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RF-16-2637 t e SgoRE Miami shores 'lVillage .... ,.,,.� Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 lORIDp` Tel: (305) 795.2204 Fax: (305) 756.8972 c Q RE: Permit#_� ! � I � � `� �i DATE: n 1� �� INSPECTION AFFIDAVIT C\kr-)(CE5 1 4E r V1171 nd("L licensed as a (n) Contractor I Engineer/Architect, (Print name and circle License Type) FS 468 Building Inspector License#: OCT- C 5 -� g 5 5 On or about , I did personally inspect the roof deck nailing I (Dato 8 time) work at `I Z9 t\�E C� B 1 l C1 Vr'1 1 �'5 (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) ® P ' nat State of Florida County of Dade: The undersigned, being the first duly swom,deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this 1 day of 2 C1 , � Notary Public, Sate of Florida at Larg CLARA VALDES C�c�� ,�' Notary Public-State of Florida `r Commission#FF 120236 My Comm.Expires May 13,2018 *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#dearly shown marked on the deck for each inspection r F-9-1 Perrnr i�1ff� - Miami Shores Villagez Fes f �.� 10050 N.E.2nd Avenue NE WCtrCc O/assffca# Flat Miami Shores,FL 33138-0000 01 sta °APPR01 ED Phone: (305)795-2204 .913tl12Q1G Expiration: 03/29/2017 Project Address Parcel Number Applicant 428 NE 91 Street 1132060190060 RAYMOND CARABOTTA Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Celt RAYMOND CARABOTTA 3466 N MIAMI AVE MIAMI FL 33127 Contractor(s) Phone Cell Phone Valuation: $ 10,300.00 FLORIDA ROOFING INC (305)592-7732 (305)758-8004 Total Sq Feet: 1800 Type of Work:Re Roof Available Inspections: Additional Info:RE-ROOF FLAT ROOF Inspection Type: Classification:Residential Tin Cap Scanning:3 Final Roof Roof in Progress Renailing Affidavit Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# RF-9-16-61458 CCF $6.60 09/23/2016 Check*5718 $50.00 $759.86 DBPR Fee $4.13 DCA Fee $4.13 09/30/2016 Check#:5725 $759.86 $0.00 Education Surcharge $2.20 Bond#:3226 Permit Fee-New Roof $275.00 Scanning Fee $9.00 Technology Fee $8.80 Total: $809.86 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. Fut ore,I authorize the above-named contractor to do the work stated. r September 30, 2016 Autho d Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy September 30,2016 1 Miami Shores Village SEP 213 2016 Building Department BY: 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 Yy BUILDING Master Permit No.� PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 428 NE 91 St City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-019-0060 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Raymond Carabotta Phone#:305-975-0080 Address:428 NE 91st Street City: Miami Shores State: FI Zip: 33138 Tenant/Lessee Name: N/A Phone#:NIA Email: raybotta@gmail.com CONTRACTOR:Company Name: Florida Roofing, Inc Phone#: 305-758-8004 Address: 2665 S. Bayshore Dr#220 City: Miami State: FI Zip. 33133 Qualifier Name: Dolores T Hemandez Phone#: 305-758-8004 State Certification or Registration#: f"C C 5-1q5 15 Certificate of Competency#: DESIGNER:Architect/Engineer: N/A Phone#: N/A Address:N/A City: N/A State: N/A Zip: N/A Value of Work for this Permit:$ 1491 3 Q4 • !J Square/Linear Footage of Work: S ac) Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Re-Roof Flat Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ �6/ r—® CO/CC$ Scanning Fee$ 9 • Radon Fee$ 4 1 DBPR$ T. 1 Notary$ 691 Technology Fee$ Training/Education Fee$ O Double Fee$ Structural Reviews$ Bond$ - TOTAL FEE NOW DUE$ � � • �� (Revised02/24/2014) �rJf� Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicab Mortgage Lender's Address City S 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,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 reinspection fee will be charged. z Signa a Si a OWNER or AGENT CONTRACTOR The fo oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this n� day of// 20 l� by yy day of d -e mUA- ,20 by U i/✓10 %yBQ who is personally known to T E f l°Ij1f��l�ai o is personally known to me or who has produced L �� as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY L : Sign-&! � �?l2�'" � Sig Print: ;,I/ �l l� Print: - ate of Florida Seal: o`�PR�Aga Seal: ' , „�;�:�`� My Comm.Expires May 13,2018 o� pg;'n D. PAMPLIN Notary Public-State of Florida .off? My Comm. Expires dan 13,2017 FF'.