390 NE 102 St (4)Date 4" / (7 - 7 Address 3 0 /V E /V2 S`T Tax Folio
Legal Description zero (XI if / 0 z ST Historically Designated: Yes No
(own
/Lessee / Tenant - N /c .®.D j�U€,z__
Owner's Address - 5 W AI E /0 Z $Y
Contracting Co. P A c i /C (&/ DC S Utb,#y
Qualifier ! AJ re / lQ P R( c /£z
State # e4 93
Architect/Engineer
Bonding Company
Mortgagor
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Square Ft.
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION /2/_ ROOF jC' “12 ,
s ee 61, 1"TR - ED
900 t7-7
Municipal #
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date t y a(to ontractor or Owner- Builder Date
My Commission Expires:
ok Co •'ssion Expires:
FEES: PERMIT RADON C.C.F. , 0 " NOTARY TOTAL DUE Q
APPROVED: 2 4 Zoning Building 74
Mechanical Plumbing
//3z(60/3S
Master Permit #
Phone
Estimated Cost (value(, 0 00
Electrical
9s7y
Address /( 600 M 50 dzr 11 - Ec2 ibo'L
SS# X5=7 737
Competency # , Ins. Co.
Address
Address
Address
Signature of Contractor or Owner- Builder Date
Engineering
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
Date ey/ -/2, 9,b Job Address 390 v /02 3 Tax Folio /I - 3a06- 0/3 - S /!o
Legal Description 3 el o N . /OZ. S r Master Permit #
Owner
Owner's Address 3' 30 N E /V2 S
Contracting Co. PAC /pc Nol? sl Address // 600 Nut so, ei
Qualifier A Kr TO WO OD0 (6UEz SS# Phone ez3 - 77 37
State# C.0 f8.6R3
Architect /Engineer l'
Bonding Company
Mortgagor
WORK DESCRIPTION
Square Ft.
oo �
Signature of Propert
ADMINISTERED OATH ❑
SWORN TO & SUBSCRIBED BEFORE ME THIS
// DAY OF ' 1 191.b
Signature
FEE
Competency#
r or Condo Pres.
(Print, Type, or Stamp Commissioned Name)
Personally Known ❑ or Produced I.D. ❑
Type of I.D. produced
Zoning
Mechanical
Building
Plumbing
Tenant
Address
Address
Address
iiwiwifondo President Signa
y Pubiiu, State of Florida
Ey cum. expo dear id, 1697
No. CellE
Permit Type (l/ROOFING) BUILDING ELECTRICAL PLUMBING MECHANICAL
Day -Time Phone
Application is hereby made for a permit to do work & installation as indi
separate permits are required for Electrical, Plumbing, Signs, Pools,
AQp9/vx
Estimated Cost
Sign ure of C
Ins. Co.
PAVING FENCE SIGN
ated. I understand that
& Mechanical work.
/,000
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING THE NOTICE. A BACKFLOW PREVENTION DEVICE
PERMIT AND CERTIFICATION TEST MAY BE REQUIRED IN ACCORDANCE WITH ORDINANCE #825. CALL THE PUBLIC
WORKS DEPT. AT 787 -1001 OR VISIT THEIR OFFICE AT 1815 N.E. 150 ST.
OIRER'S AFFIDAVIT: I certify that alI the foregoing Information Is accurate, and that aII work will be done In cox Ilance with aII
app I Icab le laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
ractor
ADMINISTERED OATH ❑
SWORN TO & SUBSCRIBED BEFORE ME THIS
DA ? el 1- , 19g 4
re to Contractor
R. PER�Z
i ftyftbkftWORmIth
0/47n1 exPka kt a r ld, 10a�A7
(Print, Type, or Stamp l taingWoned Name)
Personally Known ❑ or Produced I.D. ❑
Type of I.D. produced
Electrical
Engineering
Job Address: 390 Pl e /02 $t
• (Attach a copy of the Roof System Assembly Product Control Approval and the Mani faclnrePs System
Guide Specification. )
• OFNERAL
Type of Roof System Assembly to be Applied: /3 / TUMEN
Manufacturer of Roof System Assembly: 6
Product Control Approval Number: 1600 3006
System Number from Product Control Approval: N-1-1-MG
METRO -DADE UNIFORM IIIIlLDING PERMIT
• SECTION II
BUILT-11P APPLICATIONS AND
MODIFIED BITUMEN SYSTEMS
( Note; If a- inhiimunt roof system is to be applieil describe all
components within the system and list the manufacturer of
each componenl. 1)O NOT complele this section if system is
Product Control Approved. )
Base Sheet:
Fasteners:
Contractor p4C/ F/G
APPENDIX 'E'
. Ply Sheet(s):
Cap Sheet:
Asphalt:
( Note: No innst►lntion system is acceptable tinder tl►o tninitm►ni
roof categor). )
Cornplete the following for all hoof System Assemblies:
IINIII -lip Applications uad t lndificil llllumea Syslcros
I'm ;c -1
Process No.
Job Address: Contractor Process No.
(C /teck one of the follou'Ing)
Recover Re -roof: New Construction
If a recover, is the existing Roof System Assembly
. 10 be used as a bonding substrate ?:
If YES, has an ASTM 1 test been carried out
to confirnv adhesion of the existing membrane to
the substrate ?:
(If yes', attach ASTM E907 test report. )
Proposed Fastener:
(Attach tvlthdrmval resistance test report. )
Has the deck been examined for moisture ?:
(Provide data confirming compliance with
Section 3401.9(c) .) ,
111M:
Insulation:
(Type, .size and method of attachment,
If applicable )
•
Base Sheet or PIy:
( Type and method of attachment )
3 - PL 55 6 -1
Y
Y
PIy Sheel(s):
( Type and method of attachment )
Iluill 1Ip Applicalinns Iiilumcn Systems
hake -2
• Ml Roof System in the Product Approval have a variety of options. Briefly
describe the Roofing Components to be used in the Roof System Assembly and attach a copy of
the manufacturer's published specification:
Deck: P 1- YWCOD 5 /g
( Briefly describe)
1 - PLY 4. -G 75
r /N gtPP
"p.C. L APS , (2 "o.0 p i b
•
Job Address: Contractor Process No. .
Top Ply:
(Type and method of attachment )
Surfacing:
(Type• if applicable )
Flashing Materials: .
