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RF-18-3189
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:10/19/2018 Permit NO.: RF40-18-3189 Permit Type: Roof Work Classification: Flat Permit Status: Approved Expiration: 04/16/2019 Parcel Number 356 NE 102ND ST, Miami Shores, FL 33138 1132060135120 I Contacts ANNELI DE CARVALHO 356 NE 102 ST Owner NATECON, CORP WILBERT EDWARD FADER 435 NE 164 TER, North Miami Beach, FL 33162 Business: 7863894968 INFO@NATECONCORP.COM Contractor Description: RE -ROOF FLAT SECTION ONLY Fees Amount Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Roofing Fee Scanning Fee Technology Fee $50.00 $4.20 $3.75 $2.50 $1.40 $200.00 $9.00 $6.25 Total: $277.10 Valuation: $ 6,700.00 Total Sq Feet: 0.00 Inspection Requests: 305-762-4949 Payments Total Fees Cash Amount Due: Date Paid 10/19/2018 Amt Paid $277.10 $277.10 $0.00 Building Dep- tme •t Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date October 19, 2018 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001488-2018 Permit Number: RF-10-18-3189 Scheduled Inspection Date: November 08, 2018 Inspector. Naranjo, Ismael Owner: ANNELI DE CARVALHO Address: 356 NE 102ND ST Project: Miami Shores, FL 33138 Contractor: NATECON, CORP WILBERT EDWARD FADER Permit Type: Roof Inspection Type: Roofing Finale Work Classification: Flat Phone Number: Parcel Number: 1132060135120 Phone Number: 7863894968 Building Department Comments RE -ROOF FLAT SECTION ONLY Checklist Item General Comments Passed Passed False Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Comments Inspector Comments November 07, 2018 For Inspections please call: 305-762-4949 Page 34 of 38 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 FBC 201 BUILDING Master Permit No. PT lqy - 3 el PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC Q ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 356 NE 102 ST City: Miami Shores County: Miami Dade Zip: lio/Pa� r c i 1 1 - - Z 6 6 " o / 3 5/ Zo Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):Annell Decarvalho Address:356 NE 102 ST Phone#: City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: o 4m"ail776 i U iJ tD o� Ate Co N C O I"/P C. O in CONTRACTOR: Company Name: NATECON Corp Phone#: 786-3894968 Address: 435 NE 164 TER City: Miami State: FL Zip: 33162 Qualifier Name: Wilbert Fader Phone#: 786-389-4968 State Certification or Registration #: CCC1329000 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 6,700.00 Square/Linear Footage of Wo rk:—.- 5 o Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Re -roof Flat Section Only Specify color of color thru tile: Submittal Fee $ Permit Fee $ o • Oa CCF $ • ab CO/CC $ s Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Double Fee $ Bond $ SO C2 2'l1.10 �i • (U Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured 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 gpproved and a reinspection fee will be charged. Signature k OWNER or AGENT irea The foregoing instrument was acknowledged before me this -L day of/}�7TJ// , 20 / 6 , by I ), ??,{/' dCC •, YhM0, who is personalty known to me or who has produced E b?� aby CiG�s identification and who did take an oath. NOTARY PUBUC: Sign: Print: Seal: WAIF „or Notary Public State of Florida Carmen J Manes My Commission GG 061410 ''aosAP* Expires 04/27/2021 APPROVED BY The foregoing instrument was /acknowledged beforemethis V 1 day of ` 00C.L , 20 I �J , by 1 i i it'r P121S[2t' ho is personally known to me or who has produced Rco,Onally 1/I01,!<j it, as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner Notary Public State of Florida Carmen J Manes My Commission GG 061410 Expires 04/27/2021 Zoning 13 WC 0 D_ a s • . • � r S./ ED 2018 I Florida Building Code 6th Edition (2017) �Ll 1 High -Velocity Hurricane Zone Uniform Permit Application Form c Section A (General Information) Master Penn t No. Process No. Contractor's Name 1 Job Address SSTO ST IM `fes, a 33 (3R ROOF CATEGORY E Low Slope 0 Mechanically Fastened Tile 0 Mortar/Adhesive Set Tile ❑ Asphaltic 0 Metal Panel/Shingles 0 Wood Shingles/Shakes Shingles . Are there . 