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RF-03-22-563, 9333 N Miami AveLocation Address Permit NO.: RF Miami Shores Village 10050 NE 2 Ave✓ Miami Shores FL 33138 305-795-2204 Perrrtr£ f t l issue Date: 03/11/2022 F Expiration:09/12/2022 Parcel Number 9333 N MIAMI AVE, Miami Shores, FL 33150 1132060130350 j I Contacts 3 Patricia Pinicheiro Owner ELITE INNOVATION CONSTRUCTION INC Contractor l 9333 N Miami AVE ELROD PHILLIPS j € Business:3055278303 ERROLPOLANCO@GMAIL.COM Inspection Requests Description: new low slope roof on addition Valuation: $ 6,500.00 305 724� Total Sq Feet: 700.00-I€ Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.75 DCA Fee $2.50 Education Surcharge $1.40 Roofing Fee $200.00 Technology Fee $6.25 Total: $268.10 Payments Date Paid Amt Paid Total Fees $268.10 Credit Card 03/11/2022 $268.10 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date March 11, 2022 Page 2 of 2 / 1 DATE (MM/DDtYYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 05/17/2021 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 1NSURER(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). CONTACT PRODUCER ALL CITY INSURANCE INC. NAME: INGRID HERRERA PHONE 1400 NW 107th AVE Q � (305)463-9431 ___ _.-___.__ '_Sac No :(305)436 6797 SUITE 210 E-MAIL GMAT ALLCITYINS.COM ADDRESS_... DORAL FL 33172- - _—— _ INSURER(SZAFFORDING COVERAGE . _. __ - _ . _ _ _. _ _NAIC,M. _ INSURERa WESTERN WORLD INSURANCE C 13196 ---- - -- . --- - - .. ---- - -- -- INSURED wsHRFR R • State National Imsurance Companv, INC ELITE INNOVATION CONSTRUCTION INC 2400 NW 98TH ST. Miami FL 33147- 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 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. �ypE OF INSURANCE (ADDL;5UBR POLICY NUMBER $ POLICY EFF POLICY EXPLTR LIMITS A X ;COMMERCIAL GENERAL LIABILITY ( i iNPP8715919-R 05/21/2021 05/21/2022 EACH OCCURRENCE $ 1,000,()00 ( j Ll DAMAGE TO RENTED 100,000_ 1 ttt--- t J CLAIMS -MADE OCCUR i ( j-PREMISES f,Ea occurren $_ MED EXP LAny one. person $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE + $ 2,000,000 t--., X ._, POLICY l _ PE I " LOC , E _ .. _ _ LPRODUCTS - COMP/OP AGG $ --- - --- ---- 2,000,000 OTHER: i + $ AUTOMOBILE LIABILITY i I , COMBINED SINGLE LIMIT $ �ANY AUTO 1 I BODILY INJURY (Per person) 1 $ --! OWNED SCHEDULED ! + j AUTOS ONLY AUTOS I BODILY INJURY (Per accident) $ r— -__I HIRED NON -OWNED I1 i I L_.__I AUTOS ONLY (_....! AUTOS ONLY + _ {PROPERTY DAMAGE (Percideni� $ $ j UMBRELLA LIAB OCCUR I j EXCESS I EACH OCCURRENCE _._$ r---T--TL: LIAB (CLAIMS -MADE, j -- - AGGREGATE �$ --- --- — --- ---- DED RETENTION B +AND EMPLOOMPENSATION EMPLOYERS'LIABILITY Y / N ! X PER OTH __._STATUTE_ --._--- ANY PROPRIETOR/PARTNER/EXECUTIVE ' I N �NIA INXTF9ULNOD-00-WC 12/10/2021 I 12110/2022 E L EACH_ACCIDENT _ $ 1 ` = 100,000 _ +(Mandatory in NH) BnderPCLUDEDN El, DISEASE - EA EMPLOYEE_ 100,000 Dyes describe OF E E.L. DISEASE - POLICY LIMIT ' 500,000 DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) LICENSE: CCC1332398 GtKI IrH;AI t HULUtK GANUtLLAI IUN rar UPI1 IV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BLDG THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DEPT 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES ^ FL 33138- AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION QBUILDING ❑ ELECTRIC ROOFING fJTMnED FBC 2V 70 Master Permit No. `` C_ ^ C)+ ZC) —1 to-51 Sub Permit No. 1 3 z7__ ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:9333 NORTH MIAMI AVE City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-0350 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): PATRICIAN PENICHEIRO Address:9333 N MIAMI AVE City: MIAMI SHORES State: FL Tenant/Lessee Name: Email CONTRACTOR: Company Name: ELITE INNOVATION CONSTRUCTION INC Address: 2400 NW 98 ST City: MIAMI State: FL BFE: FFE: Phone#: Zip: 33150 Phone#: Phone#: 305-528-9436 7i,,. 33147 Qualifier Name: ELROD PHILLIPS JR Phone#: 3055289436 State Certification or Registration #: CCC1332398 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ (0, S00 Square/Linear Footage of Work: a St Type of Work: ❑ Addition ❑ Alteration G ❑ New ❑ Repair/,R�epllace ❑ Demolition Description of Work: C ..> Lo S n(x- 200 "C5�- 6 r, Specify color of color thru tile: ofco Submittal Fee $y Permit Fee $ Scanning Fee $ Technology Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ 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 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 Signature 4�j ► OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 18 day of FEB 20 22 by PATRICIA PENICHEIRO who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: The foregoing instrument was acknowledged before me this 18 day of FEB 120 22 , by ELROD PHILLIPS JR who is personally known to me or who has produced FLDL identification and who did take an oath. NOTARY PUBLIC: Sign: 1 — Prig Ziraz.6x f&IL0 Seal: Comm.:HH159435 Seal: . Expires: Sept. 27,2025 ��.� � Notary Public - State of Florida ******************************** *************************** APPROVED BY Plans Examiner JAMILAH PHILLIPS ice: L� Notary Public _ State of Florida Commission Y GG 295734 of �,,•, My Comm. Expires Jar, 28, 2023 Bonded thm �k .,..:_ as ***************** Zoning Structural Review (Revised02/24/2014) Clerk �Qowell��evhor�c���co� 1 J AC<:>RL) CERTIFICATE OF LIABILITY INSURANCE M/DD/YYYY) 02/22/2022 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: PHONE (855) 222-5919 FAX A/C No): Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 E-MAIL ADDRESS: support@nextinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: State National Insurance Company, Inc. 12831 INSURED INSURER B : ELITE INNOVATION CONSTRUCTION INC 2400 NW 98th St INSURER C : INSURER D : Miami, FL 33147 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 0864887 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 OF INSURANCE ADDLSUBITYPE INSO WVD POLICY NUMBER MM/DD/YPOLICY YYY POLICY EXP MM DD/Y Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ A GE TO RENED CLAIMS -MADE 7 OCCUR Ea