Loading...
RF-18-2068Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Issue Date: 8/6/2018 Permit NO. RF-8-18-2068 Permit Type: Roof Wi *classification: Ftat Permit Status: APPROVED Expiration: 02/02/2019 Parcel Number Applicant 17 NE 107 Street Miami Shores, FL 33161-7029 1121360070340 Block: Lot: HENRIQUES HOWARD Owner Information Address Phone Cell HENRIQUES HOWARD 565 NE 53 Street MIAMI FL 33137- (718)637-1686 565 NE 53 Street MIAMI FL 33137- Contractor(s) Phone AP BUILDERS OF SOUTH FLORIDA LI (786)286-0107 Cell Phone Valuation: $ 9,825.00 Total Sq Feet: 1200 Type of Work: Re Roof Additional Info: RE -ROOF FLAT ROOF Classification: Residential Scanning: 3 Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - New Roof Scanning Fee Technology Fee Total: Amount $500.00 $6.00 $4.13 $2.75 $2.00 $275.00 $9.00 $8.00 $806.88 Pay Date Pay Type Invoice # RF-8-18-68419 08/02/2018 Check #: 444 08/06/2018 Credit Card 08/03/2018 Check #: 300 Bond #: 3850 Amt Paid Amt Due $ 50.00 $ 756.88 $ 256.88 $ 500.00 $ 500.00 $ 0.00 Available Inspections: Inspection Type: Tin Cap Final Roof Roof in Progress Renailing Affidavit Review Roof 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 construction and zo uthorized Signature: Owner going infor on is accurate and that all work will be done in compliance with all applicable laws regulating ize t - - - med co ctor to do the work stated. August 06, 2018 licant / Contractor / Agent Date Building Department Copy August 06, 2018 1 Inspection VVorksheet Miami Shores Village 10060 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (306)7564972 Inspection Number: INSP-311226 Scheduled Inspection Date September 06, 2018 Inspector. Naranjo, Isibael Owner. HOWARD, HENRIQUES Job Address:17 NE 107 Street Miami Shores, FL 33161.7029 Project <NONE? Contractor: AP BUILDERS OF SOUTH FLORIDA LLC Permit Number. RF-8-18-2068 Permit Type: Roof Inspection Type: Final Roof Work ,Classificalion: Flat Phone Number (718)637-1686 Parcel Number 1121360070340 Phone: (786)286-010 Building Department Comments RE -ROOF FLAT ROOF Irtfractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Fee 0 No Perfaaart teszezions-mo be Tfl =Te.' Inspector Comments CREATED AS REINSPECTION FOR INSP-309622 1.DUMPSTER ON SITE 2.LAST ROW OF TILES REMOVED FOR REPAIRS. EITHER REPLACE OR COAT ROOFING CEMENT. 306=389-7198 Se*neer OS, 2018 For Inspections please call: (305 2-4949 Page 16 of 37 -e1/4c`Nt,\% 3 BUILDING PERMIT APPLICATION BUILDING ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC20S1"4 Master Permit No.\f 12 - 20 68 Sub Permit No. OOFING 0 REVISION EXTENSION El RENEWAL PLUMBING ❑ MECHANICAL 1 ❑PUBLIC WORKS 0 CHANGE OF El CANCELLATION ❑ SHOP CONTRACTOR / JOB ADDRESS: f `� E / 0 4-4- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: DRAWINGS NO FFE: OWNER: Name (Fee Simple Titleholder): 0(it)aid Fki l(c (/ € - Phone#: rI Address: � `V E �� 3� City: ! ► l (emu r>2 1 State: Tenant/Lessee Name: Email: Phone#: Zip: 33(3 CONTRACTOR: Company Name: Address: City: 80;/ 4"s eri �i F zLcone#: QU ~2ff (`9Jo 5' Qualifier Name: 3 O 38 °1— 7198 Y‘e44 State: � Zip: / S T Phone#: State Certification or Registration #.ql)7/ 1/0 Certificate of Competency #: $5692 Z ‘ / DESIGNER: Architect/Engineer: Address: (V ! State: Zip: Value of Work for this Permit: $ , �(' S Square/Linear Footage of Work: L j e U New ❑ Repair/Replace ❑ Demolition Type of Work: ❑ Addition q Alteration Description of Work: Phone#: frcrr Specify color of color- thru tile: Submittal Fee $ S�-�G11 _, _ Permit Fee Scanning Fee $ 1 - Radon 'Fee ,$ 2 •'l 0 CO/CC, . •;3 , Notary$ Technology Fee $ S Training/Educat • n Fee $ 2 Double Fee $ Structural Reviews $ Bond $ 00(0 TOTAL FEE NOW DUE $ 25 v • 88 (Revised02/24/2014 Z56.88 Bonding Company's Name (if applicable) `re � , uY Bonding Company's Address �/� �".�• City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address r City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER:. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature. I! P'� r o OWNER or AGENT The foregoing instrument was acknowledged before me this 23ra Signature CONTRACTOR r The f "going instrument was acknowledged before me this ).4 y of `T; , 20 1g � � who is personally k day of 20 d by lU 1Vl c�es , who is personally known to known to t"� 9 P Y O({ P Y me or who has produced' t i 1 . I9 Z c-) a D as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 1VONNE LANDERO Notary Public - State of Florida fir' Commission 8 GG 006859 ::,,ar F�d;;:'�, My Comm. Expires Jun 28, 2020 APPROVED BY- 1 me or who has produced /d9 identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ********************** Plans Examiner n.e S by "'% KELLIE JONES %State of Florida -Notary Public •= Commission.# GG 186560 si**IMy.ettlrhteeie '£r5igtife `*' ********* ',W. February 15, 2022 Zoning Structural Review Clerk (Revised02/24/2014) Notary Public, 8ifite of Florida at Large Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE- BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138� 3 Re: Owner's Name: Flo 0 (A) 01 t(d ( 4 u_e-S Property Address: / 7 /J /d(`-7 5 7 Date: f q.. r< �S Roofing Permit Number: Dear ullding Official: � I 0 u) av'G� !