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RF-07-2248Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 swgor Inspection Date: 04/11/2008 Inspector: Grande, Claudio Owner: HERNANDEZ, URQUIA Job Address: 1213 94 Street NE Miami Shores Village, FL Project: <NONE> Block: Contractor: ROCHE ROOFING Permit Type: Roof Inspection Type: Final Roof Work Classification: Roof - New Phone Number 305/984 -9499 Parcel Number 1132050100020 Lot: Phone: (305)220 -7663 Building Department Comments re roof flat roof ■ IF' Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 66337. Cancelled by RObert 3/31/08. MLD Failed /4( Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Thursday, April 10, 2008 Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Building Electrical Permit No.*. 07 %.2+$ Master Permit No. Plumbing Mechanical Owner's Name (Fee Simple Titleholder), tj('i ,� E., -17 e r-ep 6d041pPhone # 9 Z --767-5 Owner's Address C ea LJoc 110 vi f l ots Ga , ,� 3 SZ) e a..5 0 as „Blue./ 5k 1 oo City FI- L ( State F1--_ 'Fennel:es= (,JICCCL l ,�r.Qe Phone# 9 i2-60 0- r _1)cw,�i� 7294' 2 t /- 7/58 ejle+a ,J- Zip 3 3 3 ("Jai-di f ...z(9. Job Address (where the work is being done) 1 213 N Q 914 $ T- City Miami Shores Village County Miami -Dade Zip 3313 9- FOLIO / PARCEL # 11 - S29_c- 0 I 0 .. 0670 Ls Building Historically Designated YES NO i Contractor's Company Name Q-cc. 0 ( Phone # 'fps”— Z7O — 76.6,7 Contractor's Address '7 5 70 L[ sr 1/ / City I/1I, 1 r State ft.-- Zip 3 i� Qualifier Name 0 � �ce 7 - LA k-47.44-i-3 Phone # 6 I'D 5 — 2 2 0 - 7(.4''S State Certificate or Registration No. O 3 e S 00 «6 6 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ' �, Q 00 ' oe `� f Square / Linear Footage Of Work: 7 3 Type of Work: DAddition []Alteration [New Repair/Replace ❑ Demolition Describe Work: V.g - R (-cm goo * *** *, * * * *** * *, * ** * *, * *, ** * *******Fees*********** * *Fees * *, * ** *** ** , * * * * * * * * ** * * * * * * * * *,r ** * * ** ** Submittal Fee $ Permit Fee $ 3/5 . 0d CCF $ 7.3 0 CO /CC Notary $ Training/Education Fee $ 2. . (j( Technology Fee $ 13.. a Scanning $ 1,71)D Radon $ DPBR $ Zoning $ Bond $ ' rode ti ce $ Double Fee $ Structural Review. $ FP 1 2 7TS Total Fee Now Due $ 35� fi3 See Reverse side --* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspectioon fee will be charged _ - -- — —Da vip O Andrt.,e7 is(f1 Signature Signature �. Owner or Agent The foregoing instrument was acknowledged before me this I y -i h day of 20(, , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Commission Expires: k Michele H. Reiter 13 Commission # DD523 Expires March 4, 201 e�. Banded Troy Fain • Insurance, Inc. 800.385 -' Contractor The foregoing instrument was acknowledged before me this .-r day of 120=. , 20 Z, by -VRa..4cQ 6— L•sk..`r -Q-" 'r who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI oAtOg toga e'a M pMO A a Sign: Print My Commission Expires: ***************,*********** * ** * ** *** * * *** * *** ** ** * * ** * * *,, *,� *> * * ** *** *** *** ** * * ** * ** *** * *** *,* *** * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning , Wachovia Bank, N.A. FL7513 350 East Las Olas Boulevard Suite 1800 Fort Lauderdale, FL 33301 Tel 954 765 -3929 Fax 954 765 -3849 February 11, 2008 WACHOVIA TRUST City of Miami Shores Building Department Hand delivery Re: Adrian Gutierrez Guardianship property located at 1213 NE 94th street, Miami Shores, FL 33138 To Miami Shores Building Department: Wachovia Bank, N.A. as Guardian of the Adrian Gutierrez Guardianship real estate property referenced above, we hereby authorize Roche Roofing to move forward and obtain all necessary permits for the construction of the new roof at the above address. Please be advised that Roche Roofing is the contractor hired for this project. If you have any questions or concerns, please feel free to contact me at (954)765 -3824 or my cell (954)260 -4456 or email me at David.Andruczykl@wachovia.com Sincerely, -=- David Andruczyk, Assistant Vice President & Trust Real Estate Advisor David Andruczyk Assistant Vice President Real Estate Advisor WACHOVIA TRUST Wachovia Bank, N.A. FL7513 350 East Las Olas Boulevard, Suite 1800 Ft. Lauderdale, FL 33301 Tel 954 765 -3824, Fax 954 765 -3849 Cell 954 260 -4456 david.andruczyk1@wachovia.com Urkia Hernandez 1213 NE 94 St Miami Shores, FL 33138 To: The Miami Shores Village Building Department I, Urkia Hernandez am the legal guardian and mother of Adrian Gutierrez, a minor whose post office address is 1213 NE 94 St, Miami, FL 33138. This no - is to notify that the above address will have a re -roof done by Roche Roo •, i g, Inc. and the roof to wall connection by Zara Inc. general contractor. rua -mandez ®` . Jessica Dekker Q My Commission DD368503 ���Q Expires November 03, 200E Prepared by and return to: Marci Lowman, Esq. Partner Kim & Lowman, LLP 10800 Biscayne Boulevard Suite 725 Miami, FL 33161 File Number: 04- Gutierre -292 Will Call No.: �F 0T-Z248 [Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 20th day of July, 2004 between Orlando M. Hernandez, a married man whose post office address is 218 -15 Spencer Avenue, Jamaica, NY 11429, grantor, and Wachovia Bank, N.A., in trust, as guardian of the estate of Adrian Gutierrez, a minor whose post office address is 1213 NE 94 Street, Miami, FL 33138, grantee: (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO /100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 2, NIIAMI SHORES BAY VIEW, according to the Plat thereof, recorded in Plat Book 40, Page 16, of the Public Records of Miami -Dade County, Florida. Parcel Identification Number: 11- 3205-010 -0020 a/k/a 1213 NE 94 Street, Miami, Florida 33138. Grantor warrants that at the time of this conveyance, the subject property is not the Grantor's homestead within the meaning set forth in the constitution of the state of Florida, nor is it contiguous to or a part of homestead property. Grantor's residence and homestead address is: 218 -15 Spencer Avenue, Jamaica, NY 11429. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2003. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTime® Signed, sealed and delivered in our presence: State of Plantar Net County ofMiade Orlando M. Hernandez lh The foregoing instrument was acknowledged before me this day of July, 2004 by Orlando M. Hernandez, who [J is personally known or [X] has produced a driver's license as identification. [Notary Seal] Notary Warranty Deed - Page 2 Printed Name: JUS NOTARY PUBUC STATE OF NEW YORK #01 NI6016555 My Commission EUALIFIED IN QUF. is LINTY EXPiR DoubleTime® Monica Diaz From: Monica Diaz Sent: Friday, February 01, 2008 11:11 AM To: 'kia.hemandez @miamihabitat.org' Cc: Claudio Grande; 'diazm @miamishoresvillage.com' Subject: Roofing permit RF07 -2248 Importance: High Attachments: image001.jpg; image002.gif Dear Urkia: In reference to the Roofing permit RF07 -2248. My boss Mr. Claudio Grande asked me to notify you of the following in order to be able to release you permit as prompt as possible. Wachovia Bank is the holder of the Trust on the behalf of Adrian Gutierrez. Wachovia Bank has a representative of this Trust that you should contact as soon as possible and that person is the one that is going to write the letter authorizing the roofing job to be done at the house. At the same time that person is the one who is going to sign and notarize the application for roofing. The one we have in file has been signed by Adrian and he cannot sign it. I need you to please pass by the office or send some one to pick up a new application that I will have ready for you. As soon as we have that letter signed by the representative of the trust by Wachovia Bank and the permit application signed and notarized by that person as well, we will be able to release your permit. If you have further questions please do not hesitate in contacting us and we will be glad to assist you. Sincerely, Monica Lisseth Diaz Bldg Permit Clerk Miami Shores Village Hall 10050 NE 2nd Ave- Miami Shores, Fl 33138 (305)795 -2204 Ext 4865 - (305) 762 -4865 DIRECT LINE (305)756 -8972 Fax 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 111111111111111111111111111111111111111111111 CFN 2OO7R 1 06026 OR Bk 26026 P9 2813i C1Ps RECORDED 11/02/2007 09 413 :04 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COIJFITYr FLORIDA LAST PAGE 1. Legal description of property and street/address: / 2 l) /J- 9'4 .s -r V'/ ( cl4e4A,s , {'t- l39) 2. Description of improvement: Ri —ponf 3. Owner(s) name and address: 1) 6-utTi (I.