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RF-05-22-1377
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: RF-05-22-1377 Permit Type: Roof Work Classification: Flat Permit Status: Approved Issue Date: 06/01120221 Expiration: 12/01/2022 Location Address Parcel Number 1045 NE 97TH ST Miami Shores FL 33138 1132050170100 Contacts ROBERT PIEROT Owner DCG ROOFING Contractor 1045 MARIA C MONTENEGRO 15476 NW 77 CT 422, MIAMI LAKES, FL 33016 Business:3053058479 MARIA.UBAU@YAHOO.COM Description: RE -ROOF A FLAT ROOF ONLY Valuation: $ 4,000.00 Ins ection Requests. 305-762-4949 Total Sq Feet: 500.00 sre �r Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $3.75 DCA Fee $2.50 Education Surcharge $0.80 Roofing Fee $200.00 Technology Fee $6.25 Total: $265.70 Payments Date Paid Amt Paid Total Fees $265.70 Credit Card 05/31/2022 $50.00 Cash 06/01/2022 $215.70 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. 1 understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ce ring. all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co ru ' n and in . Futhermore, I authorize the above named contractor to do the work stated. eY+x/Jder Ll6au 0 0! o2a2 Authorized Si re: Owner / Applicant / Contractor / Agent Date June 01, 2022 Page 2 of 2 Miami Shores Village z;zEc.]E1'VEn Building Department MAY sl zozz 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 $Y INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit NSF_ 0�_ a_ 13119 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC [ e00FING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP '�// /^ Q CONTRACTOR DRAWINGS JOB ADDRESS: /e c s /V G ! ?- S� City: Miami Shores County Miami Dade zip: Folio/Parcel#: 4/,.32dSD/-7 001d70 Is the Building Historically Designated: Yes NO !� Occupancy Type: Load: Construction Type: 5%Lr- Flood Zone: BFEE:� FFE: OWNER: Name (Fee Simple Titleholder): �60 ¢ i2 T R \2 Uj O Phone#: -I 17 76 13V 1/6 Address: I b y S pi 2- 9� fk 94• City: M l*vk ,: 5"5 State: 47L Zip: 33130 Tenant/Lessee Name: --Z A- Phone#: A - Email: '2043,Cd_ 2i�QaV/e_ q„k•<-•/•I-�A/��,, / l CONTRACTOR: Company Name: )�S�/09e"- IA i' 1.=��/S� (A%Phone#:361-,5i5Z- Address:r 0�� A100 r�a G'� -�ZZ City: M/ Q f 0l La res State: �L Zip; 330/ w `, Qualifier Name: �( aka l Ar►�4C i qo✓-eAoS20 Phone#: �S�Z 8i � State Certification or Registration #tIit C 13 3 17 cf S Certificate of Competency #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ / 0 00 Type of Work: ❑ Addition Description of Work: Specify color of color thru _City: State: _ Zip: Square/Linear Footage of Work: _15-lao Alteration ❑ New E?I Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ CO/CC $ Scanning Fee $ �nr Radon Fee $ _ V-" )U DBPR $ �• 1`i Notary $ Technology Fee $ U •a J Training/Education Fee $ e !�o Double Fee $ Structural Reviews CCF Bond $ TOTAL FEE NOW DUE $ O 1 l/ (Revised02/24/2014) Bonding Company's Name Bonding Company's Address City 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 on 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 oa,,1roved and a re�inspection fee will be charged. �i% / Signature Signatur;4in "w OWNER or AGENT The foregoing instrument was acknowledged before me this 31 day of 20 aa- , by O 1 L� ► 2b who is personally known to me or who has produced identification and who di NOTARY PUBLIC: Sign: Print.. Seal: an oath. CONTRACTOR The foregoing instrument was acknowledged before me this r:� t day of ��% �/ 20 a a by Qn 7n� �Q �q li l� /A9' aeA iho is personally known to as me or who has produced Nolery Pubk State or Florida Maria C UCau *Commisaon GG 35368E �ar+✓� Eapitea 07/11/2023 as identification and wh did ake, n oath. NOTARY PU Notary Public Stet of Florida Maria C UCau 1 � Fx Commhsi/2 23 35388E of-,, Espirea 07/1/2023 Sign: Print: r/U Seal APPROVED BY Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk M'MTa�"I' I Summary Report Property Information Folio: 11-3205-017-0100 Property Address: 1045 NE 97 ST Miami Shores, FL 33138-2555 Owner ROBERT J PIEROT JR Mailing Address 1045 NE 97 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths I Half 3 / 2 / 0 Floors 1 Living Units 1 Actual Area 2,383 Sq.Ft Living Area 1,883 Sq.Ft Adjusted Area 2,133 Sq.Ft Lot Size 8,475 Sq.Ft Year Built 1953 Assessment Information Year 2021t$368,7961 2019 Land Value $320,497 $320,497 Building Value $364,743 $372,848 XF Value $33.796 $34,563 Market Value $719,036 $Assessed Value $719,036 , $727,908 Benefits Information Benefit Type 1 20211 20201 2019 Homestead lExemption 1 $25,000 $25,000 $25,000 Second Homestead Exemption J $25,0001 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 5-6 53 42 PB 43-51 REV PL MIAMI SHORES SEC 8 LOT 10 BLK 180 LOT SIZE 75.000 X 113 OR 16867-2938 TO 42 0695 4 Generated On : 5/31/2022 Taxable Value Information 2021 2020 2019 County Exemption Value $501000 $50,000 $50,000 Taxable Value $669.036 $673,473 $677,908 