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RF-10-1225(L - ilLg Iii BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: City: JOB ADDRESS: City: Folio/Parcel #: s-the B i® '7/ 51- S - etclo /�yya Tenant/Lessee Name: Email- Y hd Miami Shores Iii ellj: ill. 1 4 ,:111.41:11 d a 1;'.1 KI Miami Shores Village Building Department SkQS State: l �Gllr� of er County: Miami Dade LIS Zip: Phone #: 1 3 @gnnED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. 9\ — 122 S Master Permit No. Phone #: 30 S. f4rr r 3 , Lf Zip: NO 1°' Flood Zone: CONTRACTOR Company Name: il, 1/ ACV �' (d 1–)W Phone/ l 0 6 3 6 Address: ('o ©0 - ,01 City: AM tate: t Zip/ a'7 9 Qualifier Name: JAL , V VV -e. ' ('7y Phone# 7 . K 2) � State Certification or Registration #: �'. / 3 a 6 ! ' 1 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER Architect/Engineer: Phone #: Value of Work for this Permit: $ / 1 9V ® Square/Linear Footage of Work: 2 6" Type of Work: OAddress DAlteration 'O f f COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: Permit Fee $ ?Qi) ❑New DRepair/Replace DDemolition O CCF $ 7' CO /CC $ Submittal Fee Scanning Fee $ I F ilIV Radon Fee $ n //�� DBPR $ Bond $ Notary $ Training/Education Fee $9'40 Technology Fee $ G t 69(J Double Fee $ Structural Review $ TOTAL FEE NOW DUE $o Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A■N'IDAVIT: 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 ,x Owner or Agent Contractor The foregoing instrument was acknowledged before me this ,, The foreg g rent was acknowledged before me this Q day of 2010_, by .110 jet / P uhCik J , day of I ��° 20 itjf� [J >s i C-1 0 C ;�"ec/Cr�` who is perso known to me or who has pr used who is personally known to me or who has produced ` 'ar NOTARY PUBLL . Commission # DD 946825 My Commission Expires Deoembat 14, 2013 Sign: Print: My Commission Expires: A •11 1 Sign: O 6 ' '•AA Print \ z \-2.5) �3 (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09Xrev6/4/10) NOTARY PUBLIC: My Commission Expires: as identification and who did take an oath. ********* ** ** * * ***** * *** * ** apt * t *** * * **** * * * * * ** ************************** * * ** * ** ** * * **** * ***** * ** * * * * *** APPROVED BY Plans Examiner Zoning Structural Review Clerk CITY OF MIAMI - BUILDING DEPARTMENT NOTICE OF COMMENCEMENT Please file at 22 N.W. 1sT Street, Miami PERMIT NUMBER: FOLIO NUMBER: 1/ 3 0 ©/ 3 ° 22-x( State of Florida The undersigned hereby gives notice that improvements will made to certain real property, and in accordance with Chapter 713.23, Florida Statutes, the following in provided in this Notice of Commencement. Street address el 106 JvG 2 0 . and Legaldescripti of property County of Miami-Dade Description o mprovement: Owner(s) name /Q IV $ l toi reiffr U and address: ° (o `7/ S � s+ `# �® '7 M;c ; tirc.&th Pt-- 37,4 Interest in property • Name of fee simple titleholder (if other than owner): and address Contractor's name ALL O4,5/ Phone number 4n, t,p6 - GC Amount of Surety bond: $ Surety Name Phone number: Lender's name Phone number: 1 and address /0,0 0 5 ' S (Payment bond required by owner from contractor, if any) and address and address 1111111111 11111111111111111111111111111111111 CFN 201080467680 OR I;k 27351 F's 0200; (1) RECORDED 07/13/2010 15:41:46 HARVEY RUVI.H, CLERK OF COURT 1IAfI -OAOE COUNTY' FLORIDA STATE OF FLORIDA, P -Ritg (/,HEREBYGGF'T 'ttat trio • y 4 ( r(gina! itla9 i Ph,- '. 77c, or? ar WITNESS , HARVEY In ° 1 H, Persons within the state of Florida designated by Owner, upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida StatuA s, Name and address: , t //A and address In addition to himself, Owner designates the followin Section 713.13(1)(b), Florida Statues, Name /� : i d address Phone number: ! - person(s) to receive a copy of a Lienor's Notice as provided in Expiration date of this Notice of Commencement: year from the date of recor {fri , ess a different date is specified) (the expiration date is one [1] SI ATURE OF O ��ryry e� Sworn to and subscribed before me on this 0/ Day of 2 o f t , 200 By �{C� ° r� ycat2J 0 Personallown(or Produced ID Notary Public Print Notary's me: Or Oath taken Oath not taken Commission Exp ation: Rev: 5/2004 ORIT MIMOUN Commission 4 DD 946625 .= My Commission Expires Za n °: December 14, 2013 Prepared by 1T) a ddress: 194-216 Primary Zone: 6100 RESTRICTED COMMERCIAL CLUC: 0011 RETAIL Beds /Baths: 0/2 Floors: 2 Living Units: 0 Adj Sq Footage: 13,575 Lot Size: 12,541 SQ FT Year Built: 1947 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 W73FT OF LOTS 3 & 4 & LOT 5 LESS S19.71 FT OF E49.67FT & LESS N 4.92FT OF E57FT BLK 17 LOT SIZE 12541 SQ FT OR 12363 -2715 0284 5 Year: 2009 2008 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0/$890,850 $0/$878,657 County: $0/$890,850 $0/$878,657 City: $0/$890,850 $0/$878,657 School Board: $0/$890,850 $0/$878,657 Folio No.: 2/2002 Property: 9806 NE 2 AVE Mailing Address: MIAMI SHORES CENTER LLC 210 71 ST #309 MIAMI BEACH FL 33141- Sale Date: 2/2002 Sale Amount: $1244,000 Sale O /R: 20241 -3676 Sales Qualification Description: Other disqualified View Additional Sales Year: 2009 2008 Land Value: $313,525 $388,771 Building Value: $577,325 $489,886 Market Value: $890,850 $878,657 Assessed Value: $890,850 $878,657 Property Information Map ram a e. ' t? Property Information Map My Home Miami -Dade County, Florida Aerial Photography - 2009 0 This map was created on 6/29/2010 7:48:17 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. 115 ft MIAMIDADE Summary Details: Property Information: Assessment Information: Taxable Value Information: Sale Information: Page 1 of 1 http : / /gisims2. miam idade. gov /myhome /printmap. asp ?mapurl =http : / /gi sims2. m iami dade. go... 6/29/2010 Permit No: 104 Job Name 7 _1' , 2010 //ff Building Critique Sheet 4,,,,../ C 40,de ,oe-,44 Norman Bruhn CBO 305 - 795 -2204 M iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. TYPE OF NOTICE (CHECK ONE ONLY): ORIGINAL ,❑ REVISED / 0 CANCELLATION TYPE OF PROJECT (CHECK ONE ONLY):❑ DEMO ON ❑ RENOVATION e : / ROOFING IF DEMOLITION, WAS IT AN ORDERED DEMOLITION? ❑ YES NO IF RENOVATION: File # IS IT AN EMERGENCY, RENOVATION OPERATION? ❑ YES ❑ NO IS IT A PLANNED RENOVATION OPERATION? ❑ YES ❑ NO Facility Name Address City ' !iii " Site orec State Building Size (Square Feet) # of Floors Prior Use: School/College/University Residence Present Use School/College/University "Residence IL . Facility Owner Al/ 0 A ,� � O i' F`� ce-vi+ * MUST OBTAIN PRIOR DERM APPROVAL BEFORE USING A DRY METHOD VI. Procedures for Unexpected RACM: 6 O i I 'i fa A J 9 Nam pI f Ow _ r / Operator / P �l, cA `�! pAc ' bci-f (Signature of Owner / Operator Florida Department of Environmental Protection Division of Air Resource Management NOTICE OF ASBESTOS RENOVATION OR DEMOLITION f c� (Date) Zip County Age in Years Small Business Other Small Business Other er atib.C7�.t ❑ COURTESY Process 3 Phone Address ' s i GG City j� r �� lar C State Zip III. Contractor's Name c4 ! t e 4.4 A r� Address d'F. City 4'1 t a State Florida Licence No. CC(' 7 Xi I S, Is the contractor exempt from licensure under section 469.004(7), F.S.? Scheduled Dates: Asbestos Removal (mm/dd/yy) . Sta re " /.