`t;✓/ VOg a certify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. o The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) )-1 tO 471_ 14 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 2 3r�� �y 2 day of oie ', o,k IVONNE LANDERO I •� Notary Public . State of Florida I 1 za _ ,�•_I Commission 0 GG 006859 1 �•. ,a ,�.:���, My Comm. Expires Jun 28. 2020 • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.0tf artff"thrrbuirenng•war noreonsrructeo vnm ret,rar W ,. SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 Property Search Application - Miami -Dade County Page 1 of 1 Summary Report Property Information Folio: 11-2136-007-0340 Property Address: 17NE107ST Miami Shores, FL 33161-7029 Owner HOWARD HENRIQUES Mailing Address 565NE53ST MIAMI, FL 33137 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,042 Sq.Ft Living Area 1,540 Sq.Ft Adjusted Area 1,758 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1948 Assessment Information Year 2018 2017 2016 Land Value $230,638 $230,638 $198,007 Building Value $138,672 $139,691 $140,710 XF Value $1,979 $2,002 $2,024 Market Value $371,289 $372,331 $340,741 Assessed Value $371,289 $372,331 $304,863 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction $35,878 Note: Not all benefits are applicable to all Taxable Values i e. County, School Board, City, Regional). Short Legal Description 36 52 41 PB 42-33 DUNNINGS MIAMI SHORES EXT NO 3 LOT 10 BLK 210 LOT SIZE 75.000 X 123 OR 21939-1162 122003 1 Generated On : 8/2/ Taxable Value Information 2018 County 2017 2 ............... Exemption Value $0 $0 Taxable Value I $371,289 $372,331 $304. School Board Exemption Value $0 $0 Taxable Value $371,289 $372,331 $340. City Exemption Value $0 $0 Taxable Value $371,289 $372,331 $304. Regional Exemption Value $0 $0 Taxable Value $371,289 $372,331 $304. Sales Information Previous Sale Price OR Book - Pa a 9 Qualification Description 07/15/2018 $354,700 31013-3785 Financial inst or "In Lieu of Forclosure" stated 10/27/2016 $100 30290-0971 Financial inst or "In Lieu of Forclosure" stated 01/01/2006 $480,000 24164-3253 Sales which are qualified 12/01/2003 $205,000 21939-1162 Sales which are qualified 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 Appra and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/ 8/2/2018 Municipal Contractor's Tax Receipt Miami —Dade Cou nty, State of Florida -THIS IS NOT A BILL - DO NOT PAY CC NO: 1 18500261 BUSINESS NAME/LOCATION A P BUILDERS OF SOUTH FLORIDA LLC 6800 BIRD RD 651 MIAMI, FL 33155 OWNER A P BUILDERS OF SOUTH FL LLC MIAP4K 4DE RECEIPT NO. 7546150 TYPE OF BUSINESS SPECIALTY bU Lc: EXPIRES SEPTEMBER 30, 2018 Pursuant to County Code Sec 10-24 PAYMENT RECEIVED BY TAX COLLECTOR Restricted to City of North Miami Beach For more information, visit www.miamidade.gov taxcollector CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 11 BS00261 q�1A P BUILDERS OF SOUTH FLORIDA LLC D.B.A.: OWELL JEFFREY W Is certified under the provisions of Chapter 10 of Miami -Dade County kS. QUALIFYING TRADE(S) 0044 ROOFING 0055 SWIMMING POOL Jaime D. Gascon, P.E. Secretary of the Board Ms herein. Miami -Dade County retains alt property 9 FrankCrum 7/30/2018 15:19 Page2/2 A f, IRE ' CERTIFICATE OF LIABILITY INSURANCE DATE 0/YYYY) 07/30/20/2018 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 Ia an ADDITIONAL INSURED, the poky (lea) 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 endor•semeltt(a). PRODUCER CONTACT NAME: FrankCrum Insurance Agency, Inc. PHONE (A/C, No, Ext): (BOO) 277.1620 X 4800 I FAX (A/C, No): (727) 797-0704 E-MAIL ADDRESS: 100 South Missouri Avenue INSURERS) AFFORDING COVERAGE NAILS Clearwater, FL 33756 INSURER A Frank Winston Crum Insurance Company 11600 INSURED INSURER B: INSURER C. FrankCrum L/C/F A P Builders of South Florida, LLC INSURER D: 100 South Missouri Avenue INSURER E' Clearwater, FL 33756 r11VFRArfPe INSURERF' ----•-• •-••• rrttvIAIL/N rlAleotK: THIS IS TO CERTIFY THAT THE POUCIES 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 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR TYPE OF INSURANCE MIDI � ;URN WVO POLICY NUMBER POLICY EF F (NWDONYYY) POLICY EYP OIAMIDNYYY) ware COMMEFtCIAL GENERAL LIABILITY OCCUR EACH OCCURRENCE i CLMM^-uarx= DAMAGE TO RENTED PREMISES (Ea oo ,rranoel S GENL MED EXP (My one person) $ AGGREGATE UNIT APPLES PER POUCY a PROJECT O LOC OTHER PERSONAL A ADV INJURY $ GENERAL AOOREOATE $ l i PRODUCTS-COMP/OP AGO $ $ AUTONOWLi LIASIUfY ANY ADO OWNED AUTOS ONLY HIRED AUTOS ONLY —SCHEDULED — AUTOS NON-0WNEO AUTOS ONLY COMBINED SNGLE LIMIT (Ea accident) BODILY INJURY (Penman/I) 5 BODILY INJURY (Per acddenq_ S — PROPERTY DAMAGE (Per ncridNal $ $ UMBRELLA LAB EXCESS LIAB — OCCUR CLAMS -MADE EACH OCCURENCE t AGGREGATE s DED RETENTION $ 3 A WORKERS COMPENSATION MD EMPLOYERS' umu rY ANY PROPEETOR/PARTNERiEXECUTIYE OFFICER/MEMBER EXCLUDED? Mandatary in NH) IT yes, decabe under DESCRIPTION OF OPERATIONS below Y/IV N/A WC201800000 01/01/201S 01/01/201D X PER STATUTE OTH. ER E.L. EACH ACCIDENT $1,000,000 S1,000000 E.L. DISEASE -EA EMPLOYEE E.L DISEASE ;1,000,000 DESCRIPTION -POLICY LIMIT OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may Effective 03/05/2018, coverage Is for 100% of the employees of FrankCrum leased to A hours to FrankCrum. Coverage is not extended to statutory employees. CERTIFICATE HOLDER ,,Au„e-, be attached If more space 13 required) P Builders of South Florida, LLC (Client) for whom the dient I Aria,,, is reporting Village of Miami Shores Building Department 10050 N.E. 