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RF-16-1050 Permit NO. RF-4-16-1050 `SHoeEs Miami Shores Village Permit Type:Roof 10050 N.E.2nd Avenue NE ' ' mt Work Classification:Flat Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 '��oRioA Issue Date:4/2512016 Expiration: 10122/2016 Project Address Parcel Number Applicant 35 NE 91 Street 1132060130100 JEAN-BAPTISTE RAMET Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell JEAN-BAPTISTE RAMET 35 NE 91 Street (954)667-5242 MIAMI SHORES FL 33138- 35 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 GORO CONSTRUCTION (954)554-5837 (954)554-5837 Total Sq Feet: 430 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 Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# RF-4-16-59462 DBPR Fee $3.75 04/19/2016 Credit Card $50.00 $219.70 DCA Fee $3.75 Education Surcharge $0.40 04/25/2016 Credit Card $219.70 $0.00 Permit Fee-New Roof $250.00 Scanning Fee $9.00 s�7 Technol og�Fee $1.60 Total:=_; $269.70 ( 7 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertain ing,thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fo—ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS.-AFFIDAVIT: I ce ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and er a-named contractor to do the work stated. April 25, 2016 Autrorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 25,2016 1 \� Miami Shores Village ` D � S Building Depart ent ' � 1 Q's g p f 10050 N.E.2nd Avenue,Miami Shor ,Florida 33138 Y: Tel:(305)795-2204 Fax:(3 )756-8972 INSPECTION LINE PHONE NUMBE :(305)762-4949 FBC 20 BUILDING Master Permit No. Cl � -"'•�O PERMIT APPLICATION Sub Permit No. ❑BUILDING Ej ELECTRIC R OFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP . / CONTRACTOR DRAWINGS S JOB ADDRESS:1 /�+ ne L S City: Miami Shores County: Miami Dade zip: 33 3$ Folio/Parcel#: \ \- 3Z D( - 3' �V D Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �/t�� �" /s�C Phone#:Z (D Address: 3 S N C-- C\ S� City:N--k I.p�: S�©�c f,..5 State: zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name* �� ���C•7?�w1 AlG Phone#: gw—y-NY- Address: /000 •/Jw /D 6• 4,vG'• City: / �G�ra-�CI�+o ti! State: FL• zip•✓33 22 Qualifier Name: 7(kmo (go ✓ p4age, Phone#: �SI'Y-lf"S��S�37 State Certification or Registration#: GGG '-3 29�i!�DO Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ 24 0810.dwo Square/Linear Footage of Work: 4e-3 '> :F L( Type of Work: ❑ Addition ❑ Alteration --❑ New ❑ Repair/Replace ❑ Demolition Description of Work: N Gr VJ �oo� Specify color of col(orr thru tile: ,;- Submittal Fee$ //�(,, Permit Fee$ ����� CCF$ CO/CC$ Scanning Fee$ uV Radon Fee$ Gl� DBPR$ � ` - S. Notary$ Technology Fee$ ! , 60�//]%. Training/Education Fee$ Double Fee$ (� Structural Reviews$ 7 _ Bond$ • T TOTAL FEE NOW DUE$ D r ` — (Revised02/24/2014) f - 1 � Bonding Company's Name(if applicable) Bonding Company's Address' City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured lor 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." ,, ` ; I 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. S Signature SigrraftYe°r`* OWNER or AGENT CONTRACTOtR The foregoing/instrument,was acknowledged before me this "Thn foregoing instrument was acknowIAg'e'A before me this 'daq of • h �t� 20 by day bf `'�aQ C ` �-t•x 4 20° ��6 by who is personally known to � who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC:"' - NOTARY PUBLIC:''- tR.'►«� .`' f Sig / Sign: Print: Print: 393!Nisk1JON10pneN41PBPU09 U"08! Seal: * * MY COMMISSION A FF 156456 Seal: 994991:S#NOISSINNOD AN Aa EXPIRES:November 30,2018 Z3newo0d VIN3t] d;tire oF i,q�`O BOW40 Thru BB&At Notary Services ******************************** ** *** ****************************************************************** Ga APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) -.____• • ___-•_•-_•_ f RGV LAMM.SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSM LICENSING BOARD u CGC15129W The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 GOROSTIAGA,TELMO a GORO CONSTRUCTION INC 9000 NW 106TH AVE • FORT LAUDERDALE FL 33322-7800 ISSUED: 06/12=14 DISPLAY AS REQUIRED BY LAW SEQ8 L140612OW1148 RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD =1329400 go The ROOFING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 GOROSTIAGA,TELMO GORO CONSTRUCTION INC 1000 NW 106TH AVENUE PLANTATION FL 33322 ISSUED: 06/12/2014 DISPLAY AS REQUIRED BYLAW SEQ s L1406120000983 SWARD COUNTY LOCAL BUSINESS TAX`N #PT 115 S;Andrews Ave„ Rm.A-100. Ft: Lauderdale, Ft 33301-1885—954-831-4000 VAUD OCTOBER 12015' THROUGH SEPTE14M 30,2016- O�•GORO CONSTRUCTION, INC Reeeipt*.185-234 $1 a I Busltwss Name. Type: yam,ROOFING/ HEET METAL. CONT TOR } OwnerName:TELmo GOROSTIAGR . Btlsi Location:1000 NW 106 AVE 3t ����OPBn+0d;06/21/2010 aWC0""tY1C&rbRe9:CCC132 94 0 0 _ ,,,. PLANTATION ...,...Fir+u� tyi,[�n�ir• eitsitl�e 'Pftia►f��:.9s9=���=�83�"'--._ W.. �..