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ROOFING
MIAMI SHORES VILLAGE 'BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date_ Type Insp'n goo( J Ri 1 r Permit No. I) 1'04- 1316 Inspection Date Approved Correction Re-Insp'n Fee Name ) r) Address 4 (0 c, N a 10 S Companya,1 \eH Phone # Contractor DALEY ROOFING INC Local Phone: (305)754 -9892 Parcel # 1132060170560 Building Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -1076 Printed: 8/12/2004 Applicant: MARY SMITH Owner: SMITH MARY JOB ADDRESS: 466 NE 102 ST Contractor's Address: 78 NE 106 ST Legal Description: AMD PL OF MIAMI SHORES SEC 4 Page 1 of 1 PB 15-14 LOTS 3 & 4 BLK91 Fees: Description Amount FEE2004 -8163 Building Fee $100.00 FEE2004 -8164 CCF $0.60 FEE2004 -8165 Notary Fee $5.00 FEE2004 -8166 Training and Education Fee $0.20 FEE2004 -8167 Technology Fee $2.50 FEE2004 -8168 Scanning Fee $6.00 Total Fees: $114.30 Total Fees: $114.30 Total Receipts: — 0 1 .00 Permit Status: APPROVED Permit Expiration: 2/5/2005 Construction Value: $450.00 Work: REPAIR LEAK IN CHIMNEY AREA INSTALL TILE WHERE REMOVED Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work • done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Owner's Name (Fee Simple Titleholder) City /hail it SkiaW State - efri Tenant/Lessee Name Architect/Engineer's Name (if applicable) Architect/Engineer's Address City • Miami Shores Village $ Value of Work For this Permit it 01/5 50 Building Department BUILDING. ke3 PERMIT APPLICATIO 9 .. FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Address / CP ( AL 140d- `t Code Enforcement $ Bond $ Struct. $ Job Address (where the work is being done) H4 £ ' /CO-- City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name DI �' f ► d i G Contractor's Address / 1 k f !0 CP City 4nLOM -(t biLIU State * Zip 33138 Qualifier sb State 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P r'f 10 1 Master Permit No. Phone #3 C.CS. 7S 98- Zip 33/38 Phone # Zip 3313i Phone # 366- '75/ 9a- Phone # Square Footage Of Work: Z V % Number of: Bays Stories Families Bedrooms Baths Type of Work: ['Addition ['Alteration ['New _ _� Repair/Replace ❑ Demolition Describe Work: {'�2 -�l Gw . X '.L 1.4^) CG i a '4 Zip a * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** _ /,r }� County Escrow Fee $1 T Permit Fee $ ! W Notary $ Education/Training Fee $ ( t ad Tech $ ,/ cO Scanning $ �! Radon $ Minus Plans Check Fee $ ,c Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A14r1DAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent Contractor The foregoing instrument was ackn • wledged before me this The fore oing instrument was acknowledged before me this 20C , by V j' 1. V tti 1 day of 4 201 by who is personally .. to me or who ha produced day of ' .. -. I.. °,� ; aQ ` X ar itt NOTARY Sign: Print: My Commission Expires: Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************** s**************************** s * * * * * * * * * * * * * * * * * * * * * * *s * * * * ** APPLICATION APPROVED BY: Chc7r7 /03 As identification and who did take an oath. • . ivta q ar � s NOTARY PUBL Coati. siot���. 1)231984 Sign: :� s' 11 tlantic Bonding Co., Inc. Signature who is personally known to me or who has produced identifiV end l' = Com mission #DD2 _�•. '� , fires: Jul 13 4OPFI `: Bonded Zip AUG 1 1 2004 Plans Examiner Engineer Zoning oath. 1984 007 • Contractor's Nantr -�(r 2-00-1/ S/L Job Address: 466 4.€ O 45? • ROOF 'CATEGORY 0 (Low Slope Application) 0 (Nail -On Tile) 0 (Motiar -Set Tile)$ 0 (Asphalt/Fiberglass Shingles) 0 (Metal Roofs/Wood Shingles & Shrikes) 0 (Other) ROOF TYPE • 0 New Roo'f° 0 Re- roofing 0 Recovering Flat Roof Area (ft Sloped Roof Area (1k Total (ft Exposure category (per ASCE 7 -98): Building Classification category (per ASCE 793): ROOF HEIGHT AND SYSTEM DETAILS (Draw details as needed) DETAIL 4L2 SECTION 1525 HIGH VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Master Permit No. RG 0 Mainteto SECTION 1S24 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS . iSilt1kespi stolisseii ssfcs�.■siij.F e�■iR�.■m.rl.F.aiefe.w�.�_ fie meg iiai mite meat * ewsalbeewaset .lissed- -lieS■wimisef la is - IS greenmail' _ liar aninalbe - - - a■ist■Riaelkefi2idmirili r moa nmaima - — - - as /liiii■dIA ie iiai ibis limn ie aliened as poi ealcaeet bdama 'hemmer alien ea rt _ Themasdez Mid inMeaijaeeatbeebiasesS ettleisisitaea expisdned- _ The imuierd*Tranlies sfCialiQ ti (HW1Ndbligr idea■e Y,sc) as: farOe~re ofleeirg a le IMAM Waal! awe Vie efieinembilemee mireie�oa peeivemoce slarbeie. ikailleres (moment) lames s iota emeeihm in eel Realm t. isielmounii0 poseideur.issedicionseadtasaibietasIblecesolagiaimemliamenetymter samaEttie beat enal aspaatofieaieameebo tmmieatmeraifeaaimeir:. 1 2. Ibmiieg Wfiipilorc Wks iegibele eselift, tie eaf■R iati aaafia& sl Ise to be l' afiilrQKoIrplifdaoig i iitsCbie.(lieeefie+eiss■ l jetaoeledlseri - - 3 Comma Hoeft Cbrsaeortsi■semblei" awes�ibieTie�ia - - mite ge. aim& _ - MX i - -- - ai eemere Refr is snag amdmcier aeiir of �ite�■�tie 14 - 4 ■ 111 11 010 . 01111 0arml e t slsbie siesillea■i~ftil ioR iatbe viewed Am below_ lie ewer maw auk to awn Ile ereL.■i agrmea I isefiiS image ea pomade= eft rtinoia ague ieellie6map sec be aoaptiie The Flaiita BEMs Code pavilion the wan d ' 11Vb f 3. ZreieRlielmlie cass teeafslierasaieriledkofiebaii guirmrtivTetaai AIM came ostler tepei (amoai it Iamr gel ems Ibelie aisle m ielicaiee of sleeted Nitres alit may mete Se maiear of a leiademl ar■eimtl or�Rees. Iriy may Area ie >fe apo a y awl pedmeoe of lc sr mein lies. Paierimiline sii'Nitta aiimt edit is sllesisemem reed emeriel. Ca. Omar, seems (ea! a - -Jr Its apses Set wiim ter is ohs #* ie amts met sbeilalafilRiec _ waiimraiemira - merbittisiim®eir aae_e =wpm Emit orb an art pmidall. ! aa.* be seemey f Nisi weaisr seep s is - In t_IL 'SWIM to Diet Reef at■siaes Mail Isle a Miff r m■ sat aidber ia& Ile_ Meow' r sift at■egle-1 assay fibe inlay - A lieaoeie g ae■metafablp asieieddal mat be saep6ebowniVteaaieraiiii■eiasi iiataetsali as~ci es ieelilieefie not CONTRACTOR New Construction Name /, p r -70i Le64f i9oo -y. ©(r giQGW0i4 Enclosure License No. CC-c. 0 6',ci 447 S ,' . D/.9 Address /34.4- i 6 ° AI ,uai Reirt Atk-S - D le 33cra -d Repair Telephone 9 � / a y. -37 7 Fax R S 3 ■9.1 . a 9 8 7 Qualifier Name WO B.LtrP r & [f>F7/S Demolish PROPERTY OWNER New Construction Name � d / , yy /T/ Enclosure ds Addr s .4/ 6 G� vv e- /4 a /4/ //ki/ 5 , (p s - " S ,' . D/.9 Home Telephone 0s- ?SI- D.Vq0 Repair Business Telephone Alteration Interior Fax Demolish 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 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Complete the attached permit application which must be 1 ned b the •r• •ert •w er and •ualifier. Both i natur - . mu se • •t i - a. 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 submitted 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 Job Address: yi: V- c- Jo a_ - 57 Current Use of Property Proposed Use of Property Tenant Information Address Folio Number 3.2 d Lot 3-4 1/ SubdivisionAi . Shallc� PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other d >7— cS60 Block 9 / PG iPes 7 - 0 �- Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax 7 / 5L- ? S a Zip City State Description of Work 9/7' r ie'o/T ease derT - .2 P.L / s 'PI ldl est los 9.