0 Prescriptive BUR-RAS 150 Gas VSet S3acs,•.. ROOF TYPE YesiA•.Mo '.... Type: NaMilla LPGXC4 ❑ New Roof 0 Re -Roofing 0 Recovering 0 Repair • Ct Alainteganoe • ROOF SYSTEM INFORMATION • • .. . • • .. Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) . -.'t__r. 11••_•. 4.51) . .. . . • • sell . • . . • . • • • . • ... .. • Section B (Roof Plan). Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimensions of elevated pressure zones and location of parapets. C 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. F. NOA No.: 15 - 14 - 0 • 41 Design Wind Pressures, From RAS 128 or Calculations: Pmax1:412' g Pmax2: 71. 7 Pmax3: 10 2 Max Design riemn he p� JOA System: , DedcType: Pi)1\ io b Gauge/Thickness: 48 7c41$ 1 slope: 0.1251 i 2 Andesr/Basj Sheet & No. of Ply(s): 7 5 f C7 u5 i3a end..S 01411-- Insulation Base Myer_ N / y� Base Insulation Size and Thickness: / 4 / A Base Insulation Fastener/Bonding N / Top Insulation Layer r `r / Pk Top Insulation Size and Thickness: N `t /i Top Insulation Fastener/Bonding Material: N Base Sheet(s) & No. of Piy(s): N/A Base Sheet Fastener/Boni:Mg MatMaterial:N J,\ Ply Sheet(s).& No. of PyN (s): /P Ply Sheet Fastsrner)Bonding Material: N/A Fastener Sparing for Anchor/Base Sheet Attachment Field: g' oc @ Lap. # Rowse 9 -oc Perimeter _C).'octaLap, # Rows 40_62oc Comer. /22 oc @ Lap, # Rows © 1:-.2: oc Number of Fasteners Per Insulation Board Field 14 /Pt Perimeter comer Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter- Flashing, • Coping, Etc. • • • • Motu Mean Roof Height, Paradet kitright, • rl Height of Base Flashing, Component•Matdhal, • • r Material Thickness, Fastener Typd, • Fastener • • • • Sparing or Submit Manufacturers Details That • Comply with RAS 111 and Chapter 18 3"x 3" M ., �Z � �.a 11/4 N GAF' -ToLh qt_' 5T2 i n; 2P1�e•5o�ri4( . • .• •., .. .. •• • . • .. i .• . .. . Parapet. • • Height 12' %?ki\0660 TopPy:aA F RRl3Ei .o►D ts4 0 Di Ir D BVIV IM.V1 Top Ply Fastener/ BondinginnMaterial: 1 e pt \ki z 0 ,� Surfadng� �i 7 l Jl� l�Vl [ <x- S C- 1 `t01. 5 crLQ- e' . Mean Root Height • . • . MIAMI.DADE COUNTY 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 County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by 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/economv This NOA shall not be valid after the expiration date stated below. The Miami -Dade egviityProducj• • • Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County)' .... • reserve the right to have this product or material tested for quality assurance purposes. 6thia product or material fails to perform in the accepted manner, the manufacturer will incur the expellee o4': uch test ,nn • and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined1511tjami-Iiflt• • • County Product Control Section that this product or material fails to meet the requirerhenfs'of the • • • applicable building code. • • • •• . . This product is approved as described herein, and has been designed to comply with tie FJetida 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 revises NOA No. 14-1030.02 and consists of pages 1 through 67. The submitted documentation was reviewed by Jorge L. Acebo. MIAMWADE COUNTY APPROVED NOA No.: 15-1020.01 Expiration Date: 11/06/18 Annrnval date! 02/1 S/1 R Product GAFGLAS® P1y 4 Tri-Ply® Ply 4 P1y Sheet GAFGLAS® FlexPly' 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 Category: Sub -Category: Material: Deck Type: Maximum Design Pressure: ROOFING SYSTEM APPROVAL Roofing Modified Bitumen APP/SBS Wood -105 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Test Specification ASTM D2178 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 (1 39.37" meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" meter) Wide (1 (1 39.37" meter) Wide 39.37" (1 meter) Wide 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 Description Smooth surfaced asphaltic ply sheet . reinforced with fibergl .sa mat. • Smooth surfaced asptiniticply sltett • • reinforced with fibettf S inat. • • • • Smooth surfaced asM$ftfeply sheet • reinforced with fiborgrassmat. • ••• . Smooth asphaltic bltNertase/plystm reinforced with fibdl'1A5 mat. • • • Smooth asphaltic base or base/ply sheet • reinforced with fiberglass mat. • Smooth asphaltic bade er base/ply hegt 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 Annrnval Tlate! 