occurrence $ -PREMISES MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ LOC JECT E:I$ PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F N/A NXT4HHWK4P-00-WC 01/24/2022 01/24/2023 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000.00 E.L. DISEASE - EA EMPLOYEE $1,000,000.00 (Mandatory in NH) IF yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 000 000.00 DtESCRIIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) �l Proof of Insurance. GtK 1 IrIGA 1 t MULUCK Miami Shores Village BLDG DEPT 10050 NE 2nd Ave Miami, FL 33138 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 del ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD '4C401IR 'fir CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIY" 05/17/2021 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(les) 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 ALL CITY INSURANCE INC. CONTACT INGRID HERRERA NAME: PNONE (305)463-9431 FAx 305 36-6797 1400 NW 107th AVE E-MAIL GMAIL@ALLCITYINS.COM SUITE 210 INSURERS AFFORDING COVERAGE NAIC # DORAL FL 33172- INSURER A :WESTERN WORLD INSURANCE C 13196 INSURED INSURER B : State National ImSuranCe Company, INC INSURERC: ELITE INNOVATION CONSTRUCTION INC INSURER D : 2400 NW 98TH ST. INSURER E : Miami FL 33147- INS RER 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 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 POLICY EFF POLICY EXP DM= LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE OCCUR NPP8715919-R D512112021 5/21/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEDSES occurrence) MED EXP (Any oneperson) $ 100,000 $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: x POLICY PRO- JECT LOC OTHER,$ GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ UMBRELLA LIAB EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If es, describe under of OPERATIONS below PER FORTH - E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) V� C-4 AI UUII IV MIAMI SHORES VILLAGE BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2ND AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES FL 33138- ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Always verify licenses online at MyFloridaLicense.com 3 r i Do not alter this document in any form. ■ This is your License. It is unlawful for anyone other than the Licensee to use this document. Local Business Tax Receipt Miami -Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 7259907 BUSINESS NAME/LOCATION ELITE INNOVATION CONSTRUCTION INC 2400 NW 98TH ST MIAMI. FL 33147 OWNER ELITE INNOVATION CONSTRUCTION INC r,/n FI Pnn PHII I IPS Worker(s) 1 EXPIRES SEPTEMBER 30, 2022 Must be displayed at place of business �• ti� Pursuant to County Code Chapter 8A — Art. 9 & 10 i SEC. TYPE OF BUSINESS PAYMENT RECEIVED 196 SPECIALTY BUILDING BY TAX COLLECTOR CONTRACTOR 75.00 09/15/2021 CBC 1262485 I NT-21-383735 RECEIPT NO. RENEWAL 7546579 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, 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 go-276. MIAMI, For more information, visit www.miamidede.govRaxcollector Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 2-18-22 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: PATRICIA PENICHEIRO Property Address: Roofing Permit Number: 9333 N MIAMI AVE Dear Building Official: I PATRICIA PENICHEIRO certify that I am not required to retrofit the roof to wall connections of my building because: A 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. The building was constructed in compliance with the provisions of the Florida Building Code (FQL4_o_r with the ions of 1994 edition of the South Florida Building Code (1994 SFBC) c PATRICIA PENICHEIRO Si ature Print Name State of Florida, Miami Dade County The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this 18 day of FEB 2022 Notary Public, State of Florida at Large; • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the `,o�`;�Y'�"s,� Roof to Wall connection Hurricane Mitigation. Notelop Notaki Poweil � . ;'= Expires: Sept. 27, 2025 Noiary Public - State of Florida For Forms and Applications click here: http://bIdg.miamishoresviIIage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage PF ,A) 11 A?O) I nffir4/--if r f Pr-rno 1 ..f 1 Owner PATRICIA N PENICHEIRO Mailing Address 9333 N MIAMI AVE MIAMI SHORES, FL 33150 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SO Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area Living Area Adjusted Area 2,112 Sq.Ft Lot Size 10,530 Sq.Ft Year Built Multiple (See Building Info.) Featured Online Tools Comparable Sales Glossary Report Discrepancies Report Homestead Fraud Value Adjustment Board PA Additional Online Tools Property Record Cards Property Search Help Property Taxes Special Taxing Districts and Tax Comparison Tax Estimator TRIM Notice Other Non -Ad valorem Assessments ASSESSMENT INFORMATION 8 Year 2021 2020 2019 Land Value $284,033 $284,033 $284,033 Building Value $195,994 $198,444 $200,894 f BENEFITS INFORMATION 8 Benefit Type 2021 2020 2019 4. Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section A (General Information) Master Permit Number: 1Z C- — 2— a !) 63 Contractor's Name: 4!�Ao% 06C lic S An 5 0711. Job Address: 1?33 M Ir avK.t ROOF CATEGORY AeLow Slope ❑ Mechanically Fastened Tile ❑ Asphaltic Shingles ❑ Metal Panel/ Shingles ROOF TYPE Process Number: ❑ Mortar / Adhesive Set Tile, BY: ❑ Wood Shingles/ Shakes New Roof ❑ Repair ❑ Maintenance ❑ Reroofing �❑ Recovering ROOF SYSTEM INFORMATION • • • • • • • • • • • • Low Slope Roof Area (ft2) Steep Sloped Roof Area (ft2) • • •; • • Tot!; Eft0; ...... s Are there gas vents on the roof? 0 Yes F No If Yes what type? 0 Natural „ LPX : * Is there an existing rooftop Solar System? O Yes dMNo If yes will it be reinstallb ?• O Yes' Qhlo • • • • • • • . . .. . ...... Section B (Roof Plan) • • Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers end overflow drains. 