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $694,036 $698,473 $702,908 city Exemption Value $50.000 $50,000 $50,000 Taxable Value $669.036 $673,473 $677,908 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $669,036 $673,473 $677,908 Sales Information OR Previous Price Book- Qualification Description Sale Page 04109/2018 $965,000 30945- Qual by exam of deed 4439 03/01/2007 $696,500 25525- Sales which are qualified 3111 00000- Sales which are disqualified as a result of 0610111995 $0 00000 examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:ltw.MiaMidade.gov/infoldisclaimer.asp Version: Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Master Perm Contractor's Job Address: �g Low Slope ❑ Asphaltic Shingles Section A (General Information) ROOF CATEGORY ❑ Mechanically Fastened Tile ❑ Metal Panel/ Shingles ROOF TYPE ❑ New Roof ❑ Repair ❑ Maintenance JVED RECEIVED ❑ Mortar / Adhesive Set Tile ) Z ❑ Wood Shingles / Shakes 13 y ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Low Slope Ro Area (ft2) Steep Slope � Area (ftz) _Jot ft2) Are there gas vents on the roof? 0 Yes dNo If Yes what type? 0 Natural 0 LPXyv Is there an existing roof top Solar System? © Yes (KNo If yes will it be reinstalled? 0 Yes SNo Section B (Roof Plan Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. !�1 ZoO 2 O.bKlO, G, D g Z 3 Zbnk. �j � Q•2X (p�Z' I TY " SOP �\1 Mia i Shores Village B ilding D ent Zon ng Dept. Builling Dept. Sub ect to compliance with all F de I State and County rules and regulations. 4 Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS BELOW: Roof System Required Sections of the Permit Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Asphaltic Shingles A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E 1,2,3,4,5,617 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applicable 1,2,3,4,5,6,7 ATTACHMENTS REQUIRED: 1. Fire Directory Listing Page 2. From Product Approval: Front Page Specific System Description Specific System Limitations General Limitations Applicable Detail Drawings 3. Design calculations per Chapter 16, or if applicable, RAS 127 or RAS 128 4. Other Component Product Approval 5. Municipal Permit Application 6. Owner's Notification for Roofing Considerations (Reroofing Only) 7. Any Required Roof Testing / Calculation Documentation Florida Building Code 7th Edition (ZOZO) 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"NW) System Manufacturer: POLYGLASS USA Product Approval # • R Design Wind Wind Pressures, from RAS 128 or Calculations: Zone V:-37 Zone 1: "64 Zone 2: -84 Zone 3: Max. Design Pressure, from the specific product approval system: -52.5 Deck Type: PLYWOOD Gauge / Thickness:, 5/8" Slope: 1.0"-12" Anchor/ Base Sheet & No. of Ply(s): NA Anchor/ Base Sheet Fastener/ Bonding Material: NA insulation Base Layer. NA Base insulation Size and Thickness: Base Insulation Fastener/ Bonding Material: NA NA Top Insulation Layer. NA Top Insulation Size and Thickness: NA Top insulation Fastener/Bonding Material: NA Base Sheet(s) & No. of Ply(s): ELASTOBASE SHEET Base Sheet Fastener/ Bonding Material: 1-1/4" RS NAIL AND 15/8" TIN CAP Ply Sheet(s) and No. of Ply(s): ELASTOFLEX SAV Ply Sheet Fastener/ Bonding Material: SELF ADHERED Top Ply: POLYFLEX SAP FR Top Ply Fastbner/ Bonding Material: SELF ADHERED Surfacing: NA Fastener Spacing for Anchor/Base Sheet Attachment: Zone V =" oc @ Laps, # Rows , 3 @ 8 " cc Zone 1 = " cc @ Laps, # Rows 3 . @ 6 " cc Zone 2 5 " cc @ Laps # Rows 3 @ 5 " cc Zone 3 4 ° cc @ Laps, # Rows 4 @ 4 " cc Number of Fasteners Per Insulation Board zone 11: NA Zonal: NA Zone 2: NA Zone 3: N Illustrated Components Noted and Details as Applicable: Woodblocift Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, Coping, Etc. Ind Mean Roof Height, Parapet Height, Height Base Flashing, Component Material, Material Thldmess, Fastener Typo, Fastener Spacing or Submit Manufactures Detalls that Comply with RAS 111 and Chapter 16. Pali s� 61001FT. N'q Parapet QL•> `"� it S Height FT. S�8 AN "V&d Mean _.._._..___._._._._ _._._... Roof Height VffS A It& G O: (786) 231-8143 YP BEST SERVICES Lab. Certificate # 22-0120.06 yplestservices@gmail.com 12170 SW 128th Ct. Ste 101. Miami, FL 33186 ypbestservices@gmail.com Roofing application standard (RAS) no.117 standard requirements for bonding or mechanical attachment of insulation panels and mechanical attachment of anchor and/or base sheets to substrates. Contractor: Distinguished Construction Group Adress: 1045 NE 97th St, Miami, Shores, FL 33138 Permit: Mean Height (ft): 10.0 Approval: 19-0311.04 Parapet Height (ft): 0.0 Roof Deck: 5/8" Plywood Bldg Width (ft): 20.0 System type: E (1) Bldg Length (ft): 25.0 Base Sheet: Elastobase Sheet Risk Category: II Fastener Description: 11 ga. annular ring shank nails & 1-5/8" diam. tin caps Exposure Category: C Note: All information provided by roofing contractor Anchor or Base Sheet Attachment — New Construction/Reroof Applications Product Approval max design pressure (-psf) 52.50 from RAS 128 (-) psf Anchor/base sheet (in) 39.37 Zone 1': 37 Side lap width (in): 4.0 Zone 1: 64 Side lap anchor spacing O.0 (in) 8.0 Zone 2: 84 Side lap row 1 Zone 3: 115 Center sheet anchor spacing O.0 8.0 Center sheet rows 3 A. CALCULATION WIDTH OF SHEET FOR ONE NET SQUARE (100 ft2) 1. Net Width Sheet (ft): Net Width (ft) = ((Sheet width) - (Side Lap Width))/12 Net Width (ft) = 2.948 2. Net Length to Make One Square (100 ft): Net Length = (100 ft2)/Net Width Net Length (ft)= 33.927 B. DETERMINE THE NUMBER OF FASTENERS PER SQUARE General Equation (1 Fastener/A) x (121n/ft) x ((B/row)x(C/square) = D Where: A = Specified Fastener spacing LAP 8 A2 = Specified fastener spacing (FIELD/ROW) 8 B = Net Length (ft) to make one square 33.9 C= Number of rows having spacing A (FIELD/ROW) 1 C2 = Number of rows having spacing A2 (FIELD/ROW) 3 D = Number of fasteners per square SIDE LAP ROW: D = 50.89 Fasteners /Square CENTER LAP ROW: D = 152.67 Fasteners /Square Total Number of fasteners per Square (every100 ft^2) SIDE LAP ROW + CENTER ROW = 204 TOTAL SQUARE FEET PER FASTENER (100ft2)/(SIDE LAP ROW+CENTER ROW)= 0.491 DETERMINE THE FASTENER VALUE GENERAL EQUATION fy = 25.79 Ibf fy = Fastener value fy = (max design pressure) x (11112 per fastener) Determine anchor/base sheet fastener spacing to meet pressure in the elevated pressure zones of the roof GENERAL EQUATION FS = (Fy x 144) / (P x RS) FS = fastener spacing (in) Fy = fastener value (Ibf) P = max design pressure (psf) RS = row spacing (in) 1045 NE 97th St, Miami Shores, FL 33138 Page 1 of 2 0; (786) 231-8143 YP BEST SERVICES Lab. Certificate # 22-0120.06 ypbestservices@gmail.com 12170 SW 128th Ct. Ste 101. Miami, FL 33186 ypbestservices@gmail.com Note: Raw spacing (RS)is the Net Width of sheet divided by number of rows. The Net Width Is the width of base sheet less the side lap distance. Total Number of rows from NOA = 4 fastener rows From previous calculations: Net Width'(ft) = Row spacing= Wind Uplift Pressures: Zone 1:. 64 psf Zone 2: 84 psf Zone 3: 115 psf Adding (1) ONE extra row to NOA row requirement: New Row spacing Zone 1; 64 psf Zone 2: 84 psf Zone 3: 115 psf Adding (2) two extra row to NOA row requirement: New Raw spacing z Zone 1: 64 psf Zone 2: 84 psf Zone 3: 115 psf 35.37 In 8.84 in 4 fastener rows Fastener Spacing (in) By Calculation FS-- 6.563 6.0 In F5= 5.000 5.0 In F5= 3.652 3.0 Fn S fastener rows 7.07 In FS-- 8.20 8.00 in FS-- 6.25 6.00 in FS-- 4.57 4.00 in 6 fastener rows 5.90 In FS-- 9.84 9.00 In FS-- 7.50 7.00 In FS-- 5.48 5.00 in Notes: If the parapet walls are L 3 ft on the roof, the wind pressures are the same on Comers P(3) as they are for Perimeters P(2) All fractions shall be rounded down to the next whole number. The a Mmum fastener, separation shall not be less than 4 In. o c. For steel deck applications, fastener spacing shall be In Increments of 6 In. o.c Calculated Fastener Spacing Results: Extrapolation from: Z1' Design Pressure Head Lap FS Center Rows Center Row FS Zone 1': 37 Zone 1: 64 6 in O.C. 3 6 In O.C. Staggered Zone 2: 84 5 in O.C. 3 5 in O.C. Staggered Zone 3: 11S 4 In O.C. 4 4 In O.C. Staggered Roof Zone layout (b) (A) A roof uft -w,l re hof o atdiawto�ka> i Alaym Aguilar P.E. FL. REG. #92154 Zone 3 0.6*H x 0.2*H Zone 2 0.6*H Zone 1 0.6*H 1046 NE 97th St. Miami Shores. FL 33138 Page 2 of 2 MIAMFM MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street. Room 208 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.aov/economy Polyglass USA, Inc. 150 Lyon Drive Fernley, NV 89408 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (in Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense 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: Polyglass Self -Adhered Roof System over Wood Decks LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA# 19-0311.04 and consists of pages 1 through 38. The submitted documentation was reviewed by Alex Tigera. NOA No.: 21-1207.12 MMI-DADE COUNTY Expiration IADate: 10l11 /22 Approval Date: 03/24/22 Page I of 38 ROOFING ASSEMBLY APPROVAL Cates Roofing Sub -Category: Modified Bitumen Mats SBS/APP/TPO Deck Type: Wood Maximum Design Pressure 412.5 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Polyanchor Polyglass G2 Base Elastoshield VP HT XtraFlex SBS HT Base 650 Elastobase V Elastoflex SA V Elastoflex SA V FR Elastoflex SA V PLUS Elastoflex SA V PLUS FR XtraFlex SBS Base SA XtraFlex SBS Glass Base Elastobase P Elastoflex SA P Dimensions 250' x! 48" 108' x 36" 65' 8" x 3'' 3-3/8" 65' 8" x 3,' 3-3/8" 65' 2" x 3' 3-3/8" 66' 8" x 3' 33/s" 66' 8" x 3' 3-3/8" 66' 8" x 3' 3 3/8" 66' 8" x 3' 3-3/8" 66' 8" x 3' 33/8" 65' 8" x 3' 3-3/8" 65' 8" x 3' 3-3/8" 32' 10" x 3' 3-3/8" Test Product Specification Description ASTM D 4601, A polymer woven, high performance, synthetic base Type II sheet. ASTM D 4601, Asphalt -coated fiberglass reinforced base sheet Type II ASTM D 6162 SBS modified asphalt coated fiberglass/polyester reinforced base sheet. ASTM D 6162 SBS modified asphalt coated fiberglass/polyester reinforced base sheet. ASTM D 6163, SBS modified asphalt coated fiberglass reinforced base Type I sheet. ASTM D 6163, Self -adhered, fiberglass reinforced, SBS modified Type I bitumen membrane with a self -adhering back face and a smooth top surface. ASTM D 6163, Self -adhered, fire -rated, fiberglass reinforced, SBS Type I modified bitumen membrane with a self -adhering back face and a smooth top surface. ASTM D 6163, Self -adhered, fiberglass reinforced, SBS modified Type I bitumen membrane with a self -adhering back face and a smooth top surface. ASTM D 6163, Self -adhered, fire -rated, fiberglass reinforced, SBS Type I modified bitumen membrane with a self -adhering back face and a smooth top surface. ASTM D 6163, Self -adhered, fiberglass reinforced, SBS modified Type I bitumen membrane with a self -adhering back face and a smooth top surface. ASTM D 6163, SBS modified asphalt coated fiberglass reinforced base Type I sheet. ASTM D 6164, SBS modified asphalt coated polyester reinforced base Type I sheet. ASTM D 6164, Self -adhered, fiberglass reinforced, SBS modified Type I bitumen membrane with a self -adhering back face and a granule top surface. NOA No.: 21-1207.12 MlaMEW�necouNr�r Expiration Date: 10/11/22 + ' Approval Date: 03/24/22 Page 2 of 38 Elastoflex SA P FR 32' 10" x 3' 3-3/8" Polyfresko G SBS SA 32' 10" x 3' 33/s" Polyfresko G SBS SA 32' 10" x 3' 33/8" FR Polyreflect XtraFlex SBS G SA Polybond Polyflex XtraFlex APP S PolyKool 32' 10" x 3' 33/8" 32' 10" x 3' 3-3/8" 32' 10" x 3' 3-3/8" ASTM D 6164, Self -adhered, fire -rated, polyester reinforced, SBS Type I modified bitumen membrane with a self -adhering back face and a granule top surface. ASTM D 6164, Self -adhered, fiberglass reinforced, SBS modified Type I bitumen membrane with a self -adhering back face and a granule top surface. ASTM D 6164, Self -adhered, fire -rated, fiberglass reinforced, SBS Type I modified bitumen membrane with a self -adhering back face and a granule top surface. ASTM D 6164, Self -adhered, polymer, SBS modified bitumen Type I membrane with a self -adhering back face and a smooth top surface. ASTM D 6164, Self -adhered, fire -rated, polyester reinforced, SBS Type I modified bitumen membrane with a self -adhering back face and a granule top surface. ASTM D 6222 Torch applied, polyester reinforced, APP modified bitumen membrane with a burn off polyethylene back face and a smooth or sanded top surface. 32' 10" x 3' 3-3/8" ASTM D 6222 Torch applied, polyester reinforced, APP modified bitumen membrane with a burn off polyethylene back face and a smooth or sanded top surface. 32' 10" x 3' 3-3/8" ASTM D 6222 Torch applied, polyester reinforced, APP modified bitumen membrane with a burn off polyethylene back face and a smooth or sanded top surface. 32' 10" x 3' 33/8" ASTM D 6222, Self -adhered, polyester reinforced, APP modified Type I bitumen membrane with a self -adhering back face and a white film laminate on the top surface. XtraFlex Kool APP S 32' 10" x:, 3' 33/8" ASTM D 6222, Self -adhered, polyester reinforced, APP modified SA Type I bitumen membrane with a self -adhering back face and a white film laminate on the top surface. Polyflex SA P Polyflex SA P FR Polyfresko G APP SA Polyfresko G APP SA FR XtraFlex APP G SA 32' 10" x 3' 33/s" 32' 10" x 3' 33/s" 32' 10" x 3' 33/8" 32' 10" x 3' 33/s" 32' 10" x 3' 33/8" ASTM D 6222, Self -adhered, polyester reinforced, APP modified Type I bitumen membrane with a self -adhering back face and a granule top surface. ASTM D 6222, Self -adhered, fire -rated, polyester reinforced, APP Type I modified bitumen membrane with a self -adhering back face and a granule top surface. ASTM D 6222, Self -adhered, polyester reinforced, APP modified Type I bitumen membrane with a self -adhering back face and a granule top surface. ASTM D 6222, Self -adhered, fire -rated, polyester reinforced, APP Type I modified bitumen membrane with a self -adhering back face and a granule top surface ASTM D 6222, Self -adhered, fire -rated, polyester reinforced, APP Type I modified bitumen membrane with a self -adhering back face and a granule top surface. NOA No.: 21-1207.12 MIA MExpiration Date: 10/11/22 Approval Date: 03/24/22 Page 3 of 38 Polyglass APP Base 65' 8" x 3,' 3 3/s" ASTM D 6509, APP modified asphalt coated fiberglass reinforced base Type i sheet. PG 100 1, 3, 5, 50, 55 gal, ASTM D41 A penetrating solution of solvent and a blend of tube or 17 oz. spray selected asphalts used to promote adhesion. can PG 350 1, 3, 5, 50, 55 gal. or ASTM, D3019 A fibered rubberized adhesive designed for use with tube Type III modified bitumen membranes. PG 400 11 3, 5, 50, 55 gal. or ASTM D4586 A thick, fibered, rubberized flashing cement for use in tube ASTM D3409 dry or damp conditions. PG 425 1, 3, 5, 50, 55 gal. or ASTM D4586 A thick, fibered, rubberized flashing cement for use in tube ASTM D3409 dry or damp conditions. PG 450 1, 3, 5, 50,155 gal. or ASTM, D4586 A thick, fibered, rubberized flashing cement. tube PG 500 1, 3, 5, 50, 55 gal. or ASTM D4586 A thick, fibered, rubberized flashing cement for use tube with modified bitumen membranes. 0000 POLYPLUS 35 1, 3, 5, 50,; 55 gal. or ASTM D3019 0 0 A fibered rubberized adhesivead estgned for ifW*ith tube Type III modified bitumen membranes, 0 0 0 0 0 0 0 0 00 0 POLYPLUS 45 1, 3, 5, 50,i 55 gal. or ASTM D4586 e A thick, fibered, rubberized flaslrisigacement. 0 ooeo tube O 0 0 0 0 O POLYPLUS 50 1, 3, 5, 50, 55 gal. or ASTM D4586 0 0 00se A thick, fibered, rubberized flo;? 0 cement fo ou tube with modified bitumen memW" 0 b 00000 XtraFlex 10 1, 3, 5, 50, 55 gal, ASTM, D41 A penetrating solution of solVn1:t?O a blend of tube or 17 oz. spray selected asphalts used to promote adhesiot' 0 00 0 can 0 0 00 0 00 0 A fibered adhesive designed fog dsearRrith XtraFlex 35 1, 3, 5, 50, 55 gal. or ASTM D3019 rubberized tube Type III modified bitumen membranes. XtraFlex 50 Premium 1, 3, 5, 50; 55 gal. or ASTM D4586 A thick, fibered, rubberized flashing cement for use Modified Wet/Dry tube with modified bitumen membranes. Cement WB-3000 5 gallon pail Proprietary A low-VOC, water -based acrylic primer to enhance adhesion of self -adhered membranes. 0000400 O 0 0 000000 0 0 ee0000 0 0 00000 O O 0 0 0 0 0 000000 0 0 0 000000 0 0 000000 0 0 NOA No.: 21-1207.12 MIANtH7WDE COUNTY Expiration Date: 10/11 /22 Approval Date: 03/24/22 Page 4 of 38 APPROVED INSULATIONS: TABLE 2 Product Name Product Description Manufacturer (With Current NOA) Polytherm-H Polyisocyanurate foam insulation Polyglass USA, Inc. Polytherm Polyisocyanurate foam insulation Polyglass USA, Inc. Polytherm G Polyisocyanurate foam insulation Polyglass USA, Inc. XtraFlex Polyiso Polyisocyanurate foam insulation Polyglass USA, Inc. XtraFlex Polyiso G Polyisocyanurate foam insulation Polyglass USA, Inc. ACFoam-II Polyisocyanurate foam insulation Atlas Roofing Corp ACFoam-III Polyisocyanurate foam insulation Atlas Roofing Corp Structodek High Density Fiberboard Roof Wood fiber insulation board Blue Ridge Fiberboard, Inc. Insulation 0000 ° DensDeck, DensDeck Prime Gypsum insulation board ° ° °°°° °°°°°° GeorgiarPagific GypsM LLC ° ° H-Shield Polyisocyanurate foam insulation ° O ° ° Huntef Mels, a d'i'Visi®n of ° ° ° ° ° ° °°° ° MUM Construdtion v o , ° ° ° ° ° * Mterials,XLC o ° ° kI-Shield CG Polyisocyanurate/perlite composite insulation ° 0000 06 00000 Hunt -Penels, a-d ovo lion of ° ° s ° ° ° .00 Cartisle Construction ..... ° o ° serials, LLC ° ° ENRGY-3 Polyisocyanurate foam insulation ° ° °° ° °°°°°° ° Johns Manvile°C;Fp. ° ° Fesco Board Expanded mineral fiber ° ° ° °°°°°° JbhnsManv�l� Coop. ° ° Multi -Max FA-3 Polyisocyanurate foam insulation Rmax, A Business Unit of Sika Corporation SECUROCK Gypsum -Fiber Roof Board Fiber reinforced coverboard United States Gypsum Corporation NOA No.: 21-1207.12 MlAMMADECCOUNW Expiration Date: 10/11/22 S.. i 1 Approval Date: 03/24/22 Page 5 of 38 APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) Dekfast DF-#12-PH3 Insulation fastener for wood, SFS Group USA, Inc. steel and concrete decks 2. Dekfast DF-#14-PH3 Insulation fastener for wood, Various SFS Group USA, Inc. steel and concrete decks 3. Dekfast DF-#15-PH3 Insulation fastener for wood, Various SFS Group USA, Inc. steel and concrete decks 4. Dekfast PLT-H-2-7/8 Galvalume hex stress plate. 2 7/8" x SFS Group USA, Inc. 3 1/4" 5. #14 Roofgrip Insulation and membrane Various OMG, Inc. fastener ° ° ° ° 6. Flat Bottom Metal Plate A2-SS aluminized steel plate 3" square ° ° a ° ° OMG, Itit! ° 00 °° °°° • ° • • ° ° • 7. Trufast #14 HD Fastener Insulation fastener for steel and Allealph, BrhW&CCo. ° ° ° ° ° ° wood decks ° ° ° ° ° °U.S., Inc., ° ° 8. Trufast 3" Metal Insulation Round Galvalume AZ50 steel 3.23 round •ACtenloh, Brifick 8: Co. °°°° • • Plate plate 3" round 000000 U.S., Inc. o ° ° 9. Polygrip Fasteners #12 Insulation fastener for wood, Various ° ° • ° M�vl lass 319A,° Inc 40600 ° ° ° ° ° ° steel and concrete decks ° 0 a° ° • 10. Polygrip Fastener #14 Insulation fastener for wood, Various ° Pojyglass U,5Ab knc. ° o 000000 a steel and concrete decks ° 00 ° o 60 ° ®° ° ° • • 11. Polygrip Fastener #15 Insulation fastener for wood, Various ° ° ° Polyglass°USA° Inc. ° • steel and concrete decks 12. Polygrip Hex Plates Galvalume hex stress plate. 2 7/8" x Polyglass USA, Inc 3 '/a" 13. OMG 3 in. Ribbed Galvalume stress plate. 3" round OMG, Inc. Galvalume Plate (Flat) 14. OMG 3" Galvalume Sleel Galvalume stress plate. 3" round OMG, Inc. Plate 15. Dekfast PLT-R-3 Galvalume stress plate. 3" round SFS Group USA, Inc. 16. Millennium One -Step A two component, low rise, H.B. Fuller Company Foamable Adhesive polyurethane foam adhesive 17. Millennium One Step Green A two component, low rise, H.B. Fuller Company Foamable Insulation polyurethane foam adhesive Adhesive 18. Millennium PG-1 Pump A two component, low rise, H.B. Fuller Company Grade Adhesive polyurethane foam adhesive NOA No.: 21-1207.12 �MiAMf[7iADf COiiNTY Expiration Date: 10/11/22 APPROVED Approval Date: 03/24/22 Page 6 of 38 APPROVED SURFACING: TABLE 4 Chosen components must be applied according to manufacturer's application instructions. Number Product Product Application Specification Manufacturer Name Description R= 1. Gravel To be installed in a flood coat 4001bs/sq N/A Generic of approved asphalt at 60 lbs/sq 2. Slag To be installed in a flood coat 300 lbs/sq N/A Generic of approved asphalt at 60 lbs/sq 3. KM Acryl 15 A premium white or tinted 1-1% gaUsq ASTM D6083 Polyglass USA, elastomeric acrylic based roof Inc. coating (water -based). A polyester fabric may be used for reinforcement with this 4. KM Acryl 15 QS coating. A premium white or tinted 1-1 %2 gal/sq &09; ASTM o 0 0 0000 OOOOOO Polyglass IJSA, O ° ° ° ° quick setting, elastomeric ° ° ° ° ° ° ° ° ° ° ° ° acrylic based roof coating 0000006600 ° °°°°°° (water -based). A polyester 0 0 ° 00 0 ° fabric may be used for ° ° ° ° ° ° ° ° ° ° ° reinforcement with this coating. ° ° °° °° ° 00000 °°°°°° 5. KM Acryl 25 A premium white or tinted 1- I V2 gaUsq ASTM PVI ° °°°°°° Polyglass USA, 0 ° ° elastomeric acrylic based roof ° ° o ° IM; ° ° ° ° ° ° coating (water -based). A O O ° 0 ° ° O 00 O O °° polyester fabric may be used 0 0 ° 0 ° 0 00 for reinforcement with this coating. 6. KM Acryl 25 QS A premium white or tinted 1-1 %2 gal/sq ASTM D6083 Polyglass USA, quick setting, elastomeric Inc. acrylic based roof coating (water -based). A polyester fabric may be used for reinforcement with this coating. 7. KM -PS #220 A single component, solvent, 1.25 gal/sq ASTM D6694 Polyglass USA, white or tinted, silicone Inc. coating. 8. KM -PS #250 A premium grade high solids, 1.25 gaUsq ASTM D6694 Polyglass USA, white or tinted, single Inc. component, moisture cure, fluid applied silicone coating 9. PG 300 An asphalt cutback fibered roof I V2-2 gal/sq ASTM D4479 Polyglass USA, coating. May be applied by Inc. brush or spray equipment to rejuvenate aged BUR NOA No.: 21-1207.12 CMIAMI-OWE cou�crlt Expiration Date: 10/11/22 Approval Date: 03/24/22 Page 7 of 38 APPROVED SURFACING: TABLE 4 Chosen components must be applied according to manufacturer's application instructions. Number Product Product Application Specification Manufacturer Name Description Rate 10. PG 600 Non-fibered aluminum roof '/2-1 gaUsq ASTM D2824 Polyglass USA, coating. Type I Inc. 11. PG 650 Fibered aluminum roof coating. 1 %2-2 gal/sq ASTM D2824 Polyglass USA, Type III Inc. 12. PG 700 A premium white or tinted 1-I1/2 gaUsq ASTM D6083 Polyglass USA, elastomeric acrylic based roof Inc. coating (water -based). A polyester fabric may be used 0000 ° ° for reinforcement with this e ° ° ° ° ° ° ° ° ° ° ° ° ° ° 13. PG 700 QS coating. A premium white or tinted 1-1 %2 gaUsq 00 ASTM D66Q3 0 ° ° ° ° Polyglasss USA, ° ° ° ° ° ° quick setting, elastomeric 000000 ° ° ° ° litc. ° ° ° ° ° ° ° ° acrylic based roof coating ° ° ° ° ° ° 00 (water -based). A polyester ° ®° ° ° ° 00 ° ° ° ° ° ° ° ° ° fabric may be used for °° °° ° ° ° ° ° ° ° 14. PG 800 reinforcement with this coating. An asphalt based, non-fibered 3 gaUsq in two 000600 ASTM I I nT. ° ° ° Potygla%s USA,° ° ° ° o ° clay emulsion coats o ° ° ° o.° ° ° .0 . ° ° ° ° ° 15. PolyBrite 70 A premium white or tinted 1-1 %2 gaUsq ASTM D6083 Polyglass USA, elastomeric acrylic based roof Inc. coating (water -based). A polyester fabric may be used for reinforcement with this coating. 16. PolyBrite 70 QS A premium white or tinted 1-1 %2 gaUsq ASTM D6083 Polyglass USA, quick setting, elastomeric Inc. acrylic based roof coating (water -based). A polyester fabric may be used for reinforcement with this coating. 17. PolyBrite 90 A premium grade high solids, 1.25 gal/sq ASTM D6694 Polyglass USA, white or tinted, single Inc. component, moisture cure, fluid applied silicone coating 18. PolyBrite 95 A single component, white or 1.25 gal/sq ASTM D6694 Polyglass USA, tinted, solvent, moisture cure Inc. silicone coating. 19. POLYPLUS 60 Non-fibered aluminum roof %2-1 gaUsq ASTM D2824 Polyglass USA, coating. Type I Inc. NOA No.: 21-1207.12 =WN"MUMMOM, CouNn Expiration Date: 10/11/22 Approval Date: 03/24/22 Page 8 of 38 EVIDENCE SUBMITTED: Test Aizency Factory Mutual Research Corporation Trinity I ERD PRI Construction Materials Technologies (APPROVED! Test Name/Report 4470 4450 4470 4470 4470 4470 4450 4450 4470 4470 4470 4470 TAS 114 TAS 114 TAS 117(B)-ASTM D903 TAS 114 TAS 114 TAS 114 TAS 114 TAS 117(B)-ASTM D6862 TAS 114 & FM 4470 TAS 114(D) — ASTM D 1876 TAS 114 (H) FM 4470 & TAS 114 ASTM D6163 / ASTM D 4601 ASTM D6163 ASTM D6164 TAS 114 TAS 114 & TAS 117 (B) ASTM D6509 ASTM D6222 ASTM D6164 TAS 114 & FM 4474 ASTM D4601 / TAS 117 ASTM D6222 ASTM D4601 / TAS 117 ASTM D6162 ASTM D6162 TAS 114 & FM 4474 TAS 114 & TAS 117 (B) ASTM D6222 ASTM D6222 ASTM D6163 ASTM D6222 ASTM D6694 ASTM D6694 Report No. 2W7A7.AM 2D5A9.AM 3000857 3004091 3001334 3014692 3014751 3019317 3024311 3012321 3036182 RR202591 11752.09.99-1 0 ° ° 0 11751.05.03 00 ° 020841.06.04 ° ° ° e ° °°°° 02762.03.05 0000 02764.09.05 0 0000 0 P1739.01.07 000000 P 1734.07.06-R 1 0 00 0 0° C8500SC.11.07 e ° ° a ° : P7860SC.11.07 ° ° P 10070.10.08 : o ° 0 P 13760.09.09 P33970.03.11 P33960.03.11 P37590.03.13-2-R1 P37590.03.13-3A P 1738.02.07-R2 11757.04.01-1-R1 P37590.03.13-1-R1 P37590.03.13-5-R1 P37590.07.13-1 P41630.08.13 P45940.09.13 P37590.09.13 P45970.05.14 SC5170.05.15 SC5170.12.15-1 PLYG-SC8905.05.16-1 11757.12.00-1-R2 4y-PLYG- l 9-S SMBB-05.A Date 08.04.94 06.22.99 01.12.00 01.12.00 02.15.00 08.05.03 08.27.03 06.30.04 11.01.06 07.29.07 07.31.09 10.22.15 0000 ° ° 02 .1m.®0 05.03(tOl 06...0042.04 03b3605 Ow Qi Od.23.®7 0:0r.07 11.30.07 11140.07 110.09.108 W. b0.W 0.13.11 03.15.11 02.05.13 03.06.13 04.29.13 04.30.13 06.26.13 07.01.13 07.02.13 08.06.13 09.04.13 09.12.13 05.12.14 05.08.15 12.29.15 05.17.16 04.05.17 07.03.20 PUSA-061-02-02 01.28.08 PUSA-064-02-02 02.27.08 PUSA-062-02-02 12.04.08 PUSA-134-02-01 05.16.14 PUSA-135-02-01 05.16.14 NOA No.: 21-1207.12 Expiration Date: 10/11/22 Approval Date: 03/24/22 Page 10 of 38 00°°00 0 0 0 000006 0 0 000060 0 0 0 0 0 0 0 ° ° 0 0 ° ° O 000000 ° 0 ° °o0oee o 0 0 EVIDENCE SUBMITTED: Test Asencv Test Name/Report Report No. Date TAS 117(B) PUSA-202-02-01 05.08.17 FM 4470 & TAS 114 PUSA-202-02-02 05.23.17 0000 O 0 0 0 0000 00e060 o e o e O O O O O O O p 0 0 0 0 oo0os0 e0 0 oeoo0o e 0 0 0 0 0 0 0 0 0 0000 0 O 0 0 0 0 0 0 O O O O O O 0 ®OOO 00 90 00000 O 0 000000 O O 00000 O O 0 06600 00 00 O 000000 0 0 0 0 0 0 O O O O O O O O 0 00 0 000000 O O O O O O 00 0 0 O O 0 000000 00 0 00 0 0 e O O O e 00 NOA No.: 21-1207.12 raa�FuanecovNrr Expiration Date: 10/11/22 APPROVED Approval Date: 03/24/22 Page 11 of 38 Membrane Type: Deck Type I : SBS/APP Wood, Non -Insulated Deck Description: 19/32" or greater plywood or wood plank, fastened at 24" spans with 8d common nails at 4" o.c. or #8 wood screws at 6" o.c. System T�E(1)--: Base sheet is mechanically attached to roof deck. Membranes subsequently adhered. All General and System Limitations apply. Base Sheet: One ply of Elastobase V, Elastobase P, Elastoshield VP HT, Polyanchor, XtraFlex SBS Glass Base or XtraFlex SBS HT Base 650 fastened to the deck as described below: Fastening: Attach base sheet using 11 ga. annular ring shank nails and 1-5/8" diameter tin caps spaced 8" o.c. in a 4" lap and 8" o.c. in three equally spaced staggered rows in the center of the sheet. Ply Sheet:.-----.' One or more plies of Elastoflex SA V, Elastoflex SA V FR, Elastoflex SA V PLUS, Etmgflex SA V PLUS FR or XtraFlex SBS Base SA self -adhered. O O ® 0004 000000 p oe a a Goo ° 0 0 0 ° One ply of Elastoflex SAP Elastoflex SA P FR, Polyflex SAP Polyfjq& &P FR PoLAsko o ° ° ° ° Membrane,;---� , G APP SA, Polyfresko G APP SA FR, Polyfresko G SBS SA, Polyfreskq C4 SBS SA'. FR, o o pee p PolyKool, Polyreflect, XtraFlex APP G SA, XtraFlex Kool APP S SA or.X00ex SW CCSA °pep 0 self -adhered. 000060 0 ooeoo e ° O O O 06600 00 00 O 060000 Surfacing: Install one of the approved surfacing products listed in Table 4 to obtad8 2irsted coating or p O O O 00 O 000000 (Optional) required fxe classification. O p p 0 eo O O 0 0 00 O O s s o eoe000 0 00 0 Maximum Design p 0 Pressure: -52.5 psf; (See General limitation #7.). ° ° O NOA No.: 21-1207.12 All htuMttnoecouY Expiration Date: 10/11/22 Approval Date: 03/24/22 Page 30 of 38 WOOD DECK SYSTEM LIMITATIONS: 1. A slip sheet is required with Ply 4 and Ply 6 when used as a mechanically fastened base or anchor sheet. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all 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 �Ovs,°qne at each side lap and one down the center of the sheet allowing a continuous area of ventilation° ° Encird1W of the ° ° ° ° o ° strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilati®n. �isphalt O°°°.• °° ° °°.°.° application of either system shall be at a minimum rate of 12 tbs./sq. ° Note: Spot attached systems shall be limited to a maximum design pressure of 45 pst° ° . ° ° : ° ° ° . 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') a(azlife of 275 JBt: as ° ° ° ° ° tested in compliance with Testing Application Standard TAS 105. If the fastener value, assfaeldvtested, are below 275 lbf. insulation attachment shall not be acceptable. 