02/16/1 R Product Ruberoid® EnergyCar 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® EnergyCapT" 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 Dimensions 1 meter (39.37") Wide 39.37" (1 meter) Wide (1 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 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" (1 meter) Wide Test Specification ASTM D6164 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 ASTM D6222 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 polyester mat. Smooth surfaced torch applied APP cap, base or ply sheet reinforced with a polyester mat. Granule surfaced torch applied APP;ap sheet reinforced with a j1bjyestel'mat. Granule surfaced tortri applied 4Preap sheet reinforced wish aoiyester mat. Fire retardant granialtSti ced tQ;cJ : applied APP cap shut reinforced with a •• •• polyester mat. • • • •• • Fire retardant granule surfaced toico applied APP cap sheet reitiforceii with a polyester mat. Cap,sheet is factQty'Ceated with TOPCOAT®1?uartyCoteh .. •• •• Elastomeric Coating. • • • Fire retardant granule surfaced torch applied APP cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT® EnergyCote"" 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 Annroval Mate! 02/15/1 R Product Ruberoid® Mop Smooth 1.5 Ruberoid® Mop Plus Smooth Ruberoid® Mop Plus Granule Ruberoid® Mop Plus Granule FR Ruberoid® EnergyCar Mop Plus Granule FR Ruberoid® Mop Granule FR Ruberoid® EnergyCap'" 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 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" (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 mop applied SBS cap sheet reinforced with a polyester mat. Fire retardant granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT® $nergycote"' • Elastomeric Coating" • .... • Fire retardant granu'1'e's Maced mop'• applied SBS cap shei t. le.inforcel with a polyester mat. • • Fire retardant granul�.s faced mug applied SBS cap sheetl;witlforceaaviib'a fiberglass mat. Cat shsetis factory coated with TOPCOAT® EnergyCote"'• • Elastomeric Coati*. • • Granule surfaced asOlialti>9 cap salt • . 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® EnergyCote" 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 Annrnval nate! 02/15/1 R Product FireOut' 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 EnergyGuard"' Polyiso Insulation EnergyGuard'" Tapered Polyiso Insulation EnergyGuard"' RA Polyiso Insulation EnergyGuard'" RH Polyiso Insulation EnergyGuard'" RH Tapered Polyiso Insulation EnergyGuarr RN Polyiso Insulation EnergyGuardm Perlite Recover Board EnergyGuard"' 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 MIAMFDADE 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 rubberized cold -applied adhesive for modified bitumen roof 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 board Gypsum board Gypsum board Gypsum board • • • • •• • • • • • • • • ••. • • • • • • • • •• • • • • •• • • • •Mdttufacture ' • (Wit6X4rrent 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 Annrovai fate 02/15/1 R APPROVED FASTENERS: Fastener Number Product Name 1. Drill -Tee #12 Fastener 2. Drill -Tee' #14 Fastener 3. Drill-Tec' XHD Fastener 4. Drill-Tec' 3" Steel Plate 5. Drill -Teel' 3" Standard Steel Plate 6. Drill -Tee' ASAP 3S 7. Drill-TecT" AccuTrac® Flat Plate 8. Drill-Tec" AccuTrac® Recessed Plate 9. Drill -Tee' 3 in. Ribbed Galvalume Plate (Flat) MIAMI.ADE 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-Teee' fasteners. Drill -Tee' #12 fastener with Drill -Teel' 3" Standard Steel Plate. A2-SS aluminized steel plate for use with Drill- Tec"' fasteners.. Galvalume® steel plate with recess for use with