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RF-18-3343Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address issue Date: 11/08/2018 PermitNO.: RF-11-18-3343 Permit Type: Roof Work Classification: Flat Permit Status: Approved Expiration: 04/30/2019 Parcel Number 42 NW 107TH ST, Miami Shores, FL 33168 1121360070040 Contacts RHETT & STEPHANIE TRABAND 42 NW 107 ST, MIAMI SHORES, FL 33168 Owner CENTURY ROOFING INC BARBARA STEELE 14480 SW 16 ST, DAVIE, 33325 Business: 9542365767 Contractor centruryroofing3@aol.com Description: REPLACEMENT OF FLAT ROOF SYSTEM AS PER EXISTING Fees Amount Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Roofing Fee Scanning Fee Technology Fee $50.00 $10.20 $4.13 $2.75 $3.40 $225.00 $9.00 $6.88 Total: $311.36 Valuation: $ 16,350.00 Total Sq Feet: 1,800.00 Inspection Requests: 3# 7fa2 4949 Payments Total Fees Check # 15705 Amount Due: Date Paid 11/08/2018 Amt Paid $311.36 $311.36 $0.00 Building Department 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 ' rmatio regulating construction and zoning. Futhermore, I autho e the bove s-accur- •. that all work will be done in compliance with all applicable laws r to do he work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date November 08, 2018 Page 2 of 2 BUILDING PERMIT APPLICATION 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 1ZF:Ci= OCT BY: FBC 201- 'µ Master Permit No. le - 3343 Sub Permit No. 7 18 El BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: y Z vol N b) / O 7 Ch Si - City: Miami Shores County: Miami Dade Zip: 33 ( b 4 Folio/Parcel#: (1- 2. (3 ' " 007 - 0 04 0 Is the Building Historically Designated: Yes NO Occupancy Type: S.F . Load: Construction Type:avoKr3 Flood Zone: BFE: FFE: /- OWNER: Name (Fee Simple Titleholder): I hrZ1--i' 1 re. �an APhone#: Sbs - 975' 6339 Address: 42" AJ 6J G Wt0-7ti' S•- 'AA City: frk i t 't S ho�'Q $ State: ►Iv ` i r, lm ; O cx e. zip: 3 3 16 Tenant/Lessee Name: Phone#: Email: S Y 6 I) I S 3. CO w. CONTRACTOR: Company Name: C P.41 4'tr✓ at('C(Ivt 1friC. Phone#: ceSii - 2 '- $ 7 C 7 Address: l 1q $o St , /6 II Dre€ice -I 'C-=` 9-� 20=7r 0'-(.'* City: Oavr e. State: t'L Zip: 3337.-- Qualifier Name: 1 a..r\j Qf'fn Ji-e.e,)e- Phone#: ?SI- Sit 7- 7l Sc' State Certification or Registration #: CCC. - 132. 37410 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1 6 / 350 . -Square/Linear Footage of Work: taro z ) a OD Si 0- Type of Work: El Addition ❑ Alteration El New a Repair/Replace ❑ Demolition Description of Work: a f Ott Le. Wt v\.4- o t (C t c - r o ors ,Sy 34 er- #rS e../' C K tS-1-f. Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ 103 , TOTAL FEE NOW DUE$ ( j • 3 1i ,. (Revised02/24/2014) 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 approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this ACZ-- day of (jam , 20 c3 , by kLur-1r-'rcAo,c.A,4% , who is personally known to me or who has produced as identification and who did take an oath. NOTARY UBLI Sign: Print: Seal: *********** APPROVED BY 4111 Slit-ele ROY STEELE - IA Commission # GG 207824 -.� Expires May 6, 2022 oih" Bonded DmTroy Faro Insurance 800.385-7019 CONTRACTOR The foregoing instrument was acknowledged before me this 13 day of Ot SIB-,rc ( , 20 ` E by \ 4 , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ************************ Plans Examiner Karen Nay �' NOTARY PUBLIC a r STATE OF FLORIDA t1 Comm# GG134500 Zoning (Revised02/24/2014) Structural Review Clerk 10/12/2018 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-007-0040 Property Address: 42 NW 107 ST Miami Shores, FL 33168-4307 Owner RHETT TRABAND &W STEPHANIE R Mailing Address 42 NW 107 ST MIAMI, FL 33168-4307 PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 5/3/0 Floors 2 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,943 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1940 Assessment Information Year 2018 2017 2016 Land Value $198,007 $166,118 Building Value i $204,833 $204,833 $204,833 XF Value • $1,222 $1,237 Market Value $404,047 $404,062 $372,188 Assessed Value $264,810 $259,364 $254,030 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $139,237 $144,698 $118,158 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 DUNNINGS MIAMI SHORES EXT NO 3 PB 42-33 LOT 4 BLK 206 LOT SIZE 75.000 X 123 OR 20978-0240 01 2003 1 Generated On : 10/12/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $214,810 $209,364 $204,030 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $239,810 $234,364 $229,030 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $214,810 $209,364 $204,030 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $214,810 $209,364 $204,030 Sales Information Previous Sale Price OR Book -Page Qualification Description 01/01/2006 , $755,000 24127-3218 Sales which are qualified 11/01/2004 `$410,000 22895-2952 Sales which are qualified 01/01/2003 $160,000 20978-0240 Sales which are qualified 12/01/1989 $85,000 14393-1610 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 Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: CENTURY ROOFING, INC. Date: State of \ o V 't a County ofI) Before me this day personally appeared deposes and says: 14480 S.W. 16th Street Davie, Florida 33325 Phone (954) 236-5767 Fax (954) 236- 6650 Ptf-b 1-IPi- SLk who, being duly sworn, That he or she will be the onlyperson working on the project located at: 4ZNW t 67 ) 1\-A1PrMISyov' S Contractor Signature Sworn to (or affirmed) and subscribed before me this Ig day of OCib bur . 