is As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 Signature Contractor `/ The foregoing instrument was a before me this Oii , 200 by ` 6 1 - 11 t 1 - 11)4 ; me or who has produced as identification and who did take an oath. fit* 4.4`POt)ht{� ISSI® t* ®@ 416936 EXPIRES: April 6, 2009 1 Bonded Thru Notary Public Underwriters ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/12/2005 Applicant: JANET VUKOVIC Owner: VUKOVIC JANET JOB ADDRESS: 284 NE 102 ST Contractor KAWALEK, PAUL RICHARD Local Phone: 786- 277 -9540 Parcel # 1132060134710 Building Permit Permit Number: BP2005 -1193 Contractor's Address: P.O. BOX 531051 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 BLK 35 LOT SIZE Fees: Description Amount FEE2005 -11144 Building Fee $250.00 FEE2005 -11145 CCF $3.60 FEE2005 -11146 Training and Education Fee $1.20 FEE2005 -11147 Technology Fee $6.25 FEE2005 -11148 Scanning Fee $3.00 Total Fees: $264.05 Total Fees: $264.05 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/7 /2006 Construction Value: $5,500.00 Work: INSTALL NEW FLAT ROOF OVER NEW ADDITION AND A NEW SANTA FE SPANISH -S Signed: (INSPECTOR) Page 1 of 1 SEP 2 2 PAID C � 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: Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Information) Master Permit No. 05-1,(0,5 Process No. Q 1 1 Contractor's Name PIA-1 K (-kJ Job Address loafrx et s+-, ROOF CATEGORY Low Slope 0 Mechanically Fastened Tile 0 Asphaltic 0 Metal PaneUShingles Shingles 12( New Roof 0 Prescriptive BUR-RAS 150 ROOF TYPE ROOF SYSTEM INFORMATION 0 Mortar/Adhesive Set Tile 0 Wood Shingles/Shakes Are there Gas Vent Stack Yes 0 No off Type: Natural D LPGX Ii 0 Re-Roofing 0 Recovering 0 Repair 0 Maintenance Low Slop Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 0 g 600 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 identify dimensions of elevated pressure zones and location of parapets. MITI" illml 11111 ma 11 11111111"U *11:1"11° m Ill" Wil'14111 ili1i • 5111 1 di 1111. ili.1411 mil :11.1 11112 I il illoplalimil 60646411111 111 iiii: 1 iiligigi ii i II II p 1111 •m u•Avir I up IN • 4 mil v i el immilmimiligmaiiliwilliiillillive mo sreirwmi .. 1 r- i11111 11111114114111111111141 11111114 .4t 1 11 1 . ., 11111.11 ill11111 1 1 ‘ 1 il 0111111111filiimalliall i 1 1 1111 4 4111 10 1 I I RI il :11 6 1111 1:1 lin i 1 r 14 mi" 1 "1 114 li' altiliA rn., p um 1 :110111:11:iiiiiiiiiiii Initir ma li i 1 illiried se...e.. : "::: mervirimilli IVAN. oll I il uhr:: pi: 1::: :ply 141411,4: iiiirsill Ili 1 . 1 ..: 11 i MA ilm 1 I 10. mi il 1 lomir.ali1 mu lli . n II 1 II II 1 • UM s ll 11111 i 1.1 • 51 4 , b.r • gd Frpo l. IIIIIII! MO IN 1 I li 1 Milarl 7 III " 01 . 1 11 14 3 111- lid - el -2---11 gnu 1 ii: Lim Add: Ilili'lgimi 1101 1111111:1111:11: II img..111 M ii O 1 11 IIII: 1 i M I Oil i 1 111111: 111111111 N M II 114411rflibAiriil NI E . m ri ggii lin 1 ...L • r: ' .., j II j rim. II It I ELM I - I It P t • 41 181 1 1 pl. f 10A' 1 1 . ful g l 1 1/1 III c 1 ' 1 P ' 11 pJw o 1 J , - 1 . JIM ii 5 II ' OA L Wm psi 1f2 ; l'ii; li 1 ! cill P 4 •MIMI II 'I ralA i ediAlik l flig al lb 12301-48 5/03 PAGE 2 • • • • • • S. 00 • • • •0 00 000 • • • •00 • • Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component Is not used, identify as NA") System Manufacturer. 6 A F NOA No.: 02" Og 0 I I OS Design Wind Pressures, r FroomRAS 128 or Calculations: J Pmax1 LPmax2: V I I3 Pmax3: I D 11 — f Max. Design Pressure, Fror he Specific NOA System: — ca. Deck: Type: Type: , oo CI Gauge/ Thiclmess: co g Il Slope: Anchor/Base Sheet & No. of Ply(s): y base r Caps Insulation Base Layer. Base 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(s):AT f 1`be r3Ia Base Sheet Fastener/Bonding Material: E Ply Sheet(s).& No. of Ply(s):4 p y J ber loss Pl he @t Fast5er/Bond Material: Top Ply: _ _j. .• • • • • gin: = 495 OOOOOO • .. TopPJFa stenpr/5 Bonding �tQrial: • • • . •... Surfacing: • • • • • • •.. • • • • . ... • • • • Section C (Low Sloped Roof System) • • • •• •• •• 000 • • • • . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ■ • •• •• • • • •• •• • • •• •. Fastener Spacing for Anchor/Base Sheet Attachment Field: q " oc (4 Lap, # Rows a q Q " oc Perimeter. 6 " oc @ Lap, # Rows ' © 6 " oc Corner q " oc @ Lap, # Rows @ _y_" oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. F M i n eraL 4 Cap 6hee#' 3x3gale - p ,.� 9 "St ra p 4- ply -1 btr — it 1 75 baes Sig II wood, FT. FT. 0 Parapet Height I0 ' Mean Roof Height 123_01 -48 5/03 PAGE 3 - - .. • • • 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. i 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. IV 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). Pk 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. Pk 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. P -7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assgmblytthe buildinit itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial %) conSidep.dilijiop�i vepting which can result in extending the service life of the • • • • • .• • • roof. •• ••• •• • • • •• • ••• ••• O G (�lJl ‘.P • • • • • • i • •• • ••• • •••• i • Owner's /Agent's Signature Date Contractor's Signature CA OOCIZIE- IkmpLLOCALS- 11T,mp1SECTION ISaa.Aa •••• ••••••• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • •••••• • • ••• ••• • • • ••• • MIAM APPROVED: 02/01/2001 1 nsnfRRRenn • • • - • • • • • • • • • • • • • ••• • • Your application for Notice of Acceptance (NOA) of: Spanish "S" Clay Tile • • • • • • • • • • • • •• • 11,0-45000 Iki42o00tke i acceptance cos�r pa;e.dot: • • • • • • • • • • • lulernct mail add rexs: n b •. •• •• . • • os��h�slcr�ul u illlrn�rcodcnulw►c,pp�l t d PRODUCT CONTROL. NOTICE OF ACCEPTANCE Santa Fe Tile Corporation 10302 N.W. South River ]) p #16 Medley ,FL 33)78 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 00 -1 212.06 EXPIRES: 02,1/2006 •• ••• • • • .• • •• • • • • • • • • • • • • • _ •`w •• • • • •• ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • MIAMI -DADE COUNTY, FLORIDA METRO- DADE.FLAGLER BUILDING 1WILUFVc CODE: COMPLIANCE, OFFICL Mt TRO -DADC FLAGLCR BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI. FLORIDA 33130.156.. (305) 375 -290t FAX (305) 375. CONTRACTOR t.ICFNS1NC SI :C1'Ios (305)375-2527 VAX (303) 3 CU t:NFOItCEME I' I) IV'ISION • (305) 373.1946 Fix 0051 375•290x t'KODUCP CON1 ROL DIVISION (305) 373.2902 FAX (305) ) -6139) under Chapter 8 of the Code of Miami -Dade County governing use of Alternate Materials and Types Construct■on, and completely described herein, has been recommended for acceptance by the Miam-D dc: 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. Raul Rodriguez Chief Product Control Division THIS IS TFIF, COVERSI4F.F.'T`, `I:I'. ADDITIONAL. PACFS FOR SPECIFIC AND Ci f NEllAl, C:ONDITIONS BUD LDINC CODE & PRODUCT RFVIEW.COMMITTFF This application for Product Approval has been reviewed by the BCCO and approved by the Buildin! . Code and Product Review Committee to be used in Miami - Dade County. Florida under the conditions set Iorth above: Francisco J. Quintana, R.A. Director Miami-Dade County Building Code Compliance Officc • 1(omcpage: httpwwww,buildinQcodconlinc.corn uo t ae .jodJo.- art, a .eeluec a, „ Csr, gnats L � • . 4 SANTAFE TILE CORPORATION ACCEPTANCE No.: 00- 1212.06 ROOFING ASSEMBLY APPROVAL Ca tcto ry: Roofing Suti- Ca t 07320 Roofing Tiles M;► tcrials Deck Tvpc: 1. SCOPE • This renews a roofing system using Santa 1'c "Santafc 'S" clay roofing tile, manufactured by Santafc Tile Corporation described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami -Dade County. For locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtain by calculations in compliance with RAS 127 using the values listed in herein. The attachment calculations shall be done as a moment based system. 2. .PRODUCT DESCRIPTION Manufactured by A pnlics'nt Santafc 'S' Clay Roof Tile i rim Pieces Product Tile . Screws 3. L.I M ITATIONS 1= 18" w= 11.5" ' /•" th ick I - varies .w varies varying, thickness Clay Roof Tiles Wood Test Dimensions Specifications •• ••• • • • • • •• Product Dcscriptinn Test Dimensions Specifications #8 x 2 -Y" long PA 114 0.130" shank dia. Appendix E 0.178 flute dia. Approval Date: February 1, 2001 Expiration Date: February 1, 2006 PA 112 One piece high profile clay roof tile equipped with two nail holes. For nail•on, mortar set and adhesive set applications. PA 112 Accessory irim clay roof pieces for use at hips, rakes. ridges and valley terminations. Manufactured for each tilt profile. 2.1 COMPONENTS OR PRODUCTS MANUFACTURED 13Y OTHERS Product Description Stainless Seel Manufacturer generic • 3.1 Firc classiiicatioA IS it�at far; Qf tl ivaccc,p 3./ For mortar or adllcsiVesereilc ! ipplic'attdns, a static field uplift tcst shall be performed in accordance with RAS 106. 3.3 Applicant slt414 tIf „drf a.ttliami -Dade County Certified Laboratory to perform quartorly:t4(.in S'A 112 aop.d.x • . , ' • shall be submitted to tftC•f3uilding fod Oftic • • • • • ••• • • • • • • • • • • • • • • • • • ••• •• • • • • • • • • • • • • • • • • • • • •• • • • • • • • •• •• ••• • • • • • ... • • Fra mfi - Zutoaga, RRC Roofing Product Control Examiner Table 3: Attachment Resistance Expressed as a Moment- Mf (ft -lbf) For Nail -On System Tile Profile Tile Application Two Nails 21.8 One Screw 29.16 Two Screws 38.28' One Screw W/ Clip 57.31' Two Screws w/ Clip ' 57.60 61.77' —r Santafe S direct Deck Battens Barrens Direct Deck Battens Direct Deck I . Approved Screws as noted 'Product manufactured by others' Table 2: Restoring Moments due to Gravity - M„ (ft -Ibf) Table 4: Attachment Resistance Expressed as a Moment - M (ft-lbf) for Mortar or Adhesive Set Systems 2 ":12" Tile Profile Tile Application Mortar Set Attachment Resistance 23.6 Santafe 'S' 7":12" .12 greater Battens Adhesive Set 613 Table 2: Restoring Moments due to Gravity - M„ (ft -Ibf) Tile Profile 2 ":12" 3 " :12" 4 ":12" 5 ":12" 6 ":12" 7":12" .12 greater Battens or Ors ect Deck Battens Direct l Deck. Barrens Direct Deck Battens Direct Deck Battens Direct Deck Battens Direct Deck Santafe 'S' 5.93 5.90 5.85 5.82 5.73 5.69 5.56 5.53 5.32 5.29 I 5.03 N/A SANTAFE TILE CORPORATION ACCEPTANCE No. : 00 1212.06 3.5 30/90 hot mopped undcrlaymcnt applications may be installed perpendicular to the roof slope unless stated otherwise by the undcrlaymcnt material manufacturers published literature.. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, R/tS 119, and RAS 120. 4.1.2 Data For Attachment Calculations .. ... . • • • • .. • • .. . . . . • • • • • • ,. • . . . .. . . . • • . • . . • • • • • • . • • • • • • • • • • • • • • • • .. • • • • • ... .. .. ... .. • • . • . • • ... • • • • ... • • • • • • • • • • • ... • • • • • • • • • • . .. • . • • .. ... • 3 Frank Zuloaga, RRC Roofing Product Control Examiner Table 1: Aerodynamic Multiplycrs- X ft ) _ X (ft) Direct Deck Tile Profile X (ft Batten A lication Santafe 'S' . • 0.274 0.297 SANTAFE TILE CORPORATION ACCEPTANCE No. : 00 1212.06 3.5 30/90 hot mopped undcrlaymcnt applications may be installed perpendicular to the roof slope unless stated otherwise by the undcrlaymcnt material manufacturers published literature.. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafe 'S' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, R/tS 119, and RAS 120. 4.1.2 Data For Attachment Calculations .. ... . • • • • .. • • .. . . . . • • • • • • ,. • . . . .. . . . • • . • . . • • • • • • . • • • • • • • • • • • • • • • • .. • • • • • ... .. .. ... .. • • . • . • • ... • • • • ... • • • • • • • • • • • ... • • • • • • • • • • . .. • . • • .. ... • 3 Frank Zuloaga, RRC Roofing Product Control Examiner . SANTATE TILE CORPORATION ACCEPTANCE No. : 1212.06 NOTICE, OF ACCEPTANCE STANDAR2 CONDITIONS Kcncwal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, cnginccring documents, are no older than eight (8) years. 2 Any and all approved products shall be pcnnancntly labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in thc specific conditions of this Acceptance. 3 Renewals of Acceptanoc will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; • b) The product is no longer the santc product (identical) as thc one originally approvcd: c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and scaled the required documentation initially submitted, is no longer practicing the engineering profession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been rcqucstcd (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misusc of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Noticc of Acceptance numbcrprcccdcd by the words Miami•Dadc County, Florida, and followed by thc expiration date may be displayed in advertising literature. if any portion of the Notice of Acceptance is • displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approvcd drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job silt at all times. The copies need not be rese;iled by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages 1 through 5 END OF THIS ACCEPTANCE • • • • • • • • • • • • • • • • • • • • •• • • • •• ' • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • •• • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• • •• • • • • • •• • •• ••• • • • • • .••• • • Frank Zuloaga, RRC Roofing Product Control Examiner ROOFING SYSTEM APPROVAL Category: Sub- Catcgorv: Deck Type: Maximum Design Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Snecitication Description 5, 55 gallons ASTM D 41 Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. GAF Asphalt Concrete Primer (Matrix'=" 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat Emulsion (Matrix''" Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (Matrix r" System Pro Aluminum Roof Coating Fibered 301) GAF ]etblack All Weather Plastic Cement (Matrix TM Standard . Wet/Dry Roof. Cement 204) • . RUBEROID®Modified: Bitumen Flashing Cement :(etblack Premium Flashing Cement GAFGLAS® #75 GAFGLAS #80 Ultima 13 Sheet GAFGLAS Flex PlyTM 6 Roofing BUR Wood -75 psf See General Limitation. #1 60 lb. bags ASTM D 1863 Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shield® Granules shall be used for flashing applications only. 5 gallons ASTM 1227 Surface coating for smooth surfaced roofs. 1, 5 gallons ASTM D 2824 Fibered aluminum coating. 1, 5 gallons ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. 5 gallons ASTM Ill 4586 Fiber reinforced, polymer modified Flashing cement 5 gallons ASTM D 4586 Asphalt flashing Cement 39.37" (1 meter) ASTM D 4601 Asphalt impregnated and coated glass mat wide base sheet. 39.37" (1 . .. • ipeter)•.ASTM D46Ul *Asphalt impregnated and coated, fiberglass wide' • • • .base sheet . • . . . . . . . 39.37" (1 weter.).,ASJ. Iti2.1'j8TfrVI asphalt impregnated glass felt with wide asphalt coating. • • ... ... • . • • • • • • • • • • • • • • • • • • .. • • • • • • • • • • • • .. .. • • • • ... • • • • • ... • • • • ... • • • • • • • • • • • • • ... • • • • • • • • • • • • • • .. .. • • • .. .. ... • • • ... • • NOA No: 03- 0507.05 Expiration Date: 11 /04/08 Approval Date:10 /23/03 Page 2 or f 21 Product GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT O Eliminator Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Eliminator Perforated Nailable RUBEROIDO SBS Heat - Weld'rm Smooth RUBEROID® SBS Heat - WeIdTM Granule RUBEROID® SBS Heat - Weld 170 FR. RUBEROID® SI3S Heat - WeldTM PLUS RUBEROID® SBS Heat - Weld PLUS FR • RUBEROID® SBS Heat- We Lem 25 RUBEROID Modified Base Sheet Ruberoid® 20 Ruberoid® Mop Granule Di mensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 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 1 meter (3937 ") wide 39.37" (1 meter) wide Test Specification ASTM D 2178 Type IV asphalt impregnated glass felt with asphalt coating. ASTM D 3909 Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. ASTM D 4897 Fiberglass base sheet impregnated and D 3672 coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber.mat flashing sheet available in three sizes. Fiberglass base sheet impregnated and 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. ASTM D 4897 D 3672 ASTM D -6164 ASTM D -6164 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. Non -Woven Polyester mat.coated with polymer - modified asphalt and smooth surfaced. ASTM D4601, Premium glass fiber reinforced SBS - Type 11; UL modified base sheet Type G2 BUR • ASTM D-6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 39.37" (1 meter) ASTM D 6163 SBS modified asphalt base sheet and wide ASTM: D 5147 interply sheet reinforce with a glass fiber mat. 39.37" (1 meter) ASTM D 6222 Non -woven polyester mat coated with wid; ' : A all..1S511.7 pv15/lner modified asphalt and surfaced with • • • • rniperal granules. • •• ••• •• • • • •• • • ••• ••• • • • • • • • • • • • • • • • • • •• • • • • • • • • • • •• •• •• I ••. • • ••• • • • • •.• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • Si •• ... • • • ••• • • • • • • • • Product Description NOA No: 03- 0501.05 Expiration Date: 11 /04/08 Approval Date:1U/23 /03 Page 3 of 21 Product Ruberoid® Mop Plus (Granule) RUBEROID MOP Smooth RUBEROID O MOP 17OFR RUBEROID® MOP FR RUBEROIDO TORCH Smooth RUBEROID 0 TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID 17OFR TORCH RUBEROID ® 30 RUBEROID® 30 FR RUBEROID ULTRACLAD® SBS RUBEROID® Dual FR 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 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide • ••• • • • • • • • • • •• • ••• • Test Product Specification Description ASTM D 6222 Non -woven polyester mat coated with ASTM D 5147 polymer modified asphalt and surfaced with • mineral granules. ASTM D 6164 Non -woven polyester mat coated with ASTM D 5147 polymer - modified asphalt and smooth • surfaced. ASTM D 6164 Non -Woven polyester mat coated with fire ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 6164 Non -Woven polyester mat coated with fire ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen rembrane, smooth surface. ASTM D 5147 Asphalt impregnated, coated felt, surfaced with mineral granule. ASTM D 6222 Heavy duty, polyester reinforced, asphalt ASTM D 5147 modified bitumen membrane, granule surface ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 6222 Heavy duty, polyester reinforced, coated ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM 5447 ••••••• • • ••• ••• • • • • • • • • • • • • • • •• • • • • • • • •• • • • •• • • • •• • • • • • • • ••• • • • • • • • • •• • • • • • • • • • • • • •• •• • ••• • • 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 granules. Woven fiberglass mat coated with Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer modified 39.37" (1 meter) Wiiie• ••• • • . asphalt and surfaced with mineral granules. • •• ••• •• • • • •• • • • • • • • NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date:10/23 /03 Page 4of21 Product Vent Stacks (metal and plastic) GAF Aluminum Emulsion GAF Aluminum Roof Paint (Matrix ® System Pro Aluminum Roof Coating Fibcred 302) GAF Built -Up Roofing Asphalt RUBEROID MOD Asphalt, Asphalt L & Asphalt P Tile -Mate Base Sheet • Tile -Mate Cap Sheet Elastomeric •Flashing • Grade) Matrix Low VOC Matrix 101 System Pro SBS Adhesive (Ruberoid®MB) Matrix 201 System Pro Sl3S Flashing (Ruberoid®MB) Matrix 102 Select SBS Adhesive Test Dimensions Specification PA 100(A) ASTM D 1929 ASTM D 635 5 gallons None 5 gallons ASTM D2824, Type I 100 ib. cartons, bulk 60 lb. kegs Shingle- MateTM 4 sq. roll Underlayment 301bs. TopCoat® Surface Seal 5 gallons SB (Matrix 602 SB Coating) GAF WeatherCote® 5 gallons MB+(Matrix 715 MB Coating) TopCoat MB4-(Matrix 5 gallons 715 MB Coating) WeatherCote'M (Matrix 5 gallons 531 WeatherCote® 39.37' (1 meter) ASTM D4601 wide 39.37" (1 meter) ASTM D 3909 wide 5 gallons 5 gallons ASTM D3019 5 gallons ASTM 03019 .. ••• • • • • • •• • OOOOO 5 gallons •: /Mr p38�� Cpld Applied .Modified SEBS Asphalt • • ' • • . • • • • • • • Athesive. • ... ..• • . • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • •• • • • • • • • • ••• • • • • ••• ASTM D312, Types 1, 11, Ili and IV • •. •.•. • • • • • • • • • • • • • • • • • • • • • • • • • • ... • Product Description 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 Interply mopping and surfacing asphalt SEBS modified asphalt Asphalt impregnated and coated, fiberglass base sheet Asphalt coated, glass fiber mat cap sheet surfaced with mineral granites. Fiberglass reinforced shingle underlayment 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. NOA No: 03 0501.05 Expiration Date: 11/04/08 Approval Date:1O /23103 Page 5 of 21 ..1.. . .