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RF-04-22-857Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1234 NE 96TH ST, Miami Shores, FL 33138 Contacts Permit NO.: RF-04-22-857 Permit Type: Roof Work Clossihtatlon: Asphalt Shingle Permit Status: Approved Issue Date: 06/06/2022 Expiration: 12/06/2022 Parcel Number 1132060143930 CHARLES ALLEN Owner I RODMAN ROOFING INC Contractor 1234 NE 96 Sf, MIAMI SHORES, FL 331382554 KAREN RODMAN Home: 3057565859 sallen@easternvideo.com 12151 SW 128 CT 108, MIAMI, FL 33186 Business: 3052643551 rodmanroofing@yahoo.com Description: RE -ROOF ENTIRE HOUSE ASPHALT SHINGLE Valuation: $ 36,050.00 Total Sq Feet: 4,400.00 Fees Amount Application Fee - Other $50.00 CCF $22.20 DBPR Fee $5.25 DCA Fee $3.50 Education Surcharge $7.40 Roofing Fee $300.00 Scanning Fee (Manual) $12.00 Technology Fee $8.75 Total: $409.10 Building Department Copy Ins ection Requests* ix� r Payments Date Paid Amt Paid Total Fees $409.10 Check # 7971 04/05/2022 $50.00 Credit Card 06/06/2022 $359.10 Amount Due: $0.00 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. Futhennore, I authorize the above named contractor to do the work stated. .CK.�� da� Z 9,SQ, 91I e0 (' iG f �D2Z Authorized Signature: Owner / Applicant / Contractor / Agent Date June 06, 2022 Page 2 of 2 Miami Shores Village T T IIII Building Department Ro�Zoti U 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ,J) Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PH E NUMBER: (30S) 762-4949 tj kj&-r-FBC 20 20� LEQ BUILDING Master Permit No. zF-o 22- PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC [ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLICWORKS JOB ADDRESS: ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS the Building Historically Designated: Yes NO V Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (F/,ITo ere Simple Titleholder): l�l11 r le-5 A l len Phone#: �d s-7Sto S�Sq Address: �12 J7 /yCS,{�I r'e & G City: I ! 1 I Gml 5heyr 5 State: �� Zip: 331,3a Tenant/Lessee Name: Email: CONTRACTOR: Company Name: IZod mao R Address: 2 II5I ssySI.I) I2� f• . City: I r l icf 'mi n / St Qualifier Name: 1'//�,,� rP r /✓1 K ddry) a State Certification or Registration M. 1, CCdSI 1 Certificate of Competency#: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: Type of Work: ❑ Addition Description of Work: Alteration 3DS-Z6Ll-3n / 331 ?l _City: State: /Zip: /� Square/Linear Footage of Work: ` qo D ❑ New Repair/Replace ❑ Demolition e Specify color o/f� color thru tile: Submittal Fee $ ice) Permit Fee $ CCF $9.-S b CO/CC $ Scanning Fee $ I Radon fee $ DBPR $S a� Notary $ Technology Fee $ 9) - I Training/Education Fee $ -7.41Z Double Fee $ Structural Reviews !Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ le5cl qJ . 1 0 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 JW%,,VJ a&4-( OWNER or AGENT The foregoing instrument was acknowledged before me this 0_ day of 1'y1aY -h , 20 !; , by S"oaA, A ( 12 vn who is personally known to me or who has produced (— C, ` as identification and who did take an oath. NOTARY PU LIC: Sign: Print: 1 Seal: m APPROVED BY (Revised02/24/2014) Signatur lru t.c CONTRACTOR The foregoing instrument was acknowledged before me this �> v day of iy'�CkyMi ` 20 ;L-Z by �YZLIN 12 o GL VVIM, who is personally known to me or who has produced r'( 2 as identification and who did take an oath. NOTARY Print: JOHNBOWERS Seal: "� MY COMMISSION # HH 108902 :EXPIRES: OFBOWERS :',; MIION#HH108M =?• d: EXPIRES: April 1,2025 April 1, 2025"!,olo,;?•gorged TMu Notary Public Untlenvtitm No 7 PubkUnderxtXers ... Plans Examiner Zoning Structural Review Clerk Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 wwwnsvIclov 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. 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. K� e� 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. 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. 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. Rev01 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.msvfi.aov 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. It may be beneficial to consider additional venting which can result in extending the service life of the ro . Xt,G9�!'� % . 7,2- v 2- zi J - 0 } Owner/Agent's Signature Date Co tractor Sig ature Date For Forms and Applications click here: http://bidg. miamishoresvillage.com/W ebLink/Browse.aspx?id=118080&dbid=0&repo=Mia mi5horesVillage Rev01 142021 Owners roofing consideration Page 2 of 2 LEE GOLDSTEIN CONSTRUCTION, INC. 12325 S.W. 132ND COURT • MIAMI, FL 33186 PHONE: 305-251-1500 • FAX: 305-238-1809 • CELL: 786-229-7126 LIC #: CBC 052111 PROPOSAL/CONTRACT irile��I�!I�� IR ihia PROPOSAL SUBMITTED TO: MS. SUSAN ALLEN INVOICE: ADDRESS: 1234 N.E. 96TH STREET PHONE: CITY/ST/ZIP: MIAMI SHORES FL 33138 DATE: 3/10/2022 We propose to... RE -STRAP 15 OUTSIDE CORNERS OF ROOF: Remove and haul plywood at 15 outside corners of roof as needed to install additional straps. Apply new Dade County approved straps to each of the three Trusses at the hip areas, the main hip girder and two additional Trusses adjacent to the main Truss installed per code. Gable ends are three rafters from bottom of gable. Hip and gable ends are included in this quote. Supply and install new plywood in the areas noted above. All hardware to attach straps as per specifications All work will be completed in conjunction with the Roofer. No paint is included in this proposal. We will warranty all work, labor and materials for a period of ONE YEAR. Contractor will haul all construction related debris. This proposal does not include any building permit or processing fees. Payment Structure: TOTAL JOB CONTRACT: $6,200.00 SIX THOUSAND TWO HUNDRED DOLLARS PAYMENT IN FULL UPON COMPLETION This proposal may be withdrawn by Lee Goldstein Construction, Inc. if not accepted within 30 days. Authorized Signatures: Lee Goldstein Construction, Inc. Z" !�'n��eteia, P~lalewt Lee Goldstein/President Contract Approved by: Date: We are now accepting Master Card and Visa for your convenience 'i;; OFFICE OF THE PROPERTY -APPRAISER Summary Report Property Information Folio: 1"206-014-3930 Property Address: 1234 NE 96 ST Miami Shores, FL 33138-2554 Owner CHARLES N ALLEN &W SUSAN D Mailing Address 1234 NE 96 ST MIAMI SHORES, FL 33138-2554 PA Primary Zone 1400 SGL FAMILY - 3001-3250 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds/Baths/Half 313/0 Floors 2 Living Units 1 Actual Area 6,714 Sq.Ft Living Area 5,812 Sq.Ft Adjusted Area 5,625 Sq.Ft Lot Size 17,040 Sq.Ft Year Built 1940 Assessment Information Year 2021 2020 2019 Land Value $643,597 $643.597 $643,597 Building Value $523,125 $523,125 $523,125 XF Value $37,743 $38,201 $38,716 Market Value $1,204,465 $1,204,923 $1,205,438 Assessed Value $452.702 $446.4521 $436,415 Benefits Information Benefit Type 2021 2020 2019 Save Our Homes Cap Assessment Reduction $751,763 $758,471 $769,023 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). IShort Legal Description SHORES SEC 3 PB 10.37- 12&13&E20FTOFLOT 14 84 'SIZE IRREGULAR 14709-374-75 0990 1 Generated On : 7/12/2021 Taxable Value Information 2021 2020 2019 County Exemption Value $50,000 $50,0001 $50,000 Taxable Value 1 $402,7021 $396,4521 $386,415 School Board Exemption Value 1 $25,0001 $25,0001 $25,000 Taxable Value 1 $427,7021 $421.4521 $411,415 City Exemption Value $50,000 $50,0001 $50,000 Taxable Value 1 $402,7021 $396,4521 $386.415 Regional Exemption Value $50,000 $50.0001 $50,000 Taxable Value $402,702 $396,452 $386,415 Sales Information Previous OR Sale Price Book- Qualification Description Page 09/01/1990 $240,000 14709- Sales which are qualified 0374 11/01/1978 $215,000 100U96 Sales which are qualified 02/01/1977 $195,000 0 Sales which are qualified 0000000 11/01/1976 $1 00000- Sales which are disqualified as a result of 00000 examination of the deed The Office of the Property Appraiser Is continually editing and updating the tax roll. This wabsite may not reflect the most cunent information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/Aw .miamidade.govrinlo/disciaimerasp Verslon: Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Master Permit Number: Section A (General Information) Process Number: Contractor's Name: Rodrn" Rad_lnq Job Address: /,23i/l f It, sl 191;t4� 53ia i ROOF CATEGORY Ef Low Slope ❑ Mechanically Fastened Tile ('Asphaltic Shingles ❑ Metal Panel/ Shingles CITY ROOF TYPE ❑ Mortar / Adhesive Set Tile ❑ Wood Shingles / Shakes ❑ New Roo a air El Maintenance ®�Y ROOF SYSTEM INFORMATION Low Slope Roof Area (ftz) Steep Sloped Roof Area (ftZ) 'i0V C L14) Do ('/0 f) . ... • • ❑ Recover SPA: ... '.T tail � ... ., Are there gas vents on the roof? O Yes of No If Yes what type? O Natural : Q LPX • • • • •_ • Is there an existing rooftop Solar System? O Yes eNo If yes will it be reinstalled? O Yes: bAb Reroofing.. Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and )Y 30 R N V 0 m O � � m 3 m m 0 07� U U1 6 a r > o 0 0 p U o m ❑ L O o0 m E � � c a� E a C = a 0 M Nm�(/) Include 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 Top Ply Fastener/ Bonding Material: 54IT Ad hd� (If a component is not used, identify as "NA") Surfacing: System Manufacturer: Pob S Itss 1%j I Product Approval # I G - a 3 - 64 Fastener Spacing for Anchor/Base Sheet Attachment: Design Wind Pressures, from RM 128 or Calculations: Zone 1': ,3 7 Zone 1: (09 Zone 2: — 94 Zone 1' N " oc @ Laps, # Rows @ " oc Zone 3: ^ t 1 "� Zone 1 (0 " oc @ Laps, # Rows @�d " oc Max. Design Pressure, from the specific product Zone 2 � " oc @Laps #Rows � @° ° o oc approval system: � • o°° 0000 000000 �I " _1 �1° ° Deck Zone 3 oc @ Laps, # Rows @ oc ° Type: (J1,io0 000°00 0000 000000 °° 0 0 0 0 Gauge /Thickness: x b T G S �'1 t�-'i'h n� ° 0 ° Number of Fasteners Per°elation�qqr� o ° ° ° ° o° ° N)figl a 0 0 Slope: al ` Ot. Zone 1': Zonel: -&A* a ap Ln.9. ° ° o ° ° ° 0 0 0 0 0 Anchor/ Base Sheet & No. of Ply(s): ° ° ° ° ° ° ° ° ° ° ° ° Illustrated Components N3YtlQ tiVd Details Os Applicablet o Anchor/ Base Sheet Fastener/ Bonding Material: Woodblocking, Gutter, Edge?ermindtion, St§ ing, flashing ° O ° ° Continuous Cleat, Cant Strip, Pase (thing, (ounreflashingo ° ° ° ° e Coping, Etc. ° ° ° o ° ° ° ° ° Insulation Base Layer: tj JA 00 .) Q Base Insulation Size and Thickness: fV r Indicate: Mean Roof Height, Parapet Height, Height Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Base Insulation Fastener/ Bonding Material: Spacing or Submit Manufactures Details that Comply with RAS 111 1'J' 1A and Chapter 16. .1shossilc Tile in Top Insulation Layer: NIA ,�'� Top Insulation Size and Thickness: j � Top Insulation Fastener/Bonding Material: _ E Of 9"' A Parapet 0000.. Height Base Sheet(s) & No. of Ply(s): I MY *I 141ss ,3 j pit pb11Jl"r $^ Base Sheet Fastener/ BondingMaterial: 6&.,e �� Ply 'P��yS i Mj g1y � O � r1Ca- S _ 1 �0.� � S L Akx — - --- - __ FT. ! `i b T4, b- F "4-b Ply Sheets) and No. of Ply(s): 1 p l H OIN 4 iasl S.AUJ Roor Ply Sheet Fastener/ Bonding Material: Height Se I � Adluwl _ _ ..__... -- --. Top Ply: 21! j eMty tjat.ee g I" -Clese S,4 P f-4- Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section D (Steep Sloped Roof System) Roof System Manufacturer: Product Control Number: 'A) " I of 09 • 01 Minimum Design Wind Pressures, From Applicable RAS 127 Table or Calculations: Zone1: -60 Zone 2e: _�00 Zone2n:—q6 Zone 2r: —9b Zone 3e: -9(0 Zone 3r: _G3 3 Slope Range: O>_ 2:12 to <_ 4:12 ®> 4:12 to <_ 6:12 O > 6:12 to <_ 12:12 Roof Shape: O All Hip Roof ® Gable Roof or Partial GableiNp Roof °��1►n M° ° °°°° ° ° ° ..41t a° �y� /O��00000 ° Deck Type: O wW-1°. ° ° ° ° O ° ° ° 0 f��J ° ° ° ° ° 0000 0000 00000 ° ° °° ° °°O °°°O Underlayment Type: ° �y°rj' °�o�i,� ° ° ° Roof Slope: ° ° 00 ° 000000 ° ° ° °°°° ° Insulation: ° ° ° 00 ° ° ° ° 00 Fire Barrier: Ridge Ventilation? Fastener Type & Spacing: �"�n�, s ,� }•% Hai }s q'��c .� So Id✓y t s Cap Sheet Type: Mean Roof Height: Cap Sheet Attachment: WA � q Roof Covering: (Ogg Ta►ltne 5h%nsw Drip Edge Type & Size: a awe m4A&I Florida Building Code 7th Edition (2020) High Velocity Hurricane Zone Uniform Roofing Application Form for Miami -Dade County Section E (Tile Calculations) For Moment based tile systems, choose Method 1. Compare the values for Mr with the values from Mr. If the Mr values are greater than or equal to the Mr values for each area of the roof, then the tile attachment method is ccep le. Method 1* " Moment Based Tile Calculations per RAS 127" Enter positive uplift pressures when using this table ( Zone 1: x A — ) — Mg: = Mr, Product Approval Mf: ( Zone 2e: x A = ) — Mg: = Mr2e Product Approval Mf: ( Zone 2n: x A = ) — Mg: = Mr2n Produ pproval Mf: ( Zone 2r: x A = ) — Mg: = Mr2r Pro ct Approval Mf: ( Zone 3e: x A = ) — Mg: = Mrse oduct Approval Mf: ( Zone 3r: x A — ) — Mg: = Mr3r Product Approval Mf: 0 s Tile attachment method. Alternate Tile u 0 0000 0 0 0 ttachment method: * * * a 000 000s00 0000 000000 0 ° * 000000 For Uplift Based tile systems use Method 3. Compare the values for F' ith 0 the values for Fr. If A; Ft values are greater tha;-or* 0 a 0000 0 00 ° ° ° equal to the Fr values for each area of the roof, then the tile attach nt method is acceptable. ° 0 0 0 * *, 0000 00600 oso0oo Method 3* "Uplift Based Til alculations per RAS 127" * * 0 0 00 0 00 00 00 0 3 0 °000000 000000 (Zone 1: x L = x W = ) — ( w cos 0 0 00000 0 0 ) = Fr, irodud Approval g: A 0 0 0 e 0 0 . 0 (Zone 2e: x L = x W = ) — ( ) x cos e 0 0 0 00 ) = Fr2e P6gd'Uc4 Apprgyal Fo: 0 0 000000 (Zone 2n: x L = x W = ) (w) x cos 0 0 0 0 ) = Fr2n Product Approval 0: (Zone 2r: x L = x W = — (w) x cos 0 ) = Fr2r Product Approval F': (Zone 3e: x L = x W = ) — (w) x cos 0 ) = Fr3e Product Approval F': (Zone 3r: x L = x W = ) — (w) x cos 0 ) = Fr3r Product Approval F': *Method 2 "Simplified Tile Calculation" only applicable in Broward County. Where to obtain information Description Symbol Where to Find Design Pressure Zones 1, 2e, 2n, 2r,3e, 3r From the applicable Table in RAS-127 or be an engineering analysis prepared by a PE based upon ASCE 7 Mean Roof Height H Job Site Roof Slope 0 Job Site Aerodynamic Multiplier A Product Approval / Notice of Acceptance Restoring Moment due to Gravity M8 Product Approval / Notice of Acceptance Attachment Resistance Mf Product Approval / Notice of Acceptance Required Moment Resistance Mr Calculated Minimum Attachment Resistance F Product Approval / Notice of Acceptance Required Uplift Resistance Fr Calculated Average Tile Weight w Product Approval / Notice of Acceptance Tile Dimensions L=Length W= Width Product Approval / Notice of Acceptance All calculations must be submitted to the Building Official at the time of permit application. MIAMI-DADE COUNTY MIAMI•DADE PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) w .miamidadexov/economy GAF 1 Campus Drive Parsippany, NJ 07054 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to lwjp this product or material tested for quality assurance purposes. If this product or material fails to erfoxm in th%a=Dted ...... manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modiify, or suspend the use of such product or material within their jurisdiction. RER reserves the*ltt to reveke this ••••:• acceptance, if it is determined by Miami -Dade County Product Control Section that this proflhL`r br 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 Flo" -Building Cade. ..:..' including the High Velocity Hurricane Zone of the Florida Building Code. • • • • • • • ...... DESCRIPTION: GAF Timberline HD®, Timberline® Natural Shadow®, Timberline® 111S,'riinberlioe® American.:. Harvest®, Timberline® AH, Timberline HDZ®, Timberline® CS antj Foitilude®fitiingles . LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and feAwing statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA #19-0312.04 and consists of pages 1 through 6. The submitted documentation was reviewed by Alex Tigera. NOA No.: 21-1209.01 Expiration Date: 02/21/27 Approval Date: 01/06/22 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Asphalt Shingles Materials: Laminate Deck Tyne: Wood SCOPE This approves GAF Timberline HD®, Timberline® Natural Shadow®, Timberline® NS, Timberline American® Harvest®, Timberline® AH, Timberline HDZ®, Timberline® CS and Fortitude® Shingles as manufactured by GAF as described in this Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications GAF Timberline HD® 13 '/4" x 39 3/8" TAS 110 Fiberglass reinforced heavy weight asphalt roof Manufacturing shingle, with a laminate profile Locations #1, 2, 3, 4, 5, 6, 7 GAF Timberline® Natural 13 W' x 39 3/8" TAS 110 Fiberglass reinforced heavy weigk� asphalt roof Shadow® and Timberline® NS shingle, with a la4nale profile ° ° ° ° 000000 ° Manufacturing ° ° ° ° ° ° ° ° ° Locations #1, 2, 3, 4, 5, 6, 7 °°°°°° °°°° °°°°°° ° 000000 °°°°° ° ° ° GAF Timberline® American 13 '/4" x 39 3/s" TAS 110 Fiberglass reinforcedkeavy weigkt asphalt °roof ° o Harvest® shingle, with a lan islat& profile ° ° ° ° 00000 °° °O°°°° ° °°° °°°°° Manufacturing Locations #2, 4, 6 ° ° ° ° °° °° °° °°°°°° ° °°°°°° ° ° GAF Timberline® AH 13 '/4" x 39 3/;' TAS 110 Fiberglass reinforced fieivy weight asphalt soap o ° Manufacturing shingle, with a laminatte,profile° ° D ° ° ° o ° ° ° ° m Locations #2, 4, 6, 9 