�ol ommission#EE 664 wwwwwwwwwwwwwwwwww w+Y.MWwwwww wwww www wwwwww �iww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revlsed02/24/2014) 9121/2016 Detail by Fruity Name r n ww Detail by Entity Name Florida Limited Liability Company ALNIC CAPITAL, LLC. Filing Information Document Number L14000196383 FEI/EIN Number 47-2637519 Date Filed 12/30/2014 Effective Date 12/29/2014 State FL Status ACTIVE Last Event LC STMNT OF RA/RO CHG Event Date Filed 03/22/2016 Event Effective Date NONE Principal Address 35 NE 40TH ST 3RD FLOOR MIAMI, FL 33137 Changed: 03/09/2016 Mailing Address 166 NE 92ND STREET MIAMI SHORES, FL 33138 Changed: 02/08/2016 Registered Agent Name &Address FABRICANT & COMPANY PA. 100 SE SECOND ST SUITE 2311 MIAMI, FL 33131 Name Changed: 03/22/2016 Address Changed: 03/22/2016 Authorized Person(s) Detail Name &Address Title MGM httpJ/search.sunbiz.org/Ingtdry/CorpwaUonSearch/SearchResuitDetaii?inquirytype=EntityName&directionType=lnitial8searchNameOrder=A NICCAPITAL%.. 1/2 W1/2016' .. Detail by Entity Name CARABOTTA, RAYMOND J, JR 166 NE 92ND STREET MIAMI SHORES, FL 33138 Annual Reports Report Year Filed Date 2015 04/30/2015 2016 03/31/2016 Document Images 03/31/2016 --ANNUAL REPORT View image in PDF format 03/22/2016 -- CORLCRACHG View image in PDF format 04/30/2015 -- ANNUAL REPORT View image in PDF format 01/14/2015 -- CORLCRACHG View image in PDF format 12/30/2014 -- Florida Limited Liability View image in PDF format Copynghc c and PrivacV Policies �taxe or Florida,DepartruenL or State httpl/search.sunbiz.org/Inquiry/CorWabonSwcWSmcWesUtDetail?ingtarytype=En ityNameBdirecbonType=ldtai&searchNameOrder=AW ICCAPITAL°/a.. 212 9/13/2016 Property Search Application-Miami-Dade County A,-,! ,OFFICE OF THE lrJ'hROPERTY APPRAISER Qzvyl Summary Report Generated On:9/13/2016 Property Information w Folio: 11-3206-019-0060 -y,, h: "- Property Address: 428 NE 91 ST Miami Shores,FL 33138-3151 I N Owner ALNIC CAPTIAL LLC ` Mailing Address 9825 NE 2 AVE MIAMI,FL 33138 USA Primary Zone 1000 SGL FAMILY-2101-2300 SQ _ Primary Land Use 0802 MULTIFAMILY 2-9 UNITS:2 - LIVING UNITS Beds/Baths/Half 4/3/0 Floors 1 _ �) Living Units 2 ` ' f it a Actual Area Sq.Ft Living Area Sq.Ft r Adjusted Area 2,807 Sq.Ft Lot Size j 10,462.5 Sq.Ft Taxable Value Information Year Built 11929 2016 2015 2014 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Year 2016 2015 2014 Taxable Value 1 $349,3911 $344,6001 $332,841 Land Value $261,632 $251,326 $219,613 School Board Building Value $195,367 $195,367 $190,315 Exemption Value $25,000 $25,000 $25,000 XF Value $3,416 $2,771 $2,784 Taxable Value $374,3911 $369,600 $357,841 Market Value $460,415 $449,464 $412,712 City Assessed Value 1 $399,391 $394,600 $382,841 Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $349,391 $344,600 $332,841 Benefits Information Regional Benefit Type 2016 2015 2014 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Cap Assessment Reduction $61,024 $54,864 $29,871 Taxable Value $349,391 $344,600 $332,841 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Sales Information Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Previous OR Board,City,Regional). Sale Price Book- Qualification Description Page Short Legal Description 30178- 07/18/2016 $365,000 4190 Qual by exam of deed 6 53 42 EL PORTAL PB 9-101 06/24/2013 $100 28697 Corrective,tax or QCD;min consideration LOT 9&W1/2 OF LOT 8&E2.5FT 1 1972 OF LOT 10 BLK 1 06/01/2008 $Q 26452- Sales which are disqualified as a result of 1928 examination of the deed LOT SIZE 77.500 X 135 23937- 10/01/2005 $880,000 Sales which are qualified 4357 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp Version: 'boon Hill" Miami shores Village I"took Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 CONTRACTORS' REGISTRATION Fax: (305) 756.8972 IF CONT CTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A.�;0PY Y OF QUALIFIER'S STATE LICENCES B.; OF LOCAL BUSINESS TAX RECEIPT C. Y OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ■��r ��.�� ..........��s�s��o�� BUSINESS NAME: to A t 1 1 00 n BUSINESS ADDRESS: 5 Gay ZZD CITY f►�1 I G Wi�✓ STATE_ZIP-221 BUSINESS PHONE: �� 975" -- f6_0 VFAX NUMBER CAL) CELL PHONE� 34-� -9177- QUALIFIER'S NAME: "Do I o rPS T I-1e r n G,r1 G/e Z QUALIFIER'S LIC NUMBER: Q� J J ootsso Wcai Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOTA BILL — DO NOTPAY 3698504 LB BUSINESS NAME/LOCATION RECEIPT NO. Tj EXPIRES FLORIDA ROOFING INC RENEWAL SEPTEMBER 30, 2016 7950 NW 66 ST 3863388 MIAMI FL 33166 Must be displayed at place of business Pursuant to County Code Chapter BA—Art.9&10 OWNER SEC.TYPE OF BUSINESS FLORIDA ROOFING INC 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED 128SO0456 BY TAX COLLECTOR Worker(s) 2 $75.00 09/25/2015 ECHECK-15-164942 This Local Business Tax Receipt only ceafirms payment of the Local Business Tax.The Receipt is not a license, permit era certificationbf the holdei