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541 NE 94 St (11)Date Legal Description Owner's Address Contracting Co. WORK DESCRIPTION Signa ► + e�f6f owner PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address / N 94 6'ene ya to Sit i N� 9./ ee Owen au- ADO f NCB Address 9301 NE 10 c JP Su de A Qualifier jc r,'LQS .3 t. beniO u_A Phone 75 7 -2 (o / 2 State # (014306 Municipal # Competency # 12 4154 Ins. Co. ON fi /z, Architect/Engineer Address Bonding Company N Address Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL tOOFING j PAVING FENCE Square Ft. 3,9 (o WARNING TO OWNER: YOU MUST RECORD A NOTICE S OMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work . 11 be done in compliance7ith all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the wor ted. P tf3 t1 � , ►r� ondo President Da e / otary as to Owner an or Condo President ate My Commission Expires: 7#414, Sandra D. Hart a o. ,,, '• Gonunission DD 014872 =rn� ice= Expires April 2, 2005 rai Bendrd Thru 4'''0' 1 t,, j r;i: • !:o.. 1n^.. AIWO FEES: PERMIT 0Z/t0 RADON Aw Tax Folio Historically Designated: Yes No / Address Cost (value) - 3ae1,0- v/ '/ -og7O Master Permit # 7 n 7 Phone N/ A a A G ture of Contractor or Owner - Builder Notary as to Contractor or Owner- Builder My Colkn Exp s: `. , y p Sandra D. Hart ,,:, :Commission # DD 014872 Expires April 2, 2005 Bonded Thru ' ; % Atlantic Bonding Co., Inc. 4/ '00 Dat D C.C.F. p ' 49 NOTARY e BOND 3 OD /� TOTAL DUEJ /, 3 SIGN APPROVED: /1 Zonin g Building Buil ' '1! Z_I Electrical Mechanical Plumbing Structural Engineer PlUI ILL UP LUmMtF1 tMtN I ' A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. /` '- STATE OF FLORIDA: COUNTY OF DADE: 0 1R202692 2001 APR 24 12 :11 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice ofCommencement. 1. Legal description of property and street address: 5i / N1 `'/ u% ) v_ it 247. A,0314 rL 3 3/ 2. Description of improvement: 3. Owner(s) name and address: C>K//u' Interest in property: ei-thtti Name and address of fee simple titleholder: n/ 4. Contractor's name and address: 6 6 1 ,176 1.0 Amount of bond $ ))/ 6. Lender's name and address: / . . . /11171 L1)7 i /�Y A � I./A/ t f lt2,fi R 9 301 NG Gri ay, ,Azie,42 a / 2zel-,, . A 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: 3 338 7. 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 Statutes, Name and address: J A 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) nor Print Owners Name �llI/f Sworn to and subscribed before me this Notary Public SI /a 2) h WIT NAR By r day of '''f"'`=_ mi1 oo f 'd i% Print Notary's Name 5 A NDr , a D. Hart ;b. DD 014872 Expires April 2, 2005 ' Commission Expires: 4 / / OF �� ., W W F II Atlantic Bondiog,Co., line. STATE OF FLORIDA, COUNTY OF DADE 1H '. RTIFY that t is a tr p he da in hi off Prepared by: •lr?dy J 6-4.. Address: 1 /6M poiogn 9 4, 129.01 -52 10/903 A l 5104 A P PE NDIX "F" APPENDIX "F "REQUI ED OWNERS NOTXFICATI:ON FOR ROOFING CONSIDERATIONS As it pertains to this Appendix "F ", it is the responsibility of the frog nd o contractor co provide o th owner he \ nc with the required roofing permit, to provide the owner . t appendix content of this form. The provisions of Chapteic'34 of the'South Florida Building Code (SFBC) govern the minimum requirements and standards of the industy for roofing sy:ern installations. Additionally, the following items should be addressed as part of the agreement between the owner and the contractor. The owner's initial in the adjacent box indicates that the item has been explained. 1. Aesthetics - Workmanship: The workmanship prov,isions of Chapter 34 are for the purpose 01 pr •- iding that the roofing system meets the wind wi th respect to r workmansPep p ° as onst A esisce and Aesthetics (appearance) issues are not a consideration issues such as color or architectural ap er e, contractor. - - at are not f a zoning code, should be addressed az part of the agreement between the own roofing, th e existing wood roof deck may have to b_ 2. Recalling Wood Decks: When replac $� The roof deck is usualt�• re ailed in accordance with the current provisions of Chapter 29 of the SFBC. ( concealed prior to removing the existing roof system) � � •' 3. Common Roofs: Common roofs are those which.have no visible delineation between , the roofing ighboring units (i.e. townhouses, condomini �� of adjac units of roofing work to be performed. contractor and/or owner should notify the occ l p jt � 4. Exposed ceilings: Exposed, open beam ceilings are where hetecturalt roof decking • .! be v from below. The owner may wish y P rovidcs :he roofing nail penetrations of the underside of the deckin g rria not be acce table. The SFBC p option of maintaining this appearance. / !j 5. Ponding Water: The current roof systems of the roof. building can be a not drain indication of l on ay cause water to pond (accumulate) in low -lying structural distress and may require the review of a professional structural engineer. Ponding may shorten the life expectancy and performance of the new roofing should be odetions may not be evident until the original roofing system is removed. Ponding conditions �d� 6. Overflow Scuppers (wall outlets): It is required that rainwater flow off so that the roof is not • ° rloaded from a build up of water. Perimeter /edge walls or other roof extensions install :/ this . tscharge if overflow scuppers (wall outlets) are not provided. It may be necessary scup. rs in accordance with Chapter 23 of the SFBC.. 11.) 4 117 7. Ventilation: Most roof structures n homed have some existing ty t amount vent rtical airflow l through the in! nor of the structural assembly (the building be reduced. It may be beneficial to consider additional venting which can result in extendin the ser.'ice life of the roof. O • i ;• Signature ature ontractor's Signature F Contractor's Name: C R Deck type: 010'" - t, Fastener Type: I ltf 1cr�� PI J -- 80 = 3G(J 1 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. ROOF CATEGORY ,�/ (Lo:; Slope Application) ❑ (Nail - Tile) 12 . Mortar - Adhesive Set Tile) ❑ (Asphalt/Fiberglass Shingles) ❑ ( Metal Roofs \Wood Shingles & Shakes) ❑ (Other) --// ROOF TYPE ❑ New Roof D Re- roofing• ❑ Recovering ❑ Repair ❑ Maintenance ATTACHMENT SPACING 3 c.4 ► � I 6 Field: Perimeter:& +tp Corner: k D> 'AIL 1 & 7 t3 Job Address: 5 /V( 94 Flat Roof Area (ft') `73,,7 Sloped Roof Area (ft') / p Total (fey Master Permit No. Exposure category (per ASCE 7 - 88): t_ Building Classification category per ASCE 7 -88 table 1): ROOF HEIGHT AND SYSTEM DETAILS C n � Ir ?,r7- 177 f tu0 o _ (Draw details as needed) itt, t 1�i0 i'Je oed 144-tee /e SKr Az t b 4.41 /Ie ,&'ed /%al,¢;ctr — N 2l.p4. 94 em.A eeeim y'42� eecvd , .7-64�G ,ti/e r eee � D 6 MG't. r YS r, r r r It ROOF PLAN 504 Page -1 � 1 ,1 `. S78 7 6.1 •1` 1 D• i i' —//d 7 t. Rid 'I entilation7 MEAN HEIGHT Decktype:I L))UVL/ cp14 % !L. 1 /Underlayluent:1 3D n,/ b 2_2.4, i r z Instilation: A D E T A I L 3 Appendix "E" UNIFORM ROOFING PERMIT APPLICATION PROCESS No. 12" ROOF SLOP, SLOPED SYSTEM DESCRIPTION Fastener type &spacing:I INr19S hulk th-t'o• re I j, I (41)5 I2 '' o i c / 4p 2,e uos Cap Sheet: Roof Covering: -ft 40 AsTt4 Zc1 c Pae;e -2 nrlo,dW Val-quad ge — Drip edge: TILE CALCULATIONS (Pmaxl:42' ( x A. (Aerodynamic Multiplier): e ) - M ' • = M : 1 PCA: 76 " / rl (Pmax2: x (Aerodynamic Multiplier): b - M g : = M 0 PGA: 4/ (Pmax3: 96• S x A, (Aerodynamic Multiplier): s ) - M Cf( = M ^ (p' r3: { 1 PGA: X. et& ditA4 ATTACHMENTS REQUIRED 1) Fire Directory Listing Page 2) Miami -Dade County Product Control Notice of Acceptance -Cover Sheet a) Specific System Description b) Specific System Limitation c) General Limitations di A pti,aoh: Detail Drawings 3) Municipal Permit Application 4) Other Component Approvals PRODUCT CONTROL. NOTICE OF Monier Lifetile LLC 135 NW 20 St. Boca Raton, Florida 33431 Your application for Product Approval of: Nlooier Lifetile LLC Villa, Capri, & Roll Tiles governing the use of Alternate Materials and Types under Chapter 8 of the Miami-Dade County Code g 6 ly described in the plans, specifications and calculations as submitted by cf Construction, and complete Applied Eugineeriog, Inc., and Professional Service Redlaad Technologies, The Center for App Industries •'a+ ended for acceptance by the Building Code Compliance Office to be used in O e has been Florida _ County, lorida under the specific conditions set forth on pages page 15 expiration date stated below. The Building i or Compliance : Of a pprovals the not be valid after he odp approved manner, Utt perform in the app plant reserves the right to secure I f this P or mater a fails to time from a I product or manner, the Banding Code control testing. product end the use of such p royal o f .t is Building Code Compliance Office may revoke, modify, set right to re t or revoke material thi s approval, to meet the :. mcdiattl The Building Code Compliance Office reserves the prodt vok tip T y Compliance Office determined by the Building Code Comp - :quirements of the South Florida Building Code. Tne expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 97 97-1 _.__.• 2 4' 16 EXPIRES: 06/25/01 VERSf'(EET EE ADDITISNAL PACES FOR SPECIFIC AND C F,N ERA L THIS IS THE CO CONDI'T'IONS BUILDING CODE COMMITTEE Iami - Dade County Building Code This application for Product Approval has been reviewed by the M Florida Compliance Office and approved by the Building Code Committee to be used in Dade ry oun. under the conditions set forth above. APPROVED: 06/25/98 r METROPOLITAN METR .DAOE ER BUILDING METRO COMPLIANCE OFFICt_ BUILDING CODE AOE FLAGLER BUILOING METRO.O 603 140 WEST FLAGLER STREET. SUITE X N.IAM1, FLORIDA 305) 375.790 FAX (305) 375 290a PRODUCT CONTROL OIV.S'ON (305) 275 292: FAX i205) 37 2•633 CEPTANCE Revises: 95-0322.07 95 -0 3 22 003 95--03i6. aul Rodriguez Product Control Supervlscr Charles anger, P E Director Building Code Compliance Dept Miami -Dade County NIONIER LWETILE LLC Product Monier Lifetile LLC villa RI Rnll Monier Lifeitile LLC Capri Tile Trim Pieces Product Rainproof 1! Ice and Water Shield Product Control No.: 97-1124.1 TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product Dimensions Specifi` S Uescri tion I = 161/7" PA 112 Low profile, interlocking, high pressure extruded concrete roof tile `A' ° 13"• equ ipped with one nail hole and „" thic ck double roll ribs. For direct deco: or battened nail -on, mortar or adhesive set applications. L = 17" PA 112 Low profile, interlocking, high W– 12 V," pressure extruded concrete roof tile y," thick equipped with one nail hole and double roll ribs. For direct deck or battened nail -on, mortar or adhesive set applications. 