-y.,�__. _ ._ � _ ,._....._= v = Roorrb, ` &Apby4ft tiacl�lnas ` Nurnbr+r.of ihcldnrr Far�D&wk�s Qnty. TaxAnwuM •w••gr•sr• z--- TranelisrFee NSF Fee Pbndty Prior Years Cofiectton Coat1 TOW Paid f 27.00 0.00 0+00 0.00 0.00 0,00 27.00 1 t THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE-OF BUSiNE$S. # THIS BECOMES A TAX RECiriPT This fax is levied for the' ` rilege of doing kwsiness wtthtn t3roMrard Courtly anti is non _ WHEN VAUOATW and zzooning rr�clu�fremente_This Srrainess-Tax ancYor Munio ity 9 ' -...-r you be.trarssssrred whwt,.._,.... ~ oiesrness-is'sao--�_ * yourhave moved the business it is Iocdon.This recut does not indicate that the business is ispei or that = campiisnoe with State-or iocai;taws Wd regutatiorts ' Maianp Address: 00 NW i06 A'�E � CONSTRUCTION,. INC 10ipt #322-14-00005420 1000 ,- _�":PLANTATIQN;` _ .. . .- �����.►ti.� ,.,�.Q,_...:.p � �. , w_ t 4 9 ' b ° 2015 - 201-6 ,.,..._,.•....,...,...,....,. .�. .a .c5..��sir..,......._. t r i DATE(MM/DDIYYYY) AC"R"® CERTIFICATE OF LIABILITY INSURANCE 4/19/2016 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 policy(ies) must 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 CONTACT Jennifer Lynch NAME: Comegys Insurance Agency AHC NNo Ext: (727)521-2100 T FAX No: (727)528-0626 E-MAIL jenn.iferl@comegys.com ADDRESS: One Beach Drive S. E. Ste. 230 INSURER(S)AFFORDING COVERAGE NAIC# Saint Petersburg FL 33701 INSURER A:Seneca Specialty_Ins._ Co. INSURED INSURER B: Goro Construction Inc INSURER C: 1000 NW 106th Ave INSURERD: INSURER E: Plantation FL 33322-7800 1 INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 GL 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DDNYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A ] CLAIMS-MADE IX OCCUR PREMISES_(Ea occurrence) $ 100,000 BAG10251692 10/13/2015 10/13/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ~ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AG_G _$ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ _AUTOS AUTOS NON-OWNED PROs cdTY entDAMAGE $ HIRED AUTOS AUTOS (per $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB H CLAIMS-MADE AGGREGATE $ DED t I RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) License #: CCC1329400 CERTIFICATE HOLDER CANCELLATION (305)756-8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE f �,,�, ✓, 1 -9" Mike Hickey/ALANNA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) I A t JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION *"CERTIFICATE OF ELECTION'TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW*• CONSTRUCTION INDUSTRY EXEMPTION This certifles that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 3/25/2016 EXPIRATION DATE: 3/25/2018 PERSON: GOROSTIAGA TELMO FEIN: 208276617 BUSINESS NAME AND ADDRESS; GORO CONSTRUCTION INC 1000 NW 106TH AVE PLANTATION FL 33322 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL LICENSED ROOFING CONTRACTOR CONTRACTOR Purulent to Chapter 410.06(14),F.S.,an officer of a corporation who slacts exemptbn IFom this chapter by tiling a certlfcate of abaton under thin section may not recover bsndto or compensation under thb chapbrrr.Puaent to Chapter 410.05(12),F.S..CaMca tm of ebdbn to be exempt..apply o* within the scope of the business or trade fisted w the notice of sbctlon to be exempt Pwwmt to Chapter 410.05(13),F.S..Motkes of a..a to be exempt end ce=cBtas of ebctfon to be exempt shah bo aut od to revocation lf,at any time Nber the fMV of the notice or theissuance of the certlecate, the person named on the notice or cerunceb no Ionper meet the raqulremenb of this swift for hsumm of a oertlAcete.The department dwi revoia a ' E DFS-F24)WC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08.13 QUESTIONS?