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PT-08-0114U wit .A '• "_- 02:10'00 THT_' 16:411 FAX 9S4 475 1462 Poly barn Products Inc. Nov anO•••r•N•"Moot ►•,N 10•n••i•TU•1 twoom W40,00 t i4, Sin.: sofa"• •Fq•n•t toot e•• move Class ���✓ /i •. / Fiat , Low Profile Tile NI:., :gym Profile Ttle H4,, ?horde T:Ir Broward County W ;'. ;Faddy; ICqfod #2 • vmedhtifi -Paddy Placement) V 003 Fiat? L�c;iti• ' 'fige *-, tle. • • • • • 4141 • • 4141 • • • W • 4141. 4141 1) Starting at the 'eave course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 3/4" (19 mm) foam paddy (minimum 24 gram shot) onto the undcrlayment positioned as shown under the strengthening rib closest to the Overlock of the file being set. 2) Continue in same manner. Insure approximately 10" (64.5 cm) - 12 (77.4 cmr) square inch adhesive contact with the underside of the tile. lediuni Profile Tile (Double Pan Tile) 1'} Sttvdn.- at the cave course, app,; a minimLu -,,, 2" (50.8 ini) x 7" (177.5 mm) x 3,4" (19 m;-11) foam paddy (minimum 24 gram shot) onto the ,. "' 0• underlkyment positioned as shown under the pan portion of rl:e rile closest to the Overlock of the the being set. 2) Continue in same manner. Insure approximately 12 (77.4 cm) - 12 (90.3 cm-) square inch adhesive contact with the underside of the tile. High Profile Tile (Single Pan Tile) 1) Starting at the eave course, apply a minimum 2" (50.8 m:n) x 7" (177.8 nun) x 3,4" (19 mm) foam paddy (minimum 24 gram shot) onto the underlayment positioned as sho%m under the pan porron of the tile closest to the Overlock of the tile being set. 2) Continue i-r1 same manner. Insure: approximately 1, (109.7 cm--) - 19 (122.6 em) square inch adhesive contact with the underside of the tile. R Page 4 July 26, 1999 PRODUCTS. INC. • 0.000 • • . • ••• 4141 •• • • • •• •• • • • • • • • • • • • • • • 4104, • • • • - • 41.41 • • • • ••• ;'. ;Faddy; ICqfod #2 • vmedhtifi -Paddy Placement) V 003 Fiat? L�c;iti• ' 'fige *-, tle. • • • • • 4141 • • 4141 • • • W • 4141. 4141 1) Starting at the 'eave course, apply a minimum 2" (50.8mm) x 7" (177.8 mm) x 3/4" (19 mm) foam paddy (minimum 24 gram shot) onto the undcrlayment positioned as shown under the strengthening rib closest to the Overlock of the file being set. 2) Continue in same manner. Insure approximately 10" (64.5 cm) - 12 (77.4 cmr) square inch adhesive contact with the underside of the tile. lediuni Profile Tile (Double Pan Tile) 1'} Sttvdn.- at the cave course, app,; a minimLu -,,, 2" (50.8 ini) x 7" (177.5 mm) x 3,4" (19 m;-11) foam paddy (minimum 24 gram shot) onto the ,. "' 0• underlkyment positioned as shown under the pan portion of rl:e rile closest to the Overlock of the the being set. 2) Continue in same manner. Insure approximately 12 (77.4 cm) - 12 (90.3 cm-) square inch adhesive contact with the underside of the tile. High Profile Tile (Single Pan Tile) 1) Starting at the eave course, apply a minimum 2" (50.8 m:n) x 7" (177.8 nun) x 3,4" (19 mm) foam paddy (minimum 24 gram shot) onto the underlayment positioned as sho%m under the pan porron of the tile closest to the Overlock of the tile being set. 2) Continue i-r1 same manner. Insure: approximately 1, (109.7 cm--) - 19 (122.6 em) square inch adhesive contact with the underside of the tile. R Page 4 July 26, 1999 . t to 111JUMING CODF. C0MFLIAKCR OFFIC4 (BCCO) tRODUCT CorMOL DIVISION •• •• • • . •.. •. • • • ••• • • • • .•• HL,kM1 -DAM CGUNIY. FLORIDA • I40 w* 1rL %G*P—*q*Wr, GuIn 1643 .� .;. '.0lAMP. jZOjJDA3313Q -1%3 (305) 375 -19.41 FAX (303) 375- -1901 NiOTjcZ ©F ACCIEP TANCE (NOA) ...... -:0, . i'W oam Products, bm :0: • • • • • 11715 Boudreauu head • .. .. . ....... Tomball TX 7"l 75 scutm: This NOA a being issuod under the applicablo avle s and rcgulatioaas govtming elan use of eonstevAtion materiatsx The docamtetion snbudt trA has bees reviewed by the BCCO alld atxapted by the Bw1ding Code rind Product Review Committee to be used in Miami Dade County and other atw whom allowed by the Aud milt' Having briedicdon (AHJ). This NOA dW1 not be valid after the agi1redion date stated below. 'mac BCCO (JU Miami Dade County) aadlar tlao AW (in eercas odu r than Miami Dade CouW) restive the eight to have this product or material tasted for quality► assaraace purpose li' this product or material to peafatrn in tho accepted manes, the maattfarttueer will hWW the eatpoose of such testing and the AW a:ay immediately revoke, modify, or sa>q Md the use of soot► product or material within their. Judsdiedon. BCCO tosasves the tight to revoke thus WCOPUnce, if it is doterrniced by ECCO that this prodoct or material faits to meet the requirements of the elaplicable building code. This product is approved as described heain, and has been desig med to comply wish the Fligb vetooity Hurricane Zomo of the Ploride Building Code. DESCRIPfioN: Potypro® AM60 RIENEWAL of albs NOA shall be considered after a renewal application has borax f)Ied and tht= bas been no change in the applicable bedtding code negatively affecting the pedormance of this product. NATION of this NOA will occur after the expiration date or if there has bew a revision or chasregc in the materials, use,, and/or manufacture of the ptodad Dr ptorass. Mis m of ft NOA as an endorxaonent.of Gay product, for sales, advertising or awry other purposes shall automatically terminate this NOA. tenure to comply with any section of this NOA abed be cause for termination and ranoval of NOA ,ADVEll 17SEMBN T.