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORRED REP 6ENTATNE ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 01988-2016 ACORD CORPORATION. All rights reserved. Loca usiness TaxReceipt Dade County, State of Florida Miar 6850623 —THIS IS NOT A f3WL -- DO NOT BUSINESS NAME/LOCATION A P BUILDERS OF SOUTH FLORIDA LLC 6800 BIRD RD 651 MIAMI FL 33155 O NER A P BUILDERS OF SOUTH EL TLC Worker(s) 2 This Local Business Tax Recaip permit, or a certification of the or nongovernmental regulatory laws and requi RECEIPT NO, RENEWAL 7124977 SEC, TYPE OF 196 SPECIALTY 118500261 EXPIRES SEPTEMBER 30, 2018 Must be }f business Pursa an, Chapter CA USINESS UILDING CONTRACTOR PAYMENT RECE`TVv BY TAX COLLECTOR $75.40 07/26/201711' FPPU14-17--Q15500 the Local Business Tax, The Receipt is not a licerrs,�, do business. Holder must comply with any governmental is which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami —Dade Code Sec Ba-276. For more information, visit www.miamid d ovitaxxcpliectoi - ACORD CERTIFICATE CERTIFICATE OF LIABILITY INSURANCE k ‘._--- DATE(MM/DD/YYYY) 07/27/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Emmanuel Insurance & Associates, Inc. 2370 E 8TH AVE HIALEAH FL 33013-4236 CONTACT Sarai Medina NAME: PH NE Ext): (305) 693-0003 FAX No): (305) 691-4381 E-MAIL sarai@emmanuelinsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Preferred Contractors Ins Co 12497 INSURED A P BUILDERS OF SOUTH FLORIDA, ANGELO PRAT 6800 SW 40 STREET #651 MIAMI FL 33155 INSURER B : INSURER C: INSURER D : INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL XCOMMERCIAL LIABILITY GENERAL LIABILITY PCA5026-PC262156 03/18/2018 03/18/2019 EACH OCCURRENCE $ 1,000,000.00 DAMAGE 10 REN I LU PREMISES (Ea occurrence) $ 50,000.00 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE X POLICY LIMIT APPLIES PRO- JECT PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY SCHEDULED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Building Contractor. Any Changes or alterations Done to this document after being issued shall constitute it null and void. CERTIFICATE HOLDER CANCELLATION Village of Miami Shores Building Department 10050 NE 2nd Avenue Miami Shores , FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD G INTERNATIONAL CODE COUNCIL ROOF ASSEMBLIES 9ND1 OBF '.QPSTRUCTURES Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application For Section A (General Information) Master Permit No. ✓CProcess No. ��'�� Contractor's Name �h l O-4' r Job Address v / 8 ✓ 4� +r -6[ �/� S7 mar �'� •,.• gd' Low Slope 0 Asphaltic Shingles 0 New roof 0 Repair Low Slope Roof Area (SF) /Zj' ee) ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/Shingles ❑ Prescriptive BUR-RAS 150 ROOF TYPE 0 Maintenance ROOF SYSTEM INFORMA ION Steep Sloped Roof AREA (SSF) • • • • • •• • •• • ❑ Mortar/Mar Set Tiles• ❑ Wood §hingles/Shakes. • • • •ll• • •••• •lees• • • •• •, • • • • •• Reroofing ; • • •l+] Recovering• • • • • :•••: Total (SF)• ' •• • • •• ••• • • 1 1 1 1 1 •••p•• r. • • ••• •a. • ••••t• ••• •• • I • ••••r, Section B (Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- 1 sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 1 r 1 O. r ICI IIHI 1 vti a, A JPF . 11 OVFED DEP RLDG DEPT 7 Nci niS orE.s V BY DAE UB.IEC T TO COMPLIANCE WI i H ALL FEDERAL FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) C,f 1-' M P{ R I' L FS AND R E E U I ATI O N 5 37 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Agreement. No further reproductions authorized. 1 1 1 1 1 1 1 1 1 Florida Building Code 6th Edition (2017) High -Velocity Hurricane Zone Uniform Permit Application Form Section C (Low Sloped Roof System) Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as 'NA') System Manufacturer. GAF Materials Corp NOA No.: 15-1020.01 Design Wind Pressures, From RAS 128 or Calculations: Pmaxi: 42.8 Pm:71.7 Pmax3: 108.0 Max Design Pressure, From the Specific NOA _45.0 System: Deck: Plywood Type: Gauge/Thickness: 5/8" min Slope: 1/8:12 Anchor/Base Sheet & No. of Ply(s):75# 5hc Glass Base hcet Anchor/Base Sheet Fastener/Bonding Material: 1-1/4" Ring shank nails & 1-5/8" tincaps Insulation Base Layer: N/A Base Insulation Size and Thickness: N/A Base Insulation Fastener/Bonding Material: N/A Top Insulation Layer: N/A Top Insulation Size and Thickness: N/A Top Insulation Fastener/Bonding Material: N/A Base Sheet(s) & No. of Ply(s): N/A Base Sheet Fastener/Bonding Material: N/A Ply Sheet(s).