The URL can be used to link to this page

RF-17-2971 Permit No. RF-12-17-2971 Miami Shores Village PetmftType:Roof 10050 N.E.2nd Avenue NE � � ' Wo*Classification:Flat Miami Shores,FL 33138-0000 PC3 r Permit Status:APPROVED it Phone: (305)795-2204 Issue Date:2/13/2018 Expiration: 08/12/2018 Project Address Parcel Number Applicant 922 NE 91 Terrace 1132060000030 Miami Shores, FL Block: Lot: BBJJB LLC Owner Information Address Phone Cell BBJJB LLC 922 NE 91 Terrace (954)558-3959 MIAMI SHORES FL 33138- 922 NE 91 Terrace MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: 6,000.00 COPPER STONE CONSTRUCTION&1 (561)697-8638 Total Sq Feet: 931 Type of Work:Re Roof Available Inspections: Additional Info:REPLACE FLAT ROOF Inspection Type: Classification:Residential Tin Cap Scanning:3 Final Roof Roof in Progress Renailing Affidavit Review Roof Review Roof Review Roof Flies Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# RF-12-17-65941 DBPR Fee $3.75 DCA Fee $2.50 02/13/2018 Credit Card $274.85- $0.00 Education Surcharge $1.20 Permit Fee-New Roof $250.00 Scanning Fee $9.00 Technology Fee $4.80 Total: $274.85 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certif ,y,that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin . Fu orize the above-named contractor to do the work stated. February 13, 2018 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 13, 2018 Miami Shores Village FRffC_FF_1TVI e�t L 2017 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 na Tel:(305)795-2204 Fax:(305)756-8972 `--- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20)+"' ' BUILDING Master Permit No. /?e ^. '/� 3�5 .PERMIT APPLICATION - Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1133,0(0 606'n 3 o Is the Building Historically Designated:Yes NO f Occupancy Type: Load: Construction Type:•i, Flood Zone`. BFE: FFE: t { � OWNER: Name(Fee Simple Titleholder):1G/dcabG r zA/V&1*r i enl-• '0NQPhone#: ' Address: �ja,�- f✓�E , 9'j Te rraCt City:ice`"11r1,1+'JI' Cl fi0/P.s state*F&rl�Cle, Zip: Tenant/Lessee Name: Phone#: •, Email: CONTRACTOR:Company Name: Address: f City:W�� nn r State:P&j!1#& Zip:33 _I �{,, Qualifier Name:hl�I1�0ryio 1 d?p Z Phone# &I-K-1 �0(O�l9 State Certification or Registration#: �,C�. �,? cf Lb Certificate of Competency#&-r_ `�i� U45 f DESIGNER:Architect/Engineer: Phone#:'. . Address: City: State: Zip: . y Value of:Work-for.this Permit.$^��d� Square/Linear Footage of Work: ` ❑ Alteration• ❑ New .� Repair/Replace ❑,Demolition C }4 _=,Type of Work. ❑ Addition _.. ...�.. '. Ll w ff t..�.1'S ...a f1t ,�►l.��7+t Specify color of color}th'Ki tile: z4 . Ii „k�.,�,_�hx 11 �i? °�t` ( Vii) �3)n� ?_'• Y.,i�t•'>�' i.• -�•r♦ ipk➢ . .. ....,... .w=i1• fl:'��sY� '!' Submittal Fee$1��C`7rtC1____._Permit Fee CCF$ "� CO/CG$'E�11�' f Scanning Fee$ Radon Fee$ DBPR$ i Notary$ r 1 i Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) t t � Bondi ng•Company's Name(if applicable) w Bonding Company's Address _ City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address, h w City State Zip x t 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. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, J FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC..... I' 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 PRO"PERTY{f1I1`yYOU 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 o a building " pp f g 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-'6f the recorded notice of commencement ml ust'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. ��.� le Signatur '` SignaWNERorAGENTCO The foregoing instrument was acknowledged before me this The frument was acknowledged before me this day,ofV 1(�l� 20 by / 20 l by Ilia,who is personally known to e b who is personally known to me or who has produced UC..1. as me or who has'produced ��J��'�� ,as identification and who did take an oath. identification and who did take an oath. NOTARY P IC: x� NOTARY PUBLIC: ;� � `r NIXIAMOREIRA f ��• � MY COMMISSION#GG 139851 i n: i` IRES:D X27,2021 S g Sign: /•t•CQ F Rw u"d""" Print: Print: Sea lr' No"Puft Seal: State of 1`10daYMJ ;v lA MO�Bi IA fires 5125119 ;aAi59)c�fd A®81al CORH11iSSlOt1F.XP OF FF FIS P. i; y,''."Es:0 61��I APPROVED BY Plans Examiner Zoning Structural Review _ Clerk (Revised02/24/2014) Property Search Application- Miami-Dade County Page 1 of 1 OFF16"kE OF THE PROPERTY" APPRAISER a .� Summary Report Generated On: 12/19/2017 Property Information Folio: �arfi�r Paid 11-3206-000-0030 Win,. w 1 as t Property Address: 922 NE 91 TER Miami Shores,FL 33138-3220 > • " t �� `� s3� .�. Owner FLOCABER INVEST ONE LLC r . 2871 SOMERSET DR 200 . Mailing Address y _ 41 FORT LAUDERDALE,FL 33311 USA +41 � y PA Primary Zone 0900 SGL FAMILY-1901-2100 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE ,;�� ,�," FAMILY'. 