-'J .3iTu /+, Co 4 3�eeT Zoning Linear Feet Square Feet / Fa' U Units Floors Value of Work 2,210 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. STATE OF FLORIDA, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Owjer /(AdR 1 `Nr • -fini Yjt Print Name Sworn to and subscribed before me this day of • tc - fate o on ature of No I_ _ S Fl da - 1.T"' %DENISE MARIE SHUSTER tall sa My Commission # CC 818327 's 4 .0rf ro @ Ex ^ires' :18;19111102 14800.3.NOTARY Fla Notary Sot yam & Bonding Co. SEAL: Personally known OR, Produced Identification Type of Identification Produced: o f,4 w -- Signature of Contractor / Qualifier as'A0T tI ✓S Print Name C I Swom to and subscribed before me this d-� day of i�Cyl SEAL: PERMIT APPLICATION Signatur of,Notary Public -State-of-Florida o re " "`Ue DENISE MARIE SHUSTER 7 My Commission # CC 818327 �Or t� i Exrtres:08 /19/20 I 1- 600-0-NOTARY Fla & Bonding Co. / Personally known )\ OR, Produced Identification Type of Identification Produced: f 0 .0 ,e7 d o•/e.H.S / - Address 7365- 1..v. /4 ,,./ Permit l� A�6ee/r Ades 9/, Folio # 39,de 0 t7 -�S6C • NOTICE OF COMMENCEMENT State of Florida County of Broward The undersigned hereby gives notice that improvement will be made to certain.real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Property Legal Description 3 QLot ❑Unit Dolock QI3Idg Subdivision /Condominium 4 /GG t</-e- /0 7. s 7' ()Lengthy Legal, please Name 2. General Description of Improvement: /tif /9/r1 S` ASs see description attached hereto 3. Property Owner Name: ,(Zy,e51 5 Mailing Address: 4/(6 7/ /o S T- ,c4 ,n,, s s and interest in property: toe f Name/mailing address of fee simple title holder if other than owner: 4. Contractor name: Address: Phone Number: 5. If Surety Bond, Name: and address of Surety: and amount of Bond: Phone Number: 6. Lender name: Address: Phone Number: 9. Expiration date of this Owner signature: Printed name: SWORN TO AND SUBSCRIB this personally known to me or produced Notary signature: Printed name: seal: Return recorded document to: 7/• 2,. /-r s.,.!. • /fi.Pc/ /q / / t - /r S ;'J • 13 0 .2. Yo 7y 41 A Name Address Fax #: (optional- if service by fax Is acceptable) 1 (Copy of bond must be attached to this Notice at time of recording) Fax #: (optional- If service by fax is acceptable) Fax #: (optional- if service by fax Is acceptable) 7. Persons within the State of Florida (names and addresses) designated by property owner upon whom Notices or other documents may be served as provided by Section 713.13(1)(A)7., Florida Statutes: Name: Address: Phone Number: Fax #: (optional If service by fax is acceptable) 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided by Section 713.13(1)(B), Florida Statutes: Name: Address: Phone Number: Fax#l: (optional- if service by fax is acceptable) ner signature: rinted name: D before me ..7c day of ti41,-1tc k �� My Commiss.onCC818327 •• • .r4or n o a 8 Expires: 08/19/2002 1.800.3NOTARY Fla, Notary Service 8 Bonding Co. STATE OF FLORIDA, COUNTY OF DADE • I HEREBY CERTIFY that thi is of the (Expires one year from date recorded unless a different dale is specified) My commission expires: original fit ,a ,or. f{F WITNESS my HARVEY RU By 02R 192 180 2002 MAR 28 12:45 space above reserved for use of recording office. cyav of ty Courts D.C. , 200 -_ , by: space above this line reserved for use of the recording office • as identification. 5I61 APPInfgiX "it" ti t A ITENUIX °V"f11:QU1uEU (MEMO MOTii'ICATION nut KOOMNC CUfcdu ►TIONS A s s pcNties as this Aptac.Si 'r, is is dlac'diitily of the amen ssathasier II pawl the mew web p dhe if d marine punk , pew the dR imdsn w IIIii'drt# Dad ID cep`i s M the emits the too tad rlf skis loran. 1isc provindis ei Cherkill the Soasb 1:1046 llnil4i. rack (SFOC) pelican sarasinsarao sad ytardanli eras far arras noon f. , Addisianskt the fi.l hmi ncats *mid lac tdddd.sti w psa1 at irc tpsssetssd klmu.p the aarae. the WNnactes. The Ammo's initial a die !Wpm* bat indium Ihdi de has lets beta captaire& - A cukedirc• Wsrha.sustair: Ik winthinsoblis onsvisisse dltCkapk, M to teethe pahaasc of piny iitint the ,ii .tadaf lritan soccts an wind mistime sod mho pestansurec slandsi.le. Actaln tic: (appcasance) isons on not s causilltsdiekviiili mind is rrad haws s.arlr as cd.ar w ilatod� 1' prowibadss. Aesthetic of the ag.ecn.cad bdwces dl.c swan and s 1 t . >agry be iadahpscd is • .RsRatiin Woad Otitis: Ina s seplecirg rssfia j. As wear not dcclk may have Ink - araadcil is accaidancc villa tot atwdcai pesisdatadtlCi r1 oft* SilIC,('flac seal deck is snowily Kt Uccsktl p.iar do DUDA% die ranting d.atf tyska) C....a .s, Roots: Comm wafs we these viliC► low is vighle. dtiiaettien karma snits `i.c. btM .L re..iv.:..:.r.s Is s 4MIM_n s. at soaring ens gait wttfy the stem ds aithliatest wits moriew, .1 walk is be puff:med. kipused cellists: Exposed, opal bar =lbw are dam flit w crddaie of the roof deckles cats be viewed lisp Intent The maw oaf aids oufswk sail paicaaions al dwasiusialc tithe e ioe1 �'�" • • thcaesiarc. • this - + mot be ssRtyseble. �i.e $�'eC paoridcs Ales Paulin water: The enneffie not span mar deck of Ike kM7at'i % nay Nod dsals well and ettraintraining «say cant wake dot id (onconsalstc) idd flar-ifing Ste, .f Mk ea haling st.tacla,aal disddess sad may die denies of s via k to indication oaf Mac lik capcc#saxr swat realised sinusoid u!�• Nwsydtk adar d7adikA Um l Noe aptsi al sail' f aainascc of Oa ass samis sylla m. Peen mai m ail k s:�likM man spies is dlrweaed. Pooh% madam *Al It catdetfal. One flora Scdyyien (ws*. lI is siergied y nidwdu flaw artalaaadtd bans a WW1. of watts. oli sa ilatt the ma Not 'butane if awes scoNatss (wall' ��� lulls w airar sad catewsiuss sad,ap Watt this dra a with C�Aa r•i►iioi� Is any k atteaa.r do "WAN urw na... 7. Vcaidilaailoar Mods turf sddadsares dfwJM hate aeon aaawiar.f � award "�lr� taatartl airflow gar.a�i the k rdda.tc t It aacnddp Was taidties sea s e1 ask Mca�tilnk d sits In sa e■asilei alliised =Wog ,A;tiwe mak is estestok the stroke life d lilt mat 2 ROOF COVERING MATERIALS (TM) Roofing Systems (TGFU)— Gutffnued Cathay, Karnak No. 97, 1 - 1/2 - 3 gal/sq. Gide NC Incline: 1 /4 '.lunda on (Optiouatk One or more layers partite, wood fiber, glass like way thiduexs. :•:,, We Street (Optioaaik Om or more layers Type GI. C2 or G3. • _; ^ Mean= One or more layers of "Ruberuid Tared" (smooth or "r " ` •'Ruberoid Torch Plus" (weak). "Ruberold Mop" (granule) or : :"Iebavid Mop Plus" (granule). - •.CaMiaP Karnak No. 97. 1 -1 /2 - 3 gal /sq. C -15/31 lral(tte1 /2 • Allen ladere One or more layers partite, glass fiber, isoeyam rate, me- diae, Feriae/ isocyanurate composite, perlite /urethane compcakee, pee- 1 - 1 /2 in. min thickness (offset from plywood )clots 61n.). �1Rt Sheet One or more layers of Type G2 or G3. Skeet (Opttonalk One or more layers of Type Gl. Mtabraan One or more layers m of ' "Ruberotd Torch" (smooth or "Rube old 'Ranh a Plus" (granule), "Ruheroid Mop" (smooth or or "Ruberoid Mop Plus" (granule). Karnak No. 97, 14/2 - 3 gal /sq. India= 1/2 She et (Optana& One or more layers of lype CL G2 or G3. One or mote layers of "Rubetoid Toed," (=smooth or 'Reberoid Torch Pere (granule). . (Optional): Karnak "No. 9T' or "169" at 1 -3 gel /sq or Ind. "20 F Emulsion" at 3 gal /sq. 045/32 Incliner 1/2 • - - ilewLNase One oc more layers peri'ite, glass fiber, 3/4 In min. isocya- methane, permit, /isocyanurste composite. perlite /urethane coin- phenolic, 1 -1/2 ut. min. Sheet (Optioaalt One or more layers of Type GI, G2 or G3. One or more layers of "Ruberold Torch" (smooth or ), "Ruberoid Torch Nos" (granule), "Rubadd Mop" (smooth or or "Ruberetd Mop Plus" (granule). Gravel. C -15/32 • Indiue 1 /2 feudals* (Optional). One or mote layers penile. wood fiber. glass Uocyanurate, urethane, perlite /isucyanurate composite, perh+te/ composite, wood fiber /iiocyenurate composite, phenolic. 