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RF-15-601
t Permit NO. RF-3-15-601 y? Miami Shores Village Permit Types Roof 10050 N.E.2nd Avenue NE e F11 Work Classification:Flat 'Pr- Miami Shores, FL 33138-0000 P.ennit Status:APPROVED ` ORi Ems` Phone: (305)795-2204 - - FLDP' Issue Date: 3/1812015 Expiration: 09/14/2015 Project Address Parcel Number Applicant 841 NE 95 Street 1132060142940 ARTURO CADILLA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell ARTURO CADILLA 841 NE 95 Street MIAMI SHORES FL 33318- 841 NE 95 Street MIAMI SHORES FL 33318- Contractor(s) Phone Cell Phone $ 1 600.00 Valuation: 21 CONSTRUCTION CROUP (786)301-9917 Total Sq Feet: 285 Type of Work:Repair Available Inspections: Additional Info:NEW PERMIT FEE Inspection Type: Classification:Residential Tin Cap i Scanning:3 Final Roof Roof in Progress Renailing Affidavit Review Roof Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# RF-3-15-54844 CCF $1.20 DBPFee $3.75 03!18/2015 Credit Card $769.70 $0.00 DCA Fee $3.75 Bond#:2643 Education Surcharge $0.40 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $769.70 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 stri t conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I e responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECT L, MBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID I rt"y that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and onin ut rmore, I authorize the above-named contractor to do the work stated. March 18, 2015 Authorized Signatur :Owner / Applicant / Contractor / Agent Date Building Department Copy March 18, 2015 1 Miami Shores Village ` RECEIVED Building Department Maas 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20� 0 BUILDING Master Permit No.RC-6-14-1156 PERMIT APPLICATION Sub Permit No. IS`� ❑BUILDING ❑ ELECTRIC FO-1 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 841 NE 95 St City: Miami Shores County: Miami Dade Zip: a Folio/Parcel#: 11-3206-014-2940 Is the Building Historically Designated:Yes NO X Occupancy Type: R-20' Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Arturo J Cadilla. Phone#: Address: 841 NE 95 St City: Miami Shores State:, FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: AIG Homes Inc. (21 Construction group DBA) Phone#: 786-301-9917 Address: 7864 NW 200 St City. Miami I State: FL Zip: 33015' Qualifier Name: Guillermo Diaz Phone#: 786-301-9917 State Certification or Registration#: CCC 1327792 Certificate of Competency#: 6739792 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �l'�� Square/Linear Footage of Work: CJ LD I Type of Work: M Addition ❑' Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 285 LOW slope roof r ` Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$. Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) y 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 r� 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 co encement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu in absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signa OWNER or AGENT CONT CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _day of Marc h 20 1�5- ,by ( day of M LN g"- 20' (S by lir+yi-o J CO.CAMa who is personally known to W I Uln N who is personally known to me or who has producedF� 1�r were C.;c o ns� as me or who has produced i identification and who did take an oath. identification and who did take an oath. r NOTARY PUBLIC: NOTARY PUBLIC: i i Sign: fin_ Y�s� Sign: Print: l y-'-0j M Print: Seal ;.' Y•'y JERROD M.JONES Seal: L Notary Public State of Florida Aa-' Commission#FF 197851 Sindia Alvarez P" Expires February 27,2019 My Commission FF 156750 �• Expires 09103/2018•1 .•' sooaoa 1nN troy vw m. ,00 eoa�esao�s 1 � s APPROVED BY ck� -3T(77( Pl ans Examiner Zoning i { Structural Review Clerk (Revised02/24/2014) .a 114 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 � .� 1940 NORTH MONROE STREET s TALLAHASSEE FL 32399-0783 DIAZ, GUILLERMO 21 CONSTRUCTION GROUP 7864 NW 200 STREET MIAMI FL 33015 Congratulations! With this license ou become one'of the"near one million Floridians licensed by the Department of Business and _ Professional Regulation. Our professionals and businesses range % � 3 STATE:OIF FLORIDA`, . ^ from architects to yacht.brokers,from boxers to barbeque restaurants, li -°DEPARTMENT OF BUSINESS AND' and they keep Florida's economy strong. ! PROFESSIdNAL REGULATION " . Eve da we work to improve the way we do business In order to CGC 506184 A `# n. ry y p y ,j ISSUED:„,,09/03/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information �.. I CERTIFIED GEN ERALCONTRACTOR about our divisions and the regulations that impact you,subscribe DIAZ,GUILLERMO,'�- to department newsletters and learn more about the Department's i ; t'{e r- f initiatives: 21 CONSTRUCTION GROUPr Our mission at the Department is: License Efficiently, Regulate°Fairly. We constantly strive to serve you better so that you can serve your on customers. Thank you for doing business in Florida, ISiCERTIFIED under the provisions r Ch,4 FS and congratulations on your new license! Expiratron data AUG 31 2016 V L1409030002147• , DETACH HERE RICK SCOTT, GOVERNOR # _ KEN LAWSON, SECRETARY _ x _STATE OF,FLORIDA DEPARTMENT OF BUSINESS AND•PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY.LICENSING BOARD L ;; _w•:^ _. � �= CGC1"506fB4 ; Y The GENERAL CONTRACTOR ~y Named below,'IS CERTIFIED; "° � *'-- - , , } Under the provisions_of Chapter 489 FS ,,_^-�� °R may; by ,. }Expiration date: WE AUG 31;201 S ,.......