1 UNIT a 075 s + ' Beds/Baths/Half 3/2/1 Floors 1 Living Units Actual Area Sq.Ft .,_ si ` ia Phoraphy„ Living Area Sq.Ft Adjusted Area 2,226 Sq.Ft Taxable Value Information Lot Size 12,375 Sq.Ft 2017 2016 Year Built 1940 County 2015 Assessment Information Exemption Value $50,000 $50,000 $50,000 Year 2017 2016 2015 Taxable Value 1 $194,6771- $189,645 $187,980 Land Value $334,051 $271,978 $185,402 School Board Building Value $153,749 $153,749 $153,749 E 11 xemption Value $25,0001 $25,000 $25,000 XF Value $24,657 $24,835 $16,418 Taxable Value $219,677 $214,645 $212,980 Market Value $512,457 $450,562 $355,569 City Assessed Value $244,677 $239,645 r $237,980 Exemption Value $50,000 $50,000 $50,000 Taxable Value $194,677 $189,6451 $187,980 Benefits Information Regional Benefit Type 2017 2016 2015 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Assessment Taxable Value $194,677 $189,645 $187,980 Cap Reduction $267,780 $210,917 $117,589 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Previous Price OR Book- Qualification Description Homestead Exemption $25,000 $25,000 $25,000 Sale Page Note:Not all benefits are applicable to all Taxable Values(i.e.County, 09/29/2017 $100 30720-3381 Corrective,tax or QCD;min School Board,City, Regional). consideration 09/28/2017 $100 30720-3379 Corrective,tax or QCD;min Short Legal Description consideration 6 53 42.284 AC 09/22/2016 $100 30345-4522 Corrective,tax or QCD;min E75FT OF W169FT OF S165FT OF consideration S1/2 OF SE1/4 OF NE1/4 OF SE1/4 Unable to process sale due to deed LOT SIZE 75.000 X 165 07/22/2016 $430,000 30183-0265 errors OR 17759-1371 0297 5 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hfp://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 12/19/2017 h ,SgORES Gam! Miami Shores Village �► p��+ Building Department 10050 N.E.2nd Avenue ��tDiR1Dp' Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 r ' OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE. BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. { To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Name:_ 19PCCcb&r Property Address: 9n /V.E.. 91 /eMrac P, Rooting Permit Number: , Dear Building Official: l ioZ— (2<49e-3 certify that I am not required to retrofit the roof to wall connections of my building because: otThe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attachp roof of ad valorem4a . ' o T' h b ng was constructed in compliance with the provisions of the Florida Building Code (FBC)or with the provisions of 1994 edition of the South Florida.Building Code (1994 SFBC) Signature Print Name , State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this W d of ND V U/) ena o4'r►�s Notary Public r • We of Floft Notary Public, Sate of Florida at rge �'� oP°My Commission Boo 5125119 Commission No.FF 234178 • When the just valuation of the structure for purpose a or m taxation is equal to or more than$300,000.00,and the building was not constructed with FBC nor a 1994 SFBC.Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. t Revised on 5/21/2009 5Hec.�s, lI Miami sho'res' village sell Building Department Tell 10050 N.E.2nd Avenue ORIDA 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: q 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: Owne State of Florida County of Miami-Dade 'n The foregoing was acknowlede before me this I`� day of oaba 201 By N[W Idi b& w- who is personally known to me or has produced N1.1N1.+ 1.�w1 f' as identification. Notary. SEAL: a't'�r rb to * Ns No"Publia * State of Florida R Commission Na FF 234172 Company Letter Head a Date: =;. C, CSG-440— 4?0i� State ofjc1� County ofl'Z'1�ii.2 Before me this day personally appeared I sv Gv . ell- who, being duly sworn,deposes and says: That he or she will be the only person working on the project located at Sworn to or(affirm/ed)and subscribed before me this day of 071b lee- .29k6; by I Personally known Or Produced Identification Type of Identification Produced NIXIA MOREIRA MY COMMISSION#FF066232 J ••..,!��tio?;.' EXPIRES October 27,2017 (407) 0-0153 Florid®No►gservio9.Com xy> Print,Type or Stamp of Notary I h Sgj REs G Miami �+shores Village bill , mail Building Department 10050 N.E.2nd Avenue LF�IES1Ng� Miami Shores, Florida 33138 �LoRiDA Tel: (305) 795.2204 Fax: (305) 756.8972 k AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE-BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT r TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 10050 NE 2nd Ave Miami Shores, FI 33138 ,r Re: Owner's Name: Q�c�ca6c'Y a�'uy �w► Qom- d N e I-L C Property Address: %l a N e• i I r--�rt4l_� fi7 4P111 S AW Omit t j.?13e Roofing Permit Number: Dear Building Official: I 1 COLA SR L ( D? 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 9B-3,047 F.A.C. 0Z 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 1 A day of Mo V 20 17 Notary Public, Sate of Florida at Large telt Rene , ►«� Ne"Public • Stets of Florida %0"ry Ycombft BOMS gone FINAL COMPLIANCE Revised on 5/21f1i�08 "ISStOn No.��1� ROOF ASSEMB ROO�TOP STRUCTURES Florida Building Code 5th Edition(2014)� . t High-Velocity Hurricane Zone Uniform Permit Appiicati yF Tie, PC Section A(General Information) �•., - 1 Master Permit No. 1C e Process No. 1 Contractor's Name ,QQ 9g �1 I _ 1 Job Address_ ?J2 /Y-C. / f /•rte m11q21' 1 ROOF CATEGORY 1 Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set.Tiles 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 1 ❑ Prescriptive BUR-RAS 150 •••. • • 1 ROOF TYPE : .'. "" ••••4• ❑ New roof ❑ Repair ❑ Maintenance .••••• N4 Reroofing •..:..1 Recovering .60.11. ROOF SYSTEM INFORM ION 900000 • i. •may .. �•..�. Low Slope Roof Area(SF)� Steep Sloped Roof AREA(SSF) Total(SFj �� • ' Section B (Roof Plan) •• �' "'•;• Sketch Roof Plan: Illustrate all levels and sections, roof drains,scuppers,overflow scuppers arjd o�erQow drayis. Include di>peryr.