•..•. r.n•vI1 I d1VII011IVI 1 U. (Ruberoid ©MB) Matrix 202 Select SBS Flashing Matrix 203 Standard Plastic Cement Matrix 213 Gun Grade Plastic Cement Matrix 103 Cold Adhesive Matrix 303 Select Fibered Alu.rnin Matrix 304 Select Non - Fibered RI.IIB:ROID® Modified I3itumen Adhesive APPROVED INSULATIONS: GAPTEMP isotherm R, RA, RN & Composite, FnergyGuard RA GAF TEMPO Composite A & N (BMCA.)GAFFIMP® Fiberboard GAFTEMPN Pennalite . GA.F1'EMP GAPCANT'M GAFI'EMP Perwalite Recover Board GAFTEMP GAFJDGETM Tapered Edge. Strip (BMCA) GAPTEMPO High Density Fiberboard 131\1CA [nergyGuard, RA BMCA. Composite EsnergyGuard, RA PY ROX W ltite Line Product Product Name • • • TABLE 2 ..t'• I ( 4 q VUO 1 Inie: I::JU:ou rM Test Product Dimensions Specification Description 5 gallons AS'I'M 1)4586 Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement Caulk Grade. 5 gallons ASTM 1)3019 Cold Applied Asphalt Adhesive. 5 gallons ASTM D 2824 Fibered aluminum coating. 5 gallons ASTM D2824, Non- tibered aluminum pigmented, asphalt Type 1 roof coating. 5 gallons ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or I'ermal perlitc insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board 1'erlite recover board Tapered perlitc board High density wood fiberboard insulation. Polyisocynurate foam insulation Polyisocynurat.e /wpod fiberboard •u.nawasit , • • • • • • . .Aolyisocyawur a fcXa i insulation . .. .• • • • •• Polyisocyanurate foam insulation • • • •• •.. • • • • • • • • • • • • • • • • • • • •. • • • • • • • • • • • • •• •• • • • • •00 • • • • • • • . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • 41 • • • 0 • • • • Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. • GAP Materials Corp.. • GAF Materials Corp.. GAF Materials Corp. BMCA BMCA Apache Products Co. • Apache l'roducts Co. NOA Nu: 03- 0501.05 Expiration Date: 11/04/08 Approval Datc:10 /23/03 Page 6af21 rd(Ju , V1 CC APPROVED INSULATIONS: Product Name ACFoam I, II & Composite 1S0 95+ ISO 95+ Composite Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck E'NRG'Y -2 & E'NRG'Y -2 PLUS, UltraGard Gold FiberGlass Roof Insulation Structodek Multi -Max & FA Paroc Base Board Paroc Cap Board APPROVED FASTENERS: Fastener Number 1.• 3. 4. 5. 6. Product Name CAFTII'E® (Drill -Tec ®) #12 Standard & #14 Heavy Duty Roofing Fastener GAFTITE® (Drill -Tec ®) ASAP GAFTITE® .(Drill -Tec ®) Base Sheet Fastener and Plate Galva lame Plates (Drill - Tec® Metal) Polypropylene Plates (Drill -Tec® Plastic) Dekfast Fasteners #12, # l4 & #'15 Polyisocyanurate foam insulation • Polyisocyanurate foam insulation TABLE 2 Product Description Polyisocyanurate /perlite ridged insulation Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Wood fiber insulation board Polyisocyanurate roof insulation Rockwool insulation Product Description Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFTITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalusne stress plates. Round polypropylene st sess,olates., Insnlaiian ftsrenraor woad stP eFai ,d ? ottcrei e, decks - o TABLE 3 0 O 0 0 000 0 000 0 • 0 0 0 0 0 0 O 0 0 0 0 o 0 O 0 0 00 00 O 0 Manufacturer (With Current NOA) Atlas Energy Products Firestone Building Products, Inc. Firestone Building Products, Inc. generic generic generic G -P Gypsum Corp. Johns Manville Johns Manville Masonite. RMax, Inc. Partek, Inc. Manufacturer Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAP Materials Corp. 3" and 3 GAF Materials Corp. 3" and 3' /s" GAF Materials Corp. Construction Fasteners Inc. NOA No: 03.0501.05 Expiration Date: 11 /04/08 Approval Date:10/23 /03 I'age7uf21 APPROVED FASTENERS: Fastener Number Product Name 7. Dektast :Ilex Plate 8. Delcfast Lock Plate 9. #12 Roofgrip Fasteners 10. Metal Plate 11. Gearlok Plastic Plate 12. Glasfast Fastener 13. Olympic Fastener #12 & #14 14. Olympic Fastener ASAP 15. Olympic Polypropylene 16. Olympic G -2 17. Olympic Standard 18. Iusul -Fixx Fastener 19. Insul -Fixx S Plate 20. Insul -Fixx P Plate 21. Tru -Fast 22. Tru -Fast Plates 23. Tru -Fast Plates TABLE 3 . Product Description Galvalume hex stress plate. Polypropylene locking plate. Insulation fastener for wood and steel. Galvalume stress plate. Polypropylene roundplate Insulation fastener assembly with recessed. plastic plate 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 •• • •• ■ • • • • •• • • • • • • •• ••• •• • • • •• • • • • •• • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • •• •• • • • • ••• • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • •• • •• • • • • • • • • • • ••• • • • • • • • • Dimensions 2 7/8" x 3 1 4" 3 "x3' /a" 3" round 3" square 3.2" 3.25" round 3.5" round 3" round Manufacturer (With Current NOA) Construction Fasteners Enc. Construction Fasteners Inc. ITW Buildex Corp. ITW Buildex Corp. ITW Buildex Corp. Johns Manville Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. SFS /Stadler 3" round SFS /Stadler 3" round SFS /Stadler The Tru -Fast Corp. 3" round The Tru -Fast Corp. 3" round The Tru -Fast Corp. NOA No: 03- 0501.05 Expiration Date: 11 /04/08 Approval Date:10/23 /03 Page 8 of 21 NET 3atisFAXtion From: JWheeler To: X it IS • • Deck Type 1: Deck Description: System Type E (1): EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corp. Factory Mutual Research Corp. Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. PRI Asphalt Technologies, Inc. 1RT of S. Pl. 1RT of S. Fl. Wood, Non - insulated 19 or greater plywood or wood plank decks Base sheet mechanically fastened. All General and System Limitations shall apply. Base sheet: GAFGLAS #80 Ultimarm Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROID® 20, RUBEROID SBS Heat- We1dTM Smooth or RUBEROID SBS Heat -Weld 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS® Ply 4 ®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approve ann a mg s iauk 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 PIyTM 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 —45 psf, See General Limitation #7) GAFGLAS Flex PIyTM 6, GAFGLAS #75 Base 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 th field. (Maximum Design Pressur — 52.5 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of any above sheets attached to deck wi Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation 117) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill -Tec (GAFTITE) insulation plates at a.fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure — 6Opsf, See General Limitation #7) . GAFGLAS #75 Base Sheet or any of above Base sheets attached to.deck with Drill -Tec (GAFTITE) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. l Maximum Design Pressure —75 psf, See General Limitation #7) e g or more plies of GAFGLAS® PLY 4 ®, GAFGLAS® PLY 6® ply sheet, #80 Ultima,RUBEROID MOP Smooth or RUBEROID 20 adhered in a full [Hopping of a red aphilt aep1ied within the EVT range and at a rate of 20- lbs./sq; ( Optional) 'One Sy bf fr4FCII2 ® Mineral Surfaced Cap Sheet adhered in a full mopping o approved asphalt a 'VT pliTied within t e range and at a rate of 20 -40 lbs. /sq. •• • • • • • • • •. • • . • • • • • •. •• • • • • • • • • • • • • • • • .. •• • • • • • • .•• • • • • • • • • • • ••• • • • • • • • • • • • • • • • . • • • • • • • • • • • • • • .• .• • • • .. .• •.. • • • 000 • • Test Identifier FMRC 1996 J.I. 2B8A4.AM J.I. 3B9Q1.AM J.I. OD0A8.AM J.I. ODIA8.AM J.I.0Y9Q5.AM GAF - 012 -02 -02 GAF- 020 -02 -01 02 -005 02 -014 .. ••• • • • • • •. . • • • • • • . • • • • • • .• • • • • • • • ••• • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • •• •• • • • • ••• • • • • • • • • ••• • • • • • . • • . • • • • • • •.• • • • • • • • • • • • • • • • • . 0 • • • • • • • • • • • Date: 12/2/2003 Time: 1:58:36 PM Page 19 0l 22 Description Current Insulation Attachment Requirements Wind Uplift FMRC 44704 Wind Uplift FMRC 4470 - PA 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 NOA No 03- 0501.05 Expiration Date: 11/04/08 Approval Date:I0 /23/03 Page 18 of 21 Date 01.01.96 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 11.06.01 02.01.02 01.18.02 03.22.02 NOA No: 03- 0501,05 Expiration Date: 11/04/08 Approval Date:10 /Z3/0 Page 9 of 21 I NET SabsFAXlfon From: JWheeler To: X • • 0 Dale: 12/2/2003 Time: 1:58:36 PM Pape 20 of 22 Surfacing: (Required if no cap sheet is used) Install one of the following: 1. GAF Special Roofing Bitumen with an application rate of 20 lbs. /sq with an application rate of 1.5 gal. /sq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 galisq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibered 301) with an application rate of 1.5 gal. /sq. 2. Asphalt flood coat at an application rate of 60 lbsJsq. ± 20 %; plus gravel or slag with an application rate of 4001bs. /sq. & 300 lbs./sq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeatherCote or WeatherCote LOW -VOC applied at rate of 1 -1.5 gal/sq. Maximum Design Pressure: See Fastening Above • • ••• • • • • • .• • • . • • • • • • •• ••• •• • • • • • • • ••• •• • • • •••• • • • •• • • •• • • • • • • •• • • • • • • • • • ••. 0 00 • • • • • • • • • • 000 • • • • 000 • . • • .• • .• • • . • • • • . . • • • ••• • • • • • • • • • • • • • • .• •• • • • •• two ••. • • • ••. • • NOA No: 03- 0501.05 Expiration Date: 11/04/08 Approval Date :10/23/03 Page 19 of 21 Roofing Systems (TGFU)- Continued GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. "GA::glas Flex Ply 6" is a suitable altemate to "GAFglas Ply 6 ". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NGClassifications. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes: " Ruberoid Heat Weld" SBS roofing membraner may be used in lieu of " Ruberoid Mop" SBS products in any applicable Classification. Class A 1. Deck: C-15/32 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber. isocyanu rate, urethane, perlite; isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers Type GI "GAFGLAS Plv 4" or "GAFGLAS Ply 6", hot mopped. Surfacing: Gravel. Deck: C -15/32 Incline: 2 Insulation (Optional): One or more lavers perlite, wood fiber, glass fiber. isocyanurate, urethane. perlite /isocyanurate composite, perlite..' urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet: Three or more lavers Tvpe GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet: One laver Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". 