(850)4131608 GORO CONSTRUCTION, INC TELMO GOROSTIAGA 1000 NW 106 Ave. Plantation, Fl. 33322 CGC#1512960. CCC# 1329400 Phone:954 554 5837. Fax:954 4728276 Email: mo_goros@msn.com Co v••j t y o � �-o✓'¢ 7'Y/Q -1Sif r�F rfo c icy G��� d /��zv�o Goroy�;a�q WAD �^%�9 d✓/% 4¢?over Q•" d soyr /G�c��.e' wi// �e Yrlie o�/�,��-,rre� wa,rK;�►, 1 ori ��F ��ec?� /o cu ped �� ryr,3J� NQ g/��SlREFT/ �%owes: S•�/o.2cr,r�,33/3S' 7 r•yra e`I .r r S vs<r;AD e c{ e ✓tee -sr+ it 7n i f Jg a(a y v�,a�,r�•i2 0/6 Y2z9.'. NI , * * MY COMMISSION#FF 1564 EXPIRES:November 30,2018 �rATFpF FpP`Op Bonded Thru Budget Notary Services SORES ' � Miami shores Village Building Department 10050 N.E.2nd Avenue �LORNA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day_labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: O er State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of QQ 20_Lt. B6,W, ,, �E APO-6! who is personally known to me or has produced as identification. Notary: a uB D SI * COM F 5 SEAL: * MY ON# 6456 EXPIRES:November 30,201 B Services Bonded Tttru Budget Notary F 1 Flor High Velocity Hurl tC Yll ..l • 1 mambr pa Conft~G No" �er� � a JobAddrom Low 81"D 1 ■ ■ ■ 12 ■ ■ Mq • r . ■ rjew Roe '� / ■ 6 tl� M ' • LOW ft"Root Am fSF) Sketch Roof Plart lNustn" ' 1 j • • rEt ■■■rirrirr■i■n■■ ■ ■ ��■■rarrr■/r■/■ri■ ■/■■■rr■■r■n r riitir. :CCC"CCCCC■'�'rE:E?ECf■■C�irllrrrrra■■UM Y■ i■■■■■w: C tiE■■■ � ■/■ ■y�■t:// ■ ■Yrl//����OEM:: ■riur,r� rrrir■i ■rrr ■l' y -i1i■.i� w/fir'/■ rl ■r ■■r ■.r■■■nrE�tNrE■r�i Ei;J�i•.cON t/ ■ no :�t - ■/ 'E'�9 E ■aaa'1/°/Erarr■lr/■■p�■■tt / /■ Niirr ��at� E t:■ ■ : t la ■ E�C:CCaEt■� �F� art�itttr. n�rt■�'itt■r a ■■ r�s_saa■r:► ■ ' "t ' _� �■/�':� Fm ■: ■r /rat�ttr�r a� �• �:E:.:EaI4sN.MRI �'A::� ::■:a / �tr■ t i:� t t m ■■r.nii►c /i ■.■� ■ r tt��"v/ t ti- tr ■ t r ■r■ C 1 �..• ■. ���r�.r;H rtraa ;■ ■ ■tri ail IBM IN dG CO"�"' Cr"'i:/r' �C■a■rEC■i, a.r,"-.N--G••.•._: � �■i..R e■■11r 1rhp�p teRrrrit■`� ■�� ■�irmai�i»i�Yp r " ■ �_� Ir■ ,f�''■��■�����r N��:�Ir`II�I�:yH4�Mi � : ■ /■ ■ 6A �r ■ It■:i�raEECaCa■ /� '�IE■nE�r E€tz■Err�CEprl:7i�EE.■■C: E E rEmI;t;a�r i3a:a■:er■:/aa..�"�o� r.. ■:CEtEi CEaMCaa 9"C:tG:�C�■t� ■C .rs'CCl / ltrr .aMC41N� r , r r■■yrs/ir rLr�r Eit■C�F ■ t/C lion ■� CC"� / r -� ■ ■■/1 4 '■ l r �j rt/■� ►.rft■■C' M Cj ■ ■CC ■C i■rl�C=� r'FCCECC'i"CE is rf C r' ■ li"■■ ■r� AN `jt rrr`` F! ■ i*t ■ Mltnt±� ■rll rtr ■loll Ir■*`�y�jjr r. ■ r� ■ ■rrr■ ■� ■ RrI1Fr■iBi ■qrl ■ ■ ■ l"C ir/ CM/■ r■ ltlM�t�_■ ■ ■ r■ ■rr:n IIrC .� •r =■ ■li� / P1ll�:� � ■ t�ir■ ■/■ iEi■■C i■ r �rMrrr�/ r■C ■ ANNEI low on Ing :a iaar:■■ C ■!�Gi.,.----...._..__. aGNr■./:r r� t�tr ■ 1n1 . ■ -rl .,.-wr ■■/■■ ■ oil Ettri�t■ �W �n �t .� ■ la �E� i :a:E" /ilMlir■ir ■ i' �aIYM .iia■■C �.�.■■t .,■ �Q �, t FAloaf � Etaa � a:a Eta ■aa E.at:::E E- baa■ it ►a;EEI�. Y l ■■/■ rid':'■. to . �:��eHii� ��■E ■ �,� � n■�ME Ct� � �■a ' C � � �� �' • ea E� ■::�' a / gE E■ r an Islas att/ aga E .G 9aaaE a ` � o ■ r : ■aiE : � �C ■q:,,�aaas/Gr■ a��::':a ds■ t r : r � � � . ,�� as � : a ■. E c c won ( 0 :C °� _■ ■�r : aaa lrr�raeaa' t ■ / E6 ■■m / r i' Florida B4i1ding Code 5a'Edition 2014 HIGH VELOCITY HURRICANE NE UNIFORM ROOFING PERMIT APPLICATION Sectio ow Sloped Roof S stem •• . . .... ...... Fill in the specific Roof Assembly Component • P y P Fastener Spacing for AnchorfB1�$beet"" ''"' and identify Manufacturer ••••• • (if a component is not used,identify as"NA") Attachment: •••••• .. . ..... System Manufacturer �b� ` ` \ Field: "o% . . • •• • •• • •••••• NOA No: i '� - 1 O Z Z i Perimeter: "o/c @laps& •�. ows @ "o/c •• Design Wind Pressures,From RAS 128 Comer: "o%@ laps& tows •••�•• or Calculation i - 4 @0 "o/c:....: Number of Fasteners Per Insulation Board ••'• ' Pmax 1:y Z,X Pmax 2:—1�,�Pmax 3: � D$.� Maximum Design Pressure,From the Specific NOA Field Perimeter Corner -- System: C�:'Z , Deck: Type: W LA�O�� Illustrate Components Noted and Details As Applicable: Gauge/Thickness: ra Wood-blocking,Gutter,Edge Terminations, �� Stripping,,Flashing,Continuous Cleat,Cant Slope:_ •(Z/ Strip,Base Flashing,Counter-flashing„Coping, Etc. Anchor/Base Sheet&No.of Ply(s) Indicate: Mean Roof Height,Parapet Height, Height of Base Flashing,Component Material,Material Anchor/Base Sheet Fastener/Bonding Material: Thickness,Fastener Type,Fastener Spacing Or: Submit Manufacturers Details that Comply with Insulation Base r: RAS-]11 tnd Chapter 16 Base Insu a ' Size and ckness pi c (,1• d p1 e7 Base Insulation Faste Bonding Material: Top Insulation Layer: V) ? -{� /� pa's Wd