- The NOA number preceded by the words Miami -Dade County, Florida, and followed by the cxpiredon date may be displayed in advatisingc literature. If any portion of the NOA is displayed, them it shah be done in ius a6vty. JNSIPjkM0N: A copy of dais entire NOA sball be provided to the user by the a aaareufaeturer or its distributors and Phan be available for iatspoetion at the job site at the request ofthe Building Official. This NOA mmm NOA No.014521.02 and consists of FWW 1 through 7 The: submitted docaueeutation was tcviowed by J ge L. Ac*o. 1qOA r4a.: 06.0101.63 Aft tEspiire iun Date: 050/11 Apprewl Date: 04/131161 Pav t of 7 . . s �esda Scron Z This spprovr Felypro§ AUJ 60 as aamfictared by PeWbaw Probe�i of d is Notice of Acceptance. For the locations whoa the design ytesssa m xegairotn10U6 as ddwminod by applicable building oo4 does not exceed the: dta p p asu re valaw. obtailmd by caladations in compbum with. Roating Application Steadard 1lAS 127, for use with aplmaved flat, low, and high prof le remf tiles oyster using Polyprot AH 160. Whrare the a#acbnw tt calcuiledone arc done as a moeaetont based system for single Ratty plaeet =t, and as as uplift based syttem for double patty systems PRODUCTS MANWA.CT'tJRR ZY APPLICANT: Product Tost 8B2jftLdM PolyproO AH160 N/A TAS 101 Foatnp us R771 000 N/A PmPackV 30 & 100 NIA PRODUCTS MANUFACTURED SX OTHE]IIS: Two component poles foam adhesive Dispeming Wpinwt Di.Vandn$ pgvipment Any Mimi-Dads Couuty Product Control Acogatcd hoof 77le Asaombly having a otrrent NOA which list momcut resistance values with tba use of Polypro AR160 roof tle adhcsiva POYSICAL PROPER'1 M: TAE JK429M Dcnclty ARM D 1622 1.6 U*JfL' Compressive Sftngtb ASTM A 1621 LS PSI fwaltel to list 12'PSIPerpendicular to roe Tensile Strength M7M D 1623 2B PSI Parallel to rise Water r Absoml lon ASTM D 2127 0.031b8JFt2 Moisture VeporTransmission ARM 1, 96 3.1 Petm I inch Dimensional Stability AM D 2126 +0.07#A Vo)a= Cheenge G -40"F., 2 waeka +6.0% Volume Chew @1597.,100% Humidity, 2 weeks Closed Coll Contend AMU D 2856 86% Note: The physiad properrlm listed dove Ore presented as typieal uvoo up vaiuce as determined by accepted ASTM test sadhods and are subled to normal manufacb0 iag v4Ae►t1on. . ... . ..S . ... ROOFING ASmwa ANPROVAL: : :.' ' : ' . ' :: •' • Roofing Sub Category: Roof tile adhesive l' lyar+at>mec . . s �esda Scron Z This spprovr Felypro§ AUJ 60 as aamfictared by PeWbaw Probe�i of d is Notice of Acceptance. For the locations whoa the design ytesssa m xegairotn10U6 as ddwminod by applicable building oo4 does not exceed the: dta p p asu re valaw. obtailmd by caladations in compbum with. Roating Application Steadard 1lAS 127, for use with aplmaved flat, low, and high prof le remf tiles oyster using Polyprot AH 160. Whrare the a#acbnw tt calcuiledone arc done as a moeaetont based system for single Ratty plaeet =t, and as as uplift based syttem for double patty systems PRODUCTS MANWA.CT'tJRR ZY APPLICANT: Product Tost 8B2jftLdM PolyproO AH160 N/A TAS 101 Foatnp us R771 000 N/A PmPackV 30 & 100 NIA PRODUCTS MANUFACTURED SX OTHE]IIS: Two component poles foam adhesive Dispeming Wpinwt Di.Vandn$ pgvipment Any Mimi-Dads Couuty Product Control Acogatcd hoof 77le Asaombly having a otrrent NOA which list momcut resistance values with tba use of Polypro AR160 roof tle adhcsiva POYSICAL PROPER'1 M: TAE JK429M Dcnclty ARM D 1622 1.6 U*JfL' Compressive Sftngtb ASTM A 1621 LS PSI fwaltel to list 12'PSIPerpendicular to roe Tensile Strength M7M D 1623 2B PSI Parallel to rise Water r Absoml lon ASTM D 2127 0.031b8JFt2 Moisture VeporTransmission ARM 1, 96 3.1 Petm I inch Dimensional Stability AM D 2126 +0.07#A Vo)a= Cheenge G -40"F., 2 waeka +6.0% Volume Chew @1597.,100% Humidity, 2 weeks Closed Coll Contend AMU D 2856 86% Note: The physiad properrlm listed dove Ore presented as typieal uvoo up vaiuce as determined by accepted ASTM test sadhods and are subled to normal manufacb0 iag v4Ae►t1on. NOA,1gw 064201.02 x1ph2 iea Dow. 05/10/11 Approval1h2e: "1W x+ V"ATIONS: 1, Kro classification is not pat of this acceptance. Raft-to the Prepared nof'iilc A.mcmbly for fire M019. 2. Polyprodl A Hl60 shall solely k e used with flat, low, dt high the proflcs. 3. Minimum wodorlaymem shall be in compliance with the Roofing Application Standard 1tAS 120. 