20 By c-,-c.. Personally know OR Produced Identification Type of Identification Produced Karen Nay NOTARY PUBLIC � r s STATE OF FLORIDA _ :._ ? Comm# GG134500 cfpfliferili4/2021 am Shores Vinage Building Department 10050 N.E.2nd Avenue. Miami Shores, Florida 33138 Tel:.(305) 795.2204 Fax: i345) 756.8972 Notice to Owner — Workers' Compensation insurance Exemption • Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. allows corporate officers in the construction industry to exempt themselves from this requirement for arty construction 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 1a percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership:. 1 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. Stat. ti 440.05 project prior to 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 wilt 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 18 day of CY-f D1 eat By � '1 7 J rA Notary: SEAL: -20 itr. who is personally known to me or has produced as identification. ROY8TEELE Commission # GG 207824 Expt es May6,2022 ttaa tdThroTigfaldtaaLInce 80038$401a Notary Public, Sate of Florida at Large Miami Shores Vitiage 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 Date: 16 /(Z,/ 1 a 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: 4'i' YL0,.Nc\ Property Address: N w (o7" S4- , YA460.14, i SLore Roofing Permit Number: Dear Building Official: I (.nlrt - -- 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) RlieH Tr-bdmad 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— day of OkQ ROY SIEELE Ccm *slon#GG 2O?824 Bonded ThrollgMak 8004854019 When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 • SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 ICI CENTURY itOOFING, INC. October 5, 2018 Rhett Traband 42 NW 107th Street Miami Shores, FL 305-975-6339 srt@lklsg.com 14480 S.W. 16th Street Davie, Florida 33325 Phone (954) 236-5767 Fax (954) 236- 6650 Century Roofing Rep: Rick Steele 954-895-2889 FLAT ROOF CONTRACT 1. Century to tear off existing upper flat roof down to clean, workable wood deck and replace all rotted wood decking at no additional cost according to requirements of Florida Building Code. Note: Soffrt wood, damaged wood and termite damage riot included. See fee schedule foradditionalcharges. a. Century to drop debris on right side of house to tote out all debris and tote all materials in. b. Hot tar to access at rear alley. Century to remove plants (approx. 4 to 5) and replant. c. Century to remove gutters (too high), not to be reinstalled. 2. Century to re-nailentire wood flat deck as necessary to meet cent Florida Building Code requirements. 3. Century to install one layer of 431b. base sheet, mechanically fastened over entire flat roof area, as per Florida Building Code requirements. 4. Century to install 2 lavers of 151b plv IV fiberglass felt, hot mopped over entire flat roof area, as per manufactures specifications. 5. Century to install 3x3 26gg galvanized metal drip around complete perimeter of flat roof area and prime for proper adhesion as per Florida Building Code requirements. Note: Brown and white color is a $150 extra charge. Galvanized Brown White . (PLEASE INITIAL) 6. Century to install as necessary new lead flashings at plumbing stacks and flat vents. Note: If wall flashing needs to be removed, may be additional cost for new flashing and stucco work. • llIY.. iii ME CENTURY ROOFING, INC. 7. Century to apply one layer 170 white granulated asphalt over entire flat roof area as per Florida 8. Century to install white granules at all exposed 9. Century to remove all roofing debris from *Note -.Waod_FFeSched le: (Linear Foot: 14480 S.W. 16th Street Davie, Florida 33325 Phone (954) 236-5767 Fax (954) 236- modified membrane in solid bed of hot Building Code requirements. asphalt on flat roof system. premises. LF) 6650 Two -By Lumber $5.50/LF Furring Strip $2.00/LF One -By Decking $5.50/ LF Wood Fascia $6.50/LF 5/8" Plywood Decking $65 per sheet Cedar Fascia $ Market Price Special Orders $ Market Price *Note: wood charges ifany are due upon 12 YEAR WORKMANSHIP WARRANTY MAINTENANCE. WARRANTY TRANSFERRABLE Cost: $16,350°00 PAYMENT TERMS: installation WITH REQUIRED TO BUYER. to/l-2./1 S a 4% fee for each "transaction.) 20% upon signing [:i.0 w 2 i Z 3,2,70.0a 30% upon confirmation of material order 40% upon mop in 10% upon completion (Credit card payments are accepted and will be assessed *Administration and permit running fees are included. *Owner pays for permit cost. CENTURY ROOFING, INC. 14480 S.W. 16th Street Davie, Florida 33325 Phone (954) 236-5767 Fax (954) 236- 6650 Nate: Structural deflectionand any requirements imposed by building department over and above contract will be additional charge if required. Structural deflection and requirements imposed by the building department is not a cause for non-payment. Examples: Roof -to -wall connections, engineer certification, deflection in trusses, cosmetics (such as painting), etc. these items can be considered extra cost at owners' expense. Gutters, screens, 'solar heating, air conditioning units, gas vents, etc. must be removed and/or installed by others at owner's expense. Century Roofing shall not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler systems, gardens, septic systems and drain fields or any other structures as a result of rooftop or on the job deliveries.. Century Roofing assumes no responsibility for damage caused by an act of God or any act beyond our control. We are fully licensed and insured. This contract is not valid or binding until approved and accepted by an officer of the corporation. Approved By: Owner/Agent Print Name.; Accepted By: Cen , ry Roofing Representative Date: Date: it) (CZ 8 11111 III Hill 11111 !I}[ III EE NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION • PERMIT NO. STATE OF FLORIDA: OfJtBNfiY>OF iMi►ANJI .i 1DE: TAX FOLIO NO, THE® ' . c INERT hereby gives noticethat iirtprovements. wit be made to certaft, real property, and Irt accordance with Chapter 713 Ftorida Statutes, the>folio+x4ng Ihformat tort Is provided in this Notice of Commencement. 