Height Ft Top Insulation Size Thickness: ` r Top Insulation Fastener/Bon mg Material: MeanRoofHeight �. Ft Base Sheet(s)&No.of Ply(s): •'-1 Base Sheet Fastener/Bonding Material: Ply Sheet(s)&No.ofPly(s)"'C�`,G Ply Sheet Fastene03onding Material: Top Ply:C_7.q& oP S�ee� Top PPIy Fastener onding Material: Surfacing: ^ S S MIAMIOADE "DeliverinG Excellence Every Day" , ---• MIAMI-DADE COUNTY • . . .... ...... REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDIfRASTI0%%::•• •• ...... . ...... It is the responsibility of the roofing contractor to provide the owner with the requgie�4 roofing pgrmit, and-tt explain to the owner the content of this form. The owner's initials in the designafedspace irMicates that•r}"Item has been explained. 000000 - 0 00.09 / 0 . . 00000 .... ...... EEI . Aesthetics-workmanship: The workmanship provisions of Chapter�5 � igh VeTocrty Hunigpff Zone) are for the purpose of providing that the roofing system meets the wind resitlance and water intrirsion0 .performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 4V 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing work to be performed. 4. Exposed ceilings: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The_owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining this appearance. ' M5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of'water. Perimeter/edge walls or other roof extensions 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: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. ® 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. z�& Owner's/Agent's Signature: Date: Contractor's Signature: Permit Number: Property Address: Cj 1 5 i MIAMFtIA�E XIAMI-dA9E COUNTY••••• PRW'Cf CONTIW SECTION '• DEPARTMENT OF REGULATORY AND ECONG C RESOURCES(RER) *11190-90 SW 26 Sttdbt;Room 208• BOARD AND CODE ADMINISTRATION DMSI •••lAani,Florida 53175-247;, , NOTICE OF ACCEPTANCE A T(;t� 3>s 2590 A�78¢� 1525-99 • GAF wlhRtniamida8e. ov/econom 0:0 w w 1361 Alps Road • • w• w• •www 000000 Wayne,NJ 07470 0000.. 0 00 . w . . 00000: SCOPE: w""' 0000 This NOA is being issued under the applicabl 1'rules and regulations governing the use of construction •' ' • w materials.The documentation submitted has I en reviewed and accepted by Miami-Dade County RER- Product Control Section to be used in Miamiade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expirati4 date stated below. The Miami-Dade County Product Control Section(In Miami Dade County)and r the AHJ(in areas other than Miami Dade County) reserve the right to have this product or mated III tested for quality assurance purposes.If this product or material fails to perform in the accepted mann, r,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modiy,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke is acceptance, if it is determined by Miami-Dade County Product Control Section that this product or m terial fails to meet the requirements of the applicable building code. This product is approved as described herein,i ad has been designed including the High Velocity Hurricane Zone o the Florida Building Codemply with the Florida Building Code DESCRIPTION: GAF Conventional Built-' Jp Roof Systems for Wood Decks. LABELING: Each unit shall bear a permanen label with the manufacturer's name or logo,city, state and following statement: "Miami-Dade County Pro uct Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered i fter a renewal application has been filed and there has been no change in the applicable building code negativ y affecting the performance of this product. TERMINATION of this NOA will occur athe expiration date or if there has been a revision or chane in the materials,use,and/or manufacture of the p6 duct or process. Misuse of this NOA as an endorsement of any product,for sales,advertising or any other p4i Pses shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for ermination and removal of NOA. ADVERTISEMENT: The NOA number prede ed by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in adv lei ising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA sha 1 be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job si,a at the request of the Building Official. This NOA renews and revises NOA No. 13-042, ', and consists of pages 1 through 16. The submitted documentation was reviewed by. rge L.Acebo. MWMFAADECOUtYTY NOA No.: 13-1022.15 '"PROVED Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 1 of 16 u ROOFING SYSTEM APPROVAL • . . .... ...... Cateeory • Roofing •• •... Sub-Category: BUR •.