�• 1 Bions of sections and levels,clearly identify dimensions of elevated pressure zones and locatiorlof pajapets. e••••• . 1. T i — — 1 . 1 1 oLi1 1 a� 1 0 s - 1 pr cru t t 1 r 1 > 0 0 1 Z 0 IJ a o <c N FLORIDA BUILDING CODE—BUILDING,5th EDITION(2014) 15.37 Copyright to,or licensed by,ICC(ALL RIGHTS RESERVED);accessed by Eliezer Palacio on Jung,2015 10:32:12 AM pursuant to License Agreement.No further reproductions authorized. Florida Building Code Sth Edition(201 4) High Velocity Hurricane Zone Uniform Permit Application Form Section C (Low Sloped,Roof System) Fill in Specific Roof Assembly Components Fastener Spacing for AnchodBase Sheet and identify Manufacturer Attachment (if 8 component i8 not used, a8'NA'� system Field:�' e lap,#Rows 4 -or, Perimeter.� " �P,#Rowr _� "oc NOA No.: • oG. Design w P ores,From RAS 128 or Calulatio Comer oc @ lap,#Rows @ Pmax1 aZ Pmax2. 7I 7 Pmax3�yQ Number of Fa . Hers o*: Ihsula0 '. Board ...... .. ... .. Max Design Pressure,From the Specific NOA �j� •• • System: %o -*r Field roe** Gomer•••••. Dedc Illustrate C W&d and T)/Pe .. •• .. .. ... .. —�- Details as iota: Ga4gaft $ Woodblocking, Gutter, :Edges Termination, •• • Stripping, Flashing, Continuous Cleats•Gent • 2• Strip, Base Flashing, •Counter- ftlashing, ... .. Z /FS A14CS&NO251ply(s). Coping,Etc. .. . ,..*.•Indicate: Mean Roof Height, Parapet MOK Height of Base Flashing, Component Material, Aj=2z Ole 77-1 S M I: Material Thickness, Fastener Type, Fastener Spacing or Submit Manufacturers Details that / Base Comply with RAS 111 and Chapter 16. Insulation Base Insulation Size Base Insulation F ner/Bonding M ai: 1 9� Top Insulation Layer. " W FT. Top insulation Sire and Thickness: Parapet Top Insulation FastenerBonding Material: �, Height -t�9)7 Base Sheets)&No.of Ply(s): i Base Sheet FastenerBFT.onding Mean Ply Sheet(s).&No.of Py(s): Roof Height Ply Sheet FastenerBor ding Material: To P L t'f.P/�/ 4t�� Top Ply F Surfacing: 12301-48 8/15 PAGE 3 t MMIIAMMN MIAMI-DADE COUNTY 1�1'M 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)315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.pov/economy GAF 1 Campus Drive Parsippany,NJ 07054 SCOPE: •••• This NOA is being issued under the applicable rules and regulations governing the ule o0QnstructfOr'• 00 materials.The documentation submitted has been reviewed and accepted by Miami-D*de County ktR *. 0 Product Control Section to be used in Miami Dade County and other areas where allo:e*;t-the • Authority Having Jurisdiction(AHJ). 0. •••••• This NOA shall not be valid after the expiration date stated below.The Miami-Dade C"Afty Product 6006* Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami L74M'County�• . ; "••• reserve the right to have this product or material tested for quality assurance purposesVif Ais produltoc' material fails to perform in the accepted manner,the manufacturer will incur the expense•o such testink and the AHJ may immediately revoke,modify,or suspend the use of such product or material witIfte ••• 660 •• their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined.WNZami-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 Ruberoid®Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 14-0611.01 and consists of pages 1 through 30. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 14-1030.02 COWDECOUNW Expiration Date: 11/06/18 "'• 3 Approval Date: 11/05/15 Page 1 of 30 4 t t ROOFING SYSTEM APPROVAL Cateeory: Roofing Sub-Category: Modified Bitumen Material: APP/SBS Deck Tyne: Wood Maximum Design Pressure: -75 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Prodott .... ...... Product Dimensions Specification Descri tion . '. •••• • • •• •11•••• Matrix" 102 SBS Membrane 5 gallons ASTM D3019 Fiber reinforced ruhWiaed cold-applied Adhesive adhesive for modified bitumen>bof • :•'••: systems. *90000 ••••• GAFGLAS'#75 39.37' ASTM D4601 Type II asphalt impfQg Ned an4 Coiter •• ••• Base Sheet (1 meter)Wide glass mat base sheisf. ::alted, GAFGLAS'#80 Ultima Base 39.37' ASTM D4601 Type 11 asphalt itn jregna:ed and • Sheet (1 meter)Wide fiberglass base sheet. •••••• GAFGLAS®FlexPly`6 39.37' ASTM D2178 Type VI asphalt inApr;gn:ted glag%fejt •••• (1 meter)Wide with asphalt coating. • GAFGLAS®Ply 4 39.37' ASTM D2178 Type IV asphalt impregnated glass felt (1 meter)Wide with asphalt coating. GAFGLAS'Mineral Surfaced 39.37" ASTM D3909 Asphalt coated,glass fiber mat cap sheet Cap Sheet (1 meter)Wide surfaced with mineral granules. i GAFGLAS'EnergyCap' 39.37' ASTM D3909 Asphalt coated,glass fiber mat cap sheet BUR Mineral Surface Cap (1 meter)Wide surfaced with mineral granules with Sheet factory applied EnergyCote' GAFGLAS®Stratavent' 39.37" ASTM D4897 Fiberglass base sheet coated on both sides Eliminator Perforated (1 meter)Wide with asphalt. Surfaced on the bottom side Venting Base Sheet with mineral granules embedded in asphaltic coating with factory perforations. GAFGLAS®Stratavent' 39.37" ASTM D4897 A nailable,fiberglass base sheet coated on Eliminator'Perforated (1 meter)Wide both sides with asphalt.Surfaced on the Nailable Venting Base Sheet bottom side with mineral granules embedded in asphaltic coating. Ruberoid®SBS 39.37" ASTM 136164 Non-woven polyester mat coated with