�;=a r '" .. �k .,,ir„ ..,. �„.,� , •....r ,... ti ', '^w,� •,. .gyp 3.,� ,, ti i t i "`'k 's d y% } DIAZ,GUILLERMO - ",,x`21 CONSTRUCTION_;GROUP` r' r' � 6187 NW 167`ST H39�.�^;" _ MIAMI � N 1 .! r ISSUED: 09/03/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1409030002147 i ' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850);487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 I , DIAZ, GUILLERMO 21 CONSTRUCTION GROUP 7864 NW 200 STREET' MIAMI FL 33015 Congratulations!-Wit?t thls'license you tSecome-6-66-of-the-nearly-= - -- - ---- - I ne million Floridians licensed by the Department of Business and w Professional Regulation Our professionals and businesses range ' STATE OF FLORIDA"'" from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF.-BUSINESS AND and they keep Florida's economy strong. , , PRO FESSibNA15kEGULATION, Every day we work to improve the way we do business in order to F .1327792 - , { ISSUED-'09103/2014 serve you better. For information about our services,please log onto vrww.m floridallcense.com There you can find more information tr fR Y Y CERTIFIED ROOFING GOP about our divisions and the regulations that impact you,subscribe I DIAZ;'"GUILLERMO to department newsletters and learn more about the Department's initiatives. r :21-CONSTRUCTION GROU - f Our mission at the Department is:License Efficiently,Regulate Fairly. r i r We constantly strive to serve you better so that you can serve your customers. Thank you for_doing business in Florida, a SIS CERTIFIED:under the provisions of Ch 489..FS �1 and congratulations on your new license! ��', .Expratwn 6te AUG 3i M16oao2o3s tV uaoso3Vis-.. DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STAT OF FLORIDA L - DEPARTMENT OF..BUSINESS 'AND PROFESSIONAL REGULATION", CONSTRUCTION INDUSTRY,LICENSING.BOARD-,.? _ t CCC1327792 ,, The ROOFING CONTRACTOR hNamed below.IS CERTIFIED .,_ .� ;Y '� ` , s r Under the,provisions of Chapter 489 FS:- w � p Ex�irafioi date ,AUG 31 2016 . - `' F .w. +.*�,•.<,�f..Wyt. �n`t: w"E ~ }r.•'f+,sF` .a.!" .a�• .„ '1^ � .u."" ���,y,yet ,'*.r•h�� _ 'i4.`�.. "Sy h° t.�� � `e_e'' y,,� k .v ..ter-'"" ..-„,,,.t,..e.w�b..w,-r* "s..._m°•'�-,� .,.:.w�a' y � �'` "DIAZ GUILLERMOa� ”„ r .r;asC-.s„�•y" -.."'' ,4. '^-,,,,� '.." �,,,_ _`..ti„�„aa ^ +. ' �'! "a`" a"� .'y.. �'k�°f 't. ';%. a 21 CONSTRUCTION GROUP 1~ ; '" ..6187 NW 167 ST H39 •" MIAMI, ^ _�FZ 33015 �'�,� �r '� �x""_''_ `Y�'"'•'�� ~�. �: �y '�,. 4� mak" �4w. �� � ,�-"'V/''"'"!.+^„E�,e�^`-'o`..r�" r+'"�'�""���� ''���''°Fa i, '�\' ^� '`t'"�x,. t t'",�,,."` ""4 ❑ _.�i. ISSUED: 09/03/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1409630002038' E � 1 # # k 1 I 3 ( k --------------- i 00932 local Business Tax Receipt } Miami—Dade County, State of Florida -THIS IS NOT A BILL - 00 NOT PAY t 16739792 # BUSINESS NAME/LOCATION AIG HOMES INC RECEIPT NO. EXPIRES 6175 NW 167 ST G25 RENEWAL SEPTEMBER 30, 2915 MIAMI FL 33015 713295I Must be displayed at place of business Pursuant to County Code Chapter 8A-Art.9&10 E OWNER ' f SEC.T HOMESiINC YPE O BUSINESS r i''�` AIG -196 GENERAL BUILDING CONTRACTOR PAYMENT RECEIVED y Worker(s) 1 CGC1506184e € i'BY TAX COLLECTOR , ' 05.00 07%24/2014 `h ti T CREDITCARD-14-029834 ` his Local Business Tax Receipt only confines a I f I I permit or a certification of the holder's qualifications,to do bousmess.Halder mex.ust complyReceipt witth is g a ernmen, f ,ornon regulatory laws and rOquirements.which apply to the business, I y governoteetal _ I The RECEIPT N0.abovem must be di played on ell i ommerc al vehicles-Miami-Dada Code Sec Ba-�6. k For more information,visit f f - vJOKw.miamidade aovhax llr... i r ` a > k t F . t 1 t I t q sm."o 10-19-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * t 1 CONSTRUCTION INDUSTRY EXEMPTION i This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 01/11/2013 EXPIRATION DATE: 01/11/2015 PERSON: DIAZ GUILLERMO FEIN: 272921021 BUSINESS NAME AND ADDRESS: AIG HOMES INC DBA 21 CONSTRUCTION GROUP 7864 NW 200 ST MIAMI FL 33015 SCOPES OF BUSINESS OR TRADE: 1- '.ROOFING 2- LICENSED GENERAL CONTRACTOR I IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13). F.S., Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation if, at any time alter the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shalt revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 OWC-152 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 I PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION F Pursuant to Chapter 440.05114), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY `, 0 elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW �`'-^''* D chapter. , EFFECTIVE: 01/11/2013 EXPIRATION DATE: 01/11/2015 Pursuant to Chapter 440.05(12), F.S.. Certificates of,election to be PERSON: GUILLERMO DIAZ H exempt.. apply only within the scope of the business or trade listed on FEIN: 272821021 R the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt AIG HOMES INC and certificates of election to be exempt shall be subject to revocation DBA 21 CONSTRUCTION GROUP if, at any time after the filing of the notice or the issuance 'of the 7864 NW 200 ST certificate, the person named on the notice or certificate no longer meets MIAMI;FL 33015 the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this 1- ROOFING 2- LICENSED GENERAL CONTRACTOR Section. QUESTIONS? (850) 413-1609 CUT HERE k' * Carry bottom portion on the job, keep upper portion for your records. 