The URL can be used to link to this page

RF-20-83Mid1111 JI IUI CJ V 111dgC 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Ea/ROOFING ENTERED JAN 14 2020 BY: FBC 2011 UA-k Master Permit No. Q F— 01 - ZD ` S 2) Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: -1-1 A W 100t, �e_ City: Miami Shores County: Miami Dade Zip: 3�✓ SV Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 1 wp� q OWNER: Name (Fee Simple Titleholder): TAk(1kGG++,, _ �Q`��r-�-`i i �Mam'� Phone#: C.d� ' -L`4 - I l Address: -7 -1 yx %.10 ) 0 () fih kip City: l itdV-[ NC) Y-f S State: L Zip: 7 3 so Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: MoLjf CAtitt LoLvA 44 CLl Phone#: 30 S- (jo - Address: City: P`` �0-� State: Zip: 3 D L Sb Qualifier Name:-Y^Vim✓ ?kApr ✓I-- to fr y Phone#: � 6 �3 So -O rN State Certification or Registration #: CCC (�3 1.� Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: L Value of Work for this Permit: $ 3^' �0 Square/Linear Footage of Work: 2S0�T- Type of Work: ❑ A dition ❑ Alteration ❑ New [Repair/Replace ❑ Demolition Description of Work. �,O��C77 ' Specify color of�olorat�rutile: •.: ;., -,- ;��'s�: °:.lt. ,��`�,,� ''' Submittal Fee $� na • Permit Fee $ Z _ I ~.- �. Scanning Fee Radon Fee $'_ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $r\ Structural Reviews $ Bond $ SDO TOTAL FEE NOW DUE S 22'1 . '4b =�'Z 4,90 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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: 1 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 6E�:� ERorAGENT The foregoing instrument was acknowledged before me this day of 20 `Zd . by 111- ho is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign -'-� 4-1— Print:'ObrLz-Al!= Seal: CHRISMPNON MY COMMISSION # 00 286219 EXPM December 20,2622 **s*ss*ss APPROVED BY ( f" P/1610 Signature CONTRACTOR The foregoing instrument was acknowledged before me this 1_ day of r 20 20 by ww o is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: PWA Print: Seal: as CHRISM PNON . '. MY COMMISSION 9 :36219 s*:ssss::***ss*ssss ' � ss�'M4fs"[y9lydrAl�'!*�'2�J21* ss*s*s*ssss ••- a - Plans Examiner Zoning Structural Review Clerk RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY b a STATE OF FLORIDA DEPARTMENT OF BUSINES1ANDzR_ OFESSIONAL REGULATION aE 8 I CONSTRUCTr DUSRIL==ICE S NG BOARD S , 1� �:�.� THE ROO-FIN CQ k`F-I CTOR HE .E '-19C-E - EIEDWNDER THE PROVIS OR CHAPTER 489.-F ORIOA TA, UTES lul ti Ml EXPIRAT110NeCJOUST 31, 2020 Always verify licenses online at MyFloridaLicense.com X 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. MIIIAM MIAMI-DADE COUNTY - STATE OF FLORIDA N/A January 13, 2020 Ms LOCAL BUSINESS TAX RENEWAL 7265694 2019 -2020 APPLICATION RECEIPT: 7553366 STATE # CCC1331664 DBA/BUSINESS NAME: BUS. COMMENCEMENT DATE:10/30/2018 MADE EASY ROOFING AND CONSULTING LLC SEC TYPE OF BUSINESS BUSINESS LOCATION: BLDGS SPECIALTY BUILDING CONTRACTOR 19408 NW 82ND CT 2 MIAMI, FL 33015 OWNER/CORP. MADE EASY ROOFING AND CONSULTING LLC C/O JAVIER MARTICORENA PHONE # 786-350-8124 19408 NW 82ND CT MIAMI, FL 33015 NAICS CODE: 238990 If no longer in business, please notify us in writing. Review and correct the information shown on this application. APPLICATION DETAILS FEE AMOUNT Receipt Fee 30.00 UMSA Fee 30.00 Beacon Council Fee 15.00 Bingo Permit Fee 0.00 Nightclub Permit Fee 0.00 Mufti -Municipal Contractor Fee 0.00 Restricted Contractor Fee 0.00 Library Fee 0.00 Transfer Fee 0.00 Doing Business without a License Penalty 0.00 Late Penalty 15.00 Collection Cost 0.00 NSF Fee 0.00 Prior Years Due 0.00 Amount Recently Paid _ 90.00 TOTAL AMOUNT DUE: 0.00 To pay online go to httas://miamidade.county-taxes.com To pay by mail, make check payable to: Miami -Dade County Tax Collector A 25% penalty will be assessed to anyone found operating Business Tax without a paid local business tax, in addition to any other 200 NW 2nd Avenue, 3nd Floor penalty provided by law or ordinance (Sec 8A-176(2)). Miami FL 33128 To pay in person go to: A Certificate of Use and/or City Business Tax 200 NW 2nd Avenue, 1st Floor Receipt may also be required. (305) 270-4949 local. busi nesstax@m iam idade.gov A service fee of not less than $25.00 up to a minimum of 5% will be charged for all returned checks. MIAMI-DADE COUNTY - STATE OF FLORIDA LOCAL BUSINESS TAX 2019 - 2020 APPLICATION 7265694 BUSINESS LOCATION: 19408 NW 82ND CT MIAMI, FL 33015 t RETAIN FOR YOUR RECORDS t + DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT + OWNER/CORP. MADE EASY ROOFING AND CONSULTING LLC C/O JAVIER MARTICORENA MADE EASY ROOFING AND CONSULTING LLC C/O JAVIER MARTICORENA 19408 NW 82ND CT MIAMI, FL 33015 NIA January 13, 2020 RENEWAL RECEIPT: 7553366 STATE #CCC1331664 BUS. COMMENCEMENT DATE: 10/30/2018 SEC TYPE OF BUSINESS BLDGS SPECIALTY BUILDING CONTRACTOR 2 APPLICATION IS HERESY MADE FOR A LOCAL BUSINESS TAX RECEIPT OR PERMIT FOR THE BUSINESS PROFESSION OR OCCUPATION DESCRIBED HEREON. I SWEAR THAT THE INFORMATION IS TRUE AND CORRECT. SIGNATURE REQUIRED SEE INSTRUCTIONS ABOVE Please pay only one amount. The amounla due zftr Sept Seth include penalties per FS 205.053. if Paid By Jan 31, 2020 Feb 29, 2020 Mar 31, 2020 Apr 30, 2020 Please Pay $0.00 $0.00 $0.00 $0.00 7000000000000000000000007553366202000000007500000000000008 MAnF:FAnnn1 PAMFRSAN .44C6M1':X CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 1/14/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kaitlin Riley ME PHONE No, Ext): (754 202-0885 FAx ) (A/c, No):(954) 454-1714 Riemer Insurance Group, Inc. P O Box 250 Hallandale, FL 33008 E-MAIL • kriley@riemerinsurance.com INSURERS AFFORDING COVERAGE NAIC p INSURER A: Rockingham Casualty Company INSURED INSURER B : INSURER C Made Easy Roofing & Consulting LLC Javier Marticorena 19408 NW 82 Ct INSURER D INSURER E : Hialeah, FL 33015 INSURER F rnvcoer_oc rFaTIFIrATP NI IMRFR- RFVISIAN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLDICDY EXPLTR IYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR RFLA209089-01 10/29/2019 10/29/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TSESO R(EaENTEDREM $ 50,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JEC LOC OTHER: GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTO{{S�� E AUTOS ONLY N&N-( ONLD tE,COMBINED SINGLE LIMIT $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY AMAGE Per.cadent $ UMBRELLA UAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ X.FICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STA LITE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFIED ROOFING CONTRACTOR LICENSE M CCC1331664 r%cwricie`A= uni n= rANCFI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Bldg Dept 9 9 P THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE jr ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Date: ' C1 State of Y ` (� V1 �U l� L L- C- �l County of 1 �{d(� ,�.w 15d4 J • ��0.�e_a.�� c �A Before me this day personally appeared �4�V� Q rAJ�hoo�%eing duly sworn, deposes and says: That he or she will be the only person rking on the project located t: l Sworn to (or affirmed) and subscribed before me this day of 20 2il, by Personally know OR produced Identification Type of Identification Produced vc� l p k CHRISTINE PINON ) MY COMMISSION Y GO 2MM � 1 -j'• EvIRES. Demtw 206 2022 t`�`: 6o�dedlf� PublleUnE�+lten Print, Type, or Stamp Name of Notary Ohl- I�)) PC ' ( ?3 6 6 Notice to Owner — Workers' Corn Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation 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 State of Florida County of Miami -Dade The foregoing was acknowledge before me this �� day of JA, 20,20 . By who is personally known to me or has produced as identification. Notary. 4=� SEAL: Ctik. AIE PWON OtPIRES: Lot - . 2022 1A 8or411wN", . WOR" Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. -- COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. .......................................................................................... BUSINESS NAME: 04'e- '�u a k4 o,�( v W BUSINESS ADDRESS: tia�o $ �-�—' CITY 1 �s-� STATE T L ZIP 33 0 is BUSINESS PHONE: 3( Q S ) Li o - 2-3 FAX NUMBER ( ) CELL PHONE (_j 3� U� QUALIFIER'S NAME: �0`✓t 14,L CCC QUALIFIER'S LIC NUMBER: .i Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 03/13/2020 Location Address Parcel Number 77 NW 100TH TER, Miami Shores, FL 33150 1131010180300 Contacts Permit NO.: RF-01-20-83 Permit Type: Roof Work Classification: Flat Permit Status: Approved Expiration: 09/09/2020 BENJAMIN BRANDT Owner MADE EASY ROOFING Contractor 77 NW 100 TER, MIAMI SHORES, FL 33138 JAVIER MARTICORENA Home: 2034941349 19408 NW 82 CT, hialeah, FL 33015 Business: 3056802310 madeesayroofing@gmail.com Mobile: 7863508124 Description: RE -ROOF FLAT Valuation: $ 3,500.00 Inspection Requests:_ 305-62-4949 TotalSq Feet: 250.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $3.75 DCA Fee $2.50 Education Surcharge $0.80 Roofing Fee $200.00 Scanning Fee $9.00 Technology Fee $6.25 Total: $274.70 Payments Date Paid Amt Paid Total Fees $274.70 Credit Card 01/14/2020 $50.00 Credit Card 03/13/2020 $224.70 Amount Due: $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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize)h"oyopamed contractor to do the work stated. Authorized Signature: Owner / Applicant / tractor / Agent Date March 13, 2020 Page 2 of 2 t- ROOF ASSEMBLIES AND ROOFTOP STRUCTURES � I `E • �� .I' , ! % Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form. 1 j Section A (General Information) 1 Ma✓ste4Permit No. Process No. 1 Contractors Namei)'n 10 O1 lowgvl•�-(" �C•.•' ....�.; Job Address_ 1 ( h,� G U i '�� ✓ I t 1 a t^ 1 i h a1� � $ I• .... ? -3 1 �� • ....:. 1 ROOF CATEGORY .�•��• �•••�• �1 .... . ..... I�Low Slope ❑ Mechanically Fastened Tile ❑ Morte►/Adh2sive Set jRtf!? • • 1 ❑ Asphaltic Shingles ❑ Metal Panel/Shingles ❑ Wood ...gles/Shakes .' ❑ Prescriptive BUR-RAS 150 ' ' ROOF TYPE ..... ❑ New roof ❑ ❑ Re Repair ❑ Maintenance B-Reroofing �. aovefing 1 ROOF SYSTEM INFORMATION 1 Low Slope Roof Area (SF) 2 Uy Steep Sloped Roof AREA (SSF) Total (SF) 2c6 i; 1. i1 • 1 1 1 Section B (Roof Plan) 1 Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimen- sions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 1 1 ME MEeM�� MIEN ME�� WI ■E�� 1��iME�� ■■.■■■■■■■ ■■■■■■■■■ 1 _t�■■ ■■ MEN 0 0 0 . Mi _ !�1 ��1�� ■■■■■■■■■■■■■ ■■■■ ��,��■■■■■■■■■■■ME ■■■■■■■■■■ so ME 1 1 1 1 1 1 1 1 1 - . FLORIDA BUILDING CODE — BUILDING, Sth EDITION (2014) 15.37 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezet palacio on )un & 2015 10:32:12 AM nurNunt to I irn. . ROOF ASSEMBLIES AND ROOFTOP STRUCTURES 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 SECTION 1525 HIGH -VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code 5th Edition (2014) High -Velocity Hurricane Zone Uniform Permit Application Form INSTRUCTION PAGE •. •. a. .... COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING"PERMIT ...... APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS AS NMO IIELOW: Roof System Required Sections of the Permit Application Form ..••.• Attachments4"red ' See Liselilo my • • • Low Slope Application A,B,C 1,2,3,4,*9,,,j:• • Prescriptive BUR-RAS 150 A,B,C 4,5,6je • • • Asphaltic Shingles A,B,D 1,2,4,36,7 • Concrete or Clay Tile A,B,D,E 1,2,3,4,5,&7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED! 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design Calculations per Chapter 16, or if applicable, RAS 127 or RAS 128 4. Other Component of Product Approval 5. Municipal Permit Application 6. Owners Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing/Calculation Documentation 16.36 FLORIDA BUILDING CODE — BUILDING, Sth EDITION (2014) inamin I 1 1 1 wmaimum Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliczer Palacio on Jun 8. 2015 10:32:12 AM nunuant ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code 5th Edition (2014) 1 High -Velocity Hurricane Zone Uniform Permit Application Form. 1 1 1 Section C (Low Slope Application) Top Ply Fastener/Bonding Material: 1 Fill in specific roof assembly components and identify 1 1 manufacturer 1 (If a component is not used, identify as "NA") Surfacing: 1 Fastener Spacing for Anchor/Base Sheet Attapl lftht; 1 1 System ManufacturerSAF —Twc. Q •••• •••t;• 1 Field: �" oc @ Lap, # Rows' �' - •oc • • • y ...... Product Approval No.: 1 2 Perimeter: " oc @ Lap, # 01 • 1 Design Wind Pressures, From RAS 128 or Calculations: Comer: " oc @ Lap, # Rows • • @ • • 3• • 1 P1: P2: P3: Number of Fasteners Per InsulatrorrBoard: • �; ...... 1 Field to Perimeter ;' : 0.10 � • Max. Design Pressure, from the specific product Cor�gr t 1 approval system: 1 Illustrate Components Noted andpeta?sas Applicatle: •� • • • Deck: 1 t r I y V�/ 0 0 Woodblocking, Gutter, Edge TermiT Ation, Strippinggo 4Flt9shing , 1 • 1 Continuous Cleat, Cant Strip, Base Flashing, Cod &TIashing, 1 1 Type: Coping, Etc. IIndicate: Mean Roof Height, Parapet Height, Height of Base 1 1 Gauge/Thickness: hickness: Flashing, Component Material, Material Thickness, Fastener 1 1 Type, Fastener Spacing or Submit Manufacturers Details that 1 1 Slope: Comply with RAS 111 and Chapter 16. 1 1 Anchor/Base Sheet & No. of Ply(s):4-- 1 Z �� 1 1 Anchor/Base Sheet F to er/Bonding Mal al: 1 1 YK#t� s I '/U` ei y111��f 1 1 ns �r prgy�,�iATe� FT. Insulation Base Layer: C C ,n/ / A �O�,p�,V JJ n , � 1 1 l 1 'V 1 1 Base Insulation Size and Thickness: IV Pa apet 1 Hai i Base Insulation Fastener/Bonding Material: M \ 2 Aht g � ft 1 /V A 1 1 Top Insulation Layer: /�/�� FT. 1 "'�f ' `--- 1 1 Top Insulation Size and Thickness: Mean Roof 1 1 Top Insulation Fastener/Bonding Material: l fya Height 1 1 1 1 Base Sheet(s) & No. of Ply(s): 1 1 1 1 Base Sheet Fastener/Bonding Material: 1 1 1 Ply Sheet(s) & No. of Ply(s): 1 1 1 Ply Sheet Fastener/Bonding Material: 1 Top PI10 \I'It� �tD1� W4lAQQ 1 1 15.38 FLORIDA BUILDING CODE — BUILDING, Sth EDITION (2014) I 1 1 I J 1Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License Miami bhores 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 STRUCTURg.4PURSJIQNT TO SE ' • CTION 553.844 F.S. • • • • • • To: Miami Shores Village Building Department Date: '2•.`.f' �'�'� 10050 NE 2nd Ave • • • • ..... Miami Shores, FI 33138 • • • • "" •••••• • Re: Owner's Name: Property Addres Roofing Permit Number: Dear Building Official: iAA:L4 rcertify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 9B-3.047 F.A.C. Signatur State of Florida County of Dade Print Name The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this q" day of In. 202_ Notary Public, Sate of Florida at Large 0�,__ fF7 Z 0daedAAetoNfNi(SEAL) ZOZ'0tj9gwaaed:S3alcrx3 UZ99Z 00 0 NOISSM-1,103 M NOW MLSIuma Revised on 5/21/2009 FINAL COMPLIANCE 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 FQR EX STINg-91Y.E- .' BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES-:::*: ' ..... .... • PERSUANT TO SECTION 553.844 F.S. • • • • ' To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, A 33138 Re: Owner's Property Roofing Permit Number: ...... ... ..... a. 17at�.'• � -1• W�••.••• CS✓ • Dear Building Official: I �R �"rJ certify that I am not required to retrofit the roof to wall connections of my building because: o 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) Sign Pri Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this � day of... l�� Notary Public, Sate of Florida at C:'s1lSrNE PIW1N *: MY Cols. 6KA I GG 286M EXPIRES: December 20, 2022 PubAc tlndnv+rRert 11 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 constricted 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. RE: Permit # Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE' .. ' Q • ....•. . :toes: ...... • :0000: .... INSPECTION AFFIDAVIT • • • • • e :No*** ' ..... I �Savitra��t'co��e.t .. ..:. ....;. licensed as a ( Contractor• Engineer/ Architect, '. 66 (Print name and circle License Type) FS 468 Building inspector :'' • •' •"• e • License #: CC(133, 6 On or about work at (Date & D*'A. (Complete Job Site Address) I did personally inspect the roof deck nailing P- .53/ so Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S) loe Signature State of Florida County of Dade: The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above property mentioned. Swom to and subscribed before me this Q�h day of 07 D Notary Public, Sate of Florida at Large '�^— -�-cH N ,' # W 26E279 Ecol XPIRES' 20,2022ers gadedllw lblary '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 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 thevwler with the required roofing permit, and to explain to the owner the content of the section. Th* prQw§ions of'9Mion R44d2':' govern the minimum requirements and standards of the industry for roofing system instullatiOns. Additiodally, the. • •, following items should be addressed as part of the agreement between the owner ant*M92bhtractor. Tae owner's initial in the designated space indicates that the item has been explained. """ • • • • • • .... . ..... ...... .... ..... 2• Renailing wood decks: When replacing roofing, the existing wood-mof deck Md'y have to be renailed in accordance with the current provisions of Section R4403. (The:86Cddck is usually • • concealed prior to removing the existing roof system). 4• Exposed Ceiling: Exposed, open beam ceilings are where the underside 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. This provides the option of maintaining 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 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 R4402, R4403 and R4413. 4eL I is Zo r/A enfs Signature Date 77/V GJ icn+ `T cr�� p I c w1; Si7orer,�L �3�ed Property Address Revised on 7/9/2009 LD;07/01/2015; '00"q ZD zoontractor Signature Date Permit Number MIAME:J)E MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786)315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) WWW.miamidade.eov/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 allowed by 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 County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense Qf such tggag and the AHJ may immediately revoke, modify, or suspend the use of such product orlmaferial within . their jurisdiction. RER reserves the right to revoke this acceptance, if it is determinede1)?Miami-bade- County Product Control Section that this product or material fails to meet the requiremmeof the - applicable building code. ."". : •. •. This product is approved as described herein, and has been designed to comply with tkq Figrida Buiidinp Code including the High VelociVHurricane Zone of the Florida Buildina Code. • • • • • • DESCRIPTION: GAF Ruberoid® Modified Bitumen Roof System for Wo�D;�6&2. • LABELING: Eac unit shall bear a permanent a with the manufacturer's name or iogo, city, s tare. 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. NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 1 of 67 ROOFING SYSTEM APPROVAL Category: 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: TABLE 1 Test Product Product Dimensions Specification Description GAFGLAS® Ply 4 39.37" ASTM D2178 Smooth surfaced asphaltic ply sheet (1 meter) Wide reinforced with fiberglass mat. Tri-Ply® Ply 4 Ply Sheet 39.37" ASTM D2178 Smooth surfaced asphaltic ply sheet (1 meter) Wide reinforced with fiberglass mat. GAFGLAS® 39.37" ASTM D2178 Smooth surfaced asphaltic ply shW. FlexPly` 6 (1 meter) Wide reinforced with fiberglass mat....... GAFGLAS® #75 Base Sheet 39.37" ASTM D4601 Smooth asphaltic batse orbase/ply' ibeet (1 meter) Wide reinforced with fibolrg6c mat. Tri-Ply® #75 Base Sheet 39.37" ASTM D4601 Smooth asphaltic Ilagvo;base/plx sheet (1 meter) Wide reinforced with fibelAfAs mat.. • • GAFGLAS® #80 Ultime Base 39.37" ASTM D4601 Smooth asphaltic 1:as for base/*vN chi:et Sheet (1 meter) Wide reinforced with filZ4gjaV mat. GAFGLAS® Strataventy 39.37" ASTM D4897 . . . Smooth surfaced asphaltic perWrate"d. Perforated Venting Base Sheet (1 meter) Wide venting base sheerWnfgrced w;tho fiberglass mat. 0 0000 • GAFGLAS® Stratavent® 39.37" ASTM D4897 Smooth surfaced asphaltic nailable venting Nailable Venting Base Sheet (1 meter) Wide base sheet reinforced with fiberglass mat. Bottom side surfaced with granules. Ruberoid® HW 25 Smooth 39.37" ASTM D6163 Smooth surfaced torch applied SBS base (I meter) Wide or ply sheet reinforced with a fiberglass mat. Ruberoid® HW Smooth 39.37" ASTM D6I64 Smooth surfaced torch applied SBS base (1 meter) Wide or ply sheet reinforced with a polyester mat. Ruberoid® HW Granule 39.37" ASTM D6164 Granule surfaced torch applied SBS cap (1 meter) Wide sheet reinforced with a polyester mat. Ruberoid® HW Granule FR 39.37" ASTM D6164 Fire retardant granule surfaced heat- (1 meter) Wide welded SBS cap sheet reinforced with a polyester mat. Ruberoid® HW Plus Granule 39.37" ASTM D6164 Granule surfaced torch applied SBS cap (1 meter) Wide sheet reinforced with a polyester mat. Ruberoid® HW Plus Granule 39.37" ASTM D6164 Fire retardant granule surfaced torch FR (I meter) Wide applied SBS cap sheet reinforced with a polyester mat. MIAMNIaME COUNTY NOA No.: 18.0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 2 of 67 Test Product Product Dimensions Smiiication Description Ruberoid® EnergyCap' RW 1 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® EnergyCote' Elastomeric Coating. Ruberoid® Torch Smooth 39.37" ASTM D6222 Smooth surfaced torch applied APP base (1 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. Ruberoid® Torch Granule 39.37" ASTM D6222 Granule surfaced torch applied APP cap (1 meter) Wide sheet reinforced with a polyester mat. Tri-Ply® APP Granule Cap 39.37" ASTM D6222 Granule surfaced torch applied APP cap Sheet (1 meter) Wide sheet reinforced with a polyester mat. Ruberoid® Torch Plus Granule 39.3T' ASTM D6222 Fire retardant le s rfaced • 4- gm� >I �� .q FR (1 meter) Wide applied APP cap sAaat reinforced wL h a ...... • • polyester mat. ...... . .. • ...... Ruberoid® EnergyCap'" 39.3T' ASTM D6222 Fire retardant granule Serfaced torch • • Torch Plus Granule FR (1 meter) Wide applied APP cap shciif ieinforcb8.w* a • polyester mat. Cap sheet facioil coated #6000is to with TOPCOAT® �jtggyCote • • Elastomeric Coating.... • • • • • • • Ruberoid® EnergyCar 39.37" ASTM D6222 Fire retardant granule surracedtorch ....:. Torch Granule FR (1 meter) Wide applied APP cap *eel r%inforc dvAtI a • polyester mat. Cap's'heet is fartt"tpated • • with TOPCOAT® EnergyCoW' �' • Elastomeric Coating. Ruberoid® 20 Smooth 39.37" ASTM D6163 SBS polymer -modified asphalt base or ply (1 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 39.3T' ASTM D6163 Fire retardant granule surfaced mop (I 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 (1 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.: 184919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 3 of 67 Product Dimensions Ruberoid® Mop Smooth 1.5 39.37" (1 meter) Wide Ruberoid® Mop Plus Smooth 39.37" (1 meter) Wide Ruberoid® Mop Plus Granule 39.37" (1 meter) Wide Ruberoid® Mop Plus Granule 39.37" FR (1 meter) Wide Ruberoid® EnergyCap'" Mop 39.37" Plus Granule FR (1 meter) Wide Ruberoid® Mop Granule FR 39.37" (1 meter) Wide Ruberoid® EnergyCap' 30 39.37" Granule FR (1 meter) Wide GAFGLAS® Mineral -Surfaced 39.37" Cap Sheet (1 meter) Wide Tri-Ply® BUR Granule Cap Sheet GAFGLAS® EnergyCap"' Mineral -Surfaced Cap Sheet TOPCOAT Membrane United Coatings' Roof Mate TCM Coating TOPCOAT® Surface Seal SB 39.37" (1 meter) wide 39.37" (I meter) Wide 1, 5 or 55 gallons 1,5or55 Gallons 5 or 55 gallons Test Specification ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6164 ASTM D6163 ASTM D3909 ASTM D3909 ASTM D3909 ASTM D6083 ASTM D6083 ASTM D6083 United Coatings' Surface Seal 5 or 55 Gallons ASTM D6083 SB Roof Coating TOPCOAT® MB Plus 5 or 55 gallons Proprietary United Coatings' Roof Mate 5 or 55 Gallons Proprietary MB Plus Coating Product Description Smooth surfaced mop applied SBS base sheet reinforced with a polyester mat. Smooth surfaced mop applied SBS base or ply sheet reinforced with a polyester mat. Granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Fire retardant granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Fire retardant granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Cap sheet is factory coated with TOPCOAT EnergyCote' Elastomeric Coating. Fire retardant granule surfaced mop applied SBS cap sheet reinforced"ith a polyester mat. • • Soo** • • • • • . Fire retardant grandl8 suffacedppp• • applied SBS cap sANNIemforcEd Oth a •' • • • • fiberglass mat. Car& g>aget is faj torycoated .... with TOPCOAT® FjwdCoteT' • , , • & • • * • Elastomeric Coating • • ... . ..:.. Granule surfaced asphaltic cap sheet ...... reinforced with fiQdc' OM mat. 0 • • Granule surfaced Isplo;c capasl6t reinforced with a fiberglass mar • • • 609 Granule surfaced asphaltic cap sheet reinforced with fiberglass mat. Cap sheet is factory coated with TOPCOAT EnergyCote' Elastomeric Coating. Water based elastomeric coating. Water -based elastomeric coating Solvent based thermoplastic rubber sealant designed to protect and restore aged roof surfaces and to increase roof reflectivity. Solvent -based thermoplastic rubber sealant designed to protect and restore aged roof surfaces and to increase roof reflectivity. Water based, low VOC primer used to block asphalt bleed -through. Water based, low VOC primer designed to block asphalt bleed -through. NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 4 of 67 Test Product Product Dimensions Specification Description FireOut' Fire Barrier Coating 5 or 55 gallons Proprietary Low VOC, water -based fire barrier coating. Flex Seal' 1, 5 gallons TAS 139 Solvent -based elastomeric sealant. or 1 qt. tube VersaShield' Fire -Resistant 12" x 100' rolls ASTM D226 Non -asphaltic fiberglass -based Roof Deck Protection underlayment and /or fire barrier. VersaShield' Solo' Fire- 42" roll wide, ASTM D146, Non -asphaltic, fire resistant fiberglass Resistant Slip Sheet 100 ft. D828, D4869, underlayment D6757 Matrix'" 102 SBS Membrane 3, 5 or 55 gallons ASTM D3019 Fiber reinforced rubberized cold -applied Adhesive adhesive for modified bitumen roof systems. • • • • . . .... ...... ...... . .. ...... APPROVEDINSULATIONS: • • • • • • Table 2 "" • • • • • .. .. ... . Product Name Product Description r . . ..... • • jtManufacture ()�'kVurrent IYOA) • • • • • • • EnergyGuard'" Polyiso Insulation Polyisocyanurate foam insulation GAF- • • • • • •.:. • • .. EnergyGuard"' Tapered Polyiso Insulation Polyisocyanurate foam insulation '..' : GAF .... EnergyGuard"' RA Polyiso insulation Polyisocyanurate foam insulation GAF 0000 EnergyGuard' RH Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard' RH Tapered Polyiso Polyisocyanurate foam insulation GAF Insulation EnergyGuard' RN Polyiso Insulation Polyisocyanurate foam insulation GAF EnergyGuard' Perlite Recover Board Perlite recover board GAF EnergyGuard7 Perlite Roof Insulation Perlite insulation board GAF EnergyGuard' RA Composite Polyiso Polyisocyanurate foam insulation GAF Insulation with high density fiberboard or permalite Structodek' High Density Fiberboard Roof High density fiberboard Blue Ridge Fiberboard, Inc. Insulation SECUROCK' Gypsum -Fiber Roof Board Gypsum board United States Gypsum Corp. SECUROCK' Glass -Mat Roof Board Gypsum board United States Gypsum Corp. DensDeck' Roof Board Gypsum board Georgia-Pacific DensDeck' Prime Roof Board Gypsum board Georgia-Pacific NOA No.: 184919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 5 of 67 APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 1. Drill-Tec"' #12 Fastener Phillips head, modified #12 x 8" GAF buttress thread, pinch Max. Length point, carbon steel fastener #3 Phillips for use in steel or wood head. decks. With CR-10 coating. Available with a pinch point or drill point. 2. Drill-TecTM #14 Fastener Truss head, self -drilling, #14 x 16" GAF pinch point, high thread Max. Length fastener for use in steel, #3 Phillips • • • • wood or concrete decks. head. . . •••• ...... 3. Drill-TecTM XHD Fastener Truss head, self -drilling, #15 x 16" GAP' • ' • '. pinch point, high thread Max. Length ...... . .. • • ; , • ...... fastener for use in wood or #3 Phillips 0 0 * 0 steel decks. Carbon steel head. • • • • • . ..... extra heavy duty fastener • • • • • • • • • • • • • • used in steel decks. .. .. .. ...... 4. Drill-TecTM 3" Steel Plate Round Galvalume® steel 3" Round F GAF '. stress plate with . . . • ...... reinforcing ribs and • • • • • • recessed for use with Drill- ' TecTM fasteners. 5. Drill-TecTM 3" Standard Galvalume® coated steel 3" Round GAF Steel Plate stress plate for use with approved Drill-TecTM fasteners. 6. Drill-TecTM ASAP 3S Drill-TecTM #12 fastener #12 x 8" GAF with Drill-TecTM 3" Max. Length Standard Steel Plate. #3 Phillips head with 3" Round plate 7. Drill-TecTM AccuTrac' Flat A2-SS aluminized steel 3" square; GAF Plate plate for use with Drill- .017" thick TecTM fasteners. 8. Drill-TecTM AccuTrac' Galvalume® steel plate 3" square; GAF Recessed Plate with recess for use with .017" thick. Drill-TecTM fasteners. 9. Drill-TecTM 3 in. Ribbed Round Galvalume' plated 3" Round GAF Galvalume Plate (Flat) steel stress plate with reinforcing ribs for use with Drill-TecTM fasteners. NOA No.: 1&0919.12 ' �; COSY Expiration Date: 11/06/23 ® Approval Date: 11/01/18 Page 6 of 67 EVIDENCE SUBMITTED: Test Agency Test Identifier Description Date FM Approvals 3001276 FMRC 4470 01/28/99 3010215 FMRC 4470 03/01/01 3029832 FMRC 4470 05/11/07 3036980 FMRC 4470 08/14/09 3034312 FMRC 4470 04/09/09 3040738 FMRC 4470 05/18/12 3042887 FMRC 4470 11/14/11 3046081 FMRC 4470 02/13/13 3043633 FMRC 4470 01 /20/ 12 1B9A8.AM FMRC 4470 09/04/97 3B9Q1.AM FMRC 4470 01/08W®8� 3D4Q2.AM FMRC 4470 . • . 04/3Of9l OD1A8.AM FMRC 4470 04/MJ98. 797-03221-267 FMRC 4470 09N/01 797-10228-267 FMRC 4470 01/j.5/15 797-04694-267 FMRC 4470 .... ' ....' 0612 7/Ofl' 797-03825-267 FMRC 4470 • • ; • • ; 07*1408: RR203450 FMRC 4470 •' •• 12/04/150 FM Letter FMRC 4470 """ 04/11/13 FM Letter FMRC 4470 09j1!Y1�- UL LLC R1306 UL 790 "� 08011/18. .... IRT-ARCON Inc. 02-005 TAS 114-J 07/19/04 02-014 TAS 114-J 04/08/02 Trinity) ERD C8500SC.11.07 ASTM D6862 11/30/07 G30250.02.10-2 ASTM D6222 11/11/10 G30250.02.10-3-R2 ASTM D3909 06/03/15 G31360.03.10 ASTM D6164 03/31/10 G32520.06.11 ASTM D1876 06/28/11 G33470.01.11 ASTM D6164 01/13/11 G34140.04.11-2 ASTM D6163 04/25/11 G34140.04.11-4-R2 ASTM D4601 6/4/2015 G34140.04.11-5-R3 ASTM D4897 6/4/2015 G36780.07.11-R1 TAS 114-J 07/18/11 G40620.07.12-2 ASTM D6222 07/17/12 G40630.01.14-1 ASTM D6163 01/06/14 G40630.01.14-2A ASTM D5147 01/07/14 G40630.01.14-2A-1-Rl ASTM D6164 04/10/14 G40630.01.14-2B-Rl ASTM D6164 01/16/15 G40630.01.14-2C ASTM D6164 01/07/14 G40630.03.14 ASTM D5147 03/06/14 G43190.03.14-1 ASTM D5147 03/06/14 G43190.03.14-2 ASTM D5147 03/06/14 G43190.05.14-R1 ASTM D5147 05/20/14 G43610.01.14 ASTM D5147 01/22/14 NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 7 of 67 Membrane Type: APP/SBS Heat Weld Deck Type 1: Wood, Non -insulated Deck Description: Min. 19/32" or greater plywood or wood plank secured 6 in. o.c. with 8d ring shank nails to supports spaced 24 in. o.c. max. System Type E(2): Anchor sheet is mechanically attached to roof deck. (Non -insulated systems) All General and System Limitations shall apply. Fire Barrier: FireOut' Fire Barrier Coating, VersaShield® Fire -Resistant Roof Deck (optional) Protection, VersaShield® Solo' Fire -Resistant Slip Sheet, DensDeck®Roof Board, SECUROCK® Gypsum -Fiber Roof Board or SECUROCK® Glass -Mat Roof Board. Base sheet: GAFGLAS® #80 Ultima' Base Sheet, GAFGLAS® Stratavent® Nailable Venting Base Sheet, Ruberoid® Mop Smooth, Ruberoid® Mop Smooth 1.5, Ruberoid® Mop Plus Smooth, Ruberoid® 20 Smooth, Ruberoid® H W Smooth or Rubel<oid- HW 25 Smooth mechanically fastened to deck as described bplo , - • • • • • • Fastening • GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS® FleVlY,-*6 : •• •. Option #1: GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or anygi+E, base-*6, ase , • sheets attached to deck with approved annular ring shank nails.and tin caps.at a fastener spacing of 9" o.c. at the lap staggered and in two rows• ig% o.c. Ahe• • • field. •••••• ••• • Not for use with DensDeck or SECUROCK Fire Barrier • (Maximum Design Pressure -45 psf. See General Limitati&; • Fastening GAFGLAS® Ply 4, Tri-Ply® Ply 4 Ply Sheet, GAFGLAS Fle 1 T" • Option #2: GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or any if above base • • •. sheets attached to deck with Drill-Tec" #12 Fastener or Drill-Tec'' #14 Fastener and Drill-Tec' 3" Steel Plate, Drill -Tee'' AccuTrac® Flat Plate or Drill-Tec" AccuTrac® Recessed Plate installed 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12.5" o.c. in the field of the sheet. (Maximum.Qesfgn Pressure -45 psf. See General Limitation #9) (::Fastening �:il� l AFGLAS® FlexPly- 6, GAFGLAS® #75 Base Sheet, TnP ®yl #75 Base Sheet- ption #3:-/or any of above base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. ot for use with DensDeck or SECUROCK Fire Barrier Maximum Design Pressure -52.5 psf. See General Limitation #7) --'" Fastening GAFGLAS® 475 Base Sheet, Tri-Ply® 475 Base Sheet or any of above base Option #4: sheets attached to deck with Drill-Tec'" 412 Fastener or Drill-Tec'' #14 Fastener and Drill-Tec' 3" Steel Plate, Drill-Tec'' AccuTraco Flat Plate or Drill-Tec" AccuTrac® Recessed Plate installed 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure -45 psf. See General Limitation #9) IIIAMI•DADE COUNTY NOA No.: 18-0919.12 F-112JUGA4111 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 53 of 67 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 (Maximum Design Pressure —60 psf. See General Limitation #7) Fastening GAFGLAS® #75 Base Sheet, Tri-Ply® #75 Base Sheet or any of above base Option #6: sheets attached to deck with Drill-TecT" # 12 Fastener, Drill-Tec' # 14 Fastener or Drill-TecT' XHD Fastener and Drill-Tec' 3" Steel Plate, Drill-Tec" AccuTrac® Flat Plate or Drill-Tec" AccuTrac® Recessed Plate installed 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf. See General Limitation #9) Ply Sheet: (Optional except over Ruberoid® Mop Smooth, Ruberoid® Mop Smooth 1.5,.. Ruberoid® Mop Plus Smooth, Ruberoid® 20 Smooth, Ruberoide 14W Smootk"r Ruberoid® HW 25 Smooth) One or more plies GAFGLAS® Ply4, 1ri-Ply '•1>11•4, or GAFGLAS® FlexPly' 6 sheet adhered in a full mopping d'f• bved Aph'dh applied within the EVT range and at a rate of 20-40 lbs./sq. o IMeroid® Torch --_ Smooth torch applied according to manufacturer's application'ji tmctiong. • - Membrane: • • One ply of Ruberoid® Torch Smooth, Tri-Ply® APP Smooth NkpbVne, • • • ; • Ruberoid® Torch Granule, Tri-Ply® APP Granule Cap Sheet,' %Teroid° • • EnergyCap' Torch Granule FR, Ruberoid® EnergyCap' Tory h•1}1'ue Gran ule•FR, or Ruberoid® Torch Plus Granule FR torch applied according to rrlanufacV* r e; - application instructions. • Or • O rrnorP_efies o Ruberoid® HW Plus Granule, Ruberoid® HW Plus Granule _�r F ,Ruberoid® HW Granule FR) Ruberoid® EnergyCapT' HW Plus Granule FR, Ruberoid"W — nuUs`rale beroide HW Smooth and Ruberoid® HW 25 Smooth applied according to manufacturer's application instructions. Surfacing: Optional on granular surfaced membranes; required for smooth membranes. Chosen components must be applied according to manufacturer's application instructions. All coatings must be listed within a current NOA. 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of Approved asphalt at 60 lbs./sq. 2. GAFGLAS® Mineral -Surfaced Cap Sheet, Tri-Ply® BUR Granule Cap Sheet or GAFGLAS®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. TOPCOATS' Surface Seal SB or United Coatings' Surface Seal SB Roof Coating applied in one or more coats at a minimum rate of 1.0 gal./sq. per coat. OR TOPCOAT® MB Plus or United Coatings' Roof Mate MB Plus Coating applied at a minimum rate of 1.0 gal./sq.(to be used as a primer) followed by TOPCOAT® Membrane or United Coatings' Roof Mate TCM Coating applied in one or more coats at a minimum rate of 1.0 gal./sq. per coat. 4. Fiber Aluminum Roof Coating. Maximum Design Pressure: See Fastening Options MIAMI•DADE COUNTY "' • � NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 54 of 67 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with GAFGLAS® Ply 4 and GAFGLAS® F1exPly' 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum '/<" DensDecke Roof Board or %" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: I . Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. . • • • •. 4. An overlay and/or recovery board insulation panel is required on all applicati4i p6eC closejl.cell foam insulations when the base sheet is fully mopped. If no recovery board is wie6the base:sliaet shall be applied using spot mopping with approved asphalt, 12" diameter circle'ss! Alvlo.c.; or strip mopped 8" ribbons in three rows, one at each side lap and one down the center.0Td1%sheetVp,9ing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6"Otreak shalrbeoe placed every 12' in each ribbon to allow cross ventilation. Asphalt application* *000 sysse e 0 mll be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be IirpjvAtio a maximum design pressure of -45 psf. • • •• 5. Fastener spacing for insulation attachment is based on a Minimum Characteris•c F e F' 'value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the astengeJAltae, 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 l 11 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 MIAMI•DADE COUNTY NOA No.: 18-0919.12 "• Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 67 of 67 ..00 3020iS TGFU.R1306 - t�arrler titoard RO°�'g Syst@n•... (OpROOfbO r — One a more layers minimum 1/4-In. thick Georgia-Pacific Gypsum tLC "DensDeck® Roofboard" or OSECU OCK( Prime Roofboard° or "DeneOedc® DuraGuaMm Roofboard" Or minimum 1/4-in. thick United States Gypsum Co, 'SECUROCK® Roof Board" (Type FRX-G) or'SECUROCK® Glass -Nat Roof Board° ('type SGMRX). Insolatbn (001011181): — Polyisocyanurate or wood fiber or perilte or glass fiber, any thickness, mechanically fastened or fully adhered with hot roofing asphalt, Base Sheet- — One or more plies Type G2 "GAFGLAS® #7S Base Sheet° or "Td-Ply® #7S Base Sheet" or "GAFGLAS® *80 Ultlmam Base Sheer or °GAFGIASO SW tavent® Nailable Venting Base Sheer or °GAFGLAS® Stratavente Perfbrated Venting Base Sheet", mechanically fastened or fully adhered with hot roofing asphalt Ply Sheet : — One or more plies "RUBEROID® 20 Smooth" or "RUBERO" MOP Smooth" or "RUBEROID® Mop Smooth LS" or °RUBEROIO® Mop Plus Smooth" fully adhered with hot roofing asphalt Menrbronos — "RUBEiOID(D HW Plus Granule FRO or "RUBEROID® HW Granule FRO or "RUBEROID® EnergyCap*" HW Pius Grnute FRO or "RUBEROID® HW Plus Granule" or °RUSEROID® HW Granule% torch applied. S6. 6 =Ift C-15/32 1=0=112 BBaasaoo S "GAFGLAS(D Stratavent® Nallable�Ventf 7BM Sheet" or � ®#75 Base Sheet" or `GAFGLAS® #fill UltimaTM f*=n"'' MW. ^ "RUBEROID@ HW Plus Granule FRO or TUZ'_.20IDO WN Cyr --nu! �;V or "R VOID® Ene or "RUBEROID® HW Plus Granule" or'RUBEROMS HW Granule", torch applied. rgYCaPTO` HW PLUS Granule FRO 57. Dacki NC IncUnar 1/2 One Sheets — "RUBEROMO MOP Smooth" or "RUBEROM9 Mop Smooth 1.S" or "RUBEROID® Mop Plus Smooth", hot roofing asphalt or "RUBEtOID® HW Smooth", torch applied fully adhered with Membranes — "RUGEROM@ HW Plus Granule FRO or "RUBEROM@ HW Granule FR° or "RUBER..s GrantlPe.f4ir• Or "RUBF.ROID® HW Plus Granule", toud. OIDQ� EngrgyCaP"r `nit•. ts applle 58. Dftft NC • • • • " • • Dicline: 1/2 • • • • IrrsuhW0n (OPHOnd)= — POlyfsocyanurate, uniform thickness of tapered minimum 1- • • • i • • • • %RF Adhesive M Or *WO LRF Adhesive M Low Temp" or OMG Inc. "Olybond Fastening in. meth • • • • • WggWy fastened oredhered wtt1, • "GAF 2-Part Roofing Adhesive", applied as a nominal 2- 2 In, bead with a maximum on -center appti f t nOMICal91g-fi. bean oc • . insulation adhesive, applied per the manufacturer's Installation Instructions.000000 2-In. 0 i ::Y Uts Ctassi$�Ci • • ° ftnU and minimum Minimum 1/n. -111. thick thick United tg States Gypsum LLC "DensDedk® Prime Roofboardr'ZW ensDeck(& DkRLGuerd'"'' • • • adhered with OMG Inc, "0lybond Fastening System", Gypsum Co. SECUROCK® Roof Board (Type FWrr6�.rhlechanlcailyofastened or • Bane Sheet (Optional).- — One t U TM ° ° • ply " tarty SOS Self,Adhering Base/P►y Sheet" or "RUBEROID(D SA Base/Ply Sneer �ri'Rube • id® � SA Universal Base Sheer self -adhered. rp Ply Shecht: — One ply "RUBEROID® HW 25 Smooth", torch applied. • • • m • • • . • • VA"nbrm RUBEROIDQ HW Phi Granule FRO or "RUSEROID® HW Granule FRO or "RUSEROID® Ene • TM* . • • • • . " • Or ORUBE 01ft HW Plus Granufa", torch applied. rgYCaP tiW�Bk,s Granule FTi S9, DOCIL' C-15/32 Incline: 1/2 Insulation (Optional)i — Polyisocyanurate, uniform thickness of tapered minimum 1-19 In., mechanlcally fastened or adhered with OMG ink "01ybond Fastening System". BaniOr Board: — Minimum 1/44n. thick GP Gypsum Corp, °DensDedc® Prime Roofboard" or "DensDec k® DuraGuard' Roofboard" or minimum 1/4-i11, thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G), wits all butt joints In the barrier board staggered a minimum of 6-in. from plywood deck butt joints, mechanically fastened or adhered with OMG Inc. "Olybond Fastening System". D=e Sheet (Optional): —One ply "Liberty'" SBS Self -Adhering Base/Ply Sheer or "RUBERoW@ SA Base/Ply Sheer or "Rubem Q SA Universal Base Sheer seif-adhered, Ply tSheeb — One Ply "RUSEROIDO HW 25 Smooth". torch applied. Man brone: — "RUBEROID® ro HW Phis Granule FRO or "RUSEROID® HW Granule FR` or °RUBEROID® EnergyCapTM HW Plus Granule FRO or "RUBEROIoe HW Plus Granule", torch applied. 60. Dock: C-15/32 Indine: In Barrier GoardT`O R: f Minimum r (nIm . thick 1GP Gypsum Corp, "DehCDedc® Roofboard" or "DenSDetk® Prime Roofboard" or "DensDeck® OureGUardTM Rooftroard` or mtntmttm 1/Mtn. thick United States Gypsum Co. "SECUROCK® Roof Board" (Type FRX-G) or "SECUROCK® joints, at Roo i Board' a dd' (Tempe sGMRX)' w�' aft butt joints in the barHer board staggered a minimum of 6-in, from plywood deck butt Base Shceb — One Ply "GAFGtASO #7S Base" or `Mi-Ply® *75 Base Sheet" or "GAFGLASO #80 Uftma'" Base Sheaf" or "GAFGLAS® Stratovent® Nallabla Venting Base Sheet" or "GAFMAS® strabwent o Peri'Orated venting Dose Sheers mecnanicauy fastened or fully adhered with not roofing asphalt» Membrane: — "RUSEROID® Torch Plus Granule FR", torch applied. 61. Dacia NC IMAM 1/2 Ranier Board (Optional): — One or more layers minimum 1/4-In. thldk Georgia-Pacific Gypsum LLC "DensDeckQ Roofboard" or in°DensDedc® Prime Roofboard or DensOed* DuraGuardTM Roofboard" or minimum 1/4-in. thldk United States Gypsum Co. n ® Roof Board" (Type FRX-G) or "SECUROCK® Glass -Mat Roof Boon!" (Type SGMRX). (Optlonai): — One or more layers pertite or wood fiber or glass fiber or POIY�ocganurate or per[WPOl Iso composite or wood fiber/polyisocyanurate com Y Adhesive M" or LRF Adhesive M Ernv Temp" or OMG Inc. "Olybond any thickness' mechanically fastened or adhered with 'LRF Adhesive M" or lybond Fastening System", applied as a nominal 3/44n. bead or "GAF 2-Part Roofing Adhedve", applied as a nominal 2-312 In. bead with a maximum on -center spacing of 12-tin. or any UL Classified insulation adhesive, applied per the manufacturer's installation Instructions. chest. —One Pb Type G2 'GAFGLAS® #75 Base Sheeror "Flit -Ply® *75 Base sheer or "GAFGLASO #80 UlUmam Base Sheer or "GAS Sbatavent© Nailable Venting Base sheer, fully adhered with hot roofing asphalt. PIV Sheet it M-ROxibte( Adiv adheredo with hot rooMmore plies Q asphalt ��® Ply 41 Or'iH-Ply® Ply 4" or "GAFGLAS® Flex ply6" or "Trf-Ily® f J Aenit LREXTnFRAMEJsfwwpage htr r name--MFU.R13066omsho tt' 3=Roofing+SYstemsBoblTd=10743ii.., 17/48