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333 NE 102 St (4)
CONTRACTOR . . Name 'I ' !A Pk e Name S .4 . R.. C, n C Address ~a: a i':. (.; • \c72— Sk . License No. C. e c f I 2 , l st°- ` _ 2 Demolish Address 333 I,C' - 2 °2- Sf_ 3 Fax Telephone 3pJ _a s -. t`j ax 505 --__ l ). -. �•` i Qualifier Name A Add'I Detachment PROPERTY OWNER . . Name 'I ' !A Pk e . Alteration Exterior Address ~a: a i':. (.; • \c72— Sk . Hoare Telephone , o -R--„5---C1 .. � _ 2 Demolish Business Telephone Relocation of Structure 3 Fax lS° ARCHITECT . . Name '• Alteration Exterior License No. Repair Address Demolish Telephone Relocation of Structure • Fax Foundation Only TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other • . Job Address: INSTRUCTIONS - The following steps must be taken to obtain a permit from the 1\liami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION 3 o i '(Y1\ , s\o c es Address � - 32_ o o I 5 — c) Folio Number Lot Block Subdivision PB PG C'lirrent Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Apt. `PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision' Extension "Supplement Reinspection • Master Permit No. City PERMIT APPLICATION Subsidiary Permit No. Zip • State Description of Work 5 - Linear Feet Zoning Square Feet - 2._`SSZ) S Units Floors Value of Worl ,t(X) Q o Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER. Name License No. Address Telephone Fax Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STipT OF FLORIDA, COUNTY OF MIAMI -DADE STATE Signature of Owner Pr \ o �1 ny Print Name om to and su. , me this 2 1 day of tate Iglioijkop COMMISSION # DD 03575 PIRES: June 21, 2005 Thru Budget Notary Service PERMIT APPLICATION Print Name Sworn to and subscribed before me this / day of . )0m14 rte► ∎ � Si :tur ..... . . MINE LOPEZ ISSION # DD 03575 -• EXPIRES: June 21, 2005 ad Thru Budget Notary Service Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification ' oduced: Ct. • Type of Identification Produced: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -122 Printed: 1 /27/2003 Applicant: CARLOTA ANGEL Owner: ANGEL CARLOTA JOB ADDRESS: 333 NE 102 ST Contractor S & J ROOFING CONTRACTORS INC Contractor's Address: 173 W 22 ST Local Phone: Parcel # 1132060135070 Building Permit Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 17 & E1/2 LOT 16 BLK 37 LOT SIZE Fees: Description Amount FEE2003 -474 Buildier's Bond $300.00 FEE2003 -475 Building Fee $187.50 FEE2003 -476 CCF $5.40 Total Fees: $492.90 Total Fees: $492.90 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/26/2003 Cgnstruct' vy $9,000.00 Work: RE ROOF CAPSHEET SANTA FE S RED CLAY C O /6 V fr e'ct If there is no permit pacts fee is $50.00, which must b This Permit is granted to the conl ordinances pertaining thereto and w and approved by the proper municir authorization. A further condition ut ordinances and regulations pertainii by his agents, servants,-; ployec Signed: In consideration of the issuance t with the plans, drawings, statement myself, my agent, servants or empl C� Signed: PAY TO THE ORDER OF S & J Roofing Contractors, Inc. 173 W. 22nd Street Hialeah, FL 33010 (305) 887 -7779 • STATE LAC. ACC 0042815 M (a o ttI Sh1oreS Page 1 of 1 OCEAN BANK 63- 1139/660 DATE 2/ (°t& CHECK NO. 207913 AMOUNT q 8 Owner's Notification for Roofing Permits issued under the Florida Building Code MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION 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. 4.i. 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 �� , z ) oning 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). C3: 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 ((,) coontractor and /or owner should 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. 5. Ponding Water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in ext -..'.. service life of the roof. Owner's /Agent's Signature 1 Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A =, C 1,2.3,4.5,6,7 A, B,C 4.5,6.7 Prescnptive BUR RAS 150 Asphaltic Shingles A, B, D 1.2,4.5,6.7 e e 71 ay i B, 0, E 1,2.3,4.5,6.7 , A,,B, 0 1.2.3,4,5,63 Metal Roofs Wood Shingles and Shakes A, g, 0 1.2,4,5,6,7 Other As Applicable 1,2,3.4.5,63 i Hi §h Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NOTED BELOW. • • ATTACHMENTS REQUIRED 1. Fire Directory Listing Page 2. From the Miami -Oade County Notice of Acceptance ► NOA Cover Sheet NOA Specific System Description I NOA SI?rcific System 1 imitation:; NOA General Limitations 1 Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if applicable. RAS 127 or RAS 12t3 4. Other Component Notice of Acceptances 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Appendix ' F' Form) Re- roofing of Repairs Only 7. Any Required Roof Testing /Calculation Documentation Any other additional data reasonably required by the Building Official to determine the integrity of the roofing system. Page 1 Roof Category Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Prescriptive BUR -RAS 150 ❑ Other: Low slope roof area (tt 30Ds€ 11 Master Permit No. •• v•• JV•V• • O i .5 Sleep Sloped area (fl.') Section B (Roof Plan) FI AT iHigh Velocity Hurricane Zone Uniform Roofing Permit Application Form • '"'MIAMI -OADE COUNTY BUILDING DEPARTMENT-ELECTRONIC APPLICATION 1 Section A (General Information) Process No. Joy Address: 333 c • i 1 Roof Type New Roof Re- Roofing ❑ Recovering ❑ Repair ❑ Maintenance Ale there Gas Vent Stacks located on the roof? ❑ Yes [ Ji U yes. what type? ❑ Natural ❑ LPGX Roof Sy Information ,0 7 Mortar /Adhesive Sel Tile ❑ Wood Shingles/Shakes Total (fl.') 2 J�� Jr' Sketch Roof Plan: Illustrate an levels and sections. roof drains. scuppers. overflow scuppers and overflow drains. Include dimensions l sections and levels. dearly identify dimensions of elevated pressure zones and location of parapets. (Comer Size (a' x a'): Perimeter W dth (al: !