�e� 1v( 3 9Y $7 r 1 Met if sfKP3, 5>i 3e( Interest in property: flee a to Name and address of fee simple titleholder: 4. Contractor's name and address: e t ica- 7 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: /74 STATE OF FLORIDA, COUNTY Cr' OADE I HEREBY CE,RTJFY i ai rs,gYt: ,;.*, ' of t ■,.,1 14,1,k. , 7. Persons within the state of Florida designated by Owner up rir44100rnO HARVEY RUVIN, CLr provided by Section 713.13(1)(a)7., Florida Statutes, By Name and address: 1 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: / 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different da ' - - • -cif 'd) i A2er -i 113 7006 Sjgnature o _ .... ‘;°' n Print Owner's Name 44 a- i -A' `/ �-�~ Prepared by F. J� c--e Sworn to and subs ribed before me this J day of , 20 07 . Notary Public Print Notary's Name My commission expires: Address: 123.01 -52 PAGE 4 5/07 Florida Building Code Edition 2004 High Velocity Hurricane Zone Uniform Permit Application Form MICME NOV 0 BY: Section A (General Information) 1/18 Master Permit Nio: 4 Process No. Contractor's Na e °to Job Address 5:r— ROOF CATEGORY ow Slope O Mechanically Fastened Tile O Metal PaneUShingles O Prescriptive BUR-RAS 150 0 Mortar/Adhesive Set Tit 0 Wood Shingles/Shakes ROOF TYPE 0 New Roof Re-Roofing ) 0 Recovering 0 Repair 0 Mai ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 34734 0 32j.734 Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overfkW.:. scuppers and overflow drains. Include dimensions of sections and :even% cleirly identify dimensions of elevated pressure zones and location of parapets. • SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement.between the owner ant the contractor. The owner's initial in the designated space indicates-that the item has been explained. 1. Aesthetics - Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4. f .1 Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof deck'. can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. The provides the option of maintaining the appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying arias of the ror • • • Ponding can be an indication of structural distress and may require tht etliirw ofa . professional structural engineer. Ponding may shorten the life expectaxnoy 11.rtd performance of the new roofing system. Ponding conditions may not be evident unti'1'tWoriginal roofing system is removed. Ponding conditions should be corrected. • "" "" • • • 6. verflow scuppers (wall outlets): It is required that rair:wa4er flow.off so'that the roof is not overloaded from a buildup of water. Perimeter /edge wilt t •dther roof ' • • extension may block this discharge if overflow scuppers (wall outlets! are jriot prof It may be necessary to install overflow scuppers in accordance with the'regitifrements of . Sections R4402, R4403 and R4413. 7. 9 ��� Ventilation: Most roof structures should have some ability to vent natural airflow thr. • : he interior of the structure assembly (the building itself). The existing • amount of attic ventilation shall not be reduced. It may be beneficial to consider additional enting whic . ' `ult in extending the service life of Me roof. 111111 • • • • 0 ner /Agent's ignature Date Contractor Signature Date / /-4"7 f'ii OF ASSEMBUES:AND ROOFTOP STRUCTURES Florida Building- Code 'Edition 2004 High- delocity Htirr1ca1ie tons Uniform Permit Application Form. Section C (Low Slope Application) Surfacing :�n�4 Fastener Spacing for Anchor /Base Sheet Attachment: Fill in specific roof assembly components and identify manufacturer (if a component is not used, identify as "NA") System Manufacturer: GAF 1 A r* A S GAT. Product Approval No.: 03 QSOI • 12 Design Wind,Pressures, From RAS 128 or Calculations: Pmaxl : q •2 Pmax2: --$2. G Pmax3 - -12*•3 Max. Design Pressures from the specific Product Approval system:_ Deck Type: 00C) Gauge/Thickness: HA N s. 5/57 Slope: )4." : 1 2.. 