1 = varies PA 112 Accessory trim, concrete roof pieces for use at hips, rakes, ridges w = varies and valley terminations. varying Manufactured for each tilt profile thickness TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT Test Product pescri lion Manufacturer Dimensions Sp ecifications ___-_—P 30 "x75'roll PA 104 Single ply, nail -on Protect -O -Wrap, 6" x 75' roll underlayment with Inc. l or 2" self - adhering top (with current NOA) 60" x 75' roll edge. PA 103 Self - adhering W.R. Grace Co 36" x 75' roll underlayment ( with current NOA) Page 2 of 15 Frank Zuloaga, R.RC MONIER LIFETtLE LLC Test Ag ncv Redlard Technologies Redlaad Technologies The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. EVIDENCE SUBMITTED Test Identifier 7161 -03 Appendix 11I 7161 -03 Appendix 1I1 94 -084 94 -060B 25- 7094 -1 25- 7094 -7 25- 7094 -4 25- 7183 -1 25- 7183 -2 Page 4 of 15 Product Control No.: 97 1124.16 Test Name/Report Static Uplift Testing PA 102 Static Uplift Testing PA 102(A) Static Uplift Testing PA 101 (Mortar Set) Static Uplift Testing PA 101 (Adhesive Set) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, New Construction) Static Uplift Testing PA 102 (4" Headlap, Nails, Battens) Static Uplift Testing PA 102 (4" Headlap, Nails, Direct Deck, Recover/Reroof) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Direct Deck) Static Uplift Testing PA 102 (2 Quik -Drive Screws, Battens) Date Dec. 1991 Dec. 1991 May 1994 March, 1994 Oct. 1994 Oct. 1.994 Oct. 1994 Feb. 1995 Feb. 1995 ON TER LEFETfLE LLC Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Redland Technologies Redland Technologies Redland•Technologies Redland Technologies The Center for Applied Engineering, Inc. Professional Service Industries, Inc. Test Identifier 25- 7214 -2 25- 7214 -6 7161 -03 Appendix II Letter Dated Aug. 1, 1994 Project No. 307025 Test #MDC -76 P063 l -01 PO402 224 -47099 Page 5 of 15 Product Control No.: 97-1124.16 Test Name/Re ort Static Uplift Testing PA 102 (1 Quik -Drive Screw, Direct Deck) Static Uplift Testing PA 102 (1 Quik -Drive Screw, Battens) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Nail -On) Wind Tunnel Testing PA 108 (Mortar Set) Withdrawal Resistance Testing of screw vs. smooth shank nails Wind Driven Rain PA 100 Physical Properties PA 112 Date March, 1995 March, 1995 Dec. 1991 Aug. 1994 July 1994 Sept. 1993 Oct. 199 Sept. 1994 Product :Wood Battens T : i t Nails Tale Screw's ,,_r =': iii M0NTrER LIF1rTILE LLC Roof Tile Mortar ( "Ti IeTite Roof Tile Mortar (" Quikrete® Roof Tile Mortar 1140 ") Roof Tile Mortar ("BONSAI- Roof Tile Mortar Mix ") Roof Tile Adhesive ( "Polypro® AH 160 ") Hurricane Clip & Fasteners MEI! I T .PF:Hh1EHt•l ROOF 1 l Lt - - - - - ' Dimensions Vertical Min. l•'x 4„ Horizontal Mm. 1 "x 4" for use with vertical battens or Min. 1"x 2" for use alone Min. 8d x 2 'A" or min. 10dx 3" li8x 2'h" long 0.335" head dia. 0.131" shank dia. 0.175" screw thread dia. N/A N/A N/A N/A Clips Min. 'A" width Min. 0.060" thick Clip Fasteners Min. 8d x 1 ' /." Test Specifications Wood Preservers Institute LP — 2 PA 114 Appendix PA 114 Appendix PA 123 PA 123 PA 123 See PCA Two component polyurethane adhesive designed for adhesive set roof tile applications. PA 114 Appendix E Corrosion resistant clips with corrosion resistant nails. Page 3 of 15 Product Control No.: 9— 24.16 Product Des�iption M3nuftcturer Salt pressure generic treated or decay resistant lumber vattens E Corrosion resistan screw or smooth shank nails E Corrosion resistant, coated, square drive, galvanized, coarse thread wood screws Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. Prepared mortar mix designed for mortar set roof tile applications. generic generic Bermuda Roof Company. Inc. with current PCA Quikrete Construction Products with Current PCA W. R. Bonsai Co. with current PCA Polyfoam Products, Inc PCA 094-0401 01 Generic MONfER LIFETrLE LLC SYSTEMS (CONTINUED) Deck Type: Wood, Non - insulated Deck Description: New construction 19/32" or greater plywood or wood plank. SYSTEM D: Mortar or Adhesive Set Application Slope Range: 2 ":12" to 7 ":12" Note: System D is only acceptable in this slope range. For slopes in excess of 7 ":12 ", refer to System C. Underlayment: Install underlayment system in compliance with Dade Counry Application Standard PA 120. (See System Limitation k5.) Roofing Tile: Install tile in compliance with Dade County Application Standard PA 120. (See "Data for Attachment Calculations" included in this Approval.) Commeots: . 1. For re -roof applications, 15 /32" plywood is an acceptable substrate. Page 9 of 15 Product Control No.: 97.1 124.16 vrn nrry. T .rvF.TR.F. LLC MONTER LEFETILE LLC Table 3 -A: Attachment Resistance Expressed as a Moment - M, (ft - Ibf) for Nail-On Systems Tile Two (2) 10d x 3" Tong nails Application Tile Profile Monier'Lifetile LLC Villa Tile, Roll Tile, and Capri Tile DATA FOR ATTACHMENT CALCULATIONS (CONTINUED) Direct Deck New Construction (min. 19 /1:" plywood) Product Control No.: 97- 1124.16 Product Control No.: 97-1124.16 67.50 43.00 Direct Deck Recover /Reroof (min. ' /„" plywood) 50.90 Battens New Construction I Tile installation with a 4" headlap using two (2) Approved 10d x 3 long polymer coated, corrosion resistant, ring shank nails installed in manufactured holes located 2W from the head of the tile. Clips on eave tile are not required for this achm values c noted above unless the Required Moment of Resistance exceeds Table 4: Attachment Resistance Expressed as a Moment - M, (ft-lbf) for Mortar or Adhesive Set Systems attachment Tile Tile Profile A Resistance 20.60 Monier Lifetile LLC Villa Tile, Mortar Set Roll Tile, and Capri Tile Adhesive Set 86.61 MOTHER LIFETtLE LLC Tile Profile !Monier Lifetile LLC Villa Tile, Roll Tile. and Capri Tile Tile Profile !Monier t_ifetile LLC Vii!a Tile, Roll Tile, and Capri Tile Tile Profile Monier 1 Lifetile LLC Villa, Roll, land Capri Table 1: Aerodynamic Multipliers - X (ft') Table 3: Attachment Resistance Expressed as a Moment - M, (ft-lbf) for Nail-On Systems DATA FOR ATTACHMENT CALCULATIONS X (ft') Batten Application 0.27 Page 11 of 15 Product Control No.: 97- 1124.16 i (ft') Direct Deck Application 0.29 Batten s Table 2: Restoring Moments due to Gravity - M (ft 6 " :12" 3":12" Direct Deck 5.57 6.30 4 ":12" Batten s 5.48 Direct Deck 6.18 5 ":12" Batten $ 5.37 Direct Deck 6.05 Batten s 5.24 Direct Deck 5.90 7 ":12" or greater Batten s 5.09 Direct Deck N/A Tile Application Battens Direct Deck Approved Nails 1 nail 2 nails 4.10 11.80 Approved Screws 1 2 screw screws 7.10 21.90 22.90 49.10 25.80 47.10 Approved Field Clip With: 1 nail 2 nails 24.20 24.30 34.80 35.50_ Approved Eave Clip With: 1 nail 2 nails 22.10 19.00 32.20 31.90 Data noted in Table 3 is for instal ation with a 3" tile headlap. 2 Approved screws are as noted in the 'Trade Names of Products Manufactured By Others' and 'Profile Drawings' sections of this Approval. Clips on eave tile are not required for this attachment configuration unless the Required Moment of Resistance exceeds the values noted above. NI DINT ER LIYETELE LLC PROFILE DRAWINGS MONIER LIFETILE LLC VILLA TILE Page 13 of 15 Product Control No.: 9 1 MONIER LIFETILE LLC ROLL TILE , n70;Y1E12 Lrl~ETLLE LLC Product Control No.: 97- 1124.16 '. i SYSTEM LtivaTATIONS The standard minimum roof pitch for Monier Lifetile LLC Villa, Monier Lifetile LLC Capri & Monier Lifetile LLC Roll, low profile tile shall comply with Dade County Application Standards e PA 118, PA 119 or PA 120, depending on the method of installation. F For Dail -oo applications, fasteners for mechanical attachment of tiles shall have a head diameter larger than that of the preformed holes in the tile. 1 3 System installation shall be in compliance with the system specifications outlined in this Product Control Approval. The method of attachment utilized shall provide sufficient attachment resistance to meet or exceed the required resistance determined in compliance with Dade County Protocol PA 115 or PA 127. Tile profiles l atta d hment cal ulat ons sta a µ tionin complaance 5� with PA I t l a 5 i or uplift perfoitnance, therefore. PA 127 shall be done as a 'Moment Based System'. For adhesive set tile applications, a field static uplift test by a Dade County accredited testing agency, in compliance with Dade County Protocol PA 106, shall be performed. For tle applications, 30/90 hot mopped underlayment applications may be installed perpendicular to the roof pitch unless stated otherwise by the underlayment material manufacturer's published literature. 6 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo for identification in the field. Applications for roofing permits shall include a completed Section 11 of the Uniform Building Permit, a copy of manufacturer's current specifications and details, a copy of this Product Control Approval and a copy of the Product Control Approval of any Roofing Component used in the proposed tile application. Reference shall be made to appropriate data for the required fire rating. 8 The applicant shall retain the services of a Dade County certified testing laboratory to maintain quality control in compliance with the South Florida Building Code and related protocols. Samples taken shall be in compliance with Dade County Protocol PA 112, Appendix 'K. 9 Fire classification is not part of this aceptance. Page 10 of 15 rank Zuloaga, RRC MONTER LEFETILE LLC ACCEPTANCE N0: 97 1124.16 135 N.W. Li LLC APPROVa ; June 25 1993 135 N 20 0 S St . t EXp�s June 25, 2001 Boca Raton, FL. 33431 NO'T'ICE OF ACCEPTANCE STANDARD COND IONS Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. '- Any and a;t approved products shall be pe Dade County Product Control Approved ", or as labeled with the manufacturer's name, ct state, and the following statement. "Miami -Dade stated in the specific conditions of this Acceptance. 3 Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Coehangesng the evaluation of this product and the product is not in comp liance with the the one originally approved; b) The product is no longer the same product (identical) c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) Th engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering p rofession. 4 Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this off - ice. 5 Any of the following shall also bC gro e or pro this Acceptance a) Unsatisfactory performance roduct, for sales, advertising or any b) Misuse of this Acceptance as an endorsement of any p other purposes. 6 The e Notice of Acceptance number preceded by the words Miami -Dade County, Florida on nd the followed by the expiration date may be dtsp�al done done its entirety. I any P advrtising Notice of Acceptance is displayed, then it shall A c opy of this Acceptance as well as approved drawings and other documents, where it applies shall be provided to the user by the manufacturer or its distributors an shall the be available for inspection at the job site at all times. The copies need gineer. 8 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages ND OF THIS ACCEPTANCE cage, 1' Page 15of15 Product Control No.: 97-1124.16 u • :NA MIAMI -DADE PRODUCT CONTROL NOTICE OF ACCEPTANCE G.A.F. Materials Corporation 1361 Alps Road Wayne NJ 07470 The expense of such testing will be incurred by the manufacturer. Acceptance No.:00- 0331.08 Expires:11 /06/2003 Approved: 07/06/2000 Internet mail address: postmaster ©buildingcodeonline.com MIAMI -DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE. OFFICE. METRO.DADE FLAGLER BUILDING 14) WEST FLAGLER STREET. SUITE 16)3 `IIAMI. FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375.2905 CONTRACTOR LICENSING SECTION (305) 375.2327 FAX (305) 375.2555 CONTRACTOR ENFORCEMENT SECTION (305) 375.2 FAX (305) 375.2903 PRODUCT CONTROL DIVISION Your application for Product Approval of: (305) 375.2902 FAX (305) 372-6339 GAF Ruberoid Modified Bitumen Roof Systeas For Wood Deck. under Chapter 8 of the Code of Miami -Dade County. governing the use of Alternate Materials and "Types of Construction;znd completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This approval shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality control testing. [(this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately.- BCCO reserves the right to revoke this approval, i f it is determined BCCO that this product or material fails to n et the requirements of the South Florida Building, Code. Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE Sc PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Dadc County, Florida under the conditions set forth above. .rancisco •. Quintana. IZ.A. Director 1 of 55 Miami -Dade County I3uilding Code Compliance Office Homepage: http : / /www.huildingcodeonline.com 4 CAF MATERIALS CORPORATION Cateuorv: Sub-Category: Deck Type: Maximum Desit!,n Pressure Fire Classification: TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: Pro ds,z:t GAF Asphalt Concrete Primer GAF Mineral Shield Granules GAF WeatherCoat® Emulsion GAF Premium Fibered Aluminum Roof Coating GAF Jetblak All Weather Plastic Cement GAFGLAS #75® GAFGLAS #80 UltimaT m Base Sheet GAFGLAS Ply 6® GAFGLAS Flex PIyT• 6 5, 55 gallons 60 Ib. bags 5 gallons I, 5 gallons I, 5 gallons 3 sq. roll 75 Ib. roll 2 Sq. Roll 70 lbs. /rol I ROOFING SYSTEM APPROVAL Rooting Approval Date: July 6. 