_ '-H-i --+ ! I�I�- �-�1 - I I 1 3 ; I I 1 ' I ' j: _ : High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION System Manufacturer. I Tamko Roofing Products NOA No: 101 - 0508.01 Section C (Low Sloped Roof System) Fill in the Specific Roof Assembly components and Identify Manufacturer (If a component is not used, identify as "NA ") Design Wind Pressures, From RAS 128 or Calculations: Pmax1: 'S2 Pmax 2: Pmax3: 131.4 Maximum Design Pressure, From the Specific NOA System: Deck type: 15/8° Plywood • These decks require a fastener pull test by an approved test labratory Other Deck Type: I n /a Joist Spacing: I n /a Slope: 1 / 12 Anchor/Base Sheet & No. of PIy(s): 1 1 Tamko Glass Base Anchor/Base Sheet Fastener/Bonding Material: 111 /4 "rs nails 6 1 0C @Iaps12 "OCFi Insulation Base Layer /Size & Thickness: I n /a Base Insulation Fastener /Bonding Material: I n /a Top Insulation Fastener /Bonding Material: I n /a Insulation Top Layer /Size & Thickness: 1 n /a Page 3 Wood Nailer: I n /a Base Sheet(s) & No. of Ply(s): 1 1 Tamko Glass Base Base Sheet Fastener /Bonding Material: 111 /4 "rs nails 6 "0C @lapsl2 "0C F Ply Sheet(s) & No. of PIy(s): 12 Tam Ply IV Ply Sheet Fastener /Bonding Material: IASTM D312 Asphalt Hot Moppec Drip Edge Size & Gauge:13" face 26 ga. J Drip Edge Material Type: lGalvinized Metal J Hook Strip /Cleat gauge or weight: N/A Coping Metal: Inia Top Ply. 1 Tam Cap Top Ply Fastening /Bonding Material: IASTM D312 Asphalt Hot Moppec Surfacing: (White Granules of Capsheet FASTENER SPACING FOR BASESHEET ATTACHMENT Fastener Type: 11 1 /4" R.S. Nails Altemate Fasteners: 1 1 . Field: o/c @ laps & 1— rows @ 1 " o/c 2. Perimeter: o/c @ laps & rows @ I" " o/c 3. Comers: -o /c @ laps & I' rows @ 'o /c NUMBER OF FASTENERS PER INSULATION BOARD Field: FiT Perimeter: n/a Corner: n/a r High, Velocity Hurricane Zone:Uniform Roofng Pecmit•AppiiCatioin Form. MIAMI -DADE COUNTYBUILDIN6`OEPARTMENT. APPLICATION Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping/Flashing, Continuous Cleat, Cant Strip, Base Flashing,Counterflashing, 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. PywooD 5 /a n k fAty t'14 pc. ttils Page 3a Parapet Wall Hei IA Ft. Meta Roof Height 15 Ft t. I n /a Roof Slope: 3 Roof Mean Height 115 Ridge Ventilation: In /a Method of Tile Attachment: Perimeter Width: n/a H igh Velocity Hurricane Zone Uniform Roofing Permit Application Form - MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION Section D (Steep Sloped Roof System) Roof System Manufacturer. (SANTA FE TILE CORPORATION Notice of Acceptance Number. 100- 1212.06 Minimum Design Wind Pressures, If Applicable (from RAS 127 or Calculations): P 1 : 8.31 P 2 p 3 :124.05 Maximum Design Wind Pressures, (From the PCA Specific system): Clip Sparing for Metal Roof Panels Field: in ; Perimeters: n�a Comers: !! a _ _ - _ 1 Sloped System Description Deck Type: 15/8" Plywood g. Alternate Deck Type: IN /A • Underlayment type: IASTM D226 TYPE II #30 Insulation/Fire Barrier Board: I N /A Option Nalable Sub IN /A Y _.._- Fasteners: 111 /4'RS Nails 60C©laps2Rowsi. Cap Sheet Type/Adhesive Type: IASTM D249( #90) /ASTM D312 Roof Covering: (SANTA FE S TILE Roof Covering Attachment Method: Adhesive, Meduim Paddy Polyfoam P. (Adhesive, Medium Paddy Polyfoam Polypro Altemate Tile Attachment Method: Page 4 Drip Edge Size & Gauge:I3_ face 26 ga. = J Drip Edge Material Type: IGalvinized Metal J Drip Edge Fastener Type: 1 1/4 "ring shank nails Hook Strip /Cleat ga. or weight I N/A Mean Roof Height in Feet 15' 20' 25' 30' 40' Roof Slope 1 1 1 1 1 2:12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 5:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.5 32.4 7:12 24.4 25.9 27.1 28.2 30.0 High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION f Section E (Tile Calculations) For Moment based tile systems, chose either Method 1 or 2. Compare the values for Mr with the values from Mf. If the Mf values are greater than or equal to the Mr values, for each aea of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" P 1: 47.6 x APT _ M F Mr1: 8 31 .. NOA Mf:1 P 2• x A •297 _ M 5.82 H Mr1. 24.05 NOA Mf: 61.9 100.6 � g :��= .r- P 3 :1 x A .297 _ M 5.82 = Mr1: FOT NOA Mf: 61 _9.... Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From the Table Below: 32.2 __[ NOA Mf: 61.9 Mr Required Moment Resistance* "This Table must be used in conjunction with a list of moment based tile systems endorsed by the Broward county Board of Rules and Appeals. Page 5 • High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION For Uplift based tile systems use Method 3. Compare the values for F' with the values I'1. If r , 'vuf(1C i �.. •_ � the . stn. • �: nni +l to 111r Fr valirnr for each area of the IV1 J.`� -.. roof, then the tile attachment method is acceptable. (P1: (P2: ' 1: Method 3 "Upti Based Tile Calculations Per RAS 127" • 1: _ • Where to •btain In . rmati n All calculations must be submitted to the 13uilding (Ahem' at the time of permit application ) cos 0: =Fr1 � cos 0: = Fr2 1 Description Y S mbo W ere to Fin • Design Pressure P1 or P2 or P3 AS 127 Table 1 or by :n engineering analysis prepared by a P.E. based on ASC 7 -98 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier J, NOA Restoring Mioment due to Gravity Mo NOA Attachment Resistance It41 NOA Required Moment Resistance M1 Cale "I.IC.ii Minimum Attachment Resistance l'' NOA I'.c• : ;!1:.c•d t1;%!•'! I',., : , I \';c C. ;!: c: • . N( )1. - Average 1 Ile 7Veigh1 11le Dimensions I length V. , Width NO A • High Velocity Hurricane Zone Uniform Roofing Permit Application Form MIAMI -DADE COUNTY BUILDING DEPARTMENT ELECTRONIC APPLICATION For Uplift based tile systems use Method 3. Compare the values for F' with the values I'1. If r , 'vuf(1C i �.. •_ � the . stn. • �: nni +l to 111r Fr valirnr for each area of the IV1 J.`� -.. roof, then the tile attachment method is acceptable. (P1: (P2: ' 1: Method 3 "Upti Based Tile Calculations Per RAS 127" • 1: _ • Where to •btain In . rmati n All calculations must be submitted to the 13uilding (Ahem' at the time of permit application ) cos 0: =Fr1 � cos 0: = Fr2 Mar 06 02 00:36a sunniland corp Sep 26 01 02:37p TRMKO MIAMIOADE PRODUCT CONTROL NOTICE OF ACCEPTANCE Tamko Roofing Products, Inc. 220 West Fourth Street Joplin ,M10 64804 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0508.01 EXPIRES: 08/23 /2001 THIS IS THE COVERSHI:ET SFF. ADDITION, APPROVED: 08/23/2001 305 883 0113 8005418819 Kau( Rodriguez Chief I'rochlct Control Division PAGES FOR S1'F,CIFIC AND CI?N(.R,1L CONDITIONS BUILDING CODE & PRODUCT REVIEW COMM11TF.E Francisco J. Quintana. R.A. Director Miami - Dade Cot my Building Cole Compliance Office %04500014:c2000k1 e, .,tcAnotice acccpunce cover paxtdot Internet mail address: poslmasternbuildingcodennline .corn Nnmepage: http : / /www.buildingcndconline.coin P - 2 ;q:i MIAMI - DADE_ COUNTY. FLORIDA METRO - DADE FLAGLER BUILDING UUILUINC CODE COMPLIANCE OFFICE METRO -r)ADE 1T.AC :LI;R III 1U.1)IN(; (41) \V[a1" F).A( ;I.I:R STREET. SUITE 1603 Ni/ANSI. FI.ORIOA 33130 - 1563 (3051 375.2901 FAX (305) 375 -2 CON t'!tA(: r(►k LICENSING SECTION (305) 37$.2527 FAX ( 375- -2550 CONrK. t-rOR vIY)UCEMEI rDIVISION (305) 375 -2966 FAX (305) 37$.24n Ptu)nuC-r CONTRO1. DIVISION (395) 375 -2992 FAX (Jai) 372 -A3 Your application for Notice of Acceptance (NOA) of: Tamko BUR Roof System over Wood Deck under Chapter b of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsitc or manufacturers plant for quality control testing. If this product or material fails to perform in thc approved manner, I3CCO 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 13CCO that this product or material fails to meet thc requirements of the South Florida Building Codc. This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. p.1 Mar 06 02 08:36a sunniland corp Sep 26 01 02:37p TRMKO TAMKO ROOFING PRODUCTS, INC. ROOFING ASSEMBLY APPROVAL Catct'nrv: Sub-Category: Deck Type: Maxinuun Design Pressure Fire Classification: Product Dimensions Awaplan 170 FR Roll weight: 98 lbs.: 33' 11" x 39'/„" Awaplan Ucat WcIdjngTM Awaplan Premium FRTM Atvaphut Premium " Roll weight: (01 lbs.; 33' II" x 39 % / Awaflcx Roll weight: 76 lbs: 33' x 39 -3/S" AwaIlex FR Roofing Built -tap Roofing Wood -60 psf See General Limitation #1 TRADE NAMES OF PRODUCTS MANUFACTURE!) OR LABELED BY APPLICANT: oll weight: 98 lbs.; 33' 11" x 39'/ Roll weight: 96 lbs.: 25 ' 5 " x 39 a /s" Roll weight: 101 lbs.; 33' 11" x 39 t y Test S weilication ASTM D 6164 Type 1 ASTM D 6164 Type I ASTM D 6164 Type!! ASTM D 6(64 Type tt ASTM D 6164 Type 11 ASTM D 5 147 Roll weight: 76 lbs; ASTM 0 5147 33' x 39 -3 /8" Page 2 8005418849 305 883 0113 p.2 Acceptance No:01- 0508.01 Approval Date: Ae »ust 23.2001 Expiration Date: Anus* 23, 21306 Product nescriptinn A 180 gin': polyester reinforced Sf3S modified bitumen membrane surfaced with granules and treated for additional fire resistance. Applied in hot asphalt or cold adhesive. A 180 g/m polyester reinforced SI3S modified bitumen membrane surfaced with granules. Applied in hot asphalt or cold adhesive. A 250 g /m' polyester reinforced SI3S modified bitumen membrane surfaced with granules. Applied by torch and also used as a walkway material. A 250 ern: polyester reinforced modified bitumen membrane surl'.hced with granule. Applied by hot asphalt and also used as a ttalkway material. A 250 y/nt= polyester reinforced S13S ntodilial bitumen membrane surfaced with granules. Applied in hot asphalt or cold adhesive, and also used as n walkway material. SRS modified cap sheet constructed with a 155gtn /nt= non- woven polyester mat saturated with asphalt, coated on both sides with SOS rubber modified asphalt utd surfaced with ceramic granules for UV protection. SOS 1'R nttxiilied cap sleet constructed with a 155etn /m= non- woven polyester mat saturated with asphalt, coated un bath !:ides with SI3S rubber modified asphalt, . treated, and surl with ceramic granules for UV protection. Frank Zuloaga. RRC Roofing Product Control Examiner p. 3 Mar 06 02 08:36a sunniland corp Sep 26 01 02:37p TAMKO TAIJIKO ROOFING PRODUCTS, INC. Product Awaplan Versa - Smooth Awaplan Versa -flex Roll weight; 76 lbs; 33' 11" x 39 -3/8" Batse-N-Ply-tEit Tam -Glass PrcinkimTM Roll weighs: 53 lbs.; 16I' 9" x 39.3/8" Roll weight: 44 lbs.; ASTM D 2178 161'9 "x39 -3/8 Type IV l'Y1x: 43 13acc Sheet Roll weight: SS lbs.; ASTM D 2626 72' x 36" Vapor-ChanTM Roll weight: 86 lbs.: AS'l'M 1.) 4897 32' 1 I" x 39.3/8" Type 11 Versa -Base f• R Versa - Baser ' Versa-Cap 1•RT" 'fait -Pro Iibcrcd Emulsion l'am - Pro Pruner Dimensions Roll weight: 100 lbs. 33' 1 I"x 39 Roll weight: 72 lbs.; 108' x 36" Roll weight: 72 lbs.; AS'I'M D 4601 97.5' x 39 -3/8" Roll weight: 83 lbs.; 32' 11 " 39 -3/8" Roll weight: 60 lbs.; 48' 2" x 39 -3/8" 5 gallon Test Specification ASTM D 6164 Type! ASTM I) 6164 Type It ASTM D 4601 ASTM D 3909 ASTM D 2178 Type V I ASTM 1) 5147 Roll weight: 94 lbs.; ASTM D 6163 48' 2" x 39 -3/8 "" Type Roll weight: 87 lbs.: ASTM 1) 5) 47 33' x 39 -3/8" 5 gallon ASTM D 1227, type!! ASTM 1) 41 Page 3 305 883 0113 p.3 0005410849 Acceptance No:01 - 0508.01 Product Description A 180 OW polyester reinforced SUS ,codified bitumen membrane. Applied in hot asphalt, by torch, or mechanically fastened. as a base ply in 2 ply ntoctil 'cI systems. A 190 OW nonwoven polyester reinforced SI3S ntotlilied bitumen membrane. Applied in hot asphalt, as a base ply in 2 ply modified systems. l'ypc 11 asphalt impregnated and coated glass fiber base sheet for use in conventional and ,nodified bitumen built - up roofing. Type (t asphalt impregaatecl and coated glass lib r base sheet for use in conventional and modified bitumen bulli- on rooting. Asphalt impregnated and coated felt surfaced with mineral granules used as the top ply in conventional built -up roof membranes. Type VI asphalt impregnated glass felt for use in conventional and modified bitumen built-up roofing. Type IV asphalt impregnated glass felt for use in conventional and modified bitumen built -up roofing. An organic felt reinforced asphalt base sheet. Applied in hot asphalt or mechanically fastened. I Leavy duty fiber glass base sheet impregnated and coated on both sides with asphalt with or tvithout a fine mineral stabilizer. Surfaced on the bottom side with coarse mineral granules embedded in hot asphaltic coating. Asphalt impregnated and coated glass fiber base sheet for use in conventional and modified bitumen built -up rooting,_ Asphalt impregnated and coated !;lass geese !"of use in conventional and uxxfiticd bitumen huilt -up roofing. ,\ fiberglass reinforced, mineral surlaced. SUS mtxlified bitumen top membrane. Protective coating. Frank Zuloaga. RRC Rooting Product Control Examiner p.4 Mar 06 02 08:36a Sep 26 01 02:38p TRMKO TAMKO ROOFING PRODUCTS. INC. Product Dimensions Tam -Pro Fin; Rated 5 gallon Aluminum Roof Coating EVIDENCE SUBMITTED: Test Agency /Identifier Factory Minted Research Corporat ion Underwriters Laboratories, Inc. Dynatcch Engineering Corporation Exterior Research & Design. L LC. sunniland corp Test Specification ASTM 0 2824, type 111 Nantc Comparative Rupture: Testing Class 1 Fire Class 1 Fire; 1 -90 Windstorm Classification Class 1 Fire; 1 -90 Windstorm Classification Fire Classification -- sec current directory Wind Uplift Resistance Wind Uplift Testing Wind Uplift Testing Wind Uplift Testing Pagc 4 Mort 1.f. 4D0A7.AM 11. 0Z4A3.AM 1.1. 1 U4A7.AM J.I. 3135A9.AM R3225 R3225 -I through 13 4440.05.95 -2 4440.05.95 -1 4444.06.98 -1 305 883 0113 0005418849 Acceptance No:01- 0508 -01 Product Description A flame retardant protective coating that forms a highly reflective surface. Da tc 10.21.98 08.2 7.97 10.20.97 08.27.97 Published Annually 02.17.94 05.01.95 05.01.95 06.1 5.98 Frank Zulouga, RRC Roofing Product Control Examiner p• 5 p.4 Mar 06 02 08:41a sunniland corp 305 883 0113 p.17 Sep 26 01 02:46p TAMKO 9005419949 p.B TAMKO ROOFING PRODUCTS, INC. Acceptance No:01- 0508.01 Deck Type 1: Wood. Non-insulated Deck Description: t9 / or greater plywood or wood plank decks System Type E: lase Sheet mechanically attached. All Cencrnl surd System Limitations apply. Base Sheet: One ply of Tatnko Glass- 13ase, Vapor -Chan or Base -N -Ply fastened to the deck as described below: Fastening: (Option NO Attach base sheet using 11 ga. annular ring shank nails and i -5 /ti" diameter tin caps spaced 9" o.c. in a 4" lap and 9" Q.C. in two staggered rows in the center of the she. (Meets —52.5 p.