s NI ficadone to do business.Holdermust comply with any governmental or aongovemmental regulatory laws aad requirements which apply to the businn. The RECEIPT N0.above must be displayed on a6 commercial vehicles—Miami—Dade Code Sec 88—M For more information,vlsh www.miamidada go&MIIkI mr f !J DATE(MMMO/YYM ACCO CERTIFICATE OF LIABILITY INSURANCE 9/22/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Jeff Lampert Presidential Insurance Services,LLC PHONE 305-423-0350 ac No):305-423-0351 2665 South Bayshore Drive#707 ADDRESS: jeff@insurancequotelive.com Miami,FL.33133 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Preferred Contractors Insurance Company INSURED INSURER B: Florida Roofing, Inc, INSURER C: 13910 SW 102 Ave INSURER D: Miami,FL.33176 INSURER E LIC#CCC057455 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTSRR TYPE OF INSURANCE ADD U POLICY NUMBER MPOLICY EFF PO DIY EXP LIMrrs X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEff- CLAIMS-MADE 7 OCCUR PREMISES Ea occurrence $ 50,000 A PC-75451-07 5/19/2016 5/19/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY El JEST F LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERSLIABILITY Y/N STATUTE I ER ANYPROPRIETOR/PARTNERIEXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ N yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) `ROOFING CONTRACTOR'` CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores, FI. 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD TE ACOM B CERTIFICATE OF LIABILITY INSURANCE DA92ti D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.H SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the eertlficate holder in tisu of such endorsement(s). PRODUCER CONTACT NAME: PHONE A/C Na Ext): 1.800-277-1620 x4800 FAX A/C N.): 2 797-0704 FrankCrum Insurance Agency,Inc. E-MAILADDRESS: 100 South Missouri Avenue INSURER(S)AFFORDING COVERAGE NAM Clearwater,FL 33756 INSURER A: Frank Winston Crum Insurance Co. 11600 INSURED INSURER B: INSURER C: FRANKCRUM UC/F FLORIDA ROOFING,INC. INSURER D: 100 SOUTH MISSOURI AVENUE INSURER E: CLEARWATER FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 349024 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY ERP LTR TYPE OF INSURANCE INSRO WVD POLICY NUMBER (MMWNYYY) (mummy" LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea encs $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY Q PROJECT ED— PRODUCTS-COMPIOP AGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ nt ANY AUTO OYYNEDAUTOS SCHEDULED BODILY INJURY Per $ ONLY AUTOS BODILY INJURY(Per ecciderd) $ HIRED AUTOS NON-OWNED PROPERN DAMAGE $ ONLY AUTOS ONLY Per UMBRELLA LIAR OCCUR EACH OCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND WC201600000 01/01/2016 01/01/2017 X PER STATUTE OTH- ER A EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUT WE OFFICERIMEMSER EXCLUDED? Q N/A E.L.EACH ACCIDENT $1.00a.00D (Mandatory In NH) If yea,describe order E.L.DISEASE-EA EMPLOYEE000 000 DESCRIPTION OF OPERATIONS below EL DISEASE41OLIOY $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) EFFECTIVE 12123/2013,COVERAGE IS FOR 100%OF THE EMPLOYEES OF FRANKCRUM LEASED TO FLORIDA ROOFING,INC(CLIENT)FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM.COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES.RE:LICENSE#CCC-057455 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WTH THE POLICY PROVISIONS. Miami Shores Village Bldg.Dept. Attn: Building Dept. AUTHORIZED REPUSENTATIVE 10050 NE 2nd Ave. Miami Shores,FL 33138-2382 ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD ROOF ASSEMBLI 7SEPA1 OOFTgP STRUCTURE 2018 Florida Building Code 5th Edition(2014) CITI Y I High-Velocity Hurricane Zone Uniform Permit Application Form. 1 Section A(General Information) CostPrmWitNyo � 263 I Process Noj6_ Contractor's Name /n a ig-4a �j p® / —a`n/G 1 Job Address_ ' ® 1 /�� ROOF CATEGORY 1 &---Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles I 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes I ❑ Prescriptive BUR-RAS 150 ROOF TYPE ❑ New roof ❑ Repair ❑ Maintenance eroofing ❑ Recovering 1 ROOF SYSTEM INFORMATION Low Slope Roof Area(SF)�k Steep Sloped Roof AREA(SSFj� Total (SFj ®G I 1 Section B(Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers and overflow drains. Include dimen- sions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets. . 30 1 1 o % WLL 1 w Q cJ �, u m w '' 1 0 LLI 6 I L w w C- F,` , LLJ ~ 1 1 1 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37 I I I Copyaght to,or licensed by.ICC(ALL RIGHTS RESERVED):accessed by Eliezer Palacio on Jun 8,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. i � f .a. SECTION 1524 HIGH VELOCITY HURRICANE ZONES-REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 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. 