1060: dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 1 • e- I I / r CITY I I COPY3 Miami Shores Villag ilding Depa m nt 7op 36. � Zoning Dept. Date /oo Building Dept. z Date Z .woo C Subject to compliance with all Fede 1, late .i 7C 9 • �- and County rules and regulations. Permit# 3� il��•� w Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section C (low Sloped Roof Systems) Fill in Specific Roof Assembly Components and Identify manufacturer (If a component is not used, identify as "NA") System Manufacturer: GAF Product Approval # 18-0919.12 Design Wind Pressures, from RAS 128 or Calculations: Zone 1': -37 Zone 1: -64 Zone 2: -84 Zone 3: -115 Max. Design Pressure, from the specific product approval system: -45 Deck Type: PLYWOOD Gauge / Thickness: MINIMUM 5/8" Slope: 1/8":12 Anchor/ Base Sheet & No. of Ply(s): 1 PLY #75 Anchor/ Base Sheet Fastener/ Bonding Material: 1-114" 11 GA ANNULAR APPROVED RS AAILS & 15/8- TIN -CAPS Insulation Base Layer: N/A Base Insulation Size and Thickness: N/A Base Insulation Fastener/ Bonding Material: HOT ASPHALT Top Insulation Layer: N/A Top Insulation Size and Thickness: N/A Top Insulation Fastener/Bonding Material: N/A Base Sheet(s) & No. of Ply(s): N/A Base Sheet Fastener/ Bonding Material: N/A Ply Sheet(s) and No. of Ply(s): 1 PLY RUBEROID 20 Ply Sheet Fastener/ Bonding Material: HOT ASPHALT Top Ply: GAF MINERAL SURFACED CAP SHEET Top Ply Fastener/ Bonding Material: HOT ASPHALT Surfacing: N/A Fastener Spacing for Anchor/Base Sheet Attachment: Zone 1' 8 " oc @ Laps, tl Rows 2 @ $ oc Zone 1 : " oc @ Laps, a Rows 2 @ 7 "oc Zone 2 5 " oc @ Laps # Rows 2 @ 5" oc Zone 3 5 " oc @ Laps, rt Rows 3 @ 5 " oc Number of Fasteners Per Insulation Bgal%i • • • •••• •••••• •• Zone 1': N/A Zorel. N/A Zone 2: WA Zone 3i, �_ • • ••••ss— •• •• •••••• Illustrated Components NoteA;jrld Details as Applicabl* b • e • Woodblocking, Gutter, Edge Tefrgijijijd'h, Stripping, Flashing, • Continuous Cleat, Cant Strip, Bit Flashing, Coun••t aser lashing, •• �; • • • • ••••••• Coping Etc. • • • • .• • .. .. . . ...... Indicate: Mean Roof Heigh!, Parapet Night, Height'Base Flashing • Component Material, Material thickness, Fast*le j T ft, Fastener• • • • Spacing or Submit Manufactures D�i1e that CflmplyWah RAS6111 • ..•••. and Chapter 16. • • 0 • • • • • • •• FT. 0 Gar M WA, SURIACfD CAP SMIrT ! Parapm r �ivwr.ae � l�rQhi {il'D.I 7LN Wr - t h• •l.MR7rf )0 :h..nnw.0 i t F 1 10 MINIMUM 5/8- PLYWOOD Momn Root Height 0 1'252021 TGFU.R1306 - RooSng Systems I UL Procucl 10 Sett Gcnural IrfOrnlation tier Roofing GAF R 1306 1 CAMPUS DR RNRSIPPANY. NJ 07054 USA 'RUBEROID• 2t1 Smooth' or'RUSEROIDD Mop Smooth" or'RUBEROtD• Mop Smooth 1S- tnW be utiGud as an attemate to Type G2'GAFGLAS• 075 Base Sheet' or 'Tn-Ply• *TS Base Sheer or 'GAFGL AS a aB0 Ultirna" Base Street' base sheets in &W of the fo louring Classifications. Torch app'red ' RUBLROID S -1Vk' 5 8 S roofing mer+b-anes may oe used as alternates to-RUBLROID0 Mop' SBS roofing membranes ,n any applicable Cln:,Er r+ror as follows A RUSEROIDe HW Smooth' may be used as an alternate to ' RURFROID x Mop Smooth" or "ROOF-ROID' Mop Smooth 1 S' S RUBEROID9 HW 25 Smooth- may be used as an alternate to ' RUBEROID x' 20 Smocth" C RUBEROIDY HW Granule' may be used as an alternate to'RUBEROIDQb Mop Granule- D. -RJBEROIDa HW olus Granule" may be used as an alternate to 'RJBEROID a Mop Plus Granule" E 'Ruberorde HW G'anule FR' may be used as an alternate to "Ruberoidlk Mop Granule FR" F 'RL3EROID}, HW Plus Granule FR' may be used as an alternate to 'RUBEROOIt Mop Plus Grarule FR" C-RUKROIDe cnergyCap HW Plus Granule FR" may ce used as an alternate to ' RUSEROIDe EnergyCap Wop Plus Granule FR' • • •••• hx..mmum 'r2-.n thick gypsun board or rrt irnLrr 1/4-1 to cc Georg a -Pay iic Gypsum L.0 ' DeruDeck I Rcofbcard or Pr men •••••• • • Rootboa-d' or "DensDeck s DuraGuard''" Roofboard' or rrrn m.tm 1/4-in .h c-c Jnited States Gypsurr Co. "SECIJROCK T Ri7gINrato' ,Tyoe•F•RXXG� 11r 4111 'SECLROCK ; Grass -Mat Ront Board' :Type SCIARXi may he t.sed :r any exisrnq nonrorrnustible roof ceck Class prat tin WnMt to s is done tie • • • • resLltinq roofing systern is acceptable for use ever minimum 15r32-in thick comoustiofe roof decks. However tie butt joints the g:psumb oar. : � � • �; arc Georg,a-P3c = c Gypsum LLC 'DersDect z Roofboatd' or-DersDecK•=- Pr me Roofboatd or DensDeck . Cu'aGuatc1-% o fbwro' are to ottse;a • m rnmum of 6-11 welt the butt,ornts :n u-,e roct deck If polystyrene is par; of -ne roof system t must be elated below the M13ymen: boaf3 • • • •: • • 0 Mfiimur- 1,4-in thick Jn:ted States Gypsum Co. ' SECUROCK X Roof Board' (Type FRX-Gl and ' SECURCUC< `,' Glass -Mat 00000 are h^tited :o a maximum 31,2 rhie emen used over a combist,ale roof deck ,r a system .vtth am UL Classdiec tnsula:rorf lxctpt polystyrene • • 000000 Mu brie plies of Type G I -GAFG1 AS! Ply 4' or 'Tn-Ply E Ply 4' nr ' GAFQ AS a =lex Fly 6' or 'Tn,-Fly x Ultra-Flex.bie Ply 6: ma-tbeoadnere d to • Gecrgta-Pac.ftc GypsLrr LLC 'DensDeck 'D Roofboarc' or t• P•tme Roofcoard- or 'DensDecKF DuraGuard " Roofbcard' r not raoFrg • • �.: • • •• asP�aL• • •• • • • • •••••• 'CAFCLASA FlexPly'" 6 5L' and 'GPFGIAS r- FlexPly' 6" rray be used interchangeably to any roof covering system listed below : • • • -EnergyGuard- Lltra' is an arreptable al:ernale to 'FrtergyGuard'"' it ary apaltcablP Classification 'GAFG-AS it Stratavert It Nat =bie Ventura Base Sheer' may be mechan tally fastened or fully adhered with hot roofing asphalt over norccmbustitle roof deg s and as a recover over existing coo! rover ng systerns 'btergyGuatc ' Pert to Ir,sulat,on' -nay oe utilized as a cover to3rd ove• ' LvergyGuard "' to any of the fo lowmy systems Unless othermse indicated the r:ot insularcn is rrechar-tally fastened. fi1y adhered wtn hot roofing asohak or UL Classified urethane insular on adnesive Polrstyrere referenced n any of :he Wicwrng Classtf cations include tnsula:,on Unless otherwise indicated all .rsulations may be adhered with any UL Classifiec Insulaoor Adhesive per the manufacturer's rnstailatior instructions ftxclud-rrg -LR�- Adhesive 0 , in any auo'tcaole non-combusuale fool deck Classtftca: ons 'EnergyGuard"' Taoered' is an acceptable alternate to 'EnergyGuard"' r any aaphcab:e Class cation 'EnergyGuard- Lftra Tapered'is an acceptab P alternate to ' ErergyGuard'* Lftra' to any applicable Classification 'EnergyGuard" N-1 Taperedis an acceptable alte-nate to'EnergyGuard " NH- to any app6wble Classif.catior 'EnergyGuard" NH Jana-apered s an acceptable alternate to "EnergyGuard'" NF Ultra' in any aooltcaale Ciassiftcaoon -EnercyGuaro'" Barr a aaered' is a-, acceptable alternate to "EnergyGLard'" Barney' 'EnercyGuatcl— N4 , Sarner Tapered is ar acceptable altercate to 'EnergyGuard ' N-1 3a•rier' Nrntmum 112-m thick 'Eve-gyGuard'" 3a•rer' ,s an acceptable a,tprnate to-Ere-gyGuard'" Ultra' to any appl cable Cidsst6cdu0n. https -:iq.ulprospector comien,profile?e=148955 112 . 