14.4X Anchor/Base Sheet & No of Ply(s): . IVA - -- AnchorBase Sheet Fastener/Bondingi Material: t PI/A Insulation Base Layer: t0;* Base If- : Insulation :Size and Thickness: Base Insulation Fastener/Bonding Material: 1`YA Top Insulation Layer: 1 - ' WA - Top Insulation Size and Thickness: WA Top insulation Fastener/Bonding Material: WA Base Sheet(s) & No. of Ply(s): 475 3Ase std' C2) Base Sheet FastenerBondin Material: 44.1- CAPS. Ply Sheet(s) & No. of Piy(s): 1a.'42JWIV 20 A fir) t- t£141B z Ply Sheet Fastener/Bonding Material: Nor- ist6r -'at H" - Top Pty: 1•-{.i u,.eAak Ch Top Ply Fastener/Bonding Material: -rot- **pi dt+ ripe"— FLORIDA BUILDING CODE—BUILDING ,4.. " Field: " oc � Lap, if Rows 2 9 oc P e r i m e t e r : R o w s 6 " 00 Comer. 4 " oc @ Lap, If Rows 4 @ 4 " o0 Number of Fasteners Per insulation. Board: Field NA Perimeter VA Comer Illustrate Components Noted and Details as Applleable: Woodblocldng, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Sparing or Submit a tY tr • ,ty cy V •. A••• • • • • • • • • • •••• • • ,••• •• • ••• •• • 3Wxg- ErA1V• 4$oe, 16.33 • •• • •• • •• • • •• • • MIAMIOADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUIIAING 146 WEST FLAGLER STREET, $U I 1603 MIAMI, FLORIDA 33130-1563 (305) 3752901 FAX (305) 375 -2908 GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AW). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AM (in areas other than Maud Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AM may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, statq and, following statement: "Miami Dade County Product Control Approved ", unless otherwise noted, herein, RENEWAL of this NOA shall be considered after a renewal application has been filed andthefe has been pp change in the applicable building code negatively affecting the performance of this produ r • : • • • • • • • • TERMINATION of this NOA will occur after the expiration date or if there has been a �$iptt or clt ,ih the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any.. product, for sales, advertising or any other purposes shall automatically marinate this NOi Pai1ure aeon* with any section of this NOA shall be cause for termination and removal of NOA. • •• • • •••• • • ADVERTISEMENT: The NOA number preceded by the words Maui. -Dade County, hat& and tgljowed by . the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, the$ ltshall be done in its entirety. • • • • INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA 02- 0408.10 and consists of pages 1 through 31. The submitted documentation was reviewed by Frank Zuloaga, RRC. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23/03 Page 1 of 32 • • • • • ROOFING SYSTEM APPROVAL Category: Roofing Sub- Catesor_y: SBS/APP, Modified Bitumen Deck T_vae: Wood Maximum Design Pressure -75 psf Fire Classification: See General Limitation #1 • TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (Matrix's 307 Primer) GAF Mineral Shield® Granules GAF WeatherCoat® Emulsion (Matrix"4 Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (MatrixTM System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (MatrixT' Standard Wet/Dry Roof Cement 204) GAFGLAS #75® GAFGLAS #80 UltimaTM Base Sheet GAFGLAS Flex PIymt 6 GAFGLAS Ply 4® GAFGLAS ®Mineral Surfaced Cap Sheet GAFGLAS® STRATAVBNT® Eliminator Perforated Drone 5, 55 gallons 601b. Bags 100 lb. bags 5 gallons 1, 5 gallons 1, 5 gallons 3937" (1 meter) Wide 3937" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide Test S.eedfication ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 2824 ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D4601 ASTM D 2178 ASTM D 2178 • ASTM D 3909 ASTM D3672 ASTM D 4897 Product Description Asphalt concrete prig used to promote adhesion of asphalt in built-up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF M+Imeral.Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. Refined asphalt blended with a Attend: stabilizer and fibers. :Peq s adhesion to wet and dry surfaces.• • • • • • Asphalt impregnated antioated mat base sheet. •••• • • .. • • Asphalt impregnated.a seated, . • fiberglass base sheet**. • • • • • Type VI asphalt imp tQd glass felt with asphalt coating.' ' • •••• • Type IV asphalt im glass%tt', with asphalt coating. • • Asphalt coated, glass fiber mat cap sheet with mineral granules. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules emtulded in asphaltic coating with factory perforations. NOA No: 03- 0501.02 Expiration Date: 11/06/08 Approval Date:10/23103 Page2of32 Membrane Type: SBS/SBS. Cold Applied Deck Type 1: Wood, Non - insulated Deck Description: 19 /32" or greater plywood or wood plank decks System Type E (1): Base sheet mechanically fastened to roof deck. All General and System Limitations shall apply. Base sheet: ✓ GAFGLAS #80 UltimaTM Base Sheet, STRATAVENT® Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROIDO 20, RUBEROID SBS Heat WeldTM Smooth or RUBEROID SBS Heat-Weld 25 base sheet mechanically fastened to deck as described below; Fastening V GAFGLAS® Ply 4®, GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any Options: of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure -45psf See General Limitation #7) GAFGLAS® Ply 4®, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drib Tee (GAMIE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally space! approximately 12" o.c. in the field of the sheet. • (Maximum Desk Pressure -45 vsf See General.ljitatlon #7) t'GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (' gg ig, Pressure -,52.5 s See General.Limitativn #7) GAFGLAS #75 Base Sheet or any of above fs attac bed to deck with Drill Tec (GAPTITE) #12 or #14 Screws and 3" Plates, 12" o.c. in 4 rows. Ane . row is in the 2" side lap. Tlx other . rows are equally spaced approximately o.c. in the field of the sheet. (Maximum Design Pressure -60 psf, See Gbnerazt • Iimitalion #7) • • Any of above Base sheets attached to deck approved annular'abank nails and 3" inverted Drill-Tec (GAFTITE) insulation plates at a fasteno ng of9 o p at the 4" lap staggered in two rows 9" in the field. (Maximwri j4eagn Pregurp,- 60 psf, See General Limitation #7) • • • GAFGLAS #75 Base Shed or any of above Base .sheets attached to deck with Drill -Tee (GA11Tt '') #12 or #14 Screws and 3" Plates, 8" o.c.nn 'Crows. • • • row is in the 2" side lap.. The other rows are equally spaced approjtgately 9* bee. in the field of the sheet (Maximum Design Pressure -75 j4 Seb Gbineral • • • Limitation #7) Ply Sheet .1 (Optional) One or more plies GAFGLAS PLY 4®, GAFGLAS Flex Ply 6, GAFGLAS #80, RUBEROID MOP Smooth or RUBEROID 20 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20- 40 lbs./sq. NOA No: 034501.02 Expiration Date: 11/06/08 Approval Date:10/23 /03 Page 26 of 32 Membrane: ✓ One or more plies of RUBEROID MOP Smooth, Ruberoideop -'1;O Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, uberoid® 20 Ruberoid® 30 or Ruberoid® 30 PR or Ruberoid® Mop FR or RUBEROID UltraCladrm SBS in adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs sq. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROID® Mop 170 FR, RUBEROID® Mop Plus Granule, Ruberoid® 22, , RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID U1traCladim SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1-2 gat/sq. Surfacing: ✓ (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following. 1. Gravel or slag applied at 400 lb./sq. and 300 lb./sq. respectively in a flood coat clammed ved asphalt at 60 lb./sq. f 2. C. , GLAS Mineral Surfaced Cap Sheet)n an approved asphalt at an application rate of 25 IbJsq. ± 15%. 3. GAF Weathercote® MB +(Matrix 715 MB Coating), Applied at 1 to 1.5 PI./s% 4. Top Coat® Surface Seal SB(Matrix 602 SB Coating), Applied at 1 to 1.5 Maximum Design Pressure: See Fastening above • • • • • • • • • •• • • • • • • • • •••. •••• • • • •••• •••• • ••• • • • • • •• •• •• • • • • • • • • • • • •••• • • • • •••• • • • •• • ••• • • • •• NOA No: 03. 0501.02 (Expiration Date: 11/06/08 Approval Date:10/23/03 Page27 of 32 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with Ply 4 and Flex Ply 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum V" Dens Deck or 1 Type X gypsum board is acceptable to be installed directly over the wood deck GENERAL LL IITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbssq., or mechanically attached using the fastening pattem of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4'x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (FT) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field -tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the .:. Building Official, a revised fastener spacing, prepared, signed and sealed by a Fl idp .egister Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener itacits shall utilize the withdrawal resistance value taken from Testing Application Stan'h'ax 2fl AS 105 and calculations in compliance with Roofing Application Standard RAS 117. .... ... 