00 ° ° ° ° m ° ° ° ° ° 000000 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachmeghstased on a minimum ° ° fastener resistance value in conjunction with the maximum design value listed within a specific °System} ° �hrqjild ° . ° ° e ° the fastener resistance be less than that required, as determined by the Building Official, 3 re ditcd fasttnef ° ° . , 4 , spacing, prepared, signed and sealed by a Florida registered Professional Engineer, Registered Archit0pof ° ° Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal ° ° resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended comers and comers). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 61 G20-3 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 21-1207.12 Expiration Date: 10/11/22 Approval Date: 03/24/22 Page 38 of 38 4 aVF `f XYGLASSI Q _ Class A Listine UL Product SpecTM - TGFU.R14571 49. Deck: C-15/32 Incline: 2 Insulation (Optional): - Polyisocyanurate, perlite, w6od-fiber•or64• polyisocyanurate/perlite board, any thickness. :••.;• Base Sheet: - "ELASTOBASE", mechanically fastened or "ELASTOFLEX SA V FR", self -adhered. Ply Sheet (Optional): - "ELASTOFLEX SA V PLUS FR", "ELASTOFLEX SA V FR" or "ELASTOFLEX SA V FR BASE VENT", self -adhered. Membrane: - "POLYFLEX SA P FR", "POLYFRESKO G APP SA P FR% "ELASTOFLEX SA P FR", "POLYFRESKO G SBS SA P FR", self -adhered or "DUFLEX G FR", "XtraFlex APP Dual", "POLYFLEX G FR", "XtraFlex APP G HP", "Xtraflex APP G FR", "ELASTOFLEX S6 G FR", "POLYFRESKO G SBS FR", "ELASTOFLEX VG FR", "XtraFlex SBS POLY G", "XtraFlex SBS POLY G T", "XtraFlex SBS GLASS G", "XtraFlex SBS GLASS GT" or "ELASTOSHIELD TS G FR", heat fused. http://productspec.ul.com/document.php?id=TGFU.R 14571 •l A /C'l WI P M LIstinr Committed to Innovation... Dedicated to Ad g WOW "•••: Polyglass offers more than just world -class modift'd membranes. We offer products, systems & certifkaations... •: • UL Class A ratings at lower installed cost • " • Available for slopes to 2:12, Combustible Decks, min 15/32" in thickness • Featuring ADESO° Self -Adhered Dual -Compound technology • Includes Polyfresko/CURE Kool Roof Solutions • Options for APP, SBS and Self -Adhered membranes Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvflyov AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: 3/ Iz z 10050 NE 2Id Ave Miami Shores, FI 33138 APpRpV�O �FV Re: Owner's Name: Property Address: 1 04 �_ t� ti �1- lofing Perm u ber: (ding Of "al: 071 l" A - certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the Florida B ilding Commis ion�by Rule 96-3.047 F.A.C. L�Ci' � Signature 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 3 day of VO 4 207z Notary Publicte of Florida at Large Notary PUb k Stab of FWda Maria C UGau Seal: For Forms and Applications click here: http://bldg. miamishoresvi Ilage.com/WebLink/Browse.aspx?id=118080&d bid=0&repo=M is miShoresVillage Rc'.v01 1 <;-'U21 Affidavit of Con pliance with roof to wall Pape I of 1 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.qov 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 I Z. Date: I z z 10050 NE 2"d Ave ep Miami Shores, Fl 33 8 �l�✓�� ``� �.. r Re: Owner's Name: VJ�ILrO \OA Property Address: 10 cf S Roofing Permit Number: A f' De Buildin Of ' ial:' I 90611f IGwo certify that I am not required to retrofit the roof to wall connections of my building because: ❑ 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. 1xThe building was constructed in compliance with the provisions of the Florida Building Code (FBC) or wi he p v' ionYof 994 edition of the South Florida Building Code (1994 SFBC) doEirt I � I eno � Signature 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 subscrib before me this Of day of 20] 7 $0y o Notary Putlic Stale a Flwda 9 Maria C Unau NotaryPublic State Florida LrMcnm07:�o023 seen i e oaLarge H F.x ues ��wi m G3 • 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 Roof to Wall connection Hurricane Mitigation. For Forms and Applications click here: http://bldg.miamishoresvillage.com/WebLink/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage RevOi 142021 Owner affidavit of exemption Page 1 of 1 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.qov 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. 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. AtJ 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. ,� [J 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. / liu 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 acce l This provides the option of maintaining the appearance. 5. 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. Owners roofing consideration Paqe 1 of 2 Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.gov 6. jOverflow 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. �/ 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 maybe be ficial to consider additional ve ting whi c n result in extending the service li e of the oo . O ner/Agent's Signature Date Contractor Signature ate For Forms and Applications click here: http://bldg.miamishoresvillage.com/WebLi nk/Browse.aspx?id=118080&dbid=0&repo=Mia miShoresVillage Rev01 142021 Owners roofing consideration Paqe 2 of 2