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RF-05-19-1039, 8700 Biscayne BlvdMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 8700 BISCAYNE BLVD, Miami Shores, FL 33138 1132060201030 :ontacts Miami Shr Sery Station LLC Owner A GREEN CONTRACTORS CORP Contractor 9701 NW 89 AVE, Medley, FL 331781435 YOURDETTY SANTANA Business:7862525218 AGREENCONTRACTORS@YAHOO.COM e --.--- ..........._� .._..._._ ---- .; �_ _... Description: RE -ROOF METAL? Valuation: 2 Inspection Requests $ 8,044.00 305.762-4949 Total Sq Feet: 3,000.00 r: Fees Amount Application Fee - Other $50.00 CCF $17.40 DBPR Fee $4.50 DCA Fee $3.00 Education Surcharge $5.80 Planning and Zoning Review Fee $35.00 Roofing Fee $250.00 Scanning Fee $9.00 Technology Fee $7.50 Total: $382.20 Building Department Copy Payments Date Paid Amt Paid Total Fees $382.20 Check # 0460 06/11/2019 $332.20 Check # 0429 05/09/2019 $50.00 Amount Due: $0.00 In consideration of the issuance to me of this permit, 1 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 const fdcVn and zogjng. ,Fgthermore, 1 authorize the above named contractor to do the work stated. Authorized Signature: OwnW,. —' / Applicant / Contractor / Agent June 11, Date Page 2 of 2 BUILDING PERMIT APPLICATION *BUILDING ❑ ELECTRIC PLUMBING ❑ MECHANICAL Miami Shores Village Building Department MgY0 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 &19 Tel: (305) 795-2204 Fax: (305) 756-8972 ��� INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20tI Z Master Permit Not I �J Sub Permit No. ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: X?",'A e,-x"% r" dli-'-'` City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: %_ 3 Z-06 —OZFJ /030 Is the Building Historically Designated: Yes NO Occupancy Type: Load: _ Construction Type: Flood Zone: BFE: FFE OWNER: Name (Fee Simple Titleholder): daC4,' JW— S'4-(7167"e &C Phone#: Address: 7C' / �*e- City: �1 State: i `L Zip: �� 7 Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: Address: l 1- City: Qualifier Name: State Certification for Registration #: DESIGNER: Architect/Engineer: _ Phone#: ) J Ir Zip: -3. & Phone#: Certificate of Competency #: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ l A_lteratio New epair/Replace ❑ Demolition i Description of Work: ` t�-- 00 Specify color of color thru tile: V Submittal Fee $ �`' Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ CCF S DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE zo v N r* Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip, Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �� (-I J�-- UOWNERorAGENT The foregoing instrument as acknovAedged before me this (� day of Q 20 by IVY who is personally known to me o who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign Print: y F,'B R1t1DE AP,� Seal: ( x Notary Ruby Mate F nde Camul,ission -G, ;3 6 My Comm Ex„ iros Jul 4. 2.020 APPROVED BY Signature C0NTRAC R The foregoing instrum nt was ackn wledged before me this d of 20 1 by ! C ty"kn ,iu�io i ersonatow to me or who has produ ed as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: ComrrisEior # GG 8346 c M, Expires iul 4, 2020 Jq Plans Examiner OA Zoning (Revised02/24/2014) Structural Review Clerk 5/9/2019 Propertv Search Application - Miami -Dade Countv AZ_7 �111'4 'N'EOFTHEPR PERTYRAPPRAMSER OFFIG Summary Report Property Information Folio: 11-3206-020-1030 Property Address: 8700 BISCAYNE BLVD Miami Shores, FL 33138-3342 Owner MIAMI SHR SERV STATION LLC Mailing Address 9701 NW 89 AVENUE MEDLEY, FL 33178-1435 PA Primary Zone 6200 COMMERCIAL - ARTERIAL Primary Land Use 2626 SERVICE STATION: SERVICE STATION - AUTOMOTIVE Beds I Baths / Half 0/0/0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,996 Sq.Ft Lot Size 19,500 Sq.Ft Year Built 1967 Assessment Information Year 2018 2017 2016 Land Value $858,000 $858,000 $760,500 Building Value $108,900 $108,900 $50,000 XF Value $13,695 $13,695 $0 Market Value 1 $980,595 $980,595 $810,500 Assessed Value 1 $657,966 $598,151 $543,774 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Assessment $322,629 $382,444 $266,726 Cap Reduction Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description EL PORTAL SEC 4 PB 12-56 LOTS 24 TO 29 INC LESS NE 6 AVE BLK 23 LOT SIZE 19500 SQUARE FEET COC 23930-2566 09 2005 6 Generated On : 5/9/2019 Taxable Value Information 20181 2017 2016 County Exemption Value $0 $0 $0 Taxable Value 1 $657,966 $598,151 $543,774 School Board Exemption Value $0 $0 $0 Taxable Value $980,595 $980,595 $810,500 City Exemption Value $0 $0 $0 Taxable Value $657,966 $598,151 $543,774 Regional Exemption Value $0 $0 $0 Taxable Value $657,966 $598,151 $543,774 Sales Information Previous Sale Price OR Book -Page Qualification Description 09/01/2005 $1,870,000 23930-2566 Other disqualified 11/01/1996 $240,000 17510-2172 Other disqualified 06/01/1985 $277,778 12609-1676 Sales which are qualified 06/01/1985 1 $250,000 12609-1676 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: Detail by Entity Name Page I of 2 FIonda �De Department Slate Department of Stale / Division of Corporations / Search Records I Detail By Docunlent Number / DIVISION OF CORPORATIONS http://search.sunbiz.org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 5/9/2019 Detail by Entity Name Page 2 of 2 Report Year Filed Date 2017 04/27/2017 2018 04/20/2018 2019 01/09/2019 Document Images 01/0912019 -- ANNUAL REPORT 04120/2018 -- ANNUAL. REPORT 04/27i2017 — ANNUAL REPORT 04/2212018 -- ANNUAL REPORT 04/2712015 - ANNUAL REPORT 04/3012014 -- ANNUAL REPORT' 04/29/2013 -- ANNUAL REPORT 04!25i2012 -- ANNUAL REPORT, Vie�e in PDF formal 04/29i2011 -- ANNUAL REPORT View image in PDF format 04/30/2010 —ANNUAL REPORT View image in PDF format 05101/2009 -- ANNUAL REPORT View image in PDF format 04/29/2008 -- ANNUAL REPORT Vievv image in PDF format 044!19i2007__ANNUAL _REPORT View image in PDF formal 04/20/2006 -- ANNUAL REPORT View image in PDF format 08107/2005 -- Florida Limited Liabilites View image in PDF format Ida ::-nepwt.—L or State, :^.:vicar: or C:,rpozxt:ona http://search. sunbiz.org/Inquiry/CorporationSearchIScarchResultDetail?inquirytype=Entity... 5/9/2019 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTR THE ROOFI� PROVISI ❑ ❑ ❑ BOARD UNDERTHE TUTES Sep 18 2018 01:36PM A -Team General 3054249490 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - 00 NOT PAY 7259153 BUSINESS NAMEIL"ATION A GREEN CONTRACTORS CORP 1701 SW 94TH AVE MIAMI FL 33165 page 1 RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2019 7S"765 Must be displayed at place of business Pursuant to County Code Chapter RA - Art. 9 & 10 UvVNER SEC_ TYPE OF BUSINESS PAYMENT RECEIVED A GREEN CONTRACTORS CORK 196 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR C/O YOURDEM SANTANA QUALIFIER CGC1515007 $75.00 09J05/2018 Worker(s) 2 CREDITCARD—W-066042 Tbk Lam*BttsinessTax Receipt only confirms payment of the Loaat Business Tax. The Raceipt is not a license, permit, or a owhication of the holders qualifications, to do business. Holder most cort$ly with wty governmental w nongovernmental regulatory laws and raquifinenu which apply to t!a business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dads Code Sac 8a-M Formarsiniormation,visitvswwMiamida'decovftiicollsemr 0064M Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7259155 - BUSING$$ NAME/LOCATION RECEIPT NO. EXPIRES A GREEN CONTRACTORS CORP RENEWAL SEPTEMBER 30, 2019 1701 SW 94TH AVE 7545766 Must be displayed at place of business MIAMI FL 33165 Purauent to County Code Chapter SA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT IiEC@rVED A GREEN CONTRACTORS CORP 196 SPECIALTY BUILDING CONTRACTOR C/O YOURDETTY SANTANA QUALIFIER CCC1329141 BY TAX COLLECTOR %75.00 09/05J2011T Worker(s) 2 CREDITCARD-18--066042 iifs3naal BusinserTax Recbiot calyx Matims pam—t ar ma Local Easiness To. The Receipt is not a license, paeak ar o uaRrconso of the holder's geelificetioos, to do besiriM. Holder must comply with any ttovemmental or nongovernmental regulatory kvn and requirements which apply to the business. The RECEIPT NO. above mug be displayed on all commercial vehicles - Mhoni-Dads Code See So n& For mare je%rmetiaa, visit www.tniamidade.00vhucolloomr AC"R CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/08/18 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 NAME: Florida Bankers Insurance PAHic°N No. Ext : (305) 266-6493 A//CC No): (305) 262-0679 E-pMAIL mike@floridabankersinsurance.com 6874 SW 8 ST INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33144 INSURERA: INTERSTATE FIRE & CASUALTY COMPANY Phone (305) 266-6493 Fax (305) 262-0679 INSURED INSURER B INSURER C : A GREEN CONTRACTORS CORP INSURER D : 1701 South 94 Avenue INSURER E : Miami FL 33165- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 LTR rypE OF INSURANCE ADDL 1 UBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE OCCUR Y N B# 181064 06/06/2018 06/O6/2019 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMIS ES Ea occurrence) $ 50,000.00 MED EXP (Any one person) $ 5,000.00 ❑ PERSONAL & ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: RI POLICY ❑ JEC - ❑ LOC ❑ OTHER GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO OWNED SCHEDULED ❑ AUTOS ONLY ❑ AUTOS HIRED ❑ NON -OWNED ❑ AUTOS ONLY AUTOS ONLY ❑ ❑ COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ❑ PTAT TE ❑ ORH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED ON THIS POLICY GENERAL CONTRACTOR & ROOFING CONTRACTOR LICENSE # CGC 1515007 / CCC 1329141 CERTIFICATE HOLDER CANCELLATION City Of Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 Ne 2 Ave, Miami Shores FI 33138 AUTHORIZED REPRESENTATIVE Ph:(305)795-2204 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) QF The ACORD name and logo are registered marks of ACORD ACORL IP �, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/08/2018 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 SUNZ Insurance Solutions