7. Perimeter and corner areas shall comply with the enhanced uplift pressure re iae ents et Wee areas. Fastener densities shall be increased for both insulation and base slicet siocalculate44 compliance with Roofing Application Standard RAS 117. (When this iimitatitn.fs sp referred within this NOA, General Limitation 4P) will not be applicable.) • 8. All attachment and sizing of perimeter Hailers, metal profile, and/or flashing ternhinatiou designs • • shall conform with Roofing Application Standard RAS 111 and applicable wind load fi {u irenal de 9. The maximum designed pressure limitation listed shall be applicable to all roof prtisurt zone$ tie. field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permitted for ` enhanced fastening at enhanced pressure zones (ie. perimeters, extended comers and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B-72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No: 03- 0501.02 Exp lratlon Date: 11/06/08 Approval Date:10/23/03 Page 32 of 32 • • • • • • • • • • • dti:t'a ntaIiiiliewbat mesa...+ ROOF COVERnifit MATERIALS (TEVT) Roofing. Systems. (TGPU)—Cimfihtu d ASPIIALT.F13I1' SYSTEMS WITH HOT ROOFING ASPHALT G2 gam mat base duet ("GAFGLAS #75 them Steer or d �" `4th Based Mem ."GAP sheet - a 'ter be sue' Y Toltii' be f ��d g mild side dawn ' �b�s rMVP Base B�Aes,"as - or "GAP Stratavent a , • .� -de g met (� le" be for GI asphalt .. ..'� libit ply sheet Sheet GLAST•�)y.> for Vi PRj/+e i1 _. bie- •in the ("f�APQ,AS' �i�`�'�� erg j+�y'� )' as t� . or> -sheet May be.solid mopped1 spot rot4ped or m- « or "Itabemid ". maybe used for m any of the autkA, li r - When u lS .- ink " . _ or �r one Pte: for• gravel iin any of the Gds A, siaamecrf � 8 oat C syst+ to } is B are b b. is a C1513 2orNC- • � efol%Gass ?Bor.0 systems does not ei tihe use o iI2 in. Min mama lidtable fib ' Crass or C A :" d ie hienl*- _ � Ate utilised wlth any of the f " Pelt - 1 ntaY be used in any of fOlkwing sva'LA'3 F cP1pP is a sn ta'hle attei hate to "GAPGLAS -Ply b • "GA.FTEMP Pearce Recover :ice" may be used in lieu a any pante insttlatdan in any of the following NC elsgstiratinn, • Clams A, Band C Hot Mofirigasphalt, for use withorg nit an:lease felts or modified bitumen Heat weld" MS roof:mg be used in lieu of "Rube l Map" SBS :proitct:: in any applicable C 1. Deck C -15/32 % A incline 3 'neaten:in (Opttonalk One or more layers peiife, wood fiber, glass bueyanmate, methane, /isocyanurate to 6 nimc ' ... a ` mime dthfatea a. , " - 1ltiee' ' Tye � �1Silai.AS PTy 4", GAFGi.A6 Surfadng GraveL 2 C-15/32 Incline: 2 Insulation (Optionalk One or more layers pettily, wood fiber, glass mediate composite, wood fiber/ierganurate fanninadte, dlien°lic any rd Sheet- Three or m� layers � GI "GAPGLAS Ply 4" or "� PlY layer Type 6 "• Cap Sheet One G3 "GAIGIAS mtheral Surfaced Cap Sheet". - ink 2 3. � (Optional): One or more layers perlite, wood fiber. ate., r/o� , pbtenoliC, 2 in. Ply Sheet Two or more layers Type G1 "GAFGLAS Ply 4" or "GAP- GLAS ap he 6". Type G3 "GAPGLAS Mineral Surfaced Cap Cap slicer: One layer Yl� Sheet". Incline 1/2 4. Dec NC k ROOF CA diA (TM 173 Ramat g Systsnns -Cunt algid. Ply Sheeb AnyULCla fied geavel surfaced A fiber Dew 15132 Insulation: One or two layers "Isotherm R ". 4 in. max, hot mopped. Slip Sly (, ylipe4.rtailed i ndech. nalleAsiteet Cap 6 =T.:_` :H ral.Sudaced Cap 6. 1 $ :, ' S Layer Type G2 "GAFGLAS 5 Base SSheer., Base { X7°1 `y e G «�+� F1y 4 PIP Math One orMore.l at .•,... Cap Sheet ' � I "� Ramat; Surface] Cap 7. A C-15/32. • - ient. ne ire Ia um' pedite/isocyammte , P /un phe- nolc,1A in. min ( p 6 ). B One or Morelayers Type Gl, GX or "( ,or m uI Granule) ), Cap Sheet td � Cap ' hat mopped. $. II - ' a Orti: o mores lam p,, ,v.�w'oo�Gd fibe.