Drill -Tee"" fasteners. Round Galvalume® plated steel stress plate with reinforcing ribs for use with Drill -Tee"' fasteners. Dimensions #12x8" Max. Length #3 Phillips head. #14x 16" Max. Length #3 Phillips head. #15 x 16" Max. Length #3 Phillips head. 3" Round 3" Round #12x8" 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 Annroval Date! 02/15/1 R EVIDENCE SUBMITTED: Test Agency Factory Mutual Research Corp. Factory Mutual Research Corp. Underwriters Laboratories Trinity Engineering IRT-ARCON Inc. Trinity' ERD MIAMI-DADE COUNTY APPROVED Test Identifier Description Date 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 04/09/09 3040738 FMRC 4470 05/18/12 3042887 FMRC 4470 11/14/11 3046081 FMRC 4470 02/13/13 1B9A8.AM FMRC 4470 09/04/97 3D4Q2.AM FMRC 4470 04/3Q/97 • OD1A8.AM FMRC 4470 • 04/00r•• 797-03221-267 FMRC 4470 '..' :09/24/0g.. 797-10228-267 FMRC 4470 01/1/46• • • • 797-04694-267 FMRC 4470 06/17/09• 797-03825-267 FMRC 4470 • • • • •07/14/D$.:. RR203450 FMRC 4470 "" 12/04/15 FM Letter FMRC 4470 • • 04/1141. • • • FM Letter FMRC 4470 • •' 09/15/15• • R1306 UL 790 • • 01/2$/18.: • 4483.04 97-1 TAS 114 : • • ▪ • : 06/06/99• • • • 02-005 TAS 114 03/01/02 02-014 TAS 114 04/08/02 01-039 TAS 114 03/01/02 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 G34140.04.11-4-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 NOA No.: 15-1020.01 Expiration Date: 11/06/18 Annrnval Pate! 02/15/1 R Membrane T ' : APP/SBS Heat Weld Deck Type 1: Wood, Non -insulated Deck Descriptio ; Min. 19/32" o _: . er plywood or wood plank secured 6 in. o.c. with 8d ring s a nails to supports spaced 24 in. o.c. max. System Type E(2): Anchor sheet is mechanically attached to roof deck. (Non -insulated systems) All General and System Limitations shall apply. Fire Barrier: FireOut" Fire Barrier Coating, VersaShield® Fire -Resistant Roof Deck (optional) Protection, VersaShield® Solo"' Fire -Resistant Slip Sheet, DensDeck® Roof Board, SECUROCK® Gypsum -Fiber Roof Board or SECUROCK® Glass -Mat Roof Board. Base sheet: GAFGLAS® #80 Ultima' Base Sheet, GAFGLAS® Stratavent® Nailable Venting Base Sheet, Ruberoid® Mop Smooth, Ruberoid® Mop Smooth 1.5, Ruberoid® . Mop Plus Smooth, Ruberoid® 20 Smooth, Ruberoid® HW Smooth or Rubei ui • • HW 25 Smooth mechanically fastened to deck as described below; : • • • • Fastening GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS® Flex1 •6, • • • • • • Option #1: GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or any Maliove base. • • sheets attached to deck with approved annular ring shank nailsigcj iti capsrt a• • • fastener spacing of 9" o.c. at the lap staggered and in two row 12; pc. in the. . field. • • • ••• (Maximum Design Pressure —45 psf. See General Limitatiow t •. • .• • . . Fastening GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS Flexl:lyTM • • Option #2: GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or any di;zl3ole base .. . • . sheets attached to deck with Drill -Tee #12 Fastener or Drill-Tecm #14 Fasieaer. • and Drill -Tee" 3" Steel Plate, Drill -Tee AccuTrac® Flat Plate or Drill-Tec"' 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® F1exPly' 6, GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet Option #3: or any of above base sheets attached t s = _ ith approved annular ring shank nails and tin caps at a fastener e 4" lap staggered and in two rows 9" o.c. in the (Maximum Design P essure —52.5 psf. See General L . itation #7) Fastening GAFGLAS® #80 Ulti :.'M Base Sheets, Ruberoid® 20 . mooth, Ruberoid® Mop Option #4: Smooth, base sheet attac - • . - . with , s • 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 Option #5: sheets attached to deck with Drill -Tee #12 Fastener or Drill -Tee' #14 Fastener and Drill-Tec"' 3" Steel Plate, Drill -Tee AccuTrac® 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 psi: See General Limitation #7) MIAM WADE COUNTY APPROVED a NOA No.: 15-1020.01 Expiration Date: 11/06/18 Annrnval Tate! 02/15/1R Fastening Any of above base sheets attached to deck