•.•• •••• ••.••• • Material: Fiberglass Deck Tyne. •••• • Wood •..... .... . ..... _Maximum Design Pressure: -75 psf. • • TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLIVA ••••@• TABLE 1 • Product Test Product •• • Dimensions ecification Description GAFGLAS®#75 Base 39.37"(1 meter) STM D4601 Type II asphalt impregnated and coated glass mat Sheet Wide base sheet. GAFGLAS®#80 Ultima"' 39.37'(l meter) ASTM D4601 Type II asphalt impregnated and coated,fiberglass Base Sheet Wide base sheet. GAFGLAS®F1exPly"m 6 39.37'(1 meter) ASTM D2178 Type VI asphalt impregnated glass felt with asphalt Wide I coating. GAFGLAS®Ply 4 39.37'(1 meter) ASTM D2178 Type IV asphalt impregnated glass felt with asphalt Wide coating. GAFGLAS®Mineral 39.37'(1 meter) ASTM D3909 -Sw faced Asphalt coated,glass fiber mat cap sheet surfaced Cap Shut Wide with mineral granules. GAFGLAS®EnergyCap' 39.37'(1 meter) STM D3909 Asphalt coated,glass fiber mat cap sheet surfaced BUR Mineral Surface wide Iwith mineral granules with factory applied Cap Sheet EnergyCote7 GAFGLAS®Stratavene 39.37'(1 meter) ATM D4897 Fiberglass base sheet coated on both sides with Eliminator"Perforated Wide asphalt. Surfaced on the bottom side with mineral Venting Base Sheet granules embedded in asphaltic coating with factory perforations. GAFGLAS®Stratavene 39.37'(1 meter) TM D4897 A nailable,fiberglass base sheet impregnated and Eliminator"Nailable Wide coated on both sides with asphalt. Surfaced on the Venting Base Sheet bottom side with mineral granules embedded in asphaltic coating. Ruberoid®SBS Heat- 39.37'(1 meter) ASTM D6164 Non-Woven Polyester mat coated with polymer- Wele Smooth Wide j modified asphalt and smooth surfaced. Ruberoid®SBS Heat- 39.37'(l meter) ASTM D6164 Non-Woven Polyester mat coated with polymer- Weld'"25 Wide modified asphalt and smooth surfaced. Ruberoid®20 39.37'(l meter) ASTM D6163 SBS modified asphalt base sheet reinforce with a Wide glass fiber mat. Ruberoid®Mop Smooth 39.37'(1 meter) ASTM D6164 Non-woven polyester mat coated with polymer- wide modified asphalt and smooth surfaced. i NOA No.: 13-1022.15 MmMMM COUNTY Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 2 of 16 I TRADE NAMES OF PRODUCTS MANUFA CI TURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions pecification _ Description FireOut" Fire Barrier 5, 55 gallons Proprietary Low VOC,water based fire barrier coating. Coating VersaShiele Fire 350 sq.ft. roll ASTM D226 Non-As haltic Fiber •*• Resistant Roof Deck P glass-Based Un'der4111 nt....... .. . Protection .•... i ...... .... ...... Topcoat"Surface Seal 5 gallons STM D6083 Solvent """ • based sprayable thorrmoplastic rubber :• SB sealant designed to protect and restore aged roof .0 00 surfaces and to increase Wbrs reflgctitfty. .. .. .... ...... APPROVED INSULATIONS: •••••• •• . . . . ...... TABLE •••••• Product Name •• •••• • Product Description Manufaccluirer EnergyGuard7 Polyiso Insulation Polyisocy urate foam insulation (With Current NOA) GAF EnergyGuarr RA Polyiso Insulation Polyisocyanurate foam insulation � GAF EnergyGuard7 RN Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard7 Perlite Roof Insulation Perlite insulation board. GAF EnergyGuard7 Perlite Recover Board Perlite recover board I GAF EnergyGuarC RA Composite Polyiso PolyisocyalLrate foam insulation with high GAF Insulation density fiberboard or Permalite perlite insulation SecurocO Gypsum-Fiber Roof Board Gypsum roof board United States Gypsum Corp. Structodek®High Density Fiber Board High density fiber board Blue Ridge Fiberboard, Inc. DensDeck®Roof Board Gypsum board Georgia-Pacific Gypsum LLC i I I NOA No.: 13-1022.15 P9IAMFDADE COUNTY Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 3 of 16 EVIDENCE SUBMITTED: i Test A ma Tes Identifier Factory Mutual Research esc--ri°h°° Date Corp.rP J.I. SWAM 4470 J.I. 139QLAM 07/02/97 J.I.,QDOA8.AM 4470 01/08/98 J.I.I(D 1 A8.AM 4470 07/09/99 4470 07/29/94••• J.I.;dY9Q5.AM � �•� '... .... 3 29832 4470 04/01/9t* UL LLC 1306 4470 •• :'D�/11/07 •• PRI Construction Materials GAPGAP12-02-02 UL 790 "':" ••'•07/22/1�••••• Technologies,LLC ASTM D497*f • GAF 20-02-01 11/06/02'" ASTM D497'7.