3. Deck NC Incline: 2 Insulation (Optional): One or more layers perlite, „ •ood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in. max. Ply Sheet: Two or more lavers Tvpe G1 "GAFGLAS Plv 4" or "GAF- GLAS Ply 6". ' Cap Sheet: One laver Type G3 "GAFGLAS Mineral Surfaced Cap Sheet". 4. Deck NC • Incline: 1.i2 Insulation: One or two lavers "isothenn R ", 4 in. max, hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck: C -15/32 incline: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet: One laver of Tvpe G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet: One or more layers of Tvpe GI "GAFGLAS Ply 4" or GAFGLAS Plv 6 ". Cap Sheet bne laver of Tvpe G -3 "GAFGLAS Mineral Surfaced Cap Sheet". 6. Deck: NC incline: 3 Base Sheet One layer of Tvpe G2 "GAFGLAS #75 Base Sheet" ".• Ply,,. Sheet: One or more )avers of Type GI "GAFGLAS Ply 4" or GAFGLAS Ply 6". Cap Sheet: bne laver of Tvpe G -3 "GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck C -15/32 incline: 2 insulation: One or more layers perlite, glass fiber, isocyanurate, ure- thane, perlite %isocyanurate composite, perlite /urethane composite, phe- nolic, 1.0 in. min (offset from plywood joints 6 in.). Base Sheet: One or more layers of Type GI, G2 or G3. Membrane: One or more layers of "Ruberoid Torte" , sjooth or granule), " Ruberoid Torch Plus" (granule), " Ruberoid op' (sitovthor • granule) or "Ruberoid Mop Plus" (granule). • • • • • Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheer' hot ms* re d.� • I ells•) • e: 8 . Deck C -15/32 Insulation (Optional): One or more layers perlite, wood ibex glass isocyanurate, urethane, perlite /isocyanurate composite, perlite/ • urethahe composite, wood fiber /isocyanurate conipotittu pbenolit:atry � Base Sheet Two or mor, layers of Type G2 or G3. • • • • • • Ply Sheet (Optl One or more layers of Typt 'Cl. • • • • • Menmbrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Rubero(d Torth Plus " Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). • • • • • • • • • • • • • t , .-.• ROOF COVERING MATERIALS (TEV'r) 17 Roofing Systems (TGFU)- Continued Cap Sheet: "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. I. Deck: C•15/32 Class B incline: 3.1; Insulation (Optional): One or mot 'avers perlite, wood fiber. glas fiber, isocyanurate, urethane, perlite /tsc.vaaurate composite. perlite urethane composite, wood fiber / isocyanurate composite. phenolic ar thickness. Ply Sheet: Two or more layers o' Type GI "GAFGLAS Plc •t'• c• "GAFGLAS Ply 6" Cap Sheet: Type G3 "GAFGLAS Mineral Surfaced Cap Sheet ". ho mopped. 2. Deck C- 15.32 Incline: 3.1. insulation (Optional): One or more layers perlite, wood fiber. _I•t> fiber, isocyanurate, urethane, perlite/isocyanurate composite. perlitt• Methane composite, tc fiber; isocyanurate composite. phenolic. an: thickness. Base Sheet. Two or more lavers of Type GI, G2 or G3. Membrane: One or more • lavers of " Ruberoid Torch" (smooth a granule), "Ruberoid Torch Plus" (granule), " Ruberoid Mop usmooth i' granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet ", hot :trip. d. 1. Deck C -15/32 Class C Incl ine: 1/ 2 Insulation (Optional): One or Inure layers perlite, wood h! glass fiber. isocyanurate, urethane, perlite isocyanurate composite, pe.rhte/ urethane composite, wood fiber /tsocyanurate composite, phenolic. an thickness. Ply Sheet Three or more lavers of Type G: "GAFGI.. \S Ply or "GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 Ibs /sq. COAL TAR FELT SYSTEr iS WITH HOT ROOFING COAL TAR Class A 1. Deck: C-15/32 Incline: 1/2 • insulation (Optional): One or more layers perlite. wood fiber, glass fiber, isocyanurate, urethane, perlite; isocyanurate composite.' perlitei urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers of Tvj,e GI "GAFGLAS Ply 4" or "GAFGLAS Ply 6 ", hot mopped with coal, tar bitumen. Surfacing: Gravel. . COMBINATION HOT AND COLD SYSTEMS Class A 1. Deck NC incline: 2 Insulation• (Optional): One or more layer'. perlite, ,wood fiber or hl:.ss fiber, 2 in. max. Ply Sheet 'three or more lavers of Type GI "GAFGLAS Ply . 4" or "GAFGLAS Ply 6 ". Surfacing: Grundy Industries "al MB Al oiirium Roof Coating "- at', I -1/2 gal /sq.. - • 2. 17eck :•NC _ indite: insulation (Optiorial) :• One or more layers perlite, wood fiber. glass fiber, isocyanurate,'ur,q haite, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. - Ply Sheet 'Thre lo gy more layers of Type GI "GAFGLAS Ply 4:' or "GAFGLAS Ply 6 ". • Surfacing: "Weather Coat Emulsion" at 3 gal /sq. • 3. Deck: NC incline: 1 / 2 Insulation: One or two layers "Isotherm R ", 4 in., hot mopped. • • Ply Sh eet Any UL Classified gravel surfaced Class•A asphalt glass fiber mat System. • etc NC Incline: 2 • In libation (Optional): Isocyanurate perlite, • • • • 4: A per t e, t. • wo&d fiber and glass fiber, any thickness, mechanically fastened. Base Sheet One ply Type G1 or G2, mechanically fastened or hot mopped. • • illy sett One or more plies Type GI or G2, adhered with hot roofing • helt• • • sldsg: "GAF mi umin um Rot Coating ", 1 1 /2 o �al sQor "GAF Weath C oat Em Fibered ulsion Al ", 3 gal /sue• 5. - Indlnpoe is1 anurate w ( aIa NC tion (Optional); Perlite, fiber lyoeyood fiber, : • : me4anically fastened, an y thi ckness Dec glass . LObK iie?.m8 UL l il�eN RODUCT WOOD DECK SYSTEM I.IMITA'1'IONS: 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 r/" Dens Deck or Vz Type X gypsum board is acceptable to be installed directly deck. y over the G ENTRAL LIMITA'I'[fNS: 1. Fire classification is not part of this acceptance, refer to a current Approved Directory for fire ratings of this product. PI ed Roofing Materials 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 fVT range and at a rate of 20- 4 01bs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes arc acceptable for mechanical attachment. Wlten applied in a) asphalt, panel size shall be 4'x 4' maxittu m. approved f c 1 4, An overlay and /or recovery board insulation panel is required on all applications over closer[ cell foam insulations when the hase sheet is fully mopped. If no recovery board is used the base s shall be applied using spot mopping [! beet mopped 8" ribbons in three rows, one at each sirlclap one down ter n tt ciroaas, 24 he center of the ' 0.e.; or strip e a continuous area of ventilation. l? 1 6" break shall be ncircling of the strips is not acceptable. A 6 Stmt allowing • 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 rnaximuni ('csigrl pressure of -45 psf. 5. I•'astener spacing for insulation attachment is based on a Minimum Characteristic Force (I' ) value of ' 275 Ibf,, as tested in compliance with Testing Application Standard TAS 105. If the fastener value as field - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of;tnchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed Nvithin 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 revises) fastener spacing shall utilize the withdrawal resistance value taken li•om Testing Application Standards 'FAS 105 and calculations in compliance with Roofing Application Standard RAS 117. ' 7. Perimeter and corner areas shall •comply with the enhanced uplift pressti(t requirements of these areas. . Fastener densities shall he increased for hoth insulation and base slicct..as Cale kited :in compliance •with Roofing. Application Standard RAS 117. (When this limitation is s I ecificall referred within this NOA., General Limitation f19 will not he applicable.) All attacluneiat and sizing of perimeter milers, met;�1 profile, and /or fl; , 8• 9. shall conform with Roofing Application Standard RAS 11 l and applicable wind load roc uir c.murts. flashing termination designs The maximum dcsigncd pressure limitation listed shall be applicable to all roof pressure zones [ field, perimeters, arid corners). Neither rational analysis, nor extrapolation shall beperntilted for enhances! fastening at enhanced pressure zones (i.e. perimeters, extended corners and c or pens). (i.c. (Wlten (Iris limitation is specifically referred within this NOA, Cenerul Limitation /17 will Riot . be applicable.) 10. All products listed herein shall have a asss:trr�ret •.' udit in accordance with the Florida • 1 011ie Code and Rule 913 -72 lie f o d 1 t • I!iND ttn T191S A1 CC 1YrANCF • ••• ••• • • • • • • • •••••• •• • • • • • • •• • • • • • • • • • • • • .• •• • • • .•• • • • • • • ••. • • • • •.• • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••. • • NOA No: 03- 0501.05 Expiration Date: 1]/04/08 Approval Da to :10/2 3/03 Page 21 of 2 •• • • • • • • • • •..•• • • • • • • • • • • • • • • • • • • • •• • • • • • ••• • • • ••• •• • • • • • • •• • • • •• ••• •• • • ••• ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • •• •• •.• •.. • • ••• • • • • ••• • • • • • • • • • • • ••• • • • • • • • • • • • • •• •• • • • •• •• • • • ••• • • • ••• •• • • • • • ••• •• • • • • • • •• • • • •• ••• •• • ••• ••• • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • •• •• • • • • • • • • ••• • ••• • • • • • • • • •• • • ••• MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Ti 'pe Insp'n 111,• O f _,I 4111 —Permit No. . a,/f 3 /23,. i }Name b )/2? Address / d 4 -- Company Ilt.. - , , _22 — /_/ Phone #6305 i ) 5i t 0 / 9 / For Inspector: 43 Name & Date A rove PP Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE DING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat ! . D Time R Type Insp'n Correction Permit No. Name Address ab \ . trk Company Phone # For Inspector 7 ) u3, Name & Da Re- Insp'n Fee ❑ r e s'S /03 , / F, / r/7 PERMIT APPLIC ' TION FOR MIAMI SHORES 10!50 N.E. 2nd Avenue • Mianii , nores, Florida 33138 • Phone: 305- 795 -2204 Date 6.5. o 3 Job Address 284 PI /02 -sTRF Tax Folio Legal Description Historically Designated: Yes Owner/ essee/Tenet YGAZ � � WA& Master Permit # Owner's Address 254 Ali 102 S1 I?EE r Phone (30 5 J *-f Contracting Co. KAU'AL K ROF Address 41,5 NE E I cf J Qualifier Qo \ia.