1. Legal desorfptionsfproperty antJ strei t address..'W �t ' • k x:� , , r'R .. ,trliv, 7O6, tei-Size_ 7r_oor) xit1 f 47_ 11Jt.1 it) iN 1Y1JAM jLrt,3 331 2. Description of improvement: C'a.. kat.e,r+e4,t- 64- CAA. e(- Sv Skttn, CFN 2018R0637299 a99 OR BK Z.1185 Pg 4911. (1Pgs) R['.i;:(7j',Wa'' 11) '18?20'1. L:i ; jiI,lilr; i.1A t\i'I'N :;.;J N.k U iI KK it i;i)i.lR'i !`11:fil'l ....wr r.`i.alil'.iT ! f'i._i]I' TW, Space above reserved. tor use ot''rocordig (Atte 3. Owner(s) name and address' WA' r ¶r A `p ah 01 4 2 nJ IA1 interest In property: t'3Uh2.r Name and address of fee simple titleholder: 4. Contractor's name, e, address and phone iliumber io7f41 S4. , ltc wi i .Sha rt. 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons wfthin the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: 1I rraddition:tohimself. Owners designates Ftae fidtic wing' an(S) ;to -far eive;a copy of Itietteaceallotice as. 713,13(1)(b), Florida Statutes, Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEtvIENT. 4.1A1E Of, PLORIOA, OOJUNTY OP M1 Signature(s) of Owners o er(s)' Authorized Of er/i rector Par erfro EBr CERTIFY t 1 is Ira 1U $dmy of • •ot+cay.. seminal Mod in this ski _.t.�._.. __ — — �. -tip Print Name •— J • Title/Office Tine/ ffice STATE OF FLORIDA wCOUNTY;_OF MiAMI-DARE of The fot oing in trum t was acknowledged before me this 11 day of y 0 individually, or as 0 (.aYt air' for r�.re!-N1 Ct Personally known, or ❑ produced the following type of )dentiflcat�n: r♦ 1 4"° IP c4o(tc-- /:.7/7Z . to(Ub Prepared By Print Name kne . Ni r�$ Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORtDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true, to the .best of my knowiedge,atd_belief. iatura(e) rafOwnet(s) Ji r=Cttereertars Ai thorized'Offlopr/;i3inector/f artnerfManager Who tagfiati above: By 91 INV r ROY SI Goexeission fi8207824 Expires May 8,2022sondornirs NA 8008840111 By 1.2.L0142 4 1'74 40,4 1- 1 t 4 4;41- W t RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION t • CONSTRUCTION INDUSTRY LICENSING BOARD THE ROOFING'CONTOACTO1HgFEtNistOppigt) UNDER THE PROVISIoKISJOreHAFiltk489 FLOgli*STATUTES Is• t • • ;1 MAR -E *0.v • 7 L.% „. ‘,1 3,1 ,64e 4 .0EN:rt4RYROOFING INC - 1.0130 SW-1.6TI-IST:',.. DAVIE •4 • •••••; • -tr.* X" • LICENSE tC6' ,'.387110 1 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. Florida CERTIFICATE, OF LIABILITY INSURANCE. Date i. 10/15/2018 Producer:• 'Plymouth insurance Agency 2739 U.S.''Highway 19 N. Holiday, FL 34691 (727) 938-5562 This Cetis issued as a matter of information only and confers no rights upon the Certificate Molder. This Certificate does not amend, extend or' alter the coverage afforded by thepoliicies below. Insurers Affording Coverage NAIL # Insured: South East Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway°19 N. •Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 Insures a: insurer c Insurer a Insuer E: Coverages The poiides 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 vrhirh this oerbbscate may be issued or niay pertain, the insurance afforded by the policies described herein is sutject to al the tens. exclusions. and conditions of such policies. Aggregate limits shown may have been reduced by paid crams. INSR LTR ADDL INSRRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy P DaEap�mahon (MMIDD/YY) Limits GENERAL Commercial LIABILITY, General" Claims Made Liability• ] Occur Occurrence s Damage tnrented p (EA ,occurrence) s Med Exp S Personal Adv Injury S General a 99 ••• r e9 ate'limit applies Project � a Per Loc General Aggregate S Products - Comp/Op Atlg S . . AUTOMOBILE r_ - .... win rNon LIABILITY Any Auto(EA All Owned Autos Scheduled Autos (fired Autos -Owned Autos ' ;Combined Single Limit Accident) S anffilY Irirry , (Per Person) S Bodily Injury (Per Accident) I; Property Dame (Per Accident) S — www EXCESSIUMBRELLA.LIABILITY • .R Occur Deductible El Claims Made Each 0oasrence Aggregate A 1 Workers Compensation and Employers` Liability Any proprietor{partnerlexecutive officerlmembet excluded? NO If Yes, describe under special provisions below_ ' • WC 71949 ' 01/01/2018 ' 01/01/2019 Xi WC Stater tory Limits I �,OTH- k ER E.L. Each Accident St.000.000 E L Diceasv - Ea Employee S1,000,000 Ei.:Disease - Policy Limits Si,o0o,000 . Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Descriptions of Operations/LocationsNehicles/Ezdusions added by Endorsement/Specie-Provisions: Client ID: 21-79-008 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Cenbuy Roofing, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s;, while working in: FL Coverage does not apply to statutory employee(s)-or independent contractar(s) of the. Cient Company, or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by ailing (727) 938-5562. Project Name: -ISSUE 10-15-18(SS) Begin Date:1/26/2017 CERTIFICATE HOLDER CANCELLATION MIAMI..SHORES BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 Shouldanyof the above described policies becancelledbefore the expiration•date thereof, the issuing insurer will endeavor to mat 30 days written notice to.the certificate holder d sr the left. but failure to do so shall impose no obligation or liability of any kind upon the insurer. its agents or representatives. _ _ __ , '� AW®RD CERTIFICATE OF LIABILITY INSURANCE mnipstammvim 10-30-18 'THIS THIS POLICIES CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER. - CERTIFICATE DOES- NOT AFFIRMATIVELY OR NEGATIVELY AMEND,'; BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE EXTEND OR ALTER THE COVERAGE AFFORDED BY THE A CONTRACT BETWEEN THE ISSUING INSURER(S) AUTHORIZED. REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDi11ONAL INSURED, the,policy(ies) If SUBROGATION -IS WAIVED, subject to the teens and conditions of the this certificate does not confer sights to the certificate holder in lieu of such must have'ADDmONAi_ ii:i;,;,...., +,...... policy, certain policies may require an -endorsement. A statement on , endorsement(s). PRODUCER JIM RAY INSURANCE '7879 Pines Blvd. Suite 101 Pembroke Pines 71 33024 iCONTACT NAme S _ Fa 1 jc rUMNs,E3dk 954_9 fit-1708 . I /ra�'iG` flak 9549631' 211 ,Jimrayins@aol.com' 'SURERIS)AFFORDINGO01StAGE NJUCit Ixs<IRaRA:American Builders ins Co. INSURED Century Roofing Inc 14480 SW 16th Street Davie Fl 33325 ,'Ie1SUREREl: RRG,Inc rxsveac: INSURER D: IMSUR91E: INSURER F: CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIESOF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTINTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MTH REST 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 POUCIES_'UMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRINSR TYPEOFitlSURANCE ADOUSUIRSI ;Nso;wv i POUCYNtA�R ' Alp! Y f) MRS A , X I cou ssaHCIALc eaRAI:LIAenmr , ABICO2797-00 10/22 10/22 2018 2019 EACH OCCURRENCE s. 1:00 00 0 0, I cLALMSA ADE n OCCUR EeisEsoRENTED I s 1 00000 _ MEDFXP(Any =per s 5000 PERSONAL SALP/ know s' 1000000 GEN'L X AGGREGATE UMH APPLIES poucy f %ef I OTHER PER: GENERAL AGGREGATE s 1000000 PR OOUCTs-COn oPAGG: s 1` 0 0 0 0 0 0 $ AUTOMOBILE LIABILITY AUTO I SCHEDULED NON -OWNED AUTOS ONLY ( 1 i {(Pera I i {{ t I altutERNEDSINlM E LIMIT tEaANY $ BODILYINANIY.(Perpe $ f9DILYMARY(Per accident) S - tTY WenGfi $. — =ERMALIAB OCCUR ; t . EACH OCCURRENCE S EXCESS UAB AGGREGATE $ CLAMS —MADE DEO I RETaNrwi4is S WORKERS COMPENSATION ANDEMPLOYERSUABnmf YIN ANYPROPRIECORrl0.� OFACERRIE1�8ERFXGUJDED? (Mandator).In NH) Ma�n de�be y DESCRIPTION OF OPBA11ONS blow F i t NIA .1 1 ! i �7f I SSTATUTE 1 I Ii E.LEACHACCIDENT S .EL. DEEP F-EA S EL DISEASE -POLICY LINT $ I DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES ,(ACORDICI, Additional RennslcsS=sr brattanAml Smme 3srequired) Roofers _ •Qualifier Barbara Steele License # CCC1328-740-` CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Dept 10050 NE 2nd Ave Miami Shores Village F1. 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE r ED BEFORE THE EXPIRATION DATE THEREOF, NO U. BE DELIVERED IN ACCORDANCEWrrHTHEPOuCY �- AWHORELEDRI SSITATIVE , a ACORD 25 (2016/03) 88-2015 ACO - r ' ORPORATION. All rights reserved. The ACORD name and logo are registered of ACORD AGORAS provided by Forms Boss www.FormsBoss.com; (c) Impressive Publishing 800-2084977 .46 BROWARD COUNTY -LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100. Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1,2018 THROUGH SEPTEMBER 30,2019 DBA: Business Name: CENTURY ROOFING INC Receipt #.RdQFING ABET !METAL CONTRACTOR Business .Type:IROOF CONTRACTOR) Ownerttarae:BAREARA 14 Y MIME mess Opened:10 /28 /1996 Business Location: 14480 SW 16 ST StatelCountylCettiReg:ccC1328740 DAVIE Exemption Code: Business Phone: Rooms Seats Employees 35 Machines Professionals For Vrndtng Business Only Number of Machines: VendlnO Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 108.00 0.00: 0.00 0.00 0..00. 0.00' 108.00 THIS RECEIPT MUST,8E POSTED cc:PIIGUOUSLY IM Y. OUR ;P!LAC€1OFBUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege et doing business within Broward County and is non -regulatory in nature. You must meet all County andtor Municipality planning WHEN VAUDATED and zoning requirements. 'This Business Tax Receipt must be transferred when the business is sold: business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local flaws and regulations. Mailing Address: BARBARA MARY'STEELE 14480 SW 16 ST DAVIE, FL 33325 2018 - 2019 Receipt 0OIA-17-00008151 Paid 07/27/2018 108.00 Ron it l►11"'r` 11 IAITV 1 f r A I DI tellaCee r* v oicr+cirer ilia to,�,�ar■■■■/■/r/■■■//r■■■r■■r/>t ' 4MM MIM1iiii,�:L�igneliCrar■r.- a1/1111i1C'umuiarrr/iimums ia/1 ri/1niii/►ame a :■tn■t - ar�Gin.■/■r■■ 1u _ia■r11/a■naa�/it►:�i� 'ri aG rs1" IIIM s 1 1 11r■ .ia ■r a■ ■ ■ ■ 1 sn sinurItiiiai.■atutri/=g 1 �r.: ■ tr rr/ ammiu'■■a■■r s■r : 1 r ■r� ■ �a 11 /ri■/f�r.Er. M11 ■ MI f rf1 ail II IS SIM $■i II /11WWWOMMEI /■ / ■ G - _ tra Gi ■ ■■ ■/■■ ■■■_ ■a /1 M ■■r/ 1 ■ .