•:•• GAF-682-02-01 ASTM 1360"0 0 0 0 ;•"02/01/02.... GAF84-02-01 .-@S/07/06-:—' ASTM D608a.'..' •• •85/09/06•••;• GAF-270-02-02 ASTM D22 GAF-6-02-01Rev "2'% '11/15/10 AF-2'� ASTM D6085 :...�2/16/1Q•�••� GAF- 76-02-02 ASTM D226•�.'2 ••��(l/15/1 Q•••• 06-02-01 ASTM E96 GAF- 14"02-01 ASTM D2178 ••'OT07/11 GAF- ,:115-02-01 ASTM D2178 08/23/11 GAF-169-02-01 ASTM C1289 08/23/11 GAF17-02-01 ASTM C1289 10/22/12 GAF-464-02-01 ASTM C1289 05/28/13 GAF4)9-02-01 ASTM D6083 10/22/12 IRT of S. Fl. GAF-5)0-02-01 ASTM D6083 03/12/14 02005 TAS 114 03/12/14 Trinity I ERD 021014 TAS 114 01/18/02 G30250.02.10-3-R1 ASTM D3909 03/22/02 G3136b.03.10 11/26/12 ' �, ASTM D6164 G33470.01.11 ASTM D6164 03/31/10 G34140;104.11-2 ASTM D6163 11/16/11 G341401'04.11-4 ASTM D6401 04/25/11 G34140 104.11-5 04/25/11 ASTM D4897 G34140.0 .11-5-R1 ASTM D4897 04/25/11 G40630.0 '.14-2A-1 ASTM D6164 10/18/13 G4361 .01.14 ASTM D3909 01/07/14 G6850.6:8.07-1 8.07-1 ASTM D3909 01/22/14 G30250.0 .10-3-R1 ASTM D3909 08/13/07 11/26/12 MIAMFDADECOUNTY NOA No.:13-1022.15 ' Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 5 of 16 I r Membrane Type: BUR Deck Type 1: Wood,Non-insulate Deck Description: 19/32"or greater ply, ood or wood plank decks System Type E: Base sheet mechanici Illy fastened. All General and System Limitations shall app Y. 6666 . . 6666 6666.. Fire Barrier: • .. FireOut Fire Barrier Coating, VersaShielde Fire Resistant RoUFQ8dlc profecli'on or • (optional) Securock Gypsum F fiber Roof Board. 600.0. 6 0 Base sheet: GAFGLAS®#80 Ulti 'a"' :0000:0 0 0 0 6666 Sheet,Ruberoid®20,; ube o d SBS Heat-Weld"SmoothorR hible Vdnting Base 0 . 6666. 1de 25 base sheet mechani ally fastened to deck as described below 00 S>#S'Ie�at-Weld"':' Fastening Options: GAFGLAS®P1 4 G '4000 0 • Y GLAS®F1exPly"'6,GAFGLAS®#75 Base Sheet *060:0 060'0 base sheets attached to deck with approved annular ring shank!ails and tin Or �of above fastener spacing of 9"' ..c.at the la staggered �l'S�t a :099e: P aggered and in two rows 12"o.c. in die.1 14. (Maximum Design Pr 'ssure—45 psf.See General Limitation #7) GAFGLAS®Ply 4,GA FGLAS"F1exPly'"6, GAFGLAS®#75 Base Sheet or any of above base sheets attached to eck with Drill-Tec"' #12 Fastener or Drill-Tec'"#14 and Drill Tec"'3"Steel Plate,D 11-Tec"'AccuTrac®Flat Plate or Drill-TecT"AccuTrace Recessed Plate 12"o.c. in 3 rowsOne row is in the 2 side lap. The other rows are equally spaced approximately 12"o.c. n the field of the sheet. (Maximum Design Pre sure—4S psf. See General Limitation #7) i GAFGLAS®Flex PIXI 5 GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with approved ular ring shank nails and tin caps at a fastener spacing of 9"o.c. �(f at the 4"lap staggered �d in two rows 9 o.c. in the field. (Maximum Design Pres'ure 52.5 psf.See General Limitation#7) GAFGLAS®#80 Ultima 74 Base Sheet,Ruberoid®20, Ruberoid®Mop Smooth b ase sheet attached to deck with apliroved P/"annular ring shank nails and inverted 3"steel Plate at a fastener spacing of 9"o. at the 4"lap and in two rows staggered with a fastener spacing of 9"o.c. in the center of the' membrane. (Maximum Design Pres'ure—60 psf.See General Limitation#7) GAFGLAS®#75 Base St eet or any of above base sheets attached to deck with Drill-Tec"' #12 Fastener or Drill-Ted #14 Fastener and Drill-Tec""3"Steel Plate,Drill-Tec"" AccuTrac®Flat Plate or rill-Tec'"AccuTrac®Recessed Plate 12"o.c. in 4 rows. One row is in the 2"side lap. The ther rows are equally spaced approximately 9"o.c. in the field of the sheet. (Maximum Design PressIre re—60 psf.See General Limitation#7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill-Tec'm insulaiion plates at a fastener spacing of 9"o.c.at the 4"lap staggered in two rows 9" in the field (Maximum Design Press re—60 psf.See General Limitation#7) MIAMfQADECO uN7lr NOA No.: 13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 14 of 16 Fastening Options: GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-TecTm (Continued) 412 Fastener or Drill Tec"''#14 Fastener and Drill-Tec""3"Steel Plate,Drill-Tec'" AcFlat Plat or Drill-Tec"" is inn the AccuTrace Recessed Plate 8"o.c.in 4 rows. One row the sheet..the 2"side lap. he other rows are equally spaced approximately 9"o.c. in the field of (Maximum Design I essure—75 psf.See Genera[Limitation #7) Ply Sheet: One or more plies of WGLA ®Ply 4 or GAFGLAS®#80 Ultima Base Sheet adhere full mopping of appr ed asphalt applied within the EVT ran • "" d jh#.