\e SS# DS b'70 U r✓ phone 3 0 5 / S I t / State # Municipal # Competency # 3B 5013 Co. LeCkCier IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL l ROOFING WORK DESCRIPTION: 'dea r O ff exi t AS -1-■ I e a►\ c1,4 l G+ rocr ( ; rcp kc e Vvl k a. S&rvf Fe S p&vtii 6 Sc Iay4i le co l or-- err& co*f - A (An, a b14.-1 1-f roof syskern,- Square Ft. 1 q°P Estimated Cost (value) b J 700 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regul ing construction and z ng. Furthermore, I authorize the above named contractor to do the work stated. rs Sig d ure of ow gkr and/o, o Low ze. ary as to ,, wner an . Condo President My Commi:'fvxeanoN sandx3 B900SLaa uolsslwwo a Jafoee w ele6uy 4 14. ,ra S, 'de t D ate C.C.F Signature of Contractor or Owner Builder Date Da Notary as to Contractor or Owner Builder My Commission Expires NOTARY S - c BOND TOTAL DU 30d Date 22/ FEES: P MI ) .. sC� � RADON APPROVED: 4 d' Zoning Buildin Electrical Mechanical Plumbing Structural Engineer , NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE NB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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. Le I descri tion of _property and street/address: 2 L 3313 c d ? E" 21A if -roc? 2. Description of improvement: 3. Owner(s) name and address: VLPt61M 28 4- IJ E 1 oz. i w /Ab i St+oreE S 3 313$ Interest in property lkJ h er Name and address of fee simple titleholder. 4. Contractor's name and address: K f'� W' A �. �K kc o F 1 n16 1Nl i IAIAA% Show>os ',L X3 )39 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713,13(1)(a)7., Florida Statutes, Name and address: 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: date of this otIce of Commencement: (the expiration date is 1 year from the date of recording unless a to Is spe f rint Owner's Name Signature of O er 1 / Vci" 17 a , 4le/ L�4A {M t ✓t L. Prepared by , 20 _ Address: 145 M& G 0 41\ Notary Public Yt I a Vvt f FL.- 33 13e Print Notary's Name My commission expires: 123.01.52 PAGE 4 8'02 Sworn to and subscribed before me this day of 't//11 14_5 YV6 yoths4-, • �ti Master Permit No. Contractor's Name Job Address • Florida Building Code Edition 2002 High Velocity Hurricane Zone Uniform Permit Application Form. Section 'A (General Information Process No. Low Slope ❑ Asphaltic Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof iRe-Roofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORIV ATION - Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) ©d Itttl 1 , 'I Iv 0 a tA eL ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel /Shingles 0 "V 00 Section B (Roof Plan Of Mortar /Adhesive Set Tile ❑ Wood Shingles /Shakes. r1 X' z 10o Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearl identify dimensions of elevated pressure zones and location of parapets. y, --• ++" -71 . 1 • Florida Building Code Edition 2002 High Yelocity Zone Uniform Permit Application Form. Section C Low Slo • ed Roof S stem Fill in Specific Roof Assembly Components and Identify Manufacturer (Ira component is not used, identify as "NA") System Manufacturer.[ NOA No.: a2-04fini 0 Design Wind Pressures, From RAS 128 or Calculations: l r-- ' Pmax2: 3 r3 Pmax3: l I 1 — i Pmax1: Max. Design Press a Fr the Specific NOA System: Deck Type: Top Ply. Top fly Fa ■ Surfacing: I‘6 V�oi��' 5 Gauge/Thickness* Slope: Anchor /Base Sheet & No. of PIy(s): A� hr . $heeF.slterier /Bondi Insulation Base Layer Base 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 PIy(s): Base Sheet Fastener /Bonding Material: Ply Sheets & No. of P - I I Y-b V -To ' r\--t- () ly(s,: a p l y �� h ef-g � �tss • Ply eet Fa tener(Bonding Material: t :o ding Material: GL e6 I base_ Shen' Fastener Spacing for Anchor /Base Sheet Attachment Field: oc @ Lap, # Rows a @ —.L "oc Perimeter. 1 0 .oc @ Lap, # Rows Corner L" oc @ Lap, # Rows @ •oc Number of Fasteners Per Insulation Board Field Perimeter Corner Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, - Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, Coping, Etc. I i ate: Mean Roof Height. Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener pacing or Submit Manufacturers Details that Comply with RAS 111 and Chapter 16. Parapet Height Mean Roof Height Roof Slope: 12 . Florida Building Code Edition 2002 High Vetoci Hurricane Zone Uniform Permit A.plication Form. Section D Stee• Slo• ed Roof S stem Roof System Manufacturer: e e. Notice of Acceptance Number: 00 Qb Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): Iculattons): P1: 16 P2: !00r6 p3: (oh Maximum Design Pressure From the VOA S • ecific S stem : Method of tile attachment: b1 9 Poi o acdAes Ridge Ventilation? VI Steep Sloped Roof System D i„tion Deck Type: I X6 V n /- ype Underlayment Insulation: Fire Barrier: Fastener Type & Spacing: /r Rt S I a, l I S b ,Q� Adhesive 2 :: [�h ype Cap Sheet: Roof Covering: Type & Size Drip dge: white - a\C coffee (P2 : (P3 ' Florida Building Code Edition 2002 Hi. h Ve►oci Hurricane Zone Uniform Permit Application Form. S ection E "rile Calculations For Moment based tile systems, choose either Method 1 or 2. C for AI, with the values from M. If the M values are greater than or Values, for each area of the roof, then the tile attachment mthod is Compared the values is equal to the Mr acceptable. 0,1 1.4,7 1 x l e i 1 o ent Bas T —Mg: r , — Mg: 'n■ ( , azX - _ - - -- — Mg: s Per RAS 127' I. I 5 NOA M NOA Mr NOA M Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (M From Table Below NOAMf x 1: x 1: * Must be used in conjunction with a list of moment b tile systems zs Broward County Board of Rules a n d Appeals. endorsed by the For Uplift based tile systems use Method 3. Compared th e values values for F If the F' values are greater than or equal totheF a r sllues, I u s, f mo', each with the area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" x w: _._) - W = x cos 6. x w: _ ) - tiv x cos = F ri : NOA F' B. _ x w: = ) — W: .• _ FR. NOA F' x cos 9 — F,3: = NOA F' Where to Obtain Information S mbol ms 's :'+r Pressure PI or P2 or P3 ! RAS 127 Table 1 a Wbere to find N i or b y n en gineering analysis prepay -.d by. PE based c^ 1; :i. Mean Roof Het t - -`- u Sae - - -- . — . Roof Slope Aerod amic MW '.lier Restorin . Moment due to Grab Attachment Resistance Moment Resistance Attachment Resistance utred U • Descri • bon Re utred Minimum Atu R• lift Resistance A tvvA Aver Tile Weida Tile Dimensions i= fen th NO:1 All calculations nwst be submitted 41 the BuiiJine official at the ttmc of .emit a..lication. N4 vD l;'i.. } HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICA :' O.� 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. V 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). V V 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 1// s 1 }ould notify the occupants of adjacent units of roofing work to be performed. V " 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. UV 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 origin / al roofing system is removed. Ponding conditions should be corrected. V V 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. V V 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. J l (. / 4 /(1/ 0/11 4( Si Date Contractors Signature Owner's/Agent's Signature CdC OCCSR - I.q'LOCALS ITT..., .SECTION IS:LL.. v3 t . r , ., T M I A PRODUCT C.`" \TROL NOTICE OF ACCEPTA Santa Fe Tile Cir ,oration 10302 N. W. SGum :liver Drive, Bay #16 Nfedley ,FL 331 — S Your app!i : :ior .: .Deice of Acceptant: �:OA) o f : Spanish "S" Clay :le under Cha ;:e: S c= :.e Co -ft of Miami-Dade Countv governing the use of Alternate Materials and Types o4' :onstrt:cti .-. a. d :7 =21e :elf• described herein, has been recom ended for acceptance by the Miami -Dade COUD:y 3t :id :ra C_ Compliance Office (BCCO) under the c .nditiors specified herein. This NOA :c :l -: := valid after the expiration date stated be w. BCCO reserves the right to secure this product or :-ate-ria- _: any time from a jobsite or manutacturis plant for quality control testing. If this product or -= :eri_. :_ ::s to perform in the approved manner, 'b� ,( �3CCO may revoke modify, or suspend the use of suc7 _:Del=i material immediately. BCCO reserve the right to revoke this approval, if it is ceternirec -C: _ :ha: this product or rnaterial faiis to meet the requirements of the South Florida BL :iidirc C, _ - . ACCEPTA•CE "-C.. 40- 1213.06 EXPIR_: 02!01!:006 -has applic_::c fc- 2 - ouct Approval has Code and ew Committee to be t cth abcve. APPROVEC: ()2'0; = :wI �SOCOttpc2CC v p a esi :. aeCepu•Ce Cover paee.dot Internet mail a:tdrtss: P :masler®buildir.o_odeontine.com fe fl 1 1 1 ( 1 The expense :: s_c:..:sting will be incurred by the manufacttir4 iI i jl . 11 ii CE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -I)ADE FLAGLER BUILDING 140 WEST RACIER STREET. SUITE I603 MIAt01. f'LORI DA 3313O -I 36: (305) 375.2901 FAX (303) 375 -2908 CONTRACTOR LICENSING SECTION (303) 375.232? FAX (;05) 375.2553 CONTR_AC ENFORCEMENT L)1 VISION (305) 375.2 FAX (305) )75.290:1 PRODUCT CONTROL DIVISION (305) 375.2902 FAX (305) 3 Raul Rodriguez Chief Product Control Division THIS IS TI-11 : SEE ADDITIONAL PAGA:S FOR SPECIFIC AND C:FNEf. i CONDITIONS II BUILDING CODE . PRODUC. Y' REV( fit' COMMITTEE fi been reviewed bylthc BCCO and approved by the Buildine used in Miami-Dale County, Florida under the conditions set ' Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Cornplir,ncc Office t Ho f page: http : / /www.buitdingcodeonline.conl N'TA FE' TILE ORPORATION R042-P,G. -iSS EMBLY APPROVAL C .2 r v ; SuiS -f ateoc�; Roofing 07320 Rooting Tiles 2. FROD[CT DESCRIPTION il A CCEPTANCE No. :_OU_OU -I-- x906 Approval Date: February y 1001 Materials Expiration ' f / Expiration D February l �• Ctay Roof Ties Z006 Deck 1. SCOPE ll 7hls rtnews a roofing system using San:a Fe "S ' clay. rooting tile, rnanufactured by __• _•_ . , e Corporation described' in Section 2 of this otice of Acceptance, designed to ::: , 4 - itli the Sowh Florida Building Cede, 199a Edi ion for Miami Counry. For .: where :he design pressure requirements, as de mined by applicable building code. ..: ^ -- - ' e ebign pressure values obtain by Cat At ■ations in compliance with RAS 127 _sin; t' veues listed in herein. The attachment calcul ions shall be done as a moment based �f NIanufactnre: by 1f . Test A l Product Dimensions S i r; Descr ,4wiyi Sar-:af` C. Rocs T'i' w = 1 S' On f piece high profile clay roof tile ' /_" thick equ, %vith two mail holes. For nail -on, mot ar set and adhesive set applications. Trim: P:- 1 n = varies PA 112 t w - varies A co it _ ssory trim, clay roof pieces for use at s'aryir.g ! rakes, ridges and val;cy terminations. thickness Matilufactur for each tilt profile. I 2.1 COP1PO.