(Type and method of attachment)
HC T /aPP,EP
joPEgo lD FR
I-/ MO
RoweooP f=�,
Iluill Ilp
Applications and Modified nih Syslcm9
Page -3
Job Address: Contractor
Iluill -11p Applications and Mollified Himmel' Systems
Process No.
1
I Inches
1
incises
Inches
1
FILL IN APPLICABLE ROOFING COMPONENTS WHICH MAKE.
UP ROOF SYSTEM ASSEMBLY AND TI IICKNESS OF PECK AND
INSULATION LAYER(S). (Where Roofing Component not used Irt '
Roof System Assembly, fill In with "'I /A ".) f
Surfacing: N ! /'r • •
(rrlUtr ar1A..
op Ply: ROBE ROLD fz 'Q• •
1 - 'Pc v
flooding Material: I-for MOkeeb
Ply Shect(s): PLY 4 6-1
11.
3 fl y
Bonding Material: NOT MOP PEP
FaFastener: rt"iN PP IM r . F
( U Seu.AUlmeat attached) 6 u 0 , 6 _ta�
[lase Sheet: PLY fit- G -I
flooding Material:
(V )ar. c ..hooded)
Fastener:
((I lop Insulation rayon
mech. attached)
< Top Insulation Layer:
(if avvurasl. )
•
N /�}
pi n v l �. tha.1etlal: &i/A
f fo al oq
loycriond.d
Fastener: 6 (A
( t/►n.
..ch. arracli.J)
Insulation: N /A
flooding Material:
(t/b.wla "on loaded)
Vajwr Retarder:
(t/eppltcalis
Primer: N /A
(t/wvl
N/A
� IA
I)ECI;;
1 ypa: PL s/W 00p
Gage or Thickness: M3' r
Density. If concrete deck: f •
. Job Address! Contractor Process Ho.
Coping Cap
Qago: Zv0
Fastener „
Spacing: o.c.
Clip Type: SJ 0A►ti
CIIp Dago: Nptfu
PERIMETER DETAIL 111; Parapel Wall Detail
Deck Type: 5.8 ii WC1UD
CANT
RIMER
A, ebVNT.R FLASHING
IJEP6 S ' �O, G.
O
0.4,
Deck Type:
s:,,gt fLISt t�,�i
-102441 A M r M tM2
ep�IG. NAI I,S 8'vo,
Sketch Roofing Components which make up Roof
System Assembly al Perimeter Areas to be Flashed.
Insert leaders Indicating Roofing Component pamei,
dimensions, thicknesses, .
Include fastener type and spacing tiled for wood-
•
blocking attachment.
PERIMETER DETAIL 112: Flashing Delnil
• milli-III) ApplIcalions and hlntlifictl Bitumen Sysicltt4
• • Pnge -S
WE-
Sketch Roofing Components whlch make up Roof
System Assembly at Perimeter Parapet Walls. .
Insert leaders Indicating Roofing Component n6c!
dimensions, thicknesses. eta. • .
Include fastener typo and spacing used for wood -
blocking attachment.
Job Address:
Contractor Process No.
PERIMETER DETAIL 113; Gravel Slop Or Drip Edge
Sketch Roofing Components which make up Roof
System Assembly al Perimeter Edge with Grovel •
Stop or (hip Edge.
Insert leaders Indicating Roofing Components names,
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
Oravel Stop/Drip Edge
Gage: y 6 c - I uA
Fastener rt.
Spacing: n
Clip Type: _- A ',LL3_
Clip Oage: .
2
1
� 1�
Dock Type: �40 comp
Sketch Roofing Components which make up Roof
System Assembly a1 Perimeter Edge with papers.
insert leaden Indicating Roofing Component names, 4
dimensions, thicknesses, etc.
Include fastener type and spacing used for wood-
blocking attachment.
Mater Typo:
nutter Oage:
Fastener
Spacing:
11J I
Deck Type:
PliRlfvlf?'I•I:R DETAIL 11.1: duller Detail
1111111 -I11s Appllcnllons and 11'Indificd htlunlcn Syslcnts
Job Address: Contractor
PERIMETER DETAIL 115: 'Other' DetaiI
Sketch Roofing Components which make up Roof
System Assembly at any 'other Perimeter Condition
which may exisil
lased leaden Indicating Roofing Component names,
dimensions, thlckesses, etc.
Include fastener type and spacing used for wood -
blocking attachment.
• 1:
•
Sketch Roofing Components which make up Roof
System Assembly at any 'other Perimeter Condition
which may exisit.
Insert leaders Indicating Roofing Component name&
dimensions, thickesses, etc. ^ ,
Include fastener type and spacing used for wood -
blocking attachment.
PERIMETER DETAIL 116: 'Other' Detail
Iliiill lip 4 splicnlInns nod Modified Uilslmci SysIelos
Pale -7
Process Ho,
Job Address: Contractor Process No.
• Insert Building and Parapet Ileighls.
(If no Parapet exlrts, Insert 'N /A ")
Also insert applicable information pertaining
to the building below.
(See ASCE 7 -88 Foci Sheet Auached)
gxposure Category:
Classification Category: f
AI Hurricane Oceanline7: _ Y " • N
Basic Wind Speed al
Building Location: _Ills ?eh_
Building Condition based on
% of Openings:
GROUND I.EVFI
3 feel
I V feet
BUILDING INFORMATION H I
liVull -1I$) Applicolinn9 and modified Itifumen Syslcnss
Pollc -11
1.
Job Address:
Contractor
Process: No.
Sketch Roof Plan indicating all dimensions, any slopes,
roof drains. crickets, or roof tap equipment Also insert
variable iabded f which indicates perimeter and earner
dimensions per Chapter 23 of the South Florid& Building
Code.
(See AS= 7-88 Fa= Sheet Auacired )
BUILDING INFORMATION #2: Roof Plan with Perimeter and Comer Dimensions
Built-Up Applications and Moditied.Bitumen Systems
Job Address: Contractor Process No.
..•
•
• Design Pressure Itermiremenig:
Field: psf
Perimeter Areas: psf
Corner Areas:
Note any limitations:
4 .
Roof SygterftAmeinbly Procluct_Control Approved:
!f NO note any deficiencies:
• Reviewed Derailpl:
• Notes:
-- FOR PLAN EXAMINER IJSE ONLY --
Iltiill-ilp Applications Mid IVIndified Biltimen Syslcms
engc-)11
•
Job Address: Contractor Process No.