• lbs./sq. �• et a rate 4f�g-40 •• Cap Sheet: (Optional) One 1 f GAFGL AS® 000:00 •••• •• •• +•• • Ener Ca aced Cap eet or CLAF*CLAS®:•'•' gY p UR ineral Surfaced Cap Sheet adhered hi a.full mopVi$g of ••... approved asphalt ap 'lied within the EVT range and at a rate,�f0-40�bs!/Sq. •• ••• Surfacing: Optional on granular(surfaced membranes; required for s-* ** memb•••• •••••• components must be pplied according to manufacturer's applieution i races. Chosen •, AU coatings must bell sted within a current NOA. pStr,IO�iions.""'• 1. Gravel or,i ag applied at 4001bs./sq. and 3001bs./s4.'res}ectivolK a flood • coat of ap roved asphalt at 60 lbs./sq. Maximum Design 2. Topcoat® surface Seal SB applied at Ito 1.5 gal./sq. Pressure: See Fastening Options I I i CLMLAMPDADECOUNTy NOA No.:13-1022.15 Expiration Date: 11/04/18 Approval Date: 11/06/14 Page 15 of 16 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS®Ply 4 and GAFGLAS®Flex Ply"''6 when used as a mechanically fastened base or anchor sheet. 2. Minimum ''/a"DensDeck""Roof Board or Y2" ype X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIM fATIONS: 1. Fire classification is not part of this acceptan e;refer to a current Approved Roofing ratings of this product. Mfiterlals Directory for fire••.• 2. ...... .... ...... Insulation may be installed in multiple layers The first layer shall be attached in com • Approval guidelines. All other layers shall b adhered in a full mopping of approved p�•ice ppll,Procj hi Co�ttbr•; EVT range and at a rate of 20 11 or echanically attached using the fastening�p�Oh appl����n tho..., 3. All standard panel sizes are acceptable form hanical attachment. When applied in Wp rue d phlttt!of the panel si�8• • shall be 4'x 4'maximum. •... 4. An overlay and/or recovery board insulation T el is required on all applications over closed cell warn msulati�ns• • when the base sheet is fully mopped. If no re very board is used the base sheet shall 4 mopping with approved asphalt, 12" diameter circles,24"o.c.;or strip mo •ap�lied usj, .spot :0000: each sidelap and one down the center of the s eet allowing a continuous area of venpped 8" tilation.bons n Encircling threers of the t strips is not acceptable.A 6"break shall be plc ed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a mini um rate of 12 lbs./sq. Note. Spot attached systems shall be limited to a maximum design pressure of-4 psE 5. Fastener spacing for insulation attachment is b ed on a Minimum Characteristic Force(F')value of 275 lbf.,as tested in compliance with Testing Application tandard TAS 275 Ibf. insulation attachment shall not be acc table. 105. If the fastener value,as field-tested,are below 6. Fastener spacing for mechanical attachment of chor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with maximum design value listed within a specific system. Should the fastener resistance be less than that required, determined by the Building Official,a revised fastener spacing, prepared,signed and sealed by a Florida Regis red Professional Engineer,Registered Architect,or Registered Roof Consultant may be submitted. Said revisefastener spacing shall utilize the withdrawal resistance value taken 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 a nd base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared,sign d and sealed by a Florida registered Professional Engineerp Registered Architect,or Registered Roof Consu tant this NOA,General Limitation #9 will not a applicable.en ) 8. limitation is specifically referred within 8. All attachment and sizing of perimeter nailers,n etal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS l I 1 and app icable wind load requirements. 9. The maximum designed pressure limitation listei shall be applicable to all roof pressure zones(i.e.field, perimeters,and corners).Neither rational analYsi s,nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e.perimeters, extendi d corners and s .corner referred within this NOA,General Limitation#7 will nt be applrcab(When this limitation is specifically o 10. All products listed herein shall have a quality ass rance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Cod END OF TIUS ACCEPTANCE MIAIMMADE COUNTY NOA No.: 13-1022.15 • Expiration Date: 11/04/18 j Approval Date: 11/06/14 Page 16 of 16 u 4 li L TGFU.R1306 Roofing Systems • GAF MATERIALS CORP ' ••••' •••••• I361 ALPS R1) ...... '•A1306 ....:. AYNE,NJ 07470 USA •" 00 00 .... •..... ASPHALT FELT SYST MS W ••••• TT'H HOT ROOFIN •••"' •• • GASPHALT ..'