(9- d" tiL Demo/Renov ation (mm/dd/yy) Start: Procedures to be Used (Check All That Apply): Phone (_) I certify that the above information is cttirect and that an individual trained in the provisions of thisiregulation (40CFR Part 61, Subpart M) will be on -site nngg he demolition or renovation and evidence that the required training has been accomplished by this person will be avail I,f inspection during normal business hours. (, ontact Phone #) Dept. of Environmental Resources Mgmt Air Section 33 S.W. 2nd Avenue, Suite 9-223 Miami, Florida 33130-1540 Consultant Inspecting Site Y x96- 7 OYES Finish: VII. Asbestos Waste Transporter: Name ® y ' r � � —4 Phone( Address q J5 4' q 4 /-/ e City `s S State F C-- Zip 3 n J Vlti. Waste Dis Site: Name � l ` ? :.� F . , t ' 1 d 77 Class Address LA," City ‘.971 E d i P° State = Zip / Y Z IX. Amount of RACM or ACM WNW=DA'DE D.E.R.(Vl. square,feet surfacing material A QUALITY MANAGEMENT DIVISION linear feet pipe This is to certify that the required cubic feet of RACM off facility components Notif�c i(s) Regarding asbestos have been square feet cementitious material ti submitted in Compliance with square feet resilient flooring Agp ' - � � 7 ' 3 s q u are feet asphalt roofing Y _" _ ate Sign- ❑ NO I DERM USE ONLY Postmark/Date Received ID# Strip and Remova Glove Bag Bulldozer Wrecking Ball „ Wet Method * Dry Method . Explode Bum Down OTHER r TYPE OF NOTICE (CHECK ONE ONLY): ORIGINAL ,❑ REVISED / 0 CANCELLATION TYPE OF PROJECT (CHECK ONE ONLY):❑ DEMO ON ❑ RENOVATION e : / ROOFING IF DEMOLITION, WAS IT AN ORDERED DEMOLITION? ❑ YES NO IF RENOVATION: File # IS IT AN EMERGENCY, RENOVATION OPERATION? ❑ YES ❑ NO IS IT A PLANNED RENOVATION OPERATION? ❑ YES ❑ NO Facility Name Address City ' !iii " Site orec State Building Size (Square Feet) # of Floors Prior Use: School/College/University Residence Present Use School/College/University "Residence IL . Facility Owner Al/ 0 A ,� � O i' F`� ce-vi+ * MUST OBTAIN PRIOR DERM APPROVAL BEFORE USING A DRY METHOD VI. Procedures for Unexpected RACM: 6 O i I 'i fa A J 9 Nam pI f Ow _ r / Operator / P �l, cA `�! pAc ' bci-f (Signature of Owner / Operator Florida Department of Environmental Protection Division of Air Resource Management NOTICE OF ASBESTOS RENOVATION OR DEMOLITION f c� (Date) Zip County Age in Years Small Business Other Small Business Other er atib.C7�.t ❑ COURTESY Process 3 Phone Address ' s i GG City j� r �� lar C State Zip III. Contractor's Name c4 ! t e 4.4 A r� Address d'F. City 4'1 t a State Florida Licence No. CC(' 7 Xi I S, Is the contractor exempt from licensure under section 469.004(7), F.S.? Scheduled Dates: Asbestos Removal (mm/dd/yy) . Sta re " /.(9- d" tiL Demo/Renov ation (mm/dd/yy) Start: Procedures to be Used (Check All That Apply): Phone (_) I certify that the above information is cttirect and that an individual trained in the provisions of thisiregulation (40CFR Part 61, Subpart M) will be on -site nngg he demolition or renovation and evidence that the required training has been accomplished by this person will be avail I,f inspection during normal business hours. (, ontact Phone #) Dept. of Environmental Resources Mgmt Air Section 33 S.W. 2nd Avenue, Suite 9-223 Miami, Florida 33130-1540 Consultant Inspecting Site Y x96- 7 OYES Finish: VII. Asbestos Waste Transporter: Name ® y ' r � � —4 Phone( Address q J5 4' q 4 /-/ e City `s S State F C-- Zip 3 n J Vlti. Waste Dis Site: Name � l ` ? :.� F . , t ' 1 d 77 Class Address LA," City ‘.971 E d i P° State = Zip / Y Z IX. Amount of RACM or ACM WNW=DA'DE D.E.R.(Vl. square,feet surfacing material A QUALITY MANAGEMENT DIVISION linear feet pipe This is to certify that the required cubic feet of RACM off facility components Notif�c i(s) Regarding asbestos have been square feet cementitious material ti submitted in Compliance with square feet resilient flooring Agp ' - � � 7 ' 3 s q u are feet asphalt roofing Y _" _ ate Sign- ❑ NO I DERM USE ONLY Postmark/Date Received ID# PLAN REVIEW FINAL APPROVAL VII. tto ittIor 0 a X Florida Department of °° Environmental Protection Division; of Air Resource Management NOTICE OF ASBESTOS RENOVATION OR DEMOLITION TYPE OF NOTICE (CHECK ONE ONLY): !1A ORIGINAL c'�, ❑ REVISED , ❑ CANCELLATION Q bOURTE TYPE OF PROJECT (CHECK ONE ONLY): Q DEMOLITION 0 RENOVATION ROOFING _ IF DEMOLITION, WAS IT AN ORDERED DEMOLITION? ❑ YES NO IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? ❑ YES ❑ NO IS IT A PLANNED RENOVATION OPERATION? ❑ YES ❑ NO Facility Name . ° Address CI gf s 4; City ". f ?.1 a (,} `k `E i State ,� } Zip County Site Consultant Inspecting Site Building Size (Square Feet) Prior Use: School/College/University Present Use School/College/University IL Facility Owner // 71 Address 7 City `` III. Contractor's Name cam Address e0, 0 0 City 6'1:7 4 Florida Licence No Asbestos Waste Tr Address City Waste Dis Address City g d IX \Amount of RACM or AC felt A v rt State ua n r ts�et pt cubic feet of RAC Ivf off facility square feet cementitious material square feet r ilient floo ing Nam of Owppr / Operator �PRINT 14'd (Signature of Owner/Operator — R7 / DERM USE ONLY Postmark/Date Received # of Floors Residence Residence !°'t, t� 4 State ' ° Y dip - • ' Is the contractor exempt from licensure under section 469.004(7), F.S.? Scheduled Dates: ''Asbestos Removal (mm/dd/yy) Stares ' ' ° = Finish: `{ a ° - ¢ >Demo/Renovation ( mm/dd%yy) Start: Finish: Procedures to be Used (Check All That Apply): Age in Years Small Business Other Small Business Other e._ * MUST OBTAIN PRIOR DERM APPROVAL BEFOR�E A DRTh ETHOD VI. Procedures for Unexpected RACM:' � Slate \ ' (Date) File # Proeess # Zip Phone Phone, ID# S j q- Zip C kf) 1-_m ` may MIAMI -DAD A'6 ODU LITY MA A (,) t _7J Phone U MENT DIVISION the required sbestos have been in Co pliance with regulation I certify that the above information is correct and that an individual trained in the provisions of this regulation (40CFR Part 61, Subpart M) will be on -site during ,the demolition or renovation and evidence that the required training has been accomplished by this person will be available fekr inspection during normal business hours. Dept of Enviro u,u ntal Resources Mgmt. Air Section 33 S.W. 2nd Avenue, Suite 9 -223 Miami, Florida 33130-1540 Q YES ❑ NO Strip and Removal Glove Bag Bulldozer Wrecking Ball Wet Method {l * Dry Method Explode Bum Down OTHER: VII. tto ittIor 0 a X Florida Department of °° Environmental Protection Division; of Air Resource Management NOTICE OF ASBESTOS RENOVATION OR DEMOLITION TYPE OF NOTICE (CHECK ONE ONLY): !1A ORIGINAL c'�, ❑ REVISED , ❑ CANCELLATION Q bOURTE TYPE OF PROJECT (CHECK ONE ONLY): Q DEMOLITION 0 RENOVATION ROOFING _ IF DEMOLITION, WAS IT AN ORDERED DEMOLITION? ❑ YES NO IF RENOVATION: IS IT AN EMERGENCY RENOVATION OPERATION? ❑ YES ❑ NO IS IT A PLANNED RENOVATION OPERATION? ❑ YES ❑ NO Facility Name . ° Address CI gf s 4; City ". f ?.1 a (,} `k `E i State ,� } Zip County Site Consultant Inspecting Site Building Size (Square Feet) Prior Use: School/College/University Present Use School/College/University IL Facility Owner // 71 Address 7 City `` III. Contractor's Name cam Address e0, 0 0 City 6'1:7 4 Florida Licence No Asbestos Waste Tr Address City Waste Dis Address City g d IX \Amount of RACM or AC felt A v rt State ua n r ts�et pt cubic feet of RAC Ivf off facility square feet cementitious material square feet r ilient floo ing Nam of Owppr / Operator �PRINT 14'd (Signature of Owner/Operator — R7 / DERM USE ONLY Postmark/Date Received # of Floors Residence Residence !°'t, t� 4 State ' ° Y dip - • ' Is the contractor exempt from licensure under section 469.004(7), F.S.? Scheduled Dates: ''Asbestos Removal (mm/dd/yy) Stares ' ' ° = Finish: `{ a ° - ¢ >Demo/Renovation ( mm/dd%yy) Start: Finish: Procedures to be Used (Check All That Apply): Age in Years Small Business Other Small Business Other e._ * MUST OBTAIN PRIOR DERM APPROVAL BEFOR�E A DRTh ETHOD VI. Procedures for Unexpected RACM:' � Slate \ ' (Date) File # Proeess # Zip Phone Phone, ID# S j q- Zip C kf) 1-_m ` may MIAMI -DAD A'6 ODU LITY MA A (,) t _7J Phone U MENT DIVISION the required sbestos have been in Co pliance with regulation I certify that the above information is correct and that an individual trained in the provisions of this regulation (40CFR Part 61, Subpart M) will be on -site during ,the demolition or renovation and evidence that the required training has been accomplished by this person will be available fekr inspection during normal business hours. Dept of Enviro u,u ntal Resources Mgmt. Air Section 33 S.W. 2nd Avenue, Suite 9 -223 Miami, Florida 33130-1540 Q YES ❑ NO ODE PLAN REVIEW FINAL APPROVAL DEPARTMENT OF IRONMENTAL RESOURCE E - DATE 1. NOTICE OF A$BE TYPE OF NOTICE (CHECK ONE ONLY): +GINAL 14, I TYPE OF PROJECT (CHECK ONE ONLY):0 DEMOLMO IF DEMOUTION, WAS IT AN ORDERED DEMOLITION? IF RENOVATION: * MUST OBTAIN PRIOR DERM APPROVAL--8,EFORE VI. Procedures for Unexpected RACM: VII. Asbestos Waste Transporte5„N Address - - , ',----- . City VIII. Waste Disposal Site Na Address i '''"-' 1111 Facility Name Address City Site Building Size IX Amount of- CM Prior Use: SchooVCollege/University Present Use SchooVCol lege/University Facility Owner - Address City Contractor's Name Address square feet cementitious material square feet resilient flooring - square feet asphalt roofing IS IT AN EMERGENCY RENOVATIOI4 OPEF IS IT A PLANNED RENOVATION OP RATIO Name of Owper / Operator / PRINT (Signature of Owner/Operator (Square Florida Department of E v Fed) State -Procedures to be Used (Check All That App y): sure'ksiiiacing materi# ) linear feet pipe cubic feet of RACM off facility component?' I DERM USE ONLY Postmark/Date Received R State rr n TION? 0 YES 0 NO ? DYE 0 NO # of Floors Residence Small Business Residence Small Business (Date) Zip 'vision of Air Resourte Management r_) TOS RENOVATION R DEMOLITI N7 r ; --, 0 REVISE0 0 CANCELLA ON OC-. 4 / ii 0 _,_ I ■ 3 OVATION _.1t1110019NG_.- 0 YES rf - 0 NO Consultant Inspecting Site Age in Years I certify that the above information is correct and tut an individual trained in the Subpart M) will be on-site during the demdlition or renovation and evidence that by this person will be available for inspection during normal business hours. on File* County Other Other ID# Florida Licence No. Scheduled Dates: Asbestos Removal (mm/dd/yy) Start Finish: Demo/Renovation (mm/dd/yy) Start MIAMI-DADE COUNTY ' DigA. of Environmental Resources Mgmt. Air Section 33 S.W. 2nd Avenue, Suite 9-223 Miartii, Florida 33130-1540 (0. r;-• \ 3 Phone(-f Phone (__) State Zip Is the contractor exempt from licensure under section 469.004(7), F.S.? Finish: WilArvii-DADE AIR OUALIT'?-1VIANAGENIpNT DIVISION This to certify that the required Notification(s) Regarding asbestos have been submitted in Compliance with Appftca regulaticriP- SigP,ed " Date rovisions of this regulation (40CFR Part 61, e required training has been accomplished (Contact Phone #) YES DNO Strip and Removal GI nye Bag Bulldozer -_ Wretking Ball Wet Method * 6 ry Explode Bum Down OTHER:, I 1. NOTICE OF A$BE TYPE OF NOTICE (CHECK ONE ONLY): +GINAL 14, I TYPE OF PROJECT (CHECK ONE ONLY):0 DEMOLMO IF DEMOUTION, WAS IT AN ORDERED DEMOLITION? IF RENOVATION: * MUST OBTAIN PRIOR DERM APPROVAL--8,EFORE VI. Procedures for Unexpected RACM: VII. Asbestos Waste Transporte5„N Address - - , ',----- . City VIII. Waste Disposal Site Na Address i '''"-' 1111 Facility Name Address City Site Building Size IX Amount of- CM Prior Use: SchooVCollege/University Present Use SchooVCol lege/University Facility Owner - Address City Contractor's Name Address square feet cementitious material square feet resilient flooring - square feet asphalt roofing IS IT AN EMERGENCY RENOVATIOI4 OPEF IS IT A PLANNED RENOVATION OP RATIO Name of Owper / Operator / PRINT (Signature of Owner/Operator (Square Florida Department of E v Fed) State -Procedures to be Used (Check All That App y): sure'ksiiiacing materi# ) linear feet pipe cubic feet of RACM off facility component?' I DERM USE ONLY Postmark/Date Received R State rr n TION? 0 YES 0 NO ? DYE 0 NO # of Floors Residence Small Business Residence Small Business (Date) Zip 'vision of Air Resourte Management r_) TOS RENOVATION R DEMOLITI N7 r ; --, 0 REVISE0 0 CANCELLA ON OC-. 4 / ii 0 _,_ I ■ 3 OVATION _.1t1110019NG_.- 0 YES rf - 0 NO Consultant Inspecting Site Age in Years I certify that the above information is correct and tut an individual trained in the Subpart M) will be on-site during the demdlition or renovation and evidence that by this person will be available for inspection during normal business hours. on File* County Other Other ID# Florida Licence No. Scheduled Dates: Asbestos Removal (mm/dd/yy) Start Finish: Demo/Renovation (mm/dd/yy) Start MIAMI-DADE COUNTY ' DigA. of Environmental Resources Mgmt. Air Section 33 S.W. 2nd Avenue, Suite 9-223 Miartii, Florida 33130-1540 (0. r;-• \ 3 Phone(-f Phone (__) State Zip Is the contractor exempt from licensure under section 469.004(7), F.S.? Finish: WilArvii-DADE AIR OUALIT'?-1VIANAGENIpNT DIVISION This to certify that the required Notification(s) Regarding asbestos have been submitted in Compliance with Appftca regulaticriP- SigP,ed " Date rovisions of this regulation (40CFR Part 61, e required training has been accomplished (Contact Phone #) YES DNO NM III IG3711 NM Ell wir minalmm RING MR NNW ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ 11 ' i ■, ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■�' ■' ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ In ■ ■ ■ ■ ■ ■ ■ ■ I ill ■■ ■■ ■ ■ ■■ ■ Mal l ■ ■ ■ ■■ :■■ ■! ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ l ■ rr 1 ■ ■ ■ ■■ : : ; : ■ ■ ■ i ■■ ■ t ■ Il iI ■ ill ■ ■■ ■ ■ ■ ■ : ■ ■ ■ ■ ■ ■ ■ ■ ■ III ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ : ■ . : ■ . ■ ■ ■ ■ ■ ■1 I ■ ■■ ■ ■ ■■ ■ . ice ■M. .- ■ ■ ■ v ■ ■ � ■ ■ ■ ■ ■ III . ■ 1111115 'BEM lilt ■■ m ■ ■ ■ ■ ■ ■ ■■ . ■M ■ ■■ ■ E ■It u ■lei 11M .. NM WAIN - El W ESEffilia , ROOF 4SEMDUES AND ROOFTOP STRUCTURES 15.3i O Low Slope 0 A h � A .e.34 Florida Building Code Edition High - Velocity Hurricane Zone Unitonn Permit Master Permit No. Pros No. Contractor's Name A. LL- • 6 /Lf 5 a-‘c C '7 / / Job Address Z/® ? / .S # 3 0 9 ROOF CATEGORY D PriiiitiPtive BUR -RAS 150 ROOF TYPE 0 New Roof W Reroofing 0 Recovering ROOF SYSTEM DIF.ORMATION Low Slope Roof Area (SF) Z 2 if Steep Skied Roof Area (SF) - APPROVED NING DEPT !•DEPT SUBJECT i 0 C(.MPLIANCE WITH ALL FEDERAL STATE AND CCUN iY HULES AND REGULATIONS D Mechanically Fastened Tile 0 Mortar /Adhesive Set Tile O Metal Panel/shingles • D Wood ShIngles/Shakes 0 Repair 0 Maintenance BY Real (SF) Section. B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly Identify dimension of elevated pressure zones and location of parapets. • • • • • .• • • • • •• • • • • • • • • •• • • ▪ •• • • DATE ••• • • • •••, • • FLORIDA BUILDING CODE — BUILDING Roof System • Required Sections of the Penult Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 1. Fire Directory Listing Fags 4,5,6,7 Asphaltic Shingles 2. From Product Approval: Front Page - Speclfic System Description Specific System Limitations Geenerai Umltations Applicable Detail Drawings • • . 3 • Design Calculations per Chapter 16, or it Applicable, RAS 127 or RAS A,B,D 1,2,3,4,5,6,7 • _.4.;. WA Ceiriponent of Product Approval 1,2,4,5,6,7 Other 5 . Municipal Permit Application' • • , $ .: -' _ 4- O�+ ner5 NNo lcation for Roofing Con onsiderations (Reroofing Only) • - • • • • 7. • •Any Reiquinki Roof Testing/Calculation Documentation Roof System • Required Sections of the Penult Application Form Attachments Required See List Below Low Slope Application A,B,C 1,2,3,4,5,6,7 Prescriptive BUR -RAS 150 A,B,C 4,5,6,7 Asphaltic Shingles , A,B,D 1,2,4,5,6,7 Concrete or Clay Tile A,B,D,E .. 1,2,3,4,5,6,7 Metal Roofs A,B,D 1,2,3,4,5,6,7 Wood Shingles and Shakes A,B,D 1,2,4,5,6,7 Other As Applcabie 1,2,3.4,5,6,7 i1 • • • • •• • • •• • • •�• f •. • •••• . • •` • • - • • • • • ••• • • • • .• • .. -. . • • • • • FLORIOA BIAL6ING C L. B UI L •IN © . . . INSTRUCTION PAGE COMPLETE THE NECESSARY SECTIONS OF THE UNIFORM ROOFING PERMIT APPLICATION FORM AND ATTACH THE REQUIRED DOCUMENTS.AS NOTED BELOW: ATTACHMENTS REQUIRED: ROOF ASSEMBLIES AND ROOFTOP STRUCTURES f.S SECTION 1525 • HIGH- VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code Edition 2004 tilgh velocity Hurricans Zone Uniform Penult Application Form. 18.31 MIU COUNTY COUNTY -- r m Owner's /Agent's Signature- Contractor's Signature: Property Address- 123_01-197 12/09 OWNER'S NOTIFICATION FORM SECTION 1524 HIGH VELOCITY HURRICANE ZONE - REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS 1524.1 Scope. As it pertains to this section, it is the responsibility of the roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of this section. The provisions of Chapter 15 of the Florida Building Code, Building 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 and the contractor. The owner's initials in the designed space indicates that the item has been explained. 1. Aesthetics - workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) are for the •urpose of providing that the roofing system meets the wind resistance and water intrusion 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 Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Code. (The roof deck is usually concealed prior to removing the existing roof system). 1 3 Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e. to nhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and/or owner should notify the occupants and adjacent units of roofing work to be performed. q 4. Exposed ceilings: 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 penetrations of the underside of the decking may not be acceptable. The owner provides the option of maintaining its appearance. 5. Ponding water: The current roof system and/or deck of the building may not drain well and may cause wa er to pond (accumulate) in low -lying areas of the roof. Ponding can be an indication of structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing system. Ponding conditions may not be evident until the original roofing system is removed. Ponding conditions should be corrected. FA 6. Overflow scuppers (wall outlets): It is required that rainwater flow off so that the roof is not overloaded from a build up of water. Perimeter /edge walls or other roof extensions 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 Chapter 15 and 16 herein and the Florida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structural assembly (the building itself): The existing amount of attic ventilation shall not be reduced. Exception: Attic spaces, designed by a Florida - licensed engineer or registered architect to eliminate the attic venting, shall not be required. Date- 0 • '63-• • • •• • • • • Pernik ui r ber• • • • • • ••• • • • • •• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• • •• • • • •• • • • • • • • • • • • . Section C ' Miami-Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form "Delivering Excellence Every Day" Section C page (Low Slope Roof Systems) Fill In the specific roof assembly components. If a component is not required, insert not applicable (n/a) in the text box. Top Ply: ROOF SYSTEM MANUFACTURER: COUNT Y Product Approval (NOA): Fire Barrier: NA Vapor Barrier: Anchor Sheet: Deck Type: Support Spacing: Altemate Deck Type: Existing Roof. • • • 4 psf System Type: Wind Uplift Pressures, From RAS 128 or Sealed Calculations: (P1) Field: (P2) Perimeters: b.i psf (P3) Comers: psf Maximum Design Pressure From NOA: Roof Slope: MON 12 Roof Mean Height: Gaf Material Corp -140 psf Parapet Wails: 0 No Yes Parapet wall Height: —Structural Concrete— " o/c ft. SAME NA Anchor Sheet Fastener / Bonding Material: NA Insulation Base Layer Size & Thickness: IMIGH DENSITY FIBERBOARD 4X4 Insulation Base Layer Fastener / Bonding Material: LHOT MOP ASPHALT TYPE IV Insulation Top Layer Size & Thickness: INA Insulation Top Layer Fastener / Bonding Material: NA Base Sheet(s) & No. of Ply(s): r1) PLY OF GAF PLY IV Base Sheet Fastener / Bonding Material: HOT MOP ASPHALT TYPE IV Ply Sheet(s) & No. of Ply(s): 1(1) PLY OF GAF PLY IV Ply Sheet Fastener / Bonding Material: HOT MOP ASPHALT TYPE IV ft. 1(1) PLY OF GAF MINERAL CAP SHEET Top Ply Fastening / Bonding Material: Surfacing: 1WHITE GRANULES SINGLE PLY MEMBRANE: Single Ply Manufacturer / Type: Single Ply Sheet Width: No. of Single Ply 1/2 sheets: Single Ply Membrane Fastening / Bonding Material: INA El FASTENER SPACING FOR BASESHEET ATTACHMENT 13 SINGLE PLY MEMBRANE ATTACHMENT 1. Field: NA Edge Size: 2. Perimeter: 3. Comer: I " o/c @ Laps & rows jjJ "o/c NUMBER OF FASTENERS PER INSULATION BOARD: 1. Field: 2. Perimeter: Insulation Fastener Type : WOOD NAILER TYPE AND SIZE: 4 PT EXISTING WOOD NAILER Wood Nailer Fastener Type and Spacing: TAPCONS 3/8" EVERY 12" OC EDGE & COPING METAL SIZES: Edge Metal Material: Hook Strip Size: Edge Metal Attachment: 11-1/4RS NAIL Coping Material: Coping Size: " o/c © Laps & o/c © Laps & Hook Strip Size: Parapet Coping Metal Attachment: • • • • • " 1/2 Sheet Width: rows rows • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • MN "o/c 3. Comer: " o/c —Galvanized Metal- -3" face 26 ga.— —SELECT EDGE METAL HOOK STRIP SIZE- -SELECT COPING METAL Z OR —SELECT C. IN MET HoOK INA • • • • • • • • • • • • • • 111 "Sa;* • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • MM I� �DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee 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 BCCO (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. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up -Roof System for Concrete Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. •• •.••• • •• •• INSPECTION: A copy of this entire NOA shall be provided to the user by the t ganuf a ,o ,its :.: . distributors and shall be available for inspection at the job site at the request of the BtiiUdin1.QfflGihly : • This NOA renews NOA No. 03- 0430.14 and consists of pages 1 through 27. The submitted documentation was reviewed by Jorge L. Acebo • ••• • • •• • • • • • • • • • •• • • • • • • • • • • • • •NOA Not ;842/1 . : Expiration Date: . 11/06/T3 • • Approval Date: 05/22/08 • • • • P agel :oaf E7 • • • • ••• • • • • • • • • • • • • • • •• • • • •• •• ••• • • ••• • • ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Type: Maximum Design Pressure TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product GAF Asphalt Concrete Primer (Matrix" 307 Primer) GAF Mineral Shield Granules GAF WeatherCoat® Emulsion (MatrixTM Fibered 305 Emulsion) GAF Premium Fibered Aluminum Roof Coating (Matrix " System Pro Aluminum Roof Coating Fibered 301) GAF Jetblack All Weather Plastic Cement (Matrix" Standard Wet/Dry Roof Cement 204) GAF Aluminum Emulsion GAF Aluminum Roof Paint (MatrixTM System Pro Aluminum Roof Coating Fibered 302) GAF Built -Up Roofing Asphalt GAFGLAS® #75 GAFGLAS #80 Ultima' Base Sheet Dimensions 5, 55 gallons 601b. & 100 lb bags 5 gallons 1, 5 gallons 1, 5 gallons 5 gallons 5 gallons Roofing BUR Concrete -457.5 psf 100 Ib. cartons, bulk 39.37" (1 meter) Wide 39.37" (1 meter) Wide • • •• • . • • • • • • • • • • • ••• • .•• . • • • • • •• • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • .• • • • . • • • •. • • • •. • • Test Specification ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 2824 .•• • • • • • • • • • • • • • • • •.• • • • • • •••.• • • • • • .• ••• • • • • • • • • • .... •• Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral Shields Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibered aluminum coating. ASTM D 3019 Refined asphalt blended with a mineral ASTM D 3409 stabilizer and fibers. Permits adhesion to wet and dry surfaces. Mineral colloidal bituminous emulsion with reflective aluminum flakes. ASTM D2824, Non - fibered. aluminum pigmented, asphalt Type I roof coating. ASTM D312, Interply mopping and surfacing asphalt Types I, II, III and W U ASTM D 4601 ASTM D4601 Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet. NOA No.: 08- 0221.04 Expiration Date: 11/06/13 Approval Date: 05/22/08 Page 2 of 27 Product GAFGLAS FIexP1yTM 6 GAFGLAS Ply 4® GAFGLAS® Mineral Surfaced Cap Sheet GAFGLAS STRATAVENT Eliminator Perforated GAFGLAS Flashing GAFGLAS STRATAVENT® Eliminator Perforated Nailable RUBEROID MOP Smooth RUBEROID ULTRACLAD® SBS RUBEROID MOD Asphalt, Asphalt L & Asphalt P RUBEROID® Modified Base Sheet RUBEROID® Mop Granule RUBEROID® Torch Smooth RUBEROID® Torch Plus (Granule) RUBEROID® Torch Granule RUBEROID® Torch FR RUBEROID® Mop Plus (Granule) Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide various 39.37" (1 meter) Wide 3937" (1 meter) Wide 1 sq. roll 101 lb. 60 Ib. kegs 39.37" (1 meter) Wide 39.37" (l meter) Wide 39.37" (1 meter) Wide 3937" (1 meter) Wide 39.37" (1 meter) Wide 39.37' (1 meter) Wide 39.37" (l meter) Wide • ... • • • ..• •• .• • • • .. .. • • • • • • • • • • • • • • • •• • • • • • • • • •• • • • • • • • •. • •. • • . • • • • • • • . •• • • • • • : lei • • • : : 1(�rodact Spetiflt!atlon • • • ' •' • . • Atm rintion ASTMD2178 • • ASTM D ES •• • • ASTM D 3909 ASTM D3672 ASTM D 4897 ASTM D3672 ASTM D 4897 ASTM D5147 ASTM D6298 ASTM D5147 ASTM D4601 Type II, Type G2 BUR ASTM D 6222 ASTM D 5147 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6164 ASTM D 5147 Type VI asphalt impregnated glass felt with PPIVAPPlin' :TIp4 1Y lOphalt impregnated glass felt with asphalt co'atthg" Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -woven polyester mat coated with polymer modified asphalt. Does not have a factory applied surfacing. Woven fiberglass mat coated with polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. SEBS modified asphalt Premium glass fiber reinforced SBS - modified base sheet. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen membrane. Heavy duty, polyester reinforced, asphalt modified bitumen membrane. Asphalt impregnated, coated felt, surfaced with mineral granules. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. NOA No.: 08- 0221.04 Expiration Date: 11/06/13 Approval Date: 05/22/08 Page 3 of 27 Product RUBEROID® Mop FR RUBEROID® 20 RUBEROID® 30 RUBEROID® 30 FR RUBEROID® Mop 170 FR Vent Stacks (metal and plastic) APPROVED INSULATIONS: GAFTEMP Isotherm RA, RN & Composite GAFTEMP® Composite A & N (BMCA)GAFTEMP® Fiberboard EnergyGuard Perlite EnergyGuard Recover Board Energy Guard High Density Fiberboard PYROX White Line ACFoam I, I1 & Composite ISO 95+ Wood Fiber Product Name High Density Wood Fiberboard Dimensions 39.37" (1 meter) Wide 39.37" (1 meter) Wide 39.37" (I meter) Wide 39.37" (1 meter) Wide 39.37" (1 meter) Wide • • •.. • • • •.. • .. • • • •. .. • • • • • . • • • • • • • • .•• • • • • • • • • • • • • • ... • • • • •.. • ••. • • . • • • • • • • • •• • • • • • • • • • • • • • 7i`est • . • • :Product Specification ASTM.D 4164 AST1014D 1117 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6164 ASTM D 5147 PA 100(A) ASTM D 1929 ASTM D 635 TABLE 2 Product Description Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Perlite recover board High density wood fiberboard insulation. Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation Wood fiber insulation board Wood fiber insulation board ... • • • Description Vona/ova polAster mat coated with fire - :relar$apt,polyker modified asphalt surfaced 'L'�: • • • ra . ol granules. m3m ..... SBS modified asphalt base sheet reinforce with a glass fiber mat Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non woven fiberglass mat coated with fire retardant, polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with fire retardant polymer modified asphalt surfaced with mineral granules. One way valve vent used to relieve built -up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. Manufacturer (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. Apache Products Co. Apache Products Co. Atlas Energy Products Firestone Building Products, Inc. generic generic NOA No.: 08- 0221.04 Expiration Date: 11/06/13 Approval Date: 05/22/08 Page 4 of 27 APPROVED INSULATIONS: Perlite Insulation Product Name Perlite/Urethane Composite Type X Gypsum Dens Deck ENRGY 2 & ENRGY 2 PLUS, UltraGard Gold FiberGlass Roof Insulation ISORoc Structodek Paroc Base Board, Paroc Cap Board Multi -Max, FA APPROVED FASTENERS: Fastener Number 1. APPROVED Product Name GAFTITE® (Drill -Tec ®) #14 Heavy Duty Roofmg Fastener 2. GAFTITE® (Drill -Tec ASAP 7. Dekfast Hex Plate Product Illescript gn • • • • ••••••• • •.• . .. . . • Perlite insula n � jo • • • • • • • ••• •• Perlite / urethane composite board insulation Fire resistant rated gypsum Water resistant gypsum board Polyisocyanurate foam insulation Glass fiber/Mineral fiber insulation Polyisocyanurate foam / rockwool composite insulation Wood fiber insulation board Rockwool insulation. Polyisocyanurate roof insulation 3. GAFTITE® (Drill -Tec ®) Base Sheet Fastener and Plate 4. Galvalume Plates (Drill - Tec® Metal) 5. Polypropylene Plates (Drill -Tec® Plastic) 6. Dekfast Fasteners #14 & #15 • • • • • • • • • • • • • • • • • • • • •.. • . •• • .•. • • • • •• • •• • • • • • • • • • • . . • • • • • • • • • • • ••• • • • ••• TABLE 2 TABLE 3 Product Description Insulation fastener for steel, wood & concrete decks. Pre - assembled GAFTITE Fasteners and metal and plastic plates. Base sheet fastening assembly. Round galvalume stress plates. Round polypropylene stress plates. Insulation fastener for wood, steel and concrete decks Galvalume hex stress plate. • • • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • 3" and 3 'A" 3" and 3 ' /a" • • • • • •. •. • • • Manufacturer (With Current NOA) generic generic generic G -P Gypsum Corp. Johns Manville Johns Manville Johns Manville Masonite. Partek, Inc. RMax, Inc. Manufacturer Dimensions (With Current NOA) GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. Construction Fasteners Inc. 2 7/8" x Construction Fasteners 3 1/4" Inc. NOA No.: 08- 0221.04 Expiration Date: 11/06/13 Approval Date: 05/22/08 Page 5 of 27 APPROVED FASTENERS: Fastener Number Product Name 14. Fluted Nail (Con -Tite) Insulation fastener 20. Rawl Plate 21. HD Insul -Fixx Fastener 22. Insul -Fixx S Plate 23. Insul-Fixx P Plate 24. Tru -Fast Fasteners 25. Tru -Fast MP -3 • • ••• •• •• • • • • • • • • • • • • • ••• • ••• • • • • • • • • • • • • ••• • • • . ' TALE 3 "• Insulation fastener for concrete decks • • • • • ••• • • • • • • ••• •• •• • • • • • • • • • • • • • ••• ••• • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • P rOP4 • •• ••• ■• D,criDp ®n : :: Mb/tenttons • • • • • •• • • 8. Dekfast Lock Plate Polypropyiene:lackutg : : 3 ".» 3.114" plate. 9. #14 Roofgrip Fasteners Insulation fastener for wood and steel. 10. Hextra Plus Pre - assembled Insulation fastener and 3" metal plate 11. Metal Plate Galvalume stress plate. 12. Gearlok Plastic Plate Polypropylene round plate 13. Olympic Fastener #14 Insulation fastener 15. Olympic Fastener ASAP Pre- assembled Insulation fastener and plate 16. Olympic Polypropylene Polypropylene plastic plate 17. Olympic G -2 3" round galvalume AZ55 steel plate 18. Olympic Standard 3" round galvalume AZ50 steel plate 19. Rawl Drive 3" round 3" square 3.2" 3.25 " round 3.5" round 3" round 3" round galvalume AZ55 3" round steel plate Insulation fastener for concrete decks 3" round galvalume AZ50 3" round steel plate 3" round polyethylene 3" round stress plate Insulation fastener for concrete decks Galvalume AZ50 steel plate 3.23" round Manufacturer (With Current NOA) Construction Fasteners Inc. ITW Buildex Corp. ITW Buildex Corp. ITW Buildex Corp. ITW Buildex Corp. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Olympic Manufacturing Group, Inc. Powers Fasteners, Inc. Powers Fasteners, Inc. SFS /Stadler SFS /Stadler SFS /Stadler Tru -Fast Tru -Fast NOA No.: 08- 0221.04 Expiration Date: 11/06/13 Approval Date: 05/22/08 Page 6 of 27 APPROVED FASTENERS: Fastener Product Number Name 26. Tru -Fast Plastic Plate EVIDENCE SUBMITTED: Test Aeencv Factory Mutual Research Corp. Factory Mutual Research Corp. Trinity I ERD • •• •• • • • • • • • • ••• • ••• •" • • •• • • • • • • • • • • • • • • • • • • • ••• TABLE 3 • Manufacturer Desriptipn, :.'tmensiions (With Current NOA) •••••••• • Polyethyf €ne }SlaaticVatb. •3104" ftftnd Tru - Fast Test Identifier FMRC 1996 J.I.2B8A4.AM J.I.3B9Q1.AM J.I. ODOA8.AM J.I. A8.AM J.I. 0Y9Q5.AM 3017250 G6850.08.07 -1 ••• • • • ••• • • • •• •• • • • • • • • • • ••• • • • • • • • • • ••• • • • • ••• • •• • • • • • • • • • • • • • • ••• • Product . •. .•. .. Description Date Current Insulation 01.01.96 Attachment Requirements Wind Uplift 07.02.97 FMRC 44704 01.08.98 07.09.99 FMRC 4470 - TAS 114 07.29.94 FMRC 4470 - TAS 114 04.01.98 . 4470 05.05.04 ASTM D 3909 08.13.07 NOA No.: 08-0221.04 Expiration Date: 11/06/13 Approval Date: 05/22/08 Page 7 of 27 APPROVED ASSEMBLIES: Deck Type 31: Concrete Decks, Insulated Deck Description: 2500 psi structural concrete or concrete plank System Type A(1): Optional Insulation Layer adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener (Table 3) Density/ft ACFoam Composite, GAFTEMP® Composite, GAFTEMP Composite A, GAFTEMP Composite N, ENRGY 2 Composite Minimum 1.75" thick. N/A N/A Note:. Concrete deck shall be primed with ASTM D 41 asphalt primer and allowed to dry prior to application of base sheet. All insulation shall be adhered to the deck in full mopping of approved asphalt within the EVT range and at a rate of 20-40 lbs/100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as base layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels used as a top layer shall be placed with the polyisocyanurate side facing down. Base Sheet: Install one ply of GAFGLAS® #75, GAFGLAS #80 Ultima TM GAFGLAS® PLY 4®, GAFGLAS PLY 6®, RUBEROID Modified Base Sheet or RUBEROID® 20 directly to the insulated substrate. Adhere with any approved mopping asphalt applied .within the EVT range and at a rate of 20-40 lbs./sq. Ply Sheet: Two or more plies of GAFGLAS® Ply 4® or GAFGLAS FlexPly 6 ply sheets adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs.sq. Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbssq. Surfacing. • . (Required if no cap sheet is used) Install one of the following: 1. Gravel or slag applied at 400 lb./sq. and 300 lb./sq. respectively in a flood coat of approved asphalt at 60 lb/sq. 2. GAF Premium Fibered Aluminum Roof Coating, at 1.5 gaUsq. or GAF WeatherCoat Emulsion at 3 gal./sq. Maximum Design Pressure: -140 psf (See General Limitation #9.) • •• .•• • • • • • •• • • • • • • • .• •.• • • • •. • ..• • • • • .. • ••• ••• • l p on 1?Stt:'1.1f06 /1$. • •' Approval Date: 05/22/08 Page 8 of 27 ••• • • • • ••. • • • • • • • • • • • • • • • • • .•. • • • • • • • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Deck Type 3I: Concrete Decks, Insulated Deck Description: 2500 psi structural concrete or concrete plank System Type A(8): Insulation layers adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer Insulation Fasteners Fastener (Table 3) Density /ft High Density Wood Fiberboard Minimum'/" thick N/A N/A Note: Apply layers of insulation in a full mopping of any approved mopping asphalt within the EVT range and at a rate of 20 -401bs /100 ft Please refer to Roofing Application Standard RAS 117 for insulation attachment. Insulation listed as Base Layer only shall be used only as base layers with a second layer of approved top layer insulation installed as the final membrane substrate. Composite insulation panels may be used as a top layer placed with the polyisocyanurate side facing down. Base Sheet: Install one ply of GAFGLAS® #75, GAFGLAS #80 UltimaTm GAFGLAS® PLY 4 ®, GAFGLAS® FlexPly PLY 64 '1, RUBEROID Modified Base Sheet or RUBEROID® 20 directly to the insulated substrate. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20-40 Ibs.sq. Ply Sheet: One or more plies of GAFGLAS® Ply 4® or GAFGLAS FlexPly 6 ply sheets adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 Ibs.sq. Cap Sheet: (Optional) One ply of GAFGLAS 0 Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs. /sq. Surfacing: (Required if no cap sheet is used) Install one of the following: 1. Gravel or slag applied at 400 lb./sq. and 300 lb./sq. respectively in a flood coat of approved asphalt at 60 lb./sq. 2. GAF Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. or GAF WeatherCoat Emulsion at 3 gal. /sq. Maximum Design Pressure: -140 psf (See General Limitation #9.) •• ••• • • • • • •• • • • • • • • • • • • • • • • • • •• ••• •• • • • •• • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • . • VOA Nlti' 08,p221.0i1 • • • • Expiration Date: 11/06/13 Approval Date: 05/22/08 ••• • Pig�1S 2: • • • • • • •.