Reviewed Field Tear_hle:
Notes:
• • Additional Notes:
Applicatimis Bitumen Systems
rage= I I
Plan Examiner
.F,.Materials'Corporation
tlyne; NI' 01470
• .. : •., , .,• . , - , . . ...:%.
61 Alpe Road .. !,1 . : ' • ,
out for Product AppioVal of
...
Code .":
. ,_ • • .,.••
iiii
liaOterl; 8 of the. Metropolitan Dade County gOVerning . the use of • Alternate Materials and EYPel
onstruCtion and completely described in the plante'speCifications and calculations as submitted by CenStriteticitt
gesearch Laboratory; Inc.; Factory Mutual ItetearCit , Ceirporallon, South Florida Test Set-Vice, UndeOititeri..,
abOtaforieS, Inc.' and Dynatech Engineering, Inclitii been recommended for acceptance by the BitildhigiCride:A,
9MPliance Department to be used in Dade County, Florida Under the specific and standard cOnditionilei;fO 1.‘
e rrin:`'.::',. :. : : .' ;;;' '.....' ' . '' . 7 : ' ' ...'"'•;•: 0' .
r ':' , 41•".''t ''' • t' '' ' ,,.,, , ,
, .. • ,
' ''lig';',ii:.'• ;';''''',...:4. . - , • .. . . . . , .," .
g*i tirOYal shall be valid for a period of three yee04';', The Minding Code Compliance Department reserves ,
.
:right to 'secure t a product or niatetial at any time for ejobsIte or manufacturer plant for quality control teSilisge'il If
,J3:prodUCt or Material fail to perforni in the approved Manner, the Code Compliance Department may teioke;*Modi
4,010end tite,itse..of such product or Material immediately; . ,11 1 . e Building Code Compliance DeparunentreserVet.;.
;lie :fight to require testing of this product or Material should any amendments to the South Florida Building Code be:1
enacted affecting this product or material. ..i..:1';:,.,,,
. .. .
" :i,,,:, •1. . . :
e expense of such testing will be incurred by the Manufacturer.
Oviuct No. i
ACCEPTANCE NO.: 21432.11fi
EXPIRESi „ • HOLL-01 9 97
• . ,
This application for Product Approval has
fACompliance Department and approved by the
it; the Conditioni set forth above.
•:
PPROVED:: MM 19 •
WoDO 8QtL
METR511 DADE couNTy, Fionnin
METrio.DADE FLAGLEI WILDING Z
DUILDINO COUE COMPLIANCE DEPANTOEItrk
sung 1(103 o,4
OUILDINCI
• 140 WEST FLAOLEII EIREET'f
MIAMI, FLORIDA 03130-1501'
loos, ers-goor
FAX (305) 3M2/0V
ul Rodrigu z
Product Control Division
Supervisor
-PLEASE NOTE- . g .
THIS IS THE COVERSIIEET. SEE ADDITIONAL PAGES FOR SPECIFIC AND GENE
CONDITIONS
BUILDING CODE COMMITTEE "01
been :reviewed by the Metropolitan Dade County BUildiiii:
Building Code Committee to be used in Dade,Cou lotidaiiiide
4 •, ,
axles Danger, P.:, Director
Building Code Compliance Departrnent::.
Metropolitan Dade County
, .
pplicanti
GAF Materials Corporation Product Control No.: 9 0330.06
l36 Alps Road
dyne, ; NJ 07470 Approval Date . MAY 19
. , ,,..,,
ategory.
i ub- Categoryt
pet ':.
ub -Type:
System Description
F Corporation has been manufacturing commercial roofing products for more than 100 : } i
•a„ years.
tGAF produces a wide range of roof products lbr built -up roofing systems. The modified bitumen
products: Include both APP and SBS products itt • sthooth, granule and fire rated versions:. In addition,
O AF., offers' two ply modified systems to meet the . specification requirements for multilayer SBS
odified specifications. .
products are distributed through a wide network of roofing wholesale distributors throughout th
oath Florida area
GAF'provides warranted systems over various insulated and non - insulated substrates, copies of Whic
'canfi ,e' obtained ;from GAF and can be . found :in the Ruberoid Modified Bitumen ` Application an
ecification manual published annually. '
SYSTEMS
PRODUCT CONTROL NOTICE OF ACCEPTANCE
ROOFING SYSTEM APPROVAL
Membrane Roofing System
Built -up Roofing
Modified Bitumen
SBS, APP
Expiration Date: NOV
AF roof system assemblies have been extensively tested at Factory Mutual Research Corporation`
nderwriters Laboratories. GAF modified bitumen membranes have been tested in compliance With
TM D 5147 test requirements.
William J. Woodring
Director of Technical Services
(201) 628 -3000
Product Control No.: 95- 0330.06
!InallialiglaYM
; Fibrous glass
Perlite
Fiberboard
PolyiSocyanurate
Expanded polystyrene (EPS)
Po yisocyanurate Composite Board
• .
Maximum Design Pressures
• .
aterial Design Pressure
00 k
Steel
Concrete
;,LiglOeight Concrete
Poured Gypsum
• ,
t. •
-60 psf
-75 psf
-248 psf
-45 psf
-45 psf
Maximum Fire Classification
•
aterial • Classification
W ood, Class A
tJS •
Class A
Concrete:'• . Class A
'P810I'Veight Concrete , Class et
po . : . Class,A.
• , $, . •• . • . I • 1 •
• I , .
, •
oter;Fire classifications and maximum design pressures do not reference all assemblies over
deck types: Review system listings for design pressures and the Underwriters LaboritorieS;:14:
Roofing Materiala Directory or other approved testing agency listing directory tor Fire
. ,. . , ..■rd) -:
classifications.
• Raul ftodriguei
3 .
, - . •
•
• ".;;: •
uberoid ®.Torch FR 3/4 sq. roll
90 lbs.
uberold® Mop FR
TRADE NAMES OF PRODUCTS MANUFACTURED OR
LABELED BY A PPLICANT
Test Product
Dimensions Specification Descriti
sq. roll ASTM.D•5147, Heavy duty, polyester reinforced,'?