+f, See General Limitation #7.) (Option fit) Attach base sheet using Cr Dekfast or ?114 Dcktast Fasteners with CF ilex Plates. SFS #12 or ND insutfixv S, or Buildcx Accutrac Fasteners and 3" Square Ptatcs spaced 12' o.c. in a 4" lap and 12" o.c. in two staggered rows in the center of the sheet. (Meets —60.0 psf, See General Limitation f17.) Ply Sheet: Two or more plies of Tam -Glass Premium® or Taut Ply IV ply sheet adhered in a full mopping of approved asphalt applied within the I VT range and at a rale of 20- 40lbsJsq. Cap Sheet: (Optional) One ply of Tam-Cape adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq.. (See Tanako application instructions for approved method of installation). Surfacing: (Required if no cap sheet is used) one of the following: I. 1 -1' /a gallons libered aluminum coaling Ixr square (Tropical Asphalt Products Ah 120, fain -t'ra FR Aluminum Roof Canting), 3 gallons emulsion roof coating per square. or asphalt surface at an application rate of 20 -75 lbs /set.. Coatings shall be applied acctudin: to the manufacturers' recommendations regarding specific application rases and weathering. 2. Flood coat with an application rate of 60 lbs. /sq.: plus gravel or stag wish an application rate of 400 or 300 1bsJsq. respca Lively. Maximum Design Pressure: See Base Sheet Fastening Options above Page 17 Frank Zuloaga, RRC Roofing Product Control Examinct Mar 06 02 09:14a sunniland corp Sep 26 01 02:46p TANKO 305 883 0113 p.1 8005416849 p.9 TANFKO ROOFING PRODUCTS, INC. Acceptance No:01- 0503.01 WOOD DECK SYSTEM LIMITATIONS:, 1 A slip shear is required with Ply 4 and fly 6 when used :is a mechanically [listened base or anchor sheet. GENERAL LIMITATIONS: 1. Firs classification is not part of this acceptance. refer to a current Approved Roofing Material., Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall bean-ached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphak applied within the ENT range and at a rate of 20 -40 tbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt. panel size shall be 4' x 4' maximum_ 4. An overlay and/or recovery board insulation panel is required on an applications over closed cell foam insulations when the base sheet is fusty mopped. If no recovery board is used the base sheet shall be applied using spot mopping ,vith approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped S" ribbons m three maws, one at each sidelap and one down the center of the slraxt allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Aspltilt application of either system shall be at a minitnunt rate of 12 lbs. /sq. Note: Spot attached systems shalt be limited to a maximum design pressure of -45 psf. 5. fastener spacing for insulation attachment is based on a W.inimunt Characteristic Force (11 value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value. as field - tested, are below 275 Ibf insulation altacl1ntent shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/bast: sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required. as determined by the Building Official, a revised fastener spacing, prepared. signed and scaled by a Florida Registered Engineer, Architect, or Registered Roof Consultant may he submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Rooting Application Standard RAS 117. 7. Perimeter and corner areas shall comply \vlth the enhanced uplift pressure requirements of tlase arras. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) S. All attachment and sizing of perimeter naiters, metal profile. and/or flashing termination designs shall conform with Roofing Application Standard RAS 1 1 1 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable: to all roof pressure zones (i.e. field. perimeters, and comers). Neither rational analysis, nor extrapolation shall he permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters. extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be appticable.) Page 13 Frank Zuloaea, RRC Rooting Product Control Examiner Membrane Type: SBS Deck Type I: Wood, Non - insulated Deck Description: or or greater plywood or wood plank System Type: Tile Undcrlayment, Base Sheet mechanically attached. All General and System Limitations shall apply. Anchor sheet: Ply Sheet: / Membrane: Cap Sheet: Maximum Design Pressure: Tamko No. 30 UL, Type 43 Coated Base, Base -N -Ply®, Vapor- ChanTM, or Versa - BaseTM base sheet applied with a minimum 2" side lap and a minimum 6 "end lap. Base sheet may be applied at a right angle (90 ") to the slope of the deck with approved annular ring shank nails and tin caps at a fastener spacing of 6" o.c. at the 2" side lap, and two 12" o.c. staggered rows along the center of the sheet. (Optional) One or more plies Tam -Ply IVTM or Tam -Glass PremiumTM sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. One ply Awaplan PremiumTM, Awaplan 170TH, or Awaflex membrane may be applied at a right angle (90 to the slope of the deck* adhered in a full mopping of Type IV asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. Membrane shall be back nailed to deck with approved annular ring shank nails and tin caps at a maximum fastener spacing of 6" o.c. No nails or tin caps shall be exposed Tamko ASTM Slate Surface or Tamko ASTM Tile Undcrlayment: applied with minimum side lap of 2" and a minimum end lap of 6 ". Cap sheet may be applied at a right angle (90 ") to the slope of the deck* adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Cap sheet shall be back nailed to deck with approved annular ring shank nails and in caps at a maximum 12" o.c. at the side laps and 6" o.c. at the end laps. No nails or tin caps sltall be exposed * Membrane or Cap Sheet may also be installed parallel to the slope of the roof (i.e. strapping). If membrane or cap sheet is strapped, then anchor sheet and ply sheet must also be strapped. Refer to Tile Manufacturer's NOA. Maximum Slope: Must Comply with Roofing Application Standard RAS 118, RAS 119, RAS 120 and Applicable Building Code. NOA No.: 02- 0212.07 Expiration Date: 05/23/07 Approval Date: 05 /23/02 Page 19 of 20 i 1. ROOF COVERING MATERIALS (iEVT) 2000' ROOFING .MATERIALS & SYSTEMS DIRECTORY Roofing Systems (TGFU)- Continued Insulation: Rmax "Multi-Max", Johns Manville ."UltraGard ", Celotex "HyTec'', Celotex "Energy-Lok", Celotez,"Thermax HyTec Plus ", Celo- tex "Thermax HyTec Plus Y', Johns Manville "UltraGard SP", Celotex "Top-R-11" or Rmax'Thermaroof Plus" (printed side down), any thick- ness. Membrane: Genflex Roofing "Genflex II EPDM ", 45 or 60 mil. TAMKOROOFING PRODUCTS INC 601 N HIGH ST, JOPLIN MO 64801 ASPHALT FELT SYSTEMS WITH Class A 1 Deck NC Incline: 3 Base Sheet Type G2 "Apache Base Sheet". Ply Sheet Three or four plies, Type Gl "Apache Ply Sheet". Surfacing: GraveL TAMKO ROOFING PRODUCTS INC • 601 N HIGH ST, JOPLIN MO 64801 For Uplift Resistance Classifications, See TGIK Found in this Directory. Pittsburg - Coming foam glass insulation is a suitable alternative for use in any of the following roofing systems. "Awaplan 170" is a suitable alternate for "Awaplan Premium" in any of the following roofing systems using "Awaplan Premium ". 