1114 5blet Two or more layers of Type G2 or ©. Sheet Optional): One or more layers of Type GI. One or more layers of "Ruberold Torch" (smooth or ), 'Rebetoid Torch Plus' (granule), "Rabetoid Mope (a m uth or or "Ruberoid Mop Plus" (granule). Karnak No. 97, 1 - 1/2 - 3 gal /aq or gravel. NC iodfoe 1/2 hectare ec Orr or more layers polite, glae. fiber; 3/4 in. min, iscrye- laalt.utethane. perlite /laocyanurate composite, perlite /urethane cum- phenolic, h - 1/2 in. min. Sheet {OpIwnafkr b One or more layers of 'type Gi, G2 or G3. arts or more layers of "Rtdmroid Torch" (smooth or Mote), "Reberuid Torch Plus" (granule), "Rubetoid Mop" (smooth or ) ar "Ruberoid M..p Plus" (granule). "AL MB Ahnninum Roof Coating at 1.2 gat /sq. /32 incline: 1/2 (Optional: Gott or more layers perlite, glass fibeez 3/4 in. is•anurate, urethane. pertito /ieoeyanurate composite, partite/ teatime composite, phenolic, 1 -1 /2 in. min. fame Sheet One or more layers of Type C2 "GAFCLAS 075 Bate Sheet", mopped or mechanically fastened in place. int Sheet: One nr more layers of Type G1 "GAFGLAS Ply 4", hot in place. "Ruberuid Map FR" (granule). (Optional): GAF Fibered Aluminum Coating at 1-1/2 gall sq GAF Weather Coat Emulsion at 3 gal /sq. C-15/32 hulitie: 1/2 - ttaptioealk One or more layer; partite. glass fiber, 3/4 in l#l4 irocyanurate. urethane, perlile/isocyanurate composite. petite/ allopoOte.. phenolic, 1 -1/2 in. min. Sheet One or more layers of Type C2 "CAFGLAS 075 Base bliert", Cropped or mechanically fastened kn place. SRO One or more layers of Type GI "CAFGLIS I'y 4 ", or Ply 6" hot mopped in place. no "Ruberuid Torch 170F`R" (granule). T 'd ET TO CBS SOC 2001 ROOFING MATERIALS & SYSTEMS DIRECTORY LOOK FOR THE UL NARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) 175 Roofing Systems (TOFU)— Con tinued Surfacing (Optional): GAF Fbered Aluminum Coating at 1-1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 11. Deena C -1.5/32 Indiar.. 1/2 insulation lsucyanurate, 2 in. min, wood fiber. perfite or glass fiber. any thickness. hot mopped or mechanically fastened in place. Joints offa=l 6 in. Base Sheet One ow muse layers of Type C2 "CAFCLAS 075 Base Sheet", hot mopped or mechanically fastened in plan. Pty Sheet (Optional: One or mom layers of Type C1 "GAFCL.AS t'ly 4" or "Ply 6" hot mopped in place. Membrane: "Rubemld Torch 170FR" (granule). Stufecing (Optional): CAF Fibered Aluminum Coating at 1-112 gal /sq or GAF Weather Coat Emulsion at 3 gal /ry. 12. Deck: C -15/32 Indinee-. 1/2 tneolation {Optiothalk isucyanurete• p=rate or glass fiber; any thick - ness, hot mopped or mechanically lastated in place. Joints off 6 in. Base Sheet One or more layers of Type G2 "CAT4;LAS e75 Base Sheet ", • hot mopped or mechanically bstened in place. Peet Sleet One or reccmore layers of Ty p. CI "GAFGLAS Ply 4' or "Ply 6", • "Rubcrwd Torch 170FR" (granule). Ssnfadng (Optional) GAF Fiberod Aluminum Coating at 1 -1/2 gal /aq or GAF Weadwr Cue Emulsion at 3 gal /sq. 13. Dena NC Incline 1/2 Insulation (Optiooala Iaocyanurate, wood Aber board, partite, glass fiber, any thickness, hot mopped ur mechanically fastened in plant:. Joints • offset 6 in. Base Sheet One or more layers of Type 62 "GAPCLAS 1175 Base Sheet ", • hot mopped in place. Ply Sheet (Opeonalk One or more layers of Type GI "CAFCLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Rubatuid Torch 1711FR" (granule). Surfacing (Opdonalk GAF Fdxred Aluminum Coatmg" at 1 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 14. Deck: NC Incline 1/2 insulation (Optionall: huxyanurate, wand fiber board. periite, glass (bee any thiduress, hot mapped or mechanically fastened in place. Joints Bass Sheet One or more layers of "GAFGLAS 579 Base Sheet ", but to place. Ply set IOpttonafl: One or move layers of "GAF GLAS I'1y 4" or "Ply 6" hot mopped in place. • Membrane "Ruberold Torch 170FR" (granule). Sulfa (Optional k GAF Weather Coat Emulsion applied at 3 gall aq to GAF !bared Aluminum Coating at 1 -1/2 gal /sq. 15. Deck: C -1S/32 Incline 1/2 tttenlatiso /Opltonatl: Pattie, Aber glass, tsocyanurate, urethane. • perbte /iaocyanurate composite or phenolic Bate Sheet One or more layers lypr C2 or G3 base sheet, hot mopped . nr mechanically fastened. Pty Sheet (Options,). One or mote layers 'type 61, hot mopped in plasm - Mc mbreme "Ruberold Mop Fir or "Ruberuid Mop 170 FR" (grauuk). 16. Deck C -15/32 Incline 1/2 tnaultioa lOpliooalk Prdite, fiber glass, istxyantirate. urethane, perlite /ieocyanurete composite or phenolic offset 6 in. from joints. Base Sheet One or mare toyer, of Type G - 2 ur G3 base sheet, but mopped or mechanically fastened. Ply Sheet (Optionnik One or more layers of Type C - 1, but hopped in place. Membemr. One toyer of "Ruberold Torch" or "Ruberuid Mug?' (smooth). Membrane: One layer of "Ruberold Torch 170FR" or "Ruberuid Mop 17. Deck N (8 C ) k Incline. 1 ••• Insulation (Oplionalk Perlite, fiber glass, wood Aber, isocyamuate, urethane, ponlite /ketcyanurate composite or phenolic t Base Sheet One-or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. p (Optlonalk One or more layers Type Ci, hot mopped in ittemban= One layer of "Ruberoid Mop FR" or "Rubcroid Mop 170 PR" (granule). 18. Deck NC Incline: 1/2 d.roo pusTkeens Veb TO TE WOO I "d ROOF COVERING MATERIALS (TRVT) Roofing Systems (TGFU) - Courinued Gang, Karnak No. 97, 1 - 3 gal/sq. • NC Incline 1 /4 `Yatlation (Optional): One or more layers partite, wood fiber, glass Kam cry thickness. :list Shat (Optionalk One or mane layers Type GI, C2 or 63. Mfsbrane One or more ktya:rs of "Ruberuid Torch" (smooth or hate) " Ruberoid Torch 1'tus" (grantde), "Rubetoid Mop" (granule) or "'Ashamed Mop Phis" (granule). Karnak No. 97, 1-1/2 - 3 gat /sq. C -15/32 satin 1/2 One or more layers perlite, glass fiber, isocyanurate, nre- Gee, perlite /isocyanurate composite, pertite /urethane composite, phe- 1-1/2 M. min thickness (offset from plywood Joints 6 In.). Sheet One or mere layers of type G2 or G3. Sweet (Opdonalt One or moo layers of Type Gt. 'i1tsbflue One or more layers of " Ruberoid Torch" (smooth or Owlet " Ruberoid Torch Phis" (granule), "Ruheroid Mop" (smooth or or " Ruberoid Mop Plus" (granule). Karnak No. 97, 14/2 - 3 gal /sq. NC Incline 1/2 Sheet (Optionalk One or more layers of Type Cl, G2 or G3 One or more byes of "Rhrbenoid Torch" (smooth or " Ruberoid Troth Plus" (granule). . (Optional]: Karnak "No. 97' or "169" at 1 -3 gal /aq or kid. "20 F Emulsion" at 3 gal /sq. C.1S /12 Indium 1/2 • ' • _ elaMda: One or more Layers polite. glass net 3/4 in. min- isocya- uretharre, perlite/isucyanurate composite, perlitelurethane com- ic, 1-1/2 in. min. (Optionalk One or more layers of Type Cl, C2 et G3. One or more Layers of -Ruberoid Torch" (smooth or ), "Rubetld Torch Plus" ( granuk), "Ruberoid Mop" (smooth or or " Ruberoid Mop Pius" (granule). mg Gravel C -15132 • I cliee:1 /2 l✓OIMloe (Optional). One or more layers perite, wood &bet glass isocy.nurate, urethane, perlte /isocyanurate composite, ppeerlite/ composite, wood fiber/isocyanurate composite, phenolic. Suit Two or more layers of Type C2i or ©. Beet (Optional,: One or more layers of Type 61. bum One or more layers of " Ruberoid Torch" (smooth or S'6ubetoid Torch Plus (granule), "Ruberuidt Mop" (snuxrth or or " Ruberoid Mop Plus" (granule). NC • Karnak No. 97, 1 -1/2 - 3 gal gravel M One or more layers perlite, glum fiber. 