00 ° 00 ° °06 GAF Timberline HDZ® 13 '/4" x 39 3/8" TAS 110 Fiberglass reinforced heavy weight asphalt roof Manufacturing shingle, with a laminate profile Locations #1, 2, 3, 4, 5, 6, 7, 8, 9, 10 GAF Fortitude® 13 '/4" x 39 3/;' TAS 110 Fiberglass reinforced heavy weight asphalt roof Manufacturing shingle, with a laminate profile Location #4 GAF Timberline® CS 13 '/4„ x 39 3/8" TAS 110 Fiberglass reinforced heavy weight asphalt roof Manufacturing shingle, with a laminate profile Location #9 NOA No.: 21-1209.01 Expiration Date: 02/21/27 Approval Date: 01/06/22 Page 2 of 6 MANUFACTURING LOCATION 1. Tampa, FL 2. Michigan City, IN 3. Baltimore, MD 4. Myerstown, PA 5. Ennis, TX 6. Tuscaloosa, AL 7. Dallas, TX 8. Shafter, CA 9. Fontana, CA 10. Minneapolis, MN EVIDENCE SUBMITTED Test Agency Test Identifier Test Name/Reyort Date Underwriters Laboratories, LLC ASTM D3462 ASTM D3462 ASTM D3462 TAS 107 TAS 107 TAS 107 TAS 107 TAS 107 TAS 107 TAS 107 TAS 107 TAS 107 PRI Asphalt Technologies, Inc. TAS 100 TAS 100 TAS 100 TAS 100 TAS 100 TAS-100 4788932264 4788717529 4787344101 4789225984 4788717529 OINK45803 06NK05 A69 - - ° ° - ° 04NK04VA ° ° - 05CA42" 0 ° - 02NK4181°1° ° - ° 03CA35209► ° ° ° 04CA13851P - ° 0 00 00 GAF-912-0r°02 -: GAF-044-02-01 ° GAF-098-&-0i ° ° -- GAF-101-02-01 - GAF-116-02-02 ELK-083-02-01 ELK-084-02-01 ELK-085-02-01 ELK-086-02-01 ELK-087-02-01 ELK-088-02-01 ELK-107-02-01 ELK-108-02-01 ELK-109-02-01 12/13/19 01/31/19 07/25/16 11/1/19 01/31/19 0°°TJ2U13/94 00 U/09/0V °°°°O° OOep2/20/040-0°0° j 1/11/05- --44/11/020°°°°0 0°-4017/03----- -- V%30/0400-° -°° 00 - ° - - - - - ° q2/17/18 °- 0°-01113/04°°°°°- 11/08/05D°---0 o ° - j��09/OS ° 03/23/06 10/16/02 10/15/02 10/14/02 10/24/02 10/21/02 10/ 16/02 10/09/03 10/09/03 10/09/03 NOA No.: 21-1209.01 Expiration Date: 02/21/27 Approval Date: 01/06/22 Page 3 of 6 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. Shall not be installed on roof mean heights in excess of 33 ft. 3. 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. INSTALLATION 1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall provide clearly written application instructions. 4. Exposure and course layout shall be in compliance with Detail 'A', attached. 5. Nailing shall be in compliance with Detail W, attached. LABELING Shingles shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility, and following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIJAMI-DADE COUNTY ° 0000 ° ° ° ° ° ° ® ° ° ° ° ° ° °°°° °°°°°° BUILDING PERMIT REQUIREMENTS ° ° ° ° ° ° ° ° °°°° °°°° °°°°°° ° ° 1. Application for building permit shall be accompanied by copies of the following: ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° 1.1 This Notice of Acceptance. ° ° a ° ° a ° a ° a ° ° 00000 ° 1.2 Any other documents required by the Building Official or the applicable code°ih drder to properly evalme ° a ° the installation of this system. a ° ° a ° a ° ° ° ° ° °° ° ° ° ° °° ° ° ° ° ° 00 ° ° NOA No.: 21-1209.01 Expiration Date: 02/21/27 Approval Date: 01/06/22 Page 4 of 6 DETAIL A COURSE LAYOUT 0 0 0 O O 00 00 00 O 00 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 000000 0 0 0 0 0 0 0 00 0 0 0000 0 0 00000 000000 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 a NOA No.: 21-1209.01 ME MADECOUNTY Expiration Date: 02/21/27 Approval Date: 01/06/22 Page 5 of 6 DETAIL B OVERALL DIMENSIONS AND NAILING PATTERN FOR GAF TIMBERLINE HD® TIMBERLINE® NATURAL SHADOW® AND TIMBERLINE® NS 39-3/811 (1m) 14-11 - 17-1/�� 8a2" - (ase-Nsmm1 (3-M6mm) ail guide line 6-1/2"-9-1/2" 6-1/7, -12"-9-1R" nu�x nnl 1,4 146m159mm) + ~ (146mm-from bottom of shingle rya - elf seal adhesive on back ENHANCED NAILING PATTERN - six nails per shingle* ' required by some local codes and required for enhanced wind coverage on certain products. See limited warranty for details. These shingles MUST be nailed a nominal 6" (152mm) from bottom of of shingle, above the cut outs, as shown. Nails must not be exposed:„• ; •.„ •, .. .. .... ...... OVERALL DIMENSIONS AND NAILING PATTERN ' .... • ... ... FOR TIMBERLINE HDr. TIMBERLINE® CS, TIMBERLINE®AH, AM}1PQRT17"je .. .. .. . ... 39-3/8• (1 m) 1 mm m - T6-1?-9.1? 165mm-241mm1 6-1?-9-1?I165mm-2 mml ' 1?-2-1?(13mm-64mn) 1?-2.1?(13mm-64mm) •• 13-1/4' _ (337 ram) O :::::" TARGET NAIL ZONE 5-13/16--6-1/4- 5-13/16' - 7-5/8' (148 ram -159 mm) (148 mm - 194 mm) Fa Mansard Roofs El I F1 END OF THIS ACCEPTANCE NOA No.: 21-1209.01 Expiration Date: 02/21/27 Approval Date: 01/06/22 Page 6 of 6 MI® MIAMI-DARE 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.Qov/economy GAF 1 Campus Drive Parsippany, NJ 07054 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense 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 Flori¢pl#4ilding to(e, "' including the High Velocity Hurricane Zone of the Florida Building Code. ,,,,,, ,,;, ,,,";, DESCRIPTION: GAF Seal -A -Ridge® Ridge Cap Shingles and GAF Timbertex® Premium Ridge Cap.Shinglec .... .... ..... LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,*diV,0$ate atld fo ftwing" "• 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 therg nas begn%o nhangg � "" in the applicable building code negatively affecting the performance of this product. ""' • TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA No.18-1129.05 and consists of pages 1 through 9. The submitted documentation was reviewed by Freddy Semino r NOA No.: 20-0318.05 Expiration Date: 10/17/22 Approval Date: 08/20/20 Page 1 of 9 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Asphalt Shingles Materials 3-Tab Perforated Deck Type: Wood SCOPE This approves GAF Seal -A -Ridge® Ridge Cap Shingle and GAF Timbertex® Premium Ridge Cap Shingles as manufactured by GAF as described in this Notice of Acceptance. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications GAF Seal -A -Ridge® Ridge Cap l 2" x 36" TAS 110 Pre fabricated hip and ridge asphalt shingle Shingle with two perforations at 12" o.c. along the 36" Manufacturing Location #2 length of shingle. GAF Timbertex® Premium 12" x 36" TAS 110 Prefabricated hip and ridge fiberglass Ridge Cap Shingle reinforced asphalt Shingle with** tions.4o... Manufacturing Location #1 12" o.c. along the 36" leilgth of thwsWngle. ° o *0.000 ..es 000600 . PRODUCTS MANUFACTURED BY OTHERS 000000 0 . o 00 Product Product Size O . 0 00 0.00 00006 Manu acturer 0 0 Description O 000 00000 ° 0 0 ° 00 00 00 0 Osseo* Polyurethane Sealant Adhesive Various Miami Dade ��ejed ASTIR C 920 0 0 Polyttetharfe Sealant. 000000 0 0 * 00 O 0 MANUFACTURING LOCATION 0 0 0 p000.0 00 O 00 0 e ° o0 0 * 1. Mt. Vernon, IN. 2. Savannah, GA. NOA No.: 20-0318.05 Expiration Date: 10/17/22 Approval Date: 08/20/20 Page 2 of 9 EVIDENCE SUBMITTED Test AQencv Test Identifier Test Name/Report Date Underwriters Laboratories, Inc. ASTM D3462 11 CA45079 03/21 /12 TAS 107 11 CA45079 03/21 /12 TAS 107 12CA38083 02/26/13 Fire Classification TFWZ.R21 09/16/16 ASTM D3161 4788698165 11 /09/18 ASTM D3161 4788669132 12/13/18 ASTM D3161 4789132672 l 1 /27/2019 PRI Construction Materials Technologies LLC TAS 100 GAF-381-02-01 11/15/12 TAS 100 GAF-895-02-01 11/20/18 TAS 100 GAF-896-02-01 11/20/18 ASTM D3462 GAF-897-02-01 11/08/18 ASTM D3462 GAF-899-02-01 ° ° ° °1°1d16/18 ASTM D3462 GAF-898-&-OI ° ° °° ° ° ° °I°l/08/1$' ° ° ° o ° °°°° ° ° ° LIMITATIONS ° ° ° ° ° ° ° 000000 ° ° ° ° 000000 ° ° ° °°°°°° °°°° °°°° ° ° 1. Fire classification is not part of this acceptance; refer to a current Approved Rodfgag jlflateri � Di ectory° fps° ° fire ratings of this product. °°°°°° ° ° ° °°O °°°°° 2. GAF Seal -A -Ridge® and GAF Timbertex® Premium Ridge Cap Shingles shall be°r"fed for Vag A hip &aid° ° ° ridge cap shingles only. ° ° ° ° ° ° ° ° ° ° ° ° ° 3. Shall not be installed on roof mean heights in excess of 33 ft. ° ° ° ° ° ° ° ° 4. All products listed herein shall have a quality assurance audit in accordance with t* FLdhda ° ° ° Btfildiflg Code W. ° 0 Rule 61 G20-3 of the Florida Administrative Code. 00 ° ®° ° ° ° ° ° O 00 INSTALLATION 1. GAF Seal -A -Ridge® Ridge Cap Shingle and GAF Timbertex® Premium Ridge Cap Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall provide clearly written application instructions. 4. Nailing for GAF Seal -A -Ridge® Ridge Cap Shingle shall be in compliance with Detail `A' attached. Exposure and course layout for GAF Seal -A -Ridge® Ridge Cap Shingle Ridge Cap Shingles shall be in compliance with Detail `A'. 5. Nailing for GAF Timbertex® Premium Ridge Cap Shingles shall be in compliance with Detail `B' attached. Exposure and course layout for GAF Timbertex® Ridge Cap Shingles shall be in compliance with Detail `B'. 