approved annular ring shank nails and Option #6: 3" inverted Drill -Tee 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) Fastening GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or any of above base Option #7: sheets attached to deck with Drill-Tec"' #12 Fastener, Drill-Tece' #14 Fastener or Drill-Tec'" XHD Fastener and Drill-Tec" 3" Steel Plate, Drill-Tec" AccuTrac® 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® Mop Smooth 1.5, Ruberoid® Mop Plus Smooth, Ruberoid® 20 Smooth, Ruberoid® HW Smooth or • Ruberoid® HW 25 Smooth) One or more plies GAFGLAS® Ply 4, Tji-Ply®;P1504,• or GAFGLAS® F1exPly' 6 sheet adhered in a full mopping of"app?o's2ed aspliti . applied within the EVT range and at a rate of 20-40 lbs./sq. orRalwaroid® Torah.. Smooth torch applied according to manufacturer's application•isatotions. • Membrane: • One ply of Ruberoid® Torch Smooth, Tri-Ply® APP Smooth Membrane,• • Ruberoid® Torch Granule, Tri-Ply® APP Granule Cap Sheet, ,ub: 4id® • • • • • EnergyCap' Torch Granule FR, Ruberoid® EnergyCap"' Torct a11,4 Granule„ R. • or Ruberoid® Torch Plus Granule FR torch applied according tprufacturer's. . • application instructions. : • : •• Or • One or more plies of Ruberoid® HW Plus Granule, Ruberoid® I-PW Phls GrajfU • • FR, Ruberoid® HW Granule FR, Ruberoid® EnergyCap"' HW Plus Granule hit, • Ruberoid® HW Granule, Ruberoid® HW Smooth and Ruberoid® HW 25 Smooth applied according to 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. GAFGLAS® Mineral -Surfaced Cap Sheet, Tri-Ply® BUR Granule Cap Sheet or GAFGLAS® EnergyCapTM 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 Coatings' 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 Annrnval T1ate: 02/15/1 R • • WOOD DECK SYSTEM LIMITATIONS: 1 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'/" DensDeck® Roof Board or IA" 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 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 approve • asphalt, panel size shall be 4' x 4' maximum. •• •'. 4. An overlay and/or recovery board insulation panel is required on all applications over closed eeli • foam insulations when the base sheet is fully mopped. If no recovery board is used the Lase sheet. • shall be applied using spot mopping with approved asphalt, 12" diameter circles, a;q.c.; or %trip • mopped 8" ribbons in three rows, one at each side lap and one down the center ofIlae sheet altIM 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 systemshall• be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited * maximll'm design pressure of -45 psf. • 5. Fastener spacing for insulation attachment is based on a Minimum CharacteristiGFoice.(F) value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If tie fastener ♦ iluey • 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 Amu -oval Date! 02/15/1 R TGFU.R1306 - Roofing Systems Page 3 of 3 7. Deck C-tS/32 Incline: 1/2 Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane, perfite/polyisocyanurate composite, pernte/urethane composite, wood fiber/polyisocyanurate composite. Base Sheet: — Two or more plies Type G2 or Type G3. Ply Sheet (Optional): — One or more plies Type G1. Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberoid® Torch Granule Plus" or "Ruberoid® Mop° (Smooth or Granule) or "Ruberoid® Mop Plus Granule." surfacing: — "Karnak No. 97" applied at 1 h to 3-ga1/100-ft2 or gravel. B. Deck: NC Incline: 1/2 Insulation: — One or more layers perilte, glass fiber, ;A -in. minimum poiyisocyanurate, urethane, pmlite/poiypcyanurate composite, perlite/urethane composite, 11/2 in. minimum. Base Sheet (Optional); — One or more plies Type G1 or Type G2 Or Type G3. Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberoid® Torch Granule Plus" or "Ruberoid® Mop" (Smooth or Granule) or "Ruberoid® Mop Plus Granule." Surfacing: — Grundy "AL MB Aluminum Roof Coating' applied at 1 to 2-gal/100-ft2. 