2000 SBS /API', !Acidified Bitumen Expiration Date: November 06, 2003 Wood -75 psf • See General Limitation #1 Test Dimensions S weilication 5 sq. roll 45 lb. roll 5 sq. roll 45 Ib. roll ASTM D 41 ASTM D 1863 ASTM 1227 ASTM D 2824 ASTM D 3019 ASTM D 3409 ASTM D 4601 ASTM D460I ASTM D 2178 ASTM D 2178 2 of 55 Acceptance No: 00 -033 1.03 Product Deserit)tion 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 Shield® Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. Fibcred aluminum coating. Refined asphalt blended with a mineral stabilizer and fibers. Permits adhesion to wet and dry surfaces. Asphalt impregnated and coated glass mat base sheet. Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type VI asphalt impregnated glass felt with asphalt coating. Frank Zuloaga, RRC Roofing Product Control Examiner GAF tMIATCRIALS CORPORATION Acceptance Nu: 00 0331.08 Product GAFGLAS Ply 4.0 GAFGLAS® Mineral Surfaced Cap Sheet RUBEROID® Modified Bitumen Adhesive GAFGLAS® STRATAVENT Perforated GAFGLAS® Flashing GAFGLAS® STRATAVENT Na1lable RUBEROID Modified Base Sheet GAFTEMP® Isotherm R Tapered GAFTEMP® Isotherm R GAFTEMP Isotherm RA Tapered GAFTEMP Isotherm RA GAFTEMP Isotherm RN Dimensions 5 sq. roll 5 gallons 60 Ib. roll various 69 Ib. roll 3 sq. roll 67 lbs. various various various various various Test Specification AST NI D 2178 76 Ib. roll ASTM D 3909 ASTM D 3019 Fiber reinforced, rubberized Adhesive Type III ASTM D 4897 D 3672 ASTM D 489 D 3672 PA 110 PA 110 3 of 55 Product I)escription Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Fiber glass base sheet impregnated and 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. Fiber glass base sheet impregnated and coated on both sides with asphalt.. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. .ASTM D4601, Premium glass fiber reinforced SBS- Type 11, UL Type modified base sheet G2 BUR PA 110 Polyisocyanurate loam insulation. Tapered Polyisocyanurate foam insulation PA 110 Polyisocyanuratc foam insulation Tapered Polyisocyanurate foam insulation PA 110 Polyisocyanuratc foam insulat Frank Zuluaga, RRC Rooting Product Control Examiner CAF MATERIALS CORPORATION Product Tapered GAFTEMP Isotherm RN Test Product Dimensions Specification Description various Acceptance Nu: 00 11331.08 PA 110 Tapered Polyisocyanurate loam insulation GAFTEMPO various PA 1 10 Polyisocyanurate liras insulation with Composite high density fiberboard or Permalite perlite insulation. Tapered GAFTENIP•® various PA 1 10 Tapered Polyisocyanurate lotus Composite insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA I I0 Polyisocyanurate foam insulation with Composite A high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam Composite A insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP ®.' various PA 110 Polyisocyanurate foam insulation with Composite N high density fiberboard or Permalite perlite insulation. Tapered GAFTEMP® various PA 110 Tapered Polyisocyanurate foam Composite N insulation with high density fiberboard or Permalite perlite insulation. GAFTEMP® various PA 110 Fiberboard insulation. Fiberboard GAFTEMP® various PA 110 Perlite insulation board. Permalite GAFTEMP Recover 1/2" thick PA 110 Perlite recover board Board GAFTEMP® various PA 110 High density wood fiberboard High Density insulation. Fiberboard GAFTITE® #12 Standard Roofing Fastener 4 of55 PA 1 Insulation fastener for steel and plywood decks. Frank Zuloaga. RRC Rooting Product Control Examiner ' GAF MATERIALS CORPORATION Product GAFTITE f®s # 14 Heavy Duty RootinG Fastener GAFTITE ASAP GAFTITE® Base Sheet Fastener and Plate . T Galvalume Plates NTB Fasteners Polypropylene Plates 3" and 3 A" Ruberoid® 20 Ruberoid® Mop Granule RUBEROID MOP Smooth RUBEROID MOP PLUS RUBEROID MOP 170FR RUBEROID MOP FR Dimensions 3" and 3 %" 1.5 sq. roll 1 sq. roll 103 lbs. 1 sq. roll 87 lbs. 1 sq. roll 102 lbs. I sq. roll 103 lbs. 1 sq. roll 105 lbs. Tes t S weilication Acceptance No: III1- I)331.fl P DesC1'4)t4111 PA 114 Insulation fastener for steel, wood and concrete decks. PA 114 Pre - assembled GAFTITE Fasteners and metal and plastic; plates. PA 114 Base sheet fastening assembly. PA 114 Round galvaluntc stress plates. PA 114 Fastener for use in gypsum. tectum and lightweight insulating concrete deck;. PA 114 Round polypropylene stress plates. ASTM D 5147 SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 5147 ASTM D 5147 5 055 Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer modified asphalt and smooth surfaced. Non -woven polyster mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with tire retardant polymer modified asphalt and surfaced with mineral Granules. Non -Woven polyester mat coated with tire retardant polymer modified asphalt and surfaced with mineral granules. Frank Zuloaga, RRC Rooting Product Control Examiner • CAF;"IATERIALS CORPORATION P roduct RUBEROID TORCH Smooth RUBEROID TORCH Granule RUBEROID - TORCH PLUS RUBEROID TORCH FR RUDEROID 30 RUBEROID 30 FR Vent Stacks (metal and plastic) GAF Aluminum Emulsion RUBEROID ULTRACLAD SBS GAF Aluminum Roof Paint GAF Built -Up Roofing Asphalt Dimensions 1 sq. roll 87 lbs. 1 sq. roll 102 lbs. 1/4 sq. roll 93 lbs. 1/4 sq. roll 90 lbs. 1 sq. roll 92 Ibs. 1 sq. roll 92 lbs. 5 gallons 109. Roll 101 Ibs. 5 gallons 100 lb. .cartons, bulk Tes t Specification ASTM D 5147 Acceptance Nu: 11n- U331.11 Product Description Heavy duty, polyester reinforced. asphalt modified bitumen membrane. smooth surface. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface. ASTM D 5147 Heavy duty, polyester reinforced, asphalt modified bitumen membrane. granule surface ASTM D 5147 Heavy duty, polyester reinforced, coated with tire retardant asphalt modified bitumen membrane, granule surface. ASTM D 5147 Non woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. ASTM D 5147 1'A I00(A) ASTM D 1929 ASTM D 635 Non woven fiberglass mat coated with tire retardant polymer modilicd asphalt and 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. None Mineral colloidal bituminous emulsion with reflective aluminum flakes ASTM D 5147 Woven fiberglass mat coated with Polymer modified asphalt surfaced %with aluminum, copper or stainless steel foil. ASTM D2824, Type 1 ASTM D312, Types I, 11,111 and IV 6 of 55 Non - fibered. aluniinuin pigmented. asphalt roof coating Intcrply stopping and surfacing asphalt Frank Zuloaga. RRC Rooting Product Control Examiner GAF NIATERIALS CORPORATION Product , Test Product 1)imcnsions Specification I)esct iption RUBEROID MOD 60 lb. kegs SEBS modified asphalt Asphalt RUBEROID MOD 60 Ib. kegs SEBS modified asphalt Asphalt L RUBEROID MOD 60 Ib. kegs SEBS modified asphalt Asphalt P GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam isotherm R.' GAFTEMP Tapered Various PA 110 Tapered polyisocyanurate foam Isotherm RA GAFTEMP Tapered Various Tapered polyisocyanurate foam Isotherm RN GAFTEMP Various Cut perlite board GAFCANTT' GAFTEMP Various Tapered perlite board GAFEDGET" Tapered Edge Strip GAFTEMP PERMALITE® Tapered Roof Insulation RUBEROID® Modified Bitumen Adhesive Various GAFTEMP Recover 1/2" thick, Board Various sizes Shingle- MateT" 4 sq. roll Underlayment 30 lbs. GAFTITE® ASAI' 500 per box 5 gallons PA 110 Tapered perlite board PA 110 Perlite board 7 of 55 Acceptance Nu: 00 (1331.11;{ Fiberglass reinforced shingle underlayment PA 114 Pre - assembled listener and metal and plastic plates ASTM D 3019 Fiber reinforced, rubberized Adhesive Type I I I • ran • Zuloaga, RRC Roofing Product Control Examiner GAF MATERIALS CORPORATION TRADE NAMES OF PRODUCTS MANUFACTURED 13Y OTHERS: Pyrox Product ACFoam 1 ACFoam ll: Hy -Therm AP Hy -Therm Stable R Hy -Therm White Line Anchorbond Fastener Test Dimensions Specification various various various Hy -Therm Nail -line various PA 110 Hy -Therm SP various PA 110 Dektast Fasteners #14 Dektast Hex Plate 2 7/8" x 3 1/4" Dektast Lock Plate 3" x 3 1/4" various PA 110 PA 114 Produc 1)escri1)tio11 PA 1 10 Polyisocyanurate foam insulation PA 110 Polyisocyanurate !Pam insulation PA 110 Polyisocyanurate foam insulation Polyisocyanurate foam insulation Polyisocyanurate foam insulation. various PA 110 Polyisocyanurate foam insulation various PA 110 Polyisocyanurate foam insulation PA 114 Polyisocyanurate foam insulation Insulation fastening, assembly Insulation fastener for steel and concrete decks PA 114 Galvalume Ilex stress plate. PA 114 Polypropylene locking plate. 8 0155 Acceptance No: 00-033 1.08 NI ctur Apache Products Co. (with current PCA) Atlas Ener2y Products (with current PCA) Atlas Eneruv Products (with current PCA) Cclotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Celotex Corp. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) Construction Fasteners Inc. Frank Zuloaga. RRC Roofing Product Control Examiner GAF MATERIALS CORPORATION Tes Product 1)imcnsions Specification Dek fast Fasteners #15 Dek last Fasteners P,\ 114 Insulation fastener for steel #1 7 and wood decks. ISO 95+ Composite Product Description Acceptance No: 00 0331.08 Manufacturer I'A 1 14 Insulation fasteners for Construction concrete decks Fasteners Inc. (with current PCA) Construction Fasteners Inc. (with current PCA) PA 110 • Polyisocyanurate / perlite Firestone ridged insulation (with current PCA) Asphalt ASTIMI D 312 Type 111 or IV Hot asphlat generic bitumin adhesive Asphalt Primer ASTM D 41 Asphalt Primer generic EPS various PA 110 Extruded polystyrene generic insulation High Density Wood various PA 110 Wood fiber insulation board generic Fiberboard Pelite /Urethane various PA 110 Perlite / urethane composite generic Composite board insulation Perlite Insulation various PA 110 Perlite insulation board generic Polyethylene 4 mil min. Vapor barrier / Air barrier generic • Red Rosin various Rosin paper for barrier generic layer on wood decks Rooting Nails Minimum # PA 114 Corrosion resistant annular generic I ring shank nails Tin Caps Min. 32 ga. x Corrosion resistant circular generic discs. MB aluminum roof PA 121 Aluminum roofcoating coating 9 of 55 Grundy Industries with cu ' - ran Zuloaga, RRC Rooting Product Control Examiner ' GAF MATERIALS CORPORATION Acceptance Nu: 1111 u33 Los Dens -Deck #12 Roofgrip #14 Roofgrip Gripdek Fastener I Fastener I (extra Standard Plastic Plate ISO 95+ E'NRG'Y -2 ISORoc Product a7+ Olympic Fastener #I4 Tes t Dimensions Specification vtu 3" round various various various Olympic Standard 3" round I't\ 110 Gypsum insulation board. PA 1 14 Insulation fastener for steel or wood decks PA 114 Insulation fastener steel, wood or concrete decks PA 1 14 Insulation fastener PA 1 14 Insulation fastener PA 114 Insulation fastener and metal or plastic plate PA 114 Polyolctin plastic plate PA 110 Polyisocyanurate foam insulation PA 110 Polyisocyanurate foam insulation PA 110 Product Description Polyisocyanurate foam / rockwool composite insulation PA 114 3" round galvalume AZ55 steel plate PA 114 10 of 55 Insulation fastener Manufacturer Georgia Pacific (with current PCA) IT\V Buildex (with current I'C# \) IT \V Buildex (with current PCA) IT\V Buildex (with current PCA) IT\V Buildex (with current PC: \) ITW Buildex (with current PCA) IT\V Buildex (with current PCA) International Permalite (with current PCA) NRG Barriers, Inc. (with current PCA) NRG Barriers. Inc. (with current PCA) Olympic Manufacturing Group. Inc. (with current PCA) Olympic Manufacturing Group. Inc. (with current PCA) Frank Zuloaga. RRC Rooting Product Control Examiner 'GAF MATERIALS CORPORATION Acceptance No: 00- 0331.115 Product Olympic Polypropylene Olympic Fastener #12 Olympic Faste'i ?r ASAP Olympic CR Base Felt Fastener and Base Sheet Disc GlasFast Fastener Paroc Base Board Paroc Cap Board UltraGrtrd Insul -Fixx Fastener Insul-Fixx P Test Dimensions Specification 3.25" round various various various PA 114 PA 114 PA 114 PA 114 PA 114 PA 110 PA 110 PA 110 PA 114 3" round PA 114 11 of SS Product Description Polypropylene . plastic plate Insulation fastener Pre- assembled Insulation fastener and plate Insulation fastener assembly for Base Sheet fastening only Insulation fastener assembly with recessed plastic plate Rockwool insulation Rockwool insulation Polyisocyanurate foam insulation Insulation fastener for steel and wood decks 3" round polyethylene stress plate Manufacturer Olympic fvlanutbcturin Group. Inc. (with current I'CA) Olympic Manufacturing Group, Inc. (with current PC.