# _ ■■__ "":ate Icl- /rti{:zn/a�rrin _ _ a Florida Building Code 6th Edition (2017) High -Velocity Hurricane Zone Uniform Permit Application Form Section -A (General Information) Master Permit No. Proce sePhL Contractor's Name Cen4ar- QL» i_ti 3 QII�., Job Address . �i a tow f a ��a m'l V _ t o r eS ALow Slope Asphaltic ❑` Metal PaneUShingles Shingles ❑ New Roof ❑ MortadAdheslve We ❑ Wood4Sh%ngleslSha es Are.ttiere ' • • • •' Gas aientStacksQ. • Yest1.1No U' ..' .' Type: Natusa1J LPG). . . • Re-Rooflng ❑ Recovering 0 Repair . ❑ Maintenance . ��ROOF SYSTEM INFORMATION .. • Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) Igoe) igot) Section B (Roof PIanl Sketch Roof Plan illustrate all _ levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions: of sections and levels, dearly Identify dimensions of elevated pressure zones and location of parapets. 44- I o■/a■a /■ / a rrr■war+a//a ■ ■■ ar rra 1_ Elm // rrr/■i riri/r�'Ea- 1■•.:'!.'::::::.'�L:.1°...,»�■// 1: " 1r.■ C11 f ■■111 ■ : a`i/� 1 ■■■r■1■%11Mi 7m11 irf marm a a■ all alp ■ ■itt�ii//■/r�a/n_//■ 1- Ail ■ ��me ��� �r1� 1 r 'tirriill/r■■// / / ar/C//r�i rill� e�G n i■r/■ ^11 woman 1r■ 1/ ■■■�i11i rc► ieiii�ii�ri'iGaaa�1.1C1a r1C1�i s's11 a • C ■ elfin1 1�/■■rr ■ 11 1111ii nuns iia rmi gray f1rr/■r1■1■■r1/ r ■■■ it nit■ fit irmi ■r ■�1 7 �i. Gr .a, bl2i7 ■i., ■■ ROOF CATEGORY 0 Mechanically Fastened Tile • . . • .. .. • 0 Pne�acript vo BUR-RAS 150 ROOF TYPE II ennu■■■■■niammmummun■■■■t_5ra r�.Avv!nvinnn 10 i ■ ■ ■ to■ntr.■sir/iiiliIIMa ist■ � ■1Ci� �ntWiwi h 1■ "ii ■la �'� a • ■■ IllOrir/a_ ri�i ti ■i ■ ... MUM i umm a • misp■ir/■ ■/r 11a■■m i ■/r. ■ lier 1ti 1 ■s■ MIMI CD • • • • • • • .... • • • SI • 111 "' Er' i" 11:a4111:111111111 :111111119 1.ii■ A;r1 rt' 1;Cnmenn 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,,tdentify.as "NA') System Manufacturer. 17/ NOA No.: 17. Oaa . o :Deakin Wind Pressures, From -RAS 128 or Calculations: Pmax1: -5P •?Pmax2: ^7>. 7 Pmax3: - J6 7 Max. Design Pressure, From the NOA System: —ii j S Deck Type: f5(LW.00 GaugeGauge/Thickness:5/gii Slope: I / f I d' Fastener Spacing for Anchor!Base Sheet' Attachment ^-7r Field �' oc Lap. # Rowel_ @ ._-(..•' oc Perimeter: 1' oc © Lap., # R o S ' oc Comer 1 'oc@Lap, # Rows 5j'oc Number of Fasteners Per Insulation Board Field Perimeter . . . . . .. . • . . Illustrate Components Noted. and .... Details as Applicable: • Woodbtodcing. Gutter, Edge • . Fp¢ptnation, . . Stripping. Flashing, Continuous • OLEO, Cat►t , • , • Strip, Base Flashing, Counter- Flashing; • 1 434c• Anchor/Base Sheet.& No. of Ply(s): yy Insulation Base Layer: Base Insulation Size and Thickness: Base insulation Fastener/Bonding Material: Top Insulation Layer Top Insulation Size and Thickness: Top Insulation Fastener/Bonding Material: Base Sheet(s) & No. of Pty(s):AWer• Mira 96-3 yr Base Sheet Fastener/Bonding Material: Ply Sheet(s) .& No. of Piy(s): QPI/S J J.0ny a- i ti, < ttat-- istar"c(-t-54 Pl' SheetP /Bor Fasten QP a mg Q t Top Ply: 1 aril a,1W) I. Ar.s&- 300-' Top PI f st r/ ding aterial:i_ _ f SurfadngJl ( i tom'- n S AU- ,g44-5,(Ax-e-e, Parapet Height Mean Roof Height insulation is a suitable substitute on noncombustible decks only. "TAM -PRO M3 Adhesive" may be utilized in any of the following noncombustible roof deck systems at a rate of 1-1/2 to 2-1/2 gal/sq. I. Deleted. 2. Deleted. 3. Deck: C-15/32 Incline: 3 Base Sheet:. — Type G2 "Glass Base", Type G1 "Tam Ply IV", or Type 15, "43 lb Base Sheet='•hot rlipp d• • or nailed.• •• Ply Sheets: — Min two layers Type GI "Tam -Ply IV",.hot mopped. Surfacing: — Gravel in a flood coat of hot roofing asphalt at 60 lb/sq. 4. Deck: NC Incline: 3 . .... • • .... . . .... . .... . . .... .. . . . . ..• . . . • .• Base Sheet: — Type G1 or "Tam -Ply IV" ply sheet Type G2 "Glass -Base" bast sheep, hottrrtoPped or nailed. Ply Sheets: — Min 2 layers Type G1 or "Tarn -Ply IV", hot mopped. • •• • Surfacing: — Gravel in a flood coat of hot roofing asphalt at 60 lb/sq. • • • 5. Deck: C-15/32 Incline: 3 . . Insulation: — 1 in. min glass fiber or perlite, nailed or sprinkle mopped. Base Sheet (Optional): — Type G2 "Glass -Base", Type 15 "43 lb. Base Sheet", Type G 1 "Tarn -Ply IV", hot mopped or nailed. Ply Sheets: — 3 layers Type G1 "Tam -Ply IV", hot mopped. Surfacing: — Gravel in .a flood coat of hot roofing asphalt at 60 lb/sq. 6. Deck: NC Incline: 1-1/2 Base Sheet: — Type G2 "Glass -Base", or Type GI "Tani -Ply IV", hot mopped. Ply Sheets: — Two or more layers Type G 1 "Tam Ply IV", hot mopped. Surfacing: — Type G3 "Tam-Cap",hot mopped. 7. Deck: NC Incline: 2 Insulation (Optional):—1-5/16 - 3-1/4 in. max. in. glass fiber perlite or woodfiber, isocyanurate sprinkle mopped. Base Sheet (Optional): — One or more Type G2"Glass Base"; Type G1 "Tam -Ply IV", hot mopped. Ply. Sheets: — One layer "Versa -Base surface (modified bitumen), hot mopped. Surfacing: — Type G3 "Tam -Cap", hot Aped._ 8. Deck: C-15/32 ncline: 1/4 Base Sheet: — Type 15 "43# Base Sheet;', Type G1 "Tam -Ply IV" or Type G2 '"_Glass -Base', nailed. Ply Sheets: — Two or more layers Typ►1 "Tam -Ply IV„ hot mopped. Surfacing: — Type G3 "Tam -Cap", hot mopped. To: Re: Owner's Name: /Jthe4 I tG 101a v"ak Property Address: 41 h u to7'r- S4- , 1414o ti.; SNa re S • • •• •• Miami Shores Vinage 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 FIURRICANE MITIGATION RETROFIT' OO.R; (f " tad.• • ` BUILT SINGLE FAMILY RESIDENTIALSTRUCTURES • • • • •••• •••• PERSUANT TO SECTION 553.844 F.S. • •• • . • • Miami Shores Village Building Department Did:: • i d / t.. % I a' 10050 NE 2nd. Ave • Miami Shores, FI 33138 • •' • • •• • •• • • • • •• • � • • • Roofing Permit Number: Dear Building Official: I /k}"}' ¶rc•. G CX certify that 1 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) Tric! 