Heat-Weld'Smooth (1 meter)Wide polymer-modified asphalt and smooth surfaced. Ruberoid®SBS 39.37" ASTM D6164 Non-woven polyester mat coated with Heat-Weld'Granule (1 meter)Wide polymer-modified asphalt and surfaced with mineral granules. RoofMatch' 107 sq.ft. ASTM D6164 Non-woven polyester mat coated with SBS Modified Granular (9.9 m2) SBS polymer-modified asphalt and surfaced with colored mineral granules. Ruberoid®SBS 39.37" ASTM D6164 Non-woven polyester mat coated with fire Heat-Weld' 170 FR (1 meter)Wide retardant polymer-modified asphalt and surfaced with mineral granules. NOA No.: 14-1030.02 MIAMIOADECOUNrYIE Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 2 of 30 I Test Product i Product Dimensions Specification Description Ruberoid®SBS 39.37" ASTM D6164 Non-woven polyester mat coated with Heat-Weld'Plus (1 meter)Wide polymer-modified asphalt and surfaced with mineral granules. Ruberoid®SBS 39.37" ASTM D6164 Non-woven polyester mat coated with fire Heat-Weld'"Pius FR (I meter)Wide retardant polymer-modified asphalt and t surfaced with mineral granules.} Ruberoid'EnergyCap"SBS 39.37" ASTM D6164 Non-woven polyester mat coated with fire Heat-Weld'"Plus FR (1 meter)Wide retardant polymer-modified asp4RIT TL?td surfaced with mineral granules AS*11th factory applied Enemy Arte. •�. �••��• Ruberoid®SBS 39.37" ASTM D6163 Non-woven polyesj;�T*kl*coated with • Heat-Weld'25 (1 meter)Wide polymer-modified a4gWt and stpoot4 ;••••; surfaced. +++++` .... . ..... a Ruberoid®Mop Granule 39.37" ASTM 136164 Non-woven polyesioromatscoatedavith. ..:..' (1 meter)Wide polymer-modified esp*Wt and supfece; •••••• with mineral graniges;•; •, Ruberoid'Mop Smooth 39.37" ASTM D6164 Non-woven polyester mat coate4"i4L •'•'•• " (1 meter)Wide polymer-modified 3spl'iahand smooth :....: surfaced. . . Ruberoid®Mop Plus 39.37" ASTM D6164 Non-woven polyester mat coated with (I meter)Wide polymer-modified asphalt and surfaced with mineral granules. Ruberoid®Mop 170FR 39.37" ASTM D6164 Non-woven polyester mat coated with fire (1 meter)Wide retardant polymer modified asphalt and surfaced with mineral granules. Ruberoid®Mop FR 39.37" ASTM D6164 Non-woven polyester mat coated with fire (1 meter)Wide retardant polymer-modified asphalt and surfaced with mineral granules. Ruberoid®Torch Smooth 39.37" ASTM D6222 Non-woven polyester mat coaled with (1 meter)Wide APP modified asphalt and smooth surfaced. Ruberoid®Torch Granule 39.37' ASTM D6222 Non-woven polyester mat coated with (I meter)Wide APP modified asphalt and surfaced with mineral granules Ruberoid'EnergyCap"Torch 39.37' ASTM D6222 APP modified cap membrane with a torch Granule FR (I meter)Wide grade bottom surface and a mineral s granular top surface coated with factory applied EnergyCote'. I Ruberoid'EnergyCap'"Torch 39.37" ASTM D6222 APP modified cap membrane with a torch ' Granule Plus FR (1 meter)Wide grade bottom surface and a mineral granular top surface coated with'factory applied EnergyCote'". RoofMatch' 107 sq.ft. ASTM D6222 Non-woven polyester mat coated with APP Modified Granular (9.9 m2) APP polymer-modified asphalt and r surfaced with colored mineral granules. Ruberoid'Torch FR 1 meter ASTM D6222 Non-woven polyester mat,coated with fire (39.37")Wide retardant asphalt modified bitumen membrane with granule surface. NOA No.:14-1030.02 MAMIOADE COUNIY Expiration Date: 11/06/18 ` • Approval Date: 11/05/15 Page 3 of 30 1 1 Test Product Product Dimensions Specification 'Description Ruberoid20 I meter ASTM D6163 SBS modified asphalt base sheet reinforce (39.37")Wide with a glass fiber mat. Ruberoid03O 1 meter ASTM D6163 Non-woven fiberglass mat coated with (39.37')Wide polymer modified asphalt and surfaced with mineral granules. Ruberoid®30 FR 1 meter ASTM D6163 Non-woven fiberglass mat coated with fire (39.37")Wide retardant,polymer-modified asphalt and surfaced with mineral granules. Ruberoid EnergyCap-30 FR I meter ASTM D6163 Non-woven fiberglass mat coated with fire SBS Membrane (39.37')Wide retardant,polymer-modified asphalt and surfaced with mineral granules and with factory applied EnergyCote. Ruberoid®Dual FR 39.37'(1 meter) ASTM D6162 Non-woven polyester and fibergjassm�t Wide coated with file refardwft.polym&*-•• •••• • modified asphalt ana surfaced Aft • ...... . .. ...... mineral granules. • Topcoat Elastomeric Roofing 1,5 or 55 gallons ASTM D6083 An acrylic,water bVpjelastoq ric• �.... Membrane membrane system tlejigpU to 14mmt• •• various types of rcwAn&surfaces. ••;••• Topcoat®MB Plus 5 or 55 gallons Proprietary Water based,low VJJGerimer uwe" block asphalt bleed•thrvuh. Topcoat* 5 gallons ASTM D6083 Solvent based sprayabie thermoplastic ....:. Surface Seal SB rubber sealant desj"W protest and • restore aged roof su'rface's and tolftGftse • a roofs reflectivity. .. • FireOut7 Fire Barrier Coating 5, 55 gallons Proprietary Low VOC,water-based fire barrier coating. VersaShield' 42"x 100' rolls ASTM D226 Non-Asphaltic,fire resistant fiberglass- Fire-Resistant Roof Deck based underlayment. Protection NOA No.: 14-1030.02 MwMwnoecounrir Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 4 of 30 APPROVED INSULATIONS: Table 2 Product Name Product Description Manufacturer (With Current NOA) EnergyGuard'Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard'RA Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard'RN Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard'Perlite Recover Board Perlite recover board GAF EnergyGuard'Perlite Roof Insulation Perlite roof board GAF EnergyGuard'RA Composite Polyiso Polyisocyanurate/wood fiberboard GAF Insulation or perlite composite 66 Structodek'High Density Fiber Board High density wood fiber Blue.Ridgg FiberBtja*66):}nc. •••• SecurockO'Gypsum-Fiber Roof Board Gypsum board UnitedStatis Gyp:tlw Corp. • 606.66 0 00 6666.. APPROVED FASTENERS: 666600 6006 f •••••• . 