\ENTS OR PRODUCTS MANUFACT 1 �JRCD BY OTNERS ct Produce Tcsf (' Prod Dimensions Srecificatinns Tile Screws g -/" long �`— csc v o PA 1 14 f Ma generi urcr 130" shank d;a. q S Steel ppendix ., generic 178 flute dra. It 3. LIM;' TATIONS (t 3.2 I 3.i Fire :tassjfkation is not part of this acceptance. i `o ar or adhesive set tile a accordance with RAS 106. pp'rcatiotts a std is field uplift test shall be performed in 3 Ape: :cant shoi! retain :he 'services of a Miam Cade County Certified Laboratory pert :^n quarterly test in accordance with PA 12 . , ry o sut:ria t he Building ed t �°' __ hall be S Code Comp;;1ncc Offi� - h 2 uloaga, RRC oofing Product Control Examiner SANTAFL TJ1E CORPORATION 1! .=G hot mopped underla 1 sio� unless stated ot;�e:.�isc nb•; the�GUndcrli•ment installed perpendicular to the roof lit: - i re. material manufacturers published 3.6 This acceptance is for wood deck applications it Minimum deck r uircTents shall c' =•ncc with applicable building code. be ir. 4. INSTALLATION 4. J .1 Sarre 'S' and its components shall be installed strict compliance with Miami Dade Couz y Rooting Application Standard RAS 118 I RAS 119, and RAS 120. 4 .1. 2 2 Data For Attachment Calculations Santa`; 'S' Santafe 'S' Tile Profile T!+e Pr:flle Table 1: Aerod namic Mu Multi ers— A ft 21.8 X (ft) !! Batten A A. .licatjiort 29.16 3 0.274 Santafe S j Direct Deck i 6a I 1. A. roved screws as noted 'Product menufac :urcd by others' i Table 2: Restoring Moments due to Gri;ravi I Tile 2 :12 3 ":12" �' M (h�lbf� I 4":12" ":12" 6 ":12" 7 "12" or I : Profile I greater Batter 2i-ect battens Direct Betels 1 Direct 1 Bat f rs Direct carens i Direct Battens . Di ect 1 ,:eck _ ' Deck. . D ; p 1 Deck i ' Santafe 'S' , 3.93 S 9. 5.85 S.82 `{ t Deck Deck 5.73 1 5.56 3.53 j 5.32 5.29 5.03 N/A Table 3: Attachment Resistance Express; pas a Moment- Mf (ft -Ibf) For Naif -On S stem` _ Tile Profile : Ti`Q TwoNails One Screw T o Screws j Application � 38 2E' I Table 4: Attachment Resistance Expresse as a Moment - M, (ft -Ibf) for Mortar or Adhesive Sett_ stems Tile [! A. •fication !i Mortar Set Adhesive Set One Screw w/ Clip 57.31 X(ft) Direct Deck 0.297 Attachment Resistance 23.6 61.9 I h rank Zuloaga, RRC !Roofing Product Control Examiner II Two Screws w/ Cl ;� 57.60 61.77' l a`q_1f, ;S. or folio v:ag rafinent: "A4iairi -Dade County P 6 . BUILDING PERNiIT REQ li IFt)EATENTS 6 1 Applicator) for 5uildin e 6.1.1 g P rmit shall be accom Thus ti ice ofAcceptancE P ied by copies of the following: 6'1'2 .Any �� 3ocumems , squired by :° ; -�perl e r y thc Builds` g Official or a y aluate the installation oflkhis system. palicable Building Code in NTAFE TEL C D PO — .._ RA TIO?1 • LABE 5.1 All tde snail bear the imprint or identifiabl bl j PROFILE DRA WIN SA NTAFE " SANTAFE S" CLAY i �1 OOF TILE ACCEPTANCE No. 00-1212 .OG 4 11 • rking of the manufacturer's name or logo, duct Control Approved ". j 'Frank Zuloaga, RRC H Rooling Product Control Examiner • ' 1 R- zr.�2` of this A= =eptance (approval) snail be considered plc a renewal application has pt a: }s (: s ears, test supposi ry Wi tt_d dxmt +cntaticr. including t e ngirdocuments, ccring documents, ere n ght no of and the 0 older than 2 Arty all approve Dcr'nanen k the following P *odncts s t'y labeled tvi l ' g stater - - 'Miami -Dade County Product ControtApo r oved", r as spcci's name, y spe^_:nc'anditions cf this Acceptance. ry p ?roved , or as stcally slat stated in Rent-.m:5 of yCUtPta .e will q a) '•h:: h: s been a c not considered if: a change in the South Florida Building Code affecting the evaluation of this product b) a-ic :he Product s not in compliance with the code change' n= product is x longer the same product (identical) as t� � c) ' ( ' , i::l:c Acceptance holder has not complied C li. with all the r- �, one originally approved; :-•,'-ect installat . the rod 9 rementS of this acceptance, including the d) _= 'onttrwt: g'na cor p lly prepared, signed and sealed Ot required documertstion initially s }ullied, is nc :,:list: practicing the engineering professi¢ln, 4 €' f..1 the materials, use, and/or ma of the r shall aJtcr_,ari�Ily be cause ` -r termination of this Acceptance unles4 ;through t e ::fin of a : r i PP pnor written. oc approval o I as bc ea requested 8 s on application with appropriate fcJ; and granted by this office. 5 .4r t of ; fciloMin I g shall also be grounds for removal of this Acceptance. t L 'nsasfactorf• performance of this product or r '( b) tiiis:,sc a this ,4:x.. P lance as an endo � P ocess; ,, .serncnt of any protiuct, Cor sales, advertising or any other 5. The :?; 1I • -• ° C'acccP� -"_ somber preceded by the Fords Miami expiration date may be 4Dade County, Florida, and followed by the :ayed in advertising literature. !rant portion of the Notice of Acct dispLa '-, Lien it shall be done in its entirety. Ei ptancc is 7 A cope :::his . it �- :Darr : as welt as approved drawings and oth'i r documents, where it provide t' the user by '=t :ranufacturer or its distributors and s all bc available orinsp tics, shall bc site at a: ;: -mss. The cop :. need not be resealed by the cngincc{ri ?cellos at the job 8 Failure to _or.ply with az? se"tion of this Acceptance shall bc cal Acc ptar:� Esc for termination and r ii li emo�'al of 9 This A--- --;3 -w con .ru tar g: s I through 5 N ---�- � END OF THIS ACCEPTANCE if I i i : I ;I 1 SA NTAFE TILE CORPO.R4TION ACCEPTANCE N. 00- 1212.06 VOTIC£ OF aCG EPTANCE STAND • D CONDITIONS 5 ilFrank Zuloaga, RRC (Roofing Product Control Examiner Il AI'I'1tOVF.D: 06/1412))01 r n" ■•• 78 1042 POLtFUAIM PRODtk7s, IkC. MIAMI -BADE COUNTY, FLORIDA METRO -DADE FLAC1ER BUILDING OU:L1)1NC CODE COMPLIANCE OFFICE !' ( tom C` ML rno-0AUC FI.AOLEIt otm.DINO N � 1. 7nwt 'cI- r•I,AOL- tt srRet-r.SUITEIGul M Mt• + I r.)1 foam Products, Inc. A r'rA y r r�Rl t 3o_ 005) 1 400 Spring Stucbncr Roucl ow) >7s -29o1 F,�\ t1n5) )75.,yt Spring .TX 77383 -1132 r'c7rr7it.(t-t'ok r.rct:vrrnc; ; . . . ous))7s•21 ?7 rAX OAS) J7, -Z) I�It C'r yrre.AF -7011 LWFr71[Ct hilurr I)IVislUN TJ'.Ir appjlCAfiO: for Notice Ol t)O$) 27e6 IAX()Q%)171.1Wg wu Component Polyurcthcnc Fn : � I`l'�cc (tiOA) of I•RODUCT COlY7•kol.LI l r 00 )75• :oc: FAN ()(IS) )7 � 'ON 'In� =f Chapter 8 0(• (1101_QdC ^� Atlrrcilvc Construction. and complete, described herein, has been recol.Miomi -Dad. County governing the us;, of Alternate Co y r ecommended for acce , County uuildins Code Co)`•►p!i;lrce Office (BCCO) Materials and Tyres of CCO) under the conditions specified aherebY the Miami-Dade : be valid a n ^' This '\'OA shall no: ;he expiratio date s;,;t :ui:u:t or s na ll no at any below. ,. or material tails ot+Cff0 i from in obte or • BCCO reserves Cie right ,o secure p. l • 7 manufacturer's plant for • n "r o f s:Ic!t approved manner, BCCO quality control testing. id this prod uct or material immediately. CCO m1 d e!er'rined by duct that this y• f C CO feserves the r ; ht to revoke, modify, this d err. d b product or material fails to meet the requirem8ent5 of [ this rippro apFlorid the South Florida •I 1:: expense ot t‘;stin 6 v+ii) he incurred by the I '' n nu loci urot. ACCr :t>1'ANCF NO.: Ol- 0s2 1.02 F,XPlitES: 05/10/2006 Raul nl Rodriguez 1 S T1I r CnVF.rt, Chic(' Product Control D :vision � - -- Stit'rT CF n! YA ' r S FOFOR.SLLFF nun nun iv � 1r _ Q�I NS Ths Cn 1a CTREVJ FM /COMM! t F �c,dc ;:c! Ap�rovai h;a been i; rcd f'roduc! Review Committee to ; use reviewed by the BCCO and approved •d above d in Miami-Dade Count F under the by the Building Y + 'orida under the conditions sit Pr:Incisco 1. Quintnna, R.A. Director 11;nnti_D:7do County Ruiiding Code Conlptilnc e O.Tieu +411S. o01Vc:0001 411 mpl3t4.+tnouc• ,tceponc• co.ar w : -•eoc !titer-net Irruil ydctrcjs: Poetmnster (apulldl►rt;eodeonlilre,cotn • IGIncpgv: Artp; / /K N4P•A011drn Reodoonllnc.cortt w:�OM r, -dd ^S C E • .... 146 • is .. " � -�'� mot• • 14 002 A .1. s, 0T /3/01 1tOV 1x:08 FAX 934 S78 4042 t ucts d ROOFING ASSL,VIRLy ArrROVAi. R oo l irtg tiu ) - Cst �n Roo(' 'rile Adhesive Mcatcrinlc: 1. SCOPr. I'aantprot RTP1000 Pral'ack 30 S::c0 1 ' 01 ) , ur.•th ane N/^ `/A p c•) Physical Properties: t'r� crt Density c' Contlsres)itie AST.1 0 1622 Slre:tgtlt ASTNI 0 1621 r ei)si:e S!rc,l�tle A �'i:cr Al snr STM D 1623 ati �" ASTM Vlolstt.rc Vapor D -' i.22 Tra AS'rtit t: r DintCn)ic•ta' Stability 02'26 /199.1,95 �N 5a POLy'FOAII PRODt'CTs , I NC . Test S )ccificn((nny PA 101 ACCEPTANCE No.: (21152142 Approval Dnle:.tu 4 `tint t%�tpif Ilion D.it lHp l0 7 00 6 This d I approves f,� � i'ulyprua A!i lGU as nta nulic[urcd b escribed pp in Section 2 ot't!1i, Notice o(' pressure rentSectiont2 as t his No;ttcrJ by ,� by I'uJhe loc ztions Products, Acct.pcancc. 1'or the locations where Inc. as e r it value, obtainer! by Pplicable buildin ! ' o re the exceed the Standard RAS v y calculations in compliance ow t� R os rot Appli Application 127. for use With approved t ?,1[, l ow. Stand rd All 160. Where the a approve flat. lot t Roof; it application and high proti!c roof tiles system ! patty placement, and us in a 1. • ►otls are done as a moment based s using p ►t based system J'or double p31; system or Si0E;e Y systems 2. PRODUCT DESCRIPTION Mortu fuctured by !�1 ►)lieartt t'olyrro�y AH I GO f) jil)nc N/A 2.1 Components „r Products manufactured Ity others: ,1 ity M,ialtti•t� Cot:nty;'rodnct Cor.UOf , ' h list u�li�t rcCoLi1e, v Act:cp,cd Roof 'ril i!ucs \vial the use e i0 roof rLiy ile I adl ! es a current `O of Poiy[,ru /1t I IC,O r� r , f f ad;tr_�iv:. 2.2 Typical 1 1.6 IbsJrt.' 18 PSI Parallel to rise 12 PSI Perpendicular to r'se 28 PSI Pnra!l to rise 0.08 L53/171 1.1 Perm / l :tell •3.Q7',' V oltm)eCII.hi $c it ..