LLC 1301 6th Avenue W Bradenton, FL 34205 CONTACT NAME: PHONE FAX /C No): N Ex : 941-306-3077 A/C, E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: SUNZ Insurance Company 34762 INSURED Trion Solutions Inc. INSURER B : Co -Employer for Client Listed Below" INSURER C : 340 E Big Beaver Road Ste 160 INSURER D : Troy MI 48083 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: d4'42RrA1 REVISION NUMBER: 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDYEFF IYYYY MM/DDY� LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE El OCCUR DAMAGE S(RENTED PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- a PRO ❑ LOC J PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY MBINED INGLE LIMIT EaCOaccidentS $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB J CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE WCO26-00001-018 WCPE0000041702 9/30/2018 9/14/2017 9/30/2019 9/30/2018 STATUTE ERH E.L. EACH ACCIDENT $ 1 000,000 OFFICE R/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $ 1 00 00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage provided for all leased employees but not subcontractors of: Ameritemps Employment II Effective date: 12/25/2017 Work to be performed in the State of FL; Ref: A -Green Construction Employees: Cesar Alonso Alvarez, Marvin Carmona Conrado, Roberto Carmona Corrado, Luis Carmona, Cesar Alonso Alverez, Yohendri Feria Osorio, Braulis Suarez Viamonte, Yourdetty Santana City Of Miami Shores Village Building Department 10050 Ne 2 Ave, Miami Shores, FI 33138 Ph:(305)795-2204 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i� Glen J Distefano ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 44326641 1 Trion Solutions Inc. PEO 026 MASTER CERT I Kristi Garcia 19/20/2018 1:06:23 PM (EDT) I Page 1 of 1 Master Permit No. Contractor's Name Job Address U ❑ Low Slope ❑ Asphaltic Shingles ❑ New roof ❑ �. MAY O 9 ROOF ASSEMBLI 8UFF-'JJ A4 Florida Building Code 5th Edition (2014) ICEI h-Velocity Hurricane Zone Uniform Permit Application For Py 1 1 ! Section A (General Information) 1 Process No. 1 � 1 l/J c� i /V 1 ROOF CATEGORY 1 ! ❑ Mechanically Fastened Tile ❑ Mortar/Adhesive Set Tiles 1 Metal Panel/Shingles ❑ Wood Shingles/Shakes 1 ❑ Prescriptive BUR-RAS 150 1 ROOF TYPE 1 Repair ❑ Maintenance Reroofing ❑ Recovering ROOF SYSTEM INFORMAT ON 1 Low Slope Roof Area (SF) Steep Sloped Roof AREA (SSF)Zyd Total (SF) 2a dU ! ! 1 Section B (Roof Plan) I 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 1 ! e . ... 0 * N s eg . gg goose 1. . g e g e ! oe e• . eg gseseel ge gee . g s s .. g. .gooof g gl 04 e o . e el 1 1 ! FLORIDA BUILDING CODE — BUILDING, 5th EDITION (2014) 15.37 o NIA III] I , Copyright to, or licensed by, ICC (ALL RIGHTS RESERVED); accessed by Eliezer Palacio on Jun g, 2015 10:32A2 AM pursuant to License Agreement. No further reproductions authorized. Measurements :..: •:• •:,8700 Biscayne Blvd ......... . . ....... .... ... .... .... ............. .. . .... . .. 19110" ••• ••20'11j'• ••' •:• ••' 68' 3" .... .. ... .. . ... . . . . .. . .. .. . ....... CO - -CO CO (0 217' 6" Flashing Step Flashing 19,101, 2011 " Note: all measurement are in feet page 2 of 4 Section D Metal Roof System Roof System Manufacturer. heat Metal Notice of Acceptance Number. F7 Minimum Design Wind Pressures, (from RAS 127 or Calculations): p 1: P .1 2: = (is P 3: EE Maximum Design Wind Pressures, (From the NOA Specific system): If 31 1 sf Fill in the specific roof assembly components, if a component is not required,pinsert not applicable (n1a) ita the text box. Roof Slope: El 1712" Roof Mean Height; KI ft, Clip or Screw Spacing for Metal Roof Panel Attachment Field: 1 3:4:] -1 o/c Perimeters: KI - o1o; Corners: Ole Number of screws required per clip: .20 Perimeter Width: El it. Screw Type, Size, & Gauge for Clip or Metal Pand Attachment: I #I oxl,, Steel pancake Head Screws Deck Type; Optional Nailable Substrate: I NIA Optional Nailable Substrate Attachment Method: FN/A Optional Insulation: N/A Optional Insulation Attachment Method: N/A Fire Barrier: IVERSASHIELD Underlayment Type: *fee =#-30PAPER ---= * .... * 00 0 .0 :0: Underlayment Fastener Type: 00 0:0 0 1.257 Ring Shank Roof Nail WfTin Cap Optional Peel & Stick Membrane MIA Metal Roof Panel: • Steel I 5"Mechanically Seamed =Pantl Drip Edge Size & Gauge: 1-30 face 24 ga.-- Drip Edge Mate flaIType: Drip Edge Fastener Type: E2:5:- Ding Shank Roof �NM Hook Strip/Cleat gauge or weigbtiz—n1�11— TGFU.R21453 - Roofing Systems �L ONLINE CERTIFICATIONS DIRECTORY TGFU.R21453 Roofing Systems Page Bottom Roofing Systems See General Information for Roofina Systems MA]ORS METAL ROOFING & CUSTOM SHEET METAL INC 406 NW 54 ST MIAMI, FL 33127 USA Page 1 of 2 R21453 Any UL Classified peel and stick underlayment may be used In conjunction with either "VersaShield" or a Type 30 base sheet, in any of the following systems. 