6 6666.. TABLE3 •••• . 6666• Fastener Product Product ••;1ufac�;itreF ••••. Number Name Description Dimensions ('With Current NON) •••••• 6666.. 1. Drill-Tec—#12 Fastener Carbon steel fastener used Various GAF •6• in steel or wood decks. ••••• 2. Drill-Tec'#14 Fastener Carbon steel fastener used Various 6• 6 GA :*P • • in steel,wood or concrete decks. 3. Drill-Tec'XHD Fastener Carbon steel extra heavy Various GAF duty fastener used in steel decks. 4. Drill-Tec'AccuTrac®Flat AZ-SS aluminized steel 3"x 3" GAF Plate plate for use with Drill- a Tec'#12 Fastener,Drill- Tec"'#14 Fastener and Drill-Tec'#15 Fastener. 5. Drill-Tec' ASAP 3S Drill-Tec'#12 fastener Various GAF with Drill-Tec'3" Standard Steel Plate. 6. Drill-Tec'AccuTrace Galvalume Steel plate for 3"x 3" GAF Recessed Plate use with Drill-Tec' fasteners. 7. Drill-Tec'3"Steel Plate Round galvalume steel 3" GAF stress plate for use with Drill-Tec'fasteners. 8. Drill-Tec'3"Standard Round galvalume plated 3" GAF Steel Plate steel stress plate with reinforced ribs for use with Drill-Tec''fasteners. NOA No.:14-1030.02 Mu►r+�aa�ecour�rr Expiration Date: 11/06/18 JAPPROVEDII Approval Date: 11105/15 Page 5 of 30 k 1 EVIDENCE SUBMITTED: Test Agency Test Identifier Description Date Factory Mutual Research Corp. 3001276 FMRC 4470 01/28/99 1139A8.AM FMRC 4470 09/04/97 3D4Q2.AM FMRC 4470 04/30/97 ODIA&AM FMRC 4470 04/01/98 Underwriters Laboratories R1306 UL 790 07/22/13 Trinity Engineering 4483.04 97-1 TAS 114 06/06/97 IRT-ARCON Inc. 02-005 TAS 114 03/01/02 02-014 TAS 114 04/08/02 01-039 TAS 114 031011X.. Trinity!ERD G30250.02.10-2 ASTM D6222 •'• 11/1 11,11f • """ G30250.02.10-3-R2 ASTM D3909 06/0111- • 0• G31360.03.10 ASTM D6164 •.•••• 03/31/10 0.000 0 000:0. :00000 G33470.01.11 ASTM D6164 .... Ol/13/1 l • • G34140.04.11-2 ASTM D6163 '0 0 0 0' 04/237rl* G34140.04.11-4-R2 ASTM D4601 •••••• 6/4/2015 00000 G34140.04.11-5-R3 ASTM D4897 ••••• 6/4/20)?•: .... G40620.07.12-2 ASTM D6222 ;••;•; 07/17/12 • G40630.01.14-1 ASTM D6163 01/oULA6% , G40630.01.14-2A ASTM D5147 01/07/14 G40630.01.14-2A-1-R1 ASTM D6164 00 0 04/1474'• ' G40630.01.14-2B-RI ASTM D6164 O 1/141105 G40630'.01.14-2C ASTM D6164 01/07/14 G40630.03.14 ASTM D5147 03/06/14 G43190.03.14-1 ASTM D5147 03/06/14 G43190.03.14-2 ASTM D5147 03/06/14 G43190.05.14-R1 ASTM D5147 05/20/14 G43190.11.13-1 ASTM D6222 11/15113 G43610.01.14 ASTM 135147 01/22/14 ` G46160.02.15-213 ASTM D6163 02/03/15 ' G46160.03.15 ASTM D6163 03/11/15 , G46160.09.14-2A ASTM 135147 09/09/14 G46160.09.14-3A ASTM D6164 09/09/14 G46160.09.14-3B ASTM D6164 09/09/14 G46160.09.14 3C ASTM D5147 09/09/14 G46160.12.14-3E ASTM 136164 12/29/14 G6850.08.08 ASTM D6163 08/01/08 G6850.08.08-Ri ASTM D6164 04/14/11 G6850.10.08 ASTM D6222 10/06/08 G6850.11.08 ASTM D6222 02/17/09 SC6870.08.14-R1 ASTM D3909 09/04/14 NOA No.: 14-1030.02 rnartanu►oeeouN7�r Expiration Date: 11/06/18 Approval Date: 11105/15 Page 6 of 30 1 EVIDENCE SUBMITTED: (CONTINUED) Test Agency Test Identifier Description Date PRI Construction Technologies.LLC. GAF-084-02-01 ASTM D6083 07/08/05 GAF-122-02-01 TAS 139 05/07/06 GAF-245-02-01 ASTM D6083 06/10/10 GAF-276-02-01 Rev ASTM E2178 01/04/11 ASTM D6083 GAF-306-02-01 ASTM E96 07/07/11 GAF-314-02-01 ASTM 132178 08/23/11 GAF-315-02-01 ASTM D2178 08/23/11 GAF-369-02-01 ASTM C1289 10/22/12 GAF-464-02-01 ASTM C1289 02/06/14 GAF-499-02-01 ASTM D6083 03/12/14 GAF-500-02-01 ASTM D6083 03/1271�4"e. 000* 0000.. Momentum Technologies,Inc. AX04C9A ASTM D6162 •• ' 06/011 •* • 0000.. 0 0000 0000.. • 0000.. 0000 . 0000. .. .. .. .. 0000.. 0000.. 0000.. 41 . 0000.0 r r• NOA No.: 14-1030.02 tNIAMbOADECOUNTY Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 7 of 30 t 1 Membrane Type: APP/SBS Heat Weld t Deck Type 1: Wood,Non-insulated Deck Description: 19/32"or greater plywood or wood plank decks System Type E(2): Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOuf"Fire Barrier Coating,VersaShield®Fire-Resistant Roof Deck (optional) Protection or Securock'Gypsum-Fiber Roof Board. Base sheet: GAFGLASO#80 Ultima Base Sheet,GAFGLAS®Stratavene Eliminator' Nailable Venting Base Sheet,RuberoidO Mop Smooth,Ruberoid'20,Ruberoid' SBS Heat-Weld'Smooth or Ruberoid'SBS Heat-Weld"25 mechanically fastened to deck as described below; Fastening GAFGLAS®Ply 4, GAFGLAS®FlexPly'"6,GAFGLAS'#75 Base Sheet Options: of above base sheets attached to deck with approved annular rias shank nails and .' tin caps at a fastener spacing of 9" o.c.at the lap staggered and irl ew row;1�'+• ••..:. o.c. in the field. 