[cc (we Vobulle Clian 11 ::nlitlity, 2 cve kr .J n Frank Zuloags, KRC Product Control Examiner ' HI8CM )1 K'ddr:S 'c' Product D t' Two component Potyurrthmnc Dispensing equipment l):spc:)s; .g Equipment ra 003 07/r3/O1 YON 13:00 FAX 9 34 57e 1042 4. Pol odu - %`:Ncl2c nc. 3 POLVFOA11 PRODUCTS, INC. MS 1 .\'STALLATIO\ 4.1 Polyp; o ®AN i 60 my be used wiLI) any roof lists upli'2 resistznce values with the use o fPol'le assembly �•2 Polypro0 AH I ,� f'a`"'e a current NOA that 5�� s,.all .� applied ap YPro® AH 1 GC. section and ;!•c cor- esaobe apps d in compliance with the Coca section a's adhesive Placement Details noted llcreirt Component Application s:tl r n b : : a:; dh resistance, expressed as an up!iil. based i ve art c.tr�en�t with the use of Polypro0 A11160 roof o v 160 shall pr ;I :c up! ;R resis ;arcs determined in COmpi ;ar,cc wilt Miz , the a:ron Standard; up � e . County m oc in cr c�cccd RAS 12.7. The a ± " D a�e otd Roc ring tile assent:) NO adhesive at :ac!uucnt da;3 ,s n ; 4.3 ?clypro�y AN 160 - n t; c roof cot';:lc adhesive and accor accordance wit!) rRo �s compor.cn :s sha :l dan A; i s r,^ S Application Standard RAS 12Q Sr t !cc' in 4.4 60 Opera:ins 1nstructio0 and , and . o'yfcara Products. [no. Installation must be by Maintenance Dxic'c; by Pc : 360n must Products. a Factory Tra :ned'Qualified Applicator n by cators to P the a :cts. Inc. t c ' P ol y ,oam products !nc shall supo! proved and ;icensed S Ca :i' r�!iOr, of thc - oam y ' 3 Jurisdiction. Y a �t o, approved c rpro� dispersing any adhesive. o T . er.st g equipment is recwirc: bet .. ,.c mix ratio ;;etwecn the ' e application of be nt ;r ;a: cd ; ! 0- - e A component and ;►. , de!ivct 0.0 ai ne d :c 0 I S .+ (A) • I 0 (A )• The dispense a ,3 shall be component shall �ct,.tds per tile as do :crm:ncd at cal; ;, rrer shill t c set to s),.1:: be ao?rcved, 4.6 I'oly�ro� , 11•i i GO ,i, be ,apaiic with F � 101 No other settings dispcnsins ccr d i ptrzn: on :y d oa:npro (t'I'f I G00 or Pro 1 olyaro�c ,�f i IGO s!ti;l not Lc f ®)0 & 100 exposed rct nt;tncntly to sun' Note: Tile ►, ACCEPTANCE No.: 01-0.521.0Z atccptcdsnST r °Ycr'tict listed Above are Arc !1i test methods and pre a crttcd as typical av bjctt to normnl ntnnufactugc value J ^tcrmincd by 3. LIMITATIONS rZt�r Yar;alion. 3 ' l rlrC Ct� :ir , thi 3CC ASSC C(as n is not part c: e plancc. Rcfcr to th 3.2 I'ol y for arc rat,nb ; Prepared Itoor Tilc YproB Al t 1 GJ shall so'cly be u5ed w' 3.3 Mi: A1-11 iyn, s s be i,; with IL I, , t, low, & h,gs C4: profiles. Standard RAS 120 compliance with chc ltoo c 3.4 Roof Tile mlr :ul,�ctt,res acquiring acceptance for the sS Appl;cal.;o li!o Roof Tile m r u q tc t:lcir rile assem use of p blies shall test in accordance with A 1 l EO roof 3.5 Roof Tile matt ;,lac ;ures acquiring acceptance use of Pot `e w,tt� en 1 it y pro2 Ali 16 0 roof rile , adhesive with their ° t Padcy placement watt the sccorda,�cc with PA 101 a;;d with, section 10.4 as usemb shall test in 't modified herein, I =1 _w Frsn 2uloosa. RAC Proci;c: Control Examiner [Ls „ • - � - ®oo4 Pot _." rwi IS s 78 1042 foam Product 4.8 . ACCEPTANCE No.: 01-0521.07 Tiles must be adhered in freshly y applied a 4.9 P minutes Porypro ®AH 160 has disperse, 'rile must be set within 2 to 3 YDro ®qH I GO been dispensed. the 'Placement placement and minimum patt Penscd. Details' herein Each generic .. ..._i.. _ shall bc in accoroance with notcd herein, Tilcl'roril Table 1: Adllesive PInccmcnt 1' Placement Detail Flat, Low, ° Each Ceneric Tile Profil Single Noddy Weight 7 rvo Min. (groans) 35 1 7 /sidc o p and 3q /. in 24 N/A fly Hll;h Profile (2 Piece l3 arr`I) th Proses Flat Low. Hi Flat. Low. HiQII Profiles 5. LABELING h Prof Ics 1 g9b5E9:9c :ON Aid A 4 POL}•PO PRODUCTS . i NC . G. uGiLDi c PER Polyp; o0 8 Alf 160 containers shnil comrlY with the Standard lard Conditions listed herein. 6.1 MIT REQUIREMENTS As required by , � , Y : he Building O ficiel or a proper.y evaluate the installation r DPlicable o• this system Duildin�; Code in order to Frank 2uloa 8a, RAC Product Control Examiner :4.111CM X? AlddflS CEb r;a Qr.,' ■ - X ` .a+.u1 aoV IJ:Op FAr � WSJ 5711 1042 I'oofoam ro`d s h_ 10 : w f• '. .4 we 1. W lot ow., A CCEPTANCE No : C ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Posh NW., A nq !nr Cirir 'Lida L555.59;95 'ON 0.4 c Paola n010.0 pOLVFOAK PR ODUCTS, INC. 14" 4"w1/1,14 :Caw 1• 11 w Com I la , R • w ., �trV W101 UPI c,w War r I rv . lorlA y.. (h. «.U►, WINOtg / .,cam ..,:.0.C(". x^ A'dct;S 4. 14.ar >t,l F , RAC Produce ::.;t-y Examiner.. -0 1 .02 Iowa Sulam II wow bow r w.. vs utr 4" VA NUN 13:40 FAX 054 578 1042 rolyroiini ,rodu LSiec::: 'ON Aid POLVF0A0 FU;_ INC. ACC EPTANCE No. : 01-0521.02 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY 6 .alet". NT ATcdPS Fronk Z.4=1; RRC Product C.-.j01 examiact - • - Q007 c7.129.'01 .11014 19:10 FAX 154 578 1042 .esufanktiroduct Tnc. NIU thsoveh plastic etmsnl POLYFOMI PRODPCTS, I NC . ACCEPTANCE No. : 01- 052102. ADHESIVE PLACEMENT �� vODULl; DETAIL 3 PATTY 4b DOe 2 •n Gym aunt 1 +n.11 +t tatfur slit paddy say Fuck coons only 4, ■ ..N, „fr To yell tArevgh pystle garotte 3in.. ! Slagle giddy on undentyntenl 1 ' � Single paddy en top of the feat :.eat 41n .4000 0 . 00: 00 0011110 Ma, hroigtt $las111 contort( Ua /eAryntent / yf in. t] :n. Single paddy on M'.r. laymen( PF,, w As • under l;le 41n. :1nple paddy on lop of t4 Irez Cana O � ;n. Singh DMdr f e1 to under Nit si 11 paddy on undo. LI yn. SIngh paddy o• top of the ; 7C EC ' cC v - .CN XVI I .dd1 Ib•nt+aen tile) Paeoi (unde• ili 7 Etw Moat 2 h s) le, r,a4n fuc pedal uw cant• only Single paddy ender IMe SIn�l Wddy behaoen { , 21n.cl In. enekei talc paddy Liao wait ordy FrankZuloaga. RAC Product Control Exam;ncr. 'LcCM MT nTddrs 'E = -- -per, �' •�• �--a, 07/25/01 LION 15 FAI 031 576 1042 4 • t► Pr or loin! Pdr,�� - �s rf1C' POL1'FOAM PRODUCTS. INC ACCEPTANCE No.: 01 1.02 b Rct :c�vai h of this Acceptance (approval) shall be considered and the o r t i Acce :ttcd documents, shall o ;tiler a ren- -1t- older than eight OS) including test-supporting 1Cat :r't It 15 been : n o cars. data, : : dcct,..tcttts. art no 2 Ar :ya :tj all a r oved prt, A, y pp t'ucts shall be permanently labeled tvitlt t; . : ^o the fpliotvine st '� w s*,n ;ir t_ ma stated in the specific conditions "i uni -Dade County '�raUurer's name, c� ;�• of this Acceptances Prod ;. Approval", or �s Rerc■als of Accepta Nv :;I not be considered if. T herc has be;,n a ;',a ;tbc in Ute South Florida ct and the r o ida Building C a ^_ p cd:+ct is not in compltar,ce \yid: the cod, cl,a,t ° !he evaluation of The product is no :Cnot~r the sa„tc r e f' Acceptance hold has not od (Identical) as thc ^: udtng the tance plied with all the rree: ,_, approved. d. The engoicer _t installation of the product �s or this aeecpta rzc who engine. :y prepared, signed ls, use, ;,� sJbmi:[cd, is no icr r practicing the engineering fessi the sect:. dOCUmcn;at :cn initi:.'Iti I�.i•,• ev/ i on or change i:; l3 p ofesstott. r s t!•e materials, : : ; :viS ►p b; cause for termination of r'✓or manufacture c r'= Sues ; t i ([5rou�th lute : r this Acceptance, unless r:r. '�_ a or proces s t. = 13 of a revision aDPliea;ton with re "; rcn approval has bca office PP p' : - .�) and v:1/fled by Ih :s 5 Any or tTe fcllp„'ir. 5 ?:ail b so bL grounds for removal of this Acccp!z, L ,t s :actory performance of this product cr process. other \liese. of this Acccrta.,Ce as an endorseme of any produ =: i_ utirposes. a•c:, ativt:rtiSiits or a. :1• ,c : :L `�CtiCCCr11CC :lumber preceded by the ltc ti c r :eon Cat. n:a be words Miau:i -D - Acceptance :s on a rd• , 3 . Cispla�•ed ,r; advertising literature. z••• Florida, h o il s y t ; :. s:,all be done in its entirely v " ,ion or the Notic, �f A . "3t`�• � l lr,5 ACI) :a : :c� as •,,• " . r :: rt to AC . `•: as approved drawings and other dc_: a c iot _ t•s,r `y the manufacturer or its distributers ",: -� ■v t applies, s _ • bulCr I1efC i Sdc .. 11, tll : :� YI: ; , en nccr n al ;i sand snc ;b r P _ 6• need r,c, rcc� t c CO t ` cr is t:ctto- - t ca,,►.fC p cs Fa, ato comply t�' :'i section: or this Acceptance shall be caw; r. *•; = anal :cn and rcnto,:,; cr Felice ofAccc,p!ai`c: cor.sists or pages 1 through 8. END OF -MIS ACCEPTANCE 8 2 .1dortga. RRC Corural Examiner %Otte Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/13/2003 Applicant: JANET Owner: VUKOVIC JOB ADDRESS: 284 NE 102 Contractor KAWALEK PAUL Local Phone: 786 - 277 -9540 Parcel # 1132060134710 Fees: FEE2003 -2856 FEE2003 -2857 FEE2003 -2858 FEE2003 -2860 FEE2003 -2866 Description Building Fee CCF Notary Fee Builders Bond Inpector State Educational Fund Total Fees: Amount $135.00 $4.80 $5.00 $300.00 $0.90 $445.70 Total Fees: $445.70 Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 11/9/2003 Construction Value: $6,700.00 TEAR OFF EXISITNG TILE AND FLAT ROOF REPLACE W AH NEW SANTA FE S CLAY TILE COLOR THRU Work: Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work i conformity with the plans, drawings, statements or specifications submitted to the pi done by either myself, my agent, servants or employes. Building Permit Permit Number: BP2003 -773 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 BLK 35 LOT SIZE (Contractor or E VUKOVIC JANET ST Contractor's Address: 485 N. E. 90 PAUL R. KAWALEK ROOFING & PAINTING 485 N.E. 92ND STREET PH. 305-75 MIAMI SHORES, FL 33138-25 \ c\ S hor es V a � 1 Pay to the order of ACM Wr 06310027 1 Page 1 of 1 • Bankof America For »71• 00366060 7.9 /WI' 3 27 2 3272 03 63-27/631: • CI'T'Y OF'1VIIAM1— BUILilING DEPARTMENT NOTICE OF CO M NCEMENT Please file at 22 N.W. lm' Street, Miami PERMIT NUMBER: 1�P OOH -771 FOLIO NUMBER: CFN 20038032541? OR Bk 21269 Fs 2378; (1v9) RECORDED 05/20/2003 14 :04 :52 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE State of Florida County of Miami-Dade The undersigned hereby gives notice that improvements will made to certain real property, and in accordance with Chapter 713.23, Florida Statutes, the following in provided in this Notice of Commencem�ent. Str dr s (93 1 O OZ / St' • and Legal description of property " �' 61 Description of improvement: itt rDOl n r(s) J : me i 1 I U�►�� and address: d q r " l (Ock\ ct Sf Interest in property: Name of fee simple titleholder (if other than owner): and address Contractor's name i Phone number: ui a 1 and addre s • Amount of Surety bond $ Surety Name and address Phone number: Lender's name and address Phone number: 14 I 5 G()E40'fh s� (Payment bond required by owner from contractor, if any) Persons within the state of Florida designated by Owner, upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statues, Name and address: and address In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statues, Name and address Phone number: Expiration date o this Notice of Commencement (the expiration date is one [1] year S om he date of recording unless a different d ate is specified) . 