3/4 in. min. iwcya- utedwne, perhte/isocyanurate composite, perlite /urethane ccm- ifr, phenolic. 1 -1 /2 in. min, Sheet tOptionalk One or more layers of Type GI. G2 or G3. One or more layers of "Itul ernid Torch" (mtuo& or spode). "ReberuId Tonic Plc:" (granuk), " Ruberoid Mup" (smooth or or "Ruberoid M.p Pion' (granule). g "Al MB Aluminum Ruuf Coating" at 1-2 gal /sq. C-15/32 incline 1/2 ,ltillitbn (Optional): Um: or more layers partite, glass fiber. 3/4 in. becyanurare, ututh.anc, partite /isocyanurete campmate, pc•luc/ phenolic, 1-1/2 in. min. tSbeet ('Ineor mom layers of Type C2 "GAF GLAS 175 Base Sheet", mopped or mechanically fastened in place. TV Sheet Any nr more leyrrs of Type G1 "GAFCLAS Ply a ", hot in place. "Ruberuid Mop FR" (granule). (Optional;` GAF Fibered Aluminum Coating et 1 4/2 gall sg CAF Weather Coat Emulsion at 3 gal /sq. C -15/32 Iodise 1/2 (Optional): One or more layers pedite. glass abet 3/4 in: ieocyanurate, urethane, perlite/isocyanurate composite, prattle/ =Luke, phenolic, 1 -1/2 in. min. Skeet One or more layers of Type C2 "CAFGLAS 175 Base Sheer, =Red or mechanically fastened in place, OM One or more layers of Type 61 " GAFGLAS Ply 4", or Ply 6" hot mopped in place. "Ruberoid Torch 170FR" (granule). CT TO E88 SDE 2001 ROOF04G1 MATERIALS & SYSTEMS DIRECTORY LOOK FON THE UL MARK ON PRODUCT Roofing Systems (TGFU)— Continued Sertadttg (Optional): GAF Fibered Aluminum Coating at 1 -1 /2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 11. Deck C -15/32 Indium- 112 Insulation: Isocyanurate, 2 in. ruin., wood Iibee partite or glass ubct•, any thickness` hot mopped or mechanically fastened in plane. Joints offset 6 in. Base Sheet One or inure byes of Type C2 "CAFCIAS 175 Base Shc t' . hot mopped or mechanically fastened in place. Pty Sheet (Optional): Oneor more layers of Type G1 "GAFCLAS My 4" or "Ply 6" hot mopped in place. Membrane•. °Rubenodd Tordt 170FR" (granule). Surfacing (Optional) CAF Fibered Aluminum Coating at 1-1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /6q. 12. Deck C -15/32 Incline•. 1/2 lessnl.fion (Optioodk leocyanurate, partite or glass fiber, any thick- ness, hot mopped or mechanically fastened in place. Joints offset 6 in. Bass Sheet One or more layers ul Type G2 " CAFCLAS 175 Base Sheet ", hot mopped or mechanically fastened in place. Ply Sheet One or more layers of Type Cl " GAFGLAS Ply 3" or . 'Ply 6' • hot stopped in place. Maetbane "Ruberoid Torch 170FR" (granule). Surfacing (Optional). GAF Fibered Aluminum Coating at 1 -1 /2 gal / sq or GAF Weedier Gut Emulsion 113 gal /sq. 13. Deck: NC Iodine; 1/2 feselation (Optionalk Isocyamaate, wood fiber board. perllte. glass fiber. any thickness, hot mopped or mechanically fastened in place. Joints • offset 6 in. Base Sheet One or more layers of Type G2 "CAFGLAS 075 Base Sheet ", hot rnupped in place. • Ply Sweet (Opitortsi): One or more layers of Type 61 " GAFCLAS Ply 4" • • ur "Ply 6" hot mopped in place. Membrane "Ruberuid Torch 170FR" (granule). Su/tuft (Optionalk "GAF Fibered Aluminum gal /sq or GAF Weather Coat Emulsion at 3 gal /sq_ 14. Deck NC incline: 1/2 • la.elation (Optional): Isocyanurate, wood fiber board, perlite, giau Abet, any thfckterse, hot mopped or mechanically fastened in place. taints offset 6 tn. Base Sheet One or more layers of "CAFGLAS 1175 Base Sheet", hot . ' mopped in place_ Ply Sheet (Opslofal): One or more layers of "GAF GLAS I'y 4" or "Ply 6" hot mopped in piece. • Membraem " Ruberoid Torch 170FR" (granule). Surfacing (Optional); GAF Weather Coat Emulsion applied at 3 gal/ aq ur GAF Plbered Aluminum Coating at 1.1/2 gal /sr.. 15. Deck 0-13/32 Iodine: 1/2 Ineelerfen (Optionall: ratite, fiber glass, ksocyanurate, urethane, perlite/lsocyanurate composite or phenolic. Base Sheet One or more layers Type G2 or 63 base sheet, hot mopped . or etechanksdly fastened. '. Ply Sheet (Optional): One or more layers Type 61, hot mopped in • Membrane " Ruberoid Mop FR" or " Ruberoid Mop 170 FR" (granule). 16. Deck: C -15/32 incline•. 4/2 Insulation (Optional): Periitr, fiber glass, isocyanurate, umthant. partite/ isocyanurate composite or phenolic offset 6 in. from joints. Base Sheet One or more Lycra of Type 6-2 or 6-3 bare . shect, hut mopped ormechanirally fastened. Ply Sheet (Optional): One or more layers of Type G-1, hot mopped in =sane One layer of "Ruberoid Torch" or " Ruberoid Mup" (sue). Membraea One layer of " Ruberoid Tux+ 170FR" or "Ruberuid Mup FR" (granule) 17. Dade NC Iodine 1 Insulation (Optionalk Perlite, fiber glass, wood fibs, isocyanurate, urethane, perlite/isaryanurate composite or phenolic. Base Sheet One.or•more layers Type C2 or C3 base sheet, hot mopped or medranioally fastened. Ply Sheet (Optional): One or more layers Type CI, hot mopped In Plug. One layer of " Ruberoid Mop FR" or "Ruberold Mop 1711 FR" (granule). 18. Deck: NC Iodine 1/2 d.too pus/ aunt: ROOF COVERING MATERIALS PVT) 175 Coating • at 1-1/2 1181.=60 TO TO %PO 'NA MIAMO MIAMI -DADE COUNTY. FLORIDA NIETRO - DADE FL AGLER BUILDING BUILDING CODE COAIPLIA\CE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1601 PRODUCT CONTROL NOTICE OF ACCEPTANCE FLORIDA J3t304561 (301) 375-2901 PAX DOS) 375-290S G.A.F. Materials Corporation 1361 Alps Road CONTRACTOR UCZNSL \C SIICTIOY faos, »s -sa Mx OUR 37-5U Wayne NJ 07470 CONTRAsT011 aNFoactwa:secTlox Daft l>•s.:+ei X � 3 7 $ . n.TRIS PRODUCT CONTROL DIVISION Your application for Product Approval of ' a ' s •g' FAX 001) na 63n GAF Rrrberoid Modified Biranteu Roof Systems For Wood Deck. under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types 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 approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plain for quality control testing. It product or material fails to perform in the approved manner. BCCO may revoke. modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval. wit is determined BCCO that this product or material fails to meet the requirements of the South Florida Building • Code. The expense of such testing will be incurred by the manufacturer. Acceptance No. :00 -0331.08 Expires:11 /06/2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dade County, Florida under the conditions set forth above. Approved:07 /06/2000 •ranclsco •utntana. .A. Director of 55 Miami -Dade County Building Code Compliance Once I'd L1 TO e9B soe Internet mail address: Postenasterrbatldiagc.deonNoe erns Ito Hat: a lut �Pai - r1Mww- bnildinseodeonllae.eom d.loo pueituuns dsa:eo to 91 Tnr CA +1MATEtt *A L1 CORPORATION Ateacpt:e,u . Mu- 00.aU t - NOTICE OF ACCEPTAPNSk ST6uD413Q combords Renewal of this Acct (approval) shill be considered alter a (nets! ' l' tiled and the original submiued documentation. � supporting tilts. c t o gi rteengineering been docues, are no older than eight (8) years. documents, Any and ail approved products stall be penny hid with the maw state. end the following statement: °Miami - Dade County Product Control pprov "s name. city. specifically stated in the specific conditions of this Acceptance_ ~• or as Renewals or , Acceptance will not be considered if a) There has been a change in the South Florida Building Code effecting the evaluation of this product and the product is net to eorapliaace with the code changes; i b) Thu product is no longer the same product (identical) the one oru ' i t a c) if the Acceptance ( ) t1� y i�+►rd: ptance holder has not complied with all the reguianants (Wilds acceptance. including the correct installation d) The engineer who originally of the product; t: hr Prepaftd. signed and sealed the sequined doiCumentation ieritiall} submitted. is no longer practicing the engineering profession. Any revision or change to the materiels. use, endletr manufacture of the prodaet or process shall automatically be cause for termination of this Acceptance, fatless prior written approval has been requested (through die filing of a revs , application with appropriate lee) ail(' grunted by this Any of the following shall also be grounds for removal of this Acccptenee_ a) Unsat isfaaory pertbrmanete of this produci or proms: b)M of this Acceptance as an endorsement {deny product. for salon advertising or any Purposes. The Notre. of Acceptance number preceded by the words Miami -Dade Comit Florida. and followed by the eepira ion date may be displayed in advertising literature. if any portion of the Notice of Aeoptaneet is displayed. then it shall be done in its entirety. A copy of this Acceptance u well es approved drawings and other documents; where it applies. shall be provided to the user by the inanufacturer or its distributors and shall be available for inspection at the job sibs at all lutes. The copies neat not be resealed by the engineer_ Failure to comply with any section of this Acceptance shall be cause of Ace;eptancn.. This Acceptance contains pages J through S5. END OF THIS ACCEPTANCE 5Saf35 Frank Zstoiga, RAC Roofing Pn duet Control Examiner r CAP* NIATERt.%L1 CORPORATION 4 NOTICE OF ACCEPTANCE STANDARDS CONDITIONS ;\ccepl:mcc Nu: till -t} 3 .111 Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents. are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name. city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as Specifically stilted in the specific conditions of this Acceptance. 3 Itencwats of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes: b) The product is no longer the same product (identical) as the one originally approved; c) [(the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared. signed and sealed the submitted. is no longer practicing the engineering profcssion dacumentatiah initially 4 Any revision or change in the materials. use, and/or manufacture of the uet or automatically be cause for termination of this Acceptance, unless prior written a roya h shall requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process: b) Misuse of this Acceptance as an endorsement of any product. for sales, advertising or any Other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida. and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of is displayed, then it shalt be done in its ent irety. 7 A copy of this Acceptance as well as approved drawings and other documents. where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 3 Fai lure to comply with any section of this Acceptance shall be cause for termination and removal o t' Acceptance. 9 This Acceptance contains pages I through 55. END OF THIS ACCEPTANCE I' d • E I T O COO SOE SS of 55 Frank Zutoaga, RRC Rooting Product Control Cs:unincr d.soo purr tuunS d92:E0 TO 9i TN' GAF AIATERIa Measarsue T Deets Type 1: Deck Dcscriptio : Systems Type All Ceaer al .ad Base Sheet: Ply Sheet: Membrane Surfacing: Maximum Des Pressure: Mrcuhmah Fwc Classification: Maximum Slope: Spec' ficatioa No.: ) CORPORATION 0 COD BOB SOS Wood. Non New Construction or Retool' ~� " or greater plywood ar wood plank decks Base sheet ntotheeically rasteond. yaws Lhedottiae shall apply. GAFOLAS. ris, OAFOL.AS t1a0 UItlot a Om sheet. GAPOLASd PLY 4O. GAFGLASO PLY GAFOLAS FlexFlyna Orin Shaet.GAFGLAS$ STRATAVEN1111 NajI*q RUB8RO10 Modified Base Sheet or RUBEROID, 20 applied to the deck with approved tlnmdv riots sdhaak tails and minimum 1 �/ - tin caps at a spacing WV o e. to the Isp. t 2" o.c. in two tows staggered • along the center line orthe sheet to the field. (Optional) Oak two, or thriee plies GAFGLAS PLY 40. GAFGLAS$ PLY 6R' Ply ar GAFGLAS Flat Pty 6 went adhered in • full mopping of approved ahphah applied within the EVT maw and at a rats of 20.60 t0e,lsq.. One or mote Om of RUBERoto MOP Saeodh. Rubaoide Mop 170 FR. Roberoidll Mop Gents. Rabernipp$ Mop Plat Granule. Roberoide 30 or Rubetaid0 30 FR or Rubsroid0 Mop FR or RUBEROID UhraCtad*x SOS in adhered In a Poll sopping ofapproved apied& indeed within the EVT rang: and at a /fete 020.40 Or. One or sate plies of RUBEROBO MOP Smooth. RUDEROIDO Mop Granule. RU DO Mop 170 FR, RUBEROID• Mop Plus Gttinhk. RUBEROIDa 30. RUBER0I1311130 FR or RUBERO(pS Mop FR. or RUBEROID UltraCbtlym SOS in RUBEROID Modified Bitumen Adhesive at an application rata of 1.2 plisq. (Optimist requited if RUBEROIO MOP Smooth or RUBEROID 20 is top membeane) 1 f1 one of the Iblbwir 1 Gravel or sing applied at 400 Ilasq. and 300 lb./sq. respectively in a flood cut a/approved asphalt at 60 Ib .. 2. GAFGLAS MImw I Sedated Cap Sheet . W. as approved asphalt at an application roe of 23 iblaq. ± 15911. - .43 pst (Sae Gentxal Limitation ion /Th. See General Limitation S 1. Sue General U mitation 11. 19 of 3S Acc.ptarc tip: Oga RRC Roafutg Product Control Eva awn &Apo pue i T uuns rsa t 601 t 0 8 t the Th &H PRODUCT CONTROL NOTICE OF ACCEPTANCE G.A.F. Materials Corporation 1361 Ants Road Wayne NJ 07470 Your application for Product Approval on GA F Ruberoid Modified Bitumen Rovf Syvients For Wood Deck under Chapter 8 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 -[3aJc County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. DCCO reserves the right to secure this product or material at anytime from a jobeite or manufacturer's plant for quality control testing. If this product or material fails to perform, in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval. Wit is determined BCCO that this product or material fails to meet the requirements of the South Florida Building - Code. The expense of such testing will be incurred by the manufacturer. Acceptance No. :00 0331.08 Expires:11 /06/2003 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Budding Codc and Product Review Committee to be used in Dade County, Florida under the_conditions set forth above. Approved: 07 /06/2000 Te ETTO E88 SOE Internet mail address: paslsasteret alldtnptadeoeltaaeos •rancrsco •ulntana. Director I of 55 Miami -Dade County Building Code Compliance OfTic :I. 4 dJoa pun; T nuns MMIAMll•DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE oFPICE METRO -DADE FLAGLER OtWILDiNG 140 WEST FLAGLER STREET. SLNTE 1M)3 MIA 4I. FLORIDA 33130 -1363 1303) 373 -2901 FAX (303) 373-290x CONTRACTOR LICR.sric RECTUM MS; 771.2137 FAN MS) J75-SSSg CO.$TRACP011 vcreacsace Z SICTSo * (bi) 371 -204 FAX OW) 373.2108 PRODUCT CO5TR01. Dlvtslos (NM 173-2.902 FAX 1305) 372.633, Ke nepage http://www.bulldingeadeaaline.com dSa :E0 TO ST Tne CAF MATEKuA Membrane T Deck Type 1: Deck Descripdo Symms Type Ail Caner & sad ease Sheet: Ply Sheet: Membrane. Surfing: Masi/nom Deli Pressure: Maximum Fine Classification: Maximum Slope: Specification Na: CORPORATt0N Acceptance No: maw SOS Wood. Wan-insulated New Construction or Renool' " or greater plywood or wood plank decks ): Base sheet niechenieally femme!. plan Lip dtatioas shall apply. GAFOLASO 175. OAFGLAS ram Ultlntaa' Base Surest. GAFGLASm PLY 4$. GAFGLAS® PLY 6S. GAFOLAS F1ixPly"' Oass Shem.GAFGLASib STRATAYEN'118 Mailable, RUBEROID Mollified Base Sheet or RUBERO1Dds 20 applied to die deck wkh approved annular ring shame nails and minimum 1 'I tin caps at a fastener spacing of 9" ate. at the lap. 12• o.c. in two roars staggered along the center lino order sheet Is the field. (Optional) Otre, two. or l plies GAFGLAS PLY 40. °APGLAS* PLY lilt Ply orGAFGLAS flat Ply & sheet adlice.d in a MI mopping of approved aaphata applied within the EYT range and at a met of 20-10 lb.Jsq.. One or more plies of RUAERi01D MOP Smooth, Roberoid* Mop 170 FR. atAmoide blop Goode. R rbenside Mop Pius Granule. Ruling 30 or Ruberoidm 30 FR or R born ide Mop FR ar RUBEROIO UltraCIad" SBS in adhered in a fall mopping of approved asphalt applied within the EVT range and at a rase of 2040 Bsh Or. One or mote plies of RUBEROID MOP Soto**, RUBEROIDe Mop Granule RUBEROIDO Mop 170 FR. RUBEROID Mop Plus Gtturais RUBEROIOB 30. RUBEROIDO 30 FR or RUBERQIDO Mop FR or RUBEROID UhraCbd*a SOS in RUBEROID Modified Mums Adhesive at as application rate of 1 -3 gaLJsq. (Optical. r if RUBEROID MOP Smooth or RUBEROID 20 is top mendanne) listal) one of the dbNowielp - Gravel or stag applied at 400 lb/sq. and 3001bJsq. respectively in a flood coot QfaP j.UQved asphalt at 60 lb/sq.. 2. OAFGLAS Mineral SprrliosJ Cap Shear • ih as approw;d asphalt at an aIP ion retie of 25 1bJaq..1 596. -t3 pe (See Gem Limitation 17) . See General Lis*ajjgn l I. See GO+reral Limitation 01. 0 180 SOB 19 en RRC goofing Product Cannel Examiner • _ d.ruo pus T uuns dump TO at ant e • .- fEIRIALS CORPORATiON C I t 0 COS SOE NOTICE OF ACCEPTANCE STANpAftf) CONDITIONS I Renewal or this Acceptance (approval) shall be considered atter a renewal application has been filed and the original submitted documentation, including test supporting data. engineering documents, are no older than eight (8) years. '- Any and all approved products shall be permanently labeled with the manufacturer's name. city. state, and the tuilowing statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions (Willis Acceptance. 3 Renewals of #\cccptance will not be considered if: a) There has been a change in the South Florida Building Cock affecting the evaluation of this product and the product is not in compliance with the code changes: b) The product is no longer the same product (identical) as the one originally approver!: c) if rho Acceptance holder has not complied with all the requirements of this acceptance. including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted. is no longer practicing the engineering profession. 4 Any revision or change in the materials. use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process: b) Misuse. of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes, 6 The Notice of Acceptance number preceded by the words Miami -Dade County. Florida. and followed by the expiration date may be displayed in advertising literature. If any po of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents. where it applies. shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal or Acceptance. 9 This Acceptance contains pages 1 through 55. END OF THIS ACCEPTANCE 5 S of 55 ACceptankx Nu: {stt -Q 31m Frank Zuloaga, RRC Routing Product Control examiner d.roo pus! i nuns d92 : EO TO 9 I i nr ;rt F Tea % L.i CORPORA ?IPA' • `"K 7li,C . VIP . 4 1 Mod "'al of �c r 4X � s ° ce it be cons l ► R ° Y d e afi erg (8) L �e e t ate a ` t ' iFe fa !l y � p !t `'t't a`ien Y au st atement • state. arid ot to co ndition s ctra t e k k k ro"s *runs has b ntr P ftet ' trrf+ct been � c Will � �, Ace centred ms's ►t a+na. , R+1Ddt� and � change in **south �sid�� . � ear as this rf. Wing Code otrealait the I if dye AceePtance bolder hie Corre • not (identical) as �'al e ra y, pn engineer till • `gad with !1 r a i+il sub mitted. is no longer � �Jt+nalt �i of sub y Pre pared. C 4 of d tbe an nat 1111 or �an� !,t x'04 . sw ( Y be cause y � srp to ntr"'� initiall RIB or WFi "'� Q f � unless P podgy or II:vision a pplication v - 'R t ce e �� w a approve/ process Mall � � . R �1r � � be g � by this drib,' °�t� ro �� �t� . _ � r hp� i -r ""`a vs an arp Acceptance: by the r ""� +atm� salami ��►t� $ or o Ns a�Acceptance n On nW► �,,� by th >sX his A A4Y it d a in i o ii ode Cqui�,. F i � v awl! a � in its a,rir,K ! f �y �� �ae, *rare ap p r oved � �st s 1 �ta�,� +i�an��� . Or itS dietrialstari and ski/ r lY with tiny section of be ad available rt a this � �Y the engineer. fpt. ce contains pages !! be eatr�ttl+etirlp through SS. and �'noMa! OM OF THt$ ACC EPTANCE , . Frank/ COOUO1 Examiner 4' Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/1/2002 Applicant: MARY Owner: SMITH v : Parcel # 1132060170560 J V Fees: FEE2002 -1859 FEE2002 -1860 FEE2002 -1861 Job Address: 466 NE 102 ST Permit Status: Approved Work: RE -ROOF FLAT ROOF W COLORTHRU ALL TILES SAME COLOR This Permit is granted to the contra{ ordinances pertaining thereto and with and approved by the proper municipal authorization. A further condition upor ordinances and regulations pertaining by his agents, servants or employees. Signed: In consideration of the issuance to m with the plans, drawings, statements o: myself, my agent, servants or employe Signed: Description Building Fee Buildier's Bond CCF Total Fees: PAY TO THE ORDER OF AC11 RR 063100277 FOR Building Permit Permit Number: BP2002 -658 Contractor GOLD COAST ROOFING OF BROVess: 1365 NW 159 LN Local Phone: 954- 240 -3794 Cellular: Legal Description: AMD PL OF MIAMI SHORES SEC 4 Permit Expiration: 9/28/2002 Construction Value: If there is no permit package accessible on the job -site for inspectors to verify, there_will.be:ne>.in fee is $50.00, which must be GOLD COAST ROOFING OF BROWARD INC. 1365 N.W. 159TH LN. PEMBROKE PINES, FL 3302 8-1631 Amount $97.50 $300.00 $2.40 $399.90 SMITH MARY Bank of America. . $3,200.00 Page 1 of 1 Total Fees: $399.90 Total Receipts: $0.00 DATE PB 15 -14 LOTS 3 8{ 4 BLK 91 , t�►-t- 000 1 5 5 11' 1:0 6 30000 t, ?1: 00 30 6 7 4 L 309 30 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY TYPE Service Repair Q•rV. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent 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\'IECI- IANICAL TYPE: Minimum Fee QTY. TYPE Condensate Drain QTY. 'rl Pl.. Generator Q'rv. •rv is Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wallin. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING .Lyn; A/C Condensate Q . l - \ . .F-V.l,l,, Drains, Roof Q•l'l • Miscellaneous Fixture Q • I - V •I-V•l,l,, Soakage Pit QTY. 