-\) Olympic Manufacturing Group. Inc. (with current PCA) Olympic Manufacturing Group, Inc. (with current PCA) Owens - Corning Fiberglas Corp. (with current PCA) Partck, Inc. (with current PCA) Partek. Inc. (with current PCA) Schuller International Inc. (with current PCA) SFS /Stadler (with current PCA) SFS /Stadler (with current PC'A) rank Zuloaga, RRC Rooting Product Control Examiner CAF MATERIALS CORPORATION Product Rawl Fasteners 1112 Rawl Fasteners #I4 Rawl 2" Plate tO Rawl 3" Plate Rawlite 3" Plate 202 HS Super Prep 11 Tru -Fast DL Tru -Fast Plastic Plate Tru -Fast MP-3 Tru -Fast I -ID Test Dimension Snc 2" round 3" round 3" round 3.04" round Product D PA 1 14 Insulation fastener for steel and wood decks PA 114 Insulation fastener for use in steel, wood or concrete PA 114 2 " round galvalume AZ55 membrane plate PA 114 3" round galvalume AZ55 steel plate PA 114 3" round galvalume AZ55 steel plate for use with Rawlite fasteners PA 121 Roof coating PA 121 Roof coating PA 1 14 Insulation fastener for steel, or wood PA 114 3.04" round polyethylene plastic plate 3.23" round PA 114 3.23" round galvalume AZ50 steel plate PA 114 Insulation fastener for use in wood, steel or concrete decks 12 of 55 Acceptance Nu: 0 0 - 0331.0 tNlanufacturcr The Rawlplug Company Inc. (with current I'CA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) The Rawlplug Company Inc. (with current PCA) Thermo - Materials, Inc. (■ith current PCA) Thermo- tVlaterials. Inc. (with current PCA) Tru -Fast (with current PCA) Tru -Fast (with current PCA) Tru -Fait (with current PCA) Tru -Fast (with current PCA) Frank Zuloaga. RRC Rooting Product Control Examiner GAF MATERIALS CORPORATION Product Dimensions Tru -Fast Ultra Tru -Fast DP Tru -Fast TP Structodeck EVIDENCE SUBMITTED: Test Auencv Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factoty Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation Factory Mutual Research Corporation various Test Specification PAII4 • PA 114 I'A 114 P A I I O • Test Identifier Current Insulation Attachment Requirements Wind Uplift FMRC 4470 - PA 1 \Vind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 Wind Uplift FMRC 4470 - PA 114 13 of SS Product Dcscrintion Stainless Steel listener tier use in steel. wood and concrete decks Insulation fastener for use in steel or wood decks Insulation fastener tier use in steel or wood decks High density wood fiber Dcscri FMRC 1996 J.I. OT4A I .AM J.I. I VSA4.AM J.I. IRIA6.AM J.I. 0T2Q4.AM J.I. 0Q6A6.AM J.I. 3X3A2.AM Acceptance No: 00- 0331.US i'Ianulacturer Tru -Fast (with current PCA) i ru -Fast (with current PC, \) - 1'ru -Fast (with current PC.= \) Wood Fiber Industries (with current PCA) Date 01.01.96 08.26.92 06.28.93 11.15.91 10.17.91 07.16.91 08.02.94 Frank Zuloaga, RRC Roofing Product Control Examiner CAF MATERIALS CORPORATION Acceptance No: 110 0331.0S Test Aaencv Factory Mutual Research Corporation Test Identifier Wind Uplift FMRC 4470 - PA 114 Factory Mutual Research Wind Uplift, FMRC Corp. 4470 - PA 114 Factory Mutual Research Wind Uplift, FMRC Corp. 4470 - I'A 114 Trinity Engineering Underwriters' Laboratories, Inc. Dynatech Engineering Corporation Dynatech Engineering Corporation Wind Uplift PA 114 Fire Resistance Classification UL 790 - PA 114 Wind Uplift PA 114 Wind Uplift PA 114 14 of55 Description J.I.•0Y9Q5.AM J.I. 1139A8.AM J.I. 3D4Q2.AtM1 • 4483.04 97 -1 R1306, 87NK 1 1819 #3600.02.95-1 44'482.02.95-1 Date 07.29.94 09.04.97 04.30.97 06.06.97 01.01.93 02.03.95 02.02.95 Frank Zuloaga, RRC Rooting Product Control Examiner GAF MATERIALS CORPORATION Acceptance No: 00 -0331 MN IVlcmbranc Type: SBS Deck Type 1:. Wood, Non - insulated New•Constructioti or Reroof Deck Description: '9 / 3 " or greater plywood or wood plank decks System Type A(2): Base sheet mechanically fastened. All Central and System Limitations shall apply. Base Sheet: Ply Sheet: Membrane: Surfacing: Specification No.: GAFGLAS® 1175, GAFGLAS 1180 Ultima "' Base Sheet. GAFGLAS® PLY 40, GAFGLAS® PLY 6 ®, GAFGLAS FlexPlyT' Base Sheet,GAFGLAS'ts STRATAVENT® Nailable, RUBEROID Modified Base Sheet or RUBEROI is 20 applied to the deck with approved annular ring shank nails and minimum I '1 tin caps at a fastener spacing of 9" o.c. at the lap, 12" o.c. in two•rows staggered along the center line of the sheet in the ticld. (Optional) One, two, or three plies GAFGLAS PLY 4 ®, GAFGLAS® PLY 6® Ply or GAFGLAS Flex Ply 6 sheet adhered in a full mopping or approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. One or more plies of RUBEROID MOP Smooth, Ruberoid® Mop 170 FR, Ruberoid® Mop Granule, Ruberoid® Mop Plus Granule, Ruberoid® 30 or Ruberoid® 30 FR or Ruberoid® Mop FR or RUBEROID UltraCladm' SBS in adhered in a full mopping of approved asphalt applied within the EVT rance and at a rate of 20 -40 lbs. /sq.. Or, One or more plies of RUBEROID MOP Smooth, RUBEROID® Mop Granule, RUBEROIDO Mop 170 FR, RUBEROID Mop Plus Granule. RUBEROID® 30, RUBEROID® 30 FR or RUBEROID® Mop FR or RUBEROID UltraCladm' SBS in RUBEROID Modified Bitumen Adhesive at an application rate of 1 -2 gal. /sq. (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) 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.. GAFGLAS Mineral Surfaced Cap Sheet • in an approved asphalt at an application rate of 25 lb. /sq. ± 15 %. Maximum Design Pressure: -45 psf (See General Limitation 117) • Ivlaxitttum Fire Classification: See General Limitation 111. Maximum Slope: See General Limitation #1. 19 of 55 Fran Zuloaga, RRC Rooting Product Control Examiner GAF MATERIALS CORPORATION Wool) DECK SYSTEi i LItNIITATIONS: I f\ slip sheet is required with I'Iy 4'l Flex I'Iy" 6 and I'I) 61.2s: when used as a ntechanicalk fastened base or anchor sheet. 2. '/_ Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: I Fire classification is not part of this acceptance, refer to a current Approved Rooting Materials Directory for lire ratings of this product. 2 Insulation may be applied 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 approve'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 may be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip stopped 8" ribbons in three rows, one at each sidelap 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 psf. 5 Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 Ibf. as tested in compliance with TAS 105. If the fastener value, as field-tested. is below 275 IV.. 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 the specific system. Should the fastener resistance be Tess than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer or Architect may be submitted. Said revised fastener spacing utilize the withdrawal resistance value taken from Miami -Dade Protocol TAS 105 and calculations in compliance with Miami -Dade Roofing Application Standard RAS 1 17. 7 Perimeter and corner areas shall comply with the enhanced uplift pressure of these areas. as calculated in compliance with Chapter 23 of the South Florida Building Code. Fastener densities shall be increase for both insulation and base sheet as needed calculated in compliance with Miami -Dade Roofing Application Standard TAS 117. (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8 All attachment and sizing of perimeter Hailers, metal profile, and /or flashing termination designs shall conform With Miami -Dade County Roofing Application Standard TAS 1 1 1 and the wind Toad requirements of Chapter 23 of the South Florida Building Code. 9 The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. Iicld,.perimeters, corners). No rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters. extended corners, and corners). is limitation is specifically referred within this NOA, General Limirr applicable.) 54 ot'55 Acceptance No: 00-0331.0s Frank Zuloaga, RRC Rooting Product Control Examiner C::\1 MATERIALS CORPORATION Acceptance No: (111- 1)331.11ti .., NOTICE OF ACCEPTANCE• STANDARD CONDITIONS I Renewal of this Acceptance (approval) shall be considered after a renewal application has been tiled and the original submitted documentation, including test supporting, data, engineering documents, are no older than eight (8) years. 2 Any and all approved products shall be permanently labeled with the manufacturer's name. city, state, and the Iollowing statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3 Renewals of A \cceptance will not be considered it': a) There has been a change in the South Florida Building Code affecting the evaluation of this prottKt ct and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) It' the Acceptance holder has not complied with all the requirements of this acceptance. including the correct installation ot the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering procession. 4 Any revision or change in the materials, use, aid /or mdnufacture ot the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested.(tthrough the filing of a revision application with appropriate fee) and granted by this office. 5 Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process; b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6 The Notice of Acceptance number preceded by the words Miami -Dade County, Florida. and followed by the expiration date may be displayed in advertising literature. I f any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7 A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all times. The copies need not be resealed by the engineer. 3 Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9 This Acceptance contains pages I through 55. • END OF THIS ACCEPTANCE 55 of 55 Frank Zuloaga, RRC Rooting Product Control Examiner , i r .11;14 ROOF COVERING MATERIALS (TEVT) 1999 Roofing :Mat ROOFING'SYSTEMS Continued NC Incline:1/4• :f' ;;ra . :a5 ih: "Poly -Iso" or. "Poly -Iso Special" with "Potyfoam 251" or "Polyfoanl 5ni:min._ r. ; ai' r t &lr ,' ;... Coat One or two applications! , "Gacoflex'.UB - 7050" »applied at 1 q/application or three applications, applied 1 -1/4 gal/sq/application 2rdry mils): , ,, ,:::.f :' :r• -,,. •t•. .tr - cing: "Gacoflex UA -65" Series (various colors), applied-1 gat/sq (12 mils) •. ;;a, ' r ) t NC Incline: 1/2 , \ i i . m:. "Poly -Iso" or •Poly -Iso Special" with "Polyfoam 251" or "Polyfoam 3r.;1:in. min. tr •,:-... Se Coat: One or two applications "Gacoflex UB- 7050,,•• applied at 1 sq/application or three applications, applied 1 -1/4 gal/sq /application .32 dry mils). - E dng: "Gacoflex UA -60" Series (various colors), applied ' i'gat /sq (15 mils).. ,_ , • 4.1,1) NC • Incline: 2.. amc "Poly=lso" or "Poly -Iso Special" with "Polyfoam` 251" or "Polyfoam 1 ', 1 in, min.' ase Coat: • "GacoSil:S - 1000 ", applied at .1 gal /sq (10, r dy mils), dng: "Gacoflex S- 1000 ", applied'at 1 gal /sq ,(10, dry mils): :NC ,, .