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RF-19-484`-- ��—o3-1°I-ylo�l __ l Miami Shores Village 10050 NE 2 Ave Miami Shores Fl. 33138 305-795-2204 Issue orate- 03/12/2119 Location Address Parcel Number 230 NE 104TH ST, Miami Shores, FL 33138 1121360130350 Permit No.: RF -03-19464 Permit Type: Roof Work Classification: Flat Permit Status: Approved Expiration: 08/28/2019 Contacts MICHELLE SAPORITI Owner VICTORY E & I ROOFING AND Contractor 230 104 ST, MIAMI SHORES, FL 331382016 CONSTRUCTION LLC VINAYAGAR M BALAKRISHNAN 11027 BAYBREEZE WAY, BOCA RATON, FL 33428 Business: 9549372697 Other: 9543055025 Description: RE -ROOF FLAT ROOF Valuation: $ 10,800.00 Inspection Requests: r-762-4§49Total Sq Feet: 10.00 Fees Amount Application Fee - Other $50.00 CCF $6.60 DBPR Fee $3.75 DCA Fee $2.50 Education Surcharge $2.20 Roofing Fee $200.00 Scanning Fee $9.00 Technology Fee $6.25 Total: $280.30 Payments Date Paid Amt Paid Total Fees $280.30 Credit Card 03/12/2019 $230.30 Check # 4047 03/01/2019 $50.00 Amount Due: $0.00 I 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 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 March 12, 2019 Page 2 of 2 3/26/2019 Provertv Search Application - Miami -Dade Countv , OFFICE OF THE PR0§FftERTYjr APPRAISER %y:, Summary Report Property Information Folio: 11-2136-013-0350 Property Address: 230 NE 104 ST Miami Shores, FL 33138-2016 Owner JUAN HUMBERTO PEREZ &W MICHELLE C SAPORITI Mailing Address 230 NE 104 ST MIAMI SHORES, FL 33138-2016 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL- SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,978 Sq. Ft Living Area 2,654 Sq. Ft Adjusted Area 2,805 Sq. Ft Lot Size 9,300 Sq. Ft Year Built Multiple (See Building Info.) Assessment Information Benefit Type 2018 2017 Year 2018 2017 2016 Land Value $232,690 $232,690 $199,874 Building Value $195,228 $195,643 $196,057 XF Value $648 $656 $664 Market Value 1 $428,566 $428,989 $396,595 Assessed Value 1 $301,525 $295,324 $289,250 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment $127,041 Reduction $133,665 $107,345 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption 1 $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 5 PB 10-47 LOT 9 & W1/2 LOT 8 BLK 119 LOT SIZE 75.000 X 124 COC 22796-3890 10 2004 4 Generated On : 3/26/2019 Taxable Value Information OR 2018 2017 2016 County Price Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $251,525 $245,324 $239,250 School Board $425,000 Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value 1 $276,525 $270,324 $264,250 City Sales which are disqualified as a result of 10/01/2004 $0 Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $251,525 $245,324 $239,250 Regional Sales which are qualified Exemption Value $50,000 $50,000 $50,000 Taxable Value $251,525 $245,324 $239,250 Sales Information OR Previous Price Book- Qualification Description Sale 110/01/2004 Page $425,000 22725 Sales which are qualified 4943 22796- Sales which are disqualified as a result of 10/01/2004 $0 3890 examination of the deed 04/01/2004 $299,000 22266- Sales which are qualified 1201 06/01/1999 $152,500 18663- Sales which are qualified 0634 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 hftp://www.miamidade.gov/info/disclaimer.asp Version Miami Shores Village g RECEI VED C� Building Department MAR 41 2 i9 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 20 BUILDING Master Permit No. V—F PERMIT APPLICATION Sub Permit No. ❑■ BUILDING ❑ ELECTRIC Q ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 230 NE 104 ST City: Miami Shores County: Miami Dade zip: 33\3Q Folio/Parcel#:11-2136-013-0350 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: ROOF Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): MICHELLE CARINA SAPORITI Phone#: 786-553-8495 Address: 230 NE 104 ST City: Miami Shores State: FLORIDA Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Victory E&I Roofing & constructions LLC Phone#: 954-9372697 Address: 4491 Sterling RD city: DAVIE State: FLORIDA Zip: 33314 Qualifier Name: Balakrishnan Vinyagar Phone#: 954-9372697 State Certification or Registration M. Florida Certificate of Competency #: CCc1330750 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 10,800 Square/Linear Footage of Work: 1 OSC) Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: RE ROOF FLAT ROOF Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ _ Bond $ y • Cx�) TOTAL FEE NOW DUE $ X. 3 V � o 3O Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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. 11Z4Signature Signature OWNER GENT CONTRACTOR T foregoing instrument*vas acknowledged before me this Thefpregoing instrument w s acknowledged before me this V 6 �.Y da of d 6v 20 by 1 dayjof tt �V 2 , by ) IJ Ih 0s personally known to I (/1 '`1ti'1 is personally known to me or who has produced as me or who has produced as identification and who did take an oath.��1` identification and who did take an oath. NOI Sign Prirr NOTARY PUBLIC: Sign:-,!�Z� (n� Print: S V Seal: ........... , SIGAL ABERGEL ;,• ir'a�'•.,, SIGAL ABERGEL z°s ; ; Notary Public - State of Florida ; _ Notary Public - State of Florida ^• Commission » G 141133 `• : = Commission ; GG 141133 Gneatsk� f¥1«* ************************* r i�*t116rRArNHt�lrBiS�4�3�f}PE1�* ********** �F °•' Bonded through Nat Not yAssn oF�„' Bonded through National NetaryAssn. APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk 3/1/2019 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAISER :µ a Summary Report Property Information Folio: 11-2136-013-0350 Property Address: 230 NE 104 ST Miami Shores, FL 33138-2016 Owner JUAN HUMBERTO PEREZ &W MICHELLE C SAPORITI Mailing Address 230 NE 104 ST MIAMI SHORES, FL 33138-2016 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,978 Sq.Ft Living Area 2,654 Sq.Ft Adjusted Area 2,805 Sq.Ft Lot Size 9,300 Sq.Ft Year Built 1955 Assessment Information Benefit Type 2018 2017 Year 2018 2017 2016 Land Value $232,690 $232,690 $199,874 Building Value $195,228 $195,643 $196,057 XF Value $648 $656 $664 Market Value $428,566 $428,989 $396,595 Assessed Value $301,525 $295,324 $289,250 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment $127,041 Reduction $133,665 $107,345 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000$25,000 $276,525 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 5 PB 10-47 LOT 9 & W1/2 LOT 8 BLK 119 LOT SIZE 75.000 X 124 COC 22796-3890 10 2004 4 Generated On : 3/1/2019 Taxable Value Information 2018 20171 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $251,525 $245,324 $239,250 School Board Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value $276,525 $270,324 $264,250 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $251,525 $245,324 $239,250 Regional Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $251,525 $245,324 $239,250 Sales Information OR Previous Price Book- Qualification Description Sale Page 10/01/2004 $425,000 22725 Sales which are qualified 4943 22796- Sales which are disqualified as a result of 10/01/2004 $0 3890 examination of the deed 04/01/2004 $299,000 22266 Sales which are qualified 1201 06/01/1999 $152,500 18663- Sales which are qualified 0634 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 Miami Shores Village 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: 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name:. m Oy \k cay w\ 1 Property Address: 'Z:S0 /VE 104 S C vh 1ar,% i S hOV?_� -L X313 Roofing Permit Number: Dear Building Official: I 1N11GVVe\�C CG��11'�a1 certify that I am not required to retrofit the roof to wall connections of my building because: t/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 eeXion of* South Floda Building Code (1994 SFBC) Signature State of Florida County of Dade The undersigned, being the first duly sworn, d Sworn to and subscribed before me this �) CQ4 Notary Public, Sate of Florida at Large sir 1 i�CH�LLE-. Ct�12aC1}�6r10 SA1��.�,Tt Print Name and says that he/she ithe owner for the above property mentioned. --day of o VvGl 0�_J) • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and =�6 . SIGAL ASERGEL Notary Public - State of Florida 1`^•"- Commission" GG 141133 MyCKnrn.ExpiresSep4,2021 ".., RnrdedthrcughNaticralNotaryksr. SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5121/2009 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. Signature: "�/ Owner 0 - State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of , 20_1_� By l �/ J�l ' who is personally known Ito me or has produced r as id ntificnation. Notary: ` 5� A v� V SEAL: SIGAL ABERGEL Commission = GG 141133 My Comm. Expires Sep 4, 2021 Bonded through National Notary Assn. TA Your Proposal has been Approved! Soo-i-Ec USA "now Green Contractors 5240 S University Dr Suite 106 • Davie, FL 33328 • Phone: 954-805-1318 Juan Humberto Perez r_N%C"NE-LLF— C4l%Q�AC�l% 6N0 SApo2�T� Phone: 786-553-8495 Cell: 786-553-8495 230 NE 104th St Miami Shores, FL 33138 Print -date: 2-20-2019 In this proposal you will find our overview of your project. If you have any further questions or concerns please contact our office and our secretary will be happy to assist you. In the event you need to reach one of us directly our secretary will con- nect you through. Also, don't hesitate to call or text the mobile numbers we have provided you. At Victory E&I Roofing and Construction we strive constantly to ensure not only quality in our products but also customer satisfaction. Our staff works around the clock to ensure your project moves as quickly and efficiently as possible. We always appreciate new and recur- ring business as well as referrals. We look forward to doing business with you soon! , Project Overview Code Title Description Price Re -Roof Flat Roof Flat Roof R- 10 SQ $10,800.00 R-20 20 Permit Fee Permit Fee Provide all necessary permit applications and documents required by the $0.00 city Submit all permit documents and obtain approved permits prior to com- mencing work. ""Permit fee is not included and will be charged based on actual cost Total Price: $10,800.00 Description Obtaining necessary roofing permits including transporting as needed throughout the project in accordance with the local permitting jurisdictional guidelines. Preparation: 1.) Remove the existing roof system to a clean, workable surface, and dispose of all debris. Proposal includes all disposal fees. 2.) Replace rotted or damaged lumber. proposal includes (6) sheets of standard plywood or 150 linear feet of standard deck- ing. Additional plywood will be replaced at $75.00 per sheet or ($2.34 per sq. ft.) or $4.00 per foot for standard decking in- stalled. 3.) Dump trucks will be used opposed to roll off containers and any recyclables separated and disposed of accordingly. All roofing materials removed from building will be disposed of as well as any debris created throughout the process. Proposal includes all disposal fees. 4.) Proposal includes replacing 75 Linear feet of rotten or damaged fascia board. Each additional board will be charged at a rate of $9.00/ linear foot. Paint is not included, rates are available per request. 1 x 2 firring strips will be replaced or installed as needed at no extra charge. 5.) Re -nail existing decking using 2-1/2" 8-D ring shank nails. Flat Roof Material 1.) Install / prime a "Factory Painted" GLUM ROOF EDGE 26GA 3X3 WHITE (Drip Edge) metal fastened every 4" using 1- 1/4" ring shank nails. 2.) Replace L flashing as needed with galvanized L flashing 3.) Install 16" galvanized metal GALV ROLL VALLEY 26GA 16"X50' MILL in all roof valleys and tie ins 4.) The following materials are used in the installation Flat Roof: KARNAK #155 AMPHIBICOTE A/F 5GAL PS GRIPRITE 1-1/4 R/S COIL DADE 7.2 ALL PURPOSE VENT PITCHED 10" PS GRIPRITE 1-1/4 R/S COIL DADE 7.2 S/E TIN CAPS - DADE 50 LB BOX CT FLINTLASTIC GMS WHITE 1SQ/RL GAF #75 BASE SHEET 3SQ/RL GAF PLY 4 FELT 5SQ/RL (x2) LAYERS CONT TYPE 3 ASPHALT NO ODOR 50# PAK GAF MINERAL CAPSHEET Flat Roof Labor 1.) Tear off damaged area till plywood is seen 2.) Replace all rotten plywood 3.) Install 30 Pound Felt Paper 4.) Install 75 Pound Base Sheet 5.) Install Cap Sheet With Hot Asphalt Tar " Hot Mop" 6.) Install Mineral Cap Sheet PAYMENT TERMS AS FOLLOWS: 10% INITIAL DEPOSIT TO OBTAIN PERMIT. 