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 12- day of 6C-4o1„e1 & 1 d. Notary Public, Sate of Florida at. Large ROYSTEBE Comniseks100207824 ee*esibre.2022 6a ttdAn' tFiiplt aoti00385a01a • When the just valuation of the structure for purpose of ad valorem taxation isequal to or more than $300.000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractorforthe Roof to Wail connection Hurricane Mitigation. Revised on 5/21/2009 Miami Shores Viage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL S'Rt1CTURES PURSUANT TO SECTION 553.844 F.S. • To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fi 33138 Re: Owner's Name: V--1r1u"t' -irGbC�G� •••• .... • • ... ..•• a�1�/ Date: 1 t •• .. .. • • • • • . • • • •• • Property Address:4 2_ Q W k0.9` S* Y-€ 1 %' \1C nni S\,(Y`.r .-j Roofing Permit Number: Dear ilding Official: • • • • •. • • • • ..• • • ••• • • • • certify that l have improved the roof to wall connections of Elie referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Strus as adopted by the Florida Building Commission by Rule 9B-3.047 F.A.C. ignature State of Florida County of Dade Print Narne 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 • / ( day of C X 20 Notary Public, Sate of Florida at Large I (SEAL) Revised on 5/21/2009 Karen Nay NOTARY PUSUC STATE OF FLORIDA Conan. GG134500 Expires 8/1412021 FINAL COMPLIANCE SECTION 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS • • 1524.1 Scope. As it pertains to the section, itis.the .responsibility of roofing contractor pride the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of lectibti'R4402. govern the minimum requirements and standards of the industry for roofing system inst§lkiypl. Additionally, the • following items should be addressed as part of the agreement between the owner ant thecantractor. Tlwee�wwier's • initial in the designated space indicates that the item' has been explained.• •• • • • • • • •• •• • •• • 2. Renailing wood decks: When replacing roofing, the existing wr dd roo'4ieck inlay hgve to be renailed in accordance with the current provisions of Section R4403. (The noon deg; is uslt.I;" • • concealed prior to removing the existing roof system). • • • ••,• Exposed Ceiling: Exposed, open beam ceilings are where the urdemi,Ie of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. Tlik provides the option of maintaining the appearance. 6. iiN Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is otoverloaded from a buildup of water. Perimeter/edge wall or other roof extension 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 Sections 02, R4403 and R Owner/Agent's/ 0/C1/M S nature f � Date ontractor Signatu .� ��' is e `1. nu 1fie ,51- Property Address Revised on 7/9/2009 L0;07/01/2015; Permit Number • • • • • •• • • • CBB Engineering & Testing Co. 7450 Griffin Road, Suite 140, Davie, FL 33314 Phone: (954)581-7115, Fax: (954)581-2415 • ••• •. • www.cebb.net November 1, 2018 •••••. 00000 •••• • •••• Project: Traband Residence- Flat Reroof •••• •••••• Address: 42 NW 107 Street, Miami Shores, FL ••'••' • •• • . Roofing Contractor: Century Roofing ••. •; • RAS NO: 117 Calculation • :•••:• NOA: 17-0222.09 TAMKO Modified Bitumen Roof SystemsO4er Wood Deb ks Deck System Type: E(3) Page 14 of 15 of NOA: Base sheet mechanically fastened '••'•' •••••• • • • • •••••• • •••. Mean Roof Height = up to 2017 FBC RAS 128 Wind Uplift Pressures: ( Exposure Category "C" ) NOA Design Pressure: NOA-Side lap row: NOA-Side lap spacing: • • 20 feet p1= 42.8 p2= 71.7 p3= 108 pd noa= c slr= a slr= 52.5 1 NOA-Center lap row: 6 NOA-Center lap spacing: nw=net width (ft) sh=sheet width (in) sw= 39.375 slw=side lap width (in) slw= 4 nw=(sw-slw)/12 nw= 2.948 nl=net length(ft) n1=100/nw nl= 33.922 fn= number of fasteners per spacing fn= b=nl (net Ientgth per row) a=fastener spacing (in) -slr=side lap row -clr=center lap row c= number of rows @spacing "a" - slr=side lap row - clr=center lap row d=number of fastener per square 1 c clr= a clr= b= nl •••... • • • • • •••... • • ••••. • • ••••. •••••• • • 00000• • • •.••.o side lap row center lap row d slr=(fn/a slr)*(12/1)*(b/1)*(c slr/ 1*1) d clr=(fn/a clr)*(12/1)*(b/1)*(c clr/ 1*1) S! slr=11 Area per fastener 67.84 203.53 as= area per square (sf/square) as= 100 fa= fastener area (sf) fa=as/(d slr+d clr) fa= 0.368 3 6 Page 1 Fastener Value Calculation pd noa=maximum NOA design pressure (psf) fy=fastener value (lb) p=design pressure p1 field : p2 perimeter : p3 corner fs=required fastener spacing rs=row spacing fy= pd noa*fa rs=nw*12/(c slr+c clr) fy= 19.346 rs= 8.844 . • • • ...... • • • • • ....•. 0000. .... • ••.. • • •• •• •..... • • . • • • • • • .. • rsp=proposed row spacing for perimeter (2) rsp2=(nw*12)/(1+4) rsp2= 7.075 4 rows in the field spaced at rsp=proposed row spacing for corner areas (3) rsp3=(nw*12)/(1+5) rsp3= 5.896 5 rows in the field spaced at Field Zone 1 Spacing Requirement fs= (fy*144)/(p1*rs) fs= 7.360 Perimeter Zone 2 Spacing Requirement fsp=(fy*144)/(p2*rsp3) fsp= 5.492 Corner Zone 3 Spacing Requirement fsc=(fy*144)/(p3*rsp3) fsc= 4.375 • • ...... . • 000000 • .... .....: •••I• • . • • • • • • • •.•.Y • • •..