4. Roof rile mamutho m+es acquiring acceptaaeo for the ut¢c of PolyprocP AH160 roof the adhesive wi86 their tale aesombltos abed test in accordance with TAS 101. - 5. Roof TU-c manufacuna acqutttng acceptance for the use of HAND14TICK roof file adhesive witb their tale asanblies shall test in motdance with TAS 101 with section 10.4 as modifiedhatein. i F! w MS NOA No: 06-0241.02 ° . R:plraven Date: 45110/11 �w Appraval Date: 04/13146 Page 3 of 7 •• • • • Tat Aanc_ v Test tdenger .. . . . •.iA Nam .. • . • • ate Center for Applied Engine aing #P94-060 TAB 101 04108/94 25 .7818 -1PA AS lgl .. 17116196 2S- 7438 -3 - •S t, -F: ... ; . - 1.0/29/95 25- 7438-4 . - - - - - :0. • 25-74357 -- •SYM1P93: :•• •:11/02 5 25 -7492 SSTD 1193 12t12/95 Miles Laboratories N$ 389.631 ASTIR D 1623 07101/94 Potyni m Division R.amweh Laboratories, Inc. 9637 -92 AMU E -108 04 /30/93 Southwest Research lmatitatc 03- .6743 -011 AS'I'M E 108 11/16/94 01- 6739- 062b[I] ASTM B 84 01116195 Trinity wing 7050.02.96-1 TAS 114 0311406 WONX corp.'Cesti g Sesvicos 528454-2-1 TAS 101 10123/98 528454.9 -1 528454 -104 520109 -1 TAB 101 12128198 520109,2 520109 -3 520109 -6 520109 -7 $20191 -1 TAS 101 03102/99 520109-2-1 x+ V"ATIONS: 1, Kro classification is not pat of this acceptance. Raft-to the Prepared nof'iilc A.mcmbly for fire M019. 2. Polyprodl A Hl60 shall solely k e used with flat, low, dt high the proflcs. 3. Minimum wodorlaymem shall be in compliance with the Roofing Application Standard 1tAS 120. 4. Roof rile mamutho m+es acquiring acceptaaeo for the ut¢c of PolyprocP AH160 roof the adhesive wi86 their tale aesombltos abed test in accordance with TAS 101. - 5. Roof TU-c manufacuna acqutttng acceptance for the use of HAND14TICK roof file adhesive witb their tale asanblies shall test in motdance with TAS 101 with section 10.4 as modifiedhatein. i F! w MS NOA No: 06-0241.02 ° . R:plraven Date: 45110/11 �w Appraval Date: 04/13146 Page 3 of 7 •• •• • 0 • •• •• • • • • • • • • • • • • • ••. , • • • ..• 1. PolyprMO AH160 may be used with airy roof the aawtb� gavini a cinegi f 6% bflak* i HIG uplift rosstance valves with the use of PolyproO AR160. • • • • • Z. PolyproO Al -I160 A udl be applied in oomplianco with the Compmaut Aprplicadon scalar and the eomeaponding Plece mcat)?atalls noted he thL The roof fas avembllt's adbesiv.4ftebowt with (house of Polypro* AR160 shell provide mvMciens e.ttaclOW 'er ed an uplift based syd=4 to meet or exceed the uplift resistance deter tink as 6* with N"-Dada Couaty Roaftng Application Standards RAS IV. no � attachment data NNW in the goof tile, amembly NOA 3. PolyproO AR160 roof file adhWvoe and its eompotteaats shall be hAded fn accordanco witb Roofing Application Siao&rd RAS 120, and Polyfoam Products, Inc PolyproO AU160 Opamting lnonetion and Maintenance Bc olde . 4. Installation must be by a Factory Trained 'Qu I ied Applicator' approved and licensed by Polyfioam Products, Inc Polyfoam Products Inc. shall supply a list of approved applicators to the authority hvvingjurisdWm S. Calibration of &C FoumproO. dispensing equipment is regairedbefore, application of any adhesive. The mix ratio bctwom the "A" component and the "B" ao�anpone d aball be mcdatauaed between 1.0- 1.15 (Aj: 1.0 (B). The dispense. timer shall be act to deliver 4.0175 to 0.15 pouu& per file as dctacOned at edibration. No other settings ehall be approved. 6. Polypro4D AN] 6U shall be applied with Foampm RTF10OO orPeoPackS 30 & 100 dispensing apdpme nt cmly. 7. PolyproM AH160 shall not be exposed permanently to sunlight. B. 1""des must be adhered in freshly applied adhesive. 'file must be set wtft 2 to 3 minvms adtcr Polypro4D AM 60 Us been dispensed. 9. Polypro4D AHI60 placement and m9nimum patty weight shalt be in accordance with the 'Placmne w Details' herein. Each generic the profile roquim Lhe specific plaovrace noted horoln. Table 1: Adhesive Placement For Each Generie Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. tna 35 Two )paddy Weight per paddy Mim ttuv N/A F184-Low, Hjgb Profiles #1 Higb Profile (2 Piece Barren C. _ 1'i /side on cap and 3 N/A NIA'— � .Flat, LOWlMgh Profiles #2 24 IPJA Low, jy h profiles . 03 R LABELING: All Polypmg AR 160 containers shall comply with the StxWard Conditions listed herein. BTJEWING PERMff REQUIREWNTS: As requktd by the Building Official or applicable building code in order to p mporly evaluate the arstallation of this "atcro. NOA No.: 064201.02 .� Expiration Data 06110111 Approval Date: W131N Page +4 of 7 4 6,W 5 assd 9WMM : * #vQ [pow*jddY I tMUR :a19a =PwldnA Triot"I ram VON /J .1 r �nwn NPIva +w wmpbq • • Nft • Mg. van" . 1 Pobw Est r • • • • • • q� �r•vMl.�� ��riaf 1t�jr �� eof a YC�r,TirRif •. ••' • •. (M�44W �ilrpiEod • .f• • • r �nwn *often • • • • • • -rte �a . 1 Pobw r • • • • • • • • xAva moias r • • • • • • q� �r•vMl.