6. A Miami Dade Approved ASTM C920 Polyurethane Sealant Roof must be used in the application of GAF Timbertex® Premium Ridge Cap Shingles as specified in Detail B. NOA No.: 20-0318.05 Expiration Date: 10/17/22 Approval Date: 08/20/20 Page 3 of 9 LABELING Shingles shall be permanently labeled with the manufacturer's name and/or logo, city and state of manufacturing facility, and the following statement: "Miami -Dade County Product Control Approved" or with the Miami -Dade County Product Control Seal as seen below: MlAMMADE COur�rrr usagm BUILDING PERMIT REQUIREMENTS 1. Application for building permit shall be accompanied by copies of the following: 1.1 This Notice of Acceptance. 1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. 0 0 0 0 0 0 O O 0000 000000 O 0 0 0 00 0 0000 . 0 0 000000 0000 000000 0 000000 0 0 O 0000 . 0 .... 0000 . . 0 0 0 0 0000 0000 00000 .. 000000 0 000 00000 0 . 0 . . 00 00 00 0 000000 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 . . 0 0 00 0 0 :0960: 0• 0 0 0 O 0 O . . . 0 00 NOA No.: 20-0318.05 Expiration Date: 10/17/22 Approval Date: 08/20/20 Page 4 of 9 DETAIL A GAF Seal -A -Ridge® Ridge Cap Shingles Application Instructions: (1) Step One — Separate each piece of GAF Seal -A -Ridge® Ridge Cap Shingles into three individual ridge cap shingle pieces at perforations (see Figure 1). Figure 1 W (12.7 mm) 12' , (305 mm) 6-Wi .. p69 mm)' EvAdre E- ...:�. 12' Perloatelr... (305 mm) .... .... �....� (2) Step Two — Begin laying full ridge cap shingle with a 6-2/3" exposure beginnin&awhe bottom oEthe 2k .' hip or from the end of the ridge opposite the direction of the prevailing wind (see Figure• • .... % NOA No.: 20-0318.05 Expiration Date: 10/17/22 Approval Date: 08/20/20 Page 5 of 9 Figure 2 .4 (3) Step Three — Apply ridge cap using 2 nails per piece 6-7/8" back from the exposed.and and 1 /2"up . from the edge (see Figure 2 for location of nails). Use only corrosion resistant zinc coated Steel or aluminum, 10-12 gauge, barbed, deformed or rings shank roofing nails with heads 311" V.5mm) to 7f M" (12mm) in diameter. Nails should be long enough to penetrate at least 3/4" (19mm) into wbod ddCks by just through plywood decks. Nails must be driven flush with the surface of the shingle. Over driving will damage the shingle. Raised nails will interfere with the wind resistance of the shingles. Special Application Section: For Cold Weather Application In cold weather, warm GAF Seal -A -Ridge® Ridge Cap Shingles before bending. When self-sealing is delayed due to cold weather, apply quarter -sized dabs of an approved asphalt plastic cement (must conform to ASTM D4586 Type I or Type 11) between ridge cap pieces and press firmly to insure good contact between pieces. NOA No.: 20-0318.05 Expiration Date: 10/17/22 Approval Date: 08/20/20 Page 6 of 9 DETAIL B GAF Timbertex® Premium Ridge Cap Shingles Application Instructions: (1) Step One — Separate each piece of GAF Timbertex® Premium Ridge Cap Shingles into three individual ridge cap shingle pieces at perforations (see Figure 1). 4' (10; 8' (20; Figure 1 - 12- 7- .� 12''.I� 12" —1 (305mm) (305mm) (305mm) -- �mm) 1 1 tI P, Perforations 1 1 Perforaciones 1 1 1 Perforations __ I I Self -Seal Adhesive on Back Adhesivo Auto-Sellante on Is Parts Posterior Adhesif Auto-Scellant A EEndos Sell -Seal Adhesive on Back Adhesivo Auto- Sellanle en Is ... Pgrte Posterior ,,I A�&Ws@W Aiao- .... L'Enld'es� ..;. Bottorn\Backet•��• •��•. Apoyo Inferior Appuilnferieilh';'•; ••� (2) Step Two — Prepare the starter course. For this step, take a 12" x 12" (305mm x 103M) ridge cap piece and cut along the line between exposure and headlap (see Figure 2). •, Figure 2 Starter �-�� Imo acker Self -Seal Adhesive on Back Nail 9" (229 mm) from bottom & 1 "(25 mm) from edge NOA No.: 20-0318.05 Expiration Date: 1011722 Approval Date: 08/2020 Page 7 of 9 (3) Step Three —Place the 4" x 12" (102mm x 305mm) starter cap across the ridge starting at the bottom of the hip or from the end of the ridge opposite the direction of the prevailing wind. Note: For cold weather application or for high wind zones see special application section below. (4) Step Four — Begin laying full ridge cap shingle pieces 12" x 12" (305mm x 305mm) as shown (see Figure 2). Apply with an 8" exposure beginning at the bottom of the hip or from the end of the ridge opposite the direction of the prevailing wind. (5) Step Five — Apply ridge cap using 2 nails per piece 9" back from the exposed end and 1" up from the edge (see Figure 3 for location of nails). Use only zinc coated steel or aluminum, 10-12 gauge, barbed, deformed or smooth shank roofing nails with heads 3/8" (9.5mm) to 7/16" (12mm) in diameter. Nails should be long enough to penetrate at least 3/4" (19mm) into wood decks or just through plywood decks. Nails must be driven flush with the surface of the shingle. Over driving will damage the shingle. Raised nails will interfere with the wind resistance of the shingles. Figure 3 I_ f- 12"(305mm) I .I '..' : •.... ...��. T Top Laminated Piece ...... , 4' Piem Superior Laminadl. ... .... � • • • • • 102mm Piece Lamnee Superieure •�.•.• •••• . �•�•�' 1� 1'(25mm) i 1"(25mm)�I __II ,,,,, II • , :,, . •,�,•• Nail I Fold Line Neil :. ..' : Claw 1 Linea cla Pliegue Claw •'•"' Clou Ligne Da Pliage Clou a' 203mm I— NOA No.: 20-0318.05 Expiration Date: 10/17/22 Approval Date: 08/20/20 Page 8 of 9 Special Application Section: For Cold Weather Application • In cold weather, warm GAF Timbertex® Premium Ridge Cap Shingles before bending. • When self-sealing is delayed due to cold weather, apply quarter -sized dabs of an approved asphalt plastic cement (must conform to ASTM D4586 Type I or Type 1I) between ridge cap pieces and press firmly to insure good contact between pieces. For High -Wind Zones (HVHZ) • In high wind areas or for maximum wind resistance, apply a''/." wide bead of a Miami Dade Approved ASTM C 920 Polyurethane Sealant to each ridge cap shingle '/d'-1" from the shingle edge, parallel to the ridge (see Figure 4). Note: Excessive application of tab adhesive can cause blistering of ridge cap shingle. Figure 4 •••• � 12" (305mm) �� I ..... • .... ...... T ..... . Top Laminated Piece y+"''' --- :....: q• Pieza Superior LaminadL • ...... 102mm Piece Laminae Superieure � � � •. .. ••••• _I Iw1'(25mm) � 1-(25mm).l . . •••• . Nail I Fold Line Nail Claw I Linea de Pliegue Claw Clou Linne Ds Pliage Clou a• 203mm END OF THIS ACCEPTANCE NOA No.: 20-0318.05 MOeDECOu Expiration Date: 10/17/22 ®' Approval Date: 08/20/20 Page 9 of 9 IA f0a M� MIAAH-DARE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) 11805 SW 26 Street, Room 209 BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidadexavlewnomv 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 inane accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revol•Ce,•mo;dify, or • • •' suspend the use of such product or material within their jurisdiction. RER reserves the rhght to revoke Macceptante, if it is determined by Miami -Dade County Product Control Section that this product or rM&H& 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 Fjppfa BuiltGo g�ode .. 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, stat4nd follovAhng •' 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# 17-1016.01 and consists of pages 1 through 38. The submitted documentation was reviewed by Alex Tigera. NOA No.: 19-0311.04 Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 1 of 38 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub -Category: Modified Bitumen Materials SBS/APP/TPO Deck Type: Wood Maximum Design Pressure -112.5 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: M TABLE 1 Product Polyanchor Polyglass G2 Base Elastoshield HT Dimensions 250' x 48" 108' x 36" 65' 8" x 3' 3-3/8" Test Specification ASTM D 46012 Type H ASTM D 4601, Type H ASTM D 6162 XtraFlex SBS HT 65' 8" x 3' 3-3/8" ASTM D 6162 Base 650 Elastobase 65' 2" x 3' 3-3/8" ASTM D 6163, Type I Elastoflex SA V 66' 8" x 3' 3-Ni" ASTM D 6163, Type I Elastoflex SA V FR 66' 8" x 3' 3-3/8" ASTM D 6163, Type I Elastoflex SA V 66' 8" x 3' 3-Ni" ASTM D 6163, PLUS Type I Elastoflex SA V 66' 8" x 3' 3 3/8" ASTM D 6163, PLUS FR Type I XtraFlex SBS Base 66' 8" x 3' 3 3/s" ASTM D 61632 SA Type I XtraFlex SBS Glass 65' 8" x 3' 3 3/8" ASTM D 6163, Base Type I Elastobase P 65' 8" x 3' 3-3/8" ASTM D 6164, Type I Elastoflex SA P 32' 10" x 3' 3-3/8" ASTM D 6164, Type I Product Description A polymer woven, high performance, synthetic base sheet. Asphalt -coated fiberglass reinforced base sheet °°O° ° ° ° ° °°°° °°°°°° SBS modified asphalt coated f berglasgtfldlyester ° ° reinforced base sheet. ° ° ° ° ° ° 0000 °°° 000000 ° °°°°°° ° a ° °°°°°° SBS modified asphalt coate&fiberglass/pgjyester ° reinforced base sheet. °°°°°° °°°°°° °°°°° ° ° SBS modified asphalt c ° ° ° ° ° °ber 1 ° ge ° ° ° ° ° ° p q�t�� g �� iforced ° ° ° ° base sheet. °°°°°° ° a ° ° ° ° Self -adhered, fiberglass ieiaaforced, 91M madifie0i ° ° ° ° bitumen membrane withal el°f adherj4g back facr Md o a smooth top surface. o ° 90 ° Self -adhered, fire -rated, fiberglass reinforced, SBS modified bitumen membrane with a self -adhering back face and a smooth top surface. Self -adhered, fiberglass reinforced, SBS modified bitumen membrane with a self -adhering back face and a smooth top surface. Self -adhered, fire -rated, fiberglass reinforced, SBS modified bitumen membrane with a self -adhering back face and a smooth top surface. Self -adhered, fiberglass reinforced, SBS modified bitumen membrane with a self -adhering back face and a smooth top surface. SBS modified asphalt coated fiberglass reinforced base sheet. SBS modified asphalt coated polyester reinforced base sheet. Self -adhered, fiberglass reinforced, SBS modified bitumen membrane with a self -adhering back face and a granule top surface. NOA No.:19-0311.04 Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 2 of 38 Elastoflex SA P FR 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. Polyfresko G SBS SA 32' 10" x 3' 33/s" ASTM D 6164, Self -adhered, fiberglass reinforced, SBS modified Type I bitumen membrane with a self -adhering back face and a granule top surface. Polyfresko G SBS SA 32' 10" x 3' 33/s" ASTM D 6164, Self -adhered, fire -rated, fiberglass reinforced, SBS FR Type I modified bitumen membrane with a self -adhering back face and a granule top surface. Polyreflect 32' 10" x 3' 33/8" ASTM D 6164, Self -adhered, polymer, SBS modified bitumen Type I membrane with a self -adhering back face and a smooth top surface. XtraFlex SBS G SA 32' 10" x 3' 3-3/8" ASTM D 61642 Type I Polybond 32' 10" x 3' 3-3/8" ASTM D 6222 Polyflex XtraFlex APP S PolyKool 32' 10" x 3' 3-3/8" ASTM D 6222 32' 10" x 3' 3-3/8" ASTM D 6222 32' 10" x 3' 33/s" ASTM D 6222, Type I Self -adhered, fire -rated, polyester reinforced, SBS modified bitumen membrane with a self -adhering back face and a granule top surface. Torch applied, polyester reinforced, %*t modifipO° ° ° ° bitumen membrane with;] puM offpoly%hylene bacr face and a smooth or sarvjeA tQp surf& ° O O ° m ° i Torch applied, polyesteef6forced, API inodiNd ° ° ° e bitumen membrane with�a �W offplbjyg*�ylene b=L face and a smooth or sandcAuip surfaseo ° ° ° ° e ° • ° O O Torch applied, polyesterI idforced, A1% rnodifi;J 0 0 0 0 000000 bitumen membrane with. bmn off pq yetjiylene Wei0 0 face and a smooth or sanded tpp surfdcd.° 0 0 0 O O 0 : 6 0 0 0 0 Self -adhered, polyester reniforced, AW medifieA ° 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 32' 10" x 3' 33/s" ASTM D 6222, Self -adhered, polyester reinforced, APP modified Type I bitumen membrane with a self -adhering back face and a granule top surface. Polyflex SA P FR 32' 10" x 3' 3 3/s" 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. Polyfresko G APP SA 32' 10" x 3' 3 3/s" ASTM D 6222, Self -adhered, polyester reinforced, APP modified Type I bitumen membrane with a self -adhering back face and a granule top surface. Polyfresko G APP SA 32' 10" x 3' 3 3/s" ASTM D 6222, Self -adhered, fire -rated, polyester reinforced, APP FR Type I modified bitumen membrane with a self -adhering back face and a granule top surface XtraFlex APP G SA 32' 10" x 3' 3 3/s" 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.: 19-0311.04 haECouMr Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 3 of 38 Polyglass APP Base 65' 8" x 3' 3 3/s" ASTM D 6509, APP modified asphalt coated fiberglass reinforced Type I base sheet. PG 100 1, 3, 52 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, 502 55 gal. or ASTM D3019 A fibered rubberized adhesive designed for use with tube Type III modified bitumen membranes. PG 400 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 425 12 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 17 32,5, 50, 55 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. POLYPLUS 35 1, 32 5, 50, 55 gal. or ASTM D3019 0000 A fibered rubberized adhesive desig�e�c� *fer use aqih. ° tube Type III modified bitumen membWe!C ° d, ° 00 POLYPLUS 45 1, 3, 5, 50, 55 gal. or ASTM D4586 A thick, fibered, rubbery Mshing cement. ° e e e o e tube 000000 a 9 O eoeoos POLYPLUS 50 1, 3, 5, 50, 55 gal. or ASTM D4586 A thick, fibered, rubb ertw& lashing eement forIW 4 ° tube with modified bitumen " ° ° 00600 banes. a o 0 XtraFlex 10 19 3, 52 502 55 gal, ASTM D41 oe 00 ao 0 000000 A penetrating solution Qf�lvent and a blend of e tube or 17 oz. spray selected asphalts used tm prgngote ad#iqia4. can 0 0 0 0e o ° e 0 O a0090e XtraFlex 35 1, 3, 5, 50, 55 gal. or ASTM D3019 A fibered rubberized adhesive desigmedf®r use with e 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 WetOry 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. hQAMi�ADE C<?[JNTY NOA No.:19-0311.04 • • • • Expiration Date: 10/11/22 Approval Date: 03/21/19 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 ° ° °°°° °°°°°° ° .0to1gia Pacifi6 Gypsum LLC ° ° H-Shield Polyisocyanurate foam insulation ° ° ° e ° °Hunter panels, L�� ° ° o H-Shield CG Polyisocyanurate/perlite composite insulation ° ° ° ° ° Hunter P ls, UC ° ° ° ENRGY 3 Polyisocyanurate foam insulation °°°° °°°°° ° ° ° ° ° Johns 11Qa�lle C� ° ° ° Fesco Board Expanded mineral fiber ° ° ° ° ° Johns Aihnvtlle C&V. ° o ° Multi -Max FA-3 Polyisocyanurate foam insulation °°°°°° ° ° o ° $max Qperating, LdQ°o ° ° ° ° SECUROCK Gypsum Fiber Roof Board Fiber reinforced coverboard o ° ° ° OWnitedSta°tes Gyp" ° o Cprppption MIAMf-DADS COUNTY NOA No.:19-0311.04 • • • ilwExpiradon Date: 10/11/22 Approval Date: 03/21/19 Page 5 of 38 APPROVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current NOA) 1. Dekfast DF-#12 PH3 Insulation fastener for wood, SFS Group USA, Inc. steel and concrete decks 2. Dekfast DF414-PH3 Insulation fastener for wood, Various SFS Group USA, Inc. steel and concrete decks 3. Dekfast DF415 PH3 Insulation fastener for wood, Various SFS Group USA, Inc. steel and concrete decks 4. Dekfast PLT-H-2-7/8 Galvalume hex stress plate. 2 7/s" x SFS Group USA, Inc. 3 '/a" 5. #14 Roofgrip insulation and membrane fastener Various °°°° 0000 ° ° QQr, Inc.° ° ° ° ° ° : 6. Flat Bottom Metal Plate A2-SS aluminizedp steel late 3 s uarg° ° q °O°° °° ° ° ° ° ° ° Inc.: ° ° ° ° o 61�G, 7. Trufast #14 HD Fastener Insulation fastener for steel and ° ° ° °°°°°° ° ° ° Alte$iD$, Brinck 0K Co ° wood decks Inc 000 8. Trufast 3" Metal Insulation Round Galvalume AZ50 steel °°'°°° 3.23 roun6 ° °r°°d °°°° ° ° ° Altenlah Ainck e Cgo o Plate plate 3" round ° ° o ° o U?S., Inc. °° ° 9. Polygrip Fasteners #12 Insulation fastener for wood, ° Various. ° 00 ° 000000 ° Polygi USA, Inc ° steel and concrete decks ° ° ° ° : 00 ° : ° ° ° ° : 10. Polygrip Fastener #14 Insulation fastener for wood, Various ° ° ° Polyglas°s USA, Inc. steel and concrete decks 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 Y4" 13. OMG 3 in. Ribbed Galvalume stress plate. 3" round OMG, Inc. Galvalume Plate (Flat) 14. OMG 3" Galvalume Steel 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, Adco Products, Inc. dba Foamable Adhesive polyurethane foam adhesive Royal Adhesives & Sealants 17. Millennium One Step Green A two component, low rise, Adco Products, Inc. dba Foamable Insulation polyurethane foam adhesive Royal Adhesives & Adhesive Sealants 18. Millennium PG-1 Pump A two component, low rise, Adco Products, Inc. dba Grade Adhesive polyurethane foam adhesive Royal Adhesives & Sealants MiAMMADE COUNTY NOA No.: 19-0311.04 ��Fggvasngl Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 6 of 39 APPROVED SURFACING: TABLE 4 Chosen components must be applied according to manufacturer's application instructions. Number Product Product Application Specification Manufacturer Name Description Rate 1. Gravel To be installed in a flood coat 400 lbs/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- % gal/sq ASTM D6083 Polyglass USA, elastomeric acrylic based roof Inc. coating (water -based. A polyester fabric may be used for reinforcement with this coating. ° O ° ° ° ° ° ° 0000 000000 4. KM Acryl 15 QS A premium white or tinted 1-1 %2 gal/sq A9 M D6083 o Polyglass USIA, quick setting, elastomeric ° ° ° o ° ° ° ° ° ° Inc ° ° ° ° ° acrylic based roof coating °°°° °° 0000 ° ° ° ° 0 0 0 0 0 0000 0 0 (water -based). A polyester ° fabric maybeused for 000000 ° ° ° ° 000 00000 ° ° reinforcement with this ° ° ° ° ° ° ° ° ° ° ° ° coating. ° °' ° ` ° ° 0 ° ° ° 5. KM Acryl 25 A premium white or tinted 1-1 %2 gal/sq 0 ° 00 Af;T%PP608i 0 000000 ° Polyglasg jj$� elastomeric acrylic based roof ° ° ° ° ° ° ° Ind 0 ° ° coating (water based). A ° polyester fabric may be used for reinforcement with this coating. 