• Incline 1 ;•: ". •am: "Polyfoa 251" or "Polvfoam 303 ", any thickn � ess' - '' tirfadng: "Gacoflex Ure- Shield 7007 ", 40 dry mils. ! '\ • ,A ,,, ,. r: , :. Incline: 2 M: Polyfoam :275 "; any thickness.' '' �! efCoat•. Gac A -6211 , 1- 1' /2'gat /sq (14 dry'mils) dng • "Gacoflex'A -6200" serie (various colors);' 1-1/2 gal /sq (14 NC, "' Incline: 2 • dam: Polyfoam 251, "Polyfoam 275" or "Polyfoam 303", any`thickness. ase Coat: 'One 'Or two application's "Gacoflex'UB - 7050'•; "applied at 1 al/sq. /application (16 -32 dry mils). urfadng: ;One - application of "Gacoflex A -55 Series "; (various.. colors); plied at ;1 -1/2 gal /sq.c(15 dry •mils). ^:f.' ; a; • : i NC .Incline: 1/4 1 "?ar 'am: "Polyfoam.251 "; "Potyfoam. 275': or "Pot oam 303 ",.any thickness. ate Coat: "Gacoflex UB -64," applied at 1 -1/2 gal /sq. (18 dry•mils) wel;Coat: 30/60, mesh; crushed walnut shells mixed, at a, rate of gal with "Gacoflex ;UB -64 ' applied at 1-1/2- gat/sq•• or . • "Gacofl -64 ", applied at'1 -1/2 gal/sq (18 dry mils) followed by the broadcast pplication of. 30/60 mesh crushed walnut shells applied at 7 -8 lb /sq. urfadng ::'.'Gacoflex U -66 ", • applied at 1 /2 /sq „(6 dry mils)...; TERIALS .CORP - ;"•!D' R1306 ALPS'RD,'WAYNE NJ 07470 ' , r 1 " f ' ROID 20",or "RUBEROID Modified Base Sheet”. may be utilized: as an Type: G2 base•sheets'in'any of!the' following Classifications. thick ` (min) gypsum board or 1/4 in. thick (min) Georgia-Pacific eck®" overlayment boardimay be used in any existing. noncombustible sification 'When this;* is•=done, the resulting ! • is le'ti:lite over combustible`(15 /32'in :'min) roof decks. The 'pints in 'LM board and overlayment board are offset 6•in :with the jointsin the polystyrene is part of the roof system, it must be placed below the ent ii' • , p ltiple plies of " GAFGLAS Ply 4" or Ply 6" may be adhe to eck" in hot asphalt.• :, • , • LAS Stratavent;Nailable Base Sheet:, may be mechanically attached or I e ; over noncombustible decks ;and, as a..recover over existing roof • - • 1 j - nilol. . ,;P,erlitednsutation mayibe utilizedas a•cover.board over,"EV ARD" kin any of the following systems, yen+ ASPHALT FELT SYSTEMS - WITH: HOT ROOFING'ASPHALT ;ii asphalt glass mat base sheet ( "GAFGLAS #75 Base•Sheet" on "GAFGLAS imum,Base.Sheel ")•is a's'uitable� alternate fo r•;Type Gl'asphaltigtass 9'Sjteet ( "GAFGLAS Ply 4" or, "GAFGLAS Ply 6 ").in the Class A,, B .pr' C roof indicated below.: f:deck• may. first. be- covered with a Type G2 'asphalt' glass mat base GAFGLAS Stratavent (Vent -Ply)• perforated" or "GAFGLASJ lilj,fotinailable decks ".'Perforated to be: mopped and nailablerto' ically attached granule side down. option Type • G2 asphalt 'glassi:mat: base "sheet ( "GAFGLAS ; #7l "Base GAFGLAS #80 Premium Base Sheet" or " GAFGLAS Strata ent (Vent =Ply) . table decks ") may be. substituted ,for bi asphalt glass'• er.pl''sheet LAS.Plyz4" or " GAFGLAS Ply 6 ")•ras• the nailed: base -plytin; e.fdllowing ply or base :sheet may, be solidmopped ;ispot mopped or. me hanically • �t; i ,. ;.r c;, Jor' era otherwiseindicated, alLinsutations maybe •hot ;mopped•onm chanically (k., - ••rl .. 9b (nc —. 'i;F r „.77 ,1'•? :t �' \�- :1fi Gliilii(F1 • • i:SYstgni (Directollf LOOK FOR%T"9JLfeMARKiONti•,RODUCT ROOF COVERING',MATERIALS (TEVT) 141 ROOFING: STSTEMS)(TG .Continued "GAFGLAS Flashing or. "Ruberbid "..may be used-for.flashing in>any of•.the Class A, B or C systems isted :below.(... :•', •.• y..3 :, ;:. 7 -' " When's "perlite "eis -referenced ; - this. includes •: 'GAFTEMP- •PERMALITE any otheet111 Classified :perlite:,insulatidnr •• , ••r;r; : ' ei c' • i - , :. •• Crushed stone or slag are suitable altemates•for,_gravel in any of the Class A, B or,C systemsnlisted. a: ; );;r.,,... 0hi9 :• r• :: r; ,'." .' , a - Structural cement fiber building units are considered suitable to be ' luded as a deck in the following.-,Class A, B or'C systems listed over C-15[32 or NC: ,The use.of gypsum, board under any of the „ systems *terns does adversely ,effect'the use,pf 1/2 in. min gypsum, board is an;ac_ceptable. alternate for, insulation over C- 15 /.32.deck_ s.._` , . The u of 'polystyrene insulation board between min 3/4 in. perlite board and, deck ,with,, rosin,: paper ;(perlite /rosin. paper /polystyrene /perlite) is a suitable alternate for isocyanurate board in the following Class A, , B or C systems: 1... . ` 4. i- ; :'t , -, 1 4 p, ,- 1. ,, •, - , • ;' • - ■ - .. - , - • "GAFTEMP,Isotherm' RAh,. 'GAFTEMP Tapered Isotherm RA” and "GAFTEMP Composite A",may be for. any, - isocyanurate,insulation in. any of the folldwrng.Classifications.. ;,.< -,; ;.i', : . - .,:." ' • , • •', Trumbull "Perma.,Mop ". with any of the following - ,Asphalt Felt with H Systems witot Roofing Asphalt".. GAFGLAS',#80 Premium. Base Sheet maybe -used .in any „of the following systems. fe r' nor .,1 , ) '•' '' •, s , f '• .. ' .. r , ;.'•, ,,, ; slikis -t, ••fn 1't=, to • t ,. ,•• , Class,A. Band C., - y,,-,1 , Hot roofing asphalt, for use with orga felts or mo membranes. corn 1: :''.'r -: 9.:, s, 't,f ;2 :!...*: • L.• "'r? ■� C'S ; C l s a A : ss , . " 1. Deck: C -15/32 c - Incline: 3 c r , Insulati (Optional): i o n a):'One or more Lay perlite, w ood fiberr,,''glass f ' ureth omposi e;'wo flb /iso n com .p he olic, an ' thickn "ess' } -a ,r r ; '''-',-6-:. , 1� - t : , 2F,.'1. Ply.Sheets Three or p ore layers ype " GAFGLAS Ply,(4" or"GAFG 6 , ho mopped :" - z v :i "Surfa g: -Grave A , r ' '5mi,f tnc�irle. 2 • 1< 11:3.:2? Deck: C -15/32 r - i , • Insulation (Optional)• :! Onet ditin'orelayers perlite ;- 'wood'fiber,,glass fiber, • isocyanurate, urethane perlite /isocyanurate composite, ppeerlite/ • urethane. composite ;3wood fiber /isocyanurate composite. phenolic any car:: thickhess:'>' ,3 ?shsq 1i•,,, r, t •! :'.••'J. C: c:it.. a._r!). \'; , l'-Ply- Sheet' Three tit itt oreLayers'Type G1f"GAFGLAS Ply 4" or• "GAFGL'A Ply ;rc:G , :6 "=T.: 41 n• •'Lri t ?V:.',1 :•• :' - .•,, • ' ,.••..:r: • - 3.;•'' + =_ _ Sheet: One' layer Type G3 " GAFGLAS Mineral Suffa ed 'Cap= Sheet". 3. • Deck:;NC :i P ,rya J ti „ � - Incline: 2:1"•.: Insulation ,(Optional):' ;Q - 'o - r - more• =layers' per tei wood• fibers glass " , r. fiber, isocyanurafe, ureth e, perlite /isocyan urate composite ;uperlite/ urethane composite;. wood. anurate.colnposite, phenolic; 2 in. • max. s. :.4 • z :! Ply Sheet: Two,ormore: layers Type G1 " GAFGLAS Ply 4" or " GAFGLAS Ply 6 . s 4 6'.'f1 hrio..•, , a l i t . . - ave4 -:;3 . - r r . io . .: r(1. r:- :1 ,). natt •. Cap Sheet One layer Type,G3.' "GAFGLAS Mineral Surfaced Cap.Sheet". 4A.IiDeck:-NC' ;...;' ?h:r. i -- A3 :teir• ■"- - 'Incllne:ll /231 -;1r •tS£' • _.Insulation: O ne by-two. layers "Isotherm R",- 4 in. max, hot, mopped. -t Ply Sheet: Any surfaced,Class- A :asphalt.glass fiber mat - system, ,. ". ,,,,1,:, ' • eck: „C -15/32 t •, r .:01H-.11. Incline: 1 SlipfShIeet,(Optional): Red ,rosin paper, ;nailedrto, ■ = tBaseiShe,et: ;Onek.layer ofeType;.G2 "dAF.GLAS #75 Ba vnu ,-nailed),- ,5x! ^(.•y'n oar.3isa,re -! -' ':, 5-„v .:4.''t(, :crow.: •- Ply Sheet or more layers of Type Gi ” GAFGLAS Ply 4 ".o• ' 4*-;.1?i6,L`a ! : i' j ?iAJ" -• f ii ,-. ") . ay. ...•: . . y', 1T •'9c p- Cap ,Sheet: One layer. of. Type tr3 "G LA Mineral Surfacer Cap!Sheet". 6. ' Deck: NC- , , ;•) • . . pz`t;Go E fG '- (.r I :; ndirle: Q -4 „_ ='',)' ' Base- Sheet :One,layerrofr.Type G2 . FGL 1175-Base Sheet.".: °t' .r. PlySheet: One or more rayers'ofiType.Gls”- GAFGLAS:PL 4" ortGAFGLAS Ply ' : ? 6"4) a'!'.dtp.t.: i , a5 , yr,l•,i :- :'wain E,?t :=' •' :': ;fir C. '1 v''' . "Cap Sheet: One layer of Type G -3 "GAFGLAS MineralSurfacedNCap Sheet" 7. Deck: C -15/32 , , rr '.ibr ! Incline: 2 ;•t . .t ,-.:ar.'Insulation: On more'layers'perlite ;glass fiber, :i ocyanurate,.urethane, perlite / isocyanurate _composite,-; perlite /urethane composite; phenolic, :c 4.0-in. min (offset.fromsplywood joints in.) „L' .?s --ii ''. • Base Sheet: One or more layers of Type G1, G2 or G3. .. :f;:..• . . Lr o :Membrane: Onerormore Mayers .ofRuberoid •Torch " -(sinooth.or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or • Pv' i G4 "Ruberoid,Mop .Plus.;'(granule)dA i,..•,, , ill n ,'{ • i , . • Cap Sheet "GAFGLAS Mineral2SUrfaced .,Cap;Sheet",:hot :mopped. . 8. Deck: -C -15/32 ' nr'!'•roi Incline: 2 • "`+ ' ,(^•i?i Insulationn(Optional):. Ode or.: layerstiperlite);wood •fiber] glass fiber,- •:isocyanu,rate, urethane; perlite/ isocyanurate .•cohtposite.vverlite/ • iii b:ar:urethane.,composite, ,wbody fiber/ isocyanurate ,composite,.lihenolic, any thickness. - : .. . •'r,Jq • 5 .Ply ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU) — Continued Cin: (min) Georgia- Pacific "Dens Deck® Overlayment" are used directly the deck with all joints staggered 6 in. (min) from plywood joints. vapor, barrior may be optionally installed under all systems utilizing GUARD" insulation. "EVERGUARD" insulation is an acceptable alternate ny polyisocyanurate insulation of the following systems.•.GAFGLAS may be used as an option over EVERGUARD insulation. GAFGLAS ent Perforated Base Sheet may be utilized as an additional ply in bf.•the following systems. Class A - Ballasted eck: NC . Incline: 2 Insulation: One or two layers "Isotherm R ", any thickness, loose laid or P echanically fastened. Membrane: Any UL Classified membrane used in a ballasted system. Surfacing: River bottom stone, 3/4 to 1 -1/2 in. diam, 1000 lbs /sq. Deck: C- 15/32. Incline: 1/4 (NC -2) Insulation: Perlite, glass fiber or wood fiber, 3/4 to 1 -1/2 in. Membrane: "Ruberoid® Torch 1" (modified bitumen). Surfacing: Gravel at 400 lbs /sq, loose laid or concrete blocks, at 10 Ibs /sq and spaced not more than 1/8 in. elk: NC Incline: 3 Insulation (Optional): Perlite, glass fiber or wood fiber, 3/4 to 1 -1/2 in. Base Sheet (Optional): Type 15 asphalt organic felt or Type G2. Membrane: "Ruberoid Torch 1" (modified bitumen). Surfacing: Gravel. eck:.0 -15/32 Incline: 1/4 Insulation (Optional): Perlite, glass fiber or wood fiber, any thickness. Membrane: "Ruberoid® Torch 1" (modified bitumen). Slip Sheet: 0.004 in. polyethytene (not UL Classified). Surfacing: 3/4 in. thick concrete with one layer of No. 10 Summerville Quarry file (or equivalent) grouted in place. ecki,NC Incline: 2 Insulation (Optional): Perlite, glass fiber or wood fiber, any thickness. Membrane: "Ruberroid® Torch 1" (modified bitumen). Surfacing: 3/4 to 1 -1/2 in.•diam river bottom stone at 1000 lb /sq or concrete pavers weighing not less than 10 lb /sq•ft and spaced not more ithan;•1 /8 in. Deck: NC Incline: 3 • Insulation: a)Polystyrene, 2 in. max, b)Isocyanurate, any thickness, laid (loosely. Membrane: "EverGuard SR" or "EverGuard FB ", 40 -100 mil (TPA), laid loosely. Surfacing: River bottom stone (3/4 - 1 -1/2 in. diam) at 1000 lb /sq or concrete roof pavers. ''"' Class A - Fully Adhered Deck: NC Incline: 1/z Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ airethane composite, wood fiber /isocyanurate composite, phenolic, any thickness. .Base Sheet Optional): One or more layers Type Gl, G2 or G3. 'Membrane: One or more layers "Ruberoid Torch" (smooth or granule), 4 "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus "'(granule). Surfacing: Gravel, 400 lbs /sq, loose laid or applied in a flood coat of hot roofing asphalt. Deck: NC Incline: 1/2 Base Sheet (Optional): One or more layers Type Gi, G2 or G3. Membrane: One or more layers "Ruberoid Torch" (smooth or granule), ',"Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1 -1/2 - 3 gat /sq. Deck: NC Incline: 1/4 Insulation (Optional): One or more •layers perlite, wood fiber, glass . fiber, any thickness. . Base Sheet (Optional): One or more layers.Type Gi, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (granule) or "Ruberoid Mop Plus" (granule). Coating: Karnak No. 97, 1 -1/2 - 3 gal /sq. Deck: C -15/32 Incline: f/2 Insulation: One or more Layers perlite, glass fiber, isocyanurate, urethane,, perlite/isocyanurate composite, perlite /urethane composite, phenolic, ,11-1/2 in. min thickness (offset from plywood joints :6 in.). - Base Sheet: One or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers. of Type G1. • 'Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). •) ++ Surfacing: Karnak No. 97, 1 -1/2 - 3 gal/sq. . Deck: NC Incline: 1/2 1999 Roofing Materials and °Systems Directory LOOK FOR -THE UL MARK ON-PRODUCT ROOF COVERING MATERIALS (TEVT) 143 ROOFING,SYSTEMS (TGFU) — Continued .,•Base Sheet (Optional): One or more layers of Type G1, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule). Surfacing Optional): Karnak "No. 97" or "169" at 1 -3 gal/sq or Grundy Ind. "20 F Emulsion" at 3:gal/sq. 6.