1 I I , I OWC-252,CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 i ♦SNORes Gr eggs Miami Shores village Building Department �ORipA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305).756.8972 Notice to Owner — Workers' Compensation Insurance Exemption • E 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. 4 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:, Owner State of Florida County of Miami-Dad The foregoing was acknowledge before me this / day of ~f 20��. By b`Y, �.a ck JC1 who is personally known to me or has produced as identification. Notary: riela rito SEAL: `.►?,Y P��.CpM IISS ON#EE6122320 o. EXPIRES:AUG.15,2015 �'•v,°F;�.�`� WWW.AARONNOTARYeom F 21 CONSTRUC110N -GROUP- 21 ROUP21 Construction Group DBA Of AIG Homes Inc. 6187 NW 167 St H39 Miami, FL 33015 03/15/2015 t State of Florida County of Miami Dade i Before me this day personally appeared Guillermo Diaz who, being duly sworn, deposes and says: I Guillermo Diaz of AIG Homes Inc. will be the only person working on the project'locate at 841 NE 95 St. Miami Shores, FL 33138.The scope of work of the project is a roofing of the new addition. No other work will be done under AIG Homes Inc. If you have any question, do not hesitate to contact me at 786-301-9917 E Sworn to (or affirmed) and subscribed before me this_J_EJ_day of ° t-A .2015, by Ukik �1! AM 't7 1 0a r Personally Known❑ Of Produced Identification D2-00-92n-05— (A)(— Type of Identification Produced -V?-1 lvv ! f P Print,Type or Stamp Name of Notary " Notary Public State of Florida Sindia Alvarez My Commission FF.156750 OFa Expires 091031201 8 E 4 h 1 2015 details - Business Tax Account 21 CONSTRUCTION GROUP - TaxSys - Miami-D... , Page 1 of 1 _41`11010ki"'11COCLO*GOY M Tax Collector Home Search Reports Shopping Cart Please do not include any special characters in the name,address,and e-mail field such as#,&,hyphens,comma, dashes. i We have moved.Our new address is: 200 NW 2nd Ave,Miami,FL 33128 i The information contained herein does not constitute a title search or property ownership. 2015 Details--Business Tax Account 21 CONSTRUCTION GROUP Business Tax Account#7164478 U Account details gT Account history 2015 2014 I Paid Paid t Account number: 7164478 Owner(s): 21 CONSTRUCTION GROUP Business start date: 12/26/2013 C/O AIG HOMES INC Business address: 21 CONSTRUCTION GROUP 6187 NW 167 ST STE H-30 6187 NW 167 ST STE H-30 MIAMI, FL 33015 MIAMI, FL 33015 Mailing address: 21 CONSTRUCTION GROUP Physical business location: UNIN DADE COUNTY C/O AIG HOMES INC 6187 NW 167 ST STE H-30 MIAMI, FL 33015 Print account application (PDF) Receipts and Occupations Raceipt 7442752 Paid 2014-07-24$75.00 Contracting 10/01/2014 NAICS code: Receipt#CREDITCARD-14-029834 Print SPECIALTY BUILDING —09/30/2015 238990 this bill CONTRACTOR Units:2 0 Additional documentation required:CCC1327792 State/County License or Certificate s l 3 r t https://www.miamidade.county-taxes.com/public/business_tax/accounts/7164478 3/18/2015 AC>j? 41 D (rE MA MM/DD/YY) CERTIFICATE OF LIABILITY INSURANCE __ _ 03/16/15 I PRODUCER Florida General Agency 9 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION 15280 NW 79 Ct.,Ste. 103 I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND C Miami Lakes,FL 33016 ALTER THE COVERAGE AFFORDED BY THE_POLICIES_BIR E,LOW. w__.... Phone (305)822 0042 Fax (305)826-0911 INSURERS AFFORDING COVERAGE NAIC# t --..._._...,._.._.._....._.. _ _ INSURED AIG HOMES, INC INSURER A GRANADA INSURANCE COMPANY } 6175 NW 167 ST G-25 Ii INSURER B__� I INSURER C� _ I I HIALEAH FL 33015 r---- �--- INSURER D: � INSURER E: COVERAGES_ I INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHEPOLICY 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 POLIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH I POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. —^ 'INSR AOD L — POLICY EFFECTIVE POLICY EXP1RATpN LTR—INSRD� TYPE OF INSURANCE POLICY NUMBER DATE MMIDONY) D%TESMMtD,__ pN LIMITS I GENERAL LIABILITY EACH OCCURRENCE i t $l000000 ®COMMERCIAL GENERAL LIABILITY F DAMAGE T�ENTEO I 10185FL00023576 01/06/15 01/06/16 PREMISES(Ea oc«,rence: I $100000! A ❑ ❑❑ CLANS MADE ❑ OCCUR � ! � MED EXP(Any one person) $50001 _ F��_ 0.1 1 ❑ 4 PERSONAL&ADV INJURY $1000000 {�❑ GENERAL AGGREGATE rv$1000©00 1 GEN'L AGGREGATE LIMIT APPLIES PER:f E! PRODUCTS-COMPIOP AGG � 0 ! ❑ POLICY ❑PROJECT ❑ LOC _ ! -- 1 AUTOMOBILE LIABILITY ❑ ANY AUTO COMBINED SINGLE LIMIT i (Ea❑ accig"_ALL OWNED AUTOS 1 — _..___.._..! ❑ © SCHEDULED AUTOS BODILY INJURY ' I ❑ HIRED AUTOS ❑ NON OWNED AUTOS I 1 BODILY INJURY j (Per accident) i ❑- _-� PROPERTY DAMAGE I Per accident) t ( GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I ❑ ❑ ANY AUTO OTHER THAN _EA ACC w i tI AUTO ONLY: EXCESS/UMBRELLA LIABILITYAGG EACH OCCURRENCE i ❑ OCCUR ❑ CLAIMS MADE . I AGGREGATE ❑ DEDUCTIBLE _. I❑ RETENTION $ WORKERS COMPENSATION ANDF ❑ WC----- ' EMPLOYERS'LIABILITY I STATU- ❑ 0TH- TORY.IIMIT ANY PROPRIETOR/PARTNER/EXECUTIVE ;E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? �..� i N}res,describe under 4 1 E.L.DISEASE-EA EMPLOYEE I SPECIAL PROVISIONS below _ —� E.L.DISEASE-POLICY LIMIT OTHER A t , DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS i 'RODUCTS AND COMPLETE OPERATIONS ARE EXCLUDED IBI AND PD$500 DEDUCTIBLE !GENERAL CONTRACTOR LIABILITY t 1CGC 1327792 CGC 1506184 I CERTIFICATE HOLDER CANCELLATION - ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL CITY OF MIAMI SHORES DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2ND AVE ` THE LEFT,BUT FAILURE SO SHALL IMPOSE NO OBLIGATION OR LIABILITY MIAMI SHORES FL 33138 I OF ANY KIND UPON INSU R,ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REP SE _ I r AC.dRD 25(2001108)QF ; 0ACORD CORPORATION 1988 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 1525 HIGH-VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION ` Florida Building Code Edition 2010 High-Velocity Hurricane Zone Uniform Permit Application Form. INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT h APPLICATION FORM AND ATTACH THE k LU v, REQUIRED DOCUMENTS AS NOTED BELOW: F- ba z Q '- Q g M o J Roof System Required Sections of the Attachments Required W w = Permit Application Form See List Below 0) J 0 a 'Cr: Low Slope Application A,B,C 1,2,3,4,6,6,7 j = C ~ prescriptive BUR-RAS 160 A,B,C 4,6,6,7 w © z sphaltic Shingles A,B,D 1,2,4,6,6,7 �• a c F oncrete or Clay Tile A,S,D,E 1,2,3,4,6,6,7 t ❑ a ° etal Roofs A,B,D 1,2,3,4,6,6,7 > o w � o � road Shingles and Shakes A,B,D 1,2,4,6,8,7 C3 a z o ' ther As Applicable 1,2,3,4,6,6,7 7Da fC�I ATTACHMENTS REQUIRED: MAR 20 1. Fire Directory Listing Page Y: 2. From Product Approval: •••• Front Page • Specific System Description •••• • 1 Specific System Limitations •, ...... .. .. .. 4 .. General Limitations • Applicable Detail Drawings •• •• •• . .... .. lo 3. Design Calculations per Chapter 16,or If Applicable,RAS 1270&:AA$ eoi4•• 128 .. .. .. .. .. 4. Other Component of Product Approval 0 , ..a a;. 6. Municipal Permit Application :Goo*: . .. . . ... 6. Owners Notification for Roofing Considerations(Reroofing Only) •• • 7. Any Required Roof TestinglCelculation Documentation 1 FLORIDA BUILDING CODE--BUILDING 1831 F ! ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2010 High-Veloclty Hurricane Zone Uniform Penult Application Form. Section A(General Information) Master Permit No. Process'No. Contractor's Name,AIG Homes' Inc. (21 Construction Group' DBA) Job Address 841 NE 95 St ROOF CATEGORY ® Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tile ❑Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shinglea/Shakes Shingles t ❑ Prescriptive BUR-RAS ISO ROOF TYPE ❑ New Roof ®Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF.SYSTEM INFORMATION Low Slope Roof Area(SF) 2 8 5 Steep Sloped Root Area(SF) Total(SF) 2 8 5 Section B (Roof Plan) Sketch Roof Plan:Illustrate all levels and sections,roof drains,scuppers,overflow scuppers and overflow drains. Include.dimensions of sections and levels,clearly identify dimensions of elevated pressure zones and location of parapets. - 4 r . .... ...... New flal roof •• •' .. .. . . .. . ...... 4+411 LEE •• . .. . . ... . . { 15.32 FLORIDA 13UILDING CODE--BUILDING 4 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 -High-Velocity Hurricane Zone Uniform Permit Application Form. Section C(Low Slope AppifrAtIon), Surfacing: Fill In specific roof assembly components ; and Identify manufacturer Fastener Spacing for Anchor/Base Sheet Attachment: � (if a component is not used,Identify as"NA") G Field: 9 "oc 0 Lep,#Rows 2 0 9 "oc ` ' System Manufacturer: GAF Material Corp Perimeter: 6 "oc� Lap,#Rows 4 Itp� 6 "oc Product Approval No.: 13-10 2 2 .15 Corner:-§--"oc 0 Lap,#Rows 4 0 6 oa Design Wind Pressures,From RAS 128 or Calculations: N Pmax1: 3 9. 1 Pmax2s 6 8 . 1 Pmax3: 10 0 .7 umber of Fasteners Per Insulation Board: Max.Design Pressure,from the specific Product Field Peilmeter Corner Approval system: 52 . 5 Illustrate Components Noted and Detallsias Applicable:. i Deck: Wood Woodblockin ,Gutter,Edge Termination,Stripping,Flashing, Type: Continuous Cleat,Cant Strip,Base Flashing, ouer- g Flashing,Coping,Etc. Gouge/Thickness:_ S/8 Indicate:Mean Roof Height,Parapet Height,Height of Base Flashing,Component Material,Material Thickness, Fastener slope:-11.4 Type,Fastener Spacing or Submit Anchor/Base Sheet&No.of Ply(s): #75 1 P l ay Anchor/Base Sheet Fastener/Bonding Material: Ring Shank Nails Insulation Base Layer: N/A ' Illj Bass Insulation Sirs and Thickness: N/A FT. Base Insulation Fastener/Bonding Material:- ' Full morming q Parapet Height Top insulation Layer: N/A Top Insulation Size and Thickness: H/A i 5/8" W od De ... .. Top Insulation Fastener/Bonding Material: ( • T.T/1� J • • • Nem • • •• •Roof ••• •. Base Sheet(e)&No,of Ply(s): N/A 3°x3° •• Height •• • Metal Drip Edge •. .... Base Sheet Fastener/Bonding Material: ... N A • Ply Sheet(s)&No.of Pty(*): 2 Ply 4 ••• •• Ply Sheet Fastened8onding Material: ... Full Mo i 119 • I Top Pty: mineral surf aced Cap sheet •• , Top Ply Fastener/Bonding Material: ' Full Mopping FLORIDA BUILDING CODE—13UILDING 15.33 SECTION 1524 HIGH VELOCITY HURRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section.. The provisions of Chapter 15 of the Florida Building Code, Building 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 and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 0-0-1.Aesthetics-Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues 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. 61-0 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). Ltt--- 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. QU,` 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 Florida Building Code provides the option of maintaining this appearance. _Q& 5. Ponding Water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying 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. Qi 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 Florida Building Code, Plumbing. _N7.Ventilation: Most roof structures should have some ability to vent natural airflow through theintesior of the structural assembly(the building itself). The existing amount of attic ventilation shall rtgt Ise 1educed 1May be*'**:' beneficial to consider additional venting which can result in extending ice life of tlle,jggf+ ••••• ••• • 3 / l 0 / I's- ..... Owner's/Agent's Signature Date Contractor's ignatur • .. .. .. . ...... ...... Property Address Permit Number •••••• Rev:1/20/2005,Computer Services,Building Department i 1 i 4 MIAMFOADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)31525-99 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/economy GAF 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 RER- 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 purposes. If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built-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. a 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 endorsempo o€any product,for sales,advertising or any other purposes shall automatically terminate this NQA,?gilure td eafiply. •••• • with any section of this NOA shall be cause for termination and removal of NOA. •' ` • 000.00 .. .. .sees. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Irtd4'M,and follAwed •e by the expiration date may be displayed in advertising literature. If any portion of the NdA4.0 displa adAwn ' eyes 0000. it shall be done in its entirety. • •e •0 ••. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its diMibutors f and shall be available for inspection at the job site at the request of the Building Official•e••; n• •• • This NOA renews and revises NOA No. 13-0424.09 and consists of pages 1 through 16: .•• ;e• The submitted documentation was reviewed by Jorge L. Acebo. .' • NOA No.: 13-1022.15 MIAMMADE COUNTY Expiration Date: 11/04/18 • Approval Date: 11/06/14 Page'1 of 16 d . 4 1 ` a ROOFING SYSTEM APPROVAL Category Roofing Sub-Category BUR Material: Fiberglass Deck Tyne: Wood Maximum Design Pressure: -75 psf. E TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Product Product Dimensions Specification Description GAFGLAS8#75 Base 39.37'(1 meter) ASTM D4601 Type II asphalt impregnated and coated glass mat Sheet Wide base sheet. GAFGLAS®#80 Ultima'` 39.37'(1 meter) ASTM D4601 Type 11 asphalt impregnated and coated,-fiberglass Base Sheet Wide base sheet. GAFGLAS®FlexPly" 6 39.37'(1 meter) ASTM D2178 Type VI asphalt impregnated glass felt with asphalt Wide coating. GAFGLAS®Ply 4 39.37'(1 meter) ASTM D2178 Type IV asphalt impregnated glass felt'with asphalt Wide coating. f GAFGLAS®Mineral 39.37'(1 meter) ASTM D3909 Asphalt coated,glass fiber mat cap sheutsurfaced Surfaced Cap Sheet Wide with mineral granules. ••••• •••••• GAFGLAS®EnergyCap� 39.37'(1 meter) ASTM D3909 Asphalt coated,glass fibE=paat cap sliW%Waced....:. BUR Mineral Surface wide with mineral granules witbArtory appliod • Cap Sheet EnergyCoteTm 0•••• %00:0 ••• GAFGLAS®Stratavent® 39.37'(1 meter) ASTM D4897 Fiberglass base sheet coated•.6aaboth sides-with ..:.•� Eliminator'Perforated Wide asphalt. Surfaced on the bottom side vNith mineral•••••• Venting Base Sheet granules embedded in asphattq coating With factory perforations. 6 % ••*0• GAFGLAS®Stratavent® 39.37'(1 meter) ASTM D4897 A nailable, fiberglass base-sheet impr;gn4V and• ••• Eliminator'7'Nailable Wide coated`on both sides with asphalt. Surfabedon'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- Welcr Smooth Wide modified asphalt and smooth surfaced. Ruberoid®SBS Heat- 39.37'(1 meter) ASTM D6164 Non-Woven Polyester mat coated with polymer- r Weld""25 Wide modified asphalt and smooth surfaced. Ruberoid®20 39.37'(1 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. NOA No.: 13-1022.15 MIAMMADE COUNTY Expiration Date: 11/04/18 • • Approval Date: 11/06/14 Page 2 of 16 4 4 1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 i Test Product Product Dimensions Specification Description FireOuim Fire Barrier 5, 55 gallons Proprietary Low VOC,water based fire barrier coating. Coating VersaShield®Fire 350 sq.ft.roll ASTM D226 Non-Asphaltic Fiberglass-Based Underlayment. Resistant Roof Deck 'Protection 4 Topcoat® Surface Seal 5 gallons ASTM D6083 Solvent based sprayable thermoplastic rubber SB sealant designed to protect and restore aged roof surfaces and to increase a roofs reflectivity. APPROVED INSULATIONS: TABLE 2 Product Name Product Description Manufacturer (With Current NOA) EnergyGuarcr Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuarC RA Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuarC RN Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuarC Perlite Roof Insulation Perlite insulation board. •• GAP•• ••••;• EnergyGuard7 Perlite Recover Board Perlite recover board ...... GAFF •: ••••:• EnergyGuarC RA Composite Polyiso Polyisocyanurate foam insulation with high •• GAF :"": , Insulation density fiberboard or Pernialite perlite 000090 :"'0' *0000 ` insulation •••••• •• • ••••• •• •• •• • 000900 SecurocV Gypsum-Fiber Roof Board Gypsum roof board L W&Qd States Gypsum Coip. • c StructodeV High DensityFiber Board High density fiber board Filue Pidge Fi board,mac•00*000 • • ,DensDecO Roof Board. Gypsum board Georgian acifie*G' *ypum LLC • NOA No.:13-1022.15 MIAMMADECOUN Expiration Date: 11/04/18 • •i Approval Date: 11/06/14 Page 3 of 16 1 M APPROVED FASTENERS: { TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOM 1. Drill-Tec".#12 Fastener Insulation fastener for`steel, various GAF wood&concrete decks. 2. Drill-Tec"#14 Fastener Insulation fastener for steel, various GAF wood&concrete decks. 3. Drill-Tec"XHD Fastener Carbon steel extra heavy duty Various GAF fastener used in steel decks. 4. Drill-Tec""ASAP 3S Drill-Tec"'#12 Fastener with Various GAF Drill-Tec3" Standard Steel Plate 5. Drill-Tec""3"Steel Plate Round galvalume stress plate 3"round GAF used with Drill-Tec" fasteners. 6. Drill-Tec"'3" Standard Steel Round galvalume plated steel 3" round GAF Plate stress plate with reinforced ribs for use with Drill-Tec"u # fasteners. 7. Drill-Tec""AccuTrac®Flat AZ-SS aluminized steel plate 3" square GAF Plate for use with Drill-Tec"m#12 k z Fastener,Drill-Tec" #14 .�*0 0• Fastener and Drill-Tec'"#15 • Fastener. ' 00000* t 8. Drill-Tec"m AccuTrac® Galvalume Steel plate for use 3" square •0 0 0 0• G •AF • Recessed Plate with Drill-Tec"'fasteners. •• •• .... . ..... ...... .. . ..... 400 ...... .0-00 ...... ., . • . .. . . . ... . . f k r k I NOA No.:13-1022.15 MIAMMAnecoExpiration Date: 11/04/18 ' Approval Date: 11/06/14 Page 4 of 16 r EVIDENCE SUBMITTED: Test Agency Test Identifier Description Date Factory Mutual Research Corp. J.I.2138A4.AM 4470 07/02/97 J.I. 3B9Q 1.AM 4470 01/08/98 J.I.ODOA8.AM 4470 07/09/99 J.I. OD 1 A8.AM 4470 07/29/94 J.I. OY9Q5.AM 4470 04/01/98 3029832 4470 05/11/07 UL LLC R1306 UL 790 07/22/13 PRI Construction Materials GAF-012-02-02 ASTM D4977 11/06/01 Technologies,LLC GAF-020-02-01 ASTM D4977 02/01/02 GAF-082-02-01 ASTM D6083 05/07/06 GAF-084-02-01 ASTM D6083 05/09/06 GAF-270-02-02 ASTM D226 11/15/10 GAF-276-02-01Rev ASTM D6083 12/16/10 GAF-276-02-02 ASTM D226 11/15/10 GAF-306-02-01 ASTM E96 07/07/11 f GAF-314-02-01 ASTM D2178 08/23/11 GAF-315-02-01 ASTM D2178 08/23/11 GAF-369-02-01 ASTM C1289 j 10/22/12 GAF-417-02-01 ASTM C1289 05/28/13 GAF-464-02-01 ASTM C1289 10/22/12 GAF-499-02-01 ASTM D6083 .03112/14 GAF-500-02-01 ASTM D6083. **0942/14 •••••• IRT of S.Fl. 02-005 TAS 114 ••• ••01/1;8/02 02-014 TAS 114 '03122/02 Trinity I ERD G30250.02.10-3-R1 ASTM D3909"'••' 11/26/12 see— G31360.03.10 ••••G31360.03.10 ASTMD6164••••�• :-@3h1/10 �•.••• G33470.01.11 ASTM D6164 .11416/11 .•:..' G34140.04.11-2 ASTM D6163 ..'..• .9���5/11 •••••• G34140.04.11-4 ASTM D6401 •••••• 04/25/11 •• # G34140.04.11-5 ASTM D4897 • :.Q4=/]1 G34140.04.11-5-R1 ASTM D4897 e e 10/18/13 ••• G40630.01.14-2A-1 ASTM D6164 •,Q;/W./14 • G43610.01.14 ASTM D3909 01/22/14 G6850.08.07-1 ASTM D3909 08/13/07 G30250.02.10-3-R1 ASTM D3909 11/26/12 NOA No.:13-1022.15 MIAMMADECOUNTY Expiration Date: 11/04/18 ,, "'• Approval Date: 11/06/14 Page 5 of 16 I t Membrane Type: BUR Deck Type 1: Wood,Non-insulated ' Deck Description: 19/32"or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System.Limitations shall apply. Fire Barrier: FireOutFire Barrier Coating,VersaShiele Fire Resistant Roof Deck Protection or (optional) Securock""Gypsum Fiber Roof Board. Base sheet: GAFGLAS®#80 Ultima""Base Sheet, Stratavene Eliminator""Nailable Venting Base Sheet,Ruberoid®20,Ruberoid®SBS Heat-Weld""Smooth or Ruberoid®SBS Heat-Weld"" 25 base sheet mechanically fastened to deck as described below; Fastening Options: GAFGLAS®Ply 4,GAFGLAS®FlexPly""6,GAFGLAS®#75 Base Sheet or any of above base sheets attached to deek with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c.at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure—45 psf. See General Limitation#7) ' GAFGLAS®Ply 4,GAFGLAS®FlexPly""6,GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec #12 Fastener or Drill-Tec""#14'and Drill- , Tec""3"Steel Plate,Drill-Tec"AccuTraco Flat Plate or Drill-Tec""AccuTraco Recessed Plate 12 o.c. in 3 rows. One row is in the 2"side lap. The other rows are eggallX spaced approximately 12"o.c. in the field of the sheet. 0 a 000.0• ► (Maximum Design Pressure—45 psf.See General Limitation 07).* : 1. • b . • • GAFGLAS8 Flex Ply 6,GAFGLAS #75 Base Sheet or any 731grte base sheets attached ..•. • to deck with approved annular ring shank nails and tin caps at a faa4wr spacing of 9" o.c. • at the 4"lap staggered and in two rows 9" o.c. in the field. 0000 ••;• ' (Maximum Design Pressure—52.5 psf. See General Limitation-W)e•• •• ••" GAFGLAS®#80 Ultima""Base Sheet,Ruberoid®20;Ruberoid®Mol Smooth,base sheet • attached to deck with approved 1'/4"annular ring shank nails anAnverled 3":Wj pjate at99•••' fastener spacing of 9" o.c.at the 4"lap and in two rows staggere4 witlla fastdherspacing oF...+ 9 o.c.in the center of the membrane. • (Maximum Design Pressure—60 psf. See General Limitation #7) GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-TecT" #12 Fastener or Drill-Tec"" #14 Fastener and Drill-Tec"'"3"Steel Plate,Drill-Tec' AccuTrace Flat Plate or Drill-Tec"AccuTrac®Recessed Plate 12"o.c. in 4 rows. One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c. in the field of the sheet. (Maximum Design Pressure—60 psf.See General Limitation#7) Any of above Base sheets attached to deck approved annular ring shank nails and 3" inverted Drill-Tec"insulation plates at a fastener spacing of 9" o.c.at the 4"lap staggered f in two rows 9" in the field. (Maximum Design Pressure—60 psf. See General Limitation#7) NOA No.: 13-1022.15 MIAMFDADE COUNTY Expiration Date: 11/04/18 "'• • Approval Date: 11/06/14 Page 14 of 16 r i f . 1 Fastening Options: GAFGLAS®#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec ' ' 1 (Continued) #12 Fastener or Drill-Tec #14 Fastener and Drill-Tec'.3"Steel Plate,Drill-Tec"" AccuTrac Flat Plate or Drill-Tec""AccuTrac Recessed Plate 8"o.c. in 4 rows.One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.cjn the field of the sheet. (Maximum Design Pressure—75 psf.See General Limitation #7) 'Ply Sheet: 10ne or more plies of GAFGLAS Pl 4 or GAFGLAS®#80 Ultima Base Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a'rate of 2040 lbs./sq. Cap Sheet: (Optional)I One ply of GAFGLASO Mineral Surfaced Cap Sheet or GAFGLASO EnergyCap BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 Ms./sq. Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 4001bs./sq. and 300 lbs./sq.respectively in a flood t coat of approved asphalt at 60 lbs./sq. 2. Topcoat®Surface Seal SB applied at Ito 1.5 gal./sq. Mazimum Design Pressure: See Fastening Option's . . .... ...... ...... .. .. ...... •••••• t •••••• .. . ..... so 90 0 •••••• • . . . . ...... •. . • ••• •• a r NOA No.: 13-1022.15 MIAMMADE COUNTY Expiration Date: 11/04/18 • � Approval Date: 11/06/14 Page 15 of 16' r 4 t a f 'WOOD DECK SYSTEM LIMITATIONS: it 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'/4"DensDeck7 Roof Board or 1/2"Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: k 1. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire ratings of this product. a 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at agate of 20-40 lbs./sq.,or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt,panel size i shall be 4'x 4'maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped.If no recovery board-is used the base sheet shall be applied using spot mopping with approved asphalt; 12" diameter circles,24" o.c.;or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable.A 6" break shall be placed every 12'in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be - limited to a maximum design pressure of-45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force(F')value of 275 lbf.,as tested in compliance with Testing Application Standard TAS 105. If the fastener value,as field-tested?ane below 275 lbf. insulation attachment shall not be acceptable. •••• •••••• 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachmeht is Based Qfl a.n-4nimum ' fastener resistance value in conjunction with the maximum design value listed within a specific system Should the••• fastener resistance be less`than that required,as determined by the Building Official, a re,,vjed fasteger s}Iacing, ;••••; prepared,signed and sealed by a Florida Registered Professional Engineer,Registered Arcbit8ct,or:Wgitfered ..... Roof Consultant maybe submitted. Said revised fastener spacing shall utilize the withdm"al•resistanee value ..:..' taken from Testing Application Standards TAS 105 and calculations in compliance with4eefing Apphcation ••••••' Standard RAS 117. :00:0: • 7. Perimeter and corner areas shall comply with the enhanced'uplift pressure requirement;of these areae.gwtener'•"' densities'shall be increased for both insulation and base sheet as calculated in compliar p witb Roohi g•Applicahen•- Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Ertgiptef Registered Architect,or Registered Roof Consultant(When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers,metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones(i.e.field, ' perimeters,and corners).Neither rational analysis,nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones(i.e. perimeters,extended corners and corners). (When this limitation is specifically referred within this NOA,General Limitation#7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building{Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 13-1022.15 MIAMFDADE COUNTY Expiration Date: 11/04/18 "'• • Approval Date: 11/06/14 Page 16 of 16 • I r p T LFU;RI�6-Roofing Systems ONLINE CERTIFICATIONS DIRECTORY 'Home Quick Guide Contact Us UL.com V TGFU.R1306 Roofing Systems ' Page Bottom : Roofing Systems E See General Information for Roofing Systems GAF MATERIALS CORP R1306 1361 ALPS RD WAYNE, NJ 07470 USA "Ruberoid@ 20" or "Ruberoid@ 20 HT" or "Ruberoid@ Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. t ' 1/2-in. thick (minimum) gypsum board or Y4-in. thick (min) G-P Gypsum Corp. "DensDeck ® Roofboard," "DensDeck Prime@ Roofboard" or "DensDeck DuraGuardT" Roofboard" may be used in any existing noncombustible deck Classification. When this Is done, the resulting roofing system is acceptable for use over combustible (15/32-in. thick minimum) roof decks. However, the butt joints in the gypsum board and G-P Gypsum Corp. "DensDeck @ Roofboard," "DensDeck Prime@ Roofboard" or "DensDeck DuraGuardT"' Roofboard" are to offset a minimum of 6-in. with the butt joints in the roof deck. If polystyrene is part of the roof system, it must be placed below the overlayment board. Multiple plies of "GAFGLAS@ Ply 4" or 'Tri-Ply@ Ply 4" or 'Tri-Ply@ Ply 6" may be adhered to G-P Gypsum Corp. "DensDeck @ Roofboard," "DensDeck Prime@ Roofboard" or "DensDeck DuraGuardT"" Roofboard" in hot roofing asphalt. r "EnergyGuard Ultra" is an acceptable alternate to "EnergyGuard" in any applicable Classification. - "GAF Stratavent@ Eliminator TM Venting Base Sheet(Nailable)" may be mechanically attached or hot;mopaed over fibfitombust illb•;• w decks and as a recover over existing roof systems. w � 0 w�w . w..w..w w.w w ....w. "GAFGLAS@ Periite Insulation" may be utilized as a cover board over "EverGuard" insulation in anywQf 01rfollowing gystems.. Unless otherwise indicated, the roof insulation is mechanically fastened, adhered with hot mopping aspaaitwor ur4baras insulation ' adhesive. Polystyrene referenced in any of the following Classfications include "EnergyGuard EPS Insdltfian". • ••;•• wwwwww ww • wwwww References to glass fiber insulation include "EnergyGuard Fiberglass Insulation". wwwwww • • ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT ; • ; w w w w w.w wwwww Type G2 asphalt glass mat base sheet ("GAFGLAS@ #75 Base Sheet" or 'Tri-Ply@ #75 Base Sheetil, orr'tGAFGLAS@ #80 ULTIKUA : is a suitable alternate for Type G1 asphalt glass fiber ply sheet ("GAFGLAS@ Ply 4" or 'Tri-Ply@ Ply %*, or'"GAFGtAt&:Ply 6') in ' the Class'A, B or C roof systems indicated below. •• • The roof deck may first be covered with one ply Type G2 asphalt saturated glass mat base sheet "GAF Stratavent@ Eliminator T" Venting Base Sheet(Perforated)" or "GAF Stratavent@ Eliminator TM Venting Base Sheet (Nailable)." Perforated to be loose laid or mopped and nailable to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ("GAFGLAS@ #75 Base Sheet" or 'Tri-Ply@ #75 Base Sheet" or '.'GAFGLAS@ #80 ULTIMA" or "GAF Stratavent@ Eliminatory" Venting Base Sheet(Nailable)" may be substituted for Type G1 asphalt glass fiber ply'sheet ("GAFGLAS@ Ply 4" or 'Tri-Ply@ Ply 4" or "GAFGLAS@ Ply 6") as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechanically fastened. Unless otherwise indicated, all insulations may be hot mopped or mechanically fastened. "GAFGLAS@ Flashing" or "Ruberoid@" may be used for flashing in any of the Class A, B or C systems listed below. When "perlite" is referenced, this includes "GAFTEMP PERMALITE@" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, B or C systems listed. Structural cement fiber building units are considered suitable to be included as a deck in the following Class A, B or C systems listed over C-15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of 1/2-in. minimum thick gypsum board is an acceptable alternate for minimum insulation over C-15/32 thick roof decks. http://database.ul.com/...ing+Systems&objid=1074351933&cfgid=1073741824&version=versionless&parent_id=1073993597&sequence=1[1/23/2012 11:32:21 AM] TGFU:R13`-Roofing Systems The use of polystyrene insulation board between minimum 3/4-in. thick perlite board and deck with rosin paper(perlite/rosin paper/polystyrene/perlite) is a suitable alternate for polyisocyanurate board in the following Class A, B or C systems. '1 "EnergyGuard RA" or "Tapered EnergyGuard RA" or "EnergyGuard Composite RA" may be substituted for any Atlas polyisocyanurate insulation in any of the following Classifications. Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt "GAFGLAS@ #80 Premium Base Sheet" may be used in any of the following systems. "GAFGLAS@ Flex Ply 6" and 'Tri-Ply® Ultra-Flexible Ply 6" are suitable alternates to "GAFGLAS@ Ply 6". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Unless otherwise indicated, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Fireshield MB" at 21/2 to 3-gal/100-ft2. "Ruberoid@ Dual Smooth" may be used as an alternate to "Ruberoid@ Mop Smooth" or "Ruberoid@ 20" or "Ruberoid@ 20 HT" "Ruberoid@ Mop Smooth 1.5" may be used as an alternate to "Ruberoid@ Mop Smooth" Class A, B and C , i Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. "Ruberoid@ Heat Weld" SBS roofing membrane may be used in lieu of"Ruberoid@ Mop" SBS products in any applicable F Classification. Class A { 1. Deck: C-15/32 Incline: 3 Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanurate composite,or phenolic, any thickness. Ply Sheet: —Three or more plies Type G1 or"GAFGLAS@ Ply 4" or 'Tri-Ply@ Ply 4" or"GAFGLAS@ Ply 6" hot mopped. Surfacing: — Gravel. 2. Deck: C-15/32 Incline: 2 • • •i• ••••• Insulation (Optional): — One or more layers perlite or wood fiber or glass fiber or polyisoGvasiurate or dret w3 or ....; perlite/polyisocyanurate composite or perlite/urethane composite or wood fiber/polyisocyanur6lgtpgiposite'or�phenolic,rany thickness. t •..•. Ply Sheet: —Three or more plies Type G1 or "GAFGLAS@ Ply 4" or 'Tri-Ply@ Ply 4" or"GA1 UM@ Ply Li'l.••:• Cap Sheet: — One ply Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet"or "Tri-Ply@ Mineral tkkaced Cap Sheet" o}';" "GAFGLAS@ EnergyCapTM TM BUR Mineral Surfaced Cap Sheet." ••;••; •• • ••••• 3. Deck: NC Incline: 2 •• ••• • •�+ Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane;""' • perlite/polyisocyanurate composite, perlite/urethane composite, wood fiber/polyisocyanurate%giDo:ite, phenq,2-in.;'••• maximum. • • • Ply Sheet: —Two or more plies Type G1 "GAFGLAS@ Ply 4", 'Tri-Ply@ Ply 4" or "GAFGLAS@ Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet" or 'Tri-Ply@ Mineral Surfaced Cap Sheet"or "GAFGLAS@ EnergyCapTM BUR Mineral Surfaced Cap Sheet." 4. Deck: C-15= Incline: 1 Slip Sheet (Optional): — Red rosin paper, nailed to deck. Insulation (optional): —Any thickness perlite or wood fiber or glass fiber or polyisocyanurate mechanically fastened or adhered with OMG Inc. "OlyBond Fastening System" or any UL Classified insulation adhesive. Base Sheet: —One ply Type G2 "GAFGLAS@ #75 Base Sheet" or 'Tri-Ply@ #75 Base Sheet" (may be nailed). Ply Sheet: —One or more plies Type G1 "GAFGLAS@ Ply 4" or 'Tri-Ply@ Ply 4" or GAFGLAS@ Ply 6". Cap Sheet: One ply Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet"or 'Tri-Ply@ Mineral Surfaced Cap Sheet"or "GAFGLAS@ EnergyCapTM BUR Mineral Surfaced Cap Sheet." Surfacing (optional): — "TOPCOAT@ EnergyCoteTM"applied at a rate of 2-gal/100-ft2. 5. Deck: NC Incline: 3 i Base Sheet: — One ply Type G2 "GAFGLAS@ #75 Base Sheet" or 'Tri-Ply@ #75 Base Sheet". Ply Sheet: —One or more plies Type G1 "GAFGLAS@ Ply 4" or 'Tri-Ply@ Ply 4" or "GAFGLAS@ Ply 6". Cap Sheet: — One ply Type G3 "GAFGLAS@ Mineral Surfaced Cap Sheet"or 'Tri-Ply@ Mineral Surfaced Cap Sheet"or "GAFGLAS@ EnergyCapTM BUR Mineral Surfaced Cap Sheet." http://database.ul.com/...ing+Systems&objid=1074351933&cfgid=1073741824&version=versionless&parent id=1073993597&sequence=l[1/23/2012 11:32:21 AM]