2/Aee Renailing wood decks:When replacing roofing,the existing wood roof deck may have to ed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 4• posed Ceiling: Exposed,open beam ceilings are where the underside of the roof decking cviewed 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.This provides the option of maintaining the appearance. 6. erflow scuppers(wall outlets): It is required that rainwater flows off so that the roof is &oerZioa—ded from a buildup of water. Perimetededge wall or other roof extension may block this discharge if overflow scuppers(wall outlets)are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. A Ag s ignature /Date netorSignature Date A) ST— Property Address Permit Number M/ti rnl► 5-h0ro d Revised on 7/9/2009 LD;07/01/2015; r Miami shoresVillage p°°° Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: y 6�✓ 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address: $ I✓IE q/ S% re' s 640,--gs, �=Z. 33,,3,? Roofing Permit Number: Dear Buildin Official: I CayCk certify that I am net required to retrofit the roof to wall connections of my building because: $4he just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of th South Florida Building Code(1994 SFBC) nature Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this day of Notary Public, Sate of Florida at Large °;Rvp a JIM D. PAMPLIN `n: Notary Public-State of Florida MV Comm. Expires jan 13,2017 When the Just valuation of the structure for purpose of ad valorem taxation is equal to or more than$300,000.00, d s ndit mmeted wMFEN490219 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES s Florida BUllding Code 5th Edition(2014) 1 High-Velocity Hurricane Zone Uniform Permit Application Form. 1 1 1 Section C(Low Slope Application) Top Ply Fast ne B ing M erial: I 1 Fill In specific roof assembly components and identify 1 1 manufacturer W Irl I _ S 1 1 (If a component Is not used,identify as"NA") Surfacing:Fastener Spacing for Ancho ase Sheet Attachment: 1 1 System Manufacturer tp"1 aTe r 1 o-1 � 1 1 Field: "oc @Lap,#Rows @ oc 1 1 Product Approval No.: t 3 - l o� Perimeter:�"oc @ Lap,#Rows �/@�"oc 1 1 1 Design Wind Pressures, From RAS 128 or Calculations: Comer.—L"oc @ Lap,#Rows S @ "oc 1 1 P1:" 2 132; '-''M • pg: O ,(� Number of Fasteners Per Insulation Board: 1 n� � 1 1 Max.Design Pressure,from the spec rod Field �It Perimeter �r7 Comer / 1 1 approval system. Illustrate Components Noted and Details as Applicable: 1 1 Decd1 n Woodblocking, Gutter, Edge Termination,Stripping, Flashing, 1 1 5 ( _II Continuous Cleat,Cant Strip,Base Flashing,Counterflashing, 1 1 Type: (((� Coping, Etc. 1 Indicate: Mean Roof Height, Parapet Height, Height of Base 1 Gauge/Thickness: Flashing, Component Material, Material Thickness, Fastener 1 1 tType, Fastener Spacing or Submit Manufacturers Details that 1 1 Slope: Comply with RAS 111 and Chapter 16. 1 1 Anchor/Base Sheet&No.of Ply(s): I v 1 1 1 1 Anchor/Base Sheet FastenegBpding Material: 1 �,/y 1 1 Insulation Base Layer. 17 or �-�>f1 FT 1 1 1 Base Insulation Size and Thickness: I CC� P ,� Parapet Height 1 Base Insulation Fastener/Bonding Material:,A 1 1 Y\J 1 1 Top Insulation Layer: I" ( � FT. 1 1 Top Insulation Size and Thickness: �j plywood Mean 1 1 Top Insulation Fastener/Bonding MaterialI ,/k Roof 1 1 1I one qCk� 1J� Height Tk n -e, 1 1 1 Base Sheet(s)&No.of Ply(s):LfM 41 A cey Z-90+ P'y 1 Base Sheet Fastener/Bonding Material: T'f 1 1QaQ K T4.M 1!L 1 3'cJ0,kV"I ed f lc;,-. e1 r Ijo 1 Ply Sheet(s)&No.of Ply(s):2^ IN C Q A 4 fl C- 1 1 1 Ply Sheet Fastener/Bonding Materials 1 Top Ply: ')Vr- �aj1f1P Y Q C 1,V\ 1 1 1 15.38 FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 1 I 1 I 1 1 ! Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Elieier Palacio on]un 8,2015 10:32:12 AM pursuant to license i Agreement.No further reproductions authorized. NIANIbAbE MIAMI-DARE COUNW PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 SW 26 Street,Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474 NOTICE OF ACCEPTANCE CCETANCE OM T(786).315-2590 F(786)31525-99 Gni eaanora•. 