000000 • + (Maximum Design Pressure—45 psf.See General Limitatiod#7j. ;•..;. . • ..... GAFGLAS®Ply 4,GAFGLAS FlexPly'6, GAFGLAS®4750ase,5heet orenj . •.:..' of above base sheets attached to deck with Drill-Tec'#12 FaSt�nti,Drill-Tee •••••• #14 Fastener or Drill-Tec'XHD Fastener and Drill-Tec'3';Sth$f plate,Drill' •, Tec'AccuTrae Flat Plate or Drill-Tec'AccuTrace'Recessed Plate installad o% 12"o.c. in 3 rows. One row is in the 2"side lap. The other rows•are equa% • :... . spaced approximately 12"o.c. in the field of the sheet. • •• • (Maximum Design Pressure—45 psf.See General Limitation#7) GAFGLAS F1exPly'"6,GAFGLAS#75 Base Sheet or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c.at the 4"lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure—52.5 psf.See General Limitation#7) GAFGLASe#80 Ultima Base Sheets,Ruberoid®20,RuberoidO Mop Smooth, base sheet attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4"lap staggered and in two rows 9"o.c.in the field. (Maximum Design Pressure—60 psf. See General Limitation#7) GAFGLASe#75 Base Sheet or any of above base sheets attached to deck with Drill-Tec"#12 Fastener,Drill-Tec'#14 Fastener or Drill-Tec'"XHD Fastener and Drill-Tec'3"Steel Plate,Drill-Tec'AccuTracs'Flat Plate or Drill-Tec' AccuTrac®Recessed Plate installed 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) NOA No.: 14-1030.02 MIMIOADE COUNW-M Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 28 of 30 Fastening Any of above base sheets attached to deck approved annular ring shank nails and Options: 3" inverted Drill-Tec"insulation plates at a fastener spacing of 9" o.c.at the 4" (Continued) lap staggered in two rows 9" in the field. (Maximum Design Pressure—60psf. See General Limitation#7) GAFGLASO 475 Base Sheet or any of above base sheets attached to deck with Drill-Tec'#12 Fastener,Drill-Tec' #14 Fastener or Drill-Tec'XHD Fastener r and Drill-Tec "3"Steel Plate,Drill-Tec'AccuTracl Flat Plate or Drill-Tec' AccuTrac®Recessed Plate installed 8"o.c. in 4 rows. One row is in the 2"side lap. The other rows are equally spaced approximately 9"o.c. in the field of the sheet. (Maximum Design Pressure—75 psf.See General Limitation#7) Ply Sheet: (Optional except over Ruberoid®Mop Smooth,Ruberoid®20, Ruberoid'SBS Heat-Weld'Smooth or Ruberoid®SBS Heat-Weld'25)One.or more plies GAFGLAS®Ply 4 or GAFGLAS®FlexPly'"6 sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-401bs./sq*of 0. •••• Ruberoid'Torch Smooth torch applied according to manufacvur eiis applicat on• instructions. ....-" . .. ...... Membrane: One ply of Ruberoidt Torch Smooth,Ruberoid'Torch Granuh+,4avfMatch'" • APP Modified Granular,Ruberoid'EnergyCap'Torch Granplb0PR•RubeU0Q.:. • EnergyCap" Torch Plus FR,or Ruberoid'Torch FR torch app1ile$'accord1►g to **:Goo manufacturer's application instructions. .• ••••• Or One or more plies of Ruberoid'SBS Heat-Weld'Plus,RubetoiW9*.BS Hept- �� •• Weld'"Plus FR,.RuberoidQ9 SBS Heat-Weld'" 0 FR,Ruber4id�F,nergyCap�'••• • i SBS Heat-Weld'71us FR,Ruberoid®SBS Heat-Weld'Gran14 ,'R4beroid:SBS :"••; Heat-Weld' Smooth and Ruberoid®SBS Heat-Weld'25 applied according te* manufacturer's application instructions. 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 400 lbs./sq.and 300 lbs./sq.respectively in a flood coat of Approved asphalt at 60 lbs./sq. 2. GAFGLASI Mineral Surfaced Cap Sheet,Tri-Ply'Mineral Surfaced Cap Sheet or GAFGLAS®EnergyCap'BUR Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. 3. Topcoat4D Membrane,Topcoat'MB Plus(to be used as a primer with Topcoat' Membrane)or Topcoat'Surface Seal SB applied at 1 to1.5 gal./sq. Maximum Design Pressure: See Fastening Options i NOA No.: 14-1030.02 MIAMMADECOUNTY Expiration Date: 11/06/18 Approval Date: 11/05/15 Page 29 of 30 WOOD DECK SYSTEM LIMITATIONS: I A slip sheet is required with GAFGLAS®Ply 4 and GAFGLAS'FlexPlyT``"6 when used as a mechanically fastened base or anchor sheet. 2. Minimum VV DensDeck®Roof Board or 1/2"Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: I. Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 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 shat l be 4'x 4'maximum. •••• 4. An overlay and/or recovery board insulation panel is required on all applications:omw losed ccslt"• ••••;• foam insulations when the base sheet is fully mopped. If no recovery board is usealhe base sheat shall be applied using spot mopping with approved asphalt, 12"diameter circles,*.11,46 Q:.;or strip.• ••• mopped 8"ribbons in three rows,one at each side lap and one down the center of�ag§beet allowing •••• a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" I rg4 Shall b$•9.0 9 ,,,,• placed every 12'in each ribbon to allow cross ventilation. Asphalt application ofeithecsystemshalL 99:99' be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be liniked•to a maxixx6: 9.0000 design pressure of 45 psf. :06:6: 9 , 0 S. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force'(F')v3l".(r. •••• • 275 lbf.,as tested in compliance with Testing Application Standard TAS 105. It:th"tener'Wue, ;,•,,; as field-tested,are below 275 lbf. insulation attachment shall not be acceptable. �0 ' .".'. • 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based• on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required,as determined by the Building Official,a revised fastener spacing,prepared,signed and sealed by a Florida Registered Engineer,Architect,or Registered Roof Consultant may be submitted. Said revised fastener 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 and base sheet as calculated in compliance with Roofing Application Standard RAS 117.Calculations prepared,signed and sealed by a Florida registered Professional Engineer,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 comers).