..• ••••• .... ...... Class A 4.Deck: C-15/32 •••• • I Incline: 1 • .. . .... ...... Slip Sheet(Optional • )' R d Insulation rosin paper, nailed to deck. (optional):--A 'y thickness Perlite or wood fiber or glass polyisocyanurate mechanically fastened or adhered with OMG InOIYBond F System"or any UL Classifie insulation adhesive. astenir. Base Sheet:—One:).1. ;:;r. Sheet"(may be nailedY G2"GAFG. Ste`#7S.Base Sheet"or"Tri-Pl Ply Sheet:_ YV 475 Base GAFGLASQ ply6or more 1 es TYPe`G 1.^.GAF "or"Tri-Ply0 pl 4" Cap Sheet:, Y or Qne ply.T "e 3,,, P1Y®Mineral u ced Ca :11ne 1 arfaced'Ca 'Sheet"or"Tri- Surfaced Cap Sheet." p S feet"or"GAFGLASqD EnergyCapTM BUR Mineral Surfacing(optional):--"TO COAT®Ener rare gyCote applied at a rate oft-gaI/10+)-ii:2. Copyright®2011 Undenvrft rs Laboratories Inc. The appearance of a company's iame or product in this database does not in itself that products so identified have een manufactured under UL's Follow U Service. those products bearing assur. UL's Follow U the�' ark should be considered to be Listed and covered Oder p Service.Alwa look for the Mark on the product. UL permits the reproduction of a material contained in the Online Certifiicatio Directory subject to the foilowin conditions: I.The Guide Information Desi Listings(files)m n must be presente in their entiretyDesigns and,'or without any manipulation of the ata(or drawings)and in a non-misleading manner, Online Certifications Directory 2.The statement'Reprinted from the must a j ith permission from Underwriters Laboratories Inc." appear adjacent to the extrz ted material. In addition,the reprinted material must include a copyright notice in the Ilowina format; "Copyright®2011 Ii �g M 1HC.I9JJ G� shores iami � Building Department r' �` 10050 N.E.2nd Avenue �IOR" Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL ST1RU0TUR6NItSUA •;• TO SECTION 553.844 F.S. '••:•• . ..;• .... To: Miami Shores Village Building Department •f 1/a^'•• 10050 NE 2m Ave Date: •••.. Miami Shores, FI 33138 '• •• ••.. Re: Owner's Name: ;— •••.:. Property Address: : 4)e ck i S "T ••• ••• Roofing Permit Number: Dear Building Official: certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site-Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 96-3.047 F.A.C. Signature - 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 /e-, day of 20 Notary Public, Sate of Florida at Large " 1PaY P�e<, DENIIARODRIGUEZ 20 `* MY COMMISSION#FF 156456 (SEAL) * EXPIRES:November 30'2018 Bonded TOU Budget Notary Services Revised on 5!21/2009 FINAL COMPLIANCE ti. P SECTION HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR R ROOFING 1524.1 Scope.As it pertains to the section, it is the responsibility of roofing contractor to provide the oyvlgj with the required roofing permit,and to explain to the owner the content of the section. The provisjons of govern the minimum requirements and standards of the industry for roofing system installetlon�.AddSWigo ittooaR�4e02 following items should be addressed as part of the agreement between the owner ant tw•c�Atiactor.��Q,owner's • initial in the designated space indicates that the item has been explained. •• 0000.. • 0000 0000.. • 0000:. • 2. 0000-7--�- 0 Renailing*ood decks:When replacing roofing,the existing wood reol deck Fnay1i'aue to 0•••• be renailed in accordance with'the current provisions of Section R4403.(The jQof� kis usuaTlY 0 • 00000 0000. concealed prior to removing the existing roof system). 0•••• • 0000.. • 0000.. 4• zh—Exposed Ce1lin9 exposed, ..x osed,open beam ceilings are where the underside of th9.0roa 00f 0decking• �0•..: can be viewed from below.The owner may wish to maintain the architectural appearance;therefore, roofing nail penetration of the underside of the decking may not be acceptable.This provides the option of maintaining the appearance. s 1,.Fj Overflow scuppers wall outlets): not overloaded from a buildup of water. Perim ter/edge wall or ther oftextension mayer fiows off so block that the roof is 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. t Cw ent's Signature Date tor Sig '0 ���/L Contracnature Date Property Address Permit Number Revised on 7/9/2009 LD;07/01/2015; y