9. Deck: C-15/32 Incline: 1/2 Insulation (Optional): — One or more layers perlite, glass fiber, 3/4-In. minimum, polyisocyanurate, urethane, perlite/polyisocyar.yi bi •• • • composite, perlite/urethane composite, phenolic, iv. in. minimum. • • • Base Sheet: — One Or more plies Type G2 "GAFGLAS® •75 Base Sheet", or "Tri-Ply® •75 Base Sheet", hot m*pedtr mechanically• • • • • • fastened in place. • • • Ply Sheet: — One or more plies Type G1 "GAFGLAS® Ply 4" or Tri-Ply® Ply 4" or "GAFGLAS® Ply 6" hot mOppaflila • • • • • • • Membrane; — "Ruberoid® Mop 170 FR" or "Ruberoid® Dual FR" or "Ruberoid® Mop FR" or "Ruberoid® EnergYCap'" stop FR ." onat); — -GAF Fibered Aluminum Coating" applied at 1 h-gaV100-ft2 or "GAF Weather Coat EmMlldh• hied • at 3• • • • Incline: z • • • • • • • • • • • • • • • •• • Insulation (Optional): — Perlite, fiber glass, poyisocyanurate, urethane or perllte/polyisocyanurate composite.• • • • • • • • • • • • Base Sheet: — One or more layers Type G2 "GAFGLAS®® #75 Base Sheet' or'Tri-PI #75 Base Sheet" or T• tA5® Mineral• Surfaced Cap Sheer" or "Tn-Ply® Miners Surfaced Cap Sheet` hot mopped or mechanically fastened. yam• ems• Ply Sheet (Optional): — One or more plies Type 61, hot mopped in place. •• • • Membrane; — "Ruberoid® Mop 170 FP.9YP"' • Mo� FR." " or "Ruberoid® Dual FR" or "Ruberoid® Mop FR' or "Ruberoid® Ener C� • • • • • • • •• • •• • • • • http://database.ul.com/c$i-bin/XYV/template/LISEXT/ 1 FRAME.rshowpage.htm )?name=TGFU.R1306&ccnsh... 1 I /12/2013 • • • •• "Delivering Eyeellence Every Dry" MIAMI-DADE COUNTY REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS It is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this form. The owner's initials in the designated space indicates that the item has been explained. J 1. Aesthetics -workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zo ie) are for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, shoi}ld by addressed as part of the agreement between the owner and the contractor. • • • the existingwood roof ciool14 a haveito'be 2. Renailing wood decks: When replacing roofing, y • re ailed in accordance with the current provisions of Chapter 16 (High Velocity Hurrfedtte Zones) of the Fld da.: •• Building Code. (The roof deck is usually concealed prior to removing the existing roe f s ?em). • . . 3. Common roofs: Common roofs are those which have no visible delineatipii bgtweert Vptghboritlg„• • • units (Le. townhouses, condominiums, etc.). In buildings with common roofs, the roofterntractoreand/or •� owner should notify the occupants of adjacent units of roofing work to be performed. • • •• • 4. Exposed ceilings: Exposed, open beam ceilings are where the underside oflhe'roof dqkfng cart be • viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetrations of the underside of the decking may not be acceptable. The owner provides the option of ma'niining this appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may ca se water to pond (accumulate) in low-lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roof, g system is removed. Ponding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not ov rloaded from a build up of water. Perimeter/edge walls or other roof extensions may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of: Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the 'nterror of the structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. Owner's/Agent's Signature:Y Date: Contractor's Signature: _ _ _ / „S Property Address: Permit Number: ( k OWNER'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami -Dade County Building & Neighborhood Compliance Department 11805 Coral Way, Suite 111 Miami, FL 33175 Re: Owner's Name 1"iV� v�4An Q-f ailval Property Address 350 1 Z S I [Md Roofing Permit Number k 12 Dear Building Official: I c\ l (au1( Y & I L.dgtify that I am not required to retrofit the roof to wall connections of my building because: The just valuation for the structure for purposes of ad valorem taxation in less than $300,000.00. LJ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of the 1994 edition of the South Florida Building Code (1994 SFBC). 