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.:14-1030.02 Mu►r+N�eCounrnr Expiration Date: 11/06/18 APPROVED Approval Date: 11/05/15 Page 30 of 30 i TGFU.R14153 - Roofing Systems Page 1 of 1 SINGLE PLY MEMBRANE ROOFING SYSTEMS(MODIFIED BITUMEN) I Unless otherwise indicated phenolic insulation may be used in any of the following systems. Unless otherwise indicated any of the following Single Ply Membrane Systems may utilize multiple layers of Ruberoid@ Membrane,' "GAF Premium Aluminum Roof Coating"may be used on any of the following Classifications with Inclines not exceeding 1/2-in. "GAF Weater Coat Emulsion"may be used on any of the following noncombustible Classifications with Inclines not exceeding 1/2-In. "Ruberoid@ Modified Bitumen Adhesive"or Monsey Corp."MBA Gold"or Karnak"No.81"adhesives may be used in any of the following noncombustible deck Classifications. "GAFGLAS@#80 Premium Base Sheet"may be used In any of the following systems. (Optional)Noncombustible deck classifications are applicable for use over combustible(15/32-in,minimum plywood)decks when 1/2-in. (minimum)gypsum board or 1/4-in.(minimum)Georgia-Pacific Gypsum LLC"DensDeck @ Roofboard,""DensDeck Prime@ Roofboard"or "DensDeck DuraGuard'"Roofboard"are used directly over the deck with all joints staggered 6-in.(minimum)from plywood joints. A vapor barrier may be optionally installed under all systems utilizing any"EnergyrGuard@"type insulation."GAFGLAS@ Perlite"may be used as an option over any"EnergyGuardT""type insulation."GAFGLAS@ Stratavent Perforated Base Sheet"may be utilized as an additional ply in any of the following systems. The following membranes may be used interchangeably within their own group: A. "Ruberoid@ Torch Granule"or"Ruberoid@ Torch Granule Plus"or"Ruberoid@ Torch Granule 1"or"Ruberoid@ Torch 180"or "ROOFMatchT"APP Modified Granular"or"Tri-Ply@ TP-4G". •••• • • B."Ruberoid@ Mop Smooth"or"Ruberoid@ SBS Heat Weld Smooth"or"Ruberoid@ 601 Cap Plus"or"Ruilroide ao". •• • •• • • C."Ruberoid@ Mop Granule"or"Flex PRF"or"Ruberoid@ Mop Plus Granule"or"Ruberoid@ SBS Heat Weld G"y1g"or 0 ' �a "Ruberoid@ SBS Heat Weld Plus"or"ROOFMatchT"SBS Modified Granular"or"Tri-Ply@ SBS Modified Bitumen Membrane". D."Ruberoid@ Mop 170 FR"or"Ruberoid@ Dual FR". ••• • E."Ruberoid@ 30 FR"or"Ruberoid@ 30 FR HT"or"Ruberoid@ EnergyCapl SBS 30 FR". 0000 • ••••• F."Ruberoid@ 20"or"Ruberoid@ 20 HT"or"Ruberoid@ SBS Heat Weld 25." �: �: . , ; **see •• •• •• •• •••••• G."Ruberoid@ SBS Heat Weld 170 FR","Ruberoid@ EnergyCapT"SBS Heat Weld Plus FR"or"Ruberoid@)ygJd Weld Plus , " FR". • • • r • • • • •••••• H."Ruberoid@ Torch Smooth"or"Tri-Ply@ TP-4". • I."Ruberoid@ Mop Smooth"or"Ruberoid@ 20"or"Ruberoid@ 20 HT"or"Ruberoid@ Dual Smooth". •••• • •• • • • 1."Ruberoid@ Mop Smooth"or"Ruberoid@ Mop Smooth 1.5". •• • Unies.r,otherwise indicated,the Modified Bitumen(Granule)membrane may be surfaced with'TOPCOAT@ Fireshield MB"at 21/2 to 3.0-gal/100- fl?,and the incline of the resultant system would be Increased to a 3/4-in.Incline.But if the incline of the Classified system is greater than a 3/4-in.incline,the incline of the roofing system would be maintained when surfaced with"TOPCOAT@ Fireshield MB"at 21/2 to 3.0-gal/100-ft2. Unless otherwise Indicated"Ruberoid@ EnergyCap—SBS 30 FR"is an acceptable alternate for"Ruberoid@ 30 FR"or"Ruberoid@ 30 FR HT'or "Ruberoid@ Mop 170 FR"or"Ruberoid@ Dual FR"in any applicable Classification. • t t t i http://database.ul:com/cgi-bin/XYV/template/LISEXT/1 FRAME/showpage.html?name=T... 6/29/2017 t TGF - Roofing Systems Page 1 of 1 C56.:Deeck:C-15/32 Incline:1/2 Base Sh —Two or more piles Type G2"GAFGLASS#75 Base Sheet'or"Trl-Ply@#75 Base Sheet'mechanically fastened. ' ne:—One ply"Ruberoid@ SBS Heat Weld Plus FR"or"Ruberoid®SBS Heat Weld 170 FR"heat welded in place. F k i t • • •••• •••••• • • • • i••••• • •• •••••• • •••••• • • •••••• •••• • ••••• •••••• • • ••••• • • • • • •• •• •• •• •••••• { A d { M N y http://database.ul.com/cgi-bin/XYV/template/LI SEXT/1 FRAME/showpage.html?name=T... 1 6/29/2017 i #; * 5t►ORFs ` W £„ Miami �hor ' e s ills j, Building Department TO 10050 N.E.2nd Avenue f Miami SBores, Florida 33138 Tel: (305) 795.2204 ' . Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRA TOR`IS,A FLORIDA STATE CERTIFIED CONTRACTOR: A. � PY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. OPY OF LIABILITY INSURANCE* f D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) f IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER `B. COPY OF LOCAL BUSINESS TAX RECEIPT C. ,COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COONTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* ' (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: I Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number, ■ae��cso��s��see��eoo�oeoaeoee��sa�a�eae ■■oosseM��e��ss_a��sa��ebafsit��i BUSINESS NAME: c. cV �a , BUSINESS ADDRESS:A( Aqd4lLn ZC CITY W • STATE zip_-33, p BUSINESS PHONE: (Z) b FAX NUMBER ( ) CELLPHONE ( QUALIFIER'S NAME: L O LO PC �-- f QUALIFIER'S LIC NUMBER: G v l h f 9 i W. STATE OF FLORIDA , DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD .r TALLAHASSEE FL 32399-0783 I LOPEZ,ALFONSO COPPER STONE CONSTRUCTION &DESIGNING CORP 4839 BADGER AVE t WEST PALM BEACH FL 33417 r � k a l S Congratulations! With this license you become one of the nearly " one miilion Floridians licensed by the Department of Business and Professional Regulation.. Our professionals and businesses range STATE OF FLORIDA from a;chitects to yacht brokers,from boxers to barbeque restaurants,and they keep Florida's economy strong, �ARTMEtff OF,,B.USINESS AND PROF REGULATION Every day we work to improve the way we do business in order CCC1328165.:,�" .. 