& No. of Ply(s): N/A Ply Sheet Fastener/Bonding Material: N/A Top Ply GAF Ruberoid SBS Mop Granule F/R Top Ply Fastener/ Bonding Material:Te Asphalt Surfacing: N/A Fastener Spacing for Anchor/Base Sheet Attachment Field: 9 ' oc @ Lap, # Rows 2 © 9 ' oc Perimeter. 6 "oc @ Lap, # Rows 4 @ 6 " oc Comer. 9 ' oc @ Lap, # Rows 4 © 6 ' oc Number of Fasteners Per insulation Board Field ____ Perimeter Corner �___ • • Illustrate Components Noted afld••• Details as Applicable: • • • • • • • Woodblocking, Gutter, Edge 113tihtrtion, Stripping, Flashing, Continuous glean • Cant Strip, Base Flashing, Counter- • Fiastiing, Coping, Etc. ••.••• Indicate: Mean Roof Height, Parapet.ljeight, Height of Base Flashing, Componggt•Ii terial, Material Thickness, Fastener Tyi la, Fastener Spacing or Submit Manufacturers • Details that ;...: •, Comply with RAS 111 and Chapter 46. • . • ,,,d- Ruberoid Mop F/R 3x3 26 Ga Glav 75#fLssSata •. . FT. 0 FT. • • • • ••• •• • • •• a • • • • • • • • • • •• . • • • • •• • . • • • • • • • Parapet Height 16 Plywood 5/8" min Mean Roof Height • ••.••• .• • 000000 • • ••••.• • . ••••. • • ••••. •••.•• • • • 000000 • . •••••. • . DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) GAF 1 Campus Drive Parsippany, NJ 07054 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 Co vnty RER : • • • Product Control Section to be used in Miami Dade County and other areas where alloweei4 the • Authority Having Jurisdiction (AHJ). •••••• • • •• MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786) 315-2599 www.miamidade. eov/econ omv ••.• This NOA shall not be valid after the expiration date stated below. The Miami -Dade Covti t ' roduct • Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Da4g, county) •"' •• reserve the right to have this product or material tested for quality assurance purposes. Jf 1j1cti5 produoff" material fails to perform in the accepted manner, the manufacturer will incur the expense'pfstich te�tli'• and the AHJ may immediately revoke, modify, or suspend the use of such product or t &tesi8l within • their jurisdiction. RER reserves the right to revoke this acceptance, if it is determinedby Ivliimi-Dade •• County Product Control Section that this product or material fails to meet the requirelent�suf the :"' • • applicable building code. •• • • • • This product is approved as described herein, and has been designed to comply with the Florida Buircring 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 revises NOA No. 14-1030.02 and consists of pages 1 through 67. The submitted documentation was reviewed by Joree L. Aceho. MIAMI•DADE COUNTY APPROVED NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 1 of 67 •••••• • • • •••••• • •••••o • • ••••• • • 00000 •••••• •• • •••••• • • •••••• • • ROOFING SYSTEM APPROVAL Category: Sub -Category: Material: Deck Type: Maximum Design Pressure: Roofing Modified Bitumen APP/SBS Wood -105 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product GAFGLAS® Ply 4 Tri-Ply® Ply 4 Ply Sheet GAFGLAS® FlexPlym 6 GAFGLAS® #75 Base Sheet Tri-Ply® #75 Base Sheet GAFGLAS® #80 Ultima' Base Sheet GAFGLAS® Stratavent® Perforated Venting Base Sheet GAFGLAS® Stratavent® Nailable Venting Base Sheet Ruberoid® HW 25 Smooth Ruberoid® HW Smooth Ruberoid® HW Granule Ruberoid® HW Granule FR Ruberoid® HW Plus Granule Ruberoid® HW Plus Granule FR MIAMI•DADE COUNTY APPROVED Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (I meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (I meter) Wide 39.37" (I meter) Wide TABLE 1 Test Specification ASTM D2178 ASTM D2178 ASTM D2178 ASTM D4601 ASTM D4601 ASTM D4601 ASTM D4897 ASTM D4897 ASTM D6163 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 • . • . • .. . Product • • • • . • .... .• • . . • . Desor+ipiaon Smooth surfaced asphaltic.ply shut'••. reinforced with fiberglass mat. Smooth surfaced asphaliii •ply sheet• . • reinforced with fibergl14 gnat. • Smooth surfaced asphalticZ:ily sh;et reinforced with fiberglassimat. . Smooth asphaltic base or base/ply: ie it• reinforced with fiberglass mat. Smooth asphaltic base or base/ply sheet reinforced with fiberglass mat. Smooth asphaltic base or base/ply sheet reinforced with fiberglass mat. Smooth surfaced asphaltic perforated venting base sheet reinforced with fiberglass mat. Smooth surfaced asphaltic nailable venting base sheet reinforced with fiberglass mat. Bottom side surfaced with granules. Smooth surfaced torch applied SBS base or ply sheet reinforced with a fiberglass mat. Smooth surfaced torch applied SBS base or ply sheet reinforced with a polyester mat. Granule surfaced torch applied SBS cap sheet reinforced with a polyester mat. Fire retardant granule surfaced heat - welded SBS cap sheet reinforced with a polyester mat. Granule surfaced torch applied SBS cap sheet reinforced with a polyester mat. Fire retardant granule surfaced torch applied SBS cap sheet reinforced with a polyester mat. NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 2 of 67 Product Ruberoid® EnergyCap' HW Plus Granule FR Ruberoid® Torch Smooth Tri-Ply® APP Smooth Membrane Ruberoid® Torch Granule Tri-Ply® APP Granule Cap Sheet Ruberoid® Torch Plus Granule FR Ruberoid® EnergyCar Torch Plus Granule FR Ruberoid® EnergyCap' Torch Granule FR Ruberoid® 20 Smooth Ruberoid® 30 Granule Ruberoid® 30 Granule FR Ruberoid® 30 Plus Granule FR Ruberoid® Mop Granule Tri-Ply® SBS Granule Cap Sheet Intec Flex PRF Ruberoid® Mop Smooth MIAMI•DADE COUNTY APPROVED Test Dimensions Specification 1 meter ASTM D6164 (39.37") Wide (1 39.37" meter) Wide 39.37" (1 meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" (1 meter) Wide (1 (1 (1. ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 39.37" ASTM D6222 (1 meter) Wide (1 (1 (1 (1 (1 (1 (1 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" (1 meter) Wide ASTM D6163 ASTM D6163 ASTM D6163 ASTM D6163 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 Product Description Fire retardant granule surfaced heat - welded SBS cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT® EnergyCote' Elastomeric Coating. Smooth surfaced torch applied APP base or ply sheet reinforced with a polyt,Ster• mat. •••• • • • Smooth surfaced tor!1 ap}3lied API' cap, base or ply sheet reinforced with a . • polyester mat. • •Granule surfaced tvri•xpplied M 1 •••• sheet reinforced with gppjyester rpat.. Granule surfaced toirclIsaiarplied sheet reinforced with a 400lyester mat. Fire retardant grantjle surfaced tqrtfi• • • applied APP cap sht;treiOforced yvit)Za polyester mat. Fire retardant granule surfaced torch applied APP cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT® EnergyCoteTM Elastomeric Coating. Fire retardant granule surfaced torch applied APP cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT® EnergyCoteT' Elastomeric Coating. SBS polymer -modified asphalt base or ply sheet reinforced with a fiberglass mat. Granule surfaced mop applied SBS cap sheet reinforced with a fiberglass mat. Fire retardant granule surfaced mop applied SBS cap sheet reinforced with fiberglass mat. Fire retardant granule surfaced mop applied SBS cap sheet reinforced with fiberglass mat. Granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Smooth surfaced mop applied SBS base sheet reinforced with a polyester mat. NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 3 of 67 Product Ruberoid® Mop Smooth 1.5 Ruberoid® Mop Plus Smooth Ruberoid® Mop Plus Granule Ruberoid® Mop Plus Granule FR Ruberoid® EnergyCap' Mop Plus Granule FR Ruberoid® Mop Granule FR Ruberoid® EnergyCapT"' 30 Granule FR GAFGLAS® Mineral -Surfaced Cap Sheet Tri-Ply® BUR Granule Cap Sheet GAFGLAS®EnergyCap' Mineral -Surfaced Cap Sheet TOPCOAT® Membrane United Coatings' Roof Mate TCM Coating TOPCOAT® Surface Seal SB United Coatings' Surface Seal SB Roof Coating TOPCOAT® MB Plus United Coatings" Roof Mate MB Plus Coating MIAMI•DADE COUNTY APPROVED (1 (1 (1 (1 (1 Dimensions 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) wide 39.37" (1 meter) Wide 1, 5 or 55 gallons 1,5or55 Gallons 5 or 55 gallons 5 or 55 Gallons 5 or 55 gallons 5 or 55 Gallons Test Specification ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6163 ASTM D3909 ASTM D3909 ASTM D3909 ASTM D6083 ASTM D6083 ASTM D6083 ASTM D6083 Proprietary Proprietary Product Description Smooth surfaced mop applied SBS base sheet reinforced with a polyester mat. Smooth surfaced mop applied SBS base or ply sheet reinforced with a polyester mat. Granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Fire retardant granule surfaced NM • • . applied SBS cap sheet reinforced WV a polyester mat. • Fire retardant granule surfaced mop • • applied SBS cap sheg“ejnforced Zv�}ta polyester mat. Cap•th.eg?s factdry.cp.led with TOPCOAT® Ene'g iCoteT" • • . Elastomeric Coating•'..' • ' • •' Fire retardant gran .1esrfraced mop • applied SBS cap sheet reinforced witl,a polyester mat. • Fire retardant granult•surfaced ryel?•'. applied SBS cap sheet reinforced With'a fiberglass mat. Cap sheet is factory coated with TOPCOAT® EnergyCotem Elastomeric Coating. Granule surfaced asphaltic cap sheet reinforced with fiberglass mat. Granule surfaced asphaltic cap sheet reinforced with a fiberglass mat. Granule surfaced asphaltic cap sheet reinforced with fiberglass mat. Cap sheet is factory coated with TOPCOAT® EnergyCoteT" Elastomeric Coating. Water based elastomeric coating. Water -based elastomeric coating Solvent based thermoplastic rubber sealant designed to protect and restore aged roof surfaces and to increase roof reflectivity. Solvent -based thermoplastic rubber sealant designed to protect and restore aged roof surfaces and to increase roof reflectivity. Water based, low VOC primer used to block asphalt bleed -through. Water based, low VOC primer designed to block asphalt bleed -through. NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 4 of 67 Product FireOutTM Fire Barrier Coating Flex Seal' VersaShield® Fire -Resistant Roof Deck Protection VersaShield® Solo". Fire - Resistant