`; Deck: C -15/32 ' • Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane; perlite/isocyanurate composite, perlite /urethane - .1: composite, phenolic, 1 -1/2 in. min. Base Sheet (Optional): One or more layers of Type Gi, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). • ,Surfacing: Gravel. 7. Deck: C -15/32 • Incline: 1/2 Insulation (Optional): One of more layers perlite, wood fiber, glass fiber, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, wood fiber/isocyanurate composite, phenolic. Base Sheet: Two or more layers of Type G2 or G3. Ply Sheet (Optional): One or more layers of Type Gl. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: Karnak No. 97, 1 -1/2 - 3 gal /sq or graveL 8. .Deck: NC, Incline: 1/2 Insulation: One or more layers perlite, glass fiber, 3/4 in. -min, isocyanurate, urethane, perlite/isocyanurate composite, perlite /urethane composite, phenolic, 1 -1/2. in. min.• Base Sheet (Optional): One or more layers of Type G3, G2 or G3. Membrane: One or more layers of "Ruberoid Torch" (smooth or granule), "Ruberoid Torch Plus" (granule), "Ruberoid Mop" (smooth or granule) or "Ruberoid Mop Plus" (granule). Surfacing: "AL MB Aluminum Roof Coating" at 1- 2- gal/sq. 9. Deck: C- 15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite /isocyanurate composite, perlite/ urethane composite, phenolic, 1 -1/2 in. min. Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. • Ply Sheet: One or more layers of Type Gi " GAFGLAS Ply 4 ", hot mopped in place. Membrane: "Ruberoid Mop FR" (granule). - Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal/sq or GAF Weather Coat Emulsion at 3 gal/sq. 10. Deck: C -15/32 Incline: 1/2 Insulation (Optional): One or more layers perlite, glass fiber, 3/4 in. min, isocyanurate, urethane, perlite/isocyanurate composite, perlite/ urethane composite, phenolic, 1-1/2 in. min. Base Sheet One or more layers of Type G2 "GAFGLAS: #75 Base Sheet", hot mopped or mechanically fastened in place. Ply Sheet One or more layers of Type Gi " GAFGLAS Ply 4 ", or "GAFGLAS Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). • . Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal/sq or GAF Weather Coat Emulsion at 3 gal/sq. 11.' Deck C -15/32 Incline: 1 Insulation: Isocyanurate, 2 in. min., wood fiber, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints •offset 6 in. Base Sheet One or more layers•of Type G2 "GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. . Ply Sheet (Optional): One or more layers of Type G1 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal/sq or GAF Weather Coat Emulsion at 3 gal/sq. 12. Deck:.0 -15/32 • • Incline: 1/2 Insulation (Optional): Isocyanurate, perlite or glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. Base Sheet One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped or mechanically fastened in place. Ply Sheet: One or more layers of Type G3 " GAFGLAS Ply 4" or "Ply 6 ", hot mopped in place. - • Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Fibered Aluminum Coating at 1 -1/2 gal/sq or GAF Weather Coat Emulsion at 3 gat/sq. - 13: Deck: NC . Incline: 1/2 '. Insulation (Optional): Isocyanurate, wood fiber board, perlite, glass fiber, any thickness, hot mopped or mechanically fastened in place. Joints offset 6 in. - ' i; , , • 144 ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU) — Continued Base Sheet: One or more layers of Type G2 "GAFGLAS #75 Base Sheet", hot mopped in place. Ply Sheet (Optional): One or more layers of Type 61 "GAFGLAS Ply 4" or "Ply 6" hot mopped in place. - ' Membrane: "Ruberoid Torch 170FR" (granule)... Surfacing (Optional): "GAF Fibered Aluminum Coating" at 1 -1/2 gal /sq or GAF Weather Coat Emulsion at 3 gal /sq. 14. Deck: NC Incline: 1/2 Insulation (Optional): Isocyanurate, wood fiber •board, perlite, glass fiber, any thickness, hot mopped . or mechanically fastened in. place. Joints offset 6 in. Base Sheet: One or more layers of " GAFGLAS #75 Base Sheet", hot mopped in place. Ply Sheet (Optional): One or more layers of "GAF GLAS Ply 4 "'or "Ply 6" hot mopped in place. • Membrane: "Ruberoid Torch 170FR" (granule). Surfacing (Optional): GAF Weather Coat Emulsion applied as 3 gal/sq or GAF Fibered Aluminum Coating at 1 -1/2 gal /sq. " k: C -15/32 Incline: 1/2 nsulation (Optional): Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate 1",i or phenolic i •. Base Sheet: One or more layers Type G2 r 63 sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type 61, hot mapped in place. Membrane: "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule): 16. Deck: C -15/32 Incline: 1/2 • • Insulation (Optiona9: Perlite, fiber glass, isocyanurate, urethane, perlite/ isocyanurate composite or phenolic, offset 6 in. from joints. Base Sheet: One or more layers of .Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. • . " Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" or "Ruberoid Mop" (smooth). Membrane: One layer of "Ruberoid Torch 170FR" or "Ruberoid Mop FR" (granule) 17. Deck: NC Incline: 1 Insulation (Optional): Perlite, fiber glass, wood 'fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic..' Base Sheet: One or more layers Type G2 or G3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers Type 61, hot mopped,in place. Membrane: One layer of "Ruberoid Mop FR" or !'Ruberoid Mop 170 FR" (granule). 18. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, fiber glass, wood fiber, isocyanurate, urethane, perlite /isocyanurate composite or phenolic. Base Sheet (Optional): One or more layers of Type G -2 or G -3 base sheet, hot mopped or mechanically fastened. Ply Sheet (Optional): One or more layers of Type G -1, hot mopped in place. Membrane: One layer of "Ruberoid Torch" (smooth), "Ruberoid Mop" (smooth). Membrane: One layer of "Ruberoid Torch 170FR ", "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule). \19\ Deck: NC Incline: 1/2 Insulation (Optional): One or more layers of perlite, glass fiber, isocyanurate, urethane, perlite / isocyanurate composite or phenolic, any thickness. Base Sheet: One or more plies 61 or G2, hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "(lo. 6160" cold applied adhesive at 1 -1/2 gal /sq. Membrane: One layer of "Ruberoid Mop FR" or "Ruberoid Mop 170 FR" (granule), hot mopped or adhered with Karnak Chemical Co. "No. 81" or Gibson -Homan "No. 6160" cold applied adhesive at 1 -1/2 gal /sq. 20. Deck: C -15/32 Incline: 1/4 . Insulation: Polyisocyanurate, any thickness. Base Sheet: "GAFGLAS #75" (Type 62), ,mechanically attached. Membrane: One or more plies of "Rubberoid Torch (smooth). Membrane: "Ruberoid Torch 170FR" (granule). 21. Deck:. C -15/32 Incline: 1/2 Insulation (Optional): Polyisocyanurate, wood fiber, perlite,:.glass fiber any thickness, hot mopped or mechanically fastened. • Base Sheet: One or more plies of Type G2 " GAFGLAS #75" or "Ruberoid 20 FR" base sheets, hot mopped or mechanically fastened. . Membrane: One or more plies of "Ruberoid 30 FR" hot mopped in place. 22. Deck: C -15/32 Incline: 1 Insulation (Optional): Polyisocyanurate, wood fiber, perlite; or ,glass fiber any thickness, hot mopped or mechanically fastened. Base Sheet One or more plies of Type G2 "GAFGLAS #75" hot mopped or mechanically fastened. 1999 Roofing .Materials and Systems Directory LOOK FOR 'THE .UL MARK ON PRODUCT ROOF COVERING MATERIALS (TEVT) ROOFING SYSTEMS (TGFU)— Continued Ply Sheet: One or more plies of "Ruberoid 20" or "Ruberoid 20 FR ", hot mopped in place. . 0 Membrane: One or more plies of "Ruberoid 30 FR ", hot mopped in place. Deck: C -15/32 Incline: 1/2 • . Insulation (Optional): Fiber glass or perlite, mechanically - .fastened. I • Base Sheet: One or more layers Type G2, hot mopped or mechanically •• fastened. Ply Sheet: Two or more layers Type 61, hot mopped or mechanically fastened. Membrane: "Ruberoid 30" or "Ruberoid Modified Cap Sheet 601 ", hot mopped in place. • - 24. Deck: NC Incline: 1/4 ' Insulation (Optional): Polyisocyanurate, perlite, glass fiber or wood fiber, 2 in. max. Base Sheet: Type 15 asphalt organic felt, Type G2 or "Flex Base 60" (modified bitumen), mechanically fastened or adhered with hot roofing asphalt. Membrane: "Ruberoid® Torch 1" (modified bitumen). Surfacing: Karnak Chemical "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating" or "Karnak No. 97 Asbestos Free Aluminum Roof Coating" ' at 1 to 2 gal /sq. 25. Deck: C-15/32 Incline: 1/4 Insulation: Two layers glass fiber (staggered joints), 1 in. each. Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt. Membrane: "Ruberoid® Torch 1" (modified bitumen). • Surfacing: Karnak Chemical "Karnak No. 97 Fibrated Aluminum Roof Coating" at 1 to 2 gal /sq. 26. Deck: NC Incline: 1/4 • Membrane: "Ruberoid® Torch 1" (modified bitumen). Surfadng: Karnak Chemical "Karnak No. 97 Fibrated Aluminum Asphalt Roof Coating" at 1 to 2 gal /sq. 27. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, wood fiber or glass fiber, 1 in. max, mechanically fastened or adhered with hot roofing asphalt. Base Sheet: Type G2 or "Flex Base 60" (modified bitumen), mechanically fastened or adhered with hot roofing asphalt. Membrane: "Ruberoid® Torch 1 ", heat fused. Surfacing: Monsey Products "Endure Aluminum Roof Coating ", "Weather Check" or "Pro -Grade Aluminum Roof Coating ", 1:5 gal /sq. 28. Deck: NC Incline: 1/2 Insulation (Optional): Perlite, wood fiber, glass fiber or isocyanurate / urethane board, 2 in. max, mechanically fastened. Base Sheet: Type G2 (modified bitumen), mechanically fastened or adhered with hot roofing asphalt. Membrane: "Ruberoid® Torch 1" (modified bitumen), heat fused. Surfacing: Monsey Products "Dura- White ", "Endure White Elastomeric Roof Coating" or "Pro -Grade White Elastomeric Roof. Coating ", 3 gal /sq. 29. Deck: NC Incline: No limitation Insulation (Optional): Polyisocyanurate, urethane, glass fiber, perlite, wood fiber, any combination in any thickness, mechanically fastened or adhered with hot roofing asphalt. Base Sheet: Type G2 (modified bitumen), mechanically fastened. Membrane: "Ruberoid® Torch 1 ", heat fused. Surfacing: "Tuff-Corp" field mixed insulating coating composed of 6 -2/3 cu ft of perlite, 7 lb of "TC -500 Masterbatch ", 94 lb Portland cement and 17 gal of water spray applied to min 1/2 in. 30. Deck: C -15/32 Incline: No limitation Insulation (Optional): Polyisocyanurate, urethane, glass fiber, perlite; any combination in any thickness, mechanically fastened. Base sheet: Type G2 (modified bitumen), mechanically fastened or adhered with hot roofing asphalt. • Membrane: "Ruberoid® Torch 1 ", heat fused. Surfacing: 'Tuff- Corp" field mixed insulating coating composed of 6 -2/3 cu ft of perlite, 7 lb of "TC -500 Masterbatch ", 94 lb Portland cement and 17 gal of water spray applied to min 1/2 in. . -• 31. Deck: NC • Incline: 1/2 Insulation (Optional): Glass fiber, perlite, wood fiber, 1 in. max, mechanically fastened or adhered with hot roofing asphalt. Base Sheet: Type G2, mechanically fastened or adhered with hot roofing asphalt. . Membrane: "Ruberoid® Torch 1" (modified bitumen), heat fused. Surfacing: Henry "No. 229 Asphalt Emulsion" at 1' gal /sq or GEO Industries "No. 929 Aluminum Emulsion" at 1 gal /sq. 32. Deck: NC • ; • Incline: 1/2 Insulation: Polyisocyanurate, glass fiber, perlite, wood fiber, hot mopped • or mechanically fastened any thickness. Base Sheet: Type G2, mechanically fastened or hot mopped. Membrane: "Ruberoid ®. Torch 1 ", heat fused in place: Surfacing: Henry, "Henry 520 Aluminum ", applied at 1 -1/2 gal /sq. FLORIDA WLNDSTORM UNDERWRITING ASSOCIATION MITIGATION VERIFICATION A)• r il)AVI T Polity Number: '7 ` g0 Item No: Named Insured Location Address 64 / 9 t s't, � Zm; 5J7»-P zi FL Description Sheathing/Attachnient 1. Does this roof knave, at a minimum, 1/2" roof sheathing? 