. ' asphalt modified bitumen membranes;
87 Ibs: p
1/4 sq. roll
93 Ib. roll
1 sq. roll
102 Ib. roll
1 sq. roll
102 lbs.
I sq. roll
103 Ibs.
I sq. roll
105 Ibs.
1 sq. roll
92 Ibs.
1 sq. roll
92 lbs.
uberoid® Mop 170 FR 1 sq. roll
103 Ibs..
ASTM D 5147 Heavy duty, polyesteareinforced,
asphalt modified bitumen membrane.
ASTM D 5147 Asphalt impregnated, Coated felt,
surfaced with mineral granules.'
ASTM D 5147 Non -woven polyester mat coated,Wlt
fire retardant polymer Modified iaspha
surfaced with mineral granules.'
ASTM D 5147 Non -woven polyester mat coated Wit
polymer modified asphalt and surfaced
with mineral granules.
ASTM D 5147 Non -woven polyester mat coated wit
polymer modified asphalt and surfaced
with mineral granules:
ASTM D 5147 Non -woven polyester mat coated
fire- retardant, polymer modified asphalt:;
surfaced with mineral granules.
1.5 sq. roll ASTM D 5147 SBS o ce with a glass fiber mat.
ASTM D 5147 Non woven fiberglass mat coated wit
polymer modified asphalt and strfaced
with mineral granules..:... '
ASTM D 5147 Non woven fiberglass mat coated *k
fire retardant, polymer modified asphalt
surfaced and surfaced with mineral
granules.
ASTM D 5147 Non -woven polyester mat coated WI
fire retardant polymer modified .asphalt
surfaced with min 1
Raul Rodriguez
Product Control No.: 95-0330..06).
.„,
Product " Dimensions
,vGAFGLASO . 3' x 36"
6 . , Stratavent® (Vent Ply) 69 Ib. roll
f or Nailable Decks,
AFOLASO 3' x 36"
d'Stratayent® (Vent Ply) 69 lb roll
perforated
AFGLAS Ply 4
GAFGI.,AS #750
FGLAS Ply 6® 3' x 180'
45 lb. roll
r'
AFOLAS®
Mineral Surfaced
ap ..• .
AF Materials
• Corporation Asphalt -
qnr00 Prlmer
F Materials •-•:;',
COO OratIon Fibered
; •
4 AP Ma so,
lerials
eithqc9ate
G Materials
Oration letblak All •
either Plastic Cement
3' x 180'.
40 lb. roll
3' x 108'
75 lb. roll
3' x 36'
76 Ib. roll
5, 55 gallons
1,5 gallons
5 gallons
1. 5 gallons
ASTM D 2178
ASTM D 2178
ASTM D 4601
ASTM D 3909
ts ' •
ASTM D 41
ASTM D 2824
ASTM 1227
Raul Rodriguez
5
•
•.
Product Control No.i 95-0330.06 '
Test Product • '
Specification Description
ASTM D 4897 Fiber glass base sheet impregnated an
D 3672 coated on both sides with asphalt,
Surfaced on the bottom side with
mineral granules embedded in asphaltic
coating.
ASTM D 4897 Fiber glass base sheet impregnated an
D 3672 coated on both sides with asphalt;,?..
Surfaced on the bottom side With':.
mineral granules embedded in asPhaltie
coating.
Type VI asphalt impregnated glass felt
with asphalt coating.
Type IV asphalt impregnated glass felt,,:j,
with asphalt coating.
.
Asphalt impregnated and coated glass
mat base sheet.
•
Asphalt coated, glass fiber mat CapS ee
surfaced with mineral granules.
Asphalt concrete primer used to
promote adhesion of asphalt in built-0
roofing.
Fibered aluminum coating. T
Surface coating for smooth surfaced
roofs.
ASTM D 3019 Refined asphalt blended with a nera
ASTM D 3409 stabilizer and fibers, Permits adhesion
to wet and dry surfaces.' '
• •,
•
;Produc4
: Materials
...Corporation Jetblak
•; Flashtite® Cement
GAF Materials " :
Corporation Plastic
Cement
GM
.Corporation Mineral
;.Shield® Granules •
CAI TEMP®
Isotherm R
a•
CGAFTEMP® Composite
GAFTEMP® Permalite various
'GAFTEMP® Fiberboard various
GAFTEMP®
High Density
Fiberboard
GAFTITE® # 12
Standard
' Roofing Fastener •
.,, GAFTITE® # 14 Heavy
Duty:,
oofjug Fastener
TB Fasteners
GAFTITE® Rase Sheet
Fastener and Plate •
alyalume Plates
olypropyiene Plates
Dimensions
I, 5, 53 gallons
Test Product
Specification Description
ASTM D 4586 Asphalt flashing cement.
Product Control No.: 95- 0330,06
1, 5, 53 gallons ASTM D 4586 Trowel grade, asphalt plastic cement.
various
various
various
3 "and 3 /,"
3" and 3 'A"
Granules for surfacing of exposed
asphalt, cold process 0i
PA 110 Polyisocyanurate foam insulation.
PA 110 Polyisocyanurate foam insulation with
high density fiberboard or Permalite
perlite insulation.
PA 110 Perlite insulation board.
PA 110 Fiberboard insulation.
PA 110 High density wood fiberboard
insulation.
• PA 114. Insulation fastener for steel and
plywood decks.
PA 114 Insulation fastener for steel, wood and
concrete decks.
PA 114 Fastener for use in gypsum, tectum an
lightweight insulating concrete decks:
PAII4
PA 114
OA 114
Raul Rodriguez
6 '
Base sheet fastening assembly.
Round galvalume stress plates:
Round polypropylene stress plates.
y k y Pytbx ,f j various
Product Control No.: 95- 0330.06
TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS
Test Product
Dimensions Specification Description Manufacturer
various PA 110 Polyisocyanurate foam Apache Products Co.
insulation
Pyrox various PA 110 Polyisocyanurate foam Apache Products Co,
insulation
various PA 110 Polyisocyanurate foam Apache Products Co.
insulation
Foam Composite various PA 110 Polyisocyanurate foam Atlas Energy
insulation Products
various . PA 110 Polyisocyanurate foam 'Atlas Energy
insulation Products
various PA 110 Polyisocyanurate foam Atlas Energy
insulation Products
Various PA 110 Polyisocyanurate foam Celotex Corp,
insulation
various PA 110 Polyisocyanurate foam Celotex Corp.
insulation
various PA 110 Polyisocyanurate foam Celotex Corp.
insulation
various
various PA 110 ' . Polyisocyanurate foam Celotex Corp.