Slip Sheet Matrix' 102 SBS Membrane Adhesive Dimensions 5 or 55 gallons 1, 5 gallons or 1 qt. tube 12" x 100' rolls 42" roll wide, 100 ft. 3, 5 or 55 gallons APPROVED INSULATIONS: Product Name EnergyGuardT'" Polyiso Insulation EnergyGuardT" Tapered Polyiso Insulation EnergyGuard' RA Polyiso Insulation EnergyGuardT"' RH Polyiso Insulation EnergyGuard' RH Tapered Polyiso Insulation EnergyGuardT" RN Polyiso Insulation EnergyGuardT'' Perlite Recover Board EnergyGuardT"' Perlite Roof Insulation EnergyGuard' RA Composite Polyiso Insulation Structodek® High Density Fiberboard Roof Insulation SECUROCK® Gypsum -Fiber Roof Board SECUROCK® Glass -Mat Roof Board DensDeck® Roof Board DensDeck® Prime Roof Board MIAMI•DADE COUNTY APPROVED Test Specification Proprietary TAS 139 ASTM D226 ASTM D146, D828, D4869, D6757 ASTM D3019 Product Description Low VOC, water -based fire barrier coating. Solvent -based elastomeric sealant. Non -asphaltic fiberglass -based underlayment and /or fire barrier. .... Non -asphaltic, fire resistant fiberglass... • underlayment • • • • • • •• •• Fiber reinforced rubberi4edpcold-applied adhesive for modifreei•bittfrpen roe • • • systems. "" "" Table 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Perlite recover board Perlite insulation board Polyisocyanurate foam insulation with high density fiberboard or permalite High density fiberboard Gypsum Gypsum Gypsum Gypsum board board board board .. • . . • • • .. .. . •. • . • • • • • . • . •. .. . •• • • . • ..• . Manufacturer (With Current NOA) GAF GAF GAF GAF GAF GAF GAF GAF GAF Blue Ridge Fiberboard, Inc. United States Gypsum Corp. United States Gypsum Corp. Georgia-Pacific Georgia-Pacific NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 5 of 67 APPROVED FASTENERS: Fastener Number Product Name 1. Drill-Tece" #12 Fastener 2. Dri 11-Tec'" # l 4 Fastener 3. Drill-Tec" XHD Fastener 4. Drill-Tec' 3" Steel Plate 5. Drill-Tec' 3" Standard Steel Plate 6. Drill-Tec' ASAP 3S 7. Drill-Tec" AccuTrac®Flat Plate 8. Drill-Tec'" AccuTrac® Recessed Plate 9. Drill-Tec" 3 in. Ribbed Galvalume Plate (Flat) HAM WADE COUNTY APPROVED TABLE 3 Product Description Phillips head, modified buttress thread, pinch point, carbon steel fastener for use in steel or wood decks. With CR-10 coating. Available with a pinch point or drill point. Truss head, self -drilling, pinch point, high thread fastener for use in steel, wood or concrete decks. Truss head, self -drilling, pinch point, high thread fastener for use in wood or steel decks. Carbon steel extra heavy duty fastener used in steel decks. Round Galvalume® steel stress plate with reinforcing ribs and recessed for use with Drill- Tec" fasteners. Galvalume® coated steel stress plate for use with approved Drill-Tec'" fasteners. Drill-Tec" #12 fastener with Drill-Tec" 3" Standard Steel Plate. A2-SS aluminized steel plate for use with Drill- Tece' fasteners.. Galvalume® steel plate with recess for use with Drill-Tece" fasteners. Round Galvalume®plated steel stress plate with reinforcing ribs for use with Drill -Tee" fasteners. Dimensions #12 x 8" Max. Length #3 Phillips head. #14x16" Max. Length #3 Phillips head. #15x 16" Max. Length #3 Phillips head. 3" Round 3" Round #12 x 8" Max. Length #3 Phillips head with 3" Round plate 3" square; .017" thick 3" square; .017" thick. 3" Round Manufacturer (With Current NOA) GAF . . . . . .. . • •• • •• • • ••• • • •••• GAF • • .... • • • • .. .. • • • • . • • •. • . GAF • • • • • • • .. • GAF GAF GAF GAF GAF GAF •• • • • •• • NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 6 of 67 EVIDENCE SUBMITTED: Test Agency Test Identifier Description Date Factory Mutual Research Corp. 3001276 FMRC 4470 01/28/99 3010215 FMRC 4470 03/01/01 3029832 FMRC 4470 05/11/07 3036980 FMRC 4470 08/14/09 3034312 FMRC 4470 04/09/02... 3040738 FMRC 4470 • 05/18/1;•••• 3042887 FMRC 4470 '..• : 1/14/11. . • 3046081 FMRC 4470 02/13/T1.... 1B9A8.AM FMRC 4470 • 09/04/97 • • • 3D4Q2.AM FMRC 4470 • • • • • p4/30/2,q • • • • • • OD 1 A8.AM FMRC 4470 • • • • 04/01 /98 • • • • • Factory Mutual Research Corp. 797-03221-267 FMRC 4470 . D9/24/0/. •. 797-10228-267 FMRC 4470 " " 01 / 15/? 5 " . • 797-04694-267 FMRC 4470 . . b6/17/09 • • 797-03825-267 FMRC 4470 J7/ 14/48 • •: • RR203450 FMRC 4470 • • • • : 2/04/ 1 . . FM Letter FMRC 4470 04/11 /t j. • • • FM Letter FMRC 4470 09/15/15 Underwriters Laboratories R1306 UL 790 01/25/18 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 03/01/02 Trinity) ERD C8500SC.11.07 ASTM D6862 11/30/07 G30250.02.10-2 ASTM D6222. 11/11/10 G30250.02.10-3-R2 ASTM D3909 06/03/15 G31360.03.10 ASTM D6164 03/31/10 G32520.06.11 ASTM D1876 06/28/11 G33470.01.11 ASTM D6164 01/13/11 G34140.04.11-2 ASTM D6163 04/25/11 G34140.04.1 1-4-R2 ASTM D4601 6/4/2015 G34140.04.11-5-R3 ASTM D4897 6/4/2015 G36780.07.11-R1 TAS 114-J 07/18/11 G40620.07.12-2 ASTM D6222 07/17/12 G40630.01.14-1 ASTM D6163 01/06/14 G40630.01.14-2A ASTM D5147 01/07/14 G40630.01.14-2A-1-R1 ASTM D6164 04/10/14 G40630.01.14-2B-R1 ASTM D6164 01/16/15 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 MIAMI•DADE COUNTY APPROVED NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 7 of 67 EVIDENCE SUBMITTED: (CONTINUED) Test Agency Trinity I ERD PRI Construction Technologies LLC. MIAMI-DADE COUNTY APPROVED Test Identifier G43190.11.13-1 G43610.01.14 G46160.02.15 G46160.02.15-2D-1 G46160.03.15 G46160.09.14-2A G46160.09.14-3A G46160.09.14-3B G46160.09.14-3C G46160.12.14-3E G6850.08.08 G6850.08.08-R1 G6850.10.08 G6850.11.08 SC6870.08.14-R 1 GAF-122-02-01 GAF-245-02-01 GAF-276-02-01 Rev GAF-306-02-01 GAF-314-02-01 GAF-315-02-0 I GAF-3 69-02-01 GAF-434-02-03 GAF-434-02-04 GAF-464-02-01 GAF-498-02-01 GAF-499-02-01 GAF-500-02-01 GAF-559-02-01 GAF-559-02-04 GAF-559-02-05 GAF-559-02-06 GAF-559-02-07 GAF-559-02-08 GAF-559-02-09 GAF-559-02-11 GAF-559-02-1 2 GAF-559-02-13 GA F-559-02-14 GAF-559-02-15 GAF-559-02-16 GAF-559-02-18 GAF-559-02-19 Description ASTM D6222 ASTM D5147 ASTM D6163 ASTM D6163 ASTM D6163 ASTM D5147 ASTM D6164 ASTM D6164 ASTM D5147 ASTM D6164 ASTM D6163 ASTM D6164 ASTM D6222 ASTM D6222 ASTM D3909 TAS 139 ASTM D6083 ASTM E2178 ASTM D6083 ASTM E96 ASTM D2178 ASTM D2178 ASTM C1289 TAS 114-J TAS 114-J ASTM C1289 ASTM D6083 ASTM D6083 ASTM D6083 TAS 117(B) ASTM D1876 ASTM D1876 TAS 114(H) ASTM D903 ASTM D903 ASTM D903 TAS 114-J TAS 114-J TAS 114-J TAS 1 14-J TAS 114-J TAS 1 14-J TAS 114-J TAS 114-J • • • Date 11/15/13 01/22/14 02/12/15 02/09/16 03/11/15 ..•• • 09/09f • • • 09/09/14 . 09/09714. • • 09/09/ 14 . •••• 12/29/�4•• • . •••• 08/01/68•• • •04/14=?j •• " •' 10/06 08" • . . 02/17/09' • • 09/0414.: • . • . • ▪ 05/07`96 • • • 06/10/?0 • 01 /04/ 1 1 07/07/11 08/23/11 08/23/11 10/22/12 09/06/13 09/06/13 02/06/14 09/16/16 03/12/14 03/12/14 09/30/14 10/01/14 10/15/14 10/02/14 10/02/14 10/02/14 10/02/14 10/14/14 10/14/14 10/15/14 10/15/14 10/15/14 10/15/14 10/15/14 04/16/15 NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 8 of 67 Membrane Type: SBS/SBS Cold Applied Deck Type 1: Wood, Non -insulated Deck Description: Min. 19/32" or greater plywood or wood plank secured 6 in. o.c. with 8d ring shank nails to supports spaced 24 in. o.c. max. System Type E(1): Anchor sheet is mechanically attached to roof deck. (Non -insulated systems) All General and System Limitations shall apply. .... Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield® Fire -Resistant Roof peck.Protecttp• • • • (optional) VersaShield® Solo."' Fire -Resistant Slip Sheet, DensDeck®Roof B'gard, ; .. • SECUROCK® Gypsum -Fiber Roof Board, or SECUROCK GlassIMataoof Bogard.'.' Base sheet: GAFGLAS® #80 Ultima T"' Base Sheet, GAFGLAS® Stratavent® :ails 1e Ventid.. Base Sheet, Ruberoid® 20 Smooth, Ruberoid® HW Smooth or Rttller9 HW 2.5• • • • Smooth base sheet mechanically fastened to deck as described belpy,..• . • • • Fastening GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS® FlexPly 67 AFGL'AS?'• Option #1: #75'Base Sheet; Tri-Ply® #75 Base Sheet or any of above base sheets ntt:ched .o • • • • • deck with approved annular ring shank nails and tin caps at a fastener spacing f9'• • •• • 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) '• Fastening GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS® F1exP1yT" 6, GAFGLAS® Option #2: #75 Base Sheet, Tri-Ply® #75 Base Sheet or any of above base sheets attached to deck with Drill-TecT"' #12 Fastener or Drill-TecTe' #14 Fastener and Drill-TecT' 3" Steel Plate, Drill-TecT' AccuTrac® Flat Plate or Drill-TecT"' AccuTrac® Recessed Plate installed 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf. See General Limitation #7) Fastening GAFGLAS® FIexPIy'' 6, GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or Option #3: 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) Fastening GAFGLAS® #80 Ultima' Base Sheet, Ruberoid® 20 Smooth, Ruberoid® Mop Option #4: 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) Fastening GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or any of above base sheets Option #5: attached to deck with Drill-TecT' #12 Fastener or Drill-TecT" #14 Fastener and Drill- TecT"' 3" Steel Plate, Drill-TecT' AccuTrac® Flat Plate or Drill-TecT"' 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) Fastening Any of above base sheets attached to deck approved annular ring shank nails and 3" Option #6: inverted Drill-TecT' insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf. See General Limitation #7) � • • • • • MIAMI•DADE COUNTY APPROVED NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 51 of 67 Fastening GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or any of above base sheets Option #7: attached to deck with Drill-TecT' #12 Fastener or Drill-Tecm #14 Fastener and Drill- Tecm 3" Steel Plate, Drill-TecT' AccuTrac® Flat Plate or Drill-TecT" 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) One or more plies GAFGLAS® Ply 4, Tri-Ply' Ply 4 Ply Sheet, GAFGLAS® F1exP1y' 6, GAFGLAS® #80 Ultima' Base Sheet, Ruberoid® Mop Smooth, Ruberoid® Mop Smooth 1.5, Ruberoid® Mop Plus Smooth or Ruberoid®2t1•. Smooth sheet adhered in a full mopping of approved asphalt applied within the )•v'1' • range and at a rate of 20-40 lbs./sq. •• .'