1 Print Owner's Name •• er � ... ae :� this ] o Personally Sw a d subscrib befo m e on this 7 Q Day of By •I V A .KrnI i r Personally Know , or Produced ID Notary Public Print Notary's Name A P 1 - PPC k r r Oath taken O 1 1 �' t not taken Commission Expiration: , r 15- n 4 Rev: 1/2003 •k,t(F Angela M Becker My Commission DD150048 �ip Expires November 15, 2008 STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a true c f the on ile rn this office o day of i , A D 203 WITNL 1AR my hand ant1/40flic+al Seal. U Ii iT , of curt a ount•Courts D.C.. Prepared by: Address: ■yiLii/l.! AMIIIL /Laa iI IIl'IIIIIIoIII II lIIIIIIIIIIIlIIIIIlIIIIItIIIJIIIIIII APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement ur 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..._. i1. q Owner's Name and Address o !1 n/ ORS( /16 _ - No, .2.E —. Street-6° E st _ l / e Registered Architect and /or Engineer ,,• . t.••• ..•,.,tnxt.ret•:•,,,..n, err e..t Name and address of licensed contractor Walter Scott Roofing & Repair, Inc. 3990 NW 132 tt St. al Opa - Lokka , Location and legj,dcscription of lot to be built on: �+ pp M Lot is Block P Subdivision 74 .e4'`<%./ A MP . / I ! 3 4 7/e 6 °'1 �' E Street and Number where work is to be done l/ N / D o'L S State work to be done and purpo c of building (by floors) "t'' S r `/ " -e "*" — Ke 12-0.°P CR 4-1/13Z - Rervto -c. 6244/e1 ©o F '5 - N cAP '3 a - ryt0 P 2 -I1 S f"LiIs • au r, /41 r ,S ,in-// 4 ‘ it 4-V t t ; Ai - �•�O 7` A 0/4/7 417' and for no other purpose. New Building Remodeling Addition Repairi JC. ............ No. of Stories l _ To be constructed of Kind of foundation Roof Covering C/.Z.6tye.. .. Estimate Total cost of improvements $ 5 OG Amount of Permit S.'361 V Zone cubage required Distance .to next nearest building Maximum live load to be borne by each fl I hereby submit the plans and specifi 'ons for said buil g. All notices with reference to the building and its construction may © u i - p#91 R j &k' STATE OF FLORIDA, COUNTY OF DADE. ss. be sent to.. 1,1/4/ n- 6 7"74" f F/ ®` 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 5066, Compiled General Laws of Florida, Permanent Sup element, and has complied %sith 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 worl to perfo . d under this permit. as are licensed by Miami Shores Village. Remuks (Signed).. 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 fads therein by him sta true.. Permit No..__� ° Date 3 1� �A Read, Sworn to and Subscribed before me. Disapproved ... . ` Date (Signed) MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT .Plan Cubage Size of Building Lot Notary Public, State of Florida My Commission Expires to me well known, PLANNING BOARD DATE Chair ;nan 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 nfter approval has been obtained from the Plannir,;; hoard. A re-inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Owner's Name and Addres STATE OF FLORIDA, I COUNTY OF DADE. ss. 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. 1 Registered Architect an. or Engineer Name and address of ice•sed contracto Location and legal des ' . Lion of lot to be built on: Lot Block Street and Number where work is to be done S e to be done and pu ose of building (by floors) p 421g/ 7 bdivision_ Date 73% yL J Notary Public, State of Florida and for no other purpose. , New Building Remodeling Addition Repairs No. of Stories J To be constructed of Kind rzu:lab5. �, Roof venng ..00...P. Estimated Total cost of improvements $ f�mount of Per mit $ Zone cubage required plan Cubage Distance to next nearest building _ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compil . General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance froi 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 fo inspection on the ite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s .ntractors, on ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed 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 state, are true. r / — 7 / Permit No 7 r Date r `� Read, Sworn to and Subscribed before me. Disapproved .. Date (Signed) Building Inspector j My Commission Expires PL7i ING 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 81.00 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. TT II A _ II Date �._c.. ____...V2 ,19_! 0 Owner's Name and Address._._. V_. __. • Q�'(1.� . �- Jr No a o p .'.._1_Q_ �C_ Street __:F,: .�_Q o� Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivs Street and Number where work is to be done _._. r:__E.___!_Q. State work to be dope ,andpuurpose 9f building (by floors) rQ _Q_ T -.__ 4 0 I! /2.0- t' F ' I and for no other purpose. New Building Remodeling Addition Repairs No. obSttorries To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements ,00 V CI 0 0 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 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, Pennanent 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 )17r , ! /� = -atattr ' Permit No / Disapproved t. (Signed) DatQii Building Inspect Date 7- ' _ - Read, Sworn to and Subscribed before me. 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 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. /53 6, Notary Public, State of Florida My Commission Expires PL JNING BOARD__ DATE Chairman ...... _.._.. ....... ____. _ ._ Member Member -- Member Member _ Member Council Approved _Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 1 MIAMI SHORES 'ILLAGE BU'Sf..DING INSPECTION 'DE' ARTMENT APPIJCA,TION 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. -__ AA lie 101_ bQ_Y__14.... , 19_0 Owner's Name and Address J C k n OY S4 _l O No a g'2` Street_.lf'_t<r.. /0.. o2...s • Registered Architect and /or Engineer Name and address of licensed contractor D " ` - D" X LA I 0 A- Location and legal description of lot to be built on: Lot___, i e Block 3 5 Subdivision Street and Number where work is to be done a_ E 1 0__ a._____ 4 State wo to be done and purpose of building (by floors) e•" -v rr.'t / � C�7••c' e/ /Jfoo 73_ � .�61/4c ..6.4> c...// 6 -»- / /J / '410 T/ a, GV._ /...^ v o• iC l � e•,(.. .c, G /: 1r /ir eV and for no other purpose. /o n, / 5%0,-e New Building Remodeling Addition Repairs No. of Stories To be constructed of G`• ,9 • S • Kind of foundation_1ea1_et x_e '/ � +� r-_e _ Roof Covering____Z;./�:.__ -- 6>_^.l�y..E. / - Estimated Total cost of improvements $ �a DQ ov Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building _.142/di iu,a. 2 C' ' ec2'Size of Building Lot to e.. X:l1.S ♦ v ex "f A o c, b 9 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 5968, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j 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 //6- J - Date 9 Read, Sworn to and Subscribed before me. Disapprove ___ , S/ J: to Notary Public, State of Florida ( Signed) - Building In ctor My Commission Expires LANNING BOARD ___. DATE Chairman Member Member _ -. Member Member Member Council Approved . __Date Disapproved Date NOTE: A charge of $L00 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 inspe.. tion 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. 2 Date /9 D Street t ,19.4. -c Owner's Name and Address Registered Architect and /or Enginee Name and address of licensed contractor Location and legal description of lot to be b t on: Lot Block Subdivision Street and Number where work is to be done R__2 State work to be done and purpose of buildi New Building To be constructed of Disa Remodeling. �g (by floors) and who, being by me first duly sworn, upon oat of the above described construction, that he has therein by him stated ar, Permit No. gned) _ Date 2 2c l <j and for no other purpose. Addition Repairs No. of Stories Kind of foundation Roof Covering ,,ow Estimated Total cost of improvements $ G7_ 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 pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968,,Compiled General Laws of Florida, Pennanent 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) Oc< No 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 to me well known, deposes and says thjt he is the. refully r d the for going application, and that he did sign the same, and that all facts Dat- e le? 6 ad, Sworn to and Subscribed before me. Notary Public, State of Florida 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Descriptio Address of Building This permit is granted to the contractor or builder application herefor in strict compliance with all ordinan with any plans, drawings, statements or ecifications tha be revoked at any time if the work is n done in compli upon which this permit is granted is th understanding t the ordinances and regulations perta' i to the . rk co that he assumes responsibility for w. . . one .y agen In consideration of the issuan o of this permit I agree •. .erform the tions pertaining thereto and in stric n .rmity with the plans, dr.. ngs, stateme Village. In accepting this permit I me responsibility for all work done by eit CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N9 313 er rvants this Perini BY Contractor's License AUTHORITY 194 Amt. of Permit uilding or to install the equipment or device described in the the understanding that the work will be performed in compliance approved by the proper municipal authorities. This Permit may e plans changed without authorization. A further condition d . . umes th- esp.nsibility for a thorou knowledge of tions and B ECTOR covered hereunder in compliance with all ordinances and regula- or specifications submitted to the proper authorities of Miami Shores myself, my agent, servant or employee.