1 1/Y5M1 TGFU.R13t18 - Roofing Systems I UL Product iQ Minimum 1/2-in. thick'EnergyGuard" NH Barrier* is an acceptable alternate to "EnergyGuard- NH Ultra" in any applicable Classification. Tapered EnergyGuard"' RA' may be substituted fo►'EnergyGuard" RA' in any of the systems listed below that utilize'EnergyGuard- RA". InergyGuard"" RA' may be perforated on one side for use as the contact side for BUR or modified bitumen membrane. • • . . • . • htlp8J/W.uWospeclw.txm/WVMfUe?0-146M E?I 1/25/2021 TGFU R1306 - Roofing Systems' UL Product rQ ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet CCAFGLASS e75 Base Sheet' or'fii-Ply 87S Base Sheer or'GAFGLAS• #80 Ultimar" Base Sheet') is a sultable alternate for lype G1 asphalt glass fiber ply sheet CGAFGLASO Ply 4' or -Trf-Ply* Ply4' or "GAFGLAS& Rex Ply 6' or Tri-Ply Ultra -Flexible Ply 6) in the Clus A 8 or C roof covering systems Wicated below. Tne roof deck may first be cove,ed with one ply Type G2 asphalt saturated glass mat base sheet "GAFGLAS 2 Stratavent s Nadable Venting Base Sheet ' or -GAFGLAS* Stratavent a Pe-forated Venting Base Sheet'. Perfo•ated base sheets to be loose laid or fully adhered with hot roofing asphalt and nadable base sheets are to oe mechanically fastered granule side down As an option Type G2 asphalt glass mat base sheet ('GAFGLAS 1 *75 Base Sheet' or 'Tn Ply= *75 Base Sheet' or 'GAFGLAS % 0180 Ultima " Base Sheet or ;iAFGLAS,1, Stratavent A Na table Writing Base Sheet I may be substituted fur Type G1 asphalt glass frbtf ply sheet ('GAFGLAS t Ply 4 u- 'Tri-Ply 9 Ply 4or ' GAFGI AS'R Flex Ply 6 or ' Th-Ply x Ultra-Flexinte Ply 6 as the nailed base ply in the following systems Bottom ply or base sheet may be -ul'.y arinered rntn hot rotting asphalt or mecieanicaly fastened Unless otherwise �ndreated all insulations may be fully adl-ered with hot roof ng asphalt or rnechanrcaily fastened 'GAFGLAS , Flashrnq' or RUSERCID ' ntav be user. for `lashing in any of the ClassA. 8 or C systems I sted below When 'oerlite' is referenced this includes any Ul Classified perLte irsulaticn Crushed stones or Slag are suitable alternates for gravel in any of the Gass A. B or C systems listed Structural cement hoer bualcnq units are cons ae•ed suitable to be rcluded as a deck in the following Class A. B or C systems I.sted over C 15/32 o- NC The use of gypsum obard under any of the following Class A. B or C systems does rot adversely affect the rating -ne use of rnmrmurn 1/2-1n. thick gypsum ooard is an acceptable alternate for minimum insulator over C-15/32 buck roof decks The use of potystyrere nsula- on board between minimum 3/41 rn to ck periite board and deck xv to rosin paoer (pe,lite/rosin 0000 paper; poaystyene/perlde) is a suitable alterrate for polyrsocyaru•ate boat w the fo low.,rg Class A 8 or C systems ; • • • 00000 000000 Trumb&I _Pars Mop- may be ut=I red with any of the follov.rng "Asonalt Felt Systems with Hot Roofing Asphalt • • • • • • • • • • • • 'GAFG-AS w83 Ultima'" 3ase Sheet' maybe used r any of the following systems • • • • • • • • . -GAF; LMP Perma=ite Relccer 3oard"ray be used m lieu of a•ry perl:te nsulatron rn ary of the folfov. ng NC Classdicatioli b • • . • • • 00000 Unless cther:.ise •rdreated any of the 'Aspha4 Felt Systems v.uh Hot Roolrnc Asohalt may be surfaced with 'United Cc3i'41 * IveSh=el; 8 FAo f . • • • • Coaurc,' appl ed a: a rase of 2-' /2 to 3-gal!10C-fr • • • • • • • • . • • • - 41 00 • • • • • • • • . htlos."iq.ulprospecicrcom1en!arot,lo';e=1485r51. 1/1 1 i 1r2&2021 TGFU R1306 - Rool V Sys:eir.s I UL Procud tO 20 Deck: C-15/32 Incline: 9aae Sihaat—One ply Type G2'GAFGLAS0 VS Bate Sheaf' or Jn-Ply v 075 Base Sheet- mechanically fastened. Insulation — Any thickness or ccmbination- pedite or wooc fiber or glass fiber or polyisocyanurate. mechanically fastened -- or hot awppeaoc - adwKh OMG Inc- "OWond-Fastecwty System' or any UL Classified .nsulation adhesive Bm Shoat —One or more t#Bes'Ril8ER0_ID! 20 SmoW-, 'Rubero,dm 20 Plus Smooth- or 'RUBEROID V HW 25 Smooth'. mechanically fastened or fully adhered with hit roofing asphalt. Cap Sheet —Type G3'GAFGLAS• MkwW Surfaced Cap Sheer' or Tri-PlyO BUR Granule Cap Sheet' or "GAFGLAS ® EnergyCar inera u ac p Sheet.. ..•... • .. .. MOS Aq.ulproepector.coMOMprofle9e=1AB955 1/1 MIAM!•QADE 111ANt1-DADF COUNTS' PRODUCT CONTROL SECTION I I80i SW 26 Sir"t, Rmni 20,1 DEPARTNIEi T OF REGULATORS' AND ECONOMIC RESOURCES (RER) Miami. Florida 31175-2474 BOARD AND CODF ADMINISTRATION DIVISION T (786)315-2590 r (7861 315-251)1) NOTICE OF ACCEPTANCE (NOA) www.misnildade.eo%,,ecanom% GAF I 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 allotsrd by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami Dade County) and'or the AHJ (in areas other titan Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perfonm in the accepted manner, the manufacturer will incur the expense of such testing and the AI IJ may immediately revoke. modify, or suspend the use of such product or material t%i"Q• their jurisdiction. RER reserves the right to revoke this acceptance, if it is determiped 4, Miam?