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 G 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) m FIRE DEPARTMENT APPROVAL (Commercial / multi - family) • CONCURRENCY (New Construction) O 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 Di PROOF OF OWNERSHIP (Attach) 101 HRS / DERM APPROVAL (Septic / Sewer) ® IMPACT FEE (New Construction) O OTHER (Specify & Attach) PERMIT FEES $ $ SECTION Zoning Electrical Mechanical Plumbing Fire Public Works BY Structural Building Official DATE (sq.ft. = x/1000 x ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION O CONDO ASSOCIATION APPROVAL (Attach) • BPR APPROVAL (Restaurants) ® CONTRACTOR REGISTRATION (On File) TOTAL al ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL (305) 795 -2207 m FAX (305) 756 -8972 0 http:/ /www.miamishoresvillage.com r\ Contractor GOLD COAST ROOFING OF BROV1ess: Local Phone: 954 - 240 -3794 Cellular: v Parcel # 1132060170560 Job Address: 466 NE 102 ST J Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 4/1/2002 Applicant: MARY Owner: SMITH Fees: FEE2002 -1859 FEE2002 -1860 FEE2002 -1861 Permit Status: Approved Permit Expiration: Work: RE - ROOF FLAT RC If there is no permit packa. fee is $50.00, which must be This Permit is granted to the contrat •l ordinances pertaining thereto and with !� and approved by the proper municipal A authorization. A further condition upor ordinances and regulations pertaining l� by his agents, servants or employees. Signed: Legal Description: AMD PL OF MIAMI SHORES SEC 4 Description Building Fee Buildier's Bond CCF Total Fees: PAY TO THE ORDER OF GOLD COAST ROOFING OF BROWARD INC. 1365 N.W. 159TH LN. PEMBROKE PINES, FL 33028 -1631 ACII n(T 063100277 Building Permit Permit Number: BP2002 -658 9/28/2002 Construction Value: Bankof Americ , Signed: (Contractor or Builder) SMITH MARY 1365 NW 159 LN Amount $97.50 $300.00 $2.40 $399.90 FOR BY: $3,200.00 - . 4ecA �n Total Fees: $399.90 Total Receipts: $0.00 I t�n Page 1 of 1 11'00 L55110 1:0 6 30000 4 71: 0030674 L30930 PB 15 -14 LOTS 3 8t 4 BLK 91 y_..3 - v ?- DATE --- - - -- 1554 r3 -4iran n. In consideration of the issuance to n with the plans, drawings, statements c myself, my agent, servants or employ( u�• �uv, .a.�i:a:er:u.a�..is.i aeetv._I--s u AIR acmu.mm9.rc- _ _v- u+��oa:a= emn¢z.t�._.^eu �rssci.- i.®eiS3e.Eats ear- Ua-GSA�ft.dtief -a1:t u.+.kA:r`ar3lJ `� ►Ca>rol's 1103 c _ _ _-_ -DOLLARS a '�= --• Street and Number where work is to be done STATE OF FLORIDA, COUNTY OF DADE. ss. Disapproved _. (Signed) VILLAGE MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby mode for the approval of the detailed statement urrne plans and specifications herewith submitted for the build • ine 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 iuilding 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..._...June 10 thL._...__._.•._.__. ., ig. Owner's Name and Address Mr. Ferrer �_ _ N o.... 6�? ..__.._. Street._d..E. 1.A?.nd...Sttree Registered Architect and /or Engineer „,•••,•,• :,., „n „ „,•,• „,:,, Name and address of licensed contractor Roberts Roofing Company j, Q1 •_,J,( ,*,,.•[, SJ,,, .ol�r..x.....M.i.amx....33J.�t2 Location and legal description of lot to be built on: }� y � � ^ Lot y Block l ,l Subdivision..A4Y PL /i't S aG�ll _.._. tp 4.L� D1 O/ 466 N.E. 102nd Street Miami_Shores State work to be done and purpose of building (by floors) 1 and for no other purpose. New Building Remodeling Addition Repairs.x.-R- .r.Q.Q.f No. of Stories 1 To be constructed of Kind of foundation Roof Covering... Wh i ...CAMSIl t T i l Estimated Total cost of improvements $...54.50Q_..OQ Amount of Permit s. 20.00 Zone cubage required .Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be • sent to. Roberts Roofing Company. 2101 N.W. 23rd Court, Miami, Florida 33142 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the previsions 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 pub!' • notice or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on • k t; be performed u •er this pcnnit, as are licensed by Miami Shores Village. Remarks 23- squares of re- roofing _ (Signed Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments; personally ap- peared Robert Sheppard to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. R.o.o.f. i.n] .C.Qx1.tr.ac,t.Q!r 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 � we.: rj Permit No.. �1 Date ( / 0 Date Chair :man \Icrnber Member _.....__....._.--- .�._.._..... Council Approved Date Rea My NOTE: A charge of $1.00 will be made for making corrections or changes to the Planning Hoard. A re-inspection fee of 31.00 will be charged when such re- inspection is made materials anti /or workmanship. Commission Expires d, rn to and Subscribed before me. me. Notary Public, State R &)9 dJ BLIC STATE OF FLORIDA AT LARGE MY COMMISSIQLLUE RFS [1I3y_q,_ .1985 kONDED THRU GENERAL INS . UNDERWRITERS PLANNING BOARD DATE Mcmbcr — Membcr Member _.._..... Disapproved Date this application after approval has been obtained from necessary by Improper notice for inspection or faulty Application is hereby made for the approval of the detailed statement or Inc 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 Village, hlorid.c. and all provisions of thc 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 s cified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address .....i &A PS .1 < Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Street and Number where work is to be done State_work to be done and purpose of buildin ezt~.eeG)ca Disapproved (Signed) APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date. Building Inspector New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ /e" ®� Date ..._.......! 1!. , 19 ..-. No..... . . ............. Street_ e•—••••""' Subdivision floors), • / de/ s and for no other purpose. Addition Repairs Roof Covering. Amount of Permit S..'PAGt1Cl. 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 No. oLStories u, 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 $rah clement, and has complied ■sith the rovisions thereof, and will require similar compliance from all coat s or sub - contractor employed him in the work to be performed under this permit; and will post or cause to be posted for inspe• ono the site of the wo, such pul otice or notices as arc required by the Act. The undersigned agrees to employ only such ubco • actor • , work to be •�formed er this 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 has carefully read the foregoingiapplication, and that he did sign the same, and that all facts therein by him stated a e. Permit No 1/,� / _. Date ' I t 1 1I 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 from the Pl. nnir,g Board. A rc- 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. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement or me 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 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 sp rifled or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address 2 O ° V < <' — No ... Street Registered Architect and /or Engineer , ,,,••. ,,•,,.,,,,,,•... "..",,.,,, Name and address of licensed contractor s...?.2 q. ..s...EQ.5.1 4. L4.,:z....1 r + W . Q S T Location and legal description of lot to be built on: Lot Block r/ / Subdivision - , �....