�� ��riaf 1t�jr �� eof a YC�r,TirRif .. • . •ee e • • ... .. e• • . • •• of • ApREsxvE PlAc Z 00: .. « pwq* NQA No.: O&nO1A3 Appr" Date: b1/L W Papddl • • ••• • • • • ••• ADMCSIVE PLACnMTJU DOUBLE PAS • • TAm O ••• . •.. • . . }V3kK3.1% t , i END OF TES ACCEPTANCE T40A No.: 064M I-02 0 Lviradea D*tc: •MI&I1 Appr"Date: W3106 Pup 7M'7 1y8 ROOF COVERING MATERIALS (TEM Roofing Systkins. (TGFU)- Cmtmued acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board'betweem min 3/4 in partite board and deck pedW) is a suitable: alternate for. isocyamurate board Tn the follow i Claw A, B or C ; systems, RA ", `BMCATapered EnergyGuard RA" and "BMCA ' EnergyGuard RA" may be substituted for any Atlas polyisocyanurate insula- ti on in anyy of the following Classifications. TY:mrbull "Perna MQp may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". GAFGLAS 680 Premium .Base jnay be used in any of the following "Gi4FGLA5 Flex Plyy 6" is a suitable alternate: to "GAFGLAS Ply 6". "GAPTELVTP Permalife Recover Board" be used in lieu of any partite Insulation in any of the. following NC Cla�twns. Unless otherwise indicat6i, any, of the "Asphalt Felt Systems. with Hot Roofing Asphalt" may be surfaced with "Fireehidd MB" at 2.5 - 3:0 gal /sq. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or mollified bitumen membranes. "Ruberoid Heat Weld" SBS roofing membrane may be used in lieu of "Ruberoid Mop" SBS products in any applicable Classification. Class A 1. Dedu C- 1502 Incline: 3 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber; isocyanurate, urethane, perlite /isocyanurate composite, pedite/ urethane composite, wood fiber /isccyanurate composite, phenolic, any thickness. Ply Sheet: Three or more layers Type G1 "GAFGLAS- Ply 4" or „GAFGLAS Ply V" . hot mopped. Surfacing: Gravel 2. D,wk: C -15/32 Incline: 2 Insulation ( Optional): One or more layers perlite, wood fiber, glass fiber, bocyanm` ate, urethane, perlite/isocyamnate composite, perlite/ urethandcomposite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers Type GI "GAFGLAS Ply 4" or "GAFGLAS Ply V. Cap Sheet One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet". 3: .Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate,, urethane, perlite/bocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, 2 in- ma): Ply Sheet Two or more layers Type G1 "GAFGLAS Ply 4„ or ,,GAF- GLAS Ply 6 ". p- SM SivectOne layer Type G3 "GAFGLASMmerd Surfaced Cap Sheet- 4. Dedc . Insulatoom One or two layers "Isotherm R", 4 in max, hot mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass fiber mat system. 5. Deck C-15/32 Iodine: l Skip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet One layer Type G2 "GAFGLAS #75 Base Sheet" (may be nailed). Ply Sheet One or more layers Type G1 "GAFGLAS Ply 4" or `GAF- GLAS My 6 ". Cap Street One layer Type G3 "GAMI AS Mineral Surfaced Cap Sheet". 6. Deck NC I Incline: 3 Base Sheet One layer Type G2 "GAIMAS #75 Base Sheet". Ply Sheet One or more layers Type G1 "GAFGLAS Ply 4" or "GATE GLAS Fly 6 ". Can Sheet One layer Type G3 "GAFGLAS Mineral Surfaced Cap Sheet". 7. Deck C -15/32 Incline: 2 Insulation: One or more layers perlite, glass fiber, isocyanurate, ure- thane, pedite/isocyammite composite, perlite /urethane composite, phe- nolic,l.0 in. min (offset from plywood joints 6 m.). Base Sheet One or more layers Type GI, G2 or G3. Membrane: One or more layers "Ruberoid Torch" (Smooth or Granule), Mdx!rmd Torch Plus" (granule),'Rubermd Mop" (Smooth or Granule) or "Ruberoid Mop Plus" (granule). Cap Sheet "GAFGLAS Mineral Surfaced Cap Sheet", hot mopped. & • Deck: C -15/32 Incline: 2 0 0 0 0 . RQO CQVCWJQ WTGMIA +Ang (TGF[n- Continued Insalatitm' (Optional): One or more layers perlite, wood fiber gla fiber: isocyanurate, urethane, perlite/isocyanu:ate'.composte, peft too orethanocomp9ite, wood filw4bocyanumte compete, Phenolic, al : Base S J4 or ��� Type G2 or G3.•. • Ply SMOKOpeonali: • One W more layers Type G1. Membrane: One or more layers "Ruberoid Torch" (Smoothor Granuh "Rubberold Torch n pys ch Ph ((granule), "Rulra il oid Mop" (Smooth or Gram , Soo Dr • no M er-a Surfaced Cap Sheet", hot mopped. . liedc; O'�zGi.'`r'S • Indine:2 00 1nsuk An OphoW. 'Perlite, glass fiber, polyisocya:►urate, wa filter „mechanically fastened, any thickness, Base Sheet: One or more layers Type G2, "GAFGLASS #75 Base Sheet Ply Sheet: One or more layers Type G1 "GAFGLAS Ply 4” , "GAFGLAS Ply 6. Cap Sheet: Type. G3 "GAPGLAS Mineral Surfaced Cap .Sheet", h Su "Rmfteld MB ", 25 -.3.0 gaL /sq. Claw B Deck C -15/32 Incline: 3-1/2 insulation (Optional): One or more layers perlite, wood film, gla fiber, isocyanurate, urethane; pedite/boiyammite composite, perliib urethane composite, wood fiber /isocyanurate composite, phenolic, ar thidmess. . Ply Sheet Two or more layers 'Type G1 "GAFGLAS Ply 4" or "GA GLAS Ply 6 ". Cap Sheet: Type G3 "GAPGLAS Mineral Surfaced Cap Street", b De dc C-15/32 Incline: 3.1/2 Insulation. (Optional): One or more layers perlite, wood fiber, gla fiber, isocyanurate, urethane, perlite /bocyanumte composite, perlit urethane composite, wood fiber/isocyanurate composite, phenolic, a thiclaress. Base Sheet Two or more layers Type G1, G2 or G3. Membranes One or more layers `Ruberoid Torch" (Smooth or Granul 'Ruberotd Torch Plus': ( granule), 'Ruberoid Mop" (Smooth or Granu or 'Ruberoid Mop Flus ". (granule). Cap Sheet "GAPGLAS Mineral Surfaced Cap Sheet", hot mopped. Class C . Deck C-15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, wood fiber, gh fiber, isocyanurate, urethane, perlite /isocyanurate composite, -perlit urethane composite, wood fiber /isocyanurate composite, phenolic, a thidmess. Ply Sheet Three or more layers Type G1 "GAFGLAS Ply 4" "GAFGLAS Ply 6 ". Surfacing: "Special Roofing Bitumen" 20 Ibs /sq COAL TAR FELT SYSTEMS WITH HOT ROOFING COAL TAR Class A Deck C-15/32 . Incline: l/.2 Insubdon (Optional): One or more layers pedite, wood fiber, gl films isoMir rate, urethare, pedite/isocyanutate composite, pedii urethane composite, wood fiber /isacyanumte composite, Phenolic, a thTClaress. Ply Sheet Three or more layers 'type GI . "GAFGLAS Ply 4„ 'S�urfa� Glyave, hot mopped with cod tar bitumen. COMBINATION HOT AND COLD SYSTEMS Class A Deck NC Iodine: 2 Insulation (Optional): One or more layers perlite, wood fiber or gL fiber, 2 in. max Ply Sheet Three or more layers Type Gl "GAFGLAS Ply 4" "GAFGLAS Ply 6 ". Surfacing: Gnmdy Industries "al MB Aluminum Roof Coating" 1 -1/2 gal /sq. Deck NC Incline: I Insulation. ( Optional): One or more layers perlite, wood fiber, gt fiber, isocyamnate, urethane, perlite /isocyanurate composite, perli urethane composite, woad f ber /oxyanurate composite, phenolic, F thickness. LOOK FOR THE UL MARK ON PRODUCT jjtV,0 #CdC pv5ot iwl RUBER010® Specification 1- 2- 1 -MG ,1;2 -1 -MSG and 1 -2 -1' Substrate - -Decks insulated with GAFTEMP• Isotherm, Composite or PERMALITE'. See "Application Recommendation #3." Slope ---Up to 3 Inches per foot. 'Plus weight of insulation, fasteners, pour coat and gravel. General Design and Application Considerations detailed in this Manual shall apply in addition to the following recommendations and specifications. Application Recommendations 1. On structural concrete decks, insulation may be secured with Steep Roofing Asphalt ASTM D -312 Type III or IV or the GAFTITE Fastening System. If Steep Roofing Asphalt is to be used, the concrete deck must be primed with Asphali/Concrete Primer at a rate of 1 -2 gallons per 100 square feet and allowed to dry. 2. For steel decks, insulation must be mechanically attached throughout the entire roof area using GAFTITE Fasteners and Plates. See 'Suggested Insulation Fastener Patterns', page 8, or the current GAFTEMP Catalog and Factory Mutual Loss Prevention Data Sheet 128 for attachment patterns. 3. Starting at the low point of the roof, apply two plies of GAFGLAS Ply shingle fashion; lapping each sheet 20% inches over the preceding sheet~ solidly mop- ping to the GAFTEMP PERMALITE° or Composite Insulation in a solid mopping of Steep Roofing Asphalt ASTM D -312 Type III or IV, applied at the rate of 25 pounds per square, plus or minus 20%. Over GAFrEMP Isotherm. an overlay of GAFTEMP Permalite or Composite (Periite side up) Insulation is required prior to the attachment of the GAFGLAS Plyfelt. 4. Starting at the low point of the roof, embed a sheet of RUBEROID Membrane in a solid mopping of Steep Roofing Asphalt ASTM D -312 Type III or IV applied at the rate of 25 pounds (plus or minus 20%) per 100 square feet. Apply subsequent sheets of RUBEROID MOP (Granule) providing for 4 Inch side laps and 6 inch end laps. Note: The Steep Roofing Asphalt should be mopped at a minimum temper- ature of 400° F (with a target temperature of 425° F) or 200 F above the EVT, -MGFR whichever is higher. Walking or pressing the seam and providing for Y inch to % lgidh pph0fiow -out shotifte done4o asset sound laps. 5. For4pecl(ica18n 62 -f NSG, a sLrfe JQ oCa pogi'coat and gravel Is requirld. On slopes up to; incbeoer foot, toe ipp pouring must be GAF MC .Steep Roofing Asphalt (+ti W 0312, Type III or r. Over the entire surface, apply a uniform coating of Asphalt at the nominal rate of 60 pounds per 100 square feet. While still hot, apply, not less than 400 pounds of gravel or 300 pounds es up t� Pm� ��, � pD� o a �dMC Fl Roofing Asphalt (ASTM D312:Tte 0) roay3mDft•. : RUBEROQfFR t)L LlessAlcatlbrif "• • • For more extensive UL Classifications, see page 6. UL Chart Key 1. Substrate C = Combustible and Noncombustible Combustible = Wood planks, boards, etc., plywood (min. 11/32 inch thick- ness), oriented strand board (min. 1/2 inch thickness). NC = Noncombustible only Noncombustible = Steel, poured or precast structural concrete, lightweight Insulating concrete, gypsum, structural wood fiberboard, etc. 2. Slope Maximum slope allowed, in inches per foot 3. Insulation 3C = GAFTEMP Isotherm, and Permalite, any thickness. 30 = GAFTEMP Isotherm, Regular and High Density Fiberboard, PERMALITE and Composite Board, any thidmess �mposivteRwf . When constructed using premium PLY 6 felts, this specification meets the demanding r quirements of a GAF CompositeRoof system. 41 IM IaM ADE •• •• •• •• • ' : : :.: MIA11aQ-DADB COUNTY, FLORIDA .:. : : MFM(Jp¢pJ1 H AGLER BUR.DINO BVIMING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAG M STREET, SUITE 1603 PRODUCT CONTROL DIMION • MIAMI, FLORIDA 33130 61563 • • • • • iD5 3.0 -190l : FAX (3 05) 395 -2908 NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 •• •• ••• •• . ... . . %* . SCOPE: .. .. ....... This NOA is being issued ender the applicable rules and regulations.goveming 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 when allowed by the Authority Having Jurisdiction (Am). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In hfiami Dade County) and/or the AM (in areas other than Miami Dace County) reserve the right to have this product or material tested for quality assurance purposes. N 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 Ifigh Velocity Hutxicane Zone of the Florida Building Code. DESCREMON: GAF Conventional BulttrUp Roof System for Wood Deck. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ", unless otherwise noted herein. REN WAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in 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 terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA 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 NOA is displayed, then it shall be dome 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 #302- NO8.09 and consists of pages 1 through 21. The submitted documentation was reviewed by Frank Zuloaga, RRC v NOA No: 03-0501.05 E on Date: 014MO Approval Date:10�"W Page 1 of 21 APPROVED ASSEMBLIES • • • • • • Deck Type 1I: Wood, Insulated ... ... ... Deck Description: 19 /3a" or greater plywood or wojgc System Type A (1): Anchor sheet mechanically fastened, al approved asphalt. • • AD General and System Limitations shall apply. • .' One or more layers of any of the following insulations. I layc rs of insulation adhered with •• ••• •• • • • 0. w • • • • • Insulation Layer (Table 2) Insulation Fasteners Fastener (When applicable: Steel plate only =S, platic plate only (Table 3) Densitylfitz ACFoann -1, ENRGY 20 GAFII MI'® Isotherm R, E'NRWY 2 Plus, GAF!'EMP boom= RA; GAFTEMP Isotherm RN, GAFTEMP Composite, GAFTEMP Composite A, GAPTEMP Composite N, BMCA EnergyGusM, BMCA EnergyGuard Composite, EverGuard ISO, ISORoc, EnuWCaard RA, EnergyGuard RA, Composite Minimum 1" thick N/A NIA BMCA High Density Wood Fiber, GAFTEM M High Density Wood Fiber, GAFTEMP RecooerBoard, Wood Fiber, GAFI'EMPO Fiberboard Minimum Ys" thick N/A NIA Perllte, GAFTEM['det PermaliteO, Permalite Tapered, Paroe Knimtnm -W thick N/A NIA Fiberglas (Min " /Is" thick) N/A NIA Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot asphalt within the EVT range and at a rate of 2044 ibs/100 fe. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as ban layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisoeyanarate side facing down. GAF requires either a ply of GAFGLAS STRATAVI: M FJhninator Perforated hdd dry or a layer of GAFF PERMALITE or wood fiber overlay board on all isoeyeaunte applications. Anchor sheet- GAF LAS #80 UltimaTm Base Sheet, STRATAVENTO Eliminator Perforated Nailable, RUBEROID Modified Base Sheet, RUBEROZO 20, RUBEROID SBS Heat »We1dTm Smooth or RUBBROID SBS Heat Weld 25 base sheet mechanically fastened as described below; Fastening Options: GAFOLAS40 Ply 40, GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor 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. (Mauimum Design Pn+sssun --45 psi, Sae General Limitation 07) NOA No: 03- 0501.05 Expiration Date: 11104M Approval Date:lW23103 Page 10 of 21 GAFGLAS® Ply 40, GAPGLAS Fiex131y;m G, GAFCxI..EI:$1751;ase Sheet or any of above Anchor sheets attached � d4 with 1 -fiec (OAPTTfE) #12 or #14 Screws and 3" Plates, 12" o.c. in 3 rows.. One row is in t6'2"side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 pogSU VeneAttii kWts6;Ie f7)' GAFGLAS Flex Plyw 6, GAPGL4SjV Base Sheet &-any of above Anchor sheets attached to deck with approved atlnular dWshat k naafi ;j tin caps of a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Mdz imam Design Pressure -110-5 psft Spe.GMral dsnnkAdvn #7) GAFGLAS #75 Base Sheet or any of atPvb *Anew $its attac6i to deck with Drill -Tee (GAP=) #12 or #14 Scams and 3" Flaath=', p.c. id 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —W psf, See General Limitation p7) Any of above Anchor sheets attached to deck approved annular ring shank Heals and 3" inverted skill-Tec (GAFMB) insulations plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Press sun —60 ps f, See General L imitation 07) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill Tec (GAF=) #12 or #14 Screws and 3" Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Mxchnum Design Pressure —75 psf, See General Limitation #7) Base Sheet: (Optional) InstaIl one ply of GAMLASO #75, GAFGLAS #80131tima7" Ultra Base Sheet, GAFGLAS STRATAV$NT° MbAnator Perforated, RUBEROID Modified Base Suet, RUBEROID Mop Smooth, RUBI3ROMM 20 RUBEROID SBS Heat -Weld Smooth or RUBEROID SBS Heat-Weld directly over the top layer of insulation. Adhere with any approved mapping asphalt applied within the BVT range and at a rate of W- 401bslsq; (see General Limitation 04). Ply Sheet: Oat or more plies GAFGLAS PLY 40, GAFGLAS Flex Ply 6 sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbsJsq. Cap Sheet: (Optional) One ply of GAFGLASO Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EW range and at a rate of 20- 40lbsJsq. Surfacing: (Required if no cap sheet is used) Install one of the following: I. GAF Special Roofing Bitumen with an application rate of 201bsJsq with an application rate of 1.5 gaUsq.; or GAF WEATHER COAT® Emulsion (Matrix 305 Fibered Emulsion) with an application rate of 3 gal./sq.; or GAF Premium Fibered Aluminum Roof Coating (Matrix System Pro Aluminum Roof Coating Fibe red 301) with an application rate of 1.5 gal./sq. 2. Asphalt flood coat at an application rate of 60lbsJsq. t 20%; plus gravel or slag with an application rate of 4001bs. /sq. & 300lbsJsq., respectively. 3. Top Coat Surface Seal SB (Matrix 602 SB Coating), Top Coat MB Plus (Matrix 715 MB Coating), GAF WeathwCote or WeatherCote LOW VOC applied at rate of 1 -1.5 gal/sq. See Fastening above. NOA No: 03- 0501.05 Expiration Dane: IV04= Approval Date:10/2W Page 11 of 21 'WOOD DECK SYSTEM LIMITATIONS: ' ' ' ' ' ' ' ' ' 1 A slip sheet is required with Ply 4 and Flex Ply 6 whett used u a meehanicaly 4'stened base or anchor sheet. 2. Mmimum l/" Dens Deck or'r� Type X gypsum board�is.aeceptable 10 be"stall�ed diygIly over the wood deck. • . . . . . . . GENERAL Ln411TATIONS: 1. Fire classification is not part of this acceptance, refat to I Cugftt 1tp* "d.R'eofing Materials Directory for fire ratings of this product. ... . ... . . 2. Insulation may be installed in multiple layers. The first4nyer sdf be &Ahod in cohipliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the PVT range and at a rate of 20.401bsJsq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. 'When applied in approved asphalt, panel size shall be 4'x 4' maximum 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. N no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; of 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 121bsJsq. Note: Spot at tacbed systems shall be IiWte d to a maximum design pressure of -0 pd. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F) value of 2751bf., as tested in compliance with Testing Application Standard TAS 105. N the fastener value, as field - tested, are below 275 lbf, insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchodbase 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 Florida Registered Engineer, Architect, or Registered Roof Consultant may be sabmiixed. Said revised fastener spacing shall utilize the withdrawal resistance value W= from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. (When this limitation is specifically referred within this NOA, General L ntation #9 will not be appheable.) 8. All attach romt and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended . corners and corners). (When this limItatJon is specfiicaft referred within this NOA, General Lbutabon #7 wM 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: 0345 ©1.05 IQ Expiration Data: 11/04/06 Approval Dat e:IW23d03 Page 21 of 21 Inspection Worksheet Miami Shores Village MRt SIN 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 02/112008 Inspector: Grande, Claudio Owner: PENA, JUAN Job Address: 1400102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Buildina Denartment Comments L' Permit Type: Paint 2100 Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050230120 Block: Lot: WALL BILTMORE BUFF SW7691 DRIP CAPS DROMEDARY CAMEL SW7694 SOFFIT BILTMORE BUFF SW7691 STRIPS AROUND SIERRA REDWOOD SW7598 r Inspector Comments Passed cc Failed E:I_ Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Thursday, February 14, 2008 Page 1 of 2 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Project Address Parcel Number Applicant ......... ___... .___ _________ . 1400 NE 102 Street 1132050230120 Miami Shores Village, FL Block: Lot: JUAN PENA . :.•.•.'•'•'•'•::•:•'...v.r.;.y ? ^Y•;• :.:•:•:•:•:•:•:•:. . S.:. n:• i::: rtiv::•:•:•:•:.:.:.:.:•:•:•::•.::.....•.•.• 4:.:•:.:.:•:•'.:•:•:•:•:•:•: •:•:•:•:::.:•:•:•:•:•:•'•'•�.'• .•.;. y:::•:'•:'•?}:'.•:.•.•:.-.• r ,....•.- .•.•.•.•.•.•.v.•..•..rv. Dyer. l( If. 4Rll ati4ll ........................... ............................... Address. .................................................................................. Phone. .................................................. Cell ................... ........... JUAN PENA 1400 NE 102 ST 7 MIAMI SHORES FL 33138 -2622 Contractor(s) Phone Cell Phone HOMEOWNER ........................................................ ............................... Valuation: $ 3,000.00 Total Sq Feet: 0 ;.. S Type of Work: Color: BILTMORE BUFF SW7691 Additional Info: Classification: Residential Color: BILTMORE BUFF SW7691_Approved Code Comments: SHERWIN WILLIAMS -WALLS, Color: BILTMORE BUFF SW7691 Approved_ Color: BILTMORE BUFF SW7691_Denied 2 JAN 2 3 2008 '. C,ys z�yi Fees Due CCF Education Surcharge Permit Fee Technology Fee Total: fount Total Amt Paid Amt Due $1.80 :............................. $0.60 $ 0.00 $ 0.00 $ 0.00 $60.00 .......:. ..................... $1.50 1 Payment Type: $63.90 Available Inspections: Inspection Type: Final 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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 . Futhermore , I authorize the above -named contractor to do the work stated . January 22. 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date Tuesday, January 22, 2008 1 k1u�O% ". I1 K eAtt Miami Shores Village Building Department 100-50 NA 2nd Avenue- Miami Shores. Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type: PAINT PERMI Owner's Name (Fee Simple Titleholder) Z'il.4 ^1 Q (,,A Owner's Address ( Lf O J N E t 0 Z S% ^,,- i City %M r A"v` Tenant/Lessee Name S �> r-e. -S State FL /A E- MAIL: A X_ ( 3 be 1 I S , I1, c__•-r Permit No. �l l Master Permit No. Phone #� J 5 ) S I- C- Z Z L Zip 33 1 3 Phone # `,:Zv S-- G 2 2 G Job Address (where the work is bein`, done) City Miami Shores Villa�,,e County Miami -Dade Zip _ FOLIO / PARCEL # Is Building Historically Designated YES _ NO___ s .� Contractor's Company Name Contractor's Address City Qualitter Name State Certificate or Registration No. OWNER BUILDER: Value of Work For this Permit $ Describe Work: IPA , r 0rrn.2 0 ,J r- Qt21^_ , .i State 500 rJ ,15ti 0 1411-1 Phone # &-0, �ro S - Lf -S -0 Zip Phone # Certificate of Competency No. Type of Work: ❑ Addition / ❑ Alteration / ❑New / -Re' pair /Replace It Application is hereby made to ottain a hermit to do the work and installations as indicated. I certify thatno work or installation has commenced prior to the issuance of a permit and that all work will be perl'orme:d to meet the standards (fall laws reaulatingcons(ruction in this jurisdiction. I understand that a separate permit must be secured for ELF.CfRIC'AI \WW'K. 111.t)MBING, SIGNS. WGU,S, POOLS, 1 "URNACES, B0IL.F:RS, IIfiATCRs, TANKS and AIR CONDITIONERS. FPC..... "WARNING TO O\NrNER: POUR FAILURE TO RECORD A NOTICG: Of COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE fOt IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'T'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORI RECORDING YOUR NOTICE OF COMMENCF.NLEN'r." Nuric e ru . I ppliann: :Le a condition to the issncnrcc glu hrrrlding permit mill on estimated value ea'ceeding %700. the upplican/ must promise rn good fuil /r that a c•opt ul notice of cmm�rencement and construction hen law brochure will be delivered to the person whose property is subject to attachment. Also, a ccrt/Jiecl cohv of 1he recrn-ded notice gf conurrencenren! must he posted at the job site jor the first inspection which occurs seven (7) days ajiier the building permit is issued. In the absence gfsuch polled rrolice. the mslection will not he approved and a reinspection,fee will he charged. .. >. >. >>.(� .(x�x'�4>exx..xx>: is is ie r.xr. icxi: is is xxx r. x r. ici;>':>`> l- Feesi: Fi: xi:>: irx> Y>Fi:rx>Yxrrxxa:x>t *i:9:xi:ie9: ie • i:,x1i: >Y is xic ie>t �Fxr. icx Permit Fee $ ICJU•"`� $ I•D Technology Fee: � ,%J Training /Education Fee $ of Code Enforcement $ �Z Double Fee $ zoning Total Fee Now Due CL is ��Z See Reverse side -� MIAMI SHQPIES VILLAGE PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted Directions: Please circle corresponding number to appropriate color sample. Walls: 1 ? ' 4 Attach color samples with name and The 12rregoin nsU•ument was acknowledged before me this Drip Cap /Drip Ldge: I 2 3 4 - - - SW 7691 Soffit: 1 rv� ?�-S �eVAi��s t Biltmore Buff Roof: 1 3 4 ° D s / Flo%-ver Bins: L94t- f %'RkS 3 -4' 4173. y -0 z Shutters: l 2 3 4 Z w.j �D r;7 ? ar x > Awnings_ I 3 4 2 SW 7694 Chimney: I 2 3 4 Dromedary Camel Doors and Door.lanlS: I 2 \ F/Lo3,fT S; ",,L Print: - Garage Doors: _ 1 _ 2 3 4 w v ° 3 G7N r7z Railings: 1 2 3 4 3 Fences: 1 2 3 4 N P O d O All brick (Simulated or re(yular ): 1 2 3 4 "Wcco Banding: I /J3 �"�`✓N An er V oth Stucco FeML11 -CS: I (-2) 5 `► dN 4 ' Accessory Buildings Other: Segz C��lFti I Tn.cA T �f %C/� 7/►..t�" ®�la �i//L�. Cl"eA,N; "Jk vie t( o<e� (,v��.i T N cezd j9A t iv -r;,� TERRA -COTTA 76 -624 — - -- OWNER'S AFFI AVi : I certify that al the foregoing information is accurate and that all work will be done in compliance with all applicable Iiws regulating construction and zoning. Owner or Agent ' «- •, The 12rregoin nsU•ument was acknowledged before me this d4ly of 20d. by Yy/knJ c. "Edav o who is personally known to me or who bars produced z n o 070 ° D s pAAA,- As identification and who did take an 4173. y -0 z NO "1'AR PUB lC Z w.j �D r;7 ? ar x > Sign: l t. ('X M m �n ° a Print: - w v ° 3 G7N r7z My Coll mission Expires: N V n - O �. N C:- N P O d O Contractor ing instrument was acknowledged before me this_ ?0 _ by sonally known to me or who has produced as identification and who did take an oath. ARY PUBLIC: nt: Coni nission Expires: APPLICATION APPROVED BY: Plans Examiner Preservation Board Code [:ntbrrcemenl (Revised 04/24/0-,