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 and accepted by Miami-Dade County RE - Product Control Section to be used in Miami Dade County,and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance material fails to perform in the accepted manner,the manufacturer will incur the expensef this of su h ucct or and the AHJ may immediately revoke,mo jurisdiction. RER reserves the right to revoke this acceptanor suspend ce of it is determtse of such �ned by Mme D wuct orithin th it Product Control Section that this product or material fails to meet the re County building code, 'ements of the applicable This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida.Building Code. DES Old: GAIL'CoenveRti®naI BUM-Up Roof Systems for Wood Decks. 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. RENEWAL 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 le this with any section of this NOA shall be cause for termination and removal of A NOD.Failure to comply 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 F1 is displayed,then it shall 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 and revises NOA No. 13-0424.09 and consists of pages I through 16. The submitted documentation was reviewed by Jorge L.Acebo. I t/ Ecoun� ` ,� NOA No.:13-1022.15 Expiraden Dgte: 171/04/15 APProval Date: 11146/14 Page 1 of 16 RGGFWG SYSTEM APPROVAL Qkqo—�.. Roofing sub-Gag trvs BUR a,i a h Fiberglass 19 T se^ Wood Haxi num Deslaui Pj'essvea e• -75 psf TRADE NAKM®P PRo DUCTS MANUFACTURED OR LABELED By APPLICANT. TABLE Il d c Test Product i' ,e, QuAs Syedfic Bf®n GAFGLAS®#75 Base 1 39.37" meter) e Sheet ( ) ASTM D4601 Type Wide II asphalt impregnated and coated base sheet. �Isss mat GAFGLAS"#80 Ultima"" 39.37"(1 meter) ASTM D4601 Type 11 asphalt i Base Sheet Wide impregnated base sheet. and coated,fiberglass GAFGLAS`°FlexPly"6 39.3T'(1 meter) ASTM D2178 Type VI asphalt impregnated glass Wide coating, felt with asphalt GAFGLAS®Ply 4 39.37"(I meter) ASTM D2178 T ype IV Wide gait impregnated glassf coating. elt with asphalt GAFGLAe Mineral 39.3T'(1 meter) ASTM D3909 Asphalt Surfaced Cap Sheet Wide coated,glass fiber mat cap sheet surfaced GAFGLAS"Ene ig3' aP C TAI 39.37"(1 meter) ASTM D3909 .Asphalt coated, mineral granules. BUR Mineral Surface wide d,glass fiber mat cap sheet surfaced Cap Sheet with mineral granules with factory applied GAFGLAS4'Stratavente' 39.37" 1 meter EnergyCote" Eliminator'"Perforated ( ) ASTM D4897 Fiberglass base sheet coated on both sides with Venting Base Sheet Wide asphalt.Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory GAFGLASO Stmtaven& 393 ( )7" 1 meter perforations. Eliminaitor'"Nailable Wide `STM X897 A nailable,fiberglass base sheet impregnated and Venting Base Sheet coated on both sides with "phalt Surfaced on the bottom side with mineral granules embedded in asphaltic coating, Ruberoie SBS Heat- 39.37"(1 meter) ASTM D6164 Non-Woven Polyester mat coated with o] Weld""Smooth Wide p ymer- modified asphalt and smooth surfaced, Ruberoid�SBS Pleat 39.37"(1 meter) ASTM D6164 of Non-Woven polyester mat coated with p � er- Weld�'25 Wide modified asphalt and smooth surfaced. Ruberoid�20 39.3T'(1 meter) ASTM D6163 SBS modified Wide asphalt base sheet reinforce with a grass fiber mat. Ruberoids'Mop Smooth 39.37"(1 meter) ASTM D6i64 Non-wovenpolyester wide modifiied asphalt and smooth sur&cedpolymer- e cou N®A No.:13-1022.15 Explmdon Date: 11/04118 APProv d Date: 11106114 Page 2 of 16 TSE NAMES OF PRODUCTS NIAMMACTURED OR II-4,DE><OD BY ArrLi[cANTa TABLE I Produ t Test Product -----� sne�esions _ �--.-,.._ Se�ecl__.•_ ffi_ ca_fl®ee escrd H®ta Fireput�`Fire Barrier 5, 55 gallons Proprietary Love VOC,water based fire barrier amer coating. versa$hicieFire 350 sq.&roll Resistant Roof Deck ASTM D226 IVon-Asphaltic Fiberglass-Based Underlayment. Protection Topcoat's Surface Seal 5 gallons ASTM D6083 Solvent based SB sPmyable thermoplastic rubber sealant designed to protect and restore aged roof surfaces and to increase a roofs reflectivity. A1PPR®�D INSULATION'S: TABLE 2 do t la EnergyGuar "'Poso Insulation � odcIeer �; ua POlysocyanurate foam insulation l�it16�orron*I n AN EnergyGuard'.RA Polyiso Insulation Pol 'soc anumte foam' GAF � y uisulation EnergyGu�•d"`�polyiso Insulation Palyisocyanurate foam insulation G� EnergyGuard�`Perlite Roof Insulation Perlite insulation board. GAF EnergyGuard"`Perlite Recover Board Perlite recover board GAF EnergyGuard"RA Composite Polyiso Pol ' o GAF Insulation y cyanurate foam insulation with high density fiberboard or Permalite perlite GAF insulation Securocko Gypsum Fiber Roof Board G3'Psum roof board United States Gyps,„Corp. Stractodek*High Density Fiber Board High density fiber board DensDeck®Roof BoardGypsum board Blue Ridge Fiberboard,Inc. Georgia-Pacific Gypsum LLC i co 1VOA No.:13-1022.15 EYpb'si"Date: 11/04tia APProval fie: 11/06/14 Page 3 of 16 APPROVED FASTENERS: TABLIE 3 NamePMdue Dec tl � i®n �,— ewt c .e 1 Drill-Tec"'#12 Fastener Al Insulation fastener for steel, various wood&concrete decks. GAF 2 Drill-Tec"'#14 Fastener Insulation fastener for steel wood&concrete decks. GAF us 3• Drill-Tec"'XHD Fastener Carbon steel extra heavy duty Various 4. Drill-Tec'ASAP 3S fastener used in steel decks. GAF Drill-Tec7"#12 Fastener with Various Drill-Tec"`3"Standard Steel OAF 5• Drill-Tee"3"Steel Plate Plate .Round galvalume stress plate 3"round used.with Drill-Tec"' GAF 6. Drill-Tec"'3"Standard Steel fasteners. astenrs Plate Round galvalume plated steel 3"round stress plate with reinforced GAF nbs for use with Drill-TecT" 7 Drill-Tec"`AccuTrac�Flat fasteners. Plate AZ-SS aluminized steel plate 3"Square for use with Drill-Tec' '#12 GAF Fastener,Drill Tec"'#14 Fastener and Drill-Tec"'#15 8• Drill-Tec"'AccuTrac" Fastener. Recessed Plate Galvalume Steel plate for use 3"square with Drill-Tec fasteners. GAF pOtmi7lr NOA No.:M1022.15 Exph2den Date: 11/04118 Approval.Date: 1.1106114 'Page 4 of 16 EVM DENCE SUBMn T EIDe Tesg Maw Test ldegWer Factory Mutual Research m n Date Corp.�� J.T.2B8A4.AM 4470 J.I.3B9Q1.AM 4470 07/02/97 J.I.ODOA8.AM 4470 01/08/98 11 ODIA8.AM 4470 07/09/99 J.I.OY9QS.AM 4470 07/29/94 UL LLC 3029832 4470 04/01/98 PRI Construction Materials 81306 UL 790 0$/11/07 Technologies,LLC GAF-012-02-02 ASTM D4977 07/22/13 GAF-020-02-01. ASTM D4977 11/06/01 GAF-082-02-01 ASTM D6083 02/01/02 GAF-084-02-01 ,1.M D60s3 05/07/06 GAF-270-02-o2ASTM D226 OSIO9106 GAF 276-02-01Rev ASTM D6083 11/15/10 GAF-276-02-02 ASTM D226 12/16/10 GAF-306-02-01 ASTM E96 11/15/10 GAF-314-02-01 ASTM D2I 78 07/07/11 GAF-315-02-01 8 ASTM D217 08/23/11 GAF-369-02-01 ASTM D217C1289 08/23/11 GAF-417-02-01 ASTM C1289 10/22/12 GAF-464-02-01 89 ASTM C12 05/28/13 GAF'-499-02-01 ASTM 012D6083 10/22/12 IRT of S.F1. GAF-500-02-01 ASTM D6083 03/12/I4 02-005 TAS 114 03/I2/14 Trinity ERD 02-014 TAS 114 Q1/18/02 G30250.02.10-3-R1 ASTM D3909 03/22/02 631360.03.10 ASTM D6164 11/26/12 633470.01.11 ASTM D6164 03!31/10 G34140.04.11-2 ASTM D6163 11/16/11 G34140.04.11-4 04/25/11 ASTM D6163 4897 G34140.04.11-5 ASTM D6401 04/25/11 G34140.04.11-5-R1 ASTM D487 04/25/11 9 G40630.01.14-2A-1 ASTM D6194 10/18/13 643610.01.14 ASTM D3909 01107/14 G6850.08.07-1 ASTM D3909 01/22/14 G30250.02.10-3-RI 08/13/07 ASTM D3909 11/26/12 +a N"vp a' ulvivj ICDA No.:13-1022.1s a C-- EsAlpaeion�JDafe: 11/04/18 Approval gDate: 11/06114 page 5 of 16 Membrane Type: BUR Deck Type 1: Wood,Non-insulated Deck Descrlptl®sa; 19/32"or greater plywood or wood plank decks System Type E; Base sheet mechanically fastened. All General and System 1t ndtation,Shen apply. Fre Barrer: FireOut'"'Fire Barrier Coating (optional) VersaShield�Fire Resistant Ro Securock'�GYPsum Fiber Roof Board. of Deck Protection or Base sheet: GAFGLASO#80 LTti, -Base Sheet,Strataventa'8liminato T"' Sheet,Raberoid 20,Ruberoie SBS Heat Weld'Smooth or Mailable Ventin Base 25 base sheet mechanically fastened to desk a descrtbeci h or Rub� a' ie SBS Heat-Weld' pasted®pU®ns; GAFGLASOPly4,GAFGLAS®FlexPl "' � base sheets attached to deck with a Y 6'GAFGLAS #75 Base Sheet or any of above fastener spacing of 9"Ode k the)approved annular ring shank nails and tin caps at a ( aaaaaaaa Design Pressure-45'ps� .staggered Lt`�ftd n#, o.c.in the field. GAFGLASO Ply 4,GAFGLAS®F1exPly 6,GAFGLASa#75 B base sheets attached to deck with Drill-Tec"' ase Sheet or any of above Tec'°'3"Steel Plate,Drill-Tec'u'AccuTracv Fat Plate torDrior lI-Drill-Tec"' ll- Plate 12"o.c.in 3 rows. One row is in the 2 side lap. #14 and Recessed�'Aceu1'rac Recessed approximately 12"o.c.in the field of the sheet. p The other rows are equally spaced (M,simftm Designs Pressure-4Sp�.dee�e:aerad # ®�#7) GAFGLASa Flex Ply"'6,GAFGLAS®#75 Base Sheet or an of to deck with approved annular rin s Y above base sheets attached at the 4"lap staggered and in two ows g O.c s d tin caps at a fastener spacing of 9"o.c. (I�d�tia+aa m Design Fress"re S2.�S psf S"General Lb field.in the 'baa#7) GAFGLAS`a#$0 Ultima"`Base Shee4 Ruberoide20,RuberoideM attached to deck with approved 1 4"annular Mop Smooth,base sheet fastener spacing of 9"o.c.at the 4"1a ��nails and inverted 3"steel plats at a 9"o.c. in the center of the membrane.p and two rows staggered with a fastener spacing of ( tuasa IDesi�e�ressaare _60 s.dee Geaseaeal Liaar' la l talion#7 GAFGLASO#75 Base Sheet or any of above base sheets attached to #12 Fastener or Dri11-Tec'"' #14 Fastener and Drill-Tec''3"Steel PlatecD�TeTec"' AccuTracn Flat Plate or Drill-Tec"'AccuTrac®Recessed Plate 12"o.c.in 4 rows. One is in the 2"side lap. The other rows are equally spaced approximate) 9" the sheet. rOo' Y O.C.in the field of (Mcdmoaa Desigaa Awsure—6®,psf.,dee General LbBAWOR#) Any of above Base sheets attached to deck approved annular rin inverted Drill-TecT"insulation plates at a fastener spacing of 9 o shank at knails i Sand 3" in two rows 9"in the field. lap staggered (ld2aaxiarraeaaa Desigaa pressaare—60 psf.&,e General Li;nigaste'on#;9 Aoec NOA No.:13-1022.15 EVlratlOu Date: 11/04/10 ApProval bate: 11/06/14 Page 14 of 16 Fastening Opti.n.: GAFGLA3G#75 Base (Continued) Sheet or any of above base #12 Fastener orDrill-Tec"'#14 Fastener and sheets attached to deck with Drill-Tec ` AccuTrac"Flat Plate or Drill-Tec"'AccuTraceRecessed pla Steel O-c.'plate D4 row e'�"' is in the 2"side lap. The other rows are equally in 4 rows.One row the sheet. q Y spaced appro ately 9"o c in the field of (AfWasuns Design.P'ressaet a—7S psf.See General LirnigatiOn#7) Ply Sheet: One or more plies of GAFGLASO ply 4 or GAFG full mopping of approved asphalt applied within the #80 Ultima Base Sheet adhered in IbsJsq. EVT range and at a rate of20--4a Cap Sheet: (Optional) One ply of GAFGLAS EnergyCap BUR lldia ®�e�Surfaced Cap Sheet or GAFGLAS® approved asphalt appliedd wethin , Sheet ni adhethered�a fill MoPP�B'of Saaa�ffac�g= ge and at a rate of 20-4p lbsJsq. ®pts®aal On granular sexrlaced acaeaobranes;re components®east be applied accords gaaired f®r smoothAll coatings m"t be listed within a c��a �acturer°sppiica a membranes.Chosen tiun instructions. 1• Gravel or slag applied at 400 lbsJsq.and 300 lbsJsq.respectively coat of a�proved asphalt at 60 lbsisq. y in a flood M-'Wmum Design 2. To coat Surface Seal SB applied at Ito 1.5 P � Pressures galJsq. See Fastening Options ADECC NOA No..,j3-1022.15 BViradon Date: 11/04/18 Approval Dates 11/06/14 Page 15 of 16 A slip t is I base or anechorsired with t. GAFGLAS'a Ply 4 and GAFGLAS`�Flex PI TM 2• Minimum '/4"DensDeckm Roof Board or��Type y 6 when used as a mechanically fastened wood deck gypsum board is acceptable to be installed directly over the GENERAL�` 'ATI®�rSe 1• Fire classification is not part of this acceptance,refer to a current A ratings ss this product. 2 Insulation may be installed in multiple la Approved Roofing Materials Directory for fire Approval guidelines. All other layers shall be The f' st layer a Shall moppingbe EVT range and at a rate of 20-441bsJs . attached in compliance with Product Control 3• All standard panel sizes are acc q,or mechanically attached th approved asphalt oft ed within the shall be 4'x 4' ePtable for mechar,;cal at achment. �Whm gthe fastening pattern of the top layer maximum. 4. An overlay and/or recoveryPplied in approved as hal when the base sheet is f 1 board insulation P Panel size y mo ed If no recovery is required on all application mopping with a board is used the base het shall closed cell foam insulations each sidela approved asphalt,�12"diameter circles,24"o.c.;orstrip �aPpIied usin s p and one down the center of the sheet allowin mopped8'ribbons g spot strips is not acceptable,A 6"b g a continuous three rows,one at application of either teak shall be placed every I2'in each rib area of ventilation, Encircling of the iieaaited�a ma • system shall be at a minimum rate of 12 lbs./sq., ban to allow cross ventilation. S. Fasteners maximum design pressure®f-4S pf q Note: Spot atta., v s Asphalt Pacing for insulatiott attachment is based on a M' ' systems sbafl be tested!n complianceinim Characteristic Force with Testing Application based 275 Ibf.insulation attachment shaft not be acceptablStane TAS I OS, If the (F5 value of275 lbf.,as 6 Faster spacing for mec fastener value,as field-test,are below "�attachment of anchor/base fastener resistance value in conjunction with the sheet or membrane fastener resistance be less than that ti maximum designv rine attachment is based on a minimum Prepared,signed and sealed q�d,as determined b slue listed within a specific system Roof Consultant mai a Florida Registered Professional he wilding Official,a revised y Should the y be submitted. Said revised gineer,Registered Architect,fastener spacing, taken from Testing Application Stand fastener spacing shall utilize theor Registered Standard RAS 117. arils TAS 105 and calculations in co withdrawal resistance value 7. Perimeter and corner mPliance with Roofing Application densities shall be in areas shall comply with the enhanced Standard creased for both insulation and base sheetpHft as calculated ujq�d in compliance RAS 117. Calculations prepay requirements of these areas. Fastener Registered Architect,or Registered 4 signed and sealed by a Florida r with Roofing Application WS�® gistered Roof Consultant ejM this� egistered Professional Faigiaeer, 8 All attachAment General nd sizin ®�#9 WM 2®t be a ndtatl®n h$Pe� Sizing Of Perimeter nailers applicable.)an•) referred wnt Roofing Application Standard RAS 111 and a'metal profile,and/or flashin 9. The maximum designedapplicable wind Load S termiiiation designs shall conform to Pressure(imitation listed shat(be applicable to all roof• Perimeters,and corners).Neither rational analysis,nor extrapolation shall be Pnittede zones(i.e.field, en a ned within this perimeters,extended comers and corners . Pu th,9ed for enhanced 10. Allsted NOA,Gherein shalleneral lLim1tat'..#7 will not be a era this lfr�gahlan�is s gat Rule 20-3Of 8 Florida have a quality assurance audit in accordance, ' dmuustrative Code. with the Florida Building Code and END 01F TWS ACCEPTANCE fl022.15 rgpDate' IIJ04119 Approval ®vaH"'ata-- 11/06/14 Page 16 of 16 - - - - IN-UU11 ig systems Page 2 of The use of gypsum board under any of the follow) g pass q,B or C decks. gypsum"board is an acceptable alternate for minim4 um insulation overYC-iS/32thick rof y e �d1e rod's•The use of�/a-in,m(ntmum this The use of polystyrene insulation board between rr'�lnlmum V4-In.thick perlite board and deck with rosin paper Paper/polystyrene/periite)is a Suitable alternate fbr poiyisocyanurate board In the fol �ry�s q�B C (Pertite/rosln "LonergVGuard RA"or'Te Sys Pe any of the following Classifications, ward RA"gr"EnergyGuard Composite RA"may be substituted for any Atlas I Polyfsocyanurate insulation in Trumbull"Parma Mop"may be utilized with any ofIthe following"Asphalt Felt Systems with Not Roofing Asphalt". "GAFGLAS@#80 Premium Base Sheet"may be used in any of the following systems. "GAFGLAS@ Flex Ply 6"and'Tri-ply(g)Ultra-Flexlblr Ply 6"are suitable alternates to"GAFGLAS "GAFTEMP Permalite Recover Board"may be used�n lieu of an ®Pty 6". Y Perlite insulation in any of the following NC Classifications. Unless otherwise indicated,any of the"Asphalt Fel Systems with Not Roofing Asphalt"may ftp. Y be surfaced with"'reshield MB"at 2%to 3-gal/300- "Ruberold@ Dual Smooth"may be used as an ata to"Ruberolrr®Mop Smooth'or"Ru "Ruberoid Mo SmI.S. mold@ 20"or"Ruberold®20 HT.. ® P Doth L5 maybe used as an g1temate to Rubemld® " " Mop Smooth Class A,B and C Hot roofing asphalt,for use with organic and glass Its or modified bitumen membranes. "Ruberotd@ Heat weld"58S roofing membrane ma'y be used In lieu oF" Ruberold@ Mop"gBS products In any appitcabie Clessiocatlon. class A 1.Decks G-15/32 Incline;3 la on(OPttonal)s—One or more la periite/pplyisocy�ero ute com or Aerifte or wood fiber or glass fiber or polytso Pty Sheet:--Tr more plies T r eeril 'urethane composite or wood fibeypaiylsotyanurdtei prtjejposite thane or nolic an theSvrfacings-.Gel. YP G3 or"GAFGLAS@ Ply 4"or "Tri-Ply@ ply 4"or"Gq� " , LAS@ Ply 6 hot mo Y ' mopped. 2.Decks C-15/32 Incline:2 snss:latian(Optional):—One or more ars 'nsue'polylso 01011ate composite m peril u i�(te±or wood fiber or glass fiber or poly Ply Sheet;—T P urethane composite or wood fiber Isocyae Com or urethane o Three or more plies Type GI r"GAFt,LAS@ Ply 4"or"TH-PI Ply 4►socyanurete composite or phenolic,any thickness. CeP Sheet:—One ply Type G3"GAFGLAS Mineral Surfaced Ca Sheet"or"Tri-Pi @ any Surfaced " EnergYCaP'"'"'BUR Mineral Surfaced Ca Y 4 or P GAFGLAS®Pty 6. P heel" Y Cap Sheet or"GAFGLAS@ 3.Decks NC Incline:2 Insulation(O01001a .'—One or more Is ers composite,peritt'e/urethane co PerUte,wood fiber,glass ober,polyisocysnurate,urethane,peril te/polYT$ocyanurate Ply Sheets—Two or more composite w" d fiGbar'p®yp 4 anurate composite,Phenolic,2-in.maximum. P � _One i T piles Type Gi F y ,"TN-Plye Pty 4 or G " ply Ty 63'GAFGLAS Mineral Surfaced Ca Sheet"or"Tri-P�GLAS@ Ply 6 EnergyCap*N BUR Mineral Surfaced Cap Sh et." P fY�Mineral Surfaced Cap Sheet'or"GAF LAS@ 4.Deck:G15/32 Incline:1 SUP Sheet(OPtional):--Red rosin paper nailed to deck. IneWation(aptionai):—Any thickness rllte or wood fiber or OMG Inc-'OlyBond Fastening System"or a y UL Classified Insula �ve potytsocyanurate mechanically fastened or adhered with Base Sheets--One ply TYPe G2" Piy Sheet:—One or more plles Typ 1^�c ., y eel"or fastened #75Base Sheet"(may be nailed). caP Sheet;—One WY TYPe G3"GAFGLASt S Pi 4 "Tri-Pt P 4" Lam®Ply 6o. &WWCaP'"BUR Mineral Surface ap Mineral ur aced Ca S e "or'TH-PIY@ Mineral Surfaced " " Surfacing(optional):—"TopCOAT:ate/L18EXT/1 TM"a Cap Sheet or GAFGLAS® applied ata rate of 2-gal/100-e. S.Deck:NC Incline:3 htip://database.ul.com/cW -bWXFRAW/showpage.hW?name=T I 1/0/IN ,,.