6. KM Acryl 25 QS A premium white or tinted 1-1 Y2 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 gal/sq ASTM D6694 Polyglass USA, white or tinted, single Inc. component, moisture cure, fluid applied silicone coating NOA No.: 19-0311.04 Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 7 of 38 APPROVED SURFACING: TABLE 4 Chosen components must be applied according to manufacturer's application instructions. Number Product Product Application Snecification Manufacturer Name Description Rate 9. PG 300 An asphalt cutback fibered roof 11h-2 gal/sq ASTM D4479 Polyglass USA, coating. Maybe applied by Inc. brush or spray equipment to rejuvenate aged BUR 10. PG 600 Non fibered aluminum roof %6-1 gal/sq ASTM D2824 Polyglass USA, coating. Type I Inc. 11. PG 650 Fibered aluminum roof coating. 1 %Z 2 gal/sq ASTM D2824 Polyglass USA, Type III Inc. 0000 12. PG 700 A premium white or tinted p 1-1 /Z ' gal/sq 0 ° ° AST�i 1�6083 0 o * ° ° ' ° � ° ° ° ° °$®�yglass U�, elastomeric acrylic based roof 0 0°° 0 0 0000 Ince 0 0 0: e coating (water based). A ° ° e ° 0 0 0 ° ° ° polyester fabric may be used ° ° ° ° ° ° ° ' ° ° ° ° ° or reinforcement with this 0000 0000 00000 0 0 coating. ° ° ° ° ° 13. PG 700 QS A premium white or tinted 1-1 V2 gal/sq 000000 0 00 ASTM�06083 00 0 000000 Polyglass USA, quick setting, elastomeric : ° : 000 ° ° Inco. ° ° 0: ° acrylic based roof coating ° ° ° ° 060066 (water -based). A polyester 00 ° : ° 0 ° 0 ° fabric may be used for ° °e reinforcement with this coating. 14. PG 800 An asphalt based, non fibered 3 gal/sq in two ASTM D1227 Polyglass USA, clay emulsion coats Inc. 15. PolyBrite 70 A premium white or tinted 1-1 V2 gal/sq 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 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. 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 MIAMI-AP►DEGOI,iNTY ...; NOA No.: 19-0311.04 Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 8 of 38 APPROVED SURFACING: TABLE 4 Chosen components must be applied according to manufacturer's application instructions. Number Product Product Auulication Specification Manufacturer Name Descriiption Rate 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 V2-1 gal/sq ASTM D2824 Polyglass USA, coating. Type I Inc. 20. POLYPLUS 65 Fibered aluminum roof coating. 1 %2-2 gal/sq ASTM D2824 Polyglass USA, Type III Inc. 21. XtraFlex 60 Aluminum Non fibered aluminum roof %2-1 gal/sq ASTM D2824 .000 * Tdlyglass�tTB'4,° Roof Coating coating. ``t mye I °0.0�1�. 0000 o 000 ° Inc. 0, 22. XtraFlex 65 Aluminum Fibered aluminum roof coating. 1 %2 2 gal/sq ASTM;2824 000000 laolyglasq IR A .... Roof Coating Fibered 0�� . 0000 . Inc: 23. XtraMex 70 Premium A premium white or tinted 1-I Y2 gal/sq 00.0 AS'jUD6083 0090 00000 0 P.*glas,%UMO Acrylic FR Roof elastomeric acrylic based roof °° 0°° ° . °° ° ° Inc° ° , , ° ° Coating coating (water based). A . , , , • ° 0 0 0 polyester fabric may be used d 0 0 ° . o 0 ° 0 0 0 .0 0. , , for reinforcement with this coating. m 0 ° . ° 00 . . Do LOOS: ° , , o ° o e . 24. XtraFlex 80 Emulsion An asphalt based, non-fibered 3 gal/sq in two . 0 ASTM D1227 . . .0 Polyglass USA, Roof Coating clay emulsion coats Inc. 25. XtraFlex 30 An asphalt cutback fibered roof 1 %2 2 gal/sq ASTM D4479 Polyglass USA, Bituminous Roof coating. May be applied by Inc. Coating Fibered brush or spray equipment to rejuvenate aged BUR 26. XtraFlex SRC 8000 A single component, white or 1.25 gal/sq ASTM D6694 Polyglass USA, tinted, solvent, moisture cure Inc. silicone coating. 27. XtraFlex SRC 9600 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 MWMMQADECflUNTY NOA No.: 19-0311.04 • • ,��NZVRVHAWIMExpiration Date: 10/11/22 Approval Date: 03/21/19 Page 9 of 38 EVIDENCE SUBMI MD: Test Agency Test Name/Renort Factory Mutual Research 4470 Corporation 4450 4470 4470 4470 4470 4450 4450 4470 4470 4470 4470 Trinity ERD 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 D1876 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) PRI Construction Materials ASTM D6222 Technologies ASTM D6163 ASTM D6222 ASTM D6694 Reuort No. MA7.AM 2D5A9.AM 3000857 3004091 3001334 3014692 3014751 3019317 3024311 3012321 3036182 RR202591 11752.09.99 J. ° ®: 11751.05.U0000 020841.06." 0 0 02762.03.Q5 0 0 ° 0 02764.09.03 0 0 ° P1739.01.r/ : ° a P1734.07.06,;Wo 0 0 C8500SC.11:070 : P7860SC.11,07 0 ° 0 P10070.10.080 0 P13760.09.09 P33970.03.11 P33960.03.11 P37590.03.13 2 Rl P37590.03.13 3A P1738.02.07 R2 11757.04.01-1 RI P37590.03.13-1 RI 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 PUSA 061-02-02 PUSA 064-02-02 PUSA-062-02-02 PUSA 134-02-01 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 Dacia ° 0 0000 00000 0,02 08.06 a ° 0*0005.30.0300000 006.02.04 ° 009000 0°0901.30.05 ° 00069.09.030O000° 00 :09.23.070000 00 O 009000 ° ®0 02.27.07 ° 11.30.07900:6 ® °011.30.0700000 ®° 0 10.09.08 ® *69.10.09 03.15.11 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 01.28.08 02.27.08 12.04.08 05.16.14 NUA No.:19-0311.04 Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 10 of 38 Membrane Type: SBS/APP Deck Type l: 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 Type 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, Elastobase P, Elastoshield HT, Polyanchor, XtraFlex SBS Glass Base or XtraFlex SBS HT Base 650 fastened to the deck as described below: Fastening: Attach base sheet using i 1 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, Elastoflex SA V PLUS FR or XtraFlex SBS Base SA self -adhered. Membrane: One ply of Elastoflex SA P, Elastoflex SA P FR, Polyflex SA P, Polyflex SA P FR, Poly resko °°°° G APP SA, Polyfresko G APP SA FR, Polyfresko G SBS SA, Polyfreskp G SB80!j4.FR, PolyKool, Polyreflect, XtraFlex APP G SA, XtraFlex Kool APP S SAbr :CtraFle� $BS GSA ° 0 0 se 0-adhered. 00000 000° 0 000000 0 006000 0 O 0 Surfacing: 0 °Oo°° Install one of the approved surfacing products listed in Table 4 to obi�iin° desired bblftg or ° ° (Optional) 0 0 0 0 0 0 0 0 0 0 0 0 0 required fire classification. 0 0 000000 0 000 00000 O O 0 0 O Maximum Design ®° 00 00 ° 0000°° ° ° Pressure: , 0 0 , ° 0 0 0 O -52.5 psf; (See General limitation V.). ° 0 ° 0 0 000000 ° ° 0 O 0 0 00 0 0 O 0 0 0 0 0 0 0 0 00 0 00 0 0 0 ° 0 0 0 00 NOA No.: 19-0311.04 MtaMun►oE courmr �MICRMOUT , Expiration Date: 10/11/22 Approval Date: 03/21/19 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 LINIITATIONS: 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 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" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12 lbs./sq. Note: Spot attached systems shall be limited to a maximum design pressure of 45 psfa ° 0000 0000 ° 000000 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Ford.QF) falue of;75IV., as ° ° tested in compliance with Testing Application Standard TAS 105. If the fastener valueg as field-testA are belgW° ° m ° 275 lbf. insulation attachment shall not be acceptable. ° ° ° ° ° ° ° ° ° 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachmitht ts, based ativ Yiinimem ° ° fastener resistance value in conjunction with the maximum design value listed within a°specific sysfl M.0 Should ° o 00 ° ° ° 00 ° ° ° ° 00000 the fastener resistance be less than that required, as determined by the Building Offici��°a oejvised �a vtener 000000 spacing, prepared, signed and sealed by a Florida registered Professional Engineer, Rqgi§tqgd Architect, or ° ° Registered Roof Consultant may be submitted. Said revised fastener spacing shall utiSize°th& withdrawal 00060° resistance value taken from Testing Application Standards TAS 105 and calculations in coni°plianc a vv'WRoofbng ° °°°°°° Application Standard RAS 117. ° ° ° ° ° ° ° ° ° ° 7. Perimeter and comer areas shall comply with the enhanced uplift pressure requirements of these %reds' 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 corners 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 0 NOA No.: 19-0311.04 RIM%MI�DDNA COUNTY ..., , Expiration Date: 10/11/22 Approval Date: 03/21/19 Page 38 of 38 i W'U.11145/1- Roofing Systems TGFUA14371 Roofing systems Roofing Systems POLYGLASS USA I'NC 1111 W NEWPORT CENTER DR DEERFIELD BEACH, FL 33442-7732 USA R14571 SINGLE PLY MEMBRANE SYSTEMS Unless otherwise indicated, the insulation and base sheet are mechanically fastened in place; the membrane is heat 1 (Optional) Noncombustible deck