__ .._.._....._._..........._ Street and Number where work is to be done t f . /f! Stato work to be don and purpose of building (by floors) zL4 �...._ �tiL:' op rn. L r and for no other purpose. Repairs No. of Stories / .. New Building Remodeling Addition Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 0C Date. .._..0 � __ ,197E To be constructed of Kind of foundation Roof Covering s <� Estimated Total cast of improvements $ 7 c.t Amount of Permit 5 ...1.ft O 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 un,ersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied ssith the h l.ovision.s thereof, and will require similar compliance from all contr , r sub- enntractqp Fs �mploycd by him in the work to be perfornud under this permit; and will post or cause to be posted for insp on on t site of the ssy6rlys pult(it')notice or notices as arc required by the Act. The undersigned agrees to employ only su h su � ,�• actorsi work to be rforme er this permit, as are licensed by Miami Shores Village. • Remarks (Signed) __......_...._ ... _. STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated /� are true. 1_Y_.l Permit No...... Date.._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Nfcrr,bcr Member Member .. .. Member r,. ._..... Council Approved Date Disapproved Date NOTE: A c•h.irgc of $1.00 will be made for making corrections or changes to this application after approval has hecn obtained from the I'L,nnir Board. A re inspection fce of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspetitirm or faulty materials and /or workmanship. Zone cubage required Distance to next nearest building_ Maximum live load to be borne by each floor Disapproved (Signed) Date Building Ins.' ctor IAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. L S . Oattsol Owner's Name and Address Registered Architect and /or Engineer /� Name and address of licensed contractor C 2 ,(vTH I?ocFINc- Location and legal description of lot to be built on: Lot Block (( Subdivision Street and Number where work is to be done Z�_k k E 1 F -ieooF 26#32 Gf l)veL loo= EATE . 7F STATE and for no other purpose. Addition Repairs 1 No. of Stories Roof Covering G,Pi1VEL New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ PLANNING BOARD._ Date 6 WY /V HE /D S , 192° No. Y Street /v ./ D (Signed) 7 . y N cw State work to be done and purpose of building (by floors) � "t 3 #1 - -- a-dit-t OA - fefPME ROOF 1./NDE2 Smile Amount of Permit $ plan Cubage Size of Building Lot Notary Public, State of Florida My Commission Expires 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 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, n wor be performed u and - permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No ..... 4 Date____.- __7. 70 Sworn to and Subscribed before me. DATE Chainnan _ __ 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 hen 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 inspec tion or faulty materials and /or workmanship. 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 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.. Mt, L S Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Street and Number where work is to be done Disapproved (Signed) .._ �f e APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE Building Inspector BUILDING INSPECTION DEPARTMENT a G y 2 .,LiA r , IVI. + Lot Block Subdivision 4 6.6 ,A/, / " State work to be done and purpose of building (by floors) / — S 7 I' Y 71D and for no other purpose. Date Chairman Member Member Council Approved Date Date — / /4> , 19 '© No 1.1 6 street./"' • e 0 $ � FA R P ANNING BOARD DATE a New Building...__ Remodeling Addition Repairs sV No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 1,0 t V 0 Amount of Permit $ r: 6 q plan Cubage Size of Building Lot Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All, notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subco tractors, on work to be a formed under this 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 has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him . ted a true. Permit No._.._c'___ Date /./- / w Read, Sworn to and Subscribed before me. Notary Public, State of Florida , My, Commission Expires Member Member Member Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. has been obtained from for inspection or faulty Village of Miami Shores N° 3695 JOB ®C. 4LS a/ • ADDRESS 14 ed /f - / 0 INSPECTION 7 C AV> TIME READY Prn _i ` S REMARKS 1 7 /9 eT-sets. � s - 72.. - 7 1t) -p 7, aril Z - ' INSPECTOR DATE BUILDING ELECTRICAL PLUMBING ROOFING 0 0 Architect Contractor . or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA o PERMIT N° 3177 Owner of Building " f " CONTRACTOR OR BUILDER Work to be performed under this Permit B1 This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed .._ ._. )3Y INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY DATR 195 Contractor's License No. Subdi- vision Value of Project $ Amount of Permit $ AUTHORITY ova 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 Engin er ..._. - __.. Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Subdivision.. ate / 19 6 ®1 / No 6 Street.1....e...,l4.. a .. Street and Number where work is to be done State work to be done and purpose of building (by floors) ,off 0 and for no other purpose. New Building .. remodeling. Addition Repairs No. of Stories To be constructed of Kind of fou Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 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 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 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 .ubc.ntractors, one k to L'' - 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 W minister 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 c ref ly read the foregoing application, and that he did sign the same, and that all facts therein by him stated are �- l / Permit No __ Date i. ._. Read, Sworn to and Subscribed before me. Disapproved .. ` Notary Public, State of Florida Buil. ing Inspector My Commission Expires PLANNING BOARD DATE Chainnan 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. 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. e Date Owner's Name and Address . _/. `_l /�fj RR L. d © 66 e3 EY No.. Registered Architect and /or Engineer Name and address of licensed contractor HZ II M G?r 5 Location and le al description of lot to be built on: Lot � Block MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Date BUILDING INSPECTION DEPARTMENT Subdivision j Fri Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling. Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering � f b E. Estimated Total cost of improvements $ � l� p0 Amount of Permit $ Zone cubage required plan Cubage Distance to next nearest building Size. of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 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 ender 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 perfqrmed under this permit, as are licensed by Miami Shores Village. n om,, i� A Remarks (Signed) . c L 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 3 i 47 7 Disapproved l Date ( Signed) . f Building In; ctor Read, Sworn to and Subscribed before me. 1i. 19 Street 'Ys ® ,� / /ie /2 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.