•. • ..... • • • •• • ..... • . . • • •. • 7.075 5.896 7 Inches; 7" o/c lap and 3 rows @ 7" o/c required for a total of four (4) rows; 5 Inches; 5" o/c lap and 4 rows @ 5': o/c required for a total of five (5) rows; 4 Inches; 4" o/c lap and 5 rows @ 4" o/c required for a total of six (6) rows; Prepared by: CeBB Engineering & Testing Co. (CA#9807) Eduard C. Badiu, P.E. # 59997 For the Firm Page 2 MiAMI DADE'-=t DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Tamko Building Products, Inc. 220 West 4th Street Joplin, MO 64801 MIAM1-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 2ti Street, Room 208 Miami, Florida 33175-2474 T (786) 31.5-2590 F (786) 315-2599 w ww . miamid ad c.emlecnnomv 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 (AHJy This NOA shall not be valid after the expiration date stated below. The Miami -Dade G�gyttty.Product Control • Section (in Miami -Dade County) and}or the AHI (in areas other than Miami -Dade Coup) reserve fee.;11,1ft to have this product or material tested for quality assurance purposes. If this product or materiel; fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the itN1 •tray imfrtediately revoke, modify, or suspend the use of such product or material within their jurisdiction. REWleserves tliert ht to revoke this acceptance, if it is determined by Miami -Dade County Product Control Sectiorl:that this predtlet or material fails to meet the requirements of the applicable building code. • • • • This product is approved as described herein, and has been designed to comply with the Flotida BuildingC+tlde including the High Velocity Hurricane Zone of the Florida Building Code. • • • DESCRIPTION: TAMKO Modified Bitumen ReofSysttem Over 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 alibis NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising Literature. if any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No.14-0827.20 and consists of pages I through 15_ The submitted documentation was reviewed by Jorge L. Areba. • • • • • • • • MIAMI DADE COUNTY APPROVED •• • •• • ••• NOA No.: 17-0222.09 Expiration Date: 05/23/22 Approval Date: 05/18/17 Pane t :"s / a • ROOFING SYSTEM APPROVAL Category: Rooting Sub -Category: Modified Bitumen Material: Deck Type: Maximum Design Pressure: SBS Wood -60 psf. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: FABLE l Tamko SA Cap Tam -Cap" Awastar SA Glass -Base" Awabase SA Tamko SA Base -"Tam-Ply IV" Type 43 Base Sheet Versa -Base" Tam -Pro 846 Fibered Emulsion Coating Tani -Pro 813 Quick Dry Primer Dimensions 39 /x" wide 39 %" wide 39 '4" wide 39 %" wide 39 z/s" wide 39 %" wide 39 %" wide 39 W' wide 39 '/s" wide 36" wide 39 ;/x" wide 5 gallon 5 gallon Test Specification ASTM D 6164 Type 1 ASTM D 6164 Type l ASTM D 3909 ASTM D 6164 Type 1 ASTM D 4601 Tvnc 11 ASTM D 4601 Type 11 ASTM D 4601 Type II ASTM D 1970 ASTM D 2626 ASTM D 6163 Type I ASTM D 1227, Type ll ASTM D 41 granules. • Asphalt impregnated and coatedfeltserfaced with miner$11 granules used as the top ply in cQnbentjonal built rip roof membranes. •••• •••• Product Description Polyester reinforced SBS modified membrane surfaced with granules. Applied in hot asphalt or cola adhesive Self -adhering rubberized asphalt capsheet surfaced with • .. . • • Self -adhering rubberized asphalt.aap sheet surfaced with white acrylic film. • .. Type 11 asphalt impregnated and Foatgd glass:f 6Mr base - sheet for use in conventional andyi dig cd biLrflnmbuilt-• up roofing. .. . Self -adhering rubberized asphalt base sheet. Direct adhesion to wood deck not permitted in the HVHZ. Shall only be mechanically fastened to wood deck. Do Not Remove Release Film! Fiberglass rubberized asphalt base sheet. Self -adhering rubberized asphalt base sheet. Direct adhesion to wood deck not permitted in the HVHZ. Shaft only be mechanically fastened to wood deck. Do Not Remove Release Film! Type IV asphalt impregnated glass felt for use in conventional and modified bitumen built-up roofing. An organic felt reinforced asphalt base sheet. Applied in hot asphalt or mechanically fastened. Asphalt impregnated and coated glass fiber base sheet for use in conventional and modified bitumen built-up roofing. Protective coating. Asphalt based primer NOA No.: 17-0222.09 Expiration Date: 05/23/22 Approval Date: 05/18/17 Page 2 of 15 • . • . . APPROVED INSULATIONS: Product Name ACFoam Composite ACFoam 1I EnergyGuard'Perlite ENRGY 3, ENRGY 3 25 PSI Retro-Fit Board Fesco Board Structodek High Density Fiberboard H-Shield H-Shield WF APPROVED FASTENERS: Fastener Product Number Name 1. #12 Standard Roofgrip 2. #14 Roofgrip 3. OMG Accutrac Fastener 4. Accutrac Plate 5. 3" Round Metal Plate 6. OMG Plastic Plate 7. #12 Dekfast 8. //14 Dekfast 9. Dekfast 3" Round Steel Insulation Plate 10. Trufast #12 DP Fastener TABLE 2 Product Description Isocyanurate Insulation with perlite facer. Isocyanurate. Insulation. Expanded mineral fiber Insulation. Isocyanurate Insulation. A high -density perlite roof insulation. Rigid perlite roof insulation board. High Density Wood Fiber insulation board. Isocyanurate Insulation. Wood fiber/ Isocyanurate Composite Insulation. TABLE 3 Product Description #12 insulation fastener for wood and steel. # 14 Insulation fastener. #12 Insulation fastener for wood and steel. Galvalume AZ50 steel prate. Galvalume stress plate. Polypropylene plastic plate. #12 insulation fastener for steel and wood decks. # 14 Insulation fastener for steel and wood decks. Galvalume AZ50 steel plate. #12 Insulation fastener for steel and wood decks. Trufast 3" Metal Insulation Plate Galvalume AZ55 steel plate. Manufacturer (With Current NOA) Atlas Roofing Corp. Atlas Roofing Corp. GAF Materials Corp. Johns Manville Johns Manville Johns Manville Blue Ridge Fiberboard Hunter P l ;k,LC • • jlur3ter Parrels.L C ••.. . . ... • . . ..• .. . •••. . • Manufdcturer Dimensioits (With Conant NOA) N/A • • : OMG, Inc. . . . •• . OMG, Inc. OMG, Inc. N/A N/A 3" square 3" round 3.25" round N/A aNJA 3" round N/A 3" round OMG, Inc OMG, Inc. OMG, Inc. SFS lntec, Inc. SFS Intel., Inc. SFS lntec, Inc. Altenloh, Brinck & Co. U.S., Inc. Altenloh, Brinck & Co. U.S., Inc. NOA No.: 17-0222.09 Expiration Date: 05/23/22 Approval Date: 05/18/17 Page 3 of 15 EVIDENCE SUBMITTED: Test Agency Underwriters Laboratories, .Inc. Factory Mutual Research Corp_ • Exterior Research & Design', LLC Trinty) ERD PRI Construction Materials Technologies l..LC Test Name/Report tit. 790 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 Class 4470 TAS 114 TAS 114 TAS 117(B)/ ASTM D 6862 TAS 117 &TAS 114 ASTM D 4601 Type 11 ASTM D 2178 Type IV ASTM D 3909 ASTM D 1227 ASTM D 41 ASTM D4601 ASTM D 4601 ASTM D 2178 ASTM D 3909 ASTM D 2626 ASTM D 6163 ASTM D 1970 ASTM D 6164 TAS 114 J TAS 117-B/ASTM D 903/TAS 114-D TAS 114J Test Identifier R3225 J.1.4D0A7.AM J.1.0Z4A3.A M J.I. 1 D4A7.AM J.1.3B5A9.AM 3027787 3027789 3027790 3010612 797-09988-267 3027111•• 4 444.06W:1• • 4449.08.9A 1. • C8500SC f f.b'• C12410.c1.'4' SC10960.Q2.J6:1, SC 10960. . I b-i SC 10960.n2.1 0'3 TAP-099-02-10 1'AP-099-02-18 TAP-238-02-01 TAP-255-02-02 TAP-256-02-02 TA P-257-02-03 TAP-257-02-01 TAP-254-02-02 TAP-262-02-02 TAP-298-02-01 TAP-324-02-01 TAP-373-02-01 TAP-374-02-01 Date 04/03/17 10/21/98 08/27/97 10/20/97 08/27/98 08/14/06 08/14/06 08/14/06 04/16/01 :▪ •••12Y11/14. • 0$/14/06 .• • • Q6115/98. .. L /03/99. • • . I J /30/07 • • 08714/09 02/11/16 :..Q1/.11 /16 • 02/11/16. •• • • • 43/13/08 04/02/08 08/25/10 11/04/11 11/04/1.1 I1/18/11 12/12/11 01/24/12 01/24/12 11/10/15 11/11/15 04/14/17 04/17/17 . • • • NOA No.: 17-0222.09 Expiration Date: 05/23/22 Approval Date: 05/18/17 Page 4 of 15 Membrane Type: SBS Deck Type 1: Wood, Non -insulated Deck Description: Minit-num '_/,I°' or gn ater plywood or wood plank. 'Deck shall be attached to wood supports spaced 24" o.c. using 0.1 13" x 2 3,4," ring shank nails spaced 6" o.c. System Type E(3): Base sheet mechanically fastened. All General and System Limitations apply. Anchor Sheet: One ply ofTamko Away-- Nailbase or Versa -Base fastened to the deck as described below: Fastening: Attach anchor sheet using 12 t . •x,, ga x 1 �;annular ring shank nails and 1-5/8" diameter tin caps spaced 6" o.c. in a 4" tap and G` o.c_ in three equally spaced and staggered rows in the center of the sheet. Ply Sheet: Surfacing: Maximum Design Pressure: -52.5 psf. (See General Limitation #7.) (Optional) One or more plies of Versa -Base adhered with a full moppineoCappn v�e,tagphalt applied within the EVT range, at a rate of 20-40 lbs./sq. • Awa tan adhered with a full n in • p 6 ©fapproved asp}zalt applied at �`F • • • • _ . contact, at a rate of 20-40 lbs./sq. Optional for mineral surfaced Membranes. Required for smooth surfatedSAernbraries.Any coating, listed below, used as a surfacing must be listed within a curr'e iN0A. 1. 4001bs.lsq. gravel or 300 lbs.! slag • application rate of 60 lbs./sq.. �' in a flood coat of approved gzoppjng aspGaft at an • 2. Henry 520 or Karnak 97AF applied at I /� • ppgal.fsq., or Grundy Fibered Asphalt Efitrlsion, or Tam -Pro Fibered Emulsion at 3 gal./sq. NOA No.: 17-0222.09 Expiration Date: 05/23/22 Approval Date: 05/18/17 Page 14 of 15 WOOD DECK SYSTEM LIMITATIONS: 1. A slip -sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL, LIMITATIONS: I. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other -layers shall be adhered in a hill mopping ofapproved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam.insulations when the base sheet is fully mopped. If no recovery board is used the base, sheet.shall be apirensing veer mopping with approved` asphalt, 12" diameter circles, 24" o_c.: or strip mopped 8" 4144ng in thm tows, one of . each sidelap and one down the center of the sheet allowing a continuous area of ventilrtlfttlj.• £ncirc1ing of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow'LMdss'ventil .t on. Asphalt•; application of either system shall be at a minimum rate of 12 lbs./sq. • Note: Spot attached systems shall he limited to a maximum design pressure of -45• . • • • ' 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force.(?).ualue ot:2'111bf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value.a9 tieid-tested, are below •. 275 1bf: insulation attachment shall not be acceptable. • 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachrmint is'lbased an a minimuijr • fastener resistance value in conjunction with the maximum design value listed within a specific systeip.•$htould 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 with Roofing Application Standard RAS I I 1 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to ail roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at 1 enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically 1 referred within this NOA, (:enenil Limitation #7 wilt 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 Horida Administrative Code. END OF THIS ACCEPTANCE MIAMI DADE COUNTY NOA No.: 17-0222.09 Expiration Date: 05/23/22 Approval Date: 05/1 0/ 17 Page 15of15