classifications are applicable for use over combustible (15/32 in. minPlywood) we welded in place. gypsum board or 1/4 in. (min) GP G)+psurn "DerisDe� ®Roofboard", "DensDedc prime® Rootboard""en50 � when 1/�2 in. (min) '/< in, (min) USG Corp SECUROCKTM Roof Board Type FRX-G are used directly over the combustible deck withDu Guafrom plywood joints. ith all joints staggQred 6 iinn. (min) r Unless otherwise indicated, in any noncombustible roof deck Classification any UL Classified insulation m ° ° 0000 000000 in. (min) G-Peck ° e e o SECUROCKTM Roof Board Type FRX-G. otboardp, "DensDedc Prime® Roofboard", "DensDeck DuraGuai�d'� beR� undern �a layer of 118 o " or Yi°fe e errtin) USGe!dl$ 0 0 General statement for use of Vapor retarders and/or d o o e i o 0 0 0 0 adhesives are acceptable to POLYGLASS they may be utilized deck/insulation adhesives (NC decks only): When such g? f0 0 0 0 0 °0 arder�dr aecl�/Insulatton "POLYGLASS BASE", "MODIBASV, "Polyglass G2 Base" may be used In lieu of any Type G2 base sheet in 0000 0000 0 o e o 0 may also be used In any C-15/32 Classification in which a generic Type e e 0 ° ° e ° ° 00000 ° may also be s 6" YP G2 Is referenced (Le. not brand any f�G Cfassslficat�an. �'h�se pro��S� o 0 Y CrYPe Gl), "POLYGLAgg VENTED BASE", "XtraFlex P1Y IV "XttaFlex Ply VI" and "XtraFlex10. 80OeY ml aSg`ply,+0, 0 Classification. These products may also be used In any C-15/32 Classlftcation In which a generic Type G1ft Y beUsed In any N�'o "BASE PRO" or "POLYFLEX SA BASE may be used as an a " YP r erenced (Le. 0 0 0 d speCt14t9° 0 0 " Y acceptable alternate of E LASfOFLEX SA V" base shot a o a o 0 0 0 References to polyisocyanurate insulation may include Palyglass Products "POLYTHERM 0 0 0 0 e 0 00 0 00 0 0 0 Acceptable alternates to the membranes listed are given below: Q0" and "POLYTHERM® Tapered". ® ° 0 0 ° Membrane Listed Acceptable Aibernafteg "POLYBOND" "MODIBOND" or `?arch Pro Smooth" "POLYBOND G" "MODIBOND G" or "Torch Pro Granular" "ELASTOBASE- "Xtrafl X HT 650 Base" or "Poiyglass FiT g 6513" "Polythene", "Polythenm Tapered" or "PolYtherm Composite" insulations may be Classifications below. y used wherever polyisocyanurat a insulations are specified In the Insulation may be optional for any non-combustible deck roofing system unless the Insulation acts as a The "Cure Technology" finish may be added to any Polyglass membrane without adversely affecting the coverboard over another Insulation. product/assembly. The product/assembly would maintain the same Classification with or w•�hout ctg� "��L a �flcetion for that oiogy- process. SMGLE PLY MEMBRANE SYSTEMS 1. Deck: NC Class A Class A - 6attasted Incline: 3 Dyptast Products LLC su ation. — °Pyrox White Line," glass fiber, Membrane: — Any UL Classified PVC, mechanically gam, • per to or wood fiber, any thickness. Surfacing: — "Polybritae 9s 57lcona'o r+r -xr.� a.,�, vvov- �w rp apptleD 1 2. Deck: NC �rgalJl.DO-ft2_ Incline: 1/2 Insulation: — Dyplast Products LLC VVrox White Line," glass fiber, ¢erlibe or woad fiber, any thickness. Tl3FU.RI437i - Roofing Systems lPmbrane: -- "POLYFLEX G FR", 'AbsRex APP G HP°, ' Xtraflex APP G FR" or "POLYFRESKO G FR", heat fused in place. 21.'Deck: C-15/32 Incline: 2 Insulation (Option'); — PolYisocyanurate, Peri'lte, wood fiber or polyisocyanurate/partite board, any thickness. Barrier Board: � 1/4 in. (min) GP Gypsum DensDedc®, mechanically fastened with all joints staggered 6 in. from the plywood joints. Base Sheet: — ELASTOBASE", °XtraFtex SBS GLASS Base" Y "ELASTOFLEX SA V FR" or "ELASTOFLEX SA V FR BASE VB { (self aj��d) mechanically fastened or "ELASTOFL>•3C SA V PLUS FR". Ply Sheet (Optional): — "ELASTOBASE", "XtraRex SBS GLASS Base" ELSA V PLUS FR" " (Poly/sand), heat fused or mechanically fastened, ar ELASTOFLEX SA V FR" or SA V FR BASE VENT', (self adhered). Membrane: — "POLYFLEX SA F FR", "POLYFRESKO G APP SA P FR ELASTOFLi� SA V PR HT", {self adhered) or POLYFLEX G FR", "XtroFlpx pp pSAxt�flex P K POLY SA P FR ; G FR", "XtraFlex APP Dual", "ELASTOFLEX S6 G Fir, "POLYFRESKO G SBS FR" "ELASTOFLEK VG W "xtraFtex S�KOY FR", "DUPLE)( SBS POLY G T', "XtraFlex SBS GLASS Go, "Xtrafex SBS GLASS G> = or p �-0 � TS G FR" heat fused. G . XtraFlex r 22. Deck: C--iS/32 incline: 1/2 Insulation (Optional): — Polyisocyanurate IS in. (min.) with all joints staggered 6-in. (min.) from the I Base Sheet: — Type G2, mechanically fastened followed by O@.AMBASF"_ "XbaFlex SBSBase, Plywood joints. Piy Sheet (Opf�ionai). — ELA�O�pC SA V PLUS FR" GAS mechanically fastened. Membrane: — "POLYFLEX SA P PRO, "POLYFRESKO G AFP A P EIAST�Ot1Ex Sa t� �vo or AELASTOFLIX SA V FR BASE VEi1Ti'p, (Self adhered). G FR", Membrane: — APP Dual" 'POLYFLEX O G FR" " ; ALA FLBC SAP R". "POLYFRESKO G SBS SA P FR" or "DUFLEX FR", "ELASTOFLIX VG FR*, aXtraFlex SBS POLY G", "X arr aRex SBS POLY G To, "XtraFlex SBS GLASS SCR x �'O GLASS G SBS "ELASTOSHIELD TS G FR", heat Fused. ex SBS GLASS G f" or 23. Deck: NC Incline_ 2 Insulation (Optional): -- Atlas Roofing "ACFoam III" or "ACFoam II" or Hunter Panels "H Shield" any thickness, Base Sheet: — "ELASTOBASE", "X' Flex SBS .GLASS Base"(poly/sand), heat fused or mechanically fastened or "ELASTOFLEX SA V FR" "ELAS S OFLEX SA V PLUS FR" or "ELASTOFLEX SA V FR BASE VENT', (self adhered)_ Membrane: — "POLYFLEX SA P FR", "POLYFRESKO G APP SA P FR" 0000 "ELASTOFLEX SA V FR HT', (self adhered) or "POLYFLEX G FR" " ��' ", P FR", "POL KO G SBS p '; "Xtraflex APP Oual", "DUPLEX G FR" a " Q XtraFlex APP G HP", "Xp a�px APP G ", cad ESY 'O G �" 000000 °XtraSex SBS POLY G T", LEDCOXtraRexR SBS FLEX S6 G FRO, POLYFRESKO G SBS FR "ELASTOFLEX V6 FR°, "XtraR POLY G' o e GLASS G", ` XtraFlex SBS GLASS GT` or " ELASTOSHIELD TS Gdt3�' ' 24. Deck: C-IS/32 0 P heat fiuo � 00,5000 Incline; 3 000eoe o 0 0 000000 insulationO 0° 0 0 0000 0 0 (Optional): — Polyisocyanutiate, pgrlff�p, wood fiber or PolYisocyanu Barrier Board: — IJ4 in. (min) GP Gypsum DensD �Ip�te board, any fYflL�Btess. *Goo 00000 Base Sheet; — "ELASTOBASE" "XtraFlex SBS GLASS HaseO (p mechanically fastened with all joints . 0 0 0 0 from�A 0 �iy0 3d1' e Ply Sheet (Optional): — 'ELASTOFLEX SA V PLUS FR" " d}i mechanically fastened. o 0 o e o 0 0 090060, Membrane: — 93 AS}-OF� S6 G FR", "XttraFlex SBS POLY SA V FR or ELASTOFLIX SA �1 5E VENT' . `�trafilex SBS POLY G T" or POLY KO'G BS p � tsetF adhered), ° 25. Deck: NC o 0 0060000 Incline: 3 0 0 0 00 0 0 Insulation O; .— g" 0 *Goo: (optional) Atlas Roofing ACFoam III" or "ACFoam II" or Hunter Panels "H Shield", any thickness. ° NSa=b$a�— -ELASTOFLEX EX SA pAV P � FR". "ELASTOFLEX SA V FR" or "ELASTOFLEX SA V FR YFRESKO G APP SA P FR " "BASE �° (self adhered). adhered). ". "ELASTOFLEX SA P FR or POLYFRESKO G SBS SA P FR" (self 26. Deck: NC i:iciine.- W Base Sheet: — Type GI or G2, mechanically fastened. Membrane: — "POLYFLEX G", "XtraFtex APP G HP TOR", "Xtraflex APP G" or "POLYBOND G", heat fused. 27. Deck: NC Incline: 3 Membrane: — "POLYFLEX SA P FR", "FOLYFRESKO G APP SA P FR", "POLYFRESKO G SBS SA P FR"or "FRO adhered). ELASTOFLEX SA P (self 28. Deck: NC incline: 1 Insulation (Optional): — Polyisocyanurate, any thickness. Base sheet (Optional): -- MASTOFIEX SA Vo, "ELASTOFLEX SA V PWS". "x�fl� ses swF--ndherud �sf+sz-, -Xt Iran: sees GLASS -Base" (PolY/sand), mechanically &Gbened � or �eusroFLoc SA v BASE VENT", Membrane.- -- "POLYFLEX SA P", `Xtraflex APP G SA" eXtraMex Kool APP G SA", or "POLYPRESKO G APP SA P" self -adhered "POLYFLEX FG FR", heat fused. or 29. Deck: G15/32 incline: I/2 Insulation: — Polyisocyanurate (2 in. min), glass fiber (15/16 in. min), Perlite/polYlsocyanurate composite, eri� (2 In. min). Barrier Board: — 4 in. min GP G p , P 1%rrethane composite Base Sheet: — "ELASTOFLEX S6", `XtraFFlex SBS POLY ®Basmeechanicaliy fastened, with 6 In. ofiFset to f `�LASTOFLEX P-CO (heat fused or mechanically fastened). ad on Membrane: — "ELASrORMC S6 G', "ELASTOFLEX SS r-C" ar "p0LYFRESKO G SHs", (heat rewed). 30. Deck: NC 2ndine: 112 Insulation (Optional) — Atlas Roofing "ACFoam III" or "ACFoam II", any thickness. Base Sheet — "ELASTOFLE)( SA V PLUS FR", "ELASrOFLEX SA V FR" or "EtAS FLE)C SA V FR SASE VMT", (self adhered). tab tp:lldaase uLeom/cgi-binrAYV/tetiip4aWWM1FRAMEIshowpage ton=a=TGFU.R14671&GO1shotitiile`Roohn9+SYSIe1ns&objid=107435... 5111 UZ/ZU/UZ UJ: u1 r&% JVOZogev4v noumau CIA -22-�� DaQuesne & .tssoeiates, Inc. + cam+-W.s Eatlawn crtraftsot., t sa.a,rs I era, Pple� Tcstn" tat�uary �a sirywo Apni 17, 2001 l� Ms. Susan Allen 1234 NE %" Street Miami Shores, Florida 33138 Re: Structural Evaluation of Roof Components Dear Ms. Allen: Our company has inspected your roof in order to evaluate whether it is fasibhe to inst811 clay/cement mucad of shingles. The following are our observations regarding this matter_ l . The existing roof covering is composed of shingles. 