-t1W County Product Control Section that this product or material fails to meet the requi4a eds of the applicable building code. • • • • • • • • • • This product is approved as described herein, and has been designed to comply with,tjtg f lorida iigiking Code including the I ligh Velocity Hurricane Zone ofthe Florida Building Code. �....' DESCRIPTION: GAF Ruberoid' Modified Bitumen Roof System for Wood Dgek% � � • • � � • LABELING: Each unit shall bear a permanent label with the manufacturer's nam!o*r* o, city. stale and fcftowine statement: "!Miami -Dade County Product Control Approved", unless utheniise noted• •• .. herein. 9.0 • RFiEVVAL of this NOA shall be considered after a renewal application has been filed and theft has• been no change in the applicable building code negatively affecting the performance of this product. TFRNIINATiON 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. %f isuse 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 foflo%ved 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 it; distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 1 a-1020.01 and consists of pages I through 67. The submitted documentation was reviewed by Jorge L. Acebo. XOA No.: 18-0919.12 Expiration Date: IIf06123 Approval Date: 11101118 Page 1 of 67 Rr7OF1\(: S1'STF:N1 APPRov:m. Catevorl: Roofing Sub-Cateeon': Modified Bitumen Material: AP SBS Deck Tvpe: Wood Maximum Design Pressure: -105 ps1'. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED By APPLICANT: TAM VI Product Dimensions GAFGLAS- Ply 4 39 37 " (I meter) Wide Tri-Ply' Plv 4 Pl, Sheet 34.37' (I meter) Wide GAFGLAS" 39.37" FlcxPly-6 (I meter) Wide GAFGLAS` #75 Base Sheet 39.37" — _ — (I meter) Wide Tri-Ply' 4,75 Base Sheet 39.37" ( I meter) Wide GAFGLAS' ;;80 Lltima"' Base 39.37" Sleet (I meter) Wide GAFGLAS" Stratawnt" 39.37" Perforated Venting Base Sheet (I meter) Wide GAFGLAS' SiramNent' 39.37" \adablc Ven:nlu, Base Sheet (1 meter) Wide Ruberuid' llk\' 25 Smooth 39.37 (I meter) Wide Ruberoid' I M Smuuth 39. 3 7" (I meter) Wide Ruberold likk Granule 39.37" (I meter) Wide Ruberouf' IIW Granule FR 39.37" (I meter) Wide Ruberouf' ll\k PIUS Granule 39.37 (I meter) Wide Ruberoid` II\\' Plus Granule 39.37" FR (I meter) Wide APPAOYED Test Product Specification Description AS I NI D2178 Smooth surfaced asphaltic ply sheet reinforced with fibcrelass mat. AST.10 D2178 Smooth surfaced asphaltic ply sheet reinforced with fiberidass neat. ASTM D2178 Smooth surfaced asphaltic ply sheet reinforced with tiberelass mat ASTM 114601 Smooth asphaltic base or base nit'NftjI . . reinforced It uh titkrgl:lss mat.. •... ...... ASTM D4601 Smooth asphaltic base or base pf Jie&t • reinforced ksiIh titsfir¢`�ss mat. ASTS'1 D4601 Smooth asphaltic bi.vtigr base ply��1eet • �....� reinforced \t ith filier4:14sS nett. • • • • ASTM D4897 Smooth surtaccd as}lila itic perfuratcd. • • • • • • %'cntin� base sheet reml�orced l%ith 0* ...... liherelass mat. ; ' ; ASTM D4897 .. Smooth surfaced ;Ispllajtic naillb)t %canting ....:. base sheet remtilr%4 is iCt 1 ibe"las s. neat. • • • • Bottom side surfaced \%ilh graiMit% • AS 1'M D6163 Smooth surfaced torch applied SBS base or ply sheet reinforced n ith a ftherglas: that. ASTM D6164 Smooth surfaced torch applied SBS base or ply ,heel reinforced «•ith a polyester mat. ASTM D6164 Granule surfaced torch applied SBS cap sheet reinforced -,\ith a polyester rllat. ASTM D6164 Fire retardant granule surfaced hcat- welded SBS cap shot reinforced with a polyester mal. ASTM D6164 Granule surfaced torch applied SBS cap sheet reinforced \%ith a polyester mat. AS 1'M D6164 Fire retardant granule surfaced torch applied SBS cap sheet reinforced \%ith a polyester mat. \0A \a.: 18-0919.12 t.xpiralion Dace 11;061;23 :lppro%af Date: 11'01118 Page 2 of 67 Test Product Product Dimensions Specification Description Ruberoid' f:nerzyt'ap"fIW I muter AS I M D6164 Fire retardant granule surfaced lteat- Plus Granule FR (39.37 ) Wide N elded SBS cap sheet reintorced kith a polyester mat. Cap sheet is factory coated Frith TOPCOAT 1•nergyC'ole'" Glastonienc Coating. Ruheroid` Torch Smooth 39.31" ASTM D6222 Smooth surfaced torch applied APP hale (1 meter) Wide or ply sheet reinforced a hh a polyester trial. Tri-Ply` APP Smooth 39.37" ASTM D6222 Smooth surfaced torch applied APP cap, Membrane ( I meter) Wide base or ply sheet reinforced with a polyester trial. Ruberuid" Torch Granule 39.37•' ASTM D6222 Granule surfaced tore► applied APP cap (I meterl \Vide sheet reintorced "ith a polyester mat. Tri-Ph' APP Granule Cap 39.37" ASTM D6222 Granule surfaced torch applied APP cap Shut (I meter) Wide sheet reinforced xt ith a pol ester vial. Ruheroid` Torch Plus Granule 39.37" ASTNI D6222 Fire retardant granule surfaced torch FR (I meter) Wide applied APP cap sheet reinfirc (Iowmha polyester mat. ; .0. 0000 Ruheroid' FnergyCap" 39 37" ASTM D6222 Fire retardant +_ranulcisurliiced tptcli ; "porch Plus Granule FR (1 meter) Wide applied APP cap siizct:rrintorred•�titfi a polyester vial. Cap A:'t Is factor flowed T withOP('oA'r' fj);"sCote 0.0• Llaslomeru Coauy�. • • • • • • Ruheroid' L'nerLyCap'' 39.37" ASTM D6222 Fire retardant gratyik�surl'aced tj►rrr'Ii•• 'torch Granule FR ( I meter) Wide applied APP cap sh*xrrmitbrccd Keith a polyester trial. Car shto-etis factem- C.aated with TOPCOAT' tner��C'utc'"% •••• • . ' • L•lasionieric C oatint•.• • •. • Ruberoids 20 Smooth 39.37" ASTM D6163 SBS polymer -modified asphalt (tasek* ply (I meter) Wide sheet reinforced xs nh a fiberglass trial. Ruheroid' 30 Granule 39.37" AS"rl\7 D6103 Granule surfaced mop applied SBS cap ( I muter) Wide sheet reinforced » ith a fiberglass mat. Ruberuid 30 Granule FR 39. 