2. YES NO NOT VERIFIED is the sheathin €; attached to the roof trusses by 8D nails or greater , e.g. (1OD nails or #8 screws) which are spread 6" on edge and 12' or better in the field or a AFG -01 structural adhesive that is continuously applied, using the manufacturer's instructions, on both sides of the truss/rafter with a' /< " or greater bead between the sheathing and each truss/rafter over the entire length of the truss/rafter and its connection with the sheathing to within a foot of the roof overhang? A foamed polyurethane sheathing adhesive described under "secondary water resistance" meets this requirement. Secondary Water Resistance Wall Construction YES NO 3. Does this roof have a self adhering polymer modified bitumen roofing underlayment (thin rubber or asphalt sheers with peel and stick underside located beneath the roof covering) or a foamed polyurethane adhesive that is applied to seal all joints in the sheathing to protect from interior water intrusion? All secondary water resistance products must be installed per the manufacturer's instructions. Roofing felt or similar paper based products are not acceptable for secondary water resistance. YES 'LA., t, Qk" /L `f • l' ean• S qtr I 4- t, S NOT VERIFIED NO NOT VERIFIED Roof Straps 4. Are there roof straps/clips installed on each truss/rafter per the manufacturer's installation requirements? YES y NO NOT VERIFIED Roof Construction cl . - d S. ct,- -- e/ 5 L -e e 1 R oc F 5. Is this a reinforced concrete roo . (A roof deck designed in accordance with the provisions _ of ACI (American Concrete Institute) 318. The roof deck shall be monolithic and constructed integrally with the wall system and meet the wind load requirements of the local building code.) YES NO \/ NOT VERIFIED 6. Is this a reinforced masonry structure? (Exterior walls are constructed of masonry materials that are reinforced with both vertical and horizontal steel reinforcement and are relied upon for structural stability. Vertical reinforcement shall be fully grouted in the cells of hollow masonry units, and horizontal reinforcement shall be fully grouted in specially formed [Bond Beam] units designed for that purpose or poured concrete tie beams. Tilt -up or poured concrete wall units shall be reinforced both vertically and horizontally with reinforcing steel.) YES - NO NOT VERIFIED s ,-r r Continued on Page 2 MIT -1 7/00 1 Gable Bracing for i entification: FLORIDA WINDSTORM UNDERWRITING ASSOCIATION MITIGATION VERIFICATION AFFIDAVIT Page 2 7. If this is a gable root; is the gable braced? (Trusses [or the wall portion that extends above the gable end wall] are strengthened by properly securing (via I6d nails or 3 ", 14 guage wood screws) the bottom chord of the truss to the top of the end wall and bracing the bottom chord to the adjacent trusses [o prevent the wind from pushing or pulling the gable end where the gable T, truss is connected along the gable wall.) e, o , t e e d C 0.,Tru6 _e d ° - R ''' ` t ,,_.,_..,a (''1 n d YES NO '( NOT VERIFIED. /:-:::-::: Garage Doors L/0 1 sc - S R .0 4 ., 8. If there is an atta.ched garage does the door(s), meet or is retrofitted to meet ASCE 7/88 wind and debris impact standard, adopted by Dade County in September 1994, or any local code that meets at a minimum these standards; or is the door(s) compliant with SSTD -12 wind pressure and debris impact standards? Y °S K NO NOT VERIFIED I hereby certify that I am either a resident Licensed Building Contractor, Registered Architect or an Engineer in the State of Florida or a Building Code Official (who is duly authorized by the State of Florida or it's county's municipalities, to verify building code compliance). In my professional opinion, based on my knowledge, information and belief; 1 certify that the above statements are true and correct. This certification is intended only for the benefit of the named insured's receipt of a property insurance premium discount and for no other purpose. By completion of this Affidavit, the undersigned does not make a health or safety certification. Signature �� (Notarize below) License No 13L4 - C> V ° G Y 7 State of Florida County of MI C( m With respect to the above, 'The above named signatory has sworn to and subscribed before me this day ofM ,A.D., 200Q (? b 4 xh of person making the statement) the information wi in this document is accurate and true. The above signatory is personally known to me or produced , (type of identification) Print, Ty pe:o €:Stamp, Name of N otary FWUA reserves the right to confirm all information contained in this form via a survey of the risk. "Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree." 2 Date MIT -1 7/00 Policy Nurnber : 7 LH ?so Item No.: Named Insured yfir(7,,, t�C��1 f , 1;4- Location Address ,S 1 / A, 4 E, %1 j N 1 /( 7 — Jilf1iTh Sid /'Q ,) FL l3F Description Sheathing/Attachment 1. Does this roof have, at a minimum, 1/2" roof sheathing? YES X NO NOT VERIFIED 2. Is the sheathing attached to t]ie roof trusses by 8D nailsor ( ) spread g 8 y greater , e.g., lOD nails or #8 screws) which are read 6' on edge and 12' or better in the field or a AFG- 01 Crstructural adhesive that is continuously applied, using the manufacturer's instructions, on both sides of the truss/rafter with a ' /a" or greater bead between the sheathing and each truss/rafter over the entire length of the truss/rafter and its connection with the sheathing to within a foot of the roof overhang? A foamed polyurethane sheathing adhesive described under "secondary water resistance" meets this requirement (V o YES NO NOT VERIFIED Secondary Water Resistance FLORIDA WINDSTORM UNDERWRITING ASSOCIATION ROOFING VERIFICATION AFFIDAVIT 3. Does this roof have a self adhering polymer modified bitumen roofing underlayment (thin rubber or asphalt sheets with peel and stick underside located beneath the roof covering) or a foamed polyurethane adhesive that is applied to seal all joints in the sheathing to protect from interior water intrusion? All secondary water resistant products must be installed per the manufacturer's instructions. Roofing felt or similar paper based products are not acceptable for secondary water resistance. YES NO NOT VERIFIED Roof Covering 4. Please indicate the type of roof covering installed. �) ❑ Shingle ❑ Concrete Tile i Clay Tile ❑ Slate ❑ Other (Describe) nU f /, r (/ a vs„Q d u re / Rio [ / / cre Jr- Continued on Page 2 ^ C ` 1 � / s Mrr•Z 7ro0 ' L J 1 hereby certify that ( am a resident Licensed Roofing Contractor in the State of Florida. In my professional opinion, based on my knowledge, informauon and belief, I certify that the above statements are true and correct. This certification is intended only for the benefit of the named insured's receipt of a property insurance premium discount and for no other purpose. By completion of this Affadavit, the n rsigne. ; of make a health or safety certification. Signature License No State of Florida County of (Notarize below) Date 3 - Z ( — O - S C Ole .? With respect to the above, The above named signatory has sworn to and subscribed before me thi day of ' a.D., 200 by 'S i'ol person making the statement) the information wi n this document is accurate and u The above signatory is personally known to me or produced Aft type of identification) (P la for identification. Signa % e of: bk . ; ;r FWUA reserves the right to confirm all information contained in this form via a survey of the risk. "Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree." ROOFING VERIFICATION AFFIDAVIT Page 2 Print, Type of Stamp Name of Notary Policy Holder and Property Information Policy Holder's Name y / 46- L � I, !' d- �� Policy Number yNii98D Property Address ./J ,,/, E. qc.ot- A-Az c r city )/K' 14-.7)r' a r{q,u_w< rt_, zip 33136 Surveyor Surveyor Code Number Secondary Water Resistance: If yes, Which Type: Roof Sheathing Attachment: Shutters or impact assembly on all openings: XYes DNo Dade County Approved? XYes DNo ❑Hurricane :Ordinary Garage Door Dade County Approved? ?Yes DNo If No, is it braced with approved system? Yes DNo Roof Tie Down Straps /Clips: `Yes Gable Ends Properly Braced? `4Yes Reinforced Masonry Roof? Yes Reinforced Masonry Walls? Comments: THIS SURVEY IS INTENDED ONLY FOR THE BENEFIT OF THE NAMED INSURED'S RECEIPT OF A PROPERTY INSURANCE PREMIUM DISCOUNT AND FOR NO 0 - - RPOSE. BY COMPLETION OF THIS SURVEY, THE UNDERSIGNED DOES NOT MA CERTIFICATION. Surveyor Signature Z �.. MITIGATION SURVEY Survey Information Building Information Surveyor Date Z ( U Z 'Yes DNo D Exterior ¥Verified : Certified (Attach Certificate) D Interior 06d Nails $8d or Larger Nails ❑Adhesive DNo O N o XNo 0 is b.40 W o Co Date: 3 - LM$-1 7W pdo 30_5 ?37 OF(k) Date3 (/C Time Type Insp'n Permit No. Nam Address Company MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Phone # 36),j 7 .S 7.- 0 () 4 (" For Inspector: / /Z Nam Correction Re- Insp'n Fee The intent of this form is solely for the application of shutter discounts. This form is not for use in conjunction with any other mitigation features or discounts. .e APPLICANT OR INSURED'S NAME: s i & J L% 1 J� DATE DEVICE(S) INSTALLED: AGENT /APPLICANT: The property address shown in 13.2 must match the property address an the Application for Coverage to which this document pertains. Shutter Requirements: A. All exterior wall and roof openings. such u doors (exterior and garage), windows. sky-lights and vents, of the insured building or unit, if a condominitan unit, as described in the Declarations, is fully protected with STORM SHUTTERS of any style and material, or alternative as noted in Section B, designed and properly installed to meet one or more of the criteria requireme listed below. All shutters and/or alternative to shutters at the location shown in D.2 of this form are designed to mat one of more of the following: 1. withstand wind pressure that at a minimum meets the American Society of Civil Engineers, July 1988 standards (ASCE 7/88) and impact from wind -bane debris, adopted by Dade County, Florida in September 1994 or any local code that meets, at a minimum. September 1994 Dade County requirements for wind pressure and impact from wind borne debris or complies with SSTD -12 standards for wind pressure and impact from wind borne debris. 2. withstand wind pressure that at a minimum meets the standards set forth in the South Florida Building Code, adopted in Dade County, Florida in August 1988. NOTE: Roof ridge vents, soffit vents, and breakaway walls as defined and required by the National Flood Insurance Program (NFTP), and other non shutter openings as required by the Dade County building code, do not have to be protected by shutters. B. As an alternative to Storm Shutter(s): 1. The garage door(s) mats or is RETROFITTED to meet the wind pressure and debris impact requirements noted in Al. 2. The exterior door meets both the wind pressure and debris impact requirements described in Al. • Revised 3/14100 1:33 PM WINDSTORM PROTECTIVE DEVICES - (HURRICANE/ORDINARY) PROOF OF COMPLIANCE RESIDENTIAL FORM LIr APPLICATION/POLICY NO. '3: • Window-or other wall, and roof opening(s) are covered by permanently installed glazing material that, along with respective window or other wall and roof opining structural components, meet both the wind pressure and debris impact requirements noted in Al. As the Insured, I certify the following: C. 1. 1 will close and secure my shutters in event of a tropical ' storm or hurricane affecting my pretnise(s): and 2. 1 have made arrangements to close and seam all shutters in my building or unit (if in a multi-unit building) when I am away from the premise. • 3. The devices certified below are property installed in compliance with the manufacturer's installation recommendation and aforetaentioned building codes 4. "While your failure to comply with the above conditions will not result in denial of a claim for loss caused by the peril of Hurricane, Other Windstorm or Hail, we reserve the right to discontinue the benefits of this endorsement, including any related premium credit, in the event of such failure", and as stated in the policy conditions, ".._.....we may canal immediately if there has been a material misstatement or misrepresentation or failure to comply with underwriting quirerocus - . established by us." D. A signature of either a Registered Architect, Regulations and Code "Qualifier" for a Manufacaring Company. Engineer, or Building Code Compliance Official is required to verify section A and/or B. Notary Public to affirm. (Continued on Page 2) weo-ttt nmo) rise 1of2 This certification is intended ONLY for the benefit of the Named Insured's receipt of a es�. ty in s ace premi um d a' s c� of the • count and for no ether purpose. Unless otherwise specifically agreed in writing. other person o building or unit owners, shall not be entitled to rely on this certification. 1. 1 hereby certify that 1 am a State of Florida registered Architect, or an Engineer, proficiau in structural design, or a duly designated Regulations and Code 'Qualifier" for a Manufacturing Company, or a Building Code Official (who is duly authorized by the State of Florida or it's county's municipalities, to verify building code compliance): and 2. In my professional opinion, based on my knowledge, information and beliet; 1 hereby certify that shutters, or alternatives to shutters, on the building or unit at the address indicated below, comply with one or more of the stipulations set forth in section A. and where applicable section B: (check all that apply) (check one only) (check all that apply) (ch_o one only) A. 1(}�i� e ) _ B.1 (Hurricane) � (Hurricane) A.2 (Ordinary) 8.1 B.2 (Hurricane) A.2 (Or _ B.2 (Hurricane) B3 (Hurricane) 7 - B.3 (Hurricane) 3, /. Date Signature.. Bu ding Date Architect/Engineer/Qualifier ct of nRegisrered Code Compliance Official (Notarize blow) Arehiteq/EngmeerlQualiSer (Notarize below) Print Name Below '-re ors Dies A. a r it q • t s Title "5., .Te r� ---'‘ S' � i • L Address F3 Llr l O e G e t d�' --- V.47 T T . City /Station Dept. Department Address /0 0 5•0 ,' t''.. 4. c. . Registration Number S• 4.... c . J t- L ` _ 53/ ..,C. City/State/Zip � ' �� • Phone Number C)S - fl 41 S — Z 0 Proper 4 A/t E C :3 rn t.4.•r -0 51er � 5. r State of Florida, County of 1111011aM, 100 With respect to the above, AD.,2899 The above The named signatory has swan to and subscribed before me this iy day of _ b tipS he 1 l�! of person nfaking the rtat a information tamed within this emu is 1. iderut' c on @lA and true. lyknown tome- a prod (tYPe FIR ~ PS fi A G O ei ro . t∎ O. r. - . (l Ggut I igna Of 0taty a .cur• SF : `� = • .. • Print, Tycle or Stamp Name of Notary . Revised 1I/3199 1 tO3 AM E. Hardship Acceptance when signature in Section D. above cannot be procured: 1 have attached documentation proving that shutters, other devices, and doors without shutters meet the wind pressure and debris impact requirements stated in the rule and the devices are properly installed in compliance with the manufacturer's installation m recomendation and 5faemeatia ted building codes. Such documentation must come from a Build'mg Code and Comp Official, the Regulation and Code "Qualifier for the Manufacturing Company, a Florida Registered Architect, or Engineer proficient in structural design. Such documentation may be waived if said individuals complete Section D of this document. Signature of Applicant Date FWUA reserves the right to confirm all information contained in this form via a mrvey of the risk. Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an applieatjoo containing any false, incomplete, or mbleading information is guilty of a felony of the third degree WWI. Ps6e2 oft • /6 Name and address of licensed contractor MBAMI SHORES VILLAGE APPLIMI'TI ®N FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. 1311:' .DING INSPECTION DEPARTMENT Date December 16th Owner's Name and Address Jim DeCarlo, Contractor N 541 Registered Architect and /or Engineer Lang Roofing & Tile Co., Inc, __ N. W. __71at...Street. Miami Location and legal description of lot to be built on: Lot__ Block Subdivision Street and Number where work is to be done 541 N. E. 94th Street State work to be done and purpose of building (by floors) - Install 4_ply__A sphalt _ - and wave- ]__.roof _Qx1 new__ e�idition .__T3n___ca�a..1- 3Q #._falt _ ta__sheathing boards, mop 2 -15# felt s with hot asphalt and cover with pea rock & other purpose. New Building Remodeling Addition yes Repairs No. of Stories 1 To be constructed of Kind of foundation Roof Covering__47PlY___gravel Estimated Total cost of improvements $ 195.00 Amount of Permit $ 5. 00 Zone cubage required plan Cubage Distance to next nearest building__.. Size of Building Lot Maximum live load to be borne by each floor___ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such ubcontractors, ork to be performed under this permit, as are licensed by Miami Shores Village. Remarks. _______ 4. *.sgs. (Signed) - - Street N. E. 94th ,19 6 4 STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared --- - - - - -- - - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No.—if 7 - 7 Date__ /7 � _ 9 6 7 Read, Sworn to and Subscribed before me. Disapproved ___. mate_ ( Signed) _ `B uilding Inspector PLANNING BOARD__ ___. DATE Notary Public, State of Florida My Commission Expires Chairman Member Member .- . Member Member Member Council Approved _Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper not. ^e for inspc, Lion or faulty materials and /or workmanship. _ r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No Owner's Name and Address Registered Architect and /or En eer Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE. I SS. Amount of Permit $ 4 Q 4 L 6 No c .f Street..A/E 4 No I. , Street_.. A- ef Street V... 1._g Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No . 4 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Amps Feeders Conduit Main Sw Am s Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed). E1ec�h s1— Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, onw. Ti .erformed under this permit, as are licensed by Miami Shores Village. (Signe 011 6e6 -.elm Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK _ r MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date .1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Permit No Owner's Name and Address Registered Architect and /or En eer Employing Electrician's Name STATE OF FLORIDA, COUNTY OF DADE. I SS. Amount of Permit $ 4 Q 4 L 6 No c .f Street..A/E 4 No I. , Street_.. A- ef Street V... 1._g Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No . 4 State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Amps Feeders Conduit Main Sw Am s Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed). E1ec�h s1— Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, onw. Ti .erformed under this permit, as are licensed by Miami Shores Village. (Signe 011 6e6 -.elm Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLIILATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date__ Owner's Name and Address. M r. E. Y a g l e No 541 Street and Number where work is to be done Permit No Disapproved _ (Signed) Council Approved Date k ' ' 7 2 . Date January 24 Read, Sworn to and Subscribed before me. Notary Public, State of Florida CA! Build' g Inspector My Commission Expires PLANNING BOARD__ ____ DATE Chairman _ ._ Member Member Member Member Member ,19 72 Streec__ N, E. 94th St. Registered Architect and /or Engineer Name and address of licensed contractor O b e n o u r Roofing Co. 7357 N, W. Miami C t. Location and legal description of lot to be built on: Lot Block Subdivision 541 N. E. 94th St. Remove the existing roof: Replace with State work done and purpose of building by floors) 3b o b 2 - lb. felts, 1 -90 f b. slate, galv. flashing and green shingle tile. and for no other purpose. New Building Remodeling Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering 19 S q s . Estimated Total cost of improvements $ 2190.00 Amount of Permit $ 5 , 00 Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor___ _ I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the worJuch public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontrac rs, on . work to rmed under this permit, as are licensed by Miami Shores Village. Remarks__ ...... (Signe STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. 138 Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspe, ,ion or faulty materials and /or workmanship. Na RESULT , No :: RESULT No `RESULT Na RESULT Na ::RESULT 1 -5 Passed 21 -25 Passed 41-45 Passed 61 -65 81-85 6 -10 Passed 26 -30 Passed 46 -50 66 -70 86 -90 11 -15 Passed 31 -35 Passed 51 -55 71 -75 91 -95 16 -20 Passed 36-40 Passed 56-60 76 -80 95 -100 Testing Equipment: Digital Chatillon DFIS 200 NELC 0 TESTING AND ENGINEERING SERVICES Miami -Dade County Approved Testing Laboratory Certification No. 00- 1102.03 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO -DADE COUNTY PROTOCOL PA -106 PROPERTY ADDRESS: 541 ne 94 st. Miami Shores PERMIT No: 48848 OWNER: Yagte PCA No: CONTRACTOR: Obenour Roofing ROOF PITCH: 3:12 ROOFING SQUARES: 19 Sq INSPECTION DATE; 06/01 /01 TILE TYPE: Vangard Roll TEST DATE: 06/04/01 CONTACT PERSON Yusi (305)205 -0327 JOB NUMBER; R— 01 0 61 2 THIS ROOF HAS PASSE LLI FAILELLJ THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY PA 106. 18 18 42 43 45 11 5 44 10 9 8 6 40 41 14 13 12 15 13 2 37 3 4 TEST RESULT TABULATION 39 "ROOFING SKETCH" 16 38 36 19 18 14 122QA 4W 121 Raroof Caan 1111 %Com: FT. 2'2126 17 34 21 35 33 22 25 23 26 24 24 31 29 28 27 Required Testing Force: 351 s 25.5 Jose. Martinez Profession. ngineer No. 0031509 State of Florida Vn:ro• /2A41 9SQ_0770 For• 1_866 - 2226088 Date 1 Legal Descriptio Owner's Square Ft. ** * APPROVED: / Lessee Address PERMIT APPLICATION FOR MIAMI SHORES VILLAGE / Contracting Co (91 1311 //n gi .t0 (e- Address 7 35 7 4)) W./ ,V 7U- or ULU, O.L Phone 75 7 - 2- co / 2 Qualifier +42.4014%/' j(Qib -54 Municipa # Competency # /� State itl '�<O Ins.Co. /./cSEC Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL 'OOFING PAVING FENCE SIGN WORK DESCRIPTION E.QJ? �: tJ � l 91/244 x.01 ?a P, r �.�.P A im? � ( }1)-ad) 3 - yu "0 Estimated Cost(value) ,50 OU Signature of "ow er an Date: 7/3 1S3 Notary as to Own My Commission Ex Zonin Job Address _5 / AI 91fi Tax Folio /1- .3 06 - 0/ dk 7� Tenant l�CL .-42X / ?w"/2/9 8/&t 55 / 5 tNif- 9t/ Condo President c Frfe d MY f :f, r 9; „ a'i7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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 constru tion and zoning. Furthermore, I authorize the ,above -named co tractor to do the work state Mechanical Master Permit # / if Phone gnaturp of Contractor or Owner- Builder Date: - 7P9/ 4 / (,cL - # 3 l) m ?try as to Contrlctoor Owner - Builder My Commission Expi a {.CV ' •` ** FEES: PERMIT -;?G I O RADON C.C.F. / a NOTARY TOTAL DUE Pc a Fire Other Electrical Plumbing Engineering