4} to serve you better. For information about our services,please A > 7/13/2016 log onto www myfloridalleense.com. There you can find more information about our divisions and the regulations that impact CERTIFtED You,subscribe to department newsletters and team more about LOPEZ,ALF _•. p� .. the Departments initiatives. COPPER ST } DESIGN Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing'business in Florida, IS CERTIFIED under the Provisions of Ch.489 FS. and congratulations on your new license! dam:AUG31.2DIA uso7130000721 s DETACH HERE r RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY STATE OF FLOJWA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTIO itUMY LICENSING BOARD CCC132I'', The ROOFING CONTRACTOR Named below IS CERTIFIED K - Under the provisions of Chapter 482 FS. = Expiration date: AUG 31,2018 i LOPEZ;ALFO.NSO COPPER STONE.CON_ "":>: ❑ '' [ji 4839 BADGE} AVE" ON &OFSIGNING CORP~ V ST PALM B 33417 S ISSUED: ► DISPLAY AS REQUIRED BY LAW SEQ# L1607130000721 1 *"'JEFF ATWATER CHIEF FINANICAL 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 r This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 7/28/2017 EXPIRATION DATE: 7/28/2019 PERSON: LOPEZ ALFONSO FEIN: 134352854 f BUSINESS NAME AND ADDRESS: ' COPPER STONE CONSTRUCTION& DESIGNING, CORP 4839 BADGER ROAD ' r WEST PALM FL 33417 BEACH SCOPE OF BUSINESS OR TRADE: Licensed General contractor Licensed Plumbing Contractor Licensed Roofing Contractor Heating,Ventilation,Air- Conditioning and Refrigeration Systems Installation,Service and Repair,Shop,Yard& Drivers 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 440.05(12),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 shall be subject to revocation if,at any time after 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 shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. 1 DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 { 1 1. 1 , 1 - > ANNE M. G A N N ON p.p`Box 3353,West Palm Beach,FL 33402-3353 CONSTITUTIONAL TAX COLLECTOR www.pbctax.com Tel:(561)355-2264 **LOCATED AT** Ser ing Palm Bench County , 4839 BADGER AVENUE , Serving yoll. WEST PALM BEACH, FL 33417 , TYPE OF BUSINESS' OWNER CERTIFICATION# RECEIPT#/DATE PAID 23.0081 ROOFING CONTRACTOR LOPEZ ALFONZO AMT PAID BILL# CCC1328165 817.479322-07/12/17 $27.50 This document is valid only when receipted by the Tax Collector's Office B4ot2ss7s , STATE OF FLORIDA PALM BEACH COUNTY B1 -445 2017/2018 LOCAL BUSINESS TAX RECEIPT COPPER STONE CONSTRUCTION&DESIGNING CORP COPPER STONE CONSTRUCTION & DESIGNING CORP LBTR Number: 200813627 4839'BADGER RD EXPIRES: SEPTEMBER 30, 2018 WEST PALM BEACH, FL 33417-2915 r I I I I I I I III I I I I I I I I I This receipt grants the privilege of engaging in or managing any business profession or occupation within its jurisdiction and MUST be conspicuol;sly displayed at the place of business and in such a manner as to be open to the view of the public. { r I i 9 F i I fad d ' } I i. i 4 i 4 Phone: (305)795-2204 Fax: (305)756-8972 ACORV CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYI) 11/09/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. 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 NAME: Aileen Perez Horizon Insurance.Inc. PMOP1E 941-755.9500 AC No:941-753-9472 7347 52nd Place E Mr;ssb lnfo@horizonins.net ° Bradenton,FL 34203 INSURERS AFFORDING COVERAGE NAIC# INSURER A: International Insurance Company of Hanover S INSURED INSURER B: Copper Stone Construction 8r Designing Corp. Alfonso Lopez INSURER C: 4839 Badger Rd INSURER D: West Palm Beach, FL 33417-2915 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-1808239 REVISION NUMBER: 15 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 LTR POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY 1 G06AO11051-01 01/15/2017 01/15/2018 EACH OCCURRENCE $ 1'000000 CLAIMS-MADE a OCCUR PRREMAI ES(RENTED $ 100 000 MED EXP(Any one person) $ 5,000 PERSONAL 6 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY E]JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE UMI $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per acddent) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIM HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION I PER 071+ AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIP710N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CCC1328165 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Miami Shores Building&Zoning ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores, FL 33138 AUTHo D REPRESENTATIVE ARP ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by ARP on November 09,2017 at 10:43AM