17 - AS FNI D6163 Fire retardant granule surfaced mop (1 meter) Wide applied SBS cap sheet reinforced with fiberelass mat. Ruberuid 30 Plu; Cirantile FR 39.37" ASTM D6163 Fire retardant granule surfaced mop (1 meter) Wide applied SBS cap sheet reinforced with fiberglass mat. Ruheroid' Mop (irannle 39.37" ASTM D6164 Granule surfaced mop applied SBS cap ( I meter) Wide sheet reinforced a ill a polyester mai. Tri-Ply SBS Granule Cap 393 7" ASTM D6164 Granule surfaced mop applied SBS cap Sheet (I muter) Wide sheet reintOrced ►cith a polyester mat. Intec flex PRF 39.37" ASTM D6164 GTantile surfaced mop applied SBS cap (I meter) Wide sheet reinforced ►citli a polyester mats Ruberoid' Mop Smooth 39.37" ASTM D6164 Smooth surfaced mop applied SBS base (I meter) Wide sheet reinforced \sith a polyester Inat. \U \ No.: 18-0919.11 E\piration Date: 11.116123 Appro►al Datc: I U01 /18 Page 3 or 67 Product Ruberoid` %lop Smooth Li Ruberoid' Mop Plus Smooth Ruberoid' Mop Plus Granule Ruberoid' Mop Plus (iranule FR Dimensions 39.3 7(I meter) Wide 39.37" (I meter) Wide 39.37- (I inctert Wide 39 -7. ( I meter) Wide Ruberoid" I:nergyC'ap— Mop 39.37.. Plus Granule FR (i meter) Wide Ruberoid' \lop Granule FR 39 i7" (I meter) Wide Pest Specification AS'I Al DO104 ASTM 136164 ASTN1 D6104 ASTM i)61(4 AS'I M DO16,4 As"rM D61(4 Ruberoid` EnergyCap'" 30 39. 37" ASTM D6163 Granule FR ( I meter) Wide GAFGLAS" Mincral-Surfaced 39.3 7" ASTM D3909 Cap Sheet ! (I meter) Wide Tri-Ply` BUR Granule Cap Sh, vt GAFGLAS' EnergyCap" Mincral-Surfaced Cup Sheet -1OPCOAl" Membrane United Coatis_,`' Roof Mate TC \1 Coat i:it.1- 39.37'. (I meter) Nytde 39.37" (1 meteri Wide ASTM D3909 AS IAI D3909 1. 5 or 55 gallons AS I'M D60k3 1. 5 or 55 ASTM M D6083 Gallons VOPCOAT 5 or 55 eallons ASTM D603 3 Surface Seal SB United Surface Seal 5 or 55 Gallons ASTM D6083 SB Roof Coauml 7 OPCOAT NIB Plus United Coating;'" Roof Mate 1113 Plu. ['oaks!' 5 or 55 Lallans Proprietar.\ 5 or 55 Gallon; Proprietary Product Description Smooth surfaced inup applied SBS base sheet reuttorced wifli a polyester mat. Smooth surfaced mop applied SBS base or ply sheet reinforced mwh a polyester mat. Granule surfaced mop applied SBS cap sheet reinforced with a polyester mat. Fire retardant granule surfaced mop applied SBS cap shut reinforced mili a polyester mat, hire retardant granule surfaced mop applied SIDS cap sheet reinforced ti ith a polyester mat. Cap sheet is factory coated with VOPCOA'I ' Enct-gyCote Flastomeric Coating. Fire retardant granule surfaced mop applied SITS cap sheet reinforced %%ith a polyester mat. Fire retardant granule stirtaced iliep••� applied SBS cap %&ct tt%iliircrdleith a iiberglas> mat. C'aC siieet is facv)17•A:oated with I OP( OA'I ' ne.,tole" • • `' Elastomeric Coat n� • • • Granule surfaced Apb;4 it cap #lql. • reinforced %a it It t itxr;vlrra,a mat... Granule n-urfaccd asps jljij cap Nhert reinforced with a 4berLltis mat,. • Granule surfaced Aelleitoc cap qh,-& reinforced with Iiber-las. mat. rap'beet is factory coated %%ith "ropco.,tT • Encrev('otc'" Elastonicric Coating. Water based elasionieric coatine.- Watcr-ba,cd cla.tomeric coating Solvent based thennoplastic rubber Sealant designed to protect and restore aged roof surtaccS and to increase root retlectivity. Solent -based thermoplastic rubber sealant designed to protect and restore aced root surfaces and to increase roof reflectivity. Water based, lose VOC primer used to block asphalt bleed -through. Water based. lo,.\ VOU primer deigned to block asphalt bleed -through. NoA No.: I8-0919.12 MIAMibDADECOUNTY Expiration Date: 11;06 23 Appro%al Date: 11fOVIN Page 4 of 67 f 4 Product Dimensions FircOul' Fire Barrier Coating 5 or 55 gallons Flex Seal'" 1, 5 gallons or 1 qt_ tube VersaShield" Fire -Resistant 12" x 100' rolls Roof neck Protection VersaShield' Solo" Fire- 42" roll wide, Resistant Slip Sheet 100 ft. Matrix`" 102 SBS Membrane 3, 5 or 55 gallons Adhesive APPROVED INSULATIONS: Product Name EnergyGuard" Polyiso Insulation EnergyGuard'" Tapered Polyiso Insulation EnergyGuard'" RA Polyiso Insulation EnergyGuard'" Ril Polyiso Insulation EnergyGuard" RH Tapered Polyiso Insulation Energ}Guard" RN Polyiso Insulation Ener,yGuard'" Perlite Recover Board Enerp,Guard" Perlite Roof Insulation Test Product Specification Description Proprietary Low VOC, water -based fire barrier coating. TAS 139 Solvent -based elastomeric sealant. ASTM D226 Non -asphaltic fiberglass -based underlayment and .:or fire barrier. ASTM D146, Non -asphaltic, fire resistant fiberglass D828, D4869, underlayment D6757 ASTM D3019 Fiber reinforced rubberized cold -applied adhesive for modified bitumen roof systems. Table 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polvisocyanuratc foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Perlite recover board Perlite insulation board EnergyGuard" RA Composite Polyiso Polyisocyanurate foam insulation Insulation with high density fiberboard or penttalite Structodek" High Density Fiberboard Roof High density fiberboard Insulation SECURO('K" Gypsum -Fiber Roof Board Gypsum board SF('(:RO('K' Glass -Mat Roof Board Gypsum board Den.sDeck' Roof Board Gypsum board DensDeck' Prime Roof Board Gypsum board . 4VI anufacturor•.. ...... (WitH Cti'rrent >t •. ,NQ( .....GAF •• -. ...... ...... 0 . .*04QAF .... . .... .... ..... .... .GAF • • .. . . . . . . •..• .. ..GAF . .. ...... •..... • . • • AAF ..go ....% . ...... GAF GAF GAF GAF Blue Ridge Fiberboard, Inc. United States Gypsum Corp. United States Gypsum Corp. Georgia-Pacific Georgia-Pacific NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: IV01/18 Page 5 of 67 1 f 1 APPROVED FASTENERS: TARt.F.3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 1. Drill-Tec`" ::12 Fastener Phillips head, modified "12 x 8" GAF buttress thread, pinch Max. Length point, carbon steel fastener ,.3 Phillips for use in steel or wood head. decks. With CR-10 coating. Available with a pinch point or drill point. 2. Drill-Tec'" -_14 Fastener Truss head, self -drilling, #14 x 16" GAF pinch point, high thread Max. Length fastener for use in steel, #3 Phillips wood or concrete decks. head. 3. Drill -Tee' XHD Fastener Truss head, self -drilling, =:15 x 16" GAF pinch point, high thread Max. Length fastener for use in wood or #3 Phillips 0900 steel decks. Carbon steel head. . . .... extra heavy duty fastener �.. . used in steel decks. foe:** • • • • 4. Drill=Ter" 3" Steel Plate Round GaNalume" steel 3" Round ""'• GAF • stress plate with .... .... 0 reinforcing ribs and .... .... recessed for use with Drill- . . . . . Tec'" fasteners. .. .. . .. 