2. Dw existing roof fining is composed of 2 x 8 wood rafters plank and beam consMiction with no visible collar beams. The ridge beam is also composed of a 2" x 8" member. 3. The existing roof was apparently designed utlizing the dead load of these shingles. 4. The typical dead load for shingles is approximately 225 pounds per square. 5. The typical dead load for clay/cement tries i9 approximately 850 to l 100 pounds per square (this frgme includes the weigt» of mortar). 6. The installation of clay/cement tiles would increase the applied dead load by 380% to 490"/0. �!Ijwt I ..: 1 11O.KmEb):.:. :I (%J61sla.41 1 Is I. • � :IN.; tz' s r ja 1;1 .• it : )-All . y .:, I • I i,.. . , In addition to the consequence listed in item #6, cracks in your interior ceding can be expected due to the additional settlement created by the added weight of the tiles. hnstall new shingles (or similar weight moft matetiab to replace Wdsting shingles. If we can be of fivibet service, please do not hesitate to give us a ca(L P• 1 an 7915 Coal Way Suite 109 Afinmi, Florida 33155 Tel (305) 254-1425 Fax (305) 264-1425 E.Mail 02/20/02 03:01 FAX 305ZU49920 xoaman xooring daQuUce & As abb% lot. o--motop . ■mot rslmlft ..e..4me t t...ftm� .r fi* Yours, 0s Jorge Du Quesne, P.E. 0vl/StrwcturW Eugbwa P.E. 24313 AprU 15, 1996 DuQuem & Associates, Inc. ES#00005245 t Pap 2 Of2 I 7815 Coral way Suite 109 N iamL Flori6a 33155 Tel (305) 264-1425 Fax (305) 264-1425 B- it JDuquemeQa 01L com I 111 Miami S40re3 Vi/Laje6 '• DEVELOPMENT ORDER CASE # PZ02-0221-03 APPLICANT Charles and Susan Allen (owners) ADDRESS 1234 N.E. 96 Street Whereas, the applicant has filed an application for a variance before the Planning and Zoning Board on the following described property: Lots 12, 13, and the east 20' of Lot 14 of Block 84 of "'NEL iMI SHORES SECTION 8" according to the plat thereof as recorded in Plat Book 10, Page 37 of the public records of Miami -Dade County, Florida. The applicant sought a variance to Section 523(b)(2)(a) to allow asphalt shingles where the code requires cement tile. The Board, after taking testimony thereon, enters the following findings: 1.. The application was made in a manner consistent with the Land Development Code. 2. The representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the conditions agreed upon at the hearing and that the applicant must satisfy all applicable Miami Shores Village codes, Miami -Dade County Codes, and the applicable building and life safety codes required for development. In addition, the following terms and conditions are imposed: none. Passed and adopted this 21 Zoning Board as follows: Member Crutchfield Member Sastre Member Abramitis day of February, 2002 by the Planning and Yes Yes Yes Member Fernandez Yes and Zoning Board STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! (850)487-1395 dbFcrd STATE OF FLORIDA DEPARTMENT pr ROF BUSINESS EGULATION AND PROFESSIONAL CCCO51542 ISSUED: 08/17/2020 CERTIFIED ROOFING CONTRACTOR RODMAN, KAREN S RODMAN ROOFING INC Signature LICENSED UNDER CHAPTER 489, FLORIDA STATUTES EXPIRATION DATE: AUGUST 31, 2022 Ron DeSantis, Governor Halsey Beshears, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: CCC051542 EXPIRATION DATE: AUGUST 31, 2022 THE ROOFING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES RODMAN, KAREN S RODMAN ROOFING INC 12151 SW 128 CT UNIT 108 MIAMI FL 33186 EM] -a" ISSUED: 08/17/2020 Always verify licenses online at MyFloridaLicense.com 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. 010919 Local Business Tax Receipt Miami —Dade County, State of Florida THIS IS NOT A BILL -DO NOT PAY 6578133 WSIK ss fMQ&OCAMO11 RODMAN ROOFING INC 12151 SW 128TH CT 108 MIAMI FL 33186 LE!1r wKsPrNo. EXPIRES RENEWAL SEPTEMBER 30, 2022 6848775 Must be displayed at place of business Pursuant to County Code " Chapter SA — Art 9 & 10 R � OWNER SEC. TYPE OF BUSINESS PAYMENT RECOM RODMAN ROORNG INC 196 SPECIALTY BUILDING CONTRACTOR OYT CLUE MB CCC051542 $75.00 07/15/2021 Worker(s) 10 CHECK21 21-055691 This Local Bus! now Tax Receipt only confirms paymout ofthe Local Business Tax. The Receipt is not license, permit ora certification of the hold squalifica6ors to do hosiness. Hoidermust comply with any governmental or nongovermaental regn[afory laws and reguirmefltswhich apply to the lu dnam The RECEIPT NO. above must he displayed on all commercial vehicles- Miami -Dade Code Sec 63-276. Formore information.visitwwwmiamulade aovR mileetor RnnMRnn.n4 SMOLLWAADJ ACORO" �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMFDOmYY) 219/2022 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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 endorseme s . PRODUCER CO ACT Marla Clossey Insurance Office of America, Inc. 1855 West State Road 434 _ Longwood, FL 32750 PHONE FAX ac, No, Ed): 407 215-0430 WC. No : E . Marla.Clossey@ioausa.com INSURERS AFFORDING COVERAGE "Co INSURER A: Clear Blue Specially Insurance Company 37745 INSURED INSURER B INSURER C : Rodman Roofing Inc INSURER D : 12151 SW 12M Ct, Ste 108 Miami, FL 33186 INSURER E INSURER F COVERAGES CERTIFICATE NUMRER- RFVISInN NUMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DL SUBR POLICYNUMBER POLICY EFF POLICY EXPAML OMITS A X coMMERcIAL GENERAL uABiUTY CLAIMS -MADE rX] OCCUR 01-RS-2203798-00 2/11/2022 2/11/2023 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES (Ea occufnmce)MED $ 100,000 one rson) S 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY .P{ECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 _ PRODUCTS - COMP/OP AGG S 2,000,000 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS EEpp AUTOS ONLY AU�NLYe�Paent?AMAGE COMBINED SINGLE LIMIT BODILY INJURY (Per person) S BODILY INJURY Per accident S UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ DED I I RETENTIONS _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTPJE lFICEWMEMBER EXCLUDED? and= In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOY E.L DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101 Additional Remarks Schedule, may be attached If more space is required) Additional Insured applies regarding General Liability wi respect to ongoing and completed operations performed by named Insured on primary & non-contributory basis as required by written contract or agreement (per C62010 0413, CG2037 0413, CG2001 0413). Waiver of Subrogation applies regarding General Liability as required by written contract or agreement (per C62404 0509). Miami Shores Building & Zoning Department I 10050 NE Second Ave 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 ad ACORD 25 (2016103) ©1988 2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE (MMIDDIYYM A� o® CERTIFICATE OF LIABILITY INSURANCE 12/20/2021 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. 'MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must 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 Debra Guidry, CPCU FRSA Self Insurers Fund, Inc. PHONE (800) 767-3772 Nook (407) 671-2520 4099 Metric Drive E-MAIL cart@frsasifcam Winter Park, FL 32792 ADDRESS: INSURER A . FRSA Self Insurers Fund / Evanston Insurance Co. 35378 INSURED INSURER B • Rodman Roofing, Inc. INSURER C : 12151 SW 128th Ct., Suite #108 Miami, FL 33186 INSURER D INSURER E INSURER F - r_rn►�Qer_Gc rRRTIFIr__ATF NIIIMRI=R- RF11ISIA111 NIIMRI=R- 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 L AODTYPE SUBR POLICY NUMBER MMIDDY EFF MAD ExP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N/A EACH OCCURRENCE $ DAMAE TO RENTED PREMISES Ea occurrence) $ MED EXP Arty one person $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOAUTOS HIRED AUTOS NON -OWNED HIRED AUTOS N/A COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ UMBRELLA LIAR EXCESS LIAS OCCUR CLAIMS -MADE N/A EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y 1 N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? �N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A N 870-001010 / 3EN8747 01/01/2022 01/01/2023 x STATUTE FR E.L. EACH ACCIDENT $ 100,000 EL DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requlred) REMARKS: Non -cancelable, without 30 days prior written notice, except for non-payment of premium which will be a 10 day written notice. Uc#"CCC051542, Karen Rodman" GEKTIFIGAT E MULUtK GANGCLLA I IUN Attn: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Debra Guidry CPCU Underwriting Manager D4 69 01988 2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD