RF-18-1572,geoRes LMiami Shores Village
F�'yets� 10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
toRroA
Issue Date: 6/18/2018
Permit NO. RF-6-18-1572
Permit Type: Roof
Work Classification: Flat
Permit Status: APPROVED
Expiration: 12/15/2018
Project Address Parcel Number Applicant
1139 NE 105 Street 1122320280400
Miami Shores, FL 33138-2107 Block: Lot: WELSER TORRES
Owner Information Address Phone Cell
WELSER TORRES 1139 NE 105 Street (305)972-1481
MIAMI SHORES FL 33138-
1139 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
PROSTART CONSTRUCTION INC (786)286-3332
Type of Work: Re Roof
Additional Info: NEW FLAT ROOF > ADD TO APPLY GAF HO
Classification: Residential
Scanning: 3
Fees Due
Amount
C C F
$4.20
DBPR Fee
$3.75
DCA Fee
$2.50
Education Surcharge
$1.40
Permit Fee - New Roof
$250.00
Scanning Fee
$9.00
Technology Fee
$5.60
Total:
$276.45
Valuation: $ 7,000.00
Total Sq Feet: 919
Pay Date Pay Type Amt Paid Amt Due
Invoice # RF-6-18-67845
06/07/2018 Check #: 1372 $ 50.00 $ 226.45
06/18/2018 Credit Card $ 226.45 $ 0.00
Avauaoie ins
Inspection Type. -
Tin Cap
Final Roof
Roof in Progress
Renailing Affidavit
Review Roof
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT ei ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin er Vie, I authorize the above -named contractor to do the work stated.
Authorized
Building De
June 18, 2018
e:Owner / Applicant / Contractor / Agent
rtment Copy
June 18, 2018
r
s CO
BUILDIN�
wami Sookes wIlage
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ROOFING
R F,C 171 r
UN 7 21
FBC 20
Master Permit No. /ZC N 0- :�,� — Sub Permit No. T � - t 2_
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
q C CONTRACTOR DRAWINGS
f
JOB ADDRESS: 1 � � l Ve D�` ( J�reet `
City: Miami Shores County: Miami Dade Zip: 33 13 d
Folio/Parcel#: / - 2-2-3Z - bZ;f �/ - b 7 O d Is the Building Historically Designated: Yes NO
Occupancy Type: RCS% d Load: Construction Type: 613 Flood Zone: "— BFE: FFE:
City: -�(� G�c, SIO ✓QS State: Zip:
Tenant/Lessee Name: Email: too _;_e
rr es P k45t v✓i.c 1. co►^'\
33/3 e
CONTRACTOR: Company Name: �n0 s /1T a�4SylTo� 'r�C Phone#: % 2� 3334
J'S �4jo(-ST 7966 3 70
Address: , ``rr
City: dyiAr'>/ PA-1 E State: W10 Zip: 33 /by.
Qualifier Name: 'dweE 4o20N�e 2- / ,J/�/L=�L-tr7��%D��d�%Phone#: 7 �9.
State Certification or Registration M GG C. / 3 3 1 D / 4 Certificate of Compeon% #: $ Aot r
DESIGNER: Architect/Engineer: MIS Phone#:
Address: — 'i/frLn _�� City: State: —Zip: _
Value of Work four this Permit: $ / f Square/Linear Footage of Work: 2/9
Type of Work: L_JisAddition f ❑+ Alteration New ❑ Repair/Replace ❑` Demolition
Description of Work:�,4.040' o 1 , J T
44b 1n7n A�a 00,6"
Specify color of color thru tile:
Submittal Fee
Scanning Fee $
Technology Fee $
Structural Reviews
Permit Fee $
Radon Fee $
Training/Education Fee $
CCF
DBPR $
CO/CC $
Notary
Double Fee $
Bond $ %
TOTAL FEE NOW DUE S "7
v V�
1#4 Bonding Company's Name (if applicable)
Bonding Company's Address
Citry State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
I---
ti State
Zip
Zip l`
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 o�pyved and a reinspection fee will be charged. /--1 n
ER or AGENT
The
foregoing instrument v0s acknowledged before me this
day of 20 16 by
S 2 ! / , who is personally known to
me or who has produced" fj 20-560-41-I Q'1s
identification and who did take an oath.
NOTARY PU
Print:
Seal
MARIA DI? LOS ANGEI.ES
Signature
CON ACTOR
The foregoing instrum^�ent was acknowledged before me this
day of/ 11 CA 20 � I! , by
r e v who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
EXPIRES: JUL 26, 2020
I.J.I.....wL 4.. e.... 1.-1 Print:
Seal:
APPROVED BY Plans Examiner
=off 044,
Notary Public State of Florida
Michael A Lopez
00 y� My Commission GG 1166
�tOF Expires 06/20/2021
Zoning
Structural Review Clerk
Y
6/6/2018 Propertv Search A•• •MiamCountv
OFFICE OF THEPRUPER"TY APPRAHS'ER
i-Dade
i
Summary Report
Property Information
Folio:
11-2232-028-0400
Property Address:
1139 NE 105 ST
Miami Shores, FL 33138-2107
Owner
WELSER TORRES
Mailing Address
1139 NE 105 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/1/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
1,649 Sq.Ft
Lot Size
11,050 Sq.Ft
Year Built
1949
Assessment Information
Year
2018
2017
2016
Land Value
$269,369
$269,369
$200,102
Building Value
$114,770
$114,770
$114,770
XF Value
$2,918
$2,918
$2,918
Market Value
$387,057
$387,057
$317,790
Assessed Value
$304,966
$298,694
$292,551
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes Cap
Assessment Reduction
$82,091
$88,363
Portability
Assessment Reduction
$25,239
Homestead
Exemption
$25,000
$25,000
$25,000
Second Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
MIAMI SHORES ESTATES PB 47-58
LOT 12 BLK 3
LOT SIZE IRREGULAR
OR 19518-2897 02 2001 1
COC 25098-1772 11 2006 5
Generated On : 6/6/2018
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$254,9661
$242,551
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value'
$279,966
$273,694
$267,551
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$254,966
$248,694
$242,551
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$254,966
$248,694
$242,551
Sales Information
Previous
Price
OR Book-
Qualification Description
Sale
Page
08/07/2015
$360,000
29735-0596
Qual by verifiable & documented
evidence
$0
29593-4753
Financial inst or "In Lieu of Forclosure"
F04/023/2015
stated
/2003
$259,000
21705-1799
Sales which are qualified
02/01/2001
$162,000
19518-2897
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property
Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version
SVTLo�
SNoRFs `� � �
� t
NIMBI
M11
iami �7hores 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: I�/id5 � �!��f/.�%S�d� .�i[G G
BUSINESS ADDRESS: �4 `-���%/ SLST CITY 141VIA6.1 STATE 0% ZIP -3,l76
BUSINESS PHONE: () ,4 3 FAX NUMBER
CELL PHONE QUALIFIER'S NAME:
QUALIFIER'S LIC NUMBER: ccfc—' C3�io 5�L
LJL.. r/11r.. . t1-1 NV.
RfCK SCOTT, GOVERNOR
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CBC1261214
The BUILDING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS �
Expiration date: AUG 31, 2018 F ,
GONZALEZ, AIMEE
PROSTART CONSTRUCTION INC
9815 SW 114 STREET
MIAMI FL 33176
ISSUED: 08/07/2016
RICK SCOTT, GOVERNOR
.I STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
DISPLAY AS REQUIRED BY LAW
vl—l/1v111 c"c �&—
CCC 1331046
fhe ROOFING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2018
GONZALEZ, AIMEE
PROSTART CONSTRUCTION INC
9815 SW 114 STREET
MIAMI FL 33176
ISSUED. 09t26/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1609260000513
❑ ❑
SEQ # L1608070000421
KEN LAWSON, SECRETARY
tea;
004694
Local Business Tax Receipt
Miami -Dade County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
7231447
BUSINESS NAMEMOCATION
PROSTART CONSTRUCTION INC
9815 SW 114 ST
MIAMI FL 33176
LBT
RECEIPT NO. EXPIRES
RENEWAL SEPTEMBER 30, 2018
7516682 Must be displayed at place of business
Pursuant to County Cocle
Chapter BA - Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS
PROSTART CONSTRUCTION INC 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED
C/O AIMEE GONZALEZ CCC1331046 BY TAX COLLECTOR
Worker(s) 3 $75.00 09/03/2017
CR EMI TCAR D-17-057510
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is note license,
permit, or a certification of the holder's qualificatlons, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Be-276.
for more information, visit www miamidade covhaxc to lector
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDO/YYYY)
`1
06/06/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TE 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. Il
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSU�ED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require al endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements . f
PRODUCER
NAME: Maggie Mendez
Leon Insurance DBA Florida Premier 2
4245 West Fla ler StreetE-MAILDDE�
PHONE (305) 560-5567 'FAX
, No): (305) 560-5568
Arc.
RSS: agent@leoninsurancet.com
INSURERS AFFORDING COVE AGE
NAIC N
Coral Gables FL 33132
INSURERA: ASCENDANT COMMERCIAL INS INC
13683
INSURED
INSURER 8:
PROSTART CONSTRUCTION, INC
INSURERC:
9815 SW 114th Street
INSURER D:
INSURER E :
Miami FL 33176
INSURERF:
COVERAGES CERTIFICATE NUMBER: I2GVlclnK1 Au IIUDCD•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDIABOVE 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
R
I rypE OF INSURANCE
ADDLI
POLICY NUMBER
POLICY
MMIDD/YYYY)
POLICY EXP
IMMJDDfYYYYI
LIMITS
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE L ]OCCUR
RFLG200933-00
10/21/2017
10/21/2018
1�r
EACH OCC(IRRENCE
S 1,000, 100
PR MIS ES(1Y7aoccurrence)
MED EXP (A'ty one person)
S 100.000
s 5.000
PERSONAL ADVINJURY
S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PERPRO.
X_ POLICY u JE 0 J LOC
OTHER
GENERAL A �GREGATE
S 2.000,000
PRODUCTS
I
COMP/OP AGG
I
S 2,000.000
S
AUTOMOBILE
LIABILITY
ANY AUTO
S SCHEDULED AUTO
AUTOS ONLY AUTOS
HIRED NON-OV.NED
AUTOS ONLY AUTOS ONLY
I COMBINED 'INGLE LIMIT
Ea accdent
S
BODILY INJI
RY (Per person)
S
BODILY INJI
RY (Per accident 1
S
P RTY
)AMAGE
S
UMBRELLA LIAB
EXCESS LIAR HCLAIMS-MADE
OCCUR
EACH OCCIJ
RENCE
S
AGGREGAT
S
DED RETEPJTIOCJ S
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNEWEXECUTIVE ❑
IOFFICER!MEMBER EXCLUDED?
((Mandatory in NH)
If yes describe under
DESCRIPTION OF OPERATIONS below•
N 1 A
PER
STAT
OTH-
E ER
E L EACH ACCIDENT
,
$
E L DISEAS
- EA EMPLOYEE
S
EL DISEA$
- POLICY LIMIT
S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required)
Licence No. CCC1331046
SHOULD ANY OF THE ABOVE DESCRIBEI
THE EXPIRATION DATE THEREOF, I
MIAMI SHORES VILLAGE BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVIS
10050 NE 2ND AVE AUTHORIZED REPRESENTATIVE
MIAMI SHORES, FL 33138
01988-2015 JACORD COF
ACORD 25 (2016/03) The ACORD name and logo are registered marks of AC RD
:S BE CANCELLED BEFORE
WILL BE DELIVERED IN
TION. All rights reserved.
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 8/29/2016 EXPIRATION DATE: 8/29/2018
PERSON: GONZALEZ AIMEE
FEIN: 474760531
BUSINESS NAME AND ADDRESS:
PROSTART CONSTRUCTION INC
9815 SW 114 STREET
MIAMI FL 33176
SCOPES OF BUSINESS OR TRADE:
LICENSED BUILDING
CONTRACTOR
Pursuant to Chapter 440.05(14). F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section
may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12). F S.. Certificates of election to be exempt... apply only
within the scope of the business or trade listed on the notice of eiect,on to be exempt. Pursuant to Chapter 440.05(13), F.S.. Notices of election to be
exempt and certificates of election to be exempt shall be subject to revocation if, at any time of er the filing of the notice or the issuance of the certificate,
the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609
PROSTART Construction Inc.
Certified Building and Roofing Contractors
CBC1261214
CCC1331046
9815 SW 114 Street
Miami, Florida 33176
(786)286-3332
Date: ��^^
State of
County of �����y�`d�
Before me this day personally appeared 'T—S %bize-7 ° Z-'TA"k-S who, being duly sworn,
deposes and says:
That he or she will be the only person working on the project located at: 9/��
Sworn to (or affirmed) and subscribed before me this 7day of LM// e
20_J_Q_, b ,.
Personally Known tl
OR Produced Identificati
Type of Identification Produced
,iu INN Notary Public State of Florida
Michael A Lopez
+� My Commission GG 11880Q
�iaM1 Explres0812=021
Print,lype or Stamp Name of Notary
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 YOt ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of _/, 204�
By_(��QC who is personally known to me or has produced
— 6 7-i9c2h'9e11dentification.
Notary.)
SEAL:
ef & ael Notary Public Stateof Florida
+F MichA LopsZ!
hCX gMy Commission GG 11$808
M
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2014)
High -Velocity Hurricane Zone Uniform Permit Application Form.
Section A (General Information)
;�?laeter P rmit No. 1' w 1 '4(p Process No.
Contractor's Name
Job Address I 1 J _I NFL lW AA
- �
-�-'j ~
\ ROOF CATEGORY
1
1
d Low Slope ❑ Mechanically Fastened Tile
❑ Mortar/Adhesive Set TilgS' •'
❑ Asphaltic Shingles ❑ Metal Panel/Shingles
•
❑ Wood Shingles/Shakes • • 0 •
• 1• •: •
`
❑ Prescriptive BUR-RAS 150
•••0
0 0 0 : 0 0 • • 0 •
•
%
ROOF TYPE
000000 •
• 1
i
New roof ❑ Repair ❑ Maintenance Q
Reroofing • .. •
O• • Recovei �� � •
•
1
ROOF SYSTEM INFORMATION
• •
0 or • •
Low Slope Roof Area (SF) � Steep Sloped Roof AREA (SSF) -"'
.. 00 00 00 0 000
.
Total (SF)—Y& • • • •
•••
• . •.
•••••.
•
•
Section B (Roof Plan)
:""'
.d....
1
n �,
:.
Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and ovefflow•drains. lAellydie dimen� r ..•:
sections levels, dearly identify 000
I1
�lons of and dimensions of elevated pressure zones
and location of parapets. •'
FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37
g 1 ' t ' ' 1 Copyright to, or licensed by, [CC (ALL RIGHTS RESERVED): accessed by Eliezer Palacio on Jun 8, 2015 10:32:12 AM pursuant to License
Agreement. No further reproductions authorized.
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 STRUCTURES PURSUANT
TO SECTION 553.844 F.S.
To: Miami Shores Village Building Department
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: wJ; Q C (01- f (? 5
Property Add
Roofing Permit Permit Number:
Dear Build' Official:
Date:
l DSO �'f cccr
••• 0 •
• •
certify that I have improved the roof to wall connections ofUe Teferenced •
property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential
as adopted by the Florida Building Commission by Rule 9B-3.047 F.A.C.
Sig
State of Florida
County of Dade
ode'PU TDY(25
Print Name
The undersigned, being the first duly swom, deposes and says that he/s[hee , the owner for the above property mentioned.
Sworn to and subscribed before me this � day of '7 20 / o
Notary Public, Sate of Florida at Large r MARIA 01 LOS ANGELES EXPOSITO
00
EXPIRES: JUL 26, 2020
Bonded through 1st State Insurance
(SEAL) '
FINAL COMPLIANCE
Revised on 5/21/2009
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
10050 NE 2nd Ave
Miami Shores, FI 33138
Re: Owner's Name: �D r re S
Property Address:
Roofing Permit Number:
Date: .
••���
.. •.t..
...... ... .
Dear Building Official: ; • • • • •
L f (Q S certify that I am not required to retrofit the roof to wall connetVQMs of my
A)r2 %OT4-� W-
building because:
V 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 a ition of the South Florida Building Code (1994 SFBC)
W5a-( Ta t i"
Signatur
State of Florida
County of Dade
Print Name
The undersigned, being the first duly sworn, deposes and says that he/she i the owner for the above property mentioned.
Sworn to and subscribed before me this day of
+
Notary Public, Sate of Florida at Large �" MY COMMISSION #GGO15600
JUL 26, 2020
Bonded through 1st State Imurm
• When the just valuation of the structure for pu a of ad valo m taxation is equal to o,mote th led with FBC nor a 1994
SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation.
Revised on 5/2112009
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Florida Building Code 5th Edition (2014)
1 High -Velocity Hurricane Zone Uniform Permit Application Form.
1
1
'Section C (Low Slope Application)
Top Ply F.
o�� g,Material:
i
Fill in specific roof assembly components and identify
1 manufacturer
o
Ide" f?
1
'
Surfacing: Aa-&A-WdZ53
1 (If a component is not used, identify as "NA")
Fastener Spacing for Anchor/Base Sheet Attachment:
1
1 t f M t Sysem Manufacturer b
1
p
Field: 1 " oc @Lap, #Rows ` @ „�" oc
1
1
1
Perimeter: % " oc La # Rows oc
@ p' @ �O
1
1 Product Approval No.:
1
1 Design Wind Pressures, From RAS 128 or Calculations:
Corner: i(v " oc @ Lap, # Rows `� @ oc
1
i QQ yy//
Pi:� 'C� P2: �- //— P3:� 4A 10
••••
Number of Fasteners Per Insulation Board: • •
• • ••.•
1
1
Field A& Perimeter " Cbrner 00000
1
1
Max. Design Pressure froT the specific product
_�
• •.. • • • • •
1
1
approval system:
Illustrate Components Noted and Detailsoas+4pplicable: •
1 Deck:
1 Q ` . N
/
Woodblocking, Gutter, Edge Terminatiern,6iripping, Flechiag,
Continuous Cleat, Cant Strip, Base F%Wgg tounteffLa j ipg,
1
1
1 Type:%� I W
Coping, Etc.
1
1 GaugefThickness:
Indicate: Mean Roof Height, Parapet r: ei ht! Height of RaA
Flashing, Vickness,
1
Component Material, Material Fastener
i
��
Type, Fastener Spacing or Submit Manufactirers Detail5•that
1
1 Slope: 0
Comply with RAS 111 and Chapter 16. ' 0 : 0
1
/ fit' •
1 Anchor/Base Sheet & No. of Ply(s): fi
1
1
1 Anc %Bas Sheet Fastener/Bonding M�t lal:
1
Base Layer:
FT.
iInsulation
1 Base Insulation Size and Thickness:
Parapet
Height
1
Base Insulation Fastener/Bonding Material:
1 Top Insulation Layer: & A
FT.
Top Insulation Size and Thickness: d
Mean
1
Top Insulation Fastener/Bonding Material: �oi,,y
p`
Roof
Height
;
i Base Sheet(s) & No. of Piy(s):
1
1
1 Base Sheet Fastener/Bonding Material:
1
Sheet(s) & No. of Piy(s):
iPly
i Piy S eet Fastener/Bonding Material:
1
1 Top Ply:!LWDr'ri��f1.
_
i
i
15.38
FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014)
'
s 1 1 1 1 Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliczer Palacio on Jun 8.2015 10:32:12 AM pursuant to
110MI
License
OUR Agreement. No further reproductions authorized.
N
Membrane: — One ply "Ruberoldl9 Torch Smooth" or "Ruberolde Mop Smooth" or "Ruberoldttt Mop Smooth 1.5" or Smooth Plus" Or "Ruberolde Dual Smooth." "RuberuiJ!o Plop
Mombranei — One Ply "Rubarold@ Mop FR" or "Ruberolcls eneroyCap'" Mop Plus Fri."
S6. Deck: NC
Incline: 1
Insulation (Optional): — Polylsocyanurate, wood fiber, perlite, glass fiber, any thickness, hot mopped or mechanically fastened.
Base Sheet: — One or more plies Type G2 "GAFGLASe #75 Base Sheet", or Tri-Ply@ d75 Base Sheet', mechanically fastened.
Ply Sheet i -- One or more plies "Ruberolde 20" or "Ruberolde 20 HT" or "Ruberolde Dual Smooth" hot mopped In place.
Membrane: — One ply "Ruberoid& SBS Heat weld Plus FR' or "Ruberoid@ SBS Heat weld 170 Fit" heat welded in place.
57. Deck: C-15/32 Incline: 1/2
�I.
Sake Sheett — Two or more piles Type G2 ".GAFGLAS® #75 base Sheet" or "Tri-Ply® 975 Base Sheet" mechanically fastened.
C, Membrane: — One ply "Ruberofde SBS Heat Weld Plus FR" or "Ruberotd[lp SITS Heat weld 170 FR".heal welded in place.
3
58. Deck: NC
Incline: 1/2
base Sheeb — "Ruberold® MOP Smooth" or "Ruberoid® Mop Smooth 1.5- or "Ruberold& Mop Smooth Plus" Or "Ruberoidm Dual Smuoth-
hot mopped or "RuberoidO SBS Heat weld Smooth- heat welded.
Membrane: —'Ruberold@ SBS Heat Weld Plus FR" or'Ruberoide SBS Heat weld 170 ra" heat welded.
59. Deck: NC Incline: 112 • •
• • ••••
•• • ••••
Insulation (optional), — Paiyisocyanurate, uniform thickness of tapered minimum iW-In. mechanically fastened oa aty.ereo with Oka •
Inc. "Otybond Fastening System" •
Barrier Board- — Minimum %-In. thick GP Gypsum Corp. "DensDeckm Roofboard" or'OensOeck Primes Roolboar(Pli? 9&Qsoeck •
OuraGuard'» Roofboard" or minimum W-In. thick United States Gypsum Corp. "SECUROCK® Roof Board" (Type FRX-G)Gm %SECUROCK& • •
Glass -Mat Roof Board" (Type SGMRX) mechanically fastened or adhered with OMG Inc. "Olybond Fastening System** • • •
Base Sheett — 1 ply "Uberty SBS Self -Adhering Base/Ply Sheet" or "Ruberold® SA ease/Ply Sheet" self adhered 0000
• • • •
Ply Sheet: — 1 ply "Rubberold SBS Heat Weld 25" heat fused • • • • • • • • • •
Membrane: — 1 ply "Ruberold® SBS Heat Weld Plus FR" or "Ruberolde SBS Heat Weld 170 FR' heat fused •00 • • •
60. Deck: C-15/32 • • • • • • •
Incline: i/Z • • •
Iasutatian (optional): — Polylsocyanurate, uniform thickness of tapered minimum L%-Irl. mechanically fastened or adltlref!I with OMB • • Inc. "Olybond Fastening System" . • •
Barrier Board: — Minimum +.4-In. thick GP Gypsum Corp. "DensOecktill Roofboard" Or "DensDeck Primes Roofboard" or "Gan5Deck •. • • • •
DuraGuard"" Roofboaro' or minimum %-In. thick United States Gypsum Corp. "SECUROCKe Roof Board' (Type FRX-G) or "SECUROCK iO
Glass -Mat Roof board" (Type SGMRX) with all butt Joints In the barrier board staggered a minimum or 6-in. from plywood deck butt jolitu
mechanically fastened or edherod with OMG Inc. "Olybond Fastening System"
Base Sheets — I. ply -Uberty SBS Self -Adhering Base/Ply Sheet" or "Ruberolde SA Base/Ply Slleet" self adhered
aly Sheet- — 1 ply "Rubberofd SBS Heat Weld 25" heat fused
Membrane, — 1 ply "Ruberolde SBS Heat Weld Plus FR" or "Ruberoid@ SBS Heat Weld 170 FR' heat fused
61. Decks C-1S/32
Incline: 'A
Barrier Board: — Minimum W-in. thick GP Gypsum Corp. "OensOeck@ Roolboard" or "DensOeck Promell!) Roofboard" or 'Densoeck
OuraGuard'" Roolboard" or minimum ''A -In. thick United States Gypsum Corp. "SECUROCKtg Roof Board" (Type FRX•G) or "SECUROCKke
Glass -Mat Roof Board" (Type SGMRX) with all butt joints In the barrier board staggered a minimum of 6-In. from plywood deck butt joints
mechanically fastened
Base Sheet: — 1 ply "GAFGLASS M75 base" or'TrI-Pfy®1f75 Base Sheet" mechanically fastened
Membrane: — 1 ply "Ruberold® Torch FR" heat welded
62. Dacki NC
Incline: 2
Insulation (Optional):— One or more layers perlite, wood fiber, glass fiber, pOlyisocyanurate, parlite/potyisocyanurate composite, wood
Aber/polylsocyanurate composite, any thickness mechanically fastened or adhered with any UL Classified Insulation adhesive.
Base Sheet: — One ply Type G2 "GAFGLAS@ #75 Base Sheet"or "Tri-Ply@ .175 Base Street", or "GAFGLAS@ Ply 6" fully adhered with hot
roofing asphalt.
Ply Sheet (optional): — Three or more piles Type G1 "GAFGLAS® Ply 4' or "Tri-Ply& Ply 4", or "GAFGLASO Ply 6" fully adhered with hot
roofing asphalt.
Membrane (optional), — "Ruberoid@ Mop Plus Granule" or "Ruberold@ Mop Granule" or "Ruberofds 30" or "Ruberoids 30 rR" or
"Ruberoid@ 30 FR HT' or "Ruberofd@ EnergyCap" SOS 30 FR` or "Ruberold@ Mop Smooth" or "Ruberoid@ Mop Smooth 1.5" or
"Ruberold@ Mop Smooth Plus" or "Ruberold@ Mop 170" or "Ruberoid® Mop 170 FR" or'RuberoldS Dual Smooth" fully adhered with hot
roofing asphalt or "Ruberold® SBS Heat Weld 170 Fit" or'RuberoldTo SBS Heat Weld Plus FR" or "Ruberofd(!: SBS Heat Weld Smooth" heat
fused
Surfacing: — Roofing gravel applied at 400•lbs/100-►tl embedded into a flood coat of hot roofing asphalt or No. 30 White Aggregate
applied at a rate of 200-lbs/100-1`0 embedded into "Fire Shield M0" applied at 2ya - 3-gal./100-ft2.
Top Surfadng: — TnergyCote'",' applied at 0.5 - 1.0•gal./10041.2.
http://database.ul.comtcgi-binIXYV/templatelLISEXT/1 FRAMElsliowpage.html?naine=7'G... 4/5/2011
M
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 ant the contractor. The owner's
initial in the designated space indicates that the item has been explained.
2. Renailing wood decks: When replacing roofing, the existing wood -roof fleck maj ha"tb
be renaited in accordance with the current provisions of Section R4403. (The roof deck is usualy* e
concealed prior to removing the existing roof system). • • •; • •
4. Exposed Ceiling: Exposed, open beam ceilings are where the underttdre'of the roof 68Cking
••••••
can be viewed from below. The owner may wish to maintain the architectural appearance; ther?fbfe,,
roofing nail penetration of the underside of the decking may not be acceptable. T,h!%e oyides the optM of
maintaining the appearance. •
6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that thkfpaf 9
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 benecessary to install overflow
s pp�rs in accordance with the requirements of Sections R440 , 44 d-R4413.
AOwner/ s Signature Date Co nat r
Property Address Permit Number
Revised on 7/9/2009 LD;07/01/2015;
Section C /
0
MIAMF Miami -Dade County HVHZ Electronic Roof Permit Form
Section C Page (Low Slope Roof Systems)
"I)etivvrhig Exccltcrrc c Evory Uay"
Fill in the specific roof assembly components. If a component is not required, insert not applicable (n/a) in the text box.
ROOF SYSTEM MANUFACTURER: I GAF
Top Ply:
GAF RUBEROID 170 FR
Product Approval (NOA): 15-1020.01 System Type: E1 Top Ply Fastening / Bonding Material:
Wind Uplift Pressures, From RAS 128 or Sealed Calculations: I HOT MOP ASPHALT
(P1) Field: -42.8 psf Surfacing: I NA
SINGLE PLY MEMBRANE:
(P2) Perimeters: -71.7 psf
(123) Comers: -108.0 psf
Maximum Design Pressure From NOA: -62.5 psf
Roof Slope: 0.50 " : 12 Roof Mean Height: 14 ft.
Parapet Walls: 0 No 0 Yes Parapet wall Height: ft.
Deck Type: —5/8" Plywood —
Support Spacing: NA " o/c
Alternate Deck Type: I NA
Existing Roof:
SAME
Fire Barrier:
NA
Vapor Barrier:
NA
Anchor Sheet:
NA
Anchor Sheet Fastener / Bonding Material:
NA
Insulation Base Layer Size & Thickness:
NA
Insulation Base Layer Fastener / Bonding Material:
NA
Insulation Top Layer Size & Thickness:
NA
Insulation Top Layer Fastener / Bonding Material:
NA
Base Sheet(s) & No. of Ply(s):
GAF GLASSBASE 75# (1
Base Sheet Fastener / Bonding Material:
1-1/4 RS NAIL & TIN CAP 1-5/8"
Ply Sheet(s) & No. of Ply(s):
GAF PLY IV (1)
Ply Sheet Fastener / Bonding Material:
HOT MOP ASPHALT
Single Ply Manufacturer / Type
(NA I
Single Ply Sheet Width: NA " 1/2 Sheet Width: NR.
No. of Single Ply 1/2 sheets: NA • • • • ; • • �.
.'
Single Ply Membrane Fastening / Bondinty If aterial: • •
000000
NA ......
:0000:
. .
. . ......
❑� FASTENER SPACING FOR BASES14W ATTACHMENT
• • : • • .
...... ....
❑ SINGLE PLY MEMBRANE ATTACt�T •
.....
1. Field: " o/c @ Laps & F rows " o/c
......
2. Perimeter: a " o/c @ Laps & 4: roves F 6 i " o/c
: • • • •
• • • •
3. Corner: F6 " Laps & F4 _�
a " o/c •
o/c @ rows
NUMBER OF FASTENERS PER INSULATION BOARD:
NA NA NA1Field: .n
Insulation Fastener Type
NA
WOOD NAILER TYPE AND SIZE:
1X6" FACIAL BOARD
Wood Nailer Fastener Type and Spacing:
#12 WOOD SCREW
EDGE & COPING METAL SIZES:
Edge Metal Material: --Galvanized Metal --
Edge Size: I —Y' face 26 ga.—
Hook Strip Size: —SELECT EDGE METAL HOOK STRIP SIZE —
Edge Metal Attachment:
1-1/4" RS NAIL 4"OC
Coping Material: I --SELECT PARAPET WALL COPING MATERIAL —
Coping Size: I —SELECT COPING METAL SIZE OR THICKNESS —
Hook Strip Size: I —SELECT COPING METAL HOOK STRIP SIZE —
Parapet Coping Metal Attachment:
NA
Edge Nailable Deek-
MIAM}Q M
QlM
"Delivering Excellence Every Day"
Miaml-Dade County HVHZ Electronic Roof Permit Form
Illustrate Components Noted and Details as Applicable:
see*
. . .... ......
......
.. .
......
Top Ply
••••
....
.
•
.....
Interplies
......
....
..... •
.. ..
....
......
Base Sheet
Roof Mean Hecht! 14
ft..
......
,. �►
Drip Metal: • •
• • • • •
•
9 Sk(V,u )
3"X3" GALV 26G
Surfacing:
Drip Metal
GRANULES
Top Ply:
I GAF RUBEROID 170 FR
Interplies:
s -
Base Sheet:
Roof Deck 4 • � � -
�FG�-SSBASE 75#
Deck Type:
PLYWOOD
TGFU.R1306 - Roofing Systems
Page 10 of 55
Insulation: — One or more layers perllte, glass fiber, 314-1n. minimum, polylsocyanurate, urethane, perlite/polylsocyanurate composite,
perlite/urethane composite, VA -In. minimum.
Base Sheet (Optional): — One or more plies Type G1 or Type G2 or Type G3.
Membrane: — One or more plies "Ruberold@ Torch" (Smooth or Granule) or "Ruberold@ Torch Granule Plus" or "Ruberold@
Mop" (Smooth or Granule) or "Ruberold@ Mop plus Granule."
Surfacing: — Gravel.
7. Deck. C-15/32
Incline: 1/2
Insulation (Optional): — One or more layers perlite, wood fiber, glass fiber, polylsocyanurate, urethane, perlite/polylsocyanurate
composite, perllte/urethane composite, wood fiber/polylsocyanurate composite.
Base Sheet: — Two or more plies Type G2 or Type G3.
Ply Sheet (Optional): — One or more plies Type G1.
Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberoid® Torch Granule Plus" or "Ruberoid®
Mop" (Smooth or Granule) or "Ruberold& Mop Plus Granule."
Surfacing: — "Karnak No. 97" applied at 1% to 3-gal/100-R2 or gravel.
8. Deck: NC
Incline: 1/2
Insulation: — One or more layers perllte, glass fiber, 144-in. minimum polylsocyanurate, urethane, perlite/Dolylidcyanurate composite, : •
perllte/urethane composite, 1V: In. minimum. .. • 0 0 : 0 •
Base Sheet (Optional): — One or more plies Type GI or Type G2 or Type G3. • • •
Membrane: — One or more plies "Ruberoid® Torch" (Smooth or Granule) or "Ruberoldp Torch Granule Prus'tort'AuberoIclJ • 0 0 • • 0.0
Mop" (Smooth or Granule) or "Ruberoldp Mop Plus Granule." • • • • • • • • •
Surfacing: — Grundy "AL MB Aluminum Roof Coating" applied at 1 to 2-gal/100-ft2. • • • • • • : 0.0 •:
• • ••••••
•••• • •••• ••••••••• •
9. Deck: C-15/32 Incline: 112 •
••••••
• • •
•• •• •••• ••••••
Insulation (Optional): — One or more layers perllte, glass fiber, %-in. minimum, polylsocyanurate, urettibALO,pll§ite/polylsocyanurate • •
composite, perllte/urethane composite, phenolic, lye In. minimum.
fastened in place. One or more plies Type G2 'GAFGLASp #75 Base Sheet", or "Tri-Ply@ #75 Base Sheet hot mopped or rrkeftbhituy •Base Sheet: •
Ply Sheet: — One or more plies Type GI "GAFGLAS@ Ply 4" or "Tri-Ply® Ply 4" or "GAFGLAS(D Ply 6" hot mapped In place. • • • • • 0 • • •
Membrane: — "Ruberold& Mop 170 FR' or "Ruberoid® Dual FR" or "Ruberoid® Mop FR" or "Ruberold@ EnergyCap," Mop T% • •'
Surfacing — (Optional): "GAF Flbered Aluminum Coating" applied at 1%-gal/100-ft2 or "GAF Weather Coat Emulsion" applied at 3-
gal/100-R2.
10. Deck: C-15/32 Incline: V:
Insulation (Optional)s — Perlite, fiber glass, polylsocyanurate, urethane or perllte/polylsocyanurate composite.
Base Sheet: — One or more layers Type G2 "GAFGLAS(D #75 Base Sheet" or "Tri-Ply& #75 Base Sheet" or Type G3 "GAFGLAS(D Mineral
Surfaced Cap Sheet' or 'Trl-Ply@ Mineral Surfaced Cap Sheet" hot mopped or mechanically fastened.
Ply Sheet (Optional): — One or more piles Type G1, hot mopped In place.
Membrane: — "Ruberoldp Mop 170 FR" or *Ruberold@ Dual FR" or 'Ruberold@ Mop FR" or "Ruberold@ EnergyCap'" Mop FR."
11. Decks C-15/32
Incline: 1/2
Insulation (Optional): -- Perlite, fiber glass, polylsocyanurate, urethane or perlite/polylsocyanurate composite, butt offset a minimum of
6-In. from plywood deck joints.
Base Sheet: — One or more plies Type G2 "GAFGLAS(D #75 Base Sheet" or - rd-Ply& #75 Base Sheet" or Type G3 "GAFGLAS(D Mineral
Surfaced Cap Sheet' or 'Tri-Ply@ Mineral Surfaced Cap Sheet" hot mopped or mechanically fastened.
Ply Sheet (Optional): — One or more plies Type G1, hot mopped In place.
Membrane: — One ply "Ruberold& Torch Smooth" or "Ruberoid@ Mop Smooth" or "Ruberold@ Mop Smooth 1.5" or "Ruberold@ Mop
Smooth Plus" or "Ruberold@ Dual Smooth."
Membrane: — One ply "Ruberold@ Mop 170 FR" or *Ruberold@ Dual FR" or "Ruberoid& Mop FR" or "Ruberold@ EnergyCap- Mop FR.
12. Decks NC
Incline: I
Insulation (Optional): — Perlfte, fiber glass, wood fiber, polylsocyanurate, urethane or perllte/polylsocyanurate composite.
Base Sheets — One or more layers Type G2 "GAFGLAS(D #75 Base Sheet" or 'Tri-Ply@ #75 Base Sheet" or Type G3 "GAFGLAS@ Mineral
Surfaced Cap Sheet" or 'Trl-Ply@ Mineral Surfaced Cap Sheet", hot mopped or mechanically fastened.
Ply Sheet (Optional): — One or more plies Type G1 hot mopped in place.
Membrane: — One ply "Ruberold@ Mop 170 FR" or "Ruberold@ Dual FR' or "Ruberold® Mop FR" or "Ruberold® EnergyCap", Mop FR."
13. Deck: NC
Incline: 1/2
Insulation (Optional): — Perfite, fiber glass, wood fiber, polylsocyanurate, urethane or perllte/polylsocyanurate composite.
Base Sheet (Optional): — One or more piles Type G2 or Type G3 base sheet, hot mopped or mechanically fastened.
Ply Sheet (Optional): — One or more plies Type G1 hot mopped in place.
Membrane: — One ply "Ruberold@ Torch Smooth" (smooth) or "Ruberold(D Mop Smooth" or "Ruberold@ Mop Smooth 1.5" or "Ruberolde
Mop Smooth Plus" or "Ruberold@ Dual Smooth."
hrtn://database.ul.com/cai-binIXYV/template/LISEXT/1FRAME/shownave.html?n;ima=T I/•IA/1)(1111)
MIAMFOADE
MM
MIAMI-DADF COUNTY
PRODUCT CONTROL SE( ,710N
11805 SW 26 Street. Room 208
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION .1. (786)315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) ��H��.miumidadc.cov/ccuunm�
GAF
l 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-DadeGc>,"y Product•'
Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Ck&*County) •
reserve the right to have this product or material tested for quality assurance purposed-Ifthis prodpi;i9C
material fails to perform in the accepted manner, the manufacturer will incur the expettsVdf such testing
and the AHJ may immediately revoke, modify, or suspend the use of such product or"JI'Mil within:"'
their jurisdiction. RER reserves the right to revoke this acceptance, if it is determineabjftami-Bade
County Product Control Section that this product or material fails to meet the requirements of the • •
applicable building code.
This product is approved as described herein, and has been designed to comply with tlVFlo4ida Butlbittg
Code including the High Velocity Hurricane Zone of the Florida Building Code. " '
DESCRIPTION: GAF Ruberoid* Modified Bitumen Roof System for Wood Decks.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state
and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted
herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has
been no change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or
change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an
endorsement of any product, for sales, advertising or any other purposes shall automatically terminate
this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of
NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is
displayed, then it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA No. 14-1030.02 and consists of pages 1 through 67.
The submitted documentation was reviewed by Joree L. Aceho.
rwwto� cot�rr
NOA No.: 15-1020.01
Expiration Date: 11/06/18
Approval Date: 02/15/18
Pones t ::r!.7
Membrane Type: SBS/SBS Cold Applied
Deck Type 1: Wood, Non -insulated
Deck Description: Min. 19/32" or greater plywood or wood plank secured 6 in. o.c. with 8d ring shank
nails to supports spaced 24 in. o.c. max.
System Type E(1):
Anchor sheet is mechanically attached to roof deck. (Non -insulated systems)
All General and System Limitations shall apply.
Fire Barrier:
FireOut' Fire Barrier Coating, VersaShieldQD Fire -Resistant Roof Deck Protection,
(optional)
VersaShield00 Solo' Fire -Resistant Slip Sheet, DensDecV Roof Board,
SECUROCK* Gypsum -Fiber Roof Board, or SECUROCK Glass -Mat Root' Board.
Base sheet:
� TM
GAFGLAS #80 Ultima Base Sheet, GAFGLAS"' Stratavent"' Na'lable * • • •�
•
PX.
• • • •
Base Sheet, Ruberoid* 20 Smooth, Ruberoid" i l W Smooth or rid"' I I
KEI� Q' �1l?.S
,'
Smooth base sheet mechanically fastened to deck as described. qw; '..'
....:.
Fastening
GAFGLAS"' Ply 4, Tri-Ply* Ply 4 Ply Sheet, GAFGLAS" Flex0lj'" 4 *GAFGLASOD
• • • •
•
Option #l:
#75 Base Sheet, Tri-Ply" #75 Base Sheet or any of above base 9h''teeattache�tw: •
, • • • •
deck with approved annular ring shank nails and tin caps at a fa§jpjV j Spacing gf.To
..,..'
o.c. at the lap staggered and in two rows 12" o.c. in the field. 000000 0 0:0
000000
(Maximum Design Pressure —45 psj. See General Limitation #7.).: 0
. •
Fastening
GAFGLASO° Ply 4, Tri-Ply" Ply 4 Ply Sheet, GAFGLAS' FlexAy'" 6 6GAFdkA4"
: • • • • •
Option #2:
#75 Base Sheet, Tri-Ply' #75 Base Sheet or any of above base 91 Pts attached to
: • • • •
•
deck with Drill-Tec'" #12 Fastener or Drill-Tec'" #14 Fastener and Drill -Teel j'• • •
Steel Plate, Drill-Tec'" AccuTracl Flat Plate or Drill-Tec'" AccuTrac" Recessed
Plate installed 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are
equally spaced approximately 12" o.c. in the field of the sheet.
(Maximum Design Pressure —45 psf. See General Limitation #7)
Fastening
GAFGLAS* F1exPly' 6, GAFGLAS* #75 Base Sheet, Tri-Ply" #75 Base Sheet 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" ox a the 4" lap staggered and in two rows
9" o.c. in the field.
(Maximum Design Pressure —52.5 psf. See General Limitation #7)
Fastening
GAFGLASIO #80 Ultima'" Base Sheet, Ruberoid" 20 Smooth, Ruberoid'0 Mop
Option #4:
Smooth, base sheet attached to deck with approved annular ring shank nails and tin
caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in
the field.
(Maximum Design Pressure —60 psf. See General Limitation #7)
Fastening GAFGLAS" #75 Base Sheet, Tri-Ply"' #75 Base Sheet or any of above base sheets
Option #5: attached to deck with Drill-Tec' #12 Fastener or Drill-Tec'" 414 Fastener and Drill-
Tec' 3" Steel Plate, Drill-Tec" AccuTrac* Flat Plate or Drill-Tec'" AccuTrac"
Recessed Plate installed 12" o.c. in 4 rows. One row is in the 2" side lap. The other
rows are equally spaced approximately 9" o.c. in the field of the sheet.
(Maximum Design Pressure —60 psf. See General Limitation #7)
Fastening Any of above base sheets attached to deck approved annular ring shank nails and 3"
Option #6: inverted Drill-Tec' insulation plates at a fastener spacing of 9" o.c. at the 4" lap
staggered in two rows 9" in the field.
(Maximum Design Pressure —60 psf. See General Limitation #7)
U1MIaME NOA No.: 15-1020.01
�� . • • • ,, Expiration Date: 11/06/18
Approval Date: 02/15/18
Page 51 of 67
Fastening
GAFGLAS' #75 Base Sheet, Tri-Ply°Y #75 Base Sheet or any of above base sheets
Option #7:
attached to deck with Drill-Tec`" # 12 Fastener or Drill- Tec'" 414 Fastener and Drill-
Tec`" 3" Steel Plate, Drill-Tec' AccuTrac04 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 GAFGLAS10 Ply 4, Tri-Ply°' Ply 4 Ply Sheet,
GAFGLAS' FlexPly'" 6, GAFGLASR #80 Ultima' Base Sheet, Ruberoid" Mop
Smooth, Ruberoid* Mop Smooth 1.5, Ruberoid* Mop Plus Smooth or Ruberoid" 20
Smooth sheet adhered in a full mopping of approved asphalt applied within the F.VT
range and at a rate of 20-40 lbs./sq.
Membrane:
One or more plies of Ruberoid" Mop Smooth, Ruberoid" Mop Smooth 1.5.."•'.
Ruberoid" Mop Plus Smooth, Ruberoid" Mop Granule FR, Ruwrok `'.Mop Granule,
Tri-Ply* SBS Granule Cap Sheet, Intec Flex PRF, , Ruberoid's' M* 0 Plus Granule,• •
Ruberoid" 20 Smooth, Ruberoid" 30 Granule, Ruberoid0° Enerfry0p„30 Grange
FR. Ruberoid" 30 Granule FR, Ruberoid" 30 Plus Granule FR. gr.4yberoid; Mop
Plus Granule FR in adhered in a full mopping of approved asph34 jVplied wMen the
EVT range and at a rate of 20-40 lbs./sq. ...... • • • •
Or ..�..� ..:.
One or more plies of Ruberoid" Mop Smooth, Ruberoid00 Mop Spold 1.5. •
Ruberoid" Mop Plus Smooth, Ruberoid* Mop Granule, Tri-Ply4SBS 6ranulO".
Sheet, Intec Flex PRF, , Ruberoidi1D Mop Granule FR, Ruberc4d* )lop Plus
Granule, Ruberoid* 20 Smooth, Ruberoid" 30 Granule, Ruberoid'"tnergyCapI'*3�0,•
Granule FR, Ruberoid* 30 Granule FR. Ruberoid" 30 Plus Granule FR, or
Ruberoid* Mop Plus Granule FR adhered in MatrixTM 102 SBS Membrane Adhesive
at an application rate of 1-2 gal./sq.
Surfacing:
Optional on granular surfaced membranes; required for smooth membranes.
Chosen components must be applied according to manufacturer's application
instructions. All coatings must be listed within a current NOA.
1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of
Approved asphalt at 60 lbs./sq.
2. GAFGLAS* Mineral -Surfaced Cap Sheet, Tri-Ply* BUR Granule Cap Sheet
or GAFGLAS* 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.: I5-1020.01
Expiration Date: 11/06/18
Approval Date: 02/15/18
Page 52 of 67
WOOD DECK SYSTEM LIMITATIONS:
1 A slip sheet is required with GAFGLASQ° Ply 4 and GAFGLAS* FlexPly' 6 when used as a
mechanically fastened base or anchor sheet.
2. Minimum '/4" DensDeck" Roof Board or''/z" Type X gypsum board is acceptable to be installed
directly over the wood deck.
GENERAL LIMITATIONS:
l . 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 appliedin approved••:-
asphalt, panel size shall be 4' x 4' maximum. • • • • • • • • •
4. An overlay and/or recovery board insulation panel is required on all applications o0efelosed ceir
foam insulations when the base sheet is fully mopped. If no recovery board is uwV1h%base s3vat. %
shall be applied using spot mopping with approved asphalt, 12" diameter circles t o.c.; or strip •
mopped 8" ribbons in three rows, one at each side lap and one down the center oftit *Meet alloy'Jng
a continuous area of ventilation. Encircling of the strips is not acceptable. A 6 06 0 0shall be
placed every 12' in each ribbon to allow cross ventilation. Asphalt application ctFeith4 system shall
be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a MAN* fim
design pressure of -45 psf. 6..e
5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') vahte of
275 IV., 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 11 I 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.: 15-1020.01
Expiration Date: 11/06/18
Approval Date: 02/15/18
Page 67 or 67
,SNORES D�!
n . ..� Miami Shores Village
--o�° Building Department
ORiDp` 10050 NE 2 Ave, Miami Shores, FI 33138
Tel: (305)795-2204 - Fax; (305)756-8972
RECEIPT
PERMIT #: �1 DATE: rl`e 14 IZO)8
Contractor
❑ Owner
❑ Architect
Picked up 2 sets of plans and (other) Gy CQ rrt 4 o h
Address: \l 3 01 N C ' d S SA-Y-'tg'�
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
114
144e, P164�"
i
PERMIT CLEARK INITIAL: 1i1� ila
RESUBMITTED DATE:
PERMIT CLEARK INITIAL:
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