• • • • • • • • • • • • • • •• • • • • •• •• ••• • • ••• • • CONCRETE DECK SYSTEM LIMITATIONS: 1. If mechanical attachment to the structural deck through the lightweight insulating concrete is proposed, a field withdrawal resistance testing shall be performed to determine equivalent or enhanced fastener patterns and density. All testing and fastening design shall be in compliance with Testing Application Standard TAS 105 and Roofing Application Standard RAS 117, calculations shall be signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofmg 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 lbsJsq., 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 he limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105. If the fastener value, as field - tested, are below 275 Ibf insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofmg Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform to Roofmg 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 thesrlin*itatiox is seeeifncally. 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 &I1eFjgr=de•$Ailtljifg Vojle jwtl Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE • ••. • • • • •• • • •••• • ••• •. • ••• : : :NOtI NM: i8. 221 X 04 : : • Exlfiratiod'Date: /06490 • Approval Date: 05/22/08 :i: • rage 7 Qf 27 • • • • • ••• • • • • • . • • • •• •• • • • • • • 01131/2009 26:32 FAX 3058877183 Saatian Cad 1r11AM 0 1 divering Excellence Every Doe Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping/Flashing, Continuous Cleat, Cant Strip, Base Flashing, Countertlashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, to 'al Thickness, Fastener Type, Fastener Spacing _119 and Chapter 16. r: Submit Manufacturers Deta'Is that Comply with RAS p i:/41;9..r bace'r Miami-Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form �HeigNt � :Its emiitOWN ht . •• ••• • • • • • •• • • • • • • • • • • ••• •• • • • •• • ••• • • • • • • • • • • • •. • • • • •• • • ••• • •• • • • • •• • • • • • • . • •.• •• . . • .. • ••• • lj003/004 UL Online Certifications Directory Home Quick Guide Contact Us UL.com TGFU.R1306 Roofing Systems See General Information for Roofing Systems. GAF MATERIALS CORP 1361 ALPS RD WAYNE, NJ 07470 USA Roofing Systems Class A 2. Deck: C -15/1 Incline: 2 Ins (Optional): — One or more layers perlite or wood fiber or glass fiber or yisocyanurate composite or perlite/urethane composite or phenolic, any thickness. 1 or "GAFGLAS Ply 4" or'Tri -Ply Ply 4" or polyisocyanurate or urethane or perlite/po composite or wood fiber/polyisocyan Ply Sheet: — Three or more plies Type "GAFGLAS Ply 6 ". Cap Sheet: — One ply Type G3 "GAFG Mineral Surfaced Cap Sheet'. 3. Deck NC Incline* 2 Insulation (Optional): - One or more polyisocyanurate, urethane, perlite/pol composite, wood fiber/polyisocyanurate Ply Sheet: — Two or more plies Type G " GAFGLAS Ply 6 ". Cap Sheet: — One ply Type 03 "GAFG Mineral Surfaced Cap ; Sheet". 4. Deck: C-15/32 Incline: 1 Slip Sheet (Optional): Red rosin Base Sheet: - One ply Type G2 "GAF Sheet" (may be nailed). Ply Sheet: One or more plies Type 01 GAFGLAS Ply 6 ". Cap Sheet: — One ply Type G3 "GAFG Mineral Surfaced Cap Sheet ". ers perlite, wood fiber, glass fiber, cyanurate composite, perlite/urethane posite, phenolic, 2 -in. maximum. " GAFGLAS Ply 4" or "Trig -Ply Ply 4 ", R1306 Mineral Surfaced Cap Sheet" or "Tri-Ply Mineral Surfaced Cap Sheet" or "Tri -Ply: nailed to deck. AS #75 Base Sheet".or "Tti :d'ly 7S 1 $e • . • ••••••• • •• •••. • • • • •• " GAFGLAS Ply 4" or "Tri Ply Ply 4" or • ..• • • • • Mineral Surfs 1. Cap SSG" �� "Tri -Ply: • • • • • • • • . . • • .. • . .• • •• ••• • • • • • o •• ROOF COVERING MATERIALS (TEVT) Zofing Systems (TGFU)- Continued "A -38 Series ", 0.75 gal /sq. Coat: "A-38 Series", 0.75 gal /sq. "A.38 Series ", 0.75 gal /s'q plus walnut shells at 0.75 lbs per " A -38 Series ", 0.75 gal /sq phis walnut shells at 0.75 lbs per Incline: 3/4 • • ay application of 2-in. thick "Polyfgam 273" (27•lb /ft ) Spray application of 28 to 34 -mils "q- 8730' (aluminum) • Indine:1 /2 Spray application o( ."Polyfoam 273" (2.7 lb/f1. Spray application of 28 to 34 -mils "U -8782" (ivory) • .S CORP. .. R1306 WAYNE NJ 07470 ; or "Ruberoid Modified :Base Sheet" may be utilized. a an G2 base sheets in any of •the following Classifications. /6: " . :min) gypsum board . dr ,1/4 in. thi {min) G-P Gypsum be used in any a dstiiigfioncombush"ble deck Classification ne, the resulting roofing system is acceptable for use over '32.k.• min) roof decks: The Joints in the gypsum board and rd are offset 6 in with the jomts in the deck. If polyy is , ystem, it must be placed below the overlayment }]Demo. plies of "GAFGLAS Ply 4" or "Ply 6" may be adhered to G=P eck® in hot asphalt Ultra" is an acceptable alternate to "EnergyGuare in any ification. nt Eliminator Venting Base Sheet (Nailable)" may be,mechani- hot mopped over noncombustible decks and as a recover over ;terra •lite Insulation may be utilized as a cover board over "EVER • ,lion in any of the following systems. rise indicated, the roof insulation is mechanically fastened, it mopping asphalt or urethane insulation adhesive. Po t any of the following Classficatons indude "ENERG EP glass fiber insulation include "EnergyGuard Plberglass Insu LT FELT SYSTEMS WITH HOT ROOFING ASPHALT halt mat base sheet ('•dAFGLAS. #75 Base Sheet" or L") is a suitable alternate tor, Type GI aasepphalt glass " GAFGLAS Ply 4" or " GAFGLAS Ply 6".) in the Class A,11 or indicated below. ' may first be'covered with a Type G2 asphalt glass mat;base atavent Eliminator Venting Base Sheet (Perforated)•''or "GAF ablator Venting Base Sheet (Mailable)" •. Perforated to be ailable to be mechanically attached granule side. down. ... Type G2 aasspphalt glass, mat base sheet ( "GAFGLAS.#75 Base LAS #80 ULTBVIA' or' GAF Stratavent Eliminator Venting Base r)" may be substituted for G1 asphalt glass fiber .ply sheet ly 4" or "CAFGLAS Ply 6 ") as the nailed base ply in the ans. � f ' a base sheet may be solid mopped, spot mopped or =chard- - wise indicated, all insirlatioris may be hot mopped ormechani- Flashing" or "Ruberoid" maybe used for flashing in any of the systems listed below te" is referenced, this includes "GAF.TEMP PERMALITE®" or Classified perlite insulation.. to or slag are suitable alternates for gravel in any of the Class A, s listed. bent fiber building units are considered suitable to be included te following Class A, B or C systems listed over C- 15/32'or NC. ypsum board under any of the following'Class A, B or C systems rsely effect the rating. 'The use of 1(2 fn. min gypsum board is an !mate for insulation over C -15/32 decks. iolystyrene•insulation board between min 3/4 perlite board th rosin paper (perlite/rosin paper/polystyrene/perlite) tate for isocyanurate board in the following Class A, B or C r uard RA.", 'BMCA Tapered EnergyGuard RA' e end "BMCA " may be substituted for any Atlas po yisocYanorat f the following (1asatftcations. ?erma Mop" may be utilized with any of the following 'Asphalt with Hot Roofing.Asphalt". #80 Premium Base Sheet may be used in any Of the following ; Flex Ply 6" is a suitable alternate to " GAFGLAS Ply 6 ". • 2007 ROOFING MATERIA SYSTEMS DIRECTORY . I.. ... a01121v net nDr niieT ;ROOF COVERIMM ATERIALS (I'EvT) Roofing Systeiits. (TQFU)- Continued ., 'GAFTEMP Permalite Recover ". may be used in lieu of any perlite insulation in any of the following NC'Clam:ficationa Unless otherwise indicated, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be,surfaced with "Fueshield MB" at 2.5 - 3.0 gal /sq. Class A„B'and C • Hot roofing asphalt, for use with organic and glass felts or modified bitumen • membranes. . "Ruberoid • Heat Weld " SBS roofing membrane may be used in lieu of "'Ruberoid Mop" SBS products. in any applicable Classification. Class A 1. Deck: C -15/32 Incline: 3 Insulation . (Optional: One .pr more.layers . perlite, wood fiber, glass fiber; isocyanurate, urethane, Perlite /isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite,. phenolic, any thickness. Ply Sheet Three or. more layers 'Type G1 " GAFGLAS Ply 4" • or "GAFGLAS Ply,. 