1 in. minimum tongue and groove board is a suitable alternate for 1/2 in. plywood decks with all joints blocked. "Versa-Base" or "Versa -Base FR" are suitable alternates for the first base sheet in any of the following roofing systems. "Awaplan Premium" is a suitable alternate for "Awaplan Versa - Smooth" in any of the "Awaplan" systems listed below. Awaflex FR is a suitable alternate for Awaplan 170 in any of the following roofing systems. Polyrsocyanurate and Polystyrene insulation can be used in any of the following insulated noncombustible systems when covered with a minimum thickness of 1/2 in. perlite or wood fiber board. " AwaFlex" is a suitable alternate for "Awaplan 170" in any of the following systems. "Awaplan Heat Weld" is a suitable alternate for "Awaplan Premium" and "Awaplan Versa Flex" is a suitable alternate to "Awaplan Versa Smooth" . " Awaflex FR" is a suitable alternate to "Awaplan 170 FR" in any applicable noncombustible Classification. ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT "Tam -Ply IV" ply sheet can replace 'Tam -Glass Premium" in the following Class A, B or C "Vapor Chan" venting base sheet can replace "Glass- Base" base sheet in the following Class A, B or C roofing systems when limited to noncombustible decks. "Base -N -PIy" is a suitable alternate to "Glass- Base" in any of the following systems. "MasterSmooth" is a suitable altemate to "43#Base Sheet" in any. of the following systems. The following noncombustible systems may be installed over a minimum 1/2 Type X gypsum board mechanically fastened to a combustible deck for the rating to be maintained. Unless otherwise indicated, these constructions may utilize any thickness of perlite, glass fiber, polyurethane, isocyanurate, combination isocyanurate/ perlite or polyurethane /perlite insulation hot mopped or nailed. Wood fiber insulation is a suitable substitute on noncombustible decks only. Class A Deck NC Indine: 3 Base Sheet (Optional): 1 or more layers of Vent -PIy, hot mopped in place. PIy Sheets: 3 layers Type 15 perforated asphalt organic felt ( "Tri -Six" ) or 4 layers conventional Type 15 perforated asphalt organic felt, hot mopped at 25 Ib /sq /layer. Surfacing. Gravel, crushed stone or slag. 2. Deck C -15/32 Incline: 1 Base Sheet: Type 15 asphalt organic felt base sheet, hot mopped. Ply Sheets: 3 layers Type 15 perforated asphalt organic felt, hot S mopped. Gravel, crushed stone or slag. 3. Dedc C -15/32 Incline: 3 Base Sheet Type G2 "Glass Base ", "Tam Ply IV ", "Vapor Chan ", "43 lb Base Sheet" or "Tarn-Glass Premium ", hot mopped or nailed. Ply Sheets: Min 2 layers Type Gl "Tam-Glass Premium" or "Tamply IV", hot mopped. HOT ROOFING ASPHALT R12104 R3225 nnv rn.• •rrr- .a Roofing Systems (TGFU)-- Continued Surfacing: Gravel in a flood coat of hot roofing asphalt at 60 lb/sq. 4. Deck NC Incline: 3 Base Sheet Type Gl "Tam-Glass Premium" or "Tam -Ply TV' ply sheet or Type G2 " Vent -Ply" base sheet, hot mopped or nailed. Ply Sheets: Minimum 2 layers Type Gl 'Tam -Glass Premium" or "Tam-Ply IV ", hot mopped. Surfacing: Gravel in a flood coat of hot roofing asphalt at 60 lb /sq. 5. Deck C -15/32 Incline: 3 Insulation: 1 in. minimum glass fiber or perlite, nailed or sprinkle mopped. Base Sheet (Optional): Type G2 base sheet, "43 lb. Base Sheet ", "Glass -Base" or "Vent -Ply" or Type GI ply sheet, "Tam-Glass Premium" or 'Tam -Ply IV ", hot mopped or nailed. Ply Sheets: 3 layers Type G1 "Tam-Glass Premium" or 'Tam -Ply IV ", hot mopped. Surfacing: Gravel in a flood coat of hot roofing asphalt at 60 lb /sq. 6. Deck NC Incline 1 -1/2 Base Sheet Type G2 "Glass-Base", "Tam-Glass Premium" or 'Tam -Ply IV", hot mopped. Ply Sheets: 2 or more layers Type GI "Tam-Glass Premium" or "Tam PIy IV ", hot mopped. Surfacing: Type G3 "Tam-Cap", hot mopped. 7. Deck NC Incline 2 Insulation (Optional): 1 -5/16 - 3-1/4 in. max. in. glass fiber perlite or woodfiber, isocyanurate sprinkle mopped. Base Sheet (Optional): 1 or more Type G2 "Vent -Ply ", "Vapor- Chan "; Type G1 "Tam -Glass Premium ", 'Tam -Ply IV" or "Glass- Base", hot mopped. Ply Sheets: 1 layer "Awaplan Versa - Smooth" surface (modified bitu- men), hot mopped or heat fused. n ." . . 11..440 8. Deck C -15/32 Incline: 1/4 Base Sheet: Type 15 "43# Base Sheet ", Type G-1 "Tam-Glass Premium ", "Tam -Ply" IV" or " Glass- Base ", nailed. Ply Sheets: 2 or more layers Type Gl "Tam-Glass Premium" o "Tam -Ply IV ", hot mopped. acing: Type G3 "Tam- Cap ", hot mopped. 9. Deck - w me: 1 Base Sheet One or more layers of Type G2 "Glass - Base", "Versa- Base" or "Vapor- Chan ", hot mopped or mechanically fastened in place. Ply Sheet One or more layers of Type GI 'Tam -Ply IV" or "Tam -Glass Premium ", hot mopped in place. Cap Sheet Type G3 "Tam- Cap ", hot mopped in place. 10. Deck C -15/32 Incline: 2 Base Sheet: One or more layers of Type 15 "43# Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet: Two or more plies of Type Gl 'Tam -Ply IV" or "Tam-Glass Premium ", hot mopped in place. Cap Sheet: Type C3 "Tam- Cap ", hot mopped in place. 11. Deck C -15/32 Incline 2 Insulation (Optional): Perlite 3/4 in. thick min. or polyisocyanurate, 2 in. thick min. Base Sheet One or more layers of Type G2 "Glass- Base", "Versa-Base" or "Vapor- Chan ", hot mopped or mechanically fastened in place. Membrane: One layer of "Awaplan Versa - Smooth" (modified bitumen), hot mopped or heat welded. Cap Sheet: Type G3 "Tam- Cap ", hot mopped in place. 12. Deck NC Incline: 3 Base Sheet: One or more plies of 'Tam -Ply IV ", hot mopped or mechanically fastened. PIy Sheets: One or more plies of "Tam -Ply IV ", hot mopped or mechanically fastened. Surfacing: Gravel, crushed stone or crushed slag, in a flood coat of hot roofing asphalt. Class B 1. Deck C -15/32 Incline: 1 Base Sheet: One or more plies of Type G2 "Glass- Base", Type 15 "43# Base Sheet ", or Type G2 "Vapor-Chan", hot mopped or mechanically fastened in place. Cap Sheet: Type G3 "Tam-Cap", hot mopped in place. 