44 44140 Signature of Property Owner ,VA/EL/ DE eA2vAL,Aa Print Name STATE OF FLORIDA COUNTY OF MIAMI-DAADE Sworn to d subscribed before me this day of ( T'7 C% /(.,e , 20 / (SEAL) � `P% Notary Public S :. Florida Carmen J , . nes ,p My Com • sion 061 OF RP' Expir : 04/27 s 1 14,14 Person or Produced Identificah n 10 twit/ When the just valuation of the struc e for purposes of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed in compliance with the FBC nor with 1994 SFBC, and affidavit of Roof to Wall Connection Hurricane Mitigation Retrofit must be provided. Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3206-013-5120 Property Address: 356 NE 102 ST Miami Shores, FL 33138-2429 Owner ANNELI DE CARVALHO Mailing Address 356 NE 102 ST MIAMI SHORES, FL 33138-2429 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2 / 1 / 0 Floors 1 Living Units 1 Actual Area 1,836 Sq.Ft Living Area 1,693 Sq.Ft Adjusted Area 1,765 Sq.Ft Lot Size 11,500 Sq.Ft Year Built 1939 Assessment Information Year 2018 2017 2016 Land Value $345,138 $345,138 $287,615 Building Value $122,844 $122,844 $122,844 XF Value $3,371 $3,391 $3,411 Market Value $471,353 $471,373 $413,870 Assessed Value $154,557 $151 379 $148,266 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $316,796 $319,994 $265,604 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 3 & 4 BLK 38 LOT SIZE 100.000 X 115 OR 16164-2925 1293 4 Page 1 of 1 Generated On 10/11/ Taxable Value Information 2018 2017a. 2 County Exemption Value $50,000 $50,000 $50 Taxable Value $104,557 $101,379 $98 School Board Exemption Value $25,000 $25,000 $25 Taxable Value $129,557 $126,379 $123. City Exemption Value $50,000 $50,000 $50. Taxable Value $104,557 $101,379 $98. Regional Exemption Value $50,000 $50,000 $50. Taxable Value $104,557 $101,379 $98 Sales Information Previous Sale Price OR Book- Pa a 9 . Qualification Description 12/01/1993 $0 16164- 2925 Sales which are disqualified as a resu examination of the deed 09/01/1983 $95,000 11906 0192 Sales which are qualified 02/01/1980 $85,000 10650- 0803 Sales which are qualified 10/01/1978 $79,000 10176 1699 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 https://www.miamidade.gov/propertysearch/ 10/ 11 /2018 RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES FADER, WILBERT EDWARD NATECON, CORP 1270 NE 143RD ST NORTH MIAMI FL.33161 LICENSE NUMBER CCC1329000 EXPIRATION DATE; AUGUST 31, 2020 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Local Busi ness Tax Recei pt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6602800 BUSINESS NA M EILOCA TION NATECON CORP 435 NE 164TH TER NORTH MIAMI, FL 33162 OWNER NATECON CORP Worker(s) RECEIPT NO. RENEWAL 6718614 EXPIRES SEPTEMBER 30, 2019 Must be displayed at place of business - Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC TYPE OF BUSINESS 196 GENERAL BUILDING CONTRACTOR 1 cgc1517242 PAYM ENT RECEIVED BY TAX COLLECTOR 75.00 10/01/2018 0226-19-000029 This local Business Tax Receipt only con"me payment of the local Business Tax. The Receipt is not a license, permit, or a certi "cation of the hd der's qual i "cations, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECB PT NO above must be displayed on all corrrrercial vehicles - Miarri-Dade Code Sec 8a-276. MIAMFQADE . For more information, visit www.niamidade.gov/taxcdlector Local Busi ness Tax Feces pt Miami=Dade County, State of Florida -THIS IS NOT A BILL DO NOT PAY 6602826 BUSINESS NA M E/LOCA TION NATECON CORP 435 NE 164TH TER MIAMI, FL 33162 OWNER NATECON CORP Worker(s) RECEIPT NO. RENEWAL 6682059 EXPIRES SEPTEMBER 30, 2019 Must be displayed at place of business Pursuant to County Code Chapter 8A -- Art. 9 & 10 SEC. TYPE OF BUSINESS 196 SPECIALTY BUILDING CONTRACTOR 2 CCC1329000 PAYM ENT RECEIVED BY TAX COLLECTOR 75.00 10/01/2018 0226-19-000029 This local Business Tax Receipt only con"rms payment of the Local Business Tax. The Receipt is not a license, perms l or a certi "cation of the holder's qual i ^cations, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RS:h3 PT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. MIAMIDADE Forrroreinfornation,visitwww.miamidade.gov/taxcdlector info@nateconcorp.co ACORD® CERTIFICATE OF LIABILITY INSURANCE `.� DATE(MMIDDIYYYY) 10/03/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE EXTEND OR ALTER THE COVERAGE AFFORDED HOLDER. THIS BY THE POLICIES AUTHORIZED A CONTRACT BETWEEN THE ISSUING INSURER(S), IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pofcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endonsement(s). PRoouCER Insurance Policies Inc. 1428 Dittmer Circle SE Palm Bay FL 32909 ,, Deborah B Howard A124072 PHONE 321-206-8777 FAX i ' No): E-MAIL ADDRESS: ipi18@yahOO.COm INSURER(S) AFFORDING COVERAGE MAN: • INSURER A : Arch Specialty Insurance Company 21199 INSURED Natecon Corp. 435 NE 164th Terrace Miami FL 33162 INSURER 8 : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADDL TYPE OF INSURANCE SIIBR POUCY NUMBER POUCY EFF (MD/YYYY) POUCY EXP (MMIDDIYYYY) LIMITS A v/ COMMERCIAL GENERALUABILTTY ttl AGL0052300-00 03/01/2018 03/01/2019 EACHOCCURRENCE $ 1,000,000. CLAIMS -MADE II/OCCUR DAMAGE TO RENTED PREMISES (Ea ocartanoe) f 100,000. MED EXP (My one person) $ 5,000. PERSONAL & ADV INJURY $ 1,000,000. GEM '' RV' �jI L AGGREGATE POLICY OTHER; LIMIT APPLIES PER EC LOC GENERAL AGGREGATE $ 2,000,000. PRODUCTS - COMP/OP AGG f 2,000,000. 8 AUTOMOBILEUABIUTY 1— _ ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY — SCHEDULED AUTOS NON-OWNF_ AUTOS Y I I I I COMBINED SINGLE UMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) f $ UMBRELLALUU3 EXCESS UAB OCCUR CLAIMS -MADE vU EACH OCCURRENCE $ AGGREGATE $ DED n RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'UA Y YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEhBETREXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA L ( I STATUTE I ( ER E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY UMIT $ 1 n i uu DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Sehedrde, may be attached If more space Is required) General Contractor License CGC1517242 Roofing Contractor License CCC132900 CERTIFICATE HOLDER CANCELLATION Miami Shores Village BLDG DEPT 10050 NE 2nd Ave Miami Shores, FL 33138 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. REPRESENTATIVE � PRE$ENTATNE ZELd A124072 JIMMY PATRONIS 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 This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 1/3/2018 EXPIRATION DATE: 1/3/2020 PERSON: FADER WILBERT E FEIN: 263877003 BUSINESS NAME AND ADDRESS: NATECON, CORP 1270 NE 143 STREET MIAMI FL SCOPE OF BUSINESS OR TRADE: 33161 Licensed General Contractor Licensed Roofing Contractor 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. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 04%074,0NATECON Val/ I CORR CONSTRUCTIONI&TMANAGEMENT, October 17, 2018 State of Florida County of Miami Dade Tradition Innovation Performance Licensed: CGC1517242 - CCC1329000 Before me this day personally appeared Wilbert E. Fader who, being duly sworn deposes and says: That he will be the only person working on the project located at 356 NE 102 Street, Miami Shores, FL 33138 Sworn to and subscribe - • Wilbert E ade;ger / 710 e me this------- day of - —--------- , 20 -l— by Yilltr---- Personally known Or Produced Identification Type of Identification Produced—___________ ------ ________________________ ww a1PRr %. Notary Public State of Florida Carmen J Manes My Commission GG 061410 Expires 04/27/2021 Print Type or S : p Na i of Notary �35-iNE 164.TER ,786 389.4968: 1 N FO@NATECONCORI'.COM. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage. under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: • An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. State of Florida County of Miami -Dade The foregoing was acknowledge before me this J �G G67 C/1 &rf/ic rs Notary: SEAL By % Notary Public State of Florida Carmen J Manes a My Commission GG 061410 o� Fxnires 04/77/2021 as ide day of 06710k who is personally known to me or has produced on. % ,20 "