Insulation
• Polyisocyanurate foam Celotex Corp.
insulation
Polyisocyanurate foam Celotex Corp.
insulation
arious Polyisocyanurate foam Celotex Corp.
i nsulation
Product
Test Product
Dimensions Specification Description
Dekfast Fasteners PA 114
#14 .
Dekfast Hex Plate 2 7/8" x PA 114
3 1/4"
Dekfast Lock Plate 3" x 3 1/4" PA 114
Dekfast Fasteners
#15
Dekfast Fasteners
#12
TPR
Asphalt
Perlite Insulation various
PA 114
PA 114
PA 114
ISO 9.5+ GW various PA 110
1S0 95+ GL various PA 110
ISO 95+ Composite
ISO 95+ PA 110
High Density Wood various PA 110
Fiberboard
Insulation fastener for steel
and concrete decks
Galvalume hex stress plate.
Polypropylene locking
plate.
Insulation fasteners for
concrete decks
Insulation fastener for steel
and wood decks.
Aluminum fastener for
lightweight, gypsum and
'tectum decks
Polyisocyanurate foam
insulation
Polyisocyanurate foam
Insulation
Product Control No.: 95 0330.06
Manufacturer
1
Construction
Fasteners, Inc.
Construction
Fasteners, Inc.
Construction
Fasteners, Inc.
Construction
Fasteners, Inc.
Construction
Fasteners, Inc.
Creative
Construction
Components
Firestone
Firestone
PA 110 Polyisocyanurate / perlite Firestone
ridged insulation
Polyisocyanurate foam
insulation
Firestone -
ASTM D 312 Type III or IV hot asphalt generic
bitumen adhesive
PA 110 Perlite insulation board
8
Wood fiber insulation
board
generic
generic
Product
Red Rosin
Roofing Nails Minimum # PA 114
12
Tin Caps
.: Type X Gypsum various
Sturdi -Top various PA 110
al MB aluminum PA 121
roof coating
Grundy
Industrial
Emulsion
414 Roofgrip
Gripdek Fastener
Premium Metal
Plate
Standard Plastic
Plate
Karnak No. 169
• Karnak 97
Test Product
Dimensions Specification Description
various
Min. 32 ga. x
1
3" square
3" round
PA 121 •
PA 114
Barrier Board Plus various PA 110
Rosin paper for barrier
layer on wood decks
Corrosion resistant annular generic
ring shank nails
Corrosion resistant circular generic
discs.
Fire resistant rated gypsum generic
Wood fiberboard
Aluminum roof coating Grundy Industries
Asphalt emulsion
PA 114 ; Insulation fastener steel, ITW Buildex
. ood or concrete decks
Insulation fastener
PA 114 3" square galvalume AZ55 ITW Buildex
stress plate -
PA 114 Polyolefin plastic plate ITW Buildex
ASTM D 2824 Aluminum roof coating
PA 121
9
Roof coating
Raul Rodriguez
Product Control No.: 95- 0330.06
litufacturer
generic
Georgia - Pacific
Grundy Industries
ITW Buildex
Karnak Corp.
Karnak
Polyisocyanurate foam / NRG Barriers, Inc.
wood fiber insulation
Product
E'NRG'Y-1
E'NRG'Y -2 Plus
E'NRG'Y -1 Plus
• E'NRG'Y-2
Con -Tite
(Fluted Nail)
Olympic Standard 3" round
Olympic
Polypropylene
Olympic Fastener
Test Product
Dimensions Specification Description
E'NRG'Y PSI -25 various PA 110
various PA 110
various PA 110
various PA 110
various PA 110
Olympic G2 Plate 3.5" round PA 114
3.25" round PA 114
PA 114
Olympic C -R PA 114
Base Sheet
Fastener and Plate
Fiberglas various PA 110
10
Polyisocyanurate foam
insulation
Polyisocyanurate foam
insulation
Polyisocyanurate foam
insulation
Polyisocyanurate foam
insulation
Polyisocyanurate foam
insulation
PA 114 ' Concrete deck insulation
fastener
PA 114 . 3" round galvalume
AZ55 steel plate
Polypropylene
plastic plate
Insulation fastener
Base sheet fastener and
plate.
Raul Rodriguez
Product Control No.: 95- 0330.06
Manufacturer
NRG Barriers, Inc.
NRG Barriers, Inc.
r
NRG Barriers, Inc.
NRG Barriers, Inc.
NRG Barriers, Inc.
Olympic
Manufacturing
Group, Inc.
Olympic
Manufacturing
Group, Inc.
3.5" round galvalume AZ55 Olympic
steel plate. Manufacturing
Group, Inc.
Olympic
Manufacturing
Group, Inc.
Olympic
Manufacturing
Group, Inc.
Olympic
Manufacturing
Group, Inc.
Fiber glass roof insulation Owens- Corning
Fiberglas Corp.
Foamglas Board various PA 110
Product
Multi -Max
Therrnaroof various
Composite
Fes -Core
Fesco Foam
Test Product
Dimenslong Specification Description
various PA 110
various PA 110
Expanded glass insulation
board.
various PA 110 Polyisocyanurate foam
• insulation
PA 110 Polyisocyanurate foam /
perlite composite insulation
Polyisocyanurate foam /
fescoboard insulation
Polyisocyanurate foam /
fescoboard insulation
UltraGard Gold various PA 110 ' Polyisocyanurate foam
•insulation
.RD Instil-Fixx
.Fastener
Insul -Fixx Fastener
Instil -Fixx S
Insul -Fixx P
Rawl Drive
.
Rawl Fasteners
•
Rawl Fasteners
#14
3" square
3" round
PA 114 Insulation fastener for use
in steel and concrete decks
PA 114
-insulation fastener for steel
and wood decks
PA 114 3" square galvalume AZ55
stress plate
PA 114 3" round plastic stress plate
PA 114
PA 114
11
Insulation fastener and steel
and plastic stress plate for
concrete deck
PA 114 Insulation fastener for steel
and wood decks
Insulation fastener for use
in steel, wood or concrete
Raul Rodriguez
Product Control No.: 95- 0330.06
Manufacturer
Pittsburgh Corning
Rmax, Inc.