5. Drill: Tee'" 3" Standard Galvalume'�' coated steel 3" Round 00 ; ' ; GAF„ Steel Plate stress plate for use with . . ; '..' approved Drill-Tec .. . .. . fasteners. : .... 6. Drill-Tec" ASAP 3S Drill-Tec" —�12 fastener »12 x 8" GAF with Drill- Tec'" 3" Max. Length Standard Steel Plate. n3 Phillips head with 3" Round plate 7. Drill=lec" AccuTrac'' Flat A2-SS aluminized steel 3" square: GAF Plate plate for use with Drill- .017" thick Teel" fasteners. 8. Drill-Tec" AccuTrac^ Galvalumc' steel plate 3" square, GAF Recessed Plate with recess for use with .017" thick. Drill-Tec"' fasteners. 9. Drill=Tcc'" 3 in. Ribbed Round Galvalutne' plated 3" Round GAF Galvalume Plate (Flat) steel stress plate with reinforcing ribs for use with Drill-Tec1N fasteners. NOA No.: 18-4919.12 MtAINH AD, C0UtV7Y Expiration Date: 11/06,23 Approval Date: 11/0118 Page 6 of 67 EVIDENCE SUBMITTED: Test AQencv FM Approvals UL LLC IRT-ARGON Inc. Trinity I ERD Test Identifier Description 3001276 FMRC 4470 3010215 FMRC 4470 3029832 FMRC 4470 3036980 FMRC 4470 3034312 FMRC 4470 3040739 FMRC 4470 3042887 FMRC 4470 3046081 FMRC 4470 3043633 FMRC 4470 I139A8.AM FMRC 4470 3B9QI.AM FMRC 4470 3D402.AM FMRC 4470 ODIAKAM FMRC 4470 797-03221-267 FMRC 4470 797-10228-267 FMRC 4470 797-04694-267, FMRC 4470 797-03825-267 FMRC 4470 RR203450 FMRC 4470 FM Letter FMRC 4470 FM Letter FMRC 4470 R 1306 UL 790 02-005 TAS 114-J 02-014 TAS 114-J C8500SC.11.07 ASTM D6962 G30250.02.10-2 ASTM D6222 G30250.02.10-3-R2 ASTM D3909 G31360.03.10 ASTM D6164 G32520.06.11 ASTM D1870 G33470,01.1 1 ASTM D6164 G34140.04.1 1-2 ASTM D6163 G34140.04.11-4-R2 ASTM D4601 634140.04.11-5-113 ASTM D4897 G36780.07.1I-R1 TAS 114-J G40620.07. t 2-2 ASTM D6222 G40630 01.14-1 ASTM D6163 G40630.01,14-2A ASTM D5147 G40630.01.14-2A- I -R 1 ASTM D6164 G40630.01.14-213-R I AST\l D6164 G40630.01.14-2C ASTM D6164 G40630.03.14 ASTM D514 G43190.03.14-1 ASTM D5147 G43190.03.14-2 ASTM D5147 643190.05.14-RI ASTM D5147 G43610.01.14 ASTM D5147 Date 01 i28,'99 03!O1l01 05! 11 !07 08/14/09 04l09!09 05 18;12 I1/14.11 02! 1313 Ol!20, 12 O9iO4r97 01 !08!08 04/30/97 04!O 1 !98 09!24!07 O1!15%15 0611 V9e 07t 1 *'Ne 12!04! 1.5 04!I f13'• 09!1511t 08!2?MV 04 i08!W f l i}Om;ro G 11l1 jim, 06 03M.% 03l3IA 0 06!28l11 O1!13il1 04: 25! 11 6,4: 2015 6!4!2015 07i 18i 11 07i1?`12 O l lO6! 14 O1!07. 14 04.10114 01;16i15 OtlO7it4 03,06A4 031%1`14 03l06i 14 05'20/ 14 01122I14 NOA No.: 18-0919.12 Expiration Date: 11106!23 Approval Date: 1 U01118 Page 7 of 67 EVIDENCE SUBMITTED: (CONTINUED) "rest Agency Test Identifier Description Date Trinity ERD G43190.11.13-1 ASTM D6222 1 1! 15i 13 G46160.02.15 ASTM D6163 02!12115 G46160.02.15-2D-1 ASTM D6163 021:09116 G46160.03.15 ASTM D6163 0311! IS 646160.09.14-2A ASTM D5147 09..091,'14 G46160.09.14-3A ASTM D6164 09.1091A4 G46160.09.14-3B ASTM D6164 09.'0914 646160.09.14-3C ASTM D5147 09/091 l4 G46160.12.14-3E ASTM D6164 11`29.14 G6850.08.08 ASTM D6163 08i01108 G6850.08.08-Ri ASTM D6164 04114'.1 1 66850.10.09 ASTM D6222 10i06.'08 G68%I 1.08 ASTM D6222 02i17!09 SC6870.08.14-R1 ASTM D3909 09/0414 PRI Construction Materials GAF-122-02-01 TAS 139 05;U7!06 Technologies, LLC GAF-245-02-01 ASTM D6083 • 06.! 10*110 . . • GAF-276-02-01Rev ASTM F-2178 '..' :01i0441 • ASTM D6083 ...... '..'.: GAF-306-02-01 ASTM E96 •..%.07i07.'I I . GAF-314-02-01 ASTM D2178 GAF-315-02-01 ASTM D2178 �••••*08r23,4io•• .... 08/23itt•• GAF-369-02-01 ASTM C1289 ":":10!22Yfy •• GAF-434-02-03 TAS 1 14-J .. • o 09! 06" l 3 " GAF-434-02-04 TAS 114-J ' * •: •:09:06!I3 o GAF-464-02-01 ASTM C 1299 �02! 0414 • GAF-498-02-01 ASTM D6083 • so *.so :09: 16,' j6 GAF-499-02-01 ASTM D6083 03'1 .-14..• GAF-500-02-01 ASTM D6083 03. 12114 GAF-559-02-01 TAS 117(B) 09,3014 GAF-559-02-04 ASTM D1876 10.,'0L14 GA F-559-02-05 ASTM D 1876 10A 5/ 14 GAF-559-02-06 TAS 114(H) I0i02!14 GAF-559-02-07 ASTM D903 10,02;14 GAF-559-02-08 ASTM D903 1Oi02114 GAF-559-02-09 AST1 D903 10i02114 GAF-559-02-11 TAS 114-1 10'14.1114 GAF-559-02-12 TAS 114-J 10: 14i14 GAF-559-02-13 TAS 114-J 10115."14 GAF-559-02-14 TAS 114-1 10f 15;14 GAF-559-02-15 TAS 114-J 10:I5.1'14 GA F-559-02-16 TAS 114-J 10! 1 S/ 14 GAF-559-02-18 TAS 114-J 10: 15i 14 GAF-559-02-19 TAS 114-J 04!16115 Dynatech Fngineering Corporation 044$2.02.95-1 TAS 1 14-C 09l01!95 NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11.101/18 Page 8 of 67 Membrane "fcpe: SBS Deck Type 11: Wood. Von -Insulated Deck Description: N1in. 15 32" thick pl%%%ood or %%ood plank secured 6 in. U.C. tllth Nd ring shank nails to support, spaced 24 in. o.c. max. System Type E(S): Anchor sheet is mechanically attached to roof deck. (Non -insulated .y:,tcnis) .all General and System Limitations shall appl%. Fire Barrier: FircOut " Fire Barrier Coatine. VersaShield' Fire -Resistant Slip Sheet or (optional) Ver,aShield' Solo" Fire-Resisiant Slip Sheet. Anchor sheet: GAFGI.ASR #75 Rase Sheet. Tri-Ply' #75 Base Sheet. Ruberoid' 20 Smooth or GAFGLAS' Stralavcnt' Nailable Venting Base Sheet is secured as described heloa . Fastening Miami -Dade County Approved min. 12 ga. annular ring shank nails and min. 1- Option #1: S18 in. diameter tin caps are spaced 8 in. ox. in the min. 4 in. wide anchor sheet side laps and 8 in. o.c. in the field of the sheet in two staggered rows. (Maximum Design Pressure -45 psf, See General Limitation #7) Fastening see*** Miaim-Dade County Approved min. 12 ga. annular ring shank nai6i4i-nin. I- , • Option #2: 5.'8 in. diameter tin caps are spaced 6 in. o.c. in the min 4 in. wido ssol iar sheets e a e. side laps and 6 in ox. in the field of the sheet in two staggered ro,• •.. • (:1lrcvimum Design Pressure -53.S p.sf. See General Limitation q:#. • see* Fastening •0000 • :.*of* Drill- I cc ' '-,14 Iasteners and Drill- I cc' 3 in. Standard Steel Pl:�tj,i . Drill Tee' � • Option 43: Accul'rae' Flat Plate: or Drill-Tcc " in. Ribbed Galtalunte Plaj`t'I J jt1 arc •• • spaced 16 in. o.c. in the min. 4 ill. si ide anchor sheet .idc laps the field of the sheet in n%o staggered row.. : • ; ,,, (Ilavintrun Design Pressure-52.5psf. See General Limitations ") •• '•,' Fastenina • Drill-Tec "''14 Fasteners and Drill=Fee" 3 in. Standard Steel Plate Drill=fee:•. '• Option 94: . .. Accul'rat: Flat Plates or Drill- Fec " 3 in Ribbed Galsalume Plate l Hat) are spaced 12 in. ox, in the nun 4 in %%►de anchor,hect side lap, and 12 in. o.c. in the field of the sheet in mo sla_ -red rows. Ola iinum Design Prev.