•.'. •. • Membrane: One or more plies of Ruberoid® Mop Smooth, Ruberoid® Mop Smoot%.1..5, . Ruberoid® Mop Plus Smooth, Ruberoid® Mop Granule FR, Rube.olidtMop Gram*. • • Tri-Ply® SBS Granule Cap Sheet, Intec Flex PRF, , Ruberoid® Mop Pars Granule,• • • Ruberoid' 20 Smooth, Ruberoid® 30 Granule, Ruberoid® Energy r%) Grarhtl; •. FR, Ruberoid® 30 Granule FR, Ruberoid® 30 Plus Granule FR, oFRtf eroid® Mop"• Plus Granule FR in adhered in a full mopping of approved asphaltappliod within tii: •. EVT range and at a rate of 20-40 lbs./sq. Or • • •• COR,or more plies of Ruberoid' Mop Smooth, Ruberoid® Mop Smooth 1.5, •.. •. • Ruberoid® Mop Plus Smooth, Ruberoid® Mop Granule, Tri-Ply® SBS Granule Cap Sheet, Intec Flex PRF, ,RulieFid° Mop —Granule FR1 Ruberoid® Mop Plus Granule, Ruberoid® 20 Smooth, Ruberoid® 30 Granule, Ruberoid® EnergyCapT' 30 Granule FR, Ruberoid® 30 Granule FR, Ruberoid® 30 Plus Granule FR, or Ruberoid® Mop Plus Granule FR adhered in MatrixTM 102 SBS Membrane Adhesive at an application rate of 1-2 gal./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 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of Approved asphalt at 60 lbs./sq. 2. GAFGLAS® Mineral -Surfaced Cap Sheet, Tri-Ply® BUR Granule Cap Sheet or GAFGLAS® EnergyCapT°' 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. TOPCOAT® Surface Seal SB or United Coatings' Surface Seal SB Roof Coating applied in one or more coats at a minimum rate of 1.0 gal./sq. per coat. OR TOPCOAT® MB Plus or United Coatings' Roof Mate MB Plus Coating applied at a minimum rate of 1.0 gal./sq.(to be used as a primer) followed by TOPCOAT® Membrane or United CoatingsT' Roof Mate TCM Coating applied in one or more coats at a minimum rate of 1.0 gal./sq. per coat. 4. Fiber Aluminum Roof Coating. Maximum Design Pressure: See Fastening Options MIAMI-DADE COUNTY APPROVED NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 52 of 67 WOOD DECK SYSTEM LIMITATIONS: l A slip sheet is required with GAFGLAS' Ply 4 and GAFGLAS® F1exPly"' 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum 'A" DensDeck® Roof Board or '/2" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. 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 ;om01§nce with•••• Product Control Approval guidelines. All other layers shall be adhered in a full mol5ringof .••.•• approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or inecIlatitcally •' attached using the fastening pattern of the top layer • 3. All standard panel sizes are acceptable for mechanical attachment. When applied 4ri kumoved •.... • asphalt, panel size shall be 4' x 4' maximum. • • • 4. An overlay and/or recovery board insulation panel is required on all applications gvg,ciesed cell • • • • foam insulations when the base sheet is fully mopped. If no recovery board is used tl,e.li ase sheet . shall be applied using spot mopping with approved asphalt, 12" diameter circles, 14" O.4 or strip • mopped 8" ribbons in three rows, one at each side lap and one down the center of +he sleet 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, are below 275 lbf. insulation attachment shall not be acceptable. 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 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 61G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE MIAMI•DADE COUNTY APPROVED NOA No.: 15-1020.01 Expiration Date: 11/06/18 Approval Date: 02/15/18 Page 67 of 67 TGFU.R1306 - Roofing Systems Page 1 of 1 . Deck: C-15/32 Incline: 1/2 Barrier Board (Optional): — One or more layers minimum 1/4-in, thick Georgia-Pacific Gypsum LLC "DensDeck® Roofboard" or "DensDeck® Prime Roofboard" or "DensDeck® DuraGuard" Roofboard" or minimum 1/4-in. thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G) or "SECUROCK® Glass -Mat Roof Board" (Type SGMRX), Insulation (Optional): — Perlite or fiber glass or polyisocyanurate or urethane or perlite/polyisocyanurate composite. Base Sheet: — One or more layers Type G2 "GAFGLAS® #75 Base Sheet" or "Tri-Ply® #75 Base Sheet" or "GAFGLAS® #80 Ultima"" Base Sheet" or "GAFGLAS® Stratavent® Nailabl8 Venting Base Sheet" or "GAFGLAS® Stratavent® Perforated Venting Base Sheet" or Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" or "Tri-Ply® BUR Granule Cap Sheet" mechanically fastened or fully adhered with hot roofing asphalt. Ply Sheet (Optional): — One or more plies Type G1 "GAFGLAS® Ply 4" or "Tri-Ply® Ply 4" or "GAFGLAS® Flex Ply 6" or "Tri-Ply® Ultra - Flexible Ply 6" fully adhered with hot roofing asphalt. Membrane: — "RUBEROID® Mop Granule FR" or "RUBEROID® Mop Plus Granule FR" or "RUBEROID® EnergyCap" Mop Plus Granule FR" fully adhered with hot ro g asenR pT a . • • • • •••• • • • •• • •• • • • • •• • • • • • • • •••• •••• • • • • • • •••• •••• •• • • • • • • •• •• • •• • • • • • • • • • • • • • • • • • • • • • •• • •• • • • • • • http ://database. ul.com/cgi-bin/XYV/template/LI SEXT/ 1 FRAME/showpage.html?name=T... 3 /3 0/2018