Rmax, Inc.
Schuller
International Inc.
Schuller
International Inc.
Schuller
International Inc.
SFS /Stadler
SFS /Stadler
SFS /Stadler
SFS /Stadler
The Rawlplug
Company Inc.
The Rawlplug
Company Inc.
The Rawlplug
Company Inc.
Product
Test Product
Dimensions 5pecifrcation Description
`Rawl 3" Plate 3" round PA 114
bawl Spike PA 114
Rawlite PA 114
Rawlite 3" Plate 3" round PA 114
12
3" round galvalurne AZ55
steel plate
Insulation fastener and steel
and plastic stress plate for
concrete deck
Insulation fastener for
cementitious and gypsum
decks
3" round gaivalume AZ55
steel plate for use with
Rawlite fasteners
Raul Rodriguez
Product Control No.: 95- 0330.06
Manufacturer
The Rawlplug
Company Inc.
The Rawlplug
Company Inc.
•
The Rawlplug
Company Inc.
The Rawlplug
Company Inc.
Underwriters
Laboratories, Inc.
Dynatech Engineering
Inc. ••
Test Agency
Construction Research
Laboratory, Inc.
Factory Mutual
Research Corporation
South Florida
Test Service
Test Identifier
#4818
1.1. OT4A I .AM
J.I. 1 V7AO.AM
J.I. I V8A4.AM
J.I. IRIA6.AM
1.1. 0T2Q4.AM
J.I. 0Q6A6.AM
1.1. 2M0A4.AM
J.[. 3X3A2.AM
J.I.0Y9Q5.AM
J.I. 3X3A2.AM
OAF -53 -X -915
RI306
3600.02.95
Test Reports
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Wind Uplift
Physical Properties
Fire Classification
Wind Uplift, Small
Scale
Test Name /Report
Wind Uplift
Raul Rodriguez
13
Product Control No.; 95- 0330.06
I2atg
07/10/87
08/26/92
07/16/92
06/28/93
11/15/91
10/17/91
07/16/91
03/21/87
08/02/94
07/29/94
08/02/94
03/08/91
08/01/94
02/02/95
Membrane Type:
Deck Type 1;
Deck Description;
System Type Es
Ali General and Sy
ase Sheet:
Fastening
Note!
PIy Sheet:
Membrane:
Surfacing!
aximum Design
: Pressure;
• Maximum Fire
Classificationt
Maximum Siopet
Specification No.l
SBS
Wood, Non - insulated
"/,_" or greater plywood or wood plank decks
Base sheet mechanically fastened.
stem Limitations apply. .
Raul Rodriguez
41
Product Control No.: 95- 0330.06
One ply of GAFGLAS® PIy 4, GAFGLAS® Ply 6 ®, GAFGLAS® #75 of
GAFGLAS® Stratavent® (Vent Ply) for Nailable Decks mechanically fastened es'
described below:
Base sheet shall be lapped 4" and fastened with approved roofing nails and tin caps
9" o.c. in the lap and two rotas staggered in the center of the sheet 12" o.c.,
PIy 4 and Ply 6® applications require sheathing paper over the wood deck
before application of base sheet.
(Optional) One, two or three plies of GAFGLAS® PIy 4, GAFGLAS® Ply 6® or
a single ply of Ruberoid® 20 in type III or IV asphalt at an application rate of 25
Ib. /sq. f 15 %.
One ply of Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule or Ruberoid® ..�".
Mop FR in type 111 or IV asphalt at an application rate of 25 lb./sq. t 15 %.
(Optional) Install one of the following:
I. GAFGLAS® Mineral Surface Cap Sheet in type III or 1V asphalt at an
application rate of 25 Ib. /sq. f 15 %.
-60 psf.
Class 'A'; see General Limitation #2.
3;12; see General Limitation #3.
N- I -1 -MG, N- 1- 1-MGFR, N- 1- 1 -MGFR, N -1 -2- 20/30, N- 1- 2- 20/30FR;.
N- 1 -I -MGP
•
Product Control No.: 95- 0330.06
Wood Deck
System Limitations: 1. A red rosin sheet shall be installed on all wood plank decks to eliminate
asphalt seepage and bonding of base sheet to wood plank decks. A red iositi
sheet may also be installed on plywood decks as an option, A red rosin sheet
is required on all applications where Ply 4® or Ply 6® Is used as an anchor
sheet.
2. Pre - assembled 'Cap Nail' shall not be used for base sheet attachment.
3. Fasten anchor sheet 9" at the lap and 18" in two staggered rows centered on
the sheet. Approved to -45 psi. •
4. See PA 117 for extrapolation of data for higher design pressures.
42
' Raul Rodriguez
I iUU1 11JU J 1 J 1 LIVID ( 1 U1 VI •..u, ;u,,+r,.1
::Ply Sheet: One or more layers of Type G1 "GAFGLAS Ply 4 ", hot mopped in place.
ISocyaralrafe; '•`'Membranei"'Ruberaid Mop FR" (granule).
fiber %Ieocyanu i Surfeclhg (Optional): GAF Fibered Alumininn Coating at 1 -1/2 gal /sq or GAF Weather Coat
n'Emulsion et 3 gel /Sq.
Ply 6 ", ' 7 t„ Deck: C -16/32 Incline: 1/2
•
f lnsulatlon.(Optional): One or more layers partite, glass fiber, 3/4 in. min, isocyanurate, ure-
;;,+thane, perlite /isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2 In min.
ocyanurate, Base Sheet: One or more layers of Type G2 "GAFGLAS #76 Base Sheet ", hot mopped or me-
ber /fsocyanur 'r,: chanically fastened In place.
•: Ply Sheet: One Or more layers of Type G1 "GAFGLAS Ply 4 ", or "GAFGLAS Ply 6" hot
'IY 8 ", %' ''' mopped In place, •
..Membrane: "Ruberoid Torch FR" (granule).
t Surfacing (Optional): GAF Fibered Aluminum Coating at 1.1/2 gal /sq or GAF Weather Coat
sysieme, `. '' Emulsion at 3 gal /sq.
•utilize multi,' L Deck C =16/32 Incline:. 1/2
+••-.Insuiation: Iscyanurate, 2 In. min., wood fiber, perlite or glass fiber, any thickness, hot
r mopped or mechanically fastened in place. Joints off -set 6 In.
•'' :Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped or me-
Ically fastens• , 'ir% chanically fastened In place.
' }: Ply 'Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6" hot
,, mopped In place. -
y Membrane "Ruberold Torch FR" (granule).
Surfacing (Optional): GAF Fibered Aluminum Coating at 1-1/2 gal /sq or GAF Weather Coat
= yanurate,'ur ?•r Emulsion 3 gal /sq.
r /Isocyanurafl 1 1 '.' Deck: C -16/32 Incline: 1/2
'j '4 f Insulation' (Optional): Isocyanurate, perlite or glass fiber, any thickness, hot mopped or me-
iberold Tordi "
.. i?4. chanically fastened in place. Joints offset 6 in.
,;Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet ", hot mopped or me-
asphalt "�i f,chanically.fastened In place..
j ,..,,Ply Sheett'One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6", hot mopped in place.
{ r' Membrane: "Ruberoid Torch FR" (granule).
'teroid,.Tore({ a egpt oral) :. GAF Fibered Aluminum Coating at 1-1/2 gal /sq or GAF Weather Coat
:17j.
, • r;•
3 :„ Deck: NC ;: • ' . fon et 3 Incline:2
.H
t;f•insuletlon (Optional): isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot
Hess s
, mopped or mechanically fastened In place. Joints off -set 8 In
•' •�' Base Sheet: One or more layers of Type G2 " GAFGLAS #76 Base Sheet ", hot mopped In
place,..' ,
erojd;Torch :t: Ply • Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or ''Ply 6" hot
'' mopped in place.
- r °Membrane: "Ruberoid Torch FR'` (granule).
ocyattutatll s } `y Surf g at gal/sq.
"GAF Fibered Aluminum Coating" at 1.1/2 gal /sq or GAF Weather Coat
alon
M plyWa { qtr• Decki NC Incline: 1
`.
Insulation (Optional): Isocyanurate, wood fiber board, partite, glass fiber, any thickness, hot
; ... f , ,mopped or mechanically fastened In place. Joints ofl•set 6 In:
told _ Torch.;, ; ;' +: Base Sheet: One or more layers of "GAFGLAS #76 Base Sheet ", hot mopped in place.
r_. '•'•! .:Ply .Sheet (Optional): One .or more layers of "GAF GLAS Ply 4" or "Ply 8" hot mopped in
', p
Y :. Membrane: " Huber old Torch FR" (granule).
<..
s Surfacing (Optional): GAF Wesiher Coat Emulsion applied at 3 gal /sq or GAF Fibered Alumi-
old Torch (' • + 'r= :nom Coating at 1.1/2 gal /sq.
` ;;;16,7 Decki C•16/32 Incline: 1/2
mulslon ;f• Insulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/lsocyanurate compos-
' • Its or phenolic.
.•. .Base Sheet: One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically
petition ;'fastened.; •
r ; : , :i,, ',.1' , Ply. Sheet (Optional) : One of more layers of Type G•1, hot mopped In place.
! ( il s r ( Membrane: `'Ruberold Mop FR" (granule).
d T orch ' ) 't le .Deck: C= '16/32 • • Incline: (/2
Insuletlon (Optioned: Perlitte, fiber glass, Isocyanurate, urethane, perlite /isocyanurate compos-
Ite of phenolic, offset 8 In from Joints. •
• +� .� •Bese'Shea m
r One,or, ore layers of Type G•2 or G•3 base sheet, hot mopped or mechanically
.
o Orel 11, fastened "• . • • •
• anUrate•tl(} + `n� ; Ply Sheet (OptlonelL, One or more layer's 01 type G •1, hot Mopped IP place.
•Membrane: One layer of "Ruberoid Torch ', (smooth)• ' • '
., Membrane: One layer 'of ''Ruberoid_ Torch FR" (granule► .
1.Deckf NC; . •' •• 'Incline: 1
.insulation (Optlonalji fertile, fiber glass, wood fiber, isocyanurate, urethane, perlite/isocyanu-
i :rate composite. or phenolic:- .:
t ry si ,Base Sheet: Ono or more layers of Type G•2 of G -3 base eheet.. hot mopped or mechanically
eN11e�, ;Y iy •:( ;Ply Sheet (Optional): Onu or rhuiu Idyel$ 01 Type G• 1, hot mopped In place.
t Membrgnei One layer of " Ruburuld Mop F11 ". (urenu)o). • •
Decki NC., - - , Incline: 1/2
Insuletlon (Optioned: Perifte, fiber glass, wood.fiber, Isocyanureto, urethane, perlitu/isocyanti-
'rate eompbslte or phenolic. • . • •
Base Sheet (Options)): One or More layers of type G -2 or G -3 base sheet, hot mopped or me-
∎chan(cally•fastened. : •• 7 '''• •
,.'Ply 1 p.. Sheet O tiered' One or more inverts b1 Type G• 1 hot mopped In place.
Membrane: One layer 01 ''Ruberold Torch" jeinooth):
Membrane: One layer of "Ruberold Teich FR'' (grenulaj..! .
LOOK FOR MARk.ON PRODUCT
Owner's Name and Address
Name and address of licensed contactor Walter
Location and legal description of lot to be ¢ujlt on:
Lot.... `' > Block 36
Street and Number where work is to be done
• der CITY F//ONT Ay - o {
New Building
To be constructed of
Estimated Total cost of improvements $
Zone cubage required
Distance .to next nearest building
Maximum live load to be borne by each floor
I hereby submit all
be sent to..
STATE OF FLORIDA, 1 .
COUNTY OF DADE. J ss'
Permit No.
Disapproved
(Signed)
,e-
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde for tlw approval of the detailed statement or me plans and specifications herewith submitted for the build •
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the iluiltling 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 budding during progreu of the work.
o
Registered Architect and /or Engineer Mt
ScottRoofin,5 & Repair, Inc 675 Ali Baba Ave. Opa- Locka, Fl.
State work to be done and purpose of building (by floors) � /
i dti ,Qmrc o F / us -
Remodeling Addition Repairs %Y
Kind of foundation
ca 7
3 r-
3
'c Av er io c9- eJ
Roof Covering
,3 1 4Paa •Qa
11 Date.
....
subdivision.. i .. ��a
A,j
31
No.. 3.7 0 116- Street_.ZO a rt"
Pi) G 094/e2-
Amount of Permit 3.. t
and for no other purpose.