�r, a ]lie perI1te /,is eyma co yam, perlite/ -Base. Shut 1WO car layers T'YPe G2 or G3. , PIy Sheet (OpsanaI) - One or nmce:layers lype.a' orGraanuIe }, " Ust P u,�+eanule) � �" ( th or Gumnle) C " D 1 Stn; d..Cap Sdteet", lust mop(ied. Cog- Sheer, - °" - Class B:' 1. Deck C -15/32 - Iitdine: 3-1/% Mason <O �perli / /3� i b • • • (pPly Sheet liana oar none lays 3ype,cl XAFGL `' - 4 "_o�r� "/e Cap Sheet: v" jype c s "GAPGLASU�T1WU e/ surrac._ t wane" , • • • • • •• nOiteioid Tiom r ):' MDP . . ,.. f ' wood fir/ phenolic, any • • • urethane composite, 2.! C 15 /TL •. ••• 3-1/2• •• Insulatiom (Optienalh One•or mm f '; antaato "a"'" wood f ._ •• • • Base Sheeb Two or more layers i 22 9r • • • • • ld One ora�elayers or Liam*" Such isthmoid Mop" S •Gra:tole) • or "Rube Mop Cap "GAPGLAS Kanerad Surfaced Cap Sheet", lint mopped. 1 Class C Deck C-15/32 Incline 1/2 I 32 One or more layers perlite, wood: fiber, glass fiber, isocyanurate, urethane, > /� / ua , word f3seirlis Ply Sheeb Three or more layers Type GI "GAFGLAS Ply 4" or "GAPGLAS Ply 6 ". Surfadugr Ring 'ihtumen" 20 lbs /sq. COAL TAR PBX SYSTEMS WI HOT ROOFAdG COAL TAR Ckes A L Deck C-15/32 • Incline 1/2 wood fiber, glass Insulation (Oplio�) One or more layers perli� 1 fiber, isocyanande, urethane, 1 te/ate composite perhte woad fiber/lencY runete comPosiie, Phenolic, any unthane composite, LOOK FOR THE UL MARK ON PRODUCT Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 RECEIPT PERMIT #; aO 1" 4Z DATE: 41 Contractor ❑ Owner ❑ Architect • Address: Ar / 1--13 ► °146-1' ko Ko-cfrweca From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLEARK INITIAL: RESUBMITTED DATE: PERMIT CLEARK INITIAL: Masa Soo eePillafe W(4 Ve soveteie ei 10050 NE 2nd Ave * Miami Shores, FI 33138 Phone 305-795-2204; Fax 305-756-8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Date: 3 --.277 o1P Property Address: / Z/3 //E 99- sr Roofing Permit Number: Dear Building Official: I =- + certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family F.A.C. ential Structures as adopted by the Florida Building Commission by Rule 9B -3.047 eys.2-GE .--.4-10-061-c.c.= i Signature Print Name License Number State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this 2 ` day of tifirrL 20 08 Notary Public, Sate of Florida at Large (SEAL) „<:# „,,,t, ORLANDO NUNEZ : ... °•;� _, ,.l -<. MY COMMISSION # DD 526228 7. 101 44” EXPIRES: March 18, 2010 '%y,o F-$P' Bonded Thru Notary Public Underwriters ORLANDO NUNEZ MY COMMISSION # DD 52022$ EXF'INES: March 18, 2010 Bonded Thru Notary Public Undsyiriters FINAL COMPLIANCE ��������������s, — ©J. «m�������» � : � � � � �� � � � � � � � � � � � � � e� <� � � . .�.��z.- «e ,yz� J �- ����� ? »?� . ay.. � .. . : � � 2� � � � � � � , �� � � � \ . ��� :v,; «� \ . :..a .. .a � 11t ti Voted tiutt S14 24teteogear 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com RE: Permit# l-O 5`j DATE: 2 -IS—o8 (71,00,:et_. INSPECTION AFFIDAVIT , licensed as a (n) Contractor / Engineer / Architect, (Print name and circle License Type) FS 468 Building Inspector License #: 0-3135 © ©9 543 On or about 2-- so - og (Date & time) secondary water barrier work at IV .)3 N. 24 .2-r (Complete Job Site Address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual Based on 553.844 F.S) , I did personally inspect the roof deck nailing and /or Signature 014 State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this 3 4.2% day of cam--. Zoe Notary Public, Sate of Florida at Large ?Qt,�Y I ORLANDO NUNEZ ; s . ,,, MY COMMISSION # DO 526228 ri" EXPIFr=G M rrh 1f 2f11t1 Bonded Thru Notary Public Underwriters *General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection at • . *,,, • . • • • a• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ♦ • • • • • • • • •• • • • • • • • • • • • • • •+ • • • • • • • • • • • '• • • ' • r .i 1r.: • • �! • •. • c Qef 0-1,7 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 04/11/2008 Inspector: Grande, Claudio Owner: HERNANDEZ, URQUIA Job Address: 1213 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: ZARA INC OF07-22.4T Permit Type: Roof Inspection Type: Final Work Classification: Hurricane Mitigation Block: Phone Number 305/984 -9499 Parcel Number 1132050100020 Lot: Phone: 305 - 856 -6123 Buildin Department Comments Mitigation for roofing permit RF07 -2248 Apg 1 1 210 LiInspector Passed Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, April 11, 2008 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 04/11/2008 Inspector: Grande, Claudio Owner: HERNANDEZ, URQUIA Job Address: 1213 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: ZARA INC Permit Type: Roof Inspection Type: PE Certification Letter