%ure —60 p5! .See General Limitatloil 9':'1 Fastening Drill-Tec'" � 14 Fasteners and Drill-Tec" 3 in. Standard Steel Plates. Drill-Tec'" Option #5: .xccu"i-rac' Flat Plates or Drill-Tec" 3 in. Ribbed Gahalunie Plate Mau are ,pared 8 in. o.c. in the min. 4 in. %%ide anchor sheet side laps, and 8 in. O.C. in the field of the sheet in three staggered row;. (:UaYimurn De%itfn PreN.pure -97.5 p.►f. See General Limitation #'1 Base Sheet: Install one or more plies of Ruberoid20 Smooth adhered %%itb ant approved mopping asphalt applied within the LXA range and at a rate of 2040 lbs. ,q. ISce General Limitation #41. APPROVED !i7 A \OA No.: 18-0919.12 Lvpiration Date: 11,06,13 Approval Dalc: I F0118 Puke 59 of 67 I �; Membrane: Ruberoid 30 Granule FR. Ruberoid30 Pius Cictnule FR. RtlbertiicI flop Granule. Tri-Pty' SBS Granule Cap Sheet. Intec Flex PRF. Ruberoid' Mop Granule FR. Ruberoid' Mop Plu: Granule FR. Ruberoid' EnergyCap" Mop Plus Granule FR or Ruberoid' FnergyCap— 0 Granule FR fully adhered xvith any approved stopping asphalt applied within the F1'-I' range and at a rate of 20- 40 lbs.isq. OT GAFGLASa Mincral-Surfaced Cap Sheet. Tri-Ply' BUR Granule Cap Sheet or GAFGL��S'' EncrgyCap 4lineral-Surfaecd Cap Sheet adhered in a full mopping of approved asphalt applied within the F VT range and at a rate of 20- 40 Ibs.; sq_ Surfacing: f 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 `OA. Gravel or slag, applied at 400 lbs.-sq. and 300 lbs.'sq. respectively in a flood coat of approved asphalt at 60 lbs. sq. TOPCOAT' Surface Seal SB or United Coatina-s " Surface Scal Sli Roof .. Coating applied in one or more coats at a minimum rate of I JOVals�p. per coat •• OR • • • I OF'COA ` %IB Plus or United Coatings " Roof Mate MIt P�ls.(.'q�ting applied at a minimum rate of t.0 gal. sq.Ito be used as a primer.I.livllo%%ed bi... TOPCOAT' Mcmbran. or United C'oattngN— RootMatc TCN146"Ging `see** applied in one or more coats at a nunimum rate of 1.0 gal.:q."teat. •• • Fiber Aluminum Roof Coating. .. • • • • • Maximum Design Pressure. Sec Fastening Options ••...• • • • •. . • • • . . .. •. • •• • . . • 60 Nt)a No.: 18-0919.12 V%piration Date: 11116,23 %ppruial Date: I1 01'18 Pake 60 of 67 f 11 a WooD DECK SYSTEM LIMITATIONS: I A slip sheet is required with GAFGLAS'• Ply 4 and GAFGLAS'° F1exPly- 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum !/4' DensDeck"Roof Board or'/ " Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIh1ITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directon' 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 FVT 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 sires are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and: or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.: or strip mopped 8" ribbons in three rows, one at each side lap and one down the center of the sheet allowing •••• a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" bre:* shay be • • • • • • placed every 12' in each ribbon to allow cross ventilation. Asphalt application of eitlttlr s1st$m shall. • be at a minimum rate of 12 Ibs.;sq. Note: Spot attached systems shall be limited iaads"imud;•.••; design pressure of-45 psf. •••:•• 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic For iiii'tvalue of•••• 275 Ibf, as tested in compliance with Testing Application Standard'FAS 105. If the iFaA&*r value • • • • • as field-tested, are below 275 ibf. insulation attachment shall not be acceptable. ••;••� �•• •• 6. Fastener spacing for mechanical attachment of anchorbase sheet or membrane attac"AciR'!s based• • • on a minimum fastener resistance value in conjunction with the maximum design v4tt14f4 within • a specific system. Should the fastener resistance be less than that required. as determined be the ;•• •• Building Official, a revised fastener spacing. prepared, signed and scaled by a Floril Reelsiered • •• Engnneer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spaciry • • o ahall uld;/c the withdrm%al resistzme 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 Fngincer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA. General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile. and,or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and comers). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers and corners). (When this limitation is specifically referred within this NOA, Ceneral Limitation #7 will not be applicable.) 10. All products listed herein %hall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 18-0919.12 Expiration Date: 11/06/23 Approval Date: 11/01/18 Page 67 of 67 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvflaov SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 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. 1. PP Aesthetics -Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that. the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. 0-Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. P? Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) in buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. PP Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. S. - 19 Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. RevOI 142021 Owners roofing consideration Page 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvtl.gov 6. r Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. P10 Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional ventin which can r ult in extending the service life ofWtheroo. 2-18-22 2-18-22 O ner/Agent's Signature Date Contractor Signature Date For Forms and Applications dick here: http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01142021 Owners roofing consideration Page 2 of 2