No. of Stories /
..Plan Cubage
Size of Building Lot
said building. All otices with reference to the building and its construction may
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Sup element,
anti has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by
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 su� on work , performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)_ __...._._.
eC / 1 /s
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..
Date
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
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 fmrn
the Pl.mnirig 11o.rrd.
A rc -in,pe tion ice of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials and /or workmanship.
APPLICATION FOR BUILDING PERMIT
Application is hereby mode 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..._... � ��1...._�...__._... ».... ,19..�_
Owner's Name and Address .... 7:2.5, /# / (v : ... _ ..... No.... •. ••2 .•.... Street•1 .0 / .. e
Engineer .T.
Registered Architect and /or Engineer ,,, , . ^. nmaerwr:•+saon
Name and address of licensed c o n t r a c t o r . . . . . / . . � _ � . � � , Q .� � . � . � C /l( (24-..//7_7 h/ M -B e/s'_
Location and legal description of lot to be built on:
Lot hi- 3 Subdivision ,/Z • �- I r cu_ 1 " 3 p6 ,f..� ,��Y� 9
Street and Number where work is to be done 3.2 d_Aec 10 _ 5:_/ _ _
State work to be done and purpose of building (by floors). 5.Z -6 •3 f1 .... N_ _
MIAMI SHORES VILLAGE
:_.....and for no other purpose.
New Building Remodeling Addition Repairs ). No. of Stories
To 'be constructed of Kind of foundation Roof Covering
po
Estimated Total cost of improvements $ �� 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.. 8 0.4 - l' 0 5 (SW FZ Co /717 14/f57 d?/ t../s1- 3 .3..1. J`�.... .......
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 5 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
pennit, as are licensed by Miami Shores Village.
Remarks ____.__ (Signed)]
STATE OF FLORIDA, 1 .
COUNTY OF DADE. i 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 be 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._ c21 5 Date ....,ls� ._._ Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
BUILDING INSPECTION DEPARTMENT
date.
&e9 J7
Notary Public, State of Florida
Building Inspector My Commission Expires
JfJf'y /i/it/
PLANNING BOARD DATE
Chairman Member
Mfcrr,ber 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 1'I.innir' 11uard.
A re 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.
N9 6436
MIAMI SHORES VILLAGE, FLA.
JOB
ADDRESS (!� / ( /e%
INSPECTION "
TIME READY i i a a. 2H /0 2 a -r 7
REMARKS.
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor___. ).
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 3 g
State work to be done and purpose of building (by floors)
tJ
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date- ___ /,,1. _� , 19
No 3 Street. - - -_ -a l®- -3.. •
and for no other purpose.
New Building Remodeling Addition epairs No. of Stories
To be constructed of Kind o foun a R
Estimated Total cost of improvements $ . `a Amount of Permit $ cl.
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 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)_ •_._ ___- _ __• - .._ -- J?* --
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being -by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No L I /7 Date ' 1 Z — Read, Sworn to and Subscribed before me.
Disapproved {} e Notary Public, State of Florida
(Signed)..
Building Inspector / My mission Expires
PLANNI G 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.
0
BUILDING ❑ MIAMI SHORES VILLAGE, FLORIDA
ELECTRICAL ❑
PLUMBING ❑ PERMIT N? 10337
ROOFING Li
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
•
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered here y whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or/timployees. -" j t
`R s. :,
Signed • ` w ' ( SPECTOR) BY
In consideration of the issuance to me of this permit I agree to
pertaining thereto and in strict conformity with the plans, drawings, s
In accepting this permit I assume responsibility for all work done
• f�
CONTRACTOR or BUILDER
Work to be performed under this Permit
11 Subdi-
Bl. vision
3 ti. Sq. Ft. ,,,.. • �?s
I Value of I I I Amount of
�` x t ":" . F. Project $ ' 11 Permit $ - *s
orm the work covered hereunder in compliance with all ordinances and regulations
ents or specifications submitted to the proper authorities of Miami Shores Village.
ether, myself, my agent, servant or employee.
" r �� e
Date_ 19
Contractor's 1 I
License No. `
BY AUTHORITY
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.
Remarks_. ...
Location and legal description of lot to be built on:
Lot Block
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
Owriei s Name and Address
Registered Architect and/or Engineer...
Name and address of licensed contractor_.___ ._. , .So_ Sr/krf e._.:-_ lQc .__,l,(� ', -2 7
Subdivision
Street and Number where work is to be done f d .___Gc, 1 O -Z.
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling 1/ Addition Repairs No. of Stories
To be constructed of Kind of' foundation Roof Covering__
B
Estimated Total cost of improvements $_ f __ /_ . . — Amount of Permit $
Zone cubage required plan Cubage _.
Distance to next nearest building__..___ . Size of Building Lot
Maximum live load to he 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 dot. hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
( Signed
I
• STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No 7
Disapproved
( Signed)
r Building Inspector
Chairman
Member ,
Member
Council Approved
Date.. D I . __ '
Date
PL . NING BOARD
_Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
.,19 ‘g
No -. _ -- Street. .,e',/ .-.42_/C - :
Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
My Commission Expires ....
_
DATE
Member
Member
Member
Disapproved Date
or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
Owner's Name and Address._
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approyal 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 aid
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.
• Cam
Registered Architect and /or En neer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot 1 144 ?- Block .8 Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Date 6- 2 / 19-5-S
No Street
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
` d e,
Estimated Total cost of improvements $ p?.�t Amount of Permit
Zone cubage required _'Ian Cubage 'V o cpe, - dA7E
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, Compiled General Laws of Florida, Permanent Su element,
actors or sub - contractors employed by him
on the site of the work s public n
ors, on work to be/peri' ed and
and has complied with the provisions thereof, and will require similar compliance f
in the work to be performed under this permit; and will post or cause to be post
or notices as are required by the Act. The undersigned agrees to employ only s
permit, as are licensed by Miami Shores Village.
Remarks • ( Signed)
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 his car ully recd the foregoing application, and that he did sign the same, and that all facts
therein by "him stated are tru .
Permit No (� Date 5 Read, Sworn to and Subscribed before me.
Disapproved
( Signed)
Notary Public, State of Florida
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. .