Work Classification: Hurricane Mitigation Block: Phone Number 305/984 -9499 Parcel Number 1132050100020 Lot: Phone: 305 - 856 -6123 Building Department Comments Mitigation for roofing permit RF07 -2248 ft Passed Inspector Comments Affidavit from contractor that all work has been done on the hurricane mitigation as per Rule 9B- 3.047. On file 4/1108 CG Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, April 11, 2008 Page 1 of 2 COMMERCIAL - RESIDENTIAL Reliability and Excellence Covers it all. Rr 08-51 RECEIVED JAN 1 0 ENI'0 BY:J1"" HURRICANE MITIGATION RETROFITS FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES According to Florida State law Pursuant Section 553.844 F.S., homeowners that have a just valuation for the structure for purpose of ad valorem (assessed value) are required to a minimum 15% of roof value to have proper tie down at roof to wall connection. If proper tie down is present, then no further work has to be done. A general contractor must inspect the structure for proper tie down. Roche Roofing Inc and/or the general contractor will tie down the 15% minimum required but is not responsible for any wind related damage. General contractor may recommend additional work to be done for warranted purposes. Home owner will be advised of the scope of work that has to be done. Some municip ties may require a permit to be submitted for this retrofit to be performed and . fee f e be applicable. II & the homeowner, agree to these terms by 7570 N.W. 14th Street • Suite # 111 • Miami, FL 33126 • Tel : 305.220.ROOF(7663) • Fax: 305.599.1377 www.rocheroofing.com rkkvta 11-01.. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BUILDING PERMIT APPLICATIO FBC 2004 795.2204 Fax: 305 756.8972 CEIVED .IA g END) Permit No. BY. Master Permit No. /to Permit Type (circle) Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 4 xv i oAA i GU Ire 1- Owner's Address 1? 13 G q,( . City 11/4ktb.vV+ti, ,ln,UWa State -(y o Zip 13 t 3 8 Phone# -1Vo•2(oI ' 7(qB Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # /,213 f � County Miami -Dade Zip Is Building Historically Designated YES NO_ Contractor's Company Name �% _ : E..% 0 i AF A Phone #7164 - d ° jam Contractor'.. Address ,/ -26- City I. State Amy Zip ./ _ /(',/ Qualifi r Name ^�`7 - Phone # ` 6 -42_77 ° 3,117 State Certificate or Registration No. (9/a ,00.0,ref Certificate of Competency No Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Pera Square / Linear Footage Of Work: oftRider ZD Type of Work: ElAddition Describe Work: Iteration' ONdiv lRepair/Replace 0 Demolition • OP *** *, *** * *** * * **** * * * * *** ****** * *** * *** Fees ************** ** * * * **** * *,r*** *x * ** * *** * * * *** Permit Fee $ /6 0 - . CCF $ Ill CO /CC Notary $ *- Training/Education Fee $ d AO Technology Fee $ ` ,'St) Scanning $ DPBR $ Zoning $ Bond $ ode Enforcement $ Double Fee $ Structural Review. $ F 3 c '' Total Fee Now Due $ 101 ` Submittal Fee $ ., 4 17Sj' VILLAGE See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AI'r'!DAVIT: 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 App promise in g whose prop for the first inspectio 'cant: As a con d faith that is /subjec ition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must copy of the notice of commencement and construction lien law brochure will be delivered to the person to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site which occurs seven (7) days after the building permit is iss ed. In the absence of such posted notice, the approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing ' ent was acknowledged before me this 2 The foregoing instrument was acknowledged before me this d a y of jciAjNinv, 20 0L , by U r k ; (sz 1-14retard!. 2. d a y ofd o-,--- , 20O , by j . ■fab)+. ear -4.• , who is personally known to me die& who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: SAND `. ': . CIL My Commission Expires: °■uc °uaaenuca.aaaanunoauunneIna SAf� .RAJ. CAMPBELL APPLICATION APPROVED BY: (Revised 02/08/06) Cornrn# DD0641580 r Expires 2/1812011 Florida Notary Assn., tnc NOTARY PUBLIC: Sign: Print: My Commis 3;4At kakl�dtl'tl _-, COMMISSION # DD Bonded Thru Notary Public Und ' titers 1*************************************************** Plans Examiner Engineer Zoning