30% WHEN PERMIT IS OBTAINED. 30% AFTER PASSING 1ST INSPECTION. 30% AFTER FINAL INSPECTION NOTE: ALL WORK PERFORMED BY VICTORY E&I ROOFING AND CONSTRUCTION TO MEET OR SURPASS CUR- RENT BUILDING CODE. PLEASE CONSULT AN ENGINEER OR AN ARCHITECT FOR ANY ROOF SYSTEM DESIGN FACTORS SUCH AS SLOPE, DRAINAGE, INSULATION, SPECIFICATION AT FIELD, WALLS & EQUIPMENT DETAILS ETC. M r THE FOLLOWING CONDITIONS ARE HEREBY MADE A PART OF THE PROPOSAL ON THE REVERSE SIDE OF THIS SHEET & ARE TO BE CONSIDERED A PART OF THE CONTRACT ENTERED BETWEEN US. BY THE SIGNING THE ACCEPTANCE & APPROVAL ON THE REVERSE SIDE & THE PERFORMANCE OF EACH OF WHICH SHALL BEA CONDITION PRECEDENT TO ANY RIGHT OF CLAIM OR RECOVERY HEREUNDER. THIS CONTRACT CONSTITUTES THE ENTIRE AGREEMENT BETWEEN THE PARTIES AND NO ORAL MODIFICATION THEREOF SHALL BE MADE. UNFORESEEN CONDITIONS: THIS CONTRACT IS BASED ON VISUAL CONDITIONS, SHOULD UNFORESEEN CON- DITIONS ARISE THAT COULD NOT BE DETERMINED BY VISUAL INSPECTION SUCH ADDITIONAL WORK SHALL BE PERFORMED ON A TIME AND MATERIAL or FIRM BID BASIS. PAYMENT: PAYMENT OF ALL OR PART OF THIS CONTRACT, ACCORDING TO THE TERMS OF THE CONTRACT, SHALL BE DUE AS PRESENTED. VICTORY E&I ROOFING AND CONSTRUCTION PAYMENT SHALL IN NO WAY BE CONTINGENT UPON THE ACCEPTANCE OF WORK DONE BY OTHERS AND OVER WHICH VICTORY E&I ROOFING AND CONSTRUCTION HAS NO CONTROL. NO RESPONSIBILITY IS HEREBY ASSUMED FOR WORK DONE BY ANY- ONE OTHER THAN AN EMPLOYEE. IF IT BECOMES NECESSARY TO INCUR ANY EXPENSES IN THE COLLECTION OF ANY MONEY DUE HEREUNDER, INCLUDING REASONABLE ATTORNEYS FEES, IT IS UNDERSTOOD THAT THESE EXPENSES SHALL BE PAID BY THE OWNER, CONTRACTOR, PROPERTY OWNER OR THEIR AGENT. THE MAXIMUM LEGAL RATE OF INTEREST SHALL BE CHARGED ON ACCOUNTS NOT PAID WITHIN 30 DAYS FROM BILLING, SUCH INTEREST TO COMMENCE TO RUN ON THE 31ST DAY. ALL COSTS INVOLVED IN COLLECTION SHALL BE BORN BY THE OWNER OR HIS ACTING AGENT. SHOULD VICTORY E&I ROOFING FULL PAYMENT NOT BE RECEIVED, ALL WARRANTIES BECOME NULL AND VOID. THE CLIENT MAY PAY ALL SUMS DUE UNDER THIS CONTRACT IN CASH, CHECK OR CREDIT CARD. CREDIT CARD PAYMENTS ARE SUBJECT TO AN ADDITIONAL 3% PROCESSING/CONVENIENCE FEE. NO REPLACEMENT OR REPAIR SHALL BE MADE BY VICTORY E&I ROOFING AND CONSTRUCTION CAUSED BY OWNER OR ANY OTHER WORKER OTHER THAN AN EMPLOYEE OF VICTORY E&I ROOFING AND CONSTRUCTION, WITHOUT OWNER BEING SUBJECT TO A SERVICE CHARGE, MINIMUM CHARGE, FIRM BID PRICE OR TIME AND MATERIAL CLAIMS: ALL CLAIMS FOR NON -FULFILLMENT OF THIS CONTRACT SHALL BE MADE NOT LATER THAN 30 DAYS AFTER COMPLETION OF THE WORK. VICTORY E&I ROOFING AND CONSTRUCTION LIABILITY IS LIMITED ONLY TO LABOR & MATERIAL AND DOES NOT ASSUME OR ACCEPT NEITHER ANY RESPONSIBILITY FOR INTERIOR OR EX- TERIOR DAMAGE NOR ANY DAMAGE TO CONTENTS WITHIN THE SUBJECT PROPERTY. TIME LIMIT THIS PROPOSAL IS MADE FOR IMMEDIATE ACCEPTANCE AND IS SUBJECT TO WITHDRAWAL WITH- OUT NOTICE. THIS CONTRACT IS MADE WITH THE UNDERSTANDING WHEN ACCEPTED BY THE OWNER OR HIS AGENT AND APPROVED BY VICTORY E&I ROOFING AND CONSTRUCTION, ALL CONDITIONS ON THE REVERSE SIDE BECOME AN INTEGRAL PART OF THIS CONTRACT. ORAL PROMISES: VICTORY E&I ROOFING AND CONSTRUCTION ASSUMES NO RESPONSIBILITY WHATSOEVER FOR ORAL PROMISES. ALL TERMS AND CONDITIONS MUST APPEAR IN WRITING AND APPEAR ON THIS CON- TRACT. THERE ARE NO PROMISES, REPRESENTATIONS OR UNDERSTANDING OUTSIDE OF THIS INSTRUMENT, AND EXCEPT AS HEREIN OTHERWISE EXPRESSLY PROVIDED. THIS INSTRUMENT SHALL NOT BE ALTERED OR MODIFIED EXCEPT BY AN AGREEMENT IN WRITING SIGNED BY THE PARTIES HERETO, AND NO OFFICER AGENT OR EMPLOYEE OF THE SELLER SHALL HAVE THE POWER TO WAIVE OR TO BE DEEMED OR HELD TO HAVE WAIVED ANY PROVISION HEREOF, UNLESS SUCH WAIVER SHALL BE IN WRITING AND SIGNED BY VICTORY E&I ROOFING AND CONSTRUCTION, OR ITS DULY AUTHORIZED REPRESENTATIVE. CEILINGS: VICTORY E&I ROOFING AND CONSTRUCTION WILL NOT ASSUME OR ACCEPT ANY RESPONSIBILITY OR LIABILITY FOR DAMAGED OR STAINED CEILINGS, CRACKED OR FALLING PLASTER, INSULATION OR ACOUSTICAL TILE; CAUSED BEFORE, DURING OR AFTER WORK IS COMPLETED, NOR FOR REPAINTING OR RE- FINISHING OF DAMAGED AREAS. L -FLASHING IN WALLS AND CHIMNEY'S WILL NOT BE REMOVED UNLESS IT IS SPECIFICALLY STATED WITHIN THE COURSE OF THE WORK AS PRESENTED IN THIS CONTRACT. (SHOULD THE L -FLASHING HAVE TO BE REPLACED THE ADDITIONAL CHARGE WILL BE DETERMINED AS IS NEEDED). REQUIRED SLOPE OF ROOF: VICTORY E&I ROOFING AND CONSTRUCTION. ASSUMES NO RESPONSIBILITY WHATSOEVER FOR LIABILITIES ARISING FROM ROOFS NOT MEETING 1/8" IN 12" MINIMUM SLOPE AS REQUIRED BY FBC WOR ANY OTHER PREVAILING MUNICIPAL COUNTY OR STATE REQUIREMENTS. VICTORY E&I ROOFING AND CONSTRUC- TION ACCEPTS NO RESPONSIBILITY FOR POUNDING OR STANDING WATER. x WARRANTY: WE ASSUME NO RESPONSIBILITY FOR DAMAGES CAUSED BY ANY ACTS OF GOD SUCH AS HURRI- CANES, TORNADOS, LIGHTING, ETC. OR ANY OTHER ACTS BEYOND OUR CONTROL. WE FURTHER ASSUME NO RESPONSIBILITY FOR DAMAGES CAUSED BY PLANT LIFE, TERMITES OR NEGLIGENCE ON PART OF THE OWNER OR OWNERS AGENT. SHOULD VICTORY E&I ROOFING AND CONSTRUCTION NOT RECEIVE FULL PAYMENT FOR SERVICES RENDERED ANY GUARANTEE PROVIDED BECOMES NULL AND VOID. CONTRACTOR'S WARRANTY SHALL BE LIMITED TO DEFECTS IN WORKMANSHIP WITHIN THE SCOPE OF WORK PERFORMED BY CONTRAC- TOR AND WHICH ARISE AND BECOME KNOWN WITHIN FIFTEEN (15) YEARS FROM THE DATE HEREOF. ALL SAID DEFECTS ARISING AFTER FIFTEEN (15) YEARS AND DEFECTS IN THE MATERIAL ARE NOT WARRANTED BY CON- TRACTOR. CONTRACTOR HEREBY ASSIGNS TO OWNER ALL WARRANTIES ON MATERIALS AS PROVIDED BY THE MANUFACTURER OF SUCH MATERIALS. VICTORY E&I ROOFING AND CONSTRUCTION RESERVES THE RIGHT TO CORRECT ANY & ALL PROBLEMS, CON- DITIONS, IMPROPER WORKMANSHIP WHERE IT IS FOUND RESPONSIBLE. VICTORY E&I ROOFING AND CON- STRUCTION CAN FURTHER AUTHORIZE THAT THE OWNER/AGENT MAY CALL IN OTHERS, BUT WILL NOT ACCEPT ANY RESPONSIBILITY OR LIABILITY FOR SERVICES PERFORMED BY OTHERS, NOR SHALL PAYMENT FOR LABOR & MATERIALS EXCEED WRITTEN AGREEMENT BETWEEN VICTORY E&I ROOFING AND CONSTRUCTION & OWN- ER/AGENT. DELAYS: IF FOR ANY REASON SHOULD VICTORY E&I ROOFING AND CONSTRUCTION BE UNABLE TO FULFILL THIS CONTRACT DUE TO STRIKES; MATERIAL SHORTAGES, LABOR DISPUTES; FAILURE TO PAY INVOICES AS PRESENTED; COURT INJUNCTIONS OR LEGAL ACTION; OR ANY TYPE OF PROPERTY OWNER DISPUTE, VICTORY E&I ROOFING AND CONSTRUCTION SHALL BE ENTITLED TO ALL LABOR, MATERIAL, LOSS OF REVENUE, RENTAL & SET-UP FEES FOR STARTING AND STOPPING, PLUS ALL LEGAL FEES. VICTORY E&I ROOFING AND CONSTRUC- TION IS NOT RESPONSIBLE IN ANY WAY AFTER THE JOB HAS BEEN HALTED; DELAYED OR CANCELED FOR DAM- AGES, CLAIMS OR INJURIES. CANCELLATIONS: IF CONTRACT IS CANCELED BY OWNER AFTER 3 DAYS FROM DATE OF SIGNING, BUYER SHALL FORFEIT 50% OF ANY DEPOSIT MADE TOWARD THIS CONTRACT SHOULD A DEPOSIT BE REQUIRED. THE OWNER WILL BE RESPONSIBLE FOR ANY EXPENSES VICTORY E&I ROOFING AND CONSTRUCTION HAS IN- CURRED IN CONNECTION WITH THE JOB START PREPARATION, PERMITTING, CANCELLATION FEE'S FOR MATE- RIALS ORDERED, RESTOCKING FEES OF MATERIALS ORDERED ETC. VICTORY E&I ROOFING AND CONSTRUC- TION MAY CANCEL CONTRACT AND RETURN FULL DEPOSIT AT ANY TIME PRIOR TO JOB START. SOFFIT REPAIR OR REPLACEMENT: IS NOT PART OF THIS CONTRACT/SCREEN ENCLOSURES: REMOVED & RE- PLACED BY OTHERS THROUGH OWNER OR AGENT. VICTORY E&I ROOFING AND CONSTRUCTION IS NOT RE- SPONSIBLE FOR DAMAGE TO SCREEN ENCLOSURE OR SCREENS IF ENCLOSURE IS NOT BACKED FROM EDGE OF ROOF. SOLAR UNITS: REMOVED & REPLACED BY OWNER OR AGENT. GUTTER SYSTEMS REMOVED BY OTH- ERS. IN THE EVENT WOOD ROT IS DISCOVERED DURING THE TEAR -OFF PHASE, VICTORY E&I ROOFING AND CONSTRUCTION WILL REMOVE GUTTER SYSTEM AND OWNER OR OWNERS AGENT TO REPLACE. VICTORY E&I ROOFING AND CONSTRUCTION WILL NOT ACCEPT ANY LIABILITY NOR RESPONSIBLY FOR THE CONDITION OR FUNCTIONALITY OF GUTTERS. VICTORY E&I ROOFING AND CONSTRUCTION SHALL NOT BE HELD RESPONSIBLE FOR CRACKS IN DRIVEWAYS, CURBS & SIDEWALKS; OR FOR FLORAL DAMAGE; OR FOR DEBRIS THAT FILTERS THROUGH EXPOSED BEAM CEILINGS; NOR FOR ANY ROOFING MATERIALS SUCH AS CEMENT TILE, SHINGLES, and METALS ETC. CHANGING COLOR OR SHAPE OF MATERIALS, INCLUDING LUMBER SIZE. TIME OF COMPLETION: VICTORY E&I ROOFING AND CONSTRUCTION SHALL COMMENCE THE WORK TO BE PERFORMED UNDER THIS CONTRACT WITHIN TWO WEEKS OF RECEIPT OF FIRST DEPOSIT. A DATE WILL BE SET FOR THE SUBSTANTIAL COMPLETION DEPENDING ON THE SCOPE OF WORK FOR THE ADDRESS LISTED IN THE ATTACHED PROPOSAL. VICTORY E&I ROOFING AND CONSTRUCTION SHALL NOT BE LIABLE FOR ANY DELAY DUE TO CIRCUMSTANCES BEYOND ITS CONTROL INCLUDING PERMIT ISSUES, STRIKES, CASUALTY, ACTS OF GOD, ILLNESS, INJURY, OR GENERAL UNAVAILABILITY OF MATERIALS. CHANGES TO SCOPE OF WORK: OWNER MAY MAKE CHANGES TO THE SCOPE OF THE WORK, INCLUDING CHANGES TO THE DRAWINGS AND SPECIFICATIONS, FROM TIME TO TIME DURING THE CONSTRUCTION OF THE PROJECT. HOWEVER, ANY SUCH CHANGE OR MODIFICATION SHALL ONLY BE MADE BY WRITTEN "CHANGE OR- DER" SIGNED BY BOTH PARTIES. SUCH CHANGE ORDERS SHALL BECOME PART OF THIS CONTRACT. OWNER AGREES TO PAY ANY INCREASE IN THE COST OF THE PROJECT AS A RESULT OF A CHANGE ORDER. IN THE EVENT THE COST OF A CHANGE ORDER IS NOT KNOWN AT THE TIME A CHANGE ORDER IS EXECUTED, THE CONTRACTOR SHALL ESTIMATE THE COST THEREOF AND OWNER SHALL PAY THE ACTUAL COST Wi-IETHER OR NOT IT IS IN EXCESS OF THE ESTIMATED COST. Contractor Name: Victory I ofing and Construction_ f Contractor Signature Date: I confirm that my action here represents my electronic signature and is binding Signature Approved by: #4juan Humberto Perez Date: 2-18-2019 11:53 AM rt�cr��LL� c�i��,cN'�6No SAPo2�,T� ROOF ASSEMBLIES AND ROOFTOP STRUCTURES RECEIVED MAR 01 2019 UPI Florida Building Code 6th Edition (2017) NEI High -Velocity Hurricane Zone Uniform Permit Application Form.Tr IF I Section A (General Information) Amp Ma r r Process No. Un r' ' amp Ili tory E&I Roofinq and Construction LLC Job Address 230 NE 104 ST Miami Shores, FL 33138 11/11/01 11/1111IFU 1 11�II1C�1 ROOF CATEGORY : • • "" "" • • ® Low Slope ❑ Mechanically Fastened Tile ❑ Mortar/Adhesivgrel Tile " • • • • • •: • •••••. ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood Shinglp*hek es 0000 • ❑ Prescriptive BUR -RAS 150 • • • • • •.. .• •• . ..••.. ROOFTYPE �'•�•� • • ' ❑ New Roof ❑ Repair ❑ Maintenance ® Reroofing ❑ Recoye ing :"••• • . ' ROOF SYSTEM +•�• ' INFORMATION Low Slope Roof Area (SF) 1000 Steep Sloped Roof Area (SF) Total (SF) 0 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. 10111■mII�I 11/11/01 11/1111IFU 1 11�II1C�1 15.32 FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING 230 NE 104th St, Miami Shores, FL Victory Engineers and General Contractors Length Diagram Ridge Length = 165 ft [Red Lines] Iii Valley Length = 39 ft [Blue Lines] - . \ A h . , f' 0000 • 0000 0000 0000 iV 41 This diagram contains values derived from roof pitches that were not determined or verified by EagleView Technologies. Note: In some cases, segment lengths under 5 feet have been removed for readability. A 0000•• • • • 0000•• 0000•• 0000• 0000• • 0000•• 0000•• 0000•• Page 1 0 2008-2019 Eagle View Technologies, Inc. and Pictometry International Corp. -All Rights Reserved -Covered by one or rare of U.S. Patent Nos 8,078,436;8.145,578:8,170,840;8,209,152; Report: 26989468 8,515,125; 8,938,090; 8,818,770; 8,542,880; 9,244,589; 9,329,749, Other Patents Pending. ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 6th Edition (2017) Hlgh-Velocity Hurricane Zone Uniform Permit Application Form. Section C (Low Slope Application) Surfacing: N/A Fill in specific roof assembly components and identify manufacturer Fastener Spacing for Anchor/Base Sheet Attachment: (If a component is not used, Identify as "NA") Field: 6 " oc @Lap, #Rows 6 @ L--2' oc System Manufacturer: G.A. F Product Approval No.: 18-0919-12 Design Wind Pressures, From RAS 128 or Calculations: Pmax1:-49.2 Pmax2:-82.6 Pmax3:-124.3 Max. Design Pressure, from the specific Product Approval system: Deck: Type: Plywood Deck GaugelThickness:5/8" Slope:min 1/8 = 12(EXSITING) Anchor/Bass Sheet & No. of Ply(s):N/A Anchor/Base Sheet Fasten erlBondIng Material: Insulation Base Layer: N/A Base Insulation Size and Thickness: Base Insulation FastenerlBonding Material: Top Insulation Layer: N/A Top Insulation Size and Thickness: Top Insulation Fastener/Bonding. Material: Base Sheet(s) & No. of Ply(s): G.A,F 75# Base Sheet Fastener/Bonding Material: Ply Sheet(s) & No. of Ply(s): G.A.F Rubroid 20 Ply Sheet Fastener/Bonding Material: ASPHALT TYPE 4 Top Ply. G.A. F MINERAL CAP SHEET Top Ply FastenerlBonding Material: n S12 _ _ T TVPE� Perimeter: 5--!'oc @ Lap, # Rows , @ 6_"•db• • • • • • 0000 Corner. 6 " oe @ Lap, # Rows 4' •• @; " 0c• • 0 000.0• •• •• Number of Fasteners Per InsulatiaR ftepti: • •••• •0•• Field N/A Perimeter N/f1 • • • • • Corn&,l0_• 0000•• • • Illustrate Components Noted aad Dptalls as :00900 Applicable: so*** • Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashlnl , Coun:gj; 0 • Flashing, Coping, Etc. ; • • • • Indicate: Mean Roof Height, ParapePMeight, Height of We Flashing, Component Material, Material Thickness!,%%,tVr Type, Fastener Spacing or Submit 1#15 Ih baec sheet 1-1/V ring(defonned) shade nails & ► '/0 tin tug t -plies of kuWeroid R-20-'fyixs-N asphalt attachment Grgnulaled Miperal Cap sheet Typc-tyasllhalt atlaehntenl Al-LTIIE { IMNII)RANI:S N1'ILL BE'f1:RMINA'fED ON TON OF r,utArl:T��'AI,I, CO\'I:RIa)11'1TII i1lODIFI 'D All- lfltltANI" FLORIDA BUILDING CODE 6th Edition (2017) — BUILDING 16.33 0000• • 0000• s 0000• • 0000• • 0000• 0000• • , Edge Nailable Deck MIAMNOADE "Delivering Excellence Every Day" Miami -Dade County HVHZ Electronic Roof Permit Form Illustrate Components Noted and Details as Applicable: Top Ply .... .... ...... ..... • . . ..... Inter lies " " • • • • ; Roof Mean Height:; 4 ft.P Base Sheet ..... . . Drip Metal: • 3" Face 26 ga. drip metal Surfacing: st- Drip Metal n/A Top Ply: Mineral Surfaced Fiberglass Cap Sheet Interplies: Ruberiod 20 Base Sheet: Roof Deck k # 75 Glass Base Sheet ° Deck Type: 5/8" Plywood SNaRCs F<OORRIMDP SECTION 1524 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govern the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner antthe cpntractor,*fIli owneq..... initial in the designated space indicates that the item has been explained.ro 00 • n .00 2. . Renailing wood decks: When replacing roofing, the existing vjMd'rWf deck"Al rave td • be renailed in accordance with the current provisions of Section R4403. (The r'oo1 deck is ugualI 00: concealed prior to removing the existing roof system). .... . ...... 4. Exposed Ceiling: Exposed, open beam ceilings are where the Indgrslde of WroWdecki% • • can be viewed from below. The owner may wish to maintain the architectural ilmeBfance;:he"pre, • • roofing nail penetration of the underside of the decking may not be acceptable. This provide's the option of maintainin the appearance. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install. nstall erf w s ppers in accordant with the requirements of Sections R4402, R4403 and R4413. Owner/Agent's nature Date Contractor Signature Date 230NEE Property Address Revised on 7/9/2009 LD;07/01/2015; Permit Number MIAMI- DADE MIAMI -DADS COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Roan 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 130ARD AND CODE. ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.em/economy 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 allowedby the •....' Authority Having Jurisdiction (AHJ). • • • This NOA shall not be valid after the expiration date stated below. The Miami -Dade County product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade loamy) reserve the right to have this product or material tested for quality assurance purposes. Ifrhis product ol:" material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or mater iril chin :...: • their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by�Mia � Dade County Product Control Section that this product or material fails to meet the requirements o the • applicable building code. • • • • • • This product is approved as described herein, and has been designed to comply with the Flbtida$uildiV • • Code including the High Velocity Hurricane Zone of the Florida Building Code. 0000 • DESCRIPTION: GAF Ruberoid®Modified Bitumen Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 15-1020.01 and consists of pages 1 through 67. The submitted documentation was reviewed by Jorge L. Acebo. MIAMI•DADE COUNTY NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 1 of 67 A ROOFING SYSTEM APPROVAL Cateeol v: Roofing Sub -Category: Modified Bitumen Material: APP/SBS Deck Type: Wood Maximum Design Pressure: -105 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: 39.37" Nailable Venting Base Sheet TABLE 1 Ruberoid®HW 25 Smooth 39.37" Test Product Product Dimensions Specification Description see* GAFGLAS' Ply 4 39.37' ASTM D2178 Smooth surfaced as haltic T_): sheet Smooth surfaced torch applied SBS base (1 meter) Wide or ply sheet reinforced with a polyester reinforced with fibe glass na Tri -Ply' Ply 4 Ply Sheet 39.37" ASTM D2178 Smooth surfaced asphi lt*i*c ply sheet sheet reinforced with a polyester mat. (1 meter) Wide Fire retardant granule surfaced heat - reinforced with fiberglass mat. GAFGLAS® 39.37" ASTM D2178 ease Smooth surfaced asphalli� per sheet • • FlexPly`6 (1 meter) Wide reinforced with fibergjgjwt._ • . 0 0000 GAFGLAS® #75 Base Sheet 39.37" ASTM D4601 Smooth asphaltic based!- UaSe/ply shtet (1 meter) Wide reinforced with fiber • Tri -ply -ase -sheet 39.37" ASTM D4601 Smooth asphaltic base or bas8/ply sftt • (I meter) Wide reinforced with tibergEass pial GAFGLAS® 480 Ultima"Base 39.37' ASTM D4601 Smooth asphaltic base drbas8/ply s*et, • • Sheet (1 meter) Wide reinforced with fiberglass mat. 0090 GAFGLAS® Stratavent® 39.37" Perforated Venting Base Sheet (1 meter) Wide GAFGLAS® Stratavent® 39.37" Nailable Venting Base Sheet (1 meter) Wide Ruberoid®HW 25 Smooth 39.37" (1 meter) Wide Ruberoid® HW Smooth 39.37" ASTM D6163 (1 meter) Wide Ruberoid® HW Granule 39.37" (I meter) Wide Ruberoid® HW Granule FR 39.37" (I meter) Wide Ruberoid® HW Plus Granule 39.37' (I meter) Wide Ruberoid® HW Phos Granule 39.37" FR (I meter) Wide MIAMPDADE COU 1A am ASTM D4897 Smooth surfaced asphaltic perforated NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 2 of 67 •000. • 0000. 0000. • 0000. 0000. 000004 . 0000.1 . 4 .....: venting base sheet reinforced with fiberglass mat. ASTM D4897 Smooth surfaced asphaltic nailable venting base sheet reinforced with fiberglass mat. Bottom side surfaced with granules. ASTM D6163 Smooth surfaced torch applied SBS base or ply sheet reinforced with a fiberglass mat. ASTM D6164 Smooth surfaced torch applied SBS base or ply sheet reinforced with a polyester mat. ASTM D6164 Granule surfaced torch applied SBS cap sheet reinforced with a polyester mat. ASTM D6164 Fire retardant granule surfaced heat - welded SBS cap sheet reinforced with a polyester mat. ASTM D6164 Granule surfaced torch applied SBS cap sheet reinforced with a polyester mat. ASTM D6164 Fire retardant granule surfaced torch applied SBS cap sheet reinforced with a polyester mat. NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 2 of 67 •000. • 0000. 0000. • 0000. 0000. 000004 . 0000.1 . 4 .....: NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 3 of 67 Test Product Product Dimensions Specification Description Ruberoid® EnergyCapT" HW I meter ASTM D6164 Fire retardant granule surfaced heat - Plus Granule FR (39.37") Wide welded SBS cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT® EnergyCoteT"' Elastomeric Coating. Ruberoid® Torch Smooth 39.37" ASTM D6222 Smooth surfaced torch applied API3 base (I meter) Wide or ply sheet reinforced with a polyester mat. Tri -Ply' APP Smooth 39.37" ASTM D6222 Smooth surfaced torch applied APP cap, Membrane (1 meter) Wide base or ply sheet reinforced with a polyester mat. 4,• Ruberoid® Torch Granule 39.37" ASTM D6222 0 0 Granule surfaced torcl?WieV APP cap (I meter) Wide sheet reinforced with e6gglygs4er mat! + Tri-PlyQ° APP Granule Cap 39.37" ASTM D6222 Granule surfaced torch �e APP cap + Sheet (I meter) Wide sheet reinforced with a gglygster mat. +++• Ruberoid" Torch Plus Granule 39.37" ASTM D6222 Fire retardant granule stTAV4 torch. .... •+• • FR (1 meter) Wide applied APP cap sheet!AVSted wi"4 • ; • polyester mat. 04, o f Ruberoid® EnergyCap'` 39.37" ASTM D6222 Fire retardant granule NIT= torch Torch Plus Granule FR (1 meter) Wide applied APP cap sheet reinforced wi%a.;. polyester mat. Cap sheet is factory coated with TOPCOAT® EnergyCoteT" : .00. •0. Elastomeric Coating. *00* Ruberoid® EnergyCap' 39.37" ASTM D6222 Fire retardant granule surfaced torch Torch Granule FR (1 meter) Wide applied APP cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT® EnergyCoteT"' Ruberoid® 20 Smooth 39.37' ASTM D6163 Elastouler4y Casting SBS polymer -modified asphalt base or ply (I meter) Wide sheet reinforced with a fiberglass mat. Ruberoid® 30 Granule 39.37" ASTM D6163 Granule surfaced mop applied SBS cap (1 meter) Wide sheet reinforced with a fiberglass mat. Ruberoid® 30 Granule FR 39.37" ASTM D6163 Fire retardant granule surfaced mop (1 meter) Wide applied SBS cap sheet reinforced with fiberglass mat. Ruberoid® 30 Plus Granule FR 39.37" ASTM D6163 Fie retardant granule surfaced mop (1 meter) Wide applied SBS cap sheet reinforced with fiberglass mat. Ruberoid® Mop Granule 39.37" ASTM D6164 Granule surfaced mop applied SBS cap (1 meter) Wide sheet reinforced with a polyester mat. Tri -Ply® SBS Granule Cap 39.37' ASTM D6164 Granule surfaced mop applied SBS cap Sheet (I meter) Wide sheet reinforced with a polyester mat. Intec Flex PRF 39.37' ASTM D6164 Granule surfaced mop applied SBS cap (1 meter) Wide sheet reinforced with a polyester mat. Ruberoid° Mop Smooth 39.37' ASTM D6164 Smooth surfaced mop applied SBS base (1 meter) Wide sheet reinforced with a polyester mat. NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 3 of 67 rp GAFGLAS® Mineral -Surfaced 39.37" ASTM D3909 Granule surfaced asphaltic cap sheet'.; Cap Sheet (1 meter) Wide reinforced with fiberglass mat. Tri-Plym BUR Granule Cap 39.37" ASTM D3909 Test Product Product Dimensions Specification Description Ruberoid® Mop Smooth 1.5 39.37" ASTM D6164 Smooth surfaced mop applied SBS base (1 meter) Wide sheet reinforced with a polyester mat. Ruberoid' Mop Plus Smooth 39.37" ASTM D6164 Smooth surfaced mop applied SBS base or (l meter) Wide ply sheet reinforced with a polyester mat. Ruberoid' Mop Plus Granule 39.37" ASTM D6164 Granule surfaced mop. applied SBS cap (1 meter) Wide sheet reinforced with a polyester mat. Ruberoid' Mop Plus Granule 39.37" ASTM D6164 Fire retardant granule surfaced mop FR (1 meter) Wide applied SBS cap sheet reinforced with a polyester mat. Ruberoid' EnergyCap'" Mop 39.37" ASTM D6164 Fire retardant granule surfaced mop Plus Granule FR 1 meter Wide applied SBS cap sheet reinforced with.a oo Cap polyester mat. sliest s 6e ory coaled with TOPCOAT' Ener yCoteA +' • Elastomeric Coating. � Ruberoid' Mop Granule FR 39.37" ASTM D6164 � � � Fire retardant granule suvic ed mop (I meter) Wide applied SBS cap sheet #b1rLfpLced widta + polyester mat. Ruberoid' EnergyCap"' 30 39.37" ASTM D6163 *00006 : Fire retardant granule sVl; Ajqd'mop : • • • • • Granule FR (1 meter) Wide applied SBS cap sheet "Tjfptced with a fiberglass mat. Cap sthjet iSf4tory cpated� with TOPCOAT® EnergyCote. "' ; • • • • • rp GAFGLAS® Mineral -Surfaced 39.37" ASTM D3909 Granule surfaced asphaltic cap sheet'.; Cap Sheet (1 meter) Wide reinforced with fiberglass mat. Tri-Plym BUR Granule Cap 39.37" ASTM D3909 Sheet (1 meter) wide GAFGLAS®EnergyCap'" 39.37" ASTM D3909 Mineral -Surfaced Cap Sheet (1 meter) Wide TOPCOAT' Membrane United Coatings"' Roof Mate TCM Coating TOPCOAT' Surface Seal SB 1, 5 or 55 gallons 1,Sor55 Gallons ASTM D6083 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. ASTM D6083 Water-based elastomeric coating 5 or 55 gallons ASTM D6083 United Coatings"' Surface Seal 5 or 55 Gallons ASTM D6083 SB Roof Coating TOPCOAT® MB Plus United Coatings"' Roof Mate MB Plus Coating 5 or 55 gallons Proprietary 5 or 55 Gallons Proprietary 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.: 18-0919.12 MIAMPDADECOUNTY Expiration Date: 11/06/23 � l Approval Date: 11/01/18 Page 4 of 67 Membrane Type: SBS/SBS Cold Applied Deck Type 1: Wood, Non -insulated Deck Description: Min. 19/32" or greater plywood or wood plank secured 6 in. o.c. with 8d ring shank (Maxinuun Design Pressure —45 psf. See Genera/ Lttttttattou t#'l Fastening GAFGLAS® FlexPly''I 6, GAFGLAS® 475 Base Sheet, Tri -Ply® #75 Base Sheet or Option #3: any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. Not for use with DensDeck or SECUROCK Fire Barrier (Maximum Design Pressure -52.5 psf. See General Limitation #7) Fastening GAFGLAS' #75 Base Sheet, Tri -Ply' #75 Base Sheet or any of above base sheets Option #4: attached to deck with Drill -Tec" #12 Fastener or Drill -Ted"' #14 Fastener and Drill- Tecl` 3" Steel Plate, Drill -Tec' AccuTrac® Flat Plate or Drill -Tec'" AccuTrae 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 -45 psf. See General Limitation #9) Fastening GAFGLAS® #80 Ultima"' Base Sheet, Ruberoid® 20 Smooth, Ruberoid® Mop Option #5: Smooth base sheet attached to deck approved annular ring shank nails and 3" inverted Drill -Tec'" 3" Steel Plate at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. Not for use with DensDeck or SECUROCK Fire Barrier (Maxinutin Design Pressure -60 psf. See General Limitation #7) NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 51 of 67 0000• • 00.00 • •0000 •••9• 6900• nails to supports spaced 24 in. o.c. max. System Type E(1): Anchor sheet is mechanically attached to roof deck. (Non -insulated systems) All General and System Limitations shall apply. Fire Barrier: FireOut"' Fire Barrier Coating, VersaShield® Fire -Resistant Roof Deck Protection, (optional) VersaShield' Solo"" Fire -Resistant Slip Sheet, DensDeck®R.00f Board, SECUROCKO Gypsum -Fiber Roof Board, or SECUROCK Glass -Mat Roof Board. Base sheet: GAFGLAS® #80 Ultima "' Base Sheet, GAFGLAS® Stratavento Ipilab� Ventirl� • Base Sheet, Ruberoid' 20 Smooth, Ruberoid° HW Smooth or Rulftrjgitl®:-IW 25 0 Smooth base sheet mechanically fastened to deck as described belQvt; . . . 0.0.: • Fastening GAFGLAS' Ply 4, Tri -Ply® Ply 4 Ply Sheet, GAFGLAS® FlexPly` 8,'6ATGLAS® • Option #1: #75 Base Sheet, Tri -Ply's #75 Base Sheet or any of above base sheele gMehed to • • • • • . deck with approved annular ring shank nails and tin caps at a fastenJi 1going of 9"' • • o.c. at the lap staggered and in two rows 18" o.c. in the field. •: •: : •. •: • Not for use with DensDeck or SECUROCK Fire Barrier • • (Maxitttton Design Pressure -45 psf. See General Limitation #9) 0 � 0 �: • Fastening GAFGLAS° Ply 4, Tri -Ply`° Ply 4 Ply Sheet, GAFGLAS® FlexPly'; 6, GpFGLA3° • • • • Option #2: #75 Base Sheet, Tri -Ply® #75 Base Sheet or any of above base sheets siftaGhed to 6 00 deck with Drill -Tec'" #12 Fastener or Drill -Ted"' #14 Fastener and Drill -Tec"' 3".: 0 9 0 Steel Plate, Drill -Tec'" AccuTrac® Flat Plate or Drill -Tec'" AccuTrae 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. (Maxinuun Design Pressure —45 psf. See Genera/ Lttttttattou t#'l Fastening GAFGLAS® FlexPly''I 6, GAFGLAS® 475 Base Sheet, Tri -Ply® #75 Base Sheet or Option #3: any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. Not for use with DensDeck or SECUROCK Fire Barrier (Maximum Design Pressure -52.5 psf. See General Limitation #7) Fastening GAFGLAS' #75 Base Sheet, Tri -Ply' #75 Base Sheet or any of above base sheets Option #4: attached to deck with Drill -Tec" #12 Fastener or Drill -Ted"' #14 Fastener and Drill- Tecl` 3" Steel Plate, Drill -Tec' AccuTrac® Flat Plate or Drill -Tec'" AccuTrae 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 -45 psf. See General Limitation #9) Fastening GAFGLAS® #80 Ultima"' Base Sheet, Ruberoid® 20 Smooth, Ruberoid® Mop Option #5: Smooth base sheet attached to deck approved annular ring shank nails and 3" inverted Drill -Tec'" 3" Steel Plate at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. Not for use with DensDeck or SECUROCK Fire Barrier (Maxinutin Design Pressure -60 psf. See General Limitation #7) NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 51 of 67 0000• • 00.00 • •0000 •••9• 6900• Fastening GAFGL,ASI #75 Base Sheet, Tri -Ply® #75 Base Sheet or any of above base sheets Option #6: attached to deck with Drill -Tec"' #12 Fastener or Drill -Tec" #14 Fastener and Drill - Tec'" 3" Steel Plate, Drill -Teo" AccuTracl Flat Plate or Drill -Tec"' AccuTrac® Recessed Plate installed 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf. See General Limitation #7) Ply Sheet: (Optional) One or more plies GAFGLAS' Ply 4, Tri -Ply® Ply 4 Ply Sheet, GAFGLAS' FlexPly" 6, GAFGLAS® 980 Ultima" Base Sheet, Ruberoid® Mop Smooth, Ruberoid® Mop Smooth 1.5, Ruberoid® Mop Plus Smooth or RuberoidQ4 20 Smooth sheet adhered in a full mopping of approved asphalt applied within the E%T• •' range and at a rate of 20-40 lbsd _ • Membrane: One or more plies of Ruberoid® Mop Smooth, Ruberoid° Mop Smooth•1.5,• • • • • •; Ruberoid® Mop Plus Smooth, Ruberoid' Mop Granule FR, Ruberoici*1 * 10Granule, • Tri -Ply' SBS Granule Cap Sheet, Intec Flex PRF, , Ruberoid®Mop Pfus•-Anule, • • • • Ru eroid 20 Smooth Ruberoid' 30 Granule, Ruberoid® EnergyCapa'1a Granule'....' FR, Rube- roid 30 Granule FR, Ruberoid® 30 Plus Granule FR, or Ru;ero'id® Mop. . . 0000 0000 Plus Granule FR in adhered in a full mopping of approved asphalt applied within tr EVT range and at a rate of 20A0 lbs./sq. • �... __ - .,.m -.a�_. One or more plies of Ruberoid® Mop Smooth, Ruberoid® Mop Smoot 1.5,. • • Ruberoid Mop Plus Smooth, Ruberoid® Mop Granule, Tri -Ply® SBS•C►P1►uYP Cap . . • Sheet, lntec Flex PRF, , Ruberoid® Mop Granule FR, Ruberoid® Mop Plus 0000 Granule, Ruberoid® 20 Smooth, Ruberoid® 30 Granule, Ruberoid® EnergyCap", 30 Granule FR, Ruberoid' 30 Granule FR, Ruberoid°° 30 Plus Granule FR, or Ruberoid® Mop Plus Granule FR adhered in MatrixTm 102 SBS Membrane Adhesive at an application rate of 1-2 gal./sq. Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. I. Gravel or slag applied at 400 lbs./sq. and 3001bs./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 GAFGLAS09 EnergyCap" 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 NOA No.: 18-0919.12 M►AMIDADECOUNW Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 52 of 67 0000. 0000. 0000. 0000 0000 0000 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLAS® FlexPly" 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum %" DensDecko Roof Board or''/s" 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 000000 approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or nredranioally • • • • attached using the fastening pattern of the top layer • • • • • 3. All standard panel sizes are acceptable for mechanical attachment. When applied in appubved • • asphalt, panel size shall be 4'x 4' maximum. 000000 4. An overlay and/or recovery board insulation panel is required on all applications over elosed cell •"" foam insulations when the base sheet is fully mopped. if no recovery board is used the4ba sheet ""• shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" t +!Oitstrip ;...:. mopped 8" ribbons in three rows, one at each side lap and one down the center of thesheet'allowint?, a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" brea%S1T,r§e • placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either systeln shalC...:. be ata minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited t4 a rylR;imume design pressure of -45 psf. • • 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field-tested, are below 275 lbf insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code, END OF THIS ACCEPTANCE NOA No.: 18-0919.12 MiAMEC LINTY Expiration Date: 11/06/23 WApproval Date: 11/01/18 Page 67 of 67 20. Deck: C-15/32 Incline: 1 UL Class A Base Sheet: — One ply Type G2 "GAFGLAS® #75 Base Sheet" or "Tri -Ply® #75 Base Sheet" mechanically fastened. Insulation (Optional): — Any thickness or combination: perlite or wood fiber or glass fiber or polyisocya Nnurate, mechanically fastened or hot mopped or adhered with OMG Inc. "011y Bond Fastening System" or any UL Classified insulation adhesive. Base Sheet: — one or more plies "RUBEROID® 20 Smooth", "Ruberoid® 20 Pius' • 4444 Smooth" or "RUBEROID® HW 25 Smooth", mechanically fastened k f th:, adhered . with hot roofing asphalt.• 4444.. 4444 Cap Sheet: — Type G3 "GAFGLAS® Mineral Surfaced Cap Sheet" RUR Granule Cap Sheet" or "GAFGLAS® Energy CapTM Mineral -Surfaced C!ap.Sheeti'"'"- .... 4000 4444.. • 4 4444.. 4444 • 4444.. • 14. Deck: C-15/32 • • • •" 4444 Incline: 2 Barrier Board (Optional): - One or more layers Georgia-Pacific Gypsum LLC "Dens Deck(r) Roof board" or "Dens Deck(r) Prime Roof board" or "Dens Deck(r) Dura Guard(tm) Roof board", minimum (1/4) -in. thick, or United States Gypsum Co. "SECUROCK(r) Roof Board" (Type FRX-G) or "SECUROCK(r) Glass -Mat Roof Board" (Type SGMRX), minimum (1/4) -in. thick. Insulation (Optional): - One or more layers perlite or wood fiber or glass fiber or polyisocyan u rate or perl ite/polyisocyan u rate composite or wood fi ber/polyisocyan u rate composite any thickness mechanically or adhered with hot roofing asphalt. Base Sheet: - One ply "GAFGLAS(r) Strata vent(r) Perforated Venting Base Sheet" or Type G2 "GAFGLAS(r) #75 Base Sheet `or "Tri-Ply(r) #75 Base Sheet" or "GAFGLAS(r) #80 Ultimo(tm) Base Sheet" or "GAFGLAS(r) Strata vent(r) Nail able Venting Base Sheet" or "GAFGLAS(r) Strata vent(r) Perforated Venting Base Sheet", mechanically fastened or fully adhered with hot roofing asphalt. Ply Sheet: - Two or more plies Type G1 "GAFGLAS(r) Ply 4" or "Tri-Ply(r) Ply 4" or "GAFGLAS(r) Ply Flex 6" or "Tri-Ply(r) Ultra -Flexible Ply 6" or "RUBEROID(r) Mop Smooth" or "RUBEROID(r) Mop Smooth 1.5" or "RUBEROID(r) Mop Smooth Plus", "Ruberoid(r) 20 Plus Smooth" or "RUBEROID(r) 20 Smooth", fully adhered with hot roofing asphalt. Membrane: - Type G3 "Tri-Ply(r) BUR Granule Cap Sheet" or "GAFGLAS(r) Mineral Surfaced Cap Sheet" or "GAFGLAS(r) Energy Cap(tm) Mineral -Surfaced Cap Sheet", fully adhered with hot roofing asphalt. 4444.. 4444.. 4444.. 4444. 44444 4444.. 4444.. 4444.. Miami Shores Village 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 STRUCTURESRURSUANT • • 0.00.0 0000 TO SECTION 553.844 F.S. •. .. 0000.. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: YV\ \ CheN 1 Property Address: `i 2) d /J C O Roofing Permit Number: ...... •• Date: ••.T� � �• • • 0000 0000 0,000. 0000 0000.. :000*: *0:0* 0000. ... 0000.. • 0000.. s �L 33 0000 D arildi g Official' I G1��^�l��S�l��b "I 'T certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by th da Building Commission by Ru Signature State of Florida County of Dade le 9B-3.047 F.A.C. Print Name The undersigned, being the first duly sworn, depose and says that I Sworn to and subscribed before me this day of Notary Public, Sate of Florida at Large (SEAL) Revised on 5/21/2009 CA the owner for the above property mentioned. ------------ Notary Public -lorida SIGALA:Sep Commission33MyC•rnrn.Exp2021Bcnded through NryAsSn. FINAL COMPLIANCE Miami shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE: Permit # DATE: r •�••� INSPECTION AFFIDAVIT •":" •90•V',I� �<' �A& V\OV\ vl� mo�R Y , • licensed as a n ContIll"er En ii3es-:Archit'j:•* (Print name and circle License Type) FS 468 Building lnspeC (O 000 • '• 0 , , . 009.00 • License #: ccc— (-) 15 O 0000• , • • • • 0000•• On or about , I did personally inspect the roof deck nailing (Date & time) work at QV Ne D St MiaMli (Complete Job Site Address) I- 3'�> r Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) Ym v Signature State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subs ribed before me this day of C/\ S k� P�� k Notary Public, Sate of Florida at Large 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection ^taw'a�s•.,, SIGAL ASEAGEL Notary Public - State of Florida • . h! Commission: GG 141133 9 a. M C• rn. Expires Sep 4, 2021 Y P Bonded through National NotaryAssn. The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subs ribed before me this day of C/\ S k� P�� k Notary Public, Sate of Florida at Large 'General, Building, Residential, or Roofing Contractors or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with permit # and address # clearly shown marked on the deck for each inspection