6 ", hot mopped. • Su rfachrg's • GraveL 2. Deck C -15/32 Incline ••- • Insulation .(Optional): One-or mitre• layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. Ply Sheet Three or more layers Type G1 •"GAFGLAS Ply 4" or " GAFGLAS Ply 6". Cap Sheet One layer Type G3 "GAFGLAS Mineral Surfaced Cap Shee" or;"EnergyCap Mineral Surfaced Sheet". 3. Dec1cNC' • Insulation (Optional): One•or more layers perl wood fiber, glass fiber; isocyanurate, urethane, perlite/isocyanunate Compo9ite, perlite/ urethane composite, wood fiber• /is6cyanurate composite, phenolic, 2 ht. max. • Ply Sheets Two or more layers Type Cl " GAFGLAS Ply 4" or "GAR GLAS Ply 6 ". Cap G3 " Mineral Surfaced Cap Cap Sh4et� ; One Layer Type GA�L�' Sheet" or "EnergyCap Mineral Surfaced Cap Sheet". 4. Decic NC ° : r.'Ineline:1 /2 . Insulation: One or two layers "Isotherm R", 4 in. max, hot mopped. • Ply Sheet 'Airy UL Classified gravel surfaced ClessA asphalt glass fiber mat system .. • 5. Deck 045/32 • Ind Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet One layer Type G2 "GAFGLAS #75 Base Sheet" (mat be nailed). Ply Sheet. One or more layers Type Gl " GAFGLAS Ply 4" or GAttGLA Ply 6" Cap Sheet One layer Type G3 " GAFGLAS Mineral Surfaced GO . Sheet" or " EnergyCap Mineral Surfaced Cap Sheet"• 6. Dedc: NC • Incline 3 • Base Sheet One layer. Type G2 "GAFGLAS•#75 Base Sheet`: Ply Sheet One or more layers Type Gl. "GAFGLAS Ply 4e or GLAS Ply 6 ". . ' • Cap Sheet One layer Type G3 " GAFGLAS Mineral. Sheet" or " EnergyCap Mu'reral Surfaced Cap Sheet ". 7. D eck C -15 3 Incline 2 • u rats , on One or more layers perlite, glass •fiber, isocyaz► thane, perlite /isocyanurate composite, perlite /urethane comp:0, ! nolic, 1.0 in. min (offset from plywood joints t $n )• • • .. �' Base Sheet One or more layers Type G1; Cs2 or d3. • , Membrane One or more layers "Ruberoid'tosch" ($pi "Ruberoid Torch Plus" (granule), 'RuberoidjiAp "Atootl; or "Ruberoid Mop Plus' p(granule)• Cap Sheet Type G3 GAFGLAS Mineral Surfaced Cap': "EnergyCap Mineral Surfaced Cap Sheet"�hot glopped• 8. Deck C-15/32 od Insulation (Optional): One or more 14'4 peer to ,. wo fiber, isocyanurate, urethane, perlite/is3nurI com urethane composite, wood fiber /isocyanurate composite, thickness. • Base Sheet Two or more layers Type G2 or G3. Ply Sheet (Optional): One or more layers 41. Membrane One or more layers'Ruberid TTrch"s(Smoa "Ruberoid Torch Phis" (granule), "Ruberoid Mop: (4 or "Ruberoid Mop Plus" (granule). R . Cap Sheet "EnergyCep•1 9. Deck NC Insulation (C fiber, mechan: Base Sheet Ply Sheet "GAFGLAS P Cap Sheet mopped. Surfacing: " 1. Deck: C -15/32 Insulation (Ol fiber, isocyanu urethane comp thickness. Ply Sheet 1tn GLAS Ply 6" Cap Sheet 1 "EnergyCap M 2. Dedc C -15/32 .• Insulation (Op fiber, isocyanui urethane comp thickness. Base Sheet Tv Membrane Or . "Ruberoid Torc or 'Ruberoid M Cap Sheet "di Mineral Surface' 1., Deck C -15/32 Insulation (Opt: fiber, isocyanura urethane comps Ply Sheet Thi " GAFGLAS Ply i CO T�AR 1. Deck C -15/32 Insulation (Qpti, fiber, isocyanurat urethane compos thickness. Ply Sheet: Thn :: " GAFGLAS PIy. 6 Surfacing Grave . COMBI 1: ,-Deck NC Insulation (Optio they 2 fn max. tY Sheet Thre • t ,. , GAFGLAS Ply 6' $uz Gran: beak NC s:au, (Optio ,. , isocyantirate .: Posit 4 Sheet h r'et . tAFGLAS Ply 6" Surfs gtp1 e .NC� "Weal U She Any uI Parapet Wail Nailable,peck "L'r =e re ring Excellence Every Day" Miami -Dade County Building Department Electronic Application High Velocity Hurricane Zone Roofing Permit Application Form Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Terminations /Stripping /Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counterflashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing Or: Submit Manufacturers Details that Comply with RAS -111 and Chapter 16. Concrete wall „- ---''" -- Elastomeric sealant tooled -- -,-°' to facilitate water run -off Optional: compressible --- -- p ,--~ Elastomeric sealant --'-, Metal counterflashing mech. -� attached 6" oic wlwasher f' _- ___- -' ' Seal top of base flashing w/ ---- comptable material Termination bar mech. ---- attached 6" oic Base flashing min. 8" above finished roof __Top Ply � .Interplies Field plies turned up wall .- -Base Sheet -Roof Deck Parapet wall height: Roof Mean Height: Base Flashing: MODIFIED SBS Surfacing: Top Ply: GAF CAP SHEET (1) PLY Inter Ply Sheet: GAF PLY 4 (2) PLIES Base Sheet: GAF GLASSBASE 75# (1) PLY Roof Deck Type: PLYWOOD 5/8 •• ••• • • • • • •• • • • • • •• • • • • ••• • • • • • • • • • • •• ••• •• • • • •• • ••• • • • • • • • • • • • • • • • •• • • • • • • ••• • • • • • • • • • •• •• • • ft. ft. • • • • • • • • • • • • • • • • • • • • • •• • ••• • • • • • ••• • • • • • ••• • • • • ••• • • • • • • • • • •• •• FOUR (4) PLY BUILT UP ROOFING SYSTEM NAILABLE DECK 12 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE BOTTOM SHEET SPEC# ATTACHMENT BASE SHEET N -B-4 -M NAILED STRATAVENT• NAILABLE NAILED 10 APONISS NAILED #i80 ULTIMA° BASE SHEET NAILED MODIFIED BASE SHEET NAILED PLY 4 w /SHEATHING PAPER NAILED FLEXPLY° 6w /9-EAIHIVGPAPS 15 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE (WEST ZONE ONLY) BOTTOM SHEET SPEC# ATTACHMENT N- B- 4-M/P6 NAILED NAILED NAILED NAILED NAILED BASE SHEET'. STlATAVENP NAILABLE #75 BASE SHEET #80 ULTIMA' BASE SHEET MODIFIED BASE SHEET FLEXPLY°! 6 w4S1-1EAM Built -Up Roofing Systems 310 GAPPAlifERIALS CORPORATION GENERAL Safety: Refer to Section Section t06. DO NOT BEGIN INSTALLATION UNTIL THIS INFORMATION IS READ, UNDERSTOOD AND IMPLEMENTED. MATERIALS 'Material Requirements per 100 sq. fL: Asphalt (per ply) 25 lbs. (1.22 kg /m Base Sheet 1 ply Ply Sheets . 2 plies Cap Sheet 1 ply GUARANTEE SPECIFICATIONS INTERPLY PLY 4 PL.* PLY 4 PLY 4 PLY4 PLY 4 .INTERPLY SURFACING PLY 4 CAP SHEET ply; 4 CAP.B(iF .l PLY 4 CAP SHEET PLY 4 CAP SHEET PLY 4 CAP SHEET PLY 4 CAP SHEET GUARANTEE SPECIFICATIONS INTERPLY FLEXPLY 6 FLEXPLY 6 FLEXPLY 6 FLEXPLY 6 FLEXPLY 6 INTERPLY SURFACING FLEXPLY . 6 CAP SHEET FLEXPLY 6 CAP SHEET FLEXPLY 6 CAP SHEET FLEXPLY 6 CAP,SHEET FLE D' 6 • 4A0 Sb :.' • • • • • • • • •••• . • • • • • • •. • •- • •• ••• •• • • • •• • ••• • • • • • • • • • • • •• • • • • •••• ••• • • • • • • • • • • • ••• • • •• •• • ••• • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Inspection Number: INSP - 147902 Permit Number: RF -7 -10 -1225 Scheduled Inspection Date: August 02, 2010 Inspector: Bruhn, Norman Owner: YEHEZBEL, HAIM Job Address: 9806 NE 2 Avenue Project: <NONE> Miami Shores, FL Contractor: ALL CONSTRUCTION & DEVELOPERS INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Roof Inspection Type: Final Roof Work Classification: Flat Phone Number Parcel Number 1132060132241 Phone: (786)768 -4330 RE -ROOF FLAT Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 30, 2010 Inspector Comments ec For Inspections please call: (305)762 -4949 Page 16 of 34