1. Deck: C-15/32 OTHER SYSTEMS Class A Incline: Unlimited Barrier Board: — G-P Gypsum 1/4 in. min DensDeck (a board or 1/2 In. min. UL classified gypsum board with all joints staggered a min of 6 In. from the plywood joints. Ply Sheet (Optional): — Any UL Classified Type G1, G2 or G3 base/ply sheet, Type 15 or 30 felt or UL Classified prepared roofing accessory or GCP Applied Technologies Inc. "Ice and Water Shield". Surfacing: — "Copper 1.5" Mechanically Seamed panels, "Steel 1.5 Mechanically Seamed" panels, "Aluminum 1.5" Mechanically Seamed panels" or "5 Crimp" panels, mechanically fastened. 2. Deck: C-15/32 or spaced sheathing Incline: Unlimited Underlayment: — One layer Elk Corp. "VersaShield Underlayment", mechanically fastened. Ply Sheet: — One layer Type 30 base sheet or "VersaShield', mechanically fastened. Panels: — "Cooper 1.5" Mechanically Seamed panels, 'Steel 1.S Mechanically Seamed" panels, or "5 Crimp" panes, mechanically fastened. 3. Deck: C-15/32 or spaced sheathing Incline: Unlimited Underlayment: — One or more plies Elk Corp. "VersaShield Underlayment", mechanically fastened. Panels — "Cooper 1.5" Mechanically Seamed panels, "Steel 1.5 Mechanically Seamed" panels, or "5 Crimp" panels, mechanically fastened. •••• 4. Deck: C-15/32 Incline: Unlimited • • Underlaymerrt: — Two layers Elk Corp. "VersaShield Underlayment", mechanically fastened. • • • • . • • • • Panels — "Aluminum 1.S" Mechanically Seamed Panels% • • • • Class •••••• • 1. Deck, C-15/32 Incline: Unlimited ••e* •••• • • • • •••• •••• Underlayment: — One layer Elk Corp. "VersaShieid Underlayment", mechanically fastened. 009000 • • Panels: — "Cooper 1.5 " Mechanically Seamed panels, "Steel 1.5" Mechanically Seamed panels, "Aluminum4.5" Mechanieally►Moved Panels", or "50imp panels mechanically fastened. • • • • 0000 Deck: Spaced Sheathing Incline: Unlimited Underlayment: — One layer Elk Corp. 'VersaShleld Underlayment". • • • Panels: — "Cooper 1.5' Mechanically Seamed panels, "Steel 1.5 Mechanically Seamed" panels or "S Crimii;p%nos, mectpnicaft fastened. • • • •••• Class C 1. Deck: C-15/32 Incline: Unlimited Vapor Barrier (Optional): — Any UL Classified base/ply sheet. Surfacing: — "Cooper 1.5" Mechanically Seamed panels, -Steel 1.5" Mechanically Seamed panels, "Aluminum 1.5" Mechanically Seamed panels or "S Crimp" panels, mechanically attached. Last Undated on 2016-06-02 Print this pace Terms of Use Paoe Too http://database.ul.com/cgi-binIXYVItcmplatelLISEXT/1 FRAMElshowpage.html?name=... 11 / 17/2017 TGFU.R21453 - Roofing Systems Page 2 of 2 CP 2017 UL LLC The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under UL's Follow -Up Service. Only those products bearing the UL Mark should be considered to be Certified and covered under UL's Follow -Up Service. Always look for the Mark on the product. UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The Guide Information, Assemblies, Constructions, Designs, Systems, and/or Certifications (files) must be presented In their entirety and in a non -misleading manner, without any manipulation of the data (or drawings). 2. The statement 'Reprinted from the Online Certifications Directory with permission from UV must appear adjacent to the extracted material. In addition, the reprinted material must Include a copyright notice in the following format: V 2017 UL LLC". •••• • • •••• •••••• •• • • ••• • • • • • •••••• •• • •••••• • •••• •••• :Goo*: •••• •••• ••••. •••••• • •• ••••• • • • • • •• •• •••• •••••• • • • • • •••••• • • • • • • • htto://database.ul.comlcsi-binIXYV/tem'Dlatc/LISEXT/l FRAMElshownal?e.html?name... 11 /17/2017 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 TA l%r AT10%Lk !Pl-A A I • r A To: Miami St 10050 NI Miami St Re: Owner's Property Roofing I ...... .. . ...... De r Buildin jOial: • .... .... I certify that I have improved the roof to wall'ccnnections bf the refd't VAd ...... . .. ..... property as required y the Manual of Hurricane Mitigation Retrofits for Existing Site-Buil!""le FamilyyRe'sidentiut' Structures as adopted by the Florida Building Commission by Rule 913-3.047 F.A.C. • • • • • Signa re State of Florida County of Dade Y(V—lc-z //�.:.. Print Name The undersigned, being the first duly swum, deposes and says that he/she is the owner r the above property mentioned. Sworn to and subscribed before me this day of 20 Notary Public, Sate of Florida at Large (SEAL) - Lit MA-7 346 Revised on 5/21/2009 FINAL COMPLIANCE To: 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. Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address. t Roofing Permit Number: Date: •••••• Dear Building lcial: • • • • • • ' I Qi certify that I am not required to retrofit the roef to wall connections of rqy •. .. ..... building because: • ' • .... .... ...... i he just valuation for the structure for purpose of ad valorem taxation is less than $300,000 Da 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 Florid Code (1994 SFBC) Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/sh is the Sworn to and subscribed before me this day of a Er1RBARA M DE LA PAZ �� al Notary Public - State of Florida p 6M.rrission # GG 6346 M.y Corrrr,. Expires Jul 4, 2020� ry er for the above property mentioned. J-61 (; Notary Public, Sate of Florida at Large C 6 When the just valuation of the structure for purpose of ad valon4 taxati is equal to or more than $300,000.00, and the building was not nstructed ith 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 512W009 *@WWI 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 park of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. &—FRenallingood de ks: When re lacin roofin the existin wood roof deck ma have to 2 w c replacing 9� 9 y be ren iled in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). O4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of tllrr:Qof decking can viewed from below. The owner may wish to maintain the architectural appearance, #W1Qfore. ...... roofs g nail penetration of the underside of the decking may not be acceptabls..7hi>: provides the option of • maintaining the appearance. • • • • • • • • """ .... .... ..... 6.O'l-overflow scuppers (gall outlets): It is required that rainwater 96" *.qjf so that the roof is..:..' not o rloaded from a buildup of water. Perimeter/edge wall or other roof exWrSiArl'may blorlcthls .... • • discharge if overflow scuppers (wall outlets) are not provided. It may be nec&%wy to install overflow •; scuppers in accordance with the requirements of Sections R4402, R4403 and 0A. ;.. •. """ Signature Date Property Address Revised on 7/9/2009 LD;07/01/2015; rgnature Date Permit Number M M�IAMI-D14DE i\IIANII-DADS COUNTY " moo 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) ii-wiv.minmidadesovlcconomv Major's Metal Roofing & Custom Sheet Metal, Inc. 406 NW 54" Street Miami, FL 33127 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 snail 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 of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meettk* 9 requirements of the applicable building code. • • • • • • • • • • This product is approved as described herein, and has been designed to comply with the Florkta'Ijatitding Ccdt� • • • • • including the High Velocity Hurricane Zone of the Florida building Code. "•"' • .... .... . . DESCRIPTION: Steel 1.5" Mechanically Seamed Panel "" "" •'; •'. ...... . .. ..... . .. LABELING: Each unit shall bear a label with the manufacturer's name or oio,. city, stag. a'hd ...... permanent following statement: "Miami -Dade County Product Control Approved", unless others sedated herein* •. ...... RENEWAL of this NOA shall be considered after a renewal application has been filetlattdthere hits bep 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 # 14-0515.14 and consists of pages 1 through 7. The submitted documentation was reviewed by Gaspar J Rodriguez. MIAMNDADECOUNTY NOA No.: : 06/17/19 �Ir...' � Expiration Date: 03/24/16 Approval Date: 0312�4/16 Page I of 7 ROOFING ASSEMBLY APPROVAL: Cateeory Roofing Sub -Category: Non -Structural Metal Roofing Material: Steel Deck Type: Wood Maximum Desien Pressure: See Table A & Table B TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Product Dimensions Steel 1.5" Mechanically Length: varies Seamed Panel Coverage width : 12", 16" & 20" Height: 1.5" min. 24 gage (0.0239") Min Yield Strength: 26 KSI Panel Clip Length = 2" Width = 3/4" Height = I.5" min. 24 gage (0.0239") Stainless Steel Panel Length = 2" Clip Width = 3/," Height = 1.5" min. 24 gage (0.0239") Test Product Specifications Description TAS 125 Corrosion resistant galvanized or galvalume preformed, coated, preEinished, metal panels. TAS 110 'fAS 110 TRADE NAMES OF PRODUCTS MANUFACTURED BY OTHERS ASTM Grade 50 preformed, galvalume steel clips with two preformed holes. Grade C preformed, stainless st �ej rips with two prefoi7flgd hoIrs. • • • • • Product Product Dimensions •' Manuf etbter Description ...... Fasteners # 10 Corrosion resistant steel screws for Gq= cjic 00 fastening of clip. • •• • • •• MANUFACTURING LOCATION: 1. Miami, FL EVIDENCE SUBMITTED: Test Agency • • • • • Product Product Dimensions •' Manuf etbter Description ...... Fasteners # 10 Corrosion resistant steel screws for Gq= cjic 00 fastening of clip. • •• • • •• MANUFACTURING LOCATION: 1. Miami, FL EVIDENCE SUBMITTED: Test Agency Test Identifier "Pest Name/Report Date Valspar Corporation ASTM G 23 ASTM B 117 PRI Asphalt MRI-001-01-01 TAS 100 09/18/03 Technologies, Inc. I lurricane Test 0299-0801-03 TAS 125 10/27/03 Laboratory, Inc. Hurricane Test 0299-0320.04 TAS 125 03/25/04 Laboratory, Inc. NOio No.: e: 06/17/19 tmaMt�wecourrry Expiration Date: 06l17/19 Approval Date: 03/24/16 Page 2 of 7 APPROVED ASSEMBLIES: System A: Steel 1.5" Mechanically Seamed Panel (Maximum 20" coverage width panels) Deck Type: Wood, Non -insulated Deck Description: New Construction 19/32" or greater plywood or wood plank, or for re -roofing 15/32" or greater plywood. Slope Range: 2": 12" or greater