2. Deck C -15/32 Incline: 3 Base Sheet One or more plies of Type G2 "Glass - Base", Type 15 "4311 Base Sheet", "Versa- Base" or Type G2 "Vapor- Chan ", hot mopped or mechanically fastened in place. asnov Au oonnt trrr ROOF COVERING MATERIALS (TEVT) 413 02/20/2001 08:07 3058880858 MIAMI PR ' UCT CONTROL N • ICE OF AC ' TA Santa Fe Tile Corporation 10302 N.W. South River Drive, Bay #16 Medley ,if)( 33178 Your application for Notice of Acceptance (NOA) of Spanish "S" Clay Tile under Chapter 8 of the Code of Miami -Dade County govemin Construction, and completely described herein, has been reco County Building Code Compliance Office (BCCO) under the This NOA shall not be valid after the expiration date stated product or. material at any time from a jobsite or manufactu product or material fails to perform in the approved manner, rue of such product or material immediately. BCCO rese determined by BCCO that this product or material fails to Building Code. The expense of such testing will be incurred by the manufactu ACCEPTANCE NO_: 90- 1212.06 EXPIRES: 02/01/2006 THIS IS THE COVERSHEET, SEE ADDITIONAL PA , ES FOR SPECIFIC AND GENERAL CONDITION) BUILDING CODE Si PRODUCT RE 1:W COMMITTEE This application for Product Approval has been reviewed b Code and Product Review Committee to be used in Miami -D forth above_ APPROVED: 92101Iz00I tss04S0001 ■pQ0odacen.platexvioice acceptance corer pa(e.aot Internet Mail address: postmester®buitdingcodeonline _con SANTAFE TILE CORP PAGE 01 MIAMI DE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO.OADI: FLAGLER BUILDING 1 WEST FLAGLER STREET. SUITE 1603 MtAML PI.oRn)A 33110 - 1563 (305) 375 - 2901 FAX (305).375 CONTRACTOR LICENSiNC SECTgON (305) 375-2527 FAX 005) 371-255.5 CONTRACTOR ENrosta :mEVrD1 vista. (305) 375 -2966 rwX (3Os) 375 -29e3 PRODUCT CONTROL DIVISION (303) 3 FAX (305) 3724339 the use of Alternate Materials and Types of ended for acceptance by the Miami -Dade nditions specified herein. ow. BCCO reserves the right to secure this is plant for quality control testing. If this CCO may revoke, modify, or suspend the s the right to revoke this approval, if it is eet the requirements of the South Florida Raul Rodriguez Chic( Product Control Division the BCCO and approved by the Building l e County. Florida under the conditions set Francisco J. Quintana, R.A. Director Miami -Dade County Building Codc Compliance Office epagc: http:I /tvww.buiWingeodeonline -tom 92/28/2801► 89:87 3858889950 • SANTAFE TILE CORPORATION ROOFL�IG ASSEMBLY APPROVAL Category: Roofing $4b- Catevorv. 07320 Roofing Tiles Materials Deck Tyne: Clay Roof Tiles Wood SANTAFE TILE CORP CCEPTANCE No.: 00- 12126 Approval Date: February 1. 2001 1. SCOPE This renews a roofing System using Santa Fe "Santafe " clay roofing tile, manufactured by Santafe Tile Corporation described in Section 2 of this once of Acceptance, designed to comply with the South Florida Building Code. 1994 Ed ion for Miami -Dade County. For locations where the design pressure requirements. as de mined by applicable building code. does not exceed the design pressure values obtain by ca; ulations 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 Expiration Date: FSbroury 1.2006 Test Product Dimensions Specifcntions Description I = 1 II" PA 112 O piece high profile clay roof cite w = 11 .5' eq ippcd with two nail holes. For nail 'H" thick mortar set and adhesive set applications. 1= varies PA 112 Ac3casory trim, clay roof pieces for use at w varies Iti•s, rakes. ridges and valley terminations. varying M nufacturcd for each tilt profile. thickness i 2.1 COMPONENTS OR PRODUCTS MANUFAC'iURED BY OTHERS Test . Product Product Dimensions Specifications Deceri ntion Tile Screws a8 x 2 -%7" long PA 114 grainless Steel 0.130•' shank dia. Appendix E 0.178 flute dia. Manufactured by Applicant Santafe `S' Clay Roof Tile Trim Pieces Manufacturer generic PAGE 02 3. LIMITATIONS 3.1 Fire ciassification is not part of this acceptance} 3.2 For mortar or adhesive Set the applications, a $4atic field uplift test shall bo performed in accordance with RAS 106. 3.3 Applicant shall retain the services of a Kafiri iaelti -Oadc County Cenifted Laboratory to perform quarterly test in accordance with PA. 12 a tall be submitted to the Building Colic Compliance O i =. uloaga. RRC Roofing Product Control Examiner 2 Table 1: Aerodynamic Multi • yers— ft) Tile Profile A (ft) Batten • • • lic on • x ( ) Direct Deck Santafe 'S' 0.274 0.297 Tile Profile Santa* 'S' Table r:12" 2: Restorin • T:12" Moments due 4":12" to ray - 1 5 1 ':12'• . n -I • 6 ":12" 7 or greater Battens 5.93 Direct Deck 5.90 Battens 5.85 Direct Deck 5.82 Battens 5.13 Direct Deck 3.69 9 ens 36 Direct Deck 5.53 Battens 5.32 Direct Deck 5.29 Battens 5.03 Direct Deck WA Table 3: Attachrent Resistance Expres as a Moment - Mf (ft-lbf) For Nail •On Syst Tile Profile Tile Application Two Nails One Screw o Screws One Screw w/ Clip Two Screws w/ Cli Santaft S Direct Deck 21.8 29.16 35.26 57.31' 57.60 Battens _ 61.77' 1. Approved screws is noted 'product manufactured by others' Table 4: Attachment Resistance Exp d as a Moment - Mr (ft - Ibf) for Mortar or Adhesive S Systems Tile Profile Tile . • . licatien Attachment Resistance Sentafe '5' Mortar Set 23.6 Adhesive Set • 61.9 1 41 11b% �O rank Zutoaga RRC Roofing Product Control Examiner 82/20/2001% 88:87 3858888850 • SANTAFE TILE CORPORATION 3.5 30/90 hot mopped underlayment applications slope unless stated otherwise by the under) literature. 3.6 This acceptant= is for wood deck applications compliance with applicable building code. 4. INSTALLATION 4.1.1 Santafc 5' and its componc:us shall be installed County Roofing Application Standard RAS 118 4.1.2 Data For Attadhmod Calculations SANTAFE TILE CORP ACCEPTANCE No.: 00 1212.06 PAGE 83 be installed perpendicular to the roof material manufacturers published Min mien deck requirements shall be to stria compliance with Miami Dade RAS 119. and RAS 120. SANTAFE TILE CORP • ANJAPT TILE CORPORATION ACCEPTANCE No. : 00-1212.06 02/20/2801 68:07 3858880050 5. LABELING 5.1 All tiles shall bear the imprint or identifiable mrkins of the manufactures name or logo, or following stateman: "Miami-Dade County Prbduct Control Approved". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accommlnied by copies of thc following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Buildg Official or applicable Building Code in order to properly evaluate the installation olthis system. PROFILE DRA SANTAFt "SANTAFE S" CLAYjROOF TILE 4 Frank Zuloaga. RAC Roofing Product Control Examiner PA 134 SANTAFE TILE CORP PAGE 85 1 82/26/286 08:07 3058880050 SANTAFE 711.E CORPORATION 4 NOTICE Of ACCEPTANCE STAI W CONDITIQ t Renewal of ibis Acce (approval) shall bc considered aftc original subsnittui documentation, including test supporting des eight (8) years. 2 Any and all approved products shall be permanently iabekd w2. the manufacturers name, city, state, and the following statement: "Miami -Dade County Find= Contra Approved or as specifically staled in the specific conditions of this Acceptance. 5. 3 Renewals of Acceptance will not bc considered if a) There has been a change in the South Florida Building Coi a affecting the evaluation of this product and the product is not in compliance with the code changes: b) The product is no longer the sate product (identical) to i4e one origtnaly approved; c) lithe Acceptance holder has not complied with all the cements of this acceprartoe, including the rotted installation of the product: d) The engineer who originally prepared, signed and sealed tie required documentation initially submitted. is no longer practicing the engineering ps kssivn. } A Any revision or change in the materials. use, and/or manufacttr c of the product or process shall automatically be cause for termination of this Acceptance. unl prior written approval bas been requested (through the filing of a revision application with appropriate fat) and granted by this office. 5 Any of the following shall also be grounds for removal of this leceptancc: a) Unsatisfactory performance of this product or proms; b) Misuse of this Acceptance as an endorsement of any prtduct. for sales. advertising or any other purposes. 1 6 The Notice of Acceptance number preceded by the words Miv7,i - Dade County. Florida. and followed by the expiration date may be displayed in advertising literature. If say portion of the Notice of Acceptance is displayed, then it shall be done in as entirety. 7 A copy of this Acceptance as well as approved drawings and outer documents, where it applies. shall bc provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be ruled by the enginer. 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 ACCEPT4NCE 5 ACCEPTANCE No.: 00- 1212.06 n renewal application bas boon filod and the cneinoering documents. are no older than Frank Zuloaga. ARC Roofing Product Control Examiner Table 58: Attachment Resistance Expressed as a Moment for Mortar Set Systems Tile Tile Profile AePlication Set Monier Lifetrle V11a. Roll. and Capri Tile Heuer • • M, (ft -Ibf) Attachment Resistance 20.60 5. LABELING All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo. or following statement: - Miami -Dade County Product Control Approved'. 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following. 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this system. PROFILE DRAWINGS MoNIER LIFETILE VILLA CONCRETE ROOF TILE NOA No.: 02- 1205.05 Expiratloa Date: 12116!07 Approval Date: 01/02/03 raga 6 of 7 MONIER LIFETILE ROLL CONCRETE ROOF TILE END OF THIS ACCEPTANCE MONIER Li FUME CAPRI CONCRETE ROOF T1LE NOA No.: 02- 1205.05 Expiration Date: 12/16/07 Approval Date: 01/02/03 Page 7 of 7 ELECTRICAL TY.i,l,; Minimum Fee QTY 'rvpr.; Dryer QTY. .1.1.1,1.; Outlet, Appliance ()Ty. . 1 . 1 . 1 , 1.; Service Repair Q . 1 . 1 . A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton - Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New I■1ECHANICAL TYPE Minimum Fee QTY'. - O PE Condensate Drain QTF. '11'1'1•: Generator QTY. T1'1'F. Refrigeration, Tons Q1 1. A/C Central, Tons Cooling Tower - Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Solar Water Heater Air Handler, Tons Ductwork, Cost of - Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING Tv1'l; A/C Condensate QTY TYPE Drains, Roof QTY TYPE Miscellaneous Fixture QTY. Tv1'1{ Soakage Pit (1 11 Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ FIRS / DERM APPROVAL (Septic / Sewer) Cl IMPACT FEE (New Construction) PERMIT FEES ❑ OTHER (Specify & Attach) $30 0 -, o c) $ 5,T To ISSUING OFFICIAL ( x .6 x/1000 ) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) TOTAL It441 6 REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com NOTICE OF COMMENCEMENT A RECO DED COPY MUST BE POSTED ON THE J013 SITE AT TIME OF FIRST INSPECTION i FFERMIT NO,'1 i STATE OF FLORIDA COUNTY 1 BADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following infglnraiton is provided in this Notice of Commencement. 1t1. Legal d$ pription of property and street address: 3.3 NF • 102 5F • 2. Description of improvement: Re - Q Owner( ■ and address: 0/4{la t f 333 ,UE • ) 0 2 ;I Interest in property: Name and 4 4. Contraoto.r's name arid G d address: 5 e J h�o+,n ,•r- H-r ors 7.,nr. \ 13 SST \-\t-etk•<eiN 5. Surety: ayment bend recuired by owner form contractor, if any) Name and dress: NI lA Amount of b` nd $ i 6. Lender' 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 7 Florida Statutes. N \,1 Name and address: 8. In addit ii n to himself, Owner designates the following person(s) to rece ve a copy of the Lienor's Notice as provided in Section lorida Statutes. Name and j ¢ i r 9. Expiratipr date of this Notice of Commencement: (the expiration date is 1 year from the date of record. unless a different date is speo(ied) OecCM 7 42p 3 1 `Et S1 ATE OF ;ouNTY I I ICF E • :tr. : •; _ f ;; . 16%11 dress of fee simple titleholder: c4 r- N i gnature o Owner Print Owne Name: Cam - \o -ra• Pc\GQ . Sworn to ai ><-7.,• cribed before me this a' I day of Notary Pub t �''��' Print Notarj p to MyCommisiion Expires 1O'd to 21 o'i ESI L88 -GOE -I 1> TAX FOLIO NO. /1 3206 c' l 3 .0•-a) •r. m w prY 04, 20 JASMIN LOPEZ MY COMMIS 1 XPIRES: June 21, 2005 Doodad Tlno eddpaI Notary SINN* 03R06614 2003 AN 30 14:2 3 &t 3}l Prepared by •.); -4 . Per"r ,• Address: ` 1 1 e57 �`�•' t � 1 r "Ft Ft eui ooa C S dt'E :EO E0- 90 -clad Registered Architect and /or Engineer MIAMI SHORES VILLAGE �0 BUILDING INSPECTION DEPARTMENT . APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement u► rr►e 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 Hail. ling Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must bc kept at building during progress of the work. Owner's Name and Address No...._ »».. . s S ... Name and address of licensed contractor. a04-64-,c/e_ L Location and legal description of lot to be built on: (�� {��(� j� ? Lot.. /..Si�.. ./ / Block .. Subdivision. S l.I 3 . ��_. L2.� 7D .� Street and Number where work is to be done s State work to be one and purpose of building (b floors) fi, o 42- 4 2. , __._.. _Fa a ,C/f 7 6c_'! �. r .and for no other purpose. New Building Remodeling Addition Repairs No. of S ories , ^ / _ To be constructed of Kind of foundation �� Roof Covering..., 7% 4 f'� /I ' Estimate Total cost of improvements S•.•j�' ..... ADD i ` Amount of Permit 3 .. I STATE OF FLORIDA, COUNTY OF DADE. ss. Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared Zone cubage required Plan Cubage Distance•to next nearest building Size of Building Lot _ ................. Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of i.►bur under the Florida Workmen's Compensation Act, being Section 5 Compiled General Laws of Florida, Permanent Supplement, and has complied stith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to bc performed under this permit; and will post or cause to be posted for inspection the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra work performed un • : this permit, as are licensed by Miami Shores Village. Remarks (Sign 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 stat are true.. I Permit No.._... 1`.- .....,.... Date C t � Read, Sworn to and Subscribed before me. Disapproved . I J Date. (Signed) e e ,;1 Notary Public, State of Florida Building Inspector My Commiuion Expires to me well known, PLANNING BOARD DATE Chairman Member Member Member Member .. .. _.....__....._..._._...._....._ Member — Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from tlic Pl.rnnir.g Board. A re-inspection ice of 31.00 will be charged when such re- inspection is made neceuary by improper notice for inspection or faulty materials and /or workmanship. Disapproved ( Signed ) /idle. > 1 tla /cvm 1 ocati njl deecrlptlon of lot is bo bail! qpt t;ot..•�1 ,; mock x3' »«. Zone cubage required .• . u ..:. ..� :....:. .. :.. .w�.i�...«.•.. " -„ Distance •to neat neatest byildiry . .,�..bt +,:,:.. » ». ».... Mlaai,nun, I, \•e ba •to bs bme�im b stale rrWr.i.r•t ... ... «•••••.» 1 hereby.wbaAft a4 �i1f4t 1 Iva, • be sent to. The tintlerrisiaed applionflt•Int of 1.,hur under' the Flat to and h.si complied till, 1 in the work to be per otmc or notices N Ole tog permit. at art Nisi Remarks- - STATE of FLORIDA: cote r of BADE. I .. m Before e, die o s s •totMNy N New building hen+.d ,f. To be constructed of • • .ar` • wW.,•••••yF?•r 'PLANNING BOARD - ;. MIAMI SHC 'RE.S VILI..AQE BUILDING INSP! �''TION 'DEPARTMENT AF PLICATICN 01:1# .$IJ'ILD1t4[3 PERM•I' Application is hereby made for the * j pro�•al f the detailed' «... m sat , PIMi•end specifications Inc or other structure herein described. This itp cation b mqd Shores Village, Florida. mill all iwovrsions of I Laws the regulations of the duihlhig Divlsem q( Missal $ Vil plans and specification" Must bt'kept M 5 p Ne on haslito 'Mr 'conformity with 1 tate of ;F$wW pu'IM a a e11 nc o1.Miam1 mks MrmAp. wish, whether Iamb he �rl•, . �ltvtc/t 27 O\•i c r' s Name and Address •.........• •••».•, r •M, »�,�� ' ... N •••• Y • . • /02h d •• . - Registered Architect and /er gnElt " t' :+ . • :06e n•ou7E7Ytjc7 Street and Numb", where work Its to by ' • +(. ..«., ..�»«. • Qv State work to be done and r *� of 91f ►1+�'ffian ?e vve ez«f icv,v vt �n v tit ; u ; .u / p� .""„'M.""••' "••∎par W.,•+:°w.w. ...N••••4 wmiesleoor...... • 41 ( er , taI.01 pwpoaa. • :7; ti. ::,u:ws • herewith submitted for the huild ulldIn Ordinance of Miami es Wag" and' "(blebs and lea w OR* A 0'.100nreed ,.... • ..:. .. .Nor .� ..... ' :.;�,....... »., • ,t ..l .. at I"� l .., ., .• fi r. , , • r N 1 • •; r. • 9 00. r x +.1/•. 001 !tr Estlmatd m Total cost of Impr+ov.hia i. r . t , .M. 1...•17 ,t; sh• .61410$, , lltt ;'ll.,,,,q,tWry b„ Mai • �, ` , \ t.p... ,•...........•,,, 4....,•. ••••••.•.•.,... `� 1 • 't . t .' :1:. : i A •i `ML It y . .. 1 ..: • ,� t •. ��.. - Vi •�d '1 ' . - ''' • • f I , , iii ap euh>royti ; ., nrnt.ligl, twice; i, merit a • . 11 him • r,il'ttil>r' �Ittb1, swd tiks Ile+•t!tmfly as • peered .••.r» . .. . - ... :.• « « , 4 . ti ..� • «T..t.. ...;.•p...�r•,n� " ..•x , .r 1. v •••:•0.411. . N 7:•••••r•r...•.•...«••.ww4t •••.• 1 • , I .. ■ ..• . • » M«.• «•.• •. -- •.•d•Y• * jj. • and who. being b me first duly sworn. up* a* deitosee�• th.I ,h+,h „. . ,: of the above described eenstftetliea. that hf has cizsf ills 1't�' oil* an ' that het' therein by kiln Ka (lees at • Pernik Per No..-2° U r. bat... - {•... »• halo �..,.....,4.« ......, .i4•:• t ai r.; ••• • • . 1 r • •■•...�•�• „r i11{/1lc. at* • 1 wed. SW40 • M ait4 Wree'ib■d•beiat• a: 'sue ' $10s intd tilt d! faits' . •••••••••••••‘•■•••W McAtbor Ci,airinan • MIc,obcr .•t; M om « ■.••• �fetmlxr , . �...• »' .. • •• .« .:_•...• ....«.....:.,..;••tG «.lyc 140111111811 ...._••. .•.:•..••..•.x•01«..... •■ .... _•0 • AI. • .. Gotinc,I Arproved Data Disapproved • . Date Nt iTI•: A t•li.,rge of 11:00 will be made for 'albs* etrreelMAI Si changes. N Ihta epplleatlen alter approval has Men obtained ham the 1•1.. Itu.it ` . A it • tt, put twit lee of 11.00 will be .harped ;sham mesh .v. .ln+o tIsn le loado emissary by bluer melee kw tastiatlinw ore /auk, t•taterul. andlor workunanahip• MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ur the plans and specifications herewith submitted for the build inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores �'rll.tgc 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..._ ?' _ _D. _ . _ _ _.... ,19..g. Owner's Name and Address . ! - SIR ■ L C 01 S No. .. &a s Street ,E>= Pb ... ,57 Registered Architect and /or Engineer Name and address of licensed contractor... DS .... °/`.. A/ 6 .... C.L Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done....15..T_.. J a S T State work to be done and purpose of uildin (b it rs ) .... o ... ,6 �?15?.� u /r � New Building Remodeling Addition and for no other purpose. No. of Stories Kind of foundation - Roof Covering To be constructed of �,v Estimated Total cost of improvements $ 5 � �r Amount of Permit S. 1 - ` Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot _ ................ .._........_ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. ... .. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under theFlorida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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, snd that all facts therein by him stated are true. d I q Q t Permit No ' 1 l�' , V Date �( DO Read, Sworn to and Subscribed before me. Disapproved � - ........�... Date Notary Public, State of Florida (Signed) Bui ding nspector to me well known, My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date MUTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from tlic I'I.rnnu Board. A re- mspection fce of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection oe faulty materials and /or workmanship.