Maximum Uplift Pressure: See Table A below Deck Attachment: In accordance with applicable Building Code, but in no case it shall be less than 8d annular ring shank nails spaced 6" o.c. in the field and 4" o.c. along the perimeter of the sheet. In reroofing, where the deck is less than 19/32" thick (minimum 15/32") the above attachment method must be in addition to existing attachment. Underlayment: Minimum underlayment shall be a ASTM D 226 Type 11 installed with a minimum 4" side -laps and 6" end -laps. Underlayment shall be fastened with corrosion resistant tin - caps and 1'/4" annular ring -shank nails, spaced 6" o.c. at all laps and two staggered rows 12" o.c. in the field of the roll. Or, any Miami -Dade County Product Control Approved underlayment having a current NOA. Fire Barrier Board: Any approved fire barrier having a current NOA. Refer to a current fire directory listing for fire ratings of this roofing system assembly as well as the location of the fire V oroter within the assembly. See Limitation # 1. • • • • ; • • • Valleys: Valley construction shall be in compliance with Roofing Application Standard %N1 1:3 and with Major's Metal Roofing & Custom Sheet Metal, Inc.'s ettlrent•published • installation instructions. 000000 • • • • Metal Panels and Install the "Steel 1.5" Mechanically Seamed Panel" and accessorLes n ompliance M69 Ith Accessories: Major's Metal Roofing & Custom Sheet Metal, I nc.'s current pu�U94c4l•installatjgtl • - instructions and details. Flashing, penetrations, valley constructipAl"other details shall be constructed in compliance with the minimum requirements prDvidtd:n Roofing • Application Standards RAS 133. . 0: •' •" Panels shall be installed with galvanize/stainless steel clips (2" loilgx 4" widc:x J-3% tall), attached to substrate with two corrosion resistant steel #10 wood screw ofSarmient length to penetrate through the sheathing a minimum of 3/16". Clip fastening shall start 3" from panel end and shall be at maximum spacing as described below in Table A. there after. Standing seams shall be mechanically seamed to a full 90° seam, (single lock). TABLE A MAXIMUM DESIGN PRESSURES Roof Areas Field Perimeter and Corner' Maximum Design Pressures —57.3 PSF —101 PSF Maximum Clip Spacing 34" OC 8" OC 1. Extrapolation shall not be allowed NOA No.: 16-0224.13 Expiration Date: 06/17/19 Approval Date: 03/24/16 Page 3 of 7 System B: Deck Type: Deck Description: Slope Range: Steel 1.5" Mechanically Seamed Panel, (Coverage width 12" & 16") Wood, Non -insulated New Construction 19/32" or greater plywood or wood plank, or for re -roofing 15/32" or greater plywood. 2": 12" or greater Maximum Uplift See Table B below Pressure: Deck Attachment: In accordance with applicable Building Code, but in no case it shall be less than &d annular ring shank nails spaced 6" o.c. in the Geld and 4" o.c. along the perimeter of the sheet. In reroofing, where the deck is less than 19/32" thick (minimum 15/32") the above attachment method must be in addition to existing attachment. Underlaynlent: Minimum underlayment shall be a ASTM D 226 "type 11 installed with a minimum 4" side -laps and 6" end -laps. Underlayment shall be fastened with corrosion resistant tin - caps and 1'/," annular ring -shank nails, spaced 6" o.c. at all laps and two staggered rows 12" o.c. in the field of the roll. Or, any Miami -Dade County Product Control Approved underlayment having a current NOA. Fire Barrier Board: Any approved fire barrier having a current NOA. Refer to a current fire directory listing for fire ratings of this roofing system assembly as well as the location of the fire 4ariilrr within the assembly. See Limitation # 1. •. •.. • Valleys: Valley construction shall be in compliance with Roofing Application Standard WAS f13 and with Major's Metal Roofing & Custom Sheet Metal, Inc.'s curicnl''ublished" installation instructions. Metal Panels and •..• .... Install the "Steel 1.5" Mechanically Seamed Panel" and accessories in compliancc.*411 Accessories: Major's Metal Roofing & Custom Sheet Metal, Inc. s current ut►lwiedinstaltation,. g p instructions and details. Flashing, penetrations, valley construction aKd other d'e4lesltall be constructed in compliance with the minimum requirements provided in Roofing • Application Standards RAS 133. 0 ; 0 0 •; • Panels shall be installed with galvanize/stainless steel clips (2" lu"A.* 3/O' wide z 1.5" tall), attached to substrate with two corrosion resistant steel #10 wood screw ohotticient •..• length to penetrate through the sheathing a minimum of 3/16". Clip fastening shall start 3" from panel end and shall be at maximum spacing as described below in Table B. there after. Standing seams shall be mechanically seamed to a full 90' seam, (single lock). TABLE B MAXIMUM DESIGN PRESSURES Roof Areas Field Perimeter and Corner' Maximum Design Pressures —57.3 PSF —13t PSF Maximum Clip Spacing 34" OC 8" OC 1. Extrapolation shall not be allowed NOA No.: 16-0224.13 =A: ROVE = Expiration Date: 06/17119 Approval Date: 03/24116 Page 4of7 LIMITATIONS 1. 2. 3. 4. 5. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. The maximum designed pressure listed herein 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). Panels shall be roll formed in continuous lengths from cave to ridge. Maximum lengths shall be as described in Roofing Application Standard RAS 133. All panels shall be permanently labeled with the manufacturer's name and/or logo, and the following statement: "Miami -Dade County Product Control Approved" or with the Miami -Dade County Product Control Seal as seen below. All clips shall be permanently labeled with the manufacturer's name and/or logo, and/or model. All products listed herein shall have a duality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. • •••• •••• ••••• Y • •• •• •••• •••••• • • • • • •••••• NOA No.: 16-0224.13 Expiration Date: 06/17/19 Approval Date: 03/24/16 Page 5of7 DETAIL DRAWINGS 0.53' STIFFENING RIBS 0.42" 0.39' 4.50" 0.10" 1.47" 1.50" 12", w & W. PANEL DETAIL -- 0.75" -- LES FOR RE WS PANEL CLIP DETAIL PANEL \AATH SINGLE LOCK • • 00 •• •• •••• •••••• • . . . . ...... STEEL 1.5" MECHANICALLY SEAMED PANEL AND DVXAILS NOA No.: 16-0224.13 1xpiration Date: 06/17/19 Approval Date: 03/24/16 page 6 of 7 DRAWINGS CONT. STANDING SEAM PANEL END OF THIS ACCEPTANCE . .... ...... ..... .. . ...... .... .... . . .... .... ..... ..... . .. ..... • NOA No.: 16-0224.13 Expiration Date: 06/17/19 Approval Date: 03/24/16 Page 7 or 7 MIAMI-DADS COUNTY MIAMI,OADE PRODUCT CONTROU3B@TION k 12805 W 26 Stree•,ftmni 208 ****go DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) • Miami, Florida.33476*2474 .' BOARD AND CODE ADMINISTRATION DIVISION T (7N3i&2S90 F (1�b� 115:2599 • NOTICE OF ACCEPTANCE (NOA) ..,.w•titio•midaac.e«,��nnt,�,,, • ...... •••• •••• GAF .... .... ..... 1 Campus Drive •••••• . . •..•. Parsippany, NJ 07054 •• •• •••• •••••• SCOPE: •••••. This NOA is being issued under the applicable rules and regulations governing the use of cQnst;utlion materials. The • • documentation submitted has been reviewed and accepted by Miami -Dade County RER-Proddc't Control Jec4 tt•to be • • used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AI-IJ). "" 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 AH1 (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 of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade 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 the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: VersaShield' Fire -Resistant Roof Deck Protection and VersaShield' Solo— Hire -Resistant Slip Sheet LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No. 14-1022.26 and consists of pages 1 through 3. The submitted documentation was reviewed by Alex Tigera. NOA No.: 16-1216.02 Expiration Date: 02/07/22 Approval Date: 02/02/17 Page I of 3 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Underlayment Material: Fiberglass •..• . . .... ...... •• • . ... . . . ...... .... SCOPE: •..• . . .... .... ..... This acceptance is for VersaShield' Fire -Resistant Roof Deck Protection (a.k.a "VersaShield: Lktderlaymcpl") and ..; • VersaShield® Solo— Fire -Resistant Slip Sheet (a.k.a "VersaShield SoloTm"), as described in t4tis Nefice of1Araccpiance, ...... for use with approved prepared roof assemblies. Designed to comply with the Florida Builddinjo• 9ode and the High • Velocity Hurricane Zone of the Florida Building Code. 0 0 0 0• • • • • • ...... PRODUCT DESCRIPTION: Manufactured by Applicant VersaShield® Fire - Resistant Roof Deck Protection Dimensions Test Specifications Product Description 42" x 100' rolls ASTM D 226 Non -Asphaltic fiberglass -based underlayment Type 11 and/or fire barrier. VersaShield® SoloTm 72" x 166.7' rolls UL790 Non -Asphaltic fiberglass -based slip sheet and/or Fire -Resistant Slip Sheet 36, x 166.7' rolls fire barrier. MANUFACTURING LOCATION: 1. Conover, NC EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRl Construction Materials GAF-270-02-02 ASTM D 226 11/15/10 Technologies GAF-748-02-01 ASTM D 226 12/12/16 ELK-063-02-01 "CAS 100 09/27/01 Underwriters Laboratories Inc. 99NK45831 UL790 03/21/00 10NK 11990 UL790 05/18/11 R 19254 ASTM D 226 09/ 13/01 08CA37926 UL790 09/23/09 08CA49140 INSTALLATION: 1. VersaShield' Fire -Resistant Roof Deck Protection or VersaShield'SoloTAt Fire -Resistant Slip Sheet shall be installed in strict compliance with applicable Building Code. 2. VersaShield' Fire -Resistant Roof Deck Protection or VersaShicld® SoloTm Fire -Resistant Slip Sheet shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. VersaShield® Fire -Resistant Roof Deck Protection shall be mechanically fastened with approved fasteners in compliance with Florida Building Code 1518.2 when used in lieu of a code prescribed ASTM D 226 Type 11 underlayment. NOA No.: 16-1216.02 Expiration Date: 02/07/22 Approval Date: 02/02/17 Page 2 of 3 LIMITATIONS: 0000 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directft filrfire ratings of this product ... 2. This acceptance is for prepared roofing applications. Minimum deck requirements shalt be:hrcompliance with applicable building code. 000000 • 3. VersaShield® Fire -Resistant Roof Deck Protection shall not be left exposed as a temporar3»;ooer longs* 71a�.30 days of application. VersaShield' SoloTm Fire -Resistant Slip Sheet shall not be left cxposeq jq Sil �weathe r. 4. VersaShicld Fire -Resistant Roof Deck Protection and VersaShield' Solon, Fire-ReAA511i *Slip 5'heei:Ae a component used in roof assemblies. Roof assemblies are approved under specific assembireNeSse of Acceptance. 5. VersaShield' Fire -Resistant Roof Deck Protection or VersaShield® SoloT^, Fire -Resistant Slip Shcet it" psed with any approved roof covering Notice of Acceptance listing. VersaShield Fire -Resistant Roef Deck' Protection or VersaShield Solo- Fire -Resistant Slip Sheet may be used as a component part of an assembly in the leolice of Acceptance. If VersaShield" Fire -Resistant Roof Deck Protection or VersaShield' SolW11 Fire-ResistantlEftip Sheet is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. 6. VersaShield' Fire -Resistant Roof Deck Protection and VersaShield' SoloUl Fire -Resistant Slip Sheet are a non - asphaltic underlayment that may be used as a fire barrier for prepared roof assemblies. For fire classification of specific roof assemblies using VersaShield' Fire -Resistant Roof Deck Protection or VersaShield' SoloTm Fire - Resistant Slip Sheet refer to a current Approved Roofing Materials Directory for fire ratings of this product. 7. 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. LABELING: All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility, yellow line to identify the ASTM Standard designation or logo, and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this material. END OF THIS ACCEPTANCE NOA No.: 16-1216.02 M AMI-DADeeouMn i pEx ration Date: 02107/22 +� Approval Date: 02/02/17 Page 3 of 3 RIDGE/HIP FLASHING "J" CHANNEL CLIP WITH SCREWS FELT PAPER . .. .... .... FIELD BEND END CUT RQ*1. .. (FORM AND BOX END) ...... '.:..' 1/8" RIVET 24".0.G. ROOF NAIL INTO "J" CHANNEL 4" O.C. PLYWOOD ROOF PANEL HIP / RIDGE DETAIL �9 STEEL (24 Ga.) - STANDING SEAM PANEL 405NW 54 STREET KRAMI FL 33127-TEU W05)757.9501 FAX CAS)757-4651 • E-MAIL- marvN@awJof m lcom 0000 so:* • • .000 .. •• •..• 30# FELT PAPER PANEL " ' ' 5/8" CDX PLYWOOD 3" RAKE FLASHING 711/4" RING SHANK ROOF NAIL 411 O.C. STAGGERED RAKE DETAIL STEEL (24 Ga.) - STANDING SEAM PANEL r 405 NW 54 STREET MLAW FL 33127 -TEW (3051757.9504 FAX: (305) 757-4031 - E-~4 frlftt M)omrc"tAoom P •• • • ••• • •••••• • ••• • • • •••••• • •••• •••• • • • • • • • • • •• •• •••• CLIP W/ SCREWS • (1ST CLIP 3" FROM END) ; • • • • • • . • , ROOF PANEL (FIELD CUT AND HEMMED) VERSASHIELD & 34# FELT PAPER 5/8" CDX PLYWOOD WRAP PANEL 3" BULLNOSE DRIP EDGE WOOD BLOCKING SAVE DETAIL STEEL (24 Ga.) - STANDING SEAM PANEL 406 NW 54 STREET MAN, FL 33127 - TEL• (303J 757.95W FAX: (305) 757-4031 • E-MAIL mwYnom"jwam•W.wm ... . . . . .... 0 . . ROOF FASTENERS 640606 ' ' OR DRIVE PINES :.;0000 ': '....' •..�,• @ 12" O.C. ...... .. . . .. .. .. .... ...... . . . . FLASHING • 0. FIELD BEND END CUT PANEL - .. . . .. ' ' ' (FORMED AND BOX END) J-CHANNEL - ROOF PANEL PLYWOOD 30# FELT PAPER END WALL DETAIL STEEL (24 Ga.) - STANDING SEAM PANEL 406 NW 54 STREET 6iML FL 33127 - TEU 1305) 757-950A FAX (305) 7574031- E-MNL• mmvnjvmojmms:a =m ...... .. . . . STUCCO �••••• �•••:0 • , •••••• • •• • •• •• •••• • • • • • • • • COUNTER FLASHING • : • • • •••• ROOF FASTNERS OR DRIVE PINES @ 12- O.C. 309 FELT PAPER ROOF TO WALL FLASHING J-CHANNEL ROOF PANEL FIELD BEND PANEL ROOF NAIL PLYWOOD @ 4" O.C. SIDE WALL DETAIL A—&ir STEEL (24 Ga.) - STANDING SEAM PANEL 405 w 94 SMUT MIAMI, RL "tV • 9L, (705) 757.95W FAX, (Ml 7ST-4037 - E-MNL; mar*omajwwvt;.vm • PANEL CLIP •••• WITH SCREWS ��•.•• • ROOF PANEL BUTYL TAPE UNDER • •' • CONTINUOUS CLIP VALLEY FLASHING 30# FELT PAPER & VERSASHIELD PLYWOOD VALLEY DETAIL t STEEL (24 Ga.) - STANDING SEAM PANEL 406 NW S� STREET MWAI. Fl �312T • SEL' (705) T6T•9504 FAX; (306) T37•A031- 6.MNL• marwr.®myorsenatel.00m BOSTICK 9-15 SELANT STUCCO STOP IL METAL FLASHING 30# ROOFING FELT ASTM D226 OVER VERSASHIELD 518" CDX - PLYWOOD BOSTICK 9-15 SEALANT ...... . .. . MAJOR'S METAL I?NNEL •••• SIDEWALL DETAIL (B) 400 NW 64 STREET MAMI, FL 33127 -TEU (30S) 757.9504 FAX: (306) 7574031 • E•MML: mavin®m.jomm Uix" .••••. .• • . VENT PIPE • • • • 0000 •••••• • •• • ROOFJACK • • ••• (OEKTITE OR EOUALJ • • • • i SCREWS AT 1' O.C. ROOF PANEL S/V' CDX PLYWOOD DECK ROOF PENETRATION STEEL (24 Ga.) - STANDING SEAM PANEL 404 HW S4 BTAEET NIAMI, FL 33127 - TEL: (30S) 7ST-9504 FAX (305)757-/931- E•MAIU maiV44m*mfliblallcom ,W-ENPLERT Full Strength 76 6 Kynar 5004,. ULTRA.Cool® Low Gloss CHARCOAL GRAY R 30.1 • E.9 - SRI 32.3 1-800-ENGLERT . - WWW.ENGLERTINC.COM L 30